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Home My WebLink About0100 CAMP STREET �-- � ACTIVE A TO•d 710i01 Tuesday,Septerrbe!04,2W`, 15:07 BOISE CASCADE- EC CA�.C,rtu+ 2001 DESIGN REPORT - US File Padgett 10�camp(seam Double - 1 304" x 11 1 4" 'V-L SP 2900mer, N 1.BCC Padgett Builders Job Name 100 CAMP STREETSr,.eclfier ^ Address Designer ,fay Malaspino Company' Shepley Wood Products City,State,Zip Hyannis,Ma. Eng.Wood(508)9o2-G22' Code Reports ICBO 5512,SOCA 98-52,SBCCt 9352 mist" 10 Roof Seam ' �12 , ••••• Standard Laad-30 PSF i 15 PSF _l—._...._L._._.._... . 3-112'u: 61 3400 lbs,LL BO 1778 Ibs IDL 3400lbs LL Total Horizontal Lenin.14.02^00 1778 Ibs DL --' - Load Summary Live Dead Trib. Dur. General Data — Load Typ® Ref. 41::0 End 115 Version; L,S Imperial ID Description unf qr@a toad Left G0-00-00 14.0z.00 30 PSF 15 PSF 16-00 00 S Standard Member Type: Roof Beam Controls Summary Loadcase Span Location Number of Spans • 1 Control Type Value °h Allowable Durtion 2 1 •Internal Left Cantilever N° 18340 ft.Ibs'.' 88.7% r;: i 15% 1 -Left Moment 51.3% C�115% 2 Right Cantilever No End Shear 4493 Ibs 2 1 84.5% 2 1 Slope 0112 Total Deflectian U21 s(0.798") 73 9% 1 1S-00-00 Live DefteCWA U324(0.524") 2 Tributary nla Max.Defl. 0.'798"(Limit: 1") ' 79 5% 1 Repetitive Span/Depth15.1 x Construction Type n/a , Live Load 30 PSF 15 PSF Bearing SUPPOft, Dim,(L x W) Value %Allowed Case Material Dead Load Type o Spruce Pine Fir Part Load 0 PSF B0� WalUPlate 3-112"x 3.112" 5178 Ibs 99.5/° 2, Spruce Pine Fir' Duration 115 B1 WalYPlate 3-1/'2',x 3-112" 5178 Ibs 93.a% 2 Disclosure The completeness and accuracy of the in-31ut must be verified by anv-:ne NOTES:g U180)Totat load de.`iection criteria, prhp would rely on the output ss Design meets Code minimum(L1240)live loac deflection criteria, e,ridence of suitability for" Design meets arbitrary(n meets Code 1minim)Maximum load aeflection criteria. particular application. The output above is based upon building Slope=0,consider drainage. code-accepted design properties ' and analysis methods. Installation of Boise Cascade engineered wood prod;.cts must be in accordance with t,s cur 1�able bui ding codes. lation Guide and the s�pp To obtain.an Instauatipr,Guide call you have any quest:')ns,please (800)232-0788 before beginning product installation. 1 m a cistered trademarks of Boise Case e Corp. SZ.Sti St30z—t?0—dEIS TOWN OF BARNSTABLE SIGN PERMIT PARCEL ID 328 176 GEOBASE IrD 24550 ADDRESS 100 CAMP STREET PHONE HYANNIS ZIP — LOT 1 2 8 & BLOCK LOT SIZE DBA DEVELOPMENT DISTRICT HY PERMIT 58352 DESCRIPTION SOUTHEASTERN SURGICAL — 12 SQ. & 24 SQ PERMIT TYPE BSIGN TITLE SIGN PERMIT { CONTRACTORS: Department of Health, Safety ; p ARCHITECTS: { and Environmental Services TOTAL FEES: $50.00 BOND $.00 pkt CONSTRUCTION COSTS $.00 753 MISC. NOT CODED ELSEWHERE + * ■ARNSTABLE, ; MASS. i639. A�� / ED N1P►� { BUILDING DIVISION4/ BY ley { { r DATE ISSUED 01/11/2002 EXPIRATION DATE t/ Town of Barnstable of THE Tp� .+ do Regulatory Services Thomas F.Geiler,Director pZ 9 „:,►�. Building� Division s6 39� ��iOrEo 59�a Peter F.DiMatteo, Building Commissioner 367 Main Street, Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 Tax Collector Treasurer Application for Sign Permit I I Assessors o. Applicant:&oheafLea) N . Doing Business As: Q Telephone No. Sign Location C Street/Road: Zonin istrict: P Old Kings Highway? Yes o 's Historic District? Yes)tjo Propert Owner r, Name: �t� � :0 -r �e Telephone: Address: Village: Sign Co tractor --71 Name: Telephone: `C Address: )b j � � �• Village: Description Please draw a diagram of lot showing location of buildings and existin g signs with Cotr;a7c�tordimensions, location and size of the new sign. This should be drawn on the reverse side of this application. Is the sign to be electrified? Yes/No (Note:If yes, a wiring permit is required) I hereby certify that I am the owner or that I have the authority of the owner to make this application,that the information is correct and that the use and construction shall conform to the provisions of Section 4-3 of the Town of Barnsta le ning Ordinapice. A All /I A 71" Signature of O er/Authorized Agent: Date: l® Size W 4Y Permit Fee: Sign Permit was approved: Disapproved: Signature of Building Offci t. Date: Signl.doc rev.8/31/98 r �--�- AL S SOUTHEASTERN SURGICAL ASSOCIATES H: WALTER KAESS, MD, FACS DAVID R. WILLIAMS, MD, FACSj-1 CARLOS A. FONTS, MD, FACS 7� - DANIEL R. GORIN, MD, FRCS LAWRENCE P. YOUNG, MD, FACS SOUTHEASTERN VASCULAR LABORATORY LAB TECH. `°T 8 16 SOUTHEASTERN SURGICAL-- ASSOCIATES f SOUTHEASTERN VASCULAR LABORATORY l CAPE CC; SIGNS,ETC. 650 YARMOUTH RD. HY(08)771-4�465 01, "THE Town of Barnstable SOL g Regulatory Services SA"BTA0= Thomas F. Geiler,Director KAM TIO�� Building Division Peter F.D1Matteo, Building Commissioner 367 Main Street, Hyannis.MA 02601 Office: 508-862-4038 Fax: 508-790-6230 NOTICE TO THE BUILDING DIVISION OF WITHDRAWAL OF LICENSED CONSTRUCTION SUPERVISOR FROM PROJECT Construction Supervisor License ct(1p 900 t # " , hereby certify that I &rn.no longer the Construction Supervisor listed on the application for the project under construction as authorized by building permit # , issued to (property address) 0 �?aml On , 200-L. I also certify that on /-�,200 1 ,T notified the property owner, that the project under construction must cease until a successor licensed Construction Supervisor, . I is submitted on the records of the Building Division. I E HOLD DA q/rorms/newconv referencc R-S 780 CMR za -Mv,-4 9ZSVZ98ze'8i6 ' ST:9a 566i/ez/ie --r I September 5, 2001 Building Department Town of Barnstable 367 Main St. Hyannis, MA 02601 Re: 100 Camp Street Hyannis, MA 02601 Building Permit# 54959 Dear Sirs, As one of the owners of the building at 100 Camp Street in Hyannis, I request that you change the name of the Contractor on the Building Permit (#54959) from Everett Boy to Damon Kendall of Padgett Builders, Inc. - who we have awarded the Contract to accomplish the renovatio work at this address. Thank yo , Dr. Carlos Fonts Camp Street LLC 105 Park St. Hyannis, MA Cc: Rob Padgett, Padgett Builder's, Inc. Everett Boy File f Daniel E. Braman,PE - 189 Harbor Point Road Cummaquid, MA 02637-0361 (508) 362-6016 7/20/01 Project:1470 1,Dr. Carlos Fonts 100 Camp Street Hyannis, MA 02601 To: Peter DiMatteo, Building Commissioner, Town of Barnstable, 367 Main Street,Hyannis, MA 02601 In accordance with the Massachusetts State Building Code, Oh edition, section 780CMR-116&1705, for controlled construction, and as SER; I propose that I handle inspections as follows: Inspection 1. Site visit to verify existing conditions as shown on drawings A100,EX200, A200 and A400-,revised 6/19/01;when demolition is started. Inspection 2. When demolition is complete and temporary supports(if needed) are in place. Inspection 3. When new construction is complete. This will also be the final inspection. The General Contractor,Reef Realty LTD shall notify the SER when the above inspection times occur. Of ,� e Daniel E. Braman, PE DANIEL E. �yc s a � BRA AN ® o STRUCTURAL o. 6595 ® . cc: Reef Realty LTD P4 ® '��o o sT � m®sf�S/ONAL V®®® tt � Y , I� ti ��ie �anvnzanuiea� ✓�,Croaac`ivaP.lta . '� _ `" '�;�; �' d: F 00 35 000 Cf enclosed apace' s, BOARD OF BUILDING REGULATIONS:^ '. (MGL C 912 S.60 I r- t', License: CONSTRUCTION SUPERVISOR dA-Masonry only + ' I Number CSC 070086 AG-1&2 Family Homes f Failure to possess a current edition of the Birthdalefiyl/21/1�.6j8 j` Massachusetts State Building.Code jd I Ezp�ires l'1/21/2002 Tr.no_: 4381 Is cause forreyocaUonotthislicense.' I r Restricted To:,00 �;— DAMON L KENDALL�� +� a„ ' • ' 54 KOMPASS DR a � s <t - c � ° + FALMOUTH, MA 02536 Administrator " l — 6 1DIG SAFE CALL CENTER (888)344-7233 e r i 01��4�1\'�• pI �. : o :::':.;:;:::.:::::;:: :::>. ::::::.:...::::.;:...;:.: :.;::.: :.... ... DATE(MM\DD\Y'q::::::. > 05 30 01 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE MYCOCK INS AGCY HOLDER. THIS CERTIFICATE DOES NOT AMEND EXTEND OR 20 SCHOOL 3 ST . ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. PO BOX 437 COTUI T MA 02635 COMPANIES AFFORDING COVERAGE COMPANY 297SB A ROYAL INSURANCE COMPANY OF AMERICA INSURED COMPANY PADGETT BUILDERS INC B PO BOX 133 COMPANY COTUIT MA 02635 C COMPANY D COYEsRA 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. co TH TYPE OF INSURANCE POLICY EFFECTIVE POLICY EXPIRATION L POLICY NUMBER DATE(MM\DD\YY) DATE(MM\DD\YY) LIMITS GENERAL LIABILITY GENERAL AGGREGATE . $ COMMERCIAL GENERAL LIABILITY PRODUCTS-COMP/OP AGG. $ CLAIMS MADE r7 OCCUR. PERSONAL&ADV.INJURY $ OWNER'S&CONTRACTOR'S PROT. EACH OCCURRENCE $ FIRE DAMAGE(Any one fire) $ MED.EXPENSE(Any one person) $ AUTOMOBILE LIABILITY ANY ALTO COMBINED SINGLE $ LIMIT ALL OWNED AUTOS BODILY INJURY SCHEDULED AUTOS (Per Person) $ HIRED AUTOS BODILY INJURY NON-OWNED AUTOS (Per Accident) $ PROPERTY DAMAGE $ GARAGE LIABILITY AUTO ONLY•EA ACCIDENT $ ANY AUTO OTHER THAN AUTO ONLY: ................................ . EACH ACCIDENT $ AGGREGATE $ EXCESS LIABILITY EACH OCCURRENCE $ UMBRELLA FORM AGGREGATE $ OTHER THAN UMBRELLA FORM A WORKER'S COMPENSATION AND STATUTORY OMITS EMPLOYER'S LIABILITY (UB-733X562-0-01) 06-01-01 06-01-02 THE PROPRIETOR/ EACH ACCIDENT $ 100,000 TIVE PARTNERS/EXECU X INCL DISEASE—POLICY LIMIT $ 500,000 OFFICERS ARE: EXCL DISEASE—EACH EMPLOYEE $ 100,000 OTHER DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/RESTRICTIONS/SPECIAL ITEMS THIS REPLACES ANY PRIOR CERTIFICATE ISSUED TO THE CERTIFICATE HOLDER AFFECTING WORKERS COMP COVERAGE. I kCERTIFICATF HOa .>:;.: SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL TOWN OF BARNSTABLE 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE BUILDING INSPECTOR I 367 MAIN ST LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR j HY ANN I S MA 02601 UABLLITY OF ANY KIND UPON THE COMPANY,ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE 'AGORA 2S-S(3I9S) AGQRA CORPORA!993 IS-1 5-20001 9:36AM FROM HYA.NN I S F I RE,,'RESCUE 508 778 6448 P. 1 RVANNIS FIRE DEPARTMENT }RON 95 HIGH SCHOOL RD. EXT. H\'ANNIS,MA.02601 NFM'}I!Q.0 3F>AAiT HAROLD S. BRUNELLE, CHIEF ' � .�� 1 cr lI FIRE PRJ�EV.ENT ryq AU i V ITYD[MT ArAaIMQeE 01 hAt IDYQA[i0A BUSINESS PHONE:(50&)775-1300 FACSIMILE PHONE;(508)778.6448 LT.l>0NAI,D I$.GCE,J%L,CFI. LT.ERIC F.HVBLFJt,CFI FIRE PItE ?VIOL\i OiFIr'ICI'1!7 FIRE FRIE`V1F1V'TION OFFICER BUILDING CODE COMPLIANCE FORM THIS FIRE PREVENTION BUREAU HAS REVIFWEG THE PLANS DATED 6' ( FOR THE PROPERTY LOCATED AT _ ALSO KNOWN AS---.�—. �_ "x i THE CHART BELOW INDICATES THE STATUS OF OUR REVIEW: TYPE OF CONSTRI7CT1ON DOCUMEN'T� UTA RECEIVECI F3EVlElNEt7 COMPLIES 1-NARRA;EVE REPORT 2�-HRE.!'I'GHTING/RaSC.UE'AGCE.SS B-HYDRANTL'OCATI N WATERSUPPLY. G.. / E 4-SPRINKLER SYSTEMS', --- S•SPRINKLEA CONT'ROL'E��,llPm' ENT - — &STAND.PIPE:SYSTEMS 7-6TANDPIPE,VALVE:L"OCA'TIOfVS: 8-PIAE DEPARTMENT-CONNECTION _ 9-FIRE PROTECTIVE SIGNALING:SYST.. — 10-F,P.S:S,. &ANNUNCIATOR LOCATION: 11-SMOKE CONTROL!EXHAUST 12-SMOKE CONTROL EQUIP,'LOCATION 1 -LIFE SAFE TY.SYSTEM:EEATURES 14-FIRE EXTINGUISHING§ySTEV;;S - 15-F.E.S, CONTROL.EQUIP LOCATION 16-.FIRE..PRO'TECl"ION•ROOMS W-FIRE PROTECTION EQUIP SICNAGE - -; 1II=ALARM.7RANSM}S$I.ON METHOD I ,9-SEQUENCE OF OPERATION REPORT 20-ACCEPTANCE TESTING CRITERIA iNE BELL Vr-T� D.00UMENTS TO .. � C D COMPLIANT FOR THE ISSUANCE OF A BUILDING PERMIT . t U'lE HAVE COMPLETED THE ACCEPTAN E TESTI - 13Ik3E OCCUPANCY PERMIT AND BELIEVE THAT WITHIN THE SCOPE OF THE BUILDING PERMIT,THE ABOVE ISSUES.ARE'IN COMPLIANCE. e<a . . . �-�� The Commonwealth of Massachusetts n. -u Department of Industrial Accidents ___ 600 Washington Street . Boston,Mass. 02111 . Workers' Cora ensation Insurance Affidavit name: tFP Gt ' , "5. location: P�-��yC, (3 .� - i 9 � �`QyL S- (. city �U IUII ��A 0 , `'315 phone# CS0:0)`fZ0 -CXDo( ❑ I am a homeowner performing all work myself. . ❑ I am a sole proprietor and have no one workingin capacity %%%%%%%%%%%%:% %%%%�%%%/%%%%%%%%%/%/��%%/////%%/ / %%%/%%%%%//%//%%%%%%%%%%%%%%%%%%%/��%%%�%�%%%%/��%%%%%%% K I am an employer providing workers' compensation for my employees working on this job. ...... .. r .. ,: .:.. . . . . ......: .::.:. }:.::.:..:::.::.:::.::.: comnanv:nanie. ... .::::::.>:::: <;: ......: gddrbss one U d`' ..: >:: cltvs.._..> _...:: ah # XPtia tt 1 ....::.::.....:.:.. . ...s •. . -� :::.::... ansurance co. # �' x ;; olr # X �w .. ; ':>:;:;: .. %/ ❑ I am a sole proprietor, general contractor,or homeowner(circle one)and have hired the contractors listed below who have . the following workers' compensation polices: an:name:. ;::2:e$g'i%nisi :' >::::%:i i i_ _: `..:':`': i i i`.... iv? :>:: 'i s� .......i'i_?' 2 :::<> ``>i'!i is? ii isi2 >i'%'i:%i^i%' :: :': :::<: i:? < i i ii' i%i addr ::a>:':T:r :: :::<<5::::: :................ :.:......................_......................._-......._—............_.._,...._. _, ._......:................._......:....:.............._...__............:....:......,........ ::::::.....:::::.:::::..::::::::::::::.—.—.:::::::::::::.::::::::::::::::::::::::::::::::::...::::::::::....�.....�:::.:�:::.�::::::::::::::.�:::•::.::...�......:::::::.....:::::.:�::.�.�::::::: :::::::.....::::::.::::::::::: :: . ::.<:•.� :::a:.�:•%: . ............:::.::...:.:.....................:......................:.:..... �{ k.::::i:::c..> ::..:.:... -.. :::::::.... ..... w:}.:6:::::::.:�:: J{ :::.vl.•x.•.•.v.. ....: ':`.' isfii'ii:i iii'-*...:v:isiii��Xiv:rii:iii::i::`!i'?S.:ii:iiii};..::::'`v;`:i:::.:j;:; :. Q7� /F:, os �1 ........................................:....:.:n�:.::::..::n�.....:::::. 9I1 Il line >''><': < > >>< > `::::::: : ::i :3< > » ? < `:> >» }j:? %i:Y: :.<:?:`:<i::`:: >'`:? .. ..:::` E ....>< < > >< ><>? «><<» < «-:.... :.;:: address:: .. ;:>.;<:::::::>: :... :::...;:.:.::::.:::::..:::.:.. .::::......... ci .;:.;::.;:.;.. .. .: :::..:.: :.....:.;:::;: :»;<; �s . .......:....;;:::::::::::>:::<>:::::<:::::';:.:�:;;.;<> �:;:<�:;::r :::.:>::>..::::<:;<;: `' oil # _ .... Fafinre to secure coverage as under Section 25A of MGL 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one years'imprisonment as ell civil penalties in the form of a STOP WORK ORDER and a fine of$100.00 a day against me. I understand that a copy of this statement ma be to ed to the cc vestiga of the DIA for coverage verification I do hereby certify e f p the in ormation provided above is true and correct Signature \ Date I��1 d Print name�c t'(L'(Z.? a�"77 -�Srbt�i"C `�Aafy f�(LVeaS,�c Phone# (508 J T 2J-mil official use only do not write in this area to be completed by city or town official city or town: permit/license# ❑Building Department ❑Licensing Board ❑checkif immediate response is regmred ❑Selectmen's Office ❑Health Department contact person: phone#; ❑Other (wind 9/95 PIA) Information and Instructions Massachusetts General Laws chapter 152 section 25 requires all employers to provide workers' compensation for their employees. As quoted from the"law", an employee is defined as every person in the service of another under any contract of hire, express or implied, oral or written. An employer is defined as an individual,partnership, association, corporation or other legal entity, or any two or more of the foregoing engaged in a joint enterprise, and including the legal representatives of a deceased employer, or the receiver or trustee of an individual,partnership, association or other legal entity, employing employees. However the owner of a . dwelling house having not more than three apartments and who resides therein, or the occupant of the dwelling house of another who employs persons to do maintenance, construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer. MGL chapter 152 section 25 also states that every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required. Additionally,neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority. Applicants Please fill in the workers' compensation affidavit completely,by checking the box that applies to your situation and supplying company names,address and phone numbers along with a certificate of insurance 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 you have any questions regarding the"law"or if you are required to obtain a workers' compensation policy,please call the Department at the number listed below. City or Towns Please be sure that the affidavit is complete and Printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permit/license number which will be used s a reference number. The affidavits may be returned to the Department by mail or FAX unless other arrangements have been made. The Office of Investigations would like to thank you in advance for you cooperation and should you have any questions. please do not hesitate to give us a call. The Department's address,telephone and fax number: The Commonwealth Of Massachusetts Department of Industrial Accidents Oftice of Imlesduatlons 600 Washington Street Boston,Ma. 02111 fax#: (617) 727-7749 phone#: (617) 727-4900. ext. 406, 409 or 375 TOWN OF BAANSTABLE CERTIFICATE OF OCCUPANCY--SOUTHEASTERN SURGICAL ASSOCIATES PARCEL ID 328 176 GEOBA%SY, D-D 24550 � ADDRESS 100 CAMP STREET PHONE HYANNIS ZIP - LOT 1 2 8 & BLOCK LOT SIZE DBA DEVELOPMENT, DISTRICT NY .PERMIT 5852:3 DESCRIPTION CERTIFICATE OF OCCUPANCY--SOUTHEASTERN SUh',G(-It, PERMIT TYPE BC00 TITLE CERTIFICATE OF OCCUPANCY i CONTRACTORS. Department of Health, Safety ARCHITECTS: and Environmental Services TOTAL FEES: BOND TMIE + .00 CONSTRUCTION COSTS $.00 756 CERTIFICATE OF OCCUPANCY 1 PRIVATE Fjyp' E�"__ * iARNSTABLE, • ". MASS. 039. A�O� BUILDING DIVIS ON —i,.�-- DATE ISSUED 01/17/2002 EXPIRATION DATE BY qTf�flu � . a � CAL' ,/r '' _ •. TOWN W BARNSTABLE BUI NG PERMIT PARCEL ID 328 176 GEOI3,1 _TD 24550 . ADDRESS 100 CAMP STREET � PHONE HYANNIS ZIP . - LOT 1 2, 8 & BLOCK L0l' SIZE DBA DEVELOPMENT '' DISTRICT HY [ PERMIT. 54959 DESCRIPTION RE 4 STING 1ST-FLR/BSMNT PERMIT TYPE BREMOD �ALT/CONY CONTRACTORS; �_ Department of Health, Safety I ARCHITECTS. •, we-� . 5 �L and Environmental Services T6TA,L' FEES_ $915.00 BOND $_0( CONSTRUCTION COSTS $150,000.00 437 NONRES./NONHSkP ADD/GONV 1 PRIVATE P' 1 E -- * BARNSfABLF, # BUILDING DIVISII BY BATE 4 SSUED 08/06/2061 IRATION 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 PERMITS ARE REQUIRED 2. PRIOR TO COVERING STRUCTURAL MEMBERS HAS BEEN MADE.WHERE A CERTIFICATE OF OCCU QU RED 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. ANICAL INSTALLATIONS. 4.FINAL INSPECTION BEFORE OCCUPANCY. - BUILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS 4000, `�`A--� ��.` �[ �. � /D © �' �� pia.✓ �S"�%�h _'L JAN 3 1 HEATIN I SPECTION APPROVALS ENGINEERING DEPARTMENT 2 BOARD OF HEALTH OTHER: SITE PLAN REVIEW APPROVAL WORK SHALL NOT PROCEED 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 WRITTEN NOTIFICA- TION. NOTED ABOVE. TION. 23 a� 3 d� :N Li 1 �r 1 M �W ' Town of Barnstable `= Building Department - 200 Main Street 4�1 ASTABLE. * Hyannis, MA 02601 9 MASS (508) 862-4038 Certif icate of Occupancy Application Number: 201301112 CO Number: 20130110 Parcel ID: 328176 CO Issue Date: 10102113 Location: 100 CAMP STREET Zoning Classification: MEDICAL SERVICES DISTRICT Proposed Use: GENERAL OFFICE BUILDING Village: HYANNIS Gen Contractor: ROLAND B CATIGNANI- Permit Type: CC00 CERTIFICATE OF OCCUPANCY COMM Comments: SOUTHEASTERN SURGICAL Building Department Signature Date Signed ` TOWN OF BARNSTABLE BU`j1din' q r * BARNSTABL>w Issue Date: ` 03/06/13 Permit MA86 1639• �� Applicant; ROLAND B CATIGNANI Permit Number: B 20130443 CFO MA't A Proposed Use: GENERAL OFFICE BUILDING Expiration Date: 09/03/13 . [Location 100 CAMP STREET Zoning District MS Permit Type: COMMERCIAL ADDITION ALTERATION -Map Parcel 328176 Permit Fee$ 3,-439.80 Contractor ROLAND B CATIGNANI Village HYANNIS App Fee$ 100.00 License Num 005157 Est Construction Cost$ 378,000 Remarks APPROVED PLANS MUST BE RETAINED ON JOB AND CONSTRUCT NEW ADDITION TO EXISTING MEDICAL OFFICE BUIL DINOIIS CARD MUST BE KEPT POSTED UNTIL FINAL INSTALL FIRE SPRINKLER SYSTEM IN NEW ADDITION INSPECTION HAS BEEN MADE. WHERE A CERTIFICATE OF OCCUPANCY IS REQUIRED,SUCH Owner on Record: 100 CAMP STREET LLC BUILDING SHALL NOT BE OCCUPIED UNTIL A FINAL Address: 100 CAMP ST INSPECTION BEEN MADE. HYANNIS,MA 02601 - Application Entered by: PF Building Permit Issued By: � CHt3 PERMTT CONVEYS NO RIGHT TO OCCANY STREET ALLOR EWALK ORAYPART TBREOF IIR PRMNENTYEYrS ONPULIC PRARTY NOUPY SPECIFICALLY PERMiTTBD UNDER THE BUII DING CODE=MUST BE APPROVED BY THE JURISDICTION. STREET OR ALLEY GRADES AS WELL AS-DEPTH AND LOCATION OF PUBLIC SEWERS MAY BE OB.,TAINED FROM THE DEPARTMENT OF PUBLIC WORKS THE ISSUANCE OF THIS PERMIT DOES NOT RELEASE THE APPLICANT FROM THE CONDITIONS OF ANY APPLICABLE SUBDNIS[ON RESTRICTIONS x MINIMUM OF FOUR CALL INSPECTIONS REQUIRED FOR ALL CONSTRUCTION WORK: 1.FOUNDATION OR FOOTINGS. ' 2.ALL FIREPLACES MUST BE INSPECTED AT THE THROAT LEVEL BEFORE FIRST FLUE LINING IS INSTALLED. 3.WIRING&PLUMBING INSPECTIONS TO BE COMPLETED PRIOR TO FRAME INSPECTION. 4.PRIOR TO COVERING STRUCTURAL MEMBERS(READY TO LATH). 5.INSULATION: - 6.FINAL INSPECTION BEFORE OCCUPANCY. WHERE APPLICABLE,SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL,PLUMBING AND MECHANICAL INSTALLATIONS. s WORK SHALL NOT PROCEED UNTIL THE INSPECTOR HAS APPROVED THE VARIOUS STAGES OF CONSTRUCTION. PERMIT WILL BECOME NULL AND VOID IF CONSTRUCTION WORK IS NOT STARTED WITHIN SIX MONTHS OF DATE THE PERMIT IS ISSUED AS NOTED ABOVE. - --PERSONS-CQNTRACTING_WTTH-UNREGISTERED CONTRACTORS DO NOT HAVE ACCESS TO GUARANTY,FUND(as set forth in MGL c.142A). ► ® , 1.1 F 051ON� LA 01 BUILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS 3 1 Heating Inspection Approvals Engineering Dept q z i Fire Dept 2 B 0f ealt TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION MMIC Map A lication � � Parcel 1� _� PP Health Division 13 5t 11 Date Issued Conservation Division All— Application Fe Planning Dept. Permit Fee' ? DI` S 10 Date Definitive Plan Approved by Planning Board P� 3-6 3 Historic - OKH Preservation/ Hyannis Project Street Address 100 6,AMb VillageVa►J� Owner 120 6NMV 'K� ��. Address I Ob 6d- I2 lei .&A-WAIeL MAN10,01 Telephone �0� `�"1 - 1 a � �arxr-I 'M .VPA lite AnU j Permit Request d ( WAd hdM QJ� �P, 1Qtl tJ -.r7i6*t/ c� DyIli 1LI - ,iJ511r j 6uolg tiJ1- di 4T" l� �JKA) AVOI /acr�D (.Ihl 1 a16r 73u) l i(-' I wi i fi.,46jw Ca)6r %a VDU Sa.,ri-. do DE6caS732yrr)a4 Square feet: 1 st floor: existing Mproposed I,P5Q 2nd floor: existing Qproposed 0 Total new 2,-710 Zoning District H�2 Flood Plain Groundwater Overlay Project Valuation 578,000-Construction Type V Lot Size 0,�a 71� - Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family (# units) -/ Age of Existing Structure Historic House: ❑Yes SrNo On Old King's Highway: ❑Yes LO No Basement Type: ❑ Full ❑ Crawl ❑Walkout &Other I?Al2TiAt- Basement Finished Area(sq.ft.) 2 Z- Basement Unfinished Area (sq.ft) `7??5 Number of Baths: Full: existing new Half: existing knew 2 Number of Bedrooms: 0/N existing —new Total Room Count (not including baths): existing f-4 new First Floor Room Count 7_(e, Heat Type and Fuel: M/Gas ❑Oil ❑ Electric ❑ Other Central Air: LS Yes ❑ No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑ No Detached garage: ❑ existing U 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 l(Yes ❑ No If yes, site plan review# 5"-TG6&2rA&4. vrf,- 013 1�1/ Current Use Proposed Use Wyi"Ir "6!ff APPLICANT INFORMATION (BUILDER OR HOMEOWNER) _ Name �,P' 6 < 6PV �I�If� � � Telephone Number Address j D License # 42:5 " 00,515 7 06;10 Z Home Improvement Contractor# 1\%M0 1_ 1 PI�l Worker's Compensation # 9�l(am7�2�J7 ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATUR DATE 3 3 t FOR OFFICIAL USE ONLY APPLICATION# DATE ISSUED �_"; MAP./PARCEL NO.. 1 f ' ADDRESS VILLAGE f OWNER DATE OF INSPECTION: E FOUNDATION.' FRAME INSULATION.; FIREPLACE `= ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL t . •s a GAS:F " ROUGH :.`' FINAL 4 r t DATE CLOSED OUT ` ASSOCIATION PLAN.NO. The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations ' 600 Washington Street Boston, MA 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers . Applicant Information Please Print Legibly Name(Business/Organization/Individual):61,�),�69y Awe, 14c-.l Address: i1D `�iM� `[T SA kAAVo IAA- O5167, City/State/Zip: Phone:#: -!%0g-6M- 55S Are ypu an employer?Check the appropriate box: Type of project(required): 1. I am a employer with 1 4. ❑ I am a general contractor and I r 6. -New construction employees(full and/or part-tim.e).* have hired the sub-contractors - 2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7. ❑Remodeling ship and have no employees These sub-contractors have 8. ❑ Demolition working for me in any capacity. employees and have workers'' 9. {Building addition [No workers' comp.insurance comp. insurance.$ required.) 5. ❑ We are a corporation and its 10.❑ Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their 11.0 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' 13.0 Other comp.insurance required.] . *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such, xContractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name:. Policy#or Self-ins. Lic. #: W 6 D`?b 71313 Expiration Date: Job Site Address: 1 00 CA m(� �� -�YA•�-J la 1 6! City/State/Zip: Wr AM0 Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date)'. ' Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment, as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of . Investigations of the DIA for insurance coverage verification. I do hereby c der the pai pena ties of perjury the information provided above is true and correct Si-griafore. Date: Phone#: Official use only. Do not write in this area, to he completed by city or town official, . City or Town: Permit/License# Issuing Authority(circle one): .y. 1.Board of Health 2.BuiIding Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6. Other Contact Person: Phone#: Information and Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers' compensation for their employees. Pursuant to this statute,an employee is defined as"...every person in the service of another under any contract of hire, express or implied, oral or written." An employer is defined as"an individual,partnership,association,corporation or other legal entity, or any two or more of the foregoing engaged in a joint enterprise, and including the legal representatives of a deceased employer, or the receiver or trustee of an individual,partnership, association or other legal entity, employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein, or the occtfpant of the n dwelling house of another who employs persons to do maintenance,construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." MGL chapter 152, §25C(6)also states that"every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in,the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required." Additionally,MGL chapter 152, §25C(7)states`Neither the commonwealth nor any of its political subdivisions shall enter into any contract for,the performance of public work until acceptable evidence of compliance«ith the insurance requirements of this chapter have been presented to the contracting authority." Applicants Please fill out the workers' compensation affidavit completely,by checking the boxes that apply to your situation.and, if necessary,supply sub-contractors)name(s),address(es)and phone number(s) along with their certificate(s)of insurance. Limited Liability Companies(LLC)or Limited Liability Partnerships(LLP)with no employees other than the members or partners, are not required to carry workers' compensation insurance. If an LLC or LLP does have employees,a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the pen-nit or license is being requested, not the Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy,please call the Department at the number listed below. Self-insured,companies should enter their self-insurance license number on the appropriate line. City or Town Officials Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure.to fill in the permit/license number which will be used as a reference number. In addition,an applicant that must submit multiple permit/license applications in any given year,need only submit one affidavit indicating current policy information(ifnecess ary),and under"Job Site Address"the applicant should write"all locations in__(city or town)."A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year.Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e. a dog license or permit to burn leaves etc.)said person is NOT required to complete this affidavit. The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call. r 6 ' The Department's address,telephone and,fax number: �' t ( N a<e .:'.• k,.R«J' j,: w n f,., a .w' •'Ss.c,'f :;' i The Commonwealth of Massachusetts , Department of Industrial Accidents Office of Investigations 600 Washington Street Boston, MA 02111 Tel. # 617-727-4900 ext 406 or 1-877-MASSAFE Fax# 617-727-7749" Revised 11-22-06 www.mass.gov/dia 2013/02/06 13:46:16 2 /2 Aco ® CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDDIYWY) DATE"13 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(les) 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 endorsements. PRODUCER - NAME:C Norwell Construct South Eastern Insurance Group LLC (A/C,No Ext): AICPHONE No): 77 Accord Park Drive E-MAILADDRESS: PRODUCER 00040172 Unit B1 CUSTOMERID#. Norwell MA 02061 INSURER(S)AFFORDING COVERAGE NAIC# INSURED INSURERA Acadia Insurance Company 31325 INSURERB:Star Insurance ConSery Group Inc. INSURERC: 110 State Road, Suite 7 wsURERD: - INSURERE: - Sagamore Beach MA 02562 INSURERF: COVERAGES CERTIFICATE NUMBER:Standard 12-13 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. ILTR TYPE OF INSURANCE I DS L SUER POLICY EFF POLICY EXP POLICY NUMBER MMIDDIYYY MMIDD YYYY LIMITS GENERAL LIABILITY EACH OCCURRENCE. $ 1,000,000 X COMMERCIAL GENERAL LIABILITY - DAMAGE TO RENTED PREMISES Ea occurrence) $ 100,000 A CLAWS-MADE OCCUR PA5054020-10 /1/2012 /1/2013 MED EXP(Any one person) $ 5,000 PERSONAL&ADV INJURY- $ 1,000,000 GENERAL AGGREGATE - $ 2,000,000 GEN'LAGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ 2,000,000 RO POLICY 1XI ECT LOC $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT (Ea accident) $ 1,000,000 ANY AUTO A ALL OWNED AUTOS 054022-10 /1/2012 /1/2013 `BODILY INJURY(Per person) $ X BODILY INJURY(Per accident) $ - SCHEDULED AUTOS - PROPERTY DAMAGE $ X HIRED AUTOS - IPeraccident) X NON-OWJEDAUTOS .. $ - X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 4,000,000 EXCESS LIAB CLAIMS-MADE AGGREGATE `` $- 4,000,000 DEDUCTIBLE A X RETENTION $ 10,000 UA5054023-10 /1/2012 /1/2013 - $ ' B WORKERS COMPENSATION X TO Y LI L VC STATU- OTH-ER . AND EMPLOYERS'LIABILITY Y 1 N - ANY PROPRIETORIPARTNERIEXECUTIVE❑ N lA E.L.EACH ACCIDENT $ 100,000 OFFICER/MEMBER EXCLUDED? 0732373 /1/2012 /1/2013 (Mandatory in NH) - E.L.DISEASE-EA EMPLOYE $ 100 00.0 If yes,describe under - - - - DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 500 000 DESCRIPTION OF OPERATIONS 1 LOCATIONS I VEHICLES (Attach ACORD 101,Additional Remarks Schedule,if more space is required) RE:. Project 62A. Southeastern Surgical Associates 100 Camp St. Hyannis,.MA 02601. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Town of Barnstable ACCORDANCE WITH THE POLICY PROVISIONS. Building Department 200 Main St. - AUTHORIZED REPRESENTATIVE . Hyannis, MA 02601 Ronald Cleaves/SEW2 ACORD 25(2009/09) ©1988-2009 ACORD CORPORATION. All rights reserved. INS025(20090s) The ACORD name and logo are registered marks of ACORD 4 t 1 Massachusetts - Department of Public Safety Board of Building Regulations and Standards Cunstrurtiun Supenisnr License: CS-005157 `X ROLAND B CATIf.NAM 60 GEMINI DR ' tjWq2 41f W BARNSTABLE MA VIAW , F Expiration Gorrtrniss+user 05/23/2014 ConSery GROUP, INCORPORATED ARCHITECT-CONSTRUCTION CONTROL AFFIDAVIT AT PROJECT INCEPTION Parcel Number: 3 2g / J Pro'ectName: Project Owner: Southeast Surgical Associates Project Location: 100 Camp Street Scope of Project: Two story building addition for Angio suite and offices In accordance with paragraph 107.6.2.1 Design& 107.6.2.2 Construction of 780 CMR, the Massachusetts State Building Code, Eighth Edition.I, David J Vachon, Massachusetts Registration Number 7471 being a Registered Professional Architect hereby certify that all plans, computations, specifications, and changes thereto, involving the subject project will be prepared by and under the direct supervision of a Massachusetts Registered Professional Designer and bear his or her original signature and seal as defined by Massachusetts General law(M.G.L.) c143, & 54A. I further certify that I will be present on the construction site at intervals appropriate to the stage of construction to become generally familiar with the progress and quality of work and to determine if the work is being performed in a manner consistent with the construction documents and this code. �a DA Febrima 21, 2013 Architect (Origir6 signature and Seal) VACHON Date No.7479 110 State Road,Plymouth,MA 02360—Mail to: PO Box 278, Sagamore Beach,MA 02562 Ph(508)888-6555—F(508)888-6566 www.conservgroup.com Co n S e ry is GROUP, INCORPORATED ARCHITECT-CONSTRUCTION CONTROL AFFIDAVIT AT PROJECT COMPLETION Parcel Number: Project Name: • , n Project Owner: Southeastern Surgical Assoc. ' Project Location: Cl_0=0-Camp Street Scope of Project: . s New addition to house'office based procedure room. , a In accordance with paragraph 107.3.4 Design professionaVin responsible charge of 780 - CMR, the Massachusetts State Building Code, Eighth Edition and the International Building Code 2009. 1, David J Vachon, Massachusetts Registration Number 7471 being a Registered Professional Architect hereby,certify that all architectural plans, computations, and specifications, and changes thereto, involving the subject project have been prepared by or under the direct supervision of a Massachusetts Registered Architect and.bear his or her original signature and seal as defined by Massachusetts General Law'. (M.G.L.) c 143, & 54A I certify that I have inspected.the work associated with Southeastern Surgical that t p, the best of my knowledge, information, and belief the work has been done m ' conformance with the permit and plans approved by the Inspectional Services- Department and with'the provisions'of the Massachusetts.State Building Code d all, ` other pertinent laws and ordinances, rn x �. o. D V1 J V CH ' 2277 State Road,Plymouth,MA 02360-Mail to:PO Box•278,'Sagamore Beach MA 02562 Ph'(508)888-6555—F(508)888-�566 www.co.nservgroup.com F Final Construction Control Documl enf* To be suhrnitted at completion,o construction by a, 1 Registered Design Profv sionaA' for work,per a�. e , the 8 edition of the Massachusetts State Building Code, 780 CMR,`Section 107.6; Project.,Title: Southeastern Surgical Associates Date:October 2;2013. -Permit No. B 2013M3 Property Address: 100 Camp Street,Hyannis,I-A 02601 „ ;Project: Check.(x)one or bath as applicable:X.New construction X Existing Construction Project description: Construct new addition to existing medical office building. Install new t=ire sprinkler and alarm, systerns in all new and existing areas 1,Domenic W.DeAngelo,MA Registration Number: 35062 Expiration date,June 30,2014 ,aan a iv!is7ei- d de igar prgfaysional, and hereby certify that I have prepared or di=tly supervised the preparation of all design plans, computations and specifications concerningt: Entire Project Architectural X:, 'Strucium,I Mccfr i cal Tire Protection_ Electrical Other for the above named project. 1 certify thatf,or my c esigrtee,have perforrtacd the nei essary pri>fe Yma'.l scrviqg arras = present at file construction site on,a regular and periodic basis to determinethat the work proceed% accorda ce witt ' CD Z the requirements of 780 CMR anid,the design docutner is prcparud by rare and approved as par of�;l building emit .d that I or my designee: C� i 1. Have reviewed,for conformance tc;this cirde and the des gra concept, shop driwings,sarnpl and oth subrri4taI ` by the contractor in accordance with the requirements of the construction docuinents, 2, Hxvc performed the duties for registered design professionals in 780 CMR Chapter 17,'as a plicable.iV IHave been present at intervals appropriate to the stage of:'constru&ion to become generally amiliar w#ki[he ti progress and quality of work and to determine if work was per°fonnpd it)a�.roarmenconsistent xRth the� l construction documents and this code, Enter in the space to the right a"wet°'or electronic signature and seal: t. L� lti4itel 0 t . `AW.J)Engineering,Inc. 5 Michael Road u. " S tta•ss Casa Bridgewater,-MA Q2333 Phone number:(508)378-9602 Email: domdealooaol.corn Building Official Use Only Building Official dame: P'ermit:Nor Date: Note!.Indis sEe Wirt,an'x'project design plaets,ccasnpvtsrtinns and spccifscations that you pr {red or dirccely supers iced.If`e.�lher'is ch0rcn, . provide a dcwription. Trial version 10092012 9--z? 13 Commonwealth of Massachusetts Sleet Metal Permit Map Parcel 1-1 . Date: i �� Permit#L Estimated Job Cost: $ SEP 112013 Permit Fee: 1 Plans Submitted.: YES ✓ T Plans Reviewed:. YES NO Buisiness License# 15 A cease Business Information: Property Owner l Job Location:Info rmation: Name:.?oAj12S 4nff 1A r,4 6DOI 1,4 Name: 10 0 CAmj?SttLee---- LLC. street: Z?`f �IA�+ZIy ory R�. Street:' I o o C�rnp StTtea-t- City/Town::_�/J!'S C tyJTown:,�AJJQJ IS Telephone ,6 0o 17 S,3aS_3 Telephone: Photo I.D.required/Copy of-Photo I.D.-attached: YES ✓ .NO staff Ini&al J-1/Ow- unrestricted license J-2/M-2-restricted to dwellings 3-stories or less and commercial up to 10,000 sq. t. 1?-stories or bless Residentiah I-2 family Multi-family Condo l Townhouses Other Commercial: Office tail Industrial Educational Fife LDepkpprova t onal! Other i Square.Footage: under 10,000 sq. ft. over 10.00G sq: fL Number of StiD Sheet metal work to be completed: New Work: /" Renovation: HVAC k*'- .Metal Watershed Roofing Kitchen Exhaust.System 01 Metal Chimney l Vents Air Balancing i t .Provide detailed description.of work to be.done:' -40 rw l 4 1►.I i nr h �wt.s. 41 R: INSURANCE COVERAGE: 1 have a current liability insurance policy or its equivalent which meets the requirements of M.G.L Ch.112 YeSRI.No [] If you have checked YjM indicate the type of coverage by checking the appropriate box below: III A liability insurance pdncyz Other type-of indemnity- El Bond El OWNER'S INSURANCE WAIVER:I.arn aware that the.license.e.does not'have the insurance coverage:required by Chapter 112 of the, Massachusetts General Laws,and that my signature on this permit application waiYes this requirement Check One Only Owner D Agent Signature of Owner or Owner's Agent By checking this box[ ,I hereby certify that all of the details and information I have submitted(or entered)regarding this application are true and accurate to the best of my knowledge and that all sheet Metal work and installations performed under the permit Issued for this application will be in compliance with.all pertinent provision of the Massachusetts Building Code and Chapter 1.12 of the General Laws., Duct inspection required prior to,insulation,,installation:YEP. NO, JPro Tess jusRections Date Comments Final 1jugection. Date Comments icense: 3y Type aster rfue rl Master-Restricted ,4frown MJoumeyperson Signature of Licensee permit# OJoumeyperson-Restricted License Number'- =ee$ El C.heck at, nspector Signature of Permit Approval I 7W e Commonwealth of Massachuse is Department oflndustrial kddents Off we of Investi d ons 600 WashbTton"S)treet Boston,MA 02111 wwwmass.govldia. Workers'Compensation Insurance Affidavit: JBailders/Contractors/Electnc ans/Plumbers Applicant Information Please Print Le I r Name(Bu ineWOrgmizafi=aadiveda4:. c z/E"�5 -Address:o?7 9 OjMJ th 6/ City/state/zip 01j is, fq Phone.*5 acg - 75--,3 3 Are you an employer?Check the appropriate box: ;Type of project(required):.' 1.© I am a employer with 3o 4. ❑ I am a general cantractor and I employees(full and/or part time).*. Have hired flee subcontractors 6. New cazJstniction 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' 9. []Bui7tiing addition [No workers'comp.insurance comp.insurance:# required.] 5.❑ We are a corporation and'its 10.❑Electricalrepairs or additions `3.❑ I am a,homeowner doing all work officers have exercised their 11TI Plumbing repairs,or additions myself[No workers'comp. rsg�st:of exemption pea MGL 12 "Roof airs t c.152,§1(4),and we have no regcured]' o warl=i 13.E Other, . �pIo yees.�• comp:insurance required.] 'Any appfi�t that cbecks box#1 must also M out tau section below showing tiheii workers'compaosation policy information. t Homeowners who submit fi is affidavit indicating they are doing all work and then hire outside contractors.must submit a new affidavit indicating such. tContractors,that check this box must attached an additional shed showing the name of 6:sub-contractors and state whether or not those entities bane" employees..If the sub-con=tata have employees,they Hurst provide their wmimas'comp.:policy tubber. lam an employer that isproviding workers'compensation insurance for my employees. Below"is the policy and job site information. f Insurance Company Name: 17 I t �t C ha p y t^GW C Policy#or Self.-ins.Lic.# W (,'/ a O©y 7 cJ O Expiration Date.- 1 Z 12'�/ J fob Site Address:I O O City/StateJZip: 14 ,,V,1 _� O a?&�� -�- Attach a copy of the workers"compensation policy-declaration page'(showing the policy number and expiration date). Falb re.to secure coverage as required hinder Section 25A of MGL c. 152 can lead to file impositim of.criminal penalties of a fine up to$1,500.00 and/or one-year.imprisomnent,as well as Icivil penalties in the form of a STOP WORK ORDER and a tine of up to$250.00 a day against the"violator."Be advised.flw a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certif�yunder the pains•and penalties of edwy that the information provided above is true.and co t"rrec x Si e: at,__ Date: (a / Phone#: Official use only. Do notwrite in this area,to be"completed by city or town offla aL City or Town: Permit/License# Issuing Authority(circle one): J.Board of Health 2.Building Department"3.City/Town Clerk 4.Electrical Inspector .5.Plumbing Inspector � 6.Other Contact Person: Phone#: I Client#:26149 ROBIREF ACORDI. CERTIFICATE OF LIABILITY INSURANCE 1 DAT DIYYYY) 12/27/227/2012 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 CONTACTAME: Ann M Pell CIC CISR N Rogers&Gray Ins.Agency, Inc. PHONE 508 398-7917 FAX 877 816-2156 AIC,No,Ext: AIC,No 434 Route 134 E-MAIL ell ro ers ra ADDRESS: a P @ 9 9 ycom South Dennis, MA 02660-1601 INSURER(S)AFFORDING COVERAGE NAIC# 50.8 398-7980 INSURER A:Selective Insurance Co. of S.C. INSURED INSURER B:Atlantic Charter Insurance Robie's Refrigeration, Inc. INSURER C: y Indemnity Safety Insurance Co. 279 Yarmouth Road INSURER D Hyannis, MA 02601 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 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. LTRR TYPE OF INSURANCE NSRL WVD POLICY NUMBER MSUBR POLICY D/YYYY MMILDD/YYYY LIMITS A GENERAL LIABILITY S1880333 12/31/2012 12/31/2013 EACH OCCURRENCE $1 000,000 X COMMERCIAL GENERAL LIABILITY PREMISES(ERENTED nce) $100,000 CLAIMS-MADE 51 OCCUR MED EXP(Any one person) $10,000 PERSONAL&ADV INJURY $1,000,000 GENERAL AGGREGATE s3,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG s 3,000,000 POLICY JE LOC $ C AUTOMOBILE LIABILITY 2436132 12/31/2012 12/31/201 EOa acccidentSINGLE LIMIT $1,000,000 ANY AUTO BODILY INJURY(Per person) S ALL OWNED �( SCHEDULED BODILY INJURY(Per accident) s AUTOS AUTOS Ix HIRED AUTOS X NON-OWNED Perr a cdentROPERTYDAMAGE $ AUTOS A X UMBRELLA LIAB OCCUR S1880333 12/31/2012 12/31/201 EACH OCCURRENCE s2,000,000 EXCESS LIAB CLAIMS-MADE AGGREGATE s2,000,000 DED X RETENTION$0 $ B WORKERS COMPENSATION WC100077904 12/21/2012 12/21/201 X T CER STAT T FOTH- AND EMPLOYERS'LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE Y/N - _ E.L.EACH ACCIDENT $500 000 OFFICER/MEMBER EXCLUDED? N N/A (Mandatory In NH) E:L.DISEASE-EA EMPLOYEE s500,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT s500,000 ,l DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(Attach ACORD 101,Additional Remarks Schedule,If more space Is required) CERTIFICATE HOLDER CANCELLATION Town Of Barnstable SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 200 Main Street ACCORDANCE WITH THE POLICY PROVISIONS. Hyannis, MA 02601 AUTHORIZED REPRESENTATIVE ©198 •2010 ACORD CORPORATION.All rights reserved. ACORD 25(2010/05) 1 of 1 The ACORD name and logo are registered marks of ACORD #S91967/M91947 AMP COMMONVi/EALTki OF MASSACHU,SETTS - _� •• • •• a c•••• • SKUT (METAL WORKERS AS A BUSINESS ' ISSUES THE ABOVE.°LICENSE TO �OFf:IJ R R0B I_CHAUD RABIES REFRCERATIO'N_ INCH ` 279 XARMOU..TH RD = H1fANIJIS'. MA 02601 0000= i 1-5 07/29./14 207691� �:': COMMONWEALTH OF MASSACHt9SETTS _ BOARD OF SHEET METAL WORKERS; ISSUES THE "Rcc OLLOWING LICENSE AS A.- MASTER: UNRESTRICTEDr, F �z k , In, , ` JQHN R ROB I CHAUD { 4 in . tZ 27 MARBLE RD #. BARIdSTABLE MA'A2630 1608 z8 0812 =1041F o 0 D f EP-13-2013 07 :42 AM ROBIES 508 534 1272 P. 01 To n ofBarnstable' s �, s Re uiatory Services '70N.1 OF BARNIS ABI E MAW TI owes F.Geller,Director I Wilding Division �� j � `k� � 17 Tom Ferry,Building Commissioner 200 Mi in Street,IIyannis,MA 02601 vn town.barnstabie.ma.us Office: 508-862-4038 Fax: 508-790-6230 f Property Owner .Must Complete and Sign This Section sing A BWIder 2- V W 6n, 41;1 ,as Owner of the subject property a hereby autholi C O i_N9 Cj O C� �r�v _ to act on tuy behalf, in all matters relative to work authorzed by this building pemut (Ad .ess of Job) **Pool Peaces and alarms are the responsibility of the 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 of Owner ature of Applicant � i PF� Print Name Print Name bite Q;FORMS:OVi'NE"EtWISSIONMI's F6vac-Residential&Light Commercial HVAC Loads Elite Software Development,Inc. Robies Heating and Cooling Southeastern Surgical Hyannis,MA 02601-2096 Page 1 Load Preview Report Has Net ft.2 Sen Lat Net Sen Min Min Sys Sys Sys Duct Scope AED Ton /Ton Area Gain Gain Gain Loss Htg Clg Htg Clg Act Size CFM CFM CFM CFM CFM Building 4.971 5071 2,524 44,9971 14,703 59,7001 48,683 3721 1,8181 3721 1,8181 1,818, _System 1 Yes 0.83 579 480 6,306 3,641 9,947 8205 27 223 27 223 2231 7x7 Ventilation 1,423 2,641 4,064 6,131 _ Zone 1 480 4,883 1,000 5,883 2,074 27 223 A27 223 223 7x7 1-Procedure Room 480 4,883 1,000 5,883 2,074 27 223t 223 223 3-5 System 2 No 4.15 493 2,044 38,691 11,062 49,753 40,478 345 1.,595 3451 1,5,595 1,595 16x16 Ventilation 3,761 6,652 1 Q413 14,039 Duct Latent 1,810 1,810 _ Zone 1-C1g.:26%, Htg.:28% 680 10,402 1,000 11,402 7,424 97 475 97 - 475 475 9x11 2-Recovery 576 10,255 1,000 11,255 6,329 83 468 83 774jE 468 5-6 3-Hall 104 147 0 147 1,0951 14 7 14,Cj 7 1-4 Zon e 2-Cl g.:7 4%, Htg.:7 2% 1,364 29,047 1,600 30,647 19,015 248 1,327 248i 1,327 1,327 1209 4-General Office 2881 10,513 600 11,113 5,938 77 480 771 480 480 5-6 5-01fice 206 117 3,797 200 3,997 1,552 20 173 20' 173 173 2-5 - - 6-Office205 117 3,888 200 4,088 1,552 20 178 20i 178 178 2-6 7-Office 204 169 5,0611 200 5261 3,330 43 231 43' 231 231 3-5 8-Office203 130 2,217 200 2,417 1,270 17' 101 17! 1071 101 1-6 9-Office 202 156 2,6651 200 2,865 2,499 33 122 33' 122 122 2-4 10-Hall207 171 146 0 146 497 6 7 6 7 7 1-4 11Stairs/bath 216 761 0 761 2,377 311 35 31 35 35 1-4 Sum of room airflows may be greater than system airflow because system has multiple zones. F:\Elite Pro ram\Rhvac 9 ProJects\Conserv-Southeastern Sur icalh9 Mond ay, September 09 2013 2:27 PM Rhvac-Residential&Light Commercial HVAC Loads Elite Software Development,Inc. Robies Heating and Cooling Southeastern Surgical Hyannis, MA 02601-2096 Page 2' System 1 Procedure Room Summary Loads 11 Component - _ . Area Sen Lat -- Sen7 Total 1 Description Quan Loss Gain '. Gain ' Gain 12F-Osw: Wall-Frame, R-21 insulation in 2 x 6 stud 374 1,362 0 323 323 cavity, no board insulation, siding finish, wood studs 226-5pl: Floor-Slab on grade, Vertical board insulation 44 712 0 0 0 covers slab edge and extends straight down to 3' below grade, any floor cover, R-5 insulation, passive, light dry soil Subtotals for structure: 2,074 0 323 323 People: 5 1,000 1,150 2,150 Equipment: 0 0 0 Lighting: 1000 3,410 3,410 Ductwork: 0 0 0 0 Infiltration: Winter CFM: 0, Summer CFM: 0 0 0 0 0 Ventilation: Winter CFM: 100, Summer CFM: 100 6,131 2,641 1,423 4,064 System 1 Procedure Room Load Totals: 8,205 3,641 6,306 9,947 Check Fi ures Supply CFM: 223 CFM Per Square ft.: 0.465 Square ft. of Room Area: 480 Square ft. Per Ton: 579 Volume (ft3)of Cond. Space: 4,080 Total Heating Required Including Ventilation Air: 8,205 Btuh 8.205 MBH Total Sensible Gain: 6,306 Btuh 63 % Total Latent Gain: 3,641 Btuh 37 % Total Cooling Required Including Ventilation Air: 9,947 Btuh 0.83 Tons(Based On Sensible + Latent) Notes Rhvac is an ACCA approved Manual J and Manual D computer program. Calculations are performed per ACCA Manual J 8th Edition, Version 2, and ACCA Manual D. All computed results are estimates as building use and weather may vary. Be sure to select a unit that meets both sensible and latent loads according to the manufacturer's performance data at your design conditions. F:\Elite Program\Rhvac 9 Projects\Conserv-Southeastern Surgical.rh9 Monday, September 09, 2013, 2:27 PM Rhvac-Residential&Light Commercial HVAC Loads Elite Software Development,Inc. Robies Heating and Cooling Southeastern Surgical Hyannis, MA 02601-2096 Page 3' System 2 Office & Recovery Summary Loads Component Area ' Sen Later Sen Total' Description w Quan Loss Gain , Gain Gain I'I 3A-v-o: Glazing-Double pane low-e(e=0.40), operable 197 5,840 0 9,676 9,676 window, vinyl frame, u-value 0.53, SHGC 0.56 12F-Osw: Wall-Frame, R-21 insulation in 2 x 6 stud 1489.5 5,421 0 1,482 1,482 cavity, no board insulation, siding finish, wood studs 3A-v-o: Wall-Frame, , no board insulation, siding finish, 88 320 0 88 88 wood studs 18A-38: Roof/Ceiling-Roof Joists Between Roof Deck 1364 2,215 0 872 872 and Ceiling or Foam Encapsulated Roof Joists, Dark or Bold-Color Asphalt Shingle, Dark Metal, Dark Membrane, Dark Tar and Gravel, R-38 blanket or loose fill 22B-5pl: Floor-Slab on grade, Vertical board insulation 61 987 0 0 0 covers slab edge and extends straight down to 3' below grade, any floor cover, R-5 insulation, passive, light dry soil___ Subtotals for structure: 14,783 0 12,118 12,118 People: 13 2,600 2,990 5,590 Equipment: 0 4,816 4,816 Lighting: 1498 5,108 5,108 Ductwork: 11,656 1,810 7,330 9,140 Infiltration: Winter CFM: 0, Summer CFM: 0 0 0 0 0 Ventilation: Winter CFM: 229, Summer CFM: 229 14,039 6,652 3,761 10,413 AED Excursion: 0 0 2,568 2,568 System 2 Office& Recovery Load Totals: 40,478 11,062 38,691 49,753 Check Figures --- Supply CFM: 1,595 CFM Per Square ft.: 0.780 Square ft. of Room Area: 2,044 Square ft. Per Ton: 493 Volume (ft3)of Cond. Space: 16,692 _ 1 System Loads __-- Total Heating Required Including Ventilation Air: 40,478 Btuh 40.478 MBH Total Sensible Gain: 38,691 Btuh 78 % Total Latent Gain: 11,062 Btuh 22 % Total Cooling Required Including Ventilation Air: 49,753. Btuh 4.15 Tons(Based On Sensible + Latent) !Notes Rhvac is an ACCA approved Manual J and Manual D computer program. Calculations are performed per ACCA Manual J 8th Edition, Version 2, and ACCA Manual D. All computed results are estimates as building use and weather may vary. Be sure to select a unit that meets both sensible and latent loads according to the manufacturer's performance data at your design conditions. F:\Elite Program\Rhvac 9 Projects\Conserv-Southeastern Surgical.rh9 Monday, September 09, 2013, 2:27 PM Rhvac-Residential&Light Commercial HVAC Loads Elite Software Development,Inc. Robies Heating and Cooling Southeastern Surgical Hyannis,MA 02601-2096 Page 4' System 1 Room Load Summary Htg Min Run , Run Clg Cfg Min Act! Room Area Sens Htg ; Duct Duct Sens Lat Clg Sys No Name SF Btuh CFM Size' Vel Btuh Btuh CFM ' CFM ---Zone 1--- 1 Procedure Room 480 2,074 27 3-5 545 4,883 1,000 223 223 Ventilation 6,131 1,423 2,641 System 1 total 480 8,205 27 6,306 _3,641 223 223 System 1 Main Trunk Size: 7x7 in. Velocity: 655 ft./min Loss per 100 ft.: 0.155 in.wg Cooling System Summary Cooling Sensible/Latent Sensible r Latent Total Tons Split. Btuh Btuh Btuh Net Required: 0.83 63%/37% 6,306 3,641 9,947 Actual: 1.92 75%/25% 17,250 5,750 23,000 Equipment Data — Heatinq System Cooling System Type: Natural Gas Furnace Standard Air Conditioner Model: 48ES*A24***30 Indoor Model: Brand: CARRIER Efficiency: 0 AFUE 13.2 SEER Sound: 0 0 Capacity: 0 Btuh 23,000 Btuh Sensible Capacity: n/a 17,250 Btuh Latent Capacity: n/a 5,750 Btuh AHRI Reference No.: n/a 3388878 F:\Elite Program\Rhvac 9 Projects\Conserv-Southeastern Surgical.rh9 Monday, September 09, 2013, 2:27 PM ( I�hvac-Residential&Light Commercial HVAC Loads Elite Software Development,Inc. Robies Heating and Cooling Southeastern Surgical H annis,MA 02601-2096 Page 5 System 2 Room Load Summary Ht9 Min Run =.-- - Run Clg h CIg---- Min Act, Room Area Sens Htg Duct' Duct Sens Lat Clg' Sys No Name SF Btuh CFM Size' Vel Btuh y Btuh CFM CFM ---Zone 1--- - 2 Recovery 576 6,329 83 5-6 477 10,255 1,000 468 468 3 Hall 104 1,095 14 1-4 77 147 0 7 7 Zone 1 subtotal 680 7,424 97 10,402 1,000 475 475 ---Zone 2--- 4 General Office 288 5,938 77 5-6 489 10,513 600 480 480 5 Office 206 117 1,552 20 2-5 636 3,797 200 173 173 6 Office 205 117 1,552 20 2-6 452 3,888 200 178 178 7 Office 204 169 3,330 43 3-5 565 5,061 200 231 231 8 Office 203 130 1,270 17 1-6 516 2,217 200 101 101 9 Office 202 156 2,499 33 2-4 697 2,665 200 122 122 10 Hall207 171 497 6 1-4 76 146 0 7 7 11 Stairs/bath 216 2,377 31 1-4 398 761 0 35 35 Zone 2 subtotal 1,364 19,015 248 29,047 1,600 1,327 1,327 Ventilation 14,039 3,761 6,652 Duct Latent 1,810 System 2 total 2,044 40,478 345 _ _ - _ -_ 38,691 11,062 1,595 1,595 System 2 Main Trunk Size: 16x16 in. Velocity: 897 ft./min Loss per 100 ft.: 0.099 in.wg Note: Since the system is multizone, the Peak Fenestration Gain Procedure was used to determine glass sensible gains at the room and zone levels, so the sums of the zone sensible gains and airflows for cooling shown above are not intended to equal the totals at the system level. Room and zone sensible gains and cooling CFM values are for the hour in which the glass sensible gain for the zone is at its peak. Sensible gains at the system level are based on the"Average Load Procedure+ Excursion" method. Cooling System Summary Coolingi Sensible/Latent Sensible p Latent Total Tons Split _ Btuh Btuh' Btuh j Net Required: 4.15 78%/22% 38,691 11,062 49,753 Actual: 4.75 75%/25% 42,750 14,250 57,000 ¢'Equipment Data Heating System Cooling System Type: Natural Gas Furnace Standard Air Conditioner Model: 48VL*A60***30 Indoor Model: Brand: CARRIER Efficiency: 0 AFUE 14.2 SEER Sound: 0 0 Capacity: 0 Btuh 57,000 Btuh Sensible Capacity: n/a 42,750 Btuh Latent Capacity: n/a 14,250 Btuh AHRI Reference No.: n/a 3389396 F:\Elite Program\Rhvac 9 ProJects\Conserv-Southeastern Sur ical.rh9 Monday, September 09 2013, 2:27 PM r - - E , D 4 curb step 36'-7" ste c W3 I _ ST RAGE z IN _ , 1 108 A6S0� a A6 REC � . Y rn c k TOILET ` 1 W4 Gl JAN n ENTRY 104 0 00 18 101 04 �� a °0 2 02 '� 3 3/4" - 3 _0^ 5-8^ g° s., w4 C. 7^ s REC '' F Y -I A 0 CORRIDOR to 03 g ' e 1 06 Y �LL-, 2 ��v OWNER 3 2L '7 _ S ORAGE �� ALIGN 103 RSE 1 REC Y Hr4 4'-2 3/4" - N I i 09 1 OORING WAITING _ BASE 102 4. A 6 06 8 1/ i Ti E3 LEAD LINED SHEETROCK �wRLz"s==-- ACT CLG NOTE: PROVIDE LEAD LINED FRAME ,o PLYWOOD SHEATHING BETWEEN fj OFFICE FLOORS p. S 7PROCEDURE ROOM 6n 11200 k o r I 8'_0" 70 c I OFFICE 24'-0' `-4 REPLACE SIDEWALK AFTER NEW FOUNDATIONS ARE POURED >M OFFICE REMOVqIDOOR & FRAME INFILL ILELL TO MATCH ADJA.0 T ADD VINYL BASE E D ' 36'-7" 4'-4" 13' 2" 12'-7" 6'-6" W3 W2 W2 W2 5 3 S (D u� OFFI E OFFICE LADDER TO HIGH `20 ` 20.4 ROOF - 7" 9'-6 5" 12' 1/2"rn W2 G . 04 k uo F A6 �h1 ,(� C 4 S 14 l7 N p N ILO ET 11 3 13 3 co i 0 19 in 3 &� ,.•_fy 3 .OFFICE M W2 LZ C w2 FLAT i > ' 1 �1 ROOF N 3 a1 -lollI "t OSF C CORRIDO 6 �i g 1O 2O 5 I 207 OFFICE M W2 = W2 w 13'-0 3/4" 7" 9'-5 1/ ' "� 1 r \CRICKET ------------ 17 �i _6. A GENERAL OFFICEo`j208 M O W12O{7 W2 W2 W2 W2 � I 12'-0" 7'-0" 9'-3" 8'-3" 04 * TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map 3� `g Parcel / 4 Application Health Division Date Issued ' (Fb Conservation Division .Application Fe t . zoo Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board Historic - OKH —Preservation/ Hyannis Project Street Address 40 i VillageZ49A)AJ ;_6 AUG 3 1 REC'D Owner /00 eArA a S-AFfe L L.C Address ay Telephone Permit Request C,,Qio o in.-c r _94cl� /Le_&7_VA �9 f�L-D �Xo ®LTt Square feet: 1:st floor: existing5197 proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation Construction Type 000P ��9' Lot Size ®� 4 4 Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family (# units) Age of Existing Structure r9�S` Historic House: ❑Yes ❑ No On Old King's Highway: ❑Yes ❑ No Basement Type: ❑ Full ❑ Crawl ❑Walkout ❑ Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full: existing_ new Half: existing /9 new 1�7 — Number of Bedrooms: existing _new Total Room Count (not including baths): existing new First Floor Room Count Heat Type and Fuel: UrGas ❑Oil ❑ Electric ❑ Other Central Air: Er('es ❑ 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 U-Yes ❑ No If yes, site plan review# Current Use ]&s. y--wGr Proposed Use 'Cog APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name Z 0 U12 Ug Q Co/,r Telephone Number J` "OS,34 62/Y-P 7 Address Dax /DD 5 License # P,A� y0a, Home Improvement Contractor# /O 9 715l Worker's Compensation # O >01 W 6/SS ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE i ' FOR OFFICIAL USE ONLY APPLICATION# DATE ISSUED �f MAPJ PARCEL NO. -. S ' ADDRESS. VILLAGE OWNER DATE OF INSPECTION: FOUNDATION: - FRAME f INSULATION k =- k FIREPLACE i ELECTRICAL: ROUGH FINAL i ' PLUMBING: ROUGH FINAL GABS: ROUGH F0, ' FINAL i - •' 'FINAL BUILDING ' • r3-- cc DATE CLOSED OUT - r `� ASSOCIATION PLAN NO. 3 The Comfnonlvealth ofMassaehtisetis r Department of Industrial Accidents . Office of Investigations 600 Washington Street t Boston, MA 02111 yy www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information // Please Print �e ibl Name (Business/Organization/Individual): 2001U106 f- 1� . ;)S: b � � �s_L1 pb � Address: —Po 8 UK City/State/Zip: i MUL I"IA P14 oat,,yd' Phone #: cS',6 A. " u an employer?Check the appropriate box: 'Type of project(required): I am a employer with�_ 4• ❑ contractor and I I am a general 6, ❑New construction have hired the sub-contractors.. employees(fiill and/or part-time).* listed on the attached sheet. 7. ❑ Remodeling 2_❑ I am a sole proprietor-or partner- These sub-contractors have ship and have no employees 8. El Demolition employees and have workers' working for me in any capacity. 9. ❑ Building addition o workers' com insurance comp.insurance. [N p• 10.❑ Electrical repairs or additions required.] 5• ❑ We are a corporation and its 3.❑ l required] a homeowner doing all work officers have exercised their I I.❑ Plumbing repairs or additions myself. [No workers' comp. right of exemption per MGL 12.❑ Roof repairs insurance required.] t G. 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. tContractors that check this box mu st 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 jab site information In Company Name: fit Policy#or Self-ins.Lic. O L.3 16 (6:5 Expiration Date: i/3 / 0 Job Site Address: /00 &-4,p City/State/Zip: Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MOL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment, as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage vdrification. , I do hereby c under a ain nd penalties of perjury that the information provided above is true and correct. Si nature: Date: Phone Official kse 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 1.Board of Health 2. Building Department 3:'City/To'wn Clerk 4.Electrical Inspector 5. Plumbing Inspector 6.Other Contact Person: Phone#: information and. fnstructzons Massachusetts General Laws chapter 152 requires all employers to prlhe idservioce compensation of another nder l any contrac contract Pursuant to this statute, an employee is defined as `...every person in express or implied, oral or written." An employer is defined as "an individual,partnership, association, corporation or other legal entity, or any two or more of the foregoing engaged in ajoint enterprise, and including the legal representatives of a deceased employer, or the receiver or trustee of an individual, partnership, association or other legal entity, employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein,.or the occupant of the dwelling house of another who employs persons to do maintenance, constructibn or repairli work on such dwelng house nant thereto shall not because of such employment be deemed to be an employer." or on the grounds or building appurte MGL chapter 152, §25C(6)also states that "every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required." Additionally,MGL chapter 152, §25C(7) states"Neither the conunonwealth nor any of its political subdivisions shall enter'into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority." Applicants Please fill out the workers' compensation affidavit comple'_ely,by checking the boxes that apply to your situation and, if necessary,supply sub-contractors)name(s), addresses)and phone numbers)along with their certificates) of insurance, Limited Liability Companies (LLC)or Limited Liability Partnerships(LLP)with no employees other than the members or partners, are not required to carry workers' compensation insurance. If an LLC or LLP does have employees a policy is required. Be advised that this affidavit may be,submitted to the Department of Industrial Accidents for confirmation of insurance coverage.. Also b° sure to sign and date the aff davit. The affidavit should be returned to the city or town that the application for the permit or license is being requested,not the Department of Industrial Accidents..Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy,please call the Department at the number listed below. Self-insured companies should enter their self-insurance license number on the appropriate line. City or"Town Officials Please be sure that the affidavit is complete and printed legibly, The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of investigations has to contact you regarding the applicant. cant Please be sure to fill in thc.permit/]icense number which will be used as a.reference number. In addition, an appli that mast submit multiple permit/license applications in any given year, need only submit one affidavit indicating current Policy information(if necessary)and under"Job Site Address" the applicant should write"all locations in town)."A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year. Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i,e. a dog license or permit to bum leaves etc.) said person is NOT required to complete this affidavit. The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call. 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 Tel. 4 617-727-4900 (-,-At 406 or 1-877-MASSAFE Fax # 617-727-7749 Revised 4-24-07 www.mass.2ov/dia i �mEti Town of Barnstable ' Regulatory Services ` 9B"R" I'e�` Thomas F.Geiler,Director 039. Building Division Tom Perry,Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-190-6230 Property Owner Must t Complete and Sign This Section If Using A Builder as Owner of the subject property hereby authorize to act on my behalf, in all matters relative to work authorized by this building permit application for f /,go (Address,of Job) F ° Signa er Date Print Name If Property Owner is applying for permit please complete the t - HomeoRmers License Exemption Form on the reverse side. Q:FORMS:OWNERPERMISSION ` Town of Barnstable , �TKE Regulatory Services BARNSTABLE, Thomas F.Geiler,Director 9q, � Building Division AjED MP'I A Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 I www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION Please Print DATE: JOB LOCATION: ; number street village "HOMEOWNER": name home phone# work phone# CURRENT MAILING ADDRESS: city/town 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 whp does not possess a license,provided that the owner acts as supervisor. , DEFINITION OF HOMEOWNER Person(s)who owns a parcel of land on which he/she resides or intends to reside,on which there is,or is intended to be, a one or two-family'dwelling,attached or detached structures accessory to such use and/or farm structures. A person who constructs more than one home in a two-year period shall not be considered a homeowner. Such "homeowner"shall submit to the Building Official on a form acceptable to the Building Official,that he/she shall be responsible for all such work performed under the building 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 minimum inspection.,procedures and requirements and that he/she will comply with said procedures and ! requirements. - Signature of Homeowner Approval of Building Official Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the State Building Code Section 127.0 Construction Control. HOMEOWNER'S EXEMPTION The Code states that: "Any homeowner performing work for which a building permit is required shall be exempt from the provisions of this section(Section 109.1.1 -Licensing of construction Supervisors);provided that if the homeowner engages a person(s)for hire to do such work,that such Homeowner shall act as supervisor." ' Many homeowners who use this exemption are unaware that they are assuming the responsibilities of a supervisor(see Appendix Q, Rules&Regulations for Licensing Construction Supervisors,Section 2.15) This lack of awareness often results in serious problems,particularly when the homeowner hires unlicensed persons. In this case,our Board cannot proceed against the unlicensed person as it would with a licensed Supervisor. The homeowner acting as Supervisor is ultimately responsible. To ensure that the homeowner is fully aware of his/her responsibilities,many communities require,as part of the permit application, that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the last page of this issue is a form currently used by several towns. You may care t amend and adopt such a form/certification for use in your community. Q:\WPFILES\FORMS\homeexempt.DOC f )31/2010 11:46 5084209227 MARK W SYLVIA PAGE 01 ACERTIFICATE OF LIABILITY INSURANCE °ATE(MMIO°"YYn oer�,/2010 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATNELY 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 staoement On this Certificate does not confer rights to the certificate holder in lieu of such endorsem e. PRODUCER NAMEAAnn®S our Mark Sylvia Insurance Agency 771 Main Stre t j LEeU;j508y426-0440_. E.YAIL - .._ .is Nq(Nq)420-9227 ARRREaB•,annaQr$maNIsvlvlalnsuranoe.aom .. Osterville.MA 02655 PRoouceq —• .. 1.9LS.1>BIEgID.S: _... INGURERIS)AFFORDING COVERAGE NAIC a INSURED John Bourque and Steven Cole 1NSUWA A: Farm Family Casually Insurance .. _ dba Bourque&Cole Custom Homes&Remodeling INSURER 0, PO Box 10D5 INeuRoer: _ Marstons Mills.MA02646 INSURERD: .INSURERS: tNaUREq 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. NOT,MTHSTANDING 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.LIMrM SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. IL�TR TYPE OF INSURANCE P01ICY NUMaER �MIUD EFF MPOOLICY - LIMITS A GENERAL ERCIITY 2001L6471 t2111J2D09 12/11/2010 EACH OCCURRENCE 3 , .,. 1,000000 �.... DAMAGE FO-Ow—AIP6— X... COMMERCIAL GENERAL11A CCu PR F jEe exun am-)_.F •100,000 CLAIMSwMADE ❑X OCCUR MED EXP(Ally we eeman) 9 5�0 PERSONAL&ADV INJURY. s 1,000,000 —" GENERAL AGGREGATE s 2.000.000 ><--]GEN1,AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMPIOP AOG 5 2,t)00,000 POLICY I PRO LOC AUTOMOBILE UAe1LRY ' - COMBINED SINGLE LIMB ANY AUTO (En a cklanl) i ALL OWNED AUTOS BODILY INJURY(Per perem) S SCHEOULED AUTOS BODILY INJURY(Per aaid") S - HIRCO AUTOS PROPERTY DAMAGE S (Par eoddem) NDN.01AMED AUTOS !< 5 UMBRELLALula OCCUR EACH OCCURRENCE 5 EXC=S 1JA9 _. . CLAIMSaIMDE AGGREGATE g DEDUC71BLE - - - i RETENTION 5 ... .._ A AND emps vEw LIABILITY ATroN 2D011N6185 12/14/2009 12/14/2010 a sTATu- OTH- s AND EMPLOYERS'UAe)LrtY ANY PROPRwrowPARTNERimcunvE YIN HMO=MITB {Z , OFFICERNEMBEREXCLUDED7 © NIA EL EACH ACCIDENT A 100,000 yBe4 dastribn ar�y In�) E.I„OI8EA E-EA EMPLOYE S. 100,000 DESCRIPTION OF OPERATIONS balav E,L DISEASE•POLICY LIMIT 5 500 000 DESCRIPTION OF OPEitATIDNeI LOCATIONS I VEHICLES(Attach ACORO 101,Addnlonel Rom■rto Sehedn`,Nmont epees M Rq M d) Carpentry Partners,John Bourque and Steven Cole,are not covered by the workers compensetion policy. CERTIFICATE HOLDER CANCELLATION (508)790.6230 Town Of Barnstable Building Department SHOULD AMY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE 200 Main Street THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Hyannis,MA 02601 ACCORDANCE WITH THE POLICY PROVISIONS. AUTNORIM REPMEWAT" 01968-2909 ACORD CORPORATION. All rights reserved. ACORD 25(2009/09) The ACORD name end loan are registered marks of ACORD r � - V z Massachusetts- Department-Of Public Safety Board of Building='Rey= �, utations and Standards :Construction Supervisor License License: CS .57382 Restricted to. 00 ;JOH � , N D ,BOURQUE t 80 CROCKER,,RD�P , W BARNSTABLEMA026ti8 f" Expiration: 7/27/2011 C'unnnissioner. . Tr#: 18015 f znE r .. . ` Town of]Barnstable Y '"" Regulatory Services s6gq. 10� prEo µp4 a Thomas F.Geiler,Director Building Division Thomas Perry,CBO Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ftia.us Office: 508-862-4038 Fax: 508-790-6230 Property Owner Must Complete.and Sign This Section If Using A Builder as Owner of the subject property hereby authorize�;� 7dUfO_. f iJG , to act on my behalf, in all matters relative to work authorized by this building permit application for.r 11�0r A��JhII Ar (Address of Job I Signature of Ow; Da e yl( _ Print Name QAWPHLESTORMS\building permit forms\EXPRESS.doC Revise020108 Page 1 of 4 •°� Select Language Assessing Division Property Lookup Results - 2013 367 Main Street,Hyannis,MA.02601 <<BACK TO SEARCH<< (* _. Print Frle.n ---------- Owner Information - Map/Block/Lot: 328 /.176/_:'Use Code: 3400 Owner Owner Name as of 1/1/13 100 CAMP STREET LLC; Map/Block/Lot GIS IY//'iPS k 100 CAMP ST 328/176/ HYANNIS, MA.02601 property Address _ - - Co-owner-Nam e �100 CAMP STREET , Village: Hyannis Town Sewer At Address:Yes i f GIS Zoning Value: MS 4 Assessed Values 2013 - Map/Block/Lot: 328 / 176/ - Use Code: 3400 i 2013 Appraised Value 2013 Assessed Value Past Comparisons Building Value: $601,700 $601,700 Year Total Assessed Value Extra Features: $82,100 $82,100 2012-$897,700 (i Outbuildings: $23,800 $23,800 2011 -$928,600 I 1 Land Value: $ 170,500 $170,500 2010-$932,000 i s __..._ ........ �._ 2009-$871,900 2008-$783,700 1 i 2013 Totals $878,100 $878,100 2007-$783,700 I Tax Information 2013 - Map/Block/Lot: 328 / 176/ - Use Code: 3400 II Taxes { 4 Hyannis FD Tax(Commercial) $2,792.36 Fiscal Year 2013 TAX.RATES HERE Community Preservation Act Tax $207.85 } ___-Town.Tax(Commercial) $6,928.21 { i $9,928.42 t Sales History , Map/Block/Lot: 328/ 176/ - Use Code: 3400 History: Owner: Sale Date Book/Page: Sale Price: ( 100 CAMP STREET LLC 7/12/2001 14031/65 $700000 FORASTE,ANNETTE, L 10/15/1985 4765/281 $1 i FORASTE, PAUL F MD 12/15/1983 3.972/270 $19500 JACOBSEN, KARLHANS PETER 11/15/1983 3919/124 $19500 FPkotos 328 / 176/ - Use Code: 3400 t i 1/11/2013 The Commonwealth of Massachusetts 1 William Francis Galvin Secretary of the Commonweahh, Corporations Division y. One Ashburton Place 17th floor Boston, MA 02108-1512 Telephone:(617)727-9640 100 CAMP STREET, LLC Summary Screen Help with this form „Request a Certificate) The exact name of the Domestic Limited Liability Company(LLC): Entity Type: Identification Number: 043566440 Old Federal Employer Identification Number(Old FEIN): 000758243 Date of Organization in Massachusetts: 0612012001 The location of its principal office: No. and Street: 1100 CAW ST City or Town: HYANNIS State:MA Zip: 02601-0000 Country:LSA If the business entity is organized wholly to do business outside Massachusetts, the location of that office: No. and Street: City or Town: State: Zip: Country: The name and address of the Resident Agent: Name: C ARr OS FONTS No. and Street: 125 THAICHER SHORE Rn City or Town: vARA401 IM PORT State:MA Zip: 0.2675. Country:Lt The name and business address of each manager: Title Individual Name Address(no PO Box) First, Middle, Last,Suffix Address,City or Town,State,Zip Code ,MANAGER DANIEL GORIN 420 BAY LANE CENTERVILLE, MA 02632-0000 USA MANAGER CARLOS FONTS 125 THATCHER SHORE RD. YARMOUTH PORT,MA 02675-0000 USA MANAGER DAVID WILLIAMS 30 PINE ST. YARMOUTH PORT,MA 02675-0000 USA The name and business address of the person in addition to the manager, who is authorized to execute documents to be filed with the Corporations Division. Ti41p Indivirual Nama Orirlracc r—PO Rnv� • I I�IG IIIYI\IYYQI I\OIII�i /'\YYIGJJ k-r V-Al First,Middle, Last, Suffix Address,City or Town,State,Zip Code SOC SIGNATORY CARLOS FONTS 125 THATCHER SHORE RD. YARMOUTH PORT,MA 02675-0000 USA SOC SIGNATORY DAVID WILLIAMS 30 PINE ST. YARMOUTH PORT,MA 02675-0000 USA SOC SIGNATORY DANIEL GORIN 420 BAY LANE CENTERVILLE, MA 02632-0000 USA The name and business address of the person(s)authorized to execute, acknowledge, deliver and record any recordable instrument purporting to affect an interest in real property Title Individual Name Address(no PO lBox) First,Middle,Last,Suffix Address,City or Town,State,Zip Code REAL PROPERTY DAVID WILLIAMS 30 PINE ST. YARMOUTH PORT,MA 02675-0000 USA REAL PROPERTY DANIEL GORIN 420 BAY LANE CENTERVILLE,MA 02632-0000 USA REAL PROPERTY CARLOS FONTS 125 THATCHER SHORE RD. YARMOUTH PORT,MA 02675-0000 USA — Consent — Manufacturer _ Confidential Data — Does Not Require Annual Report — Partnership -)L Resident Agent — For Profit — Merger Allowed Select a type of filing from below to view this business entity filings: ALL FILINGS A. Annual Report Annual Report - Professional Articles of Entity Conversion Certificate of Amendment I F l View Filings i n New Search I Comments ©2001 -2013 Commonwealth of Massachusetts All Rights Reserved Help J B ENGINEERING, INC. 96 RESERVOIR PARK DRIVE ROCKLAND, MA 023.70 Tel:781-871-8277 Fax:781-871-0156 wwwjbengine@aol.com 2/20/13 FIRE PROTECTION NARRATIVE Southeast Surgical Ass. 100 Camp Street Hyannis,MA BASIS(METHODOLOGY)OF DESIGN Section 1 -Building Description 1. Building"Use"Group: 780 CMR 304.0. Business Use Group 2. Total square footage of building: Approximatley 10,000 sq.ft. 3. Building height: First&partial Second floor approximately 22' 4. Number of floors Above grade: One Floor Above grade&partial second Number of floors below grade: One floor below grade 5. Type(s)of occupancies(hazards): Light hazard 6. Type(s)of construction: Block and steel building with wood joist 7. Height storage of commodities No storage will exceed 8 feet 8. Site access arrangement for Site accessible emergency response vehicles Section 2—Applicable Laws and Governing Codes 1. Building Code: Massachusetts State Building Code,780 CMR,8th Edition&the IBC Code 2009 2. The following sections of chapter 9(Fire Protection Systems)relate to this facility 3. All of section 901-General 4. Local Fire Prevention Requirements 5. Applicable Sections of M.G.L..,Chapter 148 Fire Protection 6. Applicable Federal Laws such as OSHA,ADA,etc. Section 3—Design Responsibility f 1. J B Engineering,Inc. is providing plans,calculations and narrative The design will be based on Fire Protection Systems,Chapter 9,Guidelines for the Preparation of the Narrative Reports. 2. The professional Fire Protection Engineer of record will be James N McHugh.,Massachusetts No.38572 for the sprinkler system only.. OF MqS o ,TAMES N. UGH IRE IRE OTECTION 0.3 12 N Section 4—Fire Protection System to be installed 1. Sprinkler System a. The sprinkler system is a new wet type system. b. New 4"underground supply is being fed from water main in Street C. Any work that is to be done will meet the requirements of NFPA 13 2007 and the requirements of the Hyannis Fire Department. d. All sprinkler heads will be quick response. Section 5—Special Consideration and Description 1. Sprinkler System a. The sprinkler system will be based on "prescriptive code requirements". No variances will be required. b. Maintenance,inspection,and testing will be done as per NFPA 13, 2007 Section 6—Sequence of Operation 1. Sprinkler System a. Wet System—When a single heat activated sprinkler fuses and discharges water,pressure switch at the main sprinkler rise assembly is actuated and sends an alarm signal to the main fire alarm control panel and notify the Hyannis Fire Dept. 2. Section 7—Testing Criteria 1. Sprinkler System a. Notify the authority having jurisdiction and Owner's representative of the time and date of all testing b. Perform all required acceptance test as required by NFPA 13,2007 C. Complete and sign the appropriate Contractor's material and test Certificate(s). Approval Requirements The following approvals are necessary prior to the start of work: 1. Approval of Sprinkler plans, 2. Permit from local Authorities no work is to proceed until all permits have been obtained. 3. All sprinkler work is to be performed by a Registered Massachusetts Sprinkler Contractor. f° -2- ` i t J B ENGINEERING, INC. 96 RESERVOIR DRIVE ROCKLAND, 'MA 02370 H Y D R A U L I C C A L C U L A T I O N S C 0 V E R S H E E T Southeast Surgical Ass 100 Camp Street Hyannis (basement) W A T E R S U P P L Y STATIC PRESSURE (psi) 85 RESIDUAL PRESSURE (psi) 80 RESIDUAL FLOW (gpm) 920 BOOSTER P •U 'M P S NUMBER OF BOOSTER PUMPS 0 S P R I N K L E R S - MAXIMUM SPACING OF SPRINKLERS (ft) 10 MAXIMUM SPACING OF SPRINKLER LINES (ft) 12 SPECIFIED DISCHARGE DENSITY (gpm/sq. ft. ) .15 THIS SPRINKLER SYSTEM WILL DELIVER A DENSITY OF .15 gpm/sq. ft. FOR A DESIGN AREA OF 1050 SQ. FT. OF FLOOR AREA THIS SYSTEM OPERATES AT A FLOW OF 267.05 gpm AT A PRESSURE OF 48.7.7 psi AT THE BASE OF THE RISER (REF. PT. 3) PIPES USED FOR THIS SYSTEM 001 SCHEDULE 40 002 SCHEDULE 10 I J B ENGINEERING, INC. Southeast Surgical Ass 100 Camp Street Hyannis_ (basement) PAGE 1 ~~~~~~~~ ~ ~ ~ ~ ~ ~ ~ ~ NNNNNNN ~~~~~~ ~~~~ SPRINKLER SYSTEM ANALYSIS TO SHOWTHEMAXIMUM DENSITY AVAILABLE WITH ZERO PRESSURE REMAINING --------------------------------------------------------------------------------------------- THE FOLLOWING SPRINKLERS ARE OPERATING IN: [ ] TEST AREA 1 [ ] TEST AREA 2 [ ] TEST AREA 3 [ ] REMOTE AREA Elevation of sprinklers =Elevation above water test. REF. PT. K ELEV. FLOW ---- PRESSURE (psi)--- ft gpm Total Velocity Normal 40 5.60 8.50 34.20 .37.29 0.00 37.29 41 5. 60 8.50 33.76 40.63 4.28 36.35 42 5.60 8.50 37.77 45.48 0.00 45.48 43 5.60 8.50 24.15 18.60 . 0.00 18.60 44 5.60 8.50 22.77 '16.53 0.00 16.53 45 5.60 8.50 25.16 25.00 4.82 20.18 46 5.60 8.50 38.16 46.42 0.00 46.42 47 5.60 8.50 26.12 21.75 0.00 . 21.75 48 5.60 8.50 26.14 24.31 2.53 21.78 49 5.60 8.50 28.79 32.51 6.09 26.42 50 5.60 8.50 37.72 45.37 0.00 45.37 THE SPRINKLER SYSTEM FLOW IS 334 .72 gpm THE OUTSIDE HOSE FLOW AT REFERENCE POINT NO. 1 IS. 250.00 gpm. [ ] THE INSIDE HOSE [ ] RACK SPKLR'S. [ ] YARD HYDT. FLOW IS 0.00 gpm THE MINIMUM DENSITY PROVIDED BY THIS SYSTEM IS 0.190 gpm/sq. ft. THE FOLLOWING PRESSURES & FLOWS OCCUR ---> AT REF. PT. 1 < -- STATIC PRESSURE 85.00 psi RESIDUAL PRESSURE 80.00 psi AT 920.00 gpm TOTAL SYSTEM FLOW 584.72 gpm. - AVAILABLE PRESSURE 82.84 psi AT 584.72 gpm OPERATING PRESSURE 82.84 psi AT 584.72 gpm PRESSURE REMAINING 0.00. psi THE ABOVE RESULTS INCLUDE 5.00 psi FRICTION LOSS AT REF. PT. # 3 FOR A [ ] BACKFLOW PREVENTER [ ] METER [ ] DETECTOR CHECK VALVE [ ] OTHER DEVICE J B ENGINEERING, INC. Southeast Surgical Ass 100 Camp Street Hyannis (basement) PAGE 2 HYDRAULIC CALCULATIONS AT SPECIFIED DENSITY . --------------------------------------------------------------------------------------------- THE FOLLOWING SPRINKLERS ARE OPERATING.IN: [ ] TEST AREA 1 [ ] TEST AREA 2 [ ] TEST AREA 3 [ ] REMOTE AREA Elevation of sprinklers = Elevation above water test. REF. PT. K ELEV. FLOW ---- PRESSURE (psi)---- ft gpm Total Velocity Normal 40 5.60 8.50 27.31 23.79 0.00 23.79 41 5.60 8.50 26.99 25.96 2.73 23.23 42 5.60 8.50 30.25 29.17 0.00 29.17 43 5.60 8.50 19.16 11.70 0.00 11.70 44 5.60 8.50 18.00 10.33 0.00 10.33 45 5.60 8.50 20.09 15.91 3.04 12.87 46 5. 60 8.50 30.56 29.78 0.00 29.78 47 5.60 8.50 20.72 13.69 0.00 13.69 48 5.60 8.50 20.80 15.39 1.60 13.79 49 5.60 8.50 22.98 20.69 3.86 16.84. 50 5.60 8.150 30.19 29.07 0.00 29.07 THE SPRINKLER SYSTEM FLOW IS 267.05 m gp THE OUTSIDE HOSE FLOW AT REFERENCE POINT NO. 1 IS 250.00 gpm [ ) THE INSIDE HOSE [ ] RACK SPKLR'S. [ ] YARD HYDT. FLOW IS 0.00 gpm THE MINIMUM DENSITY PROVIDED BY THIS SYSTEM IS 0.150 gpm/sq. ft. THE FOLLOWING PRESSURES & FLOWS OCCUR ---> AT REF. PT. 1 <--- STATIC PRESSURE 85.00 psi RESIDUAL PRESSURE . 80.00 psi AT 920.00 gpm TOTAL SYSTEM FLOW 517.05 gpm AVAILABLE PRESSURE 83.28 psi AT 517.05 gpm OPERATING PRESSURE 56.74 psi AT 517.05 gpm PRESSURE REMAINING 26.54 psi THE ABOVE RESULTS INCLUDE 5.0O. psi FRICTION LOSS AT REF. PT. # 3 FOR A [ ] BACKFLOW PREVENTER [ ] METER [ ) DETECTOR CHECK VALVE [ J OTHER DEVICE.. J B ENGINEERING INC. Southeast Surgical Ass 100 Camp Street Hyannis (basement) PAGE 3 --------------------------------------------------------------------------------------------- FITTING Equivalent Length per NFPA 13 1994, 6-4.3 '-' Indicates Equivalent Length. 'T' Indicates Threaded Fitting 1=45 Elbow, 2=90 Elbow, 3='T'/Cross, 4=Butterfly Valve, 5=Gate Valve, 6=Swing Check Valve FROM TO FLOW PIPE FITS EQV. H-W PIPE. DIA. ' FRIC. ELEV. PRESSURE (psi) (gpm) (ft) (ft) C TYPE (in) (psi) (psi) Pt Pt DIFF Pv Pv Pn Pn 1 2 267.05 75.00 235 17.30 140 1 4.250 . 0.013 0.000 . 56.74 55.54 1.20 2 3 267.05 3.00 2556 20.30 120 1 2.469 0.244 1.083 55.54 48.77 5. 69 3 4 267.05 6.00 2 5.89 120 2 2.635 0.178 2.600 48.77 39.06 7.12 4 90 267.05 19.08 23 20. 69 120 2 2.635 0.178 0.000 39.06• -31.99 7.07 90 91 172.36 7.42 0 0.00 120 2 2.635 0.079 0.000 31.99 31.41 0.58 91 92 84.56 7.25 0 0.00 ' 120 2 2.635 0.021 0.000 31.41 31.22 0.18 40 41 -27.31 9.50 0 0.00 120 1 1.049 0.231 0.000 23.79 25.96 -2.18 41 92 -54.31 2.17 3 4.20 120 • 1 1.049 0.825 0.000 25.96 31.22 -5.26 42 92 -30.25 3.17 3 4.20 120 1 1.049 0.279 - 0.000 29.17 31.22 -2.05 43 80 -19.16 1.42 0 0.00 120 1 1.049 0.120 0.000 11.70 11.87 -0.17 44 80 -18.00 8.67 23 5.90 120 1 1.049 0.107 0.000 10.33 11.87 -1.54 80 45 -37.16 9.83 0 0.00 '120 1 1.049 0.409 0.000 11.87 15.91 -4 .04 45 91 -57.25 12.83 3 4.20 120 l 1.049 0.910 0.000 15.91 31.41 -15.50 - J B ENGINEERING, INC. Southeast Surgical Ass 100 Camp Street Hyannis (basement) PAGE 4 ~~HHHH~~~~LHH~~~N~FITTING~Equivalent Length per NFPA 13 1994, 6-4.3 '-' Indicates Equivalent Length. 'T' Indicates Threaded Fitting 1=45 Elbow, 2=90 Elbow, 3='T'/Cross, 4=Butterfly Valve, S=Gate Valve, 6=Swing Check Valve ----------------------------------------------------------- FROM TO FLOW PIPE FITS EQV. H-W PIPE DIA. FRIC. ELEV. PRESSURE (psi) (gpm) (ft) (ft) C TYPE (in) (psi) (psi) Pt Pt DIFF Pv Pv Pn Pn --------------------------------------------------------------------------------------------- 46 91 -30.56 1.42 3 4.20 120 1 1.049 0.285 0.000 29.78 31.41 -1.63 47 48 -20.72 12.08 0 0.00 120 1 1.049 0.139 0.000 13.69 15.39 -1.70 48 49 -41.52 10.58 0 0.00 120 1 1.049 0.502 0.000 15.39 20.69 -5.30 49 90 -64.50 5.75 3 4.20 120 1 1.049 1.135 0.000 20.69 31.99 -11.29 50 90 -30.19 6.17 3 4.20 120 1 1.049 0.278 0.000 29.07 31.99 -2.92 A MAX. VELOCITY OF 23.94 ft./sec. OCCURS BETWEEN REF. PT. 49 AND 90 Sprinkler-CALC Release 7.2 Win By Walsh Engineering Inc. North Kingstown R.I. U.S.A. a „ WATER SUPPLY/DEMAND GRAPH Southeast Surgical Ass 100 Camp Street Hyannis(basement)130.00 _ 150.00 140.00 = a 120.00 r P 110.00 R 100.00 90.00 t ilt S 80.00 S 70.00 E 40.00 _ _ r _ 30.00 20.00 _ 10.00 0.00 0 500 1000 1500 2000 1 Supply: 80.00 psi P 920.00 gpm Demand: 56.74 psi 517.05 gpm { FLOW Sprinkler--C LC 7.2 Win J B ENGINEERING, INC.. o 96 RESERVOIR DRIVE .ROCKLAND, MA 02370 H Y D R A U L I C C A L C U .L A T I .0 N' S. C O V E R S H E E, T Y Southeast Surgical Ass. 100 Camp Street.Hyannis (second floor) W A T E R S U P P L Y STATIC PRESSURE (psi) 85 RESIDUAL PRESSURE (psi) 80 RESIDUAL FLOW (gpm) 920 B 0 0 S .T E R P U M P S ^ NUMBER OF BOOSTER PUMPS 0 S P R I N K L E R S MAXIMUM SPACING OF SPRINKLERS (ft) 12 MAXIMUM SPACING OF SPRINKLER LINES (ft) 12 j... SPECIFIED DISCHARGE DENSITY (gpm/sq. ft.,) .125 THIS SPRINKLER SYSTEM WILL DELIVER A DENSITY OF .125,gpm/sq.: ft. ' 1 FOR A DESIGN AREA OF 1050 SQ. FT. OF FLOOR AREA THIS SYSTEM OPERATES AT A FLOW OF 170.71 gpm AT 'A PRESSURE OF. 52.05 psi y> , AT THE BASE OF THE RISER (REF. PT. 3) PIPES USED FOR THIS SYSTEM 001 SCHEDULE 40 002 SCHEDULE 10. R a - 3 .rc .. } J B ENGINEERING, INC. Southeast Surgical Ass. 100 Camp Street Hyannis (second floor) PAGE 1 ------------------ -------------------------------------------------------------------------- SPRINKLER SYSTEM ANALYSIS TO SHOW THE MAXIMUM DENSITY AVAILABLE'. WITH ZERO PRESSURE REMAINING --------------------------------------------------------------------------------------------- THE FOLLOWING SPRINKLERS ARE OPERATING IN: [ ) TEST AREA 1 [ ] TEST AREA 2 [ ] TEST AREA 3 [ ] REMOTE AREA Elevation of sprinklers = Elevation above water test. REF. PT. K ELEV. FLOW ---- PRESSURE (psi)---- ft gpm Total Velocity - Normal 20 5.60 28.50 24.77 19.56 0.00 19.56 21 5.60 28.50 24.75 21.81 2.27 19.54 22 5.60 28.50 24.33 18.88 0.00 18.88 23 5.60 28.50 23.99 20.51 2.17 18.35 24 5.60 28.50 26.53 22.44 0.00 22.44 25 5.60 28.50 24.19 18.66 0.00 18.66 26 5.60 28.50 24.29 20.99 2.18 18.81 27 5.60 28.50 27.50 24.11 0.00 24.11 28 5.60 28.50 27.24 23.66 0.00 23.66 THE SPRINKLER SYSTEM FLOW IS 227.60 gpm, THE OUTSIDE HOSE FLOW AT REFERENCE POINT NO. 1 IS 100.00 gpm [ ] THE INSIDE HOSE [ J RACK SPKLR'S. [ ] YARD HYDT. FLOW IS 0.00 gpm THE MINIMUM DENSITY PROVIDED BY THIS SYSTEM IS 0.167 gpm/sq. ft. THE FOLLOWING PRESSURES & FLOWS OCCUR ---> AT REF. PT. 1 <--- STATIC PRESSURE 85.00 psi RESIDUAL PRESSURE 80.00 psi AT 920.00 gpm TOTAL SYSTEM FLOW 327.60 gpm AVAILABLE PRESSURE 84.26 psi AT 327.60 gpm OPERATING PRESSURE 84.26 psi AT 327.60 gpm` PRESSURE REMAINING 0.00 psi THE ABOVE RESULTS INCLUDE 5.00 psi FRICTION LOSS AT REF. ;PT. # 3 FOR A [ ] BACKFLOW PREVENTER [ ] METER [ ] DETECTOR CHECK VALVE [ ] , OTHER DEVICE J B ENGINEERING, INC. Southeast Surgical Ass. 100 Camp Street Hyannis (second floor) PAGE 2 --------------------------------------------------------------------------------------------- HYDRAULIC CALCULATIONS AT SPECIFIED DENSITY ----------------------------------------------------------------------------------------------- THE FOLLOWING SPRINKLERS ARE OPERATING IN: [ ] TEST AREA 1 [ ] TEST AREA 2 [ ] TEST AREA 3 [ ] REMOTE AREA Elevation of sprinklers = Elevation above. water test. REF. PT. K ELEV. FLOW ---- PRESSURE (psi)---- ft gpm Total Velocity Normal 20 5.60 28.50 18.54 10.96 0.00 10.96 21 5. 60 28.50 18.58 12.28 1.28 11.01 22 5.60 28.50 18.19 10.55 0.00 10.55 23 5.60 28.50 18.00 11.54 1.21 10.33 24 5.60 28.50 19.91 12.64 0.00 12.64 25 5.60 28.50 18.08 10.42 0.00 10.42 26 5.60 28.50 18.23 11.81 1.22 10.59 27 5.60 28.50 20.69 13.65 0.00 13. 65 28 5. 60 28.50 20.50 13.39 0.00 13.39 THE SPRINKLER SYSTEM FLOW IS 170.71 gpm THE OUTSIDE HOSE FLOW AT REFERENCE POINT NO. 1 IS 100.00 gpm [ ] THE INSIDE HOSE [ ] RACK SPKLR'S. [ ] YARD HYDT. FLOW IS 0.00 gpm THE MINIMUM DENSITY PROVIDED BY THIS SYSTEM IS 0.125 gpm/sq. ft. THE FOLLOWING PRESSURES & FLOWS OCCUR ---> AT REF. PT. 1 <--- STATIC PRESSURE 85.00 psi RESIDUAL PRESSURE 80.00-psi AT . 920.00 gpm TOTAL SYSTEM FLOW 270.71 gpm AVAILABLE PRESSURE 84.48 psi AT 270.71 gpm OPERATING PRESSURE 56.14 psi AT 270.71, gpm PRESSURE REMAINING 28.35 .ps THE ABOVE RESULTS INCLUDE 5.00 psi FRICTION LOSS AT REF. PT. # 3 FOR A [ ] BACKFLOW PREVENTER [ l METER [ ] DETECTOR CHECK .VALVE [ ] OTHER DEVICE J B ENGINEERING, INC. Southeast Surgical Ass. 100 Camp Street Hyannis (second floor) PAGE 3 ~~~~~~~~~~~~~~~~~~FI ~ ~ ~ ~ ~ ~ ~ '~~~~~~~~~ ~~~~~~~~~~~~~~~~ TTING Equivalent Length per NFPA 13 1994, 6-4.3 '-' Indicates Equivalent Length. 'T' Indicates Threaded Fitting 1=45 Elbow, 2=90 Elbow, 3='T' /Cross, 4=Butterfly Valve, 5=Gate Valve, 6=Swing Check Valve FROM TO FLOW PIPE FITS EQV. H-W PIPE DIA. FRIG. ELEV. PRESSURE (psi) (gpm) (ft) (ft) C TYPE (in) (psi) (psi) Pt Pt DIFF Pv Pv Pn Pn M1N1NNry2NN170.71 75.00 235 17.30 140 1 4.250 0.006 0.000 '56.14 55.61 0.52 2 3 170.71 3.00 2556 20.30 120 1 2.469 0.107 1.083 55.61 52.05 2.48 3 4 170.71 6.00 2 5.89 120 2 2.'635 0.078 2.600 52.05 43.52 5.92 4 5 170.71 44.09 2222 23.56 120 ' 2 2.635 0.078 0.000 43.52 38.27 5.25 5 6 170.71 10.00 2 5.89 120 . 2 2.635 0.078 4.333 38.27 32.71 1.23 6 7 170.71 102.75 322 26.58 120 2 2.635 0.078 0.000 32.71 22.59 ' 10.11 7 8 170.71 10.00' 2 5.89 120 2 2:635 0.078 4.333 22.59 m17.03 1.23 8 9 170.71 2.00 3 14.80 120 2 2.635 0.078 0.000 17.03 15.72 1.30 9 50 20.50 3.67 0 0.00 120 2 2.635 0.002 0.00.0 15.72 15.76 -0.04 9 51 150.21 5.00 0 0.00 120' 7 r• 2 2.635 0.061 0.000 15.72 15.42 0.31 51 52 93.22 12.00 0 0.00 120 2 2.635 0.025 0.000 15.42 15.13 0.29 52 53 37.12 10.67 0 0.00 120 2 2.635 0.005 0.000 15.13 15.09 0.04, 20 21 -18.54 12.00 •0 0.00 120 , 1 1.049, :. 0.113 0.000 10.96 12.28 -1.32 J B ENGINEERING, .INC. Southeast Surgical Ass. 100 Camp Street Hyannis (second floor) PAGE 4 FITTING Equivalent Length per NFPA 13 1994, 6-4.3 '-' Indicates Equivalent Length. 'T' Indicates Threaded Fitting 1=45 Elbow, 2=90 Elbow, 3='T'/Cross, 4--Butterfly Valve, 5=Gate Valve, 6=Swing Check Valve -------------------------------------------------------------------------------------------- --------------------------------------------------------------------------------------------- FROM TO FLOW PIPE FITS EQV. H-W PIPE DIA. FRIC. ELEV. PRESSURE (psi) (gpm) (ft) (ft) C TYPE (in) (psi) (psi) Pt Pt DIFF Pv Pv Pn Pn --------------------------------------------------------------------------------------------- 21 53 -37.12 2.67 3 4.20 120 1 1.049 0.408 0.000 12.28 15.09 -2.80 22 23 -18.19 9.17 0 0.00 120 1 " 1.049 0.109 0.000 10.55 11.54 -1.00 23 52 -36.19 5.00 3 4.20 120 1 1.049 0.389 0.000 11.54 15.13 -3.58 24 100 -19.91 3.17 2 1.70 120 1 1.049 0.129 0.000. 12.64 13.27 -0. 63 100 52 -19.91 10.50 . 3 4.20 120 1 1.049 0.129 0.000 13.27 15.13 -1.86 25 110 -18.08 2.34 2 1.70 120 1 1.049 0.108 0.000 10.42 10.86 -0.43 110 26 -18.08 9.17 0 0.00 120 1 1.049 0.108 0.000 10.86 11.81. -0.96 26 51 -36.30 5.00 3. 4.20 120 1 1.049 0.392 0.000 11.81E 15.42 -3.60 27 51 -20.69 8.83 3 4.20 120 1 1.049 0.138 0.000 13.65 15.42 � -1.77 28 50 -20.50 13.25 3 4.20 120 11 1.049 0.136 0.000 13.39 15.76 --2.37 A MAX. VELOCITY OF 13.7.7. ft./sec. OCCURS BETWEEN REF. PT. 21 AND 53 Sprinkler-CALC. Release 7.2 Win By Walsh Engineering Inc. North Kingstown R.I. U.S.A. . ; > WATER SUPPLYIDEMAND GRAPH Southeast Surgical Ass. 100 Camp Street Hyannis[second floor] 150.00 1 aa.as .� 130.00 j 120.00 P 110.00 R 100.00 ,_ i S 50.00 ± S 70.00 F a~T 50.00 30.00 20.00 10.00 0.00 � 0 500 1000 1500 2000 Supply: 20.00 psi @ 920.00 gpm FLOC Demand: 56.14 psi 270.71 gpm Sprinkler-CALL 7.2 Win TOWNOF BARNSTABLE,Mpt"M=*PFLJCATION Map f Parcel l7� JUL 2 5 2001 Permit# 'Health Division ;4� -== RA�A�A19� Date Issued at�U _.�ti__ __ Conservation Division _L 4 Feed Tax Collector i Treasurer e of AA aq? 08 PER b'EWEf Planning Dept. � ��r�;sgg�CDl MtT FROM,'*�:F Date Definitive Plan Approved by Planning Board Jos Palos Tv, Historic-OKH NIA Preservation/Hyannis Project Street Address. 100 fY1; fTn IrPL Village r)r)l i Owner ^��fa� � Address d� lif a-V)rytt) eft O'DkV Telephone r Permit Request Pan eAr 6 { Square feet: ''1st floor: existing proposed5 q 2rid floor: existing proposed Total new Valuation ✓ 'r (� �'Zoning District Flood Plain Groundwater Overlay 14-6 Construction Type Woctj 14 Lot Size `ter / - Grandfathered:.U Yes ❑'No If yes, attach supporting documentation. v J Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family(#units) Age of Existing Structure o Historic House: ❑Yes a'No On Old King's Highway: ❑Yes La o Basement Type: ufh ❑Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) �i/�'� Basement Unfinished Area(sq.ft) Number of Baths: Full: existing new Half:existing new .S Number of Bedrooms: existing new Total Room Count(not including baths): existing new First Floor Room Count C 'j Heat Type and Fuel: WGas ❑Oil ❑ Electric ❑Other Central Air: /Yes ❑ No Fireplaces: Existing ' New Existing wood/coal stove: ❑Yes 7 ' Detached garage:❑existing ❑new size Pool:❑existing ❑new size Barn:❑existing ❑new size IVlYq- Attached garage:❑existing ❑new size Shed:❑existing ❑new size Other: Zoning Board of Appeals Authorization ❑ Appeal# A(IA Recorded❑ Commercial 4,"s If yes, site plan review# Current Use G� Proposed Use BUILDER INFORMATION Name iv(Z 7 2-5 •QCL ` Telephone Number Address U nx t'J3 License# 02X �o m A 01-G35 Home Improvement Contractor# { 00IS t Worker's Compensation#l$ ' -13's6"` - 0 ALL CONSTRUCTI �SRESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE v DATE 0 e y rc FOR OFFICIAL USE ONLY ' PERMIT NO. IL DATE ISSUED. - i MAP/PARCEL'NO. , - 1 ADDRESS VILLAGE OWNER DATE OF INSPECTION: FOUNDATION 7 FRAME_ _ -X� INSULATION; FIREPLACE ELECTRICAL- ROUGH FINAL PLUMBING: ROUGH FINAL �- GAS: ROUGH FINAL 4` FINAL BUILDING SF_ DATE CLOSED OUT ASSOCIATION PLAN NO. [ BUILDER INFORMATION � �I�-fir�L< I�•2�3�e(�1G� Name2 I��F�J(4�-nl ,t2.5 =mac Telephone Number Address License# 0 —403S Home Improvement Contractor# ( b0i3 Worker's Compensation#�O�Z -Z 3'� `J(�Z - 0 ALL CONSTRUCTI IS RESULTING FROM THIS PROJECT WILL BE TAKEN TO f SIGNATURE DATE O It TOWN,OF BARNSTABLE PLACATION Map Parcel l7w Jt1L 2 5 2001 Permit# _ '5:y9 T `Heal'th Division n� 'Date Issued Conservation Division Fee Tax Collector TreasurerCANrft Planning Dept. �' ss � 1 RMI OM? F $ Z'1810N P&lt1R T' Date Definitive Plan App oved by Planning Board Historic-OKH y7 Preservation/Hyannis Project Street Address IrP Village i-flA i(lr1►� �- Owner _dofo ) a Address IQ;Lc,r:h V)ry 5 fn6 6Q6W1j Telephone t Permit Request oe Pff i� r on. 6,,6pmfn , q'1,D NEW 5eAC E a UT Square feet: 1 st floor: existing proposed q 2nd floor: existing proposed Total new Valuation T� g Ca • - y Mc) ��\' r)(� Zonin District Flood Plain GroundwaterOverla Construction Type YVOQ:j Lot Size ./Rl Grandfathered: -U Yes ❑`No If yes, attach supporting documentation. Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family(#units) Age of Existing Structure e Historic House: ❑Yes a'No On Old King's Highway: ❑Yes 3' 0 Basement Type: U01 ❑Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) C '(� �-"�' Basement Unfinished Area(sq.ft) . 4 Number of Baths: Full: existing _ 0 new 05 Half: existing new .� Number of Bedrooms: existing_0 new hh Total Room Count(not including baths): existing new First Floor Room Count C j Heat Type and Fuel: Q/Gas ❑Oil ❑ Electric ❑Other Central Air: /Yes ❑No Fireplaces: Existing New Existing wood/coal stove: ❑Yes Detached garage:❑existing ❑new size Pool:❑existing ❑new size Barn:❑existing ❑new size IVIR— Attached garage:❑existing ❑new size Shed: ❑existing ❑new size Other: Zoning Board of Appeals Authorization ❑ Appeal# 9 1A Recorded❑ Commercial tZes )O(o If yes, site plan review# Current Use lr _ Proposed Use BUILDER INFORMATION Name �P*P:d W C,�, J(r` Telephone Numb r Address ' r License# D l Home Improvement Contractor# ,Ol 1G 0 orker's Compensation# &V jco so ALL CONSTRUCTI BRI ESU T411 R HIS PROJEC WILL BE TAKEN TO SIGNATU DATE IFX ''0 r t FOR OFFICIAL USE ONLY PERMIT NO. DATE ISSUED. ` MAP/PARCEL NO. ADDRESS - v VILLAGE OWNER E DATE OF INSPECTION.` ti FOUNDATION FRAME�' T ' INSULATION; FIREPLACE f • l^ .s . ELECTRICAL: ROUGH FINAL PbUMBING: ROUGH FINAL - - GAS: ROUGH FINAL f FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. ♦ DE11-11-,96 WED 4:05 :',"� Maureen M. Kelleher, M.D. 100 Camp Street Hyannis,MA 02601 (508) 778-4177 • Fax (508) 778-4408 Ms Anna Brighaan -Town of Bam.stable Zoning Board Dear Ms Brigham: 1 am considering holding a once or twice a week exercise class for the 65 age (plus ) ladies who come to my clinic , This would involve mild stretching, no jumping and be in a carpeted room with exercise pads . It would be nut by a licensed aerobics instructor My people do not exercise at all so I am enthused about trying this , Please let me know if this is ok with the town zoning board T am located at 100 camp street and the size of the proposed exercise groom is iC�xzA Please call 778 4296 or fax us at 778 4408 or page me at 924 1617 with your ideas. of c�t Thank you - Maureen Kelleher MD �kl) S r I 1 r UPDATE, PERMIT RECORDS : ADD CHANGE DELETE PRINT FEES HELP END CHANGE RECORDS IN PERMIT TABLE PENTAMATION----------------------—-----------------------------------— 09/17/01 PERMIT NO. 54959 PARCEL ID 328 176 ��10a0GAMPSTRFEET jq� PERMIT TYPE BREMODC COMMERCIAL ALT/CONV� DESCRIPTION REMODEL EXISTING 1ST. FLR/BSMNT STATUS A ACTIVE STATUS APPLICATION DATE 08/06/2001 DATE ISSUED 08/06/2001 EXPIRATION DATE DATE COMPLETED MASTER PERMIT VARIANCE VALUATION 150000 . 00 BOND 0 . 00 CONSTRUCTION TYPE 437 GROUP TYPE 1 CONTRACTORS Q 7 0:0 8 6 DAMON�L"KENDAIL ARCHITECTS/ ENGINEERS/OTHERS ENTER Y IF ALL ARE CORRECT OR N TO REENTER LEAVE BLANK FOR NON—PROPERTY RELATED PERMIT. CTRL—I FOR HELP. A �n ehc�e�C q 17k/ I t Q�°PYRE 1p�� Town of Barnstable Regulatory Services r � ASS.Mass• Thomas F.Geiler,Director 9 g' Eo;;;. Building Division Peter F.DiMatteo, Building Commissioner 367 Main Street, Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 NOTICE TO THE BUILDING DIVISION OF LICENSED CONSTRUCTION SUPERVISOR ASSUMPTION OF RESPONSIBILITY I D- t-mol'i /\ , Construction Supervisor License # D ? , hereby certify that I have assumed responsibility for the project under construction, as authorized by building permit# 5Lf7 5� , issued to s (property address) 100 0-d P ST. on /(V ,200-L. The following documents are attached: copy of my Massachusetts State Construction Supervisor's license or Homeowner's License Exemption f (if applicable) copy of my Home Improvement C ractor r gistration (if applicable) Commonwealth of Massachuset Wor om a io Insurance AffidrVi . Road Bond(if applicable) e' /O/ LICENSE HOLDER DA E b l q/forms/newcontrb SEP 05 '01 11:12W'1 REEF REALTY LTD P.1 4 OR ;' 1, MI'JYI/M•w.0 P� �,�, FY �i �RO dl�i REALTORS-StALOGAS REEF REALTY LTD, FACSIMILE COOL, SIU ET i DAB: RECTPrrNa: FAX#: d �I SENDER: TEL.#: REs 1951 TOTAL PAGES: ,ViCLUDING COVER SB EET MESS. CE.: r r i 11,2 i 1 wvvw. reefrealty.com www.capecodbuilder._com 5)4 Sc-11tc'n1 Strppt Per) Rt)v i AA WaO T'Awnni: 0';f,7n (cno awe a�nn II SEP 05 1E1 11:13RH REEF REALTY LTD P.c � f Tow 'Barnstable '71�e� �; q�v.ome�asor y�� B q�,� g Dhidft � 1r .7.D04dfai#., .. .. .Older Me: 908-862-4038 Fax: 508.790•6230 j NOTICE TO TRX BUILDING DIVISIM OF WITHDRAWAL of I, construction Supervisor UOMM # ,0reby cartgy at I am no loner the Construction Supervisor I11194 on the application fcs•the project under constmcriots as authosiaed by building permit 0 issued,to(property address) �on dA 200 j_ I I also cetofy that on 200-L.' ,I notified the pry+owmr,ti ,dao project under cons",,.0fi= must celse until a successor licensed Construction Staprervuar, is submitted on the M'Corda of the Building Di ' ion. VA gtt'ermmine�vn�r , rrfGrtnet R-5740-CM& ® 'Jd 9Z8bZ98Zi8TS 91:91a QS;AT./a7./ia The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 60Q Washington Street Boston,MA 02111 Workers' Compensation Insurance Affidavit Applicant Information: PLEASE PRINT NAME r--- "Ex LOCATION R0. VY, ,!)3 aAa, 5T. CITY LQT,(X7 STATE ZIP CODE 02,U35 . PHONE# O I am a homeowner performing all work myself. O I am a sole proprietor and have no one working in.any capacity. 9 I am an employer providing workers' compensation for my employees working on this job. Company Name S�TI '1� A 6o\J1-- Address City c State Zip Code Phone#Insurance Co.�u*1;L-+ S UWt j A QC!E Policy#CaRZ3(.0-7,336Lac`'..-0"-Q Expiration Date �/ P"Q " 02- O I am a sole proprietor, general contractor,or homeowner(circle one)and have hired the contractors listed below who have the following workers' compensation policies: 'Company Name Address City State Zip Code Phone# Insurance Co. Policy# Expiration Date Company Name Address City State Zip Code Phone# Insurance Co. Policy# Expiration Date Failure to secure coverage-as required under Section 25A of MGL 152 can lead to the imposition of criminal penalties of a fine up to $1,500.00 and/or one yea s' imprisonment as well as civil penalties in,the form of a STOP WORK ORDER and a fine of$100.00 a day against me. I t.tnd s and that a copy of this statement may be forwarded to the Office of Investigations of the DIA for coverage verification. l do hereby certi u the ain a d p ' dies f pe 'u at the information provided above is true and correct. Signature Date k97em3 �y. 2v't7) Print name c lz. Phone'# C'so Official use only—do not write in this area—to be completed by city.or town official City or town Permit/license# O Building Department i O Licensing Board O Selectmen's Office O Health Department O check if immediate response is required O Other Contact person Phone# MORRISON MAHONEY LLP DIREcr DIAL 617-737-8841 250 SUMMER STREET DIRECT Fax 617-3424994 BOSTON,MASSACHUSETTS 02210-1181 w .morrisomnahoneyxom JASON W. CROTTY ATTORNEY AT LAw jcrotty@morrisonmahoney.com CONNECTICUT ENGLAND MASSACHUSETTS i NEW JERSEY NEW YORK RHODE ISLAND PROJECT ( � ADDRESS: 106 . t1 :. PERMIT# PERMIT DATE: LARGE ROLLED PLANS ARE IN: BOX' ISLOT Data entero.d in MATS program an: B Y: <� f Assessor's map and lot number .................................:........ Sewage Permit number ........................................................... yofTHE T TOWN OF BARNSTABLE ii • i HAWSTSDLE. 1639. DM a• BUILDING INSPECTOR APPLICATION FOR PERMIT TO /.. 0........ .... . ........................................ TYPEOF CONSTRUCTION ..................................................................................................................................... .................19 TO THE INSPECTOR OF BUILDINGS: The undersigned //hereby a plies for a permit according to the following information: 4r Location ...... G...... ... .. ..: . . .............. . ... . ..1 ............ nG-� ProposedUse ............................................................................................................................................................................. Zoning .District ..............................................Fire District ................. ..................... .... ........................................ t Name of Owner.. ...... .. ...... ............................Addre s ... ...... ... . ............ ............ Nameof Builder ....................................................................Address .... ... ... l!h -w 4 .................................. Nameof Architect ..................................................:...............Address .........:.......................................................................... Numberof Rooms ..................................................................Foundation .............................................................................. Exterior ...Roofing ....................... Floors ...................................Interior ............... Heating ..................................................................................Plumbing .................................................................................. Fireplace ................................................:.................................Approximate Cost .................................................................... Definitive Plan Approved by Planning Board ________________________________19________. Area .......................................... Diagram of Lot and Building with Dimensions Fee ............................................. SUBJECT TO APPROVAL OF BOARD OF HEALTH I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. No Dr. Price No .....1..?.3gb. Permit for ....DP.M.alis.b.............. ............................................................ ................. 1 Location ........ h..C.ainn...,43.*...jjyan. a..S.............. + i � e ........................................................... ....... ..... Owner ............j3m....P.x.i..ce................... i; Type of Construction .......................................... I 1 Plot ............................ Lot ................................ Permit Granted ......oca«hQ r......... ......19 74 E Date of Inspection .....................:..............19 t ............19 r Date Completed ..., ..... 7� 't x PERMIT REFUSED ................................................................ 19 ............................................................................... ............................................................................... f ............................................................................... f ............................................................................... { Approved ................................................. 19 ..`......................................................... 1' W LLIAM WENKMAN Exec. Vice-President' ` Office (.608) 835-5731 Home (608) 249-4069 j NATIONWIDE . MEDICAL-DENTAL BUILDING CORP. 797 MaNcet Street Oregon. Wisconsin 53575 Assessor's map and lot.number .. ... . 20 SOThC 6.Y# ' a Sewage Permit number ......... � I P�STALl I. t(fApLIAWI 9 '....:................ «IT ATE; li T:9T QyofTHETo� TON ®F BARr� , ti i BJB$9TOIILE, i 90o M69., e�c BUILDING INSPECTOR �'0 MPY a• � ' APPLICATION FOR PERMIT TO ... T....------ ................................ TYPE OF CONSTRUCTION .....�/.f�®a ..F/�A.��. ........./..... .. ..............................:............:.......... .3......................19y 69 TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: .C�9/.7.�.sG........aae ..... . AX....!.. �r T.-..................... Location yFJ....,. ......................................................... ProposedUse ...~ ...... ................... ................................................................................................. x Zoning District ......If F?3 s�O?'l.�:JI..............................Fire District ../Shyf>�ia��....................................................... .,�.....�.../....�.....�......!�/..........................Address .lJ:: ..C........................ . �,. Name of Owner .. 12. �L ,� ..............�'/.............................. Name of Builder '77 f �147 �70f -,Xe- _A!7h..•�R e�`0.'�!�••�Y! S•c" Ti.Urt>kLri... ... �1 fit.4k..................Address Name of Architect .T..RHct4i. 5......biz. r .H ..................Address .....�� 1,�t.tzt �.e..j...kka..S.C................................ Number of Rooms ... .. ...................Foundation ..ram' �r?G .�'T .................. Exterior ... f..l" ...Ie2l11tiL.f'..........................................Roofing .....". Floors ...... ,l+R. :2-T.......................................................Interior ..... : 7..../Zigr.0............................................... Heating .... ?.I.�S.....�/.��.f.O.:.LI?i�::��.�f:J.t�r............Plumbing ......1,�......T�f..��.T.S................................................... Fireplace .......... TJit.. .........................................................Approximate Cost ..l ODO o" ....................................... Definitive Plan Approved by Planning Board ________________________________19________. Area .......57 k.�,?..................... Diagram of Lot and Building with Dimensions �� Fee .......... .................................. SUBJECT TO APPROVAL OF BOARD OF HEALTH I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name ...K 17..:z1.0�?��'�:............................... f Price, Dr. W. No ..17600 permit for .....one story, .... .................... medical office building Location corner Cedar & Camp Streets ................................................................ ........................H annis Owner. Dr. W. Price I Type of Construction .....................frame..................... ................................................................................ t 3 Plot ............................. Lot ................................ 8 7F I �j <' Permit Granted ......March .. 75 ;r Date of Inspection ..i�.... ...:................ ......19 0 , ;1 Date Completed ..... ...........19 s PERMIT REFUSED ................................................................ 19 4 »i ...................................................................... ..... s: x � + ....................................... ..................................... ............................................................................... ............................................................................... r Approved ............................................................................... r ,. ............................................................................... . , Assessor's map and lot number : ............................. ' 'Sewage Permit number .................................................:......:. Q�F7HEr��y TOWN OF'} B,ARNSTABLE el", .BARNSTABLE a ra ✓ R° y x 9,o M6 9. —BUILDING ' INSPECTOR . . n, . .: '�TEOYP9 p� .fC�? C„T APPLICATION FOR PERMIT TO .... `...... .. .....: ..... . ..L.. ....... .. . ........ ...:.::: i...,:....... �. v- Y ,. TYPEOF CONSTRUCTION ................................................................... ......... ......................................................... .. -� _ _ .t „'��. ..�. �<.�. y. ...s.':+....»._K�..ti...�.►:.. :,.�.:e.:shy..,, t�.s �..'._.ta. . c �"�.,..s'.a'E a ..:.�`'. � „e�<w;, ; .�., .x..Y � TO THE' INSPECTOR OF;BUILDINGS:"' The undersigned hereby applies for a permit according to the'following information: Location ..... �f.. ?...... . ....... ..... .....Gy�. Lai . .:.._:::y`r�-��....... !'�'/ f�Li�-r��,'..... . , ProposedUse ....................................................................................................................................................................:........ Zoning District, r` ...............Fire District.... ....................... ... Name of Owner �� / / -� -� ............................Address .,....._..1lr `i,-�- '� t Nameof Builder ........... .....................................................Address . ,........................... Nameof Architect ..................................................................Address ....................................................................................... r Numberof Rooms ..................................................................Foundation .............................................................................. Exierior ....................................................................................Roofing .................................................................................... Floors ...............................................:Interior Heating ......... .......A..`...'...Plumbing ............................................................ a ..1` Fireplace ......Approximate Cost '............................................................................ ...................................................................... . Definitive Plan Approved by Planning Board ________________________________19________. Area .......................................... Diagram of Lot and Building with Dimensions Fee .............................................. SUBJECT TO APPROVAL OF BOARD OF HEALTH 4 1 hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above _ construction. ............. .. . .... .............. V V , � � Permit Granted .........{qtPJ?9-.r.......ZI—]g74 Do+aof |nspection ------------lg . � Date Completed -------------lg PERMIT REFUSED � � ........................ lA --------------------------' -----..—.------------------.. ` ` � '—'-----------^—'—'-----'----- ---------~----~^--^-------- Approve6 ---------------- lQ ' ' -------.------------------- , --------------------^'--''—^^' THE FOLLOWING IS/ARE THE BEST IMAGES FROM POOR QUALITY ORIGINALS) I M ^C&L DATA Assessor's map and lots number........?�.. !`_''' i c� 1- p .Sewage Permit number .. ....... ........ g yA p33oAC,EM O STiELE 39'6 . 44d? R MA-4: 0 r r .•f"`�� ✓L..f....................'r .... c� .................� .... .... APPLICATION' FOR PERMIT TO';.. ..,....... .. ...... ......... TYPE 'OF CONSTRUCTION .'. �' j ,� < r' e r� r .... .... .... 1 ..... r� , r 19 TO.,THEt INSPECTOR OF BUILDINGS:- - The undersigned_.hereby applies for a permit according to the following information: '. Location - < .• ...� ...... . ... ......... ........... ..r Proposed Use ` .'?.. 3,f,d '>.?.:. :..: ... :.. :. . ..... Zgning District f �!z.':. !. �...... Fire District.:. yrs,r .. .....f ... ..... . ......... ... Name of-Owner `.{ ....:. iz.Y . ......... ?'.... ...:...Address ... .. N ...x ..... Name ofr Builder,,� 7' n,i i Pfa ....v:!'..f!. :.�F....:,.. .'.::....Adclres5 '.!. �7� � .!7" �.n.�3........ ....... .... Name of Architect �y' .r.: .. 4.. !%...�, ,; ?ti.,... r ... . . r ��... Ll:..Sr. Add ess ..... . . Number•of Rooms'.... .:. .:.:.:..... Foundation ..'r ••� •;t',r7s .. ............... EXid •IOr ...t!{,!f...!'..:"� .; ..'.' !►t..✓.!:''. ..:. ._... :.. ..,... ..ROOfing' . .... ..Floors ....Interior ........... a .. „ .f� .... ............ ....... ............... .. ^ - r rieatin rjc ' f'rR?^ :`....�f.s.< ... ...:....Plumbing ....%f � ..�..+. ...:... .......... ..................... 9 r _ n:y< ��.... .. ....Approximate .... , .�.�< ... c'Y Fireplace :.::. ...... ; Appro �' ti. - h •.•• ..,.•.... ••,..•.,• •... .. Definitive.Plari Approved 'by Planning Board ___ _______--____19 __ Area ... 4 " ... ... Diagram of Lot and Building with Dimensions Fee ..'" t r>..... g r. ; SUBCT TO APPROVAL'OF JE BOARD `C)F:.HEALTH .rr,• 11 � � N ; L� � .gib r F"f a .ram � }.� � / • r , r - . I hereby agree to conform to all'the Rules and Regulations of the Town of Barnstable regarding the above construction: Name %'��%y f r'' .... •___ •.....•....• .................. Price, Dr. W. one story, No .........17600.... Permit for ........... ............................. medical office building ............................................................................... Location c.orner. . Cedar. . ... & Camp Streets . ...... . ...... . ..................... ............. Hyannis ............................................................................... Owner Dr. W. Price ................................................................. Type of Construction frame .......................................... .............................................................. ......... Plot ............................ Lot ........ Permit Granted March .....19 75 Date of Inspection ......... .......... ....1/9 Date Completed ........ .... .. . ............... ..19 P RMIT R USED ...... ................ ..... ...... .......... 19 ......... ............................. ........ ............................. Approved ................................................ 19 ............................................................................... ............................................................................... ;,... �^•:a. ..:. .... - . m taco 5,'�,o •' :" '.._ _ of �g _ _ ... 5 3 . I / up y a I; of c - maxis+inq h+arwge • s. '_ New- "� t III J it - "s �.e� .m.mm II '�.•' i it f' = a. ... * . t. L t o r XX� L 0 New N�rewk P-oom - 1' - - 'o �xistinq h'feeFinq .vQ . oo,r yb � .. - Exstmq UFilrf-y r e5xis+in5 LW54'y - - _(' _-} -------------- _....... .. L _- CD - new AM wGI9 _ wxh o• p.,« - - ate',Jl d n o. _ - ell wirdmws+o !- _ D E s e .- - - New ' C o S - �raff _ ® DANIEL E. Gonferenae '� - - q i BRAMAN Exis+in Lunah[=oam � o " oom Fmished h+orwge f - ' g STRUCTURAL � - P d<.,,.e s ® o g Y _ - - maxis+inq�i}'orwge $ .N 3 59 •. '^' fre rwd<MYP.bd.finwh �� . _ _ it I XSION in _ _ � .off ,tt`(��g'^( �y �► •7®�ila <°em�� l� g e= • Proposed // / / / i~_/ Ii- ., sue, op�� off. u,J Gale: 1 /4" = I -On °°.� " e WhLL Lr-GmN�: �.,R r. DRAWING TYPE: R� ,'.,r�.y a+.d wen-,t�•.<me�« I�ASPa E NI PLAN - Y 6 - Pews emen+PI wn U, U, I 44" I '-c <..� new]a,s+ude o i G'cs.wi+h 0 a I icy«of 5/e•frc<od<gyp. SHEET NUMBER: FIELD VERIFY AL1, EXISTING CONDITIONS Aloo r I .L L L r U $,HI g o boo Qm a8. IF IL- r iL � 0 L J s � + ^ R oc-l�.ybe.m - M1 a . 1p y �ry o yam a W'o y � di m� C ..@.tea%. .. Ln (Vti N I(1 Q HJ� v e vamoa3 v o�� DANIEL E. rya kY° o J BRAMAN a STRUCTURAL _' ® 09 �j0! N0.36595 '^ ° '�eA� - pRAWING TYPE: FIELD VERIFY ALL EXISTING CONDITIONS FirskPloorPl<n axhrlNG SHEET NUMBER: Fier F�oo�P�-�N Ev ff. L s° m FIELD: VER.. G CONDITIONS �■• g a _ ,.f nawwndow,a i 9! ` 3 666 a� r�a<wwr window,-w�rh n<w Q BF 3E,p '� J �..' � '�. And•GW 12 in aww#M ro. � - .. .. .. �:"�a o ]a !M! < - ,_ . nsw rn..6'•4>/B•w 2'O O/B' -I, Y:o b p�Illin a 4c ... 'w rwunFsr w/ � � -A_-----------'- --- Nursing xam - zam h+orwge w 9'.e' ' ti (' - Office ♦:" _ , wwll ewbine-F,All- office, '� aonc. wd G' wmP N.c<„ F .s�' -.: raPLws swwt.f xsd Glar<story 0 ® - n,ha�i � Pmor w T w,d w w h _. T. : . new ra.•2'•4>/B�w S'.a>/B•. 0 0. ^ 0 a Id hauft+ •, hecre+hry •. -_Q w+my ww e bssc„q _. -. .:..::.' - mil • I e n .. - - 4•- •]I. ' j I I } .. _ a - - .. >io.r..e... �i �••;..swi,ttnq b<wrmq wall '0- .__. - r., -- - -- - - .work rwuntia= .a a n . - - AM.•AW9 I - - - r .: i S : e Q �eL ePf-I an ` _ hiq _ doom V •� • . ooklnq y O- ''�'-o I/2• oam Vwscblar : I•+^ . File Area- - -- Q ; 0 _ >:owa Ard.•AWO I m� t wN„ds, of try S./=:xsIaS_w wily1 Po++ - # � %'-0 1 "as 'M <.:. Procedure- - V -- r. . _ � � ®' �-4• _ « al4 bswmwnd throb l+ :th l/S•R I � 6 J io w eie I adds I'.>2 1 1.22°WI I � t es+IbUle hl 0 ,. ' U 6,...wnd fiwbolt w'r}h I./P'q And.•AWO 1 1 e I 1 ' H4Kdd J. G•aL. Ct-m� 6 14 . .. � .4' m I.7' I I 7/4•. O y r t • .nr -� `. < +° W 'rFinq�•oom �. �' t e _ Office<� .:c ,s..i+ L _r<E a 3 - News - _ c II I o . .. _ _ - ;. o tl a ___________ F T.,.^ .:ro I/S•.P••4>/B• 4)M.T�(z .N s. .. - eur nw s x - e _____ ____ s:wt M bawrinq wwll - ... .-.. . .a.rv..,. � NLW ..,., _ .� ..:t.;. ' �D-O I/4• �tshaiw.#in.,window • .ram.. pp �f �n+r Lav ,.- Corridor .. �ha^dar hsynr, _Ox T —►y LIZ • tl � tl c � ', �`�� OF �Asf Q,® g DANIEL E.BRA AN .Office n 1 *. Ic .� � :. Off' eag � � n �� £ Office 2' office sq Offioe<4 ' .�... ® • _ STRUCTURAL 36595 e ,. .. 0 �� '. {` a ��o a� V �• - _ 0 0 WALL Lae, '� - _ 0 sii,+IM,tud wwlls to r<m.un 1 aw 2 wa,+ud•,a I v'o.a.wBh pBAWING TYPE:\ o 0 0 ►r Q I I<Ya of 2/B'fr< ProPosedFirs+Floor Plwn SHEET NUMBER: - r <Q FI��T FLOOD�LN A.2 �� L L Al . �Y E` 9 ag 3$ 3 ether$ E 0 ' A- L ..1f. A- -Q L r Provide 1 ai'x 1 1 2 9"ICI+o each < ' - tide of e>iwt�ry Y/2x1 2 clq.beam - y ' - - a.d+i+ru boFt wlFh I/Y"O+Mu boF+s - ' s+yq.rad e 1 lo'0.4.,+yPi.wl Z ProJidc 6/B'f'rc csdc lino of aiw+irp„taus. t qyP.bd.aarl�side ncjv tilt dropped callby x - OfFIGe^2 Corridor h!'orage Fife Area Garri for - p ° i Offiae f o Prs mod.F-I o i.wul.,bn in wwlk.+yP-1 ax'wFlnq cok.Floor s W, - c T,m f J' �mO my L ry "Ti o - (V 0=i N � -1— . WALL LEGjr_NO: - ... u� t- • �v�Ps� '` a "-- a`gFu w 4,4 suds®iG'os.with 6 0`—'1� f y't 0 ILIaYar c.W/ fY.cod.qyP.. 7 • bd.+o.rh side cf s+uds. rat q��"O t � m 9 �► `�H OF_ 144spig o DANIEL E. g i BRAMAN STRUCTURAL N NO.365 5 �p FIELD VERIFY ALL I,XISTING CONDITIONS RAWING TYPE: Jmax� �o� E D � 6uildingyiaaFioo 11 F SHEET NUMBER: A400 EXIST. EXIST. EXIST. NOTES: PROCEDURE t PROCEDURE PROCEDURE 1.) CONTRACTOR IS TO VERIFY ALL EXISTING CONDITIONS J OOM #1 ROOM #2 ROOM #5 & DIMENSIONS IN THE FIELD !VIED, EXIST. Exisr 2,) CONTRACTOR TO,VERIFY ALL INTERIOR & EXTERIOR MATERIALS, 2 STOR. C7 DETAILS, & FINISHES 1N THE FIELD WITH OWNER 3.) ALL CONSTRUCTION TO CONFORM TO 780 CMR MASSACHUSETTS a'd' EXIST. STATE BUILDING CODE, SEVENTH EDITION C) 0 N c\l HALL EXIST. 4.) VERIFY ALL PLUMBING & ELECTRICAL DETAILS W/OWNERS ON THE � v j EXIST. SITE DURING FRAMING CONSTRUCTION w Q , OFF' 5.) NEW DOORS TO MATCH EXISTING DOORS m Iw- ` M Exlsr � 6.) NEW FAUCET/SINK TO MATCH EXISTING I-- � LU N { ,..,. � w ^o0 { { 7.) NEW FLOORING, CEILINGS, &WALLS TO MATCH EXISTING W L"I �oto 8.) NEW CABINETS TO MATCH EXISTING I""' EXIST. { EXIST. { `� EXIST. { EXIST. 9.) USE GROUP «B,� 0 m Q EXAM { PROCEDURE PROCEDURE HALL EXIST U 4 M a u_ I ROOM #4 ROOM #3 I EXIST EXIST. I ALL I --� H I EXIST EXIST EXIST CU CD { EXIST. { EXIST. EXIST, ! LAV. C� LAV, OFF. EXAM - EXIST. EXAM EXIST. , , t � rn 9-Z t LAV. SINK -•. ._.�" .o I NEVI! I NEW s NEW EXIST. �a NEW EXAM `OFFICE :Z EXAM N 40 I E:l EXIST, 101.a, nFFICE EXIST. OFF. c NEW 2 x 4 WOOD FRAMED OFF. l WALLS W/3 10 GATT ` ._.. . • 10 INSULATION&SOUND EXIST x to BOARID ,``"`,,-•.........,. '' r S. - CLOS EXIST. EXIST. G( 30"x68� 3�0"x58� ELECTRICAL PLAN EXIST. �.... .r ��lyW EXIST, � z v, R k P NOTES • EXIST 1.) THE ELECTRICAL PLANS SHOW GENERAL PURPOSE LIGHTING, SWITCHING AND .J Z EXIST', E}(I �', OUTLETS ONLY. THE ELECTRICAL CONTRACTOR IS RESPONSIBLE FOR THE ENTIRE <C ELECTRICAL SYSTEM. THE ELECTRICAL CONTRACTOR SHALL STRICTLY ADHERE.TO >" EXIST. MALL HALL ALL STATE, FEDERAL AND LOCAL CODES THAT APPLY. _ OFF. 2.) THE ELECTRICAL CONTRACTOR SHALL VERIFY ALL OUTLET, SWITCH AND LIGHT �.._, EXIST-. LOCATIONS IN THE FIELD WI THE OWNER PRIOR TO WALLBOARD INSTALLATION. J � . J W. OFF, LEGEND I- CHECK CHECK CHECKJDDD W � ! OUT 41 OUT 62 OUT S SINGLE POLE SWITCH W EXIST w cn DN. - -- -- CONCEALED CONDUIT (TYPICAL)IDLAV. I-- EXIST.HALL DUPLEX RECEPTACLE (TYPICAL) � < U 2 FOOT SQ. FLOURESCENT FIXTURE W 0 EXIST. EXIST. z U o EXIST, ENTRY OFFICE CHECK LAV. SCALE : SUPPLIES OUT#4 1 i4" = 1 1_011 , EXIST. ��, MARTIAL FIRST' FLOOR PLAN DATE RECEPTION " ._�. ._.... _.. . ---- - - 8/5/2010 LEGEND: DRAWING NO. : EXIST. d EXISTING WALLS WAITING CONSTRUCTION TO BE REMOVED GM NEW CONSTRUCTION