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0477 YARMOUTH ROAD
a PJLM(3O f t r �A-1 f2ev 'o'z4 S (� ��e �,� R C �( o.1 g�2c9� oQr L3� �2 S -4T i I i i i t l i Y i , i r r , ' J �� �" ° . Town of Barnstable €gPost This Card;So Thatyt rs<Ursrble From the5treet-„App,roved Plans Must be Retained onJob andthrs Card Mustbe Kept 1a'X Building s P sted Untrl Final Inspectro'n Has Been Made -; F A= Permit : Were a�CertrficateEof gccupancy is Requ,red,such,Burldrng shall Not be Occupied'untrla Final Inspection has beenmade Permit No. B-18-3618 Applicant Name: Rich Burridge Approvals Date Issued: 01/11/2019 Current Use: Structure Permit Type: Building-Addition/Alteration-Commercial Expiration Date: 07/11/2019 Foundation: Location: 477 YARMOUTH ROAD, HYANNIS Map/Lot 344-003 Zoning District: B Sheathing: Zk Owner on Record: DUBIN RICHARD S TR Contractor Na me:; .,,.RICH A BURRIDGE Framing: 1 2 Address: 12 MARINERS LANE Contr0ctgrjicense CS 097595 2 R MASHPEE, MA 02649 Est Project Cost: $ 12,500.00 Chimney: Description: Installation of(1) one small cell antenna and ancillary equipment on Permit Fee: $213.75 Insulation: existing Eversource utility pole(#36-38) nearr477 Yarmouth Road, H annis. Fee Paid: $213.75 y at 01 Final: D e: 1/11/2 9 a Project Review Req: 44N Plumbing/Gas s Rough Plumbing: �. 3 Building Official Final Plumbing: 6 Rough Gas: Y � This permit shall be deemed abandoned and invalid unless the work authorized by this permit is commenced within six months after issuance. Final Gas: All work authorized by this permit shall conform to the approved application and the approved construction documents for which his permit has been granted. All construction,alterations and changes of use of any building and structures shall be in compliance with the local zoning,by laws;a' codes. Electrical This permit shall be displayed in a location clearly visible from access street or road and shall be maintained open for public inspection for the entire duration of the work until the completion of the same. ;� ` Service: lzf The Certificate of Occupancy will not be issued until all applicable signatures by the Building and\Fire Officials are'provided"on this permit. Rough: Minimum of Five Call Inspections Required for All Construction Work: 1.Foundation or Footing Final: 2.Sheathing Inspection 3.All Fireplaces must be inspected at the throat level before firest flue lining is installed Low Voltage Rough: 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection 5.Prior to Covering Structural Members(Frame Inspection) Low Voltage Final: 6.Insulation 7.Final Inspection before Occupancy Health Final: Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Work shall not proceed until the Inspector has approved the various stages of construction. Fire Department "Persons contracting with unregistered contractors do not have access to the guaranty fund" (as set forth in MGL c.142A). Final: Town of Barnstable Building PostTliisGard"SoTha ust BeRetaned on Joband this.GacdMust beKe tr, , .,urxscwu�s t rt isVz�sible From theStreet ApproEued PlansM p , i =6s� PostedUntil F�nallnspectwn HasBeen,Made �$ ; �� �� e ," Permit Where a Certificate of Occupancy Requrd,su hBuldnghall tbe�Occup�ied until aF�nal Jnspecti n has been made_$¢ Permit No. B-18-1897 Applicant Name: Approvals Date Issued: 06/13/2018 Current Use: Structure Permit Type: Building-Sign Expiration Date: 12/13/2018 Foundation: Location: 477 YARMOUTH ROAD, HYANNIS Map/Lot 344-003 Zoning District: B Sheathing: Owner on Record: DUBIN, RICHARD S TR Contractor Name:" „ Framing: 1 �u _ Address: 730 BEARSES WAY Contractor LicerisFe 2 HYANNIS, MA 02601 `Este Project Cost: $0.00 Chimney: .; Description: sing permit on existin gpost 60"02"=30 sq ft for WILLOW STREET Permit Fee: $50.00 TAVERN FLATBREADS AND BURGER BAR Fee Paid' $50.00 Insulation: Project Review Req: t ' ,Date 6/13/2018 Final: a C— Plumbing/Gas r Rough Plumbing: { Y "Zo'ning Enforcement Officer " Final Plumbing: This permit shall be deemed abandoned and invalid unless the work aahbti'e&by is permit is commenced within six nonths,after:issuance. All work authorized by this permit shall conform to the approved applicationandithe approved construction documents for which this permit has been granted. Rough Gas: All construction,alterations and changes of use of any building and str�uct rue shall be in compliance with the local zoning by lawsgand codes. t' � Final Gas: This permit shall be displayed in a location clearly visible from access street or road and shall be maintained open for public Inspection for the entire duration of the work until the completion of the same. , ` x- '� Electrical The Certificate of Occupancy will not be issued until all applicable signatures by the are provided on th s p rmit. Minimum of Five Call Inspections Required for All Construction Work: . Service: 1.Foundation or Footing y . 2.Sheathing Inspection m.. Rough: 3.All Fireplaces must be inspected at the throat level before firest flue lining is installed 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection Final: 5.Prior to Covering Structural Members(Frame Inspection) Low Voltage Rough: 6.Insulation 7.Final Inspection before Occupancy Low Voltage Final: Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Health Work shall not proceed until the Inspector has approved the various stages of construction. Final: "Persons contracting with unregistered contractors do not have access to the guaranty fund" (as set forth in MGL c.142A). Building plans are to be available on site Fire Department Final: All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT t. E Town of Barnstable Building Department Services Brian Florence, - Building Commissioner BA STABLE 0 �1200 Main Street Hyannis,MA 02601 =021 `'"" " '":�.;�; www.town.ba rnsta ble.ma xs Office: 508-8 038 � Fax: 508-790-6230 TO��0�gAC Sign Permit Application Zoning District _ Permit # Historic District ❑ Location b Y Street address and village Applicant 'qv l' e ✓4t Map & Parcel 13 7 y o o Telephone Number)335 3a 9�7� Email R(jL� % q 9 6y"'� ) p (� Wall ❑ Wall ❑ Freestanding Freestanding ❑ Electrified* ❑ Electrified* Dimensions Sign #1 �' �-� Dimensions Sign #2 Square feet (00NIC-71 Square feet Reface Existing Sign New/Replace Sign Width of Building Face ft. X 10 + X .10= *Lighting Type SO 2:�= N A wiring permit is required if sign is electrified. I r i J I ......................Mann.... C � C ef { i 5 t 4 X� SIGN DIMENSIONS:60x72 double sided SIGN AREA: 30 square feet JUN 0 5 20 SIGN MATERIAL:3/4 MDO.3/4 PVC raised graphic panel TOWN OF t3H sly Colors: Black and metallic gold Brennersigns.com PROJECT NAME:Willow Street Tavern Brennerawnings.com Office 508-747-3465 ADDRESS:477 Yarmouth Road,Hyannis,MA 66 Federal Furnace Rd. 19"9 Plymouth,MA DATE SUBMITTED: June 4,2018 i .............................. • JUN o 5 201 TOWN OF E3A1v 1 . Prior to any printing,all proofs must be approved by signature and returned.Please check spelling,color,design&size. Upon approval Brenner Signs will not be held responsible for any errors or omissions in regards to spelling,color,design or size.It is also understood that upon approval some changes to the finished artwork may be necessary at the time of printing and fabrication.Client authorizes Brenner Signs to make such necessary changes. All Rights Reserved.All artwork/concepts are the sole property of Brenner Signs&Awnings LLC.unless otherwise stated.Artwork may be released to a client for a fee,which may vary.We do not assume responsibility for copyrighted material.We assume all of clients have respective permission. Brennersigns.com F-1 APPROVED BY: DATE: Office 508-747-3465 DATE: 66 Federal Furnace Rd. June 4, 2018 t9,9 Plymouth,MA F-1 NOT APPROVED,SEE MARKED UP CHANGES .� Town of Barnstable Building `� `�' = rdSo�That It iis'Uisible`Frorn�.the�Street '�A roved;Plans'Must be�Retamed�on Job and;#his Gard Must be K;ept��_,:; � BA1l° Permit AREL L& ' § ,�..1:; � .. ,: . ,, E"._ �,Y„`4r! ,► M163 ,�` PostedUntil Final�lns ection=Has Been'�Made :�' � � �'. ���'' -x�� �� � �' �`� ` �`�'' `� � � � �" � ti ° a%Certif ci a'teOccu anc "::isRe uired�such:Bwldln shall Not;b�e Occu leduntli a Flnai lnspecbor has been matle Permit No. B-18-1170 Applicant Name: DUBIN, RICHARD S TR Approvals Date Issued: 06/25/2018 Current Use: Structure Permit Type: Building-Alteration INTERIOR Work Only- Expiration Date: 12/25/2018 Foundation: Commercial Map/Lot 344 003 Zoning District: B Sheathing: EL Location: 477 YARMOUTH ROAD, HYANNIS ` IContractm, ame ,I"PFraming: 1 Owner on Record: DUBIN, RICHARD S TR ContractorLlcense 2 Address: 730 BEARSES WAY -`� E t pr6ject Cost: $0.00 c F Chimney: HYANNIS, MA 02601 `�Permrt Fee: $75.00 Description: Willow Street Tavern-no changes ,Fee-Paid $75.00 Insulation: . fr Date 6/25/2018 Final: Project Review Req: � � � � t 9 Plumbing/Gas Rough Plumbing: Building Official Final Plumbing: This permit shall be deemed abandoned and invalid unless the work authorized by this permit is commenced within srz months after?issuance. u , h Gas: All work authorized by this permit shall conform to the approved application and the approved construction documents°for which`thi5 permit has been granted. Rough All construction,alterations and changes of use of any building and strUctur,,es shall be incompliance with the local zoning by laws and codes. This permit shall be displayed in a location clearly visible from access street or oad nd shall be maintained open for pu6lic'mspection for the entire duration of the Final Gas: work until the completion of the same. ' Q4 � $ ��` Electrical The Certificate of Occupancy will not be issued until all applicable signatures by the Building and'Fire 'fficials are provided onm is permit. `a4 t :� 3 Service: Minimum of Five Call Inspections Required for All Construction Work " h 1.Foundation or Footing \ Rough: 2.Sheathing Inspection s. ..._ .., 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 ;F' BARNSTABLE PeraftFee......... ,�......................otb=F=........................ QX4 8: ?5 Total Fee Paid..................................................................... Pcm&Approval by.......TOWNOF BARNSTABLE .....................On...{O1 —h.�...... BUILDING PERMIT .. Mai... ..................... mxL...........r D4�.. .................... APPLICATION Section 1— Owner's Information and Project Location Project Address Owners Name 'RO L & G 'k Owners Legal Address ./m Dr City State � Zip �o qq Owners Cell 1 �3 ` �a 7a . E-mail Section 2—Use of Structure Use Group ❑ Commercial Structure over 35,000 cubic feet ❑ Commercial Structure Tinder 35,000 cubic feet ❑ Single/Two Family Dwelling Section 3 —Type of Permit ❑ New Construction ❑ Move/Relocate ❑ Accessory Structure ❑ Change of use ❑ Demo/(entire structate) ❑ Finish Basement ❑ Family/Amnesty ❑ Fire Alarm Rebuild ❑ Deck Apartment ❑ Sprinkler System ❑ Addition ❑ Retaining wall ❑ Solar ❑ Renovation ❑ Pool ❑ Insulation Other—Specify Section 4-Work Description JAJI tit r T aet tmdabe&219 2.019 Application Number.................................................... Section 5—Detail Cost of Proposed Construction Square Footage of Project Age of Structure Dig Safe Number # Of Bedrooms Existing ' Total#Of Bedrooms(proposed) 110 MPH Wind Zone Compliance Method 0.MA Checklist WFCM Checklist ❑ Design Section 6—Project Specifics ❑ Wiring ❑ Oil Tank Storage ❑ Smoke Detectors ❑ Plumbing ❑ Gas [] Fire Suppression ❑ Heating System ❑ Masonry Chimney ❑Add/relocate bedroom Water Supply ❑ Public ❑ Private Sewage Disposal ❑ Municipal ❑ On site Historic District ❑ Hyannis IFustoric District ❑ Old Kings Highway Debris Disposal Facility: I am using a crane ❑ Yes ❑ No Section 7—Flood Zone Flood Zone,Designation Within or adjacent cent to a wetland, coastal bank? Yes ❑ No ❑ Section S—Zoning Information Zoning District Proposed Use Lot Area Sq.Ft Total Frontage Percentage of Lot Coverage #of Dwelling Units (on site) Setbacks Front Yard Required Proposed Rear Yard Required Proposed Side Yard Required Proposed Has this property had relief from the Zoning Board in the past? ❑ Yes ❑ No Last umdx�nd-2/92019 • • Application Number.................................. Section 9—,Construction Supervisor Name Telephone Number s Address City State zip License Number License Type .Expiration Date Contractors Email Cell# I understand my responsibffities under the rules and regulations for Licensed Construction Supervisor in accordance with 780 CMR the Massachusetts State Building Code. I understand the construction inspection procedures,specific inspections and documentation required by 780 CUR and the Town of Barnstable.Attach a copy of your license. Signatuae Date Section.10—Home Improvement Contractor Name Telephone Number Address City State zip Registration Number Expiration Date I understand my responsibilities under the rules and regulations for Home Improvement Confiactors in accordance with 780 CMR the Massachusetts State Building Code. I understand the construction inspection procedures,specific inspections and documentation required by 780 CMR and the Town of Barnstable.Attach a copy of your H.LC... Signature Date Section 11—Home Owners License Exemption Home Owners Name: Telephone Number Cell or Work Number I understand my responsibilities under the rules and regulations for Licensed Construction Supervisor in accordance with 780 CMR the Massachusetts State Building Code. I understand the construction inspection procedures,specific inspections and docinaentation required by 780 CMR and the Town of Barnstable. Signature Date APPLICANT SIGNATURE Sipat Date C Flint NJame QaIA, _�3 3 o Telephone Number -(� E-mail permit to: �U LV 7 �r (� IN(G �. , V Section n—Department Sign-Offs Health Department © Zoning Board(if required ❑ . Historic District ❑ Site Plan Review(if required) ❑ Fire Department ❑ Conservation ❑ + For commercial work,please take your plans directly to the fire deparftent for approval, Section 13—Owner's Authorization as Owner of the-subject property hereby authorize to act on my behalf, in all matters relative to work authorized by this building permit application for: (Address of job) Signature of Owner date Print Name Last wdatc&2/92018 Lauzon, Jeffrey From: Lauzon,Jeffrey Sent: Wednesday,June 06, 2018 7:57 AM To: 'PAULBEV44@GMAIL.COM- Cc: Lauzon,Jeffrey Subject: ViewPermit, Permit No:TB-18-1170 Applicant, Please be advised the above application is denied as submitted pending the following: 1) Property owner's author ti 2) Balance'due is shown. Please do not hesitate to contact this office with any questions.Thank you. Jeffrey Lauzon Chief Local Inspector (508) 862-4034 Jeffrey.lauzon(a)town.barnstable.ma.us 1 THE Town of Barnstable Regulatory Services Richard V.Scali,Director z63q. 1��' , Ec 39.+" 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 Property Owner Must Complete and Sign This Section If Using A Builder 1 I, l ,as Owner of the subject property hereby authorize RJ�_ VS C to act on ray behalf, in all matters relative to work authorized by this building permit application for: �. A (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. AQ Signature of Owner Si ature of Applicant Print I Tarae Print Name Date Q:FORMS:OWNERPERMISSIONPOOLS �uA� 1 �:i I -._.a..l[..1-_.. [ri: �•1 . .-.� IL ,rJ:a .. AO LU NO fL7 f l •�ls �k` �_�_�. JJ-�' _., 61, . Poi ' ^uI '1 cm " [ r\ -) CL) z. 0 Al rJP 1 �o L-A6 ��� 1� Ifs Y� tial ( r . 5 Ba=stable .Dept, Approved by:, �,� �, �l`� �f a m nu r Pernut#._ 1 F/17 c I : }gt: / 1 p:l rat I a I Lu cm LBO,k?ffl: • u^ !f salj,qJ6 Root (908 Inn Ud .;•:.:API ej 'Ovi 0 P _ to to ' lea �Y 4. �I y RT . I - I I I 4n — -, . LO F ► ; �-� ,��ear°�r tr w Bast a Bldg.Dept. I U "Y i API�01 b'Y' Pest#' 1 , , �` '�' a '�'� CX- �Igj h-N q 7 OJ C qcg:U. The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston,MA.02111 www.mass.govldia Workers' Compensation Insurance Affidavit:Bu.><lders/Contractors/Electricians/PImnbers Applicant Information / Please Print Le gib Name(Business/organizaiion/tndividnaD: a tr L �l��(/�" y� Address: � ,/ 44 ,fX -R, City/State/Zip: t rl i ' /IA Phone Are you an employer? eck the appropriate bow Type of project(required): 1.❑ I am a employes with 4. []I am a general contractor and I employees(full and/or part time). * have hired the sub-contractors6. ❑New consimction 2.❑ I am a sole proprietor or partner- listed an the attached sheet 7. ❑Remodeling ship and have no employees These sub-contractors have S. Demolition working for me in any capacity. employees and have workers' 9. Building addition [No workers'comp.ms�—ce comp.insurance.: required.] 5.P 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 r ed. 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 sbowing their workers'compensation policy information. 1 t Homeowners who submit this affidavit indicating tbcy are doing all work and then hire outside contractors must submit anew affidavit indicting such. xContractors that check this box must attached an additional sheet show f ing the name of the sob-coactors and she v(betber or notthose entities have employees. If the sub-contractors have employees,they must provide their workers'comp,policy number. lam an employer that isproviding workers'compensation insurance for my employees Below is thepolicy anal job sife 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 i 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 un and enaMes of perjury that the informtadon provided above is a and correct Si atu • Date: �� Official use only. Do not write in this area,to be comr Wl d 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#: �pTF1E TOWN OF BARNSTABLE _ �. F BUILDING DEPARTMENT APPLICATION FOR CERTIFICATE OF OCCUPANCY Date Building permit application number map/par Address of structure Area of structure C.O.will be issued to Name of Tenant Edition of Building Code Use and Occupancy Classification Type of Construction Design Occupant Load Is the facilitY licensed by a State agency Yes ❑ No If yes If yes, name of agency Relevant Code of MA Regulations(CMR)that apply Automatic Sprinkler System Sprinklers provided? Yes ❑ No ❑ Sprinklers required? Yes ❑ No ❑ Building Department Use only Special Conditions: �FZnt�Y TOWN OF BARNSTABLE BUILDING DEPARTMENT 9�orEo96 ,��� APPLICATION FOR CERTIFICATE OF OCCUPANCY Date Building permit application number map/par Address of structure Area of structure C.O.will be issued to Name of Tenant Edition of Building Code Use and Occupancy Classification Type of Construction Design Occupant Load Is the facility licensed by a State agency Yes ❑ No if yes if yes, name of agency Relevant Code of MA Regulations(CMR)that apply Automatic Sprinkler System Sprinklers provided? Yes ❑ No ❑ Sprinklers required? Yes ❑ No ❑ Building Department Use only Special Conditions: TOWN (PA�A9 40 IT0 TU rr4m, fry r• I ell ROOM (908 wu ff 11l LJL 1>L'7 1 1 I ro 5 �l 4100 � � . l� ��`�,��`��[T 1"��"�a�, t u•�. /�.'" iq fl,, RTC it _.✓3.:9aJL31i8R'b si r�amevRo+3 tlw�•tev.acRft_nF-.�»�ard.-wmncf33:r+.*1`e^�v ._....—_._..._ .� _._._..._....__._._,___._..—_..-__ �v:a:unscR:l=:.vs�-aiur9.raitaa.Ha>aw -s .0+' ec� —.,>._—:.�_�_.___ sc__ --_c..-,.-. ...: _._.. _.j �J f _._� ! - ...�._. �� � � �.�$' k+h��!&•''��`:y:..k,:a�`<ri ee�p�p�nc�7.A§n ._..5�"' _ --a�nE' _'y' .���-jv�`-- �62�F c � as "�� I _- - �_,-.�. .r----�: 4. , ., •.'�1 � 1�1.t�a + y.L._\��,1.41...y t qs!'� - F_ .,��=+,.R,m�.:ai� k 5:::�,+ .„�.. , f Cf ZA Zir r t'= L4 49. Town of Barnstable Buildin,,,ti` e 4*.'xx'"`"'°k 's w.,cTM •., !` n.at ;�. x a\ �...n b <" xr n ".,.. � `S, ..,,,, „� \?r4,*.t .rvur :,tr *k , PostThisCard eAxxsreas� P, z sibl'e Frorn the Street Approved Plans Must be Retained on Job and this'Card Must be Kept .& ra '. •.s..>-..e ;;,c ^. .s.".•` ,,;'a a,v � �, a �..a "a `'v';c `�3�k.,.; " • i6 Posted Until Finallnspection Has BeenMade y , ; :_ ,�{ :, , , a3.. ._��.,ri..ir '�.; ;.� .�'� � ..�. a a ... ,c „ .€ yr.x�,. °x?^ \ e. X:. '• �. dx ;.:€ 9 Where\a Certificate of.OccupaneY is.Reyuired suchBuildm shall Not be Occu ied;unt�la F�nalIns ,ectionhas been matle� ' 4�r �� Permit No. B-18-668 Applicant Name: RICH A BURRIDGE Approvals Date Issued: 04/11/2018 Current Use: Structure Permit Type: Building-Addition/Alteration-Commercial Expiration Date: 10/11/2018 Foundation: Location: 477 YARMOUTH ROAD, HYANNIS Map/Lot: 344 003 Zoning District: B Sheathing: Owner on Record: DUBIN, RICHARD S TR Contractor Name RICH A BURRIDGE Framing: 1 Address: 730 BEARSES WAY ContractoraLicense CSK097595 2 HYANNIS, MA 02601 :Est P,roJect Cost: $ 12,500.00 Chimney: a Description: PROPOSED INSTALL OF(1)SMALL CELL ANTENNA AND ASSOCIATED Permit Fee: $213.75 EQUIPMENT ON AN EXISTING EVERSOURCE UTILITY POLES ' .i Insulation: Fee Paid. $213.75 Project Review Re p 4 r J q Dte 4 11 2018 Final: � / F Plumbing/Gas r Rough Plumbing: 1 � .. ,, ` Building Official Final Plumbing: This permit shall be deemed abandoned and invalid unless the work auhoraed by this permit is commenced within'six=months after issuance. All work authorized by this permit shall conform to the approved applicationantl the`approved construction documents for which this permit has been granted. Rough Gas: k1� I All construction,alterations and changes of use of any building and structures�.shall be in compliance with the local zoning by=laws and codes. This permit shall be displayed in a location clearly visible from access street of road and shall be maintained open for ublic uis ection for the entire duration of the Final Gas: P P P work until the completion of the same. % �� ' ��'a ` r Electrical The Certificate of Occupancy will not be issued until all applicable signatures byithe Budding and Fire Officials are providetl on this permit. � Minimum of Five Call Inspections Required for All Construction Work �� �� Service: 1.Foundation or Footing Rough: - 2.Sheathing Inspection %N � � .. _ 3.All Fireplaces must be inspected at the throat level before firest flue lining is installed 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection Final: 5.Prior to Covering Structural Members(Frame Inspection) Low Voltage Rough: 6.Insulation 7.Final Inspection before Occupancy Low Voltage Final: Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Health Work shall not proceed until the Inspector has approved the various stages of construction. " Final: "Persons contracting with unregistered contractors do not have access to the guaranty fund" (as set forth in MGL c.142A). Building plans are to be available on site Fire Department All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT Final: TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map 341 Parcel Application #�� Health Division Date Issued DEP Conservation Division BUILDING Applicatio , ee Planning Dept.p MAR 05 2018 Permit Fee Date Definitive Plan Approved by Planning BoardTOWN OF .:_}: BL . Historic - OKH _ Preservation/ Hyannis Project Street Address klecl- /Cr►�'i c, 4t, Village •���,r; Owner �v« _r�A Address oNe_ W s- - N1,is we_s*-wao . Telephone - V Permit Request s^nolk cell oa"C., GSSUG�GC�rrX�(�Ment- ern G✓ �,Li�1-�..kS •�.rPrcri.--Cp E�-�� �"� ��'')P Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation Soy• ov Construction Type Lot Size dU/ 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 Kin 's Highway: ❑Yes ❑ No 9 9 9 Basement Type: ❑ Full ❑ Crawl ❑Walkout ❑ Other Basement Finished Area (sq.ft.) V 74 Basement Unfinished Area (sq.ft) rT Number of Baths: Full: existing (/V l A- new Half: existing new Number of Bedrooms: existing _new Total Room Count (not including baths): existing new First Floor Room Count Heat Type and Fuel: ❑ Gas ❑ Oil ❑ Electric ❑Other Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑ No Detached garage: ❑ existing ❑ new size_Pool: ❑ existing ❑ new size — Barn: ❑ existing ❑ new size_ Attached garage: ❑existing ❑ new size _Shed: ❑ existing ❑ new size — Other: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes ❑ No If yes, site plan review # . Current Use y 41 c To fee Proposed Use To I .APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name r cA-N Telephone NumberCS,K) Address 290 w-\-er wee_+ License # C S - ort-7_,T-95 M IA Home Improvement Contractor# Email Worker's Compensation # �Gf r 3 Sr ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO I�C�n S b� sal i c� wr�-S ce i�l CLn SIGNATURE _ DATE SZz�/lr _ ;FOR OFFICIAL USE ONLY APPLICATION # DATE ISSUED MAP/ PARCEL NO. ADDRESS VILLAGE OWNER t DATE OF INSPECTION: FOUNDATION FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING d- DATE CLOSED OUT ASSOCIATION PLAN NO. F "� „• en�rr•got um omsm� nmm�wn 21, n ssachu � s x Division of Professional Licensur Board, ui g Regulations andSta -dards WWo- t, a � vts o Cons ,un:n,s mnn )v ...... n , a w.u,.... :.:�„�� m�nlunn s� uun �inhu tt ugi iu i -. . tr 7595 FF `,mite id �p8 �tl OmP1 Mim r�mnnn iN�N r'tu0ul0 � •.., 4�11 miTll,,iu�,w mn �lupiunlul�y �A u•m �j`f: ^1 m 00 nt R( mmm W ypN(�e^luw o➢tm 17p�m Nim ulHIM-toe, l ,➢wu.nfl Wun WNlW@u id9WUr! i - - mm ,� _ ff n _ » R C A8 �r URRIDGE 14 PEMB. OKE. MAi.-4. 23 � P a b r 1 ry y a 9 , m _ Y x r'yam Y `r m . Y'' ,�,�• 4_° 4 W^ v=q ' # i s k# , � r .,, w =pro'• ..:::_ ,:. ., _.:.^,si ,y:. . 4 v �.p:r >2 1 a:.ln, 4,"ar '..;->d '�4>� �, ``�-,'f„i' � g�- `�, ;r .. : ,. , ._....„,» ,.c 5i4,.acv.. .a 4=,:- ,�� �y. '+'=�sPy 5�'nc# �"e a T.•. _ rt .r , .: ` 5 " w `i,,:. 1. F. €m ra.•;°` - ;,1 ,ma=µ =.'a �. ,,- ''a x.." , .i c - .g. .:,n,=1" s .;i;�s^'' * - +' Ar'. �„.:;r ; .0 �. a...•., » ,.t.= t -.,� a , ._.}r°, � �- -• •g>s,.. f,.'s. _., � �"'R � . r °` *"* _�!,.,,,. �Y k �wr-" :.3a ror�.,`1�4 �+,.' d:.a�.:.,: a f s i w The Commonwealth of Massachusetts Department of Industrial Accidents 0 1 Congress Street,Suite 100 Boston,MA 02114-2017 o,M ,Veyee www mass.gov/dia Workers'Compensation Insurance Affidavit:Builders/Contractors/Electricians/Plumbers. TO BE FILED WITH THE PERMITTING AUTHORITY. Applicant Information Please Print Legibly Name (Business/Organization/Individual):J Lee Associates LLC Address:420 Northborough Road Central City/State/Zip: Marlborough, MA 01752 Phone#:508-597-1330 Are you an employer?Check the appropriate box: Type of project(required): 1.�✓ I am a employer with 40 employees(full and/or part-time).* 7. ❑New construction 2.M I am a sole proprietor or partnership and have no employees working for me in any capacity.[No workers'comp.insurance required.] 9 ❑Remodeling . El Demolition 3.M I am a homeowner doing all work myself.[No workers'comp.insurance required.]t 4.❑I am a homeowner and will be hiring contractors to conduct all work on my property. [wily 10 ❑Building addition ensure that all contractors either have workers'compensation insurance or are sole 11.❑Electrical repairs or additions proprietors with no employees. 12.[:]Plumbing repairs or additions 5.M I am a general contractor and I have hired the sub-contractors listed on the attached sheet. 13.❑ROOf repairs These sub-contractors have employees and have workers'comp.insurance.-* 6.❑We are a corporation and its officers have exercised their right of exemption per MGL c. 14.[Z]Other Telecommunications 152,§1(4),and we have no employees.[No workers'comp.insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. *Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name:Federal Insurance Company Policy#or Self-ins.Lic.#:54303256 Expiration Date:10/1/2018 Job Site Address:477 Yarmouth Road City/State/Zip:Barnstable, MA 02601 Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under MGL c. 152,§25A is a criminal violation punishable by 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.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 and penalties of perjury that the information provided above is true and correct. Signature: � � � Date 1/25/2017 Phone#:508-597-1330 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#: w Vierl,7V"wireless March 1,2018 Dear Sir/Madam: RE:TRM Please accept this letter as notification that TRM, Inc.of Foxborough, MA has been engaged to perform research on certain properties and real estate including submitting for zoning approval, building permits, and construction of Verizon'Nireless ongoing network enhancement. TRM, Inc., is authorized to act on Verizon Wireless behalf for the purpose of filling and consummating any zoning and/or building permit applications necessary to obtain approval of the applicable jurisdiction for the installation and/or modification of Verizon Wireless communication Facilities. Shouted you have any questions regarding any TRM, Inc's activities on behalf of Verizon Wireless,feel free to contact me at 508-320-2017 or via email sean.conway@verizionwireless.com Respectfully, Sean Conway v/f Verizon Wireless Project Manager—Real Estate VeriZonwireless March 1,2018 Dear Sir/Madam: RE:TRIM Please accept this letter as notification that TRM, Inc.of Foxborough, MA has been engaged to perform research on certain properties and real estate including submitting for zoning approval, building permits, and construction of Verizon Wireless ongoing network enhancement. TRM, Inc., is authorized to act on Verizon Wireless behalf for the purpose of filling and consummating any zoning and/or building permit applications necessary to obtain approval of the applicable jurisdiction for the installation and/or modification of Verizon Wireless communication Facilities. Should you have any questions regarding any TRM, Inc's activities on behalf of Verizon Wireless,feel free to contact me at 508-320-2017 or via email sean.conwav@verizionwireless.com Respectfully, Sean Conway Verizon Wireless Project Manager—Real Estate f - - Mail Processing Center Aeronautical Study No. ` Federal Aviation Administration 2017-ANE-4401-OE Southwest Regional Office Obstruction Evaluation Group 10101 Hillwood Parkway Fort Worth, TX 76177 Issued Date: 12/22/2017 Nicole Pelletier TRM 16 Chestnut St. Foxboro, MA 02035 **DETERMINATION OF NO HAZARD TO AIR NAVIGATION ** The Federal Aviation Administration has conducted an aeronautical study under the provisions of 49 U.S.C., Section 44718 and if applicable Title 14 of the Code of Federal Regulations,part 77, concerning: Structure: Barnstable_MA_SC21 Location: Barnstable, MA Latitude: 41-40-01.11N NAD 83 Longitude: 70-16-15.76W Heights: 37 feet site elevation(SE) 34 feet above ground level (AGL) 71 feet above mean sea level(AMSL) This aeronautical study revealed that the structure does not exceed obstruction standards and would not be a hazard to air navigation provided the following condition(s), if any, is(are)met: It is required that FAA Form 7460-2,Notice of Actual Construction or Alteration, be e-filed any time the project is abandoned or: At least 10 days prior to start of construction(7460-2, Part 1) X Within 5 days after the construction reaches its greatest height(7460-2, Part 2) See attachment for'additional condition(s) or information. To coordinate frequency activation and verify that no interference is caused to FAA facilities,prior to beginning any transmission from the site you must contact FAA Hyannis A SSC at the following telephone number: 508-775-5500. Based on this evaluation, marking and lighting are not necessary for aviation safety. However, if marking/ lighting are accomplished on a voluntary basis, we recommend it be installed in accordance with FAA Advisory circular 70/7460-1 L Change 1. This determination is based, in part, on the foregoing description which includes specific coordinates, heights, frequency(ies)and power. Any changes in coordinates, heights, and frequencies or use of greater power, except those frequencies specified in the Colo Void Clause Coalition; Antenna System Co-Location; Voluntary Best Practices, effective 21 Nov 2007, will void this determination. Any future construction or alteration, including Page 1 of 6 increase to heights,power, or the addition of other transmitters, requires separate notice to the FAA.This determination includes all previously filed frequencies and power for this structure. This determination does include temporary construction equipment such as cranes, derricks, etc., which may be used during actual construction of the structure. However, this equipment shall not exceed the overall heights as indicated above. Equipment which has a height greater than the studied structure requires separate notice to the FAA. This determination concerns the effect of this structure on the safe and efficient use of navigable airspace by aircraft and does not relieve the sponsor of compliance responsibilities relating to any law, ordinance, or regulation of any Federal, State, cr local government body. A copy of this determination will be forwarded to the Federal Communications Commission(FCC)because the structure is subject to their licensing authority. If we can be of further assistance,please contact our office at(817) 222-5929, or kent.m.wheeler@faa.gov. On any future correspondence concerning this matter,please,refer to Aeronautical Study Number 2017-ANE-4401- OE. Signature Control No: 348845078-351761267 (DNE) Kent Wheeler Supervisor Attachment(s) Additional Information Case Description Frequency Data Map(s) , cc: FCC Page 2 of 6 Additional information for ASN 2017-ANE-4401-OE FAA facilities, BCU LOC, critical to aviation safety are located 0.42 NM from your proposed transmitter site. You may cause harmful interference to these facilities if your equipment meets only minimum FCC standards for spurious emissions. Before you begin any transmission from your facility, contact the FAA Hyannis A SSC at the following telephone number: 508-775-5500 to arrange procedures to verify that no interference is caused. Page 3 of 6 Case Description for ASN 2017-ANE-4401-OE Verizon Wireless will be mounting antenna on an existing utility pole to boost cell coverage in the immediate vicinity. Page 4 of 6 Frequency Data for ASN 2017-ANE-4401-OE LOW HIGH FREQUENCY ERP FREQUENCY FREQUENCY UNIT ERP UNIT 1710 2130 MHz 460.25 W Page 5 of 6 TOPO Map for ASN 2017-ANE-4401-OE ..;,t �. t 1 f��,?•.emu �. `y�In~ \�3 iy �. _1++.t < . y < it h L * b �! -47 if 5 JL •!' t�S �' v.:!'" .Cis ' •� -•. i r.mo�a �, ' �� ..•�_c_.• - •. �1 - 1 ��1 4��t,_., `[,8 W t w se d•Y ~tin �"';"' � ��• {�• DAY 5,•F �Y;•!'[¢� �'�`_ IIY A•N N IS It A R R 0R -: l f• l;.d'., � yet\w 71 laded `W��Y�111•f.. ,C' � 4`�y ... Page 6 of 6 °F`"E Town of Barnstable RARNWi "B`E'p Building Department-200 Main Street foMp+ Hyannis, MA 02601 Tel. (508) 862-4038 Certificate Of Occupancy . Permit Number: B-17-586 CO Issue Date: 4/21/2017 Parcel ID: 344-003 Zoning Classification: B Location:. 477 YARMOUTH ROAD, Proposed Use: HYANNIS Gen Contractor: Permit Type: Commercial - Business Comments: RANCHO CAFE Building Official Date: Town of Barnstable q y, t£ � Building - Re#ainedonaJo 'and th�s:Card-Must�be CCe t £f :' �PoSt(This-C�ard,So,�That�n is�Vs>ible From theStreet, .Approved Plans 1lllus#� b, P� x� r flA�+78?AW$ 5i¢�a.Posted ntilfinal�ns action Iias Been;Made. � �. �� � ,,; = � �% , ' . F Permit �R �lAlhere a�`Cer#rficat�f aceupancy's�Requare, �such�8u�ldmg shall Nod bek0 .5, a,� Permit No. B-17-789 Applicant Name: DUBIN, RICHARD S TR Approvals Date Issued: 03/29/2017 Current Use: Structure Permit Type: Building-Sign Expiration Date: 09/29/2017 Foundation: Location: 477 YARMOUTH ROAD,HYANNIS Map/Lot 344-003 Zoning District: B Sheathing: Owner on Record: DUBIN,RICHARD S TR ` Contractor Name Framing: 1 Address: 730 BEARSES WAY ;3 t Contractor Ucense 2 =k 4 _. HYANNIS,MA 02601 Est PrpiJect Cost: $0.00 Chimney: Description: 30 SQ FT SIGN FOR RANCHO CAFE PermRIE, e: $75.00 Insulation: e fee Paid:= $75.00 Project Review Req: 30 SQ FT SIGN FOR RANCHO CAFE Date 3/29/2017 Final Plumbing/Gas Rough Plumbing: > �Zon>ng Enforcement Officer a .x, Final Plumbing: This permit shall be deemed abandoned and invalid unless the work authoru:e&by this permit is commenced within soi months after issuance. Rough Gas: All work authorized by this permit shall conform to the approved application'and the approved construction documents for which this permit has been granted. t All construction,alterations and changes of use of any building and str;,uctures�shall be in compliance with the local zon ng by lawsand codes. Final Gas: K This permit shall be displayed in a location clearly visible from access street orroad and shall be maintained open for public inspection for the entire duration of the work until the completion of the same. ar Electrical The Certificate of Occupancy will not be issued until all applicable signatures by the tsuddingandlFire Officials are provided on th permit. Service: Minimum of Five Call Inspections Required for All Construction Work. a Pz� N 1.Foundation or Footing Rough: g :2.Sheathing Inspection " 3.All Fireplaces must be inspected at the throat level before firest flue lining is installed Final: 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection S.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. Town of Barnstable r ` Regulatory Services y ` RAMSTABL& ` Richard V. Scali,Director �- o Building Division " �l Paul Roma,Building Commissioner 100 Main Street, Hyannis,MA 02601 . h� www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 C-1 kj ® y Permit# 227ST 1 J Building Official approving CD 'Application for Sign Permit Applicant: Ae k hbV '�Z Uuen e& Assessors No. '` Doing Business As: ptD Pe-dou.ea n t Telephone No. 4:1 q q 8-1 g(N Sign Location rooA h r oo of Street/Road: Zoning District: Old Kings Highway? Yes Hyannis Historic District? Yes Property Owner _ Name: (,� irk; I , p e) D Telephone: SD O ?D / 00 Address: ! - 0( iA1rV2 La� Village: 1�41 I&-Sc� �c 2' GGe cy4 Sign Contractor NameXs;^4/�� �iG n9s ©�C e �� Telephone: Mailing Address: PO (.J i)4 r r-t a., F L. /V1 A o 2-l0 7 j Description Please follow the cover directions.You must have an accurate rendition of sign with dimensions and location. Is the sip to be electrified? Yes//& (Note:If yes, a wiring permit is required) Width of building face ft.z 10= z.10= _ Check one Reface existing sign or New ;c Total Sq.Ft. of proposed sign.(s)3a 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 make 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: i� � K-a� Date signs/sigarequ&app revised: 06/20/16 10 ISVI'eu-koq} Town of Barnstable °^ Regulatory Services ` 8AB1 AR& " Richard V. Scali,Director Eo�► Building Division Paul Roma,Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.maxs 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,hangin ee standin 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. NOTE: the map/parcel number is required on the application. signs/signrequ&app revised: 06/20/16 ryry I AA BREAKFAST&LUN6 ' D 1- i.h zC e i= a.� BREAKFAST ,) T , &LUNG ,� .. j 4 _ K. 1 � I Q qq a 9 N , e rwrW - '.. w ,tow A _ n ';��,„, a� �, � µ. � M�•� ,s� ��# � _��..4� '^�'�'. ate"�µ;�° ^�' � aWl .a d '� e u a .,.. �� � ,, . r �. • �n n m +a �� �� r� ,, a a�,� �.,� �A � a. d Al. p BREAKFAST & LUNCH �� �7c�1f�/ dn.�-iDA� 75� . . nael �.lscs "I LI, 'f U.S.POSTAGE>>PITNEY BOWES Jnl:'TOWN OF BARNSTABLE I { B)JILDlr4G i El'Ai:i!,AFN' s,:, - = sr'' �::i: tam do—VA 200 MAIN STREET `'! 1�YANN►S,�".h 07b1Ji s;:-a air, ZIP 02601 $ 000.470 r y. 02 4" 00003.36455MAR. 09. 2018. RANCHO CAFE 417 YARMOUTH ROAD NIXIE @15 FE 1 9003 J16'J'�S RETURN TO SENDER NOT DE'LIOIERAPSLE As AD DRESSE-D � UNAdLt i ¢S i— OKWAKU Jr 'UTF �C: �`L$P314•F9frA`L$� j QD�L-FX5 `lgb� -� Y�-4� '_ T: � � ii�i�iq`.IaA���Ole�qlae#Eniel3se.��8�ava�o�ac��;{V.leel�.�lali���ia�s o o q DDS Group Inc. 1 Barnstable Road Hyannis,MA 02601 Phone:508 790-1543 �♦ I P ee Fax:508-790-1517 Email:ddscustomerservice@yahoo.com l r' ;1F December 13,2017 f,> , Please be advised that due to the bad economy and the low season here on Cape Cod the DBA/sole proprietorship registered under the for Melchor g itself and it will have to be closed. es on will no longer be able to sustain nce k` May 07, 2017 and the business funds coming from Melchor Siguencia dba Rancho Cafe tive that date it's not enough to cover for all the expenses related to it and this T tuiri all li e licenses, Unfortunately he needs to close the business and impact on the business. Unfor y obtained under his name, social security and/or the ein number, stopping any operations related to this immediately. Effective date is December 10, 2017. Name: Melchor Siguencia— Dba Rancho Cafe—EIN 35-2585313 For any additional information, please contact me at 508 790-1543. Sincerely, Deiu is DaSi & an -at! ice Manag Lt.BEFtTY A SERVICE r Town of Barnstable ti Building Department BARMSPABLE, Brian Florence, CBO 1639.MASS. a,�� Building Commissioner TEp Mpi 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Dear Manager: Attached please find an application for the annual Certificate of Inspection (COI) required by 780 CMR the Massachusetts State Building Code,Ninth Edition Chapter 1 - Section 110.7 which reads: 110.7Petiodic Inspections. The building official shall insectperiodically existing buildings and structures and parts thereof in accordance with Table 110 entitled Schedule for Periodic Insections of Exisfing Buildings. Such buildings shall not be occupied or continue to be occupied without a valid certificate of inspection. Please complete the application and return to the Building Commissioner's Office with the required fee (amount as set on the top right-hand comer); the fee must be paid before the Certificate of Inspection may be issued. Generally periodic inspections are unannounced;however you may feel free to contact us for inspection once the application fee is paid. For your convenience,we will be testing emergency lights, exit signs to ensure that the batteries and lighting are functional and making sure that the doors work and the exits are clear.You will need to have any fire extinguishers, fire alarm systems and/or Ansel systems _- (stove libod/ektinguisher) vispected and tagged and a copy o e tee clans reports onsite for the inspection. If you would like to have your COI application emailed please provide an email on the Certificate of Inspection Application. Sincere , Brian Florence CBO '� Building Commissioner U.S.POSTAGE>>PITNEY BOWES TOWN OF BARNSTABLF 13),UOING PEI'Ai f-AFNT SERVICES . ..... ' 200 MAIN STREET ZIP 02601 $ 000.47' HYANNIS,NU' 02_601 02 4n 0000336455 MAR, 09. 2018 RANCHO CAFE 4-17 YAP MOUTH ROAD NIXIE Ek 2.5 RETURN TO SENDER NOT DELIVER ABLE AS ADDRESSE'D UNAdLt jU k- OKWAKU u TF BC Town of Barnstable y4A rovedaPlansp:Must be,Retained=onJob;and this�Card,MustFbeKe t ,., . . .. � ost�TPhis:.,CardaS,o_That•itas..Uisible From:the Street�, . .. „.. ,. <,<.<_ .. .�; N �p �, • . BARNf3TABL�. �S Permiet : :MA53. ' v Posted'Unttl',Fina :. s. ,Where�Certifieate of Occu„anc „isRe,wired;such.Buildm sha11:1Vot be®ccupied.unt�l aFinal Inspection has,leen made Permit No. B-17-586 Applicant Name: Robert Trapp Approvals Date Issued: 03/14/2017 Current Use: Structure Permit Type: Building-Precode-Certificate of Occupancy-No Expiration Date: 09/14/2017 Foundation: Construction Map/Lot 344-003 Zoning District: B Sheathing: Location: 477 YARMOUTH ROAD, HYANNIS t Contractor Name Framing: 1 Owner on Record: DUBIN, RICHARD S TR n Contractor License: 2 Address: 730 BEARSES WAY `' �' ` Est Project Cost: $0.00 Chimney : HYANNIS, MA 02601 :Permit' Fee: $75.00 Description: Tenant fit-out no construction Insulation: Fee Paid.' $75.00 01 Rancho cafe �Z/��� Date , g` 3/14/2017 Final: Project Review Req: Tenant fit-out no construction R _ .•% Plumbing/Gas Rancho cafe _. Rough Plumbing: Building Official .; 21Final Plumbing: This permit shall be deemed abandoned and invalid unless the work authonzed by this permit is commenced within six months after issuance. All work authorized by this permit shall conform to the approved application:and thd•approved construction documents for which this permit has been granted. Rough Gas: All construction,alterations and changes of use of any building and structures shall be in compliance with the local zoning by s nd law a 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 mspecction for the entire duration of the work until the completion of the same. ':° Electrical The Certificate of Occupancy will not be issued until all applicable signatures by the Building and Fire 04fficials are provided on thispermit. Service: ` 4 y k )Y`YI` ` - Minimum of Five Call Inspections Required for All Construction Work: 3 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.Prfor 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. t Final "Persons contracting:with.unregistered contractors do not:have access to.the guaranty fund" (as set forth in MGL c.142A). p Fire. epartmen, Building plans are to be available do site Final All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map 3 Parcel Application # I Health Division Date Issued .3/ y -7 Conservation Division Application Fee Planning Dept. Permit Fee .75• 0 0 Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation/Hyannis r Eon pr�L S E.•rr Project Street Address :A 77 "Village � _'Ovk-M A� o� C Owner tz**y J T?—o Address (-Telephone 74 1 Permit Request l k kJ Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation Construction Type Lot Size Grandfathered: ❑Yes ❑ No If yesaclu�poriq documentation. Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family (# units) 2� 0.9 Age of Existing Structure Historic House: ❑Yes ❑ No On Old Kin Hig ay: ❑Yes ❑ No Basement Type: ❑ Full ❑ Crawl ❑Walkout ❑ Other Basement Finished Area (sq.ft.) Basement Unfinished Area(sq.ft) f� Number of Baths: Full: existing new Half: existing new Number of Bedrooms: existing _new Total Room Count (not including baths): existing new First Floor Room Count Heat Type and Fuel: ❑ Gas ❑Oil ❑ Electric ❑ Other Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑ No Detached garage: ❑ existing ❑ new size_Pool: ❑existing ❑ new size _ Barn: ❑existing ❑ new size_ Attached garage: ❑existing ❑ new size —Shed: ❑ existing ❑ new size _ Other: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes ❑ No If yes, site plan review# Current Use Pro posed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name Telephone Number �' '�� •�7 tf 7 Address License # Home Improvement Contractor# Email t VQQ 0 6 Worker's Compensation # ALL CONSTRUCTION DE RIS RESULTING FROM THIS PROJECT WILL BETAKEN TO SIGNATURE DATE -7 FOR OFFICIAL USE ONLY APPLICATION # DATE ISSUED MAP/ PARCEL NO. ' ADDRESS VILLAGE OWNER , I DATE OF INSPECTION: FOUNDATION FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. . 'lie Commompeakh of f Massadiuse&s DePar bffeut c,f pia!Acdderz&- 600 Washhzoon Street Boston,MA 02111 wYsnv masmgovfdia Wcw1mrs' CampensatianInsuzance ffidav*±:Btilders ntractarsMedT cL-uL T%mmbers Applicant InfM-=fiaa Pleiase Print F Y Na= - Andress: Cityfst�l Phtizze Are you au eiaployer?Check the app o project rapriate bam T f I.El am a 1 v.itti 4. ❑I am a general contractor and I J ( = employees(: all anlfor part-time)-* bave hired the sub-coaftactom 6. ❑Newoonstnttioa 2.❑ I am a sole pmprietoar arpartaer- Tisted on the a4tached sheet 7. ❑Remodeling slip and have no employees These sub-contaactam have g- ❑Demolition wonting forme in•any sty emplores aadbave wodwrs' IN4 w0doam,con4p.rnsumnre comp-msuranaa l �- ❑Suildiag addition! repaired 5. We are a rmpozafifln and its 1�❑Electrical repairs or a,d�ous 3- I am a home�er doing all work officem have exercised their 1 L Q Flumbiag repairs or additions mysdf[No workm'oomg- right of exemption per MM -7 +c,crrranre r d,]j c.152,§1(4).and we have no ❑Roofrepairs employees,[Nowozkers' 13-❑'Other coup-msmwm reTirefl 'pupapgffczBt&atcbet sbox 1tffistelsefilloa�ithesectionheIawsbatidagtbeirwadceis'compeasatiaapaTicyinfMM6aa. Fi ameowneiswho sabaait Ibis xffidavg iu&cm ing&ep ae dam,zU wc*and Ibex bim outside contuclnts.ct submit a nem aa�daeat iadicaTieg ss�cb fCaatiactau VW cbecY This ban mast attady m samti®sl stet sbon-jag theaa�of the sob-ccm=ctam and state whether ar nit these eatitieshave en�tloyRes.Iftbesnh raatrs�tshaveempIoF s,tfie}'mnstpm-ldethek warkem' - P.galicg aumbcc I am art erripZar fleatis pruuiding�vark¢rs'coazp¢resrdigrt uisrirarrca for alb¢mpTp}�eex Se&iav is tIr¢pa£icyT a> jaFa site Fn�at7afflfDrL . Insurance Company Name: 'Policy 4f or Self-ins-Iic. Explamt ion Date: Job SiteAddre= City1S1afi zkr Attach a copy of the workere compensation policy declaration page(showing the policy number and expa-ation date). Failure to secure coverage as required under Sec i(m 2 5A of MGL c_ 1572 can lead to the imposition of criminal penalties of a fine up to$1,5Oa or one-yearimpdsonmeut,as wen as civi3 penalties iu the fazm of a STOP WORK ORDER and a fine of up to$250_.. a da aggainsf the violatur. Be adcdsed that a loopy of this statement shay be forwarded fn&e Office of Iiavesbgati,ons the IA for insurance coverage vacation_ Ida dteMby atd¢r pains andptrnaff¢s ajf'$er uxy thatflie uzfarmaiimt prmzdrd a and ctrrrect Sit��t"ra= Date- Phone ik 0,0Wd ass wiry. Do eat writs im tens area,to be cauip£et¢d by cify aartbom a,orcral City or Town: PermitlIli,cense;ff Issuing? nfimr€ty(drde one): L Board of Real& 1.BuffsImg Department 3.CifrjiTuwn Clerk 4.Electrical Fnspector S.Pfimbing Inspector b.other Contbct Person: Phone#: ormation and I_statc#01as ; Massarhwoft CT&=-1.Laws cboptea M requires all employ='D provide wCO='comprusaiion far f Eon employe s. Pinsaa�to Phis sue,an�Ivyrz is defined as." .eveaypersanm tiie service of�odzex ffid�a any co�ract ofh�, express or iMPlied,oral or written" An y is d�fiaed as-an.mdividnal,parineasb�,associa-on.=porafion or other le•gaI emffiy,or any two Cr mole ' es of a deceased employer,or$ae of the foregoing ina Joint eoferpuse,andinclnding the legal Fepres�fat*v ,association or other legal entity,employing employ- However the rcceivm CT trustee of an individual,prP or the occ¢pant ofihe owner of a.dymMag horse:havingnot more than three aparlme�and who resrdes f =in, dwelling house of another who employs persons to do mautmaace,caasjza on or repair work on such dvmIlmg home, or on the grounds or bm mg app tiiarein shaRnfltbecans,of sauh employmentbe deemedto be an employer." I�IGI.chapter 152,§25C(t7 also states fhat"every siafe or local licensing agert.cy shall wr(iuhold$ue iss¢ance or renew aI of a license,or permit to operate a business or to construct b�ffh3V In the commonwealth for any appiccaaf:who has not produced acceptable evidenr�of cumpIian�with the insurance coverage regQia ed. Addi donaIly,MGZ chapter I52,§25CM stairs¢I�Te ifber the nor any of its political subdivisions shall enirr intD any coutraet for the performance 0fpublir.Worix umtil acceptable evidence of compjiancewifh fhe insn an=-. reupmcnie of ibis chapter have Beau.presented to Tiie co—� , aofhozity." Applicants Please fill oil the wouixess'compensation affidavit completely,by chmIdag the boxes apply to yoursitnafion and,if. necessary,Supply rah-cantr$ r(s)na n*),addresses)and phano numbers)along with their certrEcatc(s)of insurance. LimitedLiabj7aty Compar es(LLC)orLimifndLiabaci rPa taessbips.(LU)withno =0PIoyees ofhertbmthe members or pa dneas,are not rbqqirtd to carry workers'comPmsafion insuranm jf an LLC or LLP does have PJ�pIoyees,apolicy is repaired. Be advisedthattiiis of ida-vkmaybe sabmitted to tfm Deparimmt of Tndvstrial Accidents mr confamation of fi sm-ancce coverage Also be sure to sign and datet-he aficdavit The affidavit should be retrune-,d to the city or town that tine application for the:permit or license is being requmt A not the Department of ExhIstcial Iccid®is. should bane nay questions regarding the haw or ifyo-a are requa'ed to obtain a Work=* eo nip on ensafi olicy,please call f e,Depa rbnent at the numb ez listed below. Self fim=d c=anies sliovld ear their p self-msa ce licease number on the apprapriate Ifim City or Town Of cials Please:be sure fhA the affidavit is cample#e amdpriinrdleginly. 'Ihe Deparfinenthas provided a space at.tbe bottom of the affidavit foryour Ell out in the event the Office OfIavestigaflons has to cordectyouregazdiagthe applicant Please be sure to fell in the pen;a cense m ubes which wM be used as a=fermce rr=ber. In addition,an applicant that must submit multiple pemuitlIicense applit ors in any given year,need only submit one affidavit indicating CM17mt policy iofo=matiaa(if necessary)and under`Uob Site A-A&ess"the applicant s]iould write:"aII Iocati�^ns p (ci or town)-"A copy of the-affidavit that has been officially stamped or marked by t3ie city or town may be provided to the ' applicant as proof that a valid affidavit is on file for fie.peQnip or licenses. A new affidavit must be fMe�out t,- e year.Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venime (ie. a dog license or permit to bum leaves etc-)said person.is NOT rimed in complete,this affidavit The Ofce of Inycs igafi would lie to thank you is advance for your coop era iian anal should your have any questions, please do not hesitate to give us a call The Departments address,telephone and fax mmber. 111-1 Cammof 11 ' ��f Ind�iakA�idents . office of z�tio �4 man Bastm.,IVA Fd111 T61.1 617 -4 =t 4-06 Qr 1-�77 MA&,SAS Fax 8 617-`27 7M Revised 4-24-07. - g r WE Town of Barnstable Regulatory Services MASSRichard V.Scali,Director 039.3 Building Division. Paul Roma,Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-403 8 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder I I L:;' V �`' C as Owner of the subject property hereby authorize 7'?,&)L---y,4 to act on my behalf, . in all matters relative to work authorized by this building permit application for: (AdAress of Job) **Pool fences and alarms are the responsibility e applicant licant Pools are not to be filled or utilized before fence i�ins ed and all final inspections are performed and accepted. Signature of Owner Signature of Applicant 1 f Pant Name Print Name Date QTORMS:OWNERPERMISSIONPOOLS i 1 (�� 1 , . t � � `tom � ' �—�--3 -•__ ...-. 1(,' _.�___...�_-_.- -- �:d - --- --- ------"-- —��---7' 5ec : Ir o ' v, I b 320 f i OS "( y f co I1 � rfwSb LL: 4 ►��1 3 = 1. r _ �U �� k _ r--1 ° I .�_� .• ' `' 2,`—J4 �� —II`x�e ,'� ` i� �� �• , ?C` Y L�� 1 f -= -� wi —) O 6 n{off _, - •� ��'� �� n watt way - >, - .�a� •�.t��: >:�,_. ..� _ - _ .",�r-------------- 2 cad i`cap ctic) -AvelY •:S.::J,. .r �.e _ _ 1st _ _ _ s.. `�•YV',li r-- �• _..GV(Jri•,-�- � ++ V / -34 1 - 4 r Ti -5 �t _ - <-:''-!,�- - -_ .. _ .:1.��`y Yid..• - _ _ • - 4�� y�rm�y�-h �Rd , Nyann�s d TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION �z Map Parcel Application # ©� Health Division Date Issued Conservation Division Application Fee Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation / Hyannis Project Street Address ' 7 1 ar r1,nj+� (' L a Ac o5 /�L� Village Owner J Prnn�, L, _L` Address I Z Telephone 1 �' Permit Request Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation Construction Type Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family (# units) Age of Existing Structure Historic House: ❑Yes ❑ No On Old King's Highway: ❑Yes ❑ No Basement Type: ❑ Full ❑ Crawl ❑Walkout ❑ Other Basement Finished Area (sq.ft.) Basement Unfinished Area (sq.ft) Number of Baths: Full: existing new Half: existing new Number of Bedrooms: existing _new Total Room Count (not including baths): existing new First Floor Room Count Heat Type and Fuel: ❑ Gas ❑ Oil ❑ Electric ❑ Other Central Air: ❑Yes• ❑ No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑ No Detached garage: ❑ existing ❑ new size_Pool: ❑ existing ❑ new size _ Barn: ❑ existing ❑ new size_ Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes ❑ No If yes, site plan review# Current Use Proposed Use , APPLICANT INFORMATION (BUILDER OR HOMEOWNER) t Name ��,,40 S Telephone Number y I -3 4 2 P 6 � 0Address d License # _ 0h ZS-Y Z Home Improvement Contractor# Email Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE y '` _ DATE r s FOR OFFICIAL USE ONLY -.�or,$ -, LICATION# DXTE•ISSUED MAR/PARCEL NO. I; ADDRESS VILLAGE OWNER DATE OF INSPECTION: FOUNDATION FRAME INSULATION FIREPLACE R ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL - FINAL BUILDING DATE-CLOSED.OUT AS100.IATION.PLAN NO. YOU WISH TO OPEN A BUSINESS? For Your Information: Business Certificates cost$40.00 for 4 years. A Business Certificate ONLY REGISTERS YOUR NAME in the Town(WHICH YOU MUST DO according to M.G.L.-it does not give you permission to operate). You must first obtain the necessary signatures on this form at 200 Main St., Hyannis. Take the completed form to the Town Clerk's Office, Vt FI., 367 Main St.,Hyannis, MA.02601(Town Hall)and get the Business Certificate that is required by law. DATE Op,3 1- Fill in please: n I —}— APPLICANT'S YOUR NAME/CORPORATE NAME BUSINESS TYPE: IiC��I��U V A n I ,BUSINESS YOUR HOME ADDRESS: 33& �_jbjfflff& 0 6Of TELEPHONE # Home Telephone_ Number NAME OF NEW BUSINESS I1C. Q Have you been given approval from the buildin division? Y S NO ADDRESS OF BUSINESS LI 0 MAP/PARCEL NUMBER 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 COMMISSIONER'S ICE This individual has been inf ed permit r t pertain to this type of business. C A n ig at re— COMMENTS: 2. dOARD OF HEALTH c I 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: ej I)anc C( (�Jal►c way 37 X E 2 q E 30 Nc Pa4io 36 X 3 X. 27 28 �--� /6 lo&jer (�/ 34 X Z� 26 33 Nc l3 3Z wa►kc�Jay 21 71 , 1/4 I3 12 // o 9 7 5 of 3 2 1 t W'p� Pn- �zy►e.►,� �a�es 417 y0.rMok Ak C -,Zo CD «`. 2 9- Cu 3-�Oin�Y z 37- -o- of rn O � O �hf►7� O ® o o O y o ® _ o' o o (er 0 O 6 - y lo ee S P Smii 4o 3 c-,I& Mwh Floor O 1477 Yarmoak Roa�� nyGhiuS MA dz6ol esiagy'► Nour� 6;oo AM -- 2:oo �M 9ke, O O L .j O O O O O O O O O O O O D 0 X/zz, ( 0=2 e3��58 r v y �' u�r Sh�ly� FYI,+ s4rrve, 00o ° ° 0 1� 0 0 0 000 0 0 �. Fence - - - -- - - - - - - - CRP Trnrk,0 - - - - - TOWIN OF BARNSTABLE f R Town of Barnstable THE l�ti Regulatory Services BARNSTABI,E 0� MRNSTfdtt•QNfEaVfL"miVR•tlfM, . Richard V. Scali,Director ""is3s-z014 BMWSCABLE, ia 9e1, ,' ; ��� Building Division A'FD"A0� Paul Roma Building Commissioner 200 Main Street, Hyannis, MA 02601 www.town.barnstable.maxs December 19, 2016 Cape Motors Inc. Tnmisq TV Tvhiffin 14 Marston Avenue Hyannis, MA 02601 RE: Site Plan Review 4041-16 Auto Dealership Plan - Total 34 spaces 477B Yarmouth Road,Hyannis Map 344,Parcel 003 Dear Mr. Mullin: Please be advised that at the site plan review staff meeting held December 6, 2016,the plan for the above-referenced proposal was administratively approved and signed off by the Building Commissioner and the Hyannis Fire Department subject to the.following conditions: • Repairs and storage of HazMats on site are prohibited. • Applicant must obtain all other applicable permits, licenses and approvals required. A copy of the approved site plan will be retained on file. Sincerely, Ellen M. 'Swiniarski Site Plan Review Coordinator CC: Paul:Roma;Buildmg Commissioner Hyannis FD Health DPW Licensing s REVIEWED 8 APPROVED / COMMON Wt A L 7H OF MA SSA CHOSE T TS BA TABLE BUILDING DEPT. DATE � ? v}G' P° EXISTING RAILROAD TRACK . qrr REMAINS 3`i-i o 83,0� RAI6ROA� TRACK - i 6rmk.". ,Go ,�., h :;�' = � .ems �. """`I"�'"�IasJt�� 7f'�• 64 �,II! •", 2:. '�I z1 l�$ ^ 1112 1 _L � s I 'Y�J L 13o I Z`i u��G� y s L6w t �� � i r tl/ �•'7.e F� `A ,I—1-r� , p± r ds,t#�'1 5 t '1 1 1" ""y�� q,a..'(;l �R �.�� + \ �g ./ e� '•' T"L'-` �L I I �"Y ' �` �7 I YARMOUTH ROAD .__ _� .�. a m� �. ` — . -- --_.. — ———————————— ------ 97�g ,rye D� IA P / xxtww Z Z 30' . 45 6u V t 2 C V S}-WE(g HIA;kO -GRAPHIC SCALE: 'I'crl-q 1. IN 30 FEET n i r Town of Barnstable (� Q OFTHE Regulatory Services ; Richard V. Scali,Director BARNs��oc,.s�E M ; Building Division BARNSTABLE. ASS. Q t�lY�.^Gi6 Kil5•LLtl 1V;W4- . 9q, i6g9• .�0 Paul K. Roma 1639_2014 Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.maxs Office: 508-862-4038 Fax: 508-790-6230 . November 10, 2016 Mr. Rob Trapp 380 Yarmouth Road Hyannis,MA 02601 Re: Harbor Auto Sales, 380 Yarmouth Road Dear Mr. Trapp, This letter is to confirm our discussion today about parking at the above referenced address. The parking layout on the site plan dated 11/10/16 and initialed by you is to supersede other earlier plans. If changes need to be made to this plan,those changes will need to be presented for site plan review. If you have any questions;please do not hesitate to contact this office. Sincerely, Paul Roma Building Commissioner y7 I Regulatory Service Director �oFz1iE roi� Town of Barnstable Richard Scali y4F o Regulatory Services. Consumer Affairs Supervisor LicensingDivision rove BARNSTABLE, 1 Elizabeth G.Harts g MASS. A' 9 ib �� 200.Main Street,Hyannis,NIA 02601 � p - 39• 1 Consumer Affairs Administrative w m rE�IVIA�A. ww.town.barnstable. a.us offieer Assistant Telephone: 508-862-4778 Fax: 508-778-2412 'Therese Gallant Margaret Flynn HAND DELIVERED September 6, 2016 Cape Motors, Inc. Attn: James Mullin 477 Yarmouth Road/123 Falmouth Road Hyannis, MA 02601 RE: STATUS OF OPERATION AT 123 FALMOUTH,ROADI477YARMOUTH ROAD It has come to my attention from an anonymous complaint and with discussions with Robert Trapp and Gil Wood from a site visit, at 477 Yarmouth Road, conducted by Consumer Affairs Officer Therese Gallant on Tuesday September 6, 2016 that Cape.Motors, Inc, licensed through the Barnstable Licensing Authority to conduct Class II operations at 123 Falmouth Road,, has ceased operations at 123 Falmouth Road completely. Please be aware that if this information is accurate, a letter will need to be submitted to the Licensing Division and Authority formally forfeiting your license issued at 123 Falmouth Road. Further, it was found that an unlicensed premise, 477 Yarmouth Road is currently listed, as of today, on the business website www.capemotorsinc.com. Please be aware that regardless if you are relocating the business to the new location or intend to still operate www.capemotorsinc.com to sell vehicles online, a new license must be issued through the Licensing Authority. If it is not your intention to sell vehicles at 477 Yarmouth Road or on the I website, 'then all sales and reference to the business still operating must immediately cease and desist otherwise the Consumer Affairs Division will begin the process to take further action. If you have any questions, please do not hesitate to contact my office. Re ectfully, Eliz�9 G. Hartsgrove, Consumer Affairs Supervisor i CC: Barnstable Licensing Authority Richard Scali, Director of Regulatory Services Lt. Murphy/CAO Gallant, Barnstable Police Department Interim Building Commissioner Paul Roma Deputy Fire Chief Dean Melanson Enclosures: Copy of License of Cape Motors Inc, located at 123 Falmouth Road Print out of website:www.capemotorsinc.com Cape Motors,1nC. Cease and Desist-Warning Pacre I September 6,2016 SINCE 1936; flli<�"tit P0. Q,uadlty Automobiles At Afforddble"Prdces Search' Curit 1 Ifived Inv�n�.t�er� . W1eol�calc , a CA)'1111ACt US 4t ty �r Ow n� ehicles:Vrl ; d 1 htf r r o,C C ee ..- . . 1 �• - ;ra sec °".�rvices I NUMBER FEE 5 THE COMMONWEALTH OF MASSACHUSETTS $150.00 TOWN OF BARNSTABLE AGENT'S OR SELLER'S LICENSE - CLASS II TO BUY AND SELL.SEC:QND:'FiAND MOTOR VEHICLES In accordance with the provisions of Chapter:140"of,•ihe.GeneraI -k- -Willi:amendments thereto CAPE MOTORS,IIYG DBA_ :T,Gs1PE MOTORS,_lNG`; ; --------------------------------------•-. •... .. — - ............................................................. is hereby licensed to buy and sell second hand{motor vehicles:.��is ±'_ `'. i_ 1 Hy n is 123 Falmouth:Roada, -------------------- on premises described as follows: A L garaSe�.°ffice,parkingfoc 40.maximum vehicles'` -•--•------------------------------------•----..----- - •.-- RESTRICTIONS: --------------------------------MXIMU1IINI/ FO MBEltOF:VEHICLESfONSITE_'' RTY(40):,:,_ :: '_: - _-----__ 1 4 Issue Date: January I,2016 Sa _. `.'s`-`'"s, .......... ............................................ lgne a:� -:, .. ---------------- THIS LICENSE EXPIRES: December 39, 2016 THIS LICENSE MUST BE POSTED IN A CONSPICUOUS PLACE UPON THE PREMISES. Official Website of The Town of Barnstable - Property Lookup Page 1 of 4. Select Language Assessing Division Property Lookup Results - 2015 367 Main Street,Hyannis,MA.02601 <<BACK TO SEARCH<< t+ PflnL Friend[v Owner Information - Map/Block/Lot: 344 / 003/ - Use Code: 3260 Owner Owner Name as of 1/1/15 DUBIN,RICHARD S TR Map/Block/Lot C15 MAPS 730 BEARSES WAY 344/003/ Property Address NIS,MA.02601 �-. 477 YARMOUTH ROAD Co-Owner Name C/O GILBERT C WOOD Village:Hyannis ran Town Sewer At Address:No U L no V'�'—1,/i'1 QG,S�Zo�n i g V u :6 Assessed Values 2015 Map/Bloc"k"/r/LLot:'344 / 003/ -rUssee Co e: 3260 1 W v 2015 Appraised Value 2015 Assessed Value Past Comparisons Building Value: $484,900 $484,900 Year Total Assessed Value 664- Extra Features: $900 $900 2014-$717,400 2013-$718,500 Outbuildings: $25,400 $25,400 2012-$590,100 � Land Value: $205,200 $205.200 2011 -$546,100 2010-$547,200 2009-$552,200 2015 Totals $716,400 $716,400 2008-$612,200 'Tit✓��ju�� ""� 2007-$612,200 1' Tax Information 2015 - Map/Block/Lot: 344 / 003/ - Use Code: 3260 Taxes / Hyannis FD Tax(Commercial) $2,579.04 Fax Fiscal Year 2015 TAX RATES HERE _ � t/ Community Preservation Act $ 180.53 Tax Town Tax(Commercial) $6,01 7.76 e n 8,777.33 Sales History- Map/Block/Lot: 344 / 003/ - Use Code: 3260 History: Owner: Sale Date Book/Page: Sale Price: DUBIN,RICHARD S TR 1997-01-22 10577/282 $277000 ' \\/\j TSOLERIDIS,DEBORAH A TR 1996-12-26 10542/276 $200000 MERE,MARIO B TR 1982-10-25 3590/199 $128000 Photos 344 / 003/ - Use Code: 3260 rj"Tq-7717), \V Sketches - Map/Block/Lot: 344 / 003/ - Use Code: 3260 http://www.townofbamstable.us/Assessing/propertydisplayscreenl 5.asp?ap=0&searchparce... 9/8/2015 Official Website of The Town of Barnstable - Property Lookup Page 2 of 4 fi ' f ' a r t- N. AS Built Card S:Click card#to view:Card #1 1 Constructions Details - Map/Block/Lot: 344 / 003/ - Use Code: 3260 Building Details Land Building value S 484,900 Bedrooms 00 USE CODE 3260 Replacement Cost S692,739 Bathrooms 0 Full Lot Size(Acres) 0.74 Model Commercial Total Rooms Appraised Value $205,200 Style Restaurant Heat Fuel Gas Assessed Value $205,200 Grade Average Heat Type Hot Air Year Built 1952 AC Type None Effective depreciation 30 Interior Floors Carpet Stories 2 Interior Walls Drywall Living Area sq/ft 6,038 Exterior Walls Wood Shingle Gross Area sq/ft 6.836 Roof Structure Gable/Hip Roof Cover Asph/F GIs/Cmp Outbuildings& Extra Features - Map/Block/Lot: 344 / 003/ - Use Code: 3260 Code Description Units/SQ ft Appraised Value Assessed Value PAVI PAVING-ASPHALT 15000 $23,800 $23,800 SGNP SIGN POST 6" 10 S 800 $800 SGN2 DOUBLE SIDED 25 S 800 S 800 UST Utility Storage- 96 $900 $900 attached Sketch Legend Property Sketch Legend B2N Bam-any 2nd story area FPC Open Porch Concrete Floor REF Reference Only BAS First Floor,Living Area FTS Third Story Living Area(Finished) SOL Solarium BMT Basement Area(Unfinished)FUS Second Story Living Area SPE Pool Enclosure (Finished) BRN Barn GAR Garage TQS Three Quarters Story(Finished) CAN Canopy GAZ Gazebo UAT Attic Area(Unfinished) CLIP Loading Platform GRN Greenhouse UHS Half Story(Unfinished) FAT Attic Area(Finished) GXT Garage Extension Front UST Utility Area(Unfinished) FCP Carport KEN Kennel UTQ Three Quarters Story (Unfinished) FEP Enclosed Porch MZ1 Mezzanine,Unfinished UUA Unfinished Utility Attic FHS Half Story(Finished) PRG Pergola UUS Full Upper 2nd Story (Unfinished) Ihttp://www.townofbamstable.us/Assessing/propertydisplaysereenl5.asp?ap=0&searchparce... 9/8/2015 Official Website of The Town of Barnstable - Property Lookup Page 3 of 4 FOP Open or Screened in Porch PRT Portico WDK Wood Deck PTO Patio ""`Print Friendly (Contact Director of Assessing iJeffrey Rudziak �P 508-862-4022 F508-862-4722 ;8:30a.m.to 4:30p.m. t Helpful Links to Downloads Abatements i SALES LISTINGS i Barnstable FD Residential C.O.M.M FD Residential Commercial-Industrial- I } Mixed Use Cotuit FD Residential i Hyannis FD Residential t Townwide Condominium ! W.Barnstable FD I f Residential ! Department of Revenue I Exemptions Parcel Consolidation Questions about values Town Tax Rates Town Land Use Codes ;Helpful Maps All Town Maps Flood Insurance Maps Property Maps I ;Contact Director of Assessing f j Jeffrey Rudziak P508-862-4022 F508-862-4722 8:30a.m.to 4:30p.m. i r 'Related Boards Board of Assessors 1 I i http://www.townofbamstable.us/Assessing/propertydisplayscreen 15.asp?ap=0&searchparce... 9/8/2015 r Official Website of The Town of Barnstable - Property Lookup Page 4 of 4 TOWN P.ROPEI(ty #?ATABAS f �p � O Fd FYI 5 Tax Maps i 1 Owned and Operated by The Town of Barnstable-Information Technology Home Departments&Services I Boards&Committees I Residents&Visitors I Doing Business I Town Calendar I Phone Directory I Employment I Email Town Hall I I http://www.townofbamstable.us/Assessing/propertydisplayscreenl 5.asp?ap=0&searchparce... 9/8/2015 Anderson, Robin �- From: Smith, Tracey Sent: Friday, May 29, 2015 10:05 AM To: Anderson, Robin Subject: F&J Rest. /477 Yarmouth Rd. Hi, Marcos Gomes, F&J. paid their violation Tracey Smith, Administrative Assistant to the Director Regulatory Services 200 Main Street Hyannis, MA 02601 Telephone: 508-862-4772 Fax; 508-778-2412 i 200 Main Street i ",rrl�+t U.S.POSTAGE>>PITNEY BOWES Hyannis, MA 02601 ZIP 02601 02 1w Ooo.4s° 0001383424 AP.R. 2R 2015 C Marcos Gomes F&J's Restaurant 477 Yarmouth Rd Hyannis, MA 02601 !NAME OF OFFEND �, '' ° BAR r 1 TOWN OF ADDRESS OF OFF R ( BARNSTABLE CITY,STATE,ZIP COD r yt�y�► MV/MB REGISTRATION NUMBER NAN\N7'ABLE.A //� , d MASS. V �4- y LLJ 6 • TI� DATE F. OLATION Jj �j" LOCAdI VIOL TION I ) LZL NOTICE OF (A.M.,/P. •►1JN U 20 ' �,V(tr ►it,, rt VIOLATION !�SIGNAT E0� NFOflCING R$bN I EN RGIyG�EP+ i ADGENO. N .r o .OF TOWN + Y LU ~ I HEREt Y ACKNOWLEDr,RECEIPT OF CITATION X a- ORDINANCE �^ able to obt i s�nat a�of offffinder^'"'�'� " THE NONCRIMINAL FINE FOR THIS OFFENSE IS S Date mailed _ _ w OR YOU HAVE THE FOLLOWING ALTERNATIVES WITH REGARD TO DISPOSITION OF THIS MATTER.EITHER OPTION(1)OR OPTION(2)WILL OPERATE AS A FINAL a W DISPOSITION WITH NO RESULTING CRIMINAL RECORD. w REGULATION a (1)You may elect to pay the above fine,either by appearing in person between 8:30 A.M.and 4:00 P.M.,Monday through Friday,legal holidays excepted, W before:The Barnstable Clerk,200 Main Street,Hyannis,MA 02601,or by mailing a check,money order or postal note to Barnstable Clerk,P.O.Box 2430, .S Hyannis,MA 02601,WITHIN TWENTY-ONE(21)DAYS OF THE DATE OF THIS NOTICE. a (21 If you desire to contest this matter in a noncriminal proceeding,you may do so by making written request to DISTRICT COURT DEPARTMENT,FIRST BARNSTABLE DIVISION,COURT COMPOUND,MAIN STREET BARNSTABLE,MA 02630,Attn:21 D Noncriminal Hearings and enclose a copy of this citation for a hearing. (3)If you fail to pay the above offense or to request a hearing within 21 days,or if you fail to appear for the hearing or to pay any fine determined at the hearing to be due,criminal complaint may be issued against you. ❑ I HEREBY ELECT the first option above,confess to the offense charged,and enclose payment in the amount of$ Signature NAME OF OFFEND — F �- BAR 78919 TOWN OF ADDRESS OF OFF BARNSTABLE CITY,STATE,ZIP COD 4 1 �.TME rOk, \ MVIMB REGISTRATION NUMBER ,I F SE �I IIAN�SI'API.E. �� _' i MASS. S �/ L�/ t - + a kil t639.6`' _ O lf0 MPS z _ I TIME DAT LATION NOTICE OF (A.M. P. 20 I?� Q IGN T E OF ELfeREING fl N EN fl G OEP DGE N0. W - VIOLATION ( o OF TOWN I HERE CKNOWI- RECEIPT OF CITATION X a ORDINANCE nable to obt i ssn of cffjpde� THE NONCRIMINAL FINE FOR THIS OFFENSE IS = ~ _ L;. �� J — Date mailed w OR YOU HAVE THE FOLLOWING ALTERNATIVES WITH REGARD TO DISPOSITION OF THIS MATTER.EITHER OPTION(1)OR OPTION(2)WILL OPERATE AS A FINALUj a ! I'- DISPOSITION WITH NO RESULTING CRIMINAL RECORD. REGULATION y 1 (1)You may sled to pay the above fine,either by appearing in person between 8:30 A.M.and 4:00 P.M.,Monday through Friday,legal holidays excepted, - "I tefore:The Barnstable Clerk,200 Main Street,Hyannis,MA 02601,or by mailing a check,money order or postal note to Barnstable Clerk,P.O.Box 2430, Hyannis,MA 02601,WITHIN TWENTY-ONE(21)DAYS OF THE DATE OF THIS NOTICE. f:. R2)If you desire to contest.this matter it a noncriminal proceeding,you may do so by making written request to DISTRICT COURT DEPARTMENT,FIRST ARNSTABLE DIVISION,COURT COMPOUND,MAIN STREET,BARNSTABLE,MA 02630,Attn:21 D Noncriminal Hearings and enclose a copy of this ! _! p: citation.for a hearing. _ (3)If you fail to pay the above offense x to request a hearing within 21 days,or if you fail to appear for the hearing or to pay any fine determined at the hearing to be due,criminal complaint nay be issued against you. ❑ I HEREBY ELECT the first option above,confess to the offense charged,and enclose payment in the amount of b `f _ i I Signature •i r �}- r7 - r � ;�h �~ �' �'" �,- �� �"_ �` � � � - �-_ �-�� �-. �-: r �-- �,- s �r«- �- :- �, TOWN OF BARNSTABLE BAR_W Ordinance or Regulation WARNING NOTICE Name of Offender/Manager Address of Offender MV/MB Reg.# Village/State/Zip Business Name am/pm; on 20_ Business Address Signature of Enforcing Officer Village/State/Zip Location of Offense Enforcing Dept/Division Offense Facts 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. xsignatcacrrecr-parallertoanaextendingnotmorethan 16 inches trom the wall ot a bLfil ing, including painted signs, individual lettered signs,cabinet signs and signs on a mansard. WINDOW SIGN , A sign installed inside a window and intended to be viewed from the outside. § 240-61. Prohibited signs. The following signs shall be expressly prohibited in all zoning districts,contrary provisions of this chapter notwithstanding: A.Any sign,all or any portion of which is set in motion by movement, including pennants, banners or flags,with the exception of trade flags pursuant to§240-72 and at the entrance to subdivisions where developed and undeveloped lots are offered for initial sale and official flags of nations or administrative or political subdivisions thereof. [Amended 6-17-2010 by Order No. 2010-123; 5-5-2011 by Order No.2011-046;5-5-2011 by Order No.2011-047] B.Any sign which incorporates any flashing,moving or intermittent lighting.Such signs include LED (light emitting diode)signs; LED border tube signs, including any sign that incorporates or consists solely of a LED border tube lighting system;and simulated neon signs which are extremely bright backlit signs using fluorescent lamps and neon colored inks or translucent vinyl for lettering and display. [Amended 6-17-2010 by Order No.2010-123] C.Any display lighting by strings or tubes of lights, including lights which outline any part of a building t. or which are affixed to any ornamental portion thereof,except that temporary traditional holiday decorations of strings of small lights shall be permitted between November 15 and.January 15 of i r the following year.Such temporary holiday lighting shall be removed by January 15. ttD�Any sign which contains the words"Danger"or"Stop"or otherwise presents or implies the need or F� qN N uement of stopping or caution, or which is an imitation of,or is likely to be confused with any " sign 6ustomarily displayed by a public authority. Aizz ' E�Anylsign, p{hick infringes upon the area necessary for visibility on corner lots. "III...-[t - � : , F�Any<sign;whih'pbstructs any window, door,fire escape,stairway, ladder or other opening intended o pry de gFt,air or egress from any building. �W Gt Any, sign or}llghtmg which casts direct light or glare upon any property in a residential or ' � �pr-ofess'tonaliresidential district. i� �f 4� ' �H �Anylpoitable gn,Hwt iththe exception of a location hardship sign in the HVB, including any sign displayed'"on`a storedavehicle except for temporary olitical signs. Amended 6-1 -2010 b (O,rderIN g,Z;Oyo ti3] � t I?fAny signkwhich obstructs thereasonable visibility of or otherwise distracts attention from a sign imaintaiedlby atpublic author " + � ah " P y �Arty�signor�signJstrucrureamvolutngthe use.of motion pictures or projectedphotographic scenes or P P 1 images F . t 11w "� Af s m xi s YX gttp//ecode360:com/prtat/BA2043?gold `655813Q&childre , h.true 7/16/2013IN . r � :'* J j ` a b w f s , License Period: �� ��; ❑New Application Town/1l� table ❑A Renewal Date: ENTERTLICENSE ❑T nsfer 1 � t Yf - API ION Amend Ott No business may operate any form of entertainment without a valo ton license on the premise and all changes MUST be approved by the 'I Licensing Authority and cannot be made at renewal time. Name of Applicant/Corporation:I,c a _ Business phone#Fe 5 -yes i Business Address: A Cell Phone# ` r y7 -o D/B/A: Federal ID# Name of Manager: . r s n,zs Map/Parcel # Manager's Email Annual.© Seasonal ❑ LOCATION OF EACH CATEGORY SHOULD BE DELINEATED ON FLOOR PLAN. DANCING BY PATRONS [:TCINEMA-#SCREENS ❑ DANCE FLOOR—SIZE Q LIGHT SHOW—describe _ ❑LIVE MUSIC—describe OOL TABLES -#�*' # PERFORMERSO COIN-OP MACHINES - ❑#*2 # PIECES ❑VIDEO GAMES -#0*2 DAMPLIFIED==EDNON-AMPLIFIED ❑JUKEBOX j STAGE—describe I 0 MUSIC VIDEO 1 FLOOR SHOW—describe 0 0 RECORDED MUSIC/CD PLAYER/RADIO COMEDY SHOW—describe 0 =BELOW CONV. LEVEL THEATRE—describe 0 =AT CONVERSATION LEVEL ❑ KARAOKE* ❑ABOVE CONY. LEVEL I 0 T.V.'S -# ❑ ALL ENTERTAINMENT MUST CEASE AT 12:45 A.M. PER LICENSING AUTHORITY I UR& s Sunday Monday Tuesday Wednesday Thursday Friday Saturday Q I hereby certify that I(we)do not allow g mes of chance,poker games,video poker or other gaming devices on the licensed premises. Signature of owner/applicant: * separate license$100.00 * 5/table *2 $100/machine or game ,� � !" J r� - � 3� 7 v J �7 BIKE � Town of Barnstable Regulatory Services * aaxxSTABLE • „A&S Richard V. Scali, Interim Director 'Argo;p. Building Division Thomas Perry, CBO Building Commissioner 200 Main Street, Hyannis, MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 December 16, 2013 Cara Murphy Lamarche Associates, Inc. PO Box 250 Chelmsford, MA 01824 Re: Massachusetts Public Records Request for the following address: 477 Yarmouth Road, Hyannis Dear Ms Murphy: For copies of documents pertaining to the above addresses please pay the following: 23 copies at .20 a page 4.60 Postage 1.92 Total $6.52 Please make check payable to the Town of Barnstable Sincerely, 4VO Debi Barrows Administrative Assistant r Ainc. LAMARCHE ASSOCIATES, INC- LWqXXdW • • o P.O.BM 25%Cl��aopa MA 018� r:eao.349 F:g'jrU fJJ9O December 16,2013 Barnstable County Building Division Via fax only:508-790-6290 RE: Address.477 Yarmouth Rd.Hyannis, MA Loss Location: SAME LA File Number: MA2-23548 �j Dear Building Director, LaMarche Associates, Inc. is an Independent Adjusting Company acting on behalf of Certain Underwriters at Lloyd's, London, who is investigating an accident that took place at Harry's At The Depot on September 16, 2013. We would like to obtain ALL the records you have for this property location. Please contact me at 617-455-8882 when you have calculated the cost of sending us this information so that we may send a check. , cerelY, � C } G 7 Z"" urp Regional General Adjust r Lamarche Associates.co o �.ra Town of Barnstable Building Department - 200 Main Street BARNSTABLE, 9 MASS. �, Hyannis, MA 02601 (508) 862-4038 RFD MA'S A Certificate of Occupancy Application Number: 201101613 CO Number: 20110173 Parcel ID: 344003 'CO Issue Date: 11/17/11 Location: 477 YARMOUTH ROAD Zoning Classification: BUSINESS DISTRICT Proposed Use: RESTAURANT & CLUB Village: HYANNIS Gen Contractor: PATCHIN, DONALD Permit Type: CC00 CERTIFICATE OF OCCUPANCY COMM Comments: SOUTHSIDE DINING ROOM AND BAR AREA s Building Department Signature Date Signe �1HETn,_ TOWN OF BARNSTABLE . Building Application Ref: 201101613* BAxxsTASI.E, Issue Date: 03/30/11 - Permit 9 MASS. �prFG 3�a Applicant: PATCHIN,DONALD Permit Number: B 20110604 Proposed Use: RESTAURANT&CLUB Expiration Date: 09/27/11 ' Location 477 YARMOUTH ROAD Zoning District B Permit Type: COMMERCIAL ADDITION ALTERATION Map Parcel 344003 Permit Fee$ 182.00 Contractor PATCHIN,DONALD Village HYANNIS App Fee$ 100.00 License Num Est Construction Cost$ 20,000 G Remarks APPROVED PLANS MUST BE RETAINED ON JOB AND NEW WINDOWS AND DOORS,FIX UP BROKEN TRIM INSIDE AND CUT THIS CARD MUST BE KEPT POSTED UNTIL FINAL TENANT FIT OUT FOR A RESTAURANT-HARRY'S AT THE DEPOT INSPECTION HAS BEEN MADE. WHERE A CERTIFICATE OF OCCUPANCY IS REQUIRED,SUCH Owner on Record: DUBIN, RICHARD S TR BUILDING SHALL NOT BE OCCUPIED UNTIL A FINAL Address: 730 BEARSES WAY INSPECTION HAS BEEN MADE. HYANNIS, MA 02601 Application Entered by: PR Building Permit Issued By: THIS PERMIT CONVEYS NO RIGHT TO OCCUPY ANY STREET;ALLY OR SIDEWALK OR 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 OR ALLY GRADES AS WELL AS DEPTH AND LOCATION OF PUBLIC SEWERS.MAY.BE OBTAINED FROM THE DEPARTMENT OF PUBLIC WORKS. THE ISSUANCE OF THIS PERMIT DOES NOT RELEASE THE APPLICANT FROM THE CONDITIONS OF ANY APPLICABLE SUBDIVISION RESTRICTIONS. MINIMUM OF FOUR CALL INSPECTIONS REQUIRED FOR ALL CONTTTRUCTION 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 71 2 2 ,"a t —6't� - 2 G 3 C_j GC `� 1 Heating Inspection Approvals Engineering Dept Fire Dept(,, 2 —" < ry$ Board of Health " i ► (7 li f - TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION i t j` Map 7 '/ Parcel L2063 Application #710( 01 (00 Health Division Date Issued Conservation Division Application Fee C Planning Dept. * o?-2 .0 . Permit Fee I Date Definitive Plan Approved by Planning Board C Historic - OKH p Q _ Preservation/ Hyannis 'w Project Street Address 7,7 YPM111_1 11 gd ., Village Owner 17fXrA41� Address � '��� 2Z✓� `�r� Telephoned ! S Permit Request IVP/f'✓ 1411 AIDP- i,� RN✓) j)NXS -'/r ; W 601A6Fir'' 7AIl'l Square feet: 1 st floor: existing 3s proposed3. 2nd floor: existing 6�:proposed Total new Zoning District Flood Plain A✓0 Groundwater Overlay Project Valuation 01i` Construction Type Lot Size Grandfathered: W"Yes ❑ No If yes, atta h supporting documentation. Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family(# units) Age of Existing Structure Historic House: ❑Yes �CNO On Old King's Highway: ❑Yes �%o Basement Type: ❑ Full ❑ Crawl ❑Walkout ❑ Other 5� Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full: existing new Half: existing new Number of Bedrooms: existing _new Total Room Count (not including baths): existing new First Floor Room Count Heat Type and Fuel.: *Gas 0 Oil ❑ Electric ❑Other Central Air: �, Yes ❑ No Fireplaces: Existing New Existing wood/coal stove: ❑Yes *No Detached garage: ❑ existing ❑ new size—Pool: ❑ existing ❑ new size _ Barn: ❑ existing ❑ new size_ Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial 7Yes ❑ No If yes, site plan review# Current Use 1 Proposed Use -`�S +�rJ APPLICANT INFORMATION (BUILDER OR HOMEOWNER) 4 SL> Name d,49AIPI Telephone Number Address f/ o- License # /5_/ YO •Y: : /5 ,- Ce'�l ef1,�1GC� /'Y!'1�� D 26 Home Improvement Contractor# ' Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO �' V SIGNATURE DATE �Z C 1 i s t FOR OFFICIAL USE ONLY P..PLICATION# DATE ISSUED -' _MAP/PARCEL N0, - t ADDRESS VILLAGE OWNER DATE OF INSPECTION:y FOUNDATION_'%." t FRAME --,-.INSULATION': FIREPLACE 4 ELECTRICAL: ROUGH FINAL ' PLUMBING: ROUGH FINAL {-GAS': Y = - ROUGH = :, : FINAL '1 I F FINAL B:UILDING • ° DATE CLOSED OUT ; 1 ASSOCIATION PLAN NO. j The Commonwealth of Massachusetts Department of Industrial Accidents ^`� L ° Office of Investigations hY 1 _.Y ti 711rtr l i tl,r� 600 Washington Street \U"/ Boston, MA.02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name (Business/Organization/Individual): Address: 62 Pit► - Phone #: 8' 2 Z/- / City/State/Zip:/State/Zip: �Pi T 1//LI�C /� ✓� tY Are you an employer? Check the appropriate box: Type of project(required): 1.❑ I am a employer with 4. ❑ I am a general contractor and I 6. ❑ New construction employees(full and/or part-time).* have hired the sub-contractors 2 I am a sole proprietor or partner- listed on the attached sheet. # ? ❑ Remodeling ship and have no employees These subcontractors have 8. ❑ Demolition working for.me in any capacity. workers' comp. insurance. 9• ❑ Building addition [No workers' comp. insurance 5. 0 We are a corporation and its required.] officers have exercised their 10.❑ Electrical repairs or additions 3.❑ I am a homeowner doing all work right of exemption per MGL 1 1.❑ Plumbing repairs or additions myself. [No workers' comp. c. 152, §1(4), and we have no 12.❑ Roof repairs " insurance required.]t employees. [No workers' 13.❑ Other comp. insurance required.] *Any applicant that checks box#I 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. lContractors that check this box must attached an additional sheet showing the name of the sub-contractors and their workers'comp.policy information. I am an employer that isproviding workers'compensation insurance far my employees. Below is thepolicy andjob site information. Insurance Company Name: Policy#or Self-ins. Lic. #: Expiration Date: Job Site Address: City/State/Zip: Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine 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$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify u e pains and penalties of perjury that the information provided above is true a t and correct. Si �/ Signature: Date: ✓ — ! ` Phone# Official use only. Do not write in this area, to be completed by city or town official City or Town: Permit/License# Issuing Authority(circle one): 1. Board of Health 2: Building Department 3.City/Town Clerk 4. Electrical Inspector 5. Plumbing Inspector 6. Other r Y7�t ts D(partm:ei�t Ot Puhlic S.tft #k Boai-df Buy r `Jden Kc�ml ttions:end St tn ' � sah$titictuYn upervtsar License CS ,15938 Restricted to .00 f DONALD L' TCHIN'; PO:BOX 4;i i CENTERVILLE MA Q26321 ' Expiration 9/15/�01('unnnissioirer r tlti Town of Barnstable t Regulatory Services v ems. Thomas F. Geiler,Director 16- Building Division Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barngtable.ma.us Office: 509-862-4038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using ABuilder as'Owner of the subject.property hereby authorize 7D�2r✓/9 Id yV/"7Z--111/tI1 to act on my behalf, in all matters relative to work auth rized by this building permit application for: (AdW ss of Job) Signature of Owner Date P acne If Property Owner is applying for permit please complete.the Homeowners License Exemption Form on the reverse side. eDEP- MassDEP's OnlineFiling System Page 1 of 1 MassDEP Home ( Contact i Feedback l Tour i Privacy Policy MassDEP's Online Filing System Usemame:DONALDI2 Nickname:DON-DON My eDEP 1 Forms cg My Profile mI Help Receipt Forms Signature Payment Receipt Summary/Receipt A print receipt Exit Your submission is complete. Thank you for using DEP's online reporting system. You can select"My eDEP"to see a list of your transactions. DEP Transaction ID: 375004 Date and Time Submitted: 3/29/2011 6;48:0.3.AM Other Email : Form Name:AQ 06-Construction/Demolition Notification, Payment Information DEP code: 5390.0 Date: 3/29/2011 6:46:53 AM Amount($): 85 Payment Detail: PATCHIN DONALD—AccountType—AccountNumber ****400.9.Confirmation Number: Contractor Contractor Number Name Address_, Supervisor Project Monitor Lab. My eDEP MassDEP Home i Contact Feedback Tour Privacy Policy MassDEP's Online Filing.SyMem.ver.10.1_4-.0©201.0 MassDE.P .d YOU WISH TO OPEN A BUSINESS? For Your Information: Business Certificates cost $30.00 for 4 years. A Business Certificate ONLY REGISTERS YOUR NAME in the Town (WHICH YOU MUST DO according to M.G.L. - it does not give you permission to operate). You must first obtain the necessary signatures on this form at 200 Main St., Hyannis. Take the completed form to the Town Clerk's Office, 1" Fl., 367 Main St., Hyannis, MA 02601(Town Hall)' and get the Business Certificate that is required by law. Fill in please: DATE l/ APPLICANT'S YOUR NAME/CORPORATE NAME BUSINESS YOUR HOME ADDRESS: TELEPHONE # Home Telephone Number " NAME OF NEW BUSINESS , .. 12 J f ��- j7y� DI IS THIS A HOME OCCUPATION? 7— TYPE OF BUSINESS Have you been given approval from the.building a vision? YES NO ADDRESS OF BUSINESS e, ;s W_n p z O I MAP/PARCEL NUMBER —i 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 COMM IONE 'S OFFICE This individu has'be inforcne o a p rmit,equirements that pertain to this.type of business. Autho ed Signature** COMMENTS: 2. BOARD OF HEALTH Thi's individual. has beep4 nformed of the permit requirements that pertain to this type of business. Auth rized Signature" J COMMENTS: � iV (�St v�%�l Q I'WII l 3. CONSUMER AFFAIRS (LICE SINGAUTHORITY) This individual has bJy'infor e o h licensing requirements that pertain to this type of business. ` COMMENTS: A thon�ed Signat re**. YOU WISH TO OPEN A BUSINESS? For Your Information: Business Certificates cost $30.00 for 4 years. A Business Certificate ONLY REGISTERS YOUR NAME in the Town (WHICH YOU MUST DO according to M.G.L. - it does not give ou permission b Y ss on tooperate).PYou. 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" FI., 367 Main St., Hyannis, MA 02601(Town Hall) and get the Business Certificate that is required by law. ' DATE Fill in please: y APPLICANT'S YOUR NAME/CORPORATE NAME V// C /✓J A,Q u//* ' BUSINESS YOUR HOME ADDRESS: 4g iy 77`e.5,1J 368 y sjS' /di d , TELEPHONE # Home Telephone Number NAME OF NEW BUSINESSd ,Q /4 Q�� 11S a /bC TYPE OF BUSINESS IS THIS A HOME OCCUPATION? YES NO Have you been given approval from the building'divi ion? YES NO / ADDRESS OF BUSINESS 7 77 �i4-Q MOu J"r /7t4- MAP/PARCEL NUMBER - ,3 y,�— D'd� 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 COMMISSIONER'S OFFICE This individual has n informe any permit requirements that pertain to this type of business. Authorized Sign COMMENTS: ��C�-o 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: e ^w FEE_-_ - ��° TOWN OF BARNSTABLE, MASS. a �b a gird°= � 19 41 A.fy C d p•� THIS IS TO CERTIFY THAT A PERMI IS HERE GRANTED TO .3o,aa`"1 o > .................. _.._.._ o _. _......_....._... ........__.... .. p fPRO RTY OWNER) (AD RE551 to f10 T __.. .............................. .............................................................................._._... C� _.............................(B(BUILD) LD....LPEE ...... ...........//(ALT 1 R EPA(RI0s _.... .......... ._..................._.... .........................................................................._..........._..._ I ING) (APPROXIMATE SIZ[) LOCATION ................._...... ..............................................._..... ..._.................................................................................... ....._. 1B MET AND NUMBER) (VILLAGE) mNAME OF BUILD O R CONTRACTOR _ .____...._._...._.........................._.........._....._...._._.................._........._......................_........._............__.....__.. D+ y fu Q APPRO TE COST _......................................._...................................................................._.........._.......... _.___ d eom I HEREBY AGREE TO CONFORM TO ALL THE RULES AND REGULATIONS OF THE TOWN OF BARNSTABLE, REGAR G THE ABOVE CONSTRUCTION. .. to y (OWNER) (CONTRACTOR) edaq ,. •�'��± O v Q U y ....._.._......................................_....._............................................................................. h BUILDING INSPECTOR Subject to Approval of Board of Health. tio 'Or. J G _4e , 6 1 TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION x Parcel �D �� Map Application Health Division Conservation Division Permit# Tax Collector Date Issued L4 6 ' 07� Treasurer Application Fe Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board Historic-OKH Preservation/Hyannis Project Street Address Village A-v i Owner r 17 Address ����✓S�S' h,� Telephone 5a Permit Request rl�7 r as, Ate/ -e aL-.S -ek i s //,!2 5 Lq# f Square feet: 1 st floor:existing proposed 2nd floor:existing proposed [ ToOnew Zoning District Flood Plain Groundwater Overlay Project Valuation Zvl"D Construction Type Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting cument on. m ;_3 Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family(#units) r Age of Existing Structure SS� /�- Historic House: ❑Yes U-No On Old King's Highway: ❑Yes Lill-No Basement Type: ❑ Full ❑Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full:existing new Half:existing new Number of Bedrooms: existing new Total Room Count(not including baths):existing - new First Floor Room Count Heat Type and Fuel: ❑Gas ❑Oil ❑Electric ❑Other Central Air: ❑Yes ❑No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑No Detached garage:❑existing ❑new size Pool:❑existing ❑new size Barn:❑existing ❑new size Attached garage:❑existing ❑new size Shed:❑existing ❑new size Other: Zoning Board of Appeals Authorization ❑ Appeal# — Recorded❑ Commercial &Yes ❑No If yes, site plan review# Current Use Proposed Use BUILDER INFORMATION Name ale Telephone Number S lO IS Address SSG /C License# Home Improvement Contractor# 1-7 Worker's Compensation# Z,,)/.Z �71��►`�y6�-�6 ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE `30 f FOR OFFICIAL USE ONLY PERMIT NO. DATE ISSUED MAP/PARCEL NO. ADDRESS VILLAGE, t a OWNER s DATE OF INSPECTION: FOUNDATION FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING D DATE CLOSED OUT ASSOCIATION PLAN NO. r The Commonwealth of Massachusetts Department of Industrial Accidents 4 Office of Investigations e 600 Washington Street Boston,MA 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Le ibl Name(Business/Organization/Individual): ¢ems s/e Address: Zc— City/State/Zip: Phone#: `17 4U_"0 Are you an employer? Check the appropriate box: Type of project(required):. am a em to er with 4. ❑ I am a general contractor and I 1. P Y �— 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 h' 9. ❑Building addition [No workers' comp. insurance comp. insurance.$ required.] 5. ❑ We are a corporation and its 10.❑Electrical repairs or additions officers have exercidse their 11. re 3.❑ I am a homeowner doing all work h ❑Plumbing airs or additions P myself. [No workers' comp. right of exemption per MGL 12.31oof repairs insurance.required.]t c. 152, §1(4),and we have no employees. [No workers' 13.❑ Other comp. insurance required.] . *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. #Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is.the policy and job site information. Insurance Company Name: Policy#or Self-ins.Lie.#: �����7��`���,�®�� Expiration Date: Job Site Address: P City/State/Zip: Attach a copy of the w kers' compensation poll y 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-nder the pains and penalties of perjury that the information provided above is true and correct Signature: Date: Phone#: S� 7 2 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#: I� 1 Information and Instructions - Massachusetts General Laws chapter 152 requires all employers to provide workers' compensation for their employees. Pursuant to this statute, an employee is defined as"...every person in the service of another under any contract of hire, express or implied, oral or written." An employer is defined as"an individual,partnership,association,corporation or other legal entity,or any two.or more of the foregoing engaged in a joint enterprise,and including the legal representatives of a deceased employer,or the receiver or trustee of an individual,partnership, association or other legal entity,employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein,or the occupant of the dwelling house of another who employs persons to do maintenance,construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." MGL chapter 152, §25C(6)also states that"every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required." Additionally,MGL chapter 152, §25C(7)states"Neither the commonwealth nor any of its political subdivisions shall enter into any contract for.the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority." Applicants Please fill out the workers' compensation affidavit completely,by checking the boxes that apply to your situation and,if necessary,supply sub-contractors)name(s),address(es)and phone number(s) along with their certificate(s)of insurance. Limited Liability Companies(LLC)or Limited Liability Partnerships(LLP)with no employees other than the members or partners, are not required to carry workers' compensation insurance. If an LLC or LLP does have employees, a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested,not the Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy,please call the Department at the number listed below. Self-insured companies should enter their self-insurance license number on the appropriate line. City or Town Officials Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permit/license number which will be used as a reference number. In addition, an applicant that must submit multiple permit/license applications in any given year,need only submit one affidavit indicating current policy information if necessary)and under"Job Site Address"the applicant should write"all locations in (city or town)."A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year.Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e. a dog license or permit to burn leaves etc.) said person is NOT required to complete this affidavit. The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call. The Department's address,telephone.and fax number:. The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washingtoh Street Boston, MA 02.111 Tel. # 617-727-4900 ext 406 or 1-877-MASSAFE Fax#617-727-7749 Revised 11-22-06 wwA,.mass.gov/dia I 860-277-0111 5/30/2007 2 :22 :00 PM PAGE 003/003 Fax Server ACORD. CERTIFICATE OF INSURANCE DATE(MMIDDWY) 05-30-07 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE WESTFORD INS AGCY HOLDER. THIS CERTIFICATE DOES NOT AMEND,EXTEND OR 187 LITTLETON RD ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. P 0 BOX 308 COMPANIES AFFORDING COVERAGE WESTFORD,MA 01886 COMPANY 28W5B A TRAVELERS DIRECT ASSIGNMENT INSURED COMPANY B QUIGLEY JAMES COMPANY 384 MONOMOSOCY ROAD C MASHPEE,MA 02649 COMPANY D COVERAGE 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 ALLTHE TERMS,EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. CO POLICY EFF POLICY EXP LTR TYPE OF INSURANCE POLICY NUMBER DATE(MMIDDWY( DATE(MMWD1YY) LIMITS GENERAL LIABILITY GENERAL AGGREGATE $ COMMERCIAL GENERAL LIABILITY PRODUCTS-COMP/OP AGG. $ CLAIMS MADE . OCCUR. PERSONAL&&ADV.INJURY $ OWNER'S&&CONTRACTOR'S PROT. EACH OCCURRENCE $ FIRE DAMAGE(Any one Fire) $ MED.EXPENSE(Anyone person) $ AUTOMOBILE LIABILITY ANY AUTO COMBINED SINGLE LIMIT $ ALL OWNED AUTOS BODILY INJURY(Per Person) $ SCHEDULEAUTOS BODILY INJURY(PerAccident) $ HIREDAUTOS PROPERTY DAMAGE $ NON-OWNED AUTOS GARAGE LIABILITY ANY AUTOS AUTO ONLY-EA ACCIDENT $ OTHER THAN AUTO ONLY: EACH ACCIDENT $ AGREGATE $ . EXCESS LIABILITY UMBRELLA FORM EACH OCCURRENCE $ OTHER THAN UMBRELLA FORM AGGREGATE $ WORKER'S COMPENSATION AND A EMPOLYER'SLIABILITY UB-776X4463-06 09-23-06 09-23-07 STATUTORYLIMITS X THE PROPRIETOR/ EACH ACCIDENT $ 100,000 PARTNERS/EXECUTIVE INCL DISEASE-POLICY LIMIT $ 500,000 OFFICERS ARE: X EXCL DISEASE-EACH EMPLOYEE $ 100,000 OTHER DESCRIPTION OF OPERATION SlLOCATIONSNEHICLESIRESTRICTIONSISPECIAL ITEMS THIS REPLACES ANY PRIOR CERTIFICATE ISSUED TO THE CERTIFICATE HOLDER AFFECTING WORKERS COMP COVERAGE. THE WORKERS COMPENSATION POLICY DOES NOT PROVIDE COVERAGE FOR QUIGLEY JAMES CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE TOWN OF BARNSTABLE EXPIRATION DATE THEREOF,THE ISSUING COMPANY WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TOMAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OFANY 200 MAIN STREET KIND UPON THE COMPANY,ITS AGENTS OR REPRESENTATIVES. HYANNIS,MA 02601 AUTHORIZED REPRESENTATIVE Charles J Clark ACORD 25.5(3193) ; f oF1wE Tom, Town of Barnstable. Regulatory Services 0 H"M 'NAM ' Thomas F.Geiler,Director `bArF 6.19. � 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 �� � / ✓' U �� � �i���.. , as Owner of the subject property 4 hereby authorize to act on my behalf, in all matters relative to work authorized bythis building permit application for; , �77 (Address of Job) Signatare of Owner tate t , 2 y � 1,4� s74� Print Name QF0E-MS:0 WNERPERMISSION ✓tie zOai�vnzaaaurep�l/ o�✓� ac✓zuael{a Board of Building Regulations and Standards License or registration valid for individul use only HOME IMPROVEMENT CONTRACTOR before tFle expiration date. If found return to: Registration,.,, '137117 Board of Building Regulations and Standards E xp : One As hburton Place Ism 1301 T e l ' Boston,Ma.021 ndlvi 08 YP.,,... dual JAMES QUIGLEY, JAMES QUIGLEY • • 384 MONOMOSCOY;RD ' MASHPEE,MA 02649 Deputy Administrator Not valid wtthou gnature D a ✓�ze.{pa�nrrrurnuseal� o�iCtrxc�%etaer22 �$ r ., BOARD Pau REGULATIONS j � , Llcerise CONSTRUCTION SUPERVISOR 4 Numbed CS; 043084 I u ° t. t 3' Expires 09/09/2008' Tr'no 18750 r Restricted 00' �, � JAMES J QUIGLEK r 384 MONOMOSC01' ,, F - MASHPEE, MA 02649 -� Commissioner k...i Complafi t qui y RcPOrl Assessor's No.' Daie• Z- G Rec'd by: Complaint Name: j wi2. Location 177 Address: y NUP Originator Nmne:_� Street: Vim: State+ Zip:----- Telephone:D/E f. om laint �� j✓-2��1�' C p Description: ; 1 Inquiry ❑ L ? '� ��'G�'ei�7 Descnptiou: age For OIBce Use Only Inspector's ,1 ,z —o Inspector.- Action/Comments Date: 7 -d�- ` Ae Follow up i Action r Additional Info. Attached Cop}•Distribution: Mite.Dcpu=cnt File 1,CB0rv-Inspector , n1_1. T----Pnr/RPnrm to Office Mam;rd r �,� �� _,A Date � �Hour � T� I-IILE VOU WIERE OUT M :Da/w,54 Phone y� J / 77 J Y /4s Area Code Phone Number Telephoned Returned Call Left Package Please Call Was In Please See Me Will Call/Asgain�// Will Return Important/-/ Message (! a�j2ed 'o �/J��/azk a bl -ICA_0 L/ -�'t) el 110 7U �C7Y 'p ��GY' /� if,L J oh; bi ii i ioiiG h6m, I /I ,SGtz _.Ws-c.e:.- an;160 I ke, AVERY FORM NO.50-736 PRINTED IN USA Town of Barnstable Assessors Division Page 1 of 3 s .. tea' WE Your Location : Home : Town Departments : Administrative Services : Assessors Division : Property Results «Back-Forward>> Tuesday, April 23, 2002 Assessors Division- Property Results Data is based on Fiscal Year 2002 Assessor's Fiscal Year 2002 Assessed Values database and is provided for information Tax Information purposes only. Sales History Land and Building Description Construction Details <<Search Again Out Buildings & Extra Features Building Sketch 477 YARMOUTH ROAD Map/Parcel/Parcel Extension: Mailing Address: 344/003/ DUBIN, RICHARD S TR Owner of Record: C/O GILBERT C WOOD ` DUBIN, RICHARD S TR 730 BEARSES WAY Property Location: HYANNIS, MA 02601 477 YARMOUTH ROAD Parcel ICE:344003 Maprr Fiscal Year 2002 Assessed Values ^Top Appraised Value Assessed Value Building Value: $229,900 $229,900 Extra Features: $0 $0 Outbuildings: $6,800 $6,800 Land Value: $ 100,100 $ 100,100 Totals: $ 336,800 $ 336,800 Tax Information ^Top Town Tax $3,118.77 Tax Rates (per$1,000 of valuation) HYANNIS FD TAX $855.47 Town 9.26 Fire District Rates Land Bank Tax $93.56 Barnstable 2.61 C.O.M.M 1.38 Cotuit 1.69 Total: $4,067.80 Hyannis 2.54 W. Barn. 1.54 Total does not include special assessments— Other Rates http://www.town.bamstable.ma.us/comeonin/Departments/Administrative_Services/Financ,... 4/23/2002 Town of Barnstable Assessors Division Page 2 of 3 'I I Land Bank 3% of Town Tax Due to rounding differences these values are approximate. Sales History ^Top Owner: Sale Date: Book/Page: Sale Price: DUBIN, RICHARD S TR 1/22/1997 10577/282 $277,000 TSOLERIDIS, DEBORAH A TR 12/26/1996 10542/276 $200,000 MERE, MARIO B TR 10/15/1982 3590/ 199 $ 128,000 HOME FED SAV & LOAN ASSOC 4/15/1982 $50,000 Land and Building Description ^Top Land Building Lot Size (Acres): 0.74 CYea'FCuk:_1-952 Appraised Value:$ 100,100 Living Area: 6038 Assessed Value: $ 100,100 Replacement Cost: $328,400 Depreciation: 20 Building Value: $229,900 Construction Details ^Top Style:`Resta irant) Interior Walls: DrywallWall Brd/Wood Model:'Com erm cial Interior Floors: CarpetVinyl/Asphalt Grade: Average Grade Heat Fuel: Gas Stories: 2 Stories Heat Type: Hot Air Exterior Walls Wood Shingle AC Type: Central Roof Structure: Gable/Hip Bedrooms :Zero.Bedrddms Roof Cover: Asph/F GIs/Cmp Bath roomM26ro'136thrhs Total-Rooms:-_1"Rbo6i Outbuildings& Extra Features ^Top Code Description Units/SQ FT Appraised Value Assessed Value PAV1 PAVING-ASPHALT 15000 $6,800 $6,800 Building Sketch ^Top http://www.town.bamstable.ma.us/comeonin/Departments/Administrative_Services/Financt... 4/23/2002 Town of Barnstable Assessors Division Page 3 of 3 11 Map' Sketch Legend BAS First Floor, Living Area FST Utility Area (Finished Interior) UAT Attic Area (Unfinished) BMT Basement Area (Unfinished) FTS Third Story Living Area (Finished) UHS Half Story (Unfinished) CAN Canopy FUS Second Story Living Area (Finished) UST Utility Area (Unfinished) FAT Attic Area (Finished) GAR Garage UTQ Three Quarters Story (Uni FCP Carport GRN Greenhouse UUA Unfinished Utility Attic FEP Enclosed Porch PTO Patio UUS Full Upper 2nd Story (Unfi FHS Half Story (Finished) SFB Semi Finished Living Area WDK Wood Deck FOP Open or Screened in Porch TQS Three Quarters Story(Finished) Back- Home Departments Town Information Contact Town Hall Website Developed and Maintained internally by the Town of Barnstable Information Systems Department Town Hall-367 Main Street- Hyannis,MA-02601 -508-862-4000 DISCLAIMER: Although we strive to provide accurate information,we are only human. Please consult directly with the appropriate department if there is a question of accuracy. Copyright 20010.Town of Barnstable. All Rights Reserved. http://www.town.bamstable.ma.us/comeonin/Departments/Administrative_S ervices/Financ,... 4/23/2002 t, Assessor's map and lotTornb-keA .... ..� ..... .. .. ........ SEPTIC SYSTE 7 INSTALLED t� ,DST'BE - � ......................... CO, Sewage Permit number WIT I VIPLi :.t n.�TISAN CLE II STATE I TA . TOWN . OF :BARNSTAell �4' Z EAUSTADLE, i i+ 9 "A6`" � � BUIrIDIHG , INSPECTOR �O 1639. 90 �a m a' e . rc G, •', � yn. � .� D z, r I " APPLICATION FOR PERMIT TOJ ........�'`�.t .�1 .....:fL.... ..................................................... rovr e e �o c TYPE OF CONSTRUCTION .... . ..�..�. -'........./...3...................i 92 7 (/l s TO THE INSPECTOR OF BUILDINGS: The undersigned.hereby applies for a permit according to the following information: �G{,t ozci / , l�l tiro is .. Q.:... o Location ........ ................ ...................................... ../...�..-.-.. ...............7t-......... ............................................... ProposedUse ........ J ..........°1 .....�.Aj?^lc�V!�................................................................................................. Zoning District u^� 5 Fire District +.P..R.IS Name of Owner....:••' Qh?p.�.....�........ � 1!L�!1,i^...........Address .....3�(..... lt ...4e!.!:�..^....:!`.v:.:.....-CO ...D1..... /�` -! �• Nameof Builder ....................................................................Address .................=............................................................... Name of Architect ..... l.G .Ar40..... a�.�l......... ....Address. .........�e.,7,*fln�l� �Q ....................... Number of Rooms ........ Foundation ��i C e 'Gr..... ...................................... .... ............. ........... ... ............................... . ......... Exterior ...... .C/?. ........J?��.s...... .......:......Roofing ��� - I a we ................................................... ............................... a Floors .........6'. .C e....................................................Interior / 6 9 Heating ...... /. .4 .11(s.....................................................Plumbing ........ ......./3° ....................................... Fireplace ...................................................................................Approximate Cost 5 t?aP........... Definitive Plan Approved by Planning Board _______________________________19-------- . Area j� Diagram of Lot and Building,with Dimensions Fee ..I..l:"1.!D. .................. SUBJECT TO APPROVAL OF BOARD OF HEALTH I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. ; 7( Name . .... ...... :'..A,.!. I ' Goldsmith, James C. 49187 warehouse & fice No ..!.............. Permit..for ........................... ........ r .....:.....�..���'Yarmotith'Road.. ................ F _ Location 1............... ......................:........ " .......... - - Hyannis - ............................... .......................................... James C. Goldsmith Owner ..................................... ........................... masonry, ? �' Type of Construction .......................................... c. ............................................................'.................... • L Plot .....`........r............ Lot ....................:........... _Permit Granted` M8p:.5 19 77 4 Date of Inspection ...... ..... .............19 ` Date, Completed . b.�� .......... .19 p _ PERMIT REFUSED ...................................................... .. .19 _ r ............................................................................... ............................................................................... r.r Approved .........................................*...... 19 ".!-.."'r.v+ti..Y-.--..�.-r.+-••..r�.�.r`•'�v`�•.-:•1-'�"�`•'. .R-t+•^1-�=�..�-r�.-.�.-...�...�....lr+ti.,,,..�-�.�- �.'_.._�••^."•" !�(' _ '^.r.vr�+�... 4 Assessor's map and lot number .:.... . ...... ......:.... �. a s'STE" MW at C. t = IMSTALLED IN COMPLIANCE Sewage Permit number WITH ARTICLE I! STATE SANITARY COpE N R /� R T I �FTMETD l � OF AR LE arc Z BAUSTdIILE, 9� M6 9 3 BUI-LDIH G I NSPECTOR O MAY a• r S n .i APPLICATION:FOR `PERMIT T ,. .............. ... .. :.......: .at.� TYPE OF CONSTRUCTION ............ ..(T �. c .......... ,................. 14 mod. i V....... ....... ........:..........19.� TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according t• the 'following infmti. ao Location .... �... ......�i. ..... :� : .... .........�....�...................�.. ... .......n........................................................ Proposed Use ....:.............................. Zoning District ........................ .....:...................................Fire District ....... .. .... ..�0Y!"" ... ......................................... Name of Owner Su �!2 `� �_-0�• S A— 0tLL AJN, s ..............................Address .............................................' .�............................... Nameof Builder ... ...............................................Address ............:....................................................................... Name of Architect ..:..:. ... Address C � ; Numberof Rooms ...zz.... ...................................................Foundation ....................................................... Exierior ...Roofin .... Floors t"'C�(� i7 L (D�.0...........................:.Interior ......... / ��f .................................:................ l..!` ".................................. ' .q• i F�`1 �' .........Plumbin �--'> Heating .........1.....................�..................................... g .............�.'...............`.� �..`�.�.......................... Fireplace .t•,'................................................:..........Approximate Cost ................... . . .. ................... Definitive Plan Approved by Planning Board ________________________________19________. Area .......................................... Diagram of Lot and. Building with Dimensions Fee .................... ........................ SUBJECT TO APPROVAL OF BOARD OF HEALTH • 1 I hereby agree to conform to all the Rules and Regulations of the Town of Barns bIe regardi the above construction. Name w. ' ........................................ .. .......... !!! Surrey Construction , x ' ; No. .....l7145. Perrfiit for —. ..faq.e—. ' / —.xmf'�alluAg................................................... - ' Y � Locoiion`--..-47Z..�Ar=m%t;h..RQad................. ' . . . .........................Hyamis--------..�---- � CJvvner....--...Surx.ey..UnMtrur-tiAxx............ of� ',r~ ............... ` 'Plot � - ' �O»nni� �-nte6 --- l ---..���e.. � ../!lA 74AW . . ^ / ^ / ~~'~ of ^ ( � ` �o'= | � | PERMIT REFUSED --- 191, ......................................... ���—.. . � . , —.-----.---.--..�—, ��--.��. .............. .. - ' — ...r.°..^..-.--..--.—~.-. —....=.--' ~ ,^ . � . . `.— ............................................. . - .. ............ � - -. � � ~ � . . _.__.__._�._,�..��__l-. . , . �--�---�..� ' `_=..� �.... - -- ' , ` - Approve6 '' ........................................... lA -- � � ---------------~----------' ` � -----------.---.----.—....--- � �� 1 4/q Assessor's map and lot number ............................................ G INSTALLED IN COMPLIANCE Sewage Permit number ..........1..;:T.6.................................. WITH,ARTICLE II STATE SANITAR,Y,..CO.DE AND T t"ET°�y TOWN OF BARN".& E Z BARNSTABLE, i 0 BUILDING INSPECTOR APPLICATION FOR PERMIT TO ... �....c.t............. �-............. � :.....................�....................................... TYPEOF CONSTRUCTION ...��L . .......:............................................................................................... ....... A.`......o.............19 .Y TO THE INSPECTOR OF BUILDINGS: The unde ed hereby applies for a permit according to t e following inform ion: i o � T tiCe o i I+ � Locc -n�Ps�...... 4?. �......:.1.:t .... c�............ ................ . .. .............................. t ProposedUse L'............................... .......................................................................I......................... Zoning District ............... ... .................................................Fire District ......... ... ►'1/Y\i...izL............................................. p l Name of Owner ...SV6Z ....... e�ri .: �ddress P.e............................. . ��.5.�...................... Nameof Builder ...........:� �C...........................................Address ................�....M..�.................................................. Nameof Architect ...........�M�...........................................Address ............. .................................................... Number of Rooms ...........4..................................................Foundation .... Exterior }� ...Roofing .....�TL�L Floors ...................................................................:..................Interior ...........................:........................................................ �s Heating V'� ................................Plumbing ..J ....................°.�...........`..... C..... ...0 (�?7L.................................. 'i .4b b V V Fireplace �..�':�.�". ....................Approximate Cost ........:........f. Definitive Plan Approved by Planning Board ---------------____-----------19________. Area 0.�.(�.11..... ............. ®0� Diagram of Lot and Building with Dimensions Fee ......... .................•••... SUBJECT TO APPROVAL OF BOARD OF HEALTH Q I hereby agree to conform to, all the Rules and Regulations f t Town arnstable regarding the above construction. Name . . ................... .................................................. Surrey Construction Corp. orm� ` No -..��..�'�.�.��Permhfor ----.-.���........... ' \ [ ...............-.--.-.------�building:--.----.-.. . / / ' Road ----'_ ---.--.-------.--------. ~ ................... ...................................... ^ Owner ..........Surp�v..�q����������_..���/:�.. . . Type of Construction ..............;V:rgme\-----. � - ........................ ...................................... ................. " ^ Plot ............................ Lot -----.I�----. .. ~ ^ �4 ' Perm Granted ._--]9 ^ ' -~�**»~1w�=" ��-^'� Date of Inspection .. - -.---']g ` � � � ~ Dote Como|e�e6 ------lg � ' � / , y ` - - ' ' ` - PER& 0[� ..----..--..---.--------,. 19 ............................................................. .� � |: wm /� -. � �..............................................................- � .. —,-_'' � ' t .'�'------`—~-^^—^^---^' ......................... ^ - ` | ~ ' . - _- . ' -'------------ --.. 19 ' ` � � < r� , --.�^-..'----------~-.----~---. ' -------`-------------...--... . . / LEASE EXHIBIT: " THIS LEASE IS SCHEMATIC IN NATURE AND IS INTENDED TO PROVIDE GENERAL INFORMATION REGARDING THE . } a h4 LOCATION AND SIZE OF THE PROPOSED • t, WIRELESS COMMUNICATION FACILITY, THE SITE LAYOUT WILL BE FINALIZED UPON COMPLETION OF THE SITE4, .. � i SURVEY AND FACILITY DESIGN. T Y � €, STRUCTURAL NOTE: A STRUCTURAL ANALYSIS SHALL BE PERFORMED ON EXISTING UTILITY POLE PRIOR TO CONSTRUCTION AND SHALL �° �` s -r _ ' _ - � BE THE RESPONSIBILITY OF UTILITY CO. fti , � w k INSTALLATION NOTE: n Y INSTALL ALL EQUIPMENT, MOUNTING BRACKETS AND HARDWARE IN � b. x F. ACCORDANCE WITH MANUFACTURER'S RECOMMENDATIONS e � w F � ELECTRICAL NOTE: m t. F GENERAL WIRING DIAGRAM AND �L� a NOTES TAKEN FROM E—MEMO BY r JAMES F. GVAZDAUSKAS, P.E. a DATED JANUARY 12, 2017 � i�• — • � _y COORDINATED NOTE: - w— COORDINATES AND AMSL ELEVATION � r BASED FROM FIELD SURVEY DATED ' ,r 04/03/2017. A METES AND BOUNDS SURVEY WAS NOT CONDUCTED . o . r� a S AWNr e aR 0 a �\ Mkt. �s � .r a i (F) = FUTURE (BLACK) (E) = EXISTING (YELLOW) (P) = PROPOSED (BLACK) APPROX. LOCATION (E) UTILITY POLE TRUE NORTH NOTE: (AGL) = ABOVE GROUND LEVEL SUBJECT POLE FALLS WITHIN TOWN'S (AMSL) = ABOVE MEAN SEA LEVEL NAD 83 LATITUDE: 41' 40' 01.11" 1 SITE PLAN RIGHT—OF—WAY. N.T.S. = NOT TO SCALE NAD 83 LONGITUDE: —70' 16' 15.76" " 25' S0' 100' MASSDOT HIGHWAY LAYOUT PLAN (WHITE) LE-1 SCALE: 1 =50 GROUND ELEVATION: 36.8' AMSL BARNSTABLE SC21 MA LEASE EXHIBIT DATE: 04/21/2017 DRAWN BY: JWH ^A- ADVANCED VerlZ.Opwireless DRAWING NUMBER REVISION CHECKED BY: SNA ENGINEERING GROUP, P.C. 477 YARMOUTH ROAD. Civil Engineering Site Development VER RIBZON WIRELESS BARNSTABLE MA 02601 SCALE: 1"=50' g g- P 400 FRIBERG PARKWAY � BARNSTABLE SC21 MA 1 Surveying-Telecommunications WESTBOROUGH, MA 01581 SHEET: 1 OF 6 (P) 12.0"0 X 38.7"H NH360QM—DG-2XR TOP (P) ANTENNA ANTENNA MOUNTED ON TOP (E) UTILITY ELEV. = 33.8 t AGL (70.6 f AMSL) POLE �3 � ° (P) ANTENNA GROUND WIRE _ q OF (P) ANTENNA (P) ANTENNA MOUNTING BRACKET ELEV. = 32.1'f (68.9't AMSL) (P) 12.0"0 X 38.7'H , �NH360QM—DG-2XR m 7¢" TOP (E) UTILITY POLE (P) COAX CABLES (TOTAL OF 2) ANTENNA MOUNTED ON ---� TOP (E) UTILITY POLE & (1) RET CABLE IN 2 U—GUARD 11 ELEV. = 29.5 f AGL (66.3'f AMSL) . TO (P) ANTENNA (E) SECONDARY POWER E) 29.5' TALL UTILITY (P) POWER WEATHERHEAD ELEV. = 21.5'± AGL (58.3't AMSL) a POLE (E) 29.5' TALL UTILITY POLE #36-38 (E) SECONDARY POWER (P) RRH'S (TOTAL OF 2). (2)(P) l DIPLEXERS, & (2)(P) DELTA (P) RRH'S (TOTAL OF 2). (2)(P) ELEV. = 21.0'f AGL O TEL LINE o AC/DC CONVERTERS MOUNTED ��— �--_ �_.— a�— (E) TELCO LINE — E — — TO (E) UTILITY POLE DIPLEXERS, & (2)(P) DELTA MIE owe. a EL` �r ELEV. = 20.0'± AGL (56.8'± AMSL) %f AC/DC CONVERTERS MOUNTED (E) TELCO LINE TO (E) UTILITY POLE E E "' ELEV. = 19.00'± AGL (55.8'f AMSL) - (E) TELCO LINE �� (P) FIBER. 2 U—GUARD TO (P) SAR-0 ELEV. = 18.5't AGL (55.3'f AMSL) � (P) SAR� �P (P) SAR-0 BOTTOM OF (P) RRH � (P) " COAX CABLES (TOTAL OF 4) TO DIPLEXERS ELEV. = 12.5'f AGL (49.3'± AMSL) �, ,. (P) ELEC. RGS CONDUIT TO (P) METER ` 6DA-2 POLE DISCONNECT SWITCH FUSED WITH (3)-20A CIRCUIT BREAKERS & METER SOCKET ,':" eM � . e 06 N 2 _ 60A-2 POLE DISCONNECT `� �-9 SWITCH FUSED WITH (3)-20A " CIRCUIT BREAKERS & METER I E GROUND LEVEL SOCKET ELEV. = 0 t AGL 36.8 t AMSL - (P) GROUND WIRE FROM (P) ��` CJ _ . . METER TO (P) GROUND ROD ! I Try. 2 PHOTO ELEVATION L.J LE-2 SCALE. 1"=10' LEGEND +6ca (F) = FUTURE (BLACK) 1 ELEVATIONSINSTALLATION NOTE:` (E) = EXISTING (GREY) ¢ i� AL EQUIPMENT, STRUCTURAL NOTE: LE-2 SCALE: 1"=10' INSTALL ALL EQU MOUNTING A STRUCTURAL ANALYSIS SHALL BE (P) = PROPOSED (BLACK) BRACKETS AND HARDWARE IN PERFORMED ON EXISTING UTlU[TY POLE EVEL(AGL) = ABOVE GROUND L 0 5' 10' 20' ACCORDANCE WITH MANUFACTURER'S PRIOR TO CONSTRUCTION AND SHALL (AMSL) = ABOVE MEAN SEA LEVEL RECOMMENDATIONS BE THE RESPONSIBILITY OF UTILITY CO. N.T.S. = NOT TO SCALE BARNSTABLE SC21 MA LEASE EXHIBIT DATE: 04/21/2017 ^7' DRAWN BY: JWH ADVANCED ver' wireless DRAWING NUMBER REVISION CHECKED BY: SNA • i ENGINEERING GROUP, P.C. 477 YARMOUTH ROAD. Civil Engineering Site Development VERIZON WIRELESS BARNSTABLE MA 02601 SCALE: AS NOTED g g- P 400 FRIBERG PARKWAY � BARNSTABLE SC21 MA 1 Surveying-Telecommunications WESTBOROUGH, MA 01581 SHEET: 2 OF 6 (PAS AWS f&, (P) PCS RRH, (P) AC/DC INSTALLATION NOTE: ONVER R, (2)(P) DELTA AC/DC CONVERTERS, INSTALL ALL EQUIPMENT, MOUNTING BRACKETS AND HARDWARE IN (2)(P) IPLEXERS, 60 AMP METER SOCKET (P) 12.0"0 X 38.7"H ACCORDANCE WITH MANUFACTURERS W/DI CONNECT MOUNTED TO (P) UTILITY POLE NH360QM-DG-2XR ANTENNA MOUNTED TO (P) UTILITY POLE RECOMMENDATIONS (P SAR-0 a" (P) 12.0"0 X 38.7"H STRUCTURAL NOTE: NH36OQM-DG-2XR ANTENNA (P) ANTENNA MOUNTING BRACKET A STRUCTURAL ANALYSIS SHALL BE MOUNTED TO (E) UTILITY POLE ° PER MANUFACTURERS SPECS PERFORMED ON EXISTING UTILITY POLE d' PRIOR TO CONSTRUCTION AND SHALL O BE THE RESPONSIBILITY OF UTILITY CO. UTILITY(E)POLEE # TALL #36-38 & (E) 29.5' TALL UTILITY POLE #36-38 AtAOF (E) OVERHEAD WIRES JQSco ° 4 i nn'AQWS TRUE NORTH 4 ANTENNA PLAN 5 AN MOUNTING DETAIL LE-3 SCALE: 1"=4' C , ! T� SCALE: 1"=4' � A�. 4 11 LE-3 9.5' 12.0" e°oo oe 000o ee :o eeee o0 2 7.3" N ,. fL o000 00 COMMSCOPE NH360QM-DG-2XR o t DIMENSIONS: 12.0"0 x 38.7" 4 e e e e e e V L 13 WEIGHT: 33.7 LBS FRONT TOP16 ° TOP 3.2" PCS RRH WEIGHT: 55.0 LBS. - L �:, El 00� r°Oi 12.0' 7.6' s co �w li„� eeee e o j El Q eeee CU e o 0 o e e FRONT SIDE eeee ee s E eeee e e WIRELESS CONSTRUCTION, INC. eeee o o POLE/WALL MOUNT FOR DUAL DIPLEXER RADIO BRACKET FRON ITEM DESCRIPTION I QTY. DIMENSIONS: 7.6"H x 7.3W x 3.2"D LEGEND AWS 90W RRH - 1 DOUBLE MOUNT 1 2 WEIGHT: 6.6 LBS UNIT WEIGHT 67.0 LBS 2 SUUPPPLIID Ti RowARE AWS RRN RACK W/ 3 (F) = FUTURE (BLACK) u I IED WPUWARENOTE: MOUNT DIPLEXERS TO BACKSIDE (E) = EXISTING (GREY) OF DBL-MNT BRKT (P) = PROPOSED (BLACK) 1 ANTENNA DETAIL 2 RRH DETAILS 3 DIPLEXER DETAIL (AGL) = ABOVE GROUND LEVEL LE-3 SCALE: N.T.S. LE-3 SCALE: N.T.S.. LE-3 SCALE: N.T.S. (AMSL) = ABOVE MEAN SEA LEVEL N.T.S. = NOT TO SCALE D' BARNSTABLE SC21 MA LEASE EXHIBIT DATE: 04/21/2017 DRAWN BY: JWH SADV ANCED ver� onwireless DRAWING NUMBER REVISION CHECKED BY: SNA ENGINEERING GROUP, P.C. 477 YARMOUTH ROAD. Civil Engineering SiteDevelo Development vER RIBZON WIRELESS BARNSTABLE MA 02601 SCALE: AS NOTED g g- P 400 FRIBERG PARKWAY � BARNSTABLE SC21 MA 1 Surveying-Telecommunications WESTBOROUGH, MA 01581 SHEET: 3 OF 6 PROPOSED ANTENNA ANTENNA MOUNT/BRACKET ANTENNA GROUNDING (2) 1/2" COAX CABLES & (1) RET (DEPENDING ON ANTENNA CABLE IN 2" UV RATED U—GUARDS MODEL) SECONDARY LINES ON WEATHER HEAD (LEAVE 10' CONDUCTORS FOR UTILITY CO. TIE INS) FIBER FRONTHAUL & BACKHAUL FIBER DEMARC ON POLE (2) DIPLEXER FIBER JUMPERS IN 1-1/2" UV (4) 1/2" COAX RATED U—GUARD IF LENGTH CABLES EXCEEDS 4' 1—� AWS RRH PCS (3)#6 AWG WIRE IN FIBER JUMPER (TYP.) RRH 1-1/4" UV RATED PVC DC POWER #2 AWG COPPER GROUND DELTA AC/DC CONVERTER (TYP-) (TYP. OF 2) WEATHER PROOF SQUARE D CAT .11 OF AC POWER NOTE: USE PROVIDED DELTA NO.: SDSA1175 SECONDARY SURGE MANUFACTURERS WIRING HARNESS ARRESTOR ON 20A 2P CIRCUIT BREAKER SCOTT a GROUND IN 1/2" Cfft SQUARE D QO-100A, 8 SPACE, 16 CIR OUTDOOR UV—RATED PVC co MAIN LOAD CENTER WITH COVER. 60A 2P MAIN CIRCUIT BREAKER WITH (3) 20A, 2P BRANCH CIRCUIT BREAKERS (1 FOR SURGE ARRESTOR & (1) PER RRH) MILBANK CAT NO.: U2272—RL-5T9—BL SINGE LEVER 120/24OV, 1� 3W 125A METER 3/4"0x10' COPPER CLAD GROUND ROD NOTES: 1. 120/24OV, 1—PHASE, 3 WIRE: USE MILBANK MODEL #U5818—RL-200S METER SOCKET ELECTRICAL NOTE: GENERAL WIRING DIAGRAM AND 2. 120/208V, 1 PHASE, 3—WIRE: 1 GENERAL WIRING DIAGRAM NOTES TAKEN FROM E—MEMO BY USE MILBANK MODEL #U5818—RL-200S METER SOCKET JAMES F. GVAZDAUSKAS, P.E. WITH FIFTH TERMINAL KIT K5T LE-4 SCALE: N.T.S. DATED JANUARY 12, 2017 BARNSTABLE SC21 MA LEASE EXHIBIT DATE: 04/21/2017 DRAWN BY: JWH verq o"wire/ess ^A- �ADVANCED DRAWING NUMBER REVISION CHECKED BY: SNA ENGINEERING GROUP, P.C. VERI 477 YARMOUTH ROAD. ZON WIRELESS SCALE: AS NOTED Civil Engineering-Site Development 400 FRIBERG PARKWAY BARNSTABLE, MA 02601 BARNSTABLE SC21 MA Surveying-Telecommunications WESTBOROUGH, MA 01581 1 SHEET: 4 OF 6 GENERAL NOTES ELECTRICAL AND GROUNDING NOTES STRUCTURAL NOTES: 1. INISILL ALL EDIOPIERT.MDINING BLtAaaTs AND IMIDIINtE N ACCORDANCE 1. NL EIfCIIrIGI NGIN SINL oaHIRIN M;LW RBOOEIF]Irs OF THE NATO.YAL 1. DESIGN RE OU RE11FNIS ARE PER STATE BUILDING CODE AND APPLICABLE SUPPLFME M Nr51/ASCE7, WM-222-G MIN Mom=RECOILB JM EBCRM7L CODE(NEC)AS NEL l6 AVPPIX9BE SDDE ND IDCAL CODES snIUCNRAL SDNDARDS FOR STEEL ANTENNA SUPPORTING STRUCTURES 2 CJOIWD ObURBUIION BOXES,VEINING PPES AND Mb(AS APRICABL a N 2 ALL ELECTRICAL ITEMS SHALL BE UL APPROVED OR LISTED AND PROCtM PER 2 CONTRACTOR SHALL VERIFY ALL DIMEISONS AND CONDITIONS IN THE FIELD PRIOR TO FABRICATION AND ERECTION OF ANY ACGfONCE NTN ILMWiXTU11 S fEAprBDATOB SPECIRCAN IN REQUIREMENTS. MATERIAL ANY UNUSUAL OONOTTIONS SHALL E REPORTED TO THE ATrD(MN OF THE CONSTRUCTION MANAMR & INSTALL BAR RBIT AND MIDUIIING BRACKETS M PRESERVE CLIMBING ACCESS ON POLE & THE aET ICAL WCRIX NCUAES ALL LABOR AO MATEI .DESCIVIEDD BY D 41M & DES=NO OONSIRUMIOH OF snwURAL STEE STALL C ONADIR M TO THE AIERICAN WITIUIE OF SIM CONSTRUCTION NO SPECKAXION MMUDNG INCIDENTAL WORK M PROVIDE COMPLETE OPERATING AO 1SPECIFICATKON FOR THE DESIGN.FA RICLTKON AND ERECTION OF SML CNRAL STEEL FOR BUILDINGS'. 4. EMWMENr TID BENSTAIIDSTNID)AT VQODH RAD COW INACCORDAN E NON APPROVED�IRRIL S51% STRUCTURAL E 4. GENERA.CONIWIOR SHALL PAY FEES FOR PEIDS,AD IS F E S ONSIN E FOR 4. STRUCTURAL AND MISCELLANEOUS STEEL SHALL OLINFORN M ASTM A35 STRUCNRAL STEEL UNLESS OTIA RWISE INDICATED. & AIDYANCED EIiEDSIG GROIP.P.C.HAS NOT HEIfO NED A STRUCTURAL ANALYSIS OF OBTAINING SAID PERMITS NO 000FI NIVIC1 OF I SPECTION& & STEEL PPE SHALL CONFORM 10 ASIN A500'COLD-FO,%w WEDED&BLEARINESS CATION STEEL SRtUCwx TUBING'. THE DOW POLE TO CARRY THE ADDITIONAL LMDND GRADE A OR ASTM A53 PIPE STEEL BLACK AND HOT-DIPPED EEC-CCATED WELDED AND SEAMLESS TYPE E OR S.GRADE B. 5. ELECTRICAL AND I=NIRND OUIME A BLADED AD EI'OSED TO WHITHER SHALL PPE SIZES INDICATED ARE NOMINAL ACTUAL OUTSIDE DIAMETER IS LARGER E N WATER TIGHT G A MD RIGID SIM CONOIDS OR SCHEDUIE 80 PVC(AS PERMITTED BY CODE)NO MBA REWIRED IN LIQUID TIGIf ROM LEIAL OR & snwaruRAL CONNECTION BOLTS STALL BE HIGH STRENGTH BOLTS(BEAM TYPE)AND CWBIOWA M ASTM A3M'HIGH MOAT MUIC OOFOLM STRENGTH BOLTS FAR STRUC IRAL JOINTS.INCLUDING SUITABLE Nurs AND PLAIN HARDENED WASHFOW ALL BOLTS SHALL BE & BONED CONDUIT SHILL BE SCHEDULE 0 PVC. 5/8'DDL LION. 7. S.CIRICAL MIRING STALL BE COPPER WTR TYPE Mg.THWN,OR THIN INSULATION. 7. ALL STEEL MATERIALS SHALL BE GALVANIZED LIFTER FABRICATION N ACCORDANCE WITH ASM A123 DNC(FLOE-DP GALVAN®)COATINGS ON IRON AND SKIM PRODLUCiS'.UNLESS MOMISE NDRED, B. RUN aECTRICAL CONDUIT OR CASE BETWEEN BEDIRC1L UNITY OBA ICAION POINT AND PROJECT OWNER CELL.SITE PPC AS INDICATED ON THIS ORWM & ALL BOLTS.ANCHORS AND MISCELLANEOUS HARDWARE STALL E GALVANIZED IN ACCORDANCE WITH ASTM A153 "ZINC-COATING PRNIIE RILL IBM KILL ROPE COORDINATE NSWUTNN MINE URRY COMPANY. (HOT-OP)ON ION AND STET HARDWARE'.uNE55 anowSE NOTED. & RUN TBGO OOIDUIf OR CASE S]MEN TF1f HOKE UTILITY DEIIARGNpN PONE AID 0. FELD WEDS.DRILL H CRS SAW CAMS AND ALL DAMAGED GALVANIZED SURFACES SHALL BE REPAIRED WITH AN ORGANIC ZINC PROJECT OWNER CELL SITE TOM CARPET NO BIS CABINET AS NDICOM ON TINS REPAIR PAINT COMPLYING WITH REW EMENTS OF ASIM A780.CAU.VANmNG REPAIR PAINT SHALL FIVE 85 PERCENT ZINC BY DRANIR0.PROVIDE FULL LEHNCI I PILL ROPE AND GREEILEE CONDUIT LFASLW TAPE WEW`Ff.2NC BY DUNCAI GALVANIZING,GALVA BRIGHT PREMIUM BY CROWN OR MIAL THICKNESS OF APPLIED GAI.MA RING N EACH INSTALLED T ELOD CONDUIT. REPAIR PAINT SHUUL BE NOT NOT'LESS THAN 4 COALS(�ALLM TIE TO DRY BETWEEN COATS)WITH A RESULTING COATING 10. LWERE 0=9 BETWEEN BIS AND PROA M OWNER CELL SITE PPC NO IfiWEN B NED IS AND THICKNESS REOL BY ASTM A123 OR A153 AS APPLICABLE. PROJECT OWNER CELL SITE TEED SERVICE CAEIIEf ARE LWDERMAND USE PVC,OEM 10. CONTRWTOR SHALL COMPLY WITHAWS CODE FOR PROEDURES.APPEARANCE AND OUALLIY OF WEDS,AND FOR METHODS 4D CONDUIT. ABOVE THE GROUND PORTION OF THESE OONOIDS SAL BE PVC CONDUIT. USED IN CORRECTING;WEDNG ALL WELDERS NO WELDING PROCESSES SHALL BE QUALIFIED IN ACCORDANCE WITH AWS IT. ALL ERLPMBNT LOG=OUTSIDE SAIL HAVE NON 311 EICDSUIE. %TANDIRD QUTA& ATICH PROCEDURES'.ALL WELDING SHALL BE DONE USING E7=ESCIRODES AND WELDING SHALL 12 PPC SIPPUED 8Y PROJBT OMBL CONK M M RISC AND DLL.WHERE FLLET WELD SIZES ARE NCf SHOWN,PROVIDE THE MINIMUM SIZE PER TABLE J24 IN THE RISC' ARK OF ST&c06TRUcNOM.8TH EDRTON. I& GROUNDING SHALL COMPLY WRH NC ART. 25M AwrIoNAL Y.GROUNDING,BONOM AO WIT MD PROTECTION SHALL E DOE N ACCORDANCE 1111H'T-IOSIE SS SITE IT. NCOIRREMY FASWIATED, DAMAGED OR OTHERWISE NSFIRNG OR NONC NFDRMNG MATERIALS OR CONDITIONS SHALL.E GROUNDING sue•, REPORTED M THE CONSTRUCTION MANAGER PRIOR TO REMEDIAL OR CORRECTIVE ACTION.ANY SUCH ACTION SHALL REWIRE CONSTRUCTION MANAGER APPROVAL.. 14. GRORO COAXIAL CABLE SHIELDS NIMLH AT WIN ENDS USING MANIACRIEIS COAX CASE GROUNDING IRIS SUPPLIED 8Y PRQIBCf OWN IL 12. UNISTRUIS SHALL BE TONED STEEL CHANNEL STRUT FRAMING AS MANUFACTURED BY UNISIRUT CORP.WAYNE.MI OR USE//�� EWUAL SIRUP MEMBERS SHALL BE 1 5/8'x1 5/LT'x12Gk UNLESS OMETWISE HWIM AND SHALL BE HOT-DP GALVANIZED10. GROUNDING(IWlESS OIEMSE SFEDFED NO n SOLD TINNED ODPPER NNE AFTER FABRICATION FOR BLIDN BRACE 9NWDNG AS NpdTtD ON THE GRAM I& E W ANCHOR ASSEMBLY SHALL,CONSIST OF 1/2'DIAMETER STAINLESS STEEL ANCHOR ROD WITH NUTS Sc WASHERS.AN I BE SIWOY HIWYi01RD CONPRFSSION TYPE O01/EICIORS INTERNALLY THREADED INSERT A SCREEN Tm i NO A EPDXY ADHESIVE.THE ANCHORING SYSTEM SHALL BE THE HLTH-HR HY-20 1& ALL GROUND CONNECTIONS O GDWBD OWNING NATO Do NOT ALLOW BRIE COPPER ION TO BE IN CONTACT AND OR W-150 SYSTEMS(AS SPECIFIED AN DWG)OR ENGINEERS APPROVED WA WITH 4-1/4'MIN.EMBEDMENT DFPNL WITH GALWXM STEEL 14. EXPANSION BOLTS SHALL CONFORM TO FEDERAL SPECIFICATION FF-S-325,GROUP 0,TYPE 4,CLASS 1, FLLTI KWIC BOLT IK 17. ROUE GROUNDING OOROIRDTORS AM THE SIORIEST AND STR MMT PAN POSSIBLE OR APPROVED EQUAL INSTALLATION SHALL BE N ACCORDANCE WITH THE MAMUFACRRREYS RECOMMENDATIONS MNMIN EXCEPT AS OTHERWISE IMIM GROUNDING(FADS MAD NEVER BE BENT 9 RIGHT EMBEDMENT SHALL BE THREE AND ONE HALF(3 1/2)INC M RISE ALWAYS MAC:AT LEAST 1Y RAIDS BED&/8 WIRE CAN BE MIT AT 8' RM0015 MEIN NECESSARY BOO MY MEAL OBJECTS 1M1#1 B FEET OF PROMBCf 15. GRAVEL SUB BASE AND CONCRETE SHALL BE RACED AGAINST UNDISTURBED SDIL OWNER IS IPMENT OR CRIB ET TO MASTER GROUND BAR OR GROUNDING TRIO. I& CONNECTIONS TO GROUND BARS SHALL BE MADE WITH TWO RICE COMPRESSION 1& CONCRETE FOR FENCE AND ICE BRIDGE SUPPORT SHALL BE 3000 PSI AR ENTRAINED(4WD NORMAL WEIGHT CONCRETE TYPE COPPER LUGS. APPLY UK BREW COMPGID 10 AL 1DCAIONS. 17. ALL CST IN PLACE CONCRETE SHALL E MIXED NO PLACED IN ACCORDANCE WITH THE REQUIREMENTS OF AC 318 AND it BOND ANTENNA MOUIOID TNACI0.M COAXIAL.CARE GROUND MIS AND AURA TO MIT ACI 301. RACED NEAR THE ANTENNA LOCATION. 20. RIPPLY GIDE INBTND COINUID M ALL COMPRESSION TYPE GROND OONB ft 1& THE FOLLOWING MINMIM CONCRETE COVER OVER REINFORCING STEEL SHALL E AS FOLLOWS IW4LfS5 KOM OTHERWISE CONCRETE CAST AGAINST EARTH..3 ACES. lj0 21. CONIRACI IR SHALL PROVIDE No NSALL 0101 DI ECIICML aECTRONC MANNER$60 CONCRETE EXPOSED 10 EARTH OR WATER (ENS)BALLS OVER EACH GROUND NOD AND BONDING POINT'BETWEEN OEM TOWEL/ /8 AND LARGER 2 INCHES (E)MONOPOLE GOUIONB RUNT NO G WAMW GO0010 FAU 9 AND SMALLER 1/2 WOES SCOrr rt 22. CONIRACIOR SHALL TEST COPUDED QUM SYSTEM AND RECORD RFSUL S FOR ALL EXPOSED EDGES SHALL E PROVIDED WITH A 3/4'x3/4'CHAMFER UNLESS NOTED OTHERWISE. AQWS PROJECT'CLOSE-W DDWMFNA71Ci 5 OHN S MAXM M RESISTANCE PPEDUED 2& CINIRACION SHALL L CONDUCT MOM COAX,NO LNA M RI-IDSS NO DISANCE- It LUNAR SHALL COMPLY WITH THE REOUOELQIIS OF THE AMEICAN NSIIME OF 7MER CONL41RU0N0F1 AND THE M710NN (, TO-FAULT MEMUREMEIM(SWEEP TWM AND WORD RESULTS FOR PROJECT'CLOSE GAIT. PRESSUIRE 1REATFD 9NLL STRIICR GRACE K904AL DESIGN SPECIFICATION z�OR�TTFR.OOD N. ALL LAMER SHALL E At. T L BARNSTABLE SC21 MA LEASE EXHIBIT DATE: 04/21/2017 ^A DRAWN BY: JWH ADVANCED very M.Mow Bless DRAWING NUMBER REVISION CHECKED BY: SNA ENGINEERING GROUP, P.C. 477 YARMOUTH ROAD. Civil Engineering Site Development VER RIBZON WIRELESS BARNSTABLE MA 02601 SCALE: AS NOTED g g- P 400 FRIBERG PARKWAY � BARNSTABLE SC21 MA 1 Surveying-Telecommunications WESTBOROUGH, MA 01581 SHEET: 5 OF 6 r P� LEASE EXHIBIT: THIS LEASE IS SCHEMATIC IN NATURE AND IS INTENDED TO PROVIDE 0- a� r y w GENERAL INFORMATION REGARDING THE c LOCATION AND SIZE OF THE PROPOSED e � WIRELESS COMMUNICATION FACILITY, THE SITE LAYOUT WILL BE FINAUZEDgT` UPON COMPLETION OF THE SITE � � `� � •' � r� SURVEY AND FACILITY DESIGN. STRUCTURAL NOTE: a w A STRUCTURAL ANALYSIS SHALL BE PERFORMED ON EXISTING UTILITY POLE ' PRIOR TO CONSTRUCTION AND SHALL BE THE RESPONSIBILITY OF UTILITY CO. � . '' 54 a INSTALLATION NOTE: INSTALL ALL EQUIPMENT, MOUNTING BRACKETS AND HARDWARE IN ACCORDANCE WITH MANUFACTURER'S RECOMMENDATIONS * ¢ ELECTRICAL NOTE: 751, GENERAL WIRING DIAGRAM AND NOTES TAKEN FROM E—MEMO BY JAMES F. GVAZDAUSKAS, P.E. DATED JANUARY 12, 2017 COORDINATED NOTE: COORDINATES AND AMSL ELEVATION G� ' BASED FROM FIELD SURVEY DATED - 04/03/2017. A METES AND BOUNDS SURVEY WAS NOT CONDUCTED — i Z w T'fe • n t 4m gay ar�" • a - Ab .H.Ap I LEGEND � A a � (F) = FUTURE (BLACK) , t` (E) = EXISTING (YELLOW) (P) = PROPOSED (BLACK) APPROX. LOCATION (E) UTILITY POLE TRUE NORTH NOTE: (AGL) = ABOVE GROUND LEVEL SUBJECT POLE FALLS WITHIN TOWN S (AMSL) = ABOVE MEAN SEA LEVEL NAD 83 LATITUDE: 41' 40' 01.11" 1 SITE PLAN RIGHT—OF—WAY. N.T.S. = NOT TO SCALE NAD 83 LONGITUDE: —70' 16' 15.76" 25' S0' 100' MASSDOT HIGHWAY LAYOUT PLAN (WHITE) LE-1 SCALE: 1 =50 GROUND ELEVATION: 36.8' AMSL BARNSTABLE SC21 MA LEASE EXHIBIT DATE: 04/21/2017 ^A DRAWN BY: JWH ADVANCED V@/'/ wireless DRAWING NUMBER REVISION CHECKED BY: SNA ENGINEERING GROUP, P.C. 477 YARMOUTH ROAD. Civil Engineering Site Development VER RIBZON WIRELESS BARNSTABLE MA 02601 SCALE: 1"=50' g g- P 400 FRIBERG PARKWAY � BARNSTABLE SC21 MA 1 Surveying-Telecommunications WESTBOROUGH, MA 01581 SHEET: 1 OF 6 (P) 12.0°0 X 38.7"H NH360QM—DG-2XR TOP . ANTENNA ANTENNA MOUNTED ON TOP (E) U11UTY ELEV. = 33.8 t AGL (706 f AMSL) POLE (P) ANTENNA GROUND WIRE _ OF (P) ANTENNA (P) ANTENNA MOUNTING BRACKET ELEV. = 32.1't (68.9'f AMSL) a(P) 12.0"0 X 38.7°H 1 NH360QM—DG-2XR ., �'� AN MOUNTED ON (P) h- COAX CABLES (TOTAL OF 2) TOP (E) UTILITY POLE ,r TOP (E) UTILITY POLE & (1) RET CABLE IN 2" U—GUARD j ELEV. = 29.5't AGL (66.3't AMSL) TO (P) ANTENNA (E) SECONDARY POWER (E) 29.5' TALL UTILITY POLE #36-38 (P) POWER WEATHERHEAD ELEV. 21.5± AGL (58.3± AMSL) � (E) 29.5' TALL UTILITY POLE 36-38 (E) SECONDARY POWER (P) RRH'S (TOTAL' OF 2), (2)(P) DIPLEXERS & (2)(P) DELTA ELEV. = 21.0't AGL (57.8'f AMSA31 L) `'` ( )( ) (P) RRH'S (TOTAL OF 2), (2)(P) AC/DC CONVERTERS MOUNTED — ° �— °�— (E) TELCO LINE TO (E) UTILITY POLE DIPUEKERS, & (2)(P) DELTA — — AC/DC CONVERTERS MOUNTED MTELNIEL "IT" — BIT ELEV. = 20.0'± AGL (56.8'-f AMSL) . TO (E) UTILITY POLE tEi -- a— BIT (E) TELCO LINE ELEV. = 19.00'f AGL (55.8'f AMSL) (E) TELCO LINE (P) FIBER. 2" U—GUARD TO (P) SAR-0 ELEV. 18.5'± AGL (55.3't AMSL) '(P) SAR-0 (P) SAR-0 1 (P) 7¢' COAX CABLES (TOTAL OF 4) TO DIPLEXERS BOTTOM OF RRH ELEV. = 12.5 f AGL (49.3'± AMSL) t s (P) ELEC. RGS CONDUIT TO (P) METER r 60A-2 POLE DISCONNECT SWITCH FUSED WITH (3)-20A CIRCUIT BREAKERS & METER SOCKET 6 R ( 00 60A-2 POLE DISCONNECT I W SWITCH FUSED WITH (3)-20A CIRCUIT BREAKERS & METER SOCKET E GROUND LEVEL - ELEV. = 0 f AGL 36.8 t AMSL (P) GROUND WIRE FROM (P) I METER TO (P) GROUND ROD I I I 10 _m I I . SMTTII . 2 PHOTO ELEVATION L J C LE-2 SCALE: 1"=10' LEGEND (F) = FUTURE (BLACK) , ELEVATION ' f ��� w �� INSTALLATION NOTE: STRUCTURAL NOTE: (E) = EXISTING (GREY) fQnj�L INSTALL ALL EQUIPMENT, MOUNTING A STRUCTURAL ANALYSIS SHALL BE i (P) = PROPOSED (BLACK) LE-2 SCALE: 1"=10' BRACKETS AND HARDWARE IN PERFORMED ON EXISTING UTILITY POLE (AGL) = ABOVE GROUND LEVEL 0 5' 10' 20' ACCORDANCE WITH MANUFACTURER'S PRIOR TO CONSTRUCTION AND SHALL (AMSL) = ABOVE MEAN SEA LEVEL RECOMMENDATIONS BE THE RESPONSIBILITY OF UTILITY CO. N.T.S. = NOT TO SCALE BARNSTABLE SC21 MA LE DATE: 04/21/2017 I LEASE EXHIBIT DRAWN BY.. JWH ^A- ADVANCED VerIZ.Onwireless DRAWING NUMBER REVISION CHECKED BY: SNA ENGINEERING GROUP, P.C. 477 YARMOUTH ROAD. Civil Engineering Site Development VER RIBZON WIRELESS BARNSTABLE MA 02601 SCALE: AS NOTED g g- P 400 FRIBERG PARKWAY � BARNSTABLE SC21 MA 1 Surveying-Telecommunications WESTBOROUGH, MA 01581 SHEET: 2 OF 6 INSTALLATION NOTE: (PPP AWS RH, (P) PCS RRH, (P) AC/DC INSTALL ALL EQUIPMENT, MOUNTING /CONVER R, (2)(P) DELTA AC/DC CONVERTERS, (2)(P) IPLEXERS, 60 AMP METER SOCKET (P) 12.0"0 X 38.7"H BRACKETS AND HARDWARE IN W/DI CONNECT MOUNTED TO (P) UTILITY POLE NH360QM-DG-2XR ANTENNA ACCORDANCE WITH MANUFACTURER'S MOUNTED TO (P) UTILITY POLE RECOMMENDATIONS SAR-0 d" (P) 12.0"0 X 38.7"H STRUCTURAL NOTE: NH36OQM-DG-2XR ANTENNA (P) ANTENNA MOUNTING BRACKET A STRUCTURAL ANALYSIS SHALL BE MOUNTED TO (E) UTILITY POLE I PER MANUFACTURERS SPECS PERFORMED ON EXISTING UTILITY POLE $ PRIOR TO CONSTRUCTION AND SHALL O (E) 29.5' TALL Q 'BE THE RESPONSIBILITY OF UTILITY CO. UTILITY POLE #36-38 3 �� i I (E) 29.5, TALL UTILITY POLE #36-38 (E) OVERHEAD WIRES 41 �� I 4 I Sconfl. C S TRUE NORTH MD.4MM4 ANTENNA PLAN 5 ANTENNA MOUNTING DETAIL LE-3 SCALE: 1"=4' LE-3 SCALE: 1"=4' 2 IAL vex ,, �► 9.5• e°eo 12.0" o000 00 ee°o °e s 7.3" o eeee e o -� a - COMMSCOPE NH360QM-DG-2XR DIMENSIONS: 12.0"0 x 38.7" eeee o e I _" a 13 WEIGHT: 33.7 LBS e e o o e o FRONTSIDE TOP _ :o 13.2PIC " T. RRH wocHr. 55.0 LBS. to eeee Z c•.,.w..r 9', eeee e_o - e i CI oeoe °e a FRONT SIDE 000e Oe 8 i o e e o WIRELESS CONSTRUCTION, INC. POLE/WALL MOUNT FOR DUAL DIPLEXER RADIO BRACKET FRONT DESCRIPnON on. DIMENSIONS: 7.6"H x- 7.3"W x 3.2"D MOU LEGEND - AWS 9oW RRH Z PCS U RRH RACK / ; WEIGHT: 6.6 LBS UNIT WEIGHT 67.0 LBS SUPPLIED HARDWARE (F) = FUTURE (BLACK) a AWS RRH RACK W/ , NOTE: MOUNT DIPLEXERS TO BACKSIDE Pu wA (E) = EXISTING (GREY) OF DBL-MNT BRKT (P) = PROPOSED (BLACK) , ANTENNA DETAIL r2 RRH DETAILS 3 DIPLEXER DETAIL (AGL) = ABOVE GROUND LEVEL LE-3 SCALE: N.T.S. LE-3 SCALE: N.T.S. (AMSL) = ABOVE MEAN SEA LEVEL LE-3 SCALE: N.T.S. N.T.S. = NOT TO SCALE BARNSTABLE SC21 MA LEASE EXHIBIT DATE: 04/21/2017 I DRAWN BY: JWH ® ADVANCED VefIQflwireJess DRAWING NUMBER REVISION CHECKED BY: SNA ENGINEERING GROUP, P.C. 477 YARMOUTH ROAD. Civil Engineering-Site Development VERIZON WIRELESS BARNSTABLE MA 02601 SCALE: AS NOTED g g P 400 FRIBERG PARKWAY � BARNSTABLE SC21 MA 1 Surveying-Telecommunications WESTBOROUGH, MA 01581 SHEET: 3 OF 6 PROPOSED ANTENNA ANTENNA MOUNT/BRACKET ANTENNA GROUNDING (2) 1/2- COAX CABLES & (1) RET (DEPENDING ON ANTENNA CABLE IN 2" UV RATED U—GUARDS MODEL) SECONDARY LINES �N WEATHER HEAD (LEAVE 10' CONDUCTORS FOR UTILITY CO. TIE INS) FIBER FRONTHAUL & BACKHAUL FIBER DEMARC ON POLE (2) DIPLEXER FIBER JUMPERS IN 1-1/2- IN (4) 1/2' COAX RATED U—GUARD IF LENGTH CABLES EXCEEDS 4' AWS RRH CS (3)#6 AWG WIRE IN P FIBER JUMPER (TYP.) RRH 1-1/4- UV RATED PVC DC POWER #2 AWG COPPER GROUND DELTA AC/DC CONVERTER (TYP.) (TYP. OF 2) WEATHER PROOF SQUARE D CAT 114 OF AC POWER NOTE: USE PROVIDED DELTA NO.: SDSA1175 SECONDARY SURGE MANUFACTURERS WIRING HARNESS ARRESTOR ON 20A 2P CIRCUIT BREAKER SwTr #2 AWG COPPER ADAMS SQUARE D QO-1100A, 8 SPACE, 16 CIR OUTDOOR 0 GROUND IN 1/2- c�. ca MAIN LOAD CENTER WITH COVER. 60A 2P MAIN UV—RATED PVC CIRCUIT BREAKER WITH (3) 20A, 2P BRANCH CIRCUIT " BREAKERS (1 FOR SURGE ARRESTOR & (1) PER RRH) _ '°tom �sST MILBANK CAT NO.: At., U2272—RL-5T9—BL SINGLE LEVER 120/24OV, 1� 3W 125A METER 3/4.000' COPPER CLAD GROUND ROD NOTES: 1. 120/24OV, 1—PHASE, 3 WIRE: USE MILBANK MODEL #U5818—RL-200S METER SOCKET ELECTRICAL NOTE: GENERAL WIRING DIAGRAM AND 2. 120/208V, 1 'PHASE, 3—WIRE: 1 GENERAL WIRING DIAGRAM NOTES TAKEN FROM E—MEMO BY USE MILBANK MODEL #U5818—RL-200S METER SOCKET JAMES F. GVAZDAUSKAS, P.E. WITH FIFTH TERMINAL KIT K5T LE-4 SCALE: N.T.S. DATED JANUARY 12, 2017 BARNSTABLE SC21 MA LEASE EXHIBIT DATE: 04/21/2017 DRAWN BY: JWH ^A- ADVANCED Ver1ZO..nwireless DRAWING NUMBER REVISION CHECKED BY: SNA ENGINEERING GROUP, P.C. 477 YARMOUTH ROAD. Civil Engineering Site Development VERIZON WIRELESS BARNSTABLE MA 02601 SCALE: AS NOTED g g- P 400 FRIBERG PARKWAY � BARNSTABLE SC21 MA 1 Surveying-Telecommunications WESTBOROUGH, MA 01581 SHEET: 4 OF 6 GENERAL NOTES ELECTRICAL AND GROUNDING NOTES STRUCTURAL NOTES: 1. INSOWL AL EGUPM09.MOUIING WOW AND IWtITN€IN AOOORDMICE 1. ALL E113CIWfY1l BOW(SHALL OQICIMI 10 11E REDUl NISI OF 1FE NAl10NAL 1. DESIGN FaWREMENIS ARE PER STATE BUILDING CODE AND APPLICABLE SPPLENENIB.M61/ASCE7, 130/M-222-G WTIH YAMUFAOTIIEA S R1xOMIDIDAIIONL EL130HINA 000E(NEC)AS IBM AS APPUOIBE SfAE AND IDCAL CODES sTR1CTURA.STANDARDS FOR STEEL ANTENNA SUPPORTING WRUCTUFE& 2 GROIID DISIRBIIION BOIFS,MIOIITIIO PPES AO RRHe(AS APPLICABLE)N 2 ALL E1flCTIMfAL MEW SHALL BE UL APPROM OR I=AD PROCURED PER 2 CONTRACTOR SAIL VERIFY ALL DIMENSIONS AND CONDITIONS IN THE FIELD PRIOR TO FABRICATION AND ERECTION OF ANY ALx010ANLE TIN YAHIFACRIRFR S REDOEol0A710NS SPEOPOINKI N RBQUIEIENIS NATEIBAL ANY UNUSUAL CONDITIONS SHALL BE REPORTED TO THE ATTENTION OF THE CONSTRUCTION MANAGER. & INSTALL EQUIPMENT AND MOUNTING BRACKETS TO PRE913 VE CLIMBING ACCESS ON POLE s nE ELECTRICAL WOWL NCLIIDFS ALL LABOR AND WOW DESCRIED BY DR11K,5 3 DESIGN AND CONSTRUCTION OF STRUCTURAL SIE11 SHALL CDNFORN TO THE AMEHIDAN INSTITUTE OF STEEL CONSTRUCTION A 0 STECII011O N NCLLIDNG DIO ENUL WOW TO PROVIDE COMPLETE OPERATING AND lamw w m FOR THE DESIGN,FABRICATION AND ERECIIDN OF STRUCTURAL.STEEL FOR BDLDINGs•. 4. EQUIPMENT TO BE NSrALLED a VERRON RAO COW N ADCORNME ITN APPNOYFD ELECTRICAL SYSIFILL WNUIOnDAL ANALIss 4 GENERAL CONTRACTOR SHALL Pa FEES FOR PELMDIS,AND R RESFONISINE FOR 4, STRUCTURAL AND MISCELLANEOUS STEEL SHHAL CONFORM TO ASIM A30 STRUCTURAL STEEL UNLESS OTHERWIET_NDICAIED. & ADVANCED ENwmsIG GROUP.P.C.HAS NOT PEPFON ED A STRUCURAL ANALYSIS OF WNW SAID PERMITS AD COORaATION OF INVEcnON S. & STEEL PIPE SHALL CONFORM 70 ASTM A500 COLD-FORMED WELDED a SEAMLESS CARBON STEEL STRUCTURAL TUBING•. THE EXISTING POLE TO OAWtY THE ADDITIONAL LOADING GRADE A. OR ASTM A53 PIPE STEEL BLACK AND HOT-DIPPED ZINC-MTED WELDED AND SEAMLESS TYPE E OR S.GRACE B. & ELECTRICAL NO 7FLD0 MINING OUTSIDE A BUILDING NO EXPOSED TO WFANER SHALL PPE SZES INDICATED ARE NOMINAL.ACIWL.OUTSIDE DAEIER IS LINGER. BE N WATER TIGHT CALVA®I=SM CONDUITS OR SCNEDUE 80 PVC(AS PERMITTED 01 NORMERLIC OCODE AND WHERE I�DIU M INLIQUID TIGHT REI�LE METAL OR & STRUCTURAL CONNN WTION BOLTS SHALL L BE HIGH STTHERGTH BOLTS MEARN HH G TYPE)AND CONFORM TO AMU A325 VIG STRENGTH BOLTS FOR STRUCTURAL JOINTS.NCLUONG SUITABLE NUTS AND PLAIN HARDENED MASHERS'.AL BOLTS SAL BE & BOWED CONDUIT SHALL BE SOEDUIE 40 PYL 5/8•DTA. UON. 7. ELECTRICAL WIRING SHALL BE COPPER WITH TYPE WNW,T11NL,OR THIN ILSUTA7101L 7. ALL STEEL MATERKS SHALL BE GALVANIZED AFTER FABRICATION N ACCORDANCE WITH ASTM A123 ZINC (HOT-OP GA.VAN®)COATINGS ON NON AND On PRODUCTS•.UNLESS OIHFRVI SE NOTED. & RUN ELECIRCAL OOWUIT OR CANE BETWEEN EIEMRCAL UTILITY DDURCAIION POINT AND PROJECT OVER CELL SITE PPC AS NOIGIED ON THIS ORMNG. & ALL BDLTS.ANCHORS AND MISCQL mum HARDWARE SILL BE GA.VAN®IN ACCORDANCE WITH AMN A153 IINC-COAJNG FRIADE RILL LENGTH POLL ROE.OODRDNATE NSIALUM MIR UTILITY OWW W-OP)ON NON AND SIM HARDNAW. UNLESS mHERMTSE NOTED. 0. HINT M.01)OONDUT OR CASE BTKflN TELERIME UTILITY OEYAN CATION POINT AND 0. FELD FIELDS.DRILL HOLES,SAW CUTS AND ALL DAMAGED GALVANIZED SURFACES SILL BE REPAIRED WITH AN ORGANIC ZINC PR&IR T OM CELL SITE TELOO CABINET NO BIS CMIET AS INDICATED ON TO REPAIR PANT COMPLYING WITH TEQIIREIAENiS OF AWN A780.GALVANMNG REPAIR PANE SHALL HAVE 85 PERCENT ZINC BY DRAWING PROMS RIM.LENGTH PILL ROPE AND GREEIMEE CONCUR MEASU NG TAPE WOW,ZINC BY DUNCAN GALVANrJ,NG, GALVA BRIGHT PREMIUM BY=0 OR EQUAL THICKNESS OF AiPPUED GALVMBZNG N EACH INSTALLED TETDO CONDUIT REPAIR PANT SAL BE NOT NOT LESS THAN 4 COATS(ALLN WE TO DRY BETWEEN COATS)WITH A RESULTING COATING 10. WAX OONDUIT BETWEEN BKS AND PRDER,I DINER CELL SITE PPC NO KIIFEII BIS AND THICKNESS REQUIRED BY ASTM A123 OR A153 AS APPLOBLE MOM EWER CELL SIDE MUD SERVICE QWET ARE U DERGOUO USE PVC,9GEDUE 10. CONTRACTOR SHALL COMPLY WITH ALMS 000E FOR PROCEDURES.APPEARANCE AND QUALITY OFWELDS,MD FOR YLEIFIODS 40 CONDUIT. ABOVE THE GDIID FDIt1101 OF THESE CONDUITS SLAM BE PVC OOIaIr. USED IN CORNING WELDING ALL WELDERS AND WELDING PROCESSES SHALL BE QUALIRED IN ACCORDANCE WITH ANTS 11. ALL EQUIPMENT LOCATED OUTSIDE SNAIL HAVE NEVA 3R ENCLOSURE, ISTANOAD QUALIFICATION PROCEDURES* ALL WELDING SHALL BE DONE USING E7OXX ELECTRODES AND MELDING SHALL 12 PPC SUPPLIED BY PROJFL'T EWER CONFORM M ABC AND DLL WHERE FMLET WELD SIZES ARE NOT SHOWN,PROVIDE THE MINIMUM SIZE PER TAKE&4 IN THE RISC'MANUAL OF STEEL CONSTRUCTION'.87H EDITION. I& OROUOING SHALL COMPLY WITH NED ARE. 250. ADDITIONALLY,GRDUIDING,BONDING AND LDRRID P DIEMIOL STALL BE DONE N ACCOIDAICE WITH T-MOBILE BIS SITE 11. INWIREIMY FABRICATED, DAMAGED OR OTHERWISE MISFITTNG OR NONCONFORMING W7EWA5 OR CONDITIONS SAIL BE GROUNDING SON IAW. REPORTED TO THE CONSTRUCTION MANAGER PRIOR M REMEDIAL OR COBRECRE ACTION.ANY SUCH ACTION SHALL RFIQUIE CONSTRUCTION MANAGER APPROVAL 14 GROUND COAXIAL.CABLE SIDS MINIMUM AT BOTH ERGS USING MA WACT IM COAL CANE GROUNDING WIS SUPPLIED BY PNDIECT MITI 12 UNISIRUTS SHALL BE FUMED STEEL CHANNEL SW FRAIING AS MA LIFAC URED BY UNISTRUr CORP.RAM MI OR USE/8 EQUAL.. STRUT MEMBERS SHALL SHALL BE 1 5/8 a1 5/8'x12GA.UNLESS OTHERWISE NOTED,AND SHALL BE Mr-DP GALVANIZED 15 GIIOINOIR6(UNLISS 0nmw SFMCND)AD Sow TINNED COPPER WILE AFTER FABPoCA710N FOR BRDI MADE GRONWNG AS MILATED pl THE OtAM10. I& EPDXY ANCHOR ASSEMBLY SHALL CONSIST OF 1/2'DAAETER STAINLESS STEEL ANCHOR ROD WITH NUTS&ROISTERS.AN 1& ALL CROLID COHIELIl06 10 BE BUIDY IIMiRDIAO OOIPR6S011 TYPE OONER;IDRS NIE7NALLY THREADED NSERT.A SCREEN TUBE AND A EPDXY ADHESIVE.THE ANCHORING SYSTEM SHALL BE THE HIUI-ROf HY-20 OR rWIND CONNEXMC WELD. BO NOT ALGA BALE COPPER MANE TO BE N CONTACT AND OR W-150 SYSTEMS(AS SPE IM AN DWIO.)OR ENGINEERS APPROVED EQLIAL WITH 4-1/4 MIN.EMBmME ff OEP'K WITH GALVA GED STEEL 14. EXPANSION BOLTS SHALL CONFORM TO FEDERAL SPECIFICATION FF-s-325, GROUP&TYPE 4,CLASS 1,HHUI MIN BOLT B 17. ROUTE MUDING OOIWGTORS ALONG THE SIOtIEST AND SIRNOIIFST PART POSSIBLE, OR APPROVED EQUAL.0451ALlA710N SHALL BE N ACCORDANCE WITH THE MAAUFACRIRER S RECOMMENDATIONS.MINIMUM EXCEPT AS OT ERIKSE INDICATED. GROUNIING LEADS SOUND NBER BE BENT AT RIGHT ENEEnnENT SHALL BE THREE AND ONE HALF(3 1/2)INCHES. ANGLE AM MAE A7 LEAST 1r WDIDS Boo&/6 WARE CAN BE NOB AT 8- RAINS WHEN NEDESSW BOO ANY META.OBJECTS 1WfM1 8 FEET OF PRDECT 15. GRAVEL SUB BASE AND CONCRETE SHALL BE PLACED AGAINST UNDISTURBED SOIL OWNER ERIlp"OR CABINET TO MINTIER CROWD MR OR 1W101N M RING. 1& COMECTIONS TO GROUND BARS SHALL BE WOE WTH 7W0 HOLE CCMFTE.SSION 1& CONCRETE FOR FENCE AND ICE BRIDGE SUPPORT SHALL L BE 3D00 PSI AR ENTRAINED(4%-W NORMAL WEIGHT CONCRETE. TYPE COPPER LUGS. APPLY GDE TIMING COMPOUND TO ALL IDCAlONS 17. ALL CASE IN PLACE CONCRETE RETAIL BE MIXED AND PLACED N ACCORDANCE WAIN THE REQUIREMENTS OF Ad 318 AND It BOND ANTENIIA MOUNTING N VCKEM OOA K CABLE GROUND WAS,AND ANAL TO FDN ACI 301. ` HALED NEAR 71E MOM LOOUDL L{ 20. APPLY OXIDE I*E=ODIM D TO AL COMPRESSION 7VPE GRG10 O=ECT I N3 1& THE FOLLOWING MINIMUM CONCRETECASE AGAINST TE CCDVER �REDEORCING STEEL TED SHALL BE AS FOLLOWS UNLESS NO OTHERWISE:Atli" 21. CO TIMCIOR SHALL PROVIDE AND WALL OMN mHECI NIAL ELECTRONIC MOB SWO CONCRETE EXPOSED TO EARTH OR WATER 00 BALLS OVER EACH GROUND ROD AND BONDING PONE BETWEEN VON 70WER/ /B AND LARGER_.___.__2 INCHES (Fa MONOPOLE GROUNDING RNG AND EDUPL@O GROUNDINGRI1( /5 AND SMALLER 1/2 INCHES Scomv, 22 CONIRACIOR SHALL TEST COMPLETED WAIND SYSTEM AND REr V MUM FOR AL EXPOSED EDGE SAL BE PROVIDED WITH A 3/4•x3/4'CHAMFER UNLESS NOTED OTHERWISE. PROAM CLOSE-OUT DOCUMENTATION. 5 OHYS MNWIUI RESISTANCE HEg IREIL AD cift AMS 2& CONTNACIOR SHALL CONDUCT MINK00%NO LNA RERM-LOSS AND DISTANCE- 1e. LUMBER SHALL COMPLY WITH T REQUNOMORTs of THE AMEwrAUN INSTITUTE OF 71MBER CONSTRUCTION AND THE NATIONAL. T04AIILT HEAAIRDERIS(MV TESTS)AM REM RESULTS FOR PTOJECT CLOSE OUT FOREST PRODUCTS AssDWION's NATIONAL DESIGN SPECIFICATION FOR WOOD CONSIRucRON. ALL LUMBER SHALLBE co PRE TREATED AND SAL BE STRUCTURAL GRADE NO.2 OR BETTER. 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