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0540 MAIN STREET (HYANNIS) (5) - MISC
r. i T�r f CHARLES D. BAKER EDWARD A. PALLESCHI GOVERNOR UNDERSECRETARY OF CONSUMER AFFAIRS AND BUSINESS REGULATION KARYN E. POLITO Commonwealth Of Massachusetts LAYLA R. D'EMILIA LIEUTENANT GOVERNOR �+ n r COMMISSIONER,DIVISION OF Division of P1r ofessional Lice su a PROFESSIONAL LICENSURE MIKE KENNEALY Office of Public Safety and Inspections SECRETARY DEVELOOF PMENTNG Architectural Access Board ECONOMIC DEVELOPMENT /"► /1 1000 Washington St., Suite 710 Boston MA 02118 V: 617-727-0660 www.mass.gov/aab Fax: 617-979-5459 • I TO: 540 Main LLC/Fitness 500 Club LLC Docket Number C 19 157 540 Main St., Unit 18 Hyannis, MA 02601 RE: Fitness 500 Gym 540 Main Street Hyannis, MA DATE: 8/17/2020 Enclosed please find a copy of the following material regarding the complaint against the above location: ® First Notice ❑Stipulated Order ❑Second Notice ❑ Letter of Meeting ❑ Notice of Hearing . ❑Application for Variance ❑Correspondence ❑ Decision of the Board Please review all enclosed documents carefully. P cc:. Local•Building•Inspector Independent Living Center Local Commission on Disability ` Complainant I CHARLES D. BAKER EDWARD A. PALLESCHI GOVERNOR UNDERSECRETARY OF CONSUMER Commonwealth of Massachusetts AFFAIRS AND BUSINESS REGULATION KARYN E. POLITO Division of Professional Llcensure LAYLA R. D'EMILIA LIEUTENANT GOVERNOR Office of Public Safety and Inspections PROFESSIONAL LICENSURE MIKE KENNEALY Architectural Access Board SECRETARY OF HOUSING AND ECONOMIC DEVELOPMENT" 1 000 Washington St., Suite 710 Boston MA 02118 V: 617-727-0660 www.mass.gov/aab Fax: 617-979-5459 August 17, 2020 540 Main LLC/Fitness 500 Club LLC Docket Number C19 157 540 Main St., Unit 18 Hyannis, MA 02601 RE: Fitness 500 Gym 540 Main Street Hyannis, MA Dear Sir/Madam: Upon information received by the Architectural Access Board, the facility referenced above has been reported to violate M.G.L. c. 22, § 13A and the Rules and Regulations (521 CMR) promulgated thereunder. Reported violations, include , the following items: Section: Re orted violation: 3.4.4.5 Delineation: Accessible spaces shall be marked by high contrast painted lines or other high contrast delineation. Complainant reports that the lines on the.pavement are faded and no longer high contrast. See complainant's photograph of the handicap parking spaces. 3.6.1 Handicapped parking space is not identified by a sign indicating that it is reserved :A sign shall be located at the head of each space and no more than ten feet(3048mm) away, and at accessible.passenger loading ones. Complainant reports that no signs are provided at the head of any of the accessible spaces. 3.2.2 One in every eight accessible spaces, but not less than one, shall be van accessible, See 521 CMR 23.4.7. Enclosed is 521 CMR Section 23.00 Under Massachusetts law, the Board is authorized to take legal action against violators of its regulations; including but not.limited to, an application for a court order preventing the further use of an offending facility. The Board also has the authority to impose fines of up to $1,000.00 per day, per violation, for willful noncompliance with its regulations. You are requested to notify this. Board, in writing, of the steps you have taken or plan to take to comply with the current regulations. Please note the current sections may be different from the sections that are cited above. Unless the Board receives such notification within 14 days of receipt of this letter, .it will take necessary legal action to enforce its regulations as set forth above. If you have any questions, you may contact this office. cc: Local Building Inspector Sincerely, Local Disability Commission Independent Living Center alter White 'Complainant Chairperson i 1 � ! � �' r f1W1-.ems +T _ ••�,. - • r I o.y:�� Q�yf.• yy �t. .` �ipa. -:'. "._� ,..�-` '•-tea �_ �� ( r � r k, ,1 'h r _ �° •i �`^ `<"19sr 'w.Yi�����_� .Ti'a "°fir g, "�•,�F%�"",� ,k�, '` 3�_, r k `�`' t ._ � - nP , j. "a . '$9�r`�t� R' ,aM.. ,.� � �� �,yrt 4 t k: .F�,.y �„'y}tt ,y M. ✓ �Z + 'y _ ��,,��a++t },�`iA`Fi� 're�i*+� � '� r % _1. �'�:• r � � .T� �• .!' ''a'.�'t. �%� s„�''� � ��¢, I�-To I 17 Il aY'W T�i.. �•2� y � F v'� � `' �+e����.d°"'f� .t�'^� r ��r+, r`s „✓" 1 zYY, ±'n�t`�' . 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H`"►�Nr�"� �jr.i ,�a�`�,',"�a d'g� `.Dr�•� CHARLES D. BAKER " EDWARD A. PALLESCHI GOVERNOR �+ Massachusetts OF CONSUMER Commonwealth of Massachusetts AFFAIRS AND BUSINESS REGULATION KARYN E. POLITO Division of Professional Licensure LAYLA R. D'EMILIA LIEUTENANT GOVERNOR Office of Public Safety and Inspections PROFESSIONAL LDICENSUROF E MIKE KENNEALY Architectural Access Board SECRETARY OF HOUSING AND ECONOMIC DEVELOPMENT 1000 Washington St., Suite 710 Boston MA 02118 V: 617-727-0660 www.mass.gov/aab Fax: 617-979-5459 BUILDING DEPT. July 19, 2021 AUG 1 12021 540 Main LLC/Fitness 500 Club LLC TOWN OF BAANSTwE 540 Main St., Unit 18 Hyannis, MA 02601 RE: Fitness.500 Gym Docket Number C19 157 540 Main Street Hyannis, MA Dear Sir/Madam: On August 21, 2021 you were notified of a complaint filed against you with respect to alleged violations of the Board's Rules and Regulations at your premises. Attached is a copy of the original notice. To date, we have not received a full plan for compliance. If you do not respond within ten (10) days of receipt of this letter, the Board will schedule a hearing for you to appear on the complaint. You should also be aware that the Board has the authority to impose fines of up to $1,000.00 per day per violation for any person found in willful violation of the Board's orders. Sincerely, Marc Lesser Compliance Officer Marc.Lesser@mass.gov Mobile #: 857-529-0573 cc:, Local'Building Department Local Disability Commission Independent Living Center Complainant r �o r' f j CHAR D. BAKER GOVERNOR EDWARD A. PALLESCHI / GOVERNOR UNDERSECRETARY OF CONSUMER Commonwealth of Massachusetts AFFAIRS AND BUSINESS REGULATION KARYN E..POLITO Division of Professional Llcensure LAYLA R. D'EMILIA LIEUTENANT GOVERNOR Office of Public Safety and Inspections COMMISSIONER,DIVISION OF PROFESSIONAL LICENSURE_ MIKE KENNEALY SECRETARY OF HOUSING AND Architectural Access Board ECONOMIC DEVELOPMENT 1000 Washington St., Suite 710 Boston MA 02118 V: 617-727-0660 www.mass.gov/aab Fax: 617-979-5459 August 17, 2020 540 Main LLC/Fitness 500 Club LLC Docket Number C19 157 540 Main St., Unit 18 Hyannis, MA 02601 Ir,.. ,. RE: Fitness 500 Gym 540 Main Street Hyannis, MA 11 . - �" y Dear Sir/Madam: - Upon information received by the Architectural Access Board, the facility referenced above has been reported to violate M.G.L. c..22, § 13A and the Rules and Regulations (521 CMR) promulgated thereunder. Reported violations, include the following items: Section: Reported violation: 3.4.4.5 Delineation: Accessible spaces shall be marked by high contrast painted lines or other high contrast delineation. Complainant reports that the lines on the pavement are faded and no longer high contrast. See complainant's photograph of the handicap parking spaces. 3.6.1 Handicapped parking space is not identified by a sign indicating that it is reserved : A sign shall be located at the head of each space and no more than ten feet (3048mm) away, and at accessible passenger loading ones. Complainant reports that no signs are provided at the head of any of the accessible spaces. 3.2.2 One in every eight accessible spaces, but not less than one, shall be van accessible, See 521 CMR 23.4.7. Enclosed is 521 CMR Section 23.00 Under Massachusetts law, the Board is authorized to take legal action against violators of its regulations, including but not limited to, an application for a court order preventing the further use of an offending facility. The Board also has the authority to impose fines of up to $1,000.00 per day, per violation, for willful noncompliance with its regulations. You are requested to notify this Board, in writing, of the steps you have taken or plan to take to comply with the current regulations. Please note the current sections may be different from the sections that are cited above. Unless the Board receives such notification within 14 days of receipt of this letter, it will take necessary legal action to enforce its regulations as set forth above. If you have any questions, you may contact this office. cc: Local Building Inspector Sincerely, Local.Disability Commission Independent Living CenterU � alter White Complainant Chairperson A� f f SWI R..:il # � > P�"':e.,,_' ,w'�, yF...,,. -...n� � m 1.$,fit � �,' � -� ,i } }„ s .,.ro �?� �,., t d:`.. •�",.'�. 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Brian Florence, Building Commissioner Town Hall 367 Main Street Hyannis MA 02601 50%RECYCLED®PAPER r:y ►1lFrii3=:lsllltji',If�4fi�t;iFrtj �lt�`�!} :I� (i'I.� ,,+ s!; 30%P09T-0ON9UMEfl .�__: - 1 w.. �'�"'''�' II �Ir 11 „�;� \ ::�: � `_ ,:-;. d —� --r � :._ !+ �. � f _..,.. � _.... �. �� '�r. �� �� =r "� �� � '� ;/� � _ �� YOU WISH TO OPEN'A BUSINESS? For Your Information: Business Certificates cost $40.00 for 4 years. A Business Certificate ONLY REGISTERS YOUR NAME in the Town (WHICH YOU MUST DO according to M.G.L. - it does not give you permission to operate). You must first obtain the necessary signatures on this form at 200 Main St., Hyannis. Take the completed form to the Town Clerk's Office, 1st FI., 367 Main St., Hyannis, MA 02601(Town Hall) and get the Business Certificate that is required by law. DATE Ao —o?/-gU/� Fill in please: APPLICANT'S YOUR NAME/CORPORATE NAME C,h,�SS00�Qi` ti, S�.cn BUSINES YOUR HOME ADDRESS: _. Co Qr t _ Mfg TELEPHONE # Home Telephone Number - -I et 1 e S3 NAME OF NEW BUSINESS r1 C 1t Have you been given approval from the building division? YES NOo�- � y Q� P ADDRESS OF BUSINESS C� /� n ti� 51- vA—C a,\^L$ /t/I_ MAP/PARCEL NUMBER 7 yt cwCi © M nl S f Y e G-t� Y R n r1 ,�S, ,fit,,4 Gf vL-v�15l /5,u own When starting a new business there are se era hings you must do in order to be in compliance with the rules and regulations of theme of Barnstable. This form is intended to assist you in obtaining the information you may need. You MUST GO TO 200 Main St. - (corner of Yarmouth Rd. & Main Street) to make sure you have the appropriate permits and licenses required to legally operate your business in this town. 1. BUILDING COMMISSIONER'S OFFICE This individual has been informed of ermit requirements that pertain to this type of business. Authorized Signature" COMMENTS: 2. BOARD OF HEALTH This individual has bee d f the permit requirements that pertain to this type of business. Authorized {�rSi``gnature" COMMENTS: 3. CONSUMER AFFAIRS(LICENSING AUTHORITY) This individual has be�inform o t e licensing requirements that pertain to this type of business. Authorized Signature" COMMENTS: Town of Barnstable o� Building Department - 200 Main Street BAMSTABLE, - H ya nnis, MA 02 601 MASS �o�A. (508) 862-4038 i Certificate of Occupancy Application Number: 201006000 CO Number: 20110028 Parcel ID: 308074 CO Issue Date: 03108111 Location: 540 MAIN STREET (HYANNIS) Zoning Classification: Proposed Use: R Village: HYANNIS " Gen Contractor: OCEANSIDE CONSTRUCTION & DEV Permit Type: CC00 CERTIFICATE OF OCCUPANCY COMM Comments: UNIT 16A o Building Department Signature Date Signed i t r�,ti TOWN OF BARNSTABLE Building Application Ref: 201006000 ' ' • * BARNSTABLE, * Issue Date: 11/12/10 Permit 9 MASS. 4pA i639• �� Applicant: OCEANSIDE CONSTRUCTION&DEV Permit Number: B 20102442 Proposed Use: DEPARTMENT DISCOUNT STORE Expiration Date: 05/12/11 [Location 540 MAIN STREET (HYANNIS) Zoning District HVB Permit Type: COMMERCIAL ADDITION ALTERATION Map Parcel 308074 Permit Fee$ 254.80 Contractor OCEANSIDE CONSTRUCTION°,. DEV Village HYANNIS App Fee$ 100.00 License Num. 48102 Est Construction Cost$ 28,000 Remarks APPROVED PLANS MUST BE RETAINED ON JOB AND INTERIOR NON STRUCTURAL OFFICE BUILD OUT APPROX 3200 SQ FT THIS CARD MUST BE KEPT POSTED UNTIL FINAL U N I"r' J� I INSPECTION HAS BEEN MADE. WHERE A CERTIFICATE OF OCCUPANCY IS REQUIRED,SUCH Owner on Record: CODE REALTY LLC BUILDING SHALL NOT BE OCCUPIED UNTIL A FINAL Address: 540 MAIN ST INSPECTION HAS BEEN MADE. HYANNIS,MA 02601 _ ►1! Application Entered by: PR Building Permit Issued By: THIS PERMIT CONVEYS NO RIGHT TO OCCUPY ANY STREET,ALLY OR SIDEWALK OR ANY PART THEREOF,EITHER TEMPORARILY OR PERMANENTLY. ENCROACHEVIENTS ON PUBLIC PROPERTY;NOT SPECIFICALLY PERMITTED UNDER THE BUILDING CODE,`MUST BE APPROVED BY THE JURISDICTION. STREET ORALLY GRADES AS WELL AS DEPTH AND LOCATION O.F PUBLIC SEWERS MAY BE.OBTAINED FROM THE:DEPARTMENT OF'PUBLIC-WORKS... THE ISSUANCE OF THIS PERMIT DOES.NOT RELEASE THEAPPLICANT FROM THECONDITIONS OF ANY APPLICABLE SUBDIVIS ION RESTRICTIONS. .' MINIMUM OF FOUR CALL INSPECTIONS REQUIRED FOR ALL CONTSTRUCTION WORK: 1.FOUNDATION OR FOOTINGS. 2.ALL FIREPLACES MUST BE INSPECTED AT THE THROAT LEVEL BEFORE FIRST FLUE LINING IS INSTALLED. 3.WIRING&PLUMBING INSPECTIONS TO BE COMPLETED PRIOR TO FRAME INSPECTION. 4.PRIOR TO COVERING STRUCTURAL MEMBERS(READY TO LATH). -- 5.INSULATION. 6. FINAL INSPECTION BEFORE OCCUPANCY. t 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). kz �Y h:t s➢ �i � a r �7 r � : J Jr� xu. ^ 'kl.:". s y t ,�� _ � ''. BUILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS 10 2 2T,,' ` 1y . 2 0 - � 3 - I Vr © fC 1 Heating Inspection Approvals Engineering Dept y 4,� Fire Dept �ann� 2 Board of Health Ql�2lzyw*"I � J4 b-1l �t"E' ti Town of Barnstable Building Department - 200 Main Street ASTABLE. * Hyannis, MA 02601 9 MASS 16gq. , (508) 862-4038 RFD MA'S s Certificate of Occupancy Application Number: 201005999 CO Number: 20110029 Parcel ID: 308074 CO Issue Date: 03/08111 Location: 540 MAIN STREET (HYANNIS) Zoning Classification: Proposed Use: Village: HYANNIS Gen Contractor: OCEANSIDE CONSTRUCTION & OEV Permit Type: CC00 CERTIFICATE OF OCCUPANCY COMM Comments: UNIT 16B Building Department Signature Date Signed TOWN OF BARNSTABLEBUO ;= - �tHETpw� ding °► Application Ref: 201005999 BARNSTABLE, Issue Date: 11/12/10 Permit 9 MASS. $p 1639. �� Applicant: OCEANSIDE CONSTRUCTION&.DEV rFG MAC A Permit Number: B. 20102441 Proposed Use: DEPARTMENT DISCOUNT STORE Expiration Date: 05/12/11 Location 540 MAIN STREET (HYANNIS) Zoning District HVB Permit Type: COMMERCIAL ADDITION ALTERATION Map Parcel 308074 Permit Fee$ 145.60 Contractor OCEANSIDE CONSTRUCTION&DEV Village HYANNIS App Fee$ 100.00 License Num 48102 Est Construction Cost$ 16,000 Remarks APPROVED PLANS MUST BE RETAINED ON JOB AND INTERIOR NON STRUCTURAL OFFICE BUILD-OUT AS PER PLANS THIS CARD MUST BE KEPT POSTED UNTIL FINAL APPROX 1800 SQ FT. U H 1 T_ (o INSPECTION HAS BEEN MADE. WHERE A CERTIFICATE OF OCCUPANCY IS REQUIRED,SUCH Owner on Record: CODE REALTY LLC BUILDING SHALL NOT BE OCCUPIED UNTIL A FINAL Address: 540 MAIN ST INSPECTION HAS BEEN MADE. HYANNIS, MA 02601 Application Entered by: PR Building Permit Issued By: THIS PERMIT CONVEYS NO RIGHT:TO'OCCUPY,-ANY'STREET;ALLY OR SIDEWALK';OR ANYPART THEREOF,EITHER TEMPORARILY OR PERMANENTLY: ENCROACHEMENTS"ON PUBLIC PROPERTY,NOT SPECIFICALLY PERMITTED UNDER THE BUILDING CODE,M,USTBE APPROVED BY THE JURISDICTION'.. STREET OR ALLY 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 CONTSTRUCTION WORK: ` 1.FOUNDATION OR FOOTINGS. 2,ALL FIREPLACES MUST BE INSPECTED AT THE THROAT LEVEL BEFORE FIRST FLUE LINING IS INSTALLED. 3.WIRING&PLUMBING INSPECTIONS TO BE COMPLETED PRIOR TO FRAME INSPECTION. 4.PRIOR TO COVERING STRUCTURAL MEMBERS(READY TO LATH). 5.INSULATION.. 6.FINAL INSPECTION BEFORE OCCUPANCY. WHERE APPLICABLE,SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL,PLUMBING AND MECHANICAL INSTALLATIONS. WORK SHALL NOT PROCEED UNTIL THE INSPECTOR HAS APPROVED THE VARIOUS STAGES OF CONSTRUCTION. PERMIT WILL BECOME NULL AND VOID IF CONSTRUCTION WORK IS NOT STARTED WITHIN SIX MONTHS OF DATE THE PERMIT IS ISSUED AS NOTED ABOVE. PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS DO NOT HAVE ACCESS TO GUARANTY FUND(as set forth in MGL c.142A). BUILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS �►-� �1 �.a16 3 r) p /� 1 Heating Inspection Approvals Engineering Dept Fire Dept �� � 2 Board of Health TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel Application # /Health Division Date Issued - k t Z CO /Conservation Division - Application �t Planning Dept. Permit Fee Date Definitive Plan'Approved by Planning Board Historic - OKH Preservation/Hyannis Project Street:Address d fM A'N t"t UN IT � 16A Village kyAY nrs Owner5yo. IMiAti'1 S`f . LLL. Address S-1b MA ST Uni 1 1_1 Telephone 56?) 71 S SIM Permit Request I IUtCR i o\ 1N 6 W S`tK\ CAA L_ 1 L L 12S.v a LQ-86— Square feet: 1 st floor: existing proposed 2nd floor: ;existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuations Construction Type Lot Size Grandfathered: ❑Yes ❑ No If yes, atta h supporting documentation. Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family (# units) Age of Existing Structure' Historic House: ❑Yes Flo On Old King's Highway: ❑Yes ONO Type MIA Basement T e: ❑ Full ❑ Crawl ❑Walkout ❑ Other y Basement Finished Area (sq.ft.) Basement Unfinished Area (sq.ft) Number of Baths: Full: existing X new Half: existing new �, Number of Bedrooms: � A existing _new Total Room Count (not including baths): existing new First Floor Room Count Heat Type and Fuel: 54 Gas ❑ Oil ❑ Electric ❑ Other Central Air: tkYes ❑ No Fireplaces: Existing New Existing wood'/Acp al stove❑Ye'ss No Detached garage: ❑ existing 0 new size—Pool: ❑ existing ❑ new size _ Barn: �-existing O�fnewC_,�ize_ i K= Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: YJ Dmt- Zoning Board of Appeals Authorization ❑ ,Appeal # Recorded ❑ Commercial ❑Yes ❑ No If yes, site plan review# Current Use Proposed Use C7F 1 t-%M APPLICANT INFORMATION (BUILDER OR HOMEOWNER) �8 �18 s 7CZc� Name) NS irye... C0W5,(— Telephone Number 71-4 23S 6LLL. Address 54 0 V A In 51 ON 1 k 1'1 License# O�21 C)'2— Home Improvement Contractor# Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO C St5-A WP6d-- SIG ATURE DATE 1_ Imo- 1 1 FOR OFFICIAL USE ONLY APPLICATION# M DATE ISSUED MAP/PARCEL NO. ADDRESS VILLAGE OWNER r _ DATE OF INSPECTION: FOUNDATION FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. s The Commonwealth of Massachusetts Department of Industrial Accidents y4 '� Office of Investigations 600 Washington Street - �; Boston, MA 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information - Please Print Legibly Name (Business/Organization/Individual): �(� /V.,//j E 60/yr/[/C-/;p(j Address: City/State/Zip: /S f4 kS MAJ 44111r Phone #: 2.5Y RY Are you an employer?Check the appropriate box: Type of project(required): 1.W I am a employer with 4. ❑ I am a general contractor and I 6. ❑New construction employees (full and/or part-time).* have hired the sub-contractors 2.❑ I am a sole proprietor or partner- listed on the attached sheet. t 7. ❑.Remodeling ship and have no employees These sub-contractors have 8. ❑ Demolition working for me in any capacity. workers' comp, insurance. 9. ❑ Building addition [No workers' comp. insurance 5. ❑ We are a corporation and its officers have exercised their 10.❑ Electrical repairs or additions required.] 3.❑ I am a homeowner doing all work right of exemption per MGL 1 LEJ Plumbing repairs or additions myself. [No workers' comp. c. 152, §1(4), and we have no 12.❑ Roof repairs insurance required.] t employees. [No workers' 13.❑ Other 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 their workers'comp.policy information. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: 47 44A(I e,�4,4/Urrt_ Policy #or Self-ins. Lic. #: � t�Go�/70 Expiration Date: 2 3 JI Job Site Address: �1`� ��A/�( f���F/ City/State/Zip: /V/V , C)26�l 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 certi un r t ains nd penalties of perjury that the information provided above is true and correct Signature: Date: /�r0� O 1 Phone#: `7 �a�v N Official use only. Do not write in this area,to be completed by city or town official City or Town: Permit/License# Issuing Authority(circle one): 1. Board of Health 2. Building Department 3. City/Town Clerk 4. Electrical Inspector 5. Plumbing Inspector 6.Other Contact Person: Phone#: Information and Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers' compensation for their employees. Pursuant to this statute,an employee is defined as"...every person in the service of another under any contract of hire, express or implied, oral or written." An employer is defined as"an individual, partnership, association, corporation or other legal entity, or any two or more of the foregoing engaged in a joint enterprise, and including the legal representatives of a deceased employer, or the receiver or trustee of an individual, partnership, association or other legal entity,employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein, or the occupant of the dwelling house of another who employs persons to do maintenance, construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." MGL chapter 152, §25C(6)also states that"every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required." Additionally, MGL chapter 152, §25C(7)states"Neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have.been presented to the contracting authority." Applicants Please fill out. the workers' compensation affidavit completely, by checking the boxes that apply to your situation and, if necessary,supply sub-contractors)name(s), address(es)and phone number(s)along with their certificate(s)of insurance. Limited Liability Companies(LLC)or Limited Liability Partnerships(LLP)with no employees other than the members or partners, are not required to carry workers' compensation insurance. If an LLC or LLP does have employees, a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested, not the Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy, please call the Department at the number listed below. Self-insured companies should enter their self-insurance license number on the appropriate line. City or Town Officials Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permit/license number which will be used as a reference number. In addition,an applicant that must submit multiple permit/license applications in any given year, need only submit one affidavit indicating current policy information(if necessary) and under"Job Site Address"the applicant should write"all locations in (city or town)."A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year. Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e. a,dog license or permit to burn leaves etc.)said person is NOT required to complete this affidavit. The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call. The Department's address, telephone and fax number: The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston,MA 02111 Tel. # 617-727-4900 ext 406 or 1-877-MASSAFE Fax # 617-727-7749 Revised 5-26-05 www.mass.gov/dia s CONTRtJCTIt?N CONTROLIFFTU"AV�Tri Project: 540 Main Street Office Building-Second Floor Tenant Fit Out In accordance with Section 116.2.1 of:the Massachusetts State Building Code, 780 CMR, 7th Edition, I, Wayne J. Jacques, Massachusetts Registered Architect/Engineer #6935 of Jefferson Group Architects, Inc., - hereby certify that I have prepared or directly supervised the preparation of all design plans, computations and specification concerning; Entire Project Architectural X Structural Mechanical Fire Protection Electrical Other(please specify) For the above named project and. ;to the best of my knowledge, such plans, computations and specifications meet the applicable provisions of the Massachusetts Building Code 7th Ed., all_acceptab.le engineering practices and all applicable laws and ordinances for the proposed use and occupancy. I further certify that]shall perform the necessary professional services:'and be. present on the construction site on a.regular and periodic basis to determine :that the work is :proceeding in accordance with the documents approved of the building permit and shall be responsible for the following as specified.in Section 116.2:2: T. Review,. for conformance to the,design concept, shop drawings, samples and other submittals, which are submitted by the contractor in accordance with the requirements of the construction documents, 2. Review and approval of the quality, control procedures for all code-required controlled materials 3. Be present: at intervals appropriate to the stage. of construction, 'to become generally familiar.with the progress and quality of the work and to determine, in general, if the work is being performed in a manner consistent with the construction documents. Pursuant to Section 116.4 1 shall submit periodically, a progress report together with pertinent comments to the town of Hyannis Building commissions.. Upon satisfactory completion ok t work, I shall submit a final report.as the satisfactory completion ad readiness or occupancy. c \y'C lyjA No.08M co TON MA G TH OF •-- September 16, 2010 ORIGIN SIG NKT Of A N QAf AL DATE Jefferson Group Architects, Inc. Wayne J,Jacques,AIA,NCARB 700 School Street-Unit#2 Pawtucket,RI 02860 T:401-721-2245 Fc 401-721-2238 AFA-2008-05 Second Floor Fit Out.doc i r Town Of Earn,,Stable egulatu1<Y Sep:vfees EARNnABLF v HAM 'Thomas F.Geiler,Director a639. ♦� udId g Devi� a� Tom Perry,Building Conluissioner 200 Main Street,Hyannis,MA 02601 w .town.barnstable.ma.ns Office: 508-862-4038 Fax: 508-790-6230 -Property C"Ielr Must Complete alld Sign ' " s eedor fJs � Eder as Owner of the subject property hereby authorize ����n `ham to act or, my behalf, in all matters relative to work authorized by this building pern it application for. (Address of Job) f.� Sig e of Owner Date Print Name If e Over is applyingfor pest please CO�plete the o eO ers License Exemption Fore on the reverse side. Q:FORM S:OwNERPERM TS SION Ntassachusetts- Department of Public Safetn t ip Board of Buildim, Re�-ulationsland Standards Construction Supervisor License License: CS 48102 JOHN J HUTCHINS 419 RIVER RD MARSTONS MILLS, MA 02648 - Expiration: 9/16/2012 Commissioner Tr--: 3834 i COP®. 6/1/2010 UCER THIS CERTIFICATE IS ISSUED ASA MATTER OF INFORMATI N ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Paul Peters Agency,Inc. HOLDER. THIS CERTIFICATE DOES NOT AMEND,EXTEND OR 680 Falmouth Road ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Mlashpee,MA 02649 COMPANIES AFFORDI G COVERAGE COMPANY A Atlantic Charter Insurance Com en VDAC INSURED COMPANY Oceanside Construction,Inc. B COMPANY 419 Diver Road C Marstons Mills, MA 02648 COMPANY D TOa►S IS TO CIERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BtF-N ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REOWREMENT,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 POLICES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. CO TYPE OF INWRANCH POLICY NUMBER POLICY EFFECi1VL POLICY EXPIRATION LIMITS LTR DATE(Mm1pn",f) DATE(MMIDPIYY) (In Thousando) [SEVERAL LIABILITY BODILY INJURY OCC $ COMPREHENSIVE FORM .- BODILY INJURY AGG 6 PREMISESIOPERATIONS PROPERTY DAMAGE 000 6 PROPERTY DAMAGE AGO S UNDERGROUND EXPLOSION&COLLAPSE HAZARD 81 a PD COMBINED DCC $ PRODUCT&COMPLETED OPER HI PD COMBINED AGG S CONTRACTUAL PERSONAL INJURY AGO $ INDEPENDENT CONTRACTORS BROAD FORM PROPERTY DAMAGE PERSONAL INJURY AUTOMOBILE LIABILITY BODILY INJURY ANY AUTO (Pmpemn) - 6 ALL OWNED AUTOS IPAvale Peas) BODILY INJURY ALL OWNED AUTOS (Per aaddenU b (Olhar Than P60te PWQ9n9e0 - HIREDAUT08 PROPERTY DAMAGE 6 NON-OVMED AUT08 BODILY INJURY 4 GARAGE LIABILITY PROPERTY DAMAGE COMBINED S EXCESS LIABILITY eAC)I OCCURRENCE S HUMBRELLA FORM AGGREGATE 6 OTHER THAN UMBRELLA FORM $ WORKERS COWRAI SAMNAND WCV00617205 2/3/2010 2/3/201�1 sTATUTORY LIMITS A EMPLOYER•SLIABILHY EACH ACCIDENT ® 1,000,000 DISEASE-POLICY LIMIT $- 1,000;000 DISEASE-EACH EMPLOYEE 8^ ,000,000 OTHER " DESCROMOM OF OPERATIONWLOCA7IONSNaNICLR$MPZCIAL 175W Job: 89 Lewis Bay Rd o-: SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE 'town Of Barnstable EXPIRATION DATE THEREOF,THE ISSUING COMPANY WILL ENDEAVOR TO MAIL Attn: Paul Rosa ( 12 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT. 200 Main St BUT FAILURE TO IL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY Hyannis,MA 02601 OF ANY KIND HE COMPANY,IT G NTS OR REPRESENTATIVES. AUTHORIZED RE TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION,-. Map Parcel J P G� "I Application # .;, Health Division Date Issued Z ✓ Conservation Division Application F 1 � ✓ Planning Dept. Permit Fee +c 60 Date Definitive Plan Approved by Planning Board ✓ Historic - OKH Preservation/ Hyannis Project Street Address Sal MA%n 'S`W�'T U/V L7- 2° '® FL00e_) Village �y�nr5 Ownerc59 6 M41 N Sr L 1.C.. Address 1'1 6 AAA t H is N kz � 11 Telephone 6?)e) 1-7 8 &7 0.G Permit Request O� S`Oev cku OFr-L c-e_ t?y l�\._0 -p�- Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation (0�0x:)0 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 2 � Historic House: ❑Yes On Old King's Highway: ❑Yes 9:F4o— Basement Type: ❑ Full ❑ Crawl ❑Walkout ❑Other (U Basementnished Area(sq.ft.) Basement Unfinished Area (sq.ft) Numbbee'r of Baths: Full: existing N 14 ' new � Half: existing new Number of Bedrooms: N A existing _new Total Room Count (not including baths): existing new First Floor Room unt Heat Type and Fuel: ❑Gas ❑Oil ❑ Electric ❑Other a ~ Ca Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing wood/col tove: LJIYes Detached garage: ❑ existing ❑ new size—Pool: ❑ existing ❑ new size _ Barn: ❑ existi g ❑ new sib Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: — co Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes ❑ No If yes, site plan review# Current Use Proposed Use 0PR L'C, APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name OC�&A KS LO-C fy.��`�� Telephone Number -77-4 23 i5 EA L 1 Add ressS'� rnA I M S'- 0 N CC 1 License# 04(3102 Home Improvement Contractor# Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO CaSkgLA - UU ASS, 7ATURE DATE L v ' FOR OFFICIAL USE ONLY APPLICATION# DATE ISSUED ' MAP/PARCEL NO. ADDRESS VILLAGE OWNER DATE OF INSPECTION: FOUNDATION FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT , ASSOCIATION PLAN NO. s The Commonwealth of Massachusetts i Department of Industrial Accidents Office of Investigations 600 Washington Street 1 wm g Boston, MA 02111 �r www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print LelZibly Name (Business/Organization/Individual): aC.��s� AAave 776W Address: 9 ka A D City/State/Zip: / '7721V /#l/Z.0 Phone #: 77 c�' 2,3 Are you an employer?Check the appropriate box: Type of project(required): 1. I am a employer with 4. El am a general contractor and I . * have hired the sub-contractors 6. ❑New construction employees(full and/or part-time). 2.❑ I am a sole proprietor or partner- listed on the attached sheet. $ 7. ❑ Remodeling ship and have no employees These sub-contractors have 8. ❑ Demolition working for me in any capacity. workers' comp, insurance. 9. ❑ Building addition [No workers' comp.-insurance 5. ❑ We are a corporation and its required.] officers have exercised their 10.❑Electrical repairs or additions 3.❑ I am a homeowner doing all work right of exemption per MGL 11.0 Plumbing repairs or additions myself. [No workers' comp. c. 152, §1(4), and we have no 12.0 Roof repairs insurance required.] t 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 their workers'comp.policy information. 1 am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: 4 r44A11?& G'/ t/2-9i�. cyfi/ef`yl�yl C!✓'� ��0�'1�64�'U' Policy #or Self-ins. Lic. #: � �7,2�J Expiration Date: Job Site Address: � �l^f file _% City/State/Zip: eV4 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. 1 do hereby cer y under the ' s d penalties of perjury that the information provided above is true and correct Si nature: i Date: /V Uv Phone#: -71 / 2,3 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 of Health 2. Building Department 3.City/Town Clerk 4. Electrical Inspector 5. Plumbing Inspector 1 6.Other Contact Person: Phone#: « ,r Informatio n and Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers' compensation for their.employees. Pursuant to this statute, an employee is defined as"...every person in the service of another under any contract of hire, express or implied, oral or written." An employer is defined as""an individual; partnership, association,corporation or other legal entity, or any two or more of the foregoing engaged in a joint enterprise, and including the legal representatives of a deceased employer, or the receiver or trustee of an individual, partnership, association or other legal entity,employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein,or the occupant of the dwelling house of another who employs persons to do maintenance, construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." MGL chapter 152, §25C(6)also states that"every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required." Additionally, MGL chapter 152, §25C(7)states"Neither the commonwealth nor any of its political subdivisions shall . enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have.been presented to the contracting authority." Applicants Please fill out the workers' compensation affidavit completely, by checking the boxes that apply to your situation and, if necessary,supply sub-contractor(s)name(s), address(es)and phone number(s)along with their certificate(s)of insurance. Limited Liability Companies (LLC)or Limited Liability Partnerships(LLP)with no employees other than the members or partners, are not required to carry workers' compensation insurance. If an LLC or LLP does have employees, a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested, not the Department of Industrial Accidents.:Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy, please call the Department at the number listed below. Self-insured companies should enter their self-insurance license number on the appropriate line. City or Town Officials Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permit/license number which will be used as a reference number. In addition,an applicant that must submit multiple permit/license applications in any given year, need only submit one affidavit indicating current policy information(if necessary)and under"Job Site Address"the applicant should write"all locations in (city or town)."A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year. Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e. a dog license or permit to burn leaves etc.)said person is NOT required to complete this affidavit. The Office of Investigations would like to.thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call. ; The Department's address, telephone and fax number: �� l The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street, Boston, MA 02111 Tel. # 617-727-4900 ext 406 or 1-877-MASSAFE Fax # 617-727-7749 Revised 5-26-05 www.mass.gov/dia WIWI CORD. 6/1/2010 UCER THI CERTIFICA E 16 ISSUED A MATTER OF INFORMA-n N ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Paul Petors Agency,Inc. HOLDER. THIS CERTIFICATE DOES NOT AMEND,EXTEND OR 6E0 FalmOuth Road ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. MashNe,MA 02649 COMPANIES AFFO WING COVERAGE COMPANY A Atlantic Charter Insurance Company VDAC INSURED COMPANY Oceanside Construction,Inc, B COMPANY 419 River Road C Marstons Mills, MA 0264E COMPANY D THIS I I TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BlEN 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 BC 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. CO TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVC POLICY EXPIRATION LIMITS LTR DATE(dMM/PD(YY) DATE(MM/DP,YY) (In Thousand.) MNERAL LIAIleJTY BODILY INJURY OCC % =O APREHENSIVE FORM BODILY INJURY AGG PREMISESIOPERA'nONS PROPERTY DAMAGEOCD B UNDERGROUND PROPERTY DAMAGEA00 $ EXPLOSION a COLLAPSE HAZARD E31®PI)COMBINED 000 $ PRODUCT"OMPLETED OPER BI 6 PD COMBINED A00 8 CONTRACTUAL PERSONAL INJURY AGO $ INDEPENDENT CONTRACTORS BROAD FORM PROPERTY DAMAGE PEROONALINJURY AUTOMOBILE LIABILITY BODILY INJURY ANY AUTO I (Pm pennn) 6 ALL OMM AUTOS(PRvete Pena) BODILY INJURY ALL OWNED AUTOS (Per ac ddenp & (Okhm ihsn PilvaIB Peeaengep PROPERTY DAMAGE HIRED AUTOS S NON-OVtMED AUTDS BODILY INJURY C. OARAOE LIABILITY PROPERTY DAMAGE COMBINED 9x EXCESS LIABILITY EACH OCCURRENCE $ UM9RELLA FORM AGGREGATE S OTHER THAN UMBRELLA FORM E WORKERS COMPKNSATWN AND WCt/OQ6172Q5 2/3/2O 1 O 2/3/2011 X STATUTORY LIMITS A EWLOY"'SU"IUIY EACH ACCIDENT 11 1,00(),000 DISEASE-POLICY LIMIT a- 1,000,000 DISEASE-EACH EMPLOYEE 1- ,000,000 OTHER f 4) DESVRI"OhlOFOMRAngh%a cAnoNZNBHICLISAPEMALITEMS. e Job: 891,ewis Bay Rd , /I SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE Town of Barnstable EXPIRATION DATE THEREOF,THE ISSUING COMPANY WILL ENDEAVOR TO RAIL Attu, Paul Rosa d 12 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT. 200 Main 3t BUT FAILURE TO IL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY Hyannis,MA 02601 OF ANY KIND Y HE COMPANY,IT G NTS OR REPRESENTATIVES. AUTHOIBM RW2D RE , I C Massachusetts- Dcpai tmrnt of Public Safch Board of Buildin!- Rep Iat ions!and Standards Construction Supervisor License License: CS 48102 l JOHN J HUTCHINS 419 RIVER RD MARSTONS MILLS, MA 02648 T �- - -� f-� Expiration: 9/16/2012 ('munissioncr Tr-,: 3834 r Regulatory Servfces * s�xsrAsa.�, v a639 Thomas F.Geiler,Director Tom Perry,Building Commissioner 200 Main Street,Hyannis,MA 02601 Www-town.b arnstable.ma.ens Office: 508-862-4038 ' Fax: 508-790-6230 Propefty Owner Must Complete and Sign This Section f Using AAi-s �ilder L 9 ' LLb , as Owner of the subject property hereby authorize r-\ " to act on my behalf, in all matters relative to work authorized by this building permit application fop (Address of Job) Sig e of Owner Date � ,4 � Print Name If LProper er is applying for permit please complete the Homeowners License Exemption Form on the reverse side. UORMS:OWNERPERMISSTON I f STRUCTI'O`N�CbNT170L�A�FIDAi/IT� Project:540 Main Street Office Building—Second Floor Tenant Fit Out in accordance with Section 116.2.1 of the Massachusetts State Building Code, 780 CMR, 7m Edition, I, Wayne J. Jacques, Massachusetts Registered Architect/Engineer #6935 of Jefferson Group Architects, Inc., hereby certify that I have prepared or directly supervised the preparation of all design plans, computations- and specification concerning: Entire Project Architectural. X Structural Mechanical Fire Protection Electrical Other(please specify) For the above named project and to the best of my knowledge, such plans, computations and specifications meet.the applicable provisions of the Massachusetts Building Code Th Ed„ all acceptable engineering practices and all applicable laws and ordinances for the proposed use and occupancy. I further certify that I shall perform the. necessary professional services and be present on the construction site on a regular and periodic basis to determine that the work is proceeding in .accordance with the documents approved of the building permit and shall be responsible for the following as specified in Section 116:2.2: 1: Review, .for conformance to the design concept, shop drawings, samples and other submittals, which are submitted by the contractor in accorclance.with the requirements of the construction documents. 2. Review and approval of the pp quality, control procedures for all,:code-required controlled materials 3. Be present at intervals appropriate to :the stage of construction, to become generally farniIiar with the progress and quality of the work and to determine, in general; ; if the work is being performed in a manner consistent with the construction documents. Pursuant to Section 116.41 1 shall submit periodically, a progress report together with pertinent comments to the town of Hyannis Building commissions, Upon satisfactory completion of th r l shall submit a finale report as the satisfactory completion ad readiness of t @ upancy: OHNN 4qo�Fr Q � P10,0�35 WSTOtd , MA ' 0 t110F September 16, . 2010 ORIGINAL IGN R ND`S DATE: Jefferson Group Architects, Inc. Wayne J,Jacques,AIA,NCARB: 700 School Street-Unit#2 Pawtucket,RI 02860 T:401-72172245 F:401-721-2238 AFA-2008-05.Second Floor Fit Out.doc — A� No g+ 14 tRC41 1110? 2 s UP w A` K �� - - :i r4 l4 I N 4Pf9 a-cT vbiq A401 SHAcEC Fee 1p'nd�C Assessor's .map and• lot number %3.0.F7 Sewage Permit number .......N.:14.-....... ' Q�o*TNEro�� TOWN `: OF BA,RNSTABLE Ii BARNSTABLE. i "b 9 . RILDI G INSPECTOR ° ouac°'' . 4 APPLICATION FOR PERMIT TO ....... Ln'c ....... . i.!.. ......( ....' .....5 ..... .................................. TYPE OF'CONSTRUCTION ..........1.".!. ...... .. ....Iu:6� ..... .�.`Q.� n.`�'... .... e9CT.�r......... i ►v!A...vV�.... ........197. TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location .......... ..... G .. ...... ........... y hx\ .�S. y........6. ...a.......Proposed Use .......A.0t............................................................:............................................................ . ............. ... Zoning District .......`:... QLA.I.....................Fire District .............................................................................. Name of Owner ..... Q P av V...: .....Address . A .....�lJtl .l�°�'.`... i .a. �.... Name of Builder ..../.:?....� C.......r!I.M...� ..............Address f..°�,......1 'OO�f!1/P..l.� t "'�" ........................ Nameof Architect I t 1............................Address...................................... ............... ....................... . . . .................................. Number of Rooms ......... ..........................................Foundation ............. ............................................:............. Exterior ........Ui.Iy®.4...........................................................Roofing ............�W. Q.4 .:'...... R.``wq,LeT.................... Floors ......... .l:.........................................................Interior /.Pa.��I)..1....................................................... __Heating:.......... .�n.C, Cc..............................................Plumbing ...........1. ...41.•. ??........... ........................... Fireplace ..................................................................................Approximate Cost Q� Definitive Plan Approved by Planning Board ________________________________19________. Area ....T...K.K.Q. Z... ... Diagram of Lot and Building with Dimensions Fee ....... . ..•.�(�...................... w SUBJECT TO APPROVAL OF BOARD OF HEALTH s o E1 jq1 � to I hereby agree to conform to all the Rules and Regulations of the of Barnstab regarding the above construction. me ............................ ......................... Wiz.. t - �t� 20779 place Photo Hut on Main Street Hyannis Poorvu Realty Trust metal PERMIT REFUSED ~ . -----------.—.------.---- 19 ~ � —^''~—~—^~^^''—'—`----------Y—'--' ' � � ^ --_..—_^.^....—..._-..,.—.------.-- — � --.----.--_----~.,..,.—....-.—..—..-. ' . . ' ----------.----_—~—...—...--..^.. ' , ! . Approved ---------------- 19 - -------------,—..—.--.......--. � _ -----------.-------.—.—..~~.. ` Assessor's map and lot number .......................................... Sewage Permit number .......................................................... THEt TOWN OF' ' BARNSTABLE Z HARNSTADLE, i "b 9 ��� BUILDING INSPECTOR � T APPLICATION FOR PERMIT TO ...................... ...................................................................: .. .............................. TYPE OF CONSTRUCTION .................................................................:.................................:......:........................ .....!!.ln�'... l 19........ TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location ti'4 1 4l ' i '� �� Proposed Use P.1.1-0 I., rli ...................... ......................... ZoningDistrict ........................................................................Fire District .............................................................................. tt 9 Name of Owner I' t:,%1 `r:� I ` ' -t U.:r.......Address .. ..`......� 1 ACBc�-f�.. ...............�..U.,....:........::�..{............... ......... ............... '. t Name of Builder ........................Address 5 Nameof Architect ......................................::;.........................Address .....................................................:.............................. u Numberof Rooms ........................................................::........Foundation .............................................................................. Exterior ....................................................................................Roofing .......................:............................................................ ........................................Interior .......... Floors ............................................. .......................................................................... {eating ..................................................................................:,Plumbing ......................:.....:..................................................... Fireplace ..................................................................................Approximate Cost .................................................................... Definitive Plan Approved by Planning Board Z �' --------------------19-------- . Area .......................'.................. 1 Diagram of Lot and Building with Dimensions Fee ....{•/ ...............r. . � ... ... . . . ... ... SUBJECT TO APPROVAL OF BOARD OF HEALTH I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name ..........................:....................................................... � � ^ . . . � ' ' ^ � ` ' * , � , ^ ` " Poorvu Realty Trust, Hut on pad Main Street Hyannis metal PERMIT REFUSED | wV _.--..--------.—.__----- —..—..------.-----...—.----. Approved � . � ................................................ 19 -----------'—'^'—^^'^^—~^^^^^^— ` / ----'---------------^^~^^^^ � ` TOWN OF B aRNSTABLE Permit No. ------------2 7=----- Building Inspector SauraAU .' Cash ---------------------------- Owa 1616. ` 'wall OCCUPANCY , PERMIT Bond -------------------- Issued to THE, DRESS BARN Address 546 Main Street, Hyannis Wiring Inspector +, �i Inspection date Plumbing Inspector Inspection date Gas �.// Inspector Inspection date Engineering Department N/A Inspection date Board of Health Inspection date THIS PERMIT WILL NOT BE VALID, AND THE BUILDING SHALL NOT BE OCCUPIED UNTIL SIGNED BY THE BUILDING INSPECTOR UPON SATISFACTORY -COMPLIANCE WITH TOWN REQUIREMENTS AND IN ACCORDANCE WITH SECTION 119.0 OF THE MASSACHUSETTS STATE BUILDING CODE. . ................. �9:'-�� _ ...............:, .... � ....:...... ......._....... __.....__� ._._ �� Building'Insp'ector 4 ;r . TOWN OF BARNSTABLE Permit No. Z��7 Building Inspector �,n us. Cash - — - -- � .670• ` N/A Y 0 PY�' OCCUPANCY PERMIT Bond ------------------------------_-- Issued to Linens 'N Things Address 545 Main Street, Hyannis Wiring Inspector �� ` Inspection date Plumbing Inspector Inspection date Gas Inspector Inspection date Engineering Department NSA Inspection date Board of Health ° Inspection date THIS PERMIT WILL NOT BE VALID, AND THE BUILDING SHALL, NOT BE OCCUPIED UNTIL SIGNED BY THE BUILDING INSPECTOR UPON SATISFACTORY COMPLIANCE WITH TOWN REQUIREMENTS AND IN ACCORDANCE WITH SECTION 119.0 OF THE MASSACHUSETTS STATE BUILDING CODE. j . ..............._., ls.. ................._ �........:�....................... � V I �\B"uilding Inspe�tor�, TOWN OF BARNSTABLE 24847 r`Q o Permit No- ------------------------------- ���� ; Building Inspector cash NIA OCCUPANCY PERMIT Bond Issued to 50% Off Warehouse Address SAA Main Rt-rapt-- Vvnnnip Wiring Inspector Inspection date Plumbing Inspector,/-)� Inspection date Gas Inspector Inspection date Engineering Department NIA Inspection date Board of Health Inspection date THIS PERMIT WILL NOT BE VALID, AND THE BUILDING SHALL NOT BE OCCUPIED UNTIL SIGNED BY THE BUILDING INSPECTOR UPON SATISFACTORY COMPLIANCE WITH TOWN REQUIREMENTS AND IN ACCORDANCE WITH SECTION 119.0 OF THE MASSACHUSETTS STATE BUILDING CODE. I `wilding Ins ctor e . TOWN OF BARNSTABLE 24847 Permit No. ---------------- { Building'InspectorIWITAU cash • o --------------NIA__ OCCUPANCY PERMIT Bond ....- ------------- Issued to S. M. 0. Shops Address 546 Main Street, Hyannis Wiring Inspector ! Inspection date Plumbing Inspector, ��J Inspection date Gas Inspector *-^' Inspection date Engineering Department NIA Inspection date Board of Health Inspection date THIS PERMIT WILL NOT BE VALID, AND THE BUILDING SHALL NOT BE OCCUPIED UNTIL SIGNED BY THE BUILDING INSPECTOR UPON SATISFACTORY COMPLIANCE WITH TOWN REQUIREMENTS AND IN ACCORDANCE WITH SECTION 119.0 OF THE MASSACHUSETTS STATE BUILDING CODE. 19J0 Building Inspector 248 y"". • TOWN OF 'BARNSTABLE Permit No. ----_----___----47---------------- 1 swy:.� Building' Inspector Cash ,ayvNIA '� OCCUPANCY PERMIT Bond Issued to Gauntry Miss, InC. Address d/b/a Old Mill 546 Main' Street. Hyannis Wiring Inspector i Inspection date Plumbing Inspector^ y Inspection date - - Gas Inspector Inspection date Engineering Department Inspection date Board of Health Inspection date THIS PERMIT WILL NOT BE VALID, AND THE BUILDING SHALL NOT BE OCCUPIED UNTIL SIGNED BY THE BUILDING INSPECTOR UPON SATISFACTORY COMPLIANCE WITH TOWN REQUIREMENTS AND IN ACCORDANCE WITH SECTION 119.0 OF THE MASSACHUSETTS STATE BUILDING CODE: (� .......... . ............/,!„ 19.. 3 i jo A r . . . ..... ................................... ....... ...... ��Builclina Insp�ctor ` Assessor's map and,lot number .. . ..... . ` . .. SC 2/, j ' 3 �fvJ T Go�.ec cr- Ttr jjEewage Permit number !G ...l�vp ...a.f�.... ``y....�y' °�h9 ��•�`s C'c, ��Qs y� z / Z BAHHSTSDLE, i - !/ House number ...........'.. :. y. ....... ........... ..................:..... t 94� 1639 0� ' OYPYa� ' TOWN OF BARNSTABLE RU1_LDIN.G .., INSPECTOR "APPLICATION FOR PERMIT TO ...... ..�� .... .... ���I�1 L �L D�: ........... TYPE OF CONSTRUCTION .:..1..•f: .o .y................ ................. ..................... TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the lfollowing information: Location ... .... .� ..`.. gr..... fS, £. .. Al. ....#1�/ ..N..!V�, ......................... . ................................... Proposed 'Use .........................................................�-T .. ...........................................................................•......................... Zoning District ...............................iN IrS S .Fire District ���1-� PQ a!Z 1/l.0 e g/tl� eICK�/2 T/2. .........................................................../ Z Name of Owner .F!Qt. U£( .. ....... .......... ddress ..................�5 /l1�EGi G'ff!r�2 Do^1 p ......... Name of Builder ... ! .! �1.•Y•....0.4!S�:..........Address � .......5.. 7 ...�.y... t2: ��.T!4. ..1..�.£..z. 4 = ©ga94 Name of Architect ................ ......................Address. Numberof Rooms ..................................................................Foundation .............................................................................. Exterior ............:.............:.......:..:......................:.......................Roofing ...........�. ..�..................................................... Floors �R2 P£T� T/L - ��Z y 04$! .................... ...... ............... .......................................Interior .................. ..... ............................................................ Heating 6.T.. /a2. ...../�-�... ........:.................Plumbing .........�X..ST/ ..................:................ ....: Fireplace ... ...........................................................................Approximate Cost ...... .l.l. .QQCS...�Y........................... Definitive Plan Approved by Planning Board ________________________________19--------. Area ............ X .. ... 1 . ....... Diagram of Lot and Building with Dimensions ' Fee SUBJECT TO APPROVAL OF BOARD OF HEALTH r ' 4 t i ?OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name ` .:........ . ........ :.. -.. Construction Supervisor's/License .................................... I POOR7KJF SAMUEL & HERBERT CARVEJZ, Gerard Drucker, Tr. . REMODEL 1�0,..'21117. ............. ............. Permit for ...................... Commercial Building A . .......... I............................................................... LM IS44-Main Street Location eet Hyannis ............:......................................................... Owner .Samuel Pooryu., Herbert Carver, Gerard%DruckeTr. ............................... .......................... Type of Construction ....Frame............ fy . :> ...................;-:�........................................................ Plot"............................ Lot .................................. March,,10,--7- 83 Permit Granted ..................... ................��l 9 Date of Inspection .......................... 9 Date Completed ......C ..... • .... ...... . ........ 4t. -q, ti ----------- Assessors Ymap and lot number ................................ r. `j Gl� f3 f!i. ; i �G/G.I.Cr�FT ET�Ir t Sewage Permit number ..... Y ..... I� Z BAR33TADLE, i House number ... '. 3 9� MABa .................................... p t639. 9� Imo a\ TOWN OF BARNSTABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO ....... ��. J 1� L..... � /yl............ ?.L Q................................. TYPE OF CONSTRUCTION ....1..:.!. -�-S.o RJ I ..........................................`. ..................... ..................... n.r)X ............9..h.. TO THE INSPECTOR OF BUILDINGS:~ The undersigned hereby applies for a permit according to the /following information: Location ........... Ib...�.`�` ..... 5 £ ..!� ffYf�!�v�tJ/ ......................... ................................... �. E 7-4 14 S Proposed Use ............. ....................... ....70.4. N.. ..................................................................................I......................... Zoning District ....' 3Us/A £ s .........................Fire District Y1 .:�/AAIS Name of Owner .:. ieB /tT..Cf,��,RVfA.... .�.`..��.� d dress ................. 6 /1h0 Cp,;99taoAJ �� .......... Name of Builder ...69J. ( 9£N....OA4S............ G S e/ / �/4/Z/)10,V 7- LT Nameof Architect ..................................................................Address .................................................................................... Numberof Rooms ..................................................................Foundation .............................................................I.................. Exterior .....................................................................................Roofing .................... ..................................... ...4................. Floors `��•I�£T . 4J�y�(/f}LL Interior ..................................................................................... ¢T �/ 1 F�/g.S...................................Plumbin &/.5%/A 6 Heating ....... g ......................... . Fireplace ..................................................................................Approximate Cost ............. .�j••QQd............................,..._ Definitive Plan Approved by Planning Board -----------_------_-----------19________. Area ...... Diagram of Lot and Building with Dimensions Fee ............................................. SUBJECT,,,TG APPROVAL OF BOARD OF HEALTH i • 4 i 1 OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS ,a I hereby agree to conform to all the Rules and Regulations of thwTown of Barnstable regarding the above construction. ���••C!�ii3....•!3t,.p���N�..Yn��.r�....�r'i•A7�ia�G4;•1j'`-'���i/ Construction Supervisor's License .................................... POORYU, SAMUEL & HERBERT CARVER, & C. GERARD DRUCKER, TR. A=308-74 24847 REMODEL No ................. Permit for .................................... ........CQznmercial .......Bilding u Main Street Location ............................................. Hyannis ...................................................................... Samuel Pooryu, Herbert Carver, G. Drucker Tr. Owner .................................................................. Type of Construction .......Frame...................... ................................................................................ Plot ............................ Lot ............................... i Permit G nt d Marc 10 , 83 .. ......................19 Date Insp ctio 19 F Date Complet ..... ..........................19 0 i� I i �J' �� � � o '� n �� d/�on� �3�75� ,u� Y� Assessor's office(1st Floor): tt ' Assessor's map and lot number ��tf— Q 7-V Board of Health(3rd floor): Sewage Permit number f� Z BARNSTABLE. i Engineering Department(3rd floor): ,j� /� �J1 raea House number 1639. Definitive Plan Approved by Planning Board 19 APPLICATIONS PROCESSED 8:30-9:30 A.M.and 1:00-2:00 P.M.only TOWN OF BARNSTABLE • BUILDING INSPECTOR APPLICATION FOR PERMIT TO o70 bL 7Tb oei� TYPE OF CONSTRUCTIONA�f; Z1�' S ` I 1 �� ►�- — � 19 TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location 5, f�yvtif S Proposed Used Zoning District Fire District f :1,je Name of Owner S c 14,LA Ad - Address r� e4iSe iu o4, i-A; . g y2rj IvA Name of Builder A -I,)- (1r1�rr 'f 1 «'�• Address °� �8 °STod 14A- • i20�, (/V r �+c%c� Cale 8.9 Name of Architect Address Number of Rooms Foundation Exterior Roofing Floors Interior Heating Plumbing Fireplace Approximate Cost ODO t Area d11,1'9 E 4 C ®o Diagram of Lot and Building with Dimensions Fee /6 0 OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. ' 'Name Construction Supervisor's License m5-0 BEDFORD BOOKS, INC. — --- 32751 COMMMCIAL BLDG. No Permit For REMODEL , Retail Store �1V Location Main Street Hyannis f 3 y; Owner Bedford Books, Inc- Type of Construction Frame Plot Lot 1 • ` Permit Granted March 31, - j9 89 t Date of Inspection 19 Date Completed 19P r ti �' I t ti ! i• Assessor's office(1st Floor): 14 � p e �/ , t Assessor's map and lot`number 7/�`C 7 fl ' - .�.v__.- t �pj'THE Tp� Board of Health(3rd floor): Q Sewage Permit numberBAHdSTADLL Engineering Department(3rd floor): S,/� 1 _ rasa House number ``�y i63 A, Definitive Plan Approved by Planning Board 19 � O APPLICATIONS PROCESSED 8:30-9:30 A.M.and 1:00-2:00 P.M.only TOWN OF BARNSTABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO o TYPE OF CONSTRUCTION rn ro t Z`' -A) 7 19 TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location 5'F¢ �•`� '^� ! l�pAl�yl J -Proposed Use Zoning District Fire District 1 P'N N t 7 Name of Owner 1211cILL4 Ld . Address /9 PRISG �ctrE �ni . /�vr3v2� fU �, Aj sve-0 N -VI , D30 Name of Builder I�• (iU,r� v 5 f f'c Address �°x G as I` �57'-> 14fF Name of Architect Address Number of Rooms Foundation a Exterior Roofing Floors Interior Heating Plumbing Fireplace Approximate Cost 4 4 Area Diagram of Lot and Building with Dimensions Fee OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name its+-Sf Construction Supervisor's License ��P. io-3I -913 BEDFORD BOOKS, INC. A=308-0,74 ►- No 32751 Permit For Remodel Commercial Bldg. Retail Store qu Location gain Street Hyannis Owner Bedford Rocks , ' Type of Construction Frame Plot Lot Permit Granted March 31 , 19 89 Date of Inspection 19 Date Completed 19 s - LETS . f 0 12 .ell 7 8/9/05 540 Main St. , H �• i4 ,w�..t �'Y� a r .�'• � S + k ! T � � �*�'+�e � �. ,e n e t- "'�+21s. ,. _ �..�,�.,sn k,Y.,,,�•`r r 4 t.s��e���..�.,..i �' `"�..y� r�r�-+t��.r�`� �� ' r[�; � �.$'�.�"4t .� �r w"'"""ayia"y'"""`^'„4^�,w•. .. - r.`_ i a� •s"�" � i= .,:.ram r.i.�. ':.n .� t'L �`,fi' ,e �' 3� y " ate' �4s - ` "'. ZP 4-. 1 t'r•' ,x k 3 -; .� , fir. , ��q�3 .� .!. ♦e„•{. [i..�.' �` ,.p-4^ +,ems-t ""�!- .��w �G' •� ._ �• � e. ♦ � y�{��n '�. "� y�� =V�+. 1, �•j .�Kyr+r tiYi` f '� 7"4 r � � y." � rt~ ��r'J�T♦ - .., •,�y gt* � -r fa• � -�Y�� V - i 4 6'Y } vP' 1 Y t�arl ; � u�"��yy�" a+' �e�A�'+''." "J 'fi,t� C,��+ q - �-.� �'t .� � �'"6.1_s ^.'eE��o e�. �' �'�f•r� • t,,� x w..,w �,r,�.*f �a ry . 3�l- r { ^.� f Sri e,Y .,c1�%z+: 9�y'" .l•e "�� n<:` � t �� � �.t�:. .xi. 4pY • r" r e i'.7�. '� r W .„ � 4 3.. y rM �, �,� �� *�'�m,��,��r ��y �� r•� � a r � � �� ;y��n�`t. k ,f,..1" l—�'� F: ., ,. e � - " * gam. i, '.n ry'L,. u: '.�E • '� Y. ';.-% �i� ''�� i��� t 8/9/05 540 Main St. , Hyannis 07 a i r " kt ... qrx CLOTHING _ . SAtE _ ♦w� - - .., -•_r- ..:tea � ., x.. u F- M wok w � r_ ��W� , TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION. Map Parcel Application # Health=Division Date Issued Conservation Division Application Fe o Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board Historic - OKH Preservation/Hyannis Project Street Address mAitt STRQwr UN LT tv -` Villageyp►hM5 Owne40044- Address Telephone '7�1fi� S?0� Permit Request 2�2'Ji, Sq P42 oFFc LC, SJ"X ty.f ^ft�.�$ 't-JA#jrl, Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuat& � Construction Type Lot Size Grandfathered: ❑Yes W No If yes, attach supporting documentation. Dwelling Type: Single Family ❑ Two Family ❑N/pMulti-Family(# units) Age of Existing Structure 4j04- Historic House: ❑Yes ❑ No On Old King's Highway: ❑Yes ❑ No Basement Type: ❑ Full ❑ Crawl ❑Walkout ❑ Other N� Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full: existing new 2 A00 Half: existing new Number of Bedrooms: existing _new Total Room Count (not including baths): existing N!b new First Floor Room Count Heat Type and Fuel: was ❑ Oil ❑ Electric ❑ Other Central Air: ❑Yes Oko Fireplaces: Existing New Existing wood/coal stove:`, tove:`0 Yes. ❑ No Detached garage: ❑ existing ❑ new size /J4&I: 0 existing ❑ new size _ Barn: ❑ existing ❑:new -size_ Attached garage: ❑ existing ❑ new size /Ai: ❑ existing ❑ new size _ Other: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ ca Commercial ❑Yes ❑ No If yes, site plan review# a Current Use Proposed Use oppit. _ NS. APPLICANT INFORMATION (BUILDER OR HOMEOWNER) .,.5 041�ty �uTLV�uuS Name C<A3iA ust1C. 6"49--- g U**t-Telephone Number `714 23$ t314(A Address�y' 06Y IV, License # (D4bL0*_L. Vt P,c.1 5. MLLILS MA 02 A-Y,5 Home Improvement Contractor# Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BETAKEN TO CAS 4 IAWS SIGNATURE DATE ,y I r FOR OFFICIAL USE ONLY �. ?APPLICATION# DA*ISSUEDZv '. t MAP/PARCEL NO. ` ADDRESS of 1-4 VILLAGE`; f a o OWNER DATE OF INSPECTION: ev d t FOUNDATION r FRAME �d � INSULATION FIREPLACE a to ELECTRICAL: ROUGH t- FINAL,'` PLUMBING: ROUGH FINAL GAS: ROUGH FINALS FINAL BUILDING DATE CLOSED OUT, .. ASSOCIATION PLAN,NO. c 1 1 The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston, MA 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print LeLibly Name(Business/Organization/Individual): ��� �� to <_ co N Address: Y-G L511 City/State/Zip:(Yl} �' Phone-#: Are you mployer? Check the appropriate box: Type of project(required): 1. am a employer with 4. ❑ I am a general contractor and I mP Yer 6. ❑New construction . employees(full and/or part-tim.e).* have hired the sub-contractors listed on the 2.❑ I am a sole proprietor or partner- attached sheet. 7. ❑ Remodeling ship and have no employees These sub-contractors have 8. n Demolition workingfor me in an capacity. employees and have workers' Y P tY• 9. ❑ Building addition [No workers'comp.-insurance comp. insurance.t 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. o workers' co right of exemption per MGL 12. Roof repairs Y L�`l mP- c. 152, 1(4),and we have no P insurance required.] t § 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 subrrut a new affidavit indicating such. xContractors 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'corp.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. Lic. #: 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 iip to S1,500.00 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 lavesti ations of the Dj&for insurance coverage verification. reby rtify n the pains and penalties of perjury that the information provided above is true and correct i afore: Date: Ph 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/Toym Clerk 4.Electrical Inspector 5.Plumbing Inspector 6. Other Contact Person: Phone#: Information and Instructions �+ Massachusetts General Laws chapter 152 requires all employers to provide workers' compensation for their employees: ` Pursuant to this statute, an employee is defined as "...every person in the service of another under any contract of hire, express or implied, oral or written." An employer is defined as "an individual,partnership, association, corporation or other legal entity,or any two or more employer,of the foregoing engaged in a joint enterprise, and including the legal representatives of a deceased mP Yer or the receiver or trustee of an individual,partnership, association or other legal entity,employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein, or the occupant of the dwelling house of another who employs persons to do maintenance, construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." MGL chapter 152, §25C(6) also states that"every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required." Additionally,MGL chapter 152, §25C(7)states"Neither the commonwealth nor any of its political subdivisions shall enter into any contract for.the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority." Applicants Please fill out the workers' compensation affidavit completely,by checking the boxes that apply to your situation and, if necessary,supply sub-contractors)name(s), address(es)and phone number(s) along with their certificate(s)of insurance. Limited Liability Companies'(LLC) or Limited Liability Partnerships(LLP)with no employees other than the members or partners, are.not required to carry.workers' compensation insurance. If an LLC or LLP does have employees, a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested,not the Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to.obtain a workers' compensation policy,please call the Department at the number listed below. Self-insured companies should enter their self-insurance license number on the appropriate line. City or Town Officials Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant_ Please be sure to fill in the permit/license number which will be used as a reference number. In addition,an applicant that must submit multiple permit/license applications in any given year,need only submit one affidavit indicating current policy information(if necessary) and under"Job Site Address" the applicant should write"all locations in (city or town)."A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year. Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e. a dog license or permit to burn leaves etc.)said person is NOT required to complete this affidavit. The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call. The Department's address, telephone and fax number: The CommonweaM of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston, MA 02111 Tel. # 617-727-4900 ext 406 or 1-877-MASSAFF Fax# 617-727-7749 Revised 11-22-06 www.mass..govldia JUN-26-2008 12:34 PAUL PETERS MASHPEE 6084776499 P.002 FAC ,RD 3/1a3(2008 R 7H ATE IS AS A MATTER OF INFORMATION -ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE. Pant P tm ASonoy.Inc. "OLDM TF96 cF=FICATIE DOES NOT AMEND.EX I I!M0 OR 680 Falmouth Road ALM THE COVERAGE AFFORDW BY THE POLICIES BELOW. Ma MA 0264� MNy1N1 6 AFF -OQYERAGE �`� COMPANY A Atlantic Cutter lnMg=ce COMMY VDAC OOMPANY I VGeansidc C4XLqrGCllOn,Inc. COMp"y 419 Rivet Road c Margons Mills,MA 02M COMPANY loll, M THr$I@To CERTWY TMT THE POUC168 OF INSURANCE LISTFn BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ASON4 FOR THI`POIXT PERIW IHIWATED,X0WMHSTANDIN6 ANY RBGUIREMENr TERM ORCONDRWN OP ANY cONmACT OR OTHER DOCUIEKTW"RESPECT TO WHICH TWO CERTi9CATE MAY Em ISSUED OR MAY P URTAK Ti/E IwURmcc A TQMD BY THE POLICIE9 P=11mm HEREPN 13 vuLVECT TO ALL THE TERMS, 0MUMON9 AND CONOITIM0 Or DUCH POUCAM LflI1►Ta SHOWN MAY HAvi DUN R20UC iD OY PA16 Cwrw9. co rns of ItISURn11CC ►ouGY nutHmH rop"EFFECTMe PoUGY OrIR i" UMF18 Litt PATE PM I DATA IMw1:1 ' PRITMMOR l RobILV INJURY aCC e ORKS 1L UADFVN =MPRENEMME POW .. so MY NTluaY A66 i PROPE'ATY DAMAGE 0= S . PREMIBEsiOPERATIONS PkON`Wr DAMA"AM S UNDO GR"D LKPtMON a COUAPSE KQAW IN A PD COMBINED 0CC S PRODUCHSMMPLETED OPFR b14 PO G"QM61N6b A6G S_ PERSONAL NJURY AGO It OONVOCTVAL . . INOf,PEJNDENT CONTRACTORS BRAND FARM PROPESiiY DAMAGE PERSONAI.INARY WDILY HwNAY AUrOlMOBII.E LIABILITY tPerNroroorl = ANY AUTO ALL OYMM AUTOS(Prink P9.1) DODILY INJURY ALL OWN0AUT08 (P�areaa s loves d+an PIHY.N Pamenoed � WMDAUTOS I RIIOFlHtITY DaNAAH:c S BODILY IhLKW a NON-OWNEDAUTOS OMWA UABSITY PROPERTY D OH` � GOMBroIeq 0 I t LL4MUTY EACH 00WRRelu( L I UM BVJa A FORM I - ACFRFa4TE S I "S OTFIERTHANUwoR 1AFv- A I Wawa*COWEPATTHINAMd ; � wCV00617203 2/3/2008 2/3/2009 ETATVTORYLHI�Ti a�►orErs"S►wlMrrr I V"AodDW S 1,000,000 DISEASE.POLIV uMrr S 1,000,000 as�.,ga.rner�cmPuaTse : 1,000,000 GrAft I ONION OF bpMTR>f XLOCAnQftM VVME4W9MAL MEMO VA 5KOULO fty Or THE ABOW tWWRIBEb r0J=8 BE CANCELLED BEFME THE Town of Batn�Nble EXPIRATION DATE THEREOF,THE ISSUING COMPANY WILL ENDEAVOR TO MAIL A t.in.Sally She& i 12 DAY&WRITTEN NOTICE TO THE CERTMATE HOLDER NAMED Tp THE LEFT; 200 Main St. BUT FAILURE TO NAIL SUCH NOTICE SWILL I E NO OSUGATION OR LWILITY Hy ,MA 02601 OF!ANY)OND UPON THE COMPANY.ITS AGENT OR R RESENTATIVEB. AUTHORiilD RCFAGS DtTATNE I i ZOO/L0001 9NIlI8sa3QNfi L09988vLL9 Xvi M H 800Z/LL160 TOTAL P.002 r .,' ���vnzonu�P oua Board ofBuildin g Regulations.and Standards Construction'SUPeN!Sor License LIC@nse: CS 48102 Birthdate 9/16/1961 Explfft o g 612008 -- �Retnctron00 JOHN J HUTCH IN 419 RIVER RD MARSTONS'MILL S {, j A 03648W Commissioner •-A c y s , Town of Barnstable. Regulatory Services $ Thomas F. Geiler,Director ZAM Building Division Tom Perry, Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.b arnstable.ma.us Office: 5 08-8 62-403 8 Fax: 5 08-790-62.3 0 Property Owner Must Complete and Sign This Section If Using A Buildtr I, L ��- , as Owner of the subject property- hereby authorize � v '�S—_._ to act on my behalf, in all matters relative to work authorized bythis building permit application for; . -- (Address of Job) afore of er ��� Print Name a QFoP NIS:OwNERPEWISS ION Jfe �rnmO'� `. s i utations and Standards Board,ot Building Itee isor License Construction S'up 't CS 48102 i ;' - � *� License,• ' `r_ Iragl4 612008 !Res IL:tio�n� , TC t 419 RIVER RO ti '` $ Commissioner MARSTONS MILLS�MR a. Irhusetts- Board of DePa►tment of*p Building Re„ ublic Construction sup''°lations . Satet� and Stilndards License: CS ervisor.License Restricted 48102 to: 00 JOHN,1 HUTCHINS 419 RIVER Rp - MARSTONS MILLS MA 02648 G,. A --__ Expiration; 9/16/2010 4320 a a ��tTti Town of Barnstable Building Department - 200 Main Street &UMSTABLE. * Hyannis, MA 02601 9� 16.39. .��' (508) 862-4038 RFD MA'S A Certificate of Occupancy Temporary Application 200806919 CO Number: 20080233 Parcel ID: 308074 CO Issue Date: 01/07109 Location: 540 MAIN STREET (HYANNIS) Zoning Classification: HYANNIS VILLAGE BUSINESS DIST Owner: AMADAN LLC Proposed Use: DEPARTMENT DISCOUNT STORE 250 FIRST AVENUE, SUITE 200 NEEDHAM, MA 02494 Village: HYANNIS Gen Contractor: OCEANSIDE CONSTRUCTION & DEV Permit Type: CTCO COMM TEMPORARY CO Comments: FUNCTION FIRST 90 DAY TEMP C.O. NEEDS PLUMBING AND WHOLE BLDG FINAL 04/07/09 Building Department Signature Date Signed Expiration Date TOWN OF BARNSTABLE �THE� Btfliding . Application Ref: 200806919* BARNSTABLE, Issue Date: 12/19/08 Permit 9 MASS. �p i639• Applicant: OCEANSIDE CONSTRUCTION&DEV rF0 MA'I s Permit Number: B 20082785 Proposed Use: DEPARTMENT DISCOUNT STORE Expiration Date: 06/18/09 [Location 540 MAIN STREET (HYANNIS) Zoning District HVB Permit Type: COMMERCIAL ADDITION ALTERATION Map Parcel 308074 Permit Fee$ 436.80 Contractor OCEANSIDE CONSTRUCTION&DEV Village HYANNIS App Fee$ 100.00 License Num Est Construction,Cost$ 48,000 Remarks APPROVED PLANS MUST BE RETAINED ON JOB AND 3,100 sq ft INTERIOR NON STRUCTURAL BUILD OUT THIS CARD MUST BE KEPT POSTED UNTIL FINAL "FUNCION FIRST PHYSICAL THERAPY" INSPECTION HAS BEEN MADE. WHERE A CERTIFICATE OF OCCUPANCY IS REQUIRED,SUCH Owner on Record: .AMADAN LLC BUILDING SHALL NOT BE OCCUPIED UNTIL A FINAL Address: 250 FIRST AVENUE SUITE 200 INSPECTION HAS BEEN MADE. NEEDHAM,MA 02494 Application Entered by: PR Building Permit Issued By: THIS PERMIT CIONVEYS NO RIGHT TO OCCUPY ANY STREET,ALLY OwsIDEWALK OR ANY PART THEREOF,EITHER TEMPORARILY OR PERMANENTLY. ENCROACHEMENTS ON PUBLIC PROPERTY,NOT SPECIFICALLY.PERMITTED UNDER,THE BUILDING CODE„MUSTBE APPROVED BY THE JURISDICTION. STREET ORALLY GRADES AS WELL AS DEPTH AND LOCATION OF PUBLIC SEWERS 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 CONTSTRUCTION WORK: 1.FOUNDATION OR FOOTINGS. 2.ALL FIREPLACES MUST BE INSPECTED AT THE THROAT LEVEL BEFORE FIRST FLUE LINING IS INSTALLED. 3.WIRING&PLUMBING INSPECTIONS TO BE COMPLETED PRIOR TO FRAME INSPECTION. 4.PRIOR TO COVERING STRUCTURAL MEMBERS(READY TO LATH). 5.INSULATION. 6.FINAL INSPECTION BEFORE OCCUPANCY. WHERE APPLICABLE,SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL,PLUMBING AND MECHANICAL INSTALLATIONS. WORK SHALL NOT PROCEED UNTIL THE INSPECTOR HAS APPROVED THE VARIOUS STAGES OF CONSTRUCTION. PERMIT WILL BECOME NULL AND VOID IF CONSTRUCTION WORK IS NOT STARTED WITHIN SIX MONTHS OF DATE THE PERMIT IS ISSUED AS NOTED ABOVE. PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS DO NOT HAVE ACCESS TO GUARANTY FUND(as set forth in MGL c.142A). 'is"_41-1. ,On- '110� BUILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS 1 1 R�,15 �}8- 10- 12- C,n 1 �i✓.�C. -$-�9. 2 2 P� 3 1 Heating Inspection Approvals Engineering Dept -- '7—0 Fire �Dept-IF%, 2 �v w Z q s t_-7 Board of Health l Assessors offioe (1st floor),.` J CF?M E TO Assessor's map and lot number ........................../.... .........:.. Q� �♦ .Board-of Health `.(3rd floor):- Sewage Permit •number ........:.........:..............,................a....:. 2 BaBa9TODLE, ! Engineering Department (3rd floor)-'� !' - ' = I MAOa House number ../3EZ.UaJ r 4p t6}q 6� ................................... ......`.:.... '�pYaYfr` APPLICATIONS PROCESSED 8:30--'9:30 'A.M. 'and 1:00-2:00< P.M. 'only VS , T TORN `OF BARN.STABLE B U I U I N{G I;N S P E CT 0 R (RE 6' 1.z::�..........s ...................... -APPLICATION FOR PERMIT TO ... ..... ... .... s TYPE OF CONSTRUCTION' �. fl'�f'........ ..:��L! sSS ...19.S �O THE INSPECTOR OF BUILDINGS: ` The undersigned hereby applies for a permit according to the following information: Location .....,>�..(/..Y........ . 5 ............. .... .�.................. ............ Proposed Use :............ ............................................. ... ..................................................... ZoningDistrict ..................._.�.........._..................................Fire District ..... ................................... .c. G��r...� - as� z Name of Owr er ..................Address .................................................................................... Name, of Builder �ft.��Q. .::...�H.P. P........... 07 ° �/e�l��� .... Y!!! ...�.... ...........Address .�:�......................... � 1�. . ..� �.. Name of Architect �/` 1//-E 4� ...�.�.SU!��1'....................Address ..�..Y....��DU7H Ru S�:1..... ...:.... OS.TQ ....... ........ ... ..... . .1 Numberof .Rooms ................:.:.:'.............................................Foundation ..........:. '................................................................. Exterior ..... ,q'SQ/1�9w' CYL S T14- �.... UEL......... .. (� .................Y.:............... ...........................Roofing .................. !.�/¢....... .......................... i Floors ......................:...........................::.............:....................Interior ...................................................... Heating ...........-...:......:::...... -:.� ::.`: .."..':.............:.........Plumbing, .......:... ......::...................................:.:..................... `1 Fireplace ............................................'.'..Approximate Cost ..._..... ...I/...........��..../......�. jj...................:.......'. /.!!. ..rl!�...d...CJ../.� . .. Definitive Plan Approved by Planning Board--------_-------------_----------19______'_ . Area Diagram of Lot'and, Building with Dimensions Fee ®�........... ................................. SUBJECT TO APPROVAL OF BOARD OF HEALTH f L _ OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name ........................ . ............. ..................... Construction Supervisor's License .D. .�j� ...<..�.......... '- DRUCKER, GERALD � No 30341.... Permit for ...REBUILD ............ STOREY FORNT 544-556— Location .. Main S`reet......... j .....Fiyanni�............... :........... Owner` .....Gerald''Drucker............................................ r t Type of Construction t rame... .. ........... X • s _: .`4 .............. .......y's ..........................................A Plot ............ t ... "Lot ................................. 4 Permit Granted I} C.eA1bX...3.0:,... .19 86 r5 ** ` Date of Inspection .... ..... ." .19 , Date Completed .. .. ......`197 - J t } M Assessor's offioe (1st floor): _ FTMEj �l�..D. .......Assessor's map and lot number ................. ` Board of Health (3rd floor): Sewage Permit number ........................................................ 2 BAUSTAnLE. J Engineering Department (3rd floor): oo rb 9, s House number -�E i3EZv y 3 `0 ...�..............I...... •Ep IIPY Or• APPLICATIONS PROCESSED 8:30-9:30 A.M. and 1:00-2:00 P.M. only Ss-DI 5-5-L/ SS>o �T-`Ssa- F-js , TOWN OF BARNSTABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO ... .,.. .!J.�.�. ....� a..T /�.� ,T,S,,,,,,,,,,,,,,,,,,,,,................ ........... TYPE OF CONSTRUCTION ......./'7/F50/��¢Ak. ....... ....�� !9$5.................................................................. r ............. ... �.. 19........ � TO THE INSPECTOR OF BUILDINGS: • The undersigned hereby applies for a permit according to the following information: Location ..... 7�..Gi'.y." .....��..-5. .............. �ffI/7SfT/P�. .. ..... /I/ .�5..... ................................. Proposed Use I s ..........-.............................................................................................................................. f ZoningDistrict ........................................................................Fire District .................✓..`�...l................................................... Name of Owner ..�T �/(�ftL/, d/tv.��. ��...............Address .................................................................................... Name of Builder ......Lr..4.f��......................Address .r3.S...a.7....L �..... Name of Architect G-....................Address Saf..4.......:�7 ........r?.O.S..T.drJ . ............ Numberof Rooms ..................................................................Foundation .............................................................................. Exterior ..1Ji9 50/I/�6Pf�...`� ...`J� �5...........................Roofing ...T(AAA * (T/Q/rl UE-L ........................................................................ Floors ......................................................................................Interior .................................................................................... rieating .... ...............................................Plumbing ................................................................................... Fireplace ..................................................................................Approximate Cost ........41,.......................... Definitive Plan Approved by Planning Board --------------------------------19-------- . ,Area /..(! .... ..£ .. :...... Diagram of Lot and Building with Dimensions Fee ...........1. ... . . SUBJECT TO APPROVAL OF BOARD OF HEALTH OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name . .9.,��...... .................... .r' Construction Supervisor's License .�..Y..y `��.......... DRUCKER, GERALD A=308-074 No 30341 REBUILD Permit for .................................... r STORE FRONT �—r�Main Street Location ................................................................ k .................Hyannis............................................ r Owner ...,Gerald Drucker ................................................... Type of Construction Frame ............................................................................... Plot ............................ Lot ................................ 9 I Permit Granted D.ecember. . . ...30. ..,......19 86 {. .. .... ....... .. .. .. . Date of Inspection ....................................19 Date Completed ......................................19 Jzo� caw � Q t o 4 TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map a2c-t — Parcel ' q , Application # (?)0D (f Health Division Date Issued ' Conservation Division Application Fe /06 Planning Dept. Permit Fee d"104 7 5� Date Definitive Plan Approved by Planning Board Historic - OKH Preservation/ Hyannis Project Street Address 5 t6[ �i011 N�'Sr Village 4'1AV 1 Al S Owner CAM @4iO I cr Address Telephone Permit Request EX4ieK K. '►�mau �@sj ISMS LAY. L r• !�►w�"y,s Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation 22SM 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 01%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 newerNJ M- Number of Bedrooms: existing _new ( NO Total Room Count (not including baths): existing new First Floor Room Count :Dr Heat Type and Fuel: DGas ❑Oil ❑ Electric ❑ Other :.a r Central Air: CYes ❑ No Fireplaces: Existing New Existing wood/co I stove: ❑Yes ❑ No j Detached garage: ❑ existing ❑ new size_Pool: ❑ existing ❑ new size _ Barn: ❑ existing ❑ new size_ Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes ❑ No If yes, site plan review # Current Use Proposed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER) ..�O�IM i�"t'G1ntNS _ Name 0CWkK10-C-COAY5r1_4 0&06 Telephone Number 174 ?-10 09" Address -Pd 60L I$st License # 040(OZ ftpffAVJs 'M tlIS MA- 6 2ao Home Improvement Contractor# V A Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO CASE(o i SIGN TUBE DATE Lt FOR OFFICIAL USE ONLY At APPLICATION# X�� IrATE ISSUED MAP/PARCEL NO. FVI VILLAGE) "'V OWNERi- �" a. DATE OF INSPECTION: FOUNDATION FRAME INSULATION FIREPLACE ,. • ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINALf� ,.. GAS: ROUGH FINAL i. FINAL BUILDING 4 -? DATE CLOSED OUT t ASSOCIATIONS PLAN NO. f • • of Town of Barnstable Regulatory Services Thomas F.Geller,Director �rE p► ;► Building Division Thomas Perry, CBO,Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us 'Office: 508-862-4038 Fax: 508-790-6230 PLAN REVIEW Owner: � �'7 Map/Parcel: 2 1 Project Address P�r� Y milder: 0 - / - The following items were noted on reviewing: �IE7 Qtj f 2 Reviewed by: Date.. Q:Forms:Plnrvw s The Commonwealth of Massachusetts O Department of Industrial Accidents ' Office of Investigations 600 Washington Street Boston, MA 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information n Please Print Ledbly Name(Businesslorganizationandividual): 66 (f+ 1 cba�� et ozj6up o`yf City/State/Zip: MPrS-WW MNU.5 Phone.#: `)-I't Z 30 OL0 Are you an employer? Check the appropriate box:. Type of project(required): 1. am a employer with 4. ❑ I am a general contractor and 1 6. ❑New construction employees(full and/or part-time).* have hired the sub-contractors 2.❑ I am a'sole proprietor or partner- listed on the attached sheet 7. remodeling ship and have no employees These sub-contractors have g. Demolition working for me in any capacity.ca employees and have workers' tY• 9. []Building addition [No workers' comp.-msurance Comp-instrance.t required.] 5. ❑ We are a corporation and its 10.0 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 6f exemption per MGL 12 ❑Roof repairs insurance re t c. 152, §1(4),and we have no ��-] 13.El Other employees. [No workers comp.insurance required.] "Any applicant that checks box#1 must also fill out the section below showing their workers'compaisation 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 subcontractors and state whether or not those entities have employees. If the subcontractors have employees,they must pravidb 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.Lic.#: Expiration Date: Job Site Address:S4LL 1ri�w S7 L A"4f'S City/State/Zip:A266 1 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 tip 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 ainst the violator. Be advised that a copy of this statement may be forwarded to the Office of Investi of the D for insurance covers a verification. I do hereby c fy de the pains-and penalties of perjury that the information provided above is true and correct __store Date: e 2 _ hon #: 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): j 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6. Other Contact Person: Phone#: Information and Instructions . t Massachusetts General Laws chapter 152 requires all employers to provide workers'compensation for their employees: Pursuant to this statute,an employee is defined as"...every person in the service of another under any contract of hire, express or implied,oral or written." An employer is defined as"an individual,partnership,association,corporation or other legal entity, or any two or more of the foregoing engaged in a joint enterprise, and including the legal representative's of a deceased employer, or the receiver or trustee of an individual,partnership,association or other legal entity,employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein,or the occupant of the dwelling house of another who employs persons to do maintenance,construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer. MGL chapter 152, §25C(6)also states that"every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced-acceptable evidence of compliance with the insurance coverage required." Additionally,MGL chapter 152, §25C(7)states`Neither the commonwealth nor any of its political subdivisions shall enter into any contract fok the performance of-public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority." Applicants Please fill out the workers' compensation affidavit completely,by checking the boxes that apply to your situation and,if necessary,supply sub-contractor(s)name(s),address(es)and phone number(s) along with their certificate(s)of insurance. Limited Liability Companies(LLC)or Limited Liability Partnerships(LLP)with no employees other than the members or partners,are not required to carry workers'compensation insurance. If an LLC or LLP does have employees,a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested,not the Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy,please call the Department at the number listed below. Self-insured companies should enter their self-insurance license number on the appropriate line. City or Town Officials Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permit/license number which will be used as a reference number. In addition,an applicant that must submit multiple 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 Department's address,telephone-and fax number. The Commonwealth of Massachusetts Dgwtment of Industrial Accidents Office of Investigations 600 Washington Street Boston,MA 02111 Tel. #617-727-490.0 ext 4-06 or 1-977-MASSAFE Fax# 617-727-7749 Revised 11-22-06 www.mass.gov/dia ACORD. 4/23/2008 PRODUCER THIS ER A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Paul Potccs Agency,Inc. HOLDER. THIS CERTIFICATE DOES NOT AMEND,EXTEND OR 680 Falmouth Road ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Masbpee,MA 02649 COMPANIIES AFFORDING COVERAGE COMPANY A Atlantic Charter Insurance Company VDAC auluo COMPANY Oceanside Construction,Inc. B Oceanside Construction,Inc. COMPANY 419 River Road C Marston Mills,MA 02648 COMPANY D THIS 19 TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED_ NOTWRHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATO MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN 19 SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. CO TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS LTR DATE(NM MONY) DATE(YMIDDNY) fin Thousands) GENERAL LIABILITY BODILY INJURY OCC S COMPREHENSIVE FORM BODILY INJURY AGG S PREMISMOPERATONS PROPERTY DAMAGE OCC S UNDEROROUND PROPERTY DAMAGE AGG S EXPLOSION&COLLAPSE HAZARD BI S PD COMBINED OCC $ PRODUCTSICOMPLETED OPER BI 9 PD COMBINED A00 $ CONTRACTUAL. PERSONAL INJURY A00 $ INDEPENDENT CONTRACTORS BROAD FORM PROPBTTY DAMAGE PERAONAL INJURY AUTOMOBILE LIABILITY BODILY INJURY ANY AUTO (Pw person) S ALL OWNED AUTOS(Pftala Pose) BODILY INJURY ALL OWNED AUTOS (PoreegtlaM) l6 (Othc than Pm2te Passenger) HIRED AUTOS PROPERTY DAMAGE S NON-QWNED AV T08 BODILY INJURY 6 GARAGE LIABILITY PROPERTY DAMAGE COMBINED 8 EXCESS LIABILITY EACH OCCURRENCE 6 UMBRFI I A FORM AGGREGATE S OTHER THAN UMBRELLA FORM $ WORKERS COMPENBATION AND WCV00617203 - 2/3/2008 -2/3/2009 STATUTORY LIMITS QM►LOYERaL1ApILRY EACH ACCIDENT S 1,000,000 DISEASE-POLICY LIMIT S 1,000,000 DISEASE-EACH EMPLOYEE S 1,000,000 OTHER DESCRIPTION OF OPERATIONSrLOCAT10NSrvEHICLES/SPECIAL ITEMS Re: 540 Main Street,Hyannis,MA 02601 IMP SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE Town of Barnstable EXPIRATION DATE THEREOF.THE ISSUING COMPANY WILL ENDEAVOR TO MAIL Attn:Sally Shea. 12 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, 200 Main St. BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY Hyannis,MA 02601 OF ANY KIND UPON THE C MPANY,ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE milli ZOO/LOOP] 9NIII8M83011n L09988bLL9 Xd3 W zo 800z/EZ/b0 ; oFtHelar• Town of Barnstable Regulatory Services tE Thomas F. Geiler,Director Fo;� ��� Building Division Tom Perry, Building Commissioner 200 Main Street, Hyannis,MA 02601 . www.town.barnstable.ma.us Office: 508-862-403 8 Fax: 508-790-623 0 Property Owner Must Complete and Sign This Section If Using A Builder as Owner of the subject property hereby authorize'D �� to act on my behalf, in all matters relative to work authorized by this building permit application for: (Address of Job) Si ture of Owner ate Print Name in r permit lease complete the Homeowners License If Property Owner is applying for e t P n3' PP Y g P P P Exemption Form on the reverse side. R r I Town of Barnstable THE Tp�� Regulatory Services " Thomas F.Geiler,Director BARNSTABLS, t '. MASS. 1659. �� Building Division �jFO Grp Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION Please Print DATE: JOB LOCATION: number street village "HOMEOWNER": name home phone# work phone# CURRENT MAILING ADDRESS: city/town state zip code R . The current exemption for"homeowners"was extended to include owner-occupied dYyellirigs of sxt3nits,or�l`ess and to allow homeowners to engage an individual for hire who does not possess a license;provided thai the owner acts as supervisor. 1�. DEFINITION OF HOMEO'WI4k1" Persons)who owns a parcel of land on which he/she resides or intends to reside,on which there is,or is intended to be, a one or two-family dwelling,attached or detached structures accessory to such use and/or farm structures. A person who constructs more than one home in a two-year'period shall not be considered a homeowner. Such "homeowner"shall submit to the Building Official on a form acceptable to the Building Official,that he/she shall be responsible for all such work performed under the building permit Section 109.1,r r ' ''' ' P ( ).� iWn The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other applicable codes,bylaws,rules and regulations. r The undersigned"homeowner"certifies that he/she understands the Town of Barnstable Building Department minimum inspection procedures and requirements and that he/she will comply with said procedures and requirements. Signature of Homeowner Approval of Building Official t e-- Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the State Building Code Section 127.0 Construction Control HOMEOWNER'S EXEMPTION The Code states that: "Any homeowner performing work for which a building permit is required shall be exempt from the provisions of this section(Section 109.1..1-Licensing of construction Supervisors);provided that if the homeowner engages a persons)for hire to do such work,that such Homeowner shall act as supervisor." Many homeowners who use this exemption are unaware that they are assuming the responsibilities of a supervisor(see Appendix Q, Rules&Regulations for Licensing Construction Supervisors,Section 2.15) This lack of awareness often results in serious problems,particularly when the homeowner hires unlicensed persons. In this case,our Board cannot proceed against the unlicensed person as it would with a licensed Supervisor. The homeowner acting as Supervisor is ultimately responsible. To ensure that the homeowner is fully aware of his/her responsibilities,many communities require,as part of the permit application, that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the last page of this issue is a form currently used by several towns. You may care t amend and adopt such a form/certification for use in your community. PROJECT dQ NAME: ADDRESS: e* u�,►l�dc MA- PERMIT# b 6 Z�• �j PERMIT DATE: l01 log M/P: 74 LARGE ROLLED PLANS ARE IN: BOX SLOT Data entered in MAPS program on: BY: I q/wpfiles/archive i I PROJECT NAME: ADDRESS: 540 14A;�' !�r Ctwr- f�S PERMIT# ZOQg Q f'7 Z Z PERMIT DATE: 4 M/P: 3 0SZ G 7L LARGE R •L ROLLED PLANS ARE IN. BOX � J SLOT Data entered in MAPS program on: --z2-fig BY: w q/wpfiles/archive n ~ TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION. Map 1 bib Parcel V� Application# Q1�0 � /Health Division Date Issued 16 0q Conservation Division Application Fee Q� _ Tax Collector Permit Fees Treasurer 0 �.-- Planning Dept. 0 Date Definitive Plan Approved by Planning Board Historic-OKH Preservation/Hyannis Project Street Address 540 IMA%tA �+IC Village �4yann�5 Owner 000C IRGA(!vb/ L.UC Address J52 S6AtPS Wye— Telephone Permit Request l �V l�'�JVIG• Square feet: 1 st floor:existing proposed 2nd floor:existing proposed Total new Zoning District Flood Plain Groundwater Overlay Valuation Construction TypeP�roj9ect � Lot Size Grandfathered: ❑Yes ❑No If yes, attach supporting documentation. Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family(#units) Age of Existing Structure U)dr Historic House: ❑Yes - Lido On Old King's Highway: ❑Yes A,* Basement Type: 0 Full ❑Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) k Number of Baths: Full:existing new Half:existing new Number of Bedrooms: existing new u. C2 =- Total Room Count(not including baths):existing new First Floor Room:Count Heat Type and Fuel: Gas ❑Oil ❑Electric ❑Other Central Air: &es ❑No Fireplaces: Existing New Existing wood/coa�stove: Q.Yes PP, ❑No Detached garage:❑existing ❑new size*J lit Pool:❑existing ❑new size Barn:❑exi ting ❑new size Attached garage:❑existing ❑new size Shed:❑existing ❑new size Other: Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes ❑No If yes, site plan review# Current Use Proposed Use BUILDER INFORMATION Name OGQAefS9�-C_ C*t*%':V_ Telephone Number SM T?r S'701:> Address f!O OOM lS9 (MASIM MIA License# O4tWq— Home Improvement Contractor# M"- Worker's Compensation# ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO CAS&ALL/kk k SIG E DATET�IC A� FOR OFFICIAL USE ONLY 1 } APPLICATION# r DATE ISSUED MAP/PARCEL N0. s LA � �; ��' � �;, r..d A� d'� �,t.• ,�, tit. ADDRESS 3 VILLAGE r � OWNER �" Y DATE OF INSPECTION: FOUNDATION FRAME INSULATION < FIREPLACEICA , g .y ELECTRICAL: ROUGH FINAL . f ` ' PLUMBING: ROUGH FINAL ; GAS: ROUGH FINAL FINAL BUILDING F DATE CLOSED OUT 4 ASSOCIATION PLAN NO. s ti r ' The Commonwealth of Massachusetts :Department of Industrial Accidents Office of Investigations A' d 600 Washington Street Boston,MA 02111_' ww 'Mmassgov/dia ' Workers}Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers _Applicant Information Please Print Legibly Name(Businesstorgmization/Individual): Address: -6 City/S to/Zip:�1AQ�'T811�S M��! Phone.#: � �17 S~?� Are ou an employer?Check the appropriate box: :Type of project(required):, 1: I am a employer with 4..Q I am a general contractor and I have hired the sob-contractors 6. Q New construction . employees(full and/or part-time).* . Remodeling 2.❑ Tama'sole proprietor or partner- listed on the-attached sheet. 7. El ship and have no employees These sub-contractors have g, demolition working for me in any capacity. employee$and have workers' 9 Q Building addition [No workers' comp,insurance comp,insurance.$ 5 Q We are a corporation and its 10.Q Electrical repairs or additions required] . officers have exercised their 11.Q Plumbing repairs or additions '3.Q I am a homeowner doing allwork . • myself.[No workers'comp. right of exemption per MGL 12.Q Roof repairs insurance.required.]t c. 152, §1(4),and we have no 13.Q Other employees. [No workers' 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. tcontractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether ornat those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. .lam an employer that isproviding workers'compensation insurance for my employees. Below is.the policy and job site, information. _r Insurance Company Name: P►C�.�el �+ Wg �C.12 Expiration Date: 2 _ L D(3 � Ex u Policy#or Self ins.Lic.#:� V 11 P Job Site Address-IS, 0 V%& q�~�S 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 WA for insurance covers a verification. I do hereby rti n r t pains•and penalties of perjury that the information provided above is true and correct. afore: Date. _ Phone# naV Official use only. Da 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#: ti�F 'O�ti Town of Barnstable. °! Regulatory Services WMesr�, + Thomas F. Geiler,Director E Yea, Building Division Tom Perry, 3uilding Commissioner 200 Main Street, Hyannis,MA 02601 www.town.b arnstable;ma.us Office: 5 08-8 62-403 8 Fax: 508-790-62—3 0 Property Owner Must Complete and Sign This Section If Using A Builder h L 4vqi:� r3c>-e— , as Owner of the subject property hereby authorize to act on nn r behalf, in all matters relative to work authorized b this buildin permit' 'lication for. . . _ Y g P aPP . . . YYVl�t'--s S�— (Address of Job) ature of ere 0o�- Print Name QF0FWS:0WIQBRPERMIS SIGN Feb 26 2008 14: 16PM Oceanside Development 508-420-7841 p. 1 y 1 Massachusetts Department of Environmental Protection Bureau of Waste Prevention•Air Quality 100068311 BWP AQ 06 Decal Number Notification Prior to Construction or Demolition Important: nfilling out A. Applicability forms on the computer,use only the tab key A Construction or Demolition operation of an industrial, commercial,or institutional building, or to move your residential building with 20 or more units Is y p cursor-do not 9 regulated b the Department of Ertvironmental Protection use the return (DEP), Bureau of Waste Prevention Air Quality Control Regulations 310 CMR 7.09. Notification of key. Construction or Demolition operations is required under 310 CMR 7.09(2)ten(10)days prior to any work being performed.The following information is required pursuant to 310 CMR 7.09. Q IL IV B. General Project Description 1. a.Is this facility fee exempt-ci town, district, municipal housing authority, owner-occupied lnatructlons residence of four units or less?U Yes 2 No 1.Ali sections of b. Provide blanket decal number N applicable:. this form must be Blanket Decal Number completed in order to comply with the 2- Facility Information: Department of 560 MAIN ST Environmental Protection nolftation 560 MAIN STREET requirements of b.Address 310 CMR 7.09 MA � 02601 CAVITOwn a.Zo Code BARNSTABLE (774)238.8411 1.Telephone hJuMber(arm%We and wdens .E-mail A (optional) 41.000 11 h.Size of Facility in Square Feet 1.Number of Floors j.Was the facility built prior to 1980? ❑✓ Yes ❑ No k. Describe the current or prior use of the facility: RETAIL I. Is the facility a residential facility? ❑ Yes ✓ No o m. If yes, how many units? Number of units 0 3. Facility Owner. N _ CODE REALTY LLC O a.Name O 52 SHIPS 6iGLE LANE b.Address r JOSTERVILLEGlyamm �c 508 778-5700 D JOHN HUTCHINS Q h.Onsits Manager Name ag06.doc-10102 I9M AQ 06-Page 1 of 3 Feb 26 2008 1.-A,: 17PM Oceanside Development 508-420-7841 p. 4 4- eDEP:Print Receipt bops://edep.dep.mus.gov/Restricted/webpaps/printmceipt.aspx Submittal Summary& Receipt Your submission is complete.Thank you for using DEP's online reporting system.You can select"My Homepage"to review your status. DEP Transaction ID: 168309 Date and Time Submitted:2/26/200812:01:53 PM Other Email: Form Name: BWP-Demolition Form for AQ-06 Payment Information DEP code:29556 Date:2/261200812:01:28 PM Amount($): 85 Payment Detail: DEBORAH HUTCHINS—Card--1019 Contractor Contractor Number Name Address, , Supervisor Project Monitor Lab of l 2/26/2008 12:02 PM Feb 26 2008 1-;?: 16PM Oceanside Development 508-420-7841 p.3 Massachusetts Department of Environmental Protection Bureau of Waste Prevention •Air Quality 11000118311 BWP AQ 06 Decal Number Notification Prior to Construction or Demolition C. General Construction or Demolition Description (cont.) 6. a. If this is a demolition project,were the structure(s)surveyed for the presence of asbestos containing material(ACM)? R1 Yes ❑ No If yes,who conducted the survey? PHIL TRACHER AC/00197 a Division of Occupational Safety Certification Number 7. Construction or Demolition: 03/10/2008 � �� 04/0812008` a,start Date(mrNdd/yyyy) b.End Data(mmlddlyyyy) 8. a. For demolition and construction projects, indicate dust suppression techniques to be used: seeding paving ✓ wetting shrouding b. If other, please specify: covering other 9. For Emergency Demolition Operations,who is the DEP official who evaluated the emergency? NA a.Name of DEP Offigal b.Tille a Date mm/d of Author anon "' _.-----,•__ I D P Walver Number D. Certification I certify that I have examined the IJOHN HUTCHINS o above and that to the best of my S.-Print Name o knowledge it is true and complete. The signature below subjects the b.Aut orfae s� nature N signer to the general statutes o regarding a false and misleading C.PosillavrM OWNER o statement(s). OCEANSIDE CONSTRUCTION&DEVELOPMENT,INC. d.Representing m 9. ate(mm/ddlyyyy) o Q ag06.doc•10102 BWrP AQ 06•Page 3 of 3 Feb 26 2008 kZ: 16PM Oceanside Development 508-420-7841 p.2 Massachusetts Department of Environmental Protection Bureau of Waste Prevention .Air Quality i000s8311 BWP AQ 06 Decal Number Notification Prior to Construction or Demolition General B. General Project De scription statemern:lt t (cont. asbestos is found during a Construdlon or 4. General Contractor: Demolition OCEANSIDE CONSTRUCTION&DEVELOPMENT,INC. operation,all responsible parties a.Name must comply with PO BOX 139 310 CMR 7.00, b.Address Ch 7.15,and MARSTONS MILLS Chapter 21E of the MA OZ64$ General Laws of the Commonwealth. (774 238-8411 This would Include, Teleahone N but would not be to res Ihnhed to,thing an JOHN HUTCHINS asbestos removal h.On-site Manager Name notificatlon with the Department and/or a notice of releaselofa of release of a C. General Construction or Demolition Description hazardous substance to the 1. Construction or demolition contractor. Department,if applicable. ALAN RILEY CONSTRUCTION CO.,INC. a.Name 54 WALSH AVENUE b.Address PEABODY MA 01960 c.Q n e a.Zip Code 978)531-3132 f.Telephone Number area code and extension - o n® ALAN RILEY k-On-$WManager Name 2. On-Site Supervisor. 4OHN HUTCHINS On-Site SupeMsor Name 3. Is the entire facility to be demolished? [} Yes ✓[7, No N 0 4. Describe the area(s)to be demolished: o INTERIOR ONLY N O ° 6. If this is a construction pmject describe the building(s)or addition(s)to be constructed: co REMODEL INTERIOR OF BUILDING o CI Q ag06.doc•10/02 BWP AQ 06•Page 2 of 3 MAR-17-2008 14:28 PAUL PETERS MASHPEE 5084776498 P.001/00+1 ;-C-01M OP. CERTIFICATE OF LIABILITY INSURANCE 1 �03 8'' PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Paul Peters Insurance Agency HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR 680 Falmouth Rd. ALTER THE COVERAGE AFFORDED BY THE(POLICIES BELOW. Mashpas MA 02649- Phone:508-477-0021 INSURERS AFFORDING COVERAGE NAIL# INSURED INSURERA ,R $ROKISR.pj INSURER B: --XWCARP Oceanside Construction $ INSURER Development, elopnt, Inc. _ PO Box 159 INSURERD: Marstons Mills MA 02648 INSURER E: COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED.NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED 4LY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,EXCLUSIONS AND CONDITIONS OF SUCH POLICIES,AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS, ILTR TYPE OF INSURANCE POLICY NUMBER DATE M pATE Repypp/yY LIMITS GENERAL LIABILITY EACHOCCURRENCF, $1,000,000 TOWNTM A COMMERCIAL GENERAL LIABILITY 3CY6189 01/02/08 01/02/09 PREMISES Eaoocurenw) $500,000 CLAIMS MADE U OCCUR MEO EXP(Any one person) Z1,000 PERSONAL S ADV INJURY $1,000,000 GENERAL AGGREGATE $2 000,000 GENL AGGREGATE LIMIT APPLIES PER: PRODUCTS•COMP/OP AGG 11,000,000 POLICY JLCT LOC _ AUTOMOBILE UABIUTY (Ee aaw ontSINGLE LIMIT $ ANY AUTO ALL OWNED AUTOS BODILY INJURY $ SCHEDULED AUTOS (Per Person) HIRED AUTOS BODILY INJURY $ NON-0WNED AUTOS (Per ac"rl<) PROPERTYDAMAGE $ (Por xddent) GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $ ANY AUTO OTHER THAN eA ACC $ AUTO ONLY: AGG $ EXC IABILITY EACH OCCURRENCE $ OCCUR CLAIMS MADE AGGREGATE $ $ DEDUCTIBLE $ RETENTION $ $ WORKERS COMPE SATTDN AND JW TORY LTIM A-a ER EMPLOYERS!LIARILITY 8 ANY PROPRIETORIPARTNERIE)(ECUTIVE CL"ORO>3RBD nM COVANY E,L EACH ACCIDENT $ OFFI(,ER/K-MQCR EXCLUDED? E,L.DISEASE-EA EMPLOYEE S ffyyaas A,s ibe Lmder .. SPE,IAL PROVISIONS below E.L.DISEASE-POLICY LIMIT $ OTHER DESCRIPTION OF OPERATIONS/LOCATIONS 1 VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT 1 SP@CIAL PROVISIONS Bank of Cape Cod is listed as an additional insured in regards to the general liabilty policy. CERTIFICATE HOLDER CANCELLATION &WC:C 3. SHOULDANY OF THE ABOVE DESCRIBED POLICIES 8E CANCELLED OCIVRE THE EXPIRATION SAM CIF CAM COD DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS hVIBTTEN ISMA/ATIMA NOTICE TO THE CERTIFICATE HOLDEN NAMED TO THE LEFT,BUT FAILURE TO DO 50 SHALL FAX: 508-420--8858 IMPOSE NO OBLIGATION OR LIABILITY OF ANY WND UPON THE INSURER,ITS AGENTS OR 232 MAIN ST HYANNIS MA 02601 REPRESENTATIVES. AUTHORIZED REPRESENTATIVE BL`U3]O ACORO 25(2001108) OACORD CORPORATION 1988 ooi TOTAL P.001 r If ��4��j }'�° t ✓die "C�o�rvrreo��xcuecr���acfitcoe�.6 �' e Board of Building Regulations,and.Standards AF Construction Su t pervisor License Lic s ,CS 48102 - ' i, irthdate -g/16/1961 � Exp 08 ►ratiAn 9l 6: 0 1�.. i --_ RecE`ori OQu JOH�N J"`HUTCHIy� 419 RIVER`RD MARSTONS'MILL ,A 0264 ' �N`{ Commissioner ?i iIIItY�JI;ijIIIIIItIII3tLU,!�,�1fIIt19r[1II�"1,.1 iW��-1�-.��.�4 I-11..,1:�--��-Iq�-�,,t.I- a �'". ' ��r c - ''%'',': MI ,:_ as�1 ,. �,-.. - >.,'". uw = is o-�, « y i "'« r ,1 i 1I�1�,,,"���,-l I1.,-"F-:4,.'�.V�,`�,,, ti lN '' - _ file ;add 1Trals'>HIp _ - r z - ', , .. , .. - ''. «1u '- h„: H «£ *_�,, .. .. •. %r 'J zH 3v a+ 'a`.F ,i _ t4`h as,",.3„d h <: S'. �'.: -" 'T,'. .i€ i C.' -,,ma�,�y. 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INCUR/�_.__RAZED Ul0E81Ci41N19 N.BIN.TOwALLTYPE-i'F]QERDT 4 v Al.5 ��sru.TowALLTwE-+•oPfvF I �%VRO+nOE P'S DINu OF9LB' II'fi' II'4i3'4 9'-IO�i'1 9'-Id/° 940'TO FINISH ' _ GENERAL NOTES: I. THESE DRAN 455i HAVE VEEN GOWILED FROM THE BET AVAILABLE INFORMATION AND ARE NOT INTENDED TO LIMIT TIE SCOFE OF THE WOTe'. THE C4NTRAOTOR RAN ocmm�HIDDEN op. PE -_-_ - - - - ---_ r��� ADDITIONAL WORK FOR OOFP42NON OF N9 HER WN�T�IW� -- .... ........ .......... ..: ........... .. - .___ ... .. _ BE THAT LO T}E TI: TO a A'#/AED THE NiRALi BSPFLTm 51 BIDDING AND VE21F1®TIE INFOWMTION 511FRIED 4ERE1H O i 2 THE 6ENERAL LONTR!•LTOR IS REf:111R®TO FIEID VERIFY ALL EXISTINK g - CONDITIONS AND)OR DIFIBGIONS PWOR TO THE START OF COtp7"TION AND IDE)7fN-Y ANY DEGREP"Ia TO THE ARGHIT LT5 AND DEI6NER5 I I I I I I S. THE&EHERAL MEGHAWGAL 4 FFIIREE pROTEGTION SYSTEM"MM TO THE START OF �a CON57RUCTION $�s 4. ALL HINSE SIDE OF DOOR FRAFES SHALL BE LOCATED 6'FROM INSIDE FACE o OFFICE 6 OF KAL FRAMING RLE55 NOTED OTNE N5E �s R OFFICE 1 I OFFICE 2 I OFFICE 3 ici e 1 lil d 2 OFFICE 3 I OFFICE 4 OFFICE 5 154sf 5. ALL NmPo SHALL CONFORM TO AL 6OVCii N6 GODS AND ORDINANCE § 146M 152sf 199A - 1Et e1 161 ui I 1Bpp 154E F tSaN @DER WNICH THEY ARE PERFORMED. - 6. TIE VERIFY L DIMialTOR SHALT.LAY RI ALL WORK IN5 tg TRZT - 5 o b TO V6ZIFY ALL DIH46SION5 1 DETAILS PRIOR TO STARTINK GONSTRI.GTIDN. 1. FF1���IONS TAKE FRECEE"DU OVER SCALED ORAXW5,E%GEPT $ s C� a. IT SHALL EE THE GENERAL CONTRACTOR5 RESPONSIBILITY AS COORDINATOR TO LIECK ALL DIMENSIONS AND DETAILS ON 5HOP DFAHIN55 BEFORE • I SLBMI551ON TO THE ARLHITEGT. 9. THE 6EERAL CONTRACTOR SHALL COORDINATE AND VERIFY WITH O fR THE LOCATIONS OF AM INTERIOR M151G AND/OR FA51N6 SYSTEM,COMNOL PANELS,SFEAMERS A>,50LIATED Ed/1FMENT,ETC.AND SHALL COORDINATE THE RSTALLATDN /AINSLY WITH THE ELTLTRIGAL CONTRACTOR El 10. ALL INTERIOR WALLS SHALL BE TYPE(UNLESS NOW OTHERWISE.II. THE 65ER-L CONTRACTOR SHALL COORDINATE WRH THE ONER ART MDRK NEW OUFSWIN6IN6 T I I I LOCATONS AND PROVIDE FIRE TREATED IN-WALL V-OLKPK A 9 REWIRED. 1 DOOR I I i i I I @ PROVIDE I!2'DENS-SHIELD MOISTURE REISTAN(WALL BOARD 5NEP.TMNS A7 ALL MET AREA WALL LOCATIONS. 5 p. ALL DIFEI•SIO)S ARE TAKEN To FACE OF FRAMIN5 VNLE55 OTERWISE NOTED 14. PROVIDE PRES%K TREATED WOOD AT ALL FRAMING LOCATIONS NERE - PIOOV 15 IN CONTACT NTH WWRETE. 15. ALL PLYWOOD 5HEATHINS AND CONCEALED IN-WALL BLCOKIN6 SHALL BE WORK STATI N AREA I FIRE mEAT® OFFICE 4 I HALL�. OFFICE 5 6- I I 10SN 16. OMIT�6 TPXTW�5oARD sIEATHING ON nE CHASE SIDE of ALL rEW.r z ^ 1fi14'd/d 5'•5' '5'-11'1M 4-0 60'I" IT. ALL YUfH AN APPRDDVFD FIRETOP'MATERIALTOO Mff7LI7NE SFEGIFIEO WAES SiALL Er LL Z T o E C011ri7RLCT10N. in Ia. COORDINATE WITH TENANT ANY FMOREB7T5 FOR AND LOCA'nDN OF $ 3 I I ADDITIONAL SOVND INSULATION AND POYE2 AND DATA TSW RENENT5 K FRAM W "A5 GL05E I NEADHi I z TO STRWTT)RAL BEAM AS ' ABOVE, 4 9'-4�' ''-1,'V.IF. PC55IBLE,TYPICAL I : SOFFIT ABOVE, o N DPN SHO181 ry SHOWN DASHED .. .-1 - I p d _-_--__ o MECH. Vi• _ m I CLOSET FRAME KlkLLS AS a.W MECH. HEAVER HALL - To 50 TRUCTlR2AL BEAM AS wm M i CLOSET °D ®fir PICA I Y U w KITCHENETTE a 4 5� —°G�A� O z NEW TENANT AREA m Q Z ! o> Z 3864 SOFT I o x z PROVIDE I $ I DOOR HSI I � RECEPTION I t�, I 5'-V�,' � WAITING! is CONFERENCE I CONFERENCE! CONFERENCE ! CONFERENCE RECEPTIOIJ i LL ROOM! a KIT HENETTE ROOM I ROOM I R0014 CONFERENCERM I a" nzH �N "`" z�11 NEW TENANT AREA _ 1703 SO T I �+ WAITIN I 10 4, m, 'DrSs AwMBllNNSlI NKTO BE• II II'-21' I I' 15 M'-03,,FROM '-05/y'T- O FINISH O CORRIDOR —-— —- -— — —---—-— --— —-—- -— —---—-—-—- ---—-— —- -—-—-— —- - ---—-—---—-—-—-—-—- w U INTERIOR NON3TRLTU*0L COMPOSITE ITE WALL NEI6Hl TABLE(STET STUD MANLFALTURER5 A950LIATIOW 6 LL OFFICE FLOOR PLAN ' ITB D STIED BOTH SIDE WITH 5/a'6Yl-AH WALL BOARD-5NEATHIK6 ATTAC ED WITH 06 O AL WALLS NDT E%TENVIN6 TO THE OVER51PE of DECK V*LL _ uT1z SCALE:114"=1'•0" BE 9RALED WrtH EIT LR DIA60N 1L BRAG!LS TO THE STRIGTLRE 5 \-CONTlM WA L CONSTR'LTION �p gyp 'Ab fie' ABOVE OR HORIZONTAL BRALIN&AT 4'-O'OL.SET AT A 45° 70 UNDERSIDE OF DFCK- '�--'� -- D ANGLE TO THE DIREOTION OF THE WALLS AND MEGHANIGALLY PROVIDE 4b.MIHBiAL WOOL ROLLED FASTfNEJ AT THE IRTER5EtTI0N OF EAL•H TOP PLATE. EATT INSAATION INTO U IL��I BRACE ZL. FPLY VB'MIN. BRPLE FIREDAM SPRAY 25 ESA. 2O ESA Ia ESA. I6 6Aff AL NOOL lb MIL 55 MIL 49 MIL 54 MIL CLIP ANKLE DOS, 034a. O45I° (LENGTH= . @'OL.TO p'3'(LR/A) WOO.TO 15'�'(U240) WOO.TO 16'-IO'U240) WOO.TO II'-A'(L/240) 5•�DEPTH 16'OL.TO @'i'(U240) 16'OL.TO 14'-5'(L/240) woo.TO 15'3'ajnw) 16'OL.TO 16'S'(L.1240) -I/2') )EFM�g RSON GROUP ARCHITECTS INC. 6"FIBER&-A55 BATT 700 School Street Unit 2 B'FIRE CODE 6yf.ED. D&LATION v Pawtucket,RI D2860 O ' SIDE 1� 1� 1.� Photre:(401))21-2245 Fax:(401)>21-2238 O 6'METAL FRAMRK,.2O ESA,AT W'OL. C'V B�'METAL FRAMING,2D a JOB NVMBER: ZOOS ZS CD ESA•AT 16'of s/y'Gyp.BD.EA SIDE DRAWN BY: STM!CFM r' 25 6A 20 6A IS ESA 16 ESA �LHLSEGLRE TRACK 70 FLOOR 5EOlftE TRACK TO FLOOR IS MIL 55 MIL 43 MIL 54 MIL CHECKED BY: STM!WJJ WITH gNul•FASTENERS 0 NTH 4101'FASTENER-.G Alab' D346' A451' 62'OL.MAX. 52,or.MAX 12'OL.TD IS'-7'(L/24O) 12'OL.7025'4S'(L/240) 12'OL.T026'-6'(11240) G°OL.TO S'(L/240) DOTE ISSUED. W BET moiALL ON BEAD 'SET DRYWALL ON BEAD 16'04.TO W 2'(LD40) I6'OL.TO 21'-4'(Ll240) I6'OL.TO 24b•AJ2A0) 16'OL.TO26-1(Ll240) �' BT'ALE: Noted (n BOTH H SIDE!GAL GAR-K �OF H SIDES 11G T GAILK NOTE, 0 80TH SIDES-TYPICN- i'AfH SIDE-TYPICAL ALL WALLS NOT E%7ENIDINS TO INC tRDHRSIDE OF DECK SHALL BE BRAGFD N1H EIITDR DIAGONAL BRAGINK TO TIE STRUG7LRE ABOVE OR HORIZONTAL BRAGINK AT SHEET NUMBER: 4'-0'OL.SET AT A 45'AN5LE TO THE DIRECTION OF TIES WALLS AND MFLHANIGNLY PPSTENFD AT THE INTERSECTION OF EACH TOP PLATE. < T ICAL INTERIOR WALL U.N.O. /-�T HOUR RATED U.L DESIGN U418 W LL TYPE SCHEDULE NON-STRUCTURAL COMPOSITE WALL TYPE TABLE ogAWA SCALE 1 112°=1'-0" At.t2 SCALE;3°=1'-0" W b'-l0'FROM FINISH 9'-II" Rld;• 9'43/; b' II'-b' Ir-5•Y; 9'-lad; m•lo'/" 9'-10'TD WISH ' _ GENERAL N01F5: I. THESE ATIoN 65 HAVE MEN GO DEO T FROM THE BEST AVAILABLE THE u AnON AND ARE NOT MIERm TO LIMIT THE.LOPE OF THE WORN. THE COHIIRALT 1 MAYaPIENT ER HIDDEN WF4N OR COVERED Ca4DTIONS,NOT . IN TH - - - - - - -_-_ - - - - -- _ - __ IAwTm ADDITIONAL O OF THE TO OR�LOTNTRAT.T.IIT WILL _.._. I 51 TO O_. BE A.:N5 AND THAT THE CONTRACTOR INPO7 IIiFFLTDD TIE SITE j O - WOOING AHD VERIFIED THE INEORMATICtI�®HEREJN 2. 1}E 6EN6RPL CONTRACTOR S RSwR®TO FIELD VERIFY ALL EXISTING CONDITIONS AND/OR DPIBYIONS PRIOR TO THE START OF CONSTFWTION AND IDENTIFY ANY TO THE AROHITELT5 AND OM&NER5 1 i i i i i 5. THE 673ERAL CONTRACTOR SHALL COORDINATE ALL STRUCTURAL, SYST x MECHAN'AL 4 FIRE PROTC-G7N7N EFL�+PRIOR To THE START of r� GONST TION gg 4. ALL HMSE SIDE OF DOOR PRAPIE5 SHALL 6E LOCATED 6'FROM INSIDE FACE p S ~ OFFICE 1 I OFFICE 2 I OFFICE 3 OFFICd 1 OFFIC 2 OFFICE 3 I OFFICE 4 R OFFICE 5 OFFICE 6 of WILL FRAMN6 ftE55 NOTED OTI�� e 146A 152 i 199 st - 761 d 181 M t90 sf 154 A ¢ 151 N 154 eN 5. him SNP 00 MW TY AM o ALL 6OJEWIINB COPES AND ORDINANCES 6. THE 6OSRAL CONTRACTOR SHALL LAY OUT ALL WORK AND BE RESPONSIBLE TO VERIFY ALL DINBUIoNS 1 DETNL5 PRIOR TO STARTMS CONSTRUCTION. i. FISURED DIMENSIONS TAKE fRVEDMrE OVER SCALED DRAWINSG,EXCEPT HIRE Nil 2 I I D. IT SHALL GENERAL CORTWN4TOR5 RESPONSIBILITY A5 CODR121RATOR i I TO CHECK ALL DIPON5 AND DETAILS ON SHOP DRAWM55 BEFORE . JRMI55ION THE TO THE AR0H1f1fZT. 9. THE 6$ffRAL CONT LCICATIM OF ANY IINIMM NWICICDINATE AND AND R PAIVERIFY 5Y5TETI,KTH OKVZ CONTROL PANELS•SPEAKERS A55001AT®MAPMENG ETC.AND SHLALL COORDINATE THE INS TION b. ALL NTERIM KQ_L5 SHALL BE Ttt'E 14 Wss wTEP oTHERW ..SET TOR II. THE 6EN✓£RAL CONTRACTOR 5HALL COORDINATE 1UTH THE OWER ART WORK y i i EW ONSWIN61H6 y I I LOCATIONS AND PROVIDE FIRE TREATED IN-WALL BLOMINS A5 REOUIREO. ' ODOR i i I I 17. PROVIDE IQ'DH✓55lII5.D MOISTURE RESISTANT YTAIl BOARD SfffP.THIN6 AT ALL WET AREA WALL LOCATON5. i 6. ALL DINHR"ilO1,15 ARE iAKBR i0 FACE OF FRAMIN6UNLCiS OTIEW415E N0713J 14. PROVIDE FRE5WIE TREATED WOOD AT ALL FRNPI N6 LOCATIONS HERE WOOD 15 IN CORTAT WITH CONCRETE. 15. ALL FLYWOOD SHEATH)W AND CONCEALED I"-II.L BI-OCKIN5 SHALL BE WORK STATI N AREA I FIRE TREATED OFFICE 4 I HALL OFFICE 5 6''�' I I tU35 si 16. CD T��3�BOARD sHEnTHING ON TIff cNwsE SIDE of ALL NEN7.Y 187 eT -�-" f09 s1 14'03" ,.5• v 5,II' 4'-0' 631 I" IT. ALL PENETRATIONS TRa RATIO L OVA A5SEW LIE5 SHAM BE TREATED cn a�a WITH AN APPROVED"FlR155TOP"MATERIAL TO NET THE SPECIFIED WALL CONSTR.Y.TION. 15. COORDINATE WITH TENANY ANY RMARE TEN T5 FOR AND LOCATION OF g II 2 I I ADDITIONAL 5oM�D INSUiATION AND POYZR AND DATA REWREhENTS PRAPIE J AS C� TO 5TRZMAL BEAM AS ABOVE, R S'-4%" -W,`vJF. z n POYNBLE,TYPICAL SNOYAI SOFFIT ABOVE• o ,e 17-7-TF DASS EDSHOVM DASHEDO ® - } a I •„ ________ ,. T'-y/' 4'-6�'FRCM FMBH MECH. 5'-33'; 'n3'; a'-tv; 4-I, FRAhE M-1.5 A5 CLO5E CLOSET MECH. I HEADER , I HALL To sTRU aFAL BEAM A5 ' w KITCHENETTE I 4 CLOSET 5,-0•CLEAR IED �7 PI nL I v m # 00 NEW TENANT AREA m Q z 3864 SO FT I o= z PROVIDE AEI ICJ y a7T5WllNN, "�x 1• DOOR RECEPTION I-y�• I s-�, WAITING! ZE I CONF� I I I RECEPTION RENCE CONFERENCE � CONFERENCE CONFERENCE ROOMI a KfT HENETfE ROOM I ROOM ROOM CONFERENCERM I a �V 172A inn 17`" 17 299 NEW TENANT AREA 1703 SO I � WAITIN I I I -- -- ---- wA aim IN61N9 J Do\ E%STIN6 Fi4Jl TO HE d' k' 'FROM FINISH B Wow DASHED II'•2K' I I'-OIL II'T73` 15'-O-/;TO FINISH p CORRIDOR LL ---- -- ---- ------ ------- ---- --- - -- ---------------------------- -- w U ------ LL g,SIIL'E OFFCE FLOOR PLAN INTERIOR NoN`'TPXTL'�6OKPOSITE WILL MORT TABLE(5Z 5ND MANIFAILRERS AfOCIAnOW LL ��� Ca4P05TIE WA151EATNED BOTH SmES WTTH 5/b'6YF5JMALL BOARD-SFEAALL WALLS NTT EXTHmM6 TO THE UNDERSIDE OF DECK VROUSCA�WSAT @'OL.MAX :114"=1'-0" BE BRAm WITH EITHER DIA60NV.BRAIN5 TO THE STF16wRE CONTINUE WNJ.LON5IPoYTION Sap' S)'e' sY• 5?�e�1- ABOVE OR HORIZONTAL MACAW A7 4'-0'oL.SET AT A 45' To uNDERSiDE OF DECK- _J �� ANDU TO THE IRE DCTION OF THE WALL5 AND N4.HANICALLY PROVIDE 4Ib.MIN TZAL WOOL - U ROLLED FASTENED AT THE Ih'IBtSECnON OF EACH TOP PLATE. BATT INSW A.TION INTO I I LATERAL .. OPBIIN6 WALE-APPLY Ub"MIN. COAT OF BM FIREDAM SPRAY 6A. 20 6A IE 6A, N 6A _ OVER MINERAL Wool Ib MIL 33 MIL 45 MIL 54 MIL CUP ANDLE Dibb 4 5 4G' 1451' A566' (LENGTH= I2.OL.TO I3'-3"4440) I2'OL.70 15'f>'(L/240) IYOL.To Ib'-10"(1-040) 17"OL.TO N'�P IU240) : STW DEPTH16.OL.TO 12'-5-(L/240) I6.OL.TO I4'3'(LQ40) 165o.c.TO 1V-5'(1_/240) I6"OL.TO I6'-5'(L/240) -I/2') JEFFEERSON GROUP ARCHTTECTS INC. g`FIB CODE OrP BD b"FIBER&A55 BAT7 hO School Street Unit 2 INSLSA710N Pawtucket,RI 02860 EA SIDE O 6" O _ 6• +!� PhC :(401)721-2245 Faz(421)721-223N - - b'PETAL FRAMIN6.20 1� �I &A,AT 'OL. I(u CV N `PETAL FRAMINs,20 a JOB NUMBER 2009 25 6A•AT 16'OL. ye"6YP.W.EA.SIDE 25 PIA 55 PILL Ib PIA. 16 GA DRAwNeY: STMICFM � 5BOARE TRACK 70 FLOOR 5EOJRE TRACK TO FLOOR Ib MIL MIL 54 MIL loob' 43NIL fib• CHECKEDeY: STMIWJJ L.KFASTENERS6 WITH a.w FA5T68RS a O45P DATE i"UE0.92' 11I MAX KI OL.MAX 12'DL.TOIb'-T'(V240) 12'OL.70 2S'i'(LC240) 12'OL.T026b'(U240) D'OL.T02B'-3"(U240) W5LT DRYWALL ON BEAD '"f DRYWALL ON BEADIb'OL.TO 16-2'11440) voL.TO 21'-4'(LJ ) 16.OL.To 2416'(L1240) Ib'OL.TO2b'-1'(La4O) SCALE: Noted UV110 OF AWMMAL CALLK ,�oF AOSTILAL CALLK NOTE, Z BOTH SIDES-TYPICAL BOTH SIDES-T7PN:AL ALL K4115 NOT EXTENDING TO THE 21PERSIDE OF DECK SHALL BE BRAED WITH EITHER DIAGONAL BRACMS TO THE STRI)OVIE ABOVE OR HORIZONTAL BRAINS AT SHEET NUMBER: 4'-O.OL.SET AT A 45•ANGLE TO THE DIRECTION OF THE W41.L5 AND MPONANICALLY FASTIB�ED AT THE INTERSECTION OF EAH TOP PLATE. Al . O� �a2 WALL TYPE SCHEDULE sNON-STRUCTURAL COMPOSITE WALL TYPE TABLE � _ At.tz SCALE:1112"=1'0" at.t2 SCALE;3"=1'-0" Lu