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0320 STEVENS STREET (13)
320 STEVENS STREET wac 3rd LbG YOU WISH TO OPEN A BUSINESS? For Your.Information: Business certificates (cost$40.00 for 4 years]. A business certificate ONLY REGISTERS YOUR NAME in town (which you must do by M.G.L. - it does not give you permission to operate.) YOII must first obtain the necessary signatures on this form at 200 Main St., Hyannis. Take the completed form to the Town Clerk's Office, 1 st Fl., 367 Main St., Hyannis, MA 02601 (Town Hall) and get the Business Certificate that is required by law. - - DATE: 2> Fill in please: :. APPLICANT'S. YOUR NAME/S: ,,. BUSINESS YO R HOME ADDRESS: 3--a-y 5�ed 2 cti C� (,k V� by 36J 30 ' TELEPHONE # Hom .Telephone Number. 5�c� 3 3a 3�{ NAME OF CORPORATION: NAME OF NEW BUSINESS Ce.t.i c3N'T CT%sJ -- - TYPE OF BUSINESS ;� (3 (LT)nlG IS THIS A HOME OCCUPATION? f YES. NO OZ(di ADDRESS OF BUSINESS' 02 yt C [A Wi. MAP/PARCEL NUMBE — —b (Assessing] When starting a new business there are several things you must do in order to be in compliance with the rules and regulations of the Town-of Barnstable. This form is intended to assist you in obtaining the information you may need. You MUST GO TO 200 Main St. — [corner of Yarmouth Rd. & Main Street)...to make sure you have the appropriate permits and licenses required to legally operate your business in this town. - 1. BUILDING COM SS10 ER'S OFFICE This individu I ha`s n for f any ermit requirements that pertain to this type of busirMUST COMPLY WITH HOME OCCUPATION RULES AND REGULATIONS. FAILURE TO "a Aut e Sig re** COMPLY MAY.RESULT IN FINES. OMMENT _ l .1 2. BOARD OF EALTH . This individual has.been informed of the permit requirements that pertain to this type of business, Authorized Signature* COMMENTS: 3. CONSUMER AFFAIRS (LICENSING AUTHORITY) This.individual has been informed of the licensing requirements that pertain to this type of business. Authorized Signature* COMMENTS: Town of Barnstable Regulatory Services Richard V.Scali,Interim Director Building Division 639. `0g' Tom Perry,Building Commissioner 6 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-.790-6230 Approved: Fee: Permit#: HOME OCCUPATION REGISTRATION Date: 1!I;Y o ff f .Name: Ck. IRA a Gk 4C`C 1C4X)V: ( Phone 3 o C I #: �O� c"S63 3 Address: : Name of Business: Co(\J-M A, Z!t'J. Type of Business:'G'tJ.JE� �t�r Map/Lot EN71NT: It is the intent of this section to allow the residents of the Town of Barnstable to operate a home occupation within single family dwellings,subject to the provisions of Section 4-1.4 of the Zoning ordinance,provided that the activity shall not be discernible from outside the.dwelling: there shall be no increase in noise or odor;no visual alteration to the premises which would suggest anything other than a residential use;no increase in traffic above normal residential volumes;" and no increase in air or groundwater pollution. After registration with the.Building Inspector,a customary home occupation shall be permitted as of right subject to the following conditions: - • The activity is carried on by the permanent resident of a single family residential d that dwelling unit welling unit,located within . • Such use occupies no more than 400 square feet of space. • There are no external alterations to the dwelling which are not customary in residential buildings,and there is no outside evidence of such use: • No traffic will be generated in excess of normal residential volumes. ' • The use does not involve the production of offensive noise,vibration,smoke;dust or other particular matter, odors,electrical disturbance,heat,glare,humidity or other objectionable effects. • There is no storage or use of toxic or hazardous materials,or flammable or explosive materials,in excess of normal household quantities. ; • Any need for parking generated by such use shall be met on the same lot containing the Customary Home Occupation,and not within the required front yard. • There is no exterior storage or display of materials or equipment. • There are no commercial vehicles related to the Customary Home Occupation,other than one van or.one pick-up truck not to exceed one ton capacity,and one trailer not to exceed 20 feet in length and not to exceed 4 tires,parked on the same lot containing the Customary Home Occupation. • No sign shall be displayed indicating the Customary Home Occupation. • If the Customary Home Occupation is listed or advertised as a business,the street address shall not be - included. • No person shall bemployed in the Customary Home Occupation who is not a permanent resident of the dwelling unit. I,the undersigned,have read d e with the above restrictions for my home occupation I am registering. Applicant: Date Homeoadoc Rev 103119 04/15/2011 20:44 5087785010 TUPPERCO PAGE 01/01 4111) CONSTRUCTION CO. LL TUPPERr 798 MID-TECH DRIVE,WEST YARMOUTH. MA 02673 PHONE: 603-778-0111 FAX: 508-778-6010 'WWW,TUPPERCO.COM Date: Town of Barnstable Thomas Perry CBO 200 Main Street Hyannis, Ma 02601 (508) 790-6230 fax Re: Insulation Permits Dear Mr. Perry This affidavit is to certify that all work completed for permit application # o 025 20 Issued on 2 has been inspected by a certified Building Performance Institute (BPI) inspector: All work performed meets L, Ln ef exceeds deral and State requirements. z - in ly ' ,. a rl�Q Rich Tu per License # CS-69058 TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION � �3Map Application � Health Division Date Issued A 1, Conservation Division Application Fee Planning Dept. Permit Fee it IPA Historic. .Date Definitive Plan Approved by Planning Board Historic - OKH Preservation / Hyannis Project Street Address _ �Z� xlgz u_ 4—� . (2, HA 02l�bf Village L Z-Aa sd Owner a,17 - �. C9a''L_ Address c�lZ® Telephone fib 771 %266 - Permit Request Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation S Construction Type -.Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family (# units) Age of Existing Structure Historic House: ❑Yes ❑ No On Old King's Highway: ❑Yes ❑ No Basement Type: ❑ Full ❑ Crawl ❑Walkout ❑Other Basement Finished Area (sq.ft.) Basement Unfinished Area (sq.ft) Number of Baths: Full: existing new Half: existing new Number of Bedrooms: existing _new Total Room Count (not including bath# existing new First Floor Room Count Heat Type and Fuel: ❑ Gas ❑ Oil . ❑ Electric ❑ Other Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑ No Detached garage: ❑ existing ❑ new size_Pool: ❑ existing ❑ new size _ Barn: L15 sting Leew g ize_ 41 Attached garage: ❑existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: `- � _ ss� Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes ❑ No If yes, site plan review# co Current Use Proposed Use a APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name 0_cxT�lephone Number Address License# (N PtTk i"/ (9 20'73 Home Improvement Contractor# o21 yJ� Worker's Compensation # htW CC 5od559 30/Zol 21 ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL 131=TAKEN TO 0/ L ©Z1o73 SIGNATURE DATE Y/ FOR OFFICIAL USE ONLY , " ' APPLICATION# DATE ISSUED i S; MAP/PARCEL NO. { ADDRESS VILLAGE OWNER DATE OF INSPECTION: FOUNDATION. . . FRAME {r INSULATION ! FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT ASSOCIATION_ PLAN NO. _ r OWNER AUTHORIZATION FORM (Owner's Name) owner of the property located at 32 > Sf"eAS St., c2- , f (Property Address) (Property Address) hereby authorize (Subcontracto an authorized subcontractor for RISE Engineering,to act on my behalf to obtain a building permit and to perform work on my property. es Signature Date I It3ti11.d31NLa i^t ttt tl5 it 1.1wl11 ye,INC: massacks setts-Depa trnent:Qf Public Safety N 107 k4errn85 Road,SWe 110 O-Board of Building.Regtilations and Standards Malta,NY 12020 �'t�E1tik['�3ctiitt7 tiu�s.�-i sis,3r [877)274-1274 Licehses CS-069068 www.bpi.c om F RICHARD S TtJPPCit15 O .Ml „ 798 M"[D-TECHTIR �, ° 1 WEssr YAAMOvTH l 73 RWtard Tu lr ' "t ✓ ,, �< Empiration .($EE REV RS SfO FDR OE tf4 $ 9AATK#F f 5,. C Omaat's s teams r 121311264 „R � 'f fnka `�. �� S�G�.f E � � ��-���✓✓✓ R X O J E ffia,;m C,Owmee rfiha Bc H stueatt=kc i it su g L eisttsti 5 Type,, xi 3 , RICHARD l3 P6#�„ E f - 2$Robert Cr aderserretary UV:.YARtv1 U1'H, IS q' .. I The Commonwealth ofMassachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston, MA .02111 www.massgov/dia Workers' Compensation.Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name (E3us ness/(7rgaliizatitiniIndtvidual): Tupper Construction Co. , LLC Address: 79B Mid Tech Drive City/State/Zip-. West Yarmouth, MA. 02673 Phone#: 508-778-0111 Are you an employer?Check the appropriate box: Type of project(required): 1.❑X.'1 am a employer with 4. ❑ 1 am a general contractor and i 6 New construction employees(full.and/or part-time).* have hired the subcontractors- 2.❑ 1 am a sole proprietor or partner- listed on the attached sheet.+ 7. ❑Remodeling ship and have no employees These sub-contractors have 8: ❑Demolition working for me in any capacity. workers'comp. insurance. 9. ❑Building addition [No workers' comp. insurance 5. ❑ We are a corporation and its required.] officers have exercised.their 10.{❑Electrical repairs or additions 3.❑ [.am.a homeowner doing all work right of exemption per MU l l.❑Plumbing repairs or additions myself.[No workers'comp. c. 152, l(4),and we have no 12.❑Roof repairs insurance required.]t employees.[No workers' l3.❑other comp, insurance required:] *Any applicant that checks bogy:#]..must also fill out the section below showing their workers'compensation policy information. { t Homeowners who submit this affidavit indicatingthey 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 their workers'comp.policy information. lam an.employer that°is providing workers'compensation insurance foamy employees. Below is the policy andjob site information. Insurance Company Name: AEI C Policy#or Self-ins.Lic.#. WCC.µ 5 0 0 5 5 9.3 012:012 Expiration Date: 1 Q/0.3/2 013. Job Site Address: 320 [QalP 51�= C�Z CityrState0p; . Q1.U1 IHA b Z(oC)I Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required cinder Section 25A of MGL c. 152 can lead to the imposition of criminal penalties o.f a fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a_STOP WORK.ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify underWmpains and penalties of perjury that the information provided above is true and correct. Si nature: 0 Date: Z15 f Phone#: 50 g 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#: t7§c. '9' 2012 4:"17PM No. 8524 P, 1/2 AGur;cut CERTIFICATE OF LIABILITYINSURANCE DATE(MM@DNWYI 12/19/2012 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE.OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURERS) AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder Is an ADDITIONAL INSURED,the poiicy(tes)must be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the'poiicy,certain policies may require an endorsement. A.statement on this certificate does not:confer rights to the certificate holder In Iteu of such endorsemeiit(s). CONTACT PRODUCER .. NAME' ...'Lora LOW@.:. Southeastern Insurance Agency, Inc: o.e (508).997-6061 ;N0 (508)990-2731 439 State Rd,. EMAIL - ADDRESS: P.O. Box 79399 159615MI99 CUSTOMER i e; -� N. Dartmouth., MA 027V _ AGE IwstiRER(s)aFFnRDiNc covERacE Nair a INSURED INSURERA: Arbella Protection Insurance - Tupper Construction Co LLG INSURERS: AEIC INSURE RC: CNA Surety ......................................................._...._.... 27 Roberta Drive .._<._........:..._._......._......_....._............._.._.._� INSURER D: West Yarmouth, MA 02673 INSURERS: INSURER F: COVERAGES CERTIF)CA7E NUMBER: 12f13-2 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAYBE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS; EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. TYPE OF INSURANCE. wADOL �P3LrGY LTR INSR.WtitD POLICY NUMBER ? MMtDD MIDO LIMITS GENERAL LIABILITY ... .. ... .. 9500008743 11101120/2 1110112013..;,f•1, C::c;Rl.Ehc>_ -s 1,000,00 I DAVA.s,_ , RENTED < lOD,DO X COMMERCIAL GENERAL LIABILITY I ! � PRExAISES;,Ea occur e ei:_ G A;M.S-W DE. X OCCUR I :+tEG EXP(Any one Psr`ni $ 5,00 A I PERSONry a ADa NJURY $ 1,000,000 3�RAL AccRErATE. $ 2,000,000 GEN'LAGGP.EGATELNII'T APPLIES PER: I :; 'IGUl,C715.=CGMP;OFRGG $. 2.,000,00 POLICY PR 3ra LGC E $. JEGT AUTOMOBILE LIABILITY 5666240000 12/0112012 12 O112013 .. ...�"" .tE1MED SINGLELiMiT $ Eaaccide sj 11000,000 i ANY"AUTO BOD;LY IINJURY(Per persons $ ASL-OVYNEDA.LT S I BOULY r;P RY(Per ScciogM' $ A X SCHEDULED AA 1u PROPERTY CA.VAGE 1( eer so EdWI -X Ei�REDAtJT"0� i P� $ INCL E X I stON;G'MNEUfU;"i;5 $ UMBRELLA LIAR L OCCUR EACH OCCURRM110E, $ [ e EXCESS LIAB I Ct.Ail1S-MA:;IE i AGGREGATE DFCLUTiELE Is I ...........__.................._... RETE'lfGN £ ' i$ WORKERS COMPENSATION I WCCSOOSS93012007 1010312012 10103/2013:.X( &cSTAI X c f AND EMPLOYERS'LIABILITY YIN __... PR+ IETOR PAf2+dEk Ecl 1 RICNARD TUPPER IS Fpc.inccl;,Nr $ 500,00 ANV B O=F€cEsnieMs a_Ac.lul>tD? N rA INCLUDED FOR WC COVERAGEE..DISEi�SE•EA ENIFLOY e$ 500,00.{Mandatory in NH) If yyes desc' ender I _ ......._. DE�CR.PTION OF OPERATIONS isMaw ... DISEASE-POLICY $ SOO 0.0 Bond or theft of money br 1 710699130212812012 02/2812013 Limit of $10,000 C property. DE CRIPTIOy�I OF OPERATIONS t LOCATIONS I VEHICLES(Attach ACORD 101,Additional Remarks Schedule,If Mori spats is required) i l.jutio@csgrp.coin CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE.CANCELLED BEFORE THE. EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. Conservation Services Group AUTHORIZED REPRESENTATIVE Attna Bill Julio 50 Washington Street We tborough, MA 01S81 Lora Lowe O 1988-2009ACORD CORPORATION. All rights reserved. ACORD 25(2009109) The ACORD name and logo are registered marks of ACORD lr�.N ESTATES Stevens Street,Iiyaut lls MA April 23, 2013 Tupper Construction Ms.Amanda Atsalis W. Yarmouth,MA Re: Flagship Estates, 320 Stevens Street,Unit C-2,Hyannis,MA 02601; Weatherization To Whom It May Concern: Please be advised that Condyne Real Estate&Development,as manager of Flagship Condominium Trust approves of Tupper Construction moving forward with the proposed weatherization work(Scope attached)at the above mentioned Condominium unit. It is agreed w/Chris Caputo from Tupper that cellulose insulation will not be installed if he feels that it is not an appropriate method in the 3ra floor attic space where a heating unit is located; lay down fiberglass insulation will be substituted as necessary. I have spoken with the condo owner as well, Joan Knowlton,she does anticipate it moving forward tomorrow morning. Please feel free to contact me at 508-510-61.05 with any questions, Sincerely, Brian Watts Director of Property Management CONDYNE, LLC Real Estate Development 1150 W.Chestnut Street,Suite 3,Brockton,MA 02301 Telephone 508.510.6100 Fox 508.510.6101 www,condyne.com I 320 STEVENS STREET FEES PAID' FEES CHARGED OVER PI) 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 _ 2,446.51 BUILDING G 7,872.18 5,422.14 TOTAL 31,923773 23;471.40 8,452.33 BUILDING G C/O 125.00 8,327.33 r I 19 Sconset Cir. Sandwich, MA 02563 ArchitectMark Marinaccio, Phone: (508) 420-0822 Fax: (508) 420-7922 Transmittal Project No: • 30-2005 Date: December 18,2007 To: Thomas Perry } 200 Main Street Hyannis, Massachusetts 02601 n (tip '1 Number Description Item Quantity Total 1 set Final Close-out documentation and affidiavits for building C 17 Shts 1 set } 'A J 5 1 .^4l a fV Comments: 21 Please contact the Office at(508)420-0822 with any questions or concerns. Thank you! I I - fy MARK R MARINACCIO, ARCHfrECT ARCHITECT PLANNER CONSULTANT 19 SCONSET ORC1E, MNDWKH, MA 02563 508 420 0832 December 17, 2007 Thomas Perry ` Building Commissioner 200 Main Street Hyannis, Massachusetts 02601 Re: Steven Street Residential Condominium.Project Building: C Permit#: B20071400, B20071403, B20071,122 Dear Mr. Perry: Attached please find final reports for the residential condominium building C, Units C1, C2, C3, Stevens Street, Hyannis, Massachusetts. The work completed appears to have been done in conformance with the construction documents. In my opinion, at this time the above referenced units are ready for occupancy. If you have any questions or comments please feel free to contact me at 508-420-0822. Sincerely No.7878 � 1 �p FALMOUI MA ���lrA'GF NiP�c'PG Mark Marinaccio r /I�� MARK R MARINACQO, ARCHRECT AROWECT PLANNER • CONSULTANT 19 SCONSET CRRCLE. MNDY/M AAA 02563 508 420 0622 ARCHITECTURAL FINAL AFFIDAVIT FOR CONSTRUCTION CONTROL To: Donald O'Neill Advantage Construction Two Adams Place, Suite 100 Quincy, MA 02169 Re: Hyannis Condominiums Building C. Permit#1320071400, B20071403, B20071122 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 letter shaIrserve 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.- WEED A�' / v �; AR 7878 0 6RIQML SIGNATURE MA. REG. NO. Mark Marinaccio Architect Nov lei u/ 02:38p Stacy R. Flood 978-562-6246 p4 FLOOD CONSULTIN Structural Engineering STRUCTURAL FINAL AFFIDAVIT FOR CONSTRUCTION CONTROL TO: Donald 07Neill Advantage Construction Two Adams Place, Suite 100 Quincy,MA 02169 RE: Hyannis Condominiums Building C 700 Main Street Hyannis;MA PROJECT NO_: FC#0569 DATE: November 13,2007 To the Building Commissioner. In accordance with Section 1116.0 of the Massachusetts State Building Code,this letter 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. ar . FLOW sTiaCir � Lic.#�12868 � a ORIGIN GNATURE MASS. REG.NO. /STEM �s�OAtAt IL Stacy R.Flood,PE 56 Laurel Drive • Hudson, MA 01749 • TEL: (978) 562-6499 • FAX: (978) 562-6246 90SA Y IF mar FOR . QUALITY" 220 HIGH STREET(REAR), TAUNTON, MA 02780•PHONE (508)'823-0279!FAX(608) 823-6169 October 31, 2007 Building Department Town of Barnstable 200 Main Street Hyannis, MA 02601 RE: Flagship Estates—Building C 320 Stevens Street Hyannis,MA Subject Electrical 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--LLL5� Sworn to and subscribed before me on theme"day of ORIGINAL SIGNATU EAL A�Robert A. Young My Commission 6cp�t , s l3 Young Electrical Services, Inc. Page 1 of 1 �1 rpLum;ffl.. MECHANICAL,LLC ' Industrial Piping-Gasfitting-Plumbing•Metal.Fabrication-Air Conditioning Town of Barnstable Final Construction Control Affidavit Project Number: Project Title: Advantage Construction Commercial Building Project Location: 350 Stevens Street Name of Building:_ Building C Nature of Project: Fla sshiD Condominiums In accordance with Section 248 CMR:BOARD OF STATE EXAMINERS OF PLUMBERS AND GAS FITTERS, I, Paul Albernaz Master Plumber Lic. #13799 Being a Registered Licensed Master Plumber with the 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. Paul Albernaz Owner/Member PO Box 9628, Fall River, MA 02720 Tel: (508) 916-1553 or(508) 91'6-1604 - Fax: (508) 676-0787 11/16/2017 11:12 5087714609 ADVANTAGE FULD OFF PAGE 02/04 r NOV/16/2007/FRI 08,49 AM. AAA Sprinkler Co. FAX No. 401 732 8687 P. 002 Construction Completion.Notice In accordance with 780 CMR,Section 116.0 of the Massachusetts State Building Code,I Robert M.Hodnett ,being a Registered Professional Engineer certify that I or my designee have peirformed the neceesaryprofessional 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 specified in Section 116.2.2 1. Review,for conformance to the design concept,shop drawings,samples and other subulittds,whicb.are submitted by the contractor in accordance with the requirements of the construction documents. 2. Review and approval of the quality control procedures for all code-required controlled materials. i 3. flaming been present at intervals appropriate to fhb 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 p4gtmed in a manner consistent with the constriction documents. ��c�pnNllrry,/� :k me pwaricroN *1 ee: AoecRS M• i O % ;�� F eT. `�``.�� (Signature&Seal) �1►llllflll00 project Title:Hyannis commercial Project Location:350 Stevens Street Hyannis,MA Nature of Project:installation of a new wet/dry pipe automatic rin spkler system per the applicable sections of NFPA 13 and CMR 780. .�...�. 1ADocument G711Tra - 1972 Architect`s Field Report PROJECT:(Name and address) FIELD REPORT NUMBER: OWNER:❑ C3,C2,C1 Report 7 ARCHITECT: Co'dyne Condominium Project CONSULTANT:❑ Stevens Street ARCHITECT'S PROJECT NUMBER: 30-2005 FIELD:❑ Hyannis 1VIassachtisetts Unit C3 Permit#B20071400 Unit C2 Permit#B20071403 Unit C1 Permit#B20071122 .CONTRACT B 141-10%29/06 DATE I1/l5/07 .. TIME 9:30 AM WEATHER Warm/Sun TEMP.RANGE 50 EST %"OF COMPLETION 99 CONFORMANCE WITH SCHEDULE(+,-)NA WORK IN PROGRESS PRESENT AT SITE Ftush Work Mark Marinaccio,Bob Stewart OBSERVATION.S A punch list was received from the Project Manager. In addition to the items listed on the punch list the following items were observed or duplicated due to importance. Unit C1 General Screens not installed at windows or sliding door =Heat was`on and working,; Water heater pipes not.insulated' -Kitchen No water At Kitchen sink faucet Master Bathroom. `Right side gin,`cold.,water not working Tile work at WP;Spas not complete,Needs grout at tile,caulk at rim First Floor°Closet- No cover on clean-out in closet Attic: Condensate:drain pipe has:been installed above insulation. Pipe is not insulated. This drain should be re-routed and installed on'the warm side of the ceiling insulation to keep it from freezing. Pull down stair not insulated Unit C2: General S.creensinot installed at windows or sliding door Heat was on and working Water heater pipes not insulated Garage: Settlement crack in floor and foundation wall Kitchen: No water at kitchen sink faucet First Floor Utility Closet: Penetration of water line through fire wall not fire-caulked Second Floor Bathroom: Door sticks AIA Document G711 TM—1972.Copyright©1972 by The American Institute of Architects. All rights reserved. WARNING:This AIA®Document is protected by U.S.Copyright Law and International Treaties.Unauthorized reproduction or distribution of this AIA®Document,or any portion of it, 1 may result In severe civil and criminal penalties,and will be prosecuted to the maximum extent possible under the law. This document was produced by AIA software at 15:36:30 on 11/27/2007 under Order No.1000326156_1 which expires on 10/15/2008,and is not for resale. User Notes: (3176901285) `may Master Bathroom: Toilet has no running water Master Bathroom: Plumbing wall not adequately insulated from un-heated attic space behind WP-Spa. Insulation:should be carried down roof rafters,and wall protected with 3"rigid insulation. Attic :Not accessible at the time. Un-able to verify condition of HVAC condensate drain.Assume same issues as unit CI. Same solution should be verified. Uu C3: General: Screens were not'installed on windows or sliding door Heat was on and;working Water heater pipes;not insulated. Kitchen: No water at kitchen sink faucet Garage Settlement crack in All and slab Li1ng Room Sliding glass or sticks. It is not free to slide open. Second Floor Front Bath:'Tub spout and plumbing loose,spout can be pulled forward Door'sticks Master Bath Broken faucet handle Attic HVAC system condensate drain has been installed in the attic space above the ceiling insulation and attic floor: The condensate drain should be relocated to the warm side of the ceiling assembly to keep it from freezing. Heat tape should be mstalied'on exposed lengths. insulate pull down stair ITEMS TO VERIFY Correct installatloii of HVAC system condensate drains Installation of fire-caulk at util room pipe penetration in unit C2 INFORMATION OR ACTION REQUIRED Mechanical engineer certificatton;of acceptance of condensate drain installation,or relocation of condensate drain o warm side of.ceihng mall umts. ATTACHMENTS_: None R.EPORT..BY:Mark Marinaccio AIA Document G711 TM—1972.Copyright©1972 by The American Institute of Architects. All rights reserved. WARNING:This AIA®Document is protected by U.S.Copyright Law and International Treaties.Unauthorized reproduction or distribution of this AIA®Document,or any portion of It, 2 may result In severe civil and criminal penalties,and will be prosecuted to the maximum extent possible under the law. This document was produced by AIA software at 15:36:30 on 11/27/2007 under Order No.1000326156_1 which expires on 10/15/2008,and is not for resale. User Notes: (3176901285) Tm Document G711 - 1972 Architect's Field Report PROJECT:(Na►ne and address) FIELD REPORT NUMBER: OWNER: ❑ C3,C2,C1 Report 6 ARCHITECT: Condyne Condominium Project CONSULTANT:❑ Stevens Street ARCHITECT'S PROJECT NUMBER: 30-2005 FIELD:❑ Hyannis,Massachusetts Unit C3 Permit#1320071400 Unit C2 Permit#B20071403 . Unit C1 Permit#B20071122 CONTRACT B 14G...10/29/06 DATE 10%4/07 TIME 10:00 WEATHER Warm/Sun TEMP.RANGE 50 EST.%OF COMPLETION 90 `:; CONFORMANCE WITH SCHEDULE(+,-)NA WORK IN:PROGRESS .: PRESENT AT SITE Finish Work Mark Marinaccio,Bob Stewart OBSERVATIONS Finish work is progressmg>in units C3&C1 almost complete Statr handratls have not been relocated. Kitchen cabmets have been installed. Some appliances are in place. Wood floor is installed on first floor,Carpet is installed at second floor Landscape work progressing Observed work is in keepirig':with code requirements. ITEMS TO VERIFY "INFORMATION:OR ACTION;_REQUIRED Mechanical engineer certification that work meets code requirements. Electrical engineer certification that work meets code requirements. Fire protection engineer certification that work meets code requirements. ATTACHMENTS`: None REPORT BY Mark Marinaccio AIA Document G711n"—1972.Copyright©1972 by The American institute of Architects. All rights reserved. WARNING:This AIA®Document is protected by U.S.Copyright Law and International Treaties.Unauthorked reproduction or distribution of this AIA®Document,or any portion of It, may result in severe civil and criminal penalties,and will be prosecuted to the maximum extent possible under the law. This document was produced by AIA software at 10:58:59 on 10/17/2007 under Order No.1000326156_1 which expires on 10/15/2008,and is not for resale. User Notes: (3943606071) TIA o- Document G711 - 1972 Architect's Field Report PROJECT:(Name and address) FIELD REPORT NUMBER: OWNER:❑ C3,C2,C1 Report 5 ARCHITECT: Con dyne Condomimum Project CONSULTANT:❑ Stevens Street ARCHITECT'S PROJECT NUMBER: 30-2005 FIELD:❑ Hyannis,Massachusetts Unit C3 Permit#B20071400 Unit C2 Permit#B20071403 Unit C1 Permit#B20071122 CONTRACT B 141 -10/29/06 DATE 9/13/07 ' :' TIME 12:00 WEATHER Warm/Sun TEMP.RANGE 80 EST.%'OF COMPLETION 80 CONFORMANCE WITH SCHEDULE(+,-)NA WORK INiPROGRESS.;: PRESENT AT SITE Flush Work Mark Marinaccio,Bill Kelly OBSERVATIONS Fimsh.work is progressmg'in units C3&CI Stair handrails have been installed on exterior walls of units C3&C 1. Handrails wrap stair landing at the bottom of:the stair` Handrails die:into window casing at the top of the stair. Handrail meets code requirements since 12" extension is not required,and the.handrail is only required on one side. Handratl.installation on this wall is.an aesthetically poor location.The handrail could have been installed on the - lnterior wall of stairwell. Tlid architect was not consulted regarding the decision to install handrails on the exterior wall. The Architectural drawings do not show the Iocations of the stair handrails. Observed work is in keeping with code requirements. ITEMS TO VERIFY INFORMATION OR ACTION REQUIRED Stair Handrails to'be.instailed on the interior wall of the end unit stairwells to avoid interference with windows. Mechanical engineer certification that work meets code requirements. Electrical engmeer,certification that work meets code requirements. . Fire protection engineer certification that work meets code requirements. ATTACHMENTS None REPORT BY:Mark Marinaccio AIA Document G711 TM—1972.Copyright©1972 by The American Institute of Architects. All rights reserved. WARNING:This AI0 Document is protected by U.S.Copyright Law and International Treaties.Unauthorized reproduction or distribution of this AIA®Document,or any portion of it, 1 may result in severe civil and criminal penalties,and will be prosecuted to the maximum extent possible under the law. This document was produced by AIA software at 10:57:03 on 10/17/2007 under Order No.1000326156_1 which expires on 10/15/2008,and is not for resale. User Notes: (785361466) A y. TM e Document G71 1 - 1972 r Architect's Field Report PROJECT:(Name and address) FIELD REPORT NUMBER:C3,C2,C1 Report 4 OWNER:❑ Condyne Condominium Project ARCHITECT: Stevens Street ARCHITECT'S PROJECT NUMBER: 30-2005 CONSULTANT:❑ Hyannis Massachusetts Unit C3 Permit#B20071400 FIELD:❑ Unit C2 Permit#B20071403 . Unit C1 Permit#B20071122 CONTRACT B 141- 10/29/06 DATE 8/20/07 TIME 12:00 WEATHER Warm/Sun TEMP.RANGE 80 EST: 1W OF COMPLETION 60 CONFORMANCE WITH SCHEDULE(+,-)NA WORK INPROGRESS PRESENT AT SITE Sheet Rock Mark Marinaccio,Bill Kelly "O$SERVATIONS; Firexated electric boxes haye`6een installed at fire partitions. Double 5/8 fire code sheetrock has been installed on 2 hour fire rated walls. Joints are staggered. Taping and compound 1s 1n{progress in unit C3&Cl Observed work 1s in keeping with the intent of the construction drawings. ITEMS TO VERIFY Taping m omphance withUL Standards`` - I 11W.011MATION OR ACTION REQUIRED . Notification to Architect of construction schedule for remainder of work. Mechanical engineer certification that work meets code requirements. Electrical engineer certification that work meets code requirements. Fire protection engineer certification that work meets code requirements. ATTACHMENTS' None REPORT BY Mark.Marinaccio AIA Document G711 TM—1972.Copyright©1972 by The American Institute of Architects. All rights reserved. WARNING:This A10 Document Is protected by U.S.Copyright Law and International Treaties.Unauthorized reproduction or distribution of this Ale Document,or any portion of It, may result in severe civil and criminal penalties,and will be prosecuted to the maximum extent possible under the law. This document was produced by AIA software at 10:5523 on 10/17/2007 under Order No.1000326156_1 which expires on 10/15/2008,and is not for resale. User Notes: (3069182003) ���/�MARK R MARINACQO, ARCHITECT �= ARCHITECT'S OWNER ❑ ■ „ ARCHITECT ARCHITECT • PLANNER • CONSULTANT FIELD REPORT CONSULTANT LJ 19 SOONSET CWn& SANDWICH, MA 02563 508 420 0823 AlA DOCUMENT C711 FIELD ❑ PROJECT: Hyannis Condominium Units C1,C2,C3,Stevens Str"tED REPORT NO: 2 Permit C1=B20071122,C2=B20071403,C3=B20071400 CONTRACT: ARCHITECT'S PROJECT NO: 30-2005 DATE 8-8-07 TIME 8:00 AM WEATHER Warm/Humid TEMP.RANGE 70's EST.% OF COMPLETION CONFORMANCE WITH SCHEDULE(+, —) WORK IN PROGRESS Insulation&Fire Caulkin&ESENT AT SITE Mark Marinaccio,David Sigl,Bill Kelly Insulation was installed in units Cl & C2. Insulation work was started in unit C3 but not complete OBSERVATIONS General: 1. 3M fire caulking is being installed at all through top and bottom plate penetrations in fire separation The following locations still require installation of fire caulking a. Unit C3 First Floor 2. Plastic electric boxes have been installed in the fire separation assemblies between units. Fire rated electric oxes are available. it has been requested a e electrician submit supporting data showing that the installed hoxer,r mply With the TIT assenjhly, 3. Towl-ation has been installed i progressing i . The following locations need additional work a. Unit el. insulatlun missing in narrow spilce nexi tu celfing beam above first noor fiving room. 4. 5/8 type X firecode sheet rock was observed in unit Cl,Waiting for installation. ITEMS TO VERIFY Completed ire Caulk at first floor unit 2. Verification of UL rated electric box installation. INFORMATION OR ACTION REQUIRED 1. Notification to the architect of the expected date of sheet rock installation. ATTACHMENTS ARCHITECTS OWNER ❑ � _ � _ MARK R. MARINACCIO, ARCHITECT ARCHITECT ARCHITECT • PLANNER • CONSULTANT FIELD REPORT CONSULTANT 19 S[oNW CRML Smy m MA 02563 SOS 420 0822 AIA DOCUMENT G711 FIELD ❑ PROJECT: Hyannis Condominium Units C1,C2,C3,Stevens Str LD REPORT NO: 1 Permit C1=B20071122,C2=1320071403,C3=B200714 CONTRACT: ARCHITECT'S PROJECT NO: 30-2005 DATE 8-1-07 TIME 9:00 AM WEATHER Warm/Sun TEMP. RANGE 80's EST.% OF COMPLETION CONFORMANCE WITH SCHEDULE(+, —) WORK IN PROGRESS Plumbing,HVAC,Elect PRESENT AT SITE Mark Marinaccio,David Sigl,Bill Kelly, Joe ta-mliolot Plumbing,Electrical,HVAC work 95%complete No insulation work has been started OBSERVATIONS General: Structural Rough Frame is Complete,fire blocking is installed at stairs and unit walls. Ceiling strapping is complete,exterior siding has been installed,roofing installed,windows and doors installed. Fire rated assembly has been installed around the TJI floor joists where they sit on top of the fire rated bearing wall. Insulation and sheet rock work is scheduled for next week. UL wall assembly details were given to the project supervisor, Through plate and sill penetrations to be fire caulked in accordance with the plans ' Project supervisor stated that all vertical load have been carried down to the foundation to comply with requirements of structural engineers field report. ITEMS TO VERIFY 1. Completed ire Caulk at through penetrations INFORMATION OR ACTION REQUIRED 1. Notification to the architect of the expected date of sheet insulation installation. ATTACHMENTS �f Document G704 - 2000 Certificate of Substantial Completion PROJECT: PROJECT NUMBER:30-2005/1320071400, OWNER: (Name and address): 1320071403,B20071122 ARCHITECT: Flageship Estates;:Condominiums CONTRACT FOR:General Construction Stevens Street CONTRACT DATE: CONTRACTOR: Hyanms Massachusetts FIELD:❑ TO OWNER: TO CONTRACTOR: (Name and address)r, (Name and address): TOWN OF BARNSTABLE: Flagship Estates Hyannis,LL:C Advantage Construction,Inc Two Adams Place _ Two Adams Place Suite 100 Suite 100 Quincy,MA 02169 ` Quincy,MA 02169 PROJECTOR PORTION OF THE PROJECT DESIGNATED FOR PARTIAL OCCUPANCY OR USE SHALL INCLUDE: Unit Cl: Permrt#B20071122 Unit C2t.Permit#B20071493 Unrt C3 Permit#B20071400 :The Work performed under tlirs 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 POP is sufficiently complete in accordance with the Contract Documents so thai the Owner can occupy or utilize the Work for its intended use...The died 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 Warrant Date of Commencement Y.. 12/14/2007 Mark Marinaccio ,: c tect December 14,2001 ARCHITECT '' BY DATE OF ISSUANCE A'list of items to b`e 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 all 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 will be the date of issuance of the final Certificate of Payment or the date of final payment. Cost estimate of Work that'Is incomplete or defective:$0.00 r The Contractor will:complete or correct the Work on the list of items attached hereto within Seven(7)days from the above date of Substantial Completion. Advantage Constrution,Inc CONTRACTOR BY DATE The Owner;accepts the Work or designated portion as substantially complete and will assume full possession at (time)on December.2 2007(date). Flagship Estates Hyannis,LLC OWNER BY DATE The responsibilities of the Owner and Contractor for security,maintenance,heat,utilities,damage to the Work and insurance shall be as follows: (Note:Owner's and Contractor's legal and insurance counsel should determine and review insurance requirements and coverage.) AIA Document G704TM—2000.Copyright©1963,1978,1992 and 2000 by The American Institute of Architects. All rights reserved. WARNING:This AIA® Document is protected by U.S.Copyright Law and International Treaties.Unauthorized reproduction or distribution of this AIA®Document,or any 1 portion of It,may result In severe civil and criminal penalties;and will be prosecuted to the maximum extent possible under the law. This document was produced by AIA software at 13:45:56 on 12/17/2007 under Order No.1000326156_1 which expires on 10/15/2008,and is not for resale. User Notes: (79950066) �tNE TOWN OF BARNSTABLE . B • ' y �Iid�ng Application Ref: 200703558 * BARNSTABM Issue Date: 06/18/07 Permit 9 MAss. 16 9. A� Applicant: LAMBALOT,JOSEPH E. Permit Number: B 20071400 Proposed Use: Expiration Date: 12/16/07 .ocation 320 STEVENS STREET C3 Zoning District OM Permit Type: SP PROJ RES ADD/ALT lap Parcel 30800400K Permit Fee$ e 251.24 Contractor LAMBALOT,JOSEPH E. 'illage HYANNIS App Fee$ 50.00 License Num 048722 Est Construction Cost$ 61,277 2emarks APPROVED PLANS MUST BE RETAINED ON.JOB AND CENENT FIT OUT FOR UNIT C3 THIS CARD MUST BE KEPT POSTED UNTIL FINAL _ INSPECTION HAS BEEN MADE. WHERE A CERTIFICATE OF OCCUPANCY IS REQUIRED,SUCH rvner on Record: FLAGSHIP ESTATES HYANNIS LLC BUILDING SHALL NOT BE OCCUPIED UNTIL A FINAL ]dress: TWO ADAMS PL QUINCY, MA 02169 INSPECTION HAS BEEN MADE. )plication Entered by: PR Building Permit Issued By: [ISPERMIT;CONVSYS`NO RIGHT.TO OCCUPY'ANY,STREET,ALLY OR$IDEWAI IC OR'ANY PART THEREOF EITHER TEMPORARILY;ORPERMANENTLY. I .R ACHEMENTSONPUBLIC,PROPERTY,.NOTSPECIFICALLY.PERMITTEDUNDERTHEBUILD.INGCOpE;•MUST:BEAPPROVBD:BYTHEJURISDICTION. REET OR ALLY".GRADES:AS WELL AS DEPTH AND LOCATION'OF PUBI:IC SEWERS MAYBE OBTAINED.F.ROM THE DEPARTMENT OF PUBLIC.WORKS. [E ISSUANCE:OF,THIS PERMIT:DOES,NOT•RELEASE THE APPLIC ABSANT FROM THECONDITIONSAPPAEUBDIVISION;RESTRICTIONS. . NIMUM OF FOUR CALL INSPECTIONS REQUIRED FOR ALL CONTSTRUCTION WORK: FOUNDATION OR FOOTINGS. 4LL FIREPLACES MUST BE INSPECTED AT THE THROAT LEVEL BEFORE FIRST FLUE LINING IS INSTALLED. NUUNG&PLUMBING INSPECTIONS TO BE COMPLETED PRIOR TO FRAME INSPECTION. ?RIOR TO COVERING STRUCTURAL MEMBERS(READY TO LATH). NSULATION. =INAL INSPECTION BEFORE OCCUPANCY. iERE APPLICABLE,SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL,PLUMBING AND MECHANICAL INSTALLATIONS. )RK SHALL NOT PROCEED UNTIL THE INSPECTOR HAS APPROVED THE VARIOUS STAGES OF CONSTRUCTION. ,RMIT WILL BECOME NULL AND VOID IF CONSTRUCTION WORK IS NOT STARTED WITHIN SIX MONTHS OF ATE THE PERMIT-IS ISSUED AS NOTED ABOVE. RSONS CONTRACTING WITH UNREGISTERED CONTRACTORS DO NOT HAVE ACCESS TO GUARANTY FUND(as set forth in MGL c.142A). MOM UILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS f-°o� 1 Heating Inspection Approvals Engineering Dept ire Dept 2 Board of Health NA, TOWN OF BARNSTABLE - Building� °;0 Application Ref: 200703557 * BAM TABIX ' Issue Date: 06/18/07 Permit y MAS& i639• Applicant: LAMBALOT,JOSEPH E. Permit Number: B 20071402 RFD MA'l a Proposed Use: Expiration Date: 12/16/07 vocation 320 STEVENS STREET B3 Zoning District OM Permit Type: SP PROJ RES ADD/ALT Zap Parcel 30800400H Permit Fee$ 251.24 Contractor LAMBALOT,JOSEPH E. 'iilage HYANNIS App Fee$ 50.00 License Num 048722 Est Construction Cost$ 61,277 remarks APPROVED PLANS MUST BE RETAINED ON JOB AND FENENT FIT OUT UNIT#C2 THIS CARD MUST BE KEPT POSTED UNTIL FINAL INSPECTION HAS BEEN MADE. WHERE A Neer on Record: FLAGSHIP ESTATES HYANNIS LLC CERTIFICATE OF OCCUPANCY IS REQUIRED,SUCHBUILDING SHALL NOT BE OCCUPIED UNTIL A FINAL ldress: TWO ADAMS PL QUINCY,MA 02169 INSPECTION HAS BEENMADE. iplication Entered by: PR Building Permit Issued By: �-✓ IIS HERMIT CONVEYS NO:RIGHT TO QCCUPY'ANY STREET,ALLY OR SIDEWALK OR ANY PART THEREOF,EITHER TEMPORARILY OR PERIv1ANENTLY fCROACHEMENTS ON.PUBLIC:PROPERTY NOT.SPECIFICALLY PERMITTED UNDER THE:BUILDING CODE;MUST:$E'APPROVED BYTHE JURISDICTION. REET:OR ALLY.GRADES AS WELL AS;DEPTH AND LOCATION:QF PUBLIC SEWERS MAY BE OBTAINED FROM THE DEPARTMENT OF PUBLIC V✓ORKS:,- (E ISSUANCE:OF:;THIS PERMIT DOES NO.T,RELEASE THE'APPLICANT FROM THE CONDITIONS OF ANY APPLICABLE SUBDIVISION RESTRICTIQNS:. NIMUM OF FOUR CALL INSPECTIONS REQUIRED FOR ALL CONTSTRUCTION WORK: FOUNDATION OR FOOTINGS. kLL FIREPLACES MUST BE INSPECTED AT THE THROAT LEVEL BEFORE FIRST FLUE LINING IS INSTALLED. MIRING&PLUMBING INSPECTIONS TO BE COMPLETED PRIOR TO FRAME INSPECTION. 'RIOR TO COVERING STRUCTURAL MEMBERS(READY TO LATH). NSULATION. 'INAL INSPECTION BEFORE OCCUPANCY. SERE APPLICABLE,SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL,PLUMBING AND MECHANICAL INSTALLATIONS. )RK SHALL NOT PROCEED UNTIL THE INSPECTOR HAS APPROVED THE VARIOUS STAGES OF CONSTRUCTION. :RMIT WILL BECOME NULL AND VOID IF CONSTRUCTION WORK IS NOT STARTED WITHIN SIX MONTHS OF ►TE THE PERMIT IS ISSUED AS NOTED ABOVE. 2SONS CONTRACTING WITH UNREGISTERED CONTRACTORS DO NOT HAVE ACCESS TO GUARANTY FUND(as set forth in MGL c.142A). e UILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS 1 �Qa V c d 1 1/0- 1 ie 1 Heating Inspection Ap rovals Engineering Dept ire Dept /`� /. v 2 Board of Health I TOWN OF BARNS"" BLE Application Ref: 200702846 Building * BARN STABLE, Issue Date: 05/21/07 MAC Pe 1 It 9 1639• A� Applicant: LAMBALOT,JOSEPH E. Fp►NA'i Permit Number: B 20071122 Proposed Use: Expiration Date: 11/18/07 Location 320 STEVENS STREET C1 Zoning District OM Permit Type: SP PROJ RES ADD/ALT \lap Parcel 30800400M Permit Fee$ 251.24 Contractor LAMBALOT,JOSEPH E. Village HYANNIS App Fee$ 50.00 'License Num 048722 Est Construction Cost$ 61X7 Remarks APPROVED PLANS MUST BE RETAINED ON JOB AND TENANT FITOUT FOR UNIT C1 THIS CARD MUST BE KEPT POSTED UNTIL FINAL INSPECTION HAS BEEN MADE. WHERE A CERTIFICATE OF OCCUPANCY IS REQUIRED,SUCH dd ress: TWO ADAMS PL e� on Record: FLAGSHIP ESTATES HYANNIS LLC BUILDING SHALL NOT BE OCCUPIED UNTIL A FINAL QUINCY, MA 02169 INSPECTION HAS BEEN MADE. pplication Entered by: PR c Building Permit Issued By IIS PERMIT CONVEYS NO RIGHT TO OCCUPY ANY STREET,ALLY OR 911�EWAGIC OR ANY PART. THEREOF;EITHER TEIvIPORARIGY OR PERMANENTLY. dCROACHEMENTS ON PUBLIC PROPERTY;NOT SPECIFICALLY PERMITTED UNDER THE BUILDING CODE;MUST BE APPROVED BY THE JURISDICTION, REET ORALLY GRADES AS WELL AS DEPTH AND LOCATION;OF PUBLI.0 SEWERS MAYBE OBTAINED F40M THE DEPARTMENT OF PUBLIC WORKS:IE ISSUANCE:OF-THLS PERMIT DOES NOT.RELEASE.THEAPPLICANT-FRAM THE CONDITIONS OF ANY APPLICABLE SUBDIVISION RESTRICTIONS.. INffV UM OF FOUR CALL INSPECTIONS REQUIRED FOR ALL CONTTTRUCTION WORK: FOUNDATION OR FOOTINGS. ALL FIREPLACES MUST 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. SERE 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. ;RMIT WILL BECOME NULL AND VOID IF CONSTRUCTION WORK IS NOT STARTED WITHIN SIX MONTHS OF ATE THE PERMIT IS ISSUED AS NOTED ABOVE. RSONS CONTRACTING WITH UNREGISTERED CONTRACTORS DO NOT HAVE ACCESS TO GUARANTY FUND(as set forth in MGL c.142A). UILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS 1 � Y,PC 7 ov�af/f�u�ti�Q 1 2 C f o�v��i�� 2 ,✓��/ /� /a?� it 1 Heating Inspection Approvals Engineering Dept re Dept p !!��/o] 2 Board of Health °FINE r Town of Barnstable_ ti Regulatory Services BARNSTABLUEv . Thomas F.Geiler,Director 039. & Building Division Thomas Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 December 10, 2007 l To Whom It May Concern, RE: Application/Permit# 200703557 We have issued a Certificate of Occupancy for Unit#C2 map/par 30800400H. Although the CO identifies this properly as being 133, this is inaccurate.. We are in the process of correcting the error in-our computer. Sincerely, Sally Shea Division Assistant q/forms/bondre12 ,c 18 07 10:55a Mark Marinaccio; Architec 508-420-7922 P.1 19 Soonset Cir. Sandwich,MA 02563 Phone:(508)420-0822 Mark Marina'cciog Architect Fax:(508)420-7922 F Aix To: Thomas Perry From: Mark Marinaccio Fax: 508-790-6230 Date: December 18,2007 Phone: Pages: 18 Re: �._Hyanrus Condominium Project CC: Permit#320071400, B20071403, B20071122 ❑ Urgent ❑For Review ❑Please Comment ❑ Please Reply ❑Please Recycle -Comments: Dear Mr. Perry: Attached are the final close-out information for the C building for the`Steven's Street Residential Condominium Project Hard copies are being sent by mail for your records. Sincerely Mark Marinaccio. r Dec 18 07 10:56a Mark Marinaccio, Architec 508-420-7922 p.2 MARK R. MARLNACGO, ARCHMCF /V R41 ARCHITECT • PLANNER • CONSULTANT 19 SCDMWT.0 RaL SMIDWIQI, MA W563 $08 420 0332 .. December 17, 2007 Thomas Perry Building Commissioner _ 200 Main Street Hyannis, Massachusetts 02601 Re: Steven Street Residential Condominium Project Building: C Permit#: B20071400, B20071403, B20071122 Dear Mr. Perry: Attached please find final reports for the residential condominium building C, Units C1, C2, C3, Stevens Street, Hyannis, Massachusetts. The work completed appears to have been done in conformance with the construction documents. In my opinion, at this time the'above referenced units are ready for occupancy. If you have any questions or comments please feel free to contact me at 508A20-0822. Sincerely � �EAED AA , .�9ARiN9y��Fcr.;.. z; a.%S78 t.: rALMOUTH, c; I'W 0 �SSP� Mark Marinaccio , Dec 18 07 10:56a Mark Marinaccio, Architec 508-420-7922 p.3 MARK R MA014ACCIO. ARCHITECT ARCHITECT PLANNER • CONSULTANT .19 5COMET aRaL SANDWK". IAA 02503 SM 420 0822 - - ARCHITECTURAL FINAL AFFIDAVIT FOR CONSTRUCTION CONTROL To: Donald O'Neill -Advantage Construction Two Adams Place, Suite 100 Quincy, MA 02169 Re: Hyannis Condominiums Building C. Permit#1320071400, B20071403, B20071122 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 letter 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 worts meets the requirements of the construction.documents, AR 7878 u,c / ORI L SIGNATURE MA. REG. NO. �'`" Mark Marinaccio,Architect Dec 18 07 10:56a . Mark Marinaccio, Architec 508-420-7922. p.4 vc.aop Macy K. Hood 978-562-6246 p.4 0000 Zm=md40 Structural ' Engineering STRdJ L FINAL AFFIDAVIT.FOR CONSTRUCTION CONTROL TO: Donald O'Neil l � Advantage Construction Two,Adams Place, Suite 100 Quincy,MA 02169 RE: Hvannis Condominiums Building C 700 Main Street Hyannis,MA PROJECTNO.: FC.#0564 DATE. November 13,2007 To the Building Commissioner. In accordance with Section 116.0 of the Massachusetts State Building Code, this Letter shall serve as a:Final.Affidavit - complied for the above-above building and that to the best of my Ecnowledgrr,the provisions of the building code have been . complied with and the area of work meets the requirements of the construction documents. � .. snAcy FLOW 1� fad - Lie. #42968 �o .9 �"�' ORIGIN GNATZURE4 MASS. REG.NO. •� tbJsrt ° a`" �5�011tAt � - Stacy R-Flood,PE. 56 LaurEl.Drive • Hudson, MA 01749 • TEL: (97a) 562-6499 FAX.(978) 562-6246 Dec 18 07 10:56a Mark Marinaccio, Architec' 508-420-7922 p.5 :SA Y FOR t?UA1:1TY" A-10633 220 HIGH STREET.(REAR), TAUNTON, MA 02780 . PHONE (508) 823-02791 FAX (508) 823-6169 October 31, 2007 Building Department Town of Barnstable 200 Main Street Hyannis, MA 02601 RE: Flagship Estates—Building C 320 Stevens Street Hyannis, MA Subject Electrical 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 uLA Sworn to and subscribed before me on ORIGINAL SIGNATLJ A EAL the-3.1s'day of Robert A. YoungN t Acs918na . - My Commission Expires . Young Electrical Services;Inc. Page 1 of I Dec 18 07 10:56a Mark Marinaccio, Architec 508-420-7922 p.6 PLUMBING 6 MECHANICAL,LLC Industrial Piping•Gasfitting-Plumbing-Metal Fabrication -Air Conditioning Town of Barnstable Final Construction Control Affidavit Project Number:' Project Title: Advantage Construction Commercial Building Project Location: 350 Stevens Street Name of Building: Building C Nature of Project:_. Flagship Condominiums In accordance with Section 248 CMR:BOARD OF STATE EXAMINERS OF PLUMBERS AND GAS FITTERS, -I, Paul Aibemaz Master Plumber Lie. #13799 Being a Registered Licensed Master Plumber with the 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. ` .Paul Albernaz Owner/Member ' PO Box 9628, Fall River, MA 02720 Tel: (508) 916-1553 or(508).916-1604 Fax: (508)676-0787 Dec 18 07 10:57a Mark Marinaccio, Architec 508-420-7922 p.7 11/1b/2017 1.1:12 5087714609 ADVANTAGE FEILD OFF PAGE 02/04 - NOV/16/2007/ARI 08:49 AM AAA Sprinkler Cfl. PAX No. 401 792 66B7 F. 002 Construction Completion Notice in accordance with 790 CMR,Section 116.0 of the Massaebusetts State Building Code, 1 Robert M.Hodnett __,being a Registered ProfcssiorW Eagineer certify that 1 or my designee have performed the necesseryprof e9 es de on the construction site todeterraine the work roeeeded in accordance with documents approved for the building permit,and b vebeen responsible for the following as specified in Section 116.22 1. Review,for conformance to the design concept,shop drawings,samples and other submittals,wbieh are submitted by the contractor in accordance with the requirements of the construction documents. 2. Review anti approval of the quality.control procedures for all code-required controlled niaterials. 3. Having been present at intervals appropriatO to$Yc stage of eonsts�ioxt to become generally familiar with the progress and quality of the work=d to determke,in general,if the work has been perE4 ed in a manner consistent with the construction documents. =o! PI =.�i FiaQ PNpt�T1oN �s I Proj cct Title:Hyannis Cammercial Project Location:350 Stevens Street Hyannis,MA Nature of Prof cct:Installation of a new wetldry pipe automatic sprirMar system per the applicable sections of NFPA-13 and ChM 780.. Dec 18 07 10:57a -Mark Marinaccio, Architec 508-420-7922 p.8 1A Document G711 — 1972 Architect's Field Report PROJECT:(Name and address) FIELD REPORT NUMBER: OWNER: Q C3,C2,Cl Report? ARCHITECT: Condyne Condominium Project- CONSULTANT:❑ Stevens Street ARCHITECT'S PROJECT NUMBER: 30-2005 FIELD: E Hyannis,Massachusetts Unit C3 Permit#320071400 Unit C2 Permit#B20071403 Unit C 1 Permit#B20071122 CONTRACT: B 141.- 10/29/06 DATE 11/15/07 T AE 9:30 AM WEATHER WarmlSun TEMP.RANGE 50 EST.%OF COMPLETION 99 , CONFORMANCE WITH SCHEDULE(+,-)NA WORK IN PROGRESS PRESENT-AT SITE Finish Work Mark Marinaccio,Bob Stewart OBSERVATIONS A punch list was received from the Project Manager: In addition to the items listed on the punch list the following items were observed or duplicated due to importance. Unit C l: General: Screens not installed at windows or sliding door Heat was on and.working Water heater pipes not insulated Kitchen: No water at Kitchen sink faucet Master Bathroom: Right side sink cold water not working Tile work At WP Spa is not complete,Needs grout at tile,caulk at rim First Floor Closet:. No cover on clean-out in closet Attic: Condensate drain pipe has been installed above insulation. Pipe is not insulated. This drain should be re-routed and installed on the warm side of the ceiling insulation to keep it from freezing. Pull-down stair not insulated Unit C2: General: Screens not installed at windows or sliding door Heat was on and working , Water heater pipes not insulated Garage: Settlement crack in floor and foundation wall Kitchen: No water at kitchen sink faucet First Floor Utility Closet: Penetration of water line through fire wall not fire-caulked Second Floor Bathroom: Door sticks AIA Doeument G711^+-1972.Copyright ®1972 by The American Institute of Architects. All rights reserved. WARNING:This AEA`'Document is protected by U.S.Copyright Lair and International Treaties.Unauthorized reproduction cr distribution of this AiA'Document,or arty portion al it, may result in severe civil_and criminal penalties,and will be prosecuted to the maximurn extent possible under the law. This document was produced by AIA software at 1536:30 on 11127/2007 under Order No.1 GOM26156 1 Which expires on 100Y2008,and is not for resale. User Notes: _ (3176901285) Dec 18 07 10:57a Mark Marinaccio, Archite.c 508-420-7922 p,9 Master Bathroom: Toilet has no running water Master Bathroom: Plumbing wall not adequately insulated from un-heated attic space behind WP-Spa. Insulation should be carried down roof rafters,and wall protected with 3"rigid insulation.. Attic: Not accessible at the time. Un-able to verify condition of HVAC condensate drain.Assume same issues as unit Cl. Sarne solution should be verified. . Unit C3: General: Screens were not installed on windows or sliding door Heat was on and working Water heater pipes not insulated. Kitchen: No water at kitchen sink faucet Garage: Settlement crack in wall and slab Living Room: Sliding glass door"sticks. It is not free to slide open. Second Floor Front Bath: Tub spout and plumbing loose,spout can be pulled forward Door sticks Master Bath: Broken faucet handle Attic: HVAC system condensate drain has been installed in the attic space above the ceiling insulation and attic floor. The condensate drain should be relocated to the warm side of the ceiling assembly to keep it from freezing. Heat tape should be installed on exposed lengths. Insulate pull-down stair ITEMS TO VERIFY. Correct installation of HVAC system condensate drains Installation of fire-caulk at utility room pipe penetration in unit C2 INFORMATION OR ACTION REQUIRED Mechanical engineer certification of acceptance of condensate drain installation,or relocation of condensate drain to warm side of ceiling in all units. ATTACHMENTS None REPORT BY:Mark Mari naccio AIA Document Q711M—1972.Copyright 0'1972 by The American Institute of Archilects. Ali rights reserved; WARN ING:This AIA"Document Is protected&y U.S.Copyright Law and International Treaties.Unauthorized reproduction or distr!butiion at this AIA"Document,or any portion of it, may result In severe civil and criminal penalties,and wilt be prosecuted to the maximum extent passible under the law. This document was produced 2 by AIA software at'1536:30 on i l/27/2007 under Order No,t D00326156 1 which expires on 1011512008,and is not for resale. User Notes: (3176901285; Dec 18 07 10:57a Mark Marinaccio, Architec 508-420-7922 PAID AIA Document: G71 1' — 1972 r Architect's Field Report PROJECT:(Name and address) FIELD REPORT NUMBER: OWNER: ❑ C3,C2,CI Report 6 ARCHITECT: Condyne Condominium Project CONSULTANT:❑ Stevens Street ARCHITECT'S PROJECT NUMBER: 30-2005 FIELD: ❑ Hyannis,Massachusetts Unit C3 Permit#B20071400 Unit C2 Permit#B20071403 Unit Cl Permit#B20071122 CONTRACT: B 141 - 10/29/06 DATE 10/4107 TIME 10:00 WEATHER Warm/Sun TEMP.RANGE 50 EST.%OF COMPLETION 90 CONFORMANCE WITH SCHEDULE(+,-)NA WORK IN PROGRESS PRESENT AT SITE Finish Work Mark Marinaccio.Bob Stewart � M1 OBSERVATIONS Finish work is progressing in units C3&CI almost complete Stair handrails have not been relocated. Kitchen cabinets have been installed. Some appliances are in place. Wood floor is installed on First floor,Carpet is installed at second floor Landscape work progressing Observed work is in keeping with code requirements. ITEMS TO VERIFY INFORMATION OR ACTION REQUIRED Mechanical engineer certification that work meets code requirements_. ' Electrical engineer certification that work meets code requirements. Fire protection engineer certification that work meets code requirements ATTACHMENTS' , None REPORT BY:Mark Marinaccio AIA Document G711*m—1972.Copyright Q 1972 by The American Institute of Architects. All rights reserved. WARNING_This AIA° Document is protected by U.S.Copyright Lail)and International Treaties.Unauthorized reproduction or distribution of this AIA"Document,cr any portion of it, may result in severe civil and criminal penalties,and will be prosecuted to the maximum exleni possible under the law. This document was produced by AIA software at 1 OS8:59 on 10/17/2007 under O.der No.1A00326156_1 which expires on 1011512008,and is not for resale. User Notes: (3943606071) Dec 18 07 10:57a Mark Marinaccio, Architec 508-420-7922 p.11 n TA Document .G711 - 1972 Architect's Field Report PROJECT:(Name and address) FIELD REPORT NUMBER: OWNER:[j C3,C2,C1 Report 5 ARCHITECT: Condyne Condominium Project CONSULTANT: Q Stevens Street ARCHITECT'S PROJECT NUMBER:, 30-2005 FIELD: ❑ Hyannis,Massachusetts Unit C3 Permit#B20071400 Unit C2 Permit#B20071403 Unit C1 Permit#B20071122 CONTRACT: B141 - 10/29/06 DATE 9/13/07 TIME 12:00 WEATHER Warm/Sun TEMP.RANGE 80 EST.%OF'COMPLETION 80 CONFORMANCE WITH SCHEDULE(+;)NA WORK IN PROGRESS PRESENT AT SITE Finish Work Mark Matinaccio Bill Kell OBSERVATIONS Finish work is progressing in units C3&C1 Stair handrails have been installed on exterior walls of units C3&C]. Handrails wrap stair landing at the bottom of the stair. Handrails die into window casing at the top of the stair. Handrail meets code requirements since 12" extension is not required,and the handrail is only required.on one side. Handrail installation on this wall is an aesthetically poor location.The handrail could have been installed on the interior wall of stairwell. The architect was not consulted regarding the decision to install handrails on the exterior wall. The Architectural drawings do not show the locations of the stair handrails. Observed work is in keeping with code requirements. ITEMS TO VERIFY INFORMATION OR ACTION REQUIRED Stair Handrails to be installed on the interior wall of the end unit stairwells to avoid.interference with windows. Mechanical engineer certification that work meets code requirements. Electrical engineer certification that work meets code requirements. Fire protection engineer certification that work meets code requirements ATTACHMENTS . None REPORT BY:Mark Marinaccio AIA Document G7117"—1972.Copyright©1972 by The American Instilute of Architects. All rights reserved. WARNING:This AIA''Document is protected by U.S.Copyright Law and International Treaties.Unauthorized reproduction or distribution of this A1A"Document,or any portion of it, may result in severe civil and crimdnal penalties,and viiil be prosecuted to the maximum extent possible under the law.This document was produced 1 by AlA software at 10.57:03 on 1 011 7/2 0 0 7 under Order No.1 00032 615 6-1 which exp!res on 10115/2008.and is not for resale. User Notes: (785361466) Dec 18 07 10:58a Mark Marinaccio, Architec 508-420-7922 p.12 - o1A Document G71 fm 1972 Architect's Field Report PROJECT:(Name and address) FIELD REPORT.NUMBER:C3,C2,C] Report 4 OWNER: ❑ Condyne Condominium Project ARCHITECT: Stevens Street ARCHITECT'S PROJECT NUMBER: 3072005 CONSULTANT:❑ Hyannis,Massachusetts Unit C3 Permit#B2007 L400 FIELD: ❑ Unit C2 Permit#B2007 UW3 Unit CI Permit#B20071122 CONTRACT: 13141 - 10/29/06 DATE 8/20107 TMIE 12:00 WEATHER Warm/Sun TEMP.RANGE 80 EST. %OF CO&1PLETION 60 CONFORMANCE WITH SCHEDULE(+,-)NA WORK IN PROGRESS PRESENT AT SITE Sheet Rock Mark Marinaccio Bill Kell OBSERVATTONS Fire rated electric boxes have been installed at fire partitions. " Double 5/8 fire code sheetrock has been installed on 2 hour fire rated walls. Joints are staggered. Taping and compound is in progress in unit C3&Cl Observed work is in kceping with the intent of the construction drawings ITEMS TO VERIFY Taping in Compliance with UL Standards INFORMATION OR ACTION REQUIRED Notification to Architect of construction schedule for remainder of work. Mechanical engineer certification chat work meets code requirements. Electrical engineer certification that work meets code requirements. Fire protection engineer certification that work meets code requirements ATTACHMENTS None REPORT BY:Mark Marinaccio AIA Document G711*"—1972.Copyright 01972 by The American Institute of Architects. All rights reserved. WARNING:Thi s AIA" Document Is protected by U.S.Copyright Law and International Treaties.Unauthorized reproduction or distribution of this AIA�' Document,or any portion of it, 1 may result in severe civil and criminal penalties,and will be prosecuted to the maximum extent possible under the law, This document was produced' by AlA software at 10.5523 on l 017/2007 under order Na'1000326156_I which expires an 1 0/1 512 0 0 8,and is not for resale. User Notes: (3069182003) Dec 18 07 10:58a Mark Marinaccio, Architec 508-420-7922 p.13 MARK R. MARINACOO, ARCHITECT ARCHITECT'S OWNER A _ FIELD REPORT ARCHITECT C� ARaKa dr • PLANNER • CONSULTANT 19 SCONSET OME .$ANMVKH, MA 02563 508 420 0821 AIA DOCUMENT C711 FIELD ❑ PROJECT: Hyannis Condominium Units Cl,C2;C3,Stevens StrLD REPORT NO. 2 Permit C1=B20071122,C2=B20071403,C3=B2007144bbUU CONTRACT: ARCHITECT'S PROJECT NO: 30-2005 DATE . 8-8-07 TIME 8:00 AM WEATHER Warm/Humid TEMP. RANCE 70's EST.% OF COMPLETION CONFORMANCE WITH SCHEDULE(+, —) . WORK IN PROGRESS Insulation &Fire Caulkiu&ESENT AT SITE Mark Marinaccio,David Sigl,Bill Kelly Insulation was installed in units C1& C2. Insulation work was started in unit C3 but not complete OBSERVATIONS General: 1. 3M fire caulking is being installed at all through top and bottom plate penetrations in fire separation assemblies het`veew »ni.ts. The following locations still require installation of fire caulking a. Unit C3 First Floor 2. Plastic electric boxes have been installed in the fire separation assemblies between units. Fire rated electric xes are available. It has been requested a e electrician submit supporting data. showing that the ins all d hnx s complywith the JjL assembly- 3. insulation has ` e i i . The following locations need additional work a- Unit C-1. insulatipa missing in narrow space next to crifing beam abwe firSt flooillving rouin. 4. 5/8 type X firecode sheet rock was observed in unit C1,waiting for installation. ITEMS TO VERIFY Completed Fire Caulk at first floor unit 2. Verification.of UL rated electric box installation. INFORMATION OR ACTION REQUIRED 1. Notification to the architect of the expected date of sheet rock installation. ATTACHMENTS Dec 18 07 .10:58a Mark Marinaccio, Architec 508-420-7922 p.14 ARCHITECT'S OWNER ❑ R MAMNAGOO, ARCHITECT FIELD REPORT. ARCHITECT ARCNITfCT PLANNER. • wwSt,LTANT CONSULTANT AJ'A DOCUMENT G711 FIELD ❑ �9 sca r o�aaE -.;AN Ica, mA 02563 50 4]o os]2 PROJECT: Hyannis Condominium Units C1,C2,C3, Stevens St� Permit C1=B20071122,C2=B20071403,C3=B20071400 �D REPORT NO:; CONTRACT: `ARCHITECT'S PROJECT NO: 30-2005 DATE 8-1-07 TIME 9:00 AM WEATHER Warm/Sun TEMP.RANGE 80's EST. % OF COMPLETION CONFORMANCE WITH SCHEDULE WORK IN PROGRESS Plumbing,HVAC, Elect PRESENT AT SITE Mark Marinaccio,David Sig[,Bill Kelly, oe lambol0 Plumbing,Electrical,HVAC work 95% complete No ins ti n work has been started OBSERVATIONS General: Structural Rough Frame is Complete,fire blocking is installed at stairs and unit wails. Ceiling strapping is complete,exterior siding has been installed,rooting installed,windows and doors installed. Fire rated assembly has been installed around the TJ1 floor joists where they sit on top of the fire rated bearing wall. Insulation and sheet rock work is scheduled for next week. UG wall assembly details were given-to the project supervisor, Through plate and sill penetrations to be fire caulked in accordance with the nlanc Project supervisor stated that all vertical load have been carried down to the foundation to comply with requirements of structural engineers field report. ITEMS TO VERIFY Complete Comple1ed Fire aulk at t roug penetrations - JNFORMATION OR ACTION REQUIRED 1. Notification to:the.architect of thesexpected date of sheet insulation installation. ATTACHMENTS Dec 18 07 10:58a Mark.Marinaccio, Architec ' 508-420=7922 p.15 AIA-Document rrw G704 20 00, Certificate of Substantial Completion PROJECT: PROJECT NUMBER:30-20051820071400, OWNER: 21 (Name and address)- 1326071463,,11320071122 F1ageship Estates,Condominiums CONTRACT FOR:General Construction ARCHITECT: Stevens Street CONTRACT DATE: CONTRACTOR: Hyannis,Massachusetts TO OWNER: TO CONTRACTOR: FIELD:E] (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 CL Permit#1320071122 Unit C2: Permit#B20071493 Unit C3: Permit N132007 L400 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 Projector 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 12/14/2007 Mark Marinaccio,Architect December 14,2007 ARCHITECT '' BY DATE OF ISSUANCE A list of items to be completed o corrected or is attached hereto.The failure to include any items on such list does not alter the - responsibility of the Contractor to complete all Work in accordance with the Contract Documents.Unless otherwise agreed to in writing,the date of commencement of warranfies for items on the attached list will be the date of issuance of the final Certificate of Payment or the date of final payment. Cost estimate of Work that is incomplete or defective:$0.00 . 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 Constrution,Inc CONTRACTOR BY DATE The Owner accepts the Work or designated portion as substantially complete and will assume full possession at (time)on December 21,2007(date): Flagship Estates Hyannis,LLC OWNER BY DATE The responsibilities of the Owner and Contractor for security,maintenance,heal,utilities,damage to the Work and insurance shall be as follows: (X-te,•Owner's and Contractor's legal and insurance counsel should determine and review insurance requirements and coverage.) " AIA]Document G704TM—2000.Copyright 9 1963,1978,1992 and 2000 by The American Institute of Archltects. All rights reserved. WARNING:This AIA" Document is protected by U.S.Copyright Law and International Treaties.Unauthorized reproduction or distribution of this Ale Document.ar any portion of 11,may result in severe civil and criminal penalties,and will be prosecuted to the maximurn extent possible under'the law. This document T was produced by AIA software at 13:45:56 on 12/17/2007 under Older No.1000326156_1 which expires on 1011512008,and is notfor resale. User Notes: _ (79950066) Dec 18 07 10:58a Mark Marinaccio, Architec 508-420*7922 p.16 � r TOWN OF BARNSTABLE � • • Application on Ref: 200703558* &4RM I-E. "` Issue Date: .06/18107 x Permit v �Ar16 339. a~°� Applicant: LAMBALOT,JOSEPH E. Permit Number: B 2007140D Proposed Use: Expiration Date: 12J16107 cation 320 STEVENS STREET C3 Zoning District OM Permit Type: SP-PROI RES ADD/ALT p Parcel 30800400K Permit Fee S 251.24 Contractor LAMBALOT,JOSEPH E. [age HYANNIS App Fee S. 50.00 `License Num 048722 Est Construction Cost S 61,277 narks NENT FIT OUT FOR UNIT C3 APPROVED PLANS MUST BE RETAINED ON JOB AND THIS CARD MUST BE KEPT POSTED UNTIL FINAL INSPECTION HAS BEEN MADE. WHERE A er CERTIFICATE OF OCCUPANCY IS REQUIRED,SUCH ess: TWO MS PL Record: FLAGSHIP ESTATES HYANNIS LLC BUILDING SHALL NOT BE OCCUPIED UNTIL FINAL QUINCY, INSPECTION HAS BEEN MADE.MA 02169 . cation EnEered by: PR Building Permit Issued By: � ` PERMIT CONVEYS NO RIGHT TO OCCUPY ANY STREET,ALLY OR SIDEWALK OR ANY PART THEREOF,,EITI-IER TEMPORARILY OR PERMANENTLY. LOACHEMENTS ON PUBLIC PROPERTY,NOT SPECIFICALLY PERMITTED UNDER THE BUILDING CODE,MUST BE APPROVED BY THE JURISDICTION:ET OR ALLY GRADES AS WELL AS DEPTH AND LOCATION OF PUBLIC SEWERS MAY BE OBTAINED FROM THE DEPARTMENT OF PUBLIC WORKS, ISSUANCE OF THIS P ERMIT DOES NOTRELEASE THE APPLICANT FROM THE CONDITIONS OF ANY APPLICABLE SUBDIVISION RESTRICTIONS. NIUM OF FOUR CALL INSPECTIONS REQUIRED FOR ALL CONTSTRUCTION WORK: U1 DATION OR FOOTINGS. L FIREPLACES MUST BE INSPECTED AT THE THROAT LEVEL BEFORE FIRST FLUE LINING IS INSTALLED. RING&PLUMBING INSPECTIONS TO BE COMPLETED PRIOR TO FRAME INSPECTION. ' 'OR TO COVERING STRUCTURAL MEMBERS(READY TO LATH). ;ULATION. !AL INSPECTION BEFORE OCCUPANCY. 2E APPLICABLE,SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL,PLUMBING AND MECHANICAL INSTALLATIONS. SHALL NOT PROCEED UNTIL THE INSPECTOR HAS APPROVED THE VARIOUS STAGES OF CONSTRUCTION. %ITT WILL BECOME NULL AND VOID IF CONSTRUCTION WORK IS NOT STARTED WITHIN SIX MONTHS OF E THE PERMIT IS ISSUED AS NOTED ABOVE. )NS CONTRACTING WITH UNREGISTERED CONTRACTORS DO NOT NAVE ACCESS TO GUARANTY FUND(as set forth in MGL c.142A). LDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS 1 'ov� d 1 2 �t z yd 2 1 Heating Inspection Approvals Engineering Dept Dept lL�/&,7- 2 Board of Health eL +ta.[_ �IME' ti Town of Barnstable Building Department - 200 Main Street •ARNSTABLE, * Hyannis, MA 02601 9 MASS 1639. . (508) 862-4038 - �FD - - Certificate of Occupanc" y Application Number: 200702846 CO Number: 20070276 Parcel ID: 30800400M CO Issue Date: 12107/07 Location: 320 STEVENS STREET C1 Zoning Classification: 'OFFICE/MULTI-FAMILY RESIDENTIA Village: b HYANNIS Gen Contractor:- LAMBALOT, JOSEPH E. Permit Type: RC00 a CERTIFICATE OF OCCUPANCY-RES Comments: FOR UNIT #C1 - r -7 T Building Department Signature Date Signed SINE TOWN OF BARNS ABLEBuilding �+ Application Ref: 200702846 n• * BARNSTABLE, Issue Date: 05/21/07 PertCI lI 9 MASS. Q�Ar1639. A Applicant: LAMBALOT,JOSEPH E. Permit Number: B 20071122 Proposed Use: Expiration Date: 11/18/07 FL ocationV-3-20—STEVENS'STREET C1 Zoning District OM Permit Type: SP PROJ RES ADD/ALT Map Parcel 30800400M Permit Fee$ 251.24 Contractor LAMBALOT,JOSEPH E. Village HYANNIS App Fee$ 50.0.0 License Num 048722 Est Construction Cost$ 61,277 Remarks APPROVED PLANS MUST BE RETAINED ON JOB AND TENANT FITOUT FOR UNIT C 1 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 PERMANENTLY: ENCROACHEMENTSy ON PUBLICiPROPERTY;NOT SPECIFICALLY PERMITTED UNDER-THE BUILDING CODE,MUST BE APPROVED.BY THE JURISDICTION. STREET OR ALLYiGRADESAS WELLAS 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 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). 000 ui ;WIN, W." BUILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS{,, .. . 7_ 51p_U23 0� r 2 (� IFf SU Z �aur1�ivo 2� 3 f,(�( ® rL 1 Heating Inspection Approvals Engineering Dept Fire Dept `!H67 2 Bo d of He Ith ( 2 ? d-7 s• TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel Application# C Zeq kk� Health Division Conservation Division Permit# Tax Collector Date Issued ° Treasurer Application Fee Planning Dept. i ¢Permit Fee - b��d� Date Definitive Plan Approved by Planning Board Historic-OKH Preservation/Hyannis Project Street Address Village Owner/ ,�5 ��� Address le- Telephone yefZEZ { Permit Request C� ��S�d�i Ul••/ Square feet: 1 st floor:existing proposed e?V61 2nd floor:existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation ���o2 77 Construction Type Grad Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family(#units) Age of Existing Structure `� Historic House: ❑Yes ego-*, On Old King's Highway: ❑Yes a eo Basement Type: ❑ Full ❑Crawl ❑Walkout �r Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) '— Number of Baths: Full:existing new Half:existing new Number of Bedrooms: existing new Total Room Count(not including baths):existing new First Floor Room Count 2 s Heat Type and Fuel: 6 Gas ❑Oil ❑Electric ❑Other f Central Air: 0Y-es ❑No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑No A Detached garage:❑existing ❑new size Pool:❑existing ❑new size Barn:❑sxistind ❑neW ize Attached garage:❑existing eew size DZb hed:❑existing ❑new size Other: Co Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ b ~ {Commercial ❑Yes ®'No If yes, site plan review# ' n Current Use / sl Proposed Use lv 4(SG ILDER INFORMATION Name LG� TG Telephone Number Address ��l/ � �" �G�' J�� ` /O� License#� 7z Home Improvement Contractor# zw/10 Worker's Compensation# 4/�� �7J�7 ALL CONSTRUCTION DEBRIS RESUL THIS THIS ROJECT WILL BETAKEN TO SIGNATURE DATE 4/13 f?9 G e, FOR OFFICIAL USE ONLY = 1, PERMIT NO. DATE ISSUED ' MAP/PARCEL NO. . ADDRESS VILLAGE OWNER t DATE OF INSPECTION: FOUNDATION ` FRAME D IP INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING O r 7 -7 _ DATE CLOSED OUT f ASSOCIATION PLAN NO. - • i. s ..F �pT1iE iok Town of Barnstable Regulatory Services Thomas F. Geller,Director . 9�P 1639. A�� Building Division QED}AAi • Tom.Ferry, Building Commissioner 200 Main Street, Hyannis,MA 02601 Office: 508-862-403 8 Fax: 509-790-6230 Property owner Must Complete arid'Sign This Section. if.Using A Builder ZZC as Ownet of the subject property heteb .authorize to act on my behalf, Y in all mattets relative to work authorized by this building pertnit application fot: T y (Address of Job) tote of O r Date Print Name r . Q:FORMS:OWt`TERPERMI�SION . L t,. t od p- Ind %1 �.,ypr t:� § c". M kAfF Avii .A t• ��, �a?:r q � 3 oe t 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): Address: �1.7G� 1(�Q City/State/Zip: j\nC_\ °�(;� vat Phone #: Are you an employer?Check the appropriate box: 1.ElI am a employer with C> 4• ❑ I am a general contractor and I Type of project(required):������,, employees(full and/or part-time).* have hired the sub-contractors " s� 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.] 5. ❑ We are a corporation and its 10.❑Electrical repairs or additions 3.❑ I 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.❑Roof repairs employees. [No workers' 13.[_1 Other comp. insurance required.] `Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. $Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: Policy#t or-Selfns ie #- ��►� 9-���g��� FXLation ate: - Q- - Job Site Address: -�>Z)c) S e City/State/Zip:Aq � p� 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 a 152 car 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 nature: CC c Date: Phone#: Offacial 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#: -ATM CERTIFICATE OF LIABILITY INSURANCE DATE(M 06/22/2006/2006 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 P.O. Box 9120 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. 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 DD' - TYPE OF INSURANCE POLICY NUMBER DATE(MM/DDIYYI DATE(MMIDD/YY)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 $ 100,00 CLAIMS MADE a OCCUR WED 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-' 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 $ B SCHEDULEDAUTOS (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 $ AUTO ONLY: AGG $ EXCESS/UMBRELLA LIABILITY - BE495305901 06/20/2006 06/20/2007 EACH OCCURRENCE - $ 10,000,000 X OCCUR a CLAIMS MADE AGGREGATE $ lO,OOO,OOO DEDUCTIBLE $ P-RETENTrON--$---10T00 -- S -- WORKERS COMPENSATION AND - WC2083866787 06/20/2006 06/20/2007 X I WCSTATU oTH- EMPLOYERS'LIABILITY D ANY PROPRIETOR/PARTNER/EXECUTIVE - E.L.EACH ACCIDENT_ $. 500,000 OFFICER/MEMBER EXCLUDED?If yes,describe under E.L.DISEASE-EA EMPLOYE $ 500,000 - SPECIAL PROVISIONS below E.L.DISEASE-POLICY LIMIT $ 500,000 OTHER DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS vidence of Insurance for work performed within the Insureds scope of normal business operations.p p s. 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) s 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 Policy :.:::.;.:;;.:.;:.;;;. cw:�ra. �, ,:....: ..:;.. :,.: .. y ::::::.::::::::::::::.::::::.;::.;::. .:::....:.. ..:I .;Praxtl. #:....::::::.:::::::.::. errs..:.:::::::.:::::::::::: l�..........:.................. ............:..............:...::::.:::::::::.:::.: y WC 2 83866787 06/20/06 06/20/07 CONTINENTAL.CASUALTY CO 075416120 »::> N..rneci...ndd .............end; 'Ad dre�.s.........................................:.::....:.::::.::.:::.:.:...................................... ::.::::::::.::....:: nt..................:::::.::::::..::::.:::::::::::::............ . ..................................... ITEM ADVANTAGE CONSTRUCTION, INC. HE DRISCOLL AGENCY, INC 1 . TWO ADAMS PLACE SUITE 100. 93 LONGWATER CIRCLE QUINCY, MA P.O. BOX 9120 NORWELLt 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 0 P E R A T I O 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 'TOTAL ESTaIATED:;STANDARD,:.PREMIUM $15,917 TOTAL ALL:RIS , ADJUSTMENT. PROGRAM.. $6,367 >.;: ;: ES.TIMATED,STANDARD PREMIUM "' $22 ,284 PREMIUM DISCOUNT $302- EXPENSE CONSTANT $284 FOREIGN TERRORISM PREMIUM $412 DC@4EST1—C2'E ROR4SM, EQ—& EA3—P�2EMIt3M _ -- - ESTIMATED PREMILT-M $22,670 -- —— — N STATE TAXES/ASSESSMENTS/SURCHARGES $700 ESTIMATED COST $23,378 n OpN O • ACCOUNT NUMBER: 3003313920 DATE OF ISSUE: 12/19/06 POLICY ISSUING OFFICE: NEW ENGLAND (WC000001) P-39543—A frr,.�—I—fth.Board 1 _ rwr nrrn nr� 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 Pdicy ftril ><` ` ::.: . rorta i*ahc;:P:,er�c�d.;;>:,.Tca::...... vp ,: WC 2 83866787 06/20/06 06/20/07 CONTINENTAL CASUALTY CO 075416120 Insurexxx— d:And� :.::;:.:..............: 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 ** 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 01/9.6 ***** 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 0 N m pO N n i� N O O DATE. OF ISSUE: 12/19/06 POLICY ISSUING OFFICE: NEW ENGLAND (WC000001) P-39543—A TM C•TTD LITI Ci 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 Petlsc�rNurrttr` wr r *oi�c :;F�rwc .:: T�...;:.;::.:;:..:.:;;;.,:;; ,.:.;. ..::.::::: :::::.:::.:::.:::::.:::. ::::::. :.::..::::::::::.x-x.o yera. e:;i >Provtded.: :.::::::: WC 2 83866787 06/20/06 06/20/07 CONTINENTAL CASUALTY CO 1075416120 nd. .dd.. . ::::.:...::.:::....................::.::..:.::.::::::::::::::...........................:::::::::::::. .......:..::::::::.........................:...::A:..... ►....► ,ss.............::..:::::::.::::::................................:::::::::............................... ..:::.:::::.::::::.:::::.::::::::,::::::::::::::::::::::::.:::.. .:::: ::. .::._::..:::::::: 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 .0 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, LLC FEIN=043690302 YPE2 —�3 ***** ADDED ***** N WEST ,GREENWICH TECH :II MANAGER ° LLC FEIN=043690302 YPE2 o ***** ADDED **** r 0 0 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 TMCTTT?Pn CNA CNA Plaza , Chicago,I111nois60685 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 . .:::. Poney::Nirt#ti :< >::.:..;:;ram::.::<.Po> ..:::..:.:.:.:.. .... :.:::.::.:.:..:.....::.:.::.........:...::. . ;G�auera eI�::.Provid.�.: WC 2 83866787 06/20/06 06/20/07 CONTINENTAL CASUALTY CO 075416120 etl Insured Antl4tltlrs ;.>.:<:.:.::: .> .:.>:::::.>::::..::.:.:<.:.:::::; 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 ** 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 ***** m a N I � I n 0 g 0 DATE OF ISSUE: 12/19/06 POLICY ISSUING OFFICE: NEW ENGLAND (WC000001) P-39543-A TNSTTR F..T) . . ADVANTAGE 'Construction, Inc. February 1, 2007 Tom Perry Town of Barnstable 368 Main Street Hyannis, MA 02601 2 -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 AA ntage�0i�t��l�Gtr6r�—I13G.' — — ——-- Lisa izotte g Human Resourdes " ADVANTAGE CONSTRUCTION, INC. Two Adams Place,-Suite 100, Quincy, MA 02169 Telephone 781'.848.8787 Fax 781.848.377.4 www.advantage,constructioninc:com WE Town of Barnstable l Building Department - 200 Main Street * AB Hyannis, MA 02601 MASS 163 9. , 508 862-4038 Certif icate .of Occupancy - Application Number: 200703557 CO Number: 20070274 Parcel ID: 30800400H CO Issue Date: 12107107 Location: 320 STEVENS STREET 133 Zoning Classification: OFFICE/MULTI-FAMILY RESIDENTIA Village: HYANNIS Gen Contractor: LAMBALOT, JOSEPH E. Permit Type: RC00 CERTIFICATE OF OCCUPANCY RES Comments: FOR UNIT #C2 _o 7 C Building Department Signature Date Signed �. �1HE> ti TOWN OF BARNSTABLE , Building �► Application Ref: 200703557 i * > srAB>�. : Permit Issue Date: 06/18/07 9 MASS �p 039. �� Applicant: LAMBALOT,JOSEPH E. Permit Number: B 20071402 Proposed Use: Expiration Date: 12/16/07 [Location 320 STEVENS STREET B3 Zoning District OM Permit Type: SP PROJ RES ADD/ALT Map Parcel 30800400H 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 TENENT FIT OUTtUNIT#C2 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 PERMANENTLY ENCROACHEMENTS�ON PUBLIC PROPERTY,NOT"SPECIFICALLYPERMITTED'UNDER THE BUILDING CODE,MUST BEAPPROVED BY<THE JURISDICTION. STREETOR�ALLY°GRADES'AS WELL'AS DEPTH AND LOCATION OF PUBLIC SEWERS MAYBE 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 vc ?Vel;7 2 2 . � of IL 0 3 1 Heating Inspection Ap rovals Engineering Dept //l6 7 Fire Dept �J l�/�/o, 2 ABr o Health ( 1 .� 0- TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map ��� Parcel Application# Health Division Conservation Division Permit# Tax Collector Date Issued Treasurer Application e J Planning Dept. Permit F Date Definitive Plan Approved by Planning Board Historic-OKH Preservation/Hyannis Project Street Address Village Owner G/c- Address Telephone 7,p7 Permit Request Gr/ /7 Square feet: 1 st floor:existing proposed 2nd floor:existing — proposed Tot i nnew t�.ZZO Zoning District 11/y Flood Plain Groundwater Overlay f' Project Valuation Construction Type Az/o �, _ r Lot Size Grandfathered:- ❑Yes ❑No If yes, attach supporting docume tation. Dwelling Type: Single Family. D Two Family ❑ Multi-Family(#units) i9y❑ /� � Age of Existing Structure Historic House: Yes C�'iVo On Old King's Highway: ❑ � Yes �No Basement Type: ❑Full ❑Crawl ❑Walkout her 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 V First Floor Room Count Heat Type and Fuel: dGas ❑Oil ❑Electric ❑Other Central Air: M4es ❑No Fireplaces: Existing New Existing wood/coal stove: ❑Yes C RIo Detached garage:❑existing ❑new size Pool:❑existing ❑new size Barn:❑existing ❑new size Attached garage:❑existing a new, size kZO S�Led:❑existing ❑new size Other: _ Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes O'No If yes, site plan review# Current Use C��7Gr��! Proposed Use B ILDER INFORMATION NameA�lTelephone Number v Address 14�9 License# D47,24 Home Improvement Contractor# c� 1 Worker's Compensation# ALL CONSTRUCTION DEBRIS RESULTIN FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE3�`7 FOR OFFICIAL USE ONLY + t ' PERMIT NO. i DATE ISSUED MAP/PARCEL NO. , t ADDRESS, VILLAGE OWNER DATE OF INSPECTION: FOUNDATION FRAME Or— '7 --'3 INSULATION - �— 7 FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING �L 7 a-7 / �! s DATE CLOSED OUT ASSOCIATION PLAN NO. Town'of Barnstable Q�ZHE 7 Regulatory Services xaz ,$ Thomas F. Geller,Director . 9� 0591 Building Division 'DIED MA'S� Tom Perry, Building Commissioner 200 Main Street, Hyannis,MA 02601 Fax: 508-79076230 Office: 508-862-4038 i Property OwTier Must complete an.d'Sign TEs Section. If.Using A Bu.ilder �- XS ��fnv�sS,zzC 1 V e'll ,as Owner of the subjectproPerip. z, heteb -authoe /d�' `v to act on mp behalf, Y in all tnattets relative to work authorized by this building p ermit application for: V � (Address of job) G� ature of O r Date priut Name > Q:IFORMS:OWNERPERMISSION L k yr. Tf 04 gaj st aa- .k `k Jtlp � t� �S�1�� '��',� �c �,'���:E�• �i�Ri'� i" w 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� � - Address:-0 C_`y City/State/Zip: �;�L� '�'�(� oaks Phone #: = Are you an employer?Check the appropriate box: 1.❑ I 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 " .�►N-ew 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.❑ I am a homeowner doingall work. officers have exercised their 11.❑Plumbing repairs or additions myself. [No workers' comp. right of exemption per MGL 12.0 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: LO N P-oliey#or-Self4ns-L-ice#: p,ration Date. \c---cl -= -1- --- - Job Site Address: - Z)>Z)c) City/State/Zip: Attach a copy of the workers' compensation policy declaration P p y. page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A'of MG I,c. 152 cari''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 cove v r rcation. I do here ce ify u der e pains and pena s of p ry at the information provided above is true and correct. Si afore: CC Date: Phone#:. �O� -�� — 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#: A4CC_R®,,. 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 INSURERS: Transcontinental Insurance Co. Transc Suite 100 INSURERc: National Union Fire.Ins Co Quincy, MA 02169 wsURERD: 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 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 LIMITS- GENERAL LIABILITY 5437105893 06/20/2006 06/20/2007 EACH OCCURRENCE $ 1,000,000 PR X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED $ 100,000 F. CLAIMS MADE a OCCUR MED EXP(Any one person) $ S,000 A PERSONAL&ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GEN'LAGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OPAGG $ 2,000,00. POLICY X PRO- AUTOMOBILE JECT AUTOMOBILE LIABILITY _ SAP2083866837 06/20/2006 06/20/2007 COMBINEDSINGLELIMIT - .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 $. ANY AUTO EA ACC $ H . OTHER THAN AUTO ONLY: AGG $ EXCESS/UMBRELLA LIABILITY BE495305901 06/20/2006 06/20/2007 EACH OCCURRENCE $ 1.0,000,000 X OCCUR CLAIMS MADE AGGREGATE $ 10,000,000 C $ DEDUCTIBLE - - - -RETENTfON-$ -10 T 00- ---- --- WORKERS COMPENSATION AND WC2083866787 06/20/2006 06/20/2007 X I WCsTATU- 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/LOCATIONS/VEHICLES/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. FBUTHORIZED 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(2001108) 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 -.:. Y............� ra WC 2 83866787 06/20/06 06/20/07 CONTINENTAL CASUALTY CO . 075416120 ...... ed:.nsured And Atldreg .. .::. . .:.. , .....:.::.:. :. ..::.:..::...::::::.... . :.::....;:.;.:.: ::.;:.;:..:.:;. ..ttY ...................:::::::::::.::.:... 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 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 T4�Ah'•-ESTIA"TED:STANDARD:;PREMIUM $15,917 TOTAL ALL RISK ,ADJUST'MENT ..PROGRAM„ $6,367 ESTIMATED tSTANDARD PREMIUM'` $22 ,284 PREMIUM DISCOUNT $302- EXPENSE CONSTANT $284 FOREIGN TERRORISM PREMIUM- $412 IIO IFS3IC -T-E RORI-sN—, E Q--&-GAT—P-R-E-M I-UM- - ESTIMATED PREMIUM. $22,670 -- -- - N STATE TAXES/ASSESSMENTS/SURCHARGES $700 ESTIMATED COST $23 ,378 N ACCOUNT NUMBER: 3003313920 DATE OF ISSUE: 12/19/06 POLICY ISSUING OFFICE: NEW ENGLAND` (W0000001) P-39543-A I /.�r/^0''�Ghaamen ofNe Boafd �rrt nrTn nn 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 Pot :Fluiirom...:..:. f�l.tc::.;Per►.rsd.;:.;;; Tv::.:. Y.............................:::.::::::::.::::. +:: ::.::::.:::::%.:..:::..:::.::.::::.::.:::::: ov ra :�:P'rs3vtdec#.: :::: ::.:::.:::::::.:::::::::::: WC 2 83866787y 06/20/06 06/20/07 CONTINENTAL CASUALTY CO 075416120. s<NB fti :7 .:<:;U'>;:.,:,.;;.;::;>:,::;<:.:�r:;o:::::::::::::>>>;::>i::::<a:»>:'s'>:«>::: nr�d:And Adrt►ess ..........:::::::.::.:::::::::::: :.::.:.:::.... nt:::..:::.:::...:::::::::::::::::::.:::::::.:::::.<::.:;..::.::...::..;::: 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 ***** G12O587B 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 ***** co 0 SN DATE OF ISSUE: 12/19 06 POLICY ISSUING OFFICE: NEW ENGLAND (WC000001) P-39543—A TTICTTn 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 :...:: >:>:.:>:::<::.; ''<;: >:� 3iz» ; s>; : iy>::[:> >f'ctIi e::�.Rxo. d .......... .......... ......... r >;;;;:::::::.:::::::::::.:..::.::.........................:..:.................:.......... .......... . .,............, WC 2 83866787 06/20/06 06/20/07 CONTINENTAL CASUALTY CO 075416120 m. ........ rc#: #nc[:i>; dres:. ...............................::::::::::::.::::.::.:....:........................:::::::: ........... . ......................... :::::::::. .:,:::::::::::.::.:::...................... ....:....::::.:::::.:::::::::::.:::........................:..:::.:::. ::::::.::.:::. .:,.... n :::::::::.. ..... ADVANTAGE CONSTRUCTION, INC. THE DRISCOLL AGENCY, IN.0 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 .0 R E D 'S ** SCHEDULE PAGE,. 1 WEST GREENWICH"TECH I, ,LL_C t 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, 2 LLC FEIN=043690302 N YPE2 ***** ADDED ***** N WEST GREENWICH TECH II MANAGER N LLC FEIN=043690302 . • g YPE2 ** ** ADDED ***** WEST GREENWICH TECH III MANAGER, LLC FEIN=043690302 YPE2 ***** ADDED ***** DATE OF ISSUE: 12/19/0.6 POLICY ISSUING OFFICE:, NEW ENGLAND (WC000001) •P-39543-A TT\i CTTT?Vn • 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 9,015 .EFF 12-12-06 Paty`,Nu :: ::: ;;:.:.. rom ..;F�o)Fc .Pr�ac ;..:. Q.: . .... .......:.:.. ....:..:..:...........:.::.:::.:...:.::..; era a h.P..... ..........::::::...::::::::::. .::::::::::::::..:.:::::.::::.:::::::::::::.:::::::: WC 2 83866787 06/20/06 06/20/07 CONTINENTAL CASUALTY,CO 075416120 . ...... . .....: ::: rn�d insures M Addkess 1 ADVANTAGE CONSTRUCTION, INC . THE DRISCOLL AGENCY, INC' TWO ADAMS PLACE SUITE 100 93 L. NGWATER CIRCtE QUINCY,- MA P.O.-,BOX 9120 ORWELL MA 02061 02169. ** O T H E R N A M fE 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 ***** 6 DATE OF ISSUE: 12/19/06 _ POLICY ISSUING OFFICE: NEW ENGLAND ZZ (WC.000001 ) P-39543-A TNSTTRRTI A, DVANTAGE 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 -A&ptage( on-,, -ru-c-ti-on—Inc =--- — ——-- --- Lisa izotte Human Resources ADVANTAGE CONSTRUCTION, INC. Two Adams Place, Suite 100, Quincy, MA 02169 Telephone 781.848.8787 Fax 781.8.48.3774 www.advantageconstructioninc.com Town ofBarnstable Building Department - 200 Main Street RMWSTABLE. * Hyannis; ,MA 02601 9$ MASS (508) MASS. 862-4038 u Certif icate' f 0Ccupancy Application Number: 200703558 CO Number: 200/0275 Parcel ID:- 30800400K CO Issue Date: 12/07107 'Location. �. 320 STEVENS STREET C3 Zoning Classification: OFFICE/MULTI -FAMILYR€SIDENTIA Village: HYANNIS Gen'Contractor: LAMBALOT, JOSEPH<E. .� Permit Type: RC00 CERTIFICATE OF OCCUPANCY RES . Comments: FOR UNIT #C3 x �-7 6�7' Building Department Signature Date Signed tNE TOWN OF BARNSTABLE Building Application Ref: 200703558 BARNSTABLE, Issue Date: 06/18/07 Permit I 1 9 MASS �p i639• Applicant: LAMBALOT JOSEPH E. rFG MAC A Permit Number: B 2007140.0 Proposed Use: Expiration Date: 12/16/07 Location 320 STEVENS STREET C3 Zoning District OM Permit Type: SP PROJ RES ADD/ALT Map Parcel 30800400K 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 TENENT FIT OUT FORftt't-N'IT"C3'1 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 ORANY PART THEREOF EITHER TEMPORARILY.OR PERMANENTLY; ENCROACHEMENTS ON PUBLIC PROPERTY,;NOT SPECIFICALLY PERMITTED UNDER THE BUILDING CODE,MUST BE APPROVED BY JURISDICTION. STREET ORALLY GRADESAS WELL AS DEPTH AND LOCATION OF'PUBLIC SEWERS''ikY.BE OBTAINED FROM THE"DEPARTMENT-OF PUBLIC,WORKS THE ISSUANCE OF THIS PERMIT DOESNOTRELEASE THE APPLICANT FROM THE CONDITIONS OF ANY APPLICABLESUBDIVISION 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 BECOMENULL 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 R ".fe O: � 3 1 'Heating Inspection Approvals Engineering Dept Fire Dept �� �/�, 2 Bo d of qealth I '1 O-7 TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map o� Parcel 60 7 00 IC Application# Health Division Conservation Division Permit# Tax Collector Date Issued s Treasurer A licat' Ft�e pp Planning Dept. Permit t /D Date Definitive Plan Approved by Planning Board D� Historic-OKH Preservation/Hyannis A Project Street Address S' V !' Village Owner c!' �S cS q S' iSAddress GALe < �� Telephone Permit Request Q C) Square feet: 1 st floor:existing ~- proposed c 2nd floor:existing proposed TolaI new O5 m Zoning District Flood Plain Groundwater Overlay - _ :P Project Valuation �a7l Construction Type Memo/ co 3- Lot Size /Z� Idr Grandfathered: ❑Yes a No If yes, attach supporting d cumentaN)n. rn Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family(#units) Age of Existing Structure Historic House: ❑Yes 2110o, On Old King's Highway: ❑Yes No Basement Type: ❑ Full ❑Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) J Basement Unfinis ed 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 A/ First Floor Room Count — , Heat Type and Fuel t'f Gas ❑Oil ❑Electric ❑Other Central Air: d Yes ❑No Fireplaces: Existing New Existing wood/coal stove: ❑Yes 0<0 Detached garage:❑existing 0 new size Pool:❑existing ❑new size Barn:U existing ❑new size Attached garage:❑existing ❑new size,? Slaed:❑existing ❑new size Other: Zoning Board of Appeal;?o r' tion ❑ Appeal# Recorded❑ Commercial ❑Yes If yes, site plan review# _ Current Use Proposed Use .� 1 BUILDER INFORMATION Name Telephone Number g1l Address 75,7o License#- 42,_��X702� GAGV Home Improvement Contractor# Worker's Compensation#�/�o?/I ���'7�7 ne ALL CONSTRUCTION DEBRIS RESULTING F 0 THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE FOR OFFICIAL USE ONLY n PERMIT NO. DATE-ISSUED - MAP/PARCEL NO. ! ADDRESS VILLAGE OWNER DATE OF INSPECTION: r. FOUNDATION FRAME INSULATION O fC —( Sv"-p "7 FIREPLACE M 4' r ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING �� J f — O "7 P "" DATE CLOSED OUT ASSOCIATION PLAN NO. �ofz r � 'Town of Barnstable. Regulatory Services fwxzvsrAs�e, * Thomas F. Geller,Director . %6591 Building DivisionD►AAj p Tom Perry, Building Commissioner 200 Main Street, Hyannis,MA 02601 Office: 508-8b2-403 8 Fax: 508�-790-6230 Property Owxle. r Must Complete and Sign.'Th.is Section. If.Using A.Builder s�`� -n g/ �/V ���� ,as 0vuet of the subject property I heteb .authorize ��11L' �i y d 11:9 to act on my behalf, Y in all matters telative to work authorized by this building pert oit application for: (Address of Job) ature of 0 t Date 1 Print Name Q�ORMS:OWNERPEP-NnS SION � x � i Fla a. ,ra ` as a G "1'2800,1m• Tr y. �,�i ;4 ow 25 8 E. EDP t=� _ � 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 Lelzibly Name(Business/Organization/Individual): �C� Address:'�1,�� City/State/Zip: (i\V_\(_�, \' a 'Phone#: Are you an employer?Check the appropriate box: 1.❑ I 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 "�"�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. ❑ We are a corporation and its 10.❑Electrical repairs or additions 3.❑ I am a homeowner doing' all work. officers have exercised their 11.❑Plumbing repairs or additions myself. [No workers' comp. right of exemption per MGL 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. 1 am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: P-oliey-#-or Self�7 .Lic-#� FXpiration Date: �- �- Job Site Address: ��(� C Sire City/State/Zip: Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 cart 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 v1 ed that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance covera e v ificati n. I do here ce ify u der e pains and pen t'e of p u at the information provided above is true and correct. Si nature: Date: a-� Phone#: Official use only. Do not write in this area,to be completed by city or town official o [6s ty.or Town: Permit/License# suing Authority(circle one): Board of Health 2;Building Department 3. City/Town Clerk 4.Electrical Inspector,5. Plumbing Inspector Otherontact Person: Phone#: �4CORDM CERTIFICATE OF LIABILITY INSURANCE 06/22/z 06' PRODUCER (781)681-66S6 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. 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. INSRADD' TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION DATE fMM1DD/YYI LIMITS GENERAL LIABILITY 54371OS893 06/20/2006. 06/20/2007 EACHOCCURRENCE $ 1,000,000 X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED $I PREMISES(En onrairen—) . - ZOO,OO CLAIMS MADE I 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- JECT 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 $ B SCHEDULED AUTOS (Per person) X HIREDAUTOS X NON-OWNED AUTOS BODILY INJURY $(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 El CLAIMS MADE t. AGGREGATE $ 10,000,000 C $ DEDUCTIBLE -RETENTION $ 10 00 --- $ --- WORKERS COMPENSATION AND WC2083866787 06/20/2006 06/20/2007 X1 We sTATu- OTH- EMPLOYERS'LIABILITY TORY D ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $ 500,000 OFFICER/MEMBER EXCLUDED?If yes,describe under E.L.DISEASE-EA EMPLOYEE $ 500,000 SPECIAL PROVISIONS below I E.L.DISEASE-POLICY LIMIT $ 500,000 OTHER DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS vidence of Insurance for work performed within the Insureds scope of normal business ope rations. 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 AUTHORIZED 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(2001108) 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 Poke m:::.�*ahc :P�r�od .;::>..Ta,:: ;,:;..::::;:;: :...,.Coyera. e;I�:.Pravtdecc#. ;;;::. on WC 2 83866787 06/20/06 06/20/07 CONTINENTAL CASUALTY CO 1075416120 lath>: ;I:<`.:;.>:.: » <> ><>'> ;;[ ': ::>:>>:>:<::'':'`::><::>:: ::>::: :::>::»'::<:' ::>::>:i:: >'. <:>:::>::::>:::<::::<:::>:: >::::>::::>:::::::<:;:>; ':.:::::... .::eci.r�sur�d;AndAddres..::...: ::...::.......:::::::.:..;:.: .:.;:..:.,:;:::.;:.;:.::. .. : :.: :....:.:. .:.:.::: Y:.:...;::....:.::.:.:;::. :.:::: ;::: .:.:....:.:...:::..:::: ......::.......::.....::..:....:.::.::...:..:.:::::.:::::::::::.:::::.:::::::::::.::::::.:::::::::::.:.:.:..:.:::.::.::::::.::::::::::::.::::::. ..::::::::.::.::::::.:..::::.::....::.:.......::::::::::::::::::::. 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 0 P E R A T I O 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 r**** ,_.REVISED POLICY TOTALS ***** ?' " ESTIMATED CLASS PREMIUM $17 ,318 TOTATi'+ESTIMATED;STAND,RD:':.PREMIUM $15,917 TOTAL -ALL RISK ADJUSTMENT. ..PROGRAM„ $6,367 .ES.TIMATED,'STANDARD PREMIUM '' $22,284 PREMIUM DISCOUNT $302- EXPENSE CONSTANT $284 FOREIGN TERRORISM PREMIUM $412 Il0M-RsST1-C T-ERROR2IMF EQ-& GA'�PRFMIL�M- _ $0 -- m ESTIMATED PREMIUM $22 67° --- - - - N STATE TAXES/ASSESSMENTS/SURCHARGES $700 ESTIMATED COST $23,378 g Np O O ACCOUNT NUMBER: 3003313920 DATE OF ISSUE: 12/19/06 POLICY ISSUING OFFICE: NEW ENGLAND (W0000001) P-39543-A •' Gheiman of the Board 1 I Twr nrrn nn 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 ::.. Pdiey NegriEe ?> >:...... a>h::P�rovtded. ......................:.....:...:: Inc :..:...::::::::::.:::: ............................. '............................................::::.::::9.::::::.Y :..:::..:::: WC 2 83866787 06/20/06 06/20/07 . CONTINENTAL CASUALTY CO 075416120 Nari'`> .................................................. rat 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 ***** S N 0 0 N ® a DATE_ OF ISSUE: 12/19/06 POLICY ISSUING OFFICE: NEW ENGLAND (WC000001) P-39543—A TM CTTT)TTI a- , . 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 ` . PeriaeylVuriib .. T.Q.m Pvitc�rP�rwd TQ:. ..:. .:..::.; �Cov..era e; :Provided. >;. ..:..,::: .<::::::...;:.. . . .. .. : ,. mc WC 2 83866787 06/20/06 06/20/07 CONTINENTAL CASUALTY CO 075416120 :...: .:.... . med In ured�tnd Address ..r�i: ;;:.....::. 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 ER N A M E D I N S .0 R E D S ** SCHEDULE. PAGE 1 WEST GREEi`IWICH 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 ° ***** ADDED—*--*-* N WEST ,GREENWICH TECH II MANAGER LLC FEIN=043690302 YPE2 ***** ADDED o , i WEST GREENWICH TECH III _ MANAGER, LLC FEIN=043690302 YPE2 ***** ADDED ***** DATE OF ISSUE: 12/19/06 POLICY. ISSUING- OFFICE NEW ENGLAND s (WC000001) P-39'543-A • •. TAT CTTA VT 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 PdicV. W�r�.c .. ..: f Corr ra s::h P ov d�e4R. ...........................................9...:....Y..................::::: WC 2 .83866787 06/20/06 06/20/07 CONTINENTAL CASUALTY CO 075416120 ..:. . ..:::.:. ... .. ..:. rn�d Inured r1d Adc�pess .:.;.::.; ...::..::::.. .:..,..:.. ....:...: gip.:.; .;..::...::.:.::.:.... ............................................:.....:.::.:.:::::.::.:::::::: . .......... ADVANTAGE CONSTRUCTION, INC . THE DRISCOLL AGENCY, INC TWO ADAMS PLACE. SUITE 100 93 LONGWATER CIRCLE QUINCY, MA P:0 BOX 9120 - ORWELL MA 02061 02169 ** 0 T•H E R N A M E .DjT`I N S U R E D S ** SCHEDULE PAGE 2 DASCOMBROAD LP FEIN=043690302 , YPE2 ***** ADDED ***** CONDYNE INVESTMENT PARTNERS, LLC r FEIN=043690302 YPE2 ***** ADDED **** ANDOVER/CIF II, LLC FEIN=043690302 YPE2 ***** ADDED ***** • 'DATE OF ISSUE: 12/19/06 POLICY ISSUING OFFICE: NEW ENGLAND (W0000001`) .P-39543-A. TN ST7P F.T) VANTAGE - Construction, Inc.- Y Februar 1 2007 Tom Perry Town of Barnstable 368 Main Street w . 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. F If you have any question,please feel free to contact our office at(781) 848=8787: Sincerely, yY A ntage e R�Tuction--Inc. — — ——— LisaZizotte Human Resources >A VANTAGE 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 PERMIT APPLICATION Map_< Parcel e � l Permit# 0d 7000'y9()� Health Division Date Issued 0 iqd Conservation"Division Application Fee /,JO _ -- Tax Collector Permit Fee sI3 Treasurer g �-L� 6co C Planning Dept. f;�__ Date Definitive Plan Approved by Planning Board Historic-OKH Preservation/Hyannis Project Street Address D d . Village G Owner �G Address ✓ �6 .mil 1W Telephone 7 l— 2;�F_ef7f;r OF Permit Request A40— r— Square feet: 1st floor: existing propose 2nd floor: existing proposed � Total newt Zoning District Flood Plain Groundwater Overlay 4 Qzlya- g Project Valuation Y Construction Type. Lot Size // Grandfathered: ❑Yes Ao If yes, attach supporting documentation. Dwelling Type: Single Family 0 T Multi-Family(#units) Age of Existing Structure Historic House: ❑Yes ' ©'fro On Old King's Highway: ❑Yes Ed No Basement Type: ❑Full O Crawl ❑Walkout ❑Other ae�2fe;�'e Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full: existing new C2 Half: existing new -oS Number of Bedrooms: existing new Total Room Count(not including baths): existing new First Floor Room Count Heat Type and Fuel: B'Gas O Oil ❑ Electric ❑Other Central Air: des ❑No Fireplaces: Existing New — Existing wood/coal stove: ❑Yes O'No Detached garage:❑existing ❑new size Pool:❑existing ❑new size Barn:❑existing ❑new size Attached garage:❑existing donew size Shed:❑existing ❑new size Other: rn j Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ i Commercial ❑Yes ❑No If yes,site plan review# 4' ca 7U Current Use .17 T �e� Proposed Use, =� _ .e 4 BUI ER INFORMATION Name Tele phone Numberlei Address Ad License# ,7�__2_ Home Improvement Contractor# O Worker's Compensation#%� ,i T 7'Gi(/� ALL CONSTRUCTION DEBRI ESULTING FROM THIS PROJECT%>BE TAKEN TO SIGNATURE DATE FOR OFFICIAL USE ONLY r PERMIT NO. ' DATE ISSUED .� MAP/PARCEL NO. ADDRESS I VILLAGE " OWNER ' DATE OF INSPECTION: i FOUNDATION FRAME INSULATION r FIREPLACE t ELECTRICAL: ROUGH FINAL ; PLUMBING: ROUGH FINAL r y GAS: ROUGH / FINAL 1 FINAL BUILDING DATE CLOSEl)�6UT,` ASSOCIATION•PLAN,NO. i • ' 7 • , r °pTMer Town of Barnstable Regulatory Services SARNSSWLE,g Thomas F.Geiler,Director `� s6�� •e , Building Division ' �8D MA'S p , Tom Perry, Building Commissioner `200 Main Street, 1jyannis,MA 02601 t www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Property Owner Must t Complete and Sign This Section : ► If Using A Builder ; r ,•as 07Ter of the subject property hereby authorize: '4L,2 ' a ; . to act on my behalf, � in all matters relative to work authorized by this building permit application for: (Address of Job) a o er �j��;/Oer Date ' f Print I'Tame �,cno�,rc•nwrsFRPFRTviTfiCTON II' • rG. BUILDING PERNIIT FEES APPLICATION FEE New Buildings sdditwns 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 Commprojcost Rev:063004 REASTND UTLIFES MOE SHOWN IN THE DRAMNGS ARE APPROXIMATE.LOCA11ME AND NOT 0115 OF UNDERWW UTUTES ARE TAKEN FROM RECORD PLMIS,T ENGINEER DOES / i S1RAxT MEN ACCURACY OR TIAT ALL UTLITES AND SUBSURFACE SM—RES ARETNE PR SNOWN.ME CONTRACTOR SHALL BE RESPCNSBIE FOR PROPERLY LOCATNG AND COCROINATNG AND M NTNING THE EI05TN0 UTIUTY SYSTEMS W BERNCE.DRI—SAFE RA LL BEUNOT D PER THE STATE OF MASSACHUSETTS STATUTE CHAPTER e2."ON 409 AT TELVeOr a-S]J>— .` \ CO—\z THE CONTRACTOR SNALL VERIFY SIM LOCAMIN AND INVERTS OF UTLITES AND STEUCTURES AS ; ( \ -REWIRED PRIOR TO TIE START OF CONSTRUCTIMX.J " M \ \\ N 2)PROPOSED CFS.WATER AND ELECTRIC CONNECTONS SHOWN ARE SCNEMATC ONLY.FINAL UTU,DE..STALL BE DETERWNED BY THE APPROPRIATE UPUTY COMPANY,WATER UNE NBTALLATCN PER TOWN OF BARNSTABLE WARR DEPARTMENT RULES AND RE—I.S. 0)ALL MANHgFS AND FRAMES AND COVERS TO BE H-20 S�SEE RAMS ENTTLED'STE RAMS.700 MAW STRELT PREPARED BY BSC GROUP.INC.FOR wER INFOR IATON TO MAN STREET. 1 1 PROFESSIONAL ENGINEER -s � � 2\ ^•ter :\ m \ rt §. \ \\ SITE PLAN xoRT / ) \ \ \ 350 STEVENS STREET IN HYANNIS �_� A �/ Ct� �' ��• z b \\ MASSACHUSETTS (BARNSTABLE COUNTY) UTILITY PLAN o \ \ OELEMBER 12,2005 •� N I � 1 �.- - S DB'12'I2'Ja's'w l . No. DAAi n1 E E 0/2I/00 REV. PER TOWN COMMENT \ I •�—rU y I �I I.i FOR L4 OINSBERG ASSET MAN4GEMENi LLC oxA .n _ P.O.BOX 901 I 1 f — 1 r BARNSTABLE.MA I NW :rerj �J4 ra 3 a r u a o A /� b 1V g Itx I om TL BSC t7RDUP 657 Main Svect(R-2B) IIWDSI Br Uh M.—h—la TI 02673 508 778 6919 SCALE, w a..a' 07992 IRI. 5 —— — ——3 .—� r— •—r—• �—.—•—�• •—• •ilLm.UA1 ° M ! FIELD, 0.JY.0 LO. J.MCGRTN r �' q nP,I STEVENS STREET m.a "`'�p50Mt M'neB oRwwN:M.D®e ---�--- \,— ----------------- ISSUED FOR PERMITTING � "'D""`""" p Q96 wA1. a—B1&s0 a or e DEC-22-2006 01:59P FROM:WEST WIND FLP (509)771-2061 TO:17eie483774 P.2 Bk 21472 Pg 226 #671 '6 i Witness my hand and seal this '1•�_day of October,2006. g C4 Bruce Ginsberg,Ginsberg,Mana rr COMMONWEALTH OF MASSACHUSETTS Norfolk,ss On this r2- � day of October,2006,before me,the undersigned notary public,personally appe d Bruce Ginsberg,proved to me through satisfactory evidence of identification,which wereV'+�j <<--�-�a` to be the person whose name is signed on the preceding or attached document,and acknowledged to me that he signed it voluntarily for its stated purpose as Manager of Ginsberg Asset Management, I I jc�, PICHARD D.PAS P ; Notm PuU4 Commoriweofth of Mc=dy=fts my Cortvnwon rw June 27.2MB i• BARNSTABLE REGISTRY OF DEEDS DEC-22-2006 01:59P FROM:WEST WIND FLP C508)771-2061 TO:17818483774 P.1 7175 '� .� P Bye 21472 P9225 0467176 10-27-204d a 12=S9p 4 QTJITCLAIM DEED Ginsberg Asset Management,LLC,with a principal place of business of 555 Constitution Drive,Taunton,Massachusetts,02780 for consideration of Nine Hundred Eighty Nine Thousand($989,000,00)Dollars grant to Flagship Estates Hyannis,LLC,a Massachusetts limited liability company with a principal place of business of Two Adams Place,Suite 100,Quincy,Massachusetts,02169 with quitclaim covenants The land at the intersection of Stevens Street and Main Street,Hyannis District of Barnstable, d Barnstable County,Massachusetts,more particularly shown as Lot 1 on a plan entitled"Plan of ` Land fi350 Stevens Street in Hyannis Massachusetts Barnstable Massachusetts Barnstable County Approval Not Required"dated August 10,2005,revised 9/l/05,prepared for Ginsberg Asset Management LLC by BSC Group,Craif Field,Professional Land Surveyor,Scale 1" 40',recorded in the Barnstable County Registry of Deeds in Plan Book 608, Page 35,corrected at Book 21434,Page 34. Said premises are conveyed subject to and together with the benefits of all rights,rights of way, is easements,reservations,restrictions of record,if any there be and insofar as the same are of legal force and effect. Property Address: 320 Stevens Street,Hyannis,MA 02601 Est For title reference see deed recorded at the Barnstable Registry of Deeds Book 201 85,Page 147. MASSACHUSETTS STATE EXCISE TAX BARNSTABLE COUNTY REGISTRY Of DEEDS Data: 10-27-2006 B 12:5%4 4 F Fse, $3082.38 Cona'i989,000.00 BARNSTABLE COUNTY EXCISE: TAX BARNSTABLE COUNTY REGISTRY OF DEEDS Date: 10-27-2006 9 12:599m Ctl:: 1005 Doc#: 67176 Fee: $2054.92 Cens: $989r000.00 i :1 f 4 I. - i — i! •F U. _ Tihy rl •,i°^'' � 1 3�F, 1� 6 a4•+7'•.s.:a' f�.. .,;:'1 �:4' -tf i ACORD� CERTIFICATE OF LIABILITY INSURANCE 10/24iz s' PRODUCER (781)681-6656 FAX (781)681-6686 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION The Driscoll Agency, Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 93 Longwater Circle HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. P.O. Box 9120 Norwell, HA 02061 INSURERS AFFORDING COVERAGE NAIC# INSURED Advantage Construction, Inc. INSURER A: Crum & Forster Co. Two Adams Place INSURER B: Safety Insurance Co. Suite 100 INSURER C: National Union Fire Ins Co Quincy, MA 02169 INSURER D: 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 DO' TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION DATE(MM/DDIYYI LIMITS GENERAL LIABILITY 54371055893 06/20/2006 06/20/2007 EACH OCCURRENCE $ 1,000,00( X COMMERCIAL GENERAL LIABILITY DAMAGE ME $ 100,OO CLAIMS MADE a OCCUR _ MED EXP(Any one person) $ 5,00( A PERSONAL&ADV INJURY $ 1,000,00( GENERAL AGGREGATE $ 2,000,00( GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ 2,000,000 POLICY Fx-1 PROJECT LOC AUTOMOBILE LIABILITY SAP2083866837 06/Z0/ZOO6 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-OWNED AUTOS (Per,accident) PROPERTY DAMAGE $ (Per accident) GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $ ANY AUTO EA ACC $ I H OTHER THAN AUTO ONLY: AGG $ EXCESSIUMBRELLA LIABILITY BE495305901 06/20/2006 06/20/2007 EACH OCCURRENCE $ 10,000,00 X OCCUR ❑CLAIMS MADE AGGREGATE $ 10,000,000 C $ DEDUCTIBLE $ RETENTION $ 10,00 $ WORKERS COMPENSATION AND WC2083866787 06/20/2006 06/20/2007 X We STATu-CRY oTH- EMPLOYERS'LIABILITY FIR D ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $ 500,00( OFFICER/MEMBER EXCLUDED? E.L.DISEASE-EA EMPLOYEE $ SOO,OO If yes,describe under SPECIAL PROVISIONS below E.L.DISEASE-POLICY LIMIT $ 500,00( OTHER DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS e: Hyannis Residential Townhouses Refer to Attached Addendum* 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 DER 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, Flagship Estates Hyannis, LLC BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY Two Adams Place, Suite 100 OF ANY KIND UPON THE INSURER,ITS AGENTS OR REPRESENTATIVES. Quincy, MA 02169 AUTHORIZED REPRESENTATIVE B. Driscoll/JWN z J ACORD 25(2001108) ©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) Additional Coverages and Factors 06/22/2006 Line of Business Coverages for Business Auto Coverage Limits Ded/Ded Type Rate Premium Factor Combined single limit 1,000,000 Line of Business Coverages for General Liability Coverage Limits Ded/Ded Type Rate Premium Factor Products/Completed Ops 1,000,000 5,000 Aggregate Basis: Per Occurrence; Applies: Both BI Personal & Advertising 1,000,000 Injury Each Occurrence 1,000,000 Fire Damage 50,000 General Aggregate 2,000,000 Employee Benefits 1,000,000 1,000/Other Basis: Per Claim; Applies: Bodily Injury Medical Expense 5,000 Flagship Estates Hyannis, LLC Certificate issued to Flagship Estates Hyannis, LLC 10/24/2006 The Driscoll Agency, Inc. 10/24/2006 Flagship Estates Hyannis, LLC and TD Bank North is included as an Additional Insured for General Liability and Excess (Umbrella) Liability as required by a signed written contract or agreement with the (Named) Insured. The General Liability and Excess (Umbrella) Liability Policies include a Waiver of Subrogation in favor of Flagship Estates Hyannis, LLC and TD Bank North, on whose behalf the Insured is required to obtain this Waiver under a written contract or agreement executed prior to a loss. Y — _ _ The Commonwealth of Massachusetts _ Department of Industrial Accidents Office otinlrestigatlons 600 Washington Street, 7`h Floor Boston,Mass. 02111 'Workers' Compensation Insurance Affidavit:Build' lumbm /Electrical Contractors name: a address: 1 ci C state: phone# work site location full address): ❑ I am a homeowner performing all work myself. Project Type: Er4ew Construction[]Remodel I am a sole proprietor and have no one Working in any capacity._ Building Addition I am an em to erproviding workers'co ation for rn�employees wcrkine on_thic inh. Rt ❑ I am a sole proprietor,general contractor,or homeowner(circle one)and have hired the contractors listed below who have the following workers' compensation olices: .:ts;o•s>';•s.r-:<�•r•;, �s.aw-q •. !"'r. ;.*. +C. a •za; `'�?.r=g; z' `.�,''^�;%`.:. > ••<6;v,.:Y-.g.,a•.4*,P: "' ,+�1:��µ>,•,+, i°. C y;I,C,K�I!X�>2��}d`i••�,1:�.SnY•,i:i"" a.S C. .` y,..:�' _ ' Y. .f•.ti,. t 5 "yS. ,�• ... f•:" ;�:f..,Wi2•,t.rF' ,p.,;'£n" '::?r,. a�`;r c.+?.,�:y.,`"',•.•:.✓,y,. :.y�":` s.-<i�:e'r,r-i• '. •' <�.. k;•!s^`�''' •'.ne.•:i+;,. .'Y9:'iu�!.<:;r'i«r5 �.� :>,#. 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'K? .�-:. . nr','. .JJ• •,..�0`°;`+,. �> :r";trt'=.3 •�^ 'i% r"7e'tt�. r��i, vem •.:7:. n,?•:>,o:n'�''`q+ _1. 3•. +� r' n k <`�,�a ^< a71 .�•,zsr t.xy.<, F¢, :s!< s•a �::,:;a,•.w*s� r??•:. ;,>:r:o `.; ;i: ' �Mn��.{1y.`^�`?�:"�''> ...��:i' ,��a ;�„t�;±;.D:�vr:?;:let;-'ra ,'y:•.a�`,y..7;t:! .,' .rrzx.,p`:7i•;:�t�5,.;:s.�w!t>,.G•'��'�l'y'.:.r•Z�•}'qh,t�f.;>nY:.'?" .:.n VtU,F' ..rro• •>:{'„`::`4,': -.1�. ..i'' <y''ia:>S.!':'R:l�!::r x'L:. '"i'aS•r- .Y.. :.h,. .X.. - , J'. rr A< C<',�Y•r ::efY-t tip;S>• ���•, >'s3i:^-`n.'` •'r:.' -•Ki•,.- ':u `w*:,i'�:+>+ .�'' .:!•r ."@� - :':nS,•tti"'J:: .,i�� s.>. ,fir<+ ,ex».z•-..- `ailR:f-h•:'.`-itw>..Sro•;.40A1�u.':'.�:j.......t:�.<;.ci: . S,�.ts'$" •,:d _ ,,.b�'t':em Lw:+ Gv>:u5s�"` .fi!' :ak•^r W.L..:Ez ^:: ti {.a "'i••` •$[�'.s i.'f''y., .Y�. .Y,'.lr.`,r�.:Y�:<:�;n 1'x x{,�' .'r� „,.>�'.ti., ,�, 1 ••3.'<" 4.. :�2.t�' •�'. Z':• {`::w<- :<S'C��1'<.. 9`: ?�Y:w ��+w•.� :.t�'- . . "'..}ems ':j'; ..>•,�?:: y.:.,� :p ':.3..,/'^ `(�..' t'.y+:7-'. '•'F.': '�4'?X C:.i� - ."''/.' dj% iii• 4 I� %a^ •p1�Y�:.t f.v':D�. :�e"rq 9?i 4t s'•,..' ✓.,�•'.r•ar4�'«%ti£'�`7'•9•%:<�- •`) :�Z•`' '`7 t. £:.�^:.`:�:�.�yiti<:,:•'` r:�r .>r,:v�+ c S.i t.Y:'�..6.')a+✓::��a..y, ;.,�''S':,yYY�� ..J: tt,•..,.st.' '�;h;.�. . :nA, r'f.i:'+u"CT'al a•,,,'ra.'�' ::'{.K4 :lout''.'_s&.`...:�<• a:rfi.:.:Y:_:. :.�•. Failure to secure coverage as required under Section 25A of MGL 152 can lead to the imposition of criminal penalties of a tine up to$1,500.00 and/or one years'imprisonment as well as civil penalties in the form of a STOP WORK ORDER and a fine of$100.00 a day against me. I understand that a copy of this statement may be forwarded to the Office of Investigations of the DIA for coverage verification. I do here cer' un\d r the ins and penalties of perjury that the information provided above is true and correct r� Signature Date `p 1�'p�OG Print mute �2ohQ Phone# 'I-Z(i l� official use only do not write in this area to be completed by city or town official city or town: permit/license# OBuilding Department' EILicensing Board ❑check if immediate response is required []Selectmen's Office []Health Department contact person: phone#; ❑Other (mvised Sept 2003) ' Y Information and Instructions Massachusetts General Laws chapter 152 section 25 requires all employers to provide workers' compensation for their employees. As quoted from the"law",an employee is defined as every person in the service of another under any contract of hire,express or implied,oral or written. An employer is defined as an individual,partnership,association,corporation or other legal entity,or any two or more of the foregoing engaged in a joint enterprise, and including the legal representatives of a deceased employer,or the receiver or trustee of an individual,partnership,association or other legal entity,employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein,or the occupant of the dwelling house of another who employs persons to do maintenance,construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall.not because of such employment be deemed to be an employer. MGL chapter 152 section 25 also states that every state or local licensing agency shall withhold the issuance or renewal.of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required. Additionally,neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have. been presented to the contracting authority. Applicants Please fill in the workers' compensation affidavit completely,by checking the box that applies to your situation. Please supply company name,address and phone numbers along with a certificate of insurance as all affidavits may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and . date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested,not the Department of Industrial Accidents. Should you have any questions regarding the"law'..'or if you are required to obtain a workers' compensation policy,please call the-Department at the number listed below. City or Towns Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permit/license number which will be used as a reference number. The affidavits may be returned to the Department by mail'or FAX unless other arrangements have been made. The Office of Investigations would like to thank you in advance for you cooperation and should you have any questions, please do not hesitate to give us a call. The Department's address,telephone and fax number. The Commonwealth Of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street,7`h Floor Boston,Ma. 02111 fax#: (617)727-7749 phone#: (617)727-4900 ext.406 i u Structural Engineering STRUCTURAL AFFIDAVIT FOR CONSTRUCTION CONTROL TO: Flagship Estates LLC Two Adams Place, Suite 100 Quincy, MA 02169 RE: Hyannis Condominium Development Stevens Street Hyannis, MA FC PROJECT No.: 0569 DATE: January 12, 2007 In accordance with the Massachusetts State Building Code Section 116.0,the engineer's authorized representative will make periodic field visits during the construction period for the above project and make observations of work in progress. Observations shall be recorded per the CSI (Constructions Specification I s itute)standard format and fumished promptly to the Building Department and the Owner. SUCY R. HOM Lic. #42868 ro_ s crttaa� 4:1. ST CY FLOOD MASS. REO. NO. a�111 STRIJCTl.1RAL ----- m�adfesex S�_ rA�"m[�nw2c-�� O� ��S�xG�,US'2�5 Subscribed and sworn to me this 1,71 day of ,2007. N A Y PUBLIC My Commission expires JOAN M.WORDELL H OPublic �OY. i 20 T COMMONWEALTH OF MA8SACHUSETTS My pommission Expires November 1,2013 56 Laurel Drive. • Hudson, MA 01749 • TEL: (978) 562-6499 FAX: (978) 562-6246 FEE-01-2007 15:58 CONDYNE LLC 781 848 3774 P.01 Aii)VA iN IA GIE Construction, Inc. February 1, 2007 Tom ferry 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 Moth projects listed above. If you have any question,please feel free to contact our office at (781)-848-8787, Sincerely tentage onftuction, Inc. Lisa izotte Duman Resources AOVANTAGS CONSTRUCTION, INN. Two ,Adams Place, Suite 100, Ouincy, MA 02169 Telephone 701.848.8787 Fax 781.848.3774 wwvd,advantageconstructioninc.com TQTi;L P.01 DEC-6.-2!006 •12:25P FROM:WEST WIND FLP C509)771-2061 TO:17eie4e3774 P.3 i 'THE Town of Barnstable 20 0 Main Street, y Hyannis,Massachusetts 02601 BARNSTABLE, • - . �.� Growth Management Department Thomas A. Broadrick,AICP �fb Amy 367 Main Street,Hyannis,Massachusetts 02601 Director of Regulatory Review Phone(508)862-4785 Fax(508)862-4725 www,town.barnstable.mams 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 BSC Group, West Yarmouth, MA will need to be finalized and revised to incorporate the conditions of this letter. Said comprehensive revised 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 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 CS08)771-2061 TO:17818483774 P.4 • .All permits, licenses and approvals required.will need to be obtained. 7 • 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. e 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 2006-� ato Agreement reement g 01 as scheduled with the � Planning Board June 26, 2006: Sincerely, G2� �Z_rJ�tl�� Ellen M. Swiniarski Sec. to Planning Bd. and SPR Coord. cc: Planning Board File Thomas Perry, Building Commissioner Site Plan Review File } DEC-6-2306 12:26P FROM:WEST WIND FLP Goe)771-2061 T0:17818483774 P.5 Massachusetts Department of Environmental Protection �me►� DEP File Number: Bureau of Resource Protection - Wetlands • . �L WPA Form 5 - Order of Conditions SE3-4489 Provided by DEP tiEara.+�`� 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 riot use the return key. ❑ Amended Order of Conditions To: Applicant: Property Owner(if different from applicant): Ginsberg Asset Management LLC Name Name P.O. Box 901 Mailing Address Mailing Address W. Barnstable MA 02668 Cityrrown State Zip Code 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 MAR 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 Tine 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) ewvAForms.doc-rev 9121105 Page 1 of 7 D,EC-6'2006 '12:26P FROM:WEST WIND FLP (50e)771-2061 TO: 17818483774 P.6 �I„F, Massachusetts Department .of Environmental Protection DEP File Number. Bureau of Resource Protection - Wetlands WPA Form 5 Order of Conditions SE3-4489 • uarrQrnnte 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 ❑ LandContaining 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. Thar sfor e, 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 goJ6rward unless and until-arevised-Notice-of Intent is submitted which provides sufficlent 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 permitted or any other person of the necessity of complying with all other applicable federal, state, or local statutes, ordinances, bylaws, or regulations: I - Page 2 of 7 BWPAFomiS.doc•rev.=1105 DEC-5-2006 . 12:27P FROM:WEST WIND FLP (508)771-2061 TO:17818483774 P.7 Massachusetts Department of Environmental protection DEP File Number: Bureau of Resource Protection - Wetlands BARNSTAMM WPA Form 5 -- Order of Conditions . sE4489 Massachusetts Wetlands Protection Act M.G.L. c. 131 §40 Provided by y DEP And Chapter 237 of the Code of the Town 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. 13WPAForrn5.doe•rev.9121/06 Pats 3 of 7 DEC-6-2006 ' 12:27P FROM:WEST WIND FLP C508)771-2061 TO: 17818483774 P.8 Massachusetts Department of Environmental Protection DEP Flee Number: Bureau of Resource Protection - Wetlands MANFURM WPA Form 5 - Order of Conditions SE3-4489 Provided by DEP '°7� ►�'� Massachusetts Wetlands Protection Act M.G.L. c. 131, §40 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 sodimentation 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):. Conservation Commission ❑ that the proposed-work canrfot-be 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 Citation 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 medify or differ from the plans, specifications, or other proposals submitted with the Notice of Intent, the conditions shall control. 5WPAForrn5.doc.rev.VMS - Poga 4 of 7. DEC-6.-2006 . 12:2eP FROM:WEST WIND� FLP C508)771-2061 TO:17818483774 P.9 SE3-4489 Name Ginsberg Asset Management LLC Approved Plan= January 19,2006 Site Plan by Mark Dibb,P.E. Special Conditions of Approval 1. 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. IT. 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 with. 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, pAl DEC-6-2006- 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. 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. 15. 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 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 aU 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 photographs of the undisturbed buffer zone shall 1 be also submitted. p.4.2 DEC;-6-2006 . 12:28P FROM:WEST WIND FLP C508)771-2061 T0r17818483774 P.11 Massachusetts Department of Environmental Protection DEP File Number: Bureau of Resource Protection Wetlands WPA Form 5 -- Order of Conditions sE3- 44e9 suss- � Massachusetts Wetlands Protection Act M.G.L. c. 131 §40 Provided by OEP rEo,� 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 Order must be signed b a majority of the conservation Commission. The Order must be mai led b This Or u gn d y � my Co a Y 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 Office (see Appendix A) and the property owner(if different from applicant). Signatures: On Off 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. A" -"L .J--------� 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 BWPAFormS.doc•rev,S(27105 Pape 5 of DEC-6—�006 ' 12:29P FROM:WEST WIND FLP (508)771-2061 TO:17818483774 P.12 Massachusetts Department of Environmental Protection DEP File Number: Bureau of Resource Protection - Wetlands WPA Form 5 - order of Conditions sE Provided b by y DEP •,Foµ,� 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 Conditions. 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 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. -Barnstable Conservation Commission 8WPAFanT5.doc•rev,W21/05 Pepe 8 of 7 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 �•r163 g6 `� Massachusetts Wetlands Protection Act M.G.L. c. 1311 §40 Provided by DEP 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: mock Fatio 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 j EWPAFormS.doc•rev.921105 Papa 7 of 7 e , 1 REVISIONS: / \ NO. DATE DESC. 3/15/07 NEW FOUNDATIONS ADDED / / I N/F / PAULINE HOLMES ' — / #294 STEVENS STREET f ASSESSORS MAP 308 I — PARCEL 6 / S 81 4725" E N/F 29.56' a E'i HYANNIS VILLAGE APPARTMENTS LLC / #372 NORTH STREET t ASSESSORS MAP 308 / o o!h co PARCEL 8 / g �, o ^ 1 CERTIFY TO THE BEST OF MY / \o, �� o PROFESSIONAL KNOWLEDGE, INFORMATION / N w� AND BELIEF THAT THE LOT CORNERS, DIMENSIONS AND SETBACKS TO THE STRUCTURE AS DETERMINED BY INSTRUMENT SURVEY AND AS SHOWN ON ��j� / �'• N/F THIS PLAN ARE G V STUBORN LTD PARTNERSHIP Ior #300 STEVENS STREET ASSESSORS MAP 308 ' ! / PARCEL 5 o S 81'4 T25" E I Noy am 149 79, 80We AUNT BETTYS O �R ..4.0 20'3. EXISTING FOUNDATION ' PROF SSIONAL LAND SURVEYOR DATE POND ,+ 9A. 9 ro ' TOP OF FOUNDA110N=26.3 FOUNDATION O?q/A,gcF 20 3. I 12.5 �� l AS — BUILT 0 1 s.0' � N a 1 PLAN i LOT 1 N(a �• 4.0'8.p�o ' 0 118,867f;S.F. N o r 2.73f ACRES 4.0 20•3320 OM ZONE oQ .0' �. O EU 3p M Ra.o' 4.0' ST EET o S. ,o\ 3 4.0' 4.0' 3.0 00 04 4.0' =Q 3.0' IN 1 1•p' 18.0 0 19.p' �o ' Lj l >> 3 t� .0 ' HYANNIS N/F BI�MINOUS � cv � CRABTREE LLC PVEMENT MAS SAC H U S ETTS #426 NORTH STREET I 4.0' O Of ASSESSORS MAP 290 PARCEL 96 t=i EDGE OF BOITLAND RING \ 4'0' 3.0' �••• BARNSSTAB I I~ VEGETATED 1� ` LE COUNTY) w \ v� 4.0 3'0 3 2Q I .01 04 MARCH 6, 2007 r : o W o � � I I I ' CHRISTOPHER KOCABA I S81 LOCUS INFORMATION ER 40 J #710 MAIN STREET 08 E* ASSESSORS MAP 308 1 W UM ZON PARCEL 7 FI� B ZON CURRENT OWNER: FLAGSHIP ESTATES HYANNIS LLC o'0 I TITLE REFERENCE: DEED BOOK 21472, PAGE 225 PREPARED FOR: P IAVEMENT I Z W ne,PLAN REFERENCE: BOOK 608, PAGE 35 Cond Mr. Donald F. O'Neill LLC i y .N ASSESSORS MAP: 308 Two Adams Place, Suite 100 J o iv PARCEL: 4 i;r I Quincy, MA 02169 iC) LOT 1 io Z ZONING DISTRICT: OM N/F LOT 2 SETBACKS: FRONT 20' SIDE 10' y PETER & 18 985±S.F. CATHERINE 0.44f ACRES REAR 10 HURRAY HVB ZONE#712 MAIN ST. MINIMUM LOT SIZE: 20,000 S.F. 349 Main Street, Unit D ASSESSORS MAP 30 W � W. Yarmouth Massachusetts MAP 308 N MAXIMUM .BUILDING HEIGHT: 40' OR 3 STORIES PARCEL 279 N EXISTING TOTAL LOT AREA: 118,867±S.F. (2.73±AC.) 02673 NITROGEN SENSITIVE 508 778 8919 ZONE: NOT A ZONE 11 r Z 16� 2007 The BSC Group, Inc. W FEM A FLOOD g ZONE DISTRICT: "C" SCALE: 1" = 40' S 89'36'40" W -L OVERLAY DISTRICT: AP ZONE 0 5 10 20 MEMRs 75.16 — SEWER ACCOUNT NO. 3643 0 20 40 80 FEE _ FIRE DISTRICT: HYANNIS PROJ. MGR.: C. FIELD MAIN STREET FIELD: P. HAGIST,. M. DIBB (:zCALC./DESIGN: P. HAGIST SOUDRAWN: P. HAGIST T� CHECK: C. FIELD / ^\\c FILE: 8648-AB2.DWG ST G � �� DWG. N0: 5511 -05 SHEET 1 OF 1 JOB. NO: 4-8648.00