Loading...
HomeMy WebLinkAbout0790 IYANNOUGH ROAD/RTE132 - K MART (LEGAL) co �'"�`�� I i i 0 BAMg _ The Town of Barnstable 7� 039. ��� . a Department ®f Health Safety and-,Environmental Services Building Division . 367 Main Street,Hyannis MA 02601 Office: 508-862-4038 Ralph Crossen Fax: 508-790-6230 Building Commissioner June 7, 1999 Andrew Gamacht B&H Construction 80 Main Street Milford,MA 01757 Re: Site Plan Review 054-99 790 Iyannough Road,Hyannis Dear Mr. Gamacht: Your application for an addition to expand the K-Mart building has been approved.subject to the following: 1. replant a row of trees along Route 132 in the same general places as the ones that were cut down. See the Barnstable Planning Department for particulars on this point. 2. The free-standing sign on Route 132 must be reduced in size to conform with the.current bylaw. A sign permit will be required for this change. Sincerely, Ralph M. Crossen Building Commissioner /km � ». . . . . . � . _ ¥ . i« � ` . � ` . 2 � m , � ��\�\ � � t � • TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map- Parcel Permit# Health Division Date Issued 101, a� Conservation Division Fee U V Tax Collector Treasurer Planning Dept. t. V V Date Definitive Plan Approved by Planning Board Historic-OKH Preservation/Hyannis Project Street Address K-Mart 768 Iyannough Road l Village �uAJ� IS Owner Cape Harbor Associate Address 1 ?®3 S Frontal Rd , Suitt- h Telephone 617-262-6624 Permit Request Rem,del existing w-mart Stor'F' Pepa; nt interior or and exterior of store. Remove cafe and old pharmacy. Spot patch existing YET Install new fixturing, replace exterior chain link fence If Square feet: 1 st floor: existing o5 proposed 2nd floor: existing proposed _'` Total=dw Valuation Zoning District Flood Plain Groundwater Overlay 1 Construction Type Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. ;=f Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family(#units) Age of Existing Structure S Historic House: ❑Yes ❑No On Old King's Highway: ❑Yes O 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: [A Gas ❑Oil ❑ Electric ❑Other Central Air: [A Yes ❑ No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑ No Detached garage:❑existing Cl 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 )I review# �? �((�� Current Use ��1�merc,�( ��-t� Proposed Use ✓h n�et�c.:�I (4tAl BUILDER INFORMATION , I (� Name I- t l �,��Pl,�c 5 Telephone Number (n O� `'( ZS- d Address R d Per k;N S QA License# � J q wlsl .` r �-i ys Home Improvement Contractor# Worker's Compensation# ("iC. 961 g 3 S ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO CN 0/1/,l / I 1 �1 SIGNATURE IAI ( �iJ�P��DiS DATE O i FOR OFFICIAL USE ONLY PERMIT NO. DATE ISSUED MAP/PARCEL NO. cR ADDRESS VILLAGE OWNER r DATE OF INSPECTION: r � FOUNDATION Oil— FRAME "'J INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL p FINAL BUILDING I DATE CLOSED OUT ASSOCIATION PLAN NO. a � -77 Specla.L z ng=iii Commercial & Ref i;l Interiors ' John May, ` Project Manager - i - 80 Perkins Rd. (603).425 0770' { I- Londonderry NH 03053 FAX(603i 425=0330' - 4 E-Mail:_john may@all mteriors.com • A 1� t 1- / 1. P� � 1 / t( �. .� � ' �� � - UU �VV/ � , � . � � � �, ,. i i o. 84 Switcnes No.of Gas Bar No.oit Ranges j No.of Air Con No.of Waste Disposers eat ump Totals: No, of Dishwashers Space/Area He No..of Dryers Heating Applia o.of Water ,.: ,KW 0.0 Heaters Signs No.Hydromassage Bathtubs No.of Motors oQo i- o o z OTHER: a, - 0 ¢. LU Z Estimated Value of Electrical Work: Z z Work to Start: Inspections to be request Q INSURANCE COVERAGE: Unless waived by the owne s N the licensee provides proof of liability insurance including" au a ¢ O ,Cr o I". undersigned certifies that such coverage is in force,and has a m� g CHECK ONE: INSURANCE ❑ BOND ❑ OTHER. ¢ I certify,under the pains and penalties of perjury,that the FIRM NAME: U_i Licensee: Signa w o o (If applicable,enter "exempt"in the license number line) af w w Address: a *Security System Contractor License required for this wor OWNER'S INSURANCE WAIVER: I am aware that the required by law. By my signature below,I hereby waive thi Owner/Agent Signature Telepho I AN Four Copley Place Ul��j r Suite 401 C 1 Boston.Massachusetts 02116.6501 = + 6171262-6624 1 r- - Fax 6171375-•u92 RETAIL PROPERTIES CO. December 21, 2006 . a • Mr. John Kern Director Property Management Sears Holdings Management Corporation 333 Beverly Road BC—091A f Hoffinan Estates,IL 60179 f f RE: Kmart #3040 Capetown Plaza Hyannis,MA Dear John: Attached are the executed sign/renovation documents that you submitted- Please call with any questions. Sincerely, g- d Urban Retail Properties Co. David John Executive Vice President . DJ:rs cc: Deanna McGinnis 4 I r 1 r SEARS HOLDINGS Sears Holdings Management Corporation 3333 Beverly Road BC-091 A Hoffman Estates,IL 60179 VIA UPS NEXT DAY Al December 1,2006 Mr.David Johnson Cape Harbor Associate c/o Shopping Center Partnership,LP 1303 S. Frontage Rd,Suite 6 Hastings,MN 55033 RE: KMART€#3040,CAPE TOWN PLAZA HYANNIS,MA Dear David: I am pleased to announce our decision to remodel the Kmart Store located at 768 Iyanough Rd, Hyannis, MA. The remodel project will take place between late February 2007 and early May 2007.During the remodel,the Store will remain open and will maintain its current hours of operation. When complete,the interior remodel will provide Krnart customers an updated shopping experience including new fixtures and merchandise from both Kmart®and Sears®. In addition to the interior changes,the remodel will include the following exterior upgrades: • Exterior signage ■ Exterior paint The following attachments are enclosed for your review and approval: • Exterior elevations with signage and paint schemes • Site plan identifying the staging area to house storage containers during the remodel. Please confirm,by signing below,that the Landlord consents to the remodel as proposed in the enclosed documents and fax a signed copy of this letter back to me at(847)286-7976 as soon as possible. Should you have any questions,please do not hesitate to contact me at(847)286-4718. f Page Two December 1,2006 Also enclosed is a letter which many municipalities require for sign permits. Please transfer this text to your letterhead and return a signed copy to me so we can begin the permit process for signage. Thank you very much for your support in this matter. Sincerely, Jo n Kem Di-ector Property Management , Enclosures Cc: Real Estate File Property Manager ON BEHALF OF THE LANDLORD, THE UNDRSIGNED HEREBY PROVIDES ITS FULL COOPERATION, CONSENT AND APPROVAL TO THE CONVERSION AS SET FORTH HEREIN AND AS REQUIRED BY THE REQUISITE LEASE AND ANY OTHER. UNDERLYING PROPERTY DOCUMENTS PERTAINING TO THE STORE INCLUDING,WITHOUT LIMITATION,ANY RECIPROCAL EASEMENT AGREEMENT(REA). IN ADDITION,LANDLORD ACKNOWLEDGES AND AGRESS THAT A COPY OF THIS LETTER CONTAINING LANDLORD'S WRITTEN CONSENT AS PROVIDED BELOW MAY BE PRESENTED TO LOCAL GOVERNMENTALAGENCIES TO FACILITATE WITH ISSUANCE OF THE PERMITS, LANDLORD ALSO AGRESS TO THE TEMPORARY PLACEMENT.OF STORAGE CONTAINERS FOR THE DURATION OF THE REMODEL PROJECT. ACKNOWLEDGED AND ACCEPTED this t9 day of 1 _ 2006, By ^ Name: Title: v(' 1 rooD AND-=L,lamaAwSWl.� PLASTIC FORWO LETTER SET cNAu'n Em.SET nnor SET L.010O.MON3 6mart --7 ..... ilh— n W 711"n TYPICAL SW SLOPE ELEVATICRI w4' 11r.0 Ila, ---lPnarMK ANUEL LETTER INS"'LA r R— : Affliti,LMW LAS %jgTEAOM)CrAMWjiSj SWACIREDWrR 1 0 W1 0 43UZ," wil"M TO MAIS"3632-33 �ia ruGlasax 13'.6 vz* N'EZ.10 AM 30.01)So.FEV -am IOTAJ ELECT WAD 3.60 AMPS enlCta as wont pED 4p BOX CROSS SECTION DETAIL I I I I A I E D g E 0.ff I LETTER MY I Y LETP7IC EAL AIlDOUHI-LWOMDINEATTEILD PLASTIC OR LASEOR FM N A FOR VERTICAL OU D WALL SURFACE CONSTRUCTION BRANDING LIGHT BOX SIGNS FORMED FACES TIM I—Sh—-a-P-14 for'.1—r-SM."' nly,and an,nor a IM.M,MzaraU­or ft ml— pec4ed- This conceplual alevallon dr3Wing 15 0 typical EXTERIOR PAINT SPECIFICATIONS 00 NOT COLOR MATCH TO THE EXAMPLES INDICATED ON THIS DRAWNG gUidefine,for general repainting and sign- tristagallon reference onty.Do not use this EP3 EP4 print for Construction Or instatlation. I E-WKTE C MANILLA TAN • Klalt irPlrAl allid1mg El—.Ii— U IP3 VtevrOr Pw.M S'Q..Q. lclssiWa —' A. ai-loo lcmart, IDesign and Construction Department Scars Holdings Huffman ES10105 Support CCnICI EXHIBIT A-1 Legal Description of Shopping Center All that tract,piece or parcel ofland,situated in the Village of Hyannis,Town of Barnstable, Commonwealth of Massachusetts,bounded and dmribed as follows- Beginning at the southeasterly comer of the premises at the southwesterly corner of lard of Tracy Volkswagen Inc.at a point in a northeasterly line of fyannough Road(Route 132); Thence N 60E 12'55" W by said tyanmough Road, 1466.50 feet,thcnce by a curve to the right having a radius of 249.6E feet by Airport Road,426.86 feet; thence N 37E 44�5011 E by.,airport Road, 109.64 feet t4 land of Louis P. and f ila E. Lorusso thqpce S 83E 54' 1.01 E by said last named land, 729.39 feet to a concrete bound and land of Anna E.Morrill; thence S 94E 18'55"E by said Mom ill.land and by land of Raymond and.Eleanor Blackburn,700.38 feet to land of the Town of Barnstable,Barnstable Municipal Airport Commission; them S of 41'30" W'by said last named land of the Town of Barnstable by a lint 200.00 feet westerly from the west end of the WNW-ESE Runway and at right angles to the center line of said Runway, 849.34 feet; (such Runway being a phased.-out Runway);thence S 60E 12'55"E by land of the Tmvn.of Barnstable, 49.66 feet; thence S 29E 44'40"W by land of the Town of Barnstable and Tracy Volkswagen,Inc,, 250.00 feet to the point of b*- nniing.. s ' , BOARD OF BUILD,4 REGULATIONS License: CONSTRUCTION.SUPERVISOR t Number: CS 090659 E!(plres: 031016/2008 Tr.no: M859 Restricted: 00 JOHN MAY .4 CRANBERRY RD FOXBORO, MA 02035 C Commissioner i • - - _ lsurplladon.l ins GrBg Coi i in8-9,NanCy 2/2 CommaaTth, Tle �1r�aFsachirae�s , -1 A DePlvbanentofXnd:Rs�ia�Acc�'den�s,' . . D}�ice o}'Irrues�gmrrv�s 600 Waakt'r�gwn Stet . Arm",ass oaY�z wlvr+.masgma/dtt Worlmrs'Compensation insurance AfCdagit:BwldersiGonireatoxalFdecid$ansTlt=bers A lfcant ar ation a e Le Nsm®{gus3aa�a/prg�izntlanllydtvtd�u : in Jtprri arm Address: 8 Q -Perkins Road City/State/Zt ; Londonderry NH Q053Piaun�#' :..6 _ Z Are you ea etaployer7 Check tte approptlate bor.a of�e I,ER I sin a employer wig 4.d 1 inn a ' in lest(requl ; ,30� S taotrttaotao:atzdT 6 amploym(fa ME7 paxttima),* how Umdtlia sub-eonteacfora Now oa�uctioa ❑1 ata a aola pntpsie=ar pa�� 1i�d on the aftim sheaf 4. 7. Umode� shipy an�d,�have ne� pe®s Theap intb,a�ctaas Nava S. 0 D®oiiticm Waal fbY2DE In at�,}+YBpa�+. A"Dt1[0�9 CO]�Y:Vie, _y D��addition : ' -'••`�Ns'w11�9e�a"�p:�s�aemnd"'�i��We:aiea•a�pB¢sdafs - `ro`d`�atdt�al xeq�tixed.]_ o�o�have ttn�daed$oar` 'az a2ditinas 3.❑1 am ah=epwuw doing all weakC right eP examytiQn por MCiL 11 Plumbing ra*ra.or additions.; mysex[No vvarkS'oozv. a ISZ,$1(4�aztd wa have uc I2. Itaof repairs i�anoe reglrked)t amplorses.[No workt:ra' aamp,insuraum r®quired,] i3.p Rtlue 'tint atftm Ftrat 4v.,4m box 01 mast alga IM alo the wctt*A b&w ahovdngzbmrwarhae' p�metion potlq t�i�ation _ tj7pnapp4VA�89+Lo lttbmletbie�diYltbullePt�t11�'am demgsttArotk rmd'�Atr4 oetsida�R'�tOeS maeteubmic aaax atFdsvG mdieet�g.eaoh ' �oatra��dtedt�fe'bgte mast etnstltad�addh6omal 9heet�alYta815e name oP�e nab-ool�aeloox�d tbq{t 9vorloxn'oomF P�pY ta�rmsemi. ism ars ex�loyrr that ' tit etrusfar my ge:ProYgeda:�sli+ii+is fliepoUcy amjob silk pY �l4gwerk@8 C[7 C1�b4tlOR iita Y�ttrffitoe�mparrylVao>sa: American Iriteknational :Palley#or Sa*ins.I,9a.Rk WC 96,89435 izatiamDated_ 5/2 6/.0 7 rOv s E It tidrEs9' yl foul. :Hvann s ray .02601 Attach o aapy of tha ttrorlcAre'eompensgtion policy declaiattpn Pg (stltawnigtha.pe 9>aMMber stud expira3lott dote}. Pie to SWUM aovaraga as regnlTcd-tmder Section 25A.of M' GL 6.152 din lead to lie.imposit3na of PenAitiaa of a w fins�P Da 51,50D.00 tntdlar aaay�r impodso t�t,as well es�ivit PMONal in to ream of a.STOP wGCttK�#iR and a fine of vp.io�250.00 a day tigsarst 9ta ysoltemt•. Aa advised$tat s artily of this atsta�otea#may bo forvdmded to ilte O�'tao rf hMs ?�:8 0£Q1e DIA for hlanrautoa oo"n e'veri ficagaa "Ide cien!�yr Und-O th a paitbs an enaltlfes 4fP w hSlbrma�onln'oded Citotii:t'8 Awe mid correrL 216107 6 0 . `:Of�C�atusaoxiJr�',Do_hot.astn9fa.mlh�msuj.fo.baCDitet��yor'toi�lt . . ; 9 or T4t4Alt $rrutit2ieaase;�.�. , Y g Auttwri#.(aitxle one): 1.Board of�lth 2.Btti tttg Aepartji of 8.CitSymowa Clet'k �4.ZukrIeal titspeator S.Pletathing Inspector 6.Other Contac£>ywraen: - Phone4#d.. IMPORTANT If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). DISCLAIMER The Certificate of Insurance.on the reverse side of this form does not constitute a contract between the issuing insurer(s), authorized representative or producer, and the certificate holder, 'nor does it affirmatively or negatively amend, extend or alter the coverage afforded by the policies listed thereon. ACORD 25(2001/08) # 2/6/2007 09:13 Burnhamonline Greg Collins-+Nancy 2/2 The Commonwealth-ofMassachusettr Department of Industrial Accidents • Office of Investigations 600 Washington street Boston,MA 02111 t www.mass.govldia Workers' Compensation Insurance Affidavit:Builders/ContractorsMIectricians/Plumbers Applicant Information Please Print Leeibly Name(Business/Organizatic n&diA dual). All T n 1- -r i n r. ,. T n Address: 80, •Perkins Road City/StateMp: Londonderry NH 0305 Pho:ne#: 603-425-0770 Are you an employer?Check the appropriate box: Type of pro f act(required): 1,(2 I am a employer withi_ 4. ❑I am a general contractor and I 6• ❑New construction employees(full and/or part-time).* have hirsdthe'sub-contractors 2,❑I am a sole proprietor or partner- listed on the attached sheet.t 7. ®Remodel ship and have no employees • These sub-contractors have 8. E]Demolition working for me in any-capacity. workers'comp;insurance. 9. []Building addition o workers'-coin --insurance=--- — - crp __---_—........__ .... ...... ....__—_—= —�: -We:are-a-r; oratwn-aml�ts-=-..-=.___ �-- p 10.E]h'1eatrieal repairs or additions zequired,] officers have exercisedtheu 3.[]I am a homeowner doing all work right of exemption per MOL 11.❑Plumbing repairs or additions. myself[No workers'comp• c.152,§1(4),and we haye ao 12.[]Roof repairs insurancerequired.]t employees,[No workers' 13.❑Other comp.insurance required.] *Arty applicant that checks box#1 must also fill 4 the section below showing theirworkers'compcnssation policy information, tHomeowaers who submit this affidavit indicating they am doing allwork and then hire outside contractors mustsubmit anew affidavit iudicatingaueh, . tContu-tors that check this box must attached an additional shoot4owing the name of the subcontractors and their workers'comp.policy information. Iam an employer that is providing workers'compensation insurancefor•my employees Below is the policy andjob site • information, • Ioumce Company Name: American International Policy#or Self-ins,Lie.#: WC 9689435 Expiration Date: 5/2 6/0 7 TobSiteAddress: 76a I annough Road City/State/Zip: Hyannis MA 02601 Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as regaired under Section 25A ofMGL e.152 can lead to the imposition of criminal penalties of a . fine up to$1,500.00 and/or ene-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of.p to$250.00 a day against the violator. Be advised that a copy of this statement maybe farwardedto the Office-of luvestigations of the DIA fcr insurance coverage verification. -"7"da'hereby cera;fy under dApabu and enalties of perjury that the iq/brmadon provided above is true and correct e ate 2/6/07 . Ph e 603— 5-0770 'Official use only,Ao mat aarite.in_thif area,:io.be.compWed by city or sown nl}`tciai71 City or Town: Permitll icense# Issuing Authority(circle one): LBO of Health 2.Building Department 3.Cityfrown Clerk 4.Electrical Inspector 5.Plumbing Inspector b.Other Contact Person: Phone#: • f • fie Lr o�lnmtoazusea�t,o�✓vl�dac�ttl6P,/,�6 BOARD OF BUILDING REGULATIONS License: CONSTRUCTION SUPERVISOR Number CS 090659 Expires.03t06/2008 Tr.no: 90659 Rr Restricted. 00 JOHN MAY 4 CRANBERRY RD. 4 ¢� FOXBORO, MA 02035 Commissioner • • A�;ORQ. CERTIFICATE OF LIABILITY INSURANCE 2/6/20 PRODUCER Phone: 603-627-9583 Fax: 603-627-0537 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION RH Northern New England ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE .G. Sullivan Building HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. 75 Canal Street Manchester NH 03101 INSURERS AFFORDING COVERAGE NAIC# INSURED INSURER A: St- .Paul Travelers 40967 All Interiors, Inc. INSURERB: American International 32220 80 Perkins Rd Londonderry NH 03053 INSURERC: INSURERD: INSURER E:- COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR ADD'L POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION . LTR E M DD DATE LIMITS A GENERAL LIABILITY DTC0060IC375 5/26/2006 5/26/2007 EACH OCCURRENCE $ 1,000,000 X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED 300,000 PREMISES Ea occurence $ CLAIMS MADE OCCUR - MED EXP(Any one person) $ 5,000 PERSONAL&ADV INJURY' $ 1,000,000 GENERALAGGREGATE $ 2,000,000 GEN'LAGGREGATE LIMIT APPLIES PER: - PRODUCTS-COMP/OP AGG $ 2,000,000 POLICY X JEC- LOC A AUTOMOBILE LIABILITY DT810977K7248 5/26/2,006. 5/,26/2007 COMBINED SINGLE LIMIT X ANY AUTO - _ _ (Ea accident). -$ 1,000,000 ALLOWNEDAUTOS BODILY INJURY- SCHEDULEDAUTOS ., (Per person) $ X HIRED AUTOS BODILY INJURY $ X NON-OWNEDAUTOS (Per accident) PROPERTY DAMAGE $ - (Per accident) GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $ ANYAUTO - - - OTHERTHAN EAACC $ AUTOONLY: AGG $ A EXCESS/UMBRELLA LIABILITY DTSMCUP977K7248 5/26/2006 5/26/2007 EACH OCCURRENCE $ 5,000,000 OCCUR CLAIMS MADE AGGREGATE $ 5,000,000 $ DEDUCTIBLE $ X RETENTION $ 10,0 0 0 $ $ .WORKERS COMPENSATION AND WC9689435 5/26/2006 _5/26/2007 X OCSLAMIT I ER OTH- EMPLOYERS'LIABILITY - - E.L.EACH ACCIDENT $ 500,000 ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? - - 500, 000 E.L.DISEASE-EA EMPLOYEE $ If yes,describe under - _ - SPECIAL PROVISIONS below - .E.L.DISEASE.-POLICY LIMIT $ 500,000 OTHER DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS Kmart Hyannis MA Attesting to coverage. CERTIFICATE HOLDER CANCELLATION- SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER Town of Barnstable WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN NOTICE TO THE 200 Main Street CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO- SO Hyannis MA 02601 SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON' THE INSURER, ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE - ACORD 25(2001/08) ©ACORD CORPORATION 1988 IMPORTANT If the certificate holder is an ADDITIONAL INSURED, .the'policy(ies) must be andorsed. A statement on this certJfieate does not confer rights to the certifloate holder in lieu of such endorsement(s). If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement, A statement on this "certificate:does not confer rights io the certificate holder in lieu of such endorsement(s). DiSCLAimik The Certificate of Insurance on the reverse side of this form does not constitute a contract between the issuing insurer(s), authorized representative or producer, and the certificate holder, nor does it affirmatively or negatively amend, extend or after the coverage afforded by the policies listed thereon. y { A,CORl3 25(?A07/48) ,_ LL INTERIORS INC. No One Has"Better Quality March 2;2007 ` . Stanley Sliwa 4 _ 4 Sears Holdings 3333 Beverly Road, A2=253A { A' Hoffman Estates; IL'60179. ; ,L RE::K-Mart.#3040, Hyannis; MA Dear Mr:-Sliwa; n k This letter is to serve as notice that.John May is authorized4o act onAll_Interiors, Inc 's' r behalf in r'egards to the.above-mentioned.,project. If you have any questions,please do nof-hesitate to contact me Sincerely; All Interiors,f Inc. - Kathryn M Buckless Vice President cc. JohnMay, File KMB/jpl. Y' Subscribed and sworn to me this 2°d day of March 2007 Notary-Public Nancy RMorris", My,commission expires April 2; 2008 •80 Perkins Road Londonderry;.New Hampshire 63053 • Tel: (603)425-0770 Fait: (603)425=0330 A Town'of Barnstable �^ Regulatory Services Thomas F.Geller,Director • .`� Building Division Tom Perry, $u9lding Commissioner 200 MaiA Street, HyawiS,MA 02601 Office: 508-8624058 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section if Using A Builder as Owner.of the.subject property hereby authonze } to act on my behalf, in all matters relative to work authorized by this building peatnit application for: (Addtese of Job) ? d1to - Signature of wn Date , C-10 A(-U J, Print Name Q:FoxNcsowrtswPSRmYssYON z'd 8S i 'ON 31UIS3 -1d3d Sdb3S WdZb:E 9002'6 T 'DM S !q L ILA !iNIG i SS SearsDavid Rich, VP, Retah Operations-SHC kmart : 3333 Beverly Road Hoffman Estates, IL 60179 Telephone: 847-286-1775 Fax: 847-286-4109 Email: drich4@searshc.com February 28, 2007 Town of Barnstable 200 Main Street Hyannis, MD. 02601 Attention: Mr. Tom Perry k Dear Mr.'Perry, Please be advised that Kmart Corporation has filled a Tennant Improvement permit request with your Town. Kmart Corporation has also entered into agreement with All Interiors of Bedford, NH. to provide the construction services as defined in.our construction documents. Additionally please be advise that All Interiors is herewith granted authorization to act on behalf of Kmart Corporation on all matters pursuant to the filling of the permit. Should you require any additional information on these matters please contact me. Respectfully. David Rich Vice President, Retail Operations SHC• State of ) Illinois )SS County ) DuPagc On this 28th'day of February,2007,before me,a Notary,Public within and for said County,personally appears David Rich,to ersonally known,who did sign the foregoing instrument as Vice President,Retail Operations of Kmart Corpor o and acknowledged said' strument to be his free act and deed. ' " M• Commission Expires: Y P / Lisa L.Z. tara,Notary Public Notar" 'oblic, ;% tr:n2 i7,d ols My Col,s id 0y3%L009 03/09/2007 13: 30 5087786448 HYANNIS FIRE PAGE 01 HYANNI.S FIRE DEPARTMENT Harold S. Brunelle,Chief FIRE PREVENTION OFFICE:- r§ S T,.BlA- r�.)V . << 95 High School Rd. Ext., Hyannis;'M.A 02601 (509) 775-1300 rt c BUILDING CODE COMPLIANCE FORM-_---, . iOPI Plans dated 0 tv for the property located at 1(,g 6 l —, wed b LT. r�'T have been reviewed `� .�, _ also known as Y of the Hyannis Fire Department. THE CHART BELOW INDICATES THE STATUS OF THE REVIEW: TYPE OF CONSTRUCTION DOCUMENT NIA RECEIVED REVIEWED COMPLIES 1. Narrative Report ✓ �.. 2, Firefighting& Rescue Access 7 3, Hydrant Location&Water Supply d.Sprinkler Systems 5. Sprinkler Control Equipment i 6, Standpipe Systems ,r 7. Standpipe Valve Locations ✓ _ _ 8. Fire Department Connection "ArJNT n; 4ei."6f _42 a�Tz 9. Fire Protective Signaling System M,4t�v�r►r�! . S a.. < 10. F.P.S.S. &Annunciator Location 11.Smoke Contmi/Exhaust 12. Smoke Control Equipment Location 13, Life Safety System Features M Y 14, Fire Extinguishing Systems tnir� ( ,F4o'? 15, F.E.S. Control Equipment Location � 16, Fire Protection Rooms r' 17. Fire Protection Equipment Signage +� ^ 16, Alarm Transmission Method 19. Sequence of Operation Report 20, Acceptance Testing Criteria `f We believe this document to be complete and compliant for the issuance of a building permit. ® We have completed the acceptance testing for the occupancy permit and believe that within the scope of the uildin permit,the above issues are in compliance, Signature of Fire O ial Date GOLDBERG & sociates As `� ' -{ ��� IiIT-1 Z ... ATTORNEYS AT LAW 250 BARNSTABLE ROAD ,� -F H METER 15 7127- tS y�. -.. HYANNIS, MASSACHUSETTS 02601 R"�a yr I �4 Mr. Ralph Jones Building inspector Town of Barnstable 367 Main Street Hyannis, MA 02601 c � .... /� _ _ °F THE t The Town of Barnstable • BnxxsrABM • Department of Health Safety and Environmental Services ArFDr�Ai►'�A Building Division 367 Main Street,Hyannis MA 02601 Office: 508-862-4038 Ralph Crossen Fax: 508-790-6230 Building Commissioner PLEASE FORWARD THE ATTACHED PAGE(S) TO: RE: \✓ke-c- - 7 ?0 Y)OL/J Y) '0 FAX NO: q c) l � FROM: I l � DATE: r Op 7� PAGE(S): (EXCLUDING COVER SHEET) I o :. 0� � Mao I i ..�I r GOLDBERG &ASS(D C i&fe S A T T O R N E Y S A T L A W : .. 250 BARNSTABLE ROAD ..'�` - i f'=<•.' HYANNIS,MASSACHUSETTS 02601 ... TEL.(508)775-9099 TEL.(508)775-3303 FAX. (508)778-6001 PETER M.GOLDBERG BOSTON OFFICE: BLAIR E.WEIGAND ,, •* ,,. ,;::-R� 197 PORTLAND ST. BOSTON,MA 02114 TEL.(617)227-5066 October 12, 1999 Mr. Ralph Jones Building Inspector Town of Barnstable 367 Main Street Hyannis, MA 02601 RE: Our Client: Cassandra J. Johnson Date of Accident: 9/19/98 Place of Accident: Kmart#3040, Hyannis,MA Dear Mr. Jones: This office represents Miss Cassandra J. Johnson of South Yarmouth, Massachusetts for severe and disabling personal injuries she suffered on or about 9/19/98 at Kmart#3040, located at Cape Town Plaza, Iyannough Road, Hyannis, Massachusetts. Miss Johnson was exiting the Ladies' Room at Kmart when the bathroom door slammed shut on her right hand. At the time of the accident, Miss Johnson was three years old. On October 2, 1998, you personally inspected the bathroom door at Kmart and found that the door was a bit heavy for young children. Please send this office at your earliest convenience a copy of your inspect,on report.of.!0/2/99 reUardiz±g t11e bathreo*r1 door at Kmart#3040. Thank you for your anticipated cooperation in this regard. Should you have any questions, please do not hesitate to contact this office. Very truly yours, GOLDBERG&ASSOCIATES Blair E. Weigand, Esq BEW/meb °F VE . .~ The Town" of Barnstable • snnxsTnst.E. • Department of Health, Safety and Environmental Services '�EOMo'tp Building Division 367 Main Street,Hyannis MA 02601 Office: 508-862-4038 Ralph Crossen Fax: 508-790-6230 Building Commissioner October 19, 1999 Blair E. Weigand, Esq. Goldberg &Associates 250 Barnstable Road Hyannis, MA 02601 Re: Kmart#3040 790 Iyannough Road,Hyannis Dear Sir: Enclosed is a copy of my report for the accident at Kmart#3040, Hyannis, Mass. A copy of this letter was faxed to a Persiping,New Jersey, law firm for Kmart on October 27, 1998 at their request. FAX number 973-254-3692. Sincerely, Ralph L.Jones Building Inspector RLJ/lb Enclosure °F 7ME A The Town of Barnstable • snxivsrne�, • 9� ���' Department of Health, Safety and Environmental{Services 059. Building Division 367 Main Street,Hyannis MA 02601 Office: 508-862-4038 Ralph Crossen Fax: 508-790-6230 Building Commissioner INSPECTION REPORT INSPECTOR: Ralph L. Jones, Building Inspector PROPERTY: Kmart, 790 Iyannough Road, Hyannis (311 092) DATE: 10/2/98 I inspected the ladies restroom door after receiving a complaint of a child being injured by the door. I met with the Assistant Manager and security man of Kmart. For 30 minutes I observed several ladies and children using this door and restroom. No ladies had any problems opening this door. The ladies with children opened the door for their children. There is nothing in the State Building Code governing the pressure applied to restroom doors. g991019a / aWOMIA I . r. �I �