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HomeMy WebLinkAbout0006 MAIN STREET (HYANNIS) 1 �. � a �. I --J 1 SEARCH RECORDS STREET FILES PENTAMATION PERMIT BOOK YELLOW COPIES ✓ 3aYdyi ._ At<�t �aE► TO � Pnntetl On 4f1f201�9 r y Cornplai4nt �CaIIRepc�rt , 6 ain Sreet, �lyannis leINM s TEnMpI° x t �UCGSPr it V9 G3 x 0, 11 Case#: C-19-233 Address: 6 Main Street, Hyannis Date: 3/29/2019 Owner Info: Property Info: MBL: 5088624039 Owner Notified?: Complaint Details: Type of Complaint Classification of Complaint Method of Complaint Building Code, Medium Priority Phone Complaint Summary The Railings going up the stairs are to short he thought they were 3'and should be 6'. Action Histoiy: Action Taken Date Description Fee Inspector Close Case 4/1/2019 $0.00 mckechnr Inspector Assigned to Complaint: mckechnr Filed by: coyleb Comments: Comment Date Commenter Comment 4/1/2019 mckechnr Buildings are Historic, built in 1948(assessor's records). I will presume that the railing heights were acceptable when the buildings were constructed. If they are replaced,they will have to comply with the current building code requirements. Appear original wrought iron with fresh paint. f� 4F/1/2 19 �" �To�wn�;of�Barnstable, °F1HET � Town of Barnstable sAxxsrABLE, Building Department-200 Main Street 9 �00 Hyannis, MA 02601 $AIEa M Tel. (508) 862-4038 Certificate Of Occupancy Permit Number: B-18-3798 CO Issue Date: 10/3/2019 Parcel ID: 342-041-1304 Zoning Classification: MS Location: 6 BLDG B UNIT 4 MAIN STREET (HYANNIS), Proposed Use: HYANNIS Name of Tenant: Sprinklers Provided: No Gen Contractor: ROLAND B CATIGNANI Permit Type: Commercial - Business Type of Construction: Design Occupant Load: 38 Comments: Certificate of Occupancy for all of Building B composed of units 4,5,6 and 7 2 � Building Official Date: A Certificate of Occupancy is Required Prior to Occupying Space Building Code: 780 CMR 8th Edition Final Construction Control Document H To be submitted at completion of construction by a v x Registered Design Professional for work per the 9`h edition of the Ylb Massachusetts State Building Code, 780 CMR, Section 107 Project Title: Cape Cod Surgical new location renovation Date: 10/02/19 Permit No(s).B-18-3798,B-18-3799,B-18-3800,B-18-3801 Property Address: 6 Main st., Units 4-7,Hyannis MA . Project: Check(x)one or both as applicable: New construction X Existing Construction r Project description: Renovation of existing office space. Use group to remain the same I,Jason Herzog RA,MA Registration Number: 951451 Expiration date: 8/31/20 , am a registered design professional, and I have prepared or directly supervised the preparation of all design plans,computations and specifications concerning: X Architectural Structural Mechanical Fire Protection Electrical Other: Describe for the above named project. I,or my designee,have performed the necessary professional services in accordance with the Professional Standard of Care and was present at the construction site on a regular and periodic basis.To the best of my knowledge,information, and belief the work proceeded in accordance with the requirements of 780 CMR and the design documents approved as part of the building permit and that I or my designee: f 1. Have reviewed,for conformance to this code and the design concept,shop drawings,samples and other submittals by the contractor in accordance with the requirements of the construction documents. 2. Have performed the duties for registered design professionals in 780 CMR Chapter 17,as applicable. 3. Have been present at intervals appropriate to the stage of construction to become generally familiar with the progress and quality of the work and to determine:if the work was performed in a manner consistent with the construction documents and this code. . Nothing in this document relieves the contractor of its responsibility regarding the provisions of 780 CMR 107. Enter in the space to the right a"wet"or AA electronic signature and seal: 0 AqC d N HEgl'�F ♦ No.951451 MARSHFIELD H MAS Gi �,► �tTy 0 MAS Po i�P t Phone number:508 888 6555 Email:Jherzog@conservgroup.com Building Official Use Only Building Official Name: Permit No.: Date: Version 061 t 2013 Town of Barnstable Building. • i' Post This CardmSo That it is 1/isible From the Street Approved Plans Must be.,Retained on•Job and#his Cand Must be Kept MAS& Posted Unt�I Final Inspection Has Been Made •• • Permit Whe eta Certificateof•Occu anc u�red such:6ildin shall Not be:Occu ieduntil a Final:I s ection has been'made. a P .1y is=Req 3i .-- .' g :, _ Pam:, ,. ; P „ �> Permit NO. B-18-3798 Applicant Name: ROLAND B CATIGNANI Approvals Date Issued: 12/07/2018 Current Use: Structure Permit Type: Building-Alteration INTERIOR Work Only- Expiration Date: 06/07/2019 Foundation: Commercial Map/Lot 342-041-1304 Zoning District: MS Sheathing: Location: 6 UNIT 4 MAIN STREET(HYANNIS), HYANNIS g, . Contractor:Name, ROLAND B CATIGNANI Framing: 1 g , Owner on Record: RUFLETH,CANDACE C& PETER W TRS Contrac#or License CS,005157 •; 2 Address: 230 PARK AVENUE A' 4 E'st Project Cost: $51,179.00 Chimney: CENTERVILLE, MA 02632 Permit Fee: $565.73 Description: Renovation of esisting medical office no chane of use Insulation: Fee Paid, $565.73 Project Review Req: Date ;` 12/7/2018 A �y _1/ ? Plumbing/Gas Rough Plumbing: Building Official Final Plumbing: �. Sys Rough Gas: This permit shall be deemed abandoned and invalid unless the work authorrzed by this permit is commenced within six-months after issuance. All work authorized by this permit shall conform to the approved application and the approved construction documents for which this permit has been granted. Final Gas: All construction,alterations and changes of use of any building and structures shall bye in compliance with the local zoning by laws a d codes. This permit shall be displayed in a location clearly visible from access street or Foad'and shall be maintained open for public inspection for the entire duration of the Electrical work until the completion of the same. - . Q Service: The Certificate of Occupancy will not be issued until all applicable signures by the Building and Fre Officials are provided on this permit. at Minimum of Five Call Inspections Required for All Construction Work: Rough: 1.Foundation or Footing 2.Sheathing Inspection Final: 3.All Fireplaces must be inspected at the throat level before firest flue lining is installed 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection Low Voltage Rough: 5.Prior to Covering Structural Members(Frame Inspection) Low Voltage Final: 6.Insulation 7.Final Inspection before Occupancy Health Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Final: Work shall not proceed until the Inspector has approved the various stages of construction. Fire Department "Persons contracting with unregistered contractors do not have access to the guaranty fund" (as set forth in MGL c.142A). Final: Building plans are to be available on site All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel C3'T/ � ,Y�l/ fi Application # Health Division 7 Date Issued NovZI Conservation DivisionQ�� Application Fee Planning Dept. AWN ' Permit Fee 8 JVv Date Definitive Plan Approved by Planning Board <d�� Historic OKH _ Preservation/ Hyannis Project Street Address Aht Village Owner JE )e_% �-�rw of Address 44 YVAk tL 9AW Imo- ff --f�,�Aft+► �A� �.�vs�'„ �!� r��fd Telephone 4/d 4k i y 7ZS'-� dro Permit Request '►'1CW P12 awe- Viet 6n� �7YlZ�>��j Al� V // r- Square feet: 1 st floor: existing proposed �2'l 2nd floor: existin I proposed Total new / Y Zoning District Flood Plain Groundwater Overlay � � Project Valuation S� IConstruction Type Lot Size 01 A Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family(# units) Age of Existing Structure 16vAZ Historic House: ❑Yes fl-K'o On Old King's Highway: ❑Yes i&lo Basement Type: ❑ Full ❑ Crawl ❑Walkout id`6ther 9L&;-6 Basement Finished Area(sgft)� A- , 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: Mi Gas ❑ Oil ❑ Electric ❑ Other Central Air: U<s 0 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 2-Yes ❑ No If yes, site plan review# Current Use 246VIcAt am Proposed Use � Ls APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Named Telephone Number Address �l� � � a �1/1 r License #CS,dd 571_7 Okeo 47 66A29C Home Improvement Contractor# Email ACA T t147hJi e- e?.4&04 w•6nK Worker's Compensation # Ale z /Y-%?;3�;Z YZ- ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATU DATE &"'S, ►W-7- FOR OFFICIAL USE ONLY APPLICATION # DATE ISSUED MAP/ PARCEL NO. ADDRESS VILLAGE OWNER DATE OF INSPECTION: FOUNDATION FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. f ConSery GROUP, INCORPORATEO November 16, 2018 To: Deputy Fire Chief Dean Melanson Hyannis Fire Department 95 High School Rd ext. Hyannis, MA 02601 Re: IEBC Narrative for 6 Main St Hyannis Deputy Chief Melanson, Below is an IEBC narrative for the existing structure at the above address for your review and record. Existing Conditions Total building area: 3518 s.f. (including infill of existing porch) Type of Construction: VB Current Use Group: B Proposed Use Group: B Sprinklered: No Max Path of travel: 75' Actual max path: 63' Occupancy Load: First Floor: 16 Second Floor: 16 Loft: 4 Total allowed: 36 (3518/100s.f. pp) Level 3 Alteration: Stair Enclosure Does not require 1 hr enclosure IEBC 2015 sec. 903.1 (803.2.1 exception 1,exception 5.1) 903.1 - Existing Shaft and Vertical Openings: Existing stairways that are part of the means of egress shall be enclosed in accordance with Section 803.2.1 from the highest work area floor to, and including,the level of exit discharge and all floors below. 803.2.1 Exception 5. In Group B occupancies, a minimum 30-minute enclosure shall be provided to protect all vertical openings not exceeding three stories.This enclosure,or the enclosure specified in Section 803.2.1, shall not be required in the following locations: 803.2.1 Exception 5.1. Buildings not exceeding 3,000 square feet(279 m2) per floor. 110 State Road,Suite 7,Sagamore Beach,MA 02562 P(508)888-6555 F(508)888-6566 www.conservgroup.com Page 1 of 2 Automatic Sprinkler System Automatic Sprinkler system not required CMR 780 91" Edition Amendments 903.2 Delete sections 903.2 through 903.2.10.1, and replace with the following: [F]903.2 Where required. Approved automatic sprinkler systems in all new, and some existing, buildings and structures shall be provided in accordance with items 1 and 2, below: 1. In accordance with the following enhanced sprinkler provisions, as required by the respectively-referenced statute: a. The following statutes are enforced by the head of the fire department, and shall be appealed through the automatic sprinkler appeals board: i. M.G.L. c. 148,§26A112:certain high-rise buildings constructed prior to 01/01/1975; ii. M.G.L. c. 148,§26G:certain non-residential structures that exceed 7,500 square feet; iii. M.G.L. c. 148,§26G1/2: bars, nightclubs, dance halls, and discotheques with a capacity of 100 or more persons;and iv. M.G.L. c. 148,§ 26H (if adopted through local option): lodging or boarding houses with six or more persons boarding or lodging. Means of Egress No additional means of egress required IEBC 2015 905(805.3) - Number of Exits The number of exits shall be in accordance with Sections 805.3.1 through 805.3.3. 805.3.1 Minimum Number Every story utilized for human occupancy on which there is a work area that includes exits or corridors shared by more than one tenant within the work area shall be provided with the minimum number of exits based on the occupancy and the occupant load in accordance with the International Building Code. In addition, the exits shall comply with Sections 805.3.1.1 and 805.3.1.2. 805.3.1.1 Single-Exit Buildings Only one exit is required from buildings and spaces of the following occupancies: 1. In Group A, B, E, F, M, U and S occupancies,a single exit is permitted in the story at the level of exit discharge when the occupant load of the story does not exceed 50 and the exit access travel distance does not exceed 75 feet(22 860 mm). I Page 2of2 Initial Construction Control Document W To be submitted with the building permit application by a a Registered Design Professional for work per the 9th edition of the � h Jev Massachusetts State Building Code, 780 CMR, Section 107 Project Title: Cape Cod Surgical-New Location Date: 11/13/18 Property Address: 6 Main St,Hyannis MA 02601 Project: Check(X) one or both as applicable:_New construction X Existing Construction Project description: Renovation of existing 2 story wood medical office building. Use group to remain the same. I,Jason Herzog,RA, MA Registration Number: 951451 Expiration date: 8/31/19 , am a registered design professional, and I have prepared or directly supervised the preparation of all design plans,computations and specifications concerning: X Architectural Structural Mechanical Fire Protection Electrical Other: for the above named project and that to the best of my knowledge, information, and belief such plans, computations and specifications meet the applicable provisions of the Massachusetts State Building Code, (780 CMR),and accepted engineering practices for the proposed project, I understand and agree that I(or my designee) shall perform the necessary professional services,in accordance with the Professional Standard of Care and be present on the construction site on a regular and periodic basis to: 1. Review, for conformance to this code and the design concept, shop drawings, samples and other submittals by the contractor in accordance with the requirements of the construction documents. 2. Perform the duties for registered design professionals in 780 CMR Chapter 17, as applicable and as may be determined by the Building Official. 3. Be present at intervals appropriate to the stage of construction to become generally familiar with the progress and quality of the work and to determine if the work is being performed in a manner consistent with the approved construction documents and this code. Nothing in this document relieves the contractor of its responsibility regarding the provisions of 780 CMR 107. When required by the building official,I shall submit field/progress reports(see item 3.)together with pertinent comments, in a form acceptable to the building official. Upon completion of the work, I shall submit to the building official a `Final Construction Control Document'. 10 -1_4-A AA Enter in the space to the right a"wet"or ® � t,o. 51451 co 0 CD S electronic signature and seal: PJAiiJHF EL M S ta. a &\Try M Phone number: 508-654-0977 Email:jherzog@conservgroup.com •f Building Official Use Only Building Official Name: Permit No.: Date: Note 1.Indicate with an`x'project design plans,computations and specifications that you prepared or directly supervised.If`other'is chosen, provide a description. Version 06 11 2013 G i A MEMBER REPORT Second Floor,Beam over Office Area PASSED (�1F V 4 plece(s)1 3/4"x it 7/8"2.0E Microllam@ LVL Overall Length: 18' FR y>tic C : r i is r rrt F ti a 18, ;I 0 � All locations are measured from the outside face of left support(or left cantilever end).AII dlmenslons are horizontal. DeS1QR,Rr?Stt115 Actual�:Locahon ::` Allowed Result ,� LDF. Load:Coritbinat (Pattern) ...'.;. System:Floor Member Reaction(Ibs) 6698 @ 2" 18375(3,50") Passed(36%) 1.0 D+1.0 L All Spans) Member Type:Flush Beam Shear(Ibs) 5745 @ 1'3 3/8" 15794 Passed(36%) 1.00 1.0 D+1.0 L All Spans) Building Use:Residential Moment(Ft-Ibs) 29036 @ 9' 35696 Passed(81%) 1.00 1.0 D+1.0 L All Spans) Building Code:IBC 2015 Live Load Defl.(in) 0.529 @ 9' 0.589 Passed(1_1401) 1.0 D+1.0 L(All Spans) Design Methodology:ASD Total Load Defl.(In) 0.875 @ 9' 0.883 Passed(L/242) 1.0 D+1.0 L(All Spans) Deflection criteria:LL(L/360)and TL(L/240). Top Edge Bracing(W):Top compression edge must be braced at 13'11"o/c unless detailed otherwise. Bottom Edge Bracing(Lu):Bottom compression edge must be braced at 18'o/c unless detailed otherwise. Member should be side-loaded from both sides of the member to prevent rotation. ;Bearing Length Loads to Supports(Ibs) SUppOrtS " Total Available Required Dead F[oor 70Live gl AcLessories 1-Column-OF 3.50" 3.50" 1,50" 2648 4050 6698 None 2-Column-OF 3.50" 3.50" 1.50" 2648 4050 6698 None ' Tnbulary _ Dead Floor Live i>.i:•. Loads.. �o�,bon(side); , . wide, o:91i ao) comments 0-Self Weight(PLF) 0 to 18, N/A 24.2 1-Uniform(PSF) 0 to Ia'(Front) 9' 30.0 50.0 office and partition iNeyerEtaeuser Notes SUSTAINABLE FORESTRY INITIATIVE Weyerhaeuser warrants that the sizing of Its products will be in accordance with Weyerhaeuser product design criteria and published design values. l Weyerhaeuser expressly disclaims any other warranties related to the software.Use of this software is not intended to circumvent the need for a design professional as determined by the authority having Jurisdiction.The designer of record,builder or framer Is responsible to assure that this calculation is compatible with the overall project.Accessories(Rlm Board,Blocking Panels and Squash Blocks)are not designed by this software.Products manufactured at Weyerhaeuser facilities are thfrd-party certified to sustainable forestry standards.Weyerhaeuser Engineered Lumber Products have been evaluated by ICC FS under technical reports ESR-1153 and ESR-1387 and/or tested In accordance with applicable ASTM standards.For current code evaluation reports, Weyerhaeuser product literature and installation details refer to www.weyerhaeuser.oDm/woodpmducts/document-library. The product application,Input design loads,dimensions and support Information have been provided by Forte Software Operator .r►P��N OF M4,gLV DOIENIC W. cyN•r DeANGELO M STRUCTURAL N No,35062 A�pc9FGIS 6 A Orr Forte Software Operator Job Notes 11/13/2018 10:55:05 AN Domenic DeAngelo Cape Cod Surgical Associates,Ina Forte V5.4,Design Engine:V7.1.1-3 DWD Enginaering,Inc. 6 Main Street 15-001.41e (508)378-9602 Hyannis,MA domdaan@aoLcom 18483 Page 1 of 1 o. Commonwealth of Massachusetts Division of Professional Licensure ' Board of Building Regulations'and Standards ConstructionSu`pervisor CS-005157 E;pires: 05/23/2020 ROLAND B CATIGNANI,'z? �'; i 190 CONNERS��ROAD CENTERVILLE MA°02632 'F�! CCommissioner f ACC ® DATE(MM/DDNYYY) V CERTIFICATE OF LIABILITY INSURANCE 11/14/2018 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). -ONT CT PRODUCER NAME: Lynn Blanchard FIAT/Cross Insurance PHONE (603)669-3218 No): (603)645-4331 1100 Elm Street E-MAIL ADDRESS: lblchard@crossagency:com INSURERS AFFORDING COVERAGE NAIC# Manchester NH 03101 INSURER A:Continental Casualty Company 20443 INSURED INSURER B CONSERV GROUP, INC. INSURERC: 110 STATE ROAD INSURERD: SUITE 7 INSURER E: SAGAMORE BEACH MA 02562 INSURERF: COVERAGES CERTIFICATE NUMBER:18-19 WC only REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAYBE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE ADDL SUBR POLICY EFF POLICY EXP LIMITS LTR POLICYNUMBER MMIDD/YYYY MM/DDIYYYY COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ CLAIMS-MADE D OCCUR DAMAGE TO RENTED PREMISES Ea occurrence $ MED EXP(Any one person) $ PERSONAL&ADV INJURY $ GEN'LAGGREGATE LIMITAPPLIES PER: GENERAL AGGREGATE $ T RO LOC PRODUCTS.COMP/OPAGG $ POLICY❑ P JEC OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ Ea accident ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY(Per accident) $ NON-OWNED PROPERTY DAMAGE $ HIREDAUTOS AUTOS Per acciden UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DIED I I RETENTION$ $ WORKERS COMPENSATION 6014222869 7/1/2018 7/l/2019 X PER OTH- AT AND EMPLOYERS'LIABILITY Y/N I ER ANY PROPRIETOR/PARTNER/EXECUTIVE States: MA 6 CT E.L.EACH ACCIDENT $ 500,000 A OFFICERIMEMBE(Mandatory in NH) EEL. EXCLUDED? a NIA E.L.DISEASE-EA EMPLOYEE $ 500,000 If yes,describe under DESCRIPTION OF OPERATIONS below All Officers included E.L.DISEASE-POLICY LIMIT $ 500,000 DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space is required) RE: 6 Main Street, Hyannis, MA 02601. Refer to policy for exclusionary endorsements and special provisions. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Town of Barnstable THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN Attn: Building Department ACCORDANCE WITH THE POLICY PROVISIONS. 200 Main Street Hyannis, MA 02601 AUTHORIZED REPRESENTATIVE M Guarino/JSC �^'� e ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD INS025(201401) s me i,unirflu"weuccrc uJ 1r1uNaucr1u3ec13 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): �O�Ve��VOt1A /Xic— Address: 5v)1E' -7 City/State/Zip: 44 o,Zr Z- Phone #: Are you an employer? Check the appropriate box: Type of project(required): 1.[01'(am a employer with 20 4. ❑ 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. [Xemodeling ship and have no employees These sub-contractors have g• ❑ Demolition working for me in any capacity. employees and have workers' insurance. 9. ❑ Building addition [No workers comp.comp. insurance required.] 5. ❑ We are a corporation and its 10.0 Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their I LE] 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. 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 thename 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: q Policy#or Self-ins.Lic.#: � �v l�/�i�i�NIL IT Expiration Date: 7h�/ Job Site Address: N City/State/Zip:9Y0A/W/s, A+ ��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 herebyazntt14--k f perju t t the information provided above is true and correct. Signature: Date: / X? Phone M 5—w 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#: 1 r Town of Barnstable Building Department artment Services , '' 'hw 3. a Brian Florence,CB® 1639. ���� Building Commissioner Ep phpl , 200 Main Street,Hyannis,MA 02601 Nv►vw.town.barnstabYe.ma.us Office: 508-862-4038 Fax: 508-790-6230 is ]Property Owner Must Complete and Sign This Section � If Using;A Builder y as Owrier of the subject property(IN 06 AAMIMIT hereby authorize to act on my behalf, in all matters relative to work authorized by this building permit application for: i � (Address of job) 4 ' F **Pool fences and alarms are the responsibility of the applicant. Pools 4 are not to be filled or utilized before fence is installed and all final inspections e performed and accepted. i Sign re of O er Signature of App "{ , f- i I i Print.Name Print Name t I Ito 4 1 g Date x QFORMS OWNERPERMISSIONP00LS Rev:08116/17 i . Town of Barnstable Building Post This Card SoThat itis Visible From the Street Approved Plans MustTbe Retained on Joban`d;thisCard Must be„Kept I w BAR"'�MABL6, w. r v u �. 'r C a t� m Posted Until;Final Inspection Has-Been Made, Q a , Permit i639- 1 °` ' aew Where aCertificate:of OccupancyjisRegred,such Bwldmgshall Not?beOccup�edntIaF�nal Inspection has beenmade Permit No. B-18-3799 Applicant Name: ROLAND B CATIGNANI Approvals Date Issued: 12/07/2018 Current Use: Structure Permit Type: Building-Alteration INTERIOR Work Only- Expiration Date: 06/07/2019 Foundation: Commercial Map/Lot 342-041-18105 Zoning District: MS Sheathing: Location: 6 UNIT 5 MAIN STREET(HYANNIS), HYANNIS Contractor,Name' ROLAND B CATIGNANI Framing: 1 Owner on Record: RUFLETH,CANDACE C& PETER W TRS r Contractor"License CS-005157 41 2 Address: 230 PARK AVENUE Est Pro ect Cost: $51 179.00 v J>. Chimney: CENTERVILLE, MA 02632 Permit Fee: $565.73 Insulation: Description: renovation of existing office no change of use ,. Fee Paid;; $565.73 Project Review Req: F Date ` 12/7/2018 Final: j` G:`. -✓ Plumbing/Gas k' Rough Plumbing: Building Official Final Plumbing: Rough Gas: This permit shall be deemed abandoned and invalid unless the work authorized by£this permit is commenced within six'monthstafter issuance. All work authorized by this permit shall conform to the approved application-and the:approved construction documents for which this permit has been granted. Final Gas: All construction,alterations and changes of use of any building and structures shall be in compliance with the local zoning bylaws and codes. This permit shall be displayed in a location clearly visible from access street 6'road and shall be maintained open for public inspection for the entire duration of the i Electrical work until the completion of the same. I z . . Service: The Certificate of Occupancy will not be issued until all applicable signatures by the Building and Fire Officals are provided on.tFis permit. Minimum of Five Call Inspections Required for All Construction.Work: & Rough: 1.Foundation or Footing 2.Sheathing Inspection Final: 3.All Fireplaces must be inspected at the throat level before firest flue lining is installed 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection Low Voltage Rough: 5.Prior to Covering Structural Members(Frame Inspection) 6.Insulation Low Voltage Final: 7.Final Inspection before Occupancy Health Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Final: Work shall not proceed until the Inspector has approved the various stages of construction. "Persons contracting with unregistered contractors do not have access to the guaranty fund" (asset forth in MGL c.142A). Fire Department Final: Building plans are to be available on site All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT ConSery GROUP, INCORPORATED November 16, 2018 To: Deputy Fire Chief Dean Melanson Hyannis Fire Department 95 High School Rd ext. Hyannis, MA 02601 Re: IEBC Narrative for 6 Main St Hyannis Deputy Chief Melanson, Below is an IEBC narrative for the existing structure at the above address for your review and record. Existing Conditions Total building area: 3518 s.f. (including infill of existing porch) Type of Construction: VB Current Use Group: B Proposed Use Group: B Sprinklered: No Max Path of travel: 75' Actual max path: 63' Occupancy Load: First Floor: 16 Second Floor: 16 Loft: 4 Total allowed: 36 (3518/100s.f. pp) Level 3 Alteration: Stair Enclosure Does not require 1 hr enclosure IEBC 2015 sec. 903.1 (803.2.1 exception 1,exception 5.1) 903.1 - Existing Shaft and Vertical Openings: Existing stairways that are part of the means of egress shall be enclosed in accordance with Section 803.2.1 from the highest work area floor to, and including,the level of exit discharge and all floors below. 803.2.1 Exception 5. In Group B occupancies, a minimum 30-minute enclosure shall be provided to protect all verticalropenings not exceeding three stories. This enclosure,or the enclosure specified in Section 803.2.1, shall not be required in the following locations: 803.2.1 Exception 5.1. Buildings not exceeding 3,000 square feet(279 m2)per floor. 110 State Road,Suite 7,Sagamore Beach,MA 02562 P(508)888-6555 F(508)888-6566 www.conservgroup.com Page 1 of 2 f Automatic Sprinkler System Automatic Sprinkler system not required CMR 780 91" Edition Amendments 903.2 Delete sections 903.2 through 903.2.10.1, and replace with the following: [F]903.2 Where required. Approved automatic sprinkler systems in all new, and some existing, buildings and structures shall be provided in accordance with items 1 and 2, below: 1. In accordance with the following enhanced sprinkler provisions, as required by the respectively-referenced statute: a. The following statutes are enforced by the head of the fire department, and shall be appealed through the automatic sprinkler appeals board: i. M.G.L. c. 148,§26A1/2:certain high-rise buildings constructed prior to 01/01/1975; ii. M.G.L. c. 148,§26G:certain non-residential structures that exceed 7,500 square feet; iii. M.G.L. c. 148,§26G1/2: bars, nightclubs, dance halls, and discotheques with a capacity of 100 or more persons; and iv. M.G.L. c. 148,§26H (if adopted through local option): lodging or boarding houses with six or more persons boarding or lodging. Means of Egress No additional means of egress required IEBC 2015 905(805.3) - Number of Exits The number of exits shall be in accordance with Sections 805.3.1 through 805.3.3. 805.3.1 Minimum Number Every story utilized for human occupancy on which there is a work area that includes exits or corridors shared by more than one tenant within the work area shall be provided with the minimum number of exits based on the occupancy and the occupant load in accordance with the International Building Code. In addition, the exits shall comply with Sections 805.3.1.1 and 805.3.1.2. 805.3.1.1 Single-Exit Buildings Only one exit is required from buildings and spaces of the following occupancies: 1. In Group A, B, E, F, M, U and S occupancies,a single exit is permitted in the story at the level of exit discharge when the occupant load of the story does not exceed 50 and the exit access travel distance does not exceed 75 feet(22 860 mm). Page 2of2 Initial Construction Control Document u W To be submitted with the building permit application by a � W R Registered Design Professional for work per the 9th edition of the M ve' Massachusetts State Building Code, 780 CMR, Section 107 Project Title: Cape Cod Surgical-New Location Date: 11/13/18 Property Address: 6 Main St,Hyannis MA 02601 Project: Check(X) one or both as applicable:_New construction X Existing Construction Project description: Renovation of existing 2 story wood medical office building. Use group to remain the same. I, Jason Herzog,RA, MA Registration Number: 951451 Expiration date: 8/31/19 , am a registered design professional, and I have prepared or directly supervised the preparation of all design plans, computations and specifications concerning: X Architectural Structural Mechanical Fire Protection Electrical Other: for the above named project and that to the best of my knowledge, information,and belief such plans,computations and specifications meet the applicable provisions of the Massachusetts State Building Code, (780 CMR),and accepted engineering practices for the proposed project. I understand and agree that I(or my designee) shall perform the necessary professional services,in accordance with the Professional Standard of Care and be present on the construction site on a regular and periodic basis to: 1. Review, for conformance to this code and the design concept, shop drawings, samples and other submittals by the contractor in accordance with the requirements of the construction documents. 2. Perform the duties for registered design professionals in 780 CMR Chapter 17,as applicable and as may be determined by the Building Official. 3. Be present at intervals appropriate to the stage of construction to become generally familiar with the progress and quality of the work and to determine if the work is being performed in a manner consistent with the approved construction documents and this code. Nothing in this document relieves the contractor of its responsibility regarding the provisions of 780 CMR 107. When required by the building official, I shall submit field/progress reports(see item 3.)together with pertinent comments, in a form acceptable to the building official. Upon completion of the work,I shall submit to the building official a `Final Construction Control Document'. A.&AAA,A � G Enter in the space to the right a"wet"or 951451 ►' electronic signature and seal: C% IL4A;Stir EL Phone number: 508-654-0977 Email:jherzog@conservgroup.com ®�� •f— Building Official Use Only Building Official Name: Permit No.: Date: Note 1.Indicate with an `x'project design plans,computations and specifications that you prepared or directly supervised.If`other'is chosen, provide a description. Version 06 11 2013 I g F O R T E` MEMBER REPORT Second Floor,Beam over Office Area PASSED 4 plece(s)13/4 x 11 7/6 2.0E Microllam®LVL Overall Length: 18' pn ,PI L4 y :'�` ,L -�`1 }'� t } ♦h ? $r 5' .It Ft iT}..i'' a� F- b f + l aG q .�iy l o - - o All locations are measured from the outside face of left support(or left cantilever end).All dimensions are horizontal. DeS19R R@sLLIES. Achral Location AI[ouded Result LDt?_ Load Combination'(Patteln) System:Floor Member Reaction lbs) 6698 @ 2" 18375(3.50") Passed(36%) 1.0 D+1.0 L All Spans) Member Type:Flush Beam Shear(Ibs) 5745 @ 1'3 3/8" 15794 Passed(36%) 1.00 1.0 D+1.0 L All Spans) Building Use:Residential Moment(Ft-Ibs) 29036 @ 9' 35696 Passed(81%) 1.00 1.0 D+1.0 L All Spans Building Code:IBC 2015 Live Load Defl.(In) 0.529 @ 9' 0.589 Passed(1-/401) 1.0 D+1.0 L All Spans) Design Methodology:ASD Total Load Deft. In 0.875 @ 9' 0.883 Passed(L/242) 1.0 D+1.0 L(All Spans) Defection criteria:L.(V360)and TL(L/240). Top Edge Bracing(W):Top compression edge must be braced at 13'11"o/c unless detailed otherwise. Bottom Edge Bracing(Lu):Bottom compression edge must be braced at 18'olc unless detailed otherwise. Member should be side-loaded from both sides of the member to prevent rotation. Hearing Length I:oadsto Supports(Ibs) Supports Total Avallable Required Dead F1oV r` Total Accessories 1-Column-DF 3.50" 3.50" 1.50" 2648 4050 6698 None 2-Column-DF 3.50" 3.50" 1.50" 2648 40SO 6698 None Tnbutary,' Dead Floor.Live Loads Lacador((siae) with- (0 90) (x 00)`. .comments ;. 0-Self Weight(PLF) 0 to 18, N/A 24.2 i-Uniform(PSF) 0 to 18'(Front) 9' 30.0 50.0 office and partition INeyeriiaeuser Notes _: SUSTAtNABIE FORESTRY INITIATIVE Weyerhaeuser warrants that the sizing of its products will be In accordance with Weyerhaeuser product design criteria and published design values. l Weyerhaeuser expressly disclaims any other warranties related to the software.Use of this software Is not Intended to circumvent the need for a design professional as determined by the authority having jurisdiction.The designer of record,bullder or framer Is responsible to assure that this calculation Is compatible with the overall project.Accessories(Rim Board,Blocking Panels and Squash Blocks)are not designed by this software.Products manufactured at Weyerhaeuser facilities are third-parry certified to sustainable forestry standards.Weyerhaeuser Engineered Lumber Products have been evaluated by ICC ES under technical reports FSR-1153 and ESR-1387 and/or tested In accordance with applicable ASTM standards.For current code evaluation reports, Weyerhaeuser product literature and Installation details refer m www.weyerhaeuser.com/woodproducts/document-library. The product application,input design loads,dimensions and support Information have been provided by Forte Software Operator RMAY. 5'09(90 '�'(7 IRNN" ' i� 7 to .14- Pz�kk OF M4S.�f1 DwENIC W. c�N DeANGELO t o STRUCTURAL y No.35062 j I 1ppn 9FGIS A ►►Yr'ii Forte software Operator Job Notes 11/13/2018 10:55:05 AN Domenic DeAngeio Cape Cad Surgical Associates,Inc. Forte Y5.4,Design Engine:V7.1.1.3 DWD Engineering,tnc. 6 Main Street 15-001.4te (508)378.9602 Hyannis,MA domdean@aol.com 18483 Page 1 of 1 Commonwealth of Massachusetts Division of Professional Licensure Board of Building Regulations and Standards Constyr ct oNiu-pervisor CS-005157 Expires: 05/23/2020 ROLAND R+CAT IGNA4 /' 190 CONNERS,ROAD a . CENTERVILLE M#02632 %C1� 3L�1 Commissioner �/'� ACo CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDDIYYYY) `,� 11/14/2016 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT NAME: Lynn Blanchard FIAI/Cross Insurance PHONE (603)669-3218 FAX NO; (603)645-4331 1100 Elm Street E-MAIL ADDRESS: lblanchard@crossagency.com INSURERS AFFORDING COVERAGE NAIC# Manchester NH 03101 INSURER A:Continental Casualty Company 20443 INSURED INSURER B: CONSERV GROUP, INC. INSURERC: 110 STATE ROAD INSURERD: SUITE 7 INSURER E SAGAMORE BEACH MA 02562 INSURER F: COVERAGES CERTIFICATE NUMBER:18-19 WC only REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE ADDL SUBR POLICY EFF POLICY EXP LIMITS LTR POLICY NUMBER MM/DD/YYYY MM/DD/YYYY COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ CLAIMS-MADE D OCCUR PREMIDAMA ES(RENTED PREMISES Ea occurrence) $ MED EXP(Any one person) $ PERSONAL&ADV INJURY $ GEN'LAGGREGATE LIMITAPPLIES PER: - GENERAL AGGREGATE $ POLICY D PRO D LOC PRODUCTS-COMP/OPAGG $ JECT OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ Ea accident ANY AUTO - BODILY INJURY(Per person) $ ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY(Per accident) $ NON-OWNED PROPERTY DAMAGE $ HIREDAUTOS AUTOS Per accident UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB HCLAIMS-MADE AGGREGATE $ DIED RETENTION$ $ WORKERS COMPENSATION 6014222869 7/1/2018 7/1/2019 X PER OTH AND EMPLOYERS'LIABILITY Y/N T TU ANY PROPRIETORIPARTNER/EXECUTIVE States: MA 6 CT E.L.EACH ACCIDENT $ 500,000 OFFICER/MEMBER EXCLUDED? D N I A A (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE $ 500,000 If yes,describe under - DESCRIPTION OF OPERATIONS below All Officers included E.L.DISEASE-POLICY LIMIT $ 500,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space is required) RE: 6 Main Street, Hyannis, MA 02601. Refer to policy for exclusionary endorsements and special provisions. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Town of Barnstable THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN Attn: Building Department ACCORDANCE WITH THE POLICY PROVISIONS. 200 Main Street Hyannis, MA 02601 AUTHORIZED REPRESENTATIVE M Guarino/JSC ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD INS025(201401) ��� .ai®e ti.uar®arouasavruscs� u,/ �r�ussucnusei�� 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 � p Please Print LeEibly Name (Business/Organization/Individual): r0A/,sr-XV �A i 14(— Address: �l 5 � .oRD SUI1V 7 City/State/Zip: &fA o M4 2 Phone Are you an employer? Check the appropriate box: Type of project(required): 1.[DI am a employer with Z o 4. ❑ 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. [Xeemodeling ship and have no employees These sub-contractors have 8. ❑ Demolition working for me in any capacity. employees and have workers' [No workers' comp. insurance comp. insurance, 9. ❑ Building addition 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 13.❑ Other employees. [No workers' comp. insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. 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 -mployees. If the sub-contractors have employees,they must provide their workers'comp.policy number. l am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. ,t Insurance Company Name: C/n,ll q Policy#or Self-ins. Lic. #: � w l ��i2 ��`j Expiration Date: fob Site Address: /�if�N �T City/State/Zip: Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under 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 )f up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. l do hereby ce.tify-u er thepai,4s a d pen Ities of perju t the information provided above is true and correct. 3i ature: �^ a Xa�� Date: / Phone#: J 6 Official use only. Do not write in this area,to be completed by city or town official City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: Town of Barnstable P °� )wilding Department Services r 9 eaa.y 3. Brian Florence,CBO `�.�i639 sue✓ Building Commissioner FO AA�d 200 Main Street,Hyannis,MA 02601 www.toivn.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 f� Property Owner Must Complete and Sign This Section If Using A wilder I �� as Owner of the subject property C� >P�S I,A AiAI 4 fiy hereby authorize to act on my behalf, in all matters relative to work authorized by this building permit application for: 4 (Address of Job) j **Pool fences and alarms are the responsibility of the applicant. Pools j are not to be filled or utilized before fence is installed and all final j inspections e performed and accepted. 1 I Sign re of O er Signature ofApp Print Name Print Name Date j Q_FOR,NS:O%VNERPEP:MISSION-POOLS Rev:08/16/17 { TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel Application # 175 � — � Health Division 'VCa Di�� -Date Issued (z V 7 Conservation Division NOV 21 2018 Application Fee Planning Dept. rOl/lol O,� y Permit Fee Date Definitive Plan Approved by Planning Board rft�;> BLE � �� Historic - OKH _ Preservation/Hyannis Project Street Address _ f�, >%c✓ S�,Q��'l �L�� �// Village � �Ds OwnerAal.A 1$Qclx$ ddress eO .�t�•✓lill�d��.. ���� Telephone � O-D Permit Request 4Wn1XT1f3,PJ dP- &IY9127AX 011 lj aag N,9 G#,ei_0_p 1/`LC' quare feet: 1 st floor: existing 84, proposed 2nd floor: existing proposed Total new a7 J �rC4- Q/ -3 S,P Zoning District Flood Plain Groundwater Overlay Project Valuation 1 Construction Type Lot Size A Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family(# units) Age of Existing Structure : ,(LS Historic House: ❑Yes ©-No On Old King's Highway: ❑Yes Q-Ko Basement Type: ❑ Full ❑ Crawl ❑Walkout CikOther Y Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full: existing r'. 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: "as ❑Oil ❑ Electric ❑ Other Central Air: li<es ❑ 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 D" es ❑ No If yes, site plan review# Current Use r mer Proposed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name Telephone Number �� Address d ���� "( 7 License# Ae xe ]�Z , 041 � ���� Home Improvement Contractor# Email QUf 6")l✓i ) & LEA, Cr* Worker's Compensation # hV 4 /7•�a ��� ALL CONSTRUCTION DEBRIS RESULTING F M THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE I FOR OFFICIAL USE ONLY ,APPLICATION # DATE ISSUED MAP/PARCEL NO. ADDRESS VILLAGE OWNER DATE OF INSPECTION: FOUNDATION FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL ! PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. Town of Barnstable Building Post This Card So That it isVisible;From the Street" Approved;Plans Must?be Retained"on Job and,this Catd:.Mus be Kept �� DA16Nf)'CABL6,. .,� ,,; :i �,._- y. �. t r• r ..: �;� � = �Po h � i63g Wece•�a Certificate of O.ccu an"c t�s�Re, wired, 'such Bu�ldm zshall�Not'bC�ecupied•until:..a�Fina!Inspection has beenzmade er Permit NO. B-18-3800 Applicant Name: ROLAND B CATIGNANI Approvals Date Issued: 12/07/2018 Current Use: Structure Permit Type: Building-Alteration INTERIOR Work Only- Expiration Date: 06/07/2019 Foundation: Commercial Map/Lot 342-041 B06 Zoning District: MS Sheathing: Location: 6 UNIT 6 MAIN STREET(HYANNIS), HYANNIS „ Cori t'actor�Name:'' ROLAND B CATIGNANI Framing: 1 Owner on Record: RUFLETH,CANDACE C&PETER W TRS Contractor:License CS 005157 _ 2 Address: 230 PARK AVENUE " Est ProjectCost: $61,530.00 Chimney: CENTERVILLE, MA 02632 Permit Fee: $659.92 Description: Renovating existing office no change of use Insulation: Fee Paid;, $659.92 Project Review Req: Date 12/7/2018 Final: l /p t � Plumbing/Gas Rough Plumbing: Y^� ;> Building Official Final Plumbing: g Rough Gas: This permit shall be deemed abandoned and invalid unless the work authorized b this permit is commenced within six months after issuance. P Y All work authorized by this permit shall conform to the approved application and,, a approved construction documents for which this permit has been granted. Final Gas: All construction,alterations and changes of use of any building and structures shall be in compliance with the local zoning by laws and codes. This permit shall be displayed in a location clearly visible from access streetior;road and shall be maintained open for public inspect on for the entire duration of the work until the completion of the same. x Electrical Service: The Certificate of Occupancy will not be issued until all applicable signatures by the Building and Firegofficials are provided ontFiis permit. Minimum of Five Call Inspections Required for All Construction Work: Rough: 1.Foundation or Footing a.... .. - 2.Sheathing Inspection Final: 3.All Fireplaces must be inspected at the throat level before firest flue lining is installed 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection Low Voltage Rough: 5.Prior to Covering Structural Members(Frame Inspection) 6.Insulation Low Voltage Final: 7.Final Inspection before Occupancy Health Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Final: Work shall not proceed until the Inspector has approved the various stages of construction. "Persons contracting with unregistered contractors do not have access to the guaranty fund" (as set forth in MGL c.142A). Fire Department Final: Building plans are to be available on site All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT Vie Town of BarnstableBuilding •. Post This Caedo That it is V�s�ble;From the Street-Approved,,Plans MustxbeReta�ned on Job agd.th�s Card Must be Kept ; 'DAR*1�3C'AB r "� ,z,. } �yy '".� St ( ° ;p z y y s • - a Posted Urt�I Final Inspectio9,11a Hs Been fVlad�e x �, r �/ ti .. ` �� Certificate of. - ` ' m` shall Not'be,Occu zed utilaFinal In"s ection h s been made .: eor + Whece a� Occupancy s Required,such u d p .re Permit No. B-18-3801 Applicant Name: ROLAND B CATIGNANI Approvals Date Issued: 12/07/2018 Current Use: Structure Permit Type: Building-Alteration INTERIOR Work Only- Expiration Date: 06/07/2019 Foundation: .- Commercial Map/Lot: 342-041-607 Zoning District: MS Sheathing: Location: 6 UNIT 7 MAIN STREET(HYANNIS),HYANNIS '~ , Contractor,Name-� ROLAND B CATIGNANI Framing: 1 Owner on Record: RUFLETH,CANDACE C& PETER W TRS r Con�tracfor:Lcense CS=005157 2 Address: 230 PARK AVENUE, Est Pro ect Cost: $44,854.00 Chimney: CENTERVILLE, MA 02632 Per Fee: $508.17 ,. Description: renovation of existing office no change of use Insulation: Fee Paid:" $508.17 Project Review Req: Date = 12/7/2018 Final:®� Z�/e Plumbing/Gas , 5 r; Rough Plumbing: Building Official Final Plumbing: s Rough Gas: This permit shall be deemed abandoned and invalid unless the work authorized by this permit is commenced within six monthsrafter issuance. All work authorized by this permit shall conform to the approved application`and the;approved construction documents"for wFi"icKthis permit has been granted. Final Gas: All construction,alterations and changes of use of any building and structures shall be in compliance with the local zonirg by laws and codes. This permit shall be displayed in a location clearly visible from access street or road"and shall be maintained open for public inspection for the entire duration of the Electrical work until the completion of the same. Service: The Certificate of Occupancy will not be issued until all applicable signatures by#de Building and Fire Officials are provided on this permit. Minimum of Five Call Inspections Required for All Construction Work:,`,'' Rough: 1.Foundation or Footing 2.Sheathing Inspection Final: 3.All Fireplaces must be inspected at the throat level before firest flue lining is installed 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection Low Voltage Rough: 5.Prior to Covering Structural Members(Frame Inspection) Low Voltage Final: 6.Insulation 7.Final Inspection before Occupancy Health Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Final: Work shall not proceed until the Inspector has approved the various stages of construction. "Persons contracting with unregistered contractors do not have access to the guaranty fund" (as set forth in MGL c.142A). Fire Department Final: Building plans are to be available on site All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel oW-6),7 � � Application # LD,IV �� . Health Division Date Issued Conservation Division < NOV 2018 Application Fee Planning Dept. T®wN BAF?��Y ;� _ Permit Fee OF � A Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation/ Hyannis Project Stree t Address Village 3�� Owner�a# dkKs,I<mwK er-� Address *1!01,d>I Telephone 54' �'fs Permit Request �y���Idd✓✓1' d� 17-- pan l 44WAX t 6 6) Fo-- ' Wv Z�v *rrwwn. Xquare feet: 1 st floor: existing proposed 2nd fl r: existing /��'� proposed Total new 121 1W A 3 --�- Zoning District .S Flood Plain r— Groundwater Overlay PiPr j✓� Project Valuation Construction Type Lot Size +'��' Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family(# units) Age of Existing Structure O94 Historic House: ❑Yes 0'o On Old King's Highway: ❑Yes U-No Basement Type: ❑ Full ❑ Crawl ❑Walkout tether 9_9L6 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: was ❑Oil ❑ Electric . ❑ Other Central Air: Ves ❑ 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 e, es ❑ No If yes, site plan review# Current Use �./,E��C,�L � iGE= Proposed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name 1V c � ?4 I L Telephone Number Address 5041z­A` License # (. S 1�� a77KA y0 5k6A6e7A*eC_ 0K ,A Me Z Home Improvement Contractor# Email /Nil l'3g/w/ 6f Y14 Worker's Compensation # 141(5 0/ ALL CONSTRUCTION DEBRIS RESULTING FRO THIS PROJECT WILL BE TAKEN TO SIGNATURE � DATE /A/)� FOR OFFICIAL USE ONLY APPLICATION # DATE ISSUED MAP/PARCEL NO. ADDRESS VILLAGE OWNER DATE OF INSPECTION: FOUNDATION FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL - GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. Initial Construction Control Document u W To be submitted with the building permit application by a W a Registered Design Professional for work per the 9th edition of the Massachusetts State Building Code, 780 CMR, Section 107 Project Title: Cape Cod Surgical-New Location Date: 11/13/18 Property Address: 6 Main St, Hyannis MA 02601 Project: Check(X) one or both as applicable:_New construction X Existing Construction Project description: Renovation of existing 2 story wood medical office building. Use group to remain the same. I, Jason Herzog, RA, MA Registration Number: 951451 Expiration date: 8/31/19 , am a registered design professional, and I have prepared or directly supervised the preparation of all design plans, computations and specifications concerning: X Architectural Structural Mechanical Fire Protection Electrical Other: for the above named project and that to the best of my knowledge, information,and belief such plans,computations and specifications meet the applicable provisions of the Massachusetts State Building Code, (780 CMR),and accepted engineering practices for the proposed project. I understand and agree that I(or my designee) shall perform the necessary professional services,in accordance with the Professional Standard of Care and be present on the construction site on a regular and periodic basis to: 1. Review, for conformance to this code and the design concept, shop drawings, samples and other submittals by the contractor in accordance with the requirements of the construction documents. 2. Perform the duties for registered design professionals in 780 CMR Chapter 17,as applicable and as may be determined by the Building Official. 3. Be present at intervals appropriate to the stage of construction to become generally familiar with the progress and quality of the work and to determine if the work is being performed in a manner consistent with the approved construction documents and this code. Nothing in this document relieves the contractor of its responsibility regarding the provisions of 780 CMR 107. When required by the building official, I shall submit field/progress reports (see item 3.)together with pertinent comments, in a form acceptable to the building official Upon completion of the work, I shall submit to the building official a `Final Construction Control Document'. A,A�! F` A.SD ARC'`� 01 v!4 Enter in the space to the right a"wet"or ( Ho.951 451 electronic signature and seal: 2 NIA SHC- cL MA S. >a� Phone number: 508-654-0977 Email:jherzog@conservgroup.com 14(Ty f M Building Official Use Only Building Official Name: Permit No.: Date: Note 1.Indicate with an`x'project design plans,computations and specifications that you prepared or directly supervised.If`other'is chosen, provide a description. Version 06 1 l 2013 ConSery GROUP, INCORPORATED fizz no November 16, 2018 To: Deputy Fire Chief Dean Melanson Hyannis Fire Department 95 High School Rd ext. Hyannis, MA 02601 Re: IEBC Narrative for 6 Main St Hyannis Deputy Chief Melanson, Below is an IEBC narrative for the existing structure at the above address for your review and record. Existing Conditions Total building area: 3518 s.f. (including infill of existing porch) Type of Construction: VB Current Use Group: B Proposed Use Group: B Sprinklered: No Max Path of travel: 75' Actual max path: 63' Occupancy Load: First Floor: 16 Second Floor: 16 Loft: 4 Total allowed: 36 (3518/100s.f. pp) Level 3 Alteration: Stair Enclosure Does not require 1 hr enclosure IEBC 2015 sec. 903.1 (803.2.1 exception 1, exception 5.1) 903.1 - Existing Shaft and Vertical Openings: Existing stairways that are part of the means of egress shall be enclosed in accordance with Section 803.2.1 from the highest work area floor to, and including,the level of exit discharge and all floors below. 803.2.1 Exception 5. In Group B occupancies, a minimum 30-minute enclosure shall be provided to protect all vertical openings not exceeding three stories. This enclosure,or the enclosure specified in Section 803.2.1, shall not be required in the following locations: 803.2.1 Exception 5.1. Buildings not exceeding 3,000 square feet(279 m2) per floor. 110 State Road,Suite 7,Sagamore Beach,MA 02562 P(508)888-6555 F(508)888-6566 www.conservgroup.com Page 1 of 2 Automatic Sprinkler System Automatic Sprinkler system not required CMR 780 9t"Edition Amendments 903.2 Delete sections 903.2 through 903.2.10.1, and replace with the following: [F]903.2 Where required. Approved automatic sprinkler systems in all new, and some existing, buildings and structures shall be provided in accordance with items 1 and 2, below: 1. In accordance with the following enhanced sprinkler provisions, as required by the respectively-referenced statute: a. The following statutes are enforced by the head of the fire department, and shall be appealed through the automatic sprinkler appeals board: i. M.G.L. c. 148,§26A1/2:certain high-rise buildings constructed prior to 01/01/1975; ii. M.G.L. c. 148,§26G:certain non-residential structures that exceed 7,500 square feet; iii. M.G.L. c. 148,§26G1/2: bars, nightclubs, dance halls, and discotheques with a capacity of 100 or more persons;and iv. M.G'.L. c. 148,§26H (if adopted through local option): lodging or boarding houses with six or more persons boarding or lodging. Means of Egress No additional means of egress required IEBC 2015 905(805.3) - Number of Exits The number of exits shall be in accordance with Sections 805.3.1 through 805.3.3. 805.3.1 Minimum Number Every story utilized for human occupancy on which there is a work area that includes exits or corridors shared by more than one tenant within the work area shall be provided with the minimum number of exits based on the occupancy and the occupant load in accordance with the International Building Code. In addition, the exits shall comply with Sections 805.3.1.1 and 805.3.1.2. 805.3.1.1 Single-Exit Buildings Only one exit is required from buildings and spaces of the following occupancies: 1. In Group A, B, E, F, M, U and S occupancies, a single exit is permitted in the story at the level of exit discharge when the occupant load of the story does not exceed 50 and the exit access travel distance does not exceed 75 feet(22 860 mm). Page 2 of 2 I Ciei FOR d MEMBER REPORT Second Floor,Beam over Office Area PASSED �l i� V I[ 4 plece(s)13/4' x 11 7/8 2.0E Microllam@ LVL Overall Length: 18' o _ _!_;.. xt F ' o _ —— - - — ---- - -— 4. 18 �� a a All locations are measured from the outside face of left support(or left cantilever end).AII dimenslons are horizontal. DElSI n.RBSUIi 5. ..'. Actual�.Locatiori' Allowed .:. .Result LDF_ Load:Comlrmadon(Patten)' System:Floor Member Reaction Ibs) 6698 @ 2" 18375(3,50") Passed(36%) -- 1.0 D+1.0 L All Spans) Member Type:Flush Beam Shear(Ibs) 5745 @ 1'3 3/8" 15794 Passed(36%) 1.00 1.0 D+1.0 L All Spans) Building Use:Residential Moment(Ft-Ibs) 29036 @ 9' 35696 Passed(81%) 1.00 1.0 D+1.0 L All Spans) Building Code:18C 2015 Live Load Defl.(In) 0.529 @ 9' 0.589 Passed(L/401) 1.0 D+1.0 L All Spans) Design Methodology:ASD Total Load Defl. In 0.875 @ 9' 0.883 Passed(L/242) 1.0 D+1,0 L All Spans) Defection criteria:LL(U360)and TL(L/240). Top Edge Bracing(W):Top compression edge must be braced at 13'11"o/c unless detailed otherwise. Bottom Edge Bracing(Lu):Bottom compression edge must be braced at 18'o/c unless detailed otherwise. Member should be side-loaded from both sides of the member to prevent rotation. „ Heanhg Length Loads to Supports(lbs) Suppor#S Toby Available, Required Dead (O°r ;Total Accessories Liv 1-Column-DF 3.50" 3.50" 1.50" 2648 40SO 6698 None 2-Column-DF 3.50" 3.50" 1.50" 2648 4050 6698 None Tnbubry. - Dead FloarLuve , Loads Loco@on(Sloe), 4Yldth _ (0 go)' (iuo) comments 0-Self Weight(PLF) 0 to 18, N/A 24.2 1-Uniform(PSF) 0 to 18'(Front) 9' 30.0 50.0 office and partition Weji"aeilser Notes = <: fQ SUSTAINABLE FORESTRY INITIATIVE Weyerhaeuser warrants that the sizing of Its products will be in accordance with Weyerhaeuser product design criteria and published design values. �F Weyerhaeuser expressly disclaims any other warranties related to the software.Use of this software Is not Intended to circumvent the need for a design professional as determined by the authority having Jurisdiction.The designer of record,builder or framer Is responsible to assure that this calculation Is compatible with the overall project.Accessories(Rim Board,Blocking Panels and Squash Blocks)are not designed by this software.Products manufactured at Weyerhaeuser facilities are third-party certified to sustainable forestry standards.Weyerhaeuser Engineered Lumber Products have been evaluated by ICC ES under technical reports FSR-1153 and ESR-1387 and/or tested In accordance with applicable ASTM standards.For current code evaluation reports, Weyerhaeuser product literature and Installation detafs refer to www.weyerham6u.conilwoodproducts/dDcument-library. The product application,Input design loads,dimensions and support Information have been provided by Forte Software Operator f 5,0100 . .��P�qH OF MqS qf� DOMENiC K �yN DeANGELO o STRUCTURAL cam„ No.35062 A",r 9F O GIS A r�wv Forte Software Operator Job Notes 11/13/2018 10:55:05 AN Domenic DeAngelo Cape Cod Surgical Associates,Ina Forte v5.4,Design Engine:V7.1.1.3 DWD Engineering,Inc. 6 Main Street 15-001.4fe (508)378-9602 Hyannis,MA domdean@aol.com ISA83 Page 1 of 1 s._ Commonwealth of Massachusetts Division of Professional Licensure `�✓ Board of Building Regulations'and Standards ConstructlongSupervisor CS-005157 , t► Expires: 05/23/2020 ROLAND B CATI NANI " s �^'l`,t'� 190:CONNERS�ROAD CENTERVIL'LE MA 02632. , �i 31g:S �b Commissioner c i;, A00 O CERTIFICATE OF LIABILITY INSURANCE 7MM[DD1YYYY) `/ /14/2018 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT Lynn Blanchard NAME: FIAI/Cross Insurance PHONE (603)669-3218 FAX (603)645-4331 No Ex, AIC No 1100 Elm Street EMAIL ADDRESS: cy' lblanchard@crossag en com INSURERS AFFORDING COVERAGE NAIC# Manchester NH 03101 INSURERA:Continental Casualty Company 20443 INSURED INSURER B CONSERV GROUP, INC. INSURERC: 110 STATE ROAD INSURERD: SUITE 7 INSURER E SAGAMORE BEACH MA 02562 INSURERF: COVERAGES CERTIFICATE NUMBER:18-19 WC only REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR EXP LTR TYPE OF INSURANCE ADDL SUER POLICY NUMBER MMIDDPOLICY/YYYY MMI D EFF YIYYYY LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ CLAIMS-MADE 0 OCCUR DAMAGES(RENTED PREMISES Ea occurrence $ MED EXP(Any one person) $ PERSONAL&ADV INJURY $ GEN' JECT LAGGREGATELIMITAPPLIESPER: GENERAL AGGREGATE $ POLICY� PRO ❑ LOC PRODUCTS-COMP/OPAGG $ OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ Ea accident) ANYAUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY(Per accident) $ NON-OWNED PROPERTY DAMAGE $ HIREDAUTOS AUTOS Peracciden UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED RETENTION$ $ WORKERS COMPENSATION 6014222869 7/1/2018 7/l/2019 X PER OTH- AND EMPLOYERS'LIABILITY Y/N STATUTE ANY PROPRIETOR/PARTNER/EXECUTIVE States: MA 6 CT E.L.EACH ACCIDENT $ 500,000 OFFICER/MEMBER EXCLUDED? N❑NIA A (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE $ 500,000 If yes,describe under DESCRIPTION OF OPERATIONS below All Officers included E.L.DISEASE-POLICY LIMIT $ 500,000 DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space Is required) RE: 6 Main Street, Hyannis, MA 02601. Refer to policy for exclusionary endorsements and special provisions. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Town of Barnstable THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN Attn: Building Department ACCORDANCE WITH THE POLICY PROVISIONS. 200 Main Street Hyannis, MA 02601 AUTHORIZED REPRESENTATIVE M Guarino/JSC ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD INS025(201401) "V I.UU{rrlu"we"11" Uf 1YL(lJJ6EGr8LdJ'C69J Department of Industrial Accidents Office of Investigations C, 600 Washington Street ti Boston, MA 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name (Business/Organization/Individual): 00V�Xv �Uyd , /X[C— Address: 11P 5_)T15- -7 City/State/Zip: A o tS(2 Phone #: Are you an employer? Check the appropriate box: Type of project(required): 1.EJ' am a employer with -Lo 4. ❑ 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. modeling ship and have no employees These sub-contractors have 8. ❑ Demolition working for me in any capacity. employees and have workers' [No workers' comp. insurance comp. insurance.$ 9. ❑ Building addition 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 I LE] 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 13.❑ Other employees. [No workers' comp. insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. xContractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have :mployees. If the sub-contractors have employees,they must provide their workers'comp.policy number. [am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. �f ,� [nsurance Company Name: CA4 Policy#or Self-ins. Lic.#: � w l/�i;7^ ���] Expiration Date: 1 lob Site Address: /'�iFff N �� City/State/Zip: 41- gvze 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 )f 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. f do hereby ce lify u er the pai a d pen, lties of perju t at the information provided above is true and correct. 3i ature: ��^ Date: / Phone#: J 6 -,qh 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#: I i 4 ,> Town of Barnstable wilding Department Services 9RAMSTABM MAM Brian Florence,CBO ��ses� sue✓ Building Commissioner f0 MJ� 200 Main Street,Hyannis,MA 02601 ,mv iv.town.barnsta ble.ma.us Office: 508-862-4038 Fax: 508-790-6230 fo I Property Owner Must � Complete and Sign This Section If Using A Builder I PCL l_ '� 'EY ,as Owner of the subject property(in fas hereby authorize g to act on my behalf, in all matters relative to work authorized by this building permit application for: IA N ors y, �, ..t- I (Address of Job) i **Pool fences and alarms are the responsibility of the applicant. Pools are not to be filled or utilized before fence is installed and all final inspections e performed and accepted. -Sign re of er Signature oEApptuirt Print Name Print Name Date f F ()FOR.MS O%VNERP£R,MISStONP00LS Rev:08/16/t7 { i TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel �`T�'' BUILDING r-r- Application # Health Division NOV Date Issued 1 2010 Conservation Division Application Fee TOWN OF BARDS A,L _ CD�u� Planning Dept. Permit Fee , Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation/ Hyannis Project Street Address /w/ 5 o ✓�T� Villages OwnerARXM )NI t17 Address 44/4 Telephone Per it Request - AIPIX-rl ex) 6y A-Gg s r)-,�JA omcr op ty' Vic— dauare feet: 1 st floor: existing/ proposed 2nd flo r: existing proposed Total new /;?_7 Zoning District Flood Plain Groundwater Overlay AIP Project Valuation Construction Type V� Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family(# units) Age of Existing Structure 741 !LS Historic House: ❑Yes RKlo On Old King's Highway: ❑Yes U-No Basement Type: ❑ Full ❑Crawl ❑Walkout W10' ther SLA6 Basement Finished Area (sq.ft.) Basement Unfinished Area (sq.ft) Number of Baths: Full: existing new Half: existing l new Number of Bedrooms: existing _new Total Room Count (not including baths): existing new First Floor Room Count Heat Type and Fuel: Was ❑Oil ❑ Electric ❑Other Central Air: &4s ❑ 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 S4s ❑ No If yes, site plan review# Current Use 1 mAL Proposed Use d , APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name D Telephone Number r_ Address 1/0 5111Tr License# GS -_06s151 5W1q1&- AA6, '44 Home Improvement Contractor# o Email 604 Worker's Compensation # Ale- e /AW; 496 ALL CONSTRUCTION DEBRIS RESULTIN FROM -HIS PROJECT WILL BE TAKEN TO SIGNATURE DATE FOR OFFICIAL USE ONLY APPLICATION # 'r DATE ISSUED MAP/ PARCEL NO. ADDRESS VILLAGE OWNER DATE OF INSPECTION: FOUNDATION FRAME INSULATION ' FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL t� FINAL BUILDING J DATE CLOSED OUT ASSOCIATION PLAN NO. r i ConSery GROUP, INCORPORATED all HE November 16, 2018 To: Deputy Fire Chief Dean Melanson Hyannis Fire Department 95 High School Rd ext. - Hyannis, MA 02601 Re: IEBC Narrative for 6 Main St Hyannis Deputy Chief Melanson, Below is an IEBC narrative for the existing structure at the above address for your review and record. Existing Conditions Total building area: 3518 s.f. (including infill of existing porch) Type of Construction: VB Current Use Group: B Proposed Use Group: B Sprinklered: No Max Path of travel: 75' Actual max path: 63' Occupancy Load: First Floor: 16 Second Floor: 16 Loft: 4 Total allowed: 36(3518/100s.f. pp) Level 3 Alteration: Stair Enclosure Does not require 1 hr enclosure IEBC 2015 sec. 903.1 (803.2.1 exception 1,exception 5.1) 903.1 - Existing Shaft and Vertical Openings: Existing stairways that are part of the means of egress shall be enclosed in accordance with Section 803.2.1 from the highest work area floor to, and including,the level of exit discharge and`all floors below. 803.2.1 Exception 5. In Group B occupancies, a minimum 30-minute enclosure shall be provided to protect all vertical openings not exceeding three stories.This enclosure,or the enclosure specified in Section 803.2.1, shall not be required in the following locations: 803.2.1 Exception 5.1. Buildings not exceeding 3,000 square feet(279 m2) per floor. 110 State Road,Suite 7,Sagamore Beach,MA 02562 P(508)888-6555 F(508)888-65.66 www.conservgroup.com Page 1 of 2 A s Automatic Sprinkler System Automatic Sprinkler system not required CMR 780 91" Edition Amendments 903.2 Delete sections 903.2 through 903.2.10.1, and replace with the following: [F]903.2 Where required. Approved automatic sprinkler systems in all new, and some existing, buildings and structures shall be provided in accordance with items 1 and 2, below: 1. In accordance with the following enhanced sprinkler provisions, as required by the respectively-referenced statute: a. The following statutes are enforced by the head of the fire department, and shall be appealed through the automatic sprinkler appeals board: i. M.G.L. c. 148,§ 26A1/2:certain high-rise buildings constructed prior to 01/01/1975; ii. M.G.L. c. 148,§26G:certain non-residential structures that exceed 7,500 square feet; iii. M.G.L. c. 148,§26G1/2:bars, nightclubs, dance halls, and discotheques with a capacity of 100 or more persons; and iv. M.G.L. c. 148,§26H (if adopted through local option): lodging or boarding houses with six or more persons boarding or lodging. Means of Egress No additional means of egress required IEBC 2015 905(805.3) - Number of Exits The number of exits shall be in accordance with Sections 805.3.1 through 805.3.3. 805.3.1 Minimum Number Every story utilized for human occupancy on which there is a work area that includes exits or corridors shared by more than one tenant within the work area shall be provided with the minimum number of exits based on the occupancy and the occupant load in accordance with the International Building Code. In addition, the exits shall comply with Sections 805.3.1.1 and 805.3.1.2. 805.3.1.1 Single-Exit Buildings Only one exit is required from buildings and spaces of the following occupancies: 1. In Group A, B, E, F, M, U and S occupancies,a single exit is permitted in the story at the level of exit discharge when the occupant load of the story does not exceed 50 and the exit access travel distance does not exceed 75 feet(22 860 mm). Page 2 of 2 r Initial Construction Control Document To be submitted with the building permit application by a Registered Design Professional c h Jev for work per the 9th edition of the Massachusetts State Building Code, 780 CMR, Section 107 Project Title: Cape Cod Surgical-New Location Date: 11/13/18 Property Address: 6 Main St,Hyannis MA 02601 Project: Check(X) one or both as applicable:_New construction X Existing Construction c Project description: Renovation of existing 2 story wood medical office building. Use group to remain the same. I, Jason Herzog,RA, MA Registration Number: 951451 Expiration date: 8/31/19 , am a registered design professional, and I have prepared or directly supervised the preparation of all design plans, computations and specifications concerning: X Architectural Structural Mechanical Fire Protection Electrical Other: for the above named project and that to the best of my knowledge, information, and belief such plans,computations and specifications meet the applicable provisions of the Massachusetts State Building Code, (780 CMR),and accepted engineering practices for the proposed project. I understand and agree that I(or my designee) shall perform the necessary professional services, in accordance with the Professional Standard of Care and be present on the construction site on a regular and periodic basis to: 1. Review, for conformance to this code and the design concept, shop drawings, samples and other submittals by the contractor in accordance with the requirements of the construction documents. 2. Perform the duties for registered design professionals in 780 CMR Chapter 17,as applicable and as may be determined by the Building Official. 3. Be present at intervals appropriate to the stage of construction to become generally familiar with the progress and quality of the work and to determine if the work is being performed in a manner consistent with the approved construction documents and this code. Nothing in this document relieves the contractor of its responsibility regarding the provisions of 780 CMR 107. When required by the building official, I shall submit field/progress reports(see item 3.)together with pertinent comments, in a form acceptable to the building official. Upon completion of the work, I shall submit to the building official a `Final Construction Control Document'. fly CA D A� % C.11";, ��ti•� -J �2G cl� & SP G1 a� Enter in the space to the right a"wet"or ( t4o.`5)1451 Do u h9Ai;S.Hr cL electronic signature and seal: �+ VIA Phone number: 508-654-0977 Email:jherzog@conservgroup.com C.40 4 -f M Building Official Use Only Building Official Name: Permit No.: Date: Note 1. Indicate with an`x'project design plans,computations and specifications that you prepared or directly supervised.If`other'is chosen, provide a description. Version 06 11 2013 i F Q R T E MEMBER REPORT Second Floor,Beam over Office Area PASSED 4 plece(s)13/4' x 11 718 2.0E Microllam@ LVL Overall Length: 18' , } L' �9­ 7.7,717 77 77. r. 18' 0 All locations are measured from the outside face of left support(or left cantilever end).AII dimensions are horizontal. Deslgn Result ! Actual�•LocahOn AI[owed Result LDF': Load Combination(Pattern) •::,,:, ""- System:Floor Member Reaction(Ibs) 6698 @ 2" 18375(3.50") Passed(36%) -- 1.0 D+1.0 L All Spans) Member Type:Flush Beam Shear(Ibs) 5745 @,V 3 3/9" 15794 Passed(36%) 1.00 1.0 D+1.0 L All Spans) Building Use:Residential Moment(R-Ibs) 29036 @ 9' 35696 Passed(81%) 1.00 1.0 D+1.0 L All Spans Building Code:IBC 2015 Live Load Dell. In) 0.529 @ 9' 0.589 Passed(L/401) 1.0 D+1.0 L All Spans) Design Methodology:ASO Total Load Dell.(in) 0.875 @ 9' 0.883 Passed(1./242) 1.0 D+1.0 L(All Spans Deflection criteria:LL(L/360)and TL(1./240). Top Edge Bracing(W):Top compression edge must be braced at 13'11"o/c unless detailed otherwise. Bottom Edge Bracing(Lu):Bottom compression edge must be braced at 18'o/c unless detailed otherwise. Member should be side-loaded from both sides of the member to prevent rotation. ;. Bearing Length Loads to Supports(Ibs) SLdppOrtS'. ti Tofal;: :Available Required Dead Fu r Total{ Accessories _.. v 1-Column-OF 3.50' 3.50° 1 1.50" 2648 4050 6698 None 2-Column-OF 3.50" 3.50" 1.50" 2648 4050 6698 None Tributary. Dead Ft Ltve ; LOadS INdth. (0 90)„-, Locabon.(Side)• - (1:00) Comments 0-Self Weight(PLF) 0 to 18' N/A 24.2 i-Uniform(PSF) 0 l o 18'(Front) 9' 30.0 50.0 office and partition Weyerliaellser NoEes ': (I�SUSTAINABLE FORESTRY INITIATIVE Weyerhaeuser warrants that the sizing of its products will be in accordance with Weyerhaeuser product design criteria and published design values. l Weyerhaeuser expressly disclaims any other warranties related to the software.Use of this software is not Intended to circumvent the need for a design professional as determined by the authority having Jurisdiction.The designer of record,builder or framer Is responsible to assure that this calculation Is compatible with the overall project Accessories(Rim Board,BlocMng Panels and Squash Blocks)are not designed by this software.Products manufactured at Weyerhaeuser facilities are thlid-party certified to sustainable forestry standards.Weyerhaeuser Engineered Lumber Products have been evaluated by ICC FS under technical reports ESR-1153 and ESR-1387 and/or tested in accordance with applicable ASTM standards.For current code evaluation reports, Weyerhaeuser product literature and Installation details refer to www.weyerhaeuw.com/woodpmducts/document-library. The product application,input design loads,dimensions and support Information have been provided by Forte Software Operator RM4 5'01(90 "k(7 �qO)N* ' I r �P�qH Of MAS q DOMENIC W. cyN r DBANGELO , a STRUCTURAL 9No,35062 FGIS A ►1�V Forte Software operator ,lob Notes 11/13/2018 10:55:05 AN Domenic DeAngelo Cape Cod Surgical Associates,Inc. Forte V5,4,Design Engine:V7.1.1.3 DWD Engineering,ft. 6 Main Street 15-001.4te (508)378.9602 Hyannis,MA domdean@aol.com ISA83 Page 1 of 1 Commonwealth of Massachusetts Division of Professional Licensure Board of Building Regulations and Standards �F"t��r„ Construction Supervisor CS-005157 Expires: 05/23/2020 ROLAND B CATIGNANI , ` 19000NNERNOAD,? �r CENTERVILLE'MA'02632' � Cj Commissioner 1 AC40 CERTIFICATE OF LIABILITY INSURANCE DATE(MMI/201 Y) `../ 11/14/2018 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER L Blanchard NAME: y FIAI/Cross Insurance PHONE (603)669-3218 AIX NO: (603)645-4331 1100 Elm Street E-MAIL ADDRESS: lbl cy' g chard@crossa en com .INSURERS AFFORDING COVERAGE NAIC# Manchester NH 03101 INSURERA:Continental Casualty Company 20443 INSURED INSURER B CONSERV GROUP, INC. INSURERC: 110 STATE ROAD INSURER0: SUITE 7 INSURER E SAGAMORE BEACH MA 02562 INSURER F: COVERAGES CERTIFICATE NUMBER:18-19 WC only REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAYBE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR ADDL SUBR - POLICY EFF POLICY EXP L TYPE OF INSURANCE TR POLICYNUMBER MM/DD/YYYY) (MMIDDIYYYYI LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ CLAIMS-MADE ❑OCCUR A I E TO RENTED PREMISES Ea occurrence $ MED EXP(Any one person) $ PERSONAL 8 ADV INJURY $ GEN'LAGGREGATE LIMITAPPLIES PER: GENERAL AGGREGATE $ POLICY a PRO- JECT LOC I PRODUCTS-COMP/OPAGG $ OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ Ea accident ANYAUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY(Per accident) $ NON-OWNED PROPERTY DAMAGE $ HIREDAUTOS AUTOS Per accident UMBRELLALIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB HCLAIMS-MADE AGGREGATE $ DED I I RETENTION$ $ WORKERS COMPENSATION 6014222869 7/l/2018 7/1/2019 X PER OTH- AND EMPLOYERS'LIABILITY Y/N S ATUTE ANY PROPRIETOR/PARTNER/EXECUTIVE States: MA S CT E.L.EACH ACCIDENT $ 500,000 OFFICERIMEMBER EXCLUDED? N❑N/A A (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ 500,000 If yes,describe under DESCRIPTION OF OPERATIONS below All Officers included E.L.DISEASE-POLICY LIMIT $ 500,000 DESCRIPTION OF OPERATIONS/LOCATIONS I VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space Is required) RE: 6 Main Street, Hyannis, MA 02601. Refer to policy for exclusionary endorsements and special provisions. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Town of Barnstable THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN Attn: Building Department ACCORDANCE WITH THE POLICY PROVISIONS. 200 Main Street Hyannis, MA 02601 AUTHORIZED REPRESENTATIVE M Guarino/JSC ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD INS025(201401) :� ■ree i,aesi�areaoPs�eaaassn a.+J �raaa�sarsa;oaaa�eaa� 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 p Please Print Ledbly Name (Business/Organization/Individual): roev/,( Xy Address: 7 City/State/Zip: gt 2 Phone Are you an employer? Check the appropriate box: Type of project(required): 1.D, am a employer with So 4. ❑ I am a general contractor and I employees (full and/or part-time). * have hired the sub-contractors 6. ❑New construction 2.❑ 1 am a sole proprietor or partner- listed on the attached sheet. 7. [4emodeling 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. 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 11.0 Plumbing repairs or additions myself [No workers' comp. right of exemption per MGL 12.❑ Roof repairs insurance required.] t c. 152, §1(4), and we have no employees. [No workers' 13.0 Other comp. insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. 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 :mployees. 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.#: l`��;1i2 YL 17 Expiration Date: 1 lob Site Address: /�i��N �T City/State/Zip:9XwAlwl S A4 VzD I 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 )f up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of [nvestigations of the DIA for insurance coverage verification. l do hereby a d pen !ties of perju t the information provided above is true and correct. 3i ature: w, Date: / Phone#: 6 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#: Town of Barnstable � Building Department Services � r : 9BARNSTABL&MASS ' Brian Florence,CBO 1 639 �✓ Building,Commissioner CFO MA16 c 200 Main Street,Hyannis,MA 02601 iv,,rivlown.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 r t Property Owner Must Complete and Sign This Section If Using A Builder I �' � � '�� } ,as Owner of the subject property(s fo' S t hereby authorize to act on my behalf, e in all matters relative to work authorized by this building permic application for: M � ! '°`�/ffla✓ ���' ' ,,d'id�1 S'� ITS LJ� b� 4- (Address of job) P **Pool fences and alarms are the responsibility of the applicant. Pools are not to be filled or utilized before fence is installed and all final inspections e performed and accepted. 6 -`Sign re of Ov cr Signature of 7kpp "} lam tie rt, 'go L+427 WW 3 Print Name Print Name s e s 11 - I`�- 1g I Date i i i WORMS:OWNERPERMISSIONP00LS j Rev:08116n 7 { I f Town of BarnstableBuilding t , This CacdSo Thatrt is U�sibie<Frorn<the Street.=A ,roved Plans>Mustbe=Retained on.,J-ob and,this�Gard Musbe Kept • til iF nal;1 q �� ,,�. PI' �. a. .: av Post • l 163R PostedUn SpectiOn Has Been ade v N ,;.: y ` x. Permt tWhefe a Certificateof Occupancy is Required,suchBwldmg shallNot';be Oc 1p�ed until a Final�nspectaon\hasbeen made,, Permit NO. B-19-1711 Applicant Name: JON M TOWNSEND Approvals Date Issued: 06/12/2019 Current Use: Structure Permit Type: Building-Sheet Metal-Commercial Expiration Date: 12/12/2019 Foundation: Location: 6 UNIT 6 MAIN STREET(HYANNIS),HYANNIS Map/Lot: 342-041-606 Zoning District: MS Sheathing: -Owner on Record: BROOKS, MARLA K TR Contractor'Name,� -JON M TOWNSEND Framing: 1 Address: 6 MAIN STREET BUILDING B Contractor.Licenses 9815 2 HYANNIS, MA 02601 " ` Est Project Cost: $0.00 Chimney: Description: replacement of one existing unit Duct adapters required- Permit fee: $ 160.00 Unit(6) t Insulation: a.. Fee Paid:. $160.00 Project Review Req: � xDate 6/12/2019 Final: Plumbing/Gas =' Rough Plumbing: This permit shall be deemed abandoned and invalid unless the work authorzed by this permit is commenced within six months after issuan fficial Final Plumbing: .:. All work authorized by this permit shall conform to the approved application-and the,approved construction documents,for whith"this permit has been granted. All construction,alterations and changes of use of any building and structures.shalFbe in compliance with the local zoning by la'ws'and codes. Rough Gas: This permit shall be displayed in a location clearly visible from access street or road and shall be maintained open for public inspection for the entire duration of the Final Gas: work until the completion of the same. `. The Certificate of Occupancy will not be issued until all applicable signatures by the Building,and Fire Officials are provided on this permit. Electrical Minimum of Five Call Inspections Required for All Construction Work:',, ;; 1.Foundation or Footing Service: 2.Sheathing Inspection 3.All Fireplaces must be inspected at the throat level before firest flue lining is,mstalled Rough: 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection Final: 5.Prior to Covering Structural Members(Frame Inspection) 6.Insulation Low Voltage Rough: 7.Final Inspection before Occupancy Low Voltage Final: 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. Health "P ns contracting with unregistered contractors do not have access to the guaranty fund" (as set forth'in MGL c.142A). Final: 111� Building plans are to be available on site Fire Department Mpg-t All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT Final: I F bUi► � � Commonwealth of Massachusetts �`�` 2?u 11 Sheet Metal Permit Mk Map.J I Parcel �rs4'1 Q 7 1 i Date: S- Permit# C'? CAAR Estimated Job Cost: Permit.Fee: $ c, INOPlans Submitted: YES Plans Reviewed: YES NO 6 —00 to Business License# g i Applicant License# 9 9�1 5— Z Business Information: Property Owner/Job Location Information: Name:,/"'��k�-.s��:,� �av�� �1 Name: `�(c� o� �r L�G S A ca T Ao,\ v rn r d 6 Sheet:� � `�-'� Q�•C� � City/Town.: \y v­,d AN AAA7 City/Town: Telephone: �d � �`3 L c( Telephone: 5 O?..T 7 Sr Photo I.D.required/Copy of Photo I.D. attached: YES NO Staff Initial J-1 e)nrestricted license J-2 I M-2-restricted to dwellings 3-stories or less and commercial up to. 10,000 sq. ft./2-stories or less Residential: 1-2 family Multi-family Condo/Townhouses Other i Commercial: Office Retail Industrial Educational Fire Dept-Approval Institutional_ Other Square Footage: under 10,000 sq. ft._, over 10,000 sq.ft. Number of Stories: Sheet metal work to be completed: New Work: Renovation:Z HVAC / Metal.Watershed Roofing Kitchen Exhaust System Metal Chimney/Vents. Air.Balancing Provide detailed description of work to be done: s c � f COMmonwealth of Massachusetts ® DIVislon of Professional Licensure Ref rig RhXbn'C:Ontractor RC-113926 : p EJtpir es: OZ/08/2020 JON M TOWNSEND, k, . 95 CAMELOT DRIVE UNIT 1 PLYMOUTH MA 02360'f Commissioner COMMONWEALTH OF MASSACHUSETTS BOARD OF SHEET METAL WORKERS. w ISSUES THE FOLLOWING LICENSE MASTER-UNRESTRICTED z JON M TOWNSEND Y� z 95 CAMELOT OR . UNIT 1 pl-YMOUTH,MA 0236073024 9815 021281202 625225 .1 r f. �siy �• NORTMEC-03 COMMERCIAL ACURO� CERTIFICATE OF LIABILITY INSURANCE DAT23/2D/YYYY, 4123/2019 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT NAME: WM.F.Borhek Insurance Agency PHONE FAX 311 Plymouth St A/c,No,Eld:(781)293-6331 (,o,/c,No):(781)293-2171 Halifax,MA 02338 ADDAIL RESS: INSURERS AFFORDING COVERAGE NAIC# INSURER A:Selective Insurance Company of South Carolina INSURED INSURER B:Safety Indemnity 33618 Northstar Mechanical,Inc. Attn:Sandie Allsopp wsuRER c 95 Camelot Drive,Unitl INSURER D: Plymouth,MA 02360 INSURER E: INSURER F: - COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. I R TYPE OF INSURANCE ADDL SUER POLICY NUMBER POLICY EFF POLICY EXP LT INSD LIMITS LTR IN SD WVD MM/DD MMIDD A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS-MADE X OCCUR S 1939937 7/23/2018 7/23/2019 DAMAGE TO RENTED 500,000 X X PREMISES R MIS S Ea occurrence $ MED EXP(Any oneperson) $ 15,000 PER &ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 3,000,000 POLICY JE LOC PRODUCTS-COMP/OP AGG $ 3,000,000 OTHER: $ B AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident $ ANY AUTO X X 3946256 9/15/2018 9/15/2019 BODILY INJURY Perperson) $ OWNED X SCHEDULED 1,000,000 AUTOS ONLY. AUTOS BODILY INJURY Per accident $ X AUTOS ONLY X NON ONLDY PROPERTY DAMAGE Per accident $ $ A X UMBRELLA LIAR X OCCUR EACH OCCURRENCE $. 5,000,000 EXCESS LIAB CLAIMS-MADE X X S 1939937 7/231/2018 7/23/2019 AGGREGATE $ 5,000,000 DED RETENTION$ $ WORKERS COMPENSATION �; PER OTH- AND EMPLOYERS'LIABILITY .,.Y/N - STATU E ER ANY PROPRIETOR/PARTNER/EXECUTIVE F—] E.L.EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? NIA (Mandatory in NH) E.L.DISEASE-EA EMPLOYE $ If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ A Inland Marine S 1939937 7/23/2018 7/23/2019 Stored Materials .175,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) Project Name and Location:Cedarville Carwash—2304 State Rd.;Plymouth,MA ConSery Group,Inc.is Additional Insured on a primary and non-contributory basis as respects General Liability and Excess/Umbrella Liability,and Additional Insured as respects Automobile Liability if required by written contract. Completed operations applies to General Liability. Waiver of subrogation in favor of Additional Insured applies to General Liability,Automobile Liability,and Excess/Umbrella Liability when required by written contract. Pursuant to endorsements attached:CG73000116,CXL4490617,SCA0020417 CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE ConSery Group,Inc. THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN . p, ACCORDANCE WITH THE POLICY PROVISIONS. 110 State Road Suite 7 Sagamore Beach,MA 02562 AUTHORIZED REPRESENTATIVE ACORD 25(2016/03) ©1988-2015 ACORD CORPORATION.`All rights reserved. The ACORD name and logo are registered marks of ACORD l ® DATE(MMIDDIYYYY) ACCM" CERTIFICATE OF LIABILITY INSURANCE 04/23/2019 Y' THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this.certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER - CONTACT Kathleen Duchaney NAME: Amity Insurance Agency,Inc. PHONE (617)471-1220. FAX (617)479-5147 A/C No Ext: AIC No): 500 Victory Rd. E-MAIL kduchaney@amityins.com ADDRESS: Marina Bay INSURER(S)AFFORDING COVERAGE NAIC# North Quincy MA 02171 INSURERA: AIM Mutual Insurance Co. INSURED INSURER B: NorthStar Mechanical,Inc. INSURER C 95 Camelot Drive INSURER D: Unit 1 INSURER E Plymouth MA 02360 INSURERF: COVERAGES CERTIFICATE NUMBER: 19-20 MASTER REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OFANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. ILTR TYPE OF INSURANCE INSD WVD POLICY NUMBER MM DDYYYYY MMIDDIYYYY LIMITS - COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ DAMAGE TO RENTED CLAIMS-MADE ElOCCUR PREMISES Ea occurrence $ MED EXP(Any one person) $ PERSONAL&ADV INJURY $ GEN'LAGGREGATE LIMITAPPLIES PER: GENERAL AGGREGATE $ POLICY 0 PRO- JECTPRO LOC PRODUCTS-COMP/OPAGG $ OTHER: $ AUTOMOBILE LIABILITY - _ COMBINED SINGLE LIMIT $ - Ea accident ANYAUTO BODILY INJURY(Per person) $ OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY(Per accident) $ HIRED NON-OWNED PROPERTY DAMAGE $ AUTOS ONLY AUTOS ONLY Per accident $ UMBRELLA LIAB HOCCUR - - EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED RETENTION$ S WORKERS COMPENSATION X1 SPER TATUTE ORH AND EMPLOYERS'LIABILITY. YIN - - ANYPROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $ 1,000,000 A OFFICER/MEMBER EXCLUDED? FN I N/A WMZ80080072212019A 01/09/2019 01/09/2020 (Mandatory in NH) - .- . . E.L.DISEASE-EA EMPLOYEE $ 1.,000,000 If yes,describe under 1,000,000 DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS/.LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) Evidence of coverage in place. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN ConSery Group,Inc. ACCORDANCE WITH THE POLICY PROVISIONS. 110 State Road#7 - - AUTHORIZED REPRESENTATIVE - Sagamore Beach CA 02562 ( � �((� ©,1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD i i INSURANCE COVERAGE: 1 have.a current liability insurance policy or its equivalent which meets.the requirements of M.G.L.Ch.112 Yes o/No ❑ If you have checked)�e&indicate the type of coverage by checking the appropriate box below: A liability insurance policy Other type of indemnity ❑ Bond ❑ OWNER'S INSURANCE WAIVER:I am aware that the licensee does not have the insurance coverage required by Chapter 112 of the Massachusetts General Laws,and that my signature on this permit application waiyas this requirement j Check One Only Owner ❑ Agent ❑ Signature of Owner or Owner's Agent i By checking this boxy,I hereby certify that all of the details and information I have submitted(or entered)regarding this application are true and accurate to the best of my knowledge and that ail sheet metalwork and installations performed under the permit issued for this application will be in compliance with all pertinent provislon of the Massachusetts Building Code and Chapter 112 of the General Laws. Duct inspection required prior to insulation installation:YES NO Progress Insgections i Date Comments j Final WL)ee tlon Date Comments Type of License: 3y Master title ❑Master-Restricted i i ::;q—/Town ❑Joumeyperson Signature of Licensee permit# ❑Joumeyperson-Restricted O $ License Number: =ee El . Check at www.mass.gov/dol _. nspector Signature of Permit Approval j . Town of Barnstable Building Past ThlsCard So That rt t Ulsible From:the Street-A raved Plans Must be Retained on Job Intl this Card Must be Kept lbs� Posted�UntilFinalInspectionHas a ' Permit Where a�Certlficate of Occupancy Is Required,such Bwllding�shall Not.b`eOccupled untal a=Foal Inspe Ion¢ha'been made Permit No. B-19-1714 Applicant Name: JON M TOWNSEND Approvals Date Issued: 06/12/2019 Current Use: Structure Permit Type: Building-Sheet Metal-Commercial Expiration Date: 12/12/2019 Foundation: Location: 6 UNIT 7 MAIN STREET(HYANNIS),HYANNIS Map/Lot 342-041 607 Zoning District: MS Sheathing: s Owner on Record: BROOKS,MARLA K TR Contractor Name: JON M TOWNSEND Framing: 1 Address: 6 MAIN STREET BUILDING B Contractor License 9815 2 HYANNIS, MA 02601 I Est Proiect Cost: $0.00 Chimney : Description: replacement of one existing unit Duct Adaptersjrequired Permit Fee: $ 160.00 Unit(7) Insulation: Fee Paid: $ 160.00 Project Review Req: De 6/12/2019 Final: at rwt Plumbing/Gas Rough Plumbing: This permit shall be deemed abandoned and invalid unless the work authorised by this permit iscommenced withimsix months after issuan 2. icla Final Plumbing: All work authorized by this permit shall conform to the approved application and the'approved construction documents for which this permit has been granted. All construction,alterations and changes of use of any building and structures"shall be in compliance with the local zoning by-laws and codes. Rough Gas: This permit shall be displayed in a location clearly visible from access street or road and shall be maintained open for public inspection for the entire duration of the work until the completion of the same. l�k Final Gas: The Certificate of Occupancy will not be issued until all applicable signatures bj the Building and Fire.Officials are provided on this p"e"rmit. Electrical Minimum of Five Call Inspections Required for All Construction Work:£ - 1.Foundation or Footing a � �' Service: 2.Sheathing Inspection 3.All Fireplaces must be inspected at the throat level before firest flue lining is installed _ Rough: 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection Final: S.Prior to CoveringStructural Members Frame Inspection) 1 6.Insulation Low Voltage Rough: 7.Final Inspection before Occupancy Low Voltage Final: 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. Health "Pers ns contrac I with unregistered contractors do not have access to the guaranty fund" (as set forth in MGL c.142A). Final: Building plans are to be available on site Fire Department " All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT Final: 1 Commonwealth of Massachusetts. 1 Sheet Metal Permit Maa 1 Parcel y (� Date: 5 Permit# Estimated Job Cost: Permit Fee: $ Plans Submitted: YES INO Plans Reviewed: YES NO Business License# �' l Applicant License# 9 iE�" Business Information: I Property Owner/Job Location Information: Name: ©14�s Inv.�nc a-1 Name: "-10 ®� Street: `l 5- C g �� Q� Street: U City/Town.: Cty/Town: t� �•n vim. Telephone: 3 6 c(Z Telephone: S09 r 7?S d 20 d Photo I.D. required/Copy of Photo I.D. attached: YES Z NO Staff Initial J-1 M-1- stricted license i J-2/M-2-restricted to dwellings 3-storie8 or less and commercial up to. 10,00.0 sq. ft../2-stories or less Residential: 1-2 family Multi-family Condo/Townhouses Other i Commercial: Office b/ Retail Industrial Educational j Fire.Dept.Approval�' ,.Institutional_ Other Square Footage: under 10,000 sq. ft.'-z over 10,000 sq. ft. Number.of Stories: Sheet metal work to be completed: New Work: Renovation: Z i HVAC Metal Watershed Roofing Kitchen Exhaust System E Metal Chimney/Vents Air Balancing E i Provide detailed description of work to be done: t 5ftz n Conwmnweaith of Massachusetts Dwislon of Professional Licensure Ref n9RMbn'Contractor RC-1.13926 Tires: 02/08/2020 JON M TOWNSENQ 96 CAMELOT DRIVE UNIT1 PLYMOUTH MA 02360 I Commissioner COMMONWEALTH OF MASSACHUSETTS BOARD OF SHEET METAL WORKERS W ISSUES THE FOLLOWNG LICENSE MASTER-UNRESTRICTED z JON M TOWNSEND IN 95 CAMELOT DR W UNIT 1 3 PLYMOUTH,MA 0236o-3024 9815 02128f 2021 625225 NORTMEC-03 COMMERCIAL CERTIFICATE OF LIABILITY INSURANCE FDATE(MM/DDNYYY) 4/23/2019 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT NAME: WM.F.Borhek Insurance Agency PHONE 781 293-6331 FAX 311 Plymouth St (A/C,No,Ext:( ) (A/c,No):(781)293-2171 Halifax,MA 02338 ADDRESS: INSURERS AFFORDING COVERAGE NAIC# INSURER A:Selective Insurance Company of South Carolina INSURED INSURER B:Safe Inderninity 33618 Northstar Mechanical,Inc. Attn:Sandie Allsopp wsuRER c 95 Camelot Drive,Unitl INSURER D Plymouth,MA 02360 INSURERE: INSURER F COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TypE OF INSURANCE ADDL SUBR POLICY NUMBER POLICY EFF POLICY EXP LIMITS LT IN SD WVD M D MMIDD A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS-MADE 1F_V1 IOCCUR S 1939937 7/23/2018 7/23/2019 DAMAGE TO RENTED 500,000 X X REMISES occurrence) $ MED EXP(Any oneperson) $ 15,000 PERSONAL&ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 3,000,000 POLICY F PE� LOC PRODUCTS-COMP/OP AGG $ 3,000,000 OTHER: $ B AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT a accident _ $ ANY AUTO X X 3946256 9/15/2018 9/15/2019 BODILY INJURY Perperson) $ OWNED Ix SCHEDULED1,000,000 AUTOS ONLY AUTOS BODILY INJURY Per accident $X HIRED NON-OWNED PROPERTY DAMAGE AUTOS ONLY AUTOS ONLY Per accident $ A X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 5,000,000 EXCESS LIAB CLAIMS-MADE X X S 1939937 7/23/2018 7/23/2019 AGGREGATE $ 5,000,000 DED RETENTION$ $ WORKERS COMPENSATION PER AND EMPLOYERS'LIABILITY OTH- Y/N STATUTE R ANY PROPRIETOR/PARTNER/EXECUTIVE ❑ E.L.EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? N/A (Mandatory in NH) E.L.DISEASE-EA EMPLOYE $ If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ A Inland Marine S 1939937 7/23/2018 7/23/2019 Stored Materials 175,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space is required) Project Name and Location:Cedarville Carwash—2304 State Rd.Plymouth,MA ConSery Group,Inc.is Additional Insured on a primary and non-contributory basis as respects General Liability and Excess/Umbrella Liability,and Additional Insured as respects Automobile Liability if required by written contract. Completed operations applies to General Liability. Waiver of subrogation in favor of Additional Insured applies to General Liability,Automobile Liability,and Excess/Umbrella Liability when required by written contract. Pursuant to endorsements attached:CG73000116,CXL4490617,SCA0020417 CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE ConSery Group,Inc. THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 110 State Road Suite 7 ACCORDANCE WITH THE POLICY PROVISIONS. '. Sagamore Beach,MA 02562 AUTHORIZED REPRESENTATIVE - - ACORD 25(2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD ' ® DATE(MMIDDIYYYY) ` COO o CERTIFICATE OF LIABILITY INSURANCE � 04/2312019 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT Kathleen Duchaney NAME: Amity Insurance Agency,Inc. gHONr o Bxt: (617)471-1220 AX No: (617)479-5147 500 Victory Rd. ADDRESS: kduchaney@amityins.com Marina Bay INSURER(S)AFFORDING COVERAGE NAIC# North Quincy MA 02171 INSURERA: AIM Mutual Insurance Co. INSURED - INSURERS: NorthStar Mechanical,Inc. INSURER C: 95 Camelot Drive INSURER D: Unit 1 INSURER E: Plymouth MA 02360 INSURER F: COVERAGES CERTIFICATE NUMBER: 19-20 MASTER REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN,MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR ADDL SU13RI POLICY EFF POLICY EXP - LIMITS~ LTR TYPE OF INSURANCE INSD WVD POLICY NUMBER MM/DDIYYYY MM/DD/YYYY COMMERCIAL GENERAL LIABILITY - _ EACH OCCURRENCE $ DAMA E T RENT D CLAIMS-MADE OCCUR PREMISES Ea occurrence $ MED EXP(Any one person) $ PERSONAL&ADV INJURY $ GEN'LAGGREGATE LIMITAPPLIES PER: GENERAL AGGREGATE $ POLICY ❑PRO ❑ JECT LOC PRODUCTS-COMP/OP AGG $ OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ Ea accident ANYAUTO BODILY INJURY(Per person) $ OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS ONLY AUTOS HIRED NON-OWNED PROPERTY DAMAGE $ AUTOS ONLY AUTOS ONLY Per accident $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ RDEXCESS LIAB HCLAIMS-MADE - AGGREGATE $ ED RETENTION$ $ WORKERS COMPENSATION X1 STATUTE I EERH AND EMPLOYERS'LIABILITY Y/N ANY PROPRIETOR/PARTNER/EXECUTIVE F E.L.EACH ACCIDENT $ 1,000;000 A OFFICER/MEMBER EXCLUDED? N/A VVMZ80080072212019A 01/09/2019 01/09/2020 (Mandatory in NH) -. - E.L.DISEASE-EA EMPLOYEE $ 1,000,000 If yes,describe under 1,000,000 DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) Evidence of coverage in place. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,NOTICE.WILL BE DELIVERED IN ConSery Group,Inc. ACCORDANCE WITH THE POLICY PROVISIONS. 110 State Road#7 AUTHORIZED REPRESENTATIVE Sagamore Beach CA 02562 ( Q p� �l j(J�Clit l ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD r i INSURANCE COVERAGE: 1 have a current liability insurance policy or its equivalent which meets the requirements of M.G.L.Ch.112 Yes O/No ❑ If you have checked Xr&indicate the type of coverage by checking the appropriate box below: j A liability insurance policy Other type of indemnity ❑ Bond ❑ OWNER'S INSURANCE WAIVER:I am aware that the licensee does not have the insurance coverage required by Chapter 112 of the Massachusetts General Laws,and that my signature on this permit application waives this requirement. l Check One Only Owner ❑ Agent ❑ Signature of Owner or Owner's Agent By checking this box-0 11 hereby certify that all of the details and information I have submitted(or entered)regarding this application are true and accurate to the best of my knowledge and that all sheet metal work and Installations performed under the permit issued for this application will be in compliance with all pertinent provision of the Massachusetts Building Code and Chapter 112 of the General Laws. Duct inspection required prior to insulation installation:YES NO Progress Inspections Date Comments . I Final Inspection Date - Comments Type of License: 3Y Master. fifle ❑Master-Restricted 3ityfrown ❑Joumeyperson Signature of Licensee permit# ❑Joumeyperson-Restricted License Number: g n =ee$ Check at www,mass.govtdt�l nspector:Signature of Permit Approval Town of Barnstable uildin Post;This,Card So Thatit is 1/isible=F..rom the Street-Approved PlansMust be Retained onyJob anduth�s Card Must be Kept w.at8 Until Final Iris €� . . �. .. � � K 619. Posted pect�on Has Been Made r Where;a.CertificateSofrOccupancyHis Regu�red,such Bu ldmgshall Notbe Occupied until a Final lns ectioR has been made Permit Permit No. B-19-1713 Applicant Name: JON M TOWNSEND Approvals Date Issued: 06/12/2019 Current Use: Structure Permit Type: Building-Sheet Metal-Commercial Expiration Date: 12/12/2019 Foundation: Location: 6 UNIT 4 MAIN STREET(HYANNIS), HYANNIS Map/Lot 342-041 B04 Zoning District: MS Sheathing: Owner on Record: BROOKS,'MARLA K TR < , Contractor, Name:' JON M TOWNSEND Framing: 1 Address: 6 MAIN STREET BUILDING B Contractor;License., 9815 2 b HYANNIS, MA 02601 .s Est Protect Cost: $7,000.00 Chimney: Description: INSTALLATION OF A 4 TON SPLIT SYSTEM Permit Fee: $160.00 A Insulation: �4 Fee Paid: $ 160.00 Project Review Req: Qd Final: Date 6/12/2019 k R Plumbing/Gas Rough Plumbing: Building Official Final Plumbing: This permit shall be deemed abandoned and invalid unless the work authdrizbd',by this permit is commenced within six montKs`aft&issuance. ica All work authorized by this permit shall conform to the approved appltion and theapproved construction documents for which this permit has been granted. Rough Gas: All construction,alterations and changes of use of any building and structures;shall be in compliance with the local zoning by-laws and codes. This permit shall be displayed in a location clearly visible from access meet or road and shall be maintained open for public inspection for the entire duration of the Final Gas: a work until the completion of the same. Electrical The Certificate of Occupancy will not be issued until all applicable signatures by the Buildmg�and Fire®fficials are prouided�orrthis;permit. qg Minimum of Five Call Inspections Required for All Construction Work: f =. Service: 1.Foundation or Footing i� � 2.Sheathing Inspection Rough: 3.All Fireplaces must be inspected at the throat level before firest flue lining is installed 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection . Final: 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: "Perso tracting 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 I Commonwealth ®f Massachusetts � /: ( ! r Mt Metal Permit Map�f�' Parcel U �i I T®wN pF BARN5TaBLE Dater S" F1 r o®d_ Permit# l i Estimated Job Cost: � Permit Fee: $ Plans Submitted: YES INO Plans Reviewed: YES NO Business License# g 't Applicant.License# 9 9�f 5— Business Information: I Property Owner/Job Location Information: Name: ��1 ty ,r !�!�Inc�v��`t z-� Name: 'z(d� d covj, Street: `I S Caw\1 c+ 6r -. Street:c2 ��tg��A �j's ��o� �j U Y'A City/Town: d /V4 City/Town: fy --v\.v` Telephone: - am d -� �`3 L`�Z Telephone: S Q�f� Photo I.D.required/Copy of Photo I.D. attached: YES, NO Staff Initial J-1 1VI-1- stricted license i J-2/M-2-restricted to dwellings 3-stories or less and commercial up to. 10,000 sq. ft./2-stories or less Residential: 1-2 family Multi-family Condo/Townhouses Other j Commercial: - Office t; Retail Industrial Educational j Fire Dept.Approv Institutional— Other Square Footage: under 10,000 sq. ft. over 10,000 sq.ft. Number of Stories: Sheet metal work to be.completed: New Work: Renovation: HVAC / Metal Watershed Roofing Kitchen Exhaust System � g , Metal Chimney/.Vents Air Balancing Provide detailed description of work to be done: Commonwealth of Massachusetts Dtvrsion of Protessional Licensure Ref rigsMbn'COntractor RC-113926 EXp ires: 02/08/2020 JON M TOWNSEND 95 CAMELOT DRIVE' N 1 PLYMOUTH MA 02360 " Commissioner . COMMONWEALTH OF MASSACHUSETTS e s • e BOARD OF SHEET METAL WORKERS ISSUES THE R UNRES R CTEDNSE MASTER-UNREST. ASTS JON M TOWNSEND 9S CAMELOT OR UNIT 1 � . PLYMOUTH,MA 02360-3024 9815 0212812021 625225 . M _ NORTMEC-03 COMMERCIAL �ac�izo� CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) 4/23/2019 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT' CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT NAME: WM.F.Borhek Insurance Agency PHONE FAX 311 Plymouth St (A/C,No,Ext):(781)293-6331 (A/C,Na):(781)293-2171 Halifax,MA 02338 ADDRESS: INSURERS AFFORDING COVERAGE NAIC# INSURER A:Selective Insurance Company of South Carolina INSURED - INSURER B:Safety Indemnity 33618 Northstar Mechanical,Inc. Attn:Sandie Allsopp INSURER C: 95 Camelot Drive,Unit1 INSURER D Plymouth,MA 02360 INSURERE: INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE ADDL SUBR - POLICY NUMBER POLICY EFF POLICY EXP LIMITS LTR IN SD WVD MM/D MM/DD A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS-MADE X OCCUR S 1939937 7/23/2018 7/23/2019 DAMAGE TO RENTED 500,000 X X EM S a occurrence) $ MED EXP(Any oneperson) $ 15,000 PERSONAL&ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 3,000,000 POLICYa JECT LOC PRODUCTS-COMP/OPAGG $ 3,000,000 OTHER: $ B AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT a accident $ ANY AUTO X X 3946256 9/15/2018 9/15/2019 BODILY INJURY Perperson) $ OWNED SCHEDULED' 1,000,000 AUTOS ONLY X AUTOS BODILY INJURY Per accident $ X HIRED X NON-OWNED PROPERTY DAMAGE AUTOS ONLY AUTOS ONLY Per accident $ A X UMBRELLA LIAB X OCCUR - EACH OCCURRENCE $ 5,000,000 EXCESS LIAB CLAIMS-MADE X X S 19399317 7/23/2018 7/23/2019 AGGREGATE $ 5,000,000 DED RETENTION$ $ WORKERS COMPENSATION SERT'T - OTH- . AND EMPLOYERS'LIABILITY YIN TA - ANY PROPRIETOR/PARTNER/EXECUTIVE ❑ E.L.EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? - N/A (Mandatory in NH) .. E.L.DISEASE-EA EMPLOYE $ If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ A Inland Marine S 1939937 7/23/2018 7/23/2019 Stored Materials 175,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space is required) _ Project Name and Location:Cedarville Carwash-2304 State Rd.Plymouth,MA ConSery Group,Inc.is-Additional Insured on a primary and non-contributory basis as respects General Liability and Excess/Umbrella Liability,and Additional Insured as respects Automobile Liability if required by written contract. Completed operations applies to General Liability.Waiver of subrogation in favor of Additional Insured applies to General Liability,Automobile Liability,and Excess/Umbrella Liability when required by written contract. Pursuant to endorsements attached:CG73000116,'CXL4490617,SCA0020417 CERTIFICATE HOLDER CANCELLATION . SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE ConSery Group,Inc. THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 110 State Road Suite 7 Sagamore Beach,MA 02562 AUTHORIZED REPRESENTATIVE ACORD 25(2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD DATE(MM/DD/YYYY) r ACCPR" CERTIFICATE OF LIABILITY INSURANCE 04/23/2019 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT Kathleen Duchaney NAME: Amity Insurance Agency,Inc. a//CNNo Ext; (617)471-1220 FIX No): (617)479-5147 500 Victory Rd. E-MAIL kduchaney@amityins.com ADDRESS: Marina Bay INSURER(S)AFFORDING COVERAGE NAIC# North Quincy MA 02171 INSURERA: AIM Mutual Insurance Co. INSURED INSURER B: - NorthStar Mechanical,Inc. INSURER C 95 Camelot Drive INSURER D: , Unit 1 INSURER E Plymouth MA 02360 INSURERF: COVERAGES CERTIFICATE NUMBER: 19-20 MASTER REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED.BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. ILTR TYPE OF INSURANCE - INSD WVD POLICY NUMBER MMIDDY/YYYY MM DD YY - LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ DA AGE TO RENTED CLAIMS-MADE OCCUR PREMISES Ea occurrence $ MED EXP(Any one person) $ - PERSONAL&ADVINJURY $ GEN'LAGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ POLICY E PROJECT ❑LOC PRODUCTS-COMP/OP AGG $ OTHER: $ AUTOMOBILE LIABILITY - - COMBINED SINGLE LIMIT $ Ea accident ANYAUTO BODILY INJURY(Per person) $ OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS ONLY AUTOS HIRED NON-OWNED PROPERTY DAMAGE $ AUTOS ONLY AUTOS ONLY Per accident $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB HCLAIMS-MADE AGGREGATE $ DED RETENTION$ $ WORKERS COMPENSATION X PER OTH- AND EMPLOYERS'LIABILITY YIN STATUTE 'ER ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $ 1,000,000 AOFFICER/MEMBER EXCLUDED? � N/A WMZ800E�0072212019A 01/09/201.9 01/09/2020 (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ 1,000,000 If yes,describe under 1,000,000 DESCRIPTION OF OPERATIONS below - -E.L.DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS I LOCATIONS/.VEHICLES (ACORD101,Additional Remarks Schedule,:maybe attached if more space Is required) - Evidence of coverage in place. CERTIFICATE HOLDER_ CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN ConSery Group,Inc. ACCORDANCE WITH THE POLICY PROVISIONS. 110 State Road#7 - - AUTHORIZED REPRESENTATIVE .. Sagamore Beach CA 02562 ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016103) The ACORD name and logo are registered marks of ACORD c1. I INSURANCE COVERAGE: I have a current liability insurance policy or its equivalent which meets the requirements of M.G.L.Ch.112 Yes/o ❑ If you have checked Yf&indicate the type of coverage by checking the appropriate box below: A liability insurance policy 2r Other type of indemnity ❑ Bond ❑ OWNER'S INSURANCE WAIVER:I am aware that the licensee does not have the insurance coverage required by Chapter 112 of the Massachusetts General Laws,and that my signature ontthis permit application waives this requirement. i j _ Check One Only Owner ❑ Agent ❑ Signature of Owner or Owner's Agent By checking this box6,1 hereby certify that all of the details and information I have submitted(or entered)regarding this application are true and accurate to the best of my knowledge and that all sheet metal work and installations performed under the permit issued for this application will be in compliance with all pertinent provision of the Massachusetts Building Code and Chapter 112 of the General Laws. Duct inspection required prior to insulation installation:YES NO Pro Mess ss XnsBections I Date Comments Final Inspection Date Comments Type of License: 3y Master rifle ❑Master-Restricted ityffown 1 pJoumeyperson Signature of Licensee Demiit# E]Joumeyperson-Restricted R O f License Number: =ee$ ❑ Check at www.mass.govldnl 1 � 1 . nspector Signature of Permit Approval i . ,, Town of Barnstable Building UAW �.,""„�„,.:w •� ;f. t�, �� x�.y�. .�.�•;.:"'� � w�•_.� � rya - =`- �� "":'��:��. ''� ,u � ��� ,,�,,, v � ...` ..� s, ., ., `��'� -, � .: Post`Th�s Card So That rt�sUisible•Frdm the Street�A roved Plans Must beRetamed�on Job andthis Card:Must be Kept SAX-MA.[SL6, • ......� • Posted UntIlFinatnspectionHas Been Made , r ; , �x Permit eo ° Where�a Certificate ofOccupancy.is Required,such Bu�ldmg shallNotbe Occupied until a Fi»al Inspection has;been made Permit No. B-19-1712 Applicant Name: JON M TOWNSEND Approvals Date Issued: 06/12/2019 Current Use: Structure Permit Type: Building-Sheet Metal-Commercial Expiration Date: 12/12/2019 Foundation: Location: 6 UNIT 5 MAIN STREET(HYANNIS), HYANNIS Map/Lot 342-041 B05 Zoning District: MS Sheathing: Owner on Record: BROOKS,MARLA K TIR Contractor•Name:: . JON M TOWNSEND Framing: 1 Address: 6 MAIN STREET BUILDING B ? :"�Contractor,License 9815 2 HYANNIS, MA 02601 . Est. Project Cost: $3,000.00 Chimney: Description: INSTALLATION OF A 4 TON SPLIT SYSTEM WITH ®)UCT DISTRIBUTION Permit Fee: $ 160.00 FROM UNIT Insulation: Fee Paid $160.00 Project Review Req: Date 6/12/2019 Final: Plumbing/Gas ' - Rough Plumbing: This permit shall be deemed abandoned and invalid unless the work authorized by this permit is commenced within six months after issuan icia Final Plumbing: All work authorized by this permit shall conform to the approved application andahe"approved construction document sfor-Which this permit has been granted. All construction,alterations and changes of use of any building and structures shall be in compliance with the local zoning by-laws and codes. Rough Gas: This permit shall be displayed in a location clearly visible from access street or road and shall be maintained open for public inspection for the entire duration of the work until the completion of the same. Final Gas: The Certificate of Occupancy will not be issued until all applicable signatures bythe Building and Fire Officials are provided on this permit. Electrical Minimum of Five Call Inspections Required for All Construction Work: 1.Foundation or Footing Service: 2.Sheathing Inspection 3.All Fireplaces must be inspected at the throat level before firest flue lunng is installed _ Rough: .., 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection Final: 5.Prior to Covering Structural Members(Frame Inspection) 6.Insulation Low Voltage Rough: 7.Final Inspection before Occupancy Low Voltage Final: 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. Health "Persons contracting with unregistered contractors do not have access to the guaranty fund" (as set forth in MGL c.142A). Final: [R� Building plans are to be available on site Fire Department -� All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT Final: Commonwealth of Massachusetts BUILDING DEPT. Shee etal Permit MAY 2.2 2019 Ma J� P Parcel T0V Date: 5 Permit# 1 OF PINNLE r '3`c9oc.� Estimated Job Cost: $ —k@;°� ' Permit $ Plans Submitted: YES /NO Plans Reviewed: YES NO Business License# i Applicant.License# 9 �l 5- Business Information: ( ( Property Owner/Job Location Information: Name: -�1:,5 � 1nc�v�� �1 Name: `��� Street: 9 5- C Street:� AoLx City/Town: v--d l 41v\ City/Town: "Yi ; AA Telephone: �b � �`3 L`� Telephone: S _ -7 S- F-0 a Photo I.D.required/Copy of Photo I.D. attached: YES NO Staff Initial . J-1(Itarestricted license J-2/M-2-restricted to dwellings 3-stories or less and commercial up to 10,000 sq. ft./2-stories or less Residential: 1-2 family Multi-family Condo/Townhouses Other Commercial: Office bi Retail Industrial Educational Fire Dept..ApprovajAW Institutional_ Other Square Footage: under 10,000 sq. ft.-IL— over 10,000 sq.ft. Number of Stories: Sheet metal work to be completed: New Work: Renovation:Z HVAC 1/ Metal Watershed Roofing Kitchen Exhaust System Y Metal Chimney/Vents Air Balancing Provide detailed description of work to be done: ,�. C147 s Commonwealth of Massachusetts Division of Professional Licensure Ref rig 16ri retractor RC-113926 �€ E spires:02/08/2020 ` , JON M TOWNSEND ! � 96 CAMELOT DRWE UNIT 1 a PLYMOUTH MA 02360 t r t4ti j„�4� p• , Commissioner CL • COMMONWEALTH OF MASSACHUSF ® • • • BOARD OF , SHEET METAL WORKERS ISSUES THE FOLLOWING LICENSE V MASTER-UNRESTRICTED JON M TOWNSEND 85 CAMELOT DR u UNIT 1 PLYMOUTH,MA 02360-3024 , 9815 d212812021 625225 s e• NORTMEC-03 COMMERCIAL CERTIFICATE OF LIABILITY INSURANCE DATDIYYYY) 4/23/223/2019 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT NAME: WM.F.Borhek Insurance Agency PHONE FAX 311 Plymouth St (A/C,No,Ext):(781)293-6331 1 (A/C,No):(781)293-2171 Halifax,MA 02338 E-MAIL ADDRESS: INSURERS AFFORDING COVERAGE NAIC# INSURER A:Selective Insurance Company of South Carolina INSURED INSURER B:Safety Indemnity 33618 Northstar Mechanical,Inc. INSURER C: Attn:Sandie Allsopp 95 Camelot Drive,Unit1 INSURER D: Plymouth,MA 02360 INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. ILTR NSR ADDLSUBR TYPE OF INSURANCE INSD WVD POLICY NUMBER POLICY EFF POLICY EXP LIMITS A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS-MADE [X] OCCUR X X S 1939937 7/23/2018 7/23/2019 DAMAGE SET eRENTE a occur ante $ 600,000 -PREMMED EXP(Any oneperson) $ 15,000 PERSONAL&ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 3,000,000 POLICY F_V7 PE8� LOC PRODUCTS-COMP/OP AGG $ 3,000,000 OTHER: B AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea act dent $ ANY AUTO, X X 3946256 9/15/2018 9/15/2019 BODILY INJURY Perperson) $ OWNED AUTOS ONLY X AUTOS BODILY BODILY INJURY Per accident $ 1,000,000 X HIRED X NON-OWNED PROPERTY DAMAGE AUTOS ONLY AUTOS ONLY Per accident $ $ A X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 5,000,000 EXCESS LIAB CLAIMS-MADE X X S 1939937 7/23/2018 7/23/2019 AGGREGATE $ 5,000,000 DED I I RETENTION$ $ WORKERS COMPENSATION PER OTH- AND EMPLOYERS'LIABILITY Y/N ISTATUTE I I ER ANY PROPRIETOR/PARTNER/EXECUTIVE ❑ E.L.EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? N/A (Mandatory in NH) E.L.DISEASE-EA EMPLOYE $ If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ A Inland Marine S 1939937 7/23/2018 7/23/2019 Stored Materials 175,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) Project Name and Location:Cedarville Carwash—2304 State Rd.Plymouth,MA ConSery Group,Inc.is Additional Insured on a primary and non-contributory basis as respects General Liability and Excess/Umbrella Liability,and Additional Insured as respects Automobile Liability if required by written contract. Completed operations applies to General Liability. Waiver of subrogation in favor of Additional Insured applies to General Liability,Automobile Liability,and Excess/Umbrella Liability when required by written contract. Pursuant to endorsements attached:CG73000116,CXL4490617,SCA0020417 CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE ConSery Group,Inc. THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 110 State Road Suite 7 Sagamore Beach,MA 02562 AUTHORIZED REPRESENTATIVE ACORD 25(2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD A� 04/23/® CERTIFICATE OF LIABILITY INSURANCE DATE(M /2019 Y) 019 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT. If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT Kathleen Duchaney NAME: Amity Insurance Agency,Inc. PHONE., (617)471-1220 FAx (617)479-5147 A/C NExt: A/C No 500 Victory Rd. E-MAIL kduchaney@amityins.com ADDRESS: Marina Bay INSURER(S)AFFORDING COVERAGE NAIC# North Quincy MA 02171 INSURERA: AIM Mutual Insurance Co. INSURED INSURER B NorthStar Mechanical,Inc. INSURER C: 95 Camelot Drive INSURER D: Unit 1 INSURER E Plymouth MA 02360 INSURER F: COVERAGES CERTIFICATE NUMBER: 19-20 MASTER REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCEADDLISUBIR POLICY EFF POLICY EXP LTR INSD WVD POLICY NUMBER MMIDDIYYYY MM/DD/YYYY LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ TO RENTE15- CLAIMS-MADE DOCCUR DAMAGE PREMISES Ea occurrence $ MED EXP(Any one person) $ PERSONAL&ADV INJURY $ GEN'LAGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ FPROPOLICY El JECTPRO ❑ LOC PRODUCTS-COMP/OPAGG $ - OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ Ea accident ANYAUTO BODILY INJURY(Per person) $ OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY(Per accident) $ HIRED NON-OWNED PROPERTY DAMAGE $ AUTOS ONLY AUTOS ONLY Per accident UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED I I RETENTION$ $ WORKERS COMPENSATION Y/N X PER OTH- AND EMPLOYERS'LIABILITY STATUTE ER 1,000,000 ANY PROPRIETOR/PARTNER/EXECUTIVEE.L.EACH ACCIDENT $ A OFFICER/MEMBER EXCLUDED? � NIA WMZ80080072212019A 01/09/2019 01/09/2020 (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ 1,000,000 If yes,describe under 1,000,000 DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) Evidence of coverage in place. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN ConSery Group,Inc. ACCORDANCE WITH THE POLICY PROVISIONS. 110 State Road#7 AUTHORIZED REPRESENTATIVE Sagamore Beach CA 02562 ( � ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD r I I j INSURANCE COVERAGE: I have a current liability insurance policy or its equivalent which meets the requirements of M.G.L.Ch.112 Yes V/No If you have checked Xr&indicate the type of coverage by checking the appropriate box below: ' A liability insurance policy Other type.of indemnity ❑ Bond ❑ i OWNER'S INSURANCE WAIVER:I am aware that the licensee does not have the insurance coverage required by Chapter 112 of the Massachusetts General Laws,and that my signature on this permit application waives this requirement I j Check One Only i Owner ❑ Agent El S Signature of.Owner or Owner's Agent By checking this box®,I hereby certify that all of the details and information 1 have submitted(or entered)regarding,this application are true and accurate to the best of my knowledge and that all sheet metal work and Installations performed under the permit issued for this application will be in compliance with all pertinent provision of the Massachusetts Building Code and Chapter 112 of the General Laws. Duct inspection required prior to insulation installation:YES NO E Pro ear ss Iatspections Date Comments Final XnsRection Date Comments i Type of License: 3y Master title ❑ I.Master-Restricted I DitylTown ❑.lourneyperson Signature of Licensee permit# ❑Jo.umeyperson-Restricted License Number: =ee$. ❑ Check at www.mass.g aim nspector:signature of Permit Approval Assessor's offioe -Ost floor). . CF TM E t0 Assessor's map and lot number .. ` ...4..Y,.L...��:.K....:... Q� �`` Board of Health (3rd floor): Sew a e Permit number ....... l.�....2....6..........s..../...`.3.�....�...�......�..fy • • DAUST1►X i v�gineering Department (3rd floor): 'o .rb 9.ouse number ........................:............... .................. „�eYar6�e APPLICATIONS PROCESSED 8:30-9:30 A.M. and�1�0 --2:00 P.M. only TOWN OF BARNSTABLE BUILDING INSPECTOR c 'APPLICATION FOR PERMIT TO .............................. ........... ..... ...............`........................................... WOOPr TYPEOF CONSTRUCTION ..................................................................................................................................... .........i..►......W�GN..........,9. .Q� TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the' following information: LocationM'q I'v S 1 �1&J � IS......................................................................................................................................................... aLSI0.� 61slry S Proposed Use ............................................................................................... j� " r ZoningDistrict ........................L..........................................Fire District .....................Q. . . ........... �................. Name of Owner ✓Y*' . ...J��.................Address �.t.G... ....... J.-�.�j. .J............. Name of Builder ��.✓�� 3 Gpv �tZt.( .....•.`.—.. ../......................................................Address .......................................................... ........................ Name of Architect ......!..I�� ......L-0.� ...........Address 6 HA ty S T ` ' I A j" I S M-A S S ......................................................0....................... , Number of Rooms ...........................Foundation .............................................................................. \t , f Exierio. .........................................`.......................Roofing ..... ...........:.................................................................. • � r Floors .................................................................:.................:'..Interior .................................................................................... Heating ..................................................................................Plumbing ..................................�................................................ Fireplace ..Approximate Cost w................................................................................ ..... ..... .... ................... Definitive Plan Approved by Planning Board __________________________; 19________ . Area C� �iJ -......... Diagram of Lot and Building with Dimensions . Fee /\ : .l................................ SUBJECT TO APPROVAL OF BOARD OF HEALTH 4 -+rV( � tr , l f, Sj OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS ` I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name ..................... ... .'......... 00 Construction Supervisor's License � �� I,DFF, TERRY A=342-04I . . . . ^ . No .�31782.. Per 'it _ _IDJTEIlZ0D _ ` - ^ .____ oial___________. - , Location .....�_Naiu_ .......................... � �io ' ------.}{Y4g-- ................................ ......... ' ' - Ov,ne, -'������'��f f_______.____. ' ^ Typo of [nns�oc�nn --Ir����.-------. ^ . -------------------------- � Plot ............................ -Lot -'--------- ' . - rob 15 OO Permit Gron+ed ..............................!........lP ' Dote of Inspection ------------lV . Dote Completed --'---------'lg ` .. . ' - - AJ ` ---- -- . ` m ' ` W�m`�n�~^� ��«�^ , ' m ^ ^ ' ' c ' � r \ ' A'ssessor's"offioe (1st floor): p�THETO Assessor's map and lot number ..3`� ��1 y�...S:.K...... Board of Health Ord floor): /•��� Sewage Permit number ssaasrsm, i i riva ETgineering Department (3rd floor): 039• House number ...........................................A( .................. o nor 6• APPLICATIONS PROCESSED 8:30-9:30 A.M. andod(f-2:00 P.M. only TOWN OF BARNSTABLE BUILDING INSPECTOR �.................ci. APPLICATION FOR PERMIT TO .............................. .. ... .. . ..................�:......................................... TYPEOF CONSTRUCTION ........................ �0�........... .....�............................................................. I.�...... � ..........19. TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location f- A-) IS ........................................................ ........................................................... ...................................... � Proposed Use .............. ......... ... ............................................. . .......................................�...................................................... ZoningDistrict ........................................................................Fire Distract ....................�.��..`.....�J.�..�. ............... Name of Owner ..... Ezpy...... U. .................Address ................... f ........... .� .G. . CO. .C�.cJ—... c u s�tiow, Name of Builder ...........�j. �2 .........C..I�G�--.............Address ............................�'�. �....� A.................... Name of Architect ...... ..y ...... r . ��......................Address .....................�'`�.........t..............A ......E............ S Numberof Rooms ..................................................................Foundation .............................................................................. Exlerior ....................................................................................Roofing .................................................................................... Floors ......................................................................................Interior .................................................................................... Heating ..................................................................................Plumbing ..................................Ann .. ........................................... FireplaceApproximate Cost 1................................................................................ ................... .... .......................... Definitive Plan Approved by Planning Board ________________________________19-------- - Area .... .....4. Diagram of Lot and Building with Dimensions Fee 1 V..... ..... ............................... SUBJECT TO APPROVAL OF BOARD OF HEALTH t d`1 ��•c:rv� ao OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. + Name ..................... .... ................... ............................. Colistruction Supervisor'`s License QD 2� S .................................... r RAP 342 Lot 41 AssL'saes mop'and lot number Sewage Permit 'number .,.,..... F t d 6 (Existing) (o �` House number :................................................... ......... r�AMA TABLE 6 q TOWN -_ OF BARNSTABL_E DING SPECTOR 1H APPLICATION FOR PERMIT TO Construct ConWa Dledical Buil ... .... .... .....: ............................ .. �% TYPE` OF CONSTRUCTION .....CIPM., K.lial.9...2X0fessi anal..Off ims..... ............ ... 2ti_ 7 .19: 'TO .THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location6 East Main Street.....Hyaianir ,... ................................................... ... ..................................... Proposed Use Professional Of fice�................................. .. ....................................... Zoning' District P�.. .... ... .Fire District. ..... ....Fyanni . Name of Owner .Ir?7;....SAS:��?17.CAI1L�1dy....................:.. al1T�l.S ...Address 140 YaA',i .. l, Name of Builder WrenQA? .QaC901G1t.7:QIi...... Address 1.0:Cotaetercia „miner Wrenitha¢n, .......... Name of Architect R. L. Seaberg & Associates .....::.Address335 Was ngton Number of Rooms .....14 .'........ ...... .......... ..... ....Foundation ;:.Concrete ............................................... Clapboard & Cedar Shuagles Roofin [flood '� Cedar'Sh les Exlerior .. ......... ... .................................:.. g ............ ......... ......... ,............ Floors ...Carpet and Tile .. ;.Interior Wood Frame Plaster.............. .... . Electrlc WmAir ConditirunPlumbing ................... ...Heating . ....................................... , �I Fireplace One Exist n�..•....• .................... xi ...Appromate Cost . $220,00.. 00 ... . Definitive Plan Approved by Planning Board ___ _ ------1.9 Area. . v�-v�- ..... Diagram of ,Lot and Building with Dimensions . Fee Y. "SUBJECT TO APPROVAL OF BOARD OF .HEALTH "Approval not required Plan dated 10/24/83 recorded in Plan Book 378 Page 4. approval by Town of Barnstable ddted. 10/31/33 Copies of, Diagram:of Lot and 'Building 'provided herewith.. OCCUPANCY PERM ITS.REQUIRED FOR NEW DWELLINGS I hereby agree to'conform to all the.Rules,and Regulations-of the Town of Barnstable regarding the above 'construction. -- Name . F./.fd c c. ........... ,. Supervisor's ................................. 0110444 - - Construction Supe License CONWAY. -DR': JOSEPH o .. .... ... Permit for APIIUIQN Professional OFFICE B _ ... ......ram... ............ Locatiort 6, ..11 xl..S . . .......... .. - ......yannis.... ... :. ... .... .... .. ...... ....... ., Ow ner. Dr JoseP.�SPjaway................ ..... TYpe of Construction ...k Ks3I1 ........................... �I ..... ........ ... .. ................... .. Plot Lot ............................ ;� r Permit Granted . April 27, .....19 84 - Date of Inspection ....::. ......19 t Date Completed ... ` ...19.PJ 1A • r l ._ TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION ` ? Map` '� Parcel �`z`� / �� , Permit#21 31 Health Division a t/ /U S�vvef gzd.al s, Date Issued l Q Conservation Division '��C `SIC, ' f'i"? j r; r ;�: Application Fee Tax Collector Permit Fee Treasurer / i;:r rC�,NT`N gUSTOBTAIN E 'G CTIOn PERMIT FRO��T f Planning Dept. S E OG P1W0,X r&0R-i J Date Definitive Plan Approved by Planning Board Historic-OKH Preservation/Hyannis Project Street Address Village Owner F p11 (�n'A/X/AY Address 80 157 OWE<4ke Telephone J-db ' —7 1i /' —)Z9 Inoo Permit Request �1 0�� b t� `Z.a1-�f� � ����-CR•-2. (�cJ 4uLf eW Leee.P11W A rep.. cv�► 11 Square feet: 1 st floor: existing proposed 2nd floor: existing 0 proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation 45000 _- Construction Type ReA40dding �a Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. e Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family(#units) Age of Existing Structure its Historic House: ❑Yes No On Old King's Highway: ❑Yes l.N0 Basement Type: XFull ❑Crawl 0 Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) T��o e'll-I Sytr g Number of Baths: Full:existing new Half:existing 2 new Number of Bedrooms: existing new Total Room Count(not including baths):existing new First Floor Room Count Heat Type and Fuel: 99as ❑Oil ❑Electric ❑Other t tt V1 g q„r 5 of a Central Air: es ❑No Fireplaces: Existing New Existing wood/coal stove: 0 Yes ❑No Detached garage: ❑existing ❑new size Pool:❑existing ❑new size Barn:❑existing Cl new size Attached garage:0 existing ❑new size Shed:0 existing ❑new size Other: Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial Yes ❑ No If yes,site plan review# Current Use CPS Proposed Use BUILDER INFORMATION Name %/-2• A164SO)Q �J'']��2CJGflo� .�C Telephone Number SOP • (12Y' 7,? Address ///off 2z� �t / License# G_S al R ff(? / 00ddx -Y Home Improvement Contractor# Worker's Compensation# A%AVH Job lox,ajo3 ALL CONSTRUCTION DEBRIS RESULTIN FROM THIS PROJECT WILL BE TAKEN TO &9&tR,6A eft A),�f SIGNATURE DATE / 7 0 �I 4 FOR OFFICIAL USE ONLY PERMIT NO. DATE ISSUED MAP/PARCEL NO. � ADDRESS � „ VILLAGE } OWNER DATE OF INSPECTION: -,- FOUNDATION FRAME INSULATION --. FIREPLACE ELECTRICAL: ROUGH FINAL � r * PLUMBING: ROUGH FINAL GAS: ROUGH FINAL ; FINAL BUILDING DATE CLOSED OUT , ASSOCIATION PLAN NO. ; I JAN-09-2004 FRI 10:27 AM DR JOSEPH CONWAY 5087718655 P. 01 Jan-08-p4 11 :48 Thonws A Nelson 608-428-7971 P.01 Town of Barnstable t Regulatory Services TAom a F.G@Uw,WaWr '�'► BuUdiag Division Toga Parry, HalldWs Commuvmw 200 MainSae4 Hywak.MAMWI pf6ces 508.80AMS F= 908-790-6230 Property Owner Must Complete and Sign'TWs Section If Using A Builder .;e,,p*iues.Of the subject ptcpcety .... hereby authotize Ta—a—x-lga a'•maj j.rtic�' r' :,.,_-nr_to 9,ct oamy behA. . k all mattao teU&e to Wosk authot'rxed-by this bWlftg peta it apptirwt on for. . 6 Main street Hyannis, MA D2601 (&d&ase of Job) . Pa�tN� KIN 91te .� Board of Building eqqulations One Ashburton Place, Ism 1301 Boston, Ma-,02108-1618 License: CONSTRUCTION SUPERVISOR LICENSE Number:'CS 009889 Expires:05/28/2004 Restricted To: 00 THOMAS A NELSON PO BOX 749 OSTERVILLE, MA 02655 Tr.no: 28626 Keep top for receipt and change of address notification. i I BOARD OF BUILDING REGULATIONS censer CONSTRUCTION SUPERVISOR 009889 tJumb@(Lr;� :i �04 Tr_no: 28626 I THOMAS A NELk K .� 1 .Y " r r ! PO BOX 749 `` OS7ERVILLE, MA 02655j''' Administrator !1 � ;. 91te -� . I _ Board of Building Regulations and Standards One Ashburton Place - Room 1301 Boston. Massachusetts 02108 Home ImprovemeritContractor Registration r f r Registration: 110216 Type: Private Corporation Ada. • t t Expiration: 10/9/2004 T A NELSON CONSTRUCTION CO INC THOMAS NELSON ' t7: PO BOX 749/1112 MAIN ST#12 OSTERVILLE, MA 02655 M- Update Address and return card.Mark reason for change. 1 Address f-I Renewal , Employment Lost Gard Board of Building Regulations and Standards License or registration valid for individul use only HOME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: Board of Building Regulations and Standards Reglstration: 110216 One Ashburton Place Rm 1301 Expiration: 10/9/2004 Boston,Ma.02108 Type: Private Corporation T A NELSON CONSTRUCTION CO fNOMAS NELSON PO BOX 749/1112 MAIN ST#12 OSTERVILLE,MA 02655 Admintdretor Not valid without.sionntnre The Commonwealth of Massachusetts Department of Industrial Accidents �T. _. 600 Washington Street Boston,Mass. 02111 Workers' Com ensation Insurance Affidavit-General Businesses name: „ address: city state: MR: phone# work site location(full address): ❑ I am a sole proprietor and have no one Business Type: ❑Retail❑Restaurant/Bar/Eating Establishment working in any capacity. ❑Office❑ Sales(including Real Estate,Autos etc.) ❑I am an em //% loyer with em � loyees(full& art time. ❑Other %/// //�%%%%%%%//O///%%%//%%///%%/%%////%%%//�%/%%%/%/ I am an employer providing workers' compensation for my employees working on this job. companv.name: 'T' A Die3 s4)p 'CAnStYUCti0I1 CO. , .lnc. address: I11i2: ,Ma4n Str:e�.t. #12 city Osterville, MA 02'655 phone#. ' S08-428 7801 insuranceco:.: .A::me:ri�can. 1,n,t0rstate In.s . Co. oic. oAVWC.MA121:.00:62003 /// rl I am a sole proprietor and have hired the independent contractors listed below who have the following workers' compensation polices: cOMAanV name: •.: ,... ...; ... .. - address.. city:. phone#° insurance co. Rolic # address insurance so. olicy 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$1,500.00 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 the pains and penalties of perjury that the information provided above is true and correct Signature Date T a n a r y 8 . 2004 Print name Thomas A. Nelson Phone#E 508-428-7801 tr official use only do not write in this area to be completed by city or town official city or town: permittlicense# ❑Building Department BoardDLicensing ❑check if immediate response Is required ❑Selectmen's Office 1 I []Health Department contact person: phone#; ❑Other (mvsed Sept 2003) 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 commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority. Applicants Please fill in the workers' compensation affidavit completely,by checking the box that applies to your situation. Please supply company name, address and phone numbers along with a certificate of insurance as all affidavits may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested, not the Department of Industrial Accidents. Should you have any questions regarding the"law" or if you are required to obtain a workers' compensation policy,please call the Department at the number listed below. City or Towns Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permit/license number which will be used as a reference number. The affidavits may be returned to the Department by mail or FAX unless other arrangements have been made. The Office of Investigations would like to thank you in advance for you cooperation and should you have any questions, please do not hesitate to give us a call The Department's address,telephone and fax number: The Commonwealth Of Massachusetts Department of Industrial Accidents Blocs of Imstlpawas 600 Washington Street Boston,Ma. 02111 fax#: (617)727-7749 phone#: (617) 727-4900 ext.406 e . F,. /CERT/PY TN4T �- BEEN yEF_H,1.P�DAt/ CLWFO.P�J?Y /ro to N//T7I /E RULE3 M/O.QE6UL4T/OVr kff T6 ...Ss O.,C*7f/E,QE6/57ER5 4%-LdEEL25. ti SB�j24pcE E. CQf,/y4Y PKASG. N N E—l e1Y-x N _ _ r 39• �� -Lasts y fw'p/ LOCUS MAP 11 , N 3 i a� D zauE Pao/�N ce\ i TR r tea•, S ri NMKB. 4,Al / A14&,VEBY CE,2T/PY 73/AT 7KE Pi2o4 RTY L/A/E.S SAd40Wl//JL2EGit/AA3E 7?/6 L/.t/6S LJA/69 .IAI"A/6 6X�CST/N6 OW.G(F¢S/// dit/O T11E - Gc TK6 ST.PEETS AA/O NS1Ys S.l:W/N OQ WA�AL.P8T1iQL/Sh6El7 ANO T,4fQr CW N6w L,6t IEs FY LYI�/_ dWJ OBE-Y/ST/N6 cu✓N��L:o cf¢Faa.vE A w A,coY.r A.BE,L.Ci.srt PL.r3N OF LdA/O /N FOo JO?iPI/ J. COAIWAY Af Gf / CERT/FY T,�.f4T 77V/S RL4A/ FULLY AA40 SCAISs:/'+20 JAN.26,1VAftI ACC[/,QATEnLY OiA/CTS 7Y/6+ LOCdT/0"AA40 OV,,W,5,CS/ON.T CZ� T:dF!Z/LGYNGS AS BU/LT SAYMAZ A&2-',/NC AA4;1 FULLY 4"7d 9 71A.10 Z^/?S CGWT.A/.VEO RE6/STEP50 L.Mm SCa2Y6YL7Q5 G02 o/IASE 0 f f f• YrAm q�B33GG I Office Space First Flog S nBasement up • Basemeni I. cArtitv.,-­nat this ulan shows u conveved Mid the i. diaLely adj. �:nd that . it gully and accurately :layout, location, dimensions , ap; area, main entrance .and immediat, area to which 4.t has access, as Key Plan iln�-v ��7•T'�h Ac��T Ilrrhi t•Art!'3WIa� z �lOOviiJ� -� l»oo v� cbu�ll��Ol i T ; u I Les %A-O� \�. vu aV t a COMMO --T7'�A.Z.`�H OF ��SA::�f�ACHUS�� INV —fc'c DFJ'AR:-)YMN7-OF P.h7DUS -RL&iftACCIDFNMS ` _ y 600 '\T'/61-1r 'GTON STkL-T jarnes_ Ga-1-00c B0ST0N, )\4-ASSACHUSL`I-TS 02111 -WORKERS'COM ENSATION INSURANCE AFFIDAVIT 1. - C-� �a,� 6,�1 � , . (liccnscc/rcrmiacc) with a principal place of business/residcna ac (Ciry/stacc2ip) do hereby eertifj; under the pains and penalties of perjury; that. (J 1 am an employer providing the followingworkcrs'compcnsation coverage for mycmployccs working on Chic job. 6NdC34361<9 i�'� �S' Insurance Company Policy Number �) I am a sole proprictor and havc no onc working for me. j J 1 am a sole proprictor,general eoncraor or homeowner(tirdc one)and havc hired the eons aaors listed below.• who have the following works s'cDmpe=don insurance politics: Name of Contractor Insurance Company/Policy Numbs Namc of Contractor lnsu=ncc Company/Policy Numbcr 1,12mc ofContraaor Inn=ncc Comp=y/Poliq Numbs Q 1 am a homeowner performing all the work rysdC AO?E Plcasc be aware 6zty Uc Lecco•vacn who cmploy pctsocs to do saaiotcaaao:.coostcvaioo or tcpair.Modc on a 1•.cllieb of not saorc than thrc<uaiu is•rSi6 i5<6mc0wacr also scsides or oa the Vvuals appuncaaot thcato ast aoe Eeoerally I eonsidereer to be employers tinder the vokal eompeoratioa Act(GL C.152.seen. 1(5)).applieatioa by a bamce ver for a Iieeose or permit r-.y crideoce the lcg:l st:ruf e!:,cr_;Ioyer uoder the Workcrs'Cc rapeosatioa Act- i c::tccrstanc tn:t a copy of irtis sraccna--c -iu oc(ors-•udcd to ti.c Dcp:::::cnt of lndustriJ Accdcnts'Orrcc of bsc:sncc for.mvcra;c wrifseation end th.t failure to secure corcr.;c=required undcr Section 25A of MGL 152 can kad to dx imposition ofxdminal pcna•lucs consisting or*fine of up to s15o0.00 wieicr irapruanmcnt of up to onc year and dQ penalties in the loan of:Stop Vock Order and a I fsnc of S 100.00 a day ag ' t me Signed this d2yof Q- , 19 Liccnscc/Pcrmittcc L'ccrisor/Pcrmiaor ' �,i � � �.; r i � � ,ry = � � r 4 ;,.,,;:� g ;. � r. E Z P-tv��*�. r;;a OxI�. �'tn.c o rr\l �S N Z l0 �� ..p- y � C J a x o� to v rn � ��x y m x .< m o S" �. C+ � d � c � S e-' O D � U �p 3 c o ao rn D r < � N H a--i � �"per\\c m O�,. ►+�Z a +� ;Off O =y'CO :O' -.[l�;'n�4 .t;� ani 'ni ACT _ C '�O OO�O Y 'Q -`� � A- �"�v N ti--� ^„' {rF'r• is {. ,f,.- •.. - 'nG Y� ,'wx ."'^ e n .,. 'I'h�e Towwn of ]Barnstable � > � g Department of Health Safety and Environmental Services' ., ` Y ' ' Eon P�0 r' Building Division ` { �t `367 Main Street,Hyannis MA 02601 Nlp ' Office. 508-790 b227 N t Ralph Crossen Fax: 508 775-3344 Building Commissioner , ' For office use only 74 Permit no. <� Data ,z ,� y AFFIDAVIT HOME IMPROVEMENT CONTRACTOR LAW SUPPLEMENT TO PERMIT APPLICATION MG L c. 142A requires that the"reconstruction,alterations,renovation,repair,modernization,conversion, •im rovement, removal, demolition, or construction of an addition to any pre-existing owner occupied ` } � f building containing at least one but not more than four dwelling units or to structures which are adjacent. 6 a;to such residence or building be done by registered contractors,with certain exceptions, along with other requirements 21 a ,y�} �fType o Work a E fst.Cosh d `AddressIr of Work. ' t � Q ,3, °4'vx h r p4ryq r r r #�aF,:,}$r �1 h:', •" r 4#ON,rner Name 'M1 t Date of Permit Application: I hereby-ceitify that:. Registration is not required for the following reason(s): d k Work excluded by law k • # , Job under 51,000 ' w Building not owner-occupied Owner pulling own permit Notice is hereby given that OWNERS PULLING THEIR OWN PER GT OR DEALING WTH I UNREGISTERED CONTRACTORS b rya : . FOR APPLICABLE HOME ,:IMPROVEMENT WORK DO NOT HAVE ACCESS TO 4 THE r 1' ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c. 142A SIGNED-UNDER PENALTIES OF PERJURY I hereby apply for a permit as the agent of the owner 4 Date �t Contractor name Registration No t Y4 OR F ar +' z Date Owner's name „ . Assessor's Office(1st floor) Map .3 Lot T Permit# I�0 S Conservation Office 4th floor Date Issued 13 d9� Board of Health Ord floor) ` Engineering Dept. Ord floor) House# Planning Dept. (1st floor/School Admin.Bldg.): i SAR R, i NAM Definitive Plan Approved by Planning Board 19 A 's processed 8:30-9:30 a.m.& 1:00-2:00 .m. TOWN OF BARNSTABLE Building Permit Application Pro'ect Street Address Villa e 7 Fire District N Owner Address Telephone - 7 Permit Request: lza-C�6 n 34-4"-�vj�6-6 Zoning District Flood Plain Water Protection Lot Size Grandfathered Zoning Board of Appeals Authorization Recorded Current Use Gn el Proposed Use Construction Type Existing Information Dwelling Type: Single Family Two family Multi-family Age of structure /02 cj-a- o Basement type 4 Historic House Alc�-` Finished Old Kings Hi hg_wav Oy`� Unfinished Number of Baths 13 No.of Bedrooms /'X- Total Room Count(not including baths) /5 First Floor f0 Heat_Type and Fuel Central Air tl� Fireplaces Garage: Detached Other Detached Structures: Pool Attached Barn None Sheds Other Builder Information PName Telephone number Address O ICY. License# Home Improvement Contractor# 10 35 Worker's Compensation # 6 g 3 k l g 7 9 S- NEW CONSTRUCTION OR ADDITIONS REQUIRE A SITE PLAN (AS BUILT) SHOWING EXISTING, AS WELL AS PROPOSED STRUCTURES ON THE LOT. y ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO �an�N nt"'� Pro'ect Cost dG \ Fee 02)SIGNATURE `�G DATE BUILDING PERMIT DENIED FOR THE FOLLOWING REASON(S) BPERM T •'r FOR OFFICE USE ONLY f ADDRESS VILLAGE OWNER ` DATE OF INSPECTION: �• ; FOUNDATION , FRAME _ INSULATION FIREPLACE F ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL ' Y! FINAL BUILDING: ' DATE CLOSED OUT: _ i ASSOCIATE PLAN NO. r Engip�eering Dept.(3rd floor) Map LJ a _f Parcel ) . Permit# �3 House#. �D 3 Date Issued q Board of Health(3rd floor)(8:15 -9:30/1:00-4:30) Fee O pn re ,v 5, a -ef cusfo�ci- Conservation Office(4th floor)(8:30-9:30/1:00-_2:00) 7i Planning Dept.(1st floor/School Admin. Bldg.) c Definitive Plan Approved by Planning Board 19 ; (- BARN8TABLE. • - ♦ MASS. TOWN OF BARNSTABLE; 6(1 4 Building Permit Application t t Project Street Address Village ,vrc/ Owner s Address Telephone 4� Permit Request mwr ' F First Floor square feet Second Floor g square feet Construction Type Estimated Project Cost $ 6-,OOD Zoning District Flood Plain Water Protection Lot Size Grandfathered ❑Yes ❑No 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 No.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 Garage: ❑Detached(size) Other Detached Structures: ❑Pool(size) ❑Attached(size) ❑Barn(size) ❑None ❑Shed(size) ❑Other(size) Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes ❑.No If yes, site plan review# Current Use Proposed Use Builder Information ^� c Name Telephone Number Address License# 3 c -2 6 r Home Improvement Contractor# / a J l¢ Z.6 Worker's Compensation# 11�'i T�70 2,72 7 NEW CONSTRUCTION OR ADDITIONS REQUIRE A SITE PLAN(AS BUILT)SHOWING EXISTING,AS WELL AS PROPOSED STRUCTURES ON THE LOT. ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE Z c) BUILDING PE MIT DENIED FOR THE FOLLOWING REASON(S) FOR OFFICIAL USE ONLY 2 . Q� PERMIT NO. f ., _..�• - . _ - ;.- .. -.y.: - . . - ! �: DATE ISSUED' - w MAP/PARCEL NO. — -',,, _. a . , •-t , ;/- - ••i ! r'R .! -� ` _ r ` + �f. •. '�Y+ ,t.. ADDRESS VILLAGE OWNER - �! ^� '' � i .. •« i _ T;, e DATE OF-INSPECTION: - r FOUNDATION : t s s FRAME INSULATION r r FIREPLACE t = ELECTRICAL:; ROUGH FINAL t , PLUMBING: ROUGH FINAL v , GAS: . ROUGH FINAL ! FINAL BUILDING + t DATE CLOSED OUT ASSOCIATION PLAN NO. i . i A y¢ i e Q � i , i r I s.i f � �6ee �o�nmzo�rzcuea� o�✓�aaaac/zuaet7a 1 - .� � Restricted To: 00 DEPARTMENT OF PUBLIC SAFETY 83188 CONSTRUU61ON SUPERVISOR LICENSE `' 00.-None ~, Number: Expires; 1G - 1 & 2 Family Nomes AectedTa:' 00 Failure to possess a current edition of the ? ' Massachusetts State Building Code �j�,td ;SCOTT;E CROSBY is cause for revocation of this license. ;,=62.4ROSBY CIR "OSTERVILLB, MA 02655 �/'� � • ����� E. .. ... 5 �';..1'-w.":7ti'r`4.1F'xl'm::W"$tix.x+:.'.Y e3.e' .i*'•'.. .''wF. ::„4�"f� 9.i st=fivtrv� I � �,''i q ' �� � � • .fv�� - �I I��rlx ll'{7 r T11c• rl, rt�,i w 1 ••j I ! ! •(:t -� = •�� De parnizent of Industrial Accidents r . ( ,illy a III r : OfflcCVURFestlgatlons 601111•allrirrgtf»rStreet ru '' Busturr.Muss. f12111 't,,,t'a:i,`I Workers' Compensation Insurance ARdavit dhPlirmt inftirmatifin• Plc•tse PRINT le� jjY i -- name• < :lg1l�ln Y�11•i�Ij ^ v, to•,y (1 O;�I' h�,1��.,h r [I 1 am a omenwnerpertorming all work myselr ii airal�{`4'4 [i I_am a sole proprietor and have no one working_ in any capacity 1 am an em loverp providing worker com ensation for my employees working on this ob G P P P P S 1 corn Ian\• n: , 1i I�F Ir i,7 Ali f I !qM.Ys •1(l ttrrSC• I 'illLr.;.F�'yi., 'Ij Ili41t;�t { C? /•�, c• I �,1;'}i!�ar air,'.. V lief fi :'tG';aa I�. in-mr.incc n. _ I am a sole proprietor. ;eneral contractor• or homeowner(circle otte)and have hired the contractors listed bcfptli0 a the following workers' compensation polices: II I1 I com ;Inv nnrnc* Pil l it l t ,r cit- adtlrrae; ,�I ieL�t�irir,p`(tlll'i incnrnnrr rn. d �—�.... _� _— •�r�wr=— —ir•r-...may.. _. —•t+•:._. ,I:,' iJr $r �T„ - 1 cmm1;ln\ nnmc; 1dllrc�c- I' 't rv" m N incurnnrcr Attach additional sheet ifnecess�ry � � _-r ': •�;:.: _.• •' 4. F:i lure to s'ecnr r cuveraee as required under aectton 3A of 1►IGL 1S2 can lead to the imposition of criminal penalties of a line up to SI UU ianiGur vnc cars'impr(aonmcnt as%.rll as curl pcnaUics in the form of a STOP WORK ORDER and a fine ofS100.00 a day against me I undo COP) of this.t:nentent ma} be furii ardrd to the O11ice of Investigations of the DIA fur coverage verification. f , II r fl /do herenr cerriji (Icr the p(titts and penalties ajperjun•that the information prorided above is true and correct. tlt 'p{;tle ,y Vy Sicnature Date f I " Print name S _Phone k L) b� ,(-/- official use unly do not write in this area to be completed by city or town ofllcial re I i r�tgt cite or town permit/license 0 r1luiiding Depart ent�,Cl ,' '' y Licensing Buzirti �'. ❑cheek if immediate response is required Obelectmen s off Clicalth Departm4�c11 I°tidl I�{'" P pf 'IN k lyt �.li r contact permin• phoncp• r101hcr \ i, � ail l.;il {�F.• �I1r ILL, 41 I t l:r 1'nk :t S 1 THE .�•n°: The Town of Barnstable '' r� ' Department of Health Safety and Environmental Services titBuilding Division 367 Main Street,Hyannis MA 02601 4� Ralph Crossen Office: Fax: 508-775-3344 Building Commissioner r For office use only Permit no. Date AFFIDAVIT HOME IMPROVEMENT CONTRACTOR LAW SUPPLEMENT TO PERMIT APPLICATION ' MGL c. 142A requires that the"reconstruction,alterations,renovation,repair,modernization,conversion, .aim rovement, removal demolition, or construction of an addition to any pre-existing owner occupied ..'improvement,P building containing at least one but not more than four dwelling units or to structures which are adjacent ,a to such residence or building be done by registered contractors,with certain exceptions, along with other t requirements. Type of Work: Est.Cost y, OLEO. Address of Work: ` �ft O imcr Name: Date of Permit Application: „i: ;:I herrbv certify that: _ Registration is not required for the following reason(s): Work excluded by law Job under S1,000 Building not owner-occupied x Omner pulling own permit - Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE ACCESS TO THE z: ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c. 142A . SIGNED UNDER PENALTIES OF PERJURY I hereby apply for a permit as the agent of the owner: } Date Contractor mane Registration No. OR �20 If Date Owncr's name JAN-08-2004 THU 12:54 PM DR JOSEPH CONWAY 5087718655 P. 01 Jan-08-04 11:48 Thomas A Nelson 506-428-7971 P-01 Town of Barnstable Regulatory Ser vices rncos Tb,ouu F.G940,Atree#ar Building Divblun . 'Tofu Parr-y.\uitdina Cvauui�Qiat�r , 200 Matti Stioet. Xy\02601 G coc 30g•es�.4o38 Fax. 508 790-WO Property Owner Must Complete and Sign This Section If Using rA BtiUder •,8. o*;aex of tau aubjoet prop q.. ., heteby auth0d2e m. .8, Nit t�'° , c �^� ,+ _�;ter-to':acx as my behalf,. in all twat=s:elative w'work autharize4by this building.peuait,appliezdaa for. 4 Main Street Hyannis, MA '02601 (Mikes of Job) ; p of ex Data Jost' h or Piat Nsne I TOWN OF BARNSTABLE BUILDING'PERMIT APPLICATION • IOU use;- Fos,Map • Parcel A 1 TDA��F� S ,. y Permit# HtalthrBivision r•)- as 5 4 aa?3„ RW Date Issued s-o Conservation Division - Fee w Tax Collector �- . r -�1 �`�" /G Treasurer Planning Dept. , Date Definitive Plan Approved by Planning Board Historic-OKH Preservation/Hyannis - Project Street Address Village Owner D Address 6 Telephone ,Permit Request uoo ` Square feet: 1 st floor:existing proposed 2nd floor:existing T- proposed — Total new -- Estimated Project Cost .300 Zoning District -- Flood Plain Groundwater Overlay Construction Type !.✓wv�)" Lot Size Grandfathered: ❑Yes ❑No If yes, attach supporting documentation. Dwelling Type: Single Family ❑ Two Family 0 Multi-Family(#units) , Age of Existing Structure as Historic House: ❑Yes O-Pd> On Old King's Highway: ❑Yes Cam' Basement Type: U-M-11 , 0 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: as ❑Oil ❑ Electric ❑Other - Central Air: ❑Yes ❑No Fireplaces: Existing New 'Existing wood/coal stove: ❑Yes ❑No Detached garage:❑existing ❑new size Pool:0 existing ❑new size Barn:❑existing 0 new size Attached garage:❑existing ❑new size Shed:❑existing ❑new size Other: — Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial 0 Yes ❑No If yes, site plan review# Current Use �� `� c Proposed Use BUILDER INFORMATION Name t*I&Telephone Number `f Address l 12- License# D Y 3 Y Home Improvement Contractor# l� 3 �- Worker's Compensation# � ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO a. SIGNATURE DATE I FOR OFFICIAL USE ONLY21 i 4 PERMIT NO. ' I DATE ISSUED MAP/PARCEL NO. ADDRESS ;. VILLAGE , -OWNER ' 4 ,. • ky� f. • :� a _,,, <I qq t d .•t t i .r „ - �� " €'Vs t c " t � `rt ... ~ ^ ;W 4 .. - .r ty t •,t � DATE OF INSPECTION FOUNDATION FRAME r INSULATION - -i ` FIREPLACE ELECTRICAL: ROUGH FINAL t - x - PLUMBING: ROUGH FINAL " t r GAS:` w ROUGH r FINAL` FINAL BUILDING Y t ^ r7 DATE CLOSED OUT ; 'T ASSOCIATION-PLAN NO. $" j GO / Tr.no.. 5485 CRQ Q$T9.RVILLE. M.,- Q? '. N.# Df'11Qr11l1CI11 of'lllduslrial Accidents z 1• ;: .::!� OIIIcPallmrrestlgatlous r 600 R a ltirrgtun Srrcer , �`:::••, B/JSlpn..Ifa= .92111 Workers' Compensation Insurance Afridavit ALPJiF1nt information • AC jpc�tion• �"L'�"" C��-- 7 I a homeowner performing all work:myself. I am a sole proprietor and have no one working in any capaciry I am an employer providing workers' compensation for my=plovees working on this job. rnmnnnv n•tmc• Peat ou- 4 VI t/JW bwW atlrltree• i I i Z Mn-1 N Jl l`_e.e-, Llil t i l I i P. y • bo-"( 151 n A /� J .' � _ �1 / sirs /��fil rV II� MA V�U/� nhnnck. � dzt�' "VC1DJ incnrnnrern M LfM)1] ��lie�•t! I C�L�I�I/ t �C��i��G C� I am s sole proprietor. ;coeval contractor. or homeowner(circle atc)and have hired the contractors listed beiow u'nc the Following workers' compensation polices: cmmn,1m• nnnnc- nddr"c- cir- nhnnc a• inctirnnrr rn _ nnlirvd cninnnnr namr. mid rrcc- in nhnnc#• ncunnec r Holier• - —_ Minch additional sheet irneccsiary. ,�•..�.. Ii't:•.... —. .. .•. ......�.. «.�....I.��..r•� allure to,ecurr coreraee:t� requrreel under�eettoa 3A of 111GL 15=ad o the imposition of enmtaal petsaltia of a tine up to 51300.00 ow nc 1 circ' imprisonment:as well as civil pcnaltics in the form ova STOP WORK ORDER and a line ufS100.00 a day aRit ma 1 understand tn:: M statement mar be furn•arded to the OlIlce of lavestirzions of the DIA for coverage verification. r!o herchr c ifi•ruu/rr 1. prtias and prrtaltics of petfutr that the information prodded above is true and corm:= Date 1il J tint name 1 cr Phone# 506 92_18 - (OffiUS ofticizi use unly do not write in this arcs to be completed by city or town oAkial city or torn: pertnitalcense it MUuildinc ocpartmcat ❑1Uccasine Oturd Cj check irimrncdiatc respunsc is required QJelectmen's OMcr rr (:j11e211h Department 1 contact ncrsnn: phone 0: r'tUth�r f I he 1 own of barnstaale aeaxarwsz� t � ', Department of Health Safety and Environmental Services Eo► '' Building Division } 367 Main Street,Hyannis MA 02601 Office: 508-862-4038 Ralph Crossen Fax: 508-790-6230 Building'Commissioner Permit no. Date AFFIDAVIT HOME IMPROVEMENT CONTRACTOR LAW SUPPLEMENT TO PERMIT APPLICATION MGL c. 142A requires that the"reconstruction,alterations,renovation,repair,modernization,conversion, improvement,removal,demolition,or construction of an addition to any pre-existing owner-occupied building containing at least one but not more than four dwelling units or to structures which are adjacent to such residence or building be done by registered contractors,with certain exceptions,along with other requirements. Type of Work: f Estimated Cost Address of Work: Owner's Name:-J Date of Application: I hereby certify that: Registration is not required for the following reason(s): Work excluded by law [:]Job Under S1,000 Building not owner-occupied Owner pulling own permit Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c. 142A. SIGNED UNDER PENALTIES OF PERJURY I hereby apply for a permit the a nt of the owner. 40 3.5--y-- Date Contra r Name Registration No. Date Owner's Name q:fomts:Affidav 1° T Town of Barnstable Regulatory Services ` BARNSrABLE, ° Thomas F.Geiler,Director �q'prFHAM Building Division Peter F.DiMatteo Building Commissioner 367 Main Street, Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 July 24,2001 Thomas P.Hopkins,Compliance Officer The Commonwealth of Massachusetts Architectural Access Board 1 Ashburton Place-Room 1310 Boston,MA 02108 Re: Request for building permits issued since June, 1975 Joseph J.Conway,MD 6 Main Street,Hyannis,MA Docket#CO1072 To Whom It May Concern: I have conducted a review of the records in this office and have found 3 building permits that meet your criteria. Copies are attached. Sincerely, Kathy Maloney Administrative Assistant g001228b The Commonwealth of Massachusetts W ARCHITECTURAL ACCESS BOARD ' One Ashburton Place - Room 1310 � W h Boston, Massachusetts 02108 JANE SWIFT (617) 727-0660 GOVERNOR 1-800-828-7222 DEBORAH A. RYAN Voice and TDD EXECUTIVE DIRECTOR Fax: (617) 727-0665 www.state.ma.us/aab TO: Albert Ulshoeffer FROM: Thomas P. Hopkins, Compliance Officer D Tvmg'7M RE: Joseph J. Conway, MD JUL 2 3 2001 6 Main Street `g Xfrr.TAa *p Hyannis Docket No: C 01 072 'DATE:.._July 19; 2001_._ . . ..�_.__... REQUEST FOR BUILDING PERMITS The Architectural Access Board has received a complaint on the above referenced premises. Before the complaint is processed, we would like to obtain copies of all the building.permits since:JUne of 1975.:The Board needs the permits to determine whether or not we have jurisdiction under Section 3.3.. You may use the space below or attach additional comments: Please return this memo .with all the building permits within fourteen (14) days of receipt. ADDITIONAL COMMENTS: y Building Official (Please print) Signature ' ...•n.��;-r.ler$t§S�?fv<tixxr,.P"?'x9ksix+- �ST '&�'+!!$'e•.. .. Y.S"t.°!iS?A _.. '.. _. ... . ac:Gear....w,,__r..,.w...........,•......-...:.:___ .....�...._.... ...—...,....... TOWN OF BARNSTABLE BUILDING PERMIT PARCEL ID 342 041 A01 GEOBASE ID 35918 ADDRESS 6 MAIN STREET (HYANNIS PHONE HYANNIS ZIP - LOT BLOCK LOT SIZE DBA DEVELOPMENT DISTRICT HY PERMIT 30273 DESCRIPTION STRIP&REROOF OFFICE BUILDING PERMIT TYPE BROOF TITLE BUILDING PERMIT ROOFING CONTRACTORS: PEACOCK & CROSBY BUILDERS, INC.ARCHITECTS: Department of Health; Safety and Environmental Services TOTAL FEES: $50.00 tEIE BOND .00 CONSTRUCTION COSTS $5,000.00 750 ROOFING AND SIDING 1 PRIVATE ; • fA[tNePABIE, � MA88. � i639. BUIL G DIVISI BY DATE ISSUED 04/21/1998 EXPIRATION DATE ' "A4a'J'w'F'lfnSCs"vy .f"�.",rsWis'4 s4iti$'+PM.I.kl'<ryS:J`NM1dr` . . TOWN OF BARNSTABLE BUILDING PERMIT PARCEL ID 342 041 B07 1 ADDRESS 6 MAIN STREET (HYANNI�OBASE ID 35922 Hyannis PHONE (508)771-7284 LOT ZIP _ DBA BLOCK LOT SIZE DEVELOPMENT DISTRICT Hy : PERMIT 19252 DESCRIPTION RESHINGLE (10 SQRS_ , PERMIT TYPE BROOF TITLE BUILDING PERMIT ROOFIN - G CONTRACTORS: PEACOCK & CROSBY BUILDERS, INC. ARCHITECTS: Department of Health, Safety TOTAL. FEES: . and Environmental Services BOND $25.00 ' CONSTRUCTION COSTS $.00 �TME $2,000.00 750 ROOFIN G AND SIDING 1 PRIVATE MA B OWNER JOSEPH S. CONWAY, E ADDRESS 39. �F SIX MAIN ST � HYANNIS MA ^BU DIVISION DATE ISSUED 11/13/1996 EXPIRATION TOWN OF BARNSTABLE BUILDING PERMIT PARCEL ID 342 041 GEOBASE ID 24962 ADDRESS 6 MAIN STREET (HYANNIS PHONE HYANNIS ZIP - LOT BLOCK LOT SIZE DBA DEVELOPMENT DISTRICT .HY PERMIT 42495 DESCRIPTION STRIP AND REROOF .' PERMIT TYPE BROOF TITLE BUILDING PERMIT ROOFING ,: CONTRACTORS: PEACOCK & CROSBY BUILDERS, INC. Department of Health, Safety ARCHITECTS: and Environmental Services TOTAL FEES: $50.00 THE - BOND $.00 CONSTRUCTION COSTS $3,800.00 750 ROOFING AND SIDING 1 PRIVATE P163 MA83. BUILDIN I BY DATE ISSUED 11/18/1999 EXPIRATION DATE. Assessor's map and lot number .... 4.2 moo*THE To Sewage Permit number/ZzA : ...:.......:......... . . .1''!!.KY3��.f Q �I BABH9TADLE, i { House number ....Y..................................... 9 MAO& 00 i639. `0 r MAY Ar' TOWN. ' ,O, -BARNSTABLE • 4 . BULDIHG INSPECTOR APPLICATION F Remodel � OR PERMIT TO ........... .............................. ..... .................................... TYPE OF CONSTRUCTION .............................Mood...f frame............................................................................. March 1 .................................19. .$. TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location ................6..Maln...S K.Q.Q.t;......IYaxlai.5., AVIA. ......................................................... ................................... ProposedUse .....Off 99........................................................................................................................................................ ZoningDistrict ...PR.D.............................................................Fire District ..........................H................................................... r Name of Owner ......TerrX Luff................................................Address 32..Windsor Road,,,,Sandwich,,,, MA,,,,,,,, Name of Builder ............. _..................Add r ss Lic. No. 362563 - - Name of Architect ................Address i Number of Rooms 13 EXiStiri CQAP b k+ w ..................................................................Foundation .................,..cJ..............-.......�,QG......iZ.^�.... . Exterior & W C Shingles ..................................Roofng .......Re.d...ced qgdar...................... ...............:............. Floors .... ................................................................. Interior ........5.beQ.t;x:Q.CX............:..•..... ....... s........ ........ —Heating— EJ EC.... 1....:.pY'-ems curj? — - tY C ^. ...^ — Plumbing :..................:.. :-�"� ..... . . ... ................ ... l Fireplace ........................................Approximate. Cost $.7.0.r.A.Q.O 01.0 Definitive Plan Approved by Planning Board ________________________________19________. Area 140.(l...S...E.....new..... � Diagram of Lot and Building with Dimensions Fee .... ...'.L.�.`.U..�!.................... SUBJECT TO APPROVAL OF BOARD OF HEALTH OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and RegulationsC of Barnsta le re a ding the above construction. No .. .... ................................ Construction Supervisor's License ...............................:.... LUFF, TERRY 27569 -�, REMODEL & ADD TO No ................. Permit for .................................... 2nd Floor/ Office ............................................................................... Location ...6-main...Street............ .. ......... .......... .. .................... ...................... ................... f Owner...... ......................................... cli Constructi'o'n. ..... ............. ........ Type ... ........................................ ....................................... Plot' -................ ......... Lot ............ .......... Per'mit,)Gron+ed 85 ............... ................19 Date of"Inspection .....................................19 Da'te Completed .... ...........I*gx Ile 3 o,•": TOWN OF BARNSTABLE Permit No. ------27569------------- ` . Building Inspector saanrm i T Cash --_------ oar OCCUPANCY PERMIT Bond __N%A___ 1� Issued to Terry Luff Address Main Street, Hyannis Wiring Inspector f �l.4� _. Inspection date i - c� Plumbing,Inspectora�� � Inspection date Gas Inspector Inspection date / Engineering Department ± '±+ Inspection date's Board of Health Inspection date THIS PERMIT WILL NOT BE VALID, AND THE BUILDING SHALL NOT BE OCCUPIED UNTIL SIGNED BY THE BUILDING INSPECTOR UPON SATISFACTORY COMPLIANCE WITH TOWN REQUIREMENTS AND IN ACCORDANCE WITH SECTION1119.0 OF THE M_ASSACHUSETTS STATE BUILDING CODE. t� i . ....................................................... is. .............. . n............ .. �.............. ......_........_._ g ' ��Building Inspector TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map �-7 Parcel 6C) j Permit# Health Division Date Issued Conservation Division Application Fee Tax Collector Permit Fee OU Treasurer Planning Dept. Date Definitive Plan Approved by Planning Board Historic-OKH Preservation/Hyannis Project Street Address 6 rv) Q,csv� C� wwQs Villageww/4�IS Owners �-t- L.c Address Telephone Permit Request egaa 00-cc)--, 5 Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation 66® Construction Type 1 Lot Size Grandfathered: ❑Yes ❑No If yes, attach supporting documentation. Dwelling Type: Single Family O Two Family ❑ Multi-Family(#units) Age of Existing Structure Historic House: ❑Yes ❑No On Old King's Highway: ❑Yes ❑No Basement Type: ❑Full ❑Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full: existing new Half:existing new Number of Bedrooms: existing new Total Room Count(not including baths): existing new. First Floor Room Count Heat Type and Fuel: ❑Gas ❑Oil ❑ Electric ❑Other Central Air: ❑Yes 0 No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑No Detached garage:0 existing ❑new size Pool: Cl existing ❑new size Barn:O existing ❑new size Attached garage:0 existing ❑new size Shed:O existing 0 new size Other: Zoning Board of Appeals Authorization O Appeal# Recorded❑ Commercial._0 Yes — 0 No -If yes, site plan review# _ Current Use Proposed Use BUILDER INFORMATION Name �GtM �✓� Telephone Number Address ( 7_0d/%orn (a License# i co lNl Home Improvement Contractor# Worker's Compensation# ?9 z71Xb( J /0 ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TOell- SCE SIGNATURE DATE FOR OFFICIAL USE ONLY PERMIT NO. DATE ISSUED MAP/PARCEL NO. ADDRESS - VILLAGE ti OWNER DATE OF INSPECTION: y FOUNDATION FRAME INSULATION FIREPLACE f ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING , DATE CLOSED OUT ASSOCIATION PLAN NO. . The Comman�v• • eaith of Massachusetts . • •_ ___ � Department of Industrial Accidents' 66a Washington Street _ Boston,Mass.. 02111 Workers'..Com ensati in.insurance Affidavit-General Businesses ��,�/ ,�„^ :��.�-:.��,� tea�.,�a,,�•e,,, -. . . � .:>•,, ',�� . "; ;�t�a+MA , r � . jlaIIle: `. r� �• �j � f ir• address: J � � state• zi �©�f� J• hone# , � . _.�.. work site locatioli fat address : : ' I a3ii•a sole Ilraprietor and have no one $psiness Type: []Retail❑�RestauraniBaF/Eating Establishment y�orking in any capacity. []Office❑Safes(including Real'Estate,Autos etc.)' am an en 10 er with etn to ees full& nit time): ❑Other / %%////%/////..������•%%%/% %//%////y///%/�/�/%%/////////%%%/%//////%%%%worlds on this'ob., . I am an,employer providing.wwkers' sbmven tion for my employees g J „ Cl)Ifl•SiII _`elllet -' t, :et, ,,.. •••a +;irrpF.�, :i,•. ••-,,' .: r �:• •� ... r 1i :�:•.•rl:�.�; '! ii`ti .�. v' - 'J ::;t•. :{••••r: '•.'••.�f�i5�� ••'+� +7,_�,•.i t.;.,rt't::t"•% .. jida reds: +4 :i�i t:r� ,'ti•.•..f••!L'' ,r?4A.).•Li 'i. �j• .. •.r{<:, ! !�: t.!i:':: ... Cif ii ;'• ,.. .ti r,, r' :t_• i 't .,. ;i•'! ~+! •::rt:•^f. .',S , •.'r t. •' •,,,:? ^:j.,• ,:1:: 'r •�' .fir•,'• '. 75 yf�''�,ji.•� aiisurarice.co! ter ,. ` ,• ;T` :4'i1:' 011C. .#'• I'am a sole proprietor and-have hired the independent contractors listed below•who have the following workers' .compensation polices: :...: ',.ti. ':: 'a'• •;, t:, •4:. S r:i��..fyiC�•:r• :.r:?:,fit•'}1rF{ls,h't! .7::'' '.�'}'_ .:4.�.f t: t••t'•i;, :.pry:".�' .i. ,ti5•,�: 'F°'•3r�:=i''' t�,�.,. .e +f. •r ej.,: a• SIl]G:, :i. :, j 1 i' ;v.y. :.'ir:. .r 1•; Cow 8II 'n .:'8'':• ,rY': �.' .t.. ,4::.•i:rr� '1.i:;�.1.. ,t t ;•.::+%,!l{� t tidy';. t '. . ;� •• .t`••,,,,}: : address' ,e.• ^ .t'~ :�• .ti:K;, '� '., ;.�: .+ :•�•:r ••i .tr 1, -.r: . ' •. i +'• •� '' v ,A :7�•••:f•'•''S•a•ii;••I':..+;:.t:! t�!. !t: � .y! �+.t• •,ti: .�.. _ •rr rt 1.:•,, CI•:. ..t .• •,� t rt�'y4' ,r•'w •J, .t{�•t.�,;'n:` .i,}•. r. •',.` ryaa:••= ). •ti,� r.,4(:��3r: n r �s�a•• ..'•'St••i 1;:, ,:;: '•i;r,. : 11iS111'911Ce'C0. `r= '^`ANN � ... ,. .. .. ' i,: .:�'r.t ::t,yjCt :,Y,'{•: '' ',Ir: iec' •!tr '•,�'., t�'•:*• :•.,tit'}y �Y't:„�..lri+c: •:ti5. 't IT ' ':',.y ':' mot.:'•. ..:i�i'•,.. '•l •.t.i'...:.. ,aj Yi. ..tt•v_ 7•. •SY''"`� fi 4' Ll';1 t4`^„i•.•:C •:: ,f:: .t�.••rtii:... s. .r.J. ;: ..a I ^'(J • COIII,gll. II817�e:•G:r .t• r address: .; � ,: ��'�'• ,:•;; `�'�� � � ' CI• _' I •.i. •.p �•t.•t 5,: ,J, r,)) •n .,.• :::ti:+ ,'. .:,.. :, "yf•t.c: ;:;;t:•' �i.j.•t:..�.`':<�•.t'.:�•". :, • '• i l41 '!::';'�'a: ..J:r t r'• � .i'.,•4. y. r,• .'`. ,• :�, � •;,:�.:y• r: •' .�+.•' :�, :.1'" r•',ti,.:ti :.•' ' ':,'.,•. i?r,!•'i'i'•;t*r+.• ..t' 'rt2 •t• ;.. ,rw r0�••.:.` •1, +j••? '.' r.;:i=' .'}' ::4{=';t='.i:•. :•�5i:. j;. 0Z1C•. Insuran Failure to secure coverage as required penalties the f,der Section:RX of a STOP wORK opDGL 152 can lead to the FiR and a fine of osition of criminal 100.00 dray againsties of a tt me. I understand that anne up to$1,500.00 d/or one years'imprisonment as well as iviip copy o f this statement maybe forwarded to the Office of Investigation9 of the DIAfor coverage verification I do here certify un t pa' s nd aiti fperjury that the information provided above is true an correct Date 5igaature. �• Phone# :. . • • ' ' Print named — - official use only do not write in this area to be completed by city or town official Rif permit/license# []Building Department city or town: []Licensing Board ❑Selectmen's Office [}check if immediate response is required ❑Health Department contact person- phone#; Other (revised Sept 2003) Information and Instructions• Massachusetts Ge1�esa1 Laws'cli pter�i52 section 2-5 req Vies all employers to provide workers' compensatidn for their. employees: As quoted1rom 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 djoint 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. 'Howevei'.the owner of a dwelling house haying.'not more than three apartments and-who resides therein, or thePecupanttbf the.dwelling douse bf another who employspersous to do maintenance, construction or repair work on such dwelling house or on the grounds or building app�tenant thereto shall not because of such c#lo*ed.be deemed'to be aii employer. MGL chapter 152 section 25 also'states thatevery. state-or lbcal licensing agency shad-vIthhbld the issuance dr renewal of a license or permit to operate a business or to construct buildings in the.commonwealth for any applicant who has not produced acceptable evidence'of compliance with the insurance coverage required: Additionally;neither'the' ' commonwealth nor. .of its political subdivisions shall enter into any contract for the performance of public work until compliance with t�e insurance requirements of this chapter have been presented to the contracting acceptable evidence of authority: Applicants Please fill M the ygrkers'•eompmsafm afflavit completely,by checking the box that applies to your situation.. Please supply company name, address and phone numbers along with a certificate of insurance as all affidavits may be submitted to the Department of Industrial Accidents-for confirmation of insurance coverage. Also be sure to sign and date the - affidavit. The affidavit should be returned to the city or town that the application for the permit er license is being requested, not the Department of ludustrial Accidents. Should you have any questions regardmg the'"law"or if you are required to obtain a•vrorlcers.,.compensationpplicy,please call the Departffimt at the number listed,�ielow. , . .. City or Towns . 't is cb lete and rented le bl . The D artment has provided a space at the bottoni of the e affidavit p gi Y eP please be sure that the mP affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant Please _ be slue to fill mthe permit/hcense number which w�l be used as a reference number. The.affidavits maybe returned to the Departmentb}�.m or FAX unless othei'ari-angements have beenmade. hke td thank ybu in advance for you cooperation and should you have any 4uestions, The Office of Investigations woukd 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 BMW of Wmsfigatlens 600 Washington Street ' Boston,Ma. 02111 fax#: (617)727-7749 .. .n. ,"-',1innn __t 'AnIc - Fraser Construction Roofing & Siding Specialists TOTAL INVESTMENT GAF Timberline 30 - $79825.00 GAF Timberline 50 - $8t200.00 Payable Immediately upon Completion NO MONEY DOWN - NO Payment at the start or part way thru Payments accepted are: CASH -CHECK- MASTERCARD -VISA-AMERICAN EXPRESS Possible Extra —After the shingles are removed from the roof, we will life one sheet of plywood to make sure that the insulation be not up against the plywood sheathing so that ventilation cannot occur from the eaves to the ridge. If it is, ventilation panels will be installed by removing the plywood sheathing, installing the panels, turning the plywood over and then re-installing the plywood. If needed, this would be charged for as an extra at the rate of$4.00 per panel including Materials& Labor. There are 6 Panels per sheet of plywood. Possible Extra—Any rotted or otherwise deteriorated trim boards, plywood sheathing, lead flashing, or other carpentry needing replacement will be done and charged for as a n extra at the rate of$40.00 per hour, plus materials, plus 20% overhead mark-up on total extras. Proper ventilation panels, $4.00 each, if needed. FRASER CONSTRUCTION Warranties the shingles and labor for 10 years. FRASER CONSTRUCTION Warranties the shingles against B1ow0Offs for 10 years. CERTAINTEED Warranties the shingles and labor 100%for the first 10 years, and then on a pro rated basis for 40 years total if the shingles become defective. CERTAINTEED Warranties the shingles to be ALGAE Resistant for a full 10 years. Any deviation or alteration from above specification will be executed upon written orders and will become an extra charge over and above the estimate. All agreements contingent upon strikes, accidents or delays are beyond our control. Owner should carry fire, tornado and other necessary insurance upon the above work. We, if not accepted within thirty.,days may withdraw this proposal. FRASER CONSTRUCTION Carries Workman's Compensation and Public Liability Insurance on the above work. DATE OF ACCEPTANCE: SUBMITTED BY: Homeownerrs)�r�on TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION S' 7 Map' "` �' h. Parcel d 21 Permit# € �3d'� 1°�,`'� ` � Health Division f ,eaBL.E Date Issued Conservation Divisions ���� 28 pig Z. Fee Tax Collector Treasurer �9�F�lOh+ Planning Dept. Checked in By Date Definitive Plan Approved by Planning Board Approved By Historic-OKH Preservation/Hyannis Project Street Address 1 G 04/N Sf le aer Village 11Y 44111 Owner 7o veem 1('011 w4 y/ Address / 13 0 4 f le.e!e_ #i'/l RU s'of 7 7/ 12 P 7` fT Telephone y �® A O G 6� G 2G,r1' Permit Request /ytp/a ez 2u 7y euJ d o k F/Z P t r a �r'G/i/Q//sty 1 u k i'�- / 3 Atwouz 0 /0 ZV/nmewi 14-P//1a12 WiA Pf//q lfyv • 3Gl 2��4/?t' u KO 4�late Clyd ofi2e oV �e eke d Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Valuation Zoning District Flood Plain Groundwater Overlay Construction Type Lot Size Grandfathered: ❑Yes ❑No If yes, attach supporting documentation. Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family(#units) C ovwnt ed/Cq Age of Existing Structure Historic House: ❑Yes 34o On Old King's Highway: ❑Yes ®'IVo Basement Type: ❑ Full ❑Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full: existing new Half:existing new Number of Bedrooms: existing new Total Room Count(not including baths): existing new First Floor Room Count Heat Type and Fuel: ❑Gas ❑Oil ❑ Electric ❑Other Central Air: ❑Yes ❑No Fireplaces: Existing New Existing wood/coal stover ❑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 7ofApeals Authorization ❑ Appeal# Recorded❑ Commercial s ❑ No If es, site Ian review# ��// Y P Current Use //fte 4 4 C- Proposed Use BUILDER INFORMATION SDJ �IZI Name 9(-)h G 6Q u/o ,elu, Telephone Number Sev Address U , 2�, License# C6 d 6 1 7 &Z M,4%1'J l"4 fed A//l/ 674 Home Improvement Contractor# f 0 J- 73 7 Worker's Compensation# (� /Y22Y ALL CONSTRUCTION DEBRIS L_TITRWROM THIS PROJECT WILL BE TAKEN TO CtAfawri' sre, ,el) f4 i/r I lle' 1{ 4 /40Y SIGNATURE DATE -1/-2 toLO FOR OFFICIAL USE ONLY PJP r MIT NO. DATE`ISSUED MAP/PARCEL NO. f - - r , ADDRESS VILLAGE OWNER ' DATE OF INSPECTION: FOUNDATION FRAME INSULATION s FIREPLACE ELECTRICAL: ROUGH FINAL , PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING DAE,CLOSED OUT '» ASSOCIATION PLAN NO. 1 x � I I OR elf BOiI�tlLD14AAS s P � Llaense °CQ..._,e TIONSIJPERvISOR - Nymtier C$ 0'14-2�24 :� $. ° ! 6 Tr.no: 23209 9 BO :26tADYi2#PL1�1 MA7i;ST©�S=MILLS, '1CA��2 j "`-�-r-deer GT1�e�uuea ti o�.�aaaar,/u.`rds Board o Buil rng Regulate sand Standards HOME IMPROVEMENT CONTRACTOR d`�j. Registr itdrr�•105737 Fit &=—W20/2006 �e14�it'dividual i JOHN C.BOWIJts _ John Bowden ` °— `:1` 28 Lady Slipper Lane, Marstons Mills,MA 026 Administrator JUL-12-2005 TUE 02:46 PM 0R JOSEPH CONWAY 5087718655 P. 01 JU--11-r?15 12127 M-50MISSO P.1 _ bAt �an104 _. .. . die 0 i7 Li .-0 oLPq Towl, o f.841. able Alogwitt� �1Rftlap,msrs0es 13un eetpr 1'ota� $ iu11dlag Cpuottor S�8*BG2 , 38 �lrea� Rom°•MA 0201 Pax: 508.79&Mo pto edy t erMust;Complete aid Sign This Secd=If Using,A. Builder • i �,s G0 e+. ,a>s C�waer of the sul►ra pmperty cam' a !�° ua acC oa behalf, in allam rkty to Volk autbo&Ad by ibis 5dmq permit applica*)n for(a"I of job fia Joseph I Conway, M.D., P.C. 6 main St. Hyannis, MA 02601 508-771'-7284 The Commonwealth of Massachusetts Department of Industrial Accidents q _ Office of Investigations 600 Washington Street Boston,MA 02111 °1M www mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name (Business/Organization/Individual): �6 h e✓� Address: A i City/State/Zip: R t;l TO/U. /`1l/f✓ 1#4 Phone#: .�� AVi ou an employer? Check the appropriate bog:. Type of project(required): 1. am a employer with 1 4. ❑ I am a general contractor and I 6. ❑ New construction employees( part-time)to full and/or .* have hired the sub-contractors listed on the attached sheet t 7• ❑ Remodeling 2. I am a sole proprietor or partner- ❑ These sub-contractors have 8.• ❑ Demolition ship and have no employees working for me in any capacity. workers',comp. insurance. 9. ❑ Building addition [No workers' comp.insurance 5. ❑ We are a corporation and its 10.❑ Electrical repairs or additions required.] officers have exercised their 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 r uired. t employees. [No workers' eq ] 13.0 Other comp. insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information: t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. $Contractors that check this box must attached an additional sheet showing the name,ofihe,,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: a hl4 ld .P YJ 7 hs' Uhl lL C Q' Policy#or Self-ins.Lic.#: I/ P G 4` X Z H 14 Expiration Date: Job Site Address: A It%� '/ li k 0#1141 Md City/State/Zip: �� '��/_/ � d"2(n 1Vj 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$1,50Q.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 nder the pains and penalties of perjury that the information provided above is true and correct: signafore: Date: 0 d^ Phone#: Tdl ! zo�.r�S 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#: Information and Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers' compensation for their employees. " 9 Pursuant to this statute, an employee is defined as"...every person in the service of another under any contract of hire, express or implied,oral or written." An employer is defined as"an individual,partnership,association,corporation or other legal entity,or any two or more of the foregoing engaged in a joint enterprise, and including the legal representatives of a deceased employer,or the receiver or trustee of an individual,partnership, association or other legal entity,employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein,or the occupant of the dwelling house of another who employs persons to do maintenance,construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." MGL chapter 152, §25C(6)also states that"every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required." Additionally,MGL chapter 152, §25C(7)states"Neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority. Applicants Please fill out the workers' compensation affidavit completely,by checking the boxes that apply to your situation and,if necessary,supply sub-contractors)name(s),address(es)and phone number(s)along with their certificate(s)of insurance. Limited Liability Companies(LLC)or Limited Liability Partnerships(LLP)with no employees other than the members or partners, are not required to carry workers' compensation insurance. If an LLC or LLP does have employees,a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested, not the Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy,please call the Department at the number listed below. Self-insured companies should enter their self-insurance license number on the appropriate line. City or Town Officials Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant Please be sure to fill in the permit/license number which will be used as a reference number. In addition, an applicant that must submit multiple permit/license applications in any given year,need only submit one affidavit indicating current policy information(if necessary)and under"Job Site Address"the applicant should write"all locations in (city or town)."A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for fixture permits or licenses. Anew 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. #617-727-4900 ext 406 or 1-877-MASSAFE Fax#617-727-7749 Revised 5-26-05 www.mass.gov/dia �, � :n fie�oomvsno�euAertlD�of:/�aaQa�r�Caead BOA D OFBUILDING,'REGULATION3 r �� a L:Icense CONSTRUCTION}SUPERVIS.QR A. " " Number GS 0:14224 (i F. N' ; t a 26 fit. SEx FM— D4 U9/2006 �.rio: 23209 _ � ._ JOHN'C B�'� a ENS F � BO 26/28�LADYSLIRPER aLf,V �� , �` MARSTONS�MIL�S, MA 02648� � '"'�'' Board of Buildiw,9-kew9aualltiobsand Standards HOME IMPROVEMENT CONTRACTOR , Registration:-105737 Expiration;,?/20/2006 is =T individual - JOHN C.BOWDEN �` Z John Bowden `r ;rt.' :-` 28 Lady Slipper Lane Marstons Mills,MA 02648? ' Administrator YOU WISH TO OPEN A BUSINESS? For,Your Information: Business certificates (cost.$4.0,00-for 4 years), A business certificate ONLY REGISTERS YOUR NAME in town (which you must do by M,G.I-. -it does not give you permission to operate.) You mUSt fil'St obtain the necessary signatures Oil this form at 200 Main St., Hyannis. 'Take the completed form to the -]'own Clerk's Office, I st Fl., 367 Main St., Hyannis! MA 02601 (Town Hall) and get the Business Certificate that is required by law. DATE. Fill in please: APPLICANT'S YOUR NAME/S: KO wu�*A BUSINESS YOUR HOME ADDRESS: TELEPHONE # Home Telephone Number SICI-5\1-1� ADDRESS.OF BUSINESS . MAP/PARCEL NUMBER essingl­­ When starting a new business there are several things you must do in order to be in compliance with the rules and regulations of the Town of Barnstable. This form is intended to assist you in obtaining the information you may need. You MUST GO TO 200 Main St. - (corner of Yarmouth Rd. &Main S&eet) to make sure you have the appropriate permits and licenses required to legally operate your business in this town. 1. BUILDING COMMISSIONEF�S OFFICE This individual has b of quirements;that pertain to this type of business. AP kj:& 2. BOARD OF HEALTH This individual has been informed of the permit requirements that pertain to this type of business. Authorized Signature** 3. CONBUKMER AFFAIRS (LICENSING AUTHORITY) This individual has been informed of the licensing requirements that pertain to this type of business. � AuthorizedEUgnature*° COMMENTS: TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map 3 9 Z Parcel I Application # Health Division Date Issued 1 ^2 G- �r tag Conservation Division '"ZNG �A Application Fee T Planning Dept. JAN0 Permit Fee Date Definitive Plan Approved by Planning Board 7'OW ?416 8 Historic - OKH _ Preservation/ Hyannis Project Street Address- Village (A "I 1"Ai Owner R�fie fk , Address L3� I�fV Ave ��h�-�.(Ak elf au )( Telephone So 1 S 4 Permit Request �t'�r�u+.0 UY _.t c �.cc i,-���,cl�� 0, JAPW Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation 13, L s 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) Number of Baths: Full: existing new Half: existing new Number of Bedrooms: existing _new Total Room Count (not including baths): existing new First Floor Room Count Heat Type and Fuel: ❑ Gas ❑ Oil ❑ Electric ❑ Other Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑ No Detached garage: ❑ existing ❑ new size_Pool: ❑ existing ❑ new size _ Barn: ❑ existing ❑ new size_ Attached garage: ❑ existing ❑ new size _Shed: ❑ existing. ❑ new size _ Other: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes ❑ No If yes, site plan review# Current Use Proposed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name ��`" ��� .SC r Telephone Number Ll Address i 61A T,.,-, Pw License # O C17 G /IA Home Improvement Contractor# 1 Z ,� 3 6 Email d 111 L ��h�� L v'`" Worker's Compensation # W C 0 0 4°I S o 6 D ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO JG-iwich SIGNATURE DATE Q t FOR OFFICIAL USE ONLY APPLICATION# ' DATE ISSUED .r MAP%PARCEL NO. r; x k ' ADDRESS VILLAGE OWNER DATE OF INSPECTION: FOUNDATION FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING Y DATE CLOSED OUT AS,$OCIATION PLAN NO. ?lie Commomveakh riff-Massac usetts Depar5rrevxt a,,'r'rd=DialAccideutg if - l���e a�'1Fm?esfigatiarrs. 600 Was,2iur&=JS wet Boston,IVA 02111 ' Fv€vxu.r�ras��ovfdia Workers' CumpensafioulusuranceAfdavct~]3mldersrCantractorsfElectrzciauslPhrmhers Applicaut 7nfarm,atign Please Fr iuf Lev Name>�3as�e�O� _ � Fr��F✓ L�01.5��/c a�:�`,n�-� �.� Ad&ess: P O , r, .SS 1-4 CifyiStatef �G !mil ��Z!c 3 C` Phones� �q'- cl 7_�- Z -2 7 Are you an employer?Checltthe appropriate ba= .type of project.(regained}_ (reared): R I.am a emplogrx wifb) 4 ❑I am a general conbmctur and I 6- ❑New canstn iL muployew(fan audfmpartt-lime)-* havelvrediEe Sint-coubactms 2.0 Iamasalepropfietosorparfner- E-sted m the attached sheet 7_XRmodeliag ship and have no,emplaFyees. _ 'These smb-canftactors have $ ❑Demolitioa wodriag forme in any caps ity emplor!s andbmie wod:ers' INO X,Orikers'cCMP.hl=ance camp-iasurano i 9_ ❑BuilcEug addition[. 5. ❑ We are a cosporafiun and its 10-E Electrcal repasts or a,dti'ttions 3_❑ I m.a bameouner doing atl work o$cers.}zave e=cised their 11-0 Mumbingrepai:s or adcliiions € o worT�s' i6#t of e:xempE-on per MGL mpsel � t'�F- L_❑Roofregairs iwura cereT3ired-]F c.1,52,§1(4} audwe have no, employees_[N.wodoers' 1.3_[1,0&er . comp-inn =M xeq'aired-) •tl¢y s;rpFLca��trS�ec'�Inua rl�alsefaZlouSthesectianbeTaws3aaingtirr4tuoz$es'�napeusatiaapa�cpiafnmmx�a,z S9meovrae��ctsosubmgtdsssaffdnrZia� hmatanem =ft lath TCamrscto>&'tbuG cI>gcicih85 baecmast ztTachcd sa.sddi>i®a2 sheet shooing tI3e aame of the lab-ca�ctas�d state tgheth��autthnse e�esI�ac� ' e»3ayees.Ifthesui�-cactie�acsIsaceenPIo}�s,t€te}rrm�stpmside-th�a uvrl�'tomp.paTicFmnabrs -Tam art erliplaat f7iatispratztiircg toarlr¢xs'cat[pertsrrti�rrs irrszirance jFflr xr}empTv}�es� $ela�v is�Tiergvtiry artzitab sifa �R�017lh�27DlL, /'/� Iasvrauce ComgatYylf=e: C'i V-4 ri dle— -Pohcp,-or Self-ius.Zic-4 �Q61c :.�Os O i > i Date Vz-(0 Job Site Address: � /"�'�+^ S c�� CitYIsw&zi : 14 V ca n Is A4 6z GU r1t#2ch a copy affihe 1carlrers'campensatioagolicy declaration page(shaiviug the poRcY numa&z and expiration Sate). Falhtre to zAowe coverage as required.vader Section 25A of MGL m i:527 can lead to the imposstioa of criminal penal#ses of a fine up to SUM OD andfar orle 3Tear s�xsdaxuF-"f,as weA as rid peualfies in$re fd=of a STOP WORK ORDER and a$ahe of up to$250.00 a day against the violator_ Be adtdsed that a copy of this statement may the forwarded to ft Office of 1mves6gations o€ffte DI4 ix insucauce cavemge s tit .I d'a hery care fjr undar the tars an d correct / ^Skn tare •Date: , �4 r t Phone ik S D 9-— L-r i9„�rd uss aahT}. 37v amt x�rrtg�,n ff�axes,irr be carug�Teta�by cap arta�n a,�jicraf City or Town: PprmiHT;cense;g hmaimgAnlffimrity(circteone): L Board-of-H al& 3.Buffffing Department 3.aty town.Qerk 4-Electrical Faspertor 5.Plmnbb6-Inspectur 6.Other Contact Person- Pho #- 6 r , 1/3 initial payment--before start of job, remainder paid upon completion. PAYMENTS ARE DUE IMMEDIATELY AFTER JOB COMPLETION. Payments accepted are: CASH- CHECK- MASTERCARD -VISA-AMERICAN EXPRESS *Any payments not immediately paid upon job completion will be charged 0.005%for every day after the given 5 day grace period upon day of job completion. Possible Extra-Any rotted or otherwise deteriorated trim boards, plywood sheathing, lead flashing, or other carpentry neeclingreplacement will be done and charged for as an extra at the rate of$110.00 per,hour',plus"2�0%o,mark-up materials. Any deviation or alteration from above specification,wll,be executed upon written orders and will become an extrar�charge over and above the estimate. All agreements contingent upon strikes, accde isor delays are beyond our ontrbl. Owner should carry fire, tornado and other necessary insurance upon the above work. We, if not accepted within thirty;days,maMI &aw this proposal. Work Permit I � (Sign ame),give,Fraser Construction permission to"pullga,work permrtrfo the work at,.r` ,o NQ (Address) FRASER,�CONSTRUCTION, LILC: Carries Wo44nIAA'.s Compensation and`Public � - x Lib ty I"isuranpe on toe above work, certificate•aga able upon request.,", �r&,r a t DATE"°OF ACCEPTANCE: V�'�� �T>a�'y•�. vy 1JJJ�dn (e� .�! `;`5 j£� , ' f Ho ��eer F a r o ruction, LLC W b Y g l QA„_• tr I_ r- �Lo �YF : t @� 1_ GRANITE STATE INSURANCE COMPANY 0103090-00 WC 009-93-0601 13102 --- 013-82-0915-50 • � � � PENN YLVAN FRASER CONSgTRUCTION, LLC Al G P.O. BOX 1845 COTUIT, MA 02635-2443 An AIG company EXECUTIVE OFFICES: SEE EXTENSION OF ITEM 1. OF THE INFORMATION PAGE - WC990610 175 Water Street New York, NY 10038 I.D# 0001 0646 MA UI#: ►� KEATING GROUP INC THE WORKERS COMPENSATION AND EMPLOYERS 144 TURNPIKE ROAD LIABILITY POLICY INFORMATION PAGE SUITE 150 SOUTHBOROUGH MA 2-0000 T S E °��Y MBER INSURED LIABILITY COMPANY RENWAL 0099 0601 OTHER WORKPLACES NOT SHOWN ABOVE SEE EXTENSION OF ITEM 1. OF THE INFORMATION PAGE- WC990610 ITEM 2 POLICY PERIOD 1291 A.M1L standard time at the insureds mailing address FROM 09126/15 To 09/26116 ITEM 3 A. Workers Compensation Insurance: Part One of the policy applies to the Workers Compensation Law of the states listed here: MA B. Employers Liability Insurance: Part Two of the policy applies to the work in each state listed in item 3.A. The limits of our liability under Part Two are: Bodily Injury by Accident $ 500,000 each accident Bodily Injury by Disease $ 500,000 policy limit Bodily Injury by Disease $ 500,000, each employee C. Other States Insurance: Part Three of the policy applies to the states, if any, listed here: AK AL AR AZ CA CO CT DC DE FL GA HI IA ID IL IN KS KY LA MD ME MI MN MO MS MT NC NE NH NJ NM NV NY OK OR PA RI SC SD TN TX UT VA VT WI WV D. This policy includes these endorsements and schedules: SEE EXTENSION OF ITEM 3.D. OF THE INFORMATION PAGE- WC990612 ITEMa The premium for this policy will be determined by our Manuals of Rules, Classifications, Rates and Rating Plans. All information required below is subject to verification and change by audit. Premium Basis Rate Per Estimated Classifications Code Number Total Remuneration S1Qe OF Re- Premium 0 Annual 03Year muncratlon ❑X Annual ❑3Year SEE EXTENSION OF ITEM 4. OF THE INFORMATION PAGE- WC7754 TAXES/ASSESSMENTS/SURCHARGES EXPENSE CONSTANT(EXCEPT WHERE APPLICABLE BY STATE) MINIMUM PREMIUM $500 MA TOTAL ESTIMATED ANNUAL PREMIUM If Indicated below,interim adjustments of premium shall be made: ElSemi-Annually 0 Quartedy Monthly DEPOSITPREMIUM 08/25115 PARSIPPANY 82 Issue Date Issuing Office Authorized Representative WC 00 00 01A 39967(ReVd W 08) I _ ice of C.c�.n�zu�.er�'fz�s�d��ess.tZe�r•��aL. IJD pakPlaza.-S-'t&Le 5170 Poston,Ma—qsachmetts 02116 Home Improvemer�CbatradmRel-Z • om �= 112--s Type DBA Etafort 3MI201 r Tr-M--c! FRASER COXIST RUGMONI CO. DEAN F RASER P.G.BOX 4846 OO T UI T,TMA G2835 LpchteAdFressza8 raters e:xd.�Gslereasna_ac�ag=e ti 4 au osr. C]Ad&— ❑Rzzxeti 4 T._.m?ioy— L__,Card �'���. lcl�ral�ilasacF.ezcia O tv. :fxvYCoOTr EZ PROVE94MO COMAACTOR efnrt aeex�s pad T�oL a'_Gs3n tr.Tyne- 8�eaoFCaawrxsrAeaR==d]B�ess3e�n, = p"-?2= - ^sT4}C7 D34 lizP� 23za-Sa S!?Cs • Bosbau.MAl12S�6• �PAS�R CCUSTRUC'7ON CO_ e rALMOUM mA ozsas _ � Y �F�v.Sdwitho�s�sazue 'i �r l n n Q C ID En UP - CO c d. a, in o � II UI 7 Y1 m U' ;f Fi:�'';' it 4'j Aiderse Andersen Windows - Abbreviat Q ote Report Mdersen i Project Name: ERASER-PIC E ��,t.�:et a •_ veio ::io Quote#: 48031 Print Date: 11/21/2015 Quote Date: 11/21/201 iQ Version: 15.2 = Dealer: BOTELLO LUMBER Customer: ---- 26 BOWDOIN ROAD Billing MASHPEE, MA 02649 Address: ' 508-477-3132 Phone: Fax: IS: Rep: MIKE PROCACCINI Contact: Created By: _ _ Trade ID: Promotion Code: Item Qty Item Size(Operation) — Location _ Unit Price Ext. Price V�'I 0001 1 TW18410-DHP34410-TW18410 (AA-F-AA) $ `W�l"�N it��h � ��• RO Size=7'15/8"WxTO7/8"H Unit Size=7'1 1/8"W x 5'0 7/8" H k(Fi IIiiLl� Composite Unit,White/Pre-finished White, High Performance Low-E4 Top/Bottom*High Performance Low-E4*High Performance Low-E4 Top/Bottom Glass, Removable Interior Grille Top/Bottom*Removable Interior Grille*Removable Interior Grille Top/Bottom, Mulling Location: Factory(Direct), Mull Type: Narrow Mull, Mull Priority:Vertical Grille, Equal Sash, Upper w/Keeper Cut, Interior, Removable,w/Chisel Plungers,White/Prefinished White,Colonial, 2W2H,3/4",Roman Ogee Grille, Equal Sash, Lower, Interior, Removable,w/Chisel Plungers,White/Prefinished White; Colonial,2W2H, 3/4", Roman Ogee Insect Screen,White Grille, Interior, Removable,w/Chisel Plungers,White/Prefinished White, Colonial-Equal Sash Alignment,4W4H,3/4", Roman Ogee Zone: Northern. Unit U-Factor SHGC ENERGY STARO Certified ------------------------------------------------------------ 1 0.30 0.31 No n , 2 0.2929 0.33 No `�� I►// 3 0.30 0.31 No Subtotal _ Total Load Factor o $ Tax 6.250% I i Customer Signature 0.651 ( ) Grand Total i Dealer.Signature **All graphics viewed from the exterior Quote#: 48031 Print Date: 11/21/2015 Page 1 Of 2 iQ Version: 15.2 V t } i PROJECT I NAME:' - ate `� r ✓v�cac� ,;,-�- PERMIT# .�.- TERMITT DATE: LARGE. ROLLED PLANS a a : BOX : SLOB CA Data entered in MAAPS progam on: BY: Town of Bvarnstable fv • ,;. ul int! t roved P.Ians�Must.I,e �� �► � � � � ~< .��p�� PL Y+. ::... ., Y.-+R <' . .�. .....Hts4 ..� ? �. oq xd.0. .-�,µ,x ,..,h ji. .:. ,• .:',,._"k�>: :., 24i�' 4. SF 1 ,.MA68- .. :.... e... •„ -, , ._ ;a,.fig .. ,.� <.. ,. a_ .. -.... r. :.. ,.<. •,.:: ,.:,, � �.:�- �. .,: t' I i"i' ,. - 3� � ... F ., r...-.d- .. ,., ., � ,,.: „r..... 3� �...• < �+ .fit_.. ..,,.,. 7 ... ..-. y ..,..�- s... ... T.,.:�� ..:....3r S a.Y 3 .. r ..c , ,..._w.,tS?a,ek. . .... •... .:- .... ,., . ,, ., ......,:.: .: .. 1 .... . :::- k - I .,.-.�W:i�ere:,a�Cert�ficate�of.Uccu an :as;Re �xr� �sl�ttfi�Bwld�n :s�a11..Notsbe.Occu �ed,,unttlaAFinali�s ecUb�faas�be�r�rmad�. M s Pert' it'-No 6-17 3025 Applicant Name 'Thomas Nelson Approvals Date Issued '09/19/2017 Current Use Structure Perrnit<:Type: Building` Siding/Windows/Roof/Doors 'Expiration bate: 03/19/2018. Foundation:: ; Locations- 6 UNIT 1 MAIN STREET(HYANNIS), HYANNIS Map/Lot 342-041 A01 Zoning District: MS Sheathing: Owner on Record: YAWNOC LLC X �s Contractor Name Framing: 1 Address: 6 MAIN STREET 'Contractior License =•, 2 HYANNIS, MA 02601 Est Project Cost: $8,000.00 Chimney: �. Permit Fee: Description: Remove and replace existing sidewall and rubber roof $ 160.00 Insulation: Project Review Req: Remove and replace existing sidewall and rubber roof. Fee'Paid $ 160.00 Date 9/19/2017 Final: ig 14 � �v Plumbing/Gas j mow- < ugh A o Plumbing:R Building Official " Final Plumbing: This permit shall be deemed abandoned and invalid unless the work authonzed by this permit is commenced within six months after issuance. All:work authorized by this permit shall conform to the approved application and the'?approved construction documents for while this permit has been granted: Rough Gas: All construction,alterations and changes of use of any building and structures shall be in compliance with the local zoning%by iaws and codes. Final Gas: This permit shall be displayed in a location clearly visible from access street or road and shall be maintained open for�publiclinspectio-n for the entire duration of the work until the completion of the same. Electrical �; � The Certificate of Occupancy will not be issued until all applicable sign tures by the Bwldmg andTire tticials ar�provided on this-permit. Service: Minimum of Five Call Inspections Required for All Construction Work 4 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: k 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 rsonsc ntractrn :with anre is ere r , h ve ad w 14�,.Pe o g g t dcont,actors do.aot. a cess to the guaranty fund (asset forth ln.MGL c. A):` ment Fire�Depa:it Building plans are-to be-available on site Final: All Permit:Cards are the property of the APPLICANT-.ISSUED RECIPIENT Ohn.�✓tE �NArII✓�.- $E�� S Town of Barnstable Building :: , .. �.ost�ThFs:Gard ,,That�t,r Yrs�ble;,rom,ttfe�S reett,:,�►pprov �Plans�Mus,�beaetained�onJ,ob,an�d�tl�rssCa�Mast'be Kept �- ' Postedllnil>Fina )nspectiOtl Has Been Itillade £; z Permit .,,occR:;` Gfiere as ert�fcate�of f:?ccu�pa�,cy� Req `fired,such,Buiidin ,shalt Not �.c-�u�re �r�t�t a final lnspectrort ha bee made. Permit No. B-17-2066 Applicant Name: YAWNOC LLC Approvals Date issued: 07/10/2017 Current Use: Structure Permit Type: Building-Sign Expiration Date: 01/10/2018 foundation: Location: 6 UNIT 1 MAIN STREET(HYANNIS),HYANNIS Map/Lot: 342 041 A01 Zoning District: MS Sheathing: Owner on Record: YAWNOC LLC Contractor Naive: Framing: 1 Address: 6 MAIN STREET Con#ractorcense 2 HYANNIS,MA 02601 � ifs#�P Cost: $0.00 Chimney: Description: 1-5.36 SQ FT SIGN ,>_ Permrt fee: $50.00 1-1.83 SQ FT SIGN s Paid'; $50.00 Insulation: ', � Fee 7.14 SQ FT THE ROSE CENTER FOR MEDICAL ANDJAjESTHE�TIC ' D tee 7/10/2017 Final: DERMATOLOGY ' Plumbing/Gas Project Review Req: 1-5.36 SQ FT SIGN 1-1.83 SQ FT SIGN r Rough Plumbing: 'A ng Enfocement Officer _ �- Final Plumbing: 7.14 SQ FT THE ROSE CENTER FOR MEDICALi ND AESTHETIC DERMATOLOGY Rough Gas: Final Gas: This permit shall be deemed abandoned and invalid unless the work authorried by-his permit is commenced within sizmonths afterrssuance. All work authorized by this permit shall conform to the approved appl'ica#ron andktheapproved construction documents for which this permit has been granted. 1% ; Jr- All construction,alterations and changes of use of any building and strictures-shall beam compliance with the localzomng4by Fawn and codes. Electrical This permit shall be displayed in a location clearly visible from access street or,road and shall be.marntained open for public in pe'ion for the entire duration of the Service: work until the completion of the same. The Certificate of Occupancy will not be issued until all applicable signaturesbytFie BuildingandirezOff%cralsare proved`d n this permit. Rough: Minimum of Five Call Inspections Required for All Construction Work: 1.Foundation or footing final: 2.Sheathing Inspection Low Voltage Rough: 3.All Fireplaces must be inspected at the throat level before firest flue lining is installed 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection Low Voltage Final' 5.Prior to Covering Structural Members{Frame Inspection) 6.Insulation Health 7.final Inspection before Occupancy Final: 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. fire Department "Persons contracting with unregistered contractors do not have access to the guaranty fund" (as set forth in MGL c.142A). final: Town of Barnstable BUildln -. 9 Post ORR rt�ss� eromereprven side sained o � 1. Permit -,. � .::; .,, ere „Ce �ficate f Uccupancy�s Required,such�B�fiicl�n shalt Not"be Occ, pi d until a Fnal Inspect�on;,has een made Building plans are to be available on site All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT f f3 c � S y} 9 411 Y FJ • N �,Y } v 7 t ` r r. r z K ;t 114E r Town of Barnstable Regulatory Services p�f. ` Richard V. Scali,Director �191�-®� - Building Division uN 3 0 Zp11 Paul Roma,Building Commissioner 200 Main Street, Hyannis,MA 02601 . TOWN www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Pemait Building Official approving Application for Sign Permit Applicant 1 kOsLN N`Q�- Assessors No. l / Doing Business As !`Q,�( Q, � LOC ��lIN �D 'S� 'fell phhone S0�_Q aej Sign Location ` StreeVRoad: Zoning District: Old Kings Highway? Yes/No Hyannis Historic District? Yes/No Property Owner. . O _^ Name: Telephone: I Address: ��\n i ft Q4b` Village: �tAAI% Sign Contractqr �( MR Name: QJ 1 Telephone: " D Mailing Address: Description Please follow the cover directions.You must have an accurate rendition of sign with dimensions and location. ) Se3� . s . Is the sign b be electrified? Yes/@ (Note.If yes, a wiring permit is required) Width of building face _ft.x 10—�_z.10— 0 S Taw, � � q � Check one Reface exsting sign or:New Total Sq.Ft. of proposed sign(s) If you have additional signs please attach a sheet listing each one with dimensions If refacing an existing sign please provide a picture of the etisting 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 and construction shall conform to the provisions of §240-59 through§240-89 of the Town of Barnstabl Zoning Ordinance. Signature of Owner/Authorized Agent: Date signs/signrequ&app revised: 06/20/16 Town of Barnstable Regulatory Services 8AELT'S'•'"M Richard V.Scali,Director Building Division Paul Roma,Building Commissioner 200 Main Street, Hyannis;MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax 508-790-6230 . SIGN PERMff REOMEMENTS 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 or 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) e proposed sign and an designs, logos, or lettering Dimensions of the gn Y 2) P P g e detail. dimensions shown edge 3) Across-section with g Minimum scale 1"=1'.Minimum sheet size, 8.5 x 11". 3. A scale drawing of the bracket.A colored scale graphic indicating dimensions, showing colors,materials and method of affixing it to the sign and to the building. inimum scale 1"= 1'.Minimum sheet size; 8.5 x 11". 4. A completed Town of Barnstable Sign Application,including scaled diagram sign. Show building r location of free-standing gn. showing location of sign on b g o dimensions. 5. The width of the building face or the leased area. NOTE: the map/parcel number is required on the application. signs/signrequ&app revised: 06/20/16 w Town of Barnstable, MA Page 1 of 1 M- ' r / I _ Town of Barnstable, MA Tuesday, June 12, 2012 § 240-64. Signs in Medical Services District. [Amended 7-14-2005 by Order No. 2005-1001 A. One sign giving the name of the occupant or other identification of a permitted use in a professional residential zone may be permitted. Such signs shall be no more than 12 square feet in area and shall not extend more than eight feet above the ground. B. Any illuminated sign must comply with the provisions of§ 240-63 herein. i http://www.ecode360.com/printBA2043/form?guid=6559754 6/12/2012 1 DOUBLE SIDED SIGN 18.5" X 41.75" ON 3/4" PVC OR MDO (WOOD) LETTER HEIGHT IS 4.25"D SIGN PRICE: $460 'F!The Rose Cen ter Medical & Aesthetic Dermatology SINGLE SIDED SIGN 12" X 22" ON 3/4" PVC OR MDO (WOOD) LETTER HEIGHT IS 2.5" SIGN PRICE: $115 The Rose Center-1 for Medical & Aesthetic Dermatolog y JOSEPH J. CONWAY, M.D. P.C. GYNECOLOGY PETER W. RUFLETH, M.D. G Y N E L O G Y The Rose Center for Medical & Aesthetic Dermatology, DRASKO SIMOVIC, M.D. EMG Laboratory ULTRA DIAGNOSTICS ULTRASOUND/BONE DENSITY TESTING TLcHome Health Care Services, Inc. i • I f 7 1 ,3 F {S s v� ' I a as II4 E i� III F Ft # V•t�,.Nike , a: � �• � 4 4 .. .• i ` + .. d N, 49, IN a <+ C�;:. �,,•-� '' �'� �A� °ter 4�r �F 4r z- � "°,.- �5 m -•',`may •; ti Fy � 4S' q7 to fa Six ,44 h ,s h ` S4� �" . n i 4 #, { Jw ' r •4K+e. A . • ems* i�#�s � 1=>; � t � � JAP CN C4 y ,� ... 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ROOM O ,,,. �' \-' FIRST FLOOR �„�- ,+ - 30 , \ - - INFILL EXISTING z 0' - 0" UP FLOOR OPENING _ r J _moo._ T' I MIN. R-20 _ \ /�\ p RR Q A v"�, MIN. R-11con v o a 7 SIDE ELEVATION--- 8 $ECTION - OUTLINE of EXISTING w 3/16" = 1 0° �3/16" = 1 r-0" / b O Ax DN �, ,'- EXTERIOR WALL BELOW / � y � � °4 a RECORDS O .+.�► J c _ - I..._ pug --- — 20 —7 5'-0"HEADROOM I •C„� V7 a O o FACE OF STUD � � ? � L EXISTING WALL I I 11 I I I I t� � � 04 EXISTING WALL • r-i C-- DEMO WALL II LL LI I l - NEW WALL wl O LOFT SECOND FLOOR _ _ -- -___-__ _- _. ---___--_ x _ n = r_ n �3/1611 -1'-p�� _ _ _ 3116 1 0 POTENTIAL NEW oz SIGNAGE, TYPE TBD - �+ a � 15'-2" 9'-0" 9'-0" 9'-0" T- 1" r•"i Ha - - EXISTING ------- --------�o 0 o J EGRESS STAIR I I I I V r UP EXISTING EGRESS UPI l I �,•j•� x w ♦ l �'hI�L l"c.�L SLlhcrl�'hL 7 ASSO CI/�I y SECOND FLOOR _. I -- --- - 3 II II —1 II MD PROCEDURE 1B � � iB;� _ iB;> OFFICE �,■� � a � NEW CLAPBOARD, ° 2 - - I I I I I I ( I I ROOM 1 B XAM #1 XAM #2 COLOR TO MATCH I - =___ I �- 11 L __ I I L _ I I I I � 10' 09 0$ EXISTING I I I I I I I I > lea i ,E _ ! - t: 01 {oir_� ., y 1 —_ , • ! t -�I ° ►� ,..I 7 - - II II II II o 4 III T � �: ,- #31 ,1A�.2 -3 _- -- ( - -_ L -� �-- -moo �� L--- - - -- -tL - $ 1i2" 7i -- 1 ;� - ---- -- - - ---- - - _- -- - -- - - - -- -- r i B• - in co lop I��_. REV - FIRST FLOOR �— 5 4 1 WNER APl Rl 3 2 Il— ---_- \ L 74 1 1 B {F,. s, i L C f � 0' p,r I1 '� _ i - - n 11 C- -- - - - - 07 _ 1A ' h 05 p Y . I _ 2 REVISIONS 1 221 i 4 \1B 4' 6 4 -0" 3 -0 3' 0" 1' 3 0 2 -6 2 I _ I I I I I 11 -4' --- - -- COR IDOR,_. ALIGN r- ► 1� � Q � - ._ \ III II I ,---- -----� I --- Q-- - w (� A, I� I I _lll U_ IL :�i — — — —— I I--- 11_ 18 ( I 1_____..._, W�- o - r "I 1 J FRONT ELEVATION _ _ 4 2 r - - 3/16" J 4 WAITING r ADMIN. �I NURSE STATION -- - �o NEW (4) 1 3/4"X11 1 B 01- Q2 'I .. 1A - - 2 _ I � M[ II -._ ----- -- 7/8" LVL BEAM __.. M 04 =r= -' OFFICE 2X4 DBL TOP PLATE_ __. ....._.... --- --- --.._ I I �.,, ;.,�. I NEW 4X6 POST _-_ `/,,,� � � I co � Z � � Iz L 1 1 (3 C'3 _ Z _ _ 03 Nil 4 L. 1 Q - �ih 1 I z 1 A Q Q CLEAN Nil - - 7 SOUND ATTENUATION BATTS, SLIDING GLASS _-- - _ .—I L— — — ——-- - _ _ - PARTITION TYPE 1 S ONLY. -' - - -- - -- EDGE OF NEW SLAB - . 3 -- I 5/8"TYPE'X'GYP PTD, REFER - FLOOR ABOVE ' + TO FINISH SCHEDULE FOR FRP v U. DWG. INF4. LOCATIONS. 4 c''� � _ I NEW 4X6 POST 20 GA.METAL STUD FRAMING 6 __ __ n T > ( O1 DATE 12/06/18 @ 16"O.C. r - � EXISTING WALL -- - - - - 2X4 BASE PLATE I 09 I EXISTING BEARING WALL SCALE As indicated WALL BASE,SEE FINISH U �- EXISTING WALL _ I�__� U SCHEDULE C- -= DEMO WALL I__li_ I �. ! - - - FINISH FLOOR,SEE FINISH © NEW WALL DRAWN JDH PLANS DEMOLITION NOTES A101 CHKD 1. REMOVE METAL SPIRAL STAIR IN IT'S ENTIRETY -_.-- 1 A 2X4 WOOD STUD PARTITION 2. REMOVE EXISTING PLUMBING AND VENTING 4'-3" 4'-6" 6' - 0" 3'-0" 3. REMOVE EXISTING EXTERIOR WALL, BRACE FLOOR ABOVE FOR NEW STRUCTURE �✓ --- --- - \APPRVD 113 2X4 WOOD STUD PARTITION W/SOUND ATTENTUATION 4. REMOVE DOOR AND FRAME IN IT'S ENTIRETY, PREP WALL FOR INFILL -- -- --' BATT INSULATION 5. PARTIALLY REMOVE EXISTING WALL, PREP FOR NEW FRAMED OPENING 1T 10" V.I,F. L, �.� - -- --- - ------- ------------------ --- -- - ----- --- -_. --- -- 6. REMOVE EXISTING COLUMNS, FOOTINGS& BEAM. TEMPORARILY SUPPORT EXISTING SECOND FLOOR Window Schedule FIRST FLOOR DEMOLITION 3/16" = V-0" — MAX PATH OF TRAVEL Head Mark Type Count Width Height Height Comments - 01 36" x 46" 3 13' - 0" 3' - 0" :6' --8r' --1------- - FIRST FLOOR -- ---------- ------ - 3/16" Door Schedule Frame z 4" CONCRETE FLOOR SLAB unless and until such time as the original stamp of the responsible Mark Finish Mat Width Height Comments J ON 6° 3/4°GRAVEL BASE r ��• Registered Architect appears on this plan: __. __. —.___ I • W/CONT. VAPOR BARRIER O (A)no person or persons,including any municipal wined a other public t e t -r - rr LL Q a G' �(8)this plan remains the property of ConSenr Group Inc. 01 BIRCH VEN WD 3 - 0 6 8 6X24 VISION I V officials,may rely upon tha informat(on contained herein;and � PANEL arse �_ _ s 12"X24"CONT. �"��` b} 711 SHEET TITLE: d CONCRETE FOOTING �,`ed ���q`I l?�23 FLOOR PLANS, 02 BIRCH VEN WD 3' - 0" 6' = 8" POCKET � � /t� I 03 BIRCH VEN WD 3' - 0" 6' 8" T J— r � I r 04 BIRCH VEN WD 3' - 0" 6' - 8" � i - \, - a • •.- •, ez<\ � �� I1Z ' DEMO PLANS & 05 BIRCH VEN WD 3' - 0" 6' - 8" - - - f111a ELEVATIONS 06 {BIRCH VEN WD 3' - 0" 6' - 8" SHEET & JOB #: 07 'BIRCH VEN WD 4' - 0" 6' - 8" 1T 10"V.I. �- -_ _ 10" CONCRETE I. �c __—_. __ __ __ ____ _. FOUNDATION WALL 0 2 4 8' 1 08 BIRCH VEN WD 3' - 011 6' - 8" N scales 1/4"_ A 101 09 IALUM ALUM 4' - 0" 6' - 8" FOUNDATION PLAN 10 2' - 8" T - pry 5 3/16" = 1'-0" PROJECT 3/. 7 , X y X � f Q I Z7.` - 5'BS� Z3 Ab ICA t '73.: I lG.s i \ I l � ,•,�,, � _ � �S L��� -ifs/ "7c //2.,.'' .4 L c: .[•&'O�-�Ni � �t �� 3�� �f1`/�%/ .��� �O••G r_ �•��Cs•�i � ..� • .��c �'�j�j�f�.-' .- /c'',�c /_ C /1 "VIA AAf Z'z• .9 .14 ��QogQda �� I p©Q �pB�� °i3©amQd�m��o� aPPpOb�D mQpd d©d i3n GI3 PoQ ppam , ,Q /� ®]GIO©ddn �oP�o a3aj� ,L �f--� �� DJGL��'u lo�14;;" .'-..a . _:a _ _ _ . �,� ►� G.E.=�' -�"r�,����..``:'.� C©�l�(/,� Y' ram_'►-�s�� �,�yE ���_ � i .C�r�.sr�=��-� .c..�vz:� sv�e✓�rt.��s. 1 c WILLIAM 'tl N Y Er^^ tyres• 7.•! a i Fr RIM NP Kp f I fl `1 J r , I w N d a d CA LEE: I"=z,p, a `J Co M C� U1 wi cn S` M 0c Inc, I1f tir11l/lE,c. 3411h'a- )oton St,aet f I . Exterior Application . _ _._.._. . --- - ---_- ARCHITECTURAL NOTE$: PLAN INDEX IN&P C_arllh .p'► '�Nt1'141.L.� lic.'I i'�RFC�Tror}}) cavterc 15o I-APE-A. 1 . ALL PLANS HEREIN ARE TO BE AkP"L.Y a t1,4 lb *IF-, REVIEWED BY THE BUILDER SO No. Date Title THAT RE IS COMPLETELY Arc�_h_i t ectwyra I FAMILIAR WITH THE CONTENTS ' X FKAXa c,E1_N+^ Gt.A1Ph� A.P-PR0,S PU&CP Ca '51"t. To "��THF-sk AND HE CAN QUESTION ANY UN- Al 1-20-84 Front Elevation dh+'iJR tgM 601604P46y Pro►.Pafit. 1-aTA-.14 \-//2. C_01 +5 �pTy 1:%, -t �OL'u. 6eo- CLEAR AREAS OF CONCERN. THIS A2 of Rear El&v"ion tu'1dt[ .• t: er}irr�LA4 -ItxrrIta.s o�s,R ,r,'a r�U1L rolt4 rr Side Elevation GA�i��'P9r �s►rU•?t �t..t© bTM*+ [d^ elatu�J..� � �F'O`Pa.+�. �sT�-IN �✓ Z �o� SHALL BE DONE PRIOR TO THIN A3 T� START OF CONSTRUCTION. A4 First Floor Plan 2 . ANY DETAILS OR DIMENSIONS A6 Second Floor Plan THAT ARE UNCLEAR TO THE THAT Plan EK> 1 f 1 x^10 BUILDER SHALL BE BROUGHT f Structural 1r1 r+� TO THE ATTENTION OF THE i tVO tit ARCHITECT FOR CLARIFICATION. S1 1-20-84 Foundation Plan t�� irar� aTr+ ~ixfm 5 - 3. THE BUILDER SHALL NOT MAKE S2 of Floqx FrAoing Plan ANY CHANCES TO THE FLANS S3 Roof Frailting Plan et: Ot , , t. r'11&. L�rlt� K4 A.U_ "gW ,% '�TAt" wl z c sw-r�9 cA-E�+T� 'So�.1 Ca ST,41N Co r+ �sw.t_ Ir THAT EFFECT THE OVERALL S4 �� Cross Sections• Ti t �r �. SS Cross Sections DESIGN OR ANY INDIVIDUAL i S6 Detao6 t'-Iyl&,; A.LL 4rs1.smft -4EFf1�Tk ►'41!n� Ta Imo►, rUeq'i,E- Pip nr►/}�j+, BSTHETIC VALUES OF THE DESIGN: 37 Mails S8 Details THEPLANS GINAL Insulation licati� 4. 6ECOMEITHE PRO ERTYSOOFTHE rical - - ARCHITECT AND ANY REPRODUCT- El 1-20-84 First floor Electrical ION OF SUCH PLAN WITHOUT HIS rr �►.T 444LA"C-1 'b `i P ,�� efi -� i T r,J�UL*T�1 Pj3�o � Second Floor Electrical +�►l s 4AWWWC1 - �„'` F►* qu ys P'�.�a-a�T 1-4tU%--T la rl p,. ,q CONSENT SHALL HE FORBIDDEN. 3 " Re,f lect,led C*tl1mW PlAn 5. ALL PLANS SHALL CONFORM TO �! MASS. STATE BUILDING CODE $� i � Fc�eJ�r�.•..�s ��7 Irt'�Jl�^Trer-� rya � REGULATIONS" ESPECIALLY IN i THE AREA OF EGRESS, NI 1-20-84 First Floor 1lechs* cal (s" Ftt]R'_P(.,l/s b� f'x.�.r.JkSGT I" ►'�1J1.w-(!oN �a 19 SAFETY REQUIREMENT:., ° Y rr Second Floor Mechanical CODE PROVISIONS, API T" LOCAL BUILDING OFFICIALS RECQMMENDATIONS. 6 . PLANS ARE NOT TO BE LED WITHOUT THE CONSENT OF THE ARCHITECT. -- Ex✓'(rJc� C_I-11 'Ir�E�/ / i�Jr 11JUt'') 'ST�t FLA-SNI�C1 i �IUIr \VITH t��v✓ \ ,✓I41T G.L77-� -bW1NC�LEb i i r,en LvEK E .E FEcTIv �I� N S I ,l r �ti _�E we1' TINlt �Jt1511� Py►.J l_1 J( Tu �' � �.! TED '10 Ur Olr.e. \/Br-+'r F.i�,l, GN 1 r-t r J T Q l +l.I`i►,IrJ1'�D. �E... f, .C.� _ � T `_al-Ilr�( l.E - 1^I L_k. FF \.f_-r AT JET'i J11 Jr v C3 AK�LI Ju � E, /� Y UI�I� .r ErT / / E✓Y U�11�:'r?17- T � GNirt -- Ta r : _ , i Oyu• T LJ c, G Uj`t E P - 4� _ - r y� _. 1 — IT - All I� II ) - I ---- s �_illi L i r I - I p i : Li_ - _ i r i Li I _.. -_ _ Ly s.f'Cam*,►PS U _ - --- --- - —--- --- • u. Lt U -- - , FRONT E L E VAT I O N AN I i r , _ - _- ru-dPE �-�a,t-..> UTT�F ,-/ 1 iJoI✓N'2h�'UTJ -/HI IL ✓17H N*i f�tnlj T r-u.-tc�i �__- - Cc NT1rI�1c3U5 / IO'I G� flGr�s-1-E I Job No. : SC81a : J ./f�1 Te. v/I Fi �Fli r Lab - .� I e c o 1-�( ll°r \.i�.l L '' ..ice LJ_ �}VL w/E., �K I�jTI^IG, I 1 � � _ __ _ Fer_r�G-C T.^ rin^LTC14 I � _. d lL Erc17(!�J!_� Gt'�m-Te- ( i I�TInJC, V,�IUr�t ' '] +�t►It��rw.is� To \,IA ,LL - i I J , E 1 � i � 3t c� roc r•�eTE 1 I i J �!` f _ Date: J,00l.0 1S Drawn B : ,�ftD - G� Pa�'cUT Conway Medical Building Hyannis, Massachusetts COL' I R. L. Seaberg Associates Inc. Architects 335 1NashhVton Street Norwell, Massachusetts 617 659-7533 Al 1 i 7 I / t c ,` ,✓i �•�NIj E SI-JIrJC�LSL: e ✓C�j N l lG .lrl`>i"bt1TS Pf'J"JT �ralr � rLc�TGN 7f-,Ir'1 �. GNIr-1tJEy •--^ � E.1. j /4 ✓/r l E. ! LH.c.: F L.t N I rJ lJ E- C.1!-i l r-1 NE T ►s', rA 1_.r � , I tJ� , }...a-.r-F�.•, _ —_ ,'• .-- FKIL>l1E. �/E.r-1'( __-----_.__ ALL ilu,��.�b t>CY�1+ r� \ • cs� Ur,n�ErJ'j f_ --__ _ �'�r F " '�� E .I-�TINc1 Fic"c"F "ITH Kia� — ---- — -.- c:._6..1�s./� sJ{-{irJ Gi L,�S ---� 1 s I � \ ---- r , • -71 I I ---- — - je, ✓ems+-i - --A -- - - • !j 1 _ l I w - _ ,, � K;_ r �1 �� � ,• _ - __� REAR ELEVATION _I I r PoI•J'rE+� ,C�_I_ul'1fr�Ut—� /,}UTTE}",'7 ' I k51i..Gc� i.�nc?GZci II I � � / - r„- r�h(�c?LJ'Th. �'-• ,1-( 1 I I d'*1" E> _. - ✓ _- .__-r I I 7. , 'v -rip +�,.,I• } � 'i, � i -" -ur-1f4U" iUTYcF,S GG"'•T{��`� 1 ,. I I L.r H. -1`0UT•ti --- - I ' I _ �-„1T Try "A-TI-N TP-1 -t s+K.'7T "4.1 PROJECTS SCALE i i DATE: 4 DRAWN BY: L i Conway Medical Building i ��� I,� • _' _�,,- Hyannis Massachusetts' y husetts R. L. Seaberg Associates Inc. Architects 335 Washington Street Norwell, Massachusetts 617 659-7533 A 2 � ICI�T'�'1►�1 ------ E I i - 10 y 01- ° IL IZ 8 f- �1. T-o f},67- it f->U l Lk�m rJe� <aLu r'1 T T � 1 i —-- riper .J r , I - I I I Ta f-Ae r-V 1tl ter` c h- IH r"4LJC.?Lj,<- 1 11 -- - tRlr-'t 1- r>E ���:,�,F�: SIDE ELEVATIONS �r {G G.0 F T E �..1_�✓_, f I A T \/,ti _ PROJECT: SCALE: I . I DATE DRAWN BY: Conway Medical Building Hyannis, Massachusetts R. L. Seaberg Associates Inc. Architects 335 Washington Street Norwell, Massachusetts 617 659-7533 I i i A31 : i /^ GE.JLrNt, Lit 1tF_ cs.T t0 al ©F P>,LwN r't.,u M ptNc, For+ DM+rJ a NOT/4-OIL-Q �voTl`_P5 _T� ���_ _ � � by v N RrNrS urHIT �jUPPI-IEP - Z�s D E F PTQ I t, Iis - 5 /Z ID-Z '1 x 1 . 4 I...{Q"F l.l" - ' 1 j' I t't�-NTH To CW_ '�C-pip n 1 I III 4 Ccr kRET� F_7c t 7 T1►1 is 1 PtiL.�I�s I� I � ,--A h,P X I ;Z.- -_.. _...I •,e r� 1`.^' --. __.._ _-� r.--. -__ ,., -_ �..._-- I r-- - j --- _......___ i' fr r ....I .�^ I I-LJl f'I - - p7Er10 vtz'- Ex�ST"C' PlASTC44 ,IN7UW — - rJ I `-N 4. TT( i---.. 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B Lx I I B -'� -- FLOOR PLAN TT�i 5� 1st FLOOR tt ' 4- F�{rJCI I I 5 E c '��E-,�t C. t 1 r-) r F' 1 12MM0vre -oo'-&vt. t� .r � E T>fT. �/�7 I� E F PROJCC' SCALE: r� Pau-1►tiN ��/N��� Ih,'' i II ' - _ I DATE - ;. DRAWN BY: O O I Cr Conway Medical Building Hyannis, Massachusetts F I �T FLU K f'L, r�1 { IT- F11- R. L. Seaberg Associates Inc. Architects I� 335 Washington Street Norwell, Massachusetts ���TY TnP I I o' ---r _ 617 659-7533 ,� r•1rrK.r.r+, I `x'�+t� LN`� t ,..�, ,T 'ov -� 4 � r I'r I � r f _ U � T t I_••.,l_ ri- I �uAT i nt I t I E /�1,, + I E� /.o }" A .4 . r Door Schedule Room Finish Schedule "01a I t �D SIZE TYPe— For.04'1E. I r" 1041UF• -4TUKa� f >�Tr' R�irt"t�.Mi►S�j hk . F'x9vl"1 �Ar1G- For 'KaM f ,ajo.ga. �.ie►.l-L`� GG1LI/-)oy IAT I 1� Er"IARF"1xi -- wg? PTV 1 / t Poo o.11sL UHi�E.'�, -Ttr # ..:..t. 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G!Y`-Tc 1 ` Z ���G r�e�..1�.5 Tu!� -jH'T IF..� ��a' �i�fng--- - - - I ,+ 15F_r- DETL�ILIS TJ-Iih �T , A� I S ^` ' �aaV,�fc, A f1i vI� i �t70 i GC1bT.+. i I j 5� CsETeII`� Hyannis Massachusetts L tj -,h O t J l 1��� Ly iR►I U_E- I x C.> r H U, �,r.� Y.t LY' IrF{wJ• . i I') ^•s r/t t I Lame To t'>t_ '_-.-T L! ' ✓„ .C'STohJ T rPr Go al �,`� 1 - -- __ ___... - _.._. _ - -- 1/ X. flit J .✓oc�c� r I E -Toilet Accessories `�K,�� �„ - — -r4� µr �F L,l ,ILL �frLL� IT R. L. $eeberg Associates Inc. Architects rb, TI=t'1 D E-7440A PT 10 r) r'IAr1 U F+&•4T,u P&Fl-w 33 Wa Shirlgt --- --- - ��)�T'` Ir��i.r,t- i .'�Irll, t1 /i.j� 1; ..i \ lz�P /It-ICX�✓ Ix P1.JE L.L 2 x C� T' Cr il. f7G• StrBQ i T41I_Er r�PtF\ Dti V,JVhIG✓5 7 'Ig� l?FL-1{rlrr T,I /Z' l,p.' ?�. E'cGE'T J FjaTi►iG� r'X ..,ItJ(�, i Norwell, Massachusetts 617 659-75 33 s�A!✓ IJ1�PrL.,ttr ER7 ✓�{"L,,N K r.. r.+/� � _..__-._-. ' _. .-.__.____—__-._.- —T-�-.---r _- �} T Noo rF �� Yr- e L CZ 1 - - -- - t SEA►LNJ 1 50�Y DI�'EraA�E�, C�O3RIGK ------- _.__-- �.. _-_—_,________..._ .-___-__ _.__.. . . _ _. —.__--_--_ _ _.__ ___.__. .__ __ - __- N I , I I , r 4, I O A p - E F b�- w rI�f'otJT' 1a 1 I 1 I�1 rF*tPrr-CTivr4S) ^14 1 \ 1 I r l�� di �t_J�L(�1rJf� f-'AP�1� -T•(r'�c�.L. FWv,107T1 t4C, c UT TE.^ > b�0�..{J3 ��.7H * F'�.r►GE 4'' �.L-u N u r t ri// rJ[.w/ GerYNETti. GLj7TF-A5 \ Fct5T1 C-NI"HocY \ ,l N E.v L&M 12 �FZ--..• � I�'ri�1� GtuT•jElr', p� ��, L r +� a i i I ! I T � t f=,I17 -- --- _— U - GCE. FI T I ,�� - f G < Ur 11"fLIA-f i I I j IZ i O I 1 � � I r + y ti '7l-->PG• j!v L A(: q q ROOF PLAN B '-t-u r-1 1 N tJ t-1 i 11 I I I PrZOJEr i • SCALE I II , � - I-} DATE:, DRAWN BY: cUo V q G D E F Fx1�7t,1 , l�lr_z' To S �'T"TE r� �JG•G� for 1b r / � el �,i�rt)L1IUT -U ' HJOF VVl /nay Medical Building 4UTT�.�-4 Hyannis, Massachusetts I I R. L. Seaberg Associates Inc. Architects 335 Washington Street 617 659-7533 Norwell, Massachusetts `l ¢�1 i 1 h ' A6 f :Z A D E F n • I II �.. Q •. ., L,_.C. � I4-b I_ .T ILL � 8i s l ♦r B� � PAID Fs?P■•, 1-4r PUr-1V UNiryti G' - 3 CnHoc- ao ' S -TYPt� L_ t F_-r/& ►Lr 0. .' ,\4kT6 j /y r� I ,o IOrYi ..ter W{oR Paa1,T5 > 6 Go G I � S'-G d.�, ArJri � Gc7Wr)fA5 _t G , is 1 ; ` .. , ,I y�! _ F_ (D su'k4'm 71\ "r if 40 ,1•. Z- tt+S d D - TNtGr< lyriGRCTE \��N l_ 5 mm i To rs Gt-L�I�J ► ,�r t 6 >�-U Fx►5T I r.ICj CLIA!ti To _. _ f�Ec or1►'i Sri t 2.X C1?t'�T"�, G� 'TO(�+ ?- FJ�..� ,dr.}�•7E.0,. _ 1 I I I I 1� Go 1'tioL -�, THILK GoIyGR[T6, I J01"T -- - �.DJu�( T� of G rclr1G►_TYP-, = SL,A+6. 6- I% N ELE�s.7100 To IN`5U'+E _� �►.,ter F�.�p, 3 F rv►T te't-4 TO I O O L. O { -- _._ _ __ — ' ---- FexJTIrJ� e�-�e �Ti•ip, 5 E_ A w i Av A 2 v,2 x I �E.Mt' ,>r -3Tr�1 5"i �� GGO1• 6KETE rs 000Tirir► - I L'-c�'cam. 6TLGI.L Gold MH N B-c�' a.c. - 2 Tr PI = �� , TY��•L. .l �1 - C�r-iGK¢'T� Lx T P. DE.Ti►.!Lr �? \�.�Al,,(_. 1TI�RA-;,Ee-TEc ° I = i - hl F_-T x 2 X, 1 vE�t_ e_0"6WF_TE F ILLE0 �l3P� 5l� 1'�-4GKETE FnoTlt �C, T -- ell ,. - i 1 �A-TIrIU�-%u'5 IU 3 1 ilrl. w1114 J ✓emu ' Ail ^ C,poU-T ' Z .\" I✓Ee�1 POCKET - _ 'I.—.�,s.(�pi� T_'.�-P�l1EP♦ , Aft^v'f. TY� I " _ 0 - � / O i� GUT Jc`'iF 1 f+ - Y rr L r -� '�L f B Y.� B FOUNDATION PLAN NO�rLO►IYoL 1 I f I � `j GONG SLA'� ��P"IG-K prJ ToP I cJ i 2 � '} fyYIGAL- KET ✓�t t .I,�F. -- , ,I -� 1 J G Rom" +L'r.'��sx" ; � "1 .-O . �I o � i�' > ♦ b' Gvr 1e_ iAll. i n - 9 GGr�Gil7ETE :1'�Li. / tcK7 cry for' t f,e.cl.41� L--dFA) i --------- .--- --- — ---- . 'o'lCP o'' G'> lOrjc. -1 F 4 1 ! PROJECT: SCALE: G <D) E { �? A rve #Wo G x�_ r�Sr If if DATE 1 -4 DRAWN BY: i Z d �IrJ I O olf I ♦0 0. I-O FOUNDATION ♦ CONCRETE NOTE : sl ConwayMedical Building r 1 . SPREAD FOOTINGS SHALL BEAR ON UNDISTURBED SOIL HAVING AN ALLOWABLE 11 . ALL CONCRETE SLABS PLACE ON GROUND SHALL BE REINFORCED WITH 6 X 6/W1 . b X 18. ALL REINFORCING BARS SHALL BE COLD BENT IN ACCORDANCE TO THE PROPER RADII ESTABLISHED BEARING CAPACITY OF TWO (2) TOWS -PER SQUARE FOOT. W1 .4 (10 X 10 ) WELDED WIRE FABRIC . MELDED WIRE FABRIC REINFORCEMENT SHALI BY THE AMERICAN CONCRETE INSTITUTE. UNDER NO CONDITIONS SHALL HEAT BE APPLIED TO THE CONFORM TO A . S . T .M. A185 , AND SHALL LAP 6" MINIMUM OR ONE SPACE , WHICH BARS TO OBTAIN BENDS. Q, IF BEARING MATERIALS WITH A LOWER BEARING CAPACITY THAN TWO (2) TONS EVER IS LARGER , AND SHALL BE WIRED TOGETHER. Hyannis, Massachusetts PER SQUARE FOOT ARE ENCOUNTERED AT THE SPECIFIED ELEVATIONS, THE UNDER- LYING UNSUITABLE MATERIAL TO BE REMOVED AND REPLACED WITH SUITABLE 12 . WHERE CONTINUOUS BARS ARE CALLED FOR THEY SHALL BE RUN CONTINUOUSI-Y - MATERIAL TO BE APPROVED BY THE ENGINEER/ARCHITECT . AROUND CORNERS AND LAPPED AT NECESSARY SPLICES OR HOOKED AT DISCON - TINUOUS ENDS . LAPS SHALL BE 40 BAR DIAMETERS, UNLESS OTHERWISE SHM-01 . 3. THE ARCHITECT/ENGINEER ASSUMES NO RESPONSIBILITY FOR THE VALIDITY OF THE SUBSURFACE CONDITIONS . 13 . INSTALLATION OF REINFORCEMENT SHALL BE COMPLETED A( LEAST ?4 H00 I'Ri�H TO SCHEDULED CONCRETE PLACEMENT , NOTIFY ARCHITECT Of COMPLETION AT LEAST R. L. Seabery Associates Inc. Architects i, NO -FOUNDATION SHALL BE PLACED IN WATER OR ON FROZEN GROUND. 24 HOURS PRIOR TO SCHEDULED COMPLETION OF PLACEMENT OF REINFORCEMENT 335 Washington Street 5. FOOTINGS SHALL BE PROTECTED AGAINST FROST UNTIL PROJECT IS COMPLETED . 14 . PLACEMENT OF CONCRETE POURS FOR FOUNDATION WALLS OR GRADE BEAMS SHOUI_I. Norwell, Massachusetts NOT EXCEED 60 FEET IN LENGTH AND SHOULD HAVE A VERTICAL l"! X 4" KEY 617 659-7533 6. BACKFILL UNDER ANY PORTION Of THE BUILDING SHALL BE COMPACTED IN 6" LIFTS AND CONTINUOUS REINFORCING (40 BAR DIAMETER MINIMUM) THRU T14E CON. IC Of 95% COMPACTED GRAVEL AS APPROVED BY THE ENGINEER. TION JOINT . 7. BACKFILL NO EXTERIOR WALLS UNTIL PERMANENT STRUCTURAL SUPPORTS (FRAMED 15 . ALL FOUNDATION MALLS AND GRADE BEAMS SHALL BE BRACED DURING BACK-FILLING FLOORS AND SLABS) ARE IN PLACE . AND TAMPING OPERATIONS . S. CONCRETE WORK SHALL CONFORM TO "BUILDING CODE REQUIREMENTS FOR REINFORCE[) N CONCRETE" (ACI 318-77) AND "SPECIFICATIONS FOR STRUCTURAL CONCRET(" t' Or, 16. THE USE Of CONTROL JOINTS IN THE SLAB IS RECOMMENDED TO CONTROL CRACKING. SAW CUT TO A DEPTH CW ONE-FIFTH Of THE DEPTH OF THE SLAB. BUILDINGS (ACI 301-72) . 17 . GROUT TO BE NON-SHRINK AND NON-METALLIC W1TM A MINIMUM COMPRESSIVE 9. CONCRETE SHALL HAVE A MINIMUM COMPRESSIVE STRENGTH OF 3,000 P. S. I . AT 28 STRENGTH OF 5,000 P. S. I . AT 28 DAYS. GAYS . S11 in CTFFI RFINFORCEMENT SHALL CONFORM TO A.S.T.M. 615, GRADE 60. C A p E F I I i 1 - Co _a i 2x� - _ - t�ONT INIY Use rJO�_.•3l� � I TT - {Pl.�►-(RL i'�trTL� �J(o i ; I I 2 xG 8' v G?G .oNa GoryrJ - 1 CA - - I -� Zx I'L \�rp �l G�c7P, J'S T6 — I TF- j _ r !FF.E�dQ L1...�EC_uJ.1�I/�_AIcc-.i'�T•►PC.R lTr�>s�"o l�r►�)1. �G(_'n�N',T P'�E1-.LE.T ioLPT, �r1..___. __--_- IIf — - -I! -- - - - - ! - - - -_I - i I _ - - -,I'---o F1P,T FLovP, ��5�(-• - _ ---II—_�-(�o�t'r�I•I E� _I rE�c_wb t� 1 I tI Z2ro bE 1 LAic \-,I`i`c�Ic r�rYoO NpupF-v�Gu�V,�rP>t,E trN3TrF F. J A.�. r-�TrB�"I s v_C TO ADJUST ToP of ✓a u jc"t G x 12. ��G Flc -� ]`�T'5 r I c- . _. +1 -Tt _j I (If ILI 7- I' i F(_v ..LOo OR FRAMING PLAN 8 15 I f IA- 1 C E A <"G \ p ( PROJECT SCALE 1 � I DATE: -4,,4' 2G 9F- DRAWN BY: } i of i u it 0-o G-O n o I it g5 Conway Medical Building I Hyannis, Massachusetts R. L. Seaberg Associates Inc. Architec-�: 335 Washington Stres' { Norwel:, Massachusetts 617 659-7533 j C f N S2 ! a *amp C A D E F , 11 yLL_ E-tT141, i F EJ JLX-r>Ey ' r3( oTl lE-rS J Et,rll T7r � tic, Jt��_E -TN,tl`�5c, rF' oJF�cT " IoTri nr �Ky�lc,►IT pF �tjvl� v��.�l.rC 1� l I r Chi"i � o.,�N TO c�.L-1"Ci 1 1 Tc, e.�c H I T F_�-T Fo P, >• C►' E^. �,z�F oF' f - lJ �� f�- / 71'Sy�l�`-tI-IT t�,�t_. F,F�e.r+, To '~���-, fj1.5�-IG.,NT I p LA-4 r F 4 jI h E,-1-I n�a_i ���tJ it I C, oh.1 1s ! TJ CE�JTF_Pti `-t--srU4wT I ��OIJ,t_C ZX 8 S n a.-,aUrJi:� �j�S7/UGN f5 Tp I r.re_w CAE. ��t ✓ t -- - --- - -- - - _ ---- --- -- j - - - -- - -- - - I I L -v -. - — ---- --- -- ( -_ rIr W9 I I f I 9 I II I ( j>,�L.1I?j1.,Jrs fJ - - I I + ZxH �aoF K-6,FTFr�s I I I I I I I I I I y'�rr- 1yNC.. t - i ►, - # 1 I , I G II ��� I _ It I I II It A H II I I I I i if I,- 1 t ep IGOC _ I V--4— , _`� I f � • r I I I l � I 1 I I i i --� � II I Ir"1 i 1 J-17 R - i I � I I I B ROOF FRAMING PLAN Ij I, f �� 1OXtZ `�T� L LsC81 �'nF ,�OI':T� {II I �I � 1-�>`n� `�P' Z ►�Iz woc,E tom, � — { PROJECT:- n., , •',N}t . r) G E F SCALE { A F � i. / i I AT c' I PL ��.1D. ♦,/ J� u I DATE: DRAWN BY: i I 13- I I >°q s RIpOP TRUSSES: ,} _.__.__.___ _._ / I Copwa Medical Building WOOD TRUSSES SHALL MEET 5 . TRUSS DESIGNS MUST SHOW SPECIFIC CALCULATIONS FOR THE TRUSSES y I. THE DESIGN AND FABRICATION CRITERIA OF ALL SUPPORTING MECHANICAL EQUIPMENT. THE "NATIONAL DESIGN SPECIFICATIONS FOR STRESS GRADE LUMBER AND ITSlG FASTENINGS" BY NATIONAL FOREST PRODUCTS ASSOCIATION (LATEST REVIS- 6 . ALL GABLE END TRUSSES TO BE LATERALLY BRACED AND DESIGNED TO RESIST ION) AND "DESIGN SPECIFICATIONS FOR LIGHT METAL PLATE CONNECTED MOOD TRUSSES" BY TRUSS PLATE INSTITUTE (LATEST REVISION) . WIND LOADS IN ACCORDANCE WITH SECTION 712 THRU 71.5 OF THE MAS5ACHU- ' SETTS BUILDING CODE. SUBMIT CALCULATIONS AND DETAILS WITH SHOP Hyannis, Massachusetts; DRAWINGS. 2 . THREE COPIES OF THE TRUSS DESIGNS AND/OR SHOP DRAWINGS SHALL BE SUBMITTED TO THE ARCHITECT FOR APPROVAL PRIOR TO THE FABRICATION OF ANY COMPONENTS. Z. ,, IL FLOOR AND ROOP LOADS R j LIVE LOADS: LIVE LOAD (P.S.F. ) ALL TRUSS DESIGNS SHALL BEAR THE NAME, SIGNATURE AND SEAL OF A LICENSED PROFESSIONAL ENGINEER IN THE Ct�lrtlliJNWEALTB OF MASSACHUSETTS. SNOW OR ROOP-LOAD. • - - • . • . - - _ . - - - . • - • - - - - • . . . . _ 25+(MINIMUM) IZ �'` �Z ��� OFFICES. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 50 R. L. Seaberg Associates Inc. Architects TRUSS DESIGNS SHALL INCLUDE THE FOLLOWING INFORMATION: CORRIDORS 100 e Washington Street PITCH, SPAN, DIMENSIONS AND SPACI NG OF ?BUSS ON PLANS SHOWING ALL _ --- ________ __—_- - LOBBIES. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 100 335 INCLUDING OVERHANGS IF REQUIRED, TRUSS BEARING `�� p STAIRS i EXITWAYS. . 100 NOrv+rell, Massachusetts APPROPRIATE DETAILS I 617 659-7533 • _. .. _ . - f-I � ; STORAGE (LIGHT) 5 SIZES AND LOCATIONS, DESIGN LOADING OF TRUSS AND ALLOWABLE STRESS -__ ___._ __ __ o --__- �-,. � { � , MECHANICAL. . . . . . . . . . . . . . 125*• (MINIMUM) INCREASE, AXIAL FORCES IN EACH TRUSS MEMBER, NOMINAL SIZES AND LOCA- '- {� - i - - . ?I016T OF CONNECTOR PLATES AT ALL JOINTS, SIZE, SPECIES AND STRESS OF _ u -Qlti �' PARTITION LOAD - ACTUAL PARTITION WEIGHT _ - GRADE OF LUMBER FOR ALL TRUSS MEMBERS, CAMBER AIap PERMANENT LATERAL o � _"� '' -� � ;�= WHERE THEY OCCUR, .EQUIVALENT UNIFORM LOAD BRACING AS REQUIRED BY DESIGN TO REDUCE SUCKLING LENGTH OF INDIVIDUAL � �►� � � NOT LESS THAN . .20 LB/SQ. RE TRUSS MEMBERS ONLY, HANDLING AND ERECTION RECOMMENDATIONS. *PLUS SNOW DRIFT LOADING REQUIREMENTS *'OR ACTUAL LOADS PER MANUFACTURER I 3. SEE PLANS FOR SCHEMATIC LAYOUT OF ROOF TRUSSES. i Ill IL. � y�� ,�,� T �J�� �yPE- DEAD LOADS: ACTUAL DEAD WEIGHT OF ALL MATERIALS 4 . ROOF TRUSSES TO BE DESIGNED FOR THE FOLLOWING LOADS: SNOW LOAD 25 LBS/S.F. SNOW DRIFT LOADS (SEE SECTION 711 .0 OF MASS. BUILDING CODE BOTTOM CORD LIVE LOAD = 10 LBS./S.F. S 3 ACTUAL DEAD LOAD LIVE LOAD DEFLECTION TO BE LIMITED TO L/360 ___. -.._-__.. 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"r LKl� `�TUD'� w ._ I I • r tD O.G , r-,.,t�F Kc�f TE ! � F 1 -41�H `>t 1p'(�<^KTIr V, Vi c.t�E r:� n K.1 60 r, M' r:,UILL171r !/ ✓A-1INEOK �x� S1U(�5 c� FLCc P. ----^^- - - h1G1r4r, r^► 1 1.5 Job No. • Scale I I 1 NATIJF-C.nL G��41..�C>E ' i � � i � or � 1 �Lx FlUvQti �� ' /xlZ .vOOd „� '- i_ _ 3LCJJr �T ItJ�j1/II-jiL�.l / JlJ T'a 1,1hu,-.6,1 r-»j !� ' I ` rJ.c�,Tuf•,�-L G�FCA--�jf�r , r� rr�"TT IraS�Il. ! ! � :{ '�F�'_'1 ` D:ite: �.�'1 2-0 �� I Drawn By: II i �01iC_I+ETE .vau -_ - ' ,, j -.'ra <r' <<� r 1Gl-•E..-jam f �'rz � Go►`K w�'r"�. _ '' i Fl t_L.E t� �T Fr`_EL. I ----. - --_ ___ -. FIL,ryEo bTQEL. Cvuun-J�` <_o r-{GF�,ETE 1 _ w.t�LL r 31�c:cpaN o©�'-EN TE ._1�� %�,ri-�1►f+�LP�f2,c�'+c-'FIB-lCi `3J"rG- O��.►-.�E`Gl�F�'F_TE onwayMedical Building A ''� Gdt 1GKF TKO IY�'Tlr 1r.1 `>4+ i�r JGc�ie.T1>E FTGj. - Hyannis, Massachusetts SECTION C -C SCi0N D - D -- ---- - - - R. L. Seaberg Associates Inc. Architects 335 Washington Street Norwell, Massachusetts i 617 659-7533 ' S r �.LJ_ -r�IJ����'� 'Tv �,,><= E.�!-,INE:E►'-�E �::a c�T►t E.P'?--7. '_>Ur!jt-'1 ITTn.L. OF `.)No� GPsA••�Ir J��, Tv Fo$-, a�cc.?LJIP,EI�, -- ---- F�OoF -/EtJT SD 4W Z �L I w l r{C, F��P�PE-) 12 15 11� 'yNEaYi 1N r',coF as�K ��� I 1 too) JA TGk u ht;p - / / / i � � � � GAN`f I LEVF KL1�7 9 / % --- -- -- - - -- - / To LAT r x FIGEIP�,I.o.hti 6t.c.►410£t40 ,1 FI rte-Kc•,L...s 5 ?*., ,., I or G TYfr ` r,l_ArJ1.1ET I 41>0l._.--1 � `-- TOM r Lx.TF_ � � 1 N '� '�TRn�P r I rJf� � — G z xls STUN � I O OFFICE SPACF f PAC-r� tAl LA, 1.91-0 ..-- --- _ TO I , I() _n 1r,sr r3l.�C,. I PEf'. 0 oil zx& AjTUDSr z� I - _rn - sit r?�u,LDIt le ►'<*r'fJS C Lr} air-, � f ,�- G'ax PLYwG10D 5 H F w:r r-I,J - ----- —_— 1 _- --- r�►, � -- -- .. - __. ____ - __-- -- - ,� /,. - _ _ _----- !'�,,J I`]�'• du ILIA IrJGi Pi.F'1EP5 - � ---- .� - - - -- - - -- LG� v _ t „ ----__ -I __- ,r---- I OJVr _ __._.-.._. �� - - --- �.._____._.__- o-_._.___-_.._.--- - -- - ----- -----------.._-_—..- ----._.-----I;. n.�}UI-JrP'GFOUNI7L.ZlOnl. k f .G Lw2 FLrVC)$K J'if :. -•---- Grin? wood p v i 1�T7 G' 16. vC o.0 �,,tv+�rJG,F�•. ` (�► F "•!`.�-C,1 �., , . , (m s r Ev .✓n s— .�c- '{ _ —CG�h4TItJ000'� / f6L1,,JbAET IrJ"�Ul . I L1 Y (� 1 G`)LJl�-rso4 '�i .. c1rRE GL?r W_-1W C �i''r ITIt 41 1- '1 C(►'�GPSETLr- �ti''°`1�.-- - --- -- � _. _. �I'z. � c;-OnJLKE.'rE. ' F- GOf IC�ErE ✓.�l_L_ � � � z �' GONGPSETE I FILi.Er) -DEL G,-LAJr'10 , c_� F1LL.Ev tr-rEmL , ._. GONGf'+ETE 1-1is F'plke, FIr JG, �, T Ko•�l �t 'L- �5 T019 r� Fz�i✓E L , L'r�•J�t-'lEN FL.POS t^ , i �iEt'1F-NT FLl- R OF i"c E�.�e I�i.-iT/ �. - --- - --T T ALLS - - . ..w�,,: , a '- ' ..." -..��,lof(rY^ G 5T•`IR5 � at e w�. .• , ,.. VA-NOFS Fy►�RP+IE-P• J SECTION E- � SFCTIC� ri F STRUCTURAL STEEL NOTES : FRAMING NOTES : 1 . ALL STEEL SHALL BE NEW STEEL CONFORMING TO THE A. I .S.C. SPECIFICATIONS 1 . ALL EXTERIOR WALLS TO BE 2x6 16" O.C. , UNLESS OTHERWISE NOTED. FOR DESIGN, FABRICATION AND ERECT10N OF STRUCTURAL STEEL FOR BUILDINGS AND ALL INTERIOR WALLS TO BE 2 x 4 @ 16" O.C. , UNLESS OTHERWISE NOTED A.S.T.M. - GRADE 36. _ 2 . ALL SHOP AND FIELD WELDS SHOWN SHALL BE MADE BY APPROVED CERTIFIED WELDERS 2 ALL LUMBER SHALL BE NEW KILN-DRIED SPRUCE OR HEM-FIR NO. 2 SELECT STRUCT- AND SHALL CONFORM TO THE A.W. S. CODE FOR BUILDINGS. ALL WELDS SHALL URAL GRADE OR EQUAL AND SHALL MEET THE REQUIREMENTS OF THE NATIONAL FOREST PRODUCTS ASSOCIATION. THE MINIMUM ALLOWABLE BENDING STRESS ( fb) DEVELOP THE PULL STRENGTH OF THE MATERIAL BEING WELDED. SHALL BE 1 , 150 P.S. I _ THE MINIMUM ALLOWABLE COMPRESSION STRESS ( fc) SHALL !( H N 3. O PERMANENT CONNECTIONS SHOULD BE MADE-UP UNTIL THE STRUCTURE HAS BEEN BE 405 P. S. I . THE MINIMUM ALLOWABLE MODULUS OF ELASTICITY ( E) SHALL BE CROSS SECTIONS ---_" -� � PROPERLY ALIGNED. PROVIDE TEMPORARY BRACING AS REQUIF.ED° 1 , 400, 000 P. S. I . �---- t h 4 . ALL STEEL 'LALLY" COLUMNS SHALL BE CONCRETE-FILLED CONSISTING OF A CONT- 3 . USE 3/4 " TONGUE AND GROOVE STRUCTURAL GRADE PLYWOOD FLOOR SHEATHING, TROLLED MIX WHICH SHALL ATTAIN AN ULTIMATE STRENGTH OF 5,000P.S.I . IN 28 5 PLY OR 5/8" - 4 PLY EXTEIOR STRUCTURAL GRADE PLYWOOD ROOF SHEATHING DAYS, MACHINE MIXED AND MECHANICALLY VIBRATED TO ELIMINATE VOIDS AND INSURE EDGES BLOCKED WITH LUMBER OR OTHERAPPROVED TYPE OF EDGE SUPPORTS,- h. EXTERIOR STRUCTURAL GRADE WALL SHEATHING, PACE GRAIN PERPENDICULAR TO DENSITY IN CONFORMANCE WITH THE REQUIREMENTS ?O THE CONCRETE PORTION OF -�-- t� SUPPORTS AND CONTINUOUS OVER TWO OR MORE SPANS, — • . ALL IN ACCORDANCE WITH _ THE SPECIFICATIONS. THE LALLY COLUMN MANUFACTURER SHALL GUARANTEE THE TABLES 824 . 3 . 1 i 1 .A AND SECTION 824 OF THE MASSACHUSETTS BUILDING CODE. Jr-b No. : Scale : IM q FIw,>.r,c,t A5� 6 , , T FOLLOWING SAFE CONCENTRIC OR AXIAL WORKING LOAD CAPACITIES: i U�'O'T"' ` 4 . PROVIDE ADEQUATE WALL RESISTANCE TO RACKING BY CORNER BRACING OR ANCHCRAGE ' DIAMETER (O.D. ) QNBRACBD HEIGHT LOAD CAPACITY OF STRUCTURAL SHEATHING TO PLATES. I , 4 "' L TJ I - �., `-�`,�' ✓"CcF -F'T>ER 3 4• ` 10 feet 32,000 lbs. ( D te. •ia.t-J Zo 1164 Drawn By: - - y 5 . PROVIDE SOLID BLOCKING BETWEEN FLOOR JOISTS AND/OR DOUBLE ALL JOISTS Ion IL h TEE" I"IEA t 1 UNDER EACH PARTITION . x 5 . SUBMIT THREE COPIES OF SHOP DRAWINGS -TO THE ARCHITECT SHOWING SETTING PLANS, ERECTION PLANS, ALL DETAILS AND SIZES OF MEMBERS INCLUDING 6 . USE FULLY NAILED METAL CONNECTORS (TECO, OR EQUAL, JOIST OR BEAM HANGERS ) h CONNECTIONS AND ALL ENGINEERING CALCULATIONS. WHEN FLOOR JOISTS OR BEAMS FRAME INTO OTHER FLOOR JOISTS OR BEAMS. 7 . FOR ROUGH WINDOW OPENINGS UP TO 3 FEET USE 2- 2x6 HEADER BEAMS, FROM 3 TO +' 6 FEET USE 2 - 2x8 HEADER BEAMS FROM 6 to 8 FEET USE 2 - 2x10 HEADER BEAMS, Conway Medical Building G L w"I�av,e > STRUCTURAL STEEL CONNECTION NOTES : EXCEPT AS NOTED OTHERWISE ON THE PLANS OR ELEVATIONS. 1 . SEE STRUCTURAL STEEL SPECIFICATIONS FOR ADDITONAL INFORMATION. 8•. ALL FRAMING TO BE INSTALLED IN ACCORDANCE WITH THE 14ASSACHUSETT'S BUILDING CODE REQUIREMENTS AND GENERAL FRAMING PRACTICE AS DETAILED IN THE, 2 . CONNECTION DESIGN AND DETAILS TO BE SUBMITTED FOR REVIEW BY ARCHITECT • ARCHITECTURAL GRAPHICS STANDARDS BY RAMSEY AND SLEEPER. _.____ __ _____ ___._ _ _ _ __ Hyannis, Massachusetts AND ENGINEER. STEEL FABRICATOR IS RESPONSIBLE FOR FINAL CONNECTION L DETAILS i DESIGN. FOLLOW A. I .S.C. REQUIREMENTS . 9 . ALL WALL STUDS TO ALIGN WITH FLOOR JOISTS i ROOF TRUSSES. L x i Z \vC7cD F L.D o C^ JDI�Tb 1!i" [ 3. USE 1/2" MIN. COLUMN CAP OR BASE PLATE FULLY WELDED ALL AROUND TC i COLUMNS WITH 3/16" FILLET WELD, EXCEPT AS OTHERWISE NOTED ON THE PLANS .I � ("• - 1, f-Gr.L.ri.c,�.r.:.�, :.L.r,, �..�;T h G.,Cah�TINVaVl� �j / tn1�yJLL^-Tr� 4 . CONNECTION BOLTS TO BE 3/4 " HIGH STRENGTH, A.S.T.M. A 325. PROVIDE A �•- =.'�Z COr1G. flUf MINIMUM OF 2 BOLTS PER CONNECTION. 1 r R. L. Seaberg Asscc'ato3 Inc. Architects 1. 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