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1545 IYANNOUGH ROAD
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U. � p _ .. _ Yo 4 r .. _ c - _ v o .. ,, p .. •� � .. e ,. � :. - .. .� � �: ,. .. .. ._ `. �. _ � _ ,. w; _' �� '' � - aA 8&� tl � .. f� .. `` .. c ,. �' P p �� �; ',„ .., �� '�" ,� , ' � p � t .. ,. �, ` o o ., yi ' p e o- n _ sr�S t ,:- � .. � 0 g o E - c � m a�a cr.c9 - ,, a �. s s., v � �— m a(.or� .. � Wiz: � .L A_ 4, , .� Town of BarnstableBuilding BA M9�ABl Pos�t This Card So That it is-Visible From the Street_'Approved Plans Must be,Retained on Job-and this Card Must be Kept a ? .E, ` , i63a , Posted Until Final Inspection Has Been Made.,x a Where a Certificate of Occupancy is Required,such Building shall Not be Occupied until a Final Inspection has been made eY'1117 s 1 ll i Permit No. B-19-1016 Applicant Name: Michael Holland Approvals Date Issued: 05/07/2019 Current Use: Structure Permit Type: Building-Addition/Alteration-Commercial Expiration Date: 11/07/2019 Foundation: Location: 1545 IYANNOUGH ROAD/RTE132,CENTERVILLE Map/Lot. 253-015 Zoning District: SPLIT Sheathing: Owner on Record: LAKESIDE CENTER LLC Contractor Name: MICHAEL J HOLLAND Framing: 1 Address: 1436 IYANNOUGH ROAD/RTE132 Contractor License: CS=055103 2 HYANNIS, MA 02601 Est Project Cost: $40,000.00 Chimney: Description: Replace existing double entry door,and a single entry door per + Permit Fee: $464.00 plans to the branch. Plan Project# 1724 j Insulation: Fee Paid:;` $464.00 Project Review Req: - Date. 5/7/2019 Final: ` ( `''✓ y Plumbing/Gas Rough Plumbing: This permit shall be deemed abandoned and invalid.unless the work authorized by this permit is commenced within six months after ssuaA . icia Final Plumbing: All work authorized by this permit shall conform to the approved application and the'approved construction documents for which this permit has been granted. All construction,alterations and changes of use of any building and st Lctures shall'be incompliance with the local zoning by-laws and codes. Rough Gas: This permit shall be displayed in a location clearly visible from access street or road and shall be maintained open for public inspection for the entire duration of the work until the completion of the same. Final Gas: The Certificate of Occupancy will not be issued until all applicable signatures by the Building and-Fire Officials are provided on this permit. Electrical Minimum of Five Call Inspections Required for All Construction Work: 1.Foundation or Footing Service: 2.Sheathing Inspection 3.All Fireplaces must be inspected at the throat level before firest flue lining is installed Rough: 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection 5.Prior to Covering Structural Members(Frame Inspection) Final: 6.Insulation 7.Final Inspection before Occupancy Low Voltage Rough: Low Voltage Final: Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. r Work shall not proceed until the Inspector has approved the various stages of construction. Health "Persons contracting with unregistered contractors do not have access to the guaranty fund" (as set forth in MGL c.142A). Final: Building plans are to be available on site Fire Department All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT Final: aN�� P Town of Barnstable cE3 RE-� I PST 200 Main Street, Hyannis MA 02601 508-862-4038 Application for` Building Permit Application No: TB-19-1016 Date Recieved: 3/29/2019 Job Location: 1545 IYANNOUGH ROAD/RTE132,CENTERVILLE - Permit For: Building-Addition/Alteration-Commercial Contractor's Name: MICHAEL J HOLLAND State Lic. No: CS-055103 Address: Boston, MA 02118 Applicant Phone: (617) 556-2900 (Home)Owner's Name: LAKESIDE CENTER LLC Phone: (904)731-9500 (Home)Owner's Address: 1436 IYANNOUGH ROAD/RTE132, HYANNIS,MA 02601 Work Description: Replace existing double entry door,and a single entry door per plans to the branch. Plan Project# 1724 - c G Total Value Of Work To Be Performed: $40,000.00 - rly�OZ���� Structure Size: 0.00 0.00 0.00 Width Depth Total Area I hereby swear and attest that I will require proof of workers'compensation insurance for every contractor,subcontractor,or other worker before he/she engages in work on the above property in accordance with the Workers' Compensation Act(Chapter 568). I understand that pursuant to 31-275 C.G.S.,officers of a corporation and partners in a partnership may elect to be excluded from coverage by filing a waiver with the appropriate District Office;and that a sole proprietor of a business is not required to have coverage unless he files his intent to accept coverage. I hereby certify that I am the owner of the property which is the subject of this application or the authorized agent of the property owner and have been authorized to make this application. I understand that when a permit is issued,it is a permit to proceed and grants no right to violate the Massachusetts State Building Code or any other code,ordinance or statute,regardless of what might be shown or omitted on the submitted plans and specifications. All information contained within is true and accurate to the best of my knowledge and belief. All permits approved are subject to inspections performed by a representative of this office. Requests for inspections must be made at least 24 hours in advance. Signed: Michael Holland 3/29/2019 (617)556-2900 Applicant Date Telephone No. Estimated Construction Costs/Per _ Total Project Cost : $40,000.00/ Date Paid "' _Amount Paid_— Check#or CC# Pay Type Total Permit Fee: $464.0 3/29/2019_ _ $364.00 )0M-X)OOC-)0M Credit Card 9200 �_�._.^ Total Permit Fee Paid: $464.0 3/29/2019 " 9;100.00 )ootx- - � Credit c a 9200 Z �,. M. .... _...>. s , ., . , . s r Lauzon, Jeffrey From: Lauzon, Jeffrey Sent: Wednesday, April 24, 2019 9:55 AM To: 'mike.holland@thehollandcompanies.com' Cc: Lauzon, Jeffrey Subject: ViewPermit, Permit No: TB-19-1016 Applicant, Please be advised that the above application has been reviewed'and the following is noted: 1) No property owner authorization has been submitted for applicant. 2) No worker compensation affidavit or certificate submitted. The application is denied pending the submission of the required documents.And, if aggrieved by this notice;you may file a Notice of Appeal (specifying the grounds thereof) with the State Building Appeals Board within forty-five (45) days of the receipt of this notice. Respectfully, Jeffrey Lauzon Chief Local Inspector (508) 862-4034 ieffre\/.Iauzon(d,)town.barnstable.ma.us 1 f The Commonwealth o Massachusetts A Department of IndustrialAccidents U'CDING I)EPT I Congress Street,Suite 100 Boston,MA 02114-2017 MAY 2019 www mass.gov/dia Nl%rkers'Compensation Insurance Affidavit:`Builders/Contractors/Electricians, um e �C^ ' TO BE FILED WITH THE PERMITTING AUTHORITY. ,.".1- Applicant Information Please Print Legibly Name(Business/Organization/Individual):M. Holland &Sons Construction, Inc. Address:519 Albany Street City/State/Zip:Boston,MA 02118 Phone#:617-556-2900 Are you an employer?Check the appropriate box: Type of project(required): 1.Q✓ I am a employer with 65 employees(full and/or part-time).' 7. ❑New construction 2.❑1 am a sole proprietor or partnership and have no employees working for me in any capacity.[No workers'comp.insurance required.] 9 ❑Remodeling . El Demolition 3.O I am a homeowner doing all work myself.[No workers'comp.insurance required.]t 10❑Building addition 4.❑I am a homeowner and will be hiring contractors to conduct all work on my property. I will ensure that all contractors either have workers'compensation insurance or are sole I L E]Electrical repairs or additions proprietors with no employees. 12. Plumbing repairs or additions 5.r7 I am a general contractor and I have hired the sub-contractors listed on the attached sheet. 13.�Roof repairs These sub-contractors have employees and have workers'comp.insurance.: 6.❑We are a corporation and its officers have exercised their right of exemption per MGL c. 14.[:]Other 152,§1(4),and we have no 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 a new affidavit indicating such. $Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name:Associated Industries of MA Mutual Insurance Co.,The Driscoll Agency Policy#or Self-ins.Lic.#:WMZ80080072002019A Expiration Date:01/03/2020 Job Site Address: City/State/Zip: Attach a copy of the workers'.compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under MGL c. 152,§25A is a criminal violation punishable by 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.A copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. 1 do hereby certify u der the pains and penalties of perjury that the information provided above is true and correct. Si ature: � �� Date: 5-2-2019 Phone#:617-556-2900 Official use only. Do not write in this area;to be completed by city or town official City or Town: Permit/Liceuse# Issuing Authority(circle one): 1.Board of Health 2.Building Department 1 City/Town Clerk_ 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: Information and Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers'compensation for their employees. Pursuant to this statute,an employee is defined as"...every person in'-the service of another under any contract of hire, express or implied,oral or written." An employer is defined as"an individual,partnership,association,corporation or other legal entity,or any two or more of the foregoing engaged in a joint enterprise,and including the legal representatives of a deceased employer,or the receiver or trustee of an individual,partnership,association or other legal entity,employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein,or the 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,§25C(6)also states that"every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required." Additionally,MGL chapter 152,§25C(7)states"Neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority." Applicants Please fill out the workers'compensation affidavit completely,by checking the boxes that apply to your situation and,if necessary,supply sub-contractor(s)name(s),address(es)and phone number(s)along with their certificate(s)of insurance. Limited Liability Companies(LLC)or Limited Liability Partnerships(LLP)with no employees other than the members or partners,are not required to carry workers'compensation insurance. If an LLC or LLP does have employees,a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested,not the Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy,please call the Department at the number listed below. Self-insured companies should enter their. self-insurance license number on the appropriate line. City or Town Officials Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permit/license number which will be used as a reference number. In addition,an applicant that must submit multiple permit/license applications in any given year,need only submit one affidavit indicating current policy information(if necessary)and under"Job Site Address"the applicant should write"all locations in (city or town)."A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year.Where'a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e.a dog license or permit to burn leaves etc.)said person is NOT required to complete this affidavit. The Department's address,telephone and fax number: The Commonwealth of Massachusetts Department of Industrial Accidents 1 Congress Street, Suite 100 Boston,MA 02114-2017 _ 4 Tel. # 617-727-4900 ext. 7406 or 1-877-MASSAFE Fax#617-727-7749 Revised 02-23-15 www.mass.jzov/dia f DATE(MM/DD/YYYY) '`�` 1 CERTIFICATE.OF LIABILITY INSURANCE 2/21/2019 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on . this certificate does not confer rights to the certificate holder in lieu of such endorsements. PRODUCER CONTACT , NAME: The Driscoll Agency PH°NE 781-681-6656 FAX 781-681-6686 141 Longwater Drive, Suite 203 E-MAIL Norwell MA 02061 Pbuckler @driscolla enc 9 ycom INSURERS AFFORDING COVERAGE NAIC# INSURERA:Union Insurance Company 25844 INSURED 410308 INSURERB:Starr Indemnity&Liability Co. 38318 M. Holland&Sons Construction Inc. INSURERC:Travelers Casualty&Surety Co of America 31194 519 Albany Street INSURER D:PI mouth Rock Assur Corp14737 Suite 200 Boston MA 02118 INSURERE:Associated Industries of MA Mutual Ins Co 133758 INSURER F: - COVERAGES CERTIFICATE NUMBER:437366528 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. ILTR TYPE OF INSURANCE INSD WVD POLICY NUMBER MMILDDY� MM/DDT LIMITS A X COMMERCIAL GENERAL LIABILITY - CPAS32173010 1/3/2019 1/3/2020 EACH OCCURRENCE _ $1,000,000 CLAIMS-MADE �X OCCUR MA A RENTED PREMISES Ea occurrence $500,000 MED EXP(Any one person) $10,000 PERSONAL&ADV INJURY $1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $2,000,000 JET LOC PRODUCTS $2,000,000 POLICY� OTHER: $ D AUTOMOBILE LIABILITY PRC00001005674 1/3/2019 1/3/2020 Eaaccdent5IN(3LE LIMIT $1,000,000 ANY AUTO BODILY INJURY(Per person) $_ OWNED X SCHEDULED AUTOS ONLY UTOS BODILY INJURY(Per accident) $ A HIRED NON-OWNED PROPER DAMAGE X AUTOS ONLY X AUTOS ONLY Per accident $ $ B X UMBRELLA LIAB X OCCUR 1000584805191 1/3/2019 1/3/2020 EACH OCCURRENCE $10,000,000 EXCESS LIAB CLAIMS-MADE AGGREGATE $10,000,000 DED RETENTION$ $ E WORKERS COMPENSATION WMZ80080072002019A 1/3/2019 1/3/2020 PER OTH- AND EMPLOYERS'LIABILITY y/N X STATUTE ER ANY PROPRIETOR/PARTNER/EXECUTIVE N/A E.L.EACH ACCIDENT $1,000,000 OFFICER/MEMBER EXCLUDED? (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE $1,000,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $1.000,000 C 62 Crime 1025829 1/3/2018 113 COWarty ee Dishonesty 5,000,000 Crime 5,000,000 DEp DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached If more space i r6luir) Sample COI-For Informational purposes TQkVN 2O19 _ pFBgAN SrgB�� CERTIFICATE HOLDER CANCELLATION 30 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE M.Holland&Sons Construction,Inc. THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 519 Albany Street,Suite 200 ACCORDANCE WITH THE POLICY PROVISIONS. Boston MA 20118 AUTHORIZED REPRESENTATIVE / ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD J I Town of Barnstable .Building Department Services MAW `' Brtan Rtnrence,CBfa' Building Commissioner 200 Main Street,Hyannis,MA 02601 www town.barnstable.ma us Office: S68-862-4038' Fax: St18-Z -b23d Proverty Owner.Must - Complete and Sign This Section. If using ABuilder as.Chvrier of the subjeet Pr°Pecty` hereby au r ` . 1 to act on m}*behalf in all matters relative to work authorized by this building permit,application:.for: � } `. k U (Ad ' of job} **Pool fences and alarms ace:the resporisMi of the applicant Pools are not to be filled or utilized before fence is:installed and<all.final- inspections are perfarrned_and accepted.: oi 1 . Si ya,;'re of:Owner Signature of Ap licit:. Pent..:.ame Print Name dat BUILDING pEFT MAY-p 72 Q FORM5.OWNERPEKMISSIONPOOLS. Rcv;08/16/17 TOWN r7F$gRNSTABLE M.H.B. EPLP 15, ya FND 6B-r S>- e MAP 253 PCL 16 # 1555 N/F BARRY. HENRY M JR do CLARK, R �sr� TRS THE CAPEWAY REALTY TRUST 23 TRADERS LN r To W YARMOUTH, MA 02673 3 �'Se _ J 08 13444/ 205 M.H.B. h h EPLP FND yo ,\ C.B. FND. TOP BROKEN DISPL. S 79'43'33"E 0.66' MAP 253 t� ti PCL 18-2 ni 1539 �q 8. N/F NS o NOVICK, RICHARD do KELLER, JOSEPH �i P TRS BRISLANE REALTY TRUST 101 DERBY ST 19.6, HINGHAM, MA 02043 9To,1, DB 10590/ 041 MAP 253 /QPCL 15 yw R,o # 1545 0 F, 141,s HB SETBACKS: 89 84,699 SF UPLAND (?40` I y ' 100, FRONT (OFF RT. 132) 11,397 SF WETLAND C B 6 OH�6 , =a� C3 F R ?Oiy 10 MIN. SIDE (30' SUM) �e 96.096 SF TOTAL #3 �, > 20' REAR 97 o air, #4 ti RD-1 SETBACKS: a11. 0 100' FRONT (OFF RT. 132) / •�1L � 1,II, L .l�l. , 10 MIN. SIDE EDGE l OF POND �� 10' REAR r APPROX. DD !r Shallow(A GREAT POND)r0nd FOUNDATION PLOT PLAN' oCE #03-127 PREPARED.EXCLUSIVELY FOR THE PURPOSE OF OBTAINING A BUILDING PERMIT, NOT FOR ANY OTHER USE LOCATION ..1545 IYANOUGH ROAD, (CENTERVILLE) BARNSTABLE, MA SCALE : 1" = 100' DATE : 10-3-2005 PREPARED FOR: REFERENCE MAP 253 PARCEL 15 DEED BIL 17100 PG 301 JOSEPH P. LLER I HEREBY CERTIFY THAT THE STRUCTURE OFtiIq SHOWN ON THIS PLAN IS LOCATED ON THE GROUND AS SHOWN HEREON DANIEL G A I f s0'8 3 ao OJALA 040980 down cape engineering, inc. CIVIL ENGINEERS _---- 0S LAND SURVEYORS ass main at. yarmouth, ma DATE REG. D SUR _ flR TOWN '`OF BARNSTABLE BUILDING PERMIT f PARCEL ID 253 015 GEOBASE ID 16551 ADDRESS 1545 IYANNOdGH ROAD/ROUTE PHONE CENTERVILLE ZIP - LOT BLOCK LOT SIZE DBA DEVELOPMENT DISTRICT CO i PERMIT 90497 DESCRIPTION 54 sf free stand sign w/# & tenants & tele PERMIT TYPE BSIGN TITLE SIGN PERMIT CONTRACTORS: Department of ARCHITECTS: Regulatory Services . TOTAL FEES: $100.00 BOND $.00 dGva CONSTRUCTION COSTS $.00 753 MISC. NOT CODED ELSEWHERE * BARMABLE, MASS. 16,19. i B D G D� SION _ BY DATE ISSUED 02/24/2006 EXPIRATION DATE J f f klK\ f�.r�lf� lP��r©rD.lf:%pf,/f.�TrF',� f✓ Yl NX / /✓'//f/r✓ r fd�/ff 1//Y./ \tit .r �F a '�e^fd v''.lr,I'Jf''A✓ . r✓.1Y✓.✓T ✓r'r✓rsrJt !f. NNN NN f!!flfllP`f - ff !f✓ftr�✓i��.% �.�J f✓ll�i -r I WX f Town of Barnstable -THE> Regulatory Services Thomas F.Geiler,Director, i 1: , OF 1p.1IMS TAB F + BARNSTABLE, 9� MASS. Building Division 1639. ,m 700or FEB 2 E P Arf p Na't" Tom Perry, Building Commissioner 7 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us yam___;.-. D1 � �a Office:, 508-862-4038 Fax: 508-790-6230 Permit# Application for Sign Permit Applicant: Assessors No. Doing Business As: "A $ Telephone No. Sign Location Street/Road: 1 ' Zoning District: Old Kings Highway? Yes/No Hyannis Historic District? Yes/No Property Owner Name: ` Telephone: Address: R3 C AAA 5� Village: G� Sign Contractor _ Name: Telephone: LV 37E A Mailing Address:�� �04A Description Please draw a diagram of lot showing location of buildings and existing signs with dimensions, location and size of the new sign. This should be drawn on the reverse side of this application. Is the sign to be electrified? YYes (Note:If yes, a wiringpermit is required) Width of building face foll_ft.x 10= — x.10= I hereby certify that I am the owner or that I have the authority o the owner to make this a plication, that the information is correct and that the use and construction shall co onn to the provisio §240m59 through§240-89 of the Town of Barnstable Zoning Ordinance-�--�-- Signature of Own /A thorized Agent: Date: _ O Size: tD 6 Permit Fee: Sign Permit was approved: `0 J-/ 677 Disapproved: Signature of Building Official: Date: Q:I WPFILESISIGNSISIGNAPP.DOC 120" 2„ ��..j \ Pd r Y lT'F' Vt '," xm LA vV 12099Po 80" MERRILL LYNCH 18" x 8699 4 STEARNS & WHELER 9" x 86" 9" x 86" MANAGEMENT 3" �:508-428-1146 4" 96" / tYagc� c �9an fire ens� ��79� ' CUSTOMER PERMIT No. DRAWN BY DATE: MATERIALS APPROVED BY LOCATION: P.OJ FILENAME: C. SCALE SL4 T1 '� ni�s ►� Ass I� CFRe4e LWEro ... i p ,m31 € k ar F . 171 t 3L x r � � -0.6/.4a!`2446-THU 91.33 'FAX 781 659 9103 CALLAHAN\HOFFMAN U001/001 CALLAHAN/HOFFA • COMMERCIAL BUILDERS • June 7,2006 Paul Roma Building Inspector Town of Barnstable 200 Main Street Hyannis, MfA,02601 Re. Lakeside Center, 1545 iyannough Road,Hyannis, MA. The new building at 1545 Iyannough Road is now substantially complete. The parking lot finish paving and striping is done including HC parking spaces and fire lane marking and signage. The erosion control hay bales will be removed when the landscaping has taken root and the conservation commission has inspected. If all of your requirements are met,please issue a permanent certificate of occupancy. Sincere , Daniel Hawkins Project Manager 341 WASHINGTON STREET NORVIELL,MA 02061 (7811559-8100 FA^SIMILE(781)6%-8103 t TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map' Parcel O Permit# Heald Division -3 `� a�� Date Issued S o05 Conservation Division j, 7 �5_ V, Fee 0�� 'J� Tax Collector " `� 0`� Z/ Treasurer G` Planning Dept. Checked in By Date Definitive Plan Approv d by Planning Board Approved By t Historic 4rileorvIon/Hyannis Project Street Address /J � Village Owner 60Y, U00k( V MTY U Address I y W ST dA Telephone Permit Request �� � fS�l d V1 :?e-K4m Square feet: 1st floor: existing Ew0 proposed, 2nd floor: existing proposed Total new Valuation Zoning District Flood Plain Groundwater Overlay Construction Type �3?c(VXd Lot Size ���4G� Grandfathered: ❑Yes Cl 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: Cl Yes ❑ No Detached garage:❑existing ❑new size Pool: ❑existing ❑new size Barn: ❑existing ❑new size Attached garage:❑existing ❑new size Shed:❑existing Cl new size Other: Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial z0 Yes -._❑No ,�If.yes,.site,plan-review#, Current Use Proposed Use } ' f BUILDER INFORMATION !�p g—y a� —��/3 4 3 Name ? �'�f�l/�C l�rJ��1� �E (.�Hf�(�� Telephone Number 5d 5 7717Tr 6 Address S y (,�( ` I�t..l jrr License# Z� 1 ' I W 'A Home Improvement Contractor# Worker's Compensation# ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATUR DATE FOR OFFICIAL USE ONLY PERMIT NO. DATE ISSUED -- 3 1 MAP/PARCEL NO. " ADDRESS VILLAGE OWNER i r DATE OF INSPECTION: t '' FOUNDATION ' FRAME INSULATION FIREPLACE r ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. Town of Barnstable Regulatory Services "B Thomas F:Geiler,Director v sass. m 9. A Building Division Tom Perry, Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder G47A F Fob I, o3�R ii2-I,cTZ�1 ,as Owner of the subject property hereby authorize1�!C"JrMcc- &C o act on my behalf, in all matters relative to work authorized bythis building permit application for. O'No L 1321�4 / (Address of Job) Signature of Owner Date Print Name QTORMS:OWNERPERMISSION The Commonwealth of Massachusetts Department of Industrial Accidents µ Office.of Investigations ' d 600 Washington Street Boston,MA 02111 www.mas&gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name (Business/Organization/Individual):. A At C 6 �UQ-IMAM IV, Address: City/State/Zip: tJ. Yea m0 t/4-4 t WY 4 n41Yhone#: 5d�` 7? -. '� 4-1D Are you an employer? Check the appropriate box:. Type of project(required): 1.93 1 am a employer with f-f 4. ❑ I am a general contractor and I 6 ❑ New constriction employees (full and/or part-time).* have hired the sub-contractors 2.❑ I am a sole proprietor or partner- listed on the attached sheet $ 7. ❑ Remodeling ship and have no employees These sub-contractors have 8. [] Demolition working for mein any capacity. workers' comp. insurance. 9. ❑ Building addition [No workers' comp. insurance 5. ❑ We are a corporation and its required.] officers have exercised their 10.❑ Electrical repairs or.additions 3.❑ I am a homeowner doing all work right of exemption per MGL 11.❑ Plumbing repairs or additions myself. [No workers' comp. c. 152, §1(4),and we have no 12.❑ Roof repairs insurance required.] t employees. [No workers' 13.0 Other comp.insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers,compensation policy information: t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such tContracton that check this box must attached an additional sheet showing the name of the sub-contractors and their workers'comp.policy`infoTmation. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. - Insurance Company Name: Pd1.! al[tl•l IAJ/,i,a ( eb. Policy#or Self-ins.Lic. #: U8 " ���� 3 1 ' 2 D - Expiration Date: /Z—*'Z b&5 r � �3 Z City/State/Zip:ip -" Job Site Address: /�� ��"h�4�� i Ci /State/Z• �st,w�, MA 62JO 61 Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). Failure to.secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$.1,500..00 and/or one-year imprisonment, as well as civil penalties in the form of a STOP WORK ORDER and a.fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certi under he par and penalties of perjury that the information provided above is true and correct Si afore: Date: Z zde ' Phone#: 5P ' 1 06 Official use only. Do not write in this area,to be completed by city.or town official City or Town: Permit/IAcense# 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 M Information and Instructions t.� Massachusetts General Laws chapter 152 requires all employers to provide workers' compensation for their employees: Pursuant to this statute, an employee is defined as"...every person in the service of another under any contract of hire, express or implied,oral or written." �! An employer is defined aS"�individual,.PaT%ers1iip,;associatiom 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:,*e owner of a dwelling house having not mortan..three+apartments and v!ko xesides. erein, or.the occupant of the dwelling house of another who employs persons to do maintenance, construction or repair woik on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed tobe an employer." MGL chapter 152, §25C(0)also Mates that"every?state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for•any applicant who has not produced acceptable evidence of compliance with the insurance coverage required." Additionally,MGL chapter 152, §25C(7)states"Neither the commonwealth nor any of its political subdivisions shall t enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority. Applicants Please fill out the workers' compensation affidavit completely,by checking the boxes that apply to your situation and,if necessary,supply sub-contractor(s)name(s), address(es)and phone numbers)along with their certificate(s) of insurance. Limited Liability Companies(LLC)or Limited Liability Partnerships(LLP)with no employees other than the members or partners, are not required to carry workers' compensation insurance. If an LLC or LLP does have employees,a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested,not the Department of tions regarding the law or if you are required to obtain a workers' Industrial Accidents. Should you have any ques compensation policy,please call the Department at the number listed below.. Self-insured companies should enter their self-insurance license number on the appropriate line. City or Town Officials , Please be sure that the affidavit is complete and printed legibly. The Defiartrmgnt has 1kravided a sp�aee\at the bottom of the affidavit for you-&hlr o6in the event the Office of Investigi'tions has to;contact-ydii regarding the applicant Please be,su4re to,till in the permit/.license number which willbe used<as.a referencemumber. Iu addition,,ag applicant 'vj R1 l t o • ♦ t. 7..-S; P. C 0 ". d. that must`subiAlt ultiple"perrigit/license applications in any given year,need only gut, i otre affiilavrt iiidiCating current policy information(if necessary)'and under"Job Site Address"the applicant should write"all locations in (city or town)."A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for:future permits or licenses..A new affidavit must be filled out.each year.Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e. a dog license or permit to bum leaves etc.)said person is NOT required to complete this affidavit. The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call. Vr The Department's address,telephone and fax number: The Commonwealth of Massachusetts Department of Industrial.Accidents s Office of Investigations A 600WL'ashi�ngion Street . Bost //� Boston, leis 1 0211 L. 4 Tel. #617-727-4900 ext 406 or 1-877-MASSAFE Fax#617-727-7749 Revised 5-26-05 www.mass.gov/dia RightFax Hartford 1/20/2005 11 :26 PAGE 011/029 Fax Server ACORID® F.t A .......... " OF�]N: j ct"N 01-19-05 .......... ...... THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION PRODUCER ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE DOWLING & 0 NEIL INS AGC HOLDER. THIS CERTIFICATE DOES NOT AMEND EXTEND OR 222 WEST MAIN STREET ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. PO BOX 1990 HYANNIS mA 02601 COMPANIES AFFORDING COVERAGE COMPANY 22LGR A ST. PAUL FIRE AND MARINE INSURANCE COMPANY INSURED COMPANY HP BUISNESS SERVICES INC B 118 WATERHOUSn RD COMPANY SUITE E BOURNE MA 02532 C COMPANY D .......... ..COVERAGES.'.:: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY 'PERIOD INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. CO TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS LTR DATE(MM\DD\YY) DATE(MM\DD\YY) GENERAL LIABILITY GENERAL AGGREGATE $ COMMERCIAL GENERAL LIABILITY PRODUCTS-COMP/OP AGG. $ CLAIMS MADE OCCUR. PERSONAL&ADV INJURY $ OWNER'S&CONTRACTORS PROT. EACH OCCURRENCE $ FIRE DAMAGE(Any one fire) $ MED.EXPENSE(Any one person) $ AUTOMOBILE LIABILITY COMBINED SINGLE $ ANY AUTO LIMIT ALL OWNED AUTOS BODILY INJURY SCHEDULED AUTOS (Per Person) $ HIRED AUTOS BODILY INJURY NON-OWNED AUTOS (Per Accident) $ PROPERTY DAMAGE $ IGARAGE LJAI31LITY AUTO ONLY-EA ACCIDENT $ ANY AUTO OTHER THAN AUTO ONLY: EACH ACCIDENT $ P AGGREGATE $ FEXCESS LIABILITY EACH OCCURRENCE $UMBRELLA FORM AGGREGATE $ OTHER THAN UMBRELLA FORM A WORKER'S COMPENSATION AND .......... EMPLOYER'S LIABILITY (UB-4042B37-2-04) 12-24-04 12-24-05 STATUTORY LIMITS ............... THE PROPRIETOR/ EACH ACCIDENT $ .100,000 PARTNERS/EXECUTIVE PX INCL DISEASE—POLICY LIMIT $ 500,000 OFFICERS ARE EXCL DISEASE—EACH EMPLOYEE $ 100,000 OTHER DESCRIPTION OF OPERATIONS/LOCATIONSfVEHICLES/RESTRICTIONSISPECIAL ITEMS COVERAGE RESTRICTED TO LEASED EMPLOYEES OF ASSURANCE EXCAVATION INC THIS REPLACES ANY PRIOR CERTIFICATE ISSUED TO THE CERTIFICATE HOLDER AFFECTING WORKERS COMP COVERAGE. .... ...... ........ ......CERTIRICA E�R70LD.E: .;CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL TOWN OF BARNSTABLE 10 DAYS . WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE ATTN: HEALTH DEPT LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR 200 MAIN ST LIABILITY OF ANY KIND UPON THE COMPANY,ITS AGENTS OR REPRESENTATIVES. HYANNIS MA 02601 AUTHORIZED REPRESENTATIVE . .. .......... .... .. .......... . ....... .......... Policy Certificate Of Insurance Request: Hyannis, Cape Cod; Nantucket, Marshfield, Southeastern Mass... Page 1 of I insurance Agency Since 1841 ..eLo E Certificate Of Insurance Request Thank You! e - 3 You have sent the following information to us. A copy of this request was also sent to cwaiker@assuranceinc.net. Name of Insured Requesting Certificate: Assurance Excavation Inc Contact Name: Cynthia Walker Phone: 508-771-7410 x17 Email: cwalker@assuranceinc.net Certificate Holder: Town of Barnstable, Building Dept 100 Main Street At The Ready... Hyannis, MA 02601 Anytime 1 Coverage Types: -800-640-1620 Liability For Toll-Free Emergency Claims 24 Hours A Day, 7 Days A Week! Job: 1545 Iyannough Rd, Rte 132, Hyannis Special Wording or Conditions: ROUTING: Email To: cwalker@assuranceinc.net Fax To: 508-771-7410 Send by Regular Mail to Certificate Holder. -------------------------------------------------------- Sent from 141.1.54.228.6 - - using Mozilla/4.0 (compatible; MSIE 6.0; Windows r -------------------------------------------------------- Thank you for using our Certificate of Insurance form! www.DOINS.com • Home History Offices Companies Products • Contact Us rm=l http://www.doins.com/certform general.ccml 7/27/2005 Date: 7/27/2005 Time: 2:57 PM To: @ 7,15087718923 Dowling & O'Neil Page: 002-002 Client#: 18434 2ASSURANCECO -ACORM. CERTIFICATE OF LIABILITY INSURANCE 07/27105°f'"'^" PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Dowling&O' Neil Insurance ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Agency HOLDER.THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. 222 West Main St.PO Box 1990 Hyannis, MA 02601 INSURERS AFFORDING COVERAGE NAIC# INSURED INSURER A:.St Paul Travelers Insurance Company INSURER 8: Assurance Excavation,Inc. INSURER C: 550 Willow Street INSURER D: West Yarmouth, MA 02673 INSURER E: COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED.NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. LTR NSR TYPE OF INSURANCE POLICY NUMBER POLICYEFFECTIVE POLI DATE MIDDlYY DATECVEXP MMfDO IRATION LIMITS A GENERAL LIABILITY 16808387A9841ND04 08101/04 08/01105 EACH OCCURRENCE $1 000 000 X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTEDPREMISES(Ea pccurrmc�� $300 000 CLAIMS MADE a OCCUR MED EXP(Any one person) $5 000 PERSONAL&ADV INJURY $1 000 D00 GENERAL AGGREGATE s2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COPJPIOP AGG s2,000,000 POLICY 7 IRO-LOC JECT AUTOMOBILE LIABILITY " COMBINED SINGLE LIMB $ ANY AUTO (Ea accident) ALL OWNED AUTOS BODILY INJURY $ SCHEDULED AUTOS (Per person) HIRED AUTOS BODILY INJURY NON-OWNED AUTOS (Per accident) $ PROPERTY DAMAGE $ (Per accident) GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $ FANY AUTO OTHER THAN EA ACC $ AUTO ONLY: AGG $ . EXCESSIUMBRELLA LIABILITY EACH OCCURRENCE $ OCCUR CLAIMS MADE AGGREGATE $ $ DEDUCTIBLE $ RETENTION $ - $ WORKERS COMPENSATION AND WCO SLIP,TS TATU- R OTH- EMPLOYERS'LIABILITY ANY PROPRIETORIPARTNER/EXECUTIVE E.L.EACH ACCIDENT $ OFFICERIMEMBER EXCLUDED? E.L.DISEASE-EA EMPLOYEE $ If yes,describe under SPECIAL PROVISIONS below E.L.DISEASE-POLICY LIMIT $ OTHER DESCRIPTION OF OPERATIONS I LOCATIONS)VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS Operations performed by the named insured subject to policy conditions and exclusions. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION Town of Barnstable DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL _fl DAYS WRITTEN Attn: Bldg. Dept. NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO DO$O SHALL 100 Main Street IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR Hyannis, MA 02601 REPRESENTATIVES. AUTHORIZED REPRESENTATIVE ACORD 25(2001108)1 of 2 #39204 LS1 o ACORD CORPORATION 1988 Parcel Detail Page 1 of 2 :. + "9 t - .-. r � _ _ a Logged In As: Friday, July 29 2005 Danielle St.Peter Parcel Detail Home Application Center Parcel Lookup 1,,w Parcel Info Parcel ID 253-015 Developer Lot PARCELS 1 &2 Location 11545 IYANNOUGH ROAD/ROUTE132 I Frontage 100 Sec Road Frontage Village 'CENTERVILLE Fire District C-O-MM Road Index 0781 Owner Info Owner ,STAFFORD, EDWARD T. TR Co-owner BROOK VALLEY REALTY TRUST Streetl ,550 WILLOW ST Street2 City 1WESt YARMOUTH State MA zip 02673 Country USA 1� Land Info Acres 2.21 Use IMOTELS MDL- zoning °RD1 Nghbd ,C105 Topography r Road � Utilities I Location Construction Info Building 1 of 1 . Year .,�.�., Roof AC .•.• Built 1961 Struct r Type Effect 3. Roof —i Bed Area 6512 _� Cover J Rooms Int Bath Style Motel Wall Rooms Model Cot ml r l l Cla �s Total Rooms s. Int Bath Grade Avemerage Floor Style ' >,•. ��s=._.... .�.... Kitchen Stones Style . .�. Ext ; .. Heat �._. Bath Wal[ WOOD FRAME Fuel split Heat .. Found-�"' `. _J Type ation Permit History Issue Date Purpose Permit# Amount Insp Date Comments Visit History http://issql/intranet/parcelinfo/PareelDetail.aspx?ID=18869 7/29/2005 - Parcel Detail Page 2 of 2 Date Who Purpose 10/3/2003 12:00:00 AM Gary Brennan Meas/Listed 1--Sales,History ................. Line Sale Date Owner Book/Page Sale Price 1 6/17/2003 STAFFORD, EDWARD T. TR 17100/301 $895,000 2 4/21/2000 COWAN, TIMOTHY W 12958/173 $1 3 7/21/1998 JOHN W HOLT REV LIVING TR 11583/304 $1 4 3/6/1997 HOLT, JOHN W 10639/023 $550,000 5 1/15/1984 BAUKUS, STANLEY W&VIRGINIA K 3977/320 $5,000 6 BAUKUS, STANLEY W& 1626/257 $0 ........................................................... ----------------- Assessment History Save 0 Year Building Value XF Value OB Value Land Value Total Parcel Value 2 2005 $591,800 $0 $19,400 $208,400 $819,600 3 2004 $274,600 $0 $81,700 $208,400 $564,700 4 2003 $290,900 $0 $19,400 $245,300 $555,600 5 2002 $290,900 $0 $19,400 $245,300 $555,600 6 2001 $290,900 $0 $19,400 $245,300 $555,600 7 2000 $278,700 $0 $9,400 $186,900 $475,000 8 1999 $278,700 $0 $9,400 $186,900 $475,000 9 1998 $278,700 $0 $9,400 $186,900 $475,000 10 1997 $123,100 $0 $0 $181,000 $304,100 11 1996 $123,100 $0 $0 $181,000 $304,100 12 1995 $123,100 $0 $0 $181,000 $304,100 13 1994 $117,500 $0 $0 $246,900 $380,600 14 1993 $117,500 $0 $0 $247,300 $381,000 15 1992 $130,500 $0 $0 $274,400 $421,700 16 1991 $190,900 $0 $0 $397,200 $604,900 17 1990 $190,900 $0 $0 $397,200 $604,900 18 1989 $190,900 $0 $0 $397,200 $604,900 19 1988 $193,100 $0 $0 $298,200 $505,900 20 1987 $257,400 $0 $0 $393,000 $665,000 21 1986 $257,400 $0 $0 $393,000 $665,000 Photos http://issql/intranet/parcelinfo/ParcelDetail.aspx?ID=18869 7/29/2005 Town of Barnstable '�B 1 Planning Division Thomas A. Broadrick,A1CP oNsy 200 Main Street,Hyannis,Massachusetts 02601 Director of Planning,Zoning, Tel: (508) 862-4786 Fax: (508) 862-4725 &Historic Preservation www.town.barnstable.ma.us August 19, 2005 Mr. Joseph Keller 843C Main Street Osterville, MA 02655 Re: SPR 017-05, 1545 Iyannough Rd, I4i Centervill Proposal: Demolish.Country Lake Lodge and construct new 17,388 sf office building Dear Mr. Keller: Please be advised that the Building Commissioner approved the aforementioned project administratively on July 27, 2005 with following conditions: ❖ Approval of the Site Plan,prepared by Arne H. Ojala, as revised 6/16/05, which incorporates acceptable Rt. 132/parking lot buffer landscaping and the right turn in/right turn out-only site access driveway; ❖ Incorporation of the Landscape Mitigation Plan, as revised 6/28/05; ❖ Prohibition on fertilizer and pesticide use between the rear of the building and Shallow Pond; ❖ Installation of an amphidrome alternative septic system ❖ The installation of a pier is prohibited until such time that a Modification of the Commission Decision is obtained and until there is concurrence between the Cape Cod Commission, the Barnstable Conservation Commission, and the applicant; and, ❖ Restriction placed on hazardous materials and waste as follows: "To protect the public drinking water supply from potentially hazardous materials associated with specific land uses,the following uses are prohibited on the site: landfills, open dumps;junkyards; automobile graveyards; underground fuel storage tanks; storage for resale of heating fuels (e.g., gas, oil, coal and kerosene); metal plating, finishing or polishing; boat, motor vehicle and aircraft cleaning, servicing or repair; dry-cleaning processing establishments; storage, use,treatment, generation or disposal of hazardous materials or hazardous wastes except in a household quantity, I ` - or for emergency power or heating of a structure. Also prohibited on the site is any use which involves as a principal activity the use, generation, storage,treatment, transportation or disposal of one or more hazardous materials or hazardous waste. Notwithstanding and in addition to the foregoing, one (1) 55 gallon drum containing methanol (or a replacement chemical) shall be allowed on site to be utilized in connection with the proposed advanced treatment septic system." ❖ All construction shall be in compliance with the approved plan prepared for Joseph P. Keller, 843C Main Street, Osterville, MA 02655, prepared by Down Cape Engineering, Inc, dated 03/03/05, revised 6/16/05 (per DRI decision), final revision date 07/11/05 (identifying misc. changes limited to interior of proposed structure but not impacting footprint), consisting of 8 sheets, stamped and signed by Arne H.Ojala, Land Surveyor `& PE on July 11, 2005, entitled Civil Site Redevelopment Plans #1545 Office'Building — Roi& 112, #1545 Iyannough Road (Rt. 132), Hyannis, Ma 02601. 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, Robin C. Giangregorio Zoning & SPR Coordinator Cc: Stacey Justus,CC Commission Tom Perry,Building Commissioner Eliza Cox,Attorney . ' TOAALTAW IROLfiG79RMI 'P.A A � a +� Mapes Parcel l ��v� Permit# ��4 Health Division t`C Date Issued 2-3-2oOS Conservation Division �' �l 0_5 C?L 3-4' 3 PLAN 3)(PdQ5, Application Fee .,60 Tax Collector r �� Permit Fee Z# ISO Treasurer } Planning Dept. Date Definitive Plan Approved by Planning Board Historic-OKH Preservation/Hyannis s Project Street Address A N8W O �c Village /1 e Owner 4-w�y& tbC �`C Address Telephone �� `Z-9 _ jL/�2 !L L E_ MA Permit Request �CtA r LSD h a4U) r Square feet: 1st floor: existing proposed t9Bo 2nd floor: existing ! �90 proposed Total new Zoning District Flood Plain Groundwater Overlay 00 Project Valuation �,SEZ9. 000 �` Construction Type Lot Size QG Grandfathered: ❑Yes O 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.) /1 U2 Basement Unfinished Area(sq.ft) A/`c7;1'V z Number of Baths: Full: existing new Half:existing new Number of Bedrooms: existing new 1U)01VE Total Room Count(not including baths):existing new First Floor Room Count Heat Type and Fuel:�as ❑Oil ❑ Electric 0-Other Central Air: IYes ❑ No Fireplaces: Existing New Existing wood/coal stove: ❑Yes XNo 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 BUILDER INFORMATION Name - Telephone Numbe oo Address ST License# Q 3�] 02-0 6 t Home Improvement Contractor# Worker's Compensation# ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BETAKEN TO �-�� SIGNATURE DATE 1 3 /C��- FOR OFFICIAL USE ONLY PERMIT NO. DATE ISSUED MAP/PARCEL•NO. ADDRESS VILLAGE OWNER DATE'OF INSPECTION: v ( 7 G 1 FOUNDATION 7-1 FRAME OTC LrfL�' INSULATIONk- b • 1 -(, Z 4 7^D c' ° ' �••.a [� '�.. � 1 ) ve_�L•�� . �v, �. � `lam` l FIREPLACE a ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH • FINAL FINAL BUILDING 01 P r r t 06 Pfz- DATE CLOSED OUT ASSOCIATION PLAN NO. Cv ,. . °FTME, � Town of Barnstable y °*. Regulatory Services, # s�xxsras , ; Thomas F.Geller,Director Building Division ` Tom Perry, Building Commissioner 200 Main Street, liyannis,MA 02601 www.town.barustable.ma:us t t office: 508-862-4038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder I . 1Ce-L Le ,as Owner of the subject property b authorize: to act on my behalf, hereby in all rriatters relative to work authorized bythis building permit application for: '(Address of Job) Sig tore of Owner Date -Fr h Ke-1,1e Print I'�Tame n xnvndc.nV^M RP PRMNSTON t . • - _ The Commonwealth of Massachusetts Department of Industrial Accidents Office oflnuestfoodens 600 Washington Street, 7`h Floor -- - Boston,Mass. 02111 Workers' C sation Insurance Affidavit:Buildin lumbin /Electrical Contractors name address ci state: zi : 0 hone 7,12 work site location Mill address ❑ I am a homeowner performing all work myself. Project Type: New Construction[]Remodel I am a sole proprietor and have no one workin in any capacity._ Building Addition I am an em toyVer T]rovidm workers compensatio':r � n for my em toVees workingon this job. ..,•`•,. t• l�:•� - .t -y, ,,. •:. > .eA • , .. A•,ayrc�.�v.:r e "•}j;-_fF"�,.ri-�;?�,::'ri .-:�.^'' ;a.; :,Sr. :�.. �,. '�".11 :t. t:r'Rp: :R. ..,yi'F:d�9-�"%':i'4.SiNT .,H. +',y,>A•:.'i" ie .4 it'';`�. . ��; .".^� '•.' +N� F'. ,:�ry� �,�,y k.r �tyr.5 � :raz*':Na�s�-' <s: �:', ,'^:..:';',,.`v:. .•�a 5 Yw� .'�¢-`}}��,.r h " �y.a; �. 3 -• 'i,`x'r+• :M•.•k•>c' t 3c t b ) i7JyklA,t�l•. r?s.Z+ �zs^«!'frw. g;., ,'U'^•'tx:I1•.- •f.'t%.:.�•?,'•i•;::. "i'�•":V•:.F, v i >.� `A:%1`.� �. :x'< •R cy:s, >?• r"n,..:'gi':A "`: ti''' by>.u�`b L..-.Fg �.r pt.� 2 s.. ',.t s .. t:�+?`'s."' 'i{,£�:?��•.Y>,. ..��'':hl`SX+:•"•:'%<< ;':"r'.. , r•'dzi^.�Fyr.. 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L. `�.'C':s'.i:,w Y^,` •'t ��N.`9•��'3' C,; •i.E9'P,tb�r�•_' Jr:-.F !.':.�a.'3":,£y. ,�3� 1I,....,:st'. <sbL...p:..nS,t•:...yF4, ..t.y.�,: :.5.. .i•. ;•';' •-t' ':,y�_.F,y.;a,s :W.•„C„�:7>i:'.d••�f�� ri :Y::'i.�'•�`•' .�':t'-' - Failure to secure coverage as required under Section Z5A of MGL 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one years'imprisonment as well as civil penalties in the form of a STOP W ORK ORDER and a fine of$100,00 a day against.in& I understand that a copy of this statement may be forwarded to the Office of Investigations of the DIA for coverage verification. I do hereby certi thepains a enal' o erjury t the information provided above is true and corn ct" Signature Date 66 Print name official use only do not write in this area to be completed by city or town official city or town: permit/license# - OBuilding Department' OLicensing Board ❑check if immediate response is required []Selectmen's Office OHealth Department contact person: phone#; ❑Other (revised Sept 2003) 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 o express or f hire implied,oral or written. p 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. Please supply company name,address and phone numbers along with a certificate of insurance as all affidavits may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and . date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested,not the Department of Industrial Accidents. Should you have any questions regarding the"law"or if you are required to obtain a workers."compensation policy,please call the Department at the number listed below. City or Towns Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permit/license number which will be used 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. le IN IN 111 The Department's address,telephone and fax numbe .r The Commonwealth Of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street,7`}'Floor Boston,Ma. 02111 fax#: (617)727-7749 phone#: (617)727-4900 ext. 406 �� ...H■ _ UA It IMMIUUIYTYYI�, -/ t �F- LIABILITY INSURANCE 7 -:1 3 PRODUC THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Smit ONLY AND CONFERS NO RIGHTS UPON THE.CERTIFICATE HOLDER:THIS CERTIFICATE DOES NOT AMEND,EXTEND OR 15 L SURANCE, INC. ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW Nlantic;CT 06357 860 739-3322 INSURERS AFFORDING COVERAGE NAIC# 1 INSURED INSURERA. Nautilus Insurance Callahan Hoffman Co.,lnc. INSURER IS Mt. Hawley Insurance Company 341 Washington Street INsurceR c. Zurich North America Norwell,MA 02061 INSURE14 D. INSURER E. - COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED.NOTWITHSTANDING,;; ANY REOUIREMENT,TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN.THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. ' TYPE OF INSURANCE + POLICY NUMBER P 1 Y EFFE I-NE V LIC�l XPifA-1 N LIMITS' LTR NSR DATE MMMUIYY DATE MMIDDIY A GENERAL LIABILITY BN336259 05/24/05 05/24/06 EACH OCCURRENCE $1000000 X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED cc I �I Eo ourmncpI $100,000 CLAIMS MADE I ^ OCCUR 1 MED EXP(Any one person) $50 OOO �r X DI1PD Ded•2,500 _ PERSONAL S AUV INJURY $1 000 QOQ GENERAL AGG14EGAI h s2,000,000 4 GEN'L AGGREGATE LIMIT•APPUES PER. - PRODUCTS•COMP/OP AGG $2,000 000 " POLICYJFCT PRO. LOC AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT ' ANY AUTO (Ea acudenl) $ ALL OWNED AUTOS BODILY INJURY SCHEOULED AUTOS (Per person) $ HIRED AUTOS `',1. , BODILY INJURY Wei ewdenq $ NON-0WNEDAUTOS PROPERTY DAMAGE - (Per ocridenl)- $ - i GARAGE LIABILITY AUTO ONLY•EA ACCIDENT $ ANY AUTO - OI HER 1 MAN EA ACC $ AUTO ONLY: AGG $ B EXCESSIUMBRELLA LIABLITY MXL0358265 05124/05 05/24/06 FACH OCCURRFNCF $1 000 000 OCCUR CLAIMS MAUE AGG14EGAIk $1000000 DEDUCTIBLE , $ RETENTION f $ C WORKERS COMPENSATION AND 7666A22005 05124105 05124I06 �( WORY C STATv X FR O7H• EMPLOYERS'LIABLITY E.L EACH ACCIDENT $500 000 ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED9 E.L.DISEASE-EA EMPLOYEE $500,000 II yes,descnbe under SPECIAL PROVISIONS below E.L.DISEASE•POLICY LIMIT $5OO 000 OTHER DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS - I CERTIFICATE HOLDER CANCELLATION y, SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE E Tf H Tciwn 'of BdrhStable DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL _i0 YS NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE DO Barnstable, MA 02630 IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER AOE ;e' t 9.: REPRESENTATIVES. AUTHORIZED R PRES 7AT E ORD CO ACORD 25(2001108)I. of 2 #M5257 JCK 0 AC I .: >� ._��. �� c Gr� � �, �� �''3.�p'9. �'t. � 15� 1 5 amen. ' yx. 8 P �.�y��5 �f_�F�;; ( � .. .f" -.,,. 1 ' `� ay,.a �"':;i°? :.�Y`'� °'S ,y �i Fj'$•i `vs}•F d 2 "F' �>�.;�a.'t' +���F P. u„ 1 ! � t a l - 1Y T Fy S, a- f _{4 +� of � i i ,.+ r�3*.. a 1 rr ;;� `s t*§'" ���� as`" 4 -1y'L Y"1� ,+L w,yc r 3 MI ;%#': r ay+s 3'a yr e fk 1 - 4 : A , - E yy. j � - w.,'+' fv ,�„� .5�. ,_! di.tT,.pc p rs. J .,& •r a w. : ' : '4. , 1Kt-s ci�,r„f W r.F.c�yr x : a ''Ry"2 ya ,4 x: ,4 r x ym�e. -� - x"wont'k' N 3"'y.r 7p� y�3f 'F.y3} N,";%#u:%:k,+G y,s"s'�+ iuE<waa -'.ra ,+ i� t5��-�. 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'c w,g s ..; r owf gk y � r�w u r sz s 4,z � t N *i. ro x# .,s.Y 1 n, r. .2„r 1 A t 72",�¢ .#A k ps 4 3 z s.. tt : > 's '` S1Kti .n'`k r. r"' t�,Y eon ds i } r3 s J4 �1.'s a SII 1 a } k2� tim1, 7 " Y r✓ IV 5 z y r - 2 I. y :�4 4 :�,P " t2 F, � mi, , -k -1. � r 0. i _ A , a h y s Ff a v 2 2r � ,r { `_'" key i ;5 j3 ;r - 'k4r5. !!!it - , > ` �.ar 07/28/2005 THU 8;23 FAX 739 7641 Smith Insurance 2 001/002 i3ond ' THE HARTFORD BONDNO. 02BSBDE3744 Know All Men By These Presents, Thatwe, Callahan Hoffman Co. , Inc. of 341 Washington Street, Norwell, MA as Principal, and Hartford Fire Insurance Company a corporation organized under the laws of the State of Connecticut having its principal office in the City of Hartford, CT as Surety,are held and firmly bound unto Town of Barnstable Building Department 200 Main Street, Hyannis, MA in tic sum of One Thousand 00/100-----------------------Dollars($ 100.00 ) lawful money of the United States,for which payment well and truly to be made,we bind ourselves.our heirs,executors, ad- ministrators,successors and assigns,jointly and severally,firmly by these presents. Whereas,the above bounden Principal has been granted a permit to work along. Town street 1545 Iyannough .Road,Cent:erville, MA Now, Therefore, the Condition of this Obligation is Such, that if the above Principal shall indemnify and save harmless the Town of Barnstable against loss to which the Principal may be subject by reason of said Principal's breach of any ordinance,rule or regulation relating to the above described license or permit,then this obligation shall be null and void,otherwise to remain in full force and effect. This obligation may be canceled by said Surety by giving thirty(30)days notice in writing of its intention so to do to said and the said Surety shall be relieved of any further liability under this bond thirty(30)days after receipt of said notice by the said No cause of action shall lie against the surety unless commenced within two years from the date the cause of action accrues against the principal. Regardless of the number of years this bond shall continue in force and the number of premiums which shall be payable or paid,. the surety's total limit of liability shall not be cumulative from year to year or period to period_ Signed,sealed and dated this 2 6 th day of July 2005 Rindpac Callahan Hoffman Co Inc (Seal) By: (Seal) smh KAt Hartford Fire Ins.- a (Seal)Ey: .Fa_io Nprman B. Peck, Jr, Form$-3513.1 Printed in U.SA 07/28/2005 THU 8;23 FAX 739 7641 Smith Insurance Z 002/002 HARTFORD FIRE INSURANCE COMPANY Hartford,Connecticut POWER OF ATTORNEY Know all men by these Presents,That HARTFORD FiRE INSURANCE COMPANY, a corporation duly organized under the laws of the State of Connecticut,and having Its principal office in the City of Hartford,County of Hartford,State of Connecticut, does hereby make,constitute and appoint NORMAN B.PECK,JR-,JOFIN M.BUDDS and PATRICL4 A.L07Z of N7AN77C,CONNECTICUT its true and lawful Attomey(s)4n-Fact,with full power and authority to each of said Altornoy(s}in-Fact,in their separate capacity if more than one is named above,to sign,execute and acknowledge any and all bonds and undertakings and other writings obligatory in the nature thereof on behalf of the Company In Its business of guamnteeing the fidelity of persons holding places of public or private trust; guaranteeing the performance of contracts other than insurance policies;guaranteeing the performance of insurance contracts where surety bonds are accepted by states and municipalities.and executing or guaranteeing bonds and undertakings required or permitted in all actions or proceedings or by law allowed,and to bind HARTFORD FIRE INSURANCE COMPANY thereby as fully and to the same extent as if such bonds and undertakings and other writings obligatory in the nature thereof were signed by an Executive Officer of HARTFORD FIRE INSURANCE COMPANY and sealed and attested by one other of such Officers,and hereby ratifies and confirms all that its said Attomey(s)-in•Fact may dO in pursuance hereof, This Power of Attorney is granted under and by authority of the By-Laws of HARTFORD FIRE INSURANCE COMPANY,('the Company') as amended by the Board of Directors at a meeting duly called and held on July 8,1997.as follows; ARTICLE IV ;J310N 7.The President or any Vice President or Asalstent viee.Pmsident,acting with any Secretary or Assistant Secretary shall haw¢power and authority to sign and execute and attach the seal of the Company to bonds and undertakings,recongnlmnoes,contracts of indemnity acid other writings obligatory In the nature thereof,and such instruments so signed and executed,with or without the common seal,shall bo valid and binding upon the Company. SECTION E.The Pre-Wend or any Vice-Prealdent or any Assistant Vice President acting with any Secretary or Assistant Secretary,shah have power and authority to appoint,for purposes only of executing and ahcsting bonds and undertakings and other writings obligatory in the nature thereof, one or more resident Vice Presidents,resident Assistant Secretaries and Attorneys-in-Fad and at any time to remove any such resident vice.Preside,nt, resident Assistant Secretary,or Altormy.ln.Fact,and revoke the power and authority giycn to him. Resolved,drat the sgnalums of suM ran and the war of the Company may be alydred to any such power of attorney or to any wrlifieate relstbg thereto t1r fadmae,and any such po+rer of attorney or oatmoate➢sang sum fstaimile s mho or tawmlle seal shall be vsalid and binding upon Ion Company and any soon power so executed and ceNfied by facsimile synatures and racsrrrsa seal shall be valid and bowing upon the Company in Na future win nn�prxt to any bond or undertaidng to wrdch it is alGirhed. In Wiriness Whereof,HARTFORD FIRE INSURANCE COMPANY has caused these presents to be signed by its Assistant Vice President,and Its corporate real to be hereto affixed,duly attested by its Secretary,this 15th day of September,1997. Attest HARTFORD FIRE INSURANCE COMPANY 6e.,�,raD .arGs> 5 IBt ...- Richard A.Hennanson,Secretary John F_Burke,Assistant Vice President STATE OF CONNECTICUT SS. COUNTY OF HARTFORD On this 15th day of September.A.D.1997,before me personally came John F_Burke,to me known,who being by me duly sworn,did depose and say;that ho resides in the County of Hartford,State of Connecticut;that he is the Assistant Vice-President of HARTFORD FIRE INSURANCE COMPANY,the corporation described in and which executed the above instrument;that he knows the seal of the Said corporation;that the seal affixed to the said instrument Is such corporate seal;that It was so affixed by order of the Board of Directors of said corporation and that he signed his name thereto by like order. STATE OF CONNECTICUT ++ ►'� �/ . SS • � J424 17,wozzQk Notary COUNTY OF HARTFORD )'dYCo�sm pubNe CERTIFICATE I,the undersigned,Secretary of HARTFORD FIRE INSURANCE COMPANY,a Connecticut Corporation,DO HEREBY CERTIFY that the foregoing and attached POWER OF ATTORNEY remains in full force and has not been revoked;and furthermore,that Article IV, Sections 7 and 8 of the By-Laws of HARTFORD FIRE INSURANCE COMPANY,set forth in the Power of Attorney,are now in force. Signed and sealed at the City of Hartford. Dated the 2 6 th day of Ju 1 Y, 2005 U FOIE f/ .SEAL � �� jr �• Robert L_Post,Secretary Form S3$07-9(H!T Printed in USA fME 1p�� The Town of Barnstable BARNSTABLE. * Department of Health Safety and Environmental Services 9 MASS. 0 i639' �0 ` prEDMP�g' Building Division . c ' 367 Main Street, Hyannis,MA 02601 .�z Office: 508-862-4038 Fax: 508-790-6230 PLAN REVIEW Owner: Map/Parcel: Project Address: /S 7J6- Builder: w, ' J a� The following items were noted on reviewing: N C t -r C !4^> C ,� c1� �LO �- y 1 v�0n (C 5 t o J I C..-C fv Reviewed by: Date: q:building:forms:review t OP BA CAPE COD COMMISSION O 3225 MAIN STREET P.O. BOX 226 BARNSTABLE, MA 02630 �r9sSAC X35 (508)362-3828 H. FAX(508)362-3136 E-mail:frontdesk®capecodcommission.org TO: Town of Barnstable Town Clerk, Building Inspector, Conservation Commission, Board of Appeals, Town Planner, Site Plan Review, DRI Liaison FROM: Gail P. Hanley, Clerk of the Commission SUBJECT: Office Building Redevelopment Project Keller Office Building/Hyannis, MA Change of Use Decision DATE: July 26, 2005 Enclosed please find a copy of the Office Building Redevelopment Project/Hyannis, MA Change of Use Decision which was approved by the Regulatory Committee on July 7, 2005. Should you have any questions, please do not hesitate to contact our office. C".1 t of BA CAPE COD COMMISSION O U 3225 MAIN STREET -_ -®"';; - to x P.O. BOX 226 BARNSTABLE, MA 02630 ��ssA CHus (508)362-3828 FAX(508)362-3136 E-mail:frontdesk@capecodcommission.org Date: July 21, 2005 To: Mr. Patrick M. Butler, Esq. Nutter, McClennen& Fish, LLP P.O. Box 1630 Hyannis, MA 02601 From: Cape Cod Commission Re: Limited DRI Determination for Change of Use DRI Enabling Regulations, Sections 3 and 4 Project Applicant: Joseph P. Keller 843c Main Street Osterville, MA 02655 Property Owner: Brook Valley Realty Trust 0 550 Willow Street West Yarmouth, MA 02673 Project: Office Building Redevelopment Project Keller Office Building 1545 Route 132 Hyannis, Massachusetts Project#: #CU05012 Book/Page: 17100/301 Map/Parcel: 253/15 DECISION OF THE CAPE COD COMMISSION SUMMARY The Cape Cod Commission(Commission), through its Regulatory Committee, hereby determines that the redevelopment of the property located at 1545 Iyannough Road . (Route 132), Hyannis, MA, from the existing Country Lake Lodge motel to a 17,338 square foot office building qualifies for Section 3(f)(i)thresholds under the criteria I established under Section 4(b) of Chapter A, Enabling Regulations Governing Review of Limited DRI Determination Decision CU#05012 Joseph Keller—Office Building Redevelopment Project/Hyannis - July 21,2005 Page 1 of 14 Developments of Regional Impact, Barnstable County Ordinance 90-12, as amended (DRI Enabling Regulations), and may proceed without Development of Regional Impact (DRI) review. This decision is rendered pursuant to a vote of the Regulatory Committee on July 7, 2005. PROJECT DESCRIPTION The project site is a 2.2-acre parcel, located at 1545 Iyannough Road(Route 132), Hyannis, MA, bounded on the south side by Shallow Pond and on the north by Route 132. Surrounding uses include motels, commercial, and a mixed-use (commercial and office)plaza. The project site is located in a Commercial Growth Center as designated in the Barnstable Local Comprehensive Plan. The parcel is split between two local zoning districts—the highway business and residential zones. The project proposes to demolish the existing Country Lake Lodge, a 20-room strip motel with a 3-bedroom manager's office. The site will be redeveloped with a 17,338 square foot, two-story professional office building. The site driveway on Route 132 is designed to provide right turn in/right turn out-only access. Revegetation and landscaping has been proposed for the area to be disturbed as well as for the existing disturbed area between the south side of the proposed building and Shallow Pond. In an attempt to screen the parking lot from Route 132, berms and landscaping have been proposed. Subsurface impervious surface runoff and wastewater disposal systems are proposed to be located outside of the 300-foot buffer to Shallow Pond. One to three professional office tenants will occupy the 17,338 square foot building. The proposed future anchor tenant is expected to be Merrill.Lynch, a national financial services company. The applicant has also indicated that they anticipate one additional tenant to be the engineering firm of Stearns & Wheeler.' The third tenant remains unidentified at this time. PROCEDURAL HISTORY The Commission received a Limited DRI Determination for Change of Use application from Joseph Keller on April 29, 2005. A duly noticed public hearing pursuant to Section 5 of the Act to consider the application was held by the Regulatory Committee of the Commission on June 6, 2005, at the Cape Cod Commission office in Barnstable MA. The public hearing was continued to June 20, 2005, and then to July 5, 2005. The July 5, 2005, hearing was continued by a hearing officer of the C-ommission to July 7, 2005. The public hearing and record were closed on this date, after which the Regulatory Committee voted unanimously that the project not be subject to mandatory DRI review in any Regional Policy Plan (RPP) issue area, and therefore be returned to local review. In addition to the list of materials submitted for the record(see Table 1 below) the i application and notices of public hearings relative thereto, Commission staff s notes and Limited DRI Determination Decision CU#05012 Joseph Keller—Office Building Redevelopment Project/Hyannis July 21,2005 Page 2 of 14 correspondence, the minutes of public meetings and hearings, and all other written submissions received in the course of the proceedings are hereby incorporated into the record by reference. TABLE 1 Materials Submitted for ithe Record x,, Materials From the A lieant Date Submitted Application for Limited DRI Determination for Change of Use 4/29/05 Memo from P. Butler to S. Justus re: scheduling 5/12/05 Supplemental application materials 5/13/05 Memo from K. Raber to A. Adams re: exterior lighting 5/24/05 Elevations for Lakeside Center,prepared by Brown Lindquist Fenuccio& 5/24/05 Raber, sheets A2.1 and A2.2 dated 5/23/05 Memo with attachments re: responses to issues raised at 5/19/05 meeting 5/25/05 with Commission staff Ltr from Rizzo Associates to D. Fox re:transportation issues 5/27/05 E-mail from D.Ojala to S.Michaud re: sketch of modified subsurface 6/3/05 systems Response to Limited DRI Staff Report 6/6/05 Summary of Improved Impacts 6/6/05 RUUD,Lighting Plan, prepared by Down Cape Engineering,revision#3, 6/6/05 dated 5/23/O5 Landscape Mitigation Plan, prepared by Hamlyn Consulting, dated 6/2/05 6/6/05 E-mail from E. Cox to A. Adams re: hazardous materials restrictions 6/13/05 Memo from P. Butler to S. Justus re response to Staff memo of 6/8/05 6/13/05 Site Plan and Utilities &Grading Site Plan, prepared by Arne H. Ojala, as 6/16/05 revised 6/16/O5 - Memo from E. Cox to Commission staff re: well site on easterly roe 6/17/05 Memo from E. Cox to Commission staff re: hazardous materials restrictions 6/17/05 Landscape Mitigation Plan, prepared by Hamlyn Consulting,as revised 6/20/05 6/17/05 Ltr from E. Cox to S. Justus with Landscape Mitigation Plan,prepared by 6/29/05 Haml n Consulting,as revised 6/28/05 Materials from Commission Staff Date Submitted Ltr from D. Fox to T.Broadrick and R. Giangregorio re: jurisdictional 4/15/05 determination Ltr from S. Justus to P. Butler re: application incomplete = 5/9/05 Ltr from S.Justus to P. Butler re: application complete 5/17/05 E-mail from S.Justus to T.Broadrick re: scheduling 5/17/05 Staff Report 6/1/05 Landscape Sketch Plan, prepared by S. Rooney, dated 6/6/05 6/6/05 Memo from S. Justus to P. Butler re: review of materials received since 6/8/05 6/6/05 E-mail from A. Adams to E. Cox re: hazardous materials restrictions 6/15/05 Memo from S. Justus to Regulatory Committee re: project review update 6/15/05 E-mail from A. Adams to E. Cox re: hazardous materials restrictions 6/16/05 Limited DRI Determination Decision CU#05012 Joseph Keller—Dice Building Redevelopment Project/Hyannis July 21,2005 Page 3 of 14 a, ' , V Memo from S. Justus to E. Cox re: project review update 6/23/05 Memo from S.Justus to Regulatory Committee rd: project review update 6/30/05 E-mail from S. Justus to T. Broadrick re: conditions requested for Barnstable 7/l/05 Site Plan Approval E-mail from S.Justus to R. Giangregorio re: conditions requested for 7/14/05 Barnstable Site Plan Approval Memo from S. Justus to T.Broadrick re: conditions requested for Barnstable 7/14/05. Site Plan Approval Materials from Town of Barnstable Date Submitted Ltr from T. Broadrick to S. Justus re: comments on materials 6/2/05 E-mail from R. Giangregorio to S. Justus re: conditions requested for 6/9/05 Barnstable Site Plan Approval-and local process E-mail from R.Giangregorio to S. Justus re: conditions requested for 7/14/05 Barnstable Site Plan Approval TESTIMONY Public Hearing on June 6, 2005: Stacey Justus summarized the proposed project and Staff Report dated June 1, 2005. Ms. Justus discussed the"change of use review standards and identified five issue areas of concern that the staff focused its review of impacts on, including water resources, Wetland and plant habitat,transportation, hazardous'materials, and community character. Ms. Justus said the applicant has made some changes since staff reviewed initial° application materials, and that they are willing to make additional changes in response to staff concerns. Glenn Cannon made one technical correction to the 6/l/05 Staff Report relating to the use of the term"significant" in the area of transportation. Patrick Butler distributed and discussed two handouts: 1) identifying improvements the proposed project was making compared to the existing use; and 2)presenting the applicant's responses to the Staff Report. He stated his belief that the proposed change of use is significantly reducing impacts on the property, and felt that the Regulatory Committee could determine they could forego DRI review, or require very limited review: Mr. Butler asked the Regulatory Committee to continue the hearing to their next meeting so issues could be resolved with staff in order for the Committee to grant an approval to waive DRI review. Joseph Keller discussed expected tax benefits to the Town as a result of the proposed change. He explained that there was strong market demand-in the commercial market for office space, as evidenced by the pre-leasing of two of the three spaces in the proposed building. Mr. Keller stated that he was addressing market needs with the location, design, and quality of the new building. John Klimm, Barnstable Town Manager, spoke on behalf of the proposal for the Town. He commended the Staff Report for its comprehensiveness. He stated that the proposed Limited DRI Determination Decision CU#05012 Joseph Keller—Office Building Redevelopment Project/Hyannis July 21,2005 Page 4 of 14 building will replace what is now an eyesore, and will provide a significant improvement to an area the Town considers the gateway into Hyannis. Mr. Klimm stated that Mr. Keller and Mr. Butler met early on with representatives of the Town to accommodate the Town's concerns about traffic and access on Route 132. He said this is the type of use the community wants in this location and encouraged an expedited review process. _ Robin Giangregorio said the planning department supports a waiver of DRI review under the change of use regulations, and said they believed all issues could be successfully , addressedat the local level. Alan Platt asked about the disposition of the swimming pool and economic issues. Dan OjAla addressed the removal of the pool debris. Leslie Richardson said the applicant provided economic information and she believed that there were no detrimental impacts related to economic issues. Frank Hogan and Larry Cole asked for clarification regarding the pier. Heather McElroy explained that the wetland areas were mapped as rare species habitat by the Natural Heritage and Endangered Species Program,thus should be reviewed by Natural Heritage for a determination prior to any construction. She also explained that RPP protections for rare species habitat were stronger than local protections. Mr. Butler stated that the idea of the pier was requested by Barnstable.Conservation, but is not.part of the proposal at this time. Frank Hogan asked how the five issues would be resolved. Stacey Justus explained that Commission staff would review new materials, meet with the applicant,,and return to the Regulatory Committee on June 20, 2005 with a recommendation if possible. Catherine Frazer asked about roof height and building design. Stacey Justus answered that it would not be addressed unless the Regulatory Committee opted for a limited DRI for Community Character. Public Hearing on June 20, 2005: Stacey Justus reported that Commission staff met with the applicant to discuss the concerns reported at the previous hearing,particularly regarding the buffer between the t proposed building and Shallow Pond. Ms. Justus said that the applicant had agreed to several changes to the original proposal to reduce impacts related to the issues of hazardous materials and waste management, site access, and buffer landscaping. Ms. Justus reported that staff researched the possibility of changes to the site design to move the parking to the rear of the site to comply with RPP standards and eliminate strip development, but that local zoning constraints made that"impossible. Ms. Justus discussed the remaining outstanding issues that included impacts to water and natural resources. t - - Eliza Cox stated that the applicant and staff had reached agreement on all other issues in order for the Regulatory Committee to find that no DRI review is necessary. She noted that the remaining concerns can be mitigated through the inclusion of a revegetation plan Limited DRI Determination Decision CU#05012 Joseph Keller—Office Building Redevelopment Project/Hyannis July 21,2005 Page 5 of 14 for the buffer area and that should be viewed as a benefit to the project, and an P J improvement to the existing use. She reminded the committee that the existing pool and shuffleboard court are within the 100-foot buffer to the pond, and that they were being removed. Lynn Hamlyn discussed the components of the Landscape Mitigation Plan. Heather McElroy noted that Ms. Hamlyn's plan was roughly consistent with discussions held at a site the prior week, but needed to review this new plan in order to assess the relative impacts between the existing and proposed uses. Scott Michaud suggested removal of all lawn area within the 300-foot buffer to the pond. Commissioners questioned and discussion followed regarding these issues: the revegetation plan, conditioning through local site plan review, fertilizer use, and reopening/expanding the existing motel use. Public Hearing on July 7, 2005: Stacey Justus summarized the June 30, 2005 staff update to the Regulatory Committee and stated that the staff believes that the Landscape Mitigation Plan satisfactorily addresses all potential impacts. She stated receipt of an E-mail from Thomas Broadrick stating that certain components of the project as proposed can be incorporated into conditions of the Barnstable site plan review approval. She stated that the staff opinion at this time is that the project as now proposed is not more detrimental than the existing use in any RPP issue area. Catherine Frazer inquired whether the construction of a pier on the site would require a Modification of the Decision. Stacey Justus concurred that it would. . The Regulatory Committee voted unanimously not to require DRI review in any RPP issue area under this Limited DRI Determination for Change of Use application. JURISDICTION The proposed project qualifies as a DRI under Section 3(f)(i) of the DRI Enabling Regulations as a change of use with a gross floor area greater than 10,000 square feet.. Pursuant to Section 4(a) of the DRI Enabling Regulations,the Chief Regulatory Officer determined that the project constitutes a Change of Use. Further, as provided in Section 4(a)(iii), the applicant then applied for a Limited DRI Determination in accordance with Section 4(b), which requires the Regulatory Committee to determine the scope of the DRI review required. Limited DRI Determination Decision CU#05012 Joseph Keller—Office Building Redevelopment Project/Hyannis July 21,2005 Page 6 of 14 FINDINGS The Commission,through the Regulatory Committee, has considered the application of Joseph Keller for the proposed change of use project at 1545 Iyannough Road (Route 132), Hyannis, MA,and based on consideration of such application and upon the information presented at the public hearings and submitted for the record, makes the following findings pursuant to Sections 3 and 4 of the DRI Enabling Regulations: General Findines: F-G1. The proposed project consists of the redevelopment of 2.2-acre parcel located at 1545 Iyannough Road (Route 132), Hyannis, MA. The proposed project consists of the demolition of the existing Country Lake Lodge, an approximately 8,522 square foot 20-room strip motel with a three bedroom manager's office. The site will be redeveloped with a 17,338 square foot, two-story professional office building that will accommodate up to three tenants. F-G2. In accordance with Section 4(b)(vi) of the DRI Enabling Regulations, the Regulatory Committee reviewed the proposed change of use to determine the scope of the project review, which may be limited to those RPP issue areas where the impacts are more detrimental (quantitatively and/or qualitatively) than the immediate prior use. The Regulatory Committee did consider whether the project's impacts involve deviation from the minimum performance standards (MPS) of the Regional Policy Plan (RPP) in determining the scope of DRI review. The Committee, in making its determination, considered the resources protected by the Act and the RPP. Those RPP issue areas that the Regulatory Committee determined to be relevant to this change of use project review and considered in their scope of review included water resources, wetland and plant habitat, economic development, transportation,hazardous materials and waste management, and community character. F-G3.._ The project is proposed to be constructed according to the following plans: • Landscape Mitigation Plan,prepared by Hamlyn Consulting, dated 6/2/05, as revised 6/28/05 (hereinafter the Landscape Mitigation Plan) • Site Plan,#1545 Rt. 132 Office Building, Hyannis, MA, prepared by Arne H. Ojala,dated 3/3/05, as revised 6/16/05 (hereinafter the Site Plan) • Utilities & Grading Site Plan,#1545 Rt. 132 Office Building, Hyannis, MA, prepared by Arne H. Ojala, date&3/3/05, as revised 6/16/05 (hereinafter the Utilities & Grading Site Plan) • Elevations for Lakeside Center, 1545 Iyannough Road (Rte. 132), Hyannis, MA, sheets A2.1 and A2.2, prepared by Brown Lindquist Fenuccio &Raber Architects, Inc., dated 5/23/05 (hereinafter Elevations) Limited DRI Determination Decision CU#05012 Joseph Keller—Office Building Redevelopment Project/Hyannis July 21,2005 Page 7 of 14 Water Resources Findines: F-WRL The project is located in an Impaired Water Quality Area according to RPP Water Resource Classification Map I. Due to the site's location in a number of water resource areas defined under MPS 2.1.1.2, the project site meets the definition of a Water Quality Improvement Area under MPS 2.1.1.2.E. Water quality will improve as a result of the project. F-WR2. As'mall portion of the northern part of the site is located in the Barnstable Habor watershed while most of the parcel is located in the Centerville River watershed according to RPP Water Resource Classification Map II. A study of the Centerville River system has shown that the nitrogen loading to the Centerville River watershed exceeds the estuary's critical nitrogen load. The project will result in a decreased nitrogen load to groundwater, including to the Centerville River watershed. F-WR3. The entire site is located within a Fresh Water Recharge Area according to RPP Water Resource Classification Map I. The project is located in the Shallow Pond watershed and has frontage on Shallow Pond. The Cape Cod Pond and Lake Atlas (Cape Cod Commission, 2003) indicates that Shallow Pond's water quality is impacted from development within its watershed. The proposed project's subsurface disposal facilities for runoff from impervious pavement and wastewater effluent are located more than 300 feet from Shallow Pond as shown on the Utilities & Grading Site Plan. F-WR4. The entire site is located within a Wellhead Protection Area according to RPP Water Resource Classification Map 1. Nitrogen loading currently exceeds the regional five parts per million nitrogen(ppm-N) loading standard also applicable to Wellhead Protection Areas. Using Title-5 flow rates,.existing nitrogen loading exceeds 15 ppm-N. The project will result in a nitrogen load of 7.3 ppm-N, an improvement in water quality relative to existing conditions. F-WRS. Two small-volume water-supply wells are shown on RPP Water Classification Map I on parcels near the project site. The applicant identified a well located approximately 300 feet to the west and cross-gradient(not in the direction of groundwater flow)relative to the proposed project's wastewater disposal area. The applicant has indicated that there is no record available at the Barnstable Health Department of a well on the adjacent parcel to the east, a property owned by the applicant, and that public water supply is available for this parcel. F-WR6. The project is expected to result in reduced wastewater flows. The existing motel relies on standard Title-5 septic systems to dispose wastewater at the site. Title-5 flow from the existing motel is 2,530 gallons per day (gpd) based on the number of rooms. i Limited DRI Determination Decision CU#05012 Joseph Keller—Office Building Redevelopment Project/Hyannis July 21,2005 Page 8 of 14 i Title-5 wastewater flow for the proposed project is 1,300 gpd. Title-5 flow rates typically exceed actual wastewater flows to account for peak flows. Historic water-use information was provided by.the applicant for the period September 21, 2001 through April 26, 2005 indicating that an average 1,444 gallons of water per day was used by the motel during that period. F-WR7. Existing standard Title-5 septic systems will be replaced by an Amphidrome system that will remove nitrogen from project wastewater. Amphidrome treatment systems are approved for general use under the Massachusetts Department.of Environmental Protection's (MADEP) Innovative/Alternative (I/A)Technologies Program. A 25 ppm-N level of treatment for nitrogen removal is recognized for I/A systems approved under'the MADEP I/A program, compared to 35 ppm-N for standard Title-5 systems. Treated wastewater will be infiltrated outside the 300-foot buffer to Shallow Pond to mitigate phosphorus loading to the pond as . shown on the Utilities& Grading Site Plan. F-WR8. The project will increase impervious pavement by 42%to 29,395 square feet. The project will use standard catch basins to remove sediment. Infiltration basins capturing runoff from impervious pavement have been located outside of the 300-foot buffer to Shallow Pond to mitigate phosphorus loading to the pond as shown on the Utilities & Grading Site Plan. F-WR9. The applicant has proposed turf on the south(pond) side of the proposed building within the 300-foot buffer to Shallow Pond. This area is designated as "Formal Landscape"on the Landscape Mitigation Plan, on which the applicant has indicated that the area"shall be planted with vegetation consistent with minimal maintenance practices that do not require fertilizer . and/or chemical pesticide applications." The applicant has agreed to meet the provisions of the Landscape Mitigation Plan as a condition of Barnstable's Site Plan Review to ensure compliance with this finding._ Wetlands and Plant Habitat Findines: F-NR1. Based on the Landscape Mitigation Plan, the proposed project is not more detrimental to wetland and wetland buffer resources than the immediately prior use. In addition, the applicant has agreed to incorporate the Landscape Mitigation Plan into the conditions of Barnstable Site Plan Review to ensure compliance with this finding. F-NR2. In a Memorandum dated 6/13/05 from Nutter McClennen& Fish to . Commission staff,the applicant has stated that a pier or dock will not be constructed as part of this redevelopment. With the removal of the proposed pier or dock from the project plans, the proposed project is not more detrimental to estimated rare species habitat than the immediate prior use. Limited DRI Determination Decision CU#05012 Joseph Keller—Office Building Redevelopment Project/Hyannis July 21,2005 Page 9 of 14 Any future installation of a pier or dock would require a Modification of this Decision and concurrence between the Cape Cod Commission, the Barnstable Conservation Commission, and the applicant. In addition, the applicant has agreed to a prohibition on installation of a pier or dock into the conditions of Barnstable Site Plan Review to ensure compliance with this finding. Economic Development Findines: F-ED1. MPS 3.3.1 requires applicants to provide economic data from which the Commission may determine the economic impacts of the proposed project. Given that this is a change of use proposal,the applicant has generally complied with this standard and the information supplied is outlined in the following economic development findings. F-ED2. The proposed project is located within a certified Commercial Growth Center. MPS 3.2.1 specifies the incentives to be provided to this project since it is located in a certified growth center. Given its location within a certified growth center no further justification for its location is required under MPS 3.2.2. F-ED3. This project will add,17,338 square feet of professional office space to the market. The applicant characterizes this new space as "high end" and to be a commodity in limited supply in the region. The applicant did not provide written information in support of this statement and a brief review of the current commercial real estate available was inconclusive. Without further information, the Commission considers the impact to the regions' real estate market neutral. F-ED4. Accordingto the applicant, u to three tenants will occupy the completed PP � P PY p d office space. The anchor tenant is expected to be Merrill Lynch, which will be relocating from their current offices at 973 Iyannough Road. A second tenant, Stearns & Wheeler, LCC a professional engineering firm, has signed a letter of intent to lease according to the applicant. They will be relocating from their current offices at 255 Stevens Street, adjacent to downtown Hyannis. Copies of any lease agreements have not been requested or provided to date. These types of businesses are consistent with the economic development goals of the RPP and specifically with Other Development Review Policy 3.1.5. It should be noted, however, that neither of these tenants are locally owned businesses. F-ED5. Generally,the types of employment planned as a result of this redevelopment will require higher skill levels and therefore provide higher salaries than those associated with the immediate prior use as a motel. It is not possible, however, to conclude that this project will result in a net increase in the number of total jobs or high-skill jobs in the region. The Commission Limited DRI Determination Decision CU#05012 Joseph Keller—Office Building Redevelopment Project/Hyannis July 21,2005 Page 10 of 14 therefore considers the long-term impact on employment diversity (RPP Goal 3.3)to be neutral. Construction Phase: According to the applicant,the construction phase of this project should take approximately six months. No specific information was provided regarding the expected total work hours, labor costs, average wage, or percentage of local labor and firms employed during the construction phase of the project. Long-term Employment: Given the information provided by the applicant, this project will not result in net new employment to the region or town since the two tenants currently named will be relocating from other locations within Hyannis, MA. The applicant describes the positions associated with this project generally as professional office positions. Those associated with Merrill Lynch are described as"high paying, year round jobs with substantial benefits." The specific employment and wage data provided by the applicant is included in the following table: Tenant Sq. Feet Employees Total Payroll Average Wage Sterns & 4;000 15 $800,000 $53,333 Wheeler F-ED6. The proposed redevelopment of this site will have direct fiscal impacts on local property tax revenues and on state rooms tax revenues. The change in use from motel to office will result in a net reduction to zero in rooms tax that is more than offset by the expected increase in local property taxes due to the improvements made to the property. The following table includes the current revenues generated from the property and the applicant's estimates for revenue generation after the site is redeveloped. The net increase in revenue is expected to exceed $9,000 per year in the form of property taxes to the Town of Barnstable. Revenue Sources Current use Proposed Use Estimated Net Est. Change Property tax(2005). $5,935 $20,255 $14,320 Rooms Tax 2004 $5,100 1 $0 $5,100 Total $11,035 $20,255 $9 220 Transportation Findines: F-T1. The existing motel currently has one full access curb cut on Iyannough Road (Route 132) in Hyannis, MA,which is defined as a regional roadway in the RPP. Under the proposed change of use project plans,the existing full access Limited DRI Determination Decision CU#05012 Joseph Keller—Office Building Redevelopment Project/Hyannis July 21,2005 Page 11 of 14 J Route 132 driveway will be reconstructed as a right turn in/right turn out-only access. Also, a secondary access is proposed to be provided that would connect this project site to the adjacent mixed-use (commercial and office) plaza to the east as shown on the Site Plan. F-T2. Based on trip generation estimates submitted by the applicant, this project is expected to have an increase in trip generation, however this net increase is estimated at less that 25 peak hour trips and therefore is not considered significant. The applicant calculated the traffic impact based on the number of motel rooms of the existing facility and proposed facility (office space),and a traffic.creditfor o the vehicle Interco proposed nnect between this parcel and the adjacent mixed-use parcel to the east. A comparison of the trip generation estimates is shown in the table below. Trip Generation Estimates vehicles per hour): Existing Use Proposed Use 2 Net 20 unit motel 17,338 SF offices ace Increase Average Daily 113 162 49 Traffic Morning Peak 9 23 14 Hour Afternoon Peak 9 22 13 Hour Based on ITE Trip generation manual, 7` Edition, LUC 320(20 room motel). 2Based on ITE Trip Generation manual 71h Edition, LUC 710(office). F-T3. The standard of review for transportation safety impacts is 25 or more peak hour trips through a high crash location. As stated above, this project is not . expected to generate more than 25 new peak hour trips; therefore no regional intersection would be impacted by 25 or more new peak hour trips. Hazardous Materials and Waste Manazement Findings: F-HM1. In order to protect the groundwater and adjacent pond, the applicant has agreed to place the.following language into any lease used for the site as well as into the conditions of Barnstable Site Plan Review in order to control hazardous materials and waste on site: "To protect the public drinking water supply from potentially hazardous materials associated with specific land uses, the following uses are prohibited on the site: landfills, open dumps;junkyards; automobile graveyards; underground.fuel storage tanks; storage for resale of heating fuels (e.g., gas, oil, coal and kerosene); metal plating, finishing or polishing; boat, motor vehicle and aircraft cleaning, servicing or repair; dry-cleaning processing establishments; storage, use, treatment, generation or disposal of hazardous materials or hazardous wastes except in a household quantity, or for emergency Limited DRI Determination Decision CU#05012 Joseph Keller-Office Building Redevelopment Project/Hyannis July 21,2005 Page 12 of 14 power or heating of a structure. Also prohibited on the site is any use which involves as a principal activity the use, generation, storage_, treatment, transportation or disposal of one.or more hazardous materials or hazardous waste. Notwithstanding and in addition to the foregoing, one (1) 55 gallon drum containing methanol (or a replacement chemical) shall be allowed on site to be utilized in connection with the proposed advanced treatment septic system." In addition to the incorporation of such language,the applicant will need to take steps during construction to protect the groundwater and adjacent pond from releases resulting from construction equipment fueling or maintenance. Therefore, the proposed project is not likely to pose impacts that are more detrimental than the immediate prior use in the area of hazardous materials and waste management. Community Character Findings: F-M. MPS 6.2.7 requires parking to be located to the side or rear of a building in order to promote traditional village design in commercial areas, unless such location would have an adverse or detrimental impact on environmental or visual features on the site;or is infeasible. The existing motel is sited. perpendicular to Iyannough Road (Route 132)with parking located to.the side of the building, consistent with MPS 6.2.7. The redevelopment project proposes all of the parking in front of the building. However,relocating the building and parking to meet MPS.6.2.7 is infeasible due to local zoning requirements. Therefore;even though the proposed site design is more detrimental than the previous use,-a DRI review applying this MPS would not result in a requirement for a revised site design. F-CC2. The proposed Site Plan incorporates substantial planting and a 4-foot earthen berm to buffer the proposed development from Iyannough Road (Route 132). The buffer planting is designed to tie into existing buffer plantings immediately to the east of the project site. F-M. The proposed office building is a two-story structure that incorporates traditional Cape materials and forms that,are generally consistent with the architectural standards of the RPP and Commission design guidelines. F-M. Exterior lighting for the proposed project is consistent with Technical Bulletin #95-001. - F-M. The applicant has not yet proposed freestanding or building signage, however has stated that when designed it shall comply with MPS 6.2.11, which prohibits internally lit or flashing signs. Limited DRI Determination Decision CU#05012 Joseph Keller—Office Building Redevelopment Project/Hyannis July 21,2005 Page 13 of 14 ` ti I CONCLUSION Based on the findings above, the Commission hereby determines that the proposed change of use at 1545 Iyannough Road (Route 132), Hyannis, MA is not subject to mandatory review as a Development of Regional Impact (DRI) in any Regional Policy Plan issue area in accordance with Sections 3 & 4 of the DRI Enabling Regulations because the.impacts of the proposed project are not more detrimental than those of the immediate prior use. The Commission hereby approves the application of Joseph Keller for the proposed change of use redevelopment project to proceed without mandatory DRI review. This decision is rendered pursuant to a vote of the Cape Cod Commission Regulatory Committee on July 7, 2005. 71 Mr. Frank H. Hogan Date Chairman of the Regulatory Committee COMMONWEALTH OF MASSACHUSETTS Barnstable, ss 20Qr Fhz 11 k 14 Before me,the undersigned notary public, personally appeared Oq aA , in his/her capacity as Chairman of the Cape Cod Commission,whose name is signed on the preceding document, and such person acknowledged to me that he/she signed such document voluntarily for its stated purpose. The identity of such person was proved to me through satisfactory evidence of identification, which was U photographic identification with signature issued a federal or state governmental agency, [ I oath or affirmation of a credible witness, or[1Ypersonal knowledge of the undersigned. Notary Public My Commission Expires: 101-13111 Limited DRI Determination Decision CU#05012 Joseph Keller—Office Building Redevelopment Project/Hyannis July 21,2005 Page 14 of 14 PROJE NAME CT l V 6 CA �l ADDRESS: PERMIT# DATE: M/P: v'L.� 3 a O 13 LARGE ROLLED PLANS ARE IN: BOX 74 . 9 SLOT 17- DATE: � � 4 q/wpfiles/archive , ARCHIVED SPECIFICATIONS Year : Project Name. �- Project Address: / — 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 TOWN OF BARNSTABLE 60 DAY TEMP CERTIFICATE OF OCCUPANCY PARCEL ID 253 015 GEOBASE ID 16551 ADDRESS 1545 IYANNOUGH ROAD/ROUTE PHONE CENTERVILLE ZIP - 4 t, p LOT BLOCK LOT SIZE .DBA - DEVELOPMENT DISTRICT CO PERMIT 91179 DESCRIPTION 60 TEMP CERTIFICATE OF OCCUPANCY ►� PERMIT TYPE BTCOO TITLE TEMP. OCCUPANCY PERMIT CONTRACTORS- R ' ARCHITECTS': , Department of Regulatory Services r TOTAL FEES: $75_00 I BOND $.00 CONSTRUCTION COSTS $.00 753 MISC. NOT CODED ELSEWHERE 1 PRIVATE MASS. 039. } BUILDING • IV SIGN BY DATE ISSUED 03/31/2006 EXPIRATION DATE TOWN OF PARNS`I'Ak31'E NEW Z 'S`L't�R"f COMA SIXIG2 (SHFf,I, & L081!- ONLY) PARCEL ID 2�3 015 GEOBA(SE ID. . 15►bl ADDRESS 1545 IYANNflUGH ROAD/ROUTE PHON9 CENTERVILLE ZIP - LOT DBA " DEVEWPMENT DI S T Ri t. T {,U f! ; ERM'T . 8Ei:345 DESCRIPTION IQN �a G! 2 STrb R_ COMM BLDGv ERMIT TYPE 13UILDC TITLE COMMERCIAL BUI LD i NG CONTRACTORS: CALLAHAN, KEVIN M n � ARCHITECTS': Department of Regulatory Services `4'0TAI, FEES.- jai 2,300.00BOND 00 -I ,ZONS'F`4'UC:T ION COSTS $1,500,CCU.00 324 PRO ', IiAI�EK OEIj'ICF BIXG I PI?.�VATE t * BARNSTABLE, • s 1MAS8' ` .. e� �. I ' BUILDING DIVISION BY 'DATE: ISSUED CSC 3/100 L �&PIRATIUN DATE THIS PERMIT-CONVEYS NO RIGHT TO OCCUPY ANY STREET,ALLEY OR SIDEWALKOR 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. I 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 INSP CTION APPROVALS 1 d 1 10/2 03 'A y mpau.%ped 1 c cA s ti -I , ►� _� 0 I is 2-24f'Gro 3 �I (►1 0 r' 1 HEATING INSPECTION APPROVALS ENGINEERING DEPARTMENT C6 2 BOARD OF HEALTH 5357C i 3)31 OTHER: S TE RA AN REVIEW APPRO I 6 I �_kL___Q4 WORK SHALL NOT PROCEED UNTIL PERMIT WILL BECOME NULL AND VOID IF CON- INSPECTIONS INDICATED ON THIS THE INSPECTOR HAS APPROVED THE STRUCTION WORK IS NOT STARTED WITHIN SIX CARD CAN BE ARRANGED FOR BY VARIOUS STAGES OF CONSTRUC- MONTHS OF DATE THE PERMIT IS ISSUED AS TELEPHONE OR WRITTEN NOTIFICA- TION. NOTED ABOVE. TION. I I I I I I I I I I I I I I 4 r y CALLAHAN/HOFPMAN CO., INC. OT 4QQa���44Q� 341 Washington Street NORWELL, MASSACHUSE17S 02061 DATE 311 O JOB NO. (781) 659-81 FAX (78 6 8103 ATTENTION TO �- RE: &,/Y WE ARE SENDING YOU KAttached ❑ Under separate cover via the following items: ❑ Shop drawings ❑ Prints ❑ Plans ❑ Samples ❑ Specifications ❑ Copy of letter ❑ Change order ❑ COPIES DATE NO. DESCRIPTION THESE ARE TRANSMITTED as checked below: ❑ For approval ❑ Approved as submitted ❑ Resubmit copies for approval VFor your use ❑ Approved as noted ❑ Submit copies for distribution ❑ As requested ❑ Returned for corrections ❑ Return corrected prints ❑ For review and comment ❑ ❑ FORBIDS DUE 19 ❑ PRINTS RETURNED AFTER LOAN TO US REMARKS COPY TO SIGNED: If enclosures are not as noted,kindly notify us at once. /� 4 ALLEN & MAJOR ASSOCIATES, INC. 100 Commerce Way PO Box 2118 W MA 01888 0118 Repoft. . 6� Tell:: (78(781)935 6889 Pax:(781)935 2896 Client: BLFR Date: February 22, 2006 Project: Lakeside Center_ i A&M Project#: 1203-09 Location: Hyannis, MA Contractor: Callahan/Hoffman Weather: Clear Temperature: 35 Time: From 10:00 am To 12:00 pm j Present at Site: Pat Gallant(Callahan/Hoffman) Brian Walsh (A&M) Reported by: Brian Walsh The following items from previous reports are outstanding or resolved as indicated: 4.1.8 All drag trusses and!joists aligned over steel beams(marked DT-1 and DT- 5 on the plan) require attachment to the top plate along their length in accordance with detail 3/S-12. 1-joists shall be nailed directly to top plates at 16"o_c. along these lines instead of using the A34 dips shown on the detail. [02-03-06]:A34 clips at drag trusses(marked DT-1 and DT-5 on the plan) were not installed at the time of observation. This item is still outstanding. [02-22-06]: The above item is observed to be corrected in all locations. P. Gallant corrected the drag truss DT-5 on grid line while l was on site. 4.1.9 The truss ends along grid line 6.2 between grids C and D require blocking between ends similar to detail 9IS-13 except that this should be installed in every framing bay above the steel brace frame. See A&M's comments dated November 8, 2005 on the reviewed manufacturer drawing. [02-03-06]:No access was provided to the roof during the time of observation. This item is still outstanding. [02-22-06]: The above item is observed to be corrected. 4.1.11 Shear wall blocking in accordance with the schedule on the design drawing and detail 2/S-12 is not installed Since the sheathing is installed horizontally and additional line of blocking is required at the horizontal seam in the sheathing. [02-03-06]:No access was provided to the roof during the time of observation. This item is still outstanding. [02-22-06]: The above item is observed to be corrected. civil engineers structural engineers land surveyors • environmental consultants www.allenmajor.com a 'd 968z-s66 ( 18L) 1 `sagetoossd jorew 1 uaiid dag :60 90 62 qa_ r - 4.1.13 The gable end bracing shall be installed in accordance with the truss manufacturer's standard gable end reinforcement detail provided for the gable end at grid D.9. [02-03-06].No access was provided to the roof during the time of observation. This item is still outstanding. [02-22-06]. The above item is observed to be corrected. P. Gallant installed the gable brace in accordance with the approved shop drawing detail while/was on site. The following was noted: 6.1 No new items required review. All primary structural components are complete. The above items were reviewed with the project superintendent prior to my departure from the site. _l N Brian A Walsh, P.E., Project Manager Email: BWalsh(5-)allenmaior.com • Page 2 E 'd 9682-SE6 ( 18L) T `seJezoossd Jorew I ueiid das :co 90 62 qa: ',,-,Feb 06 06 03: 34p Allen & Major Associates (781 ) 935-2896 p. 2 A4k ALLEN & MAJOR ASSOCIATES, INC. 100 Commerce"lay PO Box 2118 Wobum,MA 0 1888-0118 Tel: (781)9356889 Fax:(781)935 2896 Client: BLFR Date: February 3,2006 Project: Lakeside Center i ABM Project 1203-09 I Location: Hyannis, MA Contractor. Callahan/Hoffman I Weather*:_ Raining Temperature: 141* Time: From 10:00 am To 3:00 pm Present at Site: Pat Gallant(Callahan/Hoffman) Aida Baez(AW) Reported by: Aida Baez The following items from previous reports are outstanding or resolved as indicated: 4.1.6 Girder truss holdowns for trusses numbered 901 and 903 on the truss manufacturer drawings are not installed as of the time of this observation. All holdowns must be installed in accordance with the truss manufacturer drawings. [02-03-06]. Girder truss holdowns near grids I and 2 were observed to be in accordance to the manufacturer's drawings. The girder truss holdowns near grids 9 and 10 were covered with sheetrock panels and were not observed during the time of observation. 4.1.7 Joist hangers for infill trusses framing into the sides of truss girders are not complete as of this observation. All joist hangers must be installed in accordance with the truss manufacturer drawings. [02-03-06].-In random locations, were accessible from the underside, joist hangers seemed to be installed in accordance with the manufacturer drawings during the observation. Sheetrock panels, insulation and vapor barriers limited the access for observation. 4.1.8 All drag trusses and 1-joists aligned over steel beams(marked DT-1 and DT- 5 on the plan) require attachment to the top plate along their length in accordance with detail 3IS-12. 1-joists shall be nailed directly to top plates at 16"o.c. along these lines instead of using the A34 clips shown on the detail. f02-03-06]:A34 clips at drag trusses(marked DT-1 and DT-5 on the plan) were not installed at the time of observation. This item is still outstanding. civil engineers + structural engineers land surveyors • environmental consultants www.allenmajor.com Feb 06 06 03: 34p Allen & Major Associates (781 ) 935-2896 p. 3 4.1.9 The truss ends along grid line 6.2 between grids C and D require blocking between ends similar to detail 9IS-13 except that this should be installed in eve fr aming ramin bay above the steel brace frame.9 Y See A&M s comments dated November 8, 2005 on the reviewed manufacturer drawing. [02-03-06]:No access was provided to the roof during the time of observation. This item is still outstanding. 4.1.11 Shear wall blocking in accordance with the schedule on the design drawing and detail 2IS-12 is not installed. Since the sheathing is installed horizontally and additional line of blocking is required at the horizontal seam in the sheathing. [02-03-06].No access was provided to the roof during the time of observation. This item is still outstanding. 4.1.12 Perimeter shear blocks are required.at 8'-0"o.c. in accordance with-detail 7/S 12. [02-03-06].Perimeter shear blocks were spot checked in several areas and seemed to be in accordance with detail 7IS-12. The perimeter along grids A, 9 and 10 were covered with sheetrock panels and blocking was not accessible for observation during the visit. 4.1.13 The gable end bracing shall be installed in accordance with the truss manufacturer's standard gable end reinforcement detail provided for the gable end at grid D.1. [02-03-061.No access was provided to the roof during the time of observation. This item is still outstanding. 4.1.14 2x6 BCX's at dormers in accordance with detail 8IS-12 need to be headed off at interior ends where trusses do not align with the BCX. [02-03-06]: 2x6 BCX's at dormers were observed to be in accordance with detail 8IS-12 and were headed off at interior ends where trusses do not align with the BCX with exception of dormers along grid A between grids 7 and 8 which were covered with sheetrock panels during inspection. The following was noted: 5.1 Reviewed roof underside diaphragm(Note S7-7 on Dwg. S-7): 5.1.1 Underside diaphragm sheathing was observed to be in compliance with the notes and drawing between grids B and D. The above items were reviewed with the proje t superinte dent prior to my departure from the site. � E AIdwL.1ueZ-,P-roWct n meer Email: abaez@allenmajor.com 9 Page 2 �1 COVER SHEET X 'aa ' a a PROJECT: Bribbs Enabineerinb & Testinb Lake Side Center 8,RIGGS A Division of PK Associates, Inc. PROJECT#: 22933 [INSPECTOR: Mike Welch EMP.#: 350 REPORT#: DATE: 11/07/05 CODE: ARR. TIME: 7:00 JOB HRS.: 4 T.T.: MILEAGE: TEMP.: H L L 50's WIND: H L X HUMID.: H L X SUNNY No. of Pages to this Report: No. of Back-up Pages to this Report: As requested, I reported to the above mentioned project to conduct the scheduled inspection of Structural Steel framing on this building. After meeting with the project foreman and reviewing the related Structural Drawings and Details, the following test and inspections were performed. TYPE OF INSPECTION: FRAME LEVEL: COMMENTS: MISCELLANEOUS L2 frame 1-10/A-D Moment connections A/9, B/9, C/9, 2/13, 2/C, 2/1). BOLTED CONN X Ultra sonic scan of full penetration welds indicated no defects. WELDED CONN. . . All acceptable unless otherwise noted. STEEL JOIST METAL DECK SHEAR STUD FIREPROOFING NDE TESTING X Please refer to the attached back-up sheets for detailed locations and results of inspections performed on this date. In addition to the project specifications, testing and inspections of Structural Steel-were conducted in accordance with the following codes: CMR 780, 6th Edition, A.I.S.C. AWS.D1.1.-98.and Steel Joist - Institute requirements.and.criteria. Inspection of Sprayed-on.Fireproofing_.was_performed in accordance wth•project specifications and A.S.T.M. E-605 & E-736 requirements and criteria. Technician Mike Welch Approved :. HS w^ !l ULTRASONIC REPORT BRIGGS Briggs Engineering &Testing PROJECT: Lake Side Center CLIENT: �^ A Division of PK Associates,Inc. 22933 ULTRASONIC DATA JOB LOCATION: Barnstable PLANT: FIELD: DATE: 1 1/7/05 SPECIFICATION: AWS D1.1-98 PROCEDURE: sec 6 ACCEPTANCE CRITERIA: table 6.25 CALIBRATION DATE: SCANNING EQUIPMENT: Manual TRANSDUCER ANGLE: 0°70` CALIBRATION BLOCK: DSC TRANSDUCER SIZE: 5/8 X 5/8 SIGNAL HEIGHT OF 50% of screen TRANSDUCER SHAPE: square CALIBRATION BLOCK: height FREQUENCY: 2.25 MHZ BLOCK FINISH: machanical MFG. IDENT.: sonatest MAKE & MODEL OF COUPLANT: Echogel ULTRASONIC EQUIPMENT:: Panameter Epoch III B PART NAME #1: PART NAME #2: MATERIAL: A572 WELD TYPE: WELD SURFACE: as welded JOINT DESIGN: single bevel PLATE THICKNESS: 0.5 IWELD LENGTH TESTED: 100% DECIBELS DISCONTINUITY z cD w w 0 Z Q Q Z z wz z U w w V (D z M N N N w U z U 0 LL z Q U J J Z Q z LIJ 0 Lu _1 � X } U Q owC 54 X REMARKS: TECHNICIAN: Mike Welch DATE: 1 1/7/05 APPROVED: HS BOLTING INSPECTION REPORT Briggs Engineering & Testing PROJECT: Lake Side Center 1 3RIGGS —� A Division of PK Associates, Inc. PROJECT #: 22933 INSPECTOR: Mike Welch JOB LOCATION: Barnstable PLANT: FIELD: X I DATE: 11/7/05 EMP.#: 350 tAS,TM#(S): PORT #: ACCEPTANCE CRITERIA: RISC BOLT SIZE(S): WASHERS USED: ARE ALL NUTS AND BOLTS PROPERLY 3/4" 25TC YES_ /, NO___ MARKED? YES_ /__, NO____ METHOD OF CALIBRATION: BOLT STORAGE BOLT TENSIONING METHOD: CALIB. EQUIP. SUPPLIED BY: ACCEPTABLE X CALIBRATED WRENCH TYPE OF INSPECTION: VISUAL: ______ YES:_____ _ TURN-OF-NUT WRENCH: 100%_V NO:_____ DIRECT TENSION CONTROLLED MINIMUM BOLT TENSION REQ'D: YES_____, NO______ TORQUE VALUE REQ'D @(MBT):--------FtLbs SNUG TIGHT ONLY REQ'D: YES______, NO______ CORRECT BOLT SIZE USED: YES____, NO____ LOCATION-OF BOLTED TIGHT BOLT LOCATION OF BOLTE TIGHT BOLT CONNECTION(S) STEEL TENSION CONNECTION(S) STEEL TENSION 1-2, A-B ok ok 8-9, A-B ok ok 1-2, B-C ok ok 8-9, B-C ok ok 1-2, C-D ok ok 8-9 C-D ok ok 2-3 A-B ok ok 9-10, A-B ok ok 2-3 B-C ok ok 9-10 B-C ok ok 2-3, C-D ok ok 9-10, C-D ok ok 3-4, A-B ok ok 34, B-C ok ok 3-4, C-D ok ok 4-5 A-B ok ok 4-5 B-C ok ok 4-5, C-D ok ok 5-6 A-B ok ok 56, BC- - ok ok 5-6, C-D ok ok 6-7, A-B ok ok 6-7, B-C ok ok 6-7, C-D ok ok 7-8 A-B ok ok 7-8 B-C ok ok 7-8, C-D ok ok TECHNICIAN: Mike Welch DATE: 1 1/7/05 APPROVED: HS W e Concrete Cylinder Test Result CF-1 1 ®� ®6 Briggs Engineering �� estin T g Project: G � 1E3 R.iG Q e� A Division of PK Associates, Inc. Project#: �C}�3 Date; /0 C� J, Z2 Client: Cement Brand or Class: Approved Mix Design Placement Location: Type I, Type II, Type III Mix proportions (circle one) Other: (by Wgt.) 1 cubic yard Sample Location: Mix I.D. Amount Cement lbs. Ticket No.: Batch Time: Fine Aggregate lbs. Stren th Delivered: ow Coarse Aggregate lbs. Stren th Required: `{6 G4 Water Gals. Set No.: Time of Test: Water Reducing oz. Truck No.: IV Load #.: j Air Entraining oz. Number of C l.: Coarse Aqq. Size: 31Ll Other Slump Air Content: % Other ASTM C-143 ASTM C231 ❑ C173 ❑ Field Unit Weight Concrete Temp.: Ambient ASTM C-138 pcf Target: ASTM C-1064 7 Uf Air Temp.: 7 of Remarks: Contractor and Added By whom prepared: �AJ -SY ci 2 L� producer are both responsible Site Water Concrete Source: j for added water as per ASTM gals. General Contractor: C-94. Discharge time limit Was hi/lo Therm. provided? min. max. 90 min. or 300 revolutions. Curing Temp. F° Cyl. Storage: Was Storage environment provided in accordance with ASTM C 31? Yes: No: CONCRETE SAMPLES FABRICATED AND TESTED PER ASTM C-31 and C-39 Moisture Loss Prevention: Cylinder.Caps Field Curinq Time: hrs. lCyl. End Preparation: ASTM C1231 Specimen Date Age Dia. Height Area Density Max. Load Compressive Type/Fracture Number Tested at test (in.' (in.) (sq. in.) (Ibs./ft3) (lbs.) ' Strength (psi) ASTM C39 e .0 1qV- a A 0 93 a �� . ya /qy. y . S ALL TEST COMPLETED ® 100 Weymouth St.,Unit B-1,Rockland,Ma 02370 Tested By: Gre r cKay cert# 0 _ ❑ I00 Pound Rd.,Cumberland.R1 02864 Approved: cf-1 1,rev4,04 Laboratory Director: Mark Liebert Appendix 2, QC-CTP-1 Concrete Cylinder Test Result CF-1 1 �'�0i OZ�� Briggs Engineering & Ting Project: BRIGCS Testing 4�-(-zAanlus A Division of PK Associates, Inc. Project#: J 3 Date: og- Client: Cement Brand or Class: :. Approved Mix Design Placement Location: '�- ►;w y S- _4,S— I Type I, Type II, Type III Mix proportions (circle one) Other: (by Wgt.) 1 cubic yard Sample Location: s— Mix I.D. Amount Cement lbs. , Ticket No.: 35-•ts-S•- Batch Time: "2', � I Fine Aggregate lbs. Stren th Delivered: 4 Y_ Coarse Aggregate lbs. Strength Required: ct Water Gals. Set No.: I Time of Test: t 3 Water Reducing oz. Truck No.: -7 o #Air #.: Air Entrainingoz. Number of C I.: c.te A Size: 3�y Other Slump ntent: mot•3 Other ASTM C-143 Lt L ASTM C231 C173 ❑ Field Unit Weight Concrete Temp.: AmbientASTM C.-:138 pcf Target: ASTM C-1064 °f � Air:Te mp 6S" °f Remarks: -Contractor and `"` Added o By whom repared: ,. -.. producer are both responsible Site Water Concrete Source for added water as per ASTM _.. �❑., gals. . General Contractor: C-94. Discharge time limit d - Was hi/Io Therm: rov.ide p min. max... 90 min. or 300 revolutions. Curing Temp. F° CyI. Storage: Was Storage environment-.provided in accordance with ASTM C 31? Yes: No: CONCRETE SAMPLES FABRICATED AND TESTED PER ASTM C-31 and C-39 Moisture Loss Prevention: Cylinder Caps Field Curinq Time: hrs. JCyl. End Preparation: ASTM C1231 Specimen Date Age Dia. Height Area Density Max. Load Compressive Type/Fracture Number Tested attest in. in. (s in. (Ibs./ft' gA �._ ) (lbs.) Strength-(psi) (ASTM C39 �I0 ,0 aS� / 0,10 a8 -&a wo qgoo S too a,o i ALL 17, too Weymouth St. Unit 13-1,Rockland Ma 02370 Tested By Gre a / ert#0 6 0 " 1 ❑ 100 Pound Rd Cumberland,RI 02864 Approved. cf 1 l,rev4,0.4 Laboratory Director: Mark Liebert Appendix 2, QC-CTP-1 / Concrete Cylinder Test Result CF-11 ���� Briggs Engineering & Testing Project: , 1')t�F� L ke__ s� A Division of PK Associates, Inc. Project#: 07� Date: 10 j 4 Client: Cement Brand or Class: Approved Mix Design Placement Location: n L� Type I, Type II, Type III Mix proportions (circle one) Other: (by Wgt.) 1 cubic yard Sample Location: Mix I.D. Amount Cement lbs. Ticket No.: o(p Batch Time: Fine Aggregate lbs. Strength Delivered: Q®� Coarse Aggregate lbs. Stren th..Re uired: Water Gals. Set No.: Time of Test: Water Reducing oz. Truck No.: S7 Load #.: Air Entraining oz. Number of C I:: Coarse Aqq. Size: 3` Other Slump Air Content: 5'— % Other ASTM C-143 ASTM C23.1. C1.73 .0 Field Uilit-Weight. "Concrete Temp.: Ambient g, ASTM C-138 pcf Target ASTM C�1064 -�f Air Temp.: �v of Remarks: Contractor and Added By whom prepared: 0 --- - :J: producer are:both responsible Site'Water Concrete Source: rx .for added water. as'per ASTM S gals. General Contractor: ;a/I C-94.. Discharge time limit Was hi/lo Therm. provided? �� min. max. 90 min. or 300 revolutions. Curing Temp. F° Cyl. Storage: Was Storage environment provided in accordance with ASTM C 31? Yes: o: CONCRETE SAMPLES FABRICATED AND TESTED PER ASTM C-31 and C- Moisture Loss Prevention: Cylinder Caps Field Curinq Time: hrs. Cyl. End Preparation:ASTM C1231 Specimen Date Age Dia. Height Area Density Max. Load Compressive Type/Fracture .Number Tested attest in. in. s . in. (Ibs./ft3) lbs. Strength (psi) ASTM C39 .s ALL TEST COM LET 100 Weymouth St.,Unit B-1,Rockland,Ma 02370 Tested By: Greg y ay/ ert#0 66 ❑ 100 Pound Rd.,Cumberland,RI 02864 Approved: cf-11,rev4,04 Laboratory Director: Mark Liebert Appendix 2, QC-CTP-1 omlo Concrete Cylinder Test Result C17-1 1 ®� ®`aL Briggs Engineering g Project: �g 8 o c� T estin� �� s �r r A Division of PK Associates, Inc. Project#: �/, �� Date; v ,16 Client: Cement Brand or Class: Approved Mix Design Placement Location: (f 1,0 UA4 ol Type I, Type II, Type III Mix proportions (circle one) Other: (by Wgt.) 1 cubic yard Sample Location: Mix I.D. Amount Cement lbs. Ticket No.: Batch Time: Fine Aggregate lbs. Strength Delivered: Coarse Aggregate lbs. Stren th Re uired: Water Gals. Set No.: Time of Test: Water Reducing oz. Truck No.: I/ (( '' Load Air Entraining oz. Number of C I.: Coarse A . Size: Other. Slumpc4,S Air Content: Other.. ASTM C-1.43 ASTM C231 C173 Meld Unit Weight Concrete Temp ..____ . Ambient - , -ASTM-C-138 pcf- Target. ASTM C=1064 Air Temp.': / f 6 r `Remafts` Contmctor and Added By whom, re ared producer are both responsible Site Water Concrete Source: for added water as.per ASTM gals; General Contractor: IC-94. Discharge time limit Was hi/lo Therm. provided? min. max. 90 min. or 300 revolutions. Curing Temp. F° Cyl. Storage: Was Storage environment provided in accordance with ASTM C 31? Yes:. No: CONCRETE SAMPLES FABRICATED AND TESTED PER ASTM C-31 and C-39 Moisture Loss Prevention: Cylinder.Caps. Field Curinq Time: hrs. ICYI. End Preparation: ASTM C1231 Specimen Date Age IDia. Height Area - Density Max. Load Compressive Type/Fracture I Number Tested at test (in.) (in.) (sq. in.) (lbs./ft') (Ibs.) Strength (psi) ASTM C39 3 0 S AL TESTS C MP E 100 Weymouth St.,Unit B-1, Rockland,Iola 02370 Tested By Greg ay / rt#0 66 ❑ 100 Pound Rd.,Cumberland.RI 02864 Approved: cf-1 I rev4,04 Laboratory Director: Mark Liebert Appendix 2, QC-CTP-1 t# Ov 09 05 03: 20p Allen & Major Associates (781 ) 935-2896 p. 2 tk p �C/ AUEN & MAJOR ASSOCIATES, INC. 100 Commcrrx Way- PO Box 2118 Oe � Woburn.N1A O1888-0118 _ Tel: (781)93 5 6889 Fax:(781)935 2896 mp Client: BLFR Date: November 7, 2005 Project: Lakeside Center A&M Project#: 1203-09 -------------_._------------;.._.__._._..____.__.___.._...___._-----.--------.._-----___.__._....-._._..._.___..._..._.._._ Location: Hyannis, MA ' Contractor: Callahan/Hoffman Weather: Clear Temperature: 60' Time: From 9:30 am To 11:30 am Present at Site: Pat Gallant(Callahan/Hoffman) Brian Walsh (A&M) Reported by: Brian Walsh The following items from previous reports are outstanding or resolved as indicated: None. The following was noted: 3.1 Reviewed structural steel framing at the roof level (Dwg. S-6): 3.1.1 Steel framing sizes and configuration are consistent with the referenced design drawing. 3.1.2 The brace connections at the roof were in the process of being welded during this observation. 3.1.3 Field moment connections were observed to be welded. 3.1.4 Weld testing of the roof framing is scheduled to be completed in the coming days. 3.1.5 Bolted connections were observed with severed splines indicating the appropriate torque has been applied to bolts. 3.2 Reviewed structural steel framing at level 2 (Dwg. S-5): 3.2.1 The steel form decking was in the process of being attached to the structural steel supports. Deck is 9/16"form deck, galvanized. Deck welds were observed in attachment configurations consistent with the drawings. Welding washers were used. B. Walsh requested that the testing agency review the final deck attachment configuration when complete- 3.2.2 Location of deck openings is observed to be consistent with the drawings. B. Walsh noted that sketches were provided to Callahan/Hoffman for the infill of stair opening on November 4. civil engineers • structural engineers • land surveyors • environmental consultants www.allenmajor.com r , Nov 09 05 03: 20p Allen & Major Associates (781 ) 935-2896 p. 3 3.2.3 Steel framing sizes and configuration are consistent with the referenced design drawing. 3.2.4 Steel joist seats were observed to be welded to the steel supports in representative locations. 3.2.5 Brace connections were observed to be welded. 3.2.6 Field moment connections were observed to be welded. 3.2.7 Bolted connections were observed with severed splines indicating the appropriate torque has been applied to bolts. 3.2.8 Joist bridging was observed in place consistent with the requirements of the drawings. 3.3 Reviewed slab-on-grade reinforcement(Dwg. S-4): 3.3.1 #4 perimeter reinforcement was observed in place as per the plan. 3.3.2 WWF 6X6-W2.9XW2.9 was in the process of being placed on top of 6 mil poly vapor barrier during this observation. 3.3.3._......oW d-i 3.3.4 Many column anchor bolts require fightening, P. Gallant was advised of the ue. 3.4 The change to the elevator shaft was iscusse briefly. P. Gallant noted that sl<eteheswere-shlLiu_the W .5 The truss bearing condition at the roof along grid lines B and C was discus:detail B. �•o� Walsh stated that design plans show gable roof trusses bearing directly onx , tG, � nailer plates adjacent to (joist framing members of the flat roof. If gable tru are �" to bear directly on top of I-joists,then a squash block or web reinforcement must be provided for review and approval. 3.6 a sc a uled upon completion of the wood roof framing and prior to installation of any roofing material. The above items were reviewed with the project superintendent prior to my departure from the site. Brian A. alsh,I.E., Project Manager Email: bwalsh@allenmajor.com 0 Page 2 Concrete Cylinder Test Result CF-11 Pa.x . .!& Br;?�s Engineering u Testing Project: C�1_1 i Q/1t 3RK3 t-ISIS A Division, or rK Associates, Inc. Project#: Date: 17 -S� Lijierlt: Cement Brand or Class: Approved Mix Design Placement Location: ' 'e L Type I, Type II, Type III Mix proportions Z A _P / /- i0 _ ircie one; Other: ;by 'Ngt.) 1 cubic yard Sample Location: .ix I.D. Amount ement lbs. ITicket No.: 3 Batch Time: 7. Le? ine Aggregate lbs. Strenclth Delivered: C' 0 oarse Aggregate lbs. Stre;► th Required: later Gals. Set No.. �. Time, of Test: later Reducingoz. Truck No.: Ste_ Load Jr Entraining oz. Number of CVI.: Coarse P._ Size: 3 Aher Slump 7 �Z M Air Content: )ther ASTM C-143 ASTM C231 ❑ C173 Ambient :ield Unit Weight Concrete Temp.: ,f at ASTM C-138 pcf Target: ASTM C-1064 v Air Temp.: lemarks: Contractor and Added Bv whom prepared: )ro.ducer are both respon*ibie Site Water Concrete Source: -pe Z /� ._dded water as..per ASTM General Contractor: CA, ze'A 16i11 iImax. -94. Discharge time limit als. . Was hi/lo Therm. prbvided'? /mod min. i 30 min, or 300 revolutions. Curing Temp. F° �yl. Storage: Was Storage environment provided in accordance with ASTM C 31? Yes: No:�� CCNCRETE SAMPLES FABRICATED AND TESTED PER ASTM C-31 and C-39 Moisture Loss Prevention: Cylinder Caps Field Curinq Time: hrs. icy[. End Preparation: ASTM C1231 Specimen Date Age Dia. Height Area Density Max. Load Compressive Type/Fracture Number ' Tested . at test in. in. .•s . in. 0 ITS./f0) Ibs.) -Stren th si) �oTtvl C39 13A 11111tio .01 __,&�in_ _ I 1,1q. q Y l 0. L 1100'Weymcwth St.,Unit B-1,Rockland, N1a02310 Tested By: Grego ay a i#01a66 [� 10G Pound Rd.,Crmterland,2 02864 Approved: % ` •- c*-,.i.rev4,o4 a retort Director: Mark Liebert Appendix 2, ;i' >' r _ ------- Concrete Cylinder Tact Result CF-11 is� D Briggs Engineering & Testing Project: ���Le S iD ` A Divisior, or FK Associates, Inc. Project#: a Date: /Z. - •-0 3_— Cement Brand or Class: Approved Mix Design Placement Location: /c - GD Type 1, Type 11, Type Ili Mix proportions :ircle one) Other: Eby Wgt.) 1 cubic yard Sam le Location: 23 7 ix I.D. Amount ement lbs. Ticket No.: 3 / Batch Time: i n e A3gre�te lbs. I Stren th Delivered: O 4-'o :oarse A . re ate lbs. Strength Required: later Gals. Set No.: tLoad Test: '7 Dater Reducing oz. Truck No.: - 96 ,ir Entrainingoz. Number of Cvl-: . . Size: )they Slump "�� U „ Air Content: 11-5' % ether ASTM C-143 ASTM C231 C173 =field Unit Weight Concrete Temp.: of Ambient / 6 of ASTM C-138 pcf Target: ASTM C-1064 Air Temp.: 7 iemarks: Contractor and- Added 18v whom prepared: 1-0 /9G��i,w )ro.ducer are both respon§ibie Site Water Concrete Source: ?'e dried vuater as per ASTM General Contractor: �G . .✓ / - L -9 Discharge time limn als. Was hiilo Therm. provided? iyb min. max. 30 min. or 300 revolutions. Curing Temp. F° �yl.*Storage: \Alas Storage environment provided in accordance with ASTM C 31? Yes: No:_Az:!:�- CONCRETE SAMPLES FABRICATED AND TESTED PER ASTM C-31 and C-39 Moisture Loss Prevention: Cylinder Caps IField Curing Time: hrs. JCyl. End Preparation_ ASTM C1231 Specimen Date Age Dia. Height Area Density Max. Load Compressive Type/Fracture Number Tested at test in. in. s ..in. (lbs.) Strength ASTM .C39 s a.a s _ /y/. � a AL TESTS LAWL f l z looweymcuth St.,Unit B-1,Rockland,Ma. 02370 Tested By: Gregor• Ka e,�00 t] 100 PoLnd Rd.,Cimberiand,R` 02864 Approved: - �.-,., ,re%i4,o4 ah�raPq Director: Mark Liebert -Appendix 2 U� i COVER SHEET Briggs Engineering & Testing PROJECT: Lakeside Center/Hyannis BRIGGS A Division of PK Associates, Inc. PROJECT#: 22933 INSPECTOR: Kevin Curran EMP.#: REPORT#: DATE: ` 11/23/05 CODE: ARR.TIME: JOB HRS.: 4 T.T.: MILEAGE: TEMP.: H L L WIND: H L HUMID.: H L No. of Pages to this Report: No. of Back-up Pages to this Report: As requested,I reported to the above mentioned project to conduct the scheduled inspection of Structural Steel framing on thisbuilding. After meeting with the project foreman and reviewing the related Structural Drawings and Details, the following test and inspections were performed. TYPE OF INSPECTION: FRAME LEVEL: COMMENTS: MISCELLANEOUS Performed a final inspection,of.the steel frame. .... All anchor bolts.at.columns:are-completed: BOLTED CONN X All bolted connections are completed and acceptable. All diagonal bracing welded and completed. WELDED CONN X Steel joist_installation completed and acceptable. -All metal decking is.completed.and.acceptable :::,.._ STEEL JQIST ... X T - his completes.all,inspections_ofstructural steel. .. METAL DECK X SHEAR STUD FIREPROOFING NDE TEssTJNG- X. Roof:level moments at 9/A, B, C and 2/13, C; D. All welds are acceptable. Please refer to the attached back-up sheets for detailed locations and results of inspections performed on this date. In addition to the project specifications, testing and inspections.of,Structural.Steel;were conducted in r accordance with the following codes: CMR 780, 6th-Edition, A.I.S.C."AWS D 1.1=98 and Steel--Joist- Institute requirements and criteria. Inspection of Sprayed on Fireproofing was performed m accordance-- with project specifications-and A.S.T.M. E-605 & E-736 requirements and cntena --. . Technician. Kevin Curran ;Approved .. , HS Daily Report eb��e G R I G G S Briggs Engineering&Testing PROJECT: LAKE SIDE CENTER A Division of PK Associates, Inc. PROJECT#: 22933 INSPECTOR: James Owens EMP.#: REPORT#: DATE: 11/21/05 CODE: ARR.TIME: JOB HRS.: T.T.: MILEAGE: TEMP.: H 50F L WIND: H X L HUMID: H L X CLOUDY NO. OF PAGES TO THIS REPORT: 1 NO. OF BACKUP PAGES TO THIS REPORT: 0 I reported to the above mentioned project site to perform the scheduled inspection(s). VISUAL SOILS,MASONRY,BITUMINOUS,REINFORCING STEEL,OR OTHER INSPECTIONS/OBSERVATIONS-. -- 1 . Upon my arrival,job was cancelled. *Please see the attached report(s) for further details. ® 100 Weymouth St.,Unit B-1, Rockland,MA 02370 ❑ 100 Pound Rd., Cumberland,RI 02864 Approved. c.s.rev 2, 02 Director of Field Operations: Sean Skorohod JS f CONCRETE PLACEMENT INSPECTION BRIGGS Briggs Engineering&Testing PROJECT: LAKESIDE CENTER/HYANNIS �y A Division of PK Associates, Inc. PROJECT#: 22933 INSPECTOR: Mark Galiano PAGE 1 OF 1 DATE:. 1 2/01 /0 5 CODE: C-26 TEMP: H 46F L 40F WIND: H L X HUMID: H L X I SUNNY Concrete Source: Cape Cod Ready Mix General Contractor: Callahan/Hoffrnan Storage Location: Curing Box: Other: on-site 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. Time Limits X 1-1/2 hrs.max. Temperature X 50-90F Slump X 4.5"max Mixing N/A 70-300 Rev. Air content X 0 - 2% Density N/A +/-3 pcf Location: Office building level 2 slab on deck A-D/1-10 l Remarks: Note: All test results and findings contained within this report are limited to the areas,items or materials indicated. 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 99 Load Arr. Truck No. o Mix Conc. Slump Air Air Conc. Conc. CA Cyl. Set Gals. Unit No. Time No. Yds. Duration Temp. (in.) (%) Temp. Strength Strength Size Fabr. # added Weight ° f ° f Deliv. Re uired water cf) 3 8:10 53 11 60 80 4.5 2.0 43 4000 4000 3/8 4 1 0 7 9:20 58 11 83 78 4 1.5 46 4000 4000 3/8 4 2 0 N 100 Weymouth St.,Unit B-1, Rockland,Ma 02370 ❑100 Pound Rd., Cumberland,RI 02864 Approve . Director of Field Operations: Sean Sko hod 7S r Concrete Cylinder Test Result CF-11 Briggs Engineering & Testing Project: C ,, A Division of PK Associates, Inc. Project#: / Date: ' Client: Cement Brand or Class: Approved Mix Design Placement Location: Type I, Type II, Type III Mix proportions (circle one) Other: (by Wgt.) 1 cubic yard Sample Location: Mix I.D. Amount Cement lbs. Ticket Nol? Batch Time: Fine Aggregate lbs. Streit th Delivered: M Coarsel Aggregate lbs. Streit th'Re aired: P ' V1later Gals. Set No.: Time of Test: :'_ Water Reducing oz. Truck No.: Load#.: f :Air Entraining oz. Number of C I � Coarse A ..._"Size: Other Slump Air Co.ntent: . ; s Other ASTM C-143 ASTKC231`E C173 0. Field Unit`Weight Concrete Temp °f Ambient �- of A5TM.C-13.8. ... pcf_ Target ASTM_C-1.06.4- . Air. Temp::- 5 Remarks:-Contractor and - Added BY who prepared: - • r v_ producer-are both responsible Site Water Concrete Source: - - for added water as per ASTM gals General Contractor: C-94. Discharge time limit Was hi/lo Therm. provided? min. . max. '9.0 min. or 300 revolutions.' Curing Temp. F° Cyl. Storage: Was Storage environment provided in accordance with ASTM C 31? Yes: No: CONCRETE SAMPLES FABRICATED AND TESTED PER ASTM C-31 and C-39 Moisture Loss Prevention: Cylinder Caps Field Curinq Time: hrs. ICYI. End Preparation: ASTM C1231 [Number cimen Date Age Dia. Height Area Density Max. Load Compressive Type/Fracture Tested at test in. in. (sq. in. (Ibs./ft3) lbs. Strength (psi) ASTM C39 a y y �a lql, O E'TS OI PLETED 100 Weymouth St.,Unit B-1,Rockland,Ma 0237o Tested By. Greg21x4ay/0rt#01UQ0G. ❑ 100 Pound Rd.,Cumberland,RI 02864 Approved: a cf-1 1,rev4,04 Laboratory Director: Mark Liebert f AnDendix 2. OC-CTP-1 i'