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HomeMy WebLinkAbout0100 YARMOUTH ROAD (2) 0 D l I ®® SMEA® KEEPING YOU ORGANIZED No. 1©230 H163 SUSTAINABLE FORESTRY MIN.RECYCLED INITIATIVE CONTENT10% Certified Flier Sourcing POST-CONSUMER - - w sfiprogrem.org - SFW1290 MADE IN USA r-'CT r)Pr-'AM171=n AT CMFAn rom nuApplication Number..... l.. �. • m -� o: Other Fee........................ Perrit Fee............................. T�►es. � i •.` � �",� Total Fee Paid................... � f s• ,•• f I(� y 4 ' Pemoit Approval�... TOWN OF BARNSTABLEIlk .13Z6 . BUILDING PERMIT . ........ ............ . ...pareC. . ..il APPLICATION Section 1— Owner's Information and Project Location v Village Project Address owners Name '�►D t.t.c. e e� v N Go of CAW? v� �w�c�sc ardl sc4.s c►Srec�e+�� Owners Legal Address state ,, Zip oa�o City , , Owners Cell# �0 5� 81 email 'r Section 2—Use of Structure $ . A ❑ Commercial Stricture over 35.0. cubic feet= Use Group e °O ❑ Commercial Structure-ender 635,00 3 cubic feet E. - V" ❑ Single!Two Family Dwelling 3 • N � rn Section 3—Type of Permit ❑ New Constriction ❑ Move/Relocate ❑ Accessory Structure` .❑ Change of use Finish Basement ❑ Family/AmnestY ElFire Alain Demo/(entire structure) ❑ Deck Apartment © Sprinkler System " ❑ Rebuild ❑ Retaining wall El Solar ❑ Addition - ❑ Pool ❑ Insulation ❑ Renovation ; ` Other—Specify , Section 4-WorkDescription i Tact m,c &y9MI8 i Application Number............ ....................... Detail_ Section 5— Cost of Proposed Construction 009quare Footage of Project A, Age of Structure ,` .,NIA - Dig Safe Number 0 A i #Of Bedrooms EAsiing A Total#Of Bedrooms (proposed)__tJ A 110 MPH Wind Zane Compliance Method ❑ MA Checklist WFCM Checklist Design , j Section 6-Project Specifics ❑ W'ln Oil Tank Storage r` 0 w Smoke Detectors . � ,"Z � []'Plumbirig ,r ❑. Fire Suppression` ❑ Heating System El Masonry Chimney h 'K "' ❑Add/relocate bedroom S ' t Water Supply. - „ Public- ❑ Private ti Sewage Disposal . [A Municipal ❑ On Site Historic District ❑ Hyannis Historic District ❑ Old Kings Highway Debris Disposal Facility: I am using a crane ❑ Yes No Section 7—Flood Zone Flood Zone Designation . a Within or adjacent to a wetland, coastal bank? Yes ❑ No ❑ Section S—Zoning Information Zoning District jNj p, Proposed UseJA' Lot Area Sq.Ft. �J(A 3 Total Frontage Percentage of Lot Coverage Jul A #of Dwelling Units (on site) Setbacks Front Yard Required Proposed ar ✓. t o Rear Yard Required ' N Pc Proposed 1 f k s t Side Yard Required A., Proposed /J A Has this property had relief from the Zoning Board in the past? ❑ Yes No Last undated:2/9M I 8 n Application Number........................................... Section 9-.Construction Supervisor - R Name �'MAr,3 C-AT w f= SST�A N \ Telephone Number '�}''��N \�- Address 41i E rzS 1-p. City (f State && zip License Number_G -t 4, S License Type one Stt�ic�,=j Expiration Date Contractors Email NA (,1 Caw15£�J [Lose L Cell# I understand my responsibilities under the rules and regulations for Licensed Construction Supervisor in accordance with 780 yy. CMR the Massachusetts State B g Code. I understand the construction inspection procedures,specific inspections and docummentation ' ed by 7 and the Town of Bamstable.Attach a copy of your license. Signature R: Date L Is f Section-10—Home Improvement Contractor Name k) 1A Telephone Number .A Address M A City State Zip Registration Number 4A Expiration Date N �� I understand my responsibilities under the rules and regulations for Home Improvement Contractors in accordance with 780 CMR the Massachusetts State Building Code. I understand the construction inspection procedures,specific inspections and documentation required by 780 CMR and the Town of Barnstable.Attach a copy of your H.I,C... x Signature n1 A Date j"i I A Section 11 —Home Owners License Exemption Home Owners Name: N f Telephone Number /\1 A Cell or Work Number I understand my responsibilities under the rules and regulations for Licensed Construction Supervisor in accordance with 780 CMR the Massachusetts State Building Code. I understand the construction inspection procedures,specific inspections and documentation required by 780 CMR and the Town of Bamstable. Signature /� , Date AP ANT SIGNATURE Signature Date Print Name >`l - Telephone -- R<A t Cs�yU.,•1 � ep Number '�}'�`� � --•��.1� E-mail ermit to: P AIT SSE Yt.Q O-Z-j P r.,..r....a..asa.n mmm o Section 12 Department Sign-Offs -: Health Department —Zoning Board(if required) historic District Site Plan Review(if required). El 4- Fire Department Conservation ^ 0 For commercial work,please,take your plans directly to the fire depart»tent for approval Section 13-Owner.s Authorization as Owner of the subject property hereby 3 to act on my behalf, in all authorize matters relative to work authorized by this building permit application for: (Address of j ob) date ( . Signature of Owner Print NameqL • n ji a 5 a F j Last undated:2/9/2018 . 1 i The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations - s 600 Washington Street Boston, MA 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name (Business/Organization/Individual): G'415'..Q Address: SSAS V_ fz z '-I►rs I- City/State/Zip: M„ Phone #: Are you an employer? Check the appropriate box: Type of project(required): 1.M I am a employer with 15 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 working for me in any capacity., employees and have workers' [No workers' comp. insurance comp. insurance. .. 9. Building addition required.] 5. ❑ We are a corporation and its 10:[3 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' 13.0 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: C�s ,NSV(LKQ(_ E Policy#or Self-ins. Lic.#: (0o Expiration Date: Job Site Address: l00 Eve1l City/State/Zip: RA NA41S ,MA O`Atotz 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 cer ' �ndere p 'n and p altie�ofp, r' ry at the information provided above is true and correct. Si ature: Date: c-14 h 6 S Phone#: > Official use only. Do not write in this area, to be completed by city or town official. i 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#: ACZ® DATE(MM/DD/YYYY) CERTIFICATE OF LIABILITY INSURANCE 5/3/2018 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 Lynn Blanchard NAME: y FIAI/Cross Insurance PHONE . (603)669-3218 FAC No:(603)645-4331 1100 Elm Street E-MAIL enc lblanchard@crossa com ADDRESS:lblanchard@crossagency.com INSURERS AFFORDING COVERAGE NAIC# Manchester NH 03101 INSURERA:Continental Casualty Company 20443 INSURED INSURER B: CONSERV GROUP, INC. INSURER C: 110 STATE ROAD INSURER D: SUITE 7 INSURER E: SAGAMORE BEACH MA .02562 INSURERF: COVERAGES CERTIFICATE NUMBER:17/18 WC Only 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 INSURANCE ADDL SUER POLICY EFF POLICY EXP LIMITS LTR POLICY NUMBER MM/DDIYYYY MM/DD/YYYY COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ CLAIMS-MADE OCCUR DAMAGE TO RENTED PREMISES Ea occurrence $ MED EXP(Any one person) $ PERSONAL&ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ POLICY❑PRO LOC PRODUCTS-COMP/OP AGG $ JECT OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ Ea accident ANY AUTO BODILY INJURY(Per person) $ ALLOWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS AUTOS HIRED AUTOS NON-OWNED PROPERTY DAMAGE $ AUTOS Per.accident UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAR HCLAIMS-MADE AGGREGATE $ DED I I RETENTION $ WORKERS COMPENSATION 6014222869 7/1/2017 7/l/2018 X PER OTH- AND EMPLOYERS'LIABILITY Y/N STATUTE ER ANY PROPRIETOR/PARTNER/EXECUTIVE States: MA 6 CT E.L.EACH ACCIDENT $ 500,000 OFFICER/MEMBER EXCLUDED? N NIA A (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ 500,000 If yes,describe under DESCRIPTION OF OPERATIONS below All Officers included E.L.DISEASE-POLICY LIMIT $ 500,600 DESCRIPTION OF OPERATIONS/LOCATIONS I VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space Is required) RE: 100, 106 and 120 Yarmouth Road Hyannis MA 02601 Refer to policy for exclusionary endorsements and special provisions. 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 Attn: Building Department ACCORDANCE WITH THE POLICY PROVISIONS. 200 Main Street Hyannis, MA 02601 AUTHORIZED REPRESENTATIVE Michael Guarino/DL3 .p�dl�lflL'G(� ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD { INS0250nt4nit i P��SHElp�y Town of Barnstable Regulatory Services BARNSTABLE, buss. �a Richard V.Scali,Director i A���m Building Division Tom Perry,Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder I Emily Tierney(Owner)of 120 Yarmouth Road,LLC as Owner of the subject property hereby authorize ConSery Group,Inc., 110 State Road,Sagamore Beach,MA to act on my behalf, in all matters relative to work authorized by this building permit application for: 120, 106 and 100 Yarmouth Road,Hyannis (Address of Job) **Pool fences and alarms are the responsibility of the applicant. Pools are not to be filled or utilized before fence is installed and all final inspections are performed and accepted. Si na re of O ner Signature Applicant Print Name Print Name Date f � ,ME, Town. of Barnstable Regulator Services , Y sARNBTA BLE, VMS. . Richard V.Scali,Director �cMax" Building Division Tarn Perry,[iuldng.Commissioner 200 Main Siteet,Hyannis,MA 02601 www.town.barnstable.ma.us Office 508-862-4038 Fax: 508-7906230 Property Owner Must Complete an d ndSign T This Sec i t on If Using:A Builder 1 amp Street Professional Building,t t c ,as Owner of the subject.property hereb�r authorize onSery Gcoup,lnc.. to act on,my behalf, in all matters relative to work authorized.by this building permit application for, r 100 Yarmouth.Road,Hyannis (Address:.of Job) **Pool fences and.:alarms.are the responsibility of the applicant. Pools .are not to be filled or utilize,.d.before fence is installed,and all final inspec :. ns acid accepted. ee of Owner gnature of;' plicant Print.Natrre Print Name f� 1.roNSg�v �tLW P� 1aC , Date ' i f Commonwealth of-Massachusetts Division of Professional Licensure Board of Building Regulations and Standards C0nslruc-,t6,4`§U;,eriisor CS-107685 � E pires: 02126/2020 BRIAN CATIGNANIi I 190 CONKERS°IROAD k CENTERVILLEIMA 02632' Commissioner t .Town of Barnstable Department of Public Works 382 Falmouth Road , Hyannis MA 02601 www.engineering@town.bamstable ma.us Office 508—790 6400 ext 4935 Fax : 508—790 - 6406 May 31 , 2018 Subject : Disconnection from Municipal Sewer of 100 Yarmouth :Road,;: :Hyannis -- Map & Parcel 328 197 Dear Sirs; This is t notify that h property 1 Yarmouth R 0 o y at the p ope ty at 00Road ( Mao & Parcel, 328 - 197 ) :in Hyannis village: , Mass was disconnected from municipal sewer on May 30t" , 2018. The disconnection was inspected: and accepted by the:Construction Projects Inspector from the Town of Barnstable DPW - Admin & Tech Support office. If you have any questions, or need additional information;;please call Dave Anderson at 508 - 294 - 2800. Sincerely; David.1 nderson Town of Barnstable DPW Admin & Tech Support o�INE Teti Department of Public Works 47 Old Yarmouth Rd. ®� Water Supply Division P.O.Box 326 Hyannis, @Ville. HAItNSTAHI.E, $ 02601-0326 9 MASS. � 78Lo 08-775-0063 3639. ��0 Hyannis Water System Operations F11X:508-790-1313 ED MA'S May 31, 2018 Town of Barnstable Building Inspector Town Hall Hyannis, MA 02601 RE: 100 Yarmouth Road—Acct# 606709 Map/Parcel: 328-197— 120 Yarmouth Road—Acct# 606707 - Map/Parcel: 328-194 120 Yarmouth Road—Fire Service—Acct# 608178 Dear Sir: Please be advised that the above (2)water services and (1) fire service was shut off at the curb stop and the meters was removed on 4/30/18. The (2)water services and fire service were cut& capped on 5/30/18 by Dig-It Construction LLC. The owner has informed us of his plans to demolish the building. rf' If there are any questions, please call me at#508-775-0063 extension 3515. Sincerely, j Q Jayne Starck Customer Service Clerk T t I nationalg rid June 5, 2018 Brian Catignani 110 State Rd, Suite 7 Sagamore Beach, MA 02562 To Whom It May Concern RE: 100& 120 Yarmouth Rd,Hyannis This letter is to confirm that National Grid has cut and capped the gas services at the addresses above. I can be reached directly at 508-760-7484 should there be any further questions. Patti Weldon nationalgrid Sr. Sales Rep.—Complex Gas Connections 127 White's Path S.Yarmouth,MA. 02664 508-760-7484 desk 508400-5051 —cell 508-394-1109 -fax patricia.weldonna,nationalarid.com 06/06/2018 *WED 11: 19 FAX 781 441 8765 U002/002 1 �` One NSTAwood, Way �r Westwood,Massachusetts 02090 ENERGY May 14, 2018 Evan Cohen Camp St Professional Bldg LLC 4 Lichen Ln Forestdale MA 02644 RE: 100 Yarmouth Rd Hyannis Dear Evan Cohen: At Eversource, we're committed to delivering great service. This letter serves as confirmation that, as of 05/11/18, the electric service to 100 Yarmouth Rd Hyannis MA, has been removed. Based on this information, there is no electric power at this address and you may proceed with the demolition. If you have any questions, please contact me at (888) 633-3797. Sincerely, Ms Hebshie New Customer Connects STREET PERMIT BOND COMMONWEALTH OF MASSACHUSETTS Bond No. 106916963 NOW ALL. MEN BY THESE PRESENTS, that we, ConSery Group, Inc. as Principal, and the Travelers Casualty and Surety Company of America, a corporation duly organized under the laws of the State of CT and having a usual place of business in MA as Surety, are held and firmly bound unto the.Town of Barnstable as Obligee, in the full and just sum of One Thousand Four Hundred and 00/100 1 400.00 Dollars,lawful money of the United States,well an truly to be paid and for the payment of which we jointly and severally bind ourselves,our heirs,executors,administrators,successors and assigns,jointly and severally,firmly by these presents. THE CONDITION OF THIS OBLIGATION IS SUCH THAT WHEREAS,the above named Obligee has issued, or is about to issue, or may from time to time hereafter issue to the said Principal a certain license or permit or certain licenses or permits for the use of streets and public ways of.the said Obligee. NOW, THEREFORE, if the said Principal shall faithfully observe and keep each and all of the agreements, stipulations,conditions, specifications and provisions by the said Principal to be kept and performed, contained in said licenses and/or permits issued to the said Principal and in each and every extension of same,according to the full extent and spirit of said license and/or permits,and the ordinances of the said Obligee now relating,or that may relate thereto and shall indemnify and save harmless the said Obligee from all liabilities, loss and expense whatsoever which the said Obligee may incur and suffer arising out of the issuance of such licenses and/or permits and all extensions of the same, and shall make no default therein, then the is obligation shall be null and void; otherwise it shall be and remain in full force and effect. IN WITNESS WHEREOF,we hereunto set our hands and seals this 0 day of May in the year 2018. By: Sery Group, I . B Casu Su Co of America Deron K.Treadwell,Attorney-in-Fact TRAVELERSJ POWER OF ATTORNEY Farmington Casualty Company St.Paul Mercury Insurance Company Fidelity and Guaranty Insurance Company Travelers Casualty and Surety Company Fidelity and Guaranty Insurance Underwriters,Inc. Travelers Casualty and Surety Company of America St.Paul fire and Marine Insurance Company ignited States Fidelity and Guaranty Company St.Paul Guardian Insurance Company Surety Bond No. 106916963 Principal: ConSery Group,Inc. 110 State Road Suite 7 SAGAMORE BCH,MA 02562 Obligee: Town of Barnstable 200 Main Street HYANNIS,MA 02601 KNOW ALL MEN BY THESE PRESENTS:That Farmington Casualty Company,St Paul Fire and Marine Insurance Company,St Paul Guardian Insurance Company, St.Paul Mercury Insurance Company,Travelers Casualty and Surety Company,Travelers Casualty and Surety Company of America,and United States Fidelity and Guaranty Company,are corporations duly organized under the laws of the State of Connecticut that Fidelity and Guaranty Insurance Company is a corporation duly organized under the laws of the State of Iowa,and that Fidelity and Guaranty Insurance Underwriters,Inc is a corporation duly organized under the laws of the State of Wisconsin(herein collectively called the°Companies%,and that the Companies do hereby make,constitute and appoint Deron K Treadwe6,of the City of Lewiston,State of ME,their true and lawful Attorney(s)-in-Fact,to sign,execute,seal and acknowledge the surety bond referenced above. IN WITNESS WHEREOF,the Companies have caused this instrument to be signed and their corporate seats to be hereto affixed,this 7th day of July,2016. Farmington Casualty Company St.Paul Mercury Insurance Company Fidelity and Guaranty Insurance Company Travelers Casualty and Surety Company Fidelity and Guaranty Insurance Underwriters,Inc Travelers Casualty and Surety Company of America St Paul Fire and Marine Insurance Company United States Fidelity and Guaranty Company St.Paul Guardian Insurance Company r4sru�r�� YM� ocstor-ol State of Connecticut By: City of Hartford ss. Robert L Haney,5enior Vice President On this the 7th day of July,2016,before me personally appeared Robert L Raney,who acknowledged himself to be the Senior Vice President of Farmington Casualty Company,Fidelity and Guaranty Insurance Company,Fidelity and Guaranty Insurance Underwriters,Inc.,St.Paul Fire and Marine Insurance Company,St. Paul Guardian insurance Company,St Paul Mercury Insurance Company,Travelers Casualty and Surety Company, Travelers Casualty and Surety Company of America,and United States Fidelity and Guaranty Company,and that he,as such,being authorized so to do, executed the foregoing instrument for the purposes therein contained by signing on behalf of the corporations by himself as a duly authorized officer. In Witness Whereof,i hereunto set my hand and official seal. 6, ���, Le ��,�j;r►LGu.►-�� My Commission expires the 30th day of June,2021. * * are C.Tetreault Notary Public f r This Power of Attorney is granted under and by the authority of the following resolutions adopted by the.Boards of Dfrectors of Farmington Casualty Company,Fidelity and Guaranty Insurance Company,Fidelity and Guaranty Insurance Underwriters,Inc.,St.Paul Fire and Marine!Dsurance Company,St Paul Guardian Insurance Company,St Paul Mercury Insurance Company,Travelers Casualty and Surety Company,Travelers Casualty and Surety. Company of America,. and United States Fidelity and Guaranty Company,which resolutions are now in full force and effect,reading as:follows: RESOLVED,that.the Chairman,the President,any Vice Chairman,any Executive Vice President,any Senior Vice President any Vice President any Second Vice President, the Treasurer, any Assistant Treasurer, the Corporate. Secretary or any Assistant Secretary may appoint Attorneys-in-Fact and Agents to act for and on behalf of the Company and may give such appointee such authority as his or her certificate of authority may prescribe to sign with the Company s name and seal with the Company's seal bonds,recognizances,contracts of indemnity,and other writings . obligatory in the nature of a bond,recognizance,or conditional undertaking,and any of said officers or the Board of Directors at any time may remove any such appointee and revoke the power given him or her,and it is FURTHER RESOLVED,that the Chairman,the President,any Vice Chairman, any Executive Vice President,any Senior Vice President or any Vice President may delegate all or any part of the foregoing authority to one or more officers or employees of this Company,provided that each such delegation is in writing and a copy thereof is filed in the office of the Secretary;and it is FURTHER RESOLVED,that any bond,recognizance,contract of indemnity,or writing obligatory in the nature of a bond,recognizance,or conditional undertaking shall be valid and binding upon the Company when(a)signed by the President,any Vice Chairman,any Executive Vice President,any Senior Vice President or any Vice President,any Second Vice President,the Treasurer,any Assistant Treasurer,the Corporate Secretary or any Assistant Secretary and duly attested and sealed with the Company's seal by a Secretary or Assistant Secretary;or(b)duly executed(under seal,if required)by one or more Attomeys-in-Fact and Agents pursuant to the power prescribed in his or her certificate or their certificates of authority or by one or more Company officers pursuant to a written delegation of authority;and it is FURTHER RESOLVED,that the signature of each of the following officers:President,any Executive Vice President,any Senior Vice President any Vice President,any Assistant Vice President,any Secretary,any Assistant Secretary,and the seal of the Company may be affixed by facsimile to any Power of Attorney or to any certificate relating thereto appointing Resident Vice Presidents,Resident Assistant Secretaries or Attomeys-in-Fact for purposes only of executing and attesting bonds and undertakings and other writings obligatory in the nature thereof,and any such Power of Attorney or certificate bearing such facsimile signature or facsimile seal shall be valid and binding upon the Company and any such power so executed and certified by such facsimile signature and facsimile seal shall be valid and binding on the Company in the future with respect to any bond or understanding to which It is attached. I,Kevin E.Hughes,the undersigned,Assistant Secretary,of Farmington Casualty Company,Fidelity and Guaranty Insurance Company,Fidelity and Guaranty Insurance Underwriters,Inc.,St.Paul Fire and Marine Insurance Company,St Paul Guardian Insurance Company,St Paul Mercury Insurance Company,Travelers Casualty and Surety Company,Travelers Casualty and Surety Company of America,and United States Fidelity and Guaranty Company do hereby certify that the above and foregoing is a true and correct copy of the Power of Attorney executed by said Companies, which is in full force and effect and has not been revoked. IN TESTIMONY WHEREOF,I have hereunto set my hand and affixed the seals of said Companies this 04 day of May,2018. Kevin E.Hughes,Assistant Secretary last To verify the authenticity of this Power of Attorney,call 1-800-421-3880 or contact us at www.trovelersbond.com. Please refer to the above-named individuals and the details of the bond to which the power is attached. I c ` ►, Town of Barnstable Building s iPost ThUn' "GardSo That itasUisibleFrom the Street3A rovedsPlan�s Must'be Retained on`Joband,this Card Must be Ke, t + anvsrwgs r. rawer Posted ti11`inal°'Inspection Has.',Been Matle F $' 3 � g 1b3p i� x._> e . '>x '. , a twp Where a Certificate of�Occupancy is Required;suchBu►ldmgshallNotbe Occupied unt�l3a Final Inspection has been made Permit Permit No. B-18-1831 Applicant Name: Brian Catignani Approvals Date Issued: 06/11/2018 Current Use: Structure Permit Type: Building-Demolition Expiration Date: 12/11/2018 Foundation: Location: 100 YARMOUTH ROAD, HYANNIS Map/Lot 328-197 Zoning District: MS Sheathing: Owner on Record: CAMP STREET PROFESSIONAL BLDG LLC '> Contractor Name;" ..Brian Catignani Framing: 1 Address: 4 LICHEN LN Contractor License CS 107685 2 �N . FORESTDALE, MA 02644 _� „ ` .EstPro'ect Cost: $5 000.00 1 Chimney: IN- Description: demolish and remove existing structure entirely Permit Flee: $ 125.00 Insulation: . Fee Pald. $ 125.00 Project Review Req: Final: Date2 6/11/2018 Plumbing/Gas Rough Plumbing: Building Official Final Plumbing: �. :- p.. This permit shall be deemed abandoned and invalid unless the work authored by this m permit is commenced within six onthsafter issuance. Rough Gas: All work authorized by this permit shall tonform to the approved application and she approved construction documentsit which this permit has been granted. All construction,alterations and changes of use of any building and structuresshall�tie in compliance with the local zoning byslaws and codes. Final Gas: This permit shall be displayed in a location clearly visible from access streets road,and shall be maintained open for',"public inspection for the entire duration of the work until the completion of the same. Electrical The Certificate of Occupancy will not be issued until all applicable signaturegby the Building aril Fire Off,icials are provided on this permit. Service: Minimum of Five Call Inspections Required for All Construction Work: x Rough: 1.Foundation or Footing „ „ . 2.Sheathing Inspection Final: 3.All Fireplaces must be inspected at the throat level before firest flue lining is installed 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection Low Voltage Rough: 5.Prior to Covering Structural Members(Frame Inspection) 6.Insulation Low Voltage Final: 7.Final Inspection before Occupancy Health t Where applicable,separate permits are requited for Electrical,Plumbing,and Mechanical Installations. Work shall not proceed until the Inspector has approved the various stages of construction. Final: "Persons contracting with unregistered contractors do not have access to the guaranty fund" (as set forth in MGL c.142A). Fire Department Building plans are to be available on site" Final: All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT � � � I � � !. � � i !-J 1 J'� O� L7 i II � ,A` I � � "�T r _ c �� � � "V �. _ n � } `� � �- a� ®W ® Barns able RECEIPTO 200 Main Street, 1-lyannis MA 02601 508-862-4038 q ibSP Application for Building Permit Application No: TB-18-1831 Date Recieved: 6/7/2018- Job Location: 100 YARMOUTH ROAD,HYANNIS Permit For: Building Demolition Contractor's Name: Brian Catignam State Lic. No: CS-107685 Address: Centerville, MA 02632 Applicant Phone: (774) 994-0617 (Home)Owner's Name: CAMP STREET PROFESSIONAL BLDG Phone: LLC . . T (Home)Owner's Address: 4 LICHEN LN, FORESTDALE, MA 02644 Work Description: . demolish and,remove existing structure entirely Total Value Of Work To Be Performed: $5,000.00 Structure Size: 0.00 0.00 0.00 Width Depth Total Area' I hereby swear and attest that I will require proof of workers'compensation insurance for every contractor,subcontractor,or other worker before he/she engages in work on the above property in accordance with the Workers' Compensation Act(Chapter 568). I understand that pursuant to 3.1.-275 C,.G.S.,officers of a corporation and partners in a partnership may elect to be excluded from coverage by filing a waiver with the appropriate District Office;and that a sole proprietor of a business is not required to have coverage unless he files his intent to accept coverage. I hereby certify that I am the owner of the property which is the subject,of this application or the authorized agent of the property owner and have been authorized to make this application. I understand that when a permit is issued,it is a permit to proceed and grants no right to violate the I ' Massachusetts State Building Code or any other code,ordinance or statute,regardless of what might be shown or omitted on the submitted plans and specifications. All information contained witl iA is true and accurate to thebest of my knowledge and belief. All permits approved are subject to inspections performed by a representative of this office. Requests for inspections must be made at least 24 hours in advance. Signed: Brian Catignam ;_. 6/7/2018 (774)994-0617 Applicant Date Telephone No. Estimated Construction Costs/Permit Fees LProjectost : $5,000.00 Date Paid Amount Paid Check#or CC# y Pay Type ee: $125.00 6/v2ols ` $t25.00 2s6 j Check ee Paid: $125.00 77t r � 7 _ T1XISA .L-JOY"' A PERMIT