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0544 MAIN STREET (HYANNIS)
10 Sr I j D o . C�- Ln Certified Mail Fee - 171- $ Extra Services&Fees(check bar,add fee as appropriate) A ❑Return Receipt(hardcopy) $ 1 f C3 ❑Return Receipt(electranlc) $ J�\ Post ark�f� ❑Certified Mall Restricted Delivery $ A, •`�r r3 ❑Adult Signature Required $ ❑Adult Signature Restricted Delivery$ O Postage p t t3 Total Postage and Fees r-I $ 1�01 S I— Sent To r-q OSQr� /�n���SOYI --------------------o- - ----- ------------------------------------------------------ Streetand Apt.No. or b Box lVo. ---1� . 1 r-----S-�-------- ---P+y --------------------------------- c;ty s-,e-d It e1 ,� Quo a Certified Mail service provides the following benefits: ■A receipt(this portion of the Certified Mail label). for an electronic rel=receipt,see a retail ■A unique identifier for your mailpiece. associate for assistance.To receive a duplicate ■Electronic verification of delivery or attempted return receipt for no addit'onal fee,present this. delivery. USPS®-posted-CertihiW Mail receipt to the ■A record of delivery(including the recipient's retail associate. signature)that is retained by the Postal Service' Restricted delivery service,which provides for a specified period. delivery to the addressee specified by name,or to the addressee's authorized agent. Important Reminders.; Adult signature service,which requires the ■You may purchase Certified Mail service with signee to be at least 21 years of age(not First-Class Mail®,First-Class Package Service®, available at retail). or Priority Mail®service. Adult signature restricted delivery service,which ■Certified Mail service is notavailable for requires the signee to be at least 21 years of age international mail. and provides delivery to the addressee specified ■Insurance coverage is not available for purchase by name,or to the addressee's authorized agent with Certified Mail service.However,the purchase (not available at retail). of Certified Mail service does not change the ■To ensure that your Certified Mail receipt is insurance coverage automatically included with accepted as legal proof of mailing,it should bear a certain Priority Mail items. USPS postmark.If you would like a postmark on ■For an additional fee,and with a proper this Certified Mail receipt,please present your endorsement on the mailpiece,you may request Certified Mail item at a Post Office-for the following services: postmarking.If you don't need a postmark on this -Return receipt service,which provides a record Certified Mail receipt,detach the barcoded portion of delivery(including the recipient's signature). of this label,affix it to the mailpiece,apply You can request a hardcopy return receipt or an appropriate postage,and deposit the mailpiece.. electronic version.For a hardcopy return receipt, complete PS Form 3811,Domestic Return Receipt;attach PS Form 3811 to your mailpiece; IMPORTANT:Save this receipt for your records. Ps Form 3800,April 2015(Reverse)PSN 7530-02-000-9047 ' Town of Barnstable Building Department Services Brian Florence, CBO Building Commissioner BARNSTABLE 200 Main Street, Hyannis, MA 02601 !4x5rox5 u:-c•wnvvulc•nis?Nh'6wLL 1639-2014 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Notice of Zoning Violation(s) and Order to Cease, Desist and Abate: Karl Anderson,Timothy Ferreira and all persons having notice of this order: As property owner or tenant of the property located at 143 Old Yarmouth Road,Assessors Map 344 Parcel 078-001 and known as commercial structure,you are hereby notified that you'are in violation of the Zoning Ordinance of the Town of Barnstable 240-35 G(2)and are ORDERED this date 2/27/2018 to: CEASE AND DESIST all functions associated with the following violation(s) on or at the above mentioned premises: Summary of Violation: On 2/26/2018 violation of the Zoning Ordinance of the Town of Barnstable 240-35 G(2)was observed specifically, a scrap metal business operating without the benefit of proper approvals and permits. Summary of Action to Abate Violation: In order to abate this violation and to avoid further enforcement action by this office, commence within 30 days upon receipt of this notice the following action: discontinue use of the property as described above and remove all scrap metal. And if aggrieved by this notice and order,to show cause as to why you should not be required to do so,by filing a notice of appeal within thirty days in accordance with Massachusetts General Law 40A Section 15. By Order, Lazn uo Chief Local Inspector (508) 862-4034 jeffrey.lauzon@town.bamstable.ma.us f CURRENT OWNER: CAFE REALTY TRUST ASSESSORS MAP: 308 074 OOA Mr. DAVID L. COLOMBO, TR. TITLE REFERENCE: BOOK 23059, PAGE 284 ZONING DISTRICT: HVB PLAN REFERENCE: BOOK 626, PAGE 24 OVERLAY DISTRICT: AP FEMA FLOOD NOT A ZONE II ZONE DISTRICT: "C", DATED 8/19/85 PANEL #250001 0005 C I L BIT. I ® C'*519 CONC. I _ CONCRETE SIDEWALK I LIGHT POLE (TYP.) 1 I 6$.1' N - I rn STOP I NEW FOUNDATION AREA i 884t S.F. 9.3' � I z 1 I a) n ► I ► I�, o N 0 ' I , I o ;o I III, #544 MAIN STREET D D I I I D UNIT 1 I ► P ► #546 MAIN STREET ► II UNIT 2 i I I � ► ® ► I Ln ► o► I I HEREBY CERTIFY TO THE BEST OF THE BSC GROUP, INC MY PROFESSIONAL KNOWLEDGE, �t1-IOF,Ngs 349 MAIN STREET WEST YARMOUTH MA. INFORMATION AND BELIEF THAT THE y1� S9 LOT CORNERS, DIMENSIONS AND O SETBACKS TO THE STRUCTURE AS . 4 CRAIG A. CERTIFIED SCALE: 1"=20' DETERMINED BY INSTRUMENT SURVEY 4 vo FIELD W AND AS SHOWN ON THIS PLAN ARE No.38039 PLOT PLAN DATE: 4/11/14 CORRECT. #544 MAIN ST. BSC# 49321-02 LLAND HYANNIS CRAI A. FIELD, PLS DATE I ��� MASSACHUSETTS FOR THE BSC GROUP, INC. SHEET 1 OF 1 w Q cc. Cr. ��-.4 l ` IV EXIST. DINING L- _ EXIST. EXIST. AISLE ONCRE rEPATIO L--- a ------------- ------ m MARVIN FOLDING r 1 ^' DOOR W FLUSH sILL.LEFTHAND EXPAND. p PANEL TO BE w DINING ^ 3 HINGEDOU—NG N 1" ^ WHEN CLOSED u, --------------------------- h r- N REMODELED BAR M ry § ry I ry ti o 0 0 A O -y izdA3 a•d Izd a•d izd a•a izd T-s (WINDDW) (IMNDOVJI - (WNDM PLANTING BED SIDEWALK LEGEND: 0 EXISTING WALLS SIDEWALK FIRST FLOOR PLAN - CONSTRUCTION TO BE REMOVED NEW CONSTRUCTION (EXIT)LIGHTED EXIT SIGN/DUAL EMERGENCY LIGHTING O SMOKE DETECTOR cAF © CARBON MONOXIDE DETECTOR ® COLO M BO'V EMERGENCY AUDIOVISUAL ALARM CE 8 PASTRIES—NE TROOF TO MATCH LISTING SHINGLES TO MATCH EXISTING �® ELIFLI NEW STUCCO SIDING SIDE ELEVATION LAW COLOR TO MATCH EXIST. BQ® COTUIT BAY DESIGN, LLC NEW ADDITION/REMODELING FOR: SCALE: DRAVNNG"°.: 1/4'=1'-011 M SHPEE,ER ROAD COLOMBO'S RESTAURANT DATE: AlA ) MA.MSHPEE, 02649 10/28/2013 FAX((508)539-9402 544 MAIN STREET HYANNIS, MA ,aF,� AIHT—rERlH I I , NEW 3DRty BRAKE BOARD —� W l x 0 DRIP BOARD 12 IITI g!�� NEW STUCCO SI DING AONDU�NUREATHING 1 `NEW STUCCO SIDING ON DUROCK SHEATHING LATTE COLOR FRONT ELEVATION REAR ELEVATION NEW ROOF CONST. LAG BOLT 2v 12 LEDGER TO -2v 12 ROOF RAFTERS @2T..c. WALL W 5 W DIA.THREADED ROD -51WCOXPLYWOODROOFSHEATHING B SIMPSON OPTWESH TUBES .gSPHALT ROOF SHINGLES &EPDXY INTO CMU WALL 1W A... -15L8.FELT PAPER FASTEN RAFTERS TO LEDGER .15L.FELT PAPER (R38) W SIMPSON LSSU210SKEWED HANGERS.INSTALL COR-A-VENT -SIMPSONH10HURRICANECLIPS ROOF TO WALL VENT ATALLRAFTERENDS -ICEI WATER SHIELD AT BOTTOM 12 D'0.OF ROOF QA -WNDWISHBARRIERS EXIST.CMU -ALUMINUM DRIP EDGE WALLS W -CONT SOFFIT VENTS SIR NPACING 1.3STRAPPING� ON EXTERIOR IW o.c.W POLYSORPT ACOUSTICAL CEILING TILES OR EOUNALENT REMODELED BAR , 4 m <•CONC.SLAB W SMOOTH FINISH ON 14 COMPACTED SOIL TOP OF SLAB 2 LAYERS OF Y RIGID INSULATION 4 (R-10)EACH TO EQUAL R-20) 10•CONC.FOUND.WALLS W 10•x 20'CONC.FOOTING GRAVELTOCOLLECT TO fT BELOW GRADE ROOF RUNOFF " BUILDING SECTION @ DINING =ozoommommommori A4 ®[�® COTUIT BAY DESIGN, LLC NEW ADDITION/REMODELING FOR: SCALE: DRAWING NO.: 43 BREWSTER ROAD 1/4"=1'-0" MASHPEE MA. 02649 COLOMBO'S RESTAURANT DATE: A2 FAXFAX((08�53-1100 544 MAIN STREET HYANNIS, MA o I 10/18/2013 50 539-9402 =oF a�*FRS*E=*� Town of Barnstable Hyannis Main Street.Water H'istorlc District'Commission i Application C®rtificate of A co r�atemess �o ZFIt Pp p I. a Appficalion is hereby madefior the issuance of a Certificate of Appn>priateness un r M G L Chestier 40C,The Hisw c Dwcts.A ' pal for proposed work as described mow and on phis,;dmawmgs or photographs this: nation for eying' Assessors slapas 30 AftmatSS A/tIV 5T2�-c�- s Applicant Mailing Address es �r 73.�5 .TowNStat o Applicant PhonaNimber ;$--2 74-- f tro-G Applicant E-Mal EE? O-- T*SAy bi $tapi oam&M 'DAVM CoC- ICAF6 &sAg .?Items r Owner Mailing:Addness ST= TownMateoz l+xAulu f S A')l4 Casa r OkerPhone —I. . dg -U7)n { Agm qrc«mradw pimm. ::: E As %3�O�r - Agent,or Contractor:Address TownlStatetp _. Agent or Contactor Phone Agent or Contractor E-Mail PROPOSED WORK Please check,all categories that apply: s . TYPO-' UCommerraal ❑ Residential Accessory 0 Other , we* I 1. Building Const don [l. New 8utiding;Q'�iddition Alteration 2. ExterigrAlteration:; 0 Windows ❑ Doors. [] Siding [I Roof Other, 3. Exterior Painting; 4. Signs: Newsi n g ❑`.Alteration to existing sign 5. Accessory mprovemm t:: [( Fence [] Outdoor Dining, 0 Parking;Lot 0 AwninglCanopy 6. Other. Page 1 of 3 I • 3 Hyannis,Main Street Watefi'ont Historic District Commission a s BUILDING MATERIAL SPECIFICATION SHEET Please camp�e tlns let �n� �► ti�� or:a�eranons fWan aM wed. Fill out:all sections that are.applicabla to our Y Prole Inclu&materials,specifications,dimensions andibr oolo to be used.. FOUNDATION Co"Ca-ETrE SIDING TYPE _ S?t�CCO ,/� _. COLOR_ 4.ATTZ, CHIMNEY TYPE COLOR: ^^ F ROOF MATERIAL . F1 COLOR_ cob ROOF PITCH !! .. . DOORS C�a I�1 COLOR .,. WINDOWS._ A i V[lV_ [c Lay pa COLOR.. .5 SHUTTERS _ COLOR TRIM .G COLOR n GUTTERS /'tGVJklk�'U PATIO/PORCHIDECK GARAGE DOORS _ .. .. COLOR OTHER . . PMa:2 of 3 I Hyannis Main=Street Waterfront:Historic Dlstrict Commission DETAILED DESCRIPTION OF PROPOSED WORK' • ProvWdetobtspeoffmadow of die.proms • Include a detailed description ofchanges_to existing conditions;;K applicable. • pro Describe• p posed matienals to be,used;desired colors,manufacturer'sspecifications,etc. • In the case of signs,give rations of existing signs and proposed locations of new signs. s -: Attach anaddi onal sheet,I necessary: `T •1MOvc 7 E . 691-5?7A FA kt w Y2C Gv ' tt+�ow s cont-Agent Date l0 / y pa308 oa T ��d�,qa \ wC[La6i2. 1 � LOCUS -W=autlaaa 1a .. - � vnu�u{ippupa�ai..mar: "o atl•rx7c•um" „ 77r.1 T:rl.-.rn-T.-r1-.ram LEGENo. D U-. ui�am r�a,a/unq »za•vwm.au SFTE PLAN a on ieml �' :; $ �. N ..c a --1 cl�si. OF ',LAND pd w cm NYD N1oa..rrt W al PINE AVE. .1540 15sa (�$ :T: N•Am1 MNN STREET r a' • i F� - ,armrr -i I - Soatz— :�, - -+*m'-_.' `. •-.'•�Hl'/WN�-'T • SRIM ° a ar . .11.rw + US ES MASAH I o I t t t a` maroc 1 i ra90 nl:nCTAI, �. ---j alopr.,..r `•►uu 0.,. " ----=-----------J 1 — . _ tag Kcal. Oma*mc t tr. -O !00 L:'a[TWl 1.0a'if:Kl4l I I urti• ` . Yp 1. .. . g. BASSETT "LANE -c wATM ostmmm L si ss Wtfit r _ FOCUS .INFORMATION ; ;- i C I - � _ - ozass � . BSC GROUP 7t9tau(e7a.E"D - hiuuiaclm¢c `.oai , - m.a. r.nw+r,. �c � w.r.nmoam m.+:.aaselu sW 7/t a919~. .wren• ,.. . w.w.m rs V.mid �L�. Nowsa•.a a�o�OM`t i W'' „ - w aw'sm�mn rmrwe aw ./• '. w.�w.r.wor�riamm � arr aw�— .nau.tm vs 'uoo v. - ur. ravnaraa.w cmlao Toni e.wcw an...v.K.a:«amt. - .. ,�irrwnmv •wwm. :�na:wti c rian w . �„� '. - - ., - .mw s�e®•wlo® •••um : .. ram.w hxmo..n-Nmcaa - .ara E6lanT .M>nYtlpw..M-IlW6 .. .. - ' alarm aim a 9•Tm 4.aM': mnt� u.m .. � c9e./aane:'a:wbzr amour amaca s aaaeei; - _ >.oema.nNNan- .. EXIST. DININGCK , FJfO.. UpT.. E[BT: {EXIT) AISLE hJ f :IO --- NCR PATIO �� _� - - ---------------------- — I cooxwnc vc F-- zea a SU.Lf"w D e v�aTO8E a EXPAND: t a ME/OEDourswwo mEn c=oo` _ µ_ _ :,DINING ---------------------- ------ A _ m REMODELED 9 BAR rr Uso �zo �a izo Fa iza ea iza so . ltl - lwLy00M Mf9cay - PLANTING BED LEGEND: SIDEWALK p EXISTING WALLS.. . SIDEWALK CONSTRUCTION PLAN CONSTRUCTION TO BE REMOVED O .NEW CONSTRUCTION (EXIT)LIGHTED EXIT SIGNIDUAL:EMERGENCY LIGHTING 0 SMOKE DETECTOR CARBON MONOXIDE DETECTOR ® EMERGENCY AUDIOMSUAL ALARM ICOLOMBO'S Ca E&PASTIVES . I�'� 'MfA,L'{fINLT ROG E14Y61P _ - . TO WTCN EFRiMO, .. All . SIDE ELEVATION AMC ORTO�O LAM*T.IOR TOeNTW EEIBi,. SCALE: DRAWING NO. Q®COTUiT BAY DESIGN, LLc NEW ADDITION/REMODELING FOR; 43 BREWSTER ROAD F MASHPEE,MA. 02649 COLOMBO'S RESTAURANT pM � o �a DATE.: PH.`(508 2T4-1168 FAx(508)539-9402 544 MAIN.STREET HYANNIS,'MA 10/28/2013_.j A 1 r� 1 1 I NEWAUX I 18RAKE BOARD W 1 .8pRm BDARD I - NEVVSTUCOO zAT OII DURGCR8NEA1NB10 1 uTTBCO}OR i - ' a Q r r LU lEl —NEW BTucm Ie:LUD, - . r oNDgRoac sNUTNno � .. :wne COLOR FRONT ELEVATION REAR ELEVATION NEW ROOF CON ST. IAO N'riTTa.,B LEDGER TO 2.12ROOFRAFTERB02C.n WAuwsf oti TNRBAC£D ROD - •srcox ALTCA']WROOFsRFATNNT. - . &BRIFSON OFTIJBBSN TUBES - •Asmmr RDOFsNIRGLBs' AEPOVNTOCEWVT lr— .Isla FELT FA➢BR FASTBN RAFTERS TO LEDGIP _ .I I•BA?T MUTATION - -W8olFsm L8 lo3Rl E.D NAMGERS.BIBTALLCdFAVW •SLVASGNIIIo NURRCANECLDS - ROOFTDWAILVHNT ATAURAFTERSMDS ..- xv YVATER SHIELD AT BOTTOM 12 SD'OF ROOF .. - . QA .WNDn BARRIERS - IDUBT.CNR1 .KLRATxm DRv`wOH�Gff •OONTscF VENTS N0 FAC1 ta>r S1RAFFYIG® _ ON ERTERCR IS'uWPOLYSQiVf ACW8NCALCELM TU"OR CDUMALENT - REMODELED BAR a BMOOTNFWONON R NNPROT®60L . TOPGFSLAS B UYERS OPTR6TIDMBUn. _ Bt-m EACNTDEOVALEI'T IO'CCN0.FOUMO.MILD ... - IPiFCONC.FOOTpNT GRAVEL TO COLLECT To BBLOWGRADE 'RODE RUNOFF s BUILDING SECTLON.@ DINING A4' as a W COTUIT BAY DESIGN.LCC NEW ADDITION/REMODELING FOR: SCALE: DRAVNNGNOt: 43 BREWSTER ROAD =N � SC ALE MASHPEE.MA. 02k9 COLOMBO'S'RESTAURANT yh:cam. N" o�Tmwr10182013 TE'. ,NY��. A2 PH.(508 27441166 <DDp,p Tq GtNplTuxOL,PQ FAx(50%539.-94o2. 544 MAIN STREET HYANNIS, MA .AG.LpAWC4PJRM0.LttDN i +ear. _?.<d T Te���sr'r,,..�� f //i• n.' � ..`, "',.,,,,,�} *r ..t =aTt.¢ �t9.a ,.. -.. 3�i� �'• N- s� Cw :c y.t. 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'� . - tix '��: �. - ��� �� .. ,._ _ ���� M;; .;� �„ y !na �... k � � ��.., .r � � ... .. �. ,, ... � ., ,,. .. a TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION 00 Map Parcel Application # Health Divi Date Issued � Conservation Division Application Fe Planning Dept. Permit Fee �;(� � Date Definitive Plan Approved by Planning Board Historic - OKH Preservation / Hyannis Project Street Address AQ 5 A tee� Village ,per , f Owner `i Add Ass _6 q q , y1. S� l�+�cc 0 q15 Telephone 5A - 36�? ' 76 7y Permit Request �� ( t �� i�.,;— E F y� � 1A f 1L i n J1 I'. IIL��i1���VVV'''���,,,((�jj 11111l 1� i ` �11 -`'fU\T V✓I'��IS�S�c�k `�1�1��i�'1 �C'�i� 1 L7JJU+-CJ S nec Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation" 7`3,OGU �� Construction Type i n ��f �jirvcbaa� Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family(# units) Age of Existing Structure Historic House: ❑Yes ❑ No On Old King's Highway: ❑Yes ❑ No u Basement Type: Full ❑ Crawl ❑Walkout ❑ Other Basement Finished Area (sq.ft.) Basement Unfinished Area (sq.ft) Number of Baths: Full: existing new Half: existing new Number of Bedrooms: existing _new Total Room Count (not including baths): existing new First Floor Room Count - Heat Type and Fuel: ZGas ❑ Oil ❑ Electric ❑Other ' Central Air: ®'Yes ❑ No Fireplaces: Existing New Existing wood/coal stove: ❑Yes) ❑ Nc Detached garage: ❑ existing ❑ new size_Pool: ❑ existing ❑ new size _ Barn: ❑ existing• 11L3 new size, Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: '$Zoning Board of AA PP eals Authorization ❑ Appeal # Recorded ❑ *Commercial Yes ❑ No If es, site plan review # Y Current Use 2e,s�,.� Proposed Use r APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name -i. I at n Telephone Number 17�( -7,3k Q�Y6 Address I �SbLYI b� (61 License # L /0 Lf� 1A Li I UZ�D Home Improvement Contractor# Email Worker's Compensation # — ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO `/AftiM A SIGNATURE /6DATE I m FOR OFFICIAL USE ONLY APPLICATION# r DATE ISSUED MAP/PARCEL NO. ADDRESS VILLAGE F r 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. t 6 Yhe Conrrrromwealth ofMassaclrusetts Dep winent of Industrial Accidents --- Office of Investiga#rmns 600 Washington Street Boston,,M,4 02111 wnw.mass goWdia Workers' Compensation Insurance Affidavit:Builders/Contractors/Electizcian&Mumbers Applicant Information Please Print 1e6bly r Name(Bu�rganizatiioallndividoal)m h n Address: /. City/Stawzip: / L41 A Phone## y 'Z aj -6 Are you an employer. Check the appropriate boa: Type of iect(requiretlj: 1.❑ I am a employer with 4. ❑ I am a general contractor and I [ loyees(full and/or part-time).* have,hired the sub-contractors 6. B Ni ew ew instruction 2. I am a sole proprietor or listed on the attached sheet 7. ❑Remodeling partner- These sub-contractors have ship and have no employees lition working for me in any capacity. employees and have wotioers' 9. ut gi addition [No workers'comp.imsu anre comp.insurante.I required.] 5. ❑ We are a corporation and its. 10.❑Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised timir 11.❑Plumbing repairs or additions myself [No workers'comp. right of exemption.per MGL 12.❑Roof repairs insurance required.]1 c. 152, §1(4),and we have no employees.[No works' 13.0 Other comp.insurance required.] *Any.applicaut that checks boa#1 mist also fill out the section below showing their wadtere MMpenSR(iAM polies information. 1 Homeowners who submit this affidavit indicating they are d,,g all want and dum hie outside contractors must submit a new affidavit indicating sa h. ZContractors Brat chert this boa mmt attached as 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 unrst provide their workers'comp.policy number. I am an employer that is providing tPorkers'cotttpettsrrtion innurance for my entpf UmL Below is the potkcy rued job site information. � (' Insurance Company Name: Policy#or Self-ins-Lie.#: T 712K y/C Expiration Date: f`/ Job Site Address: CitylStawzip: i I 1- Attach a copy ofthe 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 impdrisonment,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 far insurance coverage verification. I do Jtereby ar or th ins andpenaltfes ofpeduty that the information prm ided above fs true and correct e- Bate: �-I.S- /L� Phone#: :7�- z lt-LM-3 G O ciaL use an[y: Do not write in this area,to be camp&ted by city or town o,�lciaL 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#: 6 !� THEN Town of Barnstable Regulatory Services Thomas F.Geiler,Director z639. �� 'OrE0.19 � Building Division Tom Perry,Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder I, r /AUf, 6116o Lo , as Owner of the subject property hereby authorize to act on my behalf, in all matters relative to work authorized by this building permit (Address of Job) *Pool fences and alarms are the responsibility of the applicant. Pools are not to be filled or utilized before fence is installed and all final inspections are performed and accepted. r Signature of Owner a e o Applicant V f y"�X✓© �rv+ �Svn Print Name Print e Date Q:FORMS:OWNERPERMISSIONPOOLS 6/2012 Massachusetts -Department of Public Safety Board of Building Regulations and Standards Construction Supervisor License: CS-101696 I Is Ti1V10THY P Jo",, 180 MEGAN Jo",, Hyannis MA 026#1 s?r` - �.r(.� E p iratio n Commissioner "08123f2014 . O_ ffice 6f Cousamer.Affaus&kusiness Regaiation Li feuse or FWWA 9p y-81id Tor iodh4dtil apse only QME IMPROVEMENT.CONTFtAGTOR beoru the eirattop:date. if>oand return i trafion: 5 82 Type: f�J t`ticg.#Conspmer Affairs g6d psiness Regulation piration:� ' Td. DBA 10 Park Plaza-Su' S190 _ 02116 TIMOTHY.P JOHN5O f IM,ON I r j, TIMOTHY JOHNSON� 180 MEGAN RD '-'. >=j HYANNIS;MA 02601 -` Undersecretary Not li wi bout signature. I I HOF Mgs�c BIT. - o`' CONIC. BRIAN o YERGATIAN _ ————— "-I =' CIVIL '- No.4206 / ------'----- �9� COLOMBO'S CAFE FS3/0! LEN _ CONCRET E SIDEWALK 1 �•. IGi & PASTRIES ( LIGHT POLE I t ' Ln ( .) ui 540 MAIN STREET / N 67.7' I z N i HYANNIS i 1 MASSACHUSETTS i �T--o p I �r77 r �+ N (BARNSTABLECOUNTY) PROPOSED�BUlLDING ADDIT#ON ', — I d �'925f S!ll" z ( rn z ft SITE PLAN I rn i PEBRUARY 24,2014 J BUILDING OVERHANG BUILDING i / #554 MAIN STREET OVERHANG (TYP.) f UNIT 1 j 1 1 J I i PREPARED FOR: CAFE REALTY TRUST O f I ( 540 MAIN STREET, UNIT 1 — — — — — i HYANNIS. MA 02601 i / - - - - - - - ' BSC GROUP I V I I 349 Route 28.unit D J, #546 MAIN STREET f I W.Yarmouth.Wssachusem 02673 UNIT 2 l I i 508 778 897 9 Job No.: 4-9321.02 Date:_3/24/14 SCALE: 1" = 10, Saale: 1"-IW Redaea: Dwg No: 0 5 10 ``R. 20 FMFile:P.\orA4832102\Ch4��taAp�\493P102—SPdwa : L 2013. DEC 19 Pm 12:26 MlK Town of Barnstable Growth Management Department Hyannis Main Street Waterfront Historic District CommissioAARNSTABLE TOWN CLERK www.town.barnstable.ma.us1h yannismainstreet Decision —Certificate of Appropriateness Colombo's Cafe— Commercial Addition The Hyannis Main Street Waterfront Historic District Commission,pursuant to the Code of the Town of Barnstable Chapter 112,Historic Properties,Article III,Hyannis Main Street Waterfront Historic District,hereby approves a Certificate of Appropriateness for the following property: Property Address: 544 Main Street,Hyannis Assessor's Map/Parcel: 308/074/OOA At the December 4, 2013 hearing, after consideration of the testimony given and materials submitted by the applicant and members of the public,the Commission found the proposal to replace the existing fabric covered dining area roof and side curtains with a new structure with folding doors and windows will appropriately contribute to the historic character of the Hyannis Main Street Waterfront Historic District. The Commission considered the materials, design, color, size, location, and context of the proposed addition and found it to be appropriate for the protection and preservation of the district. Based on these findings, the Commission voted to grant the certificate of appropriateness subject to the following conditions: 1. The new addition is approved as shown on the plans entitled "New Addition/Remodeling for Colombo's Restaurant"drawn by Cotuit Bay Design,LLC dated October 28,2013. a. The folding doors shall be wood bi-fold doors,painted sage green by Marvin b. The west wall will consist of a half wall with folding windows, painted sage green by Marvin, to match existing windows with grilles c. Exterior materials shall match the existing building(roof shingles,stucco,paint colors) 2. Permits must be obtained from Building Division as necessary prior to starting work. Present and voting in the affirmative to grant the certificate of appropriateness were: George Jessop, Marina Atsalis, Paul Arnold,Joseph Cotellessa,William Cronin and Brenda Mazzeo Opposed:None Recused: David Colombo s g. George A.Jessop,jr,Chair Date Hyannis Main Street Waterfront istrict Commi ion cc: Steven Cook,Applicant for Cafe Realty Trust Tom Perry,Building Commissioner File 1,Ann Quirk,Clerk of the Town.of Barnstable,Barnstable County,Massachusetts,hereby certify that twenty(20)days- have elapsed since the Hyannis Main Street Waterfront Historic District Commission filed this decision and that no appeal of the decision has been filed in the office of the Town Clerk. Signed and sealed this 11 day of under the pains and penalties of perjury. Ann Quirk,Town Jerk 'I Town of Barnstable Hyannis Main Street Waterfront Historic District Commission Application Certificate of Appropriateness Application is hereby made for the issuance of a Certificate of Appropriateness under M.G.L Chapter 40C,The Historic Dist cts Act for proposed work as described below and on plans,drawings or photographs accompanying this application for Assessor's Nkp No. Z.)o Parcel No. Address of Proposw Wa* 6—" MA I!V C 'c'or� Applicant Mailing Address 43 UZ610% Town/State/zipAJ&diEa - MA pzagry Applicant Phone Number Applicant E-Mail 6TEVE C07UtT$AY ��IGN . C'O/�-t Progeny Owner Name 'DA VI-b COCf AY;36 ICA!Z � �►�C� C7 "S r- Owner Mailing Address 6"PA AU S1'. Town/StateOp 14XA�P 1 S_ 11A CZ661 Owner Phone_ 5'03- 367- 767 U Agent or Contractor Name 6APi C A s A—#-sexc Agent or Contractor Address Town/State2ip Agent or Contractor Phone Agent or Contractor E-Mail PROPOSED WORK Please check all categories that apply: 8 �9 Type: 21 Commercial ❑ Residential ❑Accessory ❑ Other Work Proposed: Exhibit. 6 1. Building Construction: ❑ New Building 21d'd ition ❑ Alteration Date. (; `115 2. Exterior Alteration: ❑ Windows ❑ Doors ❑ Siding ❑Roof HHDC ❑ Other 3. Exterior Painting: ❑ 4. Signs: ❑ New sign ❑ Alteration to existing sign 5. Accessory Improvement: ❑ Fence ❑ Parking Lot Outdoor Dirting ElAwning/Canopy �P -,d 6. Other. 2 �3 Page 1 of 3 Town of l3a�f"h�waY old Wg'S Hiy Commitcpf I r< i Hyannis Main Street Waterfront Historic District Commission DETAILED DESCRIPTION OF PROPOSED WORK • Provhle detailed spee�catia�s of the proposal • Include a detailed description of changes to existing conditions,if applicable. • Describe proposed materials to be used,desired colors, manufacturer's specifications,etc. Is In the case of signs,give locations of existing signs and proposed locations of new signs. Attach an additional sheet,if necessary. Kafd .- TfE EX t`5 t7lyG 1�7�fyt C d11&Y&b �fmllt-�G }�� �D�- t �r w2T�All►�s . �wSr �� S't�rtc�TyR�' Gy�� 1�z7G'DrtJ 17 �. W�Wekow s Signal /v 'd;49 Applicant--Agent Date !O / APppo' pEC 0 3 2013 Town of Bernsn`^" ®Id King's Hag_ av committee Page 3 of 3 Hyannis Main Street Waterfront Historic District Commission BUILDING MATERIAL SPECIFICATION SHEET Please complete this sheet only N new buffing construction or alterations to an existing budding are proposed. Fill out all sections that are applicable to your project.. Include materials,specifications,dimensions and/or colors to be used. FOUNDATION CQNCIZE T2E� SIDING TYPE -57UCC6 COLOR 44A7'7Z CHIMNEY TYPE COLOR �1s lam- ROOF MATERIAL ('7 • . COLOR• C�-oiW—E W OOb ROOF PITCH �- DOORS 114A a -P COLOR WINDOWS A'1A9V1AJ ! COLOR 6A64� SHUTTERS COLOR TRIM COLOR__ SAGC:. GUTTERS AA LV1t/Ai CJlt% PATIO/PORCH/DECK GARAGE DOORS COLOR OTHER APPROVFD DEC 0 3 2013 Town of Barnstable Old Page 2 of 3 committeway e r 9 q. t Y [` x Zdl o r r� s PPPO { #` } DEC-1 0 3 z2013- t aa Town of tsa ,. i Committee r yt. l j 1 NO ;f a' r _ - I • s r it r 9 - - r , : 1 1 pi � , �', r` �54 y �1� :�� �. %4 ��j�/ y.l�r9♦♦I P H ?t111 r �I �� `` `, f/' \ a�,pU '°+ w.. .-... I �II I r y • � II � r' � '�' f '� �i « YRr 1 �, - !-,g•.�' i 1 'y N4 � ,': ��,` � ,�`1� z �E yii'����1��� tl rhI'� �sv'"���/tl!t�P '•'. 90, i r+° ,!7,� ,»4., '�,' •E�`d'yi as 'j,tlY..,/� �.,; ;:, IIY 1. s 6 1 , �„wil �,• - ' s , � , a,. 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I., 1.41.,,�we 1, , , 1," v - ""-'-`.� .'!1--ti ",-"'�,-.,���,.�.�;,t-.,��-k\�,'v�,-,,,, " ,�I< o I 'N ,, ..;?.*��"N ,�, �:��'�;j�,,,- V., " - ,�,,�_j . " -1 .*1;1,b;�,\ ..�. _!. j�,..!t, T ,,�,7.;:�:-K`-* p � �`,4 ��v, ,�,�3-,�I-I,.�-) i.";, -�T,.I 5���a,.o K","r�, � I I,. , - - . �';,��� ,_ ,- , ,.j�:_._ ,;�A��.0 ,"T!, - ,!n IV r V•I ,.I.,,,,,�% . ;�,i��� . . - - �- - I . �� . . I.1� "I I - I r , i f E A + } 4 p 4 t J « r s4 !� icy �!�i.�•f� 'yr j'.r i.r' i0 a k _ _ � -` nr..-, bk 4444 111AK.4 Wrl t' '0 0- rv� -FOLD DOORS s APPROVE F DEC 0 3 2013 50 Town ri Barnstable 01Ca PROJECT t NAME: ADDRESS: G1 Vlvl 5 PERMIT# I`l (0 3 PERMIT DATE: M/P: 3� � =a� Li CADGE ROLLED PLANS ARE BOXM SLOT Data entered in MAPS program on: BY: yLi . t, Town. of Barnstable_ `oF try ram, . Regulatory Services Thomas F. Geiler,Director . MAM Licensing Authority 1659. ♦� 200 Main Street Hyannis,MA 02601 Office: 508-862-4674 _ Fax: 508-778-2412 Licensed Premises Zoning Approval To All Applicants: Zoning approval MUST be obtained BEFORE an application can be accepted by this office, Fully dimensional floor plans, with egresses, fixtures and furniture marked, must be submitted to the Building Commissioner's Office, along with a fully dimensional parking plan, prior to, or along with, this document. Plans must be initialed by the Building Department and submitted along with this form, completed and signed by the Building Commissioner or his representative, to the Town 'Manager's Office with a completed Licensing Application. No applications for a license or hearings on a license application will be accepted or scheduled until the above requirements are met. To Be Filled Out By Applicant: I Jses/License Applied For r�' n bw �—f _ocation 3usiness Name 3usiness Owner k-,s / `11 y r��'S ;Z;e- address 5 �ylr:�1 s h . !`i`v7zm,�. drff Telephone: 'raperty Owner 7�Us t own of'Bamstable Map(s) and Parcel(s) No(s) .ist All uses Of: n 3asement ;,. , i � !JD=��(Area) First Fir.L�r �� �1 IG. j' r h��Area) %/0 S Second (Area) Third J' (Area) ` =ourth. (Area)- Roof (Area) decks, Patios, etc. (Area) late,�', L� /'y Signature of Applicant o be completed by Building Commissioners Office: Zoning District Are the above uses permitted? YES NO gal Nonconforming Use YES NO. �ariance Granted YES NO Ipecial Permit Granted YES NO tal number of occupants permitted Total number of parking spaces exclusively dedicated to the proposed b 'business use and available at all times when bu mess is to b"perated iIgnature of Building Official / Date i _ I �pFTHE T�ti The Town of Barnstable BARNSrABLE. Office of Town Manager 9� 09• `0$a 367 Main Street, Hyannis MA 02601 Office: 508-862-4610 John C. Klimm,Town Manager Fax: 508-790-6226 Joellen J. Daley,Assistant Town Manager December 3, 2001 Ms. Gail Albertini Ms. J. Marie Stevenson West-Bay Antiques C:::::'5'_44__Main, Street �� Hyannis;MA 02601 Dear Ms. Albertini and Ms. Stevenson: Initially, I would like to thank you for allowing me to visit your store to discuss an issue concerning one of our Town employees, Mrs. Gloria Urenas. As a result of our meeting, I have spoken with Mrs. Urenas. You can expect to see her some time in the near future, as I have asked that she visit your store again to discuss the incident and offer her sincere apology. Thank you again for meeting with me,and I wish you well with your new business venture. Sincerely, oellen J. Dale Assistant Town Manager JJD/lmb 1.2 cc: Gloria Urenas, Zoning Enforcement Officer Tom Geller, Director of Regulatory Services � Peter DiMatteo, Building Commissioner John C. Klimm,Town Manager TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION 463) Map Parcel Application # Health Division Date Issued Conservation Division Application Fee Planning Dept. Permit Fee G , 0 Date Definitive Plan Approved by Planning Board Historic OKH Preservation/Hyannis Project Street Addr sSr. v l'i IT �-- Village RYA, 0 Q 1 S Owner .12AVa CeLoAM A-70 /A-41-7-vc, Address'• 3-,R Sm r rH S-r_ 14YAp s N is A MA Telephone S00 — 30 " 7b 7 0 Permit Request S wcdf ToLu tAJVjn1(, hM,5,g gy WAw-e. ka T(e4d Ww!2pyd A,r4o !2o9/t ed N-do, I&I yr. -reum A,Sp �slI')t nib q0 �C 'C7� PI&A wc,, Square feet: 1 st floor: existing&proposed 4P-2nd floor: existing proposed "A- Total new Zoning District VO Flood Plain NO Groundwater Overlay N Project Valuation6Q,OOP Construction Type VJ009 faA f4^Q-/13"4K d- 13Lve-14- Lot Size Zed Lot' i-tnle- Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family (# units) GoNtM_e.[.&%A Age of Existing Structure ON Historic House: ❑Yes )dNo On Old King's Highway: ❑Yes )d No Basement Type: X Full ❑ Crawl ❑Walkout ❑ Other Basement Finished Area(sq.ft.) 4 Basement Unfinished Area(sq.ft) 26 5Z Number of Baths: Full: existing new Half: existing new Number of Bedrooms: existing _new Total Room Count (not including baths): existing _new First Floor Room Count Heat Type and Fuel: �(Gas ❑Oil ❑ Electric ❑ Other t f Central Air: )(Yes ❑ No Fireplaces: Existing New Existing wood/coal stove��❑Yes No AC Detached garage: ❑ existing ❑ new size—Pool: ❑existing ❑ new size _ Barn: 0 existing 31'newsize_ h//AAttached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: -` c� Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ �c Commercial -$es ❑ No If yes, site plan review# Current Use Wfnt - - Proposed-Use 96SrAU&Q-`� -70 APPLICANT INFORMATION (BUILDER OR HOMEOWNER) w �' � �•9-� , Name I`f' (.l M)t L9W M i Zl tR SfAR�Svt« Telephone Nurpber� 0�' • S3�I �/t/d�. I- G , . . Address PO bo 72 6 License# O 8 jt;#,MoVS-4- . AA* . 0Z,5 'jI Home Improvement Contractor# Worker's Compensation # O Via.b 91 ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO $,kaj e La►rc2 SIGNATURE 47 01 9� + DATE Z DY FOR OFFICIAL USE ONLY APPLICATION# DATE ISSUED MAP/PARCEL NO. -ADDRESS VILLAGE OWNER p t Y ~ DATE OF INSPECTION: FOUNDATION 4 r f .FRAME INSULATION "FIREPLACE t ELECTRICAL: ROUGH 'FINAL PLUMBING: ROUGH FINAL ^ GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT , ASSOCIATION PLAN NO. - j . sir i �a g/teBfrinoffuiVivngele/gaulao/ont-s an an �ars-.�- One Ashburton Place - Room 1301 Boston. Massachusetts 02108 Home Improvement'`.Contractor Registration — Registration: 110373 Type: Private Corporation Expiration: 10/20/2008 Tr# 133422 MILLER STARBUCK CONSTRUCTION.I.j PHILIP MILLER,JR. P.O. BOX 726 c. EAST FALMOUTH, MA 02541 Update Address and return card.Mark reason for change. Address Renewal Employment Lost Card DPS•CAt 0 60M-071P-MM90 Board of BuildingReegulatiods an Standards License or registration valld'for Individul use only HOME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: Registraklot;.. 110373 Board of Building Regulations and Standards One Ashburton Place Rut 1301 Expiration:?1.0120/2008 Tr# 133422 Boston,Ma.02108 :;type: Private Corporation MILLER STARBUCK CONSTRUCTION,INC. PHILIP MILLER,JR; Av 40 MILL POND WAY,....: �.y - . EAST FALMOUTH.hi 2536 Administrator Not valid without signature r 1 t 91ze Boarco Building Reg ula ons and Standards One Ashburton Place - Room 1301 Boston, Massachusetts 02108 Construction Supervisor License License CS: 4333E Restriction: 00 Birthdate: 3/14/1953 PHILIP M MILLER Expiration: 3/14/2009 Tr# 9478 PO BOX 726 FALMOUTH, MA 02541 Update Address and return card.Mark reason for change.- ,CAI t, 5OM-as/06-PC8490 Address Renewal -I Lost Card vL �`� lc � l $oa� mg Reguet"tioa nd Standards Construction Sttperrisor License License: CS 43338 Tr# 94'18 Ex Irktdh 311412009 PHIUP M MILLER' PO BOX 726 FALMOUTH.MA 02541 Commissioner V` Town of Barnstable w BARNSfABLE. � � Regulatory Services pTFC►�"'� Thomas F.Geiler,Director 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 Property Owner Must Complete and Sign This Section If Using A Builder I, AVe. GOi..ol�1!7V , as Owner of the subject property hereby authorize apmdf to act on my behalf, in all matters relative to work authorized by this building permit application for. (Address of J ) 3 - Zq ov Sig e oTGwVier Date Print Name QAWPFILES\FORMS\building permit fofms\EXPRESS.doC Revise020108 oFt"E Town of Barnstable ,_ Y. Regulatory Services BARNSTABM Thomas F.Geiler,Director A1639. p.�� Building Division rEn W►P't 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 The current exemption for"homeowners"was extended to include owner-occupied dwellings of six units or less and to allow homeowners to engage an individual for hire who does not possess a license,provided that the owner acts as supervisor. DEFINITION OF HOMEOWNER Person(s)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 109.1.1) - • ' The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other applicable codes,bylaws,rules and regulations. 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 - r , 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 person(s)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 homeowne-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. Q:\WPFILES\FOR-MS\homeexempt.DOC y �\ 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 Legibly Name(Business/Organization/Individual): hihle M ILLtA MI"AA- �gARbya co"1,I < IN Address: fO 'NJOx 726 City/State/Zip:9LM,Ot0,A44. . 4254f 1 Phonei 539 Are you an employer?Check the appropriate bog: Type of project(required): 1.M am a employer with K — 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 7. ❑ Remodeling ship and have no employees These sub-contractors have g• ["Demolition workingfor me in an capacity. employees and have workers' Y P tY• # 9. ❑Building addition [No workers'comp.insurance comp• insurance. required.] 5. ❑ We are a corporation and its 10.❑ Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their I LE]Plumbing repairs or additions myself.[No workers' comp. right of exemption per MGL 12.❑Roof repairs insurance required.]t c. 152, §1(4),and we have no employees. [No workers' 13.[ Other AE 9 W 1 N 5 OVI S j comp.insurance required.] 4 �JOORS *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. 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'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: A.M/ 1LS Policy#or Self--ins.Lic.#: 02Z © fE� Expiration Date: c>3 - 2'T - 0cl Job Site Address: ! AM1N L' • lk'!"4,12 City/State/Zip: 02Ce 30 Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify under the pains an2dpenalties ofperjury that the information provided above is true and correct Si afore: Date: Phone#: D$ — 5 3 C) 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 r y 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 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 Deparhment's address,telephone-and fax number: The ebmmonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston,MA 02111 Tel. #617--727-4900 ext 406 or 1-977-MASSAFE Revised 11-22-06 Fax# 617-727-7749 www.rnass.gQv/dia �OAt� G✓�►LGv�.�rvorls -- - -- :_ --- W_Vj 9_o-w/..7 n a..R. .4 fe AJ D pd — ,4.4-- SS , Ss VIC f : _ 0 y - -- . a - . . --- k Utz_-._ • - - • 3.. ; 3 � ; Syr ''' �S-a� - R - Ell : 1SL _ o+Ls. -�P � -- - - _ j •d 9109-296-809 3d ueweuH •3 Iatuea d6b : i0 80 92 uew a7et8Z�f'+. P 1>S' — "\•-�i l►ZC�SC '• ! i i # I Harbor P Rd - - AL Ir -I ' f Fi���'t iL...' U�,/t.,���.�. �7 I j i i ( _ c•+ " d-O� - - LI LA : �•�_ ` , �— ' Via.. ' --- I I -- �--� I � %— — ' � _ i i i i t•I � � _ _ I s wl oil v1s i• 7— I .— , - + �/�� • ' _ice Q Acq- ."' i44- r— -- L, { I - -- - . !DA; �� _ —! t I IL �-2-73 I st -rA7- 77 Ssl -rI t6t44 "!0!G, L.A, 4 1 -1k Of Ott i ilo V V.7 All, IL -cl-ti WA -0 JL ILI Code-, Changes are Comillng'! Use WINDSTORM® Wall Sheathing and+ the MA Checklist! REDUCE COSTS BUILD FASTER , � y INCREASE PROFITS! I NO t- v I aR THE EXPENSIVE METHOD THE WINDSTORM METHOD • Nails and 4' x 8' panels • Nails & Windstorm panels • Blocking - Filler strips • Code Checklist • Stud-to-plate connectors • Increased labor & waste 141, I lillll. II,IIII li ii � I11 !, i �!! I I it � III II ICI! II III �� IIII. ►.� I I I�II�I II �II� � u� II I�!II�I� III � ! � d, : i I IU1I , �,�, �1��1 IIII! I ��IiUial� �,l i i I � � �� I � i ���I ► I� ill www.WmdstormOSB.com Norbord 1 Ea, Y; IW.C. 99_6' 1-4, — I 13.1' ipl inl NI cq I I I HEREBY CERTIFY THAT THIS I PORTION OF THE PLANS FILED WITH THE MASTER DEED OF I 540 MAIN CONDOMINIUM SHOWS THE UNIT DESIGNATION OF THE ' I UNIT BEING CONVEYED AND OF THE IMMEDIATELY ADJOINING I I U N ITS, AN D THAT IT FU LLY DEPICTS THE LAYOUT OF I I I THE UNIT, ITS LOCATION, I DIMENSIONS, APPROXIMATE IVACANT I AREA, MAIN ENTRY, AS BUILT. • I —I 34.4' �n iAl cq cu H H Z I Z O I O I I I � H UNIT 1 FIRST FLOOR I 2,785± S.F. I � I I ' OVERHANG , PREPARED FOR: CODE REALTY, LLC THE' PURPOSE OF THIS DIAGRAM THE BSC GROUP, INC IS TO DEPICT EXISTING DIMENSIONS 349 MAIN ST., WEST YARMOUTH MA. RELATIVE TO A CONDOMINIUM MASTER DEED. UNIT 1 -FIRST FLOOR SCALE: 1"=10' 540 MAIN DATE: 3/3/08 CONDOMINIUM BSC# 49321.01 LEFORTHE FIELD, PLS DATE 540 & 544 MAIN STREET BSC GROUP,,, INC. HYANNIS, MASSACHUSETTS SHEET 1 OF 2 Mar. 28, 2008 3. 53PM MILLER STARBUCK CONSTRUCTION No, 0134, P. 2 AMM.. CERTIFICATE OF LIABILITY INSURANCE 03/28/2 0 YYYY' PRODUCER (781)447-5S31 FAX C781)447-7230 . THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Mason & Mason Insurance Agency, InC. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 458.South Ave, HOLDER,THIS CERTIFICATE DOES NOT AMEND,EXTEND OR TER THE COVEMGE Aj!FORDED BY THE ( rag BELOW, Whitman, MA 02382 Gwen Vosburgh INSURERS AFFORDING COVERAGE NAIC# INSURED Miller Star uck.Construction,. Inc, INSURERA: Mountain Valley Indemnit Co. PO Box 726 INSURERS: Star Insurance 000204 Falmouth, MA 02541 INSURER INSURER D: INSURER E:GOVEMES . THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED.NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS; INSR kDD'L TYPE OF INSURANCE POLICY NUMBCR POLICY Eppe TIVE POLICY IRATION LIMITS GENERAL LIABILITY 328002915602 12/61/2007 12/01/2008 EACH OCCURRENCE 1,000,0010 X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED $ 100,000 CLAIMS MADE E OCCUR MED EXP(Any ono 0014on) ' S 5.000 A PERSONAL 8 ADV INJURY $ 1.000.00d GENERAL AGGREGATE $ Z 000 OO GEWL AGGREGATE LIMIT APPLIES PER: PRODUCTS.COMPIOP AGG S 2 OOO 00 POLICY jERC'f 7 LO0 AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT S lee ecddenq ANY.AUTO ALL OWNED AUTOS BODILY INJURY $ 80HEDULFD AUTOS (Per per>smn). HIRED AUTOS BODILY INJURY' $ (Per eodderd) NON-OWNED AUTOS PROPERTY DAMAGE $ (Pereoddenl) OARAGCLIABILIYY AUTO ONLY-EAACCIDFNT 5 ANYAUTO OTHER THAN - FAACC $ AUTO ONLY: AGG i EXCEBBIUMBRELLA LIABILITY EACH OCCURRENCE i OCCUR a CLAIMS MADE'' AGGREGATE $ 6 DEDUCTIBLE $ RETENTION 8 5 WORKERS COMPENSATION AND WCO22092S 03/27/2008 03/27/2009 BTATU•WC FT';HIP EMPLOVLRS'LIABILITY E.L,EACH ACCIDEnrr S 1OO O B. OFFIOEWMEMMBER EXCLUDED?EcuTIVE OFFICER OF CORP IS E.L.OI8EA9E-EA EMPLOYE s 100 00 $4 uyea under INCLUDED E.L.DI3WZ•POLICY LIMIT $ 500 00 �1ALdesc PRneOV18e10N helow OTHER DESCRIPTION OP OPPRATIONS I LOCATIONS 1 VEHICLES I EXCLUSIONS ADDED BY ENDORSEMCNT I SPECIAL PROVISIONS SHOULD ANY OF THE ABOV5 DESCRIBED POLICIL+B BE CANCELLED BEFORE TNfi RXPIRATWN OATS TNEREOF,TWO 198UINO INSURSRY+ALL ENDEAVOR TO MAIL 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED'TO THE LEFT, TDWi1 Of Barnstable BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIUATION OR LIABILITY Town Main Street . OF ANV D UPO T INSURER IT9 AGENTS OR REPRESENTATIVES. Hyannis. MA 02601 AlrrHORlzfi R ResE E ACORD 26(2001108) ®ACORDI CORPORATION 1988 NOV-13-200( ab:SyF' FKUM:bUHl EbhL 5(:HLttatL IN ltoW((1bbw I U:izoww31jiie� r.i ACORD " CERTIFICATE OF LIABILITY INSURANCE E 1/13/2007 AS A MATTER OF WWMTIM Oman= INSUP-MMB ONLY AND CONFERS NO RICERS UPON THE C EMFICATE 34 WON ST HOLDEN. THIS CERWICATE OM NOT ANEND. EXTEND OR ALTER T►! CC%WAOF AFF+ORDW BY 71-E POLNOES BEUXV WROT. YAMUTA, Vh 02673 INSUFMASAFFO MNOCOWWWW: hTms somm Fabarta slsul.a 3nnior Dba R J 7iaiaiting uesaMataat CRA79i1� STATS d0 Wellealay Civae ntmm& uesv�aa ,lWannin, HL 02601 sasuasse COVERAWS THE PCUCES OF WAVANCE LISTED BELOW HAVE BEM W= TO THE MMAZE0 WMW ABWUE FM TFE POUY PC3 W #=ATM N0IWIIFISTAMDW ANY REQXMAEW. I M CR OMUMN OF ANY OOM Wr OR OnIM 00MA01f W M REOWT 70 WHDf THIS CMTI M-M MAY BE MM OR MAY PBff"^ THE mmmNCB AFFORDED BY THE POUCH Wso mBO HE am a6 SUBIECf TO ALL THE TE wa OfCI.umm Am 00NO1TIOIZ4 OF SUCH POUGMAGOft ATEUAMISSHMMMAYHAVERMIECUCE0BYPAIDCL4M3. �aa aAMro mBav/MINpar +aeaareaAaaa: Maa aAre Mon A sommumuN CL3394140 06/17/2007 08/17/2009 &ZHOppORRME $1,000,000 AX lom&umftamB&VAftft vneuaEe�Fyeoe,..,,.) a 100,000 FP occur MDE%taAwwwovW s 5,000 PaRomm-400WNA Y s1,000,000 eEfsu AOMUSM s2,000,000 GMA09tmmuxrAPPaIMaPaMc PMamaars-cowmpAw $2,400,000 ooarcr Fyn m aoc A nUMPMUUAwn AW AMBc= uar a Auaaufeaprtos 801iDfKEDAtutOa lhePvu"uwV B a HMAU/0B MooarsaAstr : HasaNAaowuros Orra� GWAOMUNA Ulr Au omy-mmemerc s AWAM rAAM s on+FJenuw AM omr. 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CERTIFICATE OF INSURANCE DATE(MMWDIYY) 10-207 aDUCER THIS CERTIFICATE IS ISSUED AS AMATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 3ENSON YOUNG&DOWNS INS HOLDER THIS CERTIFICATE DOES NOT AMEND,EXTEND OR '0 BOX 158 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. COMPANIES AFFORDING COVERAGE. 4ARWICH PORT,MA 02646 COMPANY 26WDM A TRAVI3LHIM DIRF=ASSIGNMENT AIM COMPANY B 3ARBER DRYWALL LL.t COMPANY 124 MAIN ST C 4MMICH,MA 02645 COMPANY D VERAGE SmTOCERITYTHAT THE POWESOFY NCE LISTED MLM HAVE MEN ISSUEDTOTW/BWVDNMEDABOVE FOR THE POLICY P&WOBIDICAM.NOTIMUWAND110 tommumBuw.7"ORCONDII'tONOFMIYCONTRACYOROM1•fS.fii000tpmwrvDlIAmPECTwVRECHTNIS ICA-m*AY6Ef,9UEOORFAWPWAW.THEMMOMCE IOMWBYTHEPOWESDEWNGWriEAF IS SU raCTTO ALLTMTE MSS EXCu91 "AW CONDIT MOPSUCHVOLNMEB.UwmSfiOvm MAY HMfE 9M MwUCw SY D CLarS. a , POLICY of POLICY xw TYPE OF INSURANCE ', ' POLICY NUMBER DATE(MMDDIYY) DATE(M WMYY) LIMITS 09HERALLIABIL11Y G@IERALAGGREGATE b COMMERCIAL.GENERAL LABILITY PRODUCTSCOMPIOPAGG. $ CLAIMS MADE OCCUR. PERSONAL&&ADV.INJURY i OWNER'S U CONTRACTORS PROT. EACH OCCURRENCE b ! t>IIIMAGE(MYertesro) b MED.EXPENSEWnywe pown) i AUTOMORULIABEITY ANYAUTO COMBINED SINGLE LIMIT i AILOWNEDAUTOS YtNJAIRY(PerPewn) S SCHEDULE AUTOS ODDLY INJ11RY(PerA b HIRED AUTOS PROPERTYBAMAGE S NON-OWNIM AUTOS GARAGELiABILnr A14YAVTCS AUTO ONLY-EA ACCIDENT S OTHER THAN AUTO ONLY- EACH ACCIDENT S AGREGATE b EXCESS LIABIUTY UMBRELLA FORM EACH OCCURRENCE i OTHERTHAN UMBRELLA FORM AGGREGATE S WORIWS COMPENSATION AND EMPOLVER'S UAI3 LffY U3.0884L52A-07 09.2"7 04-28-08 STATUTORY UMITS R THE PROPRIETOR/ EACHACCIDENT b 100.000 PARTNERSOMCUTIVE X INCL DISEASE-POLICYLMIT b 500,000 OFFICERS ARE: EXCL DISEASE-EACH EMPLOYEE S 100,000 OTHER Sri OFOPERATtCN&t=TNXOAFWWUM4tEMlCTKMJSPEa4LIUM 93 REPLACES ANY MMCERTIFICATE ISSUED TOTBECERTaRCATESOLDIER APFLCTDIG VIORREAS COBIpeoVatt%ol RTIFICATE HOLDER CANCELLATION BHOULGMNY of mEABOVB OFSCNIm PCUGPs BE CANCELLED BEFORE THE tAILI.ERSTARBUCKCONSTRUCnONCO.INC OrMAIMOA791 M THE C4WAWwe,1BM AVM'rOMMIC DAYStVRfl7RlI IICRICB TOT}I6CERTpiCATtc HCIOER NAKED TOTHELEFT,SLIT NORTHMTSTARBUC KR41LL FARM LLC FALURETOMAft,MXH NMWE SIOLL IMPOSE Ho OBLIGATION OR LIMLmr OFMY, P.O.BOX 726. KIND UPONTHGCCMPPNY.tfSAGMSCRNEMESEMA7IVES PALMOUTH,MA 02541 AUTHORIZED RORESENTATWE Charles J Clark :ORD 2"(9193) ,The Commewealth Of Masswhusdb Rage 2 &7a ttxt Qf lA*mWdAaddW* Office of-IAveSt4mi ns 600 Warhm n Street Bostoa,MA 02111 www.mamgo►►/dio Worlken, Compensation Insuronce Affidavit: General Bnsimesses AROMBRA Lz o o e tit e o x 7� a - worm sift wmft( t g6w 5-'O A _.S,L uV,3 rr. I 'AYAN t4 IS . WA K�4A 3(-, ramrrt�: Q.�� �.LXL.Ae��r�.. aI? E�cavatito� q e L Sd�m�Im�A9fLte-.,-C-.4 P'4 C-- Co,r� �SfZ1�sd Foundatiou Ow 1i�86ce Co. 7�L��.�` 'R' G��..�.�5�^1 Poltww� ��y 0 Q'b_3'�'=Z�.�•'� Frame ,...:. .. cfty .jmo!!rIl i bm 39-I/.;s/ Cm z Bolat o IkA 7 G C 3 - Finish ' A OVED PPR Hyannis Main Street Waterfront Historic District Commission = =a BAMSTABM200 Main Street ��fD ►�e� Hyannis Massachusetts 02601 -1 TEL: 508-862-4665 /FAX: 508-862-4725ca u €l� Application to c Hyannis Main Street Waterfront Historic District Commission w r' in the Town of Barnstable for a CERTIFICATE OF APPROPRIATENESS Application is hereby made, in triplicate, for the issuance of a Certificate of Appropriateness under M. G. L. Chapter 40C, The Historic Districts Act for proposed work as described below and on plans, drawings or photographs accompanying this application for: 9 PLEASE CHECK ALL CATEGORIES THAT APPLY: : Q 1. Exterior Building Construction: ❑ New Building ❑ rtion Alteration -t Indicate type of building: ❑ House ❑ Garage Commercial ❑ Other tT 2. Exterior Painting: ❑ � 3. Signs or Billboards: ❑ New gn ❑ Existing sign ❑ Repainting existing sign " 4. Structure: ❑ Fence �aII ❑ Flagpole ❑ Other 5. Parking Lot: ❑ New Building ❑ Addition ❑ Alteration (Please see the guidelines for explanation and requirements) TYPE OR PRINT LEGIBLY DATE a D ASSESSOR'S MAP NO. C> 2) ASSESSOR'S PARCEL NO. APPLICANT TEL.NO. �� f�` l " r APPLICANT MAILING ADDRESS �V� l it� 1 �''/ 0�b� ADDRESS OF PROPOSED WORK PROPERTY OWNER ��� [ LLC TEL.NO. -1 OWNER MAILING ADDRESS E�-- L4 h& ,P Sv 16e . FULL NAMES AND MAILING ADDRESSES OF ABUTTING OWNERS. Include name of adjacent property owners across any public street or way. This information is best obtained at the Town Assessor's Office. (Attach additional sheet if necessary). AGENT OR CON'TRACTORmJ'jer ,'&i-bock VL`ngjft'.N,O. ADDRESS I�iLJ 1 �llJ ' bA D 1 � y v APPROVED �vQJ DETAILED DESCRIPTION OF PROPOSED WORK: Give all particulars of work to be done, including detailed data on such architectural features as: foundation, chimney, siding, roofing, roof pitch, sash and doors, window and door frames, trim, gutters - leaders, roofing and paint color, including materials to be used, if specifications do not accompany plans. In the case of signs, give locations of existing signs and proposed locations of new signs. (Attach additional sheet, if necessary). ,,v vt s c c�( �� r,L,�� ) �e� i,6do ,k"O,VWA re 41 in -rm �n Signed A, �tr Owner-Contractor Agent (CIRCLE ONE) SPACE BELOW LINE FOR COMMISSION USE Received by HMSWHDC Date This Certificate is hereby QQ Time Date By Si IMPORTANT: If this Certificate is approved,approval is subject to the 20-day appeal period provided in the Ordinance. CONDITIONS OF APP L: Noai�kIVkilA,�LA- APPROVED HYANNIS MAIN STREET WATERFRONT HISTORIC DISTRICT COMMISSION *** SPECIFICATION SHEET*** ADDRESS OF PROPOSED WORKSqq t h n Is FOUNDATION Hock SIDING TYPE brick COLOR CHIMNEY TYPE COLOR ROOF MATERIAL rU leer COLOR PITCH 1(C14 WINDOW W C)4) COLOR TRIM COLOR U DOORS (,l9 (� COLOR SHUTTERS GUTTERS DECK GARAGE DOORS COLOR NOTES: Fill out completely, including measurements and materials/colors to be used. Three copies of this form are required for submittal of an application, along with three copies each of the plot plan,landscape plan and elevation plans,when applicable.The Plot plan need not be"Certified",but should show all structures on the tot to scale. r ..a , A 7 r., A APrh"OVIED 1 3 + f. s • �i A �wr r w � Y • I1S ve- iv ull v EU'r%" PROVED is Mo.}-, 17 •i 1• i� F k r l - zo F . Iry rn . t 0LA — 4 114 Ilk 40, ax = r ib. L100;7 V 44AN1 6HtILrY i NIA KV1N uU. 4dj r. i4 .Version 6.16 MARVIN WINDOW QUOTE 03/28/08 Shepley wood Products 75 Benjamin Franklin Hyannis, Ma 02601 *** CAUTION: IT IS RECOMMENDED THAT A MINIMUM OF 1/4 INCH BE ADDED *** ** TO THE ROUGH OPENING HEIGHT WHEN USING MARVIN SILLGUARD *** CHIT AVAILABILITY AND PRICE SUBJECT TO CHANGE *** *** NET PRICE (in USD) *** PROJECT: Colerabo_Wood Options_032708 a QUOTE: 00000001 QTY, 2 IMARK UNIT - "Aw nRONT-MAIN STREET RO 145 1/2" X 74 7/8" - 02H **Al e. s WUDHT *'*SASH SHIP SEPARATE ' �-� ON 3020 a ' IG - 1 LSTE "=._. LOW £ II W/ARGON +' '" # ADD FOR CLEAR SILL S BS �;� \�� C0 1 1/8" RECT SDL - W/SPACSR BAR - STD CUT 3W2H PR PINE EXT. - PR PINE INT. ED \ # ADD FOR 1" LVL MULL VERTICALLY -a r **A2 W UDHT *4*SASH SHIP SEPARATE rP CN 3020 IG - I LITE x LOW E II W/ARGON # ADD FOR CLEAR SILL & HS 1 1/8" RECT SDL - W/SPACER BAR - STD CUT 3W2H PR PINE EXT, - PR PINE INT, # ADD FOR 1" LVL MULL VERTICALLY **A3 W UDHT ***SASH SHIP SEPARATE CN 3020 IG - 1 LITE LOW E II W/ARGON # ADD FOR CLEAR SILL & BS 1 1/8" RECT SDL - W/SPACER BAR - STD CUT 3W2H )OVED PR PINE EXT. - PR PINE INT, APPh $ ADD FOR 1" LVL MULL VERTICALLY �� **A4 K� W UDHT ***SASH SHIP SEPARATE CN 3020 ZG - 1 LITE LOW E 11 W/ARGON # ADD FOR CLEAR SILL & BS 1 1/8" RECT SDL - N/SPACER BAR - STD CUT 3W2H PR PINE EXT, - PR PINT, INT, **81 W UDH ***SASH SHIP SEPARATE CN 3020 **Sl G.S. 30" X 20" IG - 1 LITE IOW E II W/ARGON 1 1/8" RECT SDL - W/SPACER BAR - 3PC CUT 2W1H PR PINS EXT. - PR PiN_ INT. **S2 G.S. 30" X 20" IG -.I LITE LOW E II W/ARGON # ACD FOR CLEAR SILL & BS ; WH SASH LOCY. SCREEN ***SHIP' SEPARATE STONE WHITE SURROUND CHARCOAL FIBEFGLAS8 MESH CONTINUED ON NEXT PAGE .•• .. LV, LVVU i TT1 mI vu 1! 1-Li i i.uu�. .!t �i V TVJ I IJ versio" 6.15 MARVIN WINDOW QUOTE 03/26/06 Shepley Wood Products 75 Benjamin Franklin Hyannis, Ma 02601 "** CAUTION: IT IS RECOMMENDED THAT A MINIMUM OF 1/4 INCH BE ADDED *** ** TO THE ROUGH OPENING HEIGHT WHEN USING MARVIN SILLGUARD *** *** UNIT AVAILABILITY AND PRICE SUBJECT TO CHANGE �** *** NET PRICE (in USD) *** PAGE, 2 PROJECT: Colombo-Wood OPtions_032708_a **B2 W UDH ***SASH S}jIP SEPARATE CN 3020 **S1 G.S. 30" X 20" IG - 1 LITE LOW E II W/ARGON 1 1/9" RECT SDL - W/SPACER BAR - SPC CUT 2WIR PR PINE EXT. PR PINE INT. **S2 G.S. 30" X 20" IG - 1 LITE LOW E II W/ARGON # ADD FOR CLEAR SILT. a BS WH SASH LOCK SCREEN ***SHXP SEPARATE STONE WHITE SURROUND CHARCOAL FIBERGLASS MESH **B3 W UDR ***SASH SHIP SEPARATE CN 3020 **31 G.S. 30" X 20" IG - 1 LITE LOW E II W/ARGON 1 1/8" RECT SDL - W/SPACER BAR SPC CUT 2W1H PR PINE EXT. - PR PINE INT. **S2 G.S. 30" X 2011 ' IG - 1 LITE LOW E II W/ARCON 4 ADD FOR CLEAR SILL & BS WH SASH LOCK SCREEN ***SHIP SEPARATE STONE WHITE SURROUND, CHARCOAL FIBERGLASS MESH **B4 W UVE ***SASH SHIP SEPARATE CN 3020 **S1 G.S. 30" X 2011 • XG - 1 LITE LOW E II W/ARGON 1 1/8" RECT SDL - W/SPACER BAR - SPC CUT 2W1H PR PIN$ EXT. - PR PINE INT. **`2 G.S. 30" X 20" IG - 1 LITE LOW E II 'W/ARGON 0 ADD FOR CLEAR SILL & BS WH 3A$H LOCK SCREEN ***SHIP SEPARATE STONE WHITE SURROUND CHARCOAL FIBERGLASS MESH ; CONTINUED ON NEXT PAGE MAN. 2d. 1UU>3 V 44AM �Hti'LtY / MAKVIIV IVU, 4dj F, A =•01�„ v.16 MARVIN WINDOW QUOTE 03/28/0$ Shepley Wood products 75 Benjamin Franklin Hyannis, Ma 02601 ** CAUTION: IT IS RECOMMENDED THAT A MINIMUM OF 1/4 INCH BE ADDED 4*+ *4* TO THE ROUGH OPENING HEIGHT WHEN USING MARVIN SILLCUARD *** *** UNIT AVAILABILITY AND PRICE SUBJECT TO CHANGE *** **` NET PRICE (in USD) *** PAGE 3 PR0,7ECT; Colombo,Wood options 032708 a +*V I" VERTICAL SPACE MULL NO INSTALLATION METHOD 4 9/16" JAMBS PR ?INE INTERIOR PR PINE EXTERIOR BMC # ADD FOR CLEAR W8063 THICK & FROJECTED 0 SUBSYLL TOTAL NET PRICE 4,582,52 9,165.04 # NON SYSTEM GENERATED PRICING ASSEMBLY EXCEEDS SIZE LIMITATIONS. CONTACT YOUR MARVIN REPRESENTATIVE FOR AVAILABILITY AND POSSIBLE ADDITIONAL PRICING, 14 AS VIEWED FROM THE EXTERIOR QUOTE; 00000002 QTY: 1 MARK UNIT - DOOR #1 MAIN ST.tEET NCD - X - LHtt CN 3070 aO 39 3/16" X 85 9/16" RAISZD VISIBLE PNL HT-24 9/16 IG - I LXTE TEMP LOW E 11 W/ARG NO LOCK NO SORE SC (US26D) ED HINGE-STE$L BEIGE WEATHER STRIP MT PEMKO 3452CP SWEEP MF 1/21' SADDLE-PEMKo 253X4AFG NO INISTALLATION METHOD 4 9/16" JAMBS ADD $274.00 FOR 3W3H LITE CUT ON DOOR (NOT INCLUDED 1N THIS # TOTAL) PR PINE INTERIOR PR PINE EXTERIOR 3MC = NO FJ TOTAL NET PRICE - 2,386.29 NON SYSTEM GENERATED PRICING QUOTE CONTINUED ON NEXT 'PAGE, I!un. LV• L V V V / TT!un v!ILI __ 1 "Hill,! 111 It l+. -tVJ I I f y�l�blJll o.ib MARVIN WINDOW QUOTE 03/28/08 Shepley Wood Products 75 Benjamin Franklin HYannis, Ma 02601 *"* CAUTION; IT IS RECOMMENDED THAT A MINIMUM OF 1/4 INCH BE ADDED *** *" TO THE ROUGH OPENING HEIGHT WHEN USING MARVIN SILLGUARD *�* *`* UNIT AVAILABILITY AND PRICE SUBJECT TO CHANGE **+ *** NET PRICE (in USD) *** PAGE 4 PROJECT; C010mb0—W00d Op-Lions_032708 a .I 71i ' ) Active AS VIEWED FROM THE SECURED SIDE QUOTE; •00000003 QTY., 1 MARK UNIT - DOOR 41 TRANSOM, MAIN STREET W UDHT RC 39 3/16" X CN 20 RO 39 3/161I X 25 7/8" BASIC UNIT IG - 1 LITE LOW E II W/ARGON 1 1/9" RECT SDL - W/SPACER BAR -• SPC CUT 3W2H PR PINE EXT. - PR PINE INT. NO INSTALLATION METHOD 4 9/16" JAMBS PR PINE INTERIOR PR PINE EXTERIOR # ADD FOR CLEAR SILT, 6 BS TOTAL NET PRICE 511.24 is NON SYSTEM GENERATED PRICING ROUGH OPENING DOES NOT INCLUDE SUBSILL, ROUGH OPENING DOES NOT INCLUDE SUBSILL, ROUGH OPENING MEASUREMENTS AND PRICING FOR STAND-ALONE WUDHT UNITS MUST BE ADJUSTED. MAS VIEWED FROM THE EXTERIOR QUOTEI; 00000004 QTY; 1 MARK UNIT - "B" 1ST UNIT IN PARKING LOT CONTINUED ON NEXT PAGE I rt 483 P. o Version 6.16 MARVIN WINDOW QUOTE 03/28/00 Shepley Wood Products 75 Benjamin Franklin Hyannis, Ma 02601 *** CAUTION: IT IS RECOKMENDED THAT A MINXMUM OF 1/4 INCH BE ADDED w** *�* TO THE ROUGH OPENING HEIGHT WHEN USING MARVIN SILLGUARD *** **r UNIT AVAILABILITY AND PRICE SUBJECT TO CFANGE *** *** NET PRICE (in USD) *** PAGE 5 PROJECT: Colombo-Wood Options 032708 a RO 71 3/9" X 74 7/8" - 2W2H **Ai ;1 UDHT CN 3020 IG - 1 LITE LOW E II W/ARGON ADD FOR CLEAR SILL & BS 1 1/8" RECT SDL - W/SPACER BAR - STD CUT 3W2H PR PINE EXT. - PR PINE INT. **A2 W UDHT CN 3020 IG - 1 LITE LOW % Ix W/ARGON # ADD FOR CLEAR SxLL fi SS 1 1/8" RECT SDL - W/SPACER BAR - STD CUT 3W2H PR PINE EXT. - PR PINE INT. • **Bl 'A' UDH CN 3020 **81 G.S. 30" X 20" IG - 1 LITE LOW E II W ARGON 1 1/8" RECT SDL - WISPACER BAR - SPC CUT 2W1H PR !SINE EXT. PR PINE INT. **S2 G.S. 30" X 20" IG - 1 LITE LOW E II W/AP.GON * ADD FOR CLEAR SILL & BS WH SASH LOCK SCREEN STONE WHITF SURROUND CHARCOAL FIBERGLASS MESH **B2 W UDH CN 3020 **S1 G.S. 30" X 20" IG - 1 LrTE LOW E II W/ARGON l 1/8" RECT SDL - W/SPACER BAR - SPC CUT 2WIH " PR PINE EXT. - PR PIKE TNT. **S2 G.S. 30" X 20" IG - 1 LITE LOW E II W/ARGON # ADD FOR CLEAR SILL & B8 . WR SASH LOCK SCREEN STONE WHITE SURROUND CHARCOAL FIBERGLASS MESH CONTINUED ON NEXT! PAGE "inn•^L'JvLVv..y1. 7 Tiniri 'HL; L L 1 i innr,I i;v 11u. -tUJ I i t MARVIN WINDOW QUOTE 03/28/08 Shepley W00d ProdUCCs ' 75 Beni=in Franklin Hyannis, Ma 02601 *** CAUTION; IT IS RECOMMENDED THAT A MINIMUM OF 1/4 INCH BE ADDED *** *" TO THE ROUGH OPENING HEIGHT WHEN USING MARVIN SILLGUARD *** UNIT AVAILABILITY AND PRICE SU8JECT TO CHANGE *** *** NET PRICE (in U$D) PAGE 6 eRo�'ECT: Colombo Wood options�0327d8_a NO INSTALLATION METHOD 4 9/161' JAMBS PR PINE INTERIOR PR PXNE EXTERIOR BM,C 0 ADD FOR CLEAR Wn'8063 THICK 6 PROJECTED SUBSILL TOTAL NET PRICE . 2,Oo8.61 S NON SYSTEM GENERATEb PRICING AS VIEWED FROM TFi'E EXTERIOR QUOTE; 00000005 QTY: 3 MARK UNIT - "Er" SIDE PARKING LOT RO 73" X 75 11/16" - 2W2H **Al ' AWN - ROM OPERATING RO 37" X cN 28 STD CN 36 WIDTH TG - 1 LITE LOW E II W/ARGON 1 1/8" RECT SDL - W/SPACER BAR STD CUT 3W2H PR PINE EXT. - PR PINE INT. WH FOLDING HDLE W/COASTAL HDWE INTERIOR SCREEN WHITE SURROUND CHARCOAL FIBERGLASS MESH **R2 W AWN - ROTO OPERATING RO 37" X CN 28 STD CN 36 WIDTH IG - 1 LITE LOW E IT W/ARGON 1 1/8" RECT SOL - WISPACER BAR - STD CUT 3W21H PR PINE EXT. - PR PINE INT. WH FOLDING HDLE W/COASTAL HDWz INTERIOR SCREEN WHITE SURROUND CHARCOAL FIBERGLASS MESH. , £ CONTINUED ON NEXT PAGE t II,I•'t, L ,, Lv VU 7 ?Jr,l}I V:I LI LL I / I!1.^.I',! I Itl V, YUJ I L I Version 6,16 N!ARVIN WINDOW QUOTE 03/28/08 Shepley wood Products 75 Benjamin Franklin Hvannis, Ma 02601 ** CAUTION: IT I9 RECOMMENDED THAT A MINIMUM OF 1/4 INCH BE ADDED www *** TO THE, ROUGH OPENING HEIGHT WHEN USING MARVIN 3ILLGUARD www *` UNIT AVAILABILITY AND PRICE SUBJECT TO CHANGE *** y** NET PRICE (in U3D) *** PAGE 8 PROJECT: Colombo—Wood Options 032708 a AS VIEWED FROM THE EXTERIOR QUOTE: 00000007 QTY; 1 MARK UNIT - DOOR 41 SIDE PARKING LOT WCD - X - RHR CN 3070 RO 39 3/16" X 85 9/16" RAISED VISXBLE PNL' HT-24 9/16 IC - 1 LITE TEMP LOiA E II W/ARG NO LOCK NO BORE SC (U926D) BB HINGE-STEED, BEIGE WEATHER STRIP MF PEMKO 3452CP SWEEP MF 1/2" SADDLE,PEMKO 253X4AFG NO INSTALLATION METHOD 4 9/161' J'AM83 # ADD $274.00 FOR 3W3H LITE CUT ON DOOR (NOT INCLUDED IN THIS # TOTAL) PR PINE INTERIOR PR PINE EXTERIOR BMC - NO FJ TOTAL NET PRICE 2,386.29 NON SYSTEM GENERATED PRICING Active AS VIEWED FROM THE SECURED SIDE QUOTE: 00000008 , QTY: 1 MAPA UNIT DOOR 01 SIDE PARKING LOT CONTINUED ON NEXT fP.GE I i?u:n• LV• LVVU 7 Ti!-:]}l V l:l Li.!' . Mr,11I 1!1 9u. Yu.) 1 LL version b.16 MARVIN WINDOW QUOTE 03/26/08 Shepley Wood Products 75 Benjamin Franklin Hyannis, Ma 02601 *** CAU^ION: IT IS RECOMMENDED THAT A MINIMUM OF 1/4 INCH HE ADDED *** *** TO THE ROUGH OPENING HEIGHT WHEN USING MARV?N SILLGUARD ** UNIT AVAILABILITY AND PRICE SUBJECT TO CHANGE '"** *** NET PRICE (in USD) *** PAGE 9 PROJECT: C010mbo—Wood Op:ions_032708 a WCD - X - LHR CN 3070 RO 39 3/16" X 85 9/16" RAISED VISIBLE PNL HT-24 9/16 IG - 1 LITE TEMP LOW E II W/ARG NO LOCK NO BORE SC (US26D) AB HINGE-STEEL BEIGE WEATHER STRIP MB' PEMKO 3452CP SWEEP MF 112" SADDLt-FEMKO 253X4AFG NO INSTALLATION METHOD 4 9/16" JAMBS # ADD $274.00 FOR MH LITE CUT ON DOOR (NOT INCLUDED IN THIS # TOTAL) PR PINE INTERIOR PR PINE EXTERIOR E BMC - NO Fu- TOTAL NET PRICE 2,386,29 $ NON SYSTEM GENERATED PRICING Active AS VIEWED FROM THE SECURED SIDE QUOTE: 00000002 QTY: 1 MARK UNIT - "C" REAR, KITCHEN (TEMP LEFT RO 10911 X 36 9/16" - 3WIR **Al W AWN - ROTO OPERATING CN 3636 IG - 1 LITE TEMP LOW E II W/ARG 1 1/8" RECT SDL - W/SPACER BAR - STD CUT 3W2H PR PINE EXT. - PR PINE INT. WH FOLDING HDLE W/COASTAL HDWE INTERIOR SCREEN WHITE SURROUND CHARCOAL F18BRGLASS MESH CONTINUED ON NEXT PAGE L'U. LVVV IV `tUnlTI VI.I LI LLI / Mn 1%T 114 Itl U. °tUJ I , L Veveiof1 6,16 MARVIN WINDOW QUOTE 03/20/08 Shepley Wocd Fxoducto 35 Benjamin Franklin Hyannis, Ma 02601 *** CAUTION: IT IS RECOMMENDED THAT A MINIMUM OF 1/4 INCH BE ADDED «** *�* TO THE ROUGH OPENING HEIGHT WHEN USING MARVIN SILLGUARD *** ** UNIT AVAILABILITY AND PRICE SUBJECT TO CHANGE *** *** NET PRICE (in USD) *** PAGE 10 PROJECT; Colombo—Wood Options 032708 a **A2 W AWN - ROTO OPERATING ON 3636 IG - 1 LITE LOW E II W/ARGON 1 1/811 AECT SDI, - W/SPACER BAR - STD CUT 3W2H PR PINE EXT. - PR PINE INT. WH FOLDING HOLE W/COASTAL HDWE INTERIOR SCREEN WHITE SURROUND CHARCOAL FIBERGLASS MESH **A3 W AWN - ROTO OPERATING CN 3636 XG - 1LI'TE LOW E II W/ARGON 1 1/811 RECT SDL - W/SPACER BAR - STD CUT 3W2H PR PINE EXT. - PR PINE IN'T. WH FOLDING HOLE W/COASTAL HDWE INTERIOR SCREEN WHITE SURROUND CHARCOAL FIBERGLASS MESH NO INSTALLATION METHOD 4 9/16" JAMBS PR PINE INTERIOR PR PINE EXTERIOR BMc - No FJ ADD FOR CLEAR W8596 THICK & PROJECTED SUBSILL TOTAL NET PRICE 2,192.81 # NON SYSTEM GENERATED PRICING AS VIEWED FROM THE EXTERIOR SUB TOTAL; 28,313.84 5.000% SALES TAX: 1,415.b9 PROJECT TOTAL NET PRICE: 29,729.53 I . 1 [ 1 3LE AFT 6 , 2 lfi MAR 3 ► FM 3: 53 WILLIAMS -7, CORP. s1 Og �y._D( ° S S ASSESSORS MAP 308 " <.J SSE SO ST, CORP. PARCEL e61 -• .. t I ASSESSORS MAP 308 . A. F�f{,`?I.�.I 1i pi 7Sy O PARCEL Z62 c 4� B 4j LOCUS - \ ` NOT TO SCALE BRICK BUILDING IR I I.JILLIAMS ST, CORP. FND S2344'38'£ 185.00' N f ASSESSORS MAP 308 0 I PARCEL 75 • I �� �` �-T--I-T-i i-T--1'T-r'I-T-1 � rn LEGEND I l+ I I I I I I I I I I I I JI 50.9 X SPOT ELEVATION C.H.0 CATCH BASIN f 11 s ---- --- -'-- _ 13 tNa � DMH6 DRAINAGE MANHOLE e f - --- _—_ --_, _-- — 13 _—SMH® SEWER. MANHOLE I �\\ ro c.. TMH(D TELEPHONE MANHOLE IR -_-7 �.�\ 6 LP LIGHT POLE I FND 10 UPL O0'E 373.04 UTILITY POLE/ LIGHT - o0—� f 57705' ' --- --- UPI., UTILITY POLE/ LIGHT h TRANSFORMER - f - -_ --_ _ IR UPT UTILITY POLE /TRANSFORMER 1 j t 17 — FND UP I m t` 7 ry POLE OT TL I . 3 W OVERHEAD ELECTRIC LINE .. 3 O t7 o EHH ELECTRIC HANDHOLE I §2` 5 OO -- --- `T' GAS O�GMET — GAS METER � GAS GATE m WG ® WATER GATE a i O �- -► - - _ I T \ WATER UNE I o f 206.T' REDUCE EASEMENT EXISING .mCURBCU .. h0'D HYDRANT OPENI T NG . f �of I < S I UNIT I A�. ml SU?ERMARKET FIRST FLOOR f 2 + y 500 S.F. I I � r! %851 S.F. (� UNIT 2 z2 - _ - q f f I I 3 1 584 SF I _ _ m UNI* 3 } «. < uyu S F. �. I ��• 13 27 , 0 I 13 12 12 13 EXISTING O PLANET FITNESS • I 10,000 S.F, COLLEGE .`{ 1:A00 S.F. I I UNIT 4 FFk W t t 4 I m 3 334i S.F. f � 1 t -0 I I 1 STORY BRICK BUILDING I 2 N/F RCALTY, e C •PPtiPo SED ( I J/ ASSESSORS MAP 308 .�a 9.0110 ".f. 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Username: STARLIT Transaction ID: 174045 Document: BWP -Demolition Form for AQ-06 Size of File: 137.994 K Status of Transaction: 'SUBMITTED Date and Time Created: 4/2/2008::2:20:01 PM Note: This file only includes forms that were part of your transaction as of the date and time indicated above. If you need a more current copy of your transaction, return to eDEP and select to "Download a Copy" from the Current Submittals page. I I - Massachusetts Department of Environmental Protection Bureau of Waste Prevention . Air Quality 1100070122 Decal Number BWP AQ 06 Notification Prior to Construction or Demolition Important:When A. Applicability filling out 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 regulated by the Department of Environmental Protection cursor-donot 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. Alf B. General Project Description 1, a. Is this facility fee exempt-city,town, district, municipal housing authority, owner-occupied Instructions residence of four units or less? Yes ❑✓ No 1.All sections of b. Provide blanket decal number if applicable: this form must be Blanket Decal Number completed in order to comply with the 2. Facility Information: Department of UNIT 1 CONDO-CAFE/BISTRO Environmental Protection a.Name notification 1544 MAIN STREET requirements of b.Address 310 CMR 7.09 BARNSTABLE MA 02601 c.Cit frown d.State e.Zip,Code 5083677670 f.Tele hone Number area code and extension .E-mail Address(optional) 2652 1 h.Size of Facility in Square Feet i.Number of Floors j. Was the facility built prior to 1980? Q Yes ❑ No k. Describe the current or prior use of the facility: RETAIL _ I. Is the facility a residential facility? ❑ Yes E No �o m. If yes, how many units? _ Number of Units -O 3. Facility Owner: 9-N DAVE COLOMBO �o a.Name �0 488 SOUTH STREET b.Address HYANNIS MA 02601 .Ci[ frown d.State e.Zi C d 0 5083677670 f.Tele hone Number area code and extension .E-mail Address optional _C DAVE COLOMBO �Q h.Onsite Manager Name ag06.doc •10102 BWP AQ 06 -Page 1 of 3 (l, Massachusetts Department of Environmental Protection Bureau of Waste Prevention . Air Quality 100070122 BWP AQ 06 Decal Number 'i Notification Prior to Construction or Demolition General Statement:If B. General Projectp Description Cont. asbestos is found during a Construction or 4. General Contractor: Demolition PHILIP M. MILLER,JR. operation,all responsible parties a.Name must comply with P.O. BOX 726 310 CMR 7.00, b.Address 7.15,and Chapter FALMOUTH MA 02541 Chapter 21 E of the General Laws of c.Cit /Town d.State e.Zip Code the Commonwealth. 15089326235 phil@millerstarbuck.com This would include, f.Tele hone Number area code and extension .E-mail Address(optional) but would not be limited to,filing an JPHILIP M. MILLER,JR. asbestos removal h.On-site Manager Name notification with the Department and/or a notice of releasefthreatof release of a C. General Construction or Demolition Description hazardous substance to the 1. Construction or demolition contractor: Department,if applicable. MILLER STARBUCK CONSTRUCTION, INC. a.Name 766 FALMOUTH ROAD b.Address MASHPEE MA 02649 v c.Cit /Town d.State e.Zip Code 50853911241 Ijessica@millerstrbuck.com f.Telephone Number(area code and extension) g.E-mail Address(optional) PHILIP M. MILLER,JR. h.On-site Manager Name 2. On-Site Supervisor: PHILIP M. MILLER,JR. On-Site Supervisor Name 3. Is the entire facility to be demolished? ❑ Yes ✓❑ No �N -0 4. Describe the area(s)to be demolished: �o (1) EXTERIOR WALL REMOVE THE DRYWALL �o 0 5. If this is a construction project, describe the building(s) or addition(s)to be constructed: �0 BUILT-OUT RESTAURANT �0 0' �Q L ag06.doc •10/02 BWP AQ 06 -Page 2 of 3 Massachusetts Department of Environmental Protection \ Bureau of Waste Prevention • Air Quality 1100070122 Decal Number BWP AQ 06 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)? ❑ Yes ❑✓ No If yes,who conducted the survey? b.Survevor Name c.Division of Occupational Safety Certification Number 4/15/2008 � 6/15/2008 7. Construction Or Demolition: a.Start Date(mm/dd/yyyy) b.End Date(mm/ddlyyyy) 8. a. For demolition and construction projects, indicate dust suppression techniques to be used: ❑ seeding ❑ paving b. If other, please specify: ❑ wetting ❑✓ shrouding ❑ covering ❑ other 9. For Emergency Demolition Operations,who is the DEP official who evaluated the emergency? a.Name of DEP Official b.Title c.Date mm/dd/ of Authorization d.DEP Waiver Number D. Certification I certify that I have examined the JESSICA STEIGER -o above and that to the best of my a.Print Name �o knowledge it is true and complete. IJESSICA STEIGER The signature below subjects the b.Authorized Signature N signer to the general statutes OPERATIONS MANAGER �o regarding a false and misleading c. osition ite o statement(s). 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'..:.: - .psi TOWN OF BARNSTABLE BAR-W '32 Ordinance .or Regulation WARNING NOTICE Name of Offender/Manager.y ,. �T�: l Co�O Q; Address of Offender MV/MB Reg.# Village/State/Zip , . Business Name )1 0rnJu.S � V GAS C ,- am p� on 200 Business Address, � k-I-{- () .t�:b�� Signature .of-Enforcing Officer Villa.ge/State/Zip Location of, Offense S+ rx'l J4( a/1n,1_S ,t'.. !/� !✓ -� (� Enforcing(Pept/Division Offense been 't cu Facts �'��1GCA. tA KJak���' `�`� . ' This will serve only as a warning. At this time no legal action has been taken. ' It is the goal of Town agencies to achieve voluntary compliance of Town Ordinances, Rules and Regulations. Education efforts and warning notices are attempts to gain voluntary compliance. : Subsequent violations will result in appropriate legal action by the Town WHITE OFFENDER LCANARY ORD/REG PROG PINK ENFORCING _ OFFICER GOLD ENFORCING DEPT. f r i ` i r TOWN OF BARNSTABLE' BAR-W Q5 IS 7 8 Ordinance or Regulation WARNING .NOTICE Name of Offender/Manager Address of Offender MV/MB Reg.# Village/State/Zip Business Name e.0 cP �-�r ca,S ,by /pm; on Af4y 15 20,/0 Business _ Signature of Enforcing Officer Village/State/Zip Location of Offense ( � Enforcing Dept/Division Offense- Facts 45;'Fe ✓r�you �i 6 n! r 7',�r U cJs e ., 1 .� ,s rj� This will serve only as a warning. At this time no legal action has been taken. It is the goal of Town agencies to achieve voluntary compliance of Town Ordinances, Rules and Regulations. Education efforts and warning notices are attempts to gain voluntary compliance; Subsequent violations will result in appropriate legal action by the Town. 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(*-..... \,rn'tiriw-y�.-..gc".,,r...+^'}.,..ar+ r,�� ^r:Frra-."-- ,--.-�.� TOWN OF BARNSTABLE BAR-W Ordinance or Regulation WARNING NOTICE Name of Offender/Manager Address of Offender MV/MB Reg.# f. Village/State/Zip Business Name �'',� t, r» 4 'U am9 pm, on AA20/0 BSiness Address, T 7 / �q�+,t/ " � 3 Signature of Enfbrcing Officer t Village/State/Zip &/'0'V-."'f1 Location of Offense.' L4 f n 144(("-)n0'_ S Al jj�- f Enforcbg Dept/Division Offense •���'~ 1/0 Facts 4rr-r,0 t,4b rW- ,�l.4 e 4U ✓S This will serve only as a warning. At this time no legal action has been taken. It is the goal of Town agencies to achieve voluntary compliance of Town Ordinances, Rules and Regulations. Education efforts and warning notices are attempts to gain voluntary compliance. Subsequent violations will result in appropriate legal action by the Town. WHITE-OFFENDER CANARY-ORD./REG.-PROG. PINK-ENFORCING OFFICER GOLD-ENFORCING DEPT. ,. ..�.w .y .:..,::.. >:!^:r .:. .r. .§vk7•.K"" 7 ^ vx w�;^ _..z.nt.-{.'rWC'^?'s,"F.7 n,. - TOWN OF BARNSTABLE BAR-W 632 Ordinance or Regulation WARNING NOTICE � tJ f.y Name of Offender/Manager '' 1(1r1 dob of Offender MV/MB Reg.# Village/State/Zip SS# Nmeo__L��; t _r U,_. . (, t -- am/pm, on i' 20 a Business Address,,_T 4, n ui. Signature of`Enforcing Officer AVillage/State/Zip Location of Offense-3 1+q �kk,y� { Enforcingept/Division Offense o-) l(ccy U ; r� t ( Facts � e(la.• i t�,�` '�'�,.c a i P r t �. _. U Th °s will serve only as a warning. At this time no legal action has been taken. It is the goal of Town agencies to achieve voluntary compliance of Town Ordinances, Rules and Regulations. Education efforts and warning notices are attempts to gain voluntary compliance. Subsequent violations will result in appropriate legal action by the Town. WHITE-OFFENDER CANARY-ORD./REG.-PROG. PINK-ENFORCING OFFICER GOLD-ENFORCING DEPT. I Jefferson Group Architects, Inc. Wayne J. Jacques, AIA ISD AF 8 ARCHITECTURAL FINAL AFFIDAVIT To the Inspectional Services Commissioner: I certify that I, and/or my authorized representative,have inspected the work associated with Permit No.B 20081365 dated 7-03-08,for the Physical Therapy Office tenant space located at 544 Main Street, Hyannis,MA,on the dates noted below during construction, and that to the best of.my knowledge, information, and belief the work has been done in conformance with the permit and plans approved by the Inspectional Services Department and with the provisions of the Massachusetts'.State Building Code and all other pertinent laws and ordinances. Wayne J.Jacques,AIA, Architect—Mass. Reg.No.6935 Jefferson Group Architects. Inc. 700 School Street,Unit 2 Pawtucket,RI 02860 401-721-2245 Inspection Dates: 11/10/08 and 1/06/09 Then personally appeared the above-named VV 4 Yl p� �• �l� � and made oath that the above statement by him is true. Before me; My Commission expires:Ame, L4 1 D® 20 0 c Eo AI?o'e C C�. Ov'1®o cn B®;T®P9 o MA �e 700 School Street Pawtucket,RI 02860 (401)721-2245 Fax (401)721-2238 AFA-2008-05 Physicai Therapy.doc Town of Barnstable Building Department - 200 Main Street t Hyannis, MA 2601 9$A 1639. (508) 86 038 Certificate of Occupancy TEMP C00 Application 200803346 CO Number: 20080149 Parcel 10: 308074 CO Issue Date: 08101/08 Location: 544 MAIN STREET (HYANNIS) Zoning Classification: HYANNIS VILLAGE BUSINESS DIST Owner: AMADAN LLC Proposed Use: 250 FIRST AVENUE, SUITE 200 NEEDHAM, MA 02494 Gen Contractor: OCEANSIDE CONSTRUCTION & DEV Permit Type: COMM TEMPORARY CO PO BOX 159 MARSTONS MILLS, MA 02648 Comments: 90 DAYS FOR CAPE COD COMMUNITY COLLEGE Building Department Signature Date Signed �o��HET�w TOWN OF BARNSTABLE gin. o g , Application Ref: 200803346 • * BARNSTABLE, + Issue Date: 07/03/08 Permit y MASS. QpA 1639• Applicant: OCEANSIDE CONSTRUCTION&DEV Permit Number: B 20081365 rFG MAC� Proposed Use: DEPARTMENT DISCOUNT STORE Expiration Date: 12/31/08 Location 544 MAIN STREET(HYANNIS) Zoning District HVB Permit Type: COMMERCIAL ADDITION ALTERATION Map Parcel 308074 Permit Fee$ 2,730.00 Contractor OCEANSIDE CONST UG—T-1 j N&DEV Village HYANNIS App Fee$ 100.00 License Num 48102 Est Construction Cost$ 300,000 Remarks APPROVED PLANS MUST BE RETAINED ON JOB AND INTERIOR FIT UP PER DRAWINGS TO INCLUDE MEZZININE THIS CARD MUST BE KEPT POSTED UNTIL FINAL CAPE COD COMMUNITY COLLEGE 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 A NEEDHAM, MA 02494 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. ENCROACHEMENTS ON PUBLIC PROPERTY,NOT SPECIFICALLY PERMITTED UNDER THE.BUILDING CODE,MUST BE APPROVED BY THE JURISDICTION. STREET ORALLY GRADES AS WELL AS DEPTH AND LOCATION OF PUBLIC SEWERS MAY:BE OBTAINED FROM THE DEPARTMENT OF PUBLIC WORKS., THE ISSUANCE"OF,THIS PERMIT.DOES NOT RELEASE THE APPLICANT FROM THECONDITIONS 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 1 1S 2 2 2 � 3 J !0'F O r� 1 Heating Inspection Approvals Engineering Dept Fire Dept GO Tom'"/'Cjb 2 Board of Health Roma, Paul From: Shea, Sally Sent: Thursday, July 31, 2008 2:10 PM To: Roma, Paul; Perry, Tom Subject: FW: C/O and Temp C/O -----Original Message----- From: Lt. Don Chase [mailto:dchase@hyannisfire.org] Sent: Thursday, July 31, 2008 11:28 AM To: Shea, Sally; Perry, Tom Subject: C/O and Temp C/O Hi, 1) All set for temp C/o to occupy and fixture the 500 block (544) for Cape Cod Community College. Did the final with all contractors and have received all paperwork related to the same. Signed the bld. permit. We figured you were going to permit each tenant fit out as a separate permit so this one is done. Eagerly awaiting the next tenant. 2) All set for final C/O for 230 Ocean St. - new Hy Line building. All final details have been taken care of including the last sprinkler work on the deck. Receiving paperwork as you read this. They couldn't find the bld. permit for me to sign. Might have been turned in for their temp C/O. Thanks Don 1 Jefferson Group Architects, Inc. Wayne J. Jacques, AIA ISD AF 8 ARCHTFECTURAL FINAL AFFIDAVIT To the Inspectional Services Commissioner: I certify that 1, and/or my authorized representative, have inspected the work associated with Permit No.B 2008 1365 dated 7-03-08,for the Cape Cod Community College tenant space located at 544 Main Street,Falmouth,MA,on the dates noted below during construction, and that to the best of my knowledge, information, and belief the work has been done in conformance with the permit and plans approved by the Inspectional Services Department and with the provisions of the Massachusetts State Building Code and all other pertinent laws and ordinances. Wayne J. Jacques, AIA, Architect—Mass. Reg.No.6935 Jefferson Group Architects. Inc. 700 School Street,Unit 2 Pawtucket,RI 02860 401-721.-2245 Inspection Dates: 4-1-08, 5-22-08, 7-1-08 and 7-28-08 Then personally appeared the above-named e t^&s and made oath that the above statement by him is true. Before me; My Commission expires: . \.& 20-D' - _ D Aqr, JOHN J4 rc� �OGNc,, NO.06935 BOSTOP6 -�-- / OF 700 School Street Pawtucket,RI 02860 (401)721-2245 Fax (401)721-2238 AFA-2008-05.doc TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Ln ~' HY f Map Parcel C 00, RD Elff Application # 4 � 7 Health"Division HYANN115,MA,02601 Date Issued 7 0� Conservation;Division Application F Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board Historic'- OKH Preservation/ Hyannis ya s Project Street Address Village tAyA11(lt S Owner 6C>%D 5 Address. Telephone -7-7 e> 00 Permit Request , Square feet: 1 st floor: existing proposed 2nd floor: existing propos V Total new Zoning District Flood Plain Groundwater Overlay Project Valuatio c Construction Type t Lot Size Grandfathered: U Yes ❑No If yes, attach suppo ing doWment tion. Dwelling Type: Single Family .❑ Two Family ❑ Multi-Family (# units) Y_/ ' ¢ � Age of Existing Structure 6'�_ Historic House: ❑Yes L Ne On Old King's Hiig, way: Yes 1 dSIQ Basement Type: 4FUII ❑ Crawl ❑Walkout ❑ Other d� Basement Finished Area(sq.ft.) Basement Unfinished Area (sq.ft) .. a Number of Baths: Full: existing new Half: existing never, r Number of Bedrooms: existing _new Total Room Count (not including baths): existing new First Floor Room Count Heat Type and Fuel:-has ❑ Oil ❑ Electric ❑ Other Central Air: ^s ❑ No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑ No Detached garage: ❑ existing ❑ new size_Pool: ❑ existing ❑ new size _ Barn: ❑ existing ❑ new size_ Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial -a*fes ❑ No If yes, site plan review# Current Use Proposed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name lL ,l5�nc �'"'�� �� Telephone Number `7 7<1 23 J1 P -� Address License# ( I- Sko Z- �1�r25�vy� �'✓1 `� ✓� 02-6 Y i- Home Improvement Contractor# Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO 06CC..A Q_Yt�Iz SIGNAQURE DATE 23 02� FOR OFFICIAL USE ONLY APPLICATION# ATE ISSUED w ` I r IMP/PARCEL NO. r • ADDRESS VILLAGE r OWNER DATE OF INSPECTION: FOUNDATION FRAME`.� I INSULATION FIREPLACE! ELECTRICAL: ROUGH FINAL - r ROOMING: ROUGH FINAL GAS: ROUGH FINAL - -FINAL BUILDING DATE CLOSED OUT t , ASSOCIATION PLAN NO. 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 Legibly Name(Business/Organization/Individual): ®�� L�i ►: C���'L `C �1C�A3�-�e��e`�1� 1 Address: c ci '05 City/State/Zip: 6n2n/I. -S Phone.#: A L t Are you an employer? Check the appropriate bog: Type of project(required): LO'Y—am a employer with 4. ❑ I am a general contractor and I � yer w 6. ❑New construction . employees(full and/or part-time).* have hired the sub-contractors 2.El am a sole proprietor or partner- listed on the attached sheet 7. ❑ Remodeling ship and have no employees These sub-contractors have g. ❑Demolition workingfor me in an capacity. employees and have workers' Y P tY• � 9. ❑ Building addition [No workers' comp.insurance comp. insurance. required] 5. ❑ We are a corporation and its 10.❑ Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their 11.❑ Plumbing repairs or additions myself. [No workers' comp. right of exemption per MGL 12.❑Roof repairs insurance required.] t c. 152, §1(4),and we have no employees. [No workers' 13.❑ 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 subrnit anew affidavit indicating such. $Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the subcontractors have employees,they must provide their workers'comp.policy number. Iam an employer that isproviding workers'compensation insurance for my employees. Below is thepolicy andjob site information. Insurance Company Name: Policy#or Self-ins. Lie.#: Expiration Date: Job Site Address: City/State/Zip: Attach a copy of the workers' compensation policy declaration page(showing the policy number and 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 erti u�d r the pains and penalties of perjury that the information provided above is true and correct Si tore: Date: NJ Phone#: 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: P an employee Pursuant to this statute t ee is defined as"...every person in the service of another under any contract of hire, o 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 form 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 Lumber 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 io 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 Department of Industrial Accidents Office of Investigations 600 Washington Street Boston,MA 02111 Tel. #617-727-4900 ext 40,6 or 1-877-MASSAFE Fax# 617-727-7749 Revised 11-22-06 www.rnass.go v/dia ti Town of Barnstable • sARNSTABLF. ' `e$ Regulatory Services ArfD MAI A Thomas F.Geiler,Director Building Division Thomas Perry,CBO Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 568-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder I, G4'z'o 016 , as Owner of the subject property hereby authorize �,G�(1 ' to act on my behalf, in all matters relative to work authorized by this building permit application.for: jMqJ A-7 511F (Address of Job) S' a er D e Print Name Q:\WPFILES\FORMS\building permit forms\EXPRESS:doc Revise020108 jT Town of Barnstable Regulatory Services saxrrsTnat s Thomas F.Geiler,Director 1' : ��� Building Division AlF p �A Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.b am stable.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 The current exemption for"homeowners"was extended to include owner-occupied dwellings of six units or less and to allow homeowners to engage an individual for hire who does not possess a license,provided that the owner acts as supervisor. DEFINITION OF HOMEOWNER Person(s)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 109.1.1) ' The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other applicable codes,bylaws,rules and regulations. 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 ; 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 person(s)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. Q:\WPFILES\FORMS\homeexempt.DOC JUN-23-2008 14:36 PAUL PETERS MASHPEE 5084776498 P.001i001 ACORD. 311612008 RObUCr� TMIS IRTIRIMATE IS AS A MATTER RMATIpN I ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 4 Paul Petcus Agency lne. MOLDER-OLDE THI6 CERTIFICATE DOES NOT AMEND,67T1'I:ND OR 680 Falmouth ROxd ALTER THE CovMAGE AFFOR090 9Y THE POLICIES DELOw. fI Masbpee,MA 02649 (:OAF r A Atlantic Cha=Insurance Company V DAC IN�V�o COMPANY VCgnsidc CorotmWon,Inc. O COMPANY 419 River Road C Marstvns IvMb,MA 02649. COMPANY D TH1910 TO CERTIFY THE POLICIES OF w aURANC!L ISTIED BELOW IIAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICT PERIOD INDICATED. NOTIMITHSTANDINc ANY REOUIR61MCNT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPSCY TO WIIICII THIS CrinVICATB MAY BE ISSUED OR MAY P9ATAIN,TNLr INSURANCE AFFORDED BY THE POLCIE9 DESCRIBED HFJREIN 13 9U0JCCT TO ALL T149 TGAM3, E XCLUBION9 AND CONDITIONS OF 9UGH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CIJJW, CO TwE OF IALSURANCC POLICY NUMBER PouCV IIRCCTNB FOIaCV R PIRATION LAM LYR DATE(Mwowm DATE(MWDDIVY) (In TI'Iarwnds) 4lNCRAL LIAENLITY /ODILY INJURY om S COMPREHENUVE FORM - OONLYMUURYAQG 6 vPEM19EarOP6PAT10NG9 - PROPERTY DAMAGE OCC $ UNDCRGRDUND PRpPCRT`rDAMOGGACG S EXPLOSION&WLLAPSE MAZE BI&PD COMBINED OOC 6 PROOUCISrCOMPLCK00DCR 91aPgWPABINEDAGG 6 OONYRACTUAL OrMONAL MURYA= t INDEPENDENT CONIRACfOR9 BROAD FORM►R0PEAW DAMAGE oeRsorwLIwwY . ALproM0MLELIABIUTY _ BOONLYNNJVRY ANY AUTO (Per peman) S ALL OWNED AUTOS(P&MG Pee4) 60011Y INIUItY ALL OWN11D AUTOS (Per aaider,V S (Oagr elan PNwm Paean A PpOF6ATV DAMAGE NIRDD,CUTOS S NONaOWNED AUT03 900101wURY A CARA"LIANaIUTY PROPCMV DAMAGE FJLt�RS I-ASIIflY eJ H OOOURReNOe S UMBRELLA FORM A6GREpeTE i OTHER THAN UMBAOLIA FORM I S I WORRMCWLMATON� I WCV00617203 2/3/2008 2/3/2009 STATVTONt/LIIdNTS . I�rLvraCElwlLm I EACHAoa ENr s 11000,000 DISEASE- UCY LIMIT 6 `1'Ow 000 . D15EASE- EM YEE S 7 ,000,000 OTNEI DCSCRNPItoN OF OPepA'n0NaL0CATION5IVEHIC WWEC)AL 1-.MMS � s CL N ^y I A SHOULD ANY OF THE ABOVE 066CpU9eO POLICIES EC CANCELLED BEFORE THE Town of Bw=tublo. EXPIRATION DATE THEREOF,THE ISSUING COMPANY WILL ENDEAVOR TO MAIL Atin-Sally ShCB 12 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED To THE L5PT, 200 Man St BUT FAILURE TO MAIL SUCH NOTICE SHALL IMP#SE NO 09UGATION OR LIABILITY Hyannis,MA 02601 OF ANY KIND UPON THE COMPANY.ITS AGENTA OR RE RESENTATIVE6. AVTIIORILCD WRGOCNTATIVE znn/IonlDl 9NIII8983ONn 1.09888VL19 XVJ 0£:8Z 800Z/LL/8o TOTAL P.001 �„(' "',�,.. �. !".--p::.:. t•, _ - »:-.; .?..�: _:..;.+va r..-,;y..3.y3rwyyh-"f,�." s r-}„ r 9+ , 7:., k'a.,.r�-.A �ti' s.♦ ''t *„• •'r"'. - •w-fi. 'S". `�.�E• �� Town of B amstable * BARNSTABLE. Regulatory Services -� Building Division - 200 Main Street, Hyannis, MA 02601 Office: 508-862-4038 Fax: 508-790-6230 d Inspection Correction Notice Type of Inspection r Location �yy /� /�t/ . �� 64-1 ( Permit Number Owner Builder PA r 16C One:notice to remain on job site, one notice'on.file in Building Department. The following items need coffecting:,, h T Please call: 508-862-4 r 8 for re-inspection. Inspected by Date -/0 1 /08 `V1 Town ,,of Barnstable BARNSTABLE. Regulatory Services MASS-- 039. Building Division 200 Main Street, Hyannis,MA 02601 Office: 508-862-4039 Fax: 508-790-6230 Inspection Correction Notice Type of Inspection Location 6-/-/V Permit 'Number Owner Builder AA.r ?ZL11( �Q-4_L One-notice to remain on job site, one notice on file in Building Department. The following items need correcting:,, If-I&mac K I'VE i06 :5 r gie '11-9 �P rors L�tz Z;1 10C, 6" �5/IV ar WO 4k Please call: 508-8624B38 for re-inspection. Inspected by. Date ?/0 1, 409 Daniel E.Braman,PE 189 Harbor Point Road Cunumquid,MA 02637-0361 Phone(508)362-0016 May 2, 2008 David Columbo Roadhouse Cafe 488 South Street, Hyannis, MA 02601 Project: 9908 New Restaurant 544 Main Street Hyannis, MA On this date, at your request I made a site visit to the above construction site. The purpose of the visit was to evaluate the renovation construction in its present condition. The inspection-included the final framing of the side windows, the reconstruction of the separation wall and the new framing in the basement. In my opinion the renovations meet the approved construction drawings and the Massachusetts State Building Code requirements and has been well constructed. Daniel E. Brama B � N _ �S E� f'�► Daniel E.Braman,PE 189 Harbor Point Road Cummaquid,MA 02637-0361 Phone(508)362-6016 May 2, 2008 David Columbo Roadhouse Cafe 488 South Street, Hyannis, MA 02601 Project: 9908 New Restaurant 544 Main Street Hyannis, MA On this date, at your request I made a site visit to the above construction site. The purpose of the visit was to evaluate the renovation construction in its present condition. The inspection included the final framing of the side windows, the reconstruction of the separation wall and the new framing in the basement. In my opinion the renovations meet the approved construction drawings and the Massachusetts State Building Code requirements and has been well constructed. OF Daniel E. Braman, f4r� o EL E. p RAAM � w I TOWN OF BARN TAB t S LE BUILDING PERMIT APPLICATION66 , Map 3®$ Parcel' Application # Health Division Date Issued �'7 Conservation Division / Application F Planning Dept. Permit Fee "7L) Date Definitive Plan Approved by Planning Board Historic.- OKH Preservation / Hyannis Project Street,Address SO MA 114 4f Ahi If 1;W Village_11YAn44 V5 Owner JAVE GoLoMOp� ipG. Address ��8 �tJ'P 61'. 14YA1441S .�- Telephone Scof • 361 - 7bl o T Permit Request 9E.WA ex"71CW& FV*1141 IMP6 A PR WAU.fAa�4 ex 1src JUS 6 fUMe pAtLltifi;,A y App, hV W LAV rXMo DL9 LAV ' FRAME sxmawELL ort4I & Square feet: 1 st floor: existing gUVproposed 3AW.3, 2nd floor: existing proposed Total new Zoning District Flood Plain 744 Groundwater Overlay i-jo Project Valuation 9 . 000 Construction Type wom FRAMC. Lot Size 27 mep Lor L je Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family . ❑ Two Family ❑ Multi-Family(# units) G41MMe 411%4, Age of Existing Structure ?0 Historic House: ❑Yes ;i No On Old King's Highway: ❑Yes 91 No Basement Type: )(Full ❑ Crawl ❑Walkout ❑ Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) 22 560 Number of Baths: Full: existing__ new T16 — Half: existing new Number of Bedrooms: existing 4new Total Room Count (not including baths): existing Z new First Floor Room Count 2 Heat Type and Fuel: XGas ❑Oil ❑ Electric ❑ Other fV �j Central Air: XYes ❑ No Fireplaces: Existing New Existing wood/c3 oal stone ❑Yes ❑ No Detached garage: ❑existing ❑ new size_Pool: ❑existing ❑ new size _ Barn: ❑existing new, size_ < ; Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: :`i N7 Z` Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ ` Commercial Yes ❑ No If yes, site plan review# Current Use 1•A{L Proposed Use t-16S T-AL0J�► APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name Thieve MkiL01MI 4fAti 4(e� Telephone Number 539 tI2� k. 1Ne,, Address ro bwx 726 License# fl µ 3 3 3 �#44�,tialCiE M4 DZ 5411 Home Improvement Contractor# Worker's Compensation # 0 2 2 Vq 115 ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO &0016 LAIJ2 G. C. SIGNATURE DATE 0 t FOR.OFFICIAL USE ONLY ' i . APPLICATION# — .tiF DATE ISSUED MAP/PARCEL NO. t ADDRESS --VILLAGE-. - -'O..WNER DATE OF INSPECTION: FOUNDATION61. FRAME b�G JrO�D �f�' ®� J"Of d'/�/X5� 6/� �t9s nit �resru lnsala is ��`� d�t Ci rc+' S4pP. 6ckllr y 7QSHr 2• ,�iIJS 0 �l(JI zQk ''INSULATION S OK ® V, d ✓�:�t. FIREPLACE k ELECTRICAL: ROUGH 'FINAL _PLUMBING: ROUGH r FINAL r s GAS: ROUGH -FINAL FINAL BUILDING - - i r DATE CLOSED OUT ` ASSOCIATION PLANI.NO. :4 • 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 LeLib1Y Name(Business/Organization/Individual): Moe MluLt M1LA M !kAMVC4 C0_1-*t, 11vG. Address: fO 'I X 726 City/State/Zip:9(,p LO,MM. . 025 tI Phone.#: 6y$ 539 • I 1 Z'� Are you an employer?Check the appropriate box: Type of project(required): L�I am a employer with� 4. ❑ 1 am a general contractor and I _ 6. ❑New construction . employees(full and/or part-time).* have hired the-sub-contractors 2.❑ I am a'sole proprietor or partner- listed on the attached sheet. 7. ❑Remodeling ship and have no employees These sub-contractors have 8. ❑v Demolition working for me in any capacity. employees and have workers' 9 ❑Building addition [No workers'comp.insurance comp.insurance.# required.] 5. ❑ We are a corporation and its 10.❑Electrical repairs or additions 3.❑ I a homeowner doing all work officers have exercised their 11.❑Plumbing repairs or additions myself. [No workers' comp. right of exemption per MGL 12.❑Roof repairs insurance required.]t c. 152, §1(4),and we have no employees. [No workers' 13. Other !ham W�N Ou�S comp.insurance required.] ��RS *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-contactors and state whether or not those entities have employees. if the sub-contractors have employees,they must providt 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: A/A�S Policy#or Self-ins.Lic.M t>2-2- C Expiration Date: C>3 - 2'�' Oct- Job Site Address: ! WIN LAI S City/State/Zip: ©a4 3� 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 statemerit may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify under the pains and penalties ofperjury that the information provided above is true and correct �' Date: 3 -- Z&9' -O Si nature: — Phone# D 3 q Official use only. Do not write in this area,to be completed by city or town official City or Town: Pernut/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector F 6.Other Phone Contact Person: #• w F f ,Tbe Comp )jw*gM Ofmanwhaus page a 'iDiepatomw ofIndotrfalA�idents office of Itnvesttgwons 60 Wasa"n Street Bestanp Am Oull www mamgov/dia Workers' Compensation Insurance Affidavit: GeneralDiftesses ARD&RA va o o e R29L.-Jl:h an O!� �IL' OIF�Rt � ee) ��.:�� �T UN • � `� •r'�.�Iy�1`� � r r er V�'W3n IM IS Fonttdatiou � Address: ����`S.-�;-q-"i�-� -=�`O•�°C� Frame �..... .. c1tv not saoo aai - 7 TraAed .e 7 G C 3 in sh City poling 7 I / Load �LGvvr�rvo�Is &� ® Rb of Co� ����.�..... ...... • —;•C 1 dNA-OE63�•diJ6 - Q ofJ6�C."� o � : _ - o fl 8 _ ` .-.do's',_, - — - _.. .... .---. ...-- -• -•----- --.---��-.......__......___.___ _ --- .......... __... _.. --- Cod. 3 SG 5 _....... _ _.. . ..... .. --- - -- - _ i A-FF _. -,- _ - _ rss = _• _ -_ - -•-- — - - :oov •L » ueweJa •a Tatuea so 92 Jew r Ilk -- c:J_ li Nit�j�_� IL 77-717 _f ,- i ► - � ��.�-cam �- G�---;L-L---6�1��--t�L�'t�.+�L1-�'— 1 f 11 ► • ="r— =4 1 4-- - I - - - IDA ji C. - - -- CWjM—.Z.7'INA 1,7 V1 T- )-�fL � 06 7-7 77 sl ---------- A -1 H4 �t6 j Ilk I(Z 6�'j Ti I C5 ---------- T-1 f"Z .................. -ul —ci:*CD11C Olwl Code Chan ges are Coming! Use WINDSTORM,& Wall Sheathing and the MA Checklist! . REDUCE COSTS A , � BUILD FASTER y -Y, M R � INCREASE 3� PROFITS! h' . i1 �I ill X THE EXPENSIVE METHOD THE WINDSTORM METHOD • Nails and 4' x 8' panels • Nails & Windstorm panels • Blocking - Fidler strips • Code Checklist • Stud-to-plate connectors j • Increased labor & waste +.►; ;�� II' { I{li II �II I I � (' , � , I � , it a � I III �, II III III II I� � i � :,ill � II { i `I � I I www.WindstormOSB.com Norbord i ti Town of Barnstable • BaRrtsTa M • '""SS. i639. y RegQulator Services .0 b. Thomas F.Geiler,Director 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 Property Owner Must Complete and Sign This Section If Using A Builder I, E► Cot-o mf') a ,as Owner of the subject property hereby authorize L,If {AGE A to act on my behalf, in all matters relative to work authorized by this building permit application for. i�4q /*IPJ MYAr 146 (Address of J ) PJJ L Zq ot> Sig o er Date Print Name f Q:\WPFILES\FORMS\building permit forms\EXPRESS.doc Revise020108 -� ,,� T in a laoons an an a�s- B oar o u g gu One Ashburton Place - Room 1301 " Boston, Massachusetts 02108 Home Improvement- actor Registration Registration: 110373 - _ Type: Private Corporation Expiration: 10/20/2008 il# 133422 MILLER STARBUCK CONSTRUCTION1_NC PHILIP MILLER,JR. _ P.O. BOX 726 ' EAST FALMOUTH,' MA 02541 V Update Address and return card.Mark reason for change. �] Address [] Renewal Employment Lost Card CPS-CAI A SOM-07/07-PC8400 ✓k TOO4It»tOntllea b pB 00GSC�etI Board of Building RegalaHo(6�gS and Standards License or registration valid'tor Individul use only HOME IMPROVEMENT CONTRACTOR before the expiration date. Nfound return to: Board of Building Regulations and Standards Registration:,:110373 One Ashburton Place Rm 1301 EXp)[ation 'l0/20/2008 Tr# 133422 Boston,Ma.02168 ;Tape: Private Corpora8on MILLER STARBUCK CONSTRUCTION,INC. PHILIP MILLER,JR; 40 MILL POND WAY-;. Not vaild withoutsignature EAST FALMOUTH.MX&538 Administrator j t Mar. 28. 2008 3:53PM MILLER STARBUCK CONSTRUCTION No, 0134. P. 2 CERTIFICATE OF LIABILITY INSURANCE 03%ia zoo' PRODUCER (781)447-5S31 FAXC,781)447-7230 • THIS CERTIFICATE IS ISSUED AS A MATTER OFINFORMATION Mason 8r Mason Insurance Agency, Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 458.Scuth Ave. HOLDER,THIS CERTIFICATE DOES NOT AMEND EXTEND OR TER THE GOVEME AFFORDED BY JHF. Ea BELOW, Whitman, MA 02382 Gwen Vosburgh INSURERS AFFORDING COVERAGE NAIC# INSURED Miller Star uck.Construction,. Inc, INSURERA; Mountain Valley Indemnity Co. PO Box 726 INSURERS; Star Insurance 000704 Falmouth, MA 025.41 INSURER INSURER D! INSURER M . THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FORTHE POLICY PERIOD INDICATED.NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS; INSR WDIL TYPE OF INSURANCE POLICY NUMBER POLICY EPIC TIVH ►OLICY (RATION CLINKS GENERAL LIABILITY 328002915502 12/01/2007 12/02/2008 .EACH OCCURRRNCE s 11000.0001 X COMMERGAL GENERAL LIABILITY DAMAGE TO RENTED $ 100,000 CLAIMS MADE FX OCCUR MED'6XP(Anyone Penon) ' 3 5.000 A PERSONAL&ADV INJURY $ 1 QQQ QQ _GENERAL AGGREGATE $ 2 000 OO GEN1 AGGREGATE LIMIT APPLIES PER; PRODUCTS•COMPIOP AGG S 21000,000 POLICY dR70. 7 LOO AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ ANY AUTO (EB BEdtlenl) ALL OWNED AUTOS BODILY INJURY SCHEDULED AUTOS (Far person). $ HIRED AUTOS BODILY INJURY; NONdWNEDAUTOS (ParacddenQ $ PROPERTY DAMAGE $ (Par eaddsm) OARAGBLIABILIYV AUTO ONLY-EAACCIDM' $ ANYAUTO O'THERTNAN - EAACC $ AUTO ONLY; AGO L EXCEG$NMBRELLA LIABILITY EACH OCCURRCNCE S OCCUR' []CLAIMS MADE` AGGREGATE S S DEDUCTIBLE $ RETENTION _ S $ WORKERS COMPENSATION AND WCO220915 03/27/2008 03/27/2009 WC BTATU• OTH• EMPLOYERS'LIABILITY B 00 ANY PROPRIETORrPARTHFRIE(ECUTIVE E.L.EACH ACCR)EHT S 1OO O OFFICEWMEWER EXCLUDED? OFFICER OF CORP IS E.L.DISEASE-EA EMPLOYEE 10O 0O UII ea dscHEe under 'I�uePRDVISION below INCLUDED -E.L.DISEASE-POUCYLIMIT $ 500,000 OTHER , DESCRIPTION OP OP@RATIONS I LOCATIONS/VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS SHOULD ANY OF THE ABOV6 DESCRIBED POLICIES BE CANCEU-00 BEFORE THE BXPIRATWN DATE THEREOF,THB IG$UINO IN8UR5R WILL ENDEAVOR TO MAIL lO DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, .Town Of Barnstable BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIUATION OR LIABILITY 200 Main Street . OF ANV D UPO INSURER IT9 AGENTS OR REPRESENTATIVES, Hyannis, MA 02601 AUTHORIZE RK$ e ACORD 25(2001108) ®ACORD CORPORATION im NOV-13-2Ob( bb:5yk' hKUi'1:5(:lilttatt_ SLNLkVtL IN 15I9f3ff111bb3 IU:•15vi.7.Syi]= r.1 ACORD ri CERTIFICATE OF LIABILITY INSURANCE Ell/13/2007n 8CFR30sI, INBVAI►2dC8 ONLY AND CONFERS ND RIBS UPM THE CERTIFICATE 34 MR= 81 FiOiM TH S CERIMCATE DOES Wr AIAE'M, EXTEND OR ALTER THE CDVBIbBE AFFCROED BY 7HE POLICIES BEI.ONI. WEST. YAMMM, Imo► 0267E INStMMAFFCRUNGIGU R M NAK:IK bo BMti mk COLM � RabosGo >,laRia Jlmior Dba R J Paintingurswn&CAAWI171 8TATe 40 Wellesley Circle asuAssa se =0, Rysnnis, UK 02601 same COWERAOES 7HE POLICE8 OF MURAMCE LIB'W BELOW HAVE WBI MOM 7b DE <NNREO WM ABOVH FOR 7FE POLICY PERIOD WDIMM NOMNSTANDNG ANY FtECXN1BWff. 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PROPEM aMMSE llrw�MrR oAuosuAsurr AMa4V-Z%ACCWW s AwAm aTm7m rAAM s Auloasr, A= s. slessuraAs�sriuAsurY E cHoocesaEMm s -*A ❑ClA41d"m AOSREM12 s VEM CME s ao7amaN s s 8 CO>17!{tA7fOtASD sYtotrsruAsun WC 279-6048 11/11/2007 11 11/2008 X Af M 6L61CUCCIDW 5100,000 oOF si oueAse-eAea�vwreg 2100,000 Kra arrdbsu+Ar YeB e.�osssAse-v0uortsar •500,000 otllse s�aceno�ovo�edmessrroaalowrwsetEumrausasAossepAoellsemnrs�oM,nlwsos TIM WDRIS W COMPERGATM PO+LXCY DONS NO2 FROM cmmor zM RQ®81IZ+o dO M 7IILT.8Q STARHQc:R CQTSTRDCTIt>BT I= , NOR9l4IIr8ST STAR9DC1t, mxxx'ARN LLC Lxsmm As AmzTxcmL jmgm 2D CERTU ICATE NOLaM CANCELLATION !lIr XZR 8TARRUM COD SMWCTZOR MW. ama Ain or ms rims am== VaAm ss CA CELLM mass in mm mw R09t17 um STA1t8IICK am darn, in olem weals a awn 70 W&21 0ws vmm Kcm 1P m LLC NOnCR TO M mm m. To Tin LEM Nr fmm r0 0o.w mu P.O. BODE 726 sees 0 oaxm non m um "a emus. its Aam OR PAXHOM, MA 02541 AY11� BAX$509-539-1125 A��i �1 �AGORD Ti 7988 :ORD. CERTIFICATE OF INSURANCE DATE(MAII)DIYY) 10-24.07 :)DUCER THIS CERTIFICATE IS HUED AS AMATTER OF INFORMATION ONLY AND CONFERS NO R10HT3 UPON THE CERTIFICATE 3EMON YOUNG&DOWNS INS HOLDER.THIS CERTIPICATE DOES NOT AMEND,EXTEND OR )0 BOX 158 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOWW, COMPANIES AFFORDING COVERAGE 4MVACH PORT,MA 02646. COMPANY 26WDM A TRAVBLMDI tV=ASSIGN=NT um COMPANY B , 3ARBER DRYWALL LW COMPANY 124 MAIN ST C •iARWICH,MA 02645 COMPANY D - VERAGE ll__ 84TOCERMTHaTHEPOLICiE8bP=� WCEUSIABEMNAVEMEEp T*r#SM WMKAMA86WPORTHEPOi aPER00101111CATED,MOTIMOWARIM rnMUMBUW,TERMoltooM TIONCWAW06MmCTORonMO000NleiMWMifMPECTTOVRYCHTMSMUWATEYAYBEMMORMWPWM-THEM LIRMCE OM BYTHE MUM 0EGP'NOW NF�•7M0SU J6CTT0ALLTWTWM$,00MIM"XIDCOMMOH80PSUCHPOLam LJWMffiw"MAYHM6MftDucw8y 0 CLAMS. 4 1 paw TYPE OF INSURANCE ', ' p01lCY NUMBETi OATf(MMYUT0IYY) DATH(NmMIODIYY) LIMITS 09NMIALLMIUN GENERALAGGREGATE $ COMMERCIAL GENTMLIANUTY PRODUCTS-COMPAOPAGG, 'i CLAIMS MADE OCCUR. PERSONALA&ADV.INJURY i OW En&A CONTRACTORS PROT. EACH OCCURRENCE i AREDAMAGE(Anyone5m) i MED.EXPENSE(Anyone pown) i AUTOMOBILE LIMLITY ANYAUTO COMBINED SINGLE LIMIT i ALL OWNED AUTOS BODLYNWRY(Perhmon) • S SCHEDULE AUTOS ODDLY 0WRY(PerAcddwM' i HIREDAUTOS PROPERVIIAMAGE S NON-OWNED AUTOS GARAOELIABLIT'Y ANYAVTOS AUTO ONLY-EAACCIDENT i OTHERTHAN AUTO ONLY- EACH ACCIDENT i AGREGATE S TsxmS LImuff UMBRELLA FORM EACH OCCURRENCE $ OTHER THAN UMBRELLA FORIA AGGREGATE $ VV QRKEI S COMPENSATION AND EMPOLYEIVS LIABILITY UN8841.52A-07 04-2"7 09-28-08 STATUTORY LI MITS X THE PROPRIETOR/ EACHACCIDENT i 100,000 PARTNERSS ECUTNE X INCL DISEASE-POLICYUMIT i 500,000 OFFfCERS ARE: E)(CL DISEASE-EACH EMPLOYEE S iD0,000 OTHER $CRMTIAN OFOPERATIOMSA.00ATIONSFVNH UMOtES7RICi1 MAWECIAi rnm 38 REPLACES ANYPRIORCE&T@TCATE TSSUEDTOTHECFRTIFICAYE)MDLDIR AI+'F10(.7TrTG W0R1;ASCO%dPd0VWGZ. IMF(CATE HOLDER CANCELLATION SHOULDANY OF nMAWA OPSCRMBED PCLIOES BE CANCELLED BEFORE THE mmm STARBUCK a0NS7RUC710N CO,LNG OWRAIM OAMIT MEW THH MSliM CO VAW WU PMEAVORrOMAL to DAYSMUTIBM OMU TOTHECERTMHCATE HOLDER MANED TOTHELM,BUT N0R7HWESTSTARBUCKft4UFARM LLC FALUIMTOMALSWMNOTICESHALLMMPOSEN00WGATICNORUATMLRYOPAw,. P.O.BOX 726. KIMD UPONTnSCOMPAAIY,ffSAGUM CR R&RESMATNEL PALMOWW MA M541 AUTHORIZED1WRESBKfAT(VE Charles J Clark *RD 254(919C3? Massachusetts Department of Environmental Protection e®EP Transaction Copy Here is the file you requested for your records. To retain a copy of this file you must save and/or print. Username: STARLIT Transaction ID: 174045 Document: BWP-Demolition Form for AQ-06 Size of File: 137.994 K Status of Transaction: SUBMITTED Date and Time Created: 4/2/2008::2:20:01 PM Note: This file only includes forms that were part of your transaction as of the date and time indicated above. If you need a more current copy of your transaction, return to eDEP and select to "Download a Copy" from the Current Submittals page. i Massachusetts Department of Environmental Protection Ll Bureau of Waste Prevention - Air Quality Decal Number BWP AQ 06 Notification Prior to Construction or Demolition 4 Important: When filling 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 regulated by the Department of Environmental Protection use the return cursor- not (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. B. General Project Description 1. a. Is this facility fee exempt-city,town, district, municipal housing authority, owner-occupied Instructions residence of four units or less?❑Yes Q No 1.All sections of b. Provide blanket decal number if applicable: this form must be Blanket Decal Number completed in order 2 Facility Information: to comply with the y Department of UNIT 1 CONDO-CAFE/BISTRO Environmental Protection a.Name notification 1544 MAIN STREET requirements of b.Address 310 CMR 7.09 BARNSTABLE MA � 02601 � c.Cit /Town d.State e.Zip Code 5083677670 f.Tele hone Number area code and extension .E-mail Address(optional) 2652 1 i h.Size of Facility in Square Feet i.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 m. If es, how man units? ° y y Number of Units -° 3. Facility Owner: N DAVE COLOMBO -O a.Name 488 SOUTH STREET b.Address HYANNIS MA 1 102601 �c0 .City/Town d.St te e.Zb Code ° 5083677670 f.Tele hone Number area code and extension .E-mail Address(optional) O DAVE COLOMBO �Q h.Onsite Manager Name ag06.doc -10/02 BWP AQ 06 -Page 1 of 3 Massachusetts Department of Environmental Protection Ll Bureau of Waste Prevention • Air QualityDecal Number BWP AQ 066 Notification Prior to Construction or Demolition General tion or Cont. B. General Project Description Statement:If j p asbestos is found during a 4. General Contractor: Construction or Demolition operation,all PHILIP M. MILLER,JR. responsible parties a.Name must comply with JP.O. BOX 726 310 CMR 7.00, b.Address _ 1 ,and FALMOUTH MA � 02541 Chapter 21 E of the General Laws of C.City/Town d.State e.Zip Code the Commonwealth. 5089326235 1 Phil@millerstarbuck.com This would include, f.Tele hone Number area code and extension .E-mail Address(optional) but would not be limited to,filing an JPHILIP M. MILLER,JR. asbestos removal h.On-site Manager Name notification with the Department and/or a notice of release/threat of release of a C. General Construction or Demolition Description hazardous substance to the 1. Construction or demolition contractor: Department,if applicable. MILLER STARBUCK CONSTRUCTION, INC. a.Name 766 FALMOUTH ROAD b.Address _ MASHPEE MA � 102649 ®� c.Ci[ /Town d.State e.Zip Code 5085391124 Jessica@millerstrbuck.com f.Telephone Number(area code and extension) g.E-mail Address(optional) PHILIP M. MILLER,JR. h.On-site Manager Name 2. On-Site Supervisor: PHILIP M. MILLER,JR. On-Site Supervisor Name _ 3. Is the entire facility to be demolished? ❑ Yes ✓❑ No �N �0 4. Describe the area(s)to be demolished: �o (1)EXTERIOR WALL REMOVE THE DRYWALL N �O �0 .5: If this is a construction project, describe the building(s) or addition(s)to be constructed: BUILT-OUT RESTAURANT _moo �Q ag06.doc •10102 BWP AQ 06 -Page 2 of 3 Massachusetts Department of Environmental Protection ■ Ll Bureau of Waste Prevention • Air Quality 100070122 Decal Number BWP AQ 06 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)? ❑ Yes ❑✓ No If yes,who conducted the survey? b.Survevor Name c.Division of Occupational Safety Certification Number 7. Construction or Demolition: 4/15/2008 � I 6/15/2008 � a.Start Date(mm/dd/yyyy) b.End Date(mm/dd/yyyy) 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? a.Name of DEP Official b.Title c.Date mm/dd/ of Authorization d.DEP Waiver Number D. Certification I certify that I have examined the JESSICA STEIGER �o above and that to the best of my a.Print Name �o knowledge it is true and complete. IJESSICA STEIGER The signature below subjects the b.Authorized Signature �N signer to the general statutes JOPERATIONS MANAGER �0 regarding a false and misleading c.Position/ ite o statement(s). IMILLER STARBUCK CONSTRUCTION, INC. d.Representing 04/02/2008 e.Date(mm/dd/yyyy) �O �Q ■ ag06.doc •10/02 BWP AQ 06 -Page 3 of 3■ TOWN OF BARNSTABLE BUILDING P .R1GI PPLICATIO, Mapes$ Parcel' �4� �� Applic ion # 6 b Health Division Dat ssued Conservation Divisions plication F �. Planning Dept. @ � it Fee c G: a� Date Definitive Plan.Approved by Planni g Board ° Historic'-,OKH —Preservation/Hyannis Project Street Address tS �{ - Village. Owner 1jAV e G 01-QM�D ,DG Address �lT_ j� 51'. {�Yqt��(IS Telephone_ Sof - 361 - 7670 Permit Request ✓2 �.t�►5 c �l, [�t N/�. S�'Q��� d 1�RT AIR-� :�X1St� �LT-VV�u-S� PAgar,r oNi CDs xpw LAy. rxmo DL9 LAV FtLEME ,StAKWE+.,t. o� �Itr.IC i . Square feet: 1 st floor: existing Wproposed 34W,_2nd floor: existing proposed Total new Zoning District Flood Plain rJd Groundwater Overlay r-jo Project Valuation q OT D Construction Type WW7 PP4MC. Lot Size 1 MEO LOr 4rle Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family(# units) C04Met4iA1. Age of Existing Structure 70 Historic House: ❑Yes ;dNo On Old King's Highway: ❑Yes XF No Basement Type: Full ❑ Crawl ❑Walkout ❑ Other Basement Finished Area(sq.ft.) fo Basement Unfinished Area(sq.ft) 22 501f Number of Baths; Full: existing_ new Half: existing new Number of Bedrooms: existing 4new Total Room Count (not including baths): existing Z new First Floor Room Count 2- ,Heat Type and Fuel: VGas ❑ Oil ❑ Electric ❑ Other �( Central Air: XYes ❑ No Fireplaces: Existing New Existing wood/coal stove: 0 Yes ❑ No 91A 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' j/Yes ❑ No If yes, site plan review# Current Use W-AI1, Proposed Use s TA Ult%^ APPLICANT INFORMATION (BUILDER-OR HOMEOWNER) Name f - "� t:l µ� 4t" �t' Telephone Number v8- 53�'• Address f o t —7 Z b License # V 4 34 181 sk&6 vr* M4- OZ 50 Home Improvement Contractor 1 Worker's Compensation # 0 2 Z 91 15 ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO URN _ LAIJ,�ek" M2 A L, SIGNATURE DATE `C• I VS IW.C. 9_6, 17_4' _ 13.1' inl inl N N l l L l l I HEREBY CERTIFY THAT THIS PORTION OF THE PLANS FILED WITH THE MASTER DEED OF 540 MAIN CONDOMINIUM SHOWS l I THE UNIT DESIGNATION OF THE UNIT BEING CONVEYED AND OF THE IMMEDIATELY ADJOINING l l 'UNITS, AND THAT IT FULLY DEPICTS THE LAYOUT OF I ( I THE UNIT, ITS LOCATION, l DIMENSIONS, APPROXIMATE VACANT I AREA, MAIN ENTRY, AS BUILT. I l l —1 34.4' _ iol u l Sri aI I I o Io l l l UNIT 1 l N H J FIRST FLOOR }` 2,785± S.F. l � l l l I . OVERHANG PREPARED FOR: CODE REALTY, LLC "THE PURPOSE OF THIS DIAGRAM THE BSC GROUP, INC IS TO DEPICT EXISTING DIMENSIONS 349 MAIN ST., WEST YARMOUTH MA. RELATIVE TO A CONDOMINIUM MASTER DEED. UNIT 1 -FIRST FLOOR SCALE: 1"=10' DATE: 3/3/08 540 MAIN CONDOMINIUM BSC# 49321.01 CRAIG A. FIELD, PLS DATE 540 & 544 MAIN STREET FOR THE BSC GROUP, INC. . HYANNIS, MASSACHUSETTS SHEET 1 OF 2 Boar o Building Regula ons and Standards One Ashburton Place - Room 1301 Boston, Massachusetts 02108 Construction Supervisor License License CS: 43338 Restriction: 00 Sirthdate: 3/14/1953 PHILIP M MILLER Expiration: 3/14/2009 Tr# 9478 PO BOX 726 FALMOUTH, MA 02549 Update Address and return card.Mark reason for change.T .CAr G 50M•05/06-PC8490 ; Address Renewal 7 Lost Card _ � d o rug Regn atio and Standards construction Supetvlsor License CS. 43338 _ 94'l8 !t 31T412t>a9 irestrlRtign�- 00 ' pHILIp M MILLER' PO BOX 726 T Commissioner FALMOUTH.MA 02%1 Apr 14 2008 8: 27AM Oceanside Development 508-420-7841 p. 1 OCERMNDE CO "STRUCIIO " FO 9-159 649rotons Mills,MA 02646 PHs 774-236.6411t FAX,SW778-S700 April 12,2008 To: Barnstable Building Department Attn: Paul Roma Ref. 544 Main Street Hyannis,MA 02601 Mr.Roma, This letter is to inform you that Oceanside Construction&Development,Inc.takes full responsibility for the work being done at 544 Main Street Hyannis.Working with Jefferson Group Architects,Inc.,we assure you that all work will be done in accordance with the building codes.For further information please contact myself or Steve McMahon at Jefferson Group Architects,Inc.,700 School Street Unit 2 Pawtucket,RI 02860,Ph.401-721-2245. Thank you. Sincerely, John Hutchins Oceanside Construction&Dev. Apr. 11. 2008 2:44PM JBD�-fferSOn Group Architects, Inc. No. 4810 P. 2/2 Wayne J. Jacques, AIA CONSTRUCTION CONTROL AFI IDAM Building Permit#; Project: 544 Main Street,Hyannis,MA In accordance with Section 116.2.1 of the Massachusetts State Building Code, 780 CMR, 6� 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 roof reconstruction: 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 6" 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 subs ittals,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 Barnstable Building commissions.Upon satisfactory completion of the work, I shall su4muit,a final report as the satisfactory completion ad readiness of the project for occupancy. �J o J t� C %a NO.tRiS�P 60 /! a OR1GWAL SS DATB 700 School Street Pawtucket,RI 02860 (40 1)721-2245 Fax (401)21-2238 200805-Construction Control Affidavit-MA.doc A regularly scheduled and duly posted hearing for the Town of Barnstable Hyannis Main S Alt Waterfront Historic District Commission was held on Wednesday, June 19, 002 at the Sclj2pl Administration Building, 230 South Street, Hyannis, MA. The hearing was posted in the Town c� Hall and mailed to abutters on June 5t', 2002. Hyannis Main Street Waterfront Historic District Commission Members George Jessop, Chair David Scudder ' rya Marina Atsalis Joseph Cotellessa Barbara Flinn Paul Drouin, Alternate Jacques Morin A quorum being met, the hearing was called to order at 6:21 p.m. by Chair George Jessop. Commission members hearing these applications were Jessop, Atsalis, Flinn, Scudder, and Drouin. Also in attendance were Thomas Broadrick, Director of Planning, and Denise Devlin, recording secretary. Summary of Applications: Continued Items John Pautieria, 429 South Street,Map 308 parcel 193 Continued to August 17, 2002 Agenda Items: West Bay Antiques,.544 Main Street Map 308 parcel 074 Approved the Certificate of Appropriateness as Submitted Hyannis Main Street Improvement District, multiple locations Continued to August 17, 2002 0� .. WEST BAY ANTIQUES 544 MAIN STREET HYANNIS,MA. 02601 Mr. John Klimm,Town Manager October 27, 2001 Town Office Building 367 Main Street Hyannis,Ma. 02601 Dear Mr. Klimm, Recently Gloria Ur , zonmg ement officer, visited West Bay Antiques to inform us of a supposed by-law violation 544 LMain�Street. W apologize if in fact there was a violation of a town by-law but we are appalled at them ation was handled. Ms. Urenas could have said: "You have a wonderful antique shop and we are pleased to welcome you as a new member of the Hyannis Business District. However,the attractively displayed merchandise outside your door is not allowed. Would you please bring the antiques inside and inform the owners of the business. Thank you for your cooperation." Instead, Ms. Urenas dashed through the door,threw her card on the counter, and demanded that the dealer on duty"Get that stuff of the sidewalk now!" Our senior citizen dealer responded politely that the Fall display items were placed within a building indentation. The curt response was"Do it now or I will call the police! Local customers and tourists alike were horrified by this rude encounter. As new business owners and resident tax-payers,we take umbrage with the thoughtless, disrespectful, and rude attitude of this town employee whose salary we help pay. If any of our antiques dealers treated a customer in this manner,they would be asked to leave our co-op. We will certainly adhere to the by-law if it applies in our case but we question why we see coke machines, newspaper vending boxes,restaurant chairs and tables, and other merchants with goods and services displayed elsewhere on the street. We are not in opposition to these at all but question why our attractive display under our building ov_ ghang is not allowed when others clearly on the sidewalk are! We are requesting a clarification on this matter. In addition we feel a written apology to West Bay Antiques from Ms.Urenas is in order. Sincerely, Gail Albertini and J.Marie Stevenson West Bay Antiques cc. Ray Richardson,Town of Barnstable Council Chairman Corinne King,Chamber of Commerce Cynthia Cole,Hyannis Business Improvement Peter DiMatteo,Building Commissioner Gloria Urenas,Zoning Enforcement Officer. a ( lit§ G' w c-, 0 CV cli t� .4 �y U O O A �_ >o ; �,\ .� ". i� ,. � ..�., i � •-.. 1 � .. 1 ..._. ,_ <, r . of THE " The Town of Barnstable N �'n + SARNSTABLE. Office of Town Manager 9 MASS. �A 1 3q. �0 A 367 Main Street, Hyannis MA 02601 lE0 MA'S Office: 508-862-4610 John C.Klimm,Town Manager Fax: 508-790-6226 Joellen J. Daley,Assistant Town Manager December 3, 2001 Ms. Gail Albertini Ms. J. Marie Stevenson West Bay Antiques 544 Main Street Hyannis, MA 02601 Dear Ms. Albertini and Ms. Stevenson: Initially, I would like to thank you for allowing me to visit your store to discuss an issue concerning one of our Town employees, Mrs. Gloria Urenas. As a result of our meeting, I have spoken with Mrs. Urenas. You can expect to see her some time in the near future, as I have asked that she visit your store again to discuss the incident and offer her sincere apology. Thank you again for meeting with me, and I wish you well with your new business venture. Sincerely, MoellenJ. y, ` Assistant Town Manager JJD/lmb cc: Gloria Urenas, Zoning Enforcement Officer Tom Geiler,Director of Regulatory Services Peter DiMatteo, Building Commissioner John C. Klimm,Town Manager Jefferson Group Architects, Inc. Wayne J. Jacques, AIA ISD AF 8 ARCHITECTURAL FINAL AFFIDAVIT To the Inspectional Services Commissioner: I certify that 1,and/or my authorized representative,have inspected the work associated with Permit No. B 2010 2442, for the 3864 SF tenant space identified as Unit 16A, located on the second floor at 544 Main Street,Hyannis,MA,on the dates noted below during construction,and that to the best of my knowledge,information,and belief the work has been done in conformance with the permit and plans approved by the Inspectional Services Department and with the provisions of th husetts State Building Code and all other pertinent laws and ordinances. t ®mac ,oKN j4 F Wayne J. Jacques,AIA, Architect—Mass.Reg.No.6935 RI0.06�35 BOSTON Jefferson Group Architects. Inc. ,r 700 School Street,Unit 2 l� Pawtucket,RI 02860 401-721-2245 Inspection Dates: 1-31-2011 Then personally appeared the above-named and made oath that the above statement by him is true. Before , My Commission e 20 v j 700 School Street Pawtucket,RI 02860 (401)721-2245 Fax (401)721-2238 AFA-2008-05 Second Floor 3.doc Jefferson Group Architects, Inc.- Wayne J. Jacques, AIA ISD AF 8 ARCHITECTURAL FINAL AFFIDAVIT To the Inspectional Services Commissioner: I certify that I,and/or my authorized representative,have inspected the work associated with Permit No.B 2010 2441, for the 1703 SF tenant space identified as Unit 16B,located on the second floor at 544 Main Street,Hyannis,MA,on the dates noted below during construction,and that to the best of my knowledge, information,and belief the work has been done in conformance with the permit and plans approved by the Inspectional Services Department and with the provisions of the Massachusetts State Building Code and all other pertinent laws and ordinances. �D Arjr,� Wayne J. Jacques,AIA, ,oHIV i4c, Architect—Mass.Reg.No.6935 0 NO.0=5 Jefferson Group Architects. Inc. WSTOW 700 School Street,Unit 2 Pawtucket,RI 02860 `Ty �g@� 401-721-2245 Inspection Date . 1- 1-20 Then personally appeared the above-named yU� �J `c4(/r 7 and made oath that the above statement by him is true. B ore me, My Commission ex®res: ; / -A 20 /J o- 700 School Street Pawtucket,RI 02860 (401)721-2245 Fax (401)721-2238 AFA-2008-05 Second Floor 2.doc s ,1 LFBT mom: �„•.T-, .. •-.. -.- -,- Y'•11.2'MD. 11'.9 N{' B'�'HD.� W'A LITMO. II-b'M0. W'A l'MO. ]' L2' 6'A•mI.. W4lL NO. x-ll'MO. W'i ltl'NO. II'4'Mom: W'A IS•NO. s••1'w4• u• 1.2• Wo I.a•NJ. - -- --- - - -- - --- - --- - -- i --� - ----- - -' - �D AA0+� �. . tiA 1RECL]Vlw ��RH+OI4P I NORTH STORAGE .�y. �'• _.. ..L'kSki4YPGAEo�'f. 3 r i ELEV. eea;c�i(AFT I ue g e.el .�, ,e., STAIR 0T'Ir CE . �I �, - AIH• SECURRY I � � aK-Ixlaca � G •- OFFICE 9 u'-0• law• a'q• mob• ,�.p• s. (T► j •�.�. '_' �' p,{' :��e �°+` it. 9+sr i I s OFFICE! OF'FK:E2 OFFICE OFFICE4 OFFICES +, Zp W4 .3rr� wu OFFICE6STAFF N 16 CLO. L6PV. 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TIE 6ElEnAL LONRULTLR`DULL LOm✓flpUTE M1NTIEOWErt ART19]R ATMAWFROVIDEFINE OI6IRMUCIIpN'�N@ALTDOI]IMFN19.p�m V-1, IN• I 'I --I CAMP. .0 3 I L l 2 1 I t ~ °.e 6YP.eo. IocAnow.WUL eLaKIN6 As pEollRm. N,IxIUAL'Iwrasrog�ylGaaDIB�D __ _ r r^r*l`•ER ry 1 3 -O' /�/// CI. .W-DIFE161oW AIM TAM TO FILE OF SFRAM�MLE3 o11EWEE NpTEDAT-ApEiS OF MAcOkT.Y MSPIWO145 AREA�u �S'I1F�YaFgo � ,IpPM�� 9 2q_y m \ I I 1 fI �_i o/ IU J� _ OOI6 GnON,VI4 TIM ARE TAKEN TO nE FACE OF MA5o1RY,NESs OnERYnEe SWPEOFWOpLF DMNMa9W0.COMI181E CLASSROOM#6 W. PPOJIDE PfffESME TRPAIED Wbp AT PLL FR4MIN$LOLATI016 Wg@WOOp I51N LONTALT HnH LOIpREIE. rILLS DBAWIXGIENafn)pEEGIFyAWllplltm -fin' tl m 1HBf I - � .• �--_ I _- Is. PLL PLYHUOD SIffA1MN6AW WlIGEALID IN4ULL&OLKIW SNNL BE PIRE iRF IED AEANASmmT. I6. oMR bYP5M1 HLfLL BOARD SIfi:AlNRl3 LN ilE LNASE SIDE OP ALL NFYLY LONSTRICIED HALL. l I PARTIAL FLOOR PLJ N E%ISTING EI-OR WALL TYPE R. PLL FE tlRAnO 6 nM0.5N RA Ep ULL As EY®L Es E ALL E REA Ep W N PN PPFROV®FO ESTOP' REVISIONS A1.4 SCALE:114"1'-O" MAIFRIAL To fEE,ne vFEOFIFD HALL c@sl TION NA DATE S a6gp'n0N CLASSROOM45 COAIP.ROOM 2'-- i j q Ydi 1539f o i � Ilx R0ff ' , 17 E I IpIE j ALL WALLS Ipr I?TEIp11-1 TO I'A Len cm OF GFLK yU,n 1+ O I BE 6RAL®W1X EIIiER oIAEIWABRA-O. nETA 41-aE I ABOVE W IURIIOMu N FUNS AT 4'O'OZ.SET AT A 45' I ANGLE iO AT TIE IMMR OF riff WALL H T tffLXANILALLY FASTEr.'�ATIIEIMEKiLTIONOFEALXTOPRAM %-� r % RATED WALL ASSEMBLIES:FIRE RESISTANCE CLASSIFICATIONS u , crnRnLE WAu car6TRlGnox TO - , CON8.RO0.N 1 _ v_�-� N.9ERSIDE OF OELK-FROViGE Iff SISEF - 4k.MWBtAL WLGL BATi h I 1 r sP.BD.TO FAIEW CLASSROOM94 IATION IWO oF811N6-AFPLY ! WALL TYPES 1,2,0-Design No.U419 N R8S I I , / /I�t\/ J �_ ABOVE FMTSI® '\�. NSI. L6AT vblm cF<�IF111®AM Nanbearing Wall Rating-1,2,3 or4 HR. R`Onc,N QY (y 1 LELLWB-IYFIGAL V \ 9FRAY OV9t MllfdtAL YpJL T B A/'16 EA RGIN65 RP, ' I S , _� •`_ //�� U '�. T 'OL. 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EXthftrJ� (�t.�,y / 1�t7�M/A•+-K N�(6u�t - i �`'1Gt5o►JRY G�EZ �(tp('Ob�7 t�ROnK EI.LV/kfi o►.1 Sq,j I"At,J x. HYAt.O t� IL K .�AJ LLJ ? V v, �. v d � r Z A N of 21 UN - v Z 1-21 ,z z z •o x N c� of C� x m A 3 L\ O 4 � � c LM CL CL � � O V oil- p � 10 Z J 3 Q Z 3 x C-4 V � 0 � ' J r h vti � Z LLJ ILI ,p7Ea x W 3 V J Vj T 4 3 00 Al --TIF Iz 3 a � � s 72 X O cn TF*ao ,� f i for_ s � f Q --� � �' - - - - - - - - Arls Sf T ��AQMLL d x � x 3 _ rn 3 I - i i o { _ _ -- _ ._._---.____.-.-- t ' I ICI • ; I I i CERTIFICATION: T l f o i 10 BAKERS ; b I m Lu TABLE � I I � B.O.H. B.O.H. 4 „± KITCHEN KITCHEN b2" 105 105 E TO FAGS OF DN 15R — ------------- -------------------------------------- DN 15R MECH. RESTROOM FDN.WALL ROOM _ CORRIDOR CONSULTANT LOGO: 005 d 001 = I II 00000000000 0000000 j I 00000 � ® oauuuouoo0u�0uouuuouuoou j , 4" 4'-33/4„ 1,-Ig/4" q,_�„t i fie\ I 1 I THROUGHOUT 4'-03/4" KITCHEN TILE Y i 4 I / I ® I DINING ROOM j 1 . Cd3 i �\ ��_u O I I I '' ra 1 2 t7 i - Y i U U i LJ , , , J <: 30 L L J"`�L 36 UP 15R m HO ❑❑ - 0 o WOMENS 002 : I -2 4 5 ADA � � o � ADA �`! ❑ i n ; m d I �- 15 t THIS DRAWING IS A PART OF AN INTEGRATED SET OF w I I RE OOM RESTgQ7M S. _ 4 STR ._ o 103 ALL DRAWINGS AND CONSTRUCTION SPECIFICATICT C SPECIFICATIONS INCLUDING T \\ ' BUT NOT LIMITED To"GENERAL CONDITIONS" I 16 WIS 1 I ---- = q WIS 1 TRASH TIl E✓ „ "SUMMARY OF WORKII AND ANY APPLICABLE 30 MANUFACTURERS TECHNICAL SPECIFICATIONS. Q 30xb8 I 104 _ _ 104 m _ Wo 0) REFER TO ALL OF THE DRAWINGS FOR COMPLETE x I "i - i �t x 1 x SCOPE OF WORK. 3,�1,4" m COOK ❑ — 5 COOK LINE I m LINE © 56" DRAWING I NOT T BE SCALED AND/OR USED THIS WINGS 0 till :< $ « I 106 DN 15R I i n 106 DN 15R AS AN AS-BUILT. 2-2 o 244„ 2,4211 4-05/4 I =� I © 4'-0„ I,_8" CLEAR CLEAR MENS sox-ro 3OXIO REVISIONS ;r 003 ". t 30" No. DATE DESCRIPTION a� i t �\ i i L i 1 W-03-08 REVISIONS TO REST ROOMS& ` r-I I? GENERAL REVISIONS �'� �-i �i 17 L_- L L 2 SLJ -01-08 BAR&SEATING REVISIONS 2x4 2x4 -I3/4" �] I I � BOOTH Lj"t I I �„ 6 i 31 42" 2x4 v' ~ '-on BOOTH 2x4 .2x4 BOOTH PATIO PROJECT NAME: 2 DINING ---- 110 Iq Ll I 30„ �, M 17 1 +' I I \�\ N .► BOOTH 42n I "";,- 0 2x4 FIVE-HUNDRED BLOCK U ry __ INTERIOR BUILD OUT v DINING I -LIU DININGLi Lf 5'-3Y4" 5�-0n ROOM 2'-0„ 8 ROOM 2x4 WIS 1 w 4M M DR 101 I W/S 1 101 I' •� 41-'Y4 i 2'�4„ 21-5Y4„ 107 `r In 26'-1�4"t i 107 F7 MBOOTH 30„ 500 MAIN STREET 13 P5 2x4 HYANNIS,MA 02601 100f a I -�---- i ---- i O 2x4 I Li Li BOOTH E i i II O7 17 y: PREPARED BY: 11 1 30 . 14 o I I O 2x4 s-y r'n: ITt I —I - I m �r I � I n BAR t I I 2x4 BAR I 106 7i BOOTH z I I I Ljo 42„ ARCHITECTURAL DESIGN I II OAK FLOORING I I j i ii DINING ROOM OFT SOFA 30" Jefr�'SOY1i ;"i'®l>Lp t�;d'L"�llt�°ctS, Inc. ---------_ Idy! 700 School Street Pawtucket,RI 02860 --------------- Phone: (401)721-2245 Fax: (401)721-2238 I 000 2'-0" I cm SHEET TITLE: � BAR �' LINE of � BAR DINING FOUNDATION DINING 30" LOWER LEVEL FLOOR PLAN WALLBELOW _ ' I-------------- 109 ---------------m--------cry -- ---------------------------� 109 m FIRST LEVEL FLOOR PLAN, 100 TRANCE 77F77r77oo TRANCE aFr soFA F F & E PLAN, GENERAL & 2x4 2x4 HIGH 20 OP HIGH TOP HIGH TOP WORKI G NOTES Li Lj U L Li INDOOR 5EATIN5: OUTDOOR 5E,ATIN5: O BAR: TOTAL OUTDOOR 5EATING: 11 BEATS 54 BEATS { DINING ROOM SEATING: TOTAL PUBLIC AREA: 1 BASEMENT LEVEL FLOOR PLAN 2 FIRST LEVEL FLOOR PLAN 3 FIXTURES FURNISHINGS & EQUIPMENT PLAN 82 sEATs 1325 sq. ft. i A1.1 SCALE: 114"=1'-0" A1.1 SCALE: 1/4"=1'-0" TOTAL: q3 5EAT5 JOB NUMBER: 200805.01 DRAWN BY: CFM 6ENERAL NOTE5: NORKIN5 N01E5: EQUIPMENT SGI-IEDULE: " DHAND WASH SINK ©j 1-64" 55.BEER COOLS CHECKED BY: WJJ 1 El BAR TOP FEI6HT TO BE KEPT AT 3-6 A.F.F.- I. THESE PRAKIN65 HAVE BEEN COMPILED FROM THE BEST AVAILABLE INFORMATION AND ARE NOT INTENDED TO 12. ALL EXTERIOR LIC*MN6 AND PET AREA LIGHTING TO INCLUDE MANUFACTURERS WATER TIGHT HOUSINGS. BAR DIE WALL AGGORDIN6LY 2QDROP COUNTER SINK ®324"xl8" ICE JOCKEY DATE ISSUED: MARCH 31,2007 COORDINATE ALL FINISHES 4 DESIGN INTENT AT BAR WITH OWNER LIMIT THE SCOPE OF THE WORK. THE CONTRACTOR MAY ENCOUNTER HIDDEN OR COVERED CONDITIONS, NOT IA. O3 3 BAY POT SINK ©I-COUNTER DROP ICE JOCKEY INDICATED IN THESE DOCUMENTS, REQUIRING THE CONTRACTOR TO PROVIDE ADDITIONAL WORK FOR TFIE 15. THE 6�'=RAL CONTRACTOR 15 RESPONSIBLE TO COORDINATE THE INSTALLATION AND OR RELOCATION OF ALL GEILIN6 INCLUDING BACK BAR,WINE SHELVING,COUNTERTOP AND BAR TILE SCALE: Noted COMPLETION OF HI5 OR HER CONTRACT. IT WILL BE A.SSUi�ED THAT THE CONTRACTOR HAS INSPECTED The 51TE DIFFIr-ER5:ENER6ENGY 515NA6E,LICHTIN6,ACCESS 4.ELECTRICAL PANELS,ETC.TO FULLY COMPLETE THE SCOPE OF WORK. PROVIDE 6" STUD WALL TO ALLOW CLEARANCE FOR �4 1JTILITY SINK(aft) �1-GLOBS WASHY Q - PRIOR TO BIDDING AND VERIFIED THE INFORMATION SUPPLIED HEREIN. 14. THE CENLRAL CONTRACTOR SHALL PROVIDE 4 COORDINATE WITH THE ELECTRICAL CONTRACTOR AND THE FIRE - 1E IN-WALL PLUMBING O80 qt HOBART MIXER ©1-50" STEAM TABLE � - DEPARTMENT ALL LOCATIONS FOR EXIT 51GN5,EMERGENCY L16HTIN6,FIRE EXTINW15e. R5,FIRE ALARM PULL PROVIDE NEW DOOR IN EXI5TING WALL 5TRUGTIRE i 2. NO MAIN FRAMING OR STRUCTURAL MEMBERS ARE TO BE MODIFIED, ALTERED, OR GUT WITHOUT THE APPROVAL DEPARTMENT b FT BAKERS TABLE(OPEN BABE WITH SS.LE65) b I DOUBLE CONVECTION OVEN f OF THE PROJECT ARCHITECT AND STRUCTURAL ENGINEER. EXPOSE ALL 5TRUCTURAL MEMBERS PRIOR TO ON5,HORN 5TR0$E5 ETC. � COORDINATE STYLE 4 FINISHES WITH OWNER � � 0 DEMOLITION, IDENTIFY ANY DISCREPANCIES TO THE ARCHITECT FOR FURTHER I VESTI6 N - ODISH MACHINE W/T45 5PRAY AND TABLES ©12t 50UT eXV RADIANT GRILL 15. THE CONTRACTOR SHALL COORDINATE AND VERIFY WITH THE OWNER ANY TELEV15ION LOCATIONS PRIOR TO EXI5TIN5 STOREFRONT DOOR TO REMAIN,GOOF.INATE ANY � 3. THE GENERAL CONTRACTOR SHALL COORDINATE ALL 5TRUCMAX,MECHANICAL 4 FIRE PROTECTION SYSTEMS 4❑ INSTALLATION OF POWER AND GABLE SUPPLIES. - REFINI5HIN5 WITH OWNER V✓�B.S.B.5. TABLE W/$AGKBPLA5H(18 DEPTH) 2�8 NOT USED PRIOR TO THE START OF CONSTRUCTION O 16. PROVIDE 1/2" DEN5-5HIELD MOISTURE RESISTANT WALL BOARD 5HEATHIN6 AT ALL INET AREA WALL LOCATIONS. PROVIDE I V" STEEL TUBE HAND RAIL ON NEW STAIRGA5E ®OFT 5.5.TABLE(DISH AREA) ®2-400 SERIES 5OUtHBOUND 6 BURNER RAN6E5 • 4. THE 6ENERAL CONTRACTOR 15 REGUIRED TO FIELD VERIFY ALL EXISTING CONDITIONS AND/OR DIME-NVON5 PRIOR TO THE START OF CONSTRUCTION AND IDENTIFY ANY DISCREPANCIES TO THE.ARGHITEGTS AND DESIGNERS 1'1. ALL DIMENSIONS ARE TAKEN TO FACE OF FRAMING UNLESS OTHERWISE NOTED. 10 I-CONTINENTAL 2-DOOR REACH-IN ®O I-DOUBLE PIZZA OVEN(FLAT DOME,CERAMIC TILE W/ENDS) O _-- b ELECTRICAL EQUIPMENT SHOWN IS TO REMAIN, REFR16ERATOR(6LA55 DOORS) ►---f RELOCATE ALL OTHER EQUIPMENT 31 I-SMALL UNDER_COUNTER FREEZER 5. ALL HINGE BIDE OF DOOR FRAMES SHALL BE LOCATED 6_FROM It51ME FACE OF WALL FRAMING U CE55 NOTED IB. PROVIDE PRESSURE TREATED WOOD AT ALL FRAMING LOCATIONS WHERE WOOD 15 IN CONTACT WITH CONCRETE. O F [— O.H-RKIEE -- II I-SFT WORK TOP REFRIGERATOR O - TABLE FOR SLICER - 1q• ALL PLYWOOD SHEATHING AND CONGEALED IN-WALL BLOCKING SHALL BE FIRE TREATED � MILLWORK COUNTERTOP,COORDINATE WITH OWtti�R " I I Q I-IS 5.5. b. ALL WORK SHALL CONFORM TO ALL 6OVERNIN6 CODES AND ORDINANCES UNDER WHICH THEY ARE PERFORMED. 2 I-4FT UNDER COUNTER REFRIGERATOR 20. ALL NEW DOOR HARDWARE 15 TO BE ADA COMPLIANT PROVIDE TILE FINISH IN REST ROOMS, �3 I MEAT SLIG;32 1. F THE 6ENERAL- CONTRACTOR SHALL MAINTAIN THE*1NTE6RITY OF ALL STRUCTURAL FIREPRDomN6 AND PROTECT _ [i] 13 I�FT UNDER COUNTER i�16ERATOR THE EXI5TIN6 FIRE PROTECTION 5Y5TEM DURIN6 ALL CONSTRUCTION PHASES 21. ALL REST ROOM COORDINATE FINISH WITH OWNER 34 2-COFFEE MACHINES ` M AGGE550RIE5 TO BE ADA COMPLIANT AND MOUNTED AT THE PROPER HEIGHT 14 181N BAR SINK WITH DRIP BOARD 2 � O 12 CROUP CAPPUCCINO MACHINES b. THE 6ENERAL CONTRACTOR SHALL LAY OUT ALL WORK AND BE REBFON51BLE TO VERIFY ALL DIMENSIONS 4 22• 6C.SHALL COORDINATE ALL FLOORS PITCH TO DRAINS KkLL TYPE LESEND 15 12TIN WORK TOP REFRIGERATOR(RIGHT HINGE) DETAILS PRIOR TO 5TARTIN6 CONSTRUCTION. - I >_ �' O SHEETNUMBER Q M. ALL PENETRATIONS THROUGH RATED WALL A55EMBLIE5 SHALL BE TREATED WITH AN APPROVED FIRESTOP 36 2-50DA GUNS q. IT SHALL BE THE 6ENERAI.GONTRAGTORS RE5PON51BILITY ft5 COORDINATOR TO CHECK ALL DIMENSIONS AND MATERIAL TO MEET THE SPECIFIED WALL CONSTRUCTION. Ib I�F1'ME6ATOP SANDWICH UNIT 37 I-6FT BACK BAR RC-rRIGERATOR DETAIL5 ON SHOP DRAWIN65 BEFORE SUBMISSION TO THE ARCHITECT. — - 24. ALL DEMOLITION TO BE GOORDINAT3=D WITH OWN��R TO ENSUI�PROTECTION AND NO DISRUPTION TO NEW WALL GDN5TRUGTION 17 2-4FT MAC SANDWICH UNIT ®GASH RE615TER OPERATIONS DUiZING CONSTRUCTION. 10. ALL MECHANICAL GRILLS,ACGE55 PANELS,DIFFU5ER5,5WITGH/OUTLET PLATES,ETC. ARE TO RECEIVE FINISHES 18 I-5FT PIZZA PREP 5TATION/REFRIOERATOR ®I-5FT SHi=LYING UNIT TO MATCH ADJACENT AREAS 25. ALL INTERIOR WALLS ARE TO BE CONSTRUCTED USING 5%` METAL STUDS EXISTING WALL CONSTRUCTION Iq 171" PASTRY DISPLAY CASE UNLESS OTHE`RWI5E NOTED ®DISH TABLE II. A 11 THE ELECTRICAL CONTRACTOR SHALL COORDINATE WITH THE OWNER ALL LOCATIONS FOR RECEPTACLES, 26 ALL Flldl5tE5 ARE TO BE COORDINATED WITH OI^ll�=R 2�0 I-4i3�(b" 6=1AT0 DISPLAY GAB)= ?M_ALL EQUIPMENT 15 5HOWN FOR 6RAPHIG PURPOSES ONLY, SWITCHES 4 DIMMERS ,GABLE 4 TELEPHONE PRIOR TO THE START OF GONSTRJJGTION - COORDINATE EXACT MODEL WITH OWNER 4 OWNERS SUPPLIER PARTIAL W_ICHT WALL GON5Mr.,71ON I� I I I - i I ---- ---------- - - _ _ - _ _ - -- _ _ -----I - - _ ___- - - _!- �---- ! +— ' _ ._ ._ . i _ _.._ - _. . _ _ _ -----I-----�_ -a--_ —r-- ,— — ._ - - - 1 - I - - - --- ! , I I i _ -.. -'- _ --- ' t - I I I { : I { I ; i ! ' 1 a -�-.' —V I--�— - -- i - - - _. --- 1 { i I i i I _. -- - ---- -- i I I ----, -- ---- — - -- --- -- - -- -- - - , - — __ - - -- i ( I I i _ i I i I I I I ' i ----- --- -------}----, I I I I i I I ! i i i ! - ---- --- - 1 - j II _ - - - - -- - - - -- _ - -- .. -... _ 1 1 I j I' _ - .__ - . 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