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Home My WebLink About0052 PARK STREET ,-i � i_ f f� ,� � � PROJECT a NAME' � ��it ADDRESS: o PERMIT# PERMIT DATE: M/P: LARGE ROLLED PLANS ARE IN: -Box� l S SLOT j Z Data entered in MAPS,program on: S tl BY: q/wpfiles/forms/archive TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION a Map Parcel Application # Health Division Date Issued Conservation Division Application Fa Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation/Hyannis Project Street AddressZ Village l Owner s- - C� � a, 1 Address b'Z Telephone �50R 7( --S Z, 7 Permit Request Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new .Zoning District Flood Plain Groundwater Overlay, Project Valuation Z O Construction Type N o Lot Size Grandfathered: ❑Yes ❑ No If yes, attach portingqbcumentation. Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family (# units) a Age of Existing Structure Historic House: ❑Yes ❑ No On Old King's Highway-=J Ye:% ❑ No Basement Type: ❑ Full ❑ Crawl ❑Walkout ❑ Other 00 Basement Finished Area (sq.ft.) Basement Unfinished Area (sq.ft' yn. Number of Baths: Full: existing new Half: existing new Number of Bedrooms: existing _new Total Room Count (not including baths): existing new First Floor Room Count Heat Type and Fuel: ❑ Gas ❑ Oil ❑ Electric ❑ Other Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑ No Detached garage: ❑ existing ❑ new size—Pool: ❑ existing ❑ new size _ Barn: ❑ existing ❑ new size_ Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes ❑ No If yes, site plan review# — Current-Use—- --- - - Proposed-Use - — - - -— - APPLICANT INFORMATION (BUILDER OR HOMEOWNER) CName �0�� Telephone Number Address �� `��y License # CS O1 SHome Improvement Contractor# Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO —7oWV" ®NN SIGNATURE )' C_7 DATE er f FOR OFFICIAL USE ONLY APPLICATION# DATE ISSUED n MAP/PARCEL NO. ADDRESS VILLAGE OWNER DATE OF INSPECTION: „_FOUNDATION! . FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL } R. FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. J.....»1,....,.<i. .... �... i Office of Iuvaggations '> 600 Washbwtan,Street Boston;M4 02111 _ www.mass.gov/dia Workers' Compensation Insurance Affidavit~ Builders/Contractors/FIectricians/Plumbers Applicant Iriforniation Please Pratt LedblY Name(Bussiness/Ozg�on/Tndividuat):��;�► � r'� Address: 1d �e'�,.r� RA, - City/State/Zip: 30 l llc� t. Are you an employer? Cbeck the appropriate bo= 'Type of projact'(required): 4. I am a general mnfractor and I 1.El am a employer with .. 6. New costrv__nn . Yees(fall and/or park time).* have hired 6>_e gob-coita.ctars �` 2..[ a'sole proprietor orparb=- listed an$re'aftached sheet': 7. Q Remodeling sliT and have no employees These sub-mmtacbm have 8. ❑Demolition far me m ' employees and have warkers' working �y capacity: t. 9. ❑Bolding addition IN words' Camp.insm-ance. camp.nIGaranre. required] 5. Q We are a corporation'and rts 1D.❑$lechical repairs or additiar s '3.❑ I am a homeowner doing all•wor]c offic,=have exercised their 11.Q Ph�bing repairs or additions . ri&of'egempiionpm MUL myself [No workers comp. 12.Q Rnofrepairs insrtranCe regnaed]t c. 152, §1(4),and we ha&e no employees.[No workers' 13.❑ Other camp.insm-anre rNnir-Dd.] kmy applicant that chocks box#1 ffisst also fi11 out the section below.showing&es worms'eompmsafion policy Mormalioa. Homeowners who submit tins affidavit indicating they arc doing all work and thm hire outside contract=must submit a new affidavit indiaL�ng such. - Contractors&iat check this box must attached an additional sheet showing the name of the sub-contractors and stair whether or not thnse m*ff=have xuployees. If the sub-conhuahm have employers,they mustproyidt their workaa'-lip.policy number. am an employer that is pr6viding workers'compensation insurance for my employees Below is the policy and job site rrfarmalion. asurance CompauyName: olicy#or Self-ins.Lie.#fi Bxpiration.Dafr: :)b Site Address: ltaclt a.copy of the workers' compensation policy declaral3on page'(shoWing the policy number and e3j&atfon date). ulvre•to secure Coverage as r�under Section 25A ofMGL c. 152 can Iead to the imposifim of canal penalties of a oe up to$1,500.00 and/or one-year bmprisonment,as-wall as civil penalties in the form of a STOP WORK ORDER and a fine -np to$250.00 a day against faq violator. Be advised that a copy of this statement may be forwarded to the Office of yestigatiom of the DIA for insurance coverage verification. to•hereby certify der pains•andpma&es ofperjury that the brfotmadorz provided above is true and correct - Dates: D�frw.0!use only. Do not write in this arer;fo.be completed by city or town offccid- 'City or.Town: Permit/License# Issuing Authority(circle.one):: - - . . L Board of Health 2.Bolding Department.3. City/Town Clerk 4.RlectricalInspector 5.PlumbutgInspector G. Other �antact Pusan: - •Pbnne#: . i Town of Barnstable Regulatory Services t A�R1V7�I'LRTR i - g, Thomas F.Geiler,Director Building Division Tom Perry,Building Commissioner. 200 Main Street,Hyannis,MA 02601 www:town.barnstable.ma.us Office: 508-862-403 8 Fax: 508-790-623 0 Property Owner Must. Complete and Sign This Section If Using A Builder of the subject to i 1 P PAY hereby authorize 1 O , C a✓AP�-Ir� to act on my behalf in all matters relative to work authorized by this building permit (Address of Job) **Pool fences and alarms are the responsibility of the applicant. Pools are not to be filled or utilized before fence is installed and all final spections are performed and accepted. Signature of Owner Signature of Applicant 1a � ccx rA�� Print Narne Print Name Q13 Date Q:F0RMS:0WNERPERMISSI0NP0DI S 6/2012 d F � , Massachusetts -Department of Public Safety Board of Building Regulations and Standards Construction supenrisf)r License:.CS-075281 � r TODDJCANTAR►� 10 ECHO RD t h" West Yarmouth MA Expiration Commissioner 03/12/2015 • ,�� .:vt,-ry :� "fi t gam, �v^ d ."'�e'' a'y„ r.w<rgaacr`-'�'��" , iG �� (lJam/Iil4'rG a�� c c.. Office of Consumer"Affairs&Business Regina` y"5 x License or tegistraton vaf� sformtvedul�asonly HdME IMPROveMEN1eCONTRAGTOR F before t�eexp�rat �t date .If fct�nd return tort i y Type k' F Office of 4onsumei Affairs agBusmess'Regu; tron ` Registration 159211 Partnerst%ip <. ' irat�on 4/40/2014 lU Park Flaza SO�te 5170 Exp Boston;lYfA 02rilb t 'J I NTR �Q E _ HO CUSTOM h 4 IVTARA s F 1 � � r CA " �� ~� i Y 1D ECHO RD S a- r �`�� W YARfV10UTH MA 0267�3 Undersecretary • �� 1Vot.�lu�• ou t�a`ture b° .�-. �e � � �- `` + '� r YOU WISH TO OPEN A BUSINESS? Your Information: Business certificates (cost$30.00 for 4 years). A business certificate ONLY REGISTERS YOUR NAME in town which [For ou must do by M.G.L.-it does not give you permission to ope.rate.) Business Certificates are available at the Town Clerk's Office, 1" FL.[357 Main Street, Hyannis, MA.02601 [Town Hall) - Ya Et Fill in please: APPLIGANT'S YOUR NAME: YOUR HeMW ADDRESS: P6 �2KeT j -i �ns �-n�bcpo j TELEPHONE # 66waTelephone Number NAME OF NEW BUSINESS- � i/�2r- ��;��r` �C TYPEs OF BUSINESS: 15 THIS A WOME OCCUPATION? . . . YES. NO. . A)f� Have you been given approval from the bu'Idin :division`? YES l NO ADDRESSOF BUSINESS :MAP/#PARCEL NUMBER 0 When starting a new business there are several things you must do in order.to be in compliance with the rules and regulations'of the Town of Barnstable..This form is intended to assist you in obtaining the information you Inay need. You MUST GO TO 200 Main St. - (corner of Yarmouth Rd. &Main Street). to make sure you have the appropriate permits and licenses required to legally operate your business in this town. 1. BUILDING COMMISSIONER'S OFFI This individual has n informe any permit requirements that pertain to,this type of business. Authorized Signature COMMENTS: 2. BOARD OF HEALTH This individual has b inform ed of �permKi �ecq�,uirements that pertain to this type of business. Authorized Signature** MUS7COMPL.COMMENTS: . US MATERIALS� EGULATIONS t 3: CONSUMER AFFAIRS (LICENSING AUTHORITY) This individuaAA on info e�ature e licensing requirements that pertain to this type of business. orized Sig' COMMENTS: c TOWNBuilding nRsp SCtor$LE Permit No, ----20534----------- $ aeaaer.ac ;. Cash -$3$2-10-0------- raoa OCCUPANCY PERMIT Bond ---------------------___-- "No building nor structure shall be erected, and no land, building or structure shall be used for a new, different, changed, or enlarged use without a Building Permit therefor first having been obtained from the Building Inspector. No building shall be occupied until a certificate of occupancy has been issued by the Building Inspector." Issued to Phillip Chiotellis Address 52 Park St. , Hyannis 52 Park Street, Hyannis Wiring Inspector Inspection date Plumbing Inspector Inspection date Gas Inspector � Inspection date /Engineering Department Inspection date /-5 THIS PERMIT WILL NOT BE VALID, AND THE BUILDING SHALL NOT HE OCCUPIED UNTIL r SIGNED BY THE BUILDING INSPECTOR UPON SATISFACTORY COMPLIANCE WITH TOWN REQUIREMENTS. ...................................................... 19.........._ .................. .............. ......................................................................_ Building Inspector t �. TOWN OF BARNSTABLE 20531, �TN[> Permit No. ------------------------— } ��T� Building Inspector ,�� n� Cash 'oO9F0 YPY 1��0 OCCUPANCY PERMIT Bond -------_---------------_____ "No building nor structure shall be erected, and no land, building or structure shall be used for,' or a new, different, changed, or enlarged use without a Building Permit therefor first having been obtained from the Building Inspector. No building shall be occupied until a certificate of occupancy has been issued by the Building Inspector." Issued to Phillip Chiotellis Address 52 Park St, , Hyannis 52 Park Street, Hyannis Wiring Inspector Inspection date Plumbing Inspector Inspection date Gas Inspector Inspection date r Engineering Department Inspection date 45 7 7 THIS PERMIT WILL NOT BE VALID, AND THE BUILDING SHALL NOT BE OCCUPIED UNTIL SIGNED BY THE BUILDING INSPECTOR UPON SATISFACTORY COMPLIANCE WITH TOWN REQUIREMENTS. ...................................................... 19......_... ....................................... ... .................................................................. Building Inspector J TOWN OF BARNSTABLE Permit No. ( , Building Inspector i LBISTAX Cash -------�------------------- 'Oo�U YY 1'�0 OCCUPANCY PERMIT Bond ------------------ No building nor structure shall be erected, and no land, building or structure shall be used for a new, different, changed, or enlarged use without a Building Permit therefor first having been obtained from the Building Inspector. No building shall be occupied until a certificate of occupancy has been issued by the Building Inspector." Issued to i,! ..V, Ch.:D'I:-X:L`- Address ' Wiring Inspector Inspection date Plumbing Inspector Inspection date Gas Inspector Inspection date Engineering Department Inspection date THIS PERMIT WILL NOT BE VALID, AND THE BUILDING SHALL NOT BE OCCUPIED UNTIL SIGNED BY THE BUILDING INSPECTOR UPON SATISFACTORY COMPLIANCE WITH TOWN REQUIREMENTS. ...................................................... 19...... ..................................... . ............................................................._... Building Inspector THE Asss� s+sor's map and lot'number ..M.. .. ....4.�,,.. sewage Permit number �,(, .. � SEPTIC SYSTE UST gE INSTALLED IN COMPLIANCE AN Z B9B39TenLE, : House number ........................................................................ 1""JITH ARTICLE It STATE 900 M 9 ' .1TA�Y E ,�awaYa�a CODE AND TOWN TOWN OF - BARN,STXBLE BUILDING' 10PECTOR APPLICATIONFOR PERMIT TO .....................................:............................................................................:.......::. TYPEOF CONSTRUCTION ..........................................................................................:.......................................... k!! .....�.......................19.7 - ._TO_THE INSPECTOR OF BUILDINGS: ' The undersigned hereby applies for a permit according to the following information: Location ...... ...G�.....1 ..y: ... ft..................................................................................:................................................... f. Proposed Use !lfi..:. ' Zonii+ng District .................................:......................................Fire District ..... ..............................I................... f (( r Name of Owner .� 5`�.li.CS..... ................Address .. ....Pr-cr,�...s..7.....lt��Y.� r t`..s................... Name of Builder �r... .�) `;,$°.. .:..................... . . ...Address 41' 1'4-a.-Kr'...? ..... ............... Name of Architect fl.U. .s...4.... � 41.�� i:S...........Address ....... ....f......... Numberof Rooms ..................................................................Foundation c.......................................... Exterior � �C.:,{?� .....5ia1. ... .......Roofing .14s.kra" 511. Floors i ? ........ .........�.r..........................:.........Interior ..... .I�rY.G4�s..11........................................................... Heating_ ..:. Y ....Plumbing .;...... el Fireplace .... . .................................................................Approximate Cost .l.,5-.v. ........................ Definitive Plan Approved by Planning Board --------------------------------19 ---- Area ..5 Diagram of Lot and Building with Dimensions Fee ........ ................... SUBJECT TO APPROVAL OF BOARD OF HEALTH 0Ae, y I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above. construction. Name .:. . .. �J.' <...A ......� ' Cbiotellio, Phillip �- for m—edioo—1--of—f—i— ' ue — — -- ,�— oildiug . ----~---------------------' ' 52 Park Street Location ................ � - Hyannis ~^ --------------------------' , � ��ill�p C��otollio Owner ---------------------- - ' �ra�m Type of Construction -------------- . ' + . -- ' `=------------------------' . Plot ' Lot ................................ / --. ------.. � � .28 --lg 78 [ ` of |nxpection? �^------.lA \ ' o|ate6 .----.---.,---l0 ^ � ' . ^ , PERMIT REFUSED � - � ~ ----'-----.---------. ' � .------.—.-------..--~—.----.— � —_--..—.,—.--...--------------.. ' —..—.—.^--.----..—.—.--..—.—.---. . ` . � . ---,+,.--.—.---.--..--.,-----.—. � --� � ^ � Approved —_-------------- lg ^ . ^ —...-------.-----~..-----..--..... � ` -----.------.~-------.~..--.—. � , � -r� 7o'W^l 'wery ss'wwt- a t o - . a Gf .- - cy EDWARD O Y ► No.2031 00 4 O ST��®� SUR��'� /D,o t� CERTIFIED PLOT PLAN i� LOCATION .Aly,,4Nn//_5 A1�95 S `¢ SCALE . / �r:30 �. . DATE PLAN REFERENCE CERTIFY THAT THE SHOWN ON THIS PLAN.IS LOCATED ON THE GROUND AS SHOWN HEREON, DATE i9VA .Z4179 PETITIONER: P•9ZK - ItEGi."iTtREu -LAND SiRVE' R` -' Assessor's map and :lot number .... .. .. ......... _ "'•" •'••' ; All SEPTIC SYSTEM MUST BE j ED IN C I PL A�CE INSTALLED DVI ,. - �� -(�{ , WITH ARTICLE 11 STATE ' Sewage Permit number ...... o... .. I SANITARY CODE AP49 T§Wfi `~ F TM E - TOWN O B AR F , - NSA r- r 4 Z BABHSTADL$; • ti t Gt DUI.%LDIHG INSPECTOR: Apo,039. \�0 'EE YPY a a T� �a APPLICATION4 FOR VM1PERMIT TO .... .... ... TYPE OF CONSTRUCTION ...................................................................... ........................ ............................ z t ........ /°�.C�.......................19.. G TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location ....,T.Y....f . .. K:............ *a.G:. ................................. ............ ......... ...................... ProposedUse 100a. ..... .. ... .......................................................................................:................................... Zoning District ..................................................Fire District :...�. Name of Owner .... /.f/fr4../1..r.............Address .............................. Name of Builder .-. ".V y�......Address ... ....".......:OX 39. ................ ox.... Nameof Architect ..................................................................Address .................................................................................... .Number of Rooms .....................................I............................Foundation .........................:.................................................... Exierior ...........................................1........................................Roofing .................................................................................... Floors ......................................................................................Interior .................................................................................... Heating ...................................................•...............................Plumbing ................................:................................................. Fireplace .............................:....................................................Approximate Cost � QQ® Definitive Plan--Approved by Planning Board ---------------------------------19--------„ Area .....�................................. Diagram of Lot and,Building with Dimensions Fee / OJ ........./................................. SUBJECT TO APPROVAL OF BOARD OF HEALTH HEALTH „ I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name . .................. ' ^ Prager, Carolyn 18886 ' ' repairfire -----.. Permit — No Permit for .� .. ------. ' damage ---../�---------..-----------.. +, ^ ' . L�cohon .........54._ar_.g.._..�t_�_______ ----.� ..�—.----------- ` Owner Carmlyn -------^---'=---------'' Ty � 6f-[onmruchon -- -------- --. ............................. T-------'�--- `pIbt —..��------.� Lot ................................ [ '^ Daca�bar 21 76Perm ~ - h�Gron�eJ -------------]V of 7 | —._--lA' 'Date Coinp|ete6 . -----.l9 ' . ^ ' PER&8UTAEFUSED ' `h lg��----_-------. ' � . ' . .-------.—.^-----.~--�------.. . - ..................................... � /--,----.'..�----'* ' -----^---'---'—^—^'^--`'—^—'—`r~ . ....-----~.—.--..—.-----.,.—.�---.. . � . Ap roved r-------�-------' lg �- . . ---------------------_~.--- , . . � . ----------------------^--^— - . . . ^ ^ . ' . - ^ , -•�_ ...- -_ ._ .,;,,;•;,__,,.,ate - _ __ ._..�_Y.:. . fix, , .,---------- • r n January 22, 1991 Town Of Barnstable Bkuilding Commissioner Town hall Hyannis, Ma. Attention: Mr. Joe Daluz Subject: Addition Dr. Chiotellis 52 Park St. Hyannis, Ma. Dear Joe: As per your request, I am supplying the revised lot coverage for the proposed addition at the subject address. I am attaching a copy of the letter prepared by James Coyne, Inc. , on October 27, 1989, relative to the property and an addition contracted in late 1989. The revised totals, including the proposed addtion are as follows: x: Total Lot Coverage. . . . . . . . . . . . . . . . . . . .37,360 sq. ft. Permitted Ground Coverage. . . . . . . . . . . . . . . . . . . . . 9,340 sq. ft. (25%) Existing Building. . .'. . . . . . . . . .. . . . .. . . . . .. . . . . 3,987.48 sq. ft. Addition to Building1111s11 -11 1 1-111111111111 360 sq. ft. Required Parking . .1/300 sq.ft. and 1 per e. (3) . .•. . . . .18 cars Two (2) existing Handicapped . s�•a� . Total Lot Coverage. . . . . . . . . .. . . . . . . . .' 4,347.48 sq. ft'. Fespectively Submitted, 4 � Donald F. Schuette Tho Burt _. 1 L TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION 0014 Map 3qZ Parcel 00'V .� Permit# 7 Health Division 6P7bxA- ^ SPG�''' ,k F Date Issued /f 2-09 Conservation Division (P h 21�0� 1�'�— Fee APPLICANT MUST OBTAIN Tax Collector_ II OG/07/p/ �l CONNECTION pER A SEWER Treasurer �,- LU uJ e�'e�. Ll/` �Z� f CoN ENGINEERING SON PR ORTTO t- Planning Dept. � Date Definitive Plan Approved by Planning Board Historic-OKH Preservation/Hyannis Project Street Address JrZ Pa Ac Village -ffg etlAni k / Owner P� tom'! f!l i Q C�%�'��`[�l Address Telephone 7 7 Y205 Permit Request F1cn., 0P"e &X.•¢^ )Oyotdi , -/a Ile w e a eZ4%O Oe,-*f K i(11S Sea-Y- M Ova Clan Square fe t: 1st floor: existing proposed 2nd floor: existing proposed Total new Valuation 60-0-0 Zoning District Flood Plain Groundwater Overlay Construction Type S-fct( �(c� - �cfr� S¢-c•e� w�-((S Lot Size Grandfathered: ❑Yes ❑No If yes, attach supporting documentation. Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family(#units) Age of Existing Structure Historic House: ❑Yes No On Old King's Highway: ❑Yes No Basement Type: ull ❑Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full: existing new Half: existing new Number of Bedrooms: existing new Total Room Count(not including baths): existing new First Floor Room Count Heat Type and Fuel: U Gas ❑Oil ❑ Electric ❑Other �� Central Air: 9-Yes ❑ No Fireplaces: Existing _ New Existing wood/coal stove: ❑Yes �<No Detached garage:❑existing ❑new size �� Pool: ❑existing ❑new size k�O Barn: ❑existing ❑new size Attached garage: ❑existing ❑new size Shed:❑existing ❑new size N0 Other: Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial Q'Ies Cl No If yes, site plan review# Current Use Pedi C l� Proposed Use ! —<S;? C4 , . f✓`Cl / BUILDER INFORMATION Name �� i y 5� J1^ Telephone Number�''36 Z .G17ZZ=::, Address ,�� i l.� ire- License# C S Home Improvement Contractor# Worker's Compensation# ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO 1 SIGNATURE G� DATE 6 6 I " 1 FOR OFFICIAL USE ONLY No rM PERMIT NO. - t ' DATE ISSUED e. -- MAP/PARCEL-NO. ADDRESS . VILLAGE i -OWNER DATE OF INSPECTION^ , ' FOUNDATION t ' FRAME INSULATION , FIREPLACE , w° ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH;? 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Failms to,eeo3x eo�e as seq�red antler 6eedan 2SA otMQ.IS2 eanlead to thaot�ai peaaltin ota 8aa np to Sl�'40.00 andlc one years'imprtsorrmmt as VMd as Chfi peoaltlee in the form of a SLOP WOGS ORDER and a dna otSIC O a day a;aimt me. I=dan=d tbsc' copy of this statement may be forwarded to the state of I&eatitatioas of the Dl&for corsage vedfi adm I do hercbv certify under the paten and pcttallin of perjury that the infonnadon provided above is tux asd corrcd Dale �/�✓i Print 6-`-GIsoe,— '1— # 36 Z— 9?2-� ojUcW use only do not write is this area to be completed by city or town oIDdal city or town: permit/llaase 0 QBufldlnC Deparrmcut aj iseavn;Board ❑check if lnunedisto response is required ❑Seieeauen's OM= _ ❑He th Deparaaent contact person: phone k; 00ther PHILBROOK ENGINEERING FIELD REPORTMORKSHEET Project No: 107 DE MACH Sheet No: of Z MEMO FOR RECORD: 9 July 2001 • Subject: Commercial Floor Reinforcing System -2nd Unit Location: The HEART CENTER 52 Park Street, Hyannis, MA 02601 Builder: Mr. Skip Gibson Project No: P00-11 DESIGN/CONSTRUCTION REVIEW CRITERIA: 1. The following construction design work is based upon loads and loadings Provided by ADAC Laboratories and the Chp. 16 of the State Building Code: «< Total Floor Loading (168 sq ft)=55 lb/sq ft This represents all items, 1 patient& 2 operators Total Floor Loading (59 sq ft) = 135 lb/sq ft This represents all equipment on the Mfgs. pad ... Concentrated Floor Loading (17 sq ft)=300 lb/sq ft This represents the gantry w/heaviest collimator Concentrated Floor Loading (6 sq ft)=430 Ib/sq ft This represents the collimator storage unit 142. The following preparation work is required before placement of the equipment Z pad and assembly of the equipment: a. Remove all other items in the end of the Service Room. Demolish the exist- ing mixing closet and plumbing wet wall. Cap the vent in the attic b. Remove all non-stationary items and the drop ceiling in the basement below the location for the 2nd unit. Cap the mixing closet water supplys and waste pipe. Relocate the water supplys to the 1/2 bath in the next unit to the rear of the 3"cast iron waste line(this will provide an uninterrupted centerline for the new beam placement). Measure for length and order the W5x16 steel beam. The beam needs to fully support all joists that occur beneath the 2nd unit in the Service Room. c. Remove the HVAC boot and feed to the old mixing closet leaving a hole thru the 1st floor deck. Locate and remove the old repair at a previous electrical penetration. Remove all the wood stick shoring leaving the hole thru the 1st floor deck. Fashion machine cloth (wire fabric) boots to line both holes,fill w/readi-mix concrete and screed level w/the finished floor d. Drill 2 sounding holes thru the basement slab immediately adjacent to the East end of the foundation wall to verify the wall footing existence as shown on the original plans. This will support the left end concrete filled steel tube column. If no footing is found contact the Engineer e. Open 8"+square holes in the slab at the other two new column points. Ex- cavate by hand 12"deep by 18"square bell piers. Wet&compact the soil and then fill the piers w/readi-mix concrete and screed level w/the floor f. Mark the new beam bearing line on the underside of the supported floor joists. Locate and pre-drill the joist bottom flanges w/7/16" dia. holes for the 3/8"dia. machine bolts,see step h. below. Install cripple blocking.:using back to back sections of 4"metal studs tight to the web of the metal joists. Fit tight to the bottom flange and the underside of the slab/deck. Thru screw or tap-screw the blocking thru the joist web to each other g. Install the W5x16 continuous steel beam supported on 3 ea 3-1/2" concrete filled steel tube columns. Use 1/4"x 4"square top plates& 1/4"x 4"x 6" bottom plates. Weld all connections; beam-plate-column-plate. Drill and install 2 ea 3/8"dia. Kwik-bolts into the basement floor thru bottom plates h. Fasten the W5x16 top flange to the bottom flanges of the floor joists. This is necessary for lateral stability, NOTE: ENGINEER TO INSPECT WORK PRIOR TO EQUIPMENT PLACEMENT P82-FRW-7 t� i 4 —a. • f e t 1 4 J f, • ♦ • � � , .f. .\ ♦ A t • A HILBROOK Poo-) I ENGINEERING FIELD REPORT/WORKSHEET Project No: 107 BEACH STREET DENNIS,MA02838 Sheet No: of MEMO FOR RECORD: 9 July 2001 Subject: Commercial Floor Reinforcing System -2nd Unit NOTE: ENGINEER TO INSPECT WORK PRIOR TO EQUIPMENT PLACEMENT . i. ADAC Technicians install epoxy pad j. ADAC Technicians begin equipment installation k. ADAC Technicians begin component mechanical testing NOTE: ENGINEER TO INSPECT WORK AFTER EQUIPMENT TESTING 1. ADAC Technicians complete installation «< m. Rebuild basement walls,tape&finish. Re-install drop ceiling aoa yN 3. SERVICE ROOM FLOOR PLAN, Sheet 1: 1. Existing Cardio Unit 000 2. Proposed location for 2nd Cardio Unit 3. End(Corner)of original construction; 2C metal frame 4. BASEMENT FLOOR PLAN &X-SECTION, Sheet 2: 4. Existing basement room walls 6. New support beam -W6x16 continuous beneath all service room joists Z 6. Existing floor joists A 30" o/c 7. 4" back-to-web steel stud cripple blocks. Run tight from joist bottom flange to slab/deck. Thru-screw of tap screw blocking to web member 8. New support columns; 3-1/2" concrete filled tube columns. Provide 1/4"x 4"square top plate and 1/4"x 4"x 6" bottom plate. Weld all points 9. Fasten bottom plate to concrete pier w/2 ea 3/8" dia. Kwik-bolts 10. Support pier; open 8"square hole and hand dig 12"x 18"square bell pier. Wet, compact and fill w/concrete 11. Drill sounding hole thru floor slab to verify existence of wall footing l�r��lx 1`irt�s3 MECHANICAL MECHANICAL T.VARNUM PHILBROOK, P.E. NP. 308W ` Philbrook Engineering '�f��hR��, 2 Encls.-Service Room &Basement Floor Plans. FSS�ONAL E�G� P82-FRW-7 - =� �� - _ �. _ • F' _ t' y' a __ �, /� f ,.. r J'' �' !� i. t ADAC Adac Laboratorie NOTES: = NOTES: Note 1:Duplex wired to UPS' "UPS to be located in basement of facility Note 2:RJ-45 panel A(single).wired Second work station(Ultra)to be remotely located. to RJ-45 panel B(duplex) Second connector to future connection 'UPS hardwired to subpanel HQ/y j"� ( _Q f�t� with 60 AMP(208-220 VAC) y�aa��.., (� ��Ce (.(. or 50 AMP(230-240 VAC) circuit breaker. Surface of detector /]I y�y� ► 5/8" facing hallway H (iG/ L/ GZS v 208-220 VAC,60AMP 230-240 VAC,50AMP single phase UPS power " 3/4" Second Cardio SYMBOL: U Review Telephone Line for Modem FA t7 RJ-45 Wall Plate wired as noted E Sub Panel for UPS-see notes'• 4 Plex Receptacle 8'-3" ® 115 VAC, 15 Amp ® Duplex Receptacle 115 VAC, 15 Amp ENVIRONMENTAL REQUIREMENTS: For Gantry,Atlas&End Stands 6,000 BTU/hr For Pegasys Ultra .1,300 BTU/hr _ For 8.0 KVA UPS 1,140 BTU/hr EQUIPMENT LAYOUT 'v 8, ✓ - 5 Kim E. Rutty r DL NE/Upstae NYr�{ C krutty@adaclabs.com C PHI LI3ROUK ENGINEERING FIELD REPO RTIWORKSH EET j Project No:101 - - SneeL - Z o 10. _ yF rn 0177 �1 y17A - 01 P82-FRW-7 y, BOARD OF BUILDING REGULATIONS. License CONSTRUCTION SUPERVISOR _j Number CS` --_ 001952 I.r ExPIMS 07/t)9/2QOf - __ _ Tr.no: 567 ; wRestricted,To: 00 RUSSELLA GIBSONJR:.'_{-, ' a 32 MID PINE ROAD YARMOUTH, MA 02675 -T!��'� Administrator ` a- `TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map • J Piarcel bo(-f APPLICANT 4,U$T1P, T- ., swEx Permit# 2� i01lYlN' t `� THE fHealth Divisio C'�1� ENGINNIMG DMON PX01 To Date Issued jO DZ M( vox. ; : ?9 / Conservation Division "' `` `" `#` "` �'' i 'i .� Application Fee Tax Collector Permit Fee ` 'Q� Treasurer Planning Dept. Date Definitive Plan Approved by Planning Board Historic-OKH AO Preservation/Hyannis Project Street Address 6-Z P O—L(- S� Village Gt v V6_( Owner �ttij Lk,-�) fC t(<S Address Telephone 7 2 r' — <471 D Permit Request v i I e to✓"9 S}u I VS t'° iyCw �v��`f? c�� S�l•�c a-� �---, - Square feet: 1st floor: existing �� proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuatio' Construction Type ( oOO� �—S�Pr' Lot Size Grandfathered: ❑Yes ❑No If yes, attach supporting documentation. Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family(#units) Age of Existing Structure Historic House: ❑YesVo On Old King's Highway: El WNo Basement Type: !Tull ❑Crawl Cl Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full: existing new Half: existing new Number of Bedrooms: existing new Total Room Count(not including baths): existing new First Floor Room Count Heat Type and Fuel: ❑Gas ❑Oil ❑ Electric ❑Other Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑No Detached garage:❑existing ❑new size Pool: Cl existing ❑new size Barn:❑existing ❑new size Attached garage:Cl existing ❑new size Shed:❑existing ❑new size Other: Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial AYes ❑No If yes,site plan review# Current Use 4 1 Ot ~fit _ Proposed Use ct q-.fe BUILDER INFORMATION Name Se 1 A [� SON �`^ Telephone Number 3dZ �l?Z7 Address 3 Z yk- d D,rti- 141 License# C S 6 26 Home Improvement Contractor# Worker's Compensation# ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE - FOR OFFICIAL USE ONLY 4 j S . PERMIT NO. DATE ISSUED MAP/PARCEL NO. ADDRESS VILLAGE f OWNER DATE OF INSPECTION: FOUNDATION FRAME; INSULATION. FIREPLAC 1 ELECTR_I,CAL: ROUGH FINAL PLUMBING': ROUGH FINAL GAS: ROUGH FINAL ! t FINAL BUILDING •�Y DATE CLOSED OUT- ASSOCIATION PLAN NO. r wiry P�4�e K 57 3s'w.vt Y 9s:so 1 o N OF A1,�SS�y 7.L EDEARD Y y. 1 No.2'100 .� tia ' 4H0 SUM�'y rr CERTIFIED PLOT PLAN LOCATION y�4n/n//,5 �9A5 S• /i �. . SCALE . =30 . . . DATE PLAN REFERENCE I CERTIFY.THAT THE �X� T/hl�..... !VuA!P�MlP.�/ SHOWN ON THIS PLAN IS LOCATED ON THE GROUND I AS SHOWN HEREON. DATE tivA .Z4 IM PETITIONER: REGISTERED LAND SURVE R t u � � ._ �.yu��:,5 �• �1 pZ ; t • i - -i--•-�--�- it i J f h yn,S �p?� -------- t4.M 7-771 Tl - _ -- r - , - ! . grow<,c_X. p Nu. 22UJ JAN,-11 2402 3: 35PM GILLESP-I-E-CORP -- 1—. 2 - -- �� Limited Use/Limited Access Elevator Power Door Models FOUND50 IN 1924 Standard Features: 42" x 601, Car Size 1400 Pound Capacity • Submersible Screw Pump Unit 28 FPM Microprocessor l . Cartop Inspection Operation I Benefits Accessibility is a concern for everyone. With new laws mandating barrier-free access, there is a growing demand for vertical transportation for the disabled GILCO LIFT elevators offer an affordable answer to overcome architectural barriers. The GILCO LIFT is available in a limited use /limited access (LULA) configuration that complies with the ASME A17.1 National Elevator , Code. The low cost and compact design make them the ideal solution to vertical transportation for a wide range of buildings. Our ability to customize makes the GILCO LIFT a perfect choice for existing buildings by keeping structural and electrical modifications to a minimum. GILLESPIE offers a LULA elevator with power doors. The ASME code does not require power doors, they are an optional feature. Safety • Fail safe with regard to electrical failure �f • Handrail, alarm button, emergency stop button and emergency, light • Level i ng/a nti creep operation • Car safety with safety switch on roped hydraulic models Options I 2 speed-valve . Emergency Lowering _-___— ADA phone • Top and bottom Travel restrictors Overspeed governor .," Custom cab finishes warranty , Our no-nonsense one year limited warranty and customer service are important standard features too, but most likely you will never need them. 34 PINE STRFE7 P O,8g7f 359 WARE,MA 01062 uNWiN/NlunnyP/ql(Nh/!/WhNm4AN/FANNNHLWINI.GVWm�rorollMiAliIIILVMNYlllru/i//mvmmWmmummumrNnmmmum/ J x iu -i-i—ru u r= v n=—U i-e t r i t c u K r _ - --T — - - - A(�j 1'U 3 R 4 -- A hydraulic) d hydraufic)r 7.1 Section 25 - LULA 1 lum - AM- ial travel restrictor - h optionral-travel - — m d side slide utton automatic with 1 phase, �amp -�- - d side slide - — _— — :R5 Wote: ` Typical drawing for illustration only. Do not ling construct;hoistway from this drawing - consult the factory or your dealer. steel ;essor _ - — 11 ---- — ible screw with start acceleration _r,,R � , . - The Commonwealth of Massachusetts . _ _--�— == Department of Industrial Accidents `=- . - fI . office of/n 809ations . _-, 600 Washington Street �� Boston Mass. 02111 Workers' Compensation Insurance Affidavit i name: &' . location: SZ �/C S city 4S,GC 0 h I'S l vhone# S 6 Z _C.7 2 ❑ I am a homeowner performing all work myself. �am a sole r rietor and have no one worki>i in an ca achy ❑ I am an employer providing workers' compensation for my employees working on this job. company name: :::;:<:><;:... ;; . .... ...:. .. . :. . address::;:: .. , :::... . :::..::.....: .. ............ . ..:.:..::::::::.;::.:.:::::::.:..::;::;.... .................,,:-:......................................... :....... :..;........ .;:.;:.;....::.>.;..;.;:.;:.:::: ..:...:::..:::.:.:.....::.::. .::.:. .. .;..;.....::..:.::.;:..::.:.;:.:::;::..:>:::. oh insurance co.. ..:..... :>:;:::;:::>::.:>:;::<:;<;`::;»::> . . %/ I am a sole proprietor, a r=contractorr'/'or homeowner(circle one)and have hired the contractors listed below who have the following workers'compensation polices: »::;:>::::;.:<::>;;:: ;:::..;:..::;..::.:>::.::».,.;: .:::..:..:..::.:....:. ..:...:: :::..::......:....:.;..:.;.. .:;::. .;::i. .:::.;;:.::..;;:;.: camnanv name:.. ::..:: .. •'`e$S i?�::[''`:`i i+;%i:[?''`%'::': yy^ ,.%..:;c;f:i`1.1. `i2:a:':;> ;;i i22Y isai[?. :,:: :?i i%ii i :.> `>i'i!i i i i[:isi:.i..:. :[:j..... [. .s.(tay: ::;;:[';i[iiio Ji.i'[}':'i is T::f} i:?'i': .:; dx a;#{>:?s CifV::.....:..::::::::: :.:.:::;•.;::.;:.::.;:.:::.::.;:;::.;:.;:::.;::..;.:...:::.: ::::..:.:...:.:::...:.:....:: p ::::::.:::.:.;;:.;::::::::::........................................%................:..:.:.:::::::::::::.... ..................................................................... .................... :::.:::::.:::::::.:.......... . ..................................................................................................... :::::: .... :::::::::::::::.:::::::::.......:::::::::::.......:::::... :� nra�rce.ca:.::........:.............................................................. c an;name::::,....;...«:<>:::.::.«::;<::>:::::;::::::<>:: ... ... ::..». ::;.;:.:;.:::.:::..:..:.:......:.:. ..::.::::::. .:::::: . . .. ::, ci ::::...:...::.:.::::::::;.::::::::::::..:::. . ::.::.:..:.;::....;:.;:::: hone. ... ... .. ... mnrsnre..C.M.:::;..:<.:::<.....I...s::.;.:::... :>::;.::< ::::».:. li Fa1>m�e to ascots coverage as required ender Section ZSA of MGL 152 can lead to the imposition of criminal penalties of a See np to 51,500.00 and/or one years'imprisonment as wen as dvn penalties in the form of a STOP WORK ORDER and a See of 5100.00 a day against me I understand that a copy of this statement maybe foivvarded to the Office of Investigations of the DIA for coverage verification I do hereby certify, the pains and penalties of perjury that the information provided above is true an corre WA Signature Date Z _ Print name . Z'sLS-ea A- (',�Sfl/-Y Phone# ,3 6 Z q7 Z-2 official use only do not write in this area to be completed by city or town official . . city or town: permit/license# • OBunding Department . ❑Licensing Board ❑check if immediate response is required. ❑Selectmen's Office _ []Health Department , , contact person: phone#; ❑Other (revised 9/95 PJA) .. 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 peimit/license number which will be used as a reference number. The affidavits may be returned"tn- 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 Olnce oI Investigations 600 Washington Street Boston,Ma. 02111 fax#: (617) 727-7749 phone#: (617) 727-4900 ext. 406, 409 or 375 1 BOARD OF BUILDING R-EGULATIOMb. License: CONSTRUCTION SUPERVIS&F. W Numbe >CS. 001952 €zprres `0105— 003 Tr.no: 574 Res i ted t 21 RUSS'ELL A GIBSON-i ''✓ _ 32 MID PINE ROAD -`�' YARMOUTH, MA Administrator C Assessor's map and lot number L/ ' Sewage Permit number .... ... ..... ...:�... .!J.... ..�.�I�+:a�,?„ ro�P °� Z BAB39TABLE, i House number' .�U.".�.. :.(.:......................................... 90o 11AG \0 0moa' TOWN OF BARNSTABLE DUILDING-7 INSPECTOR a . APPLICATION FOR PERMIT TO .... � TYPE OF CONSTRUCTION .................s'�.S!,��1s0�....................................................... ... .................................................... r •� y •c.�../.�........................ t TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location ........J� c .....;��?lxl� C;. ST ;/i�/�ijti�0 S .............................................:.................:.................................. ............. f ProposedUse ............................................................................................................................................................................. ZoningDistrict .......................................................................Fire District .............................................................................. Nameof Owner ........ ........Address ................. .................................. ......................... Name of Builder _ ..............�- I1.61_ S...Address ✓� N �� . ..i.p../..1.�..s........�. Nameof Architect ..................................................................Address ........................................................:........................... Numberof Rooms ................. .............................................Foundation .............................................................................. Exierior .....................................:...............................................Roofing ................................... ................................................ s , Floors J:. .Interior ............ �� IA!, !` ... Heating .....................................................................Plumbing ..........:...... .............................................. Fireplace ...................................................................................Approximate Cost ......). .... ..C�..�.C.�...v,.. ...... Definitive Plan Approved by Planning Board ------------------------ J �....,, &�.,c��1 19 ---: Area Diagram of Lot and Building with Dimensions Fee a .......""- ....:........ SUBJECT TO APPROVAL OF BOARD OF HEALTH N I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name �.i�'��(�ii 1.5.. _ ... . ........ ........ 22962 REMODEL BASEMENIT TO OFFICE! 52 Park Street Owner ....Philtlip hiolellis PER, R—REFUS �C« « ----' . , --.------.. ................................................ ` ` ..........................X.... ----. . ' . ` ............................... . � , . � ' . . Approved lg | —..'----..... .................................... . . - - ' -------------------------^'' ^ ^ r. ,�.,.. >ti r. ••�A7•r^ °a.. y j�[il.r ay-, r.nwN dr.:.-r -ir•'Yt„. 3,.. r _ r ,^y,f., t.•i �„+.^,i..91-^y��Y'"'.q'.�1'./w r•ry. ,a. �.n M• Assessor's office(1st Floor): � Assessor's map and lot number /_ l�e�y a a , n 1Q.t,K� w J TN f to Board of Health (3rd floor): Sewage Permit number RAUST&BLL -1 Engineering Department(3rd floor) FSS, rus House numbers °o %eso. �'.� Definitive Plan Approved by Planning Board 19 APPLICATIONS PROCESSED 8:30-9:30 A.M.and 1::00-2:00 P.M.only TOWN .9 OF BARNSTABLE BUILDING INSPECTOR _ APPLICATION FOR PERMIT TO C0AJSTi211C"r 14DD)T-)O J /02 X36 0 4",C -TYPE OF CONSTRUCTION Vja8 ' F tfi 4 .!; w.f fs G4 ,, 9 9/ TO THE INSPECTOR OF BUILDINGS: �v K` The undersigned hereby applies for a permit accordin o the following information: f Location Sa'' / y/I��v/S� �/.9. Proposed.Use Of T icES: —7o c7vK, Zoning District Fire District 46AWIS .,6 Name of Owner A141-41--1, C,"I07E"c1S Address Sa Age,,t_ S'y' Name of Builder -7-0— Address Name of Architect /✓�i9 Address �� /(LC�oG�% 2rvF /�FNN/ecCfsC .(W. Number of Rooms ` Foundation 161,L/le-91b �0r_ckcErr Exterior �O°� _ /' Roofing Floors W_oa� —%ict's ` Interior+ � w Heating �'a- '44 Plumbing ov Fireplace . �/� Approximate Cost 30� 000 Area 3(00 Diagram of Lot and Building with Dimensions Fee ✓ ��°' �� r _ S�c� .4rrjeca'�. • b { 4 i OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS i I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regardin he above construction. Name. z Construction Supervisor's License ©�7Sa� CHIOTELLIS, PHILIP A=342-004 . 00A .• - No 34185 Permit For ADD TO OFFICE Office Location 52 Park Street Hyannis Owner Philip Chiotellis Type of Construction Frame Plot Lot Permit Granted February 26, 19 61 Date of Inspection 19 Date Completed 19 ' LIZ/ PERMIT COMPLETED 1r0;111 eeok ////4 0 Assessor's office (1st floor):Assessor's map and lot number ..... .......6.A.601q) THE Board of Health Ord floor)- Sewage Permit number' ... ..... .......... ............ str&DLE. 13AW Engineering Department (3rd floor): MAS& House number .............................. ... --1639- ..................... ... Definitive Plan Approved by Planning Board -------------------------------19-------- - APPLICATIONS PROCESSED 8:30-9:30 A.M. and 1:00-2:00 P.M. only TOWN OF BARNSTABLE BUILDING INSPECTOR C-D (1/ _STR(j.b.T 171091TI�11, 16 APPLICATION FOR PERMIT TO .................................... ... .........................I.............................. woo 0 ri?iq M_i::7 TYPEOF CONSTRUCTION ..................................................................................................................................... .............. a................ TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: r7of I/ Location ......57.............. ....... .........8.Y.14.................S..............I.............................................................. ProposedUse .... rz...........51aq. ............................................................................................................. A0 - L, 'I Zoning District ...............I..............�)......................................Fire District ...................r7��e. .......I......................... .......... Name of Owner ....CHI 10.77EA.L.I.$.Address _54�......... .......... ........./-/.1 /2.A1 ....... .. .. .. .... ... ....... ... .... . ...... ... .. .. ... Yam .............Address M. -/.....P P. Name of Builder J��q.......7........ . ..... ... ............. Pd 9�61 0 1 ME t Name of Ar.cb,ite-ct ..................... ........................Y.��V.....Address ...R.0 a 0.0 4n..... .............................. IV 1- 5' Number of Rooms .................4.1................................................Foundation ........................... -r Exlej-ior .....i........ ..............................................................Roofing ......6 PHAI 4-1................................................ ................ ...... .... ....Floors ....... ...... ........Interior .........k.19................................................................. Heating ......... .......61........ ...................Plumbing ..... ........................................................................ Fireplace ...........(T. ...................................................Approximate Cost ...... .........Q. ............................................. Area .........I................................ Diagram of Lot and Building with Dimensions Fee .......... lee ................................. 5is Fi?-i Lo 5ED PLga,S P1 0 7-- P(_/a, 41, fP I a cel C� , 7/ add OCCUPANCY PERMITS REQUIRED-FOR NEW DWELLINGS I hereby agree,to conform to all the Rules and Regulations of theJown of Barnstable regarding the above construction. Name ... .. ...... .. ....... ...... ... ........r....................................... Construction Supervisor's License'......&,�. CHIOTELLIS,- PHILIP DR. A=342-,004-OOA, OOB & OOCO 33322 � BUILD ADDITION` No ........ OA ......... Permit for .................................... Commercial Build* (j Location .. 52 Park Street ................................................... .....................HY.ann i.s..................... Owner . Dr. Philip Chiotellis ........I............. Type of Construction Frame .......................................... ....................................................I......................... Plot ............................ Lot ................................ Permit Granted ....Oc.tober...3 0, 19 89 Date of Inspection ...................................19 Date Completed ......................................19 1103 Assessor's offloe(1st Floor): SEPTIC SYSTEM MUST BE Assessors map and lot number :14 2-0/0 Q Y_ INSTALLED IN COMPLIANCE Board of Heap(3rd floor): Sewage Permit number / 'z :?6 WITI'I TITLE 5 ew Engineering Department(3rd floor): IRONMENTAL CODE AN t 11 3TULE i #7 TOWN REGULATIONS ` 39 House number oo ,s39. Definitive Plan Approved by Planning Board 19 ?arr d• APPLICATIONS PROCESSED 8:30-9:30 A.M.and 1:00-2:00 P.M.only TOWN OF BARNSTABLE BUILDING' INSPECTOR APPLICATION FOR PERMIT TO MOVE vim^ TYPE OF CONSTRUCTION SEA 1q 19 -10 TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following informati:'il: Location 175 'BA'WIEW STREET tiYANA115 MA d 2-601 Proposed Use N ?81 VATS DFFICE Zoning District Fire District 0YANN1G Name of owner CAF C COD ELIVANCI Al,' PLAN IV WgAddress .N NbRTtl S l 14YANAIIS MA 02,(-Z)1 Name of Builder IJONE Address Name of Architect AKIZb J86SOCIA TES Address gg CAMP T WMAIN15 MA Dip 1 Number of Rooms % Foundation C©AJC,RETE fi)AM5 Exterior bA� S��N Roofing BLACK A SN A L-T SIA f (7LES hFloors_ i� - ___._----,- Interior .— RT1C(E 80K1 AD Heating CaAS Plumbing C 67- I RON Fireplace V E5 — BVT NOT 056PBLE Approximate Cost :0 154 b y0 760 r Diagram of Lot and Building with Dimensions Fee A-rmcHED �l 0 OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town of Ba nstable regarding the a ve construction. Name Construction Supervisor's License � ��'�1-�i�• �� CAPE COD FINANCIAL PLANNING- No- 34002 Permit For Remodel to Office - Location 9 � y U ItW Sr _ N yANM1S, MA OZIoO l ; LI ZZ Owner. I E COb FINANGi A L_ PLfVC� U Type of Construction Frame _ y1 j Plot Lot. Permit Granted October 11, 19 90 Date of Inspection 19 Date Completed 19 i f L ' LOT I 1 337.38 0 �-� L O T 1 O w r 0 OB t IC 1 n - FOtJNDAT101.1. � � 33B.65 ` _ine # RR-O-7 4 CEPTIFIED PLOT PLAN PREPARED FOR: LOCATION. LOT 10, BAY VIEW ROAD HYANNIS SCALE:, 1"-30 ' DATE. . 10/05/90 REFERENCE: PB -438 PG 15 AKRO/BAYVIEW TRUST I HEREBY.CERTIFY THAT 4THE STRUCTURE -- SHOWN ON THIS -PLAN IS LOCATED ON THE GROUND AS SHOWN HEREON. �a`Zd 4F M�S� g? JOHN down cape .engineering, inc . PNE H ,No.33o36002 � CIVIL ENGINEERS _ =LAND SURVEYORS F /o c61b -� ROUTE 6A YARMOUTH MA DATE REG. VEYOR id -re LLl. s I A tw eS elf IAJC- let,, e,- /�,� �►rloveMewtS 771- YZos W77S-Za%i(a77/. 3/!3 Y /S Aj -7—/, de 1) g Co�St�7 6f J 7 3� �Q-t�►n �77v a� QR o c!ov el rJ �Ctl��ds. Ica f � -tTAL 3997r � �l �1 v v a vr cd-e •4 7 Ale K s T d«jOFf®mod i /a S '� !- /A f�l�( k► Stet S - W N-O d"`/i/r/G J U fle,<, Allo f 7' i . +` �e t a�art }nr.w. *`�1' '� j4 � �� t' �.` a'4 �s�v ��_ ... >ya`,. ds"0• �i�+�i 1 n a �� °b firt� �1 � aF. ` •_. t. x�•t .+ '� '4 t _�, � 1,4 '.; J"f� 4, .� ,�3`� A1\` �x". .�!„ fay �`v��,, •L.Y;{: , .'i ;': I �L 1 � w.�Q �+-r ;x •+e;.<E \r `� w 1..\,''� __..._ � �. ., �� .. 'fY,..yam ti �W _' �},,.,, ._ I.n_ � � .�x.t._ ..,•4 �. _ .Y. �—%�;;.�9y:'tea � ��'�};� x - � � p- �«PY. .. M `J 5 j w �o ta. tom. r r � v 0 Opp � • ROAD CONSTRUCTION 16 BLACK FLATS ROAD DENNIS, MA 02638 508-385-8877 f� cDrcs JTD `x �o ° �Q✓I,c� lad. 5 engineering Dept. (3rd floor) Map 3 02- Parcel .00!! U d C Permit# 3 ?3 f 2 j House# (� - Date Issued 7 �l � y `r Board of Health(3rd floor)(8:15 -9:30/1:00-4:36) r 7 G -� Fee �, Conservation Office(4th floor)(8:30-9:30/1:00-2:00) nning Dept. (19t floor/School Admin. Bldg.) t t►+e►o, . lefinive Plan Approved by Planning Board 19APPMC A$EWER 'EONNE r ON THE TOWN OF BARNSTABLE W'tv N PBIOS TO Building Permit Application .s � /c Street Address /� �/ �E/��'� C'le5-r/7e:-!- � Village S / Owner Iht 10?e-lllS Address i 77/ ,.Telephone - Termit Request �,u3��/ �� ` �. st�c/% �¢ ,C�(/A1s y, '��,� 01//- ," First Floor square feet Second Floor ' square feet Construction Type ltl b b Estimated Project Cost $ SOdd, d U Zoning District Flood Plain Water Protection Lot Size Grandfathered ❑Yes ❑No Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family(#units) fff 4�koe - Age of Existing Structure Historic House ❑Yes ❑No On Old King's Highway ❑Yes ❑No Basement Type: Ld"Full ❑Crawl Ll Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full: Existing New Half: Existing New No. of Bedrooms: Existing New Total Room Count(not including baths): Existing New First Floor Room Count Heat Type and Fuel: ❑Gas ❑Oil ❑Electric ❑Other Central Air ❑Yes ❑No Fireplaces: Existing New Existing wood/coal stove ❑Yes ❑No Garage: ❑Detached(size) Other Detached Structures: ❑Pool(size) ❑Attached(size) ❑Barn(size) ❑None ❑Shed(size) ❑Other(size) Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial Zes ❑No If yes, site plan review# Current Use Proposed Use Builder Information Name A (qA;J1�'Grg=mac—'' Telephone Number rU� 7ff" a�L�l Address (� �j e`��c /��, License# 6 D 199 71r NAtiw/s, ✓I//FQ� a)G d Home Improvement Contractor# Worker's Compensation# NEW CONSTRUCTION OR ADDITIONS REQUIRE A SITE PLAN(AS BUILT)SHOWING EXISTING,AS WELL AS PROPOSED STRUCTURES ON THE LOT. ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO 6GU N oir 2',�Wvf7 1 ILO SIGNATURE <. DATE 7 g BUILDING PERMI DENIED F R THE F LLOWING REASON(S) FOR OFFICIAL USE ONLY , PERMIT NO. DATE ISSUED f. 131 MAP/PARCEL NO. - ADDRESS - VILLAGE - OWNER _ � �; - ► - � `� ., � t i i f a DATE OF INSPECTION: FOUNDATION , FRAME t - INSULATION FIREPLACE ELECTRICAL: ' ROUGH FINAL' - PLUMBING: ROUGH FINAL ' GAS: ROUGjj FINAL FINAL BUILDING f24 , DATE CLOSED OUT i ASSOCIATION PLAN riq 70 t ,Assessor's office Ost floor):, 'Q Assessor's.,map and lot number ... .I�.N3 Ya:....Q o a..�6/� 000��C P CF tMf TOE♦ Board of Health (3rd floor): Sewage Permit number ... .... �j./. .... ....:....... a Z BAHd9T11DLE, i House number .......`.. .. .. floo moo NAM 0� g P + 39 Engineering Department (3rd:..•..,..:...,�5.�.��..•...•.••..••.•� � a\ • YPY Definitive Plan Approved 'by Planning Board --------------------------------19-___--- . APPLICATIONS PROCESSED 8:30-9:30 A.M, and',1:00-2:00 P.M. only TOWN, OF BARNSTAB.LE . t w BU1,01 G ' INSPECTOR APPLICATION_ FOR 'PERMIT TO a S l Rv�T .A.v Dl T/o ............ ....... .. .. ... TYPEOF CONSTRUCTION ................:.............................................. ..................................................................... 9 - TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: ' Location T Y......5,.�`�-............ f .�.k.,....... :.............. r`......_.............................. ' Proposed 'Use .... � ` ...... .: !.. ............t...... . - Zoning District ..... . ,!,,J...... .................... .......,fire District :..................l.l...�! s......... .......... ,,rJ Name of Owner P / '.l.��l......C�fJ,�.j A.L�.,?:Address .......... .�J .......H1./� ... ........Address :....,....Name of Builder .j ..`. � ,�"/ .�. �! .��- Az b` e n� ') Name Of. Arrhitart .. � rl/.�.1 ....I...r:"I.e Y.0 ••s �.�.: �DX...:�.�.�:...�Q...��'!C,U,�J�I; fy4 . / Addres n Founds Q ® � / -..................................... lion ..U......VV.n.L.�-:.. � )I/L S�/9Glz) Number of Rooms ..................... !.l.l .......Roofing ...........J. ....... ..... . R�H t Exterior ........................ ^......... ................�....................... ..... Floors I.I,.... ._....1:.�„ K/DOS..... .... �. .P�y ........interior ........�!..9.......... Heating � ...�........in . ..... .....1�. ...................Plumbing Dl� .................... Fireplace .......... 0 ....................Approximate Cost ...::. .d OD®- . ....................... ........................... . � .Area.......:...%'..�:.�.� ....... -. ... .... Diagram of Lot and Building with Dimensions Fee W Si'LC o:' o OCCUPANCY PERMITS REQUIR OR NEW DWELLINGS I hereby agree to conform to all the Rules and ,Regulations of the Town.of Barnstable regarding the above*. F. ' Name ................`.I.......... ............. Construction Supervisor's License ...... CHIOTELLIS, DR. PHILIP - No '...3.3.E 2.2. Permit for ...�.3L.l J?..AUX.Z'.10N CommerC.i.41_13gi.1ding.................... = _ I Location ...5�...�a1;]�...5 kxss~. ... ..... .......... o"� ,. Owner..I?r.,... 7 Type of Construction F.r.ame.................t�.......... s .. .... ......... .....`:....`a.... .......:.................... , Plot ............................. 'loth.. r October 8L5 ' Permit Granted ..........3Q.e...>�19 : = Date of Inspection ....................................19 q - Date Completed .. ....�. r!c. _ ....19 �:< as _ - _ �.• - V Y3- The Commonwealth of Massachusetts 1 Department of Industrial Accidents #IfCg Of1=95 igWONS _ 600 Washington Street ._ Boston,Mass. 02111 Workers' Compensation Insurance Affidavit %%%%�� am'/%%��%%:Ilz %� aiiriiviar��r�irraai rair�iioiryiiairra // / // . name gi��ti location: city 4,44,V'VO, tl4e4, phone# 7%0,0kV1 ❑ I am a Aomeownei performing all work myself. ❑ I am a sole proprietor and have no one working in anv capacity U 1 am an emplover providing workers' compensation for my employees working on this job. company name l//��!i �' l / l K" ' Ll O • address: J5 city: ti i s owl nhone 73 insurance co. h!3 �� iie #ov LC! Od2� � ❑ I am a sole proprietor, general contractor, or homeowner(circle one)and have hired the contractors listed below w 0 have the following workers' compensation polices: company name: address: dt r. hone Al. insurrince cam anv name: address: city: hone#r .. insurance co olicv# 11.1.1 Failure to secure coverage as required under Section 25A of MGL M can lead to the imposition of criminal penalties of a line up to 51.500.00 and/or one vents'imprisonment as well as civil penalties in the form of a STOP WORK ORDER and a tine of S100.00 a day against me I understand that a copy of this statement may be forwarded to the OMce of Investigations of the DIA for coverage verification. I da hereby certify raider the pains and penalties of perjury that the information provided above is true and correct ` signature Date Print name �' " ' Phone# omciai use only do not write in this area to be completed by city or town olIIcial city or town: permit/license 0 ❑Building Department ❑Licensing Board onse is required ❑Selectmen's Office ❑checkifimmediate mp ❑Health Department contact person: phone tt; QOther. (revuea 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 o; 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 fenewa' business or to construct buildings who has of a license or permit to operate a bu ildmgs in the commonwealth for any applicant 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 perm license number which will be used as a reference number. The affidavits may be returhR io 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: N The Commonwealth Of Massachusetts Department of Industrial Accidents Me of InYB=tlgadons 600 Washington Street ` ' Boston,Ma. 02111 fax#: (617) 727-7749 'w'> phone#: (617) 727-4900 eat. 406, 409 or 375 f� i T - ' x✓ °�m 9 ' .i ] .'-' � i. t�) ¢{r�M��,Gf !'�"�-.-.�Yf4d{✓r. �' '70 p,.n �Y �IY . C. Assessor's map and lot number"::�...I ..........`7........... ' THE SEPTIC SYSTEM Sewage Permit number '�...0..Qn ... �i�'!.. �j INSTALLED IN CO /��e TITL Z 9HH9TAD , _ .. - ONM ALE, House number U- •�-..AG..�............ .............................. ENS! ERI�T�1L ' MAM WITH IR 6 to TOWN REGULATE TOWN OF BARNSTAELE DUILDIN INSPECTOR . I APPLICATION FOR PERMIT TO .. • ....... .......................................... . ... .... .... .. . .. . TYPE OF CONSTRUCTION ................ . . ................................................... .. . . .... .......�./...........19y/ TO THE INSPECTOR OF BUILDINGS: The undersigned Whereby applieJs for a�permit according to the following information: Location ........ .-G.......e7yR �:.......S.l............HIJI.Y I S..............................................:................................................... ProposedUse .............................................................................::.............................................................................................. • II ZoningDistrict ................................................Fire District .............................................................................. Name of Owner ...C.H.A.M.E.1-LS........au.LuP.;.:....Address ........................................................................... ...... . Name of Builder .. ' ............... Q ..Address �. .......................£ I /i�/...... .... Q.-.,.�..N....S...T.�L�' , Name of Architect ..................... .........................................Address .........................::......................................................... .. Numberof Rooms ................. ...........:.................................Foundation .............................................................................. Exterior ................. .......................................................:..........Roofing ..............................!! ........................................ Floors .................. ........:.....................................................Interior ............ ..: W w .. Heating Cal................... ......... .:Plumbing ....... .. Fireplace ....................Approximate Cost �&k �DefinitivePlan Approved by Planning Board _______________________________19________. Area . .1`l:.....�..,..... Diagram of Lot and Building with Dimensions Fee l a '• 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. I NameV. 1 G... ... .... . .S..... . ....... ............ ........ ~ | No .22962,.. Permit for REMODEL BASEMENT TO OFFICE 52 Locohon ---..!��..��-------- ' - - . ^ . ........................................................ . . .-----.~ / - ^~ C)wmer .� liI»_ i ia______. Type ruction- ..��g��--------.. ............ ......*........................................................... . ^ ^ ` Plot .................. Lot ----`------ March 30 . Jl Permit Granted ............................... --..lP ' ' ^ �1 ' Date oƒ�| . -----'—.lV �i . ` � 3� � Dote Cdmp|ato6 —. ------.`lg ' v ' ' . . PERMIT REFUSED ' - " � ..............................�------_---�.. l9 .. ; —. --~— <......�� --.-- ` —.--.' ' _- [ ..........�.......... ...—.— ' � -- �� lA �� . r, —' -------------' ' ' . - r �'�TJ—' ,----__,,,~,________ ................................_............................................. ' - � - Assessor's Office(1st floor) Map Lot 00 4 Permit# Conservation Office(4th floor) 476, Date Issued a`'� `' P S�fu N, cx /Ja Z —7c? rzz Bird-ef+Iexlth(3rd floor)(8:30- :30/1:00-2:00) _ ` MMOBTAIN a Vgn Engineering Dept. (3rd floor) House ot" irJ` D I T EOM a i� ENGINEERING�o ,STRIJCTION B'rSION Planning Dept.(1st floor/School Admin. Bldg.) BARNSPABLE, Definif Phan pproved by Planning Board 19E6 TOWN OF BARNSTABLE Building Permit Application Proj Address L�� .9�/<_ Village Owner Address Telephone 77F 1 Z 71 Permit Request 46 lz--cow /� � �ii/�'�'�tlL✓ Total 1 Story Area(include 1 story garages&decks) j square feet Total 2 Story Area(total of 1st&2nd stories) V5� square feet Estimated Project Cost $ , / Zoning District Flood Plain /V a Water Protection Ala Lot Size �� Grandfathered? A� Zoning Board of Appeals Authorization Recorded Current Use ��Ol�',D�� D�f/"<�L Proposed Use Construction Type Commercial Residential— //Q Dwelling Type: Single Family Two Family Multi-Family Age of Existing Structure / 114— Basement Type: Finished Historic House Unfinished Old King's Highway ZV r Number of Baths No.of Bedrooms Total Room Count(not including baths) First Floor Heat Type and Fuel Central Air Fireplaces Garage: Detached. Other Detached Structures: Pool Attached Barn;Z_ None ello, Sheds Other Builder Information Name T 4- 41z/Xcs(3 7 �/!�S'jT72flUYI Telephone Number Address //�Z / /> �5,�2��T� License# ZS/�F/�//` .� ,/?�f/� Home Improvement Contractor# /Uz/(,& Worker's Compensation#fl� 8521/--)'SS� NEW CONSTRUCTION OR ADDITIONS REQUIRE A SITE PLAN(AS BUILT) SHOWING EXISTING,AS WELL AS PROPOSED STRUCTURES ON THE LOT. ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO L SIGNATURE DATE BUILDINGIM�ITDE�NIED FOR THE FOLLOWING REASON(S) 1 FOR OFFICIAL USE ONLY r PERMIT NO. (p 7:(52, DATE ISSUED _ f MAP/PARCEL NO. i . , .fit! _ , • fj` ADDRESS. VILLAGE ' 1 . OWNER f 1 DATE OF INSPECTION: FOUNDATION FRAME d 't'cv IQ INSULATION �� { FIREPLACE ; ELECTRId ROUGH FINAL PLUMBING rd ROUGH FINAL ' > <, _ GAS: s ROUGH FINAL FINAL BUII D.IkG `r DATE CLOSED'OUT ASSOCIATION PLAN NO. F f oston, ass. M11 ,�✓��`�v�� Workers' Com ensadon Insurance Affidavit name: S9Y location: city 60A i ohone ❑ I am a homeowner performing all work myself am a sole etor and have no one worldn:'in anv ca aci ❑ I am an employer providing workers' ensation for comp.......... my employees.woriang on this job. toga anv usage:. .... .:.;::.:::;:>:;:;:<::::.:>:::::::>::::::>:<:>:...... p :.:........:................. . : >N> c' itvr arse,#:;: ;< • <• >:'s` >>.> insutan ce co: MM I am a sole proprietor, eral con homeowner(circle one)and have hired the contractors listed below who have the following workers' compensation polices: coat anyname- >:»::<:>::::::: <::?<;::::;<;::i<>:::':<:::<>::>::; ::::=::<•>;:<:::: >:<:::::::::<:::;;::::><:>::::><:>:: >;:>::::;; :. ............ .: address: : :::.;;;:.,:::>:•:.t•.,..:,.:...:, :::.:::•:::.::::T::. . .........:::.�:.:.�:.�::>'::::.:.�:::::T..:•.::....... .... ......... ::tii.tt S?yi::':::�:•.rY ii::.`•�ii:3?:r{:>iiY'i:Yl:tl v::P J.{..vrov.v ........................................................................................ x.....w.n..v::.v:nt{.:v:.}vr::.i:i:L{{:•i:�::h::.:i:n:v.�::::•::v:::::•.....:T.... y:::.(•:.t...... non•::`.:r::;r::;:�::::;::::ii:::.:::::�:::Si{:::�:;is S': :.:........:...: .........:::......: ..ate:.•:•:•t:::::::::::•:;:::.....{,.- .......:.•.. .;.......:r,•::::::::r::::.......... ...nc•.......... .......t.:..............t•... .......r:v. .•:::.�::v,.n:{{•T'1}:...'v v:{:�v' ..r:.,.: ....{t x••::.t ........ .:.. .:...�.........:::::::v....S.............n.....:::::....... :..•x::.:�-::.�.:::::::. ........ :........... fit• 'l.......;{.}x::\T:fi;n.{v.:v:+.{..{•.w.t•:•. ...::::::::.�:...........::•x::x::::._::w::::.:.......... :n:_::v:::::::rv:.:�:�:.�::::: ti•:bk:ti:;:ji}:i•:}:4i:4::::::j::: comy :.+a�:V'naltle:';.'�.'�:�:;%;:>;�::�:<:�::::ti�.';'::}':::::::::�:�:�$�::�:;�:�:2t;:;�{:;:}<ii:�:'is��t�::v+�:v:'::;::i�{:,:�ti:::i:'i:.i::`':'::::i:::;ii�::{:';isJ:<{;:<;:;':�$;:y:��:;{:%:�iti:::?ti:jiiis??;is5:::�:::::>:::�ij::i::L::->:fi`::{:r`:::`::;R`:;::i;:;:;:>::.::::::;'.::•'.v'i::......t:.....:::::•:::::.:....... addrer .. s ci n�nrence <:> Fatinre to secure,coverage as required mndet Section 2U of MGL M can Ind to the imposition of criminal pemlties of a fine up to S1,500.00 and/or one years'impAsonment as well as civfi penalties in the form of a STOP WORK ORDER and a fine of S100.00 a day against me. I understand that a copy of ddrstatement may be forwarded to the Oince of Investigations of the DIA for coverage veriIIntion hereby certify under a pasts mid penalties olpedury that the infornmadon provided above is trn:mid coned signature `/�'" '✓� Date 6 12-A 0 Pfint name !�/ �' Pltaae# - -------------- oincW use only do not write in this area to be completed by city or town official city or town peradt/llcense# QBuading Department ❑checit if immediate response is CI Board required ❑selectmen's O$ice contact person: (:)Health Department ph ❑Other Orium 9/95 PIA) t - . :1/ - I . :1 . .11 .�. 1 1 :., i1.11. . a . . . . - . . 111•i1I .t• •IY . •- �/./ • • • • �1 . •111 // - . J / / .�/rl/�• :1 •�I • 1 11 1 �1 • 1 • 1�i 11.�1 1 •1•I• • 1 �►�• • IIII. �. • • I :i• • . / / i4 • - • 1 .4 1 11• '646P.Imp. oil 1 I I 1W. I• •I/ • .• .1. •I Ito) .1111;'o a(;,.;•Y.1 ff;,4o11 • .11 • • • r1• I - . 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The following construction design work is based upon loads and loadings provided by ADAC Laboratories and the Chp. 16 of the State Building Code: Total Floor Loading (168 sq ft) = 55 lb/sq ft °1 This represents all items, 1 patient&2 operators i Total Floor Loading (69 sq ft) = 135 lb/sq ft This represents all equipment on the Mfgs. pad Concentrated Floor Loading (17 sq ft) = 300 lb/sq ft This represents the gantry w/ heaviest collimator Concentrated Floor Loading (6 sq ft) =430 lb/sq ft ►, j This represents the collimator storage unit "i 2. The following preparation work is required before placement of the equip- ment pad and assembly of the equipment: a. Remove all other items in new Service Room b. Remove all non-stationary items and the drop ceiling beneath the p 9 new Service Room (in the basement).. Remove the closet wall back to the location of the left hand support column. Measure length and order W5x16 steel beam. The beam needs to fully support all joists that occur beneath the new Service Room. Recommend locating pre-drill points for f i the 7/16" dia. holes and 3/8" dia. machine bolts, see step k. below - c. Determine status of closet in Service Room, remove as required d. Determine new door arrangements; remove, relocate and head-off as required. See Plan Sheet and Notes e. Drill 3 sounding holes thru basement slab 12" away from each of 3_pads and determine concrete slab depth IF concrete< 6"thick proceed to f. IF concrete> 6" proceed to g. f. Open 8"+square hole in slab at each new column pont. Hand excavate a 12" deep by 18" square bell pier. Wet, compact and solid fill w/concrete VERIFY FLOOR JOIST LOCATIONS (30" o/c) g. Drill 1 depth measuring hole thru Service Room slab/deck 4'0" from the interior bearing wall measuring towards the front and determine overall ` floor depth. IF depth < 3-1/2" proceed to h. IF depth > 3-1/2" proceed to i. h. Install 3/8"x 60"x 165"sub-pad bearing plate. NOTE -final dimensions may have to be oversized to accept ADAC machine pad. VERIFY w/Mfg. Check floor levelness and screed on leveling compound as required I i. Mark support beam bearing line on underside of floor joists (30" o/c). In- stall joist cripple blocking using back to back sections of 4" metal studs. Studs to sit tight to joist web, tight to bottom in flange pocket and snug i 4 tight to underside of slab/deck. Thru screw or tap-screw blocking to web and 2nd blocking member I. Install W5x16 continuous steel beam supported on'3 ea 3-1/2" concrete filled steel tube columns. Use 1/4"x 4" square top plates & 1/4"x.4"x 6" bottom plates. Weld all connections; beam-plate-column-plate. Drill and j install 2 ea 3/8" dia. Kwik-bolts into the basement floor thru bottom plates i k. Fasten the W5x16 top flange to the bottom flanges of the floor joists. j This is necessary for lateral stability. They can be drilled and bolted w/ j 3/8" dia. machine bolts or they may be pinned w/a Ram-Set gun. Provide 1 bolt or 2 powder acutated fasteners each cross point I ) P82-FRW-7 4— 'A l 14 &111 ("'►LLU r1L'r UMJYY'Qn1\0nLti Project No: 107 BEACH STREET U DENNIS.MAOZBJe Sheet No of` _rsoe 3esesBz.._ ff MEMO FOR RECORD: 2 June 2000 I Subject: Commercial Floor Reinforcing System ENGINEER TO INSPECT WORK PRIOR TO EQUIPMENT PLACEMENT ' i I. ADAC Technicians install epoxy pad m. ADAC Technicians begin equipment installation ; n. ADAC Technicians begin component mechanical testing ENGINEER TO INSPECT WORK AFTER EQUIPMENT TESTING o. ADAC Technicians complete installation i p. Rebuild basement walls, tape&finish. Re-install drop ceiling 3. SERVICE ROOM FLOOR PLAN, Sheet 1: 1. Existing service room wall - 2. Existing bearing wall. In-fill unused door opening w/standard studs 3. New service room doorway, provide 2/2"x 8" w/ 1/2" CDX wood header 4. This closet will probably have to be removed -- 5. Exterior wall header OK, swap out triple casement for 6'0"sliding doort - 4. BASEMENT FLOOR PLAN &X-SECTION, Sheer 2: 6. Existing basement room walls 7. Existing splice plate. Remove bolts and install 3/4" dia. A325F bolts w/. nuts &washers, FULLY tighten 8. New support beam -W5x16 continuous beneath all service room joists'" 9. Existing floor joists (a)30" o/c 10. 4" back-to-web steel stud cripple blocks. Run tight from joist bottom 1 flange to slab/deck. Thru-screw of tap screw blocking to web member 11. New support columns; 3=1/2" concrete filled tube columns. Provide 1/4"x 4" square top plate and.1/4"x 4"x 6" bottom plate. Weld all points' W 12. Fasten bottom plate to concrete pier w/2 ea 3/8" dia. Kwik-bolts 13. Support pier; open 8" square hole and hand dig 12"x 18"square bell pier. Wet, compact and fill w/concrete zN OF ' T. VARNUM PHILBROOK, P.E Philbrook Engineering a� rr��1 Icy E..FiRfviC l ,v a w No. 3D690 2 Incls. -Service Room & Basement Floor Plans t 4. FSSl0AAE Y r PY P82-FRW-7 ivy„ tip.. ST a M1 Li rl n r O77777N _ , i 1 ar• .r t � S r. CD, c F. V!- .� rTr ,� (n'Z7 e Oct Vfj 4O y y �� m1 i S 9 , R ► M Z&) ENGINEERING FIELD REPURT/WURKSHEET Project No PGA` >OE Sheet No of V f / U u iA TI Q 1 i 1�.� .• ..1.��F��/� 7YYAt ' A. Ol �ZL I .. 1 • AV 10 11 NO tv w • r ]` 3 �,, I • -- w P82-FRW-7 ^BOARD OF BUILDING'REGULATIONS. ` r Llcense: ,CgIN TRUCTION SUPERVISOR `4444 Numbers"C9` . 001952 i 97%�9i2001 Tr.no: 567 r;r . . i . - 7 , To: 00 RUSSELL A'GIBBON°.tom 32 MID PINE ROAD YARMOUTH,.MA 02675 Administrator T�-� ,t'T 0..rae;:••`;'T.[lR..T,Y".�-T'.�""t a�-'Y -i'C pn,m,� x.�-T 1 " a s > TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Ma ��/� Parcel Oe!' _,r�,,�� `° Permit# p — 7 <YdILL M._1CAMT MUST OBTAIN A SEWER e 1W � ?".1NNEC?ION PERMIT FROM THE On 3 T� V-401NEERING DIVISION PRIOR Date Issued Conservation Division Fee Tax Collector/J w Treasurer__( Planning Dept. Date Definitive Plan Approved by Planning Board Historic-OKH Preservation/Hyannis Project Street Address 'Z a C S 7T�V, if ea-4- C e wr i 1 Village bL)Ary\(S al Owner p. C h i O-I-e I I r S Address 5,4 Telephone 77 1 " 2-os ' Permit Request To 5� o4 1--eevw,4.14 c :Se C=f` Ov, 04� Square feet: 1st floor:existing 33 '� proposed C- 2nd floor: existing proposed Total new Estimated Project Cost 1$000 Zoning District Flood Plain Groundwater Overlay Construction Type GuooJ FmK &,*0- Lot Size Grandfathered: ❑Yes ❑No If yes,attach supporting documentation. Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family(#units) Age of Existing Structure Historic House: ❑Yes O'klo On Old King's Highway: ❑Yes Flo Basement Type: & ull ❑Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) G 00 Ag oA Basement Unfinished Area(sq.ft) Number of Baths: Full: existing new Nlc Half:existing, new N c Number of Bedrooms: existing new bk_ Total Room Count(not including baths): existing new First Floor Room Count Heat Type and Fuel: O'as ❑Oil ❑Electric ❑Other Central Air: �s ❑No Fireplaces: Existing Xlo uaF New Existing wood/coal stove: ❑Yes allo 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 Qle's ❑No If yes,site plan review# Current Use 00C40 5 041 Cam-- Proposed Use S ,9-rnt-- BUILDER INFORMATION A Name usse Y A- q— Telephone Number L) Address Z vz►,. License# L S L b o!4 Sz- U a Home Improvement Contractor# 1 U `'f K Z� C Z G-7 5— Worker's Compensation# ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE i % s _ FOR OFFICIAL USE ONLY — r PERMIT NO, DATE ISSUED i MAP/PARCEL NO. r _ r L t •. ADDRESS VILLAGE - OWNER - } DATE OF INSPECTION: t FOUNDAO:N„ m , �r. FRAME o + INSULATIaN FIREPLAO,>-- • •' ELECTRICAL: ROUGH FINAL - t 1 , :f • , `' PLUMBING: ROUGH FINAL • c - GAS: ROUGH FINAL 'FINAL BUILDING DATE CLOSED',OUT ASSOCIATION PLAN NO. P� € ; -- Department of Industrial Accidents Office offlyaMUZORS 600 Washington Street Boston,Mass OZIII •�; Workers' Compensation Insurance Affidavit ' //�/%//ram%//%�///. name: location 3 Z t 1/ n ou city G 4 �w 1flAIr-7 6 2.6� phone 3� H ��2-7 ❑ a omeowner performing all work mvseif. M I am a sole aronrietor and have no one working in a v ca achy ❑ I am an employer providing workers' compensation for my employees tivorking on this job. comnnnv name: address: - city' phone#- insurance cn. eiicv# f ❑ I am a sole proprietor, general contractor, or homeowner(circle one)and have hired the contractors listed below who have the follo«ing workers' compensation polices: comnnnv name: address. city: .. : ...... . .... ..... ..... .•:z:�'•s'.`:'�'°:�.••: phone#c " insnrnnce cn. eiicv#.. _:: . . ...;:.:.....:.,...:: .. c' F„?:''?w•>;'::. comnnnv name: addresi- • city- phone#4 ..: . .: :;:>...:.:;... -. . ..................... ......::::.. insarnnce co. :.....:::;.... ....:..:>;.•: oiicv# ::..:.::.::.:..:: ....,:: Faflure to secure coverage as required under Section 25A of MGL 152 can lead to the imposition of criminal penalties of a ine up to 51,500.00 and/or one years'imprisonment as well as civil penalties in the form of a STOP♦VORK ORDER and a 1Lte of 5100.00 a day against me. I tmdetstatd that a copy of this statement may be forwarded to the OMce of Investigations of the DIA for coverage veriamdon. 1 do hereby certify un r the pains and penalties of perjury that the information provided above is trip.and correct ' Si=mre Date S/7/Q f _ Print name <Zu SSe U G>(" J r- Phone a—_�6 Z - z� [wnt-ac,t nly do not write in this area to be completed by city or town official permit/llcense# riBuilding Department nuuediate mponseis required ❑Sete=e Board ❑Seleeanen's Oltleeon: phone#; a Vieth Department _. . ... ;rrAwa r,95 PIA) ...: Massachusetts General Laws chapter 152 section 25 requires all employers to provide workers' compensation for the employees. As quoted from the "law", an employee is defined as every person in the service of another under any cc---- 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 c: the foregoing engaged in a joint enterprise, and including the legal representatives of a deceased employer, or the 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 an the grounds `_ 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 Iocal licensing agency shall withhold the issuance or renew, of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who ha< not produced acceptable evidence of compliance with the insurance coverage required. Additionally,neid=..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 fimn nce 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 retumed 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. Cl t�' 0 T TOFVnS � � �� /� �� /• 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. The affidavits may be rc=fi6d io 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 OQ1ce of mves uadons 600 Washington street . Boston;Ma. 02111 fax#: (617) 727-7749 phone #: (617) 727-4900 ext. 406, 409 or 375 t, 1 1" ..i � r z o N j a cT o _ N C m c X W rn � S F Wv5SeI( &SIN nro�3o5�� Pnou +t"o %5 For Rea--I e"�¢�`� 5 z PPrI t( S_- t4 tionri a i►�s9-� 1 a 4 R�✓bvct,f� l owc� Leese 0 1=n� mod,E.�-� File _ ou+,ii e, S (vit l E/h Grg t ncc� i 66r-ec,; Me cHav�lc.�l ;O m w% 3 O)t Elam S-kel Bois+- w A,n.d P�urER c��.c��k above. 7Y"--; ft\e-. A/tw C44 -113 Gt-ou4 (>e.•`n.eff� . i�S�/�f� q�►�l Sl oe ocic jn5{-�9-1� (t✓t�/ GZ�Co�sfie�g-/ O(�m� Cr� le�q TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Ma Parcel Permit# m� HeaftH-Bfivtsion — 3 7A Date Issued (((�Z[ /of I ` b Conservation Division J, / Fee Tax Collec or e— ��I71 Ila U, d Treasure k1�I�j.1 ` APPLICANT MUST OBTAIN A ROAD OPENING PERMIT Planning ept. A A FROM ENGINEERING DIV. f RIOR TO CONSTRUCTION Date Definitive Plan Approved by Planning Board Q" Historic-OKH Preservation/Hyannis Project Street Address �� TO el (L)NiT- 3) Village Hya n r\�S . dQ (® Q 1 Owner V� i c U\ I ``o Address ✓` 4! 4 ' Telephone S-0 9 v _2 7 yo�v� Permit Request O✓I fO,1 (l CVIC 'J/4 chfw X-, Square fey y st floor: existing proposed 2nd floor: existing proposed Total new Valuation(` �S 45rM Zoning District Flood Plain Groundwater Overlay Construction Type Lot Size Grandfathered: ❑Yes ❑No If yes, attach supporting documentation. Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family(#units) Age of Existing Structure Historic House: ❑Yes ❑No On Old King's Highway: ❑Yes ❑ No Basement Type: ❑ Full ❑Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full: existing new Half: existing new Number of Bedrooms: existing new Total Room Count(not including baths): existing new First Floor Room Count Heat Type and Fuel: ❑Gas ❑Oil ❑ Electric ❑Other Central Air: ❑Yes ❑No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑No Detached garage:❑existing ❑new size Pool:❑existing ❑new size Barn:❑existing ❑new size Attached garage:❑existing ❑new size Shed:❑existing ❑new size Other: Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes ❑ No If yes, site plan review# Current Use Proposed Use BUILDER INFORMATION A)o S r C&.. Name Telephone Number -29%46 Address D p . License# S, fvl Home Improvement Contractor# /)®24,4 Worker's Compensation# ALL CONSTRUCTION. IS RESULTING FROM THIS PROJECT WILL BETAKEN TO SIGNATURE DATE //11( Cif s FOR OFFICIAL USE ONLY k♦„x 1 PERMIT NO.` DATE ISSUED MAP/PARCEL NO. i ADDRESS VILLAGE OWNER ' r DATE OF INSPECTION:. FOUNDATION FRAME y INSULATION ! FIREPLACE ELECTRICAL: ROUGH FINAL r PLUMBING: ROUGH FINAL s GAS: ROUGH FINAL FINAL BUILDING x cr DATE CLOSED OUT K`o!i rn ASSOCIATION PLAN NO.c `~ Is ` The Commonwealth of Massachusetts Department of Industrial Accidents _ Office offayestfoo oos t 600 Washington Street Boston,Mass. 02111 Workers' Co m ensation Insurance davit WWWWX name: -location: city hone# ❑ I am a homAowner performing all work myself. ❑ I am a sole proprietor and have no one working m* anv capacity I am an em lover raviding workers' co ensation for my a loyees working on this job. P V. company name ' `. �3 ci hone p insurance co �ONdd � 'df?yt : ud ��f. ❑ I am a sole proprietor,general contractor,or homeowner(circle one)and have hiredthe contractors listed below who have the following workers compensation polices: eom anv name: X. �htm ............................................ x. ..::..::::::. ....... ................. .......................................................................................................................................................................... ....................................,;:.;;............................. �.. :.•.:. anv:natne: xx- address: 0. n�nranct co.:: Faibuv to secure coverage as required under Section 25A of MGL 152 can lead to the imposition of criminal penalties of a fine up to S1,SOo.00 and/or one yew'impri3onment as well as civil penalties in the form of a STOP WORK ORDER and a fine of 5100.00 a day against me. I understand that a copy of this statement may be forwarded to the Office of Investigations of the DIA for covers2ed ification . I do hereb ertify under tit pains and nalti f e ntformadon above is trrs/and con Cf. &anschi Date Print name t/ v/ �C Phone# J ��/ " 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 required ❑Selectmen's Office []Health Department contact person: phone#; - ❑Other devised 9/95 P)A) 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 emplover is defined as an individual, partnership, association, corporation or other legal entity, or any two or more of the foregoing engaged in a jomt enterprise. and including the legal representatives of a deceased employer, or the receiver o 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 cr 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 renew2 of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has equired. Additionally,neither the not produced acceptable evidence of compliance with the insurance coverage r contract for the erformance of public work until commonwealth nor any of its political subdivisions shall enter into any r 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 as all affidavits may supplying company names,address and phone numbers along with a certificate of insurance submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and the city or town that the application for the permit or license is date the affidavit. The affidavit should be returned to e not the Department of Industrial Accidents: Should you have any questions regarding the"law"or if you being requested, eP . 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 as a reference number. The affidavits may be retmmed 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 Deparuneat's address,telephone and fax number. The Commonwealth Of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston, Ma. 02111 fax#: (617) 727-7749 phone #: (617) 727-4900 ext. 406, 409 or 375 I . P'..��+"�� ✓`�ie Jom�mza�u�sea�x a��aclzuQe%`a BOARD OF;BUILDIMG�REGUtAST�ION's Ltc se CON SITRUBIT,1;ON SU,PERmvIS,OR Numlie .CS, Qfi85:64 p""F es U�O %r2002 Tr.no. MOI!8 i "12esfr,c o0.© ' BRUpCE�E+M`ONP�``COEF S YARMO,UTH, MA 02664 A`dmirristratoi 1 � I k. �99 4 ,`1 ' TOWN OF BARNSTABLE BUILDING PERMIT.APPLICATION, t q_ Man �I Parcel 00 Permit# o � Z Health Division .41� Date Issued 914100 Conservation Division A -16 0 Fee Tax Collector ,TwoconrN$' 'HMO Zxa:txEB toxaert of Treasurer � p �P81oII TO ' Planning Dept. Date Definitive Plan Approved by Planning Board Historic-OKH Preservation/Hyannis Project Street Address Z PCAJIC S'�v !1 Village �1 Owner Pk( (P ck o "C([cc Address s Telephone ° Permit Request `f'wc� koN.i—_ Lt. Square feet: 1st floor: existing proposed 2nd floor: existing proposed Total new Valuation 4.,3300 - 00 Zoning District Flood Plain Groundwater Overlay Construction Type Lot Size Grandfathered: ❑Yes ❑No If yes, attach supporting documentation. Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family(#units) Age of Existing Structure Historic House: ❑Yes ❑ No On Old King's Highway: ❑Yes 0 No Basement Type: ❑ Full ❑Crawl ❑Walkout ❑.Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full: existing new Half: existing new Number of Bedrooms: existing new Total Room Count(not including baths): existing new First Floor Room Count Heat Type and Fuel: ❑Gas ❑Oil ❑ Electric ❑Other Central Air: ❑Yes ❑No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑ No Detached garage:❑existing ❑new size Pool:Cl existing ❑new size Barn:O existing ❑new size Attached garage:D existing ❑new size Shed:D existing O new size Other: Zoning Board of Ap eals Authorization ❑ Appeal# Recorded❑ Commercial 42'1'es ❑No If es, site plan review# Y P Current Use �`�( e- Proposed Use /� BUILDER INFORMATION Name R��set( ✓� - �2�5� �' Telephone Number Address VJ t License# C-S 0 Home Improvement Contractor# Worker's Compensation# ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO /w0,/kL\ Let 4�(I SIGNATURE ✓ l DATE Z �� FOR OFFICIAL USE'ONLY PERMIT NO. , DATE ISSUED • - - ' MAP/PARCEL�NO. ~ - ADDRESS `�� _ VILLAGE -� OWNER DATE OF INSPECTION: FOUNDATION - FRAME r" ^`t= INSULATION c� FIREPLACE �t ELECTRICAL: ROUGH n4, FINAL a= PLUMBING: ROUGH:=r FINAL GAS: ROUGH FINAL " FINAL BUILDING ` DATE CLOSED OUT ASSOCIATION PLAN NO. The Commonwealth of Massachusetts Department of Industrial Accidents . • � � ::::•:= _'-_�� Of�ceefloirestigatloas 600 Washington Street Boston,Mass. 02111 ce davit • -- Workers' Com ensation Insuran /,,,,,,::• name: city ✓vt'V phone I am a homeowner performing all work unself. .gym a sole proprietor and have no one working in anv capacity I am an employer providing workers' compensation for my empiayees zvotiang oa this job. comnnnv name: address: city: oiicv#:. . . : .. ..:.:: :. n1urC //%//////// / ///%///.�i�%>.I am sole p /op/eta beneral contractor, or homeowner(circle one)and have hired the wntractors listed below wac have the follo«zng workers' compensation polices: ::.,::;;;;;:.;:<.:;.;:.>:;.;;.:,.... . comonnv name: address: city: .. ..::.�:::.................:?i:':,::...............'.:is iti4i?.. x.. x::: CV ... insurance cn. :..: . .. , . . ..... .......... cam name, address: one :.:.. .: . d. : . Ct r :... .................:.. . .................... ....::.:::. ..:.......:.:...:..:..:::...:....:...:. . . ::::::: {...: . insurance co. Failure to secure coverage as required under Section 25?�of MGL 152 can lad to the Impoaillon of critttitttsl penalties of a tine np to S1.S00.00 and/or one yeah'imprisonment as well as civil penalties in the form of a STOF WORK ORDER and a tine of$100.00 a day against me. I understand that a copy of this statement may be forwarded to the Office of Investigations of the DU for coverage verification 1 do iterenv certify der the pains and pen'al'ties o . erjury that the information provided above is true and correct Date Sienature Print name v�S�(r/ - SCe`% J\- Phone# Z 6 z c' o nciai use.only do not write in this area to be completed by city or town official. permit/license N � ❑Building Department city or town: ❑Licensing Board ❑Selectmen's Office 7 check if immediate response is required ❑Health Department phone Other contact person: k; ❑ X L Information and Instructions r 152 section 25 requires all employers to provide workers' compensation fo:their Massachusetts General Laws chapte employees. As quoted from the "law",an employ,ee is defined as every person in the service of another under any cones of hire, express or implied, oral or wrium An employer is defined as an individual,pa rtnership, association, corporation or other legal entity, or any two or more of and including the legal representatives of a deceased employer, or the receive the foregoing engaged in a joint enterprise, : 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 to such dwelling house or on the grounds c building appurtenant thereto shall not because of such employment be deemed to bean employer. MGL chapter 152 section 25 also states that every state or local licensing agency shall withhold the issuance or renev of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who h: not produced acceptable evidence of compliance with the insurance coverage required. Additionally,neither the commonwealth nor any of its political subdivisions shall eater into any contract for the performance of public work uritil canz- acceptable evidence of compliance with the insurance regmremeats of this chapter have been prese ed to the co ntra authority. 1111110 Applicants Please fill in the workers' camp easa ian affidavit completely,by checidng the box that applies to your situation and natues,address and hone numbers along with a certificate of insurance as aIl affidavits maybe PlYiuS D u �� of insurance coverage. Also be sure to sign and submitted to the ep to the or town that the application for the peraut or license is y date the affidavit. The aff davit should be returned city not the D artraeat of Industrial Accidents. Should you have nay questions regarding the"law"or ifyc being oli lease call the Department at the number listed below. are required to obtain a workers' compensate P cy�P I City or Towns complete and printed legibly. The Department has provided a space at the bottom of t Please be sure that the affidavit is co®p ms has to caartact you regarding the applicant. Please affidavit for you to fill out in the event the Office of . be sure to fill in the pe ihilicenie number which wdl be used as a refer®ce number. The affidavits may be returned t" the Department by maid or FAX unless other azrM9=rnft have been made. The Office of Investigations would Me to thank you in advance for you cooperation and should you have any T=dons• 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 Invesd0adons •� 600 Washington Street _ Boston;Ma. 02111 fax#: (617) 727-7749 phone#: (617) 7274900 eat. 406, 409 or 375 BOARD±OF BUILDING•REGUWnONS - ' License INSTRUCTION SUPERVISOR� 4t e 001952 tt N -- } !'= - Ta 00 RUSSELL A 32 MID PINE ROAD, L � YARMOUTH; M11 02675:- _ .....,:__. : . Administrator 1 N -C 7L © � co t r" V b Do 3L .. / �� oN� GJ•9i� 2o0 CpNr1Z0 - cG- •�� eootn f Sec. � ��! t�/�✓l dut.J' ..,�"�,lST<�✓q �,t/irr��U�' � _ // / j�t C70,� SCALE: `� �-p APPROVED BY: Z /Q DATE: -7/7LB / �B t - _ s IT:02 - _ C0jjvwnwPa& al Mamachtaedi 600 ,lames.l QmPbd &Ion, VaasaJ=sd& 02f f 1 Commrssionsr . Workers' Compensation Ittszaance Affidavit THOMAS A NELSON, T A NELSON CONSTRUCTION COMPANY TNCnRPnRATF-n with a principal place of business at: _ 1112 MAIN STREET 2UTTE 1.2 p O BOX 749 OSTERVILLE MA 02655 do hereby mrdfy under the pains and penalties of paimyr th= , (� t am an employer providmg workers' compensation coverage for my ezaployees ttus job. TIG INSURANCE COMPANY LNf�aRPORATED ' 80417553 Insurance Company Policy N=ber O l am a sole proprietor and have no vne working for we in my capacity. I am a sole proprietor, general commaor or homeowner (drde one) and have I O ensatioa po�id� contractors ilsced below who have the following workers' voznp Centratzor lasm'ance �pauylPo�ic Contractor Iastrrance rMmpaaylPolic Cantractor Insurance CempanylPorc O t,anT a homeowner performing 91 the work myself. I uidand-.�=a C=j of d:is sr =mm,wdl be fa-ruded to ft OM=of TnA3dpji is of ttsa OTA rot coverz�everiiiar sod t -m Ce a.je rs r2=---td under Section ZSA of MGL M can ied to dfe irnpasklon of�= �e ala floe°f uP L° S 1 1M;ri o=*m as weil as civil vamides in the(cm.da STOP WORK ORDEROtt!a fins st Si0Q0o a d�►aP�me Signed this TWENTY E Of FEBRUARY r tg96 (.ICeiIS rIIIILLeL' Budding D�lent j jcensing Board j 3.e .... .a 9 ✓L6.4ueelGi HOME IMPROVEMENT CONTRACTOR Registration 110216 Type - PRIVATE CORPORATION Expiration 10/09/96 T A NELSON CONSTRUCTION CO IN THOMAS A. NELSON RO BOX 749/1112 MAIN ST N12 ADMINISTRATOR OSTERVILLE MA 02055 Restricted To: 06 c DEPARTMENT OF PUBLIC SAFETY U0891 g CONSTRUCTION SUPERVISOR LICENSE 00 - None y Number: Expires: 1G - 1 & 2 Family Homes Restricted To: 00 Failure to possess a current edition of the Massachusetts a Buiildi THOMAS A NELSON is cans on of this lip nse. r,-s 14 ICE VALLEY RD OSTERVILLE, MA 02655 TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map 3 Parcel �O�/ OO f1" SYSTEM PWUS Permit# ,6 o T ED IN COM�LIANt.-. Health Division c /%1� VUFfQi, E6 Date IssuedC� ,�1 C_J Conservation iv"sion MENTAL CO AV,..,F AV,.., Fee ` T 1S�N Tax,Collector'"' REGUL _ Treasurer Planning Dept. Date Definitive Plan Approved by Planning Board Historic-OKH Preservation/Hyannis Project Street Address Village Q rn 0\t C Owner pr c ��j P G�c 4e- <<S Address Telephone Permit Request 1Re-w\0J( -+0 A_me c Ott,— (v\U l 1 i n&)- tvi4�w la SS &CO r n 4ec-e a.0 C'o fk t-W -k_ ,uC�✓ Ply d T ems/ �9�i j�ewf Q( e��s -4o i�t �o s�e1�d b y vas n��. I°�►�C �a��e �e�,�hP� Square feet: 1 st floor: existing 33° proposed c— 2nd floor: existing proposed Total new Estimated Project Cos?!S oo' Zoning District Flood Plain Groundwater Overlay Construction Type Lot Size Grandfathered: ❑Yes ❑No If yes,attach supporting documentation. Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family(#units) Age of Existing Structure Historic House: ❑Yes ZMo On Old King's Highway: ❑Yes -E rNo Basement Type: ❑Full ❑Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) U00 +S f_-� Basement Unfinished Area(sq.ft) Number of Baths: Full: existing new VIC - Half:existing new Number of Bedrooms: existing new Total Room Count(not including baths): existing 6- new First Floor Room Count Heat Type and Fuel: a Gas ❑Oil ❑ Electric ❑Other �l G Central Air: �'es ❑No Fireplaces: Existing A10 New Existing wood/coal stove: ❑Yes 4ErNo De new size Poul.0exiOng UneW Size Barn:❑existing ❑new size Attached garage_❑exisN ❑new size Shed ❑Pxictin' ❑naw cite Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial u'res ❑No If yes,site plan review# Current Use Proposed Use �4wu- vSL BUILDER INFORMATION Name Z65e(f }�- ��. Sod Telephone Number Address 2 t �/�( License# C S L 00 11 U10.ewe D�` Home Improvement Contractor# ( D Worker's Compensation# ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BETAKEN TO rA,�.d � SIGNATURE DATE 6 l 00 FOR OFFICIAL USE ONLY _ PERMIT NO. DATE'ISSUED x MAP/PARCEL NO-4 ADDRESS VILLAGE r f OWNER . - t. _, Via'.., - 1 � �'• - , - _.• � t _ a DATE O'IPE :: , F0UNDAA%I Cap FRAMES m INSULATION FIREPLACE! S — ELECTRICAL: ROUGH 'FINAL PLUMBING: ROUGH FINAL GAS: ROUGH rFINAL r FINAL BUILDING DATE CLOSED OUT t . F ASSOCIATION PLAN NO. Y. a ,1 n PHILBROOK _ ENGINEERING & 107 BEACH STREET DENNIS, MA 02638 CONSTRUCTION .., 1-508-385-8682 .., ENGINEERING DESIGN • CONSTRUCTION INSPECTIONS • BUILDING, ALTERATIONS & RENOVATIONS 1 July 2000 To: Town of Barnstable Attn: Mr. Ralph Crossen Building Commissioner Hyannis, Massachusetts 02601 re: The HEART CENTER Skip Gibson, Contractor 82 Park Street, Hyannis, MA Dear Sir: In accordance with Paras. 116.2.3 and 127.2.2 of the Massachusetts State Building Code this let- ter shall serve as documentation for the materials - and satisfactory completion of the commercial alter Cations to the existing 1st floor office space. The , work accomplished prepared the frame to support a , new Cardio Vertex Plus semi-automated colimator w/ an approx. total weight 9,000 lbs. This was accom- plished IAW plans provided by ADAC Laboratories and . Philbrook Engineering dated 2 JON 00. The only re- imaining work includes some GWB repairs and painting. I have performed site inspections of the work during the installation period from JUN 2000 to the ; present. I certify. that the structural frame has been reinforced IAW the Massachusetts State Building Code and is suitable for its superimposed loadings. ,,Respectfully submitted, 1H Of 'T. VARNUM PHILBROOR, P.E. VAS , C� PfittB �„��t,,�^,., .,- MEChAhdlCAl f= °• 30690 ST ER�� NA ILC(D PY ENS% • �. � � �. � , � �� . c� ,. � � F "' o � .� -�- � , � �. - � � � � - . � � �_� � 1 + � 4 TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Parcel C90q (9U� P # _...AO � fth Divis0n Z17 0� r��-� Date Issued Conservation Division 0 4pation Fee �4 Collector / d�� / 5171D Permit Fee Treasurer ION rL� � IV1� A1 Planning Dept. T j- CO �A SEWER Date Definitive Plan Approved by Planning Board �' oIONPoR To Historic-OKH 1,L) —Preservation/Hyannis 1'3e v_ Project Street Address _ 52- Pa.4c.. S�rfe� Village N a"&r Owner pk`r G ki.0 k c Is fik-to Address Telephone -7^1 1 `t 7"0 Permit Request ,ri-,_ Ne'l- (.gd ( l fe-!6 mA-JVa(-,& C-1I- Gt .C/(1lSCS S�� c— 4 ex4-Ih )( SfI 'r. P��i2C S/kL� It�e�t: Square feet: 1 st floor: existing proposed 2nd floor:existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation V Si 600• 0' Construction Type Lot Size Grandfathered: ❑Yes ❑No If yes, attach supporting documentation. 01 SIG IFOF F1 Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family(#units) i Age of Existing Structure Historic House: ❑Yes ❑No On Old King's Highway: ❑Yes ❑No Basement Type: ❑Full ❑Crawl ❑Walkout ❑Other I Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full: existing new Half:existing new Number of Bedrooms: existing new Total Room Count(not including baths): existing new First Floor Room Count Heat Type and Fuel: ❑Gas ❑Oil ❑Electric ❑Other Central Air: ❑Yes ❑No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑No Detached garage:❑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❑ I Commercial Ues ❑No If yes,site plan review# Current Use PJ i C61 O W C - Proposed Use EA--&�k- x.c� C =►r�_ BUILDER INFORMATION Name V ss'- Telephone Number _3 60 - 6l-2 Z-? Address 3 Z 0A4 �(� �Dczd License# C 5 bo t -q kA Home Improvement Contractor# D 26� Worker's Compensation# ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO 4'. f- SIGNATURE DATE /119 2 32 Midpine Road •Yarmouthport, MA 02675 SKIP GIBSON (508) 362-4727 APRIL 8, 2002 f ' / ? � TO: TOM PERRY TOWN OF BARNSTABLE IT BUILDING INSPECTOR d DEAR TOM: THE ENCLOSED DRAWINGS AND PERMIT APPLICATION ARE I HEART CENTER AT 52 PARK STREET, HYANNIS. DR. CHIOTELLIS HIRED DAVE STOCHETTI TO INSTALL A FULL FOUNDATION UNDER AN EXISTING CRAWL SPACE. THIS SECTION HAD 2 X 10 JOIST, WHICH WAS REINFORCED WITH ADDITION 2 X 10 JOIST AND STEEL BEAMS AS PER ENGINEER SPECIFICATIONS. THEY ARE RUNNING OUT OF ROOM FOR THE PATIENT WORKLOAD AND WANT TO USE THE CELLAR TO ALLOW MORE EXERCISE/REHAB EQUIPMENT THAT IS HOUSED ON THE FIRST FLOOR, DIRECTLY ABOVE. SINCE THIS IS NOT CHANGE OF USE, JUST ANNEXING OF MORE SPACE, WE THOUGHT NO SITE PLAN REVIEW WOULD BE NEEDED. I HAVE PULLED SEVERAL PERMITS FOR THIS BUILDING IN THE LAST 3-4 YEARS TO DO INTERIOR PARTITIONS, ADD STEEL TO SUPPORT NEW MEDICAL EQUIPMENT AND PARTITION OFF THE UNFINISHED CELLAR FOR MEDICAL RECORDS STORAGE. IF YOU WOULD LIKE TO MEET ON SITE TO REVIEW THE PROJECT, I COULD MEET WITH YOU AT ANY TIME. THANK YOU. SKIP GIBSON `� COMMERCIAL ADDITION/ALTERATION ❑ Letter of Approval from Site Plan Review (if necessary) ❑ If located in OKH or Hyannis Historic District- Certificate of Appropriateness required ❑ Plot Plan ❑ Map &Parcel number ❑ Full Description of project (U-value of replacement windows if applicable) ❑ If sprinkler or fire alarm system is required, do not accept application package without prior approval f om Fire Department in writin . Sign-Offs fr Health Tax Collector ❑ Conservation ❑/ Treasurer ❑ If ZBA relief(Special Permit or Variance is required for project: ❑ Copy of Decision .❑ Documentation proving that the decision was recorded at the Registry of Deeds w/in one year of ZBA.decision date. ��Street address of project Correct square footage Estimated Cost c� Owner's name & address Contractor's name, address & telephone number Contractor's signature §ull sized plans stamped p p plans (1 full size and 1 reduced) �Workman's Comp. form Construction Super's License OR'. ❑ Controlled Construction Documents ]:��heck expiration date on license 00 next to restrictions application Fee ] Permit Fee orms:permits l ,.0906/01 i 1 i is IV i ` T'7 +aN ol Goa.45,U i �2rXL i, 1 � i MJ(I( _ it tP xg � 1 I 5 )5YAly FO v a I'v72(V sm W TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Z Parcel 0011 e0A Permit# Health Division t7 4 -2- .0271 Date Issued Conservation Division Fee Tax Collector Treasurer H Planning Dept. wvv Date Definitive Plan Approved by Planning Board Historic-OKH Preservation/Hyannis Project Street Address Pa✓-k- .S-�y -e-F-' Village Owner lip 6x i d+e k fn- ®- Address 7-7 Stay lw ALe_ Telephone ??I- C/Zo 5 0 20-52V Permit Request F-et sad wA-t(S b, YLen& a%! Sim(e- 11.54 kew e(e_,cv*— eLA4 c1C- 2r ,-,s4grti czcCeSS- Square feet- 1 st floor: existing -7 464( proposed 57A*-(— 2nd floor: existingproposed Total new Valuation s 000- 00 Zoning District Flood Plain Groundwater Overlay Construction Type 141oa 6w" Lot Size Grandfathered: ❑Yes ❑No If yes,attach supporting documentation. Dwelling Type: Single Family ❑ Two Family Cl Multi-Family(#units) Age of Existing Structure Z0 4` Historic House: ❑Yes kNo On Old King's Highway: ❑Yes ANo Basement Type: Full ❑CrawllI ❑Walkout ❑Other &,4s CcCti/ es(/ Alow F Csl�6 Basement Finished Area(sq.ft.) 0 D 'V- ,,1 '7 6 W Basement Unfinished Area(sq.ft) 7 440,UOw L/VN4A&U Number of Baths: Full: existing P new Half:existing new Number of Bedrooms: existing_ new Total Room Count(not including baths): existing new First Floor Room Count Heat Type and Fuel: A Gas ❑Oil ❑ Electric ❑Other Central Air: ;kYes ❑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 N[, Shed:❑existing ❑new size Other: Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial [-Yes ❑No If yes,site plan review# Current Use c.&( liZ« L'Se�4=4 Proposed Use ko C,�e"rC, BUILDER INFORMATION Name 15SP(I A. &L50, Telephone Number Z— 2? Address 3 Z AJ License# C S b o l Maw®o.�r' iSS Home Improvement Contractor# Worker's Compensation# ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE e/6/6Z 1 f n S I -=----T- I g - a' l E3Z j4 S (3 I 3,4 PHILBROOR ENGINEERING 107 BEACH STREET Project: HEART CENTER , DENNIS, MA 02638 Project No: POO-11 1-508-385-8682 Date: 4 February 2002 PRELIM DESIGN SIZING AND NOTES Sheet Note Description No. No. ------- --------- --------- - ----- --------- -- ------ -r-- rr--. ----r ----- ----r------ . SR-2 #1 Floor Joists; Use 11.875" TJI/Pro 250 Series @ 16" o/c run continuous, 2nd #2 2nd Floor Beam; W10x26 w/ 2"x 6" top nailing sleeper bolted to the Flr flange w/ 1/2" dia. bolts stagger spaced 32" o/c. Run continuous #3 Center Column; TS3/16"x4"x4" steel tube column to extend to, girt beam below. Provide top and bottom 3/811x 6"x 6" bearing plates. „Weld all connections or extend plates and use 3/4" dia, bolts. #4 End Columns; TS3/161lx3"x3" steel tube columns to extend thru to concrete ` below. Provide top 3/8"x 5"x 5" and bottom 5/8"x 6"x 6" bearing plates. Weld all connections or extend plates and bolt w/ 3/4" dia. bolts. These columns to fit w/in 211x 4" framed walls #5 Center Column Range; 4" column can slide Win this 310" range'to allow for some 1st floor column location flexibility SK-1 #6 1st Floor Joist Upgrade (1213" spans) ; Sister every 211x 10" joist to . lst create double joists @ 16" o/c 'using 211x 1011 #1/#2 RD SPF stock Flr #7 1st Floor Joist Upgrade (12,3" spans) ; Sister everyother 2"x 10" joist to create double joists @ 32" o/c using 211x 10" #1/#2 KD SPF stock #8 Single Floor Beam; W10x45 w/z2"x 8" top nailing sleeper bolted to the flange w/ 1/2" dia. bolts stagger spaced 32" o/c (This allows the #3 column above to off-set onto this beam a maximum of 210". IF columns stack to basement than beam can be WlOx26 as on 2nd floor #9 Cross Floor Beam; WlOx26 w/ 211x 6" top nailing sleeper bolted to the flange w/ 1/2" dia. bolts stagger spaced 32" o/c. Run continuous. #10 Stiffening Plates; install a pair of 1/4" stiffening plates at the point where (when) the 2nd floor column bears down and match in the basement #11 Standard 2 ea 1/4" clip plate connections. Use 3/4" A307 bolts w/ nuts washers, snug tighten �y #12 Bearing Wall; 211x 4" @ 16" o/c w/ row of mid-span blocking. Provide 1 double top 6 bottom plates. Bottom plate to be PT SXP sillplate #13 Center Columns; TS1/4"x4"x4". steel tube columns to extend to footer'plate below. Provide top 3/811x 511x 5" and bottom 5/8"x 611x 6" bearing plates. ti Weld all'connections or extend plates and bolt w/ 3/4" dia. bolts. - #14 End Column; .TS3/16"x311x3"steel tube column to concrete. Provide top 3/8"x 511x 511.aud bottom .5/8"x 611x 6" bearing plates. Weld all connec- tions or extend_ plates and bolt w/ 3/4" dia. bolts #15 Side Columns; 3-1/2" dia. concrete filled steel tube columns. Provide top and bottom 3/8"x 411x 40-;bearing plates. Weld all connections or extend plates and bolt w/ 3/4" dia. bolts - #16 Existing Footer pad; 12"x 510" square concrete pad #17 Door Header; 2/2"x 10" AD SPF w/ 1/2" CDX flitch w/ jack posts . - q�Yeoi3'sa6��n / C - ---------- Q.. 9 - *40 e � o- - 71 u. c0 d 0 LA r Q` N h�� Min `ow) r'1 I • •• _\i a - 0 h�� 010 1 111�.•JIIV VI\ ENGINEERING FIELD REPORTMORKSHEET Project No: ?00-11 107 BEACH STREET Sheet No: of MEMO FOR RECORD: 6 April 2002 Subject: Commercial Basement Installation&Floor Frame Upgrade Location: The HEART CENTER 52 Park Street,Hyannis,MA 02601 Builder: Mr.Skip Gibson Project No: P00-11 DESIGNICONSTRUCTION REVIEW CRITERIA:- 1. Inspections were conducted during the shoring and excavation for a new full height concrete foundation beneath the East end. Once open and shored a revised framing plan was prepared encompassing an upgrade to the existing «a floor framing,addition of new girt beams and installation of a continuous load oy bearing wall. The girt beams and center footer were sized to allow for future construction of a 2nd story. The following loads were used in the design IAW wW Tbl.1606 of the Mass.State Building Code,6th ed. Floor Live Loads(Office)=80 Ib/sq ft to include partition loads Floor Dead Loads(Construction)=15 Ib/sq ft -�� Linear Wall Dead Loads(56 Const.)=100 lb/lf 2. The following items are on-going: i a.New Concrete Foundation w/Masonry Transition-100% b.Excavate Basement,Grade for Slab Floor-8011/6 z c.Upgrade Floor Framing-100% d Install Load Bearing Wall-86% e.Install Steel Beams&Columns-100% f.Weld and Bolt Steel Connections-95% g.Prepare Elevator Shaft&Framing-0% 3. The following were specifically observed: a.Shoring,Support and Installation of the full depth foundation b.Reframing of the 1st floor wood joist system. The East most section of the 2"x 10"s,originally thought to be 16"o/c,were found to be 12"olc and OK for their intended(continued)use. The North/South section of the 2"x 10"s were originally thought to be spaced 16"o1c. Their 12"o1c spacing was verified in the field. Based upon this everyother joist was sistered(24"olc) to provide an upgraded floor capacity(TL=65 lb/sq ft>>TL=96 lb/sq ft) c.installation and connections of the steel girls and columns proceeded IAW prepared plans. All the welding is done. Only baseplate anchor bolts still need to be installed. The footer pad is open and access to drill in place HILTI.Kwik-bolts is straightforward-but needs to be done. d.Joists are toe-nailed to the wood sleepers and the sleepers are bolted to beam top flanges w/1/2"dia.carnage bolts. e.The load bearing wall is installed beneath the dropped wood box along the East end of the foundation. The only item missing is the header over the door opening,here the work and wall have not been finished. 4. The above items were inspected and discussed w/the Const.Supervisor: a.Foundation shoring and temporary framing shoring b.Steel sizing,connections and installation c.Revised 2"x 10"framing alterations based upon actual conditions d.Preparation for the elevator shaft;clearances,construction and heights 5. Additional frame inspections may be required depending upon the elevator P00.11 shaft needs. The foundation and floor frame upgrade work is complete. The two remaining items are of a minor nature and can be inspected during the �`�t1 finish and concrete floor installation work. rid-rya _ ] 4CCH ,NICAL `Vic. GSC; T.VARNUM PHILBROOK,P.E. i C ISTEE'(JR�� 1 Enclosure; Photo Sheet P82-FRW-7 V <X y PHILBROOR ENGINEERING 107 BEACH STREET Project: HEART CENTER DENNIS, MA 02638 Project No: P00-11 1-508-385-8682 Date: 4 February 2002 PRELIM DESIGN SIZING AND NOTES Sheet Note Description No. No. ------• --------- ------------ ------- ------- ------------- ------------ ---------- ---------- SR-2 #1 Floor Joists; Use 11.875" TJI/Pro 250 Series @ 16" o/c run continuous 2nd #2 2nd Floor Beam; W10x26 w/ 2"x 6" top nailing sleeper bolted to the Flr flange w/ 1/2" dia. bolts stagger spaced 32" o/c. Run continuous #3 Center Column; TS3/l61'x4"x4" steel tube column to extend to girt beam below. Provide top and bottom 3/8"x 6"x 6" bearing plates. Weld all connections or extend plates and use 3/4" dia. bolts. #4 End Columns; TS3/161lx3"x3" steel tube columns to extend thru to concrete below. Provide top 3/8"x 5"x 5" and bottom 5/8"x 61'x 6" bearing plates. Weld all connections or extend plates and bolt w/ 3/4" dia. bolts. These columns to fit w/in 2"x 4" framed walls #5 Center Column Range; 4" column can slide Win this 310" range to allow for some 1st floor column location flexibility SR-1 #6 let Floor Joist Upgrade (1213" spans) ; Sister every 2"x 10" joist to lst create double joists @ 16" o/c using 21'x 10" #1/#2 RD SPF stock .Flr #7 1st Floor Joist Upgrade (1213" spans) ; Sister everyother 2"x 10" joist to create double joists @ 32" o/c using 2"x 10" #1/#2 KD SPF stock #8 Single Floor Beam; W10x45 w/ 2"x 8" top nailing sleeper bolted to the flange w/ 1/2" dia. bolts stagger spaced 32" o/c (This allows the #3 column above to off-set onto this beam a maximum of 210". IF columns stack to basement than beam can be W10x26 as on 2nd floor #9 Cross Floor Beam; W10x26 w/ 21'x 6" top nailing sleeper bolted to the flange w/ 1/2" dia. bolts stagger spaced 32" o/c. Run continuous. #10 Stiffening Plates; install a pair of 1/4" stiffening plates at the point where (when) the 2nd floor column bears down and match in the basement 7 #11 Standard 2 ea 1/4" clip plate connections. Use 3/4" A307 bolts w/ nuts 6 washers, snug tighten [ #12 Bearing Wall; 2"x 4" @ 16" o/c w/ row of mid-span blocking. Provide 1 double top 6 bottom plates. Bottom plate to be PT STP sillplate #13 Center Columns; TS1/4"x41'x4" steel tube columns to extend to footer plate below. Provide top 3/8"x 5"x 5" and bottom 5/8"x 6"x 6" bearing plates. b Weld all connections or extend plates and bolt w/ 3/4" dia. bolts. 1 #14 End Column; TS3/16"x3"x3" steel tube column to concrete. Provide top 3/8"x 5"x 5" and bottom 5/811x 61'x 6" bearing plates. Weld all connec- tions or extend plates and bolt w/ 3/4" dia. bolts #15 Side Columns; 3-1/2" dia. concrete filled steel tube columns. Provide top and bottom 3/8"x 4"x 4" bearing plates. Weld all connections or extend plates and bolt w/ 3/4" dia. bolts #16 Existing Footer Pad; 12"x 510" square concrete pad #17 Door Header; 2/2"x 10" PM SPF w/ 1/2" CDX flitch w/ jack posts f 6 W � Project: HEART CENTER Date: 6 April 2002 Project No: P00-11 Site Inspection: 6 April 2002 Photo#1 Photo#2 se 4 � f✓. �X rk �' w Main Column Base Plates-these still require drilled- All plates and beams welded. Note bolted clip in-place anchor bolts connection angles. These bolts are to be, SNUG TIGHT only Photo#3 Photo#4 .ro= Xa �e 7` i, t 1 11 I *{}ti PP b 2"x 10"joists @ 12" o/c for 14'+spans. These have New 2"x 4" load bearing wall run beneath the received new sister joists @ 24" o/c old in-place 3/2"x 10"girt. The screw jack was used as temporary support for this work r . ti � ►S 1 C _ ---- ri - ' :7 rm�� Q- h a _ Ar 0, ti 71 s� N LA I I -- - -. w -F e( w - w VI R w4w b to a LA N , Town of Barnstable Regulatory Services BPJWrs ss M Thomas F.Geiler,Director Building Division Tom Perry. Building Commissioner 200 Main Street,Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 August 11, 2003 DownCape Engineering Dan Ojala 939 Route 6A Yarmouth Port,Ma 02675 Re: SPR 053-03 Chiotellis, 52 Park St,Hyannis (R342-004,010,011) Proposal: Establish medical office use in basement of existing building Dear Dan: Please be advised that this application was approved administratively on August 7, 2003 as presented. A signed copy of the plan is enclosed for your convenience. —Sincerely, Robin C. Giangregorio Zoning& Site Plan Review Coordinator I l 9 1 TOWN OF BARNSTABLE t BUILDING PERMIT .RCEL ID 042 004 OOA GEOOASE ID 24910 ��.bDREGS 62 PARK STREET PHONE HYANN:IS z1P _ LOT UNIT 1. BLOCK LOT SIZE DBA DISTE.ICT ,HY �ERMIT 64959 DESCRIPTION CREATE 3 EXAM ROOMS FROM Ea{1STING PAS PERMIT TYPE BREMODC TITLE COMMERCT..AL. A.LT/CONY CONTRACTORS: GIBSON, RUSSELL A. , JR_ AL� ITCTS: Department of --Regulatory Services TOTAL .F'EES_ $172-00 BOND �GONSTRU&ION COST: $20,000.00 � 4 37 NONRES./NONIISKP ADD/CONY i PRIVATE 1 V Jx _--- • BARNSI'ABLE, ><6� BUILDING DIVISIO BY ..:-- DATE ISSURD 10/30/2002 EXPfRATION 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 FOR 2. PRIOR TO COVERING STRUCTURAL MEMBERS HAS BEEN MADE.WHERE A CERTIFICATE OF OCCU- (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 1 1 / v �c7w' 2 2 2 33 D �!� 1 HEATING INSPECTION APPROVALS ENGINEERING DEPARTMENT /Q 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 FOWBY VARIOUS STAGES OF CONSTRUC- MONTHS OF DATE THE PERMIT IS ISSUED AS TELEPHONE OR WRITTEN-NOTIF,ICA- TION. NOTED ABOVE. -TION. r I BUILDING PERMIT APPR0VED�a Zb-d 2 TOWN OF BARNSTABLE ❑ GAS Vp WIRING ❑ PLUMBING ❑ BUILD�G J TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map- l.} -�Parcel 1304 Permit# Health Qivisi_on7 T Date Issued m/_30, Conservation Division b Application Fee"¢ Cie, Tax Collector 41�7� 6 d 1i Permit Fee tZ 2- 2 Treasure > ' 16 a -.z— Planning Dept. Date Definitive Plan Approved by Planning Board Historic-OKH NA 0 Preservation/Hyannis Project Street Address\ ZE Village \f N\5 Owner \L S Address _` '1\ � �\l\ \ �J -� '�^ _ � ti Telephone \1\ Lk Permit Request \ QNA Vo Square f e lt:tm ft-(x is i g�-�5 oposed�'$ 3 floor: eRis�ng proposed Total new Zoning District Flood Plain Groundwater Overlay _ Project Valuation _01 0 0o Construction Type CD Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting-documentation. r u7 Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family(#units) o -n -1 ' Age of Existing Structure Historic House: ❑Yes ;No On Old King's High ay: ❑ Fes 5*o Basement Type: ;Full ❑Crawl ❑Walkout ❑Other r\1; M Basement Finished Area(sq.ft.) Z,030 c�v� ��c>l Basement Unfinished Area(sq.ft) Number of Baths: Full: existing _ new Half:existing 1 new Number of Bedrooms: existing new Total Room Count(not including baths): existing new First Floor Room Count Heat Type and Fuel: gGas ❑Oil ❑ Electric ❑Other Central Air: *Yes ❑No Fireplaces: Existing -t!)- New Existing wood/coal stove: ❑Yes �Oo Detached garage:❑existing ❑new size Pool: ❑existing ❑new size Barn:❑existing ❑new size Attached garage:O existing ❑new size Shed:❑existing ❑new size Other: Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial AYes ❑No If yes,site plan review# Current Use Proposed Use \v'tA `&1-1-3 �L� U BUILDER INFORMATION CE �08- 73 7- T Name S Telephone Number `:�)o$i Address "�S" �Ax 9 License# S CEO) q 5Z � Dome Improvement Contractor# Worker's Compensation# ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE ! I ��0 Z s FOR OFFICIAL USE ONLY PERMIT NO. ! DATE ISSUED MAP/PARCEL NO. ADDRESS ' VILLAGE r OWNER1 DATE OF INSPECTION: 1 FOUNDATION 1 FRAME ; t INSULATION r FIREPLACE _ ELECTRICAL: ROUGH FINAL'- ! PLUMBING: ROUGH FINAL 1 1 GAS: ROUGH `-FINAL FINAL BUILDING 6 fml /` 'A 1/ 05 DATE CLOSED OUT 1 ASSOCIATION-PLAN-NO. ! The Commonwealth of Massachusetts r {-� _ Department of Industrial Accidents _ .-600•Washington Street ; Boston,Mass. 02111 Workers Cola ensation Insurance Affidavit Z2( 1�- ..._.._location ✓tom 0�1' Uv"CJ hone# 3 I am a omeowner performing all work myself a sole r net and have no one workin in a,7 ca achy co ensation for my em loyees working on this job.:: an e 1 r ravlding workers mp ? .:::.:..:.... Ism P , .con .;:}:.�::•:}}:: :?<::;:;!�;Y;:;i:.:;.>: Qn e#;r'i:;,::}i;:.Yi }:....:..... %.:::::j:iL:;,$i;:j :::.}::iw:::::::•Y:;•i}:is::.,w::.}w:::................•• ....n.}}•i:i::::}}i};;.;.;:;,:;:?4:?4:?4;;n:v:}:• •}.v:..........•:".•:.Y}iY..:!i}Y:;!n Y:>4i:;i•Y:.i}:{:i?i}i ti:::r:.:.:??.i'..y:. '�h q'4}: `ol ?��#:;$j•�•�;::%•v:;:;ii:�:%:$:`v:•::�:,'.;isLL�:�::''i:k^:i�::�:rv:'r:;.; i !:i:%+.}'t:•+.•::: :;}i:;Y:;::+%: ::::::::.}:•:{:::•::•:.'%:4v::::::::iL.v:4:•}:!vijJ'{::ii':':i::ir iii'•:�i:`v:C�?ij!'< �iisiiraiee::c�:»::>;:;«:.i}::::;:z:>.:;::>,::«:}:;<�:>:;<�<:<::>;;<>:;}:::?.}•;::}>:.}•«>.;,}>:;i:,:,:;<•;.:�<:•.::..;�::.:.:::::.::.:•::;:;;;,;:?t?:} i ❑ I am a sole proprietor, general contractor,or homeowner(circle one)and have hired the contractors listed below who have the following work........c...o..m...P...e.....n.....s....a....ti.......o....n....:.,....o:..:.li:.....e....::.:.:...:.;.:..i.:..:.:.:.:.:.:.....:.:.:.:.;...}.}.:..:.:.:.:.:.:.:.:.:...:..:..::..:.....::.::.::.::..:.,:..:.::.:::n:.;...i.:.}.:..X}:".Y:.}:::i•::.:..}.;..::..::4::::;.::.;..::.;'t..::.}r.::;.,:.:::.»:.:.::?.:?.:;.::.»::..>,.:.<.:...Y:.::.:.:.:..i•.::.:...>::.;...::>:::'.<::.:.:> :4::::::>•Y:::::>;::.<v.Y.}t::.};:.}?::».?}i::.4:;>}}:}::::}.}>,}:::..:}:<::.::}:;.t}}..:}.'.>;}.:.;.>.}�::.::t..�:::::4Y,,Y.::..«<:Y::::,:4<4:':.:::<::...:,.:L:+>Y;£::.:::..:. h:•F.v\?::}:{i:}:{!:i:L}:;i::%:>{{: ::;•Y:•}:S;S:%:}%}}':::::ti:y. !;;{•:}•:•:{ii::::;i` {:;.%.::%;{%`i::iji;.;::;i::!:!;ii':}: tam :. aln •}}}:•:}",L;•.}:.�:.r?•:;•;:•:>>::>:Y:;Y:;:;::;;:}:.Y:•:4Y .... .t;`.>ry:;,;�:X>%•`:»�'-" ii'i an..n ;s.:..::.. .......::............... .....::{<t.::}:... rv..r :... :... v:.......... ................. „vr...J.. ..LL,i.)J .... .... ............ac .r .:t.: L::..:.{L..:;},• ....... ............ .... ...:�.:.-:;;4:::::.........n;w::^•::nw:rv:4:};4Yi:;{;vY'}.i Y,Y-.:•i;4K:•}:::>iril'::ti}}i:{L•Yi:;:}:::?;;:;}}$:%:;L• ....•r=t,L t'dkess:: .........:...::.. {.::t........<.....::::.�........ ..,•n:•:..r....:.. ,t.:•.�.........:.L-:::::.. •t••::-::. .. ,...............:.::t.:.�:::::.::}};:;•;ii:{4:•::�:.,:.,.r.-..........:..............4•::........... ... ...,.:::.�r•Y.... ......,•4;.;:.},.:..L .r,•}»>::ti:...,r.::;}s.•::::•.. ;« ....:. . .......... ............ .....:..... ............ r..r......... ! .............. .,; nt:•.:}}}::.•Y„ 1.x::•Yt+'•ri:'v:.:.. .... ....... ......... .... ......... ........ ...... v,.....:.,.:v::::::: + .'>'n:::�1.:1r.•Y,.jvih%r.;ry:%:'.::.;i n•L... }}:-. ,v.{}.•:.,v,{n;n$;: .. .....:.. ....... n ...... .u.v...Ln ...un,r•::.......:.•:;:•;.+...::.t4::{;!;}::%i:::::%i::ix:.nv.v'.:v::..::'..... vti•r•:'}•i.:.. }.. ... .......l.nr. .. .,....v..n..n.•:•.rn•...........:• .nrr:...r...fr...n......:,,:n.r \............... ........ .....:•.. :.....:::::::::'•:...n}:.... .:?•:•.•:v'•?:L-::rY:v:?:•:%:::,. nr.................. ............ .........r... ........... ............. ............... ....n....,.•::•::?i;4;;4}Y'•}::.•.v;}}}:4;:4: .v...n-:::?'54;.;}}r?•;}:'.::... ,;•?i.'•?�;2.•{:rv;:}::; ::.!........... .................. . ..................:.::::r::•::::::.:;.ii�}:v::.:...::;.YY:.:it.}:.::}::.,..... ho ,.....,t:.:,::rv...:.i';??{,... .:....... :............. ..x,x.,.. ......n... ............ .......v... ...............:..;....... ....:::::.;•.;. .... .... .. ................:::...........::::;;:•}}:::}}>iii:.:�:::i;{};S:}:}:!tti?4:?;:::%:'i:::}:r..:.:.:LY•:::::•:• ...:.t.,.:..{.}:;•}}:•}>::v}•:.,•::%Y:•::�••}• •.: ...........ti. r........... ........rv. .........., ........... ............. ......,•.:...:. ....... ............r:.�.Y:•}:•:::. .... ..........•::.L::•:...t.:+.x::•....5....}.:�:::•::{•:::!:}::v:i•.;;:.}}•i.L•,Lr :}.t•}:i:. :::::...::.::::::•::.. r•.r£ .t .:r::::::•rr:r:..;{:4::}:r:::.:.t...:{.;:{:{:{.::::.......:;�.Y::::..........,..:}:•;}:.r.,.;4Y..;.:;;•}:::....a'�i :.#.::::^•::::::.::n•.......r......... rii4 R>'v ........... .. ..:::::::.:.......:...;•}}:}ti:4}}}:}!:::4}•::v:::::::v}:::i4i::!::::.v.v.nvn.�!:}v:::v r::i:.w..%:u Ti::ji:i:j'::• ............................::::::::::::::.t:::::.v:'::!;:::.' u..J:::r.:}Y:i}':::..::}:':'::.v:::::::v.........:Y:•}:•}:•i::'n•::::•:ti}:::y:.ir••;:•y;..t. n....w::... :.::v:.......••u.•::::,4n...v::::r.,........w:r.v.:..........•v..:......:.................. ,.:v:::^..n:rv} ..... .... ,..•::::•:;J= ........ ..... ....t... ........ r..... .....nv......•.;.4:}::::..n......v;..;... ,r:::::::.......:.vi{•:{{;?:::........::::.v:;....„ r:.:4Y}:O:{d•:•:: ..........:..... ....:...............n• .......:. ...........L••.,, ..•:.,,.......J.v:•:n}Y:L.v:•.:.:..•Y•:•:......}..r..v,•^w...............}4}i}v?•^ti::•}vY:!i:v;+:4.v±i4•{•}}:,:vv;:::.... ..... ✓ v:.+•..v.....^•.,:;,...y•:n,{,wnvJ.:;w::::r..v.:vn..:.v;::::n:...:•}:4Y}:•}:•}}.}::;........v... ....n:•:....,.r•w:•.L:.: v•.•:..........:::......................... .v..............v.:...............:.............w•:::•.................... ............. r:•t.v..:.w:•i}•.•:.4:.v.t:,x.4,v.,v;r:;:•• .........r.................::.................. ...f{.t%tY:.....:w::::::}:rY}}xo;{:!i.;}.a!}:!•:"ti�i:t3{ti? 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I understand fhat a one to copy of this statement may be forwarded to the Office of Investigations of the DIA for coverage verification + I do hereby certify the pains and penalties of perjury that the information provided above is true and correct E /J�� Date L� — � --az - - Signature «��l/" ►�:. 7 Print name +1 VFT (-�A, S Phone Official use only do not write in this area to be completed by city or town official pexmit/license# ❑BmOding Department city or town: ❑Licensing Board re ❑SelectmeWs Office [In checkif immediate apours is required ❑gcalth Department contact person: phone#; ❑Other (�evued 9195 PJA I 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 de ed 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, associ 'on, corporation or other legal entity, or any two or more of the foregoing engaged in a joint enterprise c uding egal 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 pemiit/kicense number which will be used as 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 8mce of InvesdVations f 600 Washington Street Boston,Ma. 02111 fax#: (617) 727-7749 phone#: (617) 727-4900 ,ext. 406,409 or 375 Heart Center — Ground Floor 50-52 Park Street 281/2 ft loft 8ft 4 loft 12 ft r 12 ft Parking 4 ft--► t--- 10 ft F6ft6ft 30 ft 30 ft 4/2 ft � 8ft Elevator 7 ft , Lab 12 ft Waiting Area _ t ■■■■■■ =Pocket Door 4 1/2 ft Foyer Bathroom =New walls to i A— 5' 4"� 4.._.5' 3' be constructed Z0044; A� saa�°a° �ro3�'.r o ° a J s�°aa °.°a`�¢ lam. s� �'toam Q° 4as�°' A _ .�oow a of� - -- ap O' BOA"OF SUIWING RE��1LAfilfl J� Ij� Aa� u License: ONSTRUCTIO:N SUPERVISOR 'T saga s R�mb � 001952 f aY Tr.no: 574 40 � -- Re RUSSE:LL A GhB� �f 32 M,ID PINEROAtI,F - ', YARMOUTH, MA 02bi ` ' Administrator I i� January 22, 1991 Town Of Barnstable Bkuilding Commissioner . Town hall Hyannis, Ma. Attention: Mr. Joe Daluz Subject: Addition Dr. Chiotellis 52 Park St. Hyannis, Ma. Dear Joe: As per your request, I am supplying the revised lot coverage for the proposed addition at the subject address. , Y - I am attaching a copy of the letter prepared by James Coyne, Inc. , on October 27, 1989, relative to the property and an addition contructed in late 1989. The revised totals, including the proposed addtion are as follows: Total Lot Coverage. . . . . . . . . . . . . . . . . . . . . . . . . . . .37,360 sq. ft. Permitted Ground Coverage. . . . . . . . . . . . . . . . . . . . . 9,340 sq. ft. (25%) Existing Building. . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3,987.48 sq. ft. Addition to Buildingll.111 .3_I:M111.1�1 il:e.� l? 360 sq. ft. Required Parking . .1/300 sq.ft. and 1 per she (3) . . . . . . .18 cars Two (2) existing Handicapped S'Vonc Total Lot Coverage. . . . .. . . . . . . . . . . . . . . . . . . . . . . 4,347.48 sq. ft. Fespectively. Submitted, Donald F. Schuette Tho Burt log --• _ UAcr � eo NJ 2 a „� I a J J'w v • A J � �l, pal !. ' (11 � !�) � � 0 00 f � -io-,cS ILA (n � .•�� U off,')' S - -' - ,fE' �`-�: � ' ` No - w I ti tti ice- 1� _ �B S nyaw6 P F0 / GEAe T/FY 7/-it.-9 7- TH/S ,qA-1 FULLY .4AJ/ � � AGG v/E'ATELY OE FRIG TS THE L06r97-/0N ANb a •pogo �� R'�.2� � O/HENSIONS OF THE 63U1Lc>IiV6 AS BtU/LT Iv A/O S� FULL `/ LISTS THE uAj1T5 GON7-,9/Al/EO THE2Ei/ls MCI GOGtJS 3i OATS GF_ O�G� LOW, J,E'. �z � 3 ; Jt It Z_ OG .9T/ OA1 _ P — Z � � A. V 7► _ titi T IV m ry/^ 3J v � 1 y wooer/ • ` ' a•-_2G /j a _� �/ gyp. 3G.. � w�?/� f �• !dir n ('' `J 'Sro7•.36"SoE ' - 700• qj 3, 0 � �' � ' ,�? "3 r � i n ;'' '44 1 � +6 _ r 6 1,70 o I I ' S2 �s�rC 5 r�•l�7 '�c..r t Lt� �K o cr e Mt a,is dela 31 Nadu.., OF o _� o Igo CoNsc�7 a� 371 3Ga �l Plot I7od Qa o N e! 4'o w..,r A 9-e �X�s7�.v� ,6�Lcj�• -To7s L f _ 3997 -M CF9as �topr� ,� • � --_ I 07 5 S A S A/dN /wit�/li J • :r ! Fj , .._-_._._.- .. ,. ,....�.. ww. ..r.. - Y Wl Ac QC.i. 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F�.e..:.. y 4«.r- : .... } .K .-, _ : ..,:I.r .t• , s, • 40 a i o S 1 t; X!2 06d It RM , a 1 i r e� K f/ M t , ' . 4 9 1 d i Y f 7 yp ears- C�5 r. 1 3 i r ' ^r [I r m 47 77* - To p7 .. bra Assessor's office(1st Floor): Assessor's map and lot number L�rl a 0 o�, 0 6 A' AM.4:< �1 yy ST n poi IN f tp` Board of Health(3rd floor): ' t of{ i-T-k -r � S �ti ! I� • ��iv ^l� � �Q Sewage Permit number '• Engineering Department(3rd floor): SS. = asaa9rsntt S House number Y' 0.�ie39• Definitive PIan:Approved by'Planning Board -19 APPLICATIONS PROCESSED 8:30-9:30 A.M.and 1:00-2:00 P.M.only TOWN •_ OF , BARNSTABLE BUILDING -INSPECTOR ,. APPLICATION FOR PERMIT TO OAJSTnuGT A) �DO,V 4--k X,* 'Td ix�S��vG o{fae TYPE OF CONSTRUCTION UJoa1e t 19 t i TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location Sa Ane S'�L j / Yr4w,vrS du.9, v Proposed Use Of-r-oCCS Zoning District PtzQ_ Fire District .4lulls Name of Owner Address S�I- 00,1,er< S7- 11-Y,*VAIiS . Name of Builder 'Td— `3v� — Address Ilk Name of Architect i✓/� Address 45 /2*jC"0ff 4 VC �.�res�rt �c/fi�• Number of Rooms Foundation 141d,VA-eb 00wc6es iv- Exterior A// Roofing Floors W de-b %� � Interiorya' � Heating �� /'� �ie Plumbing // 00 Fireplace ^-/4 Approximate Cost 30, OQO Area Diagram of Lot and Building with Dimensions Fee /00 °�-- • IV OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town of BarnstablZ_readi e above construction. Name Construction Supervisor's License ©/75 X CHIOTELLIS, PHILIP r No 34185 ,perrriit For ADD TO OFFICE Office r ` Location 52 Park Street ij j,. Hyannis Owner` 2Ph-ilip Chiotellis' Jij Type of,Construction Frame f??}I Plot �+ Lot '. Permit Granted February ,2-6, �19 91 Date of Inspection �` �� ,19 Date Completed �Zz/ I�Z 19 y # j ♦,r � r r ( +------------------------------ BILL INQUIRY ----------=---------------------+ (Action: Find Next • Prev Browse History Detail C=Notes/Spec-Cond . . . 1 1Query--the receivables file. I I Year Type Bill # Cust # Name Notes/Special Cond? N I 1 2000 RE-R 5380 100188 CHIOTELLIS, PHILIP N & 1 Parcel ID Property Loc/Ref Parcel ID I 1 342-004-OOA 52 PARK STREET 34200400A 1 Int Date Billed Abt/Adj Pmts/Credits Interest Unpaid bal I it 12/18/99 1, 995. 35 . 00 1, 995. 35 . 00 . 00 I 12 05/02/00 1, 995. 33 . 00 1, 995.33 . 00 . 00 1 13 j4 1 I Fees : .00 . 00 . 00 . 00 . 00 1 1 Totals: 3, 990. 68 . 00 3, 990. 68 . 00 . 00 1 1 JAN 1 Owner: CHIOTELLIS, PHILIP N & Discount . 00 1 Mail Addr/Tel P 0 BOX 317 Due 05/24/00 . 00 1 1 OSTERVILLE, MA 02655 Per Diem . 00 I Int Paid . 00 I 1 2 of 6 +-------------------------------------=----------------------------------------+ Assessor's .map and lot'number . . .fin .. SeWage'-Permit number 0 TOWN OF �ARNSTABLE Py 4H,E l 8AIUSTADLE: M�a RO �� I : INSPECTOR 1639 APPLICATIONS FOR PERMIT TO ... �LI. .......... ..:.1 ?..L ........................................... TYPE OF CONSTRUCTION cc ................................................19........ TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: PAO Location .... .�..... ./� ... ..../7t!.�c! ?c't-l. ./.ti'G.o!. ........................:�.�F.. ... .... C ProposedUse .......................................................................................................:..................................................................... Zoning District ..............Fire District ............. Name of Owner .!' I�l�l.el 1. ?.. lll.4.1.��/..`- ............Address14.e ..................... Name of Builder ..✓..C -�12 v.. .. .SS.4� lQ� ................Address . ...... 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 . ' C. ............ ... ...... .... .............. 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 .XF. .. .... ........................................... Chiotellis, Phillip 1 f No 20234 permit for demolish four (4) .................................... buildings' ............................................................................... Location ......52 Park Street........................... ....................Hyannis..... Owner ........ Chiotellis I Type of Construction ........rye .... i .......................................................... .................. Plot ............................ Lot ................................ Permit Granted ...........Ma 19 78 ................. 19 Date of Inspection 19 Date Completed ...... 197,� � V ' PERMIT REFUSED ..................... ....................................... 19 ............................................................................... ............................................................................... ............................................................................... ............................................................................... Approved ................................................ 19 ............................................................................... TOWN OF BARNSTABLE ]BARISSUL MA66. Office of the Building Inspector A39. Date ......August...1.1,.. 1.98.6... .............. Fee ..........$.2.5.....00........................... Permit No. ..24.3........................ PERMIT TO ERECT SIGN IS HEREBY GRANTED TO .............Dr.......Philip...Chio.telli.s..................................................................................................... .... ............ .................. . D/B/A .............................. Same ..................................................................................................i........................................................... LOCATION ...................52....Park...St.re.q..................................................................................................... Hyannis, Massachusetts ............................;.................................................................................................................................................................................. ANY VIOLATION OF THE SIGN LAW WILL CAUSE IMMEDIATE REVOCATION OF THIS PERMIT -------------------- Building 1—ns"pedor TOWN OF BARNSTABLE BUILDING DEPARTMENT tussrr � TOWN OFFICE BUILDING aua �9r ►ago- `� HYANNIS, MASS. 02601 APPLICATION FOR SIGN PERMIT DATE 19 Application is hereby made for a sign permit in accordance with the description and for the purposes hereinafter set forth. This application is made subject to• all Rules and Regulations of the Town of Barnstable .now in force or that may hereafter be enacted affecting or regulating thereto and which are hereby agreed to by the undersigned applicant and which shall be deemed a condition entering into the exercise of this permit.' INSTRUCTIONS 1. This application must be filled out completely. 2 A drawing, in duplicate, showing the shape and dimensions of the sign, lettering on same, height, method of securing to building, or if freestanding, method of erection. Drawing must show sizes of structural supports, and size and depth of foundation. SIGN LOCATION DiO-, P14/r;/ C/{f0 j�G�/S Street- Rd. - Owner._ - -- Zoning District --Fire District OWNER OF PROPERTY Name D&Z , (PH I C-1 Address Z 191> ?rt City `/ St �9 Zip Tel No.( �' ) ��/-- T �C7 j Area Code SIGN CONTRACTOR ,�/ - Name RL Y"L C., V j�1 �`/G/A Co Address 3 Al Ag City J- qamrnou ` k St. Mc. Zip 0o`h(o,4 Tel No.((y Area Code 4=m_=� ✓^ Type of Construction Free Standing or Attached DESCRIPTION DIAGRAM OF LOT SHOWING LOCATION OF BUILDINGS AND EXISTING SIGNS WITH DIMENSIONS LOCATION AND SIZE OF THE NEW SIGN TO BE DRAWN ON THE REVERSE SIDE OF THIS APPP CATION. Is there any electrical wiring required for this sign? Yes ✓ No If "Yes," who Is the electrical contractor ? FOR OFFICE USE ONLY Area DATE DATE DATE Permit Fee .. DEPT. ROUTE RECEIVED APPROVED REJECTED INITIALS PLANNING Mail permit to: & ZONING ELECTRICAL INSPECTOR BUILDING i INSPECTION � 1 hereby certify that I am the owner or that I have the authority of the owner to make application, that the i formatio- given is correct and that the use and construction shall conform to all the Rules and Regulations of the Town of Barnsto`.I which are imposed on the property. Phone �' ` Signature of Pion owner/authorised agent i p tvr •ws, �.. :a d1EARRT l.E1V rEll PHILIP N,;CHIO'FELLI;, Ma. C RD10L0GY MICHAEL A. MECLEY, M.H. fAftUIULUCY UWWAO J. PEkPEL, M.H. CAICLIOLOGY CARDIAC kEHABILITATIOrl CENTER of HyaDni_, LP_IGE:A7UL'i� � al l®�X t 01 . q THE P2 !A/ti O/t/ T f-�'/ S P�- /J Fi G /NES D IV/U//LlG EX /ST G lA//'JE St- S n� � RND THE !_ /NE S O� THE S7 /eE _A, F� Y c r � , 7 �f SNCwti F-��E'� TH. CSE- OF PUB �- C!� ;. 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