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HomeMy WebLinkAbout0180 AIRPORT WAY d �C� 1�✓�06��— �i Z e Lock � TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION o O® Map Parcel. ►� A(' ft ° Application # = Health Division ��a Date Issued a Z_ Conservation Division � Application Fee Planning Dept. :'.. Permit Fee rr� Date Definitive Plan Approved by Planning Board Historic OKH _Preservation /Hyannis Project Street Address I W A I � 0 w Village Owner Q�('o0.��� (J�Ly 1 I""�� Address �� i`S UjF. � NV 1S . Telephone 9 p" 3 f Z Z-7 'L— Permit Request Square feet: 1 st floor: exis in '0 00 proposed 2nd floor: existing proposed Total new ' Zoning District ND Lt` Flood Plain Groundwater Overlay 1 Project Valuation — b Construction Type Lot Size /•d Z -F° 1° / e— Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family (# units) Age of Existing Structure Historic House: ❑Yes ❑ No On Old King's Highway: ❑Yes ❑ No Basement Type: ❑ Full ❑ Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area (sq.ft) Num''er of Baths: Full: existing new Half: existing new Nun,, ;r of Bedrooms: _ existing _new Total Room Count (not including baths): existing new First Floor Room Count Heat Type and Fuel: ❑ Gas ❑ Oil ❑ Electric ❑ Other a Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing wood coal stove; ❑Yq ❑ No Detached garage: ❑ existing ❑ new size_Pool: ❑ existing ❑ 0'new size _ Barn: -ex;Jsting d,rAew'�ize_ Attached garage: ❑existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: , Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ t.,. Commercial ❑Yes ❑ No If yes, site plan review# Current Use _ Proposed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER) ,Name 4-IJ �i1 '1 ?6n� �. `�/� Telephone Number �� Address &V- License # qv 7 S00nj qt�AJA/ V5, M AO � Home Improvement Contractor# Worker's Compensation # Wcl, f-S 39�02TO 12 ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE Of DATE FOR OFFICIAL USE ONLY APPLICATION# �1►- DATE ISSUED i 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. Tite Commoxwea&h ofMassachusetts Deparbnent ofIitiiustrfal zicc=fs Office ofbivestigatiorrs -600 Washington Street Boston,AM 02II1 www.mass gov/tUa Workers' Compensation fmsnrrance Affidavit.Bnilders/Contractors/Electricians/Plumbers Applicant Infoirm tion _ Please Print Le 'bf Name(snsiaessrOrganization(Fndividval): �J' ,�7'�1►/VCSd�d1� ci Address: 6oil ? - City/State/Zip:_56_Q N� ►(�V6S M.k 0U C Phone.t. Are you an employer? Check the appropriate bag: 1.[ I am a employer with 4• ❑ I an a general contactor and IF7. I`ype of project(required):: employees(foil and/or part:-time).,-. have hired fhe sub=contractors ❑New contraction . 2.❑ I am a'sole proprietor or partner- listed on the'attached sheet ❑Remodeling. ship and have no employees `These sub-contractors have 8. ❑Demolition working for me irt any capacity. employees-and have workers' ��„,. [No workers' comp. ins rr2nce comp.ms;Mance•$' 9. p�Ong addition required.] 5• ❑ We are.a corporation and its 10.0 Electrical repairs or addition '3.❑ I am a homeowner doing ill-work officers have exercised their . , 11.7 plumbing repairs or additions myself:[No work' camp. right bf exemption per MGL Roof required_]t c. 152, §1(4), and,we have no12.0rep airs employees. [No workers 13.❑Other camp.insurance required.] *Any applicant that checks box 01 must also fill out far section below showing their woikzrs+compensation policy information t Enmeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit anew af—tidavrtindicating such. �—onhactors ffi�±check this box must attached an additional sheet showing the name of the sub-contractors and state wheflrer oraot those entities have employees. Ff the sub-contractors have employees,they raustprovidt their work=?warp.Policy numbor. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information, 2 Insurance Company Name: L I��i��. AUN OL Policy#or Self ins.Lic.# W C,L —_ 0 I Expiration Date: Job Site Address: �� /TI �d �/l� Y City-/State/Zip: Y l�W(S' .t'2Y1 v 2-,G 6*1 4t tach a copy of the workers' compensation policy declarafion page'(showing the policy number and expiration date). Fa ure•to secure coverage as required under Section 25A ofMGL c. 152 can lead to the imposition of c�alpenalties of'a fine rip to$1,500.DO and/ one-year imPO=Ment, as well as civ11 penalties in the form of a STOP WORK ORDER and a fine of up to$250.OD a day against the violator. Be advised that a copy of this statemetit may be forwarded to the Office of Investigations o IA ce coves e veIIfication. I do hereby ce un e p ' s- d penalties of perjury that the information provided above is ue and correct; Si e: • Date: . � 'L- Phone# Official use only. Do not write in this area to be completed by city or.town offxid City or Town: Pet-mitlL.icense# Issuing Aufharity(circle one): 1.Bbard of Healfh. 2.Building Department 3.City/Towu Clerk 4.Electrical Inspector 5.Plumbing Inspector fi. Other Contact Person: i Phone# I I SEP-18-2012(TUE) 13: 09 MALCOLM & PARSONS INSURANCE (FAX)17813441425 P. 001 /001 Rx Datc✓Time SEP-18-2012(TUE) 11 :47 P. 003 ,LMG 3/15/2012 11 :48:54 AM PACE 3/003 Fax 'Server. ,4 oc R& CERTIFICATE OF LIABILITY INSURANCE D""(""`°°"'""2/23/2012 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the cenilicats holder Is an ADDITIONAL INSURED,the polley(les)must be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain pollclos may require an endorsement. A statement on this cortificate does not confer rights to the cerillicirta holder in lieu of such endor•aement s PR=XXR MALCOLM & PARSONS CONTAL7 NAME, SIX FREEMAN STREET PrdNE 344- 0 No: STOUGHTON, MA 02072 INSM AfFORdNG CovERac3E NAICA INSURE3r A, LbeU Mutual Insurar.ce InLOHR CONSTRUCTION CO INC �NEIuaEaE�: LOHR REALTY& CONSTRUCTION LLC Irsltc: PO BOX 243 INSLRERo: SOUTH DENNIS MA 02660 INWREIRE: MURER F: COVERAGES CERTIFICATE NUMBER: 12453960 REVISION NUMBER: THIS IS TD CEnFY THAT THE POLICES OF INSURANCE USIM BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE PaIC:Y PERIOD INDICATED. NMWM4STANDIW�ANY REQUIREMENT,TERM OR OONOITION OF ANY CONTRACT OR OTHER DOC IMENT WITH RESPECT TO WHICH THIS CERTIFICATE NY►Y BE ISSUED OR MAY PERTAIN THE INSURANCE AFFORDED BY THE POUCES DESCRIBED HEREIN IS SUBJECT TO ALL THE,TFAMIS, DOCLUSONS AND CONDITIONS OF SUCH POLICIES,LIMITS SHOVIM MAY HAVE BEEN REDUCED BY PAID"MS LTR TYPE OF IN9URAf CE POLICY NLAWR UNR9 GENERAL UABUTY EACH CCCLF7AEN=`_ $ CaAADL-ALCENERAL UABILrrY R9264 .= $ cLAj S moe OCCUR MM EXP&Y onn $ PER914A &ADV IMURY $ CENE RALAOGRErATF $ GENLA=ErATEUMTAPPUESPIER: PFOOLCTS-C(T WWAM S POUC( P LOC $ AUfCAKIBILE UABILM u $ ANYAUTO BODILY INJURY(Par PMM) $ AVED RE DB30LYINJURY(rwacdder4 $ �H IDAIJTOSERVE AUTOS aoo sr $ $ uVIBRELLA LIAR S 6AC>I OCCLFiF ICE $ f90CE98 UA8 CIAlJuS MADE AbCRC�ATE $ DED REfeow$ $. $ A w0%wG A11CN WC2-31S-384027-012 1/612012 1/5/2013 AND BUPLOYON L1AB1Lrty YIN ANY PROPRIETWIPAMNERI C•CUTJVC NIA ELFlL7iAOaI7EM $ 50000 oFrlCEwnn DrCtJJDED! ❑Y EL DISEASE-FA l3uCrLfXE $ 50000 If dean'he Urdu EL DISEASE•POLICY LWM $ 50000 Pnt'JIJ CIF OPERA ACOM iQ17 cue,It mars waoo= rod) Workers sornpe 02atlan Insurance criveragn amlies nnlv 10 lhA work0fl,COMM^ lIgn laws of the giene of MA_ CERTIFICATE-MQLDER SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE TOWN OF BARNSTABLE THE E)MRATION DATE THEREOF, NOTICE IMLL Be DELIVERED IN 200 MAIN STREET ACCORDANCEVM'H THE POLICY PROVISIONS. HYANNIS MA 02601 AUn=WFMPRVMWA•nVE , . � - ..Jeff Eldrid e 0 1 9 69-2 01 0 ACORD CORPORATION. All.righls reserved. ACORD 25.(2010105) The ACORD name and logo are registered marks of ACORD ,e•..r.in ..,ioviarn rt.Tmrr trait!• tenu i rroo D=achmcM 2/23/2012 6:4a:5e AM Pawl of i mass wriusetts- vepartment of runic )atetc Board of Building Regulations and Standards Construction Supervisor License ..License: CS 5887 Restricted-to: 00 s-c CRAIG A LOHR 25 AMCRICAN WAY/F.O.BOX 2 S:.DENNIS, MA 02660 -- -,�' Expiration: 3/22/2012 C'onmiissioner Tr#: 21932 t • �tHE Town of Barnstable Regulatory Services ' Thomas F.Geiler,Director 1639. ��� � Building Division Tom Perry,Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-403.8 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder I, ,�j1C,fi �C�C3 t0,c•(�� , as Owner of the subject property hereby authorize C9A(. (ff?:4 1 )(PLC'NN (L to act on my behalf, in all matters relative to work authorized by this building permit. (Address of Jo ) **Pool fences and alarms are the responsibility of the applicant. Pools are not to be filled before fence is installed and pools are not to be u " ' ed until all final inspections are performed and accepted. Signature o Owner Signature of Applicant. . Print Name Print Name Date Q:FORM&OWNERPERMISSIONPOOLS PHILBROOK 1'1'-31 LD1}s aENGINEERING & 107 EEACH STREET CONSTRUCTION DENNIS,,MA 0*2 38 1-508-385-8682 ENGINEERING DESIGN CONSTRUCTION INSPECTIONS BUILDING. ALTERATIONS 8 RENOVATIONS DESIGN SUPERVISION In accordance with Section 116.2.1(Design), of the Massachusetts Building Code 780 CNIR 1, T. VARt4UM A-'11L.j3 j%dJpL being a Registered Professional Engineer/A5-�hereby certify tha! I have prepared or directly supervised the preparation of all plans, computations, and specifications for the CA,040Q y r_ 1,41? bearing my seal and signature, and that said seal and signature signify that those plans, computations and specifications meet the applicable provisions of 780 CMR, Sixth Edition and all accepted eng ineering gtneertng Practices. PROJECT NUMBER: P Y 2. 3 9 PROJECT TITLE: _ La a fl r ic.--I>,)cam. PROJECT LOCATION: NAME OF BUILDING: Pi?SZ,ftni- NOMI)4ew NATURE OF PROJECT: V�'`1.1 . CSJ�ppiaG 70�K. W �1.tQ P`I ®�'�12•39 OF MgssgcyG V(- T. VARNPHILBROOK BY: � t'z--% RIAA-3YL;:� MECHANICAL Signature - No. 30690 'O9 RfCISSE`A������ �SSIOMAI E.� Subscribed and sworn to before me this ( � day of,_ © C f� date month year BY: Notary Public My Commission expires: "Notary Pu fir-H Najrra 6<han 11/1/1999 Commonwealth of V��assacdlusstts My Commission Expite3s.on May 16,2014 PiZ PHILBROOK ENGINEERING .& 107 BEACH STREET CONSTRUCTION DENNIS, MA02638 1-508-385-8682 ENGINEERING DESIGi� • CONSTRUCTION INSPECTIONS • BUILDING, ALTERATIONS & RENOVATIONS CONSTRUCTION SUPERVISION In accordance with Section 116.2.2 of the Massachusetts State Building Code 780 CMR,Sixth Edition, 1, 1.VA Rrlurn ?11411.'O f43 01L being a Registered Professional Engineer/A wAgWet, and having been retained to perform construction phase services for the portion of the work for which I am directly responsible as follows: ULQ�TLaU�1 M>Fsi'�\.. 'DG e_niiacjy 14 certify that I shall perform the following tasks: 1. Review, for conformance to the design concept, shop drawings, samples and other submittals by the contractor in accordance with the requirements of the construction documents; 2. Review and aproval of quality control procedures for all code-required controlled materials; 3. Be present at intervals appropriate to the stage of construction to become generally familiar with the progress and quality of the work and to determine,in general, if the work is being performed in a manner consistent with the construction documents. I shall periodically submit a progress report together with pertinent comments to the Building Commissioner and shall, upon completion of the construction, file a final report indicating that the work has been performed in accordance with the approved plans and 780 CMR- PROJECT LOAp„aG with it- ' cpiJO P /. — P)Z4• t � q LOCATION: ) 8 R 6 Alapb .i WIC`( )1%j4 *4!2, NA or cyG T. VP M (� PFiILBR dAI v+ ,r..�e /,J«,� \'�g•n,rj�y�._-. v MECHANICAL No. 30690 Signature °9 REGIStER�� i t�) ��ESSIONAI ECG` Subscribed and sworn to before me this. 1 day of Notary Public My Commission expires: t�� ary PubIRT � Commonwealth 1Mass an C0tt1trE0tt1ti89ltli 0'1{�la1a"�S3Co`IUSe1tS My Commission ExOies a;1 May 16,2014 11/1/1999 P1Z-31 LQWR. PHILBROOK ----~ ENGINEERING & 107 BEACH STREET CONSTRUCTION DENNIS, MA 2638 ENGINEERING DESIGN • CONSTRUCTION INSPECTIONS • BUILDING. ALTERATIONS & RENOVATIONS 1� cv oNGC ju wC on aCCvF_AT ►o Code Review - 780 CMR (8" Edition) Code of Massachusetts Regulations 1. List all Use Groups (¶302.1): S -i ��1 s 1.Z� '�" 107-A. 19 Fewv�. CA,4,0 Qile) 2. General Building Limitations by Use Group(Tbl. 503): Z $IV -44-500 4 Building Height: 1 S TI> My Building Area: __'7.4.D DO + (Provide separate calculations for Exceptions §504 & 506.) *c I S-i'a'R'1< 3. Type of Construction and Fire-Resistance Rating(Tbl. 601): `iP soy 4. _Mixed Uses(§508): r'`t Describe Separation Method (¶508.1): K R 5. Building Volume: 7&5jQQcJ R'13 ft' Is 1107.6 applicable?: Y>fs3 6. Fire Separation (Tbl. 601): Walls; LLB NLB List assembly # and rating: ( Floor/Ceiling: 4z Exitways: Stairs: Roofs: Door . 1 7. Exterior Walls(Tbl. 602): North Elevation: L1.. > 10 I 0 e ' (Provide distance, required assembly# and rating: ( ) South Elevation: West Elevation: - !A East Elevation: 8. Floor Loading(Tbl. 1607.1): First: Z50 Second: Other: 9. Occupancy Load (Tbl. 1004.1.1): Based on Area: 9 a Actual: own,)Ptr 10. Required EXIT Signs(§1011): 046 W. 1— Egress Lighting(§1006): -5-1V?5 11. Is Sprinkler System required? (§ 903 & M.G.L. sec. 26 G, H or I): �J S 12. Fire Protection Signaling System required (¶903.4): 109' 146 13. Portable Fire Extinguishers required? (¶906.1): �> S 14. Automatic Fire Detection Systems required (¶907.2): 6UT.$Of nS"O 15. Is the Building required to be Accessible? (CMR 521 AAB): t401- lopnNc (1&f*f 16. Provide Egress Plan with Calculations for path of Egress and clear opening of required egress doors, including emergency light and sign locations. * Meet with building official/local inspector to submit documents. PIZ- 39 1omvt 20 Jan 99 Guidelines I'or Structural Pests and Inspections Page 25 Boston Association of Structural Engineers Program of Structural Tests and Inspections For compli-ancce with the 8`h Edition of the Massachusetts State Building Code Project: L6.,b> -ic. ..- pw_ ? (.4mopy Location: �`�� LIV1►2Qprt� WA`t }—�y,�>„d�t�, �Q -- Owner: ){L¢DRT N OM *!ES TRV T Owners Address: Architect of Record: NA Structural Engineer of Record (SER): 'raitVUR 01L 64(;)W�t2»,(G This program of structural tests and inspections is submitted as a condition for issuance of the building permit in accordance with 780 CMR 1704 of the 81h edition of the Massachusetts State Building Code. The following firms, agencies, or individuals (hereinafter referred to collectively as agents) will Perform the tests and inspections under the direction of the SER: Abbreviation Agent SER Structural Engineer of Record listed above m�G. S 1?,YL 13 L. Gfl K WAE-rw 1.A33 -- (Y A C ft—YZ-r The abbreviations will be used on the attached pages to identify which agent is performing the Particular tests or inspections. PHII —+ N0. 09 A�rIS1E���` SSlON& E Page 26 Boston Association of Structural Engineers 20 Jan 99 The following categories of structural tests and inspections, if checked, are included in the program for structural tests and inspections for this project. The specific tests and inspections required for each checked category are listed on the page noted opposite the category. Category Page Category Page M Steel Construction In-situ bearing strata for Cast-in-place concrete footings 3 construction Z ❑ Pile foundations ❑ Precast concrete ❑ Pier foundations construction ❑ Curtain Walls (wall panels ❑ Masonry construction and veneers) ❑ Wood construction ❑ Light gage metal framing ❑ Controlled structural fill ❑ Special cases (prepared fill) The following items of construction, if checked, are specified in the structural plans or specifications on a performance basis. In accordance with 780 CMR 1705.3.4. their structural design will be reviewed by the SER and their construction is included in the program for tests and inspections on the attached sheets: / ❑ Curtain Walls Metal Buildings -TD Fft-oo+r ?%.a w) ❑ Precast concrete components ❑ ❑ Post-tensioning steel ❑ ❑ Structural steel connections ❑ The following items are excluded from this program of structural tests and inspections, since they are designed by other structural engineers not under the aegis of the SER and the SER was not retained to provide performance specifications for their design. These other structural engineers must be assigned by the owner, architect, or construction contractor, as applicable, to be special SER's for their respective designs and to provide a program of structural tests and inspections for their respective designs. Prepared by the Structural Engineer of Record: P12-'3 Name: 20o1L - Please type or print '���N OF Alen_ Signature: o T. VARNURI 'P i rook E PHILBR n ��K 9. &Const. MECHANICAL Firm: 107 Beach Street No. 30690 16 O L+ '°�bFEREGIST w � Date: Zo 1 d Re C(OPY 20 Jan 99 Guidelines for Structural Tests and Inspections Page 27 Schedule of Structural Tests and Inspections Page �- of Project: Steel Construction Item Agent Scope 1. Fabricator Certification/ Review each Fabricator's quality control procedures. Quality Control Procedures. 2. Fabricator Inspection. Inspect in-plant fabrication, or review Fabricator's (1705.4.2 and R1705.4.2) rrnf& approved Independent Inspection Agency's reports. 3. Material Certification. Review for conformance to the specifications. 4. Bolting. Test and inspect bolted connections in accordance DER with specifications. Verify bolt size and grade. 5. Welding. Check welder qualifications. Visually inspect fillet welds and test full-penetration field welds in accordance with specifications. 6. Shear.Connectors. Inspect for size and placement. Test for proper weld attachment. 7. Structural framing, Details Inspect for size, grade of steel; camber, installation and Assemblies. and connection details. Check against approved construction documents and shop drawings. 8. Open Web Steel Joists. Inspect for size, placement, bridging, bearing and connection to structure. Visually inspect all welds of a minimum of 5% of the joists, randomly selected. 9. Metal Decking. Verify gage, width, and type. Inspect placement, laps, welds, sidelap attachment and screws or other mechanical fasteners. Check welder qualifications. 10. Other. 11. Page 28 Boston Association of Structural Engineers 20 Jan 99 Schedule of Structural Tests and Inspections p Page Z of Project: f �Z-''39 Cast-in-Place Concrete Construction Item Agent Scope 1. Mix Design. Review mix designs. S� 2. Materials Certification Review for conformance to specifications. 3. Batching Plant Review Plant quality control procedures and batching and mixing methods. 4. Reinforcement Installation Inspect reinforcing for size, quantity, condition and S � placement. 5. Post-Tensioning Operations. Inspect tensioning and anchorage of tendons. Inspect (1705.6.4) grouting of bonded tendons. 6. Formwork Geometry Inspect form sizes. OOZ 7. Concrete Placement Observe concrete placement operations. Verify conformance to specifications including cold-weather and hot-weather placement procedures. Perform slump, density and air content tests at point of discharge. 8. Evaluation of Concrete Test and evaluate in accordance with the Strength t"13 specifications. I�t 9. Curing and Protection Observe procedures for conformance to the S specifications. 10. Other 11. Page 32 Boston Association of Structural Engineers 20 Jan 99 Schedule of Structural Tests and Inspections Page 3 of 3 in-Situ BearingProject: Pit` 39 Strata for Footin s Item Agent Scope 1. Bearing strata for footings Inspect strata for conformance to the structural drawings, specifications, and/or geotechnical report. 2. Bearing surfaces of footings Inspect bearing surfaces for conformance to the requirements of the structural drawings, specifications, and/or geotechnical report. 3. Other 4. PHILBROOK - _ ..-___----------_ _ -- ENGINEERING FIELD REPORTIWORKSHEET Project No: P12.-3 1 _...DE Sheet No: 1 of L. +•sce•3eseeex ,MEMO FOR RECORD: 16 October 2012 ;Subject: Requirements for Field Inspections Purpose: In order to issue Progress and Completion of Work Reports following project(IAW the State Building Code Para. 107.6.2.2 & 1701.1.1) it shall be necessary to conduct Field Inspections & Tests at the following stages of construction progress. This "for fee" service is required to acertain compliance with the plans and specifications prepared by STAR Metal Buildings, Inc. Project Name: Airport Way Nominee- Loading Dock/Canopy Project Number: P12-39 Project Location: 180 Airport Way, Hyannis, MA Item# Area of Inspection Notice ----------------------------- ------------------- ---------------------------------- ------------- r 1. - Re-bar mats and cages for all foundation footings& wall vertical doweling. In-situ soil conditions and footing surface bearing. Re-bar sizes and spacing. 24 hrs 2. - Re-bar and foundation wall formwork to include piers and wall returns. Re-bar sizes and spacing. Concrete placement and curing/protection. Cylinder test samples and setup for site curing. Concrete Testing -see below 48 hrs 3. - Completion of'STAR'designed steel metal building. Main frames, portal frames, purlins, girts, roofing, siding, stay&cable bracing and fenestration. Bolting and mechanical connections. 48 hrs 4. - Building closed to weather. All work complete. This is to check for any modifications. 48 hrs T. VARNUM PHILBROOK, P.E. P)2.31 Philbrook Engineering Concrete Testing to be conducted by a Massachusetts Certified Laboratory. • ��P��� Of MgSs�ti All samples are to be properly handled and protected during the test period. . T. VARNUM �• The same test proceedures apply to the walls (Minimum F'c= 3,000 PSI) and o PHII.BROOKECHANICAL H the structural slab-on-grades (Minimum F'c = 3,500 PSI). Testing rate is 10 M No. 30690 ea cylinders per 50 CYDs of mix (minimum 5 'tests') p �Q ISTER��� Tests; 113 of cylinders (2 per'test')@ 7 days -Minimum Test f c = 2,430 psi A E 1/3 of cylinders (2 per'test')@ 28 days -Minimum Test fc = 3,240 psi If testing results are positive @ 28 days discard remaining cylinders If testing results are negative @ 28 days retest @ 56 days and evaluate results C(OPY P82•FRW-7 z n 7F .a+ .�r�, •; "� *� s _�:zt.��. �,: � _ �;,r.� w,.r�,�� ' ':�£:�9`' "a"". "cf T' '`r' "�t W` a v � �" :C�,�.�a,' ,'�_ �'-••--_- �' IssuePennt = AppGcatori� �1206545 } 18QAIRP02TWAy. ' �;' �c°". ,,. �''312008H00 ,a RecordIIS :'� 13Z314 � na r'� s,a >,,.� F .T CADD-COMMADD AGTBUIlDING,P.Et2MIT �, < ."� xYx '' A .. � ,.Type., .�,. ._.,.,s;� L�m;.;r.......:..... -, �',�`°t"� ;::� r_.�,- F 'a� =Cont►actor" � 82fi822�� LO CRAIG �,+r �� Complete Permit :' e_ _ <_ ro " ^.n_ , ,;a +.,°.�,.,. Status«.„ I ISSl1Ei) � �Achve, � �w _ n '. s, •; .4, " Na:, e dermal LOxR CRAIG rt Deny(tr'd Permit l +s r� Perrtut 8 t 20122619 3- $ r t - - ati, MULTIPLE LICs v .�. *,. ,. 7� Issued- IO s/Z012 1 by. PR.,- '9 e ` } Revoke Permit V _ L? _ , w. �� $ .• �v a a .. r"�. -- ari •„S,.. ..q > s ., CandJRestr — -- — „ ., Expires 04124I1OL'i,-,.>i.'a .., .:st..�:a.''�r ',, ; :.,. e'_r.�.. �:.,••� �.;„ _,c�`« r� .:.ti _ ..»aa.-. ,w< :.. . 'N.�N '%�_=� -4. K �. �; et�• `� a� �• DenY(yold`t ui: a.a. ,._ _ -.M1xy. tW_. .# i tr. --- v �g " ,Qutdc Issue �' t ,.. r ,,' $ ..,.x n -+w:" it a*"�, ., ,4 .s '•"''-w .,� #'x`` .,' " -. -.. .j�p'� "*.:.,�-' o '"t*s. e'-'. '>i•, £'.�:� > _.,_,Ww. g,+:,�' x, X Wit;=: �b�€�,s..a, � .n.a�, y .a,,: Fees dditionel.:. Bond x Q.. a Recak Fees m • .,5 rr= ,.,:§:�-• -. - - -'`�,_,..�.: ,,# ::x, *'"}r * = .;: 77 Bldg seq w Issue mvofce a, e, U d Statshc:. e._ � _. � x +a [�_`], �, ..• .,r, .r �.. :�a�E P ,- :. ... -. - �5'+' .... �. -. -'. x P .. ,.w i's'- W�„xy. r'.S .,.. _ r#a >•.,, d. ( cost 9Q,000 .. w t _ ...`✓.. ,__ .. '4;`_3wtr..?M.w..:., °1i;.- .� @, ®.. vc�'1.=t sa'', r^.a.:� "" n.: -,-, rr,'« •�r "-r C , G a , . r _ -' _. .. ...•m s€ ..� -, �e s ,.:.< ,.::a; .p .....,:�,x' 4°r `.. yi ,-y*. #:-„�'A. .efi; 4..�, z<: r. ^_ ..ic.:.� „i#;,_} _-. - y fs `` ,::'. ..: a°.s^, :. 3< >a,- -,,�+`t-"r's< e', .x '-, • .. �v_.w-aa,�°x.°. -r.,., ,sr„ L: ,<..,.u .� a - t`, �g, a. :,,_., ...�,.pt �� ,...M p.� ,t d° ,-..':.y t...-:. ,�.. uQ, ..::, .# r --• :.-„a„s'�y :r: * . ...� .der tw,. ,..€"a. ... G•::. .,a: ��. .,... i ..._J. r ..�. r " -1=. ,: :.." ,. ,. .. b: :,, t. ,.. ,,'"r, .,: ,- .", ,.. 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( °Fee " Based one , S Est host _ Statistic : ;Stat amount. _ •.*�Fee_Arnount z x ,Credit^ irnt At>ount Paid :� a ount-Due + • s404000 641 ! • Esaouv� ;,r Paymttfisto[y� .;` .€.T' 'x xR3 a-"" -' �. :, _ -: r3s ,9TMa"..<ti:.� :,, '-:'i +k at'.'."^`°' .�wr`'`.:v ssm' a" xy„.::3i -wit 'Re �. -'� :.:. _�°': '::4"!Ap `^«h}.= :< Total Fees 3o4.OD - x w _ _, . r.< § ` , _ .. ,. " '^°` a...�.,:... .. .,�.. , .mac.-�':°* fit• ." g, , "ark '`c�U ... ,< -.�., _,., R •..t: ,�.,$ _ .:.:e, _: "".:. 3 u.. .. ;A' �. JI! t w: n- 1C..:Y:.: " ,♦ ..S ,.T- •.<:a: 2-.. ..- '"-S -! 3 .t�r# - ^'.' 41 .. _ ..am . "- ..,, s f,.-a.r ,:, ,ak.=,x. ,... ., „ ». ,:: r, „, y. Tataf Gredts. ,> - ,x�. _ ,r ,,, , ' c -t`. t TatelP.a d , �� ,� , : �-. � . :.may ,__ ,.� � . :�+�� �� ,• °t ��� '. � ° ,�"s e: "a, �it ��,� •` '�:. ". -s: .- :t.;5...,. �'�?3- .,,.,.s• �� pp Balance pue r°�00�� � ,ter a�����.. _�, P0, ,b,� .:,t ._ .. - :.1 .*. "• a.-. ..... ..a;. .. °.i3a- ,-;.:,- , .. .- . 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'� .. xy..'3'.,. c ^ '„ t.� � .. a - ^s .2 'S .«..r...r ", "y.- _ - '' t � r ;�*i'". . ��t "��"Y' �° ?�ro''"Ir��, r.it ti ��y •r: , ��.a �Fees� ,(�Items (�Inspections C�Text_. ;-_;„.; I�+&a'iding Systems; � - � _ �.> � :�' a� •^N r„a.� �^ "x�E .-#,°.,r "3ii t, t- +_. «J� �r-..,. - .:,- - �F.._,.: - � ..-J r - .x_ . ..�' Ne'".?••, y `a;" ,�+" �'r `T',, p; $ �` �' d ���, � �a� �,.`._, ,� �'�° ;i„..• ,a°.'~��J.� t1 "".:.�; _ ,L .3",? �� t. �;� -g. r .Start� .� � � � tem`�� _ .`• .:.� � Pa I��Lo :. ��.�'"` �r, M .Corn uter °_ �1 .fVefwoi�'P[a �:. 7 U SSA °0 rce oku ��„,�,�,.�,• �.;�� �, �p v - -- r � ff.a M f >2- 2,01 Z6 Res (> 3 P � 14 L� rz ENGINEERING & 107 BEACH STREET CONSTRUCTION DENNIS, MA 02638 1-508-385-8682 ENGINEERING DESIGN • CONSTRUCTION INSPECTIONS • BUILDING, ALTERATIONS & RENOVATIONS FINAL AFFIDAVIT The Commonwealth of Massachusetts On this _day of 6v-� 20 11 before me, a Notary Public duly Commissioned and qualified for The Commonwealth of Massachusetts,personally appeared VARthtdh ?VA%LG 0AW, ?E , who being duly sworn, deposes and says that he has supervised the construction of PA"V-, ou Y1 w%c - �I SEi1J'itiPa �[.�fb y� , v 1��2A►-thus. MA under Permit # 3 z0Mz 6 iq and that this structure conforms to the submitted plans and to the Codes of the Town of and the Commonwealth of Massachusetts CMR 780. i Further, that all required approvals and material Affidavits have been submitted, and that there are no violations of Law of Orders of The Department of Public pending. s� I, as the Affidavitted, Enineer �,�^r ° ^ i+P^+, hereby certify that I have, on this date, Z-0 Z�. l� �t Z , inspected the property located at M13 O1RP9 R 1,►10� , �fJ�tN3 ate, 5�1� and find that the locus comply with my Plans and Specifications and all rules and regulations of the Codes of the Commonwealth of Massachusetts. ()I.-31 OF Therefore, I request a Certificate of Occupancy for the above address. T. VARNUM PHILBROOK .., `� MECHANICAL 0.'1F�t�`_0.1(rt' No. 30690 IST � Q Z V Original Signature & Seal Date Subscribed and Sworn to before me this o day of—4 20 /�- My Commission Expires: /a` , Notary Public skly AUTUMN L.BALKS art'Pubft Cem :0rvjeatth of viassachusetts commission Exp.Dec.2,2016 k xr y r i :gyp, y Pi 2- 39 PHILBROOK ENGINEERING & 107 BEACH STREET CONSTRUCTION DENNIS, MA 02638 +iar F 1-508-385-8682 ENGINEERING DESIGN • CONSTRUCTION INSPECTIONS • BUILDING, ALTERATIONS & RENOVATIONS Final Report of Structural Tests and Inspections For compliance with the Bth Edition of the Massachusetts State Building Code Project: La/,z,o YOcv t�p�,?p�� Location: I 'a p Ala L�.l,oy J,Drt�•t» r� Q Owner: fa p2�D2i IyC��1 itrlE>E !1ZLr� Owner's Address: Architect of Record: N-A Structural Engineer of Record: TV-lI1L W1ZMV__ 9 To the best of my information, knowledge and belief, the structural tests and inspections itemized in the Program of Structural Tests and Inspections submitted for permit have been satisfactorily completed and all discovered defects have been corrected. Comments: � l�lt.t+� .Ssr�.I� �• fir L,�- G.4 .� �! The Program of Structural Tests and Inspections does not relieve the Contractor or its subcontractors of their responsibilities and obligations for quality control of the work, for any design work which is included in their scope of services, and for full compliance with the a requirements of the Construction Documents. Furthermore, the detection of, or the failure to ` detect, deficiencies or,defects in the work during testing and inspection conducted pursuant to the Program does not relieve the Contractor or its subcontractors of their responsibility to correct all deficiencies or defects, whether detected or undetected, in all parts of the work, and to otherwise comply with all requirements of the Construction Documents. Respectfully Submitted, Q�Z,•3q Structural Engineer of Record 'T• VA t, No M ?b)j 03-go D)Z o�Type or print name "may T. VAR%I Gd� Z9 Nvq Z-9 1-Z PHILBROOK Signature M Noas�o DN ate 4 t Ir C.4 x to T.. ti 40 Jo xr +� ` f col � Of Massachusetts 'The Construction Testing People' -Page 1 5 Richardson Lane,Stoneham,MA 02180 781-438-7765(Voice)781-438-6216(Fax) Compressive Strength Report-Concrete Report Date 11/09/2012 Report No. 1 Distribution Copy Job Number 157 63 Project 180 Airport Way, Hyannis, MA Contractor Lohr Construction Concrete Co. Cape Cod Ready.Mix ALL FIELD TESTS DONE ACCORDING TO ASTM: C-172 C-31 C-143 C-1064 ,ALL COMPRESSIVE STRENGTH TESTS DONE ACCORDING TO ASTM: C-39 CLASS CONCRETE: 3 5 0 0# 3/4" 7 No. Of Sets: 3 CUBIC YARDS: 15 SET 1 LOCATION: Wall: Loading dock East end Total Unit Slum in. 5 1/4 Lab Size Area Date Date Age Load Load Fracture Air Temp. F. 49 No. (in.) (sq.in.) Condition Cast Tested Days (Ibs.) (psi.) Type Conc Temp F 60 L912 4 x 8 12.56 Good 11/09/2012 11/16/2012 7 41,000 3,260 1 Truck No. 52 L913 A x 8 m 12.56 Good m 11/09/2012 ll/23/2012 14 50,000 3,980 2 Ticket No. 644441 L914 4 x 8 12.56 Good 11/09/2012 12/07/2012 28 Time 3:45 L915 4.x 8 12.56 Good 11/09/2012 12/07/2012 28 Unit Wt Ibs/cu ft L916 4�x 8 12.56 Good 11/09/2012 12/07/2012 28 Air Content(% SET 2 LOCATION: L adinq dock center and West end Total Unit Slum in. 6 Lab t S" Area Date Data Age Load Load Fracture Air Temp. F. 44 No. (in.) (sq.in.) Condition Cast Tested Days (Ibs.) (psi.) Type Conc Temp F 60. L917 4 x 8 12.56 Good 11/09/2012 11/16/2012 7 40,000 3,180 2 Truck No. 59 L918 4 x 8 12.561 Good 11/09/2012 11/23/2012 14 48,000 3,820 1 1 Ticket No. 644443 L919 4 x 8 12.56 Good 11/09/2012 12/07/2012 28 Time 4:12 L920 4 x 8 12.56 Good 11/09/2012 12/07/2012 28 Unit Wt Ibs/cu ft L921 4 x 8 12.561 Good 11/09/2012 12/07/2012 28 Air Content(%) SET 3 LOCATION: B loading dock Total Unit Slum in. 4 1/2 Lab Size Area Date Date Age Load Load Fracture Air Temp. F. 44 No. (in.) (sq.in.) Condition Cast Tested Days (Ibs.) (psi.) Type Conc Temp F 54 L922 4 x 8 12.56 Good 11/09/2012 11/16/2012 7 38,000 3,030 1 Truck No. 59 L923 4 x 8 12.56 Good M 11/09/2012 11/23/2012 14 45,000 3,580 2 Ticket No. 6443 L924 4 x 8 12.56 Good 11/09/2012 12/07/2012 28 Time 4.55 L925 .4 x 8 12.56 Good 11/09/2012 12/07/2012 1 28 Unit Wt Ibs/cu ft L926 4 x 8 12.561 Good 1 11/09/2012 1 12/07/2012 1 28 Air Content(%) GENERAL REMARKS: Inspector Premium Travel Name Time Hours Time D. Lent No Max Day 2 Hr(s) 77 I prp t F � 8 �!J 1• J s� 83Ji 11405 � � I