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0525 SOUTH STREET
J// f —. ��.a.�——..__ r\ I�I ,, �I Y I' i �� 1 k. �r � CtvylY1T�, 7 4/2/03 525 South St., Hyannis \a,� \ ,•.1 tom+' " -' j 4 1 h a47 .a y � c y x erd CAUT N 6AU110N' _ N� t, Il T1.a`N GaUTIQN ION CAUTION . CAUT �CAU ON CAUTION.. CaUT10N CAVTiON 4' 7 1 "oil nra Nminra- nmmn --., unrb -xuunra.. ,,, �� r 1 ''naunra � i N01 t/'J NOl1fItlD NOIlOtl0 rN011 VD nV��� NOu11V0 110111"1110 NOI1nV0 NOlinvo IO nVO �NOI10 3 Nua"u J... °- .ly---"�'�*� '" '> 1••� r� ��wsn '� .R. Y. � A �.a. saw al � �.�� t� ! AANN a t 3777� � 04 G6 CAT/ Al CGS OEM ,♦ - IAs vo 0.0 6 Y .�� f x �1 � � .4,k • 8 ,ga '.�"R .,.. .,a-, �.�w"•�"6""'."+s..i..�._ ?x x.'>3 5 , 5 .snr,.�, ,,o,�.," '�J ' . *;; ����.c�M1-.•.d r � t .L�� �,evt� C� �'S ,��3x�, y�,�:^ ' �� �.� fY.., 'a- .q `>'zsa�s"" *.r1'.,x•'"`-i ��a`�z�3'.'f;-T x`�,A.+"ta, T �''• 'wit�"�L r �•�ti ram" � ,r�'.�. 7; tra.�' �P' `.,rF,y� � ��C rS'3, r�..S-t' >Mrr�r S•y�.�sr'1 'Ft' �`'t'�a�L. ,� cam-.;w a. sl >'Y� _ ' - �yw* .�^^.' a°" t,. 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L _ i t 1 r i w f '4/2/03 525 South St., Hya nis w�r• a w} � t 5. 7R',���—�:h � :u�a`S�a�1"�^t.yj�""`"����� ��` ""y cf'� Y 3 Ki'�ii r�'�'" "��+ �.:{ _ °.�c,z ..,,�,�,*.+.,..+- „a .;,�` "� ^za s•�+.°. •?';�,�'a,,,,,*s+�w -��t,.;^` £:r` �'ir• ..A23' r'i' '. i`�,.w+r��+�.7"'+,s. "f.� w"r�'J ,='� -"..* �e �--*•w,.. w 9a.. :era .. _ �r ...+ y 4. _ ., .. ti 1 �I .• + �'•r+�` h � �••y- ./r'�s � Via.._---;.�. ---- ,. t 1 ,, I- •4'9 t� Ing MAS rat � � �� �� � �s i��ar ►s�i"� r'iV,a ...: �.�• I+ ilk i/ �Jv "*.. .,,,.+.�����.,� ^'.� yam, .�-^-�•, •>.- >c �,', v �; � wwk �a t i . 4x� o a'.• t.` L v } .k ' TOWN OF BARNSTABLE BUILDING.PERMIT APPLICATION Map Parcel �' Application# � �� Health Division' Date Issued- 3 Conservation Division Application Fee , 6 Tax Collector ;Permit Fee Treasurer Planning Dept. Date Definitive Plan Approved by Planning Board Historic-OKH Preservation/Hyannis r Project Street Address Village /� S Owner Address PN3 14Qw,eS �GY Telephone Permit Request —ro qd d q / a ' S26U rodw7 /-A Uri $ C- n Square feet: 1 st floor:existing proposed 2nd floor:existing proposed Tota ew Zoning District Flood Plain Groundwater Overlay M Project Valuation ��,b Construction Type ��� f Lot Size Grandfathered: 0 Yes ❑No If yes, attach supporting documentation. � Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family(#units) Age of Existing Structure AlGw Historic House: ❑Yes ❑No On Old King's Highway: ❑Yes ❑No Basement Type: ❑Full ❑Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full:existing new Half:existing new Number of Bedrooms: existing new Total Room Count(not including baths):existing new First Floor Room Count Heat Type and Fuel: ❑Gas ❑Oil ❑Electric ❑Other Central Air: ❑Yes ❑No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑No Detached garage:❑existing ❑new size Pool:❑existing ❑new size Barn:❑existing ❑new size Attached garage:❑existing ❑new size Shed:❑existing ❑new size Other: ---.-=Zoning-B.oard_of_Appeals Authorization .❑Appeal#_ _ Recorded 0 _ Commercial & es ❑No If yes, site plan review# r� A Current Use � Cv Proposed Use1Qe- BUILDER INFORMATION Name C� Telephone Number Address - f7 q/ License# CS U Q,) ?f& 04JfiG V1 Home Improvement Contractor# /y�8(93 Worker's Compensation# ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE G ' FOR OFFICIAL USE ONLY 'APPLICATION# } DATE ISSUED MAP/PARCEL NO. ,x I ADDRESS VILLAGE �'. OWNER f L DATE OF INSPECTION: FOUNDATION K FRAME INSULATION a.: ` FIREPLACE Y ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL �p GAS: ROUGH FINAL FINAL BUILDING Y DATE CLOSED OUT k ASSOCIATION PLAN NO. y The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations a ' . 600 Washington Street t Boston,MA 02111' wrdw.mass.gov/dia ' Workers}Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant,Information Please Print Le ibl Name(Business/Organization&dividual): . .Address:- ��r nNi1� p' �� Phone.#: StS 310�- (o City/State/Zip: . 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 6 New constructionomp . loyees(full and/or part-time),* . have hired the sub-contractors . (<Remodeling [2. •I am a sole proprietor or partner- listed on the-attached sheet. 7 ntractors haveb-co ship and have no employees These su 8. ❑Demolition employees and have workers' working in me in any capacity. 9, ❑Building addition 'comp. insurance. [No workers comp,insurance Electrical re airs or additions required.] � ' S. ❑ We are a corporation and its 10.�' p 3.❑ I am a homeowner doing all work'. officers have exercised their _ . l l.❑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 Awre� &a employees. [Na workers I . 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 ornot 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•#: Expiration Date: lob Site Address: City/State/Zip: 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.fime of up to$250.00 a day against the violator. Be advised that a copy of this statement maybe forwarded to the Office of Investigations of the WA for insurance coverage verification. I do hereby certify under the pains•an enalties of perjury that the information provided above is true and correct. Si tore ) Q.G� Date: d d`9'/ 0 7 - — 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 Phone Contact Person: #: • r ' e tioF ' ti h Town of Barnstable. Regulatory Services a8i'E'Zia& ; Thomas F.Geiler,Director SATE 0 9--cb Building Division Tom Perry, Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-403 8 Fax: 508-790-62.3 0 Property Owner Must Complete and Sign.This Section If Using A Builder I PUL as Owner of the subject property hereby authorize j ,,, to act on my behalf, in all matters relative to work authorized by this bi Rding permit application for; , (Address of Job) 16 � Signature of Owner Date Print Name QyOP MS:OWNERPERMISSION i Roma, Paul From: Perry, Tom Sent: Friday, October 12, 2007 8:23 AM To: Roma, Paul Subject: FW: 525 South ` fyi -----Original Message----- From: Lt. Don Chase [mailto:dchase@hyannisfire.org] _ Sent: Friday, October 12, 2007 7 :43 AM To: Perry, Tom Subject: 525 South Tom, Shane Pacheco was in yesterday to add a small first floor room in his yet unfinished project on the former site of Woody's. It is ok with us. There is an existing sprinkler head in the room and .the space is about 12'xl2' square in size. Thanks Don 1 r t ' ti rj/S /( 5�0 7 `S . 9� �C',� Gh24„ 76.0' O PORCH c 120' 120' PORCH 12.0'18.0 18.0' 29.7' 2 29.8' COMMERCIAL UNIT C — 2 y INTERIOR AREA: first floor . ` o W I N m 00 O M o CLOSET v W• - STORAGE z ��;� c � v� c�i Z co 29.7 ui C 4 NOTE: 30Aw.' COMMERCIAL UNIT C — 3 w INTERIOR AREA: first floor ut INTERIOR CONDOMINIUM MEASUREMENTS TAKEN TO STORAGE STUD WALLS, SHEETROCK W NOT INSTALLED. LOCATION DATES: 420' OCTOBER 13, 17 do 18, 2006 COMMON AREA INTERIOR AREA: first floor 602 So. Ft. 1 J •r� i I n i b e`�l.� hl ' A F 22 d' A45xd 1 �F 5• Fc"ecj' *k i N. ;• ,54��y lf9 _ *� . p � Q / i Y �`-� ✓/`e "(D6�n/�y%c�u/�� O1a/v(/J��udOQ�ll `M�u BOARD OF BUILDING REGULATIONS License: CONSTRUCTION SUPERVISOR . 4 1 t 092958 y ter, Number CS Expires 10/17/2009 Tr.no: 92958 ', ? 14 {, I SHANE PACHECO r f ' £ 74 GREAT HILL ROAD /�/J ° ir SANDWICH, MA 02563-" commissionert.3a.` Wt TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION —/ Map4. Parcel ( Permit# Health Division! I '.Date Issued L OS Count rvation Division a �� /Z.& /1)Lov �/�/��Y4 QpPlication Fee Tax Collector Permit F6e Treasurer /D Planning Dept. kZ S ,p Z d'4 �o CQNN ED SEWER ACCO UNT Date Definitive Plan Approved by Planning Board , e �C.1 �� Historic-OKH Preservation/Hyannis Project.Street Address S O Village Owner c Eco Address Telephoneo�l V 7 Permit Request 1`o s 3o tdtoo Gone M * w, o ? ! �e e Square feet: 1 st floor: existing proposed 1Sa h 2nd floor: existing proposed Total new 1 Zoning District Flood Plain Groundwater Overlay '-Project Valuation 6,1/9 AV Construction Type N ecJ Lot Size 9?0 tt Grandfathered: ❑Yes ❑No If yes, attach supportiEg,documetion. Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family(#units)__;K_ �Ss AD Z Age of Existing Structure 44 Historic House: ❑Yes ❑No On Old Kings ghway:r,61 Yes ; ❑No Basement Type: AFull ❑Crawl ❑Walkout ❑Other ^' Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full: existing new Half:existing new Number of Bedrooms: existing new Total Room Count(not including baths): existing new �� First Floor Room Count -� r° Heat Type and Fuel: �as. ❑Oil ❑ Electric ❑Other Central Air: )Kes ❑No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑No Detached garage:❑existing ❑new size Pool: ❑existing ❑new size Barn:❑existing ❑new size • Attached garage:❑existing ❑new size Shed:❑existing ❑new size Other: Zoning Board of Appeals Authorization ❑ Appeal# Recorded 0 Commercial 6 Yes ❑No If yes,site plan review# '- Current Use Proposed Use-= • Yw� eL BUILDER INFORMATION �� ) Name Telephone Number 933 - FF 5— Address 9.0 . L L 4.3 License# C'_S o r s 9 'sa a Mo 2 e � Home Improvement Contractor# Worker's Compensation# W e- Zl ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE /�OS/ f - ' 1 FOR OFFICIAL USE ONLY PERMIT INTO. DATE ISSUED MAP/PARCEL NO. ADDRESS VILLAGE OWNER r7 -- } DATE OF INSPECTION: FOUNDATION (V FRAME .' INSULATION _a FIREPLACE ELECTRICAL: ' ROUGH 0 FINAL PLUMBING: ROUGH FINAL 6 GAS: ROUGH M FINAL FINAL BUILDING DATE CLOSEDyOUT` ASSOCIATION PLAN NO. EI` w - - COMMERCIAL BUILDING PERMIT FEES'. 5- _ . . `APPLICATION`FEE`= N.ew Buildings;Additions $150.00-Alterations/Renovations $100.00 -.-Building Permit Amendment . $50.00 ^ FEE VALUE WORKSHEET NEW BUILDINGS C/ C 0 A 31 If-0 square feet$.140 05/sq.foot= ( �`�� -200 x.0,081= 3� 06 . �• � S � S60 Se, F?t��l� ac" ��0� S6B., ALTERATIONS/RENOVATIONS=O_F-E3aSTING SPAgE square feet X$96/sq.foot= X.0081= STORAGE BUILDINGS ONLY -. square.feet X$32.00/sq.foot= X.0081 Commprojcost - Rev:063004 VAT1. BOARD OF BUILDING REGULATIONS License. CONSTRUCTION SUPERVISOR Number CS 065292.. Tr.no: 18792 Expires 03/07/2006 — - Restricted .0 #` r PAUL R DICKEY r r PO BOX 530 OR Acting C -F SAGAME BEACH MA;02562 C mis oner :_ 03/03/2005 09:46 5087786448 HYANNIS FIRE PAGE 01 q i 95 HIGH.SCHOOL RD. EXT. HYANNIS, MA.02601 r rcr.,t 1 HAAdLb S. BAUNELLE, CHIEF � ..,�tib AfY7[ IAAA 00l f1[[ YA.flOf FIRE PREVENTION BUREAU .BUSINESS PHONE:($00)775-.1300 FACSIMILE PHONE:(608)778-6448 J.T.IDONAw it.CHAS114 JIL,CFI LT. ERIC F.JIUBJLE'R,CFI FYRe Il• 'VENII011T OFFICER FJRE PREVF.,,M0r4 OFFJCER BUILDING CODE COMPLIANCE FORM THIS FIRE PREVENTION BUREAU.HAS REVIEWED THE PLANS DATED. (O (f FOR THE PROPERTY. LOCATED AT ALu0 KN.QWN A Q.ibC lua�� . .kA^1)CK'n G'C.�A'J.= t . THE CHART BELOW INDICATES THE STATUS OF OUR REVIEW: ' P :OF,C0W" -.R U�+Ji✓Nf`, WA RECEIVED REVIENIED COMPLIES 3: 1• R 'TI t R ROP'T; ✓ 2i1=I 1E F.GHTII`�Ci'/13 4 1,i A 'C S%' ' - =.3•HY RANI L�7'AT14 ION/WAT0.SUPPLY d SP�INKL R S1S S=SPRINKLER Ci7NTRC?(I`QIJIP.MI' 1T O 8 6TANDaP,,tsE y. riW0 ipe ir�i:v.fr. oc Iciius,; B FIFE R '': aARtM NT 00 N; h i' 9-FIRE 1700TECTLU SYST: 4j - 10-F.P.3.8. &ANNUNCIATOR LOCATION ---- 11-SMOKE CONTROL/EXHAUST' 12-SMOKE CONTROL EQUIP-40CATION 13-LIFE SAFETY sys7'0,P�ATURES 14-FIRE EXTIEVcUI$HIN* SYSTEMS , — 15-F.E.S. CONTROL.EQUIP LOCATION 16-FIAE,PROT00TdQN ROOMS 17-FlAt PROTtOTIoN tGUM-SIGN GE _ 1 B-ALARM TRANSMl$SjON METkO(S' 1.9-SEQUENCI= OF dPEFiATION,REPORT 0 ACCEPTANCE TESING.CR17:ERIA WE BEU VE H 'DO UMENWjr58TING L E AND COMPLIANT FOR THE ISSUANCE OF A BUILDING PERMIT. WE HAVE COMPLETED THEW FOR THE OCCUPANCY.PERMIT AND BELIEVE THAT WITHIN THE SCOPE OF THE BUILDING PERMIT,THE ABOVE ISSUES ARE IN COMPLIANCE_ { NEW COMMERCIAL BUILDING Letter.of Approval from Site Plan Review . If located in OKH or Hyannis Historic District- Certificate of Appropriateness required ❑ If sprinkler system or fire alarm system is required, do not accept application package without prior approval from Fire.Department(phone call or in writing). All sign offs "HYANNIS FIRE PR ,, PREVENTION 1111REt�l!" Health dYANIN- �11ri -E 4EPARTMENT Conservation 35 f la;P '"Oft RD. EXl Tax Collector HYANNIS, MA 0.250 Treasurer ❑ IfPlanning BA relief(Special Permit or Variance is required for project: ❑ Copy of ZBA Decision ❑ Documentation proving the decision was recorded at the Registry of Deeds within one year of ZBA decision date. Correct square footage , LLL I Full Size & I reduced size stamped plans Estimated Cost Owner's name&address Contractor's name, address &telephone number Site Plan Review Number Contractor's signature # Plot Plan Workman's Comp. form. Copy of Insurance Compliance Certificate must be on file. _ ❑ Construction Super's License OR CAControlled Construction Documents ec date -Unrestricted(Not 1G - - _ Road Bond(5-2.1 Zoning Ordinances) - ❑ Application Fee ❑ Permit Fee ($8.10/$1000 of value) Property Owner must sign Property Owner Letter of Permission. g4orms:permitsl k rev.0630044 i , I - DATE(MM-001YYYT) ORD,. CERTIFICATE OF LIABILITY INSURANCE 1012812004 P RODUCER THIS CERTIFICATE IS ISSUED AST PdArfER OF INFORMATION ART IUSURANCE AGENCY, INC. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES N07 AMEND, EXTEND OR 40 N1AlN STREET ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. O BOX 700 1 UZZARDS BAY, MA 02532-0700 INSURERS AFFORDING COVERAGE NAIL C Homes, lnc. FINN�URZR r,ER A: NATIONAL FIRE 8 MaF,LvE_INS CO �Qp Box 1663RERe: GRANITE STAVE INSURAM�:E �I2380°agamore Beach,baA 02562-1563 R_RC _ -s ' - INSURER E: I COV:RAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NA1,1ED ABOVE FOR THE POLICY PERIOC INDICATED.NOTWI'rHSTANDL4 ANY R@QUIRENViT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT cO,rMsH�Y1 U,I,RN IFIC0 MAY BE ISSUED OP. MAY PERTAIN,THE INSURANCE AFFORDED 8Y THE POLICIES DESCRIBED HEREIN IS SUBJEC i TO ALL TH_TER-. , ^' `�HDNS Al 0 CONDITIONS OF SUCH POLICIES.AGGREu'ATE LIMITS SHO'N.y klAY HAVE BEEN REDUCED BY PAID CPOUCY EFFECTIVE+ POLICY EXPIRATION, LIMITS wSR1,A00'U. c• a. a -POLICY NUMBER t i iul t l QAjF I\I I TR an I EACH GCCJ�4R:NC: I S 1 OOO OOQ G£KERAL LIA9IUTY r- 27188�42967-21911 10113/04 jI '10113l05 ,zm'RzttTec Is 50000 P;z-.wSES t':;CC_r6ace, CC".E-I CIAL O EN;:RAL UAS.LITY CLAIMS Ahx ?' =UA Ia C Ex�(.tI,Y aia Car:Cnl s 5.0001. __I_-•- 1 EER !,AOV INJURY S 1 0OO O00 2.000 000 ---— PAOC'JCTIc CoMploP AGG I s 1.000 000 G_N'L AGOR=C•AY LIM AP?LIES PER: PRO. POLIO/ I .T L� L - ' U:.Iti AUTOSO:7ILE LIAS!LITY i 3 ,•a.vE !._...I ANY A7T0 E i y-I;L!_EiY f S SCrtC�_`-DAu_OS - Y.!REGA'JY0S - B;,tn:!IN:LRY II P?C?°FTr1.nAAAGn I= ((Par gCJCGY- AL'CO ONLr-EA ACCIOEI'R S OARAOELIASILITY i� E-kACC S AhYnUTO II �OricONL�I AUiOCNLY' AOC s ISAC HCCC'JRR=NCc ExCE$SIU6IBRELlA LIABILITY { - .. AGGREG.IrI j S OCCUR '❑CWMSMAQE _ S pE O'JCrI6LE i S I RETENTICtl S , ;I A I Y.�S'ATU� ICI?H I - 11 r:CFFICEfVME-%l9=_Fz RKeRS COMPENSATiOH asD WC7681662 0-4l13/Od i I 04113105 E`NCH AxICE4T 1 OO 000 t'L0YER5'W31LITY ANY PROPRIETOR P RYnEH.£XECUTNE 'I E.l C•'aEAS e•EA=IAPLOYE_ S 100000 �tLU _ � .es.ceg rce v CCrE L.CiSEAS 5•?OUCY u!nrt s5 ECIAL vROV'S:OVS aebw I ' I OTHER E . _ CANCELLATION ''�••' I CERTIFICATE HOLDER _ SHOULD ASY OF THE'.A-'OVE D-cSCPJEISO PCLICIE:S BE CANCELLE•_BEFORE TIE EX?IRi•T10`+ DATE THEREOF,THE ISSUNO IVSUFER V"LL E:IDEAb�R 70 MAIL ;O CAYS Y7RITTEN R C HOMES INC NO ICe TC iH_CERTIFICATE HOLDER FAA_D S)THE LEFT,$UT FA LURE TO O0 50 SHALL djb, RIDGEWOOD CUSTOMHOMES I•,EPJSE NO 01LIGAT10 t OR uA^:,_rY C:A"y N:tD UPO'I TH° t >URck, ITi ApENr; o Srr GAM,OKE bEi;CH, IvlA ULO;JL AU7riJ l_LJF:::/.cScN J1J�/•/p :�� p CORPQ�.ATI�Ij .14 ZO 39�d A9d 39NVdnSNI 12IVH 99cL6SL80S 'SG Zi b©0�/8Z/©j . T o wealth of Massachusetts The C mman . Department of IndusHd Accidents` � - _ •0�76eIfs'll��s' • boa Washington Street _ Boston,Mass. . 02111 VsJ n Workers'..Com ensation.Insurance Affidavit-General Businesses won / .•qyl�SEE .::T'`,r,ert'�fpy,•�"jn.. .w• •r'}. �:'.t�• ^ sS1 - / name: •i' +tleaT 17t � • address: - • KA- work site location full address Restaur El I ain.•a sole proprietor and have no one BR ► s'. . rD Retail Sales(including R al Estatq,Autos etc.)' working in any capacity. []I am an ea to er with etn to ees full&' art time: Other ////////%%/%/ / %/%/% %//%h////y//////%%%%%%//////%///%/%%/////%/%/e/s worldn on this'ob.. . l au•qn 19yer,providing Wkers cem�ensat)on for my employ g -� , .•:. '. . . .. '�/��(•':i: �•'��t�' '�'tp ,• �t''r•� %r�•••j•'• t' -r„••�"•l:i:'t ii'r '•ti,l'n :li:.':'':.y`t ''•'':'F`'•v., `t • -��,r• •• •wow•.`:f'�'�'Ti+•i+it{'1.:%•t 't' .3•`' ,i` r -„ " r.l. %gn•`•iieInBs. •'� t •,:- ,ry• •, ,j",:•.!:r,!:r�"• .:ti• ,t .:jar. .•1'•:�i: •. 'dt:::^,•t.'ri .. ... •' COlII .•r:L:t•:g;. ��• it• �N,.. �{f Y• b.. :•ir' ::j:• •'�`•'!t,' � ,: ::�:. .ps l:: ,s '6' .t r 1. :r;' •�.•'••�i�;;.i:•'•• �. • '•a+'•i t'�•rt•1:.� .. ' ; �/�' •.f•it ':••) , °. L,,a+>:' •ri. '::i•�:c,';' :1'",: y:jY 't. o•ti.,:.t:.., �i"^r'4•'.:,:•••: adi�ress. r ; �. ;z• ':i„1:q'i�s. ✓irk; ;.• t: ;:�:, 5r d:,•Xr "�y.• :O:^ ••r . Y i .4v••' { ' "hOTie:##•�'•''' ,fl iJ' 'a• t '-V t/lD' :•y'• '" 'r i •�„5 Ci r .. rt..� :i i, j •i ...t' •t':• C ' .3 a',�r 4:i' • qICX.#� �• t ••a t T am a sole proprietor and-hove hired the independent contractors listed bt low•who have the following workers' .compensation polices: ..t't: '}l:•i.,•idP•�'.,1 .):7%n'�.a•"t%• �l'v� ♦••�-.--.•'" t s ,`, '+ •ra�.,yy:�'... •' T,,.,: •. '. •+- . rig ,,.. •.s .�t.i .',i, ,(t �•!:fr �•x�' '1•. , .. � ,:. it'd:!:i'ry• �.5��;'. r+y�:;fir {��J, •f S.i�r '•/• }� .•• r j r: t •;(:' :'1- ,.-.i'';�,•" •`• Y, •�.t�';., ` ''1..t ';•1•, 0. ,i••';�;•�. •+1:4i r•• •''''•• yt' ' •i. • • L.:•t: t•' `tt• ... ; '; •: '+ 'I ••':` '• ,r.^ti+..rl 1..:• •�i•'r'.:t{'`tt,;i''d:• Z n:r•:,: ,rt: _ .. Cl•:. � •• r••lJ ��?;+ir. :t:�:+��' - •'•l: i, .r •,- •r.? .r. van:.•: •!~, •n p',ii.• :•s•r,:' '' ^ ':i'':f: .i P: .ita.. •^':u•S„ l':; ''i•r•. -V:t I'1{'.': .. .. ';1: •••• •• ii' , r•+, ••a �•:r::.-c•,r1�,�k_r':". �i::'• "r.'••.+:'`:r0•l1C r�� ^ �����///��•: iuisiirance'co. :e•.Y :ra w±.;;s: ,:�• .rt• •.. • '. :., , .. .. ,,.. �•. ;r,•r.l! L.0A �: :t:•' ,' •:'e• r•a1�• •t(•'�.? •:t� V. ,tiil1`,f.!tn•`, ati4• 's ••,i,.� 't•.', �L-•,:. { ../I •�t.: 't•' .+••i�:t•. n^ ''i •.,•�•:'••• P=.j }r'.1. .:tt.•- .a.77•n. .C." coin'gn• Dante r aCdsessl ' .a Y .a0..r•.p. "i•f.:�' r' �Y:t -t:r•'r r .�• �•�:.:�' .. it c a: i'. > •n.• ;.• ::yi:td' .'x•: ,`r;f,:•4:^::,.�{.•' .tv;�; ��•fr.:I.it' '' • w-•rt, e',i•. %,:: i rL ,;t� :.i' .i�,l rtj.,Y1�L, • - !,t7• ,'%.11., •. ..f•'' ::• r.:.it .� :.•S';': tr:i: ',:. S,S -t.�• h011C•. :�a': :r•` - msura "P:S•Oi'!•i4a�("1�'ry-r, �•!%• Y..:r. ".t� r �• .'�� •..• , r;:,:°.'••:.... •.,-r .n.. .: o cove as required under Section 25A of MGL 152 can lead to the imposition of crlmfnal penaYties of Failure t secure rage a fine up to$1,500.00 and/or one yearn'i cu re covee t well as civllpe es is the form of a STOP WORK ORDER and a fine of$100.00 a day against me. I understand that}i copy of this statement. forwarde o the ice o vestigations of the DIA for coverage verification I do hereby eertify'u ain nd 'u at the information provided above is true and corfecd Date Signature ` ,- 1 Phone Print name ` , official we only do not write in this area to be completed by city or town official permincense# ❑Building Department city or town [)Licensing.Board ❑Selectmen's Office Q checkif immediate response is required _ _. (]Health Department , phone#; []Other contact person: (revised Sept 2003) ` fit, _........�- �t�.r..r- -"a ,. ,. �•- - Information and Instructions. Massachusetts General 1 aws-chf pter�152 section 25 requires all employers to provide Workers' compensation fof their. =Vioyees. A.s quoted-from:the `law'., an employee is.defined as every person m the service of another under any contract express or implied; oral or written. _ of hire; exp� , . An emplo};er is defined as an individual,partnership;"association, corporation or other legal entity, or any two or more of the foregoing engaged.in a�joint enterprise, and including the legal representatives of a dtceased,employer, or the`receiver or trustee of an individual,partnership, association or other legal entity, employing employees. 'Howevei.the owner of a dwelling house having not more than three apartments and-who resides therein, or the.occupant bf the.dwelling house of nother who employspe,so�to �•do rnaintenapce, construction or repair work on such dwelling house&on the grounds or a bbuildingng appurtenant thereto shall not because of such employment:be deemed to be an employer. MGL chapter.152 section 25 also-states that'every. state*or local licensing-agency.shill withhold the issuance dr renewal of a license or permit to operate a business or to construct buildings in-the.ctimtnonwealth for any_applicant who has not produced acceptable evidence of compliance with the insurance coverage reiluired: Additionally;neither the' commonwealth nor.any,of its political,-subdivisions shall enter into any contract for the performance of public work.uptir acceptable evidence of compliance*th t o insurance requirements of this chapter have been presented to the contracting,. authority. Applicants a Please f4 is the workers,-conpensatiorr affidavit completely,by checking the-box that applies to your'situation.. Please supply company name, address and phone numbers along with a certificate of insurance as all affidavits may be submitted dustr to the Depaitrierit of Inial Accidents;for confirrnation 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 perm. or:hcense is being requested, not the]Department of`Tndustrial Accidents. Should you have any questions regazdin fihe"law"or if you are required to obtain a:workers.'•compensationpglicy,please call the Department at the number listed•below- City or Towns . Please be sure that the affidavit is complete andprinted legibly. The Department has provided a space at the bottom of the . affidavit for you to fill otit in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fillip the permit/hcense number which w�l be used as a reference number. The.affidavits maybe returned to the Department by.mail or-TAX unless other'arrangements have been made. The Office of Investigations would hike to thank ybu in advance for you cooperation and slioitld you have any questions, please do not hesitate to give us a call. • s address,telephone and fax number: The Department's • • _ . . '• ' The Commonwealth Of Massachusetts Department.of Industrial Accidents office of iaires#iga gns 600 Washington Street ' Boston,Ma. 02111 fax#: (617)727-7749 CONSTRUCTION CONTROL AFFIDAVIT PROJECT LOCATION:: NAME OF PROJECT: Wtop'l D-060 �.6���1/A y14 A),iD SCOPE OF PROJECT: C SL cc:ordance w h ection 1 O of the`Massachusetts State.Building Code,,I, being a registered.professional;engineer/architect hereby certify that have prepared or directly.supervised the preparation or reviewed with responsible care all design (or construction) plans, computations and'specificat ons concerning the above named project.. In those caseswhereinI have reviewed with responsible care the plans, computations and specifications"of other architects and engineers;I have determined, through their certification_ (affidavit/registration) that they are Massachusetts registered professionals qualified to prepare these documents. To the best of my knowledge and belief (and; by.the certification of those registered.,professionals who have prepared certain documents.w►thtn <. theirareas of expertise) these plans, computations and specifications meet,the.applicable provisions of the Massachusetts State Building Code and'all accepted engineeringpractices. I further certify that I.shall perform the necessary professional services,'and be present on the construction site-on a regularand periodic basis to.determine (inspect) that,.generally; the work is proceeding in accordance with"the documents approved for,the building.permit and shall'be responsible for the following as specified in Section 116.2.2 1. Review of shop drawings; samples and other submittals of,the contractor as required AA by the construction contact documents as submittedfor building permit, and apt) OF s for conformance to the design concept :�``�MIC s9 ; . O.Z CELE TUDOR ' 2` Review and approval of the quality control procedures for all code-required'c) No,34774Cn controlled materials. sTRucTUFw� r QS 9FGISTrcP� 3 Be present at intervals appropriate to the:stage of construction to become;.genet �otvA�� familiar with the progress arid quality,of the:work and to determine, in general;,if t�i�►�T��� .%vork.is being performed in,a manner consistent.with the construction.documents At the completion of the constriction; I shall`aubmit to the building official a report as to zhe satisfactory completioni ai d the;readin ss of the project foroccupancy (exce'pti no,any items not: endargenngsuch occupancy and listing pertinent deviations from the approved building,permtt document):. Signatur ` isciplineBranch G ` Subscribed and sworn to be re me this.,t?6y`of 2 . s t , _A I _ado N_ Tt�RY P.LTI My comm.iss!on,Cxptres.or, .. - Pr PROPOSED CONDOMINIUM BUILDING September 14.2004 525 MAIN ST.,HYANNIS,MA GENERAL NOTES AND MATERIAL SPECIFICATIONS:FRAMING 1.All workmanship to conform to the requirements of the Massachusetts State Building Code,latest edition.All nailing shall be in accordance with Appendix,C,unless noted herein specifically 2.Timber Framing: ;' a.All new timber framing:,Spruce-Pine-Fir No.2 with Fb=I OUOpsi,E 1300;000 psi,or better: b.Pressure treated timber(P.T.):Southern Pine with Fb=1300 psi,E=1,600,000 psi,or better. - c.Laminated Veneer Lumber:All L.V.L.shall be .: ;.P.MICRO-LAM.L.V.L.(M.L.)with Fb-2925 psi E=2,000 ksi;Fv=285 psi,Fc_per=750 psi;Fc_par=3035:ps. d.Parallam(PSL):All PSL shall be 2.0E ES with Fb=2900 psi,E=2;000 ksi,Fv=290 psi,Fc_per=750'psi,Fc_par=2900.pst 3.Metal Connectors: - As manufactured by Simpson Strong-Tie Co shall be handled and installed per manufacturer requirements,with all nail holes filled,with the size nail as specified herein 4:Bolts`: Boats in wood framing-shall be standard machine bolts unless noted othec�vise.Bolt holes in wood shall be 1/32"larger than bolt diameter.Bolt heads and nuts shall bear on standard malleable iron washers,or square plate washers All nuts shall be retightened at completion of job. 5:Pre-manufactu d Wood Trusses:shall be designed by re the'manufacturer,including all bridging]lateral bracing,end nailing etc.,to account for all direction and combination of load,=in accordance with the Massachusetts State Building Code 6:Structural Design Loads: Dead Loads:Weight-of Building Components Note- bottom chord to carry sprinklers. Live Load:.Snow Load 25 psf plus drift Wind Load=21 psf 7.Blocking: a.Blocking shall be solid blocking,2x minimum and full depth of member blocking at 8'-0"o.c.;maximum. b.Stud Walls:provide s c.Cross Bridging:Provide 2x solid blocking.Rows of cross bridging shall not exceed 8'4 o c. ` d.Nailing Scheduler Solid Blocking to Bearing 2-8d toenails ea.side Solid Blocking to Trusses 2=8d toenails ea.side,each end 3 Blocking Between Studs `2-10d toenails ea:end,or 2-16d end-nails ea.end tion;spaced at 8'-0"o.c.maximum: tru "Locate at Wass panel points,and nail.to 8.Cross Bridging:For lateral support during constric ,unless substantiated by truss manufacturer. top member of cross bridging } 9.Nailing Schedule ; Multiple Studs 16d @ 12"staggered Lower top plate.to to.studs See Schedule Upper,top plate to lower top plate° See Schedule Splices(staggerc�)Up plates See Splice Detail(not required;-'use one piece contumous plates) a:All nails shall be common wire nails:: . b.Sub-bore where nails tend to split wood. , PLYWOOD ROOF SHEATHING BOUNDARY PLYWOOD _'. a INTERMEDIATE SIIEATFIING NAZI,1NCr EDGE NAILING NAILING ' REMARI{S 5/8 CDX STRUCT II _8d @ 6"O.C' 8d @ 6"O C AAA 9d,@ 10 O.C. UNBLOCKED .00F Mgss�a 90yG TU0OR T o -No.34774 cn 0gTRUCT,URAL r. w n'FGISTEP�Ca'a IoNXL t TIM Hyannis Main Street Waterfront • Historic District.Commission > � ' -- WAM Y "230 South Street Hyannis,Massachusetts 02601. TEL:,508-862-4665/FAX: 508-862-4725 Application to Hyannis Main Street Waterfront Historic District Commission in the Town,of Barnstable for a CERTIFICATE OF APPROPRIATENESS Gmade .m tri locate;for the issuance of a:Certifcate of Appropri teness Application is hereby p under M. G_ L. Chapter 40C; The Historic Districts Act for proposed work as described below and on.'plans, drawings or photographs accompanying this application for PLEASE CHECK ALL CATEGORIES THAT APPLY. 1. Exterior Building Construction [ New Building ❑ Addition" ❑ Alterationtf fs Indicate type oI builQing: (] House ❑-Garage r Conmercia! Cu&2r• t IT ra�irncnt v :Yr' 2. Exterior Painting: ❑ V*tea 05z) �! 3. Signs or Billboards: ❑. New sign.: El Existing sign ❑ Repainting existing sign Felice ❑ 7al ❑ z, g-Q rl ntuer 5. Parking Lot: [ ''New Building ❑ .Addition :. ❑ Alteration,.,, (Please see the guidelines for explanation and requirements) • L�(963 R PRINT.LEGIBLY.bDATEf 1 TYPE O t : ASSESSOR'S MAP NO. . Jam'O ASSESSOR'S LOT NO. APPLICANT TEL.N& /'Ap C C cv + ,J APPLICANT MAILING ADDRESS 74 �>R� H I� SA�DW)did .,Mk Oa/E. r' c� ' ADDRESS OF PROPOSEDVORK � l ' 500 5T1��� ��. PROPERTY-OWNER EC . TEL NO. r OWNER MAILING ADDRESS 7 GRF_f3r ifiLL o FULL NAMES AND MAILING ADDRESSES OF ABUTTING OWNERS. Include nine of adjacent C Pr owners.across any public street or-'way. This information is best obtained at the Town - Assessor's Office; (Attach additional sheet if necessary). _ Y AGENT CONTRACTOR�Cr�/ J TEI--=NO ADDRESS (JI� �}) ..Si.� ;©5J�fn�t`GS� s DETAILED DESCRIPTION OF PROPOSED.WORK_ Give all particulars of work to,be done; including detailed data'on. such architectural features as foundation,chimney, siding,roofing,roof pitch, sash and doors,window and door frames,trim,gutters= leaders,roofing and paint color,including materials to.be.used,if specifications do not.accompany plans, In the case of signs, give locations ;.of existing,signs. and:proposed locations of new signs. (Attach , additional sheet,if necessary). . �.. r . f. Signed Owner-ContractoG— gerit, SPACE BELOW,,LINE,FOR'COA MISSION USE Received by HMSWHDC` ,.Date ' b a . Time This Certificate is herebySq 1 Dafe' By V. Si IMPORTANT:If thzsCertificate is,'approved,.appzoval is subject to the 2 y app a r\ded,in the Ordinance. CONDITIONS OF APPROVAL: [ .. 2 'x: - t HYANNIS MAIN STREET4' MMI WATERFRONT HISTORIC DISTRICT COMMISSION r ***SPECIFICATION SHEET'*** ADD RESS OF PROPOSED WORK `^ x. S00714- . 511REEF FOUNDATION * SIDING TYPEmg �'JIh(iOf}t21� COLOR' C�lEY TYPE COLOR`' f ROOF MATERIAL rts�f r LI r k (AM*�DY� COLOR PITCH n COLOR IrE WINDOW TRIM COLOR DOORS. (..r7'S-S COLOR 3 SHUTTERS L ( GUTTERS DECK + . COLOR GARAGE DOORS ." t S: Fill:out completely,`including measurements.and materials/colors to be used co ies °` .NOTE Three conies of this:form are required for submittal of an application;along With three p each of the plot plan,landscape plan and elevation plans,when applicable..The Plot plan need not be"Certified.",but should show all structures on the lot to scale , _ t r r - �pFlHerpw Town of Barnstable ti Engineering Division ' BAR,STAB`E• ' 367Main,Street, Hyannis MA 02601 9 MASS. �p 1639• pTED Mpy A s•s Office: 508-862-4088 Robert A. Burgmann,P.E. Fax: 508-8624711 Town Engineer - Towu ofBarnstable's Road Opening Permit (AX A.Curb-cut) Requirements NOTE:Road Open permits are required for any.ekcavation or construction within a. Town of Barnstable accepted right-of-way. This includes work performed on properties addressed for private roads but abutting town accepted roads where the work is to be performed within the town right-of-way. Permit(s) are also required for work performed in the shoulders of the road within the town's accepted right-of-way:�A road opening__ Perm it application-is the town's"Dig Safe"notification to identify town sewer and ... drainage structures.Failure to obtain the proper permits may result in'a fine:of$200 00 and every,day may constitute a separate offense. 3 License Requirements: Permits will only be issued.to a contractor who obtains the proper licensing from the Engineering Division: A:license.may be applied for to the Town Engineer on the ' appropriate application form. The applicant must provide a copy of their certificate of insurance-as outlined in Ihe street excavation rules and regulations (see attached). The current fee for licensing i one time fee of$50.00. The licensed contractor must submit. annual verification-of sufficient current insurance coverage to obtain road-opening. permits.Upon review'and approval of the submitted application,insurance statement and 1. fee(s), the Town Engineer will review and sign the,appropriate license which will be.,,,,. submitted.to the applicant along,with a current list of private roads and Town`of Barnstable standards for excavation within town`right-of-ways:A current list of licensed . contractors is available from the Engineering Division. Permit Requirements Permits must be.applied for,by licensed contractors. The Town Engineer may waive this requirement at his discretion if the work is being performed by the:homeowner:,_The fee for the permit.is currently$160.00. An additional.fee of$2.50 per square foot may be billed to the contractor for any:pavement removal. This fee provides for,infraied sealing of the patch to the original pavement, which will be performed by the Town of Barnstable within 18'months of the.excavation. The permanent patching of the road;pavement is the ' requirement of the contractor. Note:,No cutting of the pavement is allowed as defined on the permit application unless specific approval is.given by the Town Engineer. The Perm it application must be submitted completed with the required drawings indicating the ' .: limit of the construction/excavation along with the required fee(s).Notice and fee(s).will , . be retrrned`to the applicant should it be deterrrrined that a permit iS'not required: This statement is not intended to supercede*or contradict current road open permit requirements. r Hyannis Main Street Waterfront Historic District Commission 230 South Street 16,39. Hyannis,Massachusetts 02601 TEL: 508-862-4665/FAX: 508-862-4725. Application to Hyannis Main Street Waterfront Historic District Commission in the Town of Bamstable for a ;. CERTIFICATE OF APPROPRIATENESS Application is hereby made, in triplicate,for the issuance of a Certificate of Appropriateness ` under M. G. L. Chapter 40C, The Historic Districts Act for proposed worts as described below and on plans, drawings or photographs accompanying this application for: PLEASE CHECK ALL CATEGORIES THAT APPLY: 1. Exterior Building.Construction: ErNew Building Elddition El Alteration 0lIndicate type of building: 0 House ❑ Garage Commercial ' Ot,�er ,.�.�Kt ry irni?i„ •v �- 2. Exterior Painting: ❑ (6-ged use-) w 3. Signs or Billboards: [I New sign ❑ Existing sign ❑ Repainting existing sign =' 4�. Structure: ❑ Fence El Wall El Flagpole ❑ O*—el 5. Parking Lot: &rNew Building ❑ Addition ❑ Alteration (Please see the guidelines for explanation and requirements) TYPE OR PRINT LEGIBLY DATE ASSESSOR'S MAP NO. -O ASSESSOR'S LOT NO. �cP APPLICANT Si+ftPE TEL.NO. �03-30'��/�� A Inn C cv t'-1 APPLICANT MAILING ADDRESS 7q G� ILL � S1�l�W j ty► mk 0al``(� i. co ADDRESS OF PROPOSED WORK ��1 500Tff 5T)l Sir PROPERTY OWNER 5ONE L.NO. /'r 3l�1'�'I�ILa K OWNER MAILING ADDRESS 1 (7RE�T l�'/LL 12 SfIN�W I C1�, rI� D 6.3 Ca - _ o FULL NAMES AND MAILING ADDRESSES OF ABUTTING OWNERS. Include name of adjacent C property.owners across any public street or way. This information is best obtained at the Town Assessor's Office. (Attach additional sheet if necessary). _ c r AGENT CONTRACTOR�fr�/E t NOL1 �P1; TEL.NO. � -" ! `P3/ Q ADDRESS 3R M410 51, , ©S RZWEA# 026 r DETAILED DESCRIPTION OF PROPOSED WORK: Give all particulars of work to be done, including detailed data on such architectural features as: foundation,chimney, siding,roofing,roof pitch,sash and doors,window and door frames, trim, gutters- leaders,roofing and paint color,including materials to be used,if specifications do not accompany plans. In the case of signs, give locations of existing signs and proposed locations of new signs_ (Attach additional sheet,if necessary). 5� 1MRCHE-> leiFI C4TioN 57#&6i Signed Owner-Contracto -:Ag:ent�) SPACE BELOW LINE FOR CONOUSSION USE Received by HMSWHDC Date Time This Certificate is hereby rmlf By Date Si MTORTANT:If this Certificate is approved,approval is subject to the 2 app a rovided in the Ordinance. CONDITIONS OF APPROVAL: f , e HYANNLS MAIN STREET WATERFRONT HISTORIC DISTRICT COMMISSION *** SPECIFICATION SHEET*** ADDRESS OF PROPOSED WORK FOUNDATION 41 SIDING TYPE ('1 aPf COLOR CIRINEY TYPE — COLOR R OOF MATERIAL S? Ll )I� CA�lt 9,4 COLOR � PIT L l D WINDOW AN-P fZSON COLOR TRIM COLO DOORS less COLOR SHUTTERS 13L GUTTERsN'ITE - DECK GARAGE DOORS COLOR NOTES: Fill out completely, including measurements and materials/colors to be used. Three copies of this form are required for submittal of an application,along with three copies each of the plot plan,landscape plan and elevation plans,when applicable.The Plot plan need not be"Certified",but should show all structures on the lot to scale. L r 10/07/2004 14:13 5088338866 RC HOMES PAGE 02/02 Town of Barnstable Regulatory Services T oumw E.C#eners Director * ' a BuNing DxTfAou - To=Perry, Budding Com=hdoner Zoo Main Street Xycmb.MA 02601 Office: 508.8d-4 38 Fax; 508 790-6230 Property Owner Must ' Complete and Sign This Section If Using A Buil der acrh�eo as.4oaaear of the.subjectpato?e#g ..•- . hereby thotite .C. "n'e� •::.:,..'��..to;actoaidaybehi4. }n all ers i:elati�e to arork authoide by dais b4d4pe tz*•appRaLiovfor. ds ou`1� � (Achttess of Job) e of owneex ]date C zell Print ame oft►+E rw,, Town of Barnstable • �' Regulatory Services * suuvsrnaLe, 9� nsass. g, Thomas F.Geiler,Director 1639. ♦� A Building Division Tom Perry. Building Commissioner 200 Main Street,Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 August 15, 2003 Shane Pacheco 74 Great Hill Road Sandwich, MA 02563 Re: SPR 057-03 Pacheco, 525 South Street, Hyannis (R308-162) Proposal: Construct new 3-story mixed-use (retail/residential) building Dear Mr. Pacheco: Please be advised that the plan dated May 7, 2003, entitled 525 South _Street, Hyannis, Massachusetts, prepared for Shane Pacheco, 74 Great Hill Road, Sandwich, Ma 02563, Phone (508)-364-2456, Title, Layout and Dimension Plan, consisting of 6 pages, numbered C-1 — C-6. and drawn by Baxter, Nye & Holmgren, Inc. with revision dates of 7/15/03, SPR comments, 7/24/03 & 7/31/03, SPR comments was reviewed administratively on August 14, 2003 and found to be approvable. This project has been referred to the Board of Appeals for the following issues: • Deficient on-site parking (15 spaces required, 14 provided) • Parking in a residential zone, A signed copy of the plan remains on file in the Building Division. erely, Robin C. iangregorio Zoning & Site Plan Review Coordinator R - S � a F y ` ® y F ' �1%T , C6mpany veDate: October 12, 2004 y y estern ure y " LICENSE AND PERMIT BOND F i KNOW ALL PERSONS BY THESE PRESENTS: Bond No. 69794929 That we, R.C. Homes, Inc. F F y F of the city of Sagamor,e Beach State of Massachusetts as Principal, and WESTERN SURETY COMPANY; a corporation duly licensed to do surety business in the State of Massachusetts as Surety, are held and firmly bound unto the Town of Barnstable State of Massachusetts ; as Obligee, in the-penal sum of Ten Thousand and 00/100 - DOLLARS ( $10, 000.00 lawful money of the United States, to be paid to the Obligee, for which payment well and truly to be made, we bind ourselves and our legal representatives, firmly by these presents. ` THE CONDITION OF THE ABOVE OBLIGATION IS SUCH, That whereas„the Principal has been licensed Street Permit Town of Barnstable' by the Obligee. NOW THEREFORE, if the Principal shall faithfully perform the duties and in all things comply`with the laws and ordinances, including all amendments thereto, pertaining to the ,license or permit sapplied. for, then this obligation to be void, otherwise to remain in full force and effect until October 12th 2005 unless renewed by Continuation Certificate. This bond may be terminated at any time by the Surety upon sending notice in writing, by First Class U.S. Mail, to the Obligee and to the Principal at the address last known to the Surety, and at the expiration of t ys from the mailing of said notice, this bond shall ipso,facto terminate and the Surety shgJRbex'eupon " ieved from.any liability for any acts or omissions of the Principal subsequent,to said date°Ieades oe number of years this bond shall.continue in force, the number of claims made aga n t this bon`c Ad the number of premiums which shall be payable or paid- the Surety's total limit of lig"ty all not be emulative from year to year or period to period, and in no event shall the Surety's total u liltu�oa caixsexceed the amount set forth above. Any revision of the bond amount shall not be y . C;3�'94 61646048 . G Dated this 12th day of October 2004 n a R.C. HpME " BY F rp Principal F F Principal y " Countersigned (wh re req re WEST S T E S U R E T COMPANY M P A N Y y n y 6 - a si n ' n BY BY ' Resident Agent Paul Z.Brufflat, Se for Vice President " Form 532-5-2002 y r .01 r• ACKNOWLEDGMENT OF SURETY STATE OF SOUTH DAKOTA ss (Corporate Officer) COUNTY OF MINNEHAHA On t yis day of. {October 2004 4 , ';before.,me, the undersigned officer, personally appeared Paul T.Bruflat who acknowledged himself to be the aforesaid officer of WESTERN SURETY COMPANY, a-corporation, and that he as such'officer,being authorized so to do, executed the foregoing instrument for the purposes'therein contained,"by signing the name of the corporation by himself as such officer. IN WITNESS WHEREOF,I have hereunto set my hand and official seal. }44 Sb4b4SSb4444b4bb444444} d D. KRELL i SEAL NOTARY PUBLIC SEAL s f�SOUTH DAKOTAs Notary Public—South Dakota }4b44444b4S4 S44S4S444S4S} , My Commission Expires November 30,2006 ACKNOWLEDGMENT OF PRINCIPAL l (Individual or Partners) STATE 0F ------------ —.—..- --J ss COUNTY OF On this day of before me personally appeared known to me to be the individual described in and who executed the foregoing instrument and acknowledged to me that he executed the same. My commission expires Notary Public _.. ACKNOWLEDGMENT OF PRINCIPAL STATE OF (Corporate Officer) COUNTY OF ss On this } day of — before me personally appeared who acknowledged himself/herself to be the of a corporation, and that he/she as such officer being authorized so to do, executed the foregoing instrument for the purposes therein contained by signing the name of the corporation by himself/herself as such officer. My commission expires Notary Public E4 O Uo z a z 0 aY yr :ry a -� y W �. C 0 w � � r Coq � � Town of Barnstable Building Department - .200 Main Street RUMSTABLE. = H ya n nis, MA 02601 9� MASS. (508) 862-4038 s639. Argo�a icate fOccupancyCertif o Application Number: 83969 CO Number: 20080046 A Parcel ID: 308162 CO Issue Date: 03107108 I Location: 525 SOUTH STREET r Zoning Classification: HYANNIS VILLAGE BUSINESS DIST 1 Village: HYANNIS Gen Contractor: PACHECO, SHANE Permit Type: CC00 CERTIFICATE OF OCCUPANCY COMM Comments: FOR UNIT R 4 Building Department Signature Date Signed "r VE,� , TOWN OF BARN STABLE ti Building �► Application Ref: 83969 BARNSTABLE; Issue Date: OS/06/05 Permit 9 MASS s639. Applicant: SOULE JEREMY Permit Number: 83969 ; Proposed Use: COMMERCIALLY ZONED DEV LAND Expiration Date: E cation 525 SOUTH STREET Zoning District HVB Permit Type: NEW SINGLE FAMILY HOME Map Parcel 308162 Permit Fee$ 1,261.40 Contractor PACHECO, SHANE_ Village HYANNIS App Fee$ 25.00 License Num Est.Construction Cost$ 152,640 Remarks APPROVED PLANS MUST BE RETAINED ON JOB AND 1 CONDO OVER RETAIL STORES-4 CONDOS TOTAL THIS CARD MUST BE KEPT POSTED UNTIL FINAL CHANGE OF CONTRACTOR 1/30/07 INSPECTION HAS BEEN MADE. WHERE A CERTIFICATE OF OCCUPANCY IS REQUIRED,SUCH Owner on Record: PACHECO, SHANE M BUILDING SHALL NOT BE OCCUPIED UNTIL A FINAL Address: 309 BISHOPS TERR INSPECTION HAS BEEN MADE. HYANNIS, MA 02601 Application Entered by: Building Permit Issued By: ,THIS PERMIT CONVEYS NO,RIGHT TO"OCCUPY ANY STREET,ALLY,OR SIDEWALK OR ANY PART:THEREOF,EITHER TEMPORARILY-OR PERMANENTLY. ENCROACHEMENTS'ON PUBLIC PROPERTY;NOT SPECIFICALLY PERMITTED UNDER THE BUILDING CODE,MUST BE APPROVED BY THE JURISDICTION. STREET ORALLY.GRADES AS WELL AS DEPTH AND,LOCATION OF PUBLIC SEWERS MAY BE OBTAINED FROM THE DEPARTMENT,OF PUBLIC WORKS. THEISSUANCE OF THIS PERMIT DOES NOT RELEASE THE APPLICANT,FROM-THE CONDITIONS`OF ANY APPLICABLE SUBDIVISIONRESTRICTIONS y , MINIMUM OF FOUR CALL INSPECTIONS REQUIRED FOR ALL CONTSTRUCTION WORK: 1.FOUNDATION OR FOOTINGS. 2.ALL FIREPLACES MUST BE INSPECTED AT THE THROAT LEVEL BEFORE FIRST FLUE LINING IS INSTALLED. 3.WIRING&PLUMBING INSPECTIONS TO BE COMPLETED PRIOR TO FRAME INSPECTION. 4.PRIOR TO COVERING STRUCTURAL MEMBERS(READY TO LATH). - 5.INSULATION. 6.FINAL INSPECTION BEFORE OCCUPANCY. WHERE APPLICABLE,SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL,PLUMBING AND MECHANICAL INSTALLATIONS. WORK SHALL NOT PROCEED UNTIL THE INSPECTOR HAS APPROVED THE VARIOUS STAGES OF CONSTRUCTION. PERMIT WILL BECOME NULL AND VOID IF CONSTRUCTION WORK IS NOT STARTED WITHIN SIX MONTHS OF DATE THE PERMIT IS ISSUED AS NOTED ABOVE. PERSONS CONTRACTING WITH UNREGISTERED.CONTRACTORS DO NOT HAVE ACCESS TO GUARANTY FUND(as set forth in MGL c.142A). f. 3 ® • �J @ rt r a BUILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS od ;7 1 `off�J 7 2 $�rcSv of� =rs� 2pbLt 2 -� �l a �� 3 e-1 t� C(C 1 Heating Inspection Approvals Engineering Dept Fire Dept A 2 ,' ,,,� ( ��� Board of Heal I MICHELE CUDILO, P.E. Consulting Structural Engineer 123 Cottonwood Lane•Centerville,Massachusetts 02632-1979•(508)771-7601 •Fax(508)771-7163 meudilo@comcast.net December 26,2007 Town of Barnstable Building Department 200 Main St. Hyannis,MA 02601 Attention: Mr.Thomas Perry Building Commissioner RE: Proposed Condominium Building 525 South St.,Hyannis,MA Shane Pacheco,Owner Dear Mr.Perry, Please note that the rough frame construction was completed acceptably prior to the issuance of the Affidavit for controlled construction previously filed with your office. Presently,with the passed inspections provided by your office(s)for the architectural,finish,HVAC,fire suppression,etc.the project is`in final completion and safe for occupancy. Elevator construction addenda are provided by this office and submitted by the Owner. The installation of the two- stop elevator system was given a three month completion time frame by you,which will be April 1,2008,taking into account the present holiday season. Sincerely, P/2004ichele Cudilo,P.E.-158 cc: S.Pacheco a��yTH oFA,gss o CUDILprn s NO. 3477q STRUCTURAL u, o/srER� �Q p�AL Fes\ No - f01 R } �,, & 0� MICHELE CUDILO j,0,T12vs-C/ ° No.34774 STRUCTURAL ,, � -15r VAZbL_ If i f 4ro C_UT Its STUD, ,.AS: , i J - t PtT. LADD�CZ R '9 � u a� Il _.o cs tv 2'w it PROPOSED ELEVATOR SHAFT' MICHELE CUDILO, P.E. Consulting Structural Engineer 123 Cottonwood Lane, Centerville, Massachusetts 02632 Drawn By: MC Date: c_'>j 1O P707 Drawing 525 SOUTH STREET Scale:I AS INOTED Rev. 0 / kk HYANNIS, MA K_ File Nome:PACHECO Project No.:2004-158 1� vt -(O NAAAt A LP�A64 WAY9,0fi7- - - . u �2 3" cu . /'77- 1,777 /yi \ �� �T ` 1P7lotilA L= tn// TVI_}�/Loo1f "P�11 �Iz=Pc ---- �5- ,o NAU 5 To 'br-- gk/ILT rD_ OL Sa - - OF►1 n ly ►AICHELEell < 1 6 o N0.34774 S-TRUCTURALI J�nTl." :A-F_�,vtip . bAGei�, ot. _C °t J SUS A-`rtiP 64 DP --Dwla's: rz sow, 4-zl -o(- c')D 3., ►t�' -�►�1.4 �`T �.. ._..-�,1�V�/ P�II,I 'r s`rcL 4, I rt 's F o I 1,4 A,ft:en) PROPOSED ELEVATOR SHAFT" MICHELE 'CUDILO, P.E. Consulting Structural Engineer 123 Cottonwood Lane, Centerville, Massachusetts 02632 Drawn By: MC Date:�3 /p /07 Drawing 525 SOUTH STREET 3 = ! - " Scale: S NO D Rev. p S K HYANNIS, MA File Name:PACHECO Project No.:2004-158 3`=� F L PEA HF6i R p F- ZH OF k4Ss9 O MICHELE ties CUDILO �� O No.34774 u U NDT�S= STRUCTURAL 1�-sT-0&-F f-AL 5T�L; A�Yf C A1g2 �� (�y=5ok ) �G1s�a�°,a�� SS � 2- LAC(4 �p vc/S; A�5P A 30? 7 ONAL PROPOSED ELEVATOR SHAFT - MICHELE CUDILO, P.E. - Consulting Structural Engineer 123 Cottonwood Lane, Centerville, Massachusetts 02632 Drawn By: MC Date: � /1 3/07 Drawing 525 SOUTH STREET Scale: AS NOTED Rev. p HYANNIS, MA _ 3 File Nome:PACHECO Project No.:2004-158 t [Q`e7 SN OF MA.8 MICHELE ; Z DILO No.34774 STRUCTURAL ; w (21 gGIST l5c- '1 RfirIS1 / IONA _lZ 7j .il'L'`�x 7�'`I'"- I��✓� L3 t� 1�✓�U�-I►��T1���D l h•i SE R-T� �St_ P L_9,�� C'0?- `"/lam►`Iz"� C T`(�) �C/9LL5 , l'/Z x q`�4 .1,:5.� . �-IMt�S7t4trlU 1.6L a�I�k�0 x I FACE tit l..- of- PL04- 1-0 (c vr) STU.M - - u OA:_S(U�S I - .S�' :4`(P.FAD•.T�(P `X _� u 4 A ', i 1%x I V It `, P , o PROPOSED ELEVATOR SHAFT MICHELE CUDILO, P.E. Consulting Structural Engineer 123 Cottonwood Lane, Centerville, Massachusetts 02632 Drawn By: MC Date: V07 Drawing 525 SOUTH STREET Scale: AS-N T D Rev. 0 HYANNIS, MA S K— 4- File Nome:PACHECO Project No.:2004-158 _ h s GENERAL NOTES AND MATERIAL:SPECIFICATIONS: t FOL JNDATIONS 1.All workmanship to conform to the requirements of the Massachusetts State Building Code,latest edition. 2. For site location and grading information,see Site Plan,by others. Work this plan with architectural plans by others. 3. Assumed net allowable soil bearing capacity,q=3500 psf,for a compacted medium sand/gravel composition. Other soils encountered,contact the Engineer of Record. Compact backfill soils around perimeter with a vibratory compactor. Add sand/gravel mix,as required during compaction to provide final grade. 4. Concrete- Minimum 28 day strength,f c=3000 psi,3/4"aggregate,designed per American Concrete Institute Code,latest issue,maximum slump=4". a.) Steel reinforcing bars: new billet steel,ASTM A-015,Grade 60. Provide 2#5 perimeter ring at top of wall,max.2"clear. b.) Anchor bolts ASTM A307 galvanized, 5/8"diameter, 12"long,w/2-1/2"hook,spaced at 4'-0"o/c max.,max. F-0"from jogs unless otherwise noted. - c.) Welded Wire Fabric:(optional)ASTM A185;furnish flat sheets. Install in top 1"of slabs-on-grade for temperature/shrinkage crack control FRAMING 1.All workmanship to conform to the requirements of the Massachusetts State Building Code,latest edition. 2.Structural Design L.WW& • Dead Loads:Actual Weight of Building Components Live Loads:Snow Load=25 psf plus drift 2ND Floor=40 psf I ST Floor = 40 psf Wind Load=21 psf 3. Structural Steel: (as required) a. ASTM A572 Grade 50;shop paint with rust inhibitive paint.Thru-Bolts: ASTM A307, 1/2"diameter,punched holes in plates:9/16"diameter. b. Welds: Shop weld cap and base plates to columns;shop weld bearing plates to beams;use E70xx electrodes. Alternatively,field weld by certified welders. c. Deflection Criteria: U360 total load deflection. 4.Timber Framing: a.All new timber framing:Spruce-Pine-Fir No.2 withFb=1000psi,E=1,300,000 psi,or better. b.Pressure treated timber(P.T.):Southern Pine with Fb=1300 psi,E=1,600,000 psi,or better. c.Laminated Veneer Lumber:All L:V.L.shall be MICRO=LAM L.V.L.(M.L.)with Fb=2925 psi, E=1,900 ksi,Fv=285 psi,Fc_per=750 psi,Fc__par=3035 psi. Parallam(PSL):All PSL shall be 1.9E ES with Fb=2900 psi,E=2,000 ksi,Fv=290 psi,Fc_per=750 psi,Fc_par=2900 psi. Note that MicroLam and Parallam may be used interchangeably. l. Deflection Criteria: U480 Live Load,L/360 Total Load 2. Optional: Provide shop drawing submittal of engineered lumber systems for approval prior to materials purchasing. 3.Metal Connectors: As manufactured by Simpson Strong-Tie Co.shall be handled and installed per manufacturer requirements,with all nail holes filled,with the size nail as specified herein. 4 Bolts: Bolts in wood framing shall be standard machine bolts unless noted otherwise.Bolt holes in wood shall be 1/32"larger than ` bolt diameter.Bolt heads and nuts shall bear on standard malleable iron washers,or square plate washers.All nuts shall be retightened at completion of job. 5.Blacking: a.Blocking shall be solid blocking,2x minimum,and full depth of member.. b.Stud Walls:provide blocking at 8'-0"o/c,maximum height. c.Nailina Schedule- Solid Blocking to Bearing 2-8d toenails ea.side Blocking Between Studs 2-10d toenails ea.end,or 2-16d end-nails ea.end 6.Nail�in Schetdule: . All nailing shall be in accordance with Appendix C,unless noted herein specifically. Multiple Studs 16d @ 12"staggered a.All nails shall be common wire nails. b.Sub-bore where;nails tend to split wood. 7. Headers less than 4'-0",use 2;2x6;all others per MA State Building Code Table 3606.2.6. �N OF'+lq gl Cyti " CUDILO No.34774 s U STRUCTURAL 9FGISTEP�.\�� Z PROPOSED'ELEVATOR SHAFT MICHELE CUDILO, P.E. Consulting Structural Engineer 123 Cottonwood Lane, Centerville, Massachusetts 02632 Drawn By: MC Dote: 12/19i07� D r awi n g 525 SOUTH STREET Scale: AS NOTED Rev. p HYANNIS, MA _S K_ 5 File Nome:PACHECO Project No.:2004-158 12/19/2007 02:59 Michele Cudilo, PE NO.033 02 CC MAVrr PROJECT LOCATION: Q NAME OF PROJECT: MA PROTECT NO: SCOPE OF PROJECT: ,. T I submit that our office has performed the follow- ing professional services,as odiffea in Ma,43achuseett State Building Code Section 116.22 and as related to the ovc- tural portions of the work: I. Reviewed for conformance to the design concept,shop drawings,samples and other submittals which are submitted by the contractor in accordance with the requiremeata of the con documents. 2. Reviewed and approved the quality control procedures for all code-required controlled materials. 3. Been present at intervals appropriate to the stage of counction,ad complexity of the project,to become gently familiar with the progress And quality of the work,and determine to the extent practical and pos- sible the work was being performed in a manner consistent with the structtnl construction documents. To the best of our information,knowledge,and belief,the s>ructttral work has been satisfactorily completed in substan. tial compliance with the intent of the contraction documents. � f Signature: Massach won No. Our obe rvidons during site visits do not relieve the Coaftcta er in sebwatracton of dtdr reapondbilides and obligations for 9wlity cooaol of the work,for any design work which h mcladed ht their mope of services U.C.desip delegadon),and for full wntptiaaroe with the requhementa of the Consbuction Documents ad applicable building codes. Fntthermore,ffie detection of,or the t>rilure to detect,d4deneiea of defects hi dw wotk daring our sire viiaib do"not rdlwe the Coaaector or their subcounmrs of their respoasib0lry to correct so daildwe"or defects,wheher detected or w detcdK in NO pasta of the work,and to otherwise aomplY wilt all mqukune n of the Con*ucdon Doepmeats. Subscribed grid sworn to before me this I st- day of*A0LrLA r Y P MY CMMSSION E7CPMM ON v Bowdoin Road Mashpee, MA 02649 OFFICE COPY B 0 Lo Mailing Address: P.O. Box V, Osterville, MA 02655 ORDER (508)477-3132 (800)834-3132 LUMBER COMPANY FAX (508)477-4279 www.botellolumber.com S SIP zoD O r PACHECO, SHANE M. PACHECO, SHANE M. 663251 000 143 HAYES ROAD 525 SOUTH STREET SNV.:'70. ORDER 127001 CENTERVILLE, MA HYANNIS, MA INV. DATE DEL. DATE: 02632 UNIT 1C 12/18/07 04/16/07 PH#508-364-2456 14:30:27 1ST **ORD #127001******ORD #127001*****ORD #127001** . Cf3ST. PC7 I3C3 ** ORD #127001 REV 2 ** *ORD #127001 REV 2* **ORD #127001******ORD #127001*****ORD #127001** SLSP:MIKEA CSHR:LENNY [LAS21 1000-24 PAGE 1 58tP ................. Q'Y OI2U ..[JId:. ::.:::.DSSGR�SPTIOI�:: 4rX �.:SHxI' UNIT PRICE PER NST��AIfiE :. ...: UNIT 1C STEEL DRS ***ORDER REPRINT*** XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX THERMA TRU PREMIUM STEEL DOOR 6-3/4" STEEL SPLIT JAMB 90 MINUTE FIRE RATED DOOR 6 PANEL STYLE 2 SPRING HINGES NO SILL NO CASING SNG BORE W/ 2-3/4" BACKSET DOOR IS BLOCKED FOR PANIC HARDWARE AND CLOSER SOD 1 EACH #3 3068 LHOS PS-510 90 MIN FIRE 1 299.000 EACH 299.00 C-2 1501 5505 4/5 ORDER BALANCE DUE: >>>>>>>>>>>> >>>>>> 313.95 Js'S: ................D :i::<: SUBTOTAL 299.00 .... ...... AY:MgNT ... MA 5.0000 SALESTA% 14.95 Please Pay 313.95 rYli S.::moun t Signature SPECIAL ORDER ITEMS ARE NOT RETURNABLE.Botello's is not responsible for any special orders not picked up after 30 days.Items must be returned within 30 days and must be in good condition and able to be resold.The items must be accompanied by the sales invoice and are subject to a restocking charge. f =s LwROCKWAY-SMITH COMPANY 125 Chestnut Street Phone(413)247-9674 ::. .t 1m(M09 ..... : : : Hatfield,MA 01038 Fax(413)247-0110 736624 04 .............................. 04-27-07 .INVOICE :::: ::..:::. :. :.................................. BOTELLO LBR CO INC-COE S BOTELLO LUMBER:.CO INC 1 OF 1 PO BOX V H . BOWDOIN RD I . OSTERVILLE MA 02655 P MASHPEE MA 02649 WOR 402524.:.: ..... : `04-27 07...•'WHSE'..................OUR TRUCK DAN J COE CL1P -----:- -- -----:--:- ----:: - -- ---: -. -----,. :::. ::::::: .: - --:..::.,..,....::........._...: -: -::::::. ,::.-::... --............. ...: .....:.:::::. ; > > :: :: 3E!~E'SIa�;3ALES::PER;SON . :: : . ::::. :::. :::::::::::::::::..::::::..:.::•:::::::::•:.: .::::::.:.::::::::.::::::::._::.::::. :::::. :::. :::. :::. :.•:::::.:.::.:.::::..::.:::::::::::::._:::::::::::.:::::•:.::•........................ 6538 LAVIN CHRIS X4533 6004 BARMARHI ALEX- VM7405 2W10-N30 clavin®brosco.com abarmashi®brosco.com i i 1 13 Fly:............ :2: .. : ::: ......:.......... ..'•..i.. ..........i... . i. i i:: ?::';:;:`•:;:>:';:`•c : >:.`;::;...:.... :': ::............;:•>:•:;•::•:::•:::•:::•:::•:::•: ........: tFE # :J. :; :; >: >:>: ::;:?::;.::::: ::s:: : '# :# >:?:Nl=K: ## :QCI 1i'M '-.9T :::........ . .:•:•::::::::. ::::::1 ;# i• : :::::::::::. ::::::•::::::•:•::•:::. :::. :::. :::. ::::: 1 .; .:::.•.:::•::•:::. :::SAC : • • :::::::. C7fiaE�iED>:9l1tPf?L#Y::::.:: :::. :._::::.:::::.:•::.•::•::::::::::._:::._:::._:::._:::. :::. ::. :::::: ::. :.:•::::::•::•......._:::.:::.....::. ......:::::•::.::_:._::::::.:::.::_:::::.;..; 1::::.....:::.1 EA NS40614442 ,.......... - - ......... 490.00.: ...::''269.800 268.90 SU THERMA TRU STEEL.FRAMES 44 SU STEEL FRAME, 30, 68, LH, UP TO 7", 510 STEEL, REINF DOOR; BORE, OUTSWING, ZINC DICH 1-NRP 2-SPRING, #3, SILL, WILL BE SHIPPED.LOOSE - NOT APPLIED 1 1 EAC SC6538 N/C CHRISTIAN LAVIN EXT 4533 *************************' THANK YOU FOR YOUR BUSINESS STOCK MATERIAL MAY BE RETURNED WITHIN 60 DAYS APPROPRIATE..HANDLING CHARGES APPLIED. SET-UP UNITS OR. SPECIAL MATERIAL MAY NOT, BE RETURNED. CHECKS-MAY BE PAYABLE TO BROSCO 146 DASCOMB ROAD ANDOVER, MA 01910-5898 PAY TERMS: 2* 10TH FOLLOWING MONTH, NET EOM- DUE DATE: MAY 31, 2007 YOU MAY DEDUCT $5.38 IF PAID ON OR BEFORE- MAY 10, 2007 (ADF OF $.00) TOTAL:. $ 268.80 Bowdoin Road Mashpee,MA 02649 OFFICE COPY Mailing Address: P.O. Box V, Osterville,MA 02655 ORDER T (508)477-3132 B0& 0 800 834-3132 LUMBER COMPANY FAX (508)477-4279 www.botellolumber.com SOLD T.O SHTP TO.. ACCT :1V0 PROJEC PACHECO, SHANE M. PACHECO, SHANE M. 663251 000 143 HAYES ROAD 525 SOUTH STREET INV. .ND. ORDER 1.27005 CENTERVILLE, MA HYANNIS, MA !NV. DATE DEL. DATE 02632 UNIT 2A 12/18/07 04/16/07 PH#508-364-2456 14:45:11 1ST . MIKE..A............... **ORD #127005******ORD #127005*****ORD #127005** CU5T Pb 2Tb<: ** ORD #127005 REV 2 ** *ORD #127005 REV 2* **ORD #127005******ORD #127005*****ORD #127005** SLSP:MIKEA CSHR:LENNY [LAS21 1000-24 PAGE 1 . ., tstr ITEM.No. OTT:oltU UN btgimlPTION QTY„Sx- UNIT PRICB PER PET AMT UNIT 2A STEEL DR ***ORDER REPRINT*** XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX THERMA TRU PREMIUM STEEL DOOR 4-3/4" STEEL JAMB SPLIT 90 MINUTE FIRE RATED DOOR 6 PANEL STYLE 2 SPRING HINGES NO SILL NO CASING DBL BORE W/ 2-3/4" BACKSET SOD 1 EACH #12 3066 RHIS PS-510 90 MIN FIRE 1 377.050 EACH 377.05 C1 1501 5491 4/6/07 ORDER BALANCE DUE: »»»»»» »»» 395.90 THOT)>:z:4a?:>:<`:>:::`i. SUBTOTAL 377.05 PAYM$NT ...:..` MA 5.0000 SALESTAB 18.85 Pla ese .Pay ..........................:. . 395.9 0 _Th 5...Amouri t.::<:..:.::<: Signature SPECIAL ORDER ITEMS ARE NOT RETURNABLE.Botello's is not responsible for any special orders not picked up after 30 days.Items must be returned within 30 days and must be in good condition and able to be resold.The items must be accompanied by the sales invoice and are subject to a restocking charge. yr ` L BROCKWAY-SMITH COMPANY :.::: .............. ............. 125 Chestnut Street Phone(413)247-9674 ;.;� 1 Q:[ }�EQ;; ; ; ; ......: Hatfield,MA 01038 Fax(413)247-0110 '-""""""'"`".54.91 '"""........ 715491-04 _..............._.................._..... ...........EE~ittC :E3;��f�: :22.. i 04-06-07................ INVOICE : : : : iE :: :: : : : : BOTELLO LBR CO INC-COE 8 BOTELLO LUMBER CO INC ::::•1 OF:1:::.•••••••••••. PO BOX V H BOWDOIN RD I OSTERVILLE MA 02655 P MASHPEE MA .02649 .......•.............. ..... _.......:. ::::::......::::.. :::::: . :::::::::; - -:--: .: ...;....:--:::::::::.....::::::. ig . .............................SHED: �i4::: ::: ::::: >:: ::: ::::>: : Pi-RCHASg::O ��� :>::>:>< :::::«:::; ::::.402524:::..................:.: 04-06-07.:._ WHSE.:::..........:::..OUR:.TRUCK:::. .................... ....127005._•:::...................................... ................. ............ .... ... .... ....: ::. :.•:. .... :::. :::........ :::::. .. ....•::.•:... ...... .. :::: �........... ....:........................................................................................:............ DAN **COE** DLG4 ::;•::................:.: ::. :.:>: : :. ..... :: ;->:-:;-:----:>:i>`: .:.. .....: -. ....:.,..,.........,......... . :::::::. :::::::.. :. :.::: >:EEa1EE3EAES:F E E3 :; :;::;: ::..:.:::.::.::.::.:..... •:;:•:: : E,EE EE ►1 5:- £R fl is >::....: :....:. `..: #�EiAS`:: : >: :: : : : : >: 6538 LAVIN CHRIS %4533 6004 BARMASHI ALE% VM7405 2$10-N30 clavin®brosco.com abarmashi®brosco.com ES`Ff11E : : s�1fE :EACH:s ,1E7RRA l31tik� :::<•::<•: ;•:<•:<:•:;:;:<:: ;: : ................... ( : :': ..... : ': : : :: : `: i: : :` : : :i>... ............................................................... :Oft R�f}:::SH : ::. :: :....:... :......:.................:: ::: ......:...• <::• :::. .. ..... ... .... .;:<;«:• :;«;• ;::;::<•:«•::<•:::•:;::: :;:::: DOORS WILL BE MADE IN OUR PORTLAND FACILITY 1 1 EA TTSF 624.00 349.440 349.44 SU THERMA TRU STEEL FRAMES 44 ¢ SU STEEL FRAME, 30, CUT HEIGHT, .CUT TO RO OF 78-3/8" (W/O SILL) , (STD 616" DOOR HEIGHT), 1 CUT, 68, RH, UP TO 5", CUT FRAME, 510 STEEL, BORE, 2-1/8 DBLT, ZINC DICH 2-SPRING 1-STD, DOOR.#12, SILL WILL BE SHIPPED LOOSE - NOT APPLIED 1 1 EAC SC6539 N/C CHRISTIAN LAVIN E%T 4533 ************************* THANK YOU FOR YOUR BUSINESS ************************** STOCK MATERIAL MAY BE RETURNED WITHIN 60 DAYS - APPROPRIATE HANDLING CHARGES APPLIED. SET-UP UNITS OR SPECIAL MATERIAL MAY NOT BE RETURNED. CHECKS MAY BE PAYABLE TO BROSCO 146 DASCOMB ROAD ANDOVER, MA 01810-5899 PAY TERMS: 2W 10TH FOLLOWING MONTH, NET EOM DUE DATE: MAY 31, 2007 YOU MAY DEDUCT $6.99 IF PAID ON OR BEFORE MAY 10, 2007 (ADF OF $.00) TOTAL: $ 349.44 &10 Bowdoin Road Mashpee,MA 02649 OFFICE COPY Mailing Address: P.O. Box V, Osterville,MA 02655 ORDER B0 (508)477-3132 (800)834-3132 LUMBER COMPANY FAX (508)477-4279 www.botellolumber.com SOLD TO SHIP TO Aec T IaO PR�JB PACHECO, SHANE M. PACHECO, SHANE M. 663251 000 143 HAYES ROAD 525 SOUTH STREET IN. :Na pRDER .12.TOp7 ';: CENTERVILLE, MA HYANNIS, MA INiT 'DATE DEL S}ATE 02632 UNIT 2B 12/18/07 04/16/07 PH#508-364-2456 14:46:33 1ST **ORD #127007******ORD #127007*****ORD #127007** CESST. <PO N(> ** �ORD #127007 REV 2 ** *ORD #127007 REV 2* **ORD #127007******ORD #127007*****ORD #127007** SLSP:MIKEA CSHR:LENNY [LAS21 1000-24 PAGE 1 SBtP ITEM,NO: QTY O1tD ....XJM 01galmYPTION QTY ,:::SHIP UlFIT PRZ:CE PER NET .AMT ........................................ ... UNIT 2B STEEL DR ***ORDER REPRINT*** XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX THERMA TRU PREMIUM STEEL DOOR 4-3/4" STEEL SPLIT JAMB 90 MINUTE FIRE RATED DOOR 6 PANEL STYLE 2 SPRING HINGES NO SILL NO CASING DBL BORE W/ 2-3/4" BACKSET SOD 1 EACH #24 3066 LHIS PS-210 90 MIN FIRE 1 377.050 EACH 377.05 SIDEWALL 1501 1506 4/10 ORDER BALANCE DUE: >>>>>>>>>>>> >>»>> 395.90 ......................... . 1. 0 'fO:F ....... SUBTOTAL 377.05 ;PAYMS iT............ SALESTAR <:::.:::::........................................ MA 5.0000 18.85 Please ::Pay 395.90 Th15 AIIkOi3IIt Signature SPECIAL ORDER ITEMS ARE NOT RETURNABLE.Botello's is not responsible for any special orders not picked up after 30 days.Items must be returned within 30 days and must be in good condition and able to be resold.The items must be accompanied by the sales invoice and are subject to a restocking charge. Fy eROC WAY-SMITHCOMPANY Lw 125 Chestnut Street Phone(413)247-9674 :.;:� Qj�: Q: : . : : Hatfield,MA 01038 Fax(413)247-0110 .................7154 51-04 04-06-07................ INVOICE BOTELLO LBR CO INC-COE S BOTELLO LUMBER.CO INC ::.1.,OF:l_:............... PO BOX V H BOWDOIN RD I OSTERVILLE MA 02655 P MASHPEE MA 02649 tp. Ai' :::::.•:::::•:::. :.:::::::::.:.SHIWVIA :::::::::::::::::::>::::::>::::>:::: :>:P E WA: >t Et F *:�k>::>:::: ::z: >:::: 402524.........................04-06-07....'WHSE,..................OUR TRUCK.................................f127007`f......................................... :............. E . ::::::::::::::::::::::.......................................................... ....................................................:...::..:...:.................................................... DAN **COB** DLG4 :::::. . ... .. .... ..............:...............................;..•.,..,.,.,.....::..........;...... ::.::::::::.::.::..::.::.::: ,..:>::;:; :.... .... . >:: ............................................................................:.L3EFE to :: 1 5 F i E3 i>: >: »: ::>::;:::::;: ' #t A�� .» :;.»: >... ........................................................................................................................................................................................................ 6538 LAVIN CHRIS X4533 6004"BARMASHI ALE% VM7405 29s10-N30 clavin®broaco.com abarmashi®broeco.com fw ..( ..............................................................�Esu'E fD........ . ......:EA�}f...........0i(Kd kl3(......: ::::: ::::::::•.•: >::::::.:::::::::::::. :::. ::::.::::::::::....:.............................................. .... .....•.•..... ......... ..........•.•...•......:.•. .. .... ....•........... DOORS WILL BE MADE IN OUR PORTLAND FACILITY 1 1 EA TTSF 624.00 349.440 349.44 SU.THERMA TRU STEEL FRAMES 44 SU STEEL FRAME, 30, CUT,HE'IGHT, CUT TO ROUGH OPENING OF 78-3/8", (W/O SILL; CUT TO STD 616" HEIGHT) , 1 CUT, 68, LH, UP TO 5", CUT FRAME, 510 STEEL, BORE, 2-1/9 DBLT, ZINC DICH 2-SPRING 1-STD, DOOR #24, SHIP WITH SILL LOOSE - NOT APPLIED 1 1 EAC SC6539 N/C CHRISTIAN LAVIN E%T 4533 ************************* THANK YOU FOR YOUR BUSINESS ************************** STOCK MATERIAL MAY BE RETURNED WITHIN 60 DAYS - APPROPRIATE HANDLING CHARGES APPLIED. SET-UP UNITS OR SPECIAL MATERIAL MAY NOT BE RETURNED. CHECKS MAY BE PAYABLE TO BROSCO 146 DASCOMB ROAD ANDOVER, MA 01810-5898 PAY TERMS: 2%- 10TH FOLLOWING MONTH, NET EOM DUE DATE: MAY 31, 2007 YOU MAY DEDUCT $6.99 IF PAID ON OR BEFORE MAY 10, 2007 (ADF OF $.00) TOTAL: $ 349.44 &10 Bowdoin Road Mashpee,MA 02649 OFFICE COPY Mailing Address: P.O. Box V, Osterville,MA 02655 ORDER BO (508)477-3132 (800)834-3132 LUMBER COMPANY FAX (508)477-4279 www.botellolumber.com . S+OLIl TO SHIP TO is�c� yo �tzaascx PACHECO, SHANE M. PACHECO, SHANE M. 663251 000 143 HAYES ROAD 525 SOUTH STREET TNV, N©, ORDER 12700$ ' CENTERVILLE, MA HYANNIS, MA INV..::.I3AiE DEL. .DATE 02632 UNIT 2C 12/18/07 04/16/07 PH#508-364-2456 14:47:19 1ST .... **ORD #127008******ORD #127008*****ORD #127008** 1;CUST iPO NO: ** ORD #127008 REV) 2 ** *ORD #127008 REV 2* **ORD #127008******ORD #127008*****ORD #127008** SLSP:MIKEA CSHR:LENNY [LAS21 1000-24 PAGE 1 .. ._,S8xP�: I...... 11(5 QY'Y ORb:?%::.�JLS �EeG'K*PTIO11: ¢TY, ;SH3P (TIIIT PRZCE PER iQET:AMT ..I. .. .. .. .. .. UNIT 2C STEEL DR ***ORDER REPRINT*** XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX THERMA TRU PREMIUM STEEL DOOR 6-3/4" STEEL SPLIT JAMB 90 MINUTE FIRE RATED DOOR 6 PANEL STYLE 2 SPRING HINGES NO SILL NO CASING DBL BORE W/ 2-3/4" BACKSET SOD 1 EACH #35 3066 RHIS PS-510 90 MIN FIRE 1 390.208 EACH 390.21 C1 1501 5442 4/6/07 r ORDER BALANCE DUE: >>>>>>>>>>>> >>»>> 409.72 +' �� SUBTOTAL 390.21 > ;PAY.....;;; : ; MA 5.0000 SALESTA% 19.51 X.Please :Pay 409.72 2lis Amouat Signature SPECIAL ORDER ITEMS ARE NOT RETURNABLE.Botello's is not responsible for any special orders not picked up after 30 days.Items must be returned within 30 days and must be in good condition and able to be resold.The items must be accompanied by the sales invoice and are subject to a restocking charge. f , r gROCKWAY-SMITH COMPANY .......... I 125 Chestnut Street Phone(413)247-9674 1�]1v :.�{4......`. Hatfield,MA 01038 Fax(413)247-0110 ..•'.•..•.•.715..4 2-04 -........... - ... MA a. ................ 04-06-07 INVOICE ::: : :: :: :: : BOTELLO LBR CO INC-COB S BOTEO LUMBER CO INC 1. . ...............•.. OF LL PO BOX V H BOWDOIN RD I OSTERVILLE MA 02655 P MASHPEE MA 02649 ..... ...... .......----------- -: - -- - ---- ---- ------------- .:::::::::::::.:: ......... ........... - :- . :::::::::.:. 5'C? #�i: : :::::::::::::SH{p: fAG 'E:: ::>:: : >: >:SH{p: l: :::: <:< >: >: >: 1{ WFb`E: Et{ Ek: >: :: ::: ::::::::; :::.402524:::.......................................... 4-06-07 'WHSE,:. . :::.OUR:.TRUCK:. .:......................:. f'�127008�:::..................................... .. - ............................... ........ - .............................................. --- --- - --- ......_............. 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DAN **COE** DLG4 _...... ... .. ............................_............._................................_................................... - ............. .......................................: :: : :: : ::�>{F{'E{aE 3AE:E :E�E1 {V: :>: >:> > : .... 1E ....:::......::::: : ......................................................................................................................................................................................................... ........................................................................................................................................................................................................ 6538 LAVIN CHRIS %4533 6004 BARMASHI ALE% VM7405 21F10-N30 clavin®broeco.com abarmaehi®broeco.com ........................................................................................................................................................................................................ f1 fit:; ;:>:::: ::>::<:: :: ;> :: .....:.. ...: : .:.. ..:.:.:.:.: :.:.:.:. : ...:.: : : .. : : ; :: > .. : :;sCFEldI:#fDiE : C1::; : : >::; :;< :;: >: >:: »: ::>: :: :LE9`R}LiE ::::<::::NE"�:mil E �ii3AE7":; ........................................................................................................�`:A ........... . ....5::;:::?: : ::::::?;>2:; :; : :: : ..................:: : ::; :::•:: ::•:: :;::......::::: ::..........;::::;:;::<: :•;:•:•:•;:;<::•>:;:<•::•::::: :>::::;:::;;:>::>:< :: >I ......................................................................................................................................................................... ......................................................................................................................................................................................................... DOORS WILL BE MADE IN OUR PORTLAND FACILITY 1 1 EA TTSF 639.00 357.840 357.84 SU THERMA TRU STEEL FRAMES 44, SU STEEL FRAME, 30, CUT HEIGHT, CUT TO ROUGH OPENING OF 78-3/8", (W/O SILL; STD 616" HEIGHT) , 1 .CUT, 69, RH, UP TO 7-, CUT FRAME, 510 STEEL, BORE, 2-1/8 DBLT, ZINC DICH 2-SPRING 1-STD, DOOR #35, SILL WILL BE SHIPPED LOOSE - NOT APPLIED 1 1 EAC SC6538 N/C CHRISTIAN LAVIN E%T 4533 ************************* THANK YOU FOR YOUR BUSINESS ************************** STOCK MATERIAL MAY BE RETURNED VI.THIN 60 DAYS - APPROPRIATE HANDLING CHARGES APPLIED. SET-UP UNITS OR SPECIAL MATERIAL MAY NOT BE RETURNED. CHECKS MAY BE PAYABLE TO BROSCO 146 DASCOMB ROAD ANDOVER, MA 01810-5998 PAY TERMS: 216 LOTH FOLLOWING MONTH, NET EOM DUE DATE: MAY 31, 2007 YOU MAY DEDUCT $7.16 IF PAID ON OR BEFORE MAY 10, 2007 (ADF OF $.00) TOTAL: $ 357.84 ' I v Bowdoin Road Mashpee,MA 02649 OFFICE COPY ' Mailing Address: P.O. Box V, Osterville,MA 02655 Qj��i R B 0 10 (508)477-3132 (800)834-3132 LUMBER COMPANY FAX (508)477-4279 www.botellolumber.com ' SOLD TU SHIP TO . �ecx.............a. . >?xoaec PACHECO, SHANE M. PACHECO, SHANE M. 663251 000 143 HAYES ROAD 525 SOUTH STREET IIaU. NCa ORDER 12.700 CENTERVILLE, MA HYANNIS, MA 3NV:........... ATE 02632 UNIT 2D 12/18/07 04/16/07 PH#508-364-2456 14:47:52 1ST SC7T;17:BX MKii A;> **ORD #127009******ORD #127009*****ORD #127009** ...... ** (ORD #127009 REV. 2 ** *ORD #127009 REV 2* **ORD #127009******ORD #127009*****ORD #127009** SLSP:MIKEA CSHR:LENNY ILAS21 1000-24 PAGE 1 ...................... ............................................ __...... .......... __........ __... ........1. ......... ..._.. ......... .. ....................... ......_ .......... ....... .. .........., ........ ... ....,,..........., ........ ......... .._........ _...... ......._.. ........... ............_ . .............. ..... ._....... ..... .......... ...........,,.........,,,, ......... _......... _........ .......... _..._ ......._. ......__. SHiP TT1»t NO X.QTY ORA OMB Dl`SG'FtIP�IOPi:: f QTY: :$Hii? t,T13I:T P1r:T:CE P It NET:Ala ......................... _: .._ _. .. .. ... .. __- UNIT 2D STEEL DR ***ORDER REPRINT*** XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX THERMA TRU PREMIUM STEEL DOOR 6-3/4" STEEL SPLIT JAMB 90 MINUTE FIRE RATED DOOR 6 PANEL STYLE 2 SPRING HINGES NO SILL NO CASING DBL BORE W/ 2-3/4" BACKSET SOD 1 EACH #45 3066 LHIS. PS-510 90 MIN FIRE 1 390.208 EACH 390.21 SIDEWALL 1501 1510 4/10 ORDER BALANCE DUE: >>>>>>>>>>> >»>> 409.72 Q ::.........; ........... SUBTOTAL 390.21 PAYMENT MA 5.0000 SALESTAx 19.51 FleaSe ;Fay ...........:..........................:.::::...:::. 409.72 q: 1'is ; �1RQ1ITljt,': i`<>i Signature _.........._ :.... SPECIAL ORDER ITEMS ARE NOT RETURNABLE.Botello's is not responsible for any special orders not picked up after 30 days.Items must be returned within 30 days and must be in good condition'and able to be resold.The items must be accompanied by the sales invoice and are subject to a restocking charge. '!, BROCKWAY-SMITH COMPANY ' ` I 125 Chestnut Street Phone(413)247-9674 11XQ# jcj(}:::.•: Hatfield,AAA 01038 Fax(413)247-0110 .................7154 26-04............ :....... ................ 04-06-07 INVOICE BOTELLO LBR CO INC-COE S BOTELLO LUMBER CO INC :::.1.OF:1::::.............. PO BOX V H BOWDOIN RD I OSTERVILLE MA 02655 P MASHPEE MA 02649 .................................. SHII?��4...:..... :.....:......:.... .... 11llr�H �::?.#E 13�:. : : .:. ..................................•...... ..•.... :. :. .. .... :.... ..*. :.•.. ..•:. .:•:. ...*........*..........*......... ...............f12700-------------------------------------------------------------------------------------------------------------- ::.:•D�.................................................................:...*COE**:::...............................:..:..:::..:...:............:.........................D •....... ::... . ..................... .. .>:. . .i>: .. :.. >:i>:. ....:,..; ...•...,...; .. -:-: _::::::::::. :.:.::::. ::: ::. :::::. :. ::::::. .................................:::•::•:::•.::•........ :. ..................:::•......::•:.............. ...: ::. .... .... ..•.......................•.......::•.•................... .. ...... .. ....•. 6538 LAVIN CHRIS X4533 6004 BARMASHI ALE% VM7405 29s10-N30 clavin®broeco.com abarmaehi®broeco.com >IF All:# Ai:: : :: : : :: :< .. ?. ?: RACkl3Ak1' EJEIfE `::SkN :«;;:::`;':'': :: :;::• :•:•:<:<• <•::•»;:::;;:::;::::>::.........;:: : :.....:: :.... :.:.:. :.:.:. ;.:.;. :... :..........::.....:•::;•:...... :. :.....;....:•::::......:.: :::.::.: :.:;.:.: .:_.:•............��:::•:::•:•:::::..............::. :::::•::•:.•:::::::::.•::....................................:::. :::::::. :...........:::::::....................................... DOORS WILL BE MADE IN OUR PORTLAND FACILITY 1 1 EA TTSF 639.00 357.840 357.84 SU THERMA TRU STEEL FRAMES 44 SU STEEL FRAME, 30, CUT HEIGHT, CUT TO ROUGH OPENING OF 78-3/80, (W/O SILL; STD 616" HEIGHT) , 1 CUT, 69, LH, UP TO 7", CUT FRAME, 510 STEEL, BORE, 2-1/8 DBLT, ZINC DICH 2-SPRING 1-STD, DOOR #45, SILL WILL BE SHIPPED LOOSE - NOT APPLIED 1 1 EAC SC6538 N/C CHRISTIAN LAVIN E%T 4533 ************************* THANK YOU FOR YOUR BUSINESS ************************** STOCK MATERIAL MAY BE RETURNED WITHIN 60 DAYS - APPROPRIATE HANDLING CHARGES APPLIED. SET-UP UNITS OR SPECIAL MATERIAL MAY NOT BE RETURNED. CHECKS MAY BE PAYABLE TO BROSCO 146 DASCOMB ROAD ANDOVER, MA 01810-5898 PAY TERMS: 2$ 10TH FOLLOWING MONTH, NET EOM DUE DATE: MAY 31, 2007 YOU MAY DEDUCT $7.16 IF PAID ON OR BEFORE MAY 10, 2007 (ADF OF $.00) TOTAL: $ 357.94 &10 Bowdoin Road Masbpee,MA 02649 OFFICE COPY Mailing Address: P.O. Box V, Osterville,MA 02655 ORDERB0 (508)477-3132 (800)834-3132 LUMBER COMPANY FAX (508)477-4279 www.boteliolumber.com 'SOLID TO 3H:TP TU Accr .. PROJS.. PACHECO, SHANE M. PACHECO, SHANE M. 663251 000 143 HAYES ROAD 525 SOUTH STREET >;TIdV. :Na OR1?ER 126991 CENTERVILLE, MA HYANNIS, MA iNv FiATi? »DEL DAfiE 02632 COMMON AREAS 12/18/07 04/16/07 PH#508-364-2456 14:11:47 1ST SO1:D BY NCIKE:A **ORD #126991*_*****ORD #126991*****ORD #126991** CaST pb Nd ** ORD #126991 REV 2 ** *ORD #126991 REV 2* **ORD #126991******ORD #126991*****ORD #126991** SLSP:MIKEA CSHR:LENNY [LAS2I 1000-24 PAGE 1 ..... .... ............._....... ............. .. .........__....................,,,.. ............:........,.......... ........... ..........._......... ., .,.,,,, ...,....... ........... .. ......... .. ..... ........... ........... .I............ ........., ....................... .. .............. ...... ... ..... ...... .............., ........... ............ ..., . _. .......... .......... . ........I....._.._. ..... ....1. ....... ....... .... ........... .......... ........................................ ............ ..... ...... .. ........ ............ -................ .....,...... ......... .., ..,, ................. ..... .... ....... ........... ........................... .._........ ...._... ......._ ......_... .......... ............ ................................ .. .......... .......... ..,. ..................... ...... ........... ............ ........................................ .....I... .......... ........... ........... .....I..... ............. ..I................._. ........................ ......_...,.._,............I..... ..... ......................... ........................ .. .......... .......... ............. ......_.. ........................................ ......... ....._... __... ......... ......._........................... @gxp. 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COMMON AREA- STEEL ***ORDER REPRINT*** XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX THERMA TRU PREMIUM STEEL DOOR 4-3/4" STEEL SPLIT JAMB 90 MINUTE FIRE RATED DOOR 6 PANEL STYLE 2 SPRING HINGES NO SILL NO CASING SNG BORE W/ 2-3/4" BACKSET SOD 1 EACH #B 3068 LHIS PS-210 90 MIN FIRE 1 299.000 EACH 299.00 SIDEWALL 1501 3246 4/9 SOD 1 EACH #C 3068 RHIS PS-210 90 MIN FIRE 1 299.000 EACH 299.00 SIDEWALL 1501 3246 4/9 SOD 1 EACH #D 2868 LHOS PS-210 90 MIN FIRE 1 299.000 EACH 299.00 SIDEWALL 1501 3246 4/9 SOD 1 EACH #F 3068 RHIS PS-210 90 MIN FIRE 1 267.400 EACH 267.40 SIDEWALL 1501 3246 4/9 SOD 1 EACH #I 3066 LHIS PS-210 90 MIN FIRE 1 369.320 EACH 369.32 SIDEWALL 1501 3246 4/9 SOD 1 EACH #J 3066 LHIS PS-210 90 MIN FIRE 1 369.320 EACH +-- 369.32 SIDEWALL 1501 3246 4/9 XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX THERMA TRU PREMIUM STEEL DOOR 4-3/4" STEEL PRIMED JAMB 90 MINUTE FIRE RATED DOOR DOORS ARE PREPPED FOR PANIC AND CLOSER HARDWARE 6 PANEL STYLE 2 SPRING HINGES NO CASING NO SILL SINGLE BORE W/ 2-3/4" BACKSET SOD 1 EACH #A 3068 LHOS PS-210 90 MIN FIRE 1 299.000 EACH 299.00 SIDEWALL 1501 3246 4/9 SOD 1 EACH #G 3068 RHOS PS-210 90 MIN FIRE 1 299.000 EACH 299.00 SIDEWALL 1501 3246 4/9 SOD 1 EACH #H 3066 LHOS PS-210 90 MIN FIRE 1 390.208 EACH 390.21 LOC: D-3 1501 7515 4/20 4315698822 2 EA F10 PLY 605 BOXED PASSAGE SET 2 15.290 EA 30.58 SUBTOTAL SALESTAX Please. PaY:..: ...< This Artfoun '> Signature SPECIAL ORDER ITEMS ARE NOT RETURNABLE.Botello's is not responsible for any special orders not picked up after 30 days.Items must be returned within 30 days and must be in good condition and able to be resold.The items must be accompanied by the sales invoice and are subject to a restocking charge. L Bowdoin Road Mashpee,MA 02649 OFFICE COPY Mailing Address: P.O. Box V, Osterville,MA 02655 ORDER lo (508)477-3132 ' Boi (800)834-3132 LUMBER COMPANY FAX (508)477-4279 www.boteliolumber.com SOLD TO SHIg T:O ArcT V >nzoascr PACHECO, SHANE M. PACHECO, SHANE M. 663251 000 143 HAYES ROAD 525 SOUTH STREET ::IN ij+3Q ORDER 12'6:991. CENTERVILLE, MA HYANNIS, MA ! V. ..DATE `:DEL. DATE 02632 COMMON AREAS 12/18/07 04/16/07 PH#508-364-2456 14:11:47 1ST BOLA BY 'MKE::A 3i...:' **ORD #126991******ORD #126991*****ORD #126991** Ct3ST ::PO NO; ** ORD #126991 REV 2 ** *ORD #126991 REV 2* **ORD #126991******ORD #126991*****ORD #126991** SLSP:MIKEA CSHR:LENNY [LAS21 1000-24 PAGE 2 _....._......................................................................................._..........................._..._..........__._..............................................................._......._.............._.. ......................_.......................__......................................................................................................_............._.................................................................................._....._...................... . ........_........._....._..................................................................._..._....................................._.........................................—................................................................. ............. ........................................................................................................................................................................................................................................................................................... :Jd ¢T ..ORU, Alt;: .... D133CRIPTIUId: '?„ QTY :':BRIE IIlIIT PRIiQE PER NST, ....... ........ .......... ......... ........ ......... ......... ......... .......... ........................................................................................................................................................................................................................................................................................... .. 4315698848 2 EA F40 PLY 605 BOXED PRIVACY SET 2 16.460 EA 32.92 ORDER BALANCE DUE: »»»»»» »»» 3102.49 `.HQI) ;:O;F;i;;i:;i;i:i: SUBTOTAL 2954.75 MA 5.0000 SALESTAR 147.74 Please';Fay 3102.49 Tli'is AmOuht .: Signature SPECIAL ORDER ITEMS ARE NOT RETURNABLE.Botello's is not responsible for any special orders not picked up after 30 days.Items must be returned within 30 days and must be in good condition and able to be resold.The items must be accompanied by the sales invoice and are subject to a restocking charge. BROCKWAY-SMITH COMPANY ' ` I 125 Chestnut Street Phone(413)247-9674 ; jQ( : [d:: : : : ;:: :•.. Hatfield,MA 01036 Fax(413)247-0110 ...... ...":...71324 6-04 : . .•:::: ................ 04-07-07 INVOICE : :: ::gE:>< :>: : ::: } BOTELLO LBR CO INC-COE S BOTELLO LUMBER CO INC 1 OF. .•.....•..........2 PO BOX V H BOWDOIN RD I OSTERVILLE MA 02655 P MASHPEE MA 02649 :::::._...........,._..---. ...... ..:.: .. ----.-----'..:...:. ....... .......... :........ ...:. :<::::P---t-]C- W 4S -:-?( -k--a.... _ .>..>:.:.:....:«..:.:...:<.. : . : .: : :: :I # : : >: : :<: : : :� �E ......................................................................:.........:.... ............ ........................................... ..:. ....:... :. . :..... .................................................................. ............................................................................ ......... . .. . . : . ... .... .....: 402524 04-09-07 WHSE OUR TRUCK (126991" ......... -- .. ........................................__......._... - _..._......................._............... ............................................. .. ;:<:..................................................................................................................................................................................................... ........................................................................................................................................................................................................... DAN **COE'** DLG4 ................................... ...... ................................................................ .......................................................................................................................................................................................................... .......................................................................................................................................................................................................... 6538 LAVIN CHRIS X4533 6004 BARMASHI ALE% VM7405 29s10-N30 clavin®broeco.com abarmaehi®broeco.com .... ....................... ... ........................................................................................................................... .......... ... ........................................................................................................................................................................................................ :<: :OjAEf it: : :: :: :;:;:::;;:::>:::: is>: :> ;;::`:>::: ::>: :2 <>2:: ::: ::2 ::>::; >: tTEAR�: . ESC [P. .C11d s: :; ;::::;:<: >:::s: ::: : : E9 . .fSf >:; :; H:t�Cl'Atf l LtitT ...................................................................... ..`t fl.............�............................. ...... DOORS WILL BE:MADE:.IN OUR PORTLAND :.:...................................................... .................. ..................................................................................... FACILITY 1 1 EA TTSF 465.00 260.400 260.40 SU THERMA TRU STEEL FRAMES 44 SU STEEL FRAME, 30, 68, LH, UP TO 5", 510 STEEL, REINF DOOR, BORE, OUTSWING, ZINC DICH 1-NRP 2-SPRING, .LABEL A, SILL WILL BE SHIPPED LOOSE - NOT APPLIED 1 1 EA TTSF 465.00 260.400 260.40 SU THERMA TRU STEEL FRAMES 44 SU STEEL FRAME, 30, 68, RH, UP TO 511, 510 STEEL, REINF DOOR, BORE, OUTSWING, ZINC DICH 1-NRP 2-SPRING, LABEL G, SILL WILL BE SHIPPED LOOSE - NOT APPLIED 2 2 EA TTSF 413.00 231.280 462.56 SU THERMA TRU STEEL FRAMES 44 SU STEEL FRAME, 30, 68, RH, UP TO 5% 510 STEEL, BORE, ZINC DICH 2-SPRING 1-STD, DOORS #C, #F, SILL WILL BE SHIPPED LOOSE - NOT APPLIED J 2 2 EA TTSF 598.00 334.880 669.76 SU THERMA TRU STEEL FRAMES 44 SU STEEL FRAME, 30, CUT HEIGHT, CUT TO ROUGH OPENING OF 78-3/8", (W/O SILL - STD 6'6" HEIGHT) , 1 CUT, 69, LH, UP TO 5", CUT FRAME, 510 STEEL, BORE, ZINC DICH 2-SPRING 1-STD, DOOR #I, #J, SILL WILL BE SHIPPED LOOSE - NOT APPLIED CONTINUED ... BROCKWAY-SMITH COMPANY 125 Chestnut Street Phone(413(247-9674 ..... :�cj¢? : : : Hatfield,MA 01038 Fax(413)247-0110 ........... :::.713246-04... ........ ......... .......... ................ 04-07-07 INVOICE :: :: :pAc : : : :: :>: :::> BOTELLO LBR CO INC-COB S BOTELLO LUMBER CO INC ::. .2.OF..2::::.............. ............ .............. PO BOX V H BOWDOIN RD I OSTERVILLE MA 02655 P MASHPEE MA 02649 ............ . ...... •....::•::................>:•>::::•>:fiHtl?: �A::>:::: :::s::::::: : : : > >:Pllt ! W :t tE : :: ::::>:: : 402524. :::::: : :.::::.•::04-09-07::. WHSE. OUR:TRUCK 02699�):::.•:.•:::.•.•::.•::. :.:•:::.•::.•:.•.•.•::.•:::::: ...................................................... .... ..........................................:...::...:..:....................................................................................::.:... .. DAN **COE**. DLG4 fiE3 ...............: ................................:::......:..................... . :.•......:...:::::::::...:.:•:..:.::..::.•:. :. :..:._:.:._:.::::.:::.::::..:::.:::•.:.:.:.::.:.:.:.:.::•:.:::::.::.:::::::::::.::.::.:::.::..:.:.:. 6538 LAVIN CHRIS X4533 6004 BARMASHI ALEX VM7405 2*10-N30 Eclav i:n®b::r:.:o..:sc:o:•:.•com. :::::•.•:::::•::::........................>.:.:>.a.;.ba>.::..•r.::.m.:.:a.•:shi®b:.:.:ro.::.:..s:>.c:.._:.o.:..:..:.c.:.o:..:.m :i: .........: :.:: ::: :::::;:::.•::::_:::»:::.•::.::. ::::::.•::::. :: ::::::::::: : >: :ak:. .::• : .: :<:.....::••::. :: •;: ................ Eu��D � 1 . :: . . . . . ... .. .. : ...... 1..;>. 1 1 EA TTSF 413.00 231.280 231.29 SU THERMA TRU STEEL FRAMES 44 SU STEEL FRAME, 30, '68, LH, UP TO 511, 510 STEEL, BORE, ZINC DICH 2-SPRING 1-STD, DOOR #B, SILL WILL BE SHIPPED LOOSE - NOT APPLIED. 1 1 EA TTSF 423.00 236.880 236.88 SU THERMA TRU STEEL FRAMES 44 SU STEEL FRAME, 28, 68, LH; UP TO 5% 510 STEEL, BORE, OUTSWING, ZINC DICH 1-NRP 2-SPRING, DOOR #D 1 1 EAC SC6538 N/C CHRISTIAN LAVIN EXT 4533 ************************* THANK YOU FOR YOUR BUSINESS ************************** STOCK MATERIAL MAY BE RETURNED WITHIN 60 DAYS - APPROPRIATE HANDLING CHARGES APPLIED. SET-UP UNITS OR SPECIAL MATERIAL MAY NOT BE RETURNED. CHECKS MAY BE PAYABLE TO BROSCO 146 DASCOMB ROAD ANDOVER, MA 01810-5898 PAY TERMS: 29k LOTH FOLLOWING MONTH, NET EOM DUE DATE: MAY 31, 2007 YOU MAY DEDUCT $42.43 IF PAID ON OR BEFORE MAY 10, 2007 (ADF OF $.00) TOTAL: $ 2,121.26 gROCKWAY-SMITH COMPANY • 1 ' l I 125 Chestnut Street Phone(413)247-9674 Hatfield,MA 01038 Fax(413)247-0110 ................. 71p7;Z515W-0(4.}:.;.. : :::»: -..... . ................ 04-20-07 INVOICE :: ::>: _ : <:> : : : : : : BOTELLO LBR CO INC-COE S BOTELLO LUMBER CO INC 1 OF 1 PO BOX V H BOWDOIN RD I OSTERVILLE MA 02655 P MASHPEE MA 02649 ............_..... _................_.....................-....... _.......... _...-.-.....-----...............- - : :.402524 ::..................:. :04-20-07::::. WHSE :::.:ouiz:.TRUCK:::.:.....................:::::L26991;.:::..................................... ....................................................... ....... ...... ....... ..................................... ............... ... 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DAN **COE** DLGP . .................................................... - -...- ---- -- ..................... - -....... -..............................................- --- --....................... ......................................................................................................................................................................................................... ........................................................................................................................................................................................................ 6538 LAVIN CHRIS X4533 6004 BARMASHI ALE% VM7405 2*10-N30 clavin®broeco.com abarmaehi®broeco.com ............. ....__...._ ....................... ........__................. ........... .... ..................................................................................................................................................................................... :f5f ilit�41 ft'�:.>:: ::. ::...... : :: : :: .. .. . ..:.:.:..:...... : : : . .:.:.:.:.::::::::::: ..... ; : ..... ::: :: >st'EI=AA:1�fC1 :<:LfS }DfS ;......�fER:E f s SCa'hM<1 3 iffy�i. :•:::: ...........................E{.:: : : : : ::;; <... : ::: ':'' ::;...... : : : : ::;: : : : : : : : .. ..................................................................:........................:...............................................................:................................................ 1 1 EA NS40607531 650.00 364.000 364.00 SU THERMA TRU STEEL FRAMES 44 SU STEEL FRAME, 30, CUT HEIGHT, RO 78-3/8", 1 CUT, 68, LH, UP TO 5", CUT FRAME, 510 STEEL, REINF DOOR, BORE, OUTSWING, ZINC DICH 1-NRP 2-SPRING ************************* THANK YOU FOR YOUR BUSINESS ************************** STOCK MATERIAL MAY BE RETURNED WITHIN 60 DAYS -APPROPRIATE HANDLING CHARGES APPLIED. SET-UP UNITS OR SPECIAL MATERIAL MAY NOT BE RETURNED. CHECKS MAY BE PAYABLE TO BROSCO 146 DASCOMB ROAD ANDOVER, MA 01810-5898 PAY TERMS: 2W 10TH FOLLOWING MONTH, NET EOM DUE DATE: MAY 31, 2007 YOU MAY DEDUCT $7.28 IF PAID ON OR BEFORE MAY 10, 2007 (ADF OF $.00) TOTAL: $ 364.00 Z Bowdoin Road Mashpee,MA 02649 OFFICE COPY Mailing Address: P.O. Box V, Osterville, MA 02655 ORDER o Lo (508)477-3132 (800)834-3132 LUMBER COMPANY FAX (508)477-4279 www.boteliolumber.com .:; . : SOLD Tfj SHIP TO ACCT. .TFO PROJECT PACHECO, SHANE M. PACHECO, SHANE M. 663251 000 143 HAYES ROAD 525 SOUTH STREET Tb1U. Id ORDER 3.26:993 CENTERVILLE, MA HYANNIS, MA INV_ DATE DEL .DATE 02632 UNIT lA 12/18/07 04/16/07 PH#508-364-2456 14:24:38 1ST COI D BX': MIKE:A **ORD #126993******ORD #126993*****ORD #126993** CUST. .PO NOs ** ORD #126993 REV' 4 ** *ORD #126993 REV 4* **ORD #126993******ORD #126993*****ORD #126993** SLSP:MIKEA CSHR:LENNY [LAS21 1000-24 PAGE 1 �S1iXP ' TTEAS`::NO ;:. QTY oRA UM Dh3.C:ZxSPTI<>N TX .:SY; p UNIT PRI:CS PEA NET':�AMT UNIT lA STEEL DR ***ORDER REPRINT*** XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX THERMA TRU PREMIUM STEEL DOOR 4-3/4" STEEL SPLIT JAMB 90 MINUTE FIRE RATED DOOR 6 PANEL STYLE 2 SPRING HINGES NO SILL NO CASING SNGL BORE W/ 2-3/4" BACKSET SOD 1 EACH #4 3068 LHOS PS-510 90 MIN FIRE 1 299.000 EACH 299.00 D-3 1501 5532 4/5 DOOR #4 IS BLOCK FOR PANIC HARDWARE AND CLOSER SOD 1 EACH #8 3068 RHIS PS-510 90 MIN FIRE 1 267.400 EACH 267.40 D-3 1501 5532 4/5 ORDER BALANCE DUE: >>>>>>>>>>>> >>»>> 1 594 .72 .......... ..................... .............. 2DA"OF SUBTOTAL 566.40 PAYMENT`..........: MA 5.0000 SALESTAX 28.32 Please;Pay 594.72 Signature SPECIAL ORDER ITEMS ARE NOT RETURNABLE.Botello's is not responsible for any special orders not picked up after 30 days.Items must be returned within 30 days and must be in good condition and able to be resold.The items must be accompanied by the sales invoice and are subject to a restocking charge. BROCKWAY-SMITH COMPANY .. :::::::::: . .......... f I 125 Chestnut Street Phone(413)247-9674 :::::::(�] Q ::�¢:::;:;:: :: Hatfield,MA 01038 Fax(413)247-0110 715532-04 ................ 04-05-07 INVOICE ::: : : AS E::: :: : ::>: BOTELLO LBR CO INC-COE S BOTELLO LUMBER CO INC 1 OF.1.................. PO BOX V H BOWDOIN RD I OSTERVILLE MA 02655 P MASHPEE MA 02649 . . . . . . . . :.::. • •:•:. ... :. '.............:.......:.:..:......:.:. .. .............. . ::: ::::: : ::::::: ::......SHIPMAC.9: :: : 402524 04-05-07 ,WHSE' OUR TRUCK ' 126993J ........................... ........ ;:>: : :.:.: : . . . .:.::. :.:.. ..:.:.:...:.:..:.: . ........................................................................................................... DAN COE DLG4 ................................3 �.sSPEiM.0K ...................................4E��SEb :SALfS:E+ N .TS.mss............................ ....................*.....:::::.:.::::. :::. ::.....:...*..:.::.:..::.:.•:::::::::::::::.::::..............:::::.:.:.:.::.::.:::::. :. .::::::.:::. :::::._:. :::._:::::::::: 6538 LAVIN CHRIS X4533 6004 BARMASHI ALE% VM7405 2&10-N30 clavin®brosco.com abarmashi®brosco.com f3................:::•:.•:.: i EE t3Glid: : >:::::s::::::::::: :: : :>:>: :>:;::?;:::::::::..... :•.::. ......................................................................#,( `( (�• :::: (;fE ::EA►C3# :�.......IO.3A..... �� ..............: ....................................................................................................................................................... _,.::DOORS WILL BE MADE IN OUR PORTLAND:::,...... _............. __ _ __ .............,,..:........................................... FACILITY 1 1 EA TTSF 465.00 260.400 260.40 SU THERMA TRU STEEL FRAMES 44 SU STEEL FRAME, 30, 68, LH, UP TO 5", 510 STEEL, REINF DOOR, BORE, OUTSWING, ZINC DICH 1-NRP 2-SPRING, #4, SILL WILL BE SHIPPED LOOSE - NOT APPLIED 1 1 EA TTSF 413.00 231.280 231.28 SU THERMA TRU STEEL FRAMES 44 SU STEEL FRAME, 30, 69, RH, UP TO 5", 510 STEEL, BORE, ZINC DICH 2-SPRING 1-STD, DOOR #8, SILL WILL BE SHIPPED LOOSE - NOT APPLIED 1 1 RAC SC6539 N/C CHRISTIAN LAVIN EST 4533 ************************* THANK YOU FOR YOUR BUSINESS STOCK MATERIAL MAYBE RETURNED WITHIN 60 DAYS - APPROPRIATE HANDLING CHARGES APPLIED. SET-UP UNITS OR SPECIAL MATERIAL MAY NOT BE RETURNED. CHECKS MAY BE PAYABLE TO BROSCO 146 DASCOMB ROAD ANDOVER, MA 01910-5898 J PAY TERMS: 2W 10TH FOLLOWING MONTH, NET EOM DUE DATE: MAY 31,' 2007 YOU MAY DEDUCT $9.83 IF PAID ON OR BEFORE MAY 10, 2007 (ADF OF $.00) TOTAL: $ 491.68 Bowdoin Road Mashpee,MA 02649 OFFICE COPY B 0 Mailing Address: P.O. Box V, Osterville,MA 02655 QRDER Lo (508)477-3132 (800)834-3132 LUMBER COMPANY FAX (508)477-4279 www.botellolumber.com SOI+� TO SHTP TO Accx ao etzoascr PACHECO, SHANE M. PACHECO, SHANE M. 663251 000 143 HAYES ROAD 525 SOUTH STREET INV. No ORDER 126'996. CENTERVILLE, MA HYANNIS, MA INV. DATE DEL. DPTE 02632 UNIT 1B 12/18/07 04/16/07 PH#508-364-2456 14:26:41 1ST SOLD BY MIKE A:< **ORD #126996******ORD #126996*****ORD #126996** OBS� ''pO NOr' ** tORD #126996 REV 2 ** *ORD #126996 REV 2* **ORD #126996******ORD #126996*****ORD #126996** SLSP:MIKEA CSHR:LENNY [LAS21 1000-24 PAGE 1 saxP T 1 +tIto 1�SGIO ? gST PER NET 3AMT S UNIT 1B STEEL DR ***ORDER REPRINT*** XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX THERMA TRU PREMIUM STEEL DOOR 4-3/4" STEEL SPLIT JAMB 90 MINUTE FIRE RATED DOOR 6 PANEL STYLE 2 SPRING HINGES NO SILL NO CASING SNG BORE W/ 2-3/4" BACKSET SOD 1 EACH #9 3068 RHIS PS-510 90 MIN FIRE 1 267.400 EACH 267.40 D-3 1501 5527 4/5 ORDER BALANCE DUE: >>>>>>>>>>>> »>>>> 280.77 +" O OF SUBTOTAL 267.40 PAXMENT; MA 5.0 0 0 0 SALESTA% 13.37 PleasePay 280.77 This Amo�>nt Signature SPECIAL ORDER ITEMS ARE NOT RETURNABLE.Botello's is not responsible for any special orders not picked up after 30 days.Items must be returned within 30 days and must be in good condition and able to be resold.The items must be accompanied by the sales invoice and are subject to a restocking charge. LwBROCKINAY-SMITH COMPANY 125 Chestnut Street Phone(413)247-9674QjL' ]c)Q Hatfield,MA 01038 Fax(413)247-0110 715527-04 MAT ................ 04-05-07 INVOICE :: : PAr :{:> : :<: : : BOTELLO LBR CO INC-COB S BOTELLO LUMBER CO INC 1 OF 1 ............ ....... PO BOX V H BOWDOIN RD I OSTERVILLE MA 02655 P MASHPEE MA 02649 SHED: .....:...... :: :: ?llI H S :!t .099:#k::::: ;: :: :: ........................................................................................................................................................................................................ 402524 04-05-07 'WHSE' OUR TRUCK t 126996J .. ......... ................................. - ........... - ......................................... ...... ............................................... � ::`:>:': : : :`::`:' .. ..:'': : ::>:': >:>: >::;::::: :::....;::::::: ; ..............................................:......:•.:::•::..............•.....•......*•:.•:::**........•......:. .... .... ..•:. ...:. .........•...•.........:•::::•:......:......::....................... DAN COE DLG4 -- - ----- -- --- -- ------ -------- _........................................................................---- -- ------ -- --- -- - ---- - --................. t�'Oi :>: :>: :>: : <: >:4E E�' [QE 3AE :F� I ;�E3�V : >:> :>: >. .....::' #1 ><>: : : : :: ......................................................................................................................................................................................................... ........................................................................................................................................................................................................ 6538 LAVIN CHRIS X4533 6004 BARMASHI ALEX VM7405 2*10-N30 clavin®brosco.com abarmashi®brosco.com ... ............- --- ----.--- ------..........._...._...........-......----------- .... - ..._........_..._............... -....... - -- ---- ........................................................................................................................................................................................................ .... 1 ftfit:>: :: : ::: >:; : :: : : >: >: : :>: :;: >:;: :>::i::::> >:>i:: : ::;: ::: : : <::: :: :: TEEM:#ft� f :• • f �EE7!: 3f;s Cx' t(td t3MT f= >'ST :• ............F :......tF!.. :5: : : :: : : : : : :: : :: ::: : :: : ': : :: : : ':: : : : ::: : :' : :: : : ..... 5:: : :: :: : ......................................................................................................................................................................................................... ................................ . ............................................................................................. ............................. DOORS WILL BE MADE IN OUR PORTLAND FACILITY ' 1 1 EA TTSF 413.00 231.280 231.28 SU THERMA TRU STEEL FRAMES 44 SU STEEL FRAME, 30, 69, RH, UP TO 5", 510 STEEL, BORE, ZINC DICH 2-SPRING 1-STD, DOOR #9, SILL WILL BE SHIPPED LOOSE - NOT APPLIED 1 1 RAC SC6538 N/C CHRISTIAN LAVIN EXT 4533 ************************* THANK YOU FOR YOUR BUSINESS************************** STOCK MATERIAL MAY BE RETURNED WITHIN 60 DAYS - APPROPRIATE HANDLING CHARGES APPLIED. SET-UP UNITS OR SPECIAL MATERIAL'MAY NOT BE RETURNED. CHECKS MAY BE PAYABLE TO BROSCO 146 DASCOMB ROAD ANDOVER', MA 01810-5898 PAY TERMS: 2W 10TH FOLLOWING MONTH, NET EOM DUE DATE: MAY 31, 2007 YOU MAY DEDUCT $4.63 IF PAID ON OR BEFORE MAY 10, 2007 (ADF OF $.00) TOTAL: $ 231.28 THERMAOTRU® DOORS Steel Entry Systems [90-Minute Steel_ o'ors ( with 90-Minute_Steel Frames', Therma-Tru Steel Door Features: Split Jamb Frame: • 90-Minute UL"B" Label Fire•Aated Our split-jamb frame technology ensures maximum fit and performance. • 24 Gauge Galvanized Steel • Solid Insulating Core Features include: • Steel Edges • 90-minute positive pressure fire-rating and 20-minute smoke WHI. Surpasses ASTM E-152 Fire Endurance Test • An all aluminum base threshold for added durability. • Primed Steel Surface Passes ASTM E-2074-00 with S-Label, UL 10 C,and UBC 7-2-1997 codes.' • Single Bore-no lock • Backset-23/4" SET-UP UNIT:§ Consists of:Steel Door in Steel Frame for 45/8"-5"wall 1-1/2 pair 4"x 4"zinc dichromate hinges-loose pin, non-spring type. Contact your BROSCO office for pricing and availability on T-0"height. L13 500 501 510; 520 533%% it 514 978HD* Flush 1/4"Wire Glass 6-Panel 1/4"Wire Glass 1/4"Wire Glass 4 Panel 2 Panel 10"x 10" 5"x 20" 3"x 33" Size e .. 2-6 x 6-8 2-8 2-10 3-0 *High Definition Optional Extras: 51/s"-55/8wall (3'-0"only) Standard Sill Only...................................ADD 65/8"-7"wall.......................................................................................ADD 71/8"-75/s"wall (S-O"only)-Standard.Sill Only..................................ADD ROUGH STUD OPENINGS Outswing(includes 1 non-removable pin hinge)................................ADD Door Width- 2=6 2=8 3=0 Spring Hinges/U.L. Listed-Zinc Dichromate(2)................................ADD Deadbolt Prep(21/a"Facebore) ........................................................ADD R.O.Width 31" 33" 37" Deadbolt Strike Insert..................................................:......................ADD Door Height- 6-8 Public Access Sill-3'-0"only(not applied) no Thermal Break............ADD R.O.Height(w/standard 2-pc.sill): 813/8" with Thermal Break............ADD R.O.Height(w/Public Access sill): 803/4" Blocked for Panic and/or Closer Hardware(3'-0"only)-no bore.......ADD R.O.Height(no sill): 803/8' Reduce-Height 90-minute Steel Door and frame(one cut up to 6")....ADD CONSULT LOCAL CODES FOR REQUIREMENTS FOR FIRE RATED OPENINGS Magnetic weatherstrip for a weather-tight seal M 16-gauge powder, 22-gauge closure �' coated primed Standard Adjustable 2-piece Sill with 1/2"of galvanized base frame adjustabilityON ? Public Access Sill-No Thermal Break Compression type weatherstrip on hinge 4 side to eliminate = 1 hinge bind Public Access Sill—With Thermal Break NOTES: § Door hung on pre-hanging package frame-installation pack shipped K.D. �k 2-6"Single Bore only. **When used in a Therma-Tru steel fire door and frame system. PRO-22 Brockway-Smith Company SEPTEMBER 2007 04/01/2003 03:55 5087712887 NANCY LUCIEN PAGE 02 64AWTAR EL,EC TR/C April 1,2003 Shone M,Pacheco 302 Bishop Terrace Hyannis, MA 02601 Re: 525 South Street, Hyannis Dear Mr.Pacheco: The purpose,of tktas letter is to confirm that the electric service and meter&x die address referenced above have been disconnected and removed. Please feel frce w call meat 781-441 3365 if you have any questions, Nancy L. Allen 1V1id-Aceouat amc;;hive I 04/01/2003 03:55 5087712887 NANCY LUCIEN PAGE 01 ' APR--Ul-�UU3 TUE 08!28 AM KEYSHAN �'NIERGY FAX NU. SU8 SU4 hUiV V. U� KIVSpan fneigy Deb ory i01 Rivernwor S;romi �,^", I' byes;Fioxwry,IJuGdtdu?i.11g 01152 h �y d Tel 01723-5b'.2 April. t, 2003 Ms, Nancy Lucien - 52S SOuth StfOet. Hyannis, MA. 0260I L' rc: 525 South Street, Hyannis M.A jf k)W110m It May Concern: This letter is to coni'trm that all the natural gas scrvices to t"t-abcva referenced property have been cut and capped at the main in the street, Th.s work was camplcted'try us on t.eb:easy 5, 2002 If you have any questions, 1 can,be eantacted direcity fit 508.-1()0-7503 , Sinccrc.y, da,I A" Sa11y Sinclair Cape Operations Nutter . Patrick M. Butler Direct Line: 508-790-5407 Fax: 508-771-8079 E-mail: pbutler@nutter.com January 14, 2003 #100927-2 Art Traczyk, Principal Planner Barnstable Zoning Board of Appeals 200 Main Street Hyannis, MA 02601 Robin Giangregorio, Coordinator Barnstable Site Plan Review Committee 200 Main Street Hyannis, MA 02601 Re: Capevest Development, LLC The Rosewood, 525 South Street, Hyanni Dear Art and Robin ; Thank notifyingou both for y my office that Mr: Shane Pacheco has expressed his intention to proceed before the Site Plan Review Committee and the Zoning Board of Appeals utilizing the plans and applications previously filed by Capevest Development, LLC relating to the development and renovation of the above-referenced property. Please be advised and note for the record that all plans and applications filed by Capevest Development, LLC, including plot plans, easement plans,.site plans, foundation plans, floor plans, architectural designs, elevations, building sections and any and all other application materials filed, which were prepared for Capevest Development, LLC, or filed by Capevest Development, LLC or its representatives, with the Town of Barnstable, including but not limited to the Building Commissioner's office, the Site Plan Review Committee, the Planning Department and/or the Zoning Board of Appeals are proprietary documents and materials. Accordingly, they may not be utilized by any party other than Capevest Development, LLC, and its duly authorized representatives for any purpose. I have informed Mr. Pacheco that he,is not authorized to utilize any of the foregoing materials or applications for any purpose or in any manner whatsoever without first obtaining the'express written permission and consent of Capevest Development, LLC. I enclose a copy of my correspondence to Mr. Pacheco regarding this matter. Nutter McClennen & Fish ALP a Attorneys at Law 1513 lyannough Road, P.O. Box 1630 ■ Hyannis, MA 02601-1630 a 508-790-5400 ■ Fax: 508-771-8079 a www.nutter.com Art Traczyk, Principal Planner Robin Giangregorio, Coordinator January 14, 2003 Page 2 It is the intention of Capevest Development, LLC, to appear before the Site Plan Review Committee on January 30, 2003, for site plan approval. In addition, Capevest Development, LLC is planning to appear before the Zoning Board of Appeals at the February 5, 2003, hearing. We will notify you should Capevest Development, LLC, decide to withdraw any of its pending applications. Thank you again for your assistance in this matter. Please do not hesitate to contact me with any questions or comments. With best regards, I am, Sirrick y s Z/' , P . Butler PMB:cam cc: Capevest Development, LLC 1180671.1 I Nutter. Patrick 1VY. Butler Direct Line: 508-790-5407 Fax: 508-771-8079 E-mail: pbutler@nutter.com January 2, 2003 #100927-2 Via Certified Mail Mr. Shane Pacheco 146 Braley Jenkins Road Centerville, MA 02632 Re: 525 South Street, Hyannis, MA (the "Property Dear Mr. Pacheco: Please be advised that we have served as special counsel to the buyer relating to the above-referenced property. In particular, we have filed applications with the Town of Barnstable Site Plan Review Committee, the Building Commissioner of the Town of Barnstable and the Barnstable Zoning Board of Appeals relating to development and renovation of the Property. It is our understanding that the buyer has advised you of its intent to withdraw from the transaction in accordance with the terms and provisions of the Purchase and.Sale Agreement entered into by and between you and the buyer. This correspondence will serve as formal notice to you that the buyer deems any,and all plot plans, easement plans, site plans, foundation plans, floor plans, architectural designs, elevations, building sections-and any and all application materials filed, prepared for the buyer or filed by the buyer or its representatives with the Town of Barnstable, including but not limited to the Hyannis Main Street Waterfront Historic District Commission, the Building Commissioner's office, the Site,Plan Review Committee, Planning Department and/or the Zoning Board of Appeals as proprietary documents and materials and may not be utilized by any party other than the buyer and its duly authorized representatives for any purpose. Accordingly, please be advised that you may not utilize for any purpose associated with the subject property any of the foregoing materials for any purpose or in any manner whatsoever without first obtaining-the express-written permission and consent of the buyer and its respective architects, engineers and/or-attorneys: Any violation of the foregoing notification will result in the immediate commencement of appropriate legal proceedings. Nutter McClennen & Fish L<_P Attorneys at Law 1513 lyannough Road, P.O. Box 1630 ■ Hyannis, MA 02601-1630 ■ 508-790-5400 ■ Fax: 508-771-8079 is www.nutter.com 4 Mr. Shane Pacheco January 2, 2003 Page 2 Should you have any questions concerning the foregoing, please do not hesitate to contact me. Very truly yours, fC atrick M. utler PMB:cam cc: AVL Corporation 1178379.1 i . S. .� 7 • - .. .. III 2- LAW OFFICES OF PAUL R. TARDIF, ESQ. 490 AMAIN STREET YARMOUTH PORT,MA 02675 (508)362-7799 (508)362-7199 fax ptardit tardiflaw.com Refer to File No. August 16, 2004 Robin C. Giangregorio Site Plan Review Coordinator Town of Barnstable 200 Main Street Hyannis, NIA 02601 RE: 525 South Street, Hyannis, MA— Shane Pacheco Dear Ms. Giangregorio:, It was a pleasure speaking with you today regarding my client, Shane Pacheco, the owner of the above referenced property. As I explained, Mr. Pacheco presented his project at the property to Site Plan Review Committee in August of 2003. He then proceeded to the Barnstable Zoning Board of Appeals for a Special Permit, due to his need for the right to use 5 off site parking spaces, via an easement, on an abutting property, which was located in a different zoning district. In April/May of 2004, the abutting property was rezoned from a residential zone to the MA-1 district,thus obviating the need for a Special Permit. At this time, my client is attempting to file for his building permit, but is having an extremely difficult time securing stamped plans from his architect. Although he is still 100% committed to going forward with his project, he is being delayed by factors not in his control. I wanted to write to you in order to update you on his progress. I thank you for your assistance in aRTar d would be willing to provide you with additional information should you need it. urs, cc: Shane Pacheco of BAs CAPE 7 COD COMMISSION 3225 MAIN STREET P.O. BOX 226 BARNSTABLE, MA 02630 8 �9ssACHUs�� FAX(508)362-3136 E-mail:frontdesk@capecodcommission.org March 14, 2002 Mr.Douglas Bill Associate Planner Town of Barnstable 200 Main Street, Hyannis,MA 02601 RE: 525 South Street,Hyannis Dear Mr.Bill: In reference to your facsimile dated February 27, 2002, and to confirm my voice mail message of last week, it is the position of the Commission staff that the new mixed-use project at 525 South Street in Hyannis would not be under the jurisdiction of the Cape Cod Commission. The project does not exceed any of the thresholds for referral listed in Section 3 of the Cape Cod Commission Enabling Regulations and therefore no mandatory referral is required. 44y-w-misl` ,Street Woerfiiont.I storic ems#- and is described as a 4,069-square-foot building(plus a 2,019 sq.ft.patio)that was most recently used as.a restaurant.The existing building is to be demolished and replaced by a new 11,645- square=root structure that includes 8 one-bedroom apartments (totaling 8,352 square feet) with`°t'hereinainder'a"16 building being used for restaurant and retail use. Developments presumed to be Developments of Regional Impact(DRI) are referred to the Commission if they exceed 20,000 gross floor area in the case of mixed-use developments or 10,000 square feet in the case of commercial projects. The project described does not exceed either of these standards.In addition,the change of use provision in the Commission regulations is not applicable to a project.of this size:Furthermore,buildings located within local historic districts are excluded from the DRI threshold established for demolition of historic buildings, and therefore the project is not subject to this standard for mandatory referral. I hope this clarifies our determination, please call me at(508) 362-3828 if you have any questions. Sincerely, Pl iTT' Dascombe ATCP' Planner-- ., . TOWN OF BARNSTABLE CF TM E raw ��p���♦� OFFICE OF = DARNITABL i BOARD OF HEALTH aj ° o 39 k�� 367 MAIN STREET HYANNIS,MASS.02601 May 18, 1995 Colby W. Woodard EPW Corporation Woody's 525 South Street Hyannis, MA 02601 Dear Mr. Woodard: You are granted a variance from Regulation 14, of the Town of Barnstable Health Regulations for outside dining with the following conditions: (1) You are restricted to nineteen(19)tables with a seating capacity not to exceed sixty(60) patrons outdoors. The total seating capacity, indoors and outdoors, shall not exceed 192 seats. (2) Only six tables can be located facing Newton Street. This dining area must strictly conform to Paragraph A, of the Board of Health minimum criteria for consideration of variances for outside dining. Paragraph A designates a ten foot setback from a property line, sidewalk, or public access way. (3) Electronic air curtains shall be provided at the bar service window and at the front doorway used by waiters and waitresses. (4) All doors and windows shall be screened to prevent the entrance of flies and other insects. (5) All other criteria set forth in Paragraphs A through 0, of the minimum criteria for the approval of variances for outside dining must be complied" with. (6) This variance is subject to revocation in the event violations affecting health or safety are observed. W0*1S. - _ i F _ (7) This variance expires May 1, 1996, and must'be renewed annually. 3 (8) This variance is not transferable and will be voided if the establishment has a change in use, change of ownership or leased to a party other than the applicant. (9) This variance decision letter shall be posted on the wall adjacent to the food service permit in an easily accessible location for viewing by an agent of the Board of Health anytime inspections are conducted.- Sincerely yours, Susan G. Ras R.S. Chairman Board of Health Town of Barnstable SGR/bcs WOMYIs TO ' TIME DATE S� M lsetarned ]Collect fo OFase CC Wants to PHONE _ Wt(ltal� lfon'#1 7 7 Gd 2-- MESSAGE 7 /ors cc y�[Li ,J , V OPERATOR: 23-024-400 SETS 23-027-21ln SIFTS 1 H:�sessor's ma and-lot number .. O. .. .. . 2 .J p ! a � / �?. Gl�r6P�` G�l� c�o�/�SL�:( �f7HEtp 1 ® l� ui d r Sewce Permit number ........................�Aw��U..,'c.-r.�....... .�-?�1 s� ,!'�••t.�T K16t��. Z 33JSB9TADL_ House number 9 MA6a ' �EQ YP,f p TOWN' OF , BARNSTABLE DUIFLDIHG INSPECTOR h 1 ."APPLICATION FOR PERMIT TO ............. ... .................. ........... ..�iSrl�...... ....... ...'... .....!..... . .. . ..... .:.. TYPE OF CONSTRUCTION ...........:............,. ... . .. ' :..... .............. ....... .....................19. TO THE INSPECTOR ,OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location .... .m.. 1........ .............. .1.�.... . .... ............ ' ............................. .. ' Proposedosed Use ....... ..... Y!!..�.... �...... .� ............`....G..L..1..../ll .. . , ....... ....................................... .Zoning' District ............................. ........................ ......... ...........................Fire District ...... ................................................. Nameof Owner .1. . ... ... ......U :... . .... ...."e..............Address ..... ........................ .. .... ............... Name of Builder ............Address Nameof Architect ..................................................................Address ...............:.................................................................... f Number.of Rooms .......... .. ....................................Foundation ....V .S. // �? °................. ....... ...... .... ................ Exterior ......Roofing '.......:......... ................ ........................................... ... . . ........ . .. . . .. . —. �'� •�i�t.Z.�-tom off. ;c ���-5v o �� _ r _ n o 'Floors ...: .Q .. 'al Interior ...... CX ..���!Gz Y .......................................... ... . . .. . Heating ..................................................................................Plumbing ................ ......^.......... ....................................... Fireplace .............Approximate Cost ......./...(/.(!. ....................... Definitive Plan Approved by, Planning Board _______________________________19________. Area D..... ............... Diagram of Lot and Building with Dimensions Fee . SUBJECT TO APPROVAL OF'BOARD OF HEALTH / OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS - r I hereby agree to .conform to, all the Rules and Regulations of the Town of Barnstable regarding the above • construction.' Name' .�. ... ....................................... ' Construction Supervisor's License ... ...... .................. ..... CCHIONE, NANCY .1.24974 CONNECT TWO o ..:............. Permit for _ -iBLDGS. & MOD • ....... CY►�..�•/. ............. Loca4djjqqn •.............................................•................. *- ............Hyannis.... ` Nancy Vecchione Owner ' Y` Type of Construction, ..Frame........................... s ' ... ......... .... .... .............. iPlot .......................... Lot ................................ April 20, 83 t 1 4 Permit Granted ........................................119 Date of Inspection. ...... .....19 t Date .Completed ....... .. ........ ................19 -- -► t .r Assessor's map and lot number . 1 �4!1..f a2 /all, j GLr/7� .tr Sew' a Permit number (Z v4 Z BARNSTABLE. i House-.number ro rasa i639. f O YPY a' IV TOWN OF BARNSTABLE BR-JOIHG '-INSPECTOR APPLICATION FOR PERMIT TO ().... :� .................. ....................................... ".. .....�... ` .. TYPE OF CONSTRUCTION ....:............................. �. ...... r TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit, according to the following information: Location .................. .a....(........ ..�C. .............. ............ ..... .� ' ................................... Proposed Use ............... ... . ...... ..... !.4`�1.. .......... x......Y.4!..GW` '! ." ........................... I .. �. II, Zoning District ......................................... :............................Fire District .............. ........ ....................................................... ' Name of Owner :.. �) ..��� �!�!�. C Q!ri .............Address ... .. ..�....... . f�� f/ Y Nameof Builder .....................................................................Address ....................................: Nameof Architect ..................................................................Address ......................................\....................... Number of Rooms ......:.........C A-2j,. ...............................................Foundation ...�:-�.X.� .......... ....S,!/f'J�.. "�" Exterior . '... .. ..... ....... ... .....,...`:...... Roofin............ g ... r6c,+u PC ), �O �� (I e Jvy Ali..... o 1=2s»!L 5c3tST, b Floors r' <.... .' .. il .. . .................Interior .. ............ . ............... Heating .......................................:..........................................Plumbing .................................................................................. Fireplace ........... .............J..................................................Approximate Cost .......�.. .. . r Definitive Plan Approved by Plannin Board ---------------------- Area--,� Diagram of Lot and Building with Dimensions Fee 'v . .......... ..\......... ................. SUBJECT TO APPROVAL OF BOARD OF HEALTH p s� y. y OCCUPANCY PERMITS REQUIRED FOR, NEW DWELLINGS ref F t � I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. ^ Name ....�� :•1. n. i. . .......... ............... Construction Supervisor's License ..................................... VECCHIONE, NANCY A=308-163 4- 024974 Connect Two No ................ Permit for .................................... Rgomel .... .. . .. .... L.,.L.....t..,o..n.. ....... ........................................-... ..... .......... ... ................................................... Owner .....Tan9y...Vecchi e...................... Type of Construction .....F e........................ ............................ ................................................. Plot .............. ............. Lot ................................ Permit Granted .........April 0........19 83 ................... ....d .....April Date of Inspection ......... ........................19 Date Complete ......................................19 -7 co cjs ell ✓;/ �rAss 5Wr's map. and lot number ......................... r � /Sewage Permit number ...... ... . ..� .:......�st!�- ` / C c; �j OTET"ETo�o TOWN OF BARNSTABLE BAWSTAME, i a% BUI`LDINS INSPECTORr" 900s,M639• 9� r, �� RFD MPY A'\ C7 APPLICATION FOR PERMIT TO ... -..� ..I :k ..........1.. ............ .:1...(....... ., 1............ aTYPE OF CONSTRUCTION ........................................................... .......19... z• TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location .. -: ................. . . . . -:�..: --...................................................................................... . Proposed Use Zoning District ...... ............................Fire Districtyr . Name of Owner .►!..t. ........� . � L�%1 ,-�Acldress �, .: .(...... �' "..! Name of Builder .V .......5 .:.....Address 34Aq,.� / !l .... .�. .� .............................. .,,. .... 11,/J L Name of Architect ...M.�C. ........... ... 1`• >..Address ... 3. .(".....-....'.... .......I............................ Number of Rooms ..... ... ......►.��:a.O ....................Foundation ...(t's... ..... ... :... Exierior ...Roofing :5�.. . � : ............. . .. .:.. ............................................... ............ ...................................... V Floors ..... �...... J... .............................................Interior .................. . ��� �. :.,. Heatingt) .f .................................................Plumbing ..............A). A Fireplace ................................................Approximate Cost ...... ....aA........................ Definitive Plan Approved by Planning Board ---------------_---------------19________. Area ..........i.110.. ................. Diagram of Lot and Building with Dimensions Fee �,.. W.� 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. Name . ^ ..... ....... ..'..................... . ~m � . ^ . . ' Villa Vecchione, Inc. �d �w Restaurant ( N� -----.. 'Permit fbr —...�------�--- / ` ( (extiand patio)........................................................ ' Sou eet ` ----'_ ......... —..--..2,---.—.--.--' ---.. - ' - . -------�������------.�I...................... . - - ^ Cwnor --'V�ll�..�e�o61«o���..I��. — .�.. �--- ----� -----. - � ' Type ot. [onx�u�ion .......................................... ^ -� , . ^< ---''�—^-------------'�—'�----' ~ ` ^ ^ ' Plot .--------- Lot ----------.. � ~ ' � . ` ! °Permit Granted Ju�Y l9 74 ' -----�------'—]� PERMIT REFUSED | - . . ^ . , ^ . ° ^ ' ' ` ' D �/ e .. " jAssc spr's map and lot number j/ 2 l . 'Sewage Permit number ............ . TOWN OF BARNSTABLE Z EARN dIiLE, i "6 9` e� BUILDING INSPECTOR rJt APPLICATION FOR PERMIT TO .....,.... ..1�........�............. TYPE OF CONSTRUCTION ......... .. ....... ` �. .��.......................................................... ....... .......19J� TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location ............. . .)......... ............... ............................................................................t.............. ProposedUse ............. ��.f..�. ......j ............................................................................................................................ Z{oning District ...... ............................Fire District . 7................... f...................;........................ V!� Name of Owner 11.�. tw, ........ � / /1 '' ! dress ..cam`. .....C� �.C.� ../... .. .:F? � /��-5'. Name of Builder .1.tr•.(.1 �6. ...... ........Address .�`. ;1,✓. . . .,.,... �^............................... . 4.. /� / 1 ...� Name of Architect ....i x.{.•►•.?�� ""`........... -Address ...�''T.�.. s.�../.j........... ........ ............................. 4 Numberof Rooms ..... ......9n.d.."..........`..........Foundation ... ............................................................... r - Exiefor ............. ...........................................'.......Roofing ...........As.:91c,..:............................................ Floors ....c........(WAV...:r..............................................Interior .................I&a. Heating ............J...1. 1. ..iL'....................................................Plumbing ...............MAI.1 ................................................. Fireplace ............. ................................................Approximate Cost .......?/.... .�t.... d......................... Definitive Plan Approved by Planning Board ________________________________19________ , Area ...........��.. ?'................. Diagram of Lot and Building with Dimensions Fee SUBJECT TO APPROVAL OF BOARD OF HEALTH 1 I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Q� Name .,a l. ..'.?? .< �; ..... ......... ... !.................... Villa ——Vecchione, Inc. 36 g ~ &z —.. Permit or a—d� tw —Reot—a oyra&�nt — — ---- -- -- v � ` 1�) ---'' - m��b �tz me�—~---'-----' Location ---------------------. � ----'---^-------'----------- lm Veccbi�ne Ino Owner --�—����---..������--_.�____. . � Type of Construction ..............frmuoe_____.. � -------------------------- P|ct ............................ Lot ----------' Permit Granted ...........July..19.............. 74 ' Date of Inspection ------------lV ' Dote Completed ------------..lg � PERMIT REFUSED � ................ 19 � --------------------------.. ' ^-------------------------' ---~—~^-------------^--''---'' ` ..—.-------------.--~—~—.—..—.. Approved ................................................. 19 � ' ---------------'--'---~^^--^'' , --------------------------' | � yo�Txero�. TOWN OF BARNSTABLE P Big NAAL = Office of the Building Inspector 639 "" 16 q Date May--t7;`T995 Fee $75.00 79 PERMIT TO ERECT SIGN IS HEREBY Permit No. GRANTED TO RPW Corp. , Woody's Restaurant DIBIA LOCATION 525 South Street Hyannis ANY VIOLATION OF THE SIGN LAW WILL CAUSE IMMEDIATE REVOCATION OF THIS PERMIT Building Inspector _ 3 .The Town ofBarn stable. Department of Health, Safety and Environmental Services B" AM BuildingDivision date asp ►�� 367 Main Street,Hyannis MA 02601 fee X7s— Application for Sign Permit Applicant: P W V Assessor's no. a tea Doing Business As: Woo �QAWCmf Telephone 503- oOo2 Sign Location i� + street/road: J a5 Soo& S}. M anrn i 4d(ob Zoning District Old King's Highway District? yes no �1 Property Owner Name: &U&C4 I1&-rWIdAj6 Telephone I JU i35- -61Y5- Address: rU-N (,JOpL-D &f Village_ M Sign ContraTic, r Name: ti 17,! Telephone Address:_ "4 1 9YANN IS JOA 0,;I l0 0/ Village Description Diagram of lot showing location of buildings and existing signs with dimensions, location and size of the new sign to be drawn on the reverse side of this application. TC the Clan t!1 he P1Pr^trifiPri9 N,PQ (Note: if yes, a wiring permit is required) I hereby certify that I am the owner or that I have the authority of the owner to make application, that the information is correct and that the use and construction shall conform to the provisions of Section 4-3 of the Town of Barnstable Zoning Ordinances. Datu 4Silgna re of Owner/Authorized Agent Size (sq. ft.) Permit Fee / • t Sign Permit was approved: disapproved: Date Signature 4-Ruildi cial ff :., f fff? ,ff } f -. .. }f..}.t;::::•':"'».!'_,.. r r}. f.s:=•: .:•r } ys� }f}f - s ,t s f�.. .. }- . N i; psr ;rrriy: restaurant •:r:r ::l: ,.-Y... ...................... CAPE COD � :Y• �M NR,W6 it �7sc ITALIAN RESTAURANT - _ -_ __ -a---'�--•rTr_-�'�-ter I I y t el s n •• I •In r i I i 77 -7 .p � May 3, 1995 This, letter is to confikm that the existing awning and frame presently in place at the. property located at 3 Sherman Square, Hyannis, previously known as Villa Vecchione, and presently known as Woody'.s Restaurant and Bar has been permanently in place at this location for the past ten years. I am the owner of the property. Dr. Nancy Jan Vecchione 0 10 FRUEAN WAY SOUTH YARMOUTH, MASSACHUSETTS 02664 by PETERSON 508-394-6800 May 3, 1995 To whom it may concern: This is to certify that the awnings located at 525 South Street , Hyannis , Massachusetts were fabricated of Pyrotone flame retardant material . The material was supplied by Unitex of Rhode Island, and satisfies Massachusetts State building code requirements. Sincerely yours, PETERSON Awning, Inc. 77 Alan S. .MacEachern, President ASM/jlb A DIVISION OF CAPE COD AWNING AND CANVAS PRODUCTS CO., INC. rm,;_ IIR M fyroton.—,gr�n 52 ................. Na II 5 _'�'y �;y j 4 s �• �'"�a. "$I'�3+r'�F4 �'"'' 'Q.xr .._P� wc'� � f 1 Y� �`�"" � ���-� '��"�`�,'�„���,• .,err �... ��x r.�..�^- ^•'� .,�,�.4G,.>. "fir"-,�-.� ^fir •4 ,..,.,�,...>�a.��: ham...,, � - -.a,..-�•" a • 1 h t, a4 --� k.+�.,�` ;_�w� ,� .�'�-.^--'�`' �,x?�.- x"x��r�--•' ,�zs.3,,ciC� �t r- rya'^ tr' '��,�f �' 'i-v ^ky.. .,mot'. -zc. .�:. r, i•� 1 FLp ATTORNEYS;AT LAw - 125 PLEASANT STREET HIANNIS,DIASSACHUSETTS 02601 ` 23 INSTITUTE ROAD 1,17ORCESTER,MASSACHUSET S 01(i00 TELEPHONE(508)756-4342 - PIICHAEL J.SPILLANE,ESQUIRE �JSPILI-11\E; yAHOO.00lI - ' A TRUE COPY ATTEST OCooc�o101� COMMONWEALTH OF MASSACHUSETTS BARNSTABLE, ss . BARNSTABLE' DISTRICT COURT DEPARTMENT OF THE TRIAL _COURT CIVIL ACTION NO. .1025CV1312 JAQUELINE KELLEY, ) PLAINTIFF, ) VS . ) SUBPOENA DAVID S. DUMONT TRUSTEE OF ) BIRCHWOOD STERLING REALTY TRUST, ) o -;�' ..Y •. r'_ . DEFENDANT ) -n -rt t. 3 � f To: Paul Roma, Building Inspector Town of Barnstable N Regulatory Services - , Building Division cN ' n t 200 Main Street Hyannis, MA 0260 je .1 { You are hereby notified that pursuant to Rule 30 and 45 of the Massachusetts Rules of Domestic Relations Procedure, on Tuesday, November 5, 2010. at 1: 00 p.m., the .Plaintiff, by her Attorney will take your deposition before a Notary Public, upon oral:examination, at the office of- Plaintiff' s counsel, Attorney.Michael J. Spillane, of the firm Spillane & Spillane, LLP, 125A Pleasant _Street, Hyannis MA 02601, in the matter of Jacqueline Kelley v. David S. Dumont, Trustee of Birchwood Sterling Realty Trust - Barnstable District Court, - Docket NO. 1025-CV1312 You are further commanded to bring all documents related to the requested information listed in Schedule A attached hereto, and to give testimony on behalf of the Defendant . authenticating said documents . Linda ) Stone, Notary Public My cofiission expires 8/11/11 , Dated: September 28, 2010 . SCHEDULE `A' Any and all records relating to . the building located at 525 South Street, Hyannis, MA, including but not limited to an Inspection Correction Notice dated December '13 , ,2007. _. COMMONWEALTH OF MASSACHUSETTS BARNSTABLE, ss. BARNSTABLE DISTRICT COURT DEPARTMENT OF THE TRIAL COURT CIVIL ACTION NO. 1025CV1312 JAQUELINE KELLEY, ) PLAINTIFF, ) VS. ) - DAVID S. DUMONT TRUSTEE OF ) BIRCHWOOD STERLING REALTY TRUST, } DEFENDANT ) NOTICE OF TAKING DEPOSITION Please take notice that; commencing at 1 : 00 p.m. on Tuesday, November 5, 2010, at the office of Spillane & Spillane, LLP, 125A Pleasant Street, Hyannis, MA, the Plaintiff in this action, by her Attorney, will take the deposition, upon oral examination, of Paul Roma, Building Inspector pursuant to Rule 30 of the Massachusetts Rules of Civil Procedure, before a Notary Public in and for the Commonwealth of Massachusetts, or before some other officer authorized by law to administer oaths., The oral examination will continue from day to day until completed. You are invited to attend and cross examine Please take further notice that the above named witness is required to produce at the time and place of deposition the following: See Exhibit "A" ., JAQUELINE KELLEY n Michael . Spillane, Esquire BBO # 650874 Spillane & Spillane LLP 23 Institute Road t Worcester, MA 01609-2713 mjspillane@yahoo.com (508) 756-4342 F Dated: September 28, 2010 CERTIFICATE OF SERVICE I, Michael J. Spillane, Attorney for the Plaintiff; hereby certify that I have this day,- served a copy of the foregoing pleading upon the Defendant by mailing a copy of the same, postage prepaid to John W. Haverty, Esquire, Haverty & Feeney, 54 Samoset Street, Route 44 , Plymouth, MA 02360-4546 . Mich 1 J. Spillane, Esquire Dated: September 28, 2010 f F SCHEDULE `A'. Any and all records relating to the building located at 525 South Street, Hyannis, MA, including. but not limited to an Inspection Correction Notice dated December 13 , 2007. e r s w S'PILLANE A SPILLANE LLP ATTORNEYS AT LAW 23 INSTITUTE ROAD .125 PLEASANT STREET , WORCESTER,MASSACHUSETTS 01609 HYANNIS,MASSACHUSETTS 02601 TELEPHoNE(508)756-4342 TELEPHONE(508)775-3330 FAcsumT.F,(508)752-2344 FAcsn&ILE(508)418-5049 JOHN J.SPILLANE JOHN W.SPILLANF. MATTHEw T. SPILLANE 1932-2007 MICHAEL J.SPILLANE October 6, 2010 Paul Roma, Building Inspector Town of Barnstable Regulatory Services -• Building Division 200 Main Street Hyannis, MA 02601 =. Re: Kelley v. David Dumont, Trustee of Birchwood Sterling Realty Trust - Barnstable District Court - Docket No. 1025CV1312 Dear Mr. Roma: Pursuant to your secretary' s conversation with my office today, enclosed please find a corrected Subpoena and Notice of Deposition in connection with the above entitled matter. As you will note, we have corrected the date for this deposition on these documents to be Friday, November 5, 2010 at 1:00 p.m. Thank you for your attention to this matter. 0 0 Very truly yours, c3 z --+ o -n licha V/- SpXillane MJS;lws V 3 Enclosures o ; _ ao o r- cc: John W. Haverty, Esquire CD !13 Ms. Jacqueline Kelley h VV W.SPILLANELAW.COM f - COMMONWEALTH OF MASSACHUSETTS BARNSTABLE, ss. BARNSTABLE DISTRICT COURT DEPARTMENT OF THE TRIAL COURT CIVIL ACTION NO. 1025CV1312 JAQUELINE KELLEY, ) PLAINTIFF, ) VS . ) SUBPOENA ) DAVID S . DUMONT TRUSTEE OF ) BIRCHWOOD STERLING REALTY TRUST, ) ) DEFENDANT ) To: Paul Roma, Building Inspector Town of Barnstable ' Regulatory Services - Building Division 200 Main Street Hyannis, MA 02601 You are hereby notified that pursuant to Rule 30 and 45 of the Massachusetts Rules of Domestic Relations Procedure, on Friday, November 5, 2010 at 1:00 p.m. the Plaintiff, by her Attorney will take your deposition before a Notary Public, upon oral examination, at the office of Plaintiff' s counsel, Attorney Michael J. Spillane, of the firm Spillane & Spillane, LLP, 125A Pleasant Street, Hyannis, MA 02601, in the matter of Jacqueline Kelley v. David S. Dumont, Trustee of Birchwood Sterling Realty Trust - Barnstable District Court - Docket NO. 1025CV1312 You are further commanded to bring all documents related to the requested information listed in Schedule A attached hereto, and to give testimony on behalf of the Defendant authenticating said documents. t• XJ= '� a Linda J. Stone, Notary�Publtic` M comma Sion expire 8 11 1,1 Y P �'- Dated October 6, 2010 r SCHEDULE' `A' ' Any and all records relating to the building located at 525 South Street, Hyannis, MA, including but not limited to an Inspection Correction Notice dated December 13, 2007 . x COMMONWEALTH OF MASSACHUSETTS BARNSTABLE, ss. BARNSTABLE DISTRICT COURT DEPARTMENT OF THE TRIAL COURT CIVIL ACTION NO,. 1025CV1312 JAQUELINE KELLEY, ) PLAINTIFF, ) VS. ) DAVID S. DUMONT TRUSTEE OF ) BIRCHWOOD STERLING REALTY TRUST, ) DEFENDANT ) NOTICE OF TAKING DEPOSITION Please take notice that, commencing at 1:00 p.m. on Friday, - November 5, 2010, at the office of Spillane & Spillane, LLP, 125A Pleasant Street, Hyannis, MA, the Plaintiff in this action, by her Attorney, will take the deposition, upon oral examination, of Paul Roma, Building Inspector pursuant to Rule 30 of the• Massachusetts Rules of Civil Procedure, before a Notary Public in and for the Commonwealth of Massachusetts, or before some other officer authorized by law to administer oaths. The oral examination will continue from day to day'until completed. - You are invited to attend and cross examine Please take further notice that the above named witness is required to produce at the time and place of deposition the following: See Exhibit "A" . JAQUELINE KELLEY SV� Mic a Spillane; Esquire BBO # 650874 Spillane '& Spillane LLP _ 23 Institute Road Worcester, MA 01609-2713 mjspillane@yahoo.com (508) 756-4342 Dated: October 6, 2010 Y CERTIFICATE OF SERVICE I, Michael J. Spillane, Attorney for the Plaintiff, hereby certify that I have this day, served a copy of the foregoing pleading upon the Defendant by mailing a copy of the same, postage prepaid to John W. Haverty, Esquire, Haverty & Feeney, 54 Samoset Street, Route 44 , Plymouth, MA 02360-4546 . Micha . Spillane, Esquire Dated: October 6, 2010 SCHEDULE `A' Any and all records relating to the building located at 525 South Street, Hyannis, MA, including but not limited to an Inspection Correction Notice dated December 13, 2007 . j • 4 f Town of Barnstable Building Department - 200 Main Street RAMST"LE. * Hyannis, MA 02601 f A.�' (508) 862-4038 D MP Certificate of Occupancy Application Number: 83691 CO Number: 20080425 Parcel ID: 308162 CO Issue Date: 09/29109 Location: 525 SOUTH STREET Zoning Classification: HYANNIS VILLAGE BUSINESS DIST Proposed Use: MIXED USE RETAIL & RES Village: HYANNIS Gen Contractor: PACHECO, SHANE Permit Type: CC00 CERTIFICATE OF OCCUPANCY COMM Comments: 2 HANDRAILS NEEDED AND HEDGES PER SITE PLAN. Building Department Signature Date Signed F fHE 1p� Town of Barnstable s�AB . « Engineering Division �. ,. 9�A 1619. a,�� 367 Main Street, Hyannis MA 02601 rED MA'S Office: 508-862-4088 Robert A. Burgmann,P.E. Fax: 508-862-4711 Town Engineer To: Thomas Perry, Building Commissioner From: Robert A. Burgmann,P.E.,Town Enginee Date: August 14, 2003 Re: 525 South Street,Hyannis, MA (308-162) Site Plan Review#057-03 C: Baxter, Nye &Holmgren Baxter, Nye &Holmgren, Inc. has submitted a revised plan for the above referenced project bearing the revision date of 7/31/03. That plan addresses the concerns that Engineering had regarding the project. We recommend that the project be approved as modified. 1:wpfiIm\bwgm \corresV0031tow deptsAbId&WpIarvw057-03.dw ot Town of"Barnstable Planning Division Thomas A.Broadrick,Director } 1 Planning Zoning&Historic Pmemtion Memorandum Date: February 3,2004 To: Robert Smith,Town Attorney �(� 2 t° R th Weil,Assistant Town Attorney S tT a id Hou hton,Assistant Town Attorney co(k, 0A- Jo')�� From: � �.�t --� Art T czyk, cipal Planner File letters-2004-M-legal Pacheco.doc Subject: Zoning Board of Appeals request for interpretation and opinion on MA-1 Zoning District and Section 4-2.4—Parking Location regulations as it relates to Appeals 2003-112— Pacheco At the Zoning Board of Appeals hearing of January 21,2004 on the above referenced appeal of the Building Commissioner, the Board determined that it would seek the Town Attorney's Office interpretation and opinion on the issue of parking as it relates to the MA-1 O� Zoning District and Section 4-2.4—Location. In the appeal, the applicant seeks to n i redevelop a site in the MA-1 zoning district consisting of 2,544. sq.ft.within three retail units on the first floor and 4 residential town homes above. Of the required parking spaces, 9 are provided on the subject lot located in the MA-1 zone and an additional 5 spaces are proposed on the abutting 15 Newton Street lot located in the Residential B zone. Appeal 2003-112 appealed the Building Commissioner's decision that the five parking spaces proposed to be located off-site at 15 Newton Street are not available as-of-right under the Zoning Ordinance. The applicant is contending that the spaces are permitted as-of-right as provided for in Section 4-2.4 of the Zoning Ordinance. The Board members differed on how that section is to be read and interpreted. They have requested your office's interpretation and opinion on that section of the ordinance. This appeal was continued to March 17,2004. Information for the hearing will be distributed to the Board members on March 10,2004. The Board would appreciate your input be provided by that distribution date. Copy: Attorney Paul Tardif - Tom Perry,Building Commissioner Ron S.Jansson,Acting Chairman ZBA File 2003-112 n �,rI�G/4F� �l�1CfCG o� `. J/?ll vPU 5. Construction plans-one complete set offu dimensionalized must be submitted with the either an architect or an engineer.. NOTE: The applicant must also submit a se review. The application package will not b Department. 6. The following departments,located at 200 M Engineering Department Health Department Tax Collector Conservation Department 4 Planning Department Treasurer t 7. Workers Compensation Insurance Affidav 8. Construction Supervisor's License-A cop Note: Construction Supervisor's license h building or an . addition(regardless of si 35,000 cubic feet. In that case,the applica documents as indicated in 780 CMR sectio 9. Performance Bond($4.00 per foot of road 10. Permit fee. Must be paid when application P Barnstable. Q:fbnns:CNEW l __ T TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION JeJ191 r� Map 109 Parcel Permit# He1th Division 1 y 3 Tf] f1 �° % BA Rr',,-,ThBLE Date Issued is o Conservation Division 3'(➢3 ?003 APB _3 PP9 j `� Application Fee G' Tax Collector Permit Fee Treasurer B'Vf)lot............................... —"" Planning Dept. C AMA MRITSTOgT�ASE BIVGINBt N �T TER"'7 TZI Date Definitive Plan Approved by Planning Board CONagdC� CMk.'L�'�1t0 Historic-OKH Preservation/Hyannis Project Street Address s, s f Village v A n n 1 9 Owner J 9/7 e / ,;G e C G Address Telephone fs'ri 0 J o 9 —3 3 0 Permit Request CJ Square feet: 1st floor: existing!4,Dod proposed 2nd floor: existing proposed Total new Zoning District / Flood Plain Groundwater Overlay Project Valuation Construction Type Woo o LLt Size Grandfathered: ❑Yes ❑No If yes, attach supporting documentation. Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family(#units) Age of Existing Structure 0 istoric House: ❑Yes ❑No On Old King's Highway: ❑Yes ❑No tt Basement Type: ❑ Full f�Crawl ❑Walkout ❑Other NO n e G Basement Finished Area(sq.ft.) Basement Un finished Area(sq.ft) Number of Baths: Full: existing new Half: existing new Number of Bedrooms: existing No 4 e— new Total Room Count(not including baths): existing new First Floor Room Count S,4m e Heat Type and Fuel: ®'Gas ❑Oil ❑ Electric ❑Other Central Air: ❑Yes U�o Fireplaces: Existing ,NQp a New Existing wood/coal stove: ❑Yes No Detached garage:❑existing ❑new size Pool: ❑existing ❑new size Barn:❑existing ❑new size Attached garage:❑existing ❑new size Shed:❑existing ❑new size Other: Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial [ 'Yes ❑No If yes,site plan review# Current Use oe(e< P Al?IL Proposed Use NO e , BUILDER INFORMATION 4 Name �Cl�ef C O Telephone Number Address S s 5 _ License# 114 IA917/S LI. co Home Improvement Contractor# Worker's Compensation# ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO '�� SIGNATURE DATE / �CJ. FOR OFFICIAL USE ONLY 4 PERMIT NO. { r f DATE ISSUED MAP/PARCEL NO. O ADDRESS `1' VILLAGE OWNER DATE OF INSPECTION: ti , L _ - ilj FOUNDATION Yl t FRAME INSULATION ` FIREPLACE t ELECTRICAL: ROUGH FINAL- I PLUMBING: ROUGH FINAL- ?� L GAS: ROUGH FINAL` FINAL BUILDING t r_ DATE CLOSED OUT ASSOCIATION PLAN NO. r•� ti L > The Commonwealth of Massachusetts Department of Industrial Accidents ` — Office of/MPSAYSIMBS — 600 Washington Street Boston,Mass. 02111 Workers Compensation.Insurance Affidavit {y g �Yjffl MENEM a.: x name: 4 n e- location: E3O s , • $o g ci / _ hone# 8 I am omeowner performing all work myself. I am a sole proprietor and have no one working in any capacity I am an employer providing workers' compensation for my employees working on this job :s e M .,��z ,'� ' �I ���,t:;€r�;"„`4��'"�'�,��' ��,. '��t 'x���-�*R�fi�k���� 'r.� Sz's:�,,�-✓�f � �d� '� �.3 �� � -a v � s L` a�,s ��' -> .�"z�cn s -ig"*" •"-. i" '"r,� a ., ak �.{ a: z"ts f '.: x ac r > z. r 5 ,, �,'r ,a r, ''c.,s ;' ' ., kPxa"6C.wa, . 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' ,z��;���`a�� s"��•i"�F'� ��.v�y� ,e`��a,�J��'�i.�"��`g.;,`,��"� °'`��,r�'a��,�- C ✓����i's�.a,.§r'3"��''�,,<r�"1� �'xs '7S c:� c e }m x�, ;. r ziz/ t i3 >�'- s � �� •�E �t t -x z-., �. d r� r'by a..3 t w} 7 A. ih xx y z far x Yz Phone ME- i ` ?.,r'�.�"�g ,��c=" ,�''` .��� �'�� 'r�-�'.° �h F.•ts 2�`�.?-�s-'.• �"^�'`1',��'^,sc-v udw:�i,x`.r r�'���4 �i Y��,�gt�.rs`'�,�.z 1'�y'�,i`1�+€r�,,""�,1 �� I am a sole proprietor,general contractor or homeowner Ill:i We one)and have hired the contractors listed below who have � the following workers' compensation polices I P"r 3y'xfi x 4✓ ✓? ^i 53 3 3 X ,£t d Ent" e �`q �'�� x� �'✓ '�;i T `Kyyisl' t, ts, IN x a t3OM U, ' a '` " r�tq,.atiA rF `; rss � i P epr3eaF a � �5sz ?, -�. 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"ts �%k,�sa � +�.�? .r.A� 7 .#". .. eta z ,� Erz'H POh'Cv%.#r,�h�:n ..z,.>a1.«:,..; ..��.«9, '��anz✓.��r..^c.� .�.:Fd�"r-'�.'s�9,�.+�x±�e .HY ,�- 7.2 nfi z.t,s �.7 r *r'�,. z .,z a �'- -�c: Fes", zz t 'Qa it r� 3': tax£ :��'x' R�c�":� gucaSt x � } s� �,x^t �:� �s'�y �x5 �r�r��c ,g �' y�tx ; a:�t^a�x �, '���, '' (a �, � zE �r ;'`;, ..i { a,,5,R� ����satR'k,�.�•h' 'fit , t'��'2 '� a 'a:P„� - cfk 'r< i't y '�€ v..t..- r-t� x .G: `zy?r� � :k��5 z -_ >sL "> � xer'� `'�� ``^�����+��.�` �,r�#� x ' r��•�'�^ ��r �r�,ur '� :��,'�.��»,�f �,�� kr'F-z address v $t t#ram, _;,Y ? 3 rFiUR sZ .is}r v : ^.� rs£V� -f,"EM zi?,''c"'°x fir8 s "��i��^� `' ,, rx «�,s �».,� .' ,�''�`�,$ __ �`„�,J�� �z �.xa��; a'y x z .r � y"_ � b �-S•�' 4r,� t"s '� iils'urance;co `� Z :E �, Polrcv# Failure to secure coverage as required under Section 25A of MGL 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one years'imprisonment as well as civil penalties in the form of a STOP WORK ORDER and a fine of$100.00 a day against me. I understand that a copy of this statement may be forwarded to the Office of Investigations of the DIA for coverage verification. I do hereby eerti der the pains and penalties of perjury that the information provided above is true and correct. Signature Date Z11,3 (2 J Print name .�� / "6 ��C/f" G n Phone# official use only do not write in this area to be completed by city or town official city or town: permit/license# nBuilding Department ❑Licensing Board ❑check if immediate response is required []Selectmen's Office ❑Health Department contact person: phone#; FlOthe.r (revised 9/95 P1a) r Information and Instructions Massachusetts General Laws chapter 152 section 25 requires all employers to provide workers' compensation for their employees. As quoted from the"law", an employee is defined as every person in the service of another under any contract of hire, express or implied,oral or written. An employer is defined as an individual, partnership, association, corporation or other legal entity,or any two or more of the foregoing engaged in a joint enterprise, and including the legal representatives of a deceased employer, or the receiver or trustee of an individual, partnership, association or other legal entity, employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein, or the occupant of the dwelling house of another who employs persons to do maintenance, construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer.. MGL chapter 152 section 25 also states that every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any ® applicant who has not produced acceptable evidence of compliance with the insurance coverage required. Additionally,neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have i been presented to the contracting authority. Applicants i. f, Please fill in the workers' compensation affidavit completely, by checking the box that applies to your situation and supplying company names, address and phone numbers along with a certificate of insurance as all affidavits may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested, not the Department of Industrial Accidents. Should you have any questions regarding the"law"or if you are required to obtain a workers' compensation policy, please call the Department at the number listed below. City or Towns Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permit/license number which will be used as a reference number. The affidavits may be returned to the Department by mail or FAX unless other arrangements have been made. The Office of Investigations would like to thank you in advance for you cooperation and should you have any questions, please do not hesitate to give us a call. fmRH, 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 fax#: (617) 727-7749 phone#: (617) 727-4900 ext. 406 APR-'01-2008 TU£ 08:28 AM KEY�YAN hNEHUY wW NU; SUts 3�14 t'U d r, uc Key%pan Energy De6ory iCt Aivernwor S;rant i;liJy�J'I fY'.'t r:`es:Sb��Jilr:,Massachu7<;fs02i3Z fc!bt7 7Z3-6a.2 El PJI 1, 2003 Ms. Nancy l..,uciett 525 SOU111 sircet 11yannis, MA 02601 re: 525 South Street, d-tyannis, M'A To Whom it May Concern: This letter is to confirm that all the natural gas services to ti,e above rererenc:ed property have been cut and capped at the main in the street, This work vyas completed by US tin l;ebr uary 5, 2002 If you ha%e an) questions, B Oart b:e contacted directly zit 508-760-7503 Sinccre'.y, , Sally Sinclair rlapa Operations 5 r 04l01 f 2003 Tl F.. 10.2 t F'1X 50895745G8 '+'STAR YARMOP'P H kvZy 40U.( NS TAR April ;, 2003 Shane M. Pacheco 30'rl.Bishop Terrace Hyannis, MA, 02601 Re: 525 South Street, Hyannis Near Mr. Pacheco.- The purpose of this letter is to confirm.that the electric Service and meter for the address referenced above have bccn disconnected and removed. Please feet Epee to +:aDD rne at 751-441- 3365 if you have any questions. S cerely, Cra Nancy L Allen hfid-Account Executive Barnstable Water Company Bart�stedte�/eter 47 Old Yarmouth Road P.O. Box 326 /] Hyannis, MA 02601-0326 A$UBSIDIARY OF CONNECT CU7 WATER SERVICE. Office:508.778.9617 Fax:508.790.1313 Customer Service:508.775.0063 March 31, 2003 Town of Barnstable Building Inspector ,. Town Hall Hyannis, MA 02601 RE: Service#2199 & 451A, 525 South St., Hyannis (aka Sherman Square) Dear Sir: Please be advised that the above water service was shut off and the meter removed on 11/6/00. The owner has informed us that he is planning demolish the existing building. Sincerely, John Rademaker, Clerk Barnstable Water Company �; •HYA,NNIS FIRE DEPARTMENT- FIRE PREVENTION BUREAU APPLICATION FOR PERMIT APPLICATION DATE: i >!�3 n3 MAP & PARCEL• [PERMIT TYPE:; 'I)UvA f51*#. - PERMIT#: LOCATION: :50 JIN AW. LOCATION PHONE: _ LOCATION FAX a CONT IN ACCORDANCE WITH. MASS GENERAL LAW CHAPau;TER:; SECTION: �, TO WIT:l� �� d �� rz.............._.... _............._.�_. ....�.0 _ _..�__ � I REQUEST PERMISSION TO- STAL MOD IFY\REPAIR\REMOVE\STORE\USE ................... _ THE FOLLOWING:; ��Mi�J Z,� ZX �-�O �(� _FERMIT REF #• . --......... _.. ......... ... W. DESCRIBE PROJECT: LICANT'S NAME.: a ,�'�iv .S �V/2 E #: €BEEPER: ! € FAX: ' LI ICENSE TYPE: NUMBER: E W.. - -- ------- - - PRINT NAME: s e ,�c eC o TORE: NOTE: PAID:' RESTRICTIONS: i O1-OM Y W....._ ..... ....................... .... ...................................................................._.............._..:.�........................ [REQUIREMENTS: PLANS INFO: [INSPECTION i I i :GRANTING FIRE OFFICIAL:! PERMIT GRANTED ON: c� �j- 03 LOGGED BY: THIS APPLICATION IS DEEMED TO BE A VALID PERMIT ONLY WHEN SIGNED BY THE GRANTING OFFICIAL Property Location: 525 SOUTH STREET MAP ID: 308/162/// Vision ID: 25022 Other ID: Bldg#: 1 Card 1 of 1 Print Date:04/03/2003 11:27 " Description Code Appraised value Assessed Va ue ERNWOOD AVE COMMERC. 3260 179,000 179,000 801 YANNIS,MA 02601 COMMERC. 3260 900 900 Barnstable 2002,MA Ef 5,A A � _ ccoun an Ret. Tax Dist. 400 Land Ct# er.Prop. #SR Life Estate VISION DL 1 Notes: DL 2 GIS ID: 25022 1 otal 299,30U 299,30 r uv.r f z 9 r' r. loa Code AssessedValue r. Code ssesse a ue r. Code AssessedValue 2001 179,000 000 3260 170,3001999 3260 170,300 2001 900 000 3260 9001999 3260 900 oa: oa: , is signature ac now ledges a visit by a ata Collector or ASSessar Year lypelvescription Amount C o e I Description Number Amount Comm.Int. � :: t r a Vw 44 Appraised Bldg.Value(Card) 179,000 Appraised XF(B)Value(Bldg) 0 Appraised OB(L)Value(Bldg) 900 Total: Ara' a 1 21, Appraised Lan Value B ., Nmi Special Land Value WOODY'S Total Appraised Card Value 299,300 Total Appraised Parcel Value 299,300 Valuation Method: Cost/Market Valuation et I otal AppraisedParcel Value , a, < „ .,. u� .. '• ,�.� ��� ems: ;a �,. a' Permit Issue Date Iype Description Amount Insp.Date o Como. Date Comp. Comments Date Ca. Purposelt(esult a use Code Description Zone V Prontage Depth units nit rice 1.Pdctor 3.1. Tactor Nona. Aqj. otes-Adil3pecial Fricmg A aj. unit Price Lana va ue . o es: , Total ara Lana unitsarce o a an rea: Total ana Valuel 119,40U Property Location: 525 SOUTH STREET MAP ID: 308/162/// Vision ID:25022 Other ID: Bldg#: 1 Card 1 of 1 Print Date: 04/03/2003 11 . _ ., Element CA CA Description ContmercuuVara Elements ityle/ ype 30 RestaurantElement Cd. Ch. Description odel 94 Commercial Heat ade OD Below Avg Frame Type 2 WOODFRAME Baths/Plumbing 2 AVERAGE 12 tories 1 1 Story Occupancy 00Ceiling/Wall 6 CEIL&WALLS ooms/Prtns 2 AVERAGE Exterior Wall 1 14 Wood Shingle /o Common Wall 2 Wall Height 1 Roof Structure 1 Flat Roof Cover 2 Rolled Compos M r _ . nterior Wall 1 2 all Brd/R ood 11 1" " "'" 1 34 Z Element Code Description actor Interior Floor 1 12 Hardwood Complex 2 Floor Adj 9 Unit Location Heating Fuel 3 as Heating Type 4 Hot Air Number of Units C Type 1 None Number of Levels 3 /o Ownership edrooms 0 Zero Bedrooms athrooms Zero Bathrms ., y .. 8 Total Rooms 10 1 Room nadj.Base Rate 55.00 9 Size Adj.Factor 0.98681 ath Type Grade(Q)Index 0.73 30 9 30 Kitchen30 Style dj.Base Rate 39.62 10 Bldg.Value New 165,770 92 Year Built 1920 ff.Year Built 1970 rml Physcl Dep 30 uncnl Obslnc 0 ,. t z conObslnc 0 Code PercenfqE peel.Cond.Code MA Specl Cond% 38 Overall%Cond. 108 X eprec.Bldg Value 179,000r� � t � � � a, Code Description L.Iff Units Unit Price Yr. Lp Rt M NoUnd Apr. Value f �.cif � .. ��� � � @p• tom• Code Description LivingArea CrrossArea Ejj,Area Unit Cost Undeprec. Value ` i r-s-f TFoor , FOP Open Porch 0 54 14 10.27 555 PTO Patio 0 2,019 101 1.98 4,002 ? ` 11 t. Gross Ltv ease rea 121 4,1841 Bldg Val: 165,779 APR-07-200-3 MON 11 :42 AM MARK SYLVIA INSURANCE 5084209227 P. 02 �4CQlRD„M CERTIFICATE OF LIABILITY INSURANCE °Aa.107/2003' PRODUCER P Swiai# 100231 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION MARK w SYLVIA ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER, THIS CERTIFICATE DOES NOT AMEND, 5XTENO OR 969 MAIN STREET ALTER THE COVERAGE AFFORDED BY THE FOLIC BELOW, OSTERVILLE, MA 02655 `INSURERS AFFORDING COVERAGE PIAICO INSURED INSUW..A: FARM FAMILY CASUALTY INSURANCE DOUGLAS BROWN INSURER 0: PO BOX 145 NSURER c: CENTERVILLE, MA 02632 . INSURER D: INSURER E: I COVERAGES THE POLICIES OF INSURANCE LISTED BFLCIN HAVE 81~EN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED.NOTWITHSTANDING ANY REQUIREMENT,Tr.RM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WTM RESPECT TO WHICH THIS CERTIFICATE MAY 6F ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED rJY THE POLICES DESCRIRIED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES,AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. afa SR YYPEOF INSURANCE ..^ POLICY NUMBFR PRDUC R +UC1V E P /1C EMMI RAT N LIMITS GENERAL LIABILITY EACH OCCURRENCE ,000 $ 1,000 f{ COMMERCIAL GENERAL LIAIdfL1TY 2001 X0240 5-$-02 5_S_0 FAMA F'0�Eo.0 eI re B 50 000 CLAIMS IvIADC L^I OCCUR 5-E-03 5-8-043 MEG SXp (Any one person) 5,000 CONTRACTORS PERSONAL&A0V INJURY ADVANTAGE SPECIAL_ GENCRALACCRFGATE S 2,000,000 OEPPI,AGGREGATE LIMIT APPLIES PFR; PRODUCTS•COMPIOV ACG F 1,000,000 POLICY PCC LOCI AUTOM081LE LIABILITY OOMDINFD SINGLE LIMIT $ (Ee aocidont) ANY AUTO ALL OWNED AUTOS BODILY INJURY $ (Per person) SCHFDJLED AUTOS I•iIRCO AUTOS DCDILY INJURY $ ;Pet acc'tdenl) NON-OWNF,D AUTOS PR nry) .,Io O f DAMAGE $ (pur accige GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $ ANY AUTO OTHER THAN EA ACC $ AUTO ONLY: AGO $ EXCESSIUMBRELLA LIABILITY EACH OCCURRENCE A OCCUR CLAIM&MADE - AGGREGATE $ OEDUCTt3LE $ RETENTION 7C,RY Ln U OJ - WORKER'S COMPENSATION AND i m EMPLOYIE"'LIAMLITY EL tACH ACCIDENT $ ANY PROPRIETORIPARTNSMEXECUTIVE EL OISEASE.EA EMPLCY"E 4 OFFICER/MEMBER EXCLUDED? I It Yes,lescribo tinder EL DISEASE-POLICY LIMIT $ SPECIAL PROVISIONSnalow OTHER DESCRIPTION OF OPERATION&IloCAnONSIVEHICLEBIRXCLUSION&ADDED DY ENDOR15EIALNT1SPECIAL PROVISIONS LANDSCAPE GARDENING, STREET GLEANING ,SEPTIC TANK SYSTEM RE:525 PHELP STREET CERTIFICATE HOLDER CAN CELLATIUW SHOULD ANY OF TI IC ABOVE.GESCRIBEO pCLICIES AF.CANCELLED DEFOF<<E THE EXPIRATION DATE THEREOF,THE ISSUING INBURFR WILL F,NOEAVOR TO MAIL,--_DAYS WRITTEN ; TOWN OF BARNSTABLE NOTICE TO'fHE CERTIFICATE HOLDER NAMED TO THE LEFT,BUY FAILURE TO DO SO SHALL BUILDING DIVISION IrnPr,SE NO DEUGA.TION OR:.(ABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR REPRESENTA',IVF$ k ATTN: SHERI oR��ETATIVE • t ACORD CORPORATION 1988 ACORD 25(2001108) Svo* V HYANNIS FIRE DEPARTMENT HYANN/S 95 HIGH SCHOOL RD. EXT. HYANNIS, MA. 02601 Q � HEM KCAL �OQ �. FREaeanart�E HAROLD S. BRUNELLE, CHIEF TyiuutixinWARGxGSSOFFIRGGDVCATION 1896 FIRE PREVENTION BUREAU BUSINESS PHONE:(508)775-1300 FACSIMILE PHONE: (508)778-6448 LT.DONALD H.CHASE,JR.,CFI LT. ERIC F.HUBLEP., CFI FIRE PREVENTION OFFICER FIRE PREVENTION OFFICER To: Commissioner Thomas Perry From: Lt. Eric Hubler, CFI Date: April 10, 2003 Subject: 525 South St., Formally Woody's Restaurant Dear Commissioner, This letter is written to advise you that the cause and origin physical investigation of the fire at 525 South St. has been completed by the Hyannis Fire Department. The Insurance Company's investigator has met with us on site and has gathered their physical evidence too. This department strongly recommends that the burnt out structure be leveled as soon as possible, in the best interest of public safety. Sincerely, ALt. ErickubleFI b: lb12004 11:11 5088624724 LEGAL DEPT PAGE 01 Town of Barnstable Legal Department -Town Attorneys' Office 367 Main Street, Hyannis MA 02601-3907 Inter-Office Memorandum Robert D. Smith, Town Attorney Office: 508- ,624fr2,0 Ruth J. Weil, 1 st Assistant Town Attorney Fax: 508-862-4724 T. David Houghton, Assistant Town Attorney - Claire Griffen, Paralegal/Legal Assistant Claudette Bookbinder, Legal Clerk Date: March 15, 2004 Also By Fax: 508.862-4725 To: ART TRACZYK, Principal Planner To: THOMAS BROADRICK, Director, Planning, Zoning, & Historic Preservation From: ROBERT D. SMITH, Town Attorney Fr Subject: Request for Opinion from Town Attorneys Office on MA-1 Zoning District and Sec. 4.2.4— Parking Location Regulations as it relates to Re: Shane Pacheco, ZBA_Appeal-No._20-03-112. Property Location: 525 South St_, Hyannis Our Legal Ref. #2004-0012 This will follow my earlier memo to you and your subsequent response. Almost certainly it is within the right of the property owner in this case to locate the parking in question on his lot. The key to that determination is that "his lot" is to be defined in zoning terms, as opposed to record terms. As you are aware, if the owner has control over two adjacent lots (and, the fact that the owner has demonstrated sufficient control over both lots to get the matter to this point would seem to create the presumption that he does), he has the right to assemble his recorded lots in such a way into a zoning lot which will result in compliance with our zoning ordinance in this regard. Obviously, there are factual underpinnings to this direction which may warrant your further exploration, but as you can see, the solution does not appear to be all that complex. Please feel free to call if you have any questions. Thank you. RDS:cg [2004-001 Vraczyk-2i Traczyk, Art From: Smith, Robert Sent: Thursday, February 05, 2004 6:29 PM To: Broadrick, Tom; Traczyk,Art; Weil, Ruth Subject: RE: pacheco The Euclidian approach (you can't do anything you're not explicitly permitted to do)works fine on principal uses, but the wheels come off the wagon when you try to apply it to accessory uses. Parking is permitted as accessory to residential uses everywhere in town. There are peripheral limitations applied (accessory uses must be on the same lot, etc.) but they don't necessarily occur here. This is not a logically simple problem, unless the "same lot" issue (remember, that's zoning lot, not record lot)disposes of it in a relatively summary fashion. -----Original Message----- From: Broadrick,Tom Sent: Thursday,February 05,2004 5:05 PM To: Traczyk,Art;Smith, Robert;Weil,Ruth Subject: RE: pacheco Hi all, My quick review is this: I think we can all agree that with zoning if an ordinance doesn't say you CAN do something, then you CAN NOT. We cannot possibly list all the things you can't do but we can pretty much figure out what you can do. In this case the ordinance says you CAN have parking associated with your project within 500 feet but ONLY if you do NOT do something in the three zoning districts listed...OR, MA-2, and MA-1.....is this able to be twisted around to read that you CAN have parking associated with your project within 500 feet in any other zoning district since we didn't list them all and therefore there is no additional restriction? Consider the 0-2, 0-1, B, UB, B-1, PRD, and BL-B which could all be within 500 feet of a similar situation. That is 7 other districts where our ordinance is silent compared to 3 where it tells you what you can do....so I say again, if it doesn't specifically say you can, then you can't. Thanks, Tom -----Original Message----- From: Traczyk,Art Sent: Thursday, February 05,2004 4:47 PM To: Smith, Robert;Weil, Ruth Cc: Broadrick,Tom Subject: pacheco << File: Doc2.doc>> Folks: Here are the notes form that'hearing on Pacheco. I am also faxing over a copy of the Building Commissioner's letter. I know that Tom will be sending over a review of the issue that we discussed earlier. art i 5 James P. Mitchell Attorney at Law 20 West Emerson Street Melrose,Massachusetts 02176 Telephone: (781) 662-9195 Fax: (781) 662-4428 Email: ATTJPM@aol.com May 9, 2003 v By Hand Thomas Perry, Building Commissioner for the Town of Barnstable/Chairman of the Site Plan C a Review Committee for Town of Barnstable Town of Barnstable Town Hall 367 Main Street Hyannis, Massachusetts 02601 Re: Site Plan Review Application/Layout and Dimension Plan Applicant: Shane M. Pacheco Property.Address: 525 South Street,Hyannis, MA; 02601 Assessor's Map 308, Parcel 162 Dear Mr. Perry: I represent Capevest Development, LLC. On behalf of Capevest Development, LLC, I have reviewed the Application and the Layout and Dimension Plan, filed with your office, which is scheduled for a hearing for Thursday, May 15, 2003. A review of the Application with respect to_parking spaces reflects that 14 spaces are required, and that 14 spaces are provided for on-site parking. I am enclosing a copy of the "Perpetual Exclusive Right and Easement", dated March 26, 2002, granted by the Applicant to Capevest Development, LLC, granting the'Perpetual Exclusive Right and Easement to use the area described as "Parking Easement" on said plan which has been recorded at the Barnstable Registry,of Deeds,Land Court Department on March 27, 2002 as Document No. 866,009, a true and accurate copy which is enclosed with this letter. The Plans submitted by the Applicant in support of his.Site Plan Review Application, incorporates five(5)proposed parking spaces in the area that he has granted the Exclusive and Perpetual use of to=Capevest Development, LLC. Capevest Development, LLC has not given the Applicant permission to.utilize'the.area`described in the Easement Plan for parking purposes. Should you require any additional information from Capevest Development, LLC;please contact me. LVetruly yours, JPM/rla James P. Mitchell Enclosure cc: Robin Giangregorio, Site Plan Review Coordinator Shane M. Pacheco, 74 Great Hill Road, Sandwich, MA, 02563 i MAY-09-03 iZ:BUFM MWR'IN OTTIC9Dornsabb, km - - a DATABLE LPAD HURT RsAS R`! PERPETUAL EXCLUSIVE RIGM�ASEMENT SHANB M.PACHECO,of 525 South Street,Hyannis,Barnstable County, Commonwealth of Massachusetts,02601 (her relcrred to as"Grmdan,with quitdrAm covenants,get to CAPEVEST DEVELOPMENT,LLC or its Assignor of 20 VW est BMWon Street,Mckosa,Middlem Couoly,CoMwnwealth of Massachusetts,02176(hee:auafter refer-red to as`Grantee 1, for consideradon paid of ONE AND N01100($1.00)DOLLAR.the receipt and sufficiency of wbric h is hereby ardmowledged,hereby grants the 1espe:ad acctasive right and eascanent to use the area descn1W as `Pasicing Easement",as shown or-an"Easement Plan,Lot 19D,LCC 9638B,Newton Street,Barnstable,MAR,filed haaft(hex+L,inaibsr referred to as the"Basement Area"). The Easement Arm shall be maitained and lit in repair by the Gam,without Buy risk or liability upon the Grantor,and at the sole risk and liabylity of the Cram %:teat'successors and assigns, and subject to the Grantee's duty to indemnify and save the Grantor batWess from any and all damages.For Grantees title,see;Deed filed as Registered Land Doc w=nt No. 8503,58, careating Certificate of Title No. 163414. IN WITNESS WHEREOF,SHE PACRECO hereunto set their hands And seals as of this day of Mdr-r. 2002. Si� PACHECO COMMONWEALTH OF MASSACHUSETTS ' 2 2002 'Men personally appeand the abovernam4 SHAM PACHECO, and a&mwledged the foregoing to be his fi=act and dew,before me, NOTARY PUBLIC My Couaaissxoa Expu+es: pQ her 24, MA -VD- 3 19:03AIA r WIN QI/IY8 IYI VV! 1'►rV �__ ___. __- PLAN RNMENCE AbC MW. J J Lnt$3 J / LOMA epath N Ldim p r . LOT 19D co A Lut 4 K Q! ,'� I •�� m�QQ AAA rw DATE +� EASEMENT PLAN LOT 19D LCC 9888B NEWTON STREET BARNSTABLE, MA. DIC1T: ABAi�,11.200R EM FahtLOU&.Ma. Nt NO.: C-7446 S tSd4 OF B CAPE COD COMMISSION 3225 MAIN STREET * P.O. BOX 226 BARNSTABLE, MA 02630 9SSACSw`S (508)362-3828 FAX(508)362-3136 E-mail:frontdesk@capecodcommission.org March 14, 2002 Mr.Douglas Bill Associate Planner Town of Barnstable 200 Main Street, Hyannis,MA 02601 RE: 525 South Street,Hyannis Dear Mr.Bill: In reference to your facsimile dated February 27,2002, and to confirm my voice mail message of last week, it is the position of the Commission staff that the new mixed-use project at 525 South Street in Hyannis would not be under the jurisdiction of the Cape Cod Commission. The project does not exceed any of the thresholds for referral listed in.Section 3 of the Cape Cod-Commission Enabling Regulations-and therefore no"mandatory-referral is required. T n =s l©fin p is l` h et W-4terfrent i oric Estrin and . is described as a 4,069-square-foot building(plus a 2,019 sq.ft. patio) that was most recently used as a restaurant.The existing building is to be demolished-and.replaced by a new 11,645- . square oot structure that includes_8 one-bedroom apartments(totaling 8,352 square feet) - wi the remain der`of the building-being used for restaurant_and.retail_use. Developments presumed to be Developments of Regional Impact(DRI) are-referred to the Commission if they exceed'20 000 gross floor area in the case of mixed-use developments or _ 10,000 square feet in the case of commercial projects. The project described does not exceed either of these standards.In addition,the change of use provision in the Commission regulations is not applicable to aproject.of this size. Furthermore,buildings located within local historic districts are excluded from the DRI threshold established for demolition of historic buildings, and therefore the project is not subject to this standard for mandatory referral. I hope this clarifies our determination,please call me at(508) 362-3828 if you have any questions. w Sincerely, } Ph'ih Dascombe,_ATCP' ...... Planner- SITE LAYOUT SKETCH 'VILLA VECCHIONE HYANNIS,MA. SCALE:1 "=20'-0" DATE:4/19183 JOB O.83-36-C CAPE COD SURVEY CONSULTANTS P.O. SOX 56 HYANNIS, MASS. 02601 617 775 -7155 F- W W tr co Zone Property Line., Re6ntla, 'l; SinE'ss Z -- � 30 'o tension sines S 10 8 L cU ; Existing 2-Story Wood Dwelling 3:2 --Existing 1-Story Wood Dwelling to beCU t re-located. Remaining area to be used Z3 t for additional parking Parking for J$ cars i� x i N i Existing Way i c .! i .Y C Existing Villa Vecchione Restaurant cU•(D - M ' Parking for 5 cars CO,Y — Proposed 1 -story wood enclosed connection �• between restaurant & lounge a i o° o �� r ' - a i• Proposed lounge in existing o 1 -story wood building I :.:.:......_.... :::. ::. :. E : Proposed patio area gift U �` :. ... .. .. ...... . .... ...f. i ,BG.C�'i► �4,2Ei5' r l03 �= S F x1c+�.Q q,QER Lawn Law CC Property Line P6 4 S•f 96I -X-5' /3 sr. 1;04e.sd1v1 41� 0 CA ro r3R,e 5'rovts ' w Proposed entrance ? SOUTH STREET 7 Soct71 SST` 3 S 47wz lcoo Bl�� C S Town of Barnstable - Building Department - 200 Main Street BARNSTABLE, * Hyannis, MA 02601 9 MASS (508) 862-4038 RFD MP'i a Certif icate of Occupancy. TEMP C00 Application 83691 CO Number: -20080007 Parcel ID: 308162 CO Issue Date: 01107/08 Location: 525 SOUTH STREET Zoning Classification: HYANNIS VILLAGE BUSINESS DIST Owner: PACHECO, SHANE M - Proposed Use: 309 BISHOPS TERR HYANNIS, MA 02601 . Gen Contractor: PACHECO, SHANE Permit Type: COMM TEMPORARY CO 74 GREAT HILL ROAD SANDWICH, MA 02563 Comments: ELEVATOR ISSUE - 90 DAY TEMP CO ONLY FOR COMMON AREAS ` Building Department Signature Date Signed �INET, TOWN OF BARNSTABLE ti Building Application Ref: 8369.1 BARNSTASLE, Issue Date: 04/27/05 - Permit y MASS. �A i639. ��� Applicant: tFp�•l A - Permit Number: 83691 Proposed Use: COMMERCIALLY ZONED DEV LAND Expiration Date: Location 525 SOUTH STREET Zoning District HVB Permit Type: NEW COMMERCIAL Map Parcel 308162 Permit Fee$ . 3,781.12 Contractor PACHECO,SHANE Village HYANNIS App Fee$ 25.00 'License Num Est Construction Cost$ 445,200 I Remarks APPROVED PLANS MUST BE RETAINED ON JOB AND RETAIL/CONDOMINIUM 3)RETAIL STORES THIS CARD MUST BE KEPT POSTED UNTIL FINAL 11/30/07 CHANGE OF CONTRACTOR INSPECTION HAS BEEN MADE. WHERE A CERTIFICATE OF OCCUPANCY IS REQUIRED,SUCH Owner on Record: PACHECO, SHANE M BUILDING SHALL NOT BE OCCUPIED UNTIL A FINAL Address: 309 BISHOPS TERR. INSPECTION HAS BEEN MADE. HYANNIS, MA 02601 Application Entered by: Building Permit Issued By: --� THIS PERMIT CONVEYS NO RIGHT TO OCCUPY ANY:STREET ALf Y.yOR SIDEWALK OR ANYPART THEREOF EITHER TEMPORARILY'QR PERMANENTLY: ENCROACHEIvIENTS ON PUBLIC PE.PRORTYj NOT SPECIFICALLY'PERMITTED UNDER THE BUILDING CODE,MUST BEAPPROVED BY THE JURISDICTION. STREET OR:ALLY:GRADES AS WELL AS DEPTH AND LOCATION OF`PUBLIC SEWERS MAY BE OBTAINED FROM THE'DEPARTMENT OF,wPUBLICrWORKS:; THE ISSUANCE;OF THIS PERMIT DOES NOT'RELEASE THE APPLICANT FROM1THE CONDITIONS OF ANY APPLICABLE SUBDIVISION RESTRICTIONS MINIMUM OF FOUR CALL INSPECTIONS REQUIRED FOR ALL CONTSTRUCTION WORK: 1.FOUNDATION OR FOOTINGS. 2.ALL FIREPLACES MUST BE INSPECTED AT THE THROAT LEVEL BEFORE FIRST FLUE LINING IS INSTALLED. 3.WIRING&PLUMBING INSPECTIONS TO BE COMPLETED PRIOR TO FRAME INSPECTION. 4.PRIOR TO COVERING STRUCTURAL MEMBERS(READY TO LATH). 5.INSULATION. 6.FINAL INSPECTION BEFORE OCCUPANCY. WHERE APPLICABLE,SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL,PLUMBING AND MECHANICAL INSTALLATIONS. WORK SHALL NOT PROCEED UNTIL THE INSPECTOR HAS APPROVED THE VARIOUS STAGES OF CONSTRUCTION. PERMIT WILL BECOME NULL AND VOID IF CONSTRUCTION WORK IS NOT STARTED WITHIN SIX MONTHS OF DATE THE PERMIT IS ISSUED AS NOTED ABOVE. PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS DO NOT HAVE ACCESS TO GUARANTY FUND(as set forth in-MGLc.142A). BUILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS b — CSC '"O �� 1 bo to c ©/C 2 2 t +>J, ��. rs�sk �la�r on� 2r 3 p -r V f a ` 1— 0`7. 1 Heating Inspection Approvals Engineering Dept�Ir . . e Dept y 2 F, 'S+ z o c c n i�- o rd o Hea/Jltrh ylq ? ' 1605' 1 Roma, Paul To: MJSPILLANE@YAHOO.COM Subject: 525 SOUTH ST., HYANNIS Hi Mike, The stairs were finished under the original permit'(83691)and did not need the issuance of another permit. .Thanks, Paul 4 C { l 1 " TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map 341- Parcel Application# Health Division g Conservation Division Permit# Tax Collector Date Issued Treasurer Application Fee Planning Dept.. Permit Fee �r Date Definitive Plan Approved by Planning Board Historic-OKH Preservation/Hyannis Project Street Address _`� �a 5� �u`i- Village NU PMA c %1 Owner J�IV ca�c,�e�a Address n Yt Telephone 3W — a 11SL Permit Request e �9 X 7 s 4� n Iu Du► - uJ 4o Oe � rnd obtlK" o e UL!11-%-,ok a qr I_ j e any Square feet: 1st floor:existing proposed D� 2nd floor:existing proposed 3/D� Tot new iim� d/o �oning District e Flood Plain D Groundwater Overlay 3Rd Project Valuation G 9 OD Construction Type Lot Size 99D1• a 3 sg Xf Grandfath4efF Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family(#units)� s Age of Existing Structure Historic House: ❑Yes ❑No On Old King's Highway: ❑Yes ❑No Basement Type: Full ❑Crawl ❑Walkout Other W Basement Finished Area(sq.ft.) /'" Basement Unfinished Area(sq.ft) Number of Baths: Full:existing new Half:existing new .r Number of Bedrooms: existing new s Total Room Count(not including baths):existing new First Floor Room Count Heat Type and Fuel: 4(Gas ❑Oil ❑ Electric ❑Other Central Air: QYes ❑No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑No Detached garage:❑existing ❑new size Pool:❑existing ❑new_size - -Barn:❑existing ❑new size Attached garage:0 existing ❑new -size Shed:❑existing ❑new size Other: Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial k(Yes ❑No If yes, site plan review# I Current Use Proposed Use e. sti L BUILDER INFORMATION r __ Name�IR6n* gowfYoatLf.�uT . Telephone Number 833—9_rGS Address qd J ac.G.�.. ��" t o-9 SW4-- License# C S 05 7 a a_-A toe u (9' o a3 Home Improvement Contractor# f Y V 7 V_J ' - of Worker's Compensation# �w►by Q 0645A Z0 ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO cass"Z-11A LVe e -_•.. SIGNATURE DATE 2�0-71a& FOR OFFICIAL!USE ONLY PERMIT NO. " !; DATE ISSUED MAP/PARCEL NO. ADDRESS VILLAGE- OWNER 5 DATE OF INSPECTION: FOUNDATION FRAME INSULATION FIREPLACE ,. ELECTRICAL: ROUGH FINAL a t- lit PLUMBING: ROUGH FINAL t GAS: ROUGH FINAL l " FINAL BUILDING DATE CLOSED OUT , ASSOCIATION PLAN NO. r tKE� Town of Barnstable Regulatory Services 9BAMSTABIX MAM8; Thomas F.Geiler,Director Building Division Tom Perry,Building Commissioner 200 Main Street,Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 NOTICE TO THE BUILDING DIVISION OF LICENSED CONSTRUCTION SUPERVISOR ASSUMPTION OF RESPONSIBILITY _.fit x en. :]ci. Construction Supervisor.License. I, p # e5 D 87a.73 , hereby certify that I have assumed responsibility for the project under Sr3Gy/ construction, as authorized by building permit# �Y3 p g , issued to (property address) ou'tC� on S�DG , 200 .S� l The following documents are attached: copy of my Massachusetts State Construction Supervisor's license or Homeowner's License Exemption form(if applicable) copy of my Home Improvement Contractor registration (if applicable) Commonwealth of Massachusetts Workers' Compensation Insurance Affidavit. Road Bond(if applicable) U'-MOL ER DATE q/forms/nkeontrb w Bla ck oo Development Corp February 06, 2006 To Whom It May Concern, I, Shane Pacheco,owner of the parcel of land located on 525 South Street,Hyannis, MA 002601 have contracted Blackwood Development Corporation formerly R.C. Homes dba Ridgewood Custom Homes, of Sagamore Beach to build a new single family dwelling on my lot. I hereby give Blackwood Development Corporation and/or it's representative's permission to sign on my behalf and submit for any and all of the required permits. If you have any questions please contact me at 508-364-2456 I ts")& G- Signature P.O. Box 445, Sagamore Beach, MA 02562 (508) 833-8865 ♦ FAX 833-8866 . - Y - -„ �.. :..-.. ✓lW VO�IYlgY0002��1PdAU2 O�✓I�CCldOCCGl2icdP,� �? Board of Building Regulations and Standards HOME IMPROVEMENT CONTRACTOR Registration: 145781 Expiration: 3/.1./2007 TYPe: Individual i JEREMY D-SOULE ` iI _ JEREMY SOULE 92 SACHEM ST I. MIDDLEBORO, MA 02346 ¢; Administrator ..... a BOARD OF BUILDING REGULATIONS License: CONSTRUCTION SUPERVISOR Number: CS 087223 Expiies: 06104/2007 Tr.no: 87223 Restricted: .00 I JEREMY D SOULE 92 SACHEM ST MIDDLEBORO, MA 02346 Acting C mis oner r . S , ACORD. CERTIFICATE OF LIABILITY INSURANCE D0j06n s' PRODUCER THIS CERTIFICATE IS ISSUED AS A IAATTER OF INFORMATION HART INSURANCE AGENCY, INC. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER- THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 243 MAIN STREET ALTER THE COVERAGE AFFORDED 13Y THE POLICIES BELOW. PO BOX 700 BUZZARDS BAY, MA 02632-0700 INSURERS AFFORDING COVERAGE _ NAIC# INSURED Blackwood Development Corporation INSURERA: SCOTT$DALE INSURANCE CO 41297 PO Box 1663 INSURER S; GRANITE STATE INSURANCE 23809 Sagamore Beach,MA 02562 INSURER C: _ INSURER Cr, INSURER E; COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED,NOTWITHSTANDING J ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CIFA'nFICATE MAY BE ISSUED OR 91 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. _ WSR POLICY NUMBERS pFCeCTNE POLICY EXPIRATION LIMR9 A GENERALLI"L "! CLS1189026 12/05/06 12/05106 EACH OCCURRENCE 11 0 OOQ TIEW COMMERCIAL GENERAL LIABILITY PREMISE W r1 S 50,000 CLAIMS MADE 2 OCCUR MED EXP(FU21 ono rsa11 s 5,000 PERSONAL&PLOY INJURY $ 1.000M) GENERAL A1313REGATE S 2 OO lx}U GEML AGGREGATF LIMIT APRUES PER; PRODUCTS_'QMPIOP AGO S 1,000,000 POLICY PACT RO- LOO AUTOMOBILELIABILlTY COMBINED 5114GLE LIMIT ANY AUTO (EsawWonI;_ S ALL OWNED AUTOS BODILY INJURY SCHEDULED AUTOS (Par Pow^)_ S HIRED AUTOS BODILY INJURY S NON-OWNED ALTOS (Per ecddort.) PROPERTY DAMAGE (Pat awoenq GARAGE LIABILITY AUYO ONLY^BA ACCIDENT 5 ANY AUTO OTHER THr'N EA ACC I AUYO ONO: AGO S EXCESWMBRELLA LIA011 TTY EACH OCCUIU4ENCE $ OCCUR a CLAIMS MADE AGGREGATE Y $ _ S DEDUCTIBLE _ $ RETENTION s S B WOR"RS cOMPENsAym AND Combo#000155520 01/19/06 01/19/07 we s jM j oTH. EMPL.OYERS•UABILITY E.L EACH ACCIDENT M 500 0 ANY PROPRIETORJPARTNERIEXECUTNE OfFICERIMEMBER pxCWDED? EA-DISEAftE:•EA EMPLOYEE S 500,000 n as.d"Befft undBr 6PECIAL PROVISIONS bebw F.L.DISEAHE:•POLICY LIMIT S 500 pYHf+R DESCRNPTIDR OF OPERAYM3I LUCATKM I VEHICLES I EXCLUSIONS ADDED BY ENOORSEMENY 1 SPECIAL PROVISIONS CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLMCIES OF CANCELLED BEFORE THE EXPIRATION BLACKWOOD DEVELOPMENT DATE THEREOF,THE ISSUING INSURER Wu ENDEAVOR TO MAIL 30 DAYS WRITTFNV PO BOX 1663 NOTICE TO TH! HOLDER CERTIFICATE NAMEDO T THE LEFT,BUT FAILURE TO DO SQ$HALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGkNTS OR Sagamore Beach, MA 02562 REPREISENTATIVES. QF of _ AUTHOKM RBPRESENTA G.. �t ACORD 25(2001108) M OACORD CORPORATION 1988 ZO 39Gd A9d 39NVdnSNI idVH 99EL69L80S 50:TT 90OZ/90/ZO The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston,MA 02111 M �•� www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name (Business/Organization/Individual): R woad e e to ►he � r( Address: o)K YYS 1 DO City/State/Zip: m orc r_ Gea� (M Phone#: ,SOi 8 3 3- �i U S Are you an employer? Check the appropriate box: Type of project(required): I.[ ►I am a employer with 4. ❑ I am a general contractor and I 6. New construction employees(full and/or part-time).* have hired the sub-contractors 2.❑ I am a sole proprietor or partner- listed on the attached sheet. 1 7• ❑ Remodeling ship and have no employees These sub-contractors have 8. ❑ Demolition working for me in any capacity. workers' comp. insurance. 9. ❑ Building addition [No workers' comp. insurance 5. ❑ We are a corporation and its required,] officers have exercised their 10.❑ Electrical repairs or additions 3.❑ I am a homeowner doing all work right of exemption per MGL 11.❑ Plumbing repairs or additions myself. [No workers' comp. c. 152,§1(4),and we have no 12.❑ Roof repairs insurance required.] t employees. (No workers' 13.0 Other comp. insurance required.] *Any applicant that checks box#I 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. lContractors that check this box must attached an additional sheet showing the name of the sub-contractors and their workers'comp.policy information. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. ll Insurance Company Name: T f R PT Policy#or Self-ins.Lic.#: t y m 6 v 0 0 o 15 S S a 0 Expiration Date: 01 111 [0 7 Job Site Address: .50?5 JOU TLC ?• City/State/Zip: 4-NI t s IY6V1' . 0,2j.o% Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment, as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify under the p 'ns and penalties of perjury that the information provided above is true and correct: Signature: Dater C�? b la Phone#: ,,50 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 ana instructions Massachusetts General Laws chapter 152 requires all employers to provide workers' compensation for their employees. Pursuant to this statute, an employee is defined as"...every person in the service of another under any contract of hire, express or implied,oral or written." An employer is defined as"an individual,partnership, association,corporation or other legal entity,or any two or more of the foregoing engaged in a joint enterprise, and including the legal representatives of a deceased employer,or the receiver or trustee of an individual,partnership, association or other legal entity, employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein, or the occupant of the dwelling house of another who„employs persons to do maintenance, construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." MGL chapter 152, §25C(6)also states that"every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required." Additionally, MGL chapter 152,§25C(7).states`Neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority. Applicants Please fill out the workers' compensation affidavit completely,by checking the boxes that apply to your situation and,if necessary,supply sub-contractor(s)name(s),address(es)and phone number(s)along with their certificate(s) of insurance. Limited Liability Companies(LLC)or Limited Liability Partnefships(LLP)with no employees other than the members 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 peimit/license number which will be used as a refeiefice number. In addition, an applicant that must submit multiple permit/license applications in any given year,need only submit one affidavit.di—c—a—tm—g—Current policy information(if necessary)and under"Job Site Address"the applicant should write"all locati in (city or town)."A copy of the affidavit that has been officially stamped or marked by the city or town maybe provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year.Where a home owner or citizen is obtaining a license or,permit not related to any business or commercial venture (i.e. a dog license or permit to burn leaves etc.)said person is NOT required to complete this affidavit. The Office of Investigations would 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 Bostan; MA 02111 Tel. # 617-727-4900 ext 406 or 1-877-MASSAFE Fax#617-727-7749 Revised 5-26-05 www.mass.gov/dia t TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel 0< Application# Health Division Q Conservation Division Permit# ?39 Tax Collector Date Issued Treasurer Application Fee Planning Dept. Permit Fee d� Date Definitive Plan Approved by Planning Board Historic-OKH Preservation/Hyannis Project Street Address Village s�c Owner Address Telephone Permit Request hl 01tr- S40te aa r-of 4mck 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 new Number of Bedrooms: existing new Total Room Count(not including baths):existing new First Floor Room Count Heat Type and Fuel: ❑Gas ❑Oil ❑ Electric ❑Other Central Air: ❑Yes ❑No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑No Detached garage:❑existing ❑new size Pool:❑existing ❑new size Barn:❑existing ❑new size Attached garage:❑existing ❑new size Shed:❑existing ❑new size Other: Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes ❑No If yes, site plan review# Current Use Proposed Use BUILDER INFORMATION Nam Telephone Number ( s Addres L S icense# ej&12z:5Yt �r�.nqalf&c,6 Home Improvement Contractor# �I-Ft - Worker's Compensation# ALL CONSTRUCTION DEBRIS RESULTING FROM HIS PROJECT WI L BE TAKEN TO (2J i r SIGNATURE DATE 7 �� 4 FOR OFFICIAL USE ONLY ttt PERMIT NO. t DATE ISSUED ' t ' MAP/PARCEL NO. ADDRESS VILLAGE OWNER DATE OF INSPECTION: r � I FOUNDATION FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL , FINAL BUILDING ; DATE CLOSED OUT ASSOCIATION PLAN NO. i 't t1K*ET Town of Barnstable Regulatory Services Thomas F.Geiler,Director i°rEp ,i��0 Building Division Tom Perry,Building Commissioner 200 Main Street,Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 1 NOTICE TO THE BUILDING DIVISION OF LICENSED CONSTRUCTION SUPERVISOR ASSUMPTION OF RESPONSIBILITY I, � , Construction Supervisor License. # PS 0?7aP 3 ,hereby certify that I have assumed responsibility for the project under SriG9/ construction, as authorized by building permit# �3 r issued to (property address) FO U4 �LAAAJS Ng on 3104 200-=:�' The following documents are attached: copy of my Massachusetts State Construction Supervisor's license or Homeowner's License Exemption form(if applicable) copy of my Home Improvement Contractor registration(if applicable) Commonwealth of Massachusetts Workers' Compensation Insurance Affidavit. Road Bond(if applicable) OL ER DATE q/forms/newcontrb Blackwood Development Corp February 06,2006 To Whom It May Concern, I, Shane Pacheco., owner of the parcel of land located on 525 South Street,Hyannis, MA 002601 have contracted Blackwood Development Corporation formerly R.C. Homes dba Ridgewood Custom Homes, of Sagamore Beach to build a new single family dwelling on my lot. I hereby give Blackwood Development Corporation and/or it's representative's permission to sign on my behalf and submit for any and all of the required permits. If you have any questions please contact me at 508-364-2456 a Signature P.O. Box 445, Sagamore Beach, MA 02562 (508) 833-8865 ♦ FAX 833-8866 r \ ✓lie i�omvmo�z c oo��/ aclacieella t+. Board of Building Regulations and Standards HOME IMPROVEMENT CONTRACTOR Registration: 145781 ,r. - Expiration A/1,/2007 {: Type ;individual t JEREMY D.SOULE . I. JEREMY SOULE}} 92 SACHEM ST {' . MIDDLEBORO,MA 02346 to Administrator �b ✓fie ,° �. e� BOARD OF BUILDING REGULATIONS License: CONSTRUCTION SUPERVISOR Number: CS 087223 Expires:06/j04l2007 Tr.no: 87223 Restricted:`.00 JEREMY D SOULE 92 SACHEM ST MIDDLEBORO, MA -023.46 n" Aching CcWnmisVpner I ,u+'- � '� �° 'd� Y T;r $ Lb:•'C'w; �«� ��� r+� �p.'i. .�. S ti��y �k�a, � V +• .^ Y*Y .� � } ,� '.t w. ryvOry T'a" # Z 'r �a at ^� �' �c - .. '� . '��.. �r•., 's., ��,'� r,�,`M � ;;tom^ ,� h ,- � "k s,,i �� �� �@N ry r.,y�6 "�a,_ �r. all a '4 11 z v 33 tk tµ, • $" s, •" s*, m r. m� _ � ��; ^4w�,,,,�� t;ifs �' s sY''4*� s 4+ F" "e� -gw� t 3 n �. '}'� Mjp Ai E ., • r� .� „ �, � ga,�'�� °-.�� � ",�..r"s, � � r�F +fit s '�' s� �} � v `a � � � �,;�� � k.. E `�'9f ��,' �� ", ` '', ' "+fir � "'+'� � ;- •' � s: y: ,�.�. ,;�'° "k' i ".,,,,E.�y'' n r s .. 4 � s� sue..,r` ,� • w+ .` • q" m w ,a 4 .. 525 South St. , Hyannis 4/ 10/06 — f `• r a �Nn`1i„ � � mMa, � �!� ^' •� �� �', r � i ,a.�,�1Md�:.�F. r Inc , .�� " ui° ';�'"'+� '..''81" d -!:;�9t� � I�'�rM. ,n�, ar , ;'. r � � ,r w r,..n'�. 'p,�.J�� '�lk�!a" _ _,.y t.`:: .,. awl`+ " , � r.. �� ' , r •, � �e� ., t �� fit:' n A.,.i, i '� , '' ,;'" �. _ s i. b , .. m: . mnu �, �, ,. r ..erg;. *� ^,,�,.n dd a ,.a,. • ��n ," 1 u:• qq� i. v� .i �.,.'.a°e<' a rb{ v rq r, 't �` ;.. "ar "iG�' a ..rr � d_ yam.—.rye j. fm e { �..�.,;�-�.+..,•-,ram e� � �„w,,,+4,�� �,.: ff w .................... r .. —44 qtr., •.;y.. R - - vvi•` .. g ,�;r:,. �: - g � 'later+ �r it wF W,a 41 G 525 South St. , Hyannis 4/ 10/06 rM1 .y � _ S W a 4 e= n� Y ra' �� r _ • �+-�+..'"+�"`t`���� ` � ''e�ev=r Tit. �i �i.;�..�,G - 525 South St. , Hyannis 4/ 10/06 T .. ����� 1 i 1 t . f� (�//1�� r 3 �){ � 4 i �' CONSTRUCTION CONTROL COMPLETION AFFIDAVIT PROJECT LOCATION: ' MA NAME OF PROJECT: S QC70ttom! U PROJECT NO: O SCOPE OF PROJECT: S o T Ste- 5 / Ir/ I submit that our office has performed the follow- ing professional services, as spe i�ielrin Massachusetts State Building Code Section 116.2.2 and as related to the struc- rural portions of the work: - 1. Reviewed for conformance to the design concept, shop drawings, samples and other submittals which are submitted by the contractor in accordance with the requirements of the construction documents. 2. Reviewed and approved the quality control procedures for all code-required controlled materials. 3. Been present at intervals appropriate to the stage of construction,and complexity of the project,to become generally familiar with the progress and quality of the work, and determine to the extent practical and pos- sible the work was being performed in a manner consistent with the structural construction documents. To the best of our information,knowledge, and belief,the structural work has been satisfactorily completed in substan- tial compliance with the intent of the construction documents. Signature: Massachus Registration No. ZZle Our observations during site visits do not relieve the Contractor or its subcontractors of their responsibilities and obligations-for quality control of the work, for any design work which is included in their scope of services (i.e. design delegation), and for full compliance with the requirements of the Construction Documents and applicable building codes. Furthermore, the detection of, or the failure to detect,deficiencies or defects in the work during our site visits does not relieve the Contractor or their subcontractors of their responsibility to correct all deficiencies or defects,'whether detected or undetected, in all parts of the work, and to otherwise comply with all requirements of the Construction Documents: - W NOTARY STATEMENT: Subscribed and sworn to before'me this S+ day of kAl� C. ' I3 ,aoi-b N Y P MY CONMSSION EXPIRES ON DocumenO BAXTER NYE ENGINEERING & SURVEYING Registered Professional Engineers and Land Surveyors yGV.�I, {- 78 North Street,3`d Floor,Hyannis,MA 02601 Tel:(508)771-7502 Fax: (508)771-7622 December 13,2007 8 PM 12. 34 Mr.Tom Perry --------- _ Building Commissioner1 Town of Barnstable Building Department 200 Main Street, Hyannis,MA 02601 CIVIL SITE PLAN CONSTRUCTION AS-BUILT CERTIFICATION PROJECT LOCATION: 525 South Street,Hyannis,MA Barnstable Site Plan Review#057-03 t RE:Civil Engineer-Site Design/Construction As-built Certification I, Matthew Eddy, being a registered Professional Civil Engineer with the firm of BAXTER NYE ENGINEERING & SURVEYING, Registered Professional Engineers and Land Surveyors, hereby certify that I have supervised the preparation of the Civil Engineering Site Plans and specifications for the above named project and that,to the best of my knowledge, information and belief, such Civil Engineering Site plans and specifications meet the applicable provisions of the Massachusetts Building Code, Sixth Edition and generally accepted standards of Civil Engineering practice in effect at the time of performance. I further certify that I have reviewed the completed construction,as of December 12,2007,for the above project and it has been substantially performed,with the exceptions noted below,in general accordance with the Site Plan as Approved by the`The Town of Barnstable—Site Plan Review Committee'. This certification is for the purpose of checking for conformance with the design concept and general compliance with the information given in the Approved Civil Engineering Site Plans. It is not to be considered a field control as-built of all vertical and horizontal information shown on the Approved Site Plans nor is it to imply daily inspections of site plan related work. The following exceptions to the Approved Site Plan are noted: 1. Landscape hedges are missing adjacent to the Trash Enclosure and at the westerly property line adjacent to #535 South St. 2. A stockade fence was installed in-lieu-of a landscaping hedge at the five parking stalls on the south side of the project. This is an acceptable alternative for screening of the parking. 3. A field stone retaining wall was added in-lieu-of the field stone tier along the frontage at South St. This was reviewed with the Building Commissioner and Town Engineer on 7/19/2006 and approved at the time of installation. It was reviewed that if future work in the road layout had to be performed by the Town,the land owner of 5 th St, would be responsible for the cost of reconstructing the wall. IH OF,N q moo`' MATrHEW �yGN Name Matthew Eddy,P.E. o W. Registration No. 43183 0 EDDY -. CIVIL Cn ,a No.43183 Seal �' 1P o .�� Signature �5�F �' SNAL Cc: File . 0:\2003\2003-013\ADMIN\LE`I FERS\2003-013 L4 TPerry Site Asblt Certif 2007-12-13.doc Page 1 Land Surveys • Subdivisions • Septic Design • Wetland Filings • Site Design } 04/17/2006 09:48 5087717163 MCTUUOR PE PAGE 01 rd QP lP?' IJ aMICH LE C. T'UDOR, P.E. Consulting Structural Englneer 123 Cottonwood Vane Centerville,Massachusetts 42632-1979.(508)171-7601 Fax(508)771-71f3 mmAor&comcast.act. April:17,2006 1vlr. Shane Pacheco '74 Great Hill Rd. Sandwich,MA 02563 RE 525 South St.,Hyannis,MA The following items were noted during Site Meeting of April 11,2006;follow-up construction.required: 1. Rod T Notre that as-built trusses were not corrected: truss bracing w/10 only TYN A locations; UM U4 elsewhere. Cruder Truss 900: Use 2-H6 at each end Truss 601--bearing wall not at panel point',front trusses bear over wall not at truss panel point Gable trusses for uplift values require H2.5 at studs 2. Anchor 13alts: Note that as-built bolting not correch;d. , Plumb stud walls before completing bolting. Interior foundatioa.center walls built off fotrttdatio& see SK4 Sill anchor bolts are not attacbed at rear exterior wall. Countersank one plate of the triple plate,iva fall washers,tigbten bolts. Where bolts in door openings,use same procedure,cut top;tacit weld bolt.it cut No anchor bolts attach the bottomm plate to the interior wall per SK-2,3. Add Simpson MT280,Install per aittnnfactuxer requirements. 3. l; Mss Stairs: Note that the permanent stairs were not in place;temporary stairs are required fox stability/safety. Correct mid-kidght supports and provide level triads. Note that OSHA crawl protection regt d- 4. frent_Tntranae: Add structured fill it 6"Lefts,provide 95%con PWiDA Provide bearing points for second floor beams,either permanent or temporarily brace and shore. Nate that 1RHS()lean 10)shorriog of one lam is sbearing the quad-beam;thru bolt multiple:tams per nafgrr.Specs. 5. SrtbrwijWg Provide all framing,sprialder(all levels)layout,elevator,ctc.submittals. 6. $!Wmsna Hardware: Fill all rail holes wl size oai1 per manufacurer. 2"a floor hangers(H1)not.installed in center section. 7. Fire Sena.rati4>n: FM all gaps w/tha mafiber roekwall,or similar. 8. r floor.bnmj: Multiple lams require..mWtiple studs to equal beam width. Note that we have scheduled for the next site meeting to occur Tuesday,April 18,2006,1p.m;recommend fxaatter superintendent is present. Recommend oiu-site licensed constyru[-don superintendent be present dudAg the-iYeek. Siucmly, Michele C.Tudor,P E Cc. T:Perry,G,Adam 04117/2006 09:48 5087717163 MCTUDOR PE PAGE 02 I - �� ,of 71J0tR No.'44774 � -F�iU4"1-i)R�L O -AL ZPth. WT...,; } i . i . i - MICHELE C. TUDOR, F.E. Consulting Structural En( Inaer .._.__ ,. . . •--•-• rcq�law, rttaT4 M11., LSoxsvchua OM • Pr�Jart_EO I� DEC 07,2006 O57TRA 50877808 ,,, page 1 -f ix' LUIF B;R[4STABLE David S'auro Inc. 2006 OEC -7 Ail 9: 33 Construction Management Residential/Co rimercial _ 163 Tern Lane DIMSION Centerville,MA 02632 Office e& Fax: 508-778-0897 Cell; 774-487 2206 dcn'idsauroL&eonictr.cl.nel To: From: Date: , /-t/0(0 Total number of pages: Subject: 1.-th Sk. -�IYQ Fax Number: Paul, As per our telephone conversation on Wednesday December 6,2006,1 would just like to confirm what we discussed regarding Fire Ratings for doors and walls at South Street, Hyannis(the building is sprinkled). 1. Walls-Minimum 1 hour rating 2. Doors-Retail and Common Halls,Minimum 45 minutes 3. Residential Entrance-Minimum 20 minute,all interior doors for residential units can be standard Reference: Code-60'edition Pg 61 -Use group and Fire Rating)Required • P& 120-121 Chart lire Resistant(Table 602,footnotes on pg 121,times reduced with sprinkled,building) Pg 138:Table 716.1,openings and Fire Protection Ratings Thank you for the information. I appreciate your time. A i _ 11II I N 0 A S,j Pp L- r-tv-r►-r u �Ylil N1�11�fe— � :• --- -- i� ° a -\HOF MgSS micHELE 9 G Ci C. -RJDOR U ►io.34774 cn 4 STftULTURAL /ON E� 1 � MICHELE C. TUDOR P.E. Consultin Structural En sneer �. ____.__.....___...._..._...._._....__ �----.___. ...__.:...-... wood amli ,Lane, nt Alossochuactb :,. . 0-ye 32 _ Drawn-.By -Wff-' ote:... . raving Flly—N "e, Pro e-ct Nq,.,. ....,_ _ K— O lili � s ' i i O i Q N 4 - i 41 A a • f � N r® �N�F MA miCHELE G _-- TUDOR � c> c - fRUCTURAAL i c� No.34 n I f p D 3 000 G �S .�U►��-_-=�oU�D�--rlo��==-�L��l-- MICHELE C. TUDOR, P.E. Consulting Structural Engineer 123 Cottonwood Lane, CenteMlle, Movwchumh3 02632 - - - — --Drawn By::.Mcr: :.: Drawing 1 LA ShLAH r-- pA-C44r-- O) b W1�` _AS-:.N..OJED .. :Rev ----•_-.-- --_---..__._-..___ _..._. ._ _-____ ............. Fle Ncme_.� { � Project No.. o K — � 4 _ �cu c V i , -i� �i Y MICHELE C. TUDOR, P.E. Consulting Structural Engineer 123 Cottonwood Lane•Centerville,Massachusetts 02632-1979•(508)771-7601 •Fax(508)771-7163 mctudor@comcast.net March 28,2006 Town of Barnstable Building Department 200 Main St. Hyannis,MA 02601 Attention: Mr.Thomas Perry Building Commissioner RE: Proposed Modifications to 525 South St.,Hyannis,MA Shane Pacheco,Owner Dear Mr.Perry, In accordance with Construction Control Affidavit signed by this office on September 09,2004 for the above captioned project,this office has observed as-built construction of the foundation on the following dates: /n In Situ Bearing Strata for Footings and Cast-In-Place Concrete Construction 12//04,06/22/05,09/06/05. Please be advised that this office approves the following field changes shown on the attached SK-2 and SK-3. incerely, r e P-c/2004-158 ele C.Tu or, cc: S.Pacheco �3► jJ11CMELE S9cyGcn o c, R � t4p.34774 v) �ON�a- ' Yes I SEP-25-2006 11 : 05 AM BLACKWOOD-DEVELOPMENT 508 833 8866 P. 01/01 I22 V J� Blackwood Development Cor 25 September 2006 SENT VIA FAX(509-790-6230) Thomas Perry Building Inspector Town of Hyannis Building Department 200 Main Street Hyannis, MA 02601 R,E.-525 South_Street�=Hyanms Dear Mr.Perry: Please be advised that we are releasing Steve Ricci of Steve Ricci Plumbing and Testing from the obligation of completing the plumbing work for the above mentioned commercial/residential � building. pn If you have any questions, lease feel free to call me at our convenience. 1 can be reached in P 3' the office at 508-833-8865. Thank you, 1 Ybby sidentod De Yppment P.Q. Box 445, Sagarnore l3each, MA 02562 (508)833-8865 ® FAX 833-8866 www.BlockwoodDevelopmentC*rp.com I 04/17!2006 09:48 5087717163 MCTUUaR PE PAGE 01 aMICHELE C. TUDOR, P.E. Consulting Structural X 23 Cottonwood Lane a Cwtemille,Massachus;Ws 02632.1979•(SM)771-7601•Fax(508)771-71(.3 M0000tY&o>vMcast rked. Aptil:17,2006 1 Mr. Shane Pacheco 74(kcat Hill)td. Sain&ich,MA 02563 Ric: 525 South St.,Hyaftzihs MA The following items were noted during Site Meeting of A,prit 11,2006;follow-up coustzucticnt required: r I. Rod Trusses; Note that as-built trusses were not corrected; truss bracing w/10 only Type A lWttious; min 2x4 elsewbere. Girder Truss 900: Use 2-H6 at each erul Truss 601 bearing wall not at panel point;front trusses beat over wall zaot at truss panel 1poiut " - Gable trusses for uplift values rzquim H2.5 at studs 2. Anchm Bolt,*.-, Note that as-built bolting not con A. j Plumb surd walls bek'ore completing bolting. Interior foundation center walls built off foundation: see SK 4 4 Sill atnchor bolts are not attached at rear exterior wall. Countersink one plate of the triple plate,its,.tall washers,tighten bolts. Wbere bolts.in door openings,use same procedure,cat top;tack weld bolt it cut No anchor bolts attachthe bottom plate to the interior wall per SK-2,3. Add Simpson MT28B,install per miaetnfacturer Yeqainements. 3. lEt=ress Satire: Note that the permanut stairs were not in place;temporary stain are requimd for stabilitylsafety. Correct �F. mid opports amd provide level tmads.,Nov that OSHA.crawl protection regtt d t� .4. front X2 range: Add structural fill in 6"Ift,provide 95%compaction Provide bearing points for second floor beams,eitlier permanent or temporarily brace and shore. r Note that JRUS gleam 10)al oriog of one lam is shearing the quad-brain;thru bolt multiple hails per aafgr.Specs. `5. ub a all ftmujn&aprinkkr(all levels)layout,elevator,ctc.submittals. 6.. Simpsaa Hardware: n11 all nail holes w/size xWI per wanufacuret. 206 floor hangers(HI)not installed in center tie 091L a 7. Fire Sepamtkp+F M all gaps w/tbormattlber roekwall,or similar. 8. rIloor.Assam : Multiple lams requiue multiple studs to equal beam width. Note twat we have scheduled for the mna site meeting to occur Tuesday,April 18,20K 1p.W,-,recommend fra W superintendebt is ptresent. Recommend on-site licensed consu'uu tiort superintendent be prmnt during the,veek. &ACere}y, Michele C.Tudor,P.E. `. Ca: T:Perry,(4,A -Livk �yf 5 i .5 1q x September.l4.2004 POSED CONDOMPMW BUILDING MrtiN ST.;IiYANNLS,MA: GENERAL NOTES AND MATERIAL SPECIFICATIONS:FRAMING shall be gal All.workmanship to conform t©o theme n e ernents of d herein specifically- accordance chusetts State Buildin Code;latest edition.All nailing in with Append C, Timber Framma: gn. a.A11 new timber framing:Spruce-Pine-Fir No 2 with Fb=1000psi,E=1,300,000 Psiootter better. T. Southern Pine with Fb=1300 psi,E=1,600;000 psi; b.Pressure treated timber(P. ): ' c.Laminated Veneer Lumber.All L.V.L:shall be , .;.P..MICRO=LAM.L V.L.(1v1.L.)with Fb=2925 psi, 9 E=2,000 ksi;Fv=285 psi,Fc_per=750 pst,Fear=3035 psi. 2900 i. d.Parallam(PSL):All PSL shall be 2.0E ES with Fb=2900 psi,E=2,000 ksi,Fv=290 psi,Fc�er=750 psi,Fc_pat= Ps 3.Metal Connectors: r manufacturer requirements;with all nail As manufactured by Simpson Strong-Tie Co.shall be handled and installed pe holes filled,with the size nail as specifiedherein. than 4;Bolts: be in vuood framing shall be standard machine bolts unless noted wash Boor square plate wood shall nuts Bolts . bolt diameter.Bolt heads and nuts shall bear:on standard malleable retightened at completion of Job. all bridging lateral bracing,epd Wig,. 5:Pre-manufactured Wood Trusses'sliall be designed by the manufacturer,including g g, etc. to account for all direction and combination of load;m accordance with the Massachusetts State.Building Code: 6.Structural Design Loads: nents Dead Loads:Weight of Building Compo Note- Truss bottom chord to carry sprinklers. Live Load:Snow sprinklers- Load 25 psf plus drift Wind Load=21 psf 7.Bloc.• depth of member. a.Blocking shall be solid blocking;2x minimum,and full b.Stud Walls:provide blocking at 8'-0"o.c.,maximum- shall not exceed 8'-0 O.C. c:Cross Bridging:Provide 2x solid blocking.Rows of cross bridging d.Nailing Schedule: Solid Blocking to Bearing 2-8d toenails ea side " Solid Blocking to Trusses 2-8d toenails ea.side,each end Blocking Between Studs 2-10d toenails ea.end,or 2-16d end nails ea.end 8.Cross Brid in .For lateral support during construction,spa ced at 8'-0" o.c.maximum.Locate at truss panel points,and nail to top member of cross bridging,unless substantiated by truss manufacturer. 9.Nailing Schedule: 16d 12"staggered Multiple Studs See Schedule Lower top plate to t o.studs Upper top plate to lower top plate See Schedule Splices(staggerc:)"Jp plates See Splice Detail(not required;use one piece continuous plates) a.All nails shall be common wire nails. b.Sub-bore where nails tend to split wood.PLYWOOD ROOF SHEATHING BOUNDARY PLYWOOD INTERMEDI ATE NAILING ' REMARKS SHEATHING NAILING EDCTE NAILING 5/8"CDX STRUCT.II gd @ 6"O.Q. 8d @ 6"O.C. 8d @ 10"O.C. UNBLOCKED AAAA OF MgSsq�a�. � MFCCELE ? �n � TUpO .o t40.34774 4 cn 0 STSUCTU L c. a. qF ��P�Q��� � � �►� GIS d► IONP� _ L: I03/28/2006 16:41 5087717163 PMCTUDCIR PE PAGE 02 MICHELE C. TUDOR, P.E. Consulting Structure! Engineer 143 C-MOMVood Lane•Ceuteni'y Massachusetts 02632-197q (508)771-75t11•Fax(SUS)771-7 t'63 nactudoqcomcast.net Marc?, 28,2006 Mr. S)aane pacl.eco 74 Great Hill lid. Sandwich,MA 02563 12E: PrOPosed Candomr mum Building 523 South St,Hymais,MA The following items were noted with you during Site Meedug of this date,and.r�uize follow-up�ror1st t iQz�,as du Building is tors, t General Contractor,Blackwood D'eveloPtn.e�nt Corp,Gary Adams,and Toaxt of Barn Stable Building Ins1►ectors,Toro Perry,)'.I.auzrut,Bob McKeebriie,and Paul_ 1 Mfg As-built trusses: Truss package received this were date. Noted that all hangers aad fvxci:ng not completed. Nail off per manuf4on=. 2. #ud all Wall Constr. All Walls require blocking at 8'0/0 Max,and where studs are installed out Of Plumb, ;;ovate btociclt.g in exterior walls at pl~vwood sheathing seaztts(especially rigbt side wall at plywood gaps more theta I/8"). Note that severely bowed steads should be.removed and replaced. Where tear exterior.wall game is not plurtib,re- align as Permissible. 3, lAPatlri Sheathing ra "ng is to 086Y can.ptete:a.ote duet 3"o/c bo.andary%.ailing is req_uirecl,)'l.3 wood Edge n?ailing is 4"o%. 4. ARLh r,•bolts Sill anchor bolts are.trot attached at rear exterior wall. Cournersink oxte plate of the triple plate,iasta ll washers,tighten bolts. Where bolts in door openings,tale same,Procedure,cut top;tack weld bolt at:cut. No anchor bolts attach the bottoM plate to the ulterior wall per SK-2,3. Add Situpsara)ID-seri bolted to silt,install per mmufactluer requirements, es,du Lj- xzmss.S air. Note that the petxaaaaes.t stairs were not in place;temporary staits are required for stability/safety. c4�n-ect split treads.raid-height supports. NOW that OSHA crawl protection.required. b. Fri, ant EnY�tce: Prov'dc bwrit.gWPointss for second floor tows,eitiler permulmt or temporar y brace and sbore- 7. Subnalttals: Ptvviide all fm=g,sprinkler(all levels)layout,elevator,etc, submittals. 8. SWO. 2 E&Ld—warve: Fill all nail holes w/size mail per maW.tfacurex. 03/28/2006 16:41 5087717163 MCTUDOR PE PAGE 01 9. i,+e a�aration: Fill ali gaps w/thmlufiber rock-wall, or siirtuilar. Should you have any questions on any of the above,please do not hesetate to call. Please call,for fatal retii�;w of the above corrected con;dttio,'ns in the Meld;for fuml observation. Note that aye have scheduled for the next site:wW oneet th to occur esday, April 4,2C►06, 1p.m..;recornxapg eRd framer superintendent is present. Recozxxraend q1Q-site licensed constt'aetion,superintendent be present dunina the week S IY7 ichele C. T`udor, Gc: I Perry G.Adams /2004-]58 04f05!1005 14:53 5087717163 MCTLJDOR PE PAGE 01 S i Y� F i E3 L F 2C 1 APR - MICHELE C. TUDOR, P.E. Consulting Structural Engineer _w,_� � 12 COttontivOod Lane•Cetaten ille,11 - `- l i_�' csaclrusetts G2612-1979•(503)771�-76 11 •l;a.�{508)77x=!163 ntctudor a�comcast.net Mr. Shane Pacbeco A}a.ril 4;ZOD6 74 Great Hill Rd, Sandwich,MA 02563 RE: Proposed ar0041.0miDivamu Building ,525 South.5t.0.1yannis,WA The following itcros Were notedSWMu during Site Meetaug Of this date,and require follOw-up construction; 1, T se • As-built trusses: mass bracitig w!ix4 001Y`type A locations;ruin.2x¢tvpacaUv Truss#601 -bearing wall not at panel iwint; Gable tresses frobt Uwses bear over wall not at truss patael point for uplift�vaiues rewire 112.5 at studs 2- chor 80118: Plumb stud galls before completing bolting Tmerior foundatkm center T no walls built Sill anchor bolts are tact;punched at rem exterior wall. Couratcrsiuk One plate of the triple plate,-ialstall Ivashers,tighten bolts. Where bolts in.door Openings,use same ptvicedure.cut top,tack weld bolt apt cut. NO anchor}colts attach the bottotn plate to the interior,,,ail � custom steel hanger,thru-}rolled to sill,aas`talt per :rey requirements. Simpson air 3. d Stairs. orianufactpa�er Note tbXthe pen anent,stairs were,not in place;tempos raiid-hCigbt supports and level, Note that OSHA claw] s���I� for stability°f�ety t.-ors ect 4• Fk2 EQtrance• Protection required. Provide bearing points for second floor bc�-jms,citber , RUS(Besrmt 10)shoring of one istar is shearing the alund-ltemu tb m Mtemultiple om Specs. bolt uitnplent or ly brace�hims per re. that S. mlttaals• Provide all framing,sprinkler(all levels)layout,elevator;etc.stabmittals. b. Sinspaonard� kill all trail holes wi size nail per naanufaciaaer. 2nd n center section. floor hangers(H1),rot ill staulled. i 7, KM Seenarait0w Fall all gaps w/tberwafiber rockwall,or si nilar. tt. rd floor eam : Multiple larm require multiple studs to equal beam width. Should you have any questons on an of the above,please do not hesitate to call. Please call for fr al review of the above corrected conditions in the held for obscn'ation. Note that we have scheduled for the neax site me Ming to occur Tuesday,Apxal f.l,200t►,tp m;recoraur►annd ftramer superintendent is ptmaut. Rewmmend oa-site licensed construction superintendeatt be presetrt chmiug the week. Siaaoet�ly, Michele C.Tudor,P.E. Cc:. T.Petty G.Admw 12004-158 C-14-2007 04:03P FROM:BAXTER NYE ENGINEERI 1-508-771-7622 TO:815087906230 P.1 BAXTER NYE ENGINEERING & SURVEYING Registered Professional Engineers and Land.Surveyors 78 North Street,3`d Floor, Hyannis,MA 02601 Tel: (508)771-7502 Fax:(508)771-7622 December 13,2007 Mr.Tom Perry Building Commissioner Town of Barnstable Building Department a 200 Main Street, Hyannis, MA 02601 c� CIVIL SITE.PLAN CONSTRUCTION AS-BUILT CERTIFICATION .PROJECT LOCATION: �525.South Street,Hyannis,MA ct -� i Barnstable Site Plan Review#057-03 CD RE: Civil Engineer-Site Design/Construction`As-built Certification I, Matthew Eddy,being a registered Professional Civil Engineer with the firm of BAXTER NYE ENGINEERING & SURVEYING,. Registered Professional Engineer and Land Surveyors, hereby certify that 1 have supervised the preparation of the Civil Engineering Site Plans and specifications for the above named project and that,to the best of my knowledge, information and belief, such Civil Engineering Site plans and specifications meet the applicable provisions of.the .Massachusetts Building Code, Sixth Edition and generally accepted standards of Civil Engineering practice in effect at the time of performance. I further certify that I have reviewed the completed construction,as of December 12,2007,for the above project and it- has been substantially performed,with the exceptions noted below,in general accordance with the Site Plan as Approved by the`The Town of Barnstable-Site Plan Review Committee'..This certification is for the purpose of checking for conformance with the design concept and general compliance with the information given in the.Approved Civil Engineering Site Plans. It is not to be considered a field control as-built of all vertical and horizontal information shown on the Approved Site Plans nor is it to imply daily inspections of site plan related work. The following exceptions to the Approved Site Plan are noted: 1. Landscape hedges are missing adjacent to the Trash Enclosure and at the westerly property line adjacent to 4535 South St. 2. A stockade fence was installed in-lieu-of a landscaping hedge at the five parking stalls on the south side of the project. This is an acceptable alternative for screening of the parking. 3. A field stone retaining wall was added in-lieu-of the field stone tier along the frontage at South St. This was reviewed with the Building Commissioner and Town Engineer_on 7/19/2006 and approved at the time of installation..It was reviewed that if future work in the road layout had to be performed by the Town,the land owner of 5 th St would nbe responsible.for the cost of reconstructing the wall. IH OF Mgs`s9 o NIATTHEW cy� Name Matthew Eddy.P.E. o� N►• cp, Registration No. 43183 v EDDY -+ CIVIL CA No.43183 „ Seal Signature A J-0- STE�� ONAL ENG\ Cc: File O.\2003\2003-013\ADMfMLETrEPS\2003-013 L4 TPerry Site Asblt Certif 2007-12-13.doc Page Land Surveys • Subdivisions • Septic Design • .Wetland Filings • Site Design Engineered Wood Products Division 65 Maple St. Mansfield,MA 02048 (508)339-8020 (508)261-6440 fax COMPONENT DESIGNS & PLACEMENT PLAN FOR BLACKWOOD DEVELOPMENT. CORP. PACHECO BUILDING ' -. . . HYANN�IS&MA ROOF TRUSSES .' Package Date: 1-13-06 - =3 -- INSTALLATION DOCUMENTS - . E National Lumber Ref: 0601018-30288R Questions?...Call National Lumber Engineered Wood Products Division (508)339-8020 ` TLL-0164322 L:\Work2006\0601_Jan',0601018\Public Submissions\Construction Documents\Trusses\060118 30288R RF INSTALL MA 1-13-06.pdf 03/29/2006 16:41 5087717163 MCTODOR PE PAGE 02 MICHELE C. TUDOR, P,E, Consulting Structural Engineer 123 Cottonwood Lane•Centerville,Alassachusetts 02632-1979•(508)771.7601 •Fax(508)771_7 l63 mctudor@rncomcast.net March 28,2006 Mi. ShEme Pacheco 74 Great Hill Rd. Sandwich,MA 02563 RE: Proposed Coudomuaium Building 52.1 South St.,kty=ais,MA, The following items were xtotBd with you during Site Meeting of ttis date,anti requixe follow-ula cottstxuetiott as discussed with project General Contractor,Blackwood Development Carp, C�aty Adams,and Town of Barr,nabAe Building inspectors,Tom perry,J.Lauzau,Bob McKeChnie,and Paul: Z• Hof Tretrsses: As-built trusses: Truss Package received this date. Noted that all hangers and 6aaci ng ztiere not cornpleted. Nail off'per manta urer: 2. dud ah Wall Constr.: All Walls require bloWng at 8, 0/c 111U.,and where studs are installed out of plumb. ;,late blocking in exterior walls at pirvwood sheathing seams(especially tight side wall at plywood gaps more thar;: 1/8"). Note that severely bowed studs should be removed and replaced. Where tear exterior wall.frame is not plun1b,'re. align as permissible. 3• heathio �, Sheaftg tr "Ttg is axaosUY complete:rote filet 3"o/c boundary akuling is reTWred,P.J wood Edge ylailirig is 4"o1c. 4. h R•Botts: Sill anchor bolts are.trot attached at rear exterior wall Countersink ore plate of the triple plate,iazst 11 washers.tighten bolts. Where bolts in openings tcie same procedure,cut top;tack weld bolt ai.cut. washers. No anChorbolts attach the bottom plate to the irate:tior wall per SK-2,3. Ada Simpson HID-series,thra-bolted to sill,install per InamdacWtet,rNuirem.ents. 5. E ss 5 ai Note that the pennaneot stairs were not in place;temporary stairs are required fair stabilitY/safety. Cmrrect spl%t treads:mad-height sapparts. Now that OSHA crawl protection required. 6. ,Fr�Dt EntA;ance: - ProNidc boring points for second floor beams,either persrtanertt ox temporarily brace and shore. . 7. SubMittata: Provide add ff'rarning,'sprinkler(all levels) !a),oitt,elevator,etc, submittals. 8. S'imnson ajrdwaree: Fill all trail holes w/size Waal per ntanrtfacuret. I 03/28/2006 16:41 5087717163 MCTUDOR PE PAGE 01 9. F1rF Sepswatiort• Fill all gaps w/tbermafiber rockwall, or s xWlar. Should you have any questions on MW of the above,please do not hesmate to can. Please call for fma revi';w of the above corrected cOnditioans in the held for fmal observation. Note that eve h ie sc to occur es heduled for the next Byte:2isetimg dsy,April 4,ZOob, 1p.m.;recommend tmmer superinteapdent is present Recortaxneud ou-site ticeused constructioxt supedntendem be present dwring the week. A elye C.Tudor, Perry .Adams I2004-158 f,12,i es K14k)A QJ U"�v { FEB 26,2007 03:56P 5087780897 page 1 David Sauro Inc. Construction Management Residential/Commercial 163 Terra Crane Centerville, MA 02632 Offce. & Fax 508-778-0897 Call; 774-487--2206 atavidsauro(4- omcaanet TO: Paul Roma From: David Sauro Date: February 26,2007 Total number of pages: L Subject: 525 South Street, Hyannis Fax Number: 508-790.6230 Paul, 9 Saw that you were out 16-525_South Street for a framing inspection, 1 rcecived your note and will be providing to you a letter from the engineer as well as itaformation regarding the truss manufacturer. We plan to begin insulating the walls on Wednesday and expect to be completed by the end of the week. Upon completion,we will contact you for your inspection. Should you have any questions,please do not hesitate to contact me dirextly at 447-487- 2206. Thank you, David Sauro CC: Shane Pacheco, Michele Cudilo KOR 04I05l2006 1.4:5.3 5087717153 MCTUDON PE PAGE 01 I/ titN N i ziR `� E 2006 APR -5 PN 2: �8 ICHELE C. TOR, P.E. Consulting Structural Engineer ® -- - i23 Cottonwood Lane•Centerville, ssachusetts 0.263,2-197�• C i lSiC� - 00)7,l r601 •Fax(508)771=1163 nictudorlicomcast.net Mr. Shane Pacheco April 4;2()06 74 Great Hill lid. Sandwich,MA 02563 RE: Proposed Condominium Building 525 Soutb St.,fllyannis,MAC The ioll.owaag items were,nOted' u duraup Site Meeti#g of this date,and require follow-up conMucti.on; 1, Rogf trusses_ As-built trusses: muss btacillg w/ 1x4.0n1�'r e A locations;min.2x4"y CaUv Tress#1601 —bed ' w� 3 $ all not at panel point, ftppt trusses bear over wall not at truss panel point Gable tnisses for uplift value s require H2.5 at studs 2. AREkEr Bolts: Plumb stud Malls before completing bolting I'l"'OT foundation center T. no walls butlt Sill auchOr holt`a are not 9ttach0d at rear exterior wall. washers,ti Coun6sxsink orae plate of'the triple plate,.ialsiatl ghtEn bolts. VVlnere bolts in.door Upel)i tgs,Ilse same procedure,cut top;tack weld bolt art cut. NO attchor bolts at<ach the bottom plate to the interior wall custom steel UAW,thru-bolted to bill,Wtall per manut'actr,rser requirements.�u 3, ZE re�.�s Steers: Note that the per Meat.stairs were trot in pla(,e;temporary stairs are t Mid-!lei t supports and level. Note that OSHA crawl .for stability/safely. Correct ut Pp Protection required. 4. Fr2MILranC Provide bearing points for second-floor bc.•Ims,citlles perrnanept Or temporarily brace slid shore. Note that Specs. s.team aQ)sbarirnl;of sue!arse is shearing the gland-beam,'thru bolt multiple lams per mfjpr. 5. mittals: Provide all framijog,sprinkler(all levels)layout,elevator 6. Simpson etc. su.bmittal.s. 'I Hard�yaee pill all nail holes w/size nail per manufacm.er. 2°"floor bangers(H1)not installed. iu renter section. Fill all gaps w/tberatafiber rockwall,or dwilar. Tt< 3rd floor�ieeral'- Multiple lartts requite multiple studs t0 equal beam width, H Should you have any questions on any of the above,Please do riot hesitate to call_ Please cnl.l.for fugal reviely of the above eorrect®d conditions in the field for Final Observation.. Note thaC ne,have sc lteclulacl for the Irani site rniE;ttirtg to occur Tuesday,April 1.1,?,OQlti,1p m.;recommend ftitmer superitttmdent is presertt. Relwmmend on-,ate , licensed construction superintendent be presem dlriug the week. � "Sincet'ely, Michele C.Tudor,P_E. ` Cc: T..Perry Q..AAdmq /2004-158 F o -o - - v ! { 4 ` 1 rI ----- XAAAA OF Mass N r� MICHELE q0, O G s TUDOR No.34774 � _. a, STRUCTURAL A� 9 O��G/STO'- ,:,'ONAL a�a If LDS , A-T pT - -s�}ov�t► � I oil ►�f.� T_►ot . .;-�-o._ MICHELE Ci- TUDOR, P.E. _ Consulting Structur6h Engineer I __-._�ol,-T s., • 123 Cottonwood Lane' Centerville, ►Jossochuaetts 02632 F . Drawn By::IA1SC T -Drawing D r a w i n b s . i b vrr� Rev SK_ ,. T ---�_�-------__-_-- ---__..-..........._ _..... File Name__ {{ Project No;:' 0 vv 0-1-� - AL.`S �pr ov n r { . NOF Mgss9� MICHELE ,y " so C N TUDOR C j No.34"r/4 q c_,:l RUCTURAL ONAL d�a MICHELE C. TUDOR, .P.E. Consulting_Structural Engineer. 12.3 Cottwwood Lane, ConterAllo, Maraochusetb 02632 —_--Dtcwn-ay lriC�_=�_ .6ote:-.-. _- �I-I n`boy r awi FlIrNtsTrtet Prclat No-I TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel Application# j Health Division Conservation Division Permit# Tax Collector Date Issued 1/30 0 Treasurer Application Fee Planning Dept. Permit Fee �M- Date Definitive Plan Approved by Planning Board c`� b &L Historic-OKH Preservation/Hyannis Project Street Address Village Owner Address Telephone Permit Request 11WLW Square feet: l 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 Cl Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full:existing new Half:existing new Number of Bedrooms: existing new Total Room Count(not including baths):existing new First Floor Room Count Heat Type and Fuel: ❑Gas ❑Oil ❑ Electric ❑Other Central Air: ❑Yes ❑No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑No Detached garage:❑existing ❑new size Pool:❑existing ❑new size Barn:❑existing ❑new size Attached garage:❑existing ❑new size Shed:❑existing ❑new size Other: Zoning Board of Appeals Authorization ❑ _Appeal_#_ _ __ Recorded❑ _ �- Commercial ❑Yes ❑No If yes,site plan review# Current Use Proposed Use BUILDER INFORMATION Name Telephone Number .og3 3(0 q / Address /` v ei f,.et License# 0 i6 3;J_ Home Improvement Contractor# IV A,3 Worker's Compensation# / ` ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO �j.?4 �SIV'_fell SIGNATURE DATE f f t FOR OFFICIAL USE ONLY PERMIT NO. DATE ISSUED MAP/PARCEL NO. i I ADDRESS VILLAGE OWNER � k ! DATE OF INSPECTION: + s t FOUNDATION r FRAME INSULATION k: FIREPLACE ELECTRICAL: ROUGH FINAL A. PLUMBING: ROUGH FINAL i GAS: ROUGH FINAL i FINAL BUILDING DATE CLOSED OUT t r. ASSOCIATION PLAN NO. Y L j �/e Pom�,io.uueai �� auael!a I BOARD OF BUILDING REGULATIONS License: CONSTRUCTION SUPERVISOR I ar 1 Numbet�S 092958 i I tExpi_re� fOlf-7009 Tr, no: 92958 i R@ � rya,, E SHANE PACHE . ar 74 GREAT HILL ! SANDWICH, MA 0256 �= Commissioner foi 4 r 1 I SHANE PACHECO, Realtor pits 1330 Phinney's Lane B E Hyannis, MA 02601 E (800)244-1592 ext.717 SPacheco@realtyexecutives.com /'/&P I07 A�ce-& /accc l�� Q� Sol S �oJ-�h s `In �,/c.✓�n i S W I S �f G V c-n Ov c- I ac-lc Wood 0 e tip. I c.) pevp-,A.e r h r 4S 4 n Y)Q w•} 4 r-ct K g' e pn 4s 3 Cg 9-/, 8 9 9 Co 6- , 9&-9 LnG.►,. Ct G hi�. r / The Commonwealth ofMkssachusetts Deparfinent oflndustriaZAccidents Office qf Investigadons ' d 600 Washington Street ' Boston,MA 021.11' www.mass.gov/dia ' Workers}Compensation Insurance Affidavit: Builders/Contractors/Electr'iciaus/Plumbers• A licant Information .Please Print Name(Business/Orgamzatioviadividual):, Address: City/state/ZiP: C2�-{�rvt ��e �� ���3 hone.#: j-O 6 4s 6 Are you an e:riployer?-Check the appropriate b ;Type o i oject(required); . 4. lam a 1;[] I am a employer with general contractor and T � New construction . �loyees(full and/or part time),*• have hireclthe sub-contractors 2.Lm 1 am a'sole proprietor or partner= . listed on the-attached sheet, 7. [�Remodeling shi ,andhavg no a to ees These sub-contractors have P mP Y 8. ❑Demolition '�yorlang for me in any capacity. employees and have workers' il B 9. ud n' addition [No workers' comp.insurance comp, insurance.$'� � � g . required.] 5: [] We are a corporation and its 10.0•Bleetricalrepairs of additions 3.[]I amp homeowner-doing-a$work --°fficers-have exercised their 11.[]Plumbing repairs or additions ' myself.[No workers'comb, right of exemption per MGL insurance.required,]t c. 152, §1(4), and we have no'. 12,E]Roof repairs . . employees,[No workers' :13.[]Other ' comp,insurance required] *Any applicant that checks box#1 must also fill out the section below sbowing 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. xCantracton that check this box must attached an addihi mal sheet showing the name of the sub-contractors and state whether ornotthose entities have employees: If the sub-contractors have employees,they must providb theil•workers'comp,policy number. , lam an employer,that isproyiding workers'compensatian insurance for my employees. Below is thepolicy and job site information. Insurance Company Name -------------- Policy#or Self-ins.Lic,#: Expiration Date: lob Site Address' City/State/Zip; Attach a copy of the workers' compensation policy declaration page'(showing the policy number and expiration date), Failure,to secure coverage u required under Section 25A.of MGL c. 152 can lead to the imposition of criminal 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 maybe forwarded to the-Office of Investigations of the WA for insurance coverage verification, ' I iio hereby certify under the pains-apfpenalties of perjury that the in provided abov is true acid correct. Date: f 7 Phone#; � Off ctat 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 1 Building Department 3, City/Town Clerk 1,Electrical Inspector 5,Plumbing Inspector 6,Other . Contact Person; Phone#; Massachusetts General Laws chapter 152 requires all employers to provide workers' compensationfor then employees- PursuazLt to this statute, an employee is defined as"...every person in the service of another under any contract of hire, express or implied, oral or written." An employer is defined as"an individual,partnership,association,corporation or other legal entity,or any two or more of the foregoing engaged in a joint enterprise,and including the legal representatives of a-deceased employer, or the receiver or trustee•of an individual,partnership,association or other legal entity,employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein,or the occupant of the dwelling house of another who employs persons to do maintenance,construction or repair work on such dwelling house or on the.grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer-" 1vMGL 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 construgt buildings in the commonwealth for any applicant who has not produced-acceptable evidence of compliance with the insurance coverage required.". Additionally,MGL ehaptor.152,`§25C(7)states"Neither the commontxtealthnor any of its political subdivisions shall. enter into any contract for,the performance of public7.work until acceptable evidenee•of•complixaoe Wi#htl�e iu Mc requirements of this chapter have been presented'to the contracting authority,.'t Applicants Please fill out the workers' compensation affidavit completely,by checking the boxes that apply to your situation and,if necessary,supply sub-contiactor(s)name(s),address(es)and phone mmber(s)along with their certificate(s) of insurance. Limited Liability'Companies'(LLC) or Limited Liability Partnerships(LLP)with no'employees other than the members'or partners, are not required to carry workers'compensation insurance. If an LLC or LLP does have employees,a policy is required. Be advised that ibis 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 pemmit.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' compensationpolicy,please call the Department at the number listed below. Self-insured companies should enter their . self-insurance license number onthe appropriate'lind, City or Towti 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 youu to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permitllicense 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 ono 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 markadby the city or townmaybe 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 io 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.anli questions, please do not hesitate to give us a call. — The Depaxhnent's address,telephone•andfax number:. The C0MM0,UWWJh of MmaOhMods putm�nt ofIn.dustdal A.ccidimts ' . (� .ee of�u�est�.���rk�s • 64G Whin Street Bo�ton,.MA02111 - TO.9 617- ,2'-40.0 ext 406 Or 1- MASSAFE Pax#617-72' -77-49 Revised 11-22:06. www m _&6v/dia I Town of Barnstable ti Regulatory Services BARNSTMASS.j E$" Thomas F.Geiler,Director Fs6,1 - Building Division _ Tom Perry,Building Commissioner 200 Main Street,Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230, - NOTICE TO THE BUILDING DIVISION OF LICENSED CONSTRUCTION SUPERVISOR ASSUMPTION OF RESPONSIBILITY 3tom- GAG I, , Construction Supervisor License. # U 9,� 9ye , hereby certify that I have assumed responsibility for the project under construction, as authorized by building permit#. e3 9(a9 , issued to (property address) on 20QL-7 • r The following documents are attached: copy of my Massachusetts State Construction Supervisor's license or Homeowner's License Exemption form(if applicable) copy of my Home Improvement Contractor registration (if applicable) Commonwealth of Massachusetts Workers' Compensation Insurance Affidavit. Road Bond(if applicable) t / LICENSE HOLDER DATE w r "f q/forms/newcontrb ACOR& CERTIFICATE OF LIABILITY INSURANCE o;25/0DDNYYY) PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Rogers&Gray Ins.-So.Dennis ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 434 Route 134 HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. P.O.Box 1601 . South Dennis,MA 02660-1601 INSURERS AFFORDING COVERAGE NAIC# INSURED INSURERA: OneBeacon Insurance Co. Daniel J.Peckham wsuRERe: dba D J Electric INSURER C: 87 Audrey's Lane INSURERD: Marston Mills,MA 02648 INSURERE: 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. CY EXPI LTR NS TYPE OF INSURANCE POLICY NUMBER POLICY YMMIIDDD VE PDAITE MM/DDnON LIMITS A GENERAL LIABILITY FBI U73280 08/03/06 08/03/07 EACH OCCURRENCE $1,000 000 )( COMMERCIAL GENERAL LIABILITY DAMML AGE S RENTED c $300 OOO CLAIMS MADE X]OCCUR MED EXP(Any one person) $5 000 PERSONAL&ADV INJURY $1 000 000 GENERAL AGGREGATE s2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMPIOP AGG s2,000,000 POLICY JERCOT- LOC AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT ANY AUTO (Ea accident) $ ALL OWNED AUTOS BODILY INJURY SCHEDULED AUTOS (Per person) $ HIREDAUTOS - BODILY INJURY $ NON-OWNED AUTOS (Par accident) PROPERTY DAMAGE -$ (Per accident) GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $ ANY AUTO OTHER THAN EA ACC $ AUTO ONLY: AGG $ EXCESSAIMBRELLA LIABILITY EACH OCCURRENCE $ OCCUR CLAIMS MADE AGGREGATE $ DEDUCTIBLE $ RETENTION $ $ WORKERS COMPENSATION AND TORY WC IIMrr OIR TH- EMPLOYERS'LIABILITY ANY PROPRIETOR/PARTNERIEXECUTNE E.L.EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? E.L.DISEASE-EA EMPLOYEE $ If yes,describe under SPECIAL PROVISIONS below E.L.DISEASE-POLICY LIMIT $ OTHER - DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS **"PLEASE NOTE THAT A WORKERS COMPENSATION CERTIFICATE WILL FOLLOW SHORTLY UNDER SEPARATE COVER,AS IT IS BEING ISSUED DIRECTLY BY THE INSURANCE COMPANY' FAXED TO:508-362-1313 CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION Shane Pacheco DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAL In DAYS WRITTEN 143 Hayes Road NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO DO SO SHALL Centerville,MA 02632 IMPOSE NO OBLIGATION OR LIABILIrY OF ANY KIND UPON THE INSURER,ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE . ACORD 25(2001108)1 of 2 #26823 MLV 0 ACORD CORPORATION 1988 r # 1/25/2007 14:43 Bryden & Sullivan Insurance Joy Caruso-+Shane Pacheco 2/3 ACORD CERTIFICATE OF LIABILITY INSURANCE cse JO DATE 01/25/0 CARLINO Ol 25 07 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Bryden & Sullivan Ins Agency HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR 88 Falmouth Road ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Hyannis MA 02601 Phone: 508-775-6060 Fax: 508-790-1414 INSURERS AFFORDING COVERAGE NAIC# INSURED INSURER National Grange Mutual 14788 INSURER B: Carlino Plumbing & Heating Inc Joshua Carlino INSURER c: 141 Lincoln Road 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. POLICY EFFECTIVE POLICY EXPIRATION LTR NSRD TYPE OF INSURANCE POLICY NUMBER DATE MM/DD/YY DATE MM/DD/YY LIMITS GENERAL LIABILITY EACH OCCURRENCE $1000000 A X COMMERCIAL GENERALUABIUTY MP014837 07/11/06 07/11/07 PREMISEs(Eaoccurence) $50000 CLAIMS MADE a OCCUR MED EXP(Arry one person) $5000 PERSONAL B ADV INJURY $1000000 GENERAL AGGREGATE $2000000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $2000000 -1 PRO- POLICY "'T 7 LOC " AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ ANY AUTO (Ea accident) ALL OWNED AUTOS BODILY INJURY $ SCHEDULED AUTOS (Per person) - HIRED AUTOS - BODILY INJURY $ NON-OWNED AUTOS - (Per accident) PROPERTY DAMAGE $ (Per accident) GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $ ANY AUTO OTHER THAN EA ACC $ AUTO ONLY: AGG $ EXCESS/UMBRELLA LIABILITY EACH OCCURRENCE $ OCCUR ❑CLAIMS MADE AGGREGATE $ DEDUCTIBLE $ - RETENTION S $ WORKERS COMPENSATION AND WC STATLL (:) ,. TORY LIMITS ER EMPLOYERS'UABIUTY ANY PROPRIETOR/PARTNERAD ECUTIVE E.L.EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? E.L.DISEASE-EA EMPLOYEE $ If yes,describe under SPECIAL PROVISIONS below E.L.DISEASE-POLICY LIMIT $ OTHER DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS Plumbing CERTIFICATE HOLDER CANCELLATION PACHEOl SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 - DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO 00 SO SHALL Shane Pacheco FAX: 508-362-1313 IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR 143 Hayes Rd. REPRESENTATIVES. " Centerville MA 02632 A 0 DREPRESENTATIVE ACORD 25(2001108) ©A:ORD CORPORATION 1988 t Y TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel �Oc� Application# Health Division Conservation Division Permit# ,� Tax Collector Date Issued Treasurer Application Fee Planning Dept. Permit Feel.DD Date Definitive Plan Approved by Planning Board Historic-OKH Preservation/Hyannis Project Street Address �7/ ` oud L 14, Village 116Lh h is, Owner Address Telephone Permit Request 00 Y11 Co Square feet: 1st 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 new Number of Bedrooms: existing new Total Room Count(not including baths):existing new First floor Room Count Heat Type and Fuel: ❑Gas ❑Oil ❑Electric ❑Other Central Air: ❑Yes ❑No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑No Detached garage:❑existing ❑new size Pool:❑existing ❑new size Barn:LJ 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 BUILD//E��R INFORMATION Name'��'�f� �� �/ / , Cor Telephone Number Address i r �� License# -r-233, 2 2 2� �2�4`r< e �r� �Qi Home Improvement Contractor# Worker's Compensation# �� Yam, ��!a a ih�Sgo ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WALL BE TAKEN TO .5��/ %/ SIGNATUR DATE `7 e N FOR OFFICIAL USE ONLY PERMIT NO. DATE ISSUED r r MAP/PARCEL NO. j F ADDRESS VILLAGE OWNER r f � DATE OF INSPECTION: FOUNDATION FRAME t INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL I PLUMBING: ROUGH FINAL GAS: ROUGH FINAL ; FINAL BUILDING DATE CLOSED OUT ^ y ASSOCIATION PLAN NO. - r � _ ,' I I FI►��� Town of Barnstable do Regulatory Services BARNSTvMAn"Bg' Thomas F.Geiler,Director �iOrED Mpl�,� Building Division Tom Perry,Building Commissioner 200 Main Street,Hyannis,MA 02601 , Office: 508-862-4038 Fax: 508-790-6230 NOTICE TO THE BUILDING DIVISION OF LICENSED CONSTRUCTION SUPERVISOR ASSUMPTION OF RESPONSIBILITY �CRem�( , Construction Supervisor License. # eS D 97a.73 ,hereby certify that I have assumed responsibility for the project under Tr3G9/ construction, as authorized by building permit#_ �y3%`g T issued to (property address) F-4 5f r on S �44 , 200 .S:' The following documents are attached: copy of my Massachusetts State Construction Supervisor's license or Homeowner's License Exemption form(if applicable) copy of my Home Improvement Contractor registration (if applicable) Commonwealth of Massachusetts Workers' Compensation Insurance Affidavit. Road Bond(if applicable) OL ER DATE a gftrms/newcontrb u Blackwood Development Corp February 06, 2006 To Whom It May Concern, I, Shane Pacheco.,owner of the parcel of land located on 525 South Street,Hyannis, MA 002601 have contracted Blackwood Development Corporation formerly R.C. Homes dba Ridgewood Custom Homes, of Sagamore Beach to build a new single family dwelling on my lot. I hereby give Blackwood Development Corporation and/or it's representative's permission to sign on my behalf and submit for any and all of the required permits. If you have any questions please contact me at 508-364-2456 3 Signature P.O. Box 445, Sagamore Beach, MA 02562 (508) 833-8865 ♦ FAX 833-8866 p. �1ze (oair�rnooz,c O�✓l lad�ac�ittde%�d ; Board of Building Regulations and Standards HOME IMPROVEMENT CONTRACTOR Registration: 145781 t. Expiration 3/,1/,2007 Jndividual JEREMY D.SOULE �3 JEREMY SOULE 92 SACHEM STD 1.w MIDDLEBORO,MA 02346 Administrator ✓fie ino�rurnorzufeaff� a��il�Gaaaac�zecaeL7a BOARD OF BUILDING REGULATIONS License: CONSTRUCTION SUPERVISOR Number: CS 087223 Expires: 06104/2007 Tr.no: 87223 Restricted: :00 I JEREMY D SOULE 92 SACHEM ST MfDDLEBORO, MA 02346 Acting C mis oner .LW TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map , Parc I Permit.# 7 Z Health Division Date Issued. s G -Conservation Division 12-2-1 v Application Fee Tax Collector ���JoLi/� Permit Fee Treasurer Planning Dept. Date Definitive Plan Approved by Planning Board � r-wiry Historic-OKH Preservation/Hyannis Project Street Address Village cl Owner Shia Address '7 Telephone -08 `{ Permit Request Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation -�/-S 4D6 Construction Type 'e 4� 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 o Basementlype: ❑Full ❑Crawl ❑Walkout MrOther S �� Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full: existing new Half:existing new Number of Bedrooms: existing` new Total Room Count(not including baths): existing new First Floor Room Count Heat Type and Fuel: ❑Gas ❑Oil ❑ Electric ❑Other Central Air ❑Yes ❑ No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑No Detached garage:❑existing ❑new size Pool:❑existing ❑new size Barn:❑existing ❑new size Attached garage:❑existing ❑new size Shed:❑'existing ❑new size Other: Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial EY'Yes ❑No If yes,site plan review# 0 ? Current Use Proposed Use BUILDER INFORMATION Names ©v�t� Telephone Number SOS`q W'71 f Address - ( x License# 08 7267 Home Improvement Contractor# Worker's Compensation# ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATUR DATE FOR OFFICIAL USE ONLY l t PERMIT NO. - DATE ISSUED MAPTPARCEL NO. ADDRESS :, VILLAGE OWNER DATE OF INSPECTION: ~r FOUNDATION ll.. FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL- s, PLUMBING: ROUGH 5- FINAL t 1/7' 1 ? GAS: ROUGH FINAL' C9 _ FINAL BUILDING t o DATE CLOSED OUT' ASSOCIATION,PLAN NO. — �► *a,►,ti Town of Barnstable , Regulatory Services BAxMSUBU, Mnss. $ Thomas F..Geiler,Director 9�''�Fc�u►+"�� Building Division Tom'Perry. Building Commissioner 200,Main Street,Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 August 15, 2003 s T Shane Pacheco 74 Great Hill Road Sandwich, MA 02563' " Re SPR 057-03 Pacheco, 525 South Street-Hyannis (R3,08-162 I_ )., _ _. �...,- .. Proposal: Construct new 3-story mixed-use(retail/residential);building . Dear Mr. Pacheco: : Please be advised'that the'plan dated May 7; 2003 entitled 525 South Street, Hyannis, - - , Massachusetts, prepared for Shane Pacheco,..'74 Great.Hill.Road, Sandwich; Ma.02563-, Phone ( ) Y pages, numbered C-1 — C=6. 508 -364 2456, Title, Layout and Dimension Plan consisting of 6 and drawn by Baxter,-Nye & Hohngren, Inc w ifh r evasion d ates o f 7/15I03, S PR c omments, 7/24/03 &.7/31/03, SPR comrrients was reviewed administratively on August 14, 2003 and found rr _ F {to be approvable. :� � r fr _ t . t _ This project has been referred to the'Board of Appeals for the following issues • . Deficient on-site parking(15'spaces required, 14_*ouided) k • _Parking in a residential zone �k A signed copy of the plan remains on file m the Building Division T a rely, .. . obm C. n. Giangregoo .. Zoning&Site Plan Review Coordinator - - .. .. • i .. of + k - V dF� Hyannis Main Street Waterfront Historic District Commission s MASS $ 230 South Street ; ° s Hyannis,Massachusetts 02601 TEL: 508-862-4665/FAX: 508-862-4725. �- Application to Hyannis Main Street Waterfront Historic District Commission !in the Town of Barnstable for a ;. - P1 CERTIFICATE OF APPROPRIATENESS Application is hereby made, in triplicate,for the issuance of a Certificate of Appropriateness under M. G. L. Chapter 40C, The Historic Districts Act for proposed work as described below and on plans, drawings or photographs accompanying this application for. PLEASE CHECK ALL CATEGORIES THAT APPLY: 1. Exterior Building.Construction: dNew Building ❑ ddition ❑ Alteration 1..., r-n O U 'dal.,,I s.� J .l'..I f�, Indicate type of building: IJ House -❑ Garage Commercial 9 user ,w1K�I �Z,��SZ., a-- 2. Exterior Painting: ❑ V;Xed Use) 3. Signs or Billboards: ❑ New sign ❑ Existing sign ❑ Repainting existing sign �E 4. Structure: D Fence ❑ Wall ❑ Flagpole ❑ Other 5. Parking Lot: P New Building ❑ Addition ❑ Alteration (Please see the guidelines for explanation and requirements) TYPE OR PRINT LEGIBLY DATE $J I oL00 j c ASSESSOR'S MAP NO. SO O ASSESSOR'S LOT NO. 6P APPLICANT S i'ftPE TFrCW O TEL.NO. yoZ 364 'R75� NamC cv 'tJ APPLIC I ANT MAILING ADDRESS 7 �i5z � � 0 sg�I1�jC�i �� 91�6� i ADDRESS OF PROPOSED WORK 1 d% 500-T f 5798e;f �� ``� PROPERTY OWNER 596A)E- eP,4 C 4EC� TEL.NO. Se8-36#-Rg i OWNER MAU-ING ADDRESS 7 7 ( 907 l�'/LL �NIW WO �I� ��V-3 o FULL NAMES AND MAILING ADDRESSES OF ABUTTING OWNERS. Include name of adjacent C property owners across any public street or way. This information is best obtained at the Town Assessor's Office. (Attach additional sheet if necessary). JG � �C��D Stfi✓�TS' r AGENT CONTRACTOR P�IUTEL. NO. ADDRESS HJ S 1 LIE Mil J , DETAILED DESCRIPTION OF PROPOSED WORK: Give all particulars of work to be done, including detailed data on such architectural features as: foundation,chimney,siding,roofing,roof pitch, sash and doors,window and door frames,trim, gutters- leaders,roofing and paint color,including materials to be used,if specifications do not accompany plans. In the case of signs, give locations of existing signs and proposed locations of new signs. (Attach additional sheet,if necessary). :S.E �7 RCYE-> �5XC1 r-I CWTia/U s#�& Signed Owner-Contracto -Agent SPACE BELOW LINE FOR COMMSSION USE Received by HMSWHDC Date Time This Certificate is hereby i L MS NX 1 Date ear ' By � Si EvTORTANT:If this Certificate is approved,approval is subject to the 2 y app a rovided in the Ordinance. CONDMONS OF APPROVAL: HYANNIS MAIN STREET WATERFRONT HISTORIC DISTRICT COMMISSION ***SPECIFICATION SHEET ADDRESSOF PROPOSED WORK 5a5 �U71f 5-r1ZEJE-:� FOUNDATION M U�F RJ,��M!1� 4- SIDING TYPE COLOR—Cdl— CADi— CHININEY.TYPE — COLOR ROOF MATERIAL r7s�►�fl�L� 1 � 7 COLOR PITCH 00 WINDOW ►40-D f2Sa N COLOR Off(T� TRIM COLOR W 1 TF- DOORS G b45-5 COLOR SHUTTERS 13 t GUTTERS DECK GARAGE DOORS COLOR NOTES: Fill out completely, including measurements and materials/colors to be used. Three copies of this form are required for submittal of an application,along with three copies each of the plot plan,landscape plan and elevation plans,when applicable.The Plot plan need not be"Certified",but should show all structures on the lot to scale. COMMERCIAL BUILDING PERMIT FEES APPLICATION FEE New Buildings,Additions $150.00 D/� i i✓ Alterations/Renovations $100.00 47 /O O • O d '0 U Building Permit Amendment $ 50.00 Q e- FEE VALUE WORKSHEET NEW BUILDINGS square feet x$140.00/sq.foot= `Sl O x.0081= ALTERATIONS/RENOVATIONS-OF EXISTING SPACE ... square feet X$96/sq.foot= X.0081= STORAGE BUILDINGS ONLY square feet X$32.00/sq.foot= X.0081 Commprojcoit Rev:063004 . A#s_Ah\� b^ ¢&k,�a #U�v\#Q0©N > ƒRUaNT /vems& 097207 s}\, . \ \/l / .... . . �s�� �a 2 y �4a. s Hof\� »<i . : ^ � �x » . . : , . . .. � § #§u $A 6 ¥qo\ & « � \ . CtNfEkVILLE, \A 6s3/` \ a *mis- g! The Commonwealth of Massachusetts u_� = (.6 Department of Industrial Accidents J 600 Washington Street !r' Boston,Mass. 02111 Workers' Com ensation Insurance Affidavit_General Businesses name 63 address: Y\ city( �'J �� state: 71p:Da.G-,l 02 -phone# work site tion full address): 02 0 �� �� `Ql am a sole proprietor and have no one Business Type: ❑Retail❑R urant/Bar/Eating Establishment working in any capacity. ❑Office❑ Sales(including Real Estate,Autos etc.) ❑I am an en loyer with /m///�/em loyees(full& art tim/e��. ❑Other j%/ /jye,V%j%%%%?%///!jj%j jj%jj%%%%j/jjjj%/%//////�jj/�%%j�%%/ I am an employer providing workers' compensation for my employees working on this job. company name: address:. , "" ;• •,, : ,,'. ':,, " city phone#: .' instirance.co:. ... .: ., ... _....;: .., .�:;..;. . ,: ... :., • ....: ... . : .. . .. : ❑ I am a sole proprietor and have hired the independent contractors listed below who have the following workers' compensation polices: company name city phone#. insurance co. olie # ..: . . . ... . company na de* ::• — _. address: city:.. phone# olicv# insurance co. .. . ..... . / ///---�/ / %//// %%/ // / /// / / / / //l//i. Fallure to secure coverage as required under Section 25A of MGL 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one years'imprisonment as well as civil penalties in the form of a STOP WORK ORDER and a fine-of$100.00 a day against me. I understand that a copy of this statement may be forwarded to the Office of Investigations of the DIA for coverage verification. I do hereby ce un he s andpenzW5,qWjury"that the inform_ ation provided above is true r�and �correct/ Signature Date.T/ Print name ' UDQ Phone.# 71" " official use only do not write in this area to be completed by city or town official ermit(licease# ❑Buildin city or town: P g Department " ❑Licensing Board '' ❑check if immediate response is required ❑Selectmen's Office ❑Health Department . g3 contact person: phone#; ❑Other � (revised Sept 2003) r Information and Instructions Massachusetts General Laws chapter 152 section 25 requires all employers to provide workers' compensation for their employees. As quoted from the"law", 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 Iegal entity, or any two or more of the foregoing engaged in a joint enterprise, and including the legal representatives of a deceased employer, or the receiver or trustee of an individual,partnership, association or other legal entity,employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein, or the occupant of the dwelling house of another who employs persons to do maintenance, construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer. MGL chapter 152 section 25 also states that every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required. Additionally,neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority. Applicants Please fill in the workers' compensation affidavit completely,by checking the box that applies to your situation. Please supply company name, address and phone numbers along with a certificate of insurance as all affidavits may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested, not the Department of Industrial Accidents. Should you have any questions regarding the"law"or if you are required to obtain a workers' compensation policy,please call the Department at the number listed below.. City or Towns Please be sure that the affidavit is complete and printed legfoly. T"ne Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permit/license number which will be used as a reference number. The affidavits maybe returned to the Department by mail or FAX unless other arrangements have been made. - The Office of Investigations would like to thank you in advance for you cooperation and should you have any questions, please do not hesitate to give us a call. The Department's address,telephone and fax number: The Commonwealth Of Massachusetts Department of Industrial Accidents ON of Imsfigatlons 600 Washington Street Boston,Ma. 02111 _ fax#: (617)727-7749 phone#: (617) 727-4900 ext.406 f F F F � u u a F F Western Surety Company n � ° F o G LICENSE AND PERMIT BOND F For County, City,Town or Village Only-Not Valid for Bonds Required by the State.Not Valid for Contract, ; F Performance,Maintenance,Subdivision,Agent to Sell Hunting and Fishing Licenses or Utility Guarantee Bond. F KNOW ALL MEN BY THESE PRESENTS: BOND No. L& P-4 30 3 2.1 H That we, ganP M_ pArhPnn , of the Tnwn of Barnstable , State of M-A , as Principal, and WESTERN SURETY COMPANY, a corporation duly licensed to do business in the State of MA , as Surety, are held and firmly bound unto the TnWn of Barnst-ahle State of D4A , Obligee,in the amount (Valid only when a County,City,Town or Village is named as Obligee) Of Ri vP Thnllcand DOLLARS ( SOOO.QO ) r (NOT VALID FOR MORE THAN$25,000) lawful money of the United States, to be paid to the said Obligee, for which payment well and truly to be made, we bind ourselves and our legal representatives,jointly and severally. THE CONDITION OF THIS OBLIGATION IS SUCH, That whereas, the Principal has been licensed AR a MA 02601 by the Obligee. 1° NOW' - FORE if the Principal shall faithfully perform the duties and comply with the laws and v � P Y A P Y or��,��ars9z(m �c� all amendments), pertaining to the license or permit, then this obligation to be void, " oth'�i"Lwis- effi n full force and effect for a period commencing on the day of ig 20 04 , and ending on the day of A`i g- t , unless renewed b continuation certificate. Y i i i � :b �'rmin an ime b he Surety upon sendingnotice n wr tin o the Obligee and o � s`�b nd , a to ated at t tt 0 t �; � j/V(�� �,Y, Y Y Y P g g J t�1e Pjrinclpal, f the Obligee or at such other address as the Surety deems reasonable, and at the expira- tio ays from the mailing of notice or as soon thereafter as permitted by applicable law, whicheve;�isater`this bond shall terminate and the Surety shall be relieved from any liability for any subsequent acts or omissions of the Principal. Dated this 20Th day of August 2004 Shane M. P heco Principal Principal untersign e WESTER SURETY CO ANY F f• BY -- Resident Agent By President ACKNOWLEDGMENT OF SURETY F S AT F SOUTH DAKOTA (Corporate Officer) unty of Minnehaha ss On this day of ,before me,the undersigned officer,personally appeared Stephen T.Pate ,who acknowledged himself to be the aforesaid officer of WESTERN SURETY COMPANY,a corporation,and that he as such officer,being authorized so to do,executed the foregoing ; F instrument for the purpose therein contained,by signing the name of the corpo 'on by himself as such officer. ; F IN WITNESS WHEREOF, I have hereunto set my hand and official se ; J. RHONE NOTARY PUBLIC - S SOUTH DAKOTA SEAL ,PC o SEAL . 9 � .s otary Public, South Dakota My Commission Expires 6-12-2004 Western Surety Company • 101 S. Phillips Ave. F Form 849-A—12-97 �'0'�'`'`'`'`''`' ��+ Sioux Falls, SD 57104 • 1-605-336-0850 • f � LL F :> ACKNOWLEDGMENT OF PRINCIPAL (Individual or Partners) u F tl 7 STATE OF 6 il F ss U F F County of F On this day of ,before me personally appeared G �.� G G � G lky• � f c � F u { known to me to be the individual_ described in and who executed the foregoing instrument and F 5. c F acknowledged to me.that_he_executed the same. F ll V� fr n' My commission expires Notary Public ACKNOWLEDGMENT OF PRINCIPAL (Corporate Officer) STATE OF ss County of On this day of ,before me, personally appeared , who acknowledged himself to be the '* of , a corporation, and that he as such officer being authorized so to do, executed the foregoing instrument for the pur- poses therein contained by signing the name of the corporation by himself as such officer. My commission expires Notary Public r• F F ` 6 r C F , � n n J F r � F F G r r 4 n r V W � F n 9 G • G Z r O L Z O n a i o Z z � U n G C/� y I-1 O 0 w i U a o co G -� 6 t CONSTRUCTION CONTROL AFFIDAVIT' PROJECT LOCATION: NAME OF PROJECT: vS SCOPE OF PROJECT: Ir�izp ctV <! S L$6--qN cc,ordance w" h ection 1 1A.0 of the Massachusetts State Building Code, I, being a registered professional engineer/architect hereby certify that f have prepared or directly supervised the preparation or reviewed with responsible care all design (or construction) plans, computations and specifications concerning the above named project. In those cases wherein I have reviewed with responsible care"the plans, computations and specifications of other architects and engineers, I have determined, through their certification (affidavit/registration) that they are Massachusetts registered professionals qualified to prepare these documents. To the best of my knowledge and belief (and by the certification of those registered.professionals who have prepared certain documents within their areas of expertise) these plans, computations and specifications meet the applicable provisions of the Massachusetts State Building Code and all accepted engineering practices. I further certify that I shall perform the necessary professional services and be present on the construction site on a regular and periodic basis to determine (inspect) that, generally, the work is proceeding in accordance with the documents approved for the building permit and shall be responsible for the following as specified in Section 116.2.2: 1. Review of shop drawings, samples and other submittals of the contractor as required by the construction contact documents as submitted for building permit, and apt OF Mq� for conformance to the design concept. . ya s o MICCELE S9�yG N 2. Review and approval of the quality control procedures for all code-required 0 No ooR4 Cn controlled materials. STRUCTURAL 9FGISTER��N 3. Be present at intervals appropriate to the stage of construction to become, genet familiar with the progress and quality,of the work and to determine, in general, if t� TV work is being performed in a manner consistent with the construction documents. At the completion of the construction, I shall submit to the building official a report as to the satisfactory completion and the readiness of the project for occupancy (excepting any items not endar;gering such occupancy and listing pertinent deviations from the approved building permit document). Sign 1 r isciplirieBranch � � Subscribed and sworn to be re me this �da of 200 Y N TARY PuBtl My corn ir%iss oh expires on- Town of Barnstable vpFKNrt TOk�o� Reguxatory Services Thomas 7,Geiler,Director 9 s639, h1� funding Divi810n OrFD µA'� Tomgerry, Building Commissioner . 200 Main street, Hyannis,MA 02601 . w"Aam•barnstable•ma.us - Faw, 508-790-6230 Office; 508.862-4038 +� I':ropert r (Dy err Must - �r jm lete and. Sign This Section _.. • if Using A.Builaer as ChWaer of the subject property _ act on mybehalf;` _.. hereby authorize matters relative to workanthorized by this building permit application for. - -- - (Address of Job} - - .Da S, o Owner • _ . priatl�Iame S6 '4 Foundation Certlfication in Hzan-nis, MA . lPrepared For Shone Pacheco Assessor's Map: 308 Lot: 162 Baxter, Nye & Holmgren, Inc. Community Panel Number: 250001 0006 D Registered Professional F.I.R.M. Map Zone: C Engineers and Land Surveyors Plan Reference: Lot 19A L.C. Plan 9638 B & Lot 23 L.C. Plan 9638 J 812 Main St. . Certificate of Title; 163,416 Osterville, MA 02655 Phone — (508) 428-9131 Fox (508)-428-3750 Owners: Shane M. Pacheco Job Number. 2003-013 IScale : 1„ = 30' Date 11-01-2004 7,ARE UMENTS OF RECORD SHOWN ON L.C. PLANS 9638 B &J) WERE LOCATED BY SURVEY THAT SHOWN ON THIS PLAN. THEY WERE FOUND TO BE IN A SATISFACTORY MATHEMATICAL SHIP AND WERE USED TO DETERMINE THE LOCATION THE EXISTING FOUNDATION AND SITE M FEATURES SHOWN ON THIS PLOT PLAN. co rn z 5 a I �34.98+ 38 66? S 0 8 � s . 'egg+42" E jr z , 9' 308.78. 103 00' j RLB (BRKN) N11F o COLORS OF CAPE COD INC. 32-1420Nf MAP 308 N PARCEL 164 Eke NE RB LOT 24 COCA r fp FOVNCAnON W 10�?9-04 _ g44 jFQj�, 19A Ae 23 9,901 t SO. FT. 3 ``` �.^, ` --•.. 0.23t ACRES CB FND (BRKN) 108 LCB FND IV ' wAY �. 20' R/p OF �- N/F K'�+BS" 1 78 g4+ 34 WA 9S. EDMOND W. DERY, JR. 89. ONE. 1 MAP 308 N PARCEL 154 MA., ION f RQ LOT 19C N I ?0+ Wlp NANCY LUCIEN C4S M0HRK/NG MAP 308 — PARCEL 161 LOT 19D J �m h'F((/N0 I CERTIFY THAT TO THE BEST OF MY KNOWLEDGE THE EXISTING FOUNDATION SHOWN HEREON IS IN COMPLIANCE WITH THE APPLICABLE BARNSTABLE ZONING DISTRICT SIDELINE AND SETBACK REQUIREMENTS, IS LOCATED IN RELATION TO THE MONUMENTS,STATED (SEE NOTE)* AND IS NOT Of LOCATED WITHIN A SPECIAL FLOOD HAZARD AREA. ��' �OFi THIS PLAN IS NOT TO BE RECORDED NOR IS IT TO BE USED TO ESTABLISH PROPERTY LINES. EL N a TF REGISTERED "FESL LAND SURVEYOR N BAXTER, NYE & HOLMGREN, INC. DATE l I_off