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1600 FALMOUTH ROAD/RTE 28 (2)
t t - 2' ��" `a. + � '3��d` t � :: �,..wyt � ,'^au�'• �A:�� -a,," :3'f'r� tt, e rl� AR:.N•� t�� C rt, k' F�r 1 �yy '�' C �{{ aF ii b � a ".6 r a 0 0 t n y ay F ;r .i*' , e # a , TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Ma v Parcel -�^��;A�� n SST t p i .;t T 9- A„ L Application # Health Division Date Issued q11 S 14 / _ Conservation Division Application Fee lJ0 Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board +:t.f iN Historic - OKH _ Preservation/ Hyannis roe Street Address / .� � � � ry /y� ®Z63 2 Ila /S ar-N!SS Ovine B,41 /Ewer 4;�rb Ad`dre��/ 13u 7'�e/'C LIP n . ?'u ®*(l e ephone �' +) 2 6 Permi . -e est c,�tD er r fP I) � � 6-ro G. c ih a e over ro P - ;uare feet: 1st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation Construction Type Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family (# units) Age of Existing Structure Historic House: ❑Yes ❑ No On Old King's Highway: ❑Yes ❑ No Basement Type: ❑ Full ❑ Crawl ❑Walkout ❑ Other Basement Finished Area (sq.ft.) Basement Unfinished Area (sq.ft) Number of Baths: Full: existing new Half: existing new Number of Bedrooms: existing _new Total Room Count (not including baths): existing new First Floor Room Count Heat Type and Fuel: ❑ Gas ❑ Oil ❑ Electric ❑ Other Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑ No Detached garage: ❑existing ❑ new size_Pool: ❑ existing ❑ new size _ Barn: ❑ 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 - - -- A ` (BUILDER OR HOMEOWNER) 2 0�7` ��� _5-03 itc Name— A v/ ki S c S Teleph`oneANumfjer� Add7res ,,f'��- c �� �. r'Licen" nse'-T t_' O C/ 76 /,Vx e)2 2 Home Improvement Contractors#-``.5"2 5: 7 2, Email Worker's Compensation # ALL CONST,RUCTION.DE RIS-RESULTING,FROM-THIS•PROJECT WILL BETAKEN TO —Alelf y`'_�/f� SIGNATURE"'�4 DATE f k FOR OFFICIAL USE ONLY APPLICATION# 1 DATE ISSUED MAP/PARCEL NO. ADDRESS VILLAGE OWNER DATE OF INSPECTION: FOUNDATION FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT h ASSOCIATION PLAN NO. Massachusetts Department of Public Safety . Board of Building Regulations and Standards License: CS-094476 Construction Supervisor LINAS REVINSKAS\ 87 CAMP OPECHE CENTERVILLE N}A - Expiration: Commissioner 10/02/2017 Construction Supervisor Restricted to: use group which contain Unrestricted-Buildings of any of enclosed i less than 36,000 cubic feet(991 cubic meters) space. ; ` Failure to posis sess a current edition of the Massachusetts on of State Building Code is cause for revocatMASS.GOVIDPSth se DPS Licensing information visit:WWW _. d . The d MVrOMRrdA ref miusachms Depwhmwt of1ad=&rrdAccrdeaafs OjTWe rr�'rapesagadem 600 Washwgfaa Scree . Basfar;.MA a2HIf wnw.masng d a Work-ers' CampensatlanInsurance Affidav&Builders/Cantractors/FteciicmusfPlumbers pEzant Iufarmaf on JJ>> /� Please Brest I�ibFy �ame i� do : �1'7�i e C G wI a vt ��e CAcicoed Ir Phone Are yea an employer?Check the apprapriate bo= •1 1 Type of� . �c •r_ amt7nfracttx and I ixi°.�ect� ��- is El I am a employer with 4 � I a 6_ New employees{fu11 andlosgart time}* crave hisedtbe sub-cantzadors 0 2.❑ I am a sole proprietor or partner- listed on the attached sheet y- ❑Rernodz-liag ship assd have no employees Them sub-contractors have S_ []D? Mliti•on woticing for me in any capacity- en�ployem and have worker's' _ Building addition PTO Workers, comp.itnaPranre r =Comp-msu anot Wired 1 l5_" g,Te ale a corporaficaand its' 10-.Q Electrical repairs or additions 3_El I am a homeowner doing all work officers ham t excised _ 1 L Plumbing repairs or additions right of Pion per MC3L Myself [No R*orTaers'�- �`'� p I2�Roof repairs c.15Z §1(41andwehmm�_o t7a employees_[Na ffs° I3_[M O.dmr PA comp_insuzaam zequired.1 ° Y spgti�that chedas b(= l rmnst also f 0l ott the sectimbelaw shaw*g tlaeu a*adcers�eoffipe�aAiou paw Hnmemanes vrixa submit this afMW f-a-sti ig they am doling Eft VI c sad diem hire M=ffe C-Octmamm mats3 submita nffw sfdwit inner sack ZC=tMctaas ffigt rherk ibis hint must smr'hed sa arlditirmri shut sb=hag the msme of the stb-cunhacross and ststE vrhetLer Drnat EmsE Mt6m fiave ffiRlaYges If the svIr-conttactCffs hTM employees,dL"must Paavide their wmk-eE'comp.PaTicp amber Imam employ"thatisgmuimi;g urorkers'eougmzsd an anmrance for my emrproyem Belau is thepolic)artd job arts . Insurance Gom_gauyl�Iame: �/��G['a Q'cr� �'.f,li(r,t/QK /�S �7�` , Panty+1 or 5�11 i Lim (n/C S --31 S-5A 72 4 -D24 ti nD te. ��. Ci r5tate! V1 1�q Z Job Sites�'4siclress:led ��( N'-owY fy Zip. t:8 � /t U Z6,,, Attach a copy of the workers'compensation policy declaration gage(shoving the polity number and e q-,iration date: . Failure to secure covvsage as Mquiredunder SecticaE 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to,S1,50D 00 and/or one-yeas•impri as well as civil pemlties in ihe form of a STOP WORD ORDEP mad a fin ofup to$250-00 a.tray against the,violator_ Be advised that a copy of this statement maybe farwarded to the Office of Iscvesti pdons of the DIA far insurance cmierage verification- Ida{terey�erlrfy rr. pains tinrfpana tl�etfl�e�afnnr�tdiaa prm�idRd r�hrxre is true attrF correct SzEnatute. �`� - - J Pfi ne-#: E1facial use anly. Da not write in this urea;to be comp,£eted by do rxr town afficiaL My or Town- PeratitUcense# Emning Authority(circle oney. 1.Board of Health 2.BmTxhng Department I a1yfFavm Clerk 4.Dectrical Inspector 5.Plumbing for .6.Other Contact Person: Phone 9-- 6 t ]Information and Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers'compensation for their employees, Pursmntto 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 Iocal 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( )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 oompliancc 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(L LP)writh no employees other than the members or partners,are not required to carry workers' compensation insurance_ L 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 al$dav t TTfie affidavit should be returned to the city or town that the application for the permit or license is being requested.,not the Depm trz en t 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 legIly. The Department has pro- idea a space at the bottom of the affidavit for you to nll 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 wr11 be used as a reference ni_*mber. In addition,an applicant that must submit multiple permit/liumse applications is 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 requited to complete this afddaNnt The Office of Investigations would like to frank 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: ne;Comm PmWth of Massachusetts Department Qf Industrial Accidents Q f bzee OIL uvewgatiom 600 WashhiZoa Street Bastin,MA Q2I 11 Tel.4 617 727-4900 W -06 or 14 MASSAFE Revised 4-24-07 Fax# 6l7-727-�49 www�mas�,gc vfdia snaivsresrs. MASS.039. Town of Barnstable `e�' Regulatory Services g rY 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 as Owner of the subject property . hereby authorize to act on rrny behalf, in all matters relative to work authorized by this building permit application for (Address of Job) , Signature of Owner Date Print Name If Property Owner is applying for permit,please complete the Homeowners License Exemption Form on the reverse side. QAWPFII.ES\FORMS\building permit formsTYPRESS.doc Revised 061313 - lJ . L Contract # 561 CUSTOMER INFO: JOB LOCATION: Bell Tower Corp 1600 Falmouth Rd. 1600 Falmouth Rd. Centerville, MA 02632 Centerville, MA 02632 AGREEMENT BETWEEN Bell Tower Corp 10/05/2015' AND " Baltic Company, Inc Linas Revinskas Baltic Company Inc, hereinafter referred to as General Contractor(GC),on the one hand and Bell Tower Corp hereinafter referred to as Customer,on the other hand, have concluded the present contract as follows: 1. THE SUBJECT OF THE CONTRACT 1.1 GC undertakes hereby to supply all labor and materials necessary to complete the roof improvement(Rubber membrane installation) as proposed in the job estimate#548 (09/25/2015), said proposal being an integral part of the contract. 1.2 Customer undertakes to pay in,the order and terms established by parties in the present contract. 1.3 All work is to be performed according to the specifications submitted, in a substantial workmanlike manner, per standard practices: Any alteration of or deviation from the submitted- specifications involving extra cost will become an extra charge over the estimate, but any extras must be-submitted between parties of this contract. 2..THE PRICE AND THE TOTAL SUM OF THE CONTRACT 2.1,Estimated price for the home improvement project is forty eight thousand and three-hundred . and five dollars ($ 48,305.06). This price includes the cost of labor and materials. ' Baltic Company 87 Camp Opechee Rd,Centerville MA 02632 Linas Rev inskas 781-267-1737; officelfax(508)744-6811 M.C.S.Lic.#094476 HIC#152372 3.Description of the project: - Permitting performed - Roofing materials and installation supplies supplied: EPDM rubber membrane, Recover Board ACFOAM-III, Low VOC bonding adhesive, Low VOC cleaning solvent, fasteners, Seam tape, Primer, Edge tape, Edge Tape Adhesive,Termination bar, Water Cut-off Mastic, Misc supplies -Roofing materials installed on the roof sections under the solar panels - Roofing membrane applied on the roof sections under the solar panels -Debris removed and disposed i NOTE: Change Order for the estimate #548. Rubber membrane installed on the roof sections above solar panels up to the ridge. ' , v 4. TERMS OF PAYMENT 4.1 Customer undertakes to pay in two payments schedule for,each roof section 4.2 30%deposit of the estimated amount for each roof section 4.3 The remaining amount should be paid after each section completion S. OTHER CONDITIONS " 5.1 All changes and additions under the given Contract are valid, if they are accomplished in writing and signed by both parties of the Contract. The present Contract is made in duplicate of one for each of the parties. All copies have an equal validity. The contract inures from the date of its signing. After signing the Contract all previous negotiations and correspondence on it lose force. 5.2 GC may at its discretion engage subcontractors to perform work hereunder, provided GC shall fully pay said subcontractor and in all instances remain responsible for the proper completion of this Contract. 5.3 GC agrees to remove all debris and leave the premises in broom clean condition. 5.4 GC shall not be liable for -any.due to circumstances beyond its control'including strikes,` casualty, weather conditions or general unavailability of supplies and materials. Contractor Linas Revinskas Customer Bell Tower Corp u John Callahan jSignatures: _Linas Revinskas Signatures Date: _10/06/2015 ' Date: / ls! Baltic Company 87 Camp Opechee Rd,Centerville MA 02632 Linas Revinskas 781-267-1737; office/fax(508)744-6811 M.C.S.Lic.#094476 HIC#152372 Mass. Corporations, external master page Page 1 of 2 Corporations Division Business Entity Summary ID Number: 043152914 Request certificate 'New search Summary for: BELL TOWER CORPORATION The exact name of the Domestic Profit Corporation: BELL TOWER CORPORATION Entity type: Domestic Profit Corporation Identification Number: 043152914 Old ID Number: 000392840 Date of Organization in Massachusetts: 04-28-1992 Last date certain: Current Fiscal Month/Day: 12/31 Previous Fiscal Month/Day: 00/00 The location of the Principal Office: Address: 1 BUTTERCUP LANE City or town, State, Zip code, SOUTH YARMOUTH, MA 02664 USA Country: The name and address of the Registered Agent: Name: JOHN T CALLAHAN Address: 1 BUTTERCUP LANE City or town, State, Zip code, SOUTH YARMOUTH, MA 02664 USA Country: The Officers and Directors of the Corporation: Title Individual Name Address PRESIDENT JOHN T CALLAHAN III 1 BUTTERCUP LANE SOUTH YARMOUTH, MA 02664 USA TREASURER STEPHEN CALLAHAN 307 WALNUT ST., ABINGTON, MA USA SECRETARY JOHN T CALLAHAN III 1 BUTTERCUP LANE SOUTH YARMOUTH, MA 02664 USA CEO JOHN.T CALLAHAN III 1 BUTTERCUP LANE SOUTH YARMOUTH, MA 02664 USA CFO STEPHEN CALLAHAN 307 WALNUT ST., ABINGTON, MA 02351 USA DIRECTOR JOHN T CALLAHAN III 1 BUTTERCUP LANE SOUTH YARMOUTH, MA 02664 USA littp:Hcorp.sec.state.ma.us/CorpWeb/CorpSearch/CorpSummary.aspx?FEIN=043152914&... 10/6/2015 Mass. Corporations, external master page Page 2 of 2 DIRECTOR STEPHEN CALLAH AN. I 307 WALNUT ST., ABINGTON, MA 02351 USA Business entity stock is publicly traded: ❑ The total number of shares and the par value, if any, of each class of stock which this business entity is authorized to issue: Total Authorized Total issued and outstanding Class of Stock Par value per share No of shares ' Total par No.of shares value CNP $ 0.00 200,000 $ 0.00 300 El ❑Confidential, ❑Merger ❑ Consent Data Allowed Manufacturing View filings for this business entity: ALL FILINGS Administrative Dissolution Annual Report Application For Revival Articles of Amendment 3v .__e i in J View filings Comments or notes associated with this business entity: ems; New search t http://corp.sec.state.ma.us/CorpWeb/CorpSearch/CorpSummary.aspx?FEIN=043152914&... 10/6/2015 Y Details Page,1 of 1 The Official Website of the Executive Office of Public Safety and Security(EOPSS) Mass.Gov Home State Agencies ensee Details ull ame: LINAS REVINSKAS ender: - er Name: dress: ddress 2: ity: CENTERVILLE ` tate: MA ipcode: 02632 o nt : U `ted tates 1cense Information Icense o: CS-094476 License Type: Construction Supervisor. Profession: Building Licenses. Date.of Last Renewal: 9/23/2015 Issue Date: Expiration Dater 10/2/2017 License Status: Active Today's Date: = 10/6/2015 econdary License: Doing Business As: Lgiatus Chan e: -Licepse Renew I on o Prerequisite Information No Discipline Information ocumen um i Close Window <' - ©2011 Commonwealth of Massachusetts Site Policies Contact Us . • y r r http://elicense.chs.state.ma.us/Verification/Details.aspx?agency_id=1&license_id=283417& 10/6/2015 • _^ ! ��ze cPan�o�rzcaea�i a�C/vtaa�aclzccael�a�—- ' --- .• _ l" Office of Consumer Affairs&Business Regulation . License or registration valid for individul use only OME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: egistration: .A: 2372 Type: j Office of Consumer Affairs and Business Regulation xpiration:`:8123%20_1.6. DBA 10 Park Plaza-Suite 5170 BALTIC COMPANY` Boston,MA 02116 LINAS .REVINSKAS t I 87 CAMP OPECHEE RD g � i CENTERVILLE,MA 02632 • Undersecretary i Not valid without signature Massachusetts -Department of Public Safety Board of Building Regulations and Standards Construction Superrdsor License: CS-094476 • a:rr.ti �� LINASREVINSK4� 87 CAMP OPECIHEE CENTERVILLE NU Expiration y Commissioner 10/02/2015 Unrestricted-Buildings of any use group which contain less than 35,000 cubic feet(991m)of enclosed space..:. Failure to possess a current edition of the Massachusetts { State Building Code is cause for revocation of this license. For DPS Licensing information visit: www.Mass.Gov/DPS , ,; ' TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION ,r 2 Map_2 Parcel C Application #c�d/ 5_6:-- Health Division Date Issued 178 ZO i�j Conservation Division Application Fee / Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation/ Hyannis Project Street Address Village Cw"( . Oa 3:2 Owner _Co(jb�'ti 10VN �ylk. Address I Zukf fup tguA,. S" Telephone ��ea 567 967 r Permit Request :LZW1"l d�a, ® 2q_7 W ywy,,�_W, csu-C kic Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new 4.g64 Zoning District Flood Plain Groundwater Overlay Project Valuation 25 M 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 bDI Lf 699 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: q;e�isting ❑ new._ size_ Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size _ Other:;=` S .t 4) ri Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes ❑ No If yes, site plan review# e« Current Use Proposed Use ± ' APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name Telephone Number Spy b�L4 6'9 g l� Address �f���. #71 License# QqJ'f 4A> �"1 W41 ZCDGO Home Improvement Contractor# Email Worker's Compensation # 065,31 S p-3 W24 02C ALL CONSTRUCTION DEBRIS RESULTING FROM HIS PROJECT WILL BE TAKEN TO SIGNATURE hrp.u) �- DATE D l FOR OFFICIAL USE ONLY Tr k " APPLICATION# DATE ISSUED MAP/PARCEL NO. ADDRESS VILLAGE OWNER DATE OF INSPECTION: 4 FOUNDATION FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. My Generation Energy, INC 3 Diamonds Path Unit 2 myGene —E--v South Dennis, MA 02660 508-694-6884 Town of Barnstable Building Division 200 Main Street Hyannis, MA 02601 Dear Mr. Lauzon, I am writing to grant permission for My Generation Energy to submit permit on my behalf. I will be working as construction supervisor under My Generation Energy, Inc. Please refer to Construction Supervisor License number CS-094476 under the Massachusetts Department of Public Safety Board of Building Regulations and Standards. Please feel free to contact me at your convenience. Service@balticcompany.com Authorized by, Linas Revinskas Owner of Balti Company ® My Generation Energy 3 Diamonds Path, Unit 2 South Dennis, MA 02660 Phone 508-237-8228 MyGenemtionEne* www.MyGenerationEnergy.com Town of Barnstable Building Division 200 Main Street Hyannis, MA 02601 ATTN: Jeffrey Lauzon July 21, 2015 Dear Mr. Lauzon: I am writing to grant permission to Linas Revinskas to act as construction supervisor for projects under My Generation Energy, Inc. Please refer to Construction Supervisor License number CS 94476 under the Massachusetts Department of Public Safety Board of Building Regulations and Standards. If you have any questions, please feel free to contact me at your convenience. Authorized , a Andrew ade President and CEO My Generation Energy, Inc Massachusetts-Department of Public Safety g Board of Building Regulations and Standards Construction Supervisor License: CS-094476 LINAS REVINSKO 87 CAMP OPECIIEE ~: CENTERVILLE AIA U2 4 '^ Expiration Commissioner 10/02/2015 v/eeo�rirrranarerclf�o,C�/�lauac�res License or registration valid for individul use only Office of Consumer Affairs&Business Regulation before the expiration date. If found return to: ME IMPROVEMENT CONTRACTOR Office of Consumer Affairs and Business Regulation WrXeigistration: 152372 Type: 10 Park Plaza-Suite 5170 piration: 8/231201.6, DBA Boston,MA 02116 BALTIC COMPANY t; X -��� 1 LINAS REVINSKAS sue. 87 CAMP OPECHEE CENTERVILLE,MA 02632 Undersecretary Not valid without signature Unrestricted-Buildings of any use group which contain less than 35,000 cubic feet(991m)of a enclosed space. Failure to possess a current edition of the Massachusetts State Building Code is cause for revocation of this license. For DPS licensing information visit: www.Mass.Gov/DPS J �1[B rDc�7,ro�aa�zufe¢l�/o�C�/��aJ9R-c/ua s License or registration valid for individul use only. Office of Consumer Affairs&Business Regulation, OME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: egistration: 152372 Type: Office of Consumer Affairs and Business Regulation x iration 8/23/20,16 DBA 10 Park Plaza-Suite 5170 Boston,MA 02116 BALTIC COMPANY k�� { `L LINAS REVINSKAS' � ' tom:. x 87 CAMP OPECHEE CENTERVILLE,MA 02632 Undersecretary Not valid without signature Construction Supervisor Form Job Location /�(q0 Fz'[Ko ` 'Z- � "Q Property Owner <<. ('D wer c) C, Construction Supervisor LAU L141 SLC.S License Number VP6 leroi Ve Address c4m 2-c�e Cp. Phone T -737 Licensed Designee (if applicable) Responsibility for Work: R5.2.15.1 The license holder shall be fully and completely responsible for all work for which he/she is supervising. He/she shall be responsible for seeing that all work is done pursuant to 780 CMR and the drawings as approved by the Building Official. Responsibility to Supervise Work: R5.2.15.2 The license holder shall be responsible to supervise the construction, reconstruction, alteration, repair, removal or demolition involving structural elements of the buildings and structures only pursuant to the State Building Code and all other applicable laws of the Commonwealth, even though the license holder is not the permit holder but a subcontractor or contractor to the permit holder. Notification of Violations: 5.2.15.3 The license holder shall immediately notify the building official in writing of any violations which. are covered by the building permit. Willful Violations: 5.2.15.4 Any licensee who violates the State Building Code, shall be subject to revocation or suspension of license by the Board of Building Regulations and Standards. Permit Applications: 5.2.16 All building permit applications✓shall contain the name, signature and license number of the construction supervisor who is to supervise those engaged in construction, reconstruction, alteration, repair, removal or demolition as regulated by 780 CMR 108.3.5 and 780 CMR R5. In the event that such licensee is no longer supervising said persons, the work shall immediately cease until a new licensee is substituted on the records of the building department. I have read and understand my responsibilities under the rules and regulations for licensing construction supervisors in accordance with the State Building Code. I understand the construction inspection procedures and the specific inspections as called for the by building official. Signature � L-foot Rubber spacer 4" x 6" x 5/8" Steel Plate w/ %" Threaded rod (2 eac ) , Threaded Rod Overhead View Steel Beam Roof Attachment for Bell Tower Mall NOW 4" My Generation Energy 6" MAR) A >C� I� Bell Tower Mall Site Photos 1600 Falmouth Road, Centerville How the system will be fastened to the structure L-foot —Rubber spacer a.� 4" x 6"x 5/8" Steel Plate. AI w/%" Threaded rod (2`eac J 8earn -- Threaded Rod -AeeI x� ea;m Overhead View ` Steel Beam Roof Attachment for Bell Tower Mali .�.: 4 Ap ; i i i My Generation Energy i 6" MARK A` ;Tice Conzmoitweaffh of Massao7husefts D-artzne tt of Irarfustz al�4r c fetzvs N office�Rff tvcstigatiMs 600 Wa n.:Streef 13vsfon,lll.�1021I1 www moss gov/d a W rk�ers' Compensation.lnsarance Afiidavi#: Builders/Contractors/Electr cianslPlumbers A scant Information __ r Pease Print Legibly �.���`(Business(QrganizatxanJfndiwidl): V: , r :. Addmss; v';0110 ts.. �l CitylStatelZip: ., ov�� Y,giS, Mkt 024&; Phone*.... Art YOU an employer?Check the approprtate box: Type of project(require€#).; 1; m a ern to er. itb. 4.: l atrt a general cflntractor'and I P y fi Netiv construction employees(full an(Vor purl time)_* hay e hared the sttb-contractors k.Q I n a sole proprietor or parirzer- Itsted oh the attached sheet 7 Q Resnodehng Tliese soli=contractors have, Demolition ship and have no employees S• vorkin 'for:me in an ca aci employees`anit have��=aikers' g Y P r. Q Building addition [N workers' compAnsurance c tp [nsizrance.* requited.] `:_❑ e are a corporation arid'i'ts lq-(� Etecricat rep atas oraddAhons ' officers have ex of ercised their 11. Pluiribia re aixs additions 3.Q 1 am a homeo�mer doing,all work � g :p myself FNo workers'comp Roafrepaies: insurance required.]t c. 1S2,§lt4),and we have•ria ers' en to ees. J. I3. Other F Y [I�lo;work ooniii.nxszrance required;`] `Ar;appl'ttiaht that checks box 0l must also fill out the section;belov sha fling cIiMr workers't otripettsat�ptt'.poticy inforntauan': kfvna wr. v hci submit this atfidatit indlrating they,ate doing all'ivtrrk anel theo hire outside cantractors.;rnus}subt�a�t a ncty u�dA JM...i ling such:, sContmct6s that check this box must aUached in additional sheet showing"the a;ne.oEthe soli en ttractots<a�id state'.tfiether or not those'.eo tits hAVe.: employees'. If tits sttb-contractors haveempio :they must proyid Fltoir1utlters`comp polscy nutnte: 14M ar€:errrplo}der that isprovirlung vvrkers'cogtpensutinn insurance for my employees .B'elow is.-the poiicy andjob site hifvrtratttior! �7 / Insu>'atace Cara%panyi`arne;_-fi�rV 4�r�' otAc F' or Self-ins. Lit:# r ' l S T 39" 2 Z l;xp ratios Date: Job Stte.Atifires5.�6(W� �—�yG%1?0U CAt}riSiatElZlp: dtf.� . Attach:a tope=of the:workers'eompen sat ion:policv:declaratron page{sliu ing.the Polk nuinb.er and.expiration date}.. Failure to secure coverage as xes_ qed- nd-i S6. 2$�t of 112GL c. iS2 catz`lead to the ittiposttion of lad riinat penalties of.a lint'up;to 1,50�.Ot7 aiadFor one-.Ye.V imprasorijrtetit,a.s weil,as.:c.ivit pe ialpes ri the f€rm of a STUD tiTQRI�Mb iind a,fine of tip.to Q.Q{l a day.;agailisi:ibe violator,..Be advised that.a op;�.of tilts statement n)A- bt f i aide't io the UflAce tzf Iiavesti dtions'o;ftheDIA for. iasur ..coverage verification: I do i€:�reb}=cerfi rue r 3e slue ai tallies o�perjarry thuttlte r€fortriatioaprautded at�ove" sin e attd Correct 17 t?fcaal€rsc3`at€l,F. Do t€vt ai4vfte its tl€as area+to be eotnplcted by lily or totvit nffict C3,Rrt*ar TUwinz: permiifbeeose# Issuing Vbdrit;y=(circle olie): 1 Board of ifealth 2.Builds®g Department 3.City=ggwn_Clerk 4..EIe- trical inspector 5.Phimbing£ tenor 6.Other Cnt€aartPet•son:: _... . _._ _._ Phone�;: My Generation Energy 5086946884 p.1 My Generation Energy,Inc. FID#26-4343622 3 Diamonds Path, Suite 2 South Dennis, MA 02660 508-237-8228 j AGREEMENT i FOR THE INSTALLATION OF A PHOTOVOLTAIC ELECTRICITY GENERATION SYSTEM IIS AGR:EMENT is ma as of ' 2015 between having an address at 1600 Falmouth Rd,Centerville, 2N14A 02632('Owner'D, and My Generation Energy, Inc.,("Contractor") (Owner and Contractor sometimes I ereinafter referred to in as a"Party"or collectively as the"Parties") in . connection ith the installation of a photovoltaic electricity generation system on certain premises of Ile Owner(the"Project"). L ARTICLE —GENERAL PROVISIONS Tie Contract Documents• The"Contract Documents"consist of this Agreement,the Ek-hibits and attachments hereto,and all Modifications issued after execution of this A Treenient. The Contract Documents may be amended or modified only by a 1od ification.The Contract Documents shall not be construed to create a contractual r ationship of any kind between the Owner and a Subcontractor or sub-subcontractor . o between any persons or entities other than the Owner and the Contractor. , 1.2. TJe e intent of the Contract Documents is to include all items necessary for the proper ecution and completion of the Work by the Contractor.The Contract Documents are 4-nplementary, and what is required by one shall be as binding as if required by all; p6irformance by the Contractor shall be required to the extent consistent with the c: ntract Documents and reasonably inferable from them as being necessary to , pe;oduce the indicated results. . 1.3. AlModification is (i)a written amendment to the Contract signed by both parties,and (i 4) a Change Order: 1.4. A iy capitalized terms used in the Contract Documents shall have the meaning ascribed to them in this Agreement. 1.5. The Contract. The Contract Documents form the Contract for Construction.The C ntract represents the entire and integrated agreement between the parties hereto and s persedes prior negotiations, representations or agreements, either written or oral 1.6. T je Work.The term "Work"means the construction and other services required by,,' th)e Contract Documents whether completed or partially completed,and includes all This Agree ent has been executed as of the day and year set forth above by duly authorized representati wes of the Owner and the Contractor. .OWNS N Tiflee �` ` f/ }✓' MY GENERATI ENERGY,INC. By, ame:An w Wade Title:President 13 Office of Consumer Affairs and Business Regulation. - 10 Park Plaza -Suite 5170 Boston, Massachusetts 02116 Home Improvement Contractor Registration } - Registration: 163006` j , " ; t Type: Private Corporation 60 ` q Expiration: 5/4/2017 T.r# 265414 MY GENERATION ENERGY, INC. LUKE HINKLE 326 YANKEE DRIVE BREWSTER, MA 02631 1 i•• \:f"• 101 £ Update Address and return card.Mark reason for change: scAr 2oMos�„ [� Address ['Renewal Employment E] Lost Card . ��e rL+o"�i2r�tt�rtivecc�N c�C/��assnc�culn.�� ' Office of Consumer Affairs&Business Regulation Lcense.or registration valid for iridindul use only ME IMPROVEMENT CONTRACTOR before the expiration"date.If found return to: gistration 163006 Type: office of Consumer Affairs and Business Regulation. 1fxpiration f5/4/2017 Private Corporation: 10 Park"Plaza Suite 5170 �r r, Boston,MA 02116 MY GENERATION ENERGY,.IN,( LUKE HINKLE' 326 YANKEE DRIVE Q;i - BREW$TER,MA 02631. Undersecretary Not valid without'signature'. , F t f 80at i Ruin r . License_ C97 , 97 CAMP OPEOME4 CENTERVILLE MA if ita,Job " V20 ® DATE(MMIDDIYYYYJ A CC>RV CERTIFICATE OF LIABILITY INSURANCE 3/24/2015 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). CONTACT PRODUCER BRYDEN&SULLIVAN OF DENNIS INC NAME I FAX PO BOX 1497 PHONE AC No SOUTH DENNIS, MA 02660 E-MAIL ADDRESS: INSURERS AFFORDING COVERAGE NAIC# INSURER A: L.M.Insurance Corporation 33600 INSURED INSURER B BALTIC COMPANY INC 87 CAMP OPECHEE ROAD INSURERC: CENTERVILLE MA 02632 INSURERD: INSURER E: INSURER F COVERAGES CERTIFICATE NUMBER: 23920429 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:--NOT;FFATHSTAfdDiN3-A"JY--REQUIREPAENT TERt.,-OR CONDITION'OF—ANY-CONTRACT OR-OTHER DOCUMENT ANITH.RESPECT TC_%j HICH 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 NSD DL SUB PO U CY POLICY NUMBER MIDD EFF POLIC MMIDO EXP LIMITS LTR IwVQ COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE S DAMAGE TO RENTED CLAIMS-MADE DOCCUR PREMISES Me occurrence) S MED EXP(Any one person) S PERSONAL&ADV INJURY S GEN'L AGGREGATE UMIT APPLIES PER: GENERAL AGGREGATE S POLICY JECT PRO- LOC PRODUCTS-COMPIOPAGG S S OTHER: AUTOMOBILE LIABILITY (Ea accident) INED SINGLE LIMIT S acciden ANY AUTO BODILY INJURY(Per person) S ALL OWNED SCHEDULED BODILY INJURY(Per accident) S AUTOS AUTOS NON-OWNED PROPERTY DAMAGE g HIRED AUTOS AUTOS Pera.dent S UMBRELLA LIAB OCCUR EACH OCCURRENCE S EXCESS LIAB CLAIMS-MADE AGGREGATE S TIDED I I RETENTIONS S A WORKERS COMPENSATION WC5-31 S-384924-025 3/25/2015 3/25/2016 STATUTE ERH AND EMPLOYERS'LIABILITY Y I N ANY PROPRIETORIPARTNER/EXECUTIVE NIA E.L.EACH ACCIDENT S 500000 - OFFICERIMEMBER EXCLUDED9 Y (Mandatory in NH) E.L.DISEASE-EA EMPLOYE S 500000 If yes,describe under - £.L.DISEASE-POLICY LIMIT S 500000 DESCRIPTION OF OPERATIONS below DESCRIPTION OF OPERATIONS 1 LOCATIONS I VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached B more space is required) Workers compensation insurance coverage applies only to the workers compensation laws of the state of MA. This certificate cancels and supersedes all previously issued certificates,only as they relate to workers compensation coverage. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE MY GENERATION ENERGY THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 3 DIAMONDS PATH UNIT#2 ACCORDANCE WITH THE POLICY PROVISIONS. SOUTH DENNIS MA 02660 �(/��. AUTHORIZED REPRESENTATIVE V ��l//1! LM Insurance Corporation ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014101) The ACORD name and logo are registered marks of ACORD CERT NO.: 23920429 CLIENT CODE: 1595769. Anne Chandler 3/24/2015 12:11:44 PM (Eur) Page 1 of 1 - , i Bell Tower Mall Site Photos 1600 Falmouth Road, Centerville East Roof — 110 panels Bell Tower Mall Site Photos 1600 Falmouth Road, Centerville Installation of 292 mounted solar panels. Fly9 - BAS F6 BAS F�� B 4 , t_..aw[ZJUUUI BELL TOWER MALL West Roof: 85 Center Roof: 97 East roof: 110Modules Modules Modules Mglio My Generation Energy Andrew Wade — f Bell Tower Mall Site Photos 1600 Falmouth Road, Centerville East Roof-110 panels Each vertical racking is 20 ft heavy duty rail from Unirac. See attached documents 3 steel beams which of technical info make up the frame, this is where racking will be k, Ufa to tru - M� cur Y s os c e .. ..F - "p n•'... 3'1 �..wv s` '' a ti a� ` . w s AS Each ray box F'rt yk. 4 .,� representsrthe�Lf Set ' `which will fasten the racking :to thestructurely See stamped.drawing a w � on later. pager Ok F E,� „ io ` 1-4 7 '. 4 '=ram MR ` w m aF qg '4 d OMW L % 9 zt ?ff ,' +' .`i �5.x r„2� ` ,�qt.:;''Gr rr", �r z ,yGz ,_' y'•;Y� ;'r., c e a i` !�d9Y Bell Tower Mall Site Photos • 11 Falmouth Road, Centerville Center ' • • • panels OWL el yip► �,11 ■ .:■ . 1� 1��1 1 � !1� INS � !� IT My Generation Energy II I� Andrew W. • - .yl Bell Tower Mall Site Photos 1600 Falmouth Road, Centerville Steel beams which will the system will be fastened to. ors:. i ,'k y 1 F v. s '^C—W Bell Tower Mall Site Photos 1600 Falmouth Road, Centerville Steel beams which will the system will be fastened to. y is ti V. ' F My Generation Energy Andrew Wade — Bell Tower Mall Site Photos 1600 Falmouth Road, Centerville Steel beams which will the system will be fastened to. � I k: My Generation Energy Andrew Wade — - 1 Bell Tower Mall Site Photos 1600 Falmouth Road, Centerville Installation of 292 mounted solar panels. L .Fig BAS FK' F69 r . BA 1 25 6 BAS 5 1 r��6 t BAS 6 -2 t ' 7 L-AN jzjuUu j 7 , BELL TOWER MALL East roof: 110 West Roof: 85 Center Roof: 97 Modules Modules Modules My Generation Energy Andrew Wade — Bell Tower Mall Site Photos 1600 Falmouth Road, Centerville East Roof — 110 panels 4 s !,f�f.�ygr4n r� Bell Tower Mall Site Photos 1600 Falmouth Road, Centerville East Roof-110 panels Each vertical racking is 20 ft heavy duty rail from Unirac. See attached documents 3 steel beams which of technical info make up the frame, this is where racking will be fastened to structure . AF s r s � e w; -Each gray box' T represents the�tlfeetp � � F F Which will fasten theme ,( racking to the structure ± � see-starnped-drawing on-later page. f �a 4 1F � had �. ., 3 x a " ;. ! r# F� n a M�('renaalei�Fneg� Bell Tower Mall Site Photos 1600 Falmouth Road, Centerville Center Roof-97 panels hok ff I FIIIIH If I--- - a i 1 - MIT My Generation Energy Andrew Wade — � = J y Bell Tower Mall Site Photos 1600 Falmouth Road, Centerville How the system will be fastened to the structure L-foot Rubber spacer 4" x 6" x S/8" Steel Plate AI w %Z"Threaded rod (2 eac ') lean , A Threaded Rod Ste l'. earn Overhead View .. Roof Attachment for Reel Beam Bell Tower Malt 7,1 r y � s 4 t- E My Generation Energy ,. , MMK t 7 r/ 6Q AV;OvF'-& 'M 10/ Bell Tower Mall Site Photos 1600 Falmouth Road, x _ Centerville Steel beams which will the system will be fastened to. IVI - "`7,41, #' g 41 Offi t � d'TMw k - 4•+'i1's`TM� '��eW+.:,sM�A^'�� N §� s�.:'a���� A'"' � � � � � �t � � 7 .,.s-.,..>.s-l,w•N^vw�'�..'w. { .s V w`° V l 9 Bell Tower Mall Site Photos 1600 Falmouth Road, Centerville Steel beams which will the system will be fastened to. • 'u i a K°,. us r�€r'I° y'` ;� '� pro."�.zr`a n+� t '::r � ,v "- 4, + �a ��'� � �� x,�v�';�"�� ', /�, s��o�*� §A ✓.� h i,;-.�M '�'"'�'�`.�." �` # �� '�`'T"','. %tr'����'F�. �tr,;� �f aw.. :, � '� 5s w.�k; k �„•, g�,�..y a "� x e+' IRIt 01 _ ��** "'�,t�a-Est,.,,. N+' F`�,�;�m.r ):. + cr'h, -• yw,a r $'�+q�,.. �' gp fix$• e..� t � rn My Generation Energy Andrew Wade — Bell Tower Mall Site Photos 1600 Falmouth Road, Centerville Steel beams which will the system will be fastened to. r _ `y4 # y --.�. •;fir. . f i tx+ 1 r My Generation Energy Andrew Wade — Bell Tower Mall Site Photos 1600 Falmouth Road, Centerville Installation of 292 mounted solar panels. Fig F692 Fl 92a 40A B125 2 BAS 6 �102 BAS 6 54 L 7�I4- - � L.ArI puuu J ' BELL TOWER MALL West Roof: 85 Center Roof: 97 East roof: 110Modules Modules Modules Be Towelma My Generation Energy Andrew Wade — Bell Tower Mall Site Photos 1600 Falmouth Road, Centerville East Roof — 110 panels Bell Tower Mall Site Photos 1600 Falmouth Road, Centerville East Roof-110 panels Each vertical racking is 20 ft heavy duty rail from Unirac. See attached documents 3 steel beams which of technical info make up the frame, this is where racking will be fastened tostructure ' - :. c,�. '� #tea R4 .•s _ 4.1 F'� w:. �q. •. � �R� id— a p, 31 Each gray box r represents the Lfeet whiac. h�wi-lfasteq 0e T ';R.racking.to the,structure � Ow�' w� � See stampedjdrawing§ on later age. p g 7 A m401 Ark il, ''vt __.�._" :�� .• 14 r - 65* 17 4 ��g , =ax... '$ Aainfnegy Bell Tower Mall Site Photos 1600 Falmouth Road, Centerville Center Roof-97 panels r i Jli M- I jjIIIII'�II _ IT My Generation Energy li■I® Andrew Wade — Bell Tower Mall Site Photos 611 Falmouth Road, Centerville West R• • i Panels 7N i _ 1' 1 1 qrr i �� �� 11� 11 III II�11 1�11�11�1 TM Tn Andrew /d. f Bell Tower Mall Site Photos 1600 Falmouth Road, Centerville How the system will be fastened to the structure t-foot Rubber spacer 4" x 6" x 5/8" Steel Plate X wJ%2"Threaded rod (2 eac ) Beam �.- Threaded Rod "_earn Overhead View. Steel Beam Roof Attachment for ' Bell Tower Mall 2 M1r.F f4 i My Generation Energy i 6 s MWK OI�A VI)kt GeV, -Bell Tower Mall Site Photos 1600 Falmouth Road, Centerville Steel beams which will the system will be fastened to. MyGt 1F'W bd t rt i. araM+Vflt � '� ,iyIT��•�, b.E.,qy Bell Tower Mall Site Photos 1600 Falmouth Road, Centerville Steel beams which will the system will be fastened to. a N x r � �. a L { s e -`. 3 1 uy..a 3 My Generation Energy Andrew Wade — Bell Tower Mall Site Photos 1600 Falmouth Road, Centerville Steel beams which will the system will be fastened to. k C h 3 kF ao 4 5 �f �p �4 � h A My Generation Energy Andrew Wade — ' m "UNIRA --. - ,...,..' ,,- .•.• ... A NILTI GROUP COMPANY SolarMount Technical Datasheet Pub 110818-1td V1.0 August 2011 SolarMount Module Connection Hardware.................................................................. 1 BottomUp Module Clip.................................................................................................1 MidClamp ................................................................................::...................................2 EndClamp.............................................................:......................................................2 SolarMount Beam Connection Hardware......................................................................3 L-Foot.................................................................................:............I.............................3 SolarMountBeams...........................................................................................................4 SolarMount Module Connection Hardware SolarMount Bottom Up Module Clip Part No. 302000C Washer , Bottom Up Clip material: One of the following extruded aluminum Bottom Nc densee alloys:6005-T5, 6105-T5, 6061-T6 hd b. Up Clipa 0Ultimate tensile: 38ksi,Yield: 35 ksi 4; Finish: Clear Anodized s0 Bottom Up Clip weight:—0.031 Ibs(14g) Bolt Allowable and design loads are valid when components are Beam Ty assembled with SolarMount series beams according to authorized f UNIRAC documents Assemble with one'/4"-20 ASTM F593 bolt,one'/4"-20 ASTM F594 serrated flange nut, and one'/4"flat washer Use anti-seize and tighten to 10 ft-Ibs of torque ' Resistance factors and safety factors are determined according to part 1 section 9 of the 2005 Aluminum Design Manual and third- f party test results from an IAS accredited laboratory • Module edge must be fully supported by the beam * NOTE ON WASHER: Install washer on bolt head side of assembly. DO NOT install washer under serrated flange nut Applied Load Average Allowable Safety Design Resistance Direction Ultimate Load Factor, Load Factor, Ibs(N) Ibs(N) FS Ibs(N) 40 3.24 Tension;Y+ 1566(6967) 686(3052) 2.28 1038(4615) 0.662 Transverse,X± 1 1128(5019) 329(1463) 3.43 497(2213) 0.441 ,... ,X Sliding,Zi 66(292) 27(119) 2.44 41 (181)1 0.619 Dimensions specified in inches unless noted . GGO • . U N I RAC A HILD GROUP COMPANY SolarMount Mid Clamp Part No.302101C,302101D,302103C,302104D, 302105D,302106D - Mid clamp material: One of the following extruded aluminum ¢ � Bolt alloys:6005-T5, 6105-T5,6061-T6 Clam Ultimate tensile: 38ksi,Yield:35 ksi P x Finish: Clear or Dark Anodized Y Mid clamp weight: 0.050 lbs(23g) , Allowable and design loads are valid when components are Ak ., assembled according,to authorized UNIRAC documents Values represent the allowable and design load capacity of a single .a mid clamp assembly when used with a SolarMount series beam to WIN retain a module in the direction indicated �"" = • Assemble mid clamp with one Unirac'/4"-20 T bolt and one'/4"-20 - ASTM F594 serrated flange nut Use anti-seize and tighten to 10 ft-Ibs of torque Resistance factors and safety factors are determined according to jg part 1 section 9 of the 2005 Aluminum Design Manual and third- -- r= parry test results from an IAS accredited laboratory Applied Load Average Allowable Safety Design Resistance ~:- - Direction, Ultimate Load Factor, Load Factor, Ibs.(N) Ibs(N) FS Ibs(N) m t Tension,Y+ 2020(8987) 891 (3963) 2.27 1348(5994) 0.667 3 ) Transverse,Z± 520(2313) 229(1017) 2.27 346(1539) , 0.665 „. Sliding,X± 1194(5312) 490(2179) 1 2.44 741 (3295) 1. 0.620 LW'X g , Dimensions specified in inches unless noted SolarMount End Clamp Part No.302001C,302002C,302002D,302003C, " 302003D,302004C,302004D,302005C,302005D,. 302006C,302006D,302007D,302008C,302008D, 302009C,302009D,302010C,302011C,302012C End clamp material: One of the following extruded aluminum alloys: 6005-T5, 6105-T5,6061-T6 It Ultimate tensile: 38ksi,Yield:35 ksi Finish: Clear or Dark Anodized . . End clamp weight:varies based on height: -0.0581bs(26g) '- cf Clamp" Allowable and design loads are valid when components are - Serrated " r assembled according to authorized UNIRAC documents 1. FlangeyNut Values represent the allowable and design load capacity of a single end clamp assembly when used with a SolarMount series_ beam to retain a module in the direction indicated � � ��� s, • Assemble with one Unirac'/"-20 T bolt and one'/4"-20 ASTM F594 serrated flange nut f Bea r. Use anti-seize and tighten to 10 ft-Ibs of torque Resistance factors and safety factors are determined according to part 1 section 9 of the 2005 Aluminum Design Manual and third- Y party test results from an IAS accredited laboratory X Modules must be installed at least 1.5 in from either end of abeam :�. -;, �� ""�" Applied Load' Average Allowable Safety Design Resistance t Direction Ultimate Load Factor, Loads Factor, t L Ibs(N) Ibs(N) FS Ibs(N) 0 VAM Wrotr Tension,Y+ 1321 (5876) 529(2352) 2.50 800(3557) 0.605 (� Transverse,Z± 63(279) 14(61) 4.58 21 (92) 0.330 u -" - Sliding,X± 142(630) 52(231) 2.72 79(349) 0.555 Dimensions specified.ii-in�s•u►alrwr4ki""bd • OO'3 • • • U I !l I RAC A HIJI GROUP COMPANY SolarMount Beam Connection Hardware SolarMount L-Foot Part No. 304000C, 304000D • L-Foot material: One of the following extruded aluminum alloys:6005- T5, 6105-T5,6061-T6 Ultimate tensile:38ksi,Yield:35 ksi e Finish:Clear or Dark Anodized ..y, L-Foot weight:varies based on height:—0.215 Ibs(98g) • Allowable and design loads are valid when components are Bea assembled with SolarMount series beams according to authorized Bolt UNIRAC documents .E L-Foot For the beam to L-Foot connection: •Assemble with one ASTM F593'/e-16 hex head screw and one errated ASTM F594 Wserrated flange nut Flange Nu •Use anti-seize and tighten to 30 ft-Ibs of torque Resistance factors and safety factors are determined according to part 1 section 9 of the 2005 Aluminum Design Manual and third-party test Y results from an IAS accredited laboratory A NOTE: Loads are given for the L-Foot to beam connection only;be L-W X sure to check load limits for standoff,lag screw,or other +K attachment method Applied Load Average Safety Design Resistance * Direction Ultimate Allowable Load Factor, Load Factor, Ibs(N) Ibs(N) FS Ibs(N) m 4• _i t Sliding,Z± 1766(7856) 755(3356) 2.34 1141 (5077) 0.646 Tension,Y+ 1859(8269) 707(3144) 2.63 1069(4755) 0.575 Dimensions specified in inches unless noted Compression,Y- 3258(14492) 1325(5893) 2.461 2004(8913) 0.615 Traverse,X± 486(2162) 213(949) 2.28 323(1436) 0.664 o"UNIRAC A HILTI GROUP COMPANY SolarMount Beams Part No. 310132C, 310132C-B, 310168C, 310168C-B, 310168D 310208C, 310208C-B, 310240C, 310240C-B, 310240D, 410144M, 410168M, 410204M,410240M Properties Units SolarMount SolarMount HD Beam Height in 2.5 3.0 Approximate Weight(per linear ft) plf 0.811 1.271 Total Cross Sectional Area in' 0.676 1.059 Section Modulus(X-Axis) in 0.353 0.898 Section Modulus(Y Axis) in' 0.113 0.221 Moment of Inertia(X-Axis) in 0.464 1.450 Moment of Inertia(Y Axis) in 0.044 0.267 Radius of Gyration(X-Axis) in 0.289 1.170 Radius of Gyration(Y Axis) in 0.254 0.502 w 1 , SLOT FOR T-BOLT OR SLOT FOR T-BOLT OR 1.728 !/4" HEX HEAD SCREW V4"HEX HEAD SCREW 2X SLOT FOR SLOT FOR BOTTOM CLIP 2.500 BOTTOM CLIP T3.000 SLOT FOR 3�" HEX BOLT SLOT FOR 1.385 3/" HEX BOLT .387 .750 . 1.207 Y ��1.875— Y "X L .X SolarMount Beam SolarMount HD Beam For product and purchasing inquiries contact: R23C@ D IRE IT Dimensions specified in inches unless noted CLEAN ENERGY SOLUTIONS wum arnrlirart mm Mass. Corporations, external master page Page 1 of 2 �.'+►�-sir William Francis Galvin Secretary u. oftheCommonwealth ofMassachusettstf 9.31"�h Corporations Division Business Entity Summary ID Number: 043152914 Request certificate New search Summary for: BELL TOWER CORPORATION The exact name of the Domestic Profit Corporation: BELL TOWER CORPORATION Entity type: Domestic Profit Corporation Identification Number: 043152914 Old ID Number: 000392840 Date of Organization in Massachusetts: 04-28-1992 Last date certain: Current Fiscal Month/Day: 12/31 Previous Fiscal Month/Day: 00/00 The location of the Principal Office: Address: 1 BUTTERCUP LANE City or town, State, Zip code, SOUTH YARMOUTH, MA 02664 USA Country: The name and address of the Registered.Agent: Name: JOHN T CALLAHAN Address: 1 BUTTERCUP LANE City or town, State, Zip code, SOUTH YARMOUTH, MA 02664 USA Country: The Officers and Directors of the Corporation: Title Individual Name Address PRESIDENT JOHN T CALLAHAN III 1 BUTTERCUP LANE SOUTH YARMOUTH, MA 02664 USA TREASURER STEPHEN CALLAHAN 307 WALNUT ST., ABINGTON, MA USA SECRETARY JOHN T CALLAHAN III 1 BUTTERCUP LANE SOUTH YARMOUTH, MA 02664 USA CEO JOHN T CALLAHAN III 1 BUTTERCUP LANE SOUTH YARMOUTH, MA 02664 USA CFO STEPHEN CALLAHAN 30.7 WALNUT ST., ABINGTON, MA 02351 USA DIRECTOR JOHN T CALLAHAN III 1 BUTTERCUP LANE SOUTH YARMOUTH, MA 02664 USA htt ://co .sec.state.ma.us/Co Web/Co Search/Co Summa .... 7/17/2015 p � � � � rY r Mass. Corporations, external master page Page 2 of 2 DIRECTOR STEPHEN CALLAHAN 307 WALNUT ST., ABINGTON, MA 02351 USA Business entity stock is publicly traded: r The total number of shares and the par value, if any, of each class of stock which this business entity is authorized to issue: Total Authorized Total issued and outstanding Class of Stock Par value per share No. of shares Total par No.of shares value CNP $ 0.00 200,000 $ 0.00 300 I r Confidential Merger r Consent Data Allowed Manufacturing View filings for this business entity: ALL FILINGS Administrative Dissolution i Annual Reportk y='xa4 Application For Revival Articles of Amendment A--1__ _L / L_.1_.. I••..._.___J_._ View filings Comments or notes associated with this business entity: k New search 1 http://corp.sec.state.ma.us/CorpWeb/CorpSearch/CorpSummary.... 7/17/2015 U cc�P�� ,��`p �,,,�,.�' s ��' �l��1� � �u.�i� DANCE DESIGNS TENANT SUITE PLAN: BELL TOWER PLAZAA UNIT #35,36 :MODIMATIO'NS: 1'60.0 Falmouth Rd: Centerviller Ma ARCHITECT: - e*amaExrt000A .. Meik:Schryver MA License iJ!155 - " , amexcAaEr+cYCaT 1 40 Hilltop RoadLVST . - Lancaster,MA 01523 - p0.(979)844-4798 .closer email•-machryver@yahoo:ooril EXIST Tr.CiE L - f Pr a'rp Win'^ t eatwiao2C- �' XI APPLICABLE BUILDING CODES _ E T' NtEPoLtn0/lALeultmpD cooEsar�AtAtbl�l�cxuSEnasrATEe191nLYDaoDE 7EDCle�Ei(iM+EbrtIdN y -i '�� EXIST ORAISE • -YWYAISnNO F stOfage 'OWgNTRACTOR BHALL WMP4Y WITH THE ABOVE E6 AND ALI COCAL •:�. 'I - ". 3 K WDEs.CONTrtAr:TOfl 7O NOTIFY ARCHITECT ANY CONDITIQJG THAT VARY 4 £ { . - + - 200 s.f � �M ` FROM CONSTRUCTION DOCWENT5 PRIOR TO PROCEEDINO WITH CONSTRUCTIWL ; 3 t + t F S storage 881 s.f i O OF W0 5 • EE AtOCAT10NS ft rage waiting :) . �' '•-. _ 6i '� - area and LNumber space,the A-3 use comprises dance rooms 1 and 2 far a "' ' -_ •"� e �" i " dreulatlon " max of 44,per code section 303.1.1 Nonaccessory .. Use. A building or tenant space used for assembly - - - - y less than In shall be considered a Group B t '° F i • ,�, •1 ,,zY .. .occupancy ?` `+ -Y� {i"f required exits(table 1018.1)1-500=2 exits,3 provided tgITE LOCUS INFORMATION MAP' • - - - NOTTO'SCALE - - k. _ 'EXISTe>usi' DANCE DANCE L.:..1 cc - `STUDIO STUDIO C#B #12 #19 924L #31 A2 #7 99 #9 $10,#11 #15 eis ego #21 ,mza �zr #zs 25 total dancers, 1 15 total dancers, I -- instructor& 1 .'�., � � - _ � I!� instructor& 1 • t� assistant total assistant total �w v AREA-OF WORK occupancy 27 occupancy 17 t� KEY.PLANIOF OVERALL BUILDING NOT TO SCALE �J,• 'ENTIRE EXISANO 1257 s.f - 7225.f ., r SPRINILERED 0.....� q 'tspnnpers natiNo,m), - 9— FALMOUT14 ROAD $CF/R RECEPTION ' SYMBOLS LEGEND No.31155 '" EweTIHo'ouro�l+ - uu EnOoor _ .wPENeRoelCrmvf' o�.mo m� amw nur vnmNum IClman�.m LAN MATER.. Of bow"onuW `FLOOR PLAN cm 'MO%YRNErURIDMRnu"N.M M LK #35 SCAM:,y ,v . #36 ®J- 'IIR,iI:E1 N4 Ai]pi t®:IW RR.,;WI vvui MCK ` AQ ' out. 0&04-i6 SHEET 1 OF 1 r 780 CMR: STATE BOARD OF BUILDING REGULATIONS AND STANDARDS WIN OF BARNSTABtE USE AND OCCUPANCY CLASSIFICATION 1N C•lylR 3aO,- S IDLY GROUP A (g) Dance halls(not including food or drink iA I 1` riSE j+,}' t„#4J t 303.1 Assembly Group A. Assembly Group.A consumption) occupancy includes, among others, the use of a (h) Exhibition halls building or structure, or a portion thereof, for the (1) Funeral parlors gathering together of persons=for purposes such as (1) Gymnasiums(without spectator seating) civic sgciilrof;eligious functions,recreation,food (k) Indoor swimming pools(without spectator or drink consumption or awaiting transportation. A seating) room or space used for assembly purposes by less n) Indoor tennis courts (without spectator than 50 persons and accessory to another occupancy • sing) shall be included as a part of that occupancy. . (m) Lecture halls Assembly areas with less than 750 square feet(69.7 (n) libraries in)and which are accessory to another occupancy (o) Museums according to 780 CMR 302.2.1 are not assembly (P) Waiting areas in transportation terminals - occupancies. Assembly occupancies which are (q) Pool and billiard parlors } accessory to Group E in accordance with 780 CMR (4) A4 Assembly uses intended for viewing of 302.2 are not considered assembly occupancies. indoor sporting events- and activities with Religious educational rooms and religious spectator seating including,but not limited to: auditoriums which are accessory to churches in, (a) Arenas accordance with 780 CMR 302.2 and which have (b) Skating rinks occupant loads of less than 100 shall be classified as (c) Swimming pools A-3. (d) Tennis courts (5) A-5 Assembly uses intended for participation Assembly occupancies shall include the following: P� P (1) A-1 Assembly uses, usually with fixed in or viewing outdoor activities including,but not seating,intended for the production and viewing limited to: of the performing arts or motion pictures (a) Amusement park structures including,but not limited to: (b) Bleachers (a) Motion picture theaters (c) Grandstands (b) Symphony and concert halls. (d) Stadiums (c) Television and radio studios admitting an ;'30311°�Nonaccessory�Assetbly Use:- A - audience butldings or tenant`space ,use d2rfbi assembly' (d) Theaters ses b-,less—.than-50h persons shall"be- • � �P�. y (2) A-2 Assembly uses intended forfood and/or r`considered a Group B;occupancy. drink consumption shall be further categorized asA-2randA-2nc(whereA-2nc is theAssembly 780 CM 304.0 BUSINESS GROUP B USE designation narrow to night clubs andA-2r 304,1 Business Group B. Business Group' B is the USE designation forA-2 USES other than occupancy includes, among others, the use of a night clubs); A-2 USES include but are not building or structure,or a portion thereof,for office; limited to: (a) Banquet balls professional or service-type transactions,including (b) Nightclubs storage of records .and accounts. Business (c) Restaurants occupancies shall include,but not be limited to,the (d) Taverns and bars following: - Note: independent of.the "A-2" USE (1) Airport traffic control towers Classification set forth in 780 CMR (3) Animal hospitals,kennels and pounds , 303.1(2), requirements associated with ( ) Banks M-G-L c. 148, § 26G.5,M-G.L c. 148A, (4) Barber and beauty shops M-G.L c. 143, §97A—all such General (5) Car wash Laws related to St. 2004, c. 304- could (6) ,Civic administration ultimately result in an A-Zr USE being (7) Clinic---outpatient reclassified as an A-2nc USE. (8) Dry cleaning and laundries; pick-up and (3) A-3 Assembly uses intended for worship, delivery stations and self-service (9) Educational occupancies above the 12th recreation or amusement and other assembly uses grade not classified elsewhere in Group A including,but (10) Electronic data processing w not limited to: (11) Laboratories;testing and research ent arcades(a) Amusem (b) Art galleries (12) Motor vehicle showrooms (c) Bowling alleys (13) Post offices - _ - (d) Churches (14) Print shops . (15) Professional services(architects,attorneys (e) Community halls Ys• (f) Courtrooms dentists,physicians,engineers,etc.) 8/22/08 (Effective 9/1/08) L780 CMR-Seventh Edition 49. 78 CMR �TE BOARD OF BUILDING REGULATIONS AND STANDARDS T I THEOF SACHCTS T' STATE BUILDING CODE -j(J 1 f,10'0Q�. l Obstr�ctigns shall not be placed in the OCCUPANCY FLOOR AREA IN SQ. required width of a means of egress except FT.PER OCCUPANT projections permitted by 780 CMR 10.00. The -5 fa3xerci a rooms 50 oss -5 bricatioa and manufacturing 200 gross required capacity of a means of egress system shall areas ..-not=be:diminished:along.the path of egress travel. ndustrial areas 100 gross f't C ft .1 titutional areas 1003:7,Elevators,Escalators and Moving Walks. Inpatient treatment areas 240 gross Elevators,escalators and moving walks shall not be Outpatient areas 100 gross used as a component of a required means of egress Sleeping areas 120 noss from any other part of the building. 'tchens,commercial 200 gross ibrary Exception.Elevators used as an accessible means . Reading rooms 50 net of egress in accordance with 780 CMR 1007.4. Stack area 100 gross clmr rooms 50 gross 780 CMR 1004.0 OCCUPANT LOAD dercantile Areas on other floors 60 gross 1004.1 Design Occupant Load. In determining. Basement and grade floor areas 30 gross` means of egress requirements, the number of Storage,stock,shipping areas 300 gross occupants for whom means of egress facilities shall ?arking garmes 200 gross sidential 200 gross be provided shall be established by the largest Gag rinks,swimming pools number computed in accordance with 780 CMR Rink and pool 50 gross 1004.1.1 through 1004.1.3. �ks 15 rose Exception. For A-2nc uses also note the tagIces and latforms 15 net prescriptive egress requirements of 780 CMR uipmentstorage a om mechanical 300 gross 1024.0 and 780 CMR 3403.0. Warehouses 500 gross 1004.1.1 Actual Number. The actual number of For SI: 1 square foot-0.0929 m2 occupants for whom each occupied space,floor or 1004.1.3 Number by Combination. Where building is designed. occupants from accessory spaces egress through a 1004.1.2 Number by Table 1004.1.2. The primary area,the calculated occupant load for the number of occupants computed at the rate of one, primary space shall include the total occupant load - occupant per unit of area as prescribed in Table of the primary space plus the number of occupants 1004.1.2. egressing through it from the accessory space. 1004.2 Increased Occupant Load. The occupant TABLE 1004.1.2 MAXIMUM FLOOR AREA load permitted in any building or portion thereof is 'ALLOWANCES PER OCCUPANT permitted to be increased from that number established for the occupancies in Table 1004.1.2 FLOOR AREA 1N SQ. v' at e ro ided that all other requirements of the code arc OCCUPANCY gp,PER OCCUPANT also met based on such modified number and the Agricultural building 300 gross Aircraft hangars 500 cross occupant load shall not exceed one occupant per 5 Airport terminal square feet (0.47 m2) of occupiable floor space. c Baggage claim 20 gross Where required by the building official,an approved Baggage handling 300 gross aisle, seating or fixed equipment diagram Concourse 100 gross substantiating any increase in occupant load shall be Waiting areas 15 gross Useftibly 1l gross submitted. Where required by the building official, Gamin floors o,slots etc. such diagram shall be posted. Amembly with fixed seats See 780 CMR 1003.2.2. Assembly without fixed seats 1004.3 Posting of Occupant Load.^Every room or_. Concentrated(chairs only—not 7 net space'thk'is an assembly,oceupancy shall have the fixed)Standing space 5 net occupant,load of;the room'or space,posted in a Unconcentrated(tables and chairs) 15 net Y or A-2ne uses also note the pre- conspicuous place,near the main Pot or exit access' rsptive egress requirements of 780 doorway from the room of space. Posted signs shall R 1024 and 780 CMR 3400.3. be of an approved legible permanent design and shall owling centers,allow five persons be maintained by the owner or authorized_ agent; for each lane including 15 feet of 7 net runway,and for additional areas 1004.4 Exiting from Multiple Levels. Where exits usraew areas 100 xross serve more than one floor,only the occupant load of urtrooms-other than fixed seating 40 net each floor considered individually shall be used in oarea es 50 oss computing the required capacity of the exits at that - - Educational floor, provided that the exit capacity shall not Classroom area 20 net decrease in the direction of egress travel. Shops and other vocational room 50 net arm 10045 Egress Convergence. Where means of --Egress from floors above and below converge at an 262 1780 CMR-Seventh Edition 8/22/*: ectiV:b 911108) TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map / 2 44� Parcel �Uc pp/� A lication # I `�7 �Health Division Date s ecy Conservation Division I�L��� co 1 •%c � Application TFee . n,�,�sf- S��� -2o � Planning Dept. 'F,D, { rep"``� Permit F 4>j, Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation/ Hyannis Project St re t Address / R Village Owner Ge /,O -e Address f" d Telephone 61al7 � 9 2 6 Permit Request �69m� r� `� ' ; , ���- � �i® / �/,•�, Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain 6�6 Groundwater Overlay Project Valuation e' Construction Type Lot Size Grandfathered: W-Ye"s' ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family (# units) Age of Existing Structure Historic House: ❑Yes 0-1410---On Old King's Highway: ❑Yes `tt-pon Basement Type: ❑ Full ❑ Crawl ❑ Walkout ❑ Other �1y� Basement Finished Area (sq.ft.) Basement Unfinished Area (sq.ft) Number of Baths: Full: existing new Half: existing .- new 4 Number of Bedrooms: A6ex� existing _new Total Room Count (not including baths): existing new First Floor Room Count Heat Type and Fuel: U<as ❑ Oil L�ectric ❑ Other Central Air: >�s ❑ No Fireplaces: Existing/" New 4,,V Existing wood/coal stove: ❑Yes 54o 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 AmC.' -*60 Proposed Use �3 APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name s�h� el� // Telephone Number 4;/7 F-93Z-r= Address a&Y Av'�e_ License # es— 6A,P Y 14- 9--/ 40 7 ` 3 2, Home Improvement Contractor# `— Email,�l' fC� S-�Sr � 001 It Worker's Compensation #4_2 0!410 Wr S®40) ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TOki�w//L SIGNATURE A i0a DATE l/ r� FOR OFFICIAL USE ONLY APPLICATION# DATE ISSUED , MAP/PARCEL NO. ADDRESS VILLAGE OWNER DATE OF INSPECTION: FOUNDATION p FRAME �r INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. 4. TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel Application # Health-Division w_ dd,( J Date Issued 5_ r-nt Conservation Division r �,� {� Application ti Fee _ { i.(•.'-�S r �v� ``�M�'r � `'mot./Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation / Hyannis Project Street Address IXA Owner�� C 6. 70- ea F' t YP Address Telephone fIr`9 Permit Request �'/ ."H.?�r is'� _ 'yet i�-t t� Dxnll.1�2► eb,4 W� .. ..> iwrx •dw rf/ 4 .014 _ 4W - Square feet: 1st floor: existing proposed 2nd floor: existing proposed Total new -Zoni g District Flood Plain 1 Groundwater Overlay AIA Project Valuation Z-15 WZ4 Construction Type { Lot Size '` / Grandfathered: 0.Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family ❑ Two Famil'y `❑ � ' Multi-Family(# units) Age of Existing Structure 2 '!Historic House: ❑Yes a-No—On Old King's Highway: ❑Yes *tEll-No Basement Type: ❑ Full N, ❑ Crawl-,' ❑Walkout ❑ Other u Basement Finished Area (sq.ft.) 4�i Basement Unfinished Area (sq.ft) . ^, Number of Baths: Full: existing new Rglf�xisting .- new } w ,4/;,4_ - Number of Bedrooms: 11,,E r_l.lv- existing _new Total Room Count (not including baths): existing new ' First Floor Room Count Heat Type and.Fuel: OdGas ❑ Oil M-Electric ❑ Other Central Air: 0-ems ❑ No Fireplaces: Existing 4,,,0 New Age-,-) Existing wood/coal stove: ❑Yes 47 No Detached.garage: 0 existing ,❑ new size—Pool: ❑ existing ❑ new size _ Barn: ❑`existing ❑ newle'"sizes_ Attached garage: ❑ existing,-❑new size _Shed: ❑`existing ❑ new size _ Other: AIA Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ d Commercial ]' ❑ No If yes, site plan review# Current Use AM ee , �n6,0 Proposed Use .T APPLICANT INFORMATION (BUILDER OR HOMEOWNER) .1041 :'. Name � � ! ' ✓' rxs Telephone Number �r = = . `1'1` -- Address f �. �` License # eS- o /I ' A )_Voleot,", 4_�e_ MIAL 40 -2 '252, Home Improvement Contractor# Email' �0 A—A- _ C,r,A Worker's Compensation #/J,-z lyo (yf--1.3 f� ,,. a, ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO `�r ,+ �is. 4 _ ` ? J DATE SIGNATURE'_:,X% .,a, ( / � - - 4 i r , FOR OFFICIAL USE ONLY APPLICATION# DATE ISSUED MAP/PARCEL NO. ADDRESS VILLAGE OWNER DATE OF INSPECTION: FOUNDATION FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL i GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. Initial Construction Control Document To be submitted with the building permit application by a Registered Design Professional for work per the 8a'edition of the Massachusetts State Building Code, 780 CMR, Section 107 Project Title: Dance Designs life safety modifications suite #35,36 Date:05-4-2015 Property Address: 1600 Falmouth Rd. Centerville,Ma Unit#35,36 Project: Check(x)one or both as applicable: x New construction x Existing Construction Project description: Unit#35,36 is an existing suite and work consists of life safety devices. I Mark A. Schryver MA Registration Number: 31155 Expiration date: 8/31/2015 ,am a registered design professional, and I have prepared or directly supervised the preparation of all design plans,computations and specifications concerning': X Architectural Structural Mechanical Fire Protection Electrical Other: for the above named project and that to the best of my knowledge, information,and belief such plans, computations and specifications meet the applicable provisions of the Massachusetts State Building Code,(780 CMR),and accepted engineering practices for the proposed project. I understand and agree that I(or my designee)shall perform the necessary professional services and be present on the construction site on a regular and periodic basis to: 1. Review,for conformance to this code and the design concept, shop drawings, samples and other submittals by the contractor in accordance with the requirements of the construction documents. 2. Perform the duties for registered design professionals in 780 CMR Chapter 17,as applicable. 3. Be present at intervals appropriate to the stage of construction to become generally familiar with the progress and quality of the work and to determine if the work is being performed in a manner consistent with the approved construction documents and this code. Nothing in this document relieves the contractor of its responsibility regarding the provisions of 780 CMR 107. When required by the building official,I shall submit field/progress reports(see item 3.)together with pertinent comments, in a form acceptable to the building official. Upon completion of the work, I shall submit to the building official a `Final Construction Control D __.. Wit'. a F!3 AR^ S�.f;d s�;✓`� Enter in the space to the right a"wet"or R� electronic signature and seal: No,31155 �d LANC?\.��CTE�.R, a 1. a'y l,fA Phone number: 978 844-4708 Email: mschryver@yahoo.com 3 Building Official Use Only Building Official Name: Permit No.: Date: Note 1.Indicate with an`x'project design plans,computations and specifications that you prepared or directly supervised.If`other'is chosen, provide a description. Version 06 11 2013 Unrestricted-Buildings of any use group which contain less than 35,000 cubic feet(991m)of enclosed space. Failure to possess a current edition of the Mass ac h useus, State Building Code is cause for revocation of this license. For DPS licensing information visit:. www.Mass.Gov/DP5 • • ,- , r .� .• •irk r ; �' ! ., Y r , .i r , r • .. • ,t f. r{air ' �5 r ••• / • r %OZ/9Z/90 tr,:ilissic4 u-�� eszo vw xxnaxna s 3nv xva Zt N3. dgis s r t [ 661 ZO-SO +c� l .u�u;.!iu t.c, uf•t!}tt.11�ttn .. '�. .t'-! ' � r r ... ♦ e;c'7����tiQCl�i'`i•li�l.a2d .:i:3� S,i.j'scr'in ...Sb"t�Y WE F 019. Town of Barnstable 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 w If Using A Builder I. Vb 01 L� J�LL/j� , as Owner of the subject.property hereby authorize % � A 0416,Z, to act on my behalf, in all matters relative to work authorized by this building permit application for: 6 A/A4IA14ZI lc7d `1�/ 8 -.3 36 (Address of Job) l � - S' ature of Owner ' Date Print Name If Property Owner is applying for permit,please complete the Homeowners License Exemption Form on the reverse side. QAWPFILESTORMS%%ding permit formsEXPRESS.doc Revised 040215 j JTCCO-1 OP ID: DL CERTIFICATE OF UABILITY� INSURANCE DATE(MM/DD/YYYY) 11/04/2015 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 DGP-Miles Insurance Agency,lnc PHONE David G.Pietro -IF AX 3 School Street P.O.Box 1018 A/c No E>n:508-824-8961 Alc No):508-828-1913 Taunton,MA 02780-0957 E-MAIL David G.Pietro s:dlandry@dgpmilesins.com INSURER(S)AFFORDING COVERAGE NAIC# INSURER A:American Zurich Ins.Co. INSURED JTC Contractors Inc INSURER B:Catlin Specialty Ins Co John Callahan 1 Buttercup Lane INSURER C:National Grange Insurance Co. South Yarmouth,MA 02664 INSURERD: 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. 1LTR TYPE OF INSURANCE DDL UBR POLICY NUMBER MM DDPOLICY/YYYY MMIDD//Y EFF POLICY EY�YY LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,00 DAMAGE TO RENTED B X COMMERCIAL GENERAL LIABILITY TBD 08/09/2015 08/09/2016 PREMISES Ea occurrence $ 100,00 CLAIMS-MADE FK OCCUR MED EXP(Any one person) $ 5,00 PERSONAL&ADV INJURY $ 1,000,00 GENERAL AGGREGATE $ 2,000,00 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ 2,000,00 POLICY PRO LOC $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT 1,000 00 Ea.2 . $ C ANY AUTO M1M29803 10/18/2015 10/18/2016 BODILY INJURY(Per person) $ ALL OWNED X SCHEDULED AUTOS AUTOS BODILY INJURY(Per accident) $ NON-OWNED PER ACTY DAMAGE $ HIREDAUTOS AUTOS $ UMBRELLA LIAR HOCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED I I RETENTION$ $ WORKERS COMPENSATION WC STATU- OTH- AND EMPLOYERS'LIABILITY ITORY LIMITS ER A ANYPROPRIETOR/PARTNER/EXECUTIVEY/N 6ZZUBOG18820615 07/24/2015 07/24/2016 E.L.EACH ACCIDENT $ 1,000,00 OFFICER/MEMBER EXCLUDED? El N/A (Mandatory in NH) E.L.DISEASE-EA EMPLOYE $ 1,000,00 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 1,000,00 DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES(Attach ACORD 101,Additional Remarks Schedule,If more space Is required) There is no snow plowing operations exclusion on the General Liability policy. Proof of insurance is subject to acutual policy terms, conditions, limits, definitions, and exclusions. CERTIFICATE HOLDER CANCELLATION TOWNBA1 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Town Of Barnstable THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. Attn:DAvid Anthony 367 Main Street Hyannis,MA 02601 AUTHORIZED REPRESENTATIVE 01988-2010 ACORD CORPORATION. All rights reserved. ACORD 25(2010/05) t The ACORD name and logo are registered marks of ACORD 7lie Comurorr�c�errItii o,f Massachusetts Depurairent o,f lrndzrs-rid Accidents @re of r£irc�estigtitions. 600 Washington Street y Bastwn,M102I11 It'ftiv.Hidsmg-OvIdia Warkers' Campensatian Insurance Affidavit:B.uildersiCantraetarslElectricians/Piumhers Applicant Information Please Print Legibly Nan]e tSusmessfDrganoaf£nrv�dnal % �!/1�t �✓/�-cT�'2-J /1/L' Address: % ��T/1 n C ✓ Z'_� ; City/StatP12'ig•_ Phone 617- 43 9 3 2 e, Are employer?Check the appropriate box: Type of project(require: I. I am a employes with 4. ❑I am a general contractor and I 6. New construction employees(full andFor part-time).* have]rired the sub-cemtractors ❑ - 2.❑ I am a sole proprietor orpar xT- lasted on the attached sheet. y- ❑Remodeling , slip and have no employees These sub-contractors have g_ ❑Demolition wodring for me in any capacity. employees and havve,woricers' 9. ❑Budding addition [No workm'camp.insurance comp.tnsurance.l . required.] 5. ❑ We area corporation and its. lbi-❑Electrical repairs or additions officers have•exercised their 3.❑ I am a h,omeoumer doing all work officers l_❑plumbing repair or additions myself[No wodlcers'comp- t of exemption per MGL 12.❑Roofrepairs . c.152 insurance required-]i ' §1(4h and we have no . employees.[No wodm& 13.❑O.ther comp.insurance required.) *1lnyjWficsasf&stchedabosffltmastalsa fill out the section below skningtheir WoffEerecompersatiaupolicgi.Mformatiom Hameowngrs who submit skis affitiavu it ding thv_y are doing all waxsad then ImE antsid�can>zactots amst submit s new affidaYat iadicsting sucIL ` r0onnactm$tst cbeck this bwE must attached an sdditianst sheet showing the nzoe of the sub-ccntrzctom snd state whether or not those enfides bare employees.I€the sub-cant xamshave employees,9hegnnstpxmide their wadress'•comp.policy number. Iam an empT.v w Mat isprmidirrg yt*orkers'cotrlperrsatrirtr i nirarrce for my amplayeem Below is Mepolicy a diab site rrforara69m r ' Insurance Company Nam: Policy 4 or Self--ins.Lic. ` - ZZ Ll ® 6- f 9'5 Z O G/3 apirdtionDate: 7/ZV/6' Job Site Address: D /4=/ City/State/2ip: rN A[-y/Z.e r Attach 2 copy of the workers'compensationpolicy dectiration page(shoving the policy number and expiration date). Failure to serum coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,50D 00 and!'or ore-yearimprisonmenk as well as civil peaalties.in the form of a STOP WORK ORDER and a Rai of up to$250-00 a day against the izolator. Be advised that a copy ofthis statement maybe forwarded to the Office of 1mv*nest gatiom of the DIA for insurance coverage verffica#ion I do£rerr3J fj,ander tha an penalties of ed wy thatflie infornzadmi prmided abmv is tnw arid correct Si J 'Date-- Phone 42 Of lcial use orl£y. Do not awke in this area,to be'ctrrnp£eted by city or town officrat City or Tomm.- PermitMicense Issuing Autlsor€ty(tdrde one): L Board of Health r.Build mg Department 3.[StpTown Clerk d:Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone 9: ormation and Instructions ' hfassachusctts Geheral Laws cb r 152 requires all employers in provide work=,compensation for their employees. pM-S�this side,an E7nPIoyse is defined as."_'C7MT person in the service of another under any contract of hire, express or IMplied,oral or wry" An arTkyer is defined as"an individual,partnership,assocafian,corporation or other legal entity,or any two or more of the foregoing engaged is a1oint eutzpris%and including the legal representatives of a deceased employer,or the receiver or tmstee of an mdividnA partnership.association or other legal entity,employing employees. However the owner of a dwelling house havingnot more thaw three apartments andwho resides therein,or the occapant of tho - dwelling house of another who employs persons to do mahtenm e,construction or repair work.on such dwelling house or on the groumds or building appurt thCMto ffiO notbecame of such employmmt be d=med to be an employer." MGL chapter 152,§25C(6)also sues that"every staff or local aensi g agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for arty applicant:who has not produced acceptable evidence of compliance With th'e insurance.coverage required_- Additionally,MCTL chaptrr 152,§25C(7)sues"Neithes the connnonwealth nor any of its po litical subdivisions shall Enter into any contract for the performance ofpobhc work until acceptable evidence of compliance with the inSUrar ce.. re, Ii en i en is of this chapter have been presented t 6 the contracting mdhozity." A-FpHcaats Please fill oIIt the wod avit Ceas' compensation affid completely,by cher.Tcir,g the boxes that apply to your situation and,if necessary,supply sob-contractor(s)name(s), ad dresses)and phone nrunber(s) along with their cur bf cafes)of insurance. Limited Liability Companies(LLC)or Limited Liabi 7 Partnerships.If an.L with or LLP to es havher, than the members or parineas,are not requited.to carry workers' compensation insuraance If an LLC or LLP does have emp loyees,apolicy is required. Be advisedthatthis a$idayitmaybe sabmithtd to the Department of Industrial Accidents for confnmaiion ofinsurance coverage. Also be sure to sign and date+he afiidavzt The affidavit should be ret=e:d to the city or town that the application for the permit or license is being requested,not the Department of Ladust ial Accidents. Should you have any questions regarding the law or ifyou are required to obtain a workers' compensationpoHc;L please call the Departmei3t at the number listed below. Self-insur-ed companies should enf z their self-i sura ce license number on the appropriate line. City or Town OfdciaT.c f Please be sore that the affidavit is complete and printed legibly_ The Department has provided a space at the bottom of the av affidit for you to fill out in.the event the Office of Iuvesli o�has You regarding the applicant Please be sure to fill in the pemliOiceme number which will be used as a reference number. In addition,an applicant that must submit mnultiple permitlIicense applibadMS in any given year,need only submit one affidavit indicating crment p olicy information(if necessary)and under"Tob Site Address"the applicant should write"all locations in (city or town)_-A copy of the affidavit that has been officially sinmped or marked by the city or town maybe provided to the applicant as proofthat a valid affidavit is on file for futm e.perm l3 or licenses. Anew 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 vembae (ie. a dog license or pemah to burn leaves etc.)said person is NOT regnaed to complete this affidavit The Of of Investigatons would like to thank you in advance for your cooperation and should you have any questions, please do not heshale to give us a call- The and fax number- The Departments address, ep - 'Ihe Co. wealth of Masnachm3ttf. ' Depa rt nmt c&1ndnfial Aoc tints Ica.Of kvMt g tio-� 6Q4tQn Boston,MA 02111 Ta#617-' -4 CMt4€6 Or Fay#617` 27 '74-9 Keviscd 4-24-07 €in gogf�'d ITC 1/15/1-6 RE-Stephen Callahan License#CS-026119 To whom it may concern Stephen R Callahan has been employed by JTC to oversee the project know as units 35+36 located Bell tower mall 1600 Falmouth Rd Centerville Ma. l 1 Sincerely Pr sident 80 FIRST ST BRIDGEWATER MA 02324 PLAZA TENANT SUITE PLAN : BELL TOWER DANCE DESIGNS. UNIT #35,36 MODIFICATIONS: 1600 Falmouth Rd. Centerville,. Ma EXISARCHITECT: AM EMERGEN�FXIT Mark Schryver MA License#31155 LIGHT 40 Hilltop Road Lancaster, MA 01523 s Z. t ® ; .` EXIST � JANITOR ph. (978)844-4708 : ��? y+ } - F �� P CLOSET h ver ahoo.com r r .• ?. email:msc i BAT EXIST EXIS bi APPLICABLE BUILDING CODES , �'' BATHR6GINL STORAGE F INTERNATIONAL BUILDING CODE 2DO9 AND MASSACHUSETTS STATE BUILDING CODE-78DCMR-EIGHTH EDITION _741 �; _ EXIST EXIST # w & STORAGE WAITING CONTRACTOR SHALL COMPLY WITH THE ABOVE CODES AND ALL LOCAL �^' CODES. CONTRACTOR TO NOTIFY ARCHITECT OF ANY CONDITIONS THAT VARY , = r: XJ EXIST,- FROM CONSTRUCTION DOCUMENTS PRIOR TO PROCEEDING WITH CONSTRUCTION. a l s,ter BATIF)ROOM SCOPE OF WORK: LIFE SAFETY DEVICES: SEE PLAN FOR LOCATIONS 4 OCATION G F sd SITE LOCUS INFORMATION MAP NOT TO SCALE F EXIST EXIST DANCE DANCE STUDIO STUDIO #6 #12 #19 4 #31 #1 DE #2 #7 #8 #9 #10 #110 915L#16[]—,,�2�0 #21 #22 #23 #27 #28j,,'!2 #33 ' . �`rl AREA OF WORK , KEY PLAN OF OVERALL BUILDING NOT TO SCALE � ENTIRE EXISTING SUITE IS FULLY SPRINKLERED 'FALMOUTH ROAD (sprinklers not.shown) SC J ENTRY/ y RECEPTION SYMBOLS LEGEND �° N EXISTING EXIT DOOR EXISTING EXIT DOOR o No. 31155 AND EMERGENCY EXIT o LANCASTER. AND EMERGENCY EXIT® LIGHT ! ROSMT SPAS K TD anal.Bu1DIx0 four SPpIDOFAm RmND11A HEADS '�j MA ucHr - RROGTFD AS REOURED BY CODE O ® UMMTED Dar SON U a }�OF 10 USHT FLOOR PLAN pp HMISTI K UNIT TIED KID RRE ALUM Srs U PER CODE o- Fm AIARY Na StAmoN TIED HTro RRE mm Srs m PER CODE SCALE:1/a"=1ro" A O Date: R5-o4-15 SHEET t OF 1 rL]l