Loading...
HomeMy WebLinkAbout0876 FALMOUTH ROAD/RTE 28 HOMELAND SECURITY Do not allow an reviews of Y any public OR government building unless the agent requesting the files has a letter from the governing official authorizing that review. i Town of Barnstable Certificate of Zoning Compliance Certificate 2019-23 Record Owner Name as of 1/1/18: Map 248 WHITEHALL PAVILION HEALTH ASSOCIATES LP Parcel 040 57 WINGATE ST Address 876 Falmouth Rd HAVERHILL, MA. 01832-5722 Village Hyannis Co-Owner Name Zone RC-1 C/O LANDMARK HEALTH SOLUTIONS Residential C-1 Single Family Overlay WP Water Protection Overlay Year Constructed— 1984 Property Use: Lot Size 2.9 acres Cert of Occupancy None on file RC-1 Setbacks: Front Yard 30 Date NA Permit# NA Side Yard 15 Rear Yard 15 Open Permits: None Special Permits/Variances 1964-6 (use), 1970-021 (signage) & 1981-032 (modification ofl964-6) Permits: Building Permit# Building Permit# Code Violations: Zoning Code No open violations on file Building Code: No current violations found on file. Zoning Violations: No open violations on file. Zoning Relief: Variance 1964-6 (use), 1970-021 (signage) & 1981-032 (modification of1964-6) Zoning History: The subject property was developed in accordance with the zoning relief granted and constructed in 1984 as a nursing home. It currently contains three stories within a gross sq ft area of 37,272. Reviewed by Title Date: Robin C. Anderson Code Compliance Manager 08/06/2019 f Town of Barnstable ��EcEiP-r era g"` 200 Main Street, Hyannis MA 02601 508-862-4038 Application for Building.Permit Application No: B-19-2533 Date Recieved: 8/6/2019 Job Location: 876 FALMOUTH ROAD/RTE 28,HYANNIS Permit For: Building-Zoning Compliance Certificate Contractor's Name: State Lic. No: Address: , , Applicant Phone: (Home)Owner's Name: WHITEHALL PAVILION HEALTH Phone: ASSOCIATES LP (Home)Owner's Address: 57 WINGATE ST, HAVERHILL,MA 01832-5722 Work Description: Zoning Compliance Certificate-Partner Engineering and Science Total Value Of Work To Be Performed: $0.00 Structure Size: 0.00 0.00 0.00 Width Depth Total Area I hereby swear and attest that I will require proof of workers'compensation insurance for every contractor,subcontractor,or other worker before he/she engages in work on the above property in accordance with the Workers' Compensation Act(Chapter 568). I understand that pursuant to 31-275 C.G.S.,officers of a corporation and partners in a partnership may elect to be excluded from coverage by filing a waiver with the appropriate District Office;and that a sole proprietor of a business is not required to have coverage unless he files his intent to accept coverage. I hereby certify that I am the owner of the property which is the subject of this application or the authorized agent of the property owner and have been authorized to make this application. I understand that when a permit is issued,it is a permit to proceed and grants no right to violate the Massachusetts State Building Code or any other code,ordinance or statute,regardless of what might be shown or omitted on the submitted plans and specifications. All information contained within is true and accurate to the best of my knowledge and belief. All permits approved are subject to inspections performed by a representative of this office. Requests for inspections must be made at least 24 hours in advance. Signed: 8/6/2019 Applicant Date Telephone No. Estimated Construction Costs/Permit Fees Total Project Cost : $0.00 Date Paid Amount Paid Check#or CC# Pay Type . i Total Permit Fee: $75.00 8/6/2019 $75.00 88698 Check _... _... Total Permit Fee Paid: $75.00 9 q5-0 o- PARTNER ENGINEERING AND SCIENCE 88698 Check Date: 7/31/2019 Invoice Number Date Voucher Amount I Discounts Previous Pay Net Amount 252632.1 7/31/2019 1000000512553 $75.00 $75.00 / Town of Barnstable .) TOTAL $75.00 $75.00 2PAC-Partner Wells Fargo 2 BARNSTABLET10 Account 01 1 l � I 88698 Check Date: 7/31/2019 `- Invoice Number Date Voucher Amount Discounts Previous Pay Net Amount 252632.1 7/31/2019 1000000512553 $75.00 $75.00 Town of Barnstable TOTAL $75.00 $75.00 2PAC-Partner Wells Fargo 2 BARNSTABLET10 Account 01 l � i \ PRODUCT SSLT141 USE WITH 91500 ENVELOPE Deluxe Corporation 1-800-328-0304 or W".deluxe.com/shop 0 8352013i001 PARTNER July 31`�1019 Town of Barnstable u i Brian Florence,Department ROA01, L7 367 Main Street Hyannis,MA 02601 Tel:(508)-862-4030 Sub/ect:-BUILDING VIOLATIONS RRECORDS REQUEST W The Pavilion Rehab&Nursing Center 876 Falmouth Road Hyannis,MA 02601 Partner Project Number: 19-252632.1 Partner Engineering and Science, Inc.is conducting a Phase I Environmental Site Assessment and/or a Property Condition Report Assessment on the above referenced property: As part of the investigation,we are requesting informally any and all records you have for the above-referenced property pertaining to the following: If there are no open building code violations, please include the statement: There are No open building violations for this property. Outstanding building violations; The original building permit or date of building construction; Any underground storage tank installation or removal permits Certificate of occupancies; Sign permits Notices of Violations Thank you for your time and effort in completing the above request for information. If any more information is needed from our company regarding the completion of this request,please contact me at 410-390-4899.Please fax this form and any additional information to me at 443-377-3895 or send via e-mail to iroye@partneresi.com. Sincerely, Jovianne Roye Process Specialist 8422 Bellona Lane,Suite 301, Baltimore, MD 21204 0 Phone 410-390-4899 0 Fax 443-377-3895 From: admin=barnstable.foiadirect.govOtownforms.com on behalf of admin(a)barnstable.foiadirect.gov To: Rove.Jovianne Cc: guirk.ann@)town.barnstable.ma.us:;Brian.florence(obtown.barnstable.ma.us;ann.cuirk(a)town.barnstable.ma.us Subject: Request#2019-0201 :Estimated Cost for your Request for payment Date: Wednesday,July 31,2019 8:04:09 AM Town of Barnstable,MA Public Record Request Number:2019-0201 Requester:Jovianne Roye Request Date: Monday,July 29, 2019 2:54:20 PM Response Due Date:Monday,August 12, 2019 Hello Jovianne Roye: Based on your request,we have estimated the effort involved to comply with your request. As this is more than minimum effort by public records law,we have created an estimated effort and related cost which is shown below: Estimated Personnel Cost: Department Estimated Hourly Estimated Personnel Hours Rate Cost Building 3.00 1$25.00 $75.00 Department Total Estimated Personnel Cost $75.00 Total Estimated Response cost•$75 00 Please arrange to send us the payment for the Total Amount. If check payment is used, check shall be payable to Town of Barnstable and mail to the following address: f Town of Barnstable 367 Main Street Hyannis, MA02601 Note the Request Number on the check Until we have received the payment,your request status has been put on hold. We will start the process of creating the response as soon as we receive the payment in full. Please note that the actual cost of complying with your request might vary once the Town begins preparing. In such event,the Town will charge for your any additional costs prior to providing a response to your request, or refund you if the actual costs were less than the original estimate. If you have any questions regarding this matter,please do not hesitate to contact us by email at the following address. Thank you, Brian Florence,Department RAO Building Department Department Town of Barnstable 367 Main Street Hyannis, MA 02601 Tel: (508)-862-4030 Email: Brian.florence@town.bamstable.ma.us Town of Barnstable Certificate of Zoning Compliance Certificate 2019-23 Record Owner Name as of 1/1/18: Map 248 WHITEHALL PAVILION HEALTH ASSOCIATES LP Parcel 040 57 WINGATE ST Address 876 Falmouth Rd HAVERHILL, MA. 01832-5722 Village Hyannis Co-Owner Name Zone RC-1 C/O LANDMARK HEALTH SOLUTIONS Residential C-1 Single Family Overlay WP Water Protection Overlay Year Constructed— 1984 Property Use: Lot Size 2.9 acres Cert of Occupancy None on file RC-1 Setbacks: Front Yard 30 Date NA Permit# NA Side Yard 15 Rear Yard 15 Open Permits: None Special Permits/Variances 1964-6 (use), 1970-021 (signage) & 1981-032 (modification of1964-6) Permits: Building Permit# Building Permit# Code Violations: Zoning Code No open violations on file Building Code: No current violations found on file. Zoning Violations: No open violations on file. Zoning Relief. Variance 1964-6 (use), 1970-021 (signage) & 1981-032 (modification of1964-6) Zoning History: The subject property was developed in accordance with the zoning relief granted and constructed in 1984 as a nursing home. It currently contains three stories within a gross sq ft area of 37,272. Reviewed by Title Date: Robin C. Anderson Code Compliance Manager 07/23/2019 I II CRE Zoning 7/12/2019 24 N.High St.Ste.103 Akron,OH 44308 Alyssa Reed alyssa@cresurveys.com (330)697-8034 Subject 876 Falmouth Rd Property: Hyannis,MA 02601 Type of Business: Acreage:2.9 In response toyour request for information regarding the above-referenced property,we have researched our files and present the following: 1.The current zoning classification of the subject property is: 2.According to the current zoning ordinance the zoning districts for the abutting properties are: North: South: East: West: 3.According to the zoning ordinances and regulations for"this district,the current use of the subject property is a: [ ]Permitted Use by Right [ ]Permitted Use by Special/Specific Use Permit [ ]Copy Attached [ ]Copy Not Available(see comment) ]Permitted Use by Conditional Use Permit [.]CopyAttached [ ]Copy Not Available(see comment)= [ ]Legal Non-Conforming Use (no longer permitted by right due to amendments, re-zoning,variance granted or other changes.See comments) [ ]Non-Permitted Use Comment; 4.To the best of our knowledge,the subject structure(s)was developed: [ ]In accordance with Current Zoning Code Requirements and is Legal Conforming [ ]Non-conforming(see comments) [ ] In accordance with Previous Zoning Code Requirements(amendments,rezoning,variance granted)and is Legal Non-conforming to currentzoning requirements. [ ]Prior to the adoption of the Zoning Code and is Grand fathered/Legal Non-conforming to current zoning requirements In accordance with Approved Site Plan and is Legal Conforming to approved site plan.If any nonconforming issues exist with respect to current zoning requirement; the subject propeltywould be considered legal non-conforming. i.otlll.ent; _-.... S.Information regarding variances,special permits,exceptions,ordinances or conditions: [ ]There do not appear to be any variances,special permits/exceptions,ordinances or conditions that apply to the subject property(seecomments): [ ]The following applyto thesubject property(see comments): Variance-Documentation attached orisotherwise,no longer available(see comment) [ ] Special Permit/Exception/Conditional Use Permit Documentation attached oris otherwise,no longer available(see comment) Ordinance Documentation attached or is otherwise,no longer available(see comment) ( ] Conditions Documentation attached or is otherwise,no longer available(see comment) 6.Rebuild:In the event of casualty,in whole or in part,the structure located on the subject property: [ ] Maybe rebuilt in its current form(i.e.no loss of square footage,same footprint,with drive through(s),if applicable). . ( ]May not be rebuilt in its current form,except upon satisfaction of certain conditions,limitations or requirements. Comment:•.. 7.Code Violations Information: [ ]There do NOT appear tobe any outstanding/open zoning,building,or fire code violations that apply to the subject property. ( ]The following outstanding/open[ ]zoning/[ ]building/[ ]fire code violations apply Comment. 8.Certificate of Occupancy,status: [ Avalid Certificate of Occupancy has been issued forthe subject propelty and is attached. [ ] Certificates of Occupancy have been issued and are in effect for all buildings and,if required, for all units at the Propelty;however, we are unable to locate a copy in our records.The absence of a copy of the Certificate(s) of Occupancy will not give rise to any enforcement action affecting the property. [ ]Certificates of Occupancy for projects constructed prior to the year are no longer on file with this office.The absence of a copy of the Certificate(s)of Occupancy will notgive rise to any enforcement action affectingthe property.A Certificate of Occupaneywill onlybe required for new construction. [ ]A Certificate of Occupancy is not required forthe subject property. Comment. . This information was researched on by the undersigned,per request and as a public service.The undersigned certifies that the above information contained herein is believed to be accurate and is based upon,or relates to the information supplied by the requester.The Authority assumes no liability for errors and omissions.All information was obtained from public records,which may be inspected during regular business hours. By: Printed Name: Title: Department: Date: CREZONING, LTD 2807 Town of Barnstable Buildinq Dept. 07/15/19 Local Municipalitv Expense 19-4091-001-The Pavillion Rehabilitation and 75.00 n Fifth Third Bank 75.00 CREZONING, LTD 2$07 Town of Barnstable Building Dept. 07/15/19 Local Municipalitv Expense 19-4091-001-The Pavillion Rehabilitation and 75.00 Fifth Third Bank 75.00 www.techchecks.net ORDER# 387752 Town of Barnstapie Regulatory Services �oFjHE tpw Richard V. Scali,Director Building Division BARNSTABLE * Thomas Perry, CBO * sAMSTABLE, 0 Building Commissioner 167E-2014 57 5 200 Main Street, Hyannis, MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 May 19, 2013 Maya Kravtsova National Zoning Assoc. 4616 NW 159t' Street Edmond, OK 73013 Re: 876 Falmouth Rd, Hyannis, MA Dear Ms. Kravtsova; I have reviewed the records contained in our street file and in accordance with your request and as a result, I am providing you with the following information:, Current Zoning The subject property is currently located within the Residential C-1 single-family zone and the ground water protection overlay district(GP). Surrounding Area The RC-1 wraps from the west side of the subject lot, north and stretches over to the _ eastern side of the property. Just below the site, directly to the south is a parcel that has been zoned Multi-family Affordable Housing (MAH). Further south,below the MAH parcel (bounded on the other side of Route 28)is the Residential B single-family zone. a. Use The use was established with a variance in 1964. (I have enclosed a copy of all referenced documents for your convenience.) Zoning Relief In addition to the original variance (1964-6)there are two subsequent forms of relief as well, 1970-021 (signage) & 1981-032 (modification of the 1964-6 decision). y Site Plan Review The 1964 & 1981 proposals for the construction of the nursing home pre-dated our site plan review requirements. Certificate of Occupancy I was unable to locate a copy of the original occupancy permit. I am,however providing you with a copy of the current Certificate of Inspection which expires on Feb. 6, 2015. PUD I was unable to locate any evidence or reference suggesting this project was submitted or reviewed as a PUD proposal. Violations Our file did not contain any noted violations or history enforcement action. To the best of my knowledge there are currently no zoning violations. Please let me know if you required additional information or clarification. Sincerely, Robin C. Anderson Zoning Enforcement Officer Building Code Certification U.S. Department of Housing OMB Approval No.2502-0605 Section 232 and Urban Development (exp. 06/30/2017) Office of Residential Care Facilities Public reporting burden for this collection of information is estimated to average 0.5 hours. This includes the time for collecting, reviewing, and reporting the data. The information is being collected to obtain the supportive documentation which must be submitted to HUD for approval,and is necessary to ensure that viable projects are developed and maintained. The Department will use this information to determine if properties meet HUD requirements with respect to development, operation and/or asset management, as well as ensuring the continued marketability of the properties. This agency may not collect this information,and you are not required to complete this form, unless it displays a currently valid OMB control number. Warning:Any person who knowingly presents a false,fictitious,or fraudulent statement or claim in a matter within the jurisdiction of the U.S. Department of Housing and Urban Development is subject to criminal penalties,civil liability, and administrative sanctions. INFORMATION TO BE PROVIDED BY LENDER WHICH MUST BE INCLUDED IN THE CERTIFICATION: Name of Project/Facility: Pavilion Rehab&Nursing Center Project/Facility Type':X Skilled Nursing ❑Assisted Living []Board and Care ❑ Other, Specify Location: 876 Falmouth Road Hyannis MA 02061 Street Address City State Zip Code Tax Map Key: 250035 Year(s) Built: 1984 Number of Buildings: 1 Number of Beds: 82 OR Number of Units: 82 [Space intentionally left blank] ' As defined in Section 232 of the National Housing Act. Previous versions obsolete Page 1 of 2 form HUD-91130-ORCF(06/2014) The Commonwealth of Massachusetts TOWN OF BARNSTABLE In accordance with the Massachusetts State Building Code, Section 106.5, this CERTIFICATE OF INSPECTION is issued to ESSEX PAVILLION, LLC Certify that I have inspected the premises known as: THE PAVILLION REHABILITATION&NURSING CENTER located at 876 ROUTE 28. in the Village of HYANNIS County of Barnstable Commonwealth of Massachusetts. Construction Type: Use Group(s): I-2 The means of egress are sufficient for the following number ofpersons: Location Capacity Location Capacity BEDS, 1ST FLOOR 41 3RD FLOOR SEATING 37 BEDS,2ND FLOOR 41 BEDS,TOTAL 82 DINING ROOM 1 ST FLOOR SEATING 60 2ND FLOOR SEATING 37 Certificate Number: Date Certificate Issued: Date Certificate Expired: Map Parcel 201500431 2/6/2015 2/6/2017 Q 035 The building official shall be notified within(10) days of any changes in the above information. Building Off cial r, i INFORMATION TO BE COMPLETED BY GOVERNMENTAL AUTHORITY: To: Secretary of Housing and Urban Development First American Capital Group [Lender] We confirm our records show the captioned project/facility was built in accordance with the building codes applicable at the time of construction. In addition there are: X❑ No current building or housing code violations on record or known; OR ❑ Current building or housing code violations on record or known (identify the violation, remedy and status in space below): This certification is made, presented and delivered in connection with Lender's application for mortgage insurance pursuant to Section 232 of the National Housing Act and to influence an official action of HUD, and may be relied upon by HUD as a true statement of the facts contained herein. (Certification must be signed by a person with supervisorial responsibility) Governing Authority:Town of Barnstable By: Building Division Name and Title: _Robin Anderson Chief Zoning Officer Date: 6/27/16 Phone: 50l 8 )862-4027 The intent of this certification is to notify HUD that the applicable building authority is not aware of any building or housing code violations with respect to the Property. If any violations exist,the governing authority should specify the violation and the remedial action required. I am attaching a copy of a 2013 letter regarding the zoning, project&violation history for this property and the most current Certificate of Inspection. To the f my knowledge there have b�o subsequent site changes or any recent history of code violations. Zent . Previous versions obsolete Page 2 of 2 form HUD-91130-ORCF (06/2014) Town of Barnstable Regulatory Services SHE rpy, Richard V. Scali,Director ti Q, Building Division ,,,STAB Thomas Perry, CBO BARNSTABI,E 9 MASS. WAStOX M C FRVPVIl�II-MU"-HYM B E �A i6gq• ,� Building Commissioner 1639-2014 200 Main Street, Hyannis, MA 02601 575 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 May 19, 2013 Maya Kravtsova National Zoning Assoc. 4616 NW 159' Street Edmond, OK 73013 Re: 876 Falmouth Rd, Hyannis, MA Dear Ms. Kravtsova; I have reviewed the records contained in our street file and in accordance with your request and as a result, I am providing you with the following information: Current Zoning The subject property is currently located within the Residential C-1 single-family zone and the ground water protection overlay district(GP). Surrounding Area The RC-1 wraps from the west side of the subject lot, north and stretches over to the eastern side of the property: Just below the site, directly to the south is a parcel that has been zoned Multi-family Affordable Housing (MAH). Further south, below the MAH parcel (bounded on the other side'of Route 28) is the Residential B single-family zone. Use The use was established with a variance in 1964. (1 have enclosed a copy of all referenced documents for your convenience.) Zoning Relief In addition to the original variance (1964-6)there are two subsequent forms of relief as well, 1970-021 (signage) & 1991-032 (modification of the 1964-6 decision). I Site Plan Review The 1964 & 1981 proposals for the construction of the nursing home pre-dated our site plan review requirements. Certificate of Occupancy I was unable to locate a copy of the original occupancy permit. I am, however providing you with a copy of the current Certificate of Inspection which expires on Feb. 6, 2015. PUD I was unable to locate any evidence or reference suggesting this project was submitted or reviewed as a PUD proposal. Violations Our file did not contain any noted violations or history enforcement action. To the best of my knowledge there are currently no zoning violations. Please let me know if you required additional information or clarification. Sincerely; Robin C.Anderson Zoning Enforcement Officer t\ National Zoning Associates, LLC 4616 NW 159th Street • Edmond, OK 73013 Tel: (405) 285-9359 •Toll Free Fax: (888) 777-0371 Email: maya@zoningassociates.com To: Town of Barnstable MA Date: May 16, 2014 Re: Request for Zoning Verification Letter for Pavilion skilled nursing home located at 876 Falmouth Rd, Hyannis, Massachusetts 02601. Parcel Number: 250/035; Acres 2.9; Year Built: 1984 Units: 42 Please consider this as an official request to obtain a zoning letter. • What is the current zoning of this project including any special, restrictive or overlay districts? • What are the abutting Zoning Districts to this property to the North, South, East & West? (specifically any residential or other abutting zoning which could impact buffer, height or setback requirements for this project). • To the best of your knowledge, are there any unresolved zoning or building code violations on file for the subject property? • Was this property granted any Conditional or Special Use Permits, Variances or Special Exceptions? If yes, please provide copies of such document(s). • Was the subject site required to go through Site Plan Approval? Please provide a copy of the approved Site Plan, if available. • Was the property developed as Planned Unit Development? If yes, please provide a copy of the PUD plan and/or PD approval documents. • Was the subject site issued all required Certificates of Occupancy? Please provide copies of all available Certificates of Occupancy. If COs are no longer available, enclosed please find a simple form to fill out. The building were built around 1984. Please provide as much information as possible on your letterhead and return via Fax or Email to: 1-888-777-0371 or mayana.zoning associates.com. Thank you for your help. Sincerely, Maya Kravtsova National Zoning Associates, LLC 4616 NW 159th St. • Edmond, OK 73013 Tel: (405) 285-9359 •Toll Free Fax: 1-888-777-0371 Email: maya@zoningassociates.com Date: May 16 2014 To: Town of Barnstable Request for copies of valid Certificates of Occupancy for: Pavilion skilled nursing home located at 876 Falmouth Rd, Hyannis, Massachusetts 02601. Parcel Number: 250/035; Acres 2.9; Year Built: 1984 Units: 42 CERTIFICATE OF OCCUPANCY INFORMATION based upon our records: Valid Certificates of Occupancy have been issued for this project including CO's for all tenants (if applicable) and is now outstanding for the Project. For any certificates not located or on file for this Project, the absence of a Certificate of Occupancy is not considered a violation and will not give rise to any enforcement action affecting this Project(see attached copies) Certificates of Occupancy for Projects constructed prior to the year are no longer available. This Project was constructed originally around 1984. The absence of a Certificate of Occupancy on file for this Project is not considered a violation and will not give rise to any enforcement action affecting the Project. A Certificate of Occupancy for the Project will only be required (please circle what is applicable) • to the extent of any construction activity, such as restoring, renovating or expanding the existing project • change in use • change in occupancy/tenant • change in ownership • new construction We are unable to locate a Certificate of Occupancy for the Project from our available records. We have evidence in our records a Certificate of Occupancy was issued however it has been lost or misplaced. The absence of a Certificate of Occupancy for the Project is not considered a violation and will not give rise to any enforcement action affecting the Project. A Certificate of Occupancy for the Project will only be required to the extent of any construction activity(such as restoring, renovating or expanding the existing project) and/or change in use. Please Call or email the undersigned if you have any questions or comments: Your Name Your Title Your Phone and/or Email Address Ebe commoubjealtb of Aa5.5arbuOett.5 TOWN OF BARNSTABLE In accordance with the Massachusetts State Building Code, Section 106.5, this CERTIFIC.A.'TE OF INSPECTION F- is issued to ESSEX PAVILLION, LLC. Q�>ei�tfp that have inspected the premises known as: THE PAVILLION REHABILITATION&NURSING CENTER located at 876 ROUTE 28 in the Village of HYANNIS County of Barnstable Commonwealth of Massachusetts. Construction Type: Use Group(s): 1-2 The means of egress are sufficient for the following number of persons: ° Location Capacity Location Capacity BEDS, 1ST FLOOR 41 3RD FLOOR SEATING 37 BEDS,2ND FLOOR 41 BEDS,TOTAL 82 DINING ROOM 1 ST FLOOR SEATING 60 2ND FLOOR SEATING 37 Certificate Number: Date Certificate Issued: Date Certificate Expired: Map Parcel 201300257 2/6/2013 2/6/2015 0 03 The building official shall be noted within (10) days of any v� changes in the above information. Building Official Traczyk, Art From: Anna:Brigham-Janowicz[abrigham @ nutter comJ Sent Wednesday, Decemberl 1,2002 8 07`AM .. To: Traczyk;Art Subject: RE:ZBA database Thanks, II.11 be in this morning for copies.. Youre the best. call me if you .need coffee`. Anna »> Traczyk, Art" <Art.Traczykgtown.barns table.ma:us> 12/10./02 :03:57,PM .AnnaC yes: three variances 1964-006 to permit a.nursing home, 1981`-032 a modif. cation. of the, variance, and 19.70-.021 something about a temporary. sign`???` it also appears the .variance was issued.to two parcels:`035 & 036.. come over and.you.know what to.do. -if::you meed: them. thanks art PS I'm going to try to sent you. something.. -----original Message-- -- From: Anna `Brigham-Janowicz [mailto:abrigham@nutter.comJ. Sent:. Tuesday; .December 10, 2002 2:56 PM To: Traczyk, Art Subjects 'ZBA database. Hi Art;. When you..get a chance, care you tell me if there are •any: Special Permits. or Variances. .on 250/036? Its a .nursing home .on At .2.8.. .Thanks!: I ,1 i.: . 30 Board of Appeals Wh i teha l l Manor rNurs i ng Homes:. Inc �� Deed duly. recorded in.the _. _ Property Owner.". County Registry of Deeds in':Book. Al 1 en, J. Wh i t e _.� w_. --: Pa g a ,. egistry __.._ _.__ .._. _.._ _ - Petitioner. District,:of the. Land. Court :Certificate'No. ^•, , Book :Page A:ppeal,No 1 $1w�2 Ju-ly 9 19 81 Fi CTS and::DECISION Arlen J. White June `l5 81 :Petitioner _ filed petition on 19 requesting a_variance-permit for premises :at Fa hmouth RoadX'in the village of Hyann i s , ad,oining premises-,Of: (see attached: 1 i s t) for the,.purpose of .: . .KdLf_Lraftnn.._nf....exast! ..l1ar1ance._. t� d]1plat- cons_truct_i•�on of"80-bed nurs i n� •hgme face l i;l ,� Focus is prescutly zoned m_. Res�dence_C 1 Notice of this hearing was given by mail, postage prepaid; to all ;persons deemed affected and by publishing ui Barnstable Patriot newspaper published in Town of `Barnstable a-copy of iv.11�elr is attached to..,the record of:.these proceedings Bled withTown'Clerk. A public Lea;mg'.by the:Board of Appeals of the Town of Barnstable was held at the Town Off ice Building; Hyannis, Mass., at : _Z 4_t` _ X) :P M . :_ W�-,Z,---`: 19 81 `, upon .said petition:under Toning.;by-laws.. Present :at the hearing we the following,members Luke P .Lally ��__` �. Richard L_ Boy _ F[-a.nk P. on d n - Chairman, l THE FOLLOWING IS/ARE THE BEST IMAGES FROM POOR QUALITY ORIGINALS) DATA ChapofGea r BOARD OF APPEALS � c ttse +-8d� ill1 amea l4� - * EAL3 "A9$1 3 7,30aP M RN5TABLI HOED 1a G CO has e 40M s an 4vARIANCE' w g�r 'PEAL: N0. 1 4 � toalloxhe , IL 9 8.1-32 .ALLEN J.- WHITE (WHfTEHALL MANOR NURSING HOME) 5 FfIL3.D��ECE Gtwhicha sxln uUNDERSTZEtandhas:*I ESS WNW b� TfiE�QU EDP Ol!1 HAY§�7Wr' ai CINDER RRA� E YIvi RSTOIVS 1n a :ctmen's Office Km- �I2ESIDENCE�k7ANING;DIST I N. ubl heareitigR bebehe7s ! ss pettHonat �0 �v r zS�A)?PEAL OI981 2 >;L NJ�IE(W_HI AL F , MAIROR IIURSIN�MES�¢C ,k hasap�al tflheZomnBoard of Ap(aeals and peUttons for.,a 4. MOD IF exs01 fing HE +� i1 7AKIANCfi0 964 6to-allowthe z glICONSTRUCTIONROFt'AN ADD1 ' TO, N L 80BEDIVRSINGHOME x Of ACITUIM yAROUr�7�E�2$ ���;�ALMOU�THs�RD w9ANNISin °t*�- �ILESID):NGE C fi ZONING kYDISi1 RIC T4 y4_5 �. 4 dton t ApubUc,hearurgw lobe heihis gpettbon at4S�p mom, X RN 3 �;APPEA)rt0 i9$I 3p0�hi 3 ��JANEFDVIS G�AYIN fias�ap t. a y ra 3 � -om °ardof Ap e3s alloNIOE O lonS �CE9 W3LTH SIGK�� 379 SOU fi n a STREETfH7;ANNIS G � � .� RESIDENCE B ZOf!IING DISTRICTrA public}ieating nll be heldon this titton atgm BW APPEA219019814 S I P'M �REYIENNETI[ MURPHY figs a tt A*h 3aepeaedfa h2onig�B bard�ofgP Gals and a ittons(or`N Y RIANCE; fivm5DE�CARDE B' �RE ,QUIREM ENT m alto CONSTRUCT k r77dON dFGARAGE3AR�IvImHILL a 4jstRD $ 'ASPOT�ihav *' r F �RESIDENCE B ZONING D1STRIC� ; pub1 cheann �vil>beheld oa this . v:Z Pettttod aY,�1.5 pm, tg y 'APFEALO��L981 �80 P M N' LEi r % INESTORSk, REAM TY RUSkCC has appeal'l-I the 7.omng Board of App,�eals and�ehttons �`r' ''ifoc''a_�GAPANSE trom,,S}iAP,`ERE �PQ�JTfiEMEat�GUl'+(ST�OCK�B „�- } OSTERYLEana fIESIDENCE C MR ZONI?yG�I7�S1RIGt � ; zA�publicheabeield o thu x� �etttton 0 5{yWN{z gg367lhese.ThNeanngs tl�l beVIV�RG�OOvT© hY el uAuhL Le;; ;. FLURS rTYA -Nall� H L'n#NL DA 9VN, � � � v ,� You�are mvtted to-berlptesen��Byfx 3 ��'�� �1 aoriiesofethe Zont g Board.o`��Appeals�z� BOARD OF APPEALS aeasrrar f .�Aea 1679• ` a OYY�' Appeal No.: 1981-32 Page 3 of 3 of the ,previous variance under Sec. 14 of Chapter 40A. , MA.I. , would be. in keeping with the spirit and i-n.tent of the zoning :by-laws and would not cause detriment to the neighborhood. The Board s..trongly recommends that .the..pet-itioner consult with the Hyannis Fire Chief prior .to construction. regarding the.:safe.ty aspect of ingress and egress to the nursing home facility. All -construction is restricted :to the plan submitted and cited as follows.: ''Proposed Nursing Home Hyannis.,. Mass. Drawn by; George Earl Ross Drawings-: 1 th.roug:h 6, Rec'd on 7/2781 (ZBA) Bra.i'.ntree., .Mas:s." i ABLE TOY Board of.:APPeals � Nursin oidednhWhiaehallManor y Property, Owner' .ofedsmBok nRCoy . Paoe -., en. ..., Wh rte -__- -R egistry, . etitioner„ APPROVED_AS TO District,of the .Land Court Certificate No;' -: -Book Pa e Town Cost';; July 81 Appeal No ...:.:: 1.�81.:: 2 ...:m.._._... - 77 FAC.T�, and DECI$IOPT` .:. Allen J :Whi ; filed petition on :June 15 19.81 Petitioner -: te _._._ - - requesting a variance permit,for premises., at Falmouth' Road X m th.e village Hvann i s „ adjoining remises :of -(see attached 1 i st) - .. for the 'purpose. of _ Madi:far_atlnn ,.af.: exi t�.rig.`..u�riance _ ,construction of `80-_bed nurs`I'D' home. face 1 i„i<y :. ..._ Locus is presently zoned m ..: Res_l,dence„C 1 zonD19 d1 i,5 C!tn — \oti.ce of t}iis hearing was given by mail, postage prepaid to alI 'persons deemed affected and by publishing in Barnstable Pat:riof newspaper published m Town of: Barnstable a copy of attached to the record of these proceedings filed with Town' Clerk.` A public learnig by the;Board`of Appeals o.f,the Town of Barnstable _w as held at he own Office Building', Ii3 anilis, Mass, at 4 .Y. 4.. _. . :_. 19 81: , upon said petition under zoning by-laws..' Present ,at the hearing were the following members . ...... _.. _: Chairman i 617-775-1'120 . f r, TOWN OF BARN:STABL saaa9rlst. } ZONING BOARD OF APPEALS 'RAMS. °a i83q. �yd 3.67 MAIN.STREET �g MAY HYANNIS, MASSACHUSETTS 02601 APPEAL NO. 1981-32 - ALLEN J. WHITE (WHITEHALL MANOV URS.ING HOMESING.). 1 hereby certify that the attached list`,i'ng showing :names :and addresses of "Parties in I nterest" as required under.S.ect.i on .i 1: of Chapter 40.A..., M.G.L. are: as they appear on the most recent tax, list (19.81 fiscal year) to.within' 300 ft. or to abutters to abutter Within 3M ft=: Robert D;: Whifty,: Pi r: of .Assess i-ng. �o TOWN...OF 3-RNSTAB;LE o SAUS BARD ®F APPEALS �o�uY $97 MAIN STREET HYANNI'S MAssACHusETTs 02601 August ;24.; 1982 Fern, Anderson, Donahue, :Jones &. Sabatt Attorneys at Law. - 436 Main Street; Hyannis, MA 02601 Attention: Daniel `J.. Fern Dear. Mr. Fern:..:. . The Board: has reviewed the..new ;site plan. for Whitehall.Manor_ Nursing Homes', Inc. (appeal nos. 1964-6 6. 1981-32) and finds that the' proposed:change in :the location of the new building'to be constructed. at :Falmouth. Rd.,: Hyannis does not affect the design concept:as originally approved' by the Board. If in and .egress to the Whitehall Manor Nursing. home is`:from:Falmouth.;..' Rd. '(rte.` 28) .only, as approved=under< appeal no.: 1981-32, it will; be unnecessary to have a.new hearing on, the `relocation of`. the'building .to. be cons.trutted. -at this site Sincerely.,. 1'' cc.. Building 'inspector: Luke:P. 'Lally, Chairman I� r FER.N`, A: NQ l7°ERS ;'N DONAH.UE J.C1NE5 & SABATT : P.A_ ATTORNEYS AT LAW' DAN.IEL.J.FERN, P.O BOX,:S1'.6... RICHARU:C.AND.ERSO N'. - 436 MAI N,STREET- R06ERTJ. DO.NAHU E:: FYANNIS 'MA55'ACH.USETTS_`02601 STEPHEN C_JONEs CHARLES R. SABATT' f I O775 56Z5: Augas t 17 a 19821 � Board of Appe7.als Tows: of Barnstable., Town Office giaxinis M , 02601 FI­ re: ;W.hatehall:Manor RTarsing Homes, Inc a �T Appea 1 No 01964.-6 as modif led by Dear Members. ::of the Board 'of Appeals,-:. By virtue of ;the foregosng variance::and .mod : fica ion;.; �hiehaYl i�tanor Nursing Hoanes .Inca m was authorized to ;,construct; a -building to;:hotase a> 80 bed ntitsang hoarse facs lgtya �'he aaiodi¢�catgon provided `that";all cons rtction is restricted to the plan ;;`atsbantted`and cs ted as ;follows "Proposed.Nur in F�ome; ann� 1�ia s m 9 . Drawn by':� George- Earl ;Ross o.- Dra�agn Is 1 through 6, .;Rec°0d: on :7/2/8;1 (zBA) Braintree,' Nlase o '° Following consultation°with local authorit�.es including the: I�yanxais Fire ;Chief o as,;:recommended bgr your Boards the applicant now wishes to constructs the precise btiiilding perms teed, lout located bn' a different: portion-of tY�'e premises. copy of the; proposed.:neva. site;;plan_ is sub mined i 'rewiuh, I would "like to appear before you, without filing anew application, to request that you issue a letter ;;to the effect "that';you have:: (1) :reviewed the new site p an, (2) ;cleteranined that the proposed change in the project is not a maternal one hat` the. design concept as `not affected; and. :JOSEPH D. DALUZ - - - TELEPHONE: 7.7511.120 Building Commissioner EXT. lOZ TOWN_ OF BARNSTABL E BUI'LD.IN:G 1.N:SP.ECTOR TOWN. 'OFFICE BUILDING.:: HYANNIS,.:'MASS.;02601. January, 25, 1984 TO: Board of Appeals FROM: Joseph DaLuz; RE: Whitehall Manor Nursing.Home I have spent. considerable time on a: reuiew:of this structure. I,have spoken to the principal owner., :Allen:White and his attorney, Daniel Fern about the process by:.whi6h a variance was granted . If you will review the purpose.of the appeal: you wx 1jind. . . was. .for a "modification of existing Variance #1964-6 to'.allow;constructon of 80` bed nursing home facility".. Petitioner .requested enlargement :of the` . t ng' facility based on the current need :for additional beds. The Board in their w sdomj based on the .presentation, granted the .modi fication,of the 1964-6 variance to al,low;:construction;:,of an`.80 bed facility in accordance with plans:'.on file drawn by:::George Earl Ross. This plan is Also the plan approved by:HUD: and any changes .are ub7ect to their approval. The plans are on file in.my office ,and the inspections made thus far. are in accordance with said plans, JpseP�h D D z Bui- ding Camiissioner � t JAN ✓ chard ,aOy.0 .t%F'CC?I .tIF tjll Var!0E'rtrl?� L nE. r_v:annis mA 0260:1 manue:l Ceriteic:?' y i_ten "ShonoN ick 21 Br Hy�anni:s, Dik 02601 5�+ ✓ wililai: J &: Kathleen F .E'_irr 2:2, Br;iar. Lane riyannis, MA 02601 Ol,c. S trawberrti. Rd T -ant s, MA 02607 ✓ Tiber c c.. & rlar_e T Santos 25'� Clc Straw:�er: E. �Tv_arms Arc' ri2bl..( � . 6ErCr'11: t7drey L:.r"cinerne X. act OOC1dnG: JlirEe '.: T - �r. Y .`u,3 C� :�L�C. lr.enc, ��..Bar-on ✓, ku h r.Car;lsor: 9- 2 ralrnnuth. koac,. rannis, fir;` C25'01; 33 Sohn. T.carlson; exor 9a2 rzlmouth Roac Hyannis, .MA.. 02E.0.1 37 1/ tsar tin E.:Sher, :Tr. 22:0 Boylston Street 2n= Chestnut till m- 0.`2167 gl. t' Walter P.Prawluckj, 528 Newton :S re.e Soutr Hadley,, .hik: 01.0?5 Sc. ✓ Euli. ;,.s: Gia.d-s 1i.Dcngns . 42,3 B_'S.hopc "'er u26rr ✓ . iiEsri iwa i:�' ^;:a h1�51JDc '``1�irdC.. : n s :,r . 6' tea^ � i ✓ 'd-Sri=`� 2r;0 �vlvi� ,S:at.� er � - �;s,h�ns, 1raeE; 026, v.. 0cnr, _ 1izab et-h, 4 r ,dYj .u. Rli hart - n :Marie. T e b., r g__ _ t' -Hyannis fin 0260 1/ Leonaarc P ; & Joan Rai ner 282 Str:�wber_ �- Y_1 j�:oae. rwann�s, r;fi: 02t 01. h:anuel ,:une .Davis lrs townhouse �Ar ace,. Hvannis, r` 026 i 56r ✓ John J Ra fael 3rd 4 . Overlake Roaa' 5 }n lJ:h1 Yna Wakefi la r�, 01:o80; 'c h P .27. : l. 7 4.►x u t,,, (1 A O..Z b,t . 'icrar:c inn: L.2.eial:er 7G:' -'1?lE,`. La'l , yU ,C.Lar I c, r 1, SeC3 T._,'_ `V :r t�`'anni`s, r 026:01 Vve the indersgried rtaarties near he :propt : ,ed nLrsi ng:':home, to be constructed by AT.len .J- White on Route" 28.,: Flya. nis,;.'Nass- on the is es, :Whzteh'aTi :Manor; Nursing' Homes Inc :have :no :object on f-hepreto name a'ddreas I a fr• tom.. �� .�„ Q .��' /� � VO r A. IL 1 1 44 jJ � �n/ ���'QC�4..I; �7�`' ��"�j1'JL�4? ✓ \�n:� �Kt L1Y.t-2� isX_ t Jew, Ao 1 RP EALS POA D OF !� A u 2 l 81- rt Mee i n J l Minutes 0 e t 9 P 9 Y 1981-32 Al en J.-.. White (Whi;tehalI Manor Nursing Home) The.,'Board Voted unani:mously` to mod ify,.existing va;riante: 1964=6 whi''ch:a1.1owed the construction of '.a .76 v,n i t nurs i. g':'home:at Route 2$ `.(Fa l;mouth Rd.)Hyann is in .3 Residence B.`zoni;n:g district The.:',Boa rd:` found thatrvar,i'ance .con.diti.ons which. r.un: with. t:he land. w.ere establ:is'hedunder the p .eviou.s ap.p.eal.:.(.:1.964.-6): and that al.lowi:ng the add i.t ion"a]. -construction of an 80.='bed:nursing faci'.l i;ty for the care of Level `I and Level II patients would provide:a needed:::ameni,ty;. to the ci t i:,zens' :of the town as:,we l 1 as_::.a l l,ev:i at i ng .the ::over-crowding .-n.ow �exi.s.t i:ng at Cape Cod Hospital `.due to the shortage of 'nursi'ng home beds on Gape Cod.whi:ch, prevents the transfer of. patients: to nursi'n.g h`ome:s from: thO_:hospi"tal who do;not .require hospital_ carve. , The;.Boar:d found that allowing this ;modifi cat ion, Lin der Sec. .14. of Chapter 40A , M-.'G L.::,would 'be .i'.n keeping with the spi'ri t and'Intent of,the zoning by-laws and would not cause detrime%nt to the.:n.eigh;borhood in which this nursing home is located. The Board recommends that the ,peti'tioner .cons.ul.t with the Hyannis Fire :Chief prior to con.struction.,regprding' the saf ety< aspect of ingress: and°egress ';to the new'nursing home facility. All construction shall be in accor.dan:ce.with;the pan filed acid .c.i"ted i n;: the dec,i s ion.;. 1981-33 Jane D ay.i s-Gav;i n , .. The; Board :voted..unanimousl to grant. the pet.itjon,6r a'v_ar.i.an;ce: :for* a law off,i`.ce and sign-at her resV. ence :on 379. Sout:h..5t ;:,:Hyannis In,.a residence B zoning di�strJct. The Board found Ghat the topograp.hiesof,.the ;structures, existing on this parcel were unique:: to .the zoning di.`stri"ct and. comp.l.ied w;:th the requirements of Sec. 10 of Chapter: .40A. M.G.L. The pet.i'tion'e.r will ; utilize approximately 350. :ft of space `in' her resi:.dence :for a Taw off.i..ce .and the Board found that this, use;wo.ul.d' not be detrimental to the neighb;orhood..:"nor :i..n derogati'.on of .the spirit 'and intent; of the zoning by=laws inasmuch as: the majority of.:`the properties :i:n the immed:iat.e. neighborhood of.the Locus have business .or 'p-rofes.sion.al` use. This variance is subject to the.follow..ing restriction: 1.: I n add i`.t.i on.. to., the: l aw..of f rc..e; th:e: pet;i:t i ones':'i s a l;.l owed ;a s,i gn not to exceed; 12`:`ft x ''2 ft, i,dent `fy i n:g .the a.aw, o:ff i-de:. use. There .s.ha11 .6e no. .other'signs at 'this : ocatton;.. 10$ 34 Rev. Kenneth Murphy, The.:;Boa rd'Wi11 vview th'e pet:itloner's property af:. Farm .H 11 Rd V Hyannispo t befo:re. mak ng a ':decis.i on on2the �iar.iance requested to al low :a garage to:.be. cons.truCted. which wi l;l not;:comp y wrth.`the:s'ideyard or. reary;ard :setbacks in a residence zoning district J ".o tu 13 vo do 6, i in So aNv `-d 6 {. , i y �- t` 1 t PPeaz gun;(lLtdh a avo ��NST i l •, i ! i6LE MASS' it = Date'Bsceived = u� H1 JUG 15 AH11 29 aw.a rRr TOWN ,OF BAItN$TABLE,.. PETITION FOIL VARIANCE [7Mv M THE;ZONIN. BY-LAW .. SPECIAL:.P. ERbtIT To. the-Board of Appeals, Hyannis,.Mass.., Date Ali :29 . . . 19. �.. The.undensigned petitions the Board of APpeals to vary, n the manner,and•'for.the reasons:. _... hereinafter set forth,the application of the:provisions of the:zonmg by-law to She following described Premises Applicant: ALLEN LT.WHITE Rivers':Erid Centem.1,11'0 Mass '02632 (FeA.Name) (Winter.Address) „ �_ Whitehall Manor Nursing.:Homes:Inc. Route `28 13wannis, MA (Full Name).. (Wide,Address) : Tenant (if atop): N.A.. (1'UIl flame)': :(Winter Address) 250 a 1:Assessors map and lot nunumberPa g . :Lot 35=36 2 Location of Premises Route 28 (Falmouth Rd). Area 5.54 acres; Hyannis. g"e ef.Btreet) (Wbat.sectkn of Tbwn) ; a.Dimensions of lot 500 , 650'i.' 2dT 000 s.f.}. (Protitage) (Depth) (sq—Feet) C Zoning'district in which premises are.located .5. now long has owner had title,to the,above premises,: .since''approx.1965 6. How many buildings are now on the lot,,- one'.:. 7. Give size of eastmg buildings wee wings, each: dbout 68' x 200' Proposed buildings - 186' x 72' 8. State present use ofpremises — nursing Some 9. State proposed use of premises nursing: home 10: Give extent of proposed construction or alterations: —_new nursing home const3�uetion in building to be about 186 .feet.'x 72 feet to now contain"80 beds 11: Nmnber.of.living emits_for which building is to.be arranged nurs ins`home beds 12. Have,you submitted plans for above to the;Building Inspector, yes 18. Has.he refused a permit? yes:. U.What section of zoning by-law do yon:ask to be:vanedt: modification.of yariance:.1964-6 15:gState reasons Eor variance or,speeial permit: Premises' Cont3ininG about' 5� acres are"operated as nor-coni'ormina nursing'homes as Areviously authorized:' by Bm rd of Ant a l a -M,=;w nun + + a t gamo nac i a ra(=�opted. to fulfill need in commi.rity and' to accgpt hospital patients'who have no pnI resentiv.available n rs;ii home�eds fPrem,epG t 9 initially. in Hyannis A=1_zone) . j Respectfully.submitted. Aiie)� J.:.White (Signature) BY . .�Petition received by �5a el`J. ei��,attorney:' I (Address) 1136":M®j n tStr9et (; Hearing.date set for 19 Hyannis, .Mass,°02601 s ning`fee of egnired with this petition. te.1 775. .625 This.form.may nlso.be used;for Appeals.. t .(OVER) ,.' . r The following are the names and mailing addresses of the abetting owners of property and the namevand addresses of"the owners of pcaperty abutting the abntt3ne owners, of property and t3ie. - __. names and addresses of,the lowners across the street all i6 their corresponding map:iand:lot num hers.`:according; to the.:records 'in Lhe :Assessor s Officer;at the:date of this application Please(type or print only. There:must he submitted with the within,application at the time.of tiling:.a plan.:of the land, in duplicate,.(of:two prints).showing. 1. The dimensions of:the land 2. The location of ezistiug buildings on.the land:: S. The :exact.location of the. improvements songht_to be:placed.on t>ie'Lind , Applications filed without sncli:plans will be returned witho>it action by the Board of Appeals.: TOWN O BAIZNSTABLE . Board pf`.APpeals Petitioner: Appeal N.o. 1 9-70 ..21 ..1970: FACTS and`DECISION Petitioner .: g �$$ �; a - ffi�� - r_ filed`petitimi on requesting �� vanance-�m�# for premises at Dl.�... y E�11 t�St , in the village:. of - ..», adjoining: premises of 'lli$ irS�l Manor' 1�3ATt'��.� T�� t��In�. s, . vdlyxu Sa e>r° cros y Rom, C a; aol* l'sh®p...®� Ir' lY I' �rer°a if,4-w ;j Vie-. -..7.7 � ,l for the :purpose: Locus is:presently zoned.'in:.--a- Notice of this:hearing was:given by mail, postage. prepaid, :to all'persons_deemed. affected and by p.ublish ng`in.:Cape Cod Standard Times, `a daily newspaper;published in Town .of.:Barnstable a. copy of Which.'is atta.ehed to he record of.'thesc.lroceedings filed with`Town :Clerk A public.hearing. by the;Board 'of Appeals of `the To.�rn of`;Barnstable was held:;at the:.Town Qffice Building,:Hyannis, Mass., at ._;3 8 - _ P lti2 _ 19 N: upon said. petition Or.zoning by-laws . Present at the hearing were.the 'following member, Chairman At the conclusion`;of- the hearing; the Board took-said peon under advisement. A view of :the locus was:had by the Board On . .. ,.,. ,., .. 19`.., , the. Board: Appeals_:found : he €a.e �° ��c ra$e � l ro � e � ; '� �' $�,� t '9.cU Iti A- tu �f� ma 'Sign : � P'.i�$l *Uq� pa Vnb6 }AP.Q bA VOU �64' 7 QF & P that $fie kw, .E�9 ®1: :$ A® ' Rex the, zaa'r�....that U ; as a � li°a a s oem on, ng 10 $here are a �� � par d- 'tiai i c _YIt, 1'+ bh -* .'k�r•, ut ' ilk :,�'.�V������� rl estr oiis u ose a e3 � $BYO �t;e ar pia ese �� $F�� ����4Wo 3� =® and $� peer . Distribution . Board of Appeals Tovm.Ckrk Town"of Barnstable: Applicant:: Berson interested BuildmVInspector, Public Information By Board of.Appeals Chairman.,, f AR {,.DIOF VS" BO E NOTtC 7IRINC3 C UND LAWS-C e . p al No ?A r11�10 1970- -ilte al not Y,rHomes elYp�8t,5f!�nnerytroshl"^Roman CStholiat. -• . ha �afq�,alLtRiver Richard -J &f - - " 1'emgl7all:�pe}sore deemed Interested. - -` - ." a , - attactedbx ire Board at Appaal5 TOWN OF BARNSTABLE , .Jer Sec�''13-sot<Ehapa,40A of General. ks,,n of ,the Commonwealth�;z o f, ssachuse}ts and,all amendments there BOARD;qF APP'E92;S.;youUre hereby notified}hat}Sheraton.O mesrinc Mpp has°aPPealed to ithe-Board - - ' ea ls from a decision Sf the. a: tiding Ittspector and petlflens ter NOTICE: PUBLIC'.HEARING' - - fill59iOna'f0`vary the Sign ;Coded to - `mit �-ereciton of: an oftpFoPer,TY_ �7 ATTA.7�r V.T p�I�c d!Ol t ksign a the-corner of anhi e: - - ER GO1�I,L1�I 17 B 1-LCL YV-J' ind oltl SJ.$wberry Hilit Roadi Hyannis, 3 Resldeilce`Ct area :':• .'- .-. - :r public-.Aeanng will he gfven on - - - - -a;kin Town.-%,OHice 8uliding-- - oprll =1970 at 3 15-P,m r5�a'.�I�� „)...,:f O, 'ou are mJited to be present l .:.J.. ? BY order'ot the Board of Appeals 7tV Robert;Ei 0 NeII.C.halrman .. - .lean.Hearse 22. u.• -ram 7I'�1_t'� C1:.:. a I:?C• "'Ve I 'µrter Crosby, _i0.:an n c.: .V �1 a i F-1_ -Cj V n- .d ,1 d tnne '<eigler Being all persons deemed interested or affectad by.the''Board of.Appeals,:under See. 15. of Chap. 40A of(General Laws of the Commonwealth of Massachusetts and.. all.amendments. thereto, :y.ou, are hereby notified that has appealed to the Board of Appeals from a decisi on of'theBuildmg Inspector. and petitions:for - •Board-af�-SP�llectmen v, ryyi sai Cr1 fA tl::: t e. ?vrri?. Crxi's 7.t� E."^ «C =C� :02? 01 "n off r o7©raj direction'. i » -F t c^ y ".L•1 :�._<ail e?3 �.. ,iCO�'� .a'* ^?^3 a 1T1' Ca: s�4iz ^� the cox�.,-er:'o_, w_:.�e l � y , ac,:n Gf_ice ail-pine A public hearing will be given on.this petition,' in: r,{ ir on at:. You are invited to be present. By order.of-the Board of.Appeals, \ L033Ct +. Q%I7l .Chairman. Joan Beaz"M April 15 ur d 2 tl orb Gans i y 'MABEL TOWN OF BARNSTABLE VARIANCE' PETITION FOR UNDER.THE.ZONING BY-LAW SPECIAL PERMIT To.the Board of Appeals;, Hyannis,Mass. : Date March 24- " 19 The undersigned:petitions.the:Board of:-Appeals to vary,in the.manner and for the reasons hereinafter set forth,the application of,the provisions of the zoning by-law to:the following described premises. Applicant:_ Sheraton`Homesi ;Inc. "Box" 779 "Hyannis, Mass. 02601 (Fell.Name).. (Winter Address) . Owner:. Benjamin White Rte, 28 Hyannis, Mass.: (Pmu Name) (Winter Address) Tenant (if any)':. sit i Name) (Winter Address). 1. Location of i ¢_ corner of Rte, 28 & New Old Stra.wharry Pill Rand Sign (Name of Street). (What section of Town) 2. Dimensions.of M 6'"0" "x 4'0" Area 24 S.F. '(Square Feet).' 3..Zoning district in which Mare located_Residential. 4. How long has owner had title to the above premises? 5 How many buildings are now on the lot?_None 6. Give size.of"existing.buildings None. Proposed.buildings is State.present use:of"premises. Ern7ity lOt. 8. State proposed use of premises r-Icine 9.,Give,extent of proposed:eonstrnctioo of alterations: 10. Number.of living.units"for which.building'is:to.be arranged 11. Have you submitted plans for above-to the Building Inspector? Yes(see attached 12. Has he refused a permit? 'Yew (see attAched)' 13. What section of zoning by-law;do you'a*to ba varied? sign_ordjMance .14. State reasons.for variance.or special peraut Re have 'a :17 lot sub d viszon"that is located`.300 yards:down New Old Strawberry $ill Road. This .will `be a °temporarx entrance sikn -: The name%nf thP suhdiyi ci nn will hi- "'STRdWRRRRY RTTT. FSTATFS'I. Respect fully submitted, (Signature) Petition received by (Address) Hearing date'set for 'Filing fee of$20 00 required with this petition e This:form may also be used for AppealsrnPn (Over) Please type or print only y The'foUowiug ate the names and mailing addressee of the abutting owners'of Property and the name and address of thel owner..aeross the street,.a4cording'to the records an the Assessor's.Office P. at,the date of this application: 4rif17T/euu H1zc/va �c7q/r1i�JC :ysE1 l=;,` AtI o.i-1 L.✓r�y� r/n;,.-a c fora 1"1a+ixrs 77 e z•nv7,afz-vi xCL f j NSI , y Feu i`'.Ems/ ASS. Perified by Assessor's Office OAS seer There must be submitted with:the within application at the time.of:filing a.plan,of ihe..laad, in duplicate, (or two prints) showing.: 1. The dimensions of the land 2. The;looation.:of existing buildings on the lend.: 3. The exact location of the improvements s ought to be placed on the land. Applications.filed without such.plans will be. eturned`:without action.by. the Board of Appeals.: ` o ` h/ J ' `0. : Ni�25iN6 HvrTt 3 flZ1741/TH --A TE 25'. . ��THEt�b .i TOWNr LE° APPLICATION TO.ERECT,AND MAINTAIN SIGN ' �. TYPE OF CONSTRUCTION - FREE STANDING•:OR + ED-:: n 19Q: TO THE INSPECTOR.OF BUILDINGS. The undersigned hereby applies for a permit according to the followinrcg�/ inforrnatlom. /�T�vLf. OF :/1/�s✓':DLD SP/lf'P✓�&JA .. TItL Zyw Location. —. Proposed Use —E11�TiP/'iRl6Lt S/c6fY, Zoning District Fire District'_--__-- --•=-- -• oV:lAn/Al. ram _ TE-Z8_F.iG/SDiYN�� �yiPUV/$ Name of Owner_._----�—..�.----------. .-Address. Name of Builder Sfi`CRgTDN �a�'S,�?/c Address ::77'9 _ - /�yo/�/!✓/$ �'�< — -/- Diagram of Lot and Sign;wiih Dimensions to be:Placed Theieorr. gml t s l71?Er✓SiGus,'. 1 � x - .17 v.. "31 � .,,tt s..t•.�.,��,1, � d T-*�r.�'""rll S :� s T��k1 B�2h�y C� !'xC.�C LC✓� .... C vk �- Sh. Y .. .roV'•i��+ Y+N (�!l'\`KGB/-/J: Q�, owMP.pJ P I hereby agree to conform to all the,Pules and:Regulations.of the Town.of Barnstable.regarding,the above construction: Name_.11" — T•=.> '?1iY .:_,. All..permits subject tolopptoval:of the Inspector of Wires. •%/C �fr'�"' �' . T - .. TEL. 61. ., 666 -, N/�.. .. BLZ�L CdB20C 4:'.-I C� OD�2�9:.2IFJB1C. ROUTE 28 FALMOUTH ROAD HYAPlNlS. 'WfASSACHUSETTS 02601 . January 23 197.0. Sheraton Homes Inc`:' P.; 0. .Box"'779s Hyannis; Mass 02601 Attention Mr Scalora Gentlemen; We`,herew th grant permission to Sheraton`..:Homes `'.Inc to erect and lace :a sign at the;:entrance of: New;.O1d Strawberry Hill Road and' Route 28 The sign must :not be placed on'`land ;ow%ned::by the Commonwealth;of Massachusetts: :. This permission is :granted only until:cancelled by ` :Benjamin White for?any reason'.as determined by.him Very aruly;yours;, p. ��'//�,� :; �Ben',a' in White Adm2riistrator BW CC �--� :�,.�.-.�:-:::��,,.-,..I - - I �% . , . I .1........ -. . 1 2 j .. , 0 z;: . ... ' - I . 1 s TOWN OF BARNSTABLE E. TY.C;:S:.S"h9UR?ii'i. - -JChN F. AYLM-ER. Mr.. Joseph Se Fitzpatrick She--at-on ornes:, inea ;o: J t "L.11 L z T c so'lectrupn .}l:_av .set ,. ch.10, 19711 at Up Your roques., of Fcbruar,7 19th e $ iJ r» 41 at tho St.ra hn1n:.:Jr Till s., t-n es. Tolurs C' f OfivIvAillif"d Ile IiRu G. q - @jy'. �2.Y/PiSdy�tv��i ✓. �- �i L>' : �+ aidJ - GL-OFGE L: CROSS., CHAIRMAN t. THOMAS MURPHY ry JOHN F. AYLNIER. ..1 E"Cb'2 �.6 9 197 .. Sher4 oa Hanna, inc.. Mr 0 Joseph S. -Flt.tpatrich B"- 779 Hyarmis,. Mlassa husett.a 0260.1. Ci-nt Z?as7ren& The Select-imla coi�,sideb�d...you,r. .eDDZicaticn ;for pe misvjon to put. :am off-promises sag on..t out^ :?:B In i;yaral1 and: we havo bee n d-vised �,y To I that this does not c,=4, with z the: j.0 Y^alC4ic� .cy $�'i Board fin. S^-� 6i s')i.i is>3C4. �f you wish �:hIs sig-9, you "ti1V,'.'^t mz .fie t.fc�Bl Ld the :Bey d. of r^P.i ioaIs and ap-poor before them foZ a "apwcial pti_i:iite Very truly your"..) Cross \fir Ord of S,eI e ctLC;t2 G�Ebci1 Town of Barnstable Building Department Brian Florence, CBO Building Commissioner 200 Main Street, Hyannis, MA 02601 www.town.bamstable.ma.us Pre-application for Business Certificate Date 3/22/2019 Map 250 Parcel 250035 Applicant Information Applicants Name Steven V. Raso Applicants Address 57 Wingate Street, Haverhill, MA 01832 Email Address sraso@landmarkhealth.com Telephone Number 617-686-4882 Listed ❑ Unlisted ❑ Business Information New Business? Yes No Business is a registered corporation? ------------------------• Yes V No If yes Name of Corporation Essex Pavilion, LLC Does business operate under the registered corporate name? Yes No Is the business a sole proprietorship or home occupation? ------- Yes No If yes then a Home Occupation Registration is required—See Building Division Staff Name of Business The Pavilion Rehabilitation and Nursing Center Business Address 876 Falmouth Road, Hyannis, Massachusetts 02122 Type of Business Rehabilitation and Nursinq Center Building Commissio er Office Use Only Conditions , 1 • 1 . - ov� Building Commissioner >`' Date Clerk Office Use Only r Property Print Page 3 of 4 AsBuilt Card N/A B2N Barn-any 2nd story area FPC Open Porch Concrete Floor REF Reference Only BAS First Floor, Living Area FTS Third Story Living Area (Finished) SOL Solarium BMT Basement Area (Unfinished) FUS Second Story Living Area SPE Pool Enclosure (Finished) BRN Barn GAR Garage TQS Three Quarters Story(Finished) CAN Canopy GAZ Gazebo UAT Attic Area (Unfinished) CLP Loading Platform GRN Greenhouse UHS Half Story(Unfinished) FAT Attic Area (Finished) GXT Garage Extension Front UST Utility Area(Unfinished) FCP Carport KEN Kennel UTQ Three Quarters Story (Unfinished) FEP Enclosed Porch MZ1 Mezzanine, Unfinished UUA Unfinished Utility Attic FHS Half Story(Finished) PRG Pergola UUS Full Upper 2nd Story (Unfinished) FOP Open or Screened in Porch PRT Portico WDK Wood Deck PTO Patio Construction Details Building Details Land Building value $2,981,500 Bedrooms 01 USE CODE 3040 Replacement Cost $4,129,738 Bathrooms 0 Full-0 Half Lot Size(Acres) 2.9 Model Commercial Total Rooms Appraised Value $349,200 Style Nursing Home Heat Fuel Oil Assessed Value $349,200 Grade Average Minus Heat Type Hot Air Year Built 1984 AC Type Central Effective depreciation 27 Interior Floors Ceram Clay Till Stories 3 Interior Walls Drywall Living Area sq/ft 33,624 Exterior Walls Stucco on Wood Gross Area sq/ft 37,272 Roof Structure Flat Roof Cover Elastomeric Outbuildings and Extra Features Code Description Units/SQ ft Appraised Value Assessed Value PAN PAVING-ASPHALT 30000 $44,100 $44,100 GEN1 Large Generator 1 $29,300 $29,300 https://www.townofbamstable.us/Departments/Assessing/Property_Values/... 7/22/2019 I Property Print Page 4 of 4 PKBR Parking Bumper-6' 102 $ 5,300 $ 5,300 PAT2 Patio-Good 196 $2,200 $2,200 PAT1 Patio-Average 188 $ 1,200 $ 1,200 PAT1 Patio-Average 1408 $ 7,100 $ 7,100 FGPL Flagpole-25' 1 $2,200 $2,200 SGN2 DOUBLE SIDED 18 $700 $700 SGNP SIGN POST 6" 10 $ 100 $ 100 LTHL Halide Light FIxture 11 $ 16,400 $ 16,400 CNPY Canopy-light or store 136 $4,000 $4,000 ovrhg FNC2 Fence-6' Wd 720 $20,100 $20,100 FNG 1 Gate 4'hx3'w 3 $900 $900 SPR1 SPRINKLERS-WET 33624 $ 100,600 $ 100,600 PAT1 Patio-Average 454 $2,600 $2,600 ELV3 Elevator-Freight 1 $ 38,800 $ 38,800 ELVS stop Elevator-Comm-per 3 $42,500 $42,500 FEP Enclosed porch- 884 $ 30,000 $30,000 roof,ceiling BMT Basement-Unfinished 2204 $35,300 $35,300 https://www.townof bamstable.us/Departments/Assessing/Property_Values/... 7/22/2019 Property Print Page 1 of 4 Print this page Owner Information Map/Block/Lot: 250/035/ Property Address 876 FALMOUTH ROAD/RTE 28 Village: Hyannis Town Sewer At Address: Yes GIS Zoning Value: SPLIT RC-1;RB Owner Name as of 1/1/18: WHITEHALL PAVILION HEALTH ASSOCIATES LP 57 WINGATE ST HAVERHILL, MA. 01832-5722 Co-Owner Name C/O LANDMARK HEALTH SOLUTIONS Assessed Values Appraised Value Assessed Value Building Value $ 2,981,500 $ 2,981,500 Extra Features $ 247,200 $ 247,200 Outbuildings $ 136,200 $ 136,200 Land Value $ 349,200 $ 349,200 Totals $ 3,714,100 $ 3,714,100 Past Comparisons 2018 - $ 3,606,200 ^' 2017 - $ 3,606,200 2016- $ 3,606,200 2015 - $ 3,116,000 2014 - $ 3,123,800 2013 - $ 3,123,800 2012— $ 3,543,100 i 2011 - $ 3,543,100 ' 2010 - $ 3,831,100 v. 2009 - $ 4,824,300 Tax Information https://www.townofbamstable.us/Departments/Assessing/Property_Values/... 7/22/2019 f Property Print Page 2 of 4 Hyannis FD Tax (Commercial) $ 18,161.95 Hyannis FD Tax (Residential) $ 0 Community Preservation Act Tax $ 959.35 Town Tax (Commercial) $ 31,978.40 Town Tax (Residential) $ 0 $ 51,099.70 Sales History Owner: Sale Date Book/Pa e: Sale g Price: WHITEHALL PAVILION HEALTH ASSOCIATES LP 1984-03-15 4038/ 102 $96000 WHITEHALL MANOR NRSG HM INC 2001/ 150 $0 Photos Sketches 77, .. µ ..,..8y 'X ga` Rt . + ..,la ``.:': '� '• t. :.� � 'r Est. ,:.�x^ r, 4 https://www.townofbamstable.us/Departments/Assessing/Property_Values/... 7/22/2019 39`h ANNUAL PRESIDENTSI HOLIDAY ANTiQuEs SHOW &TSALE o Benefit the Hy annis Public BARNSTAgLE INTERMEDIATELibrary 895 FALMOUTH RD (RTE 28)SATU ,, HYYANNIANNIS SCHOOL , CAPE COD S ' Admission $6.00 each ' 4 With this ad $5.00 For Show Information,Contact Goosefare Antiques&Promotions John&Elizabeth DeSimone, PO Box 45, Saco, Maine 04072 Tel: 800-641-6908 e-mail: goosefare@gwi.net wwyygoosefareantiques.com s - "-b �, 2 �.a Barnstable Public School_Facilities - External Use Application ADDITIONAL APPROVAL(S) FOR FACILITY USE Please obtain the approvals and return the original document to the Facilities Department at 835 Falmouth Road, Hyannis, MA 02601 Chief of Police — Required for events with over 300 attendees Approval Date Fire Department— Required for events with over 300 attendees Approval Date Board of Health — Required if food is to be served or sold to the publicL Approval Date Licensing Authority — Required if charging a fee for the event Approval Date r oni Department— Required for placement of event signage in Barnstable je& App oval Date Additional Approval Form—August 2015 f { PA Co it yes, insurance 1 ype: None Specified If the licensee does not have insurance, then the Owners Waiver A' I hearby certify that all of the,details and information I.have submitted the best of my knowlege and that all plumbing work and installations p compliance with all Pertinent provision of hte Massachusetts Stae Plu Company Name: ' Signed: Carl.Riedell Agent All permits approved are subject to inspections performed by a representative of advance. Estimated Constructlo Total Project Cost: A . t,_$1,750.00./ Da Total Permit Fee: $40.00 3/ Total Permit Fee Paid: $40.00 Robert W. Dennis Jr. Registered Structural Engineer P.O. Box 634 East Bridgewater, MA 02333 ` UILDING 608-326-2464 DEP� rwdennisir(a)comcast..net MAR 2 3 2017 D Structural Evaluation 'OWN OF 8ARUSTABU Pavilion Nursing Home 876 Falmouth Rd, Hyannis, MA March 22, 2017 I have been retained as a registered structural engineer to inspect a property located at ,876 Falmouth Rd, Hyannis, MA. I visited the site on March 22, 2017 and met with the Construction Supervisor, Arthur Pacheco-and the Administrator, Mary Benoit. The building is the Pavilion Nursing Home, an 82 bed skilled nursing facility. It is my understanding the fire department directed that a communication system be installed at the facility to facilitate communication between floors and this was done in February 2017. 1 also understand the building department had some question regarding the installation and required a structural engineer to inspect the installation to determine if the installation caused any degradation of the structural integrity of the building. In the basement I observed the main control panel of the communication system mounted on one wall. A 314 inch blue cable is connected to the control panel and runs up through a small hole in the basement ceiling to three locked electrical rooms (closets) above. In each of the three closets, the cable is fed up and into a large 3 ft. x 8 ft. chase which is located above the hallway ceilings. The cable is then fed horizontally inside the chase approximately 60 ft. to a detector located in each of the hallway ceilings. I observed a small 10" x 10" patch in each of the hallway ceiling which are presumed to have been opened to facilitate the snaking of the cable within the chase. I did not observe anything that in my opinion represents any degradation of the structural integrity of the building. Please call if you have an questions r 2 J 1 A ? Y Y 23, A Bob Dennis g, H`gMA .off ROBl9.rW DENNIS JR.J c `STRUCTURAL ' U' No. 'i3834 �s�oroA .:��. • . � f ` ~� f � �, , , a � , � � � _ � � r �.1„ � � J � n o .� �. WOLKON & PASCUCCI LLP -y� � [ P ATTORNEYS AT LAW t a x M !3 F :1f`.R i'F YI t3 t.j 3. ONE BEACON STREET -'I,I BOSTON, MASSACHUSETTS 02108 TEL. (617) 523-8400 FAX (617)523-8450 �.,_>_..v».t-...,.•- - mom.h `y April 12, 2011 Thomas Perry Building Commissioner Town of Barnstable Town Office Building 200 Main Street Hyannis, MA 02601 Re: 876 Falmouth Road, Hyannis, MA Dear Mr. Perry: Our office is conducting a review of the property referenced above for a mortgage loan transaction. The lender has asked that we request a letter from the Town of Barnstable confirming the status of the above-referenced property with respect to the local building and zoning laws. We have enclosed a copy of the letter which you provided at the time of a previous transaction and ask if you may be able to provide a similar letter at this time. We are available to prepare the letter in a form acceptable to you. Also enclosed are copies of other forms that we have used. The purpose of the letter is to confirm that the use of the premises does not violate the local zoning ordinance, and that there are no outstanding zoning or building code violations. Please let me know if you would be able to assist us. Thank you for your consideration in this matter. Sincerely, anice M. Pascucci Enclosures JMP/wp ,. �1Y f-+ FN-+ " .. ►Os� _ yc�{ �p'1a ►�i 7r .. q - A at Ln Im LD IL 0 OIL A 1 g yo R. y OV A _ w o' w G m N to tro p 90 s ., _� m Nis R H LO Cq o r m m m D Z cn 00 ' V6 tp 4 N m " m D N m m N To: Old Republic National Title Insurance Company Wolkon & Pascucci, LLP From: Building Commissioner for the Town of Barnstable Re: 876 Falmouth Road, Hyannis, MA Date: April , 2011 In my capacity as Building Commissioner for the Town of Barnstable, Massachusetts, I have reviewed the property records on file with the Building Department as to the property's compliance with the Building Codes and Zoning Ordinance for the Town of Barnstable. 1.The property is presently and has been continually used as a nursing home since approximately 1964. The property is located in an RC-1 Residential Zoning District which based on the current Zoning Ordinance does not allow this use as a matter of right. A variance (ZBA Decision 1964-6) was granted to allow the use of the premises as a nursing home. 2. No notice of violation of the Zoning Ordinance, building codes, health regulations or other local regulations has been issued by this office or is on file at this time. Town of Barnstable I TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel Application # 7 C) Health Division Date Issued (� Conservation Division Application Fee Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation/ Hyannis �6 e-%&fio Project Street Address Village C, !1 n i S 'rOwner C r ACAIL22 QbMAddress � � Telephone 7 J 1l l 3 Permit Request ovIP k A, 115 -ic-A ®orb Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new 1 Zoning District Flood Plain Groundwater Overlay Project Valuation J }Do([- Construction Type of Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family (# units) Age of Existing Structure Historic House: ❑Yes ❑ No On Old King's Highway: ❑Yes ❑ No Basement Type: ❑ Full ❑ Crawl ❑Walkout ❑ Other Basement Finished Area(sq.ft.) Basement Unfinished Area (sq.ft) Number of Baths: Full: existing new Half: existing new V Number of Bedrooms: existing _new Total Room Count (not including baths): existing new First Floor Room Count Heat Type and Fuel: ❑ Gas ❑ Oil ❑ Electric ❑ Other Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑ No Detached garage: ❑ existing ❑ new size_Pool: ❑ existing ❑ new size _ Barn: ❑ existing ❑ new size_ Attached garage: ❑existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: ' Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes ❑ No If yes, site plan review # Current Use Proposed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name Lberi 3,,- e Telephone Number Address f)•O AG*. 3 3 t( License# C S. L4 U� a 1 a Jf 2 C PA Vp c c,V t�_ fv4 )R - �CU 3 2 a Home Improvement Contractor# 1 L &O�d �t 118`('l/r Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BETAKEN TO r SIGNATURE DATE z FOR OFFICIAL USE ONLY , r All APPLICATION# DATE ISSUED ' MAP/PARCEL NO. ADDRESS VILLAGE OWNER I ' DATE OF INSPECTION: FOUNDATION FRAME INSULATION'f FIREPLACE ELECTRICAL: ROUGH FINAL ' t PLUMBING: ROUGH FINAL , :GAS: ROUGHS;, _ - FINAL f FINAL BUILDINGS'l -Z'G `= • ti r' DATE CLOSED OUT ASSOCIATION PLAN NO. r The Commonwealth of Massachusetts Department of Industrial Accidents y Office of Investigations 600 Washington Street c Boston, MA 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information (Please Print Legib� Nalne (Business/Organization/Individual): aob JG %,,`ter Address: P a - Go _k City/State/Zip: Cv I LL f plc .O one 19 Arne- you an employer?Check the appropriate box: Type of project(required): l.J 1. 1 am a employer with 6 4• ❑ I am a general contractor and 1 6. ❑New construction emp listed on the attached sheet. loyees(full and/or part-time).* have hired the sub-contractors . _ _ _........... ........_.. . 2.❑ I am a sole proprietor.or partner- . 7. ❑ Remodeling ship and have no employees These sub-contractors have g, ❑ Demolition working for me in any capacity. employees and have workers' 9 ❑ Building addition [No workers' comp. insurance, comp. insurance. 5. [] We are a corporation and its 10.❑ Electrical repairs or additions required.] 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 G. 152, §1(4), and we have no q ] 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. tContractors 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: Policy# or Self-ins. Lic.#: . Expiration Date: Job Site Address: �� G � �`'� " 00 City/State/Zip: cc,Ile 62GYP Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment, as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be,advised that a copy of this statement maybe forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do-hereby cerY<'6 tiner the pains and nalties of perjury that the information provided above is true and correct. Si nature: �V� r Date: Lt--l(3 Phone#: Official use only. Do not write in this area, to be completed by city or town offcciaL City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2. Building Department 3. City/Town Clerk 4. Electrical Inspector S. Plumbing Inspector 6. Other Contact Person: Phone#: f information and ZnstructiODS Massachusetts General Laws chapter 152 requires all employers to provide workers' e oyees- kof anocompensationther nder any contrac o op hl e, Pursuant to this statute, an employee is defined as ".,,every person in the` express or implied, oral or written." An employer is defined as "an individual,partnership, association, corporation or other legal entity, or any two or more of the foregoing engaged in a joint enterprise, and including the legal representatives of a deceased employer, or the eiver or trustee of art individual, partnership, association or other legal entity, employing employees. However the rec owner of a dwelling house having not more than three apartments and who resides therein, or the occupant el the dwelling house of another who employs persons to do maintenance, constnlction or repair work on such dwelling house urtenant thereto shall not because of such employment be deemed Lobe an cm or on the grounds or building app ployer." MGL chapter 152, §25C(6)also slates that"every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the onwealth for any comm applicant who has not produced acceptable evidence of compliance with the insurance coverage required." Additionally, MGL chapter 152, §25C(7) states "Neither the conunonwealth nor any of its political subdivisions shall enter into any contract for the performance of public.work until acceptable evidence of compliance with the insivance requirements of this chapter have been presented to the contracting authority." Applicants Please fill out.the workers' compensation affidavit completely,by checking the boxes that apply to your situation and, if ne ;cessary supply sub-contractor(s)name(s), address(es)and phone numbers)along with their certificates) of insurance, Limited Liability Companies (LLC)or Limited Liability Partnerships(LLP)with no employees other than the members or partners,are not required to carry workers' compensation insurance. If an LLC or LLP does have employees,a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested,not the Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy please call the Department at the number listed below. Self-insured companies should enter their self-insurance license number on the appropriate line. City or Town Officials Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the.permiUlicense number which will be used as a.reference number. In addition, an applicant must submit multi le permitflicense applications in any given year, need only submit one affidavit indicating current thatP 1 locations in ( Y Or policy information(if necessary)and under"Job Site Address" the applicant should write al town)."A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year. Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i,e, a dog license or permit to bum leaves etc,) said person is NOT required to complete this affidavit. The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call. The Department's•address, telephone and fax number: The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston, MA 02111 Tel. 4 617-727-4900 ext 406 or 1-877-MASSAFE Fax # 617-727-7749 Revised 4-24-07 www.mass.P-ov/dia I THE Town of Barnstable f ul' Regulatory-Services HAPNyni sad, Thomas F.Geiler,Director Eo;o. 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,— Owner of th "'as e subject property hereby authorize 6 6 ��GAL 4-4 to act on my behalf, in all matters relative to work authorized by this building permit application for. (Address of Job) Signature of Owner Date Hem Print Name If Property Owner is applying for permit please complete the Homeowners License Exemption Form on the reverse side. Q:FORMS:O WNERPERMIS S ION Town of Barnstable r S. Regulatory Services 5 . r3nxxsTnar e. ; Thomas F.Geiler,Director 9� 16 g `0� Building Division ArFD MA't s "' Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION Please Print DATE: 10B LOCATION: number street village "HOMEOWNER name home phone# work phone# CURRENT•MAILING ADDRESS: city/town state zip code The current exemption for"homeowners"was extended to include owner-occupied dwellings of six units or less and to allow homeowners,to engage an individual for hire who does not possess a license,provided that the owner acts as supervisor. DEFINITION OF HOMEOWNER Person(s)who owns a parcel of land on which he/she resides or intends to reside,on which there is,or is intended to be,a one or two-family dwelling,attached or detached structures accessory to such use and/or farm structures. A person who constructs more than one home in a two-year period shall not be considered'a homeowner. Such "homeowner"shall submit to the Building Official on a form acceptable to the Building Official,that he/she shall be responsible for all such work performed under the building permit. (Section 109A.1) The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other applicable codes,bylaws,rules and regulations. The undersigned"homeowner"certifies that he/she understands the Town of Barnstable Building Department minimum inspection procedures and requirements and that he/she will comply with said procedures and requirements. Signature of Homeowner Approval of Building Official Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the State Building Code Section 127.0 Construction Control. HOMEOWNER'S EXEMPTION The Code states that: "Any homeowner performing work for which a building permit is required shall be exempt from the provisions of this section(Section 109.1.1 -Licensing of construction Supervisors);provided that if the homeowner engages a person(s)for hire to do such work,that such Homeowner shall act as supervisor." Many homeowners who use this exemption are unaware that they are assuming the responsibilities of a supervisor(see Appendix Q, Rules&Regulations for Licensing Construction Supervisors,Section 2.15) This lack of awareness often results in serious problems,particularly when the homeowner hires unlicensed persons. In this case,our Board cannot proceed against the unlicensed person as it would with a licensed Supervisor. The homeowner acting as Supervisor is ultimately responsible. To ensure that the homeowner is fully aware of his/her responsibilities,many communities require,as part of the permit application, that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the last page of this issue is a form currently used by several towns. You may care t amend and adopt such a form/certification for use in your community. ,s Q:\WPFILES\FORMS\homeexempt.DOC A CORD CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDDIYYYY) ,M 10/25/2010 CER 508.775.3131 FAX 508.790.1677 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION The Fair Insurance Agency, Inc ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE P.O. Box 430 HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. 619 Main St. Centerville, MA 02632 INSURERS AFFORDING COVERAGE NAIC# —_—----------------—__._..._._..... -- _......,._._._......._._._. ----- INSURED R S Construction INSURERA: Granite State Ins. Co.-ARWC 113102 DBA: Robert W Sawyer j INSURERS: 59 Point of Pines Avenue INSURERC: Centerville, MA 02632 INSURER D.- INSURER E: COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED.NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. - ._._.. ... -- - ..—._......_.......:...:............._......_-.....-------.._..-_..._..._------------ LTR INSRD TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE'POLICY EXPIRATION LIMITS i DATE MMIDDIYYYY I DATE MMID'D' Y SGENERAL LIABILITY ! EACH OCCURRENCE S_ I COMMERCIAL GENERAL LIABILITY I i DAMAGE TOT2ENIT 5 —--— - PREMISES Ea occurrence $ CLAIMS MADE I OCCUR M (Any one person) I$ A Y P ) -.. .._..._.__- PERSONAL PERSONAL&ADV INJURY_.... 5..... .--.....__... ' ) GENERAL AGGREGATE ?$ _.�------ - -------- I ---.................---- ...._:__... j GEN-L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMPIOP AGG $ --------- { ^.i PRO- ( ! ...._....—....�............ __._.__. POLICY I JECT :LOC i AUTOMOBILE LIABILITY $ - l---- � � � COMBINED SINGLE LIMIT ANY AUTO I f (Ea accident) ALL OWNED AUTOS `----� I BODILY INJURY I SCHEDULEDAUTOS I I(Per person) I S .:.............. HIRED AUTOS I BODILY INJURY i$j - NON-OWNED AUTOS i (Per accident) PROPERTY DAMAGE j (Per accident) GARAGE LIABILITY AUTO ONLY-EA ACCIDENT J$ ! :`•ANY AUTO OTHER THAN EA ACC I$ I AUTO ONLY: AGG 5 i i EXCESS/UMBRELLA LIABILITY { EACH OCCURRENCE !S I !I j I I I AGGREGATE I CLAIMS MADE — — 5 - i.- DEDUCTIBLE -............._....-.-..........---.............. ..5..:....._._.....-........_._............ ...._ RETENTION $ WORKERS COMPENSATION ! W 9 X—COO6371838� 11/OS/20 _ OANDEMPLOYERS'LIABILITV RY.LIMITS ...........1..ER. _ ( - ----- ANY PROPRIETOR/PARTNER/EXECUTIVE Y/N i j E.L.EACH ACCIDENT $1 A OFFICER/MEMBER EXCLUDED? I 100,000 (Mandatory in NH) I I E.L.DISEASE-EA EMPLOYEE;$ _ 100,000 If yes,describe under i SPECIAL PROVISIONS below I i i E.L.DISEASE-POLICY LIMIT]$ 500,000 OTHER i I ! I I I ! DESCRIPTION OF OPERATIONS!LOCATIONS/VEHICLES 1 EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR Town of Barnstable REPRESENTATIVES, South Street AUTHORIZED REPRESENTATIVE ` Hy nnis, MA 02601 KathySilvia/FAIMA2 ACORD 25(2009/01) FAX: 508.790.6230 ©1988-2009 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD i ),Wtmcnt of Public SilfetN �lassucbusctts- D`Rotyulations and St.►ndartls Board of Bu�ldm. ervisor License ' Construction Sup 44124 '; License: CS a � to: 0 Restricted ROBERT W SAWYER 4 59 POINT OF PINES AVE CENTERVILLE, MA 02632 Expiration: 2/912012 15629 ('ummissiuner i a r 'Massachusetts Department of Environmental Protection Bureau of Waste Prevention -Air Quality 1100115427 L7" BWP AO 06 Decal Number Notification Prior to Construction or Demolition ImpoWhen hen filling out A. Applicability forms on the computer,use only the tab key A Construction or Demolition operation of an industrial,commercial, or institutional building,or to move your residential building with 20 or more units is regulated by the Department of Environmental Protection cursor-do not DEP , Bureau of Waste Prevention-Air Quality Control Regulations 310 CMR 7.09. Notification of use the return ( ) ty 9 Ivey. Construction or Demolition operations is required under 310 CMR 7.09(2)ten (10)days prior to any work being performed.The following information is required pursuant to 310 CMR 7.09. B. General Project Description 1. a. Is this facility fee exempt-city,town,district, municipal housing authority,owner-occupied Instructions residence of four units or less?❑Yes ❑✓ No 1.All sections of b. Provide blanket decal number if applicable: Blanket Decal Number this form must be completed in order 2 Facili Information: to comply with the ty Department of the pavillion Environmental Protection a.Name notification 1876 falmoyth rd requirements of b.Address 310 CMR 7.09 h annis MA 1 102601 c. i !Town .St to e.Zip-Code (508)775-6663 f.Tele hone Numbe area code and extension .E-mail Address(optional) 15,000 2 h.Size of Facility in Square Feet i.Number of Floors j.Was the facility built prior to 1980?- ❑ Yes ❑✓ No k. Describe the current or prior use of the facility: nursing home I. Is the facility a residential facility? ❑ Yes ❑✓ No o m. If yes, how many units? Number of Units —° 3. Facility Owner: �N landmark health solutions o a.Name 0 157 wingate st b.Address haverill ma 01832 0 c.CitvfTown e.Zip e o (978)3724004 .Telephone Number(area codeand extensiQnl ci.E-mail Address(optional) a bob isenstein �Q h.Onsite Manager Name ag06.doc-10102 BWP AQ 06-Page 1 of 3 I i Massachusetts Department of Environmental Protection f Bureau of Waste Prevention .Air Quality 100115427 BWP AQ 06 Decal Number Notification Prior to Construction or Demolition General Statement:If B. General Project Description cont. asbestos is found during a Construction or 4. General Contractor: Demolition R S Construction operation,all responsible parties a.Name must comply with I po box 334 310 CMR 7.00, b.Address 7.15,and Chapter centerville ma 02632 Chapter 21 E of the General Laws of c.City/Town d.State e.Zip Code the Commonwealth. (508)737-5819 JbScb49@comcast.net This would include, f.Tele hone Number area code and extension .E-mail Address(optional) but would not be limited to,filing an Robert Sawyer asbestos removal h.On-site Manager Name notification with the Department and/or a notice of release/threatof release of a C. General Construction or Demolition Description hazardous substance to the 1. Construction or demolition contractor: Department,if applicable. R S Construction a.Name po box 334 b.Address centerville Ima 102632 c.Cityrrown d.State e.Zip Code (508)737-5819 bscb49@comcast.net f.Telephone Number area code and extension .E-mail Address(optional) robert sawyer h.On-site Manager Name 2. On-Site Supervisor: robert sawyer On-Site Supervisor Name 3. Is the entire facility to be demolished? ® Yes ✓® No �N Z0 4. Describe the area(s)to be demolished: �o physical therapy room �N �O �0 5. If this is a construction project, describe the building(s)or addition(s)to be constructed: I remodeling of one room, movw some walls and doors m a �Q ag06.doc•10/02 BWP AQ 06•Page 2 of 3 f `Massachusetts Department of Environmental Protection ■ Bureau of Waste Prevention •Air Quality 1100115427 I BWP AQ 06 Decal Number Notification Prior to Construction or Demolition C. General Construction or Demolition Description (cont.) 6. a. If this is a demolition project,were the structure(s)surveyed for the presence of asbestos containing material (ACM)? ❑ Yes ❑✓ No If yes,who conducted the survey? b.Survevor Name c.Division of Occupational Safety Certification Number 11/01/2010 12/3112010 7. Construction Or.Demolition: a.Start Date(mmlddlyyyy) b.End Date(mm/dd/yyyy) 8. a. For demolition and construction projects, indicate dust suppression techniques to be used: ❑ seeding ❑ paving b. If other, please specify: ❑ wetting ❑ shrouding ❑ covering ❑ other 9. For Emergency Demolition Operations,who is the DEP official who evaluated the emergency? F- a.Name of DEP Official b.Title c.Date mm/dd/ of Authorization d.DEP Waiver Number D. Certification I certify that I have examined the Irobert sawyer o above and that to the best of my .Pri t N e ' o knowledge it is true and complete. —�— The signature below subjects the ff.Authorized signature signer to the general statutes owner �o regarding a false and misleading c. osi ion We �p statement(s). Irs construction d.Representing ---� 10 -ao l o �(D e.Date(mm/dd/yyyy) ■ ag06.doc•10/02 BWP AQ 06•Page 3 of 3■ 'l TOWN OF BARNSTABLE.BUILDING PERMIT APPLICATION,,, Map �-7 Parcel a3 Application # Health Division�� ^�1` Date Issued i?) D Conservation Division .:Application F Planning Dept: `Permit Fee s J J Date Definitive}Plan Approved by Planning Board Historic OKH _Preservation/Hyannis 0 Project Street Address 7a Village N+ OwnerUurr ,_LIp 4T1- t� Address Telephone k `eta: �1�a L-� ZZZ Permit Request r air z f tTLll Square feet: 1 st floor: existing proposed "'2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation 51`5 ?1c> Construction Type C Lot:Size �"1 Grandfathered: ❑Yes )d No If yes, attach supporting documentation. Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family (# units) Age of Existing Structure Historic House: ❑Yes ANo On Old King's Highway: ❑Yes 'ONo 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/foal stove: ❑Yes 0 No Detached garage: ❑ existing 0 new size_Pool: ❑ existing ❑ new size _ Barn: ❑ xisting '0 new size_ Attached garage: ❑ existing ❑ new size _Shed: ❑existing ❑ new size _ Other: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ O , Commercial ❑Yes ❑ No If yes, site plan review # j. Z D - O C Current Use Proposed Use k4I r, Z� APPLICANT INFORMATION , C (BUILDER OR HOMEOWNER) y c r � � Name� � i�..Ll�.9a<-� r`��b Telephone Number `�x4 �iS7� 90 51 m Address ZZZO OAY—' License # C15?4 Home Improvement Contractor# Worker's Compensation # '�JJL 15V1 ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO ;�_ c•, _ I SIGNATURE r . FOR OFFICIAL USE ONLY r APPLICATION# DATE ISSUED NEAP/PARCEL NO. - ADDRESS VILLAGE OWNER ,I DATE OF INSPECTION: P �. FOUNDATION FRAME t r INSULATION i FIREPLACE F F t ELECTRICAL: ROUGH FINAL ; i PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING 0)� ` (doR DATE CLOSED OUT ASSOCIATION PLAN NO. i . { The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston,MA 02111 www.mass gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly M ,%�/q aGo�ti a��r �v 9 D Name(Business/Organization/Individual):771G /�®,ACC G�S/�� /}G(/�i.U(i- C Address: /d 0/ ST City/State/Zip: /�L%/UI�J�fkLs � 0,7-331 Phone#: Are you an employer?Check the appropriate box: Type of project(required): 1.9 I am a employer with !Q 4. ❑ I am a general contractor and I 6. ❑New construction employees(full and/or part-time).* have hired the sub-contractors 2.❑ I am a sole proprietor or partner- listed on the attached sheet.t 7. ❑Remodeling ship and have no employees These sub-contractors have 8. ❑Demolition working for me in any capacity. workers'comp:insurance. 9. ❑Building addition [No workers' comp.insurance 5. ❑ We are a corporation and its required.] officers have exercised their 10.❑Electrical repairs or additions 3.❑ I am a homeowner doing all work right of exemption per MGL 11.❑Plumbing repairs or additions myself. [No workers'comp. c. 152,§1(4),and we have no 12.❑Roof repairs insurance required.]t employees. [No workers' 13.❑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 their workers'comp.policy information. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: Policy#or Self-ins.Lic.#: W G 6*7 2 Expiration Date: �� o4 Job Site Address: O p � 2 City/State/Zip: C (//G��y' (j26-5Z Attach a co of the workers'compensation policy declaration. a e(showing the policy number and expiration date). PY P P Y P g ( g P Y P� ) Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby ce under t pains a penalties of perjury that the information provided above is true and correct Si mature: Date: Phone#: 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#• ate: 9/16/2008 Time: 10102 AM To: 9,17818261628 Rogers 6 Gray ins. Page: 002 Client#:55302 MAHOLD ACORD. CERTIFICATE OF LIABILITY INSURANCE o9;6'a°°"n"'�' PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Rogers&Gray Ins. Plymouth ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 341 Court Street HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR P.O.Box 3700 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Plymouth,MA 02361-3700 INSURERS AFFORDING COVERAGE NAIC# INSURED M 8 A Holding Co Inc.dba INSURER A: Selective Insurance Company of Ameri INsuRER B: AIG The Dorchester Awning Company 230 Oak Street INSURER C: Pembroke,MA 02359 INSURER D: INSURER E: COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED.NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR.. MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS., IN5K AWL LTR NSR MM TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY TIO DATE /DD DATE MM/DDMWDDI LIMBS A GENERAL LIABILITY S1850321 09/08/08 09/08/09 EACH OCCURRENCE $1 000 00 X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED $100 000 MIS RE ES(Eaoccurrencel CLAIMS MADE 51 OCCUR MED EXP(Any one person) $10 000 PERSONAL 8 ADV INJURY $1,000,000 GENERAL AGGREGATE $3 000 000 GENL AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $3 000 000 POLICY PRO. JECT LOC A AUTOMOBILE LIABILITY A9091885 09/08/08. 09/08/09 COMBINED SINGLE LIMIT ANY AUTO (Ea accident) $1,000,000 ALL OWNED AUTOS X SCHEDULED AUTOS (PerpLerson) $ X HIRED AUTOS BODILY INJURY $ X NON-OWNED AUTOS (Par acddent) X Drive Other Car PROPERTYDAMAGE $ (Per acddent) [! GERA LIABILITY AUTO ONLY-EA ACCIDENT $ AUTO OTHER THAN .EA ACC $ AUTO ONLY: AGG $ EXCESSIUMBRELLA LIABILITY EACH OCCURRENCE $ OCCUR CLAIMS MADE AGGREGATE $ DEDUCTIBLE , $ RETENTION S $ B WORKERS COMPENSATION AND WC5877299 09J07/08 09107/09 X we sraru- I JOTH- EMPLOYERS'LIABILITY ANY PROPRIETORIPARTNERIEXECUTNE E.L.EACH ACCIDENT $1,000,000 OFFICERWEMBER EXCLUDED? E.L.DISEASE-EA EMPLOYEE $1,000,000 It yes describe under SPECIAL PROVISIONS below E.L.DISEASE.POLICY LIMIT $1,000,000 OTHER DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY NDORSEMENT I SPECIAL PROVISIONS CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,THE ISSIlmo INSURER I MLL ENDEAVOR TO MAL _10-_ DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO DO SO SHALL,A., IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE ACORD 25(2001108)1 of 2 438543 DAC 0 ACORD CORPORATION 1988 g�P w�� r t �44 ^\\ {J- �. Vinyl Laminated 100% Polyester 61" Wide • Nominal 17.5 Oz. Per Square Yard For nearly half a century, fabricators have relied on this industry standard for beauty and value. Patio 5001's matte finish provides an excellent avenue for most types of graphics making it an outstanding choice for awnings, canopies and more. With exceptional resistance to mildew and UV, it is ideal for sunny, high humidity areas. • Made with wick and craze resistant polyester weft-inserted warp knit scrim • Exceptional resistance to UV, water and mildew • Superior dimensional stability, tensile and tear strength • Heat sealable and accepts many types of graphics: heat transfer films, heat-sealed inset fabric, sewn-in inset fabric, silk screening, hand painting and applique • Pressure sensitive adhesive vinyl graphics are not recommended • Backed by a 5-year limited warranty (except #513, Clear) • Flame resistant to standards of. California State Fire Marshal, F-121-02; NFPA-701-2004-TM2; ASTM-E-84, Class A; MVSS-302 • Put up on approximately 50 yard rolls Patio 5001 is not recommended for backlit applications.Patio 5000 is also available in a limited selection of stripe patterns.Please contact your local John Boyle representative for sample selection.Patio 50011 is manufactured exclusively in the USA by John Boyle&Company,Inc.and is a trademark of John Boyle&Company,Inc. a c. D www.JohnBoyle.com Visit.orders johnboyle.com to im 10M 8107 place your orders-anytime! Statesville,NG 1 ill I. i:{ 1 DISTRIBUTORS St.Louis, 1 i ill 1• t :•1 I Oregon 503-2-3-17711 West Mifflin,PA 412-4�11-97Q or 811 ii. 1 B 1 888:•1 4-9751 George N.Jackson, I204-788-2457 Cherr,-Hill,NJ 856-439�M or 11 :11 1 I •11 KO lM 1 2.:1 I FAX 33-3268-04M Lake Park,Fl. 561-84-1461 or 81 v i' •1 or :•11 ill =Oa0 585 580 521 Black/Eggshell Emerald/Eggshell English Brown/Beige Duplex Duplex Duplex 586 584 581 582 Emerald/Designer White Burgundy/Eggshell Cobalt/Eggshell Terra Cotta/Eggshell Duplex Duplex Duplex Duplex 0 536 518 503 539 o a Dusky Blue Royal Blue Bay Blue 531 562 510 a 514 Prussian Teal Emerald Dark Green Lime Green 543 567 564 570 Spruce Jade Teal Summer Ivy l - ci 565 542 500 Reef Blue Calypso Turquoise f Bvard of B.uildmg RAgutations and Standards COPStruOtien SO,pertvissr License tl&.e:! .iS 95315 B1 /196 ( 1t0 1'r# 95�k5 MARK LAMPSQN 3 GREEN LEAF DR#VE Y -- DUXBURY,MA-02332 Commissioner i n. i VP'OPP INC., 75 Gardner Street;Hingham, MA 02043 781-875-1085; Fax: 781-875-1077;Cell: 781-264-7769;email: vpopp@vpoppinc.com STRUCTURAL, DESIGN, FORENSICS &INSPECTIONS Victor A. Popp, PE,- MA License#41566 www.y,00ppinc.com ©2004 VPOPP Inc. Report on Plans by Dorchester Awning Company Proposed Awning for 876 Falmouth Road, Barnstable,MA Calculations were done to ensure the canopy frame and anchor stresses and deflections meet the Massachusetts Building Code MA 780CMR. In my opinion, the calculations reveal that the awning as designed meet the stress and deflection criteria of the Code. Criteria: Snow: 30 psf 3s'PsF Wind: 110 mph-/W ^Py Seismic: 0.2 g Summary of Calculations: The awning main wind resistant frame(MWRF) will be constructed of 2x2xl/4" Structural Steel Tubing with minimum yield strength of 36 ksi. Frame upper members to be lxlxl4 Gage 50 ksi material. Welding to be done with E60 or E70 welding electrodes. Maximum vertical deflection of MWRF is approximately 0.55 inch. Maximum stress is approximately 24,000 psi. Frame is partially relying on fagade anchors for strength(less that 800 lbs under full loading). Anchors on columns and outriggers assume 4 inch minimum concrete thickness and 3.5 inch min. embedment of/Z inch anchors, installed per manufacturer's instructions. Four '/2" diameter anchors with 3.5 inch embedment, or two '/2 inch lag bolts with 6 inch embedment to wood are required at building connection. Base plates to be 3/8 inch thick. Simple bow trusses as shown, constructed of lxlxl't Gage 50 ksi steel will meet AISC Code requirements for ASD criteria(maximum bending stress is 24,000 psi). �H OF VICTOR A. 9 c POPP ( � S .. , Ho:4,506 ZaO9 4�,o9�G/STEP �t�'� ass/ONAI ENG� I ____._.__....__._....__..__...._._.___......._._.._....._..___................_......._.._...._._._......__...._..._.__._._......_..__.__..__.__ ............_...._...._.__...._._..............___.._._........................ i $ x W I I 0 i 5 31 I i 32 93 122 84 33 i � 1 88 126 20 1 83 25 j ' 87 I 21 51 GE b14 76 82 91 1 76 9086 i C^ U-s, - 107 77 22 5 1 75 81 ICJ i STG-E 104 9 105 74 ,4 23 80 103 70 fo 4 10 44 72 � 69 y 4 Y, 1 9 68 71 I „ 1 7 SSTT�iL I V 3 12 65 M1 �. 34 Mt _ 53 " Sf' 6� 58 t5 �OF M 3 ��v�ctoa°'• E f M 00,4�s Li 4 A,� , Q ' S�✓ i Si °I 59 ( k S A —3 D ® f' UM S q A,e ,fig C7, 110 Aj 'r rteswm ror t.c 1,snow, 2 j Z.O VPopp Ins 75 Gardner Street,Hingham,MA 02043 (781)875-1085 www.vpoppinc.com GRtyv�l� sn►0w LoA0 3o P-S -� wino .�oN �.. •, IIv ex PDJ l M II°• F'A C-'W(Z : TtE 4" A-1—t CWC- FA C, I. I Sn1ow I, IS w In,o U111/V iP r� _ X' vJ box /, /5 x (g Au6 , SN°W 3o Ps x 1. I x Jos 5c f s f4 l r, O. ZPWP G A S YIC1011�. "! ' Date: 2 O 17' �:,..,.•. street: $76 FAtMOVM RV Town: I'I Pa. Z of 1 .�' n, . '�� �}a'f t `. ���; 'it.�, 61 f"' q�i'^�'k,y 'y, `C'"a .$"'�. '.+� u '»'� +��' �Nr!.,` •b .,M,v Sgtma {� d f. ➢ SwV, +J 4 h}4 '`� f,:T.'t � ':te •y,';"„ Q � �' t iL.'�t^ :,�� r{ w��•. a_�c. ..�'-r°,,.s ..;�t �;s K�+,{nE -;«t. H� a'%4^t i,`�.. �, > r:' ''�?. u'•{'.'a� av P vy.' rS7, 'k :v'.:'-�!E' x.�.c C, -..s f. I-a . �. k+„ �v-2' �,:. .'�kg., a.,,r..,t^:'..,F;t r�,t:..�., _.fFRv d,rt r�'k•..-• N'i.. s.•�'{a .,,,.*�.r't�#,+ '* irr -'rr g d.�.:'.. +4 sr� �.�=� a »�.rr.:h �`.,,+• d� :4�s• ..�.y�i.u� ''k;x, .x,.a,F �-r'. `�, tb.t- '�` �a`: q{y�, r ayalYC. a„ f}Stl , xr;,k�rYa7r t•,u s+,t#t,a�h at,i�s�,;. S.+4e'+,. �tx§'Ysr nU ,K><��r ,➢��r4{ k�A "��'�, gy Y, "r�-;.-:.1."` ,,,,"1`adG Fi.'''`• `arA .''G,. ! �b,�°�rt ,• � :.� $ � �� :..}�$, ,'�•.`.�. y � s�.��}' �� ,r;. u �r.,.3 .,. ',� ,44�,g�•, s, ,r r � t,,`", .� a �" :t. tj ` � " � 7�'>t` r rY }�.�!{ 0 t°.� ,: a"r` .,'.:$ '�:P?' "a++%. �"S:+�rvr"+,t ='� a'.:,#-as.4. �e:, ..-u ,.'.,".45 '�; +' n :ts„�t«dr y {.,.!;'tx{'` e;t..,t't'' r*r v""•..yr 9+ ^,.rfii?e .r`.A. $w,,, �'fi"�r"a w ,t h• y,jr} 3 .;-s 2a7ty xv+`3`�#';a>y ra":c'r ?' ' ':=� + "• 'ky. `�•,r}q,n,. Y .,+art r� r t 's° "a, ':M. }:'+c�.,�ga,.we?, Y� ' i tr:.t�^a�,��, ..yp� � .. ��...d{} ��f�:... �� 'S y.t` -AC,y,{,'`5'ti,/.a�'�r 5.��:Fi�., Ed;� ,a;ti'�' x'',t ..��#:t-IVA'-, �• A.. �2 gg � °t'���-�rn1,;�; � } pp ,5 & �':v t��' � a•" "� 3 �,,, ,},i 1�J X 'Y �3r'i t #; �to[ �, ,:J;Y. ,;z�.?f;t.�'«".�&`.'�iwn�a�.,�:g. 1� r ;�`-'� xa.tN. _,ar„' �_ ��4 '�y, .`F*y'€C "�+'��';*•-tS,.; ��. F'r} ,{r�, .. �„ r�-,.'{,_.. ,1, r r >" .sa:F: rJJ� t�S:t'` � • _,a;r t;::i � .'F,}r'.u�{.,. J•r4a,'k";�:�'s3,lyaas�;il .'.s..,. i'. i',°d,Si,. - r, Ra- 0 r' d +f , 3 ' Xi7, -r; pY�;.,>.�. ,,�r� g,. .. Ys ».1[sp�r.'',l�i�,'iia''ifitt'; ,F :r,. x •v a ei^•'_ �,1R7i`�'af. {. 'N' `. •.�v: ,h v�i r o- � �#':-nv `. w. ,',<. �,., .: .+, k .r'�':�. r�,.g.,, t k f• , ,:h ar c,,.e;, L,a .f.r,;�y •pet. ,t •.r,., <'�,,,-•✓N't"r x. :.,q�. �/,ry ,•ftNt°=:�.c}# a ':r,.. ,+,�t c.. �:. a: ,�•, ,,�.a ... �t.,r, .s,,�i s + N, �. >,; �Ct :lFr v. �"^�`fi.z .+�...,f r� ,r1� � + ; � t9���'I �. ,a r,.., ,. .r :.',._:£s` .+ .�... r y _1: : , .*¢,. a"'��'.t.,•� �, r,..,,=,;a✓,a. :.",..v%•'; �'�"i_ ,.::"!,7 aaw-,�k�'` �tw�;"�.� �. Y .rig+':-�..N.f a(tr<��4 �Rtts + rt��%�gt� .!�".;:. e,- •a, rust<t;!rie .k x- :c #�^ ,•a ..,�. b�1 w' ,P 4 a '. 3:"` +�•;hr ta! "y;'h. 'Ik ks,. m+g '1,ra. •mvr•'_. rY}�`3i'' F�.jI>W4,ik T 3 ar 9.F r .;ir .,•+x'...T,'-f .. "t +.,a 7yi t .••!Sa`: �.,3. ,ru:'' "1 &�; 'L"•+.A«. .@ � nr .6',.•,a ao',.k r.,v. trj-:�.; i/'�:.:y'�. ^1k'k��,s@, " � •-,}f.,° ';:ES,{` �4�°:,i.,r ,�k,}, 1� ,x,.W,- } th.YtMn�, XU�-�.tx#-j' i<, # �_ 'y,'a. r:.::� ,1e t• %t.:"#„ ?kfi,t R VV�Y ;$` F•. !CJ. J. rt 1 >1 f .3�.; . k Ts; •a9^�`�.3`:.. # + R t ,Fri "tv ��* � ..:��:,k<,., t,• �.t�� 3r:��= 4y7 �,%k ,� �, ��.�\,t.k, F1,., ,4x" #,.�•�V"�''1;t#3 � ��' `� t"+•al a.�. "4, x'>r:f,: vw ;�n^..,c�y t,.4,N' ';A. ` r-.`., wWT a`:t,•„ 1 �+G 1 }--- �. rr'FrJ? ',,A �, t`t . r� x:'�.,, FL ,;t. a"+'$' r.'� '�s4 '4 r.,..�,$• :•w ,:: ix; L' :. t t ,: wi„r., a 5 S �.._ + •.3�.,�,-,�x. -n'� x :h}� art+ ,Y'Y# �€'", i� r w�"k" - ,r d> .c3„} � .� �`.+r�u,-,, *�`�'t� 3�= # �. k1t7w'1.+ n'; #, d :^swa..n•.k �s'{.F.: kxl'`,..°k'' S 'S 't. 0 asis,F,' " '�:�"� t.=:., '�Y "if,,;.�.1 , . .,,,f..n sr ,,.., r.�; ,a .:,�:'3 r<. ,✓,'::st/g,vr „vd+ a Arts; '✓•t t'. :,a�,. 3•, rq.,,N .¢.i, ..Trfi .�„ ,. Y, t. .,,ra?Y., Ys,:3re r{f�+��' n �g3 y, �.f. •f E ,,,� '{ .s: s 4 :.tf. vya. r { ..n r ', r Ji, •� i rt ' �r r„ ,.:;.w...». •S<..?s. at...k i,� F., ?,s. ,r t,ryi...� 1Yt.:. ra .+. .'1 ,i > a:t pr. #.rx: t.•:. r, km�,t, �': r Str!<ri4 �.w,...•. a.,• K, k4 a •,n aW a, r .:d:w..,,-��a• {' •,y$� ;r+ .. ..:�C-a ".�,.y4;j'f"�+,3> +'� •x' .PE`7 .:f ��i1:47t- nnjT .;1'}W,y,y} isy—A ;r. ,.e. ,^.-..t:,•,� ,. ;Li. ,.r.,,,. a,...w7.. t, ##,,c .uu ... t'€}y,.;,+5,�.,ryy 'F t t >•n� r - -r'S-.1 3r,r; - q:•.*c:;¢ 7J ,f.`., .S :rIMFff14" ar 7',,.. "r :''., � .* s t s 'R; ri-. .s5t, t�J1•�rraa�,.� lilt, sr{.x• 1d30r_»& .,x i t .] �4" ' .�r` ,a :.w qrtY' ��:,}4ik.,�..dt`�l ! :�k r�'•1,. 'M ri tu�r��-T,'�.r'z�y ,;�}ru,� '� a•'? 1'.r as" = M:�` 1.« a 9 �o!,:>✓ 'r 'H �;,'k. , S' i"1 �,a J '�F'" t iq� zY h t..��i� y:Yi, :- 2 }. a'. "'9.' r,F. :dr:='Yd+F 4'„ 'twinlit i lK. tM..', .4+ .s•t„f G .,7 t -` r iad, 1f �rf y. 'f '3 Ltrk it'w:l�.F` 'Fi' i5° y,Y '�'' e5, F�. ,__•F� y�.� a.`, '.' ,,�n�,`'. a rtr.i 'a:. '.} .3` •`ri �'fr�4�.. .s; '. i w Y T,( i•:< v� ,^,.t;':a„x fi+,��:�;.��K'` J.1..^y tv,,:nr'ea, �>e§- s• �y� .E.j .ar..[ � p .; 4 :,,.iv + ti._/:. ,Z.,,. + .,, tr-.,.,. :.,}'rr•# k +k.Ft;"s'.~•<3 aNS,„ '` 5 .' -t6 F } 7'4?'"b,.r.�v h . q"t' F,P.' ,.'?f.F hr"p \+.,,�•Ir +t,.., fit.e� YmT n, r: d" r zJ tJ,Y .r�. .,w.., •Silo t s��i, ,J ' (Ik,'t3+:.,:}a�} `x r- r+1{., jv"•IS'''ki 7' .,Fv.>rt7• y¢ q +,,y `'•„ !'S S r.ks'lr,w*}�f., +..�"^�SFy* ,i 'a'`d+ r <. } yr a }r _ �„y' .n',+ I,atA..::• �, h;y ,,fi„r��.'"i'h t .,'J•A�i A'$1 :3Y?� V .,fir. •3 s t, G a s1 £+t h ,11�«R .r 1d 28 *T1133 3 ' : r}"t<{! a E}y'` x["#r, v :fir' :`yabse a.'l' M ;�,� a�,1� ','v�' F " +, s-: .,*':::' e <.rt w. atei,�,,,.r'+f't,, 5 r .,, 4*+"y t{:F '�.• "v r>•< a'',.eis %`r*zb ':: .�w , + R"'.s ,:h;,q`r(i x y9;�,-a. . ,,i,}!1;:(,Yy�v :.,vr <r3t£ r. ip..,•"�"-:vs. .. Tt, at ... e.,. . :. .: 5:.w•-<1 .�s.i;,a"a. -.:: r t..Ki.:?, ,F r'�s. r,Y ;{. ha�M187rt,5-r,'�.. ,,. ,r:.:' r4 rRt 3f�"' :t. °'t.rr :i�,}��al'- R� a� �d .�.: ..r,.,\ - .Y;, Y ,F(.3m.�": `� ,5: sk L.4'1�.�6{17 S., a -�. +�.k�3 , t "Y, s'F•l * v !� +::. n:P"'...'nr Xa..., x-.�+.X4°C e, � .�= x ,,p .^>n•:ws�� 1"CS :A br.r.'.Nt 1 +^y�+,t, 64. �y., a, .Ty,(.§ �t>,S,r `�i 'S 5 Sw ; S. r a, a, _�� S#'4 5 5 t�J".,ytl•'�kr x u'7:Y � '+e:f�;�` � k r'�.4�� �'. ir. '� Y- rtb? N. J `# 1. r € :�+ i.a 1>'•-«yG "`'f ,1' ';�y} r.YY'? a•;„�)I v ',.tr .,tit', 'Y.': L'l.� '•r. NrF ;'�,h`il$�,r'.., �i..t+ .��},t',1•;".: ... y.; d, � tit•. ',4r. d" 1 t _�, u� '�:�. �..:. a�x' r � s t a;•. TJBB.: 55 x a '� -,d� K �� x taf ``' #i �•� t'N161� �!q t 4tl+ *1•�Yf e � a - #}h +- ah i '?,�' a �,i `k .,.des,.to"5'� t s"�,t M1x a. t }'t{t k?},4br+ :?d�ti$ ° .•k -;C�«�' ryt':a r td '17w'fa3 ".rY'#�.' s;.�}�•` 9 a,,.: •?ti*YY' '� �A. s S J.� wyf Y c'* >:�K + e � x f' •+ P 83. .A•, ,t n t }� + -'�.r s ,S��t` , 7NttB:..r'tFhy a �t. t,p' h. �., 3n°'.�, arf,. c` `.iir.ys Pth"t i:nC 't+„:sSx' -i,• :.'ta: ''kti.. r� � a '�',:'�, �t,r1 `� rc�`•�'fi�in re}, ,sFav#•,, t _ � s �,^�•r,,�r `�A Ptt tri �7,• ` "��' +�'� �};�;,mS �1 ri., (^��; � N•. ,',t F. r # ;,+ � - t. r': i#?= Tfl02,."} '. 1-. ,}� .t: et a'r�",;• � ��' r r.- r� " e� `�(v�,'v .'}. 3�, ttis,Y c '� � r ,} .r.i. J .:} t r _ ,'� y'N i"�`ti M � }} `?,� sy.��ak ` M a 1 x�.d�. Y '•'S�t92� �`- y�:sa r'�rd�4 1'`'"'w x'd 'Sk,�ir,,i,'1 5�: �,�`�,. se�•(:' L� ,4 s"v .2;r fr, kH' a,.'�. - :^T 41e: t war,: r s;#'r.it '� .+�'' 3M,R,yyr rk}r �GYdt tij; .,�^ k��'.0 7�" `sue { �t � '��M716 �� a` 11 k �: St � , �+ w �..�gs i'• '` �rr�,,. �k f � :� ' 9 t �� b^ y ':'t #sT .J+e •�i °�y"� Iqk'1.:> � ,�,, �¢ : �A 4 b 4 ,.'a.a4 1 '"`re:Y. s• iS1. kaJ' >,, tr:: t` .$" '"r^``•,, ,*.u,+s'" i>rir v f`. # ='^, 6tr crA'r, a'' 'p'; ... ,:.,N>'rs ::..rq rr..;.;' t, °n.�.:��,.at s,��'a' .;cd" a}: ,f{r 1 i �4r°.: ,i�:: t r�Y;si;,�. }.d�,.. �,.�,+or�� fi`'r?c' .S •x •'.�'; rn'1s si.,R'r .�},..."°u: n' :r•; f i,nt.... •>W4'. �.., +ak _},Y a'�t,1+t'�.y ^�^N ..{,�� �n^+�, �r e 1w '•,; .+,xy ,t; a. s.:� r `!t7 t.K` 9.: f ` i '' s'ti rw7"� $'. FS Ve '` 'rx_ +, ?�r� �`rt {i{r a 'X' 'r t� '»a.�„+F"z fi ':.1=� � ',:.i k .�{A et�:t, a ,s•t+:, 94�,,c Uu+.:r} tire'.. •r' \ Yt,, kl'S {�:°.,�, i M8D:r of ;.g�7'_,,hd���11yyt�-� M�+ p a ;. t'. *M1.R.. 1 .yr t .:r,,Y , vr;I Y i.'y r 1" \ °.XI r,.r 71•t �yx +..sf, :+�:,. .� t ..A�sW F �KswY}� nis I J. �J ..'TZ., r= n ., i..,l a t„l,r r k 4 4, >: ; ?}.. a �),. r" �':05 yr.'• r ; 'tdt6 u�� a �1 s.r.�: .:t, M sat .�� .,< ;��,+ *rr'N?0 r+:.. t��y�e...r,.#jtr .Je:!k 3 oaf..�r�, y�}.:, M'r �r.". Fly} ed!,��•9 �.. M# .vi'�li y'} �n<.,`i. 3f>. �'�ap. r:t �? g.. .�=t:}'1. ��.,�''%as r y,.( �:✓1 41 t2-..� < yh+.e;..'t tr+FR ..:a r+}�6 4M1 ,-7Yk.+n °Y�'`��}",t�i T;,. $ �,}'x� .r 5, v, 1: Xmg kc r?, S,F ,, p'^C r> 1�..•S A; l"'e w .rF^ t yh' �. $ Y,, y#'s k�. '.'- l :;�. �, :.:.� r. :,, o t'S..W n r»w•:>�%+T',t .. h crx.. k '� - \:AA r`.rW r Di�1 F t 1` }r �' < >+ . .. •;..' " r'.,:: 36aN69 j s,.,-..;. ?.x.;:3-}t£ :s�':"�' r tJ, <rky,, t a. yc ,# �y;;a,..;, -a .'Q• sil. '' '~ ,.nr ,anv. - r2` ,+. a ,,� F M xp, , ..tb�F t.k.sr,ts.- •�"i�.�^, -)�+3 .Frt _+< " .: •.:. "pw. .s rf.: a: ., srtS- , a ,._s x ,},,fir• }~t .r a� s y.a,+ „A'f;, i. :.. •n , i M :...,. h 4 p' + d„ { >, t'. N^:..{,ar$r }•a :#n t "i i r r -`.rs`i'. .. .. ..r��`�r�w� t• < ,,,.nh« r-yy• h �s f... '' Bg'�,.x .r;rn''�dsr j,"�..t h 4�. '1 aty : � ...' :.:. .. 4 � 4e:.. ( fl�, T� 't•,,.' �, :{ t '�:l IN 9 1'Y:r, V,�`� �F' t hh "J� % a , t J - r•. �t,11! a r1 ..,,e .. •. -rki ,r1 +4r r 2`5"�� ,a �'.;', • \,� 1. � r }�i >. 'Pf67 'E q � i ,, p ce ��r-e �t c u�' Sx`��r "' �P�.�' # :! } A ` r +,.-.T't'166 •'u v '4.:,r• a !t t i.,tt f4 asyti. it 'y �`.+{�1 K"s,a r*`74,t'g{,;��� ���{�' 3atg, to F"hesrJ q-"kv'r,� +.rfi:. . _ Y f .r w-�a F.��� d:�12 � c r ' k �'.. � "•�a i t"ta n �r*kF��t$�{f °� h �+$$.!�a r tsar ra a. � � .~ ,- t, 3T� `t rg,E`r� .St Y r:" "t�✓'K txf}+F�d'r�s'y��$ ;r,,+r,��w 91O .. , --i i _ J?. A rn.s e a ram}N.�'r'�CN"sd'�}„��``t �'+3} s a"r'T� ,i�.•A 1 � a + 62 w h �r4'�4.. qIn .� AYE: �+,�;•��a , f ��y �, �'"f �:,' i, t a 1 �' x :'� yr„-� k f f m s+r mY r }+a �p�p�x, ,fit eyY v r :• t 1 r t � t e+ ..a s a.: z rxr{�i F,."r�.'"x• , k.k\ �w?�7 � fi�� T f' �.} ti k ,r. t dv ,7� � iY4 FsykY i�. �. ; ,i� _ 1 e��.'.,; t +;:::itY.� � k v4.t > � .k, ':". r"".y t.. ,' .� .f ',.y �+�� •}i .. ;`�:�'"+grr kte 6+r i'Sa.,. Y•b,ca.,,. a+rl+ t� �'�` �,;..{,t}` e'z ,. �.^ttfit��r ,:..€ r~aa�'�`'���Q.7 .�:�,k5 � ,! r ;��r�y��� .:>`,f �` '`'IO.:Q .�' a,:�.z,. r'=° •>< x ,Y'£t r, f �'' n tr'h ';s r aa? ;,r;. c it t;.y rfi .x. �r •? ',�? y r��+ r � .:>� }Yr"' $*}• e•�.�,�",r'.''}}�,<{?. raa a 3 k�•`� .r�'�r} K #�� }'%t I.'.,;3 t ,.ti r +: ra;,, _ x " F,��V y+�,:k'�r�`Ya'?t ,�. ,{';,,� i r, v ,� ,.err ��, ��.. � ��'ka r�� , ,,',.�.� V`// *t't•;, � ,¢ �*ya �.,. y`> t 7"ti 1;7 .,• 7a-: ns ..,,^+#ra`aa ifSp °4..r.y k C a{a,{? r J1, 4 •knt+���,�?• ern {3.,urh�{ •6�r •.ti4tl t, xis,d 't. it"1 'r'+: a r:''�' 9f f i -u,a 1rr :.' i1 � t � w i �>k.: 1 a 1 , • *7 + .,.;,;• a - .3:yr,�� �yt .•�4x s* p- 'xr 'tr:#. r- �'r 42 :iia�;;'�w,r .+�,:a� t, ,> k: u�,kf y;• y\ tw s�� ".�-; ?� ,r�e,. �'�±T' pyrf,,�� r,�g�,. ,1 t t •r}4'f �_rt�,'<, �'s �.�f �`, c;P' 4a1 �9� �'1 ,�ta'�,p+�d nY". '4, ,tr�•1�eN' ,� h „+�,59� YJ y, F? � '� �!A .'�� d„s ;ifr� ,•6' d n M 5 d'J' '.. �s1:-+'�Y•l_1-�.tA- „''�, .>•'�+t .2,�"'.a°L.t. 4 }?. k 'J` 1Fut�`#±a;'� °.`vt'> r�t<.�,�v,• av d `�." pr""'a 3 y���,: t` m��, }}�� . ��,:� e', ::�� x '� c ray`�x �F��key•cat �'F', t€SWy, ,},Kr., t. §; tnrkrr.rr. tPrt. 5i:i "Ai'A.+. 'yi #. f.iSs.�"3' fF.`p k-*, ; l • - a•2� :�•tt$' .P a " , ,.� a e��+,y� � ,:�a� .�.r���'"•�"'+�, dp�i? �.��`�: ,�#fir#�.v i ;; "++,'"4 p*y` "; r vi tVi .jr .#- 1::7 ,'dk. ..Y� i s yTrNt�',. o.• �# .'a ° �` � x`e'4w 1$r, r5:'zY 3�" .;4r- *1.->.#s .{ :rT ¢' 'r2 y� F+ t. t` • �'�''v .::'wk� _`! b, C'. X •'§, 'x 'ti•,1�F..it��745�+E(���,�giy '•.. � w.- �G�ys�. '.+•, i. ��,""'1',. 7t.?E 7.T°}A.'tiy .lr�.+s,,a�tt#,1 '.Yta* �iY s c ..y,-F!: f ��•:�.-.. _. ww, s ,.: '.,' f�,.,-• .}��,,�,1 ., '�1 i;�r .:-". .'#E2,. � `i+,,u s`¢ .Y',t�;Pr�.�{h' � >rit Q'� ��#� 7' �._ 's+}3 �.if. Nt1,',-,�:`•' 'a t�1' �»,��+• "'},}xt_,. r�:. �`,.. .:�rr.. ., ��,„.. ;r�?' ,�... ���t�A s dyy,, } a 1A�{,+t}r, y�%°t .'`4, r• s ,a y' Q;t'.^1"1 ` '�+.�'t t• '•,tf i,,c .i ft'., �g r}a tVi'c � �. �,�t• �' ��.: }f 3, .,t•� s- , tp';( `fr\. �iy-., r:ea,� 1 '�„q r� '.riW,ytS `� ' ttrSr}Bv�t:4.:, � :ti a•s) fr a;.�'�,4`'il 'Sl:sr ,F°:', f N e�'� "'y�k'".ty�. •,t .n.' }i.,-.. t � ;�%"X � k: ''sky' .•�¢ '� � �'t'r r %t i"}.,J 9�� t 'r k 'd. �� �:1:',N�� �� 8 � � s. -nti� ,; T i. .e r;, f- _ at a�a°kkw '�':'. '. ...1n $ rS<o-.#€ ,;::.Ah � .a... rFSy'.r�,,•',�sv *,v'3•' T. +,k�dt...:'rr,+• ',�.'"c�, aKia+`6��t�,Y�r.¢b�<,E�'` 11HOFMgS (By Combination t Label----..__----x Ilbj ----•- ---Y jlbj--------- Z(Ib -,-MX(Ib-ftj MY[Ib ftj MZ PtL-ftj-_. N 1 i --_86.069- ' - 1493.561_ 11.309_ 29.483_ 5.838 -� 121.422 1 N4 92.868 -346.'19 � 1 7- 1 --- -4.89 �-17 675 , 8.771 i -134.649 N12 1 -_-152_081 ^1 1194.976 1 -3.565 1 -8.919 _ -6 564 ___ _-- - - - _ _ _ 599.329 N15 -156.463 1474.387 r -4.885 T -12 392 -17 939 611.033 ' ___ N23 _ I .029 _24.81 _i_1.752 _ 4.241 1_-_1_318_ -.033 ^1 N26 C -2 393 25 872 i 1 476 3 5 7 674 C 5 947 1 N58 ,_ -462.983 =1210.556 ! -1.531 -4.487 i 2.3-2-3 =8.991 1 N59 -507 554 j 1338 847 11 49493 1 N25 24 37 T 1 253 -12.433 _-_ 796.916 870.465 21.417 ! -597.903 !-1258.6731 74.388 1 N24 -189.369 I 446.265 � 13 026 -460 437�-443 653 221 533� Totals. 2088.793 5312.436 i p 1 1 COG M: I X' 5.83 I Y' 10.092 Z' 8 308 1 MemberASD Steel Code Checks (By Combination) LC Member ShaDeT_ UC Max _Loc ftIC 1 I M1 TU2X2X4 382 5.16[7 --.029 5 67j Dir Fa[psi F si Fb Fb P.... Cb Cm y Cmz Eqn 8317.963 121600;21soo,21600; 1 i.557,.898 H1-1 1 N12 Tu2X2X4 .707 7.667 .026 7.667 8499.032 21600 21s00 21600 2.3 .404 .85 H2-1 1 M3 iTU2X2x4+ .452 1 0 1 .083 807 1 8317.963 {21600121600:216001 1 L577,.796 M-2 1 M4 Itx1x14.. 637 0 043 0 z '18583 864 21600 23760 23760 2 3 262 g5 H1 2 ,1 , M5 ,tx1X1a..{ 456 1.494; 058 1 0 18583.866 21600 237so 237so 415 . 1X1X14.. 12.3;. 85 ifH2-1 1 i ! .501 i 1.494 .042 0 z 18583.866 21600 237so 237so 1 s....625 .85 H2-1 1 i M7 11x1x14.. .636 ( 1.4941 .096 !1.494 18583.864!21600!23760 2376012 .851H2-1 i 1 I M8 11X1x14.. .420 0 .060 0 1 z 18583.864 21600 23760 23760 2.3 .328,.85 H1-2 1 ' M9 11X1x14.. 754 .074 0 I z 118584.03 !21600,23760 23760 i 2.3 .263 .85 H1-2 1 I M10 1xtx14.. 8 -- .119 0 z 18585.451 21600 237so 23760 2.3 208 .85 H1-2 1 ' M11 1X1X14..� 1.3 1.496' .111 I 0 Y 118579.001 21600 237so 23760 2_31.338i.85 H1-2 i 1 } M12 TU2X2X4' 0 030 T. 8317.963 21600 21600 21600 2.02 .654i-504 H1-2 1 M13 Tu2x2x4, .391 ,7.6671 .014 7.ss7; 8499.032 i21600 21600 2t600 1.9....3141.851H2-1 11 I M14 Tu2X2Xa 495 i 7.75 .021 807 8317.963 21600 21600 2160012.2.. .699i.427,H1-2 1 ' M23 jTU2X2X41 .026 ;7.023 i 008 7.0231 8317.963 21600,21600 21600 1 .777,.598 H2-1 1 i M24 � MM2 .094 13.834 i .009 17.667 8499.032 21600 i 21600 21600' 1 .8581. 85 i H1-2 1 M25 ITU2X- 1 .039 0 .043 0 z 1 8317.963 .21600 21600 21600 1.6....3851.653jH2-1 11 M26 1xtX1a.. .585 i 0 ' .062 0 y 18583.864 21600 23760 23760 2.t....477 .85 H1-2 1 ' M27 11X1X1a.. .423 1.4941 .057 0 18583.866 21600,23760 2376012.3 .3991,851H2-1 ! 1 I M28 1X1x14.. q77 ; 1.494 036 0 y 18583.866 21600 23760 237so;1.3..._767 ,85 iH2-1 1 M29 i1 X1 X14 .638 0 ( .089 11.494 1 8583.864 21600 237so 23760 2.3 .258 ,85 iH2-1 i 1 M30 1x1x14.. 421 ! 0 037 0 z 18583.864 21600 237so 237so 2.3 .321 .85 H1-2 1 M31 1=14 .731 114941 .069 0 z 18583.866'21600123760 237so 2.3 .259 .85!H1-2 1 ! M32 1x1X14.. 80 0 072 ' 0 z 18583.866 21600 237so 237so 2.3 .205 .85 H1-2 1 M33 1x1X14..4 _ 1.22 1.496 i 111 i I I 18580.108121600;23760123760 2.3 .3121.851H1-2 1 i M34 TU2 X i 0 .047 {2.082 z 7199.965 21600 21600 216M 1.1.... 4 851 H 1-2 _1T AA35 Tu2X2xa 1.322 8.33 .074 16.248 z 7199.965 121600!21600 21600:1.1..A57 .85 iH1-2 1 M36 iTu2X2x4 i 8 33 i 052 0 y 7199 965 21600 21so0 21600 t 0 354' 851H1 2� 1 : M37 Tu2x2x4; 825 0 .040 ;2.082; 1 7199.965 21600 21 soo;2160011.2.. .431 .85 HI-2 AlM38 1=14_., 824 0 i 106 0 y 2146 515 121600 21600 21600 1 59 664 85 H2 1 _1 M39 1x1X14.. 764 8.33 1 091 ;6.248 2146.515 !21600121600;21600 1.a....5ss;.851H2-1 1 ! M41 i1XtX14 W. 889 0 I 073 2 083i y 2146 515 21600 2160012160011.9 533 85'H1 2 1 , M42 1x1x14..; .978 8.33 .076 6.248; 2146.515 216o0{2tsoo 21600 s.6451.85 H1-2 1 M43 11Xtx14.. 856 0 ( 062 1833 y 2146 515 21s0o 121600 21600 1 6 1642 85 HI-2 1 M44 1X1xt4.. .859 6.248 . .058 14.165; ; 2146.515 i21600 21600121600,1.9...' 5221.85;H1-2 1 M45 ;lxtxt4-. 739 8 33 1 068 2082 y 2146 515 12ts00 21600 216001 1 2s8 85 H1 2 1 M46 1X1X1a .725 2.082 .096 0 z ; 2146.515 i 21600 21600 i 21600': 1 i.85+:.851M-1 1 M47 1X1X14..{ 747 i 8 33 088 8 33 z 2146 515 21600 21600'21600 1 4 851 85 H1 2 1 M48 1x1x14.. 590 0 .071 i 8.33. �Y ,"; 146.515 ;21600!21600121600! 1 i.304i.85 iH1-2 1 M49 j1x1x14..{ .760 6.248 i .071 '6248; 146.515 ,21600 21600 21600 i 1 f 7 .85 H1-2 1 M50 11x1X14..! .626 2.082' _065 12.0821 v 2146.515 21600 21600121600 1 i.8141.851H1-2 1 M51 1XtX14._ 664 ! 8.33 i .081 6248 2146.515 121600 21600 i 216001 1 .676 .85 H1-1 1 . M52 11x1X14..j 12.082 .074 2.082i ! 2146.515 !21600 21600121600;1.2..a.821.85 11-1 11 1 M53 1X1Xt4.. 4 3 �' 0 ' 036 11.91s 2538.437 21600 2t600 21600,2.3 . .85 H1-1 1 M54 ;lxtxta..1 .674 .75 I 110 0 20364.248 21soo 23760123760111.4...,.7t2j.85 iH1-2 RISA-3D Version 5.0 [C:\---\..A...\Temoorary Internet Files\0LK2C0 s P?iorLR r3d Panel eel Code checks (Bv Combination) (Continued) UC Max Luc( _Shear UC Lorjft Dir Fby Ip...Fb;:Ip...&t Cmv Qmz E=0 4IT 0 .164 .75 A 120364.215 21600Y37i§]Zii6611.16 At'.85*FH2-17 1 nno--, A J;R 52 i 0 1 00.566 21600 21600 i 2160011.76 .596;.223!H 1-2 [7- 0 .027 1 0 2538.437 121600 _if&0_0_ Oi _2_.il.33 15 IHI-1 I 062� ?it 21600 23760123760 ill.6...i.62Z W4 MR. 2-1 .75 .143 20364.215 21600123760 23760 2.3 3 1 85 IH2 1 .696 i .716 i .114 0 y 7100.566 j 21600 21600,21600 I1.7.....599 .392,Hl-2 .106 008 0 2538.437 121600 21600 2160012.0.. .509 H2-1 1 ' M62 IXIX14.. .140 .75 i 025 75 y 20 21600 23760?2376011.6....I 3CA.24& .62 :H2-1 1 PM Ix1x 8A5� 0 0-23 2376012.1..l..4771.85 1 H2-1 .148 20364.21259121600 23760 I M64 IXIX14..1 .850 1 4w58 .033 1 763 y 1.7100.566 121600,21600 21600,1.7...1.5971.617 -2 1 M65 11XIX14.. , Hl .871 .1�66 0 1 7 5 �21 21600�21600�1 1 i _. ..12146.51 -1-.. .85 .85 i 2-1 M66 'lXlXl4.. I.924 1 8.33 1 .104 0 7 1 2146 515 121600 21600-T 21600 i 1.2..4.85 .85!H2-1 1 i N67 llXlX14.. .462 8.33 .037 8. y 1 2146.515 121600 21600 21600 19.31-4041.85 H2-1 1 M68 AX1X14.. .523 I 0 .035 j 0 1y 12146-515 21600121600121600 2.3 .393 .85 H2-1 1 MI-29 Ixal6G .968 0 1 .031 5.5381 v 15805-217 21600 23760 2.3 .371 II.85HI-I A M130 1 Ix2x16G 1 .006 .277 0 99.931 21600 23760123760 -3251 _Q_ y 157 1 2.3 1.85!H2-1 1 M62A IMIC.1 146 11.494.521 0 18583.8CA 21600 23760 23760 2.3 -396 0 .85 IHI-2 1 M63A '1X1X14..j .429 .018 1 0 i 18583.866i21600 -237601,23760 2.3 .239 .85 IH1-2 1 i M64A IX1X14..j .532 11.494 .022 0 v 118583 866-21-600 23760123760_2__ IX14..j .3 .236 851HI-2 i M65A I1x .566 0 1 .050 1.494 U_ILl 8583.864121600 i 23760 23760 2.3 .23 .85 iH1-2 1.494 .026 y 118583.864 21600123760 23760 2.3 i.204 .85!H1-2 1 M67A !1X1XI4 .349 i 0 1 .029 1.4s4i 18584.03 21600 23760if2376012.3i.2031.851H I v 1 1-2 I M68A !IXIX14..i .484 1.4 0 zA05Q5,451 21600 ,23760 2376012.3 227 .85 HI-2 I M69 1X1X14..j 784 1.496 .050 0 y 18579.0011 23760i2376012 i .3 .299i.85 IH1-2 1 M70 11XIX14..l - .746 .75 105 Q I - 120364.1 21600,2376012376012.3 -3381.85 1H 1-2 1 M71 1=14.., 3 7r, 2n+" f -7-5 .75 Y 120364.185- 16001237601,2376012.3il.326 -2 4 6 .851HI 1 M72 IIXIX14.. 0 R-Auts 21600123760 2376012.31-355 M!H1-2j .1 M73 11X1X14..' 0 049 1496 i 18580.108i 21600!23760!23760 112...13 5 1...838179' 1 W4 11X1X14.. 1.04575 z 20364.185 71600 23760 237602 .85;Hl-2 M75 jlXIX14..! 0 .064 0 z 118580.1081600 237601237601 344 .85 H12 I .85 M-2 .790 .107 0 583.866 21600 23760 23760 2.3 .227 11 M76 11X1X14..j z 118 .85 IHI-I_;-j 1 M77 VIM14.." . i 405 0 .036 z 118583.866 21600 12376012376012.3 .303 .85Hl-2 I W8 FIX_1X14 .448 0 .034 0 z 18583.866 71600 12376012376012.3 .306 .85 H 1-2 1 M79 1XIX14.J .758 0 .077 0 1 z 18583.86 23760 2.3..204 .85;Hl-2 i 1 M80 llXlXl4..! 0 ()l 3.866 23760 2376012.31.238 j .466 .02 0 1 7 1 1-6 070 HI-2 1 M81 1X1X14..1 .257 0 -029 0 L Y 18583.866 21600 23760123760t 2.3 .36 .85'H1 2 1 M82 11XIX14-.1 .917 I 75 1 121 0 1 z i20364.185 21600123760 237601 .351 I M83 1IX1XI4..I .716 0 1 044 11.496 y 18580.108121 23760.2376012.31.301 i 1 M84 �IMX14] .353 _L 1.85;Hl-2 0 .009 0 y 185 21 83.866 1-2 1 M85 1X1X14..i .307 0 .014 0 _y 185 3.866 21600123760123760:'2-3 1.3721 .85'Hl-2 M86 j1X1X14..; .662 i .75 067 1 .75 y 120364.10314 1 Ow ...1.4621.85 11 H 1-2 1 M87 1IX1X14.j .2.3:.3631 .785 0 .077 11. 18580.108121600 .85H 1-2 1 496! y 23760;237601 1 1. M89 '1X1X14 .588 1.494 070 i 0 z 18583. kL21600 23760!2376012.31-2491.85 IHI-21 0 .048 0 z 18583.866121600 237601 12.3 j.212!.85 1 H 1-2 It 23760 .75 0 .1 M90 jIX1X14..4 1.039 .75 .110 0 1 z 120364.185�2 600 23760123760 i 2.31-3491 85 M-2 IAU6 1 M91 IIX1X14..I 1.602 0 .111 118580.108121600'23760123760 2.31.3551.85 H 1-2 y 'I M92 ti1X1X14 ..i 1 49C i 18583. 2.3!.2161 11.494 i .101 1 0 z 18583.866.21600 23760123760, 1 M93 IX1X14.j .85;Hl-2 .874 0 i .079-... ! 0 z i 18583.866 21600 23760'12376012.3L2011-85'!H 1-2 1 M94 j1X1X14,*i .562 1.494! .069 0 z 118583.864121600;!23760123760 i 2.3j.2�33, 85�!HI-2 1 M95 AMU_' .424 .035 0 z 18583 864121600 23760!2376012 3 .202 ------ .85!HI-2 1 M96 1XIXIC.1 .274 i 0 i .037 0 Z 18583.864 21 1600 12376012376012 3!.332 .85!H1-2 1 M97 :1X1X14..j 11.494' V !18 111...1.9051.85;H .167 i 1.494 .039 583.864i216001237601237601 1-2 1 - . -6 1 : M98 jIX1X1_4__.I __ , LLJO�24 , 0 z .302 18583.864 21600 1.851;HI-2 I IXIX14... 1.494' .064 8583.8fAi 21600 j 23760,23760 M99 .542 0 z ill .701 1.4941 .049 0 All MA!21600 123760 j 23760 1 M101 IXIX14..i y 1185 1 85 IHI-2 .528 0 .038 1.4 583.866i 21600123760:i 23760 1 118 1 12.3 1.36AA5 Hl-2 1 M104 !1XIX14 .392 0 1 .066 0 z 20364 252)21600 23760 23760,12.3!.3421.28 1 M105 AMX14.. .175 .75 It .033 0 1 z i 20364.252::21600 i 237601123760 i 2.3�.312 1 1 .508;!H1-2 MI.06 IIXIX14..,,, .314 i 1.494 1 047 0 7 118583.864 21600 23760 7176012.31-3891.85 1H1-2 1 M1 07 IXIX14.. .473 0 .057 0 z 118583.866121600 i1 237601 23760:2.3 i.264 .i81HI-2 I M108 IIX1X14.. .695 11.4941653 �6 1276012376022181 1. - .85----------- RISA-3r)Version 5.0 ICA...\..A..ATemoora e Fr cO\B -able n RevB.r3d1 Palate4s;, fm 4ol Member ASD Steel Code Checks (By Combination) (Continued) LC _Member . Shape UC Max_______Locjftj_ Shear UC Locft Qir Fa(�sQ__ Egps] Fby[P...Fbz _ Cb Cm Cmz E n r1 i M109 �lXlX14.- .645 T 0 +030 �494� ---�-- �- --- q- - _ -r-Y-- 18583.864 21 s00 237so��so l 2.3 -207 .85 H 1-2 1 I M110 tXtx14.. 479 1.494 j 037 0 I y i 18583.864 2160 60 23760 2,3 .3a8 ,85 H1 2 1 I M111 1X1X14.., 663 0 I .056 0_I z ;18583.866 21600123760 23760 1 M112 1X1X14.. 588 1 494 073�Q +-- 2.3 _217 .85 H1-2 .638 1.494� �z 18583.866 21600�23760 23760 2,3 .a17 .85 Ht-2 1_i M113 1x1x1a.. p81 0 z 18583.864121600 23760 23760 2.3 .3391.85 H1-2 1 M114 1x1x14.. 669 0 .104 0 z 20364.252 21600 23760 237so 2.3 .345 .8asf-- H1-2 (_1 1 M 113A i 1 x1 x1 a.i .319 0 ; 026 _ 1494 _�L 118583.866 21600 23760 23760 1.0... 98 .85 H 1-2 ;1 !M114 X14.., 495 11.494 Q444 0 z 1-'18583.864 21600,23760 23760 2.3 -286 .85�H1-2 1_ M115 !1x1x14- .555 _ 75 _093 0 _z 20364.252 21600 23760 23760 2.3 .352 .655 1-11-2 11 I M116 IIXIX14.. .500 0 fi .038 0 z 18583.864 21600.23760 23760 2.3 274 ,85 H1-2 1 M117 IlXlX14.j .399 1 0 i 035 0 1 18583.866 21600 23760 23760 2.3 -389 .851H1-2 f 1� 18 1xtx14.. 070 75 9 0 z 20364252 21600 237s0 237so 2,3 -3-6 1 -�9 H1-2 1 1 M119 ilXlX14..i .349 1 1.494 .054 0 z 18583.864 21600'23760 23760'2.3 •3961.85 H1-2 1 M120 1x1x14.. .575 0 A73 0 z 18583.866 21600 23760 23760 2.3 -262 .85 H1-2 1 M121 i1X1x1a.. 478 75 079 0 i z 120364.252 21600 1 23760 23760 2.3 .351'.928 1-11-2 1 i M122 1x1x14.. .686 0 ; Q87 01 z 118583.QEA 21600 23760 23760 2.3..345,-851H1-2 1 M123 ;1x1x14..' 684 0 085 0 z 18583. 121600,23760 23760 231.203'.85`H 1-2 1 M124 1X1x14.. 783 1.494 1 040 0 18583.864 21600 23760 23760 1 M125 llXlX14..# .627 0 .035 0 I z �18583.866121600'23760 23760 2.3 278 '85 H1-2 2.31.2851.85 H1-2 ' 1 M126 ix1x14.. 798 1.494 048 0 z 18583.866 21soa 23760 23760 1 ! M127 1tx1x14.. 767 0 ! 036 1 0 ' z 18583.864'21600 23760 23760 i 2.3 .22 .85 H1-2 2.3 .204 .85 H1-2 1 ! M128 11x1x14.. .6(M 1 494 i 041 0 I 7 1R5R�RF,d 21fi00 �'i7fiA r��sn 2 3 -277 85 H1 2 1_M129A;lxlxta..! .756 0 ; .067 ' 0 I z i 18583.866;21600 i 23760?23760 i 2.3 I.23`.85!H1-2 So 6CS 1 ccsL �► = xGovC-77tjA t>F V.C. va Lv Pl , 3r-� ACyoEvCp 114 OF VICTORPOPP a. MEC ANM ICAL No.415N 9 p ST �� A 10 RISA-30 Version 5.0 fc.%...1...1...1Temoorary Internet FileS10LK2C01Barnstable Pavilion RevB.r3d1 Pace VPoPP Ins d n75 Gar er Street,Hingham, MA 02043 (781)875-1085 www.vpoppinc.com 1� A. -TG N S act l �w S NEB 7ZY® 4- �o�i2 �o. S � �• tM OF OU le C.A T .� �jAgCmAOWAL i T ONAt. wl -s A)'O it 1100 x Z 2,-4 00 7 12- 10 OK � W20D INST4LL AAA#JV V I#J SOrA L d,,A'"O ,€ ram►-_' tjTA G 6 G 0 3 V2 Mid Date: 1 - Z3 09 EA-6f�oAn. Street: 76 rALMO�)JA Town: 7B AVA)YT44S GG' rMA Ps.7o�L VPopp Inc 75 Gardner Street,Hingham, MA 02043 (781)875-1085 www.vpoppinc.com IZ10 " X N OR IMiitOA A. PA/1► #M�!lANiCIM. No.MOO �q m'ONAL 4 � wL Ll S - y X ,70-7 x g = A 2E F zoo -f z 1Z1 �. qlq � n � M� lZlo # x y%2 ,,x � �� Lll\ d -- tZ � / Z 6 6 2 Z (I 1� 0 Ma rcq'1'E FoK Date: — Z 3 Q '� OUT121 c'6 k Street: 3� 6Z` 5 = .Z8s00O ds1 Town: jsL. . � �s I 4 Pit. 8 of 75 Gardner Street,Hingham,MA 02043 Vpopp Ins (781)875-1085 www.vpoppinc.com -797 LA 6 $o (_T 6 rr E'^1 C-A C CM C r,�,= I N TO W 0c)V V- R,AMkN6r- P(Zov110E S 5 U F F I C I GNT P U L L O U-r/ (ZG--S IsrAN Cc , CA tJ A LS o A f\j C.Ito P-- `a o L:j- W j o g A C►t U r' P LA-r- C- ;7j `$tZ I CK �ACA06 4 �(ZACW -71 M t ry I nit U M 7-0 A-tJ C ��ve- n I 0 c lt, '70 'g rZ1 c--vc ti/ +1�IV\of Qqs�c VICTOR A. yG Y{y POPP Vy MECHANICAL L Na 41566 Date: I - Z 3 �► tAL Street: `�(� j To 6A A (-_5c-0 M�# PIZ ;, of S 6—° AWNING NOTES 0 p CNSIIPO I-CAL MAO[P T.P. a RY.n SOVARC uLV—OT'—wN I. >f O 70 ;� DN<[E W[FM.KIpW v.i�.atl➢S,NFN4M. �\ Z 8 I 1�•-D• 9. MHNO IRAYE LO 8[M4D[0.,CWiACT kAFLLYf DR F6wECTWRs•W I/C L[WnMMus IlYli WELD BELOH 6RUJN0 AVp C0:0 W WIAIC6 Y SEE A/IACNYENi 9ETAM1 p MI—F.-AW FAHTCACRS TO B[rJ.-Z.ON PAwiry YIJr AVS,waB4OR CAISI.COnCPC IC---\ Fdr CONNECRON 10 HDILgNO 'r Ip - / - ♦.-A SnE+1vPwAuv A.S.ru..]B Ii01-pw[D I—LIE.R[4AM Srt4 I'•1"1p DA.WtvA ZED 1�[ WtIWD SnEL - FABRIC NOTES: w ui ]".!•%'WLVANI2ED J T.FAR.10 BE 1.RE-1-T JOPN BOvlt.PA.HTAL P.-B.uE 16a6 S IECL COI U+WS Z f fIPiCAL D<p) - }v L ].FABRC BAEAR HT1",111,.ARP,IS,•R6 F"LLl"11[(nw) W * -OCR'RAMC%'C.,. 4ACPUHC�TS""BUAONO-Feu Cw"ED-.vN AND-LDAO V FlLLC'MELD AT C,R:WECT-S E%KTMO '1..T-uF BA.N6TA&f(BLEB SrgM/]uWn InAU) �•�rB D+IPB A •>I ,Q 1 CA WLV; TO ALL COIWN UPgIO.iS BVILaNO O t/ O 6'.6'.1/+' MELDED STEEL TITOR4. BASE RATE �,p U1 A, U. Z ( Q co (-CAL OF 6) 9 ]:TE�L'Do%u""v. >-> O O Y (I flCAI OF 6) n _j ]'•2" A"WLVAP EEDT c,• .■/p� 1 CENTER COI UIMP LUL'A OIJ •� -= ' 4 J j W -K.r.A.E.%"COPT : (lYP.OF+OEEAG,BASEPtAY)S ` 2•.t/+•BASE PLATE W U cC G LLT nE.O Al C[IPPFCI CWH -". iWICAt OF 8) G 10 ALL COLUMN-.1"S 7n} co JQ • FRAMIbC cIDE ELEVATION " � D1�.�f." .�{ 0 Q LL� DPtau B��' w O 0 ^ 7•• IASE Put[ y}I d..•�i�.11 .. i 0 ap (,rPICwL Df 2) FRAMING PLAN VIEW _- _` 0. m 6EN E:h'- I]_0 6Rlt IRA.[LLv .A SC A,IACAYE.r ip a 2'.2'PEAEfR 2'-ly' �•COPi.FluEl MELD -A-.SAES ANp w F.®ND BEYOND T ALL CONNECTIONS I��.tI BOT4 VI w'.-./62tL ANCWR Y[Flf ~ TT ROLT .rA2E. '2'CUP •s6•uD BrAts•upm ALL BEAM CNOPD MEMBERS Al OtOCwaIC LOCAFAMS R_D. 1_.T_wf.OED STEEL{T191GL) . TYPICAL PERIMETER BFAM D TAI ATTyµHME J[L� TAI -�/ _— 'h--�- Ix.POLES 1. N -1/2A—OR earo /'^��' v[RIY2,ER IAWJtR MUHS, y+- ,/ E �`` N SCE DETA..SP1.U-2 IfF L1 m u PLAT[ AxLD I_(_ .%-Ouv. - - m� #'-ET TO J/+' j`i C c co 10 S;CE�CO[UNNH A,E-��° ° f ]-S/B'.!•PE6 5•.6-J-DALVANIZf6 / + a f( (rrvicu of 6) e"H` J/ «.6/6•.Pats nn cauWN /`/ �. t"_t /� 1 '`�� .• O LL A2'16 WUOL'Tv S u lD[U �� L-Y.Y.%•6uvAm]Gp sR'n cnu•w DETAIL [}CDI uMN D TRI(;•FR&c PI ATF F=i/� STEEL lb m ❑]TRIDOL S FOR L iEPA: —.1,WILE.10 C.." \UPMGn TS ON%'CON,, / / ^9 ° 2 1{ r.Ln WILD(wkAL aa) 1 I �TAa A CO(,{/MN PLn7F fib J� C O Ems0. ASILA 6 P BAS[ tATf- ca Go E'4 IA/4 Z 8 Th BASEP ;C- FRAMING F30N[1tEVATIOrj T % seuE.k-- -D• -4r�J � �jly �00 0�E's m F-c,4aa USA 341silt _� o z 1-10 Pit R �Q5�--'a-C)rs cc--- (J PE CD N Y Irp 'F t. n 28 09 09:16a Dorchester Awning Company 781-826-1628 p.1 230 Oak Street,PO Box 385 Pembroke,MA 02359 TheDorchester 781-826-9001 781-826-1628 Fax Awning Company email:denise@dorchesterawning.com F" To: Town of Barstable/Bidg. Dept. From: Denise Kenney Fax: 508-790-6230 Pages: 4 Phone: Date: 1/28/2009 Re: 876 Falmouth Road CC.- 0 Urgent ❑ For Review ❑Please Comment ❑ Please Reply ❑Please Recycle • Comments: To follow are faxed copies of the property owner's signature and information detailing Mark Lampson as an owner of The Dorchester Awning Company (M&A Holding Company, Inc.) authorized to submit permit applications on behalf of the company; Originals to follow in the mail. Thank you, Denise <. a M Jan 28 09 09:16a Dorchester Awning Company 781-826-1628 p.2 0AN1Z'(—'LUUJ 6:18 LANDMARH HEALTH SCL'JTIONS 978 372 3239 P.02 7pt,_ BABNS'[Aa7E, %I ` Town of.Barnstable Regulatory Services Tkornas F.Geiler,Director Building Division Thomas Perry,CEO Building Commissioner 200 Main Street, I-Nannis,MCA 02601 www.town-barnstable.ma.us Office: 508-862-4D3 8 Fax: 508-790-623 D Property Owner Must Complete and Sign This Section If Using A Builder V ,�k�f� I ,as Owner of the suby'act property hereby authorize t _ S',7=y Aawiela � p �{ to act on my behaLE in all matters relative to work authozized by this building permit application Ear: (Address of job) Si re of Owner to k- 2! If Property Owner is applying for permit,please complete the Homeowners License Exemption Form on the reverse side. CAL'scrs%6=1likAApoDaigLocaiibliaosch\Windowe\T=porrry Interm Fi1es1Contwu.0uY1ook\MY73434)LIEXPRL•SS.doc Revised 100608 TOTAL P.02 Jan 28 09 09:17a Dorchester Awning Company 781-826-1628 p.3 l fte t;ommonweaith of Massachusetts William Prancis Galvin- Public 13Towse and Search Page 1 of 2 The Commonwealth of Massachusetts William-Francis Galvin s Secretary of the Commonwealth,Corporations Division One Ashburton Place, 17th floor Boston, MA 02108-1512 Telephone: (617)727-9640 M&A HOLDING COMPANY, INC. Summary Screen 0 Help%,Mh this form Request a Certificate The exact name of the Domestic Profit Corporation: M&A HOLDING_COMPANY. INC. PS A. Entity Type: Domestic Prof t Corporation. Identification Number: 205365374 Old Federal Employer Identification Number(Old FEIN): 0009.30.40.8 Date of Organization in Massachusetts: 08/04i2006 Current Fiscal Month/Day: 12./.31 The location of its principal office: No. and Street 230 OAK STREET City or Town: PEMBROKE State: MA Zip: 02359 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: Name and address of the Registered Agent: Name: KENNETH S ELSNER __.._....._._.__.... No. and Street 5.1 MILL STREET. SUITE.l.l_ City or Town: HANOVER State: MA Zip: 02339 Country: USA. 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 MARK LAMPSON 3 GREENLEAF DRIVE DUXBURY,MA 02332 USA TREASURER MARK LAMPSON 3 GREENLEAF DRIVE DUXBURY,MA 02332 USA SECRETARY ANDREA LAMPSON 3 GREENLEAF DRIVE DUXBURY,MA 02332 USA DIRECTOR ANDREA LAMPSON 3 GREENLEAF DRIVE DUXBURY,MA 02332 USA DIRECTOR MARK LAMPSCN 3 GREENLEAF DRIVE http:l/corp.sec.state.ma.us/corp/corpsearch/CorpSearchSummary.asp?ReadFromDB=True... 1/27/2009 Jan 28 09 09:17a Dorchester Awning Company 781-826-1628 p.4 11$e t ommonweann or 1Vlassacnusetrs wiiitam rrancis uatvm- ruDuc tsrowse ana;niearca rage or L II DUXBURY,MA 02332 USA I I business entity stock is publicly traded: The total number of shares and par value,if any,of each class of stock which the business entity is authorized to issue: Par Value Per Share Total Authorized by Articles Total Issued Class of Stock Enter 0 if no Par of Organization or Amendments and Outstanding lNuin of Shares Tolal Par I•'alue ;Nunn of Shares CNP $0.00000 200.000 $0.00 1,000 _ Consent Manufacturer Confidential Data Does Not Require Annual Report Partnership X_ Resident Agent X For Profit _ _. Merger Allowed Select a type of filing from below to view this business entity filings: ALL FILINGS Administrative Dissolution Annual Report Application For Revival Articles of Amendment View Filings New Search Comments D20D'I-2D09 Commonwealth or Massachusetts 0 Aft Rights Reserved Help http://cort).sec.state.ma.us/corp/corpsearchiCorpSearchSummary.asp?ReadFromDB=True... 1/27/2009 C v „iti '� s z T, r 'Y< � ,,.�,'�, v�•„��� .tF ,.tn�?='��c, i�,�. ..:. -: c,s ..: ,_,*';'s'+`k,. -,. f ,X,t `' <,.:.. &,� �"c � e.•: '`, `s'sx ,.. % tea?°w tt -�an''s k, ..,��{, "4,,�:�L`t m :.. �* ,a '�e,l ',Ax•s..,v" +,, .,,. "-�-. ,�xw•,,k� <,.;s n 5ti,u: �s "� �.' ..;5, ,� �..s,:.�' ,.� x;� t�� - .... �'.. r X kt t' r - .tq." t s.+e*+�� ,yam ,+� .;<.�� ,.d � � •: 5' �� " �' t.,�rz Y.+`�`Ee�"'s .a � '^�.., £e�' '��� �' + �` s.-f� -�"ve� 4t. x� �� ��"�N,% �.1:X.;� i ..r'.. 41 .+.:, « ::'. d. 5, ..'�`..^,xN.:, f. ' ,,.,,X. W�; ... ..x., r..w•.c.. ,.._. ,. r�:ii a :,-kR,�• t, .P �ti X'"�., '�.:,x.f" 'fir f .:.£ �d-..$."$:�•�'G.p„a„ , '�"a; r,:•. ,�, r�+rx -e�"�'}�L�w��y�;9�;x� "'�,• �'y`,� �- yny,�Y'y ::«,� -.. ��s�+. .na, .�i +w"*4�N,''�:a .�'� ry i MGM- NL } > 2 wtJir3"i.� �9• '�'s l � ! i _w .mnG� "�:: '^ i t, ,p. 'i F.�, .'4 �s lr, ��� �x+•5 L:',�s,Gl�'LS' }M".� .�. IBM +.a..? a?w` ,»°`au<' L�r�� '�+�aM;� s =1 �'» '.,� ""�� x:, t� :,x ��_� •.y,..w F. a,.,., ,,x.�::. .:...+.,:X 7'>, �..». :�;.,�', � � ,, '. •.,, ';:,, k"»,,.y ,.._ ,,..,;. t 4,�+ "i � 'S�,p SAi. �"''���Cx�'. xeY?n�.,a.� „ :,� �,tE z a,,, r,, .� �, �-� .'�'��r•� � �` ..� :fix .: 5. ,�, � f �" i �, e'' ,.•t. >a. a .:�� , t 3 *� y , r� x t_ q f� i ��. Y `• J21LJD Bu—.N pue-ji,Hl!9Tix71 i I� I i r, �` FP I .� ,; j' i f1 ,�*(. ' � �' � � � h � � �; a �..,. '� ;,� i. �'. `. �vR:e �y ��y`N,.� [�;. �` p ° � n �� � „ {�' t 1 .Jef: �. F k.. g31 'V- "�` v4 E n 33;; � �:.5 � n aye ,;- �� �� t i ! -' � d ._ t t u �C' ��� �'� �. v� u 5 P i; _ •� �* �- -� a� � y ,,, .� - � �: ��� �7qn ��3 �' -�� e V �� IJan 30 09 08:39a Dorchester Awning Company 781-826-1628 p.2 �oFtKE;� • WlNWABt.F., ""' Town of Barnstable �63q• �0 D MA'S A Regulatory Services Thomas F.Geiler,Director Building Division Thomas Perry,CBO Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder I, �'�✓r u . ��►^�'�, ,as Owner of the subject property hereby authorize t ��.;',`i=Y_ &11NJ6 CV pHpm�iw to act on my behalf, in all matters relative to work authorized by this building permit application for. (Address of job) Si ture of Owner ate Print Name If Property Owner is applying for permit,please complete the Homeowners License Exemption Form on the reverse side. C:\Users',decollik\AppDataiLocal',MicrosofrlW indows'NTemporary Internet Files\ContentOutlooklMY7NB4ILIEXPRESS.doc Revised 100608 FEE-03-2009 12:49 P.001 CERTIFICATE OF AMENDMENT TO CERTIFICATE OF ORGANIZATION OF ESSEX PAVILION;LLC Pursuant to the provisions of Section. 13 of the Massachusetts Lim i Liability Company Act,the following hereby amends the Certificate of Organization of Essex Pi ,1 lion,LLC: 1. Federal Identification Number -The Federal tax identiiicat. :1,number is 47- 0893405. 2. Name of the limited Liability Cotzt any—The name oi'tlae :i oiled liability company is Essex Pavilion, LLC(the"LLC'). 3. Qffice of the Limited Liability Compa,.gY-- The address of is !office of the LLC for purposes of Section 5 of the Act is 57 Wingate Street,Haverhill, IVIA C i 32. Agent f ervice of Process The name and address of thy, : :siservi:4. of process of.the LCC is:�ltobcrt:1-Baranello,57 Wingate Street,H ' shill,MA 0 183 2. 5, Date of Disssolutiop— The LLC has no specific date of dissi 1,lion. a Manager—The Manager is Bentley Health Group, LLC,wl i:h shall serve until or removal by vote of the members bolding a majority of cl: i.al and profits .LLC- The address of the Manager is 57 Wingate Street„ Ha hill,MA 01832. .7. Execution of,Docunlent —Robert J. Barancllo,Steven V. ) i,10 and Susan E. Coppola,and each one of them acting alone,are authorized to execute:am 1,)cuments to be filed with the Secretary of State of the Commonwealth of Massachusetts 8. Execution o Documents relating to real propRot,ert„ ftamriellU;Steven V. C:Ra.qo and Susan E. Coppola, each individually,are authorized to execute, ::rlowledge,deliverd record any recordable instrument on behalf of the LLC purporting to i ::xt an interest in realoperty,whether to be recorded with a registry of deeds or a district ofric; ;�If the Land.Court. 9. Business of the LL —The general character of the bu sine! 1 If the JILC is to acquire,own,sell.maintaiA operate and manage a nursing facility and any !ether lawful business, trade purpose or activity under the Massachusetts Limited Liability Coml- 1 y Act. 10. Paragraph 4 amends the certificate of organization by real irtg Dianne Barry as the resident agent of the LLC and adding Robert J. Baranello as.resident:: :nt,whose address is 57 Wingate Street,Haverhill, MA 01832. Paragraph 6 amends the cer ifi a of organization by removing John G_ Albert and.Dianne Barry as Managers and adding 13en1 ;;,Health Group, LLC as Manager of the LLC. Paragraph 7 amends the cenificate of organizat: i: by removing John Albert and Dianne Barry and adding Robert J.Baranello,Steven V.Raso i:d Susan E.Coppola ID p 47273301/14666-1 a :DEB-03-2009 i2:g.9 P.002 as Authorized signatories for documents to be filed with the Secretary of St ,i of the Coinmonwealth of Massachusetts. Paragraph 8 amcDds the certificate of a I.uaization by removing John G. Albert and Dianne Barry and adding Robert J. Baranelk ',;teven V. Raso and Susan E. Coppola as outhorizod signatories for documents relating to real 1; -�perty. IN WITNESS WHEREOF,the undersigned hereby affirms, under- i i penalties of perjury, that the facts stated herein are true,this lst day of January,20(: ' BENTLE LLTHGT-,DL" ', LLLC By: ' Nam Obert J. Baranello, 1,Tanager to R 47273302114666.1 TOTAL P.002 the uommonweaim of iviassacnuseus wiinum rranciN vaivui-ruviic xxvwbv a«u oc=%,u r agv i vi a r ct 5 == The Commonwealth of Massachusetts William Francis Galvin Secretary of the Commonwealth,Corporations Division J' One Ashburton Place, 17th floor Boston, A 02108-1512 M Telephone:(617)727-9640 M&A HOLDING COMPANY, INC. Summary Screen Help With this form Request a Certificate The exact name of the Domestic Profit Corporation: M&A HOLDING COMPANY,INC. Entity Type: Domestic Profit Corporation Identification Number: 205365374 Old Federal Employer Identification Number(Old FEIN): 000930408 Date of Organization in Massachusetts: 08/04/2006 Current Fiscal Month I Day: 12/31 The location of its principal office: No.and Street: 230 OAK STREET City or Town: PEMBROKE State:MA Zip: 02359 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: Name and address of the Registered Agent: Name: KENNETH S ELSNER No.and Street: 51 MILL STREET,SUITE 11 City or Town: HANOVER State:MA Zip: 02339 Country:USA 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 MARK LAMPSON 3 GREENLEAF DRIVE DUXBURY,MA 02332 USA TREASURER MARK LAMPSON 3 GREENLEAF DRIVE DUXBURY,MA 02332 USA SECRETARY ANDREA LAMPSON 3 GREENLEAF DRIVE DUXBURY,MA 02332 USA DIRECTOR ANDREA LAMPSON 3 GREENLEAF DRIVE DUXBURY,MA 02332 USA DIRECTOR MARK LAMPSON 3 GREENLEAF DRIVE 1/27/2009 httr-//cnrn.cec.state.ma.us/core/corpsearch/CorpSearchSummary.asp?ReadFromDB=True... lne uommonweaim oI lviassuciiusetts wiiiiuui rituwib Vaivul-i LLVllV lJ1VYYJV Culu vY%I as Vll 1"6%'t. V.4 DUXBURY,MA 02332 USA business entity stock is publicly traded: The total number of shares and par value,if any,of each class of stock which the business entity is authorized to issue: Par Value Per Share Total Authorized by Articles Total Issued Class of Stock Enter 0 if no Par of Organization or Amendments and Outstanding Num of Shares Total Par Value Num of Shares CNP $0.00000 200,000 $0.00 1,000 Consent Manufacturer _ Confidential Data _ Does Not Require Annual Report Partnership X Resident Agent X For Profit _ Merger Allowed Select a type of filing from below to view this business entity filings: ALL FILINGS Administrative Dissolution Annual Report Application For Revival Articles of Amendment View Filings New Search Comments ®2001-2009 Commonwealth of Massachusetts Help All Rights Reserved htt•n•//rnm -zPn state.ma.us/com/cori)search/CorpSearchSummary.asp?ReadFromDB=True... 1/27/2009 �t T Sign BARNSTABLE Permit s * BAANSTABLE, * TOWN OF y MASS. � 16 0�OrFD 3.�69 Permit Number: Application Ref: 200902433 20070309 Issue Date: 06/22/09 Applicant: WHITEHALL PAV HLTH ASSOC Proposed Use: NURSING HOMES Permit Type: SIGN PERMIT Permit Fee $ 50.00 Location 876 FALMOUTH ROAD/RTE 28 Map Parcel 250035 Town HYANNIS Zoning District SPLT Contractor PROPERTY OWNER Remarks REFACE FREE STANDING 21 SQ FT SIGN FOR THE PAVILION REHAB AND NURSING CENTER Owner: WHITEHALL PAV HLTH ASSOC Address: 57 WINGATE ST HAVERHILL, MA 01832-5722 Issued By: p l� TOAISVISIBLEFTH S3POS MHE STREET Town of Barnstable oFt"E r� Regulatory Services Thomas F.Geiler,Director Y 8ARt '1°�`�dL. r ■ S"R'ASS.�' ' Building Division � $ g � I9 1639. MAY 20 IN-1 2: 03 �� piEp t��s Tom Perry,Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us @" �`--- - ---- C�l'�'ISdO� Office: 508-862-4038 Fax: 508-790-6230 Permit# 20 Application for Sign Permit Applicant: L{�-l\� � ^ wL til.-t�k S6c;vt 1 vWgp &Parcel # �)S`-O 0 3 S Doing Business As:E SSc jC L.LL Telephone No. 50 5-7 71' 6 6 6 3 Sign Location Street/Road: 0-'C-ks'z-- 1�p Zoning District: V1 C- 1 Old Kings Highway? Yes/No Hyannis Historic District? Yes/No Property Owner Name: LA630MAe-k KEA%--viA 30(.,01�6A S Telephone: .�p8 7�J� fo663 Address: Me VALJ1,6U1t q- 9-OAP Village: kkLl-(4NiS Sign Contractor Name: R LAL y ' S i Q t0 Telephone: S'd`3 S21 -dY 10 Mailing Address: 13 L O D V& r A l-�AnS'cA MJ, 0a.34 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) Width of building face qS ft.x 10= L15 0 x.10= Sq.Ft.of proposed sig 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§240-59 through §240-89 of the Town of Barnstable Zoning Ordinance. , Signature of Owner/Authorized Agent: Date: Permit Fee: Sign Permit was approved: Disapproved: Signature of Building Official: Date: In order to process application without delays all sections must be completed. Q:1 WPFILES I SIGNSI SIGNAPP.DOC Rev.9112106 4 � � a '�, ��, ". 5 f •�$ � � P $" P✓cam.,, �"' 1�� k I i p,F "';_. ,� •- ` Vol p y : • • wit. • *'Rn" � THE LL ` •. , e s �� T Z l f.�h;il ilitation anal [ ursin,Center 1* Olt s k �LL SIGN A• .� �� 1Trq w r►i t € 'jce IF * • t 1 1 • € ., - » x � s A . ► .. , ,. 1 s s 74, N . 2-2 ® R o B ,� A The Pavilion 876 Falmouth Rd. a ® e 0 , Hyannis, MA 02601 ® °s 0 Drawing No: 041709 REV1 i i • �p� .yam • I: d 7q his .. ��._"!•� :Y...... _ THE 0 0 ' 71 ion cai I 1x'C111bi1I Bfinn and Nw-sing CClllcr ' .. ' A6 Wg t • e - Oil: , SIGN A , *i j ,. �' 'A"" till m,•T ��y..� 0 � a < (�p9cQ9 ® ® A © p e The Pavillion 876 Falmouth Rd. e ® , , ` Hyannis, MA 02601 Drawing No: 041709 REV1 i �-�•1k�.�...1'aR\E�� tt�t*h+4`1,°�,.Ft''4�t;F`a� y�s}, , � #r t� �� �r t� "�''� i� � �i q��1 S?tw•a(4 ! ell �!!, .-tr � ,:_ � � f'��J � �'-"'^' � <� � r y y. }. i x `, ray h" �• `}. ,.. .Rr .h. ! t! .^ • • ��S 1 'r kv of w iw�v.* � C vJfa(�� !'�' Z• ~�. u: S�. t!r c�l1 Jt,$�a h�j .�h l ' .l � iy f } Y„y rr,'�a,r t 1i .*Ild�; �` t [ 1N 1 ;�f.f ,! � � �, •. m ,gc 4� •>`ti .�'R � � pi., 4 Wg1 i i. �t R f i J'. r v- ' rLsae R13 i yi ".: + • as f k4. ilk a «° tssi 40 s *l o 3<�, •t,. rl !.',E ti �l.,,Y� { �`t� .�.rtA"�',� C 1 ?l.f..-w{ t' t If77" *}. 3• t; F , RF "•i � j = e��►.',„;ii tt �:�'! rl�. •41�ty:�F ✓' '!' t y i1 .1 .}.. l' tyt3 y:ate-;C�� � .,S '1 1t +'. s •� ,fir{i� SA 'rrF � t�. t . r '�%^'" •� 1 'r 5 t � � r ty,.s,, w_ v n.� •� J>� tM x'� 4C//.� 11 , g Sal `t 6s w , r "/ "a N ' y3°h !gY f•�.�, r ,�i RF, t i w i r P ,�><tw \ ��.r(4��,.;:� G ��S,y,1 as- `A � '}"' { I'd( ,(.. • � tr...'��4 +if'.:'._+..G" .,,,�_....,.... ,.,_..tf#.Y�x ..�cl�":�.;�,.'wl�",�.,.rf.,.,.�,..,... .,. .., ,. ._.„.,. .. .. ., .., . .,,,......v.1c.�,-.m,.......-�,«.•��`.�.:. �..�,..........,.._..-9,...,....?._"t �'i .��A�t..,•�\i,,l 73Pk� !e`td� !.�! � '! � bra �r � 1. '/ •jk,>�.r# � ! , i �' 'vJuq��,�rt {,�j k`3. .�,r .,i !_a: •� i �' _ r ,r•-�� -j c. t T �P_ , *`Sy°' '}�F;e ' y `3k�•t !."" a� `L 3'�.c Ao •�. 4 1 i �F, , sr '� �y�T } �°it ¢ �...:�w�•.r{ � - F. -' .P + ! r .!F ! r '�' ; +"° ve tNr'x'���,,.i. `e �ai•�`J�,�� r`$ i• �. m` k ��. ��ty`.;}'�ii r E�1�`` ° '. `{ ; j� �y,���. .?A4S"y��,��.T r�,� kt 8�,�«n .r: `.f,� i {,r 4 .•� 1,1 � ;# r eir 'i .�` x�rz�. �� tr • ��t,,, !+ 's es s•" _ :� t6t Z r+ r� 'x' '� ,at, x ,� � 3;r+�$'�',',<. 4P�'�S::LP ,�r'•3g �'""s, r ,, �:��,'� f kr t ,i: ' 4 i f , j'l Y ,... . . � `,�. , .tom �{.�./ o ar,"jt•:.�ri �it.t .�».�����`' � �,'' 1t ,�� r � �¢�t'-� .� � .t{ r �'S'�5,�.�.�3'y,�+ ! � - r i ��q �F•k :4i S F ,'Ar .rf,•k ��i`,.1� �...y� Y�q. ice... -$'rq rt +irF Yyr d '} •1" t'r�r'''' IS"/ ' .,,/ �' °9`. ! ! - n 'Rs��tjt` y+.;✓'"k, 1:,1 .+`^ riA.a is `#'3.�1. * �ihpi .i r` fy, f � �1 e` t .i •.! _�i "La. •'�w��. -ter ., 1 { / } N ' r ot, Vk tv Oo *,' r K . ':t i tr �� O � ♦ • �{. t ,. V., ` ' ti k 1r 'rt` . .;.. ,�.,��+' •'.,.+.4,� ,M..j. �� � rs '1 •.well �f i' r a- =.f ,1e+- ,t+ � � .r•'" +�-'.sue .� I t. .. r` .., ii�0_r. ! e, N �e •: A z II R�����JfP�M1n L.1•'Y'•'. .� C r r 1 oPE� {t kf r ../t l -AF x r r •.kt y . t.''• k ;'. "� ;u' vd^r ii f• tq,, y ,yr 11 u ., i '1 4 ff t �p�y�g ar 5 V 4 DISCO T '� I 19 " i I Colors Are Approximate And For Sketch Purposes Only Client: File Name: DISCOUNT-HYANNIS ROOF&PYLON Date: 6/15/09 Address or Location: Scale: 1/2"= 1' bean • ©COPYRIGHT Beaumont Sign Co. Approved By: As Is: As Noted: SIGN C 0. THIS DESIGN IS THE PROPERTY OF BEAUMONT SIGN CO.ALL PRODUCTION 2b0 North St. New Bedford,MA AND OUPLICATION RIGHTS ARE RESERVED BY BEAUMONT SIGN CO. your sign? Revision#: p 508-990-1701 FAx:508-993-3230 THIS PRINT IS DESIGNED FOR YOUR PERSONAL USE AND IS NOT TO BE USEGF:� 00 A Ir ) Sheet#: OUTSIDE YOUR ORGANIZATION OR EXHIBITED IN ANY FASHION. Y Cf1 � �• t, Z� pJA 19 11 07 i , t.�.,,•. a _ •-:_-[,b.Ori+.[ J _ �f1�F '_. � i,• -_...... y 4� ll...'.rK<- •,........•, . � � , mnyM -j7tj; / - 4 S nyYu."r ar•. ur• s.: .,.A,.,....• ;,3�`° .m...'.�• � % � .::•,,..y::•.s,w.Jvu.a..ror .� ' ■! � � ___ - pVill'"�`.;;7, 3 LEGA[ OE3fviaT/ON' .• Q �.� . �- . yr y4� •r � 1•Z•,�• O "' �� P ��-" .; e!� Arf•^^"y.s.<.r,,.�ec.+I o..y.n.w ...Asr+a r.»r., . '''..•"� .....n..unuA F.e....A.ww,..Ay...,•,.er•.,..0 a.. •':1 • Q�: i ; '•t, a� e..y JfO�„.,••w d"A.r»•r'T�''sa+... A.r• � A'".w.• c...•r».r w K.,.»r,..a Aywy e..+e •year ♦,wJ,r ya` e.wA..s..r«W.ot w a7wr• +e:.A••s•n.....�o T r..• • - _ a •• • _ n`r/J 4G•M,p/RAr»rA ee,a J A7`M`JO r Awr• _ . 0 Y ( J• �,t• i �/.N y wrM 01 O.Or/ » /I.fb� i.rt.Y. 1 t ! '�. a .Ia nT1I Aaw" ,./W.I iI„fe,'I i+0.•r O�.6,Awaa./ ' B•P� r •'�- +'�� + T•..,ArI; r Fr F s.�r n,rar raw t .. _ � r I �P:f I - _ w��:,"gr/st"`.eo.;.��y.g,Pwiai.�•"�s�..°irv'. . '.— �• �I '� ••� f( .e� �.� .. - a.A/•rF J.Y.`.f.reY • Aw./ IN.✓.(i',s ab I.WCw.0 " - f O � •I � '• ,tf •' - O..W:»Ora Iw,r.t.O,w...1 y NI MM M 6rwMiy r•rM � .• � Q � � .•• � ;•� �' c rA..,n...Aa ,.,n,I r,rw n.v"ar..n,M •...wr.r A.aa..r.»v.s,.w•.i as..��•, •a.,A•.,a.,1'e.'. . . 'r : .. a.»t.•r; Jova�•o-•I.eownaa �t•aro��t.nlr«r i • T >: / j . .,Ar+u al na•,.rya.a I•c ws.a pq.,�..,J. s«•.y �i _/��• - r<a,e.y.r,er.n�+,aw,..n.t.lwm^Ay A..e.,w.e.•.r� d wsa.M+,S.ea+•.rnm ar...r Ouarp.A,+.'•rrrv.•a it o+e,+•a.ri 1 '�'�•• .�'.v er�"�"".. ,.ra aw/.n.0 fw+»rrq�w..w ocxoa! 1 p. •s .as•.r.w� %+�£ay . a•/r� a...r.,+•r�er..areR 3s srrr,�iA. , I t � r�i � aA•"e..r'raar�'� S ,s�»...a nwt..�..���.r...vr+1e°".'r7�J V j �� ,• wn/y arr r.a Ar �..,. ranO a4Art••".i•..a..s,••.a• w j /'J/ p� `' .�.p+"wOw.Y �V,wOw+.'wf.,>,rc✓. Wnv.,A.n»,u •, W V � �,• ...aw..as...wJ enW+•.y w»r..•.r!'I!"e: }t�;i i _.-- F' .�-.:1•.�'yi• ate.. maA..�"dam' ..�... .J •�.•``„ ___i.�'a e M —_;� ,t'°e. : _ Aww'a+..'ww .o�.nIAM.++.rr,r.• .�" -L-�-� •ROAD �y.� � GAa.aMeuTN ��•�- � _ - - - "' •�� _ Amc,.VTltt yam. � i . - r . ',� ,.kk �'w �- -.. ,.7 -�.'� w: � - sw .: � .t *cp �++,�+-, 5t F.P'. ^ w'n4G'-�-'�-"u`,a'� ' �.aR.r., u�:� ...,.. -. .,,. _. i..t ... _.... r,. ->-S ,: a..4- ,- ,._.-:��,:.s�'�e:;.s.:d: ��:xr"r .,.._.a�mnz �.+di J � `°' l� "� ,�,.,. jw � , v r - a �� ,� � � , f �.,� � �i, �� tee.#....:.� .i � .:,::� 4,rY � �.�..,..��.�,......,._ � ..._ _.,�. -., w_� �. .,.. _�_�F� -...�s _ ��..;t�H., __.-�� *w��' ' 'T � P 'ti � � _ . f -! �.� .. `i{ w� , � �� . . w �. I .. F a. _ ' ' I['� �, ,. _ K ... .�3 ��e. . _ �, • 14r rJ I , r 3? u FAX COVE R SEEM TO: Torl-? FAX FROM: go & SENDER'S TELEPHONE Rr EXTENSION: V9 5��� S' Cod DATE: TOTAL 4 OF PAGES (INCLUDING COVER SFTET) MOMENTS: Ya - / ., ,': CONF.jDj-;,NTIALITY N011 C:E`h Tlie nfoi'�nation aild docuii�ents tradsmitted by this telecopy are privilege grid contain C01.V.FZDENTLAL TNFORMAT10N intended only for tb,e person(s) awn above. .Airy other distribution, copying ortclecopying error, please notify us immedie! y by 1-elepb0n.e, and return original to us without making a copy. 876 FAlmouth Rd, 1•1,yannis, MA U2.Gd1 '';� -Tel: 508.775.666"1 Fix: 008.778.0891 wN uoronesier Awning Company 781••826 I?8 P,1 �! Town of Barnstable 0 Regulatory Services MAM► XAIINSCA�L.� Thomas R Geiler,Airector Building Division Tom perry,91111ding Commissioner 200 Main Stroct;Xiyannia,MA 02601 www.town.barnstablc.ma.us Offcc: 508-862•4038 Fax: 508-790-6230 Property.O ner Must Complete and Sign TMs Secti()n I�lji in- .A.Builder I, — � ..— ` ►►5 , as Owner of the s ;ject.pmpezty here by audio rite �►�- —�,.,� eAar ` �: ct on my behalf, in all matters relative to work aurllorircd by this 6 0d;.rag permit applic,a, f 1 fo.r � (Address�o Job) Siputure of Owner Date cam: c Print Na><T.ae If P opeeM Owner is applying for perm it please i;ol: Mete the Homeo•arners License Exemption Form on the rev, i!!e side. Q:FO RMS:O WNERPERM ISSION 1R kt* ^ • 1 TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION " Map lY, Parcel r Permit# �/ 7 Health Division ' Date Issued k a; o a Conservation Division Application Fee Tax Collector Permit Fee /e 3 . o O Treasurer , k 3 Planning Dept. Date Definitive Plan Approved by Planning Board Historic-OKH Preservation/Hyannis Project Street Address Village 1 AAnWvc g. m A o 2601 Owner c'ct;�V_ (o I (-P,00,,�Ca r Address Z,'+ M4 02W Telephone 500 —SFda — ©O Permit Request Square feet: 1 st floor: existing l80 Ff� proposed _2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation ,OOO Construction Type Lot Size Grandfathered: ❑Yes ❑No If yes, attach supporting documentation. Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family(#units) Age of Existing Structure Historic House: ❑Yes ❑No On Old King's Highway: ❑Yes ❑No Basement Type: ❑Full ❑Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) e _ f Number of Baths: Full: existing new Half: existing j news i Number of Bedrooms: existing new c::) Total Room Count(not including baths): existing new First Floor Roon��ount Heat Type and Fuel: ❑Gas ❑Oil ❑ Electric O Other o - Central Air: ❑Yes ❑No Fireplaces: Existing New Existing wood/coal stove: 0?Yes rn O No Detached garage:❑existing ❑new size Pool: 0 existing ❑new size Barn:O existing ❑new size Attached garage:O existing 0 new size Shed:0 existing ❑new size Other: Zoning Board of Appeals Authorization ❑ Appeal# 1 Recorded❑ Commercial ❑Yes ❑No If yes,site plan review# Current Use Proposed Use cc BUILDER INFORMATION CSt.(.l- ��l""3$q 74&07�- Name Telephone Number s 3: " —I!0 0 Address 0^0t � V004 License# ✓ r A �S O I'(6 C W� UU 2WZI Home Improvement Contractor# Worker's Compensation# 9-0 ALL CONSTRUCTION DEBRIS RESULTING�F^RO11M THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE 400 �' 03 FOR OFFICIAL USE ONLY PERMIT NO. - - DATE ISSUED MAP/PARCEL NO. = z ADDRESS VILLAGE r OWNER - -, i DATE OF INSPECTION: FOUNDATION FRAME Xf?A? /6 Za a o INSULATION FIREPLACE 17 ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL` GAS: ROUGH FINAL. ' FINAL BUILDING : DATE CLOSED OUT ASSOCIATION PLAN NO. RESIDENTIAL BUILDING PERMIT FEES APPLICATION FEE New Buildings,Additions $50.00 CeyAlterations/Renovations Building Permit Amendment $25.00 FEE VALUE WORKSHEET NEW LIVING SPACE square feet x$96/sq.foot= x.0031= plus from below(if applicable) ALTERATIONS/RENOVATIONS OF EXISTING SPACE co Cd/n square feet x$64/sq. foot= -30"pao. plus from below(if applicable) GARAGES(attached&detached) square feet x$32/sq.ft.= x.0031= ACCESSORY STRUCTURE>120 sq.ft. >120 sf-500 sf $35.00 >500 sf-750 sf 50.00 >750 sf- 1000 sf 75.00 >1000 sf- 1500 sf 100.00 >1500 sf-Same as new building permit: square feet x$96/sq.foot= x.0031= STAND ALONE PERMITS Open Porch x$30.00= (number) Deck x$30.00= (number) Fireplace/Chimney x$25.00= (number) Inground Swimming Pool $60.00 Above Ground Swimming Pool $25.00 Relocation/Moving $150.00 (plus above if applicable) Permit Fe ��.�, o d projcost s `` The Commonwealth of Massachusetts Department of Industrial Accidents _ 0 ice of/nyesti9ations - 600 Washington Street r Boston,Mass. 02111 Workers' Compensation.Insurance Affidavit MARI a i d name: f^: location: %A;, 1 city ct tiphone# 1—l100 I am a hoinledwner performing all work myself. I am a sole proprietor and have no one working in any capacity I am an employer providing workers' compensation for my employees working on this job 1^< i 2'i n r 7.r t 75.. F ..%y -e"r.+''cti'M 23 :4w'n''" r'•l{'Q - w r+; .e^.,✓Att: cif '.'r'y+ a o-' F. 5� ..5,', t 1 :� v+M r. t„nyi iir lt.,},:v'� -i :g,`. �+"Y•t:4; .':. ? rticN �ax 'rare , £r?:^ J '2 7 - r rd 7 + t 4 e �+rt r r �]'6' z..a'•,sx i i, (,.Jr' c '}'t r,k is Yf ii a,y-r N 1�l r ��,y " t ysyfrt�h< (� ACir <r ! c e>• yk u Rat t 5 7 3 .7 .� w'kh171' �/ d 1T,,. id6mpan��rnalne. r,..51 , s:;r X.,•- .x:ar ,l aR y P'+s45.Yi7ra Vssi 4 L:,�„ is g1 1 y}ai �`Y'x�}<�') to{a t.a r4 •al. .! d',,'4ab�is.-,s'�"C.ra 4 "'Y�"' "ra5�" ' gtj- �x`n -r-s*.t.,.)9m.�r{t•....,�sr,t,.,x. ..-R x'y+. r. i�"• t.,,, .�: - qk. r,F ,yl; Gli u5 q'.,..,.t4 •y - �;r:.i}v,�.A'h X raxvy 'z' iy L�:) .Y-,f y.;;,,}l�f �,�a+ p F :4wr�. '<c14 1 Ss' :rs.+ "st y'{'iA s'r d J! y "t - u:.::'^Y. ''�.ri. iaddresS rol: �r L ��� 7 S r r S �5 f12n iiu N 7; a� u a a 3 Fzz e�3 S � t>,.ter t -• r c%r xi xi F' K a.s a v` -''7 a -nt s -`' ty:.4 ,af t R f� .'i`t rPt h ��'4 -ri. r •4t49 ��,",sa •'f -?rdy�hi + °'=a,s,<',#ra..�7 i r ar"�t r,r :F x �5. ',+..'�` ^jury t 4w �' fl�''ws cPS�s 2 �x'a+' yv e•Cr : rct t •�S 3Cc ^5t x,f�`,,�C +z a�-�;, .d.M>a,,yvrc-5 q J..r5 �.•.t.:s� �2X�. k s..ter '}a �e 1* .i H.a�sv.ri,���%4 1r t�f�rT'�i�5 i�, ��.- .:.!s�''^��^, .rt,'�a•�t'� '�{fib,.-qi 45 sY�,sr" iea .�`,!.•f"uy. +i F � .!7;'•' •,�3:'�Y'1%e pk i~•.r? `�<n S�r"rjp r •s"-s�i1S1 1 s.r kC1^ ,tom TiF 14_ y1� -"1 �iv.rc�`.jbr i y.. •ip •�; hN 5 s a 4 -,{'r �; 1",% i Sri,§ sL " R Y Y r OII .;rK,�.,r i �r ! _ r a...�..., [] I am a sole proprietor,general contractor,or homeowner(circle one) and have hired the contractors listed below who have the following workers' compensation polices _ , ,:,c:-v7ir-^.5 ..?' - L?s,.y '�'.,- -`" :is: Alb+.r ,•.s- c"Mtyti: tT'� 1r'Yr. t r vf'4 _.S.. '3�1�"�' cam.•'r uZ r 3.r k�,�rr'' Y%'a•' as<++yy°��'..' flr c '�� 's ,r r '� .r 7n r y. i.: ilWr >1+. �ts4 v+, .N4 Pr ti r 13� a° `,6,-.s•r;N s';S vtif^taS: •. .'f RISE-, h ��'�X.+i °'�r`'G,� ''.wH �,;� a�5.a(°�1��hk'�,�t >'.L Ki,t� ", Y 5ttr. �5 r - Gr sr l ,L .r'r.. y �, y, v <i -1 vu'�ri 7°Gs � Yyl:�2'�1 �i'✓$.,t� .-. COm� F V .'h a. a s ?. •7 a '..r. r 5'i F a i I i ✓ p �.''.+-�r"^�: +nru L .1{7. '?..Sy�,yibt y':„ 'r„ i'r,Ria 1.�th• �,�iv 154 ,A,.. t aCrt tt' 1: 'pr lri Atr, ti 1'sC� ir�v,k e, fa=a aa! ly��'�yr5 c aj s er I ,si{ami.�„w . b�drs�sxYRz°e sd,Cyg° 1v1 rU s i ;�j� it "`Y: a;sT+ ati i r ++ rin�- Frd i S, ,I.�:rt R J}s.,}.< �s,�}{r.(,Y'YMi :y'�t�ty lt,Yb+% t�•'l:i '� L�v,A,, x :P;'xifit-� ..9t (y v £,3r'�:sf �Kssry4st:�fiwa � 1j`Y�� �, W,7 s t^s x1':,-• yr J �t- : r s � p� p'a.F i tJ .£ J':"Ic.SM .�Fy�,�, d �Aai R rr v`*LF'sa: 1P�`k Y�•tr.!°•'e :.Kj 9 �r :,`T 7 3 E.c tis t Z �;. 'F - 'jipli0ill�IF i r8 c St v�1}r tih,.�x J t' f. '�":.P, .+n.,x 1_� y s4`s;xw,�.�• tstuf•.•s}'`e. k r s.i s t ist rs.9 .}'r. n„•SY'.-},. c�" r''sx rtf t :5.z'a z+�� L r4{s G s„ 7x r ,{u r�,,r31N.� + Y r"'•y.." :�utvx rs s e rE i A 2.y. , ''• 4 .t: "zr cr s ..v '"' " a 3,&`h C 4 Yr2cr'i 5'G ,S.'L tjt P>,,s rs;,.Y.>• Ur ,,y�eFa ,}°"r�. '''� °}�`• W='' '�.ra 5" 'tt 4.^-s j jL'a h a4 r 3 t s r k M5" '�. '� n .:.. ri `r,•: n rrc< r a„s+y 4 r+ E r'fi''} ht.: 4 " h •�.�.+.'� r -iA N'F,.,vN 1 t#bt gr 5 .sj i� s ., r ' 4 t £ �� y °y kx r i k Y �pdICY 1 < rinSnranCe CO 'Xu'�b•',. at^ a z �3c„r,.�sy.Y r:>• aCa:l:;jd._.0 I-. ;.Z. ;Y u i. t s > :ryr�i k asgY. "•t e. x/x aS'r ! a +V:{ bs'rY,F�`�"p ..� -.r�J.e.•}.� ..ru,.%F:'::F�:,`3L+ty��s��'6hiY#..?�'.�'.,' �a�+r"r•s".fl 5 ai Fit c eEs-raae•am3t�`x r�1sxl i�i.t.,+sn"4::s>f"4c fit`rc- ... r �,t h r4r 7 C k*4`,a.�-g�M1s.�XSny i.ysi�xai r<r rx�t.xa v t y A t Y,1�, '7+a ty {4i xP 4 is W M r,pr rhS`? T. '. rcompadv3xname,-� A2"�ors r�.s�w:'•ky^'�, ��'N"'ta ra pt,Ni 4i.rt's{ tr rlf t Z�*h M}�44�4' 3�y,57.�t •:' 1.-r13.,.i1,•a w ,, +7 T; a.`'�r r. C.. ^t ql: ...'L lai t. 4 s ; :.L .i. :"!a, rn. .s•. ,.2ti... w� eAl. JE ar 'vhaS 'rty�',Lauk,5:'xi''at �. dr. s.:�;.,;s'tive*t�s:;;Jv._ nw yk �'1r.8d(�'»T`�33p.9'���`.e9`';'� ''4•f4g"� ,,yYyEq,tY•i�?r.+'e�i IN�lk N TRIM, MEOW! ," r nSy,•.7r;t,t ky a'Yf-w4g*�.rh i§a t;nY r•+�.I,4�Lr;.SHhi 7r r 31y'y1:,4-.i.�;.',�..:a.r:'`+v.f t,xy J.ail t xta>- -s rd�`A,Ix^GJ rvgs r Yt �gv.ti• +p,5Ca.�, 4fiC. s�. *" his,,'li6ia'r , b t .?;ar b R uj bµ V ijSri' xrM/ i -fi ;�,n* �+.r A !! ..1 y•a'y v:.Ff�'a' 4e5u✓� ay"hs 5G S '' f^d •i fir " �' to C x r 3 d L-w s d� . ..1 H1 1,E�rrr r`y `S 9:. Y v .,,_? t'1S iS.,Y•i .ter a_..ry:.cx 5 x' t :Y-.rr i µt �`J 55• `21„n t�..as '`r -•�+-" x,'''�-ta'i•s,. .v� 1. •.3't s 'Gt+- :•+^ r '� r ,•n s t :r.."4 F r r IiOne.# < ..c� rvA� rry "�.£� .� cf-S' �6t tCl -, t .G!•9 rx� � "y.r'`Y�-=r' �'�r 4, t x � y � :.� t v r �.s F>:.ki�,e #••. � i �,};;fI.F••�+ �y i za x .eY•IrYr ,7yyrNn"c?fi1k,� M�., t u. s h� rc 5 a t s,(K`�5.,y+4���t�*ki5.'44z.v StT�� � 5 .. 4t t r i�•�i>,k.�'..,,.�.;�.v���yi " s i. ..:':•` .r�..�i io'b �jtfiR'+-��r �t .:�r #3->' : >" r r'.i 1 .t i i /_,.0�L.>..; yi�is's,�srr i `�y t�'.2 t.P,, e!t Yi st si•. 4 �,521 f`�•}:y r�;,� s.::1.r;,,- .�.:..:�''nSi�a'L'�dn`•�,kL x�`��,y"' ,;�'�°k7a y''#da Zt.. hs' •7 7 � i�` ..h r tV�.:s s.•- 3', ea ':::.r`_??, ���,,, 4lnSliranCe:CO •>,• n t, nn,.,--:.5'ta ,f., `;�:rs n ,,:< .,. _..: rota ,�-,. OIIC:,S#-.a <.r r.....r,. ,.fis•J«".r.4 !Yw.rs"...�,e�_�k. -v Failure to secure coverage as required under Section 25A of MGL 152 can lead to the imposition of criminal penalties of a fine up to S1,500.00 and/or one years'imprisonment as well as civil penalties in the form of a STOP WORK ORDER and a fine of$100.00 a day against me. I understand that a copy of this statement may be forwarded to the Office of Investigations of the DIA for coverage verification. I do hereby certify under th p ins rod p alties of perjury that the information provided above is true and correct Signature t/ Date � 7-0 U3 Phone# Print roam - Ills official use only do not write in this area to be completed by city or town official city or town: permit/license# FiBuilding Department []Licensing Board check if immediate response is required []Selectmen's Office ❑Health Department contact person: phone#; nOther (revised 9/95 P!A) Information and Instructions Massachusetts General Laws chapter 152 section 25 requires all employers to provide workers' compensation for their employees. As quoted from the"law", an employee is defined as every person in the service of another under any contract of hire, express or implied, oral or written. An employer is defined as an individual, partnership, association, corporation or other legal entity, or any two or more of the foregoing engaged in a joint enterprise, and including the legal representatives of a deceased employer,or the receiver or trustee of an individual, partnership, association or other legal entity, employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein, or the occupant of the dwelling house of another who employs persons to do maintenance ,construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to..be an employer. MGL chapter 152 section 25 also states that every state or local licensing agency shall.,withhold the,issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required., Additionally,neither the commo�iwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance'requirements of this chapter have been presented to the contracting authority. Applicants Please fill in the workers' compensation affidavit completely, by checking the box that applies to your situation and supplying company names, address and phone numbers along with a certificate of insurance as all affidavits may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested, not the Department of Industrial Accidents. Should you.have any questions regarding the"law"or if you are required to obtain a workers' compensation policy, please call the Department at the number listed below. City or Towns Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permit/license number which will be used as a reference number. The affidavits may be returned to the Department by mail or FAX unless other arrangements have been made. The Office of Investigations,would like to thank you in advance for you cooperation and should you•have any questions, please do not hesitate to give us a call. J, CIF The Department's address,telephone and fax number: The Commonwealth Of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston,Ma. 02111 fax#: (617) 727-7749 phone#: (617) 727-4900 ext. 406 ` r Town of Barnstable Regulatory Services '"R'S S. Thomas F.Geiler,Director 9 Huss. $ � 1639. A`` Building Division Tom Perry, Building Commissioner 200 Main Street, Hyannis,MA 02601 Office: 508-862-403 8 Fax: 508-790-6230 Property Owner Must.Complete and Sign This Section If Using A Builder as Owner of the subject property hereby authorize �I/U UAL C-O"S'T Cl0 Cc l Q Qct on my behalf, in all matters relative to work authorized bythis building permit application for(address of job) Signature of Owner Da not Name I 71. 110777iIYNYI2U/C000LiL O�/ p�GLcnGL1.0 BOARD OF BUILDING REGULATIONS icense: CONSTRUCTION SUPERVISOR Number: CS O44609 3irthdate: 10/31/1963 Expires: 10/31/2003 Tr.no: 2701 estrieted_ 00. WARD J JAROS 25 CHARDONNAY LANE ,, PLYMOUTH, MA 02360 Administrator oF1HE r Town of Barnstable Regulatory Services • saitrtsrnata. » v MASS& $ Thomas F. Geiler,Director �A •i6S9 �e TF1639 Building Division Thomas Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax:. 508-790-6230 Neil Silverman 876 Falmouth Road Hyannis,MA 02601 January 20,2004 RE: 87b Falmouth Road, Hyannis,MA Map 250 Parcel 035 Dear Mr. Silverman, This correspondence will serve to confirm that the above referenced property has the benefit and is pursuant to a variance issued on March 24, 1964(ZBA Decision#1964-6), which allows for the construction and operation of a nursing home on the premises. Accordingly,this correspondence will confirm that the above referenced roe may be used for nursing home purposes in accordance property�Y Y g with the variance granted in 1964. Should you have any questions please feel free to call me at 508-862-4030. Sincerely, . Tom Perry Building Commissioner DIME o� The Town of Barnstable Department De of Health Safe and Environmental Services �STAB� • P Safety 9� '"� Building Division ATED MA'�A 367 Main Street,Hyannis MA 02601 Office: 508-862-4038 Ralph Crossen Fax: 508-790-6230 Building Commissioner April 12, 1999 Attorney Patrick Butler Nutter, McClennen&Fish PO Box 1630 Hyannis, MA 02601 Re: SPR-037-99 Cape Cod Hospital Extended Care,876 Falmouth Road, HY (250/035) Proposal: The Applicant proposes to construct an additional 36 parking spaces and 2 additional handicapped parking spaces. Dear Mr. Butler, The above referenced proposal was reviewed at the Site Plan Review meeting of April 8, 1999 and approved under Section 4-7.4 (2) of the Barnstable Zoning Ordinance with the following conditions: • Applicant must adjust the island width to 24 feet as per Ordinance requirements for 90 degree parking. • Applicant must provide drainage plan and details stamped by a registered engineer. • Applicant must provide "keep right" signs for angled parking and at circles. • Applicant must submit a landscape plan for center island to the Planning Department for approval. • The staff recommends diversity in the type of trees proposed on site. A full landscaping plan to be provided within 12 months. Site is located within the RC-1 Residential'Zoning District but simply additional parking for an existing use. A Building Permit is necessary prior to any construction. Upon completion of all work, a letter of certification is required by Section 4-7.8 (7) of the Town of Barnstable Zoning Ordinance must be submitted. Also, all signage must be discussed with Gloria Urenas of this Division. Respectfully, Ralph Crossen Building Commissioner 19 02 S a � 3 ss page 1 of 2 4 y 6z, 13 VAN ^ ' t Search Results Y STIME J ET 'Ae6 gend I BMX, _.,�.�...�.�...Wit► Town of Barnstable Regulatory Services • snaxs•rnaLE. v MASS. Thomas F. Geiler,Director �p s63q �0 �E1639n. ' Building Division Thomas Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 January 21, 2004 Neil Silverman 876 Falmouth Road Hyannis, MA 02601 RE: 876 Falmouth Road, Hyannis,MA Map 250 Parcel 035 Dear Mr. Silverman: This correspondence will serve to confirm that the above referenced property has the benefit and is pursuant to a variance issued on March 24, 1964(ZBA Decision#1964-6), which allows for the construction and operation of a nursing home on the premises. Accordingly,this correspondence will confirm that the above referenced property may be used for nursing home purposes in accordance with the variance granted in 1964. Should you have any questions please feel free to call me at 508-862-4030. Sincerely, Tom Perry Building Commissioner DT m Z n; :L N �.`+%''.'v'• � LC'�ti:�. "y:+bt'+..Jt;,?yp•• •.�n+•"..S,A'... 1 Pa•n• ''.fy;, f.��. ,i,yw;'s•, n .:,•...:�•.•,'i�, ti,�,A•",•'Yy:: •L. ` I ,f. �' .,r,; ; ,.r, motif � \ Z r all 4 �A a4 Y v CR P � m •�d `yy g � � °i Cl z 1 r- � Reif 5 t Z c Y ri Cb+j'•Ani,C1�,'yii�':.�xy. yt;'•t,��!I9r: :.,+�(yr{�.,•..�T-1Y: fL�',y,�y, f• IAA':/�.:I 1•",:• ' � 4' r�':�.:d..T"`8:�;ity4`::; ��"�,`j'4:'d.•1''.i�•.., �^ ,: •r".1 �:'�1: 8'-4' 8'-4' 9. 18'-10' HEADER FRAME - MINIMUM 17._D• LADDER 1RU38 4 alr7A 7r-0' 9r' 3r_�• _ _ •J 6 MINIMUM x .. 8x rn ` a a ZD n} DOC7 �•, 7� rn L � y70� P i•O (/y �' , � IYi'i� Dpl� +•f'PI� v 1 y yC2�y R n ) < 2� 3 .y a In rn D .�• p s. m 0 CO r D z D lip -� M o as Z � > o < Q m IA N o > I"� V D 2 w Issur.data PROPOSED CANOPY FOR 1/1 4/09 The Dorchester Awning Company THE PAVILION ASSISTED LIVING CENTER NOTED 230 Oak Street drawing number P.O. Box 385 Tel: 781-826-9001 Pembroke, MA 02359 Fax: 781-826-1628 876 FALMOUTH ROAD S k- 1 BARNSTABLE, MA 02601 shoe 1 of I 24 24 2Q9 3D I CW2430 B12 62424 B12 W3021 W1830 W3018 W1830 CW2430 • GWB SOFFIT ON f ---— —--- -- GWB SOFFIT STEEL STUDS 16" O.C. NEW GWB CEILING FILLERS AS REQUIRED / WALL CABINETS OVER EXISTING o S : SHELVES / 24"x36" WALL WALL CABINETS WALL BEYOND W/ A DJ / - P.LAM. FULL OVERLAY MIRROR , i I i DOOR CONSTRUCTION C�► OVER THE RANGE PAINTED GWB Cy c I M PHYSICAL REUSE EXISTING ip , cn THERAPY REFRIDGERATOR HIGH COUNTERTOP PAINT MR-GW ao ON..SLIDING POLE, INSTALL r..� MICROWAVE i PLASH " B W/BACKETS AND BACKS PULL CALL I BLOCKING AS NEEpED, , DO NOT C0�lNE TO NEW FAUCET AND PAINTED MR-GWG STATION `O GT KNEE WALL • SINK _: BACKSPLASH oo PLUMBING ®® ®O �, rn -------R-- B 4" BACKSPLASH PULL OUT DRAWERS TO MATCH COUNTER — — — P. LAM. FULL OVERLAY : U r AT BASE CABINET / DOOR CONSTRUCTION WNPULLOUT CABINET SHELF AT EXISTING x _ / DRAWER REG`ESSED AREA * = c I — i _ p ON STEEL STUDS 14 � cV o t o NEW TRAINING U 4.� STOR -- ----------- �---0 REUSE EXISTING TOILET, DO NOT 00 . . y cn RANGE CONNECT"TO I . M 16 OG 1 4" KICKN N - - - - - ASK PLUMBING - pp NOT 4" VINYL BASE TO UMB NG ECPs D SB48 REF — - DWR18- ----2'-1 =- B18 2'-6"-- - O O RECORDS STOR » r ^' k KITCHEN y O M I� 3.1 Interior Kitchen Elevation Interior Bathroom: Ejevation. I LOUNGE • 2. 1 SCALE: 1/2"=1'-0" SCALE: 1/2"=1'-0"� . E y HALL + A r M I O Demo Plan I SCALE: 1/8"=1'-0" - 24 24 29 30 24 24 29 30 1 Lighting Fixture Schedule I Type Count Description Manuf. Product Trim Lamp INSTALL NEW A" - :., ;� , x .., •:, , ,.. . , � � ,•. w;: r P, _> .,.: I I WALL UP TO BOTTOM I . ..., .. e»....;£.. .-..>n�"`�ar ,..,a,.a,.b.�rs,«. EXISTING I - NOT USED I OF _ A/C UNIT I ,. t.: '�".. P g OW Halogen T4 I - - - - - - - —�- - Bt 17 Mini Wall Scoop Progress P7109 25 A B2 1 Bathroom Wail Mount P2760-09 (3) dh 30W CFL I I C rs n TV , # E3b ,,, .,..,.,,taus R"v., «�.a,Ta .r, x,:::: 'l�1 f t,;,,,, 2W �ihc,v,'lry ,�, t, 'v.4 i.r I C1 12 Ceiling Fixture P7325-13EBWB R� I a I O I -1�'-6 " I C2 6 Ceiling Fixture Progress P7380 w (1) 32w do (1) aow �( �{ I I NEW WALL FLUSH WITH ? u, NEW ELECTRIC Cl a �O(Cl d Cl e w NEW ELECTRIC EXISTING SHELF BELOW C3 2 Ceiling Fixture Progress P7379 (1) 22W do (1) 32W. I cn . - 5'X7' PLATFORM . I ( )V)N w , _j 3 E3 5 X7 PLATFORM W/VIEW SHELF ABOVE C4 - 1 Eclipse Close to Ceiling Progress P7327-13EBWB (2). 13W X w Q m Z tJ.l Chgndel<e�si77= ',r W x m .r, D1 NOT USED ! o l as Fri' 3 "o w D2 3 , Hanging Pendant Progress P5167-09 (1) 30W CF!. o I P�� o NOTES: ! I I ���' O X I . :... _::. .. �__ ��.� ,. ._ . ,„� . .... ..... .. . .: .� ,.. - a . : , � z MAINTAIN EXISTING _,4'nn�•�altv:i�oh>hn a,. .�-� -� ,,�,�� � ,:_ w-� l O...� . p....., ....._ ._ ,r._ r.,,... -..-.,. .,. :vs.. _.�, s fir.� s�; — x y, 0 0 P — :. , .- .,. _�- .. ,_._ _.,. .-,,, ----_.. .._.__ _,_.•._.__ �- - , ,� DE�r_.,TORS PROTE+T Q 1 Undercabinet Li htin Progress P70 1- a ! ,0 = 9 93 30W6 ... I t .�. . ...�. , � x>: � DUiti�aVG DEh�O�iT�.3!�,AND w,, CONSTRUCTION. ! - t- E2 I NOT USED i Z " E3 SEE PLAN Track Lighting System Progress P6306-31 P8513 50W PAR20 ® EXISTING SPRINKLEI' HEADS Z I AND CEILING GRILLES ...... ., _ 1 .,....-.,_ ,.,:. 1r r .a•> ,:a....a .., a. a '. : _.. sw„ x :'w;:.r .. .... ...._:.. a, „,..,t_a :� „ s-tt 4, i C1eCld PHYSICALCIe d II , SHOWN IN APPROXIMATE AATE ' Ft 1 Fluorescent Closet Lighting Progress P7186-30EB (2) F32-T8 LOCATIONS, COOROIiJATE THERAPY WITH NEW AND EXISTING General Electrical Notes: 3. Refer to Spec for additional'notes ` N LIGHTING. . WORK- 1. Verify all count amounts with electrical plans 4.Maintain existing lighting and power, circuits to remain I 2. Lighting fixture selections by owner 5.Provide power to all appliances as required I STATION PHYSICAL o i BICYCLES B ° COORDINATE I _ _ _ _ _ _.= THERAPY 0ICYCLEs AME ALL NEW RECEPS VINYL PLANK FLOOR I ( f ELECTRICAL LEGEND I PRIVATE � WITH.EXISTING, AND AREA II NEW EQUIPMENT LAYOUT II NEW DESK WATERPROOF RECEPTICLE PHONE/DATA JACK i �d PRIVATE NEW GROUND FAULT I I I _-- _ B I •- AREA INTERUPTER RECEP. CABLE TV JACK 1aa II -- ---------- --- _ (, vR /1 �( ]p( �{ CHARTI I II 00 NEW QUAD RECEP. tYXY) (YXY) (YXY) ® EXHAUST FAN XC1 d I I Xci a 3 Cl d Xcl e I( �`� 1En ( NEW DUPLEX RECEP. I Bjai I i `NOTE: SHADED SIDE INDICATES © CARBON MONOXIDE DETECTOR (HARDWIRED) II II •-� BOTTOM i RECEP. TO WALL SNATCH I M B1 II NEW VISION 0° NEW RECESSED DOWNUGHT c� W/WALL WASHER BAFFLE (HARDWIRED)IC SMOKE DETECTOR I I I I $'-'4' `��' ' LIGHTS IN EXISTING EXISTING " I I DOOR, BOTH. O QN NEW WALL SCONCE ® PHOTOELECTRIC / IONIZATION TYPE SPRINKLER _ I I I EXISTING �� I 9 - C EAVES O SMOKE DETECTOR (HARDWIRED) HEAD TO REMAIN I I q 5 NEW S TOR A G E 1 COLUMN I I I CHARTING AREA w < L ON RECESSED DOWNLIGHT 0 R A G E PLYWOOD NEW GWB d VINYL PLANK FLOOR GARBAGE DISPOSAL (GD) I I —� - - -�-a-- - - - - I- C SHELVES I " — _ _ I I. _ - --- - - —�- _ irk INDICATES DIMMER ° NEW 2-8 HANGING PENDANT I 9 1 T O.T. INDICATES 3-WAY I----_----1 I- -- , " n to . ° FILE --� x7-o X1i TABLE r--------� t �-------:� B1 I . I I y EXISTING LINE OF CEILING I FILE O ICABs I I I I SOLID CORE " LOWER CASE �p I I I I I I' PILASTER (CABS I I NEW COUNTERTOP 1►� 4 t LETTER INDICATES SWITCHING, HANGING FIXTURE _ ® ® LBELO B1p _ _BtP �I. I DOOR CHANGE ABOVE. .I LBELOW___ .I tV I Q REFER TO FIXTURE TO COORD. C� �O — — — — — — — — — — —— — —— ——— —— VERIFY IN FIELD I TO REMAIN - - - - -- - - - - - - - - -- - - -- ------- _ — N � L J ( AND FILE CABINETS PHOTOELECTRIC SMOKE/CARBON MONOXIDE B1 h [3­ &MIm " n 2'. 2 " , I JUNCTION BOX S C DETECTORS (HARDWIRED) I I I I -7 2 18 ~6 J { TRAINING q�— — . FLUORESCENT STRIP E3b - - 3, �" ti++2�„ 2, .3n 8,_9n 5,-�1 I . WEIGHTS �0. CEILING MOUNTED FIXTURE BEDROOM I I M MIRROR FLOOR OUTLET si e — — — — — - - - - - "III ; E3n TRAINING - - WEIGHTs C DOOR CHIME LIGHT /� © I ICO N7ER i � � 0 r-I� BEDROOM � —— WALL I , Blh Ej C F I I p N �I N 1 BELOW I g CEILING FAN W/LIGHT FIXTURE O VANITY LIGHT WALL MOUNT I ! I 20 PANEL T REMAIN, _ EXISTING ACCESS b" IfF II II TR , ING KITCHEN ;� O R N, KITCHEN � SPEAKER � ID II TRAINING. ��- 0 I I BATH 39c4° I. I I I TYPICAL i - I I .-Kv REMOVE FAN .VINYL PLANK EXISTING SPEAKERS II I � I- TR�{7MILL BATH " iI ! � ENTRY I FLOOR I I TREADMILL I ARE SHADED ® O; ENTRY n I I i 2° 9 -1 5 -1 r -II I IED . I I AND PATCH h I I Bl m I, i ao WALL OPENING 8p ° —JI L I I I I I I Fl fir i 02 k —r_�i NO L TE: 2 --- --- I EXISTING SMOKE r`-Kv NOTE: 1 ( L NEW SPEAKERS ON. ED DETECTORS TO \ o o STORAGE — / L.— — — — ° NEW ELECTRIC; RE TYP. i� o o I LINTER NEW ELECTRIC I CLOSED CIRCUIT A V 1L I O 4'X7' PLATE RM I FOR REHAB SPACE S TOR A G E - - - - - - E SHELF X _ _ 4.X7 PLATFORM _ t /8" TYPE X GWB PAD WALL OUT EACH SIDE NEW PR. 3'-0" HALL FOR NEWS.,,'' ALIGN FINISHES ALIGN FINISHES ALIGN ELECTRICAL ,O ®'16 STEEL STUD xT-0"xi" SOLID BOTH SIDES 2 _O SWITCHING O ^ i BOTH SIDES WALL F.G. BATT INSULATION CORE BI-FOLD I I I NOTE 1: ALL NEW j EXISTING i i i I TRAINING BATHROOM cis HALL STEPS I I I FIXTURES TO BE O NEW WALL XI TIN i I sp SECURELY FASTENED, . FLUSH WITH S P 11:2Bl m I DO NOT PLUMB SHELF BELOW 4 „ T I !�1 r F NOTE 2: REUSE EXISTING T E 00 I APPLIANCES AND FIXTURES, RECONNECT STEEL STUD PARTITION SINK TO EXISTING pRAIN SCALE: 1 1 -0 I I. Proposed Power and Electrical.Plan Proposed Ground Floor Plan 4.6 2.6 SCALE: 1/4"=1'-0" SCALE: 1%4"=1'-0" 0) 8 -0 __ � LADDER TRUSS AWNING NOTES : D ® 0 � II ,� vW D 1 ° EXIST. BUILDING / / / / / 1. TYPICAL HEADER TRUSS IS GATORSHIELD 2 INCH SQUARE GALVANIZED TUBING WTH 14 W GAUGE WALL WITH A 50,000 P.S.I. YIELD STRENGTH. r } .� Z 13 2. AWNING FRAME TO BE WELDED AT CONTACT SURFACES OR CONNECTIONS WITH 1/8" v C t "; •: = 17'-0" CONTINUOUS FILLET WELD. WELDS ^uROUND AN C^vLD GALVANIZEv^^. r 4. '.. ATTACH TO STRUCTURE WITH - I 1 3. AWNING FRAME AND FASTENERS TO BE GAL VAIZED OR PAIN TE^u WITH RUST INHIBITOR EXIST. 6 - `a 2 �1`4 » CONCRETE SLAB------, '° .� .♦ - LAG BOLTS AND Z-CLIPS . PAINT. TYP. SEE ATTACHMENT DETAIL FOR CONNECTION TO BUILDING 4. OTHER STEEL TYPICALLY A.S.T.M. A36 HOT-DIPPED GALVANIZED REGULAR STEEL. e 1"x1" 14 GA. GALVANIZED00 WELDED STEEL TUBING, : d 50,000ksi RATED. FABRIC NOTES : z.- :. 1. FABRIC TO BE FIRE RESISTANT JOHN BOYLE, PATIO 500, ROYAL BLUE #503. 2"x2" x Y4" GALVANIZED " :., =. :. VvS 2. FABRIC BREAK STRENGTH 250 LBS. WARP, 151 LBS. FILLING (OR BETTER). STEEL COLUMNS r, W y' :_ 0 2 x2 x Y4 GALV. HEADER t (TYPICAL OF 6) __ L` ~ 3. MASSACHUSETTS STATE BUILDING CODE 780 CMR 7th EDITION WIND AND SNOW LOAD �/ `✓ " I t FRAME, Yg 'CONT. FILLET FOR TOWN OF BARNSTABLE. (35LBS. SNOW / 120MPH WIND) r' e . 4 y. `� ¢'-♦ coo o r o WELD AT CONNECTIONS TO EXISTING p d ' Q o 1 x1 14 GA. GALV. ALL COLUMN UPRIGHTS BUILDING 0 0 � Detail A - =�� J o WELDED STEEL TUBING, U z CC - _ Q 6 x6 x1/4 - '� I z 50,OOOksi RATED (TYPICAL) BASE PLATE ,'~.4 :. ..n a r " ,r Q C) -; _,.-d 2 x2 x Y4 GALV. (TYPICAL OF 6) , ` '' -4. ♦.;.,• ..y'-:_ J n/ : d STEEL COLUMNS L.L. 4 (TYPICAL OF 6) Q • :_ = 0 5 4 ' 2"x2" x Y4" GALVANIZED - I .. z w CROSS-BRACING @ 00 Q ENTER COLUMN LOCATION = _ a - 4- 4 - d - - - - •Y C.,) _J t♦ a .a - .beta A. x6 x .4 6 2"x2" x Y4" GALV. HEADER °_' Y2 x 3 DYNABOLT STEEL ANCHOR » / Q .. . _ - ' ;,' EXIST. 6 BASE PLATE TYP. OF 6 FRAME, Y8" CONT. FILLET . _ " :`< SLEEVES, REDHEAD MFG., PART #11283' CONCRETE SLAB { ) Q 4.r: :_.: .e •: (TYP. OF 4 Q EACH BASEPLATE) W J �— WELD AT CONNECTIONS TO 4 ALL COLUMN UPRIGHTS U) FRAMING SIDE ELEVATION 0 � u- Z SCALE: 3/8" = 1 '-0" O 11 Detail B 2,-0„ 7,-8„ 2,-0„ 6»x2»x*H co s _ � BASE PLATE (TYPICAL OF 2) FRAMING PLAN VIEW Q SCALE: 3j8» _ 1 ,_0» 17,-0» 1"x1" 16GA GALV. 0- 1%1" 14GA. WELDED STEEL STEEL FRAME TEK SCREW ATTACHMENT TO w 2"x 2" HEADER 2'-1�4" Y8" CONT. FILLET WELD TUBING LADDER TRUSS AND AWNING FRAME, SIDES AND FRAMING BEYOND AT ALL CONNECTIONS CROSS-BRACING C BOTTOM y2" x 3" DYNABOLT STEEL ANCHOR SLEEVE, REDHEAD MFG., PART #11283 IN BRICK/CONCRETE FACE. "Z" CLIP Y8" CONT. FILLET WELD *3Y2' LAG BOLTS @ WOOD BLOCKING HEADI= AT ALL'CC?NN1=CT1f3NS ALL BEAM CHORD MEMBERS ARE �� � `,L���if0N5 1%1" WELDED STEEL (TYPICAL) FRAMING » 8 -o TYPICAL ,SECTION ATTACHMENT DETAIL - � SCALE: 1 = V-0" TYPICAL PERIMETER BEAM DETAIL SCALE: %" = 1'-0" 4 -5/8"0 HOLES FOR (J 4 - Y2"O x 3" DYNABOLT STEEL � ANCHOR SLEEVES, REDHEAD MFG., PART #11283 N N 1"x1» PERIMETER LADDER TRUSS, j 3/4„ WEED ALL AROUND "x " HEADER FRAME WITH X. TO BASE PLATE WITH 3/4 01 0� ON 2 2 Y8 CONT. FILLET WELD AT CONNECTION. Y4"'FILLET WELD r r SEE DETAIL THIS SHEET WELD ALL AROUND co TO BASE PLATE WITH HOLES FOR Y4" FILLET WELD 3/4" x 3" DYNABOLT STEEL 3/4" 2%2" x Y4" GALV. » „ » 0 o SLEEVES, ,> x STEEL COLUMNS 6 x6 xY4 MFG.,;PART #11283 2 x6 x� GALVANIZED cu (TYPICAL OF 6) BASE PLATE STEEL COLUMN E O I- LL 1"x2" 16 GAUGE GALV. WELDED 2 x2 A4 GALV. STEEL COLUMN DETAIL B COLUMN OUTRIGGER BASE PLATE STEEL TUBING OUTRIGGERS FOR DETAIL A COLDMN BASE PLATE SCALE: 1 Y" = 1'-0" � LATERAL SUPPORT. WELDED TO I z ;; ) " J CANOPY UPRIGHTS WITH Y8" CONT. r' SCALE: 1 Y = 1'—0 .� FILLET WELD. (TYPICAL OF 2) � Detail B, 6%2"x \ Q co BASE PLATE (TYP. OF 2) L Q V Detail A 6%6"x1/4" w 1 � Lo c BASE PLATE (TYP. OF 6) L- 00 EXIST. 6" co CONCRETE SLAB 2'-0" FRAMING FRONT ELEVATION O 0 O SCALE: 3/8» = 1 '-0" a� C) - Y