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1070 IYANNOUGH ROAD/RTE132 - SHAWS/STAR MARKET FESTIVALL MALL
Aullry .Aug , 20 2010 8: 27AM BARNSTABLE fire .dept No• 6926 P • 2 . . FIRE DEPAR )DENTS OF ':FIE TOWN OF�3ATZi1rSTA}3Y,� J+ire revention Officeincicley ]Building 200 IYTain Street, I ya-nntis, MA 02601 ,(508) 862-4097 BUI DING'CODE COMPLIANCE FORM Plans dated 0b-116-kp forth, property located at = \O`1� have been reviewed by 0'% , also kF,:;)wp'as �— of the Barnstable :O COMt Ca Gotuit q Hyannis 0 West:Bar•.nstable , fire De.pa.rtment, THE CHART BELOVV:INDICATES THE STATUS OF THE REVIEW_: TYPF OF-CONSTRUCTION DOCU ENT ` N/A . RECEIVED REVIEWED COMPLIES- 1. Narrative Report e/ 2, Firefighting & Rescue Access f 3. Hydrant Location &Water'Supply 4. Sprinkler Systems s 5, Sprinkler Control Equipment 6. Standpipe Systems 7. Standpipe Valve Locations 8. Fire Department Connection 1� 9.Fire Protective Signaling System 10. F.P.S.S. &Annunciator Location 11, Smoke-Control/Exhaust c% ~ 12, Smoke Control Equipment'Locati n f la. Life Safety System features a/ 14. Fire Extinguishing Systems 15. F.B.S. Control Equipment Locati n 16. Fire'Protection Rooms 17. Fire Protection Equipment•Signa e 18..Alarm Transmission Method ✓ `` J 1.9. Sequence of Operation Repott �/ 2D. Acceptance Testing Criteria We believe this document to be omplete and compliant for the issuance of a building .permit. 1f e ave completed tfie accepta ce testing for the occupancy permit and believe,that within the scope of the building permit, the above issues are in compliancy. &Yek > LC .^4�< `A ibbi -►4t tbRN1.5�03C e.� tPC��J.'� f PROJECT M1 NAME: OyGt`o-j c ADDRESS � G- �•; I 0-70-4 i er�f__n� PERb I PERMIT DATE Zi5t-,6. Gl ' .w M/P: I L RE ,C{,.`9� �g�`/yy t®®y �t ° t 4 b - O AIr 3 . y S Data entered rA, MAPS program. on 4; r x # �t ` TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map d5, Parcel 011LA01 .Application # Health Division Date Issued Conservation Division }�l� Application Fee V� Planning Dept. Permit Fee, Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation/ Hyannis Project Street Address 1 ® `7 � ��l►41�M� V 6� �� Village r7 �� IA f-LP1 Owner SOR W S &v 0 VR M%0 2tA/- ITS Address w£ST �tL��6�;,,e�AT4� �►r� Telephone 50 s- 31 3 -LA (gD K Permit Request l` FRrYwT 1 (z mit-to - lnT£2lo(� OL£NOVA 1 tO,0 'PW sHw,4ag 9,0 0 0 `SAI.q-5 1l�",Ort- � e ,�K6 � Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation 115,000 ,00Construction Type 1 Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family(# units) Age of Existing Structure Historic House: ❑Yes ❑ No On Old King's Highway: ❑Yes ❑ No Basement Type: ❑ Full ❑ Crawl ❑Walkout ❑ Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full: existing new Half: existing new Number of Bedrooms: existing _new Total Room Count (not including baths): existing new First Floor Room Count Heat Type and Fuel: E(Gas ❑ Oil ❑ Electric ❑ Other Central Air: dYes ❑ No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑ No Detached garage: ❑ existing ❑ new size—Pool: ❑ existing ❑ new size _ Barn: ❑.existing dneW3�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 w APPLICANT INFORMATION (BUILDER OR HOMEOWNER) T _ Name rnA(zAT'NVN C0rr%mVn-ctA-L_ Soy vTto►,S Telephone Number Address 4 4a 1 v rnQ i Ike S'r. Sv o-},P- I- License # C S " 1 Q 4 F5& 3 &,)4 E"+O, , m 4. o a 3 r7 S Home Improvement Contractor# I Worker's Compensation # (P S fa 02L)6"LA5`i of 4q ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO C t _9 L -A- e_ NFw 4 g6two mA SIGNATURE DATE 1 FOR OFFICIAL USE ONLY 't. APPLICATION# _. DATE ISSUED ___-MAP PARCEL NO. S ADDRESS VILLAGE OWNER ' _ L • ? I DATE OF INSPECTION: _FOUNDATION:,- �._ —_ 5 ,v I FRAME %'INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL = s PLUMBING: ROUGH FINAL GAS.:- f F—ROUGH r FINAL C [F:FNAL BUILDING ;-__, w - �14.. F j y :DATE CLOSED,.OUT_ . Y ASSOCIATION PLAN NO. y r s The Commonwealth of Massachusetts t I Department of Industrial Accidents ~y I Office of Investigations 600 Washington Street Boston, MA 02111 ;_ www,mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name (Business/Organization/Individual): A r^M£k-C tA L go L.y-T%o A S , L L C; Address: 94 S- TJs�to Rt ►� � ST City/State/Zip: 'o. FAS-TO I•-1 , MA 0 a.31 Phone #: �'o&-a4 S-of Are you an employer? Check the appropriate bo Type of project(required): 1. I am a employer with�_ 4. I am a general contractor and I 6. ❑ New construction employees(full and/or part-time).* have hired the.sub-contractors �-,�� 2.❑ I am a sole proprietor or partner- listed on the attached sheet. t Ltd Kemodeling ship and have no employees These sub-contractors have 8. Demolition working for me in any capacity. workers' comp. insurance. 9. ❑ Building addition [No workers' comp. insurance 5. 0 We are a corporation and its - required.] officers have exercised their 10.❑ Electrical repairs or,additions 3.❑ I am a homeowner doing all work right of exemption per MGL I I.❑ Plumbing repairs or additions myself. [No workers' comp. c. 152, §I(4), and we have no 12.❑ Roof repairs insurance required.) t employees. [No workers' comp,insurance required.] 13.0 Other *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. $Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and their workers'comp.policy information. I am an employer that isproviding workers'compensation insurance for my employees. Below is thepolicy and'ob site information Insurance Company Name: A C'F_ 1( rn 12-(L t c-A-M ETA$y 1L A H C Co Policy#or Self-ins. Lie. #: 6 S to a UN -4 J 4 Q K r !1 -Expiration Date: 0 1 Job Site Address: h0'10 Z1l AHM U V G 64 City/State/Zip; it a(o O ) Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). .Failure to secure coverage as required under Section.25A of MGL c.. 152 can lead to the imposition of.criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance overage verification. I do hereby certify under a pains a enalties of perjury.that the information provided abov is tru and correct Signature: Date: / phone#: �� '7 O 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#: Jllbll l•J'OA VN—A =i f. a.vai V..�.. ..• ..� - — --- -- . , ACORO. CERTIFICATE OF LIABILITY INSURANCE 04"07r2311 THIS CERTIFICATE NG SUED AS A MATTER OF INFORMATION ONLY AND CONFEFS NO RIGHTS.UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOEB NOT AFFI MATNELV OR Mummy Amm.EXTEND OR A TER TNECOVERAGE AFFORDEOSV THE POLICIES BELOW- THIS CERTIFICATE OF INSURANCE DOES NOTCONSTRUTE A CONTRACT BE IWEEN THE ISSUING NSURER(Sb AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. YPORTANT:It the icsoNa a holdw inan ADOTT10NAL INSURED,the Policy(")mNd ba endorsed N QUBROGATION IS WANED,sAied to Hr terms wd oaditiorm oT the policw te"n poicks aW regain and wdorewoenL A ddemord an.0do mdkds dew not sordw lipids to the w9tade holdw In lieu of such.ndorwmont(a). PRODUCER CONTACT NAME: PHONE' FAX C&S INS AGENCY INC (AJC,No,EA): FAX • LL (ABC,No)i PO BOX 406 EMAIL ADDRESS: PRODUCER s NtANSFIELA MA 02U49 CUSTOMER ID NC 724MB NSURER(S)AFFCRDIN000VERMIE NAIL# INSURED INSURERA: ACEAI►VMCANINSURANClE..COAEPANY INSURER B: MARAMON COMMERCIAL SOu1TIONS LLC. INSURERC: INSURER D: L V 4M'IVRNPUCE S LIM1 SUM IUI INSURER E: SOi t7H F.A.SM i.MA 02375 iNBURER F: COVERAGES CERTIFICATE NIPMR: REVISION NUMBER. THI II TO CINT1 FY THAT TH1 POLICIES OP NEURANC E UST23 BELOW HAVE IIfENIgUED TO YM INEUREO NAMED ABOVE FOR THR POLICY I+QRI0CINDCATIO. NOTNYTMBTAX110110 ANY NIQW4EMINLTIM OR CONDITION OF ANY COKMCT OR.Mill pOC{A11E11T WRH 1"FwTO wHm Tm CERTIFICATE YAT R11bp00 OR MAY PERTAON.TI-S INIURINCE AFFORDED BV THi POLICIES DWRIB HEREIN IS YUB.ECTTO ALLTHITIM,EIICLUitOMS AND CONDITIM9 OF SUCH POLICIES. UIWI BROWN MAY NW E BEEN RED''JCED BY PAIDCLASIS. INSR AamousR POLICY EFF DATE POLICY E11P DATE TYPE OFDYEURANCE POLICY NUMBER (,YMDLIYV'IY).. (WADOIYYYY) LTR MR NND GENERAL LIABILITY EACH OCCURRENCE s ; COMMERCIAL GENERAL LWBILRY DAMAGE TO RENTED s CLAM MADE OCCUR. PREMISES(Ea==Gene) MED EXP(Any oro PTV s PERSONAL"ADV MURY s OEML AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ POLICY PROJECT LOC t PRODUCTS•CCMP1OP AGO S. AUTWOIILE LIABILITY COMBINED SINGLE 9 ANY AUTO LIMIT(Es soadaN) ALL OWNED AUTOS BODILY INJURY $ SCHEDULE AUTOS Po< HIRED AUTOS EOOILV INJURY S e (Peraawm) NON OWNED AUTOS PROPERTY DAMAGE s . - • ;Peracddol10 UMBRELLA LLAB OCCUR EACH OCCURRENCE s EXCESSLUIB CLAIMS-MADE AGGREGATE $ DEDUCTIBLE s RETENTION S $ p. WCBTAJtRORYLIMITS OTHER WORKERS COMPENSATION AND EMPLOYERSLIABILTTY YIN LIB-45QPA'7-II 0JIN2011 02.1161012 E.L.EACH ACC!DENT s 1D0,000 ANY PROKWORIPARTNFRIMCLIMV Y E.L.DISEASE-EA EMPLOYEE S t00,000. UFr•IL'kWMEUDEFEcC'LUU6D� •. - ( w11In" E.L.DISEASE-POLICY LIMIT 3 w ' 'S00A00 � UTat.2rnenoemtr TIE.5Cf0PT10NOF OFFRATION5,Wtw ` DESCRIPTION OF OPERATIONSAACATKINSNEHICLEsIRESTRICTiONS+SPECIAL ITEMS TM RFFIArF5 ANY PRIOR CF%T RCA1V ISR i1P11 TO THE C.FATTWCATP.TKH IIFA AFmvmNa woRxms rOWIF Cl WMAnFL *I•, JOB LOCATION:SHARS SinM11 TAFSFI 10T0IYANNOT30HROAD.HYAN.RSMA0160! i . CERTDTICATE HOLDER _ CANCELLATION SHAWS SUMMARM _ SHOULD ANY OF THE ABOVE DESCRIBED POLICIES,BE CANCELLED BEFORE THE EXPIRATION OATS THEREOF,NOTICE WILL ILL BE DELIVERED N ACCORDANCE 7$0 WFST GEIY"MR ST 4 WITH THE POLICY PROVISIONS. a AUTHORIZED REPRESENTATIVE WEST BRIDGL`1VAIML MA,023.,19 ACORD 25(2009109); 19894009 ACOlW CORPORATiON. AD 491115 11011I1Yid: ' I AC:-v� CERTIFICAF4/6/2011 DATE(MMID0lYnm TE OF LIABILITY INSURANCE 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 this 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 endorseme s. PRODUCER : Debra Gerraughty, Cavallo 6 Signoriello PNONs . (508)339-2951 !-F (508)339-4e11 190 Chauncy Street/P.O Boa 406 'AD-MAIL AIL dgerraughtylRonceanddone.coIa j :PRODUCER 00010895 CUSTOMER 0 Mansfield MA 02048 INSURERS)AFFORDING COVERAGE NAIC/. nlsul:Ec INSURERA:USF .Insurance Com INSURER B:" Marathon Commercial Solutions, LLC INSURERC: 448 Turnpike Street INSURER D: INSURER E.: South Easton MA 02375 INSURER F COVERAGES CERTIFICATE NUMBER2011 Certificate 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. INSR TYPE OF INSURANCE POLICY EFF POLICY EXP POLICYNUMBER (MMIDDIYYYYI 11111111IMPIn" LIMITS GENERAL LIABILITY EACH OCCURRENCE S 1,000,000 X COMMERCIAL GENERAL LIABILITY DAMAPREMISES 3 100,000 A CLAIMS-MADE ExJ OCCUR EJMBGLSA351 /23/2011 1 2/23/2012 MED EXP am _ 51,00 PERSONAL B ADV INJURY S 1,000,000 GENERAL AGGREGATE S 2,000,000 GENL AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG .S included X POLICY PRo-. LOC $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT ANY AUTO (Ea accident) $ BODILY INJURY(Per Person) 5 ALL OWNED AUTOS BODILY INJURY(Per accident) S SCHEDULED AUTOS PROPERTY DAMAGE S HIRED AUTOS (Per eoeideM) I NON-OWNED AUTOS S UMBRELLA LAB ][ OCCUR !-EACH OCCURRENCE S 1,000,000 EXCESS LIAB CLAIMS-MADE AGGREGATE O 1,000,000 DEDUCTIBLE S " 84351 /23/2011 /23/2012 A" RETENTION S ; WORKERS COMPENSATION WC STATU OTN AND EMPLOYERS'LIABILITY YIN " ANY PROPRIETORIPARTNERIEXECUTIVE EL EACH ACCIDENT S OFFICERIMEMBER EXCLUDED? N I A (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE S M DES Pe OaN aOFeO PERATIONS.bebw ' E.L.DISEASE-POLICY LIMIT :S DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(Attach ACORD 101,Additional Remarks Schedule,N more apace b required) Job Location: Maw's Supermarket 1,070 Iyannough Road Hyannis NA 02601. Workers Compensation Certificate to Follow within 5 business days. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 'ACCORDANCE WITH THE POLICY PROVISIONS. Shaws' Supermarkets 750 West Center Street West Bridgewater, MA 02379 AUTHORIZED REPRESENTATIVE ACORD 25(2009109) ® -2009 ACORD CORPORATION. All rights reserved. INS025(2w.w) The ACORD name and logo are registered m of ACORD ACORD,M CERTIFICATE OF LIABILITY INSURANCEF4/11/2011°ATE(MMIDDIYYYY) PRODUCER Phone: 508-586-5432 Fax: 508-587-4935 - THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Smith, Buckley & Hunt ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 500 Forest Avenue HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR Brockton MA 02301-5749 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. INSURERS AFFORDING COVERAGE NAIC# INSURED .INSURERA:St. .Paul Fire &.Marine 24767 Teamwork Labor Services Inc INSURERB:Twin City Fire Ins Co 29459 23 Norfolk Ave South Easton MA 02375-1116 INSURERQHar.tford Fire Ins Co 19682 INSURER D: 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 DD'L POLICYEFFECTIVE POLICY EXPIRATION LTR NSRD TYP OFINSURA CE POLICY NUMBER DATE MM/DD DATE MM/DD LIMITS C X GENERAL LIABILITY 08UENOH0129 3/1/2011 3/1/2012 EACHOCCURRENCE $1 000 000 X COMMERCIAL GENERAL LIABILITY DA AG ORE D PREMISES Ea occurence $10 O O O 0 CLAIMS MADE Fx-]OCCUR MED EXP(Any one person) $10 0 0 0 PERSONAL&ADV INJURY $1 000 000 GENERAL AGGREGATE $2 0 0 O 0 0 0 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OPAGG $2 000 000 X POLICY PRO- JEC T LOC a -C X AUTOMOBILE LIABILITY 08UENOH0130 3/l/2011 3/1/2012 • COMBINED SINGLE LIMIT X ANY AUTO (Ea accident) $1,0 0 0,0 0 0 ALL OWNED AUTOS BODILYINJURY ` SCHEDULED AUTOS - (Per person) - $ ' HIRED AUTOS - BODILY INJURY NON-OWNEDAUTOS (Per accident) $ - a .. PROPERTY DAMAGE $ (Per accident) GARAGE LIABILITY - AUTO ONLY-EA ACCIDENT $ ANYAUTO - OTHERTHAN EAACC $ AUTO ONLY: AGG $ A X EXCESS/UMBRELLA LIABILITY QK06900505 8/12/2010 3/1/2012 EACH OCCURRENCE $5 000 000 X I OCCUR F—ICLAIMS MADE AGGREGATE $5 0 0 O 0 0 0 DEDUCTIBLE $ RETENTION $ $ B WORKERS COMPENSATION AND 08WEOH0128 3/1/2011 3/1/ZO1Z X OR I TN YLIMITS X OER EMPLOYERS'LIABILITY E.L.EACH ACCIDENT $1 O O O O O O ANY PROPRIETOR/PARTNER/EXECUTIVE - OFFICER/MEMBEREXCLUDED? E.L.DISEASE-EA EMPLOYEE 1$1 000,000 If yyes,describe under - SPECIAL PROVISIONS below E.L.DISEASE-POLICY LIMIT $1 000,000 OTHER ' DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS - Additional Insured other than on Workers' Compensation: Marathon Commerical Solutions LLC CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER ShaW'.s Supermarket - WILL ENDEAVOR TO MAIL. 30 DAYS WRITTENNOTICE TO THE 1070 Iyannough Rd. 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 . ENCEEL FLOR 27a - - Citsatff 1 99 ACORD., CERTIFICATE OF LIABILITY INSURANCE 4" 111 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLOVIL 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. WPiSRTAHr-It the es holder an a y a must "to re . O S ,eu ect io the terms and condttlons of the policy,certain policies may require an endorsement.A statement on this certificate does not confer dilMs to the cartlfkata holder In Rau of such endorsemem(s). PRODUCER Dawn Pain HUB International New England 808-Z36-3283 x t)6ti-S41.40Z0 222 Milliken Blvd R Fan River,MA 02T22 -- "� CowtArxMA19 9508 2 mum davirds Company _ Florence Electric,LLC s,Peerless Insurance Go 125 John Hancock Rd.,Suite 4 WsuRIR C:Federal Insurance Co 2028 Taunton,MA 02780 INSUMD. WSURERN t INSURERPt - COVERAGES CERTIFICATE NUMBER: REVISION NUMBER; THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE idUREO NAMED 96 FOR THE POLICY PERIOD INDICATED.NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WTH RESPECTTO 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.UhU7s SHOWN MAY HAVE BEEN REDUCED BY PAD CLAIMS. .T"EOFIIbURAHOE MM PDLIOYNUMUR Lea A CBP8226966 2131120101213112011 vcHo=wtmes $1000000 X RA COMURCULMELLMUTY 400 000 uEaOlr . a» ._ s15 000 c1Aeu•LtAnE ❑X ocaNN - pptSOrtAL A ADv etJURY 11100,000 GENERALAGWOATE s2.060.000 eE►7LAGeRIMMLMTAPPUESPM PRODUCTS-cow)opme 12000c0O _ s POLICY X LOG A AuTWOR Lff LIASIL Y $A8227266 1213112010121311201 tE E lint dswas A jmyAuTo BA8285800 1213112010121311201 sowLYIHJURY"ww) s ALLONMEDAUTOS 11001LYq'tR1RYIpw�oe+ (Pw�etfdenq X HIREDAUTOa _ X NOMIHEDAUTOS a B UX UMORELLAUAD LxJ OCCUR CU8228066 12131=ii121311201 EAOrtommRENCE 00,000,000 EXCESa LIAe CLAvmU.De /AOREOATE 00.00.0110 C 79861169 213JI2010 12131/201 Each O 6 000 000 A r to116.000.660 RMMION 5 10000 1201012311201B WORKMSCOMPEN&ATIDN IWC6221666 2131 X ' AND WOLOYERa'LK§nHY YIN E,I,.WHAccKen $500000 ODFFICIRAJEMURR�UDE� N� EI DISUSE•EAEIAFIOY fI100000 8 Iswb�wid�t 1.1- E- Y LfJtT i500 000 N B Inland Marina IM8574335 213112010 121311120il LeasedlRented=24Q,000 I J 'cev. VNofopr,imu NsILoc,tuaNaNv'wAvs(AttuAACORD1ai.Alim$ AIR"RAIechww%Naen.pmHNQuwd) � fDr"fla!ConTpensatlonlEmployies Ltablilty Policy Includes CT,MD,MEa,RI 3 VT CERTIFICATEROLDER CANCELLATION Marathon Commercial Solutions; SHOULD ANY Or THE ABOVE DEaCIUaED POLICIES°E CANCELLED BEFORE THE EXPIRATION DATE THEREOF,NOTICE WALL DE DELIVERED M LLC , ACCQRDANCEWnTH THE POLICY PRO VISIONS, 448 Turnpike St Ste 1.1 South Easton,MA 02375 AUTKORREDPzriw wATTrn l Dion-20011 ACORD CORPORATION.An rights reserved. ACORD 251200 9 1 011 The ACORD name and logo are registered marks of ACORD DP083 SS61482677617 Apr 11 2011 12: 49PM. 'BARNSTABLE fire dept No . 0162 P , -2- i 'FIRE DEPA.P- jM'E,��TS OF THE, 'r )), 'IN OF i3/0.1,1STAB ':are ,i're, of-ion Office - B-uildizag � f s NISTA8 E UL) ]Ytaiz).Str.e et, RyanniL�, NIA 02601 I 5,U1LpING CODE CDMPI IIANCE FOPM Dlans dateG c)y_o-)-(( to the propery located ai WD1p��/,�,' ,also kj.yo Nn as h2? e been reviewed by of, the Xaarnstab-le :0 C.bMm .❑ Cotuii' U �Iyannk, I10 West:Larnstable Fire D4parLrheni. THE C.HAiRT , ELOV%i INDICA T ES �-u.E STATUS Or THE REVIEW; r TYPE OF CONS T RUC T.ION Q*OCUIMENT N/A rRECEI�ED. REVIEWED COMPLIES 1. Narrative Repori j ✓ 2. Firefighting & Rescue Access i I 3: Hydrant Location& Water Supply!i I I 4. Sprinkler Systems .4`riLrkrkj 5.3prinkler Control Eo,uipmenl I i ", ,/ 6. Standpipe Sysiems ( �/ T Standpipe Valve Locsiions S. Fire Departmeni Co-aneCtiDn i 9. Fire Protective Signaling Sysie n 10. F.P.S,S. &Annunciator Location 11. Smoke Control/Exhaust ! �/ 12, Smoke.Control Equipment Locati; n la-Life Seteiy System Features : 1. 14. Fire Extinguishing Systems I ✓' i i 15. F.�L.S. Control Eguipmeni Loc atidn 16, Fire Proisdiorl Rooms l L—J— ✓ �' 17. Fire Protection Equipment Signa4e I 18. Alarn Transmission Method 1.8. Sequence of Operation Report ✓ I 20;Acceptance Testing Crites i i i ✓ i 1N8 believe this documenl io ,be �.omplete and compliant for the issuance of a building permit. • I • �<<e ay? compie[ed the acceb�an.ce tesiinc for the occupancy; permi.1 and believe that within �ha,Scope of the building permit, the above:issues are in compliance. i i I J 1tla:issa.ichusetts - Department of Public SajfetA- � • . Boa I d of Buildim) Rc-ula.itions and Standard, s Construction Supervisor License I License: CS 104868 GARY LABOR s '- 180 NEW,BEDFORD RD ROCHESTER, MA 02770 ► . Expiration: -6/8/2014 i IIVr Tr=: 104868 Failure to possess a current edition of the Massachusetts State Building Code is cause for revocation of this license. Refer to: WWW.Mass.Gov/DPS Marathon Commercial Solutions LLC Professional Construction & Facilities Services 448 Turnpike Street,Suite 1-1 South Easton, IVIA 02324 Town of Hyannis Building Inspection Division 200 Main Street Hyannis, MA 02601 Re: Building Permit-Shaw's Supermarket, 1070 lyannough Rd., Hyannis, MA Building Inspection Division- This letter is to inform you that Gary Laboa is authorized to pull the Building Permit for the above noted project on behalf of Marathon Commercial Solutions and Supervalu/Shaws. If you should have any questions regarding this, please contact me at your earliest convenience. S' cere chard W. Pom Principal Marathon Commercial Solutions LLC 448 Turnpike St. Suite 1-1 South Easton, MA 02324 { Page 1 of 1 Supervalu Inc. S11aW'S SupermarketsENGINEERING /CONSTRUCTION DEPARTMENT Kenneth Mahtesian Phone 508 313 4608 Sr Construction Project Manager - fax 508 313 4155 Memorandum TO: Town Of Hyannis Ma Building Inspection Division 200 Main St Hyannis,Ma 02601 DATE: April 7, 2011 SUBJECT: Building Permit This letter is to inform you that Gary Laboa of Marathon Commercial Solutions is under contract to perform work at the Shaws Supermarket 1070 Iyannough Rd. Hyannis Ma. Supervalu/ Shaws have authorized Gary&Marathon Commercial Solutions to obtain all permits required to perform this work.. I hope this addresses any concerns you may have.'Feel free to contact me with any questions. A Kenneth J Mahtesian Senior Construction Project Manager t Marathon Commercial Solutions LLC Professional Construction & Facilities Services 448 Turnpike Street,Suite 1-1 mcs South Easton, MA 02375 Shaw's Supermarket 1070 lyannough Rd. Hyannis, MA 02601 April 5, 2011 Minor Interior Upgrade—Scope of Work Main Sales Area— Painting of all interior walls, soffits, columns etc. Repair/Replace bad ceiling tiles&floor tiles as required Remove all existing signage&graphics and replace with new Misc.shelving, millwork fixtures&displays per plan Remove&dispose of Wild Harvest Trellis&Lighting Remove&dispose of Hanging HBC Lighting Existing Pharmacy- Remove interior Pharmacy Area in its entirety Patch in acoustical ceiling&floor tile Adjust sprinkler heads for proper coverage per surrounding area Produce Area- Remove&dispose of 32ft. Upright Refrigerated Cases Remove &dispose of Prepared Foods/Vac-Pack Island Remove &dispose of Salad Bar Island Remove Free Standing Soup Kiosk Add 24 ft.Self-Contained Refrigerated Mobile Cases Add 12 ft. Multi Deck Prepared Foods Case Add Free Standing Hot/Cold Soup POD Add 12 ft. shelving on wall Meat Area - Add 12 ft. Refrigerated Tub Case in Rear Aisle Dairy Area Remove&dispose of 16 ft. Upright Refrigerated Cases Remove Seasonal Shelving per plan Add 15 ft. shelving on wall Add additional open floor pallet positions Note: No changes to the building envelope, no changes to access or egress. No changes to HVAC or Fire Alarm Systems No exterior work. Only sprinkler work is head adjustment at area of removed Pharmacy. Prepared by: Gary J. Laboa General Manager Marathon Commercial Solutions LlMassachusetts Department of Environmental Protection Bureau of Waste Prevention'• Air Quality 100123934 B W P AQ O Decal Number Notification Prior to Construction or Demolition Important: Applicability When filling out A. PP � Y forms on the computer,use " only the tab key A Construction or Demolition operation of an industrial,commercial, or institutional building,or to move your residential building with 20 or more units is regulated by the Department of Environmental Protection use the return urn cursor- not (DEP), Bureau of Waste Prevention-Air Quality Control Regulations 310 CMR 7.09. Notification of key. Construction or Demolition operations is required under 310 CMR 7.09(2)ten (10)days prior to any work being performed.The following information is required pursuant to 310 CMR 7.09. • �ICI , B. General Project Description 1. a. Is this facility fee exempt-city,town, district, municipal housing authority, owner-occupied Instructions residence of four units or less?❑Yes ❑✓ No 1.All sections of b. Provide blanket decal number if applicable: this form must be Blanket Decal Number completed in order 2 Facifit Information: to comply with the y Department ta Environmental SHAW'S SUPERMARKET Protection a.Name notification 11070 IYANNOUGH RD requirements of b.Address 310 CMR 7.09 H annis IMA OF2601 c.Cit crown d.State e.Zip Code (508)775-7611 f.Tele hone Number area code and extension E-mail Address(optional) 39,000 11 h.Size of Facility in Square Feet i.Number of Floors j. Was the facility built prior to 1980? ✓❑ Yes ❑ No. k. Describe the current or prior use of the facility: . FOOD SUPERMARKET I. Is the facility,a residential facility? ❑ Yes ❑✓ No �o m. If yes, how many units? Number of Units =0 3. Facility Owner: �N SHAW'S SUPERMARKETS �o a.Name �0 1750 WEST CENTER ST b.Address WEST BRIDGEWATER MA 02379 �o c.Cit frown d.State e.Zin Code �o (508)313-4608 f.Tele hone Number area code and extension .E-mail Address(optional) a KEN MAHTESIAN �Q h.Onsite Manager Name ag06.doc•10/02 BWP AQ 06•Page 1 of 3 LlMassachusetts Department of Environmental Protection Bureau of Waste Prevention •Air Quality 1100123931 BWP AQ 06 Decal Number Notification Prior to Construction or Demolition General Statement:If B. General Project Description (cont.) ' asbestos is found during a 4. General Contractor: ` Construction or Demolition IMARATHON COMMERCIAL SOLUTIONS, LLC operation,all a.Name responsible parties must comply with 1448 TURNPIKE ST. SUITE 1-1 310 CMR 7.00, b.Address 7.15,and Chapter 21 E of the SOUTH EASTON MA 02375 Chapter General Laws of c.Cit /Town d.State e.Zip Code the Commonwealth. (508)245-9889 glaboa@marathon-mcs.com This would include,but would not be f.Tele hone Number area code and extension .E-mail Address(optional) limited to,filing an IGARYLABOA asbestos removal h.On-site Manager Name notification with the Department and/or a notice of release/threat of release of a C. General Construction or Demolition Description hazardous substance to the 1. Construction or demolition contractor: - Department,if applicable. IMARATHON COMMERCIAL SOLUTIONS, LLC a.Name 448 TURNPIKE ST. SUITE 1-1 b.Address SOUTH EASTON IMA 02375 c.City/Town d.State e.Zip Code (508)245-9889 glaboa@marathon-mcs.com f.Telephone Number(area code and extension) g.E-mail Address(optional) GARYLABOA h.On-site Manager Name 2. On-Site Supervisor: JOSEPH BURNELL , On-Site Supervisor Name 3. Is the entire_facility to be demolished? ❑ Yes ✓® No �N =0 4. Describe the areas)to be demolished: �0 MINOR INTERIOR PARTITION, FIXTURE&SIGNAGE DEMO F_N _0 5. If this is a construction project, describe the building(s)or addition(s)to be constructed: �0 NO NEW BUILDING WORK-FIXTURES,ETC ONLY ;_0 �d �Q ag06.doc•10/02 BWP AQ 06•Page 2 of 3 Massachusetts Department of Environmental Protection _ ■ Bureau of Waste Prevention • Air Quality 100123931 BWP AQ 06 Decal Number Notification Prior to Construction or Demolition C.,General Construction or Demolition Description (cont.) 6. a. If this is a demolition project,were the structure(s)surveyed for the presence of asbestos containing material (ACM)? ❑ Yes ❑✓ No , If yes,who conducted the survey? b.Survevor Name c.Division of Occupational Safety Certification Number 7. Construction or Demolition: 04/18/2011 05/1312011 a.Start Date(mm/dd/yyyy) b.End Date(mm/dd/yyyy) 8. a. For demolition and construction projects, indicate dust suppression techniques to be used: ❑ seeding ❑ paving' . b. If other, please specify: ❑ wetting ✓❑ shrouding,, ❑ covering ❑ other 9. For Emergency Demolition Operations,who is the DEP official who evaluated the emergency? NA a.Name of DEP Official NA b.Title 04/08/2011 c.Date mm/dd/ of Authorization NA d.DEP Waiver Number D. Certification "' I certify that I have examined the GARY J. LABOA �o above and that to the best of my ' a.Print Name �o knowledge it is true and complete. The signature below subjects the b.Authorited Sigh6toyle _N signer to the general statutes IGENERAL MANAGER =o regarding a false and.misleading c. Position/I Me _o statement(s): . MARATHON COMMERCIAL SOLUTIONS, LLC d.Re resen n o + e.Date( / y) i-o Cf �Q ■ ag06.doc•10/02 BWP AQ 06•Page 3 of 3■ TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel 6D I -Application # Health Division ' Date Issued 1. Conservation Division -.Application Fej�11600 Planning Dept. r'Permit Fee :` Date Definitive Plan,Approved by Planning Board b�k* ©k AWuc"0;"-Ih Historic - OKH _ Preservation/ Hyannis JIEIW%T� AWOL qOrPI0n03ts P-3�-_XL038�. Project Street Address 1020 y Amo rQ 0 H YLb, Village A hi M-4. Owner 0 ALQ` ' t-Y1 Address 757 G. CzNgeYL� �\. f Tele hone ��� " -31 - 4000 i�.G�c n , ( 6 p .a Permit Request 9.� pn�rl c)ram' ' kL6 A :TD%AA r-Y N P � '(1(1 p�L,.�j3 L_ v I-11 G�-1 ;� 6 L �� � ®asio"�. c� o Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new D er Zoning District Flood Plain Groundwater Overlay 0o a Project Valuation Construction Type kA W r C. Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family(# units) Age of Existing Structure Historic House: ❑Yes ❑ No On Old King's Highway: ❑Yes ❑ No Basement Type: ❑ Full ❑ Crawl ❑Walkout ❑ Other Basement Finished Area (sq.ft.) Basement Unfinished Area (sq.ft) Number of Baths: Full: existing new Half: existing new Number of Bedrooms: existing _new Total Room Count not including baths): existing new First Floor Room Count ( 9 ) 9 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) Name �,i-�d C _ Telephone Number -7,J Address Htww e6vFft D111 i Qle� License # ' /I 6DO ?�_� Home Improvement Contractor# t Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO v P SIGNATU 6E DATE Ah 8 41.0 ` h FOR OFFICIAL USE ONLY APPLICATION# DATE ISSUED ' MAP/PARCEL NO. ' ADDRESS VILLAGE OWNER - r DATE OF INSPECTION: t FOUNDATION ' ". FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL } GAS: '''a 1 ROUGH FINAL IFRFNALBU'ILDING"°: i. +z.' - ' 1 DATE CLOSED OUT ASSOCIATION PLAN NO. The Commonwealth of Massachusetts Department of Industrial Accidents 4 Office of Investigations ` 600 Washington Street t Boston, MA 02111 yy www,mass.gov/dia Workers' Compensation Insurance Affidavit:.Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name (Business/Organization/Individual): Address: City/State/Zip: Ywk cac5konc #: Are yo employer?Check the appropriate box: Type of project(required): . . 4. [] 1 am a general contractor and I 1. I am a employer with �^ 6. ❑New construction * have hired the sub-contractors.. _ _. _ ._._ _. __.....__ _.:......._.. employees(full and/or part-tune). 7, Remodelin 2.❑ I am a sole proprietor-or partner- listed on the attached sheet. g ` ship and have no employees These sub-contractors have g, Q Demolition working for me in any capacity. employees and have workers' 9. ❑Building addition [No workers' comp. insurance comp.insurance.$ required.] 5. [] We are a corporation and its 10.❑ Electrical repairs or addition ❑ officers have exercised their 11.[] Plumbing repairs.or additio 3. I am a homeowner doing all work right of exemption per MGL myself. [No workers' comp. 12.0 Roof repairs insurance required.] t c. 152, §1(4), and we have no 7 employees. [No workers' 13.0 Other comp.insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. tContractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. 0 I am an employer that is providing workers'compensation insurance for my employees.: Below is the policy and job site information Insurance Company Name: r rK 1. V Policy#or Self-ins.Lic.#: j IS 33 t; Llgr c' I Expiration Date; f Job Site Address: yyr® N pLY,t-t ?_,to City/State/Zip:O(A/JIWS R Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment, as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance co rage verification. I do here certi r t ains and p alti o perjury that the information provided a ove is tie and correct. Date: U Si natur Phone# 1� f ( 7J 6s q 90 Official use only. Do not write in this area, to be completed by city or town official City or Town: Perm it/License,# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3. City/Town Clerk '4.Electrical Inspector S.Plumbing Inspector 6.Other Contact Person:. Phone#: z _ t Information and fnstructiOljs Massachusetts General Laws chapter 152 requires all employers to provide workers' compensation for their employees. Pursuant to this statute, an employee is defined as ".,.every person in the service of another under any contract of hire, express or implied, oral or written." n employer is defined as "an individual,partnership, association, corporation or other legal entity, or any two or more A A the foregoing engaged in a joint enterprise, and including the legal representatives of a deceased employer, or the of . However the receiver or trustee of an individual, partnership, association or other legal entity, employing employees owner of a dwelling house having not more than lhree'apartments and who resides thercin,.or the occupant of the dwelling house of another who employs persons to do maintenance, construction or repair work on such dwelling house to shall not because of such employment be deemed to be an employer.' or on the grounds or building appurtenant there { , e MGL chapter 152, §25C(6)also slates that "every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required." its political subdivisions shall Additionally, MGL chapter 152, §25C(7) states"Neither the conunonwealth nor any of enter into any contract for the perfor nance of publicwork until acceptable evidence of compliance with.the insurance requirements of this chapter have been presented to the contracting authority." Applicants Please fill out.the workers' compensation affidavit completely, by checking the boxes that apply to your ss o on and, if necessary,supply sub-contractor(s)name(s), addresses)and phone numbers)along with their cerlificate(s) f of insurance. Limited Liability Companies (LLC)or Limited Li.ability Partnerships(LLP)with no employees other than the members or partners, are not required to carry workers' compensation insurance. If an LLC or LLP does have employees a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affrdavit. The affidavit should e return ed to the city or town that the application for the pen-nit or license is being requested,not the Department of b y a workers' t obtain Industrial Accidents..Should-you have any questions regarding the law or if you are required o compensation policy,please call the Department at the number listed below.. Self-insured companies should enter their self-insurance license number on the appropriate line. City or Town Officials Please be sure that the affidavit is complete and printed legibly, The Department has provided a s?ace at the bottom w of the affidavit for you to fill out in the event the Office'of Investigations`bas to contact you regarding the applicant. Please be sure to fill in the pennil/license number which will be used as a.reference number, In addition, an applicant That must.submit multiple permit/license applications in any given year, ncc&only submit one affidavit indicating cur Y or policy information(if necessary) and under"lob Site Address"the applicant should write"all locations in town). A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is.on file for future permits or licenses. A new affidavit must be filled out each year. Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i,e, a dog license or permit to bum leaves etc.) said person is NOT required to complete this affidavit. The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call, - r' The Department's address,telephone and fax number: The Commonwealth of Massachusetts Department of Industrial A ccidents Office of Investigations 600 Washington Street Boston, MA 02111 Tel. # 617-727-4900 ext 406 or 1-877-MASSAFE Fax # 617-727-7749 Revised 4-24-07 www.1nass.2ov/dia ATE ORD CERTIFICATE OF LIABILITY INSURANCE 08/10/D2010) TM 08/10/2010 PRODUCER .781.235.3100 FAX 781.235.7190 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Corcoran & Haul in Insurance ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR Insurance Agency, Inc. ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. 287 Linden Street Wellesley, MA 02482 INSURERS AFFORDING COVERAGE NAIC# INSURED Boston Building Consulting, LLC INSURER A: Selective Insurance 19259 1 Homestead Drive INSURERB: Medfield, MA 02052 INSURER C: INSURER D: 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 DD' TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LTR NSR DATE MM/DD/YYYY DATE MM/DD/YYYY LIMITS GENERAL LIABILITY S1917003 12/14/2009 12/14/2010 EACH OCCURRENCE $ 1,000,000 DAMAGE TO RENTED X COMMERCIAL GENERAL LIABILITY PREMISES Ea occurrence $ 50,000 CLAIMS MADE 111 OCCUR MED EXP(Any one person) $ 5,000 A PERSONAL&ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ 2,000,000 POLICY PROECT LOC J AUTOMOBILE LIABILITY TO BE ISSUED 02/10/2010 02/10/2011 COMBINED SINGLE LIMIT ANY AUTO (Ea accident) $ 1,000,000 ALL OWNED AUTOS BODILY INJURY $ A SCHEDULED AUTOS (Per person) X HIRED AUTOS BODILY INJURY $ NON-OWNED AUTOS (Per accident) PROPERTY DAMAGE $ (Per accident) GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $ ANY AUTO OTHER THAN EA ACC $ AUTO ONLY: AGG $ EXCESS/UMBRELLA LIABILITY S1917003 02/10/2010 12/14/2010 EACH OCCURRENCE $ 1,000,000 X OCCUR CLAIMS MADE AGGREGATE $ 1,000,000 A $ RDEDUCTIBLE $ X RETENTION $ 10,00 $ WORKERS COMPENSATION WC TATU- TH- AND EMPLOYERS'LIABILITY Y/N TORY LIMITS ER ANY PROPRIETOR/PARTNER/EXECUTIVEa E.L.EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ If yes,describe under SPECIAL PROVISIONS below E.L.DISEASE-POLICY LIMIT $ OTHER DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS Please Note: Workers' Compensation Certificate will .be issued directly from the carrier, Liberty Mutual C1315375445019 effective 11/18/09-10 CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL 20 DAYS WRITTEN Town of Barnstable NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO DO SO SHALL Building Department IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR 200 Main Street REPRESENTATIVES. Hyannis, MA 02601 reorge RED REPRESENTATIVE Doherty III/CAJ / ��� ✓� ACORD 25(2009/01) FAX: 508.790.6230 ©1988-2009 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD The Commonwealth of Massachusetts William'Francis Galvin - Public Browse and Search Page 1 of 2 The Commonwealth of Massachusetts % William Francis Galvin r a Secretary of the Commonwealth, Corporations Division .;• One Ashburton Place, 17th floor. Boston,MA 02108'1512 {rrt .�-•;� Telephone: (617) 727-9640 BOSTON BUILDING CONSULTING, LLC Summary Screen I Help with this form Request a.Certificate 3 The exact name of the Domestic Limited Liability Company(LLC): BOSTON BUILDING CONSULTING, LLC Entity Type: Domestic Limited Liability Company(LLC) Identification Number: 000996919 Date of Organization in Massachusetts: 03/04/2009 The location of its principal office: No.and Street: 1 HOMESTEAD DRIVE SUITE 301 City or Town: MEDFIELD State:MA Zip: 02052 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`. The name and address of the Resident Agent: Name: CORPORATION SERVICE COMPANY " No. and Street: 84 STATE STREET City or Town: BOSTON State:MA Zip: 02109 Country: USA The name and business address of each manager: --77F Title Individual Name Address(no PO Boxy First,Middle,Last,Suffix Address,City.or Town,State,Zip Code The name and business address of the person in addition to the manager,who is authorized to execute documents to be filed with the Corporations Division. Title Individual Name. Address (no PO sox) First,Middle,Last,Suffix Address,City or Town,State,Zip Code SOC SIGNATORY WILLIAM V GALLAGHER 1 HOMESTEAD DRVIE SUITE 301 MEDFIELD,MA 02052 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 Title Individual-Name Address(no Po Box) First,Middle,Last,Suffix Address,City or Town,State,Zip Code http://Corp.sec.state.ma.us/Corp/corpsearch/CorpSearch Summary.asp?ReadFromDB=True... °=8/18/2010 The Commonwealth of Massachusetts William Francis Galvin - Public Browse and Search Page 2 of 2 Consent _ Manufacturer Confidential Data _ Does Not Require Annual Report Partnership X Resident Agent X For Profit _ Merger Allowed Select a type of filing from below to view this business entity filings: ALL FILINGS t� Annual Report _- Articles of Entity Conversion Certificate of Amendment Certificate of Cancellation [ View Filings i New Search Comments ©2001-2010 Commonwealth of Massachusetts All Rights Reserved Help http://corp.sec.state.ma.us/Corp/corpsearch/CorpSearchSummary.asp?ReadFromDB=True... 8/18/2010. 0 'u ` 7M1* x a, I r� ,Architele cts LaGrasse & Associates Iric E JosephD LaGrasse,AlA,' '« �* a s �' Thomas F.Galvui;ALA :r .a f. aArchltects, Engine"e s&Lan Manners 4 � F; *;k + ' julianna E Hoch,RA 01 01 00, ARCHITECTURAL DESIGN AFFIDAVIT-110 Permit No. To the Building Commissioner: Re: Shaws Minor Wall Renovation Precinct: N1pr I certify to the best of my knowledge and belief,the plans and computations accompanying the attached application concerning the locus at 1070 Iyannough Road,Hyannis,MA are in accordance with the requirements of the Massachusetts State Building Code and all other pertinent laws and 111m;4inances. 4153 k---`bLX,A—(DfLy1-74u44 ARCHITECT MASS. REG. NO. Proms PC�-xvti i Joseph D.LaGrasse&Associates.Inc. COMPANY One Elm Square,Andover,MA 01810 ADDRESS 978-470-3675 PHONE August 12,2010 < DATE Then personally appeared the above-named and made oath that the above statement by him i e: Before me, LILA R. LaGRASSE NOTARY PUBLIC 3 1D/_1 My Commission exp' nwea o Massachusetts CMMI SSW Expires May 23,2014 One Elm Square T 078.470.3675 1420 Celebration Blvd. . Andover,MA 01810 F 978.470.3670 ` Celebration,FL 34747 AA26001333 www.lagrassearchitects.com 3 ' � E Town of Barnstable Regulatory Services 8AMSTA Thomas F.Geiler,Director 16 �A�O� Building Division Tom Perry,Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Property Owner Must r Complete and Sign This Section If Using A Builder, vu� A MoLWesiqn , as Owner of the subject property hereby authorize."bmy" Eut\&ina �9-•5 � 5 LL.C., to act on my behalf, G/e v-.�r-. l..Wi ll;o�, C3�� �- in all matters relative to work authorized by this buil ' g permit application for. 10�Io � Uc�y.►*�o� ���0. • (Address f Job) ignature Of Owner ate _ I I�r�ksl Lun .. • t . Print Name a If Property Owner is applying for permit please complete the `Homeowners License .Exemption Form on the reverse side.. Q:FORMS iOWNERPERMISSION r Town of Barnstable oft Regulatory Services Thomas F. Geiler,Director BAMMBLE, b� ,�� Building Division ArE p �s Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION Please Print DATE: JOB LOCATION: number street village "HOMEOWNER": name home phone# work phone# CURRENT MAILING ADDRESS: city/town r state zip code The current exemption for"homeowners"was extended to include ownei-occupied dwellings of six units or less and to allow homeowners to engage an individual for hire who does not possess a license,provided that the owner acts as supervisor. w , DEFINITION OF HOMEOWNER Person(s)who owns a parcel of land on which he/she resides or intends to reside,on which there is,or is intended to be, a one or two-family dwelling,attached or detached structures accessory to such use and/or farm structures. A person who constructs more than one home in a two-year period shall not be considered a homeowner. Such "homeowner"shall submit to the Building Official on a form acceptable to the Building Official,that he/she shall be responsible for all such work performed undm the building permit. (Section 109.1.0 The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other applicable codes,bylaws,rules and regulations. The undersigned"homeowner"certifies that he/she understands the Town of Barnstable Building Department minimum inspection procedures and requirements and that he/she will comply with said procedures and requirements. Signature of Homeowner Approval of Building Official Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the State Building Code Section 127.0 Construction Control. HOMEOWNER'S EXEMPTION The Code states that: "Any homeowner performing work for which a building permit is required shall be exempt from the provisions of this section(Section 109.1.1 -Licensing of construction Supervisors);provided that if the homeowner engages a person(s)for hire to do such work,that such Homeowner shall act as supervisor." Many homeowners who use this exemption are unaware that they are assuming the responsibilities of a supervisor(see Appendix Q, Rules&Regulations for Licensing Construction Supervisors,Section 2.15) This lack of awareness often results in serious problems,particularly when the homeowner hires unlicensed persons. In this case,our Board cannot proceed against the unlicensed person as it would with a licensed Supervisor. The homeowner acting as Supervisor is ultimately responsible. To ensure that the homeowner is fully aware of his/her responsibilities,many communities require,as part of the permit application, that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the last page of this issue is a form currently used by several towns. You may care t amend and adopt such a form/certification for use in your community. Q:\WPFILES\FORMS\homeexempt.DOC Architects j_ LaGrasse & Associates, Inc. Joseph D.LaGrasse,AIA Thomas F.Galvin,AIA Architects, Engineers &Land Planners Julianna E.Hoch,RA ARCHITECTURAL DESIGN AFFIDAVIT Permit No. To the Building Commissioner: Re: Shaws Minor Wall Renovation Precinct: N�pr I certify to the best of my knowledge and belief;the plans and computations accompanying the attached application concerning the locus at 1070 Iyannough Road,Hyannis,MA are in accordance with the requirements of the Massachusetts State Building Code and all other pertinent laws and ordinances. 4153 ARCHITECT MASS. REG. NO, Joseph D.LaGrasse&Associates,Inc. COMPANY One Elm Square,Andover,MA 01810 ADDRESS 978-470-3675 PHONE August 12,2010 DATE Then personally appeared the above-named Ab,,An.��te_ AiA and made oath that the above statement by him i e. Before me, LILA R. LaGRASSE NOTARY PUBLIC My Commission exp monwealth Of Massachusetts C=MiXiMExpires May 23,2014 One Elm Square T 978.470.3675 1420 Celebration Blvd. Andover,MA 01810 F 978.470.3670 Celebration,FL.34747 AA26001333 www.lagrassearchitects.com Arrlulecls I_ D La.Grasse & Associates, Inc. Joseph D.LaGrassc,AlA Thomas F.Galvin,AIA Architects, Engineers, & Land Planners Juliana E.Hoch,RA CONSTRUCTION. CONTROL AFFIDAVIT. , 12 August 2010 PROJECT NUMBER: 2256.6 PROJECT TITLE: :Shaws Wall Renovation PROJECT LOCATION: 1070 Ivannough Rd..Hyannis,MA; . NAME OF BUILDING: Shaws Grocery SCOPE OF PROJECT: Minor Interior Renovation of Pharmacy Room In accordance with Section 116.0 of the Massachusetts State Building Code, I, Joseph D.LaGrasse MA.Reg.# 4153 being a registered professional architect hereby certify that I have prepared.'or directly supervised the preparation of all design plans, computations-as specifications concerning: Entire Project X Architectural Structural. Mechanical Fire Protection Electrical ' Other. : . . .. For the above named project and that, to the best of my knowledge, such plans,computations:and specifications meet the applicable provisions of the Massachusetts State Building,Code, all acceptable engineering practices arid all applicable laws for.the proposed proj ect. 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 11612: 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 l. Pursuant to Section 116:4,l.shall submit periodically,a progress report together'with pertinent comments to the 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. 3 AtA S44to 6ignature of Architec Date F://1876d-22- Offices One Elm Square T 978.470.3675 Andover,MA 01810 F.978.470.3610 " 1420 Celebration Blvd. www:lagiassearchitects.com Celebration,FL 34747 AA26001333 ' ill�.tisachuscttti ,) Board of B Bcliar�mcnt of p 7}1 Build RcYr uhlic Sateh , Construction. •�lations and St .•f License: cs Supervisor License<tnda.rd� 71500 Restricted to: 00. t limp; r; I WILLIAM V GALLAGHER �' 1 HOMESTEAD DR ". MEDFIEL tw D, MA 02052 f ('umnri,.tiiurrer Expiration: 1/7/2012 —.. T r#: 15797 5 f R r ?. fi- rM,. - t Fr � .E 99 t T • � In 'I CFI �� © � �. � 1--��C 1 S`Q � � \ � i •� `�`, -Tl � sC�� � ��� ��� �� � � r r n shaae a little help along the way . aJ April 26, 2006 ij TOWN OF BARNSTABLE 200 MAIN ST HYANNIS,MA 02601 RE: New ultimate corporate parent for the following store: CITY ALARM LICENSE . SHAWS #7598 1070 IYANNOUGH ROAD 14YANNIS,IAA 2601 To Whom It May Concern: This letter [follows up on our earlier conversation and] is notice that the ultimate corporate parent of both Shaw's Supermarkets,Inc. and Star Markets Company,Inc. will change on the closing of a transaction between Albertson's, Inc. and SUPERVALU INC. which is anticipated to occur approximately June 2, 2006. After the closing of the transaction, the ultimate corporate parent will no longer be Albertson's, Inc. and instead will be New Albertson's, Inc. The federal employer identification number for Shaw's Supermarkets,Inc. will remain 04-1 1 23420 and the federal employer.identification number for.Star Markets Company, Inc. will remain 04-3243710. Several additional officers will be added to the existing officers of Shaw's Supermarkets, Inc. and to the existing officers of Star Markets Company, Inc. The parties do not expect any material changes to store operations for either entity as a result of this change. Prior to and after the closing of the transaction, it is expected that all new licenses and renewals are processed in the Boise General Offices of New Albertson's, Inc. before being forwarded to the individual stores for display. Please mail any information and licenses to: Shaw's Supermarkets,Inc. or Star Markets Company, Inc. (as applicable) ' Attn:License Department#70428 P. O.Box 20 Boise,Idaho 83726 Should you need any additional information,please contact me at your convenience at(208) 395-6200. Thank you for your assistance. Sincerely, 7777 .. S. Cory Evans Tax Supervisor Shaw's Supermarkets,Inc. _ ` Star Markets Company,Inc. TOWN OF BARNSTABLE SIGN PERMIT PAR,CEL`4ID 295 019 X01 GEOBASE ID 41309 ADDRESS 1070 IYANNOUGH ROAD/ROUTE PHONE (617)932-124 HYANNIS, MA ZIP 02601- LOT 3 4 5 6 BLOCK LOT SIZE DBA DEVELOPMENT DISTRICT BA PERMIT 81026 DESCRIPTION 62.70 SQ SHAWS PERMIT TYPE BSIGN TITLE SIGN PERMIT CONTRACTORS: Department of ARCHITECTS: Regulatory ator Services TOTAL FEES: $100.00 g y BOND $.00 THE CONSTRUCTION COSTS $.00 JJ � 1 753 MISC. NOT CODED ELSEWHERE 1 PRIVATE 0 * BARNSTABLE, Mass. z639. --r . BUIL G IVISIO Y DATE ISSUED 12/03/2004 EXPIRATION DATE AV r Town of Barnstable FSHE 1p��� Regulatory Services Thomas F.Geiler,Director �Bn MASS. Building Division �s� 1639.� ��ArEo�.t a Tom Perry, Building Commissioner 200 Main Street, Hyannis,MA 02601 �' r www.town.barnstable.ma.us 1 f Office: 508-862-4038 Fax: 568-790-5230 ::ill co �l Tax Collector Treasurer 4 Application for Sign Permit c - Applicant: Assessors No. lc l 9 Doing Business As: SjEL " -�S� + `/c�� �,.Telephone No. 5_01 F �f Sign Location Street/Road:_Z Zoning District: Old Kings Highway? Yeeyyannis Historic District? Yes%V1 Property O ner Name: %ii v" 4 k_ Hi f L[-C Telephone: C/O ��ryJ GL7 Gd/T (o r�r �i4 CJ" o� ✓' �"'�/ •—�07 C7"� Address/''d a.>O r �Ok A,�y Village: Sign Contracto Name: DX �nT vim%,yr S Telephone�� _ f5 —l77 Address: /�Si §A1n�e 119i�i� Village: ✓ l✓' a 7 Y�s-- Description Please draw a diagram of lot showing location of buildings and existing signs with dimensions, location and size of the new sign. This should be drawn on the reverse side of this application. Is the sign to be electrified? Yes/No (Note:If yes, a wiring permit is required) Width of building face 1a. ft.x 10= I hereby certify that I am the owner or that I have the authority of the owner to make this application, that the information is correct and that the use and construction shall conform to the provisions of Section 4-3 of the Town of Barnstable Zoning Ordinance, Sigriature.of Owner/Authorized Agent: Date: J 6 Size:'. 25Tu� c_2 S� l���-Per it Fee: �C��. V Sign Permit was approved: Disapproved: Signature of Building Official: :Gi Date: Q:I WPFILESI SlGNSI SlGNAPP.DOC TOWN OF BARNSTABLE SIGN PERMIT PAkCEL ID 295 019 X01 GEOBASE ID 41309 ADDRESS 1070 IYANNOUGH ROAD/ROUTE PHONE (617)932-124 HYANNIS, MA ZIP 02601- LOT 3 4 5 6 BLOCK LOT SIZE ti DBA DEVELOPMENT DISTRICT BA PERMIT 81020 DESCRIPTION 4.7 SHAWS PERMIT TYPE BSIGN TITLE SIGN PERMIT CONTRACTORS: Department of ARCHITECTS: Regulatory Services TOTAL FEES: $25.00 BOND $.00 CONSTRUCTION COSTS $.00 753 MISC. NOT CODED ELSEWHERE 1 PRIVATE * BARNSTABLE, Hrass. i639. 1� BUILDINd DIV,IjSION BY X DATE ISSUED 12/03/2004 EXPIRATION DATE r Town of Barnstable -� ' OFSHE Toy�o Regulatory Services Thomas F.Geiler,Director * BARNSTABLE, 9 MASS. $ Building Division .i6gg �0 iDtFp 39 Tom Perry, Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 I Fax: 508=790-6230 Tax Collector }a ` Treasurer cxs Y c:n � Application for Sign Permit " "' Applicant: i // d �� Assessors No. 5 Z 9 - f� 4� � tI� Doing Business As: � �zf,✓� --L15C f���,t i ..Telephone No. Sa Sign Location Street/Road: U , 1"IfT loll loe Zoning District: Old Kings Highway? Yel�/No pyannis Historic District? Yes)�To Property O ner �� Name: %i v� 2 , H j 1 L-LC Telephone: Address/''d /3 e A S—Z*0 e 1�& Ar/Y Village: Sign Contracto/��jj Name: /"e X a,�.�,/y�,r S Telephone5�—�1�S—il 7 7 2 Address: !�� ��.�2�� he/%�3/:/c✓ Village: / Gam Description Please draw a diagram of lot showing location of buildings and existing signs with dimensions,location and size of the new sign. This should be drawn on the reverse side of this application. Is the sign to be electrified? Yes/No (Note:If yes, a wiring permit is required) Width of building face ft.x 10='? 5— x.10= '!!�F4 I hereby certify that I am the owner or that I have the authority of the owner to make this application,that the information is correct and that the use and construction shall conform to the provisions of Section 4-3 of the Town of Btable Zoning Ordinance. T Signature of Owner/Authorized Agent: Date: A-e/�T��-e- �cas �!�� c s; "Le 5�. 's,z"- Size: Permit Fee: c2� Sign Permit was approved: Disapproved: Signature of Building Official: 'ID 'o?, Date: Q:I WPFILESI SIGNSI SIGNAPP.DOC TOWN OF BARNSTABLE SIGN PERMIT PARCEL Itr"295 019 X01 GEOBASE ID 41309 ADDRESS 1070 IYANNOUGH ROAD/ROUTE PHONE (617)932-124� HYANNIS, MA ZIP 02601- i LOT 3 4 5 6 BLOCK LOT SIZE DBA DEVELOPMENT DISTRICT BA PERMIT 81029 DESCRIPTION 20 SHAWS PHARMACY PERMIT TYPE BSIGN TITLE SIGN PERMIT CONTRACTORS: De artment of ARCHITECTS: p TOTAL FEES: $25.00 Regulatory Services BOND $.00 1ME CONSTRUCTION COSTS $.00 753 MISC. NOT CODED ELSEWHERE 1 PRIVATE .0_ MAM 039. A1� BUILDIKV. DLVISION r Y DATE ISSUED 12/03/2004 EXPIRATION DATE 0 .c7 ti Town of Barnstable /0 r fTHE loy�o Regulatory Services ` Thomas F.Geiler,Director anxrrSrABLF, MASS. $ Building Division .� i67q39 �0 Tom Perry, Building Commissioner 200 Main Street, Hyannis,MA 02601 ' www.town.barnstable.ma.us Office: 508-862-4038 O `,Fax: 508--790 6230 co aye Tax Collector C'3 Treasurer Application for Sign Permit E Applicant: Ic 5-0/�/'���;S —��,: e;s �,�t /��,��Assessors No. Doing Business As: Jh,6L " --dSe o 2h«.,-,9,v,,Telephone No. Sign Location Street/Road: 4D -262 x ci,i���� &� tl.X7- / 3 Zoning District: Old Kings Highway? Ye6 yannis Historic District? Yesu Property Off ner Name: %t�/� 2 a t 1_Z__C Telephone: C/o rVY"o & d /Sy—cj --Po2aG Address/O*d 43 c 4; Sa,>o A+ofJffx,l e I% .t l/ Village: Sign Contract; Name:_4}� �r1T �v'/y�r S Telephone�� PES--l 77 2 /�:✓ /3� aL/-=mod /'�f9 Address: /,�I` �^^_,n.ac 119Ar-4e/T-5 Village: G 7 Y� Description Please draw a diagram of lot showing location of buildings and existing signs with dimensions,location and size of the new sign. This should be drawn on the reverse side of this application. Is the sign to be electrified? Yes/No (Note:Ifyes, a wiring permit is required) Width of building face �-,7P--ft.x 10= �-(_ x.10= I hereby certify that I am the owner or that I have the authority of the owner to make this application,that the " information is correct and that the use and construction shall conform to the provisions of Section 4-3 of the Town of Barnstable Zoning Ordinance. // Signatur of Owner/Authorized Agent:��� ��.41&.1 Date: /�e,ol�ce 1�L e-11 we e-x, n H�o S Size:4 1r.t . 07 �( /o f _j0Aa,/ir7c"cZ Permit Fee: �S— rju-oy 5e 90. ®S/= Sign Permit was approved: V r S Disapproved: Signature of Building Official: 2cJ Date: j °� 3 0 t Q:I WPFILESISIGNSWGNAPP.DOC TOWN OF BARNSTABLE SIGN PERMIT PARCEL ID 295 019 X01 GEOBASE ID 41309 ADDRESS 1070 IYANNOUGH ROAD/ROUTE PHONE (617)932-124 HYANNIS, MA ZIP 02601- LOT 3 4 5 6 BLOCK LOT SIZE DBA DEVELOPMENT DISTRICT BA PERMIT 81030 DESCRIPTION 13.2 SQ SHAWS PERMIT TYPE BSIGN TITLE SIGN PERMIT CONTRACTORS: Department of ARCHITECTS: Regulatory ator Services TOTAL FEES_ : $50.00 g y BOND � CONSTRUCTION COSTS $.00 tNE 753 MISC. NOT CODED ELSEWHERE 1 PRIVATE 0 MA & 1639. .. �FG�Ap►�A BUILD G D ISION BY DATE ISSUED 12/03/2004 EXPIRATION DATE Town of Barnstable Regulatory Services Thomas F.Geiler,Director J t awaxsznst.E, MASS. g Building Division i639 �� 01pp Mph a Tom Perry, Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax:EF5,08-790-6230 c Tax Collector Treasurer -- co Application for Sign Permit s O Applicant: /I — d .a �Assessors No. ;?Ic 5�� '� U f C,7 C. Doing Business As: S�j�L �Sl v + `j�,�.iirx�'Telephone No. X93-3 Sign Location Street/Road: —2U Zoning District: Old Kings Highway? Y o yannis Historic District? Yes/ TO) Property 03yner Name: %ii V,-1 2 a rj j f 4/—C Telephone: C/o /i"Co GA /� & a / 5 C/ Address/�'d /3 e A 5Za0 1-�,4 r /c mot/ Village: Sign Contracto Name: 0}� �rlT 5i,� S Telephone�� — �1 t S l 77 /ems✓ /'�e eL/=moo/ lw'f9 Address: oc ljat�r-ov/7!3 Village: .7 Yrs— Description Please draw a diagram of lot showing location of buildings and existing signs with dimensions, location and size of the new sign. This should be drawn on the reverse side of this application. Is the sign to be electrified? Yes/No (Note:If yes, a wiring permit is required) Width of building face ft.x 10= x.10= � I hereby certify that I am the owner or that I have the authority of the owner to make this application, that the information is correct and that the use and construction shall conform to the provisions of Section 4-3 of the Town of Barnstable Zoning Ordinance. Signature of Owner/Authorized Agent: — Date: / r f' A,//Ac e-- /mac ,5t/ t-x,57-,-1 XY 1.�r1/-,5c ,.e 16/2- X f-OAIS ,J�-7,C 57— Size:_ `/X Z-67 �?/I,A Permit Fee: /°i<<d-'vS Sign Permit was approved: rs Disapproved: Signature of Building Official: �� 19/ Date: a 3 6 Q:I WPFILESISIGAT SIGNAPP.DOC TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Mapp v���" Parcel �,,� Permit# J-L7 ? r 0 68, 7 C. Health Division �ys , Pcl, ^�`� i Date Issued A,7 �r Fee z��o1�C Tax Collector C � SEP-nC SYSTEM MUST BE Treasurer �&kz-d/�2 '� / -7b2 INSTALLED IN CQ6i�PLl�� : -ram WITH TITLE 5 Planning Dept. ENVIRONMENTAL CODE A `O Date Definitive Plan Approved by Planning Board TANAEl91dAIra'_, ' Historic-OKH Preservation/Hyannis Project Street Address Star Market, 1070 Iyanough Road 'B[A6 �J� Village �LA ahn 'S &ner Shaw's 'Supermarkets, Inc. Address 750 West Center Street Telephone (508)897-8866 East Bridgewater, MA 02379 Permit Request Conversion of Existing Bakery shop to Seasonal Sales Refer to Plan 1 of 1 dated July 18, 2001 prepared by Bufftree Building Co. , Inc. Square feet: 1 st floor: existing exist proposed exist 2ndfloor: existing exist proposed exist Total new 0 Valuation 35,000.00 Zoning District Flood Plain Groundwater Overlay Construction Type Existing Lot Size Existing Grandfathered: ❑Yes ❑No If yes, attach supporting documentation. Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family(#units) Age of Existing Structure Historic House: ❑Yes ❑No On Old King's Highway: ❑Yes ❑.No Basement Type: ❑Full ❑Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full: existing new Half: existing new " Number of Bedrooms: existing new Total Room Count(not including baths): existing new First Floor Room Count Heat Type and Fuel: ❑Gas ❑Oil ❑ Electric ❑Other Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑ No Detached garage:O 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 Cl Commercial ®Yes ❑ No If yes, site plan review# ---- - - Current Use Supermarket Proposed Use Supermarket BUILDER INFORMATION Cell FS/-/pa 4j 6i_13 F Name Bufftree Building Company, Inc. Telephone Number , (508)997-5357 Address 193-R Pope's Island U License# CS 050590 New Bedford, MA. 02740 Home Improvement Contractor# Worker's Compensation# WC98768050 ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE FOR OFFICIAL USE ONLY ^- t , , PERMIT NO. - DATE ISSUED - MAP/PARCEL NO. ADDRESS ;;_¢ VILLAGE OWNER _ _ -- _ + ,. { DATE OF INSPECTION= W FOUNDATION P FRAME INSULATION FIREPLACE ` ELECTRICAL: ROUGH" FINAL PLUMBING: ROUGH- FINAL , GAS: ROUGH' �� - FINAL FINAL BUILDING L• t DATE CLOSED OUT ASSOCIATION PLAN NO. - ____ The.Commonwealth of Massachusetts -=— :3V Department of Industrial Accidents :__ , once offfirestiffsOos -�-I 600 Washington Street Boston,Mass. 02111 —C4� . Workers' Com ensation Insurance davit name: location: city phone# ❑ I am a homeowner performing all work myself. ❑ I am a sole rietor and have no one workiti in ally acity ® I am an employer providing workers' compensation for my employees working on this job. . `., .. Bu . tree `Buildn n n. : It : . camps v name. g 3� .. ��3.-�R:<Fa .s::Isar►d..;;: ;....:..:,::.: :.>; ::.> :.:,<;:::.:: <.:. address.: :;;;: ::.:>::;:::.;:: ,.:.:. . tatys? 1. New Bedford .. ::.;:::>:phaae#.: 50$)997 357. ;:....—:..:: insurance ca.. ..Es.tern. CasuaIt' Itts a*tt alicv#•: 87�i�050 ///.,>,. ❑ I am a sole proprietor, general contractor, or homeowner(circle one)and have hired the contractors listed below who have . the following workers' compensation polices: :..;;:.::: .......::....:...........:,........ . .. 66niyanv name <........ .::: ;:.:;: .:.::._ ._:.. :::::: . >::::>::.;;::.:: ::.:::.:.:::..:;;:.;:.:;;>.......::.:::.:::.:.:.::.:::.:: >« :::� <::: : ::;;.::.::•:::::::::.:::::.::..:::.:.:..:...:.::::.:::...:... ........ 3... is ::•:.:.::.:..:::...::.:::•::::•... :.:. ::..::.:.::::::.:•.::::..::::::................>..>:.:..::...: ::..;.. ......................................... ;:: ::>:::>:;:: ::.:: . ... .. :::::>:>:;«.:::::;::>::::>:::::::::>.... :::><:•>>:;:< :>:::> one.#. ::: :..:.;:.:..:.,:.:>::..; rifv�. ... oh :.:;.:,.;.;: .. .•:.r:.:�:•�:•:.�:.:... .............. isisF:;;:;?;Y;:;:j .....ij;:.::::':"":j::�:,':':'::y;.Y?{Lii:i�r..yw:{:•}}}:.}?:}i}i:;.:iii:.:::..::::•:....�.�. .v.•:!.•..:•i?:.:: :w::.�::::: • . • . �. ........... :::::::•.�:::.�:::.�::.:._::.�::v:::.�: .:..:.:riiiii ..............................................................................................................::::•:Q:i�v:::: ..... .::.:::::::::.�:.�::::::......::::.........::.:::::::::::•::::::::::::::::::::n:v::..... ..:.-`..,..:.::.::::::::•::::::w;. •...:. ............. ...{:•:::::::......:n;:::::::::...K....!`!.. h'nrnnceca... _............ .. . _.... ...._..... ......... ai+iry .._..._---_ :: / i;. .... campanv name: :. .: address. clt9'::..... .. _: :.:.:.::.... one#;..,..;<:': _. :.;:::.:;:.::.:: .: :: v .................... nsvrence:ca- . .. . . . ... .........,... ..::.::: ...:.. :,::.:.:::,. ::..:..;... oli ......::.::.:.... /////,%. F_ a to secure coverage as required under Section 25A of MGL 152 can lead to the imposition of crfamnf penalties of a fine nP to si-SM.00 and/or one years'imprisonment as well as civil penalties in the form of a STOP WORK ORDER and a fine of$100.00 a day against me. I understand that a copy of this statement may be forwarded to the Office of Investigations of the DIA for coverage verification. I do hereby certify wider the pains andallies ojperjury that the information provided above is truce and correct I ,Signature— M 71 Date az1aze . / Print name �r✓-n�) _3. ��4 Phone# (508)997-5357 official use only do not write in this area to be completed by city or town official city or town: Ipermit/license ff ❑Building Department ❑Licensing Board ❑check if immediate response is requited ❑Selectmen's Office ❑Health Department contact person: phone it; ❑Other ) (revwa 9/95 PIA) . • Information and Instructions Massachusetts General Laws chapter 152 section 25 requires all employers to provide workers' compensation for their employees. As quoted from the "law", an employee is defined as every person in the service of another under any contract of hire, express or implied, oral or written. An employer is defined as an individual,partnership, association, corporation or other legal entity, or any two or more of the foregoing engaged in a joint enterprise, and including the legal representatives of a deceased employer, or the receiver or trustee of an individual,partnership, association or other legal entity, employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein, or the occupant of the.dwelling house of another who employs persons to do maintenance, construction or repair work on such dwelling house or on the grounds or PP building appurtenant thereto shall not because of such employment be deemed to be an employer. MGL chapter 152 section 25 also states that every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required. Additionally,neidw the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority. Applicants Please fill in the workers' compensation affidavit completely,by checking the box that applies to your situation and --supplying` lying company names,address and Phone numbers along with a certificate of insurance as all affidavits maybe submitted to the Department of Industrial Accidents for confimration of insurance coverage. Also be sure to sign and tK date the affidavit. The affidavit should be ivairned to the city or town that the application for the permit or license is being requested,not the Department of Industrial Accidents. Should you have any questions regarding the"law"or if you are required to obtain a workers' compensation policy,please call the Department at the number listed below. City or Towns Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the contact you the licauL Please of 'ons has to aPP affidavit for you to fill out m the event the Office Investtgat< y regarding be sure to fill in the pEift icense comber which wi71 be used as a reference number. The affidavits may be zetntired'to the Department by mail or FAX unless other arrangements have been made. The office of Investigations would like to thank you in advance for you cooperation and should you have any questions- please do not hesitate to give us a can. The Department's address,telephone anEx number: The Commonwealth Of Massachusetts Department of Industrial Accidents Me of Imlesugatlons 600 Washington Street Boston,Ma. 02111 fax#: (617) 727-7749 phone#: (617) 7274900 ext. 406, 409 or 375 4 _ �• �r _ .�ecTa..r.�,ipl� yti ..,,�..aF -..,,�`�-al I'<: � i �,�,.• `� ✓fie. i�oan�no�2ueacc� o�y�aaar�.u6eQ6 ' BOARD OF BUILDING REGULATIONS .¢ License: CONSTRUCTION SUPERVI$Ol t Number CS 050690 b ' Birth T--- 0/1962 . . pZ. ptnisc 08/10/2002 Tr.no• Restricted To '►. ANDREW'B TILL ETT: ' , • t '1-.2 BRAWLEY AVE G. .��•.��i •, FAAHAVEN, MA 02719 Ad(n fstrator... � s BARNSTABLE FIRE DEPARTMENT 3249 Main Street—P.O. Box 94 f " Barnstable,Massachusetts 02630 :m' 1927 '~ *, * 508-362-3312 .......... " FAX: 508-362-8444 WILLIAM A. JONES III HAROLD M. SIEGEL FIRE CHIEF DEPUTY FIRE CHIEF July 30, 2001 Town of Barnstable Building Department 367 Main Street Hyannis MA 02601 Commissioner: I have reviewed and stamped the plans for the renovations of Star Market date July 18, 2001. The following are issued that need to be addressed,but should not impede the permit process: 1. I discussed the lack of access to the large void space being created with Mr. Wood of Bufftree Building Company. He stated he probably would cut an access panel behind the new shelving units. 2. A permit shall be obtained by a licensed sprinkler contractor prior to any work on the sprinkler system. Respectfully bmitted, 7 arold M. Siegel Deputy Chi �n be if Nrt� ✓ee I �1��o�S Co�+jorcar 1 L a ree �e k�� I S,M w-l i^s44 f ke 0«es5 pone l k44 U0'A 07/17,12001 05:18 9787773971 C n1 E RAGE 01iO3 Construction Managem of&9ullders,Inc. 121 Conifer hill Or;ve • Danvers,Mossachusetts 01923 PHONE:(978)750-6111 F,AX:(978)777-3871 FM To: Tom (Barnstable Building Dept) From: Dick Berardi Dean Me!!o Fax: 506-790-6230 Pages: 3 Phone: Date: July 17,2001 Ree Flame Spread Information CC: ❑urgent ❑ For Review ❑ Please Comment ❑ Please Reply ❑ Please Recycle • Comments: Per your request attached please find the flame spread information on the carpet file and entry mat that we are going to be installing at the Shaw's Supermarket Vestibule. Please take the time to read the attached material and please feel free to call with any questions. Thanks for your time, r 07/17/2001 05:18 9787773871 C M B PAGE 02l03 sy t .r. ta. Fac; rasav o� ® Clnc AW�av Om q.AFa Y"eM� i iR-101 UC JL DESCRIPTION: 9 T i"7.T1dRH V V' TILE Square/Geometric (PRODUCT#2101220) GENERAL SIPECIFYCATION FABRIC; TM- Solution dyed polypropylene, ' outstatcding light fastness Weight- 24 ozslsy 171t1t1VI A RY BACKING; Typc: 100% SBR rubber Nubs; .1901, Between ISTa:as; .050" Durc�mcter 75 Tensile; 1600 PILE: Nub Heigh[: i/4" 7/16" Design; or Gtometric FEATILMS *Reinforced face NUBS: Face NUBS azt:reinforced with rubber to resist crausbing, maintaining highperforpmaaco and mtmdhV product life. �Rajsc Nll}3 surface: Rem.ovtis and traps dirt and moisture and holds it on mat below shoe;level so it is not trackml in, 111riep backing. Spegial non-thermoplastic Tri-Grip dubber backing insww diimcnsioual stability. Diau=jonal stability AACHENER test:Less tbsn 0.2%urge. Availablo in 'l,"or 7116"thicknessos, *Ruhbcr balking: Izys flat,will not crack or curl, qri(loor/outdoor. Durable I,ow static polypropylene face suitable for indoor or outdoor use, Poly ruylerc fibzr system dries quickly preventing fading aad rotting. *Not advmeiy etTected by salt or ice melt. *Colorfast. Solution dyad for excellent ligjit and wet f'astriess. *easy to clean: Just vacuum. An upright=pet ext:rator may also be used with anent cs. *Sho not be used in pUsed to tche 4)or petroleum products, *Passes #lar=ability standaxd DQCCF 1-70. -statio• 1 r a mn 'e Voltage of 1.6 K`l as mcwwcd by the AA 34 8locUvst4tic Propt=ity Test and meet 113M'5 mi-nim=stancl:3zd fur olcotaical resistanec. Watcrhog jrats arc safe for use in computor ro=s and around cIeclronic c;duiprncat. 07/17/2001 05:18 9787773871 C N1 E PA3E 03/03 , t Mats,I= 37 Shuman Avenue Storigbton,MA 02072 N C Tel:781�$44-1S36 ® Ea)761-344-1537 Vyeb Site: rvvlw.rviatsJnc.cbm i Soft Grid Open grid otmstY r<rcf bn with serrated ribs designed to mmove debris from footware 5 yeat'fm1W WVW Mrratrry � . , 14, GRID COMPOSITION 100%Flexible virgin PVC DESIGN Open oonstruction vinyl grid SIZES 40 ti.lengths and various widths between T and V THICKNESSES 3(08.& 9115' APPEARANCE Deeply etched textured surface,giving slip resistant properties. Available in many homogeneous stable colors. $UP RESISTANT TEST METHOD: ASTM C-10M89 Static coetrident of friction Results: Dry.9717 Avg./A FIRE Classttied as resistant to flame propagat"ion according'to ES3782 method 140A:I M Meets or a STM E Radiant Pa CHEMICAL n porous 100%Virgin PVC-inhbks the growth of bade Resistant to most adds,alkatines and oils. ACOUS71C Ex9ellerit soured absorption_ ULTRA VIOLET LIGHT(UV) Resistance to PVC degradation ELECTRICAL Resistance: Gateway—....................12,000 volts. DURABILITY Once piece welded construction,ensuring 1".maintenance I'me We. WORKABILITY Flexible PVC,easy to roll for cleaning.Trimming and installation. USES All locations,from highest hygienic area to heavy industrial areas,both indoors and outdoors. Colors: Blade,Gray,Blue;other colors available upon request S I IliL-30-0 SON 08:38 API BARNSTABLE_FiRE__ FAX:508+302+8444 PO 131M94 t/.���V'u�r�a� �p� V66i 3249 Main Street Barnstable 3 026303J9� Phone:(SOS))362-',312 f. Fax(SW 362-362-84" CottiQnissioner FQroft D.C. Hd Siegel FOWLam. ) 6? Pages-2 induding cover PhWW, .E3 :1927 !mate: 7/30101 Re: Star Wrket r+ermaUons CC: Cl urgent 0 For Review O Please Crmmment 0 paase Reply' Q Please fteay0o �' 4 I -:} CtfN:1 4�,, e� 'I k. -'1 i Y�',r v\'S i�•i� MAW .�w<, a SN 11 IL-30-(;' PAGE 2 03:38 AN! BARNSTABLEARL, FAX:508+392+-'-,�444 .4-M-1.1 BARNSTABLE FIRE DEPARTMENT a,2. 0l 3249 Main Street— P.O. Box 94 Q�"V. IVZ7 j l Barnstable, klassachuscits 02630 50136T3312 Z4_ e FAX: 508-362-8444, WILLIAM A. JONES III HAROLD M. SIEGEL FIFIE CHIEF DEPUTY FIRE CHIEF July 30, 20W Building [)ep,-jrtjjIc;jjt 367 Mair.. Street llyimn.is MA 02601 I inve m0wed and sWnTed the plans Ry he ramisyns of Sur)Aa&ej da,,e Uy 18, 2001 11C kAww"j; are issued Ihat rmd lo be addressed,but should not impede the Permit proccss: I. I discussed 1110 lack of access to The large v�) d space being created wsh Nk. WOOd Of KKK R&K Compm, He stated he pmbably c-Ut ar, access panel NNW do new shdvMg units. 2, A permiLshall be obtaiiiedby a licensed sprinkler cant-maor prior to an.y work on the spbskler symn-j., hkold )A. Deptay L MAY-OS-03 14 :43 FROM=TRAMMELCROWCOMPANY ID=6174235551 PACE 1/2 Facsimile Transmittal Trammell Crow Company 125 High Street, 10"'Floor,Boston,Massachusetts 02110 Phone: (617)757-2500 Fax: (617) 757-2501 DATE: 5-1 t,/03 company: j Fax#: FROM: eus kdY1 Phone; PAGES (iacl. cover): � Comments. R A U Co ( � Sie c -78 7 -7 - ? 40& . C i yam- R( The documents accompanying t1113 celefaX COmmunicatiOU clay coataia confidential information which is legally pfivileged. The information is intended only for the use of the intended recipient named above. if you are not the intended recipient, you are bereby notified that any disclosure, copying, distribution or taking of any action in reliance on the contents or the telecopied information except its direct delivery to the intended recipient u=ed above is strictly prohibited, if you have received this fax in error, please notify us immediately by telephone to arrange for the return of the original document to us. r, r _.. BILL INQUIRY- TOWN OF � ?/ , "' "� ' ,�,. ,. err :. �Z/ -,� �, .". ;z +- -•' 11 III �,.. .,., /.,, ,,,..� .. „ �,�,y„r I �s� �11,� m..-.. ' 10 3'ear Type Bill # Cult # Nates/S.'-1 9I.�..�-1-..�:.,",.r:rr�.:.:.:..:..2:,.:-.l.:, C Bill Name Ph ' % 2;003 RE R 15435. 229263: KPERS REALTY HOLDING # 3;8 INC ! .r:rr.:.:.:,.1l��.I.��.:....:1�.,:.rr-..1::r..,"4.I,:-...;'�...'..1.I1..1,-L.r.,�..-;.-.�I...".:.....:,�..:,1I.-...�:�-.r-....-—:I:;:I....I.I...:..1.:.'..1,i.,.,��..r.,"I-:'1.....I'll-,1.....:..-1�_:t..�r.--.-.I.-:l.:.1:;....:i1..."�I1I_-.:��.rr�-�..,11.-,lI1....-:-1'..1:-11:..:':;.";.-1.rrr-:."I..1.,�..-r,.1.r1:1,.,II;:;,1.-1-rrr�I..I:,::.�,,,'r..1:1I'':-.:::I�I�I".r..-:II-��%.l;,r..r.":l1.l:::..�..�r:,�I�,'�I.:..�l:::..:.� HIS1QiY " rrrr gym Parcel ID 2,5 019 X01' 2100 'MGKINNEY A�IE SIIITE 700 F, al �/ Alt Pare DALLAS T 75201 rtgBU Prop Lae 1070 IYANRO.UGH ROAD�ROUTEI - ,,,,..,, , h. LienPSale by ` 1 a 0 f�ut�lSanr, , „v ' �,..v' Int Dt Billed Abt�Ad7 Pmt Crd Interest Unpaid bat / ..: "ecrtic " 1 11/21/02 : $4 3$9 1,4 00 __._ ... .4 38,9 14 v/ IU Uttirt �icct 2 O5i02iO3 """". mm69 135 59s ��� 00 � l � 981 16 T70 115 7 : / u 1- -- 1 T ...._a. !�=�Custtor ier 3 ,,. /D' 4 ' s,.� , Fees/Pen: 0 0 0 ' D 0- ," 0 0 0 0 Natal@ `% �j Totals 153 524 ?3 ( 00 84 3$9 14 981 1.f� 70 116 75 "' r JAR r1 n0?'' e' KPERS REALTY HOLDING Due 05/07 2003 70 115 75 }r Per Diem 26 5.2 Rrerenees Int Paid . 00 1 0€ 1$ FST ✓ 2 L'i u fy� z /..� i, ,� e , ae�glsu�k aysaor.}inn 4,1an4 I-�ZEnr�.th -k*,iera�c+laEvl� d.'�.n,,,,, '��,,.,. �aa«i,<.,. r,.i�- !.�,+ae�'_ `. faC �A. -(S*.'h �i(1." ':. ' /r�/Yts/jrh ? %/i l ifi . ri "_s� cis a€.. i.c .,nftr,.i._._ je s t .s '.� �d x r.._ ", .,..v .i._..�.iE,r_� ... .!.F .'2:ct... o, v :1:tr tip£ .l l .,.. . 1 L poi COT 5iz 01 tM f9 I a ti xISP E P�L xan � LA.c rJT PSJ FAC5-5J 5LorJ FOP- 2 pe J )CA- PulI.o�ls SQ. FT 01- a.., 0,7 EXIS IhIC1 I'JO O SCALE opANIC1.E- ApLOt`I SERIES z500/7-550 - 2570 PAtJsLUC5r VItJ L ILM ALAL T T � F 44 o(LAt`IC7.E - PMS 165 _ - - WF r \V-1 5- Ac1ZI�Llc \V/ VIIJI-iL ovE(zL1�l� t � ARLoiJ SEIZiEs z500/z550/z5-70 I TRArJsLuc5f 1T v LIL FILm z586 c-IREErJ V PMS 368 CLEFT LEAF) U U LbGJ Lh�J F PET M r AIR suuermarnet _ WHITE v cRI�L1c w,i — -- -- vIrJI�L ov�RLALI 051255p- NIEyHEFZ PFO(Z,MAI`C5 5512IE5 730. TRAr15LUcErJT vlvlP 0REErJ R> a MS 5-77 (MIDDLE LEA ) P F WHITE -6,cp-L4Lic w/ _ �- viNILIL ovep-LAII AVERIl URAPHIcs.A9 TI2-M:sLUc5rJT PAI`400E � I . COLORS A963-}-T PAI` 6015-375 j T ` PMS 390 Wl(IC.HT LEAF) L. 1 CLIENT 51-IA\V'S SALES �M NOTES: WO o OT P OYAN_T_ DATE' 1O/Zg/p9 SCALE tJp jED DESIGNER .7�.5 THE OFFICIAL WEB PRESENCE OF t S I G N POYANT SIGNS INCORPORATED. S: JOB Number/TITLE HLIA141s, MA. — 1070 ILlAtJOUG�N pp- REVISIONS 10/Z9/04 IES • •' �" �• APPROVED BY: DATE 101 1/Z„ CUT 5)ZE 0 19 i/z�r GUTSIZE TM D PRoposEP - rJoT TO scALE Lac M ►J Loral A.c�s O J 5X15 )t l(! is Lor`J P�1 F T PSI ST �� C9-) �,c�s �oR z iPt:►JTicaL P LO Js t 5Q. rT. Osc o �J9D, Exlspj(EI tJOT TO :SCALE ._ .�. _. opAIJcE- ARLOrJ sEIz)E5 2500/7550 44 T A(Fig pms vIrJ�L FILM 44 oRArJc�.E - PMs.)bs \UNITE AGRI'lLIG \V/ vWLIL ovERLAq ARLorJ SERIES z500/75;50/2570 ='t: ow TRAI`As68 cL T vIrJAL'FILM zsab S 36$ CL c-�REErJ �7nn V PMEFT LEAF) TsjAAftr supermarket \UNITE vlrJiJL ovERLALj FzER HIG1N PERFoRMA�JGE SERIES 230 TAp R�sLucErJT vIVIP `EREEr:I PMS 377 (MIDDLE LEAF) qs \04ITE AGRNLIG \V/ Q vWL1L ov5l2LALI AVERI� GIRAPNGS A9 TRArJsLucErJT PAIJTorJE �ETsMAR"� COLOR A9634-T PArJT01JE 37s PMs 390 cRI(ENT LEAF) i ��07Y/A CLIENT 51-IA\V'S SALES �M NOTES: 1 i` , Q ©� J �p (T\.-I- J DATE SCALE DESIGNER _ 10/28/04 ►JOTEP �As THE OFFICIAL WEB PRESENCE OF Sh G N� S JOB Number/TITLE NLI�NI15. MA. _ 1070 ILJAfJOu�N pr> POYANT SIGNS INCORPORATED. 9 •- • • • • -• •- • •• APPROVED'BY: DATE REVISIONS 10/Z9/O lES • � •' � � �" ' • - '• ' � 1 • C • • • 1 I •• ' •� 1 •� • O aM 4I ■ a a ■ a a rR a ■ as aiAaa a■aaaUfi ¢a*awaM►•a 7. t0o • a.�'I�I �.0 m Cml �.,.. � . 'i .rsrri:W'"„i.s.�.�r r•...ra •:rrrrrr�.s.... pqryl^Iv zdH Xp ,�f.. all Nit mom 4�IXWFJ�k Mai �k VA • u��nrw poyanttsigns. c©rr� I N C O R P O R A T tE 17 • • • ' NOTE:?THIS IS AN ORIGINAL UNPUBLISHED DRAWING CREATED BY POYANT SIGNS. INC. IT IS SUBMITTED ..• • •. "Creative visual Imagery since 1938." FOR YOUR PERSONAL USE IN CONNECTION WITH A PROJECT BEING PLANNED FOR YOU BY POYANT SIGNS,INC. IT IS NOT TO BE SHOWN TO ANYONE OUTSIDE YOUR ORGANIZATION, NOR IS IT TO BE 1 -800-544-0961 REPRODUCED. COPIED OR EXHIBITED IN ANY FASHION UNTIL TRANSFERRED. 1 j PRoPos5P - IJoT To scAALE 461, CUT SIZE. AT HYANNIS i .. C APB OOKOsoo ,L cuTslzl: C?j JENNY, CRAIG } MATTRESS GIAN SG.: L I --o " -"- NEWBURY' Coecs .o4o ALUM). FzEPLA,c M5WT FoAc5 FOP s/F sl`itJ 55 STIIJc = IJOT;To, scALl ORAn(�E- ApLoIj SERIES zsoo/zsso I AT HYANNIS Q 7570 TRAIJsLuc5tJT VW AL FILM 4 ;.- SCRAPBOOK ver#Zgn dvireisss; VSTAMPING ' \vwITF,AcRLjLIc \v/ vIIJtIL ovElzLAtj KAfi]Et ATZLOIJ SEIz1ES 2500/z550/z570 JD, LERS JENNY CRAIG TRA,IJsLur-5JT v)YJLIL FILM 2586 UREErJ _ , PMs 368 (LEFT LEAF) Ih+'lA'STRES GIANT,,:I • l - Y "III v L4L ova LA�w/ G� NEWBURY �EIZBE[L HIUN PE)ZFOIZMAtJGE SERIES Z3o UNIVERSE, Comics TrzArJsLucEIJT vlvlP C�IzEEIJ PMS 377 CMIPPLE LEAF) /LE��4AlTLAS \VN1TE AG(ZNLIG \v/ VIIJLJ O\/EIZLALI a`� _ y Avp2q G7P_APH1cs A9 TIzAIJsLursoAT P,!NATOIJE " - I e coLoRs A9634-T PAIJTorJE 375 ` PMS 390 CPgI `IT LEAF) «a,' « "• r pOTANT CLIENT SNAW'S SALES (Elm NOTES: o DATE SCALE DESIGNER _ Io/ze/o9 00TE� �As THE OFFICIAL WEB PRESENCE OF SI N S, JOB Number/TITLE I-Il�A1J►JIS, MA. - 107o ILJAIJOU I. 4 1ZD. POYANT SIGNS INCORPORATED. REVISIONS Io/z9/0g- tE5 • •' - I I" I ' �• '� I • • �•�� I APPROVED BY: DATE •' • • • • ' • i • • '11 I •' I •' I • - ,PRoPosEP n1oT To :SCALE. �• PA)I45P TO MA cH PM5 # )65 OF. tJeE Q w TM rr � UO M tVco r- 5) s"E4rJ TAPE so,. FooTAc�.E Cl' 32" SNA\V'S GHAI�ItJE� 45.5 SF LETTERS HAfJ ETTE S 17 7I a # w�. Ile w - '- ToTnl 62.71 Sr EQUAL . 77.488" EQUAL EXIST snt']AggI scalJcs> Sl(- J TLIPE 5Q. FOOTAc�E SHA\V'S DETAIL r ��i ° SNA\V'S LE A E�SL S .666 SrSM ovr- 3Z TT R 4 P � fi• .I�: _ _ .. 17 i`z°.5UPERMAQKET GNAIJrJEL 9.IZ1 SF )ZEMO�/E -� /�`` - PlsPosE � - " A-LETTERS SPACED OF FASCIA W/ LETT5�zs A" a "Z CLIPS.&NON-CORROSIVE FASTENERS. - - - J _ 3/8"BRASS THREADED ROD: B - TOTAL. 63.787 ir +.... Y,.. ° .A B-WHITE ACRYLIC FACES - - - r_xisTWr IJoT To scALF- D'-10mm ALUMALITE BACKS - D ,! r �, I F-LED'S GELCORE ORANGE OR SIMILAR FOR LETTERS F2pMOVG A1JD D)SPpSE 5XISTIOI S)�rJS "' 1 LED'S GELCORE GREEN OR SIMILAR FOR LEAF- - - - - ^I G-.060 ALUM.LEFTWALLS. F IJE�V SI-)A�VI� AtJD OSGO - - H-1'TRIMCAP I-ALUM.COLLAR BETWEEN CLIP&WALL BEHIND �%. �N�`\�/5�� �J'•� -•1Q• 1 T• •. - _ .". y _ DRYVIT TO AVOID COLLAPING OF ORYVIT _ G - - • FASCIA THICKNESS MAY VARY V.LF. : O5co 1-7,2)"S J-CLIPS OR WOOD BLOCKING REQ'D. - - " }3 t p, SQ• �T• FOR THRU-BOLT ATTACHMENT _ - 6Z•7I - _osco DETAIL AcRv4L1TE oRaJ 5 pMS 165 A-LETTERS SPACED OF FASCIA WI - - "Z".CLIPS&NON-CORROSIVE FASTENERS. /\ _ 3/8"BRASS THREADED ROD. WHITE AcRtgLlc w/ B-WHITE ACRYLIC FACES B - - "l JLJL ovER.n q . AgLold sER1Es 29oo/2550/Z570 C-BALLAST RAIJSLUCEI.IT VINI11-FILM 2586 c�{2EEf.1 - - O 1 p S 366(LEFT LEAF) D-10mm ALUMALITE BACKS Q E-LIQUID TIGHT CONDUIT&THRU WALL CONNECTOR O. - h - WHITE AcIZl�L1c\v/ I E - \vzT4L ovE(z A� F-FLUORESCENT LIGHTS aER .R HIF{H PEpFopMAnlcF o-- TRAIJSLUCEnIT v v P y12EEAl G-.060 ALUM. LEFT WALLS. W 6 " ( pMS 577(M)CCLE LEAF) _ -•: " H- I*TRIM CAP - ihy„ � •rl �. - �NT�ovEIZLLn W/ I-ALUM.COLLAR BETWEEN CLIP&WALL BEHIND G - +w H H - DRYVIT TO AVOID COLLAPING OF DRYVIT AVW LI URAPHICS A9 TRAnIsLJ(:vAT pArJTOng - - " coLops A963q-T pArlTonlE 375 FASCIATHICKNESS MAY VARY V.I.F. H ' pMS 390(12-1U4T LEAF) J-CLIPS OR WOOD BLOCKING REQ'D. - - FORTHRU-BOLT ATTACHMENT - - - CLIENT S1-iA\V'S SALES elm NOTES L%V UL7 iJllc GI O MANTPO DATE SCALE DESIGNER c - 1o/za/o4 )JoTE>? ,7AS THE OFFICIAL WEB PRESENCE OF C; I G l r S JOB Number TITLE. N�ArJrJ15," MA, - )07o i�A)Jouc-,H RD. POYANT SIGNS INCORPORATED. REVISIONS 10/79/0-} )ES • • "FA APPROVED BY: DATE • • C • • • • I • ' • 5@yl A, • •' • C S:\octive_jobs\2256—Shaw Interior Revisions\2256 A-1.dwg, 8/17/2010 11:55:20 AM, KONICA MINOLTA C353 Series PS f - f L�f f w _ CABINET PHARRIACY WAITING SE 'U 1T Y Y III STRG. U11.IITS PHARMACY ilI 375 S.F. PHONE RFS TRG". D REF UNITS SF� Uf'JaER 9 I 3S �y l f'R STR'C. _ PHONE UNITS x C1 m b III STR0. UNITS LO II -- STRG --�� UNf ITS n SINK I F N � II \ ' "' f��l ,—PHONE N STORAGE � -1 z4 I I ' CLOSET � a % In —F-1L 0 illi 'p T T i nN�ft Out � rm m m rl� m C <R i N xotNr ;,r t�J rrf r a z magg �' p ld ,-REF. 10 D70 -�' CIQ XN I D �+ � N S so repare _ e: S HAW'S JD LaGrasse cn PHARMACY & �ssocia _ I�t. PQ PQ o 11 - HYANNI S, MA Architects-Engineers-Interior,-Land Planning m One Elm Square,Andover,MA 01 M CD REVISION T.978-470-3675 F.978-470-3670 O ylytJagrasaearehilects.com — E—mail:JDWOAOLCOM f� iN%. iW; ice% icn; i\wi i�rn% ice; ; I I I I I I ; i gz I - I • --------------------- I j - ----------------- ]� Y 9 I � I II � •�°' I�I� io I iI — ------ -- --- =-- --I ---- -- I /WURI . ° of C ((( ". ;a DD I❑® °bag � •���� °�d d i [ l�o � j .. j m- if I I 7N o O ' go!-]9 - E.—Jul, naiad, N-/D-DAIR—Y —B xUN •--—. — I .s.— —— ———0 —— -08 MU- - R% --- -- —— —.———.——————- --1--.—' ---- — O ; 71 aY n *xE°R s G I § G e • tl I x.a �" ¢I Nxcx ��• III �� j 1! I a „ �a --------- i rill, �. II II ! 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PATCH ALL NEW WALLS//gg"GYP,BD((TTdt3 3-COATS) o G 88 ON 3.S/8"MTL S1U08 AT 16"O.0 (TORE REMOVED) TO ,4"ABOVE FlN fL O EXI817NG Hv EXISTING GREASE TRAP THERMOSTAT MK REMM) (TORE REMOVED) FROM WALLS D PATCH T'SS 3-COATS ALL WALLS THROUGH &N AREA I i WATER FEGTING EDS A I&COLD ( ALL EXISTING OT/CERAMIC FLOORING 1.1 BASE OF BOX OUT II -IS TGSE REMovED TNRouGHouT AREA (TORE REMOVED) LIMITS SHOWN DOTtED� AREA FlU fA VENT PIPE UP Q hd I I EXISTING WADS AND COOLER BOX VENT PIPE UP LEVEL W��� TO BE REMOVED. I'I I I INSTALL S/BRING A7.(T6 3-COATS) AREA 1 FURRING AT iS O.C. IN AREA OF NX,O GOOIER, Box ujaz RELOCATED W 4 THERMOSTAT NOTE:ALL EXISTING WALL SURFACES Lu z TOBE PAINTED TO MATCH EXISTING SALES FLOOR DECOR. EXISTING SINK ROUGHING CtOK REM(WED) (TOR REMOVED) ) o (TORE hd �1�ION� �"REMOVED) � . EXISTING EVAP.COIL MOUNTED _ . . . . . . . . J TO CEILING OF COOLER BOX . . . . (TORE REMOVED) _ EXISTING DOOR TO BE IACKED CLOSED um AND ALL WOWS BELOW TOP TRA1rSOM WOWS. TORE MACKED OUT. EXISTING/DEMO FLOOR PLAN PROPOSED FLOOR PLAN SCALE;i/8"�1'-0" QiCALE;1/8"�1'-D" W SALES FLOOR CEILING OPEN TO ROOF DECK ABOVE . Q EXISTING FLUE IXREMOVEO TA CAPPED PIPES TO THROUGHROBE EMOVED ❑ I I N APPko VjiD AND ROOF PATCHED. , � tlu� �.SPR RINK.AT R HEAD t' , z gm dn. BOTiiDM OF NEW SOFFIT � flue Of 13'-4"OFF Of Cfl ° ► ° Z Tm �� BAR -�r 0 ANDARD � � 'P 4 CD�ANSUG TILE NDHr, GRID >� O � � O 0 Q OF EXISTING. 0 Z O>- EXISTING LIGHTpFFD(TT(URESTOK >w OC� FDOR E AND MEW TSB`'' DATE: BISTALLE .MP, IN JULY 18,2001 F`� � GMM 'RELOCCAATTED 0 0 EXW.SPRINKU72 HfAo PROJECT #; TORE RELOCATED N0TE:EXffnNG LOW +� SPRINKLER HEAD IN EXLSTING COOLER TORE REMOVED. EXISTING EXIT SIGN SHEET# TOW REMOVED, 1 OF EXISTING REFL.CEILING PLAN PROPOSED REFL,CEILING PLAN 1 SCALE;1/B"�1'-O" SCALEII/S"-1'-0" w 0 EXISTING MOP SINK (TORE REMOVED) N Z Z O EXISTING ELEC.PMIELS /� rL (TORE REMOVED) V I 09 C� N ohd(TORE REMOVED) ISTMNG FOLDING PARTITION / LAJ EXISTING GAS SERVICE raft ) LJ j SUSPENDED SMON CEILING i (T08E REMOVED) \\\\ � Z (TOREM EM�N OF WEX(1471NEG SINKROt)XrYi1NG \\\. \\ FR FLOOR TO t3'�ABOVE. REHANNGG RENNNINNG TOP SECTION OF WALL AS A SOFFIT \\1, FROM STRUCTURE ABOVE, PATCH ALL QYP.0D ASNEW WALL;S(S GYP Bp(�&S 3-COATS) \ e �d p TD OLA S/a"FMIINL�d8 AT 1E00.0 \\. (TORE REMOVED) (TORE REMOVED) \� EXISflNG Hv 1 (bBE )GREASETRAP (pBE RE►IOVED)THERMOSTAT NOTE;REMOVE ALL EXISTING GI ASSBD I( FROM WALLS AND PATCHT$S 3-COAT8 I� ALL WALLS THROUGH OUT AREA EXISTING HOTNkCOLO WATER FEEDS AT ALL IXISTING QT/CERAMIC FLOORING ----" •I SASE OF BOX OUT II `• IS 70K REMOVED THROUGHOUT AREA (TORE REMOVED) (LIMITS SHOWN DOTTED)AREA.FILLED I I WITH ARM AND NEW VCf INSTALLED VENT PIPE UP hd EXISTING WALLS AND COOLER BOX VENT PIPE UP ( ITE) — — — TO BE REMOVED, COOL WH SALES Fl,AOR.LEVE1.w/EXIS11Nc I ;I >0 INSTALL S/S"GYP,BD,(T&S 3-COATS) I ) ON t"Z FURRING AT 16"O.C. IN EXISTING COOLER AREA OF OLD COOLER.BOX W THERMOSTAT NOTE-ALL EXISTING WALL SURFACES Z TOBE PAINTED TO MATCH EXISTINGSALES FLOOR DWOR. _ (W ISTING SINK ASMHOT&COLDWATER) REMOVED) (TOBE REMOVED) p EXISTING PUS, •,rION EXISTING EVAP.COIL MOUNTED . . . . 1. . . — ( REMOVED) TO CEILING OF COOLER BOX (TORE REMOVED) EXISTING DOOR TO BE LOCKED CLOSED LL AND ALL WOWSBLACKED OEM TOP TRANSOM WOWS. TORE BLACKED our. EXISTING/DEMO FLOOR PLAN PROPOSED FLOOR PLAN SCALEH/8"�i'—O" SCALE;1/8"�1'—O" L SALES FLOOR C LING OPEN 10 ROOF DECK ABOVE EXISTING FLUE •P EXIST.SA TORE •P THROUGH PIPES7 KRa�AWEO a REMOVED AND CAPPED � N AND ROOF PATCHED. I M yo. dn. ir TM REUDCATED HEAD Z v BOTTOM OF NEW SOFFIT O flue �f •� 13'-4"I1FF Q 0 Q.'O ❑ TDB RE OCAIED O =04 O z w a zI I I L APP vi • 13 NEW SHAW'S STANDARD • I J U O Z CaLING TILE AND GRID >0 INSTALLED AT HT. OF •P D LLf z O O?a- (DATItd EXISTING LIGHT FIXTURES •P ❑� ME AR EM d AND NEwVE DATE; FIXTU INSTALLED(1YP. FAR JULY 18,2001 O �'AARILRELOCATED a O DOSTAPRINKLER HEAD ( "� TO RELOCATED G w - "-" PROJECT #; RE N°TE;EMISTING Low P�:V aP •P +P SPRINKLER HEAD IN SP EXISTING COOLER TORE REMOVED, TDWITING EXIT SIGN m SHEET# L-L I I 1 OF EXISTING REFL.CEILING PLAN PROPOSED REFL.CEILING PLAN 1 scALE;1/S"-t'-0" SCAI.E�1/8"-t'-0" W 4 O EXISTING MOP SINK • • m (TEE REMOVED) ,^ V Z Z ® c �� p�Cp/N E REMOYFA) /_ L / tJ W ohd(TEE REMOVED) ISTI FOLDING PARTITION LiO ExIsTING GAS SERVICE 8 'X14 SUSPENDED (TOBE REMOVED) � CR O CEILING (TORE REMOVED) `�� Z EXISTING SINK ROUGHING REMOVE SECTION OF WALL FROM FLOOR (loot REMOVED) ��. TO 13'-4 ABOVE. REHANG REMAINING TOP SECTION OF WALL AS A SOFFIT ��. FROM STRUCTURE ABOVE. PATCH ALL ��. GYP.BD AS REOUIRED. NEW WALLt5 //8$"GYP 6BppC(Tf&S 3-COATS) o IS ON 3OVE-5/8"MTL tiTVDB AT 16"0.0 (Toot REMOVED) TO 14 AB FlN.FL \� ( RaOVW) EXISTING HV ll EXISTING GREASE TRAP THERMOSTAT NOTE:REMOVE ALL EXISTING GLASSED I•I (TORE REMOVED) (TORE REMOVED) FROM WALLS A PATCH,TSS 3-COATS (I ALL WALLS THROUGH OUT AREA II EXISTING HumcoLO WATER FEEDS AT I I WE OF BOX OUT _ALL EXISTING QT CERAMIS TOBE RU04M THR)O)UGHOt1T FLOORING EA MBE ((U NEW TEDVCf INSTALLED I.I VENT PIPE UP ehd _ I I TO �Nc WALLS AND GOOIER BOX VENT PIPE UP REMOVED. SINES LEVEL W/ I+ ii >0 INSTALL 8"GYP,BO(TioS 3-COANTS) (,I ON t"Z FiJ 5//RRING AT 16b.C, EXISTING AREA OF OLD COOLER.BOX WAC—� W THERIWSTAT Q NOTE.ALL EXISTING WALL SURFACES W TORE PAINTED TO MATCH EXISTING EXISTING INK ROUGHING SALES FLOOR DECOR. — (WASTE. teCOL DWA ) (loot REMOVED) Q (Toot RELLOVED) � o EXISTING PUS I (T�OBAE�REMOVEDj DUSTING EVAP.COIL MOUNTED TO CEILING OF COOLER BOSt (Toot RELWVtO) L � o LL EXISTING DOOR TO BE LOCKED CLOSED AND ALL WDWS.BELOW TOP TRANSOM WOWS TOBE BLACKED OUT. 171 EXISTING/DEMO FLOOR PLAN PROPOSED FLOOR PLAN m SCALER/8»-t.—o» SCAry W FLOORSALES TO ROOF DEC K EIS OPEN •sp MO • Q EISTINPIPES O�EREMONEDREMOVEDµD CAPPED AM ROOF PTHROUGH PAAMEO O � � Rw EXIST.SPRINKLER HEAD z o f gm dn. TOBE RELOCATED O � BOTTOM OF NEW SOFFIT O �flue N ERB EXIST-SA GRILL a 0 C4 TOME RELOCATED z W O O! i Z • O NEW TILE A GRID •� WO Z •P INSTALLED AT HT,OF 5s EXISTING. LIGHT FIXTURES o�µNDMNE#OV FOR 7) NSTALLED.(TYP. (DATE, 201 17� p LL TTOOBBEE RELA ATTED O EXIST.SPRINKLER HEAD PROJECT TOBE RELOCATED NOTE:EXISTING LOW sp •W SPRINKLER HEAD INsP EXISTING COOLER TORE REMOVED. EXISTING EXIT SIGN I j9. . b P 1 � �� ,1 �,�, ,,�:$a SHEET TOBE REMovm. OF LA EXISTING REFL.CEILING P N PROPOSED REFL,CEILING PLAN scALE,1/8"-t'-0" scxE;t/s"-1'-0"