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HomeMy WebLinkAbout0104 PARK STREET ioy �asK. fit . J� °Ft"ETA Town of Barnstable RARrsresLF Building Department- 200 Main Street 9 1639. ���p Hyannis, MA 02601 Tel. (508) 8624038 Certificate Of Occupancy Permit Number: ` B-17-1003 CO Issue Date: 7/5/2018 Parcel ID: 327-203 Zoning Classification: MS Location: 104 PARK STREET, HYANNIS Proposed Use: Name of Tenant:, Sprinklers Provided: Gen Contractor: MATTHEW M BOROWSKI Permit Type: Commercial - Business Type of Construction: Design Occupant Load: 0 Comments: Tenant is ENT Real Estate, LLC Building Official Date: A Certificate of Occupancy is Required Prior to Occupying Space Building Code: 780 CMR 8th Edition 4 Town ®f Barnstable yr � .. v �:_ � .,,_, ., ,,� `'�'�`.;-'n•.....-.,�.a..—,�.. \;-.ate-x�•''"•-. "'.�C. a� B u���.�C�lri PastThis Card So That rt rs:Vusrble'rom the Street Approved P.Ians Must be Re*z��ed;on lob anci thrs Card Must be Kept Rosted a� ` �Ui�ttil�Final Inspection Has Been Matle � `°= �`�' �� ,� � Permit ,�# Wherea Certificate of OccupancyA.rs Required,such Building shah Notsbe Occupied untrla Final Inspection has beenmatle�^ ,.< � Permit NO. B-17-1003 Applicant Name: . MATTHEW M BOROWSKI Approvals Date Issued` 05/03/2017 Current Use: Structure Permit Type: Building-Alteration°INTERIOR Work Only- Expiration Date: 11/03/2017 'Foundation: �rCommercial Map/Lot: 327-203 ZoninjDistrict: MS Sheathing: Location: 104 PARK STREET,HYANNIS w , Cp t actor Name: MATTHEW M BOROWSKI Framing: 1 Owner on Record: ENT REAL ESTATE LLC Ccsii#ractor License ,CS-074669 2 Address: 30 ALDRIN ROAD 4 , a � 9 Est-,�Profect Cost: $ 124,000.00 Chimney: .� PLYMOUTH, MA 02360 t, Perms#Fee: $ 1,228.40 � W � Description: construct new walls for future tenant. new permit required"by future Insulation: Fee Paid .$ 1,228.40 �.. tenant. � - Final: � 03• � �. Date T - 5/3/2017 Project Review Req: construct new walls for future tenant. new per rr►i#req iredby future tenant. � ? -- Plumbing/Gas 12 rt Rough Plumbing: Buildin Official 6r2! gFinal Plumbing: This permit shall be deemed abandoned and invalid unless the work authonzedbyfhis permit is commenced within six months after issuance. ._. All work authorized by this permit shalhconform to the approved applicatlori an�the approved construction docurnen s orwf is Vhis permit has been granted. Rough Gas: All construction,alterations and changes of use of any building and structures Snail be in compliance with the local z nr�g by iawsand Lodes. Final-Gas: This permit shall be displayed in}a4ocation clearly visible from access'*­' ccess street or rn�d and shall be maintained open fa pubkc fntp�edtion for the entire duration of the work until the completion,of the same. 4 Electrical p s kj F The Certificate of Occupa-y will not be issued until all applicable signatures by the)3u►Idmg and Fire Officials are provided on,this permit. Service: Minimum of Five Call;lnspections Required for All Construction Work 1.ToundationorFooting � � � Rough: 2.Sheathing Inspection 3.All Fireplaces must be inspected at the throat level before firest flue lining is installed _ Final i 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection 5.Prior to Covering Structural Members(Frame Inspection) L Low Voltage'Rough: 6.Insulation �- 7.;-F,l a Inspection before Occupancy Low Voltage Final: � ;.' • • is _ r"Persons here applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Health „�ork shall not proceed until the Inspector has approved the various stages of construction. Final:contracting with unregistered contractors do not have access to the guaranty fund" (as set forth in MGL c.142A). Fire Department' Building plans are to be available on site Final: AJU (. All Permit Cards are the i roperty of the APPLICANT- ISSUED RECIPIENT � s T . ' . Town of Barnstable u0-0 -N 0 • c" "'q,�s.*, ,a°Y�. E ..s.. _.,,,� ,,., : i.,�J�'" �.: ,. .,e. '-*.� '" .,- ,- w .>� g PostkTh�s Ca,rdSo That rt is Visible;From= he StreetA rovedF Plans Must be Reta�nedo,-n"Job anc!this Card-.Must be Ke t BAIi*Sf7CAfiLB, s v pP - M' Posted Until Final`Inspect'ionHas'.Been Made t° Wh Permit Permit No. B-18-1797 Applicant Name: William G Morrison Approvals Date Issued: 06/08/2018 Current Use: Structure Permit Type: Building-Sheet Metal-Commercial Expiration Date: 12/08/2018 Foundation: Location: 104 PARK STREET, HYANNIS, Map/Lot 327-203 Zoning District: MS Sheathing: Owner on Record: ENT REAL ESTATE LLC Contractor'"Name'' William G Morrison Framing: 1 Address: 30 ALDRIN ROAD � � €� Co't actor'License 1985 2 1 �: � , PLYMOUTH, MA 02360 Est "Project Cost: $0.00 Chimney: Description: Install two ducted HVAC Systems One unit to b6l&ated in the attic ermlt Fee: $ 160.00 space with all insulated galavenized ductworks) the Second unit to Insulation: Fee Pald $160.00 be located in the crawl space. s Date 6/8/2018 Final: � k ,, Project Review Req: � -. F � i Plumbing/Gas XI Rough Plumbing: Building Official Final Plumbing: ' ix Rough This permit shall be deemed abandoned and invalid unless the work authorized by this permit is commenced within sixmonths after-'issuance. g Gas: All work authorized by this permit shall conform to the approved application and the approved construction documents�for which this permit has been granted. All construction,alterations and changes of use of any building and structures shall be in compliance with the local zoning by laws and codes. Final Gas: This permit shall be displayed in a location clearly visible from access stre'et`or road and shall be maintained open for public inspection for the entire duration of the work until the completion of the same. �, _ Electrical The Certificate of Occupancy will not be issued until all applicable signatu es by t e Building andaFire Officials�areprovided on this permit. Service: Minimum of Five Call Inspections Required for All Construction Work F A 1.Foundation or Footing =,� �;, _ �,...,a����� -,.x�-< Rough: - 2.Sheathing Inspection Final: 3.All Fireplaces must be inspected at the throat level before firest flue lining is installed 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection Low Voltage Rough: 5.Prior to Covering Structural Members(Frame Inspection) 6.Insulation Low Voltage Final: 7.Final Inspection before Occupancy Health Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Work shall not proceed until the Inspector has approved the various stages of construction. Final: "Persons contracting with unregistered contractors do not have access to the guaranty fund" (as set forth in MGL c.142A). Fire Department Building plans are to be available on site Final: All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT f �y Commonwealth of Massachusetts Sheet Metal Permit \4 Map 3 7 Parcel a03 Date: dS- S Permit# VJ I _ 1 Estimated Job Cost: $ � M141 JUN 05 ?018 Permit Fee: $ Plans Submitted: YES NO R45 sans Reviewed: YES NO Business License# !SSG Applicant License# 9 Business Information: 1 Property Owner/Job Location Information: Name:C apz k 5�c 5 Teo ^ l�n,� Name: C V T T¢.a A Cs+o k L L C, Street: Street: Pac"\c S�. City/Town.: &r k�� 1 City/Town: A nrw3 Telephone: ;SCE S9 q 1�`�"l Telephone: cV7 ? 990 `VS0 Photo I.D. required/Copy of Photo I.D. attached: YES_L/ NO Sfa Initial J-1 -1-unrestricted license J-2/.M-2-restricted to dwellings 3-stories or less and commercial up to 10,000 sq. ft. /2-stories or less Residential: 1-2 family Multi-family Condo/Townhouses Other Commercial: Office ✓ Retail Industrial Educational Fire Dept.Approval Institutional_ Other Square Footage: under 10,000 sq. ft. mover 10,000 sq. ft. Number of Stories: Sheet metal work to be completed: New Work: Renovation: HVAC Metal Watershed Roofing Kitchen Exhaust System Metal Chimney/.Vents ' Air Balancing Provide detailed description of work to be done: Coe". �c-, e-ti �aoN-v 2 A `//7 w,- ',9} -Jib �O ` r INSURANCE COVERAGE: I have a current liability insurance policy or its equivalent which meets the requirements of M.G.L. Ch.112 Yes No ❑ If you have checked yg& indicate the type of coverage by checking the appropriate box below: A liability insurance policy Other type of indemnity ❑ Bond ❑ OWNER'S INSURANCE WAIVER: I am aware that the licensee does not have the insurance coverage required by Chapter 112 of the Massachusetts General Laws,and that my signature on this permit application waiyes this requirement. Check One Only Owner ❑ Agent ❑ Signature of Owner or Owner's Agent By checking this box[],I hereby certify that all of the details and information I have submitted(or entered)regarding this application are true and accurate to the best of my knowledge and that all sheet metal work and installations performed under the permit issued for this application will be in compliance with all pertinent provision of the Massachusetts Building Code and Chapter 112 of the General Laws. Duct inspection required prior to insulation installation:YES_..ZNO Prot Tess Inspections Date Comments Final Inspection Date Cow Type of License: By C7 Qom'' ❑Master Tide ❑Master-Restricted l� Cityrrown ❑Journeyperson Signature of Licensee Permit# . ❑Journeyperson-Restricted Fee$ License Number: , �� - ❑- — Check of www.mass.govf dpl Email: Inspector Signature of Pe it Approval Ch 14Sv ►: ro 4 q FA Al I' D 'perp � 6 a M� tp . o w ❑ ❑ �, ;A OCR Jn Q n on JR. Ira p PO En 174 ~ m n ,' al 4 co M 4 �' C1.r�p r� � t�• � H C� � P p{ qg b � o ' �" h • d Laformation and Instructions imm a mft Geteaal Laws Ise requires aII employees In xunI-,WmIm&sensation fnr-ff=employees_ P�samd�this sf ,an�Ivyr�is dafined as¢:�vezYpesoair a revise of au6=-der any contract of hire, cspress or implied oral or °' An erV£oyer is definei.as aan mc$vidaal,parf=ub�p,amoc cdi&:, axporaiion or other legal e�ty,or arty tvm or more of the RM-egoiag engaged in a Joint eteaprise,and hmbffmg the legal representatives of a deceased employer,or the receivra ar tract ee Df an mdividhal,per=associafim or offer Iegal emiiy,mzploymg employees Hrrvvever$ie owner of a dwmFmg howD hz&g a t mo'm than three apa d me±s and who resides fi=m,cr the occqem±oftbe - dweIIing horse of anoffier who=3PIDys pess®s to do ce,cr*t+sftuction or repair work as such dweIlmg house or on.the grotmds or bm'Iding theme smHnotbecaum of such employment be deemed to be an employer.' MC3L chapter I52,§25C(6)also sfajxs that¢everystain or local ficendng agmcy sh2lI WftihoId$ie im—ce ar reneveaI of a license or permit to operate a business or to mnstmct-btaZdings is the commumvealth for any applicantwho has notproduced acceptable evidenm of cnmpr=ce with the hm-mra-nce coverage rmgm ed." ,e rrIcE Dna Ily MET-chapter 152,§25C(7)states-Teithrr the connnamwcalth nor i�uyy ofits poll subdivisions shall enter into any contract for dm perinm�ce ofgnbIic wotic mrtd asxxpiable evid3:ace of compli�cewith the iusm-ancc. re�eEts of this chaplrr havo been prrsenti-,d to ine cmtr dzmg anihoz4}. . Please fIl Dirt the was'compeasaf pn aidavit completely,by cho6ldag idle boxes Ifia±apply to your sitoafinn and,if nmessarL=pply sub�ctor(s)name(s), adcb=(es)andPbj= s)along withtdeir=tEcate(s)of ms rrance_ Lm2iizdLnbffiLy Companies(LLC)or LintE-dLiabH-dyParfti= rps(LIP)withno eaployers ofdert mthe members or pmtacxs,are not rb T kcd to cmIy wDrkersl campensation insm-amce_ If an LLC or LLP does have employees,apolicyisreq¢¢ed. Be adWsedlhdihis afdayhmaybe snbmYindinfmDepadmentof ln.das dal Accid=J3.-mr commatim ofmsm-Pn=coverage Also besore to sig3x and dateihe afndaYit The affidavitshDvld bere=i--d to m-e cify or town thatthe appficatim fni the pezm6t or license is being requested,not$e Department of T-nr asb id A rTe,te Shonldyonhave any gnesdc=regaa mg the Liw orifyotL arenamedtD obtain awori= ' compensatouPDROy,pleasecaIltheDepmtneotatthemu3berlisisdbelow. Self-imm�dcampaniesshonIdeatrrtheir. self-bimxmce license number on.the approprisfn line. Gift'or Towncials. t _ Please be sore that fie affidavit is complete andpriated.legibly- ha Deparfineaithas provided a space at ibe bottom of the affidavit for you to fill out is the event the Office ofInvestigafi=s has to contactyouregardmg the applicant Please be sine to fill inthepezmaMccmmmrnber which wMb :used asareferenccm mber. InadBion,anapplicant $zat must submit mvldple pe®WHcense apphtat ins many given-ye.aq,need only submit are affidavit mdicatmg=ent . p olicy in.-Lor oration Cif n=cssaxy)and ender`Job Q� nss�$e applicar should write"aII Iocaf,�rs in (cdy or town)_'A copy ofthc-affdavitthathas been officially stamped ormmkedbythe city or to may be pmvidcd-tg the applicant as proof that a vflid affidavit is on file fDr futnre'pemiits or licenses A new aM&vitm ist be filled.ant ea ch year.'Whexr almme owner or citizenis obtaiaing alicense or permitnotrelatedto any bnain=or commercial vet (i.e.a dog license orpennit to btrn leaves eta_)saidpmson.is N0T requaed to compIete this affidavit The Office ofInvesliga&m wotddhlo--to thank yDumadvaacc foryom cooperaf ion and sbouldyouhave,anygaestions, please do not b esRatm to give tie a call The Department's address,telephone and fax mmibm-- Departnent cif liftEstdO AocZenta face Cffl)�Imesti&tio= Bos m&Rill T14, 617 7 -49W c�E 4-06 car I-9 I�AS�Fax.*617727-7749 Reviscd4-24-07 1_VR`I\.S USAMA 4S�Ss�� OgiFNd�yr��fiBER r lYi L/j F _ _ VE SANDWIGN;'.MA 02563 2612 '6'DD07-%2014.Rev07Ai2009 __ J 1 f SHEET NI�'J�L WOi2KEI+tS: � x , ISSUES Ttil;,FOLLOWING LICENSE � 11 A5Ti=R UNRESTRICTED MORRISOC .�0 SPIN.NAK�13 ST hf� � f SANDWICtt,MA 02563 2612 wr ` A, 3 tPr 19$5 � 07/'t81209� ' �307187 �'_ t ti ® DATE{MM/DDIYYYY) CERTIFICATE OF LIABILITY INSURANCE 5�z9�2oi'a THIS:CERTIFICATE It 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.CERTIFlCATE.HOLDER. IMPORTANT; :If:the certificate holder is 4n ADDITIONAL INSURED,thetpoilcy(les)must'be:endorsed.;;11 SUBROGATION IS WAIVED,subject to the terms and conditlons:of.the.polhiy,certain policies may require an endorsement. A statement on this certificate does not confer.rig Wto the certificate holder in lieu of such endorsements) PRODUCER NAME PATRI'CK F MCGUIRL BAYSIDE INSURANCE UNDERWRITERS INC PHONE 40:1 91915900`: 310 Maple .Avenue Arc No EA), ( ) Alc No (401) 633 7000 ADDRESS:PMC rl.@bslui'.com ,- Barrington, RI 02806 MURER(S)-AFFORDWG COVERAGE NAICS INSURER A::Natonwde :Insurance _Co.. .' INSURED Cape. a Islands :Heating, and Cooling' -Inc. �.INSURER.B1 61''Old. South:: Road, Suite 2.82 iiasuREao: Nantucket, MA 02554 IrasuRERD: INSURER E': INSURER COVERAGES CERTIFICATE NUMBER REVISION`.'NUMBER: THIS IS TO CERTIFY.THAT..THE POLICIES OF:INSURANCE.LISTED BELOW HAVE BEEN ISSUED TO THE INSURED-NAMED ABOVE:FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING:ANY REQUIREMENT;TERM OR CONDITION OF.ANY CONTRACT OR.OTHER. DOCUMENT WITH RESPECT TO WHICKTHIS CERTIFICATE:MAY,BE ISSUED OR MAY PERTAIN;':THE INSURANCE,AFFORDED.BY'THE POLICIES.DESCRIBED HEREIN IS.SUBJECT.IO ALL.:THE TERMS, EXCLUSIONS AND CONDITIONS OF:SUCH POLICIES.LIMITS SHOW.N MAY HAVE BEEN:REDUCED BY.PAID CLAIMS. `.TR TYRE OF INSURANCE @JSR WVD: ::POLICY NUMBER i MM/DD.. POLICY E MM1DDY Exv, i >LIMITS.— GENERAL LIABILITY EACH OCCURRENCE $ .:1 0O0 '000 X ;COMMERCIAL GENERAL LIABILITY PREMISES Ea oc6urrence1 $ 300:`boo CLAIMS-MADE OCCUR itiIEDEXP.(Anyonepersgn) $ 5: 000 ' . ' 531/201 5/312016A GL11471F. ERSONALB:ADVINJURY. $ -:1y 0001:000. 5/B1/2018:5/31/2019 :GENERAL.`AGGREGATE: . . .$ Z 000, 000 GEML AGGREGATE LIMITAPPLIES:_PER PRODUCTS-:COMPlOP AGG $ Z.i 000 i;.000,. X POLICY ' PRO JECT. < LOC. $ AUTOMOBILE LIABILITY CUMI Ea accident $ ANYAUTO _ ' BODILY INJURY:(Per person) $ ALL OWNED' SCHEDULED BODILY INJURY.Per accident $ AUTOS.; AUTOS ( ) NON OWNED ROPER ROPERTY DAMAGE $ HIRED AUTOS AUTOS.' (Per accident UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS MADE AGGREGATE DIED RETENTION$ $ WORKERS COMPENSATION: GS O AND'EMPLOYERS'LIABILITY vrN X TORYLNNITS ER ANV:PROPflIETOR/PARINERIEXECUnVE WC 31s3aG 5/31/2017;5/31/20113 EL:Eed ACH ACCIDENT $ 1., 000y;.000 A OFFIGERMEAABER EXCLUDED? ® NrA 5/31/2018: 5/31'/2019 (Mendetoryin F01). w E.L.DISEASE-EA EMPLOYE $. '1:> 00.0, 000 if yyes;describe under DESCRIPTION OFOPERAT10NSbelow.:': E.L:,DISEASE-POLICY LIMIT $::14000.1000'. DESCRIPTION OF.O?ERATIONS!LOCATIONS I VEHICLES (Attach:ACORD 101;'Additl66al Remarks Schedule it more space is.regwred) CERTIFICATE HOLDER i.: CANCELLATION Town Of;Barnstable SHOULD ANY OF THE ABOVE DESCRIBED P..OLICIES:BE CANCELLED BEFORE . 200 Ma It $t THEI..EXPIRATION DATE.. THEREOF 'NOTICE .WILL BE :DELIVERED IN 1117ann1S.y MA.:U2 601: `,::ACCORDANCE WITH THE POLICY PROVISIONS ? 'AUTHORIZED'.REPRESENTATIVE r ©`1988 2010 ACO D CORPORATION:`All rights reserved: ACORD25(2010/g5) The ACORD nafne and 1og0 are,registered.maft:of ACORD .: , .,3 psr' Application number ® ........ Date Issued......................�.�. � ..... .......... KAM } Building Inspectors Initials. "~ JUN 05 1� 10 Map/Parcel....... ` . TOWN OF BARNSTABLE EXPEDITED PERMIT APPLICATION: ROOF/SIDING/WINDO W S/DOORS/TENTS/STOVES/WEATHERIZATION PROPERTY INFORMATION Address of Project: �2 Q r&A; (il/ t" _ NU ER STREET VILLAGE Owner's Name: Phone Number Email Address: A;C-P—Ae Cell Phone Number (3 Project cost $ I QDaffCheck one Residential Commercial . OWNER'S AUTHORIZATION As owner of the above property I hereby authorize A✓V OG c��{� Cd to make applica ' a building permit i accordance with 780 CMR . Owner Signa e: Date: TYPE OF WORK Siding 0 Windows (no header change)# 0 Insulation/Weatherization O DDoors (no header change) # Commercial Doors require an inspector's review L Roof(not applying more than 1 layer of shingles) Construction Debris will be going to 6 A r,•�s � `��� L S A t r CONTRACTOR'S INFORMATION Contractor's name 1r'�' Na 'PCB Home Improvement Contractors Registration(if applicable)# (}j ��� (attach copy) Construction Supervisor's License# �. S°� O 3 l PC) (attach copy) Email of Contractor coy✓I msS ,h Phone number ALL PROPERTIES THAT HAVE STRUCTURES OVER 75 YEARS OLD OR/F THE SUBJECT PROPERTY IS IN A HISTORIC DISTRICT, YOU MUST OBTAIN HISTORIC APPROVAL BEFORE A PERMIT CAN BE ISSUED. APPLICATION NUMBER ............................................................ 4 *For Tents Only* Date Tent(s) w&be erected Removed on number of tents total Does the tent have sides? Yes No (If yes please attach floor plan with exits marked) Dimensions of each Tent X , X X Additional tent dimensions can be attached on a separate piece of paper. Check one: this event is a: for profit non-profit event Check one: Food served Yes No Flame Spread Sheet of each tent must be attached. Provide a site plan with the location(s) of each tent If food is being served at your event please obtain a Health Department approval between the hours of 8:00am-9:30 am or 3:30 pm-4:30pm. Commercial events may require Fire Department approval. *WOOD/COAL/PELLET STOVES Manufacturer# Model/I.D. Fuel Type Testing Lab t Offsets from combustibles: front back left side right side HOMEOWNER'S LICENSE EXEMPTION Homeowner's Name: tp,ui,v1 c `� vt ca Cie V C&A C Telephone Number �A`Cell or Work number I understand my responsibiht nder the rules an egulations for Licensed Construction Supervisor in accord a�n a ith 780 CMR the Massachuse =docu Building Code. I understand the construction inspection procedures, specific inspections aentation required by 780 CMR and the Town of Barnstable. Signature Date APPLICANT'S SIGNATURE Sign tore 9 . L 41 . I I # Date & All permit applications ar ubject to a building official's approval prior to issuance. The GommotweaM of Massa4Z1Li'eftr Depoftevtt of1n&&st WAcddm1s IC ongrest Sweet,su#e Ae#W4 MA;�2 2�33 3i►ww mans gvvlt e Workers'Compensation hasurence A#fidevit:General Businesses. TO BE FMM WITH THE PMMUMG ADTMRM. Applicant Information - Please Paint Leg'b1Q Busines&I) niz tionName: w?, A4cbfPC0 Address: p b e E 1 City/State/Zip: (ItRr-C74 A L S5 Phone#: '0 7 f.• P-5_496 Are you an employer?Check the appropriate boa: Business Type(required): 1.❑ I am a employer with employees(full and/ 5. C]Retail f or part-time).* 6. []RestawwrtBarSsdng Establishment 2 Lam a sole proprietor or partnership and have no. 7. ❑Office and/or Sales(nd.real estate,auto,etc.) employees worldng for me in any capacity. [No workers'comp.insurance required] S. Non-profit 3.❑ We are a corporation and its officers have exercised 9. ❑Entertainment their right of exemption per c.152,§1(4),and we have 1011 ' no employees..[No workers'iAmp•msmauce requn-ed] . 11.0 health Care 4.❑ We are a nonprofit cm,staffed by voltaieers, • ia.L� wrth•' employees.[No workes'czop.imst�tceIN •Anygv1kmtthatchecks box#r-=stdwMoiatbeseafioabelo dowing awork?eYs;compeai&MMHUYiceman_ k+Tf the cor�nr�e officers�e exea�ed a,emsetves,butte oiupeaa{ion�other emplo,3tees,•a vYarkPis'eoom pnlieY is and sire$am oWdzmd m shm d cbwklos#T: Ion an employer that ispmvidaegwarkeq'compense fflrmy an p1q_v`=-Below is flee po&ey i aFMa ML Insurance Company Name: Insurer's Address: City/State/Zip: Policy#or Self-ins.Lie.# Expiration Date: 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 ofa 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 cerfi ,under the pains allies of perjury that the Wormadon provided above is true and correct Si ature• Date: l 7 Phone#: i 00 7 to o;L (q Official use only. Do not write in this wen,to compid4d by.chy er town aoldal City or Town: Pernzi License# Issuing Authority(circle one): . L Board of•Health 2.Buil i*Deomtment.1•Cityrl wn Cleric 4.l;;lcensingSfti4•5.Selectmen's Office 6.Other Contact Person: Phone#: www.massgov/dra -T 14 Information and Instructions Massachusega General Laws chapter 152 requires all employers to provide workers'compensation for their employees. Pusumd to this statute,an gnplayee is defined as"...every person do the service of another under any contract of hire, express or implied,oral or written." An Moyer is defined as"an indivi&4 partnership,association,corporation or other legal entity,or any two or more of the foregoing engaged in a joint enterprise,sad 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 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 budding appurtenant thereto shall not because,of such employment be deemed to be an employer." MGL chapter 152, 25C(6)also states t#rat"e erg stye or local Iirs g agency shall w r>iold fhe issuance or renewal of a llmnse or permit tin operate a basiness•er to constiact..>:uWkp in thie.imnun mweWft for ray applieaat who has-not pkodaeed acceptable&idehua of CRunplMt-e-With-the mace coverage reQairred. Additionally,MGL chapter 152,§2SC(7)states-Neither the aommanwealth nor any of its political srrbdi Wens shall• . enter into any contract for the performance of public work until acceptable evidence of compliance with the iasurrance requirements of this chapter have been presented to the g an hority." Applicants Please fill out the workers'compensation affidavit completely,by checking the boxes that apply to your situation and,if necessary,supply your insurance company's name,address and phone number along with it certificate of insurance, Limited Liability Companies(LLC)or Limited Liability Partnerships(LLP)with no employees other than the members or partners,are not required to cry 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 fur conftrmadon of d ommoe coverage. Also be sure to sign and date the affidavit. The affidavit,should be rehrxaed to the city or town that the application for the permit or Home 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 worms'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 Offieials Please be sure that the affidavit is complete and printed legprly. The Department has provided a space at the bottom of the affidavit foryou to fill out in the evot the office of IRvesdgetions has to contact you regarding the applicant. Please be >sure o fill.In tihe.permit/l cease rmmlierwl ir.#.ynj1 b t used as a:reference number.In addition,an applicant that must adbmit multiple.permibl a*=' * appiiiOoas is any'*i* ' 'yeas,Head-6*submit one affidavit:filocating crrrent'. polrcy infar ion(if nec sarj�). A copjrQfthe:effi.. has been offi.a.l tamped or named try the city orl�own maybe provided to tiro applicant as p oof fliat:a valid•affidavit is oa file for 'pe> ar licenses..A'new affidavit . must be filled out each year Where a:home owner or'cki:mmi-ds.o€_mng.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 ft affidavit. The Department's address,telephone and fax number- Ile Commonwealth of Massachusetts ' Department of Industrial Accidents 1 Congress Street Boston,MA 02114-2017 Tel.#617-727-4900 ext.7406 or 1-877-MASSAFE Fax#617-727-7749 www.mass.gov/clia Form Revised M-23-1$ I License or registration valid for individual use,only Office of Consumer Affairs&Business Regulation before the expiration date. If found return to: tiomr:IMPROVEMENT CONTRACTOR Office of Consumer Affairs and Business Regulation m Registratio � 1-.05488 Type: 10 Park Plaza-Suite 5170 Explratiorr�--- 018 Indidual vi -- Boston,WU 02116 ARTH R M.PACHECO ` :.. Arthur Pacheco . ..... 133 ASHLEY DR. CENTERVILLE,MA 02632 Undersecretary Not valid without signature Massachusetts Department of Public Safety Board of Building Regulations and Standards License: GS-031802 Construction Supervisor ARTHUR MPACHECO P.O.BOX 113 - BARNSTABLE MA 02630 Expiration: o6/16/2018 Commissioner Town of Barnstable Building Post`This Card So That it'is Visible From the Street ApprovetlPlans Must be Retained on Job and this Card Must be Kept +- �ARcY'MAS3. ' .asa iPosted Until Final.lnspection Has Been.Made Permit Where a Certificate,of Occupancy is Required,such Building hall Not be Occupied until a Final"Inspection has'been made ., E .�,.�....y i -_. .., w• u. � . � � -..�.� _ ..a Permit No. B-17-4399 Applicant Name: Approvals Date Issued: 01/08/2018 Current Use:= Structure Permit Type: Building-Sign Expiration Date: 07/08/2018 Foundation: Location: 104 PARK STREET, HYANNIS Map/Lot: 327:203 Zoning District: MS Sheathing: r Owner on Record: ENT REAL ESTATE LLC ' , Contractor Name: ,.;` Framing: 1 4. Address: 30 ALDRIN ROAD - Contractor LicenseF4, 2 Est Project Cost: $0.00 PLYMOUTH, MA 02360 Chimney: 714 Permit Fe: $ 100.00 Description: 12 Sq Freestanding sign in MS District. F Insulation: 5 .Fee Paid:; $100.00 One sign onlyy i' •• Date:.°„ 1/8/2018 Final: r� ' South Shore Dleep Diagnostics : �' w zdutiry�_._ Plumbing/Gas Project Review Req: Y y Rough Plumbing: u Zoning Enforcement Officer ; Final Plumbing: This permit shall be deemed abandoned and invalid unless the work authorized by th°is permit is commenced within six months afterissuance. Rough Gas: All work authorized by this permit shall conform to the approved application and the approved construction documents for which this permit has been granted. All construction,alterations and changes of use of any building and st ructures'shall be incompliance with the local zoning by-laws and codes. Final Gas:. This permit shall be displayed in a location clearly visible from access street or road and shall be maintained open for_publc inspection for the entire duration of the work until the completion of.the same. ,. .,. X' Electrical n Fire Officials are rovided on this permit. Service: The Certificate of Occupancy will not be issued until all applicable signatures by the Building and p Minimum of Five Call Inspections Required.for All Construction Work: S 1.Foundation or Footingy Rough: 2.Sheathing Inspection 3.All Fireplaces must be inspected at the throat level before firest flue lining is installed Final: 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection Low Voltage Rough: 5.Prior to Covering Structural Members(Frame Inspection) 6.Insulation - - - - Low Voltage final: 7.Final Inspection before Occupancy Health Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Work shall not proceed until the Inspector has approved the various stages of construction. Final: "Persons contracting with unregistered contractors do not have access to the guaranty fund" (as set forth in MGL c.142A). Fire Department Building plans are to be available on site Final: All Permit.Cards are the property of the APPLICANT-ISSUED RECIPIENT Town of Barnstable Building Department Services Brian Florence, Building Commissioner BABSTABLE 200 Main Street, Hyannis,MA 02601 2�XPA'I :c34.33ia www.town.barnstable.maxs Office: 508-862-4038 Fax: 508-790-6230 Sign Permit Application - 3q9 g Zonis District Permit # 6 7 /01�Historic District 2 �`�'O^` `Zf -7 Location by Street address and village Applicant � -�' �" '..`.'�°`'� Map & Parcela� Telephone Number Email Emaif Wall Wall 0 / Freestanding Freestanding . � 9 Electrified* Electrified* Dimensions Sign #1 Z 1C l Dimensions ign #Z L1q Square feet Square feet LU Reface Existing Sign New/Repla a Sign f Width of Building Face ft. X 10 +2'3 X .10= *Lighting Type �� A wiring permit is requQi ?f sign is electriried�v/ `� CARVED SIGNS WITH GREEN AND GOLD LEAF 24"X120" 20 SQ FT South :Shoire 0 OF[ S eeip , Dn. agnostnc. S,,- 11L. v f } r y v ' South Shore } Sleep Diagnostics a ..t �P' �+5.7^ e Mf s•' IY .^ ' . J7 Iz— TP . •6 �k v �,�$ � ;� � p.. n _*y�-�,-••••'�„C�.L+�^�cs+,�r ,..'fir+ ..e.�9'��'+3 "s r. � � <k , "� � ..:�°�' c �a�„�, ^s• �ws s �.:.+.."`. r..ri.�Y�'"�""`'a 3 are-,. �r'� f x =iw ' e J, r• It I - 12 sq ft Carved sign - 2 sided with tenant plaque p 39.5 South (4 .Sh6 e. leer �� ap 44" Dial oste�, , • �11 r ,� � k y "'iy; h.. 4.'��,eX��i tY t;f ��� r!"TENANT.PANEL = ; 74 30" 24" 30" in ground u+! " a �R dig P; IR t s • # �d; ����,i• � � Ott� '., �'* � ,� 4 � . A "Pt � AIA�4t.t.. JA.a �. t„�+� w.t. 1 M $ a y,i .• I. aoaaaM ITV r v o 3 � { y S•,:�'Ah d �Rh [ 5..� u'`�t. ,q^'4' t s.� �:'+•` t :,. y, F A '' ,�i :.t 'h �"A"d��,3.,�1' ,y1""..3,E'`�.v st � �l� +�: •;Z n '��.td'ityY >y;;;,ram � 5 �r^i"•��. �, .+?.,?�f',s'��'3 L� Y�.'�>h', k �R'.�,,f; �..d" _ �+,Yy'S�'s� � 4. +a d�� r �.s .•�.�,t`*e, :.:, ° *'4 a a�!M1"� ,.s �^�.. R....;.,, �. t'.•, r tk,4 ��,� •r`.•, �.✓ :,� r; f Y k' r. 4' '�;. 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CU7 C Town Of Barnstable . 2l�i7 DECr �� Planning:&Development Dept. 1 ,' ' Hyannis Main_Street.Waterfront Historic District commission www.townbamstable:ma.us/hyannismainstreet ;Decision—Certificate of Appropriateness-SIgnage .South Shore Sleep Diagnosis 1"04:Park`Street,"Hyannis The Hyannis Main Street Waterfront Historic District Commission;pursuant toahe.Code of the Townof Barnstable Chapter 112,Historic Properties,Article III,HyannisMam Street Waterfront Historic District, hereby approves a Certificate of Appropnateness'for the,.following property: . Property Address: 104 Park:Street Assessor's Map/Parceb 327/203 The public hearing:on Ws..application was opened•on December 6,2017 After consideration of the testimony. iven and materials:submitted byahe applicant and members of he public, the:Commission found the proposed business; .. signage will appropriately contribute to-the historic characterbf the;Hyannis Main Street Waterfront Historic District.. The Commission considered the..design,color,size,�location and context:of the.proposed,signage and.found it to.be. appropriate for the protection and preservation of the.district. Based on-these findings, the Commission voted-to grant the certificate of appropriateness subject to.the following conditions:' 1.- The sign application dated October. 31,2017; is approved as submitted for one;393"x.4411 HDU foam:r carved sign, with .white.background, green lettering and:gold accents, `to be placed on; existing stand with.ground mounted spotlight. I. One 24 letterin "g 120"HDU foam carved sign,white background,green g and`gold accents with black gooseneck lighting,to be placed on the side of building=South Shore SleepDiagnostics. 3. ..One 24" x:120»HDU foam carved sign?wWte;background;.green lettering and gold:accents with black gooseneck lighting,for future tenant,to'be placed on the side of building. 4.,` The.,Applicant,shall obtain sign permits from the. Building Division prior to`display.of sigRage.. Present and-voting in the affirmative to grant.the certificate of'approgriateness were:"Paul`S. Arnold, Taryn; Thoman,David Colombo,John Alden;Marina Atsalis and Timothy Ferreira. Opposed:None '00000 Paul S.Arnol Date... Hyannis Main Street Waterfront Historic 17istnct,Commission cc: LoreM Petri;Applicant: Building Commissioner; File, I,Ann Quirk;:Clerk of the Town of Barnstable,;Bamstable County,Massachusetts,hereby certify that twenty(20) days have-elapsed since the Hyannis.Main�Strect.Waterfront`Historic District Commission:filed this.decision and that, no appeal of the decision has been, i ed in the office,of the.Town'Clerk. Signed and sealed this dayof. . under the pains and penalties of.perj.ury;, Ann,Quirk;Town Clerk I of::l +ha' - Town- of AM$tabie Hyannis Main Street Waterfront Historic Distriot co mm'ission App1 cat on Certificate~of Approplriateness for Signage Application is hereby made for the issuance of a Certificate of Appropriateness under MGL",Chapter 40C,;The Historic Distracts Act;for proposed signage as described below and on drawings or photographs accompanying this application. CHECK ALL THAT APPLY: _ p Business Sign 2. Open/Closed Sign 3. Trade FlagAM 01 z.4m . ' 4. Trade Figure or Symbol I. Location Hardship Sign PLANNING&0EVELOPMENT7 . Assessor's.Map No.jzq Parcel No. . Address of Proposed.Work. (" y1. c2ar •. Applicant:, -_ Tel.# 50;9- '7 \'7 .3.4 to Applicant Mailin Address g own/State0p p�- nu . y c'} 3 fo G, Applicant E-Mail Address1 -e:.�•.r =e.�S� . C_v�Y'* Property Owner, Tel# .:U1S 7 � c 5 7 Owner Mailing Address 3Q A Town lstote/Zip , ¢ :G331�C Agent or Contractor Tel# -75�? -J LJ 6 Mailing Address, Town/state/Zip3 b(1 Agent E.-Mail:Address `�:r-e.• .tiS ._ ... C �'` Signature of Applicant Date ❑ For Location Hardship Signs&freestanding Trade Figures or Symbols to be located.on private property: Check box if;property owner has granted permission to locate Signor Figure.on,theirproperty abutting the building front. /' ll Business Sign 1: Size of Sign y, x _ Materials)of Sign C-4NC V Material of Lettering(if different),.. ` Will thesign:be:iliuminated? es No SQG If yes,what-type of light fixture L A Location of Fixture -, � . Bus Sign 2.: Sign Materia(s)of Sign 1 .z — Material of Lettering lif different): Will the sign be illuminated? .Yes/ o C"—A—If yes,what type of light fixture S e& to ion,of Fixture Open/Closed Size of 0 hIClosed Sign Sign:. . Material of OpentCiosed Sign: If Neon,:indicate color,(Circle;one option): Red]Red&Blue Color of Open/Closed Sign: . Trade Flag: Size of Trade Fiag.; _ x Material of Trade flag: Trade-Figure Dimension of Tnader Fig ute or Sqn bol: x x' Or Symbol: Material of Trade Figure or Syrnbol: Location Size of Hardship Sign:: _ x. Hardship Sign:; Materialof Hardship Sign: . Lettering Color and Material:- . Page 7of 2 r, Town of Barnstable NOY 0 017 Hyannis Main- Street Waterfront Historic Distri t Commission Growth. Management Department • www:town.barnstable.ma.,uslH ,arr[jsiAaid..St�eMEi.OP,%IENT APPLICATION SV13MISSIOWREQUIREMENTS StGNAGE Application-3 Copies All applicable sections must be complete.Complete the specification sheet and'include details of proposed signage. 2f Supporting Materials—3 Co ies R�Proposed Sign Design Submit a color drawing/rendering.of the proposed sign.: Includesign dimensions on the drawing. No tepilf the drawing does hotaccurately show the proposed sign colors; color samples(paint chips)are recommended'.. Proposed Sign Location Submita,photograph of the proposed'sign location. If possible,superimpose. the proposed sign on the photo. 2/$75 Filing:Fee- The filing fee should be submitted.9 g tted with the application. Checks should be made payable to the Town of Barnstable. We are unable Ito accept credit/debitcards. Postage Stamps Contact the Growth Management Department for the.number of'required stamps.- :Stamps;are required for abutter not IMPORTANT I'NFORMATION- • Ali decisions of the Commission are subject to a 20 day appeal period. • Approvals from the Historic Commission are required before you can.apply to the Building,Division for a Sign Permit. • Review the Historic District guidelines for information on recommended designs,materials,colors,:etc. • -Providing all requested information with the.application will prevent delays in processing and hearing your application. • The applicant or a representative must be;present at the scheduled hearing delays or a denial may otherwise result. • Approved Certificates of Appropriateness are valid for 1 year after approval. A one year extension may be granted by the Commission,but shall be:requested:priorao the expiration date. If you have any questions, please call the Growth Management.Department at (ON 862.4665 or contact Elizabeth Jenkins at elizabeth.Jenkins@town.barnstable.ma.us. Growth Management Department • 200 Main'Street:• Hyannis,, MA • 02601 SIGNAGEE REQUIREMENTS Business Signs • The Growth.Management Department recommends speaking with Building`Division staff to determine the amount of permitted business signage prior to applying for Certificate of Appropriateness from the Hyannis Main Street Waterfront.Historic District Commission; OpenlClosed;Signs • Only one(1)Open Closed Sign per business establishments permitted: Acceptable colors for neon Open/Closed signs are red.or red and.blue • Open/Closed Signs cannot incorporate or display flashing,moving.or intermittent lighting • Open/Closed Signs cannot incorporate or display LED(light emitting.diode).or LED border tube signs including any sign that incorporates or consists solelyV a`LED border tube lighting systems Simulated neon signs,which.are extremely"bright backlit signs, and neon colored inks or ranslucent vinyl for lettering,and display are prohibited Trade Flags • Only one(1)Trade Flag per business establishment is permitted per building fagade as may face any street' • Trade Flag dimensions cannot exceed three(3)feet x flue(5)feet Trade Flag images,designs or lettering must be exemplary of.the business and consistent with Hyannis historical character Trade figure or Symbol • A Trade Figure orSymbol cannot be located onTown.property • A Trade Figure or_Symbols;should represent the business and/or its services and be based.on.histonc trade representations • Trade Figure or Symbol dimensions:cannot exceed'two(2)feet x three(3j x four(4)feet • A Trade Figure or Symbol cannot be animated o.internally illuminated and cannot produce.any sound • A`Trade;figure or symbol cannot be plastic Location Hardship Signs;(A-Frame Signs) NOTE.Location.Hardships;signs are only allowed.with a'Special Permit:from the:Planning Board.. You may immediately apply the Planning Board for;the LocatiooWardship Sign Special Permit provided you submit proof of application to the Hyannis Main Street Historic Commission,with the spec/al permit application. • Location Hardship Sign materials.must be wood,composite:.material,or metal • Location Hardship.Signs must.be professionally lettered • Location Hardship Signs cannot incorporate ordisplay individual plastic or vinyl lettering such as"marquee" letters Location Hardship Sign dimensions cannot.exceed two(2)feet x.four(4)feet Location Hardship Signs cannot have a sloped or pitched rail cap If a Location Hardship Sign incorporates a chalkboard,only flat black chalkboard is'appropriate No ights,banners, flags.or other similar objects may be placed,on or adjacent to a Location Hardship Sign Growth Management Department • 200 Main'Street -:Hyannis,. MA 02601 12 sq ft Carved si. n 2 sided g with tenant plaque S out h S hor:e �A S eepK 44 4g,nostics TENANT' PANEL' 74" 30" 24, 30" in ground � W YY yy.'eM.:R F o m °- N } Fm m , CL xm F p j3 S e ,s ' CARVED SIGNS WITH GREEN AND GOLD LEAF 24"X120" 20 SQ FT SouthS""'hore Steep D:t.�ag,:,�pas- tics sou th 1horc bk aleeEy L7iagiiastres Y �'- � ,�� ti -+z*�'� .�' � °' _ ;�� W a ,fit• fir , a ,,. �-��' a - �,4 '«� y�` ' w w€d.i. W;C`.ncS:�t' '�' gs .'s �T'.�',�rk•''a *°*''" ,q ' `� g�s �E�"i�� W Cog b� $'A U� � . YM12�� �� � ��G�Yt�S� �T• , d4 r ^.Y fit 41, P �. A � } �y r_ i y� d � t - . 3 � fg iF .ra ._., ►� _ __ All w .c� o tt a � § s _ - -M - m Igo Y{, ; 3'' t ? ,. jlv x ;A4 r a� ��`°• ��n' �' � � � `"axe t . ,r wy � �F�Mx .4 Ift d tl" n [F -r as , P'�� - .. - $���. 'ks•' ��.rY �'... '° � z. � 'iftlf"sxk +.;a 4Xt� .� ��.� .. � Anderson, Robin To: Herrand, Karen Subject: 104 Park St Signage App Hi Karen, I attempted to process the sign permit application for 104 Park St (South Shore Sleep Diagnostics- R327-203) but the application seeks additional signage in excess of the ordinance allowance. The MS limits the applicant to 1 freestanding sign - not to exceed 12 sq. However, the permit application seeks one 20 sq. ft. wall sign in addition to the 12 sq. Be advised that I had previously referred the vendor to the Planning Board (as the Special Permit granting authority) to seek dimensional relief for one additional wall sign. Now, during a review of the material submitted for the initial historic review, it was made clear to me that the applicant's intention is to seek two (2) wall signs (the units were labeled A, B & C). The second wall sign is apparently for a future but undisclosed tenant on the opposite wall and I had no knowledge of this proposal nor was any paperwork provided to me indicating this action. At this time, I am unable to act on the application as the appeal period is not over. Subsequently, only the freestanding sign will be permitted until and unless the applicant actually obtains the required dimensional relief from the Planning Board for the additional signage. dtybin Robin C.Anderson Zoning Enforcement Officer 200 Main Street Hyannis,MA 026oi 5o8-862-4027 1 °F`"Erg Town of Barnstable BMWSTns[.E Building Department-200 Main Street 16. . Hyannis, MA 02601 M Tel. (508) 862-4038 Certificate Of Occupancy Permit Number: B-17-1002 CO Issue Date: .10/31/2017 J Parcel ID: 327-203 Zoning Classification: MS Location: 104 PARK STREET, HYANNIS Proposed Use: Name of Tenant: Sprinklers Provided: none Gen Contractor: MATTHEW M BOROWSKI Permit Type: Commercial- Business Type of Construction: Design Occupant Load: 10 Comments: SOUTH SHORE SLEEP DIAGNOSTICS Building Official / Date: A Certificate of Occupancy is Required Prior to Occupying Space Building Code: 780 CMR 8th Edition �� � o R � � c� � , � _ "�i1 v V - , S � � � � } } 4 THE TOWN OF BARNSTABLE 9BARNSTABL6$! BUILDING' DEPARTMENT OCT 2 �2017 MARS. oTFp�,, APPLICATION FOR CERTIFICATE OF"OCCUPANCY TowNO1�ABN�� `9 Building Dermit application number ►"� 17 -- c�GZ Date Address of structure IaN 7)4eV- Sk. map/par SZ-7 2L)3 Area of structure C.O. will be issued to ��' Name of Tenant � ` 0 'S1�� r��vtask�Ls Edition of Building Code (under which the building permit will be issued) Use and Occupancy Classification Type of Construction ( ot�hflp.✓Vlc_ Design Occupant Load * )® Is the facility licensed by a State agency? (circle.one) Yes 1 f yes If yes, name of agency &slA Sity Relevant Code of MA Regulations (CMR) that apply �TF I Sprinklers Sprinklers provided? Yes No (circle one) Sprinklers required? Yes No (circle one) Building Department Use only Special Conditions: - J boy w 4 Town of Barnstable F T _ .. _Uuilding P,' . t > Post3This�:Card:So>Tha#it isiWisiblei -ro.m:;the.Street';=:Approved Plans Must be Retained on'Job and this Card..Must be Kept �� '' RAR\b'rABLt _.. 'r ASS. � ~Posted Until Final Inspection Has Been Made. e� �� c,: rForMs•� ,a a Certificate of:Occup.anCy sRequiredsuch:Bolding shall Not be OccupiecJ until a Final Inspection has been made. Permit No. B-17-3446 Applicant Name: Approvals Date Issued: 10/18/2017 Current Use:. Structure Permit Type: Building-Sign, ¢ Expiration Date:' 04/18/2018 Foundation: Location: 104 PARK STREET, HYANNIS Map/Lot: 327-203 Zoning District: MS Sheathing: Owner on Record: ENT REAL ESTATE LLC Contractor Name: Framing: 1 Address: 30 ALDRIN ROAD Contractor License: 2 PLYMOUTH, MA 02360 Est. Project Cost: $0.00 Chimney: Description: Temp Sign Permit.fee: $50.00 Insulation: Fee Paid: $50.00 Date: 10/18/2017 Final: 12 sq freestnd sign South Shore Sleep Diagnostics Plumbing/Gas Project Review Req: Rough Plumbing: Zoning Enforcement Officer Final Plumbing: This permit shall be deemed abandoned and invalid unless the work authorized by this permit is commenced within six months after issuance. Rough Gas: All work authorized by this permit shall conform to the approved application-and the approved construction documents for which this permit has been granted. All construction,alterations and changes of use of any building and structures shall be in compliance with the local zoning by-laws and codes. Final Gas:This permit shall be displayed in a location clearly visible from,access street or.road and shall be maintained open for public inspection for the entire duration of the work until the completion of the same. Electrical The Certificate of Occupancy will not be issued until all applicable signatures by the:B:uildingand Fire Officials are provided on this permit. Service: Minimum of Five Call Inspections Required for All Construction Work: r 1.Foundation or Footing Rough: 2.Sheathing Inspection 3.All Fireplaces must be inspected at the throat level before firest flue lining is installed Final: 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection 5.Prior to Covering Structural Members(Frame Inspection) Low Voltage Rough: 6.Insulation 7.Final Inspection before Occupancy _ Low Voltage Final: Health 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 constructions; i Final: . ;...:Persons contracting with;-unregistered_contractors-do not have access to the. uara,nty,fund" (asset forth in MGL c.142A). Fire Department Building plans are to be available on site Final: All Permit.Cards are the property of the APPLICANT ISSUED RECIPIENT Anderson, Robin From; '; NoReply@viewpointcloud.com Sent:. Wednesday, October 18, 2017 10:05 AM To greg@brennersigns.com ' Subject Town of Barnstable- Regarding your permit: B-17-3446 at 104 PARK STREET, HYANNIS for Building -Sign Attachments: ViewPermit_Document_636439174950944648.PDF Please find the temporary sign permit attached. It is 12 sq Black & White only. You have been advised that addtional signage or square feet will require relief and historic approval...You.must apply:to Historic for approval of the final verson. k s J , T t ' 't `ip vI� Town of Barnstable , f Regulatory Services ' '"MASS � Richard V.Scali,Interim Director `- 1639. +" Va Building Division Tom Perry, Building Commissioner 200 Main Street, Hyannis;MA 02601 - NO . w www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Permit# Building Official approving--_____-____ Application for Sign Permit J 7 I 3��r � 1� Appllcaiit:c:��O Assessors-----------Assessors No.------------- Doing Business As:_� - --k 126.� -Telephone No.u`' L4 q� 4 Sign Location Street/Road:---- CS -------------------------------- ' Zoning District: Old Kings Highway? Yes/No Hyannis Historic District? (Ts o ' . Property Owner Name: �/�Dtiq� - -- ------------Telephone: 5 �5-"��1 e - -- ` Address 0 -%r -----------------Village:- \ f V�l Sign Contractor Name �� � i J_`_�-� yn`j _ -__'lclephonc:----------------- Mailing Address:UAD _1r e-A_r�J t Description Please follow the''covcr directions.You must have aii accurate rendition of signs with dimensions and location. Is the sign to be electrified? Yes/� ) i(Note:'Il''yes,a wiriiig-perllutis required) Width of building face ft.x 10- x.10- Check one Reface existing sign or NewZT-otal Sq.Ft.of proposed sign(s) 4A— ii.y6u tune addltlolldl5lNIIS p1e fSC r[I7{lCh d S�1Cet11.5tlllP Cd(.11 OI1B wlt�l dIL]ICIlsl0115 ` ` `� If refacing an existing sign please provide a picture of the existing sign with dimensions. I hereby certify that I am die owner or that I have die authority of die owner to make this application, that the information is correct and that the us e onst conform to the provisions of §240-59 through§240-89 of the Tow,ol ar -o nn lance. Signature of Owner/Authorized t Date-C . SIGNS/SIGNREQIJ revisedl 10413 a South shore: Sleep 44 .. DiagnostivS i 74 e�\V 44 .......... . J .. ..... Prior to°any panting all;proofs must be approved by signature and returnedUr PEease chtckspell ng;colo.► desigp&sizr. f Brennersigng:com Upon approval Brenner Signs will-not be held responsible fdr:any errors or orrirru sroru in rega"rds,to spelling,color design.or, Brenneray»nings-om site It is also understood that upon,appioual.. ome changesto the,'fini hed.art�aarktriay be neCes ary;at_the time of.prntitig - office 508-UT3465 and:fabrication ClIeiit authorizes 6rehner 51ghs to make such necessary chahges. 66Federal FurnacieRd; AffRights:Reserved All a.rrvvbrk%tonceprs are thgs'olepropertyof Brenner 5igns&Avtitiings LC':unless:otherwisestated: 1',0/101� Plymouth,NIA Ar'fwork maybe released#o a client fora.fee,which moyvary Wedo notspssurne.,r ponsibilityfor-copyrighted' maierral_UL%,dssume all ofelienis ha ve.resP&M.epermission' APRROVED BY:_ pATE NOT APPROVED.;SEE MARKED -4,U HANGES; r - Project Name: Sett w7'6s Address: Permit#:___��_=I _��� ---=------ Permit Date:— ���p�(� s i • LARGE ROLLED,PLANS ARE IN: BOX: ! SLOT:--��- -- Date entered in MAPS program on:____/� By:— ----a ----- (��1Sfiti�� Vu . .wa l�s � vta vet Project Name:---------------------� '� IN Address: r1C � --------- Permit#: Permit Date: J�l3l h M/P: LARGE ROLLED PLANS ARE IN BOX:__ — - SLOT: -F,�-y__ D ate entered in`MAPS ro am•on a BY•----- ---------- s Town of Barnstable • .rz x rr :moo 11 C� n . x a,r. :a ,.ems ' < "x1' 7_I a .,« ,.r'' -. • . . _ � I,. � it,s:1! i l Fr t, ,Retamed.,on.�ob and. is'.Card M st. e�JCe t.., „e, M Post Th s Cartl Sp .„pia , .a,. s b e,..� e S et �pp a sr: us be. th u b p �. 'hn N. /$" ,5� .F'::1' y.. _ Posted. n 1 I :s ect�on Has Been,.Made.,, �. .,, ,� �,. ...�, � p r. s;; Whet a. a �fi a e 11Bccu anc �s.Re u�red sweh olden ha1l,Not:,beOccu ied.wntrlaF� a !ns ectronhas;been„trade . . ,.. _ .,. Permit NO. B-17-1002 Applicant Name: MATTHEW M BOR0WSKI Approvals 4 Date issued: OS/03/2017 Current Use: Structure Permit Type: Building-Addition/Alteration-Commercial Expiration Date: 11/03/2017 Foundation: Location: ,104 PARK STREET, HYANNIS Map/Lot 327 203 Zoning District: MS Sheathing: Owner on Record: ENT REAL ESTATE LLC Contractor Name. MATTHEW M BOROWSKI Framing: 1 Address: 30 ALDRIN ROAD r Contraeto�L c nse".CS-074669 2 PLYMOUTH MA 02360 T A Est Project Cost: $ 112,500.00 Chimney: Description: replace all ext doors&windows,construct new gable,replace white Pe mit Fee: $ 1 198.75 cedar shingles w/paint cedar clapboard,replace roof construct new �' Insulation: partition walls-tenant fitout sleep diagnosticFee Paid: $ 1,198.75 Jr Final: kll Date " 5/3/2017 Project Review Req: replace all ext doors&windows,construct new gable,replace n; white cedar shingles w/paint cedar clapboard,'replace roof,. Plumbing/Gas �� �� , construct new partition walls-tenant(tout sleepolagnostic - - Rough Plumbing: ' .Building Official Final Plumbing: This permit shall be deemed abandoned and invalid unless the work authonzed by this permit is commenced within socimonths after Z,issuance. = Rough Gas: All work authorized by this permit shall conform to the approved application and the approved construction documents for whichrthis permit has been granted. All construction,alterations and changes of use of any building and striuctbres shall b in compliance with the local zoning by laws�an'cJ codes. Final Gas: This permit shall be displayed in a location clearly visible from access street or"road hd shall be maintained open for putt c;inspectron for the entire duration of the work until the completion of the same. iq w Electrical The Certificate of Occupancy will not be issued until all applicable signa ores by the Burlding and Frre Off�crals a e prowded on this permit. Service: Minimum of Five Call Inspections Required for All Construction Work:, a � � 1.Foundation or Footing Rough: 2.Sheathing Inspection 3.All Fireplaces must be inspected at the throat level before firest flue lining is installed Final: 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection 5.Prior to Covering Structural Members(Frame Inspection) Low Voltage Rough: ., 6.Insulation 7.Final Inspection before Occupancy Low Voltage Final: Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Health Work shall not:proceed until the Inspector has approved the various stages of construction. _. . .. .. . . . .. . . :.: . Final ... ,::. Persons:contracting.with:unreglstere.d:eontractor:;do.not..have'access to the.guaranty fund"has setforth ih IVIGL c:142A) y: -. h Fir4DepaI ent .. - Building plans are to be available on site ' Final: AII'Permit Cards are the property of the APPLICANT=ISSUED RECIPIENT TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map �Z� Parcel W Application # j 7 /�SCaoZ z C:. Health Division Q Date Issued S/3)) _#A_ Conservation Division Application Fee Planning Dept. o 0 Permit Fee M Date Definitive Plan Approved by Planning Bo a> ard �A � Historic - OKH _ Preservation/ Hyannis INA ' It Project Street aAddress Village N YAK \C, Owner EAT IZ &46&�Z, Address 30 bl&ti 2L /yrHujk v14A Telephone C_-ibta -7g6 !R9-n Permit Request '_47-ACi I 1Q9,5 c.>140a 42A4 (70WL , AC. cr,nsFe,c:c_lV vif-w Z., Square feet: 1 st floor: existing `i 250proposed 2nd floor: existing proposed Total new Zoning District N S Flood Plain 4 b Groundwater Overlay Project Valuation )/2 i Sty Construction Type F 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: 43 Yes ❑ No On Old King's Highway: ❑Yes NtNo Basement Type: ❑ Full V Crawl ❑Walkout M Other"(Ar--fol. ' ins—� Basement Finished Area (sq.ft.) J2? Basement Unfinished Area (sq.ft) Number of Baths: Full: existing_ new Half: existing i new _ Number of Bedrooms: existing —new Total Room Count (not including baths): existing i new First Floor Room Count -5 Heat Type and Fuel: )d Gas ❑Oil ❑ Electric ❑ Other Central Air: )Ql Yes ❑ No Fireplaces: Existing New Existing wood/coal stove: ❑Yes V No Detached garage: ❑ existing ❑ new size_PooG: ❑ 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 Jai Yes ❑ No If yes, site plan review# Current Use e,4 owlu- Proposed Use CA101c APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name Telephone Number qb Address `7'; L �� License # e S"0'_?L1U`7 ,G c Home Improvement Contractor# AZI2500 Email MArW M0 U. _ &0L e Cps.- Worker's Compensation # W G 53is3162,Yy3& ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO 'SJT" EyCo SIGNATURE 4,2►�( DATE q tC / FOR OFFICIAL USE ONLY APPLICATION # DATE ISSUED MAP/PARCEL NO. ADDRESS VILLAGE OWNER DATE OF INSPECTION: FOUNDATION FRAME ro,UP INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING * lO�OG�� Aj� I. DATE CLOSED OUT ASSOCIATION PLAN NO. f f 27M Comm.o-tweah*ofMffrsadius t&_ ]] l fyi9[�`1t QLt LF�•�trr r�rcuf "�.t{.Acd de7d 600 WasllnUgi07t jfrset MA 02111 WCwJwrs' Can3peiiiaffimInsurmce Affidavit Brdldez�nimctarsMecUkiansJPhi�nhers Au Ecamt Iufwmaihn 'lease Brim Le.��Y .Name 1C raantr�tirmlEnr�coErirt�7 Ad&emUJ ,oQ Axe you an employer?Checkthe aPP- roPa bum Type of gralect(requu ed)c L=�4] lanlaemployervffi 2—. 4- ❑I am a general coafractcx and I emplogees(fall andfor part-#ime,). 6_ New coszsf:ucEior7 * bare Isired�the sut'r-coad€acEors 2,❑ I am a sale prqpuetor arpartuee- Hi d,the attached rrh,,t 7_ f W Remo&Hng s and have no employees. These sub-caafractors have , P �P 8- []Demolitian- Wading, fair me in airy�.ty employees msu have xvoflrers' g- ❑B,uildtng addiifiaa IYO wodOMs'comp. �e °mP rectuired 5- ❑ We are a corparafion of la ElEleedfical repairs or adians 3.❑ Iam.ahomeomerrtoiug all work officers have e=cisedtheir 1LQFIumbingrepairsarmacadam' mgsilf[No wcrk='camp- tight of et empfion per UM.. .t• L 7 �n „tee re vizEd j i c.1.52,§IM andwe have a:a []Rflafrepaizs employem(Nowodoe& 13-❑'Other camp-kmw m •Anyapg5=tffi2tcbeds'hazft1-- ElsafilloatthesecffoabeImvshasang u�a�ces`c peesatinspobCyri�aama�cm_ &nmevammswho sabmEt dis�Ct=ECztmg"'-7 RMA=I=-E:g wa k=A then him autdde cout c� mst 5uBmit a nets afudxeit indiestn;sach_ fCanizsctas tbzt d�eeYihds 6mc mast a su.addi6an$sheet shoicFag them of the suer-ca�sdaa�rI sf�e vche4hes arnotthase eat<tiesha� _ ' - e�lo3Res,Tfthesn5ton�sh�ermpIast�ESermnstgmtzaer�ir�rarkas'tomp.gaTcgunnls� - �' � . Iarrt all erripLgjw thatis pratfdiag workers'_comperuaff u frrsrtrance for my empb7j-zes Below isYitepn&ry and jab site irt,#armatinrz Iasu>mtceCompanyiI-Ia=: Poficg4orSelf-ias.iic. t3C. 53153) GZc%03G I piratiasI e= (��Z3/�7` rob Sife Addrem IL-4-4 Pat IL S - °t etgfstez/ sp"�WII Wa Attach a copy of the warkeze compensafionpohcg 6d'aaratiaa page(showing the policy mzmber and�h--dion da#e). Failure to secme coverage as req*edundkr Sezfioa 25A of MGL m 15-7 can lead to f e,fmposjl of camistal penises of a 5ne up to$1,54aOD agdr'ar one gearimprisogm=A as wen as the penalties is$re farm of a STOP WORK ORDERand a EW of ups to 5Q(MI a c€ay against ffie,viohdor. Be advised fli#a copy of this statement maybe f xwu&d to the Office of lmvesttatiow of f#te DIA for insu mce cavemge v-edfica#iem , Ido hereby csrtify dig pataNzs afPediuy tliatt7ta hz farxzaf mpt�.vW bat is bus and c urrecat Date- �� 7 Phase ik 3 O0Wd use ant Do,satWrAr is dib area be carrip£eted by diy artoRrrf rxyrciaL' ity or Toga: Fermii#hiceExse T=dlig Auf way(Circl;one): L Sward of$•ealtk I BuffT"mg Department 3.#AVTowm Clerk 4L Electrical Iasp�r S.Phrmbm' InsltecfoF 6.Other Contact Person: Ph-m #c 6 ormation and Instructions . � alle�Iapers'ta providew�'�e�an fartl�eir��- 7�a�_�c]mcef s GP I � = �a as-=evelYPeasm a.fie seavicc of Md�aM9 eo.M'sact ofham, Pmsaa�to-Ibis sue,an�Iayr�is defined or in3pji5c%oral or written-" - maflan.or othra legal enfity,or any two or more An Moyer is d�fined as man mdxvidnaI,P�n�,associafroa,rxap of a deceased e�IQye�,or$�e ofthe fhregoing��m a3omt mdm-prim,andmchidmgfle IegalFeprese. taf'tves receiv>:C or trastee:of as m�vidnA per,associ�ian or ot3ier legal may,�-P�g�lDpees- However the MY of a.dweIjag horse having notmcrei3� aparEmMats mdwho resides'ffie cio,orthe occupant ofthe- dwelling hors eofMXOUrwhoMaploySP=SDMto CID,-Raft±E,a-nc-;consEru an orreps¢wo&ansuchdwellingbMse or on the gFoimds or bn*'T mff slim-eb sbannotbeca:=of sash emplopmm the deemedto be an employer_" MGL cd2aptnr 152,§25C(6)also sirs that¢every sit or local am.'org agency'sltaTl hold tiie issaance or renewal o Ticease or permit to operate a*4udness or to construct b�ffhip na the cnmmonwean f a for any applicant who has uotprnduged acceptable evidence of c6mpH=mwn the h=r=c-coverrage re quiff ' 25 states=geither the == nweahh nnr�Y of ii3 polifical subdivisions shall Adrlitonan5,Md hPtcr 152.§ ( &ante- iih tiie insM-ance.. enter into any contract fbrthe perfounance ofpublic workmml acceptable evidence of comp of ti�is chaptEs have been pr mat--d to the calffl ,a antho3:1:ty Applicaa-Ess . Please fill oiit the w0&mod.,'compeasafin affidavt completely,by ehec m9 iho boxes that apply to your at aatim and,if s)name.(s),a3dress(es)mdpTionea�nbez(s)alongwiththeir cert ficAe of n S Y,�PPIY emp em offer titan th.e ;r�rrrance. LimitedLiabRitY Companies(X-C)orD�laabRiV1' s.p2)witihno loy mertibers or parfnexs,are not requn:ed to cagy wafters' corupensafim ice• If an LI.0 or LIP does have empToyees,apolic_yisr - Beadvisedtbatthtsa$daykmaybesabmiLt�;dtuthDDepa--finetofTnrTnddal ovld Accidea for con{nmaiion ofmsm-,nce coverage_ Also Tie sure to sign and dafe;ffie affidavit 1�e a�claYrt not$ieDe be retnmed to$e city or townthat file apph-Han for fie:permit or license is being palfinentof requested, obtain a vtorimrs' Tn��al-A-c;d t�9- ShanldYon hope any gnestians rep g tine law or ifyon a�required antes shoIIld en,`er tiseir below. cornpensa,`ion-poItcY,Phase call the Departnerlt at ffi.e nnmber]lsted Self-ins self-;,,cm�ce license:number an the Iine. Ckr or Town O$ciaLs f _ lete and Iegjly. 'IheDepar(meathas provided a spare at,theboth= Pleaseb th e so= at the affidavit is� p has to eorlfactyouregardmgthe applicant- of fie affidavit for you to feel out m the event the Office of I�Mig s Please be sore to fIl in the pen!tlTicense nrnbcr 7hich vM be used as a reform=number_ �won �mm�h'cent ear need o sahmit an that must sobmt mulfiplepe�il�tcense applicafions m any P��Y , � - and under`job Site Address?fie applicant should�e"all location in (diY cr. tiaa if neces myY) the policyinfozrna C edcsma�ed.bythecityortownmaybeprovidedin ,. bey offi e affidavit chat has �� town)_ A copy ofth a valid affidavit is on file for f�as pe>mits-or HocmwL A new affidavhmust be fiIled out each applicant as yroofthat business or commercial mmitnotrelatedin any year.ZT1 lit a home owner ar i�obfaiIImg aliceuse or P Ie� affidaYit is NOT armP bum leaves efn. said egson e or - in ) P Le_a dog liters peonrt an �'��, "on and sboBld you have Y In �ovldl_to ffi kyonmadv-ancc foryo=cooperate The Of�e of vest other to givo tits a ca1L PIMS e do n TheDepar cnfsadnccss,telephoneandfaxmmLbcr- Tf,-L4LP617- 4q�=t4-66or14 MAMkFE . Revised¢24-07. gIda IME Town of Barnstable .F o ' Regulatory Services KAM ` J Richard V.Scali,Directory 1639. Building Division. a ti Paul Roma. ,Building Commissioner. , 200 Main Street,Hyannis,MA 02601 www.town.barn_stable.maus _Office: 508-862-4038 'Fax: '508-790-'6230 .Property Owner Must' , - Complete Pand Sign This Section z a If Us A Builder' I, � av '►� ;as Owner o`f the'subject property . hereby authorize a AslK 1 to act on my behalf, in all matters relative to work authorized b' this budding permit application for- �G�. (Address of Job) ,., **Pool fences 'arid alarms areahe respons'bility of the applicant.-Pools . are not to be filled or utilized before'fence is installed and all final,'] inspections are.performed'an&accepted. Signature of Owner ta' Signature of Applicant E n Print Name Print Name Date - Q:F0RNIS:0WNERPERMISSI0NP00LS I - Massachusetts Department of Public Safety V-10 Board of Building Regulations and Standards License: CS-074669 f3 Construction Supervisor MATTHEW M BOROWSKI 'r PO BOX 1173 SOUTH DENNIS MA 02S, lip 4 4 f Expiration: ' Commissio�ier 02/07/2019 Office of Consumer Affairs&Business Regulation HOME IMPROVEMENT CONTRACTOR Registration valid for individual use only _ TYPE:Individual' before the expiration date. If found return to: Registration Exoiration Office of Consumer Affairs and Business Regulation . y { 10 Park Plaza-Suite 5170 1 128017 -; 02/10/2019 Boston,MA 02116 MATTHEW M BOROWSKI F,n . MATTHEW BdRM§KI 73 Weir Rd L Yarmouthport MA'.0267-5 Undersecretary Not valid without signature I f , d.1/13/2017 FRI 14: 49 FAx 5089923538 eouthetsetern IA --- Hyannis /4001/002 h� iG'ORU� CERTIFICATE OF LIABILITY INSURANCE °"01/1320`17 01/13/2017 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 158UING INSURER($), AUTHORIzED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certiflcate holder Is an ADDITIONAL INSURED,the pollcy(les)must be endorsed. If SUBROGATION IS WANED,subject to the terms and conditions of the policy,certain policies may require an endorsement. A etaternant on this certificate doss not confer rights to the certificate holder In lieu of such endorsements. PRODUCER mmrJoanne Bretton SOUTHEASTERN INSURANCE AGENCY INC. PR NE 609 097.6001 - ro breflon @outheasternine.00m P.O.BOX 79398 INSURE q8I AFFORWL1L;OVERAOE NAIL 0 NO.DARTMOUTH MA 02747 INSURE11A! LM INS CORP 33600 INSURED N9URFA B I MATTHEW BOROWSKI NSUMC: DBA CREATIVE CONSTRUCTION NIURE111D1 .73 WEIR RD NSURERE: YARMOUTH PORT MA 02676 MURGRF: COVERAGES CERTIFICATE NUMBER, 116368 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. TYPE OF N16URANCE— DL SUER POLICY E POLICY WIF LIMITS JWL Am POUCYNUNBER fMMWoNTyYI COMMERCIAL GENERALLJABILITY EACN OCCURRENCE CLAR*wAm OCCUR PRElIISE19 11-W yp,4p QJ.- MED EXP ere reen ! .---------_--_ WA PERSONAL A ADV INJURY �^ OENL AGGREGATE LIMNT APPLIES PER: - GENERAL AGGREGATE S POLICY❑JECT ❑LAC PRooucre-cOMPIOPAGO S --_ OTIJEft I I --•-- : AUTOMOBR8LIAZILftY - ■motdontl U i ANY AUTO BODILY INJURY(Per person) ! ALL A OWNED BB OOOULED NIA BODILY INJURY(Per■mid■no ! NON•OWNED PROPERT f HIREDAUTOS AUTOS i UMBRELLA LIAR OCCUR EACH OCCURRENCE_._--_ 0_—_-- E(CaSaLIAB HOLAIMS-MADE N/A AGGREGATE ! DEO RETENTioNs S MIORIMRB COMPENSATION X R AND EMPLOYERS'LIABILITY - ANYPROPRIETOPJPARTNOVEXECIITNE V 1 N E.L.EACH ACCIDENT_ S 100,000 A OFFICEWMEMBEREXCLUDED7 NIA NIA NIA WC5315310294036 06/23/2016 08/23/2017 (Mmdvtory In NMI E.L.DISEASE•EA EMPLOYEE 1 100,000 Ayee�describe OP O DE�CnIPTION OP PBRATIONS below E.L.DISEASE-POLICY LIMIT 500,000 NIA OSCON TION OF OPERATION@ I LOCATIOW I VEICCLEa(ACORD 101.Add(Ilamt R■muk■ach■dul■,m■T be etl■clad R mor■■pace u teouk■dl Workers'Compensalbn benefits wig be paid to Masasdwaells employees only.Pursuant to Endorsement WC 20 03 00 B,no authorization Is given Io pay claims for benelhs to employees In states other than Messechuseae If the Insured hares,or has hired Ooae employees outside of Measschreefie. This certificate of Insurance shows the po8L7 In force on the date that[his certificate was Issued(unlean the expiration date On the above potty precede@ the Issue date of this cerllficate of Insurance). The status of Ihls coverage Ilan be monitored dally by accessing the Proof of Coverage-Coverage Verification Search tool at www.maae.goo/had/work®racompenudionflnvestlgatlons/. Sole proprietor hop not elected coverage. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE A90VE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Town Of Barnstable ACCORDANCE WRH THE POLICY PROVISIONS, 200 Main Street AUTNOItffffDRwReeoNraTlvE , Hyannis MA 02601 Daniel M.44 "e y'CPCU,Vloe President—Residual Market—WCRI13MA ®1988.2014 ACORD CORPORATION. All rights reserved, ACORD 25(2014I01) The ACORD name and logo are roglaterad marks of ACORD f Massachusetts Department of Environmental Protection eDEP Transaction Copy Here is the file you requested for your records. To retain a copy of this file you must save and/or print. Y Username: MATTMOW268 Transaction ID: 884515 ,. Document: AQ 06-Construction/Demolition Notification Size of File: 227.90K Status of Transaction: Submitted Date and Time Created: 1/28/2017:12:00:22 PM T Note: This file only includes forms that were part of your ' transaction as of the date and time indicated above. If you need a more current copy of your transaction, return to eDEP and select to "Download a Copy" from the Current Submittals page. d f BAIB AB18,• . rNN,/L��IJJJJ� MA88. � - � •. . fD MIN� Town of Barnstable ' Hyannis Main Street Waterfront Historic District Commission www.town.barnstable.ma.us/hyannismainstreet Decision —Certificate of Appropriateness Ent Real Estate LLC LP1 R11VST.i `L TO WIN,`I " K 104 Park St., Hyannis _ The Hyannis Main Street Waterfront Historic District Commission,pursuant to the Code of the Town of Barnstable Chapter 112,Historic Properties,Article III,Hyannis Main Street Waterfront Historic District,hereby approves a Certificate of Appropriateness for the following property: Property Address: 104 Park Street,Hyannis w - Assessor's Map/Parcel: 327/203 At the December 21, 2016 hearing, after consideration of the testimony given and materials submitted by the applicant and members of the public, the Commission found the proposed design for the exterior renovations as outlined, will appropriately contribute to the historic character of the Hyannis Main Street Waterfront Historic District. The Commission considered the material, design, color, location, and context of the proposed renovations and found it to be appropriate for the protection and preservation of the district. Based on these findings, the Commission voted to grant the certificate of appropriateness subject to the following conditions: 1. The application dated December 5, 2016, for renovations is approved as presented, with the exception of the fireplace/chimney to be retained. 2. The existing stockade fence is to be replaced with a solid white board or composite type fence with colonial caps and trim board on the top. 3. The Applicant shall obtain any required permits from the Building Department. r Present and voting in the affirmative to grant the certificate of appropriateness were: Taryn Thoman, Marina Atsalis, Brenda Mazzeo,David Colombo,John Alden and Timothy Ferreira Opposed:None Absent: Paul S.Arnold Q�, Taryn Thoman,Vice Chair Date Hyannis Main Street Waterfront Historic District Commission cc: = Matthew Borowski for the Applicant/Owner Building Commissioner File I,Ann Quirk,Clerk of the Town of Barnstable,Barnstable County,Massachusetts,hereby certify that twenty(20) days have elapsed since the Hyannis Main Street Waterfront Historic District Commission filed this decision and that no appeal of the decision has been filed in the office of the Town Clerk. Signed and sealed this o\A day ofQ AN Z-6 under the pains and penalties of perju f / � t h' I i .. Ann Quirk,Town C;lerk` • / F� - 7 .- _ OJ Town of Barnstable Hyannis Main Street Waterfront Historic District Commission Application Certificate of Appropriateness Application is hereby made for the issuance of a Certificate of Appropriateness under M.G.L.Chapter 40C,The Historic Districts Act for proposed work as described below and on plans,drawings or photographs accompanying this application for: Assessor's Map No. 3Z7 Parcel No. Z Ub Address of Proposed Work 1 c)y A& Applicant Name me415,16 2)0&1n�j Applicant Mailing Address 0 &4 1173 Town/State/Zip S= h6ndis ell-A Ozc4 o Applicant Phone Number 566 --36q -Q636 Applicant E-Mail _414Irmo U.-) t ,AOL C�w� Property Owner Name Lrit VI&I F_5 •pj& LL.— Owner Mailing Address 3 b Alyea o\ Town/State/Zip PJyYKbQL� , MA OZg36 U Owner Phone Agent or Contractor Name 63cs6vLS16 Agent or Contractor Address 300%,-4 103 Town/State/Zip 5,XZ1A'61 CJZVG Agent or Contractor Phone . SkzG 3k4 S L?� Agent or Contractor E-Mail ►�1 }m6w t4pt,, " PROPOSED WORK Please check all categories that apply: Building Type: ' Commercial ❑ Residential ❑Accessory ❑ Other Work Proposed: e 1. Building Construction: ❑ New Building ❑Addition ® Alteration 2: Exterior Alteration: ® Windows x❑ Doors ® Siding Roof ❑ Other 3. Exterior Painting: x❑ • 4. Signs: ❑ New sign ❑ Alteration to existing sign APPROWD 5. Accessory Improvement: ® Fence ❑ Parking Lot ❑ Outdoor Di ing Awning/Canopy �'. „f, �. . 6. Other: ToIn/N r)rz 0. HYANNIS MAIN St R kAIATER' HISTORIC DISTRICT ONT COMMISSION Page 1 of 3 l Hyannis Main Street Waterfront Historic District Commission BUILDING MATERIAL SPECIFICATION SHEET Please complete this sheet only if new building construction or alterations to an existing building are proposed. Fill out all sections that are applicable to your project. Include materials, specifications, dimensions and/or colors to be used. FOUNDATION SIDING TYPE ' tea-C�`'��`''� COLOR ���. CHIMNEY TYPE COLOR ROOF MATERIAL / p1,. (t'IkK Y COLOR ROOF PITCH f tw G4.6tL- $j/Z_ DOORS 3-b COLOR w�,%Vt WINDOWS kA&--Q� qOp Sya'Vs COLOR lN�►� SHUTTERS COLOR TRIM COLOR lQ)%Av— GUTTERS PATIO/PORCH/DECK GARAGE DOORS COLOR 0 OTHER APPROVED - • TOWN OF B.ARNSTABLF HYANNIS MAIN ST WATERFRONT HISTORIC DISTRICT COMMISSION Page 2 of 3 Hyannis Main Street Waterfront Historic District Commission r DETAILED DESCRIPTION OF PROPOSED WORK • Provide detailed specifications of the proposal. • Include a detailed description of changes to existing conditions,.if applicable. • Describe proposed materials to be used, desired colors, manufacturer's specifications, etc. • In the case of signs, give locations of existing signs and proposed locations of new signs. Attach an additional sheet, if necessary. f new �2eo� �31N� tL2c►�,�-el-�� slyl�s�,�,��e�1t 161ac1L , -- n&w W1,,f,�_ e� 2-elnpbo�&a on ISO cN� Cnsk ti1EkiAVW— vZ �C,OP `piar,ICo� T21olz �w.ua� W QEpInt w� 3 �o,.��t� ld� 4,4<e&-,A ro ZWW2 -- Zzloca wh�.o4r oft 0"14A1 3�ac 5e� vto�,�j� �Izu��aL. fv�El �-�GptL O�Wc t A •1 �1wL frv►1,ake�. ivrl(S�i '-Dee- �O 6Q, bPanFI 1•",56uIt ,Ltw co(: &AS bn n02.k Gl�+pkvh QbCk Lxrsk,.el �tiEne-L jo .1,. .� yin:y) !nw►eti S4H.t- Iot4t.lQr�, all vw�.+Zaw rL �nc�wwi,�k a 11bW C,G►�Ff tin igEg I n�� to S INA%V.an ^f'W 7-6410 Sx 2'-7 � Wow A�5 ,%-k4 Tiv Z-44 4'q'Ix 7IS" All o>lt F+f1S P�O�Q. Signed v 1 9 , Applicant-Agent Date APPROVED TOWN OF BARNSTABLE HYANNIS MAIN ST WATERFRONT HISTORIC DISTRICT COMMISSION Page 3 of 3 i Construction of New Gable �—Chimney Removed � i I i Ell d � Relocate new Entrance Door and Window Relocated Window. Siding to be changed from existing White Cedar to Painted White Remove Door and 5 Triple Clapboard Awning Windows and Remove other windows replace with 3 Double-hung with historic style sill SOUTH ELEVATION 104 Park Street Hyannis, MA -- ® ® oFM -- E no EE 0Q - Window and Front Door Replacement to match existing style and trim WEST ELEVATION 104 Park Street Hyannis MA FPH EiB--E Remove Door and Window All Cedar Shingles to be replaced with Painted White Clapboard 4"Expsr 104 Park Street EAST ELEVATION Hyannis, MA 0 FEII 0 \Relocate Door Remove Windows North Elevation to remain Existing Relocate Window White Cedar Shingles 104 Park Street NORTH ELEVATION. Hyannis, MA o . won won P 9 w40 • O O 3040 J040 2668 3660 n 0 F 2 UP 1 sse 2668 0 ,. UP r 8 2fifi0 2668 2668 � . ' 30a0 J040 22. 66 56 2940 ' 3040 104 Park Street Hyannis, MA w4a 36fie -___ Juno Jao woo Joan 3040 - Existing Floor Plan 10/15/2016 C Y J0.0 - 00 Laundry nose c R.al / \ _ 24"CLEARANCE—�->i( 30.0 El � i / re 1. I sv�m�os R. / N sv nm R _ O 1 EXAM \ / STORAGE CLST Cleaning Station RAMP / J EXAM EXAM / g '� / ® Z 3069 JOeO fifie ® < Lla a \ LOBBY 1658 CHIMNEY � ' REMOVED � �O NURSE WORK STATION � \ El Base se UP CHECK IN-CHECK OUT O ED O g [in 0 3000 3065 � 30 306e EXAM EXAM 068 RAMP O EXAM cl ID $ LOBBY s ®0FnMMI IMUM:1 104 PARK STREET �e wo .4. 1— Sae Hyannis MA Remodel Floor Plan 11/15/2016 r a y, AGRIBALANCE010.0 17 - s � Company Name Cape Cod Insulation Phone Number 508-775-1214 Applicator Name Installation Date 1-8-2018 Jobsite Address 104 Park Ave. Hyannis Ma. A-Side Lot #'s PA86001718 Permit Number ' B-Side Lot #'s P1145427617 Walls r 3" 20 1220 Attic 511 35. 1820 i O. O •'O O • O 4 O . O • �.` Blaze Lok Thermal Barrior Exposed Attic Roof Lines _7 Mills Wet x wwwMe ilec.ocom O� - ' - Town of Barnstable 639 > Y .; .:sue .. �, In, Ulan , g", Thai�t�swV.�sitile Frbmfthe:-treat,,,..A rov d,Plans Must ba,Retainad-an Job andnt.as.Card:Must be,.Ke t�Pbst ThIS Card_5o S, e p on,tNsrwet a F ,w � .,.: '> _; ;.. ,ate "e- .,.. ..... +r 'O .mall s `ection Has;B.een,Made, ,., sxs . . .� er it Where�a,Certoficate:,of Occu ant isFRe t�ddwSu.Ch Buildm 'shall.Not=be Occw led until a�Finat••=Ins ectionhas.bee>r�£;mada���. . �<.�_. X�'- --p � f .. _.; x g Permit No. B-17-1003 Applicant Name: MATI-HEW M BOROWSKI Approvals Date issued: 05/03/2017 Current Use: Structure Permit Type: Building-Alteration INTERIOR Work Only- Expiration Date: 11/03/2017 Foundation: Commercial Map/Lot 327-203 Zoning District: MS Sheathing: Location: 104 PARK STREET,HYANNIS Contractor Narne MATTHEW M BOROWSKI Framing: 1 O Z S Owner on Record:, ENT REAL ESTATE LLC z Contractor L►cen a v CS-074669 2 Address: 30 ALDRIN ROAD - . -. Est Project Cost: $ 124,000.00 Chimney: - PLYMOUTH, MA 02360 , t Permit Fee: $ 1,228.40 Insulation: .Description: construct new walls for future tenant. new permt req iuired by future t� tenant. - Fee Paid:' $ 1,228.40 Date 5/3/2017 Final: Project Review Req: construct new walls for future tenant. new permit required by future tenant. _ � � ��� , r . fsy - Plumbing/Gas h ✓ Rough Plumbing: -Buildin . : g Official Final Plumbing: This permit shall be deemed abandoned and invalid unless the work authorized by this permit is commenced within six months after.issuance. All work authorized,b this permit shall conform to the approved a l cati n and the'a roved construction documents_fo�which this permit has been ranted. Rough Gas: Y P Pp PP; �. PP P g All construction,alterations and changes of use of an building and structures shall be in compliance with the local zoniri" blaws and codes. g Y g3 g Y �: Final Gas: This permit shall be displayed in a location clearly visible from access street or roadfand shall be maintained open for,pubIf'-" spectin for the entire duration of the work until the completion of the same. Electrical The Certificate of Occupancy will not be issued until all applicable signatures by the Building and F,(e Officals are provided on this permit. Service: Minimum of Five Call Inspections Required for All Construction Work: 1.Foundation or Footing Rough: 2.Sheathing Inspection 3.All Fireplaces must be inspected at the throat level before firest flue lining is installed Final: - 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection 5.Prior to Covering Structural Members(Frame Inspection) Low Voltage Rough: 6.-Insulation 7.Final Inspection before Occupancy Low Voltage,Final: Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Health Work shall not proceed until the Inspector has approved the various stages of construction Final "Persons contracting with unregistered contractors do,not have access to the guaranty.fund.-,(as:set fort h,irrMGLc:142A) .. ;, Fire Department.'. Building plans are to be available on site:-: .... � final All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel Z05 Application # Health Division ? Date Issued 3 7 � ' Conservation Division =� �.,±'; Application Fee Planning Dept. Permit Fee T .. Date Definitive Plan Approved by Planning Board0 r �� sT— �j� Historic - OKH _ Preservation/ Hyannis s=. �� l kw Project Street Address I bq ?Aev_ Village t4!AK t\y6 1, Owner E A 1 ( Address 3b Q l �^ ��yh'f`ta�`TtL , 1 Q Telephone vSQb `7q1. �yq`7-7 Permit Request Zf1!kf.,io2. (k,_W15 %re 'TuA Square feet: 1 st floor: existing 15� proposed 2nd floor: existing 6�o proposed Total new Zoning District l 05 Flood Plain a(D Groundwater Overlay Project Valuation [Z'l .,cam Construction Type LAmA POUAle Lot Size a 31 Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family (# units) Age of Existing Structure Zdct Historic House: a Yes ❑ No On Old King's Highway: ❑Yes ' W 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 3 new First Floor Room Count �I Heat Type and Fuel: A Gas ❑ Oil ❑ Electric ❑ Other Central Air: )Q Yes ❑ No Fireplaces: Existing New Existing wood/coal stove: ❑Yes I ;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 �W Yes ❑ No If yes, site plan review# Current Use ft&Ull eRIut_ Proposed Use -(C.2, APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name ���tt�,� (� 1 ^ Telephone Number �16�J Address !?3 VJ`u� �� License # 05 Y Aj_,,,�ck eaa�- M 6-7 5— Home Improvement Contractor# 12 I Email YVln-i-F ►M,bW (�_ ��L _C.0r'A Worker's Compensation # �- S 31`5 316-6 c10'3( ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BETAKEN TO SfS exco SIGNATURE DATE FOR OFFICIAL USE ONLY APPLICATION # DATE ISSUED MAP/ PARCEL NO. ADDRESS VILLAGE OWNER DATE OF INSPECTION: FOUNDATION FRAME 2 INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT F ASSOCIATION PLAN NO. 3 f ' -fie Ca mwompe*h ajfAfassrrdiuseff Oirwe ofhMsugattam. 60O Washingion i6ret -- Boston,MA 0211 Ww-kers' Canpensafienlnsurzace Affidavit$�affdersIC-ontr—a sJF ecfiscians/Ph6�hers pp�ic�#lufmrmathu I Please Print Le�� Name a Address: City/Stay }�-Pa2� V4,U zb7 3�ytl�ib3S Areyau an employer?Checkthe appra#rWe bam Type of project(requned). LRlamaemployervd �.�. 4. ❑Iamagaffe c�sctarandI employees(fallandforparWime * havelamedthe sub-contmctom 6. New consfructica 2.ElI am a sale propaetotr arpartaer tist d onthe attached sheep IR aa3ediug slap and have no emglayeefi Them sub-caulractars have S_ ❑Demolition: wad ng fame i many a xloyees aIIdbave x�o era' jNo W0d=- ,camp.fin==a comp_snsuranoer$ 9. ❑Suit g addition required I officers have exercised thek 5. re We a a corporation.and its 10-El Ekd:Ei �;m ar adc��.tsons '' I❑ I ama fiomea�er doing all work 1L 0 Fhm7bngregairs or adc&fians mysz&f[No workers'cmmg- Tight of em=pfiau per MGL L_❑Ito ofrepairs iSMn=e re4FiMClj f c.152,§1(4),andwe have no. employees.[Nowo&,= LI.O'#?thes cam_;r mrance.required 'Any mwffamt&ac dmcUixiz Ol m¢�t elan 511a oEtfi¢se�tiaabeIosyshnhiag d�efrwo�ces'mmpeesatinu o Ebraeownemvffw submit dds xMdaeg indium sxe g�s*y dai�siEw�Tcsa�ffieal�xxantsid�cm++*9�++�amstSv.TrmitanemsEdzestindiariinflsucIL . fCanua�esi£izt dnea This b=mast a42sdied sa addibcmA sf&eet sheuarg the n�-of 17ie sob-c a and.stsFe whether arnattbase emus]ave emvloyees.I€thesnfi-.c=bmdnslive m pIoye2%t5eyffistp acide-ther warkeW?MP.pormy n milsgs I am arr elrigIo�r tlirrt-is prauidirtg markers'co�isr�oft uisrirarica�vr my emphr}�ees Setobv isYl�R paFiry rtr�rd jah�e - informntiorl, InsumaceComganyi�fame: /.�dC}�V1-+� , _ Policy or f-ins_Lic_*:. WC, S315 3 t G Zol H U 5/o l gi iazzDate: b lob Site Addre= K�J I�fl�� CiiglS4afel g _l l u*d A W J Atf2ch a copy afthe warl:ere compensaffonpolicy decIara43on page(shdwing the policy fiber and espaation date). Failure to secucei covmaege as requiredundes Section 25A,of MGL m 157 can lead to the imposition of rdmimai penalties of a fine up to$1,54a OQ aru1t'ar one-year impdsmxaemik as well as ci-vil penalties m tie fora of a STOP WORD 4RDE1Raud a time of up to$Moo a day a, aiut the violator:'Be advised&d a copy of ffiis statement sway be forwarded ta the Office of Im*�estegabnns of the DIL4 for insurance_caverage vi edficatian_ d do If erstry ne!6,f, r&q RM.v andpsrraItcas of"ge�rury alatAor irrf ararativra.FMi&d abmv i;ftm and correct Lute- Phone A_ 56ro 3b`( 4 ys3 !7 �o�y ,DQ not Crete�tFas oxen;�r Fie ccrt�eted bg c3ty urta�tFrr rz�ictQt City orTown: P IT;ce se# n, . IssmingA mity(circleone): L Boom of Health ?.RuffAing Dgmtneut 3.City-frown Oerk 4.Elechical hmpwtor S.Pkmb�In�r *Other Coact Person: Ph ue#:` 6 laformation and lastructions . . _ ISz aII�ploYcn;to provide sensation fir flieir eaxpIoyees. Ma Cca r3mceffS�1Pa3I Laws �� erssan,in$ie seavice of nndrs���°f�' gnr�fhzs sf�,�-�layr�is deemed ss-`�.evr�Y p e or iinplied,oral or written-" . associadan,corporation or ofhar legal=t[Ly,or amy�D or more An employes is d�fined aS man in�vidzral,parine�sT�, seaTafives of a deceased e3ployes,or.the of the farego��ed m a3omt 03tMTd e,aad inclndmg the legal rem to =s- However the �e�or trast=of an individual,per,asso�or o$imlegal enfiiy,e�pl°Y y not more than tlree apa dluMfs andwho resides tiie�em,°r the occo t oftbe- owner of a.d�veIyng hie%bang air wodcon sunk dwellmg hoase dweMag bouse of MDfhw who e�glays peS�to do maic��- �ieaeto shannotb�Tso of snch employmentbe d=medto be an eozploym7 . or on the grads or b�dmg � . MGL chapter ISZ,§25C{6)also sues that"every sf e or local Tue�g agm shall Withhold$ze issuance ar renewal of a license ar permi±to operate a business or to construct bm fflap k the eQT= nweaIf for anY applicant:who has notproclnced acceptable evidence of corapTianr�W!&the insurance rover rem -" MIL ch plra I52,§25C�sib=Nedhm the weah1 nor gy ofits poTifical sabdiv%sions shall Adt�onally, i�b1e evidence of�mpliancewth the insatance•• e z ink any caafiact for the per�ance ofpnblic �m�I accep Leguenienia of this chapt=have Been p==Itrd fn the cow anfhoaty_" A.ppIicaats 'co ensation ai�davit Cmpletely,by oheclomg the boars�apply to Y°vr siinafion and'if Please f is o� fhe woz=as phcm and eztnmbez{s)alongwrth heir c regfifi e(s)of IP neceasary,. PfY s)name(s),address( ) )wi$ano cmpInyees other than the ;,mrance_ L=itrdLiabf7itY Cozpames(LLC)arL=tt dlisbiTitp•'Farf�nersbips.(T merhbers or partn=-�,are not rl-' d to cry worms'conxPensafrm htsm�ce If a!LLC or T T P does have To ees a policy is Be adv7sedfhatthis afdda-yrtmaybe,salmitfedto theDeparfinent of Tndnst al Should map- Y P cY � - Also be she to sign and date#�te affidavit nD affid�it Accidents mr corm ofins��coveaage: notthe Departmeuf of ' be mt nned to$e eifY or town the the app ficafion fnr$ie peffiit or Tcense is being regaeste� .obtain a�oz10 ss' TTrhlcfirial r©1TPs+fs Shoua- have any gmsUans g the law or ifyou are recp�ed anies shonId enL`er their corapezisa'ion.policy,PltzSecanfheDeparbnentattbzn=berlisfedbelow SeJ.f-insaredecntp self-insamm=licr..ose�antheagpropzi line. City or Town Officials t _ Iete and lgibly. The Depaidmenthas provided a space at•ihC botfmn Please be sate that the afFdaviE is caz<Q P e h to confactyOu g the applicant_ of the affidav±for you to fill onf in the eventfhe Office ofInYe oT'� as Pleasebesnrefnft7lmthepeffiit(liceosenvmberwhichw7lbcusedasaref�cez=bcr �'addifion,anapplicant that must sabmt multiple p�cense a?pli�s in any given Year.ne�ci should d Vg3tE=i one affidavt mdi g went eEmy and-, `Tob�e/l dd[ s fie applicaDt shorld �"aIl Iacafivns za ( Y or policy,infoanatiof-(if necas ,) ed or marked by AL,c�'or town may be provided to flee town)' A copy ofthe•af�davitthathas been officially sib applicant as proof that a valid affidavit is on file for f tz pemits or fia�ses A neFY affidavit mast be filled oizf earT� aliceose or emitnotrelai�d:fo anyb'asine•.ss or aommercialy� ' year.Where a home owner or citizen zs obfan�g F ��,�Mete-[leis affidavit • a dog license brpennit to bum leaves etc_)said person is NOT The OfEM ofIn wouIdIzketn:�kyouiaadvance faryour cooperalionand sboBldgouhave:any tD , please do not hesfate to give us a call. The 1?eparimmt's address,telephone and fax number - CammonwCOM of Massar� • �afla�alA�tden� _ Office QfDwesr�tt= BastmsM4 E2111. -T(�-L:f 617-7 -4 rot 406 ar Kevised4z4-Q7. ��snas.�gu�f�a. . THE Town of Barnstable Regulatory Services ` Richard V.Scali,Director Building Division _ g Paul Roma,Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-403 8 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder as Owner of the subject property hereby authorize V 1'IA to act on my behalf,' in all matters relative to*ork authorized by this building permit application for: l oil �AQIc Wuan��� (Address A Job) **Pool fences and alarms are the responsibility of the applicant Pools Fate not to be filled or utilized before fence is installed and all final ,- inspections are performed and accepted. Signature of Owner Signature of Applicant Print Name. Print Name' y I►0 17 r Date r QT0RMS:0WN=EF0MSI0NP00LS a. I Mass. Corporations,external master page Page 1 of 2 fall.' . Corporations Division Business Entity Summary ID Number: 203390996 Request certificate I New search Summary for: ENT REAL ESTATE, LLC . The exact name of the Domestic Limited Liability Company (LLC): ENT REAL ESTATE, LLC ti Entity type: Domestic Limited Liability Company{LLC) Identification Number: 203390996 Date of Organization in Massachusetts; 08-31-2005 Last date certain: The location or address'where the records are maintained (A PO.box is not a valid location or address): Address: 30 ALDRIN RD. City or town, State, Zip code, PLYMOUTH, MA 02360 USA Country: The name and address of the Resident Agent: r Name: BERNARD J. DURANTE Address: 30 ALDRIN ROAD City or town, State, Zip code, PLYMOUTH, MA 02360 USA Country The name and business address of each Manager: Title Individual name Address MANAGER ANIT T PATEL 30 ALDRIN ROAD PLYMOUTH, MA 02360 USA MANAGER BERNARD ) DURANTE 30 ALDRIN ROAD PLYMOUTH, MA 02360 USA In addition to the manager(s), the name and business address of the person(s) authorized to execute documents to be filed with the Corporations Division:, Title Individual name Address SOC SIGNATORY ,BERNARD J. DURANTE 30 ALDRIN RD. PLYMOUTH, MA 02360 USA , SOC SIGNATORY ANIT T. PATEL 30 ALDRIN RD. PLYMOUTH, MA 02360 USA The name and business address of the person(s) authorized to execute, acknowledge, deliver, and record any recordable instrument purporting to affect an . interest in real property: http://corp.sec.state.ma.us/CorpWeb/CorpSearch/CorpSummary.aspx?FEIN=203390996&... 4/12/2017 Mass. Corporations, external master page Page 2 of 2 Title Individual name Address REAL PROPERTY ANIT T PATEL 30 ALDRIN RD.. PLYMOUTH, MA 02360 USA REAL PROPERTY BERNARD J DURANTE 30 ALDRIN RD, PLYMOUTH, MA 02,360 USA ❑ 0 Confidential ❑Merger El Consent Data Allowed . Manufacturing View filings for this business entity: ALL FILINGS Annual Report �^ Annual Report - Professional_ - Articles of Entity Conversion n Certificate of Amendment 's View filings Comments or notes associated with this business entity: New search http://corp.sec.state.ma.us/CorpWeb/CorpSearch/corpSummary.aspx?FEIN=203390996&..,. 4/12/2017 i y 11111101111TMassachusetts Department of Public Safety Board of Building Regulations and Standards License: CS-074669 � - .° Construction Supervisor ° MATTHEW M BOROWSKI �'. PO BOX 1173 SOUTH DENNIS MA 02 Expiration: Commissioner 02/07/2019 j�'e 0 7Tl0TGQ7ECCeCI �d��/ Cl nlCcr./7coJe -\ Office of Consumer Affairs&Business Regulation HOME IMPROVEMENT CONTRACTOR Registration valid for individual use only l" —�'I TYPE:Individual before the expiration date. If found return to: Registration Expiration Office of Consumer Affairs and Business Regulation ' 128017 02/10/2019 10 Park Plaza-Suite 5170 Y Boston,MA 02116 MATTHEW M BQRQW8KC MATTHEW BOROWSKI 73 Weir Rd Yarmouthport,Mk,62675;< .. undersecretary Not valid without signature - I • 01/13/2017 FRI 14: 49 FAX 5089923538 southeastern IA --- Hyannis IM001/002 l lip coR�° CERTIFICATE OF LIABILITY INSURANCE DAo/1� o f 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 DOER NOT CONSTITUTE A CONTRACT BETWEEN THE 13BUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER.AND THE CERTIFICATE HOLDER IMPORTANT: If the certificate holder M an ADDITIONAL INSURED,the pelley(les)must be endorsed. IF SUBROGATION 18 WANED,subject to On terms end conditions of the policy,certain policies may require on endorsement. A etatament on this certificate does not confer rights to the certificate holder In lieu of such endorsements. PRODUCER OT Joanne Brown SOUTHEASTERN INSURANCE AGENCY INC. PN NE 500 997-6061 roAK N . brotion outheasternlne.com P.O.BOX 79398 NSURER(S)AFFORDING COVERAGE NAIL 11 NO.DARTMOUTH MA 02747 MURERA! LM INS CORP 336W INsura:D NatIHER B 1 MATTHEW BOROWSKI NSUMNC: DBA CREATIVE CONSTRUCTION NatmEROr 73 WEIR RD NevAERE: YARMOUTH PORT MA 02676 NSURBRP, COVERAGES CERTIFICATE NUMBER; 1163W 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 MEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. TYPE OF NIBURANCE DDL PURR POLICY 6 POLICY OW LIXII7P LTR POLICY NUNBER COl MFACIALGINERALLIAMUTY FACNOCCURRENCE a CLAR.WMADE F OCCUR PREMISES Me,Q0PWeVei.._ MED EXP OM ens reen S ---�_—_-- WA PERSONAL 6 ADV NJURY 6 GENL AGGREGATE UWT APPLIES PERt GENERAL AGGREGATE 5 POUCY❑JECT ❑LOG PRODUCTS-COMFIOPAGO a —M OiT1 -CO --•-- a AUTOMOSILELIASILITY ■ den IEDNINOLS LIMIT ; ANY AUTO BODILY INJURY(Per perean) S " ALL AUTOS OWNED SCHEDULED NIA ODDLY rNJURv(per eaTdeno S NON-OWNED PROPEfli D j- HIRED AUTOS AUTOS— H $ U11119RELLA UAB 00CUR EACH OCCURRENCE_.____ i _,___•, Excess LIA6 CLAIMS-MADE NIA AGGREGATE S DEO RETENTION v WORKERS COWERVA71OW X ITM771 IFTF- AND EMPLOYERS'LIABILITY ANYPROPRIETORIPARTNERIEXECUiWE YIN E.L.EACH ACGDENY f 100,000 A OFFICERNFIADEREKCLUDED7 NIA NIA MIA WC5315316294038 08/23/2018 08/23/2017 (Mandatory In NMI E.L.DISEASE.EA EMPLOYEE T, 100,000 d tiyeese�de■arlbe under DEBCAIPTIDNOPOPBRATmNSbe6ow E.L DISEASE-POLIGYLIMIT 500,000 WA DESORWIM OF OPERATIONS 1 LOCATIONS I VEI-0C59(ACORD 101.A M Wamd R■rnse"Sch■dul■.mar ba eU■cI N mere■pace N,,milked) Workers'Compenaalbn benefits wig be paid to Masaadtusells employees anti.Pursuant to Endorsement WC 20 03 00 B,no authorization Is given to pay Calm for benetha to emplMsa In slates other than Massachuaetls Ir the Insured hires,or has hired Owe employees oulaide of Mesaachusetls. This raMBrate of Insurance shows Iha policy In force at the data that[his certificate was Issued(unleaa the explrailon dale on the above poky precedes the Issue date of this certificate of Insurance). The status of this coverage con be monitored dally by ecceusing the Proof of Coverage-Coverage Verincolion 56arch tool at www.rr®ae.gov/hvd/worker6compenrsOadlnvestlgetbnsl. sale proprietor has not elected coversoe. CERTIFICATE HOLDER CANCELLATION ®MOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE E)(PIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Town Of Barnstable' ACCORDANCE WITH THE POLICY PROVISIONS. 200 Main Street AUTNOIt1112D t>lvReslsTraTrvE , Hyannis MA OZ601 pen ltel M.Crc ey,CPCU,Vice President—Residual Market—WCRIBMA 01988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014101) The ACORD name and logo are naglBterad marks of ACORD s Massachusetts Department of Environmental Protection eDEP Transaction Copy_ Here is the file you requested for your records. To retain a copy of this file you must save and/or print. Username: MATTMOW268 Transaction ID- 884515 Document.- AQ 06-Construction/Demolition Notification Size of File: 227.90K Status of Transaction: Submitted Date and Time Created: 1/28/2017:12:00:22 PM Note, This file only includes forms that were part of your transaction as of the date and time indicated above. If you need a more current copy of your transaction, return to eDEP and select to "Download a Copy" from the Current Submittals page. ® � MEMBER REPORT Level,Beam @ Stair PASSED F 0 R T E 2 piece(s) 1 3/4"x 9 1/4" 2.0E Microllam@ LVL Overall Length:14 0 0 0 1 1 0 700 700 0 � 0 All locations are measured from the outside face of left support(or left cantilever end).AII dimensions are horizontal l.;Drawing is Conceptual Design Results Actual @ Location Allowed Result LDF Load:Combination(Pattern) `# System:Floor Member Reaction(Ibs) 6505 @ 7 0 0 8881(3.50") Passed(73%) -- 1.0 D+1.0 L(All Spans) Member Type:Drop Beam Shear(Ibs) 4064 @ 7 110 6151 Passed(66%) 1.00 1.0 D+1.0 L(All Spans) Building use:Residential Moment(Ft-lbs) 7052 @ 10 0 0 11204 Passed(63%) 1.00 1.0 D+1.0 L(Alt Spans) Building Code:IBC 2015 Live Load Defl.(in) 0.095 @ 10 0 0 0.228 Passed(L/861) 1.0 D+1.0 L(Alt Spans) Design Methodology:ASO Total Load Defl.(in) 0.121 @ 10 0 0 0.342 1 Passed(L/675) 1.0 D+1.0 L(Alt Spans) Deflection criteria:LL(L/360)and TL(L/240). Bracing(Lu):All compression edges(top and bottom)must be braced at 14 0 0 o/c unless detailed otherwise.Proper attachment and positioning of lateral bracing is required to achieve member stability. Bearing loads to Supports(Ibs) Supports Total Available Required Dead Floor Total Accessories Live 1-Column-SPF 3.50" 3.50" 1.50" 843 2798/-402 3641/-402 Blocking 2-Column-SPF 3.50" 3.50" 2.56" 1715 4790 6505 Blocking 3-Column-SPF 3.50" 3.50" 1.50" 426 1433/-260 1859/-260 Blocking •Blocking Panels are assumed to carry no loads applied directly above them and the full load is applied to the member being designed. Tributary Dead Floor Live Loads Location(Side) Width (0.90) (1.00) Comments 0-Self Weight(PLF) 0 0 0 to 14 0 0 N/A 9.4 Linked from:Beam- 1-Point(lb) 2 0 0(Front) N/A 870 2443 For Load Transfer Only, upport 2 Linked from:Beam- 2-Point(lb) 10 0 0(Front) N/A 870 2443 For Load Transfer Only,Support 2 Linked from:Beam 2 3-Point(Ib) 2 0 0(Front) N/A 556 1737 --For Load Transfer Only,Support 1 Linked from:Beam 2 4-Point(lb) 10 0 0(Front) N/A 556 1737 --For Load Transfer Only,Support 1 Weyerhaeuser Notes (Z�SUSTAINABLE FORESTRY INITIATIVE Weyerhaeuser warrants that the sizing of its products will be in accordance with Weyerhaeuser product design criteria and published design values. l Weyerhaeuser expressly disclaims any other warranties related to the software.Refer to current Weyerhaeuser literature for installation details. (www.woodbywy.com)Accessories(Rim Board,Blocking Panels and Squash Blocks)are not designed by this software.Use of this software is not intended to circumvent the need for a design professional as determined by the authority having jurisdiction.The designer of record,builder or framer is responsible to assure that this calculation is compatible with the overall project.Products manufactured at Weyerhaeuser facilities are third-party certified to sustainable forestry standards.Weyerhaeuser Engineered Lumber Products have been evaluated by ICC ES under technical reports ESR-1153 and ESR-1387 and/or tested in accordance with applicable ASTM standards. For current code evaluation reports refer to http://www.woodbywy.com/services/s_CodeReports.aspx. The product application,input design loads,dimensions and support information have been provided by Forte Software Operator i Forte Software Operator Job Notes 4/4/2017 2:44:09 PM Brian Flagg Forte v5.1,Design Engine:V6.5.1.1 Paid-Cape Home Ceniers Matt-104 Park.4te (508)7660-4430 i bflagg@midcape.net - g Page 3 Of 5 e ,� ® � MEMBER REPORT Level,Beam @ Work Station PASSED ®�O R Y 2 piece(s) 1 3/4" x 9 1/4" 2.0E Microllam® LVL Overall Length:12 7 0 1 1 0 1200 0 0 All locations are measured from the outside face of left support(or left cantilever end).AII dimensions are horizontal.;Drawing is Conceptual Design Results Actual @ Location Allowed Result LDF Load:Combination(Pattern) System:Floor Member Reaction(Ibs) 2462 @ 0 2 0 8881(3.50") Passed(28%) -- 1.0 D+1.0 L(All Spans) Member Type:Drop Beam Shear(Ibs) 2452 @ 10 12 6151 Passed(40%) 1.00 1.0 D+1.0 L(All Spans) Building Use:Residential Moment(Ft-Ibs) 5390 @ 10 0 0 11204 Passed(48%) 1.00 1.0 D+1.0 L(All Spans) Building Code:IBC 2015 Live Load DeFl.(in) 0.261 @ 6 4 8 0.408 Passed(1-/562) 1.0 D+1.0 L(All Spans) Design Methodology:ASD Total Load DeFl.(in) 0.356 @ 6 4 7 0.613 Passed(L/413) 1.0 D+1.0 L(All Spans) Deflection criteria:LL(L/360)and TL(L/240). Bracing(Lu):All compression edges(top and bottom)must be braced at 12 7 0 o/c unless detailed otherwise.Proper attachment and positioning of lateral bracing is required to achieve member stability. Bearing Loads to Supports(Ibs) Supports Total Available Required Dead Floor Total Accessories Live 1-Column-SPF 3.50" 3.50" 1.50" 642 1820 2462 Blocking 2-Column-SPF 3.50" 3.50" 1.50" 589 1654 2243 Blocking •Blocking Panels are assumed to carry no loads applied directly above them and the full load is applied to the member being designed. Tributary Dead Floor Live _ Loads Location(Side) Width (0.90) (1.00) Comments 0-Self Weight(PLF) 0 0 0 to 12 7 0 N/A 9.4 Linked from:Beam 2 1-Point(lb) 2 0 0(Front) N/A 556 1737 --For Load Transfer Only,Support 1 Linked from:Beam 2 2-Point(Ib) 10 0 0(Front) N/A 556 1737 --For Load Transfer Only,Support I Weyerhaeuser Notes SUSTAINABLE FORESTRY INITIATIVE Weyerhaeuser warrants that the sizing of its products will be in accordance with Weyerhaeuser product design criteria and published design values. l Weyerhaeuser expressly disclaims any other warranties related to the software.Refer to current Weyerhaeuser literature for installation details. (www.woodbywy.com)Accessories(Rim Board,Blocking Panels and Squash Blocks)are not designed by this software.Use of this software is not intended to circumvent the need for a design professional as determined by the authority having jurisdiction.The designer of record,builder or framer is responsible to assure that this calculation is compatible with the overall project.Products manufactured at Weyerhaeuser facilities are third-party certified to sustainable forestry standards.Weyerhaeuser Engineered Lumber Products have been evaluated by ICC ES under technical reports ESR-1153 and ESR-1387 and/or tested in Y accordance with applicable ASTM standards. For current code evaluation reports refer to http://www.woodbywy.com/services/s_CodeReports.aspx. The product application,input design loads,dimensions and support information have been provided by Forte Software Operator Forte Software Operator .lob Notes 4/4/2017 2:44:09 PM Brian Flagg Forte v5.1,Design Engine:V6.5.1.1 Vnd-cape Dome centers Matt-104 Park.4te (508)760-4430 bflagg@midcape.net Page 5 of 5 i, .� � I ' • j << lr^l �w 1/� 4 .,. - 1 . _ u _ . .. . 1 j .. Town of Barnstable, MA Page 1 of 1 Town of Barnstable,MA Monday,September 71,2017 Chapter 240. Zoning Article VII. Sign Regulations § 240-64. Signs in Medical Services District. [Amended 7-14-2005 by Order No.2005-1001 A. -One sign giving the name of the occupant or other identification of a permitted use in a professional residential zone may be permitted.Such signs shall be no more than 12 square feet in.area and shall not extend more than eight feet above the ground. :F: B. Any illuminated sign must comply with the provisions of§240-63 herein. f_ http://www.ecode360.com/printBA2043?guid=6559754 9/11/201,7 . Anderson, Robin From: Florence, Brian Sent:; Monday, September 11, 2017 3:07 PM To: 'Greg Brenner'; tom.perry@town.barnstable.ma.us Cc Anderson, Robin Subject: RE: 104 Park St Hyannis Mr, Brenner, Thank you for your email. I have forwarded it to our Chief Zoning Enforcement Officer Robin Anderson. She,will.be happy to assist you with this. Regards, Brian-Florence, Building Commissioner Building D`e.partment I.Town of Barnstable 200 Umb:Street Hyanrlis, MA 02601 508186274038 Brian lorence@town.barnstable.ma.us I H. , FrOft Greg Brenner [mailto:greg@brennersigns.com] Sent:.Monday, September 11, 2017 12:36 PM Td; Florence, Brian; toin.perry@town.barnstable.ma.us gubidct: 104 Park St Hyannis Good-Afternoon We have,been contracted to do the sign project at 104 Park St South Shore Sleep Lab. There will be a(free standing sign and building sign for the Sleep Lab and one for a future tenant on the building. Can you give,me some guidelines as to allowable sizes for each? I will be submitting this to the.Historical Committee for an October:4th meeting, Thar►Ic you=ir advance by Greg Brenner Owner �08197.346f g,�N 6b fed,�rol Furnoce Rd.,N ,moo d►r A,02360, Y. r . ..nderson.; Robin From: Florence, Brian Sent:- Monday, September 11, 2017 3:07 PM - To 'Greg Brenner'; tom.perry@town.barnstable.ma.us Cc Anderson, Robin Subject:' RE: 104 Park St Hyannis a t. IVIr. renner; ` Thank.yoq„for your email. I have forwarded it to our Chief Zoning Enforcement Officer Robin Anderson. She will be happy to assist you with this. Rega"rds, Brian Florence, Building Commissioner Building Department I Town of Barnstable 200,Ma.in,Street Hyannis, MA 02601 508-86,2.4038 Bean.forence@town.barnstable.ma.us Fr"omi Greg.Brenner [mailto:greg@brennersigns.com] SerYt; Monday, September 11, 2017 12:36 PM Ta. Florence, Brian; tom.perry@town.barnstable.ma.us Subject; 104 Park St Hyannis Good Oernoori Wehave;been contracted.to do the sign project at 104 Park St South Shore Sleep Lab. There will be:alfrbeiz- sign and building sign for the Sleep Lab and one fora future tenant on the building. Can you give me some guidelines as to allowable sizes for each? I will be submitting this to the Historical Committee for an October 4th meeting. Thar k;you in advance Greg Brenner Owner 508.747.34.65., , x r 66 Fed�erdl .urnoce R0,Plymouth MA 07360 �reni rslgnscgmr � wtSfK@S4 DA57WE4. x U it .. ..1 it' Official Website of The Town of Barnstable - Property Lookup Page, l of 4 Select Language Assessinq Division Property Lookup Results - 2017 367 Main Street,Hyannis,MA.02601 - BACK TO SEARCH<< E�913rint Friendly Owner Information-Map/Block/Lot:327/203/-Use Code:3400 Owner Owner Name as of 111/16 ENT REAL ESTATE LLC Map/Block/Lot G/S MAPS 30 ALDRIN ROAD 327/203/ Property Address PLYMOUTH,MA.02360 104 PARK STREET Co-Owner Name Village:Hyannis Town Sewer At Address:Yes i GIS Zoning Value:MS Assessed Values 2017-Map/Block/Lot:327/203/-Use Code:3400 2017 Appraised Value 2017 Assessed ValuePast Comparisons Building $237,600 $237,600 Year Assessed Value Value: Extra $2,000 $2,000 2016-$419,700 Features: 2015-$374,200 2014-$374,200 2013-$374,200 Outbuildings:$10,000 i :$'10,000 = 2012-$390,800 2011-$382,400 Land Value: $170,100 $170,100 2010=$382,400 2009<$376,700 2017 Totals $419,700 $419,700 2008-$366,400 2007-$366,400 h . Tax Information 2017-Map/Block/Lot:327/203/-Use Code:3400' Taxes Hyannis FD Tax(Commercial) $1,653.62 Hyannis FD Tax(Residential) $0 Fiscal Year 2017 TAX RATES HERE Community Preservation Act Tax $108.79 j Town Tax(Commercial) $3,626.21 Town Tax(Residential) ;$0 ' $5,388.62 Sales History-Map/Block/Lot:327 1 203/-Use Code:3400 h'ttp://www.townofbamstable.us/Assessing/propertydisplayscreenl 7.asp?ap... 9/11/2017 Official Website of The Town of Barnstable - Property Lookup Page 2 of 4 History: Owner: Sale Date Book/Page: Sale Price: ENT REAL ESTATE LLC 2016-10-07. 29991/97 $600000 F. DEROSA,PETER G 1979-01-08 2853/26 $0 Photos 327/203/-Use Code:3400 *7 " Sketches-Map/Block/Lot:327 1 203/-Use Code:3400 i n r ig— AsBuilt Card N/A Constructions Details-Map/Block/Lot:327 1 203/-Use Code:3400 Building Details Land " Building value $237,600 Bedrooms 00 USE CODE 3400 Replacement Cost $339,380 Bathrooms 0 Full-0 Half Lot Size 0.31 (Acres) - Model Commercial Total Rooms Appraised $170,100 Value Style Family Heat Fuel Gas Assessed $ Conver. Value 170,100 Grade Average Heat Type Hot Water Year Built 1,770 AC Type None Effective 30 Interior Carpet depreciation Floors Stories 1.5 Interior Walls Drywall fi s Living Area sglft. 3,533 Exterior Walls Wood Shingle Gross Area sq/ft 4,552 Roof •. Gable/Hip Structure Roof Cover Asph/F GI's/Cmp http://www.townofbamstable.us/Assessing/propertydisplayscreen l 7.asp?ap... 9/11/2.017 Official Website of The Town of Barnstable - Property Lookup Page 3 of 4 Outbuildings&Extra Features-Map/Block/Lot:327 1 203/-Use Code:3400 Code Description Units/SQ ft Appraised Value Assessed Value PAW PAVING- 5000 $10,000 $10,000 ASPHALT FOP Open Porch-roof- 50 $2,000 $2,000 ceiling _ Sketch Legend Property Sketch Legend . B2N Bam-any 2nd story area FPC Open Porch Concrete Floor REF Reference Only BAS First Floor;Living Area FTS Third Story Living Area(Finished) SOL Solarium BMT Basement Area(Unfinished)FUS Second Story Living Area SPE .Pool Enclosure (Finished) BRN Barn GAR Garage TQS Three Quarters Story(Finished) CAN Canopy GAZ Gazebo UAT Attic Area(Unfinished) i CLIP Loading Platform GRN 'Greenhouse' UHS Half Story(Unfinished) FAT Attic Area(Finished) GXT Garage Extension Front UST Utility Area(Unfinished) FCP Carport KEN Kennel UTQ'-, Three.Quarters Story (Unfinished) FEP Enclosed Porch MZ1 Mezzanine,Unfinished UUA Unfinished Utility Attic FHS Half Story(Finished) PRG Pergola _ UUS Full Upper 2nd Story (Unfinished) FOP Open or Screened in Porch PRT Portico WDK Wood Deck PTO Patio Print Friendly !Acting Directov. , Pamela Taylor 'P 508-8624022 F 508-862-4722 -,8:30a.m.to 4:30p.m. i I Public Records. ;Ann Quirk Public Records Request P 508-862-4022 ] Main Street ;HyHy annis,MA.02601 http://www.townofbamstable.us/Assessing/propertydisplayscreen.l 7.asp?ap... 9/11/2017 Official Website of The Town of Barnstable - Property Lookup Page 4 of 4 Helpful Links to Downloads Abatements SALES LISTINGS Barnstable FD ' Residential 1 C.O.M.M FD Residential 1 Commercial-Industrial- Mixed Use Cotuit FD Residential Hyannis FD Residential' Townwide Condominium W.Barnstable FD { Residential Exemptions Parcel Consolidation Questions about values I FY17 Combined Tax Rates; {I Town Land Use Codes 'Helpful Maps All Town Maps 7 Flood Insurance Maps (•_Property Maps 1 FY17 Tax Maps Owned and Operated by The Town of Barnstable-Information Technology. Home Departments&Services Boards&Committees Residents&Visitors Doing Business Town Calendar Phone Directory Employment Email Town Hall http://www.townofbarnstable.us/Assessing/propertydisplayscreen l 7.asp?ap.... 9/11/2017 HEATLOK�� 10.6 o- ,y as % �• Company Name Caoe Cod Insulation Phone Number 508-775-1214 Applicator Name /1¢ L Installation Date 8-21-2017 Jobsite Address 104 Park Ave. Hyannis, Ma. A-Side Lot #'s P1134721417 Permit Number j B-Side Lot #'s PA86001691 ENE= -MEN=1: lWalls 311 R-20 230 Attic Sloped Ceilings _ 7" R-49 800 SSM r. 410t:mILEC TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map 32�7 Parcel 3 Application Health Division Date Issued / 011 7 4 Conservation Division Application Fee ��/0 Planning Dept. Permit Fee d Date Definitive Plan Approved by Planning Board Historic - OKH Preservation/ Hyannis Project Street Address I Qq 'P&41- S Village i yAAtX IS Owner L,nX 1ZZ4 Ct k41 Address 30 N4124 1. U ?1YM6&k,rh.A U Telephone 506 364 ^R611 Permit Request -174k*4 i n eP_44 u, Square feet: 1 st floor: existing3oS0 proposed 2nd floor: existing proposed Total new Zoning District IMS Flood Plain Groundwater Overlay Project Valuation /2 b� 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 kCM�JCS Historic House: �M Yes ❑ No On Old King's Highway: ❑Yes 4No Basement Type: ❑ Full -1!4 Crawl ❑Walkout �9 Other ON& CAN- Basement Finished Area (sq.ft.) Basement Unfinished Area (sq.ft) Number of Baths: Full: existing new Half: existing new Number of Bedrooms: existing —new BUILDING DEFT Total Room Count (not including baths): existing new First Floor Room Count 1 Heat Type and Fuel: 2f Gas ❑Oil ❑ Electric ❑ Other JAN 3 2011 Central Air: ❑Yes ❑ No Fireplaces: Existing New Existn g oopd%coa11%ctove3LO 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 ORAcks Proposed Use sL OF(-tC .s APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name 0148uows Telephone Number 5O"3sq-:9(- q Address % C License# CS Cnq C-49 YMi4A PO2t Home Improvement Contractor# IZed Email 04ft ub L , Corte Worker's Compensation # UY,` I 5%029(103(z, ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE I / IZ'I FOR OFFICIAL USE ONLY APPLICATION # DATE ISSUED MAP/ PARCEL NO. - ADDRESS VILLAGE OWNER DATE OF INSPECTION: FOUNDATION _. FRAME INSULATION FIREPLACE ` ELECTRICAL: ROUGH FINAL ti PLUMBING: ROUGH FINAL ` GAS: ROUGH FINAL FINAL BUILDING j DATE CLOSED OUT ASSOCIATION PLAN NO. I i eDEP - MassDEP's nnlineFiling System Page 1 of 1 MassDEP Home I Contact I Privacy Policy MassDEP's Online Filing System USemame:MATTMOW268 Nickname:MATTHEWB My eDEP Forms on My Profile 13i Help Notifications Receipt Forms Signature Payment Receipt Summary/Receipt .Print recelp.,t I.„Exrt;v 11 Your submission is complete. Thank you for using DEP's online reporting _.Mu.. W ' system. You can select"My eDEP"to see a list of your transactions. DEP Transaction ID: 884515 Date and Time Submitted: 1/13/2017 12:20:37 PM Other Email : DEP Transaction ID: 884515 Date and Time Submitted: 1/13/2017 12:20:37 PM Other Email : Form Name:AQ 06 -Construction/Demolition Notification Form Name: AQ 06 -Construction/Demolition Notification Payment Information DEP code: 136426 Date: 1/13/2017 12:19:31 PM Amount($): 100 Payment Detail: BOROWSKI MATTHEW--AccountType--AccountNumber ****2828 Confirmation Number: My eDEP MassDEP Home I Contact i Privacy Policy t MassDEP's Online Filing System ver.12.28.4.0©2016 MassDEP BUILDING DEP : JAN 2017 F TOWN OF BARNSTABLE https:Hedep.dep.mass.gov/Pages/PrintReceipt.aspx 1/13/2017 lze onvriioa uleaL�ofCp/74C 77;27r7e" -Office of Consumer Affairs&Business Regulation t License or registtat�on valid for individul use'only OME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: egistrai. 1280f7 Ti Office of Consumer Affairs and Business Regulation Ex -162Q1 #ndlWidua( ! 10 Park Plaza-Suite 5170 Boston MA 02116 NtATTtiE [480R• Vtil§i< x A MATT V inr 4c1 Not valid without sign re , • r �L Massachusetts -Department of Public Safety >Board of;Bq.ilding Reg_uiations and Standards f nfirrtr�u .ot► 5�sperr�:r�r - LiCease C$-074669 - _ MATTHEW ` t S Ej51�A 0�660 .� 1} i 1 -ti.'1: •�`+.t�'.�'i� 1 1.'..,�G £ a �iEti1 �'rt �LL,I;,.CI i �WE Town of Barnstable Regulatory Services XAM ` Richard V.Scali,Director 6 ►�� Building Division. Paul Roma,Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 {. Fax: .5 08-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder as Owner of the subject property hereby authorize V I1� ��i to act on my behalf, in all matters relative to work authorized by this building permit application for. o y yak. �va�v�s �Yla; (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 spections are performed and accepted. Signature of Owner Signature of Applicant Print Name Print Name II/Vo Date QTORMS:OWNERPERMISSIONPOOLS { 77m Comwwnreak'h u,f Massadiusd& Department a,fludrskid Accidmz& JVOirwe o,f ,•gaticrns �5f10 FPashuon `e5reet Boston,MA 02HI wPn_,masmgvP a Workers' CumVensationlnsuranceAffidavit B•cedersICuniractGrsMecfricians/Phunhers Applicant Infmmution ntirP Please Pl . � .Name 1'�'IA ►taw USS c.)f n '/fin city/stater `46MAu}�P� 1�1'l� ULSa7s Phone Are you au employer?Cherk the appropriate box: I. I am a 1 �. 4 I am a Z . ❑ general canfrsctor and I Type of project{retlmredjc emP 6. ❑New construction emglayees(felt and/or part-time)-* have hired the sub-con iactoas 2.❑ I am a sale etotr or listed on the attached sheet. 7-jM Remodeling These sub-contractars have ship and have no employees. $.IR Demolition Wading, - Wading form is any capacity. employees and have woAcers' 9. ❑Building addition [No wodmrs'Camp.fimn-ance Come-inSl�rancl'-' reqmired] - 5. ❑ We area corporation and its 10-❑Electrical repairs or additions 3-❑ I am a homeomner doing all work offers have esemised their 1 L❑Flumbingrepairs or additions myself-[No wadmrs'camp- 11ig4 of exemption per M(M L_❑Roofrepairs fnnxzwe required.]i c.152,§1(4),and we have no etrtployees.�Taworlrrs�' I3_❑Oiher comp insurance required j ;A-ay$PF&csad giat cbeds tws ffl masYd=fMo=the sectiaabeIowshns�iag&eaworicexs'com32—atiaupeHry infemsdao_ f�'ameowaers rho submit dtis.xSdwn miSratmg dip are drug all wa l and bier bhm outside cant:xcmrs— submit a new affidavit indicztmg.ss�cFi fCanlxactotst5st checYilr[s 6aae xuust atterhed su.addidanal shed s1wvdng1heaameof the=b-camps arxd state whether:ormiottbose a atideshne employees.If thesub-contmaom have emplopee%theymnurpm adetheu worbers'wmp.policynumben lam att sttepr tlerrt is protJirriirfg workers'coatapertstcrtt ittsriratFcaor my cnrp �ea $eloav is fJte pv�cy arm jaiae in ormatiors Insurance Company 11-rarne: \ Pahcy 4 or self--im-Lic-4 41 53 I Z yG3 F-VitadonDate: Job SimAddru y� � �,ce _ Y �LSG". City/Skatel .sg: Attach a copy ofthe workere con ipensationpolicy declaration page(showing the policy mraaber and expiration date). Failure to secure coverage as require under Section 25A of MGL c�15.2 can lead to the imposition of criminal penalties of a ftne up to$1,5a0:OU andfor one-year imprism=eu f,as wa ll as civil penalties.in the fa=of a STOP WORK ORDER and a time of up to$25,0-Da a dap a,-gainst the violator. Be adidsed that a copy of this statement maybe forwarded to the Office of Imitestrgatioms of the DIA.for ims>==e coverage yedfic ttion. Urfa h erZ&T cer[rjy u the and :ages of perjury t hattJts inforwzMktt ptmfdtrd abmrs iF ft=and correct siensture- JLIJ Phone So%3Ly �1g' d3,yZdai use carol: Doaunt wrke in f ds,area,to be-ctrtnpietesd by dtp arto"71 a,,�Jrcrat City or Towtz: ` Peru;ghUcense;9 Issuing Anflarity[code one]: L Board of Health 1 Buil mg Department 3:City-Irown Clerk A.Electrical Inspector S.Pldmbmg Inspector' 6.Other Contact Person: Phone 9: Taformation and Instruc ions hfa c_cac rstcetts Clebm3I LBWS G apter M reQojres all enrp1CT=`tD p1TM&WMIX&=DPMM:SOn f=theX e Ploy=- p=MIM&f 1)this Vie,as evvk yea is defined as.`�_Cvm9 person in the service of another under any contract ofhfir, R express or implied oral or W1ift of An employer is defined as ran indiyidosl,pazfneub�p.association,cOPoration or other legal mtify,or any two or more of the foregoing=gaged in a3oint entmIxim,and including the legal rcprescu aflves of a deceased emPleyer,or the receiver or trustee of an individnal,partnership,association or oilier Iegal entity,employing employees. However the owner of a.dwelling house having not more than three apartments and who resides fherem,or the occupant of the- dwe1T>nghouse of another who enploys persons to do maiaten oce,c askuc;on or repair wmk ou puch dwelling house or on the grounds or bm7dmg appurbmzL t thereto shall not bee nse of snch employment be deemed to be an employer." hIGL chapter 152,§25C(6)also states that'every state or local licensing agency shall withhold$ie issuance or renewal of a license or permit to operate a husmess or to constract buildings in the Commonwealth for any, a-PPlicanf who has notproduced acceptable evidence of compurance with the msu*ancn coverage require3" Additionally.MGL chapter 152,§25C(7)states`W6i fiwthe connnamwcalfhnoriny ofitspoIiti a 'subdivisions shall ent-Z into any contract for the peaform.aaw ofpublic wont mmtl acceptable evidence of compliance With the msTu anc.6% regt»teni=ts of this chapter have been presented to the contacting anffioaY- , Applicants Please fDI out the wo& s'compeosa(ion affidavit completely,by cheek y!Ho boxes that apply to your situation and,if necessary,suPPly sob-contracinr(s).name{s), address(es)and Phone 1= er(s) along with their certdzcate(s)of h. ;insurance. LimitedLiabiility Companies(LLC)orLimrtEdLiabiIityat Pt imxbips.(LLP)Withno employees other that ;in 0 members or paitaexs,art not required to cauiy workers' compensation;T,soran e. If an LLC or LLP does have employees,apoIicy is rmpared. Be a.dvisedthatthis afhdaykmaybe snbmitti--d to the Department of Industrial Accidents mr cont amaiion of ins. ' ce coverage_ Also he sure to sign and date the affidavit- The affidavit should be mtummed to the city or town that the application for the peanit or license is being requested,not the Department of ; E a A ccidmts- Shouldyou have auy gaesiions regarding ilia Iaw or ifyou arm regau'ed to obiam a Woikm' CompMsafloApoHcL please call the Depa tmeut atthe nu>mberlistedbelo� Self-insured companies should enter their self-fi,errranco license umaber on the appropriate line. City or Town.Officials f - Please be see that the affidavit is complete and printed legibly. The Deparfinenthas provided a.space at,the bott= of the affidavit for you to fill.ourt in.the event the Office of Iuvcs:ga6ons has to coact you regmdmg tb a applicant Please be,sure to fill in the per�itflicense nuunber which will be used as a reference number. In addition,an applicant that must sabmit multiple permit/Hcense applications is any given year,need only sabnnt.me affidavit indicating cum-ent policy information(if neces;aryj and under"lob Address"tie applicant�ourld write aTlo,ati ns in (�Y or. town)-"A copy of the_affidavrt that has be=officially s upped.or madced by ilia city or tovm may be provided to the " apPlicant as prooftiat a valid affidavit is on file for Rd= permits or licenses. A new affidavitmTrct be filled out each ear.glhero a home owner or citizen is obtaining a license or permit not related to any business or commercial ve�.� (Le.a dog license or pew to bum leaves eta.)said person is NOT rcquk�d to complete this affidavit The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give tts a call 1>tl one and.faxnmber. The.DepartmeuoYs address, eph Thl-f:a�r� 1a of�iuse±L� . ,Depadmmtc&1ndusfdaAccZenta RQSWV,M&02111 Ta#617-' -49W cot 4-06 or 14M MA CAM Fax 9 617`27 7M Revisers¢24-07 �a � Mass. Corporations, external master page Page 1 of 2 -00, . ,y Mall • r s Corporations Division Business Entity Summary ID Number: 203390996 Request certificate !.New search Summary for: ENT REAL ESTATE, LLC The exact name of the Domestic Limited Liability Company (LLC): ENT REAL ESTATE, LLC Entity type: Domestic Limited Liability Company (LLC) Identification Number: 203390996 Date of Organization in Massachusetts: 08-31-2005 Last date certain: The location or address where the records are maintained (A PO box is not a valid location or address): Address: 30 ALDRIN RD. City or town, State, Zip code, PLYMOUTH, MA 02360 USA Country: The name and address of the Resident Agent: Name: BERNARD J. DURANTE ` Address: 30 ALDRIN ROAD City or town, State, Zip code, PLYMOUTH, MA 02360 USA Country: The name and business address of each Manager: Title Individual name Address MANAGER ' ANIT.T PATEL 30 ALDRIN ROAD PLYMOUTH, MA 02360 USA MANAGER BERNARD J DURANTE 30 ALDRIN ROAD PLYMOUTH, MA'02360 USA In addition to the manager(s), the name and business address of the person(s) authorized to execute.documents to be filed with the Corporations Division: Title Individual name Address SOC SIGNATORY BERNARD J. DURANTE 30 ALDRIN RD. PLYMOUTH, MA 02360 USA SOC SIGNATORY ANIT T. PATEL 30 ALDRIN RD. PLYMOUTH, MA 02360 USA . The name and business address of the person(s) authorized to execute, acknowledge, deliver, and record any recordable instrument purporting to affect an interest in real property: n http://corp.sec.state.ma.us/CorpWeb/CorpSearch/Co'rpSummary.aspx?FEIN=203390996&... 1/13/2017 Mass. Corporations, external master page Page 2 of 2 ' Ti it tle Individual name Address REAL PROPERTY ANIT T PATEL 30 ALDRIN RD. PLYMOUTH, MA 02360 USA REAL PROPERTY BERNARb ] DURANTE 30 ALDRIN RD. PLYMOUTH, MA 02360 USA ❑ ❑Confidential ❑Merger Consent Data Allowed Manufacturing View filings for this business entity: ALL FILINGS Annual Report Annual Report - Professional Articles of Entity Conversion Certificate of Amendment View filings Comments or notes associated with this business entity: New search r- hqp://corp.sec.state.ma.us/CorpWeb/CorpSearch/CorpSummary.aspx?FEIN=203390996&.. 1/13/2017 01/13/2017 FRI 14: 49 FAX 5089923538 southeastern IA Hyannis 0001/002 CORD' CERTIFICATE OF LIABILITY INSURANCE OA'M(MMMDNYM01/13/2017 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($), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder Is an ADDITIONAL INSURED,the pollcy(les)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 endorsements. PRODUCER Joanne Bretton SOUTHEASTERN INSURANCE AGENCY INC. °N "E 509 E97.6061 IAAIXC.N Aa .' br®ties aoulheaeternlne.Com P.O.BOX 79398 INSURER(:)AFFORDING COVERAGE NAIC 0 NO.DARTMOUTH MA 02747 INSURERA! LM INS CORP 33WO INSURED INSURER B 1 MATTHI=W BOROWSKI INSURERC: DBA CREATIVE CONSTRUCTION INSURER 01 73 WEIR RD INBURERE: YARMOUTH PORT MA 02676 WSURERF: COVERAGES CERTIFICATE NUMBER: 118368 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_CO_NDITI DNS_OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. TYPE OF INSURANCE ADDL @URR POLICY NUMBER POLICY EFF POLICY EXP LIMITS LTRCOMMERCIAL GENERAL L1A91LRV EACNOCCURRENCE ! CLAIMS-MADE OCCUR PREMISES LE@.donttlnepoel.._ MED EXP n ens fees I WA PERSONAL 6 ADV INJURY GEN'L AGGREGATE LIMIT APPLIES PEM GENERALAGGREGATE S POLICY❑PRO. ❑ _—� J6CT l0C OMP/O PRODUCTS-CPA00 5 OTHER,' ---.---- g — AUTOMOBILE LIABIUTY a a dot L LI I s ANY AUTO BODILY INJURY(Per person) e ALL OWNED SCHEDULED AUr08 AUTOS NIA eODILY rNJURV(Per e®IdenQ 8 NON-OWNED PROPER? DA 1i HIREDAUTO@ H AUTOS (Par Reddentl UMBRELLA LIAS OCCUR EACH OCCURRENCEE 6 EXCESS LIAR CLAIM&MADE NIA AGGREGATE — ___ '@ DEO I I RETENTION ti WORKERS COMPENSATION X I Mum 7 R AND EMPLOYERS'LIABILITY ANYPROPMETORIPARTNERIEXECUTIVE YIN E.L.EACH ACCIDENT S 100,000 A OFFICERIMEMBEREKCLUDED7 NIA NIA NIA WC53IS316204030 05/23/2016 06/23/201? ----- (Mondotory In NH) E.L.DISEASE•EA EMPLOYEE s 100,000 If yee deaedbe under DMAIPTION OP OPERATIONS below E.L.DISEASE-POLIGY OMIT s 600,00,0 N/A DESCRIPTION OF OPERATiON8I LOCATIONS I VEHICLES(ACORD 104.Additional Remarks Schedule,may he etleched It mate apace Is leauiredl Workers'Compensation benallts will be paid to Massachusetts employees only.Pursuant to Endorsament WC 20 03 00 B,no eulhorizatlon Is given to pay claim&for banetlts to employees In slates other than Massachusetts If the Insured hires,or has hired those employees outside of Massachusetts. This cartllicate or Insurance shows the policy In force on the data that[hie certificate was Issued(unless the expiration dale on the above policy precede@ the Issue date of this cenlflcate of lnsurence). The status of this coverage can be monitored dally by accessing the Proof of Coverage-Coverage Verikelion Search loot at vrxw.msae.gov/lwdiworkerr-compon&Mlan/Investigallons/. Sole proprletor has not elected coverage. CERTIFICATE HOLDER CANCELLATION ®MOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Town Of Barnstable ACCORDANCE WITH THE POLICYPROVWION8. 200 Main Street AUT�NORIiPD RlPRlBENTATIVE Hyannis MA 02601 `-1"'� Daniel M.CrCIPSY,CPCU,Vice President Residual Markel—WCRIBMA 01988.2014 ACORD CORPORATION. All rights reserved, ACORD 25(2014101) The ACORD name and logo are registered marks of ACORD E-1P"a' 13'd]/B" 5'-6]I16 T-99116" 11'-:]/6" T81/6' —1Y-21/d' 13'-010" 1P 1'-11 WIT 2-a' d'1' 1/ Y$" 3'-T 6'-11515 Yd" 3'-]1Id' Sd]I1 fi" T-99116" 11'2718" 2�""+{r3'-29I16' T-1115/tfi" 3'P - � � C Hatch Walls denotes seperation between P O 88 \ Sleep clinic and Medical offices Sleep Lab R \ev n o a..:\ endry 0� i - I O Z SIeeP Lab 'y} 0 EXAM RAMPS N 7 ` / Cleaning StatiF I on k 4 '0 Q � J EXAM — sroRA�E CLST EXAM Z I - + LOBBY tY Sleep Lab Q Imo` UP b db I. tl2'1 31a' 2'�" B�S 13I16— t1<3IB' 13-0314 - Im- i NURSE WORN STATION � � n �O, Sleep Lab _ CHECK IN-CHECK OUT i - d'-,3/i 6' 3088 o EXAM EXAM ® RAMP N EXAM LOBBY +- 1Q, - T-]1/1P I T-]15116' T-63Id" d'-95/e' 2Tdl" 2'-15Itfi' tP$3/16" 11'-03IB' 13'-01d" 80Z t Z Or •-,d3CI OCa 10 tins �.e 31EIVISNUVB-10 NM01 DOZ T �lbf • 3040 3040 O6B 2668 ]040 3040 D 3040 3040 2fi8B 66B I— L d Q2­ - ry • _ ry \ n 3668 UP 2— VIS 0.1fY OF 2668 2668 2668 6 66 304p 3040 2940Oil Ll?ol ]040 30fiB 3040 3040 3040 3040 3040 .LIVING AREA _ Existing Floor Plan 10/15/2016 3048sgn S . 318ViSNUVO-10 NM01 AGZ 2I Ndf �l • INSULATED.EVE SPACE 5'-15/9' Oo - - _ O 3000 3000 ��'`1N — O —' Tech workk Area CLOSET r '$3,16" <- Skylites[o be removed--h -" to East.HVAC Air Handler - Chimney to be INSULATED EVE SPACE S T removed. N_ Pi FT f Unfinished Attic Space 1w — — neo Pin Down stairs Hatch walls Denotes Exterior walls on First EVE 11'-91l1' 10•.9.. Is _ t , floor , 3oao 3wo aaao wao zTa 1$/1 e• 1 J an V1 CS� i TOWN OF BARNSTABLE REPORTS LEMENTARY/CONTINUATI ­REPORT NAME (LAST, FIRST, MIDDLE) JDIVISION /DS K NOTE DETAILS i SERVATIONS-ITEMIZE EVIDENCE, SERIAL IS ETC. A ' Ac, o n c f 4 3 SUBMITTED PAGE I ` O L ] [R327 203 . � ] , P LOC] 0104 PARK SQUARE CTY] 07 TDS] 400 H KEY] 243052 ---MAILING ADDRESS--- _-- PCA10311 PCS100 YR100 PARENT] 0 DEROSA, PETER G MAP] AREA] P015 JV] MTG] 0000 104 PARK ST SP1] SP21 SP31 UT11 UT21 . 31 SQ FT] 3102 HYANNIS MA 02601 AYB] 1770 EYB] 1975 OBS] CONST] 0000 LAND 40600 IMP 112800 OTHER ----LEGAL DESCRIPTION---- TRUE MKT 153400 REA CLASSIFIED #LAND 1 6, 900 ASD LND 40600 ASD IMP 112800 ASD OTH #LAND 3 33 , 700 DESCRIPTION TAX YR CURRENT EXEMPT TAXABLE #BLDG(S) -CARD-1 1 33 , 800 TAX EXEMPT #BLDG (S) -CARD-1 3 79, 000 RESIDENT'L 40700 40700 40700 #PL 104 PARK ST OPEN SPACE #RR 1209 0060 COMMERCIAL 112700 112700 112700 INDUSTRIAL EXEMPTIONS SALE] 00/00 PRICE] ORB] 2853/26 AFD] LAST ACTIVITY] 00/00/00 PCR] Y R327 203 . P R A I S A L D A T A • KEY 243052 DEROSA, PETER G LAND BLD/FEATURES BUILDINGS NUMBER ZN/FL=PRD 40, 600 112, 800 1 A-COST 153 , 400 B-MKT BY 00/ BY /00 C-INCOME PCA=0311 PCS=00 SIZE= 3102 JUST-VAL 153, 400 LEV=400 CONST-C 0 ----COMPARISON TO CONTROL AREA P015 -- --MAY NOT BE COMPARABLE-- PROFESSIONAL ZONE PARCEL CONTROL AREA TREND STANDARD 301 30 LAND-TYPE 406001 LAND-MEAN +0% 1534001 IMPROVED-MEAN +0 500 ] FRONT-FT ] 100 DEPTH/ACRES TABLE 02 1000] LOCATION-ADJ APPLY-VAL-STAT 1 LNR] LAND LFT/IMP] ADJS/SB/FEAT STR] STRUCTURE ARR]AREA-MEASUREMENTS NOR] NOTES COM] MARKET INC] INCOME PMR] PERMITS GRR] GRAPHIC FUNCTION- [ ] STRUCTURE-CARD NO- [0 0 0] DATA- [ ] XMT [?] r v R327 203 . •P E R M I T [PMT] ACTI*1 CARD [000] KEY 243052 000000001 PERMIT-NO MO YR TYPE VALUE CK-BY MO YR .CMP NEW/DEMO COMMENT [B24923] [04] [83] [AC) A ] [ ] [00] [00] [000] [NEW ] [HY ADD'N ] [ ] [ ] [ ] [ ] ] [ ] [ ] [ ] [ ] [ ] [ ] [?] RESIDENTIAL PROPERTY MAP NO. LOT NO. FIRE DISTRICT SUMMARY �. STREET , 104 Park St. Hyannis 73 LAND pia o o BLDGS.327 203 $ 3 G G e v OWNER TOTAL RECORD OF TRANSFER DATE BK PG I.R.S. REMARKS: Unnumb° 79 LAND ZS�OJ BLDGS. -S41 Goo iM la TOTAL J LAND Ac DeR } O) BLDGS. J TOTAL VAIVAhj m,4d O LAND O) BLDGS. C S S 7 5 O TOTAL LAND BLDGS. n A TOTAL ���yy � LAND YNOtrSatl �jJanimle f BLDGS. TOTAL r LAND BLDGS. ... TOTAL LAND s INTERIC)R INSPECTED: . BLDGS. ; - TOTAL DATE: �24 2 LANp -. ACREAGE COMPUTATIONS BLDGS. LAND TYPE # OF ACRES PRICE TOTAL DEPR. VALUE TOTAL OOUS � LAND H . CLEA_ RONT 0I BLDGS. REAR TOTAL ; WOODS&SPROUT FRONT LAND REAR BLDGS. S WASTE FRONT 'TOTAL REAR LAND BLDGS. TOTAL LAND 3 7 o —.J 7S BLDGS.03 I LOT COMPUTATIONS LAND FACTORS TOTAL ' FRONT DEPTH STREET PRICE DEPTH rya FRONT FT.PRICE TOTAL DEPR. COR. INF. VALUE HILLY TOWN SEWER LAND ROUGH TOWN WATER BLDGS. , HIGH GRAVEL RD. TOTAL LOW DIRT RD. LAND (. SWAMPY NO RD. BLDGS. ; TOTAL Ci. E;Q-b Conc.Blk.Walls r Bsmt.Rec. Room St. Shower Bath Bsmt. I U PURCH. DATE Conc. Slab Bsmt.Garage St. Shower Ext. Walls _ PURCH. PRICE. , Brick Walls Attic Fl.&Stairs Toilet Room 2Roof RENT r Stone Walls Fin.Attic ` Two Fixt.Bath Floors ' Piers. INTERIOR FINISH Lavatory Extra Bsmt. CC '1 2 3 1 Sink Plaster Water Cie. Extra Attic f 3 U EXTERIOR WALLS Knotty Pine Water Only Bsmt. Fin. Double Siding. i[� � Plywood No Plumbing Single Siding Plasterboard 12 Q Int. Fin. rf 71 O U Shingles-: NEL .t TILING ,;onc. 81k. G F P Bath Fl. Heat Face Brk.On Int.Layout Bath .&Wains. Auto Ht.Unit p tip` P Veneer Int.Cond. Bath Fl.&Walls Fireplace O r /OOU 3y' 3y Com. Brk.On HEATING Toilet Rm.Fl. �l _ _ Plumbing oI�- U Zo n c Solid Com.Brk. Hot Air Toilet Rm. . &Wains - -. Tiling J d Steam Toilet Rm.Fl.&Walls 0 Blanket Ins. Hot Water St. Shower i0 � Z � Roof Ins: Air Cond. Tub Area Total _ ±' Floor Furn. ROOFING. - COMPUTATIONS ' Asph. Shingle Pipeless Furn. S.F. a 7 W G Q , . , Wood Shingle . No Heat S.F. 3 3 .Z Asbs. Shingle Oil Burner Q S.F. S 0 3`J ts( p ' Slate Coal Stoker u S.F. Tile Gas COAl VS.F. OUTBUILDINGS ROOF TYPE Electric S.F. 1 2 3 4 5 6 7 8 9 101 1 2 3 4 5 6 7 8 9 10 MEASURED' Gable Flat S. F. Pier Found. Floor Hip Mansard FIREPLACES t=. Gambrel Fireplace Stack Wall Found. 0.H.Door LISTED FLO I Fireplace / Sgle.Sdg. Roll Roofing (:F Conc. LIGHTING Dble.$dg. Shingle Root Earth No Elect. Shingle Wells Plumbing Pine Cement Blk. Electric -HardwoodV �/ ROOMS PRICED Asph.Tile Bsmt. is ,< ,i TOTAL S/'Z o J Brick Int. Finish Single 29d r f 3rd FACTOR REPLACEMENT 6 OC: Y CONSTRUCTION SIZE AREA CLASS AGE REMOD. COND. REPL. VAL. Phy.Dep. PHYS. VALUE Funct.Dep. ACTUAL VAL. DWLG.�/ cf e� �I� 9 G S 3 � � 3G GI � 3G G u0 ' z : 3 F. zoo 3s- D - 5 6 7 8 k 9 10 TOTAL 2 Assessors map and lot number ............ .... �?-..... r . Sewage Permit number C',p-A,�... .. �?va., iM... t � 319BB9TADLE, • • House number. ......../Q.. ........................................ o :"�;IC S'�'STEF'` � 'it )Yi ' 90 039 TOWN OF BARI $ I� 1 1 60��' a IOWN REGULA OA,at 3 u BUILDING INSPECTOR APPLICATION fOR PERMIT TO .......... 1 ............................................:...................... TYPE OF CONSTRUCTION ... ' ....................................................................' ...................... ........l L....�............ .19.... TO THE INSPECTOR OF BUILDINGS: The ,undersigned hereby applies' for a permit according to the following information: C �a/L�E lj'/}iwl�lS ' Location ' .:S/.. � ��'�.��! "'/ �...�O�}�............................. ..............:.............................. ProposedUse ........�1 �G �S.....................:.. .................................................................................. Zoning, District .��..J:......................................................Fire District ........................................... Name-of Owner .... ....... ...............Address ..��d�' .............................................................. . Name of Builder, ....j. ................. ............Address ..................................................! ? ��c✓�J�iL�s J � a, ;z �50. yA2i�io� i Name' of Architect. . P. ! .............rf............................. Address ..................................................... /1e Number of Rooms Foundation �� ��TE ................................... .............................................................................. e. Exierior ... 469 ..... .... ...Roofing ..... . .."..•!�L ' ................................................. M e Floors G ................... .Interior ��/ % GG�f, Heating Plumbing ............................................... Fireplace ...............................................................:..................Approximate Cost .�t�... ........................................... ...... Definitive Plan Approved by Planning Board -------------------____________19________. Area ... Al.............. Diagram of Lot and Building with Dimensions Fee .... ` U.. ............ SUBJECT TO APPROVAL OF BOARD OF HEALTH r OCCUPANCY PERMITS REQUIRED FOR NEW.DWELLINGS I hereby agree to conform to all the'Rules and Regulations of the Town of Barnstable regarding the above construction. p Name ..... � .... :. `"� ..- A............... Construction Supervisor's License d®� MEYER, DONALD _ Nc'i..24923. Permit for ADDITION 4 • -, Doctors Office �' Location 104 Park Street & Lewis Ea Rd. ................................................................ Hyannis ` Owner Donald Meyer Type of Construction Frame......................... Plot ............................ Lot .:................... .......... Permit Granted .... April 7, 19 33 Date of Inspection..............:....................19 � mil. �I� 4 • � • Date Completed -.......1 r w _ f, GP5/Assessor's map and lot number ... .� ,..,,� �'�" __ THE tp�y Sewage Permit numberC'Q?� ny„„,..... � Z MAWS BLE, i House number ....:.........Jl ........................;............................. NAM 039. \0� TOWN OF- BARNSTAB.LE BUILDING INSPECTOR r,_.__ • APPLICATION FOR PERMIT TO .......... 1.. r� ........ ........................................................................... TYPE OF CONSTRUCTION ... 4c.............................................................................................. /2� ....7..............19... TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location /©4.. . S... �����iS ��9`�y! �Qyp l�j'/r`iuv/S �............ .. ,....... ............................ . Proposed Use .............................................:.....:...............:.................:....................... ZoningDistrict .,,,..........D:......................................................Fire District .................................................................... Name of Owner .« ......�� �.......�@.,'`��...............Address ..�it�A�i.�,?!r!/� / ..... Name of Builder ......441 "' �..' ........................Address �/L�i ......... Name of Architect .40.ti �J... ........Address O' r S3z.. ..5'a• ./710..!�........... Number of Rooms ..............Foundation .cDlw-1&4-TE ......................................................................... / �� 'l/ .....Roofing ......!q . Exterior ......... ................................................... Floors ...... '.�f................................................................Interior ....:;S�c..C...../1GG...r................................... Heating l eewl, 110�-4* 1Plumbing C�s'� d c�/� 2! ............................................................................ ...................�....:..............✓................................. A . Fireplace ............. ...............................................................Approximate Cost ......✓�f..o.c!o......................................... Definitive Plan Approved by Planning Board ----------------_---------------19________. Area .�� ... 1................. Diagram of Lot and Building with Dimensions Fee �' SUBJECT TO APPROVAL OF BOARD OF HEALTH ��• 'a« OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulafions of the Town of Barnstable regarding the above construction. ''``. Name ......i. ... ` . ... .............................. ®Q� �Xd Construction Supervisor's License .................................... MEYER, DOANLD A=327-203 No 24923 Permit for ..,ADDITION Doctors Office ............................................................................... Location 104 Park. ...St. ...... ... & Lewis. . ....Bay. Rd. .. .. .. .. . .. .. ....... . ....... ...............Hyannis.............................................. Owner ..Donald Mey.er................................ Type of Construction .,Frame ................................ ................................................................................ Plot ............................ Lot ................................ Permit Granted ....April 7, 19 83 Date of Inspection ....................................19 Date Completed ......................................19 Teo — ----_ . UP I I II II EXAM EXAM PROCESSING II EXAM ROOM O ROOM LAB ROOM O 109 0 108 ❑ Ill05 106 O 0 o 00 0 H VAC CLOSE. MAIN N a 113 t ❑NE IIiII �,IIII CORRIDOR HCP FILE REAR STORAGE TOILET CORRIDOR 103 110 107 OFF ICE 104O ® ATTIC STAFF STAFF 'OILE 12 CORRIDO cn CHIMNEY 11 CANOUTCELLAR ise RECEPTION WAITING 11011 ROOM 100 BUSINFSI DR. SUGAR'S O 3 OFFICE OFFICE � 116 0 114 I I o C== �D �❑ II ❑o II 16A 15 I 1 3 0 o � T oe2 SMMA'NS o �i� � CGN'. 1iJLS 03007.. NT.S a GYo.04.03 V 1 \• • yy i - --- ---- - UP I I II II .M PROCESSING I I EXAM )M LAB ROOM C\\ 105 1 106 U 0 �0 E C' SE MAIN I CORRIDOR FILE I Fl02 ==J_�) STORAGE I i ❑. 103 I I o 1 I OFFICE 104 J _F II II 1 RECEPTION WAITING 101 ROOM 1a0 0 - Q b"VIT 2 SMMA 1 NS CG 0 3007.0� GYo•04.03 0 0 o EXAM ROOM 109 10 HCP REAR TOILET CORRIDOR 110 107 0 0 _ t 0 o a ATTIC 113 STAFF CHIMNEY CORRIDO cn CLEANOUT CELLAR 111 N 168 001 0 0 N O , DR. SUGAR'S BUSIN 3 OFFI CI OFFICE 114 o � - o , o C 0STORAGE 16A 115 o I CL o 0 0 0 0 N PROPERTY ADDRESS I I ZONING I DISTRICT CODE SP-DISTS.I DATE PRINTED I STATE I pCS I N8H0 0104 PARK SQUARE CLASS PARCEL IDENTIFICATION NUMBER KEY NO. 07 PRO 400 7 0 4 t LAND/OTHER FEATURES DESCRIPTION ADJUSTMENT FACTORS T D E R O S A. PETER G Lano ByrDal. Sir¢D-men, vP UNIT ADJ'D.UNIT ACRES/UNITS VALUE Dexripron co. FFDe mtAcres LOC./YR.SPEC.CLASS ADJ, . E PRICE PRICEMAP- ..N. 4L A N D 1 6,900 CARDS IN ACCOUNT - L 30 3SITE 1 X .3 =10 213 71999.9S 153359.9 .22 33700 #LAND 3 33.700 01 OF 01 A 10 1BLDG.SIT 1 X .3 =10C 213 50 71999.9S 76679.9 .09 6900 #BLDG(S)-CARD-1 1 33.800 N #3LDG(S)-CARD-1 3 79,000 MARKET D BATHS 0.0 U X B= 100 1.0c 1.00 1.00 3 #OL 104 PARK ST INCOME A AT1 ATTIC U S X B= 100 3.6C 4.53 1016 4600 3 #RR 1209 0060 USE D - NO BSMT S X 8= 100 6.95 8.75 918 8000-3 APPRAISED VALUE D J FIX FIXTURE U X B= 100 1227.8 1227.8 7.00 8600 3 A 153,400 A U PARCEL SUMMARY T S LAND 40600 A T BLDGS 112800 M 0-IMPS TOTAL 153400 F N N CNST E N DEED REFERENCE e D.ATEy R d PRIOR RIOR YEAR VALUE Mo A T Bok p ag eTlyf Sal., LAND 40600 T 2353/26 00/00 BLDGS 112800 U TOTAL 153400 R E BUILDING PERMIT *LAND A D J U S T.F O R SNumber Dale Type Amount U S E/L O C......... LAND LAND-ADJ INC ME SE SP-BEDS FEATURE BLO-ADJS UNITS *30/70.......... 40000 5200 324923 4/33 AC Class Con sl�TOt al gas¢Rale Atli.Pal¢ year Buill A g¢ Norm. Obs v. Units Units A�u� fll:y Depr. Gond. CND. I Loc. ^b R.G.I Repl.CgW New A0j.Repl.Value Stories Meignl Roortrs .p Rms Baths •Fix. Partywell F- 40B- 000 110 110 62.95 69.25 70 75 19 80 80 60 188067 112990 1 .5 11.0 Description Rate Square Fecl R¢pl.Cost MKT.INDEX: 1.D O 1MP.BY/DATE: / SCALE: 1/0 0.5 0 ELEMENTS CODE CONSTRUCTION DETAIL S BAS 100 69.25 918 63572 GROSS AREA 3102 OFFICE BUILDING CAST GP:00 FSF 90 62.33 1266 78910 N*----19---*----- 5----*T 2 STYLE 32CONV.OWELLING 0._ FFG 30 --- - --------------------- R 600 12468 12 ! FFG ! DESIGN ADJ AT 52DESIGN ADJUST 10. P 4.24 SD 1212 *BABA-27-----*7-• + + ---------BABA-- --- ---------------------- U - EXTER.AALLS 01W000 FRAME __ 0._ -----------BABA --- --------------- C B 5 42 29.09 918 26705 ! ! +--12-* 24 24 HEAT/AC TYPE 07GAS-HOT WATER d- ---BABA-- --- ---------------------- T ! ! 32 ! INTER.FINISH_ 04DRYWALL 0._ --------------------- U ! ! ! ZNTcR.LAYOUT 12AVER./NORMAL 0. ---------BABA-- --- ---------------------- R ! ! ! INTER.QUALTY 02SAM_E AS EXTER. 0._ A 34 BASE 34 *-----25----* FLOOR STRUCT 02'aD JOIST/BEAM 0. ---------BABA-- --- ---------BABA-- L D W! ! ! EFLOOR COVER 04CARPET 0. ---- TYPE - 1 -ABLE-----BABA----- --- Area, Apx= 6.5E Ba:a= 2184 ! ! *--13--* ROOF TYPE _ OIGABLE-A S_P__H__S_H____ D. T _ BUILDING DIMENSIONS ! ! 10 10 E L c C T R I C A L 01 A V E RAG E 0.0 _-____-_-_-___._ ___ ___________________ BAS W27 N34 E27 FSF E07 SO4 E12 ! + + + FOUNDATION OIPOURED CONC 99.� N12 E19 FFG E25 S24 W25 N24 .. *BABA-27-----X-----25----FOP* --------BABA-- - - - ----- --------BABA-- L FSF S32 W13 S10 FOP E05 N10 W05 FSF PROFESSIONAL ZONE L S10 . . FSF W25 N34 .. BAS S34 LAND TOTAL . MARKET PARCEL 40600 153400 AREA VARIANCE +0 +0 STANDARD 50 : ....2.••1••1•••97..< �I ............................::...............................:. :.B I D .� ..: . w>::.::.::.;:.;:.PETERDEROSA 1..• Oil IN 12 RK SC .............: OEM > .......... ........ NTN . ..::::::::::::::::...:.:........................................................................how . .........:::::::.:..::.. :>: ? '... :a , *::::::::;:ZONING { ..........:.;:.;::.. ::».. €.x.: :.. -W No :.:. :.... . :..:::..:.::. aaaaaaaaaa �.'..--::>::>:»>LEGAL. . . . . . . . . . <. IN on «::::.:::..................::.:. .........:::::::::::::::::..:.. ............ ...... .... ................... .... ......................................... . ..................................... SEARCH :::..:::::.:::..:::1 OEM Will is Woo E �tiyvy`{+`yti •,`. ? `>�M1� •,`. '}tt `�::: ti+2+ ism it t Route 28 eOker NOTES � Q 1. DATUM IS NAVD88 3 2. THIS PLAN IS FOR PROPOSED WORK ONLY AND NOT TO Sk• �° BE USED FOR LOT LINE STAKING OR ANY OTHER PURPOSE. 3. CONTRACTOR SHALL BE RESPONSIBLE FOR CALLING uth St. DIGSAFE (1-888-344-7233) AND VERIFYING THE 5e a Locus LOCATION OF ALL UNDERGROUND & OVERHEAD UTILITIES o PRIOR TO COMMENCEMENT OF WORK. 4. EXISTING BUILDING IS CONNECTED TO TOWN SEWER. o rG � Q O ` Lewis a� Bay j LOCUS MAP SCALE 1"=2000'f ASSESSORS MAP 327 PARCEL 203 i 34.6 209.99, Q � o S ZONING SUMMARY N ZONING DISTRICT: MS DISTRICT O max` x MIN. LOT SIZE 10,000 S.F. MIN. LOT FRONTAGE =50' ►� EXISTING BUILDING x\k MIN. FRONT SETBACK 20' TOF = 28.1 MIN. SIDE SETBACK 10' MIN. REAR SETBACK 10' - MAX. BUILDING-HEIGHT 38' (3 STORIES) MAX LOT COVERAGE 80% �--i I SITE IS LOCATED WITHIN THE WELLHEAD PROTECTION PAVED OVERLAY DISTRICT W � X PARKING co 209.75, - P ' ARK x STREE T i SITE PLAN OF #104 PARK STREET HYANNIS, MA PREPARED FOR w MATT BOROWSKI 1j)A OF MA ssq o� DANIEL �� DATE: DEC. 7, 2016 A. O.JAL.A off 508-362-4541 No.4U980 v fax 508-362-9880 �°F�ss\off q I downcope.com SuRv� ° down cape engineering, MC. civil engineers Scale: 1 20' ��, l land surveyors 939 Main Street ( R to 6A) DCE > F-403 0 10 20 30 40 50 FEET DATE DANIEL A. OJALA, P.E., P.L.S. YARMOUTHPORT MA 02675 _ �_ 16-403 i 1 I 1 I I II ! I I iJt 1 � € f I qj t e f (� T I T7-777-T77 6/ T. j x /s Tr _ 100 Y ' LLLL I � 4 f i I � I � i I `! C E )e 7 F f � D lad.,...0 7- r� i 98 � � 1 f 1 ' Z AYe✓- eG- L I AJ T I S I I Lt/ �_j C i , I