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B i ess:.cf~rtt icates cost$ 10:00;for 4;years) A;buslness�qft" o#e ONLY REGIS R. [ Y Far:Your lnfarrnati ns n [ s Sl natures an this form at`2001vf:ain St :>Hyannis b fVi G L `it dos:;nor: the puerrnlsston try gperate; :You::;must:fi:rst ubtala th ':n.ec .arY.. g... j. 7. A. musi;d ,. t e B srness Certificate that Takeahe;com. l:eteel forrn:ao the;Town Ca.erk s Office,1 st FI, 367 Mam S.t.,,Hyarttls,MA,;tJbOown: Hai) and get. h_ .. .U._... P required by law: � :..:,.:.. _... .... . ... j 'dl "� Fill irr please: u DATE APPLICANT'S> YOUR NAME/S ,; BUSINESS' .;: YOUR HOME AODRE _:. Sd ti93: e� i 4h!1 vr, Home Telephone:Number r . OF CgRPORATlON; - - NAME OF`NEW BUSINES, _ TYPE O BUSINESS IS TH15 A HOME OCCUPATION? YES ADDRESS O,F BUSINESS MAPIPARGEL NUMBER`':... C)-:. 6: Assessing): ,a x w j antl're ul'ations;of th8 ToWn nf.. 1Nhen startm anew business them are several things:you mist do lit order to be rn complrance w+th the ruled g au:'" t8' `1 the''anfo.rl atacrn ma ;treed. .You MUST GE]TD 2f]O Main St [carneir of Yarmouth Barnstable This fbrrn Is intended to assist to tab. mug c ... Y. .. Y I .' a ere: ur_6us.nessmthis:t:�wn `. Rd Nlatn 5treetJ to make sltre.yotl he the appraprlate,permis and ltcens+trs requEred to iegallY op t' - r 'r. •su1w1N wro sta ERAS o>rFic>; I t ndluidU i. a 1_:_ ma .; f a rin r ul rats tiltat :drtaln t .this type af.lau anesS ut. rued SJgnature... J'S!rZIGI COMMENTS: _. 2: BOARD OP HEALTH This individual has been iniormed?ofthe:permrt:requirements that pertain toah- type of business: 1 Authorized Signature** 3 CONSUIVlER AFf^AlJ3S f LICENSING AUTHORITY This ndnrtduel has been informed>of the'licensing requirements that pertsln';to th(s type ofi;tiusiness . `€ 1 Pgi Authorized Signature* COMMENTS:... _. _. x,d ..: .. .v .. ...... :: { .. .... .. ... .. ... ........... ... .: . rf:sr. CENTERVILLE-OSTERVILLE-MARSTONS MILLS FIRE DISTRICT DEPARTMENT OF FIRE-RESCUE&EMERGENCY SERVICES 1875 Route 28 Centerville, MA 02632-3117 1926 508-790-2375 x1 • FAX: 508-790-2385 Michael J.Winn,Chief Martin O.'L,MacNeely,Fire Prevention Officer .Byron L.Eldridge,Deputy Chief Michael G.Grossman,Fire Prevention Officer November 13, 2014 TO: Tom Perry, Building Commissioner Building Department Town of Barnstable 200 Main Street Hyannis, MA. 02601 In accordance with MGL 148, Section 28A, the Centerville-0.sterville Marstons Mills Fire/Rescue Department brings to your attention the following potential violation(s) of 780 CMR: Massachusetts State Building Code for your review and/or interpretation of same. NAME/BUSINESS: Keller Williams Realty ADDRESS: 1600 Falmouth Road Units 1-3 Centerville OBSERVANCE: During a routine safety inspection on November 7, 2014, 1 observed a newly created meeting room in Unit 3 that appears to have an occupancy load of over 50. The occupancy is aware that this may trigger additional safety and fire protection requirements. r Michael.Gros an Fire Prevention Officer C.O.M.M. Fire District CC: Jeff Lauzon, Building Inspector ' .. � 0r "Commitment to OurCommunity" TOWN OF BARNSTABLE BUILDIN YERMIT APPLICATION _Woo Map Parcel 2 6 �— / / i ,r Application # 2 Health Division tfa l? o1z/ ( Date Issued Conservation Division -t" Application Fee v rm- 4 Planning Dept. _C-°mit Fee J�p � L Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation/ Hyannis Project Street Address A�60 �/K a .Village �,l vLi GL L Own TLC J�v-� �v 6� Address �GG r44Aev 1,4V,r � Telephone Permit Request %At�i r% 7 DiJ� g�A 6,"r-14" ;'l, e A -,, z-J .mac e� Square feet: 1 st floor: existing—proposed q g 4>/ %C2nd floor: existin proposed Q'Waotal new 1APA Zoning District cur Flood Plain /G'U Groundwater Overlay Project Valuatio;r/;:0 GZ? Construction Type Lot Size ✓'�S Grandfathered: Vies ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family (# units) Age of Existing Structure 25- )6!!!� Historic House: ❑Yes 'iKo On Old King's Highway: ❑Yes a<O Basement Type: ❑ Full ❑ Crawl ❑ Walkout ❑ Other MdAIO Basement Finished Area (sq.ft.) i1/l� Basement Unfinished Area (sq.ft) Number`of Baths: Full: existing new Half: existing new wn,t Number of Bedrooms: existing new Total Room Count (not including baths): existing new First Floor Room Count Heat Type and Fuel: liertas ❑ Oil ❑ Electric ❑ Other Central Air: %Ples ❑ No Fireplaces: Existing P"ew Existing wood/coal stove: ❑Yes ❑ No Detached garage: ❑ existing ❑ new size_Pool: ❑ existing ❑ new size _ B1❑ existing oJew size_ te, Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size900 _ O Zoning !ing Board of Appeals Authorization ❑ Appeal # Allk Recorded Commercial 7�G Yes ❑ No If yes, site plan review # Current Use ��21 D�G Yi Proposed Use �' APPLICANT INFORMATION —----=- (BUILDER OR HOMEOWNER) Name 6�'�i/�Ll r Telephone Number '7— �� 4�'3 Z Address ' to License# S— 6 2 e/( /dYvliLlt/ /✓!Ay0 266 K Home Improvement Contractor# Email �`�/ 6!+�L���• C A44 Worker's Compensation #6Z7.LO/a ALL CONSTRUCTION DEBRIS RESULTINO FROM THIS PROJECT WILL BE TAKEN TO G/ r• J 9✓rJ2 SIG NATUR DATE 47j FOR OFFICIAL USE ONLY ; APPLICATION# ; r DATE ISSUED A MAP/PARCEL NO. _ f ADDRESS VILLAGE OWNER l DATE OF INSPECTION: / r FOUNDATION FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL " i - GAS: ROUGH FINAL ' FINAL BUILDING is DATE CLOSED OUT ASSOCIATION PLAN NO. ' F Hie Cvmynorrsceakh of Vassachuseffs Deparftnent of1ndnsb.wlAccidents 600 Washington,S eet B asdorj,M,4 02.H1 wnmM Mass:gm1dia workers' Compensation Insurance Affidavit:Bnilders/Cants-actors/FylectriciansXlumbers Applicant Information r n / Please Print Legibly Name( esa/O anizafion(fndividnal]- 3'/ �' C u2�✓�C-f(i•�� /r• Address_ i2 G v 6 ti City/Stat&Zip. Phoneme 6 —�3'3 —423 2 Are y an employer?Check the appropriate box.: , of 4. I am a contractor Type, and I 3' project(required)- 1. I am a employer with i5_ ❑New scion employees{full and/or part * have hied thesub-contractors 2_El am a sole proprietor or partner- listed on the attached sheet~ �- ❑Remodeling ship and hate no employees These sub-contractors have g- ❑Demolition w for me in any capa �ci r_ employees and have workers' insurance_t g_ ❑Building addition [No workers, comp_insurance cance omP' rtgnired-] 5_.❑ We are a corporation and its lfi3_❑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 exxsrgtiori per MGL 12_. c_152, 1 andwehaveno ❑Itoofrepairs inmir ante required.]T. § (4)' 13_❑Other 1 employees-[No wodw s' e_p-insurance-required-J.; *ltay apphcmt that checks boa f1 nmst also fill out the section below showing then wo3keia'compensation policy infnrmation- T Homeowners who submit this of iAx=indicst mg they am doing aR uuck and then hoe outside contractors nmst submit anew affidn-it indirntin such tContcactors that check this box Must attached as additional sheet showing the name of the and state Whether or not those entities have employees. If the strb-conttactors haee employees,they nwst provide their worlLeW comp.policy amnber. I am an employer chat is prmliding it orkers'compensation irmirance far my emnWL em Below is fhepaficy and job site information_ Insu ance Company Name- Pam or S$1f ins_Lim '22 !� L�p�]�7/yt Expiration Date- Job Site Address-/4ad 0N Ac—� City/StatelZip- 1. -ett<{t/�r'�[< Attach a copy-of the workers'compensation policy declaration page(showing the policy-number and expiration date). Failure to secure covverage as recluireduader Section 25A of MGL c 152 can lead to the imposition ofcriminal penalties of a fine up to$1,50G.00 and/or one-yearungn'sonmen,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 maybe forwarded to tte Office of luvestigations of the DIA for inatrance coverage veeffication_ ' I dv h r c �ir all pan e o irry that fhe irtfnrma#ron prm�ided abase is 6zre and correct Date- ? 7i Phone - ;.���3 �3 . Of Edol use only. Do not sprite in this area,to ba completed by city or town offi'ciaL Cite or Town: PermitUcense Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.CitFdrawn Clerk 4.Electrical Inspector S.Plumbing Inspector 6.Other Contact Person. Phone#_ 6 4 Information and. Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers'compensation for their employees. Pursuantto this statute,an employee is defined as"...every person in the service of another under any contract of hire, express or implied, oral or written." An employer is defined as"an individual,partnership,association,corporation or other legal entity, or any two or more of the foregoing engaged in a joint enterprise,and including the legal representatives of a deceased employer;or the receiver or trustee of an individual,partnership,association or other legal entity,employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein,or the occupant of the dwelling house of another who employs persons to do maintenance,construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." J 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 awry applicant who has not produced acceptable evidence of compliance with the insurance.coverage required." Additionally,MGL chapter 152, §25C(7)states"Neither the commonwealth nor any of its political sUbdivisloas shall enter into any contract for the performance of public work until acceptable evidence of compliance v rith 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 numbers)along with their CCr.ncate(s)of insurance. Limited Liability Companies(LLC) or Limited Liability Partnerships(LLP)with no employes other than the members or partners,are not required to carry workers' compensation ffisurance. If an LLC or LLP does have employees, a policy is required_ Be advised that this affidavit may be submitted to the Department.of Industrial Accidents for confirmation of insumnee coverage. Also be sure to sign and date the affidavit. 'llze affidavit should be returned to the city or town that the application for the permit or license is being requested,not the Depart ent of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy,please call the Department at the number listed below. Self-insured companies should enter their self-insurance license number on the appropriate line. City or Town Officials Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant Please be sure to fill in the permit/license number which will be used as a reference number. In addition, an applicant Chat must submit multiple permit/license applications in any given year,need only,submit one affidavit indicating current policy information(if necessary)and under"Job Site Address"the applicant should write gall 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 mist be:filled out each year.Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e.a dog license or permit to bum leaves etc.)said person is NOT required to complete.this affidavit. The Office of Investigations would lace to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call. The Department's address,telephone and fax number: ti 'Fbe Commanwealth of Massachusets Department Qf Industrial Accidents Office oz lavestintxcas 600 Washing on Strut $astou,MA 02111 Tel.4 617-727-4.900 W 406 or 1-9 MASWE Revised 4-24-07 Fax#617-727-7149 www.massgov/dia JTCCO-1 OP ID:MK CERTIFICATE OF LIABILITY INSURANCE r ATE(M 12/0 /209/20 4 14 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 Debra J.Landry FAX 3 School Street P.O.Box 1018 AIc No Ext:508-824-8961 A/C No):608-828-1913 Taunton,MA02780-0957 E-MAILDRE David G.Pietro SS:dlandry@dgpmilesins.com INSURER(S)AFFORDING COVERAGE NAIC# INSURERA:Catlin Specialty Ins Co INSURED JTC Contractors Inc INSURER B:Great American Insurance Co John Callahan 1 Buttercup Lane INSURER C:National Grange Insurance Co. South Yarmouth,MA 02664 INSURER D:Zurich American Insurance Co 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. ILTR TYPE OF INSURANCE DDL UBR POLICY NUMBER MM/DDY� MMLDDY� LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,00 A X COMMERCIAL GENERAL LIABILITY 2000200122 08/09/2014 08/09/2015 DAMAGE To PREMISES RENTED occurrence $ 100,000 CLAIMS-MADE I 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 $ 2,000,000 POLICY PRO LOC $ AUTOMOBILE LIABILITY - COMBINED SINGLE LIMIT 1,000,000 Ea accident $ C ANY AUTO MIM29803 10118/2014 10/18/2015 BODILY INJURY(Per person) $ ALL OWNED X SCHEDULED AUTOS AUTOS BODILY INJURY(Per accident) $ HIRED AUTOS NON-OWNED PROPERTY DAMAGE $ AUTOS _ PER ACCI DENT $ UMBRELLA LIAB HOCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED I I RETENTIONS $ WORKERS COMPENSATION - - WC STATU- OTH- AND EMPLOYERS'LIABILITY TORY LIMITS ER - D ANY PROPRIETOR/PARTNER/EXECUTIVE Y/N 6ZZUB6BO5291414 06/14/2014 06/14/2015 E.L.EACH ACCIDENT $ 1,000,000 OFFICER/MEMBER EXCLUDED? ❑ N/A (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ 1,000,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 1,000,000 B Property Section IMP306742803 05/17/2014 05/17/2015 BPP 5,00 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(Attach ACORD 101,Additional Remarks Schedule,if more space is required) Proof of insurance subject to actual policy terms, conditions, limits, exclusions and definitions. CERTIFICATE HOLDER CANCELLATION BELLTOW SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Bell Tower Corp. THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN P.O.BOX 1461 ACCORDANCE WITH THE POLICY PROVISIONS. South Dennis,MA 02660 AUTHORIZED REPRESENTATIVE @ 1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25(2010/05) The ACORD name and logo are registered marks of ACORD SHE rqy� Town of Barnstable Regulatory Services ` 9IIAMSTABM � Thomas F.Geiler,Director Ok 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 3 I �✓f �/l.��l�J�- j , as Owner of the subject property hereby authorize �C l'f/1� l✓n2�, 1° to act on my behalf, in all matters relative to work authorized by this,building permit. led (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. a&IZ,2 YS' e of Owner S• azure of Applicant Print Name Print Name �Z/57 Date ' 4 Q:FORMS:OWNERPEFMISSIONPOOLS 62012 T a Massachusetts -Department of Public Safety Boord of Building Regulations and Standard:; License: C"28 f:9 Y. (214�'.E���; .. ffl NUMr �� At dt2 3 d 4 I f1i V• Expiration C�rv��issiond,> 0,6f28/2Q1 F, „ d JTC CONTRACTORS INC DATE 12/8/14 RE. PROJECT SUPERVISION TENANT FIT OUT BELL TOWER MALL UNIT#6 To whom it may concern Please except this letter as confirmation that Stephen R Callahan construction supervisors license#CS- 028119 is employed by JTC Contractor Inc for the purpose of project oversight at the above referenced location.A copy of his license is attached. THANK YOU One Buttercup lane South Yarmouth ma 02664 --------------- Initial Construction Control Document To be submitted with the building permit application by a Registered Design Professional for work per the 8h edition of the Massachusetts State Building Code, 780 CMR, Section 107 —Project Title:K-eHer-W-illiams-expansion--into-suite#6—Date.-42=4=20 Property Address: 1600 Falmouth Rd. Centerville,Ma Unit#6 Project: Check(x)one or both as applicable: New construction x Existing Construction Project description: Unit#6 combined with Unit#2 new offices,cubicle rooms and meeting room 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 Document'. Enter in the space to the right a"wet"or electronic signature and seal: P.pqc S'-'ER AAA Phone number: 978 844-4708 Email:mschryver@yahoo.com 0F1 Building Official Use Only Building Official Name: Permit No.: Date: VV Note 1.Indicate with an Y project design plans,computations and specifications that you prepared or directly supervised.If'other'is chosen, provide a description. Version 06 11 2013 Mass. Corporations, external master page Page 1 of 2 s. a William Francis GalvinJ b zrSecretary of • i of Corporations Division Business Entity Summary ID Number: 043152914 ;Request certificate I i Ne esw arch 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 STEPHEN CALLAHAN 307 WALNUT ST., ABINGTON, MA 02351 USA http://corp.sec.state.ma.us/CorpWeb/CorpSearch/CorpSummary...' 12/10/2014 Mass. Corporations, external master page Page 2 of 2 DIRECTOR JOHN T CALLAHAN III 1 BUTTERCUP LANE SOUTH YARMOUTH, MA 02664 USA Business entity stock is publicly traded: f 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 Class of Stock Par value per share outstanding No. of shares Total par No.of shares value CNP $ 0.00 200,000 $ 0.00 300 r GJ Confidential Fj- Merger r Consent Data Allowed Manufacturing View filings for this business entity: ALL FILINGS Administrative Dissolution Annual Report Application For Revivala . Articles of Amendment {View filings Comments or notes associated with this business entity: In" lv New w search http://corp.sec.state.ma.us/CorpWeb/CorpSearch/CorpSummary... 12/10/2014 YOU WISH TO OPEN A BUSINESS? For Your Information: Business certificates (cost$30.00 for 4 years). A business certificate ONLY REGISTERS YOUR NAME in.town (which you must do by M.G.L.-it does not give you permission to operate.) You must first obtain the necessary,signatures on this form at 200'Main St., Hyannis. Take the completed form to the Town Clerk's Office, 1st FI., 367 Main St., Hyannis, MA 02601 (Town Hall) and get the Business Certificate that is required by law. s DATE:1 2 3 6 'V Fill in please: '4 APPLICANT'S YOUR NAME/S: e_t4 Y F 'BUSINESS. YOUR HOME ADDRESS: alp TELEPHONE # Home Telephone Number 502 31oo - y NAME OF CORPORATION: 'v)Or } c S L L NAME OF NEW BUSINESS Ke he r Lih I I 4),n s TYPE OF BUSINESS JT 1 L== f IS THIS A HOME OCCUPATION? YES, NO Ce..n+eruj l i-e ADDRESS OF BUSINESS, )�'0 }—IT 3�cs Z , w�w1 yz.63-L MAP/PARCEL NUMBER P-0 q / (Assessing) When starting a new business there are several things you must do in order to be in compliance Wth the rules and regulations of the Town of. Barnstable. This form is intended to assist you in obtaining the information you may need. You MUST GO TO 200 Main St. - (corner of Yarmouth Rd. &Main Street) to make sure you have the appropriate permits and licenses required to legally operate your business in this town. 1. BUILDING COMMISSIONER'S ICE This individual has been med of an permit requirements that pertain to this type of business. uthorized Signature* COMMENTS: k_)11F__ S Lc�•.J 2. BOAR D'OF HEALTH This individual h been intcmed of th permiFu requirements that pertain to this type of business. Authorize ignature* COMMENTS: 3. CONSUMER AFFAIRS (LICENSING AUTHORI This individ'al haylB�e G 'n infor Ythe lice si g r quir nts that pertain to this type of business. Authorized Signature* COMMENTS: YOU WISH TO OPEN A BUSINESS? For Your Information: Business Certificates cost $40.00 for 4 years. A Business Certificate ONLY REGISTERS THE BUSINESS NAME in town (which you must do by M.G.L.- it does not give you permission to operate.) You must first obtain the necessary signatures on this form at 200 Main St., Hyannis. Take the completed form to the Town Clerk's Office, 1sr FL., 367 Main,,Street, Hyannis, MA 02601 (Town Hall) and get the-Business Certificate that is required by Jaw. Fill in please: Date: t 0 t; APPLICANT'S NAME: �• , "' '; YOUR HOME ADDRESS: Ox a vi R BUSINESS TELEPHONE # 'Z 173 HOME TELELPNONE EIN OR NAME OF CORPORATION: FID # NAME OF NEW BUSINESS C � �t ^� fl E1Y1i TYPE OF.BUSINESS Ry ,C : 5 IS THIS A HOME OCCUPATION? YES V NO'.. ADDRESS OF BUSINESS �� - SC �`-' MAP/PARCEL NUMBER D. (Assessing). 4 When starting a new business there are several things you'-must do to be in compliance with the rules and regulations of the Town of Barnstable. This form is to assist you in obtaining the information you may need. You MUST GO TO 200 Main St. '(corner of Yarmouth Rd. & Main Street) to make sure you have the appropriate permits and licenses required to legally operate your business in town. 1. BUILDING COM ISSI NER'S OFFICE ~ This individ al h een ' f r ed of permit requirements that pertain to this"t e of business. Y p q p type ne Aut orized Signa re** ( OMMENTti`� l �t 2. BOARD OF HEALTH This individual has been informed of the permit requirements that pertain to this type of business. Authorized Signature** COMMENTS: 3. CONSUMER AFFAIRS (LICENSING AUTHORITY) This individual has been informed of the licensing requirements that pertain to this type of business. 4 Authorized Signature** Sign ° TOWN OF BARNSTABLE Permit BARNSTABLE. 9 MASS. Qj 1639- Permit Number. CFO MA'S Application Ref: 200805680 pP 20070227 Issue Date: 10/14/08 Applicant: Proposed Use: SHOPPING CENTER- MALL Permit Type: SIGN PERMIT Permit Fee $ 75.00 Location 1600 FALMOUTH ROAD (ROUTE 28) Map Parcel 209014 Town CENTERVILLE Zoning District SPLT Contractor PROPERTY OWNER Remarks KELLER WILLIAMS REALTY - SUITE 2 27 SQ WALL & 3 DOOR Owner: BELL TOWER CORPORATION Address: P O BOX 1461 SO DENNIS, MA 02660 c+ Issued By: PC POST THIS CARD SO THAT IS VISIBLE FROM THE STREET cr"\j PO)- Town;of Barnstable Regulatory..Services Thomas F. Geiler,Director Bg Building Division y Mass. 'OTfo ,�a Tom Perry,Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Permit# C�0000115690 Application for Sign Permit p Applicant: Kcl�e�. w �`���INS2JSC-T'"�Map &Parcel# O / Oly 01 Doing Business As:`Ce\1-e—Q Wkkk,0PA 5 Telephone No.505 Sign Location ` ' ^ Street/Road: 1600 �� 2-(5 — SV c4e p� ��lr� l�`Q MA r Zoning District: Old Kings Highway? Yes/No, Hyannis Historic District? Yes/No Property Owner C�\1��o } S c)�S , Name: .�c��J Telephone: Address:80 IS"T 54"- Village:�Q� AA-A- Sign Contractor ""^��� t�'�a. Name: l y yy�c�(i1 �y - Telephone: Set Mailing Address: �,O so a-quvx.&- ` Description Please draw a diagram of lot showing location of buildings and existing signs with dimensions,location and size of the new sign. This should be drawn on the reverse side of this application. r r Is the sign to be electrified? Yes (Note:If yes, a wiring permit is required) Width of building face �o t -fL x 10= �� v x.10= y? 1 Sq.Ft of proposed sign 7�pOUft I hereby certify that I am the owner or that I have the authority of the owner to make this application,that the information is correct and that the use and construction shall conform to the provisions of§240-59 through§240-89 of the Town of Barnstable Zoning Ordinance. Signature of Owner/Authorized Agent:, Date: l ClIb Permit Fee: Sign Permit was approved: Disapproved: Signature of Building Official: Date: In order to process application without delays all sections must be completed. Q:1 WPF/LESISIGNSISIGNAPP.DOC Rev.9112106 �,.. �i �., %� -- �:;,,. ... �� .� �.;�;.._ . i Y....J I !_ (.� �a. '� �rE� r :'sr:'; r,. ,�<�( t, "`�` ,+�► r � KEUM IW y •� MA' S-L .:. .-' Af-� " OI.JTI 1, M/\. O�'E3E34 Z g n �. (508} 398-2721 (508} 760-3130 Fa x Inc. 5incc� 1�56 wwwPlymouthSign.com APPROVED • KELLER WILLIAMS' OFFICEEXPANSION BELL TOWER PLAZA UNIT. #6 MODIFICATIONS 1600 Falmouth Rd. Centerville, Ma ARCHITECT: Mark Schryver MA License#31155 , 40 Hilltop Road Lancaster, MA 01523 ph. (978) 844-4708 i v, 7 email:mschryver@yahoo.com �£ P Xg EXISTING EXIT .. ,. s ', ,,o y a,. - DOOR TO .. - APPLICABLE BUILDING CODES EXTERIOR wq; ..� 'A••.�/ ��# ,yI '��' &. I OR OPENING NG D - ' - r BETWEEN SUITES INTERNATIONAL BUILDING CODE 2009 AND MASSACHUSETTS STATE BUILDING CODE-780 CMR-EIGHTH EDfTION �' I NOTE: • ; '�' '¢ n PATCH AND REPAIR DROP CEILING AS ` .y - fi '.° Ij REQUIRED,RELOCATE SPRINKLER HEADSTO CONTRACTOR SHALL COMPLY WITH THE ABOVE CODES AND ALL LOCAL ACCOMMODATE new OFFICE PER CODE, CODES. CONTRACTOR TO NOTIFY ARCHITECT OF ANY CONDITIONS THAT VARY NEW CARPET AND'FLOORING AS FROM CONSTRUCTION DOCUMENTS PRIOR TO PROCEEDING WITH CONSTRUCTION. RenulReo: s � mow•._.;; - 9 M/SUILDING SCOPE OF WORK: MINOR INTERIOR TENANT ALTERATIONS c -t LOCA71pN KELLER WILLIAMS T NEW MEETING ROOM '� . : - - 780 S.F.ASSEMBLY USE- EXISTING SUITE#2 I OCCUPANT FOR EACH UNIT#6 COMBINED WITH TENANT KELLER WILLIAMS UNIT#2 163.F.=62 OCCUPANTS 1644E hRtl 4 WORK INCLUDES NEW OFFICES,CUBICLE ROOMS AND MEETING ROOM � F REQUIRING z EXITS,z r,. EXITS ARE PROVIDED z �`"tks KELLER WILLIAMS `., -.- - - •, EXPANSION INTO SITE LOCUS INFORMATION MAP suITE#s NOT TO SCALE - NEW WALLS ttP. ,. . _ e F 8 WORK COUNTER� - J - - - NEW CONNECTING----�.� . • ' HALLWAY OPENING< 1- _ • _ _ BETWEEN SUITES AREA OF WORK - NEW . WORKFICE NEW OFFICE ROOM NOTE: YP.PATCH AND REPAIR DROP CEILING AS REQUIREDRELOCATE SPRINKLER HEADS IDS ACCCOMMODATTE NEW OFFICE PER CODE° NEWWORK #1 #12 #19 4 #31 REQNEWUIREDCARP�AND FLOORING AS ROOM W FICE #7 #8 #9 #10 #11 #15 #16 #20 #21 #22 #23 #27 #28 #323 NEW cuelcLE .. WORK .. ROOM 3,_5v ENTIRE SUITE HAS LAY IN 2x4 ACOUSTIC TILE "* CEILING,FULLY KEY PLAN OF OVERALL BUILDING '> r SPRINKLERED ,NOT TO SCALE F NOTE: PATCH AND REPAIR DROP CEILING AS • REQUIRED,RELOCATE SPRINKLER HEADSTO ACCOMMODATE NEW OFFICE PER CODE, • NEW CARPET AND FLOORING AS REQUIRED. ` EXISTING EXIT DOOR . LIGHT ND EMERGENCY EXIT o- SCy� flC, �Y SYMBOLS LEGEND FLOOR PLANSCALE:1v4• 1-0• r c� "o•31155 12 0 l_F,NCASTEi�, o! EYSFRIO SPAS KOI m ROr CO euLnNc NLLY sPRUDaERED olDnouAL 16ADS 2� MA J� REIDCATTD AS REDINlFD er tODE ® nwLouLTFa EYIf sqI P low nfmcm DOTLw IRIRFI/SFR=IDDT TIED INTO FIX ALM SYSTEM PER CODE - IfF ng-ALARM KU STATION TIED INTO FIRE UM MIEN PER CODE Date: 12-15-14 A0 - - I