Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
Home
My WebLink
About
0264 BARNSTABLE ROAD
26 1Yr s ►/� j 22 � I i i a i I YOU WISH TO OPEN A BUSINESS? For Your Information: Business certificates (cost$40.00 for 4 years). A business certificate ONLY REGISTERS YOUR NAME in town (which you must do by M.G.L.-it does not give you permission to operate.) You must first obtain the necessary signatures on this form at 200 Main St., Hyannis. Take the completed form to the Town Clerk's Office, 1 st FI., 367 Main St., Hyannis, MA 02601 (Town Hall) and get the Business Certificate that is required by law. DATE: b /L/�G Fill in please: L ('') i'cA J -e. APPLICANTS YOUR NAME S: /1'► u,e / � M 0�. BUSINESS YOUR HOME ADDRESS: S(> l,,14,2-\o.- 2 d• rc y- 20U . .•r " E5': Y LeP1.sYIrYf(' jl. ' TELEPHONE # Home Telephone Number 0!o NAME OF CORPORATION r f6d, NAME OF NEW BUSINESS` 4,4 SSa c Asa J a 62� '': TYPE OF BUSINESS n J r` IS THIS;A HOME OCCUPATIONS ADDRESS OF BUSINESS Q�n � �o c►�. n`n;J MAP/PARCEL NUMBER )l� (Assessing) When starting a new business there are several things you must do in order to be in compliance with the rules and regulations of the Town of Barnstable. This form is intended to assist you in obtaining the information you may need. You MUST GO TO 200 Main St. - (corner of Yarmouth Rd. & Main Street) to make sure you have the appropriate permits and licenses required to legally operate your business in this town. 1. BUILDING COMMISSIONER'S OFFICE This individual has been 4pformedrqf any permit requirements that pertain to this type of business. Authorized Signa ure* COMMENTS: 2. BOARD OF HEALTH This individual has been informed of the permit requirements that pertain to this type of business. Authorized Signature* COMMENTS: 3. CONSUMER AFFAIRS(LICENSING AUTHORITY) This individual has been informed of the licensing-requirements that pertain to this type of business. " Authorized Signature**. COMMENTS: YOU WISH TO OPEN A BUSINESS? For Your Information: Business certificates (cost$40.00 for 4 years). A business certificate ONLY REGISTERS YOUR NAME in town (which you . must do by M.G.L.-it does not give you permission to operate.) You must first obtain the necessary signatures on this form at 200 Main St., Hyannis. Take the completed form to the Town Clerk's Office, 1 st FI., 367 Main St.,. Hyannis, MA 02601 (Town Hall) and get the Business Certificate that is required by law_RM - t I DATE: 141c Y Fill.in-pleas el : APPLICANT'S' YOUR NAME/S: -j-nn e f3 u-�-5 BUSINESS YOUR HOME ADDRESS: S C-A- f-0(31Ns 20 = I k dS 'Yl S-1Z-ou es—�r �.�� wZ b s 2 a� w TELEPHONE # Home Telephone Number � Z SSLf NAME OF CORPORATION: CA-QC- COD NAME OF NEW BUSINESS 7en-iyrL- A -C vckrf--r(s - o(-' CCk-p-2 wO TYPE OF BUSINESS rW-&-t i Prn-G�1 Cy, IS THIS A HOME OCCUPATION? YES NO ADDRESS OF BUSINESS ct-,n S 0-b 4e- 27 M0 MAP/PARCEL NUMBE — O .(Assessing) When starting a new business there are several things you must do in order to be in compliance with the rules and regulations of the Town of Barnstable. This form is intended to assist you in obtaining the information you may need. You MUST GO TO 200 Main St. - (corner of Yarmouth Rd. & Main Street) to make sure you have the appropriate permits and licenses required to legally operate your business in this town. 1. BUILDING COM9hab 'S OFF E This individuFifor ag it requirements that pertain to this type of business. d Sign COMMENTS' - 2. BOARD OF HEALTH This individual has been informed of the permit requirements that pertain to this type of business. Authorized Signature* COMMENTS: 3. CONSUMER AFFAIRS[LICENSING AUTHORITY) This individual has been informed of the licensing requirements that pertain to this type of business. Authorized Signature COMMENTS: TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel -Application # 1 Health Division�;\14-n :1 ! L5 Date Issued 6 Conservation Division —Juq t�j71 hS ' r .Application Fee Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation/ Hyannis - Project Street Address Village AY1VIlS ' Owner !FLI41-iT V6VdQPYKQ9gi .37W Address 7 6 Z A19YLn' 5I b5L_-e Telephone �tl uV volt OZ& v Permit Request ` Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation l Construction Type Lot Size Grandfathered: ❑Yes ❑'No If yes, attach supporting documentation. Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family (# units) Age of Existing Structure Historic House: ❑Yes JNo On Old King's Highway: ❑Yes -LKNo 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: 6 existing _new Total Room Count (not including baths): existing new First Floor Room Count Heat'Type and Fuel: Gas ❑ Oil ❑ Electric ❑ Other Central Air: dkYes ❑ 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# c» .Current Use yf197-, Proposed p TT7( osed Use m APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name -Iv,6L oiz�ftwos Telephone Number EZ&— 7L/ 7 Addressl L1L(. License # .3 COW T,% ✓�(I� 0?G 3� Home Improvement Contractor# D o Worker's Compensation # 0A 6 q0/ -01 —0 Z_ ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TO SIGNATURE DATE ! 7i3 FOR OFFICIAL USE ONLY APPLICATION# t , ' -;DATE ISSUED f tall:D 1 -1-19 _ kr i [ :.:MAP/PARCEL NO:' ADDRESS: VILLAGE } OWNER DATE OF INSPECTION: r fF:9UNDATION�J-l4:"�_ _ ,FRAME t TINSULATIONU _- .:,;.� FIREPLACE Yt ELECTRICAL: ROUGH FINAL r PLUMBING: ROUGH FINAL ROUGH' FINAL { _DATE CLOSED;OUT :: a ��r: s ASSOCIATION PLAN NO. i f sAxtvsTns�, * . MASS. Town of Barnstable Regulatory Services Richard V.Scali,Director Building Division Thomas Perry,CBO Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Property Owner lust Complete and. Sign This Section If Using A Builder I, ;as Owner of the subject property t c - -C � l p p tY hereby authorize M(/'L ac to act on my behalf, in all matters relative to work authorized by this building permit application for: (Address of Job) Signature of Owner Date Print Name If Property Owner is applying for permit,please complete the Homeowners License Exemption Form on the reverse side.. C:\Users\Decollik\AppData\Local\Microsoft\Windows\Temporary Internet Files\Content.0utlook\2PIOIDHR\EXPRESS.doc Revised 040215 Office of Consumer Affairs and Business Regulation 10 Park Plaza - Suite 5170 Boston, Massachusetts 02116 Home Improvement Contractor Registration Registration: 104804 Type: Private Corporation Expiration: 7/15/2016 Tr# 255509 LAGADINOS BUILDING & DESIGN, INC Nicholas Lagadinos 13 Thankful Lane Cotuit, MA 02635 Update Address and return card.Mark reason for change. Address Renewal ❑ Employment F� ]Lost Card SCA 1 0 20M-05/11 - &2e wporwrcaruaeal6/ License or registration valid for individul use only Office of Consumer Affairs 8c Business Regulation g 'OME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: egistration: 104804 Type: Office of Consumer Affairs and Business Regulation expiration: :.7/15/20"16 Private Corporation 10 Park Plaza -Suite 5170 Boston,MA 02116 LAGADINOS BUILDING:'&DESIGN,:INC Nicholas Lagadinos 13 Thankful Lane g , ate Cotuit,MA 02635 Undersecretary Not vali wi o t ignature r The Commonwetalth of Massachusetts n�3S Department of Industrial Accidents ds ,I Office of Investigations 600 1W�tashin toss Street vt � g Boston,ItV1lA 02111 -' www.maass.gov/Alta Workers' Compensation Insurance Affidavit: Builderrs/(Co><n>tracto>rs/IElectricians/pRuambe>rs Applicant Information Please Print�e�il�iy Name(Business/Organization/Individual): qb1 Vto S -:r,V 1 Lit q y 1 v' el,Il! ky Address: t City/State/Zip: 0 SU l l 6 �_ Phone#: SZ6— Z°u - a Are you an employer?Check the appropriate box: Type of project(required): 1.[�I am a employer with M 4. ❑ I am a general contractor and I employees(full and/or part-time).* have hired the sub-contractors 6. ❑New construction 2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7. ❑Remodeling ship and have no employees These sub-contractors have g, ❑Demolition working for me in any capacity. employees and have workers' [No workers' comp.insurance comp.insurance.$ 9. ❑ Building addition required.] 5. ❑ We are a corporation and its 10.0 Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their 11.❑Plumbing repairs or additions myself. [No workers' comp. right of exemption per MGL 12.❑ Roof repairs insurance required.]t c. 152, §1(4),and we have no employees. [No workers' 13.❑Other comp. insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. $Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: cT�tS tj rQ d(Ce, �b2ULc� Policy#or Self-ins.Lic.#:��p — $g 6 —0 2! Expiration Date:. ` z� Z-O/ Job Site Address: tkF_ .City/State/Zip: Aunn< _ t �CjJ Attach a copy of the workers'compensation policy declaration page(showing the policy numb r 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. e advised that a copy of this statement may be forwarded to the Office of Investigatignqf the DIA for insurance o rage verification. I do he. y?efify unde the' airs d penalties perjury that the information provided above is true and correct Si nature: Date: Phone#: Official use only. Igo 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#: l DATE(MM/DD/YYYY) CERT ICATE OF LIAB TY NSUR NNE 01/09/2015 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy,certain policies may.require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT NAME: Applied Risk Insurance Services, Inc. PHONE 10825 Old Mill Rd (A/C,No,Ext): (877)234-4420 �y� No): (877)234-4421 Omaha, NE 68154 E-MAIL ADDRESS: PRODUCER (877)234-4420 CUSTOMER to# INSURER(S)AFFORDING COVERAGE NAIC# INSURED INSURER A: Continental Indemnity Co. 28258 INSURER B: Lagadinos Building & Design, Inc. 13 Thankful Ln INSURER c: Cotuit, MA 02635-2616 INSURERD: CTL 1273 970254 INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TOTHE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACTOR 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 ADD SUB POLICY EFF POUCYEXP LTR TYPE OF INSURANCE INSR WVD POLICY NUMBER MMIDDIYYVY MM/DD/YYY LIMITS GENERAL LIABILITY EACH OCCURRENCE $ COMMERCIAL GENERAL LIABILITY ❑❑ DAMAGE TO RENTED $ CLAIMS MADE❑OCCUR MED EXP fany one erson $ PERSONAL&ADV INJURY $ GENERAL AGGREGATE $ GEN'LAGGREGATE LI MIT APPLIES PER: PRO- .DUCTS-CO OP AGG $ POLICY EIJECT LOC $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT ANYAUTO ❑❑ - Ea accident - $ ALLOWNEDAUTOS BODILY INJURY Per person I $ SCHEDULED AUTOS BODILY I r n $ HIRED AUTOS PROPERTY DAMAGE Per accident $ NON-OWNED AUTOS $ $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS MADE ❑❑ AGGREGATE DEDUCTIBLE RETENTION $ - $ WORKERS COMPENSATION Xr WCSTATU- OTH- AND EMPLOYERS'LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE YIN N/A 4 6-8 8 0 9 0 6-0 1-0 2 01/02/2015 01/02/2016 E.L.EACH ACCIDENT $ 500,000 OFFICER/MEMBER EXCLUDED? (Mandatory in NH) E.L.DISEASE-EA EMPLOYEEI$ 500,000 If yes,describe under SPECIAL PROVISIONS below E.L.DISEASE-POLICY LIMIT $ 500,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(Attach Acord 101,Additional Remarks Schedule,if more space is required) . CERTIFICATE HOLDER CANCELLATION Town of Barnstable' SHOULD ANYOFTHEABOVE DESCRIBED POLICIES BE CANCELLED 200 Main St. BEFORETHE EXPIRATION DATETHEREOF,NOTICEWILLBEDELIVERED Hyannis, MA 02601 IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE �1783118 ACORD 25(2009/09) ©1988-2009 A ORD CORPORATION. All rights reserved r Massachusetts Department of Public Safety Board of Building Regulations and Standards License: CS-012653 Construction Supervisor NICHOLAS A LAGADINOS.• r nk, 13 THANKFUL LANE, COTUIT MA 02635 - Expiration: Commissioner 07/16/2017 y ; 4 Massachusetts Department of Environmental Protection j eOEP Transaction Copy Here is the file you requested for your records. To retain a copy of this file you must save and/or print. . Username: LAGCON Transaction ID: 776550 Document: AQ 06-Construction/Demolition Notification Size of File: 88.90K Status of Transaction: In Process Date and Time Created: 9/23/2015:3:18:01 PM Note: This file only includes forms that were part of your transaction as of the date and time indicated above. If you need a more current copy of your transaction, return to eDEP.and select to "Download a Copy" from the Current Submittals page. Massachusetts Department of Environmental Protection LI Bureau of Waste Prevention•Air Quality BWP AQ 06 Notification Prior to Construction or Demolition This is a revision to an existing form. Project ID for existing form to be revised: G This job is being conducted under a Blanket Permit MassDEP assigned Blanket Authorization ID: G This job is being conducted under a Non Traditional Abatement Work Practice Permit. MassDEP assigned Non Traditional Work Practice Authorization ID: G None of the above conditions apply,generate a new form. Revised: 11/13/2013 Page 1 of 1 I Massachusetts Department of Environmental Protection Bureau of Waste Prevention•Air Quality B`!,/,T O/b 100229453 i Y ^ Notification Prior to Construction or Demolition Asbestos Project Number# A. Applicability A Construction or Demolition operation of an industrial, commercial,or institutional building,or residential building with 20 or more units is regulated by the Department of Environmental Protection(MassDEP),Bureau of Waste Prevention,Air Quality Division, under Regulations 310 CMR 7.09. Notification of Construction or Demolition operations is required under 310 CMR 7.09(2)ten(10)working days prior to any work being performed.The following information is required pursuant to 310 CMR 7.09. Is this a fee exempt notification(city, town,district,municipal housing authority,state facility,owneroccupied residential property of four units or less)? Is this a fee exempt notification(city,town,district,municipal housing authority,state facility,owner-occupied residential property of four units or less)?. EJ Yes rYJ No Type of Notification: Revision of an Existing Formj Cancellation of Project Instructions: 1.Blanket Permit Project Approval,if applicable: Approval ID# 1.All sections of this 2.Non-Traditional Asbestos Abatement Work Practice Approval,if applicable: form must be completed in order to Approval ID# comply with the Department of B. General Project Description Environmental 1.Facility Information: Protection notification HYANNIS DENTAL ASSOCIATES 264 BARNSTABLE RD. requirements of 310 CMR 7.09. Name of facility Street Address HYANNIS MA 026010000 5087784488 2.Submit Original City/Town State Zip Code Telephone Form To: Commonwealth of NICK LAGADINOS CONTRACTOR Massachusetts Facility Contact Person Contact Person Title P.O.Box 5087370362 LAGCON@CAPECOD.NET Boston,MAA 02211 Facility Contact Person Telephone Facility Contact Person Email Facility Size: 2538 1 Square Feet Number of Floors Was the facility built prior to 1980? F Yes r No Describe the current or prior use of the facility: DENTAL OFFICE Is the facility a residential facility? ❑Yes F1 No If yes,how many units? 2.Facility Owner: TOP-FLIGHT DEVELOPMENT INC 262 BARNSTABLE RD. Facility Owner Name Address HYANNIS MA 026010000 5087784488 City/Town State Zip Code Telephone MICHAEL SEIDMAN 262 BARNSTABLE RD. On-Site Manager/Owner Representative Address Hyannis MA 02601 5087784488 City/Town State Zip Code Telephone Revised:03/17/2014 Page 1 of 3 Massachusetts Department of Environmental Protection `�- Bureau of Waste Prevention• Air Quality BWP AQ 06 1100229453 Notification Prior to Construction or Demolition Asbestos Project Number# B.General Project Description(continued) 3.General Contractor: - NICK LAGADINOS 13 THANKFULLANE Name Address COTUIT MA 026350000 5084284097 City/Town State Zip Code Telephone NICK LAGADINOS 5087370362 General Contractor's On-site Manager/Foreman Telephone General C. General Construction or Demolition Description Statement:If asbestos is found 1.Construction or demolition contractor: during a Construction or Demolition LAGADINOS BUILDING&DESIGN INC. 13 THANKFUL LANE operation,all, Contractor Name Address responsible parties must comply with 310 COTUIT MA. 026350000 5084284097 CMR 7.00,7.09,7.15, City/Town State Zip Code Telephone and Chapter 21 E of the General Laws of NICK LAGADINOS 5087370362 the Commonwealth. Construction and Demolition On-site Manager Telephone This would include, but would not bw 2.Licensed Contractor Supervisor: limited to,filing an asbestos removal NICK LAGADINOS CS-012653 notification with the Department and/or a Supervisor Name License Number notice of release/threat of 3.Is the entire facility to be demolished? ❑Yes r No release of a hazardous 4.Describe the area(s)to be demolished: substance to the Department,if REMOVE PORTION OF BRICK EXTERIOR WALL ;= applicable. a�1 MassDEP Use only, 5.If this a construction project,describe the building(s)or addition(s)to be constructed: Date Received INSTALL THREE NEW WINDOWS 6.If this is"a demolition or renovation project,were the structure(s)surveyed for the presence of Asbestos-Containing Material(ACM)? ED Yes r No 7.Was asbestos containing material(ACM)found? r Yes Ell No If a survey was conducted,who conducted the survey?. Name Department of Labor Standards Certification Number Revised:03/17/2014 Page 2 of 3 i Massachusetts Department of Environmental Protection Bureau of Waste Prevention• Air Quality Ll 100229453 BWP AQ 06 Notification Prior to Construction or Demolition Asbestos Project Number# C.General Construction or Demolition Description(continued) The Asbestos Abatement Notification Number for this address is: This project Constructionj Demolition is: 10/15/2015 10/30/2015 Project Start Date(MM/DD/YYYY) Project End Date(MM/DD/YYYY) 8.For demolition and construction projects,indicate dust suppression techniques to be used r Seeding Wetting (J Covering Paving r Shrouding r Other-Specify: 9.For Emergency Demolition Operations,who is the MassDEP official who evaluated the emergency? Name of MassDEP Official Title Date of Authorization(MM/DD/YYYY) MassDEP Waiver Number A Certification "I certify that I have personally NICK LAGADINOS examined the foregoing and am Print Name familiar with the information contained in this document and Authorized Signature all attachments and that,based PRESIDENT on my inquiry of those individuals immediately Position/Title responsible for obtaining the LAGADINOS BUILDING&DESIGN INC. information, I believe that the Representing information is true,accurate,and complete. I am aware that there Date(MM/DD/YYYY) are significant penalties for 09/23/2015 submitting false information, including possible fines and P.E.# imprisonment.The undersigned hereby states,under the penalties of perjury,that I am aware that this permit application or notification shall not be deemed valid unless payment of the applicable fee is made." Revised:03/17/2014 Page 3 of3 mail:® Commonwealth of Massachusetts Map ____Parcel Date: � Z / 2 3 OCT 2 3 2{)13 Permit Estimated Job Cost: $ '9'(lWN �F BARNS-�-ABLE Permit Fee: $ Plans Submitted: YES NO Plans Reviewed: YES NO Business License# i_�o'2. Applicant License Business Information: Property Owner/Jobf Location Information: Name: r I'✓��-cPoe e�It Ve,,e Name: �0 �4_4 SU C- Street: /Pl-co Ile��•5 Street:- City/Town: M444P re, City/Town: c_�,< Telephone: 5o . 3 Telephone: 5_046-'775"1 Z06 Photo I.D. required/Copy of Photo I.D. attached: -YES a/ NO Staff Initial J- -1- estricted license J-2/M-2-restricted to dwellings 3-stories or less and commercial up to 10,000 sq. ft./2-stories or less Residential: 1-2 family Multi-family Condo/Townhouses Other Commercial: Office Q/ Retail Industrial Educational Fire`Dept.Approval G Institutional_ Other M1�� Square Footage: under 10,000 sq. ft. e/ over 10,000 sq. ft. Number of Stories: Sheet metal work to be completed: New Work: Renovation: HVAC Metal Watershed Roofing Kitchen Exhaust System Metal Chimney/Vents Air Balancing Provide detailed description of work to be done: , rwlGvu/ U� �ah.cG .20.� ,�f/on eGH�ar'wli� %D✓e,�ula/' F=` _. �f- aartoarsd6leea i CCj I� c�tttslpJ' (t� OCkh '�g �C-t^4r-.e,j NSURANCE COVERAGE: have a current liability insurance policy or its equivalent which meets the requirements of M.G.L.Ch. 112 YeSX No ❑ f you have checked Yes, indicate the type of coverage by checking the appropriate box below: k liability insurance policy Other type of indemnity ❑ Bond ❑ )WNER'S INSURANCE WAIVER: I am aware that the licensee does not have the insurance coverage required by Chapter 112 of the Massachusetts General Laws,and that my signature on this permit application waives this requirement Check One Only Owner ❑ Agent ❑ Signature of Owner or Owner's Agent 3y checking this bo I hereby certify that all of the details and information 1 have submitted(or entered)regarding this application are true and iccvrate to the bes of my knowledge and that ail sheet metal work and installations performed under the permit issued for this application will be n compliance with all pertinent provision of the Massachusetts Building Code and Chapter 112 of the General Laws. Duct inspection required prior to insulation installation: YES NO Progress Inspections Date Comments Final Inspection Date Comments Type of License: yJ Master tle ❑ Master-Restricted ity/Town ❑Joumeyperson Signature of Licensee an-nit# 2 ❑Joumeyperson-Restricted License Number. :e$ ❑ Check at www.mass.aov1dl2l spector Signature of Permit Approval The Commonwealth of Massachusetts Department of Industrial Accidentr Office of Investigations- 'b00 YWashington Street' Boston,MA 02111 Ur www.mass gov/dia ' Workers' Compensation Insurance Affidavit. Builders/Contractors/P1lee'trici.ans/Plumbers AP-Phcant Information Please Print Leek Name(Bnsmess/organizstionl3naiPicb A idress: IA' A ru,"S City/State✓ZiP: Mml,?e.2 hone.# �e Are you an employer?Check the appropriate bow of i o ect r 4, I am a -TypeP J ( �4:: 1.[� I am a employer with ❑ ��Factor and I 6 New constriction . employees (fall and/or pant tiMel.* bane bred�e sob comma ors ❑ 2.❑ I am a'sale pb3prietor•or partner- listed on the-attached sbeet 7. ❑Remodeling ship and have no employees TheSe sub-contactors have S, (]Demolition working for me�any capacity. employees.and have workers' 9. a [No vmrkEIS' C6mp.incnranrP Comp.in�rrannr,$' ❑ ddI$OIl required.] 5. [] We area corporation.and its 10.[]$lectdcal repairs or additions 3.❑ I am a homeowner doing 211-work officers have exer cdsed their 11.[]Phrmhmg repairs o s ' additions myself [No workers' cam. right of exemption per MGL insurance required-]t c. 152, §1(4), and we have no ❑Roofrepairsp . employees. [No workers' 13. Otl=bt, comp.fimm ante regmred] Any applicant ffiat ch=k3 box A must also fill out d=section below showing ffieeirworkas'cumpcasatim pohry infutmafion. t Homeowners who submit$ds afidavit indicating they are doing all work and f=hoe outside contract=must submit a new of davit indicating such. Conhacturs that check this box mast stFacbed as additiaaal sheet showing the name of ffie sub-conhactors and state whetius ornot those eatities have enPIoyees• If the sub-contmc have m3playces,ffiey mustprovid'e tic's work=,comp.poficyuumher. _ I am an employer that is providing workers'compensation insurance for my employees Belo yp is the policy and job site information. Insurance Company Name: w✓ Policy#or Self-ins.Lic.#-. A-5 GG7&e Ig'602— - ExpirationDate: 3 ZL Job Site Address: 2G Z: wy/ : Atfach a copy of the workers' compensation policy declarafion page'(showing the policy numb and ezpiraiion date). Falltae,to.secm-e coverage as regmred under Section 25A of MGL c, 152 can lead tD the imposifim of ezimmal penalties of'a fine up to$1,500.00 and/or one-year IMP13solnnmlt; 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 state a may be forwarded to the Office of Inyestizations of the DIA for insurance coverage verification. I dfl hereby certify under e p and penabyjLof perjury,that the information provided above is true and correc. Si�atore: Date d 2 Z / Phan#: Dffi jal use only. Do not write in this area,to be completed by city or town official City or Town: PermitUcense# Issuing Anffiority(circle one): LI Health 2.Building Department 3.Cdy/Town Clerk 4.Electrical Inspector 5.Plrtmbing Inspector son: Phone#: THE To`cvII of Barnstable ; } , - * BeaNsresrg, } Regulato Services MAp_a Thomas F.Geiler,Director s6;g. 1w� Building Division Tom Perry,Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.ns Office: 508-862-4038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Usi_fi_g A.Builder ,.as Ownet of the subject pto PAY heteby authorize it vim+ to act on my behalf, in all taatters telative to work autho ' ed by this building pe= it (Address of Job) Pool fences and alarms are the -responsibilityf the o e applicant. Pools are not-to be filled,before fence is installed and pools are not to be utilized until all final inspections are performed and accepted. Signature et Signature of Ap t CA6LJ U 7r/ —rG�l`C Print Nance Print Name Date QTORhh s:OVMERPERNOSIoxroois 'THE � Town of Barnstable Regulatory Services Thomas F.Geiler,Director Hides. 16.19. �,�� Building Division Tom Perry,Building Commissioner 200 Main Street, Hyannis;MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION Please Print DATE: �0 Z JOB LOCATION:� number t A n street village "HOMEOWNER'. > �dZ QX �CitXU�aJ�i S(S9 77g name home phone# work phone# CUR.R3NT MAILING ADDRESS: city/town state zip code The current exemption for"homeowners"was extended to include owner-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 supertiisor. DEFINITION OF HOMEOWNER Persor.(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 under the builder permit (Section 109.1.1) 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 minimrrm 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 perfornring 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.;6 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:forms:homeexempt CERTIFICATE OF LIABILITY INSURANCE DATE(MMf D 3Y) THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND.OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER • CONT ErICa H O'Connor HART INSURANCE AGENCY,INC. NAMEPHONE 508-759-7326 x205 FAX 508-759-7366 243 MAIN STREET Alc No: PO BOX 700 ED Mal A RESS: BUZZARDS BAY,MA 025320700 INSURE S AFFORDING COVERAGE NAIC# INSURERA: ARBELLA PROTECTION INS CO 41360 INSURED RJ Franey Mechanical Services Inc ARBELLA INDEMNITY INSURANCE COMPANY 10017 56A Nicolettas Way INSURER B Mashpee,MA 02649 INSURER C: INSURER D: INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY.CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY,THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS, INSR TYPE OF INSURANCE ADDL SUBR POLICY EFF POOLICDYn� LIMITS L POLICY NUMBER A GENERAL LIABILITY 8500058602 03/22/2013 03/22/2014 EACH OCCURRENCE $ 1,000A COMMERCIAL GENERAL LIABILITY TO DAMAGE PREMISE RENTED ne S 100,0 CLAIMS-MADE FV OCCUR MED EXP(Any oneperson) $ 10,0(0 PERSONAL&ADV INJURY $ 1,000,0 GENERAL AGGREGATE S 2,000,0 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMProP AGG $ 2,000,0 POLICY PRO- LOC $ B AUTOMOBILE LIABILITY. 1020018502 04/06/2013 04/O6/2014 COMBINED etSINGLE LIMIT(Ea 1,000,0 ANY AUTO BODILY INJURY(Per person) S ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY(Per accident) S NON-OWNED PROPERTY DAMAGE HIREDAUTOS AUTOS Peraccident) $ S UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESSLIAB HCLAIMS-MADE AGGREGATE $ DED I I RETENTION$ - $ A WORKERS COMPENSATION 9122510313 03/22/2013 03/22/2014 WC sTATu- OTH- AND EMPLOYERS'LIABILITY YIN I ER ANY OFFICERIMEM ER EXCLUDED ECUTIVE � NIA - ,. E.L.EACHACCIDENT $ 1,000,0 (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE $ 1,000,0 If yes,describe under - - DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 1,000,0 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101,Additional Remarks Schedule,If more space Is required) "ALL ADDRESSES IN THE TOWN OF BARNSTABLE" CERTIFICATE HOLDER CANCELLATION Fax#:(508)862-4717 STREET SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE TOWN OF THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 230 SOUTH STREET ACCORDANCE WITH THE POLICY PROVISIONS. HYANNIS,MA 02601 AUTHORIZED REPRESENTATIVE ©1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25(2010/05) The ACORD name and logo are registered marks of ACORD SHEET METAL WORKERS AS AMASTER-UNRESTRICTED 15SUES THE ABOVE LICENSE TO RUB ERT J FRANEY: 100 ALDERBROOK =LN l. {� BAFtNSTABLE MA 026`68 1.216 2263 05/28/14 19457$ LICENSE NO. EXPIRATION DATE SERIAL 140. COMMONWEALTH OF MASSACHU:SETTS DIVISION OF PROFESSIONAL LICENSURE-BOARD OF, SHEET METAL WORKERS AS A BUSINESS ISSUES.THE ABOVE LICENSE TO. - ' s ROBE T J .FRANEY'R ; R J,``FRANEY ME CHANICAL. SERVLC 56 A NIC,OLETTAS WAY MASNPEE'- MA 026'49 ` .60 6„2 09/20/14 249091 E :.: LICENSE NO. EXPIRATION DATE SERIAL�O. Fold,Then Detach Along All Perforations I Component Constructions Job: wrightSoft® Date: Aug 10,2012 Entire House By: R.J. Franey Mechanical Services, Inc. 56-A Nicoletta's Way,Mashpee,MA02649 Phone:508-539-8668 Fax 508-539-8665 Email:dfrane)@com®stnet Web:www.dfraney.com , For. Hyannis Dental Htg Clg Htg Clg Outside db (OF) 14 82 Inside db(OF) 70 75 Outside RH (%) 80 62 Inside,RH (%) 39 50 Outside wb(OF) 20 72 Inside wb (OF) 55 63 Daily range(OF) - 15 Design TD(OF) 56 7 Moisture diff. (gr/lb) 46.0 37.6 Construction descriptions or Area U-value UA Loss Clain f1 (Bh#N-°F) (BtulM (Btuh) (Btuh) Walls Frm wall,stucco ext,UT wood shth,r-13 cav ins,1/2"gypsum board n 336 0.09 30.5 1711 260 int fish,2N4"wood firm a 441 0.09 40.1 2247 903 s 303 0.09 27.6 1544 458 w 498 0.09 45.3 2538 702. all 1578 0.09 144 8040 2323 Partitions (none) Windows htg cig htg clg 2 glazing,cir outr,air as,vnl tm mat,cir imr.1/4 a 1/4"thk n 24 0.57 / 0.57 13. / 13.9 gap, 9 9 777 517 e 60 0.57 / 0.57 34.2 / 34.2 1915 2486 s 36 0.57 / 0.57 20.5 / 20.5 1149 1478 w 24 0.57 / 0.57 13.7-/ 13.7 766 1324 all 144 0.57 / 0.57 82.3 / 82.3 4607 5805 Sky glazing,small,wood curb,no shaft Igt shaft,wd sash 12 1.16 / 1.16 13.9 / 13.9 780 2075 Doors Door,w d sc type a 21 0.39 8.2 459 168 s 21 0.39 8.2 459 168 all 42 0.39 16.4 917 336 Ceilings Attic ceiling,asphalt shingles roof mat,r-21 ceil ins,1/2"gypsum 2178 0.04 95.8 5367 4265 board int fish Floors Bg floor,heavy dry or I bht da mp soil,on g ra de depth,ca rp et fir frsh 196 1.18 231 12952 0 2013-Ont-22 07:57:55 wrightsoft® Right-Suite®Universal 2013 13.0.07 RSU01970 Page 1 ...ob\Documents\Wrightsoft HVAC\Hyannis dental.rup Calc=Manual Front Door faces: N - - wrightsoft® Right-Suite® Universal 2013 Schedules oat: Aug,o,zo,2 By: R.J. Franey Mechanical Services, Inc. 56-A Nicoletta's Way;Mashpee,MA 02649 Phone:508-539-8668 Fax 508-539-M Email:ofraney@com®stnet Web:www.dfraney.com Clg75-Cooling set point 80.0°F WRT 40.0°F 20.0•F 0.0°F 1 2 3 4 5 6 7 8 0 10 L11 L 12 13 14 15 18 17 18 19R 20 21 22 23 24 J wrightsoft' Right-Sufte®Universal 2013 13.0.07 RSU01970 2013-Od-22 07:57:55 Page 1 ...ob\lbcuments\wrightsoft HVAC1Hyannis dental.rup Calc=Manual Front Door faces: N Right-Suite®Universal 2013 Scenario Job: wrightsoft® Date: Aug 10,2012_ Hospital/Health Care-Default Hospital/Health Care conditi041F R.J. Franey Mechanical Services, Inc. 56-A Nicoletta's Way,Mashpee, MA02649 Phone:508-539-8668 Fax 508-539-M5 Email:dfraneAcomcastnet Web:www.dfraney.com Cooling set point schedule: Clg75 Cooling inside relative humidity: 50% Heating set point: 70 T People 5 r F 5 Sensible`; Latent z w g Activity _ ft?/prsn.„ _# „M. Btuh/prsn f Btut/prsn Schedule,n :-_ Hospital 200 0 230 190 Always0n Lights Lamp/blst,+fixture_; 4Factor T rfract ,r Schedule Fluor MB+ Rec trof 1.34 0 1.20 1.00 AlwaysOn Appliances/Plug Loads Sen"sible Latents' F Appllcatton- :Usage _(Btuh)y (Btuh)_F 4 Schedule Motors Power. w 7t Load Sensible may; :(hp)... .. _.� .. #/ft� factor:;,,_ .. =(Bttah)w _ _ ' ,'Schedule,.__ - - wrightsoft° Rights 2013-Oct-22 07:57:55 uiter�Universal 2013 13.0.07 RSU01970 Page 2 ...ob\Documents\Wrightsoft WAC"annis dental.rup Cale=Manual Front Door faces: N - - wrightsoft® Right-Suite® Universal 2013 Short Form oat; Aug 10,2012 Entire House By: R.J. Franey Mechanical Services, Inc. 56-A Nicoletta's Way,Mashpee,MA02649 Phone:508-539-8668 Fax 508-539-8665 Email:dfraneAoomcastnet Web:v mna.dfraney.00m For. Hyannis Dental Htg Clg Htg Clg . Outside db (OF) 14 82 Inside db (OF) 70 75 Outside RH (%) - 62 Inside RH N - 50 Outside wb (OF) - 72 Inside wb (OF) - 63 Daily range (OF) - 15 Design TD (OF) 56 7 Moisture diff. (gr/lb) - 38 Heating Equipment Cooling Equipment Make n/a Make York Model Model CZH04811 Type Gas furnace Type Split AC Efficiency 100AFUE COP/EER/SEER 16.5 Heating.lnput 0 MBtuh Sensible Cooling 32.2 MBtuh Heating Output 0 MBtuh Latent Cooling 13.8 MBtuh Humidifier 23.9 gpd Total Cooling 46.0 MBtuh Leaving Air Tern p 70.0 OF Leaving Air Tern p 55.0 OF Actual Heating Fan 1533 cfm Actual Cooling Fan 1533 cfm Equipment Location Entire House System Type PEAKCV Fan Motor Heat Type BLOWTHRU Fan& Motor Combined Efficiency 0 % Static Pressure Across Fan 0.5 —in H2O NAME Area Heat Sensible Latent Htg Clg Time ft2 Loss Gain Gain cfm cfm Room1 80 5603 1192 657 127 85 Jul 1500 LST Room2 99 3777 593 987 63 36 Jul 1500 LST lab 55 1075 162 58 35 14 Jul 1500 LST Room4 88 2970 493 587 56 32 Jul 1500 LST Rooms 120 8110 2380 939 184 173 Jul 1500 LST Room6 64 3508 1241 779 65 87 Jul 1500 LST Room7 96 4841 1498 1005 92 105 Jul 1500 LST Room8 120 4652 1607 1140 94 112 Jul 1500 LST Room9 130 7792 2686 995 172 196 Jul 1500 LST Room10 - 104 3580 1394 677 69 99 Jul 1500 LST Room11 78 1641 708 69 54 61 Jul 1500 LST Room12 78 4435 1500 219 145 129 Jul 1500 LST Room13 238 8812 1903 1625 171 129 Jul 1500 LST Room14 110 4380 891 1072 76 58 Jul 1500 LST Room15 90 2234 1852 304 74 100 Jul 1500 LST Room16 48 118 93 0 4 8 Jul 1500 LST Room17 64 158 124 0 6 11 Jul 1500 LST Room18 56 138 109 0 5 9 Jul 1500 LST Room19 141 3091 673 1773 12 33 Jul 1500 LST wrightsoft° RightS 2013.Oct-22 07:57:55uite®Universal 2013 13.0.07 RSU01970 Page 1 ...ob\Documents\Wdghtsoft HVAC\Hyannis dental.rup Cale=Manual Front Door faces: N Room20 332 818 643 0 1 301 55 1 Jul 1500 LST Entire House 2191 71732 21742 12886 1533 1533 Jul 1500 LST wrl htsoft° 2013-Oct-22 07:57:55 Q RlghtSuite®Universal 2013 13.0.07 RSU01970 ob\Documents\Wdghtsoft WAC\Hyannis dental.rup Cale=Manual Front Door faces: N Page 2 ® Right-Suite®Universal 2013 Load Summary Job: wrightsoft Entire House Date: Aug 10,2012 By: R.J. Franey Mechanical Services, Inc. 56-A Nicoletta's Way,Mashpee,MA02649 Phone:508-539.8668 Fax 508-539-8655 Email:dfraney@oommstnet Web:vMw.dfraney.com �•, gbig r For. Hyannis Dental 3 Zone E-1. HODS@rE - t r .,n. ;':. COOLING.LOAD.4 1. DESIGN CONDITIONS at Jul 1500 LST Peak load at Jul 1500 LST Inside: 75 OF Outside: 82 OF TD: 7 OF RH: 62 % MoistDiff: 37.6 gr/lb Mult: 1.0 Ins.wb 63 OF Sensible Latent 2. SOLAR RADIATION THROUGH GLASS 6997 - 3. TRANSMISSION GAINS Sensible 7806 _ Walls: 2323 - _ Glass: 882 Doors: 336 Partitions: 0 Floors: 0 Ceilings: 4265 _ _ 4. INTERNAL HEAT GAIN Sensible Latent 1541135 4580 Occupants: 5451 4580 - - Lights: 17020 - Motors: 0 _ Appliances: 1518664 0 - - 5. INFILTRATION: Outside air cfm: 89 680 2259 6. SUBTOTAL: Space load Sensible Latent 13819 6839 Envelope 13819 6839 - _ Less external 0 - Redistribution 0 0 7. SUPPLYDUCT 4029 - 8. SUBTOTAL: Space load+ supply duct 17848 - Actual cfm: 1533 at supply TD: 20 - - 9. VENTILATION: Make-up air cfm: 193 1478 4911 10. RETURNAIRLOAD: Lighting+ plenum (net) 683 - 11. RETURN DUCT. 1733 - 12. TOTAL LOADS ON EQUIPMENT 21742 12886 ,.�_t._�-.,. _... .... .. .,,wt.. _... .... . ..... _ ,... ._..HEATINGLOAD„ . 13. DESIGN CONDITIONS Mult: 1.0 Inside: 70 OF Outside: 14 OF TD: 56 OF 14. TRANSMISSION LOSSES 32662 Walls: 8040 _ Glass: 5387 _ Doors: 917 _ Partitions: 0 _ Floors: 12952 - Ceilings: 5367 - 15. INFILTRATION: Outside air cfm: 171 10477 16. SUBTOTAL: Space load 42389 Envelope. 42389 - Less external 0 _ Less transfer 0 _ Redistribution 0 - 17. SUPPLY DUCT: 6500 18. VENTILATION: Make-up air cfm: 193 11825 19. HUMIDIFICATION 8872 Piping 0 20. RETURN DUCT 2147 21. TOTAL HEATING LOAD ON EQUIPMENT 71732 Bold/Italic values have been manually overridden wrl htso 2013-Od-22 07:57:55 9 Right-Suited Universal 2013 13.0.07 RSU01970...oblDocumentslWrightsoft WAMI-1yannis dental.rup Calc=Manual Front Door faces: N Page 1 N = First Floor Room1 R R 4 127 cfm- 63 cfm 35 cfm 56 cfm R 5 184 cf R 'ls cfm Rooi 120 1533 cf Rh o m6 V4i I Ro ' cfm 87 cfm Room16 Room17 Ld Ld 7 8 fm �111 cfm 77 �5 cfm 55 cfm oom13 171 cfm Roomyrn R 12 cfm Ro 12 Ro 11 Ro 10 Roorg 196 cf 145 fm 61 cf n 99 cfm Job #: R.J. Franey Mechanical Services, Inc. Scale: 1 :87 Performed for: Page 1 Hyannis Dental 56-A Nicoletta's Way Right Suite®Universal2013 Mashpee,MA 02649 13.0.07 RSU01970 Phone: 508-539-8668 Fax 508-539-8665 2013-Oct 22 07:58:04 www.riianey.com dfraney@comcast.net ightsoftHVACIHyannisdental.rup r 1 wrightsoft® Duct-System Summary Job: Date: Aug 10,2012 Entire House By: R.J. Franey Mechanical Services, Inc. 56-A Nicoletta's way,Mashpee,MA 02M Phone:5W539-8668 Fax 508-539-8M Email:dfraneAcom®stnet web:www.dfraney.com For. Hyannis Dental Heating Cooling External static pressure 0 in H2O 0 in H2O Pressure losses 0 in H2O 0 in H2O Available static pressure 0 in H2O 0 in H2O Supply/return available pressure 0.000 10.000 in H2O 0.000/0.000 in H2O Lowest friction rate 0 in/100ft 0 in/100ft Actual air flow 1533 cfm 1533 cfm Total effective length(TE L) 572 ft Design Htg Clg Design Diam H x W Duct Actual Ftg.Egv Name (Btuh) (cfm) (cfm) FIR (in) (in) Matl Ln (ft) Ln (ft) Trunk Room1 h 995 127 85 0 0 Ox 0 ShMt 42.0 460.0 st2A Room10 c 1156 69 99 0 0 Ox 0 ShMt 35.0 290.0 st2 Room11 c 708 54 61 0 0 Ox 0 ShMt 42.0 460.0 st2 Room12 h 1500 145 129 0 0 Ox 0 ShMt 48.0 440.0 st2 Room13 h 1506 171 129 0 0 Ox 0 ShMt 37.0 450.0 st2A Room14 h 673 76 58 0 0 Ox 0 ShMt 28.0 450.0 st2A Room15 c 1170 74 100 0 0 Ox 0 ShMt 38.0 450.0 st2A Room16 c 93 4 8 0 0 Ox 0 ShMt 13.0 375.0 st2 Room17 c 124 6 11 0 0 Ox 0 ShMt 5.0 180.0 st2 Roomis c 109 5 9 0 0 Ox 0 ShMt 17.0 375.0 st2 Room19 c 389 12 33 0 0 Ox 0 ShMt 24.0 375.0 st2 Room2 h 417 63 36 0 0 Ox 0 ShMt 34.0 450.0 st2 Room20 c 643 30 55 0 0 Ox 0 ShMt 15.0 280.0 st2 Room4 h 371 56 32 0 0 8x 0 ShMt 21.0 180.0 st2 Rooms h 2017 184 173 0 0 Ox 0 ShMt 23.0 245.0 st1A Rooms c 1017 65 87 0 0 Ox 0 ShMt 10.0 245.0 st1A Room7 c 1220 92 105 0 0 Ox 0 ShMt 9.0 235.0 stl Rooms c 1299 94 112 0 0 Ox 0 ShMt 19.0 170.0 st1 Rooms c 2280 172 196 0 0 Ox 0 ShMt 30.0 170.0 stl lab h 162 35 14 0 0 Ox 0 ShMt 27.0 280.0 st2 wri htsofir 9 2013-Oct-22 07:57:55 9 RI ht-Suite®Universal 2013 13.0.07 RSU01970 ...ob\lbcuments\wri htsoft HVAC\ Page 1 g Hyannis dental.rup Calc=Manual Front Door faces: N Trunk Htg Cig Design Veloc Diam H x W Duct Name Type (cfm) (cfm) FR (fpm) (in) (in) Material Trunk st1A PeakAVF 250 261 0 0 0 8 x 0 ShtMetl st1 st1 PeakAVF 608 673 0 0 0 8 x 0 ShtMetl st2 PeakAVF 925 860 0 0 0 8 x 0 ShtMetl st2A PeakAVF 447 373 0 0 0 8 x 0 ShtMetl st2 Grill Htg Clg TEL Design _ Veloc Diam H x W Stud/Joist Duct Name Size(in) (cfm) (cfm) (ft) FR (fpm) (in) (in) Opening (in) Matl Trunk rb1 Ox 0 1533 1533 70.0 0 0 0 Ox 0 ShMt wrl htsoft' 2013-0«-22 07:57:55 9 RightSuite®Universal 2013 13.0.07 RSU01970...WDocumentsUrightsoft WAC1Hyannis dental.rup Calc=Manual Front Door faces: N Page 2 J Mass. Corporations, external master page Page 1 of 2 William Francis Galvin Secretary of the Commonwealth of Massachusetts r t `tea HOME DIRECTIONS CONTACT US jsewch sec state.ma us ; Search Corporations Division Business Entity Summary - — --- ID Number:639073357 Request certificate I New search Summary for: TOP-FLIGHT DEVELOPMENT,INC. The exact name of the Domestic Profit Corporation: TOP- FLIGHT DEVELOPMENT,INC. Entity type: Domestic Profit Corporation Identification Number:639073357 Old ID Number:000597347 Date of Organization in Massachusetts: 12-10-1997 Last date certain: Current Fiscal Month/Day: 11/30 Previous Fiscal Month/Day:00/00 The location of the Principal Office: Address: 262 BARNSTABLE RD. City or town,State, Zip code,Country: HYANNIS, MA 02601 USA The name and address of the Registered Agent: Name: MICHAEL P. SEIDMAN Address: 156 WHITMAR RD. City or town,State, Zip code,Country: COTUIT, MA 02635 USA The Officers and Directors of the Corporation: Title Individual Name Address PRESIDENT MICHAEL P. SEIDMAN 156 WHITMAR RD.,COTUIT, MA 02635 USA PRESIDENT MICHAEL P. SEIDMAN 156 WHITMAR RD.,COTUIT, MA 02635 USA PRESIDENT MICHAEL P. SEIDMAN 156 WHITMAR RD.,COTUIT, MA 02635 USA PRESIDENT MICHAEL PHILLIP SEIDMAN 156 WHITMAR ROAD COTUIT, MA 02635 USA TREASURER MICHAEL P. SEIDMAN 156 WHITMAR RD.,COTUIT, MA 02635 USA SECRETARY MICHAEL P. SEIDMAN 156 WHITMAR RD.,COTUIT, MA 02635 USA DIRECTOR MICHAEL P. SEIDMAN 156 WHITMAR RD.,COTUIT, MA 02635 USA Business entity stock is publicly traded: r The total number of shares and the par value,if any,of each class of stock which this business entity is authorized to issue: Total Authorized Total issued and outstanding Class of Stock Par value per share No.of shares Total par value No.of shares ,CNP $0.00 20,000 $ 0.00 0 CNP $0.00 20,000 $0.00 20,000 U Consent r Confidential Data r Merger Allowed r Manufacturing View filings for this business entity: http://corp.sec.state.ma.us/CorpWeb/CorpSearch/CorpSummary.aspx?FEIN=639073357... 10/22/2013 Mass. Corporations, external master page Page 2 of 2 r Administrative Dissolution Annual Report Application For Revival Articles of Amendment View filings Comments or notes associated with this business entity: F �4 New search _.- _.. ......... _....._._...... ___ . ................ _........ . _.:.. --...._ .........-- -- ..--. ------ -- — William Francis Galvin,Secretary of the Commonwealth of Massachusetts Terms and Conditions http://corp.sec.state.ma.us/CorpWeb/CorpSearch/CorpSummary.aspx?FEIN=6390733 57... 10/22/2013 OF"E . °. The Town of Barnstable anMrnsM • Department of Health Safety and Environmental Services Building Division 367 Main Street,Hyannis MA 02601 Office: 508-790-6227 Ralph Crossen Fax: 508-90-6230 Building Commissioner DATE: February 2, 1996 TO: Jack Gillis, Assistant Director of Consumer Affairs FROM: Ralph M. Crossen, Building Commissioner RE: ^264 Barnstable Road, Hyannis i -Ta to IC—L4 h T— The building at 264 Barnstable Road is in an RB district. The last use is the same, from a zoning stand point, as the proposed use. As a result,the proposed use is allowed without Site Plan Review. I would only caution the owner to be aware that the Massachusetts Building Code still applies, especially as to handicapped access rules. Gu45 II II III III I I . f t I _ I�{ 3 n as 'at 3 3411 �-- SSSS-O ti (V a Az Q Q $ILL 0 Nb►O S. Y3?Iti 'fit O� sit)�jd ata H'O „� 7d2,7�das SILL istH K �17 s3QQ u 201to t . 6xosa ►x RON'OJd xvN Q11Y"....��....w...... �0 itxat S ��Z OPT "nOW Eft Nt,Av �w a�1,L .10 S�N4 3N1Aa3lt.�IJ1► VI IMMOS H$1 at 4 S OO ,� 1I�t0�N0� '" - SZOQ HOULTsoa atMAZ ariY N1Kb8S INZ so anyo 'i si &Ud S`IM HO OHS bi1 iS ��1••L�tl Vly' N,� `�=�µ•fi. MHZ Y�iiZ'rwwwww-�.��--wiw......-►..w •• +� Q �,tt ry Z x3I�$b $3l�3tt. Was ` r�ww..w�.�w w•.. _ �i.� ��1Y11\0 Q •-.ww�w May •"oTXOZ QDO'lr . M. Y'o cn,t Holi'mam nvoluow n .0. WOZ S3Z c jOq �^ O M OVAZ g got-fit AA cx4 � aT .,JB'9S9�Sg 1V .,�pj I'r07 . .."407 t0'% 01.sS0b8 o,t "►'t�Sna w i 3HN3ddo �a� CJ►:z r xst-r-r.nr 3'd IYdf r, i n ID MICHAEL P. SEIDMAN, D.D.S., P.G. . DENrA6 A$$OC/ATFS OF CAPE COD Cape Cod Mall,Route 132 Hyannis, Massachusetts 02601 308.778.1200 1/25/96 Business Plan, The building that I 'm purchasing is located at 262 Barnstable Rd. It is a 2079 square foot free standing building with 23 parking spaces. The building is built on a concrete slab, is connected to town water and has a septic system. The building was built in 1971 by Rene L. Poyant Trust and leased to John Hancock Ins. Co. for 10 years. In 1975 the trust sold the property to W. Swift who continued to lease to John Hancock. In 1980 the property was leased to Com Electric for 5 years and subsequently sold to the present owners in 1988. My proposed use of the building will be for a dental office. The office will be open Monday thru Friday Sam to epm and Saturday 8am to 2pm. There will be approximately 4 patients per hour between 11am to 5pm and 2 patients per hour 8 : 30 am to 11am and 5pm to 7pm. Appointment start and finishes are usually stag- gered, with one or two emergency patients per day arriving at any time. PROPERTY ADDRESS ,ZONING I DISTRICT CODE SP-DISTS.I DATE PRINTED I CSTATE LASS I PCS I NEIHD PARCFtKEY NO. 0264 . BARNSTABLE ROAD 07 8 400 . 07HY. 07/09/95 3401 00 HY09 R31G 380. 229256 LAND/OTHER FEATURES DESCRIPTION ADJUSTMENT FACTORS V UNIT. ADJ'D.UNIT ATLANTIC STARR. INC MAP— Lanrl By/Date s�zo Dimension LOC./YR.SPEC.CLASS ADJ. COND. P PRICE PRICE ACRES/UNITS VALVE Desc.ipum c. FF"De Ib'AgreS E #B L D G(S)—CARD=1 3 6 5 i 4 0 0 rAPPRAISEnD DS IN ACCOUNT — 30 3SITE 1 x .2 =10 224 134999.9 302399.9 .29 87700 #LAND 3 87.7001 of 01 A #PL 262 BARNSTABLE R0 3 N OFFICE BLDG U 1 x = 100 *139202.0 1.39202.0 1.00 139200 a , #DL LOT 58 LC16441-H T' D PV1 PAVING S x C= 100 .4 ..4 9500 4300 F #RR 0076 0080 E_ 153100 A D VALUE D i C 153,100 A U " PARCEL'SUMMARY T S LAND 87700 A T BLDGS 79300 0—IMPS 43CO Ei TOTAL 171300 F N N CNS T - D ED REF R N E E £ C Typ., DATE Re<q.a.a PRIOR. YEAR VALUE A T - - - Book Page Incl. MO. `,•Q S.1-P6- AND 87700 T SI C114976 107/88 277500 LDGS 65400 U C114546 :TCI!06/88 A 46156 OTAL 153100 R C113114 1:12/87 A 46156 E BUILDING PERMIT AND ADJ FOR— S. LAND 37700 LAND-ADJ "_ I INCOME - SE SP-BEDS I. FEATURE S _ BED-AOJSI UNITS Number Dele Type HAPE/FRONTAGE 430 139200 - ' - Const. TOIaI Vear Buill Norm Obsv T ` - Cia- - Unns Unns Base qaI¢ Atll.Rale A I Age De 1 CND vb R G Repl Cost New AOI Repi value $Ipriee- Haigh( Rooms Rms Belbs /Fia. Pehvwell Fac I � p cpna I � . I • f G3 , 001 107" 108 70 70 24 77 80 57 139200 79300 1.0 5.0 j �0--plwn Rale Square Feet Repl-Cost MKT.INDEX' 1.00 IMP.BY/DATE: - / SCALE:' 1/00.5 5 ELEMENTS CODE CONSTRUCTION DETAIL - aHS lUU .00 � 2142 RO S AREA OFFICE BUILDING CNST GP:D1 *---- 42----- -* STYLE 31 FFICE BLDG G OI T --- ---- R ! ! DESIGN ADJMT 00 - --- - - - U I ! ! EXTER.�IALLS -1 J3 ASONRY/FRAME- 7.5 C r ' EAT/AC TYPE-'-20��1_AIR k AIR CO G.Oj T ! ! INTER. ------ --- --`- ---- - - 0 D' U I ! ! INTtR.LAYOUT 001' 0.01 R ! ! TINT=R.3UALTY ' JUr--------- A 0 01 -- ----- --- ----— - -- ' � ! ! FLOOR STRUCT J0r-__ ____ G uI, ' j W 51 BASE 51 _ LOUR_ COVER 00 0 Gj LS IT-1Al.- lAu. = Bagel_ 2142 ! ! RGOF TYPE --- -0U--------------------- E .0i BUILDING DIMENSIONS ! _L C C T R I"_A L GG -n' GI - T 3AS u42 N51 E42 S51 ! ! ' OUNDATION 0G -- -- - - 99 4� A ! ! - -- --- -_ -- --I COMP9ERCIAL N9H6 IN HYANNS HY�9 L � LAND TOTAL '- MARKET PARCEL_ -87700'_ ^ 171300 •----------42----------X AREA VARIANCE . t0' +G p ' STANDARD 50 � T ' t a-le :EMENT BLK. WALLS COMPO BOARD TOILET RM. FL. & WAINS. f S. F. 3RICK WALLS ACOUSTICAL j sp; i BATH ROOM FLR S. F. ;TONE WALLS TOILET ROOM FLR. S. F. INTERIOR FINISH S. F. . BASEMENT AREA/3 LATH,& PLASTER- MISCELLANEOUS S. F. y� I v, I 3/, I FULL DRYWALL FIREPROOF CONSTR. S. F. r?y t' • EXTERIOR WALLS WALLBOARD- MILL CONSTRUCTION S. F. IOLID COM. BRICK UNFIN. INT. FIRE RESISTING ` :OM. BR. ON C. B. STEEL FRAME -- ------------------ -------- ACE BR. ON COM. BR. PARTITIONS , STEEL BEAMS & COLS. ACE BR. ON C. B. LATH AND PLASTER TIMBER BEAMS & COLS. ACE BR. VEN. DRYWALL STEEL TRUSSES :EMENT OR CINDER BLK BRICK IEIN. CONCRETE C. BLK. SPRINKLER SYST. 3UT STONE FACING PASSENGER ELEV. ;TONE OR T. C. TRIM . HEATING FREIGHT ELEV. / t ;TUCCO ON STEAM INCINERATOR I tFBFN9-9R SHINGLES HOT WATER FIREPLACES 'ARTY WALLS HOT AIR CHIMNEYS 'LATE GLASS.FRONT GAS ✓ r ✓ OIL BURNER STEEL FRAME SASH -- - ROOFING COAL STOKER WOOD FRAME SASH REPLACEMENT VALUE :OMPOSITION OR T. & G. NO HEATING RENTAL CAPITALIZATION LOCATION AETAL AIR COND.—REFRIG. LAND / " GOOD FAIR POOR I VOOD DECK ps�Fl AIR COND.—WATER VACANCY z O LISTER DATE AETAL DECK _ ---- HEATING — WIRING WATER FLOORS FLEXLUME OR EQUAL ELECTRICITY OCCUPANCY DETAIL & INCOME B 1ST 2ND 3RD PIPE CONDUIT., JANITOR - - �•_ # :ONCRETE MANAGEMENT / - ARTH PLUMBING 'INE BATH ROOMS TOTAL FLAT EXPENSES IARDWOOD TOILET ROOMS --- TINGLE FL. WATER CLOSET EXTRA GROSS ANNUAL INCOME — = =- ISPH. TILE `,`.' LAVATORY EXTRA - _ LESS FLAT EXPENSES - FERRAZZO SINK EXTRA BALANCE FOR CAP. VOOD JOIST. URINALS -._- ------ CAP. RATE--- 7/;-f' - 7 /T,' ;TEEL JOIST NO PLUMBING - REFLECTED CAP. VALUE - tEIN..CONC. .� OCCUPANCY CONSTRUCTION SIZE AREA CLASS - AGE REMOD. . COND: REPPL.- VAL. Phy.Dep. PHYS. VALUE Funct.DeP. ACTUAL VAL. 2 " f�L/lit j.j_ GI' >v i� ---_.— -}' -1 (�_..- --� - '> •��.r i�( / > / CJ.-:, .._ 3 4 - - r TOTAL 1p� _5..�� COMMERCIAL PROPERTY MAP NO. LOT NO. FIRE DISTRICT pp STREET 2152 Bar.nstEL'oae h"', Hyannis SUMMARY 310 380 - — — -- --- ----- H 7, LAND OWNER BLDGS. c/�:/y' TOTAL 7 9 <s LAND RECORD OF TRANSFER DATE etc PG T.R.S. REMARKS: Lot 58, LC 16441-H BLDGS. Peffent, Rene u h-- B TOTAL • , VVt -------- — .29 a LAND Swift, William P. & Harriett J. (ten: com.) fi0=-31 75` Ctf: 578-5----530/1 BLDGS. - - -— — - 1J j! . TOTAL - - -i�- LAND _ _—_ - -- BLDGS. TOTAL -- -- LAND BLDGS. Ot TOTAL -- --- - -- LAND --- ----- -- -- Ot BLDGS. TOTAL ----- LAND BLDGS. TOTAL LAND INTERIOR INSPECTED: BLDGS. DATE: ?-- Z /- 7 Z. !. TOTAL LAND ACREAGE COMPU TIONS BLDGS. LAND TYPE $k OF ACRES PRICE TAL DEPR. VALUE TOTAL HOUSE LOT LAND CLEARED FRONT _ BLDGS. REAR TOTAL WOODS&SPROUT FRONT LAND REAR rn BLDGS. -_ WASTE FRONT — TOTAL REAR LAND -- BLDGS. m TOTAL LAN D BLDGS. 0) LOT COMPUTATIONS LAND FACTORS TOTAL FRONT DEPTH STREET PRICE DEPTH % FRONT FT. PRICE TOTAL DEPR. COR. INF.. VALUE =HIGH TOWN SEWER LAND TOWN WATER BLDGS. GRAVEL RD. TOTAL DIRT RD. LAND — NO RD. BLDGS. '- TOTAL T6WN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel pp A lication# . Health Division Date Issued' i j Conservation Division r Application Fee 1,1161 6 Tax Collector Permit Fee Treasurer t �� ( Q `7 �- Planning Dept4``41F Date Definitive Plan Approved by Planning Board_ Pr"` Historic-OKH Preservation/Hyannis P�, Project Street Address Z((, 1'I��tS R t L Village A A It's Owner -:j t 4 k,�Cv c4 W,� Address Z fo 2- r1t S }3 l� 12.> Telephone S'D 7M - l Z OV M K d Z (d / Permit Request Cw15 Zr_}- 21" X vi ae44 ittT b b 'i / Square feet: 1 st floor:existing 2!�J 7proposed (13 2nd floor:existing proposed Total new // Zoning District Flood Plain Groundwater Overlay Project Valuation 70 Construction Type 4gZ2> - Lot Size Z I Grandfathered:- ❑Yes ❑No If yes, attach supporting documentation. Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family(#units) Age of Existing Structure Historic House: ❑Yes C3 No On Old King's Highway: ❑Yes 3,No Basement Type: ❑Full ❑Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full:existing D new Half:existing _ new Number of Bedrooms: existing 0 new 0 Total Room Count(not including baths):existing new First Floor Room Count Heat Type and Fuel: 0 Gas ❑Oil ❑Electric ❑Other Central Air: 74 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: ', R T CD Zoning Board of Appeals Authorization U Appeal# Recorded❑ Commercial 4Yes ❑No 1f yes_site plan review# 741 Current Use `17P,N�hc t)T�Ar°.r Proposed Use D kc7Ir- BUILDER INFORMATION ' r rn Name N/ ill Telephone Number � —�/ZpOy Address _ License# /Z &S",? COO IT. 4t&f -awl'? ' Home Improvement Contractor# Worker's Compensation# 7y y 3 ALL CONST CTION DE IS ESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATU l DATE �� r FOR OFFICIAL USE ONLY APPLICATION# t DATE ISSUED ,o MAP/PARCEL NO. ADDRESS VILLAGE . OWNER ; t DATE OF INSPECTION: FOUNDATION ��� f(' `00 FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING w DATE CLOSED OUT ASSOCIATION PLAN NO. f 11/05/2007 13:50 5087786448 HYANNIS FIRE PAGE 01 ' YS. FI W DEPAIRT1VJ[ENT 95.HICiH.StHOUL RD.'EJCT.. HYANNIS, MA.02601 1 HAROLD S. BAONELLE, CHIEF z�, rare ecroasiaeeaue,no■ . .,. JCJRt« ` `SUSINESS:PHUNE-(50P)775 1300 FACSIMILE PHONE-(508)778-6448 LT.ObL- CHASE;Jai-,-C�7 . L1'_ERIC JE.HUSLIIt, CFI NALO X j k�B pAE,'VI3NIZON OFFICER XME IPREVTcN 011�:0 FiCB1 RUILDIN r. O-PE, COMPLIANCE FORM 'fH( FIRS P iEVENTION BURFA-U.HAS'REVIEWED-tHE PLANS DATED• �C)FOR• THE''00 'PFRTY LQr✓ATED AT' _ -- L Sdc. G w C +eta Gs� ALSO •Kf ( Jf `JCS:' - �L � • 4. TH ' CHART BELOW INDICATES. THE STATUS OF OUR REVIEW: • E. RECEIVED FiFVIE1PJED COMPLIES F' .INT�IUL`'1 q --------------- -.r . •.� ..�'(17EyFIJ��?:n .Y F':F ..6.... :�:K..:,; ''F,'•IR .4..11ll`1 a'*1,4+� 'f1,•' �a .,.,` ;'r,;•.,:,.•' r 'L'.t< "3HlD:RA{V1: C Ai:EF'#`•' f1P"PtY" 4 •��=��I�RfNKL �R 5����Ki1S � _ - ;:. .5� p 'riKR CQNT�� �I�?:(Vl'�`N� Novi = Y - TA P �� . 7�ST N.DAIR ',VAt*.VE LJGa)fb(V :, 8=FjAr:`b`'-OAR-T- I(yN ' t NI EGT�t FIFIE'•f?�iGTEC7IG, .( 'A�;gL1t�f :S1 S(' •. _ t M, _ "NNtIV {aTC�Ft u r.<A 11= MQK 'G J' YRc Li EXHAUST ` i?-SMOK .CONTfiOL EQtJ1R::'L ATiQN -: -71 a 13=LIFE°SAF1"Y SYTMt7ATUR . :�a!•I"IF'�E�>~3�TIfV lJlSk'll(11�i3Y5•T�MS • "�� � 15.-.KEA_'� E?.Nl' 01 �QI I ''L'dCATl4N'kN : •CIF fs 7r7IIti3' Ui`Pt�1.. i7�ff 4, °A:LAiIGi;TFIP, SM`11 'IV, 1`MD' asl:... :i.g-�.E9�l��I�E.f��•`������;.Ib'�`l;Fi�P�Afi` y}�•t:� "�a-A�C�PTANCt .'TE-�.lr�:.'•�bi',�t��lt�'. • ' •� • • r$•; 1�WE�ELI;�V�;l'. �q�?��Il�(ENTS LETE AND.COMPLIANT FOR THE ISSUANCE 0r A BUILDING i PE`RMIT "7 WE HAVE COIVIPL LT ti.`fH�'ACC PTANCE STING r0A THE OCCUPANCY PERMIT AND BELIEVE THAT -' WITHIN THE SQPE'©F TNF,l3UILDING'Plaffvll ,THEA : ISLES A,R IN COMPLIANCE- • 12i14i2000 16: 7 ,CITIZENS COMMERCIAL H'YANNIS y 7755502 NO. 175 DEr r or zor w �, ,57'4p S 7� 00 pp' 88, 43' i W .ti • � � _ o co t , �oTl �� wild•...o ,�1� 5� _ _ � s 21 t Lo. \ s 73a57 4041 tl . LOT NOTE.- LOTS 7 & 58 SHARE A C0MM0N .DRlVVVAY, W. ZONE- ':Y This MO TOAGE INSPECTION lan is For FLODD ZONE- -- 0 : Lank Use Onl )EED REF: -----— RIaGISTRY 0 41'NER: )ATE: .9 _ — —— PLAN REF: _ =- —— —- -- -- __EAyy �g SCALE:1 =+30 _FT: CH 'EMI FY TO -- HOWN ON THIS PLAN IS LOCATS— ON THETHAT THE GR UNA DASD YANKEE SURVEY HOWN AND THAT ITS POSITION ROES ---- CONFORM r R CONSULTANTS D THE ZONING LAW SETBACK REQUIREMENTS OIL two OWN OF F ------- AND THAT t+ta 32Ctm . 143 ROUTE 149 DOES—.N.2T LIE WITHIN THE SPECIAI._Fl oop HA2aRA ,'0 j �'`' MARSTONS WILLS. UA. 02848 PPA nC w, etxrnnr n. Mvn r .. .,,_ �51 :.t, ;• TFT A7R_nncc ✓/ZE Board of Building Regulations and Standards Construction Supervisor License License: CS 12653 �} m Expiration 7A6%2009 Tr# 15610 Restriction 1. QO NICHOLAS A LAGADINOS 13 THANKFUL COTUIT,MA 02635 Commissioner N( COMcheck Software Version 3.5.1 Envelope Compliance Certificate 2001 IECC Report Date: 11/01/07 Data filename:C:\Program Files\Check\COMcheck\Seidman Office Energy Calcs.cck Section 1: Project Information Project Title: Dental Assoc.of Cape Cod Construction Site: Owner/Agent: Designer/Contractor: 262 Barnstable Rd. Top Flight Development Inc. Nick Lagadinos Hyannis,MA 02601 262 Barnstable Rd. Lagadinos Building and Design Inc. Hyannis,MA 02601 13 Thankful Lane Cotuit,MA 02635 508-428-4097 lagcon@capecod.net Section 2: General Information Building Location(for weather data): Hyannis,Massachusetts Climate Zone: 12a Heating Degree Days(base 65 degrees F): 6137 Cooling Degree Days(base 65 degrees f): 389 Project Type: Addition Vertical Glazing/Wall Area Pct.: 15% Activity Type(s) floor Area Office 415 Section 3: Requirements Checklist Climate-Specific Requirements: Component Name/Description Gross Area Cavity Cont. Proposed Budget or Perimeter R-Value . R-Value U-Factor U-Factor Roof 1:All-Wood Joist/Rafter/Truss 492 30.0 0.0 0.035 0.059 Exterior Wall 1-Wood Frame,Any Spacing 464 13.0 0.0 0.091 0.086 Window 1:Wood Frame:Double Pane with Low-E,Clear,SHGC 50 -- 0.330 0.581 0.32,PF 0.20 Door 1:Glass,Clear,SHGC 0.25 21 --. 0.300 0.581 Door 2:Solid 21 -, -- 0.300 0.136 Interior Wall 1:Wood Frame,Any Spacing 36 11:0 0.0 0.100 0.136 Floor 1:Concrete Floor(over unconditioned'space) 415 — 11.0 0.071 0.052 (a)Budget U-factors are used for software baseline calculations ONLY,and are not code requirements. Air Leakage, Component Certification, and Vapor Retarder Requirements: 1. All joints and penetrations are caulked,gasketed or covered with a moisture vapor-permeable wrapping material installed in accordance with the manufacturer's installation instructions. 2. Windows,doors,and skylights certified as meeting leakage requirements. ❑.3. Component R-values&U-factors labeled as certified. ❑ 4. Insulation installed according to manufacturer's instructions,in substantial contact with the surface being insulated,and in a manner that achieves the rated R-value without compressing the insulation. Project Title: Dental Assoc.of Cape Cod Report date: 11/01/07 Data filename:C:\Program Files\Check\COMcheck\Seidman Office Energy Calcs.cck Page 1 of 9 i 5. Stair,elevator shaft vents,and other dampers integral to the building envelope are equipped with motorized dampers. 6. Cargo doors and loading dock doors are weather sealed. 7. Recessed lighting fixtures are:(i)Type IC rated and sealed or gasketed;or(ii)installed inside an appropriate air-tight assembly with a 0.5 inch clearance from combustible materials and with 3 inches clearance from insulation material. 8. Building entrance doors have a vestibule and equipped with closing devices. Exceptions: Building entrances with revolving doors. + Doors that open directly from a space less than 3070 sq.ft.in area. 9. Vapor retarder installed. Section 4: Compliance Statement Compliance Statement: The proposed envelope design represented in this document is consistent.with the building plans,specifications and other calculations submitted with this permit application.The proposed envelope system has been designed to meet the 2001 IECC,Chapter 8,requirements in COMcheck Version 3.5.1 and to comply with the mandatory requirements in the Requirements Checklist. Name-Title Signature Date r Project Title: Dental Assoc. of Cape Cod Report date: 11/01/07 Data filename:C:\Program Files\Check\COMcheck\Seidman Office Energy Calcs.cck _t Page 2 of 9 i COMcheck Software Version 3.5.1. Lighting Compliance Certificate t 2001 IECC Report Date: 11/01/07 Data filename:C:\Program Files\Check\COMcheck\Seidman Office Energy Calcs.cck Section 1: Project Information Project Title: Dental Assoc.of Cape Cod Construction Site: Owner/Agent: Designer/Contractor: 262 Barnstable Rd. Top Flight Development Inc. Nick Lagadinos Hyannis,MA 02601 262 Barnstable Rd. Lagadinos Building and Design Inc. Hyannis,MA 02601 13 Thankful Lane Cotuit,MA 02635 508-428-4097 lagoon@capecod.het Section 2: General Information Building Use Description by: Activity Type Project Type: Addition Activity Tvoe(s► Floor Area Office 415 Section 3: Requirements Checklist Interior Lighting: ❑ 1. Total proposed watts must be less than or equal to total allowed watts. Allowed Watts Proposed Watts Complies 622 324 YES .Exterior Lighting: Lj 2. Efficacy greater than 45 lumens/W. Exceptions: Specialized lighting highlighting features of historic buildings;signage;safety or security lighting;low-voltage landscape lighting. Controls,Switching,and Wiring: ❑ 3. Independent controls for each space(switch/occupancy sensor). Exceptions: Areas designated as security or emergency areas that must be continuously illuminated. Lighting in stairways or corridors that are elements of the means of egress. 4. Master switch at entry to hotel/motel guest room. 5. Each space provided with a manual control to provide uniform light reduction capability. Exceptions: Only one luminaire in space; An occupant-sensing device controls the area; The area is a corridor,storeroom,restroom,public lobby or guest room; Areas greater than 250 sq.ft. ❑ 6. Automatic lighting shutoff control in spaces greater than 250 sq.ff in buildings larger than 5,000 sq.ft. Exceptions: Project Title: Dental Assoc. of Cape Cod Report date. 11/01/07 Data filename:C:\Program Files\Check\COMcheck\Seidman Office Energy Calcs.cck Page 3 of 9 i Areas vyith only one luminaire,corridors,storerooms,restrooms,or public lobbies. o 7. Photocell/astronomical time switch on exterior lights. Exceptions: Lighting intended for 24 hour use. 8. Tandem wired one-lamp and three-lamp ballasted luminaires(No single-lamp.ballasts). Exceptions: Electronic high-frequency ballasts;Luminaires not on same switch. tection 4: Compliance Statement Compliance Statement. The proposed lighting design represented in this document is consistent with the building plans,specifications and other calculations submitted with this permit application.The proposed lighting system has been designed to meet the 2001 IECC,Chapter 8, requirements in COMcheck Version 3.5.1 and to comply with the mandatory requirements in the Requirements Checklist. Name-Title Signature Date Project Title: Dental Assoc. of Cape Cod Report date: 11/01/07 Data filename:C:\Program Files\Check\COMcheck\Seidman.Office Energy Calcs.cck Page 4 of 9 COMcheck Software Version 3.5.1 Lighting Application Worksheet 2001 IECC Report Date: Data filename:C:\Program Files\Check\COMcheck\Seidman Office Energy Calcs.cck Section 1: Allowed Lighting Power Calculation A B C D Area Category. Floor Area Allowed Allowed Watts (ff2) Watts/ft2 (B x C) Office 415 1.5 622 Total Allowed Wafts= 622 Section 2: Proposed Lighting Power Calculation A B C D E Fixture ID:Description/Lamp I Wattage Per Lamp/Ballast Lamps/ #of Fixture (C X D) Fixture Fixtures Waft. Linear Fluorescent 1:46"T5 54W/Electronic 2 6 54 324 Total Proposed Wafts= 324 Section 3: Compliance Calculation If the Total Allowed Wafts minus the Total Proposed Wafts is greater than or equal to zero,the building complies. Total Allowed Wafts= 622 Total Proposed Wafts= 324 Project Compliance= 298 Project Title: Dental Assoc. of Cape Cod Report date: 11/01/07 Data filename:C:\Program Files\Check\COMcheck\Seidman Office Energy Calcs.cck Page 5 of 9 s COMcheck Software Version 3.5.1 Mechanical Compliance Certificate 2001 IECC Report Date: 11/01/07 Data filename:C:\Program Files\Check\COMcheck\Seidman Office Energy Calcs.cck Section 1: Project Information Project Title: Dental Assoc.of.Cape Cod Construction Site: Owner/Agent: Designer/Contractor: 262 Barnstable Rd. Top Flight Development Inc. Nick Lagadinos Hyannis,MA 02601 262 Barnstable Rd. Lagadinos Building and Design Inc. Hyannis,MA 02601 13 Thankful Lane Cotuit,MA 02635 508-428-4097 lagoon@capecod.net Section 2: General Information Building Location(for weather data): Hyannis,Massachusetts Climate Zone: 12a Heating Degree Days(base 65 degrees F): 6137 Cooling Degree Days(base 65 degrees F): 389 Project Type: Addition Section 3: Mechanical Systems List Quantity System Type&Description 1 HVAC System 1:Heating:Central Furnace,Gas/Cooling:Field-Assembled DX System,Capacity65-<90 kBtu/h,Air-Cooled Condenser/Single Zone 1 Water Heating 1:Service Water Heaterw/Circulation Pump Section 4: Requirements Checklist Requirements Specific To: HVAC System 1 ❑ 1. Newly purchased heating equipment meets the heating efficiency requirements 2. Specified equipment consists of field-assembled components-efficiency documentation provided ❑ 3. Integrated air economizer required Requirements Specific To:Water Heating 1 Lj 1. 1-in.pipe insulation on circulation systems 2. Automatic on/off control required for circulating systems Generic Requirements: Must be met by all systems to which the requirement is applicable: 1.•Load calculations per 2001 ASHRAE Fundamentals 2. Plant equipment and system capacity no greater than needed to meet loads - Exception:Standby equipment automatically off when primary system is operating - Exception:Multiple units controlled to sequence operation as a function of load 3. Minimum one temperature control device per system 4. Minimum one humidity control device per installed humidification/dehumidification system Cl 5. Thermostatic controls has 5 degrees F deadband - Exception:Thermostats requiring manual changeover between heating and cooling Project Title: Dental Assoc. of Cape Cod Report date: 11/01/07 Data filename:C:\Program Files\Check\COMcheck\Seidman Office Energy Calcs.cck Page 6 of 9 6. Automatic,Controls:Setback to 55 degrees F(heat)and 85 degrees F(cool);7-day clock,2-hour occupant override,10-hour backup - Exception:Continuously operating zones - Exception:2 kW demand or less,submit calculations Fi 7. Automatic shut-off dampers on exhaust systems and supply systems with airflow>3,000 cfm 8. Outside-air source for ventilation;system capable of reducing OSA to required minimum 9. R-5 supply and return air duct insulation!in unconditioned spaces R-8 supply and return air duct insulation outside the building R-8 insulation between ducts and the building exterior when ducts are part of a building assembly - Exception:DuctsJocated within equipment p Exception:Ducts with interior and exterior temperature difference not exceeding 15 degrees F. 10.Ducts sealed longitudinal seams on rigid ducts;transverse seams on all ducts;UL 181A or 181B tapes and mastics 11.Mechanical fasteners and sealants used to connect ducts and air distribution equipment Lj 12.Hot water pipe insulation: 1 in.for pipes—1.5 in.and 2 in.for pipes>1.5 in.Chilled water/refrigerant/brine pipe insulation:1 in.for pipes—1.5 in.and 1.5 in.for pipes>1.51in.Steam pipe insulation: 1.5 in.for pipes—1.5 in.and 3 in.for pipes>1.5 in. - Exception:Piping within HVAC equipment - Exception:Fluid temperatures between 55 and 105 degrees F - Exception:Fluid not heated or cooled - Exception:Runouts<4 ft in length 13.Operation and maintenance manual provided to building owner EI 14.Balancing devices provided in accordance with IMC 603.15 ❑ 15.Newly purchased service water heating equipment meets the efficiency requirements o 16.Water heater temperature controls: 110 degrees F for dwelling units or 90 degrees F for other occupancies ❑ 17.Stair and elevator shaft vents are equipped with motorized dampers Section 5: Compliance Statement Compliance Statement: The proposed mechanical design represented in this document is consistent with the building plans,specifications and other calculations submitted with this permit application.The proposed mechanical systems have been designed to meet the 2001 IECC, Chapter 8,requirements in COMcheck Version 3.5.1 and to comply with the mandatory requirements in the Requirements Checklist. Name-Title Signature Date Project Title: Dental Assoc. of Cape Cod _ Report date: 11/01/07 Data filename:C:\Program Fi les\Check\COMcheck\Seid man Office Energy Calcs.cck Page 7 of 9 COMcheck Software Version 3.5.1 Mechanical Requirements Description 2001 IECC Report Date: Data filename:C:\Program Files\Check\COMcheck\Seidman Office Energy Calcs.cck The following list provides more detailed descriptions of the requirements in Section 4 of the Mechanical Compliance Certificate. Requirements Specific To: HVAC System 1 ; 1. The specified heating equipment is covered by Federal minimum efficiency requirements.New equipment of this type can be assumed to meet or exceed ASHRAE 90.1 Code requirements for equipment efficiency. 2. The specified cooling system consists of field-assembled components.Documentation must be submitted showing the system meets ASHRAE 90.1 Code equipment efficiency requirements for a comparable package equipment type and capacity range. 3. An integrated air economizer is required for individual cooling systems over 65 kBtu/h in the selected climate..An integrated economizer allows simultaneous operation of outdoor-air and mechanical cooling. Requirements Specific To:Water Heating 1 1. Piping for the specified circulating service hot water system must be insulated with a minimum of 1-in.insulation having a conductivity no >0.28 Btu-in/(h-ft2-degrees F). 2. Circulating service hot water systems must have a time switch control that can automatically turn off the system during unoccupied hours. Generic Requirements: Must be met by all systems to which the requirement is applicable: 1. Design heating and cooling loads for the building must be determined using procedures in the ASHRAE Handbook of Fundamentals or an approved equivalent calculation procedure. 2. All equipment and systems must be sized to be no greater than needed to meet calculated loads.A single piece of equipment providing both heating and cooling must satisfy this provision for one function with the capacity for the other function as small as possible,within available equipment options. Exception:The equipment and/or system capacity may be greater than calculated loads for standby purposes.Standby equipment must be automatically controlled to be off when the primary equipment and/or system is operating. Exception:Multiple units of the same equipment type whose combined capacities exceed the calculated load are allowed if they are provided with controls to sequence operation of the units as the load increases or decreases. 3. Each heating or cooling system serving a single zone must have its own temperature control device. 4. Each humidification system must have its own humidity control device. 5. Thermostats controlling both heating and cooling must be capable of maintaining a 5 degrees F deadband(a range of temperature where no heating or cooling is provided). Exception:Deadband capability is not required if the thermostat does not have automatic changeover capability between heating and cooling. 6. The system or zone control must be a programmable thermostat or other automatic control meeting the following criteria:a)capable of setting back temperature to 55 degrees F during heating and setting up to 85 degrees F during coolingb)capable of automatically setting back or shutting down systems during unoccupied hours using 7 different day schedulesc)have an accessible 2-hour occupant overrided)have a battery back-up capable of maintaining programmed settings for at least 10 hours without power. Exception:A setback or shutoff control is not required on thermostats that control systems serving areas that operate continuously. Exception:A setback or shutoff control is not required on systems with total energy demand of 2 kW(6,826 Btu/h)or less. 7. Outdoor-air supply systems with design airflow rates>3,000 cfm of outdoor air and all exhaust systems must have dampers that are automatically closed while the equipment is not operating. 8. The system must supply outside ventilation air as required by Chapter 4 of the International Mechanical Code.If the ventilation system is designed to supply outdoor-air quantities exceeding minimum required 1evels,the system must be capable of reducing outdoor-air flow to the minimum required levels. 9. Air ducts must be insulated to the following levels:a)Supply and return air ducts for conditioned air located in unconditioned spaces (spaces neither heated nor cooled)must be insulated with a minimum of R-5.Unconditioned spaces include attics,crawl spaces, unheated basements,and unheated garages.b)Supply and return air ducts and plenums must be insulated to a minimum of R-8 when located outside the building.c)When ducts are located within exterior components(e.g.,floors or roofs),minimum R-8 insulation is required only between the duct and the building exterior. Project Title: Dental Assoc. of Cape Cod Report date: 11/01/07 Data filename:C:\Program Files\Check\COMcheck\Seidman Office Energy Calcs.cck Page 8 of 9 - Exceptiop:Duct insulation is not required on ducts located within equipment. - Exception:Duct insulation is not required when the design temperature difference between the interior and exterior of the duct or plenum does not exceed 15 degrees F. 10. All joints,longitudinal and transverse seams,and connections in ductwork must be securely sealed using weldments;mechanical fasteners with seals,gaskets,or mastics;mesh and mastic sealing systems;or tapes.Tapes and mastics must be listed and labeled in accordance with UL 181A or UL 181 B. 11. Mechanical fasteners and seals,mastics,or gaskets must be used when connecting ducts to fans and other air distribution equipment, including multiple-zone terminal units. 12. All pipes serving space-conditioning systems must be insulated as follows:Hot water piping for heating,systems: 1 in.for pipes1 1/2-in.nominal diameter 2 in.for pipes t1 1/2-in.nominal diameter.Chilled water,refrigerant,and brine piping systems: 1 in.insulation for pipes1 1/2-in.nominal diameter 1 1/2 in.insulation for pipes>1 1/2-in.nominal diameter.Steam piping:1 112 in.insulation for pipes<=1 1/2-in.nominal diameter 3 in.insulation for pipes>1 1/2-in.nominal diameter. - Exception:Pipe insulation is not required for factory-installed piping within HVAC equipment. - Exception:Pipe insulation is not required for piping that conveys fluids having a design operating temperature range between 55 degrees F and 105 degrees F. - Exception:Pipe insulation is not required for piping that conveys fluids that have not been heated or cooled through the use of fossil fuels or electric power. - Exception:Pipe insulation is not required for ninout piping not exceeding 4 ft in length and 1 in.in diameter between the control valve and HVAC coil. 13. Operation and maintenance documentation must be provided to the owner that includes at least the following information:a)equipment capacity(input and output)and required maintenance actionsb)equipment operation and maintenance manualsc)HVAC system control maintenance and calibration information,including wiring diagrams,schematics,and control sequence descriptions;desired or field-determined set points must be permanently recorded on control drawings,at control devices,or,for digital control systems,in programming commentsd)complete narrative of how each system is intended to operate. 14. Each supply air outlet or diffuser and each zone terminal device(such as VAV or mixing box)must have its own balancing device. Acceptable balancing devices include adjustable dampers located within the ductwork,terminal devices,and supply air diffusers. 15. Service water heating equipment must meet minimum Federal efficiency requirements included in the National Appliance Energy Conservation Act and the Energy Policy Act of 1992,which meet or exceed ASHRAE 90.1 Code.New service water heating equipment can be assumed to meet these requirements: 16. Water-heating equipment must be provided with controls that allow the user to set the water temperature to 110 degrees F for dwelling units and 90 degrees F for other occupancies.Controls must limit output temperatures of lavatories in public facility restrooms to 110 degrees F. 17. Stair and elevator shaft vents must be equipped with motorized dampers capable of being automatically closed during normal building operation and interlocked to open as required by fire and smoke detection systems.All gravity outdoor air supply and exhaust hoods, vents,and,ventilators must be equipped with motorized dampers that will automatically shut when the spaces served are not in use. Exceptions:-Gravity(non-motorized)dampers are acceptable in buildings less than three stories in height above grade.-Ventilation systems serving unconditioned spaces. Project Title: Dental Assoc. of Cape Cod Report date: 11/01/07 Data filename:C:\Program Files\Check\COMcheck\Seidman Office Energy Calcs.cck Page 9 of 9 + +r +r L Frgm;Pack rspapgs 30:$eftlmen Or PAich" Dro 1pl31„007 Time:2.31.30 RM or[ Town of Barmsftble Regxtory Swilcm 1 Uo IF,CvM*.Mader Tom Pw*, safte der zoo mdcc Stsrc Hylxda.MA 02601 Wzie. 5%-96Z403$ Fm; -790,6230 Property 0uv Cr Must Complete and Sign This Sectim If Using A $u3ldec . jejaA,4 ,Ira 0W!x a the s><*ct prosy Inrace�r art�razi�a.—...�M ro act cin=v belbau, is matt+ s ndamt to morl lmath =ed by tilis taZd ag permit appllmwn 'Artisergs of J wb� 5*W=Of DRta �L 'Prlt+t I'�am,c I '. AGADINOS BUILDING DESIGN 13 Thankful Lane cotuit,MA 02635 �� INC.J508-428-4097 Fax:508-428-7709 email: lagcon(o capecod.net November 1 _2007 Town of Barnstable Building Dept. 200 Main St. Hyannis; MA 02601 Re: 264 Barnstable Rd. Andrew Cooney of the MA DEP Asbestos Program was contacted on 11/l/07: and notified of our pending project at 264 Barnstable Rd. Hyannis. Sincerely, Nick LagadiNas • The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston,MA 02111 www.mass gov/tlia Wotkers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/PIumbers Applicant Information Please Print LeLyibl Name(Business/Organization/Individual): OFN 0 C5.` c= r C Address: 1}�"��Lk l9Tl� City/State/Zip: r1rRI1► M 14 dT z cam'_ Phone#:_ 47-a— dA q7 Are you an employer?Check the appropriate box: 1. I am a employer with ^ 4, ❑ I am a general contractor and I F7. pe of project(required):. employees(full and/or part-time).* have hired the sub-contractors ❑New construction 2.'❑ I,am a sole proprietor or partner- listed on the attached sheet. $ ®,Remodeling ship and have no employees These sub-contractors have 8. ❑ Demolition working for me in any capacity. workers' comp.insurance, o workers' comp.insurance 5. 9• ❑Building addition (N p. ❑ 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.❑Plumbing repairs or additions myself. [No workers'comp. c. 152'§1(4),and we have no 12.0 Roof repairsinsurance required.]t em toees.[Noworkers' 13.[]Other comp.,insurance required.]. "Any applicant that checks box#I must also.fill out the section below showing their workers'compensation polic .iriformation. t Homeowners who submit this.affidavit.indicating they arp-doing an work and then hire outside contxaciors must submit anew affidavit indicating-such.. ' tContractors that check this box must attached i ii ddditioital slieetsfiowirig the dame of the svb:eotiiractorsand t6eii workers'comp:policy information. ? : I atn an employer that is providing workers compensation insurance for my employee&.Below is the policy and jolt site tnformadon.: --... Insurance.Company Name: I Rift C Vl �Yl�1r�r yta �� Policy#or Self=ins. Lic.#: Expiration Date: 6 Job Site Address: _-.Z��I - 14f932a1 c�� , `J..-/ City/State/Zip: 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 tine up to S 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$250.00 a day against the violator. Be advised.that a copy of this statement may be forwarded to the.Office of Investi,*at• s of the DIA for insurance coverage verification. c tify tut der a pa nd penalties of perjury that tire information provided above is true and correct. Si(matur Date: Phone#: Official use only. Do not write in this area, to be completed by city or town officiaL City or.Town: Permit/License# Issuing Authority(circle one): I. Board of Health 2.Building Department 3.City/Town Clerk 4. Electrical Inspector 5. Plumbing Inspector 6,Other Contact Person: Phone#: 04/25/07 WED 11:06 VAX 1 508 420 5406 LEONARD INSURANCE. AGENCY 1@ 002/002 L�GCRf t CERTIFICATE OF LIABILITY INSURANCE DATE(mImmOIYYYY) 04/25/2007 PR°DUGER (508)428-S9Z1 FAX t<SQ8)4Z0-54016 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Leonard Insurance Agency Inc ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 7 Wianmo Avenue HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR P 0 Box 494 ALTER THE COVERAGE AFFORDED BY THE ppLtClES BELOW. Ostervil l e, MA .0265E INSURERS AFFORDING COVERAGE NAIC# INSURED Laga inos Building & Design, Inc. INsuRERA. National Grange Mutual Ins Co, 14788 13 Thankful Lane INSURER AIG XSBO09 Cotuit. MA 02635 INSURERQ. INSURER D: INSURER E: COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED.NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALI,THE TERMS.EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. TNSRura Op' TYPE OF INSURANCE MLIGY NUMBER POLICY E &0%0 POUCY EXPIRATION Dim Imminnim LIMITS oENERALLIABILITY MS087460 01/01/2007 01/01/200$ EACH OCCURRENCE s 1 400,000 X COMMERCIAL GENERAL LIABILITY OCCUR DAMAGE TO RENTED CLAIMS MADE I MP 500,000 A MED EXP(Anyone person) S 10.00 PERSONAL&Am INJURY S 1.000.000 GENERALAGGRE-13 E S 000 000 DEN'L AGGREGATE LIMIT APPLIES PER: . POLICY JEC- LOC PRODUCTS-COMPIOP AGG S 2 OOO OOO AUTOMOBILE LIABILITY ANY AUTO IDSNGLE LIMITC B.Id $ ALL OWNED AUTOS SCHEDULED AUTOS (Pelt ILLY INJURY 5 mn HIRED AUTOS ) NON-OWNED AUTOS BODILY INJURY (P�raccltlen� $ PROPERTY DAMAGE IPereeeident) $ GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $ ANY AUTO ' OTHER THAN EA ACC S• AUTOONLY: AGG S EXCESSIUMBRELLA LIABILITY EACH OCCURRENCE S OCCUR CLAIMS MADE AGGREGATE $ GEDUCT16LE 5 RETENTION S S WORKERS COMPENSATION AND WC8934483 01/02/2007 01/02/2008 ply. $ WG ATU EIRPLOYERS'UABILRY B OFFICREWMREMIREXC�U06U?ECL�E EL EACH ACCIDENT S 500.Q00 IF yes describe under EL,DISEASE-EA EMPLOY!: S S00 000 SPECIAL PROVISIONS hcloW OTHER EL DmASE•POLICY LIMIT S 500,000 139CRIPTION OF OPERATIONS i LOCATIONS I VEHICLES I E=LUGIONS ADDED BY ENOORSEMENTI SPECIAL PROVISIONS Builder an Cape Cod. CERTIFICATE HOLDER CANCELLATIO SHOULD ANY OF THE ABOVE=ORIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, Town Of Barnstable BUT FftURETO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION ORLIABILITY 200 Main-St. OF ANY KIND UPON THE INSURER,ITS AGENTS OR REPRE,SENTATNES. Hyannis, MA 02602 AUTHORIZEDREPRES ENTATIVE Stace Spear ACORD25=2001108) FAX: {508a4ZO-7709 OCO �. �M� 68 2 > t TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION' Map J J U Parcel . Permit# O Health Division Gl ' Date Issued c n ?.one Conservation Division 9 2 i l Fie 1__-.) , !• 56 Tax Collector_ Aj SEPTIC SYdWnnv A SEWER FROMTHE Treasurer � AT,r~, '.�:`_7IINSTAW "; PRIOR TO ENG!, . :: ,Dt'�"iSIt�N Planning Dept. Cocas' UUTION. ENVI NTAL CODE AND Date Definitive Plan Approved by Planning Board F' Tlf �a`s.WER 1 CONNFCI:TII 117 P7R',ffT I'70P3 THE +.. ;,, ENGINE ING DIVISION PRIOR TO Historic-OKH Preservation/Hyannis .: CONST,iUC'TJON. 0Z Project Street Address 1 Village YL�) c # Owner Irej •9 9 Address Telephone Permit Request &..Vs j2 e- "4ze nid,]&�,j le) X O( o JIVI t It, IlYke,,l Ay-e ew mo Jet ej(i S 60 Q Square feet: 1st floor: existing b_®u proposed v?D0 2nd floor: existing proposed Total new .7e)-d `' Valuation T TZyo . 00 Zoning District Flood Plain Groundwater Overlay w P Construction Type Lot Size Grandfathered: ❑Yes ❑No If yes, attach supporting documentation. Dwelling Type: Single Family ❑ Two Family 0 Multi-Family(#units) Age of Existing Structure 3 e) Historic House: ❑Yes ANo On Old King's Highway: ❑Yes Ji No Basement Type: ❑ Full ❑Crawl ❑Walkout Xother Basement Finished Area(sq.ft.) / Basement Unfinished Area(sq.ft) Number of Baths: Full:Texisting new Half: existing new Number of Bedrooms: existing evv-- Total Room Count(not including baths): existing new First Floor Room Count Heat Type and Fuel: X Gas ❑Oil ❑ Electric ❑Other Central Air: C(Yes ❑No Fireplaces: Existing New Existing'wood/coal stove: 0 Yes �No Detached garage:❑existing ❑new size ool: O� sting ❑new size Barn:❑existing ❑new size Attached garage: ❑existing ❑new siz "Shed:0 existing ❑new size g g g g s e Other. Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial Yes ❑No If yes, site plan review# Current Use ,A Proposed Used I BUILDER INFORMATION c Name s v ! I •S Telephone Number Address a o S L ,, License# (' ��. Home Improvement Contractor# Worker's Compensation# ALL CON STRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO O2 u d teA `� _ SIGNATURE - . DATE u • FOR OFFICIAL-USE ONLY PERMIT NO. , DATE ISSUED ►, , MAP/PARCEL NO. ADDRESS F J .: �-' VILLAGE V r OWNER DATE OF INSPECTION:k' FOUNDATION ` FRAME INSULATION L ,rr , J FIREPLACE . ELECTRICAL: ROUGH A__ FINAL N uc PLUMBING: ROUGH'�� �. � FINAL � GAS: ROU�= = FINAL FINAL BUILDING DATE CLOSED OUTJ ASSOCIATION PLAN NO. + A r 1 i 4 z1 LOT ZOT S �3'57 �Q, 8 , 4 —' � v' - E �5 Build .26 rn j�ri�l� .. to ^r 7-40 - LOT o fe,-o lo' x ao' NOTE- LOTS 7 & 58 S'HARE'A COMMON DRIIjEIYA,, w� Sew e'2 v RE.S ZON��'' This MORTGAGE INSPECTION plan is For Bank Use Onl F'LOO1J ZONE C OWN: l� �5 __-- REGISTRY OWNER: -.J -' �T�IB _ �._ EED :REF: �FRa�1-LO-7�— - -BUYER- -XC&AEL_,EMX41V- -_------ [TD DATE. Q�lLgl�- -- -- PLAN REF: -4C-�6�4 -----SCALE:1�- 3a-_-_FIT H SABCHUSE_T_T_5 TO �1T zzy'F-.B,Q.yx QE----------- w�N THAT THE .BUILDING YANKEE SURVEY SHOWN ON THIS PLAN IS LOCATED ON THE GROUND AS CONSULTANTS SHOWN AND THAT ITS POSITION DOES _ -- CONFORM TO THE ZONING LAW SETBACK REQUIREMENTS OI' THE 143 ROUTE 1¢8 TOWN OF'-- B��IY ' ' --------_------AND THAT Na 32=1 MARSTONS MILLS, dUA. 02648 IT i�OEs_.N91=_ LIE WITHIN THE SPECIAL. FLOO,pp HAZARD 'O�'o�yS�';�, ; ' TEL: 426-4055 AREA AS SHOWN ON THE H.U"D, MAP DATED4,6 9</�1`�—_ rqN " ��°c^i' C t — el ,250001 OD05 C FAX 420 -5553 THiS PLAN NOT MADE FROM AN RUMENT AU A �- SURVEY NOT TO 8E USED FOR :.ES ETC. 1B438 ,IDR r J I I I " • A -• - - - V lei V�77�/)%��u����/i1L ��l�����lAu(�a BOARD OF BUILDING REGULATIONS � CATIONS License: CONSTRUCTION SUPERVISOR ,a , Number: CS 051497 . { f } 1 � y Expires: 11/13/2002 F Restricted To: 00 JOHN F GILLIS 10 LEDA-ROSE LN MARSTONS MILLS, MA 02648 Administrator The. Town of Barnstable "& �0�' Regulatory Services • '°�Eo Hw.+'' Thomas F. Geiler, Director Building Division Elbert Ulshoeffer, Building Commissioner 367 Main Street,Hyannis MA 02601 Office: 508-862-4038 Fax: 508-790-6230 Permit no. Date AFFIDAVIT HOME IMPROVEMENT CONTRACTOR LAW SUPPLEMENT TO PERMIT APPLICAUON MGL c. 142A requires that the"reconstruction,alterations,renovation,repair,modernization,conversion, improvement,removal,demolition,or construction of an addition to any pre-existing owner-occupied building containing at least one but not more than four dwelling units or to structures which are adjacent to such residence or building be done by registered contractors,with certain exceptions,along with other requirements. Type of Work: AAA k ,z-..._: I y x '-U Estimated CostCAI 0, Address of Work: Owner's Name: a/\ .e I w.�_c - Date of Application: I l "7 I hereby certify that: Registration is not required for the following reason(s): ❑Work excluded by law Job Under$1,000 lel r7lBuilding not owner-occupied Owner pulling permit P g own Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c. 142A. SIGNED UNDER PENALTIES OF PERJURY I hereby apply for a permit as the nt o o er: L4:;,_.1-:2 19_6 v Registration No. Date o actor Name g OR Date Owner's Name q:forns:Affidav • s '� •/ , 1 1 1 11 1 1 still a .... o/iaiiii.. iarraiiriiiiai . 11 1 1111. • •w • • • 1 1 • •'• ..•� •• 111.•'11 +:11 . 1 .1 11 •IIU. / — •'1 ...11 _ . 1 / •• vl 11 1 11 1 M ' Plil ffiw. �m ///////////////////////////////////////////////////%////////%//////////////////////////////////////////////// J .111 . . ..1. 1 •• �.11 1 1 1 M. 1 . haw , 9999 �Si 111 ' �: ". .. ;1, S'.•. 'mod .i.13'.. j///j///////////////////////////////////////r/////////////jj/j�r/ •I 11 I 1 1 II 1 1 1 1 / I I I I I• _ H • • • 1 JIB44 11 1 I i•• _ _1 I • it _ 1. 1 _ 'I' JVA mpleted by city or town I 1 .1• I r � 1 1 III 11 - do not write in this am to be co lia only C3BWdbn 1 is reTdred 1C]LIcmving Board � • • :11 - • 1 . • •11 - . tee/ . . to • • . - • . ./11.:1. . .. . 1 •1• . . . �. . .III 1 1 1 - is 11 • 11 �111 • 1• 1 • 1 • 1 ' •J: - • �I.Io'• . • • - '. :11/ • • • 1 • - • I L• .1 • ./:1 1 . •M .1• •II • • 1� I: �111. :10 I1. • L • �IUI• • M • • � / • • .�'1 • 11 • 1 • 11 • 1 •11 1 .I• •11�111 1. 1• • 1.1 �111 • 1 • 1. .111 • 1 • • 11 • 1•. • - 111 • 1• 1 _ •1/ . 1 . .11 . - . . 1 .L- •11 1 . • I • 1 • • ao 11 •J •IL . • • I a I • �/1/1• . .�1 •11 . / . 11 It11ti1 .11 �• _ . II • • . 904111.111 1 w1 q,61 . / IF7,14/-.•: • UI • Y.1/ / .1 1 1 / 1 JI .1 1 1 1 1 1 r 1 / I . r -1 - - 1 1 1 1 1 1 •+. 1 1 1 1 • . 0 1 ' 1 1 1 11 11 / 1 / 1 1 1 1 1 1 1 • . 1 0 / / 1 1 1 r 1 1 11 1 1 11 1 1 : 1 1 ' 1 1 ' .. . •11 1�71 .�1 1 ..L.•11 • Re 1• 1 • 1.. .• 1. «= • •1 Y •II 1 �/11/�1 1111• 1 •10l■ . I • • 11 1 • I • ` .1•• I11. •% r .:�/Y • •I111. .11 ' III .1 11 11 .11 Y' �• I I �111�/L.. . 1 / .1. I I •�«o . %A col • • 1 •111. •/. • too .11 II 11 ` •L. a •1111.ti• w.l• .11 .. . ' 1 V.1111• �1 I • 1 .�11 ' 11 . .► 1 .1 .1• I • • 1 Y1./ .1. •11 .11 . r•• it •. .IIIL ••1 1 .111 r . .1 � .11 • I 1 .11 1111/1 •M •11 • • 1 1 .i •1/ Y+.1/" . 11 II ./1 M" I •• • 1•. 11 • molls 14l N )a ills11 ..kV« •-•11►. •1 V.I/larl .1. •II . // IIY-11 Y • .1 - 1 e 1 1 - JI 1 I 1 11 1 1 .. 1 • I 1 • I . • -••11.1 �• 1. 11 MI • •I • •' 1 01 .1 01 .1. • WI• .11 • I .�1.IIII •I V�1 L • �• 11. 1 I 11 / • .I /11 711 •l f 1 .11 .• « .-11•. N MITI • • . 1 .11 • / . .n r • u! 1 • •I �• III -• 1. • . .'./11 .1r.�-Iw �'.1111•�+1 W,1. •11 • • . .•= ✓. I .1 1 . .1 •1/.••11 .1 .1 1111/1 •�/ �• • • ' j/jjjjjjjjjj���jjjj/jjjjj��jj���j����jj/jjjjjjj��j���jjjjjj����jjjj��j��jj�j�jjj�j�jjjjjj����j�j��jj _ • N 1 .1 .•1y i. • • 1 •IIIU �•/ .0 • . 111 -• '1 . 1 1 . .11 ti11 1 • • •�• • •1 11 • . 11.110 • o 1. 71 . 11 11 11 till /1 it �• • / . •r.1I •11 I's/P. .M.1 Y. . •r. • 11 • . - • • w.11l I • „ /1 01 ••.Ir1111 fro �1 111111 .-1 • 1 1 I . 1 v_. I .. • 1 0l . •IIr1►• to ' i. • / • •G.• •11 • • • I. .11 • 11 • •.11 • • ••. .1• •11 1. 1• • • 1 1 . � . •71 /j�j�/jjj/m a I MEMj�BRI M��j/NNI M:jjjj��j�j�jjjjjjjjj��/�jj/�j 1 1 11 11 1 1 1 1 1 1 1 1 1 1 1 1 1 1 I . e Ills ' . 111 11 I11 r ESTIMA TED PROJECT COST WORKSHEET Value LIVING SPACE (high end construction) square feet X$115/sq. foot= (above average construction) square feet X$96/sq. foot= (average construction) square feet X$57/sq. foot= GARAGE (UNFINISHED) square feet X.$25/sq. foot= PORCH square feet X$20/sq. foot= DECK square feet X$15/sq. foot= .OTHER c- square feet X$??/sq. foot= Total Estimated Project Value ���• �`' f e t po O i I F—I F-I A i m El AEl 4E] _ : �� o m +� $� SUPPLI S A c� SUPPL I rz8 lu p �m El n-4 COATS p COATS p • � ilk �_ "UD� b aFIN n m °''2 Z(P � Cl FTTI_ °' Z f.,' �� sue.. `I "w E ,.gyp � _ 1 .c y` i >> >'t �' � � •; . dip S2y .w TOWN OF BARNSTABLE CERTIFICATE OF OCCUPANCY PARCEL ID 310 380 CEOBASE ID 22925 , ADDRESS ,, 264 BARNSTABLE ROAD PHONE , HYANNIS ZIP- - LOT 58 LC1 BLOCK LOT SIZE JDBA DEVELOPMENT DISTRICT' HY ARMIT TYPE 089 DffFJIPTION 8209R ER8VO8,66WR&6qR WALLS/REPLACE WIND CONTRACTORS- De artment"of Health, Safety Y ARCHITECTS: and Environmental Services TOTAL FEES: BOND _ $.00 ox tM CONSTRUCTION COSTS $.00 756 CERTIFICATE OF OCCUPANCY +► • * BARNB'I'A M + MASS. FD Idly BUILDI A—F9 VIS- fN DATE ISSUED 10/27/1997 EXPIRATION DATE Li�L PARCEL ID 31.0 380 E ID 22; ,:etl AMIRESS -264 BARNSTABLE ROs. a HyanniB LO 58 LCI BLOCK LOT .S,1" D DEVELOPMENT DI TRIGT HY ET DESCRIPTIONCONSTRUCT T WALLS/REPLACE WINDOWS TYPE BREMODC TT COMMERCIAL ALT/CCO Y C ONTRACTORS: GI LLI a, JACK Department of Health, Safety ARCHITECTS an.d'Environmental Services TOTAL ;FEES: $732.00 BOND ' $-w 00 CONSTf UCTION COSTS $120 g 000.00 437 NONRES./NONHSKP AD /CONY 1 PRIVATE P.tom',aExc. *► BARNSTABLIE, + MASS. 16 OWNER ATLANTIC, STARR. INS ADDRESS PO BOX 590 FALMOUTH MA BU1L1D-1fN.K DIVI'S10N ; BY //�'rf I TE ISSUED 1.0/09/1996 EK:PIRATION DATE THIS PERMIT CONVEYS NO RIGHT TO OCCUPY ANY STREET,ALLEY OR SIDEWALK OR ANY PART THEREOF, EITHER TEMPORARILY OR PERMANENTLY.EN- CROACHMENTS ON PUBLIC PROPERTY,NOT SPECIFICALLY PERMITTED UNDER THE BUILDING CODE,MUST BE APPROVED BY THE JURISDICTION-,STREET OR ALLEY GRADES AS WELL AS DEPTH AND LOCATION OF PUBLIC SEWERS MAY BE OBTAINED FROM THE DEPARTMENT OF PUBLIC WORKS.THE ISSUANCE OF THIS PERMIT DOES NOT RELEASE THE APPLICANT FROM THE CONDITIONS OF ANY APPLICABLE SUBDIVISION RESTRICTIONS. MINIMUM OF FOUR CALL INSPECTIONS REQUIRED FOR ALL CONSTRUCTION WORK: APPROVED PLANS MUST BE RETAINED ON JOB AND WHERE APPLICABLE, SEPARATE � 1.FOUNDATIONS OR FOOTINGS THIS CARD KEPT POSTED UNTIL FINAL INSPECTION 2. PRIOR TO COVERING STRUCTURAL MEMBERS HAS BEEN MADE.WHERE A CERTIFICATE OF OCCU- PERMITS ARE REQUIRED FOR (READY TO LATH). PANCY IS REQUIRED,SUCH BUILDING SHALL NOT BE ELECTRICAL,PLUMBING AND MECH- 3.INSULATION. OCCUPIED UNTIL FINAL INSPECTION HAS BEEN-MADE. ANlCAL INSTALLATIONS. 4.FINAL INSPECTION BEFORE OCCUPANCY. BUILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS 01 o036%1�G 44 3 1 HEATING IN EC ION APPROVALS ENGINEERING DEPARTMENT OTHER: SITE PLAN REVIEW APPROVAL wvr . WORK SHALL NOT PROCEE UNTIL PERMIT WILL BECOME NULL AND VOID IF CON- INSPECTIONS INDICATED ON THIS THE INSPECTOR HAS APPROVED THE STRUCTION WORK IS NOT STARTED WITHIN SIX CARD CAN BE ARRANGED FOR BY VARIOUS STAGES OF CONSTRUC- MONTHS OF DATE THE PERMIT IS ISSUED AS TELEPHONE OR WRIT TEN NOTIFICA- TION. NOTED ABOVE. TION. r � 1 III TOWN OF BARNSTABLE SIGN PERMIT . PARCEL ID 310 380 GEOBASE ID 22925 ADDRESS 264 BARNSTABLE ROAD PHONE i Hyannis ZIP - LOT 58 LC1 BLOCK LOT SIZE DBA DEVELOPMENT DISTRICT HY PERMIT 20493 DESCRIPTION DENTAL ASSOC. OF CAPE COD(20 SQ.FT. ) PERMIT TYPE BSIGN TITLE SIGN PERMIT CONTRACTORS: `. Department of Health,Safety ARCHITECTS: and Environmental Services ITOTAL FEES: $2$.00 Tt1E CONSTRUCTION COSTS �. $.00 i 753 MISC. NOT CODED ELSEWHERE * BARNSTABLF, • MASS. OWNER ATLANTIC, STARR INC 163q' ADDRESS PO BOX 590 EO M i � i FALMOUTH MA BUILDINT a DI•VfQON B DATE ISSUED 01/13/1997 EXPIRATION. DATE 'tne own otuarnstalDIC permit no. Department of Health, Safety and Environmental Semces " = Building Division date i-i 3 -97 367 Main Street,Hyannis MA 02601 fee 0z) Application for Sign Permit p as L.2,k ,rn14P 0 Applicant: ' ��CQO\A IECP- _'6 S, P(-'Assessor's no. 0 �7 �,- I Doing Business As: e c-�;�-e Cc�d Telephone SO C1 Sign Location street/road: Zoning District ? Old King's Highway District? yes no_Z— Property Owner l Zd c-) Name: VA.<C`1 v%.eL'P• Telephone O Address: Z 2 7�AQ-y-\Sl uab<Q Village S�UdZtiS�J� Sign Contract'. VV� C� S� C a Telephone Address: CO-b o C vJ V\^,,V-Nt Vl S C. Village Sa Description Diagram of lot showing location of buildings and existing signs with dimensions, location and size of the new sigi to 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) r. I hereby certify that I am the owner or that I have the authority of the owner to make application, that the information is correct and that the use and construction shall conform to the provisions of Section 4-3 of the Town,ofBarnstable Zoning Ordinances. Dad Signa of Owner/Authorized Agent Size (sq. ft.) Permit Fee d5 Sign Permit was approved: disapproved: - Date . Signature of B ' vial x ` .....+i..wv.•w.i j� y�/•"pv`'d 4`/,°may ,gyp �.Y> ..yy ��N�: w.we•iM+wr.�c-.,rn,.. s J r'� Ykff 7 fir' r Sw _ Y E 'ti• s� (02 hM � _ IleCC- 44 {IT, L ti�,�•'�(t � MLA°..iW Ef . q- itZ RL 141 FW P K""` s� FtME r The Town of Barnstable o� BARNSTABLE. ` Department of Health Safety and Environmental Services MASS. t639' �0 Building Division 367 Main Street,Hyannis,MA 02601 Office: 508-790-6227 Ralph Crossen Fax: 508-796-6230 Building Commissioner Inspection ection Correction Notice Type of Inspection �.�1Pi'Z k-A Location Permit Number Owner Builder -�, L L k <` One notice to remain on jobsite, one notice on file in Building Department. The following items need correcting: y #�. (N : Please call: 508-790-6227 for re-inspection. Inspected by ,p, 1 (-%I Date 'r ' C, 140 Engineering Dept.(3rd floor) Map 3 i o Parcel 39-0 Permit# jy House# / _ Date Issued Board of Health(3rd floor)(8:15 -9:30/1:00-4:30) 3 ' 9a 3 q- Fee , Ck:) Conservation Office(4th floor)(8:30-9:30/1:00-2:00) Planning De t. (1st floor/School Admin. Bldg.) Defini ' e Plan proved by Planning Board 19 ICIkAla BARNSTABLE Sr9CA tocM:�SS. TOWN OF BARNSTABLEy � C'� `' � "_'""' ,a Building Permit Application „ Project reet Address (�, A Q�3+fib� Village 7'�aS,A ,,, �LA_ Owner I �-'in.�2 L w� �.rn� Address . r Telephone - 9 7t).16 b Permit Request ��n�tlS 14 ruc� lcc� s:c,41 i�r� IA Z?�ne c1LXs e .Ni 4 .J.>,,,�0�... First Floor o2 D square feet Second Floor A2 07V-1 square feet Construction Type rc c IC, tni j 3 relc) t.a.60A Estimated Project Cost $ ),�.'jo, ^Q `/ d;UGD. Zoning District Flood Plain Water Protection Lot Size Grandfathered ❑Yes ❑No Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family(#units) Age of Existing Structure 30 yo Historic House ❑Yes ,4 No On Old King's Highway ❑Yes No Basement Type: ❑Full ❑Crawl ❑Walkout N Other Sa JAb Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full: Existing New Half: Existing New 2 No. of Bedrooms: Existing Total Room Count(not including baths): Existing New First Floor Room Count Heat Type and Fuel: §l Gas ❑Oil ❑Electric ❑Other Central Air 16 Yes ❑No Fireplaces: Existing New Existing wood/coal stove ❑Yes VNo Garage: ❑Detached(size) Other Detached Structures: ❑Pool(size) ❑Attached(size) ❑Barn(size) �]None ❑Shed(size) ❑Other(size) Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial A Yes ❑No If yes, site plan review# Current Use - C o rn me r i c a L d e,c Proposed Use Q e ju 4,s�- ,L Builder Information Name���� r ��� S Telephone Number 13 c-7 J Address J o k e ke,, cy-� 7 e. License# o,5- J 41 7 YV1 +v ,, hi , ( S iMe . Home Improvement Contractor# Worker's Compensation# NEW CONSTRUCTION OR ADDITIONS REQUIRE A SITE PLAN(AS BUILT)SHOWING EXISTING,AS WELL AS PROPOSED STRUCTURES ON THE LOT. ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE BUILDING P IT ENIED FOR THE FOLLOWING REASONS) ' FOR OFFICIAL USE ONLY 3 PERMIT NO. i DATE ISSUED - MAP/PARCEL NO. ADDRESS ! VILLAGE OWNER DATE OF INSPECTION: FOUNDATION Y FRAME INSULATION FIREPLACE •ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH' FINAL GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. ri ..i � _ 0�✓5-�2lJG�/rJ_e_ctJ---a/�y__Gv�_��s----��s��'c'_ crd- -- --- { L -- ----�`-rJ,---._.._� •.¢.c._�c... _ _-....e�C.�T- _...Lc���.-r�a c�..v___ _�� �i_ ___�l/�c,! _ 1; li i' it i3{ of tA v • I 4 , cc-It X . e. O j fi � L----------- � 1 Will • I Icy I �UaINL�� MaNaG►LR „ _ , _ INltNGH j rcioiS ,( I I I 801�It WItH I I LI�HTIN4� aeovlt R �UaIN�� OPPICE S s l j. Saw f >BTIP9Ul.F 1 11 s3I�aT ING ARffia #yte� t AREA t Ik t XR4 t ROC` w. I ° A ',' UTILITY � L�48 t ROOM JM t ROOF"1 11 X T.R.-6 T.R.-A PR .j e The Commonwealth of Atassachusetty ^ � t:: .__.•.�;_ Dcpartnrcn!ojlyditstrial.4ccirdcrrts ;3 �_ ;. ��!� 011fceol/o�estigat/otts 600 ll a.vNiggim Street Busurn,Alas. 02111 Workers' Compensation Insurance Aflid:avit Applicant nformatiom- Please PRINT le�•jj�y Incit:n /O .0 Le.�e.•,. City phone f► 7 1 am a homeowner performing all work myself. ® 1 am a sole proprietor and have no one worlan- to any capacity • .,a::�.....{�-.•...--.r•�--r,�3--••aST�+Ras�T!�R7�. _.. L--,...ei-�.!F?'.-.,.►n-. - - -- ,.-. _ .....�.,s.w......�".+---.'r+.-�-- ....•v... lam an employer providing workers compensation for my employees working on this job. comnam•name,- address: cit)'- nhnne#• insurance co policy# I am a sole proprieto -eneral contractor, g•homeowner(circle one) and have hired the contractors listed below who have the following workers'compensation polices: company name- address: cih• phone#• insurance co nolicv# � ,_., ... .. �.rnr«:.w,,.::noy_-•.!rr•:•:1"i�r.'�f^ - -"- - - �++-��-�•.�;'TT:rJ�n.•csl�s.:.-�,..a�v■-r-���::.no_.r�i:_a.a�adc cmmninv name• - address• tit\•• phone#• insurance co nolicv# .Attach additional shcei if necessary,• i' :-v^�1_: r.:.�..�� ...•..►r.. �.+•.:�4`;+ "" " ' Failure to secure coverage as required under Section 25A of 111GL 152 can lead to the imposition of criminal penalties of a fine up to S1.500.00 andiur unc'•cars'imprisonment as--veil as civil penalties in the form of a STOP WORK ORDER and a fine of S100.00 a day against me. I understand that a copy of this statement may be forwarded to the Once of Investigations of the D1A for coverage verification. ' 1110 herchr cenifI•under the pains and penalties of perjuty that the information provided above is true and correct. Sienaturc Date Print nae ��� ll• l Phone m 70fMrI.Ci2l se only do not\write in this area to be completed by city or town Offl ial wn• permitAicense q rlBuilding Department C3Ucensing Board check if immediate response is required I Selectmen's Office 1 [3I1calth Department contact person: phone#• rJOther IR.,.ed 1'95 PJAI Information and Instructions Massachusetts General Laws chapter 152 section 25 requires all employers to provide workers' contfensation for the employees. As quoted from the "law-, an eniplot►ee is defined as every person in the service of another under anv contract of hire, express or implied, oral or written. nv two or nor An cnrplorer is defined as an individual. partncrship, association. corporation or other legal entity. ors . the foregoing enia`scd in a joint enterprise, and including the le-al representatives of a deceased employer, or the receiver or trustee of an individual , partnership, association or other legal entity, employing employees. However th owner of a dwellina, house having not more than three apartments and who resides therein, or the occupant of the dwelliirg, house of another who employs persons to do maintenance , construction or repair work on such dwelling, he or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employe MGL chapter 152 section 25 also states that every state or local licensing ngenc,%•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, neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter 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 company names. address and phone numbers as all affidavits may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested, not the Department of Industrial Accidents. Should v611 have any questions regarding the "law"or if you are requires io obtain a workers' compensation policy, please call the Department at the number listed below. .> Citv or Towns Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom o the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Pie., be sure to fill in the permit/license number which will be used as a reference number. The affidavits may be returned t 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 question., please do not hesitate to give us a call. I 777 The Department's address. telephone and fax number. The Commonwealth Of Massachusetts Department of Industrial Accidents _ Office of Investigations 600 Washington Street Boston,Ma. 02111 fax #: (617) 727-7749 nhnnr. P-• a;17) 727-4900 ext_ 406. 409 or 375 ' -• - ..�-;�...u•o:..ti-- ....._.,...v...-,..,.��•o...:.=.:w:a.,it�!b+,... �.,.v.:...,,....-.«�:-. ..:•�.�:�•::::.:.. .•_. �:,b•.a•�s¢:.�.�*...-ana�...n...-.. _.....--•--"�---.�...�.........�.. _,.. ,.. COMMONWEALT I ®FPA,RTMF!NT nF PURI.IC SAFETY OF ONE ASHBORTON PLACE MASSACHUSETTS ! ' { BOSTON,MA 02108 C;rt t LICENSE et� CAUTION CONSTR. SUP ERV1 0R EXPIRATION DATE r`. ..•.3 ..d ` 11 /13/19 96 . EFFECTIVE DATE LIC-NO. FOR PROTECTION AGAINST RESTRICTIONS THEFT, PUT RidHT THUMB i PRINT IN APPRCOPRIATE' NONE ;. o O b/3 0/19�14 (151497. k BOX ON LICENSE. io JOHN F GILLIS ° 10 L E U A—R O S E LANE BLASTING OPERATORS m MARSTONS MILLS 0264 MUST INCLUDE PHOTO. PHOTO(BLASTING OPR ONLY) FEE 00. 0• 0 0 NOT VALID UNTIL SIGNED BY LICENSEE AND OFFICIALLY HEIGHT: IJ`j STAMPED-OR-SIGNATURE OF THE COMMISSIONER I f i I j � « THIS DOCUMENT.FUST FE '! SIGN NAME IN FULL ABOVE SIGNATURE LINE CARRIEDON THEP8RSONCF SIG TORE OF LICENSEE THE HOLDER WHEN E6- I'' _ - OTHERS-RIGHT THUMB PRINT GAGED IN THISOCCUPATIO:. R � ■iiii■i■i■■■i■■■■■■■ii■i■■■■■i■■■■i N■■■■■■■■■■■■■E■■■■■■■■■■■E■■■■ ONE ME■EMMEM■N■MMMMMMMMMM■MMMMMEMM MEMO ■■M■EMEMEMEMEMEMEMEMMEMMEMEME■ NONE MEMMENE ME No ME M MOMME MEN MEMMEMMMEMEMEMMOMM MEN REMEM MMEME EMEM■MMEMEMMEMMEME OEM■i MENNENMEmom EMMEMEMMEMEMEMEMEM Mmom MOMMOMMEMMEMEN EE■E MEMO ME No so MEMMEME ■■MME ! MMMMMMM■MMMMMMMM NONE MENNENM■MEMEMEMMEMO MEMENEEMEMEMEME ■E NEON■■E - •• M■NEEMMEME■E ME MENNENE INNNMENEME■MMMMMMMMMMM■MM MENNENEM ■ 'EEENE■NE MEMEMEMEMEMMEMMEMEMEME ME u■■N■■■a ■NEE ■ N ■■Ni r lP M■■ ' , Ij� r t;� ' 1 J MMM■M ■■M i EEMEMEM■ME■ mom No MEMO mommm OMEN 0 ENE EMEMEMEM ENO No EMMOME■EM EEM■■ENNENEE■EEMMEEE EMENE ■EM■MMEM N■■■ME■EMEE■E + !EEO■ MENEM MENEMEEMME■EOO NN■ MMEMEMEMEMEMEMEMEMEME E■NEEEE ■M EMEMEMEME■MN®MEMEMEEM NOMEEM MMEMEMEMEMEMEME EMEMMME No ME NONE iN N'■M■MEMEME ONE E■NE■EMENNEN No ■ MEMEMO■■EM■MEMO■■■■ EMEMEM■■ ME 0M art $. r s,. ..xi :. q. f i } t i s � - y -� .fie ..;. _ I A 'I i .. .� i i .. _. p oW DCn oa w a co oam m +. m o �. CD0 0. - 0,' V1 .. > m o� �. ID 0'-119/16" - 15'-71/4" 8-0„ 11'- 1!2" 9'-31/2" 6'-6„ 9'-115/16„ 05 a 0� _ i j ! O n: o T I z I u n O Z x n f . T> e m o =mmf mz. o , , z i I Ii I Cn m �'-- -- S N Cab is o,FdW Z •-___ . I i I i m — a CD i r: r i r - - ... TZ i Z -- FO r ------------•--._.--- --------- -- •---------------- ----•- --- -_----•- ----•--- -- .... - -- - S M j 7AtQ 4• o i F -- -_-- �-- -- - ' C o _ f f V!'s z 20'-7 1/2„ _q 19'{v� 17-6 3/4" 63,-7 r s ::a z CD -> Lagadinos.Building and Design Inc. DESIGN BY: 13 Thankful Lane Nick Lagadinos - Cotuit, MA 02635 Dental Asso6at�eS Of Cape Cod tel 508-428-4097 fax 508-428-7709 Wednesday,September 23,2015 . email lagcon@capecod.net N www.LagadinosBuilding.com CD -4 oCD(Q,m , N C- cc CD p CL CD =O 3 CL N 0.., O ao . - n 1 9/ « 15-71/4" 1T- 1/2" 9'3.1/2" 6'-6" 9'-115/16" m . . ------_ _...—. _,--- ----------'------o-------------------— ------- ------ ------ ----- --------------�. -- —.._. ------- CD 0 llW�llll LLLW LIllU+ �+ 7 h1 _ i m o.z m + nZ .. O .. -i , i .-m ; m 1 1 .. I °. °t o i --___ .. . O. m— In is or CD W. m M, D. r..a i. a. a — 01 . 25. a `CD y 6 AWW {(( �C I 11'-4 3/4" 20'-7 112" 19'{m 12'-6 3/4" s[ 63,_7„ • � Eg CL Lagadinos Building and Design• g Inc DESIGN BY: f 13 Thankful Lane Nick Lagadinos a; ` Cotuit, MA 02635 �e.�®d tel 508-428-4097 fax 508-428-7709 Dental ASS®C1ateS ®f Ca Wednesday,September 23,21015 ,. entail lagcon@capecod.net `? www.LagadinosBuilding.com h '<0�- y _ w '— - .. N n N m.cn rn a oaccD.3 m' w 0 CL a N w y r a ° io 0-11 91167 _ 15'-71/4" 8'-0" _ 1V- 1/2" 9'-31/2" 6'6" 9'-115116" z m ,- � - . .. CD i' -n m i '011IIWL1JIWL W11ll 3 =m o I Z OD .. w x7 Tn i - - C7 rOn Z' o - „ i =mN } i m O i O i a.., — — L ,Z— i -- f-- , s y i d m a %m z/ ' ; C y . _ - !? i - - .. - •p .m.. i �' is --- mom• .. - . - �� .,• - .I a x + — -_—_• _.5- a (CC] I Y z C � 1 ..- p 11'-4 3/4" 20'71/7' 19 J 12'-6 3/4" l c 63'-7, CD cOQC , I ; Lagadinos Building and Design Inc. DESIGN BY: Nick Lagadinos 13 Thankful Lane { Cotuit, MA 02635 f Dental ASS®dates of,Cape Cod tel ,508=428-4097 fax 508-428-7709 Wednesday,September 28,2015 , r. email lagcon@capecod.net wvwv.LagadinosBuilding.com .16 3. 41 x N cn1-4 m 0' < 00❑ i O ..... V) CD CD m ❑ O i.... i.. ,. .... 5 . _ .... 4 m � m r0 X m DENTAL ASSOCIATES Lagadinos Building and Design Inc. Z _ °� ° OF CAPE COD Custom Homes, Additions, Renovations m o o 0 13 Thankful Lane Cotuit, MA 02635 Z v 262 BARNSTABLE RD. Tel.508-428-4097 Fax 508-428-7709 HYANNIS MA 02601 email lagcon@capecod.net } V V • I� ------------------ ------------ +tl— s..--f EI -CIF- �— -- J 1 I I I i J L 1 L L J L _ __ - - I Eli I � I I fTl x r-I I I - 0 I I I 1 I 1 I d i .. 0 -n rn I 1 rn V' 1 i . I I - > I 1 I 1 rn G) 3JoO i 1 1 I I 1 I I L_____________________________________________ —____________________________J 1 ,..<<d..eax. 6 i,, ---- � ----y= 1' 7 m m o m DENTAL ASSOCIATES Lagadinos Building and Design Inc. El T1 Z _ 0 OF CAPE COD Custom Homes, Additions, Renovations o v -U O 13 Thankful Lane Cotuit, MA 02635 m 262 BARNSTABLE RD. Z 0 HYANNIS,MA 02601 Tel.508-428 4097 Fax 508 428-7709 email lagcon@capecod.net V { H H f -IAz < f'1 D tzMc - r z o ey E3� A C3 1' rdi I 4'-2 {a m 7-9 ' 7'-11R . r td0 -------------------------------------------- ��--- --------`------- 1 -----------------`------------- � L - DZ - -1 M ----------------------------- 1 � - ' 1 I 1 I 11 I T O1 1 m Is i ,S O Z L _ __ J L j 5�L - 1 r __ __ _ __ ________—____________ --------------- ____ _ _ _ I ffi"9 I O ___ ___ I C I O1 I I 0 yl Z I I I I 1 I ' 1 I I I I I 1 I I 1 W W m I 1 v I I �z 1 1 1 1 Z cn i':i D I - Z i3 I I I I I I I I I I I I I u i - 1 I I 1 10 - L-------------------------------------------------------------------------------------J .1 NO 41, LIVING AREA ' 2n93 sq Q o o m DENTAL ASSOCIATES Lagadinos Building and Design Inc. o W o o OF CAPE COD Custom Homes;Additions, Renovations 13 Thankful Lane Cotuit, MA 02635 (v Z M 262 BARNSTABLE RD. Tel.508-428-4097 Fax 508-428-7709 HYANNIS,MA 02601 email lagcon@capecod.net V _ j f O , O - Q 3 CD CD (D Q Proposed Area to be Added 1' CD -- ----------------------------------------- ------------------------------ 2 N ------------------------------------r ---- .� r a� N i En':ry mN Office Stag Kitchen L I ...m _ _.._.. N Office Manager w - Reception _ �F MWaiting Room D N '^ Closet VGA+ .7'-6' 5 VO� n w w N Nr 4, N O P"F` n» CI CDTreatment Room throom _ 11 . Bathroom Treatment OO `;O Closet Room - i Cn 7cam)) X-Ray X-Ray - i-CD m W > O Office ' I Treatment Treatment Treatment Treatment aw - Room Room Room Room '_ll --�8'-911' `5,_9 _ .-711•�t-- 8'-10 1 e 0 'U 0 A 0 -i m � � m o m DENTAL ASSOCIATES Lagadincls Building and Design Inca D z j m X--0 OF CAPE COD Custom Homes, Additions, Renovations 0 s o r- 0 13 Thankful Lane Cotuit, MA 02635 Z 0 262 BARNSTABLE RD. Tel..508-428-4097 Fax 508-428-7709 HYANNIS,MA 02601 email lagcon@capecod.net V pr 2n1pp 0 dam ' m ; Qn . W�� n c� O rn•3 W O _ o W D N cr CD o5 onm 3 co y d N 0 _ \1/ N N [o O/ 7 7 A Added P:reas 1, I .. . 1' 101-11 .._..__.._. Re-Use .. NQ`N...J 514�'L?_.—.-N vr.ppp..._..W------ - New' in7o...... _ ----..................., M I 1 Nex Entry Door I. _ RemaveC '-�-- ro _ t.'n' .v Ming Window n2 �NewWI d .. +i — F Of ,,{f 3" + N _L--------______ I -L a' N� it ow, + NexDoor s EL \ a i I m ♦ ( )F 'F I1 I . W 1 - I I Exi$n MfRti i N Wild O '_• Cc 0'r'(IG.r Ro-U.. I , WAITINGRQdt1 '' I , I � , � I I � 1 I I , i I ' 1 + d, BED Do W I I I � I V , V Both 1 '. 6 6-0 11° �T CLOSET RF- I a ace i low r 1 iI - - Treatment ROGITI'1 Bath 2 - - G'.4'x 7'.111.. .. 1 ' ClaFrr Treatman Room 6 1 - , .. •. - AtlE Le iMry t I `7 i 1 ; I I - X-Ray - I nr X-Ray i Develop i - - G•.4-..u^ Dr.Office j Nm s"e i I ®- Repl a ,en - t Win o I I 1 1 I 1 i I I , I ' I r i !n I Treatment Room 2 Treatment P14Q n 3 Storage Treatment Room 4 Treatment Room 5 - , &-G'r,11'-, G`-G'n 11'-9- S'-1"x;f•.�^ y:q=x ely.:1" I. . .................................... .. . ................ 1 I 1 I I I I I I , I nY - 1 r v C ^n � n y s �. ° m M o m DENTAL ASSOCIATES Lagadinos Building and Design Inc. Z Z m 00 0 OF CAPE COD Custom Homes, Additions, Renovations N o g o -0 13 Thankful Lane Cotuit, MA 02635 17,' y (Al 262 BARNSTABLE RD. Tel. 508-428-4097 Fax 508-428-7709 Z 0 HYANNIS,MA 02601 email lagcon@capecod.net V I m 0 X Z-N—{ - D Z 0 Z y+ r z F R: 0 z O (7 1p 0 ' (n $: M m 0 X O D i a o Ui F+ C O'Z N G) N z st$-' R or s' _ 9' m R ,o X v 1r C N COC r. O O C A C M O ;V m rnm . On r O :i• - x a, Z O-O Z mDOm Mc�mM 0Aors-, ` 1vZ7t�K (nD �m m0 X I 2 (!) ZrAr�ZO 0O F CA 000 C) i — X r*1 r D z f _q (n (/) V) Zzn �s,: D D O ) o r; 01 Z ;c Z Z 0 O = D = : XX I = 027 C0 r � � Q� � C� O � I jnCD mOZO � r ' —i � Xm OC nz � 7' C c� DM M 0rX —� or�Tlt� � m2 DO � �p m � 0 D r � m D D � rTI = (fir r r- D N X O D - 0 � r z � _ _ � D M Z � 0 TI I 1 U) I j 0 00 r Ln g M z r M z fTl v U o X o -� � m Ln m o X m DENTAL ASSOCIATES Lagadinos Building and Design Inc. 03 Z m ° OF CAPE COD Custom Homes, Additions, Renovations o F ; o 00 13 Thankful Lane Cotuit, MA 02635 Z mo 262 BARNSTABLE RD. Tel.508-428-4097 Fax 508-428-7709 HYANNIS,MA 02601 email lagcon@capecod.net V