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. • • tl v •t TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map 24 Parcel O1C BUDDING DEP7 Application # .I ��I� Health Division FEB 2 6 2016 Date Issued 31'® 16 i2K Conservation Division TOWN Application Fee Planning Dept. of �gRNSTgg�E Permtit Fee Date Definitive Plan A Pp Y 9 roved b Plannin Board 13�1�as?a3 nvz- Historic - OKH _ Preservation/ Hyannis Project Street Address 1 1 1 4- h CT-. Village l�et, -n (Q— Owner to-v^vt S i a-Ate- (rw't9 / 1 b Address 3 t `7 ! Ma- S1 r. JZt oa GI 0 Telephone (4.Z_ b'3 3 3 /1� "� Permit Request Q 9-- 1 �- 4 S'T'1 v1) rR i' a'l k ,r w t� t` I�<.Qcxuz.),.a4•.2 F 2 ✓2 TJ r V S2-04 vft L--/ 1 'Q 1..3 Ak,t-52-- 3-d.t.6 S1-Q^,.44,.(X e/X i i S. Square feet: 1st floor: existing 5`'6p �vroposed 2nd floor: existing proposed Total new /"J pv� Zoning District Flood Plain Groundwater Overlay Project Valuation "% Construction Type Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family (# units) Age of Existing Structure Historic House: ❑Yes 0 No On Old King's Highway: ❑Yes ❑ No Basement Type: ❑ Full ❑ Crawl ❑ Walkout ❑ Other Basement Finished Area(sq.ft.) Basement Unfinished Area (sq.ft) Number of Baths: Full: existing new Half: existing new Number of Bedrooms: existing _new Total Room Count (not including baths): existing new First Floor Room Count Heat Type and Fuel: ❑ Gas ❑ Oil ❑ Electric ❑ Other Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑ No Detached garage: ❑ existing ❑ new size_Pool: ❑ existing ❑ new size _ Barn: ❑ existing ❑ new size_ Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes ❑ No If yes, site plan review# Current Use Proposed Use ��( sci APPLICANT INFORMATION L S 7 (BUILDER OR HOMEOWNER) 7 7 2 D Name ��v� dVk oo c( . Telephone Number 40'?) - 31-Z S o ) Address 8 1 Ca-u,.p b,z(( R vim- . u64'62'42License U 5 9 V (,e✓ vl- et• 0 o Home Improvement Contractor# Email Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE '•-P�_l�� DATE 2 ` / FOR OFFICIAL USE ONLY APPLICATION # DATE ISSUED MAP/PARCEL NO. ADDRESS VILLAGE OWNER DATE OF INSPECTION: FOUNDATION FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. fiThE Town of Barnstable Regulatory Services * BARNSTABLE, • 9 MARS. ct Richard V.Scali,Director vb. 1639. .tb p Tf Building Division Tom Perry,Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.b arnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section • If Using A Builder I, eivivis MA -¢}-n/T , as Owner of the subject property- hereby authorize eYv1 f E J L hl to act on mybeha1f, in all matters relative to work authorized bythis building permit application for. 3 1 t ` o r SST s `c ✓!� S�'�- _ OVl v z C,3 (Address of Job) **Pool fences and alarms are the responsibility of the applicant. Pools are not to be filled or utilized before fence is installed and all final inspections are performed and accepted. • G�J.,e�vun - e_ c — Signature of Owner Signature of Applicant e_aV RR/t S' d14A e4 Arr. Print Name Print Name • 2-t (2,0 (0, Da • • QFORMS:OWNERPERMISSIONPOOLS _ I ... Town of Barnstable Regulatory Services . THE rpm Richard V.ScaIi,Director ~ 104t. �� % Building Division i BARTISTABt : _ Tom Perry,Building Commissioner .s. 1fSAS,S: � ' :63q.`, .,� 200 Main Street, Hyannis,MA 02601 �`eO www t wn.barnstable.ma_us Office: 508-862\038 _ Fax: 508-790-6230 HOMEO LICENSE EXEMPTION . I . Please Print DATE: 7)2.-hC 2O(( JOB LOCATION: `31—) i MA-' 57'fc- 73 At uJ STf i . number t • village `HOMEO\ ER: ll)E j AI IS ke Hyurn CO 362,-`5./0 gio S do` -68'S= 7 ) 6 Z . name h e phone# work phone# CURRENT MAID G ADDRESS: ?D \ O)< 7 6 I 9 A ze PkiseiNt-8 t?IAA d Z6 3o --- — — — — —-- city/to state zip code The current exemption for"homeowners" as eaten.ed to include owner-occupied dwellings of six units or less and to allow • homeowners to engage an individual for hir who d.t.-s not possess a license,provided that the owner acts as supervisor. 'EFI ITION OFHOMEOWNER Person(s)who owns a parcel of land on.which e/s.e resides or intends to reside,on which there is,or is*intended to be,a one or two- family dwelling, attached or detached structures c�essory to such use and/or farm structures. A person who constructs more than one home in a two-year period shall not be considered homeowner. Such"homeowner"shall submit to the Building Official on a form acceptable to the Building Official,that he/she s..ii,be responsible for all such work performed under the building permit. (Section 109.1.1) The undersigned`.`homeowner"assumes respo' ility .^ compliance with the State Building Code and other applicable codes, bylaws,rules and regulations. . ' - - . The undersigned"homeowner"certifies that he/she understanc•the Town of Barnsfable Building Department minimum inspection procedures and requirements and that he/she -- comply with s :d procedures and requirements. ,f9 =' r a. , • Signature of Homeowner • . • Approval of Building Official •-Note: Three-family dwellings co ; ining 35,000 cubic feet or larger ' be required to comply with the State Building Code Section 127.0 Construction Control. HOMEOWNER'S EXEMPTIO The Code states that: "Any ho i,eowner performing work for which a',adding permit is required shall be exempt from the provisions of this section(Section 109.1.1-Licensing of construction Su,ervisors);provided that lithe homeowner engages a person(s)for hire to do such -ork,that such Homeowner shall act as sir•:rvisor.". Many homeowners who use th exemption are unaware that they are assum I.g the responsibilities of a supervisor (see Appendix Q,Rules&Regulations or Licensing Construction Supervisors,Section,.15) This lack of awareness often results in serious problems,particular'y when the homeowner hires unlicensed persons. this case,our Board cannot proceed against the unlicensed person as it would with a licensed Supervisor_ The homeo• ,er acting as Supervisor is ultimately responsible. ! To ensure that the homeownerkis fully aware of his/her responsibilities,many communes require,as part of the , permit application,that the homeowner-certify that he/she understands the responsibilities of a ghpervisor. On the Iast page of this issue is a form currently used by several towns. You may caret amend and adopt such a form/certification for use in your community. . Q:IWPFILES\FORMS\build ng permit forms\EXPRESS.doc Revised 061313 . ... • . ... • I . .- . . . .- . • • .. . . . . . . . ... . . ... - ! . ... .. .. ..... . . .. ., ....... .. ... . . ... . . . . . . ... . ' .. •. .. : „, . L 1 • • „. .. I .. , , , ., ..„...• . •-,4 v• ..:1 ..:'..f.,;:II-","ii:4:4!":":1;40,•„,,V•q4,p'4,•2•'"It'..4.,:•...",*:,•!..044?! ;•;.!:,t; r1i!.fr:4t.; •!.;%",";•it,;•!i;::%: ,:!:,.:•::::::.:',"..:i:,;;;;;',,.:•:::;,..:.,;;;J•a!,, ,,,,,t,‘,.,•,,,!„,..1.!,•!..F. 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DATE CAR t PFIC/1TE DOES NOT AFFIRMATIVELYC• }1 'Y (`RMA ION ONI Y AND, L'tLULII, THIS L CONFERS �• 7/2/2°15 h l5 CEF?TiFI(�.TL' OF OH NEGATIVE'.V �.Mrt.jD EXTEND UNNu RIGHTS UPON THE FO TIF!i RtLOW;CTHI II OE TI PROD-IC IkI 41RAN(;h DOES NU1 CUNT /°1 T E THE UGHE AI ) I U HO fED ER, AND TILE GCR-I IFICA I E HOLDER UTE a r nr,rT�n C.l. IICTUVi_rN THERd SillNGFINSURLE BY R S l l lr Pul)L itS dfUlF�OkI'�NT; If the holder is an � ) AUTHORIZED the ORI and conditions certificatethe p( ADDITIONAL INSURED, the olio iesJJ certificate holdere for certain policies may require an endorsement.must he endorsed. If SUBROGATION IS WAIV to ED, in lieu s of such eolicy,ce i(s). ED, s' PRODUCER statement on this certiiica%e does not confer rights)totthe. I May Bonc-e & Walsh, CONTACT Shaunna Robinson 160 G1 Inc. NAME: astonbury Boulevard PHONE EXJ). (860) 430-3700 -MAIL FAX ADDREss:srobinson@mayboneewalsh.comA/G No: (B60)430-3731 Glastonbury CT 0 6033 INSURER(S)AFFORDING COVERAGE INSURED 111/111111 il INSURER A 3'.rCh Insurance Co. alarm New England, EEC, INSURER B:Phoenix Insurance Co. MI. 1I Sonitrol Security 1 Y Systems of Hartford,, Inc. INSURERC:TraVelerS Cas & Sure 25623 65 Inwood RoadI INSURER D: 190- Rocky Hill COVERAGES CT 06067 CERTIFICATE NUMBER: INSURER F; . 'IIM THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE THISITO CERTIFY T TAIV ANYLIREQUIREMENT,FIRA CE LISTED TE CONDITION HAVE ANY CONTRACT ORH OTHER DOCUMENTMED REVISION NUMBER: FO INDICATED.CIFICATE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICYWHICH MAY BE ISSUED OR MAY PERTAIN, THE HIS EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CPERIOD INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO THE I WITHB RESPECTTTOALL TERMS, TYPE OF INSURANCE ADDL SUBR CLAIMS. ® COMMERCIAL GENERAL LIABILITY INSD vWD POLICY NUMBER POLICY EFF POLICY EXP (MM/DD/YYYY (ft1P�A/pp/Yyyy IRR CLAIMS-MADE 0 OCCUR EACH OCCURRENCE terrors rr Omissions DAMAGE TO RENTED $ 1,000,000 Er`.PKG0019002 PREMISES Ea occurrence $ 7/1/2015 7/1/2016 100,000 GEN'L AGGREGATE LIMIT APPLIES PER: $ 5,000 ®POLICY a PRO- PERSONAL&ADV INJURY JECT LOC $' 1,000,000 OTHER: IERM��Mill S 2,000,00o . AUTOMOBILE LIABILITY PRODUCTS-COMP/Op AGG Employee Benefits Liability $ 2,000,000 g ©ANY AUTO COMBINED SINGLE LIMIT 1,000,000 1111 ALL OWNED ■ SCHEDULED Ea accident 1,000,000 1111 AUTOS AUTOS BODILY INJURY(per person) $ NON-OWNED B10-7E69621B HIRED AUTOS 7/1/2015 7/1/2016 BODILY INJURY(Per acciden!) AUTOS PROPERTY DAMAGE X UMBRELLALIAg Per accident ®OCCUR A III EXCESS LIAB ■ EACH CLAIMS-MADE GGR OCCURRENCEI �DED X RETENTIONS $ 5,000,000 WORKERS COMPENSATION10,000 BP2KGOO19102 AGGREGATE 7/1/2015 $ 5,000 000 • AND EMPLOYERS'LIABILITY 7/1/2016 ANY PROPRIETOR/PARTNER/EXEC�IVE Y/N I C OFFICER/MEMBER EXCLUDED? ■OTH- (Mandafory In NH) N IA ER I • If yes,describe under' OB-7E696218 E.L.EACH ACCIDENT DESCRIPTIONO'FOPERATIOP!Sbelow 7/1/207.5 $ 500 000 7/1/2016 E.L.DISEASE-EA EMPLOYE: $ .500,000 I I E.L.DISEASE-POLICY LIMIT $ 500 000 'SCRIPTIOIV OF OPEP.ATIONS!LOCATIONS/VEFIIGLES I Min -+ (ACOR0101,Additional Remarks Schedule,may be attached if more space is required) • I • i I • •gT`ATE MOLDER .. • I !! CANCELLATION A__lar-rn`New SHOULD I Cng 1 and LLC Y OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE 65 Inwood Rd THE EXPIRATION .DATE THEREOF,. NOTICE WILL BE DELIVERED IN , Rocky jai 11 CT 06067 I ACCORDANCE WITH THE POLICY PROVISIONS. t AUTHORIZED REPRESENTATIVE - Patrick Walsh/MAYSR1 jG == RJR f l D 25(2014/0i) l.�/�„�� 1 • The ACORD name ©1988-2Q i 4 AGORD CORPpRATlON, Ail rights reserved. 5 r�mannand logo are registered marks of ACORD C31 D I I_ • • Th.e Cairn-nail-wealth ofMfcssachasett Tt nnrrorm-,1 t Department of InclastrialAccidents 1.— Office el-lives. tigatiams 1 Congress rStreet, Suite 100 RJI� Boston, 1 02114-2017 " 'r tivr-M.muass,govl'ia . Workers' Compensation Insurance Ai daii.t: Builders/Conti actors/Ele friciasts/Plcuffibers Applicant Inform atio<l Please Print Legibly Name (Business/Organimtionitndividvat): / P " 7/61e--) O t Address: 2-7;1- it . e41-14- ° City/State/Z ip: 5 o /(1 , 61 3,-2. ®35'0 0 Phone#: G 0 P Are you an employer?Check the appropriate ban: Iype of project(regirirett): . 1.FI am a employer with /0 4. ^ I am aeneral contractor and I employees (full and/or part-time).* have hired the sub—contractors 6. [New construction 2.E I air, a sole proprietor or partner- listed on the attached sheet. 7. ,C Remodeling chip and have no employees These stab contractors have g. _Demolition working for me in any capacity. • employees and have-workers' I 9. Building addition . [No workers'comp.insurance comp. insurance.= — 5. — We are a corporation and its 10._Plectricalrepairs or additions • required.] — i officers hare exercised their 11.]Plumbing repairs or additions 3. I am a homeowner doing all work p I right of exemption per MGL myself. [No workerscomp. . 12_[ Roof repairs 1 insurance re ired. 1 c. 152, `1(4), and we have no I," employees. [No workers' 13_y Other Ale- Ftee- Comp.insurance required.] P d c-v - *Any applicant that chocks boa ikl must also fill out the section below showing their workers'compensation policy information. ' T Homeowners who submitthis affidavit indicating they ate 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 employers. tf the sub-contractors have employers,they must provide their workers'comp.policy number. I am an employer that is providing workers'con petcsation insurance for my employees, Below is the policy and Job site .. information. Insurance Comp any Name: 5\�-H 7.05o ill Co Policy#or Self-ins.Lic, #: ; _ LA B a ` G G 7 I Egairalion Date: 7 /i / l6 • Job Site Address: t• 1 I M.(i�`i ''' T. tar n ST -6 Lie. , City/State/Zip:_ M. / Off t03.8 Attach a copy of the workers' compensation policy declaration page•(showing the policy number and espiratioo 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 S1,500,00 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 statementmay be forwarded to the Office of Investigations of the DIAfar insurance coverage verification, • I do hereby certif' tyr x1'r"lee wins an ,nJrties of er'[IT that the ii?formation provided above is true and correct ' . Signature / - - Date: 2 - 1. _ G Phone#; • `.6 D 31--1- — 3 5'U O • • Official use only. Do not n-rite in this area, to be completed by city or town official Cite or Town: Permit/License# • ' Issuing Authority (circle one): 1,Board of Health 2.Building Department 3. City/Town Cleric 4.Electrical Inspector s.Plumbing Inspector G. ether Contact Person: • Phone#: , . The Barnstable Comedy Club 3171 Main Street arnst, ble, MA Fire Protection System Narrative Report (As required by 780 CMR, 907.1.1) GENERAL Project Description The Fire Alarm System shall be addressable with battery backup. Fire alarm smoke detectors are located throughout the building. Fire alarm smoke beam to be installed to protect the auditorium due to the height& maintenance issues. Alarm New England's UL Listed Central Station will monitor all alarm, trouble and supervisory conditions. BASIS OF DESIGN Building Description The Building Use Group for this project is "Use Group A-1", per Massachusetts State Building Code (780 CMR) 310.4. The building is of Wood& concrete Referenced Laws, Regulations and Standards • 780 CMR, Massachusetts State Building Code, Eighth Edition. • 527 CMR, Fire Prevention Regulations • NFPA 72, 2010 Edition • NFPA 70, National Electrical Code, 2008 Edition • Miscellaneous Underwriters Laboratories standards. Features Used in the Design Methodology • NFPA 72, 2010 • )> Mass State Building Code, Eighth Edition SEQUENCE OF OPERATION Fire Alarm Condition: The activation of any fire alarm initiating device shall activate the following sequence: ➢ Light a red LED labeled "Fire Mar hi", and sounds :,!!r audible alert sigleal on the main fire alarm panel. ➢ Display the zone address and alphanumeric description o the Ii t sin fire alarm Panel. ➢ Activate notification appliances throughout entire building • Send a transmission to ANE central Station with emergency condition. Supervisory condition: Upon activation of any supervisory device, the fire alarm system shall respond as follows: ➢ Light an amber LED labeled "Supervisory Signal" and sound an audible alert at the building fire alarm control. ➢ Display the trouble condition and alphanumeric description on the building fire alarm control. Notify.ANE Central Station of Supervisory/condition. Trouble condition: For any abnormal condition, other than fire or supervisory conditions, the system shall respond as follows: ➢ Light a yellow LED labeled "System trouble" and sounds an audible alert on the building fire alarm control. • Light a yellow LED and/or display the circuit designation describing the circuit or module where the fault occurred on the building fire control panel. ➢ Report trouble condition to ANE Central Station. ➢ When appropriate, display the address and description of effected module/device. , ➢ Trouble signals shall resound at a minimum of twenty-four hours. Testing: All testing shall be performed in accordance with NFPA 72, Chapter 14, 2010 edition, and'manufacturer's instructions. I , Pre-testing: ➢ The contractor shall test all circuits for opens, shorts, grounds, and c,i,ntii ity prior to making any connections to equipment/devices. ➢- Prior to conducting an acceptance test of the system, the contractor shall inspect the system to check for co :pliance with contract documec ts. ➢ Upon completion of the system, the contractor and shall provide sufficient person a el to conduct a co i i plete 100% pre- acceptance test. Acceptance test: ➢ The contractor and shall provide sufficient personnel to conduct a complete 100% acceptance test of the system. Submitted by: Tyler Newcomb ' Alarm New England 1-800-322-3500 ICA LIC # 594C • SILENT IntelliKnight® Model 5700 KNIGHT Single Loop Addressable Fire Alarm Control System by Honeywell The affordable addressable fire alarm control panel s • !talon. t -:ems-- a `4', uelz"'',', ''"� ;a. 4 .. ;`aisx- __ - _ '_-- ~-' r�:'r_.',� E' u�-? ..ram" �t..` 'C ,A? 's „�'- IntelliKnight Model 5700 is a class leading single loop addressable fire alarm control/communicator system. 5700 provides you with the revolutionary value and performance of addressable sensing technology combined with exclusive, built-in digital communication, distributed intelligent power, that includes an easy to use interface. Powerful features such as drift compensation and maintenance alert are delivered in this powerful FACP from Silent Knight. For more information about the IntelliKnight system, or to locate your nearest source, please call 1-800-328-0103. Description i The basic IntelliKnight 5700 system can be enhanced by adding modules such as 5860 remote annunciator, 5824 •:,' 4 4.. _ 0=y "� serial/parallel printer interface module (for printing system reports), and 5496 intelligent power module. 5700 supports SD or SK devices. 5700 also features a powerful built-in dual line fire communicator that allows I for reporting of all system activity to a remote monitoring 9 location. '' Features • Built-in support for up to 50 SK detectors and 50 SK STLC T modules creating a total point capacity of 100 points Ifs KNIGHT • Built in support for up to 50 SD devices 7 'nteli[knigh • Up to 125 zones and 125 output groups • Uses standard wire—no shielded or twisted pair L-, required Model 5700 • Built-in digital communicator • Improvements in SKSS deliver five times faster • Central station reporting by point or by zone upload/downloads • Supports Class B (Style 4) and Class A(Style 6 or 7) • Built-in RS-232 interface for programming via PC configuration for SLC • Built-in Form C trouble relay rated at 2.5A at 27.4 • Drift compensation VDC • 13 pre-programmed output cadences (including ANSI- • Programmable date setting for Daylight Saving 3.41) and 4 programmable outputs Time • Notification circuits configurable as 1 Class A(Style Z) or 2 Class B (Style Y), or auxiliary power for resettable, Compatibility constant, or door holder power The 5700 signal line circuit (SLC) supports multiple • Built-in synchronization for AMSECO, Gentex®, device types of the same protocol: Faraday, System Sensor®and Wheelock® appliances • SK • Built-in annunciator with 80-character LCD display • SD • RS-485 bus provides communication to system You cannot mix SD and SK SLC devices on a FACP. accessories • Upload or download programming, event history, or detector status onsite or from a remote location using a PC and 5660 Silent Knight Software Suite (SKSS) • Two built-in Form C programmable relays rated at 2.5A at 27.4 VDC P/N 350392 Rev M • ©2014. Honeywell International Inc. - ss rs . r- S., .i a f 'Ws'... , ,- _ ,� ,. - •�...�� � -ar -.Y3 uis_u ;.[ �. i�`.ti as.�£�f:7*�.?r. `�i-•_ ;; k*$` .11l`BI.7.: ,ia_,,. _ _: 1,, . Model 5700 Fire Alarm Control Panel ' ma 5885d or 5804 I I I I x,�, r � 4-JF,. ' .gyp � t �� sal I 1 �5 1�+]I I. �. soxJ AP-0A 66Mwnon HKSaned 6K I Nrer SKJMrtt 2 J01 LRR�aelcym M�w Iv u....r `.+. ,.1] . * , 3k K' . mt.I u.,:- 6K w r 1. ,Z7.17.11 w x [T . r,..., mue ..ma al. e-.dmm u w aeim n_uue '. I •'1.�' ::1 smm>•. a—loci. aces gy I 6KJieUPmK IX{oNnl G;vre,cld mt. 6$085 83111QLP 82+181 6K.^REJb Rj i - iU l' C'NnA.es _v.._ I @� -,, _ ., Y Jv.r. • rvA.e Chat ..y SomAr. DN.tiv aden C_min t - g4 amv.ecaecv f.vol8cb u6 Mu Bess gene 'ess ` 5 r�—I t ,. n '.clt 4PSa W.I:YPnRv a ' Z :J - �1 u- th, 7 Irt 50 .... 5496 ..n ...., M.N.5KN e Edta -Rel MtryJi BKtmr M., J N,eP,me Rtl.y nay 5700 .� 0.em nea:e+ 11ee.51e Au:v '*...c S •t_ ' ..r �... _ .+..>eer v.�. +.- i.e..-,.. , -r w..i.. .wu -may.r.s .a-s wgtil. py.+'. .Yraee6M'e-- -v .�-.. .�. �.�e.Fw.. Specifications S-BUS Accessories 5670 Silent Knight Software Suite Electrical 5860/R Remote Fire Annunciator End-user facility management software allows viewing of detector status and event Primary AC: 120 VAC, 60 Hz, 1.5A Features the same 80 character backlit LCD history via modem or direct connection. Total Accessory Load:2.5A @ 27.4 VDC display keypad and firefighter's key switch Notification Power:2.5A @ 27.4 VDC, as the 5700.The system can be fully RBI: power-limited programmed and operated from any 5860. Remote Battery Box Accessory Cabinet.Use Standby Current:200 mA ` 5860 is gray and 5860R is red. if backup batteries are too large to fit into Alarm Current:365 mA FACP cabinet. Dimensions: Notification/Aux Power Circuits: 5496 Intelligent Power Module 16"W x 10"H x 6"D `�'` • 2.5A @ 27.4 VDC per circuit, A 6 amp notification power expander that (406 mm W x 254 mm H x 152 mm D power-limited provides four additional power-limited Battery Charging Capacity:7.0-35.0 AH notification appliance circuit outputs. SK-SCK Battery Size:7 AH max.allowed in FACP Seismic Compliance Kit. . cabinet.Larger capacity batteries can be 5880 LED/IO Module housed in an RBB accessory cabinet. Features 40 LED outputs,8 normally open SD505-DTS-K Physical dry contact inputs and one piezo output. Remote test switch that provides remote key 5865-3 and 5865-4 operated test function and annunciation of Dimensions: detector alarm with SD505-DUCTR. 12.75"W x 15.2 H x 3.4"D Remote LED Annunciator (32.39 W x 38.42 H x 8.57 D cm) Features 30 Programmable LED(15 red and SP-TR Weight: 11.5 lbs. (5.2 kg) 15 yellow)outputs and a piezo sounder.The Small panel trim ring. Use to flush mount the 5865-4 adds a silence and reset switch to panel. 16.975"H x 14.630"W. Color:Red ' 'the package. Telephone Requirements: SD and SK Devices - FCC Part 15 and Part 68 approved See the data sheets listed below for a 5883 Relay Board Features 10 general purpose Form C relays. Type of Jack: RJ31X(two required) Used with 5880 module. complete listing of the SD and SK devices. 53624 SD Devices data sheet Listings 5824 Serial/Parallel Printer NFPA 13, NFPA 15, NFPA 16, NFPA 70,& Interface Module 53623 SK Devices data sheet - NFPA 72:Central Station; Remote Provides one parallel and one RS-232 serial • Signalling; Local Protective Signalling port for connecting a printer to 5808.Use to Systems;Auxiliary Protected Premises Unit; print a real-time log of system events, &Water Deluge Releasing Service.Suitable detector status reports,and event history. for automatic,manual,waterflow,sprinkler Interfaces with building control system. supervisory(DACT non-coded)signalling services. Miscellaneous Accessories Other Approvals: UL Listed; 5660 Silent Knight Software Suite • CSFM 7170-0559: 144; MEA 429 92 E Vol. User-friendly Windows software for remote XVI;OSHPD(CA)OSP-0065-10 programming of 5700s using a PC.Upload and view panel account information,event history,and detector status. -t-- SILENT This document is not intended to be used for installation purposes.We try to keep our product information up-to-date and accurate.We cannot cover all-15 KNIGHT specific applications or anticipate all requirements.All specifications are subject .. — to change without notice.For more information, contact Silent Knight 12 by Honeywell ' Clintonville Road, Northford,CT 06472-1610 Phone: (800)328-0103, Fax:(203)484-7118. For Technical Support, Please call 800-446-6444. l www.silentknight.com Assembled In America -- SILENT SD500-AIM & SD500-MIM . KNIGHT Addressable Input Modules , by Honeywell IntelllKnight's addressable contact . monitor modules combine fast response with pinpoint F•o=teon D. A combination that s•:ves lives and property. `< _ n r, i ,per asfI - $` .. _grir ` tY.t:414 .�a -_ The SD500-AIM and SD500-MIM are addressable input modules for use with Silent Knight IntelliKnight fire alarm control panels (FACP). The SD500-AIM and SD500-MIM are designed to be used with pull stations, water flow switches, and other applications requiring dry contact alarm initiation devices. The SD500-AIM addressable input module mounts to a 4"-square box. The SD500-MIM mini input module fits inside a single gang box. The modules are supervised, single input contact monitors. Using an EOL resister, they monitor for alarm contact closures and for open circuit wiring fault conditions. The SD500-AIM and SD500-MIM offer a compact design for adaptability and pleasing aesthetics as well as easy installation and stable operation—a flexible solution for all your fire protection needs. For more information about the IntelliKnight system, or to locate your nearest source, please call 1-800-328-0103. Description • DIP switch programmable for fast The SD500-AIM and SD500-MIM are installation _ _ addressable input modules for use with ° Up to 2500 ft wiring distance from (. _ _ the Intelliknight fire alarm control either input module to contact . panels (FACPs). The SD500-AIM • Use up to 14 gauge wire I®xs addressable input module mounts to a • UL listed 0T � 4"-square box.The SD500-MIM mini ' input module fits inside a single gang Electrical Specifications "° i , 1 _'__ box. Both input modules are designed Standby Current: 0.55 mA J to be used with pull stations, water flow 1 _` I Alarm Current: 23.mA max for one , switches, and other applications SD500.AIM — . requiring dry contact alarm initiation device; 46 mA max for two devices; _ 0.55 mA for each additional device devices. /E) Line Resistance: 502 max4,' These modules are supervised, single input contact monitors. Using an.EOL r echanical Specifications �. resistor, they monitor for alarm contact SD500-AIM Physical Description 6 1 closures and for open circuit wiring Dimensions: fault conditions. If a fault occurs in the 4.9"W x 4.9" H x 1" D wiring,the module alerts the FACP. (12.4 W x 12.4 H x 2.5 D cm) SD500-MIM Each addressable input module:is Weight: 3.6 oz (120.1 g) programmed with a unique signal line Color: Ivory cover plate circuit(SLC)loop address. SD500-MIM Physical Description Approvals Features Dimensions: NFPA 71 & NFPA 72 • Single contact monitor 1.5"Wsx 2.5" H x 0.7" D UL 864 • SD500-AIM supports Class A(Style (3.8 W x 6.4 H.x 1.8 D cm) CSFM 7300-0559: 132 D)or Class B (Style B)contact Weight: 1.6 oz(45.4 g) MEA 429-92-E Vol. IX monitor wiring Environmental FM Approved for use with the 5820XL • SD500-MIM support for Class B Operating Temperature: (Style B)contact monitor wiring 32°F—120°F (0°C—49°C) • Attractive ivory cover plate with the SD500-AIM Humidity: • Small and lightweight size allows for 10%—93% non-condensing flexible mounting options with the SD500-MIM I . • • , .$ dae t _ � r • " ' — '- . k # r`7:. . x ',s.ss1.«2 .Ks e...4 K n.4 ;v Na.f, .< . -.s-� . 74 -, -,.K _ �, r _ • SD500-AIM & SD500o.MIM Addressable Input Modules Engineering Specifications The contractor shall furnish and install where indicated on the plans, addressable input modules Silent Knight SD500-AIM or SD500-MIM. The modules shall.be UL listed and compatible with Silent Knight's IntelliKnight FACPs. The SD500-MIM shall fit inside a single gang electricaLbox. The SD500-AIM shall be supplied with a plastic cover and shall be suitable for\mounting to a 4"-square or double gang electrical box. The SD500-AIM addressable input module must provide a monitor LED that is visible from outside the cover plate SGst s., i �� �\ .. � - To confect ,+—\ 1 being monitored /A ' ‘ 6 2 '"- 4 o J r All Wiring is Supervised ,.u y1 .', - Power Urnded 0 .�� �' To conlact 4 J idi being monitored*; i. UL Listed,'!� �J . v \YY/ �\\ _ sue _ _ e Compatible FACPs Ordering Information 5820XL - SD500-AIM Input Module • 5820XL-EVS Addressable input module with ivory 5808 cover plate. 5700 • SD500-MIM Input Module Addressable mini input module. it . SILENT This document is not intended to be used for installation purposes.We try to MADE IN AMERICA keep our product information up-to-date and accurate.We cannot cover all KNIGHT • FORM#350231 Rev. F specific applications or anticipate all requirements.All specifications are A.: subject to change without notice.For more information,contact Silent Knight ©2013 Honeywell International Inc by Honeywell 12 Clintonville Road,Northford,CT 06472-1610.Phone: (800)328-0103 Fax: (763)493-6475 For Technical Support, Please call 800-446-6444. .www.silentknight.com i { 4 ¢ r r.k. °fit +a� +., r' '" �frk .j`( '44'^ ',§:F':"^ '' ,t,_ - `,,,,., SD500-PS and SD500-PSDA € if*� -.'1 4,:-.:-_:_t,_,z,n!...,,,..:__::..-s„_,,v4w_,,-*,-,.--....-„.a,:, 9 ,2 ,:, tea Addressable Pull-Station t 4 I,. yy 1 r *h ,3i v$- r . „ 1 ;use . :—.,- ... - ...-4,_,, .,..„ > t 4e.: %, 1 �. _ IntelliKnight°s (6 dress.<ble pull stations ' �i!. ,: E co bine fast response with pin-point I ,a? Iocatio41D. The SD500-PS and SD500-PSDA are a single action or dual action addressable manual fire alarm pull station for use with Silent Knight's IntelliKnight fire control panel. Extremely easy to operate, the SD500-PS/PSDA provides a fast and practical means of manually initiating a fire alarm signal. The IntelliKnight panel recognizes each manual pull station by its specific address saving precious seconds in determining the location of an alarm. The SD500-PS/PSDA mounts to a single gang box and features a rugged metal construction that lasts and lasts. . Combine all this with the features you've come to expect from Silent Knight - easy installation and stable operation - and it adds up to a flexible solution for all your fire protection needs. Model SD500-PS & • Extremely easy to operate SD500=PSDA • Corrosion-resistant gold-plated { contacts. � 0 4 Addressable Pull • Reflective label makes it easier e Station to locate in low light r y - t i i ; - The SD500-PS is a single action Operation � f; i _�iit , addressable fire pull station, and The SD500-PS/PSDA single action '�. :., '� _ the SD500--PSDA is a dual action pull stations are operated by a pull r . r addressable fire pull station. The on the front pull cover of the n tT,, SD500-PS/PSDP,feature rugged station. A plunger switch, wired to if a w _ metal construction A terminal strip a self contained addressablez on back of the pull station allows module, is released as the pull , interconnection of the pull station to station opens to initiate the alarm. F ' ' z the SLC of an IntelliKnight control Once operated, the cover hangs 1� , # '`�' "la• -. I r-panel. The SD500-PS/PSDA is down and can be seen up to 100i � r « wt{ designed for indoor use in non- feet away. The pull station is reset ,� :r explosive environments.The by returning the front cover to the 1 4 normally open initiating point normal upright position and " �` contacts are gold-plated to avoid relocking the station with a reset .„ �j. : ▪tl▪, i,— ' sq, ,�ti risk of corrosion. The SD500 key. The reset keys are the same "` ; t1 1-1T PS/PSDA has been tested by UL keys used° on Silent Knight __' for compliance to the requirements '`� �<�. P q enclosures. , �.' _ _ �= s„�� � �.��� of the Americans with Disabilities The SD500-PS/PSDA includes a ACT (ADA). status LED which blinks, indicating SD500-PS -Features that the addressable module is Ambient Temperature: 32°F to 120°F • UL Listed communicating with the loop. The (o°c to 49°c) h • CSFM listed status LED lights continuously Mounting: Single gang during an alarm. A dip switch on box - • ADA compliant Optional Red Surface Mount Box PS-SMBB the addressable module is used to •T - • Key reset (Same key as Silent set the unique address. Knight enclosures) • Surface mount back box SpeCIflCatlOns Operating Voltage: 24VDC - SILENT available Standby Current: 55mA 10- • Terminals - accept up to 14 Alarm Current: .55mA KNI �IT, gauge wire .. _ t.-. .N.r' 'r >.- : ; h«y, ;_ - .�' '`'F l fit,-74 '.. S-. '�'i.!�'s�`� , _ Mg ,�-}�� h.�i.�`i`k- _ _ �....3 -`'`+- 9a .�� 3r,s.. � � _ � -... SD500-PS and SD500-PSDA Addressable Pull-Station i A - illj 11 l : Engineering Specifications - _ . Tt _ Manual pull station shall be addressable Module SD500-PS/SD500-PSDA. Equipment shall be made of 14 gauge C.R.S.(Cold Rolled Steel), painted with a red enamel . The label shall contain the words Fire Alarm and be made of a reflective material embossed text 3/8 inches tall. Operating instruction shall be clearly visible on the same label. Manual station Shall contain a key operated test and reset lock using a lock plate actuator, the key shall match the control panel. Manual station shall contain four terminal blocks with two connected to the addressable module and two connect to the SLC loop. Manual station shall provide data to the control panel with an ID address programmed by dip switch settings . • Manual stations shall be Underwriters Laboratories Inc. listed and installed within the limits defined in the American Disabilities Act. i w NO ACP F rn p : r � ti �1 i ' ' •,. . tift , - le , • 'tip '— i• ♦ - -- -_-._ �. { .��.. " _.._ err �� ft,,._ _,-,-S:..t 11. _�.t , , . e• i _, --..-4 ti, �y ai ,C.[6"•PI.0.y r P SiC- i ti, I! ► Wiring .I I ' t I l I i Mounting to Single Mounting-to Optional 1 . Gang Electrical Box Surface Mount Box t^t , , I' -- t 1 Is.1:,1c I I SD500-PSDA i _ r I I. w.,- y . (t Electrical Gm P4rust b Installing SD500-LK tit rrDew Dimensions ast,•1;t1F SILENT ', N` KNIGHT 7550 Meridian Circle, Maple Grove, MN 55369-4927 MADE IN AMERICA 800-446-6444 or in Minnesota 763-493-6435 FORM#350342, Rev.09/03 FAX:763-493-6475 World Wide Web: http://www.silentknight.com Copyright©2003 Silent Knight +� � ,� �x z,xr'ns��a+� {�` �Ste'�,t ,��"R,� 7x�s ''ge�� ,.�-a" v,�� L s� v a • a' .:z',.. SILENT SD505®AHS • w KNIGHT Addressable Heat Detector by Honeywell IntelliKnight® addressable heat det-ctsrs combine accurate heat detection v.,,Joth pan-point location ID. An essential combination for any installation. IntelliKnight heat detectors are an essential component in virtually any.IntelliKnight installation. The IntelliKnight panel recognizes each detector by its specific address, so"precious seconds are not wasted in determining location of an alarm. Like other IntelliKnight detector models, the SD505-AHS offers a low profile for pleasing aesthetics. The IntelliKnight family of detectors has been designed to use a common base, Model SD505-6AB, allowing complete application and placement flexibility. Combine all this with the features you've come to expect from Silent Knight detectors—easy installation, stable operation, RF/transient protection, and vandal-resistant locking—and it adds up to a flexible solution for all your fire protection needs. Model SD505-AHS If the temperature exceeds the trip .: ... - Addressable Heat point (programmed at the panel), - y"t I an alarm occurs. The status LED : ` Detector lights continuously during the alarm 4, The SD505-AHS is a heat detector period. suited to virtually any commercial Under normal conditions, the status • r setting. The SD505-AHS is an LED blinks approximately every 15 absolute temperature device. This seconds, indicating that the head is ` means that it responds in alarm if communicating with the loop. the temperature goes above the trip point (programmed at the Features panel). • Low profile, 2 inches, including The SD505-AHS provides accurate base SD505-AHS Heat Detector temperature measurement data to • Absolute temperature device Specifications the fire alarm control panel. This • Simple and reliable addressing Operating Voltage: 17 to 41 VDC heat detector is particularly suited • Currenrconsumption: to environments where smoke Uses digital communication detectors cannot be used because protocol Standby: .55 mA of the presence of steam or • The SD505-AHS is UL' Listed Alarm: 55 mA cooking fumes, such as s in a and meets the requirements Detection Temperature kitchen. outlined in NFPA 72 Inspection Range`. 135°F to 15o°F (57°C TO 65°C) • Testing and Maintenance, Operation Chapter 7. Ambient Temperature: 32°F to 120°F The SD505-AHS unit is made upof CFSM li (0°C to 49°C) listed an externally mounted thermistor Mounting: 4"SQR,4"OCT •with a specially designed cover that MEA listed Single gang mud protects the thermistor while • FM approved ring allowing maximum airflow. The Rated Spacing: 70'between sensors on smooth thermistor reads the temperature ceilings. from the air it takes in. It then transmits a signal representing the Compatible Bases: SD505-6AB (Sold Separately) SD505-6SB temperature to the IntelliKnight SD505-61B panel. SD505-6RB ..1° • - - :,; Model SD505-AHS Addressable Heat Detector Engineering Specifications The contractor shall furnish and install where indicated on the plans, addressable heat detector Silent Knight SD505-AHS. The combination detector head, and twist-lock base, shall be UL® listed compatible with Silent Knight's IntelliKnight fire alarm control panels. The base shall permit direct interchange with Silent SD505-APS Photoelectric Smoke Detector, or SD505-AIS Ionization Smoke Detector. Base shall be the appropriate twist-lock base SD505-6AB. The heat detector shall have a flashing status LED for visual supervision. When the detector is actuated, the flashing LED will latch on steady at full brilliance. The detector may be reset by actuating the control panel reset switch. The vandal-resistant, security locking feature shall be used in those areas as indicated on the drawing. The locking feature shall be field removable when not required. Voltage and RF/transient suppression techniques shall be employed to minimize false alarm potential. Diameter= 5-15/16" Diameter= 3-15/16" 14 01 H Ls- 0 • oi (HVi7i) fj/ 72\ n \; Height= 2 inches ;17d \ A .:)))1 including base !1 I '-'° 53) €UN o . sr,E8KNI5T Model SD505-6AB Detector Base Model SD505-AHS Detector Head (Front View) (Front View) • - - SILENT This document is not intended to be used for installation purposes.We try to MADE IN AMERICA KNIGHT keep our product information up-to-date and accurate.We cannot cover all specific applications or anticipate all requirements.All specifications are FORM#350229 Rev C subject to change without notice.For more information,contact Silent Knight ©2010 Honeywell international Inc. by Honeywell 12 Clintonville Road, Northford, CT 06472-1610 Phone:(800)328-0103, Fax:(203)484-7118. www.silentknight.com • SILENT' Addressable Photoelectric KNIGHT Smoke Detector by Honeywell Detect smoldering fires quickly and get help fast with lnteIliknight® photoelectric smoke detectors. IntelliKnight addressable photoelectric smoke detectors are the clear choice for commercial settings where smoldering fires are a threat. In addition to accurately detecting a smoldering fire, each SD505-PHOTO photoelectric detector has a unique address, which is recognized by the IntelliKnight panel. No precious seconds are wasted in determining location of an alarm. The SD505-PHOTO compensates automatically for contamination in the environment.And detector testing is simple—even from a remote site. Like other IntelliKnight detector models, the SD505-PHOTO offers a low profile for pleasing aesthetics. The IntelliKnight family of detectors has been designed to use a common base, Model SD505-6AB, allowing complete application and placement flexibility. Combine all this with the features you've come to expect from Silent Knight smoke detectors—easy installation, stable operation, RF/transient protection, and vandal-resistant locking—and it adds up to a flexible solution for all your fire protection needs. Model SD505-PHOTO approximately every 15 seconds, .,. :• Analog Analog /Addressable indicating that the head is >" • Photoelectric Type Smoke communicating with the loop.The F Detector LED lights continuously during the A alarm period. Nt The SD505-PHOTO is particularly Y. suited to detecting dense smoke Features ��- typical of fires involvingmaterials tow profile, 2 inches, including such as soft furnishings, plastic, base foam or other similar materials • Simple and reliable addressing fry which tend to smolder and produce without mechanical switches SD505-PHOTO Smoke Detector large visible particles. • Automatic compensation for The detector features automatic sensor contamination compensation for contamination • • Built-in fire test feature • Ambient Temperature: 32°F to and a simple detector calibration Simple detector calibration 120°F (0°C to 49°C) test procedure that can be run from testing through the control panel the panel or remotely (using the or remotely through a Mounting: 4" Square, 4" OCT, WindowsTM based downloading WindowsTM based computer Single gang mud ring software). software. Relative Humidity: 85%°-non- Operation • Vandal-resistance locking condensing The SD505-PHOTO units made up features of an LED light source and a silicon • Field cleanable Air Velocity: 0 - 300 FPM photo diode receiving element. In a • UL listed, meets NFPA 72 Ch 7 Compatible Bases: SD505-6AB normal standby condition, the requirements (Sold Separately) SD505-61B receiving element receives no light • CSFM approved SD505-6RB from the pulsing light source..In the MEA approved SD505-6SB event or fire, smoke enters the • FM Approved. • detector and light is reflected from Specifications the smoke particles to the receiving Operating Voltage: 24-41 VDC element. The-light received is converted into Current Consumption: an electronic signal. Under normal Standby: .55 mA P/N 350225 Rev G • conditions, the status LED blinks Alarm: .55 mA ©2015 Honeywell International Inc. r x p ain} ,.,{v 'a'e sA..ena7:1 �.„s_r._.'aa E h �7.44.i��cr�°S(at �f;401$�'.e�r3t F'_c k� Model SD505-PHOTO Addressable Photoelectric Smoke Detector Engineering Specifications J The contractor shall furnish and install where indicated on the plans, addressable photoelectric smoke detector Silent Knight SD505-PHOTO. The combination detector head, and twist-lock base, shall be UL®listed compatible with Silent,Knight`s IntelliKnight fire control panels. The base shall permit direct interchange with Silent Knight SD505-HEAT Heat Detector. Base shall be the appropriate twist-lock base SD505-6AB. The smoke detector shall have a flashing status LED for visual supervision. When the detector is actuated, the flashing LED will latch on steady. The detector may be reset by actuating the control panel reset switch. The calibration of the detector shall be capable of being selected and measured by the control panel without the need for external test apparatus. The vandal-resistant, security locking feature shall be used in those areas as indicated on the drawing. The locking feature shall be field selectable as required. The SD505-PHOTO shall automatically perform a functional test of the detector. The test method shall simulate effects of products of combustion in the chamber to ensure testing of detector circuits. ti Diameter=5-15/16" DI Diameter = 3-15/16" D� NIZ M I 0 ) Alaufi. Height = 2 inches, `4 including base ICNIGHC -��` • _. Model SD505-6AB Detector Base Model SD505-PHOTO Detector Head (front view) (front view) SILENT This document is not intended to be used for installation purposes.We try to keep our E product information up-to-date and accurate.We cannot cover all specific applications or - IN KNIGHT anticipate all requirements.All specifications are subject to change without notice. For more information, contact Silent Knight 12 Clintonville Road, Northford, CT 06472-1610 Phone: by Honeywell (800)328-0103, Fax: (203)484-7118. www.silentknight.com • SYSTEM SE' 1St 'l • C 1224T and x $ . 4 Car is on y 1 onoxi e F�etectors .with -RealTest® Technology The System Sensor C01224T and C01224TR(round) • • Carbon Monoxide(CO)Detectors use a highly accurate and reliable electrochemical sensing cell to provide early warning of dangerous CO levels. Features With RealTest®technology,the CO gas sensing cell used in • RealTest®enables a functional test using canned CO the C01224T and C01224TR CO detectors can be tested using a CO gas agent,fully meeting the requirements of NFPA 720:2009. • Full compliance with UL 2075 Simply put the detector into RealTest mode, spray a small amount • •A code-required trouble relay of CO into the detector per the installation instructions,and within • seconds the detector will alarm,indicating successful gas entry.(See Wiring supervision with SEMS terminals the reverse page or the user manual for complete instructions.) • A six-year end-of-life timer • 12/24 VDC When dangerous amounts of CO are detected,the C01224T and A low current draw 20.mA in standby and 40 mA in alarm C01224TR detectors alert.residents by sounding and flashing a • temp 4 signal alarm.With 24/7 central station monitoring, residents • Versatile mounting for wall and ceiling are guaranteed protection whether they are away from home, • Accurate and reliable electrochemical sensing technology sleeping,or already suffering from the effects of CO. • • Optional CO-PLATE CO Detector Replacement Plate to upgrade• G. previously installed competitor detectors to the C01224T The C01224T and C01224TR are designed for system operation. These detectors are fully listed to UL 2075 and offer a code- required trouble relay to send a sensorfailure or end-of-life signal to the control panel and the central station.The C01224T and. C01224TR also use SEMS-type terminal Philips head screws for quicker and more positive wiring connections and code-required • wiring supervision.With a low current draw,these detectors enable more devices to be connected to the panel,limiting the need to purchase extra power supplies or more expensive panels.As 12/24 VDC detectors,the C01224T and C01224TR will operate on most industry security and fire alarm control panels. • S Agency Listings - - (C) LISTED E307195 E304075 - - • - - .. • C01224T and C01224TR Carbon Monoxide Detector Specifications Aichitectural/En•ineerin..S.ecifications' '•`, f°"' �, - �, c. _ . = Carbon monoxide(CO)detector shall be a system-connected System Sensor model number C01224T or C01224TR listed to Underwriters Laboratories UL 2075 for Gas and Vapor Detectors and Sensors.The detector shall be equipped with a sounder and a trouble relay.The • detector's base shall be able to mount to a single-gang electrical box or direct(surface)mount to the wall or ceiling.Wiring connections shall be made by means of SEMS screws.The detector shall provide dual-color LED indication that blinks to indicate normal standby,alarm,or end-of-life.When the sensor supervision is in a trouble condition,the detector shall send a trouble signal to the panel.When the detector gives a trouble or end-of-life signal,the detector shall be replaced.The detector shall provide a means-to test CO gas entry into the CO sensing cell.The detector shall provide this with a test mode that accepts CO gas from a test agent and alarms immediately upon sensing CO entry.The detector shall perform in the detection of CO up to 12,000 feet above sea level and alarm within the time specified by ANSI/UL 2034 for CO concentrations of 70, 150 and 400 parts per million(ppm),as verified by a Nationally Recognized Test Laboratory. Operating Voltage 12/24 VDC Audible Signal 85 dB in alarm Standby Current 20 mA Alarm Current 40 mA(75 mA test)" Alarm Contact Ratings - 0.5 A @ 30 VDC Trouble Contact Ratings 0.5 A @ 30 VDC Ph sical Srecifications w. Size:C01224T Length:5.1 in,Width: 3.3 in,Height:1.3 in C01224TR - Diameter:6 in,Height: 1.3 in Approximate Weight C01224T:7 oz;C01224TR: 11 oz Operating Temperature Range 32°F to 104°F(0°C to 40°C) . Operating Humidity-Range 22 to 90%RH Input Terminals 14 to 22 AWG Mounting Single-gang back box;surface mount to wall or ceiling Operation Modes _,.. Operation Mode Green LED Red LED Sounder Normal(standby) Blink 1 per minute — Alarm — -. Blink in temp 4 pattern Sound in temp 4 pattern RealTest®Feature: The System Sensor C01224T and C01224TR Carbon Monoxide Detectors with RealTest enable evaluation of the functionality of the CO sensing cell usinga canned CO test agent.r 4t , 1 ' v1-.k {gi Push and hold the Test/Hush button for Spray canned CO agent into Verify CO sensing-at the two seconds to enter RealTest mode.The • the detector. control panel.The detector will green LED will flash once every second automatically exit RealTest alarm to indicate RealTest mode has started. mode after about 20-60 seconds. NOTE:Check with local codes.and the AHJ to determine if a"functional gas test is desired for an installation. Hush Feature: Pushing the Test/Hush button will silence the sounder for 5 minutes(except in RealTest mode) 'j Trouble Feature: When the detector is in a trouble condition,it will send a trouble signal to the panel. `>, "' End-of-Life Timer: After the detector's internal sensor has reached the end of its life,a trouble signal will be sent to , the panel to indicate it is time to replace the detector.An electrochemical CO detector lifespan is ,1,4 about six years.The detector must be replaced by the date marked on the inside of the product • CO-PLATE: System Sensor also offers the CO-PLATE CO Detector Replacement Plate to cover the footprint(when necessary)ofpreviously installed competitive carbon monoxide detectors that require replacement. . v-4 .I#°` = Ordering Information „ CO-PLATE 3 ce Part No�� D •tiOn * :x _ X- , i _ " + .5 .0.r , ,,a te , . a C01224T 12/24 volt,4-wire system-monitored carbon monoxide detector with RealTest®Technology" C01224TR 12/24 volt,4-wire system-monitored round carbon monoxide detector with RealTest®Technology CO-PLATE CO detector replacement plate to cover the footprint of previously installed competitive detectors as necessary - - YSTEN13825 Ohio Avenue•St.Charles, IL 60174 ©2012 System Sensor. I �+'• .Phone:800-SENSOR2•.Fax:630-377-6495 Product specifications subject to change without notice.Visit systemsensoccom ���`�®�m for current product information,including the latest version of this data sheet. \\Yy ,/{�!/ www.systemsensor.com coos72701!9/15 *Th, • - -F 7, SYSTEr7 [TTppp �, �'` SENso' } r�`" ^" yawaua. � '�f'� a.n 4 "rrt e* �T�l F F k r'z, • *Mt. Mt Nornso ` Strobes an rT: r • • orn Strobes ®r u f. -IN7'e ll' .•fit cat o 7 s r:. - .' f sa 7, , = i , SpectrAlerto Advance audible visible notification products SPECT t' " -- rt are rich with features guaranteed to cut installation times fsrlo•m Fir S 'Vs,.s•trel-m fa'S te in.P. and maximize profits. • Features The Spectr/AOert Advance serves offers•the most versatile and easy-to-use line of horns,strobes,and horn strobes,in the industry. • Plug-in design with minimal intrusion into the back box With white and.red plastic housings,wall and ceiling mounting • i • Tamper-resistant construction options,and plain and FIRE-printed devices,SpectrAlert Advance • Automatic selection of 12-or 24-volt operation at can meet virtually any application requirement. 15 and 15/75 candela . Like the entire SpectrAlert Advance product line,wall-mount horns, • Field selectable candela settings on wall units: 15, 15/75, strobes,and horn strobes include a'variety of features that increase 30,75,95, 110,115, 135, 150, 177,and 185 their application versatility while simplifying installation.All devices • Horn rated at 88+dBA at 16 volts feature plug-in designs with minimal intrusion into the back box, • Rotary switch for horn tone and three volume selections making installations fast and foolproof while virtually eliminating costly and time-consuming ground faults. • Universal mounting plate for wall units ; • Mounting plate shorting spring checks wiring continuity before To further simplify installation and protect devices from construction device installation - damage,SpectrAlert Advance utilizes a universal mounting-plate . • Electrically Compatible with legacy SpectrAlert devices with an onboard shorting spring,so installers can test wiring continuity before the device is installed. . • Compatible with'MDL3 sync module . • Listed.for ceiling or wall-mounting . • , Installers can also easily adapt devices to a suit a wide range of - application requirements using field-selectable candela settings, • . automatic selection of 12-or 24-volt operation,and a rotary switch for horn tones with three volume selections. , • I. Agency Listings SIGNALING -- -- r - - ® i . MEA 1..,v_.; LISTED APPROVED approved 7125 tss3:188(no strob Ses) S4011(chimes,horn strobes,horns) 3023572 MFA452-05-E chime strobes) -S5512(strobes) .7135-1653:189(horns,chimes) • SpectrAlert Advance Specifications Architect/Engineer,Specifications Y " ` General SpectrAlert Advance horns,strobes,and horn strobes shall mount to a standard 4 x 4 x 1 Y-inch back box,4-inch octagon back box,or double-gang back box.Two-wire products shall also mount to a single-gang 2 x 4 x 17/8-inch back box.A universal mounting plate shall be used for mounting ceiling and wall products.The notification appliance circuit wiring shall terminate at-the universal mounting plate. Also,SpectrAlert Advance products,when used with the Sync•Circuit'°Module accessory,shall be powered from a non-coded notification appliance circuit output and shall operate on a nominal 12 or 24 volts.When used with the SyncoCircuit Module, 12-volt-rated notification appliance circuit outputs shall operate between 8.5 and 17.5 volts;24-volt-rated notification appliance circuit outputs shall operate between 16.5 and 33 volts.Indoor SpectrAlert Advance products shall operate between 32 and 120 degrees Fahrenheit from a regulated DC or full- wave rectified unfiltered power supply.Strobes and horn strobes shall have field-selectable candela settings including 15, 15/75,30,75,95, 110, 115, 135, 150, 177,and 185. • Strobe The strobe shall be a System Sensor SpectrAlert Advance Model • listed to UL 1971 and shall be approved for fire protective service. The strobe shall be wired as a primary-signaling notification appliance and comply with the Americans with Disabilities Act requirements for visible signaling appliances,flashing at 1 Hz over the strobe's entire operating voltage range.The strobe light shall consist of a xenon flash tube and associated lens/reflector system. Horn Strobe Combination The horn strobe shall be a System Sensor SpectrAlert Advance Model listed to UL 1971 and UL 464 and shall be approved for fire protective service.The horn strobe shall be wired as a primary-signaling notification appliance and comply with the Americans with Disabilities Act requirements for visible signaling appliances,flashing at 1 Hz over the strobe's entire operating voltage range.The strobe light shall consist of a xenon flash tube and associated lens/reflector system.The horn shall have three audibility options and an option to switch between a temporal three pattern and a non-temporal(continuous)pattern.These options are set by a multiple position switch.On four-wire products,the strobe shall be powered independently of the sounder.The horn on horn strobe models shall operate on a coded or non-coded power supply. Synchronization Module The module shall be a System Sensor Sync•Circuit.model MDL3 listed to UL 464 and shall be approved for fire protective service.The module - shall synchronize SpectrAlert strobes at 1 Hz and horns at temporal three.Also,while operating the strobes,the module shall silence the horns on horn strobe modeis over a single pair of wires.The module shall.mount to a 411/16 x 411/16 x 21/8-inch back box.The module shall also control two Style Y(class B)circuits or one Style Z(class A)circuit.The module shall synchronize multiple zones, Daisy chaining two or more synchronization modules together will synchronize all the zones they control.The module shall not operate on a coded power supply. . m ..;Physical/Electrical Specifications _ � � - �, t• y ., -2• �5 _ Standard Operating Temperature 32°F to 120°F(0°C to 49°C) • Humidity Range 10 to 93%non-condensing Strobe Flash Rate .1 flash per second Nominal Voltage Regulated 12 DC/FWR or regulated 24 DC/FWR1 Operating Voltage Range2 8 to 17.5 V(12 V nominal)or 16 to 33 V(24 V nominal) Operating Voltage Range MDL3 Sync Module 8.5 to 17.5 V(12 V nominal)or 16.5 to 33 V(24 V nominal) Input Terminal Wire Gauge • 12 to 18 AWG • Wall-Mount Dimensions(including lens) 5.6-L'x 4.7"W x 2.5-D(142 mm L x 119 mm W x 64 mm D) Horn Dimensions ' . . 5.6"L x 4.7"W x 1.3"D(142 mm L x 119 mm W x 33 mm D) Wall-Mount Trim Ring Dimensions(sold as a 5 pack)(TR-HS) . 5.7"L x 4.8"W x 0.35"D(145 mm L x 122 mm W x 9 mm D) Notes: 1.Full Wave•Rectified(FWR)voltage is a non-regulated,time-varying power source that is used on some power supply and panel outputs. 2.P,S,PC,and SC products will operate-at 12 V nominal only for 15 and 15/75 cd. UL Current Draw Data ,UL"•Max.Strobe Current.Draw(mA RMS) A.. ,., Z. iUL••Max.HornCurrentDrawImA RMSji. 4 , 8-1Z5 Volts 16-33 Volts 8-17,5 Volts 16-33 Volts Candela DC FWR DC FWR Sound Pattern dB DC FWR DC FWR Standard 15 123 128 66 71 Temporal High 57 55 69 75 I Candela 15/75 142 148 .77 81 Temporal Medium 44 49 58 69 Range 30 NA NA 94 96 Temporal Low 38 44 44 48 75 NA NA 158 153 Non-temporal High 57 56 69 75 95 -NA NA• . 181 176 Non-temporal Medium 42 50 60 69 110 NA NA 202 195 Non-temporal Low 41 44 50 50 115 NA NA , 210 205 Coded High 57 55 69 75 High 135 NA NA 228 207 Coded Medium 44 51 56 , 69 Candela 150 NA NA 246 220 Coded Low 40 46 52 50 Range 177 NA NA 281 251 185 NA NA 286 258 • pli_Max Current Draw,(mA'RM$)72A1Vire_Norn Strobe S#andard_Candela,Range(15113,cd) : �... : 8-17.5 Volts 16-33 Volts - DC Input 15 15/75 15 15/75 30 75 95 110 115 Temporal High 137 147 79 • 90 107 176 194 212 218 Temporal Medium 132 144 69 80 97 157 182 •201 210 Temporal Low 132 143 66 77 93 154 179 198 207 . Non-Temporal High 141 152 91 100 116 176 201 221 . 229 Non-Temporal Medium 133 145 .75 85 102 163 187 207 '216 Non-Temporal Low 131 144 68- 79 - 96 156 182 201 • 210 FWR Input Temporal High 136 155 88 97 112 168 190 210 218 Temporal Medium 129 152 78 88 103 160 184 202 206 Temporal Low 129 151 76 86 " 101 160 • 184 194 201 Non-Temporal High 142 161 103 112 126 181 203 '221 229 Non-Temporal Medium 134 155 85 95 110 166 189 - 208 216 Non-Temporal Low 132 154 -80 90 105 161 184 • .202 211 1.10 Maa Currenf.Draw,(mARMS)72:Wire"HC Stiobe,'High-Candelaylir •(135 185.cd) • 16-33 Volts 16-33 Volts DC Input ' 135 150 177 185 FWR Input 135 150 177 185 Temporal High 245 259 290 297 Temporal•High 215 231 258 265 Temporal Medium 235 253 288 297 Temporal Medium 209 224 250 258 Temporal Low 232 251 282 292. Temporal Low 207 221 248 • 256 Non-Temporal High 255 270 303 309 Non-Temporal High 233 248 275 281 Non-Temporal Medium 242 259 293 299 Non-Temporal Medium 219 232 262 267 -* Non-Temporal Low 238 254 291 295 Non Temporal Low 214 229 256 262 • Horn Tones and Sound Output Data :Horn and Horn Strobe Out.ut dBA ` ` -Y ` y " • 0 1 8-17.5 16-33 24-Volt Nominal Switch Volts Volts ' Reverberant Anechoic • Position Sound Pattern dB DC FWR DC FWR DC FWR DC FWR 1 Temporal High . 78 78 84 84 88 88 99 98 2 • Temporal Medium 75 75 80 80 86 86 96 96 . 3 Temporal Low - -83 80 94 89 71 71 `76 76 4 Non-Temporal High 82 82 88 88 93 92• 100 100 - ' ` 5 Non-Temporal Medium 78 78 85 85 90 90 98 98 6 Non-Temporal Low • 73 74 81 81 88 84 - 96 92 . - 7t Coded High 82 82 88 88 93 92 101 101 • 8t Coded Medium 78 78 85 85 90 90 97 98 9t Coded Low 74' 75 81 81 88 .85 96 92 tSettings 7,8,and 9 are not available on 2-wire horn strobes: • • - SpectrAlert Advance Dimensions • • r4.7" P I IMO I.IME\--A - - 5.6" . 11.11 • 11 Wall-mount horn strobes SpectrAlert Advance Ordering Information Model Descri•tion a - Model Descri•tion :' 1$,.; " Wall Horn Strobes Wall Strobes(cont.) P2R 2-Wire Hcrn Strobe,Standard cd,Red SRH Strobe,High cd,Red P2R-P 2-Wire Horn Strobe,Standard cd,Red,Plain SRH-P Strobe,High cd,Red,Plain P2R-SP 2-Wire Horn Strobe,Standard cd,Red,"FUEGO" SRH-SP Strobe,High cd,Red,"FUEGO" P2RH 2-Wire Horn Strobe,High cd,Red SW • Strobe,Standard cd,White P2RH-P 2-Wire Horn Strobe,High cd,Red, Plain - SW-P Strobe,Standard cd,White,Plain P2W 2-Wire Horn Strobe,Standard Cd,White • SWH Strobe,High cd,White P2W-P 2-Wire Horn Strobe,Standard cd,White,Plain SWH-P Strobe,High cd,White,Plain P2WH 2-Wire Horn Strobe,High cd,White - Horns ' P2WH-P 2-WireHHorn Strobe,High cd,White,Plain HR Horn,Red • P4R 4-Wire Horn Strobe,Standard cd,Red HW ' .Horn,White • P4R-P 4-Wire Horn Strobe,Standard cd,Red,Plain Accessories . P4RH 4-Wire Horn Strobe,High cd,Red • TR-HS Trim Ring,Wall,Red P4W •4-Wire Horn Strobe,Standard cd,White SBBR Indoor Surface Mount Back Box,Red Wall Strobes SBBW Indoor Surface Mount Back Box,White • SR Strobe,Standard cd,Red SR-P Strobe,Standard cd,Red,Plain SR-SP - Strobe,Standard cd,Red,"FUEGO" Notes: All-P models have a plain housing(no"FIRE"marking on cover) • a All-SP models have"FUEGO"marking on cover; "Standard cd"refers to strobes that include 15,15/75,30,75,-95,110,and 115 candela settings. : - "'High cd"refers to strobes that include 135,150,177,and 185 candela settings. • M t�O/���ii� 3825 Ohio Avenue•St.Charles, IL 60174 ®2o14SystemSensor. �� JY ��I� Phone: •800-SENSOR2•Fax:630-377-6495 Product specifications subjecttochangewthou nonce.visnsysemsensoccom SENSO • for current.product information,including the latest version of this data sheet. R' wwwsystemsensoccom nvos1o2o1•1n4 I • .>> k. DURABLE THE STYLE OF SUCCESS D u R Ac L 1 p® 3 0. # , i i ,THE I) 1 0 i 0 . .A L ,fie , . „ II irali ,,, ,. , • • , , r.7 'Lem jam} i 6 , 'tom ,§ ..,.,. EI1p g ,gyp' .,.m wqd,s slt, µ,tf,OT Fl 4 0 r, h 1 D Better Handling 7' _ . ,w e n • 5 YEAR -4 � s GUARANTEE www.duraclip.com A d _ .. V > _ , ii, ,e - - e a x A +s =, x , ,, 220307 2203DB '' . r. ` , Dark Blue 07 Bleu Fonce 07 .{ 7 3j t. ' ,. ,. a 4 Y elf}.° v .6 16528 22041 9 `.-' `',1 - - DURABLE P0.8.1753 58634 ISERLOHN•GERMANY t ,. r. , . • - WWW.DURABLE.DE MADE IN GERMANY h jS s /ii ' a • • SYSTEM : _ : = ' ., �� SENSOR® t w-r T S) • Y v- - = 1F•- .r"".` y`'} Y I • C,,a. Intelligent ,, �� F • Single-ended t Reflected Type = ea Smoke Detectors r, . 1- The BEAM200 and BEAM20OS single-ended reflected beam smoke detectors are uniquely suited for protecting open areas with high ceilings where other methods of smoke detection are difficult to install and maintain. Features The System Sensor BEAM20O and BEAM20OS intelligent . - reflected beam smoke detectors are designed to be used with • 16 to 328 foot protection range. UL Listed compatible control panels only.Since all of the wiring is •. Single-ended,reflective design connected to one side,the installation of the single-ended reflective • Easiest alignment in the industry with digital display design is much easier than dual-ended projected beam detectors. Alignment is accomplished quickly via an optical sight and a 2 • 6 field selectable sensitivity levels digit_signal strength meter incorporated into the product.Listed for • • Optional integral NFPA 72 sensitivity test feature operation from—22°F to 131°F,the BEAM200 detector can be used • Removable plug-in terminal blocks in open area applications to provide early warning in environments where temperature extremes exceed the capability of other types of • Built-in automatic gain control compensates for signal • deterioration-from dust build-up smoke detection. • Remote test station available -- , The BEAM200 smoke detector includes one wired transmitter/ • Paintable cover receiver unit and one reflector.When smoke enters the area between • Optional heater kits available the unit and the reflector it causes a reduction in the signal.The alarm is activated when the smoke level reaches the predetermined threshold. • - • The BEAM200 device has four standard sensitivity selections along with two Acclimate'settings.When either of.the two Acclimate settings are selected,the detector automatically adjusts,its sensitivity L. „ . . - using advanced software algorithms to select the optimum sensitivity • 4 - for the specific environment. - • The BEAM200S model is equipped with an added feature,an - • Agency-Listings integral sensitivity test feature that uses a test filter attached to a - Servo motor inside the detector optics. Using the remote test station - RTS451/RTS151,-the motor is activated and moves the filter in the .. 0) SAC pathway of the light beam,thereby testing detector sensitivity.This 1111G/1 MSFM I` " :'l approved approved int•egral sensitivity test feature allows the user to.quickly and easily LISTED - .APPROVED pp - S91.1 - 3017888 7260-1209:229 - 53-04-E 2165 meet the annual-maintenance and'test<requirements of'NFPA 72. . • • BEAM200 and BEAM200S Specifications Operational Specifications - y `- ��_ � �� Electrical"Specifications(BEAMHKR) �, � Protection Range 16 ft to 328 ft(5 m to 100 m) Voltage 15 to 32 V Adjustment Angle ±10 Degrees horizontal&vertical Current 450 mA Max:at 32 V(per reflector) (The optics move independent of the unit) Power Consumption 7.7W at 24 V;15 W at 32 V(per reflector) Sensitivity Levels Level 1-25% BEAM200(S) Parts Level 2-30% Level 3-40% ° Level 4-50% �. rM - n(t►;,�ro E,, s, TMu AccllmateTM Level 1-30 to 50% r�-- � Acclimate Level 2-40 to 50% 1 Fault Condition(Trouble) 96%or more obscuration blockage ri,a ��c :al In alignment modeOP � a • Improper initial alignment a soa Self-compensation limit reached t�- '41 Alignment Aid Optical gunsight °^�=n °•VERT..OPT. _ "�a Integral signal strength indication mil• 2 digit display i Alarm Indicator Local red LED and remote alarm 50�- 4- E Trouble Indicator Local yellow LED and remote trouble . Normal Indicator Local flashing green LED Activated Test Feature Test/Reset Features Integral Sensitivity Test Filter(BEAM200S only, (BEAM200S only) requires additional externalpower supply) SERVO MOTOR • r1 pe le TEST FILTER Sensitivity filter(Incremental scale on reflector) Local test switch Local reset switch 0 �0B o 6 ,B. • Remote test and reset switch(Compatible with A I RTS451/RTS151 and RTS451KEY/RTS151 test V stmnts TM 411j1"-ft4i-li ITC) Smoke Detector Spacing On smooth ceilings,30 to 60 feet between projected beams and not more than one-half p I / that spacing between a projected beam and a sidewall.Other spacing may be used depending Ordering Information on ceiling height,airflow characteristics,and response:requirements.See NFPA 72. Part No."' Descri.tion , 1 ' Environmental Specifications a„ I BEAM200 Intelligent beam smoke detector with 8-reflector Temperature -22°F to 131°F°F(�0°C to 55°C) BEAM200S Intelligent beam smoke detector with 8-reflector and Humidity 10 to 93%RH Noncondensing integral sensitivity test Accessories Electrical'S.ecifications 3 , Voltage 15 to 32 VDC BEAMLRK Long range accessory kit(3)additional reflectors (Required for applications in excess of 230 ft[70 ml) Avg.Standby Current(24VDC) 2 mA Max BEAMMMK Multi-mount kit(Provides ceiling or wall mount capability Avg.Current During Testing 500 mA Max with increased angular adjustment for either the beam Alarm Current(24VDC) 8.5 mA Max cr the reflector.When installed with the transmitter/ Fault Current(24VDC) 4.5 mA Max receiver unit,BEAMSMK must be used as well) Alignment Mode Current(24VDC) 20 mA Max ' BEAMSMK Surface mount kit for use with BEAMSMK Mechanical Specifications _. _ - 1 6500-MMK - Heavy duty multi-mount kit(for installations,prone to Detector Dimensions 10 in,H x 7.5 in W x 3.3 in D vibration or where there is difficulty in-maintaining the (254 mm H x 191 mm W x 84 mm D) set angle When installed with the transmitter/receiver Reflector Dimensions(16'to 230') 7.9.in x 9.1 in(200 mm x 230 mm) unit,6500-SMK must be used as well)' Reflector Dimensions 15.7 in x 18.1 in(400 mm x 460 mm) 6500-SMK Surface mountkit for use with the 6500-MMK (beyond 230') BEAMHK •Heater kit for transmitter/receiver unit(See electrical Electrical Specifications(BEAMHK) 7, ,: .,. ; 1, ,, ,.ic requirements above) • Voltage 15 to 32 V BEAMHKR Heater kit for reflector(See electrical-requirements Current 92 mA at 32V above) -- - -power Consumption- --- 1.6 W at 24 V;3 W at 32 V .RTS451 KEY/ Remote test station-with key lock- RTS151KEY - • 'RTS451/RTS151 Remote test station used to initiate the NFPA sensitivity test function .: 1 - - -" ®2009 System Sensor•�*Th -SYSTE11/1 3825Ohio Avenue St.Charles, IL 60174 Product specihce6ons subiect to change without notice.Visit systemsensoccom 4 SENSOR' Phone:.800-SENSOR2•Fax 630-377-6495 for current product information,including the latest version of this data sheet '._; - --- _, - 'BMDS75401•07/09 . -- --- 1 . . - - . „ . ...„. - ..-.- . ,. • •-, ,. . . , . • • .,_:..,._.....„.i.:ve,avdog:,;,„,•.„, .: - , , ., .__..„,,,.,,,...,,•:::.,,,,,s,,,!,AthcTriny.ii.,;:in s2,_, ..... .- r,. 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( print page itti;. ); '::-:-'"'"Ll':: ::.-‘ 4--':'";•:-' ':'-' 1..- hDe'&141I; i6iiii.W,t;-„r;11:1292': .'7 - — Configure Circuits MtiltiPB.Y:q-',;.,s,----.:------,,,:-•',7, ,5...v-17:Tg...:66.14A".i' ,,,..---' oi.iilini,_----6B-alarc7.An',..i, igi...i3dr&,Required:.:‘,, ,. ---,-4- . _ . . " .. . • •.,.. - - ' , _.__,- - . _ . -. • • — _ _, ,...„... _. . . , .- ___. : .. , _ , : ., • • a = SILENT Model 5700 Basic Operating Instructions KNIGHT These Instructions must be framed and displayed next to the 5700 panel in �' accordance with NFPA 72 fire code for Local Protected Fire Alarm Systems. ° Test the system in accordance to NFPA 72. by Honeywell Operation Task to Perform Silence Alarms and troubles Press SILENCE then enter a code if prompted.Silence LED will light. Reset Alarms Press RESET then enter a code if prompted. Press ACK then enter anode if prompted.When the Alarm or Trouble is acknowledged an " .. A will appear in the annunciator display as shown Below. Acknowledge Alarms and F cknowled e Troubles m ,4 ; 'mark 9 Press the in or m button to view Alarms and Troubles. -n» View Alarms and.Troubles p <s a st I 0. 1. Press ENTER to access Main Menu,then enter a code if prompted. IConduct a Fire Drill . 2. Press 1 to select System Tests,then press 1 to select Fire Drill. m 3. Press ENTER to start the fire drill. m o 4. Press ENTER to end the fire drill. 1. Press ENTER to access Main Menu,then enter a code if prompted. t l 2. Press 2 to select Point Functions. o View a Points Status 3. Enter code if prompted,then press 2 to select Point Status.` a I 4. Select the module the device is located on by using the NI M.Then press « ENTER. c� 5. Enter the point number. 1. Follow steps.1 through 5 for viewing a point status. Check Detector Sensitivity 2. Press®to view detector sensitivity. 1. Press ENTER to access Main Menu,then enter a code if prompted. 2. Press 4 to select Set Time&Date.Enter a code if prompted Set Time and Date 3. Make changes in the fields on the screen as necessary. 4. Press ENTER if you wish to keep the changes. 5. Press ENTER to set the entered time and date. 1. ,Rotate the key or enter a code to access to access Main Menu. 2. Press 2 to select Point Functions. 3. Press 1 to select Disable/Enable Point. 4. Press 7 to Disable/Enable Pt. Enable/Disable a Point 5. Use the N or lei to move through the list.Then press ENTER to select the module where the point you want to disable/enable is located. 6. Enter the point or circuit number that you want to disable/enable. - zio 7. Press cm key to toggle between NORMAL(enable)or DISABLE. 1. Press ENTER to access Main Menu,then enter a code if prompted. View Event History- 2._. Press 3 to select Event History. 3. Press'the Hi �. or to view events in the history buffer. For Service Call — - __I__ PN 151297 Rev C ECN 13-0482 1 TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map = p�� Parcel 40 Application #�6 I Health Division Date Issued e Conservation Division Application Fee t Planning Dept. - - Permit Fee Date Definitive Plan Approved by Planning Board R Historic - OKH Preservation/ Hyannis I Project Street Address Z I 7 I M a i A S--- (i/c( J4 . 2-9,c3 2�' Village 8 win sl'"al l'e- Owner diot5+6,4— (-0vuL`4 y 61-1,1) l Address 13.6%4 3 (c( 18a,tillo+d-4 Imo, Adtti Telephone �Zt 3(2, 'l I (2)) • e9�� p , y Permit Request 0`r wl.©k°e `���SI l� �''-et�,c/" S k i!'1 l 1( �a `�-�J�ZC � ilocrt� �l Square feet: 1st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay - •- II Project Valuation 1 1 1 2 co.— Construction Type se 4 d-o! '1 t (�- y''P t :_ °'=ti Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family (# units) Age of Existing Structure Historic House: ❑Yes ❑ No On Old King'sCHighway: ,..0 Yes..AO No Basement Type: 0 Full CI Crawl ❑Walkout ❑Other n �. CD Basement Finished Area(sq.ft.) Basement Unfinished Area (sq.ft); '� Number of Baths: Full: existing new Half: existing new Number of Bedrooms: existing _new i! --I Total Room Count (not including baths): existing new First Floor RoomiCount — w Heat Type and Fuel: ❑ Gas . ❑ Oil ❑ Electric ❑ Other Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing wood/coal stove: ❑Yes 0 No Detached garage: ❑ existing ❑ new size_Pool: ❑ existing ❑ new size Barn: ❑ existing ❑ new size_ Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size Other: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes ❑ No If yes, site plan review# Current Use Proposed Use APPLICANT INFORMATION � (BUILDER OR HOMEOWNER) Name ,/° i 4 U-P,UI Z--r ' Tw-e,i/\ .--- 1, ii-ci-rnin&f--r-me.._ elephone Number roe 7 / g 01 / 6 C 5 Address 4 5 lit)II,LA I License # Ot) I -i/ V l I1zz, i4Ai D S'2"-" Home Improvement Contractor# Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO 1roh10! LI-Ad e1 SIGNATUREiri -L.,QDATE 7_ / I/ l ... — - FOR OFFICIAL USE ONLY . . A4PPLICATION# i . . _DATE ISSUED •-t•• fT.C• f.tkTE r . MAP/PARCEL NO.,.! .- .. .- . . . ,. , ADDRESS - 2.. • ' VILLAGE , . • OWNER .. i , . , • •i .c•- . DATE OF INSPECTION: ,. i. i 4.FOUNDATIOU FRAME • LINSULATIONA - "!','":N. iNt'Efl ,.> FIREPLACE , . c , ' ELECTRICAL: ROUGH . FINAL ) . ) PLUMBING: ROUGH FINAL •=, .1 'GAS:-437.,:s ROUGH iivi F.Pi iii A • FINAL EINAL BUILDING1c17,ititi,IATtiii:',zw. . DATE CLOSED.OUT. ;7..71 ,..... . 1 ASSOCIATION PLAN NO. , , • r ., • S \ The Commonwealth of Massachusetts `1 Department of Industrial Accidents n •" • Office of lrzvestigations (1/4..' . . 600' Was Ives n Street Boston;.MA 02 11� yy www.mass.gov/dia • • Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly 'Er d f11A I✓L it Name ($ustness/U'rrganizahoi�,llndrividuzl): -�'ili'1.���. � _ Address: 4 vV 1/1,L VS City/State/Zip: C 4 -CA(iL 11 la,.1 > #: S� � -7 7 l L' Ar you an employer?Check the appropriate box: Type of project(required): 1 1 am a employer with 4. ❑ I am a general contractor and I have'hired the sub contactors_ 6. ❑New construction employees.(fiitl and/Of part-tii'r.e),* - -- ._.❑ .___.. ... .. . 2.El am a sole proprietor.or partner- listed on the attached sheet. 7. Remodeling ship and have no employees These sub-contractors have g. ❑Demolition • working for in any capacity.. employees and have workers' 9. ❑ Building addition. [No workers'comp. insurance comp.insurance.$ required.] 5. :0 We area corporation and its 10.0 Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their 11.❑Plumbing repairs or additions myself. [No workers' comp. right of exemption per MGL 12.❑ Roof repairs insurance required.] t c. 152, §1(4), and we have no employees. [No workers' 13.❑ Other comp.insurance required.] • *Any applicant that checks box 41 must also fill out thc•scction below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they arc doing all work and then hire outside contractors must,submit a new affidavit indicating such. tContractors that check this box must attached an additional sheet showing'thc name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number, I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. �_ s Insurance Company Name: t r j _ LC� l �C 4 1 Policy#or Self-ins.Lic.#: -7 PTV1� 0731 `L"` Expiration Date: I��I -2- '. Job Site Address: C, 1 L I r"Le -i n S _ C ty/State/?ip: r � �� '�/l,/' o -- Attach a.copy of the workers' compensation policy declaration page(showing the policy number and expiration date �-'�� Failure to secure coverage as required under Section 25A of iMGL c. 152 can lead to the imposition of criminal penalties of.a fine up to$1,500.00 and/or one-year imprisonment, as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to.the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify under the pains and p alties of perjury that the information provided ahoy is t ueffand correct. -WI Sig 13'b�l nature: G(. .. Hate ....._ fJ Phone#:: 0 �S l/7 J Official use only: Do not,write in this area,to be completed by city or town official 1 City or Town: Permit/License icense#__ 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#: RightFax N1-1 7/8/2011 6: 49: 49 AM PAGE 2/002 Fax Server ACORD. CERTIFICATE OF LIABILITY INSURANCE 07/08/2011 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON NE 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:N the certificate holder is at ADDITIONAL INSURED,the policy(ies)must be endorsed. If SUBROGATION IS WAIVED,subiectto the terms and conditions of the policy,certain policies may require and endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT NAME: PHONE FAX GOLDMAN&ASSOCIATES INS (A/C,No,Ext): FAX (A/C,No): 4527 FALMOUTH ROAD • EMAIL ADDRESS: PRODUCER COTUIT,MA 02635 CUSTOMER ID 1f: 77NHW INSURER(S)AFFORDING COVERAGE NAIC# INSURED INSURER A: TRAVELERS DIRECT ASSIGNMENT INSURER B: WENZEL FRAMING INC INSURER C: INSURER D: 45 WHIDAH WAY INSURER E: CENTERVILLE,MA 02632 INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POUCIES 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 POUCIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR - ADDLSUBR- POLICY EFF DATE POLICY EXP DATE TYPE OF INSURANCE POLICY NUMBER (MMIDD\YYYY) (MMIDD\YYYY) LIMITS LTR INSR WVD GENERAL LIABILITY EACH OCCURRENCE $ COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED $ CLAIMS MADE OCCUR. PREMISES(Ea occurrence) MED EXP(Any one person) $ PERSONAL&&ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ POLICY PROJECT LOC PRODUCTS-COMP/OP AGG $ AUTOMOBILE LIABILITY COMBINED SINGLE $ ANY AUTO LIMIT(Ea accident) ALL OWNED AUTOS • BODILY INJURY $ SCHEDULE AUTOS (Per person) HIRED AUTOS BODILY INJURY $ (Per accident) NON-OWNED AUTOS PROPERTY DAMAGE• $ (Per accident) UMBRELLA LIAB OCCUR EACH OCCURRENCE • $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DEDUCTIBLE $ RETENTION $ . WC STATUTORY LIMITS OTHER WORKER'S COMPENSATION AND EMPLOYER'S LIABILITY Y/N UB-0731N449-11 07/11/2011 07/11/2012 E.L.EACH ACCIDENT $ 100,000 ANY PROPERITOR/PARTNER/EXECUIIVE N - - E.L.DISEASE-EA EMPLOYEE $ 100,000 OFFICER/MEMBER EXCLUDED? (Mandatory in NH) E.L.DISEASE-POLICY LIMIT $ 500,000 It yes,describe under DESCRIPTION OF OPERATIONS below • DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/RESTRICTIONS/SPECIAL ITEMS THIS REPLACES ANY PRIOR CERTIFICATE ISSUED TO THE CERTIFICATE HOLDER AFFECTING WORKERS COMP COVERAGE. CERTIFICATE HOLDER CANCELLATION TOWN OF BARNSTABLE SHOULD ANY OF THE ABOVE DESCRIBED-POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN ACCORDANCE 367 MAIN ST WITH THE POLICY PROVISIONS. • AUTHORIZED REPRESENTATIVE • HYANNIS,MA 02601 - Charles J Clark ACORD 25(2009/09) 1988-2009 ACORD CORPORATION. All rights reserved. •'.. Massachusetts Department of Public 5;il 1 4 Ry. Board of Building Re tii itiuns and Stantl;irtla Construction Supervisor License License: CS 9055 Restricted to: 00 t MARK A WENZEL :ma, lam 45 WHIDAH WAY """" CENTERVILLE, MA 02632 't .,. ' �,' ---..:.-s-%t�� Expiration: 6/17/2012 ` t'aunmi..<i..aer Tr=: 26980 t f e 4.9) ow,uoecmlr 6 r,/.. ieKriietehe ae License or registration valid for individul use only .a Office of Consumer Affairs&Bdsiness Regulation g 4,6 HOME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: i lipRegistration; 100285 Type: Office of Consumer Affairs and Business Regulation i 10 Park Plaza-Suite 5170 I / Expiration: 6/15/2012 Private Corporation Boston,MA 02116 1 WENZEL FRAMING,INC. Mark Wenzel n4 ,3,.....„. •45 Whidah Way .«s=..u--., , �.— _ t _ Centerville,MA 02632 Undersecretary Not valid without signature I i '::-"41 • • • oFT Town of Barnstable ' :EU ti. Regulator y ry Services • : SAaxsr,R.� � _ .,$�' Thomas F. Geller,Director ` '°TFa, '' Building Division Torn Perry,Building Commissioner . 200 Main Street,Hya*m;s,MA 02601 • • www.to wn.b arnstab le.ma.us • Office; 508-862-4-03 8 • - Fax: 508-790-6230 • • Property Owner Must . Complete and Sign This Section ' If Using A Builder • I \(1 c tk 1 al ► L 0 l , as Owner of the subject property . hereby authorize V '° l irk \.. v i J to act on na7 bP1-1a}f •n all matters relative to work authorized by this building permit application for. • • on 1 . }main 5-3- 6.6,01"cf. 1., A 6 Y 3 0 (Address of Job) • j. ,te., aiL /L-4,4 7 5 Signature of Owner 1 D te • • li/C- R I M.‘114- -1-1/2-A-ti F. . • .. . . Print Name • If Property 0wuer.4 applying for peirnitplease corn lete.the • Homeowners License Exemption Form on the p P reverse side. • • ��of THE ray . Town of Barnstable . yam. ; ,s. Regulatory Services Thomas F. Geller, Director - • .�43¢ .bf Building Division - • �fOd Tom Perry,Building Commissioner • 200Maui•StrcH_Hyannis, MA 02601 • v.town bfra astoble.m..us • Office_ 508-862-4038 Fax: 508-790-6230 • HOMEOWNER? Cr-MU EXEhfFTTON P ease Print •\ . DATE N • ' JOB LOCATION: \ , • number street . village 1 "HOMEOWNER": • name home phone# work phone# 1 . VII . . CURRENT MA.il1N0:ADDRESS: • • city •• slain codeaPdc The current exemption for"homeowners" • : ...a d to include owner-occupied river-1V-nzs of six units or less and to allow homeowners to engage an individual `,x;• lure who does not possess.a license,prodidcd that the owner acts as supervisor. • D 31I 3t ON OF HOMEOWNER • Person(s)who owns a parcel of land on which ne/sh rgirles or intrnds to reside,on whiehthcre is, or is intended to• be, a one or two-family dwelling attached or. tat-hr• • an accessory to such use and/or farm structures. A • person who constricts more than One home in- two-ye- .eriod chap not be considered a homeowner. Such "homeowner"shall submit to the Bmlding O Cial on,a fo... acceptable to the Building Official, that he/she shall be r •orisible for all such work .ecfomicd•r nderthe btuldin: • I. (Section 109.11) • The undersigned`homeowner"same=s resp.I, ibility for comp cc with the State Building Code and other . applicable codes, bylaws,rules and regulations!. The undersigned"homeowner"certifies that.h /she,understands the Town •f Barnstable Building Department - minimum inspection proc,-artres and r-• • .•...a.. and that heishc will camp'•\ with said proccdtn-es and requirements. . . Signatisre of Horneriwner ! . • Approval ofBuildmg•Ofcial • - . \ • • ' ' Note: Three-family dwellings containing 5,000 cubic feet or larger will be r • • to comply with the • State Building Code Section 127.0 Construction Control. • • . E"O1lrO WKER'S EXEMPTION • • •The Code states that "Any homeowner performing work far which a building parrot is required shall be exsxrpt from the provisions f this section(Section 1 D9.1.l-Licensing of construction Supervisors);provided that if the homeowner engages a pas-cogs)for hire to do such mark,that such Herncawner shall act as supervisor." luny bomeownas who use this ersmptitm are unaware that they are zssuming the responsibilities of a supervisor(see Appendix Q, ides&Regina lions for Droning Construction Supervisors,Section 113) This lack of awareness'often results in serious problems,particularly . urn the homeowner hires ualir►nerrl passions. In this ease,ow Board cannot proceed against the rmlice nsed person as it would with a licensed • pervisor. The homeowner acting ss Supervisor is ulthrntely responsible. To ensure that the homeowner is furly swim cif hislheriupoasrbilitics,many canarnumities require,as part of the permit application, t the homeowner certify that he/she understands the responsibilities of a Supervisor. On the last page of this issue is a.form currernay used by • The Commonwealth of Massachusetts William Francis Galvin- Public Browse and Search Page 1 of 2 -.4m.:- -�.�;' �,,,, The Commonwealth of Massachusetts 4, , `N'� William Francis Galvin ,n 1 ��'_ 3 I i Secretary of the Commonwealth, Corporations Division 1.1, # , One Ashburton Place, 17th floor ' 'A .>,' Boston,MA 02108-1512 k y,'�� Telephone: (617)727-9640 BARNSTABLE COMEDY CLUB, INC. Summary Screen 0 Help with this form Request'a Certificate I The exact name of the Nonprofit Corporation: BARNSTABLE COMEDY CLUB, INC. Entity Type: Nonprofit Corporation Identification Number: 237431294 Old Federal Employer Identification Number(Old FEIN): 777999373 Date of Organization in Massachusetts: 12/07/1961 Current Fiscal Month/Day: / Previous Fiscal Month I Day:00 i 00 The location of its principal office in Massachusetts: No. and Street: 3171 MAIN STREET • City or Town: BARNSTABLE State: MA Zip: 02630 Country: USA If the business entity is organized wholly to do business outside Massachusetts,the location of that office: No. and Street: City or Town: State: Zip: Country: The name and address of the Resident Agent: Name: No. and Street: City or Town: State: Zip: Country: The officers and all of the directors of the corporation: , Title Individual Name Address(no Po Box) Expiration First,Middle,Last,Suffix Address,City or Town,State,Zip Code of Term PRESIDENT LINDA M.STEVENS 280 OLD MAIN ST,S YARMOUTH,MA 02664 USA 280 OLD MAIN ST.,S. YARMOUTH,MA 02664 USA TREASURER VICKI R.MARCHANT 424 COMMERCE RD., BARNSTABLE,MA 02630 USA 424 COMMERCE RD., BARNSTABLE,MA 02630 USA CLERK GERALYN MOQUIN 8 HUNTER'S TRAIL, SANDWICH,MA 02563 USA 8 HUNTER'S TRAIL, SANDWICH,MA 02563 USA Consent _ Manufacturer _ Confidential Data _ Does Not Require Annual Report http://corp.sec.state.ma.us/corp/corpsearch/CorpSearchSummary.asp?ReadFromDB=True... 7/1 8/20 1 1 The Commonwealth of Massachusetts William Francis Galvin - Public Browse and Search Page 2 of 2 Partnership _ Resident Agent _ For Profit _ Merger Allowed Note:There is additional information located in the cardfile that is not available on the system. Select a type of filing from below to view this business entity filings: ALL FILINGS IC= Annual Report rid Application For Revival Articles of Amendment Articles of Consolidation-Foreign and Domestic View Fflin9s `� Nsw Search 4! Comments ©2001-2011 Commonwealth of Massachusetts All Rights Reserved Help http://corp.sec.state.ma.us/corp/corpsearch/CorpSearchSummary.asp?ReadFromDB=True... 7/18/2011 TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map a 01 Parcel 0o�1•:;, Application #ol 0 SO(0273 Health Division Date Issued I Conservation Division Application Fee RV Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board Historic OKH Preservation /Hyannis Project Street Address 3\1 I mot;i fr Village Owner \ tli 5 (it&fk&IIA .Q3k,sVi d Address` r) _ to I Telephone ���-�(pc�- �1-G:")) CD Permit Request cn c Square feet: 1st floor: existing proposed 2nd floor: existing proposed Total neW Zoning District Flood Plain Groundwater Overlay Project Valuation \ (� C-S) Construction Typele Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family(# units) Age of Existing Structure Historic House: Cl Yes ❑ No On Old King's Highway: ❑"es ❑ 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: U Yes ❑ No Fireplaces: Existing New Existing wood/coal stove: ❑ Yes ❑ No Detached garage: ❑existing ❑ new size_Pool: ❑ existing ❑ new size _ Barn: ❑ existing ❑ new size_ Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes ❑ No If yes, site plan review # Current Use Proposed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name0 -1 4 F n })Vc(Yl Telephone Number Address YARLthOlAk License# 1�-t104c - >\uk s cnl ci"3.5 Home Improvement Contractor# I0C)7 /0 Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE fe DATE ,1 6I 6 1, FOR OFFICIAL USE ONLY t APPLICATION# DATE ISSUED a MAP/PARCEL NO. t. I ADDRESS VILLAGE ! OWNER i i i DATE OF INSPECTION: C i FOUNDATION • )• FRAME ' • r INSULATION FIREPLACE --� ELECTRICAL: ROUGH :FINAL : i . PLUMBING: ROUGH FINAL ' - GAS: ROUGH :FINAL ' f . FINAL BUILDING DATE CLOSED OUT • ASSOCIATION PLAN NO. r. 5 • lL. _ _ - - - Page 7 of 7 CAPIZZI HOME IMPROVEMENT INC. SPECIFICATIONS AND ESTIMATES STATE OF MASSACHUSETTS LETTER OF AUTHORIZATION TO APPLY FOR A BUILDING PERMIT I, OWN THE PROPERTY LOCATED AT IN , MASSACHUSETTS. I HAVE AUTHORIZED CAPIZZI HOME IMPROVEMENT TO ACT AS MY AGENT TO APPLY FOR A BUILDING PERMIT IN ACCORDANCE WITH 780 CMR, THE MASSACHUSETTS STATE BUILDING CODE. I GIVE MY PERMISSION TO LESSEE TO APPLY FOR A BUILDING PERMIT IN ACCORDANCE WITH 780 CMR, THE MASSACHUSETTS STATE BUILDING CODE. SIGNATURE OF OWNER: _Biti��! OWNER'S ADDRESS: OWNER'S TELEPHONE: LESSEE'S SIGNATURE: LESSEE'S ADDRESS: LESSEE'S TELEPHONE: APPLICANT'S SIGNATURE: APPLICANT'S ADDRESS: 1645 Newtown Rd., Cotuit, MA 02635 APPLICANT'S TELEPHONE: 508-428-9518 RESPONSIBLE OFFICER: RESPONSIBLE OFFICER ADDRESS: RESPONSIBLE OFFICER TELEPHONE: The Commonwealth of Massachusetts Department of Industrial Accidents l Office of Investigations ='iiit= 600 Washington Street otv.:•= Boston, MA 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information _ Please Print Legibly Name (Business/Organization/Indigl Home Improvement Inc. 1.645 Newtown Road Address: Cotuit, MA 02635 Tel.428-9518 I 1-800-262-5060 City/State/Zip: Phone.#: Are you an employer? Check the appropriate box: Type of project(required): 1.,� I am a employer with 3 4. ❑ I am a general contractor and I 6. ❑New construction employees(full and/or part-time).* have hired the sub contractors listed on the attached sheet. 7. ❑ Remodeling 2.El I am a sole proprietor or partner ship and have no employees These sub-contractors have 8. ❑ Demolition working for me in any capacity. employees and have workers' 9. ❑ Building addition [No workers' comp. insurance comp. insurance.$ required.] 5. 0 We are a corporation and its' 10.0 Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their 11.0 Plumbing repairs or additions myself. [No workers' comp. right of exemption per MGL 12.❑ Roof repairs insurance required.] t c. 152, §1(4),and we have no employees. [No workers' 13.❑ Other comp. insurance required.] "Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: fd 1 r t ` Policy#or Self-ins. Lic. #: C �� [�` Expiration Date:\'(,,��\&_`•4(3 Job Site Address()l1' \('\N City/State/Z : 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 via/tor. Be advised that a copy of this statement maybe forwarded to the Office of Investigations of the,,DIA for insura-re cove age verification. I-do hereby-certi - nder-the-pa' •a p allies-of perjury-that-the--information provided-aboove-is-true-and-correct.--- - - Signatur • / Date: o1a Phone#: ���� -L�'�(� g T Official use only. Do not write in this area, to be completed by city or town official City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: • • • r . Ta—ea&A ar..v taaaci ute.0, Board of Building Regulations and Standards License or registration valid for individul use only ' r HOME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: Is01 (—P\ Re str tlP,P:, 100740 Board of Building Regulations and Standards + eg , e1[3 One Ashburton Place Rm 1301 72 ,, Wxptra 1Qn 60'23/2010 Boston,Ma.02108 V't_,- TjY e._t&pplement Card CAPIZZI HOME IM _R V" M: t 1T13,1 tARY GUSTAFS©t " 17 I`j 1645 Newton Rd. ,,.! ";>/ C ,,,,, Cotuit,MA 02635 Administrator No vali itho t nature J � ,j.�, t a/,.,/ z�� , .: Board of Building Regulations and Standards :;_ 1 • Construction Supervisor License •. License: CS 74640 _4'' Birthdate: 11/29/1975 "" Expiration: 11/29/2008 Tr# 6430 •''-M' Restriction: 00 GARY GUSTAFSON 8 SHORT WAY �"G"' —--— SANDWICH, MA 02563 Commissioner Client#: 47298 CAPIHOM_—______ i ACORDT. CERTIFICATE OF LIABILITY INSURANCE 0DATE I 6/12/2008YYY) PRODUCER ) THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Rogers&Gray Ins.-So. Dennis ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 434 Route 134 HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. P.O. Box 1601 I South Dennis, MA 02660-1601 1 INSURERS AFFORDING COVERAGE NAIC# INSURED 'INSURER A. NGM Insurance Company Capizzi Home Improvement, Inc. INsL.RER E. American-Home Assurance J Capizzi Enterprises, Inc. !,NsOR=P C. 1645 Newtown Road _.._. _.—. INSURER D Cotuit, MA 02635 INSURER_ -- — — — — — --I 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 PCLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED SY PAID CLAIMS. INSR ADD'L I I POLICY EFFECTIVE i POLICY EXPIRATION ' LTR INSRC TYPE OF INSURANCE I POLICY NUMBER DATE(MMIDD/YY) DATE(MMIOD/YYI . LIMITS A GENERAL LIABILITY IMPB107:5H !06/08/08 '06/08/09 II:AC,iocc!RRENCE $1,000,000 X COMMERCIAL GENERAL JABIL:T . !I DAMAGE O TO RENTED $50 000 ( � R.NOSES 14a occurrence) � j CLAIMS MADE X CCC:.W MED EXP(Any one person) $10,000 --- . 'ERSIJNAL&AOV INJURY $1,000,000 GENERAL AGGREGATE $2,000,000 GENT.AGGREGATE LIMIT APPLIES PER I PRODUC rS-COMP/OP AGG $2,000,000 .— I I I POLICY I JECT l _�� ` —__ AUTOMOBILE LIABILITY !COMIS',NED SINGLE LIMI I $ I ANY AUTO (Ea acc,dent) IALL OWNED AUTOS _ 6001;.', iNuUIW ($ — I SCHEDULED AUTOS '(Per oersun) HIRED AUTOS H---- Ef:l):..':NJUHY i i NON-OWNED AUTOS. I Pr;r aca,nenQ $ • { --- PROPERTY DAMAGE • Pi«acunent $ i — — -- GARAGE LIABILITY 'AUl<1 ONLY-EA ACCIDENT $ I I ANY AUTO • EA ACC $ .I j AUTO ONLY AGG $ A EXCESS/UMBRELLA LIABILITY iCUB1076H i 06/08/08 06/08/09 I EACH OCCURRENCE $5,000,000 X OCCUR 1 CLAIMS i MADE _._ — - AGGREGATE $5,000,000 $ DEDUCTIBLE L_..._.-_-------- $ -_---,— X I RETENTION $10000 i i.X .'NC STATU- ti.� —_____ __ B WORKERS COMPENSATION AND WG6716562 12/25/07 12/25/O8 I X '-: y l i ITS ---EMPLOYERS'LIABILITY i — ANY PROPRIETORIPARTNERIEXECU''iVE `_= EACH ACCIDENT $500,000 OFFICER/MEMBER EXCLUDED? DISEASE-EA EMPLOYEE $500,000 If yes,oescnbe under i`'-- SPECIAL PROVISIONS below —.--_-- ; '?SEAS%-POLICY LIMIT $500,000 OTHER • --- - • 1 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES!EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS Carpentry CERTIFICATE HOLDER CANCELLATION (SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION Town of Barnstable 1DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL in DAYS WRITTEN 200 Main Street !NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO 00 SO SHALL Hyannis, MA 02601 !IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR 1REPRESENTATIVES. I AUTHORIZED REPRESENTATIVE ACORD 25(2001/08) I CIL' LA ., y� _ 1 of 2 #S36540/M36539 KW © ACORD CORPORATION 1988 Mai'n Urn ,.•��E -FIRF BARNSTABLE FIRE DEPARTMENT (,Sd SZi a•� 3249 Main Street—P.O. Box 94 * 1927 . Barnstable,Massachusetts 02630 , qqs 508-362-3312 FAX: 508-362-8444 Robert M. Crosby Glenn R.Coffin FIRE CHIEF DEPUTY FIRE CHIEF rcrosby@barnstablefire.org gcoffin@barnstablefire.org December 9, 2003 Mr. Thomas Perry Via Registered Mail Building Commissioner 7002 0860 0008 3536 8828 Town of Barnstable 200 Min Street Hyannis, MA 02601 � � .wy .N ,G ? •r` y ' Dear Thomas,,',,, ' t , • -Please note�the enclosed;documentation concerning�the=BarnstableComedy �*�id F.a 1 i ? a fir £ zS# reams Club. I have attempted,to contact the property managfer. MrDennis Marchandt, several t mes over t,hepast few months oncerning theefire retardant status of the t stage curtain I-have._attempted tom nta t him repeatedly. since October�2003 and he has not responded to£my queries Iihave also�enclosed,a co„ of?a letter l?Y� to Thomas Geiler notifying him that unless thestagcu ertain,is,addressed in an acceptable fashion on or before December 31, 2003,. we will seek a hearing for license revocation. In addition we will request that your office assist us in preventing any further performances at the Comedy Club until the curtain issue is resolved. I am sure you agree that in the wake of the tragedy in Warwick, RI last winter, we cannot place the public in jeopardy due to potentially flammable decorations in theater occupancy. Should you have any questions regarding this matter, please feel free to contact me. Sincere // 0,0 'r= offin,,Deputy.Chief _. . • mo t'. `.4 y ..� `r "" 1. - 'F1�., ."i.E,,"y 'l J :� 3•,s., 1-Thomas Geller: Licensing-Agent .(;, ,e, ,. 1-Dennis Marchandt, Barnstable Comedy Club www.barnstablefire.org f ;r'�LE FIR ''••.. BARNSTABLE FIRE DEPARTMENT ir;4, —Q— a•,A 3249 Main Street—P.O. Box 94 I', gym' 1927 ;'y Barnstable,Massachusetts 02630 (5." , • �SS ACHUSG,;,.''; 'N,), r 0\\\ 508-362 3312 FAX: 508-362-8444 Robert M. Crosby Glenn B.Coffin FIRE CHIEF f DEPUTY FIRE CHIEF rcrosby@barnstablefire.org gcoffin@barnstablefire.org December 10, 2003 Mr. Thomas Geiler, Licensing Agent Via Registered Mail Town of Barnstable 7002 0860 008 3536 8819 200 Main Street Hyannis, MA 02601 'kt, ,,„... , -,,,, , 1 .. . ,4,, ' ,;,,...-:;I,,, ,,7,://':,.. i tr e'er '+. y ,- ^y., Dear Mr Geiler: y . ,,,^ i�( I �,1-i 2r`i t. av i,.. e.„,,. ,, "" LS a „„0�r,tt':fs3. j j ,�r � t s g ,,,,v,,o r 'flee 'fix ley r �r�f.y+ > T �# t1 tr I have enclosed for your perusalxa letter l forwardedYto{they Barnstable Comedy-Clubton October,29, 20�03 This letter outlinedlthe need fyo,�r fire ; retardant, treatrnent and.update•onkthe:stage.curtainafithisToccupancy I have subseque�n"t�qly'attempted to�contactttheg-,i�3n� anagerr, ,M Dennis Marchandt� regarding the stage.curtain'on Novembber 12; 2003�and ,again on December 9, ' f Fa rr , VMW f� 5 Wit " 2003. To-d'ate,1I have had no�res onse frog Mr.Marchandt This letter is intended to officially notify you that if the curtain is ,taddressed prr'to December 31, 2003, we will have4,no other choicefitoa,request your office to undertake revocation procedures'for the Comedy. Club license. -In addition, we will seek to have all further performances cancelled in the Comedy Club until the stage curtain is addressed satisfactorily. Should there be a specific procedure that we need to follow, please notify us in order that we may minimize delay . Sinc in, Deputy C . 1-Denni March ndt, Barnstable Comedy Club 1-Tho s Perry, Building Commissioner www.barnstablefire.org ARNSTA LE FIRE DEPART EN S► . ,7 i4,,cPsusy�o sA. 3249 Main Street—P.O. Box 94 _ ® Barnstable,Massachusetts 02630 �``" 0.) �` qs _.f? ` 508-362-3312 FAX: 508-362-8444 Robert M. Crosby Glenn B.Coffin i FIRE CHIEF DEPUTY FIRE CHIEF rcrosby@barnstablefire.org gcoffin@barnstablefire.org December 9, 2003 Barnstable Comedy Club Via Registered Mail 3171 Main Street 7099 3220 0002 0311 2438 PO Box 361 Barnstable, MA 02630 ATT: Mr. Dennis Marchandt 't t'` ?;' Dear Mr4tM{a�rchandt r {` £� � _ , e. xrI ,q,� (f� , 4,•- '�4 F�i✓'yTfl r l_ fj k �p�, "Y.*iY$,}��•Y4�,tJ� Ax¢'��. ��. � �'K��aY�2 ,ggp4 3}� ,? �,�jyl') j ' j, :7c1,, 1.P R , iik; S",tzk �i Rafffj___ idgiode tt i� `,,{.1 ip - On October 29, 2003 I sent-a7letter}to you notifying tie Coyne )yI#°Club that the stage curtain needed toAbel''receiirtified"`In,regards,to`its fire retardant Since gS ��" »3 1 { 3�S� i�i�� � ��rv`t�vSx, y �,q t�,t a °fif�n 4 .T r P1 ""s� $t $ k �y. that letter ha le attempted to conta4ct=yout ,o other times b> telephone The '#�� i`.L'3 x F.t 1 F1 b v h ) % tt'�, i By sry# C�.;�wlic'.,. +c Pifi .' `St* =`:t first was on November 12,'200S at 1537 h urs nand thhe seco d time:on u December 9, 2003 at 0850°hours T:o date, I"have7not. ece.ved;.a re turn call from you. I am most concerned regarding the:fire retardancy ofuthe stage curtain. This curtain appears to no longer`have an-acceptable-certification regarding flame retardancy. In view of the importance of fire retardant materials in a theater and in the wake of the tragedy in Warwick, RI last year, we are very concerned with the curtain at the Comedy Club. It is essential that the curtain be addressed in a satisfactory manner on or before December 31, 2003. In the event that it is not addressed, we shall take steps to prevent performances in the Comedy Club and request a hearing to revoke the Comedy Club license through the Town of Barnstable Licensing Agent. As always, I am most willing to do whatever is necessary to facilitate you in this project. Sin . i , De 1-Thomas Geiler, Licensing Agent 1-Thomas Perry, Building Commissioner www.barnstablefire.org TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Z9 9 Parc//el// Permit# > 7 S'S - Health Division Tou(K,,rrp e/o0 Date Issued /0 I — S/ Conservation Division A $', / //3 o� Fee iqg , 70 Tax Collector CONK CTED SEWER ACCOUNT /OOP ' Treasurer 90ac o IC 10 7/5 /b Planning Dept. / 3/ Checked in B Y Date Definitive Plan Approved by Planning Board Approved By ( V Historic-OKH pr D1" 16 � r ervation/Hyannis Project Street Address 3/7/ /'141A0 Village ./ 2.10S1M(1i Owner 6 1.,10-0iO3t d (iinith' 6606 Address "Cz dOX 3 / .6/9 ,5 /71(/‘ Telephone Permit Request ST/2I/° /,Ak/.SZ/b6' (0/6)/10-6 /)0,St/LAIf/�sto7 7;v�C_ AVigt ) /ASL1MflG7 ,©i �IS'p a- s267P `l 106 ( ?aci/ 6i,i 60 Jag Square feet: 1st floor: existing proposed 2nd floor: existing proposed Total new — Valuation "c-?1/��iO Zoning District Flood Plain Groundwater Overlay J Construction Type Lot Size Grandfathered: ❑Yes ❑No If yes, attach supporting documentation. • Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family(#units) Age of Existing Structure Historic House: ❑Yes ❑ No On Old King's Highway:! ❑Yes - J=No Basement Type: ❑Full ❑Crawl 0 Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) • Number of Baths: Full: existing new Half: existing r=;s newer Number of Bedrooms: existing new cp Total Room Count(not including baths): existing new First Floor Room Cunt Heat Type and Fuel: ❑Gas ❑Oil ❑ Electric ❑Other Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑ No Detached garage:❑existing ❑new size Pool:0 existing ❑new size Barn:0 existing ❑new size Attached garage:0 existing ❑new size Shed:❑existing ❑new size Other: Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes ❑No If yes, site plan review# Current Use - Proposed Use BUILDER INFORMATION Name C4/'/ 4S.S D(_. 41 :f /1W. Telephone Number Address Aa. 46) t '3 License# _?Old d42,,s4- /0:363 /�i0,. 0-00 Home Improvement Contractor# /'L/i2//,O Worker's Compensation# £iG�S``1()\< So v/Zoo ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO J%UItJ A� (-)f d/44/1006 SIGNATURE a/1---�' DATE /175/Y8a FOR OFFICIAL USE ONLY - PERMIT NO. DATE ISSUED MAP/PARCEL NO. r `` ' ADDRESS VILLAGE _ r OWNER DATE OF INSPECTION: FOUNDATION FRAME �7 O C3 INSULATION m FIREPLACE -_ 0 ELECTRICAL: ROU @ H FINAL PLUMBING: (ROUGH FINAL <'C GAS: (ROUGH FINAL S FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. /�iaiz wS , c t 'do); cti oFt - Town of Barnstable Regulatory Services BARNSTABLE, • MASS.1Thomas F.Geiler,Director 6;pS �0� 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 I, b h/f1/I S f 14 f}1��-f-t�-n/% ,as Owner of the subject property hereby authorize C72,a Ard )6/%7-15,l`r//G, to act on my behalf, in all matters relative to work authorized by this building permit application for: 3/ / /7/9/ J ,eAZ/V5%/e&—C • (Address of Job) 10 0-4 (2C _ Signature of Owner Da e 6iv-nr WI A 0,4 NT Print Name Q:FORMS:OWNERPERMISSION R ' TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Z 9 9 Parcel Z-4 ' I, 4-4 Permit# (._ � Health Division 'Date Issued '//As/O°. Conservation Division / t � V-/aV/od- • Fee 173• Tax Collector Treasurer.l 6,1) 4/Q4/U PlanningfDept. Date Definitive Plan Approved by Planning Board • Historic-OKH Preservation/Hyannis Project Street Address 3/1/ Aviv 3•r r Village / 436.11 Owner 492WG7 ii' 2 /7IO' GG U.(3 d Address Ad We J / 41120ISS.6 Telephone 34Z - 6 333 Permit Request ,S?"1.A /1)cAS7I!0C (1-3>9/4/41?) 156 LiV -92/0/2 NB'to sI0dloAv _ / wit) .162,tS-s 0oD't, C//J.J.alioG,y Square feet: 1st floor: existing 2 6 6 proposed 2nd floor: existing proposed Total new Estimated Project Cost / ) 660 Zoning District V/3 -A Flood Plain Groundwater Overlay Construction Type Lot Size Z.3, /�9 e71 Grandfathered: !. Yes ❑No If yes, attach supporting documentation. Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family(#units) Age of Existing Structure /2 Z. Historic House: Yes Cl No On Old King's Highway: aYes ❑No Basement Type: ❑Full 4f Crawl .❑Walkout ❑Other Basement Finished Area(sq.ft.) . Basement Unfinished Area(sq.ft) Z 6 6 Number of Baths: Full:existing new Half:existing new Number of Bedrooms: existing new • Total Room Count(not including baths): existing new First Floor Room Count Heat Type and Fuel: ❑Gas ❑Oil ❑Electric ❑Other Central Air: ❑Yes ❑No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑No Detached garage:❑existing ❑new size Pool:❑existing ❑new size Barn:❑existing ❑new size Attached garage:❑existing ❑new size Shed:❑existing ❑new size Other: Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial (At Yes ❑ No If yes,site plan review# S/5'2 D/--2000 Current Use Proposed Use BUILDER INFORMATION Name 4,s°,1 /4SSO G/,Q,1 c 2426. Telephone Number J2 - 0 Address "0-.610x /6S6 License# 6s/>30/0 �• �i�,S7A24'i) //A GZ IS ) Home Improvement Contractor# /Go//O Worker's Compensation# ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO , ZJ/vAb DY' 6DUiZ,eta2i SIGNATURE /� \..) i% DATE _ 9- ZO - o 0 /d/L//A' S Ltd)Pi FOR OFFICIAL USE ONLY - . . PERMIT NO. s % t (° -DATE ISSUED h "' MAP/PARCEL NO. ' r:• ADDRESS VILLAGE f . OWNER Y 4 , G4 4 ,_ • i t DATE OF INSPECTION: y 0 FOUNDATION i., Cr...z2 'o ,/7/6-- - ., ! FRAME �l INSULATION ' - .12 FIREPLACE 4 ELECTRICAL: ROUGH f FINAL .`" ' '`' ` PLUMBING: ROUGH FINAL II�f� GAS: ROUGH FINAL ° I FINAL BUILDING - .~ - ' • t 4 . DATE CLOSED OUT .. f ASSOCIATION PLAN NO. ° ° . IIIfPPI ' . ` - (---, .c,„,_,.._:.,i--__..,,,,,, The Town of Barnstable '9� �� Department of Health Safety and Environmental Services o M4 7 Building Division 367 Main Street,Hyannis MA 02601 Office: 508-862-4038 Ralph Crossen Fax: 508-790-6230 Building Commissioner • February 7, 2000 Will Swift 1 C/O Cape Associates P. O. Box 1858 N. Eastham, MA 02651 Re: SPR 01-2000, Barnstable Comedy Club, 3171 Main Street., Barnstable Dear Mr. Swift; Please note that the site plan application submitted in regards to the above mentioned project was approved on January 6, 2000, with the following condition: Board of Health regulations concerning the dumpster shall be satisfied. • -SifIcerely, (\‘'16(IfiU etAl-r&/° Ralph Crossen, Building Commissioner q/bldg/wpfiles/siteplan/site00/comedy ' TOWN OF BARNSTABLE SIGN PERMIT N. PARCEL ID 299 026 GEOBASE ID 21114 ADDRESS 3171 ROUTE 6-A (BARN) PHONE Barnstable ZIP - LOT BLOCK LOT SIZE DBA DEVELOPMENT DISTRICT BA PERMIT 20728 DESCRIPTION BARNSTABLE COMEDY CLUB (34" X 54" ) PERMIT TYPE BSIGN TITLE SIGN PERMIT CONTRACTORS: ,' Department of Health, Safety ARCHITECTS: ` and Environmental Services ( TOTAL FEES: $25.00 BOND THEibig ; CONSTRUCTION COSTS $.00 ,... 753 MISC. NOT CODED ELSEWHERE (!(HAB ,) I MA7 OWNER BARNSTABLE, COMEDY C i63,9. A% ADDRESS BOX 361 7"-- .--) FD MPS ARNSTABLE MA BUILDING DIVISION B ' .E 4-u.e/ '1 . ///11/sZ4 DATE ISSUED 01/27/1997 EXPIRATION DATE '7 -- 9 o osi ,. 4 fit ; r/. The Town of Barnstable % - ' 9 s Department of Health, Safety and Environmental Services Building Division ED MAr" 367 Main Street,Hyannis MA 02601 Office: 508-790-6227 Ralph Crossen Fax: 508-790-6230 Building Commissioner Application for Sign Permit 4 .e..,etr- DoingApplicant: D-'//t/IS i'K I�}12C(-1 4-n/T' Assessors No.T/V c 99 Business As: 6/9-re'15T th5L6 Co✓l6r)// Ct03 Telephone No.(SO) 362- II/O >50_,/ Sign Location e3 / Street/Road: 3 f it ST 642A/s FAG r / o a 6 3 D Zoning District: Old Kings Highway? es(1 o Property Owner Name: t4-e v57-✓13 co v 4 ()/ cl.03/ ..T4/C Telephone: (So 8) 36 Z"I I( o Address: 3 t") I Pi tn! ST Village: QmALs'Trtec-f Sign Contractor Name: PA-U Telephone(S0 8) S 68'- 13 9 c( Address: (ova 6A Village: E S/fi,Voui<ct-1 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? Yes, (Note:If yes, a wiring permit is required) I hereby certify that I am the owner or that I have the authority of the owner to make this application, that the information is correct and that the use and construction shall conform to the provisions of Section 4-3 of the Town of Barnstable Zoning Ordinance. Signature of Owner/Authorized Agent: /&: c - Date: / Ag/q 7 Size: 3 ttAc S � cu m �- SY Ctd-S Permit Fee: oI 5--0 O Sign Permit was approved: Disapproved: Signature of Building Offi al: //ii/ 924-a/2,/d/1 Date: / ✓ � r � IM rJ S'T Retre,,► s l©ewo-L ............ CO R-C-'JbE S � fc-teNsTykt Lig covo.(61. GLV I3 1u y _ 1 GI ti �---. _-sq`` ins r At ....., .0 fro diP POI.AROIDe3 fm• . Assessor's Office 1st fl Map (1 q Parcel . n it#' �. e c�) � al�� �l� 9 /, o - - — 3�Conservation Office(4th (8:30 9:30/1:00 2:00) ,0113�qJ' ��+t"1 Date Issued /0 / 9,s oo /Board of Health(3rd floor 1OO(8:15 -9:30/1:00-4:45 Fee _/:_t%�;:-%.=�- s • Engineering Dept. (3rd floor) House# g./ iCvnoNK • blenPlanning Dept. (1st floor/School Admin.'Bldg.) ' t ' ''''' BAR A•w Definitive - 'proved by Planning Board 19 • , 4Eb i TOWN OF BARNSTABLE Building Permit Application tAroject treet Address 3/7/ /%'?//1 ,/Village d4e/JSim / Owner 1Q.5 `i& (U/l toY 6tOc' Address /cO& 3‘1, ,.1zAJ 4&2 Telephone Permit Request e. 7 ,First Floor square feet Second Floor square feet ' /stimated Project Cost $ ? pop D 0 Zoning District Flood Plain Water Protection Lot Size Grandfathered ? Zoning Board of Appeals Authorization Recorded Current Use Proposed Use Construction Type • Commercial ✓Vic'7 /-*/9r1 d Residential • Dwelling Type: Single Family Two Family Multi-Family Age of Existing Structure Basement Type: Finished Historic House Unfinished Old King's Highway Number of Baths No.of Bedrooms Total Room Count(not including baths) First Floor Heat Type and Fuel Central Air Fireplaces Garage: Detached Other Detached Structures: Pool Attached Barn None Sheds Other Builder Information/ame (1/0g ssoc:4'97,j� 2 �, Telephone Number (.9 8 Js S'/770 Address 3' ✓`tic %i1.e.,O%r £CJA License# Qr),?()/0 1 Iv. g,gs7E4j''i O?66/ 4Iome Improvement Contractor# /00//0 I i Aorker's Compensation# NEW CONSTRUCTION OR ADDITIONS REQUIRE A SITE PLAN(AS BUILT)SHOWING EXISTING,AS WELL AS PROPOSED STRUCTURES ON THE LOT. ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO apt SIGNATURE• r�G G/ DATE �4 BUILDING PERMIT DENIED FOR FOLLOWING REASON(S) w j FOR OFFICIAL USE ONLY ' PERMIT NO. : .. i - , t, I. DATE ISSUED ',: - - _ w .. i i f S MAP/PARCEL NO. _� _ _ ' ' 4 I ' . . - ADDRESS ' + VILLAGE - T' r .. • OWNER - ' I ' j _ + I • . - { r ; { t i i • sr t - x, 2 i , • DATE OF INSPECTION: - ` __ � . i t i _ I r • — ; , , FOUNDATION • • - • t { _ — .t I 4 j '- ` !. FRAME, , i t 1 , t_ r t _ t INSULATION ' •- • it. - # , FIREPLACE t ( — , • ._, t t ELECTRICAL Q:ItO-UGH ?FINAL t t , �a y' `` t { r PLUMBING: ii(il.JGH FINAL t t • - � 1 o 4 " s i ` GAS: •; . ItGH . FINAL - J - . . i .. _ .. i, , .. • i 1 # ` ; FINAL BUILDI Ter. ; t e : j , e Zti ' jai t • { ! t ? DATE CLOSED t • i y t , t .- s I t ` ! 4r 1. I t ' I t ` r I i i r ASSOCIATION PLAN NO. F i i i t t . + t } 1 {I I 1 ? r t j t t ! 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SA c///G477D, ?.S ZX f/l i76 /i G G. r TT. L i+ Co1A27y114-STg2.27'/0/476 t !/Ok .00/6;2/A w Z, s s-Ie./ < oil /eo 64.9(i I ;> _ 1.- ,, kT. 4/U✓L Lis v. 2. .f.i4,0494..Gf 'is, + �. ex e /0 T S/[C. r ! ft "9.vcs/oYL .6*OG7.So 0. Ir I, SCALE: / 4'/./''P)'" APPROVED BY DRAWN BY o Q DATE: %" e-/S ltJ/eS -'.92.vs Ti94 GL( 6/7/3-:0.>/' C.L U6 W K DRAWING NUMBER „er ‘, , ,(3/ ✓0h1_ 39,16 ` ../ / , I TI � � //Ojija/cw^\j^.^Z'/2^6c>^u'-^s/Z^ •5'/5i •\BASHSTABLE,/* MASS. 31?/iy}^t h Sff^^4- Wt 54^^1(2 TOWN OF BARNSTABLE BUILDING INSPECTOR APPLICATION TO ERECT AND AAAINTAIN SIGN TYPE OF CONSTRUCTION FREE STANDING OR ATTACHED Free Standing TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following Information: Bamstable Comedy Club,Bamstable,Mass* Location Proposed Use Zoning District Club Announcements Bamstable Fire District Name of Owner Address Main Street j RarngtnhlP,Macg. Name of BuilderBamstable Comedy Club,Inc.Address " Diagram of Lot and Sign with Dimensions to be Placed Thereon. - L.BU lllBteUII.-y A/7^3^2-7/^ j^/r.Z ^^ UJlHrd} €^0 ^ /o ?,*7 c I hereby agree to conform to all the Rules and Regulations of the Town of Bamstable regarding the above construction. Name All permits subject to approval of the Inspector of Wires. '/yyA No f Location Permit for Owner Type of Construction .. Plot Permit Granted Date of Inspection _ Date Completed Lot PERMIT REFUSED Approved .19 .19 .19 19 19