HomeMy WebLinkAbout1471 IYANNOUGH ROAD/RTE132 (3) 1v
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Town of Barnstable
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• s hisaCard;So Th From he Str t A roved PlansMust::be Retained on Job and' hix Card„ st be=Ke
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Permite a�Cert+ficae of Occ; an , s eq iretl,;3uch li3uldingshall Notybe.Occ prod;until a Final nspectaon has'been:� ad
Permit NO. B-17-1030 Applicant Name: Approvals
Date Issued: 04/12/2017 Current Use: Structure
Permit Type: Building-Sign Expiration Date: 10/12/2017 Foundation:
Location: 1471 IYANNOUGH ROAD/RTE132,CENTERVILLE Map/Lot 253-014-X02 Zoning District: SPLIT Sheathing:
Owner on Record: SHALLOW POND PROFESSIONAL LLC xa 4 Contracto�rName Framing: 1
�d
Address: 14361YANNOUGH RD/RTE 132,U3 Contractor$Ucense 2
HYANNIS,MA 02601 i Es�t`PrOlect Cost: $0.00 Chimney:
Description: ONE SIGN FOR NUTTER UNCOMMON LAW(ON BUILIING)26.44 SQ FT rPermi#fee: $75.00
x insulation:
Project Review Req: ONE SIGN FOR NUTTER UNCOMMON LAW 26 44(ONz� F.ee Paid.' $75.00
BU LDING)
SQ FT Date 4/12/2017 Final:
� 'C� Y
Plumbing/Gas
4 mot, Rough Plumbing:
Enforcement Officer
g Final Plumbing:
This permit shall be deemed abandoned and invalid unless the work airthorazed ffifiis permit is commenced within s zs onths after issuance. Rough Gas:
All work authorized by this permit shall conform to the approved application and the approved construction documents for which the permit has been granted.
All construction,alterations and changes of use of any building and structures shall be incompliance with the local zon rig bylawe and codes. Final Gas:
This permit shall be displayed in a location clearly visible from access street or'road a d shall be maintained open for public insp ctidn for the entire duration of the
work until the completion of the same. `
Electrical
511
The Certificate of Occupancy will not be issued until all applicable sign atu es byathe 136rld nga�nd Fire Officials ar is,permit. Service:
Minimum of Five Call Inspections Required for All Construction Work: rz
1.Foundation or Footing Rough:
2.Sheathing Inspection
3.All Fireplaces must be inspected at the throat level before firest flue lining is installed Final:
4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection
5.Prior to Covering Structural Members(Frame Inspection) Low Voltage Rough:
6.Insulation
7.Final Inspection before Occupancy Low Voltage Final:
Where applicable,separate permits are required for Electrical;Plumbing,and Mechanical Installations. Health
Work shall not proceed until the Inspector has approved the various stages of construction. Final:
"Persons contracting with unregistered contractors do not have access to the guaranty fund" (as set forth in MGL c.142A). Fire Department
Building plans are to be available on site Final:
All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT
THE l�
Town of Barnstable
Regulatory Services BUILDING DEFT:
_"M"ST& Richard V. Scali,Director
.3 Building Division
�p �,��' APR 0 5 2011
fF1
Paul Roma,Building Commissioner TOWN OF BARNSTABLE
200 Main Street, Hyannis,MA 02601 .
www.town.barnstable.ma.us
Office: 508-862-4038 Fax: 508-7990-6230
Pennit
Building Official approving
Application for Sign Permit
Applicant: Assessors No.
Doing Business As: ,0 Telephone No.
Sign Location n
Street/Road: 15 40l
Zoning District: Old Kings Highway? Yes/No Hyannis Historic District? Yes/No
Property Owner 1(�l�(fn� " y�
Name: l V�W" / C ' Telephone: �T
_. Address: �. ti ��0 Village: of lldl
Sign Contractor
Name: 6ve, Wah Telephone: 1 ` Z34, V3
Mailing Address: , �� 0
Description
Please follow the cover.directions.You must have an accurate rendition of sign with dimensions and
location. �R JDD i 4)7
Is the sign to be electrified? es (Note-.If yes, a wiringermit is required)
Width of building face ft.x 10= /0 X.10= A4
Check one Reface existing sign or New Total Sq.Ft of proposed sign(s)
If you have additional signs please attach a sheet listing each one with dimensions �f-r(�k4
If refacing an existing sign please provide a picture of the emsting sign with dimensions.
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 d construction shall conform to the provisions of
§240-59 through§240-89 of the Town of B 1 ring Ordinance.
Signature of Owner/Authorized Agent: Date _ 3D 7
signs/signrequ&app
revised: 06/20/16
a 53 �'` ' °
Town of Barnstable
Regulatory Services
s •
RARIVRRART.F.KAas
Richard V. Scali,Director
Bnilding Division
PauYR6ma Bading Commissioner4 +
200 Main Street, Hyannis;MA 02601
www.town.b arastable.ma.us
Office: 508-862-403 8
Fax: 508-790-6230
•SIGN PERWr REQUIREMENTS
1. A photograph showing the existing facade, on which has been indicated the proposed
sign location. The photograph is to include a portion of adjoining stores of building.
For a proposed building or new facade, an architect's elevation may be submitted in
lieu of a photograph.
2. A scale drawing of the proposed sign.A scale drawing indicating:
1) The type of proposed sign(wall,hanging,free standing)
2) Dimensions of the proposed sign and any designs, logos,or lettering
3) A cross-section with dimensions showing edge detail.
Minimum scale 1"= 1'. Minimum sheet'size,8.5 x ll'_' ,
3. A scale drawing of bracket:A colored scale;grapluc"indicating dimensions,.
showing colors,materials and method of affixing it'to'tlie sika and-to the building.
Minimum scale 1"= 1'.Minimum sheet size, 8.5 x 11".
4. A completed Town of Barnstable Sign Application,including scaled diagram
showing location of sign on building or location of free-standing sign. Show
dimensions.
5. The width of the building face or the leased area.
NOTE the map/parcel number is required on the application.
9
signs/signrequ&app
revised: 06/20/16
.xellcr Company, Inc
Commercial Real Estate Development
1436 lyanough Road Hyannis MA 02601
March 30,2017
Stephen Pasco
Nutter McClennen&Fish LLP
617.439.2078
.. »�z^emu,, 3 -•r_^a_� c�.:�. 1�..r .+ -. .- _ -
RE: Hyannis Sign Submittal, Shallow Pond Professional, LLC, 14711yanough Road, Hyannis,MA 02601
Dear Stephen;
This Letter represents the Landlord's approval of design and installation of your new signage
going on our building at the above referenced address. =
We understand that the Town of Bamstabie.requires this approval at part of the permitting
process. Please let us know if you need.any further assistance from us..
Yours Truly,
dose h P. Keller J uzio
Manager ?—a
rop rty Manager
J
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112' 2' \
Bock Panel:
1/8'abldnumwlh pavdtr
o>ated Ight meAllk surer flnth.
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34' �... --. Slgn pa mDum fkd toflash ro sqn panaL
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1/4'abmfium pa6ited 1 Mann o>k4 and
medmakahkt Wto back penal,
Logo'
RevesedmnimIlene wM.5'LEDIphtbezeL
Mounls flush to bad;panel
Detail
Sale:As shown /s
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I"` Huffer Mclennan&Fish-1471 lyannough Road,Hyannis,MA 0260) Drawing 1.1
11 Bates Road miltont U 02186
Voice 617 696 6904 Illluminated Sign
Date 08.23.16 Emmdscotgovedmigata cmt.W
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n c Nutter Mclennan&Fish-1471 lyannough Road,Hyannis,RNA 02601 Drawing 2.1
11 Bates Road Mihon MA 02186
Voko 617 696 6904 pylon Sign
Date U9.29.16 Emad swabvede:ig„®wmwtf.nM
��t�ET�ti Town of Barnstable
Building Department - 200 Main Street
BARNSTABLE, * Hyannis, MA 02601
MASS.
9q,A 1639. , (508) 862-4038
rF0 MA'I A
Certificate of Occupancy
Application Number: 200805144 CO Number: 20080223
Parcel ID: 253014XO1 CO Issue Date: 12118108
Location: 1471 IYANNOUGH ROADIROUTE132 Zoning Classification: SPLIT ZONING
Proposed Use: MOTELS
Village: HYANNIS
Gen Contractor: TURNER CONSTRUCTION COMPANY Permit Type: CC00
CERTIFICATE OF OCCUPANCY COMM
Comments: NUTTER, MCCLENNEN & FISH LLP OFFICE
Building Department Signature Date Signed
I HE ButidingTOWN OF BARNSTABLETn,
"+Y Application Ref: 200805144 •
BARNSTABLE, Issue Date: 10/01/08 I I I Per t
9 MASS $ e
�A i639. Applicant: TURNER CONSTRUCTION COMPANY
Permit Number: B 20082126
Proposed Use: MOTELS Expiration Date: 03/31/09
Fz�-ocation 1471 IYANNOUGH ROAD/ROUTFAMg District SPLTPermit Type: COMMERCIAL ADDITION ALTERATION
Map Parcel 253014X01 Permit Fee$ 5,460.00 Contractor TURNER CONSTRUCTION COMPANY
Village HYANNIS App Fee$ 100.00 License Num 067914
Est Construction Cost$ 600,000
Remarks APPROVED PLANS MUST BE RETAINED ON JOB AND
INTERIOR CONSTRUCTION OF COMMERCIAL OFFICE SPACE FOR THIS CARD MUST BE KEPT POSTED UNTIL FINAL
NUTTER,MCCLENNEN&FISH LLP,DRYWALL&MILLWORK INSPECTION HAS BEEN MADE. WHERE A
CERTIFICATE OF OCCUPANCY IS REQUIRED,SUCH
Owner on Record: SHALLOW POND PROFESSIONAL LLC BUILDING SHALL NOT BE OCCUPIED UNTIL A FINAL
Address: 683C MAIN ST INSPECTION HAS BEEN MADE.
OSTERVILLE, MA 02655
Application Entered by: PR Building Permit Issued By: R;r7i�
THIS PERMIT CONVEYS NO`RIGHT TO OCCUPY ANYSTREET ALLY:OR SIDEWALK:OR,ANY PART THEREOF;EITHER TEMPORARILY OR PERMANENTLY.
ENCROACHEMENTS ON PUBLIC PROPERTY,NOT SPECIFICALLY PERMITTED UNDER THE BUILDING CODE,MUST BE:APPROVED BY THE JURISDICTION.
STREET OR ALLY GRADES AS WELL AS DEPTH AND,LOCATION OF PUBLIC SEWERS MAY BE OBTAINED FROM THE DEPARTMENYOF PUBLIC WORKS.
THE ISSUANCE OF THIS PERMIT,DOES NOT.RELEASE THE APPLICANT FROM THE CONDITIONS OF ANY APPLICABLE SUBDIVISION.RESTRICTIONS.
MINIMUM OF FOUR CALL INSPECTIONS REQUIRED FOR ALL CONTSTRUCTION WORK:
1.FOUNDATION OR FOOTINGS.
2.ALL FIREPLACES MUST BE INSPECTED AT THE THROAT LEVEL BEFORE FIRST FLUE LINING IS INSTALLED.
3.WIRING&PLUMBING INSPECTIONS TO BE COMPLETED PRIOR TO FRAME INSPECTION.
4.PRIOR TO COVERING STRUCTURAL MEMBERS(READY TO LATH). -
5.INSULATION.
6.FINAL INSPECTION BEFORE OCCUPANCY.
WHERE APPLICABLE,SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL,PLUMBING AND MECHANICAL INSTALLATIONS.
WORK SHALL NOT PROCEED UNTIL THE INSPECTOR HAS APPROVED THE VARIOUS STAGES OF CONSTRUCTION.
PERMIT WILL BECOME NULL AND VOID IF CONSTRUCTION WORK IS NOT STARTED WITHIN SIX MONTHS OF
DATE THE PERMIT IS ISSUED AS NOTED ABOVE.
PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS DO NOT HAVE ACCESS TO GUARANTY FUND(as set forth in MGL c.142A).
YYY
BUILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS
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Fire Dept 2 Bo d of th
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MAKI ELECTRICAL Telephone(508)752-5662
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.m 100 North Street Worcester,MA 01605 Facsimile (508)798-4817
December 11, 2008
Hyannis Fire Department
Y P
95 High School Road Ext
Hyannis, Ma 02601
RIPO0
Subject: Record of Completion of Fire Alarm System MEMBER
Keller Co./Nutter McClennen& Fish 07.08
1417 Iyannough Rd. 1st Floor
Hyannis, Ma
Hyannis Fire Department:
Brattan Industries Inc., dba Maki Electrical, was the installer of added devices to the Fire
Alarm system at the above captioned location. The added devices have been installed
complete on December 11, 2008 in accordance with all applicable codes,NFPA 72,rules,
regulations,plans,manufacturer's instructions including but not limited to 780 CMR, 527
CMR, and MGL 148.
Maki Electrical inspected and tested the system on December 11, 2008.
Sincerely,
MAJU ELECTRICAL
V
dJU
/0� McGrail
Project Manager
THE FOLLOWING
IS/ARE THE BEST
IMAGES FROM POOR
QUALITY ORIGINALS)
IM AE
DATA
APPLICATION TO INSTALL A FIRE ALARM SYSTEM
[ ]Barnstable [ ]Centerville-Osterville-Marstons Mills [ ]Cotuit PQHyannis [ ]W. Barnstable
0
To: Head of the Fire Department: /�`, ��Permit No. n
Application is hereby made in accordance with the provisions of Chapter 148,an regulations made under the authority thereof
to install for the person or persons and at the location named herein,certain equipment for a fire alarm system. This application is
made with full knowle. of the current requirements of the regulations governing such installations,which will be made in compliance
therewith. The installation of said system shall conform to plans,reviewed by the Fire Department.
Owner/Occupant Name: h-e/ E'r C� , �UT1�'Y /%��C'17nP/1 �pSh
Street Address(house number required): 14171/ �� ti D U /t ST Xd OY
Person to Contact for Inspection and Phone# jv6b �' /om�re��/� �03'?Q 3-37 77� 5' 3699
Installer Information/Description of Equipment to be Installed
Manufacturer Name&Model Number: !/fe //Le
Type: N.A. Photoelectric [ ]Ionization [ ]Other
#of Dwelling Units: #of Detectors:Bsmt. 1st 14) 2nd 3rd Total:
Other Devices&Number:Heat Detectors Pulls_Horns j-2—Other 127��
Installer's Name&ComT)any: /%/I-/ ��cjr� C�>� -7-�C,
Installer's Address: /00 /Z 01-7-h sT We fCC'S2`'e r �/,A
Installer's Phone: .5 D$ 7.5-2 S66.2. License Number-J�A'1/1 3��5o8S� /�SJ1, 4t14 5111?14 p
Final Inspection By: Date:
I1A
I �
si;�i`i� IS FIRE PREVENTION BUREAU
HYANNIS FIRE DEPARTMEN1
95 HIGH SCHOOL RD. EXl
HYANNIS,MA 0/2601
D TE r,®. 1894
RECEIVED FROM
W ADD ESS
cc
i ❑FOR RENT — f
ask ❑FOR
1•� R E Y' 1
• • 1
AMT.OF CASH n �y�
ACCOUNT 95 HII'N 4(`Hn LfiD FX1
AMT.PAID CK HYANNIS,MA 02601
BALANCE M
DUE DER BY
FUNDAMENTALS OF FIRE ALARM SYSTEMS 72-31
p ed beo r' s n` Q
FIRE ALARM SYSTEM
RECORD OF COMPLETION
Name of protecte(i proEerty:
Address: �( I M �F ymu f e '5 1=1d v
Representative of protected propert (name/phone): _
Authority having jurisdiction: H k%A
Address/telephone number: Q,� e fa��i6�� C' F1 XAN U i-1 j S , eQ6—in
Organization name/phone Representative name/phone
Installer MA K 8 L-t,?.a'C.4. 6_0 L" 75. 0—516;1
Supplier A b Z r'i P,4 I;4 c
Service organization
Location of record(as-built)drawings:
Location of operation and maintenance manuals:
Location of test reports:
A contract for test and inspection in accordance with NFPA standard(s)
Contract No(s): Effective date: Expiration date:
System Software
(a)Operating system(executive)software revision level(s):
(b)Site-specific software revision date:
(c)Revision completed by:
(name) (firm)
1.Type(s)of System or Service
NFPA 72, Chapter 6—Local
If alarm is transmitted to location(s)off premises,list where received:
NFPA 72,Chapter 8—Remote Station
Telephone numbers of the organization receiving alarm:
Alarm:
Supervisory:
Trouble:
If alarms are retransmitted to public fire service communications centers or others,indicate location and telephone
numbers of the organization receiving alarm:
Indicate how alarm is retransmitted:
NFPA 72, Chapter 8—Proprietary
Telephone numbers of the organization receiving alarm:
Alarm:
Supervisory:
Trouble:
If alarms are retransmitted to public fire service communications centers or others,indicate location and telephone
numbers of the organization receiving alarm:
Indicate how alarm is retransmitted:
NFPA 72, Chapter 8—Central Station
Prime contractor:
Central station location:
(NFPA 72,1 of 4)
FIGURE 4.5.2.1 Record of Completion.
2002 Edition
I
72-32 NATIONAL FIRE ALARM CODE
Means of transmission of signals from the protected premises to the central station:
McCulloh Multiplex One-way radio
Digital alarm communicator Two-way radio Others
Means of transmission of alarms to the public fire service communications center:
(a)
(b)
System location:
NFPA 72,Chapter 9—Auxiliary
Indicate type of connection: Local energy Shunt Parallel telephone
Location of telephone number for receipt of signals:
2.Record of System Installation
(Fill out after installation is complete and wiring is checked for opens,shorts,ground faults,and improper branching,
but prior to conducting operational acceptance tests.)
This system has been installed in accordance with the NFPA Stan ards a sh wn below,was inspected by
InoA d t���9da'CA, � on �+��V� includes the devices shown
in 5 and 6,and has been in service since
NFPA 72,Chapters 1 2 3=5 ,6 7 9 11 (circle all that apply)
NFPA 70,National Electrical Code,Article 760
Manufacturer's instructions
_Other p-c' ):
Signed: Date: a A�-0
Organizat' n: iza 'e
3.Record of System Operation
Documentation in accordance with Inspection Testing Form,Figure 10.6.2.3,is attached
All operational features and functions of this system were tested by �ia.n ��_ '12 d.i date r
and found to be operating properly in accordance with the requirements of
_11_NFPA 72,Chapters �12 4 5 6 7 8 9 11 (circle all that apply)
_NFPA 70,National Electrical Code,Article 760
AVIanufacturer's instructions
Other(spec' ):
n
4
Signed. / ` : Date: I I
Organizati e C a
n: �
4.Signaling Line Circuits
Quantity and class of signaling line circuits connected to system(see NFPA 72,Table 6.6.1):
Quantity: Style: Class:
(NFPA 72,2 of 4)
FIGURE 4.5.2.1 Continued
2002 Edition
FUNDAMENTALS OF FIRE ALARM SYSTEMS 72-33
5.Alarm-Initiating Devices and Circuits
Quantity and class of initiating device circuits(see NFPA 72,Table 6.5):
Quantity: Style: Class:
MANUAL
(a)Manual stations Noncoded Transmitters Coded Addressable
(b)Combination manual fire alarm and guard's tour coded stations
AUTOMATIC
Coverage: Complete Partial
Selective Nonrequired
(a)Smoke detectors Ion Photo Addressable
(b)Duct detectors Ion Photo Addressable
(c)Heat detectors FT RR FT/RR RC Addressable
(d)Sprinkler waterflow indicators: Transmitters Noncoded Coded Addressable .
(e)The alarm verification feature is disabled or enabled ,changed from seconds to seconds.
(f)Other(list):
6.Supervisory Signal-Initiating Devices and Circuits(use blanks to indicate quantity of devices)
GUARD'S TOUR
(a) Coded stations
(b) Noncoded stations
(c) Compulsory guard's tour system comprised of transmitter stations and intermediate stations
Note:Combination devices are recorded under 5(b),Manual,and 6(a),Guard's Tour.
SPRINKLER SYSTEM
Check if provided
(a) Valve supervisory switches
(b) Building temperature points
(c) Site water temperature points
(d) Site water supply level points
Electric fire pump:
(e) Fire pump power
(f) Fire pump running
(g) Phase reversal
Engine-driven fire pump:
(h) Selector in auto position
(i) Engine or control panel trouble
(j) Fire pump running
ENGINE-DRIVEN GENERATOR:
(a) Selector in auto position
(b) Control panel trouble
(c) Transfer switches
(d) Engine running
Other supervisory function(s)(specify):
(NFPA 72,3 of 4)
FIGURE 4.5.2.1 Continued
2002 Edition
i °
72-34 NATIONAL FIRE ALARM CODE
7.Annunciator(s)
Number: Type: Location:
8.Alarm Notification Appliances and Circuits
NFPA 72,Chapter 6—Emergency Voice/Alarm Service
Quantity of voice/alarm channels: Single: Multiple:
Quantity of speakers installed: Quantity of speaker zones:
Quantity of telephones or telephone jacks included in system:
Quantity and the class of notification appliance circuits connected to system(see NFPA 72,Table 6.7):
Quantity: Style: Class:
Types and quantities of notification appliances installed:
(a)Bells With Visible
(b) Speakers With Visible
(c) Horns With Visible
(d)Chimes With Visible
(e) Other: With Visible
(f) Visible appliances without audible: ►,19sy �T-0,he.
C�^ss 0A
9.System Power Supplies
(a)Fire Alarm Control Panel: Nominal voltage: Current rating-
Overcurrent protection: Type: Current rating:
Location:
(b) Secondary(standby):
Storage battery: Amp-hour rating:
Calculated capacity to drive system,in hours:
Engine-driven generator dedicated to fire alarm system:
Location of fuel storage:
(c) Emergency system used as backup to primary power supply:
Emergency system described in NFPA 70,Article 700:
10.Comments
Frequency of routine tests and inspections,if other than in accordance with the referenced NFPA standard(s):
System deviations from the referenced NFPA standard(s)are:
(si ed)for installation contractor/supplier (title (date)
(signed)for alarm service company (title) (date)
(signed)for central station (title) (date)
Upon completion of the system(s)satisfactory test(s)witnessed(if required by the authority having jurisdiction):
(signed)representative of the authority having jurisdiction (title) (date)
(NFPA 72,4 of 4)
FIGURE 4.5.2.1 Continued
2002 Edition
1 t
NIELSd
ARCHITECTURAL FINAL AFFIDAVIT
TO THE INSPECTIONAL SERVICES COMMISSIONER:
I certify that I, or my authorized representative, have observed the work associated with Permit
No. , dated ,
Locus Nutter McClennen & Fish; 1471 lyannough Road, Hyannis, MA, 1st Floor
Ward on at least 6 occasions during construction, and that to the best of my
knowledge, information, and belief the work has been done in conformance with the permit and
plans approved by the Inspectional Services Department and with the provisions of the
Massachusetts State Building Code and all other pertinent laws and ordinances.
ppj.,�lr•fkl G . MuS'CAd�4-
3 act? ,v
ARCHITECT-MASS. REG. NO.
IED API,
COMPANY
N0.3�0?0 v s 2'2 Cs w kc IAA r-
PHILAD LPHIA
�p PA
ADDRESS
PHONE
Observation Dates:
November 11, 18, 25; December 2, 9, 16, . 2008
As of the final observation date of December 16, 2008 the project referenced above
was in readiness of use.
Then personally appeared the above-named Lance Muscara
and made oath that-the above statement by him is true.
BEFORE ME,
NOTARY UAt MY COMMISSION EXPIRES
01IRY PATTON
Notary Public
F
AM1,PHUM~COWW
ission Explres Feb 9,2Ot 1
PLUMBING FINAL AFFIDAVIT
NAME OF BUILDING: Nutter McClennen &Fish LLP
PROJECT NUMBER:
PROJECT LOCATION: 1471 Iyannough Road. Hyannis, MA
I, GLEN G.MARKEY REGISTRATION NO. 41542 BEING A REGISTERED MECHANICAL
ENGINEER HEREBY CERTIFY THAT I OR MY AUTHORIZED REPPRESENTATIVE HAVE
PERFORMED THE NECESSARY PROFESSIONAL SERVICES AND HAVE BEEN PRESENT ON THE
CONSTRUCTION SITE ON A REGULAR BASIS TO DETERMINE THAT THE WORK HAS
PROCEEDED IN ACCORDANCE WITH THE DOCUMENTS APPROVED FOR THE BUILDING
PERMIT,
I FURTHER CERTIFY THAT UPON COMPLIANCE WITH THE READINESS OF THE PROJECT FOR
OCCUPENCY IN ACCORDANCE WITH THE DOCUMENTS APPROVED FOR THE BUILDING PERMIT
AS PER SECTIONS 116.2.2 AND 116.4, SIXTH EDITION OF THE MASSACHUSETTS STATE
BUILDING CODE.
III
En 'n eering Design Services
Company
0* 141 Industrial Drive Slatersville, RI 02876
Address
MECHAWCAL
hto.495�2 401-765-7659
Phone
Seal
Signed
C�
S.S.: on this 15; day of !Decembe 2008 A.D. before In 9�L ---- a Notary Public,duly
appeared being duly sworn deposes and says that t e a �t - 86jfre t e.
My commission expires F— NOTARY PUBLIC
STATE OF RHODE ISLAND
My Commission Expi,ss lity 25,2009
ELECTRICAL FINAL AFFIDAVIT
NAME OF BUILDING: Nutter McClennen &Fish LLP
PROJECT NUMBER:
PROJECT LOCATION: 1471 Iyannough Road. Hyannis, MA
I, RAYMOND W.DUSSEAULT III REGISTRATION NO. 40709 BEING A REGISTERED
ELECTRICAL ENGINEER HEREBY CERTIFY THAT I OR MY AUTHORIZED REPPRESENTATIVE
HAVE PERFORMED THE NECESSARY PROFESSIONAL SERVICES AND HAVE BEEN PRESENT ON
THE CONSTRUCTION SITE ON A REGULAR BASIS TO DETERMINE THAT THE WORK HAS
PROCEEDED IN ACCORDANCE WITH THE DOCUMENTS APPROVED FOR THE BUILDING
PERMIT,
I FURTHER CERTIFY THAT UPON COMPLIANCE WITH THE READINESS OF THE PROJECT FOR
OCCUPENCY IN ACCORDANCE WITH THE DOCUMENTS APPROVED FOR THE BUILDING PERMIT
AS PER SECTIONS 116.2.2 AND 116.4, SIXTH EDITION OF THE MASSACHUSETTS STATE
BUILDING CODE.
Engineering Design Services
,`,��opttttarrgrr��
Company
�y
tH OF
141 Industrial Drive Slatersville, RI 02876
°RAY W.° �' •
® Dussl:nul.T III ; Address
o ELECTRICAL
a o9N0 40 �� s 401-765-7659
z
Phone
10
Y
``
fit
Seal
Signed
J 9J E� I .IDS III
S.S.: on this 1S day of !Decemb� 2008 A.D. for , a a otary Public,duly
appeared being duly sworn deposes and says th ,elgher a true.
My commission expires �� y Commission�cPi,es July 25,2009
MECHANICAL FINAL AFFIDAVIT
NAME OF BUILDING: Nutter McClennen &Fish LLP
PROJECT NUMBER:
PROJECT LOCATION: 1471 Iyannough Road. Hyannis, MA
I, WH LIAM T.MAYER III REGISTRATION NO. 46021 BEING A REGISTERED
MECHANICAL ENGINEER HEREBY CERTIFY THAT I OR MY AUTHORIZED REPPRESENTATIVE
HAVE PERFORMED THE NECESSARY PROFESSIONAL SERVICES AND HAVE BEEN PRESENT ON
THE CONSTRUCTION SITE ON A REGULAR BASIS TO DETERMINE THAT THE WORK HAS
PROCEEDED IN ACCORDANCE WITH THE DOCUMENTS APPROVED FOR THE BUILDING
PERMIT,
I FURTHER CERTIFY THAT UPON COMPLIANCE WITH THE READINESS OF THE PROJECT FOR
OCCUPENCY IN ACCORDANCE WITH THE DOCUMENTS APPROVED FOR THE BUILDING PERMIT
AS PER SECTIONS 116.2.2 AND 116.4, SIXTH EDITION OF THE MASSACHUSETTS STATE
BUILDING CODE.
Engineering Design Services
t O Company
MOTMAYER N 141 Industrial Drive Slatersville, RI 02876
Address
401-765-7659
Phone
Seal
Signed
S.S.: on this ll5, day of iDecemb� 2008 A.D. _ otary Public,duly
appeared being duly sworn deposes and says th t thM r a e true.
My commission expires NOTARY PUBL D
STATE OF RHODE ISLAND
My Commission Expires July 25,2009
FIRE PROTECTION FINAL AFFIDAVIT
NAME OF BUILDING: Nutter McClennen &Fish LLP
PROJECT NUMBER:
PROJECT LOCATION: 1471 Iyannough Road. Hyannis, MA
I, GLEN G.MARKEY REGISTRATION NO. 41542 BEING A REGISTERED MECHANICAL
ENGINEER HEREBY CERTIFY THAT I OR MY AUTHORIZED REPPRESENTATIVE HAVE
PERFORMED THE NECESSARY PROFESSIONAL SERVICES AND HAVE BEEN PRESENT ON THE
CONSTRUCTION SITE ON A REGULAR BASIS TO DETERMINE THAT THE WORK HAS
PROCEEDED IN ACCORDANCE WITH THE DOCUMENTS APPROVED FOR THE BUILDING
PERMIT,
I FURTHER CERTIFY THAT UPON COMPLIANCE WITH THE READINESS OF THE PROJECT FOR
OCCUPENCY IN ACCORDANCE WITH THE DOCUMENTS APPROVED FOR THE BUILDING PERMIT
AS PER SECTIONS 116.2.2 AND 116.4; SIXTH EDITION OF THE MASSACHUSETTS STATE
BUILDING CODE.
Engineering Design Services
Company
��ttl4la �. �JtsSf��
141 Industrial Drive Slatersville RI 02876 .
Address
�No'41542� � 401-765-7659
'® tvr Phone
Seal
Signed J® N JADES GIB ONS III
S.S.: on this T15 day of iDecemb 2008 A.D.before m A—N AR-y ary Pub 'c duly
appeared being duly sworn deposes and says that the abo sttt i e
009
My commission expires r - -------_ ��
NIELS(*4
ARCHITECTURAL FINAL AFFIDAVIT
TO THE INSPECTIONAL SERVICES COMMISSIONER:
I certify that I, or my authorized representative, have observed the work associated with Permit
No. , dated ,
Locus Nutter McClennen & Fish, 1471 lyannough Road. Hyannis, MA, 1st Floor
Ward on at least 6 occasions during construction, and that to the best of my
knowledge, information, and belief the work has been done in conformance with the permit and
plans approved by the Inspectional Services Department and with the provisions of the
Massachusetts State Building Code and all other pertinent laws and ordinances.
•p OM L'ft C )Au S CAJ4-
3 C)o? ,0
ARCHITECT-MASS. REG. NO.
�� ;� �l i�� K)
COMPANY
1 o y Zz c� w kc ✓V
�t No.3Qn20 �- an - '
PHILA: LPHIP.V& PA m � "
ca ADDRESS
�(T,5 OF tcc
PHONE
Observation Dates:
November 11, 18, 25; December 2. 9, 16, . 2008
As of the final observation date of December 16, 2008 the project referenced above
was in readiness of use.
Then personally appeared the above-named Lance Muscara
and made oath that the above statement by him is true.
BEFORE ME, `• � �
SEAL MY COMMISSION EXPIRES
RRY WON
tcry PORC IACOIMIfV
[:wIAL
11Y.PHI reLADE �.ZOl 1on Ex0
• t TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION
Map_ Parcel Applicatioi # r 1
Health Division Date Issued
Conservation Division -Application Fee A
pp
Planning'Dept: Permit Fee' too
Date Definitive Plan Approved by Planning BoardPfZ
°
Historic - OKH _Preservation/ Hyannis
Project Street Address 147 TYA-,NE,b&H 1-An A Sr fi_002'
Village gAaPS-rA•6t.E M, 02601
Owner 514A FWD r(i,*Fc-zs,oNAc Address 683 C fMA)N ST �b5-rEu4 r Pl r b2665t7-
Telephone 5D9 - 42& 4M3
-;P-?N o S'ra-u CTuor-A N S-CAw C Ti :>
Permit Request •10/^TcrL+ott- CoN 57e_u c-r,oN of A CoMMlE¢c i AL^ 0FP,LE SPAt£ F-DC—
NV_rlra IY' weti { �"+SN t--P INCLu�►NG biLyLvAw YN1l.Lwo � C�rR-Y°ET�
PLE Pao-r1(.<'1 op d Z1rtk C4L ` °i 12i_L M(&,9&
Square feet: 1 st floor: existing9f 33,X7 proposed 7,S'0 2nd floor: existing proposed OS' Total new 7,S'boSF
Zoning District Flood Plain Groundwater Overlay
-Project Valuatio 00 000 Construction Type V-8
vaV- Nowa
Lot Size // UWICNowtj Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation.
Dwelling TV0e: Single Family . C]N/i4 Two Family ❑ �✓A Multi-Family (# units) N 1A,
Age of Existing Structure Historic House: ❑Yes ;[No On Old King's Highway: ❑Yes ❑ No
Basement Type: ❑ Full ❑ Crawl ❑Walkout ❑ Other ti X4
Basement Finished Area (sq.ft.)� J)�& Basement Unfinished Area (sq.ft) N IA-
Number of Baths: Full: existing WI new _ Half: existing W A- new N fE-
Number of Bedrooms: W 1P, existing _new j��Q
Total Room Count (not including baths): existing �k new First Floor Room Count ff
Heat Type and Fuel: ❑ Gas ❑ Oil ❑ Electric ❑Other
Central Air: ❑Yes ❑ No Fireplaces: Existing New N/A 9 Existin wood/coal stove: ❑'Yes No
p � AA Nlfr
Detached rgaarageNl`]. existing 0 new size_Pool:'❑ existing ❑ new size — Barn: ❑existing ❑ new size_
, Attached g rage: ❑existing ❑ new size _Shed❑existing ❑ new size _ Other:
1 )
Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ ) ' -
Commercial XYes ❑ No If yes, site plan review#
Current Use Co M ME4 t AL oFFic�_: S('A cE Proposed Use nnMgtc l A-
C)
rn
APPLICANT INFORMATION
(BUILDER OR HOMEOWNER)
v
Avower-am LAua,� a�� CEnaSTwr Lor" Telephone Numbe 1 2 47
ddress 2- Se R License# (°_S ? ' i `f
f;0`_$T,P . M� 0221,n Home Improvement Contractor# WIA
Worker's Compensation # WG1 'lo2-S --01 2 81 S- _ 03 7
ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO "
SIGNATURE DATEr' la4b
C f
FOR OFFICIAL USE ONLY
APPLICATION#
DATE ISSUED
r
MAP/PARCEL NO.
ADDRESS VILLAGE
{
y OWNER .
DATE OF INSPECTION:
FOUNDATION
FRAME ®�� �r _/ D� - �L d� -- (30 —ek-mll,
INSULATION
FIREPLACE _
ELECTRICAL: ROUGH FINAL
i
PLUMBING: ROUGH FINAL
GAS: ROUGH FINAL
FINAL BUILDING
# DATE CLOSED OUT
ASSOCIATION PLAN NO. ,
4
The Commonwealth of Massachusetts
Department of Industrial Accidents
? Office of Investigations
� - 600 Washington Street
Boston, MA 02111
' www.mass.gov/dia
Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers
Applicant Information Please Print Legibly
Name (Business/Organization/Individual): 'Turner Construction Company
Address: Two Seaport Lane, 2nd Floor
City/State/Zip: Boston, MA 02210 Phone#: 617-247-6400
Are you an employer?Check the appropriate box: Type of project(required):
1.❑ lam a employer with 4. 1� I am a general contractor and I
employees(full and/or part-time).* have hired the sub-contractors 6. ❑New construction
2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7. ❑ Remodeling
ship and have no employees These sub-contractors have 8. ❑Demolition
workingfor me in an capacity. employees and have workers'
Y P ty� 9. ❑ Building addition
[No workers' comp. insurance comp. insurance.$
required.] 5. ❑ We are a corporation and its 10.❑ Electrical repairs or additions
3.❑ I am a homeowner doing all work officers have exercised their 11.❑ Plumbing repairs or additions
myself. [No workers' comp. right of exemption per MGL 12.❑ Roof repairs
insurance required.]t c. 152, §1(4);and we have no
employees. [No workers' 13.0 Other
comp.insurance required.]
*Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information.
tHo meowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such.
lContractors 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: Liberty Insurance Corporation
Policy#or Self-ins.Lic.#: WC7-625-092815-037 Expiration Date: 11-1-08
�(faA2.N STJLg�.6 'I`ewN
Job Site Address: W1- =YA N N ou4N Foa9 1ST Fes. City/State/Zip: Nv�, MA 02&0 1
Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date).
Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a
fine up to$1,500.00 and/or one-year imprisonment, as well as civil penalties in the form of a STOP WORK ORDER and a fine
of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of
Investigations of the DIA for insurance coverage verification.
I do hereby certify under the pains and penalties of perjury that the information provided above is true and correct.
Si nature: Date: / o
617-247-640
Phone#:
Official use only. Do not write in this area, to be completed by city or town off ciaL
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#:
f
' T
- lfoa"r"tc o� i7 NO gaTati ns an an s
Construction.Supervisor License
License: CS 67914
Exrat lion
p _M `91/4/2009 TrR 10320 e
Restriction 00' t
�F
• � � GERALD R MAGWILLIAM I
s 1200 PLEASANT
4 WEYMOUTH,MA 02189:� `r Commissioner
i
TurnerMemo
From: Gerry MacWilliam
Office: Turner Construction
2 Seaport Lane
Boston, MA 02210
Date: September 16, 2008
Re: Permit Signature Approval
Town of Barnstable
Building Division
200 Main Street
Hyannis, MA
02601
To Whom It May Concern:
I am writing this letter to authorize Laura Jolly of Turner Construction to sign on my behalf in
order to apply and receive a Building Permit for the following project: Nutter McClennen &
Fish ALP located at 1471 Iyannough Road, Vt Floor in Hyannis. MA 02601 (Barnstable
Town).
My License number is# e5 r!a rf 9l -
Class C S
Expiration Date
Sincerely,
Dated /ILI 0
Gerry MacWilliam
Turner Construction
Construction Superintendent
Mobile: 617-592-1154
J
ARCHITECTURAL DESIGN AFFIDAVIT
I certify that the architectural drawings for this project have been prepared under my supervision,
and that to the best of my knowledge, information and belief they are in conformance with the
Massachusetts State Building Code and all other applicable codes, laws and ordinances.
Drawings dated September 15, 2008 for the project located at
1471 Iyannough Road, Hyannis, MA
David Gerber 5987
Architect Registration No.
e.c '
'<;:g`a owl NELSON
Company
F s vs87 27 Melcher Street, Boston, MA 02210
,. ..t ylcEti-fAEb:.
Address
tar MASS.
617.778.7229
Seal ;r�OF Telephone
Then personally appeared the above named �i�U lG7 (v'�-r�►�L -
And made oath that the above statement by him/her is true
Before me,
Notary P lic
My Commissio
FY
ooMMOTN
FAST TRACK BUILDING PERMIT PROGRAM
FOR COMMERCIAL OFFICE BUILDINGS
INSPECTION AFFIVAVIT
The Inspectional Services Commissioner:
Re:Nutter McClennen&Fish LLP 1471 Ivannough Rd.Hyannis MA
I certify that the best of my knowledge,information and belief. (a)the plans conform to the
Massachusetts State Building Codes,and the Boston Zoning Code,and all other applicable codes,laws and
regulations: (b)the proposed work does not constitute a substantial alteration of an existing building;(c)
the propsed work does not involve a change of use,as defined in the Boston Zoning Code and
Massachusetts State Building Code;(d)the structural alterations and floor loading shown on the plans
comply with the Massachusetts State Building code;(e)the plans conform with applicable fire codes and
that if required,the installation of fire alarms,smoke,etc.have been or will be provided and indicated on
the plans and specifications in accordance with the code.
Engineer Name:Raymond W.Dusseault III
Company Name: Engineering Design Service.
Address: 141 Industrial Drive, Slatersville,RI 02876
Mass.Registration Number:40709
Date:09.12.05
Then personally appeared the above named?o!ju eud W'ySs ecto l f and made oath that the above
statement by him is true.
e,
a
• e:GJ, = f� My commission expire il, 3A3 �
vs •c—li
E T 1CAL °
�9No.4U70940 a BARBARA J. PAl1L
otSTEe� �,.t` NOTARY PUBLIC
000
STATE OF RHODE ISLAND
MY Commission Expires November 23,2011
FAST TRACK BUILDING PERMIT PROGRAM
FOR COMMERCIAL OFFICE BUILDINGS
INSPECTION AFFIVAVIT
The Inspectional Services Commissioner:
Re:Nutter McClennen'&Fish LLP 1471 Iyannough Rd.Hyannis,MA
I certify that the best of my knowledge,information and belief: (a)the plans conform to the
Massachusetts State Building Codes,and the Boston Zoning Code,and all other applicable codes,laws and
regulations: (b)the proposed work does not constitute a substantial alteration of an existing building; (c)
the propsed work does not involve a change of use,as defined in the Boston Zoning Code and
Massachusetts State Building Code;(d)the structural alterations and floor loading shown on the plans
comply with the Massachusetts State Building code;(e)the plans conform with applicable fire codes and
that if required,the installation of fire alarms,smoke,etc.have been or will be provided and indicated on
the plans and specifications in accordance with the code.
Engineer Name: Glen G.Markey
Company Name:Engineering Design Service.
Address: 141 Industrial Drive,Slatersville,RI 02876
Mass.Registration Number:41542
Date:09.12.05
Then personally appeared the above named Gf P— Cj, Nru(g-eJ and made oath that the above
statement by him is true.
e me,
GF : "4
^ � My commission expires
GLEN G. t=,;•rr
WAXEY
MECHMICAL
°� BARBARA J. PAUL
No.41542 r NOTARY PUBLIC
st�g �w STATE OF 3HODE ISLAND
My Commis xpires November 23,2011
Y �
V
FAST TRACK BUILDING PERMIT PROGRAM
FOR COMMERCIAL OFFICE BUILDINGS
INSPECTION AFFIVAVIT
The Inspectional Services Commissioner:
Re:Nutter McClennen&Fish LLP 1471 Iyannough Rd Hyannis MA
I certify that the best of my knowledge,information and belief. (a)the plans conform to the
Massachusetts State Building Codes,and the Boston Zoning Code,and all other applicable codes,laws and
regulations: (b)the proposed work does not constitute a substantial alteration of an existing building; (c)
the propsed work does not involve a change of use,as defined in the Boston Zoning Code and
Massachusetts State Building Code;(d)the structural alterations and floor loading shown on the plans
comply with the Massachusetts State Building code; (e)the plans conform with applicable fire codes and
that if required,the installation of fire alarms,smoke,etc.have been or will be provided and indicated on
the plans and specifications in accordance with the code.
Engineer Name: William T.Mayer
Company Name: Engineering Design Service.
Address: 141 Industrial Drive Slatersville RI 02876
Mass.Registration Number:46021
Date:09.12.05
Then personally appeared the above named h%A!2t( and made oath that the above
statement by him is true.
e me,
OF
My commission expires 1) 3-�1
A�T.
BARBARA J. PAUL
NOTARY PUBLIC
STATE OF RHODE ISLAND
My Corr.^;ss!on Expires November 23,2011
F r Tin of Barnstable
Regulatory Services
s ta~ss Thomas F.Geger,Director
Building Division
Tom Perry, Building Commissioner +
200 Main 5`tteet, IJyaunis,MA 02601
www-town.barnstabie.maus
Office: 508-862.40.38 Fax: 508-790-6230
Property Owner Must
Complete and Sign This Section
If Using ABuilder
I, T c)h n S h i P 1 d g ,as Cvner•of the subject properc7
herebyauthorize Turner Special Projects DivisioAo act on mybehalf,
in all matters relative to work authorized by this building permit application for:
1471 T yannough$gad, -Hyannis 14A 02601
(Address of Job)
Q/C
S tune of Owner Date
�
Prim"1�
Q:F0xMS:0VrrMRF M s10N
i
Massachusetts Department of Environmental Protection
Bureau of Waste Prevention • Air Quality 100078382
BWP ACC 06 Decal Number
Notification Prior to Construction or Demolition
ImporMenfilli�ngout 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 use the return (DEP), Bureau of Waste Prevention-Air Quality Control Regulations 310 CMR 7.09. Notification of
key. 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:this form must be Blanket Decal Number
completed in order 2 Facilit Information:
to comply with the y
Department of SHALLOW POND CENTER
Environmental
Protection a.Name
notification 11471 IYANNOUGH ROAD, 1ST FLOOR
requirements of b.Address
310 CMR 7.09
BARNSTABLE IMA I 02601
c.Citv/Town d.State e.ZiD Code
(508)790-5411
f.Tele hone Number area code and extension .E-mail Address(optional)
16,614 12
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:
COMMERCIAL OFFICE SPACE
I. Is the facility a residential facility? ❑ Yes ❑✓ No
_o m. If yes, how many units?
Number of Units
-O 3. Facility Owner:
�N SHALLOW POND PROFESSIONAL
�o a.Name
�0 1683 C MAIN STREET
b.Address
OSTERVILLE MA 02655
�(0 C.Cit /Town d.State e.Zip Code
o (508)428-4323
f.Telephone Number area code and extension o.E-mail Address(oDtional
a JOHN SHIELDS
-Q h.Onsite Manager Name
0 ag06.doc•10/02 BWP AQ 06 Page 1 of 3
Massachusetts Department of Environmental Protection ■
Bureau of Waste Prevention • Air Quality 100078382
'i7. l BWP AQ 06 Decal Number
Notification Prior to Construction or Demolition
General Statement:If B. General Project Description Cont.
asbestos is found
during a 4. General Contractor:
Construction or
Demolition ITURNER CONSTRUCTION COMPANY
operation,all
responsible parties a.Name
must comply with 12 SEAPORT LANE,2ND FLOOR
310 CMR 7.00, b.Address _
Chapter
er7. 2 and BOSTON MA � 02210
Chapter 1 E of the
General Laws of c.City/Town d.State e.Zip Code
the Commonwealth. (617)247-6400 1 lljolly@tcco.com
This would include, f.Tele hone Number area code and extension .E-mail Address(optional)
but would not be
limited to,filing an IGERRY MACWILLIAM
asbestos removal h.On-site Manager Name
notification with the
Department and/or
a notice of
release/threat of release of a C. General Construction or Demolition Description
hazardous
substance to the 1. Construction or demolition contractor:
Department,if
applicable. ITURNER CONSTRUCTION
a.Name
2 SEAPORT LANE,2ND FLOOR
b.Address
BOSTON I MA 02210
c.City/Town d.State e.Zip Code
(617)247-6400 1 lljoliy@tcco.com
f.Telephone Number(area code and extension) g.E-mail Address(optional)
GERRY MACWILLIAM
h.On-site Manager Name
2. On-Site Supervisor:
GERRY MACWILLIAM
On-Site Supervisor Name
3. Is the entire facility to be demolished? ❑ Yes 0 No
�N
=0 4. Describe the area(s)to be demolished:
�O INTERIOR ARCHITECTURAL&ELECTRICAL& HVAC.
�N
�O
�O
5. If this is a construction project, describe the building(s)or addition(s)to be constructed:
INTERIOR CONSTRUCTION OF OFFICE SPACE.
�0
�a
�Q
I
■ ag06.doc•10/02 BWP AQ 06•Page 2 of 3■
Massachusetts Department of Environmental Protection ■
Bureau of Waste Prevention . Air Quality 100078382
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.Surve or Name
c.Division of Occupational Safety Certification Number
7. Construction or Demolition: 10/08/2008 10/31/2008
a.Start Date(mm/dd/yyyy) b.End Date(mm/dd/yyyy)
8. a. For demolition and construction projects, indicate dust suppression techniques to be used:
❑ seeding ❑ paving
❑ wetting ❑ shrouding b. If other, please specify:
❑ covering ✓❑ other HEPAFILTER TO VENT TO EXTERIOR
9. For Emergency Demolition Operations,who is the DEP official who evaluated the emergency?
N/A: NO EMERGENCY DEMOLITION OPERATIONS
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 LAURA JOLLY
=o above and that to the best of my a.Print Name
_o knowledge it is true and complete. ILAURAJOLLY
The signature below subjects the b.Authorized Signat
-N signer to the general statutes PROJECT MANAGER
=o regarding a false and misleading c. Position/I Me
io statement(s). ITURNER CONSTRUCTION COMPANY
d.Representing
09/16/2008
�(D e.Date(mm/dd/yyyy)
i-o
�d
�Q.
■ ag06.doc•10/02 BWP AQ 06•Page 3 of 3■
Turn = Special Projects
Laura R.Jolly,AIA Turner Construction Company
Project Manager Two Seaport Lane
2nd Floor
Boston,MA 02210
phone:617.247.5558
fax:617.247.5456
mobile: 617.293.7226
Ijolly@tcco.com
Building the Future
Shea,, Sally
From: Fire Dept at Hinckley
Sent: Thursday, October 02, 2008 8:47 AM
To: Shea, Sally
Subject: 1471 lyannough RD
Hi,
All .set for permit for Nutter, & Fish at 1471 Iyan, Rd. This will be a tenant fit out
for the first floor. Thanks Don
PROJ"EC
NAME:. ,�
ADDRESS:
PERMIT#
PERMU DATE:
LARGE ROLLED PEA 'rS ARE IN:
BOX (� '
T
Data entered. in MAPS program on:
BY:
'cz- k-