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0380 WEST MAIN STREET (2)
ol , Ile , a°`a- a-0�3_a_Dab _ _ _ =' Town. of Barnstable 'ME r�ti Building Department Services BUILDING DEPT. Brian Florence;CBO MAR 12 2020 • BAZYGTIR_^.R . Building Commissioner MASI 200 Main Street; Hyannis,MA 02601 TOWN OF SARNSTABLE www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 PERN1Tr# UO FEE: $35.0.0 SCANNE6 Sly REGISTRATION ` RESIDENTIAL ONLY -200 square feet or Iess � , t LA Location of shed(address) V499a. Property owner's name Telephone mnnber Size of Shed Map/Parcel# X� rS' a Date yannis Main Street Waterfront Historic District? ' • w�� Old King's 13ghway Historic District Commission jurisdiction? You must Me with Old King's Highway Conservation Commission(signature is required), Sign off hours for Conservation 8:00-9:30&3:304:30 PLEASE NOTE: IF YOU ARE WITHIN TBE JURISDICTION OF ANY OF THE ABOVE COMMISSIONS,TEXRE MAY BE A REVIEW PROCESS AND APPLICATION FEE. PI:EASE SEE THE APPROPRIATE COMMISSION FOR DETAILS. '1 MSS FORM MUST BE ACCOMPANIED BY A PLOT*PIIAN . Q-forms-shedreg REV:08/6/17 200.56' 73.73' 9 A N i p � A i � 141.6' 1 0. WIND TURBINE FOUNDATION J MAP 269 PCL 52 � I to J d ' # 380 Ng ION Rg IONf 296.29' _ I ST Mq� N S� FET . FOUNDATION PLOT PLAN DCE # 03-157 PREPARED EXCLUSIVELY FOR THE PURPOSE OF OBTAINING A BUILDING PERMIT, NOT FOR ANY OTHER USE LOCATION 380 WEST MAIN STREET, HYANNIS, MA SCALE :• 1 " = 200' DATE : 1 1 -17-2008 PREPARED FOR: ASSESSORS MAP 269 PCL 52 OWNER OF RECORD: COUNTRY GARDEN REALTY TRUST COUNTRY GARDENS TITLE REFERENCE: DB 4662 PG 145 I HEREBY CERTIFY THAT THE WIND TURBINE FOUNDATION �.. .Or'_p/„1S SHOWN ON THIS PLAN IS LOCATED ON THE Uzi" Sr„ GROUND AS SHOWN HEREON. '9" DANK ofi 50 6-362-4541 ' 44 dc ncope.com 0 I OJALA 1 dcrncape.com ® i down cope engiaeeiin8,MC. "\ �' � ' �DT 1 civil .engineers land surveyors kIA-- ' 7 /D� M ----- ---'T < 1Z> 939 oin Street ( Rte 6A) _---- ———— ..---�"''�— n "- YARMOUTHPORT UA 02675 DATE REG. LAND SURVEYOR rn�q. 6 1 bt Y v !ly App a ��f •�` - imt.awma.�urow. 1 woiuo eoitu�: rer...•art. ni.m. 'WnN r nua rm+ iirt aG1.k +✓ � -j... mwa u.-�y 3ea Im eaa.7 ol msm va ecac wrooron fi - I" blV7...WONb be . 'u'�' _•... ... waue.em�r po<:r`.w.aca r!c.s!aC-. j r • 'F ..,. • - •eawo:ivunvm qrw:;urnymaw. a.�s. Q.. Illol�WitWi SGiC'tl,OwGC MtO� •I �� • cacot9�oDl woao.c' - ' , l.unaer u•avaan•xAud 7riQaaw• e�'.� I ,.`'aooi�"• 4 •+°;.� x y ..:C�,:._' Qm=dclmS-3TN0VD29 Udght Wd0••l30- . .... X - y O�vc9 Hd3Et.hore MSiNDVD29:WP • .. llmdetloA�.Y•2P37�fmxd ' r..n.rrriaes ue fm.1 '_ �p'°�S. ..�•e" .dm. . I raw e•oa r cas•7 wc. .1... .m - �..o.a b •b i�.+r.�+.ar �r . !' ltmu.S rrfert.feuaa.+.w•s.awra _. t ` EL,EVA•liON VIEtiYt 4 m Ner Qj I .ir• } 0 r SUE E PLAN _ i 49• Y OF LAND IN HYANNIs,MA ( COUNMGAEDEN SITE PLAN tl oso Wm mmNSWJWe,WAw[as,ilA: 'W 0 p 1ti rM wn cope engi-e-Ing Inc. COLOIZ13'GsIden,,InC. L.auimtvD st S DATE:1.2?-07 SCALE 1',a 40' st?xoa�;srnmi - 'riRno�riwcw -pis RLVI Dl12dM 'h[OYEDIV[ONOPOLE _. 03 15T ._-,. •.eonAmwrscr-'rvorfxwcwsmucrray.... •A a 1 a¢fY m .t y-....J ..,rer. .. I]• uv40L I•. •y y t c.ff ant w w 3w ra m -,u ram C•p.. �� grin rwmtx�iauipr mcow�a-w�'TLw� 1i MwYmm�•A "Y R10".4 Vrt .. OIOl1I 060iC51r p�.19011R 701ML mW I� >i •- ...� - i.n w.. aano m>wmlff yim m ai,:so . tao om�cn..�s rwV sm wa.�auq . .:� ,�,: :- : : - , � � •os.o:.viwm rw.viru/mw"-ga4 :I. .,,� "'�. .- g�g. � � .• !eamm.wnw._mtn��e gwic[�etiatim I �280 CmlagfP PD.W [+BRdi4114 sm fm� mg p QmimdslarWa�4Tti0VD2i ., .... ... •.. ...?K+Yi&hi+° � O.a.G 9dtlld.tilA�N0VD77 x is ns m'.0 v®.ium°aaMr ueoae�e Nm ut en4' rm..�a.t .• Xa,�" ..� tosa rr i..satir� .. .•.�' 1,• 1ru11iRM�e/r�ri.oar�rirrRM� . j I � ,1 •I `• I � s � n ELFYA2iONVs:'R9 ;. er Y .x� SITE PLAN J � w. OF LANll IN - o.' i ...... .. ., COUNT"GABDEIY S1TE Pl.1�1V.. ' #380 FYES7'DfAIIH,Si'BEEZ'W���� Sim r:ie PRUARf WIL* Town cape engmeer/�� li,e ,' Country Garden,Inc. -O DATE:t4747 SCUXt 4'a W gw 4roal sliu.e. - nupyamwaer.; $EY1SEDt 12 6 07 MOYID AiONOPOLS of-is7. DATE;- .. .... .... .. _ . ... - ., .. TOWN OF BARNST ABLE BUILDING PERMIT APPLICATION Map Parcel D Application # Health Division Date Issued Conservation Division Application Fee Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation/ Hyannis Project Street Address ' TOE_ : i ia `S Village H\ACkykW,�5 Owner m < Address Telephone C $- 5 Permit Request ( -�l l `milC� °-ram ktd7,�� ( -- •�� (�1 � �1 d ✓� S, �� y�l ��`l�-,'� i ,i L it Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation Construction Type Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family :❑ Two Family ❑ Multi-Family(# units) Age of Existing Structure Historic House: ❑Yes ❑ No On Old King's way: 0f'es 4 No Basement Type: ❑ Full ❑ Crawl ❑Walkout ❑ Other Basement Finished Area (sq.ft.) Basement Unfinished Area (sq.ft) Number of Baths: Full: existing new Half: existing new Number of Bedrooms: existing —new Total Room Count (not including baths): existing new First Floor Room Count Heat Type and Fuel: ❑ Gas ❑ Oil ❑ Electric ❑ Other Central Air: ❑Yes ❑ No. Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑ No Detached garage: ❑ existing ❑ new size—Pool: ❑ existing ❑ new size — Barn: ❑ existing ❑ new size_ Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes 0,No If yes, site plan review# Current Use - Proposed Use APPLICANT INFORMATION 4 _ _ (BUILDER OR HOMEOWNER) "Name: Telep hone Number '7 Address o License # S'7lg'?y�o 1 q Home Improvement Contractor# Email JibtiA &m� �- Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE'- a4)-Jt&a,, DATE �� r FOR OFFICIAL USE ONLY F'PLICATION# DATE-ISSUED ' MAP4 PARCEL NO. t ADDRESS VILLAGE ` OWNER DATE OF INSPECTION: FOUNDATION FRAME INSULATION FIREPLACE- 1 , °+ ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL ' v. FINAL BUILDING DATE',GLOSED,OUT ASSOCIATION PLAN NO. Hie Comr murealth of•Massachuseffs -- — ---------- --Office o•j�firntigqtions ---------- • -- --------------- 600 Washington street Boston,M,402-Ul wmv.7nass:gaiVdia Workers' Compensationlusurance Affidavit:$uilders/C;'ontmctorslE.tertricianslPlumbers Applicant Information. Please Print Legibly Name(hosing Organizationitnrfi�iclnat)_ f'1 ° itNen Address_ 9L) F_ST fn A ay, S i AN ht * gs GityltabelZip:&MA . Phone 47c -77 7 you ag employ _: Check the: eo frotppro riatb Typ c (required): x� I am a employer wrtb 4. I s a gametal confractor and I employees{full and/or -#ime)* have fired the sub-contractors 6_ ❑New on 2__El I am a sore proprietor orpartner listed on the attached sheet 7- ❑Remodeling ship and have no employees These sub contractors have g_ ❑Demolitioa working for mein any capa.cib, employees and have wormers' 9_ ❑Building addition [No workers'comb_insurance comp-snsuranml regni£ed-] 5..❑ '%Te are a corporation and its 10_.❑Electrical repairs.or additions 3.❑ I am a homeowner doing all work: officers ha-,e exercised their 1ILD Plumbing repairs or additions myself. [No workers' _ right of e--wmption per MGL 12..❑Roof repairs we have na . , 1 and. inmxanre required-]T e 152 { 13..❑Other i�Ya\ .�_+AL. ' employees-[[No workers' comp insurance required-]! aPP that checks box-1 nmst also fill out the section below showing di&woafcers''compensation paUcy �Homeowners who submit this L davit i„fc_tmg they are doing s11 work and then hire outside conttacturs mast smbaa anew affidnit indicating scud- tcadurs thst cbeck this b=must sttsdhed za additional sheet shumh g the name of the aa#r-moors and state whether ocnot these on ities have mW 1uyees. If the sub-contractors hrce employees,they smut provide-heir warkess'tamp.policy number. T am an empZoyer that isprm idong ttrorkers'compensation innirance for my employees HeIow is diepoticy and job site information. _ Insurance Company Name:N�,A FNA.L, , t1„FLc-,�j S LA)e G t-t CP-A �- C Policy 9 or Self-ins-11c-#: 4D OU 5rQ 3.A797'3 (14 DTi ationDate: Job Site Address:320 ")ES,MA"I KSr City/State/Zip: S aZe.o Attache a copy of the workers'compensatum policy] declaration page(showing the policy n ber and expiration date). Failure to secure coverage as requireduuder Section.25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the firm of a STOP WORK ORDER and a fine of up to$250-DO a.day against the violator- Be advised that a copy of this statement maybe forwarded to the Office of Investigations of the DIA for insurance coverage verification_ I dv hereby cerli a pm an tr7`p� t#tat they information prosided abm a rs true and correct Si tune: Date: Phone#: 'f t'I 0JE ai use onty. Da not write in this area,to be completed by cio or town ojJ'it.iaL City or Town: PerrniVUcense ff Issuing Authority(circle one): L Board of Health .2.Bu1'ding Department 3.CityfrGwn Qerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person. Phone#- ti , Information and Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers'compensation for their employees. Pursuantto this statute,an employee is defined as"...every person in the service of another under any contract of hire, express or implied, oral or written_" An employer is defined as"an individual,partnership,association,corporation or other legal entity,or any two or more of the foregoing engaged in a joint enterprise,and including the legal representatives of a deceased employer;or the receiver or trustee of an individual,partnership,association or other legal entity,employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein,or the occupant of the - dwelling house of another who employs persons to do maintenance,construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." MGL chapter 152, §25C(6)also states that"every state or local licensing agency shall withhold the.issuance or renewal of a license or permit to operate a business or to.construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance.coverage required.- Additionally,MGL chapter 152, §25C(7)states"Neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority."'' ✓,. . Applicants Please fill out the workers'compensation affidavit completely,by checking the boxes that apply to your situation and,if necessary,supply sub-contractors)name(s), address(es)and phone number(s)along with their cern:.ficate(s)of insurance. Limited Liability Companies(LLC)or Limited Liability Partnerships(LLP)with no employees other than the members or partners,are not required to cant'workers' compensation insurance- If an LLC or LLP does have employees, a policy is required_ Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. Uie affidavit should be retuzried to the city or town that the application for the permit or license is being requested,not the Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy,please call the Department at the number listed below. Self-insured companies should enter their self-insurance license number on the appropriate line. City or Town Officials Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant_ Please be sure to fill in the permit/license number which will be used as a reference number. In addition; an applicant that must submit multiple permit/license applications in any given year,need only submit one affidavit indicating current policy information(if necessary)and under"Job Site Address"the applicant should write"all locations in (city or town)."A copy of the affidavit that has been,officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year.Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e.a dog license or permit to burn leaves etc.)said person is NOT required to complete this affidavit. The Office of Investigations would Ile to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call. The Department's address,telephone and fax number. The CommnnaTth of I�Iassaehusetts Depaztment Qf 1i dustdal Aceid�n Office of Tavestigatioas 600 Washingtaa Street Boston,IAA 02111 W.A 617-727-49GO W 406 or 1-977 MASS FE Revised 4-24-07 Fax# 617-727-7749 200.56' 73.7341 1 } 0.1�1.-141 1 WIND TURBINE FOUNDATION. i J MAP 269 w CA LO . ,m - N 380 HB 2oN RB ZON£ ' d S ?96'7g �N srR FOUNDATION PLOT PLAN DCE # 03-157 PREPARED EXCLUSIVELY FOR THE "PURPOSE OF OBTAINING A-BUILDING PERMIT, NOT FOR ANY OTHER USE LOCATION 380 WEST MAIN STREET, HYANNIS, MA SCALE 1 „ _ •200' DATE 1.1 =17-2008 ASSESSORS MAP 209 PCL 52 PREPARED FOR.: OWNER OF RECORD: COUNTRY GARDEN REALTY TRUST . COUNTRY GARDENS TITLE REFERENCE: DB 4662 PG 145 I HEREBY CERTIFY THAT THE WIND TURBINE FOUNDATION F1 s SHOWN ON THIS PLAN IS LOCATED ON THE t'si ��SS� GROUND AS SHOWN HEREON. �OgtilEL c�J I off.508-362-4541 A. ,. tax 508-362-9880 �CJ� i -� �!` �� LA downcapacom ® JA i, � 1 . dowel.mpe e,7 keelMg,h7C. .� , 40980 �. civil engineers I i) f land surveyors. rr0 s -- -- ----Tg�—c�I aµ -- 939 Main Street.( RPe 6A):. ------ � --- -- YARMOUZHPORT' MA ._ 02675, DATE REG. LAND SURVEYOR 'EN►T�,� s� ts. x t q-------------- , _ � .. 00, At :. 1! L- HYANNIS COUNTRY GARDEN , INC. 380 WEST MAIN STREET HYANNIS, MASSACHUSETTS 02601 508-775-8703 Fax 508-775=3302 1-800-352-GROW www.countrygarden.com o u ntryga rde n.co m r . i t t • f P ,, + I r ` r Y � ti + e ' r t1 e t 0 1 a � at tS.SUiQ SY. _. TAMIC.. J�7-"'. r;P,t b�sdPLD�J.'r17E: tibS CiA t �'r1� i Uafr of�,iaisuFackur NUMBER a["�HAw:'idN;'titld -V q t�RK 3a _ 1v��nul-.clIn ot-fs th9 Fire-! 'Ay 199°F: T�ipUl TO This I�tb cer!(fy that thL3CoiodhctS reln hay.6- lectured from maseriai;iith antly+ a tl a tetanl nt I ae#tere:etterspecllied;hyihe.meteria!'supiir !` J. CfTY Certlllc tiort FS; erebY�rkade;ih2l he ariiryns cescr�bed on tfils eersfcr�e hevE anu'Ntwr�•+ ti �i ar 3�;�;t4vp�7 T2ne reia;�da'lt ChF'�ir� i i;� ^� i/wl ..i�1��0.^l 0talF FlrB 14cr5h3f rod@ SS 7 1 +�^.`�1i��y G�•• o t;' L UtifiPrSVfI.' 31 da Sndh2v 1, wlrh h�rcdara1.76tW9 re, �r,orc� 1 Ilcd Spe..l(ILdt^ i� e --�•—�.� w..--...�� O° fICII�'O1$�i�lii, a�Jn„G �E B7.'3G]COU '�7 eTl Lore%o isern eas -•y._ rr s e : 2Ux2U vinyl Top Retar. an# ProCes Use W�If afi $e �3� ov d r y`VV sht g Arltf sr:Eifec#ova For Tie.Life Of:The Fa 46 j 1 Snyder Nfanutkturing lrk�` 1. Maarlfacturer n!rlatT;©r�otardznt lrnyi Larr(inacao TES we, LD fs. 1}t t _ �E.a qd aCaie r li _ . • 8 . DATF(MM OONYYY) .AtbRD. CERTIFICATE OF LIABILITY INSURANCE PRODUCER THIS.CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION MCSHEA INSURANCE AGENCY INC ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 1550 Falmouth Rd Ste #2 _ ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Centerville, MA 02632 INSURERS AFFORDING COVERAGE NAIC# 508 420-90 11 INSURED Bayside Tent & Table, Inc. INSURER A: Penn-America Insurance Company 40C WHITES PATH INSURER B: Progressive Casualty South Yarmouth, MA 02664 INSURERC: AIM MUTUAL 508-888-4956 INSURERD: 1508-760-4025 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 BYPAIDCLAIMS, . N R D'L POLICY NUMBER DATE MWDDfYY E p TEYMM/DDfY 1 LIMITS LTR HSRDTYPE GENERAL LIABILITY EACH OCCURRENCE $ 1000000 g COMMERCIAL GENERAL LIABILITY PREMISES Eaoaurence $ 50000 CLAIMSMADE a OCCUR MED EXP(Anyone person) $ 10 0 0 0- A PAV0027248 5/17/2014 5/17/2015 PERSONAL aADVINJURY $ 1000000 GENERAL AGGREGATE $ 2000000 G£N'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMPIOPAGG $ 2 000 000 POLICY PM FD LOC. AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ (Ea acddent) ANYAUTO ALLOWNEDAUTOS BODILYINJURY $ 100,000 (Per person) g SCHEDULEDAUTOS B HIRED AUTOS O4453770 11/30/2013 11/30/14 BODILYINJURY $ 300,000 (Peraccident) NON-OWNEDAUTOS PROPERTY DAMAGE $ i00,000 (Peraeddent) AUTO ONLY-EA ACCIDENT $ GARAGE LIABILITY ANYAUTO OTHERTHAN EAACC $ AUTOONLY:• AGG $ EACH OCCURRENCE $ EXCESS/UMBRELLA LIABILITY AGGREGATE $ OCCUR C�CLAIMSMADE DEDUCTIBLE RETENTION $ STATU- OTH- T RYLIf,ITS R '. WORKERS COMPENSATIONAND LIABILITY 500-5013321-2014A 5/22/2014 5/22/2015 E.L.EACH ACCIDENT $ ZOO OOO ANY PROPRIETORIPARTNERIEXECUTIVE E.L.DISEASE-EA EMPLOYE $ 1OO OOO OFFICERIMEMBER EXCLUDED?Ify desibeunder E.L.DISEASE-POLICY LIMIT s 500 000 SPECIALPROVISIONS belowOTHERkEMPLOYERS' Property #XSV0343 ,. 8/14/13 8/14/14 contents $120,000 DESCRIPTION OF OPERATIONS/LOCATIONS I VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION TOWN OF BARNSTABLE DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAILIO DAYS WRITTEN BUILDING DEPARTMENT NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR REPRESENTATIVES. AUTHORIZED E £SENT ©ACORD CORPORATION 1988 ACORD25(2007108) , 7 3.7 3' 200.56' o i o - i 41.6' WIND TURBINE FOUNDATION J J MAP 269 J PCL 52 i W w J o N rn M 380 ye 20N Re 2pNe Sl' 19B'29, Mq�H S �4EFr FOUNDATION PLOT PLAN DCE # 03-157 PREPARED EXCLUSIVELY FOR THE PURPOSE OF OBTAINING A BUILDING PERMIT, NOT FOR ANY OTHER USE LOCATION 3.80 WEST MAIN STREET, HYANNIS, MA SCALE : 1 " 200' DATE : 1 1 -17-2008 PREPARED FOR: 0 ASSESSORS MAP 269 PCL 52 OWNER OF RECORD: COUNTRY GARDEN REALTY TRUST COUNTRY GARDENS TITLE REFERENCE: DB 4662 PG 145 I HEREBY CERTIFY THAT THE WIND TURBINE FOUNDATION XyA 0F4dgS SHOWN ON THIS PLAN IS LOCATED ON THE GROUND AS SHOWN HEREON. DANIEL tip, or 508 A. ox - 203 �t OJALA downcaPe.com ® ,� No.40980 - down cope engineering,Me. ,z civil engineers land surveyors Ia — 939 Main Sheet ( Rfe 6A) - YARMOUTHPORT MA 02675 - DATE REG. LAND SURVEYOR TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION a - Map Parcel ( �� Application # 90/J 6 8(0O Health Division Date Issued Conservation Division Application Fee ¢ Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation / Hyannis Project Street Address 380 Was`- Met I Ai 6-Tre e 1 Village \ ' MIA Owner ����" �� a- Address � L Telephone 509- I75— Z 7 03 m.R51* WLL Permit Request +— All S Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation <3�a G� 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 Kin s 'i hw 04Y - ] N a es._ o g g 9 .9 Y Basement Type: ❑ Full ❑ Crawl ❑Walkout ❑ Other M Basement Finished Area (sq.ft.) Basement Unfinished Area (sq.ft) 3',J Number of Baths: Full: existing new Half: existing new) Number of Bedrooms: existing _new Total Room Count (not including baths): existing new First Floor Room Count Heat Type and Fuel: ❑ Gas ❑ Oil ❑ Electric ❑Other Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑ No Detached garage: ❑ existing ❑ new .size_Pool: ❑ existing ❑ new size _ Barn: ❑ existing ❑ new size_ Attached garage: ❑ exist,ing ❑ new size _Shed: ❑ existing ❑ new size _ Other: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial )I Yes ❑ No If yes, site plan review # Current Use C (� f ev ITe('. Proposed Use �,r APPLICANT,INFORMATION -- (BUILDER OR HOMEOWNER) N me 1 Telephone Number y �f 7 Address @k i le—,, I License # G� ^ 079199(v FXD, 6-3-/ — &e-,C4,_ Home Improvement Contractor# 137 .3 IFX I 2 17 Email 1 tM01`4aM r 'fibre;i cm[v mCu�T N`e� Worker's Compensation # UB--5873 --l1/ ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO_ CAVQ5S14 00 Tl 70 SIGNATURE DATE S' /� FOR OFFICIAL USE ONLY • APPLICATION# r DATE ISSUED MAP/PARCEL NO. ADDRESS VILLAGE OWNER DATE OF INSPECTION: E. FOUNDATION t 4 • FRAME E. INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL F . PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. l� 1 jw Caanmamtwah z ref M'assuchms _ Dep"tmmt of hrrlmftiriI�4cciderrts - - Office of�a�es 4fians 600 Wkyk ngton meet $ostar4 MA 02RI wn�t+�ara�ga�di=r� 'markers' CompensationInsaranceAffiidavit:Biidders/ContractorsfElectricianslPTumbers AppEcant Iufm-wafion Please Print Legibly Name(i�trsige ro o ian�q: �.(' `e r� sTrvc iir� v�C Ad& : iS ta 11-er;c& ul")Ir I CityfStateJZip: i e c 1A X Monet— y Are you an employer? Check the appropriate box: Type projectof.ln' j am s contractor an (required): . 1. lam a employer with ) �— 4_ ❑ I d I 6- ❑New crosEnsc#iom; employees{full andlorpart-ime}* have 1❑ I am a sore proprietor or partner- listed on the aftwhhed sheet 7- ❑Remodeling shtp and have no employees These sub-contractors have: g- ❑Demolition w forme in an c cr c -employee.and have workers' oAing Y � t3 4._ ❑Building addition [No:workers' comp.-rnsiranre comp-tncnranrs-i , reclnired] 5_.❑ We are a corporation and its 10_❑Electrical repairs cr additions h ffio = arm exercised i se ther 11_.❑Plumbing airs or additions 3_❑ 1 am,a hameou�ner Join;all work g� , myself [No worker$'comp_ right.of exemption per MGL 12_;K Roof repairs'e-1.52, 1(4} and we hi a no rn�xanr�required-]1 F � 13_0 Qdler employees-[No wmkers' comp-tnsmmce require - *Any wpBcant that thus boa#1 zest also fill out the section below shawiug tbea wo3kere compensation policy infornntias- #Hnmeuwners crho submit tins affidavit icstiug they arE 3oing ail ro>ic so¢l then hire outside cantractnrs must submit a uetis af6ds=mpg surfi_ tC6ntracturs tbst rh&A this box mrust sttachkad as additional sheet showing the name of fhe sots-cots and sts whether ocnut tbase Mlles h ve empluyees- Ifthe snb-contiactms here employees,they must provide thnr workers'comp policy number tam am emp&yer that isprmidiV workers'comimum an irmirance for my e-mpinyem Belau is thepoiicy and fob site infon nahort_ Insurance Company blame: YY\er 1 C�ry-r1 Z U r .Sh Sll r(j�C� _ t i, Policy 9 cr Self-ins-Uc-lh` U g- Expiration bate: Job Site Address:3�0 �j�P�'� ytpll N �'rr`eeY cify,'Statelzip_ (Od( —36?0 Attach aE copy of the workers'compensation policy declaration page(showing the policy nu der and expiration date). Failure to secure coverage as mquimdunder Section 25A of MGL r~ 152 can lead to the imposition ofcriminal penalties of a fine up to$1,50a_Oa and for one-year umtti'soument,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 statemeat may be forwarded to:the Office of Isis eu igations of the DIA for insaromce,coverage verffication- I dv hereb4,cerfify render the pains and penalties ofpedary thatthe irc,formation protrzdgd abm a is h7w and correct Sienattne: Date: P1orle#: 7 Official use only. Do not write in this area,to be completed by city or town off5'ciaL Cite or Town: PermitUcense# Issuing Authority(circle one): 1.Board of Health 2.Building Department I CitylroKu Clerk 4.Electrical Inspector S.Plumbing LiTector 6.Other Contact Person: Phone 9: Information and Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers'compensation for their employees. Pursuantto this statute,an employee is defined as".._every person in the service of another under any contract of hire, express or implied, oral or written_" An employer is defined as an individual,> 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, constriction 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." A MGL chapter 152, §25C(6)also states that"every state or local licensing agency shaII withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the com�-,oawealty''for aiay applicant who has not produced acceptable evidence of compliance with the insurance.coverage requi-ed." Additionally,MGL chapter 152, §25C(7)states"Neither the commonwealth nor any of its political`s'Ubdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance,,aL the insurance requirements of this chapter have been presented to the contracting authority-- Applicants Please fill out the workers' compensation affidavit completely,by checking the boxes that apply to your situation and,if necessary,supply sub-contractors)name(s), address(es)and phone number(s) along with their certificates)of insurance. Limited.Liability Companies(LLC)or Limited Liability Partnerships(L LP)wain no employees other than the members or partners,are not required to carry workers' compensation insurance. If an LLC or LLl'does have employees, a policy i.s required. Be advised that this affidavit may be submitted to the DeparLm-ent of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the afjd2vit. 'life a.idavit should be returned to the city or town that the application for the permit or license is being requested,not the Deparment of Industrial Accidents. Should you have any questions regarding the law or if you are required to obt_u a workers' compensation policy,please call the Department at the number listed below. Self-ins ured companies should enter their self-insurance license number on the appropriate line. City or Town.Officials Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant_ Please be sure to fill in the permitllicease number which-rill be used as a reference number. In add tion,an.applicant that must submit multiple peimit/license applications is any given year,need only submit one affi'davit indicating current policy information(if necessary)and under"Job Site Address"the applicant should write"all locations ilz (city or town)."A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be:filled out each year.Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e.a dog license or permit to burn leaves etc.)said person is NOT required to complete this a ddav t. The Office of Investigations would Ile to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call The Department's address,telephone and fax number: 'I he Commonwealth of Massachuseitts De-pam9ment of Industrial Accidents Office 01 Tmvestiptiom 600 Washa gton Sit Boston,MA 02111 Tel A 617-727-49-00 w 406 or I-$ MA$SAFE Revised 4-24-07 Fax#617-727-7749 www.gmass_gov/dua • snuvsr�ar.E. f ME MASS.i639• Town of Barnstable O `�� - pTED MA'S A Regulatory Services Richard V.Scali,Director Building Division Thomas Perry,CBO Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder I, ki C'61d 0 . Ar <J ,as Owner of the subject property hereby authorize-L_E. Bi'611,1'n_CA fNSYfuf-Y'((M to act on my behalf, in all matters relative to work authorized by this building pen-nit application for: 3 go Wes -s ` 014 (Address of Job) Si - afore of Owner Date J. Print Name ' If Property Owner is applying for permit,please complete the Homeowners License Exemption Form on the reverse side. Q:\WPFILES\FORMS\building-permit forms\EXPRESS.doc Revised 061313 r fi-«t L•CSF his€i.I'i li7 '��.�icr.L'ns .La`�R�C "� a_S t. - ,�d+ Office o onsumer irs mess e q ahon C°ons;tmcti a Supen-Na /// HOME IMPROVEMENT CONTRACTOR i e,nse: CS-07947S � - i' Registration 137913 Type* Expiration taZ712017 Individual A-WR+NCE E ltilORGGI�T�t ;;_ NCE E.MOR�AM 86�II,I.E�GA A��E 1C � I � N BULERICA I tE186?4 4 LAW'! RENCE MOR,'k JR 86 BILLERICA AVE QNITA p BIiLLERICA,MA 01$'6 N. Undersecretary OW03/2015 Safety nd H albs < � r¢ 3 _ 2 %4` c�:.tt8aa F�'.F�fi� I S�'"�r�- �t t Y'- e.._ E This cardacimowledges thatineYec� lent has snWessfiiflycompleted'a Us. - 3C hour ffecgpa5orral afery andNea(th�ra�nmg Godrse m occup z ncrSalC and riea.t..?.G: C©nsft"ctiorrsareandeatta 1 R has s GCs��y"fi;11 �[�?a:2, Gt�,- -w.r c ir-t t _ . - �.pz5 2 Sa6ety,2ad i-leaitn Cdn?trucUon Safety$HeG." �Trainetratn nrtor e # Lout�1 ��r P _ - Yp 7 (Course 2nd date)- e . _ crane:; i . CERTIFICATE OF LIABILITY INSURANCE DATE(MM//2015 Y) TIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER AND THE CERTIFICATE HOLDER. IMPORTANT:If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require and endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsements. PRODUCER CONTACT NAME: BALDWIMWELSH PARKER INS PHONE FAX 131 COOLIDGE ST,SUITE#100 (A/C,No,Ext): (A/C,No): HUDSON,MA 01749 E-MAIL ADDRESS: 27KLD INSURER(S)AFFORDING COVERAGE NAIC# INSURED INSURER A: AMERICAN ZURICH INSURANCE COMPANY L E MORGAN CONSTRUCTION INC INSURER B: INSURER C: INSURER D: PO BOX 75 INSURER E: NORTH BILLERICA,MA 01862 INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN. THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR ADD SUB POLICY EFF DATE POLICY EXP DATE LTR TYPE OF INSURANCE L R POLICY NUMBER (MMIDDIYYYY) (MMIDDIYYYY) LIMITS GENERAL LIABILITY EACH OCCURRENCE $ COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED $ ffCLAIMS MADE OCCUR. REMISES(Ea occurrence) VIED EXP(Any one person) $ GEN'L AGGREGATE LIMIT APPLIES PER: PERSONAL&ADV INJURY $ ENERALAGGREGATE $ POLICY PROJECT LOC RODUCTS-COMP/OP AGG $ AUTOMOBILE LIABILITY COMBINED SINGLE $ ANY AUTO LIMIT(Ea accident) ALL OWNED AUTOS BODILY INJURY $ SCHEDULE AUTOS (Per person) HIRED AUTOS BODILY INJURY $ NON-OWNED AUTOS (Per accident) PROPERTY DAMAGE $ (Per accident) UMBRELLALIAB OCCUR EACROCCURRENCE $ EXCESS LIARL_J CLAIMS-MADE AGGREGATE $ DEDUCTIBLE $ RETENTION $ $ A WORKER'S COMPENSATION AND WC STATUTORY OTHER EMPLOYER'S LIABILITY Y/N UB-%738312-14, 12/14/2014 12/14/2015 X LIMITS ANY PROPERITOR/PARTNER/EXECUTIVE N N/A E.L.EACH ACCIDENT $ 1,000,000 OFFICER/MEMBER EXCLUDED? (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ 1,000,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 1,000,000 D DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/RESTRICTIONS/SPECIAL ITEMS THIS REPLACES ANY PRIOR CERTIFICATE ISSUED TO THE CERTIFICATE HOLDER AFFECTING WORKERS COMP COVERAGE. CERTIFICATE HOLDER CANCELLATION TOWN OF BARNSTABLE SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED 200 MAIN ST. BEFORE THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPR HYANNIS,MA 02601 " ACORD 25(2010105) The ACORD name and logo are registered marks of ACORD 1988-2010 ACORD CORPORATION. All rights reserved. LEMORGA-01 BBOYER CERTIFICATE OF LIABILITY INSURANCE DATE 4/112 D/YYYY) /1/2015 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS • CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT NAME: Welsh 8 Parker Insurance Aggency,Inc.I Hudson Office ?�c°NNo Ell:(978)562-5652 F� Ne; 978 562-7120 131 Coolidge Street,Suite 1Q0 E-MAIL ( ) Hudson,MA 01749 ADDRESS: INSURER(S)AFFORDING COVERAGE NAIC# INSURER A:Western World Insurance Company INSURED INSURER B:Safety LE Morgan Construction Inc INSURER C:Scottsdale Insurance PO Box 75 INSURER D: Billerica,MA 01821 INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCEADDLSUBR POLICY EFF POLICY EXP LTR POLICY WVD POLICY NUMBER MM/DD MM/DD LIMITS A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS-MADE T OCCUR NPP8185086 04113/2014 04113/2015 PREMISES Ea occurrence $ 100,000 MED EXP(Any one person) $ 5,000 PERSONAL&ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 POLICY PRO- ❑ JECT LOC PRODUCTS-COMP/OPAGG $ 2,000,000 OTHER: $ AUTOMOBILE LIABILITY EOM�BIINdEeD SINGLE LIMIT $ 1,000,000 B ANY AUTO COM6230688- 10/1312014 10/13/2015 BODILY INJURY(Per person) $ ALL OWNED X SCHEDULED BODILY INJURY Per accident $ AUTOS AUTOS ( ) NON-OWNED PROPERTY DAMAGE X HIRED AUTOS X AUTOS Per accident $ UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 5,000,000 C XEXCESS LIAB CLAIMS-MADE XLS0092595 04/13/2014 04113/2015 AGGREGATE $ 5,000,000 DED I I RETENTION$ $ WORKERS COMPENSATION PER OTH- AND EMPLOYERS'LIABILITY Y/N STATUTE ER ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? ❑ N/A (Mandatory in NH) E.L.DISEASE-EA EMPLOYE $ If yes,describe under DESCRIPTION OF OPERATIONS belon E.L.DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS/LOCATIONS I VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space is required) Proof of Workers Compensation coverage will follow direct from the company CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Town of Barnstable THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 200 Main Street ACCORDANCE WITH THE POLICY PROVISIONS. Hyannis,MA 02601 AUTHORIZED REPRESENTATIVE ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD mar• ]u. z v i J:4/rm Hyannis Country Garden No. 4219 P. 2 L.E. MORGAN CONSTRUCTION CO. INC. P.O. Box 75, 86 Billerica Avenue,.Unit#1 N. Billerica, MA 01862 Office: 978-670-4747 • Fax: 978-670-6477 PROPOSAL Submitted To: Hyannis Country Garden Date: 3-23-15 Address: 380 West Main Street Hyannis, MA 02601-3690 Attn: Mr.John Duffley Job Site: SAME WE HEREBY submit our proposal for the following scope of work; p , 1. Remove the existing shingles,sign brackets&rubber down to wood deck&dispose. 2. Install 6'feet of Ice&water shield at the leading edges&3'in the valleys. 3. Install RHINO Synthetic Underlayment to the remainder of the wood deck. Q. Install 8"aluminum drip edge to the perimeter,color to be determined. S. install new 1/2"insulation and new.060 rubber roofing membrane. 6. Install Certalnteed swift seal starter shingles&mechanically attach. 7. Install 50-Year Certalnteed Landmark architectural shingles&hurricane nail,4 to 6 nails per shingle,color to be determined. 8. Flash all penetrations according to manufacturer's specifications. 9. Install Certainteed matching color ridge caps as per manufacturer's specifications. 10.Morgan Construction will obtain a building permit from the town of Hyannis. 11.Morgan Construction will warranty all labor for a period of 12-years. WE propose hereby to furnish materials&labor,complete In accordance with the above specifications,for the sum of: Thirty Six Thousand Two Hundred Dollars; $36,200.00 AUTHORIZED SIGNATURE r Lawrence E.Morga r. President ACCEPTANCE of PROPOSAL: The above prices,specifications&conditions are satisfactory and are hereby accepted.You are authprize4 to do t e work as specified. &BU# r0 IfA AUTHORIZ SIGNATURE DATIkw�— THANK YOU FOR CHOOSING MORGAN CONSTRUCTION t , DATE: August 9,2013 TO: Building File FROM: R. Anderson RE: Complaint Inflatable sign LOCUS: Country Gardens 380 W Main St,Hy BC noticed.a large inflatable on site. Contacted store at 508-775-8703 and spoke to Sue Preston, co-owner. She stated they have a permit for a tent. She finally admitted she had a large inflatable. She states a car dealership had one. She complained about Health and vendors issue for week-end event. She asked,if there was a fine involved for noncompliance. She said she would take the matter under advisement. I asked her to call me back and let.me know what they intend to do. She took my name and phone number. She called called backed at 2:48. They will not comply but will pay the two citations. Town of Barnstable, MA Page 155 of 220 B.One sign no larger than four square feet in area shall be allowed which displays the name of the house or the name of the family residing therein. C. One sign not to exceed two square feet in area shall be permitted for a professional office or home occupation for which a special permit or variance has been granted by the Board of Appeals. D. One temporary sign not to exceed four square feet in area advertising property for sale, lease or rent. Such signs must be removed within io days of transfer of title or signing of lease or rental agreement. E.Where a legal nonconforming business exists within a residential district,one sign may be permitted by the Building Commissioner if it is determined that the appearance, placement,size and lighting of the proposed sign will not be detrimental to the residential character or visual quality of the area. In no instance shall such signs exceed eight feet in height or eight square feet in area. F. Permits may be posted at construction sites as required by state or Town regulations,except that in no instance shall they be attached to trees or utility poles. G. One identification sign not to exceed 12 square feet in area may be permitted at any public entrance to a subdivision or multifamily development. H. Illuminated signs within residential zones require the approval of the Building Commissioner,and may be permitted if the applicant can demonstrate that the proposed illumination will not intrude upon adjacent residential areas,will not be illuminated except during actual hours of business,and will not cause traffic hazards. I. One identifying sign for lodging houses, bed-and-breakfast or similar identification not to exceed four square feet in area. § 240-64. Signs in Medical Services District. [Amended 7-14-2005 by Order NO. 2005-1001 A. One sign giving the name of the occupant or other identification of a permitted-use in a professional residential zone may be permitted.Such signs shall be no more than 12 square feet in area and shall not extend more than eight feet above the ground. B.Any illuminated sign must comply with the provisions of§240-63 herein. �`§ 240-65. Signs ln.B;.BA, SD_=1 Districts. [Amended 8-i5-i991;7-15-19991 A. Each business may be allowed a total of two signs. B.The maximu m height of any freestanding sign will be io feet,except that a height of up to 12 feet may be allowed by the Building Commissioner if it is determined that the additional height will be in keeping with the scale of the building and will not detract from the appearance or safety of the area and will not obscure existing signs that conform to these regulations and have a Town permit. http://ecode360.comJprintBA2043?guid=6558130&children=true 7/16/2013 Town of Barnstable, MA Page 156 of�2,0 C.The total square footage for all signs of each business shall not exceed io%of the area of the building wall facing a public way or ioo square feet,whichever is the lesser amount. D. Only one freestanding sign is allowed per business,which may not exceed half the allowable size as permitted in this section. E. One projecting overhanging sign may be permitted per business in lieu of either a freestanding or wall sign, provided that the sign does not exceed six square feet in area, is no higher than io feet from the ground at its highest point and is secured and located so as to preclude its becoming a hazard to the public. Any sign projecting onto Town property must have adequate public liability insurance coverage,and proof of such insurance must be provided to the Building Commissioner prior to the granting of a permit for such sign. F. Incidental business signs indicating the business, hours of operation, credit cards accepted, business affiliations,"sale"signs and other temporary signs shall be permitted so long as the total area of all such signs does not exceed four square feet and is within the allowable maximum square footage permitted for each business. G. When a business property is located on two or more public ways,the Building Commissioner may allow a second freestanding sign,so long as the total square footage of all signs for a single business does not exceed the provisions of this section. H. When two or more businesses are located on a single lot,only one freestanding sign shall be allowed for that lot, except as provided in this section, in addition to one wall or awning sign for each business. If approved by the Building Commissioner,the one freestanding sign can include the names of all businesses on the lot. I. One awning or canopy sign may be permitted per business in lieu of the allowable wall or freestanding sign,subject to approval by the Building Commissioner. J. In addition to the allowable signs as specified in this section each restaurant may have a menu sign or board not to exceed three square feet. K. In lieu of a wall sign, one roof sign shall be permitted per business, subject to the following requirements: (1)The roof sign shall be located above the eave,and shall not project below the eave,or above a point located 2/3 of the distance from the eave to the ridge. (2) The roof sign shall be no higher than 1/5 of its length. § 240-66. Signs in industrial districts. The provisions of§24o-65 herein shall apply,except that the total square footage of all signs,while normally not to exceed ioo square feet, may be allowed up to 200 square feet if the Building Commissioner finds that larger signs are necessary for the site and are within the scale of the building and are otherwise compatible with the area and in compliance with the provisions and intent of these regulations. http://ecodc360.com/print/BA2043?guid=6558130&children=true 7/16/2013 Town of Barnstable, MA Page 154 of 220 K.Any sign attached to public or private utility poles,trees,signs or other appurtenances located within the right-of-way of a public way. L.A sign painted upon or otherwise applied directly to the surface of a roof. M. Signs advertising products,sales,events or activities which are tacked, painted or otherwise attached to poles, benches, barrels, buildings,traffic signal boxes, posts,trees,sidewalks,curbs, rocks and windows regardless of construction or application,except as otherwise specifically provided for herein. N. Signs on or over Town property,except as authorized by the Building Commissioner for temporary signs for nonprofit,civic,educational,charitable and municipal agencies. O. Signs that will obstruct the visibility of another sign which has the required permits and is otherwise in compliance with this chapter. P. Off-premises signs except for business area signs as otherwise provided for herein. Q. Any sign,picture, publication, display of explicit graphics or language or other advertising which is distinguished or characterized by emphasis depicting or describing sexual conduct or sexual activity as defined in MGL Ch. 272,§31, displayed in windows,or upon any building,or visible from sidewalks,walkways,the air, roads, highways,or a public area. § 240-62. Determination of area of a sign. A. The area of the sign shall be considered to include all lettering,wording and accompanying designs and symbols,together with the background,whether open or enclosed,on which they are displayed. B. The area of signs painted upon or applied to a building shall include all lettering,wording and accompanying designs or symbols together with any background of a different color than the finish material or the building face. C. When a sign consists of individual letters or symbols attached to or painted on a surface,wall or window,the area shall be that of the smallest rectangle which encompasses all of the letters and symbols. D. Only one side of a double-faced sign shall be counted in computing the area of that sign. E. For the purposes of these regulations,the area of a building face or wall shall be calculated by using a height of no more than io feet from the ground multiplied by the width of the building front. § 240-63. Signs in residential districts. [Amended 2-20-1997]ln residential districts,only the following signs are permitted: A. One sign displaying the street number and identifying the premises not to exceed two square feet in area.The street number must be approved by the Engineering Department in conformance with the Town's regulations governing numbering of buildings.Editor's Note:See Ch.5, Buildings, Numbering of. http://ecode360.com/print/BA2043?guid=6558130&children=true 7/16/2013 �' Town of Barnstable, MA Page 153 of 220�--�'� �. (7S WALL SIGN A sign attached parallel to and extending not more than 18 inches from the wall of a building, including painted signs, individual lettered signs,cabinet signs and signs on a mansard. WINDOW SIGN A sign installed inside a window and intended to be viewed from the outside. § 240-61. Prohibited signs. The following signs shall be expressly prohibited in all zoning districts,contrary provisions of this chapter notwithstanding: A.Any sign,all or any portion of which is set in motion by movement, including pennants, banners or flags,with the exception of trade flags pursuant to§240-72 and at the entrance to subdivisions where developed and undeveloped lots are offered for initial sale and official flags of nations or administrative or political subdivisions thereof. [Amended 6-17-2010 by Order No.2010-123; 5-5-2011 by Order No.2011-046;5-5-2011 by Order No.2011-0471 B.Any sign which incorporates any flashing,moving or intermittent lighting.Such signs include LED (light emitting diode) signs; LED border tube signs, including any sign that incorporates or consists solely of a LED border tube lighting system;and simulated neon signs which are extremely bright backlit signs using fluorescent lamps and neon colored inks or translucent vinyl for lettering and display. [Amended 6-17-2010 by Order No.2010-1231 C.Any display lighting by strings or tubes of lights,including lights which outline any part of a building or which are affixed to any ornamental portion thereof,except that temporary traditional holiday decorations of strings of small lights shall be permitted between November 15 and January 15 of the followingyear.Such temporary holiday lighting shall be removed by January 15. D.Any sign which contains the words"Danger"or"Stop"or otherwise presents or implies the need or requirement of stopping or caution,or which is an imitation of,or is likely to be confused with any sign customarily displayed by a public authority. E.Any sign which infringes upon the area necessary for visibility on corner lots. F.Any sign which obstructs any window,door,fire escape,stairway,ladder or other opening intended to provide light,air or egress from any building. G.Any sign or lighting which casts direct light or glare upon any property in a residential or professional residential district. H.Any portable sign,with the exception of a location hardship sign in the HVB,including any sign displayed on a stored vehicle,except for temporary political signs. [Amended 6-17-2010 by Order No. 2010-123) I.Any sign which obstructs the reasonable visibility of or otherwise distracts attention from a sign maintained by a public authority. J.Any sign or sign structure involving the use of motion pictures or projected photographic scenes or images. http://ecode3 60.com/printBA2043?guid=65 5 813 0&children=true 7/16/2013 Town of Barnstable, MA Page 148 of 220 t: Article VIi: Sign Regulations"- § 240-59. Statement of intent. The provisions of this article establish the comprehensive regulations,conditions and limitations under which signs are permitted in the Town of Barnstable. It is intended that these regulations shall be held to be the minimum regulations necessary for the protection of the visual environment of the Town and the public safety, convenience and welfare and shall be narrowly construed and strictly applied in favor of the public interest to those ends. § 2'_40-60. Def nifioni;---=�- As used in this article,the following terms shall have the meanings indicated: ABANDONED SIGN A sign which no longer identifies or advertises a bona fide business, lessor, service,owner,product or activity and/or for which no legal owner can be found. ANIMATED SIGN Any sign which uses movement or change of lighting to depict action or to create a special effect or scene. AREA (OF A SIGN) (See§240-62 herein). BANNER A sign made of fabric or any nonrigid material with no enclosing framework. BILLBOARD (See"off-premises sign' BUILDING COMMISSIONER The Building Commissioner of the Town of Barnstable or his designee. BUILDING SIGN A sign affixed to and wholly supported by an exterior wall of a building or structure. BUSINESS AREA SIGNS An off-premises sign intended to direct the motoring public to specific commercial areas only, and not to include individual businesses. CANOPY OR ARCADE SIGN A wall-mounted sign attached to or constructed on the face of a permanent roofed structure covering an area customarily used for pedestrian circulation. CHANGEABLE-COPY SIGN A sign that is designed so that characters, letters or illustrations can be changed or rearranged either manually or automatically without altering the face or the service of the sign. CONSTRUCTION SIGN http://ecode360.com/print/BA2043?guid=6558130&children=true 7/16/2013 Town of Barnstable, MA Page 147 of 220 § 240-5 7. Circumstances warranting reduction of requirements. p [Amended ii-5-i988 by Art.i]The Zoning Board of Appeals may reduce the requirements of this article by the granting of a special permit only if lesser off-street parking is shown to be adequate given such special circumstances as: A. Use of a common parking area by different uses having different peak hours of demand. B.Age or other characteristics of occupants which reduce auto usage. C. Characteristics of use invalidating normal methods of calculating parking demand. D. Supplementary parking provided off premises. § 240-58. Reduction of parking within the MA-1 and MA-2 Business Districts. [Added 7-19-2ooi by Item Nos. 2001-037,2001-038,2001-039;amended 11-15-20ol by Order No. 2002-029] A. Within the MA-1 and MA-2 Business Districts, a permitted use can be changed to another permitted use,and a use can be intensified,without increasing the required off-street parking requirements of§24o-56,Schedule of Off-Street Parking Requirements, herein, provided that as of September 15, 2001,there is: (1) No increase in gross square footage of the building,and (2) No reduction in existing parking spaces required pursuant to§240-56;and (3)There is no added outdoor use requiring the provision of parking according to§204-56, except that no parking spaces shall be required for outdoor dining on both public and private property;except (4) That in the MA-1 Business District,the following requirements shall apply to apartments: (a) One parking space per one-bedroom apartment unit; (b) Two parking spaces per apartment unit with two bedrooms. B. Within the MA-1 Business District,parking spaces shall be provided for new and/or expanded building area,and for new and/or expanded outdoor uses,as follows: (1) Fifty percent of the spaces required under§240-56 for all uses other than apartments. (2) Parking spaces requirements for apartments shall be according to Subsection A(4) above. C.The Zoning Board of Appeals may by special permit,further reduce the parking required within the MA-1 Business District as follows: (1) Off-site parking. Parking requirements may be satisfied if an off-street municipal parking lot of 20 spaces or more exists within 500 feet of the proposed use. http://ecode360.com/print/BA2043?guid=6558130&children=true 7/16/2013 Town of Bam,stable, MA Page 149 of 220 ` A temporary sign identifying an architect,contractor,subcontractor, material supplier or others participating in the construction on the property on which the sign is located. DIRECT LIGHTING Illumination by means of an external source. DIRECTIONAL/INFORMATION SIGN An on-premises sign identifying a premises or activity conducted upon such premises,and providing direction for the safe and efficient flow of vehicular or pedestrian traffic to such activity or premises. Directional signs shall include signs marking entrances,exits, parking areas,loading areas or other operational features of the premises. DISCONTINUED SIGN (See"abandoned sign.') DOUBLE-FACED SIGN A sign with two faces or panels,neither of which is visible at the same time and are directly back to back as opposed to a V-shaped sign. ELECTRONIC MESSAGE CENTER A sign on which the copy changes automatically on a lampbank or through mechanical means,e.g., electrical or electronic time-and-temperature units. EXTERNALLY ILLUMINATED SIGN A sign whose illumination is derived entirely from an external artificial source. FACADE The entire building front,including the parapet. FLASHING SIGN A sign which contains an intermittent or sequential flashing light source used primarily to attract attention.This does not include changeable-copy signs,animated signs or signs which, through reflection or other means, create an illusion of flashing or intermittent light. (Compare"animated sign.') FREESTANDING SIGN A sign supported upon the ground by poles or braces and not attached to any building. FRONTAGE The length of the property line of any one premises along a public right-of-way on which it borders. GOVERNMENT SIGN Any temporary or permanent sign erected and maintained by the Town,county,state or federal government for traffic direction or for designation of or direction to any school, hospital, historic site or public service,property or facility. HEIGHT (OF A SIGN) The vertical distance measured from the highest point of the sign to the average ground grade beneath the sign. http://ecode360.com/printBA2043?guid=6558130&children=true 7/16/2013 Town of Barnstable, MA Page 150 of 220 IDENTIFICATION SIGN A , A sign whose copy is limited to the name and address of the building, institution or person and/or activity or occupation being identified. ILLEGAL SIGN A sign which does not meet the requirements of this chapter and which has not received legal nonconforming status. INDIRECT LIGHTING Illumination by means of a concealed light source,whereby all incandescent or fluorescent devices are shielded from view by opaque or translucent materials,and including reflected lighting. INTERNALLY ILLUMINATED SIGN Illumination by means of a light source completely enclosed by the sign panel(s). INTERMITTENT LIGHTING (See"flashing sign.') LOCATION HARDSHIP SIGN [Added 6-17-2010 by Order No.2010-1231 A. A temporary portable sign allowed in the HVB for a business demonstrating a location hardship, as further defined herein,to identify and/or direct patrons to their business. Such locations are ones where: (1) A permitted sign is not visible due to substantial obstruction(s) outside the control or . ownership of the business owner,including but not limited to other signs,awnings,trees in leaf, outdoor dining or other business appurtenances or where building facades are excessively setback;or (2) Due to the location on an upper floor the business is unable to display a trade figure or symbol or a trade flag;or (3) Where, due to the upper floor location,the visibility of other permitted signage is substantially reduced. B. Hardship location signs are not counted toward the amount of signage allowed. MAINTENANCE (OF A SIGN) The cleaning, painting, repair or replacement of defective parts of a sign in a manner that does not alter the basic copy, design or structure of the sign. MENU SIGNS The menu normally presented at tableside. MULTIPLE-FACED SIGNS Signs containing more than two faces or panels. NONCONFORMING SIGN Sign which was erected legally,but which does not comply with subsequently enacted regulations. OFF-PREMISES SIGN A sign structure advertising an establishment, merchandise,service or entertainment which is not sold, provided,manufactured or furnished at the property on which said sign is located,e.g., "billboards,"'outdoor advertising'or"off-site signs." http://ecode360.com/printBA2043?guid=6558130&children=true 7/16/2013 l Town of Barnstable, MA Page 151 of'L'lU fi�' . ON-PREMISES SIGN A n sig which pertains to the use of the premises on which it is located and maintained. OPEN/CLOSED SIGN A business in the HVB may display a sign,which may include a neon sign,as defined herein, indicating whether it is open or closed.Open/closed signs are not counted towards the amount of signage allowed.A neon sign is made of glass tubes filled with an inert gas such as neon or argon electrified to produce illumination.This provision is an exception to§240-24-1-1oA(6).[Added 6- 17-2010 by Order No. 2010-1231 OPEN HOUSE DIRECTIONAL SIGN A temporary sign to be displayed only for real estate open house events staffed by real estate professionals such as brokers or agents.Such directional signs shall not exceed 24 inches by 24 inches in size, may be two-sided and shall display a directional arrow in addition to any other sign display.[Added 5-5-2011 by Order No.2011-046] OPEN HOUSE SIGN A temporary sign to be displayed only for real estate open house events where real estate professionals such as brokers or agents are present at the open house. Such signs shall not exceed 24 inches by 24 inches in size and may be two-sided A-frame or panel signs.[Added 5-5-2011 by Order No. 2011-046] PAINTED WALL SIGN A sign which is applied with paint or similar substance on the face of a wall;such sign shall be considered a wall sign for calculation purposes. PORTABLE SIGN Any sign designed to be moved easily and not permanently affixed to the ground or to a structure or building. PRIVATE WAY For the purposes of this Article VII,a private way shall be considered a public way. (See"public way.' PROJECTING SIGN A sign other than a flat wall sign which is attached to and projects from a building wall or other structure not specifically designed to support the sign and is not parallel to the structure to which it is attached. PUBLIC SERVICE INFORMATION SIGN Any sign intended exclusively to promote items of general interest to the community,such as time, temperature,date,atmospheric conditions, news or travel control. PUBLIC WAY Any roadway over which everyone has rights to pass,including Town ways and private ways. REAL ESTATE SIGN A temporary sign advertising real estate upon which the sign is located as being for rent,lease or sale. http://ecode3 60.comJprint/B A2043?guid=6 5 5 813 0&children=true 7/16/2013 i own of Bamstable, MA Page 152 of 220 ROOF SIGN r Any sign erected upon a roof and wholly or partially supported by the sign structure placed upon the roof. ROTATING SIGN Any sign or device which has any visible moving part,visible revolving part, or visible mechanical movement but not including methods of changing copy. SIGN Any permanent or temporary structure,light, letter,word, model, banner;pennant, insignia,trade flag, representation or any other device which is used to advertise,inform or attract the attention of the public and which is designed to be seen from outside a building, including all signs in windows or doors but not including window displays of merchandise. SPECIAL EVENT SIGN A temporary sign advertising or pertaining to any civic, patriotic or special event of general public interest taking place within the Town.. STREET BANNER SIGN Any banner which is stretched across and hung over a public right-of-way. SUBDIVISION IDENTIFICATION SIGN A freestanding or wall sign identifying a recognized subdivision, condominium complex or residential development. TEMPORARY SIGN A sign not constructed or intended for long-term use. TRADE FIGURE OR SYMBOL A three-dimensional representation of a business that is used to indicate the type of merchandise or services offered by the business.Trade figures or symbols shall be still and silent. Business trade figures are not counted towards the amount of signage allowed.[Added 6-17-2010 by Order No. 2010-1231 Trade Figure or Symbol Example Butcher Shop iXi 240-60 Trade figure.tif TRADE FLAG Any sign consisting of lightweight fabric that is affixed to a pole displaying letters, designs or icons exemplary of the business displaying the flag.Such images shall be consistent with the historical heritage and character of village or neighborhood in which it is displayed.[Added 6-17-2010 by Order No. 2010-123; amended 5-5-2011 by Order No. 2011-0471 UNDER-CANOPY SIGN A directional sign suspended beneath a canopy,ceiling,roof or marquee. V-SHAPED SIGN A sign with two faces or panels not supported by one common structural member and which faces are not back-to-back. http://ecode360.com/printBA2043?guid=655813 Q&children=true 7/16/2013 Town of Barnstable, MA Page 154 of 220 K.Any sign attached to public or private utiIity'poles,trees,signs or other appurtenances located within the right-of-way of a public way. L.A sign painted upon or otherwise applied directly to the surface of a roof. M. Signs advertising products,sales,events or activities which are tacked, painted or otherwise attached to poles, benches, barrels, buildings,traffic signal boxes, posts,trees,sidewalks,curbs, rocks and windows regardless of construction or application,except as otherwise specifically provided for herein. N. Signs on or over Town property,except as authorized by the Building Commissioner for temporary signs for nonprofit,civic,educational,charitable and municipal agencies. O.Signs that will obstruct the visibility of another sign which has the required permits and is otherwise in compliance with this chapter. P. Off-premises signs except for business area signs as otherwise provided for herein. Q.Any sign, picture, publication,display of explicit graphics or language or other advertising which is distinguished or characterized by emphasis depicting or describing sexual conduct or sexual activity as defined in MGL Ch. 272,§31, displayed in windows,or upon any building,or visible from sidewalks,walkways,the air, roads, highways,or a public area. § 240-62. Determination of area of a sign. A. The area of the sign shall be considered to include all lettering,wording and accompanying designs and symbols,together with the background,whether open or enclosed,on which they are displayed. B.The area of signs painted upon or applied to a building shall include all lettering,wording and accompanying designs or symbols together with any background of a different color than the finish material or the building face. C. When a sign consists of individual letters or symbols attached to.or painted on a surface,wall or window,the area shall be that of the smallest rectangle which encompasses all of the letters and symbols. D. Only one side of a double-faced sign shall be counted in computing the area of that sign. E. For the purposes of these regulations,the area of a building face or wall shall be calculated by using a height of no more than io feet from the ground multiplied by the width of the building front. § 240-63. Signs in residential districts. [Amended 2-20-19971In residential districts,only the following signs are permitted: A. One sign displaying the street number and identifying the premises not to exceed two square feet in area.The street number must be approved by the Engineering Department in conformance with the Town's regulations governing numbering of buildings. Editor's Note:See Ch.52f, Buildings, Numbering of. http://ecode360.com/print/BA2043?guid=6558130&children=true 7/16/2013 Town of Barnstable, MA Page 153 of 220 WALL SIGN A sign attached parallel to and extending not more than 18 inches from the wall of a building, including painted signs, individual lettered signs,cabinet signs and signs on a mansard. WINDOW SIGN A sign installed inside a window and intended to be viewed from the outside. 4240-61. Prohibited signs. The following signs shall be expressly prohibited in all zoning districts,contrary provisions of this chapter notwithstanding: A.Any sign,all or any portion of which:is,se in motion by movement,including=pennants, banners or flags,with the exception of trade flags pursuant to§240-772 and at the entrance to subdivisions where developed and undeveloped lots are offered for initial sale and official flags of nations or administrative or political subdivisions thereof. [Amended 6-17-2010 by Order No. 2010-123; 5-5-2011 by Order No.2011-046;5-5-201i by Order No.2011-0471 B.Any sign which incorporates any flashing, moving or intermittent lighting. Such signs include LED (light emitting diode) signs; LED border tube signs, including any sign that incorporates or consists solely of a LED border tube lighting system;and simulated neon signs which are extremely bright using fluorescent lamps and neon colored inks or translucent vinyl for lettering and backlit signs g p display. [Amended 6-17-20io by Order No. 2010-1231 C.Any display lighting by strings or tubes of lights, including lights which outline any part of a building or which are affixed to any ornamental portion thereof,except that temporary traditional holiday decorations of strings of small lights shall be permitted between November 15 and January 15 of the following year. Such temporary holiday lighting shall be removed by January 15. D.Any sign which contains the words"Danger"or"Stop"or otherwise presents or implies the need or requirement of stopping or caution, or which is an imitation of,or is likely to be confused with any sign customarily displayed by a public authority. E.Any sign which infringes upon the area necessary for visibility on corner lots. F.Any sign which obstructs any window, door,fire escape,stairway, ladder or other opening intended to provide light,air or egress from any building. G.Any sign or lighting which casts direct light or glare upon any property in a residential or professional residential district. H:Any portable sign,'with the exception of a location hardship sign in the HVB, including any sign displayed on a stored vehicle,except for temporary political signs. [Amended 6-17-2010 by Order No. 2010-123] I.Any sign which obstructs the reasonable visibility of or otherwise distracts attention from a sign maintained by a public authority. J.Any sign or sign structure involving the use of motion pictures or projected photographic scenes or images. http://ecode360.com/printBA2043?guid=6558130&children=true 7/16/2013 Town of Barnstable; MA Page 162 of 220 (a) Shall only be placed for display 6o minutes before and shall be removed within 6o minutes after the open house event. (b) Shall only be displayed to assist motorists in finding an open house that is concurrently displaying an open house sign. (c) Shall not obstruct pedestrian and/or vehicular traffic or be otherwise considered, at the discretion of the Building Commissioner or public safety officials,to be a public safety risk. (d) Shall not be placed in any area that obstructs or otherwise intrudes into areas containing memorials or monuments. Open house signs are prohibited on a traffic island where such memorials or monuments are located. (3) Subdivision off-premises directional signs: (a) Shall be displayed only during period of time when developed or undeveloped lots in the subdivision are offered for initial sale by the developer and shall be removed once such initial sales are complete. (b) In accordance with §240-85, prior to installation,shall be permitted by the Building Commissioner for the specific subdivision. Evidence of ownership, lease or other arrangement allowing installation and display at the proposed location shall be provided to the Building Commissioner with the sign permit application. (c) Shall not obstruct pedestrian and/or vehicular traffic or be otherwise considered, at the discretion of the Building Commissioner or public safety officials,to be a public safety risk. (d) Shall be located within reasonable proximity to the boundary of the subdivision. (e) Shall not exceed three feet by five feet. (f) Shall remain subject to approvals of all applicable historic boards or commissions. § 240-75. Directional or safety signs. In addition to other allowable signs,directional,warning or traffic signs necessary for the safety and direction of residents,employees,customers and visitors may be allowed as follows: A. Such signs shall not exceed one square foot_in area, nor be more than three feet high. B. No more than four such signs will be allowed per site. C.The Building Commissioner may grant exceptions from the provisions of this subsection on a case- by-case basis if he finds that the site requires more or larger or higher directional or safety signs, and that such signs will.not conflict with the visual quality and character of the area nor lead to clutter or confusion. § 240-76. Business area signs. Business area signs may,at the discretion of the Building Commissioner, be permitted off-premises in remote areas, provided that the owner of record of the land on which the sign is placed has given http://ecode360.com/printBA2043?guid=6558130&children--true 7/16/2013 Town of Barnstable,MA Page 161 of 220 § 240-73. Construction signs. A. When a building permit has been issued for the construction,alteration or repair of a structure, and all other required permits have been obtained,contractors or architects shall display a sign on the site while approved work is going on. B. No contractor or architect shall display more than one sign on any building at any given time: C. No sign shall be larger than 24 square feet in area, nor more than five feet tall. D.The total area of all construction signs displayed at a site at any given time shall not exceed 24 square feet. § 240-74. Temporary signs. Temporary signs and special sale signs may be permitted in all districts subject to the following requirements: A.The total area of all temporary signs allowed in this section shall not exceed 20%of the glass area of the window in which the sign is placed. B. Special event and/or temporary signs,flags or banners belonging to a not-for-profit organization, civic organization or church: [Added 5-7-2009 by Order No.2009-0741 (1) Prior to installation,shall be registered with and approved by the Building Commissioner for a specific property owned or leased to a not-for-profit,civic organization or church. (2) Shall be displayed only during permitted hours of operation and shall be removed once operations cease each day. (3) Shall not obstruct pedestrian and/or vehicular traffic or be otherwise considered,at the discretion of the Building Commissioner or public safety officials,to be a public safety risk. (4) Shall not exceed four feet in width and five feet in length. (5) Shall remain subject to approvals of all applicable historic boards or commissions. C. Real estate signs. [Added 5-5-2011 by Order No.2011-046] (1) Open house signs: (a) Shall only be placed for display 6o minutes before and shall be removed within 6o minutes after the open house event. (b) Shall not obstruct pedestrian and/or vehicular traffic or be otherwise considered,at the discretion of the Building Commissioner or public safety officials,to be a public safety risk. (c) Shall not be placed in any area that obstructs or otherwise intrudes into areas containing memorials or monuments. Open house signs are prohibited on a traffic island where such memorials or monuments are located. (2) Open house directional signs: http://ecode360.com/printBA2043?guid=6558130&children=true 7/16/2013 Town of Barnstable, MA Page 156 of 220 C.The total square footage for all signs ofeach business shall not exceed io%of the area of the building wall facing a public way or ioo square feet;whichever is the lesser amount. D. Only one freestanding sign is allowed per business,which may not exceed half the allowable size as permitted in this section. E.One projecting overhanging sign may be permitted per business in lieu of either a freestanding or wall sign,provided that the sign does not exceed six square feet in area, is no higher than io feet from the ground at its highest point and is secured and located so as to preclude its becoming a hazard to the public.Any sign projecting onto Town property must have adequate public liability insurance coverage,and proof of such insurance must be provided to the Building Commissioner prior to the granting of a permit for such sign. F. Incidental business signs indicating the business, hours of operation, credit cards accepted, business affiliations,"sale"signs and other temporary signs shall be permitted so long as the total area of all such signs does not exceed four square feet and is within the allowable maximum square footage permitted for each business. G. When a business property is located on two or more public ways,the Building Commissioner may allow a second freestanding sign,so long as the total square footage of all signs for a single business does not exceed the provisions of this section. H. When two or more businesses are located on a single lot,only one freestanding sign shall be allowed for that lot, except as provided in this section,in addition to one wall or awning sign,for each business. If approved by the Building Commissioner,the one freestanding sign can include the names of all businesses on the lot. I. One awning or canopy sign may be permitted per business in lieu of the allowable wall or freestanding sign,subject to approval by the Building Commissioner. J. In addition to the allowable signs as specified in this section each restaurant may have a menu sign or board not to exceed three square feet. K. In lieu of a wall sign, one roof sign shall be permitted per business, subject to the following requirements: (1)The roof sign shall be located above the eave,and shall not project below the eave,or above a . point located 2/3 of the distance from the eave to the ridge. (2)The roof sign shall be no higher than 1/5 of its length. § 240-66. Signs in industrial districts. The provisions of§24o-65 herein shall apply,except that the total square footage of all signs,while normally not to exceed ioo square feet,may be allowed up to 200 square feet if the Building Commissioner finds that larger signs are necessary for the site and are within the scale of the building and are otherwise compatible with the area and in compliance with the provisions and intent of these regulations. http://ecode360.com/printBA2043?guid=6558130&children=true 7/16/2013 Town of Barnstable, MA Page 155 of 220 e B. One sign no larger than foursquare feet in area shall be allowed which displays the name of the house or the name of the family residing therein. C. One sign not to exceed two square feet in area shall be permitted for a professional office or home occupation for which a special permit or variance has been granted by the Board of Appeals. D. One temporary sign not to exceed four square feet in area advertising property for sale, lease or rent. Such signs must be removed within io days of transfer of title or signing of lease or rental agreement. E.Where a legal nonconforming business exists within a residential district, one sign may be permitted by the Building Commissioner if it is determined that the appearance, placement, size and lighting of the proposed sign will not be detrimental to the residential character or visual quality feet in height or eight square feet in of the area. In no instance shall such signs exceed eight g g area. F. Permits may be posted at construction sites as required by state or Town regulations,except that in no instance shall they be attached to trees or utility poles. G. One identification sign not to exceed 12 square feet in area may be permitted at any public entrance to a subdivision or multifamily development. H. Illuminated signs within residential zones require the approval of the Building Commissioner,and may be permitted if the applicant can demonstrate that the proposed illumination will not intrude upon adjacent residential areas,will not be illuminated except during actual hours of business,and will not cause traffic hazards. I. One identifying sign for lodging houses, bed-and-breakfast or similar identification not to exceed four square feet in area. § 240-64. Signs in Medical Services District. [Amended 7-14-2oo5 by Order No. 20.05-100] A. One sign giving the name of the occupant or other identification of a permitted use in a professional residential zone may be permitted.Such signs shall be no more than 12 square feet in area and shall not extend more than eight feet above the ground. B.Any illuminated sign must comply with the provisions of§240-63 herein. § 240-65. Signs in B, BA, UB, HB, HO, S&D and SD-1 Districts. [Amended 8-15-1991;7-15-19991 A. Each business may be allowed a total of two signs. B.The maximum height of any freestanding sign will be io feet,except that a height of up to 12 feet may be allowed by the Building Commissioner if it is determined that the additional height will be in keeping with the scale of the building and will not detract from the appearance or safety of the area and will not obscure existing signs that conform to these regulations and have a Town permit. http://ecode360.com/printBA2043?guid=6558130&children=true 7/16/2013 TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION > - Map Parcel Application # Health Division Date Issued Conservation Division Application Fee AEff Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board Historic - OKH Preservation/ Hyannis Project Street Address Al Village ' `� \\ ii Owner - ,� Address Telephone C f Permit Request } 'S��M�1 �.�X U kJA _5a L„�z Square feet: 1 st floor: existing proposed 2nd floor: existing—prop ed�Tot� new Zoning District Flood Plain Groundwater Overlaya Project Valuation Construction Type Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting d,�)cumentation. Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family (# units) Age of Existing Structure Historic House: ❑Yes ❑ Kin No On Old g's Highwa ,0 Yes ❑ No Basement Type: ❑ Full ❑ Crawl ❑Walkout ❑ Other Basement Finished Area (sq.ft.) Basement Unfinished Area (sq.ft) Number of Baths: Full: existing new Half: existing new Number of Bedrooms: existing _new Total Room Count (not including baths): existing new First Floor Room Count Heat Type and Fuel: ❑ Gas ❑ Oil ❑ Electric ❑ Other Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑ No Detached garage: ❑ existing ❑ new size—Pool: ❑ existing ❑ new size _ Barn: ❑ existing ❑ new size_ Attached garage: ❑ existing ❑ new size_Shed: ❑ existing ❑ new size _ Other: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes ❑ No If yes, site plan review# Current Use Proposed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name " Telephone Number 77j-974) 2 Address�dS© LLL��L_�p ! 1 License # g. Home Improvement Contractor# Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE ��� DATE W_6`3 THE FOLLOWING IS/ARE THE BEST IMAGES FROM - POOR QUALITY. ORIGINAL (S)' . I M --mNc(:7LF DATA Postage $ ad i6 p F � k S CertifiedFee ] ��Po�stinark^..t MV/MB REGISTRATION NUMBER r €,��s FAN ] Return Receipt Fee ] (Endorsement Required) 44 �C ] 10 Restricted Delivery Fee - LOC I N IOLAT((I O ✓ y1 -c r i x .:; U] (Endorsement9Regwred) ] Total Poste a&Fees 20 'Sent // ' E RCljjG D s r t I Y.��..r.�" + `6AOGENO hyry sjsW: V ..__. - - 6 P 0 Street,Apt.No. 1¢ _ i f 3 ,y` C or PO Box No. TION X a*.; ---------- v__ __m j City,Stye,ZIP+4 1 C TH i 6 E NONCRIMINAL FINE FOR.THIS OFFLL ENSE ISL i AQ J RIMINAL RECORD D TO DISPOSITION OF THIS,MAT7ER ETHER OPTION(t)OR OPTION(2)WILL OPERgTEgS A FIINAL� (1)You may elect to pay-the above fine edher d AS A FINAL u before The Barnstable Clerk 200 Main Street aPPeanng in person between 8 30 A M77777.M � • h V, Nlyannis MA 02601 orb mellln 'a chMond 1hrolgh Friday legal Wild exce Q excepted. u k Hyannis MA_02601 WITHIN TWENTY-0NE(21)DAYS OF;TH y g E DATEOFTHIS Nrymn nio ay eys ^�° rPosfal note,to Bamstabl PO`Bmt (2)If you desire to contest this matter in a p �g yo ._ay a ClerkW Box 2430, r RNSTABLE DIVISION COURT COMPOp MAIN Sr eq E7 gARNSTgg min ��4 ` � 7a a r dfation for a nearing 9itteri'a uest to DISTRICT COURT DEPARTMENT FIRST W NT,FIRST 1 MA D2630 Attri 2 Noncriminal Hears a , of this (3)-If you fall to pay the above offense or to uest a heanng wlthm 21 days rxdose heanng to be due cnminal complaim;may be issued agatnsi you or ff tap to ap headng or pay floe"date a � ��= PY 1°U pear for the ed t th �Y rm)ned at the < in e 0 I HEREBY ELECT the first ophon:above confess to the offense charged and enclose r � I r payment In the amount of S: * ==ace ?z Signature n c „ # n - r � r � � Signature NAV40F OFFENDER ' t NAMEjOFOFFENDER"�7-777777777 I. `/ 5 k EADDRESS OF 0 ENDER I ,--TOWN OF 1 l y tttt ggRNSTABLE CITY STATE ZIP CODE w MVIMB REGISTRATION NUMBBI € 11 c:4 IOFFEN$E ker "' d So)r ..,i{ t .-..+1:s F� i. .irrt y. v a�si� �.C: CD 39 �� { 1. t Ada i W:I w Y. T�EAN DATE OFVIOLA IONLOCATION�OF VI?LtATION .g (A M'%P M Y OfJ. " 20 '. } 7 Y " 9 NOTICE OF SIGNATURE OF ENFOpGN¢PEIISON I F k Ef FORCING DEPTrW V1 ATION omits 3 x' r� O o OF OWN - I HEREBY ACKNOWLEDGE RECEIPT OF CITATION X.. ¢ Q ORDLNANCE 0 Unab(e to obtain sig 'THE NONCRIMINAL FINE FOR THIS OFFENSE'IS 'i ' ji3 K �W . w x Date maned ;?k,� W; w s YOU HAVE THE FOLLOWING ALTERNATIVES WITH REGARD TO DISPOSITION OF THIS MATTER EITHER OPTION(1)OR OPTION(2)WILL OPERATE AS A"FINAL t w;E AS A FINAL w ° OISPOSITION WITfi NO'RESULTING CRIMINAL RECORDS N REGULATIONL� ex�ept�d, w I` (1)You may elect to pay:the'above fina,oMer by:appeann ih person between 8 30 A.M.A M and 4 00 PM M through Friday Iegal twl ,excepted before The Barrutable Clerk 200 Maim treet Hyannis MA 02601,or by mailing a check money order or note to Bamateble Clerk P Booc 430� �k.Box 2430, � ff Hyannis MA 02ti01 IWITHIN TWENTY-0NE(21)DAYS OF THE DATE. F THI NOTICE :.', _ 4; ((2)It you daslre:to contestthls matter in a noncrllninal proceeding you may do so by making written rereqqueotto DISTRICT COURT DEPARTMENT FIRSTS •NT FRRST BAFiNSTABLE;DIVISION COURT COMPOUND MAI STREET tVS ABLE AAA 02M Attu 21D Noncriminal Headnge and endoae`a coptr of 1hk & rr opy of this �i citation fora heanng (3)If y b ou fall to:pay the above offense or torequest a hearing within 21 days or if you fail to appear for the hearing onto pay arty flo T e detem+ined ffi the: ined at the � r heanng to ba,due cnminal complauitmay e;lss agkiiied nst:you .I HEREBY;ELECT the first ophomabove confess to the offense charged and on payment Signature ----— --- -- - -- AO, [g SY `1 yk fi. ,} V ; f t" 'y ,•-"',i f r s qe_ c i'._ 7`'' ,4 t�'I d j die S' � kP �� ✓ �, 'tJ � l a� 4 �r Ki � C&'. � �rA Y S Y a � �, � {.'� + �1'�' '�.. + L 'q t _ , i 1 r rt �. f r" i t 1 t,�r ;• y.�,,;,,¢.;:�,'a."`�{„whG �+2 {, GMU., ;u `�,• f P �'i, � s :, >_ � - I t i..� �,�s�a� �'�� �x t: �44a x*�a �.,..,o,:�_�. ,• fN."r` ,.,�. 1 � y �.: Y .: o x s ,5 � a '.a a � "L -� w rs�,. ."+ r :t•�' s f,p' t 41 �� � 7 4�. 4 � ». � ,. `xAy Y'} {'C• Y ' t ^+v � "u71�2����l�'•aP-� {p.'S -'fir,' •,r+b ., b,..m,,..P.m,. .I°s..'ME�."�:.z� '�' +!'N#�a ir.�' w " �...�"a," s •1 *� r V, r F 6 .e. 4'w' list s' _ v:, f c.- .�`r .#�`" '` trc,:.: �-_�I• .. d r F } j's'�f +�!r r4°J�his sl�"a2 �• :m,.,,..,- ,t `* +�*.: ;prytq���' t ^Y '. ...: '.t `3 � *t'�N�`"+7��.P?5�:`�9',< ���ti�?�'���f�i k^ t.-� a 'Y 13r �� • `� 744{ .1k r "�Ch - a s • i ""' '" F rye y .• s'ri t ' A,*+,� ':`.. r 4 ,: Sim •t T4Ws. ^•... DISCLAIMERS:boundary determination or regulatory interpretation. Enlargements beyond a scale of • 1 • ss'may not meet established map accuracy standards. The parcel lines -boundaries and do not represent accurate relationships to physical features on the map such as building locations. i, a only graphic representations of Assessor's tax parcels. They are not true propts :1 ' .� • Fir ' ,. .. OR I' M MiA i .`ru �z M ru a0 F F I C I Postage $ru `, O Certified Fee C`Y A,�/'/! Retum Receipt Fee Postm 0 (Endorsement Required) Here �� W Restricted Delivery Fee O (Endorsement Required) O C3 Total Postage&Fees �, �Qq Aj Sentru __ - �Q/1-LYP............. �jp Q fNI------ -- p Street,Apt IVo. (( --PO Box No. ?�a /, / m ---------x No. -------------------------------------------------- Ciry St e,ZIP+4 = UZ � O `` ......... 1 Certified Mail Provides: a A mailing receipt t , c A unique identifier for your mailpiece a A record of delivery kept by the Postal Service for two years Important Reminders: a Certified Mail may ONLY be combined with First-Class Mail®or Priority Mail®. a Certified Mail is not available for any class of international mail. o NO INSURANCE COVERAGE IS PROVIDED with Certified Mail. For valuables,please consider Insured or Registered Mail. a For an additional fee,a Return Receipt may be requested to provide proof of delivery.To obtain Return Receipt service,please complete and attach a Return Receipt(PS Form 3811)to the article and add applicable postage to cover the fee.Endorse mailpiece"Return Receipt Requested".To receive a fee waiver for a duplicate return receipt,a USPS®postmark on your Certified Mail receipt is required. a For an additional fee, delivery may be.restricted to the addressee or addressee's authorized agent.Advise the clerk or mark the mailpiece with the endorsement"Restricted Delivery". a If a postmark on the Certified Mail receipt is desired,please present the arti- cle at the post office for postmarking. If a postmark on the Certified Mail receipt is not needed,detach and affix label with postage and mail. IMPORTANT:Save this receipt and present it when.making an inquiry. PS Form 3800,August 2006(Reverse)PSN 7530-02-000-9047 NAME OF OFFEND A i ;7'[..fS�'� V(.+,, r q =.p� ,may �^ BAR 710�7' TOWN OF ADDRESS OEOFFENDE C,t711✓\ A-iC`1 BARNSTABLE CITY,.S{Tr ; pf IHE iqk, - L/ - MV/MB REGISTRATION.NUMBER- OFFENSE �y/J' j/ ��/�[ j\�}(I' jf'� J+,�` ( /`. -NAN fAtiSBLF A Y.ws'_ f '7Jf�� b, s i 4„� � /t W QED .► Yt'•'fw �.tl+ ! "+.�..� j TIME AND DATE OF VIOLATION \,.,./ A^ LOCATION,OF VIOLATION NOTICE OF (A.M / P;M.)ON � j(},20 111 6t, SIGNATURE O{,F,ENFORCING PERSON f ENWRGNG DEPT. ' ' BADGE N0. W 1�iLATION q,73f/1�l ' C„ .�1.�3 �.,..--'. 1�" .. t 4 o OF TOWN I HEREBY;ACKNOWLEDGE RECEIPT OF CITATION X Q ORDINANCE 19Unable to obtain-signature of offender. THE NONCRIMINAL FINE FOR THIS OFFENSE IS Date mailed - , "� i. w OR YOU HAVE THE FOLLOWING ALTERNATIVES WITH REGARD TO DISPOSITION OF THIS MATTER.EITHER OPTION(1)OR OPTION_(2)WILL OPERATE AS A FINAL a DISPOSITION WITH NO RESULTING CRIMINAL RECORD. w REGULATION Q (1)You may elect to pay the above fine,either by appearing in person between 8:30 A.M.and 4:00 P.M.,Monday through Friday,legal holidays exceppled, ty before:The Barnstable Clerk,200 Main Street,Hyannis,MA 02601,or by mailing a check,money order or postal note to Barnstable Clerk;P.O.Box 2430, Hyannis,MA 02601,WITHIN TWENTY-ONE(21)DAYS OF THE DATE OF THIS NOTICE. d �2)If you desire to contest this matter in a noncriminal proceeding,you mayy do so by making written request to DISTRICT COURT DEPARTMENT,FIRST RNSTABLE DIVISION,COURT COMPOUND,MAIN STREET 9ARNSTABLE,MA 02630,Attn:21D Noncriminal Hearings and enclose a copy of this citation for a hearing. (3)If you fail to pay the above,offense or to request a hearing within 21 days,or If you fail to appear for the hearing or to pay any fine determined at the. hearing to be due,criminal complaint may be issued against you. 0.1 HEREBY ELECT the first option above,confess to the offense charged,and enclose payment in the amount of$ Signature cOFFENDER NAME OFL..�+w� kiLJ ,.�✓ ,11+�c f...!r t e. - BAR 1�l 9 TOWN OF S F;OF p' C ADDRESFE BARNSTABLE CITY,STATE, P COPE f cIF ►Ok MV/MB REGISTRATION NUMBER LJ OFFENS ' • HAH\HTAeIX. • E q�((,,,{�1(/ jj�) [f,� 6/' yf/-'� { {y^� UA.'% FF ,l `!'fj ".[ �^`�Ls rsI 1i ..o• Y l hYd'•t ." SIME+AND DATE OF VIOLATION LOCATION O.,VIOLATION' W NOT E OF �;. i A-! P.Mc)ON ,20 ! - i'l i I SIG�NAtU E 0 ENFORCI G PERSON } ENFORCING DE n BADGE NO. { N VIOLATION 0 OF TOWN I HEREBY ACKNOWLEDGE RECEIPT OF CITATION X a ORDINANCE I] Unable to obtain=signature d ffe der. �4 �._ THE NONCRIMINAL FINE FOR THIS OFFENSE IS t Date mailed /� � � � f w OR YOU HAVE THE FOLLOWING ALTERNATIVES WITH REGARD TO DISPOSITION OF THIS MATTER.EITHER OPTION(1)OR OPTION(2)WILL OPERATE AS A FINAL DISPOSITION WITH NO RESULTING CRIMINAL RECORD: LLu REGULATION y p y y appearing In person between 8:30 A.M.and 4:00 P.M.,Monday through Friday legal holidays excepted, w (1)You ma elect to a the above fine,either b A O 2 before:The Barnstable Cl.rk,200 Main Street,Hyannis,M 02601,or by mailing a check,money order or postal note to Bamstable Clerk,P. 'Box 430, Hyannis,MA 02601,WITHIN TWENTY-ONE(21)DAYS OF THE DATE OF THIS NOTICE. a UNSTABLE you desire to contest this matter in a noncriminal proceeding,you mayy do so by making written l uast to DISTRICT COURT DEPARTMENT FIRST UNSTABLE DIVISION,COURT COMPOUND,MAIN STREET ARNSTABLE,MA 02630,Attn:21 D Noncriminal Hearings and enclose a copy of this citation for a hearing. (3)If you fail to pay the above offense or to request a hearing within 21 days,or if you fail to appear for the hearing or to pay any fine determined at the hearing to be due,criminal complaint may be issued against your ❑ I HEREBY ELECT the first option above,confess to the offense charged,and enclose payment in the amount of S l Signature -- NAME OF NDER � BAR 7 "4t 059 p TOWN OF ADDRES F R We sr mlcl�n 'S1 BARNSTABLE CITY.STATE. IP E n ). MVIMB REGISTRATION NUMBER NAX\S7'Ae1.E. • H ��v •— 4� J 1 ( tl '�'� \' • >d+ U co MASS. 1 r,/ rf0 lAl�� 74V w�r�, LI 1'P ND DATE OF VIOLAT TI VIOLA T ON r U NOTICE OF ( . 1 P.M.)ON �� .1 20 13 O S 14 _ I S NAT E EN�DRCING PC NY E C G P BA GE NO. u VIOLATION OF TOWN �XUnable ACKNOWLEDGE RECEIPT OF CITATION X n ORDINANCE to obtai i at 0 off der. THE NONCRIMINAL FINE FOR THIS OFFENSE IS i Qz -M Date mailed u OR YOU HAVE THE FOLLOWING LTERNA IVES WITH REGARD TO DISPOSITION OF THIS MATTER.EITHER OPTION(1)OR OPTION(2)WILL OPERATE AS A FINAL CL DISPOSITION WITH NO RESULTING CRIMINAL RECORD. LL REGULATION (1)You may elect to pay the above fine,either by appearing in person between 8:30 A.M.and 4:00 P.M.,Monday through Friday,legal holidays excepted, u before:The Barnstable Clerk,2DO Main Street,Hyannis,MA 02601,or by mailing a check,money.order or posts note to Barnstable Clerk,P.O Box 2430, Hyannis,MA 02601,WITHIN TWENTY-ONE(21)DAYS OF THE DATE OF THIS NOTICE. a (2)If you desire to contest this matter in a noncriminal proceeding,you mayy do so by making written request to DISTRICT COURT DEPARTMENT,FIRST BARNSTABLE DIVISION,COURT COMPOUND,MAIN STREET ARNSTABLE,MA 02630,Attn:21 D Noncriminal Hearings and enclose a copy of this citation for a hearing. fkr (3)It you fail to pay the above offense or to request a hearing within 21 days,or if you fail to appear for the hearing or to pay any fine determined at the E hearing to be due,criminal complaint may be issued against you. ❑ 1 HEREBY ELECT the first option above,confess to the offense charged,and enclose payment in the amount of$ Signature NA OF OFFENDS r - BAR TOWN OF ADD S nCOFFE 1 ti i ND r- BARNSTABLE 'CIT , T TE,ZIP CODE (f - `pf 1HE f ! - - MV/MB REGISTRATION NUMBER � ;S16NAT /MASS. . Y �a (, ), {J- \ LL1 11 V I � •i l V� WATE IF VIOLA 0 OF VI L TIOWNOTICE OF A.r� i P.M.)ON - )0 ,201 VIOLATION FEN€ORCIN ON E NG EPT. C / BAD NO. w ( to 0 OF TOWN I HER CKNOWLEDGE RECEIPT OF CITATION X LL, c ORDINANCE Unable to obtai i at f o nder. Date mailed ( THE NONCRIMINAL FINE FOR THIS OFFENSE IS = J OR YOU HAVE THE FOLLOWING XLTERNATIVES WITH REGARD TO DISPOSITION OF THIS MATTER.EITHER OPTION(1)OR OPTION(2)WILL OPERATE AS A FINAL W REGULATION DISPOSITION WITH NO RESULTING CRIMINAL RECORD. W (1)You may elect to pay the above fine,either by appearing in person between 6:30 A.M.and 4:00 P.M.,Monday through Friday,legal holidays excepted, a before:The Barnstable Clerk,200 Main Street,Hyannis,MA 02601,or byy mailing a check,money order or postal note to Barnstable Clerk P.O.Box 2430, LU Hyannis,MA 02601,WITHIN TWENTY-ONE(21)DAYS OF THE DATE OF THIS NOTICE. a i f2)If you desire to contest this matter in a noncriminal proceeding,you may do so by making written request to DISTRICT COURT DEPARTMENT,FIRST BARNSTABLE DIVISION,COURT COMPOUND,MAIN STREET,BARNSTABLE,MA 02630,Attn:21 D Noncriminal Hearings and enclose a copy of this citation for a hearing. (3)If you fail to pay the above offense or to request a hearing within 21 days,or if.you fail to appear for the hearing or to pay any fine determined at the hearing to be due,criminal complaint may be issued against you. ❑ I HEREBY ELECT the first option above,confess to the offense charged,and enclose payment in the amount of$ l Signature Town of Barnstable,MA Page 153 of"2"20 WALL SIGN A sign attached parallel to and extending not more than 18 inches from the wall of a building,., including painted signs,individual lettered signs,cabinet signs and signs on a mansard. WINDOW SIGN A sign installed inside a window and intended to be viewedfrom the outside. § 240-61. Prohibited signs. The following signs shall be expressly prohibited in all zoning districts,contrary provisions of this chapter notwithstanding: A.Any sign,all or any portion of which is set in motion by movement,including pennants, banners or flags,with the exception of trade flags pursuant to§240-72 and at the entrance to subdivisions where developed and undeveloped lots are offered for initial sale and official flags of nations or administrative or political subdivisions thereof. . [Amended 6-17-20io by Order No.2010-723; 5-5-2011 by Order No.2011-046;5-5-20ii by Order No.2011-0471 B.Any,sign which incorporates any flashing, moving or intermittent lighting.Such signs-include LED (light emitting diode) signs;LED border tube signs,including any sign that incorporates or consists solely of a LED border tube lighting system;and simulated neon signs which are extremely bright backlit signs using fluorescent lamps and neon colored inks or translucent vinyl for lettering and display. [Amended 6-117-20io by Order No..2010-li3] C.Any display lighting by strings or tubes of lights,including lights which outline'any part of a building i or which are affixed to any ornamental portion thereof,except that temporary traditional holiday decorations of strings of small lights shall'be permitted between November 15 and January 15 of the following year.Such temporary holiday lighting shall be removed by January 15. D.Any sign which contains the words"Danger or"Stop"or otherwise presents or implies the need or requirement of stopping or caution, or which is an imitation of,or is likely to be confused with any, sign customarily displayed by,a public authority. E.Any sign which infringes upon the area'necessary for visibility on corner lots: F.Any sign which obstruicts'any window, door,fire escape,stairway,ladder"or other opening intended to provide light,air or egress from any building. _G Any_sign or lighting which casts direct light or glare upon any property in a residential or _-- professional residential district. - _— ----_-- -_----- H.Any portable-sign,with the exception of a location hardship sign in the HVB,including any sign displayed on a stored vehicle,except for temporary political signs. [Amended 6-i7-2010 by Order No. 2010-123] I.Any sign which obstructs the reasonable visibility of or otherwise distracts attention from a sign maintained by a public authority. 1 , J.Any sign or sign structure involving the use of motion pictures or projected photographic scenes or images. 'kff-n•iiPrndP3i�0 rnn,/nrint/BA2043?quid=6558130&children=true 7/16/2013 I own of Barnstable, MA Page 154 of 220 r , K.Any sign attached to public or private utility poles,trees,signs or other appurtenances located within the right-of-way of a public way. L.A sign painted upon or otherwise applied directly to the surface of a roof. 1 M. Signs advertising products,sales,events or activities which are tacked, painted or otherwise attached to poles,benches, barrels, buildings,traffic signal boxes, posts,trees,sidewalks,curbs, rocks and windows regardless of construction or application,except as otherwise specifically provided for herein. N. Signs on or over Town property;except as authorized by the Building Commissioner for temporary signs for nonprofit,civic, educational,charitable and municipal agencies. O. Signs that will obstruct the visibility of another sign which has the required permits and is otherwise in compliance with this chapter. P. Off-premises signs except for business area signs as otherwise provided for herein. Q. Any sign, picture, publication,display of explicit graphics or language or other advertising which is distinguished or characterized by emphasis depicting or describing sexual conduct or sexual activity as defined in MGL Ch. 272,§31, displayed in windows,or upon any building,or visible from sidewalks,walkways,the air, roads, highways,or a public area. § 240-62. Deterinination of area of a sign. A. The area of the sign shall be considered to include all lettering,wording and accompanying designs J and symbols,together with the background,whether open or enclosed, on which they are displayed. B. The area of signs painted.upon or applied to a building shall include all lettering,wording and accompanying designs or symbols together with any background of a different color than the finish material or the building face. C. When a sign consists of individual letters or symbols attached to or painted on a surface,wall or window,the area shall be that of the smallest rectangle which encompasses all of the letters and symbols. D. Only one side of a double-faced sign shall be counted in computing the area of that sign. E. For the purposes of these regulations,the area of a building face or wall shall be calculated by using a height of no more than io feet from the ground multiplied by the width of the building front. § 240-63. Signs in residential districts. [Amended 2-20-1997]ln residential districts, only the following signs are permitted: A. One sign displaying the street number and identifying the premises not to exceed two square feet in area.The street number must be approved by the Engineering Department in conformance ) with the Town's regulations governing numbering of buildings.Editor's Note:See Ch.51, Buildings, Numbering of. http://ecode360.com/printBA2043?guid=6558130&children=true 7/16/2013 DATE: August 9,2013 TO: Building File FROM: R. Anderson RE: Complaint Inflatable sign LOCUS: Country Gardens 380 W Main St,Hy BC noticed a large inflatable on site. Contacted store at 508-775-8703 and spoke to Sue Preston, co-owner. She stated they have a permit for a tent. She finally admitted she had a large inflatable. She states a car dealership had one. She complained about Health and vendors issue for week-end event. She asked if there was a fine involved for noncompliance. She said she would take the matter under advisement. I asked her to call me back and let me know what they intend to do. She took my name and phone number. She called called backed at 2:48. They will not comply but will pay the two citations. • • • • • DELIVERY SENDER: ■ Complete items 1,2,and 3.Also complete A. Si at re item 4 if Restricted Delivery is desired. ❑Agent N Print your name and address on the reverse X ►' ❑Addressee so that we can return the card to you. B Receive by(Print? Name) C. Data of Delivery ■ Attach-this card to the back of the mailpiece, ft(� or on the front if space permits. i D. Is delivery add ss different from item 1? ❑Yes 1. Article Addressed to: If YES,enter delivery address below: ❑No 3. Service Type `)Certified Mail 0 Express Mail ❑Registered O-Return Receipt for Merchandise ❑ Insured Mail ❑C.O.D. 4. Restricted Delivery?(Extra Fee) ❑Yes 2. Article Number 7012 1010 oaoo 2851 0220 (transfer from service/a PS Form 3811,August 2001 Domestic Return Receipt 102595-02-M-1540 UNITED STATES POSTAL SERVICE First-Class Mail Postage&Fees Paid USPS Permit No.G-10 l • Sender: Please print your name, address, and ZIP+4 in this box• f TOWN OF BARNSTABLE BUILDING DIVISION i '': 200 MAIN ST. '.:,i:�J'w HYANNIS,MA 02601 I I i DATE: August 9,2013 TO: Building File FROM: R. Anderson RE: Complaint Inflatable sign LOCUS: Country Gardens 380 W Main St,Hy BC noticed a large inflatable on site. Contacted store at 508-775-8703 and spoke to Sue Preston, co-owner. She stated they have a permit for a tent. She finally admitted she had a large inflatable. p She states a car dealership had one. She complained about Health and vendors issue for week-end event. She asked if there was a fine involved for noncompliance. She said she would take the matter under advisement. I asked her to call me back and let me know what they intend to do. She took my name and phone number. She called called backed at 2:48. They will not comply but will pay the two citations. TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map . ,Q Lcl i Parcel U Application # Health.Division - Date Issued Conservation Division Application Fee 9 Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board Historic - OKH Preservation /Hyannis Project Street Addresso Village t k AC.' t�7LS Owner Address Telephone Permit Request ��• ` �� � l l � `�-.� -Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation Construction Type Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supportirtg,doculpentation. Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family (# units) Age of Existing Structure Historic House: ❑Yes ❑ No On Old Kings Highwa�'�y: ❑`-es ❑ 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�y; , Number of Bedrooms: existing _new Total Room Count (not including baths): existing new First Floor Room Count Heat Type and Fuel: ❑ Gas ❑ Oil ❑ Electric ❑ Other Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑ No Detached garage: ❑ existing ❑ new size—Pool: ❑ existing ❑ new size _ Barn: ❑ existing ❑ new size_ Attached garage: ❑existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes ❑ No If yes, site plan review # Current Use Proposed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name Telephone Number Address A111 Z4 License # /lam�S 77)n-S ` St&f- 06)- g Home Improvement Contractor# l Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE �`' DATE �-3 ` J i FOR OFFICIAL USE ONLY i • ' APPLICATION# DATE ISSUED MAP/PARCEL NO. 41 ADDRESS " ' VILLAGE OWNER_ ' DATE OF INSPECTION: t _!-FOUNDATION.. ` FRAME ' , INSULATION E FIREPLACE ELECTRICAL: ROUGH FINAL ` " PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING ti DATE CLOSED OUT t ASSOCIATION PLAN NO. C t C The Commonwealth of Massachusetts iDepartment of IndustrialAccidents 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(Business/Organization/Individual): 14VA00KK \ Address: 5 C - o A S' � City/State/Zip: 4 Phone#: Are you an employ ?Check the appropriate b Type of project(required): 1.❑ I am a employer with 4. rI am a general contractor and I employees(full and/or part-time).* have hired the sub-contractors 6. ❑New construction 2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7. ❑Remodeling ship and have no employees These sub-contractors have g. ❑Demolition working for me in any capacity. employees and have workers' 9. ❑Building addition [No workers' comp.insurance comp.insurance. required.] 5. ❑ We are a corporation and its 10.❑Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their 11.❑Plumbing repairs or additions myself. [No workers' comp. right of exemption per MGL 12.❑Roof repairs insurance required.]t c. 152, §1(4),and we have no employees. [No workers' 13.❑ Other comp.insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. $Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: Policy#or Self-ins.Lic.#: Expiration Date: Job Site Address: City/State/Zip: Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify under the pains and penalties of perjury that the information provided above is true and corre Simafore: Date: Phone#: CI Official use only. Do not write in this area,to be completed by city or town official City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: Information and Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers' compensation for their employees. Pursuant to this statute,an employee is defined as"...every person in the service of another under any contract of hire, express or implied,oral or written." An employer is defined as"an individual,partnership,association,corporation or other legal entity,or any two or more of the foregoing engaged in a joint enterprise,and including the legal representatives of a deceased employer,or the receiver or trustee of an individual,partnership,association or other legal entity,employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein,or the occupant of the dwelling house of another who employs persons to do maintenance,construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." MGL chapter 152, §25C(6)also states that"every state or local licensing agency,shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required." Additionally,MGL chapter 152, §25C(7)states"Neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority." Applicants Please fill out the workers'compensation affidavit completely,by checking the boxes that apply to your situation and,if necessary,supply sub-contractors)name(s),address(es)and phone number(s)along with their certificate(s)of insurance. Limited Liability Companies(LLC)or Limited Liability Partnerships(LLP)with no employees other than the members or partners,are not required to carry workers' compensation insurance. If an LLC or LLP does have employees,a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested,not the Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy,please call the Department at the number listed below. Self-insured companies should enter their self-insurance license number on the appropriate line. City or Town Officials Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permit/license number which will be used as a reference number. In addition,an applicant that must submit multiple permittlicense applications in any given year,need only submit one affidavit indicating current policy information(if necessary)and under"Job Site Address"the applicant should write"all locations in (city or town)."A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each- year.Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e. a dog license or permit to bum leaves etc.)said person is NOT required to complete this affidavit. The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call. The Department's address,telephone and fax number: :, • . The Commonwealth of Massachusetts •t`'. _ Department of Industrial Accidents t Office of Investigations 600 Washington Street Boston,MA 02111 Tel.#617-727-4900 ext 406 or 1-877-MASSAFE Revised 4-24-07 Fax#617-727-7749 www.mass.gov/dia w ' .i k REGISTERED J�O 4 hJ OPLQ�I��ME ASS. CiA9 f _; :;JC. Daly O!�,ianutaetur NLiAlBE;R BN,' �HA�v i C7tV tiEIJ YORK -- ,'V;arul fclur�rs`p,'tba Fir F'!1AY 19 9 F..• `Ter' Rronrfrr ��s�rbaa Thls I�to ceritfy!hal.the prr�d66ts.hLsreln#iavO-bean nianufaciured from ma2er�af i�h tently+il3�rre,fe#aryl nt I at here'efter skcllied by the.:meterla�l;suppiier; NAME CfTy t Certllc2 finetle ih �tion�s fsereb ..^-� Y 2i. .he 2ri�c 5 cesCfi�Bd on TFiis cer�fcr�e h,vE r''?e.ri many` NGrs er:i .. $;ate Fue�aai5ha� ore i i 7L Unc;pr<vrl'- -with 4hE rpe-?jjj TEP,t ea.M� ,•-,.�i,ry c _,:•,B�I� a��h?v3 fee t1P[,@�1 hid Speail4dt^ a ,� rrc (",�p !j� - aCvOrCBQ 7! ,ir ekL , �Ff nle bo°�fIG2►,'0�5�f�l�ll.-'"' r��J�".r] — ...... f I L?ynP xlcr �e I t Wry 3lockout; s uMpaon at isem csrNJee tt r E,k Z_Ux2fl vinyl Top Flal'ne €fie#ardant Process Used WII .Not Be emav d y W shihg And j CAI a For Th Llfe`Qf the r abrl� .. - 7,7� --•-moo` n'ydLr.Nf�r�tuf turin Manufac$urer of>`iarre Rarardant 1/myi�arr�nat9, TES, ` ' w'tis3k wG��DY,rB�4S5�C�C fS;iFiG: _ _ r - ;;,t ti ol Le gs aCaie: X Lam: . SquirrelMail 1.4.22 Page 2 of 2 AC D- CERTIFICATE O LIA1BILITY INS URA IUCE , T tRonuree THII,,CERTIFICATE,IS I$SUED,AS A MATTER--OF, 11 t!►lCSHEA INSURANCE AGENCY INC ONLY"AND'.' CONFERS NO'RIGHT' UPON'THE HOLDER. 4H1$;CERTIFICATE DCE.S NOT AMEND 1550 Faltgouth 'Rd Ste #2 ALTER THE COVERAGE AFFbRDED BY TFIE:001 Centerville, NA 02632 =Q 420-9011 INSURERS AFFORDING CCVL-RAOE NSURED Baysida Tent a Table, Inc. ,: rNeullEa a +5e?M4 ioa``Sriavr oa-coA�rany 40C WHIT-ES IPATX PNglrtERe: r give Casua3.ty South Yarmouth , NA 02 664 INSURER 0::Aaa,AmesicaTx .iasur' Ece,CG 508-888-4966 IRSIIRERO: iNSURER'.E GDVERA{3ES THE FOG=ES OF INSURANCElf&TED BELOW HAVA BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PFRhM,IHDJCATED,NOT ANY RE41JI temizNT TspM OR:CONi rwN OF ANY.CONT�ACT OR OTHER DOOLNERIIVATHrPlKsp�rT TO•miroFE THIS GERTIFICATE MAY- MAY PERTAIN.THE INSURANCE AFFORDED BY.THE POLICIES DESCRIBED HEREIN IS SUBJECT TO.ALL THE TERMS,EXCLUSIONS AND CON bn POLICIES_Ala REOATEI,NITSSHOWNMAYNAVEBEENREDUCEbBYPAIDCLAIMI3. Lm'Nego POLICYMlIdOER P E E POLICY` PIRATION LIT GENERAL LIAOILITY EACH OCCVARENCE GOAIMERLVtI OENERILL LIAHRITY, PREW a o rm GIMSMOE orrCUFt MEDOXP(Anyarmparsom, PAv0006132. 5JZ?I2b13 5�i'}f2014 mH50 wiiAUVIIQURY _ _ GENERAL. AGOR1cGJlTE GER'L AGMEGATE LIMIT APPLIES PER, PR000CT8'+COb>IP1aPAQKI IPOLW I jpEVj f 71 LOC . . AUTOMOBILE11ABILITY ANYAUTd �Fe�eEMISUIGLE Lt11IF ALL 0W.N60 A LIY05 86DR10 INJURY SCHEDULED ALrr09 (Prr pots eh) $ HIREDAUT02 044537,10 .11/30/.2012 11130/22013 $OGILYINIUPY NIMOM4E13RLFtOG "F (PAfAlmNM111 1N OMI TY DW13E �Pvreodtlern} , GARAGE LiAE13Y Ai]MbNLY=EAACe10L'w: I ANYAM LAA04 _ OTHER THAN AUTOONLY: A061 ExCC931UMORELLA LIABgJTY EACH nCCURFFACR 4CCl1A. CLAIMSMOE AGGREGATC 0SOU11TIPLE FtJ=TENTH3N s' ; V10QikEA8C0IJpFHSATIOIIAHIll s m CTFF EHADYERT LIABILITY AH4 nleoaralepoaRjlrnxAr9l ;uipic 68�4 �� 5/1612019 5f 15/2054 F..L'EACHACCIDENT. `+ 43FFIr.FpwbueER PrQupEQf E.L.DISEASE•EA BGPLGYE IFY� dretrlbaunder'. sPEc1AL PROVISIONS eeiaw: E.L.61SEAsE-P0uCk ulwf OTI+ . oESCRnmOflOFQPERAT90kSIt0CAT10NOIVF.HICUF$oFXCLUBIONSADDEDBYENDORAEMEN7fgPr= tAtPRwlrloNs I CANCEL . TIOiV SIIDULZANYOFTHE ABOVE DESrAftDPOWNESSECANM EDI http://www.countrygarden.com:2095/cpsess6519746206/3rdparty/sq uirrelmail/src/image.p... 8/26/2013 SquirrelMail 1.4.22 Page 1 of 2 ' r Sign Out Compose Addresses Folders Options Search Help :' SquirrelMail Viewing an image attachment -View message Download this as a file r http://www.countrygarden.com:2095/cpsess6519746206/3rdparty/squirrelmail/src/image.p... 8/26/2013 Town of Barnstable Geographic Information System August 26,2013 _-e a µ u y ry _ s . 3 m a.r �� s •' <-P 4 :' " 269 ref C53 r q,Ny„ a # �: �, ^' ..•.�_ r rlf + - #358 jw r g 411-� �x '` 71 r ak �, DISCLAIMERS:This map is for planning purposes only. It is not adequate for legal Map:269 Parcel:052 boundary determination or regulatory interpretation. Enlargements beyond a scale of Selected Parcel Owner:GRIFFITH,RICHARD W JR TRS Total Assessed Value:$1667200 1"=100'may not meet established map accuracy standards. The parcel lines on this map w. _ are only graphic representations of Assessor's tax parcels.They are not We property Co-Owner:COUNTRY GARDEN REALTY Acreage:6.00 acres Abutters boundaries and do not represent accurate relationships to physical features on the map Location:380 WEST MAIN STREET ! ? �• such as building locations. Buffer Aerial Photos Taken April 19,2008 TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel _ �, Application # Health Division r Date Issued ( L Conservation Division Application Fee Planning Dept. - Permit Fee Date Definitive Plan Approved by Planning Board Historic - OKH _Preservation / Hyannis Project Street Address 3RO C c_l �� �.�1 �-A ltas Village Vv., Owner �, Addressaj Telephone Permit Request ' v�C C �-�s -( ��,.1� t•C.s� �d-2 --t �'� f C-• (3 VA Square feet: 1 st floor: existing proposed 2nd floor: existing prop ed _ , Totaj new, Zoning District Flood Plain Groundwater Overldy-, 4wJ Project Valuation Construction Typek Lot Size Grandfathered: ❑Yes ❑ No If yes, attach suppoo ing Ocumentation. Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family (# units) Age of Existing Structure Historic House: ❑Yes ❑ No On Old.King's Higfnway�0 Yes ❑ No .vi Basement Type: ❑ Full ❑ Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area (sq.ft) Number of Baths: Full: existing new Half: existing new Number of Bedrooms: existing _new Total Room Count (not including baths):.existing new First Floor Room Count Heat Type and Fuel: ❑ Gas ❑ Oil ❑ Electric ❑ Other Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑ No Detached garage: ❑existing ❑ new size_Pool: ❑ existing ❑ new size _ Barn: ❑ existing ❑ new size_ Attached garage: ❑existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes ❑ No If yes, site plan review# Current Use Proposed Use APPLICANT INFORMATION I (BUILDER OR HOMEOWNER) Name Telephone Number ��]" 02: c�Address � M bl� License # 7N 9 Home Improvement Contractor# Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE ��U'�3 FOR OFFICIAL USE ONLY t APPLICATION# b k r DATE ISSUED I MAP/PARCEL NO. ADDRESS VILLAGE OWNER x DATE OF INSPECTION: FOUNDATION _ FRAME I INSULATION FIREPLACE ' ' ELECTRICAL: ROUGH FINAL' PLUMBING: ROUGH FINAL GAS: ROUGH FINAL v FINAL BUILDING DATE CLOSED OUT f ASSOCIATION PLAN NO. ' `hS N F f The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations UV600 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): ICY Nrs C6 UlV/ t ;Cit��y/SSat&/Zip: I ilrT �(f� Phone#:�Q F' 7 7,� ' F763 employer?Check the appropriate box: Type of project(required): 1.❑ I am a employer with L4.;X I am a general contractor and I 6. ❑ New construction employees(full and/or part-time).* {/� have hired the sub-contractors 2.❑ I am a sole proprietor or partner- listed on the attached sheet. 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.x 9. ❑Building addition required.] 5. ❑ We are a corporation and its 10.❑Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their 11.❑Plumbing repairs or additions myself. No workers' comp. right of exemption per MGL 12.❑ Roof repairs insurance required.]t c. 152, §1(4),and we have no 13.❑Other employees. [No workers' comp.insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. #Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site. information. Insurance Company Name: Policy#or Self-ins.Lic.#: Expiration Date: Job Site Address: City/State/Zip: Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a 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 certi under the pains and penalties of perjury that the information provided above is true and correct Si ature1 Date Official use.only. Do not write in this area,to be completed by city or town official City or Town: Permit/License# Issuing Authority(circle one): I 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: Information and Instructions V Massachusetts General Laws chapter 152 requires all employers to provide workers' compensation for their employees. Pursuant to this statute,an employee is defined as"...every person in the service of another under any contract of hire, express or implied,oral or written." An employer is defined as"an.individual,partnership,association,corporation or other legal entity,or any two or more of the foregoing engaged in a joint enterprise,and including the legal representatives of a deceased employer,or the receiver or trustee of an individual,partnership,association or other legal entity,employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein,or the occupant of the dwelling house of another who employs persons to do maintenance,construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." MGL chapter 152, §25C(6)also states that"every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required." Additionally,MGL chapter 152, §25C(7)states"Neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority." Applicants Please fill out the workers'compensation affidavit completely,by checking the boxes that apply to your situation and,if necessary,supply sub-contractor(s)name(s),address(es)and phone number(s)along with their certificate(s)of insurance. Limited Liability Companies(LLC)or Limited Liability Partnerships(LLP)with no employees other than the members or partners,are not required to carry workers' compensation insurance. If an LLC or LLP does have employees,a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested,not the Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy,please call the Department at the number listed below. Self-insured companies should enter their self-insurance license number on the appropriate line. City or Town Officials Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permit/license number which will be used as a reference number. In addition,an applicant that must submit multiple permit/license applications in any given year,need only submit one affidavit indicating current policy information(if necessary)and under"Job Site Address"the applicant should write"all locations in (city or - . town)."A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year.Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e. a dog license or permit to bum leaves etc.)said person is NOT required to complete this affidavit. The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call. The Department's address,telephone and fax number: The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston,MA 0211.1 Tel.#617-727-4900 ext 406 or 1-877-N ASSAFE Revised 4-24-07 Fax#617-727-7749 www.mass.gov/dia D- CERTIFICATE. OF LIABIUTY.. M(AANdt oAr�tfn,Ioami+rn „r"nomw'r: THIS CERTIFICATE IS ISSUED AS A'MATTER AF INFORMA71ON` MCSHEA IWSUWWCE AGENCY INC ONLY ANO CONFERS NO RIGHTS IJIPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT'RMEND, EXTEND OR 1550 Falmouth Rd Ste #2_ ALTER,THE COVERAGE AFFORDED BV THE:POI.ICIES 13CL.OW, Centerville,. MA 02632 AAQ%)42Q-9011 INSURERS AFFORDING COVLOAOE_. . ._ A CO... ... . . . NSLRiED agyB:Lda Teati & Table; `Iris. tNSURERA ,ienn-Amariea TnsifranCo,6Wgiany 40C WRITES. PA,TR IWJiitPae! Prbaive `CasLta3 South Yarmouth , MA 0,2664 IN3IJRER e: Aa®".AmarjGkan:insurance,Co 508-8887-4986 11MMER11 C . . INSURER e OVERAGES - . THE POLICaES OF INSURANCE1fSTEO OELOW HAVA tlEEH ISSUED TO THE INSURED RAMED ABOVE FOR THE POLICY PER=I11DICATE6:NBTMJ"STANlDfNG ANY REQUIREIJENT,TERM OR CONOTPACN OF.ANY CONTRACT OR OTHER Donumf NP WTH RKSPECT TB WN9ICN TNIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY"S POLICIES DESCRIBED HEREIN IS SUBJECFTO ALL'.THE TERM8,SMAUSIONS AND CON bFFIQN8 OF SUCH POLICIES.A06 REGATF LIMITS SHOW14 MAY HAVE.BEEN REDUCED BY PAID CLAIMS. -Lm NERD - - POLICY NUIdOER 'P E E PQLICT` PIRATION - UMITS - - GENERAL LIABILITY : . . : . . ... EACH OCCVRRFNCE, ._ L:: .. a� - CCMIAERCNL OENERAti LIPBILIiI PREIA a n rn 5. 6000 CtAMSAAAOE Q or�Cuii - - McDeilr(Anyalwpormm - b 51D1]00." _ ., 14 PAv0006132 5/T7/2013 5/17J2014 pr�lsOxntanavlNwRv' L :140D0 061,101AL AGOREGAYE V . .::2000000 GENLAG&AEGATELIMRAPPLIE9PER, - t FPODUCTg.CW.IPrO'PAOG SZA0191APAI POLICY F PR LOD- ..`. ,..I. ...�..,.. ..�..:;.- . -------------- AUTOMOBILE LIABILITY . ...,:..:. COMBINED SINGLE LL%IIF ANY TO, �Ea'Ea3Cenp ALL WNEO AUTOS - SODMINJURY S 100+Q0O $ HIREDAUTOB G4 45S`77Q _ 1I/30/2G12 11/30/22013 $BPiLVBJJdPY. s 380 Q00 .. NON,OVlNEOAITTOS .- .: ... tPerenmtlMdl /..:...:: - -._ PROPERTY DAMAGE. - IFaeoaaaml. S ;100,000., GAF+A$E LUD�ITY - AUTO owvY EA AccR]DNr 'III . ANYAl}TU. OTHERTNAN EAAOG 4 AUTOONLY:' AOG" B FGSCE93NMRRELIA LUY9iLITY�. --" EACH OCCURRENCE S r,. OCCUII. CLAIMSAME., AGGREGATE S tiET@NTFDtF �S� ..,•;_ .;, ;.,.. 1 t ., :: - - s, . F. IN4YIK�SCONFFN$AYIOHAHO EMADVERS'UA131LITY- •F ... .•:. - S m - � GTI+ 6824915s 5/16/2019 SJifi/20I4 F.LEAcHaocm;;Ns' s .ZDO 000 ANY PIMPRIETWfPARTJMrMggIfIN� .. . L,.;WFIrXIMMACEIR FXCLUPEW - � � � : : E,L-DISEASE•Eh EfAPLGYE 3 IfY�s.dC6Cllleufldef ..... .. .. . SPECIALRObISIONSEeknv -= :.:,e. . . . . ..,._ . .... E.L.DISEASE-.POLICYLiMvt orm. 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This Is td cer!!fy tha!the products h III - #iaV begin manutaclured born ma2eriaf Irih 1 : as tlere.efter s�ecitied hr the::rhm iri"i_supt}Uer, 'rantiN tiame tetars ant f Certiilcetiort iserebY;finade ittai.,: `` • s. he ari,c�r;s cescnhed on"ihls cErsfcr�e h,ve ��,n ramp' ,;urea S 1 �� 3��)!i}YR+� t2me re1r�'d� -i crF'►,r� i1i I rillii0:"1 fl stalF Fim;-%arshas r'ooe •S 7 1 Un(iFM1vrl`�3 I i -h'It"h'-•h-Ewr,_c__ P .._. , �y ma> rjr 2k�c'�C'ha� d11?lc beB t �z,-- n-(�OiB��f G�" ada antaTe Mold i Ff me POD, - rf o Yi' q1 tieAtlo 7,. .�'7),i i ' ctlptors clitem sa9ryrJee Llr 1{ i_ Px _ s �; �•4�f+o W� � Vinyl Top , :� � Ff;�i'n>� €ie�ardar�t Prv+ie�s �$ei� Wlif'�ot•�e �t��lcsa�d �y VU�ishi�g Ar>•� a•'� � s ffec#ivt? Fqr Thi Lit-'€ f Tfi� ! 6btir Snyder Nfphubjeturin , lri ` p M�tEt3(acturer hf Fie mID►A9tnf I Wnyi Llminatoo '` TE ' ,Iur:ySaw WG -- e�:Df�1'D:4S5nc�A-fS; :4 7 3.7 3' 200.56 � M O F 1 0.1"`iy 41.6 WIND TURBINE FOUNDATION J J 6� MAP 269 J PCL 52 w w J c M N rn q 380 yt3 Z0 RB ZON£ Sl' 296.2g, Mq�N S TRFET I� FOUNDATION PLOT PLAN DCE # 03-157 PREPARED`EXCLUSIVELY FOR THE PURPOSE OF OBTAINING-A BUILDING PERMIT, NOT .FOR ANY OTHER USE LOCATION 380 WEST MAIN STREET, HYANNIS, MA SCALE : 1 " = 200' DATE : 11 -17-2008 PREPARED FOR: ASSESSORS MAP 269 PCL 52 OWNER OF RECORD: COUNTRY GARDEN REALTY TRUST COUNTRY GARDENS TITLE REFERENCE: DB 4662 PG 145 I HEREBY CERTIFY THAT THE WIND TURBINE FOUNDATIONy -tOF!rl SHOWN ON THIS PLAN IS LOCATED ON THE GROUND- AS SHOWN HEREON. '/ DAt'iIEL tip, m o(i 501-362-4541 � ��U A. faz 508-362-9880 -cl_? Odra IJ� ,f, downcapcom ® CI � O.40980"J doWO cope engineerinag,117C. ?% �r civil engineers land surveyors ----------- 939 Main Street ( Rte 6A) W . T YARMOUTHPORT MA 02675 DATE REG. LAND SURVEYOR r Town of Barnstable , Growth Management Department E`, ' MASS. Planning Board - 9�F 163y. www.town.barnstable.ma.us/planningti:oard _. ;- r Chair Matthew K. June 25, 2012 Teague Vice Chair To: Jo Anna Callahan,Town Treasurer Department Paul R.Curley Clerk Patrick Princi From: ArtIaczyk, egulatory/Design Review Planner Raymond B.Lang Members File: rrespondence—06-25-12-Transmit Country Gardens Wind Turbine$83000 Tower Removal Bond David P.Munsell Felicia R.Penn Reference: Planning Board Surety for wind tower removal at 380W_est Main Street,_Hyann.i's, MA —. Hyannis County Gardens Inc., — Planning Board Special Permit No. 2007- 016 Town Council Liaison James Tinsley Attached is the original signed Tower Removal. Bond (Bond No. BLN9544778) issued by The Hanover Insurance Company for your records and safekeeping on behalf of the Town. Staff Director This Removal Bond is being filed with your office for safekeeping should the Town need to draw JoAnne Miner upon it for any reason of noncompliance with the required maintenance and proper operation of Buntich the structure and wind turbine: This bond replaces any prior bond you may have in your files and Regulatory/Design may be called on behalf of the Town by the Town Attorney's Office, or the Building Division or by Review Planner Art Traczyk the Growth Managementp Department on behalf of the:Planning Board. Principal Assistant Should you have any questions, please contact me at 508.862.4682 or Karen Herrand at Karen Herrand 508.862.4064. Thank you for your help and assistance. Attachment: Tower Removal Bond No.BLN9544778(The Hanover.Insurance.Company) Copy: Tom Perry,Building Commissioner Planning Board.Special Permit No.2007-016 file ✓Building Permit File-380 West Main St., Hyannis-w/attachments Matthew K.'Teague,Chair, Barnstable Planning Board JoAnne Miller Buntich, Director,Growth Management Department 200 Main Street, Hyannis, MA 02601 367 Main Street, Hyannis, MA 02601 1 iJ •lIlJUI Al1CC =� P.O. Box 406 • Portland, Maine 04112 800-723-2877 • Fax.877-775-0110 11-DOC-00110/1 . Bond No. BLN9544778 Tower Removal Bond KNOW ALL PERSONS BY THESE PRESENTS:That we Hyannis Country Garden,Inc. of 380 West Main Street Hyannis,MA 02601 j a corporation duly organized under the laws of the State of Massachusetts ,as Principal and The Hanover Insurance Company ,as Surety are held and firmly bound unto Town of Barnstable 267 Main Street - Hyannis MA 02601 as Obligee,in the amount of Eighty Three Thousand Dollars ($83,000.00 ),for the payment of which,well and truly to made,we bind ourselves,our heirs,executors,administrators, successors and assigns,jointly and severally,firmly by these presents,the liability of the Surety being limited to the penal sum of this bond regardless of the number of years the bond is in effect. . Whereas,the Principal has obtained written approval from the Obligee for the construction and erection of a wireless communication tower located at 380 West Main Street,Hyannis,MA Now,therefore, if theprincipal well and truly com lies with y p the maintenance,.replacement; removal or relocation of the tower from the aforementioned address within 3-0 days upon receipt of written notice from the Obligee;to remove,replace,modify,or relocate the tower from said premises then this obligation is void,otherwise to remain in full force and effect unless cancelled as set forth below: 1. It shall be a condition precedent to any right of recovery hereunder that, in the event of any default on the part of the Principal,a written statement of the particular facts of such default shall be,within Thirty(30)days;delivered to Surety at its Home Office located at 440 Lincoln Street Worcester,MA 01653 by registered mail to the Surety and the Surety shall not be obligated to perform Principals obligation until sixty (60)days after Surety's receipt of such statement. 2. The Surety may cancel this bond at any time by giving Thirty(30)days notice, by registered mail or overnight courier service to Town of Barnstable - Town of Barnstable (Obligee). Such termination shall not affect liability incurred under this obligation prior to the effective date of such• termination. 3. No action,suit,or proceeding shall be maintained against the Surety on this bond unless the action is brought within twelve(12)months of the cancellation date of this bond. . ' 4. Regardless of the number of years this bond may be renewed;in no event shall the liability of the Surety exceed the penal sum of this bond. . 5. It is understood that the.non-renewal'of this bond by the Surety,or failure or inability of the Principal to file a replacement bond shall not constitute a loss recoverable.by the Obligee under this bond: Signed,sealed,and witnessed this 1st day of May ,.2012 Hyannis Country Garden,Inc. Wi ess The Hanover Insurance Company X A By:lx, 41,111 /Z- Itness l "' Gail M.Perrin x ,Attorney-in-Fact I ; THE HANOVER INSURANCE.COMPANY s .. . .: MASSACHUSETTS BAY:INSURANCE COMPANY CITIZENS INSURANCE COMPANY OF AMERICA' POWERS OF ATTORNEY CERTIFIED COPY KNOW ALL MEN BY THESE PRESENTS: That THE HANOVER INSURANCE COMPANY and MASSACHUSETTS BAY INSURANCE COMPANY,both being corporations organized and existing under.the laws of the State of New.Hampshire, and CITIZENS INSURANCE COMPANY OF AMERICA, a corporation organized and existing under the laws of the State of Michigan,do hereby constitute and appoint Gail M.Perrin of W Springfield,MA and each is a true and lawful Attorney(s)-in-fact to sign,execute,seal,acknowledge and deliverfor,and on its behalf,and as its act and deed any place within the United States,or,if the following line be filled in,only within the area therein designated any and all bonds,recognizances,undertakings,contracts of indemnity or other writings obligatory in the nature thereof,as follows: Tower Removal Bond In the amount of $83,000.00 and said companies hereby ratify and confirm all and whatsoever said Attorney(s)-in-fact may lawfully do in the premises by virtue of these presents. These appointments are made under and by authority of the following Resolution passed by the Board of Directors of said Companies which resolutions are still in effect: "RESOLVED,That the President or any Vice President,in conjunction with any Vice President,be and they are hereby authorized and empowered to appoint Attorneys-in-fact of the Company,in its name and as its acts,to execute and acknowledge for and on its behalf as Surety any and all bonds,recognizances, contracts of indemnity,waivers of citation and all other writings obligatory in the nature thereof,with powerto attach thereto the seal of the Company.:Any 1 such writings so executed by such Attomeys-in-fact shall be as binding upon the Company as if.they.had been duly executed and acknowledged by the regularly elected officers of the Company in their own proper persons."(Adopted October 7,1981-The Hanover Insurance Company;Adopted April 14,1982 Massachusetts Bay Insurance Company;Adopted September 7,2001-Citizens Insurance Company of America) IN WITNESS WHEREOF,THE HANOVER INSURANCE COMPANY, MASSACHUSETTS BAY INSURANCE COMPANY and CITIZENS INSURANCE COMPANY OF AMERICA have caused these presents to be sealed with their respective corporate seals,duly attested by two Vice Presidents; this 21 st day of November 2011. THE tiANOYEI INSURANCE COMPANY MASSACHUSET 1 S BAY INSURANCE COMPAI+I1f �} CITIZENS SURANCE.' OMPANYOPAME_CA P 41, Roberta Thomas,Viee President THE COMMONWEALTH OF MASSACHUSETTS ) " COUNTY OF WORCESTER )ss. Joe renstrom;�President ` On this 21 sit day of November 2011 before me came the above named Vice Presidents of The Hanover Insurance Company,Massachusetts Bay Insurance ' Company and Citizens Insurance Company of America,to me personally known to be the individuals and officers described herein,and acknowledged that the seals affixed to the preceding instrument are the corporate seals of The Hanover Insurance Company, Massachusetts Bay Insurance Company and Citizens Insurance Company of America,respectively,and that the said corporate seals and their signatures as officers were duly Mixed and subscribed to said instrument by the authority and direction of said Corporations. M All GARUCK Notary PuWlc ( /�l .�� CarnnronwealtnotMassad_0. onon 3 YJCubn F+7�c�sW21.20t8 Barbara A.Garlick,Notary Public My Commission Expires September 21,2018 I,the undersigned Vice President of The Hanover Insurance Company,Massachusetts Bay Insurance Company and Citizens Insurance Company of America, hereby certify that the above and foregoing is a full,true and correct copy of the Original Power of Attorney issued by said Companies,and do hereby further certify that the said Powers of Attorney are still in force and effect. This Certificate may be signed by facsimile under and by authority of the following resolution of the Board of Directors of The Hanover Insurance Company, Massachusetts Bay Insurance Company and Citizens Insurance Company of America. "RESOLVED,That any and all Powers of Attorney and Certified Copies of such Powers of Attorney and certification in respectthereto,granted and executed by the President or any Vice President in conjunction with any Vice President of the Company,shall be binding on the Company to the same extent as if all signatures therein were manually affixed,even though one or more of any such signatures thereon may be facsimile." (Adopted October 7,1981-The Hanover Insurance.Company;Adopted April 14,1982-Massachusetts Bay Insurance Company;Adopted September7,2001-Citizens Insurance Company of America) GGIVEN under my hand and the seals of said Companies,at Worcester,Massachusetts,this 1 St day of May 2012 I THE HANOVER INSURANCE COMPANY MASSACHUSETTS BAY INSURANCE COMPANY CITIZENS INSURANCE_COMPANY OF AMERICA n Margosian,Vice President } Y Y T D Insurance . ( Town of Barnstable �tHE Barnstable OFFICE OF TOWN ATTORNEY All-nmericaClty MUMSTABLE, * 367 Main Street MASS. 16z9. Hyannis MA 02601-3907 RFD uM't A 2007 RUTH J.WEIL,Town Attorney `- Tel.#: 508-862-4620 T. DAVID HOUGHTON, 15t Assistant.Town Attorney Fax#: 508-862-4724 CHARLES S. McLAUGHLIN,Jr.,Assistant Town Attorney CLAIRE R. GRIFFEN, Paralegal/Legal Assistant PAMELA D.GORDON, Legal Clerk Inter-office.Memorandum To: Art Traczyk, Regulatory Design.Review Planner From: Pam Gordon - Date: June 14, 2012 Subject: Hyannis Country Gardens Wind Turbine Our File Ref: 2010-0241 Enclosed for your files is the original bond in the amount of$83,000 for the Hyannis Country Gardens wind turbine. This bond replaces the initial bond that. was issued. Thank you. Encl. A s . 20100241 tracZY k memo on inal bond.doc 8 r ACORD CERTIFICATE OF�,LIABILITY INSURANCE, 333248 w DATE(MM/°°"""' T 01/01/2010 Rev PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION FLORISTS' MUTUAL INSURANCE COMPANY ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Hortica HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR #1 Horticultural Lane ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. P O Box 428 Edwardsville, IL 62025 INSURERS AFFORDING COVERAGE NAIC# INSURED INSURER A: FLORISTS' MUTUAL INSURANCE COMPANY 349-13978 Hyannis Country Garden Inc 380 West Main Street INSURERS: Hyannis, MA 02601 INSURERC: INSURER D: 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 ADD'L POLICY EFFECTIVE POLICY EXPIRATION LTR INSRDi TYPE OF INSURANCE POLICY NUMBER DATE MM/DD/YYYY DATE MMIDD/YYYY LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 g C0 MERCIAL GENERAL LIABILITY BP 04341 04/15/2009 04/15/2010 DAMAGE TO RENTED- - $ 1,000,000 PREMISES Ea occurence A CLAIMS MADE a OCCUR 41305 MED EXP(Any one person) $ 5,000 PERSONAL&ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: - PRODUCTS COMP/OP AGG $ Subject to POLICY JECOT - I - FLOC I Gen Aggregate AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT ANY AUTO - (Ea accident) $ ALL OWNED AUTOS _ -BODILY INJURY $ SCHEDULED AUTOS (Per person) HIRED AUTOS - BODILY INJURY $ NON-OWNED AUTOS (Per accident) _ - PROPERTY DAMAGE - $ (Per accident) GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $ �\ ANY AUTO OTHER THAN EA ACC $ AUTO ONLY: AGG $ EXCESS/UMBRELLA LIABILITY EACH OCCURRENCE $ 2,000,000 g OCCUR ❑CLAIMS MADE EX 06670 04/15/2009 04/15/2010 AGGREGATE $ 2,000,000 A -- 4130E $ DEDUCTIBLE _ - $ X RETENTION $10,000� $ WORKERS COMPENSATION AND - WC STATU- OTH- EMPLOYERS'LIABILITY - X TORY LIMITS ER A ANY PROPIETOR/PARTNE CLUR/EXECUTIVE Y/❑N WCN 27876 01/01/2010 O1/O1/2011 .L.EACH ACCIDENT is 500,000 OFFICER/MEMBER EXDED? (Mandatory in NH) 41305 E.L.DISEASE-EA EMPLOYEE 1$ 500,000 If yes,describe under E.L.DISEASE-POLICY LIMIT $ 500,000 OTHER r DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS SEE ATTACHMENT A Evidence of Insurance in force. v O ES CERTIFICATE HOLDER RCY n 177508 CANCELLATION w' ... SHOULD ANY OF THE ABOVE DESCRIBED PO;b BE CANCELLf-D BEFOMWHE EXPIRATION DATE THEREOF,THE ISSUING INSURER WILL E DEAVOR TO dAL 3003 DAYS WRITTEN Town of Barnstaple .'sr 200 Main Street NOTICE TO THE CERTIFICATE HOLDER NAMED THE LEFT,BUT FAILUMTO DO SO SHALL Hyannis, MA 02601 IMPOSE NO OBLIGATION OR LIABILITY OF AN KIND UPON INSU ,ITS AGENTS OR REPRESENTATIVES. - AUTHORIZED REPRESENTATIVE ACORD 25 2009/01 �, — MRT1701 c 1988-2009 ACORD CORPORATION.All rights ieserved: The ACORD name and logo are registered marks of ACORD " °FIRE A TOWN OF B11-U'S TABLE +. BARxsrasLE, 6 0. Town of Barnstabine � 6 " : 5 Growth Management Department www.town.barnstable.ma.us/2rowthmanagement Jo Anne,Miller Buntich Director Hyannis Country Garden, Inc Richard W. Griffith, Jr. Trustee &-380�V1/est Main Street Hyannis, Ma 02601 Dear Mr. Griffith, Hyannis Country Garden has constructed and continues to operate a Wind Energy Conversion Facility (WECF) pursuant to a Special Permit issued by the Town of Barnstable Planning Board with an effective date of February 15, 2008. Condition 8 of this Permit requires the posting of surety for removal of the facility in the amount of$83, 0058.00, the form and content of which is acceptable to the Town Attorney and to be posted with the Town.Treasurer. This surety was submitted to the Town as required by this condition. I am in receipt of a Cancellation Notice, effective December 13, 2011, for Bond #4-016-377 issued on August 8, 2008 in the amount of$83,000 by the Ohio Casualty Insurance Company (copy attached). Since the WECF at 380 Main Street, Hyannis is a use allowed by this conditional special permit, lack of compliance with any of the conditions of approval are permit violations requiring enforcement by other Town agencies. Before we take that step we request that you contact my office at your earliest convenience so that we may understand your intentions regarding this issue. Thank you for your prompt attention to this matter: rds o ne iller untich, Director Gr wth Management Department Copies to: Ruth J. Weil, Town Attorney Deborah Blanchette, Town Treasurer, �omas Perry, Building Commissioner Arthur Traczyk, Design/Regulatory. Review Planner Matthew Teague, Planning Board Chair 200 Main Street,Hyannis,MA 02601 (o)508-862-4786(fl 508-862-4784 367 Main Street,Hyannis,MA 02601(o)508-862-4678(1)508-862-4782 CANCELLAIMN NOTICE -ma t�f F33tiifil.h �Csi A{n:in Ct�era Bk4hds.JA 02fR)I,. -- RE: n4ind'.p 9#U16-377 p:stal At�uYt?3,'_{7{i$ An�4tc4•� R�;{IQ(I,�Q I'r€acilvt�. "ti•t�nnsl�:¢Lri •tis~'ncn .Inc.. c)61g��• ;. �E)arlt�9hle NscHPLtur,: 14 FcicxyF�+'il"irY� i4'lil;titrl!i, ]ki►CX o C'asu�tiy lnit�ranCt Gr�uN9uy (depivahcrCallci t)e iurety)cmutiled,on thr dsto L:Md mu)d iti fic MPO3x,a ccr_Lain M7nd r.�dGSCa�� tyi zid Lill FreEdf kITtbV P1113C3pmll find Iy f$\Ot'��Ydie 7�jli({UC:4ttL(%$C i.aIn.s arc him, ICnvc, . 9at1 t'EEFT{I t5,b+ 1Fe crms oFuid Linn i;il,iapw4 iced'1Urthc id c� n�ghzll hie th TUN'td ami.flaic it3 sureL),hi7 tk.rei,n:ltt b3 serf m;na<Lec ni gg a?4u�uo so sa du>E�on the �i i)I?I i�uu, ut;51 WHEREAS.tic Said%rwy vCSlrw to k adymtr3ge car d.�I�nn�of suici brad 2s a]xx e;rLr�rre3 tc;yn t tio�j?ro=eby&tt to n�tnliic Its It�}ti Ii I;are esoorelantt'hnth the�rt;t L.ir�r�IhKr<ul:, , )`ci4 173fiRi°T+G'TtLs y ou ura heretrl n,�Llt �lrti3i The OhiQ'Ca�uglts'111Z o-Gump } shl),n� i��r}ut tie cxpt''r�rl� of' .. da S,L,I.Ur Lie w cipt ctf this . i>>ti�x (xl u.ti�� rs app'kablo coj4d'a iLmJ fL:1ri-:L IKIIII&I IMbIllry by rMonof-mt ao'A6 ct+niltitlostheres3 cu' s:iirJ?rirt�pn9, SIC-NTD.AND s iv.l.Fb INvoi lam 13.^_{)l �'Ise,tlhin f s,;t��iry•Eusurait��o-:npanyy_._ 4btEiiw T'Lacit . Aman--r-' sr El CI€tTlllrR7.it);�] R {2Fl^dSTE1+EVAAIL ItF-FL.-M RECEIP7 REQUESTED 200 Main Street,Hyannis,MA 02601.(o)508-862-4786(D 508-862-4784 367 Main Street,Hyannis,MA 02601 (o)508-862-4678(0 508-862-4782 ACORD,CERTIFIC; .. c ATE G1F �IABI�I TY�INS�UR ANCE '3O1 s1 � DATE(MMIDDIYYY1f) 01/01/2009 Rev PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION FLORISTS' MUTUAL INSURANCE COMPANY ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Hortica HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR #1 Horticultural Lane ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. P 0 Box 428 Edwardsville, IL 62025 INSURERS AFFORDING COVERAGE NAIC# INSURED INSURER A: FLORISTS' MUTUAL INSURANCE COMPANY 349-13978 Hyannis Country Garden Inc INSURERB: 380 West Main Street Hyannis, MA 02601 INSURERC: INSURER D: INSURER E: CQVERAGES r w �c�k..Wa ''.�'-."�ms �, .,:1...� u.� •aR" z„ F.,c THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLI CY PERIOD INDICATED. NOT WITHSTANDING 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 ADD' POLICY EFFECTIVE POLICY EXPIRATION LTR INSR TYPE OF INSURANCE POLICY NUMBER DATE MWDD DATE MMIDD LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 11000,000 X C0 MERCIAL GENERAL LIABILITY BP 04341 04/15/2008 04/15/2009 DAMAGE TO RENTED $ 1,000,000 PREMISES Ea occurence CLAIMS MADE OCCUR 41305 - MED EXP An one A � �� X (Any person) $ 51000 PERSONAL BADVINJURY $ 11000,000 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS COMP/OP AGG $ Subject to PRO POLICY PRO LOC Gen Aggregate AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT ANY AUTO (Ea accident) $ ALL OWNED AUTOS BODILY INJURY SCHEDULED AUTOS (Per person) $ HIRED AUTOS BODILY INJ RY NON-OWNED AUTOS $ ro (Per acciden Z PROPERTY MAGE (Peraccid" GARAGE LIABILITY AUTO ONI�, A ACCIDE $ Y ANY AUTO ! OTHER THAA4 EA AC �. AUTO ONL)PP AG Li, EXCESS/UMBRELLALIABILITY EACH OCCURR NCE 4,000,000 A X OCCUR ❑CLAIMS MADE EX 08670 04/15/2008 04/15/2009 AGGREGATE 000,000 41305 PX DEDUCTIBLE $ RET ENTION :$10,000` - -_ .. _ - r_. _ — - §- WORKERS COMPENSATION AND X C STATU OH T Y LIMITS ER A EMPLOYERS'LIABILITY WCN 27876 01/01/2009 01/O1/2010 E.L.EA HACCIDENT $ ANY PROPIETOR/PARTNER/EXECUTIVE 500,000 OFFICER/MEMBEREXCLUDED? 41305 E.L. SEASE-EA EMPLOYEE $ 500,000 If yes,describe under r SPECIAL PROVISIONS below DISEASE-POLICY LIMIT $ 500,000 OTHER 4. DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLESIEXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS Evidence of Insurance in force. w.M CERTIFICATEti0L01ER CANCELI:ATION Rc1rf s� �17�750.8__ SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN Town of Barnstaple NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO DO SO SHALL 200 Main Street Hyannis, MA 02601 IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE ..,, ax stt a .,.aa. ax �+ * �. .,... 'AC 25:20,Q1/0$ .. y5 �' . ,' MRTa 9 ,. ,w a AGORD.GORPORATION'1988^. � ,e rq� Barnstable mmertcac" MASS. LE 1VU11-010 9� 0,39. t�T© vnE}afBarnstable - Aanning Board 2007 www.town.barnstable.ma.us/i!rowthmanagement ` `a Jo Anne Miller,Buntich,Director, .Jacqueline Etsteri,AICP,Principal Planner Ellen Swiniarski,Regulatory Review Coordinator May 28, 2010 Hyannis Country Gardens, Inc: c/o Diana Duffley ; 380 West Main Street Hyannis, MA 02601 Dear Ms. Duffley, - trust this correspondence finds you well and your.business thriving. It is hard to believe how much time has passed since you received your Special Permit from the Planning Board for your wind turbine. One of the conditions of your permit, condition#9 of Special Permit 2007-16 issued to the- Hyannis Country Gardens, Inc, requires the submission of an annual report detailing the energy, output of the turbine. This requirement is in effect and a report must be submitted each year for. ten years after the commencement of turbine operation.,. According to Building Department records turbine permitting was completed on February 10, 2009. It follows then that the first.of the annual reportswas due on February,10, 2010. The report should detail the energy output of the turbine, itsimpact on electricity consumption .r - " on site, and a general description`of operations including any time lost to maintenance, w ' i." equipment failure or"other conditions) preventing operation of the turbine.,Any other details you wish to share are most welcome.- As you-may recall the Board is particularly interested,in .; collecting empirical evidence from,actual turbine operation to monitor what, if any,.adjustments might be required to ensure that=the ordinance is as responsive as it should be. The report should be sent to me - Jo Anne Miller Buntich, Director of.Growth Management, 367 Main Street, Hyannis, MA 02601.,:If you,have any questions or need any additional information please do not hesitate;to contact me. ce ely, o A e i er , Director - C: Felicia Penri, Planning Board Chair P " Tom Perry,Building Commissioner f " Atty. John Kenney 200 Main Street,Hyannis,.MA 02601 (p)(508 862 4679)(f)508-862-4784 367 Main Street,Hyannis,MA 02601 (p)508-862-4678(0 508-862-4782 TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel } _ `Application #, 16 (Q I3 Health Division 'Date Issued ZZ Conservation Division ,.Application Fee Planning Dept: Permit Fee. Date Definitive:Plan Approved by Planning Board h Historic = OKH Preservation/ Hyannis Project Street Address R M,l `1N S i Village i Y i`i Owner nil ��7W Address� iE l f4L-, J G Telephone ® 775^ ®� Permit Request ° V; A Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation Construction Type Lot Size Grandfathered: 0 Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family 0 Two Family ❑ Multi-Family (# units) Age of Existing Structure Historic House: ❑Yes ❑ No On Old King's Highway: ❑Yes ❑ No Basement Type: ❑ Full ❑ Crawl ❑Walkout ❑ Other Basement Finished Area(sq.ft.) Basement Unfinished Area (sq.ft) Number of Baths: Full: existing new Half: existing new Number of Bedrooms: existing _new Total Room Count (not including baths): existing new First Floor Room Count Heat Type and Fuel: ❑ Gas ❑Oil ❑ Electric ❑ Other Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑ No Detached garage: ❑ existing ❑ new size_Pool: ❑ existing ❑ new size _ Barn: ❑ existing ❑ new size_ Attached garage: ❑existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: _ cm Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ ZZ Commercial ❑Yes _ 0 No_ If_yes,site plan review# Current Use Proposed Use APPLICANT INFORMATION -.I M (BUILDER OR HOMEOWNER) Name L°C }- `t�'�jZ��Ir' T i'f Telephone Number Address ,3 8C7 WEVT I , AN �7 License# Home Improvement Contractor# Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATUR DATE j � O a � b FOR OFFICIAL USE ONLY APPLICATION# - f a DATE ISSUED x MAP PARCEL NO. ADDRESS VILLAGE OWNER DATE OF INSPECTION: F, v FOUNDATION qY FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL " FINAL BUILDING DATE CLOSED OUT r ASSOCIATION PLAN NO. 06-16-2009 13:64 From-WYNN & WYNN 508-776-1244 T-052 P,002/003 F-528 The Commonwed ih of M,assachussefft ,Department of Industrial Accidents Off'ce of InPestigations 600 Washington Street Boston,MA 02111 www.mass.gov/dia Workers' Compensadon lusurance Affidavit: iBuilders/Contracto€s/Electricians/Plumber5 Applicant Information _. Please Print Legibly Nome(Business/Orgattiz don/Individual): C,- PS^ Address:�T.� � i - a�--� - - City/State/?itp.':z�ja Phone.#: �6'� Are yo n ernployer7 Check the appropriate box, 4. l general aomtractor and I Type of projeci(required): ❑ am a 1. I am a employes with� 6. ❑New oomliuction. employees(:M and/or pan,drw).w have hued the sub-contractors 2.❑ 1 am a sole propriator or partner- listed on the attached sheet. 7. kemodellug sbip ondbaveno&Mloyees Tlteso sub-contractors haves g. ❑Demolition woxkWg for me in as ea am ewplo;voQR and have workms' Y P t)'• 9, Building srdditaoa (No worker'comp.-insurarnco. cony_lnsumnce.; 5. ❑ we arc a aoxporstion and im to.❑Medziod rapairs or additions fFx6dm 3.El am a hameownel doing all work o have exercised their 11.❑Pliuobio,g xcpcgits or additiazts myself.[No workers' comp. tight of exemption por MGL 12•❑Roof r aus insurance requirad,]t c. 152,§1(4),and we have n o employ►= [No workers' 13_ comp.insurance requimd.] j *Any applicant that Dhaka box M rmo also 69 out the section below showing their workcW eompen ation policy Worttation. t Hotneovvnem wbo rubma this af$"t indicadna lhery are doing 4 workand theft Aire outmdo con"atma most k1nMt a new affidavit indicating mob, tCantmatons that aback this box t=t nmicbed an additiana]sheet abnwing the name of for mbtontrnetmi;and rtutLi whethdr or not those entities have j otnployam. If Me nub-contractors have ranpioyees,they nwstpruvidt their workers'Comp.policy nm*cr, I am as etsployer that is providing warb.rx'compensat6t Insurance for my employees. Below Is the polley and fob site information. Imura ace Company Name:_- 4 M-elk I J�CJ/'yl c' &�C,/'-q1 v L't C� Policy#or Self-ins.LiG.#l: t� `& ,C,_ 20 (a f U Expiration,Date: ✓'6 ' L_/J' __) Job Sitc Addrom- D City/StatelZip: T Z �- -� A•ttuh a copy of the workers'compensation policy declaration page(showing the policy number and expiration date). Failure to s cinire eovaxage as rogaired under section,2SA of MOO o• 152 am load,to tho impopition of crimirial penalties of a flue tip to 31,500.00 and/or one-year imprisonr=T,as well as civil ptaaaltles in 11te fzrm of a STOP WORK ORDER and a fine, of up to$250.00 a day.againet the violator. Be advised that a copy of fbis stataa ed.t may be fbrwarded to the Of of of Investigatim s of the DIA far Oaurance czoyeraga verifica6m .I do hereby cerfift under the pa hmandpenalf&s of perfury Char rh1 information provided above h true and co?"CL Q � Q \•� f tcial use iir y. Do not write in as areas,t0 a completed by a or town effelal City or Town: lrermtt!!9censo Issuing Authority(cirde,one): 1.Uaard of Health 2.OW149ng Department 3.City/Town Clerk 4.Eleetrleal Inspector S.Flarobin g,Inspector 6.Other Contact Person: Phone#: 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/OrganizaEon/Individual): 1 ' S v 4 Address;..M L .,Q."a T, City/State/Zip: S t�26;X Phone,.#: Are you an employer? Check the appropriate'bo . Type of project(required): 1.❑ I am a employer with 4. I am a general contractor and I employees(full and/or part-time).* have hired the sub-contractors 6. ❑New construction 2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7. ❑Remodeling ship and have no employees These sub-contractors have g, ❑ Demolition workingfor me in an capacity. employees and have workers' Y P tY• � 9. 0 Building addition [No workers' comp.imurance comp.insurance. 10. Electrical re-pairs or additions required.] 5. ❑ We are a corporation and its ❑ 3.❑ I am a homeowner doing all work officers have exercised their 11.❑Plumbing repairs or additions myself. [No workers' comp. right of exemption per MGL 12.❑Roof repairs insurance required.] t c. 152, §1(4), and we have no �� employees. [No workers' 13.❑ Other j- T 51d`Ri,t 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. Icontractors 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-contractor have employees,they must providt 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. i_ Insurance Company Name: I. i Policy#or Self-ins. Lic.# q-X7 Z,QQ1 Expiration Date: Job Site Address: City/State/Zip: k. Zs ASr Attach a copy of fhe workers' compe ation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine lip 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. 1'do here' cr er ai penalties of perjury that the information provided above is true and correct: Si afore: Date: Phone �� L — Official use only. Do not write in this area, to be completed by city or town official City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3. City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6. Other Contact Person: Phone#: Information. and Instructions u Massachusetts General Laws chapter 152 requires all employers to provide workers' compensation for t:heir,employees: Pursuant to this statute,an employee is defined as "...every person in the service of another under any contract of hue; 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." t MGL chapter 152, §25C(6)also states that"every state or local licensing agency shall withhold the issuance or renewal.of a license or permit to operate a business or toyconstruct buildings in the commonwealth for any applicant who has not produced-acceptable evidence of compliance with the insurance coverage required," Additionally,MGL chapter 152, §25C(7)states `Neither the commonwealth nor any of its political subdivisions shall enter into any contract,for,the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority." Applicants Please fill out the workers' compensation affidavit completely,by checking the boxes that apply to your situation.and, if necessary,supply sub-contractors)name(s), address(es)and phone number(s) along with their certificates) of insurance. Limited Liability Companies.(LLC) or Limited Liability Partnerships(LLP)with no employees other than the members or partners, are not required to carry workers' compensation insurance. If an LLC or LLP does have employees, a policy is required. Be advised that this affidavit maybe submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested,not the Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy,please call the Department at the number listed below. Self-insured companies should enter their self-insurance license number on the appropriate line. City or Town Officials Please be;sure that the affidavit is complete and printed legibly. The Deparbnent has provided a space at the bottom of the affldAviff&ybuto fill outer the event the Office of Investigations has to`contact u regarding the applicant P1rase,besure to fill in the permit/license number which will be used as_a reference number. In addition,an applicant thwt IIiusPsubmit multiple permit/license applications La any given year,mced only sirb&tone,affidavit indicating current policy,information(if necessary) and und'er"JA'Site Address" the applicant should write"all locations in (city or town)."'A copy of affidavit that has been officially stamped or marked by the eity or town may b5provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year.Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e. a dog license or permit to brim leaves etc.)said person is NOT required to complete this affidavit, The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call. `The Department's address,telephone-and fax number: The Commonwealth of Massachusetts'`= Department of Industzal Accide # Office of Investigadwis� 600 Washington Street Boston, MA 02111 Tel. #617-727-4900 ext 406 or 1-877-MASSAFB . Fax# 617-727-774 9 Revised 11-22.06 www.mass..gov/dia f � 7 �` - DATE(mNYDDPYYYY) A4CORP. _ CERTIFICATE OF LIABILITY INSUMNCE °vP�'D�� PRODuOFR THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORNATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE "Try Insurance .Agency HOLDER.THIS CERTIFICATE DOES NOT AMENO,EXTEND OR 9 Main Street ALTER THE COVERAGE AFFORDED BYTHE POLICIES BELOW, Franklin MA 02038 Phone: 800-824 5201 Vax:509-520-6914 INSURERS AFFORDING COVERAGE NIAICAI INBUREC NSUP.ER A: at Pwvi VI 6 Maxilla TRA. Cc INsuReR�; drxe8eacon Ins. Grp_ 2197a — Undexcoyer.Tent & PartY I 1± UpItp C Tgavelers Tnsurance _ SOU L can -- nbcan Way 02660 INsus�eRc MA I INSURER E COVERAGES THE POJCIE&OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO YHP.INSURED NAMED ABOVE FOR T71E POLICY PERIOD INDICATED.NOTWITHSTANDING ANY RECUIREMENT,TERM OR CONDITICN OF ANY CONTRACT OR OTHER.DOCUMENT WIT4 RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR 41CY PERTAIN,THIS INSURANCE AFFORDED B1 THE POLICIES DEOr ED HBRFIN 15 SUBJECT TO ALL THE TERMS.PXCLU3109SAND CONDITIONS OF SUCH ROLICIES,AGGREGATi OMITS SHOWN MAY HAVE PEEN REDUCED UY PAID CLAIMS, 7NIp TYI'IEQFINSURANCFS POLICYNUNBER 0. , DATE Mro EAC LIMITS GENERALUABILITY rH 3. 000,000 OCCURRENCE 1 A X�COMMF!!LCIALOENERALUAIAII.IT� Cd;00220317 ; 05/15/09'. 05/02/10 I�rREMISESumm"Nu�{ERotowe ve 100 r000—„ cL?,EMS MADE I J J occur MED EXP(Arty cnn Person) $5,000 PERSONAL A ADV INJURY $I,00a 000 �aENERALAGGRECAT? 32,000,000 ��--- PRODUCTS-COMPIOP AGG S 1 000,000 GEN'L AGGREGATE LIMIT APPLIES PER; �_ POLICY r7 7417R !7 I.00 I I AUTOMOBILJ!UADILITY COMBINED SINdLF LIMIT $1.,000,000 g ANYAU(0 IX12504 05j02/09 05/02/10 `Ee"1""I tl ) ALLOVY\F.DAUTOS 9010ILYINJURY 8 . ftCHFDLJLZCAUTOS X HIRED P.UTOS ` BODILY INJURY $ x NON•OVJNEDAUTOS 1 (Per° o ) ��PP ERTY ra1AMAO; $ GI A.MCELIABWTY IAUTO ONLY.EAACCJDENT & ANY AUTO ( A0I, OTHANNLY; CAAOG 4 I EXCESSlU OVILL.A UABILITY - EACH OCCURRENCE OCCLII? J CIAIMSiMADE + ,' AGGREGATE �'-- DEDLJCT16LE ` 1 ReTEISfION $ u 9 WORKERS COMPENSATION AND �• s��I X TOf LIMITS _Fi�� 0 EMPLCYERSLIAEILITY XEu$1999T91208 1 11/21/08 11/21/09-^E.L.EACH ACCIDFNT - !s 1,C100t 000 ANY OrrPRIETORIPARTN51VEXECUTIVE OFFICER/LAEMSER EXCLUDED? - E.L.DISEASE-6A HMPLOI'EE s i.,000,0()a 1}yy' a �n''ir El DISEASE-POLICY LIMIT I Z 000 000 _ SFEGIAt.PROV!SIONa bcicw - OTNER AIEquipment: Fl®atOX CK00220311 05/15/09 05/02/10 Limit: $600,000 . Dod=t $1 000' DEGOMPTION OF OPEFIAT.ON OeATIONS/VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT!SPECIAL PROVISIOW Party Goods Rentals CERTIFICATE HOLDER CANCELLA'11ON `OUNTR3 SHOULD ANY OF THE ABOVE DESMBED POLICIES BE(:AUCZLLED 8.9PORE THE.EXPIRATION DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN NOTICE TO THS CORTIFCATE HOLDER NAMC0 TO TWO LEFT,suT PArLURR TO00 so sHALL IMPOAC NO OBLIGATION OR I.IABIUTY OF ANY KIND UPON THE IN9URCet,ITS AGENTS OR Cou=try Garden 380 wekst Main 9t:reet RIARESENTAT1tiE 9, tiyar.:nis MA 02601 ACORD 29 12001108) /�i�� AD CORPORATION 1986 •M r iCmttf tcate of r r*Ati, r - AIR ame ess tanre .K �► E� Qc j) 3a REGISTERED ISSUED BY FABRIC Dat® ZP NUMBER - TCPTEC, INC. manufactured 1905 N.E. MAIN ST. -00 sip►�'aQ' FI91 SIMPSONVILLE, S.C. 29681 7-5-95 This is to certify that the materials described on the obverse side hereof have been flame-retardant treated (or are inherently nonftammahle). FOR ODERCOVER TENTS ADDRESS &0 M DTECH DR CITY W AYDIOUTH STATE -IA ---- - Certification is hereby made that: (Check "a" or "b") (a) The articles described on the obverse side of this Certificate have been treated with a flame-retardant chernical approved and registered by the State Fire Marshal and that the application of said chemical was done in conformance. with the laws of the State of California and the Rules and � Regulations of the State Fire Marshal. Blame of chemical used........................... ---- -------.......... ..........-_Chem. Reg. No.---------...... Methodof application........................................................._.... . ..............-------------=-------................-------- (b) The articles described on the obverse side hereof are rnode from a flame-resistant iabe is or'rnaterial registered and approved by the State Fire Marshal for such use. The flame Retardant Process Used WILL NOT Be Removed By Washing TOPTEC, INC. MODEL TTA730ZV F.T_ 20XAO tam NOV SERIAL,# 951908 - Name.of Frodudion Superintendent -- ----- rl,7—7-2- aox3D I To VAOVtst ACORD�,CERTIF[C ►TE OF U�Ii4B1LITY�INSURAI�C1�fil� DATE(MMIDD/YYYY) 04/15/2008 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION FLORISTS' MUTUAL INSURANCE COMPANY ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Hortica HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR #1 Horticultural Lane ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. P O Box 428, h, Edwardsville,,,IL.- 62025 - " ` ' ` INSURERS AFFORDING COVERAGE NAIC# INSURED _ INSURERA: FLORISTS' MUTUAL INSURANCE COMPANY 349-13978 Hy_anaie Country, Gar-den inc INSURERS: 380 West Main Str`eetn Hyannis, MA 02601 INSURER C: INSURER D: INSURER E: COVERAGES , � � THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOT WITHSTANDING 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 ADD' POLICY EFFECTIVE POLICY EXPIRATION LTR INSR TYPE OF INSURANCE POLICY NUMBER DATE MM/DD DATE MM/DD LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 11000,000 X COMMERCIAL GENERAL LIABILITY BP 04341 04/15/2008 04/15/2009 DAMAGE TO RENTED $ 11000,000 PREMISES Ea oocurence A 97 CLAIMS MADE a OCCUR 41305 MED EXP(Any one person) $ 5,000 PERSONAL&ADVINJURY $ 11000,000 GENERAL AGGREGATE $ 2,000,000 GENT AGGREGATE LIMIT APPLIES PER: PRODUCTS COMP/OP AGG $ Subject to PRO POLICY JECT 7 LOC Gen Aggregate AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT >:r•, ..- e4_ "'ANY AUTO (Ea accident) ''$ ., . ' ALL OWNED AUTOS• �. . ,� . BODILY INJURY $ ' SCHEDULED AUTOS _ _ (Per person) HIRED AUTOS BODILY INJURY $ NON-OWNED AUTOS (Per accident) PROPERTY DAMAGE $ (Per accident) GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $ ANY AUTO OTHER THAN EA_ACC $ AUTO ONLY: AGG $ i^.) EXCESSIUMBRELLA U ABILITY EACH OCC�RRENCE $ 2,000,000 X OCCUR El CLAIMS MADE EX 08670 04/15/2008 04/15/2009 AGGREGATE $ + 2,000,000 A 41305 $. 7 DEDUCTIBLE OD $ HX RETENTION $10,000 �` � $ .. WC STATU OTH WORKERS COMPENSATION AND X TORY LIMITS ER— =, r..,'< A EMPLOYERS'LIABILITY y� 27876 01/01/2008 /O1 2 0 E.L.EACHACIDENT $ rt ANY PROPIETOR/PARTNER/EXECUTIVE CO 500,000 OFFICERIMEMBEREXCLUDED? 41305 E.L.DISEASE- EMPLOYEE;$ r�fl 500,000 If yes,describe under SPECIAL PROVISIONS below E.L.DISEASE-tOLICY LIMIT $ 500,000 OTHER DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS Evidence of Insurance in force. CERTIFICATE HOLDER,, CANCELLATION �? ,,, H �• .` 17�15,Q, � .. . SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN Town of Barnstaple NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO DO SO SHALL 200 Main Street Hyannis, MA 02601 IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE f M�CT29 �...::. Y,`. ,,a ACORI).C:QRPORATION 1988' ,...:v:: .;........'..i':':.SS';.;::i:ryii!`}}i::'(. ...: ` :::::::::tC'.;.v:.v:::U::nv:.•{.v.v+•}Yi::::vv•:::::nv.-v.v:::::::::..vn:.... .v, .y1 Y.}K+.. �..w..� .: r i .: ..ri ..,: k r. r Y :.. •}. :.:.h};�iv:;�....i:::::.::t:. �i:< I, •>'%'{:j::; is�wt .S � :;{:) yi .Cy % 4qq.:::n:+i:•v. t JCr:v•>:•4}}:� } A ;:iSUk3 i:i:�}:4:n:G:r- :t•.Sv::.:4.v.•?:........ :r:n:x-1 v........ ....n....::n.v:r::4, ..:•-:•Y.:•X4�'tn4 PROr.t.n„v ....n.r....vrnv.....vv:::::r:.v::1:.v::v}.4:?n•:.h:X.4.4Ltivv:::::v{:{S.W:..a:...:Y:::}F::::.v;:::::r.:vL:::.v:r..nr...:....v::::::•:.: ....... r:::::^.4::.:: v...:::}n r::t•:{v?.t-i.::::--X• / 4/..00 n}:.v:::t..:.::::::::.+•. •n-.v. ......... :f,::•. is ry ?)} ..:. { . DUCER. _ .a.r. •t, e.::'•. ROBERT L.KELLY GENERAL INSURANCE THIS CERTIFICATE l$ISSUED AS A MATTER OF INFORMATION ONLY:AND CONFERS NO RIGHTS UPON THE CERTIFICATE 108 EAST WASHINGTON ST HOLDER. THIS CERTIFICATE DOES NOT AMEND,EXTEND OR , ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. :SYRACUSE NY 13202 COMPANIES AFFORDING..COVERAGE. 209 00 COMPANY A MICHIGAN MILLERS INSURED SUSTAINABLE ENERGY DEVELOPMENTS INC COMPANY 3,17 RTE 104 a:FIRST ,REHABILITATION LIFE COMPANY C I ONTARIO NY 14159 COMPANY ! ....hv+ v •+.•.vv;:;.:•.:?.:CY.. ....4 • t ...1:5.......:......v.n,n.+......t.... 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A \ ./?. 4 S hi �. BELOW HAVE BEEN ISSUED TO THE INSUREE D 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 TOALL THE TERMS; EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY,HAVE BEEN REDUCED'BY PAID CLAIMS. CO TYPE OF INSURANCE POLICY EFFECTIVE POLICY EXPIRATION ( LTR POLICY NUMBER DATE MMIDDny)' DATE( nvoonYl M 'LIMITS , t :GENERALL'ABIUTY GENERAL AGGREGATE S 2,000.00. A X CO107345 OS/15/08 OS/f3%09 COMMERCIAL GENERAL LIABILITY PRODUCTS-COMPlOP.AGG. 5-. , .. CLAIMSMADEOCCUR .. . PERSONAL&ADV,INJURY t I>000,000 OWNER'SBCONTRACTORBPROT EACH OCCURRENCE S i,uuu,uuu... FIRE DAMAGE uMrmow.. ..:5. !Qo,ouo. MED.EXPENSE Nva.a..oV E, 5,000AUTOMOBILE LIABILITY - 00107345 OS/!S/08 OS/L5/09 COMBINED SINGLE LIMIT S Io Poo,,000 ' A X ANr Auto .. X ALL OWNED AUTOS - BOD&INJURY :s ' X SCHEDULED AUTOS (Far Perm) X. HIRED AUTOS BODILY INJURY _X NON-OWNED AUTOS • (Peracdaenp S P,ROPEBTYDAMAGE. 3' GARAGE LIABILITY :AUTO ONLY='EA ACCIDENT. ANY AUTO OTHER THAN AUTO,ONLYi ai�4.. `� •f <t ror 4.t . . _.. � -,. � ..,.. . . ..EACHACCIOENT ......:.,., AGGREGATE,,. { EXCESS UABIUTY - .. ..L0103316 EACH OCCURRENCE S 3,000,0 . A X US/IS%08 OS/15709 i UMBREUAFORM - AGGREGATE S•;:,_, ,,'„ ! OTHER ... • R THAN UMBRELLA FORM.. WORKER'S COMPENSATION AND' .. .. �{ 1 v t} EMPLOYERS'LIABILITY TORY.UMITS ER ° T; - -• EL EACH ACCIDENT S-yIVU1000 A' : TMEPROPRIETOR/ INCL. wonl324 OS/IS/O8 05/15/09 ELOISEASE•POUCYUMIT i.. SOD,000 PARTNERSIEXECUTNE OFFICERS ARE: EXCL. - ,,, " " El DISEASE-EA EMPLOYEE S 100,000 ., B NYS DISABILITY DBL182123 05/15L08 OS/15/09 i :STATUTORY j DESCRIPTION OF OPERATIONSA.00ATIONSNEHICLESISPECUU.ITEMS � •- - - F PROOF OF INSURANCE ONLY-THIS CERTIFICATE CONFERS NO_RIGHTS OR POLL COVERAGES TO ANY COMPANY OTHER THAN THE INSURED 1 ::::.- ,,••: ..:::::::..�.:v:••}v})•'a•:bk'}Xi•%-)+?}1:+.4}}>Y+>?}y.•}>}:tnt•:4:{:4: :� t.�rG �.1 � r .:-::v::::4•::::.?.}:}:i;::•}:r:-4..................... .... ..............,..:::.. .. .:rh.,nS... 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DAYS WRITTEN NOTICE TO THE CERTffICATE HOLDER NAMED TO THE LEFT,. BUT FAS.URE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LUIBILITY; i OF ANY KIND UPON THE COMPANY,ITS AGENTS OR REPRESENTATIVES. j AUTHORIZED REP SENTATNE �i Oi]vM.{Gii�-.�Til S}.Sf 4 i:: 1 ♦ 't....r. .?;..tv.vr:n:f{":•+ S i tk {' .., ..�.. ....... ........•1..!57...4.:.$nY..r::..v,..r.......n.... $'.:. v 4..:n: vv....}:.y.:::?.Y .:.4....n n.,\ ..ti.. Y G .:,t.t.. ....1.::::•::..:.v.::r:fir:v:'v}}:s:::{`:1X:.:•:::•:::::W:l'r:.::::.:...:::::::.:hv.........{... y r.....h..:...:: �..r.4 Iran}Y•.....i.;v::.?.v:.,:r:.::i... ..}.....::.::......:.......<.n..ay.:a.tnn:..t.,t.....n.n:.v:.<•::r::::::::^:ti:w::.v}:L.:v::v............t.,......n.nv.v.v:nvl.ii}:.:Y{i4?:::.:'• -M"i ti--"'_. X....n.v....r.Yn�):��:�fiG.. . 1il'Q!I,.�TI�'+11:9��•::>.+`�: ,. ..�`"ETti Town of Barnstable 0 Building Department - 200 Main Street * 9 p * awxxAM MASS. * Hyannis, MA 02601 9�A 1639. , (508) 862-4038 rF0 MA'I A Certif icate of Occupancy Application Number: 200804072 CO Number: 20080251 Parcel ID: 269052 CO Issue Date: 02/10109 Location: 380 WEST MAIN STREET Zoning Classification: SPLIT ZONING Proposed Use: RETAIL & SERVICE STORE SMALL Village: HYANNIS Gen Contractor: CUDILO,MICHELE P.E. Permit Type. CC00 � CERTIFICATE OF OCCUPANCY COMM R WIND TURBINE Comments. FOR I �40 - 69 Building Department Signature Date Signed TOWN OF BARNSTABLE e� �tNE Bu1�a�ng Application Ref: 200804072 BARNSTABLE, Issue Date: 08/26/08 Permit 9 MASS, dp s639• Applicant: CUDILO,MICHELE P.E. Permit Number: B 20081823 Arlo , s Proposed Use: RETAIL&SERVICE STORE SMALL Expiration Date: 02/23/09 Location . 380 WEST MAIN STREET Zoning District SPLTPermit Type: COMMERCIAL ADDITION ALTERATION Map Parcel .269052 Permit Fee$ 1,046.50 Contractor CUDILO,MICHELE P.E. Village HYANNIS App Fee$ 100.00 License Num. Est Construction Cost$ 115,000 Remarks APPROVED PLANS MUST BE RETAINED ON JOB AND CONSTRUCTION,OF 10OKW TURBINE TO BE ON A 37 METER TOWER THIS CARD MUST BE KEPT POSTED UNTIL FINAL AND A BLADE DIAMETER OF 21 METERS INSPECTION HAS BEEN MADE. WHERE A CERTIFICATE OF OCCUPANCY IS REQUIRED,SUCH Owner on Record: PROPERTY OWNER BUILDING SHALL NOT BE OCCUPIED UNTIL A FINAL Address: INSPECTION HAS BEEN MADE: Application Entered by: PR BuildingPermit Issued B Y THIS PERMIT CONVEYS NO RIGHT:TO OCCUPY AI4Y,ST'REET;z ALLY,OR SIDEWALK ORANYFART THEREOF;,EITHER�TEMPORARILY ORTERMANENTLY. ENCROACHEMENTS ON PUBLIC PROPERTY;.NOT.SPECIFICALLY�PERMITTED.UNDER THE.BUILDING CODE MOST BE:APPROVED BYTHE JURISDICTION. STREET ORALLY GRADES AS WELL AS DEPTH AND LOCATION OF,,PUBLIOSEWERS•MAY"BE OBTAINED FROM THE DEPARTMENT OF PUBLIC WORKS THE ISSUANCE OF THIS.PERMIT'DOES NOT:RELEASE"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 AYTHE 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 2 2 2 / 3 1 �` 0AL - [Z— 1 Heating Inspection Approvals Engineering Dept R-�9 �2 Fire Dept 2 Board of Health LAFRAJ NE,W-OtSdONNEC SWITCH AND ME ER SOC 7 FOR w 4�80/277V SERVI `MOUNTED ON OUTS IDE�OF W O BUILDING. ROVID 1-1" GONG, ROM PO #64-1 TO METER FOR N TELEPHONE 0 NECTI N OVIDE 1" CON FROM � - OLE 6 -1 TO ET ER FO � NS NSTAR - m W I)UT OR�NON- FUSED DI CONNECT �(�-"- PROP. ELEC, CONDUITS - = - WITH �\ TEL ONE CO N€CTION FOR TURBI E FEED, RATED 20 A T...4 -,X 'e _--A 3WN35,0--.W/ ND-PRd- 480/ 77V PANEL IN—4E PROP. TE, 10 CATIONS HANDHOLE �\ _--�� BCDC. T WIND TURBINE RANS OR�R s N W P LE�6 -1. START \/ � Ctp� PO ITE, 10"XTS" o .�� / INSTAL_ -lP VERH ..�'-/\ "' P OP. COMM, CONOUI S (2 11 , L SP) WITH C 5 '3sn—00 - TRAN FOR ERS. CO�yT ACTOR A PROP_ LEG-TR('HANDHOLE. I v--�-'� T -R RO M IN G� c 1 CA LEFROM EL C UTE O Bl-D . INSTALL �0 D .RISER ���j� S LL�EC �Cl��"' $ s" ,,L, T � l '-`RECA � 2 3 o N ry' -: �/ � '(Y WI D TURBI E--C-ONTE�OEs: � � P 480 2.7 V�SE ICE C /� ---'"'�� z w�v E XISTING OLE 84. NSTAR IT I 'fJ 1 T PER INSTALL, DU L0 - .3^-D C E E IN A L 3-.P ASS PRIMARY TA 70 NST LL•CON S CiS L �- POLE.N 4-1 - OWNER � r11' N 2- 3WRGS OCONDUITS MCM / (I 0\E ' FROMANSFORMER TO WIN - - TURSIN MAIN DISCONNECT n I I I 4 991 -SOtag U 9 0. a m a 50 O MMN BNl01NC IN STREET _ _ s O M35o WEST MA T SEE ECTION A-A TRENCH DETAIL 9 - B COUNTRY GARDEN ,(THI SHEET) FOR ADDITIONAL - NEW PHASE, I Y TAP-TO _ .. D PROP. PADMOUNT TRANSFORMER 6 - a INFO MOTION ON COUtT/TRENCH O. POL #64 1 Y NSTAR CONF ORATION. - 112.5KVA ON CONCRETE FOUNDATION 10 o ' N UG-SERVICE, 4W#5DOMCM 1 0 \..- W/((i/OCND _ - _ PROP. WIND TURBINE FOUNDATION .� 4 COND�IIT-(1-SPARE)' OM NEW RVIC OL� r BLADE RADIUS 34.4 OP. ' P EECTRIC HANOHOLE. c N 1OOK A 8 ECAST 24 X36' - 36'36'� .' 4 r� TRAN 0 D N CO�NO PID 4 1 480/I277V MAIN SERVICE - - - PROP. COMMUNICA IONS H DHOLE... PANELBOARD.,MOUNTED INSIDE • - COMPOSITE. 10"X OF BU DING FEED TO Ex STING ELECTRICA R E-FEED - s 120/240V P NE D - X��- ED X, x-x9 0 XFX X CONDUI T.INSTALLA TION NOTES: ' FINISHED GRADE I.+THIS DRAWING IS BASED ON INFORMATION AND DRAWINGS PROVIDED - LEGEND 24" I CONDUIT LEGEND: i BY CLIENT. THIS DRAWING.IS FOR INFORMATION ONLY Lou y THE CONTRACTOR SHALL VERIFY ALL LOCATIONS,DEVICES, MATERIALS WARNING-TAPE 6 AND EQUIPMENT PRIOR TO MAKING ANY MODIFICATIONS OR ADDITIONS. --99-- EXISTNG.CONTOUR MIN 3"MIN 3"MIN O a"SEC.ELECTRIC- 2"CLEAR BACKFILL +99.93 E%1ST.SPOT ELEV, COVER OC 2"',COMMUNICATION 2. ALL MATERLALS FURNISHED UNDER THIS CONTRACT SHALL-BE IN . �-- ACCORDANCE'WITH III[LATEST APPLICAOLE STANDARDS OF ANSI, - .�.99 peoP05ED CONTOVR °^.. LOCUS �T c� MAP n - - ' NEMA, OSHA.UL NFPA-70.AND THE MASS ELECTRICAL CODE WITH - !9s° U V .d SP a"SPARE JFUTURE LOC V r.7 1Vd L-SP REGARDS TO MATERIAL,DESIGN, CONSTRUCTION AND TESTING. ) PRoposEo SPOT EL. =�1 a a SCALE 1" = 2000' 12"MIN V - INTERMEDIATE TYPE CONTRACTOR SHALL NOTIFY DIG -- 3. SAFE PRIOR T YY TI ROOF DRYWELL OR O AN,ECAVAON. O SEPARATION a,D /1D a a PLASTIC SPACER - - - s POWER To coMM ; C711II SECTION A—A I d. LOCATIONS OF WATER,SEWER, ELECTRIC AND GAS ARE APPROXIMATE AND 1= SLOPE OF GROUND BASE TYPE FOR REFERENCEONLY. CONTRACTOR SHALL INSPECT S1TE AND FOLLOW ALL DIG - O PLASTIC SPACER TYPICAL TRENCH CONFIGURATION D unu POLE a CONDUIT ARRANGEMENT SAFE MARKINGS, CONTRACTOR SHALL NOTIFY ALL UTILITIES PRIOR TO E%CAVA7fON. SAND OR CONCRETE - ' FIRE HYDRANT 6"MIN ENCASEMENT(SEE SPECS) _ N°sour 5.CONTRACTOR SHALL RESTORE ALL DISTURBED AREAS TO ORIGINAL CONDITIONS. - " Hmr:Noi Ki svuRas wr 11-1 IN oeawlx° - 1/4" �. 2 - SET CONDUIT GOIG,SUPPORT SPACERS TA CONE, BRICKS 6.CONTRACTOR TO PERFORM ALL WORK AS SHOWN. � 7 1/2" (FOR UNS7ASLE SUBGRADE) - MIN - PROJ.MANAGER: _ -SEAL 'i SCALE: - - _. PROJ.-.No.:0521 SUSTAINABLE ENERGY DEVELOPMENTS - CHIEF DESIGNER: - HORZ 1' 40'-0" POWER I DATE:JULY 2008 . = REVIEWEDBY: DATE VERT .- ENGINEERS -LLC DATUM: COUNTRY GARDENS-380 W:MAIN"STREET- - ..5 HORZ.: 415000 DTUMPI P10-BOXON .. Slaw SEA 0184E-0S08 &kabical6egineeF6/g,Poxes Ltgh10r8•, I 1 7128108 REVISED CONDUIT LOCATION,ISSUED FOR PERMIT - - - VERT.: (808)812�088'2_, TicMdmtSaadleaandUAllb B WIND TURBINE ELECTRICAL SITE PLAN _ E-2 0 7124108 - ISSUED FOR REVIEW,APPROVAL AND CONSTRUCTION ao' 0 ap' ^ '•P0N'BrtD�' 0°m - « No, DATE - DESCRIPTION No. DATE DESCRIPTION - REVISIONS rT REVISIONS GRAPHIC SCALE "'"'V' HYANNIS MASSACHUSETTS SIZE: 0 REV.' 1 r F�` �� 11