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HomeMy WebLinkAbout0171 BEARSE'S WAY 171 BEARSE'S WAY HYANNIS EAST ELEM SCHOOL r i NOT FOR PUBLIC VIEW i i I SPACE BY { ® Lenny Sabia w � nam Project Manager SCOTSMAN WILLIAMS SCOTSMAN, INC. Toll Free:800.782.1500 576 West Johnson Avenue Tel:203.699.2469 Cheshire, CT 06410 Fax:203.699.2470 Cell: 401.640.8013 www.willscot.com Idsabia@willscot.com R R i � � � � � I �� � � - � � A (l o of ARCHIVED SPECIFICATIONS Year : �� Project Namef Project Address Map & Parcel # �D7 — Permit number, if assigned: �o Q-- 6 Permit date: `o Per Tom Perry, these Specification books must be kept indefinitely. Check with the Commissioner 0 before discarding any of these documents. They can be moved to storage if needed. Archived Specs i ADDRESS: /7/ ZL PERMIT# U7J DATE: M/P: LARGE ROLLED PLANS ARE IN: BOX SLOT �-- DATE: _ 30 �o q/wpfiles/archive 1 zz ' - 5 V r TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map 3 6, O01�- Parcel Application# Health Division Conservation Division a� Permit# Tax Collector Date Issued p / /q Treasurer Application Fee 00/ 00 Planning Dept. 5of 4*V Permit Fee t Ob Date Definitive Plan Approved by Planning Board Historic-OKH Preservation/Hyannis Project Street Address _t df!f R.5 F t.AJ O Village 4 y� r s i✓LS Owner �l Uw4 o r Ok,u;C 4A 5 f c :VckP4. Y�r�4ddress Telephone Permit Request ( v oy.4 4-v v L 41 44 S 9-' 'Re pcL i t H,,C , `RA-JQ_P cr%x CYL+4 S Le- Cuss Square feet: 1 st floor:existing proposed 2nd floor:existing proposed Total new Zoning District Flood Plain Groundwater Overlay , Project Valuation �i G� Construction Type Lot Size Grandfathered: ❑Yes ❑No If yes, attach supporting documentation:' Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family(#units) j Age of Existing Structure Historic House: ❑Yes ❑No On Old King's Highway: ❑Yes q No Basement Type: ❑Full ❑Crawl ❑Walkout ❑Other f , 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 BUILDER INFORMATION Name A R � �ET o V l fiS Telephone Number Address PG C License# Home Improvement Contractor# Worker's Compensation# ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE ADATE O �`i r FOR OFFICIAL USE ONLY It PERMIT NO. DATE ISSUED MAP/PARCEL NO. w ADDRESS VILLAGE { OWNER ` t DATE OF INSPECTION: z FOUNDATION FRAME s ' INSULATION FIREPLACE z ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL t FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. a ' TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map 3 6q Parcel ®� Application# ��v �� ""Health Division VVIAJ -gyp --Conservation Division O ��� V ermit# -Tax Collector ate Issued m—Treasurer � Application Fee Planning Dept. Permit Fee 0 Date Definitive Plan Approved by Planning Board Historic-OKH Preservation/Hyannis Project Street Address Be p rmss Village C flonh V,t,S Ga4_ O��t O OwnerSCOW,­ 1P i Address .36'7 ifs f M S T RNS Telephone Permit Request &7 a k Square feet: 1 st floor:existing proposed 2nd floor:existing proposed Total news Zoning District Flood Plain Groundwater Overlay Project Valuation b D Construction Type - _y Lot Size Grandfathered: ❑Yes ❑No If yes, attach supporting docu,mentation � Dwelling Type: Single Family ❑ ITWOily ❑ 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 BUILDER INFORMATION Name r Y t �� W i �T�' Telephone Number Address ko wwe(Z S T License# a ? / A- �'�D��q Home Improvement Contractor# Worker's Compensation# ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO 'O UMSTe R P40 U,'Qey SIGNATURE DATE / ,� Ark 06 FOR OFFICIAL USE ONLY r s. PERMIT NO. DATE ISSUED MAP/PARCEL NO. ADDRESS ' VILLAGE OWNER DATE OF INSPECTION: FOUNDATION 0 K- J -FRAME , INSULATION FIREPLACE ELECTRICAL: ROUGH' FINAL PLUMBING: ROUGH FINAL- GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. l ^ The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston,MA 02111 y www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electridans/Plulaalbers Avolicant Information Please Print Le ibl Name (Bussmess/Organizatioa/lndividuan' Address: p(� !/y �1Y 1 r City/State/Zip: - I �L /(� �/L1 Phone#: d�0 Are you an employer? Check the appropriate box: Type of project(required): 1.❑ I an a employer with 4. ❑ I am a general contractor and I 6. (New construction employees (full and/or part-time).* have hired the sub-contractors 2.5ZI am a sole proprietor or partner- listed on the attached sheet t 7• ❑ Remodeling ship and have no employees ; These sub-contractors have & ❑ Demolition working for mein any capacity. workers' comp,insurance. 9., ❑ Building addition [No workers' Comp.insurance -5. ❑ We are a corporation and its 10.❑ Electrical repairs or additions required.] officers have exercised their 3.❑ I am a homeowner doing all work right of exemption per MGL 11.0 Phimbing repairs or additions myself.[No workers' comp. c. 152,§1(4),and we have no 12.❑Roof repairs bmrance required.]t , employees.[No workers' l3.❑ Other camp.insurance required.] • *Any applicant that ehecks box#1 must also fill out the section below showing their workers'compensation policyinformatioa: ` t Homeownars wbo submit this affidavit indicating they are daing an work and 1hen bite outside contractors must submit anew affidavit indicating sucb. ZContractm that check ibis box must attached an additional sheet shouting the name of the sub-contractors and their workers'camp.policy information. I am an employer that is providing workers'compensation Insurance for.my employees. Below is the policy and job sits Information. Insurance CompaxvName: Policy#or Self--ins.Lic.#: Expiration Dais: Job Site Address: City/State/Zip: Attach a copy of the workers' compensation p..eUcy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500,.00 and/or one-year imprisomnent, 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 the Office of Investigations of the DIA for insurance coverage verification. I do hereby certiy under the pains and penalties of perjury that the information provided above is true and correct Signature: RA p / Date: / Phone#: /l'/ ,5 s �y� O Official use only. Do rot orke in this area,to be completed by city of town offleial City or Town: PermitlLicense# Issuing Authority(circle one): j 1.Board of Health 2.Building Department 3.City/.T own Clerk a.Electrical Inspector 5.Plumbing Inspector 6. Other. Contact Person: Phone#: Information and Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers' compensation for their employees. Pursuant to this statute, an employee is defined as"...every person in the service of another under any contract of hire, express orimplied,.oi-al or written." An employer is defined as-"an individual,partnership,association, corporation dr other legal entity,or any two or more eased to er . of the foregoing engaged in a joint enterprise, and including the legal representatives of a deceased end y ,or the receiver or trustee of an individual,partnership, association or other legal entity, employing employees. However the of a dwellin house having not more than three apartinents and who resides therein, or the occupant of the owner g g . 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 bean employer." MGL chapter 152, §25C(6)also states that"every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate it business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required." Additionally,MGL chapter 152,§25C(7)states Neither the commonwealth nor any of its political subdivisions shall enter Into any contract for the performance ofpublic work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority." Applicants Please fill out the workers'compensation affidavit completely,by checldng the boxes that apply to your situation and,if necessary,supply sub-contractors)name(s),address(es)and phone number(s)along with their certificate(s) of insurance Limited Liability Companies(LLC)or Limited Liability Partnerships(LLP)with no employees other than the members or partners,are not required to carry workers' compensation insurance. If an LLC or LLP does have employees,a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit.. The-affidavit should be returned to the city or town that The application for the permit or license is being requested;not the Deparf rent 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 mrmber listed.below. Self-insured companies should eater 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 sine to fill in the permit/license number which will be used as a reference number. In addition;an applicant that must submit multiple permit/license applications in any given year,need only submit one affidavit indicating current policy information(if necessary)and under"Job.Site Address"the applicant should write"all locations in__(city or town)."A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that.a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year.Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e.a dog license or permit to burn leaves etc.)said person is NOT required to complete this affidavit. The Office of Investigations would hike to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call. The Department's address,telephone.and fax number: The Commonwealth. of Massachusetts Department of Industrial Accidents Y Gfum crf I-Byelogafims 600 Washington Street Boston, MA 02111 Tel. #617-727-4900 ext 406 or 1-877-MASSAFE Fat FY 617-727-7749 Revised 5-26-05 wwvanass.aov/dia . �,�,._� I '' � , `s' i � .� � � ` t �" ..-s C� t � � � � � . 0 o � ��., 7a 53 25-t Aff- J r Tl� ✓ ° T I BOARD OF BUILDIN�REGULATIONS ,. t F License CONSTRUCTION SUPERVISOR i Number GyS 073989 '. y 06 o: 6324.0 f � t� rl £ ,Res�ic SWIATEK — 66 PALMER, MA 010 Commiss",loner U!r Syr °FZMEr°y, Town of Barnstable ti °"' Regulatory Services } • lAFiNSCABLE, v sass. Thomas F.Geiler,Director �"Tfn► �'�� Building Division. Tom Perry, Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-403 8 Fax: 508-790-6230 Property Owner Must . f. Complete and Sign This Section If Using ABuilder I �tJ D F 8A ,as Owner of the subject property hereby authorize M/�Q (,() /A'�il� to act on my behalf, in all matters relative to work authorized by this building permit application for. TG. f t (Address of Job) `F Signature of Owner Date Print Name Q:F0RMS:0VrrMWERMISSI0N . � � �� ® � .. � �. d 1 �� TOWN OF BARNSTABLE Building Application Ref: 20060082 BARNSTABLE, Issue Date: 05/01/06 Permit 9 MASS. �Ar16 9. a�� Applicant: SWIATEK,MIKE J Permit Number: B 20060037 Proposed Use: Expiration Date: 10/29/06 Location 171 BEARSE'S WAY Zoning District RB Permit Type: CONSTRUCTION TRAILER COMM Map Parcel 309008 Permit Fee$ 150.00 Contractor SWIATEK,MIKE J Village HYANNIS App Fee$ License Num 073989 Est Construction Cost$ 5,000 Remarks APPROVED PLANS MUST BE RETAINED ON JOB AND MODULAR CLASSROOM-36 MONTHS THIS CARD MUST BE KEPT POSTED UNTIL FINAL INSPECTION HAS BEEN MADE. WHERE A CERTIFICATE OF OCCUPANCY IS REQUIRED,SUCH Owner on Record: BARNSTABLE,TOWN OF (SCH) BUILDING SHALL NOT BE OCCUPIED UNTIL A FINAL Address: P.O. BOX 955 INSPECTION HAS BEEN MADE. HYANNIS, MA 02601 Application Entered by: NL Building Permit Issued By: THIS PERMIT CONVEYS NO RIGHT,TO OCCUPY ANY STREET,ALLY OR SIDEWALK OR ANY;PART THEREOF,EITHER:TEMPORARILY ORPERMANENTLY. ENCROACHEMENTS ON PUBLIC PROPERTY,NOT:SPECIFICALLY PERMITTED UNDER THE"BUILDING.CODE,MUSTBE APPROVED BY THE JURISDICTION. STREET ORALLY GRADES AS WELL AS DEPTH AND,LOCATION OF PUBLIC'SEWERS`NIAY BEOBTAINED FROM THE DEPARTIVIENTOE';PUBLIC'WORKS.'. THE ISSUANCE OF THIS PERMIT DOES NOT RELEASE THE APPLICANTFROMTHE;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(as set forth in MGL c.142A). Q r 3 p M M', 6. ..k .,g w„ Yi BUILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS 2 2 2 3 1 Heating Inspection Approvals Engineering Dept Fire Dept 2 Board of Health t . Ft �� Town of Barnstable yP Regulatory Services snnxsrnei.E, 9 Mass. Thomas F.Geller,Director fc►. ° Building Division Tom Perry,Building Commissioner 200 Main Street,Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 NOTICE TO THE BUILDING DIVISION OF WITHDRAWAL OF LICENSED CONSTRUCTION SUPERVISOR FROM PROJECT , Construction Supervisor License # hereby certify that I am no longer the Construction Supervisor listed on the application for the project under construction as au onzedAbuil ' permit issued to (property address) sr D /vG P.0'4 on , 200_ I also certify that on , 20066,I notified the property owner,that the project under construction must cease until a successor licensed Construction Supervisor, is submitted on the records of the Building Division. A �/ �,6 ICENSE OLDER DATE Ce � I gdmms/newcontr reference R-5 780 CMR OFTHE Town of Barnstable � E?�7<'i1 i�t'�Y '7 y Regulatory Services "E / , ; 4 Q 9snnx '. Thomas F.Geiler,Director 059. y a'0 Building Division Tom Perry,Building Commissioner 200 Main Street,Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 NOTICE TO THE BUILDING DIVISION OF WITHDRAWAL OF LICENSED CONSTRUCTION SUPERVISOR FROM PROJECT I, 1 �' f I i` e ) '(� �� , Construction Supervisor License # hereby certify that I am no longer the Construction Supervisor listed on the applicationfor the project under construction as au orized y building permit #G6O(�C� Z��, issued to (property address) /�'n n S' S7_ 5,7C1 00 L D� /h P.4-0 on , 200_ I also certify that on u�' , 200 6 6, I notified the property owner, that the project under construction must cease until a successor licensed Construction Supervisor, is submitted on the records of the Building Division. s �kly ICENSE OLDER DATE I q/farms/newcontr reference R-5 780 CMR y TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel C'JQ b Application# ?D((3 Health Division Conservation Division ® Permit# Tax Collector Date Issued :Z/cp C, Treasurer Application Fee Planning Dept. / Permit Fee Date Definitive Plan Approved by Planning Board Historic-OKH Preservation/Hyannis Project Street Address Village 11+-Y 1 N AJ L s Owner4911 Address 62 4 yk C, -��[f" Telephone ye? � Permit Request L' __ 90,rJ;t,./ L ln. d K S Square feet: 1st floor:existing ©U proposed 2nd floor:existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation Construction Type ✓"A U C) Lot Size XW r Z-ZL Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family(#units) Age of Existing Structure — Historic House: ❑Yes l (No On Old King's Highway: ❑Yes l No Basement Type: ❑Full *rawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full:existing new Half:existing C new Number of Bedrooms: existing new Total Room Count(not including baths):existing new First Floor Room Count Heat Type and Fuel: ❑Gas ❑Oil RElectric ❑Other Central Air: ❑Yes I(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 SC h u j j p�� ✓1 _ Proposed Use /� }� BUILDER INFORMATION ` Name t/ 0 '&— I44S o I N-01 S Telephone Number -7—Y Address ('tiS-F/l 13 C c� (T<��� License# /4t S- ::z tJ C' o ✓20� Home Improvement Contractor# Worker's Compensation# ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO S4 AJQLAJC cs SIGNATURE DATE FOR OFFICIAL USE ONLY r r PERMIT NO. DATE ISSUED MAP/PARCEL NO. ADDRESS' VILLAGE OWNER' - r r . DATE OF INSPECTION: FOUNDATION ' FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING ` DATE CLOSED OUT ASSOCIATION PLAN NO. ` f OF THE A BMM STAB , * The Town of Barnstable MASS. 1639. •• Department of Public Works rFDM Highway Division 382 Falmouth Road, Hyannis, MA. 02601 Office: 508-790-6330 Cornelius W.Andres, Supervisor Fax: 508-790-6343 Robert L. Lovell,General Foreman MEMORANDUM DATE: February 3, 2006 TO: Tom Perry, Building Inspector FROM: Cornelius W. Andres, Highway Division Supervisor RE: Outbuilding removal—Hyannis East Elementary School As we have discussed, letters from utilities verifying that utilities are disconnected cannot be obtained without shutting down all services to the school. In the case of the "Little Red School house," utility"sub-connections" are made to the main school building. I am.therefore,providing you with this certification that utilities are disconnected. Electric, Telephone, Cable, and alarms system (Alarm system will be disconnected on the day of tear down per insurance requirement) 1"16 Name Title Date Wa , .' er, tural Gas (no natural gas to building) -Ze Title ate Dig Safe Name Title Date /VCc�� � v 3� We r 2' t k41 tN ' If "s � � rr �• , � pCra � Y.• +.� , 'tied. , •4 �,"� J'1r a •j" `Fj� �• v�� p �M r �� � �r�; h'•' a �ir+s� p./�4t15 Sr, rs - ye) 4 Ry � f ,>,f•��*�Y, ,, far. � C�� _ � LL> -- i K i Parcel Details Page I of 3 Back Home I Government Departments Data below is based on Fiscal Year 2005 Assessor's database.. Details for Map 309 Parcel 008 Property Location Acreage 171 BEARSES WAY 18.22 Owner of Record BARNSTABLE, TOWN OF (SCH) HYANNIS ELEMENTARY(EAST) P.O. BOX 955 HYANNIS, MA 02601 Appraised Value Assessed Value Buildings $ 5,561,100 $ 5,561,100 Extra Building Features $0 $0 Outbuildings $221,800 $221,800 Land $ 1,457,600 $ 1,457,600 Total $7,240,500 $ 7,240,500 Construction Detail Style Schools-Public Model Commercial Grade Average Stories 2 Stories Exterior Wall Brick/Masonry Roof Structure Gable/Hip Roof Cover Asph/F GIs/Cmp Interior Wall Typical Interior Floor Typical Heat Fuel Typical Heat Type Typical AC Type None Bedrooms Zero Bedrooms Bathrooms Zero Bathrms Total Rooms Building Valuation Living Area 62270 Replacement Cost $ 8,059,530 Year Built 1950 Depreciation 31 Building Value $ 5,561,100 http://207.190.197.68/Webmap/assessorsK/dataviewK.asp?mappar--309008 2/6/2006 Parcel Details Page 2 of 3 Outbuildings& Extra Features Description Units Appraised Value Assessed Value Port CI Rms 7200 $221,800 $221,800 Ownership History Owner Book/Page Sale Date Sale Price BARNSTABLE, TOWN OF (SCH) 711/298 12/15/1948 $0 Tax Informatiom Tax information is currently not available for this parcel Building Sketch AS 1-41 33 , Me 5', ' � X Sketch Legend BAS First Floor,Living Area SFB Semi Finished Living Area BMT Basement Area(Unfinished) TQS Three Quarters Story(Finished) CAN Canopy UAT Attic Area(Unfinished) FAT Attic Area(Finished) UHS Half Story(Unfinished) FCP Carport UST Utility Area(Unfinished) FEP Enclosed Porch UTQ Three Quarters Story(Unfinished) FHS Half Story(Finished) U UA Unfinished Utility Attic FOP Open or Screened in Porch U US Full Upper 2nd Story(Unfinished) FST Utility Area(Finished Interior) WDK Wood Deck FTS Third Story Living Area(Finished) FUS Second Story Living Area(Finished) GAR Garage GRN Greenhouse PTO Patio By using this site,you are agreeing to the following terms and conditions. http://207.190.197.68/Webmap/assessorsK/dataviewK.asp?mappar=309008 2/6/2006 Parcel Details Page 3 of 3 DATA SOURCES: Assessing information is based on FY2005 data. NOTE:The parcel lines on the map are only graphic representations of property boundaries. They are not true locations,and do not represent actual relationships to physical objects on the map. For more detailed information on map data sources and accuracy,click on the hyperlinks in the map legend. Developed by Town of Barnstable Information Systems Department-GIS Unit. Send comments or suggestions to isd�town.barnstable.ma.us http://207.190.197.68/Webmap/assessorsK/dataviewK.asp?mappar=309008 2/6/2006 Town of Barnstable FTME 1p Regulatory Services Thomas F.Geiler,Director 1 BAENSUBLE. * Building Division MAM 9 1639• $ Tom Perry, Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 PROCEDURES FOR A DEMOLITION PERMIT 1. The following departments, located at 200 Main Street,must sign off on the permit application: ❑ Conservation Commission: available from 8:30-9:30 AM or 3:30-4:30 PM ❑ Health Department: available from 8:30-9:30 AM or 3:30-4:30 PM ❑ Tax Collector ❑ Treasurer Historic Preservation Commission 2. Historic District Commission, 200 Main Street, approval required prior to construction/demolition for any propzttes located in a Historic District: Old Kings Highway Historic District(north of the Mid Cape Highway) ❑Hyannis Main Street Waterfront Historic District(See map for boundaries) 3. Specify on permit where demolition debris is to be disposed of. 4. Ce fication that all utilities are shut off is required. Gas ater VBamstable Engineering if on Town Sewer(no certification needed if on-site septic system) 5. orkers Compensation Insurance Affidavit form must be submitted if more than one person will be involved.in the work. 6. Property Owner must sign Property Owner Letter of Permission 7. ❑Fee to be paid. Note: Dumpsters with a capacity of 6 yards or greater require a permit from the Fire Department having jurisdiction pursuant to 527 CMR 34 q:forms:demoperm rev.010505 Perry, Tom From: Anthony, David Sent: Monday, February 06, 2006 11:39 AM To: Perry, Tom Cc: Andres, Neil; Cole, William Subject: Workers comp policy The Town of Barnstable carries Workers Compensation Coverage through the MEGA Property& Casualty Self Insurance Group, Inc. Certificate number:WC20-04158 Coverage Period: 7/1/2005 to 7/1/2006 Administered by: CCMSI,Wakefield, Ma Local Agent: Dowling and Oneil, Hyannis. MA Bodily Injury By Accident: $1,000,000 Each Accident Bodily Injury By Disease: $1,000,000 Certificate Limit Bodily Injury By Disease: $1,000,000 Each Employee Please advise if this is adequate information regarding the W/C the Town carries. David W. Anthony Chief Procurement Officer Town of Barnstable 230 South Street Hyannis, MA 02601 (p)508-862-4652 (f)508-862-4717 1 PROJECT NAME: Nqonnio r11� ADDRESS: / / / 141 c 's PERMIT# DATE: M/P: LARGE ROLLED PLANS ARE IN: BOX SLOT '7 DATE: q/wpfiles/archive I % !0 Town of Barnstable , STABIX : Regulatory Services KOS 0 .m�' iOl ,39. Thomas F. Geiler,Director Building Division q� Tom Perry Building Commissioner 200 Main Street, Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 September 16, 2003 Mr. Lee Sarkinen Working Supervisor Barnstable Public Schools 230 South Street Hyannis,MA 02601 Re: Annual School Inspections Dear Lee: On September 9, 10, and 11, 2003, I inspected all Town of Barnstable schools. The schools with violations are listed, and a copy of the violation was given to the principal or custodian at each school. Again, I refer you to Mass. Building Code 780 CMR 1023.0 (Exit Signs and Lights), 1023.4, (Power Source), and CMR 1024.0 (Means of Egress--Lighting). On the Handicapped parking problems, I refer you to the 521 CMR Architectural Access Board, Chapter 23 (Parking and Passenger Loading Zones) especially 23.6 (signs). Barnstable High School,744 West Main Street,Hyannis Cafeteria door#26 has a large slide bolt which was in the locked position. I unlocked it. . This door is to be unlocked during occupancy, as are all exit doors. Centerville Elementary School, 658 Bay Lane, Centerville 1. Emergency light in main entrance lobby is inoperative. 2. Emergency light in cafeteria is inoperative. 3. Emergency light#17 on second floor is inoperative. 4. Emergency light in portable over door P2 is inoperative. Hyannis East Elementary School, 171 Bearses Way,Hyannis �. 1. Kindergarten portable exit/emergency light unit over door P 13 is inoperative, and emergency/exit light unit over doors P4 and P 11 is inoperative. 2. Portable PS2 Room, both emergency lights are inoperative. 3. Portable Speech/Language emergency light is inoperative. 4. Portable Music Room emergency light over door P5 is inoperative. 5. Portable Therapy Room emergency light is inoperative. 6. Emergency light in main corridor to cafeteria is inoperative. 7. Portable Shrum Kindergarten exit/emergency light unit over door P3 is inoperative. Hyannis West Elementary School, 549 West Main Street,Hyannis 1. Two handicapped signs are missing from designated handicapped parking spaces in the front parking lot. 2. Exit light in Portable 24 is inoperative. 3. Emergency light in Portable 23 is inoperative. Marstons Mills Elementary, 2095 Main Street,Marstons Mills Emergency light by door#7 in portable is inoperative. Osterville Bay Elementary School, 93 West Bay Road, Osterville Emergency light unit on the second floor at Mrs. Frazel's room is inoperative. Osterville Elementary School,418 Bumps River Road, Osterville Two emergency exit light units in portable are inoperative. To make identification easier, I request that all portable classrooms at all schools be identified with a name or number similar to the two portable classrooms in Cotuit. Also, please number all emergency lights for easier identification similar to the Centerville Elementary School. Sincerely, Ralph L. Jones Building Inspector RLJ/lb cc: Andre Ravenelle, Superintendent Tom Perry,Building Commissioner Q020903a s �� � 1 -� � � i � � w TOWN OF BARNSTABLE CERTIFICAT OF OCCUPANCY PARCEL ID 309 008 GROBASE !ID 2�276 ADDRESS 171 BEARSE'S. WAY PHONE HYANNIS ZIP LOT BLOCK LOT SIZE DHA DEVELOPMENT DISTRICT- NY I Pi? i 'iT HYANN'IS kAST/MODULAR CLASSROOMS (PMT #32856) 1 PERMIT TYPE BOOO TITLE CERTIFICATE OF OCCUPANCY � 'I i CONTRACTORS:. Department of Health, Safety ARCHITECTS: and Environmental Services TOTAL FEES: BOND $.00 DIME CONSTRUCTION COSTS $.00 763 MISC. NOT CODED ELSEWHERE t BAR� LEA 6►�k 1639. A�O� E�MA'S BUILDII�/t; DIVISION BY DATE ISSUED 09/21/1998 EXPIRATION DATE i Engineering_Dept.(3rd floor) Map Paicel J� Permit r/ rJ 1 House# l� t � . Date Issued �CJ Sc - ud�f�Iealth(3rd floor)(8:15 -9:30/,1:00-40A) ee onservation Office(4th floor)(8:30- 9:30/1:00:2:00) - � 'y L {�3 ': e 3Gw l�s - t.(1st floor/School Admin. Bldg.) 1HE n pproved by Planning Board 19 _ _ • • RARNSTABLE. - TOWN OYBARNSTABLE Building Permit Application JJ*ect Street Address hni5., i',' ,7 Village / Owner I��9L�gJS�s��� ALWIle— &::, Aess (b- /34 j�S'�� -$to���� Telephone d — 220— C5, ..Permit Request /\�LoDv��-✓ G j First Floor l�� y square feet Second Floor square feet Construction Type Estimated Project Cost $ Zoning District Flood Plain Water Protection Lot Size Grandfathered ❑Yes ❑No Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family(#units) Age of Existing Structure Historic House ❑Yes X1lo On Old King's Highway ❑Yes ❑No Basement Type: ❑Full ❑Crawl ❑Walkout ❑Othero Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full: Existing New Half- Existing New No. a H3tiftuoms: Existing New Total Room Count(aot. cl g-baths): Existing j New First Floor Room Count Heat Type and Fuel: ❑Gas ❑Oil AElectric ❑Other Central Air �Yes ❑No , Fireplaces:Existing New Existing wood/coal stove ❑Yes ❑No Garage: ❑Detached(size) Other Detached Structures: ❑Pool(size) ❑Attached(size) ❑Barn(size) ❑None ❑Shed(size) ❑Other(size) Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial fames ❑No If yes, site plan review# Current Use Proposed Use Builder Information Name T0'J9 )�-G Telephone Number Address I" n-e*c,r_ U License# -�'l��n�cti� Home Improvement Contractor# Worker's Compensation# NEW CONSTRUCTION OR ADDITIONS REQUIRE A SITE PLAN(AS BUILT)SHOWING EXISTING,AS WELL AS PROPOSED STRUCTURES ON THE LOT. ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO if SIGNATU DATE BUILDING PERMIT DENIED FOR HE FOLLOWING REASON(S) FOR OFFICIAL USE ONLY _ PERMIT,NO. DATE ISSUED- MAP/PARCEL NO. ADDRESS VILLAGE 1 OWNER ; DATE OF INSPECTION: A FOUNDATION FRAME 'INSULATION FIREPLACE i ELECTRICAL: ROUGH FINAL ? PLUMBING: ROUGH FINAL- GAS:' ROUGH FINAL FINAL BUILDING ` !yRt ' DATE CLOSED OUT ASSOCIATION PLAN NO. Tile Commonwealth of Massachusetts Department of Industrial Accidents : .. _ Office aflttyesti0atians - 600 Washington Street Boston,Mass.. 02111 v 4fRi Workers' Com ensation Insurance Affidavit name: a location: city phone# ❑ I am a homeowner performing all work myself. ❑ I am a sole proprietor and have no one working in any ca amty I am an employer providing workcis' compensation for my employees working on this job. company name address po Wx-ft—'cF_ tby�i> l � M 'Soto tV CT phone#- �o�� �7 ✓ ! �� ...... city- C; insurance co. C�N oiicv ❑ I am a sole proprietor,general contractor, or homeowner(circle one)and have hired the contractors listed below who have the following%vorkers' compensation polices: . ....... ZZ- company name: address �� _... dh, r phone#t '•' -25 insurnnce co. com 7anv name address city phone#• insurance co. / / /% ,%////%%%/ // // FaOw a to secure coverage as required under Section 25A of:11GL 152 can lad to the Imposition of criminal penalties of a One up to$1�00.00 and/or one years'imprisonment as well as civil penalties in the form of a STOP WORK ORDER and a One of SI00.00 a day against me. I understand that a copy of this statement may be forwarded to the O1nce of Investigations of the DIA for coverage verification I do hereby certify under the pains and penalties of er'ury that the information provided above is true and correct Signature Print name 67>` `�� Phone# Ed do not write in this area to be completed by city or town otndal 9 permitAicense# (]Building Department ❑Licensing Board ediate response is required ❑Selectmen'smienQHeaith Department phone#• ❑Other peeua 9l93 P1A) r` Information and Instructions Massachusetts General Laws chapter 152 section 25 requires all employers to provide workers• compensation for their employees. As quoted from the "law", an employee is defined as every person in the service of another under any contaac 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 . trustee of as individual, partnership, association or other legal entity, emploving 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 ..t er R,6n a. v%lr�w nersar=to do maintenance , construction or repair work on such dwelling house or on the grounds o: auvua�.. r�..v w..r...�.. Z,........... building appurtenant thereto shall not because of such employment be deemed to be an employer. MGL chapter 152 section 25 also states that every state or local licensing agency shall withhold the issuance or renew of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who ha not produced acceptable evidence of compliance with the insurance coverage required. Additionally,neither the commonwealth nor any of its political subdivisions shall enter into any contract for the have t publiced �unnv until acceptable evidence of compliance with the insurance requirements of this chapter authority. Applicants Please fill in the workers' compensation affidavit completely, by checking the box that applies to your situation and supplying company names, address and phone numbers along with a certificate of insurance as all affidavits may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested, not the Department of Industrial Accidents. Should you have any questions regarding the"law"or if you are required to obtain a workers' compensation Policy,please call the Department at the number listed below. NI City or Towns 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. The affidavits may be returned io the Department by mail or FAX unless other arrangements have been made. The Office of Investigations would like to thank you in advance for you cooperation and should you have arty questions- please do not hesitate to give us a call. i��� / . / hone and fax number. T'he Departrtueat's address,telep The Commonwealth Of Massachusetts Department of Industrial Accidents 11mce of investigations 600 Washington Street Boston,Ma. 02111 fax#: (617) 727-7749 phone #: (617) 7274900 eat. 406, 409 or 375 A.M. h FOR DATE TIME P.M. OF - Koski El'URRtED' PHONE �I$ Y©k1ACl1EL AREA CODE NUMBER EXTENSION Hil}�� F �E_- M SSAG •� uvasvrs:to: I it t SE,YDU SIGNED - - afll11VerSal- 48003 - .NOTES : 1 i k 2 COCA fZ �. Y�,��`� Pro p�s►�.1� � �� IPT lk z$ e`s 7.�• �n n1 i wt 1 /tiClv��k✓ Se�ar� kuvi — ice, s� �f � � i { � L�.tr,, ,,k�.� .� a a as ao e-a —,��a-o �_ m r.t io an o o_ C� o gym`i°iria 6 � it r+� � = nit yo t ao .�'ai p=�+ -. !, rn � _ �-. y � ;! o :� � o ti x c m '�O N. p+• C P~Y I \ N �V � N f� a .moo e�-a '^ P � � � s `O .. �1 1 -NAssessor's 6ffice'(1st floor) Map �(/ Lot ermit Conservation Office(4th floor) 7 I .J \'f� "" Date Issued i�(irJ S6Z wz- 4-pC0J ;J— I+3rd floor)(8:30-9:30/1:00-2:00)P1ce-aim jSi�� e` Engineering Dept. (3rd floor) House# 171 r f �.HE Planning Dept.(1st floor/School Admin.Bldg.) i BARNSTABLE. Definitive Plan Approved by Planning Board 19 rFD IAA� TOWN OF_BARNSTABLE ►' '� t Building Permit Application Project Street Address 12es t� Village //`` Owner ®h o6 S�'4'c/�&— Address Telephone Permit Request t e ✓�� ' rUUry �� �dl Total 1 Story Area(include 1 story garages&decks) square feet Total 2 Story Area(total of 1st&2nd stories) square feet Estimated Project Cost $ Zoning District Flood Plain Water Protection Lot Size Grandfathered ? Zoning Board of Appeals Authorization Recorded Current Use �c��>� Proposed Use Construction Type____evod Commercial Residential Dwelling Type: Single Family Two Family Multi-Family Age of Existing Structure Sy✓'S . Basement Type: Finished a Historic House Unfinished Old King's Highway Number of Baths No. of Bedrooms Total Room Count(not including baths) First Floor Heat Type and Fuel le,C Central Air Fireplaces Garage: Detached. Other Detached Structures: Pool Attached Barn None Sheds Other Builder Information Name Telephone Number Address f f J ,� �,,,� ��� ,� License# © _242 --I--I-Z, D le 7, Home Improvement Contractor# Worker's Compensation# NEW CONSTRUCTION OR ADDITIONS REQUIRE A SITE PLAN(AS BUILT) SHOWING EXISTING,AS WELL AS PROPOSED STRUCTURES ON THE LOT. ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE �S BUILDING PERMIT 6KNIED FOR THE FOLLOWING REASON(S) FOR OFFICIAL USE ONLY i 9421 - PERMIT NO. ; DATE ISS[ ED 7/2 8/9 5 - MAP PARCEL NO. 309 008 t _ 1 ADDRESS 171 Bearse s Way ,��' VILLAGE Hyannis- > Town of Barnstable ' OWNER " DATE OF INSPECTION: y ' FOUNDATION FRAME INSULATION , FIREPLACE _ ELECTRICAL: ROUGH FINAL' �� t PLUMBING: ROUGH FINAL F t GAS: ROUGH FINAL'. - FINAL BUILDING `y, f DATE CLOSED OUT +- ASSOCIATION PLAN NO. DRY STACK S" X 16" SOLID CONCRETE,BLOCK MAX 3 CR5. ,s ;<:7CONCRETE ANCHOR DOUBLE HEADED. J-RODS 5/8" d is x 12 MODEL MIJ2 I I ,. ----- #4 REBAR S PER 30 AND 36" d is 10 PER 42" dia <r -----� WITH OPTIONAL #3 WELDED TIES 1@ IS" O.G. QED A CONCRETE PIER ��°' MICHAEL `cow JOHN KEANE No.7384 STRATHAM NH Jyw INTERIO ER IL SCALE 1/2 = 1� 0 e:! �'r f — ALTERNATE WELD PLATE 6" X 6" X1/2" STEEL PLATE WITH ANCHOR MAY REPLACE WIRE TIES x -I- -1 16" X 16" CAST IN PLACE (C.I.P) CONCRP,,TE COLUMN I--�" WITH 4 #4 VEf BARS p I I TIED WITH #3 BARS a)12" O.C, d I I HORIZONTAL,/ T--- 1, CONCRETE ANCHOR i I DOUBLE HEADED J-ROD5 77 5/8" dia x 12 MODEL MIJ2 #4 REBAR 6 PER 24" dia I_ I 8 PER 30 AND 36" dia WITH OPTIONAL #3 WELDED TIES 1@ 18" O.C, I I CONCRETE PIER M ��d IHAEL FE-fRIMETER FIER DETAIL KEME No.7384 y MTHAM W 5C 4LE 1/2" = 11-01' � ,y 4( H 0 DRY STACK S" X 16" SOLID C6 NCRETE BLOCK MAX 3 CRDS. CONCRETE�ANCHOR DOUBLE HEADED J-RODS 5/0" dia x 12 MODEL M1J2 ----- #4 REBAF2 6 PER 24" dia S PER 30 AND 36" dia WITH OPTIONAL #3 WELDED TIES @10" O.C. ED Al? IIHCONCRETE PIER e�a� MICHAEL JOHN KEANE No.7384 STRATHAM $o NH oy OF Y�SSo-` �3(At FERIMETER f= IER IDETAIL SCALE 1/2" = 1'-0 '� ALTERNATE WELD PLATE 6" X 6" X I/2" STEEL PLATE WITH ANCHOR MAY REPLACE WIRE TIES x 16" X 16" CAST IN PLACE (C.I.P) CON,C,RETE COLUMN -� WITH 4 #OVERT BARS f TIED WITH #�? BARS 1@12" O.C. HORIZONTAL i I CONCRETE' ANCHOR /<7+ DOUBLE HEADED J-RODS 5/8" dia x 12 MODEL MIJ2 #4 REBAR S PER 30 AND 36" dia 10 PER 42" dia v -� -� WITH OPTIONAL #3 WELDED i TIES 1@ ISI' O.C. CONCRETE PIER it ��� MAN� INTERIOR TIER IDETAIL o.7384 RATHAM 6�b NH OF SCALE 1/2 ' lam® II l A�S� � N13 Lt n 8 rr a fO "0 El A. `t ti ti • " C W a a aoil n N 0 $ O• O• 'O o •. try .. Who t v f° R U.- o � o 11 a c cc CL r, I ;Q; 0 a SO 0 fD 0 Flo Itin L oo Pool L• al o O •�' . tom -°, aQ u C � a A r 1 o �, a � � opt s s s O : . c r CERTIFICATE OF INSURANCE ==o== ...___ __= DATE PRODUCER THIS CERTIFICATF ISSUED AS MATTER OF INFOR- LEO RUSH INSURANCE INC NATION ONLY AND CONFERS NO RIGHTS UP N THE 131 MAMMOTH ROAD CERTIFICATE HOLDER; IT DOES NOT 'AMEN[ , EX- CODE NH 03076 TEND OR ALTER COVERAGE AFFORDED BY THE POL- ICIES BELOW. CMPANIES AFFORDING COVER GE: COMPANY LETTCOMPANY A NAUTILUS INSURANCE INSURED JEN-SET CoLETTER B NEW HAMPSHIRE INSURANCE CO COMPANY LEDGE RD LETTER C LIBFRTY MUTUAL PELHAM, NH 03078 COMPANY LETTER D COMPANY COVERAGES: THIS CERTIFIES THAT INSURANCEEPOLICIES BELOW HAVE SEEN TSSUED '0 THE ABOVE INSURED FOR POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMEN TERM OR CONDITION OF ANY CONTRACT OR DOCUMENT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE HEREIN IS SUBJECT TO ALL TERMS OF SUCH POLL CO TYPE OF POLICY POLICY POLICY ALL., LIMITS IN S. L.TR INSURANCE NUMBER EFF DATE EXP DATE THOUSAND A GENERAL LIABILITY IMA212048A 12/03/94 12/03/95 GEN AGGRFGATE., $ 1000 X COMMERCIAL GENERAL LIABILITY PR-CMP/OPS AG S 1000 CL MADE XOCCURRENCF PERS&ADV TNJUR 3 1000 _ OWNER'S & CONTRACTORS PROTECTIVE EACH OCCURENCE $ 1000 FIRE DAMAGE $ so B AUTOMOBILE LIAR ARM 961-13-638 06/15/95 05/15/95 MEDICAL EXPENS $ 3 _ ANY AUTO CSL $ 7S0 _ ALL OWNED AUTOS BODILY INJURY (/ RS) X SCHEDULED AUTOS_. HIRED AUTOS $ NON-OWNED AUTOS BODILY INJURY (/A CID) _ GARAGE LIABILITY $ PROPERTY DAMAGE EXCESS LIABILITY EACH _ OTHER THAN UMBRELLA FORM OCCURRENCE AGGR.GATE $ $ C WORKERS' COMPEN- WC1-311-223311-015 04/05/95 04/06/86 STATUTORY SATION AND $100 EMPLOYERS' 00 LIABILITY $$100 OTHER DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/RESTRICTIONS/SPECIAL ITEMS CERTIFICATE HOLDER ==__==_==ss=asaa CANCELLATION Q�aa SHOULD ABOVE POLICIES RE CANCELLED BEF RE SCOTTSMAN GROUP *EXPIRATION DATE, COMPANY WILL ENDEAVOR TO 8211 TOWN CENTER DR =MAIL 30 DAYS WRITTFN NOTICE TO CERTIFICATE BALTIMORE, MD 21236 *HOLDER (AT LEFT); FAILURE TO MAIL NOTICE SHALL IMPOSE NO 081_IGATION OR LIABILIT OF *ANY KIND UPON THE COMPANY,. OR ITS AGEN OR REPRESENTATIVES. AU ORIZEO RESENT IV JOAN BERLA 03�3 - 39 TEd St7CL C80 209 :01 6FS%+S29 209 TC:60 S6 8T -inf .v, •�.....-._....,_s.E_......._ F.,-_._......'�.�_;• :`�. .��n;. A1:�IIs1/ CERTIFl0ATm`:0F N$URANCE ISSUE DATEIMM,'DC)YYI „ 4 PROOUC_ER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS Riggs, C.ClUni3(3�ft}QI') >, F11(:lltiit�71 Sn NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, Dciwfies t Ifi(::. EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW, 555 1' rli Y`hl(3Ui')f. IBiVenUF's . _.. - L�ral-t.inic:lre � MD 23,286 COMPANIES AFFORDING COVERAGE COMPANY A A-11(al LETTER. _, Trawler% Incirmnity Co. of it.. / ���� Tn COMPANY INSURED I,JI)II�+^,S nl ` �'"`�'°��1V� LETTER us Trovaler'cs Indemnity Co. OF IL The (Scotsman Group, 11,11C . COMPANY Attu 2 F:i.SK Mnnquement. Ellopt. LETTER C ��• 0, DG>d 986 COMPANY D Ft!llti n)eli �� j{il s?j 0; LETTER �. TravUslers lnde in ity Co. of It- COMPANY E LETTER tt COVERAGES. r'P:.:. . ?�- - r;-ram --,m,.. --- - __. _... _ -.. -..._..._...- - 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 CONTRACTOR 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, i EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. CO TYPE OF INSURANCE POLICY EFFECTIVE , POLICY EXPIRATION LTR POLICY NUMBER DATE(MM/DD/YYI DATE fmm/DD�YY) LIMITS A GENERAL LIABILITY �1,.�3 �fU:1.�Ei9�1 ` 4/01/95 4/01/96 GENERAL AGGREGATE S 3000000 X� COMMERCIAL GENERAL LIABILITY PRODUCTS-COMPIOP AGG. 8 1000000 CLAIMS MADE.�( OCCUR. PERSONAL&ADV.INJURYS 1 1040000 OWNER'S&CONTRACTOR'S PROT. EACH OCCURRENCE 4, 1000000 FIRE DAMAGE fAnY one fire) 6 :500000 MED.EXPENSE(Any One Weon) 1 5000 L; AUTOMOBILE LIABILITY 0 AR26'SJ 790A 4/01/9"S 4/01/96 COMBINED SIN13LE y 1000000 X ANY AUTO LIMIT ALL OWNED AUTOS BODILY INJURY 8 SCHEDULED AUTOS 1pe,peraonl X NIRED AUTOS BODILY INJURY X NON-OWNED AUTOS (Per eccidem) 8 1 GARAGE UABiLTY 1 PROPERTY DAMAGE 8 ii EXOq$9 LIABILITY EACH OCCURRENCE 8 I UMBRELLA FORM I AGGREGATE 4 OTHER THAN UMBRELLA FORM I,} WORKER'S COMPENSATION UYs1t>`1`-110149'5 4 0I/95 4/01./9ff X STATUTORY LIMITS t AND EACH ACCIDENT 8 i000000 EMPLOYERS'LIABILITY DISEASE-POLICY LIMIT & x 000000 OTHER DISEASE-EACH EMPLOYEE s 1000000 • DESCRIPTION OF OPERAnONS/LOCATIONS/VEHICLES/SPECIAL ITEMS The Town of Pgrnsatable is included ns-s Addi,-tioriol lmm.ired far Isurwral Liability c overagei rs1•)ly. CERTIFICATE`I�OLbER .- -~-� - r-. _ ..._._._.._.__ r.....__ -,_ _ ... , -. .. » ... - CtACELIATIdN J SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE J zi EXPIRATION DATE THEREOF. THE ISSUING COMPANY WILL ENDEAVOR TO ?1, MAIL »3n DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE f 367 -ai I(12 greet Zta r� LEFT,BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR ifi7' {Ir11f1 ��(»�3t)t ?'-: LIABILITY ANYKINDUPO THE O PANY,ITSAGENTSORREPRESENTATIVES. 1'lywin i s3 v tit) 02601. I - UT#I¢pRl RESE ATI E • t CERTIFICATE OF INSURANCE This certifies that ®STATE FARM FIRE AND CASUALTY COMPANY, Bloomington,Illinois [—I STATE FARM GENERAL INSURANCE COMPANY, Bloomington, Illinois insures the following policyholder for the coverages indicated below: Name of policyholder THISTLE CONSTRUCTION Address of policyholder 571 MAMMOTH ROAD v dJ/�il.e. �+dt-� 'CGt i1� � PELHAM, NH 03076 Location of operations POLICY NUMBER TYPE OF INSURANCE POLICY PERIOD LIMITS OF LIABILITY Effective Date Expiration Date ❑ Comprehensive General Liability BODILY INJURY ---- ------------- ------ - --------------- ---------- ---- — ----------------------- ❑ Dual Limits for: ❑ Manufacturers and Each Occurrence $ ---------------- ---------------------------Contractors Liability------- --------------------------------- ------------- Aggregate $ ❑ Owners, Landlords, and Tenants Liability PROPERTY DAMAGE --------------- --------------- ------------- ---------------Y----- ------------------------ --------- ------ Each Occurrence $ This insurance includes: ❑ Products-Completed Operations Aggregate' ❑ Owners or Contractors Protective Liability BODILY INJURY AND ❑ Contractual Liability r PROPERTY DAMAGE ❑ Professional Errors and Omissions C 1 Combined Single Limit for: ❑ Broad Form Property Damage Each Occurrence $300,000. ❑ Broad Form Comprehensive General Liability Aggregate 600,000. POLICY PERIOD CONTRACTUAL LIABILITY LIMITS(if different from above) POLICY NUMBER TYPE OF INSURANCE BODILY INJURY Effective Date � Expiration Date 94—BB-9117-3 CONTRACTORS 1-23-95 1-23-96 Each Occurrence PROPERTY DAMAGE Each Occurrence Aggregate EXCESS LIABILITY BODILY INJURY AND PROPERTY DAMAGE (Combined Single Limit) ❑ Umbrella Each Occurrence $ ❑ Other_ Aggregate $ Parts STATUTORY ❑ Workers' Compensation Part 2 BODILY INJURY and Employers Liability Each Accident $ Disease Each Employee $ Disease-Policy Limit $ 'Aggregate not applicable ff Owners,Landlords,and Tenants Liability Insurance excludes structural alterations,new construction,or dernoftion. THIS CERTIFICATE OF INSURANCE IS NOT A CONTRACT OF INSURANCE AND NEITHER AFFIRMATIVEL;Flu GA ELY ENDS,EXTENDS, OR ALTERS THE COVERAGE APPROVED BY ANY POLICY DESCRIBED HEREIN. Name and Address of Certificate Holder Sgnature of Aulrq zed Representative WILLIAMS SCOTTSMAN PELHAM INDUSTRIAL PARK AGENT PELHAM, NH 03076 Tub JUNE 16, 1995 Date ATTEN: RICHARD DALPHAND Agent's Code Stamp EECHARD,R- 5042 F6-994.10 Rev,6-91 Primed in USA- M V V NE 1, T. 9766 TOWN OF BARNSTABLE Building Department4o"undatid,n Permit. �44 rs J> Date S Eli Name )A &I LocatioU),A 7 insp. of Bidgs. 74' �� COMMONWEALTH DEPARTMENT OF PUBLIC SAFETY f OF "xr 1010 COMMONWEALTH AVE. _ MASSACHUSETTS BOSTON,MA 02218 LICENSE 't' �fi' Y 1CAUTION IXPIRATION DATE 07/31/ 995 .CONSTR. SUPERVISOR � ' r FOR PROTECTION AGAINST RESTRICTIONS EFFECTIVE DATE UC-NO. THEFT, PUT RIGHT THUMB 00 08/01/1992 058280 PRINT IN APPROPRIATE BOX ON LICENSE. HAROLD W THISTLE 5� BLASTING OPERATORS POB X 863 z MUST INCLUDE PHOTO. PHOTO Ie GOPRONLY) FEE .' LONDONDERRY NH Q30 'f.. ~NOT VALID UNTIL SIGNED BY LICENSEE AND AO L HEIGHT. - - STAMPED-OR-SIGNATURE OF THE COAOAISSX)NER . THIS DOCUMENT MUST i44 - SIGN NAME IN FULL ABOVE SIGNATURE LINE CARRI ED ON THE PERSON O - �; THE HOLDER WHEN E 00Ay - MS PRINT GAGEDINTHIS0CCUPATI A ROV.. AUTH.. h a TOWN O.F BARNS� TABLE Building Department- Foundation ` Permit Date LJS NameAV YXftA Locatio S L[Ji4y Insp. of Bldgs. I 3 19vlbOd Z 50 -0* Z ' 9N11 S1 X 3 R •----- o D I I t > f CD \o Om v^ m C _.._..-.._.._.._.._.._�f—.._.._.._.._.._.._.._.. I I I m W I I D Z Z (� O IT c I�oo�ssv r-� I rrpp�lssv t� c I ----------------- s. .. . ......... _ ... .... j LIj ..o-.oq 0 J J I , �� � � j ;, � a �, � �� l �. �, �` Q 4 1 _ ,;-i a A 1 i 1 � �� � ..R. '�- .. �. ` � .. 1 ` t �_ � ' � ` y �. t 07'25/95 09:36 %Y603 882 7245 PELHAMMAMINUMUT (j001i006 Williams Scotsman SC0TSIMAN CompanyFAX... Mobile Offices And More. I Did vou know that We have over 30 of f ices nationwide?" TO, Firm; �as✓,� o� �r�i'ns Phone Number: _— From: ' Telecopier Number: 603-882-7245 # Pages(including cover page): Date:— Ti p f ° Message To Recipient /I.Qo� ul�y- ��J�t�� /��s �' �o^�r�./i.�c �,��,��,:�• ,..mac<.v��..�• ��� If there is a problem receiving this transmission,please call; Phone Number: (Operator Sending Message) FAX: 603-882-7245 Pelham Industrial Park • Pelham,NH 03076-0183 . 603-882-2823 #1 fti mobile offices i 07/25/95 09:37 %P603 882 7245 PELHAM 2 002/006 Assessor's Office(1st floor) Map � t1 / Lot 0 ermit# Conservation Office(4th floor) Date Issued �, Pk; S&WUZ-4ene lea t#{3rd floor)(8:30 9:30/1:00-2:00)L19l , �� ee )( Engineering Dept.(3rd floor) House# t�,l �A Planning Dept.(1st floor/School Admin. Bldg.) , Definitive Plan Approved by Planning Board 19 96 9, TOWN OF BARNSTABLE Building Permit Application Project Street Address Village .Owner OF t S)W(A- Address Telephone w Permit Request r Total 1 Story Area(include 1 story garages& decks) square feet Total 2 Story Area(total of 1st&2nd stories) square feet Estimated Project Cost $ Zoning District Flood Plain Water Protection Lot Size Grandfathered Zoning Board of Appeals Authorization Recorded Current Use Tyr la,�-z! Proposed Use Construction Type_ Gvor/� 5",a .42 e Commercial Residential Dwelling Type: Single Family Two Family Multi-Family Age of Existing Structure_ y�°S Basement Type: Finished Historic House Unfinished Old Ding's highway Number of Baths rS No,of Bedrooms Total Room Count(not including baths) L/ First floor /V Heat Type and Fuel Central Air Fireplaces Garage: Detached _ _ Other Detached Structures: pool Attached Barn None Sheds Other Builder Information Name `r �'' ��­ L.4a Telephone Number Address �l 7 a 2';P ax . ,. License# _ p 4- 4 42 i /,OL . ,.��, D 2,2 7.. ,6 Home Improvement Contractor# Wnrkerk 1rmmnP.ncatinn it NEW CONSTRUCTION OR.A.DDITIONS REQUIRE A SITE PLAN(AS BUILT) SHOWING EXISTING,AS WELL AS PROPOSED STRUCTURES ON TIME LOT. ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO N �' SIGNATURE /� ,c, DATE .SJ BUILDING PERMIT HIED FOR THE FOLLOWING REASON(S) 07/25/95 09:38 V603 882 7245 PELHAM 0 004/006 CERTIFICATE OF INSURANCE This certifies that ZISTATE FARM FIRE AND CASUALTY COMPANY,Blopmington,Illinois ❑STATE FARM GENERAL INSURANCE COMPANY,Bloomington,Illinois insures the lollewiny policyholder for the coverages indirated below: Name of policyholder 11ISTi.,F CONSTRUCTION Address - Address of policyholder 571 MAMMOTH rQA% v✓nal.� 1`'+r�t� o�'ca 04 PrLHAM, NH 03076 Location of operations j POLICY PERIOD POLICY NUMBER TYPE OF INSURANCE LIMITS OF LIABILITY I Effective Date Expiration Date ❑ Comprehensive ...................... ❑ Dual Limits for: BODILY INJURY ❑ Manufacturers and Each Occurrence $ Contractors llabilitY.-.. ... Aggregate $ ❑ Owners, Landlords, and Tenants LiabilityPROPERTY DAMAGE ............. . ............I............1......... ... ....... .................._........ ----- Each Occurrence $ This insurance includes: ❑ Products •Completed Operations Aggregate' ❑ Owners or Contractors Protective Liability BODILY INJURY AND ❑ Contractual Liat)ility PROPERTY DAMAGE ❑ Professional Errors and Omissions Combined Single Limit for: ❑ Broad Form Property Damage Each Occurrence $300,000. ❑ Broad Form Comprehensive General Liability Aggregate 600,000. - POLICY PERIOD CONTRACTUAL LIABIUTY LIMITS(if different from above) POLICY NUMBER TYPE OF INSURANCE Effective Date Expiration Date BODILY INJURY 94-BB-911,7-3 CONTRACTORS 1.-23-95 1-23-96 Each Occurrence PROPERTY DAMAGE _...,,..,.., Each Occurrence _.. -- Aggregate EXCESS LIABILITY I BODILY INJURY AND PROPERTY DAMAGE { (Combined Single Limit) ❑ Umbrella I _ i Each t}rCllrrenCe $ I['j Other _ Aggregate $ _ Part t STATUTORY ❑ Workers' Compensaticn Part 2 BOOiLY INJURY and Employers Liability I Each Accident $ Disease Each Employee $ Disease-Policy Limit $ .Aggmgala nee app—bW d Owwri,Londlurda,and Taeams WbUtty irlwr3ma ecuaes auuawwai anarariar.,row convwim,ar dnmodtw. THIS CERTIFICATE OF INSURANCE IS NOT A CONTRACT OF INSURANCE AND NEITHER AFFIRMATIVELY N GA ELY ENDS, EiCTENDS, OR ALTERS THE COVERAGE APPROVED BY ANY POLICY DESCRIBED HEREIN. Name and Address of Certificate Holder e I_ WILLIAMS SCOTTSMA[ 9yn�tmaotn�v�r,.w.Rapu vitafr.a _. DELI:LAM INDUSTRIAL PARK �1GE��iT PE1..IIAt'1, NH 03076 — 1LINr 16, 1,995 A"f"'IT!i-- Ri:,OARD RAL'('i-IANU F'ca>v"O"BECHAPE0, / � ��TT R- 5042 fG 99a,70 Rw.e•Jit eh,rww,e u•J.9.n. iadlJtJlV MOONY. T. 9766 i 07;25/95 09:39 '0603 882 7245 PELHAM 005/006 CERTIFICATE OF dNSLER"CE -=9==m..az_=y C=�=L`�O@IDS=srsxw�.ra�=c��!y PRODUCER D7 18/9S LEO RUSH INSURANCE INC THIS CERTIFICATE ISSUED AS MATTER OF INFOR- 131 NAMOT" ROAD MATION ONLY AND CONFERS NO RIGHTS UPON THE PELHAM, wN 03078 CERTIFICATE HoLnER; IT DOES NOT AMEN C , Ex- CODE TEND OR ALTER COVERAGE AFFORDED BY THE POL_ r _,1��` ICIFS BELOW. CMPANIES AFFORDING COVER* COMPANYE: LETTERp lS� COMPANY A NAUTILUS INSURANCE INSURED LETTER B NEW NAMPSk 3 I EM, RE IMStI SET CO RgMCE ®o �a�� Ra COMPANY � �, PELHAM, NFi 03078 LETTER C LISFRTY MUTUAL COMPANY LETTER D COMPANY LETTER E COVERAGES; THIS CERTIFIES THAT INSURANCE POLICIES BELOW HAVE BEEN ISSUED TO THE ABOVE INSURED FOR POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR DOCUMENT TO WHIOM THIS CERTIFICATF MAY BE ISSUED OR MAV PERTAIN, THE INSURANCE HEREIN IS SUBJECT TO ALL TERMS OF SUCH POLICIES. CO TYPE OF POLICY POLICY POLICY ALL., LIMITS IIN I.TR INSURANCE NUMBER EF'F DATE EXP DATE A GENERAL LIABILITY IMA212040A 12o'03/84 12/03/95 GEN AGGRFGATEAN$ 1000 X COMMERCIAL GENERAL LIABILITY PR-CMP/OPS AO 3 1000 CL MADE XOCCURRENCF PR-CMP/Y S AO 3 1000 _ OWNER'S 4 CONTRACTORS PROTECTIVE EACH ADVT OCCURENCE $ 1000 FIRE DAMAGE B AUTOMOBILE LIAO AR" 981�-13-838 OS/15/95 05/15/95 MEDICAL EXPENS a a0_ ANY AUTO _ ALL OWNED AUTOS CSL $ 750 X SCHEDULED AUTOS BODILY INJURY (/ RS) HIRED_. AUTOS BODILY NINJURY (/A CID) _ NON-OWNED WNED AUTOS � GARAGE LIABILITYRROPFRTY OHMAGE EXCESS LIABILITY EACH _ OTHER THAN UMBRELLA FORM OCCURRENCE A3GREGATE S ; C WORKERS' COMPEN- WC1-311-223311-015 04/00/95 04/OB186 STATUTORY SATION AND EMPLOYERS' $100 LIABILITY 3100 OTHER $500 DESCRIPTTOU OF OPERATIDNb/LOCATIONS/vEHICLES/RESTFciCTIONs/SPECIAL ITEMS CERTIFICATE HOLDER CANCELLATION SHOULD ABOVE POLICIES BE CANCELLED BEF RE�- SCOTTSMAN GROUP SEXPIRATION DATE, COMPANY WILL ENDEAVOR TO 8211 TOM CENTER OR OMAIL 30 DAYS WRITTEN NOTICE TO CERTIFI ATE BALTIMORE, MO 2123E *HOLDER (AT LEFT); FAILURE TO MAIL NOTI. E SMALL IMPOSE NO 081_IGATION OR LIABILIT OF *ANY RIND UPON THE COMPANY,, OR ITS AGEN OR REPRESENTATIVES.. AU ORIZED RESENT IV ; JOAN BEft 03 3 - 39 i I T©d StycL C�33 E09 O1 6£Sc.*S£9 209 TC:60 S6. 3T 7nr { t J CN 6' V O •Q � j I C)oy 5- 0 i I r I Clt'.e.�� OPrtt N lD 40 � f - I i pit— i T .......... ---------- ....... ............. 3 61 -- i CC?P 5W•R Cvr�C[S 8APN TAPLE PUBLIC SCHCOLS w� dnr TON.COMA Oaivf 51;1� aKnra�-.o rasa i4161�ssscoo HYANNIS EAST EI-EmEwTAFY SCHOOL SCOT S M A N FLOOR FLAN - -_- I GT51•iw n5.i51NK G.A.' FfV r(�q+.ley 0•SE --- e�i...r,eh er+a-�T•: OrC B+: ;VU' GatC �'•C P xi4 0: =i`f. (epe)tot-itm o6 I )/]7 61 i t/G] A,-5 P6;16 ©it< SWiPdn C-wp,lr... I'M 9U0/£UO NVH'I3d sv% Z99 £U9a L£:60 S6/4Z/LU ` 07/25/95 09:39 V603 882 7245 PELHAM 006;006 �IERTI'�Ir^ '�{pJq� ��y4ghp,.,. � •e5 .x;�,1®.,�I ..._ ... .... .--..-- --, ..-,.. ,—�•---^----. _...._.....,...�. T'� •� ..I�SUR��I� ISSUE DATE IMfA:L)DlYYI :'R;: . PF4DV�En 7/1//yo THIS CERTIG!CATG 1S ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS Il ig cJ s r CoijIn T'se2 man, H i,(:I k{lea`j I4 'A NO RIGRYS UPON THE CERTIFICATE MOLDER.THIS CSPTIPCATE DOES NOT AMEND, 110welesw 1Tic: . EXTEND OR ALTER THE COVERAGE AFFORDED BY T:le POLICIES BELOW I'."airalou 'lt Avenue L;c�3.�imcr(a, MI? ?.a.286 COMPANIES AFFORDING COVERAGE ' COMPANY LETTER. A TvavolgprSc I>;1dur,InitY Ca. of !:l- ` COMPANY INSURED (✓i��I�I•I$ �'f �k �ic1� LETTER S Y> .zvvlrz indixmni#y Co. of X! Then f�cvtT�n;I�n Or'atcp, J:II(:. corIPANY ACttT 1 FJ,HK M>an'E}1E�r�f��rTt. Ie�31�is• LETTER C �?• ('a you COMPANY HJD ssJ)Oy LETTER Y'T'+3Vfd,Fxi'B> .lr4Cl&)imity Co. 4f XI_ COMPANY LETTER E . ,.:n� ,. +. .:�.. .. �-�...T...f�._ ..•yam••,,n.�4-....r... THIS IS TO CERTIFY THAT THE POLICIES OF INSUIRANCE LISTED BELOW'HAvE u`FN ISSUED TO TWE(.NSVREO NAMED ASOV E FOR THE POLICY PERIOD INDICATED.NOTWITHSTANDING AM REQUIREMENT.TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT'o 1TH RESPECT TO WHICH THIS CERT1>KATE. INSURANCE APFORDeD BY THE POLICIES OESC MAY M!ISSUED OR MAY PERTAIN, THE INR'BED WEREIN IS SUBJECT TO ALL THE TERMS. EXCLUSIONS AND CONDITIONS OF SUCH POLICIES,LIMITS SHOWN MAY HAVE BIZEN REDUCED BY PAID CLAIMS, LTn TYPO OF INSVRaNCa POLICY NUMBER POLICY lIFECTIVE FOLICV EXPIRATION LIMITS DATE(KNUDONYi DATE IMMrDDYY! (9 GENEaaL LIACLITY I3UM265 J6992 4/"61O95 4/01196 CIENERAL.AGGREGATE S 5000000 ^,X COMMERCIAL GENERAL UABLLtTY PRODUCTS-COMPIOP AGO. 9 1000000 CLAIM.;MADE:.;( OCCUR. PERSONAL b ADV.IµJVRYS 1 1000000 OWNER'S&CONTRACTOR'S PROT. EACH OCCURRE14CE 1 1000000 FIRE DAMAGE[Any one f4a) 6 1id00•GQ MED EXPENSE(any ana D4,40hi S 5000 12 Aurvn0,oBlL(LIABILITY Gf11; E�f3A 4/01/9:5 4/01/76 'uA1nIN50 SIIvGLE $ 1000000 I X ANY AUTO LIMIT All OWNED AUTOS BODILY i 8 SCMEOUIED AVTCS {Pg,P6+a Oftlo�I X HIRED AUTOS X NON-OWNED AUTOS BODILY IN,'VRY g IPer ECCictnt) 43ARACE VAIIILTr PROPERTY DAW.AGE B EXCg8S LIABIL)TY •� EACH OCCURIIRNGC 8 I Ub16PELLA FOFM � AGGREGATE g OTHER THAN UMBRELLA FORM Lf WORKER'S COMPENSATION 1.102 7iLi,1/014Y:S 4/01/93 1101.196 X STATUTOAY LIMNS 1 AND E.-.CN ACCIDFtJT B 1000000 EMPLOYER$'LIAI3)UTY DISEASE-POLICY LIMIT $ 1000000 DISEASE-EACH EMPLOYEE ® 1.000000 OTHER OESCRIFtION OF OPERA770NS/LOCATIONSNEHICLE$ISPSCIAL ITEMS it iITc3 Town of R'.1r(T8tQ131E is Included ne Addi-tioll,11 Ini-i-iVA `ed for Gouleval Lielbi,i.itV f'QV tr,aej* OrIIY. F +) . CERTIFICATE}-�OLbER�' -r-'m•{;_'-_ .e.._.�; „T,. . .- .--r�AJVrC_C^L.�ATIdN .. .e. .-�...,.._.....,. .-•- ^---....,,. _. - . .. ., ? $kOULO ANY OF THE ABOVE DESCRIBED POLICIES BE CqN CELLED BEFOFIE TrI� ' T EXPIRATION DATE THEREOF, Tt1,E ISSUING COMPANY WILL ENDEAVOR TO MAIL DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE Town crfIq T'el S'�IltS IV s,I LEFT,8UT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIOATICN OR 367 K71irT >a'Z'I`et LIABILITY ANYKINJVPO rrw Hi o. MANY. 0601 2 T — — - ITS AG6NTSOPREPRESENTA71t'E$, { f� U RI RE6E ATI E Engineering Dept.(3rd floor) Map O Parcel fj d Permit# - L House# 1 17,1 azj� Date Issued - 3 "^ 9 1 r_. Bogard of Health(3rd floor)-(8:15 -9:30/1:00-4:30) 1© 140 kuPS,� Fee Conservation Office (4th floor)(8:30- 9:30/1:00-2:00) n t ( r c Id .) ' �ive P a Approve y PI in d � 19 JUL � RARNSTARLE. 039. TOWN OF BARNSTABLE Building Permit Application treet Address Hyannis East Elementary School , -+&5 Bearse's Way, Hyannis, MA 02601 Village Hyannis Owner Town of Barnstable (School ) Address 230 South Street, Hyannis, MA 02601 Telephone 790-6490 (School Maintenance Office) Permit Request n d i c a.p`_,R mp Construction at Hyannis East Elementary Portable Classrooms tl First Floor square feet Second Floor square feet ,rvonstructionType Wood/concrete Estimated Project Cost $ 1500.00 Zoning District Flood Plain Water Protection Lot Size Grandfathered ❑Yes ❑No 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 No. 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 Garage: ❑Detached(size) Other Detached Structures: ❑Pool(size) ❑Attached(size) ❑Barn(size) ❑None ❑Shed(size) ❑Other(size) Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes ❑No If yes, site plan review# - Current Use Proposed Use Builder Information Name Thomas R . Hickey, Director Telephone Number 7 9 0-6 4 9 0 Buildings & Grounds Address 835 Falmouth Road License# Hyannis , MA 02601 Home Improvement Contractor# Worker's Compensation# NEW CONSTRUCTION OR ADDITIONS REQUIRE A SITE PLAN(AS BUILT)SHOWING EXISTING,AS WELL AS PROPOSED STRUCTURES ON THE LOT. ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE1171�'_7 BUILDING PERMIT DENIED FOR THE FOLLOWI G REASON(S) FOR OFFICIAL USE ONLY PERMIT NO. DATE ISSUED MAP/PARCEL NO. ADDRESS VILLAGE OWNER DATE OF INSPECTION: , FOUNDATION 1-44a Yf ' FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL - GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. t d �\ � 1 1 o D - LAI vv K N The Conintunitrealth ojAtassachusctts Department njlndltstria!Accidents • � I Y / Office of111yea gations _ 600 Washington Street Bumon. Ma.u. 02111 ,, `' Workers' Compensation Insurance Affidavit Ali Iirtnt information: Please PRINT name' oGa 4j ��^ /�/9 N J'C L location: 91 0 tJ y c/ , c•tv d tM nhone# I am a homeowner performin_ all w rk myself. I am a sole proprietor and have no one working in any capacity • .. :y... .�e...,--..--rs-�,.-...,......_•,..„�•.n•+e vs+.r.s'wsS*!Cr�'�w«+++'1.7F:!+'n:,:I'r`r•'^'-•".'^"A!'!!�n++.r..•�w..,�,...�.�...w.�.r..... .+..•.n.....••—.,•..w..,...-......_....•:. ( I am an entplover providing workers' compensation for my employees working on this job. comn:tn• name: address: city: � C✓/✓! J / r'0'l 0 P6 6I shone#• l 7 2L a insurance cn. Policy# 1 am a sole proprietor. general contractor, or homeowner(circle one) and have hired the contractors listed below who have the following workers' compensation polices: comnam• name: address- cirv: phnne#: insurance co. rolicv# � - •f.:.',y,.•�y.... � - -.a.._ ._�._ -_ -�r�^.�r�.r,1;�tT•'r-7w�st.,.• .^TT.._,- _ ..•...,,,.,.ems._._...- _ company name: address: cite rhone#• insurance co. policy# Attach additional sheet if necessary =• r - •�� - _ R=�T"'"%r '% '""' "• - - ^ir:•''' __, ..__L._..__._ .:a ''-- =r.......::: cS:�..�= ram- _ --rows :vie?.%�ai•.wsi:�iss. Faiiurc to7777 secure coverage as required under Section 25A of NIGL 152 can lead to the imposition of criminal penalties ot'a line up to S1,500.00 andiur une,cars' imprisonment:is well as civil penalties in the form of a STOP WORK ORDER and a fine of S100.00 a day against me. 1 understand that a cope of this statement mac be forwarded to the Office of investigations of the DIA for coverage verification. I do herehr cernfi,tut er the parrs rd ctxtI of perjun•that the information provided above is true and correct. Si_nature Date . Print name ''Tv M IVWUP AK- L k f 6- Phone# _,� 90 76 Y ' official use univ do not,write in this area to be compacted by city or town official r� city or town: permit/license# nBuilding Department (:3Liccnsing Board rC3 check if immediate response is required C3scicetmcn's Office I " C311calth Department contact person: P hone#: nOther information and Instructions c• Massachusetts General Laws chapter 152 section 25 requires all employers to provide workers* compensation for their employees. As quoted from the "law an emplgree is defined as every person in the service of another under anv contract of hire, express or implied. oral or written. An emplorer is defined as'an individual, partnership, association. corporation or other legal entity, or anv two or more the foregoing em�aged 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 hour or oil the _rounds or building appurtenant thereto shall not because of such employment be deemed to be an employer. MGL chapter 152 section 25 also states that even, state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commom%calth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required. Additionally. neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter ha been presented to the contracting authority. - --- Applicants Please fill in the workers' compensation affidavit completely, by checking the box that applies to your situation and supplying_ company names. address and phone numbers as all affidavits may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested. not the Department of Industrial Accidents. Should you have any questions regarding the "law' or if you are required to obtain a workers' compensation policy. please call the Department at the number listed below. . City or Towns 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. Pleas be sure to fill in tite permit/license number which will be used as a reference number. The affidavits may be returned to the Department by mail or FAX unless other arrangements have been made. The Office of Investigations would like to thank you in advance for you cooperation and should you have any questions. please do not hesitate to Live us a call. The Departient-s address.telephone and fax number: The Commonwealth Of Massachusetts •• r Department of Industrial Accidents "= Office of Investigations 600 Washinaton Street Boston,Ma. 02111 fax #: (617) 727-7749 phone #: (617) 727-4900 ext. 406, 409 or 375 ; , F�.. . �; i ,- � j t �', _ 4 � � �� a � � ��� � �. 3� � c". ®+ . y rc�'w � <. � a... �, �-ca. m - 4H 5�o F. ym � tre � . �! 6 � 4 a0 ® N�Cq .'.T.� � F, �i u+f x r`7 "d � . 1 y �o .. AA [/1 OD t~9 cn hy% ' � � � P-� . . �� � C9 W �:; ' n m ® bV ..y4 k'. N l J, _ .. ..''_R',m_�4i.—law.. .. �... .. .. � 1 i .. �;�... ' p'A 14 2 C ocA►t] �kc�`'`� Pao pos►�=� VKj /tiCly���✓ �� ��e Lu t�4��h TOWN OF BARNSTABLE l CERTIFICATE OF OCCUPANCY I PARCEL ID 309 008 GEOBASE ID 22276 ADDRESS 171 BEARSE'S WAY PHONE HYANNIS ZIP - LOT BLOCK LOT SIZE � DBA DEVELOPMENT DISTRICT HY PERMIT 33418 DESCRIPTION HYANNIS EAST/MODULAR CLASSROOMS (PMT #32556) PERMIT TYPE BC00 TITLE CERTIFICATE OF OCCUPANCY CONTRACTORS: Department of Health, Safety ARCHITECTS: and Environmental Services TOTAL FEES: NE BOND $.00 Ox� � CONSTRUCTION COSTS $.00 753 MISC. NOT CODED ELSEWHERE * BARNSTABM • MASS. 039. a`O� ED MA'S BUILDI VISI BY DATE ISSUED 09/21/1998 EXPIRATION DATE 00 LIFTS 0 �Is Standard of Excellence in Access F A X T R A N S M I T T A L DATE: Q — , gL FAX NUMBER: 6 Llr L ATTN: G,o►�a,i./,�2 a�..�.E s SUBJECT: 04, O� L&e%nAc JOB: JOB No. : MEMO: S'U c�Gd.f� �/y:J S�.J��/r✓i i�+ f�P/�t.it.rii d w� you t S so,it .- .t'u�.sa*L aSaa ft ,y v/l Total Number of Pages Including This Cover Sheet: �— TWENTY COUNTRY WAY • SCITUATE, MA 02040 (61 7) 545-6800 FAX (617) 545-9238 ivlicliael S. Dukakis Governor t'//x� cGcu�lo.z✓laces - ✓�acvr��y>0 Deborah A. Ryan Executive Director (617)727-066C APPLICATION FOR VARIANCE In accordance with M.G.L. , Chapter 22, Section 13A, I hereby apply for modification of or substitution for. the rules and regulations of the Architectural Access Board as they apply to the facility described below on 'the the grounds that literal compliance with the Board's regulations is impracticable in my case. 1. State","the ". name' *'and 'address of the owner of the building/facility:_ TEL: 2 . State the name and address or other identification of the building/facility: .Describe ....the,, facility: (INumber of floors, type of functions, use, etc. ) 'l'L./G 4 . Check thy; work periormed :,r co be periorm,. i s New Construction Reconstruction, remodeling, alteration Addition . Change of use 5. Briefly describe the extent and nature of the wort: performed or to be Performed: (Use additional sheets when necessary) . A, /��.r 7',4 t L i'W ty `-AdAy"an?A A— 'A_ A_ C L3,Aj &j.dw/GA, 4,41 5 C 61� 1{i o. State each-section of the 'Rules' and"'Regulations of the Architectural Access Board for which a variance '_is being.-requested:; SECTION NUMBER LOCATION OR DESCRIPTION . i c. 7 . For-each variance requested,. state in detail the reasons why compliance with the Board's regulations is impracticable. ;fate the necessary cost of the work required to •achieve, compliance with'.:.the regulations. PLEASE NOTE . THAT YOU SHOULD SUBMIT WRITTEN COST ESTIMATES AS WELL AS PLANS JUSTIFYING THE COST OF COMPLIANCE. Use addition sheets if necessary. %.t1 S u�i�.ci;�.✓� .S`�A c� �e/L_ /?,O.v�a j' e 2 A,O jf�L(r�.G � �t�eT i).O r 8. Has a building permit been applied for? If yes, state the date the permit was actually issued: 9. State the estimated cost of construction as stated on the above building permit. If a building permit has not• been is ued, state the anticipated construction cost: it >; Fad. a O 80TH Z-i�,'.r 10. Have any other building permits been issued within the past 24 months? If yes, state the dates .that ,.permits were issued and the estimated cost of construction for each permit: 11. Has a certificate of occupancy been issued for the facility? �/, 1C If yes, state the date: �T�" 12. State the actual assessed valuation of the BUILDING ONLY. AS RECORDED IN THE ASSESSOR'S OFFICE of the municipality , in which the building is located. Is the assessment_ at 100%? If not, what is the town' s current assessment ratio? 13. State the phase of design or construction of the facility as of the date of this application: 14 . State the name and. address cif the or engineering firm including the name of the individual architect or engineer responsible for preparing drawings of the facility: TEL: 15. State the name and address of the building inspector responsible for overseeing this: project: -- _ TEL: PLEASE NOTE: The Board may, in its discretion, hold a hearing on your application f:;r variance. The Board may also decide your application without a hearing, based upon the information you submit. You should therefore include all relevant information with your. application. � .AT minimum the plans should include site plan, all floor plans, elevations, sections and details. P_hotouraahs of conditions are extremely imaortant. Date: SIGNATURE OF OWNER OR ATHORIZED AGENT PLEASE, PRINT OWNER OR AGENT NAME: William Weld Governor —40alo1z, ' 02/08 Deborah A. Ryan �677) 727-0660 'l-800-828-7222 Executive Director NOTICE OF ACTION RE: Hyannis East Elementary , Bearses Ways , Hyannis 1.An application for variance was filed with the Board by Gardner Howes(Applicant) on August 28, 1992. The applicant has requested a variance from the following section of the 1982 Rules and Regulations of the Board: Section 35.13 relating to Wheelchair lift to second floor classroom 35.13 Wheelchair lift to gym/cafeteria 2. The application was heard by the Board as an incoming case on Monday, September 14, 1992 . 3.After reviewing all materials submitted to the Board,the Board voted as follows: GRANT the variance to Section 35.13 to allow the use of two wheelchair lifts on condition that the appropriate signage be installed indicating the location of the lift. Further all disabled students be provided with keys to the lit. NOTElf the work being performed is reconstruction,renovation,addition,or alteration,compliance with this decision must be achieved by completion of the project and prior to final approval by the building department Otherwise,if the work being performed is new construction,compliance with this decision must be achieved prior to the issuance of an occupany permit. Any person aggrieved by the above decision may request an adjudicatory hearing before the:Board within thirty (30) days of receipt of this decision by filing the attached request for an adjudicatory hearing.If after thirty(30)days,. a request for an adjudicatory hearing is not received,the above decision becomes a final decision and the appeal process is through Superior Court. Date: September 15, 1992 AR ITECTUR41-ACCESS BOARD J Lw'y Brtmn. cc: Local Building Inspector Chairman Local Handicapped Commission Independent Living Center 'Assesstr's otfi4tst Floor): //�� Assessoras map and lot number ?V U I THE t0`. Conservation Board of Health(3rd floor): i sesisr�tt Sewage Permit number r+ua Engineering Department(3rd floor): House number �o MAr Definitive Plan Approved by Planning Board tg' APPLICATIONS PROCESSED 8:30-9:30 A.M.and 1:00-2:00 P.M.only TOWN OV BARNSTABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO � /�fL9 JT�9{�L-E �(J/3L/L l a'- S TYPE OF CONSTRUCTION 19 f—�-- TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information:k Location �AAIA!!S t�T ! &_�4t5h.� f Se� Proposed Use Zoning District Fire District Name of Owner l DZUA9 01- IRARk Address 23o 5o S? ZYAsmv�-y M 4 Name of Builder CRC I Ua L4)=/ 1 Address 7Zu��1isT y�Ol�iy y Gt/,¢y Name of Architect Address Number of Rooms Foundation Exterior Roofing Floors Interior Heating Plumbing l r Fireplace Approximate Cost Area �- I Diagram of Lot and Building with Dimensions �� Fee OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name _9� onstruction Supervisor's License f TOWN OF BARNSTABLE 0 35495 Permit For BUILD (2) CHAIR LIFTS f, t Barnstable School (Hyannis East Elem. ) Location Bearses Way Hyannis . Owner Town of Barnstable - Type of Construction Frame Plot Lot I, Permit Granted November =4 , - 19 92 Date of Inspection 19 Date Completed / 19 f Y , t TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION 3� Map Parcel 3 G J�G� Application# Health Division Conservation Division Permit# Tax Collector Date Issued Treasurer �� Application Fee lV`� Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board Historic OKH Preservation/Hyannis Project Street Address fig Rs ,4 Village 1-1% A,y,�i�c ,�t�,4 a Owner Sc 'lce�LS Address Telephone ' u ?9�0 c/,9O Permit Request 'TU ®R V 7���"<u�1 G l 2 �x l6 , �,� ��usf ',Pr�c, Ile— /I e 5'<n c ti e vy5 4-. G f 2W. `�Z 11 �Gcl✓ w/ 4-,v,.�G t�a �. Square feet: 1 st floor:existing proposed 2nd floor:existing proposed Total new Zoning District _ Flood Plain Groundwater Overlay *Project Valuation v Construction Type '- - Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation.' Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family(#units) c. Age of Existing Structure Historic House: ❑Yes ❑No On Old King's Highway; ❑Yes._ ' ❑No t - Basement Type: ❑ Full ❑Crawl ❑Walkout ❑Other I Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) " t 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 BUILDER INFORMATION /j,N/, /���'v V p �5 - S Name � �f3 Telephone Number � 9-36 6 2 1 Address L/ C f2� License# /7' e3 A 11 C Home Improvement Contractor# Worker's Compensation# `. ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BETAKEN TO _(/ &0<,�4 Z. ,c,/ l/ A t i SIGNATURE DATE -2 ,to F FOR OFFICIAL USE ONLY j z :r PERMIT NO. DATE ISSUED MAP/PARCEL NO. s ' k r t' ADDRESS VILLAGE OWNER DATE OF INSPECTION: FOUNDATION z , r FRAME i } INSULATION FIREPLACE f ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH _-FINAL GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. ' if d } r t ` t ne t ommonweaun of lrzaYxucnuseuY Department of Industrial Accidents Office of Investigations A 600 Washington Street Boston, MA 02111 s.•` www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plui fibers _Applicant Information Please Print Legibly w Name (Business/organization/Individual): � c'fi V� �St-s Address: FA-C^-0 J-t . City/State/Zip: - S Phone M CO t- 976 -C -It Vic' i Are you an employer? Check the,appropriate bog: Type of project(required): 1.❑ I am a employer with 4. ❑ I am a general contractor and I7-� 6 ❑New construction employees(fall'and/or part-time).* have hired the sub-contractors 2.❑ I am a sale proprietor or partner- listed on the attached sheet $ 7• [remodeling ship and have no employees These sub-contractors have 8. [1 Demolition working for mein any capacity. workers' comp.insurance. 9. ❑ Building addition [No workers' comp. insurance 5. ❑ We are a corporation and its 10.❑ Electrical repairs or additions required.] officers have exercised their 3.❑ I am a homeowner doing all work right of exemption per MGL 11.❑ Plumbing repairs or additions myself.[No workers' comp. c. 152,§1(4),and we have no 12.❑ Roof repairs insurance required-] t employees. [No workers' ] 13.❑ Other v ry 1 t,k_cnlsv� comp.insurance required.] Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information.' t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such iContractors that check this box must attached an additional sheet showing the name of the sub-contractors and their workers'comp.policy information. I am an employer that is providing workers'compensation Insurance for my employees. Below is the policy an` job site information. Insurance Company Name: Policy#or Self-ins.Lie. #: Expiration Date: Job Site Address: City/State/Zip: Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to $1,50Q.00 and/or one-year imprisonment, as well as civil penalties in the form of a STOP WORK ORDER and'a fine of up to$250,00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certi under t e pai d penalties of perjury that the information provided above is true and correct Signature:-- Date: Phone#• l�J Official use only. Do not write in this area,to be completed by city or town official. City or Town: Permit/License# Issuing Authority(circle one). 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6. Other Contact Person: Phone#: Information and Instructions ' Massachusetts General Laws chapter 152 requires all employers to provide workers' compensation for their employees. Pursuant to this statute, an employee is defined as"...every person in the service of another under any contract of hire, express or implied, oral or written." An employer is defined as "an individual,partnership, association, corporation or other legal.entity, or any two or more of the foregoing engaged in a joint enterprise, and including the legal representatives of a deceased employer, or the receiver or trustee of an individual,partnership, association or other legal entity, employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein, or the occupant of the dwelling house of another who employs persons to do maintenance, construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." MGL chapter 152;§25C(6)also states that"every state or local licensing agency shall withhold the issuance or . renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required." Additionally,MGL chapter 152,§25C(7)states"Neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority." Applicants Please fill out the workers' compensation affidavit completely,by checking the boxes that apply to your situation and,if necessary,supply sub-contractors)name(s),address(es) and phone number(s)along with their certificates)of insurance. Limited Liability Companies(LLC)or Limited Liability Partnerships(LLP)with no employees other than the members or partners, are not required to carry workers' compensation insurance. If an LLC or LLP does have employees,a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested, not the Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy, lease call the Department at the number listed below. Self-insured companies should enter their mP P cY�P ep mP 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 permittlicense number which will be used as a reference number. In addition,an applicant that must submit multiple permit/license applications in any given year,need only submit one affidavit indicating current policy information(if necessary)and under"Job Site Address"the applicant should write"all locations in . (city or town)."A copy of the affidavit that has been officially stamped or marked by the city or town maybe provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. Anew affidavit must be filled out each year.Where a homeowner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e. a dog license or permit to burn leaves etc.)said person is NOT required to complete this affidavit. The Office of Investigations would hike to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call. The Department's address, telephone and fax number: The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston, MA 02111 Tel. #617-727-4900 ext 406 or 1-1077-MASSAFE Fax #1 617-727-7749 Revised 5-26-05 wrvvw.mass.goylaia 1 /°N�FGV 7 Mq g Ge pr�ese� � 94 Rsr°v 4/44 p s p h. • ��jss%oh� ..-i� TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION 91 Map Parcel Application# aGC(/ 4-3 Health Division Conservation Division Permit# Tax Collector Date Issued 911-91- Treasurer Application Fee Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board Historic-OKH Preservation/Hyannis Project Street Address Village H ,-'lj /I• Owner Prn sA&� le- 56kue,L IN p-r Address Telephone 15 ca1r 7 FG 6 q TO Permit Request !Aj 5 Ae/l q L��"1� e�£t r Vl ti'L uJ14411- 62e-42 wit- C) F Pam,+&L ; 14 3t RA-4— . Pf f Y r444 e-4 R V T-RA i Lee /16Qtd2e=4vrL Square feet: 1st floor:existing ` 11 U proposed / `lt10 2nd floor:existing 140L_ proposed•� Total new Zoning District Flood Plain Groundwater Overlay Project Valuation b ow 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 UrNo On Old King's Highway: ❑Yes A No Basement Type: ❑Full ❑Crawl ❑Walkout ❑Other 6AJ Fl_eAg Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) I 4 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: f"Gas ❑Oil ❑ Electric ❑Other Central Air: �es ❑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- - BUILDER INFORMATION - t_ Name /AI"Lr � ru V t Telephone Number _ 63 4 7 6 Address B05 ej— License# C,C t Its Home Improvement Contractor# / Worker's Compensation# ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BETAKEN TO 4- LA-.tirl /b l/ SIGNATURE DATE ? l_ r FOR OFFICIAL USE ONLY PERMIT NO. DATE ISSUED MAP/PARCEL NO. Y � S ADDRESS VILLAGE, OWNER s DATE OF INSPECTION: FOUNDATION e 6 FRAME INSULATION t. FIREPLACE r ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL i GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT i ASSOCIATION PLAN NO. t ne t,ommonweairn of Irlussuenuseccs Department of Industrial Accidents /31 Office of Investigations 600 Washington Street Boston, MA 02111 •`'y www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Elects icians/Plu>®ibers Applicant Information Please Print Legibly Name (Business/Organization/Individual): Address: City/State/Zip: - Phone#: .' 61-- 750 6 q 7 o Are you an employer? Check the-appropriate box: Type of project(required): 1.❑ I am a employer with 4. ❑ 1 am a general contractor and I 6 ❑ New construction employees (full and/or part-time).` have hired the sub-contractors 2.❑ I am a sole proprietor or parer- listed on the attached sheet t 7. Z,Remodeling ship and have no employees These sub-contractors.have 8. ❑ Demolition working forme in any capacity. workers' comp.insurance. g. ❑ Building addition [No workers' comp. insurance 5. ❑ We are a corporation and its required.] officers have exercised their 10.❑ Electrical repairs or additions 3.❑ I am a homeowner doing all work right of exemption per MGL 11.0 Plumbing repairs or additions myself. [No workers' comp. c. 152,§1(4),and we have no 12.0 Roof repairs insurance required.].L1t employees. [No workers' 13.❑ Other 4, ii-I , comp.insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'eampensation policy information.' t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such TContractors that check this box must attached an additional sheet showing the name of the sub-contractors and their workers'comp,policy information. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy andjob site information. Insurance Company Name: Policy#or Self-ins.Lie. #: Expiration Date: Job Site Address: City/State/Zip: Attach a copy of the workers' compensation policy declaration page(showing the policy number and explration 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 $1,50Q.00 and/or one-year imprisonment, as well as civil penalties in the form of a STOP WORK ORDER and'a fine) of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify under the sins and penalties of perjury that the information provided above is true and correct. sign / Date: ?—? -o Phone# V 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.Electricai Inspector 5.Plumbing Inspector 6. Other Contact Person: Phone f: Information and Instructions , Massachusetts General Laws chapter 152 requires all employers to provide workers' compensation for their employees. Pursuant to this statute, an employee is defined as"...everyperson 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 orbuilding appurtenant thereto shall not because of such employment be deemed to be an employer." MGL chapter 152;§25C(6)also states that"every state or local licensing agency shall withhold the issuance or . renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the Insurance coverage required." Additionally,MGL chapter 152,§25C(7)states"Neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority." Applicants Please fill out the workers' compensation affidavit completely,by checking the boxes that apply to your situation and,if necessary,supply sub-contractors)name(s),address(es)and phone number(s)along with their certificate(s) of insurance. Limited Liability Companies(LLC)or Limited Liability Partnerships(LLP)with no employees other than the members or partners, are not required to carry workers' compensation insurance. If an LLC or LLP does have employees,a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested, not the Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy,please call the Department at the number listed below. Self-insured companies should enter their self-insurance license number on the appropriate line. City or Town Officials . Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom. of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permit/license number which will be used as a reference number. In addition,an applicant that must submit multiple permittlicense applications m 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 maybe provided to the applicant as proof that-a valid affidavit is on file for future pemuts or licenses. A new affidavit must be filled out each year.Where a homeowner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e. a dog license or permit to bran leaves etc.)said person is NOT required to complete this affidavit. The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call. The Department's address, telephone and fax number: The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston, MA 02111 Tel. r 617-727-4900 ext 406 og 1-877-MASSAFE Fax # 617-727-7749 Revised 5-26-05 wwW.m.aSS.C'Ov/(112 ' i_ __ cej�se•��OF � DNS GV 4 / 4-1 qRK r�� ✓��� �Ss6g S" 6 A- Res 3 2,� 4 /50, S Mq-R���F % , �i2oo8 R 6.1 er s CO "09Z0 VW `SINhlYA �3 3 7-7 �S f� � S//t//t/�.�/� tx3 '08 iv�l�'�0 ;;�I#� 9F 1PP31Al,l�d3C� 3� �INVAP �.nV38f)G N011N3A38d HU �6N�l�lAH„ It i P Y I S 33 E j 't 6 h 1 t vi 2 S f r i i _ I. 3�/Ala►� G�S�d b.�d. _ -- -- ---------- -- :- M Revisions: GENERAL NOTES FOR FOUNDATION: 1) PROVIDE 18" DIA. x 48" DEEP FOOTINGS AT EACH UPRIGHT OF ALL EXTERIOR RAMPS, STAIRS AND PLATFORMS. �n 2) " DENOTES SEISMIC/WIND REQUIRED ANCHORAGE FOR PIERS N AND FOOTINGS, SEE DETAILS ON SHEET #F-3 y't 3) SITE WORK IS SUBJECT TO THE SUPERVISION AND INSPECTION 0.2 OF THE LOCAL BUILDING OFFICIAL AND OR AGENCIES cr) '9-coo HAVING JURISDICTION. �I o 4) BOTTOM OF FOOTINGS TO BE A MINIMUM OF 48" BELOW N FINISH GRADE. a 0 5) THE BLOCKING POINTS PLAN HAS BEEN DIMENSIONEDCL REFLECTING A 1" GAP FOR MATE-UP GROWTH BETWEEN U) LD UNITS. ANY DEVIATION FROM THE 1' GAP WILL REQUIRE m c a FIELD ADJUSTMENT OF ALL DIMENSIONS. O m o 66'-0" 1°z * g0� E * 10'-4" 11'-0" 11'-0" * 11'-0" 11'-0" 10'-4" in 2 aka 8" 8" 1 8" 24" DIA. 1 30" DIA. 1 30" DIA. 1 30" DIA. 1 30" DIA. 1 30" DIA. 24" DIA. 52 1/2" O. r I I O O I I I I I ❑ 27 � � O ENLARGED VIEW OF I I I I I I * 27"SP FOOTING w 27'-7" i 1„ 27" SP. 30 DIA. 30" DIA. 30" DIA. 30" DIA. 27" SP. 72 I I I 40" DIA. SP. I 1 I I I I ' I ❑ 40" � f� � � 1 3'-1 1/2" I 1 I I 1 v� W '0 � .o ENLARGED VIEW OF 40"SP FOOTING 24" DIA. I 30" DIA. I 30" DIA. I 30" DIA. i 30" DIA. I 30" DIA. 24" DIA. cO n a N p a \ °1 I o '� 8„ O I 71 c 00 3 Q r Al N � o t y r l O u] n FOUNDATION LAYOUT a co W CONCRETE FOOTING OF VARIOUS SIZES m WITH 16" x 16" PIERS F SEE,DETAILS ON a x r SHEEP- F-2 & 3 N `` A � o i ZN W WJQCJ N APR 2:5 2011b Z ZiQ cN • rON~ cv ti 1 DUWm N OONW THIS PLAN/DOCUMENT N T VALID 0 Un z 10 UNLESS EMBOSSED RE, SEAL IS AFFIXED HERE'ON. Project Ni NOT VA N. VELESS P.E. E #SEAL 601 3 NOT VALID UNLESS EMBOSSED SEAL ' IS AFFIXED HERETO y m m r n l _ W III=1110 —III-1I1=11I -III . • III—III..• . m>o ;ICI I�I:.I�ill, MO Lvm (nDm xz mom Z0 DZIZ coD� O m m0 D O @ O n � bon � �Jb � � p "� non � p n � on o _ tT1 :17Q �7b � mom > R1 b t�� mVrrdX (➢n ny � O N " Onrr-On� Ln0U1x X y o . � �y I=1 I I—i I I=1 �IIIIIIIII�— III ..., . . _I- M D m ca0m (n D m Z o =Z C D r ZWo z C.0 z mDn z m O- r m my z 1 n � 2 D O T N (n 11 z O WLn 9: m�czm�u-icnm(n 'Dr-(cQ -mmo rm�t* mRr{* mi�avmo r z M>v(nr�Oz mo z��m Q(n 0 M 0 N m-, I �N�z=�ZDcom m�OSmO CLn D •➢O�Z��2—( -1mCDmnmm _ m D m�mOO'� C= n Oc(n �Dpz,� aom(n'( a �v��nz rfn r ➢OnnZ�' �QF0 Z�O�D ZOZ Cn o 0.-<C)2*mo �omO�nW�ccmz (nDmx� � z c� .n�m`z z D U z: (I m�A(n n1A�O�mN� x9v mDD ��7� ACnmQv?m C U12m m030 P m Z r D Z _ Rai 6> C7 t7 �v� mc�zv �ca �z�a 2d�� oo= Am< O�� �Z�A�(n 7 7movm "® ocnr '�Z �0rl 0p 10 m�° r r O N Z�p(n Z mD m"p-z-I 00 m z = 0 n�D 00 CD 6 55 Om z X BOct O D N=m 10�� =zZ Zm0 z. 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Dote: HYANNIS MA 02601 Address Telephone (rJ o DH 04/24/O6 48 Did(Tracy Drive 603-882-2823 (860) 223 7214 FAX (419) 858 7570 Pelham,New Hampshlre03076 I 1 . ` w -� OM (f)r r•^- .F�.. y � mn _ >T ''/^t r n L~ o o I I—III III—I I —III A =1 I I_11�E111_1_I m b ® 11=III=III—III=III -III—III-III-111-1 �M 111111 ' S : m Z Q� mO Z k: r' D A Z D O I—I M I MII 1 I I 1 I I MI 11 N Dn Ln mo I1I—III—I 11I oma o� e m�� III Y;�II—) ° frozr U{ DmU r r�x'z{ram\ rnC3m p �a A�w ry* nm>2 b SQ u > roNx �mm Aoxm O O 0 m nr OOm Un m0= f Mr� MSp ? (A 0> r=D m aR� y n�z ^' mM mx ��DN nn ly��, �•r� CO r J O 3 �- U MI n x N D x rn M�_D "" �O`l p ? Z rD Z Z AT. \O�r�* A�� l OS OD 0 \r I- �-UD Imo, y 0 O n� .0 G� rll O �D 9:M K:=I 01- m0 O m m0 ram ZNm rAr ` SIDE WALL ? Z m Z Ln Z= A Ln n �j m - - - M12 x 9.8 nN n p� Z® z BOTTOM FLANGE = x C x o p, m m rn rn °u '3E' Imo, D I O cr 0 ~ O• I m m 0 ^rrlJ "� (� m K m 4� o ] yN n �x Z �1°o m z rri M m A O - h 2 m D Imo, O MATING-WALL M12 x 9.8 BOTTOM RANGE - -- - M12 x 9.8 m BOTTOM RANGE lJ �f �+ zv I o F I N^m D< rrt^J M_ z; n vl O m I Zm Zpp ,G q R 00P M ` 1 00n'X O 'Ira L'I y �mM=\ AD m A �m OHM O D 0 p= D D D Z 0 m 0 '� o m �S m �� 'y ZMrqm F F �O D 1 K8 �CIi V] 'G SZ� N — v, Z7 P'C �! 0 o0. v D r p .107 -Op b I fTl trJ CC�is77J `, m X 0pZz0 rn oy mZ 0 d '�1 o m A 1� D�;Z W p 0 U N r-1;aI m Z r O z rn {0(n j Z Z 0 � is < O A m 0~O -L m o rn � O r� t7 v vz09m m ® .i N m� m tr1 m z®aim m " Zy M Z fE D _n D 0 0 Z y N D Z z m �rNT10r AO Zm 5U00rOm D�Zn M0 U00 pm I� n n 2 m m m i Z ;U >ti M U F� m X al Z v 1�(n ern oz��� ZZ2v_i�fm�?�mz �o��'= z O N p �� Z_-xi r Zr�20(, �C DO � m0�� O O �C/) G) Ln(AOrnOCON ON Z0 Z n z m a o o x Z r m O 2 m r-m x v r�"o '�7f19`Z m L mzvrDzrr_ ca -MC nm USW o x�� ��r(il�Drrmm�oor3*rc.ZM-0zr oom� mQ70 Z I=Om.OUn�ZZ�D nmU mmu0 CUM yl �x D0 '-100m Zp00 Amy UO;0�1 1 >D . �tjm z m m m On Zia Zn U m�rnm pmD 0UWU r r V Z�ZmZ m� m � DAvmu Dz r O � m zD � {pmmco UDocmoo omo 00 i Q z cz�* Z rn rr Al2 U{pHPF2nZ = NO .. Z =O�m Um�OmN O U O O n= Z { mroc) 0 DT0o <D U �D Nzn Gfm OZZ U{rnz -< U Nr o� x 0 z D{mN po ca -Dn ~Z >�"'I UZOU In I r<C m D_<C m01=m nD MIA xln C) UOZ U =CrCI M U 00UI0 , A r•o` ( (A p Z O-q mm0 aN0 P { a7 :a o!*r N M� vn M N m° >rn J � Project: WILLIAMS A.N. VENDOLA, LLC HYANNIS EAST l�� Sale: Fhe3t: CONSULTING ENGINEERS ELEMENTARY SCHOOL S C 0 TS MAN 5 CONSULTANTS r�r 0 ° 323EWEST MAIN ST. 3 of 3 > 65 BEARES WAY Mobile and Modular n Storage and Space Solutions .. NEW BRITAIN, CT 06052 Drawn By. Date: Address Telephone CA o HYANNIS 0H 04/24/06 , MA 02601 48 Dick Tracy Drive 603-882-2823 (860) 223 7214 FAX (419) 858 7570 Pelham,New HampsNre03076 4 f N\ � ^ ` t Y W h 'Cx 91 # 1 / / / ' Ibl \ 60£d W z ---- -- _s, 3 -- - r dif bv RM 60£dVW ------ 61 • ?' i i o W x bo£ f a�. u 60 dVW i O -60t dVW 60£dVW \ 01 #60C dVW , nQ� O £dVW / / ��rx a k� R .y• n�at� .,tip-" / - / � �' S ,�'� / L \ f e 60£ W � F 66 # \�, OE dVW A zl # "6 i6l # � 6© 0�� �w ' dVW 60£dVW 8 601 # / S I # but lz 60 W 91 - £db' a ��� - M lz #52 MAP 309 ' 291� 023 # 27 - `'� 30 '� P49,1 f 3 9 T _ -- # 37 \ 18 4 09 ' 45 MAP I ����,��,�.. I /, � 28 1 29 - 29I 2 _ ' 39 All #55 38 - 91 � \ 7 — w - 01 . g �# 6710 29 1 .75 \ 8 # 4 14 x 309 291 � 85D 309 78 0 12 MAP 9 I l 55 a�4. , # 8863 , 14 MAP 9 I 29 I\ 12 v i 14 0 116 \� g 291 - # 83 � \ / # 9Y f MAF 9 I ' � 0 I05 A- --- 115 (©`_I 2 1 x I \I " MAP 309 , \;f; 008 \ # 171 LEGEND MAP 291 ----- TDGEOFWATER 151 STREAM �, \ j� I / E — - DTR?I �� _�', io MARSH AREA FY1WFr PARCEL UNE' rlron6 A MAP NUMBER s 36i STREET NUMBER ARCEL NR �U BUILDING/STRUCTURE �\ MAP 291 BUILDING/STRUCTURE BUILT AFTER APRIL=I I DECK/PATIO ��\ 152 SY ammG POOL j ; - # 16 .;=0 FUEL/WATEHTANK PAVED ROAD UNPAVED ROAD �� -w,�• � .. I, -..\ / RAILROAD TRACK DRVEWAY €Y \ ' 0 TATOONGART71 91 �- 2910 sIDEwALK/wauarAY 17 - ` 53 — — — UNIMPROVED PATH 28 r BOARDWALK = EXTERIOR STAIRWAY RETAINING WALL - �: STONE WALL FENCE/HEDGE GUARDRAIL �� - -- "-- MAP 29 I ' r DOCK/PIER >C � - - STOW JETTY Q J SPOR►SAREA/UN S \ GW ARE„ # 38 —.�— ,o wor coNrouR LINE 29 V 53.1 SPOT ELEVATION ®CATCH BASIN 0 UTILITY POLE o ¢LAMP POLE I `, �� '- > -- t MAP 291 oFpRAG POLE -o- + ., _ 1 J _ " ' MAP 309 7ELLTTE DISH TOWER 15 \\ 273 e PILING ep '.'' $$SrATUE ❑ UTILITY Box /v I --- Q ' # 20 �9 t rNCN=eo tTfT 0 MAP 309 - 40 TOWN OF BANNSTABLE G.LS. 2,43 PARCEL LINES MAY NOT BE ACCURATE :18`.. - . , .. # 19 cdR a m"fts peremy9 S of Aeeessde t" ThW ere MAP 291relawns1*8 to - - - le� _ , TTde rrteP fe rQ weeNrg Tu•P _. "Fw I`. "" 20 64 - - . ee®„et represmrt m m-aergama suvey. , -'�`�` � � \ - myorlaae®IeeFr=100'..mYnot . -�-��•- � �' � �..- .. �'_.`� i � � - �—`a. TASWACESc PTmfteotm 1mm 7001 eWW Tq. a,Ww we �,ee..mem ea q l AP 291 FY20M BmndWAe Aare W.tmcmeP& ' HI F• JAB.4/14/2W0 .= DE61GN LOADS R001 25 P,S.F, SNOW LOAD 15 P.S,F, DEAD LOAD W FLOG'R X O 3'-0" II II CLASSROOM. 50 P,5,F, LIVE LOAD 13 -93/8 13 -93�$ CO CC'RRID0R; 80 P,S,F LIVE LOAD 42" HIGH WOOD RAIL WITH I XI VERT,BALLUSTERS 25 P,S.F, DEAD LOAD SPACED 6 4 1/2 O.G. 2'-8 3/4 a 8'-31/1" 2'-91/8" 2'- 3/4 8 -31/1" 2' 01 FIELD A660MED SOIL BEARING CAPACITY: 4000 PSF I DETERMINE (2)30 x 48 AREA OF 4 - - - - - - - - - - W]Nr) HOR IZONTAL 21 PSF SAFE REFUGE 4" P.T. -- - - - _ ADIUSED EDGE !. ,1 /'r UJf NZ UPLIFT 18 P,S.F, ECKING w/3/32 GAP - - — - - - - —�-- - _ � _ _ 1 I 8" dtaC C I I UJINIJ SPEED 90 M,P.H, 24" d 24 d .. I �- � 24" d 24" d � I 0 . . FOOTING _ N SEISMIC VELOCITY COEFFICIENT \ 6h K 6b K bb K 6b K I w (] _� A V I I � I I � o I � � I ( ) 15 FIELD BUILT 101 - - - - - - - - _ @ DECK ABOVE 42" HIGH WOOD RAIL I I I I 11 i - - - - - - - WITH I Xi VERT,BALLUSTERS I I I I f LL - CONCRETE NOTES - - - - - - SPACED 6 4 1/2" O.C. I , - -� I 0, X I t= FIELD BUILT - - - - - - _ 2 X 6 WOOD RAIL ATTATCHEO _ I _, I I � N o- = STEPS ABOVE N CIA - - - - - TO POSTS 6 34" ABOVE NOSING 1 � X �, COMP'2E55IVE STRENGTH OF CONCRETE SHALL - - - - STEPS MAX RISER .I,, I I 1 I I, I BE 301)0 PSI AFTER 28 DAPS, CEMENT SHALL BE - - - - - - - MIN TREAD II '. ASTM 4.Y1'PE Il, AC: xRECzATE SHALL CONFO NUMBER OF RISERS I Ol �. " ,1 " " _ M TO THE 24 d 24 d 24 d 24 d TO BE DE RMINED IN FIELD I R u - - 10.3 K 403 KK - _ I ,. ,... I � , , l03�c 10.3 K � �- PROV�510NS OF ASTM C33, COURSE AGGREGATE 1 - - / - ` _ SHALL NOT EXCEED 3/4"I N 1 m D ( O 6 ), THE WATER CEMENT � aTAUR FLAN z � I I T I .. I CJP CONC PIER I RATIO SHALL NOT EXCEED 0.45. x ( I SEE DETAIL SCALE I/4 =11-011w � OLLJ I I DRILLED CONCRETE FOOTING MN 48" DEEJP) 2, MAXI>' UM SLUMP SHALL BE 4'I. SEE DETAILS 6 AND 1 FOR REIN ORCING � 8 TOP OF PIER I" ABOVE EXISTING FLOORs1[Ae 28'-011 I �, REINFORCING STEEL SHALL BE ASTM 4615, GRADE 60, 0 o 5'4%u I _ A 1 I 24" d 24" d I f 24"d ._ 24" d I REINFORCING BARS SHALL BE LAPPED TO DEVELOP Z 0 w 8 did GONC I \ it Bit 103 K 103 K I 103 K 10.3 K z FOOTING I _ AIM TENSION OF THE THE BAR, SPLICES SHALL 0 I ! _ I ! M�Xi>r LINE OF EXISTING BUILDING 1 0 FIELD BUILT _ 1 _ _ / >_ �� 1 _ ! L I _ n Y I STEPS aBov uj cl L T mf' /f ` , HAVE A LAP DIMENSION OF: 16 #4 BARS J Q 12" d 12" d 12" id 12" d I ( 12" d I I 1 W 2,1K 3.IK 3.1K 3.1K ) (3)2X 12PT I 2.1K - -- - -' - y - �_,� - - __ - - - - - - =, - - I i �j FOR EUILDING CODE REQUIREMENTS FOR PLACING o w W o SLOPE FRAMING ON 1"42fl Mix � � 12 d ( I CONCRETE AND REINFORCING, REFER TO ACI 318, ACI 301 / ca z 30-0 F- I ►- O 1,1 K 10L W JOIST HANGER TYP. �- , _ H `=' AND ,,,Cl 304. 0 2 b- N J LN J L� C41 1�- L N �' JI X r ,rX ,r,X X rX ,rX , I !!1 w r N L H 1 cv ri I . 0 �s ;, 12d _ dr 3 I i i V o d , , 12d Fa _ _ _ _. . _ _I .e _ 12 d 3.1K 3.1K N I _ _.i:,, I t+,.. x. _,! a — . »—.f- :w'rS'` i ;a""..-..— .. r, 11 .. z 2.1 K X (C' 4 . 1 3.1 K �) CONC<.� I >= 'C.C� v >= ' 00 iC�.xtUii� i iE . I ., CVr� I. IIc� uI�vIlvC.f fir \...... ( 1 3 _�1�811 g�_all 9'-O" 12) -0 STEEL SHALL BE AS 3�� LINE OF EXISTING BUILDING ---1- ; - - ` I - --1 THE C; NTRACTOR SHALL NOTIFY THE ARCHITECT 24 HOURS a 24 d I 24 d I ONCE OF CONCRETE PLACEMENT SO THAT THE A 10 K 103K I 103K 103K IN AVM � ao I FORM' SPECTEDcp , JORK ,4ND REINFORCING MAY BE IN M 15�-0" o = , , ..- 8, PLAC;NG OF CONCRETE SHALL BE A CONTINUOUS OPERATION w Z AVOIDING ANY HORIZONTAL JOINTS. ALL CONCRETE SHALL z LL x I , BE VIBRATED, w 24" d 24" d I 24,E d 24" d i z 6bK bbK I bbK 6.6K _ o I z W = I �I W 24" d 24" d I I 24" d 24" d L I �.� W.J b'-0�� bb K bb K 6b K 6b K W 2 X S PT CAP RAIL WITH 2 X 4 P.T SUB RAIL 11/2" d WC,`?D"RAIL WALL MOUNTED - , —I /, — - - - - 1 - - -1 / 1 - ` - { Z F" — -- - - `- - \ - 0 {n WOOD RAIL AND BALLUSTERS 34 ANLt 19 A.F.F. _ 4 X4 P7 POSTS�a 5'-O° (MAX)O.C. 2 X 6 P.T. INTERMEDIATE RAILS 0 W C' I X 1 BALLUSTERS a6 45" O.C. 5!4 X 6" RED,PRESSURE TREATED DECKING GAP 1/4" VI u 2 X 12 P.T.!JOOO JOISTS Qa 12" O.C. « z - ON HANGERS I �[ z 4 X 4 P.T POST f -=•1 (3)2 X 12 P.T.WOOD BEAM BEYOND Q OLIiA�'ID1�l F LA1 o W - DRILLED CONCRETE FOOTING WITH .,,. MIN 48" BE_OW GRADE SEE FOUNDATION PLAN FOR FOOTING SIZE, drawing 110. __SCALE 1/4" =1'-0" ---- -- -- i T L A B H(Spacer Ig) 1 L 4459 3278/3768 20/110/402/4032/4122/4419 1103(105) 2L 3703 2567/3057 20/110/555/3753 1171(105) 3L 2758 _1604/2094 20/110/555/2718 1239(105) 4L 1977 812/1302 20/110/555/1937 1193(105) 2 9 2 I j , 494 2 PACER I S II ' H1 W / o I 6 M10 INSERT 1131 1 O 3 536 566 565 01 s. 6 o TYP E L r cv �STG80 O JIG 9 + 2101 o a o 6 �2 o T/B 140 +2028 00 A560 ♦ c� +2011 o SPR 134 0 ,� Ln c0 c0 r 0 STAIRS INPUT 4L 3L 2L 1 L oo HORIZ 2678 % VERT 1 846 SLOPE 3253 — FIRST RISER 182 2 TG80 TG80 TG80 TG80 NO. RISERS 11 ANGLE 34.6 \ � 269 e I STARA +16 +1669 59 O 536 600 70 600 565 \ \ +1598 IN. 3 001 \\ ® N A s _ 8 — 0 UPPER FLIGHT FOR TOWERS 2 3 & 4 TO BE Rf_MOVED � 2 INSTALLATION. PICKETS N E H - e 3 HANDRAILS V ONLY REMOVED B Y OTHERS \3 +1300 iN1290 $ 3 O —ASSEMBLE ..SYSTEM, 'LOCATE LANDINGS . a -SECURE + j TOWERS TO STRINGER 111 0 M STRUTS TO WALL USING SPACERS \ 0 S / 2 2 STRUTS 0 ALL D M STR T W 2 0 O / 2 � O6 `— LAG BOLT W/NYLON ANCHORS This platform lift, when installed and licensed for independent operation, meets the technical requirements uirements of+1071 DAAG with the exception of Section 4.2.4.1 which specifies platform size. Due to ciearance restrictions 2 —DRIVE TO FLOOR . the use of a 1220 X 760 mm 48 X 30 Inch) platform is technically infeasible. The maximum platform size ( ) P Y 6 I t supplied. This exception is permitted under. ADAAG Section 4.1.6 J . \ I 1 p i which is technically feasible is being suppl d . Th p n p t ( ) These Plans have be en prepared based upon site information (including dimensions,material specification +799 SUPPLIED WITH UNIT. HANDRAIL TUBES � and general structural detail) supplied by others. Garaventa .(Canada) Ltd. cannot be responsible for 'errors — 2 AUDIO VISUAL ALARMS supplied. \ Dc ( ) / ( ) � in the plans .resulting from inaccurate site information supp ed \ +746 +736 — PLATFORM TYPE S — 900 x 760 \ ISSUED MODEL..... �i � \ I _ „ 199� m \ +6 7 �5 SEAT CEP 2 6 GSL-1 -� \ SAHARA SAND I o � _ I TUBES DATE [NIT. c7 1 — TOWERS PROJECT No: 92 0642 25 _ I SEP DRIVE BOX VOLTAGE. 208 VAC 1 PHASE DRAWN z / 18 92. . / o \ CONVEYANCE SENSING PLAT \ E 25 S,�Pi c0 +377 CHECKED P7. TITLE TUBES +367 COOL GREY E \ _ HYANNIS EAST ELEMENTARY .REAR ST AIR R +320 CONVEYANCE PLATFORM AND HANGER i \M sCL;l .BEARSE WAY 5 \� 2 CALL STATIONS I PLATFORM LABELS "(N ENGLISH HYANNIS MA. 02601 61 �5 \ 6 OVERSPEED � 6 i CTt .CALL STATION WALL. PLATES IN ENGLISH _ SAFETY ♦ , ,�•/� (1WNFR q MANIIAI IN FN(;I I.qH