Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
Home
My WebLink
About
0790 IYANNOUGH ROAD/RTE132 - VERIZON WIRELESS
1 J- r Town of Barnstable, REiPT ` MASS 200 Main Street, Hyannis MA 02601 508-862-4038 Application for Building Permit Application No: TB-18-2486 Date Recieved: 8/1/2018 Job Location: 790 IYANNOUGH ROAD/RTE132,HYANNIS Permit For: Building-Sign Contractor's Name: State Lic. No: Address: Applicant Phone: (781) 245-4800 (Home)Owner's Name: BARNSTABLE,TOWN OF(ARP) Phone: (508)790-6944 (Home)Owner's Address: C/O WS ASSET MANAGEMENT INC, CHESTNUT HILL,MA 02467 Work Description: Install two(2)2'-11" H x 13'-3" W internally illuminated signs.To be installed on the North West and South West facades of the building. Replacing existing signage. Signs to read "Verizon"with logo. Total Value Of Work To Be Performed: $6,859.00 Structure Size: 0.00 0.00 0.00 Width Depth Total Area I hereby swear and attest that I will require proof of workers'compensation insurance for every contractor,subcontractor,or other worker before he/she engages in work on the above property in accordance with the Workers' Compensation Act(Chapter 568). I understand that pursuant to 31-275 C.G.S.,officers of a corporation and partners in a partnership may elect to be excluded from coverage by filing a waiver with the appropriate District Office;and that a sole proprietor of a business is not required to have coverage unless he files his intent to accept coverage. I hereby certify that I am the owner of the property which is the subject of this application or the authorized agent of the property owner and have been authorized to make this application. I understand that when a permit is issued,it is a permit to proceed and grants no right to violate the Massachusetts State Building Code or any other code,ordinance or statute,regardless of what might be shown or omitted on the submitted plans and specifications. All information contained within is true and accurate to the best of my knowledge and belief. All permits approved are subject to inspections performed by a representative of this office. Requests for inspections must be made at least 24 hours in advance. Signed: Edward Batten 8/1/2018 (781)245-4800 Applicant Date Telephone No. Estimated Construction Costs/Permit Fees Total Project Cost : $6,859.00 Date Paid Amount Paid Check#or CC# Pay Type Total Permit Fee: $50.00 8/1/z0t8 �$50�.00 —XX—XX_X--)M-_XXXX_� Credit Card 1 2175 I....... .. ..........._ ..... __ ... .._..... Total Permit Fee Paid: $50.00 eziiR .w r � T �G7722 ° Pnntecl On 12/11/2019`x Complaint,CallRepo`rt � N � ,0�a : s 7,90�;IYA�NNOUGH ROAD/RTEl32,'HYANN15 k��". -' ii ti Yam +, Vl.ia.SPi tF C 1.7 �62 t ,2 1 9aros�'w � t _� V:r;.'�. - - �sk.� Case#: C-19-862 Address: 790 IYANNOUGH Date: 12/5/2019 ROAD/RTE132, HYANNIS Owner Info: Property Info: BARNSTABLE, TOWN OF (ARP) MBL: C/O WS ASSET MANAGEMENT 311-092 INC CHESTNUT HILL MA 02467 Owner Notified?: Complaint Details: Type of Complaint Classification of Complaint Method of Complaint Building Code, Medium Priority Phone Complaint Summary: Complainant reports the following: (In the Verizon Store)There are no facilities for men or women bathrooms accessible to the 30 people they accommodate in their store (who wait 1 hr.for assistance) Action History: i Action Taken Date Description Fee Ins pector Close Case 12/11/2019 $0.00 . mckechnr Inspector Assigned to Complaint: mckechnr Filed by: sheas Comments: Comment Date Commenter Comment 12/11/2019 mckechnr This has been a retail space for many years. The tenant fit out for the Verizon Store did not trigger a requirement for public restrooms. This store was remodeled under the Construction Control of Licensed Professionals (engineers, architects,etc) and designed under those guidelines. '� 12/11/2019"~ .T Town of Barnstable Date P, a t �' s �#r :� � k- �, r ; *^p�„ « r�wt lP�ua%r� g�Fi ri �mr.- k�;.S, �*;-x'S: Town of Barnstable Building Department Services Brian Florence, CBO TOWN 4F BARNgTAOMAS& ; Building.Commissioner . s6;p. �m �, 200 Main Street, Hyannis,lVrA 01AbQi DEC —5 PH ;f:s 49 www.town.barnstable.ma.us Office: 508-8624038 XUI --Fax: 508-790-6230 COWLAINVINQUIRY REIORY K Date: Reed by: Complaint Name: goad ap/Parcel 7 90 � � �n'` Location / Address: .�,,,,r,�. TO Originator Name: Street: _. - �_ 1160 X 2 Village:D e rt/z/S State: MA •Zip; - � .( 17- E7 Telephone: f.1 -Complaint Description: Thel-e- a ro Ord z-_a C, e� -Po r . ryi e n ri. omcr-c � cikh rooms a c_ C-ess8LfO �10 -7LhC h 1' -5 740 eop C) (Zco rn i d Je, ILL Mho - ,�� r o r ss�sa r Ce ? z FOR OFFICE USE ONLY Inspector's Action/Comments Date: Inspector: �'•c- Additional Info.Attached Q:forms:complaint Revised:08/16/17 S fi TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION -4 Map y I Parcel 0 V Application#Z95 Health Division Date Issued 4g�_ 9 !S V Conservation Division Application FeelA, Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation/ Hyannis Project Street Address '74D 1 yerurxa�. �J N��n�� y Village Owner Address Telephone Request , ff Permit l N Qi . rc�, less- �- ! f�Gl��2fL,� 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 Kings 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 P ndw 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) 0o3�6 Name _ eEML 0bufaft Telephone Number78/44V-40 0 Address L�W KQN f Q S License# C5` `07 a 4 [d L�p I7 Cute Home Improvement Contractor#04 Email R oba' k1yeL u ,(om Worker's Compensation # U_)C-C S_0060/aZPU ,2d/y ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO A1u,, ( „lam Kf G� SIGNATURE DATE FOR OFFICIAL USE.ONLY APPLICATION# ,DATE,ISSUED . MAPS/PARCEL NO. k ADDRESS VILLAGE t . OWNER DATE OF INSPECTION: FOUNDATION FRAME INSULATION FIREPLACE' ELECTRICAL: ROUGH FINAL f PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FI.NAL BUILDING D'ATEMOSED OUT AS OvC)ATION.PLAN NO. 1 y 27w CommannwaUk of-MassacF mefft Department of 1ndus Accidents - t Kwe-of 1mv-sj iga iorrs 600 Waykington&-eet Bestarj,M,4 02HI - wn*n�rnas�go�rlicr • workers' Campensatl€an Insurance Affitdauit:BuilderslContractorsfF- ectricianMumbers Appfica>nt Infarmation Please Print Lep_ibly Name(1Jt,s w ftnizationlfndiviciaat}- 1Ue LJ 87P"r �c�,r-e A&e-ss: �� Oc. citylstat�1Zip: �� m aG yPhone 47 Are you an employer?Check appropriatebo= Type of Project r ,/ 4. 1 aril x contractor and i 3 pe { l_d tam a employer with Z ❑ � 6- ❑New construction employees{full andlorgat#-time}* lravelzii�ths sub-con.�tixs. listed on the attached sheet 7- ❑Reamdeling 7._❑ 1 am a sole proprietor or partner- These sub-contractors have strip and have no employees S- ❑Dentalition working for me in any capacity employes and ha re wo�icers' 9- El Building addition �O workers' comp: ts in� anre comp.mc7�raru-F< 5_❑ We are a corporaticnmd its 10.0 Rectrical repairs or additions required_] 3_❑ I am a It me awner doing all Work officers hati�exercised their I1_❑Plumbing repairs or additions myself. [No workers'tip_ right of emmption per MGL 12_. .,�,,�,�,,�,t 1.52, 1 4),and we haste no ❑1Znof repairs/ insurance I F effip ogees L` .r3�Other ( CQ 1 o zaoritpls' comp-insurance required.]; *lficy aap that checks Box 11 nms3 also fill oit the section below shawing their wafitets'mmpensatiaa pniicy infntmaias- T Homeowners vrt.submit this aMdsvif.6cstiag they ail doing sH w..k sad da.hire oafside contactors nmst submit a w afdavit moir tm snr:h IGtmhscmrs thst rhaa this box mast sttavred an additional sheet showing the name of the PAF-omgmlaa and state whedw xnot these rmaues have emptnyees- Ifth a sob-contacts hme empIoyees,they must provide th it warkers'comp policy ntoabez lam are ermpLayer ihat is prm ichtrg it�orkers'conilmnsatio.n irmirimce for my,employeem HeIorc is the pa&cy rurd}ob site irrfotmatiottJ g Insurance Company Name: A � ' �¢1 E 1 o C- Policy ff cc Self-ins-Lic-b` ��G OCi Sd/ot / art Old/ Expiration Date_ Job Sites Address: 790 ,�y/�d c c h `ec) Civ1St2LWT4p_ - A;`f#ach a copy of the workers'compensation poling declaration page(showing the policy nun er and e�cpn anon datel. Failure to secure cmr-rage as requiredundm Sec ioa 25A o€MGL c. 152 can lead to the imposition of criminal penalties of a fine up to S 1,500.00 andlor one-year impdvonment,as well as civil penalties in.the form of a SWOP WORK ORDER-and a fine of up.t?o$250.00 a day against the violator_ Be advised that a copy of this sWemeat maybe forwarded tit:the Office of Irnrestigations of the DIA for insu=e coverage verfficatit� I dri{terelry c erhfy ran-der tkspains and penat ies ofpeduty thatthe irrformi ran prinid8gdd ahm a is.b7ra and correct Sitmattme Bate'~ hgm� S'Z 3P-03 ©,f Zci,a1 rue on[ . Do not write in this area,to ba compteted by cityv or town offiiciaL � City or Town: Pt-nitucense if •;� Issuing Authority(drde one): 1.Board of Health 2.BurTxl ng Department 3.Citylramu Clerk 4.EIectrical Inspector S.Plumbing h-Tector 6.Other Contact Person: Phone#: _ 6 Information and. Instructions y Massachusetts General Laws chapter 152 requires all employers to provide workers'compensation for their employees. Pursuantto 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,partaership,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 shaII 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 subdivisioas shall enter into any contract for the performance of public work until acceptable evidence of compliance v,ith the insurance requirements of this chapter have been presented to the contracting authority_" Applicants — Please fill out the workers' compensation affidavit completely,by checking the boxes that apply to your situation and,if necessary,supply sub-contractor(s)name(s),address(es)and phone number(s)along with their certificates)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 Depart meat ei industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. '11e afiidavit should be retumed to the city or town that the application for the permit or license is being requested,not the Depar'snent 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. Sell insured companies should enter their self-insurance license number oa 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 add Jtion,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 ilz (city or town)."A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year.Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e.a dog license or permit to bum leaves etc.)said person is NTOT required to complete this affidavit. The Office of Investigations would lice 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 MassachusL-tts DepartTnent of 1idustrlal Accidents Ogee 01 kvestiptiam 600 Washington Strut Boston,IAA 02111 Tel.A 617- 7--49-00 W 406 or 1-9 MASSAFE Revised 4-24-07 Fax##617-727-7-149 www.mass-gov/dia NEWENGL-12 CNELSON DATE,4coRO` CERTIFICATE OF LIABILITY INSURANCE 7,15/1112015 YYY) THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must be endorsed. If SUBROGATION IS 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). PRODUCER CONTACT NAME: Nelson,AIC,AINS Rogers&Gray Insurance Agency,Inc. PHONE FAX 434 Rte 134 WC,No Ext: (A/C, A/C No): South Dennis,MA 02660 E-MAIL cnelson@rogersgray.com INSURER(S)AFFORDING COVERAGE NAIC# INSURER A:NATIONAL GRANGE-MAIN STREET AMERICA INSURED INSURER B:Associated Employers Insurance Co. 11104 New England Home&Glass,Inc INSURERC: 89 Bog River Bend INSURER D: Mashpee,MA 02649 INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. ILICY EXP LTR TYPE OF INSURANCE A L UBR POLICY NUMBER MM/DDIYYYY MM DD/YYYY LIMITS A COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 X❑ MPT5879H 04/23/2015 04123/2016 AENIED CLAIMS-MADE OCCUR PREMISES Ea occurrence $ MED EXP(Any one person) $ 10,000 PERSONAL&ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 PRO- POLICY JECT LOC PRODUCTS-COMP/OP AGG $ 2,000,000 OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ Ea accident) ANY AUTO BODILY INJURY(Per person) $ ALL AUTOS OWNED SCHEDULED AUTOS BODILY INJURY(Per accident) $ HIRED AUTOS NON-OWNED PROPERTY DAMAGE $ AUTOS Per accident $ i UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAR HCLAIMS-MADE AGGREGATE $ DED I RETENTION$ $ WORKERS COMPENSATION PER PER EMPLOYERS'LIABILITY STATUTE ER B ANY PROPRIETORIPARTNER/EXECUTIVE Y/N WCC50050122172014 07/01/2014 07/01/2015 E.L.EACH ACCIDENT $ 1,000,000 OFFICER/MEMBER EXCLUDED? ❑ N/A (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ 1,000,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 1,000,000 DESCRIPTION OF OPERATIONS 1 LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached If more space is required) ' CERTIFICATE HOLDER CANCELLATION, SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE **INFORMATIONAL PURPOSES ONLY** THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD a ° Town of Barnstable Regulatory.Services Xtichard V.ScaA Director Building Di'vis on Thomas Perry)C180' Building CommiWoner 200 Main Street, Kyaaals,MA 02601 www towa.barnstable.ma-vs 08Yce: 508-862,4038 - 1?ax.• 09490-6230 5 , a .., ... - Property Ovmet Must Complete axed Sim This Section If Using A Builder l C�(1G�i �i R k `9 ,as OwAcr of the subject property hereby autEXOtlze;jj �n 5S Trt ": to act oa my be64 �sg�c� in all matters relative to work autfw ized bythis building permit application for. ' '79C7 /ar rrs is —/�rcL 7 (Addfess ofJob) 6i r 1 Signature of O=Cz DAd priat Name VP rop"Ov mer fin applying for permit,please complete the&9xeowners license Uemption Itorm.on the is reverse aide. 6 `' Q:\WEFt[.ES�FOR1vfSlbpildmgpemsstYc�mpl2'1iPR8SS.doo Ravised 661313 t q. t0/'[0 3�tid' 9H3N £06ETZ5hLL WtlBZ:LT SiOZ/LS/50 Mass. Corporations, external master page Page 2 of 2 Title Individual name Address REAL PROPERTY RICHARD A. MARKS 33 BOYLSTON ST., SUITE 3000 CHESTNUT HILL, MA 02467 USA REAL PROPERTY JEREMY M. SCLAR 33 BOYLSTON ST., SUITE 3000 CHESTNUT HILL, MA 02467 USA REAL PROPERTY THOMAS J. DESIMONE 33 BOYLSTON ST., SUITE 3000 CHESTNUT HILL, MA 02467 USA REAL PROPERTY DEIRDRE A. GEOGHEGAN 33 BOYLSTON ST., SUITE 3000 CHESTNUT HILL, MA 02467 USA r r Confidential 0 Merger r Consent Data Allowed Manufacturing View filings for this business entity: ALL FILINGS Annual Report Annual Report - Professional Application For Registration Certificate of Amendment I View filings J Comments or notes associated with this business entity: L 'y FP ew search http://corp.sec.state.ma.us/CorpWeb/CorpSearch/CorpSummary.... 5/14/2015 r Mass. Corporations, external master page Page 1 of 2 2• William Francis Galvin Secretary of the Commonwealth of Massachusetts � 70 Corporations Division Business Entity Summary ID Number: 001053027 Request certificate New search Summary for: CAPE TOWN PLAZA LLC The exact name of the Foreign Limited Liability Company (LLC): CAPE TOWN PLAZA LLC Entity type: Foreign Limited Liability Company (LLC) Identification Number: 001053027 Old ID Number: Date of Registration in Massachusetts: 05-13-2011 Last date certain: Organized under the laws of: State: DE Country: USA on: 10-15-2010 The location of the Principal Office: Address: 33 BOYLSTON ST., SUITE 3000 City or town, State, Zip code, CHESTNUT HILL, MA 02467 USA Country: The location of the Massachusetts office, if any: Address: City or town, State, Zip code, Country: The name and address of the Resident Agent: Name: WS ASSET MANAGEMENT, INC. Address: 33 BOYLSTON STREET SUITE 3000 City or town, State, Zip code, CHESTNUT HILL, MA 02467 USA Country: The name and business address of each Manager: Title Individual name Address MANAGER WS CAPE TOWN LLC 33 BOYLSTON ST., SUITE 3000 CHESTNUT HILL, MA 02467 USA The name and business address of the person(s) authorized to execute, acknowledge, deliver,and record any recordable instrument purporting to affect an interest in real property: http://corp.sec.state.ma.us/CorpWeb/CorpSearclVCorpSummary.... 5/14/2015 i en >„y ���_�� r 1 �y�- 4 j � 1 � Mass. Corporatiofis, external master page Page 1 of 2 . f William Francis Galvin Secretary of • • of a�a Corporations Division Business Entity summary ID Number: 001118876 Request certificate I New search Summary for: NEW ENGLAND HOME & GLASS INC. , The exact name of the Domestic Profit Corporation: NEW ENGLAND HOME & GLASS INC. Entity type: Domestic Profit Corporation Identification Number: 001118876 Date of Organization in Massachusetts: 10-17-2013 Last date certain: Current Fiscal Month/Day: 12/31 The location of the Principal Office: Address: 89 BOG RIVER BEND City or town, State, Zip code, MASHPEE, MA 02649 USA Country: The name and address of the Registered Agent: Name: KAREN D. DAVIS Address: 89 BOG RIVER BEND City or town, State, Zip code, MASHPEE, MA 02649 USA Country: The Officers and Directors of the Corporation: Title Individual Name Address PRESIDENT TREVOR J. DAVIS 89 BOG RIVER BEND MASHPEE, MA 02649 USA - TREASURER KAREN D. DAVIS 89 BOG RIVER BEND MASHPEE, MA 02649 USA SECRETARY KAREN D. DAVIS 89 BOG RIVER BEND MASHPEE, MA 02649 USA DIRECTOR SAME TWO ABOVE SAME SAME, MA 02649 USA Business entity stock is publicly traded: l The total number of shares and the par value, if any, of each class of stock which this business entity is authorized to issue: http://corp.sec.state.ma.us/CorpWeb/CorpSearch/CorpSummary.aspx?FEIN=001118876&... 5/11/2015 Mass. Corporations, external master page Page 2 of 2 Total Authorized Total issued and Class of Stock Par value per share. outstanding No.of shares Total par No.of shares value CNP $ 0.00 10,000 $ 0.00 0 G r Confidential 03 Merger Consent Data Allowed Manufacturing View filings for this business entity: ALL FILINGS Administrative Dissolution Annual Report Application For Revival Articles of Amendment 1� w View filings) Comments or notes associated with this business entity: 1RZ New search http://corp.sec.state.ma.us/CorpWeb/CorpSearch/CorpSummary.aspx?FEIN=00I 118876&... 5/11/2015 Job Name: Verizon Hyannis Job#:54816 Date:Mar 30 2015 Location: HYANNIS,MASSACHUSETTS Product Qty: 1 n y. Door Location: Product: DURAMAX 5400 BP .s 71 1/2"[1816[PACKAGE WIDTH 119 112" 30351 PACKAGE HE41 WITH TRANI M 1/4"SHIM SPACE COMBINED ACTIVATION/SAFETY SENSORLU = N d� 2 Y 0 a z (V °' ^SO" "SX" SX"ISX—SXW ACCESS 0 COVER C9 0 in SOLENOID w Cu- 5 w G LOCK W W ELEVATION VIEW Q ;0PANIC 0e RELEASE z V U a a a v EXTERIOR INTERIOR o r' Q ACTIVATION/SAFETY Y FRAME WIDTH rn ZONES 6"[152) o m e s INTERIOR nso.L?s U o SEE EXTERIOR f THRESHOLDDETAILS 1 COMBINED UNIVERSAL" EMERGENCY I ACTIVATION/SAFETY BREAKOUT SENSOR EACH SIDE ALL PANELS V46112-[1181I �vERTICAL SECTIO PLAN VIEW 72"[1829]ROUGH OPENING 71 112"[18161 PACKAGE WIDTH 112"[131 INTERIOR 1/4"SHIM SPACE A "SX" USX" " "Sx• "sx" SO, 2 318"[59, EXTERIOR "SO" HEADER ABOVE nHORIZONTAL SECTION Job Name: Verizon Hyannis Job#:54816 Date:Mar 30 2015 _. Location. HYANNIS,MASSACHUSETTS Product Qty : 1 Door Location: Product: DURAMAX 5400 BP 1.94" [49] 1.50" [38] 1.50" [38] 1.00"[251 STILE, LOCK to 6063-T6 cy 0 0 a 0.50" [13] Q 1.50" [38] TRANSOM BOTTOM RAIL, 10" VERTICAL SECTION 6063-T6 STILE 1" GLASS 6063-T6 1.25" [32] OD EXTERIOR INTERIOR PANEL GLAZING VERTICAL SECTION 1 1/4" GLASS Cll> - 6"[152] 6.00" [152] 0.25"[6] N TAPERED EXTRUSION V" DOUBLE BEVEL THRESHOLD EXTRUSION 6" FRAME JAMB, 6" 6063-T6 Job Na Me: Verizon Hyannis Job#:54816 Date:Mar 30 2015 Location:'HYANNIS,MASSACHUSETTS Product Qty : 1 Door Location: Product: DURAMAX 5400 BP iT- l x Door Details Package Width Masonry/Rough Opening Clear Door Opening Width Emergency Breakout Package Height Rough Opening Height With Width I With Transom Transom 71.5000" 72.0000" 46.4967" 59.7100" 119.5000" 119.7500" Options Inclusions/Exclusions Finish Inclusions Door Package Color Clear Anodized Door package installation. Locking/Access Control Exclusions Access Control Mount Access Control(Panic w/solenoid option Recess prep&grout for track or threshold. (safe or secure)) Painting,patching&flooring work. Fail Safe/Fail Secure Fail Secure Preparation of rough opening. Demolition of existing storefront. Options and Accessories 120 volts AC to inside auto door header 5 amp min. Threshold Option Double Bevel 6"(Continuous) Caulking. Hardware Options None After hours premium labor. Switch and Control Options ROTARY SWITCH-6 POSITION Perimeter structural support/wood blocking for sliding door packages. Door Position Switch Permits&inspections by others. Alarm Contacts Exclusion Note Glass Specifications 1"Clear Tempered Insulating Glass is provided with doors BUT Transom Glass Thickness 1.00001, transom glass is excluded. SX Glass Thickness 1.250 SO Glass Thickness 1.250 SXS Glass Thickness 1.250 Shop Drawing I Submittal Review Date: No Exceptions Taken Furnish with Changes Noted Review and Resubmit Rejected SUBMITTAL WAS REVIEWED FOR GENERAL CONFORMANCE TO THE CONTRACT DOCUMENTS.THE GENERAL CONTRACTOR IS RESPONSIBLE FOR CONFIRMING AND CORRELATING DIMENSIONS AT JOBSITE FOR TOLERANCE,CLEARANCE,QUANTITIES,FABRICATION,TECHNIQUES OF CONTRUCTION,COORDINATION OF THIS WORK WITH THE WORK OF OTHER TRADES,AND FULL COMPLIANCE WITH THE CONTRACT DOCUMENTS. By: Company: { Massachusetts- Department of Public Safety^ Board of Building Regulations and Standards,,., ' Construction Supervisor j License: CS-107214 a � RAFAEL OLIVEI#-A ,. r 18 HOMELAND�i VE Saugus MA 01907 Expirat!bn Commissioner 04/2$/2(f175'� License or.-regiistrat on valid for individi use only Before the'explratlondate.:If-found'return;to - O.ffice of COnsumer'Affai�s"and&Bus' §,,Regulat on ' �. 10..,Park-,Plaza Suite-5170 Boston MN01116 'tI iA N:ot and,without signature J Massachusetts - Department of Public Safety -' � Board of Building Regulations and Standards Construction Supervisor License: CS-107214 s RAFAEL 0LIVEY%4 r 18 HOMELAND AVENI7E Saugus NIA 01906 Ex' irJtibn, 3s Commissioner 04/23/2017 ' .;.C .. ' C-���'�poo�vriaoncueczll���C/�G�ce��rrc�uaefGi Offce of;Consumer Affairs&Business Regulahon".'r MEIMPROVEMENT�CONTRACTOR" WIX'41 istration 3175574 TY` piration.t W-2-1/2015- Individual. I �'RAFAEL OLIVEIRA i? ' I R'AFAEL :OLI.VEIRA I O.M 18'HELAND AVE.�' G � SAUGUS-MA 01906 Undersecretary 3$: I' ' Town of Barnstable do Building Department - 200 Main Street * , ABLE. * Hyannis, MA 02601 9 MASS 1639. . (508) 862-4038 CFO MA'i a Certificate of Occupancy Application Number: 201304577 CO Number: 20130124 Parcel ID: 311092 CO Issue Date: 11115/13 Location: 790 IYANNOUGH-R0ADIRTE132 Zoning Classification: SPLIT ZONING Proposed Use: SHOPPING CENTER -'MALL Village: HYANNIS Gen Contractor: COMMONWEALTH BUILDING INC. Permit Type: CC00 CERTIFICATE OF OCCUPANCY COMM Comments: Building Department Signature Date Signed - TOWN OF BARNSTABLE - Bui 1"ding 201304577 N * BARNSTABLE, Issue ate: 07/25/13 , P e r m i t 9 MASS. �ArFG 39. A Applicant: COMMONWEALTH BUILDING INC. Permit Number: B 20131756 Proposed Use: SHOPPING CENTER-MALL Expiration Date: 01/22/14 Location,- 790 IYANNOUGH ROAD/RTE132Zoning District SPLTPermit Type: COMMERCIAL;A1jDITION ALTERATION .Map Parcel 311092 Permit Fee$ 4,459.00 Contractor COMMONWEALTH BUILDING INC. Village HYANNIS App Fee$ 100.00 License Num 025237 Est Construction Cost$ 490,000 Remarks APPROVED PLANS MUST BE RETAINED ON JOB AND REMODEL NEW VERIZON WIRELESS STORE TO NEW PROTOTYPE AS THIS CARD MUST BE KEPT POSTED UNTIL FINAL PER PLANS INSPECTION HAS BEEN MADE. WHERE A CERTIFICATE OF OCCUPANCY IS REQUIRED,SUCH Owner on Record: CAPE HARBOR ASSOCIATES BUILDING SHALL NOT BE OCCUPIED UNTIL A FINAL Address: C/O S R WEINER&ASSOC.,INC INSPECTIONIL BEEN MADE. 9330 STREET CHESTNUTTNUT HILL, ,MA 02467 Application Entered by: PF Building Permit Issued By: THIS PERMIT CONVEYS NO RIGHTTO OCCUPY ANY STREET ALLEY<OR"SIDEWALK OR ANY PART THEREOF,EITHER TEMPORARILY OR PERMANENTLY.;ENCROACHMENTeON PUBLIC PROPERTY,NO SPECIFICALLY PERMITTED UNDER THE BUIIAING CODE,-MUST BE APPROVED BY THE JURISDICTION,,"STREET OR'ALLEY 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 TIONS OF:ANY APPLICABLE SUBDIVISION y 2 RESTRICTIONS .,i MINIMUM OF FIVE CALL INSPECTIONS REQUIRED FOR ALL CONSTRUCTION WORK: 1.FOUNDATION OR FOOTINGS. 2.SHEATHING INSPECTION 3.ALL FIREPLACES MUST BE INSPECTED AT THE THROAT LEVEL BEFORE FIRST FLUE LINING IS INSTALLED. 4.WIRING&PLUMBING INSPECTIONS TO BE COMPLETED PRIOR TO FRAME INSPECTION. 5.PRIOR TO COVERING STRUCTURAL MEMBERS(FRAME INSPECTION). 6.INSULATION. 7.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 00 2 2 1 � � y,. J 2r/ I �&— I-/-/;?— 3 1 Heating Inspection Approvals Engineering Dept 1 0 " , f jFire De t 2 Board of Health x ' '� r � t�) [; ... e L ... � M , f r. T y �e�,y ��, �� f �` i � �5 ��ma. i ., �; �ttio Town of Barnstable Building Department - 200 Main Street •ARNSTABLE, ; Hyannis, MA 02601 9 MASS 163� . (508) 862-4038 RFD M�a Certificate of Occupancy Temporary Application 201304577 CO Number: 20130119. Parcel ID: 311092 CO Issue Date: 11104113 Location: 790 IYANNOUGH ROADIRTE132 Zoning Classification: SPLIT ZONING Owner: CAPE HARBOR ASSOCIATES Proposed Use: SHOPPING CENTER - MALL CIO S R WEINER & ASSOC., INC 1330 BOYLSTON STREET Village: HYANNIS CHESTNUT HILL, MA 02467 Gen Contractor: COMMONWEALTH BUILDING INC. Permit Type: CTCO COMM TEMPORARY CO Comments: 30 DAYS C- 12/04/13 Building Department Signature Date Signed Expiration Date f TOWN OF BARNSTABLE .Building 201304577 , iARNSTABLE, Issue Date: 07/25/13 Permit y MASS. Applicant: COMMONWEALTH BUILDING INC. Permit Number: B 20131756 Proposed Use: SHOPPING CENTER-MALL Expiration Date: 01/22/14 cation 790:IYANNOUGH ROAD/RTE132Zoning District SPLTPermit Type: COMMERCIAL'ADDITION ALTERATION ap Parcel 311092 Permit Fee$ 4,459.00. Contractor COMMONWEALTH BUILDING INC., llage HYANNIS App Fee$ 100.00 License Num 025237 Est Construction Cost$ 490,000 marks APPROVED PLANS MUST BE RETAINED ON JOB AND EMODEL NEW VERIZON WIRELESS STORE TO NEW PROTOTYPE AS THIS CARD MUST BE KEPT POSTED UNTIL FINAL ?R PLANS INSPECTION HAS BEEN MADE. WHERE A CERTIFICATE OF OCCUPANCY IS REQUIRED,SUCH ner on Record: CAPE HARBOR ASSOCIATES BUILDING SHALL NOT BE OCCUPIED UNTIL A FINAL tress: C/O S R WEINER&ASSOC.,INC INSPECTIONJL BEEN MADE. CHESTNUT BOYLTNUT TONHILL, STREET CHESTNUT HILL,MA 02467 location Entered by: PF Building Permit Issued By: pie _ PERMIT CONVEYS NO RIGHT TO OCCUPY ANY STREET ALLEY OR SIDEWALK OR ANY PART THEREOF;EITHER TEMPORARIY Y OR PERMANENTLY. ENCROACHME ON PUBLIC PROPERTY;NO TFICALLY PERMITTED UNDER THH BUII DING CODE MUST BE APPROVED BY THE 9URISDICTION STREET OR ALLEY GRADES AS WELVAS DEPTH AND LOCATION OF PUBLIC SEWERS MAY BE`_:f:. \INED FROM THE DEPARTMENT OF PUBLIC WORKS THE ISSUANCE OF THIS PERMIT DOES NOT RELEASE TTIE APPLICANT FROM HE CONDMONS OF ANY APPLICABLE'SUBDIVISION, RICTIONS F si r r IMUM OF FIVE CALL INSPECTIONS REQUIRED FOR ALL CONSTRUCTION WORK: )UNDATION OR FOOTINGS. iEATHING INSPECTION LL FIREPLACES MUST BE INSPECTED AT THE THROAT LEVEL BEFORE FIRST FLUE LINING IS INSTALLED. MING&PLUMBING INSPECTIONS TO BE COMPLETED PRIOR TO FRAME INSPECTION. UOR TO COVERING STRUCTURAL MEMBERS(FRAME INSPECTION). ISULATION. NAL INSPECTION BEFORE OCCUPANCY. ERE APPLICABLE,SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL,PLUMBING AND MECHANICAL INSTALLATIONS. ItK SHALL NOT PROCEED UNTIL THE INSPECTOR HAS APPROVED THE VARIOUS STAGES OF CONSTRUCTION. 21VIIT WILL BECOME NULL AND VOID IF CONSTRUCTION WORK IS NOT STARTED WITHIN SIX MONTHS OF TE THE PERMIT IS ISSUED AS NOTED ABOVE. SONS CONTRACTING WITH UNREGISTERED CONTRACTORS DO NOT HAVE ACCESS TO GUARANTY FUND(as set forth in MGL c.142A). RLDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS `G' - o0 2 + . S�b,a` 2 V 13 1 Heating Inspection Approvals Engineering Dept -e Dept C 2 Board of Health TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION + Map Parcel V Application ;�J` 5? Health Division Date Issued �-- ,/°`. r44 � Conservation Division Application Fe Planning Dept. Permit Feet Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation/ Hyannis ? Project Street Address�, f ff fxb Village 101 a60 L44' Owner 1 Address C. . Telephone Ems- ,,, .: Permit Request 1 �_-` .�-- � leAif�S .Square feet: 1 st floor: existing p oposed�� 2nd floor: existing proposed . �_,Tota.I+new o Zoning District Flood Plain Groundwater Overla)rSq ZE Project Valuation 47Z9. Aloy7 Construction Type �1 " Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting d079'umentation. Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family (# units) Age of Existing Structure Historic House: ❑Yes ❑ No On Old King's Highway: .;)Yes ❑ No eE Basement Type: ❑ Full ❑ Crawl ❑Walkout ❑ Other Basement Finished Areas .ft. Basement Unfinished Areas .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: )d Gas ❑ Oil ❑ Electric ❑ Other Central Air: 114 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 XYes ❑ No If yes, site plan review# Current Use rv.5'APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name � �- l ��c�� Telephone Number Address S)_/1 4*p1J -:5/-a License # &S -26�3 7 top— Home Improvement Contractor# Worker's Compensation # - ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE '� �L FOR OFFICIAL USE ONLY APPLICATION# ` DATEISSUED MAP/PARCEL NO. ADDRESS VILLAGE OWNER 4 DATE OF INSPECTION: " t�FOUNDATIONy • `~ FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL 1 .4 PLUMBING: ROUGH — FINAL t ` GAS: ROUGH FINAL FINAL BUILDING F DATE CLOSED OUT ASSOCIATION PLAN NO. c r; _.,. The Commonwealth of Massachusetts Department of IndustrialAccidents Office of Investigations 600 Washington Street Boston,MA 02111 www.mass gov/dia Workers' Compensation Insurance.Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly C Name (Business/Organizafion/Individual): Address:,26,!�;-- W/LL 4hedb City/State/Zip: Phone#: 6,1 7,0 Are you an employer?Check t e dppropriate,bog: Type of project(required): 1.❑ I am a employer with 4.K I am a general contractor and I employees(full and/or part-time).* . have hired the sub-contractors 6. ❑New construction 2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7. X Remodeling ship and have no employees These sub-contractors have g, ❑Demolition working for me in any capacity. employees and have workers' com insLrance. 9. El Building addition [No workers comp.insurance p required.] 5. ❑ We are a corporation and its 10.❑Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their 11.❑Plumbing repairs or additions myself- [No workers' comp. right of exemption per MGL 12.0 Roof repairs insurance required.]t c. 152, §1(4),and we have no employees.[No workers' 13.❑ Offer comp,insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. tContractors that check this box mast attached an additional sheet showing the name of the sob-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.Lic.#: Expiration Date: Job Site Address: A0,U-7/ City/State/Zip:hVJ Lvr-< Attach a copy of the workers'compensation policy declaration page(showing the policy n ber 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 x!oer tJJpa4,ns and penalties of perju that the information provided above is true and correct Si afore. - 17 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 Contact Person: Phone#: COMMBUI-03 MKDALY CERTIFICATE OF LIABILITY INSURANCE DAT2/261201 YY) 12126J2012 THIS CERTIFICATE 1S ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must be endorsed. If SUBROGATION IS 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). PRODUCER Y CONTANAME:CT Matthew Daly Gallagher Construction Services PHONEN t 617 531-7764 Ne; 617)531-7730 Arthur J.Gallagher&Co.Insurance Brokers One Market Street ADDRIESS: San Francisco,CA 94105 - INSURER S AFFORDING COVERAGE NAIC# INSURERA:Valley Forge Insurance Company 20508 INSURED INSURER B:Transportation Insurance Company 20494 Commonwealth Building,Inc. INSURER C:Continental Casualty Company 20443 265 Willard Street INSURER D: Quincy,MA 02169 INSURERE: INSURER F: __ COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BF.F_N REDUCED BY PAID CLAIMS. INSR I TYPE OFINSURANCE ADDL R POLICY EFF POLICY EXP LIMITS LTR R WVD POLICY NUMBER MMIDD(YYYY _(MMIODMlYY GENERALLIABILITY EACH OCCURRENCE $ 1,000,000 A X COMMERCIAL GENERAL LIABILITY 4020089074 12l3112012 12/31/2013 PREMISES Eaoccur TO rence $ 100,000 CLAIMS-MADE I-XI OCCUR MED EXP(Any one person) $ 6,000 PERSONAL&ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMPIOP AGG $ 2,000,000 POLICY X PROT- LOG $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT 1,000,000 Ea accident $ B ANYAUTO 6084920772 12/31/2012 12/31/2013 BODILY INJURY(Per person) $ ALL OWNED SCHEDULED - BODILY INJURY(Per accident) $ AUTOS X AUTOS $ X HIREDAUTOS X NON-OWNED (PERPACCIDENT)DAMAGC $ X UMBRELLA LIAR X OCCUR EACH OCCURRENCE $ 5,000,000 C EXCESS LIAB CLAIMS-MADE 4015485007 12/31/2012 12/31/2013 AGGREGATE $ 5,000,0(10 DED I X I RETENTION$ 10,000 $ WORKERS COMPENSATION X N1C STATU- OTH- AND EMPLOYERS'LIABILITY T RY LIMITS ER Y±N A ANY PROPRIETOR)PARTNERIEXECUTIVE 5084923445 12131/2012 12/31/2013 EL EACH ACCIDENT $ 1,000,000 OFFICERWEMBER EXCLUC N I A (Mandatory in NH) E.L DISEASE-EA EMPLOYEE $. 1,000,000 If yes,describe under DESCRIPTION OF OPERATIONS below - E.L.DISEASE-POLICY LIMIT $ 1,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES(Attach ACORD 101,Additional Remarks Schedule,If more space is required) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE MASTER SHE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTOO IZED R S NT TIVE © - 1 AC -0RATION. All rights reserved. ACORD 25(2010106) The ACORD name and logo are registered marks of ACORD . . . s COMMONWEALTH } ' BUILDING, INC. Building f r-Business Since 1979 July 15, 2013 Town of Barnstable Regulatory Services 200 Main Street Hyannis, MA 02601 Building Department, We have not secured all the proper.pricing for all applicable Sub- Contractors for this project. Upon awarding all contracts to each contractor, we will deliver to your office all current Workers' Compensation Insurance Affidavits. Frank Traino , President 265 Willard Street • .Quincy,Massachusetts 02169 • 617-770-0050 Fax 617-472-4734 wwwxombuild.com 100%Recycled paper 1 y ti .y Lt. x , 1 �',•������4'yy�ye�}� s 7f�, r � :.• � � 0¢/� N{FdS`kbT' C7��aM!W 1�^ , 'imewu v �✓� Y e Nil us .. Boat of Buildirt_ ; :lat4 n rtrat St r clay F k+ i ns rue fah.Supervisor i -n-s- E License -uS 2623.1 FRANCIS� TRAIN ,496 COMMERICAL ST V BRAINTREE pMA Q2J84 R �A `�-!- - Ek irati6h- 12113/2013 f� Message Page 1 of 1 Perry, Tom From: Shea, Sally Sent: Wednesday, July 24, 2013 3:29 PM To: Franey, Patrick; Perry, Tom Subject: FW: Verizon Project -----Original Message----- From: Lt. John Cosmo [mailto:jcosmo@hyannisfire.org], Sent: Wednesday, July 24, 2013 3:29 PM To: Shea, Sally Subject: FW: Verizon Project From: Lt. John Cosmo [mailto:jcosmo@hyannisfire.org] Sent: Wednesday, July 24, 2013 3:23 PM To: sally.shea@townofbarnstable.ma.us Subject: Verizon Project Bldg Commissioner Tom Perry and Sally Shea,the Hyannis Fire Dept has approved the building permit associated with the above project. We have spoken to Steve Harcark and addressed our concerns which he has assured us will be resolved. Thank You Lieutenant John Cosmo Hyannis Fire Dept 7/24/2013 CONSTRUCTION CONTROL PROJECT NUMBER: 17758x006 PROJECT TITLE: Verizon Wireless Hyannis,MA PROJECT LOCATION: Space 24,Capetown Plaza, lyanough Road(RT. 132), Hyannis, MA 02601 NAME OF BUILDING: NATURE OF PROJECT:Tenant fit out, Interior and Exterior Renovations IN ACCORDANCE WITH SECTION 116.0 OF THE MASSACHUSETTS STATE BUILDING CODE I, Gary D.Getz Registration No. 31736 BEING A REGISTERED PROFESSIONAL ENGINEER/ARCHITECT HEREBY CERTIFY THAT I HAVE PREPARED OR DIRECTLY SUPERVISED THE PREPARATION OF ALL DESIGN PLANS,COMPUTATIONS AND SPECIFICATIONS CONCERNING: ENTIRE PROJECT ( ) ARCHITECTURAL ( X ) STRUCTURAL ( ) MECHANICAL ( ) FIRE PROTECTION ( ) ELECTRICAL ( ) OTHER(specify) ( ) FOR THE ABOVE NAMED PROJECT AND THAT,TO THE BEST OF MY KNOWLEDGE,SUCH PLANS, COMUTATIONS AND SPECIFICATIONS MEET THE APPLICABLE PROVISIONS OF THE MASSACHUSETTS STATE BUILDING CODE,ALL ACCEPTABLE ENGINEERING PRACTICES AND ALL APPLICABLE LAWS AND ^ APPLICABLE LAWS AND ORDINANCES FOR THE PROPOSED USE AND OCCUPANCY. I FURTHER CERTIFY THAT I SHALL PERFORM THE NECESSARY PROFESSIONAL SERVICES AND BE PRESENT ON THE CONSTRUCTION SITE ON A REGULAR AND PERIODIC BASIS TO DETERMINE THAT THE WORK IS PROCEEDING IN ACCORDANCE WITH THE DOCUMENTS APPROVED FOR THE BUILDING PERMIT AND SHALL BE RESPONSIBLE FOR THE FOLLOWING AS SPECIFIED IN SECTION 116.2.2. 1 Review of shop drawings,samples and other submittals of the contractor as required by the construction contract documents as submitted for building permit,and approval for conformance to the design concept. 2 Review and approval of the quality control procedures for all code- required controlled materials. 3 Special architectural or engineering professional inspection of critical construction components requiring controlled materials or construction specified in the accepted engineering practice standards listed in Appendix B. N&%1736 .O IOWSON PURSUANT TO SECTION 116.2.3,1 SHALL SUBMIT PERIODICALLY,A PROGRESS REPORT TOGETHER It MID WITH PERTINENT COMMENTS TO THE STATE BUILDING INSPECTOR. �J �tH OF Mw UPON COMPLETION OF THE WORK,I SHALL SUBMIT A FINAL REPOJASTHE SATI CT Y COMPLETION AND READINESS OF THE PROJECT FOR OCCUPANCY 40 SIGNATURE SUBSCRIBED AND SWORN TO BEFORE ME THIS Co DAY OF 20),3// MY COMMISION EXPIRES `,��g1111 . L �.�pTAR lr% s 3��►•• 1,S4.'� 4yigAEinC1�����`` CONSTRUCTION CONTROL PROJECT NUMBER: PROJECT TITLE: Verizon Wireless Hyannis,MA PROJECT LOCATION: Space 24,Capetown Plaza,lyanough Road(RT.132),Hyannis,MA 02601 NAME OF BUILDING: NATURE OF PROJECT:Tenant fit out,Interior and Exterior Renovations IN ACCORDANCE WITH SECTION 116.0 OF THE MASSACHUSETTS STATE BUILDING CODE I, Timothy J.Smidt Registration No. 48822 BEING A REGISTERED PROFESSIONAL ENGINEER/ARCHITECT HEREBY CERTIFY THAT I HAVE PREPARED OR DIRECTLY SUPERVISED THE PREPARATION OF ALL DESIGN PLANS,COMPUTATIONS AND SPECIFICATIONS CONCERNING: ENTIRE PROJECT ( ) ARCHITECTURAL. ( ) STRUCTURAL, { ) MECHANICAL ( ) FIRE PROTECTION ( ) ELECTRICAL ( X ) OTHER(specify) ( ) FOR THE ABOVE NAMED PROJECT AND THAT,TO THE BEST OF MY KNOWLEDGE,SUCH PLANS, COMUTATIONS AND SPECIFICATIONS MEET THE APPLICABLE PROVISIONS OF THE MASSACHUSETTS STATE BUILDING CODE,ALL ACCEPTABLE ENGINEERING PRACTICES AND ALL APPLICABLE LAWS AND APPLICABLE LAWS AND ORDINANCES FOR THE PROPOSED USE AND OCCUPANCY: I FURTHER CERTIFY THAT I SHALL PERFORM THE NECESSARY PROFESSIONAL SERVICES AND BE F PRESENT ON THE CONSTRUCTION SITE ON A REGULAR AND PERIODIC BASIS TO DETERMINE THAT THE WORK IS PROCEEDING IN ACCORDANCE WITH THE DOCUMENTS APPROVED FOR THE BUILDING PERMIT yG AND SHALL BE RESPONSIBLE FOR THE FOLLOWING AS SPECIFIED IN SECTION 116.2.2. THY JOHN R! SMIDT -, V E CTRICAL 1 Review of shop drawings,samples and other submittals of the .48822 contractor as required by the construction contract documents as P p submitted for building permit,and approval for conformance to the 0 design concept. S.S+ 2 Review and approval of the quality control procedures for all code- a required controlled materials. 3 Special architectural or engineering professional inspection of critical construction components requiring controlled materials or construction specified in the accepted engineering practice standards listed in Appendix B. PURSUANT TO SECTION 116.2.3,1 SHALL SUBMIT PERIODICALLY,A PROGRESS REPORT TOGETHER WITH PERTINENT COMMENTS TO THE STATE BUILDING INSPECTOR. UPON COMPLETION OF THE WORK,I SHALL SUBMIT A FINAL REPORT AS TO THE SATISFACTORY COMPLETION AND READINESS OF THE PROJECT FOR OCCUPANCY. J SIGNATUR SUBSCRIBED AND SWORN TO BEFORE ME THIS ` DAY OF U N 20 MY COMMISION EXPIRES 7 ' a% J �i OTA,q*�t�`N°°s . M .` ® At• Co Ex S. 70 m 1BL1�;.N` ®tee CV�D CO3` ®® °®�///la0aate®fee CONSTRUCTION CONTROL PROJECT NUMBER: PROJECT TITLE: Verizon Wireless Hyannis,MA PROJECT LOCATION: Space 24,Capetown Plaza,lyanough Road(RT.132),Hyannis,MA 02601 NAME OF BUILDING: NATURE OF PROJECT:Tenant fit out,Interior and Exterior Renovations IN ACCORDANCE WITH SECTION 116.0 OF THE MASSACHUSETTS STATE BUILDING CODE I, Daniel T.Fuhrman Registration No. 48834 BEING A REGISTERED PROFESSIONAL ENGINEER/ARCHITECT HEREBY CERTIFY THAT I HAVE PREPARED OR DIRECTLY SUPERVISED THE PREPARATION OF ALL DESIGN PLANS,COMPUTATIONS AND SPECIFICATIONS CONCERNING: ENTIRE PROJECT ( ) ARCHITECTURAL ( ) STRUCTURAL ( ) MECHANICAL ( X ) FIRE PROTECTION ( ) ELECTRICAL ( ) OTHER(specify) ( ) FOR THE ABOVE NAMED PROJECT AND THAT,TO THE BEST OF MY KNOWLEDGE,SUCH PLANS, COMUTATIONS AND SPECIFICATIONS MEET THE APPLICABLE PROVISIONS OF THE MASSACHUSETTS STATE BUILDING CODE,ALL ACCEPTABLE ENGINEERING PRACTICES AND ALL APPLICABLE LAWS AND APPLICABLE LAWS AND ORDINANCES FOR THE PROPOSED USE AND OCCUPANCY. I FURTHER CERTIFY THAT I SHALL PERFORM THE NECESSARY PROFESSIONAL SERVICES AND BE jt OF AIA PRESENT ON THE CONSTRUCTION SITE ON A REGULAR AND PERIODIC BASIS TO DETERMINE THAT THE WORK IS PROCEEDING IN ACCORDANCE WITH THE DOCUMENTS APPROVED.FOR THE BUILDING PERMIT AND SHALL BE RESPONSIBLE FOR THE FOLLOWING AS SPECIFIED IN SECTION 116.2.2. �� DANIELTODD n+ r FUHRMAN .1 ® MECHANICAL 1 Review of shop drawings,samples and other submittals of the v NO.418t co contractor as required by the construction contract documents as �a submitted for building permit,and approval for conformance to the IS design concept. 2 Review and approval of the quality control procedures for all code- required controlled materials. 3 Special architectural or engineering professional inspection of critical construction components requiring controlled materials or construction specified in the accepted engineering practice standards listed in Appendix B. PURSUANT TO SECTION 116.2.3,1 SHALL SUBMIT PERIODICALLY,A PROGRESS REPORT TOGETHER WITH PERTINENT COMMENTS TO THE STATE BUILDING INSPECTOR. UPON COMPLETION OF THE WORK,I SHALL SUBMIT A FINAL REPORT AS TO THE SATISFACTORY COMPLETION AND READINESS OF THE PROJECT FOR OCCUPANCY. r SIGNATURE SUBSCRIBED AND SWORN TO BEFORE ME THIS DAY OF UN 19— 2013 MY COMMISION EXPIRES Y CoMM.t x S. e ���RFORD�•'e®® ��®S6III lilt%���0 To" of Barnstable r Regii1atoiry Services J Thomas F,Geiler,Dtrecto: +'►�``" �� Building Dh ision Tom Parr,Bnildiog Commircia¢ar 2001.iain Mrw%Ffy=a,IAA 02601 srww.Wwu,Lartutsitta.ma.uy Office 50&462-4038 Piro- SOS 790-6230 Property ONVRUr AIust Complete and.Sign This Scuiori Richard A. Marks �c C7aa*�c:of me s;,lsjFct ptnpt::p i^an 7 rainor;o • hrrcby au;bmim _QQMJ Qnwealt L—B-Uililing,..Inc_in act on my bebal„ is 22 ccww relative to q�ndc sushtimeti by tbJs bvi albg panim ,Uciress of Job) C5�Cot7 **rloal fences and alarms are al tht•anlrJicam. 1 001a sue nor to be fzfled or utilized before baste:i iri,,WU anti all Amd .irlspe 'orts arc pt:cfort.ncd aad acrcpred. i n"t uc,of u _- z t 'L J1'4Gft4P.IP Richard A. Marks11 . .. Ft.ot Nmr. ptxa,Naac li' n2 J'Ft)1U45:O�P.P�l.US4YJ:�'I°0045 N2DI7 ... - i 1 i he Commonwealth of Massachusetts William Francis Galvin-Public Browse and'Search Page 1 of 2 =M1 The Commonwealth of Massachusetts #% William Francis Galvin Secretary of the Commonwealth,Corporations Division ``. One Ashburton Place; 17th floor. -Boston,MA 0210871512. ' T Telephone;(617)727�9640 tr, CAPE TOWN PLAZA LLC Summary Screen 0 Help with this form -Request a Certificate The exact name of the Foreign Limited Liability_Company(LLC):CAPE TOWN PLAZA LLC Entity.Type: Foreign Limited•LiabilityC.omppn(LLC)- Identification Number: 001053027 Old Federal,Employer.Identification Number(Old FEIN): ®ate of Registration in Massachusetts: 05/13/2011 The is organized'under.the laws of: State:DE.: Country:USA on: Oct 15 2010 The location of its principal office:' No.and Street: 1330 BOYLSTON ST., SUITE:212 City or Town: CHESTNUT HILL ..State:MA Zip:.02467 Country:USA . . The location of its Massachusetts.office,if any: No. and Street: City or Town: State: ,.Zip Country: The name and address of the Resident Agent. Name: S.R.WEINER.&ASSOCIATES.INC: No.and Street: 1330 BOYLSTON ST.,SUITE 212 City or Town: CHESTNUT HILL State:MA Zip;02467 Country:USA The name and business address of each manager Title Individual,Name Address(no PO Box) First,Middle,Last,Suffix Address,City or Town,State,-Zip Code MANAGER WS CAPE TOWN LLC,. 1330 BOYLSTON ST.,STE 212. CHESTNUT HILL,MA 02467 USA,. The name and'business.address of thejperson(s)authorized to execute,acknowledge,deliver and record any recordable instrument purporting to affect an interest in-real property Title. Individual Name Address(no Po Box) First,Middle,Last,Suffix Address,City or Town,State,Zip Code REAL PROPERTY RICHARD A.MARKS ?. 1330 BOYLSTON ST.;SUITE 212 - CHESTNUT HILL,MA 02467 USA REAL PROPERTY JEREMY.M.SCLAR 1330 BOYLSTON ST.,SUITE 212 CHESTNUT HILL,MA 02467 USA REAL PROPERTY '.THOMAS,J.DESIMONE. http://www:corpaecatate.ma us/Corp/corpsearch/CoipSearch8ummary,asp?ReadFromDB= -7/11/2013 he Commonwealth.of Mdssachusetts W lliam Francis Galvin- Public Browse'and Search Page 2 of 2 r .1330 BOYLSTON ST SUITE 212 CHESTNUT HILL,MA 02467 USA REAL PROPERTY DEIRDRE A GEOGHEGAN -.1330 BOYLSTON ST.,SUITE 212 r CHESTNUT HILL;MA 02467 USA Consent Manufacturer Confidentlal:Data. Does Not Require Annual Report Partnership: X . Resident Agent For.Profit Merger.Allowed : Select a type of filing from below to view this business entity filings.: ..ALL FILINGS Annual:Report 'A . Annual Report-Professional Application For Registration Certificate of Amendment View Filings -New Search comments ©2001-2013 Commonwealth of Massachusetts. Q . All Rights Reserved. Help. � . . http://www cofp sec state.ma us%corpLcorpsearch/CorpSearchSuminary-;asp.?ReadF'roifiDB 77. 7/1.1/2013 Frank Trainor t=rome Sullivan; Gail [Gail.Sullivan@wsclevelopment.com] Sent: - Tuesday, July 16, 2013 2:50 PfVI - To: Cook, Dianne; Frank Trainor, Marks, Dick -Subject: RE: Attached Image Attachments: 20130716145740.pdf Attached is the revised authorization. Please let me know if you need anything else., Executive Assistant WS Development Associates'LLC 1330 Boylston Street,Suite 212 Chestnut Hill, MA 02467 Telephone: 617-646-3297 gail.sullivan@wsdevelooment com ; ':. From:-Cook, Dianne____ Sent:Tuesday, July 16, 2013 2:39 PM To: Sullivan, Gail Subject: Fwd: Attached Image pr 4 The Commonwealth of Massachusetts William Francis Galvin- Public Browse and Search Page 1 of 2 The Commonwealth of Massachusetts William Francis Galvin j Secretary of the Commonwealth,Corporations Division One Ashburton Place, 17th floor Boston,MA 02108-1512 Telephone: (617)727-9640 COMMONWEALTH BUILDING, INC. Summary Screen Help with this form � Request a Certificate" The exact name of the Domestic Profit Corporation: COMMONWEALTH BUILDING, INC. The name was changed from: COMMONWEALTH BUILDING&REMODE on 7/13/1998 Merged with COMMONWEALTH BUILDING BUSINESS TRUST on 7/1/2013 Entity Type: Domestic Profit Corporation Identification Number: 042706053 Old Federal Employer Identification Number(Old FEIN): 000160582 Date of Organization in Massachusetts: 08/07/1980 Current Fiscal Month 1 Day: 12/31 Previous Fiscal Month/Day 09/30 The location of its principal office: No. and Street: 265 WILLARD STREET City or Town: UQ INCY State: MA Zip: 02169 Country: USA If the business entity is organized wholly to do business outside Massachusetts,the location of that office: No. and Street: City or Town: State: Zip: Country: Name and address of the Registered Agent: - Name: FRANK TRAINOR No. and Street: 265 WILLARD STREET City or Town: U(� INCY State: MA Zip: 02169 Country: USA The officers and all of the directors of the corporation: Title Individual Name Address(no PO Box) Expiration First,Middle,Last,Suffix Address,City or Town,State,Zip Code of Term PRESIDENT FRANK TRAINOR 496 COMMERCIAL ST., BRAINTREE,MA 021.84 USA TREASURER FRANK TRAINOR 496 COMMERCIAL ST., BRAINTREE,MA 02184 USA SECRETARY FRANK TRAINOR 496 COMMERCIAL ST., BRAINTREE,MA 02184 USA DIRECTOR FRANK TRAINOR http://corp.sec.state.ma.us/corp/corpsearch/CorpSearchSummary.asp?ReadFromDB=True... 7/11/2013 The Commonwealth of Massachusetts William Francis Galvin- Public Browse and Search Page 2 of 2 496 COMMERCIAL ST. BRAINTREE,MA 02184 USA business entity stock is publicly traded: The total number of shares and par value, if any,of each class of stock which the business entity is authorized to issue: Par Value Per Share Total Authorized by Articles Total Issued Class of Stock Enter 0 if no Par of Organization or Amendments and Outstanding Arum of Shares Total Par Value Num of Shares CNP $0.00000 112,500 $0.00 0 CNP $0.00000 12,500 $0.00 0 Consent Manufacturer Confidential Data _ Does Not Require Annual Report Partnership _ Resident Agent _ For Profit _ Merger Allowed Select a type of filing from below to view this business entity filings: ALL FILINGS Administrative Dissolution i Annual Report Application For Revival Articles of Amendment w,Fdings � New,Search � Comments O 2001-2013 Commonwealth of Massachusetts All Rights Reserved Help http://corp.sec.state.ma.us/corp/corpsearch/CorpSearchSummary.asp?ReadFromDB=True... 7/11/2013 =The Commonwealth of Massachusetts William Francis Galvin -...-Page 1 of 3 The Commonwealth of Massachusetts William Francis Galvin Secretary of the Commonwealth, Corporations Division One Ashburton Place, 17th floor Boston, MA 02108-1512 Telephone: (617) 727-9640 S.R. WEINER & ASSOCIATES, INC. Summary Screen 0 Help with this form " �4Request a�; eitificate , ` The exact name of the Domestic Profit Corporation: S.R. WEINER & ASSOCIATES, INC. The name was changed from: SRW, INC. on 5/6/1982 Entity Type: Domestic Profit Corporation Identification Number: 042745768 Old Federal Employer Identification Number (Old FEIN): 000173496 Date of Organization in Massachusetts: Aug 28 1981 Current Fiscal Month / Day: 09 / 30 Previous Fiscal Month / Day: 01 / 01 The location of its principal office: No. and Street: C/O S.R. WEINER &;ASSOCIATES, INC. 1330 BOYLSTON STREET, SUITE #212 City or Town: CHESTNUT HILL State: MA Zip: 02467 Country: USA If the business entity is organized wholly to do business outside Massachusetts, the location of that office: No. and Street: City or Town: State: Zip: Country: Name and address of the Registered Agent: Name: CT CORPORATION SYSTEM No. and Street: 155 FEDERAL ST SUITE 700 City or Town: BOSTON, MA 02110 State: MA Zip: 02467 Country: USA http://corp.sec.state.ma.us/corp/corpsearch/CorpSearchSummary.... 5/22/2013 The Commonwealth of Massachusetts William Francis Galvin. -... Page 2 of 3 O . The officers and all of the directors of the corporation: Title Individual Name .Address (no PO Box) Expiration First, Middle, Last, Address, City or Town, State, Zip of Term Suffix Code PRESIDENT JEREMY M. SCLAR 305 DUDLEY ST. NONE BROOKLINE, MA 02445-5935 USA TREASURER DEIRDRE A. 2 PINI TERR. NONE GEOGHEGAN FOXBORO, MA 02035 USA SECRETARY ALAN W. 24 GOULD RD. NONE ROTTENBERG NEWTON, MA 02168 USA DIRECTOR RICHARD A. MARKS 198 BABCOCK ST. NONE BROOKLINE, MA 00000 USA DIRECTOR . JEREMY M. SCLAR 305 DUDLEY ST. NONE BROOKLINE, MA 02445-5935 USA DIRECTOR THOMAS J. 55 PURITAN LANE DESIMONE SWAMPSCOTT, MA 01905 USA business entity stock is publicly traded: The total number of shares and par value, if any, of each class of stock which the business entity is authorized to issue: Par Value Per Total Authorized by Articles Total,Issued Class of Stock Share of Organization or and Outstanding Enter 0 if no Par Amendments Num of Shares Num of Shares Total Par Value CNP $0.00000 15,000 $0.00. 100 Consent _ Manufacturer _ Confidential _ Does Not Require F http://corp.sec.state.ma.us/core/corpsearch/CorpSearchSummary.... 5/22/2013 The Commonwealth of Massachusetts William Francis Galvin -... Page 3 of 3 Data Annual Report Resident for Profit Merger Allowed Partnership Agent — Note: There is additional information located in the cardfile that is not available on the system. Select a type of filing from below to view this business entity filings: ALL FILINGS Administrative Dissolution Annual Report t; Application For Revival Articles of Amendment j stir �. Comments ©2001 - 2013 Commonwealth of Massachusetts. a All Rights Reserved Help http://corp.sec.state.ma.us/corp/corpsearch/CorpSearchSummary.... 5/22/2013 LFMassachusetts Department of Environmental:.Protection Bureau of Waste Prevention • Air Quali BWP AQ 06 Decal Number Notification Prior to Construction'or Demolition Whe filling out A. Applicability forms on the computer,use only the tab Ivey A Construction or Demolition operation of an industrial,.commercial, or institutional building, or, to move your residential building with 20 or more units is regulated by.the Dep re use the return artment of Environmental Protection cursor turn not (DEP), Bureau of Waste Prevention-Air-QualityControl Regulations 310 CMR 7.09. Notification of Ivey. Construction or Demolition operations is required"under 310 CMR 7.09(2)ten (10)days prior to any - work being performed. The following,information is required pursuant.to 310 CMR 7.09.:: B. General Project Description 1. a. Is this facility fee exempt-city,town, district, municipal housing 'authority, owner-occupied Instructions residence of four units or less?❑Yes,Q NO 1.All sections of b. Provide.blanket decal number if applicable:this form must be Blanket Decal Number completed in order to comply with the 2. Facility Information: Department of CaP a Town Plaza Environmental Protection a.Name notification 1790 lyanough Road " requirements of b.Address _ 310 CMR 7.09 H annis IMA —� 1621601 c.Ci4 !Town d.State e.Z.iP Code (617)592-1064 f.Telephone Number area code and extension E-mail Address(optional) 5,000 177 h,Size of Facility in Square Feet i.Number of Floors j.Was the facility built prior,to 1980? ❑ Yes 1✓, No k. Describe the current or prior use of"the facility: Retail I. Is the facility a residential facility? ❑ Yes ✓1 No m. If yes, how many units?. o Number of Units —0 3. Facility Owner' �N S.R.Weiner&Associates =-o a.Name 0 11330 Boylston Street - b.Address Chestnut Hill [M7A 02467 �co . c.City/Town d.State e.Zip Code" o (617)232-8900 f Telephone Number(area-code-and extension .E-mail Address o lion I a Unknown eQ h.Onsite Manager Name,- ® ag06.doc-10/02 " $WP AQ 06.^"Page 1 of 3.® . e Massachusetts ®epartment of Environmental-ProtectionL Bureau of Waste Prevention • Air Quali "- _ . tY _ Decal Number -BWP AQ 06 Notification Prior to Construction or Demolition General Description Be General Project . coot, Statement:If J P � (cont.) asbestos is found during a 4. General Contractor Construction or Demolition Icommonwealth,Building Inc operation;all responsible parties a.Name mustcomply.with 265 Willard Street 310 CMR 7.00; be Address _ 7.09,7.15,and Quint MA 02169 Chapter 21 E.of the � General Laws of c.Cit /Town d.State e.Zip Code the Commonwealth. (617)770-0050 This would include, f.Tele hone Number area code and extension Q.E-mail Address(optional) but would not be limited to,filing.an lFrank Trainor: asbestos removal he On-site Manager Name notification with the Department and/or a notice of release/threat of. release of a Co General Construction or Demolition Description hazardous substance to the 1 Construction or demolition contractor: Department,if applicable. Icommonwealth Building Inc. a.Name 265 Willard Street b.Address Quint MA ---� 02169 c.City/Town d.State e.Zip Code (617)770-0050 f.Telephone Number(area code and extension) g.E-mail Address(optional) FrankTrainor h.On-site Manager Name 2. On-Site Supervisor; Frank Trainor . On-SiteSupervisor.Name 3. Is the entire facility to be demolished? .. Q Yes ✓® No N 0 4. Describe the area(s)to be demolished: o Limited interior demolition only �N -p 5. If this is.a construction project, describe the building(s)or addition(s)to be constructed: Interior Verizon Wireless retail build-out 0 C! ' �Q ® ag06.doc 10/02 BWP AQ 06^Page 2 of 3 Massachusetts Department of Environmental Protection _ -•Bureau of Waste Prevention• Air Qua_Iltv7 n - BWP AQ Decal Number Notification Prior to Construction or Demolition Co General Construction or Demolition Description (cont;;) ' . -_ 6. a. If this is a demolition project,were.the structure(s)surveyed for the presence of asbestos containing material (ACM)? ❑✓. Yes ❑ No If yes,who conducted the survey? b Survevor Name 001719 c.Division of Occupational Safety Certification Number 7. Construction or Demolition 07/30/2013. 07/31/2013 a.Start Date(mm/ddlyyyy) b.End Date(mm/ddlyyyy) 8. a. For demolition and construction projects; indicate dust suppression techniques to be used: ❑ seeding 0 paving ; b..If other, please specify: R wetting -❑ shrouding ❑ covering :0 other 9. For Emergency Demolition Operations,.who is the DEP official who evaluated the emergency? = a.Name of DEP Official b.Title c.Date mm/dd/ of Authorization d.DEP Waiver Number Do Certification "' I certify that I have examined the. lFrank Traino -o above and that to the best of my a.Print N -o knowledge it is true and complete... .. The signature.below subjects the. b.Authorized Signature N signer to.the general.Statutes president - -p regarding a false and misleading c.Position ale a statement(s). JVerizon Wireless d.Representing. e.Date(mm/dd/yyyy) �b ® ag06.doc•10/02 BWP'AQ 06=Page 3 of 3 M. PROJECT NAME: ADDRESS:--7 01 V", " VWIL5 PEiZMIT#— PERAUT DATE: t l lwP: I t -- 09 LARGE ROLLED PLANS ARE IN: BOX SLOT Data entered in MAPS program on: 1 3 . ) [ BY: q/wpfiles/forms/archive is : ,,veri .t —:'k• .�� DIRECT : STORE Frohlin Si Co. r g DESIGNERS � R:ABRLCATORS:' INSTALLERS 711 _ EXECUTIVE BLVD VALLEY COTTAGE,NY . 845-623-2258 HYANNIS ° .-. ... .. Y 790 IYANN U H RD. HYA 02601 SIGNAGE EXTERIOR AL k " - ..". s t DESIGN APPROVAL SUBMITTAL RECORD ; t DATE REMARKS. 2018-06-19 INITIAL SUBMITTAL 2018-07-17 REVISED SUBMITTAL _. "�' 1. � •.�.� ��- _1�. -d.� ��'= _ a � '� � �� • � � � �a. _� .ems;;♦ � i r�^ nS ', 1�+ tr `re,`_'Ji#•r5r '. - �'.ym„� a�`. r! r h ' mom ICY fil NM �._i '_s4, 'd' *. .� al �� t"• •L-r �'j'����.. �.-`a��� # � y`�': +yam �. a �� ��� s -�c :���. ��°¢*�" gyp. � f �' ~�'�• � �•' r. .� ire • r - , r , t al � � a • �r R=a i y -, "MillW—n pill 4- » - r r ,P 1- 1 y, r -' STORE NUMBER - ADDRESS SHEET TITLE - "'•"` DALE REVISION ^ " PREPARED BY SNEETNUMBER •"' - 790 IYANNOUGH RD. STREET/CONTEXT PHOTOS2o,s.os.,s Froh 4 —_—n. verizo HYANNIS,MA 02601 PAINT BACKGROUND TO MATCH PMS COOL GRAY 10 ONE HALF - CHECK MARK WIDTH a0 ONE HALF 7 -.. - } CHECK MARK WIDTH Qa _ I a , , .. '� .__ a.iR -..«.,..,�; ,► �.. � w _ .�. -=-,,fie o�s�`i.I+ "�r.11cael8� ,.s. . . ,. - .�. ,�..w.... "mow �, .- ,..,.. w.-. :� ,, ..,,.., -,�« "::•s.,x..,..>,;��d'w�r•.'?YY'a,, r e EXISTING CONDITION REVISED CONDITION EXISTING SIGNAGE: EXISTING VERIZION SIGNAGE HEIGHT 14-3/4"V NOTE: ALL EXISTING,NON-STANDARD,WINDOW GRAPHICS AND SIGNAGE TO BE REMOVED AND REPLACED WITH NEW STANDARD GRAPHICS. - STORE NUMBER -- ADDRESS - SHEETTRLE - "- - - - DATE REVISION PREPARED BY - SHEET NUMBER verizonJ 790 IYANNOUGH RD. SIGN 1 -SOUTHWEST ELEVATION WALL SIGN-RENDERING 2018.06.19 5 HYANNIS,MA 02601 F70hllin Sign CO. KEYNOTES 2"DEEP,.FACE-LIT, FABRICATED ALUMINUM CHANNEL LETTER S FLUSH MOUNTED TO WALL COLORS E WHITE ACRYLIC FACES Og ,. WHITE TRIM&RETURNS SLUC 3 -TRANSLUCENT.POPPY RED M 3630 143 1 Al B Q SATIN PMS 485 TRIM&RE TURNS 13'.3 1/4" _ o c - — WALL COLOR: PMS COOL GRAY 10 CV El TARGET"V" HEIGHT. 26-1/2" ACTUAL„V„ HEIGHT: 23 STORE NUMBER. ADDRESS- SHEET TITLE DATE REVISION PREPARED BY _ SHEET NUMBER asp iYANNOUGH RD. SIGN 1 -SOUTHWEST.ELEVATION WALL SIGN-FABRICATION DETAIL 201 •'J e os s 6 paw ��I�O� HYANNIS,MA'02601 r®Frohling S gnQq 1 PAINT BACKGROUND - - - TO MATCH PMS COOL GRAY 10 2. , I y vti I i I _ - , F , , . rx ,.- r- Y : _ y. _ EXISTING CONDITION REVISED CONDITION EXISTING SIGNAGE: EXISTING VERIZION SIGNAGE HEIGHT 14-3/4"V NOTE: ALL EXISTING,NON-STANDARD,WINDOW GRAPHICS AND SIGNAGE TO BE REMOVED AND REPLACED WITH NEW STANDARD GRAPHICS. - - STORE NUMBER - ADDRESS SHEET TRLE DATE REVISION PREPARED BY SHEET NUMBER 7901YANNOUGH RD. SIGN 2- NORTHWEST ELEVATION WALL SIGN-RENDERING 2018.06.19 verizon✓ HYANNIS,MA 02601 FrOhlln sl CA. 7 KEY NOTES 2"DEEP, FACE-LIT, FABRICATED ` ALUMINUM CHANNEL LETTERS FLUSH MOUNTED TO WALL COLORS OA WHITE ACRYLIC FACES OT TURN WHITE RIM&RETURNS OTRANSLUCENT OP 3M 3 - 3 ANS CENT POPPY RED 36 0 14 �OO •• DD SATIN PMS 485 TRIM&RE TURNS 13'-3 1/4 WALL COLOR: PMS COOL GRAY 10 - - cm N . TARGET W".HEIGHT.:26-1/2" ACTUAL"V" HEIGHT. 23 STORENUMBER ADDRESS SHEETTITLE DATE REVISION PREPARED BY SHEET NUMBER a90IYANNOUGH RD., SIGN 2-NORTHWEST.ELEVATION WALL SIGN-FABRICATION DETAIL 018 s 8. verizon✓ HYANNIS,MA-02607 2 os.1FiOhlirigSignCo. UL LABELS ON TOP OF LETTERS VERIZON LETTERS 0.040 ALUMINUM RETURNS(2"DEPTH): 2 PAINTED MP#6425 SP SATIN HI HIDE WHITE 3/4"TRIM CAP: 2 PAINTED MP#6425 SP SATIN HI HIDE WHITE 3 3/16"ACRYLIC FACE: #7328 P95 MATTE ACRYLIC FACE LED UNITS(WHITE): 4. SLOAN V180 STANDARD 701269-6WSGI-MB 4 CHECKMARK 0.040 ALUMINUM RETURNS(2"DEPTH): PAINTED MP#643 SATIN:PMS 485 3/4"TRIM CAP: PAINTED MP#643 SATIN:PMS 485 8 5 ? 3/16"ACRYLIC FACE: J #7328 WHITE ACRYLIC WITH APPLIED 3M 3630-143 VINYL q LED UNITS(RED): PRINCIPAL PL-FS3 RD7-P 9 IDENTICAL SPECS C UL LISTED HOUSING: J 6 SECONDARY WIRING SPLICE POINT(WHEN NEEDED) PRIMARY POWER CIRCUIT(PROVIDED/PERMITTED BY OTHERS) 6 TO BE PLACED WITHIN 5 FEET OF CENTER OF SIGN Low O CONDUIT: 10 7 SECONDARY ELECTRICAL RUN p 0.063 ALUMINUM BACK: PRECOAT WHITE FINISH MOUNTING HARDWARE: 7 #8 HEX SCREW INTO BACKER PANEL 1 1 Q WEEP HOLES w/BAFFLES LETTER SECTION SCALE:N.T.S. A-SECTION DETAIL NOT TO SCALE i STORE NUMBER. ADDRESS - - SHEET TITLE - - DATE REVISION - - PREPARED BY - SHEET NUMBER verizonl/ 3140 BERLIN TURNPIKE SIGN 1, 2-SECTION DETAIL 2018.06.18 9 NEWINGTON,CT.06111 FTOhhrigSlgIl�O.