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HomeMy WebLinkAbout0078 PLEASANT STREET I Application number... Fee ................................. . ... .... ................... ....... _Moo GAM�M Building l,nspectors Initial ...'................................. NOV 16 2018. Date lssuecl.....1.410c.;py.............................. TOWN O .BAKNb MA S.[ABLE ............ Map/Parcel.....J�.........11— ilk........................... ....... ..... ... TOWN OF BARNSTABLE. EXPEDITED PERMIT APPLICATION: .ROOF/SIDING/WINDOWS/DOORS/TENTS/STOVES/WEATHERIZATION F— PROPERTY INFORMATION Address of Project: NUMBE�, STREET VILLAGE Owner's Name: 3CrW,54-6& IJPVS� hone Number trli- 271 .22- 2z. l Email Address: al%rl—lifl Cell Phone Number 721 22ZZ Project cost$ Check*one Residential Commercial OWNER'S AUTHORIZATION As owner of the above property I hereby authorize to make application for a building permit in accordance with 780 CMR Owner Signature: Date: .. TYPE.OF WORK ding 81TWindows (no header change) 4-Y a InsulationAVeatherization Doors (no header change)# f CommemiaDws require an inspector's review I E-1 Roof(not applying more than 11ayeAf Is , Construction Debris will be going:to C/ CONTRACTOR'S INFORMATION Contractor's name '3 s Home Improvement Contractors Registration(if applicable) # h9o-o2 3 (attach copy) Construction Supervisor's License 4 CS Z, (attach copy) Email of Contractorcmf/e4i f- One n mber Tpf ALL PROPERTIES THAT HAVE STRUCTURES OVER 7S YEARAID OR IF THE SUBJECT PROPERTY IS IN A HISTORIC DISTRICT, YOU MUST OBTAIN HISTORIC APPROVAL BEFORE A PERMIT CAN BE ISSUED. �' APPLICATION NUMBER ............................................................ *For Tents Only* Date Tent(s) will 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 I X Additional tent dimensions can be attached on a separate piece of paper. Purpose of Event 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 Offsets from combustibles: front back left side right side HOMEOWNER'S LICENSE EXEMPTION Homeowner's Name: Telephone Number Cell or Work number I understand my responsibilities under the rules and regulations for Licensed Construction Supervisor in accordance with 780 CMR the Massachusetts State Building Code. I understand, the construction inspection procedures, specific inspections and documentation required by 780 CMR and the Town of Barnstable. Signature Date APPLICANT'S SIGNATURE Signature Date All permit applications are subject to a building official's approval prior to issuance. I 11/13/2018 Yahoo Mail;.RE:Larry Doughty House Garage . RE: Larry Doughty House Garage From: Lorri Finton (lorri_finton@bha.barnstable.ma.us) To: crostonconstruction@yahoo:com Cc: paula_lepore@bha.barnstable.ma.us Date: Tuesday, November 13, 2018, 11:30 AM EST Good morning, - Please accept this e-mail as confirmation of the Barnstable Housing Authority's approval to allow our sub-contractor, William Croston to apply for a building permit. Please do not hesitate to contact me directly at 508.771.7222 with any and all questions. Thank you, Lorri Finton Executive Director Bill, if this does not work, I will sign off on the permit if necessary. From: William Croston <crostonconstruction@yahoocom> Sent: Tuesday, November 13, 2018 7:02 AM To: Lorri Finton <lorri_finton@bha.barnstable.ma.us> Subject: Larry Doughty House Garage Good Morning Lorri, I am the subcontractor for Bob Mullen that will be installing the siding on'the garage.Can you send me a quick E , mail authorizing me to apply for the building permit. Thank You very much. Bill Croston Bill Croston Building Contractor 508-989-1464 Cell 800-924-1073 Office within Mass 508-771-3891 Office 1/2 ®� Commonwealth of Massachusetts Division of Professional Licensure Board Of Building Regulations and Standards Construe 16t '§bpervisor It` ,. .. CS-014112: Ekpires: 04/25/2020 WILLIAM W CROSTON J� ;, 66 SUOMI RD%= HYANNIS MA 026011, N�� S JC l. Commissioner / - Office of Consumer Affairs & Business Regulation Mass.Gov Page 1 of 2 Mass.gov Office of Consumer Affairs and rot o s i ness p F<egdafion OCABR HIC Registration Complaints Registration # 100023 Registrant WILLIAM W. CROSTON Name WILLIAM CROSTON Address 55 SUOMI RD City, State Zip , HYANNIS, MA 02601 - Expiration Date 06/07/2020 Complaints Details 'No complaints found for this registrant: You can also view.arbitration and Guaranty Fund history. Back To Search Site Policies Contact Us https://services.oca.state.ma.us/hic/liedeiails.aspx?txtSearchLN=100023 7/9/2018 \ u1e avvrnrnwtrveurrrr of iriu��uwett�err� Department of Industrial Accidents - Office of Investigations 600 Washington Street Boston,MA 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information. j� y� / Please Print Legibly Name(Business/Organization/Individual): 13 t'�l L_ /r/t N� Address: 10. !�e City/State/Zip: �'f�Z•^Cyr l�/i iU f,, Phone #: 6"Z � 7 7/ Are you an employer?Check the appropriate box: Type of project(required): 1.kfam a employer with 3 14. ❑ I am a general contractor and I employees(full and/or part-time).* have hired the sub-contractors 6. ❑New construction 2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7. remodeling ship and have no employees These sub-contractors have g, ❑ Demolition working for me in any capacity. employees and have workers' [No workers'.comp.insurance comp.insurance. $ 9. ❑ Building addition required.] 5. ❑ We are a corporation and its 10.❑ Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their 11.❑ Plumbing repairs or additions myself. [No workers' comp. right of exemption per MGL 12.❑ Roof repairs insurance required.]t c. 152,§1(4),and we have no 13.❑ Other employees. [No workers' comp.insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. $Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: �a �• He Policy#or Self-ins. Lic.#: lS-P&6'&/1J1`Z11�'/P19 Expiration Date: Job Site Address: �l!ks a al 4 S /' City/State/Zip: th/l 4e( i'l, Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment,as.well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify er the pains f perjury that the information provided above is true and correct. Si nature: Date: Phone#: Official use only. Do not write in this area,to be completed by city or town official City or Town: Permit/License# Issuing Authority(circle one): I.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other:. Contact Person: Phone#: z/Z Client#::13660 2CROSTONWI. ACORDTM CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDDIYYYY) 11/06/2018 THIS CERTIFICATE IS ISSUED AS A MATTER.OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS. CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.THIS CERTIFICATE OF INSURANCE DOES NOT:CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,:AND THE CERTIFICATE:HOLDER.. IMPORTANT:If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must be endorsed.If SUBROGATION IS WAIVED,subject to the terms and conditions,of the policy,certain policies may require an endorsement.A statement on this certificate does not;confer rights to the certificate holder in lieu of-such endorsement(s). PRODUCER NONTACT AME: Dowling&O'Neil Insurance Agy PH ON A No): 5087781218A/C Ext:5 775-1620 973 lyannough Road E-MAIL ADDRESS: P.O.BOx.1990 INSURER(S)AFFORDING COVERAGE NAIC p Hyannis,MA 0260.1 INSURER A:NGM Insurance Company 14788 INSURED INSURER B:As—lated:Employers Insurance Company- 11104 William W.Croston D/B/A INSURER C: William W.Croston Building Contractor INSURER D P.O.BOX 138 INSURER E: Osterville,MA 02655 INSURER F: ' COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN:ISSUED TO THE.INSURED:NAMED ABOVE FOR THE POLICY PERIOD INDICATED.. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITIOROF 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. LTR TYPE OF INSURANCE. NSRL WVD POLICY NUMBER MM/DDY EFF MM/DD� LIMITS A GENERAL LIABILITY MP039676.: 10/13/2018 10/13i2019 EACH OCCURRENCE $1 OOO 000 X COMMERCIAL GENERAL LIABILITY PREMISES EaEo"ccTurrence $500 000 CLAIMS-MADE..a OCCUR :MED EXP(Anyone person) $1 O 000 PERSONAL&ADV INJURY $1,000,000 GENERAL AGGREGATE $2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG .s2,000,000 LOC PRO- $ . X J POLICY. ECT X: AUTOMOBILE LIABILITY M9039676 10/13/20:18 10/13/201 COMB SINGLE LIMIT A Ea accident) 1,000,000 ANY AUTO A BODILY INJURY(Per person) $ ALL OWNED X SCHEDULED 'AUTOS AUTOS' BODILY INJURY(Per accident) $ NON-OWNED, PROPERTY DAMAGE $ X HIRED AUTOS X AUTOS Per accident $ I A X UMBRELLA LIAB- X I OCCUR CU039676 10/13/2018 10/13/201 :EACH OCCURRENCE s5,000,000 EXCESS LIAB CLAIMS-MADE AGGREGATE $5 000 000 DIED I X RETENTION$10000 $ B WORKERS COMPENSATION WCC50050193162018A 9/08/2018 09/08/201 X TO Y LIMIT OTH- AND EMPLOYERS'LIABILITY YIN. ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $1 000 OOO OFFICER/MEMBER EXCLUDED? � :N/A (Mandatory,in NH) E.L.DISEASE EA EMPLOYEE $1 OOO 000. If yes;describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $1'000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(Attach ACORD 101,Additional Remarks Schedule,If more space Is required) **Workers Comp Information** Proprietors/Partners/Executive Officers/Members Excluded: . William W.Croston,,Sole Proprietor Insurance coverage is limited to the terms,conditions,exclusions,other limitations and endorsements. Nothing contained in the certificate of insurance shall be deemed to have altered,waived,or extended the coverage provided by.the policy provisions. CERTIFICATE HOLDER CANCELLATION R Mullen and:Associates Inc. SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 190 Old Derby Street Suite 207 'ACCORDANCE WITH THE POLICY PROVISIONS: Hingham,MA 02043 AUTHORIZED,REPRESENTATIVE C. 01988-2010 ACORD CORPORATION.,All rights reserved. ACORD 25(2010105) 1 Of��Pat ;6@,d' ��dPaFf- 6c ! ssnR�Aeo4��. 8�OZ/9/�I #S2226811M222678 RPSW 1 F TOWN OF BARNSTABLE o�Tw�>o Permit No. .32,6f)2....... BUILDING DEPARTMENT 1 ■A"'r I TOWN OFFICE BUILDING Cash ................ HYANNIS.MASS.02601 Bond ..,11i/A.......... CERTIFICATE OF USE AND OCCUPANCY Issued to Barnstable Housing Authority Address 79 Pleasant Street .r Hyannis, MA USE GROUP R-4 FIRE GRADING 4-B OCCUPANCY LOAD 12 THIS PERMIT WILL NOT BE VALID. AND THE BUILDING SHALL NOT BE OCCUPIED UNTIL SIGNED BY THE BUILDING INSPECTOR UPON SATISFACTORY COMPLIANCE WITH TOWN REQUIREMENTS AND IN ACCORDANCE WITH SECTION 119.0 OF THE MASSACHUSETTS STATE BUILDING CODE. �I October 12 94 .. .. . ..... .... ............ ..... .. Building Inspector 1 oftHe Town of Barnstable Building Division , 200 Main Street `"R"�"B� Hyannis,MA 02601 BARNSTABI,E v 6 9. 1m�' (508) 862-4038 un.rs�w:e.cnitixr.,::c.cc;urc•rvu+�is �Ea � wkSiIXJ rxR 16:9-26E4tE F A E lgInspection Report ❑ Notice of Violation oe Business: Re/Z ! ou6LS�' Date of Inspection: Contact: Info: Address: 17B /L p E-. 4 a y7 �� y Info: T Phone: Info: Email: Info: During the annual occupancy inspection of your premises,performed in accordance with Section 110.7 of 780 CMR, Massachusetts State Building Code,as amended the following deficiencies and/or violation(s)w e noted: d,,n,t � rT Section(s): OQ Location: �ieo�7mlZ 0 Section(s): Location: 0 Section(s). Location: 0 Section(s): Location: 0 Section(s): Location: 0 Section(s): Location: 0 Section(s): Location: 0 Section(s): Location: 0 Section(s). Location: Action required to abate the above violation(s)you must: 0 None:no violations were observed at the time of inspection 0 Make corrections immediately and contact this office for a follow-up inspection Re-inspection fee of$ is required and a re-inspection to be requested by business within days. Make corrections prior to your next annual or semi-annual inspection. 0 Property/business owner or owners approved age contact inspector for consultation Official/Inspector: elephone: 508 862-4038 Received By: C'464✓ /� Date: 1'b/( Its Print Name: l h Section 102.6 existing structures-The owner as defined in 780 CMR 2,shall be responsible for compliance with provisions of 780 CMR 102.6 And,if aggrieved by this notice and order;to show cause as to why you should not be required abate the violation in this notice,you may file a Notice of Appeal(specifying the grounds thereoj)with the State Building Code Appeals Board within(45)days of the receipt of this order and in accordance with MGL c. 143§100. Certificate of Ins ctl �t List Section 105.1 Permit Required 0 Section 1.0 m Perm it Suspension sio or:l Revocation _ Section 105>7 Places e t € f'Permit on site) a Section 107.6 Construction uctio ::`o€sty°sal. a Section 11.0.3 Inspections Required 0 Section 110.7 Periodic Inspection (valid Certificate 0 Section, .1.1.:1.0 Certificate of Occupancy0 Section 111,53 Place of Assembly Posting of Occupancy % Section 1.14.1 Occupancy oi-Change € f'Use 0 Section 1,1-50 Stop Work Order Section 11.6 Unsafe Structure Section 9011-5 Testing of Alarins/Sprinkler System Section 90,1..9 Fi e Protection Signa e Section 0.12 Commercial Ansul System 0 Section 04.2.2 flood S,vstem Maindlen a nee a Section 1001.11 Maintenance o1":Exterior St rs/1 ire 0 Section'10013.2 ` Testing iceriffic te Exterior Sl i °sf. '1rc scale Section .1.004.3 Posting of Occul3aacy Limit Section 1005 Means of Egress Sizing tn Section 1.006 Number of Exits mid Access Doors Section 1.008 Means of Egress Illumination Section 1.010-1.9 Door Operation Section 10=1.0,1,9.1 '.Hardware (Locks and ketches) Section .01.0.1A1.0 Panic Hardware (A or E > 0) a Section 1.01.:1, Stai€ivays 0 Section 1.0 12 Ramps W Section 1,011.3 Exit Signs a Section 101.4 Handrails Section 1015, Guards Section 1030 Emergency Escape u TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel �� 1 A icationl#—`6--7 3 Health Division Date Issued f0'7� ^ll A0 Conservation Division Application Fee Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation / Hyannis Project Street Address 7k P1e Sq�+ S4- I-ARR I Dou�litl kkv-re 6=-e Village Owner 13'.9-2,VriA810 of�S �r�� i Address lq4 Yo,+ , Sf- Telephone Permit Request C G-e Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation ��� Construction Type Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family (# units) Age of Existing Structure Historic House: ❑Yes ❑ No On Old King's Highway: ❑Yes ❑ No Basement Type: ❑ Full ❑ Crawl ❑Walkout ❑ Other Basement Finished Area (sq.ft.) Basement Unfinished Area (sq.ft) Number of Baths: Full: existing new Half: existing C71new o Number of Bedrooms: existing _new C> Total Room Count (not including baths): existing new First Floor R 0 Count zr Heat Type and Fuel: ❑ Gas 0 Oil ❑ Electric ❑ Other Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing wood/c al stove,5U Yqt ❑ No r Detached garage: ❑ existing ❑ new size_Pool: ❑ existing ❑ new size _ Barn: ❑ existing ❑=new size_ Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes ❑ No If yes, site plan review# Current Use Proposed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name /Ce�— /� Telephone NumberSz,�.2,9-23r31- Address �-7 f3emfW Sfi- License # 0- S CMG F 1 G 0 -ki GeA&&A. 444 Home Improvement Contractor# Email eel Xkt? q7 //WC/a-St-..c,�-P-+ Worker's Compensation# 948°-S/%b,17:A-1 am ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BETAKEN TO/4/1 W4 ,W SIGNATUR DATE /G / - i FOR OFFICIAL USE ONLY APPLICATION# DATE,ISSUED MAP`/PARCEL NO. y `W ADDRESS VILLAGE OWNER i DATE OF INSPECTION: FOUNDATION ` FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL i GAS: ROUGH FINAL FINAL BUILDING, DATE=,CLOSED OUT ASSOCIATION PLAN NO. f ' The Commonwealth of Massuchuseth l tparhnent o,f ludustsgal-4ccideays Office artInvestigations 600 Washington,street Boston, VIA 02111 wwnt massgovfdia Workers'.Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Brent Legibly NamP3ttrga>uzatil}_ AAress: v 13el le u(H It City/State/ ig: � Wit/ O Phone# �'a�'gy -�7�0? Are you an employer?Check the appropriate box: . T of project r 4_ I am a. contractor and I }'lam p 1. I am a employer with� ❑ �'� 6_ ❑New construction employees{full andlorp -hme).* have hired the sub-contractors 2.❑ I am a sale proprietor or partner-- listed on the attached sheet. 7- ❑Remodeling strip and have no employees These sub-contractors home S- ❑Demolition wording for me in any capacity: employees and hair a workers' g- ❑Biding addition [No workers'comp.insurance comp.insurance l . required.] 5. ❑ We are a corporation and its 10.❑Electrical repairs or additions 3.❑ I am a homeowner doing all.work officers have exercised dicir I LE]Plumbing repairs or additions myself. o ' right of exemption per I1+GL [N workers �F- 12.❑Roof repairs . insurance required.]S c.152, §1(4X and we havens employees.[No workers' 13.�Dther�i�( comp.insurance required-] ;Any applicinit&at checks box#1 mast also fill out the section below showing der wodeta'compensation.pol-acy information. Hnmeowners who submit Ibis affidavit m&catiag they am doing all work and dum hire outside contactors must submit a new affidavit iudicatu g sauch- f Con=tars ihst check this boat mist attached an additional sheet showing the Haase of the sub-conuaUors aad mte whedw or nut those entities hwe employees. If the sub-coatn9ctors hwe eatployee%dLey must provide their warlken'comp.policy nurober. I am art employer that is providing workers'coat vrLsation insurance jbr my entpiojrem Below is the pocky andlob site informaltom Insurance Company Name: f PA Ue-l e kf .T lv4 Policy#or Self--ins.Lic.4. [,/,/t. —S I?SG��S.�-/�� Expiration Date: Z At Zze/ Job site Address: 29 nle',4--� S-(- City/State1 ip:MA—,-,S �. ,4 Attach a copy of the workers'compensation.policy declaration page(showing the policy number and respiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of r ru final penalties of a fire up to$1,500-00 and/or one-year imprisons as well as civil penalties in the form of a STOP WORK ORDER and a fare of up to S250-00 a day against the-violator. Be.ad;rised that a copy of this statement maybe forwarded to the Office of Investigations of the DIA for insurance coverage verifcation- I do hereby cerhf,},tinder the pains and penalties afperjuty that the information provided abmw is hue and correct Sianaitme- Tate: /016112-c/ Phone#: $-a Y 9"��2 9Ja 6 +D.fjivc�ai use aptly Do Mart write in this area,to be comptetert by city or town a, ciat City or Town: Permit/License Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector S.Plumbing Inspector 6.Other Contact Person: . Phone#: 6 If` ; g 10/22/2014 09:07 50977e9312 BARNSHOUSAUTHORITV PAGE 01/01 P. I'.a.. Barnstable • ' Telephone 508.771..7222 Housing ,Authority T �: 08-77 -53 3 TDD/TTY: 508-778-5333 146 South Street• Hyannis,MA 02601 14 October 2014 Please be advised that effective.March 1, 20141-was hired by the Board: of Commissioners as the Executive Director of the Barnstable Housing ,Auth.ority. Sandra Perry retired on February 28, 2014. The housing authority will be working on a number of property upgrades throughout the Town of Barnstable and, will ensure that all. contractors hired come in to your office to pull the proper permits before commencing any work. If there are an questions, or if I need to rovide an. further documentation Y � � p Y , please do not hesitate.to contact me directly at 508.771.7222 x 15. The current project is a roof and fascia replacement at 78 Pleasant Street, Hyannis. The contractor is Kel Kor. you for all.of your assistance. i inton f KELKO-1 OP ID:JC ACORN° DATE(MMMD YYYY► CERTIFICATE OF LIABILITY INSURANCE 09108/2014 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(Sb AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER IMPORTANT: N the certificate holder Is an ADDITIONAL INSURED,the policy(les)must be endorsed. H SUBROGATION IS WAIVED,subject to the to... 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 endorseme s PRODUCER Phone:50841911-M8 eaMEAcT Raymond E Gramlich Jr. Gramlich Insurance Agency,Inc 3263 Acushnst Avenue PH Fax: A 508-998-3008. Mal:508-9854282 Now Bedford,MA 02746 rgramlich@grAmlichinsurance.com e1SURER(S)AFFORDWG COVERAGE NAIC s INSURER A:Travelers 26615 INSURE Kelkor Inc ,NsuRma:Travelers Insurance 10804 57 Bellevue.Street n15 mm c:Commerce Insurance Company 347" New Bedford,MA 027" INSURER D: tMRER E: I INSURER F: COVERAGES CERTIFICATE NUMBER REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY 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. FA TYPE OF INSURANCE POLICY NUMBER PO l EFF POU EXP LIMTIS GENERAL.LIABUM EACH OCCURRENCE $ 1 r000s COMMERCLAL GENEM LIABILITY O463-1442 01119IM4 01/19/2015 PREMISES Ea oamu�w,� �_ $ 300.04 CLAIMS-MADE a OCCUR MED EXP(Any one prior) $ 5,00 X Business Owners PERSONAL BADVINJURY $ 1,000,004 GENERAL AGGREGATE $ 2,000,0 GEN'L AGGREGATE LIMIT APPLIES PER PRODUCTS-COMPIOPAGG $ 2,000,00( POLICY PRO- LAC $ MT F AUTOMOBILE LIABILITY COM13INED SINGLE UgffaCddWM $ 1,000, C ANY AUTO RXP804 03117=14 03/17/2015 BODILY INJURY(Per Person) $ X �OOSS .( AUTSCME�DULJ� BODILY INJURY(Peraock" $ NON-OWNED PROPERTY X HIRED ALTOS X AUTOSa DAMAGE $ $ UMBRELLA WIB OCCUR EACH OCCURRENCE' . $ EXCESS LLAB CLAIMSMApE AGGREGATE. $ DED RETENTION$ $ WORKERS COMPENSATION X WCSTATU AND EMPLOYERS'LIABILITY B ANY OF EOR�ER/EXEamvE Ya NIA HUB"B9M09 A-14 02121/2014 02/21/2015 EL EACH ACCIDENT $ 500, (Mandalay In NMI ELL DISEASE-EA EMPLOYEE $ 500,OM If yes,desobe under DESCRIPTION OF OPERATIONS below EL DISEASE-POLICY LIMIT S 5001 DESCR[13TION OF OPERATIONS I LOCATIONS I VEHICLES(Afffids ACORD 101.Additlmml Remarks Schedule,U more is required) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Town of Hyannis 7HE EXPIRATION DATE NOTICE VALL BE DELIVERED IN ACCORDANCE POLICY 367 Main Street Hyannis,MA 02601 AUTHOR® ITATIVE - 01988-2010 ACORD CORPORATION. All rights reserved. ACORD 25(2010105) The ACORD name and logo are registered marks of ACORD Massachusetts -Department of Public Safety Board of Building Regulations and Standards Construction Supervisor - License: CS-068960 WH LLAM F DUG,t1N 46 Slocum St Acushnet MA 02'f43 '"I Expiration z Commissioner 11/18/2014. _. .. Mass. Corporations, external master page Page 1 of 2 r.x William Francis Galvin 3 Secretary of the Commonwealth of Massachusetts F. 'G �N a Corporations Division Business Entity Summary ID Number: 043466442 Request certificate New search Summary for: KEL KOR INC. The exact name of the Domestic Profit Corporation: KEL KOR INC. Entity type: Domestic Profit Corporation Identification Number: 043466442 Old ID Number: 000658627 Date of Organization in Massachusetts: 05-06-1999 r Last date certain: Current Fiscal Month/Day: 12/31 Previous Fiscal Month/Day: 00/00 The location of the Principal Office: Address: 345 UNION STREET City or town, State, Zip code, NEW BEDFORD, MA 02740 • USA Country: The name and address of the Registered Agent: Name: MANUEL C MARTIN Address: 57 BELLEVUE ST City or town, State,,Zip code, NEW BEDFORD, MA 62744 USA Country: The Officers and Directors of the Corporation: Title Individual Name Address PRESIDENT KELLIE MARTIN 345 UNION ST., NEW BEDFORD, MA 02740 USA SECRETARY KELLIE MARTIN 345 UNION ST., NEW BEDFORD, MA 02740 USA TREASURER.. MANUEL C MARTIN 57 BELLEVUE ST NEW BEDFORD, MA 02744 USA DIRECTOR MANUEL C MARTIN , 57 BELLEVUE ST NEW BEDFORD, MA 02740 USA DIRECTOR . KELLIE MARTIN 345 UNION ST NEW BEDFORD, MA 02740 USA Business entity stock is publicly traded: r http://corp.sec.state.ma.us/CorpWeb/CorpSearch/CorpSummary.aspx?FEIN=043466442... 10/17/2014 Mass. Corporations, external master page Page 2 of 2 The total number of shares and the par value, if any, of each class of stock which this business entity is authorized to issue: Total Authorized Total issued and Class of Stock Par value per share outstanding No. of shares Total par No. of shares value r ED Confidential IJ Merger CI3 Consent Data Allowed Manufacturing' View filings for this business entity: ALL FILINGS Administrative Dissolution Annual Report 4z Application For Revival w Articles of Amendment _I__ View filings Comments or notes associated with this business entity: ................. -_. ....__ {" New search 4 http://corp.sec.state.ma.us/CorpWeb/CorpSearch/CorpSummary.aspx?FEIN=043466442..: . 10/17/2014 t.17 14 03:42p KEL KOR INC Kel Kor Inc. 57 Bellevue Street New Bedford MA02744-1902 TeL 50&992 9826 Fax 508 999.5508 Website www kelkorcom E-mail kelkor(alcomcastnet 9{ELKOR 10/17/14 Hyannis Bldg.Department 200 Main Street Hyannis,MA 02601 Attn:Jen Dear Miss Jen, . Please.be advised that Mr.WiDiam Dugan is authorized to apply for building permits in our corporate name. Thank you, • Mc Martin,III Prey - TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION _ Map Parcel ✓ Application # Health Division Date Issued 10-7,g Conservation Division Application Fee Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation/ Hyannis Project Street Address :ZS- eleq,!S; lv LA R��c�9�f 9 IJi✓(e Village Owner `�3P4RAJ1 -e S' l c,17. Address 1`16 Sd-+Lx S-f- Telephone Permit Request Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation_3m,o0v Construction Type Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family (# units) Age of Existing Structure Historic House: 0 Yes ❑ No On Old King's Highway: ❑Yes ❑ No Basement Type: ❑ Full ❑ Crawl ❑ Walkout ❑ Other Basement Finished Area (sq.ft.) Basement Unfinished Area (sq.ft) Number of Baths: Full: existing new Half: existing new Number of Bedrooms: existing _new Total Room Count (not including baths): existing new First Floor Rood ount co Heat Type and Fuel: ❑ Gas ❑ Oil ❑ Electric ❑ Other Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing wood/co I stove: :J YevV No Detached garage: ❑ existing ❑ new size_Pool: ❑ existing ❑ new size _ Barn: ❑ exi ing ❑ qew Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes ❑ No If yes, site plan review# Current Use Proposed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name /�'2/ )&R IV L Telephone Number .44-7P M69C /5a&,?F?3S3s"&1( Address 3VIPMe ft- License # C G 6 d Hm � ` i_ Home Improvement Contractor# Email Xe1/6,if C-4S f-, A,,-e Worker's Compensation # Lla /74'-8-!5-L8!�10109A-L( ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO %1( 44J4 A SIGNATUR ��_� — DATE /O �S Zoe FOR OFFICIAL USE ONLY APPLICATION# DATEISSUED MAP,--/PARCEL NO. ADDRESS VILLAGE OWNER DATE OF INSPECTION: FOUNDATION FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL A. FINAL BUILDING DATE..CLOSED OUT ASSOCIATION PLAN NO. The Communlveakh of Massachusetttr Lhg[iThnent of Indusft al Acciden& Offwe of Investigations 600 Washington Stmet Bostan,MA 02111 Y wnt mass govIdia Workers'.Compensation Insurance Affidavit. B�Edlders/Contractars/EIectricians(Plumbers Applicant Information 'l Please Print Le- by Name musinesst t onllatiividnal}_ e Address: to VW - City/Sta&Ztp A4A Phone'#: SY 2 G 'Flemajployees u an empltyer?G7ierkthe appropriate biro: . T of project r 4. I am.a general contractor and I Type p ] (required): a employer with ❑ 6. ❑New construction (full andfor part-time).* have hired the sub-contractors 2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7. ❑Remodeling ship and have no employees. These sub-contractors have g- ❑Demolition working for me in any capacity_ employees and have workers' 9. ❑Building addition. [No workm'mmp.insurance comp-insurance-1 required-] 5. ❑ We are a corporation and its 1U.❑Electrical repairs or additum 3.❑ I am a homeowner doing all.work officers have exercised their ILE]Plumbing repairs or additions myself. [No workers'comp- right of exemption per MGL 12.❑Roof repairs iummi ce required.]1 c.152, §1(4�and we have no employees.[No workers' 13.❑Other�e- comp-insurance required.]. *tiny applic=that dheda box#1 mast also fill out the section below showing their workers'cadipensatiau.polky inlotrnaGic— I Homeowners who submit this affidavit mutating they•axe doing all work and then hire outside convacturs mast submit a new affidavit indicatiq;such. IC'outtactors that check this boa.most attached an.additional sheet shooing the name of the sub-centractws and state whether or not those entities have employees. If the sub-amu Fors have employees,they aasstprovide their workers'comp.policy number. I am art employer that isprmidhW workers'compensation insurance for my engAi7j ees. Below is the policy imd job site information. Insurance Company Name:-.(ZA, Policy#or Self ins.Lic.#: C H,1 45-8 %y/u 7 i9-1�4 Expiration Date: Job Site Address: City/Statet2+ip:. Attach a copy of the workers'compensation.policy declaration page(shoving the policy number and expiration elate). 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 andfor one-year impsison neat,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the-violator. Be.advised that a copy of this statement may be forwarded to the Office of Investigations of-the DIA for insurance coverage verification. Ida hereby U r 7inder the pains andpenalfiks ofpedwy that the information provided above is true and correct f . Signature- Date: / Phone#: Ofjz+W use only. Do not avritir in this area,to be completed by city or torn official. city or Town.: PermitUcense# ' Isining Authuriiy(circle one); 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector S.Plumbing Inspector 6.Other Contact Person: Phone#: 6 Massachusetts - Department of Public Safety Board of Building Regulations and Standards Construction Supervisor y License: CS-068960 WILLIAMFDUG,AN 46 Slocum St Ac - us lmet MA ..02$43 .�,.� Expiration Commissioner 11/18/2014 10/22/2014 09:07 5087789312 EARNSHOUSAUTHORITY PAGE 01/01 f 0arnstable Teltpbone 508.771..7222 UWMARM - FAX: 508.7783312 ,b,Q usi Aut6ority TDD/TTY: 509-779-5333 146 south street- kf annis, MA.02601 14 October 2014 Please be advised that effective March 1, 2014 I was hired by the Board of Commissioners as the Executive Director of the Bamstable Housing Authonity. Sandra Perry retired.on February 28, 2014. The housing authority will be working on a number of property upgrades throughout the Town of Barnstable and, will ensure that all. contractors hired. come in to your office to pull the proper,permits before commencing any work. If there are any questions, or if I need to provide any father documentation, please do not hesitate toxcontact me directly at 508.771.7222 x15. The current project is a roof and fascia;replAcement at 78 Pleasant Street, Hyannis. The contractor is Kel JKor. you for all of your assistance. 1inton KELKO-1 OP ID:JC ACORU" DATE(MM/DD/YYYY) CERTIFICATE OF LIABILITY INSURANCE 09/08/2014 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsemen s. ONTACT Phone:608-998-3008 N PRODUCER CAME: Raymond E Gramlich Jr. Gramlich Insurance Agency,Inc Fax: PONE 508-998-3008 ac Ne:508-995-6292 3263 Acushnet Avenue Ar New Bedford,MA 02745 ADDRESS:rgramlich@ gramlichinsurance.com INSURER(S)AFFORDING COVERAGE NAIC# INSURER A:Travelers 25616 INSURED Kelkor Inc INSURERB:TravelersInsurance 10804 57 Bellevue Street New Bedford,MA 02744 INSURER c:Commerce Insurance Company 34754 INSURER D: INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY 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. LTRR TYPE OF INSURANCE POLICY NUMBER MMMD EFF MMMIDDY EXP LIMITS GENERAL LIABILITY _ EACH OCCURRENCE $ 1,000,00 A COMMERCIAL GENERAL LIABILITY 680-622HO463-14-42 01/19/2014 01/19/2016 PREMISES Ea occurrence $ 300,00 CLAIMS-MADE I-XI OCCUR MED EXP(Any one person) $ 5,00 X Business Owners PERSONAL&ADV INJURY $ 1,000,00 GENERAL AGGREGATE $ 2,000,00 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ 2,000,00 POLICY PRO- LOC $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT 1,000,000 Ea..dent $ _ C ANY AUTO RXP904 03/17/2014 03/17/2015 BODILY INJURY(Per person) $ ALL OWNED SCHEDULED .X AUTOS X AUTOS BODILY INJURY(Per accident) $ X HIRED AUTOS X NON-OWNED PROPERTY tDAMAGE $ AUTOS Per acciden UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED I I RETENTION$ $ WORKERS COMPENSATION X WC STATU- OTH- AND EMPLOYERS'LIABILITY OR LI ER B ANY PROPRIETOR/PARTNER/EXECUTIVEY/N 6HUB-5B90109-A-14 02/21/2014 02/21/2016 E.L EACH ACCIDENT $ 600,00 OFFICER/MEMBER EXCLUDED? N/A (Mandatory in NMI E.L DISEASE-EA EMPLOYE $ 500,00 If yes,describe under DESCRIPTION OF OPERATIONS below E.L DISEASE-POLICY LIMIT $ 500,00 DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES(Attach ACORD 101,Additional.Remarks Schedule,If more space is required) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Town of Hyannis THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN y ACCORDANCE WITH THE POLICY PROVISIONS. 367 Main Street Hyannis,MA 02601 AUTHORIZED REPRESENTATIVE ' ©1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25(2016105) The ACORD name and logo are registered marks of ACORD A 17 14 03:42p - KEL KOR INC 508-999-5508 p.1 Kel Ko r Inc. - 57 Bellevue Street `New Bedford MA 02744-1902 Tel.50&992.9826 Fax 508.9".5508 Website www.kelkorcom E-mail kelkornaxomcast.net KELKOR n s LO/17/14 Hyannis Bldg.Department 200 Main Street Hyannis,MA 02601 - Attn:Jen Dear Miss Jen, Please be advised that Mr.William Dugan is authorized to apply for building permits in our corporate. name. Thank you, r & oil MC. Martin,III ` Pres. - - Town of Barnstable AF THE Regulatory Services Thomas F. Geiler,Director RAMSTAB 9�A MASS.9 � Building Division �Fcy Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601Pf www,town.barnstable.m a.us Office: 508-862-4038 Fax: 508-790-623( PERMIT# FEE: $ SHED REGISTRATION 120 square feet or less Location of shed(address) Village gouv;2ir 4tc//4- -5Z.P 2,7 3 3 02 C Property owner's name Telephone number Size of Shed Map/Parcel# . Signature Date Hyannis Main Street Waterfront Historic District? OId King's Highway Historic District Commission jurisdiction? Conservation Commission(signature is required) /0 Sign off hours for Conservation 8:00-9:30&3:30-4:30 PLEASE NOTE: IF YOU ARE WITHIN THE JURISDICTION OF ANY OF THE ABOVE COMMISSIONS,THERE MAY BE A REVIEW PROCESS AND APPLICATION FEE. PLEASE SEE THE APPROPRIATE COMMISSION FOR DETAILS. THIS FORM. MUST BE ACCOMPANIED BY A PLOT PLAN Q-forms-shedreg REV:042506 THE FOLLOWING IS/ARE THE BEST IMAGES FROM POOR QUALITY ORIGINALS) I M ^C&L DATA J� HOUSING ASSISTANCE CORPORATION 460 W. Main Street, Hyannis 771-5400 PROPERTIES 328 Sea Street, Hyannis Allison Cook, Director Capacity 5 families. Common areas, kitchen, living room. Separate bedrooms for the families. For families who are homeless and in recovery from substance abuse. Funding from Dept. of Public Health and Transitional Assistance. They are at 328 Sea Street until June 1. They will then move to 309 South Street. COI ? note to RC 2/20 —e-LA, j �- 77 Winter Street, Hyannis 0 Noah Shelter Tivia Davis, Director q 416 x 237 50 bed shelter. RC, request COI, RI Dormitory use group. Letter sent 2/20/97. (79 Winter-went before zoning to connect to 77 Winter Street.) 87 Winter Street, Hyannis Chase House Tivia Davis, Director x 237 6 bedrooms, kitchen, 3 common areas. Single room occupancy. No children. No cohabitation. Homeless people. Transitional housing usually from Noah Shelter. It is HUD funded. Section 8 leases through the Barnstable Housing Authority. BHA inspects every year. People are there for a maximum of 2 years. 2/19/97 -RC -no need for COI G .7 Summerside, Hyannis 3/d 6 Safe Harbor Shelter Arlene Tuskana, Director 90 -2 0 7I 790-2933 Housing Assistance Corp. owns property. Now rent it to Community Action. Safe Harbor Shelter for battered women. 20 units. Old motel. Most units can accommodate a mom and infant. Average 20 moms, 25 children. 3 buildings. One building has kitchen, 2 dining rooms. One has staff offices. RC - request fee, use group Rl, R2. Letter sent 2/20/97 .78 Pleasant Street, Hyannis' ,aa `, i 3 Kit Anderson House see DMH memo They do not own or lease any other multi-families or shelters at this time. They have other properties but they are single family residences. The Town of Barnstable XAM1�' Department of Health, Safety and Environmental Services Building Division 367 Main Street,Hyannis MA 02601 Office: 508-790-6227 Ralph Crossen Fax: 508-790-6230 Building Commissioner March 27, 1997 c Ms.Lee Canto Kelsey Commonwealth of Massachusetts Department of Mental Health 259 North Street Hyannis,MA 02601 Dear Ms.Kelsey: Pursuant to Emergency Amendments to the Fifth Edition of the State Building Code)/Sections 631,636 and 638 dated December 24, 1996(copy attached),the following properties do not require any inspections from our office until further notice. Properties: 1493 Newton Road,Hyannis 357 Main Street,Hyannis 201 Hinckley Road,Hyannis 209 Main Street,Hyannis 148 Sea Street,Hyannis 32 Sea Street,Hyannis 69 South Main Street,Hyannis 800 Bearses Way,Hyannis 225 Main Street,Hyannis 182 Main Street,Hyannis 59 School Street,Hyannis 148 Cedar Street,Hyannis 120 High School Road,Hyannis 59 School Street,Hyannis 15 Sterling Road 270 North Street,Hyannis 270 North Street,Hyannis 209 Old Yarmouth Road 209 Main Street,Hyannis Founder Court Apt. 720 Main Street,Hyannis 241 Village Market,Hyannis On the other hand,it appears that the following properties are group residences or limited group residences and must be inspected as required by the Mass.Building Code. Would you please make arrangements to complete and return the enclosed applications along with the required fee of$15 for each group residence. Upon receipt we will send a building inspector to make the inspections. 336 Sea Street,Hyannis -Angel Road Residence(Group Residence) 47 Cedar Street,Hyannis-Sea Winds(Limited Group Residence) 78 Pleasant-Street;Hyannis-Kit Anderson House(Limited Group Residence) 50 Bent Tree Road, Centerville-Oceanside(Limited Group Residence) Sincerely, i Ralph M. Crossen Building Commissioner Enclosure Assessor's office (1st floor): 1+ -Assessor's map and lot number ...... o��_ " _ FtNfro�♦ . .................................. Board of Health (3rd floor): // ',e,�' Sewage Permit number" .:..... 1awnn—S&*A-...... L BaaasTsntE; S Engineering Department (3rd floor): y 3o- 0� Housenumber ................................................................... ... ,r rav a` Definitive Plan Approved by Planning Board __:___'______ ` -__19__.______ . s APPLICATIONS PROCESSED 8:30-9:30 A.M. and. 1:00-2:00 P.M._'only TOWN OF B•ARNSTABLE BUILDING , INSPECTOR APPLICATION' FOR PERMIT TO ...SUBSTANTIALLY„REHABILITATE A RESIDENTIAL BUILDING — 689-4" .......... TYPE OF CONSTRUCTION ............4-B......................................:.........:........................................... ......................... February 24 89 ................... " a " TO. THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for• a permit according to the following information: 78 Plea Location ....................S. i1t...StX�.4'ta.. S'aT1t}1&a..MA.....BO.Ok..32T.,..Lat...1.36........:.......................... Proposed Use ..R-.A.1imi.ted..Group...Resideac.e.. .............1 ... .. ... Zoning District ....... ... ......... .................... .......Fire District ....Hyann>,s.................................... ;..... Name"of Owner .B.axw: t.able...Housing..Author.i.ty.......Address 146:".S.auth..Stre-e't,:.Hyannis,..MA................... -74/V/,70V 69 VM/-d9Z1lA6 CD //C Name of Builder (Tq �.... :....Address ..............� .. •! �. QA-,e�ll�J�'S/ /��. Name''of Architect $.r.oWa.'.&..Taindqui t`....... ..:.:... ........Address .9.26..Main...Streat, Yatmo�uthpor.t,..MA::.:...:.. Number of Rooms ....2!i.... ........ ........Foundation .....P.aurPd..Concret,e........................................... Exlerior .:....Vinyl...Clad.:......................................................Roofing, ...F.ibe.r.glass/.Asphalt...Shingles:....................... Floors Fu11•..Fouu'datiOzl/Vinyl,...Carpet..or...Til.e..lnterior' 5/8.'.`...Gyps.umboard..Dxywall::.:..:.:...................... : Heating'Gas'=.:F.o.iced'.Hot...[Fiatex.....:...............................Plumbing. .PVC..Drains:.&..Copper...Sappi e :.::.:........'.:..._ Fireplace .......To..remaiia.:. n...aellar..................................Approximate Cost ;.$400,000 4,400 sq. ft. Area Diagram of Lot and Building, with Dimensions" Fee- ..,•N/A..•..••.... See attached. plans and specifications OCCUPANCY PERMITS REQUIRED FOR NEW'DWELLINGS I.hereby agree to conform to all the Rules and Regulations of t n B' ardirig the above construction. % z Name ... ........ . .. ... ... .. .. /. C. Michael Toner, Executive Director Construction Supervisor's License ..NIA........................... BARNSTABLE HOUSING: AUTHORITY k ��cf c. No ..3.26.62 Permit for .:REHABILITATE„ t ' . ` ,,,.,,•Multi Tamil Buildin location Z$...P. e0aak t...S1reet.... .......... fr, _... ......... .. r Barnstable Housing Authority, # ` Owner ...........g. ..... i Type of Construction ,..Frame .... .... .... Plot .......................... lot ......... Permit Granted" 89 ..Date of'Inspectiori "............... ... ........19 - Date Completed ....1-9 Cwf µ � A TOWN OF BARNSTABLE Permit No. ..3:2.66.2....... BUILDING DEPARTMENT I ""� } TOWN OFFICE BUILDING Cash '7 i6j' . HYANNIS.MASS.02601 Bond VA........... CERTIFICATE OF USE AND OCCUPANCY Issued to Barnstable Housing Authority Address 78 Pleasant StrAP_Y i Hyannis, MA USE GROUP R_4 FIRE GRADING 4_B OCCUPANCY LOAD 12 THIS PERMIT WILL NOT BE VALID, .AND THE BUILDING SHALL NOT BE OCCUPIED UNTIL SIGNED BY THE. BUILDING INSPECTOR UPON SATISFACTORY COMPLIANCE WITH TOWN REQUIREMENTS AND IN ACCORDANCE WITH SECTION 119.0 OF THE MASSACHUSETTS STATE BUILDING CODE. i 2' October 12 94 �� Building Inspector ; ` . ... r+.. .w. n r,n • . -...... .. - _ - ...- _ ''�.'1•-,e r.M" R�r ih. +. .-+aeC, ... _.--ri ...• _ ,*_r TOWN OF BARNSTABLE Permit No.32662........ BUILDING DEPARTMENT 4 ""'� I TOWN OFFICE BUILDING Cash 7 Y• 619 .659. HYANNIS•MASS.02601 Bond IRIA........... CERTIFICATE OF USE AND OCCUPANCY Issued to Barns ble Housing Authority Address 78 Pleasan Street Hyannis, MA USE GROUP 1-2 FIRE ADING 4'B OCCUPANCY LOAD 12 THIS PERMIT WILL NOT BE VALID, AN THE BUILDING SHALL NOT BE OCCUPIED UNTIL SIGNED BY THE BUILDING INSPECTOR ON SATISFACTORY COMPLIANCE WITH TOWN REQUIREMENTS AND IN ACCORDANCE WITH ECTION 119.0 OF THE MASSACHUSETTS STATE BUILDING CODE. October 12 ... 19 94 .. . wilding Inspector Twr TOWN OF BARNSTABLE 32662 � Permit No. ......:......... BUILDING DEPARTMENT t 'aa." I TOWN OFFICE BUILDING Cash :::::...:::::::: ■Ma f �'�on►Y`' HYANNIS.MASS.02601 Bond NA CERTIFICATE OF USE AND OCCUPANCY Issued to Barnstable Housing Authority Address 78 Pleasant Street Hyannis, Mass. USE GROUP FIRE GRADING OCCUPANCY LOAD THIS PERMIPT WILL NOT BE VALID, .AND THE BUILDING SHALL NOT BE OCCUPIED UNTIL SIGNED BY THE BUILDING INSPECTOR UPON SATISFACTORY COMPLIANCE.WITH TOWN- REQUIREMENTS AND IN ACCORDANCE WITH SECTION 119.0 OF THE MASSACHUSETTS STATE BUILDING CODE. I October 13, 19.94........... -�.. -C.. .... ... .. .. ... ...... .... ......... ........ Building'Inspector O�1M[>0 TOWN OF BARNSTABLE 32662 Permit No. . BUILDING DEPARTMENT TOWN OFFICE BUILDING Cash 7 /YL / peso• �tc/►r HYANNIS.MASS.02601 Bond N A T E M P O R A R Y CERTIFICATE OF USE AND OCCUPANCY Issued to BARNSTABLE HOUSING AUTHORITY Address 78 Pleasant Street Hyannis USE GROUP FIRE GRADING OCCUPANCY LOAD THIS PERMIT WILL NOT BE VALID, AND THE BUILDING SHALL NOT BE OCCUPIED UNTIL SIGNED BY THE BUILDING INSPECTOR UPON SATISFACTORY COMPLIANCE WITH TOWN REQUIREMENTS AND.IN ACCORDANCE WITH SECTION 119.0 OF THE MASSACHUSETTS STATE BUILDING CODE. August 15 90 .... 19................. . ........ ... Building Inspector INC _ TOWN OF BARNSTABLE .permit No. 32662 BUILDING DEPARTMENT I -- TOWN OFFICE BUILDING Cash Yl i ' i6,o• NIA ��auv HYANNIS.MASS.02601 Bond T E M P O R A R Y CERTIFICATE OF USE AND OCCUPANCY Issued to BARNSTABLE HOUSING AUTHORITY. Address 78 Pleasant Street Hyannis - i x i . USE GROUP FIRE GRADING OCCUPANCY LOAD 3:= THIS PERMIT WILL NOT BE VALID, AND THE BUILDING SHALL NOT BE OCCUPIED UNTIL `. SIGNED BY THE BUILDING INSPECTOR UPON SATISFACTORY COMPLIANCE WITH TOWN REQUIREMENTS AND.IN ACCORDANCE WITH SECTION 119.0 OF THE MASSACHUSETTS STATE BUILDING CODE. ...August 15. .. 90 //� Building Inspector b, .. � N. .' 'v r;, n •'1r,-�t''' <;.-# 7 tr��''�M'r�srti»�K'�, TOWN OF BARNSTABLE 32662 .Permit No. . • BUILDING DEPARTMENT 1 " am I TOWN OFFICE BUILDING Cash 9• NIA ''icr.r► HYANNIS,MASS.02601 t Bond T E M P O R A R Y CERTIFICATE OF USE AND OCCUPANCY Issued to BARNSTABLE HOUSING AUTHORITY Address 78 Pleasant Street , Hyannis USE GROUP FIRE GRADING OCCUPANCY LOAD THIS PERMIT WILL NOT BE VALID, AND THE BUILDING SHALL NOT BE OCCUPIED UNTIL , SIGNED BY THE BUILDING INSPECTOR UPON SATISFACTORY COMPLIANCE WITH TOWN, REQUIREMENTS AND.IN ACCORDANCE WITH SECTION 119.0 OF THE MASSACHUSETTS STATE BUILDING CODE, t f t August 15 90,. 19. .... .. ......... Building Inspector } T E M P O R A R Y 7 TOWN OF BARNSTABLE 32662 .Permit No. .. ........ BUILDING DEPARTMENT TOWN OFFICE BUILDING Cash ,.............. N/A ��a■►y' HYANNIS.MASS.02501 Bond CERTIFICATE OF USE AND OCCUPANCY Issued to Barnstable Housing Authority Address 78 Pleasant Street Hyannis, Massachusetts USE GROUP FIRE GRADING OCCUPANCY LOAD THIS PERMIT WILL NOT BE VALID, AND THE BUILDING SHALL NOT BE OCCUPIED 'UNTIL SIGNED BY THE BUILDING INSPECTOR UPON SATISFACTORY COMPLIANCE WITH TOWN REQUIREMENTS AND.IN ACCORDANCE WITH SECTION 119.0 OF THE MASSACHUSETTS STATE BUILDING CODE. April 12, 90 19................. ..... Building Inspector s THM�. ,,ORARY i. TOWN ORMARNSTABLE � �. 32 2 ;Permit No. . . _f BUILDING DEPARTMENT ,n TOWN OFFICE BUILDING Eash crrn HYANNIS,MASS,02601 "�gp d, j ................. CERTIFICATE OF UREVAND OCCUPANCY l;/ � f rr Issued to Barnstable FiousingAuthority � Address 7$ Pleasant Street Hyannis, Massachusetts, USE GROUP FIRE GRADING OCCUPANCY LOAD THIS QERMIT WILL NOT BE VALID, ANQ-TH,E BUI.LbINGtSHALL NOT._BS �,OCGUPIED U-N;TIL, � f SIGIVE:1�;•�BY THE •BUILDIN.GNSPECTORUPON SATS1 ACTORY COMPLIANCE WITH TOWN REQUIREMENTS AND,IN ACCORDANCE WITH SECTION 119.0 OF THE MASSACHUSETTS STATE BUILDING CODE. April 121, 90 9 0 ............................ 19................. { �" Building Inspector f ' sessor's map and lot number ..:.......: ' .. // �OfTHE T01� Q . Sewage Permit number ........................................................ G� Z BAMSTAXLE, i House number � %? . 9 M^ea Op M AS& 0� 0 MIR a\ TOWN OF BARNSTABLE BUILDING INSPECTOR APPLICATIONFOR PERMIT TO .............................. ...::...s�...................' ............................................................. TYPE OF CONSTRUCTION ......... ................. ! 04. ..- .................................... .............................. ...............19. ..C'i TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: , Location .........�.f.........../~ ',! .. 1.. ............ �... ......... .........!...'. I .f................................. r' Proposed Use ......... ..........f� ..J. �...... w ...... ....c..`..... .. .. ......!. ... .. .... 2 Zoning District ...... -.... .................................... ..... ..fire District ....... ... ..�..r................................ .. . Name of Owner ...........................................:..........................Address ..7. �/ " 141,�1 AJA)r S ................ .. Name of Builder ...s....�.,..............�......... ....:�.._..�........ ..Address 0a ,A 4 rf zm D rr� - .Name of Architect �/ .t... J:...pmoz,4/�.O.O..Address .....................A�. Number of Rooms :.........�� a.............................................Foundation ........; ,..�� :.��.........................�.................... ... ...... Exterior .... t!.. .� .�.'�..t C}!a "C,;�! �.�/ �!7..�...........Roofing � K�l�.t�.�...%- .,., ................... / /L_ f-� r. - Floors !1 Q '. .....................Interior ��• r„`f';Y�_; Heating r .Jq:..�`:::................................................Plumbing }-� f //L G�lU I ................................................ 0-0 Fireplace ........... ......................................................Approximate Cost ...........i.;).•......�5...(.0:............................. Definitive Plan Approved by Planning Board -------------------_-----------19________. Area ... ............ Diagram of Lot and Building with Dimensions Fee SUBJECT TO APPROVAL OF BOARD OF HEALTH I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. k ' 11 Name ...... ......................� ............:�L�� r r V Cape Cod Mental Health Assoc. 4 A=327-136 21. 35' remodel first No ....... ......... Permit for .................................... floor ............................................................................... Location 78 Pleasant ...................................................Street............. Hyannis . ............................................................................... Owner Cape. ... ... Cod Mental. . . ..Health. . ...Assoc. .. ......... . ...... ...... . . .. .. . ........ ........ . . Type of Construction .........frame ................................. ............................................................................... Plot ........................ Lot ................................ Permit Granted ......October 15 19 79 ..................... Date of Inspection 19 Date Completed ......................................19 PERMIT FUSED .............................. 19 ............................................................................... Approved ................................................ 19 ............................................................................... ............................................................................... t � /Acsessor's map and lot number ... ...�:�...����..f1.i�� —41 SEPRC SYSTEMe 3 lewage Permit number .... . . a aft wo House number ........7. ...................................................... EWR�NAAE�TIY.TIOWN REGUL TOWN OF BARNSTABLE i BUILDING ."14NSPECTOR APPLICATION FOR PERMIT TO ....... ..,1U1 .. ..........F ........................................................ TYPE OF CONSTRUCTION ......... e �-- .................. 1' -............................................................ u 1.0........... �7...............I TO THE INSPECTOR OF BUILDINGS: The undersigned hereby appliles for a permit according to the following information: ` Location ......... .1 ......... 5-. .! /f............5 .�............ .. ,J.................................. Proposed Use ..........J.fcr...(e�.........y ......�.......�.F:.e........r..�.. ..�..1-...... Zoning District .....1Q t Fire District ........y:. ...� _�............................. C , M6�'MLt{6AL7F/ ASSUC.iKl1t01 - — Name of Owner ................................ ................. ...Address ... .. ...... �� �✓ �� . 1.7 ......5 / �,�kww 6UName of Builder �1..�.. .�J./�:(. .. .Addres �' .. .... s, Name of Architect R. 0.. ... .4-Re,W0.�0-Address .....................�: . l Number of Rooms :......... ..d.............................................Foundation ........ O.4'.:,.1�........................., .......:........... Exterior ... L.uM.l il.V:d'�......... ............Roofing ......:.. :S .�'✓.IM.t l.......�..? �� � Floors r : .I&/.a ....f......C.A.-.1p ................:.....Interior .......P �,::,� f...:�........................................... Heating "7.:..V..1! ..Plumbing � qST % z: �a•............................................... ........ .. ........................................... ....:.r! © Fireplace ........... �� .................................... Approximate Cost .... %....,..............a.............................. Definitive Plan Approved by Planning Board -----------—_________________19________. Area .. with Dimensions '�� Diagram of Lot and Building w Fee SUBJECT TO APPROVAL OF BOARD OF HEALTH I hereby agree to conform to all the Rules and Regulations of the Town of Barnsto le regarding the above construction. Name ,. . .....F:...... .� .................. .. � \ Cape Cod Mental Health ASSOC. ' . . �. No 2l7.a5.....'Permit for ......�����a� firot---- � ` ........................................................... ` Location ........ ....................... ....................... ................... Aamoo Owner --..ca�e..QD�.�k��t��..t���.��--- " � Construction ----..��A�9..�----. ..- � ~ . ` -----.----.------.----------. Plot ............................ Lot ................................ 15 ?g ......... . ."R. PiRMIT REFUSED . / ~ ......................................................... ---=' ........................................... ^ ' lQ ~ .�� —«�,��—.-��------..------.-----.. t -' -, ---------------------.---.—' � | ' ' F BARNS NUZ The 'Town of Barnstable "'"9 1639. Department of Health Safety and Environmental Services �� �fp Building Division 367 Main Street,Hyannis MA 02601 Office: 508-790-6227 Ralph Crossen Fax: 508-775-3344 Building Commissioner DATE: November 23, 1994 TO: Kim FROM: Kathy Maloney RE: Certificate of Use and Occupancy Kim- Yesterday, we sent you an updated Certificate of Use and Occupancy for 78 Pleasant Street, Hyannis. The Use Group on that certificate was incorrectly listed as I-2. The correct use Group is R-4. A corrected certificate is attached. Thanks for your patience Kathy i F • e Town of Barnstable BAP MABM NIOR 059. Department of Health Safety and Environmental Services Building Division 367 Main Street,Hyannis MA 02601 Office: 508-790-6227 Fax: 508-775-3344 Ralph Crossen Building Commissioner DATE: November 22, 1994 TO: Kim FROM: Kathy Maloney Kim- Here is the certificate with the additional information you requested. Please complete the enclosed Application For Certificate Of Inspection and return it to me. The inspector will then arrange to inspect the facility, in compliance with the State Building Code. Thanks Kathy a,7 >� TOWN OF BARNSTABLE Permit No. ......A2 BUILDING DEPARTMENT .....• Cash •"` TOWN OFFICE BUILDING ••••••••••--.... 67V HYANNIS.MASS.02601 Bond N/A,,,,••• CERTIFICATE OF USE AND OCCUPANCY Issued to Barnstable Housing Authority Address 78 Pleasant Street .Hyannis, MA USE GROUP FIRE GRADING 4—B OCCUPANCY LOAD 12 THIS PERMIT WILL NOT BE VALID. AND THE BUILDING SHALL NOT BE OCCUPIED UNTIL SIGNED BY THE BUILDING INSPECTOR UPON SATISFACTORY COMPLIANCE WITH TOWN REQUIREMENTS,AND IN ACCORDANCE WITH SECTION 119.0 OF THE MASSACHUSETTS STATE BUILDING CODE. f October 12 94 19................. i Building Inspector I i I 1 R 7 CAPE COD MENTAL HEALTH ASSOCIATION, INC. ADMINISTRATIVE OFFICE 78 PLEASANT STREET HYANNIS, MASSACHUSETTS. 02601 TELEPHONE: 778-1889 31 January 1980 Mr. Joseph _DaLuz Building Inspector Town of Barnstable Town Hall Hyannis, MA 02601 Dear Joe, Thank you for taking the time to inspect the property we wish to lease at 105 Pleasant Street. As you requested, this letter will inform you of our proposed use of the building. Initially, Project HELP will occupy the facility. Project HELP operates a 24-Hour Hotline, Outreach Program and Counseling Ser- vice. The counseling is in the fields of drug abuse and family planning. Additionally, HELP•s administrative office will be housed in the facility. As soon as renovations are completed at 78 Pleasant Street, before summer, the HELP counseling programs will relocate to 78 Pleasant Street. Coinciding with this relocation, the Cape Cod Mental Health Associations administrative and business operations will move to 105 Pleasant Street. Additionally, the 8:00 A.M. to mid- night Outreach Program now located at 78 Pleasant Street will move to 105 Pleasant, and merge with the Project HELP Hotline and Outreach Programs. As far as parking is concerned, no employee parking will be allowed at 105 Pleasant Street. Parking for employees will be off-site, in either the 78 Pleasant Street parking lot, on Pleasant Street between Main & South Streets, or in the municipal/ lot£, next to Town Hall os Mouth Street, or behind the Backside Saloon. We would hope to have five ( 5) parking spaces on the front of the 105 rPleasant Street property for clients and visitors. I hope this information provides you the information needed to grant us a Certificate of Use and Occupancy. I do want to stress that no person shall live in the facility. I am looking forward to hearing from you. Yo A � s t uly� L'L C H I Z EK /�/�/� / United q�� /� /! Director, HELP ///ember o/ U/nited U y o� C"Ve ad DRISCOLL AND MATTINGLY, P.c. Attorneys at Law 623 Pleasant Street Brockton, Massachusetts 02401 TELEPHONE(617) 583-0600 RICHARD C. DRISCOLL,JR. ELLEN MATTINGLY THOMAS L RYAN EDWARD W. VALANZOLA May 11, 1981 . Mr. Joseph D. DaLuz Building Commissioner Town of Barnstable Town Office Building Hyannis, MA 02601 Re: Human Services Resource Center, Inc . Dear Mr. DaLuz: Pursuant to our telephone conversation of May 11, 1981 , enclosed please find a copy of the Articles of Organization of my client Human Services Resource Center, Inc. This corporation as you will note is organized under Chapter 180 of the Massachusetts General Laws. If you have any questions, please do not hesitate to contact me. Very truly yours, DRISCOLL AND MATTINGLY, P.C. By JZ:�t!� -�-� len Mattingly EM/dl Enclosure l tj �t pzyp!�,l�NysfY.�"(�V,.t'r YI fl..•'r i,�'�:7ff"r'^f .. -f :- -r...,I.,,cgt , Y ' .!.'g fl +.,� ' '-'-� WH-(tf ���9pa"r�t yr�n r a1P FORM c180Rev. 10-71 10M 5-77-D405105! I i44 'j;. ,; ti ri c I.df'..'o! '' Z'p9y,' y. {t .. u'i. .Lf`�3:tl�C, �',..t,. '.+,ScU Z,.Y�:'•''; 7 'i`ar',.f r i :� I S a < c [ f f,f.4; MICHAEL JOSEPb CONK OLLY 7 �a` , f [ Secretary of the Commonwealth. . ` , x �^t ONE ASHBURTON PLACE,BOSTON MASS. 02108` ' f I. ARTICLES OF ORGANIZATION (Under G.L Ch.I80 I, Incorporators Pa NAME RESIDENCE Include given name in full in case of natural persons in. case of a corporation,give state of incorporation 3 yl Vii['i1LL3.�S VIFNLl i ;`I:! , f .L1t f 1 YF s 7. f �,O�Ledgewe, 1 NrY�t� so oed Driv 1 fr��as ?.r tf, 5 ''y � t. f41 n t11v � 1 I.,. �, ° P y {; t 1 z t�k�•ia'�� 'r,t .•,�f�e �, ;� +utt}R.:1: a.}Z.;., r I i f ,: � , Aln 1 P4�" f t<5{d �,' �P` '^1 l�lr,!"It', E '; 'j14�k�+�'1i�,�"t✓�� !' h - } #. 3^..,. ji 53�g'�I ,�LkKli.4t_I , y�f• ) 1 t y 2 apt s- lie ' ti t: I t, : I ,ll F t.. ,..! R , a 9 a t,f r I-0 r y 1 r p trg6r)a� ii• I - [ Ar {�frSk3fti�.. if t Y� - 5 •,, }{ `{' , �, t : ` Fe , r 1. "5 t 4.1 t�S Sk�:tit�mrl,fr J ,ti I, '`I , I rf (111II r5 lr v� U�°fi-, `�4t11 r� yr5 5 4y r: 1�'i r .�t� ' �jfA - ,r 5 .• 1 � "• , S '! Y�y t{4l t pP' Ir t.} fi k§+ -t��t utC ' I i The above-named incorporator(s) do hereby associate (themselves) with the'irate tion of forming a,,.`. corporation under the provisions of General Laws,Chapter 180 and her states) r� r l. The name by which the corporation shall be known is ,'#;� .f HUMAN SERVICES RESCURCE CENTER, r fr;. 14f.." ` �" �i:f+ff ,rlrif �t,1 tt� !f i'I ,t 1 ��lfA p{�i�i'�t 1� }t�..i 5t.. f,Pn"n�[t�•r.i ylyel ��ff?e) f �.� h! /�try'IP,n�' x fy 2 The purposes for which the corporation is formed are as Igllows . To advance, promote, foster,' establish,`maintain`, equip and operate for child ' r ren and adults with special needs day care centers;. family day .care homes or systems;` " family foster care; placement agencies; and group.care'and temporary, shelter r facilities; all as defined under M;G,L.A. chapter. 23A, as amended fxiom: time to time; . and residential and .day. schools for the remedial and special education .of children and adults and to engage in foster, parent and staff training,' consultation and '' education services, and .recreation programs. To these purposes, to engage in,l carry, on,, and conduct investigation analyses anc research, studies and„surveys, of children and adults with special needs and. of'the various methods of educating and training children and adults with special needs.' To consult with others and to recommend and .rimplement programs relative to.. caring for and ,educating children and adults with special needs. a :. r:r To engage in, carry on1and conduct such other activities as are directly and indirectly related to the foregoing ,purposes, under the, laws of the Comonwealth of Massachusetts. 02 5M„{ NOTE: if provisions for which the space provided under Articles 2,3 and 4 is not sufficient,additions should be 1 set out on continuation sheets to be numbered 2A, 2B, etc. Indicate under each Article where the provision is set out. Continuation sheets shall be on 814" x 11" paper and must have a left-hand margin I inch wide for binding. Only one side should be used. t v 3. It the,coi'poration has more than one class of members, the designation of such classes, the manner`of election or appointment, the duration of membership and the.qualification and rights, including voting ., rights,of the members of each class,are as follows:- t . . There is only one class of,.members, + 4. Other lawful provisions, if any, for the conduct and regulation of the business and affairs of the cor poration,for its voluntary dissolution,or for limiting,defining,or regulating the powers of the torpor tion, or of its directors or members,or of any class of members,are as follows:—Y. 4 A. `. The corporation shall have and may exercise all of the followrtg powers in furtherance of its corporate purposes, as allowed to corporations under M.G,L.A. chapter 180,. provided that no such power shall be exercised in a manner incon- sistent with the laws of the Cmmonwealth of Massachusetts; a.' to have e p rpetual succession in its. corporate name; b: to sue and be sued; C. to have a corporate seal, which it may alter at pleasure; d. to elect and appoint directors,, officers, employees and other,agents;`to f�.x their compensation and define their duties and obligations&, and to indemnify such corporate personnel; e. to make donations, irrespective of .corporate benefit, for the public welfare or for community fund, hospital, charitable,•religious, educational, scientif c, civic, nr similar„purposes,' and in.tiime." of war' or other national emergency._in aid thereof; f. to- convey• land to which it has legal title; g. to purchase; receive, take by grant, .give,_devise; bequest or `otherw se lease or otherwise acquire, own, hold, improve,- employ, use and otherwise deal in' and with, real or personal property, or any interest therein, wherever :.situat ;, . h., to sell, convey, lease, exchange, transfer or -otherwise. dispose of, or mortga e, pledge, encumber or create a security interest in,•all or any of its property or any>lhterest therein, wherever situated; i. to purchase, take; receive, subscribe for, or otherwise acquire, own, hold .vote, employ, sell, lend, lease, exchange, transfer, or otherwise dispose of, mortgage, pledge, 'use and otherwise deal in and with, ,bonds *and other obligate tions, shares or other securities or interests issued by others, whether engaged in similar or different business, governmental, or other activities, (continued on attached 4A) • If"there are no provisions state "None". i Sheet 4A n ' j . to make contracts, give guarantees and incur liabilities, borrow money at such rates of interest as the corporation may determine, issue its notes, bonds and other obligations, and secure any of its obligations by mortgage, pledge or encumbrance of, or security interest in, all or any of its property or any interest' therein, wherever situated; k. to lend money, invest and reinvest its funds, and take and hold real and personal property as security for the payment of funds so loaned or f invested; 1. to do business coperations,arry on its and have officers and exercise the Powers granted by this chapter in any jurisdiction within or 'thout the United States. m. to pay pensions, establish and carry out pension, profit-sharing, share bonus, share purchase, share option, savings, thrift and other retirement, incentive and benefit plans, trusts and provisions for any or all of its !4 directors, officers and employees and for any or all of the directors, officers and employees of any corporation, .fifty per cent or more of the shares of which outstanding and entitled to vote on the election of directors are owned, directly or indirectly, by it; i to participate as a subscriber in the exchanging ts specified in section ninety-four B of cha one ohundred ancd seventy-five• n. to be a partner in any business enterprise which the corporation would i have power to conduct by itself; o. to hold real and personal estate to an unlimited amount, which estate or its income shall be devoted to the purposes set forth in these Articles or in any amendment thereof; P. to receive and hold, in trust or otherwise, funds received by gift or be- quest to be devoted by the corporation to the purposes set forth in these Articles; q. to be an incorporator of other corporations of any type or kind and r. to have and exercise all powers necessary or convenient to effe t any or all of the purposes for which the corporation is formed. . B. The corporation shall, to the extent legally g Y permissible and only to the extent that the status of the corporation as an organization exempt -under $ection' 501 (c)(3) of the Internal Revenue Code is not affected thereby, indemnify, each of its directors, officers, employees and other agents (including persons.who serve at its.,request as directors, officers, employees or other agents of another , organization in. which it has .an interest) against all liabilities and expenses,' including amounts paid in' satisfaction of judgnen£s, in compromise or as fines rand penalties, and counsel fees, reasonabiy incurred by him in' eonnection faith- the defense or disposition of any action•, suit or other proceedings, whether civil or criminal, in which he may be involved or with which he may be threatened, while, in office or thereafter, by reason of-his being or having been such a diredtor, officer., employee or agent, except with respect-to any matter as to which he shall have been adjudicated in any proceeding not to have acted in good faith in. the reasonable belief that his action was in the best interests of the r. . s Sheet 4B " corporation; provided however, that as to any matter disposed of 'by a comp- romise payment by�such director, officer, employee or agent, pursuant to a consent decree or otherwise, no indemnification either for said .payment or for any other expenses shall be provided unless such compromise shall be approved as in the best interests of.the corporation, after notice that it involves such. indemnification; (a) by a disintersted ity of then in office; or (b) by a majority of the disinterested.rdirectorsethen einors office, provided that there has been obtained an opinion in writ of independent legal counsel to the effect that such director, officer, employee or agent appears to have acted in good faith in the reasonable , belief that his action was in the best interests of the corporation; or (c) by a majority of the disinterested members entitled to vote, voting as a' single class. Expenses including counsel fees, reasonably incurred by any such director, officer, trustee, employee.. or agent in connection with the defense or disposition of ny ,such action, suit or other proceeding may be paid from time to time by the corporation in advance of the final dis-position thereof upon p receipt of an an under the amount taking by such individual t repay re a s so paid to the corporation if he shall be adjudicated to be Y not entitled to indemnification under Massachusetts General. Iaws, Chapter 180, Section 6. The right -of indemnification hereby provided shallinot be exclusive of or"affect any other rights to. which director, off employee cer, mp yee or agent may be entitled. Nothing contained herein shall affect any rights to indemnification to which corporate personnel may be entitled by contract or otherwise under law. As used in this paragraph, the terms "directors", "officer", "employee",-and "agent" include their respective heirs, executors and administrators, and an "'interested" director is one against whom such capacity the proceedings in question or another proceeding on the same or similar grounds is then pending.. C. No person shall be disqualified from holdi ng any office by reason of any interest, as defined herein. In the absence of fraud, any director, officer, or member of this corporation, or any individual having any interest in any concern in which any such director, officer, member or individual hls any interest, may .be a party to, or may be pecuniarily or otherwise interested in, any contract, transaction, or other act of this corporation, and (1) such contract, transaction, or act shall not be in any invalidated or otherwise affected by that fact; (2) no such director, officer, member, or individual shall be liable to account to this corporation for any profit or benefit realized through any such contract, transaction, or act; and y ®I k a Rey _ y.Sf;.A ld +�[v�ean i r4xYrrr+.+ r'He rja . r �r�r t + •• CU Ikl w . Sheet 4C . _.. a (3) "JAL- any such.director of this corporation may be counted' in`determining the. existence of a quorum at any meeting of the directors or of any. committee thereof which. shall authorize any such contract, transaction, or act,.,�nd may vote "to 4!1authorize the came s; The term "interest" shall include personal J•nterest .'ana'-interest as a director, officer, stockholder shareholder'' truste member gr bene- t , , fici of ►� ! ary any concern• the term concern'. shall mean any` c k oration rl �p=i E • • association, trust, , person,mor, othertenti erp, fir ot ` t �1 rp n s t •t • . • r a si lF than this co oration. r F x f D. In the event that: the corporation is entitled;to, exemption from federal; .; s income tax under Section 501(c)..(3)-`of the Internal Revenue Code, upon the liquidation or dissolution of the corporation, after payment of all � , f of the liabilities of the corporation or due•.provision,;therefore, all of.' the assets, of the. corporation shall be disposed of to one or mof•e; ` - i organization exempt from federal income tax under Section 501(c)(3) of the Internal' Revenue Code. E. In the event that the corporation is a private ,foundation as that term { is defined in Section 509 of the Internal Revenue Code; then otwith- �y standing any other provisions of the articles of organization or the ' by-laws of the corporation '!the following provisions shall apply: ,. 161 The directors shall distribute the income for each taxable. ' year at such time and in such manner as not to become sub- ject to the tax on undistributed income imposed'by Section 4942 of the Internal Revenue Code. i ' I