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Take the completed form to the Town Clerk's Office, 1 st FI., 367 Main St., Hyannis, MA 02601 (Town Hall) and get the Business Certificate that is required by law. DATE: Fill in please: APPLICANT'S YOUR NAME/S: BUSINESS YOUR HOME A/D9/RESS: S,S B- ,0 L,7p,, til,r• �.Lil7F TELEPHONE # Home Tele hone Number D ` NAME'.OF_CORPORATION: NAME OF NEW BUSINESS V. . TYPE OF BUSINESS IS,THIS A HOME,OCCUPATION? YI=Q �— r- O ADDRESS OF.BUSINESS J MAP/PARCEL NUMBER (Assessin 9) When starting a new business there are several things you must do in order to be in compliance with the rules and regulations of the Town of Barnstable. This form is intended to assist you in obtaining the information you may need. You MUST GO TO 200 Main St. - (corner of Yarmouth Rd. &Main Street) to make sure you have the appropriate permits and licenses required to legally operate your business in this town. I. BUILDING CO ISSIO ER'S OF ICE This individ al hh. e n info m f a y p r it requirements that pertain to this type of business. Au ,rized$ign re** -QQMME S- cc% --- 1 1- 1 t O Z_ FY c 2. BOARD OF HEAL This individual has been informed of the permit requirements that pertain to this type of business. COMMENTS: Authorized Signature** 3. CONSUMER AFFAIRS (LICENSING AUTHORITY) This individual has been informed of the licensing requirements that pertain to this type of business. Authorized Signature* COMMENTS: U YOU WISH TO OPEN A BUSINESS? For Your Information: Business certificates (cost$40.00 for 4 years). A business certificate ONLY REGISTERS YOUR NAME in town (which you must do by M.G.L.-it does not give you permission to operate.) You must first obtain the necessary signatures on this form at 200 Main St., Hyannis. Take the completed form to the Town Clerk's Office, 1 st FI., 367 Main St., Hyannis, NiA 02601 (Town Hall) and get the Business Certificate that is required by law. ,•. ,.. DATE: GPI Fill in please: APPLICANT'S YOUR NAME/S: FF a ►ir"�' '%y� ;p..t BUSINESS YOUR HOME ADDRESS: ' ) ` TELEPHONE # Home Telephone Number N iiidacic�J_s-d r ) �' ( % t!(I" w nt.u' ,r :! EIN #: �' P7 _ `' C9 E-MAIL: / NAME OF CORPORATION: C CI " �'` NAME OF NEW BUSINESS - yL TYPE OF B SINESS U IS THIS A HOME OCCUPATION? YES N ADDRESS OF BUSINESS n�j MAP/PARCEL NUMBER �� G�J (Assessing) When starting a new business there are several things you must do in order to be in compliance with the rules and regulations of the Town of Barnstable. This form is intended to assist you in obtaining the information you may need. You MUST GO TO 200 Main St. — (corner of Yarmouth Rd. 6 Main Street) to make sure you have the appropriate permits and licenses required to legally operate your business in this town. 1. BUILDING COMMISSIONER'S OFFICE This individual has been informed of any permit requirements that pertain to this type of business. COMMENTS: Authorized Signature** 2. BOARD OF HEALTH This individual has been informed of the permit requirements that pertain to this type of business. Authorized Signature** COMMENTS: 3. CONSUMER AFFAIRS (LICENSING AUTHORITY) This individual has been informed of the licensing requirements that pertain to this type of business. Authorized Signature* COMMENTS: YOU WISH TO OPEN A BUSINESS? For Your Information: Business certificates (cost$40.00 for 4 years). A business certificate ONLY REGISTERS YOUR NAME in town (which you must do by M.G.L.-it does not give you permission to operate.) You must first obtain the necessary signatures on this form at 200 Main St., Hyannis. Take the completed form to the Town Clerk's Office, 1 st FI., 367 Main St., Hyannis, MA 02601 (Town Hall) and get the Business Certificate that is required by law. INA, 'Mom DATE: Fill in please: APPLICANT'S YOUR NAME/S: ✓ BUSINESS YOUR HOME AD�RESS: d-✓0 �-� . A/v 4, v - TELEPHONE # Home Telephone Number 60 NAME.OF,CORPORATION: c,r.oX'. 1'!: :, �P✓5 NAME OF NEW BUSINESS TYPE OF BUSINESS IS THIS A'HOME,OCCUPATION? Y O ADDRESS OF BUSINESS J� �kad MAP/PARCEL NUMBER (Assessing)` When starting a new business there are several things you must do in order to be in compliance with the rules and regulations of the Town of Barnstable. This form is intended to assist you in obtaining the information you may need. You MUST GO TO 200 Main St. - (corner of Yarmouth Rd. &Main Street) to make sure you have the appropriate permits and licenses required to legally operate your business in this town. 1. BUILDING CO ISSIO ER'S OF ,CE This individ al h e n info m f a y p r it re uirements that pertain to this type of business. cc Au rized Sign re** MME TS-�-S. Z_ rn i -Xx 2. BOARD OF HEAL �J This individual has been informed of the permit requirements that pertain to this type of business. Authorized Signature** COMMENTS: 3. CONSUMER AFFAIRS (LICENSING AUTHORITY) This individual has been informed of the licensing requirements that pertain to this type of business. Authorized Signature** COMMENTS: �JGO TGYIN OF B R Si BLE Cape Cod Polymers, Inc. 379 Iyannough Rd Hyannis, Ma 02668 - - Phone (508) 776-0716 DIVI ICIN linexcapecod@gmail.com November 9, 2016 Robin C. Anderson Town of Barnstable Zoning Enforcement Officer 200 Main Street Hyannis MA, 02601 Dear Ms. Anderson, - Thank you for taking time to discuss the process regarding the requirements of transferring the location of Cape Cod Polymers, Inc. (DBA Line-X Cape Cod) from its present location at 379 Iyannough Road,Unit 8,Hyannis,MA 02601to the proposed 58 Plant Road,Hyannis,MA 02601 location. It is our intent to move the company from its present location to the new address and not to operate the truck bed-liner business at two separate locations. When the transfer is complete, Cape Cod Polymers,Inc. (DBA Line-X Cape Cod)will be operating at the 58 Plant Road location. The unit at 58 Plant Road is similar to the 379 Iyannough Road unit, in that it is also a multi-unit building. ,However,there are substantially fewer units at the proposed new location of 58 Plant Road, and there is significantly less consumer and pedestrian traffic, as the area occupied by primarily automobile and truck service and repair businesses. We will not,at any time,be operating our truck bed-liner business while another business is in the same unit at the 58 Plant Road Hyannis,MA 02601 location. Nor will we be operating at two locations. Sincerely yours, �1 Gary M. Shramek,President Cape Cod Polymers, Inc. i Number Fee 1240 THE COMMONWEALTH OF MASSACHUSETTS $so.00, i Town of Barnstable Board of Health This is to Certify that Ltiziettis Heavenly Pools Inc. — 58 Plant Road, Hyannis,MA i Is Hereby Granted a License For: Stori 19 or Handling 26 - 100 gallons of Hazardous Materials. ------------------------------------- ............................... ------------ .............................................. ---------------------------- i ------------- ---------- - .------------------------.........---------------------------------------------------------------- This license is granted;in conformity with the Statutes and ordinances relating there to,and I and expires 06/30/2917 unless sooner suspended or revoked. i WAYNE MILLER,M.D.,CHAIRMAN PAUL J.CANNIFF,D.M.D. 07/01/2016 JUNICHI SAWAYANAGI THOMAS A.MCKEAN,R.S.,CHO Director of Public Health - LIKE X PROTECTIVE COATINGS 1. SUBSTANCE/PREPARATION AND COMPANY IDENTIFICATION Company; LINE-X Franchise Development Corporation 6 Hutton Centre Drive Suite 500 Santa Ana, CA 92707 (800) 831 - 3232 24 Hour Emergency Response Information: (800) 424 - 9300 CHEMTREC (800) 831 - 3232 LINE-X Chemical family: Aromatic polyurea/polyurethane Synonyms: POLYURETHAN E/POLYU REA ELASTOMER 2. COMPOSITION/INFORMATION ON INGREDIENTS Chemical Name CAS# Ingredient Percent Cured Sprayed-Elastomer None 100% 3. HAZARD IDENTIFICATION Emergency Overview CAUTION: MAY CAUSE EYE, SKIN AND RESPIRATORY TRACT IRRITATION. Potential Health Effects Primary Routes of Exposure: Routes of entry for solids and liquids include eye and skin contact, ingestion and inhalation. Routes of entry for gases include inhalation and eye contact. Skin contact may be a route of entry for liquefied gases. Acute Toxicity: Ingestion may cause gastrointestinal disturbances. Information on: Polyurethane/Polyurea Elastomer Overexposure from the dusts from the cure polyurathane/polyurea may cause mechanical irritation of the eyes, skin and respiratory tract. Burning cure polyrethane/polyurea may result in the generation of combustion products, including CO, CO2 and hydrogen cyanide. Inhalation of these and other chemicals may result in sever irritation, difficulty breathing, asphyxiation and unconsciousness. • LINE . X PROTECTIVE COATINGS Irritation: Irritating to respiratory system. Irritating to eyes and skin. Repeated Dose Toxicity: Causes irritation, a burning sensation of the mouth, throat and gastrointestinal tract and abdominal pain. Information on: Polyurethane/Polyurea Elastomer In a repeated dose inhalation study, pulmonary lesions and two cancers were reported among a small number of rats exposed to airborne concentrations of 3.6 and 20 mg/m3 cure polyurathane/polyurea dust. A later study using larger numbers of animals did not show any effects, other than inflammation, at concentrations as high as 20 mg/m3. The significance of the results of the earlier study with respect to human exposure is unknown. Medical Effects Aggravated by Overexposure: Data available do not indicate that there are medical conditions that are generally recognized as being aggravated by exposure to this substance/product. 4. FIRST-AID MEASURES General Advice: Remove contaminated clothing. If Inhaled: After inhalation of decomposition products, remove the affected person to a source of fresh air and keep calm. Provide medical aid. If on Skin: Wash affected areas thoroughly with soap and water. If irritation develops, seek medical attention. If in Eyes: In case of contact with the eyes, rinse immediately for at least 15 minutes with plenty of water. Immediate medical attention required. If Swallowed: Rinse mouth and drink plenty of water. Do not induce vomiting. Never induce vomiting or give anything by mouth if the victim is unconscious or having convulsions. Immediate medical attention required. 5. FIRE-FIGHTING MEASURES Suitable Extinguishing Measures: Water, dry extinguishing media, carbon monoxide, foam Hazards during Fire-Fighting: If product is heated above decomposition temperature, toxic vapors will be released. f o � a PROTECTIVE COATINGS Protective Equipment for Fire-Fighting: Fire-fighters should be equipped with self-contained breathing apparatus and turn-out gear. 6. ACCIDENTAL RELEASE MEASURES Cleanup: Place into a suitable container for disposal. See MSDS section 13 - Disposal Consideration. 7. HANDLING AND STORAGE Handling Protection against Fire and Explosion: No explosion proofing necessary. Storaae General Advice: Avoid disposition of dust. No special precautions necessary. Storage Stability: No data available. S. EXPOSURE CONTROLS AND PERSONAL PROTECTION Advice on System Design: Provide local exhaust ventilation to control dust. Personal Protective Equipment Respiratory Protection: Wear a NIOSH-certified (or equivalent) organic vapor/particulate respirator as needed. Hand Protection: Wear gloves. Eye Protection: Wear face shield or tightly fitting safety goggles (chemical goggles) if splashing hazard exists. General Safety and Hygiene Measures: Handle in accordance with good industrial hygiene and safety practice. Wash soiled clothing i immediately. LINE . X _ PROTECTIVE COATINGS 9. PHYSICAL AND CHEMICAL PROPERTIES Form: Solid. Odor: Unspecified. Color: No data available. Miscibility with water: Not Soluable. 10. STABILITY AND REACTIVITY Conditions to Avoid: >300 degrees Fahrenheit. Avoid extreme heat. Avoid all sources of ignition: heat, sparks, open flame. Hazardous Reactions: The product is chemically stable. Decomposition Products: Hazardous decomposition products: carbon monoxide, carbon dioxide, hydrogen cyanide, ether, esters, ketones. Thermal Decomposition: No data available. Corrosion to Metal: No corrosive effect on metal. 11. TOXICOLOGICAL INFORMATION 12. ECOLOGICAL INFORMATION 13. DISPOSAL CONSIDERATIONS Waste Disposal of Substance: Dispose of in a licensed facility. Container Disposal: Incinerate or dispose of in a licensed facility. 14. TRANSPORT INFORMATION Land'Transport: USDOT Not classified as a dangerous good under transportation regulations. Sea Transport: IMDG Not classified as a dangerous good under transportation regulations. Air Transport: IATA/ICAO Not classified as a dangerous good under transportation regulations. • 41 Lw< LINE .--X j PROTECTIVE COATINGS 15. REGULATORY INFORMATION Federal Regulations Registration Status: TSCA, US Released/listed. 16. OTHER INFORMATION HMIS III Rating: Health: 1 Flammability: 1 Physical Hazard: 0 HMIS uses a numbering scale ranging from 0 to 4 to indicate the degree of hazard. A value of zero means that the substance possesses essentially no hazard; a rating of four indicates high hazard. Local contact information: i Dustin Le Dle@linexcorp.com Bobby Bailey bobby@linexmail.com IMPORTANT: WHILE THE DESCRIPTIONS, DESIGNS, DATA AND INFORMATION CONTAINED HEREIN ARE PRESENTED IN GOOD FAITH AND BELIEVED TO BE ACCURATE, IT IS PROVIDED FOR YOUR GUIDANCE ONLY. BECAUSE MANY FACTORS MAY AFFECT PROCESSING OR APPLICATION/USE, WE RECOMMEND THAT YOU MAKE TESTS TO DETERMINE THE SUITABILITY OF A PRODUCT FOR YOUR PARTICULAR PURPOSE PRIOR TO USE. NO WARRANTIES OF ANY KIND, EITHER EXPRESSED OR IMPLIED, INCLUDING WARRANTIES OF MERCHANTABILITY OR FITNESS FOR A PARTICULAR PURPOSE, ARE MADE REGARDING PRODUCTS DESCRIBED OR DESIGNS, DATA OR INFORMATION SET FORTH, OR THAT THE PRODUCTS, DESIGNS, DATA OR INFORMATION MAY BE USED WITHOUT INFRINGING THE INTELLECTUAL PROPERTY RIGHTS OF OTHERS. IN NO CASE SHALL THE DESCRIPTIONS, INFORMATION, DATA OR DESIGNS PROVIDED BE CONSIDERED A PART OF OUR TERMS AND CONDITIONS OF SALE. FURTHER, YOU EXPRESSLY UNDERSTAND AND AGREE THAT THE DESCRIPTIONS, DESIGNS, DATA, AND INFORMATION FURNISHED BY LINE-X FRANCHISE DEVELOPING CORPORATION HEREUNDER ARE GIVEN GRATIS AND LINE-X FRANCHISE DEVELOPING CORPORATION ASSUMES NO OBLIGATION OR LIABILITY FOR THE DESCRIPTION, DESIGNS, DATA AND INFORMATION GIVEN OR RESULTS OBTAINED, ALL SUCH BEING GIVEN AND ACCEPTED AT YOUR RISK. LINE-X FRANCHISE DEVELOPING CORPORATION WILL NOT MAKE ITS PRODUCTS AVAILABLE TO CUSTOMERS FOR USE IN THE MANUFACTURE OF MEDICAL DEVICES WHICH ARE INTENDED FOR PERMANENT IMPLANTATION IN THE HUMAN BODY OR IN PERMANENT CONTACT WITH INTERNAL BODILY TISSUES OR FLUIDS. s �• A R-r p f✓ � K Assessor's map and lot number ........�.'. ..�..� ;....... ' tp� �fM@'"�A4s SYSTEM STEi1lA MUST BE F THE �ewage Permit number' ................... INSTALLED IN COMPLIAN .!. ... �'"... WITH TITLE 5 b �y�/ pyp��Mq� �gy^�y g{-�y ( Z_ BABH9TADLE, i House number ........ .� `. ENVIRONMENTAL�rT14J9d i4fA 3�i96� �iP �K yo M" 0p� 4p��YpYAr. TOWN OF BARNSTABLE �E BUILDING INSPECTOR APPLICATION FOR PERMIT TO ;8VILD..........W..�R.G.N.0.c.J.., '.��.QTFKE .................................... TYPEOF CONSTRUCTION ........... C.L.,......................................................................................................... ~ TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location ...La ....$........../&.A..l.k....Rd....,...../`fY.H.l�!NI.,S'.. .�C.....�L�.�aQ..�..................................................... ProposedUse ............................................................................................................................................................................. ZoningDistrict ...................$...............................................Fire District ............ .. .. ........................................................... . T. �.� ...: f1 �.,......HZ'9.., l ...its.....1�!. Name of Owner ..71.�:?.Q.TFf..y � L.0 z.l'.�.l..T.l..;.Address .... 3 Name of Builder ...................�.P. .e..............................Address .......................tJ/q M..6.......................................... Name of Architect ..`�.E. :C'. < c�.I..... 1?cl.:...�'Q.......Addressfa/�v6 kJ Number of Rooms ................OPL-.k).................................Foundation .........P5 . Rc--.1)......caCIJ x.e.Tc. . Exterior .........S..T6.5.1�........................................................Roofing ..........6.t.Q.LI!..:....S...rEj6..L................................. Floors 'I .T T................................................. ............... Jc.................................................... Heating .............................................................Plumbing c,?...... .T.a,5..................................... Fireplace ............/U.Q.............................................................Approximate Cost ........gLI),4..6.0.0....................................... Definitive Plan Approved by Planning Board ________________________________19________ . Area 0........... Diagram of Lot and Building with Dimensions. Fee �r.�.. ......... SUBJECT TO APPROVAL OF BOARD OF HEALTH OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name .... ..�.a.... ........ r....... `......... Construction Supervisor's License .... ...... V . LUZIETTI TIM01'HY R. No ..2765�... Parmhfor .. . ' . ----�FFICE-----------------.. ` - . Location ..I�A 5O'U��lt�J�oad----- . � Hanrs ------�. Owner - �}l:. ------.. ` Type of Construction -.Fram--------.. ----------'�---------------. . . . ^ Plot ............................ Lot ................................ Permit Gnznn»J -..8�uzzdz'28�--'_-l9 85 ' . Date ............ - » . . -��- '' /� l9 5��' -` --r--'_ .-'^^~^-'^-'----� c/"' ` ' Date ......................../.��-'lg . ' - / . . ' . ^ , . ^^ � AJIF GEa2v%6 C. 7-E72/tEL SCA/ , L.=gp 00 So os, EX/5T. T•r - 514.05 a ro sO• 02• t!O T 8 /Z,000 S.F t j 391. '�51.0 88'98' • /I i CArcH &ASIN J� — q9 Fes: 99.08 T/F/AA pL OT �L`i4/V LocgT/o.v: L OT B 14L.A14T RD:HYAL Nis,MA. EEFE.�e,c/CE:,RO 320 , pJc.6- . 45sesso map 29q,�9./G • P?EPi1 JZE�D �DI2-; T/M LUG%ETT% _ 2 i,/EBEBY CEBT/FY TNgT T!,/E 6l!/Lai�c/F ' S.41OIN Al O.V. 7'" S PL.AP" /S LOCATEa OA/ T.yE F E PSH OF MAss Wn C8/2-8- en9ineerir,y a ARNE yes -, C/V/L E/t/GLt/ErEGS � O `,20CJTE Gq^-Y�.eMOG/Ti�-I, MJ4SS. NUMBER SUFF. STREET NAME MAP --s —--.� PARCEL CARD NO. TOWN_ CLASS ROUTING NO.I PROP. 110 109 101 a 113 Record of Ownership & Mailing Address: Memorandum 901 t 902 903 1904 z i ACRES ST.CLASS CO. LIVING UNITS FIRE GIST. ZONING MULTI NC NEIGHBORH000 1 102 103 108 104 (' 105 299 DELETE 300330 LAND DATA&COMPUTATIONS SALES DATA i 300 0 NONE. ACTUAL EFFECTIVE EFFECTIVE ACTUAL UIQTPRICE DEPTH EFFECTIVE INFLUENCE FACTOR LAND VALUE MO YR TYPE AMOUNT SOURCE VALID 0 N FRONTAGE FRONTAGE DEPTH FACTOR_ _ UNIT PRICE 301 LOT L -- —— --•- _. — — --I �- — — — — _— 200' 1 REGULAR LOT � F --_-- L - - -•- - - - - ---I - -- - - - - - - 201 - - - - - ---'--- - - -2-MINUS LOT 3 APARTMENT SITE L — — —•_— —_—_— _——— —_1 —.— _— — — _ 202 4 WATERFRONT Sot L — —.— — ——I__ — — -_— --_ 'TYPE CODES VALIDITY CODES 310 SO.FT. ----- — .--- --.—.- --.-- ----._—.----- — — r�-- — t Land B valid Sail t PRIMARY SITE S _— )_ _ ._._I —— SO.FT. ——_.• — INFLUENCE FACTORS ---- L -- _ 2 Land a Building _ I Involved Adder I Parcels 2 SECONDARY SITE 1 —— F — 3 Building 2 No)Opan ket Mar 3 UNDEVELOPED S _I———1—_— — SO.FT. __•.--_ 1 UNIMPROVED ''e�— 3 Changed Altar Sale SOURCE CODES 4 Related Individuals or Corp, 312 5 WATERFRODUALNT I 2EXCESSIVE FRONT ` c,I I Buyer 5 Liquidation/Foreclosure - S —1 — —1- -- SOFT. ---•-- --- -- — —} 3TOPOGRAPHY 2 seller B Financing/Land Contract 315 ACREAGE A — — ` - _ 3 Agent 7 Included Excessive Pert Prop. t PRIMARY SITE. —� ——"—•--— --ACRES _ —I—____ 4 SHAPE OR SIZE — --_ 4 Other or Other—Sae Memo 2 SECONDARY SITE A _ ——a—_—ACRES _.— ——,_�_—— 5 ECONOMIC MISIMPROVEMENT _— _— to6 ENTRANCE CODES INFO CODES 3 UNDEVELOPED � 1 � 4 MARSHLAND A ___•——_ACRES --I_:_—— 6 RESTRICTIONS— — 1—— 0,ENTRANCE&SIGNATURE GAINED 5 CURRENT UNOCCUPIED I OWNER 5 WATERFRONT NONCONFORMING A _ _ —�— __.—ACRES —I_R —— —� 1'ENTRANCE GAINED -6 EST.FOR MISC.REASONS — --- 7CORNER/ALLEYI+I -- - 2 1 NOT APPLICABLE,UNIMP PARCEL (SEE MEMO) z TENANT 9 DESIGNATED + FOREST LAND/ A —— ——--•———ACRES ._ —I_�—_ gVIEW(+) —— L -- -- 3;ENTRANCE&INFO REFUSED 7 OCCUPANT NOT AT HOME OPEN SPACE # r , - 4 ENTRANCE REFUSED,INFO AT DOOR 3 OTHER 3t0 A .._ —_ —._ _—ACRES —� —— _325 0 TOTAL A _,---•_-_ACRES r SUMMARY OF VALUES- i SIGNATURE BY OWNER OR AGENT BELOW INDICATES DATA ON THIS FORM WAS GROSS I TOTAL VALUE LAND COLLECTED IN YOUR PRESENCE,IT DOES NOT MEAN THAT YOU HAVE VERIFIED I IRREGULAR LOT G ——--I--——1-- — THE INFORMATION HEREON. 370 2 SITE VALUE I 3 RESIDUAL TOTAL VALUE BUILDINGS � � a ' 4 HOMESITE 9 MINUS R.O.W. 4" TOTAL VALUE LAND IL BLOGS. 400 PROPERTY FACTORS 405 LOCATION 411 PARKING AVAILABILITY 11 TOPOGRAPHY UTILITIES STREET OR ROAD CENTRAL BUS DIST 1 TYPE_. QUANTITY_ PROXIMITY INSPECTION WITNESSED BY: LEVEL 1 ALL PUBLIC 1 PAVED 1 PERM CEN BUS D;ST 2 0 NONE 0 NONE 0 FAR PROCESSING DATA 1 OFF STREET - 1 MINIMUM 1 NEAR ABOVE STREET 2 PUBLIC WATER 2 SEMIIMPROVED 2 BUSINESS CLUSTER 3 2 ON STREET 2 ADEQUATE 2 ADJACENT __--. 3 ON&OFF STREET 3 ABUNDANT 3 ON SITE BEL ADO CHG F/D MO DAY YR BELOW STREET 3 PUBLIC SEWER 3 UNPAVED 3 MAJOR STRIP ' 4 4 PARKING DECK 1 2 3 4 — ROLLING 4 GAS 4 PROPOSED 4 SECONDARY STRIP 5 BUILDING PERMIT RECORD t 2 3 4 — '� STEEP S WELL S CURB&GUTTER 5 NEIGH grSPOTI 6 DATE NUMBER PRICE PURPOSE Y 1 2 3 4 LOW 6 SEPTIC 6 SIDEWALK 6 COMM I IND PARK 7 1 2 3 4 SWAMPY 7 NONE 7 ALLEY 7 INDUSTRIAL SIT(; B 1 2 3 1 '-- _ MARSHY 8 NONE II 1 2 3 4 / BARNSTABLE,MASSACHUSETTS . 1 } D V HEATING I4 COOLING 500 t i MAIN BLDG.COMPUTATIONS } OTHER VACANT i FL FLR FIN SCH RATE 816 SYSTEM 819 HEATING TYPE 820 COOLING TYPE PRINCIPAL BLDG.DESC. - j ., 1 HGT TYRE No 801 1MPR.TYDE —— FIRST .s` — .. 1 P —— —— —— —— ———•—— d APARTMENTS — HOTEL — MOTEL UPPER 827 NO,UNITS AVG.UNIT SIZE 1 NONE 1 NONE 1 NONE ( I F 803 804 2 UNIT HTRS 2 FHA - 2 PKG UNITS 3 CENTRAL HTG 3 GHA 3 EVAP } j - AGE 4 CENT HTG&AC 4 FLR/WL vUR 4 REFRIG ! ' I i9 829 ERECTED EXTENDED REMODELED 5 ELEC BB/CLG 5 HEAT PUMP I6 ty - —— —— —— —— ——— —— 6 STEAM/HOT WTR 830 I SP I ---- ---- --- -- 605 1 BO6 1——— 807 19-- 7 HEATPUMP S 831 FOUNDATION PHYSICAL CONDITION FUNCTIONAL UTILITY s - } —— —— —— —— ——— —— i. rvPE MATERIAL 621 1 2 3 9 84Y 834 —— —— SUBTOTAL ——— —— GOOD POOR UNSOUND. GOOD GPOOR ABANDONED { 808 t 2 1 2 3 4 5 P # 835 LF SO FT % % LISTED REVIEWED ttt��333�t t - C.W- P. CONC. CB BAK STN FR ,:. 3 I--- ---1--- --- . BASEMENT 823 BV DATE 824 BY DATE h ^�� 1 j 836 ADJ BASE RATE ---•-- R09 I 2 3 4 5 6 ADDITIONS 13 - ` J�—` 1}� - 837 INTERIOR FIN- [ ,———•—— SLAB CRAWL 114 112 314 FULL {_ ^ NO TYPE SIZE X RATE AMOUNT ? § 838 LIGHTING [ J———•—— 810 EXTERIOR WALLS --ANDrT.— — } 839 HEATING/AIR COND - 01 WOODFRAME 09 REINFORCED CONC. 858 1 02 SR/CB 10 METAL 840 --_---- L J--•— •-- 03. BR/FR 11 ENAMELED STEEL ' r l 859 2 -- - i A43 TOTAL L J_.--- •-- 04 BR/MS 12 GLASS 860 3 OS e"CH 13 STONE 844 SUB TOTAL RATE • .� D,. i 06 17'CB 14 STUCCO/FRAME 861 4 x 07 TILE - 15 STUCCO/MS 862 5 f 'I 845 X BASE AREA ———I——— 08 PRECAST CONC. 16 OPEN - —— } f�—c Lod Pt G c 846 SUB TOTAL FRAMINGF 1 2 3 4 TOTAL ADDITIONS 866 1&E FORM 1 2 3 4 847 ADDITIONS I-I 611 WD FR FIRE RES. R.CONC. STL/REIN•CONC. 1———I——— LEFT RET REF EST 812 ROOF ADDITION TYPE CODES ME&OF TYPE CODES 848 SUB TOTAL MECHANICAL FEATURES III OTHER FEATURES - —1———I—-- TYPE STRUC. COVER MAT, O1 CANOPY 01 PLBG FIXTURE JMPR NOOF. 849 GRADE 02 DOCK 02 STORE FRONT TYPE IMPR QUANTITY/SIZE RATE RE.PL COST - 1 FLAT 1 WD FR 1 BUCOMP 2 S.P. 2 STLIS JOIST 2 COMP SH. 03 CPY/DOCK 03 SPRINKLER 867 950 REPLACEMENT COST 3 D.P. 3 STEEL TRUSS 3 SLATE 04 OFP 04 MEZZANINE �� _— _1_1__ --- • _— - - -1--- —'1---I--- 4 HIP 4 IND TRUSS 4 METAL 05 OMP - 05 PARTITIONS 851 PHYSICALDEPR. — % 5 ARCH 5 CONC. 5 TILE 06 FR ADDTN-FIN 06 FLOORING 868 �� Q _ 1�1_ I �_ —— 6 SAW T. 6 COPPER 07 FR ADDTN-OF 07 DOORS 853 OBSOLESCENCE 7 MONITOR I WOOD 869 % 8 MANSARD / 08 MAS ADDTN-FIN 08 ENC-FIN —— —_ _I_-_—_ —— • —I——— — / 2 3 4 9 GAMBREL 09 MAS ADDTN-UNF 09 ENC UNFIN 870 854 NONE-FUNC ECO F&E FLOORING IO WOOD DECK 10 CRANE _ -- _1_ _- --- -- —I--- 11PENTHOUSE 11 PASS ELEVATOR 1 813 STRUCTURE 814 E COVRING MATERIAL 12 SHED 12 FREIGHT ELEVATOR 871 • 855 NET BLDG.VALUE 13 GARAGE 13 ESCALATOR 856 NO.SIMILAR BLDGS. X BSMT — — 99 MISCELLANEOUS 99 MISCELLANEOUS OF 872 — F I R S T — — _ OB A Y CODES OTHER BUILDINGS&YARD 873 TOTAL 857 TOT.NET BLDG.VALUE UPPER MF&OF - --I--- ITEM DEPRECIATION I WOOD I EARTH 6 CARPET NO TYPE CONST SIZE AREA GRADE RATE VEAR COND REPL VALUE PRYSIOBSOL 2 WO DKG/ 2 CONCRETE 7 TERRAZZO 01 GARAGE 14 CONC PAVING 82 WD FENCE '1 712 FMO 7/3 714 716 STL JST 3 WOOD 8 CERAMIC TILE 02 CARPORT 15 SHOP B3 LIGHTING -- --1_I--- 3 CONC/STL JST 4 ASPHALT 9 MARBLE 03 PATIO 16 OFP 84 CANOPY 2 722 FMO 723 724 726 4 CONCRETE S VINYL 04 SHED 17 OMP 85 R.R.SIDING — -- --1-1--- — -- —'— -- — -- -- 05 POOL 18 11FRAME 86 DOCK 3 732 FMO - 733 734 736' INTERIOR FINISH 06 MOBILE HM 19 I*MAS 87 TANK -- --1-1--- TT WALLS 816 CEILING 07 BATHHOUSE 38 IMP SHED 88 TANKELEV 4 742 FMO 743 - 744 746 OB SHELTER 70 CABIN 89 TANK-LING 754 756 6 752 FMO 753 09 STABLE 71 RESG'HSE 90 TANK-PROP _ __ _I—I--- -- -- ---- - - 10 SUMMER KIT 72.COMM G'HSE 91 SCALE 764 - 766—— —— 11 CELLAR 75 TENNIS COURT 92 RET WALL B 762 F M O - 763 - 12 WELL HOUSE 80 BT/C PAVING 93 TOWER Ot UNFIN OS WOOD PANEL 09 TILE 7 772 FMO 773 774 776 13 B.T.PAVING 81 WIW FENCE 95 — -- --1—i--- — -- • -- -- — -- -- 02 PAINT 06 METAL 10 ACCOUS.TILE 00 MISC SLOGS g 782 FMO 783 - 784 786 } 03 DRYW P.LL 07 MARBLE 11$LISP,ACCOUS, — -- --1-1--- — — — -- _` — --�— , } 04 PLASTER 08 F19RE BOARDI 12 GLA S 800 TRUE VALUE ALL IMPROVEMENTS ' 1 `E i _I—_ 7rj �TDTA�,OB&Y FA IR-r MARNST LE, � {/~ �� J� � � � � � -- ` ° � � � |� �� |� � � �� ! ' � | � \ BUILDING � NN N N �� N �� INSPECTOR ��NNN0-N� N �� = ° �� APPLICATION FOR PERMIT TO - ......... -------..-,.---------.... TYPE OF CONSTRUCTION ---67-FE./ ---_------.--------._______.^___._____. �. TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Name orOwner ....... -.*oo,cx -'^/,r.... �x .... ......... /' Nome of Builder ................... rn----------A66ness -------.. -------------' ~ Nome of Architect '��/. -~ .�/'\�-_A66nso H/ T7~/f?� ' - Number of Rooms ................/Tp/r.0.................................Foundation .......... -- T ............... ^ Emerior --'�5 /.........................................................Roofing ........../�AIL|/�-��7- 65.L___________ Floors ............/n6M r- /?/7-.................................................Interior ----. E / ----------------' Heating --- /]/ls.............................................................Plumbing »2'�' � . [H....------------. ' � k1 Fireplace ----�x^^-----------------'--.Approximote Cost ....... n4 � ' Definitive Plan Approved by Planning Board 1g--------, Area -�~',/�{/(]-/��---' Diagram of Lot and Building with Dimensions ' Fee --------------- ` - SUBJECT TO APPROVAL OF BOARD OF HEALTH - ` | � � - - ^ ' /'- � _ - \ � | ~~ OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS � � | hereby og.ee to conform to ` all the Rules and Regulations of the Town of 8ornonz6|e regarding the above construction. ' ' C>1, ^ Name -..^� -��'-/� ---~ ' Conutruction Supervisor's License -. 12...... ` | LUZI=I, TLM- = R. A=294-76 ?(,-( I No ..27659.... Permit for ...AIVTTP.WAREHOUSE .................... ......................OFFICE............................................ Location .......�tA 5Q.JP14nj;..?�a. .......... ......................]ffy P.......................................... Owner ......VjKthy..Rr...L.IAZiQt;.tl................. Type of Construction ..FraMe............................ ................................................................................ Plot ............................ Lot ................................ Permit Granted ......Ma.rch...2.8.j...............19 85 .... ...... . . . Date of Inspection ....................................19 Date Completed ......................................19 C��C-E Piz, Z- Page 1 of 1 Anderson, Robin From: Shea, Sally Sent: Monday, July 10, 2017 9:55 AM To: 'William Rex' Cc: Lauzon, Jeffrey; Franey, Patrick; Anderson, Robin Subject: 58 Plant Rd. Hi Bill, We do have a business certificate application signed with specific limitations. We also have a sign permit in place. There is a building permit application submitted and issued for this address however, there is no mention of tenant. This permit shows no inspections as of yet therefore no C.O. y Sally Shea Town of Barnstable Assistant Zoning Admin/Lead Permit Tech. 508-862-4031 7/10/2017 U1 V c �I N cc Cep v a Ir CD O N C. -q w � z z� x A N IC) ca UN = Q N O 1 O 02 Z 11 Z 3 ' n TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map qq Parcel D ` ApplicatioA.� ' Health Division �- �"' Date Issued � � Conservation Division Application Fee Planning Dept. Permit Fee IVI ,3Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation / Hyannis _ n Project Street Address Village RY,4AWIS Owner 'lime,77fa Address 11Q1 fatiZ> VIE'0 DR, GFIl'Te/�VlLL E� /`�q oa632 Telephone `568— 7 71- YA y;L Permit Request la otu( DE So)c e-F o2,saa ie;Zo 'TZae> 93,nYs f4Dl> 4ccES5 -poo(LS n.&,+D 6r✓e- �3flTE4 Square feet: 1 st floor: existing3 bb proposed 2nd floor: existing 93 a proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuations o Construction Type FRfiNrC 0 Lot Size. I a, o 0 0 Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family (# units) Age of Existing Structure /`l 8 s Historic House: ❑Yes 3 No On Old King's Highway: ❑Yes It No Basement Type: ❑ Full ❑ Crawl ❑Walkout ❑ Other Basement Finished Area(sq.ft.) - a - Basement Unfinished Area(sq.ft) - -" Number of Baths: Full: existing new 995 Half: existing new Number of Bedrooms: Wa AJE existing _new Total Room Count (not including baths): existing STD new First Floor Room Count Heat Type and Fuel: 2 Gas ❑ Oil ❑ Electric ❑ Other Central Air: ❑Yes 4 No Fireplaces: Existing 4 New Existing wood/coal stove: ❑Yes No Detached garage: ❑ existing ❑ new size_Pool: ❑existing ❑ new size _ Barn: ❑ existing ❑`new site_ Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: { � " -CN rt= , Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial V Yes ❑ No If yes, site plan review# y777 Current Use Proposed Use -SWAIFE APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name a R. Lurte'tt Telephone Number 7Z/' y2 q Address I I P r-jn 1/1 Fk, VE License# C 8 C'e4_37erY i 1 le.. M04 6 eZe-3-I— Home Improvement Contractor# '47 Email //^1. ,LU2refd t (' 9 "Mi. CBx-! Worker's Compensation # 7Sa3/l ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO 17 U M P SIGNATURE DATE �"IAY CZ.b 16 i FOR OFFICIAL USE ONLY ,r APPLICATION # DATE ISSUED MAP/PARCEL NO. ADDRESS VILLAGE OWNER DATE OF INSPECTION: FOUNDATION FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO._ 1+ CUZIE'TT � ___3'8� tNT_ Rd_ ►D__ �_N..YNNl3._ AC �R� a i i -SA _ T ulull t S i �d, t A 1,f story 8M+► Oao R O�+o R �it1 uu� O -- 2O ' 3.�• `' PAG-E-I- Sus Lb q ,)C 'Nam.L w lTN 2 r 3 ` 91 Pow pcaRS 5_TAL1. O A—SE—a uTS t D FcA E PRd&E D44WR -- 3 FWL .4 4C.E.s 5 F&M Da-rW UNIT 13 + C _ SEE DRAujimew nlb C_%4Aw E suPraRT S _ST K t� ExISTIIUc'- 2 ST6ItAGE AREA = R� _E� srfrv� s_u o.r�-rs ,4,uD IN S.T�9�.�1,. Ec�i _��G._V_ .___ ._`� • �s«XIS €uE R /�2 ` 0.�`LR o'la- 4A.) rt — S u pp 1> c sJ 3 a R.F.4 s db 3 ItTS F�rj A2 C._.$ '` C c N t.r e-re L.&6 a � SCA L : `ls = ! �9 cL6S� rA1_,2.�� FG�eR Fxss�_J..N+G SZQ�eG_E__.isiR��°► Li�E�.>u.� _ UNl7r d .f� USCG 2 F_�,f�GFA�L� " oIu CEN?E� /¢� N_EA�! Sig'_OF, U.5 4-1_L CEE t L c N�- K `SA G�'PSUM PAC�2 To o w s ��cfi o a�c �N� ` X_7_; a`Y" LN_1� a F S Ta 2A6.E RRE_�pN 2-"'� ELde& oifqkl tT L,aAjtT C EX15 IJa. 0&7- 0 A r Ei 'To H A U E frXj-y7 Au a- �Y_.�'FM I a EXjST(NG- S-CAIff VAemr si s y The Comrrrompeakh of sachmetts Dvarfwent of ru hatrial AccideFzo ' Bice af.�ix�e�li�aiEans. 1 600 Washbigion Street Boston,MA 02111 wFlnurnamgm1dia Workers' CompensafranIumumnceAffidavit:BuildersdCuntractarsm-ect'c-:a s/Plmnbers AppliamtInf6matign Please Print E n y Name,Mnci�an;ra¢;rn,rFi,IF+r�' AddF� f:� 7 ('�� V t� D fz i V•E ' Citgf Late i ��.�I ry 1�e M,,4 a2G3�L, Phono illk- [s':g-7 7/ Ufa.cl a— Are you an employer?Checkthe appropriate bow Type of project(required): L 9 I am a employes wi n jx E- 4. ❑I ant a general contractor and I 6. ❑New a=ftucEion emp•Ioyew(full andfor part-time).* have hiredt&e sub-contactors 2.❑ I am a sole proptietof or-partner- listed emthe aEtaled sheet. ?_ Remodding s4ip and have no employees These mb-conlractors have $- ❑Demolition waddng forme in argy capacity. employees andbave wodcers' LNo ors' Camp.immure comp_insuMM I g- ❑RuAdicg addition. rewired-] 5. ❑ We are a corporati=and is 10-❑Elechical repairs or adr9gons 3.❑ I am.a bomeoumer doing all work officers have exeir ised diecr 1L❑Plumbingrepaim or addittioms ,.,,,�� t'� {�To woxkers' F u�of exec T&n per MO- ,a r required-]a c.152,§1(4� and we have no 1?❑Iiflafrepasrs employees.[To wozkere 13-❑Ot&er canxg insaraace rt:grrired_) 'Aa`uysppficcit&atchaft box R—st also fill outthesectionbeiowshursiug$ie¢•esa2ezecomp—sat; apeHcyinosmasion_ Eo*+ mn who subma dais affidZV9 to . sultmk a new affidavit mdicdiaa sac3L fCarmacims$�ztcJ�r7[ftlgsboamastattarheaasadditinaalShMd 5JVW1=gthM--Cf ffig M3b-CCUtXCtCFr&aadstatewhetlLuornutthaseead&sha• e employees.If tb-sab-caaiactashace empioFeas,they—z pm-Ae their wadrLs'•mmp.pday mmilsEL I arr[arr ertipr fJiat is prar2dirrg�v�rkors'ca�rrsr�iarr irrsnraaca for�errrplaj�e¢.a ,Belrrav is iihs polio,y arm jala�e €nforma(ton Insurance CompanyName: /+r®jX C- U qp D. 1AJ S V P-AOC,F— 'P4ficy 4,or-Self-ins.Iio.:9: 6-LJ C'- 7 c- a 3 11 piratiaaDate �' , `t`3 02 c� I `7 Job Site Address: �.�N�- 2 eiiylStateE; p;_ /}1V i S �A o ro a l Bch a copy of the workers'compensatiQnpolicy declaration page(shmmg the policy number and e=piratioa date). Failwe to secure coverage as reg6redunder Section 25A o€MCL c.152 can lead to the imposition of criminal penaWees of a fine up to$1506 00 at for one-gearimgrisonramd.as Drell as civil penalties is the fozm of a STOP WORK ORDERand a Kne of up to$250.DO a dEry against ffie violator. Be advised drat a copy of this statement maybe forwarded to the Office of IavestigatiaBs of the DIA for R sur2mce covemp verificafiom_ IIra hemby cgrfF�r-uxuLer the proms and penalties eperjury that the info rnu a6vrt pr ini&d a hmw rs bus avid correct I Suture- hate_ �' as�>f t3&iat use wify. Do not awrAr in t d3 area,to be caarrxpieted by rxiy artow n o Idrat City-or Towzu P -icense;9 Issuing A mrity(ca cie one): L Board o€Health I3wWng Departrmeat 3.04/Yoten Clerk 4�Electrical hupector 5.Phmffimg Imspecter b.Other Contact Person: Phone P: oFT"KE r ASS s � � z � Town of Barnstable. Regulatory Services Richard V.Scali,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 v` c / as Owner of the subject property I � Z � , l P Pay hereby authorize/i24it7%i a o ?s . lac- to act on my behalf, in all matters relative to work authorized by this building permit application for. (Address of Job) Signature of6wner 41,,1 Date Print Name If Property Owner is applying for permit,please complete the Homeowners License Exemption Form on the reverse side. QAWPF=\FORMS\buildmg permit forms\02RESS.doc Revised 040215 I � 1V1a5sau1ubeus vepanment cn ruuuc as►ery z ' Poard of Building Regulations and'Standards License: CS-010538 Construction Supervisor TIMOTHY R LUZIFAI 119 POND VIEW.ORe CENTERVILLE NJA U,6i - - CA— Expiration: Commissioner 07/01/2017 �I CERTIFICATE OF LIABILITY INSURANCE 05/5/20016D THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT:If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must be endorsed. If SUBROGATION IS WANED,subject to the terns and conditions of the policy,certain policies may require an endorsement A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsements. PRODUCER CONTACT Paychex Insurance Agency Inc PAYCHEX INSURANCE AGENCY,INC. 150 SAWGRASS DRIVE PHONE , 877_266-6850 F' . 585-389-7426 ROCHESTER,NY 14620 E-MAIL Certs@paychex.com INSURER(S)AFFORDING COVERAGE NAIC# INSURED INSURER A: NorGUARD Insurance Company 31470 HEAVENLY POOLS INC. INSURER B: 119 POND VIEW DRIVE CENTERVILLE,MA 02632 INSURER C: INSURER D: INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED.NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. NSR TYPE OF INSURANCE ADDLSUBR POLICY NUMBER POLICY EFF POLICY EXP LIMITS TR INSR D (MWDD/YYYY) (MWOONYYY) GENERAL LIABILITY EACH OCCURRENCE $ COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED $ CLAIMS-MADEE::]OCCUR MED EXP(Any one person) PERSONAL&ADV INJURY $ GENERAL AGGREGATE $ EN'L AGGREGATE LIMIT APPLIES PER PRODUCTS-COMP/OP AGG $ i POLICY =PROJECT=LOC AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ ANY AUTO (Ea accident) ALL OWNED SCHEDULED BODILY INJURY $ AUTOS AUTOS (Per person) HIRED AUTOS NON-SWNED BODILY INJURYAUTO $ (Per accident) PROPERTY DAMAGE $ (Per accident) $ UMBRELLA LIAR =OCCUR EACH OCCURRENCE $ EXCESS LIAR =CLAIMS-MADE AGGREGATE $ DED RETENTION$ $ WORKERS COMPENSATION AND X WC STATU- OTH- EMPLOYERS'LIABILITY HEWC752311 05/18/2016 05/18/2017 TQRY LIMITS EL.EACH ACCIDENT $ 100,000.00 ANY PROPRIETORIPARTNEWEXECUTIVE OFFICERIMEMBER EXCLUDED? E.L.DISEASE-EA EMPLOYEE $ 100,000.00 (Mandatory In NH) � N/A E.L.DISEASE-POLICY LIMIT $ 500,000.00 If yes,describe under DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(Attach ACORD 101,Additional Remarks Schedule,if more space is required) CERTIFICATE HOLDER CANCELLATION THE TOWN BARNSTAPLE SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION 58 PLANT ROAD DATE THEREOF,NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY HYANNIS,MA 02601 PROVISIONS,BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE COMPANY,ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE ACORD 25(2010/05) 1988-2010 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD +J d � N o i i I 7 i 1 i 20 °F. i { i U. O cc, o 004 Cn. O _pol 41 ` FLA 2 i 1 �(3V1L _PJ�RL4J�tiE=W_E11V_N1?I3__a 2 C (0 O B._ T_'fL� �av 1.E �g~C�y_�S_c3� s/f �_ t�S o"RCN St M OF LL: Taus Lp q 'X !J'HALL. W ITfJ ?, — 3 FIRE PR�aa¢ pacsRS J,NSTAL[. p_Js�r 6 UTs t FC R PRaaF Pg* ?Q •- 3' . Fad 44cEs 5 F o M B oT H UNIT 13 s E E 0�19�J r.O c.HRwCBE suP aP t�T SY_S_TF L ��t EXtSSANrr 2 '`' ��-o = 5T6 RAGE A_ �Q = RL Ma y EXI IA A1_GTS_U pR-r5 f�itJD �Nst'9LL. NEwt�V_t.��a.�4 l• Ts"X �lS'' -- SoLTrza EVEKY ` 2.' FRoM TeP AA.)D Z.�LZ6 -i -- Suppg � El> IN) s I R s e�q.LE To GLt.SF !r<1 R 1~LW E EN DER—FLC16 R 3rd 9-Pr G-E PA&F- V '4t l�l n ~ I im Irn it t •U lA p y r m E A Ip IN m r x b ( y � y i m Town of ee Barnstable Buildin c s hostTh�s GardSo That�t�sNis�ble From;the Street Al froved,Plans Must beRetain'ed an:J:oband this Card Must beeKe t ;. � lA�N8iA1LL. :� > "I��.� "��•�.�> 3�,'��.��. >as ��. pp aa�n� ..,\� �'��: � ��' 3aT`...., h .^' '� .P . M' Posted Until final InspectionHas°Been Made, : a ► . Where ae: rficate of Occu anc ,r�s Re uired,such,:Buildmg shall Not=beaOccu ied until a Finalbins ection-fias been;made Permit Permit No. B-17-1798 Applicant Name: LUZIETTI,TIMOTHY R Approvals Date Issued: 06/07/2017 Current Use: Structure Permit Type: Building-Sign Expiration Date: 12/07/2017 foundation: Location: 58 PLANT ROAD, HYANNIS Map/Lot 294-076 001 Zoning District: B Sheathing: Owner on Record: LUZIETTI,TIMOTHY R `°Contractor Name Framing: 1 Address: 134 LOTHROPS LANE Contractor License 2 S EP �� WEST BARNSTABLE,MA 02668 E t ProJect Cost: $0.00 Chimney: Description: sign for linex 12 sq ft Per rt Fee: $50.00 Insulation: Fee aid-Project Review Req: sign for Iinex 12 sq ft $50.00 s �� I h, Date 6/7/2017 Final: �� s vex ua Plumbing/Gas Rough Plumbing: - Zoning Enforcement Officer final Plumbing: g: This permit shall be deemed abandoned and invalid unless the work authozed by�this permit is commenced within six monthsgafte�r issuance. r a Rough Gas: All work authorized by this permit shall conform to the approved application and thesapproved construction documents;t-wRieh,this permit has been granted. All construction,alterations and changes of use of any building and structures shall be in compliance with the local zoning by law and codes. Final Gas: This permit shall be displayed in a location clearly visible from access street or.road and shall be maintained open for public inspecti-77' on for the entire duration of the xH : work until the completion of the same. Electrical The Certificate of Occupancy will not be issued until all applicable signatures Pi lding and Fire Officials arPprovided on this permit.eX Service: Minimum of Five Call Inspections Required for All Construction Work:: 1.Foundation or Footing Rough: 2.Sheathing Inspection g 3.All Fireplaces must be inspected at the throat level before firest flue lining is installed Final: 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection 5.Prior to Covering Structural Members(Frame Inspection) Low Voltage Rough: 6.Insulation 7.Final Inspection before Occupancy Low Voltage Final: Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Health Work shall not proceed until the Inspector has approved the various stages of construction. Final: "Persons contracting with unregistered contractors do not have access to the guaranty fund"(as set forth in MGL c.142A). Fire Department Building plans are to be available on site Final: .All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT ` v --A THE r Town of Barnstable a� ati Regulatory Services RAMSTABIX Mnss Richard V. Scah,Director �'0rena``� Building Division Paul Roma,Building Commissioner 200 Main Street, Hyannis,MA 02601 . www.towri.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Permit# —J 7 Building Official approving Application for Sign Permit APP �hcant:C-A U. CAL ?Q611mfav5, Assessors Nc�S-'a 0 °`io 76co I �1�1(a �7a53, 7 7S-Q Doing Business As:Lt of--x C P Telephone No.i Sign Location P _ Street/Road: Zoning District: Old Kings Highway? YesF) Hyannis Historic District? Ye � Property u`er ro ;,e< '-.'11 ,(1d1�,1(' _ Telephone: R., Name: .Q,,t �- . Address: T J MAY ,2, Village: H YA Al Sign Contractor Ovvtv of a A�Sr Name: a, Telephone: f Mailing Address: Description, Please follow the cover directions.You must have an accurate rendition of sign with dimensions and location. Is the sign to be electrified? YeseT (Note:If yes, a wiring permit is required) Width of building face ft.x 10= z.10= Check one Reface existing sign or New Total Sq.Ft. of proposed sign(s) If you have additional signs please attach a sheet listing each one with dimensions If refacing an existing sign please provide a picture of the existing sign with dimensions. I hereby certify that I am the owner or that I have the authority of the owner to*e this application, that the information is correct and that the use and construction shall conform to the provisions of §240-59 through§240-89 of the Town of Barnstable Zoning Ordinance. Signature of Owner/Authorized Agent: j Date signs/signrequ&app revised: 06/20/16 6LI K CA C 0� R Town of Barnstable Regulatory Services * pia ss ' * Richard V. Scali,Director Ec � Building Division Paul Roma,Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 SIGN PERAUT REQUIREMENTS 1. A photograph showing the existing facade, on which has been.indicated the proposed sign location. The photograph is to include a portion of adjoining stores or building. For a proposed building or new facade, an architect's elevation may be submitted in lieu of a photograph. 2. A scale drawing of the proposed sign. A scale drawing indicating: 1) The type of proposed sign(wall,hanging, free standing) 2) Dimensions of the proposed sign and any designs, logos, or lettering 3) A cross-section with dimensions showing edge detail. Minimum scale 1"= 1'. Minimum sheet size, 8.5 x 11". 3. A scale drawing of the bracket. A colored scale graphic indicating dimensions, showing colors,materials and method of affixing it to the sign and to the building. Minimum scale 1"= 1'. Minimum sheet size, 8.5 x 11". 4. A completed Town of Barnstable Sign Application, including scaled diagram showing location of sign on building or location of free-standing sign. Show dimensions. 5. The width of the building face or the leased area. d n the application. NOTE: the map/parcel number is re u�re o q PP signs/signrequ&app revised: 06/20/16 e CF- t?` "{ T If 4 5 E TM 508 =776 =0716 IN E ;;1► 22 & 1/4 inches PROTECTIVE COATINGS LINEXCAPECOD.C.OM 80 inches YN L L Ab } y�F,. n}�z .•�' R ., �`. i�ay�'.' ;'ore- �r ,� c"'��.r AGFY'- s 3� _ mow.+-....,...�i,.. -:. s• yid .� Y 11 O c� Nol i:—� re�� r`�`n �_'">�?gt�y'C�+•�� ,� s .,�". �„ }✓�,�tY#a73,�� ri:� r �,.... �, `sn�� Y`,��Yf�$�� wR. a v + �"'a��.�' 'tt� ��.-�� a�,rv�.✓h -.{.t� »..�.�i-�� r''`""3s..��a;e y, o t+,.`� a `' ,y�f, o y- . J .:.Ma,: _f �N rx,