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1600 FALMOUTH ROAD/RTE 28 (22)
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Nutt" Where.a"CertMcate"ofOccupancy is;Required,su µh Building shall Not'be Occupied until a Final Inspection has been made. + Permit Permit No. B-18-916 Applicant Name: Amanda Pfeffer Approvals Date Issued: 04/24/2018 Current Use: Structure Permit Type: Building-Sign Expiration Date: 10/24/2018 Foundation: Location: 1600 FALMOUTH ROAD/RTE 28,CENTERVILLE Map/Lot: 209-014 Zoning District: SPLIT Sheathing: Owner on Record: BELL TOWER CORPORATION Contractor Name:`%,RICHARD E MCNABB JR Framing: 1 Address: P O BOX 1461 I Contractor License. CS-109688 2 SOUTH DENNIS, MA 62660 �- Est Protect Cost: $650.00 Chimney: Description: Refacing existing illuminated box sign on building with ne w lexan 4 Permit F e: $50.00 face and graphics as per sketch. Unit 34(25sq-.ft) _ Insulation: i h Fee? S 50.00 4/24/2018 Final Professional Physical Therapy aY � f� Plumbing/Gas Project Review Req: _ Rough Plumbing: Zoning Enforcement Officer Final Plumbing: This permit shall be deemed abandoned and invalid unless the work authorized by this permit is commenced within six months a. erissuance. Rough Gas: All work authorized by this permit shall conform to the approved application"and the approved construction document's for which this permit has been granted. i _ Final Gas: All construction,alterations and changes of use of any building and structures shall be in compliance with the local zoning by=laws and codes. This permit shall be displayed in a location clearly visible from access street or road and shall be maintained open for public inspection for the entire duration of the work until the completion of the same. ' '� : ,� Electrical The Certificate of Occupancy will not be issued until all applicable signatures'by'the Building and Fire Officials are provided on thi permit.The Minimum of Five Call Inspections Required for All Construction Work: R + Rough: 1.Foundation or Footing ELL � 2.Sheathing Inspection Final 3.All Fireplaces must be inspected at the throat level before firest flue lining is installed 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection Low Voltage Rough: 5.Prior to Covering Structural Members(Frame Inspection) 6.Insulation Low Voltage Final: 7.Final Inspection before Occupancy Health Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Work shall not proceed until the Inspector has approved the various stages of construction. Final "Persons contracting with unregistered contractors do not have access to the guaranty fund" (as set forth in MGL c.142A). Fire Department Building plans are to be available on site Final: All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT �Jlvj I kj- Town of Barnstable ` 200 Main Street, Hyannis MA 02601 508-862-4038 Application for Building Permit Application No: TB-18-916 Date�* Ved�: 3/29/2018 Job Location: 1600 FALMOUTH ROAD/RTE 28,CENTER LE Permit For: Building-Sign LJ �i{2r v Contractor's Name: RICHARD E MCNABB JR Sta Lic. No: CS-1 b188 - Address: SPRINGFIELD, MA 01129 Appfl n'e;=(413) 732-5111 (Home)Owner's Name: BELL TOWER CORPORATION- P one: (413)732-5111 n1 (Home)Owner's Address: P O BOX 1461 , SOUTH DENNIS,MA 62660 C�J . ✓ Work Description: Refacing existing'illuminated box sign on building with new lexan fad and graphics as per sketch Total Value Of Work To Be Performed: $650.00 Structure Size: 0.00 0.00 0.00 Width Depth Total Area I hereby swear and attest that I will require proof of workers'compensation insurance for every contractor,subcontractor,or other worker before he/she engages in work on the above property in accordance with the Workers' Compensation Act(Chapter 568). I understand that pursuant to 31.275 C.G.S.,officers of a corporation and partners in a partnership may elect to be excluded from coverage by filing a waiver with the appropriate District Office;and that a sole proprietor of a business is not required to have coverage unless he files his intent to accept coverage. I hereby certify that I am the owner of the property which is the subject of this application or the authorized agent of the property owner and have been authorized to make this application. I understand that when a permit is issued,it is a permit to proceed and grants no right to violate the Massachusetts State Building Code or any other code,ordinance or statute,regardless of what might be shown or omitted on the submitted plans and specifications. All information contained within is true and accurate to the best of my knowledge and belief. All permits approved are subject to inspections performed by a representative of this office. Requests for inspections must be made at least 24 hours in advance. Signed: Amanda Pfeffer 3/29/2018 (413)732-5111 Applicant Date Telephone No. Estimated Construction Costs/Permit Fees Total Project Cost : $650.00 Date Paid Amount Paid Check#or CC# Pay Type Total Permit Fee: $50.00 3/29/2018 $50.000 }XXX-XXXX-XXXX- Credit Card t ......... . 6131 Total Permit Fee Paid: $50.00 S"F1�� T'I�II I NT�APIT W v Company EXISTING PROPOSED AGNOU SIGN COMPANY,INC. ..— .,- :__: "�.,^� -. ••-��_....._a, -..,.._ _ 722 WORTHINGTON STREET ... SPRINGRELD,MA 0TI05 TEL.(4-13)732-5111 PHYSICAL I ` '� �P/POFESS/OVAL'THERAPY I` ����� t ,I�i`II111111 CUSTOMER PPT 333 EARLE OVINGTON BLVD SUITE 225 - LINONDALE,NY 11553 - LOCATION: PPT 1600 FALMOUTH RD CENTERVILLE,MA t. L i STORE#: 120" #000 CONTACT: PETER KAPLAN - - - PHYSICAL SALES PERSON: CHRIS O M ® DESIGNER: 4 - LANCE � � PROFESS/OVAL THERA PY ORIG DATE:03-07-18 REV.DATE: 00-00-18 NEW LEXAN FACE W/TRANS BURGUNDY & DARK BLUE VINYL CABINET: 30" X 120" VO: 25 1/2" X 116" SCALE: CUT: 27 1/2" X 117 5/8" NTS 1" MOULDING W/ 1" REVERSE MOULDING THIS DESIGN IS THE EXCLUSIVE PROPERTY OF AGNOU SIGN COMPANY INCORPORATED - n AND All RIGHTS TOITSUSE PPT/CENTERVILLE, MA-1600 FALMOUTH RD.PLT OR REPRODUCTION ARE RESERVED PPT/CENTERVILLE, MA-1600 FALMOUTH RD.CDR ,4c(oRa` CERTIFICATE OF LIABILITY INSURANCE DATE 5 (2m0",7YYYY) THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER, IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies) must be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT NAME: The Dowd Agencies, LLC PHONE FAX 14 Bobala Road AIc No Ext: - - AIc No: Holyoke MA 01040 A DRIESS: PRODUCER CUSTOMER ID#: INSURER(S)AFFORDING COVERAGE NAIC# INSURED INSURERA:Massachusetts Employers Iris Co MEI 12886 Agnoli Sign Co., Inc. INSURER B:LibertyMutual Fire Insurance Coma 23035 722 Worthington Street PO Box 1055 INSURER C:LibertyInsurance Corporation 42404 Springfield MA 01101-1055 INSURERD:First Liberty Insurance CoriDoration 33588 INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER:173951872 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 ANS L WVDR POLICPOLICY NUMBER MM/DDY EFF MMIDD EXP LIMITS D GENERAL LIABILITY TB6Z11261014057 8/21/2017 6/21/2018 EACH OCCURRENCE $1,000,000 X COMMERCIAL GENERAL LIABILITY DAMAGE ( a TED occurrence PREMISESS $ 300,000 Ea CLAIMS-MADE F-_1 OCCUR MED EXP(Any one person) $5,000 PERSONAL&ADV INJURY $1,000,000 GENERAL AGGREGATE $2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGO $2,000,000 POLICY X JECT PRO- X LOC $ B AUTOMOBILE LIABILITY AS2Z11261014067 8/21/2017 6/21/2018 I COMBINED SINGLE LIMIT . $1,000,000 (Ea accident) X ANY AUTO BODILY INJURY(Per person) $ ALL OWNED AUTOS BODILY INJURY(Per accident) $ SCHEDULED AUTOS PROPERTY DAMAGE $ X HIRED AUTOS (Per accident) X NON-OWNED AUTOS $ • . . $ C JX UMBRELLALIAB X OCCUR TH7Z11261014037 8/21/2017 6/21/2018 EACHOCCURRENCE $5,000,000 EXCESS LIAB CLAIMS-MADE - AGGREGATE $5,000,000 DEDUCTIBLERETENTION $10,000 $ A WORKERS COMPENSATION MCC20020004032016A. - 6/21/2017 6/21/2018 X WC STATU- L OTH- AND EMPLOYERS'LIABILITY YIN .._...._ IQf3Y_LI.M)LS_ ER__._..._ ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $1,000,000 OFFICER/MEMBER EXCLUDED' a NIA - —.-_.. _.._._._............ (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 I DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (Attach ACORD 101,Additional Remarks Schedule,if more space is required) CERTIFICATE HOLDER CANCELLATION __..._......... ......_ SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. - - - AUTHORIZED REPRESENTATIVE ©1988-2009 ACORD CORPORATION. All rights reserved. ACORD 25(2009109) The ACORD name and logo are registered marks of ACORD The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations ' 600 Washington Street i Boston, MA 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information _ _ _. _.... Please Print Legibly Nance(Business/Organization/Individual):,,..,_ Agnoli Sign Company,Inc. Address: 722 Worthington Street/PO Box 1055 Cr1y/Sttc�Zlp'm Springfield,MA U1101-1055 .......... Phone#:, 413-732 511,1. ..... ._...- Are you an employer?Check the appropriate box: Type of project(required): I,.❑ I am a employer with 4. Q I am a general contractor and I 6. Q New construction employees(full and/or part-time).* have hired the sub-contractors 2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7. ❑ Remodeling ship and have no employees These sub-contractors have g, Q Demolition working for me in any capacity, employees and have workers' 9. ❑ Building addition [No workers' comp. insurance comp. insurance.+ required.] 5. Q We are a corporation and its 10.E] Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their 11.Q Plumbing repairs or additions t myself. [No workers' comp. right of exemption per MGL 12.0 Roof repairs insurance required.]t c. 152, §1(4),and'we have no 13.Q Other employees. [No workers' comp in required.] , .-: !mw appltca�t't1hat checks box#1 must also fill out the section below showing their vprkers'compensation policy informa[ioa t,Ilnmt cr i ers:who submit this affidavit indicating they are doing all work and then hiri autside contractors must subrrltt a new affidavit indicating such. :Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comps policy number. I am an employer that is providing workers compensation insurance for' employees. Below is the policy andjob site information. ' F Insurance Company Name Massachusetts.Employers Insurance Company(MEIC) Policy#or Self-ins. Lic.# MCC2002000403 20.17A Expiration Date 06/21/18 Job Site Address;: City/State/Zip Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,5.00.00 and/or one-year imprisonment,.as well as civil penalties in the form of a STOP WORK ORDER and a fine F. of up to$250.00 a day against the violnr Be advised that a copy of this statement maybe forwarded to the Office of Investigations,of the DIA fori f4h..c coverage verification. I do hereby certify u der the' 'its rl pchd1f es'of perjury that the information provided above is true and correct Si nature:'. 4 Date" Phone'.# 413-. ;2-511.1, _.._. ............... Official use only. Do not write in this area,to be'completed by city or town official. City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4. Electrical Inspector 5.Plumbing Inspector 6.Other. Contact Person: Phone#:...., �s flW,r Y l a/ // y, .;r..;;�'� /" � ✓„ •,� �.` G o/ r �f5z ;'..Y a ,� � 4 E wr �' ,.ty gqk " ,.r n Y t G •.a� / Y ;H ,u a,a « r,y ' i.. 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Y //r ,,.: ,.., /.. ,�: /. rrr / ;:, ,r.r.. / ram/. , ,.. r ?'� .✓ ri, „/� .. �'. w„ /^w/� , rr._u .. ,' �ff it, , I al � l / /� ,/„/ s, >` 4 �/,,_... ,✓. �� ,F m � / /:;f ,.�, .:.[': � � .l ,.. / �r.,/ r i f �f,,_.,,L,,.,. ,r /... � �.rffr_.r -rl r /,;�,;-rrh/✓/ rr ,rr r ,Url�9".. ->+r ,r� ':!.I-`,J/ r oil A WA ✓ y / k i / G � g � � 08/18/2008 20:50 5088886566 CONSERV GROUP INC PAGE 01/02 J',VH OF 8AR0, FABL..E 2008 AUG 19 AM .8: 02 Con.Sery Gro p, Inc. [ FAX TRANSMITTAL. SHEET At: IAft. ` '1dv�P Fax 9: �D8d — 6 Z�► From: � �T�' .fny r Date: /7---p4 NuTriber of pagcs including cover sbeet: 2 /� to If transmittal is incomplete, please call ConSery Group, Inc. at 508-888-6555. Out fax number is 50-8.888-6566. 08/18/2008 20:50 5088886566 CONSERV GROUP INC PAGE 02/02 ConSeArr GROUP, INCORPORATED _ 200E AUG 19 AM 8: 02 August 19, 2008 Mr. Jeff Lauzon,Centerville Building Inspector, Town of Barnstable 200 Main Street Hyannis, MA 02601 Re: Building Permit Application Pending Physical Therapy in Motion, Inc. 1600 Falmouth Road(Rt, 28) Bell Tower Mall Centerville, MA Dear Jeff: Today our client made us aware that the correct unit number for the space we propose to renovate at Bell Tower Mall is "Unit 34"not `unit 354' as indicated on the permit application. Please amend the building permit application file to incorporate this change. Thank you for your attention in this mattes, V y yours Roland(Roy) Cati President ConSery Group, Inc. 2277-6tatc Road,Plymouth,.b4A 02360—Mail to:Pt7 l3ox 278,Sapmore perch,.1NA 02562 (50&)888-655S—(503)�9�8;6566 Town of Barnstable o� Building Department - 200 Main Street BARNSTABLE, * Hyannis, MA 02601 i639- 9 MASS. $ (508) 862-4038 �� ArFD�s Certificate of Occupancy Application Number: 200803347 CO Number: 20080199 Parcel ID: 209014 CO Issue Date: 10127/08 Location: 1600 FALMOUTH ROAD (ROUTE 28) Zoning Classification: SPLIT ZONING Proposed Use: SHOPPING CENTER - MALL Village: CENTERVILLE Gen Contractor: ROLAND B CATIGNANI Permit Type: CC00 - CERTIFICATE OF OCCUPANCY COMM Comments: FOR UNIT 34 - PHYSICAL THERAPY 70`2, S Building Departm nt Signature Date Signed S!,0� � r , IRE TOWN OF BARNSTABLE Building Application Ref: 200803347 BARNSTABLE, » Issue Date: 08/26/08 - Permit MASS �p 1639• ��� Applicant: ROLAND B CATIGNANI rFG rtAO►�A Permit Number: B 20081834 Proposed Use: SHOPPING CENTER-MALL Expiration Date: 02/23/09. Location 1600 FALMOUTH ROAD (ROUTEalft District. SPLTPermit Type: COMMERCIAL ADDITION ALTERATION Map Parcel, 209014 Permit Fee$ 50.00 Contractor ROLAND B CATIGNANI Village CENTERVILLE App Fee$ 100.00 License Num 005157 Est Construction Cost$ 0 Remarks APPROVED PLANS MUST BE RETAINED ON JOB AND TENANT FIT OUT FOR PHYSICAL THERAPY BUSINESS.UNIT 34. THIS CARD MUST BE KEPT POSTED UNTIL FINAL NEW PARTITIONS,BATH MOD,WINDOW INSPECTION HAS BEEN MADE. WHERE A CERTIFICATE OF OCCUPANCY IS REQUIRED,SUCH Owner on Record: BELL TOWER CORPORATION BUILDING SHALL NOT BE OCCUPIED UNTIL A FINAL Address: P O BOX 1461 INSPECTION HAS BEEN MADE. SO DENNIS, MA 02660 Application Entered by: JL Building Permit Issued By: THIS'PERMIT CONVEYS NO RIGHT TO OCCUPY-ANY STREET,ALLY OR SIDEW.ALK.Ok-AN.VPART...THER06MTAk TEMPORARILY'OR'PERMANENTLY. ENCROACHEMENTS ON PUBLIC PROPERTY;NOT SPECIFICALLY PERMITTED UNDER.THE'BUILDING CODE,MUST BE APPROVED'BY;THE JURISDICTION... STREET ORALLY GRADES AS' WELL AS DEPTH AND LOCATION OF PUBLIC SEWERS NIAY BE OBTAINED FROMTHE,DEPARTMENT OF'PUBLIC,WORKS'4< THE ISSUANCE OF THIS PERMIT DOES NOT RELEASE THE APPLICANT FROM THE CONDITIONS OF ANY APPLICABLE SUBDIVISION RESTRICTIONS MINIMUM OF FOUR CALL INSPECTIONS REQUIRED FOR ALL CONTSTRUCTION WORK: 1.FOUNDATION OR FOOTINGS. 2.ALL FIREPLACES MUST BE INSPECTED AT THE THROAT LEVEL BEFORE FIRST FLUE LINING IS INSTALLED. 3..WIRING&PLUMBING INSPECTIONS TO BE COMPLETED PRIOR TO FRAME INSPECTION. 4.PRIOR TO COVERING STRUCTURAL MEMBERS(READY TO LATH). 5. INSULATION. 6.FINAL INSPECTION BEFORE OCCUPANCY. WHERE APPLICABLE,SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL,PLUMBING AND MECHANICAL INSTALLATIONS. WORK SHALL NOT PROCEED UNTIL THE INSPECTOR HAS APPROVED THE VARIOUS STAGES OF CONSTRUCTION. PERMIT WILL BECOME NULL AND VOID IF CONSTRUCTION WORK IS NOT STARTED WITHIN SIX MONTHS OF DATE THE PERMIT IS ISSUED AS NOTED ABOVE. PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS.DO NOT HAVE ACCESS TO GUARANTY FUND(asset forth in MGL c.142A). In BUILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS 0 I"o1Zy�c8 2 G 1 -- 2 2 2 00, dLai nspection provals Engineering Dept 3 1 Heating Fire Dept 2 Board of Health • CENTERVILLE-OSTERVILLE-MARSTONS MILLS FIRE DISTRICT 1875 ROUTE 28 CENTERVILLE, MA 02632 (508) 790-2375 x1 /FAX (508) 790-2385 FIRE PREVENTION INSPECTION REPORT DATE: PROPERTY OCCUPIED BY: �+����'� « �� � � PHONE: ADDRESS: t6d'O vl�,t-040,-fnc V,�-o :S4 CtNZ�,A«�- 'COMPLEX: 3r1�i�� ,►� . LOCK BOX:Y N LOCK BOX LOCATION: Sib C A BUSINESS OWNER: PHONE: 5ol.S-lW--7tIY,I BUILDING OWNER: PHONE: EMERGENCY PHONE NUMBERS: 1. PHONE: 2. PHONE: 3. PHONE: ------------------------------------- FIRE ALARM SYSTEM: LOCAL: SYSTEM: X 26C BLDG.:YES: NO: X PANEL LOCATION: Qvr,,�k (0N7-2-1 ',-k ALARM COMPANY: PHONE: SPRINKLER SYSTEM: F.D.CONNECTION: A SHUT OFF LOCATION: SPQ,ac. co-`2°v R�'t HOOD SYSTEM: YES: NO: EXPIRES: FIRE EXTINGUISHERS: YES: NO: EXPIRES: �X%j EMERGENCY LIGHTS: YES: NO: -------------------------------------- ELECTRIC SHUT-OFF (MAIN): GAS SHUT-OFF: SPECIAL HAZARDS: 1 2 3 -------------------------------------- VIOLATIONS: SWZWV-LtR W Pt�s,v tVAw44r ;x v3l-i. Cuo%:D�Gt to So Ac A4�CAS —————————————————————————————————————— CORRECT VIOLATIONS BY: FIRE INSPECTOR: OCCUPANT.:/f WHITE COPY/FIRE DEPT. YELLOW/OCCUPANT TOWN OF BARNSTABLE BUILDING PE MIT APP ICATION ZAMap of bq Parcel 3 Permit# Health Division Date Issued f )oo IO 1,�4*u Conservation Divisions Application F Tax Collector Perm�lee Treasurer ( / Planning Dept. p� �12610 S Date Definitive Plan Approved by Planning Board Historic-OKH Preservation/Hyannis Project Street Address lc:�i9 LwQ't lta 16 A-0 Village CE�rr�-�eyl u-E Owner Pi+ys I6a L.'TealetfY a Address lG SAV"car.,t/.r 0293? AM44 0- W io�r Telephone Sb-g — 13.5 - a I 't S Permit Request _r&-WA&1r_ ;:7?= DST' - i0#Y S1 G.4 L-T�-?4Af1 9&11 A1tTY . UiV)T 3s"y /S �/ ✓.4[.a,,�T 1,cJa�er�c- iaecv �►/�/�,�r/r '� I�A7X NO VI A Ga T1� 440-01r '. y•e� dA4F AAW&cT wrVVd-AJ. 576-6- 004,W /A77WHvV Square feet: 1st floor: existing 3tft proposed _ 2nd floor: existing of A proposed Al .4 . Total new�5 _ Zoning District t'Y5 Flood Plain 1j 0 Groundwater Overlay A 10 Project Valuation SSt &156 Construction Type Lot Size 1.11 A 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 3'Other T4,v-6 Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full: existing new Half: existing new- Number of Bedrooms: existing new �' Zel r: Total Room Count(not including baths): existing �S new First Floor Room Oou t Heat Type and Fuel: MrGas ❑Oil ❑ Electric ❑Other w Central Air: �(es ❑No Fireplaces: Existing New Existing wood/coal tove: ta,,Yes c No prl-r- Detached garage:❑existing ❑new size Pool: ❑existing ❑new size Barn:❑existing ❑new size Attached garage:❑existing Cl new size Shed:❑existing ❑new size Other: Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial Comes ❑No If yes,site plan review# Current Use 'VS ides Proposed Use ✓515 BUILDER INFORMATION Name l,or�R-✓�v!tAP, I Q C. Telephone Number Address �.d • 6EK Pak License# CIS S i S-1 AiM,l Air &wA, O X51. Home Improvement Contractor# Worker's Compensation# WC, ITZ 314'7 ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO CA SW"W" kk SIGNATU DATE 1 FOR OFFICIAL USE ONLY PERkiT NO. , DATE ISSUED �± MAP/PARCEL NO. r •AD DRESS _ . 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. �P�apTHE Tp Town of Barnstable " Regulatory Services BARNMBLEMass. g Thomas F.Geiler,Director 039. lFerA Building Division Tom Perry, Building Commissioner 200 Main Street, Hyannis,MA 02601 z Office: 508-862-40.38 Tax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A, Builder y LEAS " I, MIGt-E�46L tnr�13��2. Q,�.ES�Oc•.rT` of , as QWqW of the subject property Plk1lSlGAC. Ttts�..a�P�t 14 At*Tlfa_j 14C. hereby authorize_ Ga&JSte,/ a"a Ao act on.my behalf, in all-matters relative to work authorized by this building permit application for: l(a b 0 �i4 LYKVVn' )e6A 0 UiJ f-r 3cl, Cc�},•,4v,�LE Ma (Address of Job) +BELL. 11 Gq LL_ IZA/ Signature of Owner Date /V/048L ID EA Print Name J Q:FORM&O WNERPERMIS SIGN The Commonwealth of Massachusetts Department of Industrial Accidents -_'.. � __ Olflcaollosest�galioos y 600 Washington Street Boston,Mass. 02111 Workers' Com ensation Insurance Affidavit �rrrr�rr rrr r rr�r ///%%%% name: location: hone# city ❑ I am a homeowner performing all work myself ❑ I am a sole proprietor and have no one working m any capacity workers' tmsatioa for my employees worldng on this job......:.: ;:<.;.;>:::;.::::>::><:<;:>:<:::>;::>:»;:::,:<::; :»::.:,>;;,,,>;..... employerrovldmgworke c .... ..........::::::::,.:::::;;;>;.:;:... :;::.:.;;:.:>:.:::,.?.:;:.;:<;.:<.: . :'.:.:::_::::::::.::.:::..:.::.:_;;;::.::::;:.;;:..:.;:.:;:.::.::;.;;:::.::::::: I am an p................. • :.::.: . :.;• :. . :.: ; : , :;. ::::::::.::.: ::.....: ::::::.:.:.::::::::.._...:.::::.:::::::-.. >= ;< an vn ame cOIDn _.. y'# t''' ' .......... i?i:�:?;$iii?Sjii .i:{.�:�:;:�:;;.;: ii:;:;:>iii':;::}}:j�iy !?;:j::;:^'.ti�ii:;j: i .:?ji:;::;:Y::.;.:i:.:.;:.�:.:.............:....,.....:.n: ..........:. a are ..... :<:»::» ............:.::::......... .;v t ottcv#... ... .....: . tnsarance ca. ' :... •////%////// ❑ I am a sole proprietor,general contractor,or homeowner(circle one)and have hired the contractors listed below who have a olives: ::::::.:.:::.::::«; ;;'::;:;;.;;:..<;:..;:;.:;.:;.::.. : >::. ...... hP win workers ensatio p ................,..:..:::.::::::::::.:.,;:;>;:;.:.:.;<?..;:::;;::::;;;;>;:::.>.:<:;.:::............. .......:: 1. t_>folio e°mP...........:::.:::..:..........:::._._:........ ...:::.:,......:.:::::::.........:.::::............:::::::::::::;;::: ::;:;: ::::: ::;>;>::.;::-:::;;;.;;::;;'.::.;:.::::. comoan atne: . :... ... ::4:�i"it4i isi .�iy ji:?^:;}{C:}}}:;:{;:;::i_:+•}'v:?:{v':::;?:;is$:ii.'{+i;:;{:Y:{:;?i!i:'i:isi is+�i:>:1}i$i>i:^iiiii:J>is i`i}`:.i??::j!i:S:ii:}?'Ji•i�:......�..i?i:: .........• ..... .: .. •i:::v:x::tiff???+�4i:•i:......:'......... ...... ........... ....................... ...............:. .....:,..:::...:::::,.... ...:.:..::..: .,,::::.::::::............... ..........:.............,. .......k:?.;:.:::.>:}:::.::_.:.....:::...... .. ::.::.�::. one. .::::.....,......:::::.::.:.:.�::::::::....... :..:.:.::..::::..::. add :.::•:::..:. ,. .......:::...:.::. . ..,<..;;;;;;:.: ............... . ... VAININIMI MEMMMW tin ILL ;:: :: ?:i: ;':�'`�:>'���':� f:+.' :::� :�:4s:�::c�;%2�:%�:1i:�SY>;r:;�rr:�>;:•::�;;:?•;:•::::?:::::.;•:::;....,., in�arance c Fatinre to secure coverage as required u er Section M of MQ.152 eau lead to the impositlon of criminal penalties of a tine utp to$1.500.00 and/or one years,imprisonment as WA as tdvil penalties in the form of a STOP WORK ORDER and a fine of S 100.00 a day against me. I Undrrstand that s copy of this statement may be forwarded to the Omee of Iavesdgattom of the DIA for coverage verification the pains ofPalY ct the information provided above is true and correct I do hereby e P P , Date signature Print name 's��vt tmone# official we only do not mite in this area to be completed by city or town official city or town: permit4icense# ❑Building Department ❑Licensing Board onsets Hired ❑Selectmen'sOMce ❑check if immediate response required ❑HealthDepamnent phone#; _ 0Other contact person: MIN (messed 9l9S P1A) Aw Cut in and,install a new fixed window! *• ., approx 5'w x 4'h unit r s exist • door Refg Exist sin by owner Exist H.P. Toilet Elec Sto age /� Toilet Kitchen Panel exist gew \'car \ i door \, _ Treatment onferen Room done Tabl or asher& dryer hand y ow er) # 2 in new Staff door Offi Treatment Room a # 1 oewor exist door Exist new Elec Panel door Private Office Office �n.ewV x 4' window aew, e�a f \ oor \ aoor \ J usiness ffice 5' high wall O Sliding window ADA compliant transaction coun er O O Remove Raised floor Project: Physical Therapy in Motion Inc. Scale: 1/8 = 1'-0" Dw9BY RTA ConSery Unit 354 Bell Tower Mall Date:GROUP wCORPORATGD DWG: 2277 state Road 1600 Falmouth Road, Centerville MA. 5/22/08 Sagamore Beach Title: SK-2a MA.,02562 Tel.: 508-888-6555 Layout Plan Fax: 508-888-6555 Rev. Date: 6/16/D8 ✓fie �i antidns andand St I $oard of Building g Construction Supervisor License I I License CS 5157 I ;I 4 � � Try 23121 Expiration 5d231201-0 II ,I oo� `Restriction s tt t CATIGNANt, 1 ROIAND B 60GEMINI DR i 02668 Commissioner j W BARNSTABLE,MA VW ��r ..�. rU I-cv i-i i i r i U. r v 0arnSraUIU MVy -,rV uaie:2/12/2UU8 U4:b/ F'IVI rage:2 of icDATE(MMIDDIYYYY) ERTIFICATE OF LIABILITY INSURANCE cOr�tsE i 02/12/08 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE ;cI tyre Fay 6 Thayer Ins Agy HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR 77 Accord Park Drive Unit B-1 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Norwell MA 02061 Phone: 781-261-2000 Fax:781-261-2099 INSURERS AFFORDING COVERAGE NAIL# INSURED INSURER A: Ohio Casualty insurance Cd. - INSURER B: Hanover Insurance Company 22292 Consery Group Inc. - INSURER C: .American International Co. P.O. BOX 278 INSURERD: Sagamore Beach MA 02562 INSURER E: 'COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED,NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN.THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,EXCLUSIONS AND CONDITIONS OF SUCH , POLICIES.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. LTR INSR TYPE OF INSURANCE POLICY NUMBER DATE(MM/DD/YY) DATE(MM/DDIYY) LIMITS GENERAL LIABILITY - EACH OCCURRENCE $ 1,000,000 A X COMMERCIAL GENERAL LIABILITY BKO '0853511978 07/07/07 07/07/08 PREMISES(Eaocourence) $ 3.00,000 CLAIMS MADE OCCUR MED EXP(Any one person) $ 10,000 PERSONAL&ADV INJURY $ 1,0 0 0,0 0 0 . GENERAL AGGREGATE s2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: _ PRODUCTS-COMP/OP AGG $2,0 0 0,0 0 O POLICY PEO � LOC AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 1000000 B ANY AUTO ADN 8411502-01 08/27/07 08/27/08 (Ea accident) ALL OWNED AUTOS BODILY INJURY $ X SCHEDULED AUTOS - - (Per person) X HIREDAUTOS BODILY INJURY $ X NON-OWNED AUTOS (Per accident) PROPERTY DAMAGE. $ (Per accident) GARAGE LIABILITY _ - AUTO ONLY-EA ACCIDENT $ .ANY AUTO OTHER THAN EA ACC $ AUTO ONLY: AGG $ EXCESS/UMBRELLA LIABILITY _ - EACH OCCURRENCE $ 1000000 A "X OCCUR - CLAWS MADE USO (08) 53 51 19 78 07/07/07 07/07/08 AGGREGATE $ 1000000 $ DEDUCTIBLE - - $ X RETENTION $10 0 0 0 $ WORKERS COMPENSATION AND - TORY LIMITS ER EMPLOYERS'LIABILITY WCS C ANY PROPRIETOR/PARTNER/EXECUTIVE WC 722-37-47 11/09/07 11/09/08 E.L.EACH ACCIDENT $ 100000 OFFICER/MEMBER EXCLUDED? E.L.DISEASE-EA EMPLOYEE $ 100000 If yes,describe under SPECIAL PROVISIONS below - - E.L.DISEASE-POLICY LIMIT $ 50 0000 OTHER - A Equipment Floater BKO 0853511978 07/07/07 07/07/08 MiscTools $30,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS _ PROJEC.T:. Wings Retail Store, 529 Main Street,, Hyannis,, MA 02601. CERTIFICATE HOLDER CANCELLATION ` TOBARNS SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,THE ISSUING.INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN TOWri of Barnstable , NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO DO SO SHALL Regulatory_Srvs.-Bldg Division IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR 200 Main Street Hyannis MA 02601" REPRESENTATIVES. AUT ED REP E ATIVa `� ACORD 25(2001/08) ©ACORD CORPORATION 1988 Massachusetts Department of Environmental Protection 'Ll ��� �Bureau of Waste Prevention.• Air,Quality � •� ;100076272 0 r r Decal Number_ Q 6 Notification Prior to Construction or Demolition Important: A. Applicability When filling out Pp y forms on the computer,use only1he tab Ivey A Construction or-Demolition operation of an industrial, commercial, or institutional building, or to move your residential building with 20 or more units is regulated by the Department of Environmental Protection cursor-do not (DEP), Bureau of Waste Prevention -Air Quality Control Regulations 310 C use the return MR 7.09. Notification of • key. Construction or Demolition operations is required under 310 CMR 7.09 (2)ten (10) days prior to any work being performed.The following information is required pursuant to 310 CMR 7.09. B. General Project Description 1. a. Is this facility fee exempt-city, town, district, municipal housing authority, owner-occupied Instructions residence of four units or less? 0 Yes 2] No 1.All sections of b. Provide blanket decal number if applicable: Blanket Decartvumber this form must be " completed in order to comply vrith the 2. Facility Information: Department of BELL TOWER MALL Environmental Protection a.Name notification 11600 FALMOUTH ROAD,UNIT 354 requirements of b.Address 310 CMR 7.09 BARNSTABLE� MA_. � 02632_ .. /Town � d.State e Ziq Code...��.. f.Telephone Number(area code and extension) E-mail Address(optional) 300 1 h.Size of Facility in Square Feet W i.Number of Floors r j. Was the facility built prior to 1980? Yes ✓� No k. Describe the current or prior use of the facility. .. RETAIL STORE C is the facility a residential facility? Yes No O m. If yes, how many units. Number of units 3. Facility Owner; �N JOHN T.CALLAHAN III, BELL TOWER CORPORATION �o a.Name 0 1600 FALMOUTH ROAD b.Address - CENTERVILLE. MA 0232 _ _ (D c.Cii /T wn d.Sae e.Zi Cod o 15083011200 _ f.Tel@ hohone Number area code and extension q.E-mail Address optional C7 PAU_L COVELL �Q h.Onsite Manager Name ag06.doc•10/02 �BWP AQ`06•Page 1 of 3 Massachusetts Department of Environmental Protection I Bureau of Waste Prevention • Air Quality 1100076272 Decal Number BWP AQ 06 Notification Prior to Construction or Demolition General Statement: If B. General Project on p.Description (cont.)(( - asbestos is found during a 4. General Contractor: Construction or Demolition operation,all CONSERV GROUP, INC. responsible parties a.Name must comply with JP.O. BOX 278 i 310 CMR 7.00, b.Address +' ' and Chapter 2 1 E of the 1SAGAMORE BEACH MA �� 02562 Cha General Laws of c.City„/Town d.State e.ZipCode 5088 the Commonwealth. 886555 This would include, J.Tel hone Number area code and extension E-mail Address o tional but would not be qm _�__. .. -m2-:_� , limited to,filing an IROLAND B. CATIGNANI, PRESIDENT asbestos removal h.On-site Manager Name - notification with the Department and/or ` a notice of release/threat of C. General Construction or Demolition Description release of a hazardous substance to the 1. Construction or demolition contractor: Department,if applicable. CONSERV GROUP, INC. a.Name - P.O. BOX 278 µ b.Address SAGAMORE BEACH M�q 02562 c.City/Town d.State e.Zip Code 5088886555 f.Telephone Number(area code and extension) g.E-mail Address(optional) PIETER VAN SLYCK � " h.On-site Manager Name 2. On-Site Supervisor: PETER SICILIANO On-Site Supervisor Name 3. Is the entire facility to be demolished? Yes ✓� No N -0 4. Describe the area(s)to'be demolished: o A FEW PARTITIONS ONLY. �N r -Q 5. If this is a construction project,describe the building(s) or addition(s)to be constructed: ' TENANT FIT-UP co - - �o I ag06.d.oc•10/02 BWP AQ 06-Page 2 of 3 f � . e'P• t Massachusetts Department of Environmental Protection Bureau of Waste Prevention • Air.Quality =100076272 Decal Number Ll BWP AQ 06 Notification Prior to Construction or Demolition 4 C. General Construction or Demolition Description (cont.) 6. a. If this is a demolition project, were.the structure(s) surveyed.for the presence of asbestos, containing material (ACM)? El Yes [V] No r, r If yes, who conducted the survey? z b.Survevor Name t a Division of Occupational Safety Certification Number c , 7. Construction or Demolition: 8/11/2008 9/11/2008 a.Start Date(mm/dd/yyyy) r b. End Date(mm/dd/yyyy) 8. a. For demolition and construction projects, indicate dust suppression techniques to be used: ` seeding paving . b. If other, please specify: L] wetting E shrouding E,(] covering E other 9. For Emergency Demolition Operations, who is the DEP official who evaluated-the emergency? ` NA a.Name of DEP Official • b.Title �_I 18/5/2008 c.Date mm/dd/ryryr)_of Authorization NA d.DEP Waiver Number D. Certification "' I certify that I have examined-the "AOLAND B. CATIGNANI, PRESIDENT -o above and that to the best of my a.Print Name -o knowledge it is true and complete. Roland B. Catignani Y The signature below subjects the b.Authorized Signature N signer to the general statutes PRESIDENT -o regarding a false and misleading c.Position/Title - _o^ statement(s). 4CONSERV GROUP, INC. F d.Re resentin 08/05/2008 �(D e.Date(mm/dd/yyyy) 0 �O �Q a ag06.doc 10/02 BWP AQ 06•Page 3 of 3 eDEP - Payment Confirmation Page 1 of 1 Payment Confirmation. ' DEP Transaction ID : 194773 Payment Date : 8/5/2008 5:17:59 PM t $85.00 has been charged to Credit Card ************3702 Transaction Information DEP Payment Code# 32932 Payment Confirmation#29034 Please note that payments received after 3:30 will not be posted until the next business day. .t . ^" • . Mass®EP Home c, Contacts c, Feedback o Tour c- Privacy. Version: 7.2.9.1 , e httnc•//ar1Pn riPn macc anv/rPctrir.tPtl/wahnatrec/PavmPntrnnfirmation asnx R/5/2009 Roy Catignani From: eDEPConfirmation@massmail.state.ma.us Sent: Tuesday, August 05, 2008 5:19 PM To: rcatignani@conservgroup.com Subject: eDEP Submittal Confirmation for DEP Transacti6n:IDA94773 Thank you for using eDEP Online Filingfrom the Massachusetts,Department of Environmental Protection. Your transaction is complete-and has been submitted to MassDEP. This email is your, receipt for the e1EP Online Filing transaction described below. Please review it, and" keep a copy for your records: Please do NOT reply to this message, this email addressywill not receive messages. For assistance with eDEP Online Filing, �please email the DEP 'Help Desk at DEP.HELP@state.ma.us or call 617-556-1100. MassDEP is interested in how we can serve you "better. To help us make improvements to ` eDEP, please take a minute to complete our eDEP Online Filing Survey at '. http://www.mass.gov/dep/service/compliance/edepsurv.htm.. To contact MassDEP Programs, please see http: //mass.gov/dep/about/dontacts.htm. ********************************************KEY*****k* ******************* * *** ******* DEP Transaction ID: 194773 Date 'and Time, Submitted: 8/5/2008 5:1'8:33 PM . Form Name: .BWP - Demolition Form for AQ-06" Payment Information DEP code: 32932 '' Date: 8/5/2008 5:17:59 PM # Amount ($) . 85 Payment-Detail: --Card *= 3702 - Contractor Contractor Number } Y h l Name _ Address Supervisor Project Monitor Lab F. EMAIL ID OF THE USER: rcatignani@conservgroup.com Jun 20 08 07: 22a Michael Weber 5088332145 p, 2 06/18/2008 14:29 5088686566 CONSERV GROUP INC PAGE 01101 Town of Barnstable Regulatory Services rs Thomas F.Geiler,Director m a� Building Di islon Tom Perry, Building Cow missimer 200 Main Street, Hyaz Ai&MA 02601 Office: 508-862-4038 Fax: 508-790-6230 Property Owner:Must Complete and Sign This Section If U'sztxg A Builder ��)Igle as Owner of the subject pzoperty hereby authoaze +f � �, , � to act on my behalf, in all matters zedatice to work authorized by this buff&S pemait application for (Address ofjob) tore of C7ty Date Pant Name / S er v. GROUP• INCORPORATED CONSTRUCTION CONTROL AFFIDAVIT AT PROJECT}INCEPTION Parcel Number -..�Zol j6l 4.. ProlectName: Project,Owher: ;' Physical Therapy.in Motion;_Inc. Project Location: 1600 Falmouth Road, Unit#354 Scope of Project Tenant fitup'`approx'3000':sf. In accordant wr h, f e t araahll 6.0 of 780 CMR'tlie NlassachusettsrState'Buildin' .. _ . p �• P , . t g. Code,,I David 7 Vachnn v Massachusetts.Registration Number' 7,471 being.a Registered Professional Architect hereby certifythat all-architectural plans, computations,,and;specifications,and changes thereto, involving the subj ect project will' be.prepared by or under-the direct supervision_f' Massachusetts Registered Professional Architect and bear his or,her original signature and seal as defined by Massachusetts General Law'(M:G:L j c 112, S81R: I further certify that I will-be present'on the.construction site at'ntervals appropriate,`to ' the stage'of construction to become generally familiar'with the progress and-quality of the work-to�determine, in,' eneral;if the;architecturalwork is being performed-in a mariner` consistent with he constructi611'd6cunients Aug 5,2008 Architect'(Origin signature and'Seal) � � �,;�� Date VACHO No.7471 WHITM MA ;• o ° Home Office: Hedges Pond Crossing; 2277. StaterRd.; Suite H'• Plymokuth; MA 02360 ' Mailing Address: P.O. Box 278 @ Sagam'ore:Peach-, MA 02562 Phone: 508:888.6555 Fax: 508.888.6566 ery GROUP;INCORPORATED r t CONSTRUCTION CONTROL.AFFIDAVITAT PROJECT COMPLETION Parcel Number Project Name: , Project Owner: Physical.Therapy in Motion. Project Location: 1600 Falmouth Road Unit #34 71 Scope of`Project: Tenant fit-up.approx 3000.s f. -In accord_ ance with paragraph 11 6.0,of 780 C1VIR, the Massachusetts.State Building-. Code; I, naval Varhon Massachusetts Registration;Number,_7477 being'a Registered Professional Architect hereby certifyIhat all architectural plans,. computations, and specifications, and changes_thereto',involving the"subje`ct project have been prepared by or under the direct sup ervision�of a Massachusetts Registered Professional Architect and-bear his or her or ginal.'signature.and;seal as defined by. 1Vlassachusetts General haw (M:G:L.) c 112 S81R. y have inspected,the work associated with Physical Therapy in Motion and I certif that I , that to the best of my knowledge;"information, and.belief the work has been done in conformance with the"permit and plans approved by,the Inspectional Services :Department and with the provisions of the Massachusetts State Building'Cod0 and all <' other pertinent laws and'ord'inances:' na: .10- t4� f ` f . ;Architect ''-(Ongi, atur �andSeal) r Date' t o .Wr9l7VIA Home Office: Hedges Pond Crossing, 227.7,State-Rd.; Suite,H 'Pl,ymouth, MA 02360 Mailing Address:"P:O.,Box 278 •.Sagamore Beach, MA'U562 `Phone; 508.888.6555' Fax:,508.888.6566. •- � _ , - � `af�:��+ Pry � 45 - t � ,_ _ ,- 4 r A , + �IMEr, Sign TOWN OF BARNSTABLE Permit * BARNSTABLE, MASS. 6� iOrF 3.�a Permit Number. Application Ref: 200805685 20070223 Issue Date: 10/14/08 Applicant: Proposed Use: SHOPPING CENTER- MALL Permit Type: SIGN PERMIT Permit Fee $ 50.00 Location 1600 FALMOUTH ROAD (ROUTE 28) Map Parcel 209014 Town CENTERVILLE Zoning District SPLT Contractor PROPERTY OWNER Remarks PHYSICAL THERAPY IN MOTION- UNIT 34 22.75 SQ Owner: BELL TOWER CORPORATION Address: P O BOX 1461 SO DENNIS, MA 02660 Issued By: pC POST THIS CARD;SO TI3AT IS VISIBLE FROM TFIE STREET Town of Barnstable voF +E Regulatory Services Thomas F. Geiler,Director RU NSfABIE +. Building Division 1639. 1m '°Tfo Tom Perry,Building.Commissioner 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Permit#02661656 Application for Sign Permit Applicant: � S��VaI-� cM-(L� �1u/'V�(�►�Map &Parcel 61 Doing Business As.Vhy5k�lh .--TV\ (`�( �NM"-AkWTelephoneNo. ���d3� -7s&g Sign Location Street/Roadj{p 'FdV1Nc9vk� �� ' �N�� 3y ��`(1 1'V1��� • Zoning District: Old Kings Highway? Yes/No Hyannis Historic District? Yes/No Property Owner�N��\`�� - -` � �� � gyp. D Name: N S Telephone: � oZ -t,2 c� Address: ks I g t ° Name: r �� 0�'`V, �O Telephone:�� a Mailing Address: 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. Is the sign to be electrified? Ye (Note:If yes, a wiring permit is required) _Width of building face ft.x 10= x.10= Sq.Ft. of proposed sign �/�•�✓ 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: ate: Permit Fee: v Sign Permit was approved: Disapproved: PP PP Signature of Building Official: Date: In order to process application without delays all sections must be completed. t•fi Q:I WPFILESI SIGNSI SIGNAPP.DOC Rev.9112106 ym et e"rw^fiV�a°w.. p v J Ti� •��G li IV ,r �r 3 lad r . P ,i 27.5" x 117..25" as MUM m @6 G" o C�J DATE: DESIGNED BY CUSTOMER APPROVED BY: RUNAME P.O. NUMBER ° t 't - e .i r - • 7i�.- A +,.. .. _ •h�„_'.:1'r: Ye. e.- . . - • a r.ck'3 et - .':K"�A�_ '�-L1 .� -• ,.`•..r ' a_- i ..fit'-S� .s •"5�y �1;1 us�. .a-,._tr.x.s. . .. .. _.- _ ....- ... �_ _ .- �, do aess ,. wm wsa - ,.. w-.*a-a. w -wc•. - .......ate s. " #... ...+e,.,..,. _....�. z.-..... •... . . .-f- `�;.3i.31�1�i�?! �� � �,j,. -..�... .. _.. .e.. ii.{l °�r'.�'�i1 t _. z -snr.�. -a::� - +s s- .eA.ram+•. � _. - ,.. _ .. - ;zsvx - ..��. .-� e. `f�rsr - - x• a� o asa..�++e x -.. ate:._ Cut In and Install a new fixed window approx 5'w x 4'h unit exist door Refg Exist Sin by ow er Exist H.P. Toilet Elec Panel Sto age /� Toilet Kitchen \ door3:) 1 Treatment do r Treatment onferen ew, Tabl Room aoor asher& dryer 2 han y ow er) sink new Staff Offi Treatment door Room ew, aoor EL exist door Exist - Elec Panel a oeWor Private Office Office �n'owV 4' wind\ ew e ist \ aoor car \ \ \ \ aoor \ J usiness 'ce 5' high wall O Si ding window ADA compliant transaction.coun er 0 Remove Raised floor Project: Physical Therapy in Motion Inc. Scale: 1/8 = 1'-0" Dwg By. RTA ConSery Unit 354 Bell Tower Mall Date: eRour wcoaroeurco pyyD; 2277 State Road 1600 Falmouth Road, Centerville MA. 5/22/08 Sagamore Beach Title: SK-2a MA. 02562 Te1. 508-888-6555 Layout Plan Rev. Date: 6/16/08 Fax:.508-888-6555 — - - tit-. LAW OFFICES OF THEODORE Ae SCHILLING, P.Ce ONE SENTRY PLAZA 1185 FALMOUTH ROAD, CENTERVILLE,MA 02632 TELEPHONE: 508 775-0700 FAX: 508 775-0792 EMAIL: law®cape.com www.lawcapecod.com August 4, 2008 Thomas Perry Building Commissioner Town of Barnstable 200 Main Street Hyannis, MA - 02601- Re: fl oy 3; u dl�lU u :'Y'ii2eydd a.(ce3 7.�r Be-1-1 Tower Y Centerville, MA Michael and Eileen Weber d/b/a fPKy--$:l""`T__^herapy Dear Tom: Thank-�'ybu`"`-for -reviewing the above matter. My clients und'erstard'that the retail use they will be replacing will be lost; and, if retail is to go back into tFiis spot, they will need to apply for a Special Permit . I have spoken to my clients and they confirmg-d that6, _ and have authorized me to represent to you that th s- will , not be a gym now or in the future. �. r Again, I thank. you for your determinati allowin us ' to izroceed with the new business . Very tru s, heodore Schilling TAS mcp - Mich; e1-and Eileen Weber : . . r Q:\Letter's\Per'rylet.8-4-08.doc ' _< r i Q Lo eiV Lr) C CV Lf) 'ROW REMOVE PLUMBING FIXTURES AND PROVIDE NEW FIXTURE H'CAP 0 co ACCESSIBLE INCL GRAB BARS L CUT OPENING IN MASONRY r EXISTING PLUMBING FIXTURES WALL AND PROVIDE NEW TO REMAIN p FIXED WINDOW APPROX 5 w x 4 h •N EXIST G ELECTRIC PANEL 4' 4" 4'--10" 6'-2" TO REMAIN 4-0 (� 1— il. VAff- ti . CV N STORAGE TOILET TOILET fi I M NEW SINK w/ / i•, "-� PUMP 3 6 r 8 O 4 TREATMENT CUT OPNG FOR NEW o sa RFRAMEI ' RM NO 2 D00 & 6 x $4 t w 0 CONFERENCE BREAK ROOM NEW HAND SINK M�■�I w v 3 WASHER' DRYER b Y OWNER� 6 k PROVIDE H & CW AND DRAIN r 4 h .� CUT OPNG FOR NEW 5 -2 3s-g» - EXI T GELECTRIC PANEL TO REMAIN TREATMENT DOOR & FRAME a RM NO 1 x 36x84 u w E-� >°, � � w a a W MCI a EXERCISE AREA 1■� 6 PROVIDE NEW CARPET THROUGHOUT a k yr REPAIR CEILINGS AS REQUIRED FOR NEW WORK W a RELOCATE LIGHT FIXTURES AS NEEDED CIO r CUT OPNG FOR NEW A SPRINKLER HEADS cp RELOCATE KLE AD E S AS NEEDED DOOR & FRAME0 RELOCATE SUPPLY AIR DIFFUSERS & RETURN AS NEEDED � 0� H OFFICE - OFFICE o a� _ N o � a O W . a . a r a 36 x 84 NEW 3 x \NDO w REMOVE EXIST G COUNTER IN ITS ENTIRETY 36 x 84 r�REVISIONS BUSINESS OFFICE I d- SLIDING GLASS WINDOW TRANSACTION COUNTER N I M LEGEND p EXISTING WALL 70 REMAIN 3 2 � DWG. INFO. EXISTING WALL TO BE REMOVED DATE 8-5-08 go• SCALE 1/4"=l'-0" NEW WALL: 3 5 8" METAL STUDS ® 16 O.C. w/ 5/8 GYPSUM WALLBOARD EACH SIDE; EXTEND TO DRAWN CADD UNDERSIDE OF ACOUSTIC CEILING CHKD �APPRVD REMOVE RAISED FLOORING THIS AREA AND PROVIDE NEW CARPET THROUGHOUT SHEET TITLE: FLOOR PLAN SHEET & JOB #: A-1 461 I N tCS COL •� COL 0 L Q 1 U t'7 Lo Now c N too REMOVE PLUMBING FIXTURES AND` ap PROVIDE. NEW FIXTURE H'CAP O Zf 00 ACCESSIBLE INCL GRAB BARS tCf 0 Z 00 CUT OPENING IN MASONRY ':3 0 o, EXISTING PLUMBING FIXTURES cc � WALL AND PROVIDE NEW TO REMAIN O Lo FIXED WINDOW APPROX 5'w x 4' h . . +r E EXIST'G ELECTRIC PANEL �+ 4 4, 4-�10 6 -2 TO REMAIN C/) k t ti x r.. N { N r =71 STORAGE TOILET TOILET lo C/ (o I -� NEW SINK w PUMP. .. DO 84 � 3 r TREATMENT o A CUT OPNG FOR NEW RM N0 1 DOOR & FRAME. 6 x $4 .i N I� ` H o CONFERENCE BREAK R. OM H I-w NEW HAND SINK v WASHER DRYER b OWNER k PROVIDE H & CW AND DRAIN O r v, ! „ �C CUT OPNG FOR NEW r 7 5 2 - f 3 9 U� a EXIST G ELECTRIC PANEL DOOR & FRAME. w TO REMAIN TREATMENT 0 � M`R NO 1 z<C o 36 x 84 v rT. p �1 � a a W EXERCISE AREA r� a � o 36 a PROVIDE NEW CARPET .THROUGHOUT M�1 x � a 8 REPAIR CEILINGS AS W REQUIRED FOR NEW WORK „ Q _ RELOCATE LIGHT FIXTURES AS NEEDED c�W r CUT 0PN G FOR N E RELOCATE SPRINKLER HEADS AS NEEDED DOOR & FRAME i DIFFUSERS & RETURN AS NEEDED w w RELOCATESUPP Y L AIR D '`V 3 0 OFFICE OFFICE O p a a N O Vl i 6 x $ WI W NEW°3 ! REM OVE x NDO \ XIST G COUNTER IN a - \ E VE E i ITS ENTIRETY 36 x $4 REVISIONS ISIONS \ \ \ \ \ BUSINESS OFFICE o • 1 i SLIDING GLASS L S WIND 0 TRANSACTION COUNTER N I M LEGEND' Sir r EXISTING WALL TO REMAIN 3 DWG. INFO. EXISTING WAIL TO BE REMOVED DATE 5-5-08 go _SCALE 1/4 1 _0 NEW WALL- .3 5 8 METAL STUDS 0 16O.C. 0 w/ /8 GYPSUM 0 /'\ZLA DRAWN CADD WALLBOARD EACH SIDE; EXTEND TO UNDERSIDE OF ACOUSTIC CEILING CHKD APPRVD : M AI FL REMOVE RAISED FLOORING G THIS AREA AND PROVIDE NEW THROUGHOUT CARPET OU OUT SH EET TITLE: FLOOR PLAN SH EET & JOB #. Al 461