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4320 FALMOUTH ROAD/RTE 28
i it r -�I°Or�E 4r i�h� cJ�ry Gs { t TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Z S Parcel 013 Application# 016 6 222 Health Division Date Is sued!! • � Conservation Division wApplication Fee4 /�U Tax Collector -'Permit Fee J A 44' ' '- Treasurer- 01 71 Z96 Planning Dept. ` �»e-- at4CL Date Definitive Plan Approved by Planning Board 4 7, Historic-OKH Preservation/Hyannis 1(0 � Project Street Address Y340 Fa1enOvA A&aed ?off ZB Village C�o1yi p 0® Owner 1��yr� � r� �'c�� Address Telephone Permit Request Cou►61-ry4,`oar of e, vto_w �o(O mav�.�`�e�( a� -ravi�c Square feet: 1 st floor:existing proposed 1 K52 2nd floor:existing 9f . proposed _6 1 TotafRew :;n 110 Zoning District lq Fob Flood Plain Groundwater Overlay w rn o` cn ` -o Project Valuation t,00,� Construction Type 1JeA- (�v;l�� t hvK ' Lot Size ?Sl .SL Ames Grandfathered: ❑Yes kNo If yes, attach supporting doc mentati®s� Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family(#units) A•lvw l(,i.PA-L Age of Existing Structure A)I A Historic House: ❑Yes kNo On Old King's Highway: ❑Yes INo Basement Type: ❑ Full ❑Crawl ❑Walkout' ❑Other MIA- Basement Finished Area(sq.ft.) K) A- Basement Unfinished Area(sq.ft) IV l& Number of Baths: Full:existing Q new Half:existing 0 new Number of Bedrooms: existing ' 0 new 0 Total Room Count(not including baths):existing (D new I First Floor Room Count t Heat Type and Fuel: ❑Gas 0 Oil Electric ❑Other Central Air: ❑Yes b No Fireplaces: Existing 0 New Q Existing wood/coal stove: ❑Yes �No Mached garage:❑existing ❑new sizePool:❑existing ❑new size Barn:❑existing ❑new size Attached garage:❑existing ❑new size lk Shed:❑existing ❑new size Other: Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes ❑No If yes, site plan review# 041 - 08 t4 VA/C-,,?"k Current Use titE&J Co4S-,Wyc77oAJ Proposed Use 6LEVA7-Cb W47E2. S70"66- -rhA C BUILDER INFORMATION Name Cl3 T �onl5' .17Gi S, /n)e . Telephone Number�7Z4)933 -4- .63 Address 9L+AJAJ0f E:L Sd 17£ Z01' License# WA - CoanQaugD Co,Js i-age_7o4 /(o0 3 619MDD 4 Home Improvement Contractor# AJA V�cJtc !e" 5S/43 Worker's Compensation#_ wry !9 460 Z. ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO ?9oV1b"C.E e0A):S Ylvc a YAAb SIGNATURE DATE J - 20 - 09 / ^ - : } . • . . FORS EF CI EU SEIONLYY y AP OCATION## , . - : . . DAT"BSUEOD U»R%ARCE NOS DDRE&S 2E�GEE / OANERR _ ƒ \ DAT EASP C|Om+ FOUNDA I%N ~� FRAMBE NSU�TO\§ . . FIRERL GEE d \ J EL CImCAE: ROUGRH FINAL. REUMB1 Gg: ROUGHH FNAM )� GASS: ROUGH H FNALAL { FI AESQILDI GG DATE`EOSED:U\T f . \ < $ ASSOCEAT ONIREAN:NOD- ' \ \ - ` C Mckechnie, Robert .From: Geiler, Tom Sent:, Saturday, April 11, 2009 12:19 PM To: Perry, Tom cc:. Mckechnie, Robert Subject: COMM Water Tower The town manager has requested that we not deposit the payment for the new water tower building permit until after the Council decides if they will vote to exempt water towers from the fee schedule. Please advise Debi. e 1 i The Commonwealth of Massachusetts �\ Department of Industrial Accidents Office of Investigations 600 Washington Street Boston,MA 02111' www.mass.gov/dia ' Workers'Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers w Applicant Information Please Print Legibly Name(Business/OrganizatiozUclividual): U 604 S77VOLU��7/ Address: BSA c ��rE Zot lGo3 642M0q &tar City/S tat e/Zip:,5C&J C 16143 Phone.#: C7Z4) 933-4,46.1 Are you an employer?Check the appropriate box: :Type of project(required):• 1;M I am a employer with _ ODQ 4. I am a general contractor and I 6 New construction . employees(full and/or part-time)- have hired the sub-contractors listed on the'attached sheet. 7. ❑Remodeling 2.❑ I am a'sole proprietor or partner- These sub-contractors have ship and have no employees 8. ❑Demolition 'w employees and have workers' ',working for me in any capacity. 9. ❑Building addition comp, insurance. ' [No workers comp.insurance 10.❑Electrical repairs or additions required.] 5. ❑ We are a corporation and its qu 3.❑ I qu a homeowner doing all work . officers have exercised their 11.❑Plumbing repairs or additions ' myself.[No workers'comp. right of exemption per MGL 12.❑Roof repairs insurance.required.]t c. 152, §1(4),and we have no 13.❑ Other employees.[No workers' comp.insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners,who submit this affidavit indicating they are doing all work and then hire outside contractors must submit anew affidavit indicating such. :Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. , I am an employer that is providing workers'compensation insurance for my employees. Below is.the policy and job site information. S.) ��S J Insurance Company Name: -Zlit4l .� Al E4I GA �� (�O Policy#or Self-ins.Lic.#: WG Q S 9 J�O Q 9 0 Z. Expiration Date: 41 Dr NE►a IaR SLR -74a4 Job Site Address: City/State/Zip: 6 r d/17, MA QZOS' •' Attach a copy of the workers'compensation policy declaration page'(showing the policy number and expiration date). Failure•to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a.fine of up to$250.00 a day against the violator. Be advised that a copy of this statement maybe forwarded to the Office of Investigations of the•DIA for insurance coverage verification. I do hereby certify under the pains•and penalties of on that the information provided above is true and correct —.-� • Date: 3 Zo- 0 _ signafore: Phone# (7Z4)933 Official use only. Do not write in this area, to be completed by.city or town official City or Town: ' Permit/License# Issuing Authority(circle one): "1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5,Plumbing Inspector 6.Other Contact Person: Phone#: A r. 21. 2009 9: 23AM No, 0310 P. 2 ORDy CERTIFICATE OF LIABILITY INSURANCE 4n/2010 DAT3/25/200 PRODUCER LoMon Cwppanles,LLG1 Kansas CItY TH S CERTIFICATE 18 ISSUED AS A MATTER OF INFORMATION 444 W.471h SOW Sulle 900 ON�Y AND CONFERS NO RIGHTS UPON THE CERTIFICATE Kansas Cily B4O U112-1906 HOLDER.THIS CERTIFICATE DOES NOT AMEND, EXTEND OR (816)960-9000 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. INSURERS AFFORDING COVERAGE NAIC# INOUREO CB&I CONSTRUCTORS INSURERA• ,Zurich Amerloan lnsumnce Company 16535 1315438 210 SIISIARYOFOREST CHICAGp BRIDGE I OE&IRON CO INSURERe' American Guarantee and LlabilkyInsuranceCompany 26247 IVF THE WOODLAN DS TX 77390 INSuRER C: INSURER 0 INSURER E COVERAGES C(Ia)3A02 PF IS CEq IFIC T �14 IN E O ZHOURANCU ED NOT CONBT i ON BCF THE POL C OF 1 RANCE S E BELOW HAVE BEEN ISSUED TO THE INS NAMED ABOVE OR T OLICY PERIOD P.M. NOTWITHS ANDIN.3 ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RMPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN 19 SUBJECT TO ALL THE TERMS,EXCLUSIONS AND CONDITIONS OF SUCH POLICIES,AQOREQATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. I SR ADD-L POLICYEFFECTIVE POLICY EXPIRATION LTR INSPD TYPEOFINGURANCE POUCYNUM"R. DATE(MMR3W DATE(MMID LIMITS 05NEiAL LIABILITY EACH OCCURRENCF $ 11000,000 A X COMMERCIAL GENERAL LIABILITY CL04995053.04 4/1/2009 41U1010 I ESf eEN mm� S 1000000 CLAIMS MADE a OCCUR MEDEKP1Anyonepera S 2;,000 X BROAD FORM PD PERSONAL a ADV INJURY s 2 000 0 0 X CONT.LIAR&XCU GENERAL AGGREGATE S 21001),000 GEN'LAGGREOATELIMITAFFLIE8PER: PRODUCTS.COMPIOPA00 s 2000000 PRO• X OLICY JECT LOC A AUTOMOBILL LIABILITY BAP 4895052,04 4/1/2009 4/U2010 COMBINED 8114BLE LIMIT S 1,000,000 X ANY AUTO LEa accident) ALLOWNEDAUiOS BODILY INJURY $ XXXXXXX SCHEDULED AUTOS X HIREOAUTOS BODILY INJURY ; XXXXXXX X NON•OWNED AUTOS PROPERTYDAMAOE $ XXXXXXX (POr aMbent) CARAGSLIABILITY AUTO ONLY-EAACCIDENT S XXXXXXX ANYAUTO - NOTAPPLICABLE OTHERTHAN EAACC S XXXXXXX AUTO ONLY: AGO 6 XXXXXXX LXCESSIUMBRELLA LIABILITY CH OCCURRENCE 1 2,000,000 B AUC9383497-00 4/Ir1009 4/I/20I0 i 2,000,000 X OCCUR CWLtsMADE AGGREGATE UMBRELLA b J�XXXXXX DEDUCTIBLE El FORM XXXXXXX RETENTION S _ XXXXXXX A WORKERS COMPE:H9ATIOH AND WC 4893049-05(AOS) 4/1/2009 4/112010 xi TOR WCSTA OTH- A WC5848432.00(WI)RMPLOYERS'LIABILITYm/ 4/1/2009 4/l/2010 E.L,EACH ACCIDENT 1,000,000 ) n vnoamemwOnRTNEA�P�IECVTIrE A OfROER M2meEREXCLUDErn WC 5848433.00(AR&MA) 4111200 4/1/2010 El 016EA6E-EA EMPLOYEE S 1,000,000 ° deedibc Wder q s� INCL.STOP DAP ntPROYOORDboiaw No E.L•D16EAGE-POLICY LIMIT s 1000000 OTHER c Z? DESCRIPTION OF OPERA7IONS&OCAT(ON6/VI!MGLEs.TXGLWIONS ADDED"BY ENDOR35a1ENTI6PE0IAL PROVISIONS l CONTRACT 0142268,CUSTOMHR REF#2008-W-L.PROJECT LOCATION:COTUIT MA.JOB DBSCRIPTION;500 000 CAL�pN BLEVATOD TANK WITH FOUNDATION. " CO T WATER DEPARTMENT STPARNS&WHELER AND TM(k OPPICBRS bIREOTORS PARTNERS.EMKOYEES AORNTS AND OTHER CONSULTANTS 6ND SUB CTORS Or GA�H ARE NAMED AS ADDITIONAL INSURCDS TO M EXTENT kWQUIRt BY CONTRACT;3UBIBCT TO POLICY TERMS AND CONDITIONS.COVERAGE-1$PRIMAILY AND NON-CONTRIBUTORY AND WAIVER OF SUBROOATION IS PROVIDED AS PER.CONTRACT AEQUIRGMIaNTS. .L? Si to I D.,613LLO CERTIFICAT9 HQLQM CANCELLABON 10479481 SHOULD ANY OF THE ABOVE 09SCRIPEO POLICIES SE CANCELLED REVORE THE XPiRATION COTUIT WATER DEPARTMENT DATiy THEREOF,THE ISSUING INSURER WILL ENDEAdO TO MAIL L30 DAYS-WRITTEN 4300 FALMOUTH ROAD N0110E TO THE CERTIFICATE HOL06R NAMED TO THE LEk BUT FAILURE 10 DO SHALL COTUITMA02635 IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,lis AGENTS OR REPRESENTATNES. AUTNORIZfiO REPRE6 A ACORD 25(2001100) For QWauo"regarding We uNIkiN,co-94d Vw numberpowl id IM'V/O Mf RfRIbR RDove Mill epecly im arrAl cod I'. ®AGORA CORPORATION 199E .-,,. psi _ V F• «e�. a ,�. �'DATE IMM DDIYY.` A ACORD,� CERTIFIC�ITEOFLIABILITI( INSURANCE 0,/,2/09 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Marsh USA Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 1000 Main Street,Suite 3000 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR Houston,TX 77002 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. COMPANIES AFFORDING COVERAGE COMPANY 016733-CBI-UMB-08-09 A Zurich American Insurance Company INSURED COMPANY CB&I Constructors B ACE American Insurance Company A Subsidiary of Chicago Bridge&Iron 2103 Research Forest Drive COMPANY The Woodlands,TX 77380 C COMPANY D COVEiRAGES% rThis¢er6fcate su efsedes antle laces ali�re oUslissuedCertl'ficate_ _ wv N� 7 THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. CO POLICY EFFECTIVE POLICY EXPIRATION LTR TYPE OF INSURANCE POLICY NUMBER DATE(MM/DDIYY) DATE(MMIDDIYY) LIMITS A GENERAL LIABILITY GL0489505303 02/01/08 04/01/09 GENERAL AGGREGATE $ 2,000,000 X COMMERCIAL GENERAL LIABILITY PRODUCTS-COMP/OP AGG $ 2,000,000 CLAIMS MADE OCCUR PERSONAL BADV INJURY $ 1,000,000 OWNER'S&CONTRACTOR'S PROT EACH OCCURRENCE $ 1,000,000 X PER PROJECT AGG FIRE DAMAGE(Any one fire) $ 1,000,000 X CONTRACTUAL LIAB.&XCLJ MED EXP(Any one person) $ 25,000 A AUTOMOBILE LIABILITY BAP489505203 02/01/08 04/01/09 COMBINED SINGLE LIMIT $ 1,000,0130 X ANY AUTO ALL OWNED AUTOS BODILY INJURY $ SCHEDULED AUTOS _ (Per person) X HIRED AUTOS BODILY INJURY $ X NON-OWNED AUTOS (Per accident) PROPERTY DAMAGE $ GARAGE LIABILITY - AUTO ONLY-EA ACCIDENT $ ANY AUTO OTHER THAN AUTO ONLY: EACH ACCIDENT $ AGGREGATE $ B EXCESS LIABILITY XOOG2386891A 02/01/08 04/01/09 EACH OCCURRENCE $ 2,000,000 X UMBRELLA FORM AGGREGATE $ 2,000,000 OTHER THAN UMBRELLA FORM $ A. WORKERS COMPENSATION AND WC489504903 02/01/08 04/01/09 X ORY L MIT WC S T - _ EMPLOYERS'LIABILITY INCL STOP GAP LIABILITY EACH ACCIDENT $ 1,000,000 THE PROPRIETOR/ N INCL DISEASE-POLICY LIMIT $ 1,000,000 PARTNERS/EXECUTIVE - OFFICERS ARE: EXCL DISEASE-EACH EMPLOYEE $ 1,000,000 OTHER .DESCRIPTION OF OPERATIONS/LOCATIONSrVEHICLESISPECIAL ITEMS Contract#142268.Customer Ref#2008-W-1.Project Location:Cotuit,MA. Job Description:500,000 Gallon Elevated Tank with Foundation. Cotuit Water Department,Steams&Wheler and their officers,directors,partners,employees,agents and other consultants and subcontractors of each are named as an Additional Insureds to the extent required by contract,subject to policy terms and conditions. Coverage is Primary and Non-Contributory and Waiver of Subrogation is provided as per contract requirements. CERTIFICATE HOLDEtZ x H00102650503 � CANCELLATION O11= ' S Y Gaar,s,...wWA'.a.:.......,e.,...as'fuu<1 ...-... - Ya SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,THE INSURANCE COMPANY WILL ENDEAVOR TO MAIL Cotuit Water Department 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, 4300 Falmouth Road Cotuit,MA 02635 BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE of Marsh USA Inc. J' if�K�IsWLtIC�`— BY: Freeman M.Wade p'ACORD;:CORRORATION 1988 b �°F'►,E, y Town of Barnstable. Regulatory Services B XASS. ' Thomas F.Geiler,Director � .JR. b T JBuRding Division Tom Perry, Building Commissioner 200 Main Street, Hyannis,MA 02601 www-town.b arnstable.maxs Office: 508-862-403 8 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using ABuilder imAAAV. ,as Owner of the subject property hereby authorize e 13 L Co 712(3G?'D,25 �,Je- to act on my behalf, in all matters relative to.-work authorized bythis building permit application for: . (Address of Job) ,� 3 ZS cat Signature of Owner nate �E:us-6one - Lk)vFa-hna.✓- Print Name Q:FORM s bwNERPERM is s IoN FIRE DEPARTMENT O8'HIGH.,SCHOOL AD.EXT. HYANNIS, MA.02601 tvA.tinrrt °E �raFn,E HAROLD S. BRUNELLE, CHIEF $101.11ftEU OF iIAF EGYCATIOE FIRE PREVENTION BUREAU ;. BUSINESS PHONE: (500)775-1300 FACSIMILE PHONE:(508)778-6448 LT4. DO114LD H.CHASE,JR.,CFI LT. ERIC F.IiUBLER,CFI FIEZE FREVENT'ION:OFFICER. FIRE PREVENTION OFFICER BUILDING CODE COMPLIANCE FORM THIS FIRE PREVENTION BUREAU:HAS REVII-WED THE PLANS DATED 16619 FOR THE;:PROPERTY LOCATED AT20:._ d?IOc -1 f�ou O� ALSOftNOWt�: AS c�1` �Se T - THE CHART BELOW INDICATES THE STATUS OF OUR REVIEW: TYPE OF t✓ONSTRUCTiOhf DOCUMENT N/A RECEII/ED REVIEWED COMPLIES 1:-NARRTIVElERORT. . ._ r 2 EifiE El' HfftV(a/FiCI�Is a4CC $S 3 HYDrRANT LOCAT INN/WATER SUPPIIf° ti--- . . 4 SPRINKLER SY -T-MS ,1 : . f.. t.� 5 SPRINKLER CONTROL EQUtRN1ENT s, . fi STANpPIPE.SYSTf=�VIS : : :: ` ✓'' _ _ 7fiA)1fDPtRE VA,VELOGaiTIONS 8 If UERART[yf ENT:CONt1ECTtON7. 9=FIRE PROTECTI1fE SIGN .0140.Sl'$T v'.. :` 10=F P 55 & Rio CATION 11=8MOKE CONTROL./EXHAUST .` ✓� 12.;SMOKE CONTROL.E©UIP: LOCATION: 13=LIFE SAFETY SYSTEM FEATURES i/' 1 =FIRE EXTINGUfSHfNG SYSTEMS ?. 15-F E S CONTROL,EGlUIP.LOCATION 16=:FIRE 'RQTECTION ROOMS \/ 17-FIRE PFfOTEOTION;EOUIP:SIOIVAGE s .&ALARM TRANSMISSION METHOp ----— Y 1 O-SEQUENCE.OF ORERATION REPORT ✓' 2b ACCEPTANCE TESTING CRITERIA 1/ WE BELIEVE TwE DOCUMENTS TO BE COMPLETE AND COMPLIANT FOR THE ISSUANCE OF A BUILDING PERMIT., VILE HAVE CO ` LETED HE ACCEPT CE TESTING FOR THE OCCUPANCY PERMIT AND BELIEVE THAT WITHIN`THE SCOPE THE B ILDING PE:R I ;THE ABOVE:ISSUES ARE IN COMPLIANCE. i l 1<< e kckm „ TMF TOWN OF BARNSTABLE 36�69 - Permit No. ................ BUILDING DEPARTMENT TOWN OFFICE BUILDING Cash .... NIA asv �o,uY i HYANNIS.MASS.02601 Bond CERTIFICATE OF USE AND OCCUPANCY Issued to Cotuit Fire District (Water Department). Address 4320 Falmouth Road Cotuit, Mass. USE GROUP FIRE GRADING OCCUPANCY LOAD 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 AND IN ACCORDANCE WITH SECTION 119.0 OF THE MASSACHUSETTS STATE BUILDING CODE. February 18, 94 ” . .. ... .. .. ..... . ...... .... . . 19............. ............ ....:.... ................... Building/Inspector , .� ... _r..- .._ ... --- ....vim �...^'t�.....'.'"..:r^'..... ,..t 1 ,,Two TOWN OF BARNSTABLE 36f3 Permit No. ........69........ BUILDING DEPARTMENT I ""'T } TOWN OFFICE BUILDING Cash 7 .ML tt }7�� A 639• NI 9"�p+uTr• HYANNIS,MASS.02601 Bond ................ CERTIFICATE OF USE AND OCCUPANCY Issued to Cotuit Fire District (Water Department) Address 4324 :Falmouth Road Cotuit, Mass. USE GROUP FIRE GRADING OCCUPANCY LOAD 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 AND IN ACCORDANCE WITH SECTION 119.0 OF THE MASSACHUSETTS STATE BUILDING CODE. February 18 94 ... ....... ..... ...... . .!..., 19................. ........4BCuil�d�i .....�:............. ngAnspector THE FOLLOWING IS/ARE THE BEST IMAGES FROM POOR QUALITY ORIGINAL (S) CI M AC�� DATA TOWN OF BARNSTABLE, MASSACHUSETTS lUILDING PERMIT DATE 19 PERMIT NO. ;p 36469 cl',?�',..:,i f I-i APPLICANT ADDRESS (NO.) (STREETI (CONTR'S LICENSE) .-..i C NUMBER OF PERMIT TO STORY ' '-DWELLING UNITS (TYPE OF IMPROVEMENT) NO. (PROPOSED USE) 44 _,!.aou,::) ZONING AT (LOCATION) DISTRICT (NO.) (STREET) BETWEEN AND (CROSS STREET) (CROSS STREET) LOT SUBDIVISION LOT BLOCK SIZE BUILDING IS TO BE—FT. WIDE BY FT. LONG BY — —FT. IN HEIGHT AND SHALL.CONFORM IN CONSTRUCTION TO TYPE USE GROUP BASEMENT WALLS OR FOUNDATION (TYPE) REMARKS: AREA OR i'J(J PERMIT VOLUME ESTIMATED COST $ FEE $ (CUBIC/SQUARE FEET) OWNER BUILDING DEPT. ADDRESS BY THIS PERMIT CONVEYS NO RIGHT TO OCCUPY ANY STREET, ALLEY OR SIDEWALK OR ANY PART THEREOF. EITHER TEMPORARILY OR PERMANENTLY. ENCROACHMENTS ON PUBLIC PROPERTY, NOT SPECIFICALLY PERMITTED UNDER THE BUILDING CODE, MUST BE AP- PROVED 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 THREE CALL -APPROVED PLANS MUST BE RETAINED ON JOB AND THIS WHERE APPLICABLE SEPARATE INSPECTIONS REQUIRED FOR PERMITS ARE REQUIRED FOR ALL CONSTRUCTION WORK: CARD KEPT POSTED UNTIL FINAL INSPECTION HAS BEEN ELECTRICAL, PLUMBING AND I. FOUNDATIONS OR FOOTINGS. MADE. WHERE A CERTIFICATE OF OCCUPANCY IS RE- MECHANICAL INSTALLATIONS. 2. PRIOR TO COVERING STRUCTURAL QUIRED,SUCH BUILDING SHALL NOT BE OCCUPIED UNTIL MEMBERSIREAOY TO LATH). 3. FINAL INSPECTION BEFORE FINAL INSPECTION HAS BEEN MADE. OCCUPANCY. POST THIS CARD SO IT IS VISIBLE FROM) STREET BUILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS W 0" 2 2 1p rl �y All, HEATING INSPECTION APPROVALS ENGINEERING DEPARTMENT BOARD OF HEALTH OTHER SITE PLAN REVIEW APPROVAL WORK SHALL NOT PROCEED UNTIL THE INSPEC- PERMIT ',V!LL BECOME NULL AND VOID IF CONSTRUCTION INSPECTIONS INDICATED ON THIS CARD CAN BE TOR HAS APPROVED THE VARIOULIS STAGES OF WORK Is NOT STARTED WITHIN SIX MONTHS OF DATE THE ARRANGED FOR BY TELEPHONE OR WRITTEN CONSTRUCTION. PERMIT ;S ISSUED AS NOTED ABOVE. NOTIFICATION. COMMONWEALTH DE - ------_ -_ -- -- - -•----.._. _._....__ -------- —_ OF DEPARTMENT OF PUBLIC SAFETY pall0tvfoporasesae�rrd»f ONE ASHBORTON PLACE :LIASSACHUSETTS BOSTON,MA 02108 I. ��g�ablft6ttsStat�B�f/dlRg 0.4074 aee'staQa�@tOff�rOC�t/OP! EXPIRATION DATE LICENSE Of this Ilcsp:s- 041Ob/1.9g6 CONSTR. SUPERVISOR CAUTION REn+So4NICTICNS j EFFECTIVE DATE LIC-NO. I FOR PROTECTION AGAINST 006/30/1 993 039833 THEFT, PUT RIGHT THUMB PRINT IN APPROPRIATE �ROBERT WATSOI BOX ON LICENSE. 21 HAZELMOOR ROAD c� m5 YARMOUTH MA 02664 LASTIIIGOPORS PHOTO(BLASTINGPR ONLY) m M�JST INCLU�E-PHOTO. F � �'�� JUL, 199 NOT VALID UNTIL SIGNED Y LICENSEE AND OFFICIALLY HEIGHT: STAMPED-OR-S NA RE OF THE CZ SSIONER DD ,, '�__ THIS DOCUMENT MUST BE u 0 L CARRIED ON THE PERSON OF THE HOLDER WHEN EN- T OF LICENSEE « SIGN NAME IN FULL ABOVE SIGNATURE LINE OMB PRINT GAGEDIN THIS OCCUPATION, COMMISSIONER i i `Assessor's office(1st Floor)- SEPTIC SYSTEM MUST B Assessor's map and lot nu b — INSTALLED IN COMPLIANC Conservation — —$ WITH TITLE 5 Board of Health(3rd floor): 2 y/ NVIRONMENTAL CODE A DeassT�st t Sewage Permit number -✓ TOW REGULATIONS � rua Engineering Department(3rd floor): ,/3 �rlJ� - °°�0°39'`��� . House number /�' �w Definitive Plan Approved by Planning Board 19 APPLICATIONS PROCESSED 8:30-9:30 A.M.and.1:00-2:00 P.M.only F TOWN OF BARNSTABLE . BUILDING INSPECTOR APPLICATION FOR PERMIT TO r' TYPE OF CONSTRUCTION _ �c,� 12a �L4 S c-;- 51 19 93 TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location FALMOUTH RD COTUIT MA 02635 Proposed Use LIME BATCHING FACILITY Zoning District (IOTTTTT Fire District COTUIT NameofOwner COTUIT FIRE DISTRICT Address 4300 FALMOUTH RD COTUIT MA Name of Builder ENGINEERED CONSTRUCTION CO A&Cmss 270 COMMUNICATIONS WY 1 B HYANNIS MA t Name of Architect WHITMAN & HOWARD INC Address 500 SOUTHBOROUGH DR PORTLAND ME Number of Rooms z Foundation— Exterior CGhA iZ C ,9 #QC7r S Roofing '�� LS �oo� S t� , Floors 0-c'u"4 / Interior Gti4j2SUj4 l�P— Lxj-4 f f Heating GAS Plumbing Fireplace NSA Approximate Cost r7, ©oo Area 6 Diagram of Lot and Building with Dimensions Fee ,S JA0 S,--> OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding t abo cnstru n. Nam I Construction Supervisor's License 63706 9 COTUIT FIRE DISTRICT No 36069 Permit For BUILD WATER TREATMENT FACILITY Lime Batching Facility Location 4320 Falmouth Road :Cotuit Owner Cotuit Fire District Type of Conestruction Frame y Plot Lot Permit Granted August 4 , 19 t 93 Da W of�tnspection 19 ; Date Completed 7 19Zr - }� `n° g . _ i - ...... . --.r . - - .-- . v,-'1 .. '- -.'-" +w•.- 1 Jr ".!".''.Z.,.,_ "- "r>'.Y .�"-.;. -.i-���` .�..s. ...,,,r-v�•�.r� . TOWN OF BARNSTABLE, MASSACHUSETTS BUILDING PERMIT A-025-013 August 4 93 DATE 19 P.ERMIT NO. �'�Q 26069 APPLICANT Engineered Construction ADDRESS `�� �'�' " �=ati.on i�'ay Hyannis %303/t/6 IN0,) (STREET) (CONTR'S LICENSE) PERMIT TO build water treatment facility Lime batching 'faCility NNUMBERDWELLIN OF G UNITS 0 e0 (TYPE OF IMPROVEMENT) NO. (PROPOSED USE) AT (LOCATION) 432U k'almoutll Road, Catuit ZONING CT RF (NO.) (STREET) O BETWEEN AND (CROSS STREET) (CROSS S,TRE.ET) LOT SUBDIVISION LOT BLOCK SIZE BUILDING IS TO BE FT. WIDE BY FT. LONG BY FT. IN HEIGHT AND SHALL-CONFORM IN CONSTRUCTION TO TYPE USE GROUP BASEMENT WALLS OR FOUNDATION (TYPE) REMARKS: Sewage.'. #93-400 AREA OR 1400 sq. it. 149,000 too FEE PERMIT VOLUME ESTIMATED COST $ FEE (CUBIC/SQUARE FEET) Cotuit Fire Dir;trict (W,,ter Department) r.. "- OWNER BUILDING DEPT. ADDRESS BY ,,. THIS PERMIT CONVEYS NO RIGHT TO OCCUPY ANY.S-TREET, ALLEY OR SIDEWALK OR ANY PART THEREOF. EITHER TEMPORARILY OR PERMANENTLY. ENCROACHMENTS ON PUBLIC PROPERTY, NOT SPECIFICALLY PERMITTED UNDER THE BUILDING CODE, MUST BE AP- PROVED BY THE JURISDICTION. STREET OR ALLEY GRADES AS WELL AS C'EPTH 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 THREE CALL APPROVED PLANS MUST BE RETAINED ON JOB AND THIS WHERE APPLICABLE SEPARATE INSPECTIONS REQUIRED FOR CARD KEPT POSTED UNTIL FINAL INSPECTION HAS BEEN PERMITS ARE REQUIRED FOR ALL CONSTRUCTION WORK: ELECTRICAL, PLUMBING AND 1. FOUNDATIONS OR FOOTINGS. MADE. WHERE A CERTIFICATE OF OCCUPANCY IS RE- MECHANICAL INSTALLATIONS. 2. PRIOR TO COVERING STRUCTURAL QUIRED,SUCH BUILDING SHALL NOT BE OCCUPIED UNTIL MEMBERS IRE TO FINAL INSPECTION HAS BEEN MADE. 3. FINAL INSPECTION BEEFORFOREE OCCUPANCY. POST THIS CARD SO IT IS VISIBLE FROM STREET BUILDING I SPEC/T OWN APPROVALS Q PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS i�J �I/ 2CI�✓ 1 �t O�JP, ��J/�v/�G 1 � � y 3 HEATING INSPECTION APPROVALS ENGINEERING DEPARTMENT 1 2 BOARD OF HEALTH OTHER SITE PLAN REVIEW APPROVAL WORK SHALL NOT PROCEED UNTIL THE INSPEC- PERMIT W!LL BECOME NULL AND VOID IF CONSTRUCTION INSPECTIONS INDICATED ON THIS CARD CAN BE TOR HAS APPROVED THE VARIODUS STAGES OF i WORK IS NOT STARTED WITHIN SIX MONTHS OF DATE THE ARRANGED FOR BY TELEPHONE OR WRITTEN CONSTRUCTION. I PERMIT iS ISSUED AS NOTED ABOVE. NOTIFICATION. BUILDING PERMIT ARCHIVED SPECIFICATIONS Year : " Project Name: F*-i-47 Project Address: Q Map & Parcel # Permit number, if assigned: Permit date: Per Tom Perry, these Specification books must be kept indefinitely. Check with the Commissioner before discarding any of these documents. They can be moved to storage if needed. Archived Specs CB&I Blaymore Il,Suite 201 ® 1603 Carmody Court Sewickley, PA 15143 USA ® ! W Tel: +1 724 933 450 www.CBlepc.com March 4, 2010 Mr. Bob McKechnie Town of Barnstable Building Division 200 Main Street Hyannis, MA 02601 Re: Cotuit Elevated Water Tank Village of Cotuit, Massachusetts CBI Contract 142268 Dear Bob: Enclosed, as required, is the Controlled Construction — Final Report for the new Cotuit elevated water tank. Also enclosed are copies of all of the required inspections that were performed over the course of this project. Please let me know if anything additional is needed. Very truly yours, CB&I Constructors, Inc. Daniel J. Johnson, P.E. Oft" Project Manager �3Z � � � L Engineering•Procurement•Construction Since 1889 - - Align top of EedEx__Exoress-Shinnimnlaeol-►Aro- -_ ._ ORIGIN ID: BFDA (724) 933-4451 A�TWGT: 1.8 LBQR10 MAILROOM CAD: 2395173/INET3010 CHICAGO BRIDGE AND IRON 1603-CARMODY COURT SUITE 201 BILL SENDER SEWICKLEY, PA 15143 UNITED STATES'US--— / TOBOB MCKECHNIE TOWN OF BARNSTABLE 200 MAIN ST BUILDING DIVISION HYANNIS MA 02601 (724) 933-4451 REF: WCO INV: DEPT: -- P0: A. ,Ff�`` unlilliuuumiilliiilmnliul�°Ilu ti � I F°edEx 4 I I I II I Express v 1 N I � � I I II 144' II1A1l 4 O MON - 08 MAR AA oRo# 7984 4630 5630 2DAY # 02601 MA-US HYAA BOS a 0 N I � _ 505G1/Ffi53/SFEfi --NDD . Pn 1 . � I 4 1 I IAI Y For FedEx Express®Shipmeihs Only 319V1SN09 10 h101 f 06 bottom of Peel'and Stick Airbill or Pouch here. a 1 � A• Controlled Construction —.Final Report w ca Project Name: Cotuit Elevated Water Tank Project n CD q...... 'rl O Location: Santuit-Newtown Road, Cotuit, Massachusetts m , i CO :r-P Scope of Project: Construction of a new elevated water tank N In accordance with Section 116.0 of the Massachusetts State Building Code, � r n I, Camden Kirkpatrick, P.E., Massachusetts Registration No. 47224, being a registered professional engineer, hereby certify that I have prepared or directly supervised the preparation of all Structural design plans, computations and specifications associated with the construction of the above named project and that, to the best of my knowledge, such plans, computations and specifications meet the applicable provisions of the Massachusetts State Building Code, all applicable Engineering practices. and all applicable laws for the proposed project. I further certify that I have performed the necessary professional services in order to confirm that the work (Structural) has been satisfactorily completed in accordance with the documents approved for the building permit, including the following: 1.) Review of shop drawings, samples and other submittals of the contractor as required by the construction contract documents as submitted for the building permit and approval for the conformance to the design concept; 2.) Review and approval of the quality control procedures for all code required controlled materials; 3.) Special architectural or engineering professional inspection or critical construction components requiring controlled materials or construction specified in the accepted engineering practice standards listed on the attached Certification of Compliance. , Copies of the reports documenting the required inspections that were performed on this project are attached. A OF Camden Kirkpatrick MA Reg. No. 47224 CAMDEN L o KIRKPATRICK CB&I Constructors. Inc. " STRUCTURAL Company No.47224 9550 Hickman Road Clive, IA 50325 1� Address (515)254-9530 Telephone n Then personally appeared the above named (_c3n�% ':a c1c, on , 2010 and made oath that the above statement by him/her is true. Before me ® SHELLY HI TT My Commission expires , 2010 Commission Number 195714 My Commission Expires °W° ao► Y Certification of Compliance - Cotuit Elevated Water Tank Material/Activity Type of Inspection References Agent Earthwork Field inspection by geotechnical Project geotechnical,report,CBI Briggs Engineering&Testing Foundation Subgrade engineer of foundation subgrade Foundation Specification and Stearns&Wheler GHD prior to construction of footing. Tank concrete Foundation - Project Specifications Section Materials Review concrete mix design. 03001,CBI Foundation CBI Engineering Specification. Reinforcing Steel Review shop drawings Project Specifications Section CBI Engineering 03001,CBI foundation drawings. Field observations: CBI foundation drawings and CBI Briggs Engineering&Testing Formwork Placement Insure proper dimensions are held foundation specification. and Stearns&Wheler GHD in accordance with CBI dwgs. Field observations: Insure correct rebarsizes. Reinforcing Steel Placement Insure correct rebar quantities. CBI foundation.drawings and CBI Briggs Engineering&Testing Insure correct rebar placement. foundation specification. and Stearns&Wheler GHD Insure correct cover dimensions. . Insure correct lap lengths. Field observations: unauthorized addition of additives. project Specifications Section unauthorized addition of water. Concrete Operations and 03001,CBI foundation drawings -Insure proper consolidation by Briggs Engineering&Testing Placement vibration. and CBI foundation specification, Insure elements are monolithic,no ACI 318 Section 5.10:. . cold joints. Field observations: -Insure proper acquisition of test project Specifications Section cylinders. 03001 CBI foundation Strength Test Specimens Insure slump test is done. Briggs Engineering&Testing -Insure air content is tested. specification,ASTM C172,C31, Insure concrete temperature is. ACI 318 Section 5.6,5.8. recorded. Field observations: -Insure anchors are placed at the CBI foundation drawings and CBI Anchor Bolt Installation correct locations. Briggs Engineering&Testing Insure anchor as-built drawing is foundation specification. completed. Evaluation of in-situ concrete Laboratory testing,ACI 318 Briggs Engineering&Testing Concrete Strength 99 9 9 9 . strength. Section 5.6. Steel Tank, Material Identification Conformance to ASTM Standards in the approval plans and CBI Engineering Steel Tank Construction specifications AWWA Standard D100 and Merithew Inc. -Confirm that proper weld filler Project Specifications Section materials are used 02664 Confirm that welding is performed in accordance with AWS Standards c CB&I Inc. Blaymore II,Suite 201 1603 Carmody Court Sewickley,PA 15143 ► USA Tel:+1 724 933 4450 www.CBI.com December 14, 2009 Subject: Tank Certification CB&I Inc. 142268 Location: Cotuit, MA c with ANSI/AWWA D100-05 Section 11.2 CB&I Inc. certifies that all welding In accordance g performed on the above contract was accomplished utilizing welders who are certified to the latest edition and addenda of ASME Section IX and using approved welding procedures. Any defective weld areas detected per Sec. 11 of AWWA D100-05 were removed by arc gouging and/or grinding and rewelded by a qualified welder using an approved welding procedure. We certify that all radiographic examinations were performed in accordance with ANSI/AWWA D100-05 requirements and that all subsequent interpretations were evaluated in accordance with Section 11.6.10 of this standard. Any defective weld areas were repaired and radiographed per Section 11.6.11. We certify that all shop fabrication was performed in accordance with ANSI/AWWA D100-05 Section 9 requirements. We certify that all weld erection was performed in accordance with ANSI/AWWA D100-05 Section 10 requirements. Enclosed, please find the radiographic film and a copy of the radiographic reports and W drawings, showing the list of welders and radiograph locations by seam. Also, enclosed is a'Radiographic Acceptance Form;.which is to be'signed by the customer and returned to Dan Johnson. Please call if additional information or clarification is required. Sincerely, CBI Inc. Donald G Berger, Jr. Construction Manager ENCLOSURE CertltrHP-CET Rev-1Aug08.doc _ Engineering a Procurement Construction Since 1889 I RADIOGRAPHY i ■ EXAMINATION SCHEDULE CONTRACT 142268 PURCHASER Cotuit Water Department NO.OF STRUCTURES 1 LOCATION Cotuit,MA DESCRIPTION 500 MG X 112'-6 BCL Watershperoid CODE&ADDENDA/STANDARD&EDITION AWWA D100 05 RADIOGRAPHS® SPECIAL PURCHASER RADIOGRAPHY REQUIREMENTS SPECIAL CBI RADIOGRAPHY REQUIREMENTS INSTRUCTIONS: SEE BACK OF FORM FOR BASIS OF JOINT THICKNESS AND IQI SELECTION. ADDITIONAL SPOT RADIOGRAPHIC EXAMINATION REQUIREMENTS ARE SHOWN ON THE LAST PAGE OF INSPECTION AND TESTING CHECKLIST FORM WL 200 OR ON THIS SCHEDULE. Joint Footage **IQ]Req'd Joint Dwg Plate Joint Joint Combined Total No.Exams ID No.for Hole Location No. Thickness Thickness Footage Thickness Type of Wire No. Remarks *(inches/mmm) *(inches/mm) *(Ft/M) *(Ft/M) Req'd **Actual for Wire Type PRIMARY SEAMS Ball 702 TOG 4C50-1 D-2 0.2500 590 7 Diaphragm TOG 4C50-1 D-2 0.3125 9 Ball 701 TOG 4C50-1 D-2 0.5650 90 3 Ball 502 TOG 4C50-1 D-2 0.5950 93 Ball 501 TOG 4C50-1 D-2 0.92 96 2 THIS TANK HAS A TOTAL OF 63 INTERSECTION SUBJECT TO PRIMARY STRESS 5%OF THE INTERSECTIONS OR 4 IN THE BALL MUST BE RADIOGRAPHED. Radiograph is the total number of Radiograph. Continuing on page REQUIRED FOR ONE STRUCTURE 21 RADIOGRAPHS BASED ON ONE WELDER FOR TOTAL REQUIRED FOR 1 STRUCTURES 21 RADIOGRAPHS VERTICAL(PRIMARY)JOINTS *CIRCLE UNIT OF MEASUREMENT USED WHEN COMPLETE **TO BE COMPLETED BY CONSTRUCTION OFFICE OR FIELD FORMAN: A TOTAL OF ZI RADIOGRAPHS TAKEN Send to Construction Office � One Legible Copy and Work Copies if Any FOREMAN RADIOGRAPHER J. Ae/�� , R By Const.Assigned Eng.Assigned Made By Date Chkd By Data Contract No. Sheet E Chkd WCO WCE WCD 4/8/2009 1 WCD 1411120091 142268 1 V Date Dave Beck CLK KWD BKC Printed in USA WL 248(FRONT)REV NOV 94 i r. ® RADIOGRAPHY EXAMINATION SCHEDULE CONTRACT 142268 PURCHASER Cotuit Water Department NO.OF STRUCTURES 1 LOCATION Cotuit,MA DESCRIPTION 500 MG X 112'-6 BCL Waterkeroid CODE&ADDENDA/STANDARD&EDITION AWWA D100 05 RADIOGRAPHS® SPECIAL PURCHASER RADIOGRAPHY REQUIREMENTS SPECIAL CBI RADIOGRAPHY REQUIREMENTS INSTRUCTIONS: SEE BACK OF FORM FOR BASIS OF JOINT THICKNESS AND IQI SELECTION. ADDITIONAL SPOT RADIOGRAPHIC EXAMINATION REQUIREMENTS ARE SHOWN ON THE LAST PAGE OF INSPECTION AND TESTING CHECKLIST FORM WL 200 OR ON THIS SCHEDULE. Joint Footage **IQ[Req'd Joint Dwg Plate Joint Joint Combined Total No.Exams ID No.for Hole Location No. Thickness Thickness Footage Thickness Type of Wire No. Remarks *(inches/mmm) *(inches/mm) *(Ft/M) *(FUM) Req'd **Actual for Wire Type SECONDARY SEAMS Ball 701 To 702 4C50-1 D-2 0.2500 167 2 Ball 502 To 701 4C50-1 D-2 0.5650 134 3 Ball 501 To 502 4C50-1 D-2 0.5950 89 Bell301TOG 4C50-1D-2 0.6250 36 Bell 301 To 302 4C50-1 D-2 0.6250 68 Shaft 2001 to UKN 4C50-1 D-2 0.6875 32 Shaft 1801 to 1901 4C50-1 D-2 0.6875 32 Bell 302 TOG 4C50-1 D-2 0.6875 29 Bell 302 To 303 4C50-1 D-2 0.6875 56 Shaft 1601 to 1701 4C50-1 D-2 0.7500 32 2 Shaft 1401 to 1501 4C50-1 D-2 0.7500 32 Bell 303 TOG 4C50-1 D-2 0.7500 29 Bell 303 To 304 4C50-1 D-2 0.7500 1 45 Bell 304 TOG 4C50-1 D-2 0.8750 29 Bell 304 to LKN 4C50-1 D-2 0.8750 33 Shaft 1201 to 1301 4C50-1 D-2 0.8750 32 Shaft 1101 to 1201 4C50-1D-2 0.8750 32 UKN 201 To 501 4C50-1 D-2 0.9200 43 1 UKN TOG 4C50-1 D-2 1.2500 9 1 REQUIRED FOR ONE STRUCTURE RADIOGRAPHS BASED ON ONE WELDER FOR TOTAL REQUIRED FOR RADIOGRAPHS VERTICAL(PRIMARY)JOINTS WHEN COMPLETE *TO BE COMPLETED BY CONSTRUCTION OFFICE OR FIELD FORMAN: A TOTAL OF Z7 RADIOGRAPHS TAKEN Send to Construction Office One Legible Copy and Work Copies if Any FOREMAN � ,�� /f � RADIOGRAPHER Al R By Const.Assigned Eng.Assigned Made By Date Chkd By Date Contract No. Sheet E Chkd WCO WCE WCD 4/8/2009 WCD 4/1/2009 142268 2 V Date Dave Beck CLK KWD BKC Printed in USA WL 248(FRONT)REV NOV 94 Orig.with radlographs Week Ending -7 1-7 o tl Copy to ConsL or Shop Of. Rgwrt or Sequence No. 101- <! Copy to Foremen or Supt. First,0 Intermediate E—Final Cana e Alo. I tI 7 Z_�J Tank No. 1 Location ii 0'f t/ i Praced s and Rev.No. �E,J�.1�ry l �`� � SCustomer Descuaption 15010 f`1 G� f 11 ? t`l C L to-JP 4'-- f I plegsg ® Hnner Tank a Single aA/adl Exposure Single Wall Viewing ®' Single Film Isotope Cuter Double�'/aall Exposure Losable Wall �&9ecBL � ® Fas ® ® Double Film ® %-eayy/Mfnu. Viewing KV material Effective Focal Film Brand Minimum Source Maximum Source Side of Object to 'type: Spat Size: Designation: to-Object Distance: Filar Distance:(t¢o uniem noted) r Welders Arne Film or Weld/ . Unacceptable Indications Film or Seem Interval Plate Remaetss G iding Oboe Identification Plumber Number Thickness c^A � Ewa- sm0. Aa tom. Gnding. � (Please Print) (t) F1d0ta° pled � `� � able � El El ;' f� } rb,P..1 r �ffr1�}}L�t•. to ilJ; ir'i 7 Ii j0 0 TET Remarks: A7 1f L r 6! /74•1 >~ l//,5t- I.? ±I 40 Tba raffoaraphy covered by this report has brat P=fomaed in R,aviewed and to Spot ® I00-A mcardoms,mith the re �faroed pmcedure(s): 1 PICTURE LENGTH Beaded Fes! Rejesead Level MIS Cusiosi e.4_iWas Data lre(m,a) la(—) TTuit All ivdicadom bave 1=evaluated in=T&-ica with the Page �$ Al ®sir TOW /: �-i i /l '`^!�✓'1.. �)� /:I%1:jay.= to f Ia�oS Level DUN d%Q (Spot mnd 100%mdiography an not to be mimrUd on'the s ere page) WL 233 REV JULY 00 � .�3e ,a.: .,.��z�-vr..+. -r,-,-.�.-�uc•,.,ra:z-.rcaurr^.p, rxa�:..wyr.w•w� =^.:=.._.,...c.;a.•.._.ax_.;_'_ .c=rr- v &REPORT RAFMCS. EXOHNE't11b1®dV Dvsflaabu8i®ta: ; Orl&with mdiogMhs Week Ending � A� 771 I.)' Copy to Oonst or Shop Off. Report or Sequeacc No. 7 l:f' 2_ Copy to Foreee+pfl or Supt. F9rst ' Intetmeditat, Final Conti t Pao. { � j Tank No. (.=tioln ( o j V t 4 Procedure(s)and Rev.No. A w W � (1 ' 05 Customer C6 cI t"i W 161e.,: Description _D 00 � J r' pfe&w ® Inner Tank Single Wall Exposure Single WWIViewing ®' Single Film �G isotope J l24/q) I f�`C j Check Outer Tank ® Double Mall Exposure ® Double WWI ® Double Film ® %-My/max. Viewing KV Material Effective Focal Film Brand A Minimum Source- Maximum Source Side of Object to Type: Spot Size: Designation: to-Object Distance: Film istance:it¢0 unless noted) Welders Name Film or Wei& Unacceptable Indications Film or Seam Interval Plate Remarks tarading Office Identiflcadion Plumber Number Thickness c� to. Elm. n�- Aa umm_ ceding , (Please Print) (t) F"°°' f d e `� MV El 3 ,tlEl _LF 4 5 El 7 a s to tt to u - 14 is A V T1e radegaph7 covered by this repose has tm Mffomned in ARMhy: � spot ® I00 A with the reres®oed du 3): 17' rS `%.� PICTURE LENGTH q !�' o Rejected Yid6b*cted gavel Date 's wpector Date drt(mtm) W—) YSus AD dmdlcada=have been w ducted in=wdsnce with the Page raferwxed 8): AI Daaa anal tea: rimedDate /7 (Spot and 100%radiography ads not to be mVorted on the sane page) WL 259 REV JULY 00 1 a-,-- 1 ®iSt8i�61on: ' Orig.with m4iogwhs Week Ending f I j Copy W Const.or Shop Off. Rq*n or Sequence No. Copy to Foramm or Supe. Fiat Intermediate Find = a Comb=No. i 1'1 Z����f Tank No. Location C � ! U i i Procedl and Rev.No. A IA/1�� ��� t �1 � ( ) 1 - s z )r � � �� .�� �W� Customer Cr.)!• E l I eft.�;� `����� .��:� -� i 4 msca ipkion 50 0 P i (r k; t �� C_L Imo° . Ip9e ® Inner Tank Single gall Enposure Single Wall Viewing 0 Single Film Isotope 2, (j-Ic Check O tauter Tans ® Double Wall Expasure ® Double Wall ® Double Film ® X-my/AAax. Viewing ICE! Material Effective Focal Film Brand Minimt:tn Source- Maximum Source Side of Object to Type: Spot Size: Designation: to-Object Distance: Film istance:(t¢0 unless noted) Welders Plane Film or Wei& Unacceptable Indications Film or Seam Interval Plate Remartts Grading ®86ce Identification Plumber Plumber Tbiclrness Crack P� � w e tng (Please Print) > (t) El C3 4I rz a:i 0 a '�0 :°J7 Ord- r j = -- 18 IS ET Rernarks: ,a •�f j "� _L r:?. 1 v. A 1/0ni5 I/JS6/ (_CV Tie 79,50omphy covered by this repose has trash Wormed in Rt,aviewed ted by- �-E) Spot ® 1 W/o e with the referamosd procednut(s): /� _y_ PICTURE LENGGI4[ :i�i I Rejected ToW xadl� Level Date Customer's inspector Date !n{nnm) la(—) 77ua Ad hdicadoaa have bm®valuated in comic®with the Page roferv>sced �a): :''' ' •t l � !f C' Al Dam Rota! J., i r.l�i• '` v! 7 I J�if to uator Laved Date flme (Spot and 100%radiography are not to be roortgd on the sam@ page) WL 233 RED!1ULY 00 CONCRETE PLACEMENT INSPECTION PROJECT: I � Briggs Engineering & Testing COTUIT FIRE WATER STOR.TANK A Division of PK Associates, Inc. PROJECT#: 24669 NO-- V INSPECTOR: Jeff Freitas PAGE OF DATE: 5/11/09 CODE: C26 TEMP.: H 55F L 47F WIND.: L H HUMID.: H L SUNNY Concrete Source: Cape Cod Ready Mix General Contractor: R.P. lannuccillo Storage Location: Curing Box: Other: near placement Inspection completed as per ACI-301 and Contract Documents. A checklist of major items is presented. All items in non-conformance are either corrected during inspection or noted herein. Detailed inspection of reinforcing for size, quantity, grade, spacing and configuration is reported separately when performed. Preplacement: Weather X Steel arrangement X Temp. X Steel clearance X Forms for general requirements. X Steel cleanliness X Grade preparation X Steel supports X Placement: Concrete placed within limits of ASTM C-94 and.Contract Documents. Non-compliance items are either corrected before placement or noted herein. Concrete sampled in accordance with ASTM C-172. Unless otherwise noted all tests were conducted in accordance with ASTM's C31, C138, C143, C173, C 231 and C1064 respectively. ASTM C-94 Limits ASTM C-94 Limits Time Limits X 1-1/2 firs. max. Temperature X =w 150-90° F;: Slump * 4" Max Mixing N/A�-v. i'70-300 Rev. Air content * 4.5 - 6.5% Density N/A r;'r + 3 p.c f Location: Storage tank foundation reinforced footing slab. Reference drawing on pa e #2 of this report fo placement and test locations. Reference 2 photos of rebar on pages #4 and#5. CID 1- Remarks: *Load#7 had high slump. *Load #4 had high air content. A reinforcing steel inspection W-A " performed for the above location. All reinforcing steel inspected conformed with the appropriate drawn s/ specifications. Reference page #2 of this report for water/ cement ratios per load. _ The following is a list of all trucks sampled. All other trucks were verified to be in conformance with ASTM C94 and Project specifications. Any trucks not in compliance with standards may be tested, and are noted herein. Method of placement: Chute Pump X Other Total Cubic Yards Placed 87 Load Arr. Truck No. of Mix Conc. Slump Air Air Conc. Conc. C.A. Cyl. Set Gals. Unit No. Time No. Yds. Duration Temp.' (in.) (%) Temp. Strength Strength Size Fabr. # added Weight (min.) (°F) (°F) Deliv. Required (in.) water ( cf) 4 11:05 68 11 70 71 F 4" 6.8% 55F 4000 4000 3/4 4 1 5 7 112:001 71 1 11 67 70F 4.5" 5.5% 55F 4000 4000 3/4 4 2 5 17 X 100Weymouth SL.,Unit B-1,Rockland,Ma 02370 J ` 100 Pound Rd.,Cumberland,R1 02364 A rove / / c.p.i. Rev. 3, 07 Director of Field Operations: v Sean Skorohod YT i Y DATE: 5/11/09 Pg. 2 of 5 PROJECT: Cotuit Water Storage Tank PROJECT#24669 INSPECTOR: Jeff Freitas QTY in Lbs. QTY in Lbs. QTY in Lbs. QTY in Lbs,QTY in Lbs.QTY in Lbs. Load No: rUdl< No:T. e;1 Cement ;:FI asii Total.Cereient Act ..Water Add.Water Total.. ate Wt/CM. ao 1 73 5005 885 5890 2,561.81 41.65 2,603.46 0.44 2 72 5015 905 5920 2,559.81 41.65 2,601.46 0.44 3 55 5245 945 6190 2,679.09 41.65 2,720.74 0.44 4 68 5260 911 1 6171 2,679.26 41.65 2,720.91 0.44 5 53 5260 911 6171 2,680.84 41.65 2,722.49 0.44 6 57 5255 935 6190 2,680.09 41.65 2,721.74 0.44 7 71 5260 911 6171 2,684.76 41.65 2,726.41 0.44 8 54 5265 920 6185 2,679.01 41.65 21720,66 0.44 � 7 1 Lola 0 �u Ad `< a k�Cr"i��4� �� 1 r=• t -roe �:... — L6Ab >°s-2 a1rt-izafit l i t.t 0722E� fzw Xf Gr f XFa P9 g s{ W Project i!: Briggs Engineering & Testing �gg b g gEEI 1 WO f �lcr�3 Dmwn by:Rockland MA>(781)871-7982 `'� Cumberland, R1 {10I)658-Z990 . �a;,/ Date: Slicer * z=//-L/)? o1. ' ' ,,...� 'Y l ':.:.-H , } < 1 .G f .: :,'.. f-. ].. i �- �l 1t+i: ,Lr• y:;.:... ,:A: 44. �. ..i '. .. -.,.. .r.,I .I :. ,.,,.}, L ..., ...:. r .�y,. 1 u 1 ..-„ .Y- ,. 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PROJECT#: 24669 1W INSPECTOR: Jeff Freitas PAGE OF DATE: 5/15/09 CODE: C26 TEMP.: H 58F L WIND.: L H HUMID.: H L I LIGHT DRIZZLE Concrete Source: Cape Cod Ready Mix General Contractor: R.P. lannuccillo Storage Location: Curing Box: Other: near placement inspection completed as per ACI-301 and Contract Documents. A checklist of major items is presented. All items in non-conformance are either corrected during inspection or noted herein. Detailed inspection of reinforcing for size, quantity, grade, spacing and configuration is reported separately when performed. Preplacement: Weather X Steel arrangement X Temp. X Steel clearance X Forms for general requirements. X Steel cleanliness X Grade preparation X Steel supports. X Placement: Concrete placed within limits of ASTM C-94 and Contract Documents. Non-compliance items are either corrected before placement or noted herein. Concrete sampled in accordance with ASTM C-172. Unless otherwise noted all tests were conducted in accordance with ASTM's C31, C138, C143, C173, C 231 and C1064 respectively. ASTM C-94 Limits ASTM C-94 Limits Time Limits * 1-1/2 hrs. max. Temperature X 50-90' F Slump X 4" Max Mixing N/A 70-300 Rev. Air content X 5.0- 7.0% Density N/A f 3 p.c.f. Location: Tank foundation wall. Reference drawing on pace #2 of this report for placement and test locations. Remarks: *Load #2 exceeded the 90 minute time limit. Temperature and workability of the concrete was monitored and remained consistent. A reinforcing steel inspection was performed for the above location. All reinforcing steel inspected conformed with the appropriate drawings/ specifications. The following is a list of all trucks sampled. All other trucks were verified to be in conformance with ASTM C94 and Project specifications. Any trucks not in compliance with standards may be tested, and are noted herein. Method of placement: Chute X Pump Other Total Cubic Yards Placed 39 Load Arr. Truck No. of Mix Conc. Slump Air Air Conc. Conc. C.A. Cyl. Set Gals. Unit No. Time No. Yds. Duration Temp. (in.) (%) Temp. Strength Strength Size Fabr. # added Weight (min.) (°F) ('F) Deliv. Required in. water ( cf) 2 10:38 73 1 11 94 69F 4" 6.2% 58F 4000 4000 3/4 4 1 0 8X100 Weyinouth St.,Unit B-I,Rockland,Ma 02370 f� j 100 Pound Rd.,Cumberland,R1 02864 Approved: c.p.i. Rev. 3, 07 Director of Field Operations: Sean Skorohod YT aA b JYZ i . _ F • v r q' 3 E - ,•F S . , :q s a — 4 f ,'•,_'..gym--���•r��^^�. (��R .. .... fi AMCff'oX 6E-rS ul 1. .�y.. f I+.. , /s/:duts rIt C.t� rtc�rt .ate �. Subject: Project!": Br '? /-/ " _,-, 0 �iggs Engineering &Testing 7' AM 51,- "t x �t;J,F;�r�G"�A�l.� 'rawn b IBRIGGSI ��"jfr' eff� F�su.kf ri✓. �f r�r� r�f* w Rockland,MA o(781)871-7982 o�✓� �� ��'�� or Cumberland,RI-(401) 658-2990 �.�✓`1s r ,,l"-I-dcArlar'.c, Date: Shect(s): -I '=t� i Daily ReportS IG Briggs Engineering�e, Testing PROJECT: Daily FIRE NVATER STORAGE TANK A Division of PK Associates, Inc. PROJECT#f: 24669 INSPECTOR: Jeff Freitas EMP.#: REPORT#: DATE: 05/19/09 CODE: ARR.TIME: JOB H.RS.: T.T.: MILEAGE: TEMP.: IY L WIND: II - L HUMID: . fI L NO.OF PAGES TO THIS REPORT: 3 NO. OF BACKUP PAGES TO THIS REPORT: 2 Upon my arrival at the above mentioned project site I met with Gary of R.P. Iannuceillo and reviewed the area for compaction testing. We waited for Steve of R.P. Iarmuccillo to obtain the proctor number from his o_0-ice. The following procedure was established after the .first compaction test in order to achieve the required minimum of 95%compaction: ''`Material lift height not to exceed 12". *Compaction conducted by use of'a 55 lb. flat plate compactor. *Number of passes with flat plate compactor(right, left, up, down at three repeats). ® 100 Weymouth St., UnitB-1, Rockland, MA 02370 ❑ 100 Pound R.d., Cumberland, RI 02864 Approved: c.s. rev 2, 02 Director of Field Operations: Sean Sliorohod PI' Soils Compaction Report Briggs Enginee,ing & Testing PROJECT: COTUIT WATER STORAGE TANK A Division of PK Associates, Inc. PROJECT#: 24669 �— [INSPECTOR: Jeff Freitas EMP.#: REPORT#: DATE: 5/19/09 CODE: PAGE TEMP.: H 62F L 46F I WIND: H L X HUMID: H L SUNNY Troxler Serial Number: 15478 Type of Gauge: 3440 Density Count: 2024 Moisture Count: 707 Maximum Dry Density: 139.7 Optimum Moisture Content: 6.7 Soil Description: 1-1/2" dense grade Material Source: CCA Minimum Compaction Requirement: 95.00/6 Proctor Type: ASTM 1557 (AASHTO T 180 Test Location Estimated Elev. Wet Dry Percent Percent Optimum No. Area Tested Density Density Com action Moisture Moisture I Please sce attached sketch 2'x 2' 138.2 132.9 95.1 4.0 6.7 2 2'x 2' -4' 139.9 1 132.7 95.0 5.4 6.7 3 Tx 2' -4' 139.9 133.3 95.4 5.0 6.7 4 2'x 2' -4' 140.0 132.9 95.1 1 5.4 6.7 5 2'x?' -4' 140.9 132.7 95.0 6.2 6.7 Tests not meeting requirements: Who notified: Gary w/R.P. 1&1lnEICCiHO Recommendations: Remarks: All tests were conducted in accordance with ASTMS D 2922 and D 3017. 'kElevation is below top of foundation wall Note: All of the test results and findings contained within this report are limited to the areas indicated. 1001Vcymoul.11 St.,l.lnir 13-I,Rocldanci,NIa 0237{l ❑ 100 Pound Rd.,Cumberland.R1 02864 Approved: s.c.r. rev 4, 04 Director of Field Operations: S69h Skorohod PF 1 v" d• J��~'J � `�L F-Z-7 s `T I"f I to II S q jJJJ�^,�,`l y,`•�,\1 J �f/�4 j7, .5• y-M... ... AM l t~;9 6, 76 A ^�-1 ems' Subject: Project#: elmaidam� Briggs Engineering& Testing t?o�l� VVA-rC°t_ z y� JBRIGGBIfl$ C—€L� zr'e S--ft Drawn by. Rockland,MA n(781)871-7982 SOU PACt.40ry Cumberland, RI e(401)b58-2990 TE'.57- �^OcA VI }o qS Date: Sheet(s): CONCRETE PLACEMENT INSPECTION U �� 99 Engineering 9 PROJECT: BR qI � Briggs En ineerin & Testing COTUIT FIRE WATER STOR.TANK NO A Division of PI( Associates, Inc. PROJECT#: 24669-- V INSPECTOR: Jeff Freitas PAGE OF DATE: 5/22/09 CODE: C26 TEMP.: H 74F L 61 F WIND.: L X H HUMID.: H L ISUNNY Concrete Source: Cape Cod Ready Mix General Contractor: R.P. lannuccillo Storage Location: Curing Box: Other: near lacement Inspection completed as per ACI-301 and Contract Documents. A checklist of major items is presented. All items in non-conformance are either corrected during inspection or noted herein. Detailed inspection of reinforcing for size, quantity, grade, spacing and configuration is reported separately when performed. Preplacement: Weather X Steel arrangement X Temp. X Steel clearance X Forms for general requirements. X Steel cleanliness X Grade preparation X Steel supports X Placement: Concrete placed within limits of ASTM C-94 and Contract Documents. Non-compliance items are either corrected before placement or noted herein. Concrete sampled in accordance with ASTM C-172. Unless otherwise noted all tests were conducted in accordance with ASTM's C31, C138, C143, C173, C 231 and C1064 respectively. ASTM C-94 Limits ASTM C-94 Limits Time Limits X 1-1/2 hrs. max. Temperature X 50-90' F Slump 5" Max Mixing N/A 70-300 Rev. Air content X 3.5 - 6.5% Density N/A ± 3 p.c.f. Location: Storage tank interior foundation slab. Reference drawing page #2 of this report for placement and test locations. Remarks: *Load #1 had high slump. A reinforcing steel inspection was performed for the above location. All reinforcing steel inspected conformed with the appropriate drawings/ specifications. The following is a list of all trucks sampled. All other trucks were verified to be in conformance with ASTM C94 and Project specifications. Any trucks not in compliance with standards may be tested, and are noted herein. Method of placement: Chute X Pump Other Total Cubic Yards Placed 13 Load Arr. Truck No. of Mix Conc. Slump Air Air Conc. Conc. C.A. Cyl. Set Gals. Unit No. Time No. Yds. Duration Temp. (in.) (%) Temp. Strength Strength Size Fabr. # added Weight (min.) (T) (T) Deliv. Required (in.) water ( cf) 1 7:45 53 7 75 65F 5.5" 6.2% 74F 4000 4000 3/4 4 1 0 X 100 Weymouth St.,Unit 13-1,Rocidand,Ma 02370 100 Pound Rd.,Cumberland,R1 028Cr1 Approved: c.p.i. Rev. 3, 07 Director of Field Operations: Sean Skorohod YT P t 1 if 3 xE t ` 14, Subject: Project ii: ,. W Briggs Engineering & Testing IGGS Drawn by: Rockland, MA e(781)871-7982 Cumberland,RI o(401)658-2990 o A. 5 i Date: Sbeet(s): of Concrete Cylinder Test Results project: Cotuit Fire Water Stor. Tank l GSJ Brigg �t, , & Testing �� s Engineerin Z7 NiZV an r PK A,,,,.,,,<<,. ,,,c. Project No.: 24669 Date: 5/15/2009 Client: Stearns &Wheeler LLC Placement Tank Foundation Wall. Reference drawing on page #2 of this report for placement and test Location: locations. Sample Location Reference Drawing / Remarks: Concrete samples obtained,fabricated and tested in accordance with ASTM C172,C31,C39, C143,C173, C231,C138,&01064 unless otherwise noted. Concrete Source: Cape Cod Ready Mix General Contractor: R.P. lannuccillo Mix I.D.: 40ODY Ticket No.: 50240 Time of Test: 11:00 Cement/ Poz:zolan Type: Strength Delivered: 4000 Load No.: 2 Cement, lbs: Strength Required: 4000 Set No.: 1 P®zzolan, lbs: Truck No.: 73 No. of Cyl.: 4 Fine Aggregate, lbs.: Batch Time: 9:46 Slump, in.: 4.0 Coarse Aggregate, lbs: Coarse Agg. Size: 3/4" Air Content, %: 6.2 Water, gals.: Density, pcf-. Water Reducer, oz.: Concrete Temp., Of: 69 Air Entraining, oz.: Air Temp., Of: 58 Other,l: Prepared by: Jeff Freitas Other,2: . Was HI / LID Therm. provided? No Added Site Water, gals.: 0 Curing Temp.(High / Low), Of: Was Storage environment provided in accordance with ASTM C31(60-80"F for up to 6000psi, 68-78"f for over 6000psi)? Moisture Loss Prevention: Caps Field Curing Time, hrs.: 72 Cyl. End Preparation: C1231 Specimen Date Age at Diam. Height Area *Density Max. Load Compressive Fracture Number Tested Test (in.) (in.) (sq.in.) (Ibs./ft3) (lbs.) Strength (psi) Type 3A 5/22/09 7DAY 4 8 12.57 142.0 44670 3550 5 3B 5/29/09 14 4 8 12.57 141.5 46450 3700 5 3C 6/12/09 28 4 8 12.57 142.3 56940 4530 4 3D 6/12/09 28 4 8 12.57 141.3 58980 4690 4 All li I TIES S COMPLETED v Results within specifications: ®Yes ❑No *Reported cylinder density reflects the estimated density upon receipt. ® 100 Weymouth St., Unit B-1, Rockland, MA 02370 Tested By: Grepory.MtcKav/fie-ltlt01006�90 ❑ 100 Pount Rd., Cumberland, Rf 02864 Approved:.. 7rA CF-11, rev 5, 06 Appendix 2 QC-CTP-1 Director of Testing Services: Sean Skorohod Page 1 Concrete Cylinder Test Results CF-11 Project: Cotuit Fire Water Stor.Tank 1BR19 Brigs Bngineerin-- & Testing J i ra Project No.: 24669 Date: 5/22/2009 Client: Stearns & Wheeler LLC Placement Storage Tank Interior Foundation Slab Location: Sample Location See drawing / Remarks: Concrete samples obtained,fabricated and tested in accordance with ASTM C172, C31,C39, C143,C173, C231,C138, & C1064 unless otherwise noted. Concrete Source: Cape Cod Ready Mix General Contractor: R.P. lannuccillo Mix I.D.: 400DY Ticket No.: 50368 Time of Test: 8:05 Cement/ Pozzolan Type: Strength Delivered: 4000 Load No.: 1 Cement, lbs: Strength Required: 4000 Set No.: 1 Pozzolan, lbs: ' Truck No.: 53 No. of Cyl.: 4 Fine Aggregate, lbs.: Batch Time: 7:00 Slump, in.: 5.5 Coarse Aggregate, lbs: Coarse Agg. Size: 3/4" Air Content, gib: 6.2 Water, gals.: Density, pcf. Water Reducer, oz.: Concrete Temp., Of: 65 Air Entraining, oz.: Air Temp., Of: 61-74 Other,l: Prepared by: Jeff Freitas Other,2: Was HI / LO Therm. provided? No Added Site Water, gals.: 0 Curing Temp.(High/ Low), Of: Was Storage environment provided in accordance with ASTM C31(60-80°F for up to 6000psi, 68-78°f For over 6000psi)? Moisture Loss Prevention: Caps Field Curing Time, hrs.: 96 Cyl. End Preparation: C1231 Specimen Date Age at Diam. Height Area `Density Max. Load Compressive Fracture Number Tested Test (in.) (in.) (sq.in.) (ibs./ft3) (lbs.) Strength (psi) Type 4A 5/29/09 7DAY 4 8 12.57 142.0 . 35550 2830 5 4B 6/5/09 14 4 8 12.57 141.3 42030 3340 4 4C 6/19/09 28 4 8 12.57 142.3 45860 3650 4 4D 7117/09 56 4 8 12.57 141.1 50790 4040 3 ALL TESTS COMPLETED Results within specifications: ®Yes ❑NO -Reported cylinder density reflects the estimated density upon receipt. ... ® 100 Weymouth St., Unit B-1, Rockland, MA 02370 Tested By: Greoory,�IacKay 7`Cerf'i�01006690 ❑ 100 Pount Rd., Cumberland, RI 02864 Approved.— :-1-IN P_.. ' - CF-11, rev 5, 06 Appendix 2 QC-CTP-1 . Director of Testing Services: Sean Skorohod Page 1 i Concrete Cylinder Test Results CF-11 Briggs Engineering �� Testing �Project: Cotuit Fire Water Stor. Tank Inc. Project No.: 24669 Date: 5/11/2009 Client: Stearns & Wheeler LLC Placement Storage Tank Foundation Reinforced Footing Slab Location: Sample Location See drawing / Remarks: Concrete samples obtained,fabricated and tested in accordance with ASTM C172, C31,039, C143, C173,C231,C138, &C1064 unless otherwise noted. Concrete Source: Cape Cod Ready Mix General Contractor: R.P. lannuccillo Mix I.D.: 40ODY Ticket No.: 50115 Time of Test: 11:20 Cement/ Pozzolan Type: Strength Delivered: 4000 Load No.: 4 Cement, lbs: Strength Required: 4000 Set No.: 1 Pozzolan, lbs: Truck No.: 68 No. of Cyl.: 4 Fine Aggregate, lbs.: Batch Time: 10:15 Slump, in.: 4.0 Coarse Aggregate, lbs: Coarse Agg. Size: , 3/411 Air Content, %: 6.8 Water, gals.: Density, pcf: Water Reducer, oz.: Concrete Temp., *f: 71 Air Entraining, oz.: Air Temp., *f: 47-55 + Other,I: Other,2: Prepared by: Jeff Freitas Was HI / LO Therm. provided? No Added Site Water, gals.: 5 Curing Temp.(High/ Low), 'f: Was Storage environment provided in accordance with ASTM C31(60-80`F for up to 6000psi, 68-781 for over 6000psi)? Moisture Loss Prevention: Caps Field Curing Time, hrs.: 48 Cyl. End Preparation: C1231 Specimen Date Age at Diam. Height Area *Density Max. Load Compressive Fracture Number Tested Test (in.) fin.) (sq.in.) (lbsJft3) (lbs.) Strength (psi) Type IA 5/18/09 7DAY 4 8 12.57 141.8 42980 3420 5 113 5/25/09 14 4 8 12.57 141.3 48540 3860 4 1 C 6/8/09 28 4 8 12.57 142.2 52890 4210 4 ID 6/8/09 28 4 8 12.57 141.6 54510 4340 5 ALL TESTS COMPLETED Results within specifications: Z Yes ❑No *Reported cylinder density reflects the estimated density upon receipt. 9 100 Weymouth St., Unit B-1, Rockland, MA 02370 Tested By: GreggnVVacKay/=Cerf#0100-6690 100 Pount Rd., Cumberland, RI 02864 roved:pp A -F-11, rev 5, 06 Appendix 2 QC-CTP-1 Director of Testing Services: Sean Skorohod Page 1 t, Concrete Cylinder Test Results CF-11 Project: Cotuit Fire Water Stor. Tank [�Ri'G .;i Briggs Engineering & Testing, Project No.: 24669 Date: 5/11/2009 Client: Stearns & Wheeler LLC Placement Storage Tank Foundation Reinforced Footing Slab Location: Sample Location See drawing / Remarks: Concrete samples obtained,fabricated and tested in accordance with ASTM C172„ C31,C39, C143, C173,C231,C138, &C1064 unless otherwise noted. Concrete Source: Cape Cod Ready Mix General Contractor: R.P. lannuccillo Mix I.D.: 40ODY Ticket No.: 50120 Time of Test: 12:10 Cement/ Pozzolan Type: Strength Delivered: 4000 Load No.: 7 Cement, lbs: Strength Required: 4000 Set No.: 2 Pozzolan, lbs: Truck No.: 71 No. of Cyl.: 4 Fine Aggregate, lbs.: Batch Time: 11:13 Slump, in.: 4.5 Coarse Aggregate, lbs: Coarse Agg. Size: 3/4" Air Content, %: 5.5 Water, gals.: Density, pcf: Water Reducer, oz.: Concrete Temp., °f: 70 Air Entraining, oz.: Air Temp., °f: 47-55 Other,1 Other,2: Prepared by: Jeff Freitas Was HI / LO Therm. provided? No Added Site Water, gals.: 5 Curing Temp.(High / Low), °f: Was Storage environment provided in accordance with ASTM C31(60-80T for up to 6000psi, 68-78'f for over 6000psi)? Moisture Loss Prevention: Caps Field Curing Time, hrs.: 48 Cyl. End Preparation: C1231 Specimen Date Age at Diam. Height Area *Density Max. Load Compressive Fracture Number Tested Test (in.) (in.) (sq.in.) (lbs./ft3) (Ibs.) Strength (psi) Type 2A 5/18/09 7DAY 4 8 12.57 143.7 47660 3790 4 2B 5/25/09 14 4 8 12.57 144.0 49360 3930 5 2C 6/8/09 28 4 8 12.57 143.0_ 56260 4480 4 2D 6/8/09 28 4 8 12.57 143.9 57420 4570 4 ALLIFESTS COMPLETED Results within specifications: ®Yes ❑No *Reported cylinder density reflects the estimated density upon receipt. 100 Weymouth St., Unit B-1, Rockland, MA 02370 Tested By: GregoryfMacKay fitdrt/7/0100E690 100 Pount Rd., Cumberland RI 02864 ; '.:.3. " Approved: ;,L �St`r If -.. �= DF-11, rev 5, 06 Appendix 2 QC-CTP-1 Director of Testing Services: Sean Skorohod Page 1 Page 1 of 1 Barrows, Debi From: Schlegel, Frank Sent: Wednesday, October 24, 2012 3:33 PM To: Barrows, Debi; 'MacNeely, Martin' Subject: Address update for Cotuit Water Co. . Hi Debi & Martin, The Cotuit Water Company contacted me regarding the town's assigned address for their office on Map 025.Parcel 013. The old record listed this property at#4320 Falmouth Rd./Rte 28,Cotuit. They also said the town used that address when the new water tower was built. After carefully reviewing the records and aerial photos, I updated Map 025 Parcel as follows: (Main Office=#4300 Falmouth Rd:/Rte 28;Cotuit(Ma—p 025=01-3)— Water'Tower--#1490 Santuit=Newtown Rd.;Cot-uuit(Map 025=01-3) Please update any hard copies you may have in file. t .. Thanx, Frank Schlegel E911 Data Liaison Engineering Records Manager (508) 790-6400 x-4942 10/24/2012 Feb,-,16. 2010 9 : 22AM CB&I INC _ PIT - No. 2740 P. 1 r - Constructors Inc. FAX TRANSMITTAL Blaymore II, Sulte 201. 1603 Carmody Court Sewickley,PA 16143 Date: 2/15/10 To: Bob McKechnie—Town of Barnstable Fax: (508)790-6230 From: Dan Johnson Phone: (724)933-4463 Fax: (724)933-4488 Subject: Cotuit Elevated Tank Building Permit Controlled Construction Affidavit Number of pages ag g includin transmittal sheet: 3 Bob, Attached, as requested, is CBI's Controlled Construction Affidavit for the Cotuit Elevated Water Tank. As soon as the hydrotesting of the tank is completed (planned for this week) I should be able to compile all of the test and inspection reports and have a final report submitted for your review. If you have any questions, please contact me_ t. Feb, 16. 2010 9 22AM CB&I INC PIT No. 2740 P. 2. '. <r:,....;J,...., t.r.r.,.,i...:....aJ;.:. •:.>., ....x:J,:.,<t• :FJL,V::f...,:.: ..:::.r.r .t.;t•:•... ...:.:. .. ..y: , :x✓>�"` y {y.r Controlled Con46u6tio'n*,AIYA ff�4� ; • •t i ralect[�- Cotu(t Elevated Water,.:Tenk ' 1. f':• .':.,•..•;..•.r.;•,'.• .,,:t':: ', •':. •,;'.:(s;.'•!: :'• !/:is ' Loc o santuit�Newtown'Road Cotul. °>MaBsact�setts atl n: �. 1<, , J;r . 1 • <C 9t7:: f aw'e tolov�ted water trUG� ..0.. a 11, 1. `''' '�"":.•i i:•,.' ;...':f: .�:'::::/ J'J.'.:'.::.:.: .,::'.: .. .., Massachusetts Stat B dd C e : ;.In accordance.+. i1h$ecfioh.116:;0.Df,lhe e u .► od.; ., ,;r• t.:..:... •... .: .t; •. ,:..: '" stratio No:.4 224 ,e belt'>'t`a. ist'r@ 'tfofess "nal �Massacfiue9it i n 7 n Q . ...'.;•.,, :I;.Cail�t�aht<(rk atric�'; . �:..<,.,+::.. . SR."` •:��,:.:<�,;.,.,.(�.:h,:v;::r>.:::,..::;. r of ell en Ineer; her.QpY;certlN that I.. 'aVig.prepared or directly supervjts,e'd.,the;pfe ,a tat14,..n:. . l131t1[ l. tleslgn::plans;camplltatlo is ah speelficalfons Ossoclated v�ltl>the cos t cbari of the d�bnve,gamed roe t` nd't "at ao the best of my knowled e'such: lane m ulagons';antl.s ..q...at.ons meet the c hca. Pe::s e I able: rovlslons of the Massachus.elts State:Bu.A.dln .Co.d.e'all a Iloa.f?Ie En`Ineern radices. <> ' krs,lc.,, p �.. PP: 9 9 p. J.t... .: ;4': t n Ilc ble laws or• he o s I � .. ..:.. pr.PP..r�:. P P "rd r firm'that'fe e o h >;:;a''<< >'ofes`ilona s..;:.N`: e: ii":o t tU cart •that�i shal erfox' "'ec .se r s I. e lc. a..n. con work(s roceetlln In.accortlance":.Ith IhO dodumenls.approved,fQr`the bulldlrig permit,-M. .shall:.tie :. res onslble for the.followln as speclfied,Ira.Section 116.22: P 9.. :;: , : .; c1o�t'1'..,sR..leruycle tiwon•o h : . .... , ".. . f h.e contra andother suimittels ot c..tore Y a .submitte erm anor d eP con ct.d dftheulrd►n9 PIt ' . , to'lhe esl nce t` form ce rA.o0 '.: 2: .:Reyiaw an.a.approval of,�.ttje' ti.�llty control procedures for;all code;;required.0 0volled n Ate Hels .' �r o ' S ec al..a...rchllectural.Qr engineering rofesslonal Ina echo`':'or crllCI cG*,st urtloncomp. '""nitoUed material o construction s eclfied n the a t en` �ncsnt farltre: tar>erd re` U,Irin i'. P 9 p s on,the.ektached,t""'lflcat! of,Compli ce.'>: . f� P rsu nt to Sect on 116'q.l.shall submit erlodlcallY;`progrees repo4s,to'geCfier.v�lth'pp., non <;<: :Y...:fh:x./x h <wo">;::I.:.s .e1':s,;.b::. y comrnente to:ahe 6. .II,.d�n .CommisQloner. U r cofnpleUonof!:.e:. nrk;:.,.. h,.:.:I,,,• 1;:;:mlEaflnal:�apoit as F Co the Sill'6taCtory ooRtpleildh acid readiness of the prvJec!Ior occuperleY: mden`�I k rackI,MA;Re N 0o; 47224 DE `Y w �,x � I:C natnSctcrs:Inc, t cap comp an R oad 11VJA ddre$s .: :s.•r Tale hone :. ,r t .r.• J: arid the:above Then: ersonal. ape. ... :.. e� f rue: e i e st em nt b mm r he abov h and Mad®oa Ihet.t Before me nN1Conimisglon ex Tres �_ t_ _ `• Hinfir•'. < a r ,>.x,. Nu �v m "'r 1 �' '7' `ss 1` GC�l1R!M.. m M a t Feb.,16. 2010 9: 22AM , CB&I INC _ PIT No. 2740 P. 3 A Certification of Compliance Cotuit Elevated Water Tank Material I Activity Type of Inspection References Agent Field inspection by geolachnlcal project geotechnical report,CBI Briggs Engineering&Testing Foundation Subgrade engineer of foundation subgrade Foundation Specification and Stearns&Whaler GHD prior to construction of fooling. Projecl5pecificatlons Section Materials Review concrete mix design. 03001,CBI Foundation CBI Engineering_ SpecI lcallon. Reinforcing Steel Review shop drawings Project Specifications Section CBI Engineering 03001,CBI foundation drawings_ Field observations: Ce1 foundation drawings and Cal Briggs Engineering&Testing Formwork Placement -Insure proper dimensions are held foundation specification. and Stearns&Wheler GHD in accordance with CBI dwgs, Field observations -Insure correct rebar sizes. Reinforcing Steel Placement -Insure correct rebar quantities. CBI foundation drawings and CBI Briggs Engineering&resting -Insure correct rebar placement. foundation specification. and Stearns&Whaler GHD -Insure correct cover dimensions. - -Insure correct lap lengths. Field observations: -unauthorized addition of additives. Project Specifications Section -unauthorized addition orwaler, Concrete Operations and 03001,CBI foundation drawings . Placement -Insure proper consolidation by and CBI foundation specification, Briggs Engines ring&Testing vibration. AC1,318 Section 5.10. Insure elements are monollthlc,no cold joints. Field observations -Insure proper arqulsltion of lest project Specifications Section �yllnders. 03001,CBI foundation Strength Test Specimens. -Insufe slump test Is done. Briggs Engineering&resting - specification, Insure air content is tested, ASTM C172,C31, -Insure concrete temperature is AC1318 Section 5.13,5.8. recorded. Plaid observations: -Insure anchors are placed al the CBI foundation drawings and CBI Anchor Boll Installation correct locations. Briggs Engineering&Testing -Insure anchor as-built drawling Is foundation specification. completed. Evaluation of in-situ concrete Laboratory testing,ACI 318 Briggs Engineering R TesUn Concrete Strength strength. Sedfon 5.6_ ft9 9 9 9 �x , ® .a •NAP :noa Material ldenUncallon -Conformance to ASTM Standards in the approval plans and CBI Englneadng Steel Tank Const udion specification AWWA Standard 0100 and Merithew Inc. -Confirm that proper weld filler Project Specifications Section materials are used 02664 -.Confirm that welding is performed In accordance wi h AWS Standards �oFtT Town ®f Barnstable Regulatory Services k t f * 1AMSCABLE, MAS& $ Thomas F.Geiler,Director Building Division Thomas Perry, CBO, Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us - Office: 508-862-403 8 Fax: 508-790-6230 PLEASE FORWARD THE ATTACHED PAGE(S) TO: TO: Z° T �o�s�►Zl��-moo�s ATTN: +''14t`l FAX NO: 72-4 - 73.3 RE: C o N7(2 O C.L�b C0 S TV_cl-C-TI O FROM: DATE: PAGE(S): Z (INCLUDING COVER SHEET) cow S cv�R L 70 3 Rev:121901 Controlled Construction Affidavit t Project Name: Location: Scope of Project: Addi.t.ions and 'Renovations. In accordance with Section 116.4 of-the Massachusetts State Building Cole, I- - Massachusetts Registration No: being a registered professional (Architect/Engineer) Hereby certify that I have prepared.or directly supervised the preparation of all design plans, Computations and specificationsconcerning: Architectural Structural Mechanical Fire Protection Electrical Plumbing Entire Project. Other(Specify)- For the above named project and that;,to the best of my knowledge:such plans, computations.and Specifications meet.the applicable provisions of the Massachusetts State Building Code,all applicable Engineering practices and all.:applicable lawsfor the proposed project: I further certify that I shall perform the necessary professional.services and be present on the. construction site on a regular and periodic basis to detennine that.the work is proceeding in accordance with.the documents approved for the building permit and shall be responsible for the` following as specified in Section 116.2..2; 1 ) Review of shop drawings, samples and..other submittals of the contractor as required by the construction contract documen.is as submitted for the building permit and approval for the conformance to the design,concept; 1) Review and approval of the quality control procedures for all.code-required controlled materials; 3.) Special architecturallor engineering professional inspection or critical construction components Requiring controlled materials or construction specified in the accepted engineering practice Standards listed in appendix B, Pursuant to Section 116:4 I shall submit periodically;progress reports,together with pertinent comments to the Building.Coimmissioner.. Upon completion of the work,I shall submit a final report as toAhe atisfactory comple.tion,and readiness ofthe-project for occupancy. r;r Architect or Engineer/Mass.Reg. No.. _ �" � • �aln,pany — - APd re. s — Telephone Then personally appeared the above named,' _ on , 20. And made oath that the above statemenCby him/her is true.' i Before me, . My Corr�ii . i.on:exorresr�� , 1 ,\ •• � � P 1 Communication Result Report ( Feb, 11, 2010 10: 36AM ) 1) 2) Date/Time ; Feb. 11. 20.10 10: 35AM File Page .No, Mode Destination Pg (s) Result Not Sent 7718 Memory TX 9172493344$$ P. 2 OK Reason f'or error E. 1) 'Hang uP 0r line fail E. 2) B u s Y E. 3) No answer E. 4) - No f'ac-simi1e connection E. 5) Exceeded max. E-ma i 1 s i ie Town of Barnstable e Regulatory Services °Am1reµs'IW'e'- Thomas F.Geller,Director .6yp. ,Aq• Building Division Thomas Perry,CaO,Building Commissioner. _ 200 Main Street,Hyannis,MA 02601 - ; - www.tmvu.barnita ble.ma.oa Offiee:508-862.4038 Fax:508-790-6230 - PLEASE FORWARD THE ATTACHED PAGE(S)TO: TO: ATTN: '�$N Joffl��owi FAX NO, -7 4 933n— tf 0 RE: ContTf2oi.�� `-ofnvs2't2u�-T[o� ., FROM:�o11E-1QT DATE: Z/I(l( O PAGE(S): Z (MCLUDING COVER SHEET) 5��9-►TbE ��ZcvtJ ZSd caMS� 1lb `78� CNLR 1703 - Rtv:12i901 - - Town of Barnstable IME 1p 200 Main Street,Hyannis,Massachusetts 02601 9BABLE.� Growth Management Department JoAnne Buntich,Interim Director `be 1639. 367 Main Street Hyannis,Massachusetts 02601 rfD MP'�A Phone(508)862-4785 Fax(508)862-4725 www.town.barnstable.ma.us March 12, 2009 Cotuit Fire District c/o Russell H. Kleekainp, E.I.T. Stearns & Wheler 1545 Iyannough Road Hyannis, MA 02601 Reference: Site Plan Review # 049-08 Cotuit Elevated Water Tank 4320 Falmouth Road, Cotuit,MA - ---- -- Map-02'5�,Parcelm013 - Proposal: Elevated water storage tank is proposed to provide additional storage to satisfy criteria of MassDEP regulations. Work includes construction and painting of a 500,000 gallon elevated water storage tank, pedestal spheroid style with all associated water main piping, electrical conduit, drainage piping and yard piping. Site features: access gates, site fencing, lighting and gravel access road. Dear.Sir: Please be advised that subsequent to the formal site plan review meeting of January 8, 2009, the above proposal was administratively approved at the Site Plan Review Staff meeting of March 10, 2009 subject to the following: • Approval is based upon plans entitled,"Cotuit Fire District, Construction of Elevated Water.Storage Tank,Cotuit,MA Contract No. 2008-W-1" containing 11 sheets: G1, Cl, 2, 3; Ml, 2, 3; El, 2, 3; I-1 and dated October 8, 2008, with final revision to C2 submitted with letter dated January 27, 2009 addressing Formal Site Plan Review comments, and further detail of C2 in a plan entitled"Emergency and Construction Vehicle Access Shoulder" dated February 24, 2009,prepared by Stearns & Wheier, Hyannis, MA and the contents of site plan review application package dated December 23, 2008 which includes a copy of related approvals.. A'{{ 4.g • Applicant must obtain all other applicable permits, licenses and approvals,required, including but not limited, a road opening permit from the Department of Public Works. • Upon completion of all work, a registered engineer or land surveyor shall submit a letter of certification, made upon knowledge and belief in accordance with professional standards that all work has been done in substantial compliance with the approved site plan(Zoning Section 240-104 (G). This document shall be submitted prior to the issuance of the final certificate of occupancy. , Sincerely, Ellen M. Swiniarski, SPR Coordinator CC: Tom Perry,Building Commissioner SPR File n S c Town of Barnstable y Planning Division Thomas A. Broadrick,AICP 200 Main Street,Hyannis,Massachusetts 02601 Director,of Planning,Zoning, Tel: (508) 862-4786 Fax: (508) 862-4725 &Historic Preservation www.town.bamstable.ma.us April 15, 2005 , I Mr. Gaetano Calise, Jr., Chairman Board of Commissioners Cotuit Fire District/Water Dept. PO Box 451 Cotuit, MA 02635 Re: SPR 020-05 Cotuit Water District,4320 Falmouth Rd, Cotuit(R025-013) Proposal: Elevated Water Storage Tank Dear Mr. Gaetano Calise: Please be advised that the site plan review panel recently reviewed the aforementioned proposal for the installation and construction of an elevated water tank. The plan prepared by Stearns& Wheeler, LLC entitled Cotuit Water District, Cotuit Elevated Water Tank Storage, stamped and signed by William R. Hall, Jr., PE#31937,was subsequently approved by the Building Commissioner on March 23,2005. A signed copy remains on file. Sincerely, Robin C. Giangregorio Zoning& SPR Coordinator'. I 5 000 PROJECT /1 i�&" l UQit//C Oft NAME: j#rzse MAL ADDRESS: �3 A ,emu z8 PERMIT# PERMIT DATE: LARGE ROLLED PLANS ARE IN: BOX 8w SLOT -� Data entered in MAPS on: z/ Q program BY: � q/wpfiles/archive" I