The URL can be used to link to this page

Home My WebLink About0320 STEVENS STREET (10) 320 STEVENS STREET 7dd sT � 3v. y5- /3y, YS 'S Town of Bai °* Regulatory c BMMSTABLE. " Thomas F. Geilei 9`bpTE 3.�. Building Di` Thomas Perry,Buildin 200 Main Street, Hyar www.town.barns Office: 508-862-4038 Buildin Permit Procedure for Comm ❑ Map and Parcel number ❑ Letter of Approval from Site Plan Review(i ❑ Site Plan must also be submitted showing t structures, septic,parking, etc. ❑ Historic District at 200 Main Street: Certifi Old Kings Highway Historic District(no Hyannis Main Street Waterfront Histori Historic Preservation(if applicable). ❑ Construction plans-one complete set of f reduced to 11"x17"and fully dimensional permit application. Both sets must have an The applicant must also submit a set of ph R&dEftpneerino, Page 1 of 2 �a`S v Legged Zn As: Thursday, January 25 2007 Frank Schlegel tiw p� sle m Application Center Road System Reports goad System Search Oct"sors Searcy? B tNew Parcels by New Parcel Map Block Lot 308 - 004 Al c f La`s I h?D t V I O i,f VU 40DO---sS UIJ it S Fev Next; Page 1 of 1 Add Record parcel Location �� Village 308 004 320 STEVENS STREET--- L 1 HYANNIS 308 004 001 700 MAIN STREET(HYANNIS) ---LOT 2 HYANNIS 308 004 OOA 320 STEVENS STREET--- UNIT 1A HYANNIS 308 004 0013 320 STEVENS STREET--- UNIT 113 HYANNIS 308 004 OOC 320 STEVENS STREET--- UNIT 1C HYANNIS 308 004 OOD 320 STEVENS STREET--- UNIT 1D HYANNIS 308 004 OOE 320 STEVENS STREET--- UNIT 1 E HYANNIS �08 004 OOF 320 STEVENS STREET--- UNIT 2A HYANNIS 08 004 OOG 320 STEVENS STREET--- UNIT 2B HYANNIS 308 004 OOH 320 STEVENS STREET--- UNIT..C�QC- HYANNIS 308 004 OOI 320 STEVENS STREET- UNIT 2D HYANNIS 308 004 OOJ 320 STEVENS STREET--- UNIT E2 HYANNIS 308 004 OOK 320 STEVENS STREET---UNIT C33C, 'HYANNIS 308 004 00L 320 STEVENS STREET--- UNIT 313 HYANNIS 308 004 OOM 320 STEVENS STREET--- UNIT 3C HYANNIS 308 004 OON 320 STEVENS STREET--- UNIT 4A HYANNIS 308 004 000 320 STEVENS STREET--- UNIT 4B HYANNIS 308 004 OOP 320 STEVENS STREET--- UNIT 4C HYANNIS 308 004 OOQ 320 STEVENS STREET-- UNIT 5A HYANNIS 308 004 OOR 320 STEVENS STREET--- UNIT 5B HYANNIS 308 004 00S. 320 STEVENS STREET--- UNIT 5C HYANNIS 308 004 OOT 320 STEVENS STREET--- UNIT.51D HYANNIS 308 004 OOU 320 STEVENS STREET--- UNIT 5E HYANNIS :aadEngineerinc, Pace 2 of 2 308 004 OOV 320 STEVENS STREET--- UNIT 6A HYANNIS C ' 308 004 OOW 320 STEVENS STREET--- UNIT 6B HYANNIS 308 004 OOX 320 STEVENS STREET--- UNIT 6C HYANNIS 308 004 OOY 320 STEVENS STREET---UNIT 7A HYANNIS 308 004 OOZ 320 STEVENS STREET--- UNIT 7J3 HYANNIS 308 004 OAA 320 STEVENS STREET---UNIT 7C HYANNIS 308 004 OAB 320 STEVENS STREET--- UNIT 7D v HYANNIS 308 004 OAC 320 STEVENS STREET--- UNIT 7E HYANNIS 1HE 3 . BARNSTABLE &ARN&Aripm 6.OP.'lS1AglE•CE1rtERvf'.IE•CQNrt•MI:.N`i5. - •��W. nusrars nnis•onenwe•resrennnwE . 1639-2019. Ar A - �� Town of Barnstable Office of Town Clerk 367 Main Street,Hyannis MA 02601 Office: 508-862-4044 Ann M. Quirk, CMC . ,. Fax: 508-790-6326 Town Clerk March 30, 2017 ' Dear Mr. Tarsis Santos, According to the Building Department, 350 Stevens St. (aka 700 Main St.) Hyannis 02601, z commercial property and not a valid residential address in the Town of Barnstable. Please fill.out the enclosed Voter Registration card with a valid residential address; I can then process your voter: registration. If you have any questions, please give the Building Dept a call at 508-862-4038. Thank you, Susan Greenlaw, Voter/Census Admin. Monday-Friday, 8:30am-4:30pm ; susan.preenlaw@town.bamstable.ma.us (508) 862-4048 cc: Building/Z6ning • r { Town of Barnstable Building Department - 200 Main Street BARNSTABLE, # Hyannis, MA 02601 MASS. 9�A i639• . (508) 862-4038 - Certificate of Occu: pancy Application Number: 200701962 CO Number: 20070281 Parcel ID: 30800400A CO Issue Date: 12114107 Location: 320 STEVENS STREET All Zoning Classification: OFFICE/MULTI-FAMILY RESIDENTIA Village: HYANNIS x Gen Contractor: LAMBALOT, JOSEPH E. Permit Type: 'RC00 t- - CERTIFICATE OF OCCUPANCY RES Comments: Building Department Signature Date Signed tl I / HE 1 TOWN OF BARNSTABLE Building Application Ref: 200701962 BARNSTABLE, Issue Date: 04/05/07 Permit MASS, �j i639• Applicant: LAMBALOT,JOSEPH E. Permit Number: B 20070692 Argo ram'+°i Proposed Use: Expiration Date: 10/03/07 [Location 320 STEVENS STREET 1A Zoning District OM Permit Type: SPECIAL PROJECT ADD/ALTER COMM Map Parcel 30800400A Permit Fee$ 759.38 Contractor LAMBALOT,JOSEPH E. Village HYANNIS App Fee$ 100.00 License Num. 048722 Est Construction Cost$ 93,750 Remarks - APPROVED PLANS MUST BE RETAINED ON JOB AND TENENT FIT OUT FOR RESIDENTIAL CONDO UNIT IA�� THIS CARD MUST BE KEPT POSTED UNTIL FINAL INSPECTION HAS BEEN MADE. WHERE A CERTIFICATE OF OCCUPANCY IS REQUIRED,SUCH Owner on Record: FLAGSHIP ESTATES HYANNIS LLC BUILDING SHALL NOT BE OCCUPIED UNTIL A FINAL Address: TWO ADAMS PL INSPECTION HAS BEEN MADE. QUINCY, MA 02169 n Application Entered by: PR Building Permit Issued By:_ (XMJy\ THIS PERMIT CONVEYS NO,RIGHT,TO.00CUPY AN,YSTREET.;'ALLY OR SIDEWALK OR-ANY PART THEREOF,EITHER TEMPORARILY.OR PERMANENTLY: ENCROACHEMENTS ON PUBLICTROPERTY;:NOT SPECIFICALLY PERMITTED UNDER THEBUILDING CODE;MUST BE APPROVED BYTHE JURISDICTION STREET OR ALLY GRADES As WELL AS DEPTH,AND,LOCATIO,N OF PUBLIC SEWERS MAY BE OBTAINED FROM THE DEPARTMENT,OF PUBLIC WORKS: THE ISSUANCE OF THIS PERMIT"I RELEASE THE`APPLICANT FROM THE 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 MGL c.142A). BUILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS _07 1 ' � �Ig 1lC �Gf ptz- W L —1%-6 2 �i S v c1 fL 2 2 / Or 07 / 3 � C (L 1 Heating Inspection Approvals Engineering Dept Fire Deplzt. 2 Board of Health r��1 %Wse'�Vw, TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION 00 Ma &409' Parcel d/ C p � E�i� Application Health Division Conservation Division Permit# Tax Collector Date Issued Treasurer Application Fee d Planning Dept. Permit Fee —7 4 (It o Date Definitive Plan Approved by Planning Board _ NZ., Historic-OKH Preservation/Hyannis ?et 4 Project Street Address CJ Pe_ o Village 1— Owner Address L�eT �� 1 cJr c !Oa Telephone — — Qrr'�ic �� z�6q Permit Request Square feet: 1st floor:existing proposed. 2nd floor:existing proposed 6X/7 Total new A5 X3 Zoning District Flood Plain ` Groundwater Overlay Project Valuation Tom, 7d-0 Construction Type o Lot Size /fZ J%7 Grandfathered: ❑Yes 0'No If yes, attach supporting documentation. Dwelling Type: Single Family ❑ Two Family O Multi-Family(#units) �� Age of Existing Structure Historic House: ❑Yes CC�tao On Old King's Highway: ❑Yes L1 Basement Type: ❑Full ❑Crawl ❑Walkout k6ther c��l or &E Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) O ",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: 111Gas ❑Oil ❑ Electric ❑Other Central Air: Mles ❑No Fireplaces: Existing New Existing wood/coal stove: ❑Yes CENo Detached garage:0 existing ❑new size Pool:0 existing ❑new size Barn:O existing ❑new size Attached garage:❑existing [ ' g g g Shed:O existing ❑new size Other: ' new size Cn TM Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ � "'• Commercial ❑Yes o If.yes,.site-plan.review-# Current Use 449 4:7o7141 Proposed Use GL✓`! ® sue — BUILDER INFORMATION Name 6 Telephone Number ,Z& , S7 77 Address a `c License# DW7,�Z,Z Home Improvement Contractor#11/O— Worker's Compensation# ALL CONSTRUCTION DEBRIS ESU,L(TIING FROM THIS PROJECT WILL BE TAKEN TO / !✓ o� - �� ICJ �/ fC�G C �� /"� �/��G� i�� SIGNATURE W DATE /r FOR OFFICIAL USE ONLY PERMIT NO. DATE ISSUED " MAP/PARCEL NO. ADDRESS VILLAGE OWNER DATE OF INSPECTION: FOUNDATION FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL ' GAS: ROUGH FINAL I FINAL BUILDING -0 -7 " DATE CLOSED OUT t i ASSOCIATION PLAN NO. I Fz Town'of Barnstable . P °T Regulatory Services sr , * Thomas F. Geiler,Director . %6 9, �� Building Division Tom Perry, BuiIding Commissioner 200 Main Street, Hyannis,Iv-A 02601 Office: 508-862-4038 Fax: .509-790-6230, Property Owner Must Complete arld-Sign.This Section if Using A Builder LCc I 'V" (J /V �� ,as Owner of the subject pxoperly uthotize ��1G `=—� i �%�J � to act on my behalf, hereby a in all ma#et$ relative to work authorized by this building pe=it application fot: (Aadtess of job) ature of O t Date I � rl Print Name QFORM3:oWNERPERMI.S3I0N i n k f Yf DOM 7 J . . rd a, s r 01, S- Loma � �r, The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston, MA 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Le ibl Name(Business/Organization/Individual): �G� � r Address: C� City/State/Zip: �nCG ya\ Phone Are you an employer?Check the appropriate box: Type of project(required): 1.❑ I am a employer with \C> 4. ❑ I am a general contractor and I employees(full and/or part-time).* have hired the sub-contractors " .l ew construction 2.0 I am a sole proprietor or partner- listed on the attached sheet. 7. ❑ Remodeling ship and have no employees These sub-contractors have g, ❑Demolition working for me in any capacity. employees and have workers' [No workers' comp. insurance comp. insurance. 9• ❑Building addition required..] 5. ❑ We are a corporation and its 10.❑Electrical repairs or additions 3.❑ 1 am a homeowner doingall work. officers have exercised their 11.❑Plumbing repairs or additions myself. [No workers' comp. right of exemption per MGL insurance required.]t c. 152, §1(4), and we have no 12.❑Roof repairs employees. [No workers' 13.❑ Other comp. insurance required.] `Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. $Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employee information. s. Below is the policy and job site nn .Insurance Company Name: Po iey##or-Seif--ins-L-ie # —�� 0�\6,\6 �xp>ration ate: - 1�- — -- Job Site Address:_ City/State/Zip: Q� Attach a copy of the workers' com ensation olio declaration a --\� P policy 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 Ido here ce ify u der epains andpenalties ofperjury that the information provided above is true and correct. Simafore: nC Date: Phone 4: l0A 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#: OR T,, CERTIFICATE OF LIABILITY INSURANCE 06/22/2 06) PRODUCER (781)681-6656 FAX (781)681-6686 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION J Barry Driscoll Ins Agcy, Inc ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 600 Longwater Drive HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. P.O. Box 9120 Norwell, MA 02061 INSURERS AFFORDING COVERAGE NAIC# INSURED Advantage. Construction, Inc. 'INSURERA: Crum & Forster Co. - - Two Adams Place ti INSURERB: Transcontinental Insurance Co. Transc Suite 100 wsURERC: National Union Fire Ins Co Quincy, MA 02169 t' INSURERD: Continental Casualty Ins co 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. INSR DD'LTRTYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION INSR LIMITS GENERAL LIABILITY 5437105893 06/20/2006 06/20/2007 EACHOCCURRENCE $ 1,000,000 X COMMERCIAL GENERAL LIABILITY .. DAMAGE TO RENTED $ 100,000 CLAIMS MADE PREMISES(Eamcurence) OCCUR - - .� - MED:EXP(Any one person) $ 5,000 A PERSONAL&ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GENT AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ 2,000,0001 POLICY X PRO- LOC JECT AUTOMOBILE LIABILITY .SAP2083866837 06/20/2006 06/20/2007 COMBINED SINGLE LIMIT- , $ ANY AUTO (Ea accident) 1,000,00 ALL OWNED AUTOS BODILY INJURY r SCHEDULEDAUTOS (Per person) $ B X HIREDAUTOS BODILY INJURY $ X NON-OWNED AUTOS (Per accident) PROPERTY DAMAGE $ R. (Per accident) GARAGE LIABILITY . . AUTO ONLY-EA ACCIDENT $ - - ANY AUTO EA ACC $ - OTHER THAN AUTO ONLY: AGG $ EXCESS/UMBRELLA LIABILITY BE495305901 '06/20/2006 06/20/2007 EACH OCCURRENCE $ 10,000,000 X OCCUR a CLAIMS MADE ? AGGREGATE, $ 10,000j000 C $ DEDUCTIBLE - - $ WORKERS COMPENSATION AND WC2083866787 06/20/2006 06/20/2007• X WC STATU- OTH- TORY LIMITS I ER. EMPLOYERS'LIABILITY EACH ACCIDENT $ 5OOD ANY PROPRIETOR/PARTNER/EXECUTIVE E.L. _ 500,000 OFFICER/MEMBER EXCLUDED? E.L.DISEASE-EA EMPLOYEE $ SOU,OO It yes,describe under SPECIAL PROVISIONS below. T E.L.DISEASE-POLICY LIMIT $ 500,000 OTHER DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS - vidence of Insurance. for work performed within the Insureds scope of-normal business operations. otice of Cancellation provision is 30 days •except 10 days applies for non-payment of premium. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL . 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, 1 BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR REPRESENTATIVES. Standard Certificate of Insurance. AUTHORIZED REPRESENTATIVE B. Driscoll/JWN ACORD 25(2001/08) ©ACORD CORPORATION 1988 S , IMPORTANT If the certificate holder is an ADDITIONAL INSURED,the policy(ies) must be endorsed.A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s).- If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement.A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). DISCLAIMER The Certificate of Insurance on the reverse side of this form does not constitute a contract between the issuing insurer(s), authorized representative or producer, and the certificate holder, nor does it affirmatively or negatively amend, extend or alter the coverage afforded by the policies listed thereon. ACORD 25(2001/08) CNA CNA Plaza Chicago,Illinois60685 STANDARD WORKERS COMPENSATION AND EMPLOYERS LIABILITY POLICY CHANGE ENDORSEMENT EFFECTIVE 12/12/06 DATE PROCESSED=121906,REASON= ADD NAME INSUREDS AND CLASS CODE 9015 EFF 12-12-06 Pcy Cduir' rom Folic Per�ad.::::.,To. . ..:.<:;.,.:.,.:.. .Covers. e :Pravttied .................. ............................. '...::::::::::::.:::::::::::::.::: :......:::::::9.::.:::.Y::::..::: WC 2 83866787 06/20/06 06/20/07 CONTINENTAL CASUALTY CO 075416120 rned 1r�sueed And Address :. ...::....::.::...::.;::::..:::::::....:.:.::...:. ..:.::..;::. M ADVANTAGE CONSTRUCTION, INC. THE DRISCOLL AGENCY, INC 1 . TWO ADAMS PLACE SUITE 100. 93 LONGWATER CIRCLE QUINCY, MA P.O. BOX 9120 ORWELL MA 02061 02169 FEIN NUMBER: 04369030.2 NCCI CARRIER CODE NO: 10243 INTERSTATE ID NO: 911597713 ** S C H"E D U L E O F O P E R A T I 0 N S ** SCHEDULE PAGE 1 4 . LOC CLASS CLASSIFICATION OF OPERATIONS EST TOTAL RATE PER PREMIUM NO. CODE ANN REMUN $100 REMUN DIFFERENCE ********* STATE: MASSACHUSETTS 001 CLASS 9015 ADDED. EFF 12/12/06 - 06/20/07 9015 BUILDINGS NOC--OPERATION BY OWNER IF ANY 3 .19 0 THE FOREGOING AMENDMENT RESULTS IN AN ADDITIONAL PREMIUM OF $0 **** ,;REVISED POLICY TOTALS ***** °ESTIMATED CLASS PREMIUM $17 ,318 t&f' �`EST-IMAfiEV STANDARD, .PREMIUM $15,917 TOTAL•.ALL- R.ISK ADJUSTMENT, PRO AM; $6,367 .,< - ES.TIMATED:`STANDARD PREMIUM '` $22,284 PREMIUM DISCOUNT $302- EXPENSE CONSTANT $284 FOREIGN TERRORISM PREMIUM $412 DOM-EST'�C '-ERR—OR- SM�-Q—&—GA-`APR—EM—UM- _ $0 ESTIMATED PREMIUM - $22,670 --- -- -- N STATE TAXES/ASSESSMENTS/SURCHARGES $700 ESTIMATED COST $23,378 n N O O . ACCOUNT NUMBER: 3003313920 ` DATE OF ISSUE: 12/19/06 POLICY ISSUING OFFICE: NEW ENGLAND " (WC000001) P-39543-A D` se<,eta , Chaieman.1 the Board t r .Twr nrTn nt, .. •, CNA CNA Plaza Chicago,Illinois 60685 STANDARD WORKERS COMPENSATION AND EMPLOYERS LIABILITY POLICY CHANGE ENDORSEMENT — EFFECTIVE 12/12/06 DATE PROCESSED=121906,REASON= ADD NAME INSUREDS AND CLASS CODE 9015 EFF 12-12-06 .::........... Potiu N i:_ ':> ...Tv �uera. ...'.:..;:.;;::..«:,>..:Y..::..:.:.::..... ::.:...::..:. :: < A ............:.:.............. ...........................................:...:.:::9.:::::::.Y.- WC 2 83866787 06/20/06 06/20/07 . CONTINENTAL. CASUALTY CO 075416120 XXXL(7 >'.:.N <ft Ins eei And Address ........................................ ADVANTAGE CONSTRUCTION, INC . THE DRISCOLL AGENCY, INC TWO ADAMS PLACE SUITE 100 93 LONGWATER. CIRCLE QUINCY, MA P .O. BOX 9120 ORWELL MA 02061 02169 ** E N D 0 R S E M E N T S C H E D U L E . ** SCHEDULE PAGE 1 NUMBER DESCRIPTION EDITION DATE PLEASE READ THE ENCLOSED IMPORTANT NOTICES CONCERNING YOUR POLICY G118166A IMPORTANT NOTICE 01/96 ***** DELETED ***** G120587B CONTRACTING CLASS PREM ADJUST PROG WC' PREM CR APP 10/00 ***** DELETED ***** G16519F20 CONSTRUCTION CLASS PREM ADJUST PROG WC PREM CR APP 01/96 ***** DELETED ***** n s N CA N N " . n N O O O DATE. OF ISSUE: 12/19/06 POLICY ISSUING OFFICE: "NEW ENGLAND (WC000001) P-39543—A TM CTTD Vn - C NA CNA Plaza Chicago,Illinois 60685 STANDARD WORKERS COMPENSATION AND EMPLOYERS LIABILITY POLICY CHANGE ENDORSEMENT — EFFECTIVE 12/12/06 DATE PROCESSED=121906,REASON= ADD NAME INSUREDS AND CLASS CODE 9015 EFF 12-12-06. Periey:Nurn :.::>:,:.:.:rnrrr.:::::.Ralic.:::P�r��sd.;::..:.To:...::....:.:::...:...... >~ .v..era. �::i�::Prov d :: ........ X A,OPrrcy WC 2 83866787 06/20/06 06/20/07 CONTINENTAL CASUALTY CO 075416120 ADVANTAGE CONSTRUCTION; INC . THE DRISCOLL AGENCY, INC TWO ADAMS PLACE SUITE 100 93 LONGWATER CIRCLE QUINCY, MA P.O. BOX 9120 ORWELL MA 02061 02169 ** O T H E R N A M E D I N S .U R E. D S ** SCHEDULE PAGE. I WEST GREENWICH TECH I, LLC FEIN=043690302 YPE2 ***** ADDED ***** WEST GREENWICH TECH II, LLC FEIN=043690302 YPE2 ***** ADDED WEST GREENWICH TECH, III, LLC FEIN=043690302 YPE2 ***** ADDED ***** WEST GREENWICH TECH I MANAGER, LLC FEIN=043690302 YPE2 R WEST ,GREENWICH TECH II MANAGER LLC FEIN=043690302 0 YPE2 , ***** ADDED ***** 0 0 WEST GREENWICH TECH III MANAGER, LLC FEIN=043690302 YPE2 ***** ADDED ***** _= DATE OF ISSUE: 12/19/06 POLICY ISSUING OFFICE: NEW ENGLAND (WCO0.0001) P-39543-A TTQGTTRTPn - CNA CNA Plaza Chicago,Illinois 60665 STANDARD WORKERS COMPENSATION AND EMPLOYERS LIABILITY POLICY CHANGE ENDORSEMENT — EFFECTIVE 12/12/06 DATE PROCESSED=121906,REASON= ADD NAME INSUREDS AND CLASS CODE 9015 EFF 12-12-06 Pdi :NurnbePPolP. 70 :::. . Y......:.:.:.....:..::.............................:............: r�ac....:.:..:..................................'~ uera e::i�>:t :o.tci. X.........:::::::................. ::::::: :::::::::: r..:x... ��0:,7:::5:::4::*1:::6:::1:`2WC 283866787 06/20/06 06/20/07 CONTINENTAL CASUALTY CO 0 .::.:.....::..:.:... .. Insured And l�gdres ..r� ....:z::;:::....;:....:.... ,;.;.. ...::;::::... .. .. ..... .... .................. ........:..::.....::.................. ADVANTAGE CONSTRUCTION, INC . THE DRISCOLL AGENCY INC TWO ADAMS PLACE SUITE 100 - 93 LONGWATER CIRCLE QUINCY, MA P.O. BOX 9120 ORWELL MA 02061 02169 ** 0 T H E R N A M E D I+N S U R E D S ** SCHEDULE PAGE 2 DASCOMBROAD, LP FEIN=043690302 YPE2 ***** ADDED ***** CONDYNE '.INV'ESTMENT PARTNERS, LLC FEIN=043690302 YPE2 ADDED ***** ANDOVER/CIF II, LLC , FEIN=043690302 YPE2 ***** ADDED ***** a m m —io o e o - 0 N N O O O I DATE OF ISSUE: 12/19/06 POLICY ISSUING OFFICE: NEW ENGLAND (W0000001) P-39543—A TNfiTTP FTl ADVANTAGE Construction, Inc. February 1, 2.007 Tom Perry Town of Barnstable 368 Main Street Hyannis, MA 02601 Re: Harry§ Bar & Grill, 700 Main Street and.. 'Flagship Estates, 350 Stevens Street, Hyannis Dear Tom Perry: Please accept this letter of notification that Joseph Lambalot, an employee of Advantage Construction, Inc., has been appointed to be our full time Superintendent of both projects listed above. If you have any question, please feel free to contact our office at(781)-848-8787. Sincerely Advent Lisa izotte Human Resources ADVANTAGE CONSTRUCTION, INC. Two Adams Place, Suite 100, Quincy, MA 02169 , Telephone 781.848.8787 Fax 781.848.3774 www.advantageconstructioninc.com Town of Barnstable Building Department - 200 Main Street BARNSTABLE. * Hyanni i639' s, MA 02601 MASS (508) 862-4038 �� Certificate of - 20070282 Application Number: 200701965 CO Number: -. Parcel ID: 30800400B CO Issue Date: /2114107 Location: 320 STEVENS STREET12— Zoning Classification: OFFICEIMULTI-FAMILY RESIDENTIA .Village: HYANNIS s � - RC•00 - nContractor: P rmi T e:Gen � LAMBALOT JOSEPH E. Permit Type: CERTIFICATE OF OCCUPANCY RES Comments: ID Building Department Signature Date Signed r3 �114E TOWN OF Building ti Application Ref: 200701965* BAxIvsTAsi�, Issue Date: 04/05/07 Permit 9 MASS. �pr1 16 339. A Applicant: LAMBALOT,JOSEPH E. Permit Number: B 20070690 Proposed Use: Expiration Date: 10/03/07 Location 320 STEVENS STREET 111 Zoning District OM Permit Type: SPECIAL PROJECT ADD/ALTER COMM Map Parcel 30800400B Permit Fee$ 759.38 Contractor LAMBALOT,JOSEPH E. Village HYANNIS App Fee$ 100.00 License Num 048722 Est Construction Cost$ 93,750 Remarks APPROVED PLANS MUST BE RETAINED ON JOB AND TENENT FIT OUT CONDO UNIT#113 THIS CARD MUST BE KEPT POSTED UNTIL FINAL INSPECTION HAS BEEN MADE. WHERE A CERTIFICATE OF OCCUPANCY IS REQUIRED,SUCH Owner on Record: FLAGSHIP ESTATES HYANNIS LLC BUILDING SHALL NOT BE OCCUPIED UNTIL A FINAL Address: TWO ADAMS PL INSPECTION HAS BEEN MADE. QUINCY, MA 02169 Application Entered by: PR Building Permit Issued By: THIS PERMIT CONVEYS NO RIGHT'TO OCCUPY ANY-'STREET,'ALLYOR SIDEWALK OR;ANY PART,THEREOF;EITHER TEMPORARILY OR'PERMANENTLY ENCROACHEMENTS ONPU13LIC PROPERTY;.NOT SPECIFICALLY PERMITTED UNDER THE BUILDING CODE,,MUST BE APPROVED BY THE JURISDICTION. STREET ORALLY GRADES AS WECL,AS DEPTH AND°LOCATION OF PUBLIC-SEWERS'MAY,BE OBTAINED FROM THE DEPARTMENT OF,,PUBLIC!WORKS i THE ISSUANCE OF THIS PERMIT DOES NOT RELEASE THE APPLICANT FROM THE CONDITIONS OF ANY APPLICABLE SUBDIVISION RESTRICTIONS MINIMUM OF FOUR CALL INSPECTIONS REQUIRED FOR ALL 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). (s$ .' BUILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS 1 t —OD ofClet -211 C`2 r 2 6r _�--t OI C `�7, 2 IN'tSf� (f�tJM��p'`' 2/ o+� Piz- / 3 6 r f K ®rL 1 Heating Inspection A provals Engineering Dept 11-7 ./xi Fire Dep 2 Board of H Ith t, ((boo TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map 30 Parcel OOy 008 Application# ' Health Division Conservation Division Permit# Tax Collector Date Issued 4 Jo7 Treasurer Application Fee Z� s q Planning Dept. Permit Fee 1 ! Date Definitive Plan Approved by Planning Board P� Historic-OKH Preservation/Hyannis IyJ&Z nc;� Project Street Address Cf�rc Village Owner e Z ddress la::2 Telephone 7 X'7 Permit Request/ Square feet: 1st floor:existing proposed 2nd floor:existing proposed �'3 Total new I7-11& Zoning District Flood Plain Groundwater Overlay Project Valuation 7s-4 Construction Type I&Aqiz Lot Size�& 7 Grandfathered: ❑Yes < o If yes, attach supporting documentation. Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family(#units) Age of Existing Structure -- Historic House: ❑Yes O Flo On Old Kiing's Highway: ❑Yes ❑No Basement Type: ❑Full ❑Crawl ❑Walkout her "Ze""-! �a Ue Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full:existing - new Half:existing new Number of Bedrooms: existing new 2 Total Room Count(not including baths):existing new First Floor Room Count Heat Type and Fuel: was ❑Oil ❑ Electric ❑Other Central Air: tr es ❑No Fireplaces: Existing New Existing wood/coal stove: ❑.Yes -. Detached garage:❑existing ❑new size Pool:❑existing ❑new size Barn:❑existing ❑new size Attached garage:❑existing ew size 3o Shed:❑existing ❑new size Other: �_'� Zoning Board of Appeals Author'zation ❑ Appeal# Recorded❑ Commercial ❑Yes o If yes, site plan review# L Current Use l/g��ii' .�® 7 - Proposed Use B ILDER INFORMATION Name o Psi Telephone Number 7,r - at� 7 Address /Gf� ct 1" /DO License# �&6E7Z2, e Ie Home Improvement Contractor#k/ead83"7 c U� Worker's Compensation# ALL CONSTRUCTION DEBRIS /RE ULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE , AO l 7 i FOR OFFICIAL USE ONLY r , PERMIT NO. DATE ISSUED MAP/PARCEL NO. , ADDRESS. VILLAGE OWNER DATE OF INSPECTION: FOUNDATION D l FRAME D INSULATION O`7 ' FIREPLACE } ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL i r GAS: ROUGH FINAL j FINAL BUILDING i F 's DATE CLOSED OUT ASSOCIATION PLAN NO. I 4 Town'of Barnstable Regulatory Services Z. y �A$�e, * Thomas F. Geller,Director . as�ss• %639, .�� Building Division D MAi TomPerry, Building Commissioner 200 Main street, Hyannis,NIA 02601 Fax: 509-79076230 Office: 508-862-403 8 Property Owner Must,.. Complete and-Sign This'Section If-Using A Builder q/ 1,c �/V e,,11 ,as Owner of the subject property Q to act on my behalf, heteby authorize, �/ in all motets relative to wotk authorized by this b-utlding p ermit application fot: (Address of Job) . atu-re of O Date print Name Q:FORMS:4WNERPERMLS SIGN i rNO ul uj r "4S Y r Ik Jos FRI �:,•: f The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston,MA 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name(Business/Organization/Individual): �G � �a► �c Address:'`1,�� City/State/Zip: (j\n0\ �(;� (ja,1 Phone #: Are you an employer?Check the appropriate box: Type of project(required): 1.❑ I am a employer with C 4. ❑ I am a general contractor and I ,,��`L�� employees(full and/or part-time).* have hired the sub-contractors ° .. w construction 2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7. ❑ Remodeling ship and have no employees These sub-contractors have g, ❑Demolition working for me in any capacity. employees and have workers' insurance. 9. ❑Building addition comp.[No workers' comp. insurance p• required.] 5. ❑ We are a corporation and its 10.0 Electrical repairs or additions 3.❑ 1 am a homeowner doing all work officers have exercised their 11.❑Plumbing repairs or additions myself. [No workers' comp. right of exemption per MGL 12.❑Roof repairs insurance required.]t c. 152, §1(4),and we have no employees. [No workers' 13.❑ Other comp.insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. $Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: Q—*,) N Policy#or Self-ins.Lie.#: _ ��3g�0�1$��1 Expiration Date: �0 Job Site Address:_3�� G� She City/State/Zip:-\� al 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. '1 52 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 hereg'"ceify u der t e pains and penalties of perjury that the information provided above is true and correct. Sign ture: Date: Phone#: �O� Official use only. Do not write in this area, to be completed by city or town offciaL 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#: ACORD�, CERTIFICATE OF LIABILITY INSURANCE 06122/i6) PRODUCER (781)681-6656 FAX (781)681-6686 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION J Barry Driscoll Ins Agcy, Inc ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 600 Lon water Drive HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR 9 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. P.O. Box 9120 Norwell, MA 02061 INSURERS AFFORDING COVERAGE NAIC# INSURED Advantage Construction, Inc. INSURERA: Crum & Forster Co. Two Adams Place INSURERB: Transcontinental Insurance Co. Transc Suite 100 INSURERC: National Union Fire Ins Co Quincy, MA 02169 INSURERD: Continental Casualty Ins co 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. INSR ADDT TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS GENERAL LIABILITY 5437105893 06/20/2006 06/20/2007 EACH OCCURRENCE $ 1,000,000 X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED $ 100,000 CLAIMS MADE a OCCUR MED EXP(Any one person) $ 5,000 A PERSONAL&ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,00 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ 2,000,000 POLICY M PRO JECT LOC AUTOMOBILE LIABILITY SAP2083866837 06/20/2006 06/20/2007 COMBINED SINGLE LIMIT ANY AUTO (Ea accident) $ 1,000,000 ALL OWNED AUTOS BODILY INJURY SCHEDULED AUTOS (Per person) $ B [XX HIREDAUTOS 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 BE495305901 06/20/2006 06/20/2007 EACH OCCURRENCE $ 10,000,000 X OCCUR ❑CLAIMSIMADE AGGREGATE $ - 10,000,00 C $ DEDUCTIBLE $ RETENTION $ 10,00 $ TORYWORKERS COMPENSATION AND WC2083866787 06/20/2006 06/20/2007 X We LIMIT ER EMPLOYERS'LIABILITY E.L.EACH ACCIDENT $ 500,000 D ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? E.L.DISEASE-EA EMPLOYE $ 500,000 If yes,describe under SPECIAL PROVISIONS below E.L.DISEASE-POLICY LIMIT $ 500,000 OTHER DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS vidence of Insurance for work performed within the Insureds scope of normal business operations. otice of Cancellation provision is 30 days except 10 days applies for non-payment of premium. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR REPRESENTATIVES. Standard Certificate of Insurance AUTHORIZED REPRESENTATIVE �y B. Driscoll/]WN ` ACORD 25(2001/08) ©ACORD CORPORATION 1988 IMPORTANT If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must be endorsed.A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement.A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). DISCLAIMER The Certificate of Insurance on the reverse side of this form does not constitute a contract between the issuing insurer(s), authorized representative or producer, and the certificate holder, nor does it affirmatively or negatively amend, extend or alter the coverage afforded by the policies listed thereon. ACORD 25(2001108) 1 � � �� \ CNA CNA Plaza Chicago,Illinois 60685 STANDARD WORKERS COMPENSATION AND EMPLOYERS LIABILITY POLICY CHANGE ENDORSEMENT - EFFECTIVE 12/12/06 DATE PROCESSED=121906,REASON= ADD NAME INSUREDS AND CLASS CODE 9015 EFF 12-12-06 ... ............... ................... ............... ........ .... ........ ...... . ........ . ....... .......... -on w: . .... -XX C4 p......py.. PC I y p i 20: V1.0 d. ........ .... ....... ........... . .......... ...... ............. ...!m...................................................... WC 2 83866787 06/20/06 06/20/07 CONTINENTAL CASUALTY CO 075416120 4 . ............. ............. .. ............ ............ . ................ X.. . ...... .......... .. ........ ... ........ A- 'Add .............................. : N ................. ........... � :::* ...... ................. ITEM ADVANTAGE CONSTRUCTION, INC . THE DRISCOLL AGENCY INC 1 . TWO ADAMS PLACE SUITE 100 93 LONGWATER CIRCLE QUINCY, MA P.O. BOX 9120 NORWELL MA 02061 02169 FEIN NUMBER: 043690302 NCCI CARRIER CODE NO: 10243 ' INTERSTATE ID NO: 911597713 S C H E D U L E 0 F O, P E R A T 1 0 N S SCHEDULE PAGE 1 4 . LOC CLASS CLASSIFICATION OF,OPERATIONS EST TOTAL RATE PER PREMIUM NO. CODE ANN REMUN $100 REMUN DIFFERENCE STATE: MASSACHUSETTS 001 CLASS 9015 ADDED EFF -12/12/06 - 06/20/07 9015 BUILDINGS NOC--OPERATION BY OWNER IF ANY 3 .19 0 THE FOREGOING AMENDMENT RESULTS IN AN ADDITIONAL PREMIUM OF $0 .;REVISED POLICY TOTALS CLASS PREMIUM $17 ,318 STANDARD';PREMIUM $15,917 TOTAL:,.ALL RISK •ADJUSTMEN-T .PROjGRAm $6,367 ESTIMATED.'`STANDARD PREMIUM $22 ,284' PREMIUM DISCOUNT' $302- R IUM DIS 0 EXPENSE CONSTANT .$284 FOREIGN TERRORISM PREMIUM $412. DOMESTIC TERRORISM, EQ & CAT PREMIUM $0- ESTIMATED PREMIUM STATE TAXES/ASSESSMENTS/SURCHARGES $700 ESTIMATED COST $23 ,378 ACCOUNT NUMBER: 3003313920 DATE OF ISSUE: 12/19/06 POLICY ISSUING OFFICE: NEW ENGLAND (WC000001) P-39543-A NaChavman of Bo.d INSURED CNA Plaza Chicago,Illinois 60685 STANDARD.WORKERS COMPENSATION -AND EMPLOYERS LIABILITY POLICY CHANGE ENDORSEMENT - EFFECTIVE 12/12/06 DATE PROCESSED=121906,REASON= ADD NAME INSUREDS AND CLASS CODE 9015 EFF 12-12-06 .. Policy Ni riiber ......... rom PvNcy Per�ad ..::.:Tv ... :.:.:.... .C0veraae':1a F'rov tied >' ..:'::::::..;:..:.: .. .:::::::>::>:::::::A ez cy,::;:. >::>:>::>::::... WC 2 83866787 06/20/06 06/20/07 . CONTINENTAL CASUALTY CO 075416120 Na'>::;::;.: rsretl:..:.>::;: _;;>'d:<:.;:;:;;': >>< <i> ;>>;<><>' > < <>>'' < > >iii ;>iii>>'< >< > > « <<< >«> > <>>< >:>:<:: . . ... .......;:.:. rued t And�1d...1' ss agent..'..:..'.:.. ..... ADVANTAGE CONSTRUCTION, INC. THE DRISCOLL AGENCY, INC TWO ADAMS PLACE SUITE 100 93 LONGWATER. CIRCLE QUINCY, MA P.O. BOX 9120 ORWELL MA 02061 02169 ** E N D 0 R S E M E N T S C H E D U L E ** SCHEDULE PAGE 1 NUMBER DESCRIPTION EDITION t DATE PLEASE READ THE ENCLOSED IMPORTANT NOTICES CONCERNING YOUR POLICY G118166A IMPORTANT NOTICE 01/96 ***** DELETED ***** G120587B CONTRACTINO ,CLASS PREM ADJUST PROG WC PREM CR APP 10/00 ***** DELETED ***** G16519F20 CONSTRUCTION CLASS PREM ADJUST PROG WC PREM CR APP 01/96 ***** DELETED ***** r N O .. O ' N O oO N r N S O DATE OF ISSUE: 12/19106 POLICY ISSUING OFFICE: NEW ENGLAND (WC000001) P-39543-A d INSURED CyA CNA Plaza Chicago,Illinois60685 STANDARD WORKERS COMPENSATION AND EMPLOYERS LIABILITY POLICY CHANGE ENDORSEMENT - EFFECTIVE 12/12/06 DATE PROCESSED=121906,REASON= ADD NAME INSUREDS AND CLASS CODE 9015 EFF 12-12-06 ..........................::::.:::..:..:. PctI c :Nurnlier:::::: `::.::.:.:::rom:.;::.;:.Pa4ic..:;P read.;:..:: .Y�'.:....... .....:: ....:.. �vera +a:l� tovldsc�.: .:.:..............:.;:.;:... ::. ....:.......;: .:.;:A enc.::::.;:.;.:::..;::.:::::.. ..............:.:....................:....::............:..::�F...........:.:......:..:.::.::.............................:.:::::::::::.......::::::::::.:::::::::::.: .::::::::::::::::::::::::::::::.::::::.:.............. WC 2 83866787 06/20/06 06/20/07 CONTINENTAL CASUALTY CO �075416120 .......... ............... ............... .......... ........ . ....... ....... ........ ..... i>IV > < : , > ;: ; ::;:::>< < «<«i 2 >i>;« < >»> > iiiii5iiiiiii »>< <><> > < ;<< < `<>'::;::;>;< :`:>><? »> >� «<»;>:><< < >> <>... It ed Ir ur�d #ttd Adtlre ;:.... .......:::::.:..:....... ..:...::::......... 1gen . .. ...:..:...: ...........:; 'INC <: ADVANTAGE CONSTRUCTION, INC . HE DRISCOLL AGENCY, INC TWO ADAMS PLACE SUITE 100 93 LONGWATER .CIRCLE QUINCY, MA P.O. BOX 9120 ORWELL MA 02061 02169 ** O T H E R N A M E D I N'S ,U R E D S ** SCHEDULE PAGE i WEST GREENWICH TECH I, LLC FEIN=043690302 YPE2 ***** ADDED ***** WEST GREENWICH TECH II, LLC FEIN=043690302 YPE2 ***** ADDED ***** WEST GREENWICH TECH, III, LLC FEIN=043690302 YPE2 ***** ADDED ***** WEST GREENWICH TECH I MANAGER, m LLC FEIN=043690302 YPE2 ***** ADDED ***** —93- — ------ ---- -- ------- 0 N WEST .GREENWICH TECH II MANAGER LLC FEIN=043690302 o YPE2 ***** ADDED ***** WEST GREENWICH TECH III MANAGER, LLC, FEIN=043690302 YPE2 ***** ADDED ***** DATE OF ISSUE: 12/19/06 POLICY ISSUING OFFICE : NEW ENGLAND (WC00000.1) P-39543-A INSURED i (9-NA CNA Plaza Chicago,Illinois 60685 STANDARD WORKERS COMPENSATION AND EMPLOYERS LIABILITY POLICY CHANGE ENDORSEMENT — EFFECTIVE 12/12/06 DATE PROCESSED=121906,REASON= ADD NAME INSUREDS AND CLASS CODE 9015 .EFF 12-12-06 ......::Ni.int a ......... . ram..;Potic�r P rigid . ° Co►rera�+�h Prov ded.BY errcY.::;:.a;::>::>::::.:;:;< WC 2 83866787 06/20/06 06/20/07 CONTINENTAL CASUALTY CO �075416120 N med;tr��ured And Addles ni ADVANTAGE CONSTRUCTION, INC. THE DRISCOLL AGENCY, INC TWO ADAMS PLACE SUITE 100 93 LONGWATER CIRCLE QUINCY, MA P.O. BOX 9120 ORWELL MA - 02061 02169 ** 0 T H E R N A M E D I,N S U R E D S ** SCHEDULE PAGE 2 DASCOMBROAD, LP FEIN=043690302 YPE2 ***** ADDED ***** CONDYNE INVESTMENT PARTNERS, LLC FEIN=043690302 YPE2 ADDED ***** ANDOVER/CIF II, LLC FEIN=043690302 YPE2 ***** ADDED ***** 0 0 0 N fO N roG N QO ` O A � DATE OF ISSUE: 12/19/06 POLICY ISSUING OFFICE: NEW ENGLAND (WC000001) P-39543-A INSURED VANTAGE Construction, Inca February 1, 2007 Tom Perry ' Town of Barnstable r 4. 368 Main Street Hyannis, MA 02601 ' ' Re: Harr'ys Bar& Grill,700 Main Street_ and., Flagship Estates, 350 Stevens Street, Hyannis Dear Tom Perry: f 2 t a Please accept this letter of notification that Joseph Lambalot, an employee of Advantage" Construction, Inc., has been appointed to be our full time Superintendent of both projects listed above. If you have any question,please feel free to contact our office at(781)-848-8787 Sincerely , Adv ntage on tru ction, Inc: { -AD Lisa Lizotte Human Resources ADVANTAGE CONSTRUCTION, INC. Two Adams Place, Suite 100, Quincy, MA02169 Telephone•.781.848.8787^ Fax 781.848.3774 . www.advantageconstructioninc.com ` Town of Barnstable Building Department - 200 Main Street BA MAS& Hyannis, MA 02601 9 MASS. � � . q, ib.3� , (508) 862-4038 C ficiate o Occupancy Application Number: 200701966 CO Number: 20070283 Parcel ID: 30800400C CO Issue Date: 12/14107 Location: 320 STEVENS STREET A3 Zoning y Classification: OFFICEIMULTI-FAMILY RESIDENTIA Village: HYANNIS Gen Contractor: LAMBALOT, JOSEPH E. Permit Type: RC00 CERTIFICATE OF OCCUPANCY RES, Comments: Building Department Signature Date Signed i SINE, � TOWN OF BARNSTABLE Building Application Ref: 200701966 RN it permBASTABLE, Issue Date: 04/05/07 ■ v■ • • ' 9 MASS �p 1639. Applicant: LAMBALOT,JOSEPH E. Permit Number: B 20070691 Proposed Use: Expiration Date: 10/03/07 [Location 320 STEVENS STREET 1C Zoning District. OM Permit Type: SPECIAL PROJECT ADD/ALTER COMM Map Parcel 30800400C Permit Fee$ 759.38 Contractor LAMBALOT,JOSEPH E. Village HYANNIS App Fee$ 100.00 License Num 048722 Est Construction Cost$ 93,750 Remarks APPROVED PLANS MUST BE RETAINED ON JOB AND TENANT FIT OUT FOR UNIT#lC { THIS CARD MUST BE KEPT POSTED UNTIL FINAL INSPECTION HAS BEEN MADE. WHERE A CERTIFICATE OF OCCUPANCY IS REQUIRED,SUCH Owner on Record: FLAGSHIP ESTATES HYANNIS LLC BUILDING SHALL NOT BE OCCUPIED UNTIL A FINAL Address: TWO ADAMS PL INSPECTION HAS BEEN MADE. QUINCY, MA 02169 Application Entered by: PR Building Permit Issued By: THIS PERMIT CONVEYS NO RIGHT.TO OCCUPY ANY`STREET.ALLY OR SIDEWALK'OR ANY PART THEREOF,EITHER TEMPORARILY OR PERMATIENTLYi ENCROAC14EMENTS ON PUBLIC PROPERTY�NOT SPECIFICALLY PERNIITTED 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 FROI'7 DEPARTMENT OF PUBLICWORKS n" THE ISSUANCE OF THIS PERMIT DOES NOT=RELEASE THE:APPLIGANT FROM THE CONDITIONS OFANY APPLICABLE SUBDIUISION 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 MGL c.142A). �A a k � BUILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS 7 11t��S6r 1 �7 6-7 P IZ— . �')� 1 0 k 2 2 �,� 1� =��`�� 2 3 rQ b 1 Heating Inspection Approvals Engineering Dept Fire De 2 oaT of H Ith l a`/l�C 7 OW,Se wer. ,. TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION G Map �30 Parcel OOG/ ��G Application# Health Division Conservation Division Permit# Tax Collector Date Issued "1 Treasurer Application Fee Planning Dept. Permit Fee 57q r d Date Definitive Plan Approved by Planning Board Historic-OKH Preservation/Hyannis Project Street Address 6 lJ /re .Z6a Village s , ' Owner �S O� ��G Address Telephone 7el yr- ?-7 r Permit Request LA,``24t*— M Square feet: 1 st floor:existing proposed 2nd floor:existing proposed /3a Total new '�G Zoning District Flood Plain Groundwater Overlay Project Valuation 76-0 Construction Type Lot Size & 7 Grandfathered: ❑Yes 1'No If yes, attach supporting documentation. Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family(#units)) Age of Existing Structure Historic House: ❑Yes /a-MOn Old King's Highway: ❑Yes a'Iq0_,, Basement Type: ❑Full ❑Crawl ❑Walkout 2roOether Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full:existing new 42 Half:existing new Number of Bedrooms: existing new _ 3 Total Room Count(not including baths):existing new_- First Floor Room Count Z Heat Type and Fuel: 9-'Gas ❑Oil ❑Electric ❑Other Central Air: R<es ❑No Fireplaces: Existing New Existing wood/coal stove: ❑Yes 0'150 Detached garage:❑existing ❑new size Pool:❑existing ❑new size Barn:❑existing ❑,new size } � r: Attached garage:❑existing d''new size Shed:❑existing ❑new size Other: Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ �rv= Commercial ❑Yes ❑No If yes, site plan review# _ r 1 1 _ Current Use A 6ea% �o/ Proposed Use i r— _ UILDER INFORMATION — Name (�li�r.� r G�i-�S l�rx o� Telephone Number 7��9/9 � i Address S �/�&,-e q D License# De/S-1 7�Z Home Improvement Contractor# A Worker's Compensation#l?L ag;? �7�17 ci64� ALL CONSTRUCTION DEBRIS RESU TING FRO THIS PROJECT WILL BETAKEN TO SIGNATURE DATE 1 iti • 1 FOR OFFICIAL USE ONLY r PERMIT NO. ti , DATE ISSUED MAP/PARCEL NO. + T , I ADDRESS VILLAGE , 4 OWNER DATE OF INSPECTION: FOUNDATION PA— FRAME INSULATION J? FIREPLACE 4 ELECTRICAL:. ROUGH FINAL `s. PLUMBING: ROUGH FINAL i GAS: ROUGH FINAL FINAL BUILDING �� DATE CLOSED OUT ASSOCIATION PLAN NO. ' t t s. 1 • y Town of Barnstable '... P��ptKE TOyjyo Regulatory Services _ y xrrsr�s , * Thomas F. Geller,Director . M►ss. 9�a 1659, p`� Building Division j6D Nypi TomPerry, Building Commissioner 200 Main Street, Hyannis,MA 02601 office: 508-862-4038 Fax: 508-790-6230 S property ow-aer Must Complete and'Sign This Section. If.Using .A.Builder ZCC /V e ,as Owner of the subject property herebyauthorize /Ott o to act Ontnybehalf, is all matters relative to work authorized by this building p er oit application for: (Addtess of job) tore of O tDate r Print Name Q:FORMS:O W NERPFRMIS SIO H fr .. P. .� vo kp SUPERVISOR h � � F N i F 00004TWOO? 'fir" ass: VMS oil AC s The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston,MA 02111 -,Workers' Compensation I www.mass.gov/dia nsurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name(Business/Organization/Individual): �G�, � r�C Address: City/State/Zip: \oCk. ya,\�6 Phone#: Are you an employer?Check the appropriate box: 1.❑ I am a employer with 4• ❑ Type of project(required):I am a general contractor and I ��,,��,��,,� employees(full and/or part-time).* have hired the sub-contractors " a� w construction 2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7. ❑ Remodeling ship and have no employees These sub-contractors have g• ❑Demolition working for me in any capacity. employees and have workers' [No workers' comp. insurance comp. insurance.t 9• ❑Building addition required.] 5. 0 We are a corporation and its 10.❑Electrical repairs or additions 3.❑ I am a homeowner doingall work officers have exercised their 11.❑Plumbing repairs or additions myself [No workers' comp. right of exemption per MGL 12.E]Roof repairs insurance required.]t c. 152, §1(4),and we have no employees. [No workers' 13.❑ Other comp. insurance required.] `Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. $Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. 1 am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: Poliey#der-Self=uis: ate: _ � — Job Site Address: -Z)c) w'f, Se 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 MbL c. 1 51 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 here ce ify u der epains andpenalties ofperjury that the information provided above is true and correct. Signature: nC Date: 2), ' Phone#: Ofjicial 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#: ' DATE'MM/DD Y IYYY 1 ) AC-ORQ CERTIFICATE OF LIABILITY INSURANCE 06/22/2006 PRODUCER (781)681-6656 FAX (781)681-6686 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION J Barry Driscoll Ins Agcy, Inc ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 600 Longwater Drive HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. P.O. Box 9120 Norwell, MA 02061 INSURERS AFFORDING COVERAGE NAIC# INSURED Advantage Construction., Inc. INSURER A: Crum-& Forster Co. - • _ Two Adams Place INSURERB: Transcontinental Insurance Co. Transc Suite 100 INSURERc: National Union Fire Ins ,Co Quincy, MA 02169 INSURERD: Continental Casualty Ins co .' 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. INSR DD' TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS - GENERAL LIABILITY 5437105893 06/20/2006 06/20/2007 EACH OCCURRENCE $ 1'000 000' X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED $ - - 100 i 000 CLAIMS MADE X OCCUR MED EXP(Any one person) $ 5,000 A - - - - PERSONAL&ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,.000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ 2,000,000 POLICY X PRO- LOC JECT AUTOMOBILE LIABILITY SAP2083866837 06/20/2006 -06/20/2007. COMBINED SINGLE LIMIT - ANY AUTO , (Ea accident) $ 1,000,00 ALL OWNED AUTOS BODILY INJURY $ - B SCHEDULED AUTOS (Per person) , X HIREDAUTOS BODILY INJURY $ X NON-OWNEDAUTOS (Per accident) PROPERTY DAMAGE $ (Per accident) - GARAGE LIABILITY AUTO ONLY-EA ACCIDENT- $ ANY AUTO - OTHER THAN EA ACC $ H - F - AUTO ONLY: AGG $ EXCESS/UMBRELLA LIABILITY BE495305901 06/20/2006 06/20/2007 EACH OCCURRENCE . $ 10,000,000 X OCCUR CLAIMS MADE AGGREGATE $ 10,000,000 C $ DEDUCTIBLE $ -RETENTION--$ 10 00 --- —_— WORKERSCOMPENSATIONAND' WC2083866787 06/20/2006 06/20/2007 X WCSTATU- OTH- EMPLOYERS'LIABILITY ITS FIR D ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT _ $ 500,000- OFFICER/MEMBER EXCLUDED? - - E.L.DISEASE-EA EMPLOYEE $ 500,00 If yes,describe under SPECIAL PROVISIONS below E.L.DISEASE-POLICY LIMIT $ 500,000 OTHER DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS vidence of Insurance for work performed within the Insureds scope of normal business' operations. otice of Cancellation provision is 30 days except 10 days applies for non-payment of. premium. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR REPRESENTATIVES. . Standard Certificate of Insurance. AUTHORIZED REPRESENTATIVE B. Driscoll/7WN ACORD 25(2001/08) ©ACORD CORPORATION 1988 r : IMPORTANT If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must be endorsed.A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement.A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). DISCLAIMER The Certificate of Insurance on the reverse side of this form does not constitute a contract between the issuing insurer(s), authorized representative or producer, and the certificate holder, nor does it affirmatively or negatively amend, extend or alter the coverage afforded by the policies listed thereon. ACORD 25(2001108) CNA CNA Plaza Chicago,Illinois 60685 STANDARD WORKERS COMPENSATION AND EMPLOYERS LIABILITY POLICY CHANGE ENDORSEMENT 7 EFFECTIVE 12/12/06 DATE PROCESSED=121906,REASON= ADD NAME INSUREDS AND CLASS CODE 9015 EFF 12-12-06 ..............................:.::::.:......Iaic:::.Panv.d:.;:.;:;:.To.:::.:::::..;:.::.;:.;:;:.;:;;.;:... ..: Y.::.: :::::::.:::;::::::::::.::.:: ue.... .Provzdercl.: agency.;:.;::.:.::::::>::>::»::>::> WC 2 83866787 06/20/06 06/20/07 CONTINENTAL CASUALTY CO 0754116120 ::,:::::::::.>:::::: mPdIhsur And Addres.:.: .... ... .. ..:.::.; :..: :.;:.::.;::.....::.::.:..::::.... :::: ; .. ..:::.;.. .::.:.::.;:.;;. :..:::..:.: A i.........:.:...:.:.:::::::::;::::. ::.::::::::::::.:.:......... = rM.....................................................:........... ITEM ADVANTAGE CONSTRUCTION, INC. THE DRISCOLL AGENCY, INC 1 . TWO ADAMS PLACE SUITE 100. 93 LONGWATER CIRCLE QUINCY, MA P.O. BOX 9120 ORWELL MA 02061 02169 FEIN NUMBER: 04369030.2 NCCI CARRIER CODE NO: 10243 INTERSTATE ID NO: 911597713 ** S C H E D U L E O F O P E R A T I O N S ** SCHEDULE 4 . PAGE 1 LOC CLASS CLASSIFICATION OF 'OPERATIONS EST TOTAL RATE PER PREMIUM NO. CODE ANN REMUN $100 REMUN DIFFERENCE ********* STATE: MASSACHUSETTS 001 CLASS 9015 ADDED. EFF 12/12/06 - 06/20/07 9015 BUILDINGS NOC--OPERATION BY OWNER IF ANY 3 .19 0 THE FOREGOING AMENDMENT RESULTS IN AN ADDITIONAL PREMIUM OF $0 ***** REVISED POLICY. TOTALS ***** `ESTIMATED CLASS PREMIUM $17 ,318 TdTP L':EST,—TED:STANDARD"t"PREMIUM $15,,917 TOTAL--ALL. RISK ADJUS.TMEN.T ,.PROGRAM„ $6,367 ESTIMATED `STANDARD ,PREMIUM $22,284 PREMIUM DISCOUNT $302- EXPENSE CONSTANT $284 N FOREIGN TERRORISM PREMIUM $412 DOM-ESTTC—ER-R-OR- SM EEQ---&--EA-T—PREM-A3M- -$0 ESTTMAT PREMIUM c.'7 o -- - - -- � R STATE TAXES/ASSESSMENTS/SURCHARGES $700 ° ESTIMATED COST $23,378 r g ' N O F ACCOUNT NUMBER: 3003313920 DATE OF ISSUE: 12/19/06 POLICY ISSUING OFFICE: NEW ENGLAND (WC000001) P-39543-A ' - TTT,TT TTI Tt1 CNA CNA Plaza Chicago,Illinois60685 STANDARD WORKERS COMPENSATION AND EMPLOYERS LIABILITY POLICY CHANGE ENDORSEMENT — EFFECTIVE 12/12/06 DATE PROCESSED=1219061REASON= ADD NAME INSUREDS AND CLASS CODE 9015 EFF 12-12-06 Pr�Ii ;:.?er.�.ad::.::::Tv::..::. Y...........................:.::::.:::::.:::.:::::::..::.:: :::: : ::::::::::::::::..:::::: : �ov.�ra. a>i�>�rov�ded.: . ::::::::.:.:. WC 2 83866787 06/20/06 06/20/07 . CONTINENTAL CASUALTY CO 075416120 .::.:..;:.:... ::.. in r And Addrea .. ... X. ADVANTAGE CONSTRUCTION, INC. THE DRISCOLL AGENCY, INC TWO ADAMS PLACE SUITE 100 93 LONGWATER. CIRCLE QUINCY, MA P.O. BOX 9120 ORWELL MA 02061 02169 ** E N D 0 R S. E M E N T S C H E D U LE ** SCHEDULE PAGE.. 1 NUMBER DESCRIPTION EDITION DATE PLEASE READ THE ENCLOSED IMPORTANT NOTICES CONCERNING YOUR POLICY G118166A IMPORTANT NOTICE 01/96 ***** DELETED ***** G120587B CONTRACTING CLASS PREM ADJUST PROG WC PREM CR APP 10/00 ***** DELETED ***** G16519F20 CONSTRUCTION CLASS PREM ADJUST PROG WC PREM CR APP 01/96 ***** DELETED ***** ' r s N N 0 o N s tp r S SN O DATE_ OF ISSUE: 12/19/06 POLICY ISSUING OFFICE: NEW ENGLAND (WC000001) 'P-39543—A TT.T CTTD Vn C NA CNA Plaza Chicago,Illinois 60685 STANDARD WORKERS COMPENSATION AND EMPLOYERS LIABILITY POLICY CHANGE ENDORSEMENT . — EFFECTIVE 12/12/06 DATE PROCESSED=121906,REASON= ADD NAME INSUREDS AND CLASS CODE 9015 EFF 12-12-06 ::..:::;:.;_::::::::::::..::::::.::::::::.:::.::;::. gv....eraProvided.: an WC 2 83866787 06/20/06 06/20/07. CONTINENTAL CASUALTY CO 075416120 nsxtred.-J. Add► ... :.. ............................... .:::::::. :: fir-� < <.;:.;:.;.;:.;::<:.;:.;::.:::;.;:.;;;;:.:;:.;:.;:.;;:.: ADVANTAGE CONSTRUCTION, INC . THE:::::::::::.DRISCOLL AGENCY: ;,;;;:.;INC TWO ADAMS PLACE SUITE 100 93 LONGWATER .CIRCLE QUINCY, MA P.O. BOX 9120 ORWELL MA 02061 02169 ** O T H E R N A M E D I N S .U R E D S ** SCHEDULE ` PAGE. i WEST GREENWICH TECH I, LLC FEIN=043690302 YPE2 ***** ADDED ***** WEST GREENWICH TECH II, LLC FEIN=043690302 YPE2 ***** ADDED ***** WEST GREENWICH TECH, III, LLC FEIN=043690302 YPE2 ***** ADDED ***** WEST GREENWICH TECH I MANAGER, m LLC FEIN=043690302 YPE2 ***** ADDED ** r** a N WEST .GREENWICH TECH II MANAGER a LLC FEIN=043690302 YPE2 **** ADDED ***** 0 o , WEST GREENWICH TECH III MANAGER, LLC FEIN=043690302 YPE2 ***** ADDED ***** DATE OF ISSUE: 12/19/06 POLICY ISSUING OFFICE: NEW ENGLAND (WC00000.1) P-39543-A TTT CTTR FT) CNA CNA Plaza Chicago,Illinois60685 STANDARD WORKERS. COMPENSATION AND EMPLOYERS LIABILITY POLICY CHANGE ENDORSEMENT - EFFECTIVE 12/12/06 DATE PROCESSED=121906,REASON= ADD NAME INSUREDS AND CLASS CODE 9015 EFF 12-12-06 PoTic' Nuri�b� rorta Pv.>ic .Prwc€:.>;:.;:.; o.:.:.;:.:.. :;:>::>::>::.::>:::: ue: .' WC 2 83866787 06/20/06 06/20/07 CONTINENTAL CASUALTY CO 075416120 n�edansured.Artd.' ADVANTAGE CONSTRUCTION, INC . HE DRISCOLL AGENCY, INC TWO ADAMS PLACE SUITE 100 93 LONGWATER CIRCLE QUINCY, MA P.O. BOX 9120 ORWELL MA .02061 02169 ** O T H E R N A M E D I N S U R.E D S ** SCHEDULE PAGE 2 DASCOMBROAD, LP FEIN=043690302 YPE2 ***** ADDED ***** CONDYNE .INV'ESTMENT PARTNERS, LLC FEIN=043690302 YPE2 ***** ADDED ***** ANDOVER/CIF II, LLC FEIN=043690302 YPE2 ***** ADDED ***** m o . m 0 0 N f0 N n p� O DATE OF ISSUE: 12./19/06 r POLICY ISSUING OFFICE: NEW ENGLAND (WC.000001 ) P-39543-A TNSTTR Pr) r t .A VANTAGE . Construction, Inc® February 1, 2007 Tom Perry Town of Barnstable 368 Main Street Hyannis, MA 02601 f Re: Harrys Bar & G.rill, 700 Main Street and.. Flagship Estates, 350 Stevens Street, Hyannis Dear Tom Perry: Please accept this letter of notification that Joseph Lambalot, an employee of Advantage Construction, Inc., has been appointed to be our full time Superintendent of both projects listed above. If you have any question,please feel free to contact our office at(781)-848-8787. Sincerely -Ad C—0.—tion,—Inn. — — ---- — ----- L. J Lisa izotte Human Resources I ADVANTAGE CONSTRUCTION, INC. Two Adams Place, Suite 100, Quincy, MA 02169 Telephone 781.848.8787 Fax 7.81.848.3774 www.advantageconstructioninc com Results Page 1 of 1 Licensed Contractor Look Up Select the search method: I License ;= Maximum number of matches: 25 Enter Search terms separated by spaces. 148722 Select Search.type: (F AND OR Search; Search Results City/Town Name ILic. Type Lic. # Restriction Expiration Street State Zip NEW BEDFO ILAMBALOT, JOSEPH El 00 5/1/2008 112725 ACUSHNET AVE MA 02745 Total of 1 Records matched. Back to Home Page BBRS Privacy Statement http://db.state.ma.us/b.brs/contract.pl 4/2/2007 �t�Eti Town of Barnstable Building Department - 200 Main Street 9 ALE• Hyan nis,nnis, MA 02601 �16�A.�' (508) 862-4038 Certificate of Occupancy Application Number: 200702843 CO Number:- 20070284 Parcel ID: . 30800400D CO Issue Date: 12/14,107 Location: 320 STEVENS STREET-A4 Zoning Classification: OFFICE/MULTI-FAMILY RESIDENTIA Village: HYANNIS Gen Contractor: LAMBALOT, JOSEPH E. Permit Type: RC00 CERTIFICATE OF OCCUPANCY RES Comments: PC4 f L_�_ 0 Building Department Signature Date Signed ` �1HET TOWN OF BARNST ' EBuilding Application Ref: 200702843 BAANSTABLE, Issue Date: 05/21/07 Permit y MASS �p 039. �� Applicant: LAMBALOT,JOSEPH E. rFG AAA A Permit Number: B 20071124 Proposed Use: Expiration Date: 11/18/07 Location�320 STEVENS STREET __ Zoning District OM Permit Type: SP PROJ RES ADD/ALT Map Parcel 30800400D Permit Fee$ 251.24 Contractor LAMBALOT,JOSEPH E. Village HYANNIS App Fee$ 50.00 License Num 048722 Est Construction Cost$ 61,277 Remarks APPROVED PLANS MUST BE RETAINED ON JOB AND TENANT FIT OUT FOR UNIT A4 THIS CARD MUST BE KEPT POSTED UNTIL FINAL INSPECTION HAS BEEN MADE. WHERE A CERTIFICATE OF OCCUPANCY IS REQUIRED,SUCH Owner on Record: FLAGSHIP ESTATES HYANNIS LLC BUILDING SHALL NOT BE OCCUPIED UNTIL A FINAL Address: TWO ADAMS PL INSPECTION HAS BEEN MADE. QUINCY,MA 02169 Application Entered by: PR Building Permit Issued By: T I yWu� THIS PERMIT CONVEYS NO RIGHT TO OCCUPY ANY STREET,ALLYOR SIDEWALK OR ANY,PART THEREOF,EITHER TEMPORARILY"OR PERMANENTLY; NCROACHEMENTS,ON PUBLIC PROPERTY,NOT SPECIFICALLYPERMITTED UNDER THE'BUILDING CODE,MUST BE APPROVED BY THE JURISDICTION. STREET,OR ALLY GRADES AS WELL AS DEPTH AND;LOCATION OF PUBLIC SEWERS MAY BE OBTAINED FROM THE DEPARTMENT OF PUBLIC WORKS "` THE ISSUANCE OF-THIS'PERMIT DOES NOT RELEASE THE APPLICANT FROM THE CONDITIONS OF ANY APPLICABLE SUBDIVISI.ON 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.MGL c.142A). WD Y k BUILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS 2 (,J�t a CC 2 �R� z�i9-�' `� •2�' °7 2 —®7 3 �� 0 CC 1 Heating Inspection Approvals Engineering Dept Fire De t�� 2 Boar, of He Ith P I- `cf1109 TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map 9 Parcel 6,9 ry 'lab Application# 620 74 c2q";K_� 3 Health Division -Conservation Division Permit# Tax Collector Date Issued Treasurer ,,� I , Application Fee Planning Dept. 11 l� Permit Fee e Z LA Date Definitive Plan Approved by Planning Board Historic-OKH Preservation/Hyannis Project Street Address �� PIS s��e , ��, Village Owner Address cealellvo Telephone `/9' Permit Request Square feet: 1 st floor:existing — proposed 2nd floor:existing proposed X&,,6 Total new I7!I Zoning District Flood Plain Groundwater Overlay Project Valuation Construction Type Lot Size 4K 7 Grandfathered: ❑Yes ®Ko If yes, attach supporting documentation. Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family(#units) J Age of Existing Structure Historic House' ❑Yes ©<oo On Old King's Highway: ❑Yes 3'IVo 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_!4/ First Floor Room Count _22, Heat Type and Fuel: Vas ❑Oil '❑Electric ❑Other Central Air: al-es ❑No Fireplaces: Existing New Existing wood/coal stove: ❑Yes 4d o Detached garage:❑existing ❑new size Pool:❑existing ❑new size Barn:❑exist ng ❑nO sizes Attached garage:❑existing Or'n**ew size� � :❑existing ❑new size Other: w Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ �-Commercial—DNes �-O<00°---If yes;site-plan-review - Current Use �� T�� Proposed Use ""I" G> s BU LDER INFORMATION Name Telephone Number f7f 7 .Address �O 249;;��r �CC LJGfi` t /lda License# Home Improvement Contractor# Worker's Compensation#Gr/GoZ4e&:s 7,7 - c/t 47 ALL CONSTR CTION DEBRIS R UTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE �f `d� FOR OFFICIAL USE ONLY • i • PERMIT-NO. DATE ISSUED ' MAP/PARCEL NO. ' ADDRESS VILLAGE OWNER ' DATE OF INSPECTION: r ' FOUNDATION FRAME INSULATION , FIREPLACE ' ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH - FINAL ' GAS: ROUGH FINAL FINAL BUILDING r f DATE CLOSED OUT , ASSOCIATION PLAN NO. 1 i • oFs roy, Town•.of Barnstable Regulatory Services xSTABLA Thomas F. Geller,Director . 9�plFn . " Building Division. TomPerry, Building Commissioner 200 Main Street, Hyannis,MA 02601 Office: 508-862-403 8 Fax: 508-790-6230 Property Ova eir Must Complete and Sign This Section if.Using ABuilder zCC as Ow�net of the subject property heteb autho e �l De � �� to act on my behalf, Y all inattets relative to wotk authotized b7 this building pemut application for: (Address of Job) - - - A4'�� afore of 0 t Date Print Name Q:FORMS;OWI mRPERMISSIOI4 r rTC.T U R 'A 4 UJIM •4 ¢ The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston, MA 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name(Business/Organization/Individual): \oc, � Address:��c�) ( City/State/Zip: �_�\n(,- a (j�,\— -_ 'phone Are you an employer?Check the appropriate box: Type of project(required): LEI❑ I am a employer with C> 4. ❑ I am a general contractor and I employees(full and/or part-time).* have hired the sub-contractors .SZLew construction 2.❑ 1 am a sole proprietor or partner- listed on the attached sheet. 7. ❑ Remodeling ship and have no employees These sub-contractors have g. ❑Demolition working for me in any capacity. employees and have workers' [No workers' comp. insurance comp. insurance.# 9. ❑Building addition required.] 5.'❑ We are a corporation and its 10.❑Electrical repairs or additions 3.❑ 1 am a homeowner doingall work. officers have exercised their l I.❑Plumbing repairs or additions . myself. [No workers' comp. right of exemption per MGL insurance required.]t c. 152, §1(4),and we have no 12.0 Roof repairs employees. [No workers' .13.❑ Other comp: insurance required.] 'Any applicant that checks box#-1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. #Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. RR Insurance Company Name: tr xpuration ate: U�1c— Job Site Address: c) Sit? City/State/Zip: ` o, Attach a copy of the workers' compensation policy,declaration page(showing the policy number and expira d e). 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 here ce ify u der epains andpenalties ofperjury that the information provided above is true and correct. Si ature: CC Date: Phone Official use only. Do not write in this area, to be completed by city or town,off cial City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health.2.Building Department 3. City/Town Clerk 4.Electrical Inspector,S.Plumbing Inspector 0. Other Contact Person: Phone#: 0R-® CERTIFICATE OF LIABILITY INSURANCE oTizzID2 6) PRODUCER (781)681-6656 FAX (781)681-6686 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION J Barry Driscoll Ins Agcy, Inc ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 600 Longwater Drive HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR P.O. Box 9120 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Norwell , MA 02061 INSURERS AFFORDING COVERAGE NAIC# INSURED Advantage Construction, Inc. INSURER A: Crum & Forster Co. Two Adams Place INSURERB: Transcontinental Insurance Co. Transc Suite 100 INSURERc National Union Fire Ins Co Quincy, MA 02169 INSURERD: Continental Casualty. Ins co 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. I,TRNSR NSRDD' TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION DATE(MMIDDIM LIMITS GENERAL LIABILITY 5437105893 06/20/2006 06/20/2007 EACH OCCURRENCE $ 1000,00 X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED $ '1OO,OO CLAIMS MADE a OCCUR MED EXP(Any one person) $ 5,000 A PERSONAL&ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ 2,000,000 POLICY X I JECT JECT El LOC PRO- AUTOMOBILE LIABILITY SAP2083866837 06/20/2006 06/20/2007 COMBINED SINGLE LIMIT ANY AUTO (Ea accident) $ 1,000,00 ALL OWNED AUTOS BODILY INJURY $ B SCHEDULED AUTOS (Per person) X HIRED AUTOS BODILY INJURY $ X NON-OWNEDAUTOS (Per accident) PROPERTY DAMAGE $ (Per accident) - GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $ ANY AUTO OTHER THAN EA ACC $ AUTO ONLY: AGG $ EXCESS/UMBRELLA LIABILITY BE495305901 06/20/2006 06/20/2007 EACH OCCURRENCE $ 10,000,000 X OCCUR ElCLAIMS MADE c AGGREGATE $ 10,000,000 C $ - DEDUCTIBLE $ -RETENTION—$ IO-TOO -- WORKERS COMPENSATION AND - WC2083866787 06/20/2006 06/20/2007 X WC STATU- OTH- EMPLOYERS'LIABILITY i I ER D ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $ 500,000 OFFICER/MEMBER EXCLUDED?If yes,describe under E.L.DISEASE-EA EMPLOYEE $ , SOO,OO SPECIAL PROVISIONS below E.L.DISEASE-POLICY LIMIT $ 500,000 OTHER , 4 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS Evidence of Insurance for work performed within the Insureds scope of normal business operations. otice of Cancellation provision is 30 days except 10 days applies for non-payment of premium. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR REPRESENTATIVES. Standard Certificate of Insurance. AUTHORIZED REPRESENTATIVE B. Driscoll/JWN ACORD 25(2001/08) ©ACORD CORPORATION 1988 IMPORTANT If the certificate holder is an ADDITIONAL INSURED,the policy(ies) must be endorsed.A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement.A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). DISCLAIMER The Certificate of Insurance on the reverse side of this form does not constitute a contract between the issuing insurer(s), authorized representative or producer, and the certificate holder, nor does it affirmatively or negatively amend, extend or alter the coverage afforded by the policies listed thereon. ACORD 25(2001/08) CNA CNA Plaza Chicago,Illinois 60685 STANDARD WORKERS COMPENSATION AND EMPLOYERS LIABILITY POLICY CHANGE ENDORSEMENT - EFFECTIVE 12/12/06 DATE PROCESSED=121906,REASON= ADD NAME INSUREDS AND CLASS CODE 9015 EFF 12-12-06 IVilRiber Frc (pI1C�l ... oYera 8 Pravtdec]. Y.;:. ....::::::. ....::::..::::::::::::::::::::: ..........:.:::.:.::.::.:: WC. 2 83866787 0.6/20/06 06/20/07 CONTINENTAL CASUALTY CO 075416120 .:...:::. .:.: a 1 sacred tst nd Ad ed.n dress .::.......:.:::.:.. ....... ... mx— ITEM ADVANTAGE CONSTRUCTION, INC. THE DRISCOLL AGENCY, INC 1 . TWO ADAMS PLACE SUITE 100. 93 LONGWATER CIRCLE QUINCY, MA P.O. BOX 9120 ORWELL MA 02061 02169 FEIN NUMBER: 043690302 NCCI CARRIER CODE NO: 10243 INTERSTATE ID NO: 911597713 ** S C H E D U L E O F O P E R A T I 0 N S ** SCHEDULE 4 . PAGE 1 LOC CLASS CLASSIFICATION OF OPERATIONS EST TOTAL RATE PER PREMIUM NO. CODE ANN REMUN $100 REMUN DIFFERENCE ********* STATE: MASSACHUSETTS 001 CLASS 9015 ADDED EFF 12/.12/06 - 06/20/07 9015 BUILDINGS NOC--OPERATION BY OWNER IF ANY 3 .19 0 THE FOREGOING AMENDMENT RESULTS IN AN ADDITIONAL PREMIUM OF. $0 ***** ,REVISED POLICY TOTALS ***** ESTIMATED CLASS PREMIUM.. $17 ,318 •TOTAL'=EST.ZMA'fiED:;STANDARD;:;PREMIUM $15,917 TOTAL :ALL RISK ;ApJUSTMEN,T .PROGRAM„ 367 ESTIMATED STANDARD PRE $6,MIUM $$6,367 284 PREMIUM DISCOUNT $302- EXPENSE CONSTANT $284 FOREIGN TERRORISM PREMIUM $412 DONE ST--IC--T-FR-ROR-IZM,--zQ—&:—C-AT—pR-E-M-I-.M — 0 --- - -- o ESTIMATED PREMIUM $22 ,6'7a N STATE TAXES/ASSESSMENTS/SURCHARGES $700 ESTIMATED COST. $23,378 N 8 O ACCOUNT NUMBER: 3003313920 DATE OF ISSUE: 12/19/06 POLICY ISSUING OFFICE: NEW ENGLAND (WC000001) P-39543-A Cha4man of Ue Boeid 1 - - T1.T lTTTT)T`ITl - ' CNA CNA Plaza Chicago,Illinois 60685 STANDARD WORKERS COMPENSATION AND EMPLOYERS LIABILITY POLICY CHANGE ENDORSEMENT EFFECTIVE 12/12/06 DATE PROCESSED=121906,REASON= ADD NAME INSUREDS AND CLASS CODE 9015 EFF 12-12-06 .. ...: ..... ...... ::.. Port .Pertt�c€.:. oveea. ,.::.::.::.::::::::.::.;:.;. :.:.::.::::..:.::,.. .. X :::::::::::::.::..:...:.:.. e:ia:Provede ..:.::::....:..::....::::..:.. '..............::..::::::::::.:::::::::.:.:.::.::. ::::::..Y::::.:::::.::.:::::: WC 2; 83866787 06/20/0.6 06/20/07 . CONTINENTAL CASUALTY CO 075416120 h. d. r. .:::.............................. .:.:.:.::::::::::.:::::.:::::.................................... . t x x...:...................:..::..........:..... t .? :..::.. .... :.::::::.:::.:: ADVANTAGE CONSTRUCTION, INC. THE DRISCOLL AGENCY, INC TWO ADAMS PLACE SUITE 100 93 LONGWATER CIRCLE QUINCY, MA P.O. BOX 9120 ORWELL MA 02061 02169 ** E N D 0 R S E M E N T S C H E D U L E ** SCHEDULE PAGE 1 NUMBER DESCRIPTION EDITION DATE PLEASE READ THE ENCLOSED, IMPORTANT NOTICES CONCERNING YOUR POLICY G118166A IMPORTANT NOTICE 01/96 ***** DELETED G120587B CONTRACTING CLASS PREM ADJUST PROG WC PREM CR APP 10/00 ***** DELETED ***** G16519F20 CONSTRUCTION` CLASS PREM ADJUST PROG WC PREM CR APP 01/96 * r*** DELETED ***** n 0 N 0 n. opN O DATE. OF ISSUE: 12/19/06 POLICY ISSUING OFFICE: NEW ENGLAND (WC000001) P-39543-A TM OTTn C NA CNA Plaza Chicago,Illinois 60685 STANDARD WORKERS COMPENSATION AND EMPLOYERS LIABILITY POLICY CHANGE ENDORSEMENT EFFECTIVE 12/12/06 DATE PROCESSED=121906,REASON= ADD NAME INSUREDS AND CLASS CODE 9015 EFF 12-12-06 ::.....:..:::....:::..::::.:: Rciiec N miter rom..:.:Pob .P�riad::;.:.:.Ta : Cov..:ara e;�:::Prodsd.: ..::.....................:::::: WC 2 83866787 06/20/06 06/20/07 CONTINENTAL CASUALTY CO 075416120 Ins�urcf:And: ddrs.::.:........:. ........ .................................................::.::::::: ADVANTAGE CONSTRUCTION, INC . THE DRISCOLL AGENCY, INC TWO ADAMS PLACE SUITE 100 93 LONGWATER .CIRCLE QUINCY, MA P..O. BOX 9120 ORWELL MA 02061 02169 • ** 0 T H E R N A M E D I N S .U R E D S ** SCHEDULE PAGE 1 WEST GREENWICH TECH I, LLC FEIN=043690302 YPE2 r ***** ADDED ***** WEST GREENWICH TECH II, LLC FEIN=043690302 YPE2 *****ADDED ***** WEST GREENWICH TECH, III, LLC FEIN=043690302 YPE2 ADDED ***** WEST GREENWICH TECH I MANAGER, LLC FEIN=043690302 YPE2 ***** AD4ED93 ***** N WEST .GREENWICH TECH II MANAGER LLC FEIN=043690302 YPE2 ***** ADDED ***** o a WEST GREENWICH TECH III MANAGER, LLC FEIN=043690302 YPE2 ***** ADDED ***** DATE OF ISSUE: 12/19/06 POLICY ISSUING OFFICE: NEW ENGLAND (WC00000.1) P-39543-A TTTCTTT?FT) CNA CNA Plaza Chicago,Illinois60685 STANDARD WORKERS. COMPENSATION AND EMPLOYERS LIABILITY POLICY CHANGE ENDORSEMENT - EFFECTIVE 12/12/06 DATE_PROCE8SED=121906,REASON= ADD NAME INSUREDS AND CLASS CODE .9015 EFF 12-12-06 P:die`' :.:,.:. :,.;>::, ;;:::;:::.:;::><::>:.;:>:>:::: :::::::::>::>:>?:<:>::>:::>::::>:»::>:>: :>::>:>:>::>::> >;:;><: :>:;; »:: ::>:;;:<:> >:::::::>:>.<:»> »>:<: ...........:;::;:::::::: Number rom i*o1�a Per�ac#.:>::>. o:::::;::»:::.:<:::>::»:. a. .. Y:: Y.......:..:.:::..........:.:.;:::::::::.:.::.:::: ;Cz�v rakeI .;Prozci.ec4::... ;: ::::.::::::::: :. :.::.;::.;.:;.;:.;:. c.::::::::::.::::.::.::::::.: WC. 2 83866787 06/20/06 06/20/07 CONTINENTAL CASUALTY CO 075416120 :;;:::....... m..ec:I.n.. .r.�ci.And.:Ad . ::::::::...................:::.::.:::::::.......................:.::::::::::::::.::.............. «.: n ADVANTAGE CONSTRUCTION, INC . THE DRISCOLL AGENCY, INC TWO ADAMS PLACE SUITE 100 93 LONGWATER CIRCLE QUINCY, MA P.O. BOX 9120 ORWELL MA 02061 02169 ** O T H E R. N A M E D I N S U R E D S ** SCHEDULE PAGE 2 DASCOMBROAD, LP FEIN=043690302 YPE2 ***** ADDED ***** CONDYNE INVESTMENT PARTNERS , LLC FEIN=043690302 YPE2 ***** ADDED ***** ANDOVER/CIF II, LLC FEIN=043690302 YPE2 ***** ADDED ***** m , m - 0 0 N fp V oO O DATE OF ISSUE: 12/19/06 POLICY ISSUING OFFICE; NEW ENGLAND (WC000001) P-39543-A TN STTR P.T) ADVANTAGE Construction, Inc® r . February 1, 2007 Tom Perry Town of Barnstable 368 Main Street Hyannis, MA 02601 Re: Harrys Bar & Grill, 700 Main Street and.. Flagship Estates, 350 Stevens Street, Hyannis Dear Tom Perry: Please accept this letter of notification that Joseph Lambalot, an employee of Advantage Construction, Inc., has been appointed to be our full time Superintendent of both projects listed above. If you have any question, please feel free to contact our office at(781)-848-8787. Sincerely — = ntag Cetionr�c.; — ---- --- Lisa izotte Human Resources ADVANTAGE C®NSTRUC°T'IONs INC. Two Adams Place, Suite 100, Quincy, MA 02169 Telephone 781.848.8787 Fax 781.848.3774. www.advantageconstrulctioninc.com, Town of Barnstable Building 'Department - 200 Main Street BARNSTABLE, * Hyannis, MA 02601 !i 16 39. & (508) 862-4038 tx o Ana . Certificate of Occupancy Application Number:. 200702845 CO Number: 20080015 Parcel ID: 30800400E CO Issue Date: 01117/08 Location: . 320 STEVENS STREET A5 Zoning Classification: OFFICE/MULTI-FAMILY RESIDENTIA Village: HYANNIS F Gen Contractor: LAMBALOT, JOSEPH E. Permit Type: RC00 CERTIFICATE OF,OCCUPANCY RES Comments: Nr— Building Department Signature Date Signed �1NET ; TOWN OF BARNSTABLE ti Building Application Ref: 200702845 m it BARNSTABLE, Issue Date: OS/21/07 Perl , I 9 MASS. �p 1639• Applicant: LAMBALOT,JOSEPH E. Permit Number:. B 20071123 rFD MA'1 A Proposed Use: Expiration Date: 11/18/07 Location 32�0 STEVENS STREET A5 Zoning District OM Permit Type: SP PROJ RES ADD/ALT Map Parcel 30800400E Permit Fee$ 251.24 Contractor LAMBALOT,JOSEPH E. Village HYANNIS App Fee$ 50.00 License Num 048722 Est Construction Cost$ 61,277 t Remarks APPROVED PLANS MUST BE RETAINED ON JOB AND I TENANT FIT OUT FOR UNIT AS THIS CARD MUST BE KEPT POSTED UNTIL FINAL INSPECTION HAS BEEN MADE. WHERE A CERTIFICATE OF OCCUPANCY IS REQUIRED,SUCH Owner on Record: FLAGSHIP ESTATES HYANNIS LLC BUILDING SHALL NOT BE OCCUPIED UNTIL A FINAL Address: TWO ADAMS PL INSPECTION HAS BEEN MADE. QUINCY, MA 02169 Application Entered by: PR Building Permit Issued By: THIS PERMIT CONVEYS N&RIGHT.TO OCCUPY"ANY"STREET;ALLY OR SIDEWALK ORANY•PART,THEREOF,EITHER TEMPORARILY"OR PERMANENTLY. ENCROACHEMENTS ON PUBLIC PROPERTY,NOT SPECIFICALLY PERMITTED UNDER THE BUILDING CODE,MUST BEAPPROVED BYTHEJURISDICTION. STREETfORALLY.GRADES AS WELL AS:DEPTH,XND LOCATION OF PUBLIC SEWERS MAY BE OBTAINED FROM;THE DEPARTMENT OF PUBLIC WORKS ,. THE ISSUANCE OF.,THIS PERMIT.,DOES NOT RELEASE THE APPLICANT FROM THE CONDITIONS OF ANY APPLICABLE SUBDIVISION RESTRICTIONS MINIMUM OF FOUR CALL INSPECTIONS REQUIRED FOR ALL 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). BUILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS old fP(Z �/ ,7r �pA C,,s � 3 ,p p o _ j 7 - p 1 Heat' nspection Approvals Engineering Dept uS r� A?-L G A S , Fire De 2 Board of Health � tc�r 167 t413117 rd' sewel- f; ' TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION - r Map r369 _Parcel_&46� ME Application 7e 2 Health Division R Conservation Division Permit# Tax Collector I �� , �`'F Date Issued Treasurer �.v Application Fee .oD Planning Dept.t. . �� Permit Fee •60 � `' d- Date Definitive Plan Approved by Planning Board Historic-OKH Preservation/Hyannis V Project Street Address © LCAde- Village Owner G9 S 1"S iS /oC. 'Address //�19 i� ��S Arc' Telephone Permit Request ® N cliu�o� /Mehl Square feet: 1 st floor:existing proposed= 2nd floor:e434Rg 4d� proposed Total new 01 Zoning District Flood Plain Groundwater Overlay Project Valuation 0�1o2 Construction Type Lot Size Grandfathered: ❑Yes O o If yes, attach supporting documentation. Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family(#units) Age of Existing Structure Historic House: ❑Yes 3<oo On Old King's Highway: ❑Yes 171 0" Basement Type: ❑Full ❑Crawl ❑Walkout U,65her a Basement Finished Area(sq.ft.) Basement U inished Area(sq.ft) Number of Baths: Full:existing new / Half:existing new'_ Number of Bedrooms: existing new Total n n ota 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 tove: a6es 8'IVo Detached garage:❑existing ❑new size Pool:❑existing ❑new size Barn:❑ting ❑npw siz CO ;P.. Attached garage:❑existing Mew size Shed:❑existing ❑new size Other: ' Zoning Board of Appeals Authorization ❑ Appeal# Recorded D N cam,, - `Commercial+ ❑�Yes�=-�No-- -=if-yes;=site-plan=reuiew,#_ .__ _ w rn Current Use ��C�i�7s�// Proposed Use UILDER INFORMATION Name G a 01 Telephone Number Address /Gr/ � �/ License# ��'7, oZ Home Improvement Contractor# 4d?/6 Worker's Compensation# 0ZKZ 4, " ALL CONSTRUCTION DEBRIS BJESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE J DATE 5�31�°7 FOR OFFICIAL USE ONLY PERMIT NO. DATE ISSUED MAP/PARCEL NO. ADDRESS VILLAGE OWNER DATE OF INSPECTION: FOUNDATION FRAME ®t C �-- INSULATION ®(L FIREPLACE ELECTRICAL: ROUGH- FINAL PLUMBING: ROUGH FINAL GAS- ROUGH FINAL FINAL BUILDING t� V , DATE CLOSED OUT ' ASSOCIATION PLAN NO. ' 1 - Town•of Barnstable �pttiE loyyy Regulatory Services xxsrASLE, Thomas F. Geller,DirectorMASSI . 1 , � � JJ t1Ilding D' is1oIl Tom Perry, Building Commissioner 200 Main Street, Hyannis,MA 02601 office: 508-862-4038 a Fax: 509-790-6230 Property owapr Must ; Complete and Sign.This Section If.Using.A.Builder ��1Xs e111 ,as Ownet of the subject property g hereby authorize �/ae �i to act on mq behalf, in 0matters relative to work authorized by this building p ertnit application for: (Address of job) loo ature of O Date Print Name QT0RMS 0WNERPER=I0N R- U:. d 041v. R� . � _ . , „ � a ACC � � N 1� 1 �x" 1 ma�^W'� "Nk �..•� 5�.�.f �s1B�� i R ' r 'r d 1 . • r E , " The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston, MA 02111 www.mass.gov/dia Worl_ers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print LeLyibly Name(Business/Organization/Individual): �G — Address:-�,::�) City/State/Zip: PL-1,A �Aa oaks Phone #: Are you an employer?Check the appropriate box: 1.ElI am a employer with 4• ❑ I am a general contractor and I Type of project(required): employees(full and/or part-time).* have hired the sub-contractors ew construction 2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7. ❑ Remodeling ship and have no employees These sub-contractors have g, ❑Demolition working for me in any capacity. employees and have workers' [No workers' comp. insurance comp.insurance. 9. ❑Building addition required.] f5. ❑ We are a corporation and its 10.❑Electrical repairs or additions 3.❑ I am a-homeowner doingall work. officers have"exercised their 11.❑Plumbing repairs or additions mysel=. [No workers' comp. right of exemption per MGL 12.❑Roof repairs insurance required.]t c. 152, §1(4),and we have no employees. [No workers' 13.❑ Other comp. insurance required.] `Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. #Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If th 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: Polley Exp�ration ate: c�-_U I --- - Job Site Address: C) � � City/State/Zip: ` Q� Attach a copy of the workers' coin ensation policy declaration page P p Y p g (showing the policy number and expiration date). Failure to sec_re coverage as required-under Section 25A of MGM,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 here ce ify u der e pains and penalties of perjury that the information provided above is true and correct. Si nature: Date: ' _��1 _ Phone#: Official use only. Do not write in this area,to be completed by city or town official . City or Tcwn: 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 P'--rson: Phone#: A-0 ORD CERTIFICATE OF LIABILITY INSURANCE 06/22/z 06) PRODUCER (781)681-6656 FAX (781)681-6686 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION J Barry Driscoll Ins Agcy, Inc ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 600 Longwater Drive HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. P.O. Box 9120 Norwell, MA 02061 INSURERS AFFORDING COVERAGE NAIC# INSURED Advantage Construction, Inc. INSURER A: Crum & Forster CO. Two Adams Place INSURER& Transcontinental Insurance Co. Transc Suite 100 INSURERc: National Union Fire Ins Co Quincy, MA 02169 INSURERD: Continental Casualty Ins co 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. INSRADD' TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION DATE(MM/DD/YY1 LIMITS GENERAL.LIABILITY 5437105893 06/20/2006 06/20/2007 EACH OCCURRENCE $ 1,000,000 X I COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED $ 100,000 CLAIMS MADE I OCCUR MED EXP(Any one person) $ 5,000 A PERSONAL&ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,D00 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ 2,000,000 POLICY )( PROJECT LOC AUTOMOBILE LIABILITY SAP2083866837 06/20/2006 06/20/2007 COMBINED SINGLE LIMIT ANY AUTO (Ea accident) $ 1,000,00 ALL OWNED AUTOS BODILY INJURY $ SCHEDULED AUTOS (Per person) B X HIRED AUTOS BODILY INJURY $ X NON-OWNED AUTOS (Per accident) PROPERTY DAMAGE $ (Per accident) GARAGE LIABILITY AUTO ONLY-EA ACCIDENT S ANY AUTO EA ACC $ ' OTHER THAN AUTO ONLY: AGG $ EXCESS/UMBRELLA LIABILITY BE495305901 06/20/2006 06/20/2007 EACH OCCURRENCE $ 10,000j000 X OCCUR El CLAIMS MADE AGGREGATE $ 10,000,000 C $ DEDUCTIBLE - $ -2ETENTION—$ 1-0,00- --- --- WORKERS COMPENSATION AND WC2083866787 06/20/2006 06/20/2007 X WC STATU- I I OTH- EMPLOYERS'LIABILITY D ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $ 500,000 OFFICER/MEMBER EXCLUDED? E.L.DISEASE-EA EMPLOYEE $ 500,000 If yes,describe under SPECIAL PROVISIONS below E.L.DISEASE-POLICY LIMIT $ 500,000 OTHER DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS ,vidence of Insurance for work performed within the Insureds scope of normal business operations, otice of Cancellation provision is 30 days,except 10 days applies for non-payment of premium. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR REPRESENTATIVES. Standard Certificate of Insurance. AUTHORIZED REPRESENTATIVE B. Driscoll/JWN ACORD 25(2001/08) ©ACORD CORPORATION 1988 IVI PO RTANT If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must be endorsed.A statement x on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement.A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). DISCLAIMER The Certificate of Insurance on the reverse side of this form does not constitute a contract between the issuing insurer(s), authorized representative or producer, and the certificate holder, nor does it affirmatively or negatively amend, extend or alter the coverage afforded by the policies listed thereon. t i ACORD 25(2001/08) CNA CNA Plaza " Chicago,Illinois 60685 STANDARD WORKERS COMPENSATION AND EMPLOYERS LIABILITY POLICY ,. CHANGE ENDORSEMENT - EFFECTIVE 12/12/06 DATE PROCESSED=121906,REASON= ADD NAME INSUREDS AND CLASS' 4 CODE 9015 EFF 12-12-06 T%e:c::>:!;>?':;::>:::.>::::>:,;::: < > >F;':.::c >; »:::<::>:::::»>:::>> `,;:::>::>::>:<::::<;«:::>.' :' ::.:::.:.: :.:::::<:::><«<:::;<;:;>: : ::>:::::;»::;::;:s>>::>:<:>::"::::iifi'ii::>::f::>::;;:::<::<.;;;>;;;:<.;;: dic Nurr�iher P,ar�ad era ::I4>P: . . Y :.:....:..:roved.edf >:<::::>.;.::::::>;::::>:::::::>::;:::.:::::>.;;;_::: : 9.:..errc.:;::;..:.::.:;;:;:.::>: ... .::..::..:.:..:..:::.:.. :..:.:... .:.. .. . :. WC 2 83866787 06/20/06 06/20/07 . CONTINENTAL CASUALTY CO 075416120 ►n�dtn�urdfAnd.Adcire;�s....:;;:;.::.;.:..,::,..:,::: .:.. ::;:>..: .... . ........................:..:...:.:::: ITEM ADVANTAGE CONSTRUCTION, INC. _ THE DRISCOLL AGENCY, INC 1 . "TWO ADAMS PLACE .SUITE 100. 93 LONGWATER' CIRCLE QUINCY, MA P.O. BOX 9120 f ORWELL. MA 02061 02169 FEIN NL'?MBER: 043690302 . NCCI CARRIER CODE NO: 102.43 INTERSTATE ID NO: 911-597713 ** S C H E D U L E 0 F 0 P E R A T I ,0 N S ** SCHEDULE. 4 . 3 PAGE, 1 , LOC CLASS CLASSIFICATION'OF OPERATIONS b EST TOTAL RATE PER PREMIUM NO. CODE <. ANN REMUN $100 REMUN DIFFERENCE' ********* STATE: MASSACHUSETTS 001 CLASS 9015 ADDED' EFF 12/.12/06 -' 06/20/07 9615 BUILDINGS NOC--OPERATION BY OWNER IFAANY 3 .19 0 THE FOREGOING AMENDMENT RESULTS IN AN ADDITIONAL` PREMIUM OF $0 REVISED POLICY, TOTALS ***** ESTIMATED CLASS PREMIUM $17,318 C a �4TAL.'ESTZTrIATED;STANDARD ;,PREMIUM $15,917 r TOTAL ALL ,R.ISK ;ADJUSTMENT; ..PROGRAM; $6,367 +ESTIMATED `STANDARD PREMIUM - $22,284 PREMIUM DISCOUNT $302- EXPENSE CONSTANT $284 N FOREIGN TERRORISM PREMIUM- $412 DOP4FSTIC--TERRO b3 Q-&-C-AT-PR-EI-ATM- _ �cm rrvtamED pRElv?Irrnx - n;� .57° --- -- - N STATE TAXES/ASSESSMENTS/SURCHARGES $700 ° ESTIMATED COST $23,378 ® c I . ACCOUNT NUMBER: 3003313920 , DATE OF ISSUE: 12/19/06 POLICY ISSUING OFFICE: NEW, ENGLAND (W0000001) P-39543-A Ar�.�_I.ofth,Board i �. T: ,. � � • .. � � � - CNA CNA Plaza Chicago,Illinois 60685 STANDARD WORKERS COMPENSATION AND EMPLOYERS LIABILITY POLICY CHANGE ENDORSEMENT - EFFECTIVE 12/12/06 DATE PROCESSED=121906,REASON=.ADD NAME INSUREDS AND CLASS • CODE 9015 EFF 12-12-06 rr�Izer..........:.::.:.::..: :::::.:Pa1:�cPer. d..... Y......::.....:............................................. ...::.:.tv...::.::...._................................ over. e:.h<'.::... . WC 2 83866787 06/20/06 06/20/07 CONTINENTAL CASUALTY CO 1675416120 �ned Insured And Atldress . . ................... .>.. .;:::>::;:....;;::: :;::>;:.:.. :.:::.::...:.:>::.: ADVANTAGE' CONSTRUCTION, INC. THE DRISCOLL AGENCY INC TWO ADAMS PLACE SUITE 100 93 LONGWATER CIRCLE QUINCY, MA P.O. BOX 9120 ORWELL MA 02061 02169 ** E N Da0 R S E M E N T S C H E D.0 L Ef ** SCHEDULE s PAGE I NUMBER. N DESCRIPTION EDITION DATE PLEASE READ THE ENCLOSED -IMPORTANT -NOTICES CONCERNING YOUR POLICY G118166A IMPORTANT NOTICE e 01/96- ***** DELETED ***** G120587B CONTRACTING CLASS PREM ADJUST PROG WC PREM CR APP 10/00 ** DELETED ***** G16519F20 CONSTRUCTION CLASS ..PREM ADJUST PROG WC PREM CR APP 01/96: **** DELETED ***** m r : DATE. OF ISSUE: •12/19/06 POLICY ISSUING OFFICE NEW ENGLAND r (WC000001) P-39543-A TM CYTTD Vn C NA CNA Plaza Chicago,Illinois 60685 STANDARD WORKERS COMPENSATION AND EMPLOYERS LIABILITY POLICY CHANGE ENDORSEMENT EFFECTIVE 12/12/06 DATE PROCESSED=121906,REASON= ADD NAME INSUREDS AND CLASS CODE 9015 EFF 12-12-06 ;Pal.�c:;;Per�.act:::.. Ta.. ....... overa. :.::::.. . . .:::.:............:::::. . . �. �.��ov�a <: On WC 2 83866787'_ 06/20/06 06/20/07 CONTINENTAL CASUALTY CO 075416120 ...:::. nsurtl indddr ;.;.... .:...:;:....:.:..:::.;..... ... ...... ADVANTAGE CONSTRUCTION, INC. THE DRISCOLL AGENCY, INC TWO ADAMS PLACE SUITE 100 93 LONGWATER .CIRCLE QUINCY, MA P.O. Box 9120 ORWELL MA 02061 02169 ** 0 T H E R N A M E D I N S.U R E D S ** SCHEDULE , PAGE. 1 WEST GREENWICH TECH I, LLC FEIN=043690302 YPE2 ***** ADDED ***** WEST GREENWICH TECH II, LLC FEIN=043690302 YPE2 **** ADDED ***** WEST GREENWICH TECH III, LLC .FEIN=043690302 YPE2 *** ADDED WEST GREENWICH TECH I MANAGER, m LLC FEIN=043690302 YPE2 m ***** ADDLED **** * --- -- — — — — — ------ a m N WEST ,GREENWICH TECH II MANAGER LLC FEIN=043690302 o YPE2 S **** ADDED ***** a WEST GREENWICH TECH III MANAGER, LLC FEIN=043690302 • YPE2 **** ADDED ***** .= DATE OF ISSUE: 12/19/06 POLICY ISSU2NG OFFICE: NEW ENGLAND —' (WC000001) P-39543-A TT\T CTTR PT] CNA CNA Plaza Chicago,Illinois 60685 STANDARD WORKERS COMPENSATION AND EMPLOYERS LIABILITY POLICY CHANGE ENDORSEMENT - EFFECTIVE 12/12/06 DATE PROCESSED=121906,REASON= ADD NAME INSUREDS AND CLASS CODE 9015 EFF 12-12-06 i -k?ot P"v>it4i;raY<; eea r r . . : :::::CPiiyNu B WC ..2..8.3866787 06/20/06 06/20/07 CONTINENTAL CASUALTY CO 075416120 .:<:;`'; A r�s:.... ADVANTAGE CONSTRUCTION, INC . THE DRISCOLL AGENCY, INC TWO ADAMS PLACE SUITE 100 93 LONGWATER CIRCLE QUINCY, MA P.O. BOX 9120 ORWELL MA 02061 { 02169 ** 0 T H E R N A M E D I N S U R E D S ** SCHEDULE PAGE 2 DASCOMBROAD, LP FEIN=043690302 YPE2 ( **** ADDED ***** iCONDYNE .INV'ESTMENT PARTNERS, "LLC FEIN=043690302 YPE2 ****.ADDED ***** ANDOVER/CIF II, LLC FEIN=043690302 YPE2 **** ADDED ***** i ZZ m rn m 0 0 N tp b n S III DATE OF ISSUE: 12/19/06 POLICY ISSUING OFFICE: NEW ENGLAND F (WC.000001) P-39543-A TNSTIR Rn � ADVANTAGE Construction, Inc February 1, 2007 Tom Perry Town of Barnstable 368 Main Street Hyannis, MA 02601 Re: Harrys Bar& Grill, 700 Main Street and.. Flagship Estates, 350 Stevens Street, Hyannis Dear Tom Perry: Please accept this letter of notification that Joseph Lambalot, an employee.of Advantage Construction, Inc., has been appointed to be our full time Superintendent of both projects listed . above. If you have any question, please feel free to contact our office at(781)-848-8787. Sincerely .J Lisa izotte Human Resources I ADVANTAGE CONSTRUCTION, INC. Two Adams Place, Suite 100, Quincy, MA 02169 Telephone 781.848.8787 Fax 781,848.3774 www.advantageconstructioninc.com t ' 320 STEVENS STREET FEES PAID FEES CHARGED OVER PD BUILDING A. 7,202.50 3,682.47 BUILDING B 5,453.11, 3,378.05 BUILDING C 3,406.85 1,981.83 BUILDING D 3,331.85 2,056.83 BUILDING E 100.00 4,503.17 BUILDING F 4,557.24 2,446.91 BUILDING G 7,872.18 5,422.14 TOTAL 31,923.73 23,471.40• 8,452.33 BUILDING G C/O 125.00 8,327.33 i :. I 01 08 09:44p Mark Mari naccio, Architec 'i' 508-420-7922 p.1 NM&MIARIK R 1M4ARINACQO, ARGHI'TECT. ARCHRECT • PIANNBt CONSULTANT f y l rF s ti p w }} r 19.SW}I_c� andE. SANDNIOi, A4A O]563 SOB 4j0 OBI A 9:N O i� i-J?+a Pt Y�t�:(i%8 L.L 0GR'J A�,'� - 2 AM 8- 19 January 2, 2008 EfI'=ISJON. Thomas Perry Building Commissioner 200 Main Street Hyannis, Massachusetts 02601 Re: Steuen Street Residential Co`ndbminiumTProje (Biailding�q� - Permit#: 820070692, B20070690, B20070691, B20071124, B200.71123 Dear Mr. Perry: s a Attached please find final reports for the residential condominium building A, Units Al A2 A5 Stevens Street, Hyannis, Massachusetts: A3, A4, The work completed appears to'have been"done in conformance.with the construction do In my opinion, at this time the above referenced units are ready for occupancy. cements. If you have any,questions or,comments please feel free to contact me - t at 508-4 20 0822: Sincerely Mark Marinaccio Tian 01 08 09:44p Mark Marinaccio, Architec 508-420-7922 p.2 MARK R_ MARINACCIO, ARCH TECT /Ut WECT PLANNER CONSULTANT 19 SCOH,SET UItQE, -N-WK MA 02593 SM 420 0= - ARCHITECTURAL FINAL AFFIDAVIT FOR CONSTRUCTION CONTROL ' To: Donald O'Neill Advantage,Construction Two Adams Place, Suite 100 ` Quincy, MA 02169 Re: Hyannis Condominiums Building A. Permit,#1320070692, 1320070690, B20070691, B20071124, 62007.1123 700 Main Street Hyannis, MA : .. Project�No.: 30-2005 Date: December 17, 2007 To-the Building Commissioner: In accordance with Section 116.0 of the Massachusetts State Building Code, this (fetter shall serve as a Final Affidavit for the above-referenced building and that to the best of my knowledge, the provisions of the building code have been complied with, and the area of work meets the requirements of the construction documents. � Eo POIy 78 RIGINA GNATUR NO. Tay Or!hA Mark Marinaccio, Architect - J ,fan 01 08 09:45p " Mark'Ma iinaccio, Archite ier vo, r AA !d o, I 508-420-7922. p.3 �' 4J1 'J2' 6 U87 P, 0,04 Construction Completion Notice In accordance with 780 CMR, Section 116.0 of the Massachusetts State Building Code,l Robert A Hodnett_,being a Registered professional Engineer certify that I or my designee have performed the necessary professional services and have been present on the construction site to determine the work proceeded in accordance with documents approved for the building permit, and have-been responsible for the following as svecified in Section 116.2.2 l. Review,for conformance to the design concept, shop drawings, samples and other submittals,which are submitted by the contractor in acc_ordaace with the requirements of the construction documents. 2. Review and approval of the quality control procedures for all code-required k controlled materials. 3. Having been present at intervals appropriate to the stage of construction to become generally familiar with the progress and quality of the work and to determine, in,general,if the work has been performed iza a manner consistent with:the construction documents. J *t nFw mo7ECTi" E q �s a�aso (Signature &G Sea]) a� b is�f/lyirii}a41 sr . Project Title: Hyannis Residential-.Bldg,A Proj ect.Location: #320 ST.EV>Ns--ST. Hyannis,M - Nature of project: Installation of new wet pipeautomatic sprinkler system per the applicable sections of N)~PA-13 and CNM 780. Jan 01 08 09:45p Mark Marinaccio, Architec 508-420-7922 p.4 "SA FOUR FIWA QUALITY" Masten�.V 220 HIGH STREET(REAR), TAUNTON, MA 02780 PHONE (SUS) 823-02791 FAX(508) 823-6169 October 31, 2007 Building Department Town of Barnstable 200 Main Street Hyannis, MA 02601 RE: Fla s� g P hi Estates—Building A 320 Stevens Street Hyannis,MA ,Subject Electrical .' tric al-Final Affidavit I certify to the best of my knowledge- information and belief,the plans for the captioned building were designed in accordance with the requirements of the Massachusetts State Building Code and all other pertinent laws and ordinances. I further certify that I or my authorized representative, have inspected the work during construction and that to the best of my knowledge, information and belief the work has been constructed in conformance with the permits and ELECTRICAL Plans approved by the Building , Department and with the provisions of the Massachusetts State Building Code and all other pertinent laws and ordinances: State of County of—81 w Sworn to and subscribed before the 31 S-+day of�I^�_/�^� me on ORIGIr.?AL SIGNATU AL . 21£y Robert A. :'cung Natnry P�mro�arB„ec Wy Commisalan Expires '2 i J Yiiung EL'yctrical Services, Inc. ,...page 101'1 p Jan 01 .08 09:45p Mark Marinaccio, Architec 508-420-7922 p.5 Al= PLUMBING&MECHANICAL,LLC Industrial Piping•Gasfitting*Plumbing.Metal Fabrication•Air Conditioning Town of - Barnstable E Final Construction Control Affidavit Project Number: . Project Title: Advanta e Construction Commercial Building Project Location: 35Q Stevens Street Name of Building: Buildin1,A Nature of Project: 171—shin Condominiums In accordance with Section 248 CMR:BOARD OF STATE EXAMINERS OF PLUMBERS AND GAS FITTERS I, Paul Albernaz Master Plumber Lic. 9I3799 Being a Registered Licensed Master Plumber wi.til he BOARD. OF STATE EXAMINERS OF PLUMBERS AND GAS FITTERS,HEREBY CERTIFY that I have prepared,or directly supervised the preparation of all design,installation and specifications concerning: Plumbing Gas Fitting HVAC I further certify that I have performed the necessary professional services and either my representative or I have been present on the construction site on a regular and periodic basis to determine that the work has proceeded in accordance with the documents submitted for th building permit UPON COMPLETION,OF THE WORK,I AM SUBMITTING THIS FINAL REPORT AS TO THE SATISFACTORY COMPLETION OF THE PROJECT FOR OCCUPANCY. l Paul Albernaz Owner/Member PO Box 9628, Fall River, MA 02720 Te1: (508) 916-1553 or(508) 91.6-1604 • Fax: (508) 676-0787 Jan 01 8 09:45p Mark Marinaccio, Architec 508-42077922 p.6 °F;ME TO�y Department of Public Work k 47 Old Yarmouth Rd. Water.Supply Division P.D. Box 326 " HARNMSASLE t Hyannis,m& e� 02601-0326 L Hyannis Water System Operations TEL:508-775-0063 P O n S FAX:508-790-13,1 3 Hyannis Water System Pressure Test Report Location: 3z0 STeven /=/R - Tit Type of Test, Distribution Main: ` Fire Sprinkler Line: Distribution Main test to be conducted at'150 psi for.a minimum. than a 5 psi + or—variance during the duration of the testa of 2 hrs. There can be no more Fire Sprinkler test to be conducted at 200 psi for than a 5 psi + or—variance during the duration of the test rn of 2 hrs. There can be no more Pass: Fail: Re-test, Pass: VVithessed Da LE: r vw;p Wh IteWaler.Penelchuck IJan 01 08 09:46p Mark Marinaccio, Architec 508-420-7922 p.7 ARCHITECT'S OWNER ❑ MARK R MANNAC00, ARCHrrECT FIELD REPORT ARCHITECT M;4 CONSULTANT ARCHRECr • PLANNER • CONSULTANT AIA DOCUAdENT C711 FIELD E1 19 SODMW aRCLE, sAwDwsCH,.Mq 02563 50s 420 os» PROJECT: HYaanis Condo Units Al,A2,A3,A4,A5 Stevens Street- FIELD REPORT NO; CONTRAiyT: r- ARCHITECT'S PROJECT NO: 30-2005 DATE : 8-I-07 TIME 9:09 AM WEATHER Warm/.Suns TEMP.RANGE 80�s EST. % OF COMPLETION CONFORMANCE WITH SCHEDULE(+, =) WORK IN PZOGRESS Rough Frame 95% Complete PRESENT AT SITE Mark Marinaccio,David Sigl,Bill Kelly, oe am o 0 No insulation work has been started OBSERVAT IONS General: 1. Structural Rough Frame is 95"/°,exterior siding and trim has been installed, roofing installed doors installed. g ,windows and I. ILL wall assembly details were given to the project supervisor,: Through plate and sill penetrations to be cau a in acco ance wit t e plans fire i ITEMS TO VERIFY aLfi:a [le and fire shultr pridr to ------------ INFORMATION CR ACTION REQUIRED I. 'Obtain structural engineers frame inspection report ATTACHMENTS 1 Jan 01 0-8-09:46p Mark Marinaccio, Architec 508-420-7922 p.8 4 Document G711TM 1972 Architect's Field Report PROJECT:(Name and address) FIELD REPORT NUMBER: AI A2,A3,A4,A5 Report 2 OWNER:❑ Condyne Condominium Project ARCHITECT: Stevens Street ARCHITECT'S PROJECT NUMBER: 30-2005 CONSULTANT:Q Hyannis,Massachusetts Unit Al Permit#B20070692 FIELD: EC ❑ Unit A2 Permit#B20070690 Unit A3 Permit#1320070691 Unit A4 Permit#B20071124 CONTRACT: Unit A5 Permit#B20071123 B 141 - 10/29/06 DATE 8124107 TIME 9:30 WEATHER Warm TEMP.RANGE 80's EST. ro OF COMPLETION 70 CONFORMANCE WITH S _SCHEDULE + - W , )NA WORK W PR OGRESS PRESE NT AT SITE Rough Frame Prior To Insulation Mark Matinaccio Bill Kelly ------------ OBSERVATIONS Fire caulk complete in units A1,A2,A3,A4 Fire caulk.work progressing in unit AS _ Non-fire rated electric boxes have been replaced with fire rated electric boxes. Depth of electric box extensions beyond studs match requirements for installation of double layers of fire code sheetrock on 2 hour partitions and single layer dimension for 1 hour partitions. Electric work substantially complete in;Al,A2,A3,A4,A5 HVAC substantially complete in A1A2,A3,A4,A5 Rough plumbing substantially complete in A1,A2,A3,A4,A5 Sprinkler system substantially complete in A I,A2,A3,A4,A5 Observed work is in compliance with the intent of the construction drawings ITEMS TO VERIFY Complete fire caulk work in unit A5 INFORMATION OR ACTION REQUIRED Sprinkler system shop drawings'not received 5 tin der system installation in Progress ATTACHMENTS None REPORT BY:Mark Marinaccio AIIA Document G711 Tu—1972.Copyright 1972 by The American Institute of Architects. All rights reserved.LawWARNING This AIQ'pocumen2 is protected by U.S.Ccpyright La and.nlernational Treaties.Unauthorized reproduction or distribution of this A]A`0 1iCLyclsAl,cr any potion cG it, may rosclt in severe civil and criminal penalties,and will be prosecuted to the maximum extent possible urder•t4e law, This document was produced by AJA software at 103T38 on 10/17/2007 under Order No,1000326156 User Notes: 1.which expires on 1.0115/2008 and is not for resale. (493934033) Jan 01 08 0946p Mark Marinaccio, Architec 508-420-7922 p.9 1ADocument G711�" — 1972 Architect's Field Report PROJECT:(Name and address) FIELD REPORT NUMBER. OWNER:M Condyne Condominium Project AI,A2,A3,A4,A5 Report 3 ARCHITECT:Stevens Street ARCHITECT'S PROJECT-NUMBER: 30-2005 CONSULTANT:❑FIELD:❑ Hyannis,Massachusetts Unit Al Permit#B20070692 Unit A2 Permit#B20070690 Unit A3 Permit#B20070691 Unit A4 Permit#B20071 124 Unit AS Permit#B-20071123 CONTRACT: B 141 - 10/29/06 DATE 916/07 TIME 9:30 WEATHER Warm TEMP. RANGE 80's EST.%OF COMPLETION 70 CONFORMANCE WITH SCHEDULE(+,-)NA WORK LN PROGRESS PRESENT AT SITE Insulation Mark Marinaccio;Bill Kell -OBSERVATIONS Fire caulk complete in unit A5 J Insulation missing in exterior dormer corner of unit A2. Insulation Sub-contractor was directed by Bill Kelly to install insulation at location. Insulation work 98%Complete in units AI,A2,A3 Insulation work progressing in units A4,A5 Observed work is in compliance with the intent of the construction drawings ITEMS TO VERIFY Complete missing insulation in A2 CDmplete insulation work in units A4,A5 INFORMATION OR ACTION REQUIRED 3 ATTACHMENTS None REPORT BY:Mark Marinaccio AIA Document G711TM—1972.CopyrlOt C 1972 try The American Institute of Architects. All rights reserved. WARNING:This AIA'Document is .ptoir cted by U.S.Copyright Law and interhatlonoi Treaties.Unauthorized reproduction or disvibution of this A1A`' Document,or ansr portion of it, may result in severe civil and crimin:I penalties,and w,ll foe prosecuted to the maximum extent possible uncle:fire lam This document was produced � by AlA softvrare at 10:43:44 on 10/17/2001 under Order No_1000326156_1-whioh expires on 1 Oil5/2008,and is not for resale. User Notes (17242D41541, An 01 08 09:46prtm Mark Marinaccio, Architec 508-420-7922 p.10 1A Document . G711 - 1972 Architect's Field Report PROJECT:(Name and address) FIELD REPORT NUMBER: - A4,A5 Report 4 OWNER:❑ Condyne Condominium Project ARCHITECT: Stevens Street ARCHITECT'S PROJECT NUMBER: 30-2005 CONSULTANT:❑ Hyannis,Massachusetts- Unit A4 Permit it B20071124 FIELD: ❑ CONTRACT: Unit A5 Permit#B20071 123 B 141 - 10/29/06 DATE 9113/07. TIME 9:30 WEATHER Warm EST. TEMP.RANGE I0's °k OF COMPLETION 75 CONFORMANCE WITH SCHEDULE f+,-} WORK IN PROGRESS NAPRESENT AT SITE Insulation Mark Marinaccio,Bill Kelly OBSERVATIONS Insulation work I00%'Complete in units ,k4,A5 Observed work is in com liancc with the intent of the construction drawin s_ ITEMS TO VERIFY INFORMATION OR ACTION REQUIRED ATTACHMENTS None REPORT BY:Niark Marinaccio F F AIA Docurnerett;7f1TM=1g72,Copyright©1972 by TheAmercan Institute of Architects. AD rights reserved�fh IG:This AIA",.Doc is Pr by U.S.Copyright Law and Internaticnal Treaties:Unauthorized reproductronor distrihuiion of tDocument,o ny portion of it, may r^svIt in severe civil and criminal penalties;and wfil be prosecuted to the maximum erlenl possible uav:. This was produced by ALA software a_1 10.45:42 on 10/17/2007 under Order No.100032615t%1.which expires on 10.f15/2008,and is nle. User Notes: (2865610387) Jan 01 08 09:46p Mark Marinaccio, Architec 508-420-7922 p,11 1ADocument G71 1 1972 Architect's Field Report PROJECT: (Name and address) FIELD REPORT NUMBER: A1,A2,A3 Report 6 OWNER:❑ Condyne Condominium Project ARCHITECT: Stevens Street ARCHITECT'S PROJECT NUMBER: 30-2005 CONSULTANT: ❑ Hyannis,Massachusetts Unit Al Permit#B20070692 FIELD: ❑ Unit A2 Permit#B20070690 CONTRACT: Unit A3 Permit#B20070691 B 141 - 10/29/06 DATE 10/4107 TIME 10:00 WEATHER Warm EST.%OF COMPLETION 80 TEMP.RANGE 50's CONFORMANCE WITH SCHEDULE(+,_)NA WORK IN PROGRESS PRESENT AT SITE Insulation Mark Marinaccio,Bob Stewart OBSERVATIONS Insulation work 100%Complete in units A1,A2,A3 . Sheet rock work started in Units A4, A5 K Observed work is in com fiance with the intent of the construction drawings. ITEMS TO VERIFY INFORMATION OR ACTION REQUIRED ' ATTACHMENTS None REPORT BY:Mark Marinaccio.. t . '.l ` T AIA Document G711 TM—1972:Copyright C 1972 by The American Institute of Ammec ts. All rights reserved. INARN'NO.-his.%IzL Jx xmM is aote.led by U.S.copyright laer and lnl-arnational Trentics.unauthorized reproduction or disrrtbution of tits k'Aw Locum n;,ca any xr ion o°i:; nay rest;;:n severe ci+ri and criminal Penalties,and t.i-1l be prosecuted to the nrzimum extent possible render vio.latt,. This document was produced byAIA software at 11:03:53 on 12/20/2007 under Order No.1000326156_1 which expires on 10!1512008,and is not for resale. Jan 01 08 09:46p Mark Marinaccio, Architec 508-420-7922 p.12 J 1ADocumeilt G711rb1197 2 Architect's Field Report PROJECT:(Name and address) FIELD.REPORT NUMBER: Condyne Condominium Project A1,A2,A3,A4,A5 Report 7 OWNER: Q Stevens Street ARCHITECT; Hyannis,Massachusetts ARCHITECT'S PROJECT NUMBER; 30-2005 . `CONSULTANT:❑ Unit Al Permit#1320070692 FIELD: Unit A-2 Permit#B20070690 Unit A3 Permit#B20070691 Unit A4 Permit#B 20071 I24 CONTRACT: Unit A5 Permit#B2007.1.123 B 141 - 10/29/06 , DATE TIME 9:30 AM EST. %OF COMPLETION 99 VVEATIiER Warm/SunTEMP.RANGE 50 _ WORK IN PROGRESS CONFORMANCE WITH SCHEDULE(+,-)NA Finish Work PRESENT AT SITE Mark Marinaccio,Bob Stewart OBSERVATIONS A punch list was rece ived ve d fro m the.Project Manager,. :In addition to the items listed on the punch list the following items were observed or duplicated due to importance_ General for units A1, A2,A3,A4, A5: - Water heater in unit Al has burst causing extensive damage to the floor and cabinets in units`�A2' d kitchen Al Screens not installed at windows or sliding doors. Heat is working. Water heater pipes not insulated. No pan was installed under water heaters. Hot water has been shut off in the buildingdue to water heater situation. Condensate drain pipes have been installed above insulation. Pipe is not insulated. These drains be re-routed and installed on the warm side of the ceiling insulation to keep it from freezing. should All pull-down attic stairs should be insulated: Unit A]: Second Floor Common Bath: Toil et not-working f Unit A2: Water damage of floor.and kitchen cabinets from burst water heater in unit Al Unit A3: First Floor Garage to house door does not latch. Front second floor bedroom closet latch does not keep closet door closed Third floor master bathroom wall next to spa is not insulated. Rigid insulation should be added to plumbing from freezing. protect the AIA document G.C- TM_1972.Copyright©1972 by The American Instihile of Architects. All rights reserved. tN!,�RPl!k1,i:, D,f�At;�o"D Protected by J.S.Copyrigfa—w and;ntarna,iorai Treaties.Unauthorized reproduction or distribution Of this AIA"Document,or=_n orlion may result in severe,civil and criminal peraities,and will be prosecated to the ocu &r.i oy AIA software at 1 L48:2Q on 12!2Q 2007 under Order Na1000326156_1 which expires on 01 Sient 8,and is not for resale. y t or�, 1 sd ie under the law. This document was produced Jan0 8 09:47p Mark Marinaccio, Architee 508-420-7922 p.13 1A .Document G704' - 2000 Certificate of Substantial Completion PROJECT: PROJECT NUMBER:30-2005/Building"A" OWNER: (Name and address): B20070692,B20070690,B20070691, Flagship Estates,Condominiums B20071124,B20071123 ARCHITECT: Stevens Street CONTRACT FOR:General Construction CONTRACTOR: Hyannis,Massachusetts CONTRACT DATE: TO OWNER: TO CONTRACTOR: FIELD:❑ (Name and address): (Name and address): TOWN OF BARNSTABLE: Flagship Estates Hyannis,LLC Advantage Construction,Inc ' Two Adams Place Two Adams Place Suite 100 Suite 100 Quincy,MA 02169 Quincy,MA 02169 PROJECT OR PORTION OF THE PROJECT DESIGNATED FOR PARTIAL OCCUPANCY OR USE SHALL INCLUDE: Unit At: Permit#B20070692,Unit AZ Permit#B20070690,Unit A3: Permit#B20070691,Unit A4: Permit#B20071124 Unit A5: Permit#B20071123 The Work performed under this Contract has been reviewed and found,to the Architect's best knowledge,information and belief, to be substantially complete.Substantial Completion is the stage in the progress of the Work when the Work or designated portion is sufficiently complete in accordance,with the Contract Documents so that the Owner can occupy or utilize the Work for. its intended use.The date of Substantial Completion of the Project or portion designated above is the date of issuance established by this Certificate,which is also the date of commencement of applicable warranties required by the Contract Documents,except as stated below: Warranty - Date of Commencement 12/20/2007 Mark Marinaccio,Architect G � �/ti" ��- December 20,2007 ARCHITECT - DATE OF ISSUANCE A list of items to be completed.or corrected is attached hereto.The failure to include any items on such list does not alter the responsibility of the Contractor to complete a1J Work in accordance with the Contract Documents.Unless otherwise agreed to in writing-the date of commencement of warranties for items on the attached list wilt be the date of issuance of the final Ceitificare of Payment or the date of final payment. Cost estimate of Work that is incomplete or defective:$40,000 The Contractor will complete or correct the Work on the list of items attached hereto within Seven(7)days from the above date of Substantial Completion. Advantage Construction,Inc CONTRACTOR BY DATE The Owner accepts the Work or designated portion as substantially complete and will assume full possession at -(time)on December 26,2007(date). Flagship Estates Hyannis,LLC OWNER BY DATE . The responsibilities of the Owner and Contractor for security,maintenance,heat,utilities,damage to the Work and insurance shall be as follows: (Note: Owner'i and Contractor's legal and insurance counsel should determine and review insurance requirements and coverage.) AIA Document G7047m-2000.Copyright ®1963,1978,1992 and 2000 by The American Institute of Architects. All rights reserved. WARWING:7s:s Ala" .Da^.umon'.is protectad by U.S.Copy.ight Law and LnternaVonal Treaties.Unautnorized reproeuclion or dtstrihc5on of This AIAa'Occumenl,o-any perricn of it,may result in severe civil and criminal penallies,and MR be prosecuwd to n-,e moyin'mm extent pcssibrs Lmcl:^r the lavr. This document � was produced by AIA software at 13:04:42 on IZ26i2007 under Order No.1000326156_1 which expires on 1 W15/2008,and is not for resale. Jan 01 8 09:47p Mark Marinaccio, Architec 508-420-7922 p.14 TOWN OF BARNSTABLBuilding�-E Application Ref: 200701962 RARNSTABLE, Issue Date: 04/05/07 Permit, y MASS. �Ar16 9. s�0 Applicant: I.Af�JBALOT,JOSEPH E. Proposed Use: Permit Number: B 20070692 Expiration Da • P Date: 1 0/03/07 Location 320 STEVENS STREET 1A Zoning District OM Permit Type:,SPECIAL PROJECT ADD/ALTER COMM Aap Parcel 3080(400A Permit Fee S 759.38 Contractor LAMBALOT,JOSEPH E. Village HYANNIS App Fee S 100-00 License Num 048722 Est Construction Cost S 93,750 `--�--93 I Remarks ----� TEN-ENT FIT OUT FOR RESIDENTIAL CONDO UNIT IA A( APPROVED PLANS MUST BE RETAINED ON JOB AND THIS CARD MUST BE KEPT POSTED UNTILTINAL INSPECTION HAS BEEN MADE. WHERE A mien on Record! FLAGSHIP ESTATES HYANNIS LLC CERTIFICATE OF OCCUPANCY IS REQUIRED,SUCH dd:-ess: TWO ADAMS PL BUILDING SHALL NOT BE OCCUPIED UNTILA FINAL QUIN`CY, MA 02169 INSPECTION HAS BEEN-MADE. pp:ic¢don Fa,tered by: PP. Building Permit Issued By. 4C . IIS PERMIT CONVEYS NO RIGHT TO OCCUPY ,A ANY -Y STREETLY OR SIDE1v'AL]C OR ANY PART THEREOF,EITHER TEMPORARILY OR PERMANENTLY. JCROACI{EMENTS ON PUBLIC PROPERTY,NOT SPECIFICALLY PERMITTED UNDER THE BUILDING CODE,MUST BE APPROVED BY THE JURISDICTJON 'REST OR ALLY GRADES AS WELL AS DEPT14 AND LOCATION OF PUBLIC SEWERS MAY BE OBTAINED FROM THE DEPARTMENT OF PUBLIC WORKS. JE ISSUANCE OF THIS 'Eim'r DOES NOT RELEASE THE APPLICANT FROM THE CONDITIONS OF A-NY APPLICABLE SUBDIVISION RESTRICTIONS. INLMUM OF FOUR CALL INSPECTIONS REQUIRED FOR ALL CONTTTRUCTION WORK: FOUNDATION OR FOOTINGS. ALL FIREPLACES MLST BE INSPECTED AT THE THROAT LEVEL BEFORE FIRST FLUE LINING 1S INSTALLED. WIRING&PLUMBING INSPECTIONS TO BE COMPLETED PRIOR TO FRAME INSPECTION, PRIOR TO COVERING STRUCTURAL MEMBERS(READY TO LATH). INSULATION. FINAL INSPECTION BEFORE OCCUPANCY. iERE APPLICABLE,SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL,PLUMBING AND-MECHANICAL INSTALLATIONS. ARK SHALL NOT PROCEED UNTIL THE INSPECTOR HAS APPROVED THE VARIOUS STAGES OF CONSTRUCTION. ,R-MIT WILL BECOME NULL AND VOID IF CONSTRUCTION WORK IS NOT STARTED WITHIN SIX MONTHS OF LTE THE PERMIT IS ISSUED AS NOTED ABOVE. RSONS CONTRACTIN ,WITH UNREGISTERED CONTRACTORS DO NOT HAVE ACCESS TO GUARANTY FUND(as set forth in,\4GL c,142A). a UILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS ��-z`t_.d7 fYGGly� a i,�:s�� 7��b, 6,..�o a Y 4-) 52, 1 Heating lnspection Approvals Engineering Dept 4i� 3 l re Depll�t, 2 Board of Health Jan 01 08 09:47p Mark Marinaccio, Architec 508-420-7922 p.15 IHETOWN OF BARNSTABLEBuilding -� Application Ref: 200701965 BARNSCABLE, * Issue Date: 04/05/07 Permit •1639. `e' Applicant: LAMBALOT, JOSEPH E. TEp A A Permit Number: B 20070690 Proposed Use: Expiration Date: 10/03/07 Location _ 320 STEVENS STREET 1B Zoning District OM Permit Ty pe: SPECIAL PROJECT ADD/ALTER COMM Map Parcel 30800400B Permit Fee$ 759.38 Contractor LAMBALOT,JOSEPH E. Village HYANNIS App Fee$ 100.00 License Num 0487212 Est Construction Cost$ 93,750 Re��arks APPROVED PLANS MUST BE RETAINED ON JOB AND TENENT FIT OUT CONDO UNIT#I B flZ THIS CARD MUST BE KEPT-POSTED UNTIL FINAL INSPECTION HAS BEEN MADE. WHERE A CERTIFICATE OF OCCUPANCY IS REQUIRED,SUCH Owner or,Record: FLAGSHIP ESTATES HYANNIS LLC BUILDING SHALL NOT BE OCCUPIED UNTIL A FINALQUINCY,MA 02169 Address: TUC- AMS PL INSPECTION HAS BEEN MADE. application Entered by: PR Building Permit Issued By: : ��`"'� -P4 - [HIS PER1417 CONVEY-3 NO RIGHT TO OCCUPY ANY STREET,ALLY OR SIDEWALK OR ANY PART THEREOF,EITHER TEMPORARILY OR PERMANENTLY_ :NCROACHENIENTS ON PUBLIC PROPERTY,NOT SPECIFICALLY PERMITTED UNDER THE BUILDING CODE,MUST BE APPROVED BY THE JURISDICTION. iTREET OR ALLY GRADES AS WELL.AS DEPTH AND LOCATION OF PUBLIC SEWERS:✓MAY BE OBTAINED FROM THE DEPARTMENT OF PUBLIC WORKS. IHE ISSUANCE OF THIS PERMIT DOES NOT RELEASE THE APPLICANT FROM THE CONDITIONS OF ANY APPLICABLE SUBDIVISION RESTRICTIONS. 4INIMUM OF FOUR CALL INSPECTIONS REQUIRED FOR ALL CONTSTRUCTION WORK: FOUNDATION OR FOOTINGS. '.ALL FIREPLACES IV-UST BE INSPECTED AT THE THROAT LEVEL BEFORE FIRST FLUE LINING IS INSTALLED. WIRING&PLUMBING INSPECTIONS TO BE COMPLETED PRIOR TO FRAME INSPECTION. PRIOR TO COVERING STRUCTURAL MEMBERS(READY TO LATH): INSULATION. FINAL INSPECTION BEFORE OCCUPANCY. ✓HERE APPLICABLE,SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL,PLUMBING AND MECHANICAL INSTALLATIONS. x1ORK SHALL NOT PROCEED UNTIL THE INSPECTOR HAS APPROVED THE VARIOUS STAGES OF CONSTRUCTION. 'ERMIT WILL BECOME NULL AND VOID IF CONSTRUCTION.WORK IS NOT STARTED WITHIN SIX MONTHS OF )ATE THE]PERMIT IS ISSUED AS NOTED ABOVE. 'ERSONS CONTRACTTIG WITH UNREGISTERED CONTRACTORS DO NOT HAVE ACCESS TO GUARANTY FUND(as set forth in MGL c.142A). R BUILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS 3 I. Heating Inspection Approvals Engineering Dept Fire Dep 2_. . Board of Health Jan 01 08 09:48:) Mark Marinaccio, Architec 508-420-7922 p,16 �TI4Er, TOWN OF BARNSTABLE Building Application.Ref: 200701966 EARN MABIE,l+ Issue Date: 04/051 Permit07 y MASS �Ar %dt a`e Applicant: LAMBALOT,JOSEPH E. Permit Number: B 20070691 Proposed Use: Expiration Date: 10!031,'07 Location 320 STEVENS STREET 1 C Zoning District OM Permit Type: SPECI.AL PROJECT ADD/ALTER COMM Map Parcel 30800400C Permit Fee$ 759.38 Contractor LAMBALOT,JOSEPH E. Village HYANNIS App Fee S 100.00,, License NTum 048722 Est Construction Cost$ 93.750 I Remarks --- APPROVED PLANS MUST BE RETAINED ON JOB AND TENANT FIT OUT FOR UNIT#1 C {�3 THIS CARD MUST BE KEPT POSTED UNTIL FINAL INSPECTION HAS BEEN MADE, WHERE A CERTIFICATE OF OCCUPANCY IS REQUIRED,SUCH Ad of on Record: FLAG ESTATES HYANNIS LLC: - - BUILDING SHALL NOT BE OCCUPIED UNTIL A FINAL Add ress: TWOAD ADAMS Pl. QUI-NCY, MA 02169 INSPECTION HAS BEEN MADE. Application Entered 6y: 'R s 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 13E APPROVED BY THEIURISDICTION, STREET OR ALLY GRADES AS WELL AS DEPTH AND LOCATION OF PUBLIC SEWERS MAY BE OBTAINED FROM THE DEPARTMENT OF PUBLIC WORKS. THE ISSUANCE 017 THIS PERMIT DOES NOT RELEASE THE APPLICANT FROM THE CONDITIONS OF ANY APPLICABLE SUBDIVISION RESTRICTIONS. MINIMUM OF FOUR CALL INSPECTIONS REQUIRED FOR ALL CONTSTRUCTION WORK, I.FOUNDATION OR FOOTINGS. 2.ALL FIREPLACES MUST BE INSPECTED AT THE THROAT LEVEL BEFORE FIRST FLUE LINING 1S INSTALLED. 3.WIRING&PLUMBING INSPECTIONS TO BE COMPLETED PRIOR TO FRAME INSPECTION. 4.PRIOR TO COVERING STRUCTURAL XIEMBERS(READY TO LATH). S.INSULATION. 6.FINAL INSPECTION BEFORE OCCUPANCY. WHERE APPLICABLE,SEPARATE PERMITS ARE REQUIRED FOR,ELECTRICAL,PLUMBING AND MECHANICAL INSTALLATIONS. WORK SHALL NOT PEOCEED UNTIL THE INSPECTOR HAS APPROVED THE VARIOUS STAGES OF CONSTRUCTION. PERMIT WILT.BECOME NULL AND VOID IF CONSTRUCTION WORK IS NOT STARTED WITUIN SIX(MONTHS OF - DATE THE PERMIT IS ISSUED AS NOTED ABOVE. PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS DO NOT HAVE ACCESS TO GUARANTY FUND(asset forth in MGL c.]42A).• BUILDING INSPE=ON APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS 2 o/' 3 1 •Heating Inspection Approvals Engincering Dept . Fire De 2 Board of Health Jan 01 08 09:490 Mark Marinaccio, Architec 508-420-7922 p.17 Tom, TOWN OF BARNSTABL' -' Bui[di ng Application Ref: 200702843 * satttvSTesr.E,)# Issue Dare; 05,121/07 Permit y MASS �p 1639- �m Applicant: LAMBALOT,'JOSEPHE. Permit Number: B 20071124 rED MA't s Proposed Use: Expiration Date: 11/18/07 Location 320 STEVENS STREET A4 Zoning District OM 'Pernut Type: SP PROJ RES ADDiALT. Map Parcel 30800400D Permit Fee S 251.24 Contractor LAMBALOT,JOSEPH E. Village HYA—NNM App Fee S 50.00 License Num 048722 Est Construction Cost$ 161,277 Remarks APPROVED PLANS MUST BE RETAINED ON JOB AND TENANT FIT OUT FOR WIT A4 THIS CARD MUST BE KEPT POSTED UNTIL FINAL INSPECTION HAS BEEN MADE. WHERE A CERTIFICATE OF OCCUPANCY IS REQUIRED,SUCH Owner on Record: FLA ,SHIP ESTATES HYANNIS LLC BUILDING SHALL NOT BE OCCUPIED UNTIL A FINAL Address: TWO ADAMS Pl. INSPECTION HAS BEEN MADE. QUINCY, MA 02169 Application L"ntercd b : PR. PP y Building Permit Issued By: THIS PERMIT CONVEYS NO RIGHT TO OCCUPY ANY STREET,ALLY OR SIDEWALK ORANY PART THEREOF,EITHER TEMPORARILY OR PERMANENTLY. ENCROAC2 EMENTS CN PUBLIC PROPERTY,NOT SPECIFICALLY PERMITTED UNDER THE BUILDING CODE,MUST BE APPROVED BY THE JURISDICTION. STREET OR ALLY GRA DES AS WELL AS DEPTH AND LOCATION OF PUBLIC SEWERS MAY BE OBTAINED FROM THE DEPARTMENT OF PUBLIC WORKS._ THE ISSUANCE OF THIS PERMIT DOES NOT RELEASETHE APPLICANT FROM THE CONDITIOINS 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 COVEPUNG 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). BUILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS 2 a e7 2 C- 3 1 Heating Inspection Approvals Engineering Dept Ile Fire Dep; 2 Board of Health VD Bar �(f c.lo� Jan Mark Marinaccio, Architec 508-420.7922 p 18 �N�t OWN OF BARNSTAB LE . Building Application lief; 200702845 t anxrrsTneLl;, : Issue Date: 05/21/07 Permit Applicant: LAMBALOT,JOSEPH E. FO I1AF►'1 Permit Number: B 20071123 Proposed Use: Expiration Date: 11/18/07 Location 320 STEVENS STREET A5 Zoning District OM Permit Type SP PROJ RES ADDiALT Map Parcel 30800400E Permit Fee S 251.24 Contractor LAMBALOT,JOSEPH E. Village HYAI`iNIS App Fee$ 50.00 License Num 048722 Est Construction Cost$ 61,277 --_l ' !'. APPROVED PLANS MUST BE RETAINED ON JOB AND TENANT FIT OUT FOR UNIT AS I' THIS CARD MUST BE KEPT POSTED UNTIL FINAL --- _ _ INSPECTION HAS BEEN MADE. WHERE A on Reco OwnerCERTIFICATE OF OCCUP.,iNcy IS REQUIRED,SUCH Records FLAGSHIP ESTATES HYANNIS LLC BUILDING SHALL NOT BE OCCUPIED UNTIL A FINAL Address: TWO ADAMS PL QUP4CY, MA 02169 INSPECTION HAS BEEN MADE. Application[ncered by: ?R 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 OR ALLY GRADES AS WELL AS DEPTH AND LOCATION OF PUBLIC SEWERS MAY BE OBTAINED FROM-ME DEPARTMENT OF PUBLIC WORKS. THE ISSUANCE OF THT3 PERMIT DOES NOT RELEASE THE APPLICANT FROM THE CONDITIONS.OF ANY APPLICABLE SUBDIVISION RESTRICTIONS. vIINIMU'M OF FOUR CALL INSPECTIONS REQUIRED FOR ALL CONTSTRUCTION WORK: 1.FOUNDAT[ON OR FOOTINGS, 2.ALL FIREPLACES MUST BE INSPECTED AT THE THROAT LEVEL BEFORE FIRST FLUE LINING IS INSTALLED. 3.WIRING&PLU1v1BJ1aG 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 FO12 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 fordi'in MGL c.142A). all BUILDING INSPECTION APPROVALS PLOVIBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS 2 2i�S�� 2 PA ig A. 3. 1 Heati%lonspection Approvals Engineering Dept �"3 cy-, Cl Fire De 2 Board of Health r-- P 1 . ,. Journal ( Jan. 1. . 2008 .8-: 51PM' ) 2) TX } Fi1e Date Time Destination Mode TXtime Page Result User Name No. ------------------------------------ ---------------_------ Dec. 21. 2: 18PM 508 533 0434 G3TESM' 0'24" P. 1 OK 3608 Dec. 26. 9: 13AM 915164090204 G3TESM 4.40" P. 1 E 3632 9: 23AM 915164090204 G3TESM 0"29" P. 1 OK 3632 Dec. 28. 10: 05AM 5087789141 G3TESM 1 ' 14" P. 2 OK 3653 Dec. 28. 1 : 18PM 917746786008 G3TESM 0"30" P. 2 OK 3683 1 : 34PM BRAZA & MANCINI G3TESM' 0'211" P. 1 OK 3684 3 : 18PM +8666636373 G3TESM 0"23" P. 2 OK 3691 { RX y Fi.le Date Time Sender Mode RXtime Page Result User Name No. -------------------------------------=-------=---------- Dec. 21. 1 : 23PM 5088880550 63RES 0"31" P. 5 2 OK 360 1 : 36PM G3RES 031" P. 1 OK 360 2: 21PM 508 533 0434 G3RES 0"26" P. 1 .OK 3610 2 : 22PM 508 533 0434 G3RES 0"25" P. 1 OK 361—2:49PM 508775 G3RES 2 0"50" P. 1 OK' 3614 -4: 48PM = O" G3RD 2",19" P. 3. OK 361 5: 09PM 5083982901 G3RES 0"29 6 P. 1 OK' Dec. 24" 10: 25AM G3RES 0,30" P. 1 OK 3613628 5: 05PM R i g h t f a x G3RED 0 16 P. 1 OK Dec. 26. 6 : 53AM G3RES 0" 32" P. 1 OK 36243624 7: 24AM 5084773300 G3RS 3628 : 0"42" P. 1 OK 7 50AM G3RS 0"51 P. 1 OK 3628 11 : 25AM G3RES 0"36" P. 3 OK. 3635 11 : 31AM G3RES 036" P. I OK 3635 3:'51PM 5087756977 G3RES 0" 18" P. 1 OK 3639 4: 18PM 5084209227 G3RES 026" P. 1 OK 3642 4: 22PM G3RES 0"22 P. 2 .-OK 3644 4.: 24PM G3RES 0"22" P. 2 OK 3644 4:42PM AIG Smal`lBusComp C5 G3RED 1 '30" P. 2 OK 3646 8: OOPM 5084287000 G3RED 0"31" P. 1LOK 3648 Dec. 27. 9 : 09AM 508 771 6617 G3RES 0"20 P. 1 OK 3652 10: 25AM G3RED 1 '06" P. 2 OK 3655 11 : 39AM G3RES 0"36 P. 1 OK 3657 12: 0PM G3RS 001" P. 1 D 3659 12: 09PM 111.1 G3RES 0"23 P. 9 OK 3661 12: 11.PM 1111 G3RES_ 026" P. 1 OK 3663. 12: 26PM 15084200117 G3RES 1 -04"'' P. U OK 3665 1 : 34PM G3RES 0r24 P. 2- OK 366 1 : 49PM ASSOCIATED INSURANCE G3RES 0 25 5 P. 1 OK 1 : 55P 366 ,M G3RES 0"35" P. 1 OK 36 71 4: 1OPM 508 778 1230 G3RED .0".51" P. 1 OK 3674 Dec. 28. 7:49AM 5083949620 G3RES 0"33 P. 1 OK 3678 8: 23AM G3RES 0. 16" - P. 1 OK 3680 8: 37AM 5084575253 a G3RES 0. 29" P. 1 OK * 348 1 : 57PM G3RES 0 2 "43" P. 1 OK _ 368 2 : 10PM 5084282449 G3RES 040" P. 1- OK 3688 2: 56`PM G3RES 0"30" P. 1 OK 368 4: 09PM 508-746-0477 G3RD 1 "50" P. 8 . 2 OK 369 Dec. 29. 11 : 41AM 5083759978 G3RED 1 "40" P. 1 OK 3695 Dec. 31. 8: 10AM 5084288685 G3RS . 0"40" P. 1 OK- 3697 9: 15AM G3RED 1 "09" P. 2 OK Jan. 3699 9: 20AM 5087907989 G3RS 0"45" P. 1 OK 3699 1. 8:45PM 508 '420 7922 G3RED 6"07" P. 18 OK 370 TX Count -000601 RX Count 002522 # Batch C Confide tial $ Transfe r P PolIi,ng M Memory L Send later @ Forwarding E ECM S Reducard D Detail F Fine U Super Fine Reduction H Stored/D. Server .: LAN—Fax + Del'ive:ry. Q RX Notice. Cam : Folder Re.4. A. : : RX Notice 0i` Mai1. E>: ,IP—FAX. n 7 320 Stevens Street Building A App# App Fee Permit Fee Amount Paid Overage CIO Fees owed Shell Permit 200700486 100 1,921.88 4,021.88 2,000.00 Unit Al 200701962 50 384.38 859.38 425 25 Unit A2. 200701965 50 384.38 859.38 425 25 Unit A3 200701966 50 384.38 859.38 425 25 Unit A4 200702843 50 251.24 301.24 25 '. Unit A5 200702845 501 251.241 301.241 25 Total 350 $3,577.50 $7,202.50 $3,275.00 125. Building B I App# App Fee Permit Fee Amount Paid Overage CERT. OCC Shell Permit 200700489 100 1921.88 4021.88 2000 Unit 131 200703559 50 251.24 301.24 25 Unit B2 200703865 50 251.24 301.24 25 Unit B3 200703867 50 251.27 301.27 25 Unit B4 2007038661 501 251.241 301.241 25 Unit B5 1 2007040671 501 251.241 301.24 25 Total 350 $3,178.11 $5,528.11 $2,000.00 125 Building C App# App Fee Permit Fee Amount Paid Overage .CERT. OCC Shell Permit 200700490 100 1153.13 2503.13 1250 75 Unt C1 200702846 50 251.24 301.24 25 Unit C2 200703557 50 251.24 301.24 25 Unit C3 200703558 50 251.24 301.24 25 Total 250 $1,906.85 $3,406.85 1250 75 Building D App# App Fee Permit Fee Amount Paid Overage CERT. OCC Shell Permit 200700491 100 1153.13 2503.13 1250 Unit D1 200704070 50 251.24 301.24 25 Unit D2 200704071 50 251.24 301.24 25 Unit D3 200704069 50 251.24 301.24 25 Total 250 $1,906.85 $3,406.85 1250 75 Building E App# App Fee Permit Fee Amount Paid Overage CERT. OCC Shell Permit 200704740 100 1,921.88 2,021.88 25 25 25 25 25 125 Building F App# App Fee Permit Fee Amount Paid Overage CERT. OCC Shell Permit 200704739 100 1,153.13 1,253.13 25 25 25 75 Building G App# App Fee Permit Fee Amount Paid Overage CERT. OCC Shell Permit 200704737 100 1,921.88 2,021.88 25 25 25 25 25 125 TOTAL $1,150.00 $11,988.70 $17,638.70 $4,500.00 $579.00 Total Over pd Amount Cert. OCC Issued $3,921 $25 Unit C2 200703867 PAID WITH __$25 Unt C1-- ,200702846 200700490 $25 Unit C3 200703558 4 i i a 320 Stevens Street f y PD Total Overpaid $3,921.00 F TOWN OF BARNSTABLE Building Department - Foundation Permit Date Permit # �� 6-1' 7 f ao Name L)f 4 c CA Location 5 L7 s'T �wll g L- b Ins . of Bid s. � � p 9 TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel �rr � Permit_# Q6 7 00 q0 / to Health Division Date Issued- all /0 Conservation Division Application Fee Tax Collector Permit Fee ' -J -7 Treasurer , Planning Dept. Date Definitive Plan Approved by Planning Board Historic-OKH Preservation/Hyannis �. 0 Project Street Address le,,-en:r C� Village Z(s Owner QAJ Address Z et « c �1%fl �7 f / Telephone 7 Trx, Permit Request ":5;1�e Square feet: 1 st floor: existing proposed` ' 2nd floor: existing 0 proposed Y/AS Total new ��77 Zoning District Flood Plain Groundwater Overlay SD Project Valuation - Construction Type Lot Size Grandfathered: ❑Yes 304 If yes, attach supporting documentation. Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family(#units)—,!5— - Age of Existing Structure Historic House: ❑Yes 3010 On Old King's Highway: ❑Yes C'fNo Basement Type: ❑ Full ❑Crawl ❑Walkout "ether � Basement Finished Area(sq.ft.) Basement Un ished 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: OGas ❑Oil ❑ Electric Cl Other T.9 Central Air: fifes ❑No Fireplaces: Existing New Existing wood/coal stove: ❑Yes amge:0 existing ol: ❑existing ❑new size Barn:0 existing ❑new size m c. Attached garage:❑existing U<ew 'size ed:0 existing ❑new size Other: cf . �k Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Co Commercial ❑Yes UI(O If yes,site plan review# ` Current Use ,/Zr Proposed Use U ILDER INFORMATION /I Name Lp� z-, Telephone Number Addres License# f .�f Home Improvement Contractor# Worker's Compensation# dyC;,?D7 G/14� ALL CONSTRUCTION DEBRI RESULTING FROM THIS PROJECT WILL BE TAKEN TO f4 "nlel - - t 'i SIGNATURE J&4d lgolf DATE I , T FOR OFFICIAL USE ONLY f PERMIT NO. t �, ` DATE ISSUED MAP/PARCEL NO. 4 ; ADDRESS VILLAGE c� `I OWNER k DATE OF INSPECTION: 3 FOUNDATION -7 0 7 FRAME INSULATION c� Q a - •_ FIREPLA,,CE r ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING t DATE CLOSED•OUT f s ASSOCIATION PLAN NO. f r 1 i. 74DVANTAGE ADVANTAGE CONSTRUCTION INC. construction Inc. DESIGN BUILD CONSTRUCTION ., Two Adams Place, Suite 100, Quincy, MA'02169 TEL: 781-848-8787 FAX: 781-848-3774 , 4 ; TRANSMITTAL LETTER TO: Hyannis Building Department DATE: 01/15/2007 368 Main Street PROJECT NUMBER: 213000 Hyannis, MA PROJECT NAME: Residential PROJECT LOCATION: Hyannis, MA ATTN: Tom Perry RE: Townhouses (X) Enclosed herewith are the following: O Sending under separate cover are the following: O Engineer's Specifications ( ) Shop Drawings O Record Documents (X) Engineer's Drawings ( ) Submittals O Inspection Reports ( ) For your records ( ) As requested ( ) Disapproved O For your approval ( ) Approved O To be resubmitted (X) For Foundation Permit ( ) Approved as noted ( ) For your review/response ATTACHED ITEMS DATE NO. OF COPIES Building A— Structural Drawings (Building 1) with application 1/11/07 1 Building B— Structural Drawings (Building 2) with application 1/11/07 1 Building C — Structural Drawings (Building 3) with application 1/11/07 1 Building C — Structural Drawings (Building 4) with application 1/11/07 1 Phase I Diagram and Phase II Diagram 1/11/07 1 Tom, Please find enclosed Structural Drawings for Flagship Estates Hyannis, LLC. Phase I -four (4) buildings and I have enclosed four (4) permit applications with the Structural Drawings. I have also included four (4) four checks for application fees and four (4) checks for permit fees. (See attached diagram of buildings Phase I - Building 1,2,3,4) The Architect refers to Building Type—A, B, C due to inside layouts. Building A— 5 Units, Building B—5 Units, and Building C—3 Units. Our Phase I will consist on One (1) Building A, One (1) Building B, and Two (2) Building C's. ADVANTAGE CONSTRUCTION, INC. Two Adams Place, Suite 100, Quincy, MA 02169 Telephone 781.848.8787 Fax 781.848.3774 www.advantageconstructioninc..com We would like to move forward with your approval for the foundations only at this time until the Architectural Drawings are completed for your review. I have also enclosed a set of progress drawings for you to familiarize yourself with the Townhouse Unit layouts. I will be putting a package together for the Hyannis Fire Department with all the drawings once completed. If you have any questions, please contact myself at 781-848-8787. ADVAN GE CONSTRUCTION INC. Don b'Neill Busi ess D Iopment cc: Construction File _--_ —_ The Commonwealth of Massachusetts Department of Industrial Accidents Office oflnvesti9fidons 600 Washington Street, e Floor -- ,a Boston,Mass. 02111 ' Workers' Compensation Insurance Affidavit:Buildin /Plumbin /Electrical Contractors name: address: Qfl ` �( ci state: zi . hone#�\ � v work site location full address): ❑ I am a homeowner performing all work myself. Project Type: ETIVwoi Construction[]Remodel ❑ I am a sole proprietor and have no one Working in an capacity._ BuildingAddition em lo erproviding workers' coin e�y��yation for my employees workine on this inh. V. ❑ I am a sole proprietor,general contractor,or homeowner(circle one)and have.. ed the contractors listed below who have the following workers' compensation polices: _ _ x};ow...,•.,k. r'. „Hxt'#Ihn#ti�:,$ •:�Y: 2''d4: +�.+ G' e" ;> `ttif.`"� f�,#r. .«,�c't; ,�.T ..Y.,.•y.a x.:•. S:•^3:�4i'. ;tz. .< ,+e.J;r• 'K" "ti(7�^'i>f:'�i:r.:`ft�ti,�n4. '`S• '6y4V3cr�S•1:.�. �•R',��K 4ini=;<%ZJ ,��.+� ''4rd' �S�!'.'r.,. ♦ 4r1S Y•:y s e)' '.:u^i. .cI. ':C'. 'tL:f..,wi`�:J.v�"ti<,.s•..,•;.fin ,.,a,:',a - ,•I. p:c_, r7tkl .'; .Ys,` .,e.,< .,. ?:•.J'>-�',:.•.k.;;.:Y,,3. .�':: :;fib: zRr�x�rie)�r'.E :3;j'r:{:?i�.jr„ �•3'S�l)'d::'- ":Ma, i:4'_ffn..`bti:�'a.. ':<3'fA',;i..�'':T i^_t�-: r.YC�C)«:,. �,kw• _ - 'r' _ , ) ....,.:._..y.- R=...v <:.:+5-.,.�e y: -.•�:._x ">a<':�,,."ar:,v';'.SK.c:.,rc';�!'°4Yc rri.<'.. .:_.^.�::, _cam,: .: ,' ,V..•i. ,.e,,-r- ::.M.. .i,� ..•<!: ..FtA:,,- w,'"sr;;,C:.� ,.;,frw, •:'.1" �?t•:::t. x<...,�..':S,%' , { ••5,;• �.�?'r:d.A'. .:i '?4s+ `:::rr.r: .A,�, 4 S;Fv .,>. 5:�:::�+::' ''dri ,r f, •1�:,'... .��.4•G:� j}•.{SY,«:S• air.• z' '.r'�'' �..1'i:• i• vre� c.fi'�,r�' '4`.: 9r+3e> c`.?l•r ..l�t._ w GZ;f=��, .('��:.�rsF...�a,,: .3. . :, •r-„t ✓ ?• .t'�+u<•xi. 'r', 3 'kiS.2�`.'�r�.rsr.>.;^,:--s::.a...3'.: ''.itl<'l�Y.e�S3'i'�r>"•:.Y,�:: :@�i,'F„:•.a.. �d.'.a.. ��'•s:.•si�:sr•1.1 :: a .r. 7. .3 ,:,xt� ,.l: :!�?:`?'L:, -',•..}�'i'%'1y,,•F,r;�;tigi;);y:.c:;.':f.5;:•"=i� -;•i '.�.:..,4' }`f.5 .. ... `r :7< rK>J,•J ......,...•:'`i?!:'irc.n:vi,:?�t,,:_..`.<'K::j;., r' iY.H :i� .Y�a: ^6'v •.'1.±;':'z:.�<,•'IIOII .4l.:ni,lw .'�i:;•• .... ....:•. ...�... ';.. : f ..� ...._ ...•:.�..",-1�:..:•..u.r< RS,1Fy. ��'. .'.':5,,1t ti:L<. ::F:.i <V',,! r>;:.�. m 5,•<> ,.'S. ,r .;. ^f•:75. :BT:ir,� +i. =�/,q a� itx'<:<A .Y.i,° �j• -.xi; A'"t," e.o-' _ „";' .:...... ,.,:,•;a? Y'• "•%)::. .xi, '.{.r�..c-•. _ ,.cr:at�Y' :r •'•y'y"•?oc.:., :i •.te•;3'•..:. r..a`.:)...... ri�.: i.,,e .FiS�^.;..arF?:t, Jt r.'`:,.+:a��.r':A.'?:.ho ...c% 'K v:f. `yrc��b..'•'rv•,.g/ -tit': c:v d• t•?:Y,;,'._v',':��i+:. .'v' '!•r C••(x,sr.i e.d:...#I i•�,e�,i+i?..5.;.'i?�t; c.' r.l �' .t,.•�.L•�;. �?;NY'::•�f::'�� K'� .a, �`rx�-.?-.., :f,:,w:�'�`,'�'J�: '%�':! - "'r:�l-: ?••:•;Y• ..�:. •�.` ''ei:..".:Y�•'S1'+"fi,::1>.:.i.. ..}k,J+,'.l'ex:11..•`.':�r::x�`.I�..'".f'„��l'IFr.aFF,w.:.<,,r�1,q.,�!:r• _ _ _�1:-,t e . SIIS'U:reayl�. '.��sle :.:.. ,e,;...Y.�."•w.�<. :.......tr;,. ,:.7.r.r N,.:-. •.:, n.. ;=-.:5 'a':x.x;�t...•r'' `:a. A`' : ..a:.°"f-; •.a .,:'`;k. ';. a'" xa:.;.d.•' :�'t�s;R: .i.'1 _.. <�:.t; +;:k. r.< p ,xg Y+,:'?;�•YJ.fi j o�.: :atia�`4. a' '.a: �:x'...^! a�+w„S.'?j:,<. •`y.•, .:.;;..to ;N', •n,: %�.:. �.'<''�'saL: -w•r ;2F>. ,. = gS:T,'rb ":r ,a� .;.t': -:�.r r.:,•c'"'rt'"jrr _ �k .?J £!,�•',�:C:',.r.••k,� ,'>,.,.a•v':i °`�'::t"'St ,•,s. �}� ?�a Y,is ?:i .:lw<<� �.d.' r::F..:�'�.:;'' .1:;:�'•:' p.4,s.'}•'�?': :1...�xti:: .,eF..•1n:{,.,r.-a:cr2b_.. ..C'�^.';•":•p:� ,tt;•. •r4." .;^ii° :.r��` .^!. ...%'"p., _,f ,r ;},t.-. .ti-. 2.v .a tip.•t.,.34 e,x.";;'ur/�;,,;,rzfy'::y-d'.;t:�.'i 1� •>'!�:::.'•,4:w -i��f..4::��t.t .$,,'��.ti Srfi=R:f.�x.;r ec'i^r,'3';L'•'a•r �.��..>.}.,X... .i._ >.t;•: •r.. , .•.ter �a�� 7 .r1;•.,(:-� -.+13i :•a '':�.,°C<M�titix ,i::.:p e.'�.: <•Y.:'r;i.'•:::,_':\;,'S - NY+n°•*4tiVIr,• ,:S!�,:. t`i:�5:��' .�'tK.'. f.":vj.ws.•��.:`Y'L..�„2.yiYr':"<.�.u�;S�w>.'x..t'0.2.AY:u.'.:.,.<..�i�.':.•v:• s:,�4� u w - air.` �f• :a: ��..tt .:^.<. ...Y L'.•• :jy.•. .+3•' ,F�:'r''-%,af"F•�`~ ..�li:l..%:^.�r°.i.�;. ';IYr., ,'�. '.$:.:Q.:; N:�w:r'�'?;� rl'_Y��•. ref',+•` ..k. :.Zt" ::3�:. _�Y �.i• '.'5.�7:fi.. �iY. •F.w ,-�>.')•l c:,•.,... •�Vr GYfri:.i r:i-:"}',``�t'•�n.. - '."�'`. .%{� i5.v, ...4.J "a':.5•�a:i'�lr'r<i.ciJ.: ''c.,);:: .•rx::..z...,. ..sGt.S •.rS :°,r:''�;i, r..:n- *,4 y,t:;qr.,. .y^ ,b• :•=:y•^,.': '•.y.:.�a'•§; �: c;�'�y. �':.�y: »�. ..`e<, '4`;h�sov ••h, •':`-,��:'qo 'h..S. .;,�•..>¢::ai.�' t;Y ✓<:;� 'tSt,i• •.ti2':.t:'t:•,ii><<'•r ".r^,. i:i �• .':'.j_..b:�=r. ,�s .-ii S:;yy' h: .:K '3rYs�C�arYc C6^:n:,'i..M�'i.i�__ :�:i.-• r'e:o.:w a.: •.'S:Y�sv ....,.•t!• �z �n.'�;'.Sa?•.'.: :'�':z�_'<<•: 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 agOnst.me. I understand that a copy of this statement maybe forwarded to the Office of Investigations of the DIA for coverage verification. I do here cer' and r the ins and penalties of perjury that the information provided above is true and correci. Signature Date Print name ��-� _Phone# �4� z,(4 official use only do not write in this area to be completed by city or town official city or town: ___ permit/license# ❑Building•Department' E)Licensing Board ❑check if immediate response is required []Selectmen's Office ❑Healtb Department contact person: phone#;' []Other (revised Sept 2003) ' Town of Barnstable regulatory Services ants, ' Thomas F.Geiler,Director 9 Muss. 1639.�per. Building Division Tom Perry, Building Commissioner 200 Main Street, Hyannis;MA 02601 www.town.barnstable;ma.us Fax: 508-790-6230 Office: 508-862-4038 Property Owner Must Complete and Sign This Section If Using A Builder l 7Xle, � I, as owner of the subject property hereby authorize: o� o�.r �2 to act on my behalf,. in all matters relative to wo authorized by this building permit application for: (Address of Job) 109 nature o r Date Print Name Q:F0RMSz0WNI gpgRNMSI0N f BUILDING PERMIT FEES APPLICATION FEE ` New Buildings,4rddiduffs Alterations/Renovations $100.00 Building Permit Amendment $50.00 FEE VALUE WORKSHEET NEW BUILDINGS square feet x$140.00/sq.foot= x.0081= ALTERATIONS/RENOVATIONS OF EXISTING SPACE square feet X$96/sq.foot= X.0081= STORAGE BUILDINGS ONLY square feet X$32.00/sq.foot= X.0081 Y, �)o 317 Commprojeost Rev;063004 DEC-6.-2Q06 •12:25P FROM:WEST WIND FLP (508)771-2061 TO: 17818483774 P.3 I i ' RISE Town of Barnstable 200 Main Street, Hyannis,Massachusetts 02601 • aABNSTAWIM 1639. �,� Growth Management Department Thomas A. Broadrick, AICP tfb MA'S 367 Main Street,Hyannis,Massachusetts 02601 Director of Regulatory Review Phone(508)862-4785 Fax(508)862-4725 www.town.barnstable.ma.us June 30, 2006 Ginsburg Assets Management LLC C/o Daniel Adams P. O_ Box 901 West Barnstable, MA 02668 RE: Site Plan Review 4073-05—Ginsburg—350 Stevens Street, Hyannis Map 308,Parcel 004 Dear Mr. Adams: The Site Plan Review Committee has reviewed the above proposal and the Building Commissioner has determined that the plans could be administratively approved subject to the following conditions: • Plans dated December 12, 2005, revised December 21, 2005 and March 14, 2006, Sheets 1-8,prepared by B S C Group, West Yarmouth, MA will need to be finalized and revised to incorporate the conditions of this letter. Said comprehensive revised i plan will need to be submitted for administrative approval by the Building Commissioner, prior to the issuance of a building permit. All construction shall be in compliance with this final approved site plan. • The number of bedrooms will need to be added to the Zoning Compliance.Table on the Title Sheet of the revised plan. • A letter of compliance with the Town's Design and Infrastructure Plan will need to be obtained from the Growth Management Department. • Outdoor parking space dimensions will need to reflect a 19 ft, length on the revised plan, instead of 18 ft.length as currently shown. • The garage parking spaces should depict a typical car size on the revised plan and shall demonstrate adequate vehicular access within the garage of at least fourteen (14) feet • The water main construction shall be in compliance with the revised, approved, signed plans by Mark Dibb,PE dated 2/13/06, which plan.is the basis for the approval letter from Hans Keijser, Water Supply Division,Department of Public Works, as he states that plan incorporates'and addresses all issues included in his memo to the applicant dated 02/09/06. • The Hyannis Fire Department.must review and approve a plan showing the water main 1 tie at Stevens Street and Main Street, and the tie at Stevens Street and North Street. • The cross pitch of the sidewalk needs to indicate drainage toward the road, as shown in the"concrete sidewalk detail" on sheet 7 of 8 of the referenced plans. . DEC-6-2006 12:25P FROM:WEST WIND FLP C5oe)771-2061 T0:17818483774 P.4 • .All permits, licenses and approvals required will need to be obtained. • Upon completion of all work, a registered engineer or land surveyor shall submit a letter of certification,made upon knowledge and belief in accordance with professional standards that all work has been done in substantial compliance with the approved site plan(Section 240-105(G). This document shall be submitted prior to the issuance of the final certificate of occupancy. No occupancy permits shall be issued for any of the 29 units until such time as the developer executes a monitoring agreement and deed restrictions in a form approved by the Town Attorney in which the developer agrees to sell three of the twenty-nine units to a governmental agency or non-profit who shall offer said units for sale or lease to a qualified affordable purchaser or tenant whose income is at 65% of the area median income based upon household size.. The initial selling prices for each unit shall be based upon a formula under which monthly housing costs,including mortgage payments, taxes, insurance, and condominium association.fees, shall not exceed 30% of 65% of the area median income based upon household size. The affordable units shall be integrated with the development and shall be compatible in design, construction and quality of material with the other units and otherwise comply with the provisions of Section 9 of the Code of the Town of Barnstable. Such units shall be depicted on the revised plan showing the location and mix of units proposed. ® No occupancy permits shall be issued for any of the 29 units until the developer either 1) deposits $50,000 with the Town Treasurer for completion of the sidewalk or 2) constructs to the satisfaction of the Town Engineer a concrete sidewalk 5.5 feet wide with granite curbing in the area along Stevens Street from Main Street to North Street. This letter is issued for the applicant to proceed directly to a building permit application with the Building Commissioner or toward Regulatory Agreement 2006-01 as scheduled with the Planning Board June 26, 2006. Sincerely, �Z'dze - Ellen M. Swiniarski - - - - Sec, to Planning Bd. and SPR Coord. cc: Planning Board File Thomas Perry, Building Commissioner Site Plan Review File l DEC-6-2006 12:2GP FROM:WEST WIND FLP (508)771-2061 T0:17818483774 P.5 tq Massachusetts Department of Environmental Protection DEP File Number: Bureau of Resource Protection - Wetlands �L WPA Form 5 — Order of Conditions SE3-4489 Provided by DEP Massachusetts Wetlands Protection Act M.G.L. c. 131, §40 And Chapter 237 of the Code of thb Town of Barnstable A. General Information important: From: When filling out forms on Barnstable the computer, Conservation Commission use only the tab key to This issuance if for (check one): move your cursor-do ® Order of Conditions not use the return key. ❑ Amended Order of Conditions To: Applicant: Property Owner (if different from applicant): Ginsberg Asset Manaqement LLC Name Name P.O. Box 901 Mailing Address Mailing Address W. Barnstable MA 02668 Cityrrown State Zip Coda cityrrown State Zip Code 1. Project Location: 350 Stevens Street Hyannis Street Address Village 308 004 Assessors Map Number Parcel Number 2. Property recorded at the Registry of Deeds for: Barnstable 7397 019 County Book Page Certificate(If registered land) 3. Dates:- - - - - - January 25, 2006 February 28, 2006 WAR 17 2006 Date Notice of Intent Filed Date Public Hearing Closed Date of Issuance 4. Final Approved Plans and Other Documents (attach additional plan references as needed): Site Plan 1/19/06 Title Date Title Date Title Date 5. Final Plans and Documents Signed and Stamped by: Mark Dibb, P.E. Name 6. Total Fee: $1,050.00 (from Appendix B:Wetland Fee Transmittal Form) BWPAForrrS.doc-rev 9121105 Page 1 of ` DEC-61-200S '12:26P FROM:WEST WIND FLP (508)771-2061 T0:17e1e4e3774 P.6 Massachusetts Department of Environmental Protection oEP File Number: Bureau of Resource Protection - Wetlands WPA Form 5 Order of Conditions SEidedby • uari3-4489 ��e. • Provided by DEP Massachusetts Wetlands Protection Act M.G.L. c, 131, §40 And Chapter 237 of the Code of the Town of Barnstable B. Findings Findings pursuant to the Massachusetts Wetlands Protection Act; Following the review of the above-referenced Notice of Intent and based on the information provided in this application and presented at the public hearing,this Commission finds that the areas In which work is proposed is significant to the following interests of the Wetlands Protection Act. Check all that apply: ❑ Public Water Supply ❑ 1-and Containing Shellfish ® Prevention of Pollution ❑ Private Water Supply ❑ Fisheries ® Protection of Wildlife Habitat ❑ Groundwater Supply, ® Storm Damage Prevention Z Flood Control Furthermore,.this Commission hereby finds the project, as proposed,is:(check one of the following boxes) Approved subject to: ® the following conditions which are necessary, in accordance with the performance standards set forth in the wetlands regulations,to protect those interests checked above.This Commission orders that all work shall be performed in accordance with the Notice of Intent referenced above, the following General Conditions, and any other special conditions attached to this Order.To the extent that the i following conditions modify or differ from the plans, specifications, or other proposals submitted with the Notice of Intent, these conditions shall control. Denied because: ❑ the proposed work cannot be conditioned to meet the performance standards set forth in the wetland regulations to protect those Interests checked above. Therefore, work on this project may not go forward unless and until a new Notice of Intent is submitted.which provides measures which are adequate to protect these interests, and a final Order of Conditions Is issued. ❑ the information submitted by the applicant is not sufficient to describe the site,the work, or the effect of the work on the interests identified in the Wetlands Protection Act.Therefore, work on this project may not go-forward unless and until-a revised-Notice-of Intent is submitted which provides sufficient . information and includes measures which are adequate to protect the Act's interests, and a final Order of Conditions is issued. A description of the specific information which is lacking and why it is necessary is attached to this Order as per 310 CMR 10.05(6)(c). General Conditions (only applicable to approved projects) 1. Failure to comply with all conditions stated herein, and with all related statutes and other regulatory measures, shall be deemed cause to revoke or modify this Order. 2. The Order does not grant any property rights or any exclusive privileges; It does not authorize any injury to private property or invasion of private rights. 3. This Order does not relieve the permittee or any other person of the necessity of complying with all other applicable federal, state, or local statutes, ordinances, bylaws, or regulations: Page 2 of 7 BWPAFormS.doc•rev.=1105 f DEC-6-2006 12:27P FRDM:WEST WIND FLP (508)771-2081 T0:17818483774 P.7 Massachusetts Department of Environmental Protection DEP File Number Bureau of Resource Protection - Wetlands WPA Form 5 -- order of Conditions . sE Provided b byy DEP "�Eo„�,� Massachusetts Wetlands Protection Act M.G.L. c. 131, §40 And Chapter 237 of the Code of the Tow_n of Barnstable B. Findings (cont.) 4. The work authorized hereunder shall be completed within three years from the date of this Order unless.either of.the following apply: a. the work is a maintenance dredging project as provided for in the Act; or b. the time for completion.has been extended to a specified date more than three years, but less than five years, from the date of issuance. If this Order is intended to be valid for more than three years, the extension date and the special circumstances warranting the extended time period are set forth as a.special condition in this Order. 5. This Order may be extended by the issuing authority for one or more periods of up to three years each upon application to the issuing authority at least 30 days prior to the expiration date of the Order. 6. Any fill used in connection with this project shall be clean fill. Any fill shall contain no trash, refuse, rubbish, or debris, including but not limited to lumber, bricks, plaster, wire, lath, paper, cardboard, pipe, tires, ashes, refrigerators, motor vehicles, or parts of any of the foregoing. 7. This Order is not final until all administrative appeal periods from this Order have elapsed, or if such an appeal has been taken, until all proceedings before the Department have been completed. 8. No work shall be undertaken until the Order has become final and then has been recorded in the Registry of Deeds or the Land Court for the district In which the land is located,within the chain of title of the affected property. In the case of recorded land,the Final Order shall also be noted in the j Registry's Grantor Index under the name of the owner of the land upon which the proposed work is to be done, In the case of the registered land, the Final Order shall also be noted on the Land Court Certificate of Title of the owner of the land upon which the proposed work Is done.The recording information shall be submitted to this Conservation Commission on the form at the end of this Order, which form must be stamped by the Registry of Deeds, prior to the commencement of work. 9. A sign shall be displayed at the site not less then two square.feet or more than three square feet in size bearing the words, "Massachusetts Department of Environmental Protection" [or, "MA DEP"] "File Number SE3 - 4489 " 10. Where the Department of Environmental Protection is requested to issue a Superseding Order, the Conservation Commission shall be a party to all agency proceedings and hearings before DEP. 11. Upon completion of the work described herein, the applicant shall submit a Request for Certificate of Compliance (WPA Form 8A) to the Conservation Commission. 12. The work shall conform to the plans and special conditions referenced in this order. 13. Any change to the plans identified in Condition#12 above shall require the applicant to Inquire of the Conservation Commission in writing whether the change is significant enough to require the filing of a new Notice of Intent. 14. The Agent or members of the Conservation Commission and the Department of Environmental Protection shall have the right to enter and inspect the area subject to this Order at reasonable hours to evaluate compliance with the conditions stated in this Order, and may require the submittal of any data deemed necessary by the Conservation Commission or Department for that evaluation. BWPA-om5.doo•rev.GM105 Papa 3 017 DEC-6-2©06 ' 12.27P FROM:WEST WIND FLP C508)771-2061 TO:17818483774 P.8 Massachusetts Department of Environmental Protection DEP He Number: ' Bureau of Resource Protection - Wetlands WPA Form 5 - Order of Conditions SE3-4489 erMUM Provided by DEP ,'°19, ► Massachusetts Wetlands Protection Act M.G.L. c, 131, §40 fD►M'� . And Chapter 237 of the Code of the Town of Barnstable B. Findings (cont.) 15. This Order of Conditions shall apply to any successor in interest or successor in control of the property subject to this Order and to any contractor or other person performing work conditioned by this Order. 16_ Prior to the start of work, and if the project involves work adjacent to a Bordering Vegetated Wetland, the boundary of the wetland in the,vicinity of the proposed work area shall be marked by wooden stakes or flagging. Once in place, the wetland boundary markers shall be maintained until a Certificate of Compliance has been issued by the Conservation Commission. 17. All sedimentation barriers shall be maintained in good repair until all disturbed areas have been fully stabilized with vegetation or other means. At no time shall sediments be deposited in a wetland or water body. During construction, the applicant or his/her designee shall inspect the erosion controls on a daily basis and shall remove accumulated sediments as needed. The applicant shall immediately control any erosion problems that occur at the site and shall also immediately notify the Conservation Commission,which reserves the right to require additional erosion and/or damage prevention controls it may deem necessary. Sedimentation barriers shall serve as the limit of work unless another limit of work line has been approved by this Order. see attached Findings as to municipal bylaw or ordinance Furthermore, the Barnstable hereby finds (check one that applies):. Conservatlon Commission that the proposed-work cannotbe conditioned-to meet the standards set forth in-a municipal ordinance or bylaw specifically: Chapter 237 of the Code of the Town of Barnstable Municipal Ordinance or Bylaw cutlon Therefore, work on this project may not go forward unless and until a revised Notice of Intent is submitted which provides measures which are adequate to meet these standards, and a final Order of Conditions is issued. ❑ that the following additional conditions are necessary to comply with a municipal ordinance or bylaw, specifically: Chapter 237 of the Code of the Town of Barnstable Municipal Ordinance or Bylaw Citation The Commission orders that all work shall be performed in accordance with the said additional conditions and with the Notice of Intent referenced above. To the extent that the following conditions . modify or differ from the plans,.specifications, or other proposals submitted with the Notice of Intent, the conditions shall control. BW PAFormS.doc-rev.M1105 - - PAp 4 of 7 DEC-6,-2006 . 12:28P FROM:WEST WIND FLP (508)771-2061 TO:17818483774 P.9 } SE34489 . Name Ginsberg Asset Management LLC Approved Plan= January 19,2006 Site Plan by Mark Dibb,P.E. Special Conditions of Approval I. Preface Caution,Failure to comply with all Conditions of this Order of Conditions can have serious consequences. The consequence.may include issuance of a stop work order,fines,requirement to remove unpermitted structures,requirement to re-landscape to original condition,inability to obtain a certificate of compliance, and more- The General Conditions of this Order begin on page 2 and continue on pages 3 and 4. The Special Conditions are contained on pages 4.1,4.2 and 4.3 if necessary.All conditions require your compliance. H. Prior to the start of work, the following conditions shall be satisfied: 1. Within one month of receipt of this Order of Conditions and prior to the commencement of any work approved herein,General Condition number 8 (recording requirement)on page 3 shall be complied with. 2. It is the responsibility of the applicant,the owner and/or successor(s) and the project contractors to ensure that all conditions of this Order are complied w U'L The applicant shall provide copies of the Order of Conditions and approved plans(and any approved revisions thereof) to project contractors prior to the start of work. Barnstable Conservation Commission Forms A and B shall be completed and returned to the Commission prior to the start of work.- 3. General Condition 9 on page 3 (sign requirement)shall be complied with. 4. The Conservation Commission shall receive written notice 1 week in advance of the start of work. 5. The work limit line shown on the approved plan shall be staked in the field by the project surveyor/engineer. 6. Staked strawbales backed by trenched-in siltation fencing shall be set along the approved work limit line. Effective sediment controls shall remain until the site is stabilized with vegetation. III. The following additional conditions shall govern the project once work;begins: 7. General conditions No. 12 and No. 13 (changes in plan)on page 3 shall be complied with. 8. General condition No, 17 (maintaining sediment controls)on page 4 shall be complied with, p.4,1 DF-C-6-2QO6 . 12:28P FROM:WEST WIND FLP (508)771-2061 TO:17818483774 P.10 9. The work limit shown on the approved plan shall be strictly observed. e 10. The Conservation Commission, its employees, and its agents shall have a right of entry to inspect for compliance with the provisions of this Order of Conditions. 11, This permit is valid for 3 years from the date of issuance, unless extended by the Commission at the request of the applicant. Caution: a future Amended Order does not change the expiration date. 12. Any fill used for this project shall be clean fill. Fill shall contain no trash,refuse,rubbish, or debris. 13. Drywells or graveled trenches along the drip lines shall be installed to accommodate roof runoff. 14. During construction, no area shall be left unmulched or unvegetated for more than 30 days. All areas disturbed during construction shall be revegetated immediately following completion of work at the site. Mulching shall not serve as a substitute for the requirement to revegetate disturbed areas at the conclusion" of work. IS. Groundwater monitoring wells shall be appropriately abandoned when timely, 16, All proposed lawn areas shall be underlain with a minimum of 6 inches of loam" 17. Herbicide,pesticide and fertilizer use is discouraged on lawns within Conservation Commission l jurisdiction. If fertilizer is used,only slow:release low-nitrogen fertilizer(with 30-50% water insoluble nitrogen or'W.I.N') shall be applied. Over-fertilizing shall be avoided(not-to-exceed limit= 1 pound of nitrogen per 1,000 sq. ft. of lawn per application).Ensure that no fertilizer is spread on hard surfaces like driveways and sidewalks. IV. After all work is completed, the following condition shall be promptly met: 18. At the completion of work,or by the expiration of this Order,the applicant shall request in writing a Certificate of Compliance for the work herein permitted. Barnstable Conservation Commission Form C. shall be completed and returned with the request for a Certificate of Compliance. Where a project has been completed in accordance with plans stamped by a registered professional engineer,architect,landscape architect or land surveyor,a written statement by such a professional person certifying substantial compliance with the plans and setting forth what deviation,if any,exists with the record plans approved in the Order shall accompany the request for a Certificate of Compliance. At the time of the request for a Certificate of Compliance;an updated sequence of color photogTaphs of the undisturbed buffer zone shall be also submitted. p.4.2 DEC-6-2006 . 12:28P FROM:WEST WIND FLP (508)771-2061 TO:17818483774 P.11 Massachusetts Department of Environmental Protection DEP File Number: Bureau of Resource Protection - Wetlands WPA Form 5 - Order of Conditions sE3- 4489 'DIEDµ; Massachusetts Wetlands Protection Act M.G.I.. c. 131 , §40 Provided by DEP And Chapter 237 of the Code of the Town of Barnstable B. Findings (cont.) Additional conditions relating to municipal ordinance or bylaw: This Order is valid for three years, unless otherwise specified as a special condition pursuant to General Conditions #4, from the date of issuance, Date This Order must be signed by a majority of the Conservation Commission, The Order must be mailed by certified mall (return receipt requested) or hand delivered to the applicant. A copy also must be mailed or, hand delivered at the same time to the appropriate Department of Environmental Protection Regional i Office (see Appendix A) and the property owner (if different from applicant). Signatures: On Of Day Month and.Year before me personally appeared to me known to be the person described in and who executed the foregoing instrument and acknowledged that he/she executed the same as his/her free act and deed. Notary Public My Commission Expires This Order is issued to the applicant as follows: ❑ by hand delivery on Date by certified mail, return receipt requested, on MAR 17 2006 Print Name Signature Date BWPAFortn5.doo-rev,SIV/05 Pape 5 of 7 DEC-&-2006 • 12:29P FROM:WEST WIND FLP (508)771-2061 T0:1781e483774 P.12 Massachusetts Department of Environmental Protection DEP File Number: Bureau of Resource Protection - Wetlands WPA Form 5 - order of Conditions Provided byy DEP Massachusetts Wetlands Protection Act M.G.L. c. 131, §40 And Chapter 237 of the Code of the Town of Barnstable C. Appeals The applicant,the owner, any person aggrieved by this Order, any owner of land abutting the land subject to this Order, or any ten residents of the city or town in which such land is located, are hereby notified of their right to request the appropriate DEP Regional Office to issue a Superseding.Order of Condltlons. The request must be made by certified mail or hand delivery to the Department, with the'appropriate filing fee and a completed Appendix E: Request of Departmental Action Fee Transmittal Form, as provided in 310 CMR 10.03(7)within ten business days from the date of issuance of this-Order. A copy of the request shall at the same time be sent by certified mail or hand delivery to the Conservation Commission and to the applicant, if he/she is not the appellant. The request shall state clearly and concisely the objections to the Order which is being appealed and how the Order does not contribute to the protection of the interests identified in the Massachusetts Wetlands Protection Act, (M.G.L. c, 131, § 40) and is inconsistent with the wetlands regulations (310 CMR 10.00). To the extent that the Order is based on a municipal ordinance or bylaw, and not on the Massachusetts Wetlands Protection Act or regulations, the Department has no appellate jurisdiction. D. Recording Information This Order of Conditions must be recorded in the Registry of Deeds or the Land Court for the district in which the land is located, within the chain of title of the affected property. In the case of recorded land, the j Final Order shall also be noted in the Registry's Grantor Index under the name of the owner of the land subject to the Order. In the case of registered land, this Order shall also be noted on the Land Court Certificate of Title of the owner of the land subject to the Order of Conditions. The recording information on Page 7 of Form 5 shall be submitted to the Conservation Commission listed below. 8amstable Conservation Commission I BWPAForrnS.doc•rev.9121105 Paoa 6 of 7 f DEC-5-2006. 12:29P FRON:WEST WIND FLP (508)771-2061 TO:17818483774 P.13 Massachusetts Department of Environmental Protection DEP File Number: Bureau of Resource Protection - Wetlands WPA Form 5 - Order of Conditions SE3-4489 x�sa Provided by DEP r�oy►�'� Massachusetts Wetlands Protection Act M.G.L. c. 131, §40 And Chapter 237 of the Code of the Town of Barnstable D. Recording Information (cont.) Detach.on dotted line, have stamped by the Registry of Deeds and submit to the Conservation Commission. --------------------------------------------------------------------------------------------------------------------------- To: Barnstable Conservation Commission Please be advised that the Order of Conditions for the Project at: 350 Stevens Street, Hyannis, MA SE3-4489 Project Location DEP File Number Has been recorded at the Registry of Deeds of: Barnstable County Book Page for: Property Owner and has been noted in the chain of title of the affected property in: gook Page In accordance with the Order of Conditions issued on: Date If recorded land, the instrument number identifying this transaction is: Instrument Number If registered land, the document number identifying this transaction is: Document Number Signature of Applicant i aWPAFarmS.d=•rev.W1105 Pape 7 of 7 �y�'cFTHE Tpk, Town of Barnstable Regulatory Services w BAMSTABM MASS. - Thomas F. Geiler, Director �ArFDNIa�A,� Building Division Thomas Perry, CBO Building Commissioner 200 Main Street, Hyannis, MA 02601 www.town.ba rnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 MEMO TO: Joseph Lambalot FROM: Debi Barrows DATE: September 12, 2007 RE: 350 Stevens Street, Hyannis The following applications 200700489,200700490 and 200700486 were entered as commercial instead of residential. In order to correct this error the following applications 200704737, 200704739 and 200704740 fees have been adjusted to reflect.over charge. See below. Fees Over I'd 200700486 200700489 200700490 Application 50 50 50 Permit 1875 1875 1125 Cert. Occupancy 75 75 75 2,000 2,000 1,250 200704740 200704737 200704739 Permit Fees 1,921.88 1,921.88 1,153.13 Balance 78.12 78.12 96.87 / - REVISIONS: NO. DATE DESC. 1 . 3/15/07 NEW FOUNDATIONS ADDED / N/F PAULINE HOLMES I #294 STEVENS STREET I / ASSESSORS MAP 308 ' S PARCEL 6 � .• _8 i'47'25" E I r / 29.56' i z HYANNIS VILLAGE APPARTMENTS LLC #372 NORTH STREET / O I ASSESSORS MAP 308 �� C cv I �I 1 CERTIFY TO THE BEST OF MY 0 PARCEL 8 / / �g �`L z PROFESSIONAL KNOWLEDGE, INFORMATION in AND BELIEF THAT THE LOT CORNERS, DIMENSIONS AND SETBACKS TO THE / I w STRUCTURE AS DETERMINED BY INSTRUMENT SURVEY AND AS SHOWN ON THIS PLAN ARE N/F I `` STUBORN LTD PARTNERSHIP #300 STEVENS STREET CHID / ASSESSORS MAP 308 I / S PARCEL 5 0 81'47'25" 149.79' I I � �� o o �� I �• . O AUNT BETTYS / / �� .8 0' 0 14.0 1 �" O,�• �Jo 20 3' PROF SSIONAL LAND SURVEYOR DATE 4.0 I P OND Ry o EXISTING FOUNDATION I r fit, �, ai TOP OF FOUNDATION=26.3 I ��. '4 19 ), -0 0 . I FOUNDATION 14 Rq/H / ph d 20.3' Fo/r / 12.5 I AS — BUILT N / s 0 1 .o' N o I I LOT 1 3.0r N o' 4.0' s o.o / / a m 20.3 118,867±S.F. o 05 I I 20 p, ' 2.73f ACRES a �� 4. , OM ZONE 3 �a 4.0 I STEVENS STREET tiOcF0 1 O o 4. N Rs, .o m 3.0 3 4.0- 4.0' o 0 3.0 4 as I ►— HYANNIS C' p 4.0' j 2 1.0' Zj 78.0 0 19.0, •0' I 3 I Lv MASSAC H USETTS N/F BITUMINOUS CRABTREE LLC P VEMENT 4.0'4.p' 0 #426 NORTH STREET . I 1"C (BARNSTABLE COUNTY) ASSESSORS MAP 290 " 3.0' �--- PARCEL 96 I I0 EDGE OF BOR ERING \ �^� , 3.0 o VEGETATED TLAND \ �� 4.0 20.3' 4.0' z Cd o N � i MARCH 6, 2007 CO :� s LLJto o °°Is, ►- I ©� I I N g F I I I I I I ' I I N/F \ LOCUS INFORMATION C#71S0OMA NRSTREETA 1 W 'IS81'40 08 E* I ZON ASSESSORS MAP 308 PARCEL 7 N H�B ZON CURRENT OWNER: FLAGSHIP ESTATES HYANNIS LLC NO PREPARED FOR: TITLE REFERENCE: DEED BOOK 21472, PAGE 225 Mr. Donald F. O'Neill BITUMINOUS Z PLAN REFERENCE: BOOK '608, PAGE 35 Condyne, LLC PAVEMENT I /LU I ASSESSORS MAP: 308 Two Adorns Place, Suite 100 lo iN PARCEL: 4 Quincy, MA 02169 / CN LOT 1 O ZONING DISTRICT: OM SETBACKS: FRONT 20 LO LOT 2 SIDE 10� `� I � r��.w: •- :.: J N/F PETER & 18,985±S.F. I I REAR 10 CATHEIRINE 0.44f ACRES MURRAY HVB ZONE I MINIMUM LOT SIZE: 20,000 S.F. 349 Main Street, Unit D #712 MAIN ST. W. Yarmouth Massachusetts ASSESSORS W MAXIMUM BUILDING HEIGHT: 40' OR 3 STORIES MAP 308 02673 PARCEL 279 N EXISTING TOTAL LOT AREA: 118,867±S.F. (2.73±AC.) N I 0 508 778 8919 NITROGEN SENSITIVE 0 /I ZONE: NOT A ZONE II iC), 2007 The BSC Group, Inc. Z W FEMA FLOOD ZONE DISTRICT: C SCALE: lop = 40 S 89'36'40" W -L9 OVERLAY DISTRICT: AP ZONE o 5 10 20 Mai 75.16 � SEWER ACCOUNT NO. 3643 0 20 40 80 FEET —_ FIRE DISTRICT: HYANNIS PROJ. MGR.: C. FIELD STREET M A I� FIELD: P. HAGIST, M. DIBB CALC./DESIGN: P. HAGIST CDRAWN: P. HAGIST sou -rCHECK: C. FIELD FILE: 8648—AB2.DWG T s TR _--•- DWG. N0: 551 1 -05 SHEET 1 OF 1 --- _----- -- - -- ------------ --- _- JOB. NO: 4-8648.00