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0322 FALMOUTH ROAD/RTE 28 (3)
��.� �i�'�yj o u� �1`-' GF ►► Gish" /��-��� �� �,; ;; ,, . , �� �„ �, 1 p a �, �,� Town of Barnstable Building Post This Card So h t it is Visible From the Street-Approved 'Plans Must'be Retained on lob and this Card Must be`Kept Posted Until Final Inspection Has Been Made. 1t 1 ` 111 1wa�� Where a Certificate,of Occupancy is Required,such Building shall Not be Occupied until a final Inspection has been made. PeY'111 Permit No. B-19-3028 Applicant Name: Approvals Date Issued: 09/13/2019 Current Use: Structure Permit Type: Building-Sign Expiration Date: 03/13/2020 Foundation: Location: 322 FALMOUTH ROAD/RTE 28, HYANNIS Map/Lost: 293-010 Zoning District: SPLIT Sheathing: Owner on Record: BALISE CAPE COD PROPERTIES LLC Contractor Name.--,, Framing: 1 Address: 122 DOTY CIRCLE Contractor License: 2 WEST SPRINGFIELD, MA 01089 Est. Project Cost: $0.00 Chimney: i Permit'Fee: 2 Description: Relocate two existing signs from 32 Corporation Stao 322 Falmouth �� $ 00.00 gg Insulation: Rd, Hyannis w d Fee Paid:,! $200.00 Freestanding monument sign 20 sq &wall sign 52 sq -" Date: 9/13/2019 Final: �a Hyundai Ate— Plumbing/Gas Rough Plumbing: Project Review Req: Zoning Enforcement Officer Final Plumbing: This permit shall be deemed abandoned and invalid unless the work authorized by.this permit is commenced within six months after;issuance. All work authorized by this permit shall conform to the approved applicatiorrand the-'approved construction documents for which'th s permit has been granted. Rough Gas: All construction,alterations and changes of use of any building and structures shall be in compliance with the local zoning by-laws and codes. This permit shall be displayed in a location clearly visible from access street.or road and shall be maintained open for public inspection for the entire duration of the Final Gas: work until the completion of the same. ' � Electrical The Certificate of Occupancy will not be issued until all applicable signtures by the Building and Fire Officials are provided on this permit. Minimum of Five Call Inspections Required for All Construction Work: f, Service: 1.Foundation or Footing 2.Sheathing Inspection Rough: 3.All Fireplaces must be inspected at the throat level before firest flue lining is installed' 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection Final: 5.Prior to Covering Structural Members(Frame Inspection) Low Voltage Rough: 6.Insulation 7.Final Inspection before Occupancy Low Voltage Final: Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Health Work shall not proceed until the Inspector has approved the various stages of construction. Final: "Persons contracting with unregistered contractors do not have access to the guaranty fund" (as set forth in MGL c.142A). Building plans are to be available on site Fire Department All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT Final: O Town of Barnstable 4� oF�HE, Building Department Brian Florence,CBO sARNsrnste Building Commissioner BARNSTABLE - v MACQ200 Main Street, Hyannis, MA 02601 76N•20U AlED Mid a www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Sign Permit Application Zoning District Permit # 02q3-61 Historic District ❑ Location by � '��y �- l' VL.Ak Street address and village j licant �& b N �a �c pp p Parcel t 1�M � S� � e,C CAaC 51' - ��3 3c),0 5 aVW Q Telephone NumIr Email ►A� �C �.�'�� wCc?M Sign #1 Sign #2 Wall Wall Freestanding Freestanding ❑ Electrified* ❑ Electrified •L ':` Dimensions Sign #1 L((6 Dimensions Sign #2,�` Square feet Square feet �P Reface Existing Sign ❑ New/Replace Sign ❑ Width of-Building Face ft. X 10 X .10 *Lighting Type L�� A wiring permit is required if sign is electrified. (\ T ig ure of caner A Mailing address r,l je r r � � G r i 0=y _ IN I u' - aknE3 Bono, CUSTOMER PERMIT No. DRAWN BY JSP DATE: MATERIALS APPROVED BY LOCATION: BALISE_HYUNDAI_HYANNIS_BUILDING_SKT R OJ REVISIONS: SCALE This is an orginal unpublished drawing, created by Plymouth Sign Company, Inc.It is submitted for your personal use in connection with the project being planned for by Plymouth Sign Company, Inc.@ is not to be shown to anyone outside your organization, nor is it to be used, reproduced, copied or exhibited in any fashion whatsoever.All or any parts of this design (excepptinregistered trademarks)remain property of Plymouth Sign Company, Inc. Charge for design without permission of Plymouth Sign Company, Inc.is$500. V ! I n � I rd fQ #' EI o Spi, IA t A V� c - a it Q s14 @# a 7,4 A fl a i a Y k h w x _ , r C, � w o e �oQiW(W am& MOMOMU e 0 CUSTOMER PERMIT No. DRAWN BY JSP DATE: MATERIALS APPROVED BY LOCATION: BALISE_HYUNDAI_HYANNIS_PYLON_SKT P.0./ REVISIONS: SCALE This is an orginal unpublished drawing, created by Plymouth Sign Company, Inc.It is submitted for your personal use in connection with the project being planned for by Plymouth Sign Company, Inc. ft is not to be shown to anyone outside your organization, nor is it to be used, reproduced, copied or exhibited in any fashion whatsoever.All or any parts of thus desi (excepptinVgistered trademarks)remain property of Plymouth Sign Company, Inc. Charge for design without permission of Plymouth Sign Company, Inc.n is$500 Town of Barnstable _ Buildl g - _- and Must be Ke t.�. n wvsrws Post`ThisCa�d SoThat it�is,visible Fromthe Street Approved Plans�Must�be Retained on'Job and this C pi �'" Posted Until°FinalInspection HasBeenMade' ,� s. "�° ,, K, � '' � i _ r ibJ� ♦ a 6 xe t ,. wYu.4&' T i, s as x Permit Whecae ofOccupancytis Required;such"Building sFiae O�cuped until a'Finah_Inspection has'been m� ade la ; „ Permit No. B-18-1686 Applicant Name: Heather Dudko Approvals Date Issued: 06/28/2018 Current Use: Structure Permit Type: Building-Sign Expiration Date: 12/28/2018 Foundation: Location: 322 FALMOUTH ROAD/RTE 28, HYANNIS Map/Lot 293-010 Zoning District: SPLIT Sheathing: Owner on Record: BALISE CAPE COD PROPERTIES LLC ° Contractor Name, Framing: 1 Address: 122 DOTY CIRCLE Contractor License 2 WEST SPRINGFIELD, MA 01089 Est Project Cost: $5,000.00 Chimney: Description: REMOVE EXISTING GROUND SIGN AND REPLACE WITH=NEW(SAME Permit Fee: $50.00 , Insulation: SIZE/HEIGHT)AT SAME LOCATION/SETBACK USING'SAME Fee Paid: $50.00 FOUNDATION. (EXISTING SIGN IS WORN/IN DISREPAIR) SIGN " Date 6/28/2018 Final: FACE=3'9"X 4"9" (18 square foot). OVERALL HEGHT=10 FTC k INTERNALLY ILLUMINATED z � Plumbing/Gas Project Review Req: `� ,'f `w ,� . . Rough Plumbing: WIN n , Z Wing Enforcement Officer " Final Plumbing: Yf This permit shall be deemed abandoned and invalid unless the work au_ti on ed by this permit is commenced within six months after issuance. Rough Gas: All work authorized by this permit shall conform to the approved applicatiornand the'approved construction documents for which this permit has been granted. ro ., All construction,alterations and changes of use of any building and structures shall be in compliance with the local zoning by-la"ws and codes. Final Gas: This permit shall be displayed in a location clearly visible from access street o`r road.and shall be maintained open for public inspection for the entire duration of the work until the coin letion of the same. p a Electrical The Certificate of Occupancy will not be issued until all applicable signatures by the Building and Fire Officals are provided on this permit. Service: Minimum of Five Call Inspections Required for All Construction Work Rough: 1.Foundation or Footing 2.Sheathing Inspection 3.All Fireplaces must be inspected at the throat level before firest flue lining is installed Final: 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection Low Voltage Rough: 5.Prior to Covering Structural Members(Frame Inspection) 6.Insulation 7.Final Inspection before Occupancy Low Voltage Final: Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Health Work shall not proceed until the Inspector has approved the various stages of construction. Final: "Persons contracting with unregistered contractors do not have access to the guaranty fund" (as set forth in MGL c.142A). Fire Department Building plans are to be available on site Final: All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT -� 644(l�N ��: Architectural /A\c Graphics orpor Incorporated TS55Intvmetivnvl Pvdrcivy 1.) CAULK ALL 5EAM5 A'S REQ'D psrl+n+sdn - - TO PREVENT LIGHT LEAK :Probe[nuP .. _. - - NISSAN 05.10.18 P . , +, _ _ AGI EOH M.SMITH - LOPtl DrnFlo.DLR PrPlxt MSr.J.AUBRY P E� oon.ml seen sPo<m�nt on. LANyIB" T-0" ®tntoror ❑eMormr .. [2SMglo Fv<od. ❑Doublo Fvevd _ - ... - ®Nan•Illuminvlvtl - ._ ... - : ... .. - .. ❑Illuminated • _ — _ .. .. .. _ .. LaeP+lon HYANNIS,MA _ Wmdloud 112, h FABRICATED 4MM PREFIN15HED - tT 3 i 'SUNRISE 611 ALUCAOONO 3' ACM CABINET •m al ppgg '��++��'( —.150"CLEAR 5PRAYCHROMED POLYCARDONATE, LOGO W/FIRST SURFACE APPLIED 'F .. .. ... - ,� OPAQUE'MA7TE BLACK'YINYLSs�RB :�'' I. 5, ---'MFG LABEL TO DE MACED ON BOTTOM OF FIXED FALE : L �I .. "I;;. --FABRICATED4MM PREFINISHED UL SECTIONAL LABEL(1 OF 3) 61L6 R 1:ETALIG ALIICeBpILD TO BE PLACED ON BOTTOM OF FIXED FACE t >;q ACM COLUMN COVER: __ ---THERMOFORMED.IBO"SPAR'1ECFI LRYLEX PLl15. i � , -RED#56135 MODIFIED ACRYLIC COLUMN LENS UL SECTIONAL LABEL ONLY(3 OF.3) -k1 .1 NI55AN ASSET LABEL c .FABRICATED ALUM.BASE COVER PAINTED 'm, `i� — ''�'•^a bo���'^' ,,,� _ ! 95:., --`1G..".i ea^.. _ �•.^'H PM98C QL OREY' 2 FRONT ELEVATION 3\J n ... ... C.d. TyPA 29903 C _. Slen typo PG R+ 1. MBS-18 CUS 1 � z�. NISSAN NORTH AMERICA. . F Dealer Presentation Package. IN Sl A Q 2. SCHEDULE OF SIGNS bt ��(a6 L( Site Before: a 'I V4 On H Proposed Signage Alp- M � _ Y Proposed Signs`' I , i (� :N F° toN W r t w •; RipSR !7 �, UP . 91 N pi a ' j a • to s -�•� �. , O' • � � � � �{,�' �' : .un � p - cN n • o. b • � a 4 4t p a � ,T bo El El El IJ h - 1. w � �,. �, � •. � �q •� �, � • NATIS-04CL DPONDER ACORO" DATE(MMIDD/YYYY): CERTIFICATE OF LIABILITY INSURANCE 01/10/2018 I THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO-RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND;.EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsements. CONTACT Corrine Sternberg - - - PRODUCER NA ME: - Smith Brothers Insurance,LLC. PHONE (860 652-3235 FAX No:(860)652-3236 .. (AIC,No,Eztg( ) 68 National Drive E•MAa GeneralMailbox@Smith6rothersUSA.com Glastonbury,CT 06033 ADD Ess f INSURERS AFFORDING COVERAGE NA[ INSURERA:The Continental Insurance Com an 35289 INSURED :..: '- .. - .... INSURER B:All America ' 20222 INSURERC:Travelers Property Casualty Company of America 25674 National Sign Corporation 780 Four Rod Road ' INSURERD:Valle Forge Insurance Com an 20508 Berlin,CT 06037 INSURER E INSURER F REVISION NUMBER: COVERAGES CERTIFICATE NUMBER: riiCH TERIOD THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE PO INDICATED. NOTWITHSTANDING ANY REQUIREMENT; TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT:VNTH RESPECT TO bL W iC "iS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, ECLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. ADD SUER POLICY EFF POLICY FRCP LIMITS INSR POLICY NUMBER- M O MID TYPE OF INSURANCE D D 1,000,000 A X COMMERCLAL:GENERAL LIABILITY . . EACH OCCURRENCE $ DAMAGE TO RENTED 300,000 GLAIMS-MADE �OCCUR X 5095051353 01119/2018 01/19/2019 n s :. 15,000 MED EXP An one rson $ . . . 1,000,000 PERSONAL&ADV INJURY $ 2,000,000 GE tJ L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ POLICY�X P CT a LOC PRODUCTS.COMP/OP AG G $ 2;000,000 $ OTHER: COMBINED SINGLE LIMIT S 1,000,000 B AUTOMOBILE UABIUTY - - - a a c�entl l X ANY AUTO - - BAP 9788685,.. 01/19/2018 01/19/2019 BODILY INJURY Perperson) $ OWNED SCHEDULED BODILY INJURY Per accident $ AUTOS ONLY AUTOS PROPvE AMAGE E ,. E - Peracadent $ :. X AUTOS ONLY .X: AUTO O L�. .. - ..: $ 5,000,000 C: X UMBRELLA UAB X OCCUR F�CH OCCURRENCE $ EXCESS LIAB CIAIMS•NIADE ZUP-14P21.895-17-NF 01/19/2018 01/1912019 AGGREGATE $ 5,000,000 DED I X I RETENTION$- ..10,000 .- $ . .. .. ._ X :PER TA STATUTE OTH D WORKERS COMPENSATION - SOO,000 AND EMPLoYERs'uABIUTY 5096051305 01119/2018 01/1912019 ANY pROPRIETOR/PARTNERIEXECUTIVE Y E.L.EACH ACCIDENT $ 500,000 OFFICER/MEMBER EXCLUDED? N 1 A (Mandatory in NH) E.L.DISEASE-EA EMPLOYE $ 600,000 If yes,describe under _ .� _ E.L.DISEASE-POLICY IMl I DESCRIPTION OF OPERATIONS below. .. [ DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space is required) CERTIFICATE HOLDER CANCELLATION I SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL SE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHOREED REPRESENTATIVE ' ACORD 25(2016103) ©1988-2015ACORD CORPORATION. All rights reserved. LThe ACORD name and logo are registered marks of ACORD PROJECT NAME: Ste. �SSq� ADDRESS: ck y � PERMIT# �v Z PERMIT DATE: � � Off. � M/P: LARGE ROLLED PLANS ARE IN: BOX SLOT -- 1 Data entered in MAPS program on: 1Z BY: 1 � PROJECT I NAME: GC✓Io�JS lavt/ ADDRESS: PERMIT# PERMIT DATE: M/P: LARGE ROLLED PLANS ARE IN: BOX l SLOT Data entered in MAPS program on: a BY: q/wpfiles/forms/archive Messa e '^`O`} Pt g 3 Z2 age 1 of 2 Anderson, Robin From: Jeffrey M. Ford, Esq. [jford21@verizon.net] Sent: Tuesday, December 23, 2014 4:16 PM To: Anderson, Robin Cc: jford21@verizon.net; Perry, Tom Subject: FW: Balise Nissan Violation HI Robin, Below is Bill's email regarding the balloons. If you need anything else just let me know. Thanks again for your time and consideration on this one. Have a great Holiday, Jeff LAW OFFICE OF MIC:H:AE:L FORD JEFFREY M.FORD,ESQ. 72 MAIN STREET,P.O. BOX 485 WEST HARW.ICH:,MA 02671 TEL. (508)430-1900 FAX(508)430-9979 EMAIL:jford2lA_verizon.net Hi Jeff, Okay! I have spoken with the"new"general manager at the Balise Nissan store in Hyannis. The balloons are coming down as I write this e-mail. Bill Daly From:Anderson, Robin [ma i Ito:Robin.Anderson@town.barnstable.ma.us] Sent:Tuesday, December 23, 201412:51 PM 12/24/2014 Message Page 2 of 2 To: iford2l@verizon.net Subject: Balise Nissan Violation t .. �'' #stq� ''td � � 9d $ � r � ""� icy ti � G;� ��' •^ .'.� Ye Hi Jeff, I just wanted to give you a heads up that I received a complaint about your client's use of balloons at the Hyannis dealership. I know we have discussed this in previous years so I am guessing that a staffing change occurred and they are unaware that this is a violation of the sign code. Please advise them to remove the balloons in order that I may refrain from issuing violations. We received a complaint via email today. Can you also touch base with me and let know that they have come into compliance so I can close the complaint out without issuing citations? Thank you so much! Hope you have a wonderful holiday. W96in Robin C Anderson Zoning Enforcertent Officer 7'own of Barnsta6Ce 200 Main Street Hyannis, NA 026oi 5o8-862-4027 12/24/2014 Too o � ►a 0d3 , 'Town of Barnstable Regulatory Services Thomas F.Geiler�Altec-tor --- Building bi F-JIA)a It-j'"' numas Perry,CBO Building Commissioner 200 Main Street, Hyanpis,MA 62601 "'W.tow•n.barnstable.ma us Office' 508-8624038 pax; 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder I, . L iM 2 S �, �C 11 S.e �,1 1� ,as Owner of the subject property hereby authorize _ ��" to act on my behalf, in all matters reladve ro murk authorized by this building pemvE applicadun tux. (Address of Job) S' tore f Owner Date Print Name If Pr 'erty Owner is applying for permit,please complete the ldomeoWhets License Exemption Form on the revers side. OUs ecollil•\.4ppData\LocaR4icrosuh\Wijadou-s\TcnWotary Imemet Fi1tslConleot 0,uUook\AR76BDVA`,E?CPRJ�SS-dot Revis 061313 t Sign TOWN OF BARNSTABLE Permit + B WSTABLE, MASS. 9�ro� 16 39. A Permit Number. Application Ref: 201403815 20070984 Issue Date: 06/10/14 Applicant: BALISE CAPE COD PROPERTIES, LLC Proposed Use: AUTOMOTIVE SALES & SERVICE Permit Type: SIGN PERMIT Permit Fee $ 50.00 Location 322 FALMOUTH ROAD/RTE 28 Map Parcel 293010 Town HYANNIS Zoning District HB Contractor PROPERTY OWNER Remarks 3 SQ DIRECTIONAL SIGN BALISE NISSAN Owner: BALISE CAPE COD PROPERTIES, LLC Address: 122 DOTY CIRCLE WEST SPRINGFIELD, MA 01089 Issued By: PC POST THIS CARD SO THAT IS VISIBLE FROM TOTE S ;BEET &S(- G JIS SCCN Avdt�c.c CAo t& 56sk464- a C4 �-f rnacav,4 'i 1 Town of Barnstabl Regulatory Services �01194CIF BAR; ZS JTI E Thomas F. Geiler,Director MAY r#t ,,,gyros, Building Division Tom Perry, Building Commissioner 200 Main Street, Hyannis,MA 0260 � www.town.barnstable.ma.usDI `f1� r Office: 508-862-4038 Fax: 508-790-6230 Permit# Building Official approving Application for Sign Permit Applicant:_R__-4`(___l_s_-6 Assessors—Assessors No. 2g3 olv Doing Business As:RAU 5E._t v )5S4N __ Telephone Nc(S q Sign Location Street/Road:_ .4 C M 0 U.'T 14 Zoning District S Old Kings Highway? Yes/No Hyannis Historic District? Ye4 ?rope er 1 Name: A�LISM �� COD�DPN�1-I E S ---Telephone:�50g�---�D U Address: ZZ LJvt�6 CL2Ct,t�_ W JNf,T�l�iVillage: ----------- MA Sign Contractor }� ! f / ��� ��� gZ4• b� Name:----- l—V-- 61V�4C. 1 C9N ti - --------Telephone:-----------v Mailing Address:l `_ ,' M Pd Rj,Z(.t[V, CT -_------- u Description Please follow the cover directions.You must have an accurate rendition of sign with dimensions and location. , Is the sign to be electrified?. Yese -(Note:Iffyes,a r4iringpei7nitisrequired) + ,,11 Width of building face ft.x 10= 1,600 x.10= . 16 V • Check one Reface existing sign or New 4 Total Sq. Ft.of proposed sign (s) �J I1'I ov bane additional si��s please attach a sheeth'stingeach one with dimensions �DI�Z�Z�tloNf}(, 5 If refacing an existing sign please provide a picture of the existing sign with dimensions. I hereby certify that I am the owner or that I have the authority.of the owner to make this application, that the information is correct and that the use and cor�stryctioril conform to die provisions of §240-59 through§240-89 of the TownU,=rEance. gl2gk zor :a P Signature of Owner/Authorized Agent Date . . P 1?0.SL (A-(,{ 'u SIGNS/SIGNR4 Siga Permit Consultants EQU ,T t-- revised12110,, _ 4 , ®V 4•,• V 1Ph be Way Phane 508-856d332 pki . NISSAN NORTH AMERICA, INC. Nissan Retail Environment Design Initiative Sign Program SITE BEFORE NEW CONSTRUCTION ^x, u R000rt �s - . to :3- cam' PROPOSED BUILDING AND SIGNAGE Mum -now° 3 I _ em N �t I W40 A 0�Lr a�a 1 Balise Nissan(3816) Hyannis,MA 02/03/2014 Rev.#0 -r-2' -0'1 Service Drive Thru cc _ GM-DIR-18x24 3 Sq. Ft. Ground-Mount Directional Sign (Total of 1) 4'-0" OAH NEW f NATIS-04CL AFEDELE 'a��Ro9 CERTIFICATE OF LIABILITY INSURANCE DATE(MM/D°"YYY' 1/16/2014 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT Smith Brothers Insurance,Inc. PHONE 68 National Drive,Suite 2 A/c No Ext:(860)652-3235 (A/ No): (860)652-3236 Glastonbury,CT 06033 E-MAIL ADDRESS: INSURER(S)AFFORDING COVERAGE NAIC# INSURER A:Valley Forge Insurance Company 20508 INSURED INSURERB:Continental Insurance Co. 35289 National Sign Corporation INSURER c:St. Paul Fire&Marine 24767 780 Four Rod Road INSURERD:Transportation Ins Co 20494 Berlin,CT 06037 INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR ADDL SUBR POUCY EFF POLICY EXP LTR TYPE OF INSURANCE lNqR MP POLICY NUMBER MM/DD MM/DD/YYYY LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,00 A X COMMERCIAL GENERAL LIABILITY X C5095051353 01/19/2014 01/19/2015 DAMAGE ET Ea occu D nce $ 300,00 CLAIMS-MADE OCCUR MED EXP(Any one person) $ 5,00 PERSONAL&ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,00 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ 2,000,00 POLICY X iFnPRO X LOC $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident $ 1,000,00 B X ANY AUTO C5095093747 01/19/2014 01/19/2015 BODILY INJURY(Per person) $ ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY(Per accident) $ X HIRED AUTOS Ix NON-OWNED PROPERTY DAMAGE AUTOS PER ACCIDEN $ $ X UMBRELLA LIAB OCCUR EACH OCCURRENCE $ 5,000,00 C EXCESS LIAB CLAIMS-MADE ZUP-14P21895-14-NF 01/19/2014 01/19/2015 AGGREGATE $ 5,000,00 DED I X RETENTION$ 10,000 $ WORKERS COMPENSATION WC STATU- OTH- AND EMPLOYERS'LIABILITY X T Y LIMIT R D ANY PROPRIETOR/PARTNER/EXECUTIVE Y/N C5095051306 01/19/2014 01/19/2015 E.L.EACH ACCIDENT $ 50U OFFICER/MEMBER EXCLUDED? N N/A ,OO (Mandatory in NH) If yes,describe under E.L.DISEASE-EA EMPLOYEE $ 600,000 DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 500,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(Attach ACORD 101,Additional Remarks Schedule,if more space is required) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE ©1988-2010 ACORD CORPORATION. All rights reserved. i .ACORD 25(2010105) The ACORD name and logo are registered marks of ACORD �1"E' ti Town of Barnstable Building Department - 200 Main Street EARNSTABLE, " Hyannis, MA 02601 MAS& (508 1639• ) 862-4038 RFD MA'S A Certificate of Occupancy Application Number: 201106302 CO Number: 20120060 Parcel ID: 293010 CO Issue Date: 06119112 Location: 322 FALMOUTH ROADIRTE 28 Zoning Classification: HIGHWAY BUSINESS DISTRICT Proposed Use: AUTOMOTIVE SALES & SERVICE Village: HYANNIS Gen Contractor: CIOLEK, PAUL Permit Type: CCO2 CERT OF OCCUPANCY COMM 2 Comments: BALISE NISSAN �2,Aqp/� Building Department Signature D to Sig ed 4 a iX -- TOWN OF BARNSTABLE Building �'(HE Tp� 201106302 * RAxxsrAsix, Issue Date: 12/07/11 Permit 9 MASS �A i639• Applicant: CIOLEK PAUL rF0 MAC a Permit Number: B 20112699 Proposed Use: AUTOMOTIVE SALES &SERVICE Expiration Date: "06/05%12 [Location 322 FALMOUTH ROAD/RTE 28 Zoning District HB Permit Type: COMMERCIAL ADDITION ALTERATION Map Parcel 293010 Permit Fee$ 22,740.66 Contractor CIOLEK,PAUL Village°+ HYANNIS App Fee$ 100.00 License Num 52581 Est Construction Cost$ 2,498,974 Remarks APPROVED PLANS MUST BE RETAINED ON JOB AND CONSTRUCT 11,278 SF OF NEW FACILITY FOR A TOTAL16,941 SIN LE THIS CARD MUST BE KEPT POSTED UNTIL FINAL STORY TYPE 11 B CONSTRUCTION SLAB ON GRADE INSPECTION HAS BEEN MADE. WHERE A CERTIFICATE OF OCCUPANCY IS REQUIRED,SUCH Owner on Record:. BALISE AUTOMOTIVE REALTY LP BUILDING SHALL NOT BE OCCUPIED UNTIL A FINAL. Address:/ 1102 RIVERDALE ST INSPECTION HAS BEEN E. W SPRINGFIELD,MA 01089 ::; In Application Entered by: TP Building Permit Issued By: Z- ox, THIS PERMIT CONVEYS NO RIGHT.TO OCCUPY ANY STREET;ALLEY-OR SIDE WALK OR ANY PART.THEREOF,EITHER TEMPORARILY OR PERMANENTLY ENCROACHMENTS ON:PUBLICPROPERTY, SPECIFICALLY PERMITTED UNDER THE.BUILDING CODE,MUST BE APPROVED BY THE JURISDICTION.,.:STREET OR ALLEY(GRADES AS WELL AS DEPTH-AND.LOCATION OF PUBLIC SEWERS MAY BE OBTAINED FROM THE DEPARTMENT OF PUBLIC WORKS THE ISSUANCE OF THIS PERMIT DOES NOT RELEASE THE APPLICANT FROM THE CONDITIONS OF ANY APPLICABLE SUBDIVISION RESTRICTIONS:' MINIMUM OF FOUR CALL INSPECTIONS REQUIRED FOR ALL CONSTRUCTION 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). I Sir 5� ' BUILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS PLC l3 —t� lZ]E� c o-t r�t�4e2 �p� CC® Ctz 6C kV� /��/�(J IV elk TK- 3 OTC -t-,5-7c L-(P CO 1 Heating Inspection Approvals E�ngi ing Dept ffe 6e o --- Fire Dept ' 2 ' .,� -a `1„ �, f% 5 oard of ealth - 2 ' 4) I I a' rry fl TOWN OF BARNSTABLE B.ur-il d in g 201200733 BARNSTABLE, Issue Date: 02/14/12 Permit y MASS. gjAr 163 A�� Applicant: COTTI-JOHNSON HVAC,INC Permit Number: B ,20120299 FD MA Proposed Use: AUTOMOTIVE SALES &SERVICE Expiration Date: 08/13/12 Location 322 FALMOUTH ROAD/RTE 28 Zoning District HB Permit Type: COMMERCIAL ADDITION ALTERATION Map Parcel 293010 Permit Fee$ 1,119.30 , Contractor COTTI-JOHNSON HVAC;INC Village HYANNIS App Fee$ 100.00 License Num 8149 Est Construction Cost$ 123,000 Remarks APPROVED PLANS MUST BE RETAINED ON JOB AND 4 NEW RTU'S AND4 NEW UNIT HEATERS WITH DUCT WORK THIS CARD MUST BE KEPT POSTED UNTIL FINAL INSPECTION HAS BEEN MADE. WHERE A CERTIFICATE OF OCCUPANCY IS REQUIRED,SUCH Owner on Record: BALISE AUTOMOTIVE REALTY LP BUILDING SHALL NOT BE OCCUPIED UNTIL A FINAL Address: 1102 RIVERDALE ST INSPECTION HAS BEEN MADE. W SPRINGFIELD,MA 01089 Application Entered by: PR Building Permit Issued By: THIS PERMIT CONVEYS NO RIGHT TO OCCUPY ANY STREET,ALLEY"OR SIDEWALK OR ANY PART THEREOF,EITHER TEMPORARILY OR PERMANENTLY. ENCROACHMENTS,ON PUBLIC PROPERTY,NO SPECIFICALLY PERMITTED UNDER THE BUILDING CODE,MUST BE APPROVED BY THE NRISDICTION. STREET OR ALLEY GRADES AS WELL AS DEPTH AND LOCATION OF PUBLIC SEWERS MAYBE OBTAINED FROM THE DEPARTMENT OF PUBLIC WORKS. THE ISSUANCE OF THIS PERMIT DOES NOT RELEASE THE APPLICANT FROM THE,CONDITIONS OF ANY APPLICABLE SUBDIVISION RESTRICTIONS-. MINIMUM OF FOUR CALL INSPECTIONS REQUIRED FOR ALL CONSTRUCTION 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). RIP 1�iE nii BUILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS 1 1 1 2 2 2 3 �f ®� 1 Heating In ection Approvals Engineering Dept Fire Dept 2 Board of Health T, r BARTER NYE ENGINEERING & SURVEYING Registered Professional Engineers and Land Surveyors 78 North Street,3`a Floor,Hyannis,MA 02601 Tel: (508)771-7502 Fax: (568)771-7622 June 15,2012 Mr.Thomas Perry Town of Barnstable Building Commissioner 200 Main Street, , Hyannis,MA 02601 = CIVIL SITE PLAN CONSTRUCTION CONTROL AS-BUILT AFFIDAVIT v oa PROJECT NUMBER: SPR#020-11 —� PROJECT TITLE: Balise Nissan PROJECT LOCATION: 3�2 Falmouth.Road;Hyannis;HAA2601 'rs NAME OF BUILDING: Balise Nissan rn SCOPE OF PROJECT: Construction of a new single story Nissan Dealership, 11,278 new and 563 existing}-`) remodeled. Slab-on-grade,steel-framed building with metal panel exterior walls and roof, insulated and heated.New fire protection system throughout new and existing. Site development will include an access drive and parking areas,utility services,and a storm water management system. I, Matthew Eddy, being a registered Professional Civil Engineer with the firm of BAXTER NYE ENGINEERING & SURVEYING, Registered Professional Engineers and Land Surveyors, hereby certify that I have supervised the preparation of the Civil Engineering Site Plans and specifications for the above named project and that,to the best of my knowledge, information and belief, such Civil Engineering Site plans and specifications meet the applicable provisions of the Massachusetts Building Code, Eighth Edition, as relevant to the site design, and generally accepted standards of Civil Engineering practice in effect at the time of performance. I further certify that I haver 1. Reviewed,for the limited purpose of checking for conformance with the design concept and compliance with the information given in the Civil Engineering Site Plan construction documents,shop drawings, samples and other submittals of the contractor(s)as required by the construction contract documents. 2. Reviewed quality control procedures for the code-required controlled Civil Engineering Site Plan materials; and 3. Performed inspections at necessary intervals and reviewed the completed construction. As of the date of this Certification,to the best of my knowledge,information and belief,the work has been substantially performed and completed,with the exceptions noted below,in general accordance with the Site Plan as Approved by the Town of Barnstable . This certification is for the purpose of checking for conformance with the design concept and general compliance with the information given in the Approved Civil Engineering Site Plans. It is not to be considered a field control as-built of all vertical and horizontal information shown on the Approved Site Plans nor is it to imply daily inspections of site plan related work. The following exceptions to the Approved Site Plan are noted: 1. Three(3)additional street trees need to be installed along Corporation St. Also,the landscaping along the rear entrance road serving both the Balise Nissan and Balise Car Wash sites needs to be completed as well. This access road is still under construction as part of the Car Wash project. a. It is my understanding the landscape contractor will install these items at a future time when they are completing work for the adjacent on-going Balise Car Wash project. Page 1 Land Surveys • Subdivisions • Septic Design • Wetland Filings • Site Design r f A. June 15,2012 Mr.Thomas Perry,Town of Barnstable Building Commissioner Civil Site Plan Construction Control As-Built Affidavit Balise Nissan,322 Falmouth Road,Hyannis,MA 02601 !H OF/qS o MATTHEW yG S W. 0 o CwIL �' Name Matthew Eddy,P.E. No.43183 � Registration No.: (�3%f i 'p 0' Seal �S8/0NAL FC a Signature Cc: Mr.James Demas,Balise Automotive Ms.Kimberly Masiuk,Associated Builders,Inc. File 0A2011\2011-038\ADMII4U_ETTERS\2011-038 L3 Final Certification Affidavit.docx Page 2 sty Sign TOWN OF BARNSTABLE Permit BARNSTABLE, MASS. Ark 039. A� Permit Number: � Application Ref: 200905421 20070387 Issue Date: 11/05/09 Applicant: BALISE AUTOMOTIVE REALTY, LP Proposed Use: AUTOMOTIVE SALES & SERVICE Permit Type: SIGN PERMIT Permit Fee $ 150.00 Location 322 FALMOUTH ROAD/RTE 28 Map Parcel 293010 Town HYANNIS Zoning District H B Contractor PROPERTY OWNER Remarks REFACE EXISTING AWNING SIGN- NAME CHANGE BELISE FORD 66 SQ Owner: BALISE AUTOMOTIVE REALTY, LP Address: 1102 RIVERDALE ST W SPRINGFIELD.. MA 01089 Issued By: ( 4 1-0 POST TINS CARID<SO THAT IS vTSIBLE.FROM TIDE STREET t j r--- I ' i i A i 2 Town of 4 1HE rp�y Regu atory-;nSjp ' C o " ; cl, �� An 10: 20 y Thomas F. Geiler,Director + BAR`lSTS. = Buildin Division ass. $ g �pTEoc Aim Torn ferry,Buildin�Gemmissn: .r.. 4 }' rift 200 Main Street, Hya jVi5ATG02;601 w»iv.t own.barnstable.ma.us , Office: 508-862-4038 Fax: 508-790-6230 Permit#' Application for Sign Permit Applicant: VG h'sc 4v6'41 ,t QaAv map &Pa reel #� Q'3 .-6 1_('3 Doing Business As: Ua�ixc j__ Telephone No.'�h3--Tg -JQnZ Sign Vocation T�7 Street/Road: Zoning District: Old Dings High-vay? Yes/No Hyannis Historic District? Yes/No Property Ownv� , Name; `� 6MeS ri^ �C IIS4 or, Telephone: 13-1K-1002— Address: 1Io2 \L\V2n/ke�Q Sk (f�(J��' iWillage: NC - 010 Sign Contractor Name: S 1 Et N 71� G . Telephone:,113-Z 3 9 ^S U 4- Mailing Address: +-77 Co tG ( e J-A-• C' rv1 &1 ! 44 C - b 110 Description Please draw a diagram of lot showing location of buildings and existing signs with dimensions, location and size of the new sign. This should be drawn on the reverse side of this application. Is the sign to be electrified? Yes (Note: If yes, a wiring permit is required) Width of building face �S ft.x 10= x .10= Sq.Ft. of proposed sign (o 7 2 `� Z 1 hereby certify that I am the owner or that I have the authority of the owner to make this application,that the information is correct and that the use and construction shall conform to the provisions of§24M9 through §240-89 of the Town of Barnstable Zoning Ordinance. Signature of Owner/Authorized Agent: Date: Permit Fee: Sign Permit was approved: Disapproved: Signature of Building Official Date: In order to process application without delays all sections must be completed. O:IYYPFILESISIGNSISIGA'APP.DOC (y0 a � Ddmas,Jim edemas®balissautoxoml _ r 60 v t y� riff � �'�'` $.'x, .�..-4�. ;�. •Y i ERADICATE EXISTING AWNING BLUE VINYL COPY 22ft-3in -7- - 21in � eH M P�f 1�cO IN n The above quotatlon may be subject to adjustment after 60 days from the date listed below.The above prices may be subject to sales tax where applicable and permit fees if required.Any Shipping and Handling charges applied at time of billing. Unless stated above,installation is not included in price. Above prices do not include electrical service from building to sign,but does include connection if service is at sign location. ACE SIGNS, INCORPORATED Phone: 413-739-3814 NOTES: 477 COTTAGE STREET Fax: 413-732-5653 P.O. BOX 3374 Date: 10/21/09 NOTE,THIS DESIGN IS THE EXCLUSIVE PROPERTY OF ACE SIGNS,INC.ALL SPRINGFIELD, MA. O110T RIGHTS TO ITS USE OR ANY REPRODUCTION OR DUPLICATIONS OF THIS y ...1 jmanzi@ace sign sinc.com DESIGN ARE RESERVED. O i Z� _ D A Demas,Jim Udemas®baliseauto.comi 0 i If t I - l+ ' A ERADICATE EXISTING AWNING BLUE VINYL COPY 22ft-3in o e f o p . - 21in The above quotation may be subject to adjustment after 60 days from the date listed below.The above prices may be subject to sales tax where applicable and permit fees if required.Any Shipping and Handling charges applied at time of billing. Unless stated above,installation is not included in price. Above prices do not include electrical service from building to sign,but does include connection if service is at sign location. ACE SIGNS, INCORPORATED Phone: 413-739-3814 NOTES: 477 COTTAGE STREET Fax: 413-732-5653 P.O. BOX 3374 Date: 10/21/09 NOTE. THIS DESIGN IS THE EXCLUSIVE PROPERTY OF ACE SIGNS,INC.ALL _ SPRINGFIELD, MA. 01107 RIGHTS TO ITS USE OR ANY REPRODUCTION OR DUPLICATIONS OF THIS j man zi@acesign sinc.com DESIGN ARE RESERVED. 0 F-50 -16 12'-2" I V-2 1/4" 20'-3" 36"Cladding 14'-0" �qa. Fw g�v File Name: FO_F-50-P16_Pylon.pdf &,11jPlas>t'i-Line, Inc. Scale: 1:48 Approved By: Pmpeity of Plastl-Line,Inc.Not to be duplicated Date: 14NOV00 Date: Town of Barnstable �F'THE l Regulatory Services Thomas F.Geiler,Director r • sBARNMASS." `��; Building Division 163. Peter F.DiMatteo, Building Commissioner FD MA � 367 Main Street, Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 Tax Collector Treasurer Application for Sign Permit Applicant: n d1 Assessors No. g a O � .Doing Business As: Telephone No.r p ME Sign Location Street/Road: 3 Zoning District:Old Kings Highway? Yes/No Hyannis Historic District? i Yes/No Property O er Name: - 7 —Telephone: , 7 5Z 12- Address: 3 Z-? �G�r n.ck9LV\. RA• Village: Sign Contractor Name: �S�t^� �, l -� Telephone: Address: `2.1 Village: �t -on HA Description Please draw a diagram of lot showing location of buildings and existing signs with dimensions, location and size of the new sign. This should be drawn on the reverse side of this application. Is the sign to be electrified? Yes/No (Note:If yes, a wiring permit is required) I hereby certify that I am the owner or that I have the authority of the owner to make this application,that the information is correct and that the use and construction shall conform to the provisions of Section 4-3 of the Town of Barnstable Zo rdinance. Signature of Owner/Authorized Agent: Date: 1(9 1 Size: x 11 i ©VA L Permit Fee: +1d Sign Permit was approved: Disapproved: Signature of Building Official Date: Signl.doe , rev.8/31/98 Town of Barnstable OFTME Tp Regulatory Services, Thomas F.Geiler,Director . 9'"R'„ M ' Building Division 1639' `0� ' sioner a i atteo Building fD MA'S Peter F.D M g Commis 367 Main Street, Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 Tax Collectori� Treasurer Application for Sign Permit -Applicant: ���� ,rlpGr� Assessors No. a eG 6 .Doing Business As: Telephone No. SIBS Sign Location Street/Road: Z � d Zoning District: Old Kings Highway? Yes/No Hyannis Historic District? Yes/No Property Owner n Name: �irrnr�rr� l n►a9 n Telephoner- 71 S ' 1 lZ Address: 22 2 I wti.a•u ik Village: i S Sign Contr ctor Name: Ut1 S�n't n �+ Telephone: Address: 1Zi Ik)(4 orD �• Village: Description Please draw a diagram of lot showing location of buildings and existing signs with dimensions, location and size of the new sign. This should be drawn on the reverse side of this application. Is the sign to be electrified? Yes/No (Note:If yes, a wiring permit is required) I hereby certify that I am the owner or that I have the authority of the owner to make this application,that the information is correct and that the use and construction shall conform to the provisions of Section 4-3 of the Town of Barnstabl ning dinance. Signature of Owner/Authorized Agent: Date: 10 o f �' `i 3a�5 Permit Fee: 5� Size: �3 X Sign Permit was approved Disapproved: F. Signature of Building 0 cial: - /Le2L-�� Date: Signl.dor rev.&31/98 f Town of Barnstable F114 r°wti Regulatory Services Thomas F.Geiler,Director 9'"x",", ` �' Building Division 1639. �0 �fD MA'S a Peter F.DiMatteo, Building Commissioner 367 Main Street, Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230. Tax Collector Treasurer Application for Sign Permit -Applicant: 30;)CLn 1JsQ�?C� Assessors No. v5 — �6 Doing Business As:�s u�51n�ne is i An C Telephone No. Sign Location n 2- G �� Street/R.oad: Zoning District- Old Kings Highway? Yes/No Hyannis Historic District? Yes/No Property �.�Ra Owner 775- SS 12 Name: a Lkl`lmvnlo Telephone: ®8- Address: 3 �2 (�0.0 VVLn Village: cA Sign Contractor Name: Telephone: S-08 -PJA9 -SSE: �S y ns�n t h� �i r✓1 -n . p rr B- Address: �Z l �@16 r0 �d Village: (�ct'.�4-�on HA Description Please draw a diagram of lot showing location of buildings and existing signs with dimensions, location and size of the new sign. This should be drawn on the reverse side of this application. Is the sign to be electrified? Yes/No (Note:If yes, a wiring permit is required) I hereby certify that I am the owner or that I have the authority of the owner to make this application,that the information is correct and that the use and construction shall conform to the provisions of Section 4-3 of the Town of Barnstable Zonin rdinance. Signature of Owner-/Authorized Agent: Date: to 'z..� ► Size: t ` Permit Fee: e " Sign Permit was approv d: Disapproved: Signature of Building O cial• = Dated Signi.doc rev.8/31198 FAX unshineTRANSMITTAL 10/30/01 sign company, inc. To: Gloria Town of Barnstable Phone: 508-862-4038 From: Sunshine Sign Company Jon Breed Phone: (508)839-5588 Fax: (508)839-9929 Pages: 1 Subject: Permit Applications Hi Gloria, As we discussed on the phone please find the following pages to contain the Sign Permit Applications and an envelope containing three separate checks. Please be aware that the location and sizes of the existing signs will remain relatively the same as shown in the drawings. The nationwide Ford re-imaging program is designed with✓all intentions to improve the appearance of the existing signs and dealership. Please call me if you have any questions. Senior Special Projects Division Manager 121 WESTBORO ROAD - NORTH GRAFTON , MA 01536 m� k. a ! ��_ rn a y o 0 m m m cn a T cn Q �n m � O � m FO F-50 P-16 12'-2" 6-2 1/4° 20'-3" 36"Cladding 14'-0" File Name: FO_F-50-P16_Pylon.pdf &,�jPlasfi-Line, Inc. Scale: 1:48 Approved By: Property ofPlasti-Line,Inc.Not to be duplicated Date: 14NOV00 Date: FO U-31 P-12a5 7,-8„ 4'-3 3/4PRE-OWNED VEHICLES 24" Cladding 16'-1" 10'-11 5/16" File Name., i o pd Plash-Line, , Property of Plasti-Line,Inc.Not to be duplicated D. OO Date. 1 � P M. L ng Ni, `2 t -�.�,�r�•,-;a � 'a� s aq-i�,�,�_�+�,�.��.F-��a�4`� ��i�,lr�r�` c{'"y��1 z FOR } yyn ! I i Ci , ' F ... � � E .,,:..w-�-�r•'"'"'�-�7'�..''.,w'ar��."z- nx �c v �,�eu ^ i,��,t+.ter- ate-. 4•v_ - riirnu of HYii�lnt �'� r v, _ r a ry' �'sfrfi. �, •� tai� �S;�e r�" ;.'�'nre7�€ �r... '7 +F s�'1?✓�3^- l ,.y�v1 .I J�' s..h�}j... 4, O� hf h111 -�^Gn Y a:,,,,.� s' r _, ..✓ t e w- '' Z cy.C 4 �r.;; I r� -r� t: RR fi you, .�,.e�.'�sY'rt �i. ti EJ-Plasti-Line,, Inc. . 623 East Emory Road"Powell, Tennessee 37849 "' Ph 423-938-1511 Photo Card 3 ®f 3 _.._._: r- FORD OF HYANNIS INC. 332 FALMOUTH ROAD HYANNIS,MA 02601 FRD11636 - OW Al 3r E1 BASE END k� f zEWOW _ •.N j}t} E2 .. I IN 1 :: 'r 1 : � wr pA\ps W 97-- ; ±'�� 9 ��pjT t','�'4 4 %�L�i(}t.yi�. \�1� :3 Lt�Th +.J'i����y 4 � aa��S•'`FPT."i �[ M'�1IJ� J'�k����I {�i � � .. y IN. �x -d:{ ..... � i itar�i I F trcr`'?°x'k z 't 1 k�Sr x �k4 n�� � F 1rkiT itZ 4i ti u x a< .r G 2 C F jj 7 H CL Pon Gi Will CD CD H� wM . r , n i 4' OD ;'r `+� k` ° .. ,�',I y f,.�.:� �"j �I ;:: ��y tY+`,{ ,�.� �lr.,..: id•.�i��, �' �P�ra�j, ', I ai�3¢c i� tsr,,, �� � '�`[�'�r , �,;;�{' � i,"'�'�i. .��'> i�.7ry I�ia� � f y ♦ fr I,� �,"�'� �u, f� fir): S k"i� „K + '� 1 .f 5 � --'�`,.' -'��+1U;iY'r[1tH x�.rtfi�.y+.< •t f �; r HO {rl i. w r4 fv N ,m,t+4rrFl�B F �_atSit I ...r3 rsL'+i i�is'��fea�rFrt�a,r�h�r�jy �C�.��^''ii� t� i ` °� �l�� �� N + cti Dcmn mp IT' x 4h, CL Ln 4 nshine sign company, Inc. / 121 WESTBORO ROAD V t� MA 01536 NORTH GRAFTON, i r TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel 1� pP A lication # �Q®�� Health Division Date Issued 4 Conservation Division Application Fee Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board Historic - OKH Preservation / Hyannis Project Street Address OL/1 Village i Owner V r0 6p t�y o U. 1 C Address OJ7' 0 G 4l� Telephone X4Fermit Request ` V.i Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay roject Valuation a OG' C 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 0 No On Old King's Highway: ❑Yes ❑ No v 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 Court Heat Type and Fuel: ❑ Gas ❑Oil ❑ Electric ❑ Other Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing wood/coal stove: ❑S�)s ❑ No Detached garage: ❑ existing ❑ new size Pool: ❑ existing ❑ new size _ Barn: ❑Listing net size_ Fv c-- Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: M 7DZoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes ❑ No If yes, site plan review# Current Use Proposed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name !MVM��1�\ �0�;1 �d Telephone Number ( ` TI Address u� V Hl" ( License # qG C) V� � (� w�u3� Home Improvement Contractor# Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BETAKEN TO 1� )t.T� ��V+iU(�OQ fq� SIGNATURE DATE �� ��l 0 y y�. C F FOR OFFICIAL USE ONLY x �. A CATION# ItATE ISSUED MAP/PARCEL NO. ti - r ` P ADDRESS * VILLAGE OWNER DATE OF INSPECTION: FOUNDATION FRAME INSULATION •FIREPLACE w ELECTRICAL: ROUGH FINAL f PLUMBING: ROUGH - FINAL GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. ; l Tile Commonwealth of Massachusetts Department offridustrial Accidents Office of Investigations + 600 Washington Street Boston, MA 02111 www.m ass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Appl.icant Information Please Print L,e 'bl Name (Business/Organization/Individual): Address: City/State/Zip: C V(.,t I ,,�Phone.#: Are you an employer? Check the appropriate bog: Type of project(required): 1.❑ I am a employer with . 4. ❑ 1 am a general contractor and 1 6. ❑ New construction �,em yees(full and/or part-.time).* have hired the sab-contractors T. LI��l�a sole proprietor or'partner listed on the attached sheet . ❑Remodeling ship and have no employees These sub-contractors have g_ '❑ Demolition working for me in any capacity. employees and Have workers' 9 ❑Building addition [No workers' comp.-insurance comp• insurance. required.] S. [] We are a corporation and its 10.❑Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their 11.❑Plumbing repairs or additions myself. [No workers' comp. right of exemption per MGL 12.0 Roof repairs insurance required.] t c. 152, §1(4), and we have no employees. [No workers' 13.❑ Other comp.insurance required.] *Any applicant.that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who subn»t 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 state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information Insurance Company Name: Policy#or Self-ins.Lie.M 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$1,500.00 and/or one-year imprisonment, as well as civil penalties in the form of a STOP WORK ORDER and a fine. of up to$250.00 a day against the violator, Be advised that a copy of this statement maybe forwarded to the Office of Investigations of the DIA for insurance coverage verification I do hereby certify under the ties ofperjury that the information provided above is true and correct. Si afore: ( Date: — Phone#: U 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 ofHealth 2.Building Department 3. City/Town Clerk 4.Electrical Inspector S.Plumbing Inspector 6. Other C'nnbr.f Percnn: Phone#: ) s Information and,In 's tr'u ctions Massachusetts General Laws chapter IS2 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 tiustee of an individual,partnership,association or other legal entity, employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein, or the occupant of the dwelling house of another who employs persons to do maintenance,construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." MGL chapter 152, §25C(6)also states that"every state or Iocal licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced-acceptable evidence of compliance with the insurance coverage required." Additionally,MGL chapter 152, §25C(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 xzth 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-conkactor(s)name(s),-addiess(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 requester),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 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 bum 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 Depaziment's address,telephone and fax-number: The e6mmouwealth of MassarhuseM Department of Industrial Accidents Office of lave-stigations' 600 Washington Street Boston, MA 02111 Tel. ## 6.17-727-4900 ext 406 or 1-877-MASSAFE Fax # 617-727-7749 Revised 11-22-06 www.mass.gov/dia r r pS"4 a vy Nil ky � 0 P.O. Box 311EM : N,UE L 508-367-1679 Centerville, N A 02632 CEO=NHS T R L7 C TIsO N Fax: 508-790-1856 = �. PROPOSAL SUBMITTED S ���9v€� -�t1r PHONE.�{!� t� n DATE� �t1 STREET: JOB NAME J1® LJ JOB#: > l , � 1� '� �% r • � � dip; . CITY,,PTAT and ZIP CODE: JOB LOCATION: 1 ARCHITECT: ' DATE``O PLANS• '_411!w �kjc Ut o I !" JOB PHONE: We hereby submit specifications and estimates for ru 0 f� t I ,)Ve VropO5C hereby to furnish material and labor-complete in acc'rdance with the above specifications, for the sum of: dollars($ ). Payment to be made as follows: f All material is guaranteed to be as specified. All work to be completed in a workmanlike Authorized manner according to standard practices. Any alteration or deviation from above specifi- cations involving extra costs.will be executed only upon written orders,and will become g an extra charge over and above the estimate. All agreements contingent upon strikes, Note` "his proposal may be accidents or delays beyond our control. Owner to carry fire,tornado and other necessary withdrawn by%us ifj not aoCepted within days. insurance. Our workers are fully covered by Workman's Compensation Insurance. , ! ' T �Cfe�ltal�Ce Df ��D�1Dg�r-The above prices,specifications �If� 1 , �-• �".���,�� �---�''� and conditions are satisfactory and are hereby accepted. You are authorized Signature:' t. - to do the work as specified. Payment will ber ade as outlined above. Date of Acceptance: ' Signature: \ �' ,1 i� • irtriicnt oa'pnb Bode. of Buittli-n Rear he Srtttti Construction Su �uinnti'and Stand w perviso ecialt . ' ds License .CS SL 99382 r,,_ Y License Restricted.:to RF WS HE SAObHEZ • 286 STRAWBERRY .CENTERVILLE, HILL ROAD- MA 02632 c ('unmissiuner EXPiratioll: 9/1 Tr#: 99382 . f A TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map `� Parcel to Application # 6 da-YSF Health Division Date Issued (.2 t l Conservation Division Application Fee Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board Historic ` OKH _Preservation/Hyannis Project Street Address 3&kL Village / Owner Address 11 S A ��D Telephone I ` 1°a?- Permit Request :e,- t Square feet: 1 st floor: existing g,r; proposed 2nd floor: existing N proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation 5 S6 Construction Type Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family(# units) Age of Existing Structure Historic House: ❑Yes ❑ No On Old King's Highway: ❑Yes ❑ No Basement Type: ❑ Full ❑Crawl ❑Walkout ❑ Other Basement Finished Area(sq.ft.) Basement Unfinished Area (sq.ft) Number of Baths: Full: existing new Half: existing new Number of Bedrooms: existing _new Total Room Count (not including baths): existing new First Floor Room Count 19eat 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: _ C) a Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ w Commercial )Yes ❑ No If yes, site plan review # , Current Use Proposed Use AVJ2 9 APPLICANT INFORMATION - (BUILDER OR HOMEOWNER) Name 1-,Wf, o-nir QY Telephone Number zJ rJ l3 '� Address A ke, it :1)r License # Home Improvement Contractor# AIIA Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO W49TC- ;oq E r=d SIGNATURE DATE i ' i FOR OFFICIAL USE ONLY APPLICATION# DATE ISSUED f, i MAP/PARCEL NO. ADDRESS VILLAGE 4* l OWNER - DATE OF INSPECTION: # �CFOh1NDATLON.+ - $ f FRAME INSULATION ' FIREPLACE 4' }t 1. ELECTRICAL: ROUGH FINAL J s` ; if PLUMBING: ROUGH FINAL GAS ROUGH: FINAL ' I FINAL B'UILDIN:G i „'Z, ' DATE CLOSED OUT i�. ASSOCIATION PLAN NO. + � i r _ The Conunonwealth of:k1assachusetts Fr..in�Form:; - -- .Department of Industrial Accidents is Office of Investigations 600 Washing ton Street = =rv— Boston, MA 02111 -'�'- www.inass.j ov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name (Business/orQanization/Individual): J. D. Rivet & Co. , Inc. Address: 1635 Page Boulevard City/State/Zip: Springfield, MA 01104 phone #: 413-543-5660 Are you an employer? Check the appropriate box: Type of project(required): I.® I am a employer with 5 0 4. ❑ I am a general contractor and I employees(full and/or part-time).* have hued the sub-contractors 6 ❑ New construction 2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7. ❑ Remodeling ship and have no employees These sub-contractors have S. ❑ Demotition working for me in any capacity. employees and have workers' insurance. 9. 0 comp. addition [No workers' comp. insurance required.] 5. ❑ We are a corporation and its 10.❑ Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their 1 1.❑ Plumbing repairs or additions myself. [No workers' comp. right of exemption per MGL 12.❑ Roof repairs insurance required.] t c. 152, §1(4),and we have no employees. [No workers' 13•❑ Other comp. insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. 'Contractors that check this box must attached an additional sheet showine the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that is provirlinb workers'compensation insurance for my employees. Below is the policy rind job site information. Insurance Company Name: Arch Insurance Company Policy#or Self-ins. Lic. 4: . ZAWC19235300 5-1-12 Expiration Date:_ Job Site Address: ��✓ iV �9A City/State/Zip: Vvi /y aZ6t)j Attach a copy of the workers' compensation police declaration page(showing the policy nu er and expiration date). Failure to secure coverage as requued under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to $1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to S250.00 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. 1 do herehy certify a der to pa ns and penalties of perjury that the information provided above is true and correct. Sisnature: Date: Phone;: 413-543-5660 Official use only. Do not write in this area, to be completed b��city or town official Cite or Town: Permit/License # Issuing Authority (circle one): 1. Board of Health 2. Building Department 3. City/Torn Clerk 4. Electrical Inspector S. Plumbing Inspector 6. Other Contact Person: Phone : . THE FOLLOWING IS/ARE THE BEST IMAGES FROM POOR QUALITY ORIGINALS) I M -A" �J pATA nk i J.D. Rivet & Co., Inc. ROOFING •SHEETMETAL 1635 PAGE BOULEVARD May 13, 2011 Ta re s t0 n e SPRINGFIELD,MA P.O.BOX 51068 2020MASTER 11 INDIAN ORCHARD,MA 01151 Balise Automotive Realty TEL.(413)543-5660 • •• 1102 Riverdale Street UMR FAX(413)543-3373 BUILDING®PROS West Springfield, MA 01089 i Attn: Jim Demas • ,;MEMBER' i Re: Balise Ford —3XFalmouth Road —Hyannis, MA •" ' I. Furnish and install steel plate over translucent fiberglass panels to facilitate installation of new roofing. 2. Furnish and install insulation between corrugated steel decking. 3. Furnish and install new pressure treated wood nailers with height to match thickness of the new insulation ' 4. Furnish and install 1 %"polyisocyanurate insulation over the infill insulation and steel deck. 5. Furnish and install Firestone 60 mil TPO mechanically attached roofing system complete with all associated flashings. 6. Furnish and install new .040" painted aluminum edge metal in accordance with. Firestone's requirements. 7. Clean jobsite of all roofing debris. 8. Furnish owner with a 15 year Firestone labor and material warranty. PRICE = $29, 500.00 (Twenty-Nine Thousand Five IIundred Dollars) James L. Trask, President Acceptance of Proposal—'file above prices,specifications and conditions are s work as specified. Payment terms are net 30 days unless oth atisfactory and are hereby accepted. You are authorir..cd to do the erwise agreed in writing.All material is guaranteed to be as specified. Any alteration or deviation from above specifications involving extra costs will be executed only upon written orders,and will become an extra charge over and above the estimate. All agreements contingent upon strikes,accidents or delays beyond our control. Owner to carry fire and other necessary insurance. All accounts not paid within 30 days are subject to a late charge of 1 %%per month on the unpaid balance. In the event that legal action is instituted to collect any sums due under this agreement,the undersigned agrees to pay all costs incurred including reasonable attorney's fees. PAYiNIENT TEMNIS:2i%DUE UPON PROPOSAL ACCEPTANCE,2i% DUE UPON iNIATGRl.AL DELIVER,BALANCE (i0%)DUG UPON COMPLETION. NOTE:THIS PROPOSAL NIAY BE WITHDRAWN BY LIS IF' F NOT ACCEPTED 1Y(TIIIN —60_DAYS."01VNER RESPONSIBL,I FOR ALL CILARGES RELATED To BUILDING PERi111T FEES%" Signature: Date: �nce l96'0 i tilasSachusetts - Department of Public Safeh Board of Buildin Re ulations and Standard, 1 Construction Supervisor License License: CS 50230 JAN N DREYER 44 LAKESIDE DR MONSON, MA 01057 Expiration: 7/21/2012 (bnuuissiuner Tr#: 29504 TMr�. Town of Barnstable � f Regulatory Services �'"004 LE. Thomas F. Geiler, Director to Building Division Tom Perry, Building Commissioner 200 Main Street, Hyannis, MA 02601 www.town.barnstable.ma.us Dffce: S08-862-4039 Fax: 509-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder I �"Jk ea tte l v Vtt , as Owner of the subject property hereby authorize to act on my behalf, in all matters relative to work authorized by this building permit application for. Pvr-,, �-L( fl�,iz—htS (Address of Job) SjEt —u7t of CWner N,4N� Date Print Name If Property Owner is applying for permit please complete the Homeowners License Exemption Form on the reverse side. r)RnRM.Q-nw),iPRPFR1 TQQIr)" �b Ai(C'ORO� DATE hlaua/DDmrrY) CERTIFICATE OF LIABILITY INSURANCE 05/02/2011 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER-THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES SELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT, If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must be endorsed. If SUBROGATION IS WAIVED,subject to the teerrls and conditions of the poilcy,certain policies may require an endorsement. A Statement on this certificate does not Confer rights to the Certificate holder in lieu of such endorsement(s). PRODUCER 1-630-T73-3800 CONTACT C i,.to,pher Mowery NAM Arth+ir J. 4a11aghGr Risk Management Services, Inc- PHONE 312-803-6375 FAX r Two Pierce Place E-MAIL C9i Certificatea�AJG.com DR2SS: Itasca, IL 60143 INSURER S AFFORDING COVERAGE NADC$ CBristopher NOW637y INsuRER A: AACR 11Q8 CO 11150 wUlLD INSURER B: NATXONAL t7NION FIRE INS CO OF PITTB 19445 J.D.- Rivet & Co., Ina. INSURER Q 1635 Page Blvd. INSURERn: Springfield, NA 07.104-Z752 INSURER`' I SURER F: COVERAGES CERTIFICATE NUMBER: 20.987545 REVISION NUMBER. T HiS 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 Re QUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIM5. 4 ' TYPF OF INSURANCE ADDL SUBR, POLICY EFF POLICY EX➢ POLICY NUMBER DD M/ob L1mr7B A 1 GENERALLIABILnY ZAGL$9131200 05/01/1 05/01/121 EACH OCCURRENCE $1,000,000 X Ii i E TO RER�iED COMMERCIAL GENERAL UA9ILTY PR2018eS @ao 300,000 CLAIMS-MADE ff]OCCUR I MED EXP An One Pelson) S 10,000 ix j 5,000,000 All Projects jj� i 1 PcRSONALBAOViwURY 51;000,000 .1 I GENERAL AGGREGATE $2,000,000 CEN'LAGGAgCATEUMIT APPLIES PER' PROOUCYS-COMP/OPAGG I$2,000,000 r'OUCY X PRO- iJECT LCC $ A AUTOMOBILE LIABILITY I ZACAT9115300 OS O1 COMBINEDSINGLE LIMIT 1,000,000 '" ANY AUTO BODILY INJURY(Per Person) Is ALL AUTOS OWNED AUTOS U�D PoDILY INJURY(Per scMdeni) $ i H!RED AUTOS IIL�,,II pUTO�gW�IEO ' 7 PROPER DAMAGE 1$ I Pbysical Damage i'5 1,000 Comp/Col 3 X UMBRELLA JAB X OCCUR H788956 OS/O1/1 05/O1/12 EACH OCCURRENCE $5,000,000 E;CE39 LIAR CLAIMS-MADE I AGGREGATE $5,000,000 I I I OEO X I RETENTION5 3.0,000 i $ A I WORKrRS'C0[VENSA7I0N ZAWCI923530D 05 0 05/01/12 X WCSTwTu- ITH- n1/ FIR M AND EMPLOYERS'LIABIL Y/N I / 1/1 E.L.A ?ROPgIETOR/PAR7NF_R/EXEC THE EACHACC�OEN7 3 11000,000 J fieEwMEMsex E C4UDc07 N� N I A `(Mandatory in NH) - E.L.DISEASE-EAEMPLO $ 1,000,000 1 f yea,ceacnhe under E.L DISEASE-POLICY LIMIT $ CESCRIPTION OF OPERA7;ONS Deiow L 1,000,000 DESCRIPTION OF OPERA:1ONa/LOCATIONS/VEHICLES(AMCh ACORD 101,Additiotval Remarks Schedulr if moro space in roq.)Wed) I CERTIFICATE HOLDER CANCELLATION SHOULD ANY OFTHE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Evidence Of COvezage THE EXPIRATION DATE THEREOF, NOTICE WILL BE DEL)VERED IN . ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTAnVE 01988-2010 ACORD CORPORATION- All rights reserved. ACORD25(201=5) The ACORD name and logo are registered marks of ACORD chr-snow ' 20S875g5 10CIA00d WdZv,EO 40i �E APw ECEE-Ev9-EIV:x2� O� 13AI8'G-r I ASSOCIATED-BUILDERS, INC.: 4 INDUSTRIAL.DRIVE-SOUTH HADLEY,MA 01075•..(413)536-0021.FAX(413)536-0908 December 9,2011 Thomas Perry,Building Commissioner Town of Barnstable 2'00 Main.Street C l Hyannis, MA 02601 l RE Foundation.Permit—2011 06302: Baliso Nissan Dealership 322.Falmouth Road,.Hyannis;AU 02601 Dear Mr. Perry,. In accordance with the Massachusetts State::Building.Code requirements for Special' Inspections,we are providing.you,with our`latest Field Inspection Reports and associated documents. Please call if you have any questions or concerns: Sincerely, ssociated Builders,Inc. Kimberly IVI. Masiuk,P.E:. Ted GreenlawRE. 183 Columbia Rd. Hanover,MA 023.39 tel#78.1-826=8369 fax#78.1-826-8399 e-mail .tedgreenlawpe@yahoo.cona' December 7,2011 Michael Ciolek Jr: Associated Builders, 4 Industrial Drive South Hadley,.MA 0.1,075 RE:Balise Nissan 322 Falmouth Road .Hyannis MA, Inspection: 114-=I 1 The site is properly excavated.The"some mats for;footings"were placed.Cages were being tied while I,was;present.. 12-741 The.footirigs are poured"and stripped.The wall forms are mostly.in place and .secure. The reinforcing,steel is properly and securely.tied.,This portion may be:poured p y %A Res ec AA�ZH a`,��so' yG T ~ti THE C ORE . ed ' nlaw .E. N �. GREENIAW �- t�i0.29093 v �DS�AOCTIR!p FERIGGS1 Briggs Engineering ,& Tes-V10,21, NA Dwisto,w(;F PK Assocwi.5,hvc, Associated Builders,Inc. Report Date: 1.1/29/1.1 4 Industrial.Drive South Hadley,MA 01075 Attn: Ms. Kimberly M. Masiuk,P.E. Project: Balise-Nissan 11 HyannisjMA Tested, 11/28111 Briggs#; 26083 Received: 1.1/21/14 L Sample No. Description. ion Source of Matefial, M-20994 Gravelly Silty- Sand On,-Site 2.Sieve Analysis (ASTMC13&1 and ASTMCIl..7) Sieve Size Results Specifications Standard Trt-Fr—n-a-te- {%-Fassing by 'fit.}. 6tructura ra l Gnular 100 mm 41' 100 Fill* Fill* 75 mm 3 100 63 mm 2-1/2" 100 50:mm 2" 95 37.5 mm :88 25 him 83 60-1 00 60=100; ✓V 19 min 3/4" :80 12.5 mai 1/2" 77 -9.5 mm 3/8 74 4.75 mm, #4 69 25-90 15-90 2,36 mm #8 62 1.18 mm #16 53 0.850.mm #20 44 10"60 0.600 mm #30 34 0.300 mm #50 '19 4-35 0.150 mm #100 . 10 0.075 mm #200 . 5.6 0-10 0-25 *213 lift thickness,IUO%passing., 3. Proctor Density four point proced C ure-ASTM D 1557.meibod ,and:ASTM,D 47.181,. Results Maximum Dry UnitWeig,lit',pcf 1333 Optimum Moisture Content.% 64 Oversize Correction,% 20. / 4. Sample conforms to the S.pecf,ftationslfor "SrtrUetuial,Fill," and "Granular RIU'.. BRIGGS ENGINEERING &TESTING A Divisionoj'PKAsociates,Inc. Sean Skoroliod Director of Testing Services Construction" ahnology Division xvm w.briggsengi nee ring.corn im:WOniouth Street-Unit B--1 56 Roland Street- Suite 102-1 I OO.Pound Road Rockland-M.A.02370 Boston,MA 02 129 Cumberland.R1 02864 I Pilone,(781)8171-'6040• FaX(781)87I-7982. Phone(617)666-6040: Phone-(01)658-1990•Fax(401)659-2977 A1 ©6 Project: Balise Nissan I Hyannis, MA. gRIGG,S 'Brr:ggs En.gineexing 8c Testing Date Tested 11/28/11 �f nA..4s;nr tiles', r �. Lab Ref.No.: M-20994 Sieve Analysis #200 #4 3„ 100 90 - 80 Ar I, cn 70 c — 60 CL 4-, 50: Cu 40 10. 30 20 10 0 o:.o0 0.01 0:.10 1.00 10.00 100.o0 Sieve :Size, mm BRIGG-S Briggs- Engine)e'ring .& Testi;rig Dtrision of FK assooi tr,s; Inc; ' PROJECT: BALISE NISSAN I HYANNIS MA PROJECT'NO.;' 26083 SAMPLE NO.: M-20'94 DATE: 12/1/1.1 Moisture / Density Relations Curve 145 _ 144 143 142 141 140 139 138 " 137 n 1-36 135 134. : _ 133 Gl 132 T' 1313. e G 1.29 128 - -- _ 127 �f � 126 125 12.4 - 123 _. . 122' - ---- 121 120 :. 0 1 2 3 4 5 6 7 8 9 10 .11 `Moisture, 0/6 Max. Dry Unit Optimum Oversize Corrected Weight, cf Moisture; %g Correction % T 133.3 y 6.4 20 I i 12/04/2011 10:37 7818268399 PAGE 01 Ted Greenlaw P.E. 183 Cohim is Rd. Hanover,MA 02339 tel#781-826-8369 fax#781-826-8399 e-mail tedgreenlawpe@yahoo.com December 1 2011 Michael Ciolek Jr. Associated Builders 4 Industrial Drive South Hadley,MA 01075` RE: Balise Nissan 322 FalMouth'Road Hyannis MA Inspection: The site is properlyy excavated.The some mats for footings were placed.Cages were being tied while.l was present. ResXy ��ty�H OF Wyss TNEODOR� � ed. aw PE: Q, N GREENLAw �MUCTUFP�E �I f—BRUGGS1 Briggs Engin.eexing & Testi'ng _ A DPo9sloA'OF PK Assomr s:INC. Associated:Builders,Inc: Report Date; l l/29l1? 4 Industrial.Dri"ve South Hadley,MA 01075 Attn: Mg.Kimberly M.Masiuk,P.E. Project: Balise Nissan I Hyannis, VIA Tested: 11/28(1`1 Briggs#: 26083 Received: 11/21/11 L. Sample No. Description Source.of Material M-20994 Gravelly Silty Sand On-Site 2.Sieve Analysis {ASTM C 136,and ASTM ( 117) Sieve Size Results; Specifications Standard ternate {, a assing by W-0 Strtfctural Granular 100 mm 4" 100 Fill* Fill* 75 mm 3" 1W 63 mm 2-1/2" 100 50 mm 2" 95 37.5 mm _1-,1/2" 88 25;mm 1 .83 60.-100 60-100 ✓✓ 19 mm 3/4" 80 12.5 mm 1/2 77 95.mm 3/8" 74 4.75 mm #4 69 25-90 15=90' ✓✓ 2.36'mm _#8 62 1 18 mm #16. 53 0.850 mm #20 44 10-60 0.600 mm #30 34 0.300 mm #50 19 4-35 0.150 mm #100 10 0.075 mm #200 5.6 0=10, 0-25 ✓✓ *2/3 lift thickness,,.100%,passing. 3. Proctor Density{ four point procedure -ASTM D 1557 method C,and ASTM D 47181. Results Maximum Dry Unit Weight,pef Optimum Moisture.Content; Oversize Correction, 4.8 ample conforms to the Specifications for"Structural,Fill" and "Granular Fill.". BRIGGS ENGINEERING.&TESTING A Division of'PKAssociates,Inc. 6 Seap;Skorohod Director of'Testing Services Construction Technology Division ---- WNN-w.briggsengineering.com . 10.0 Weymouth Strect,- Unit B-1 56 Roland Street.-Suite 102-I I00 Pound Road Rockland.,NiA.02370 Boston,MA'02 29 Cumberland.R102$64 Plibni (781):37 i-604U• 1 fix(78 1)871-7982 Phone:(617)666-6040 Phone(401)658 2y9U Fax (101):658 2977 .A Project: Balise Nissan l Hyannis,MA E3RIC3pS Briggs Engineering & Testing Date Tested: 11/28/11 Lab Ref.No.:, Ivt-.20994 Sieve Analysis #200 #4 3" 100 _ 90 80 - 70 _-_ 60 50 :u 40 v a 30 20 10 - - 0.00 0.01 0.10 1..00 10,00 lo0;oo' Sieve Size;. mm i Cape Cod' r READY MIX EM Balise Nissan Hyannis, MA P�oject Submittal Simmons Concrete Construction 11,6.0 Rockdale Avenue New. Bedford, MA 02740 300 Cranberry Hwy 508.255-4600 tel www.capecodreadymix.com Orleans,MA-02653 508.771.0422 fax �o Cape Cod READY MIX All'Projects All Customers Re: Expectations of all F'roject.Managers and Coordinators Dear Valued Clients, Our goal at Cape Cod Ready Mix islot produce a quality,.usable productthat will perform beyond expectations. This considered,we ask.to be kept well informed.on.our products performance in the-field.We wish to be included on distribution lists for concrete reports on. all'projects this will help us ensure our products consistency on current:.and future projects. Tracking mixture performance is a major portion of our Quality Control program. Information collected from the field is logged and followedto help detect trends and make predictions of mixture performance in adverse conditions.This wiWhelp us provide YOU with more accurate estimations of mixture-performance and suitability for your particular application. Also, the safety of concrete test cylinders is very importantto`everyone, please protect.them., We wish for all test cylinders to be "Standard Cured" and have a cli;mate.controlled designated storage area.:If"Field Cured"cylinders are required they should be cast in addition to standard cured cylinders, not.instead of.- Field. cured cylinders cured at the placement location can be helpful in determining..that adequate stripping, loading or in-service strength has been achieved, however they are more an indication of properr placement protection and should be used in comparison to standard cured cylinders cast and cured following ASTM/ACI guidelines. Cape Cod Ready'Mix is not responsible for less than..desirable.compressive strengths obtained from,damaged, mishandled:or improperly cured testcylindert.brtest cylinders obtained from concrete batches.thathave.exceeded"tinid.lirriits setforth by ASTM/ACI. Our only concern is that of the quality of your"In Place"finished product; Thank you for your consideration'. Please.feel free;to contact us with any questions and/or concerns you may have. Sincerely, Ken Yokel CC.RM QC beter(a-capecodroe dymix.com. ken.vokelCcDg mail.com 300 Cranberry Hwy 508.255.4600 tel www.capecodreadymix.com- Orleans,MA 02653 508.771.0422 fax Mix;Design Report Cape Cod Ready Mix,,Inc. 300 Cranberry, .Highway Orleans, MA'02790 .U.SA.508-2554600 see.MlX Ill Mix Report 30D04-3000 3/4 Design Concrete[4] Strength Compressive-3000 psi.. 11/29/2011 Customer Simmons Concrete Contractor Simmons Concrete Project Balise.Nissan/Hyanrns,MA Compressive Strength; 3000 psi at 28'days Source.of Concrete": Cape Cod Ready Mix Inc. Aggregate size:. 3/4" — 19 mm Construction type.: Footings and Walls. Air: 5.5 t 1.5% Placement: Direct Chute:_or Pump Water/Cement ratio: 0.484 Unit Weight 144.21 pcf Slump: 3.00 t 1.00 in Design Date: 11/29/2011 Constituents : Quantity Density Volume Cement ASTM C-150 Type 1/II.(Cement.04) 617 lb, 3.160 2.63 Water Water(City/Potable,(.04)) 250 lb 1.000 4.01 Coarse.Aggregate 3"/4"stone(2704/0'1) 1050"Ib 2.690 6.26 Coarse Aggregate 3/8"stone;(1-01/04_) 700;lb 2.620 4.28 Fine Aggregate.Concrete Sand (1-01/04) 13821b 2.640 8.89. Admixture Adva 140-Type.A/F WRA(Grace) 25.85"floz(US)7yd' 1.000 0.00 Admixture Darex II=AirEntrainer(Grace) 1.55-floz(US)/y& 1.000 0.00 Air 5.5%, 1.49 I Total :. 3901 27.0.5 !Remarks,- -This is a pumpable mix for general exposed"Work as needed. -All testingArid cylinder storage shall conform°to ACl/ASTM¬ed project guidelines. -Mid-Range`water reducer should be utilized when when slumps'.above 4"are desired. -Non Chloride:Accelerator can be added to offset coolerambient conditions. -Additional Charges apply forMid-Range, Non Chloride Accelerator,and hot water. Reported by Ken.Yokel Approval by: Date;; 11/29/2011 Date 11/29/201'1 1 r 30D.04-3000 3/4 Design Concrete•[4)3000 psi Concrete Mixture Submittal Mix Design Report Miic Analysis. Yield Paste and Mortar Unit Wt: 144.21 Vol %Total %oAgg %Mortar %ePaste Volume: 27.05 +3/8 7.12 86.3 37:6 Yield : 100.19 378-#8 4.33% 16.0. 229 +#8 11`.45 42.3 60.5 Mix Analysis Mortar 1&61 6771 % Mortar: 57.7 Cag/Ta,g 55.7 48 7.48 27.6 '39.5 47.8 Q : 37.6 Tot. FM : 5.00 Paste 8.13 30.1 52.2 1 : 22.9 SS-mod 23.18 Powder 2.63 9.7 16.8 32.3 Q/Q+ I:: 62.1 M.S.F: 24.48 Air 1.49. 5.5 9.5 18.3 W: 39.5 Water 4.01 14.8 1 2'5.6 1 49.2 Wadj`: 38.3 TOTAL 27.06 1 100.0 1 1Q0 0 1 100.0.1 1.00.0 hoarseness Factor Chart 45,00 t fi M I i 'O W�. w-NU I 40.00 380301 i X.. - i f � 30.00' i - ...._-..-...,,.,..._,,.._....._j.. .. .. . 25.00 __._�.-_ .,_ _. _ 20.00 . IM 90 80 70, 60 50: 40 30 20 10 0 Coarseness;Factor 0/(0+I) 1,1/291201.1 2 r 30D.04-3000 3/4 Design Concrete[4]3000 psi Concrete Mixture Submittal Mix Design Report' Full gradation analysis-Percent passing Sieve Agg. 1 Agg.2 Agg.3 Agg..4 Agg. 5 Paste Total Aggr. 1 1/2" 100.00 100.00 100.60 100.0 100.0 1.00.0 1" 100.00 100.00 100.00 100,.0 100.0, 100.0 3/4" 84.30. 100.60 100:00 IOU 96.4 94.6. 1/2" .22.70 98.80 100.00 100.0 81.9 74.1 3/8" 5:00: 12.60 100.00 100.0 73.7 62.4 #4 2.10. 4.30 98::4.0. 100.0 61.7 45.3 #8 1'80 88.20 100.0 57.7' 39.5 #16 1:.20 73.10 100.0 52.9 32.7 #30 41:00 100.0 .42.7 18:2 #56 14:50 100.0 34.5 6A #100 2.70 100.0 30.9 1.2 #200 0.60 100.0 30.2 0..3 #325 99.6 30.0 Liquid 67.6 20.3: Pan F.M. 7:09 6.20 :2.82 %A'gg 33.05 22.62' 44.33 %Total 23.13 15.83 3101, 30.0 Agg. 1 3/4"stone:(2-04/01) Agg: 2 : A"stone.(1-01/04) Agg:3 : Concrete Sand (1-01/04) Cummulative Percent Passing Chart 100 E I L- .-__- __ _-__ Combined Aggregates 80 .. ._. 1-* Total �y I I 70- .........._. _..._.....:...._. ..... G A� E 60 - -_ 50 .. _ _._. ... 40 a so 4 .. ..... 1 20 I-..-... __ ... i- i \\I --- 10 o C :C en Parkicle Size 11/29/201'1 3 f 30D.04-3000 3/4 Design Concrete[4]3000 psi Concrete Mixture Submittal Mix Design Report Full gradation analysis-Individual percent retained Sieve Agg. 1 Agg.2 Agg:,3 Agg.4 Agg.5 Paste. Total Aggr: 1 1/2" 1" 3/4" 15.70 3.6 5.2 1/2 61.60. 1>.20 14.5 20:7 3/8" 17.70 26.20 8.2 11.7 #4 2.90 68.30 1.60 12.0 17,1 #8 2.10 2.50' 10.20 4.0 58 #16 0.60. 15.10' 4.8 6.8 #30 1.20 32.10 10.2 14.5. #50 26.50 8:2 11.8 #100 11 M, 3.6. 5.2, #200 2:10 0.7 0.9. #325 0.60 1:00. Liquid 31:40 97 Pan 67.60 20.3 F.M. 7.09 '6.20 2.82 %Agg 33:05 2262 44.33 %Total .2.3.13 15 83 31.01 Agg. 1 3/4"stone(2-04/01) Agg: 2: 3/8"stone(1-01/04) Agg. 3 Concrete Sand.(1-01104) Individual Percent Retained Chart f j 22 ombined Aggregates I- 20' `... -t4 Total _:�_.:-- ----------- C I ; 1 L._ i 14 - -- z 10 8 i i c of I' 11) Q Sieves 111/29/2011 4 I 30D.o4-3000 3/4 Design Concrete[4]3000 psi Concrete Mixture:Submittal Mix Design Report Full gradation analysis-Percent passing Sieve Agg. 1 Agg. 2 Agg. 3 Agg.4. Agg.5 Paste. Total Aggr.. 1 1/2" 100.00. 100.00 1-00,00 100.0 100.0 100.0 1" 100.00 100.00 100.00 100.0 •100.0 106.0 3/4" 84.30 100.00' 100m. 100.0 96A 04.8 112 2270. 98.80 100.00 100.0 8.1.9 741 3/8" 5.00' '72.60. 100.00 100.0 73.7 62 4 #4 2.10 4.30 98.40 100.0 617 .453 #8 1.80 `.88.20 1.00.0 57:7 3905 #16 1.20' 73.10 100.0. 52:9 32:7 #.30 41.00 100.0 42:7 18'- #50 14.50 1.00:0 34`.5 6k # 100 2.70 1000 30:9:: 12. #`200 0:60 100.0 30.2 0 3 #325 99.0, 30.0 Liquid 67.6 20:3 Pan F.M. 7.09 6:20 Z82 %Agg' 33:05 22.62. 44.33 %Total 23.13 15183 31:01' 30.0 Agg: 1 : 30'stone(2-04101) Agg.2: 3/8"stone(1-61/04) Agg.3 : Concrete Sand (1-01/04) .45 Power Chart 100 ! = i 90 80 -- - �._} I 70 so 40 j 20 Combined Aggregates t 1 I a -3E Total Solids. 10 co - oo ea�jClgsize 11/29/2011 5 55 C.; -� r �' O TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION o6 � 5 Map Parcel Application # Health Division Date IssuedZ- Conservation Division �"'-�93—IT-7 Application Fee Planning Dept. Permit Fee f R r Date Definitive Plan Approved by Planning Board Historic'- OKH _Preservation / Hyannis Project Street Address 3�oZ �`� AToJd1I Village ^A1 ! Q Owner 1SC n) Ry a Address ay l�' ute-J.�2 y Telephone M4, Permit Request y /Ie c.7 R7Z S G i1,1 y /IG tJ 010t `ete/ D/d�I djcV7W dr X Square feet: 1 st floor: existing proposed 2nd floor: mg proposed Total new �c ie Zoning District Flood Plain Groundwater Overlay Project Vaivatioril` a Construction Type Q ��- Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Famil o ami y u i- Age of Existing Structure Historic House: ❑Yes ❑ No On Old King's Highway: ❑Yes ❑ No Basement Type: er Baser ,Pnt Finished Area(sq.ft.) Basement Unfinished Area (sq.ft) Numbe�of Baths: Full: existing new 2— Half: existing a ne�a�u o Number of Bedrooms: existing — new '' ' 1 Total Room Count (not in ding baths): existing new First Floor Room Counter ° r Heat Type and F I: Gas ❑ Oil ❑ Electric ❑ Other ; o Central Air: Yes ❑ No Fireplaces: Existing New Existing wooda%coal stov,v ❑ s ❑ No n Detached garage: ❑ existin _ size _ Barn: ❑ existing 0 a�new size_ Attached garage: ew size _Shed: ❑ existin w size _ Other: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes ❑ No If yes, site plan review # Current Use Proposed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name Telephone Number — � 9 Address fill W-00 cS 1 License # 0 L i A 0 Home Imp o�vement Contractor# Worker's Compensation # r ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE L! DATE �� �� /2 ` FOR OFFICIAL USE ONLY z APPLICATION# .t F DATE ISSUED MAP)PARCEL N0.1.. i ADDRESS VILLAGE OWNER . � j b .Rif ' „ I DATE OF INSPECTION: • - " ,FFOUNDATION �r� FRAME INSULATION' - , FIREPLACE ' ELECTRICAL: ROUGH FINAL , PLUMBING: ROUGH FINAL ,GAS: ROUGH . t'n ., , FINAL �- FINAL BUILDING`, y DATE CLOSED.OUT ASSOCIATION PLAN NO. 4& The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations kvi 600 Washington Street Boston,MA 02111 www mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print L.mibly Name(Business/Organization/Individual)::077 1 y& S V A-c— Address: .8 City/State/Zip: T AJ O27 VO Phone#: 7`7 3/ Are you an employer?Check the appropriate box: Type of project(required): 1. I am a employer with_4_ 4. ❑ I am a general contractor and I employees(full and/or part-time).* have hired the sub-contractors 6. New construction 2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7. ❑Remodeling ship and have no employees These sub-contractors have g• ❑Demolition working for me in any capacity, employees and have workers' insurance. 9. ❑Building addition [No workers' comp: comp.P• required.] 5. ❑ We are a corporation and its 10.❑Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their 11.❑Plumbing repairs or additions myself. [No workers' comp. right of exemption per MGL 12.❑Roof repairs insurance required.]•t c. 152, §1(4),and we have no employees. [No workers' 13.0 Other comp.insurance required.] "Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such, $Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: " _ �Gce Policy#or Self-ins.Lic.#: 0IM 3IB14(pExpiration Date: J a 3 Job Site Address:- c� ��.(M,aA City/State/Zip: 144tewo t1 J 14, Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment, as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify under the pa' and pe ties�othat the information provided above is true and correct Signature: Date: &O—ZN Phone#: Q 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#: Barns U Towi�t 6` le Regulatory Services Thomas F.Gefler,Diredor -Building Division Tom Perry,Building Commissioner ... 200 Main Sftwt Hya=ds,Mk 02601 wwwAawtubumdable-wax; -79D-6230 Fax:. 508 ffi6e: 509-962-4039 Property Owner MUS t complete,and Sign This Section a If U pi-na,A B uilde r 1"I ww*i W.- M—W as Dw=r of the subjea.prop'uty, . 4f, A14 V to work xao&t!d by this bu&Ung Pernik ap*96DI,iOl-- in 21 rs rehfive pdress of Job}ol C)fow=r 4Dti� N=Namel3 49 r If Proms ertv, owner is applying for permit please complete-the Homovmers License Exemption Form on'the reverse S ide. - Q:FORMS-oWXWERMWjDN I DATE(MM/DD/YY) aR� CERTIFICATE OF LIABILITY INSURANCE 06/10/11 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT Aon Risk Services,Inc of Florida Aon Risk Services,Inc of Florida NAME: 1001 Brickell Bay Drive,Suite#1100 PHONE 800-743-8130 FAX 800-522-751 A/C No.Ext): A/C,No): Miami,FL 33131-4937 E-MAIL ADP.COI.Center@Aon.com ADDRESS: PRODUCER 10762287 CUSTOMER ID#: INSURER(S)AFFORDING COVERAGE NAIC# INSURED INSURER A:New Hampshire Ins Co 23841 ADP TotalSource MI XXX,Inc. INSURER B: 10200 Sunset Drive Miami,FL 33173 INSURER C: ALTERNATE EMPLOYER INSURER D: Cotti-Johnson HVAC,Inc. 80 Cedar St, INSURER E: Canton,MA 02021 INSURER F: COVERAGES CERTIFICATE NUMBER: 308176 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. LIMITS SHOWN ARE AS REQUESTED. INSR TYPE OF INSURANCE ADDL SUER POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION .LIMITS LTR INSR WVD DATE(MM/DD/YYYY) DATE(MMIDDIYYYY) GENERAL LIABILITY EACH OCCURRENCE $ ❑COMMERCIAL GENERAL LIABILITY - DAMAGE TO RENTED $ ❑CLAIMS MADE ❑OCCUR PREMISES(Ea occurrence) MED EXP(Any one person) $ PERSONAL&ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER GENERAL AGGREGATE $ : - ❑ PRODUCTS-COMP/OP AGG $POLICY ❑PROJECT ❑ LOC � $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ ❑ANY AUTO (Ea accident) ❑ALL OWNED AUTOS BODILY INJURY $ ❑SCHEDULED AUTOS (Per person) ❑HIRED AUTOS BODILY INJURY $ (Per accident) ❑NON OWNED AUTOS PROPERTY DAMAGE $ ' - (Per accident) EACH OCCURRENCE $ ❑ UMBRELLA LIAB OCCUR - ❑ EXCESS LIAB CLAIMS-MADE - AGGREGATE $ - ❑ DEDUCTIBLE - ❑ RETENTION $ - $ A WORKERS'COMPENSATION AND WC 012438946 MA 07/01/11 07/01/12 we STAru- OTHER EMPLOYERS'LIABILITY TORY LIMITS 5. ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT OFFICERIMEMBER EXCLUDED? N/A $v 2,000,000 (Mandatory in NH) If yes,describe under - E.L.DISEASE-EA EMPLOYEE $ 2,000,000 DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 2,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(Attach ACORD 101,Additional Remarks Schedule,if more space is required) All worksite employees working for the above named client company,paid under ADP TOTALSOURCE,INC's payroll,are covered under the above stated policy. The above named client is an alternate employer under this policy. CERTIFICATE'HOLDER CAN CELLAT ION COTTWOHNSON HVAC,INC. SHOULD Y OF HE ABOVE N DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE �I 80 CEDAR ST LIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. CANTON,MA 02021 AUTHORIZED REPRESENTATIVE C40n oi3k de'tvice.6, 2nc o f((flotilla Lid' pp.�� A \I . CERTIFICATE ®F LIABILITY INSURANCE DATE(MMIDDIYYYY) 2/8�2012 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT Norwell Construct South NAME: Eastern Insurance Group LLC PHONAALQ.N o.Ex : AIC No: 77 Accord Park Drive a DRIESS: PRODUUnit B1 CUSTOMER D 00040506 Norwell MA 02061 INSURERS AFFORDING COVERAGE NAIC# INSURED INSURERA:Travelers Inc of America 25666 Cotti Johnson, HVAC, Inc. INSURERB:Travelers Indemnity Cc 25658 WAVERLY STREET REALTY INSURER C: 30 Waverly Street INSURER D: INSURER E: Taunton MA 02780 INSURER F: COVERAGES CERTIFICATE NUMBER:Standard 12-13 REVISION NUMBER: - THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR ADDL SUER POLICY EFF POLICY EXP LTR TYPE OF INSURANCE INSR WVD POLICY NUMBER MMIDD/YYYY MMIDDIYYYY LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED PREMISES Ea or $ 300,000 A CLAIMS-MADE FxI OCCUR X 6803782X754 1/22/2012 1/22/2013 MEDEXP(Any oneperson) $ 5,000 PERSONAL&ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ 2,000,000 X POLICY PRO- LOC $ AUTOMOBILE LIABILITY - COMBINED SINGLE LIMIT (Ea accident) $ 1,000 r 000 ANY AUTO BODILY INJURY(Per person) $ A ALL OWNED AUTOS X A0770MO74 1/22/2012 1/22/2013 BODILY INJURY(Per accident) $ X SCHEDULED AUTOS PROPERTY DAMAGE X HIRED AUTOS - (Per accident) $ X NON-OWNED AUTOS Comprehensive Ded $ 500 Collision Ded $ 500 X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 5,000,000 - - EXCESS LIAB CLAIMS-MADE AGGREGATE $ 5,000,000 DEDUCTIBLE $ B RETENTION $ 5 000 CUP895OY645 1/22/2012 1/22/2013 $ WORKERS COMPENSATION WC STATU- OTH- AND EMPLOYERS'LIABILITY Y I N ANY PROPRIETOR/PARTNER/EXECUTIVE❑ NIA E.L.EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? (Mandatory in NH) E.L.DISEASE-EA EMPLOYE $ If yes,describe under - - DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101,Additional Remarks Schedule,if more space is required) - Evidence of Insurance. ` 3 CERTIFICATE HOLDER CANCELLATION ' SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN FOR INFORMATION PURPOSES ONLY ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE Ronald Cleaves/JNLACORD 25(2009/09) ©1988-2009 ACORD CORPORATION. All rights reserved. INS025(200909) The ACORD name and logo are registered marks of ACORD w . ,COMIIRONWEALTH OF.MASSACHUSET S SHEET METAL WORKERS AS A MASTER UNRESTRICTED 1E&ESSHE ABOVE LICENSE TQ 11 ^UNIQN tPARK �. HA:MSGN_. . MA 02341 814.9.. 05/28/12 9,92811: �= ' A J From:COTTI - JOHNSON HVAC, INC 7818211599 02/10/2012 12:03 4002 P.001/001 s� 30 Waverly-Street Taunton, I' A D2780 COITT- .- (7.81) 9.21-1511 Phone JOHNSO (791) 821-159!1 Fax . H' A4C I-N.C. �+aver.oa ijahs�s r�l�ue .cv3cr� �c�wK I Flap$ jI I 2/10/12 RE: Gary St Clair, License #8149 Gary St. Clair is a Master Sheet Metal Mechanic and employee of Cotti-Johnson HVAC, Inc. Cotti-Johnson HVAC, Inc.hereby grants permission to Gary St. Clair to pull Mechanical Permits on the company's behalf. Please do not hesitate to contact me with any questions. Thank you. Angelo S. Boccalini V.P./Controller I ri SHEET METAL/DUCT PERMIT [] Map/parcel number r [�] Building Permit Application to be completed. [1 Owner's name& address E' Project valuation must be entered E� Contractor information [� Signature ❑ Fire Department approval for Commercial projects. lid ❑ Workman's Compensation Insurance Affidavit State form must be completed and a copy of Insurance Compliance Certificate must be submitted- L,,x%T1, J e TI-C/L. [1 Sheet Metal Workers License ❑ Property Owner must sign Property Owner Letter of Permission. ❑ A NON-REFUNDABLE Application Fee must be paid upon receipt of application.. All checks should be made payable to the Town of Barnstable. $ 50.00 application fee for Residential $100.00 application fee for Commercial ` q-forms/bldgpermits/permi tchecklists rev.012611 Foundation Certification in Hyannis, MA . Prepared For Balise Nissan — Hyannis Assessor's Map: 293 Parcels: 8 through 11 Baxter Nye Engineering & Surveying Community Panel Number 250001 0005 C — ZONE C Registered Professional i Zoning Districts: B & HB Engineers and Land Surveyors l See Plan Book 641 Page 99 for project perimeter, ownership, assessor 78 North Street, 3rd Floor references and title information Hyannis, MA 02601 Phone — (508) 771-7502 Fax — (508)-771-7622 Owner. Balise Motor Sales Job Number: 2011-038 Scale : 1" = 40' Date : 12-15-2011 � 1 1 PLAN BOOK 641 PAGE 99 N 0) 1 0 w w Z) Z. N' N � 0 1 Zoe § b1 O N Z z,Z 1 Q� j � Z s\0 SB FND -D �1 1 N' N A V PLAN BOOK 641 PAGE 99 wl 1 2.25. ACRES f ` W 1 . SB/EPLP FND 1 4, 1 78 a 1 � C a = 1 CB/DH FND 54.8 1 � , HELD - POL o+ k J � J Ag_gU1� 11) E a N t �orA�ON DAl: 12/14/ 1 J � 1 , 1 56.4 C 'A 77.g � N co 36B.75 1 „ E S 09'53'00 1 N ROD/CAP SET r ORATIQN g i ,b 00 11-16-11 cA MAG/DISK SET COB? EET d A• 11-16-11 s p 5.0 10 CP r91 0 I 0 C, � p. tj SPECIAL PERMIT APPEAL #2011-047 '�`� I RECORDED IN BOOK 25820 PG 52 I CERTIFY THAT TO THE BEST OF MY KNOWLEDGE THE EXISTING FOUNDATION SHOWN HEREON IS s IN COMPLIANCE WITH ABOVE—REFERENCED SPECIAL PERMIT, IS LOCATED IN RELATION TO THE t MONUMENTS SHOWN AND IS NOT LOCATED WITHIN A SPECIAL FLOOD HAZARD AREA. a OF ,., n F c THIS PLAN IS NOT TO BE RECORDED -NOR IS IT TO BE USED TO ESTABLISH PROPERTY LINES. JOHN n E L H 29874 ? S 0 c L REGISTERED PROFESSIONAL LAND SUR YOR N BAXTER NYE ENGINEERING & SURVEYING DATE 0 N O