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0050 ROSARY LANE
TO ALL NEW BUSINESS OWNERS - DATE:S::6 /0 2 s , Fill in please: APPLICANT'S YOUR NAME: J lme, S BUSINESS r` YOUR HOME ADDRESS: //o Z��v �'�a0�.-,e C--5 -%o ��� S` Y Ce�7-.�Q %ice P �a-i� 0-2 Ic,,'1 ° TELEPHONE Telephone Number Home S"v - 1 -S%5'� NAME OF NEW BUSINESS r w tiP _ iok. TYPE OF BUSINESS r;P IS THIS A HOME OCCUPATION? YES I I NO Have you been given approv l rom the building division? YES NO ADDRESS OF BUSINESS o V00, G MAPIPARCEL NUMBER 3(!:� When starting a new business there are s veral things you must do in order to be in compliance with the rules and regulations of the Town of Barnstable. This form is intended to assist you in obtaining the information you may need. Once you have obtained the required signatures, listed below, you may apply for a business certificate at the Town Clerk's Office (Ist floor-Town Hall) or if you get the business certificate first you MUST go to the following office to make sure you have all the required permits and licenses.. . GO TO 200 Main St. -(corner of Yarmouth Rd. & Main Street) and you will find the following offices: ' 1. BUILDING COMMISSIONER' FFICE This individual en infor any permit requirements that pertain to this type of business. Aut orized Signature** COMMENTS: z 2. BOARD OF HEALTH = This individual has been informed of the permit requirements that pertain to this type of business. Authorized Signature** COMMENTS: 3. CONSUMER AFFAIRS (LICENSING AUTHORITY) This individual has been informed of the licensing req ui rement&that.pertain to this type of business. Authorized Signature** COMMENTS: Business certificates (cost $30.00 for 4 years). A business certificate ONLY REGISTERS YOUR NAME in the town (which you must do by M.G.L. - it does not give you permission to operate -you must get that through completion of the processes from the various departments involved. **SIGNIFIES APPROVAL FOR A BUSINESS CERTIFICATE ONLY. } TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parc el y l/ ApP licatio Health Division Date Issued 933y'` Conservation Division Application Fee Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation/Hyannis Project Street Address Village VLA Owner_ 4 Map, Address ' Telephone 011 - Permit Request Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay` Project Valuation 4 V '' 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 Areg7_-` ft) Number of Baths: Full: existing new Half: existing eri I �fnew Number of Bedrooms: existing _new _ , Total Room Count (not including baths): existing new First Floor Room Count Heat Type and Fuel: ❑ Gas ❑ Oil ❑ Electric ❑ Other { Central Air: ❑Yes ❑ No 'Fireplaces: Existing New Existing wood/coal stove:fn 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 IkYes ❑ No If yes, site plan review# Current Use Proposed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name Telephone Number "Ll49 Address 6064 a4 �40LL- License # 02WI Home Improvement Contractor# 00601 Worker's Compensation # L�D ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE Z- ii i 14 t FOR OFFICIAL USE ONLY Is APPLICATION# k DATE ISSUED € MAP/PARCEL NO. F bix , r ADDRESS VILLAGE } OWNER DATE OF INSPECTION: FOUNDATIONS. +f FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL 4 PLUMBING: ROUGH FINAL GAS: ROUGH : FINAL FINAL BUILDING , DATE CLOSED OUT ASSOCIATION PLAN NO. aF r The Commonwealth of kassachitsetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston, MA 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Eleetricians/Plumbers Applicant Information Please PrinttLLegibly Name(Business/Organization/Individual): ,� i'-n ► o(Fz F .i C fir. Lc, Address: City/State/Zip: Pr Phone.#: C.b 2 7 Are you an employer?Check the appropriate box: Type of project(required): 1.4 I am a employer with _>0 4. I am a general contractor and I employees(full and/or part-time).* have hired the sub-contractors 6. New construction 2:0 I am a sole proprietor or partner- listed on the attached sheet. 7...0 Remodeling ship and have no employees These sub-contractors have g, ❑Demolition workingfor me in an capacity. employees and have workers' Y P ty 9. ❑Building addition [No workers'comp.insurance comp. insurance.$ required.] 5. ❑ We area 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 e. 152, §1(4),and we have no employees. [No workers' 13.❑Other comp.insurance required.] *Any applicant,that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. xContractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: 1 f 1,66Uk A9 40 r�T)Q kJ I & S(41L AAi C Policy#or Self-ins. Lie.M r9j,"I0 Expiration Date: Job Site Address: 5b5� 1- `�� _ City/State/Zip:. M� 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 certifyA a the pains and penalties of perjury that the information provided above is true and correct Signature: Date: I _ Phone#: Ok6rl(a - O Official use only. Do not write in this area,to be completed by city or town off1ciaL .City or Town: Permit/License# Issuing Authority(circle one): 1.Board of health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: DATE(MMIDDIYYYYI CERTIFICATE OF LIABILITY INSURANCE 12/31/2013 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s), PRODUCER C NTA Erica H O'Connor HART INSURANCE AGENCY,INC. NAME` 243 MAIN STREET PHONE 508=759-7326 x205 ac No): 508-759-7366 PO BOX 700 fIESS: BUZZARDS BAY,MA 025320700 INSURERS AFFORDING COVERAGE NAIC# INSURERA: ARBELLA PROTECTION INS CO 41360 INSURED EJ Jaxtimer Builder,Inc INsuRER I: ARBELLA INDEMNITY INSURANCE COMPANY 10017 48 Rosary Lane Hyannis,MA 02601 INSURER C INSURER D: INSURER E: INSURERF: ,.} .. . 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. NSR - TYPE OF INSURANCE ADDL SUBR POLICY NUMBER MMIIDDDY EFF MWDD EXP LIMITS ' LTR A GENERALLIABILITY 8500042039. 01/0.1/2014 01/01/2015 EACH OCCURRENCE $ 11000,000 COMMERCIAL GENERAL LIABILITY _ - . DAMAGE TO Ea RENTED enee $ F 300,000 CLAIMS-MADE OCCUR' - MEDEXP(Any one arson $ 5,000 PERSONAL B ADV INJURY $ 1.000,000 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS.COMPIOPAGG $. . 2;000,000 POLICY PRO- M LOC $ B AUTOMOBILE LIABILITY 1020011547 01/01/2014 01/01/2015 COMBINED SINGLE LIMIT 1,000,000 _ Ea accident ANY AUTO , . BODILY INJURY(Per person) : $ ALL OWNED SCHEDULED BODILY INJURY(Per accident) $- AUTOS AUTOS - - NON-OWNED - PROPERTY DAMAGE $ HIREOAUTOS AUTOS - '. Peraccidenl $ A UMBRELLALIAB OCCUR 46.00042040 P01/01�/2014 01/01/2015 EACH OCCURRENCE $ 2,000000 EXCESS LIAR HCLAIMS-MADE AGGREGATE $ 2,000,000. DED RETENTION$10,000 ' $ B WORKERS COMPENSATION 0053890113 01/01/2015 We srATUT OTH- AND EMPLOYERS'LIABILITY ANY PROPRIETORIPARTNERIEXECUTIVE .Y� NIA 'E.L.EACH ACCIDENT $ 500,000 OFFICERIMEMBER EXCLUC (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE $ 500,000 Ir yes,describe under - - DESCRIPTION OF OPERATIONS below I E.L.DISEASE-POLICY LIMIT $ 500,000 DESCRIPTION OF OPERATIONS I LOCATIONS!VEHICLES(Attach ACORD 101,Additional Remarks Schedule,If more space Is required) - - CERTIFICATE HOLDER CANCELLATION Fax#:(508)862-4717 . SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE TOWN OF BARNSTABLE THE EXPIRATION DATE THEREOF, NOTICE WILL 'BE DELIVERED IN 230 SOUTH STREET ACCORDANCE WITH THE POLICY PROVISIONS. HYANNIS,MA 02601 AUTHORIZED REPRESENTATIVE' ©198 -20 0 O D'CORPORATION. All rights reserved. ,ACORD 25(2010/05) The ACORD name and logo are registered marks of ACORD J e O fF tcc Cl Consumer kffai1 S and Business egullat on 0 Park Plaza - Suite J 170 Boston aSSaC��uSFLLS l 1 i 6 rir Home- i irprovF ent Co—n aracta_r Registration Registration: '110609 Type: Private Corporation Expiration: 11/3/2014 Tr m 233027 E J JAXTIMER, BUILDER, INC. ERNES T JA X T IMER 48 ROSARY LN . HYANNIS, MA 02601 J Update address and return Card.DVITark reason for chance. Address Rene val � u-ployr�ent Lost Card bPS-Cr.1 e3 501,•1-04104-G10121; ,JrZP, l/'0?iLiiiOdL1G?.Ci C:�LL oy�� '!�ctJYC�'LSJ�r i j •ju l , Office of consumer Affairs�1�usiness�eaulatia❑ License or s e�i5ir2i�On✓3ivc for indivica�-i se onCy. - - HOME IMPROVEMENT CONTRACTOR before tl2e expiration date. Tf found return to: =L Registration: 110609' Type: Office of Consurne:Af airs and Business Regulation -= Expiration: 11/3/2014 Private Corporation 10 Park Plaza-Suite 5170 Boston,FdA 0,21iA6 E"' TIMER,BUILDER,INC. ERNEST JAXTIMER � 48 ROSARY LN �� o HYANNIS,NIA 02601 Undersecretar;, Not va$id'without signature sil Massachusetts -Department of Public Safety Board of Building Regulations and Standards ' COn:SI[Mlctiolri Super'1'150r License., S-003251 I T✓i S TJ 1JA-X7 1El 1g r .I 49 ROSARYLAIC 71 ,11 rnfAMS MA 0-2 9� Expiration Commissioner ry Town of Barnstable ` Regulatory Services a v a � HARNS'tABLE, KAM Thomas F. Geiler,Director a Building Division Tom Perry,Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder -V?CV S r , as Owner of the subject property hereby authorize to act on my behalf, in all matters relative to work authorized by this building permit application for --(AddMSS o rib) SigWj of Owner Date xnenc Print Name 'nn if Property Owner is applying for permit please complete the Homeowners License Exemption Form on the reverse side. Q:FORMS-OWNEUERMISSION. TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION, Map Parcel �� ;Application# Z-& Health Division Date Issued Conservation Division Application Fee Tax Collector Permit Fee �� Treasurer Planning Dept. ', D Date Definitive Plan Approved by Planning Board Historic-OKH Preservation/Hyannis Project Street Address .Village all n/ S Owner H"A,l?'!I'Y[erhl G RW IAU4S Address Telephone Permit Request Lu mCh , Cam, ,u p l m, Len i rene �o M Square feet: 1st floor:existing �� proposed 1515(o 2nd floor:existing proposed �`{7(o Total new Z Zoning District Flood Plain Groundwater Overlay Project Valuation 300 OCO Construction Type MID i Lot Size Grandfathered: ❑Yes ❑No If yes, attach supporting documentation: Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family(#units) y Y} Fs� Age of Existing Structure Historic House: ❑Yes ❑No On Old King's Highway: ❑'Ybs '❑No Basement Type: mull ❑Crawl ❑Walkout ❑Other , Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full:existing new Half:existing �— new 2 Number of Bedrooms: existing new Total Room Count(not including baths):existing new 7 First Floor Room Count 73 Heat Type and Fuel: ZGas ❑Oil ❑ Electric ❑Other Central Air: id Yes ❑No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ar* Detached garage:❑existing 0 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 El es Tlf yes, site plan review# Current Use Proposed Use arm 1 Gt✓5 BUILDER INFORMATION Name .JAY-n hAf_ , BUQ DL of W Telephone Number 11f5b 2 2 - 4qi Address License# 66 3� kt l r't l- 0?L01 Home Improvement Contractor# I�P� Worker's Compensation# �C ALL CONSTRUCTION DEBRISBf SULTING FROM THIS PROJE T WILL BE TAKEN TO NA16y-n17S SIGNATURE DATE t�� FOR OFFICIAL USE ONLY APPLICATION# DATE ISSUED MAP PARCEL NO. - 9 A } ADDRESS VILLAGE OWNER r DATE OF INSPECTION: FOUNDATION s� Q ro 1A FRAME �� C - I z INSULATION FIREPLACE _ ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING 4 DATE CLOSED OUT ASSOCIATION PLAN N.O. r` t r� 1 SheYa Sally From: Fire Dept at Hinckley Sent: Friday, May 16, 2008 8:31 AM To: Shea, Sally Subject: 50 Rosary Ln, Hyannis Hi, All set for permit for 50 Rosary Ln. 3451030 E.J. Jaxtimer new office building. Thanks Don r 1 .. * = The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston, MA 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print LeLyibly Name(Business/Organization/Individual): , • J• p*rwr� fig ,Ise Address: l o R /"10-- City/State/Zip: lC!'L/L15 /Phone.#: "T"`AL� Are you an employer?Check the appropriate bog: Type of project(required): 1. I am a employer with 4. ❑ I am a general contractor and I * have hired the sub-contractors 6. New construction employees(full and/or part-time).* I � 2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7. ❑Remodeling ship and have no employees These sub-contractors have 8. ❑ Demolition workingfor me in an capacity.. employees and have workers' Y P h'• � 9. ❑Building addition [No workers'comp.insurance comp. insurance. 10. Electrical repairs or additions required.] 5. ❑ We are a corporation and its ❑ P 3.❑.I am a homeowner doing all work officers have exercised their 11.❑Plumbing repairs or additions myself. [No workers' comp. right of exemption per MGL 12.❑ Roof repairs insurance required.]t c. 152, §1(4), and we have no employees. [No workers' 13.❑ Other comp,insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. ?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:— Policy#or Self-ins. Lic.#: �t,C�u' �p � �Q Expiration Date: LO1 0 i Job Site Address: S City/State/Zip: AP_ /72410I 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 fQninsurance coverage verification. I do hereby certi d axis-and-penalties of perjury that the information provided above is true and correct Sip-nature: Date: C� Phone#: Official use only. Do not write in this area,to be completed by city or town official City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: Information and Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers' compensation for their employees: Pursuant to this statute,an employee is defined as"...every person in the service of another under any contract of hire, express or implied, oral or written." An employer is defined as"an individual,partnership,association,corporation or other legal entity,or any two or more of the foregoing engaged in a joint enterprise, and including the legal representative's of a deceased employer,or the receiver or trustee of an individual,partnership,association or other legal entity,employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein,or the occupant of the dwelling house of another.who employs persons-to do maintenance,construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." f MGL chapter 152, §25C(6)also states that"every state or local licensing agency shall withhold the issuance or renewal of a license or permit"to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required." Additionally,MGL chapter 152, §25C(7)states`Neither the commonwealth nor any of its political subdivisions shall enter into any contract form the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority.". Applicants Please fill out the workers'compensation affidavit completely,by checking the boxes that apply to your situation.and, if necessary,supply sub-contractors)name(s),address(es) and phone number(s)along with their certificate(s)of insurance. Limited Liability Companies'(LLC)or Limited Liability Partnerships(LLP)with no employees other than the jmembers or partners,are not required to carry workers' compensation insurance. If an LLC or LLP does have employees,a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested,not the Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy,please call the Department at the number listed below. Self-insured companies should enter their self-insurance license number on the appropriate line. City or Town Officials Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permit/license number which will be used as a reference number. In addition,an applicant that must submit multiple permit/license applications in any given year,need only submit one affidavit indicating current policy information(if necessary)and under"Job Site Address"the applicant should write"all locations in__(city or town)."A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year.Where'a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e. a dog license or permit to bum leaves etc.)said person is NOT required 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 us a call. The Department's address,telephone and fax number: The Commonwealth of Massachusetts Department of Industrial Accidents office of Investigations 600 Washington.Street Boston, MA 02111 Tel. #617-72.7-4900 ext 406 or 1-877-NIASSAFE Fax# 617-727-7749 Revised 1.1-22-06 www.mass.gav/dia I t Libe The Ohio.Casualty Insurance Company rtY Mutual® 9450 Seward Road,Fairfield,Ohio 45014 Bond# 5022809 BOND KNOW ALL MEN BY THESE PRESENTS: That we E.J.Jaxtimer Builder,Inc. 48 Rosary Lane Hyannis,MA 02601 (Full Name[top line]and Address[bottom line]of Principal) (hereinafter called the Principal) as Principal, and ,The Ohio Casualty.Insurance Company With principal offices at Hamilton, Ohio(hereinafter called the Surety)as Surety,are held and firmly bound unto Town of Barnstable Building Department 200 Main`Street Hyannis,MA 02601 (Full Name[top line]and Address {bottom line]of Obligee) (hereinafter called the Obligee), in the penal sum of Six Hundered&00/100----------------------------------------------------------------- (Dollars)$ 600.00 for the payment of which well and truly to made, we"do hereby bind ourselves, our heirs. executors, administrators, successors and assigns,jointly and severally,firmly by these presents. ` WHEREAS,the Principal has madeor is about to make application to the Obligee for a License to - Construct a commercial building at 50 Rosary Lane Hyannis,MA 02601. 150 foot frontage. for a term beginning on May 13,200.8 and ending on* May 13,2009. (*strike out if licensa or permit is for an indefinite term) r. . NOW,THEREFORE, if the Principal shall indemnify the Obligee against any loss directly arising by reason of failure of said-Principal"to comply with the laws or ordinances under which said license or permit is granted, or any lawful rules or regulations pertaining thereto, then this obligation shall be void; otherwise to remain in-full force and effect. .PROVIDED, HOWEVER,AND UPON THE FOLLOWING EXPRESS CONDITIONS: 1. This bond shall be and remain in full force during the term of said license or permit unless canceled in accordance with paragraph 2 below;'but if said license or pen-nit was issued for a specific term, and is renewed for one or more specific terms, this bond will be extended to cover such additional ierm(s) upon the execution by the Surety-of a'Continuation Certificate, provided such certificate is acceptable to the Obligee. In no event , however, shall the liability of,the Surety be cumulative from"year to year or'from period to period,nor exceed the penal sum written in this first paragraph of this bond. 2. The Surety shall have the right to terminate its liability by notifying the Obligee in writing ten(10)days in advance of its intention to do so. SIGNED, SEALED AND DATED E.J. Jaxtimer Builder,Inc. By:. Principal. .s The Ohio Casualty Insurance Company. By; Aticrney-in Fact S-3853 License or Permit Bond (Unnumbered) t Board of Building Regula ons and Standards One Ashburton Place - Room 1301 Q" Boston, Massachusetts 02108 Home ImprovementContractor Re istratiori —-- Registration: 110609 Type: Private Corporation' :Expiration: 11/3/2008`. Tr# 124739 E J JAXTIMER, BUILDER, INC a ¢ 'ERNEST `JAXTIMER - 48 ROSARY LN -= — HYANNIS- MA 02601 Update Address and return card. Mark reason for change. �t Address Renewal Cmployment Lost Card. DP.S,CAI Co SOM-05/06-PC8490 - Ix i I � g ��% ✓Itie,:�oo7 �/,., 1 g 5 't {x y ��' 4 7/IYLOi/tl1/C2LGfL adY.G[6 `( I _ E'Boa rds d of Building Regulations and:Standa ,. I i { �StrUC - ,. t , I ;, fl t14 I y ion Supervisor License �a ,: I 1 1Licensp. cs 3251 I�axp�rtroti =1//1Q%2010 Ti# 13629 { 'Rest Idtlon y0p 1 `�' I t, 3' ERNEST r" n J`JAXTI(VIER, c ui {`448 ROSARY;LAN E� HYANNIS MA 02601 t Commissioner ". v k k } r 60. t Permit Number MECcheck Compliance Report Massachusetts Energy Code MECcheck Software Version 3.2 Release la Checked By/Date TITLE:JAXTIMER OFFICE BLD. CITY:Barnstable STATE:Massachusetts HDD:6137 CONSTRUCTION TYPE: 1 or 2 Family,Detached HEATING SYSTEM TYPE:Other(Non-Electric Resistance) DATE:03/06/08 DATE OF PLANS:03/05/08 PROJECT INFORMATION: JAXTIMER 48 ROSARY LANE HYANNIS,MA. COMPLIANCE:Passes Maximum UA=564 Your Home=413 26.8%Better Than Code Gross Glazing Area or Cavity Cont. or Door Perimeter R-Value R-Value U-Factor UA Ceiling 1:Flat Ceiling or Scissor Truss 1536 30.0 0.0 . 54 Wall 2: Wood Frame, 16"o.c. 2700 19.0 0.0 135 Window 1:Vinyl Frame,Double Pane with Low-E 358 0.340 122 Door 1:Solid 85 0.350 30 Floor 1:All-Wood Joist/Truss,Over Unconditioned Space 1536 19.0 0.0 72 Boiler l:Gas-Fired Steam,92 AFUE COMPLIANCE STATEMENT: The proposed building design described here is consistent with the building plans,specifications,and oth submitted with the permit application. The proposed building has been designed to meet the Massachusetts Energy Code requirements in; 3.2 Release 1 a. The heating load for this ldin and the cooling load if appropriate,has been determined using the applicable Standard Design Conditic The HVAC equipmen lect P6001 the building shall be no greater than 125%of the design load as specified in Sections 780C1 Builder/Design Date �U Dates 2/20/2008 Time: 404 PM To: R 9,15087754909 Page: 002 Client*2093 2JAXTIMEREJ ACORDT. CERTIFICATE OF LIABILITY INSURANCE 2J20IM0 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Dowling&O'Neil Insurance ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR Agency ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. 973 lyanough Rd., PO Box 1990 Hyannis,MA 02601 INSURERS AFFORDING COVERAGE NAIL# INSURED IHSURERA• Acadia Insurance E.J.Jaxtimer Builder, Inc. IR B: Fireman's Companies Ernest J.&Marie T.Jaxtimer INSURER C: 48 Rosary mane INSURER D: Hyannis,MA 02601 INSURERE: COVERAGES THE POUGES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED.NOTWITHSTANDING ANY REQUIREMENT.TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN.THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. POLICY EFFECME POLICY EXPBRAMON tJMITs LTR TYPE OF IMRANCE POLICY NUS DATE DATE A GENERAL LIABILITY CPA010264814 01/01/08 01/01/09 EACH OCCURRENCE. $1 000 000 X COMMERCIAL GENERAL LMIL TY DAMAGE To R64TE0,, $250 Q00 CLAIMS MADE QX OCCUR MED EXP Wy one person $5 000 PERSONAL&ADV INJURY $1 000 000 GENERALAGGREGATE $2 000 000 GENT.AGGREGATE LMIT APPLIES PER: PRDDUCTS-CoMPiOP AGG s2.000.000 POLICY � LOC B AUTON101"UUBLITY MAA010395014 01/01/08 01101109 COMBINEDSINGLELIMIT ��wd) $1,000,000 ANY Auro ALL OWNED AUTOS BODILY INJURY $ X SCHEDULED AUTOS (Per person) X HIREDAUTOS BODILYIHJRRY $ X NON-OWNED AUTOS (Per acddent) PROPERTYDAMAGE $ (Per accident) GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $ ANY AUTO OTHER THAN EAACC $ AUTO ONLY: AGG $ A EXCESSAM03RBAAUABUM CUA010264914 01/01/08 01/01109 EACH OCCURRENCE $2 000 000 X1 OCCUR CLAIMS MADE AGGREGATE $2 000 000 Is RDEDUCTIBLE $ x RETENTION $0 $ A womamcoMPENsw=AND WCA020456011 01/01/08 01/01/09 WCsTATU- OFR EMPI.OYERSIUABILITY E.L EACH ACCIDENT $500000 ANY �� F OC MEE ? NO EL DISEASE-EA EMPLOYEE $50O O0O H �saiheTmda E.L.DISEASE-POLICY LIMIT $500 000 SPECIAL PROVISION below OTHER oESCJWnON OF OPERATIONS I LOCATIONS I VEHICLES I EXCWSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS Certificate holder Is named additional insured for general liability. E.J.and Marie Jaxtimer are included under the workers compensation policy. Operations performed by the named insured subject to policy conditions and exclusions. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLE BE CANCEURD BEFORE THE EXPIRATION Town of Barnstable DATE THEREOF,THE ISSUM INSURER WILL ENDEAVOR to MAL I DAYS wmrrEN + 200 Main Street NOTICE TOTHE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAIW RE TO DO SO$HAIR_ Hyannis,MA 02601 IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGFMS OR REPRESENTATIVES. AUTIW�D VRESENTNTWE ACORD 25(2001108)1 of 2 #S509951M50595 LS1 ®ACORD CORPORATION 1988 r. roe l= �'y-'4"t a-Lt5YL. 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" ; i 1 Ii i i .. ....` ......... 9._..... : i 1 i i .... .... ._.. ..... _... .... .... ._._ ..... ..... ..... ..... ..... ..... i i i.............:.............1............4._..........._.........a._.............:..:...,._.............,..............i--.........i........._-`._....._.._............y............j......._...:_....._....:.............p...... _... ! ; ...:I.... 1 : I ; : DlClllfY:fMEt M.md.CSMe19Ai1 MAUAI ' PROJECT nY //'�f/' NAME:g0 & Ihl" (9rrt cc- 61, ADDRESS: ,53 PERMIT# C" U CP 7 PERMIT DATE,: M/P: LARGE ROLLED PLANS ARE IN,- BOX SLOT � -- 0 Data entered in MAPS program on: F BY: t q/wpfiles/archive TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION- Map Parcel two Application #AfIF64 ?r>/'I& Health"Division 20 0&- t S 2 Date Issued Conservation Division ;Y_ Application FeE$ V wAll Planning Dept. � � _ `� Permit Fee Ar Date Definitive Plan Approved by Planning Board Historic - OKH Preservation/Hyannis Project Street Address Sy Village /A-?J A1�S Owner EJ JA-)477tX6)L Address 42'fosd'm 40" �arintS �— Telephone e) r7?Y - 4 9 I if Permit Request Y 014 Square feet: 1 st floor: existing proposed 402nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation Construction Type Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting curapntation. Dwelling Type: Single Family .❑ Two Family ❑ Multi-Family(# units) � c Age of Existing Structure Historic House: ❑Yes ❑ No On Old Kings ighw N ❑yes ❑ No i Basement Type: ❑ Full ❑ Crawl ❑Walkout ❑Other zi Basement Finished Area(sq.ft.) Basement Unfinished Area(sq. ) c., n cncri Number of Baths: Full: existing new Half: existing mew _ Number of Bedrooms: existing _new Total Room Count (not including baths): existing new First Floor Room Count Heat Type and Fuel: ❑ Gas ❑Oil ❑ Electric ❑ Other Central Air: ❑Yes ❑ No - Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑ No Detached garage: ❑ existing ❑ new size—Pool: ❑ existing ❑ new size _ Barn: 0 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 9-J-.A nA4QZ t;LUL 6Xj 1 A Telephone Number �� $� 77 L #S// Address 48 0S4!2f AA A.L_ License# On 3aS-1 M4 -02.,W I Home Improvement Contractor# r I y& o 9 Worker's Compensation # Q106 67.-0/i ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO 112 SIGNATURE DATE Z FOR OFFICIAL USE ONLY APPLICATION# DATE ISSUED MAP/PARCEL N0. .J ADDRESS VILLAGE OWNER b _ DATE OF INSPECTION: FOUNDATION ;t FRAME INSULATION FIREPLACE '., ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL >t FINAL BUILDING DATE CLOSED OUT ; ASSOCIATION PLAN'NO. Feb. 19. 2008 3:20PM No, 4623 P. 2 The Commonwealth of Massachusetts Department of IndustsW Accidents Of we of Investigations 600 Washington Street Boston,MA 02111 w►vw mass gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print I.eeb1Y Name(lausinesslargaaiaation/Individual): ptJ YJ2e &d j /�<C Address: y 1f VSM 4ALIE City/State/Zip: Q•iZ-f2! l V,4 Phone.#: (_0'V) 19 g' Al f 11 Are you an employer?Check the appropriate box: Type of project(required): 1.❑✓ lama employer with� a. ❑ I am a general contractor and I employees(full and/or part time). e Have Hired the sub-contractors ❑New construction 2.❑ I am a sole proprietor or part w- listed on the.attached sheet 7. ❑Remodeling ship and have no employees These sub-contractors have g. ❑Demohoon world-ag for me in an capacity. employees and h$ve workers' Y �P rtY• insttrance.t 9, ❑Buildix:g addition [No workers'gyp,insum a comp. Electrical repairs or additions required-] 5. ❑ We are a corporation and its 1 Q.❑ 3.❑ I am a homeowner doing all work officers have exercised their I LLJ Phunbing repairs or additions myself.[No workers'comp. rl&of exemption per MOL 12.❑Roof repairs insurance regt:irad,]t c. I52,§1(4),and we have no .5K employees.[No workers' 13.[ Other � comp.insurance required.] •Any applicant that cheom box#1 must also till au the section below showbrg theV wmimrs'compensation policy infomm>ion. t Honnowners who sWvdt this affidavit indicating they arc doing all work and then biro outside contractors must submit a new affidavit indicating such. khaeton that check this box must attached sn additional sheet showing the=m of the sub4ontraetors and state whether or not dxwe c ntidee have ccVloym. if the sub-cunt uctats have a*oyees,they must provide their warken'cam.policy rnunber: lam iw'mployerOWisprovldkgworkmleompmsadoaitisuranceformyemplayom Nekw is the policy and job site Information. Insurance Company Name. /F_ - • Policy#or Self-ins.Lie,#: �fJtIV e l OCOI 0200 80 __ Expiration Date: b/of Job Site Address f+ - , /�(�G�fUt�S City/State/Zip: MA 41oZ&0 Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date). Faihre to secure coverage as required under Section 25A of MGL e. 152 can Iead to the imposition of crimmial penalties of a fine tip 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 Y of the DU-for' cover a venificatioa I do hereby certify atns-and penaTtless of perjury that the information provided apove' true and correct Siggafire: PE1Qne#' . oft id use oW)% Do not wr&fim area,w be compkkd by ctty or town offk.W City or Town: __-- — PermitlLicense# Issuing Authority(circle one): . 1.Board of Health 2,ridding Department 3.City/Town Clerk 4.Electrical Inspector S.Plumbing Inspector 6.Other Contact Person: Phone#• 1 Client#:2093 2JAXTIMEREJ` DATE ACORD. CERTIFICATE OF LIABILITY INSURANCE 03117/08D PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Dowling&O'Neil Insurance ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR Agency ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. 973 lyanough Rd., PO Box 1990 Hyannis,MA 02601 INSURERS AFFORDING COVERAGE NAIC# INSURED INSURERA Acadia Insurance E.J.Jaxtimer Builder, Inc. INSURER B: Ernest J.8r Marie T.Jaxtimer � INSURERC: 48 Rosary Lane INSURER D: Hyannis,MA 02601 INSURER E: COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED.NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. NSR POD TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS LTR NS DATE MWOO DATE(MMIDDIYYI A GENERAL LIABILITY CPA010264814 01/01/08 01/01/09 EACH OCCURRENCE $1 000 000 X COMMERCIAL GENERAL LIABILITY DAMAGE TO aENTEDancel $250 000 CLAIMS MADE 5-1 OCCUR - MED EXP(Any one person) $5 000 , PERSONAL BADV INJURY $1 00O 000 GENERAL AGGREGATE s2,000,000 GENI-AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMPIOP AGG $2 00O 000 PRO- POLICY JEC LOC AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT.. $ ANY AUTO (Ea accident) ALL OWNED AUTOS q BODILY INJURY $ SCHEDULED AUTOS a (Per person) HIRED AUTOS BODILY INJURY' $ NON-OWNED AUTOS (Per accident) , PROPERTY DAMAGE $ Per accident) GARAGE LIABILITY - - AUTO ONLY-EA ACCIDENT $ ANY AUTO ;:y ` OTHER THAN EA ACC $ s. ...- ,. AUTO ONLY: AGG $ A EXCESSIUMBRELLA LIABILITY CUA010264914 01/01/08 01/01/09 EACH OCCURRENCE $2-000000 7 AGGREGATE - s2,000,000 X OCCUR �CLAIMS MADE , $ DEDUCTIBLE $. X RETENTION $O $ WC IMITj OTH- A WORKERS COMPENSATION AND WCA020455011 01/01108, 01/01/09 EMPLOYERS'LIABILITY E.L.EACH ACCIDENT $500,000 ANY PROPRIETORIPARTNER/EXECIITIVE " - . - - OFFICERIMEMBER EXCLUDED? _ NO _ - E.L.DISEASE-EA EMPLOYEE $500,000 - 11 yes,describe under E.L.DISEASE-POLICY LIMIT $500,000 SPECIAL PROVISIONS below OTHER DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS Operations performed by the named insured subject to policy conditions and exclusions: E.J.and Marie Jaxtimer are included under the workers compensation policy. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION Town Of Barnstable" DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL f_ DAYS WRITTEN 200 Main Street NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO DO SO SHALL Hyannis,MA 02601 IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR. REPRESENTATIVES., AUTHORIZED REPRESENTATIVE ACORD 25(2001108)1 of 2 #51277 LS1 9 ACORD CORPORATION 1988 - To *of Bariistable Regulatory Services ,xxsresz Thomas F.Geller, rector 9 ass. . �► �Di .- �PTFD Building D1-v1S10I1 Tom Perry, Building Commissioner 200 Main Street, Hyannis,MA 02601 . Ffice:. 508=862-4038 "Fax: 508-7a90=6230 Property Owner must Complete and Sign'This Section 4 q. If Using.A Builder . ra K— as Owner of.the subject -to P P9 jAYC hereby authorize to act on my behalf, in all matters relative to work authorized by this building p ermit application for: �sA q �n�o . (Address of Job) AA S• of Owner ,. . .` F ' Date Print Name r - b QTORMS:OWNTERPERNMSIOI1 ` Board of Building Regula ons and Standards One Ashburton Place - Room 1301 Boston, Massachusetts 02108 Home Improvement-Contractor Registration w Registration: .110609 Type -Private Corporation Expiration: •11%3/2008 Tit 124739 r, t ' E J JAXTIMER, BULLDER; INC ERNEST JAXTIMER•. -- ' -, 48"ROSARY'LN ' - - HYANNIS, MA 02601 `� - - - Update.Address and return card. Mark reason for change. Address Renewal ' Em m ployent Lost Card -: •-< DPS CA1.,sa,50M-OW06-PC8490 - : -- - n Ft. t 6 a a P - 4 H { -:Fl I' t I c ` i �` � r✓ ''ZJQ4J7/I720�I,2CIIPQLLfL ,:i . i.s1 Boa d tA. ; �1, , ,I�s,i,,,, t(ffc�,,;,� of Budding Regulations and-Standards hI!sl^ � - rConsf"uction S r upervisor License . a Lic�Cnsec_CS x ii F 3251 t�'q � atiot 0714/2010 Tr# 13629 �:" ia ERIVIEST J` PIP 48 ROSARY[LANE7. _ HYANNIS'MA 02601 � rr Commissioner 1 t — ,V_ l cc A- ' om I M Y � I fAl r i. �'/M/ MAMMM vxl 14 ' A; ee _ 6� o �m e� e®e0o�1 e� WIN a IMPE I t. I yd-�- O I Lki ♦�3M y=��f Syr����„ � � ' E�J°1XTI`MER H_J_1W � 1 1• _Q N 0 \, �-� f4r t v 9 0 @h _ 1°Z � �`� a.�o � g( Jr Lit Z h Fp � 1 a �� p ur -'7 so N m . y �� =-Jo° : vQ gy .00 -J m In ox 4 2r y F 0 3Q�� Q W N ry o z y� / � � Est / a �g 3 ,bds izIN 7 / y pr mF pd Q.. 4w X ,o� 0 3� mvi 3 0 a3Q Mex r; F. �IP y2 2 coi Zug \02 Q / vOio IF a am WOM Q eC w \ O ' Aq 'NM 4 �'� Jo ' V o y \ mn, b M Y"1 ¢4 ICY . �. rQ ` x� Nf ' M ' O _ \ i M - Mlb r"owa�odAVNI 3 \\ v 8 / 9No�LINe, s �\ k ti 1 r Town of Barnstable Planning Division Thomas A.Broadrick,AICP 200 Main Street,Hyannis,Massachusetts 02601 Director of Planning,Zoning, Tel: (508) 862-4786 Fax: (508) 862-4725 &Historic Preservation October 14, 2004 Hammerhead Realty Trust C/o Sullivan Engineering,Inc. 350 Main Street Osterville,MA 02655 Re: SPR 049-04 Hammerhead Realty Trust, 50/70 Rosary Lane,Hy (R354-30, 31, 37 & 38) Proposal: Construct new 4-unit office/warehouse Dear Mr. Sullivan: Please be advised that the Building Commissioner approved the aforementioned proposal administratively on Oct. 13, 2004. ❖ All construction shall be in compliance with the approved site plan as prepared for Hammerhead Realty Trust, 350 Main Street, Osterville, MA by Sullivan Engineering, Inc., and CapeSurv, dated March 5, 2004, latest revision dated 10/6/04 and entitled Proposed Site Plan &Septic System, 60 Rosary Lane, Hyannis, MA. ❖ Upon completion of all work, a registered engineer or land surveyor shall submit a letter of certification, made upon knowledge and belief in accordance with professional standards that all work has been done in substantial compliance with the approved site plan (ZO Section 4-7.8 [7]). This document shall be submitted prior to the issuance of the final certificate of occupancy. In the event that you have additional questions you are welcome to contact me directly at 508- 862-4027. rely, Robin C. Giangregorio Zoning& SPR Coordinator f r I 1 rL t i I t 'r0" (TYPE t (TYfS) CLO t -ruse STEEL COL-\W/ i ° • �„� - ---------•- I I V 42' X 42" X !L" CONC. FTNG. Z.' t 71 I G"J((LLC�� `i ' I 5 _.. is`� - �V�r�T•� I I �� M t ��--- i BE� I ; I , .. ----� ----- --- -------- --- ---- ---- —---- - I ------- — - — \ J