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Home My WebLink About0046 NORTH STREET (5) �-jf� �©r�, �-�--, c��,+ s �09 — � a5- ra� � i �, °Ft"Ergo Town of Barnstable g EARNST"LE. =. Building Department-200 Main Street Hyannis, MA 02601 s rEaM Tel. (508) 862-4038 Certificate Of Occupancy Permit Number: B-17-4382 CO Issue Date: 2/9/2018 Parcel ID: 309-195-OOE Zoning Classification: OM Location: 46 UNIT 5 NORTH STREET, HYANNIS Proposed Use: Name of Tenant: Sprinklers Provided: YES Gen Contractor: MOSES M CORDEIRO Permit Type: Commercial- Non-Profit Type of Construction: Design Occupant Load: 5 Comments: CAPE COD HOSPITAL UNIT 5 PAIN CENTER 22 � .2.A1,� Building Official Date: A Certificate of Occupancy is Required Prior to Occupying Space Building Code: 780 CMR 8th Edition Final Construction Control D� o Document. Tobe submitted at completion of construction by a Registered Design Professional 'W L - de ,a for work per the 8th edition of the Massachusetts State Building Code, 780 CMR, Section 107 Project Title: 46 North Street Unit 5 Date: 2/7/18 Permit No.B-17-4382 Property Address: 46 North Street,Hyannis,MA Project: Check(x)one or both as applicable: New construction X Existing Construction Project description: Relocate 3 heads to be centered in ceiling tiles. Mains and branches were done in during Phase 1. I Stephen Nelson MA Registration Number: 41842 Expiration date: 06/30/2018 , am a registered design professional, and I have prepared or directly supervised the preparation of all design plans,"computations and specifications concerning: Architectural Structural Mechanical [XI Fire Protection . Electrical Other: Describe for the above named project. I, or my designee,have performed the necessary professional services 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: l. 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 7;80 CW.J07. - e C . Enter in the space to the right a"wet". or �� hFr L.' electronic signature and seal: i =� Phone number: 568-378-7212 Email: sn@ysc-fire.com Building Official Use Only / Building Official Name: Permit No.: Date: Version 06 11 2013 Final Construction Control Document lu L W To be submitted at completion of construction by a d Registered Design Professional for work per the 8tb edition of the GSM S.e� Massachusetts State Building Code, 780 CMR, Section 107 Project Title: Cape Cod Healthcare Unit 5 Date:2-7-2018 Property Address: 46 North Street-Unit 5 Project: Check(x) one or both as applicable: New construction X Existing Construction Project description: Renovate area for new office I Gregory B Siroonian MA Registration Number: 9748 Expiration date: 8-31-2018 ,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 X Mechanical Fire Protection X Electrical Other: Describe for the above named project. I,or my designee,have performed the necessary professional services 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: 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 electronic signature and seal: {, ss u, ants. Phone number: 508 759 9828 Email: gbs@MEDCOMarch.com Building Official Use Only Building Official Name: Permit No.: Date: Version 06 11 2013 Iwo Town of Barnstable uIlR�IIl �4 E, B t Post This,Cai d So That it is-Visible;Frorn the Streef ,.Approved Plans Must be.Retamed on Joki and t is a d M st be Kept PostSAILMAB ed` e Until Final Inspection Has Been Made. ��p1Y.T}mm n MA�s Where a Certificate of.Occupancy is Required,,such Building shall Not be,-Occupied until aArial Inspection has been'made.. �L11 1i111111 Permit No. -B-17-4382 Applicant Name: MOSES M CORDEIRO Approvals Date Issued: 12/26/2017 Current Use: r Structure Permit Type: Building-Alteration INTERIOR Work Only- Expiration Date: 06/26/2018 Foundation: Commercial Map/Lot: 309-195-OOE Zoning District: OM Sheathing: Location: 46 UNITS NORTH STREET,HYANNIS Contractor Namei'%.,,MOSES M CORDEIRO Framing: 1 O Owner on Record: CAPE COD HOSPITAL Contractor Licenser GCS-074674 2 Address: 25 COMMUNICATIONS WAY Est. Proiect Cost: $75,000.00 Chimney: HYANNIS, MA 02601 Permit Fee: $857.50 Description: renovate existing shell space to create 3 offices all interior work Insulation: Fee Paid: $857.50 Project Review Req: Date: 12/26/2017 Final: G Plumbing/Gas Rough Plumbing: is \Building Official Final Plumbing: This permit shall be deemed abandoned and invalid unless the wor0authorized 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 whicl 'this permit has been granted. Rough Gas: All construction,alterations and changes of use of any building and structures shaWbe in compliance with the local�zoning by-lawsfand codes. t Final Gas: This permit shall be displayed in a location clearly visible from access street or roadand shall be maintained open for public inspection 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 signatures by the Building and Fire Officials are provided on this permit. Service: Minimum of Five Call Inspections Required for All Construction Work: ' 1.Foundation or Footing Rough: 2.Sheathing Inspection - 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 5.Prior to Covering Structural Members(Frame Inspection) Low Voltage Rough: 6.Insulation 7.Final Inspection before Occupancy Low Voltage Final: Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Health Work shall not proceed until the Inspector has approved the various stages of construction. Final: "Persons contracting with unregistered contractors do not have access to the guaranty fund" (as set forth in MGL c.142A). ' Fire Department j— Building plans are to be available on site All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT Final. o� T Town of Barnstable Building �w.a -":� v s :e°£" x". rk�,,-•.�,�y� �.. �_x ,�°. +..m .�ea ,. ,^"'+ .s � ,�. ;. .,, -. �.�" .:,�a :.""" "� Hwy • Post Tti�sCa�d So;That�t_is Uisible'Fromthe Street, Appr..oved Plans.:Must be Retained on lobzand,this Card Must�be Kept BARN3TABL6. } O MAss ?Posted UntII Final Inspecti n�HasBeen Made l f ` Fs F Where a Certificate of^Occupancys�Required,such Bu Id�ng shall Not be Oecupiedzuntil a Final Inspection has been made Permit No. B-18-273 Applicant Name: Richard E Enwright Approvals Date Issued: 01/31/2018 Current Use: Structure Permit Type: Building-Sheet Metal-Commercial Expiration Date: 07/31/2018 Foundation: Location: 46 UNIT 5 NORTH STREET, HYANNIS „ Map/Lot 309-195-OOE Zoning District: OM Sheathing: Owner on Record: CAPE COD HOSPITAL Contractor..Narne Richard E Enwright Framing: 1 Address: 25 COMMUNICATIONS WAY Cor%tractorLicense 2647 2 HYANNIS, MA 0260.1 Est.,Pr Cost: $950.00 Chimney: Description: Add 2-8" Registers off of Existing Trunk Line.Add 4.Sidewall FOrmrt`Fee: $160.00 Registers off of Existing Trunk Line. Insulation: Fee Paid:- S 160.00 Project Review Req: Date 1/31/2018 Final vJC y /� �£ f _ Plumbing/Gas Rough Plumbing: Building Official Final Plumbing: This permit shall be deemed abandoned and invalid unless the work authorzed byhs permit is commenced within sizmonths afterissuance. All work authorized by this permit shall conform to the approved application and the approved construction documents for whichfthis permit has been granted. Rough Gas: All construction,alterations and changes of use of any building and structures sh be in compliance with the local zoning by laws and codes. all This permit shall be displayed in a location clearly visible from access strd&16�:roacl and shall be maintained open for public inspection for the entire duration of the Final Gas: work until the completion of the same. g Electrical The Certificate of Occupancy will not be issued until all applicable signatures by the�Buildin and Firk Acials are provided on this,permit. Minimum of Five Call Inspections Required for All Construction Work: a '' Service: 1.Foundation or Footing ;% Rough: 2.Sheathing Inspection • �. I •:. `•, 3.All Fireplaces must be inspected at the throat level before firest flue lining is installed Final: 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection 5.Prior to Covering Structural Members(Frame Inspection) Low Voltage Rough: 6.Insulation 7.Final Inspection before Occupancy Low Voltage Final: Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Health Work shall not proceed until the Inspector has approved the various stages of construction. Final: "Persons contracting with unregistered contractors.do not have access to the guaranty fund" (as set forth in MGL c.142A). Fire Department Building plans are to be available on site Final: All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT I New England: TECHAIR field foreman I Phone 207-347-7577 L Ce11207-809-9516 n 1\iL+k EnWri Fax207-347-7599 91't I6 Manson Libby Road Scarborough,ME'04074 renwrightgnetechair.com www.netechair.com f f {713 Commonwealth of Massachusett Sheet Metal Permit Q �� Mao Parcel ® M ,- Date: < Permit# `"4 Estimated Job Cost: $ I SD �-- Permit Fee: $ �«-- NOT"! 0� RNRNS I ABLE Plans Submitted: YES NO Plans Reviewed: YES NO Business License# Applicant License# rDL6 L Business Information: Property Owner/Job Location Information: Name: IVE41. ��/��IdO ��,�1.G1/t Name:Cclf Street: Street: i � soti G�� 2�� '1 b � / City/Town: i City/Town: /ayAIAIS JnA Telephone: ?,c)rI- 3`1 �� Telephone• Photo I.D. required/Copy of Photo I.D. attached: YES' NO Aj)(i J-1<l�-I St estricted license ftInitia 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 Retail Industrial Educational 'S 1'7 Fit.pt.Approval Institutional— Other NO vo a Square Footage: under 10,000 sq. ft. over 10,000 sq. ft. Number of St ries: z �. cn Sheet metal work to be completed: New Work: Renovation: r°OA- 01 rn HVAC Metal Watershed Roofing Kitchen Exhaust System Metal Chimney/,Vents ` Air Balancing Provide detailed description of work to be done:. .,4lD4?, 02 - I S46-5 oft of 41c IhSURANCE COVERAGE: I have a current liability insurance policy or its equivalent which meets the requirements of M.G.L. Ch. 112 Yes No ❑ If you have checked)LU, indicate he 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 wajves this requirement. Check One Only Owner ❑ Agent Signature of Owner or Owner's Agent By checking this boxo,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 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 Final Inspection Date Comments Type of License: By Master Title �. ❑ Master-Restricted City/Town ❑Journeyperson Signature of Licensee Permit# ❑Journeyperson-Restricted License Number: Fee$ ❑ Check at www.mass.ggy4 Email: `e Inspector Signature of Permit Approval The Cam o.Tl?weah*qf3&wa&uw& Department qfIndusftidAccid.mwft QjTwe ofInpewtatimm ' 600 W=hfi ton,met Boston,MA.021I1 wi mmassgv94dia Workers' Campensafean Iusurance Affidavit Bmflders/Cuntr-actursMech cianslPhunbers Amlicant Information Please Px int f 'bfY xa= oy AR Ad&ei6 �D�, itylSi te( ig:� �r '' C5y D`7 LJ Phone "3-1 r?`7 Are _ u an emislayer?Cheekthe appropriate ba= ' 'type of project(requiredy_ I.; I=a employer uith 4. ❑I am a geuerd contractor and I ❑ 6. employees(full or par�time * have hired gm suit-comh�actom ew e 2.❑ I am a sale orpartner- listed on the attached sheen I- Ran Fmi?�� These sub-co�racto:s have ship and have no employees $.-❑Demolition wading forme in any capacity. em4dayees andhave wadwr' 9. ❑Build-mg addifion jNo waders,'camp.insurance comp.fiMM M 5. ❑ we area coaporatitanand its ME]Electrical repairs or ad&tions d offers have exercised their 11-❑Plumbin r �or additions 3.❑ I am a,homeowner doing all work l: ea P o warTmrs' p T�of per MGM, v =ep� iias=myself[No required`]y c.152,§1(4k andwe haven ❑Roof employees.END wadoers' 1�.❑{)that caste insurance nquireEL] •Any agP t6atcbedsboz R mast also S ioa Ilont*e sw beiow &&wU&Me®peasatiaapnycyi =. fi�ame�aes�rlmsabmt&sEwwaiatsistbgtheysse�m�slEtea3�aa�B�Lireaat9de�,•a**re,•�amctsuBmitanews�d tiodics elect ZUaatmctc6 cliecict�as 6mc mast sttad�d maddilirmal sheet sbaormgtbenameof die sob-ca�scmas�d st�evr}te araatfbnse etteslis�re —Pkuees.I€thesvb-ccmt=tmshaveempIgw-%ffteY=nrF=vWed=wmk Ocmmp Palkyn aabm lam an errtgIoy�er flint is prmrirluig tvarkers'cott�perrsr�tmr iasziranca Tory enrpTa3�ees Below is rite policy arai job sTta informadDrL Insurance Company Name:. Pffficy.4dL Cr S&ins_I.ic.�4fL F�pir�tioaDafe: Job Site A&Ire= Cify/Stafetzim At#ch a copy of the workers'compensationpolicy dec]'aration page(showing the popcy number and ezpiration date). Failure to secure coverage as requiredunder Section 25A,o€MGL c.157—can lead to the imposition of aimiilal penalties of a fine up to$1,SOa OO andfor one-yearimprisamuezd as well as civil.pendges in the farm of a STOP WORD€}RDERand a isne of up to$250-00 a clap against the violator. Be ad.,.ised that a copy of this statement nny be forwarded.fn the Office of Investigations.ofthe.DI&for insuzz=coverage veti$caign. I do hereby certify as titspams P fgar Lry fhatflre infarma&n prvvided ahmv is bare and carrect I}ate :3 /� Phone irr 0joWd tree only. Do not write in f ds area,fa be cmnpfetced by raip arfowm offwrat t or Tawm Perrmtff.&ense Issuing A u9gority(circle one): L Board of Health 2.Buffdmg Department I CAyito n,Clerk 4.Electrical Inspector S.Plumbiarg Inspector 6.Other Contact Ferson Phone#: 6 The Commompeakh of Yackuw is De arbtte at oJrIndusbial Accidwds ee OfLnestkafiew 600 Wadifi ton Sheet mm7f mmgov/dia Workers' Compensatcctn Inmr=ce Affidavit:Bugder-JContr-act n-Mech cians(Pbmbers ApplicamtInfarmai n PleasePrint E,e Addrt.w%G ��5 �, 650 of citws 3d►�ot�G c-� IM F c�f�`(p, o�`7- `� --`7�27 Are you an employer?Check the appropriate bow ' Tyke of project(required- -I.❑ I ant a empoayes with 4_ ❑I rat a general cflnf mchsr and I 6. employees(full andfor part-fixne)-* have hired the sgb_c�us 2.❑ I am a sale proprietor orpastner- listed on the attached street ?- =deling sip and have no employees . -These sob-confmctors have U❑Demolition waddng for me in any capacity- erqAoyees and have wogs' 9. ❑B,uildiag addition jNo wp6 mss'camp-insurance camp.insu all l reqmire&j. 5. ❑ We are acorporation and its 10-❑Electrical repairs or additions 311 Iamahomemmesdoingallwwk officers haveexeircisedtheir IL❑Phimbingrepairsoraddifiorm myself[Nov orkers'coeap_ of =3F6M per M(M 2,§1 ehe€veaa' 12❑Roofregairs fim3 ante i e&]i J 3_❑Other employee[No woes' cam-insurmw m4uire&j ;Any agp&aF�atcber3�sbos ffl mast stir ffioatihe soiaabeiow�avmr� wodcexs'ca�peasatapnTrin�[maxaa # aleDWafSS Wlm mbngt dris EMda4)b inffudiq theyan!tlaia.-0 W mi&mhim outside coubxct —st submitanewaffidavit iadlcatrefl sueli Zroattacig6$tateheck box -Mrlf� sddi als3neetsbnmmgtlsena of@�esatrcaamscfe¢sandsh�#ewlse araetthuseeatitiesE e employees I€thesah canEshave empIay�zs,tbe��stpms ids Yir warkes'canzP•ply gym lam an sreeployar fiial is prauidurg ivarlcats'nose paresali�n i�xsriraitca for mp enrPlo}�eex $eivty is f7eaprrfiey ar�tl f ab srte informadara. Iasmance Company Na=: f IcJ�" �1y c✓L�y ,6 G�/(.� ✓1 'Policy 4 arSelf-ins I.ic_4L �3 wS�6`101 I F�pirad..Date: 3DI `d Job City S#a&Zip&,, !'S MA Attach a copy of the workers'compensatiaapolicydeclaration page(shatving the policy amber and expiration date). Fadmm to secure coverage as requiredunder Section 25A of MGL r 157—can lead to the imposition of criminal penalties of a fine up to$UOG 00 amvar one-yearinrpn mment as we611 as dvil.peuaws.in the form of a STOP WORK ORDIRand a fine of up to$250-00 a day against the violafar. Be advised ftt a copy of this statemerd maybe forwarded.to the Office of Iuvestigatians of the DIA.for fnswmace coverage verification- I d'a hemb ca thi pains coedpg s afpaj ry thatt7ig ror uprmidrd ahm a is bs and correctyp Date- /a /8 Mane igr 021vi d um wily. Do not mite to f ds axeQ,to be arinpieted by city ortoern ejolc at My or Town: Permit icense:9 Lwming A.uf erity(fie one): - L Board of Health Department 3.Cityfrovm Clerk 4.Electrical hmpector 5.Plumbing Inspector 6.Other Contact person: Phone 9: Information and Instructions . Masszc metfs C=!a=2l Laws chapter I52 rego -es all eurployes 7n provide Workers'cnmpeusatzon f3riherr=pioyees. ,r this statoda as Iopr�is dafmied as. -.sv�YPew anin.ifie service ofsnothM— any coact ofhirry Porsu_��to . cspress or impliiA oral arwriftm" An Moyer is defined as`�aa iac$vidaal,parfneosbi�,associafiam,coiporaficn or other legal w±iLy,or any two or more of the foregoing eVgCd is a Joint e�Se,and mclndmg the legal represenfa&M of a deceased employer.or the receiver or trastes of an milividaA partnership,association or othrr legal emfity,employing employe- However the owner of a dweIIang house havmg-not m!rise tb m fi=apartments and who resides theerem,or the occupant of the- on such dwe house rrmch-rlrFirm Or an'wn� �b dWP�ghoase of another who employs persons to do mau�.cc, repair or am the grounds or budding appurtmm tffiemb shall not became of sash employment be deemed to be an maployer." M(1L chapter I52,§25C(6)also sfates that"every siI nr local yceusing ageacg shall widlfioId fhe fssaance ar renewal of a Hc— e.or permit to operafe a business or to construct bwldmgs in the commonwealth for any applicantw•ho has not produced acceptable evMenc:e,of cdmpr=ce:whir the Insm,an=covexageregake(V p,rT diflonaIly,MC=L chVtnr 152,§25C(7)s1$frs Neither fhe cauzcmweahh nor ray of its poHdcal subdivisions shall eninu into any contmdforthep ofpnbhrworicunIacceptableevMmmofcompliancewitiifhe;n�n�. requa:eznenfs of this d Spun hava been presenb�d to the mntrac> anihozity: AgPIicast� Phase f II oil the worio= ,compensation affidavit compleiety,by ch=lmg the booms that apply to your kfnaf=and,if nmessary,supplysob--confzac r s)nae(s), (es)and phonenranber(s)along wuth.their=fficafe(s)of inmcance. U3i'6ed Liability Companies(LLC)or LimibuiLiability-Parft=cships(l.LP)withno mapBycm offier ffian.the members or pmtaars,are not requited to cant'wa±m- 'compensation ins ce- Y as LLC or LLP does have eurpIoyees,a policy is regtred. B e advised that this affidavit may be subnitiud to the Department of Industrial Acciclw:ts.for confamafinn of roar coverage Also be sar-e to sign and dateithe affidaYit The affidavit should bezeomed to$e city or town that the application for the pe= t or license is being requesbA not$e Department of Jhd :st aT 14 r-ccid=f Shouldyon have any questrons regmx mg the law or ifyou are regaz ed to obtain a worio;rs' =npensatirmpofiey,pleasecaatbcDepartmentatiiienmaberlist dbeInv: Self fimn-edcompanies should en their self-insarance license'mmnber an the appropriate 1133e. City ar Town Officials Please be sure that the ETdavit is complete and prht�dlegibly. The Depar[m.enthas provided a space at fflo botb= ofthe affidavit for you to fIl out in the evmtthe Office ofinvestigatious has to cordzctyourc9m iingthm applicant: Please be sure to fill in the pe=ih/license ncnnber which will be used as a=Bxence number: In addition,an applicant .That must submit multiple peaniYHcense appliraficm in any gi a year,need only submit one affidavit indicating eoaeut . policy in��annation(if necessmy)and umder"Job Ste d "dre: tie applicant should "aU locaf i- in (may or town)_'A copy of the•a$davit that has be=officially sFamped es ma'ced by the city or tom may be provided to the applicant as proof that a valid affidavit is on file for fcdm 'perm s or licenses A new a$davit nn'st be fmcd out each year.-Whe=a home owner or citi a is obtaiaing a license or permit notrrlated in any basin=or commm-dA (Le.a dog license orpe alit to bum leaves eta_)said person is MOT regrm-ed to complete this affidavit The 0$ce oflnvestigafions would 15mto thank yoirmadv-ancc for your cooperation and shouldyou have any gnesfioms please do not hesifaiz to give vs a call The Department's address,telephone and fax npombea_ - - ��.It�of I�ssar,3�usetfs - _ - . Degaxtamt cfITi6ddalAmidenta -T 14 617 -4 =Lt 406.or Fax It 617 727-7M Revised4-24--07 - W 90gICra �VE Town of Barnstable Building Department Services 1~Y 33AIDGMAEM KAM Brian Florence,CBO 36. Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section - If Using A Builder L sh Ade W,)k c-5S ,as-tamer of the subject property hereby authorize �(J n� J l7 L A 11z to act on my beb4 in all matters relative to work authorized by this building permit application for: ST all.& O'l S (Address of Job) **Pool fences and alarms are the responsibility of the applicant Pools are not to be filled or utilized before fence is.installed and all final inspections are performed and accepted. Signature of4awne.rG',G. Signature of Applicant Print Name Print Name Date Q:FORMS:OWNERPERMISSIONPOOIS Rev:08/16/17 Town of Barnstable Building Department Services � r Brian Florence,CBO ' Building Commissioner 200 Main Street, Hyannis,MA 02601 �„srwsra. : > www.town.barnstable.ma.us 03 Office: 508-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EREMMON Please Print DATE: JOB LOCATION: number street. village ' "HOMEOWNER": name home phone# work phone# CURRENT MAILING ADDRESS: cityhown state zip code The current exemption for"homeowners"was extended to include owner-occupied dwellings of six units or less and to allow homeowners to engage an individual for hire who does not possess a license,provided that the owner acts as supervisor. DEFINITION OF HOMEOWNER Person(s)who owns a parcel of land on which he/she resides or intends to reside,on which there is,or is intended to be,a one or two- family dwelling,attached or detached structures accessory to such use and/or farm structures. A person who constructs more than one home in a two-year period shall not be considered a homeowner. Such"homeowner"shall submit to the Building Official on a form acceptable to the Building Official,that he/she shall be responsible for all such work performed under the building_permit. (Section 109.1.1) The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other applicable codes, bylaws,rules and regulations. The undersigned"homeowner"certifies that he/she understands the Town of Barnstable Building Department minimum inspection procedures and requirements and that he/she will comply with said procedures and requirements. Signature of Homeowner Approval of Building Official Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the State Building Code Section 127.0 Construction Control. HOMEOWNER'S EXEMPTION The Code states that: "Any homeowner performing work for which a building permit is required shall be exempt from the provisions of this section(Section 109.1.1-Licensing of construction Supervisors);provided that if the homeowner engages a person(s)for hire to do such work,that such Homeowner shall act as supervisor." Many homeowners who use this exemption are unaware that they are assuming the responsibilities of a supervisor (see Appendix Q,Rules &Regulations for Licensing Construction Supervisors,Section 2.15) This lack of awareness often results in serious problems,particularly when the homeowner hires unlicensed persons. In this case,our Board cannot proceed against the unlicensed person as it would with a licensed Supervisor. The homeowner acting as Supervisor is ultimately responsible. To ensure that the homeowner is fully aware of his/her responsibilities,many communities require,as part of the permit application,that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the last page this issue is a form currently used by several towns. You may care to amend and adopt such a form/certification for use in your community. 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MbVE CdIIAERS 51uLL BE B'ABWC CdUNTER."GN'BIMII CEWNG NOTES �JP � GBS BE A OFCI OUREf. AND BU T-0'A.F.G.+, NEW TWGTA OUTLET-(2).1A Arm(+)Pr('ONE.uf Ox xENRx Oxq�C—ST SEE NELMANICM DWOS. T1+IGL 11tNFA0S AT DECpOpDEC OPWNLS SINLL ARAM W� PEN dIILEi.ouru,S S_ABOVE CWNTDIS S.ALL ® T.ALL ROON CERDmE ro BE TYPE'CI.O S•-0"AFF UNLESS CTO S SE NOTED.NEW BE S'ABOh COUxTEA. uEER NNA T01 CCDUAY._M ARCS S)T.ALL OT1 AREAS ARE d6TNO i0R RERRENCE IIGXT 4MT0('ON wALL O b'AIT ® SxRI. pETmlES IXBTWG 1FD dR BATIEiw-BnCNP SEE ELSE.DwGS , 'CT'CLG:rLLW /.S ARRELUES MFK1N EONE ULTDM ITBJT BEVELED ACOUSIICM C M t2 IB'YRRVOE ri'dPosm TEE METAL SUSPENSION Pm. A1 .0 W l 3 • Y 1 ,ram ...�..�-J'"../-l�� " z+Tv �`` �,t•�... 'C IVER� ��'' � � "L CEN§#q, , 101,1212o1s S7612 777 y z� 11024 r2rQk117a sskPEBTm _ 11 RIC ARC E ft 3. to ua ` c a ojz �,.4 � BEA M' 1BHGT B Ot 12I�' li d �,r „F�6 DD 10113I3018 Rev0]17�I1DiB,,,x�,fi�„ per,,„ r ©NINEALTli O MASSACHUSE TS fi w .SHE EtTMEfiALWOtlCERSnNn s� a s s x< - � r ISSUES HE FOLC. WIN L,IC64' i z MASTER UNRESrTEtICTEI? n : kt m W7 �. ° �•621f;HARD E ENWRIGHT t 1 _ i� NIE3NNLANF17Et,HIF ' �� ° SCARROROUGH,ME 040�,�820� ` s �x a; 2641, �12J��2�1 �� 93739 ` t. n. 5 A� ® CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDD/YYYY) 11/28/2017 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 G:ON-TRACT BETWEEN THE ISSUING INSl1RER(S)„AUTHORIZED REPRESENTATIVE OR PRODUCER;AND THE CERTIFICATE:HOLDER IMPORTANT: If the certificate holder ts,an ADDITIONAL INSURED •the p0licy(ies)must be endorsed IUSUBROGATION;:IS'WAIVED,subject to the terms and conditions of the policy,certain policies may'require an!endorsement A statement on this:certifcate does,not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER ,NAMlk: Karen Stapley THE ROWLEY AGENCY INC. PHONE (603)224 2562< 1 FAX No): 3)229 8012 _(AIC:.Na�Xll .... _ .........._.._�lA!C; 139 Loudon Road E-M6DR9ESSkstapleiyQrowleyagency.com _._.. .m-.:. __.._ P.O. Box 511 INSUR_ AFFORDING_COVERAGE _ NAIC# Concord NH 03302-0511 INSURERA The Netherlands. Ins Co. ;24171 _._ _ ..... ....... .......... _..... _._ ___...... --..._. .. _ INSURED _._.... ._ -. ...:_-_..______—_ :......._I . . u.SURERe:The Ohio�Casualt.y ,Ins- Co.__.. _.._ ---.. .............__. N.E. Tech Air Inc. INSURERC Maine Employers Mutual Ins Co --- --- 16 Manson Libby Rd. INSURERDWeist American Ins. _.. _ ........ .. — INSURER E . Scarborough ME' 04074 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..."_ ..._ ._T....... . _ INSR ..... .._ ADDLSUBR ......_ _....:_.__.__..... ... .....:......_._—__._.-.._____.. .. ' POLICY EFF POLICY EXP - LTR TYPE OF INSURANCE - POLICY NUMBER : MMIDD/YYYY MMIDDIYYYY ( LIMITS X :COMMERCIAL GENERAL LIABILITY - - ........ I EACH OCCURRENCE >$ 1,000,000 D CLAIMS-MADE X OCCUR DAMAGE T, RENTED j -- I . PREMISES(Ea occurrence) _.i$- 100,000 _._ - x _ Blanket AI w/_ BKW57697271 -- 11/30/20.17 11/30/2018 MEDEXP(Anyoneperson) $ '5 000. completed_operationa _ RER50_NAL&ADVIN_JURY $ 11000,000 GENL AGGREGATE LIMIT APPLIES.PER �.GENERAL AGGREGATE �$ 2 000 000 POLICY-R i JECT _X._i LOC ; .. ._._. _ ... ---- I PRODUCTS-COMPOPAGG $ 2 000r000 Employee Benefits $ 1 000,000 AUTOMOBILE LIABILITY 'COMBINED;SINGLE LIMIT i Ea ac Ident 1 000,000 g - — A ANY AUTO - > BODILY INJURY(Per person) I$ j SCHEDULED I .. :! I .....::.--.•-••*---- ALL OWNED .:._I AUTOS AUTOS BAW59176582 'll/30/2017 11/30/2018'BODILY INJURY(Per accident) $ I_ ( ' + .NON OWNED I I HIRED AUTOS` ::. . ' i'R60tkent}AMAGE - AUTOS ' - --- Per a X 'UMBRELLA LIAB + X:OCCUR. [ $ EXCESS LIAB EACH OCCUR 000 000 B L. _._. GI.AIMS-MADE - " RENCE 10 AGGREGATE 10 000 000V :DED I X RETENTION$ 10,000 US057697271 .:!11/30/2u17 11/30/2018':WORKERS COMPENSATION I 13Av CT;NA;ME,,NH,NT,NY,RI, X .PER I OTH +�. - AND EMPLOYERS'LIABILITY. YIN] ;ANY PROPRIETOR/PARTNEWEXECUTIVE I"""- I I SC,VT,VA 5101800453 `OFF ,ERIMEMBER EXCIUDFD? + Y IN/A; I .I - E.L.EACH ACCIDENT.,..,, ,.$.. 11000,000 ' C '(Mandatory in NH) -- } 68537 (RI through 11/30/20171 11/30/2018 E.L. —_ - Ityes.tlescnbeuntler 1 i .L_DISEASE-EA EMPLOYEdyI.$.__ 1_000 000 DESCRIPTION OF OPERATIONS belov, + ;Beacon Mutual Ine. Co.) E.L.DISEASE-POLICY LIMIT I.-$` --1,.0.00,000 B :Leased/Rented Equipment i :.IM 6883221 j'11/30/2017 I1/30/2018.i Llmit:$100,000 - Ded:. $1000 -� DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) CERTIFICATE HOLDER CANCELLATION SHOULD ANY-,OF THE ABOVE DESCRIBED POLICIES:BE CANCELLED BEFORE For Records Only THE, EXPIRATION DATE THEREOF, NOTICE .WILL BE ,DELIVERED IN ACCORDANCE:WITH:THE POLICY:PROVISIONS. AUTHORIZED REPRESENTATIVE Karen.Stapley/KS ©1988-2t114 ACORD CORPORATION. All tights reserved. ACORD 25(2014101) The ACORD name and logo are registered marks of ACORD INS025(201401; Shea, Sally From: Moses Cordeiro <MCordeiro@dellbrookjks.com> Sent: Monday,January 29, 2018 9:53 AM To: Shea, Sally Subject: Re:46 North Street Sheet metal permit Hi Sally, I am okay as long as the Tech Air uses their certification for the job. Sent from my Phone Moses Cordeiro LEED AP Superintendent Direct: 508-540-6220/Mobile: 508-922-3624 ELL .+ JKS One Adams Place 859 Willard St. ; Quincy, MA 22169 781.380,1675 15 Research Rd. 1 East Falmouth, MA 02536 508.540,6226 On Jan 29, 2018, at 9:16 AM, Shea, Sally <Sally.Shea@town.barnstable.ma.us> wrote: <image001.gib Hey Moses, Can you give me an ok for the Sheetmetal permit at 46 North Street unit 5. Richard Enwright New England Tech Air?. He has an ok from Shane but you are the CSL. Much appreciated. Sally Shea Town of Barnstable Assistant Zoning Admin/Lead Permit Tech. 508-862-4031 . 1 Shea, Sally From: Moses Cordeiro <MCordeiro@dellbrookjks.com> Sent: Monday,January 29, 2018 9:53 AM To: Shea, Sally Subject: Re:46 North Street Sheet metal permit Hi Sally, I am okay as long as the Tech Air uses their certification for the job. Sent from my iPhone Moses Cordeiro SEED AP Superintendent Direct: 508-540-6220/Mobile: 508-922-3624 EL . AKS One Adams Place 859 Willard St. I Quincy, MA 02169 781.380.1675 15 Research Rd. ! East Falmouth, MA 02536 1508.540.6226 1 On Jan 29, 2018, at 9:16 AM, Shea, Sally <Sally.Shea @town.barnstable.ma.us> wrote: <image001.gif> Hey Moses, Can you give me an ok for the Sheetmetal permit at 46 North Street unit 5. Richard Enwright New England Tech Air?. He has an ok from Shane but you are the CSL. Much appreciated. Sally Shea Town of Barnstable Assistant Zoning Admin/Lead Permit Tech. 508-862-4031 i o� Applicado.nNumber..4-z.—...113 ........... ` BAMSTANA Permit Fee......... ........................ XAM TotalFee Paid..................................................................... TOWN OF BARNSTABLE Pesmrt Approval by... U/-D/NG � On . ....................... Z . . ?..... BUILDING PERMIT DEC 2 0 ZU APPLICATION MV.................no�� ..P�..»............................. .. Mo'ii'a_ n f'AgLE Section 1 — Owners Information and Project Location Project Address W(9 /Uo✓rk S+- � �� Village Owners Name (7,1 e Co 'f J e g c k.-e— - /VJ i Kt Ra.c h S k, N Owners Legal Address 2 S City q yA N uv i s State IV A- : Zip 026, C) 1 Owners Cell# �( y F-- - (o z.01 o E-mail 44 6 a(� S k r ,i LV_ (Ve Cod Section 2—Structural Use ❑ Single/Two Family Dwelling ❑ Commercial Structure over 35,000 cubic feet VCommervial Structure under 35,000 cubic feet Section 3—Type of Permit ❑ New Construction ❑ . Move/Relocate ❑ Accessory Structure ❑ Change of use ❑ Demo/(entire structure) ` ❑ Finish Basement ❑ Family/Amnesty ❑ Fire Alarm Rebuild ❑ Deck Apartment ❑ Sprinkler System ❑ Addition ❑ Retaining wall ❑ Solar 'Z Renovation . ❑ Pool ❑ Insulation Other—Specify Section 4—Detail Cost of Proposed Constructionty"75-; c°°o°° Square Footage of Project* 1 l Z q 0 Age of Structure Dig Safe Number #Of Bedrooms Existing Total#Of Bedrooms (proposed) 110 MPH Wind Zone Compliance Method ❑ MA Checklist ❑ WFCM Checklist ❑ Design Last updatr&11/7/2017 Section 5 -Work Description "" ( R e.jo,) `��uc. ,P.xts- ,rq 4q f f`Qh Ct S Section 6—Project Specifics Wiring ❑ Oil Tank Storage . ❑i'Smoke Detectors ❑ Plumbing ❑ Gas %'Fire Suppression 2.Heating System ❑ Masonry Chimney ❑Add/relocate bedroom Water Supply 9"'Public ❑ Private Sewage Disposal ❑ Municipal ❑ On Site Historic District ❑ Hyannis Historic District ❑ Old Kings Highway Debris Disposal Facility: 5ovrvu e 7uw fj N sp u s Q'1 I am using a crane C Yes No Section 7—Flood Zone Flood Zone Designation J Within or adjacent to a wetland, coastal bank? Yes ❑ No F I Section 8—Zoning Information i Zoning District Proposed Use Lot Area Sq. Ft Total Frontage Percentage of Lot Coverage #of Dwelling Units(on site) Setbacks Front Yard Required Proposed Rear Yard Required Proposed Side Yard Required Proposed Has this property had relief from the Zoning Board in the past? ❑ Yes 0 No Last updatm:1IM2017 i Initial Construction � ton Control Document u To be submitted with the building permit application-by a a d Registered Design Professional for work per the 8 h edition of the ,M ,v1b Massachusetts State Building Code, 780 CMR, Section 107 Project Title: Cape Cod Healthcare Pain Center Medical Office Suite Renovations Date:09-05-2017 Property Address: 46 North Street Unit 5 ` Project: Check(x)one or both as applicable: New construction X Existing Construction Project description:New Office area renovations I Gregory B. Siroonian MA Registration Number: 9748 Expiration date: 8/31/2018 ,am a registered design professional, and t have prepared or directly supervised the preparation of all design plans,computations and specifications concerningi: 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 1(or my designee)shall perform the necessary professional services 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 1.7, as applicable. 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': Enter in the space to the right a"wet"or electronic signature and seal: 4, fi Phone number:508 759 9828 Email: gbs@MEDCOMarch.com' ,{ r 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 Massachusetts Department of Environmental Protection L71 sac 1 Here is the file you requested for your records. To retain a copy of this file you must save and/or print. Username: DELLBROOKJKS17 Transaction ID: 953290 Document: AQ 06.-Construction/Demolition Notification Size of File: 227.97K Status of Transaction: Submitted Date and Time Created: 10/12/2017:3:20:51 PM Note: This file only includes forms that were part of your transaction as of the date and time indicated above. If you need a more current copy of your transaction, return to eDEP and select to "Download a Copy" from the Current Submittals page. I Massachusetts Department of Environmental Protection BWP AQ 06 Pre-Form Notification Prior to Construction or Demolition Lr J ZJ r This is a revision to an existing form. Project ID for existing form to be revised: This job is being conducted under a Blanket Permit.. MassDEP assigned Blanket Authorization ID: r This job is being conducted under a Non Traditional Abatement.Work Practice Pemut. MassDEP assigned Non Traditional Work Practice.Authorization ID: W None of the above conditions apply,generate a new form. t Revised: 11/13/2013 Page 1 of 1 Massachusetts Department of Environmental Protection � ` B" AQ 06 100271962 I 1~g Notification Prior to Construction or-Demolition Asbestos Project# Project Revision Project Cancellation A.Applicability A Construction or Demolition operation of an industrial,commercial,or institutional building,or residential building with 20 or more units is regulated by the Department of Environmental Protection (MassDEP), Bureau of Waste Prevention,Air Quality Division,under Regulations 310 CMR 7.09. Notification of Construction or Demolition operations is required under 310 CMR 7.09(2)ten(10)working days prior to any work being performed.The following information is required pursuant to 310 CMR 7.09. 1.Is this a fee exempt notification(city,town,district,municipal housing authority,state facility,owner-occupied residential property of four units or less)? a.Yes y b.No 2.Blanket Permit Project Approval,if applicable: Approval ID# 3.Non-Traditional Asbestos Abatement Work Practice Approval,if applicable: Approval ID# Instructions: B. Facility Description 1.All sections of this form must be 1.Facility Information: completed in order to CAPE COD HOSPITAL 46 NORTH STREET comply with the Department of a.Name of facility b.Street Address Environmental BARNSTABLE MA 026010000 5085406226 Protection notification c.City/Town d.State- e.Zip Code r f.Telephone � requirements of 310 BILL HAFFERTY FACILITIES MANAGER CMR 7.09. g.Facility Contact Person h.Facility Contact Person Title » 2.Submit Original 5087711800 BHAFFERTY@CAPECODHEALTH.ORG Form To: i.Facility Contact Person Telephone j.Facility Contact Person Email Commonwealth of Massachusetts k.Facility Size: P.O.Box 4062 Boston,MA 02211 5198 1 1.Square Feet 2.Number of Floors MassDEP Use Only 1.Was the facility built prior to 1980? 1.Yes 2.No m.Describe the current or prior use of the facility: Date Received MEDICAL OFFICE n.Is the facility a residential facility? 1.Yes. :2.No o.If yes,how many units? 2.Facility Owner: ry— Same address as Facility CAP COD HOSPITAL 27 PARK STREET a.Facility Owner Name b.Address HYANNIS MA 026010000 5087711800 c.Cityfrown d.State e.Zip Code f.Telephone 3.Facility On-Site Manager/Owner Representative: 1+! Same contact person as facility r Same address-as facility Same address as owner BILL HAFFERTY 27 PARK STREET a.On-Site Manager/Owner Representative b.Address HYANNIS MA 02601 5087711800 c.City/Town d.State e.Zip Code f.Telephone T Revised:03/17/2014 Page 1 of 3 Massachusetts Department of Environmental Protection 100271962 BWP AQ 06 ;' Asbestos Project# 4 Notification Prior to Construction or Demolition f`f Project Revision 4 . ; Project Cancellation C. General Project Description 1.This project is: New Construction ; Demolition (✓; Renovation 2.Project Dates: 9/20/2017 1/19/2018 a.Project Start Date(MM/DD/YYYY) b.Project End Date(MM/DD/YYYY) 3.General Contractor: DELLBROOK/JKS 15 RESEARCH ROAD a.Name b.Address FALMOUTH MA 025360000 5085406226 c.City/Town d.State e.Zip Code f.Telephone SCOTT MITCHELL 5088587095 ` g.General Contractors On-site Manager/Foreman h.Telephone 4.Construction or demolition contractor: ly-1 Same as General Contractor DELLBROOK/JKS 15 RESEARCH ROAD a.Contractor Name b.Address FALMOUTH MA. 025360000 5085406226 c.Citylrown d.State e.Zip Code f.Telephone SCOTT MITCHELL 5088587095 g.Construction and Demolition On-site Manager h.Telephone 5.Licensed Construction Supervisor: SCOTT MITCHELL CS-089397 a.Supervisor Name b.Construction Supervisor License(CSL)Number 6.Is the entire facility to be demolished? a.Yes ;b.No 7.Describe the area(s)to be demolished: 8.Describe the building(s)or addition(s)to be constructed: RENOVATE UNITS 2/3 Were r `9 a. e e the structure(s)e(s)surveyed for the presence of Asbestos-.Contammg ��`;1.Yes 2.No Material(ACM)? b. Who conducted the survey? VERTD( A1062105 1.Name of Asbestos Inspector 2.DLS Certification# Revised:03/17/2014 Page 2 of 3 Massachusetts Department of Environmental Protection - - l 100271962 BWP AQ 06 Asbestos Project# Notification Prior to Construction or Demolition rjj Project Revision�"� Project Cancellation` C. General Project Description (continued) 10 a.Was asbestos containing material(ACM)found? r7 1.Yes 2.No General b.If ACM was found during the survey,please provide the Asbestos Statement:If Notification Form(ANF)Project Number. asbestos is found during a Construction 11.For demolition and constiuction projects,indicate dust suppression techniques to be used: or Demolition a.Seedin T-' b.Wetting c.Covering d.Paving e. Shroudin operation,all g g g g 1 g responsible parties must comply with 310 )v, f.Other-Specify: CONTAINMENT/DUST CONTROL CMR 7.00,7.09,7.15, and Chapter 21 E of the General Laws of 12.Is this an Emergency Demolition Operation? :a.Yes Tsb.No the Commonwealth. This would include, but would not be c.Name of MassDEP Official who evaluated the emergency , limited to,filing an asbestos removal d.Title notification with the Department and/or a notice of e.Date of Authorization(MM/DD/YYYY) , f.MassDEP Waiver Number release/threat of release of a hazardous A Certification - substance to the Department,if "I certify that I have personally LISA MANN applicable. examined the foregoing and am 1.Print Name familiar with the information LISAMANN contained in this document and 2.Authorized Signature all attachments and that;based on my inquiry of those . individuals immediately 3.Position/Title responsible for obtaining the APM information,I believe that the 4.Representing information is true,accurate,and 9/1/2017 complete. I am aware that there 5.Date(MM/DD/YYYY) are significant penalties for 09012017 submitting false information, including possible fines and 6.P.E.# imprisonment.The undersigned hereby states,under the penalties of perjury,that I am aware that this permit application or notification shall not be deemed valid unless payment of the applicable fee is made." Revised:03/17/2014 Page 3 of 3 I . �WE Town of Barnstable Regulatory Services P Richard V.Scab,Director %639. '�e BuiIding Division. Paul Roma,Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-403 8 Fax: 508-790-6230 Property Owner Must Complete and Sign This Sectiorr. If Using A Builder �chQtl chSki�. as Owner of the subject property hereby authorize gor1a.J .-t)ow►%"'JgVS Aft N//6nc( to act on my behalf, in all matters relative to work authorized by this building permit application for. ylo'. tuoef'� SFr-ec4- y/yaNNI S ()IV 7' (Address of Job) **Pool fences and alarms are the responsibility of the applicant Pools are not to be filled or utilized before fence is installed and all final inspe a ed and accepted. Signature of Owner e o cant Print Name Print Name Date Q:FORMS:OWNERPERM' IM- ONPOOLS The'Conttnon 0!'alth of ltlassachitsett' Department of Ixrhestrial Accidents �. ` l Cotagress Street,Suite 100 Bost to 4 0 1t�A 0211 2017. . y iviFvav niass.gov/dig NVorkers'Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers. TO BE FILE®WITH THE PERMITTiNG AUTHORITY. Applicant Information Please Print.Leeibly Name (Businesstorganixatidnlindivi.dual):Dellbrook JK Scanlan ' Address:l5 Research Road City/State/Zip:East Falmouth, MA 02536 Phone#:508-540-6226 Are you an employer'Check the appropriate box:: Type of project {required}: 1, 1 am a cmplo}cr with loyees(rtdl andbr part-time)'! ❑ emp 7, New construction 1 am a sole proprietor or partnership and lime no employees working for me in '--� . 8, Remodeling _ any.capacit}'<.lNo workers'comp,insurance requited.1 3-01 am a homeowner doing all work m}`sellI lNo workers'comp.insurance required.)r 9. ❑Demolition 10[],Building addition 4;❑lama homeowner and will be hiring contractors to conduct all work on my property-,I will ensure that all contractors either have corkers`compensation insurance or arc sole ME]Electrical repairs or additions proprietors with no employees, 12.❑Plumbing repairs or additiont 5.Q 1 am a general contractor and t have hired thesub-contrac anached sheet'tors listed on the ]3.❑Roof repairs Theseb have sub-contractors employees and have workers compr.insurance 6❑we are a corporation and its oWiicers have cNercised their right of exemption per htGL t: 14'E]OtheC 152,§1(4),and we have no employees.(No corkers"comp,insurance required,)` 'Any applicant that checks bos H 1 must also fill out the section belowshowing their workcrs`compcnsation policy information. t Homeowners who submit this ar idavil indicating gtcy are doing all work and then hire outside contractors must submit a nett altidai•ii indicating such;, +Contractors that check this box must attached an additional sheet sltowirig the name of the sub-contractors and state whether or not those entities have employees, IfIIu:sub-contractors have employees,they must provide their workers'comp,policy number l am un employer that isproviJing workers'eompensratioarinsarance far my eniplo}gees." Below is the polirj,and job site information. Insurance Company Name:Travelers Indemnity Company of CT ' Policy#or Self-ins.Lic`#d:UB 3H613658 Expiration Date:711118 Job Site Address:46 North Street -. City`/State/Zip.Hyannis, MA 02601 Attach a copy of the workers'compensation policy Aeclaration page(showing the policy number and expiration date). , Failure to secure coverage as required under MGL c. 152, §25A is a criminal violation punishable.by a fine up to S 1,500.00, and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a.fineiof up Ito$230.00 a day against ih violator.A opy of this statement maybe forwarded to the Office of Investigations of the DIA for insurance coverage veri ation. I do herebi,re t as ter re.pains and pemiltaes of perjnry fiat the information provided above is trace and correct. Si'nature: Date: :a9 Phone-,.568 0-6226 Offachil use oarl)?. Do iaof write by Phis area,,to be completed by cit),or town uffaciul. City or Town:. Permit/License# Issuing Authority(cir'cle one)t 1.Board of Health 2. Building Department 3.,C ty/Tbtvtt Clerk.4. Electrical lnspector 5. Plumbing fttspector '6.Other. Contact Person: Phone#: r r AC O CERTIFICATE DF LIABILITY INSURANCE °ATE`MW°°"YYY, 8/31/2017 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDERa 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 poliey(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 endorsements. , -. »: H PRODUCER CONTACT ME;. Maria McNutt . Alliant Insurance Services, Inc., PHONE FAx 131 Oliver Street,4th Floor WC,N 617-535-7200 r 617 535.7205 �s E4AIL:' Mar)a.McNult alliant:com Boston MA 02110 -ADDRESS.. Y@ INSURE S AFFORDING COVERAGE NAIC Y INSURE a A Allied World National AssUrance tom 10690 INSURED _ INSURERS The Travelers Indemni 'Co 25658 Dellbrook JK Scanlan wsuAeR c;Travelers lndemnity Com an of CT 25682 ' One Adams Place - 859 Willard Street INSURERD:Starr Indemnit &Liabilit Com an "_ 38318 IQ uincy MA 02169 INSURER E Navigators Insurance Corn an 42307 . INSURER F. COVERAGES CERTIFICATE NUMBER:461463040 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.UHR LIMITS LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS ?7 INSR _. SD�WVD l POLICY NUMBER-. - MMIULIDNYYY MMMUDOIYYVY 1:: - LIMITS f LTR TYPEOFINSURANCE A X COMMERCIAL GENERAL LIABILITY Y 0308.4515 71112017 711/2018 EACH OCCURRENCE I$1,000,000 DAMAGE TO RENT CLAIMS-MADE r OCCUR PREM si$amtxurtatnggl 5300,000.. X XCU . MED EXP tM ona arsont-.. I 0 000 X Cda0lr ctUat - PERSONAL AAOVINJURY 1$1,000,000 GERL AGGREGATE LIMIT APPLIES PER. 4 GENERAL AGGREGATE s2,000,000 � POLICY a JECT, D LOC PRODUCTS•COMP41?AGG-1$2,flOD 000_, OTHER 1 _ ($ B AUTOMOBILEUABIUTY Y 810 31-1608117 171112017 7/1/2018 1Eaaccdentp $1=0,000 X ANY AUTO BODILY INJURY{Per paiscnj '$ ALL OWNED i SCHEDULED AUTOS BODILY INJURY jPer accdenlj S HIREDAU7DS NON•OVVNEDAUTOS `` tPeraccident) S O UMBRELLA UAB ) X OCCUR I Y 1000584533171 ;1 711/2017 71V2018 EACH OCCURRENCE j s10 000,000' X EXCESS UAB lI CLAIMS MADE y AGGREGATE 5110 000,000 01 f ED I RETENTIONS S I I;s C WORKERS COMPENSATION UB 31-1613658 711/2017 y 71112018 PER 3 OTH AND EMPLOYERS'UABIUTY YIN - X STATIJ, �T,,r R.A�•ri-ANY PROPRIETORIPARTNER/EXECUTIVE a NIA E I.EACH ACCIDENT i$1.000,000_ OFFICERIMEMBER EXCLUDED? — - (Mandatory in NH) f E I,DISEASE-EA EMPLOYEE 51,000,000 If yes,describe under , 11 "° _. _ DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT 3-$1.000.000 E Excess Liability ISI7EXC7114561V 7I712017 1711120118 Each Occurrence 15,000.000 •� g Aggregate 15<000;000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES.(ACORD 101,Additional Remarks Schedule,may be attached I1 more space_Is required) RE:Cape Cod Healthcare Pain Center Renovations,46 North Street,Hyannis,MA 02601 Cape Cod Healthcare, Inc.is included as Additional Insured as required by written contract and executed prior to a loss,but limited to the operations of the Insured under said contract,with respect to the Automobile,General Liability and Umbrella/Excess Liability policies. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE. Cape Cad Healthcare,Inca THE EXPIRATION DATE":THEREOF, NOTICE LWILL BE DELIVERED dN 27 Park Street ACCORDANCE WITH THE POLICY PROVISIONS. Hyannis MA 02601 AUTHORIZED REPRESENTATIVE d ©1988.2014 ACORD CORPORATION. All rights reserved. ACORD 2512014101) The ACORD name and logo are registered marks of ACORD a 3 Comnonwealth of Massachusetts Dwision of,Prolesalonal Lmensure Board of Suoding R"Wations and Standards' Consts l�!visar _. CS-074674 4Wires:06lOMM0'19III MOSES M COttl]ElRO e_ 45 PEACH BLO$SaMv� ACUSHNET MA,;g2743-. J Commissioner r C * x , Section 9—Construction Supervisor Name /YI oSe-5 (o- i'ro Telephone Number 5z;r 7 - 9 Z-Z- 3� Z�r Address CI' Pffky a[vsSvw� City /1 cd/S t,.,�,�F State / Zip 02- 3 License Number�CS- o lY r,7-y License Type C--g Expiration Date 0 49 /0 y ►`1 ContraCtors Email �COr�e i rn @ �e�I6zv(i�7�-�.c Cell# I understand my responsibilities under the rules and regulations for Licensed Construction Supervisor in accordance with 780 I CMR the Massachusetts State Building Code. I understand the construction inspection procedures,specific inspections and documentation re 780 CMR and the Town of Barnstable.Attach a I required b3' copy of your license. " Signature Date I Z /2-0 If Section 10—Home Improvement Contractor Name Telephone Number Address City State Zip Registration Number Expiration Date I understand my responsbilides under the rules and regulations for Home Improvement Canhwtors in accordance with 780 CMR the Massachusetts State Building Code. I understand the construction inspection ding mspectt procedures,specific inspections and doc=entation required by 780 CMR and the Town of Barnstable.Attach a copy of your FLLC... Side Date Section 11—Home Owners License Exemption Home Owners Name: Telephone Number Cell or Work Number I understand my responsibilities under the rules and regulations for Licensed Construction Supervisor in accordance with 780 CMR the Massachusetts State Building Code. I understand the construction inspection procedures,specific inspections and doci�entatioa required by 780 CMR and the Town of Bamstable. Signature Date APPLICANT SIGNATURE Signat'e Date i �- 1 . Print Name 1 rI s o 766,m t3 Telephone Number S'o 9- $ I I l'f 0 E-mail permit to: ?Jom,A'94 e cle//6,FGo k- 7c-�-, cam, r est updated:1012017 Section 12—Department Sign-Offs T Health Department ❑ Zoning Board(if required) Historic District ❑ Site Plan Review(if required) ❑ Fire Department ❑ Conservation ❑ For commercial work,please take your plans directly to the frre deparbnent for approval Section 13— Owner's Authorization I, ' , as Owner of the subject property hereby authorize to.act on my behalf, in all matters relative to work authorized by this building permit application for: (Address of job) Signature of Owner date Print Name j i Last updated:1117/2017 t TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map" Parcel' Application # Oat Health Division Date Issued Conservation Division Application Fee c� Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board Historic - OKH _Preservation /Hyannis Project Street Address No 0-7(r1 I r Qal .tLn (4 Village I A t4 ht S M A Owner ch/ �o] f; t4c7fr,4 etE Address vZ .7 Ai 4-k � ?c Telephone d- &Yo 2 ' Z6 d Permit Request Xy7e i2l0,,L /2 oU0,1A-rh1.-) „ CE Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay roject Valuation Construction Type Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family. ❑ Two Family ❑ Multi-Family (# units) Age of Existing Structure Historic House: ❑Yes ❑ 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 ;' = Z. Total Room Count (not including baths): existing new First Floor R66M 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 Ll 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) - / Yq„r CuroJTj2vci/v.J Name Se-©ri" sNirCtiEGL Telephone Number ,SV04 - &k&-67cye C'e/r *' jrgr Za " -y09j- Address &D S- J"a,,74 S i weer License # CS 6 o 8 2 A a44-rQo l& , ",4 v 2 0 b/ Home Improvement Contractor# Worker's Compensation # 4,0614.4 06.-02 310 ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE 716�' fa FOR OFFICIAL USE ONLY „APPLICATION# i TDATE ISSUED MAP/PARCEL NO. ADDRESS. - VILLAGE I OWNER DATE OF INSPECTION: :FOUNDATIONW` ` "-1 FRAME ',INSULATION.1l a_ f � FIREPLACE ELECTRICAL: ROUGH FINAL 9 PLUMBING: ROUGH FINAL ROUGH = } =Fi FINAL " - °.�,- FINAL BUILDING°, ' ,'tct •'�•. _ :,+5. r 4 _ -DATE CLOSED OUT li ` ASSOCIATION PLAN NO. F i J rc ' The Commonwealth of Massachusetts .y Department of Industrial Accidents . Office of Investigations ` 600 Washington Street' c� Boston, MA 021IX . www.Mass.kov/dia Workers' Compensation,Insurance Affidavit:Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Naive (Business/Organization/Individual): ` ',� C �r/�-��aa✓ - Address: �V� Sr City/State/Zip: a L 4Fl Phone #: (6S� Are you an employer? Check the appropriate box- Type of project(required): 1.❑ I am a employer with 4: [Kam a general contractor and I 6 Q New construction * have hired the sub-contractors . . employees-(full and/or part-time). _n _.. . 2_❑ I am a sole proprietor.or partner- listed on the attached sheet. 7. Remodeling ship and have no employees These sub.-contractors have g•: Q Demolition employees and have workers' working for me in any capacity. 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 1 LD Plumbing repairs or additions myself. [No workers' comp. _ right of exemption per MGL 12.[] Roof repairs insurance required.] t G. 152,§1(4), and we have no employees. [No workers' 131] Other comp.insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. tContractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'.,compensation insurance for my employees. Below is the policy and jab site information w � Insurance Company Name: !7 j- 11-VV,-44 U e .7—w—C Policy#or Self-ins.Lic. ClMA60<_Ga Z3J 0 Expiration Date: / c J 11 Job Site Address: G n�o2�� '�P.�-� 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 of up to$250.00 a day against.the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify under the pains.and penalties of perjury that the information provided above is true and correct v, St nature Date ' 7Yi Aa! Phone# &1'7- Icy a$ •-( d A - 6 78 fS Official use only. Do not write in this area, to be completed by city or town of City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2. Building Department 3. City/Town Clerk 4. Electrical Inspector S.Plumbing Inspector 6.Other Contact Person: Phone#: Information and Instructions - Massachusetts General Laws chapter 152 requires all employers to provide workers' compensation for their employees. 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, parindrship, 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 dwellinghouse of another who employs persons to do maintenance, constniction or repair work on such dweemployer." ningoho use such em to ment be deemed to be an p y or on the grounds or building appurtenant thereto shall not because of s p y 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,IvIGL chapter 152, §25C(7) states"Neither the commonwealth nor any of its political subdivisions shall enter into any contract for the perfoniiance 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), addresses)and phone numbers)along with their certificates) of insurance, Limited Liability Companies (LLC)or Limited Liability Partnerships(LLP)with no employees other than the members or partners, are not required to carry workers' compensation insurance. if an LLC or LLP does have employees,la policy is required. Be advised that this affidavit may be submitted to the Department of Industri al 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 pennit or license is being requested,not the Department of you have any questions'regarding the law or if you are required to Industrial Accidents. Should 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,pennitllicensenumber which will be used as a,reference number. In addition, an applicant davit indicating current that must submit multiple permitflicense applications in any given year,need only submit one affi 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 future permits or licenses. A new affidavit must be filled out each year. Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i,e, a dog license or permit to burn 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 9 617-727-7749 Revised 4-24-07 www.mass.gov/dia VCt'C i Irm m i yr LIJADILI 1 T INOU"N _ OP1D K3 RYANC-3 12 11 09 eooucEF�'-' THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE D Insur nce, Inc. (MT) HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR ne,Gri>f f in Brook Dr Ste 300 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. :etLe i MA 01844-1865 'hone: 978-688-4667 Fax:978-682-9037 INSURERS AFFORDING COVERAGE NAIC# iSURED INSURER A: ABC Na NC SELF-INSU= GROQF INSURER B: Ryyan Construction `Inc INSURER0: ' 505 South Street wsuRERD: Walpole MA 02081 INSURER E: OVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED.NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. POLICY EFFECTIVE POLICY EXPIRATION TR NSRE TYPE OF INSURANCE POLICY NUMBER DATE(MMIDD/YYYY)I DATE(MMIDDIYYYY I LIMITS GENERAL LIABILITY EACH OCCURRENCE $ COMMERCIAL GENERAL LIABILITY PREMISES(Ea occurence) $ TO CLAIMS MADE El OCCUR ME EXP(Any one person) $ PERSONAL&ADV INJURY $ GENERAL AGGREGATE $ GEN'L AGGREGATE LIMIT APPLIES PER: I PRODUCTS-COMP/OP AGG $ POLICY PRO- JECT71 LOC I' AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ ANY AUTO (Ea accident) ALL OWNED AUTOS BODILY INJURY $ SCHEDULED AUTOS (Per person) HIRED AUTOS BODILY INJURY $ NON-OWNED AUTOS I(Per accident) I PROPERTY DAMAGE $ (Per accident) GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $ ANY AUTO OTHER THAN EA ACC $ AUTO ONLY: AGG $ EXCESS/UMBRELLA LIABILITY EACH OCCURRENCE $ OCCUR ❑ CLAIMS MADE AGGREGATE $ $ DEDUCTIBLE RETENTION $ $WORKERS COMPENSATION AND EMPLOYERS'LIABILITY YIN S TORY LIMITS ER A ANY PROPRIETORIPARTNER/EXECUTIV� ABCMA0 0 5 O 2 310 01/01/1 O 01/01/11 E.L.EACH ACCIDENT $ 1000000 OFFICERIMEMBER EXCLUDED? (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ 1000000 If yes,describe under SPECIAL PROVISIONS below ° E.L.DISEASE-POLICY LIMIT $ 1000000 OTHER DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION FAULHOS DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR tJ REPRESENTATIVES. UTHORIZED REPRESENTATIVE oe Blanche ACORD 26(2009/01) ©1988-2009 ACORD CORPORATION. All rights reserved. ' The ACORD name and logo are registered marks of ACORD IMPORTANT If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. A statement on this certificate does not confer rights to the certificate holder in lieu of such endo�sement(s). 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). DISCLAIMER , This Certificate of Insurance does not constitute a contract between the issuing insurer(s), authorized representative or producer, and the certificate holder, nor does it affirmatively or negatively amend, extend or alter the coverage afforded by the policies listed thereon. ,CORD 25(2009101) Cape Cod Healthcare-Pain Center' . 46 North Street Major Subcontractors Demolition-General Contractor - Ryan Construction Electrical-Glynn Electric HVAC- Rusty 's Plumbing and Heating , Plumbing-John Lundy plumbing Fire Protection-Canco Sprinkler Carpentry-General Contractor-Ryan Construction I rHur- UUsi UUJ Vax Server Tut-ton Insurance 7/15/2010 9:02 : 20 AM PAGE 002/003 Fax Server. ACORQ CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDDNYYYI 07/15/2010 PRODUCER (949)261-5335 FAX (949)261-1911 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Tutton Insurance Services, Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR 2913 S. Pullman Street ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Santa Ana, CA 92705 #16018 INSURERS AFFORDING COVERAGE NAIC# INSURED 1946 Pick Up, Inc.- _ �• INSURER A: Interstate Fire & Casualty Co. (AR) A XV DBA: Canco Fire Sprinkler Services INSURER 352 Main Street INSURERC: West Yarmouth, MA 02673-4644 INSURERD INSURER E: ` COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED.NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR AOD'L TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LTR INSR DATE IMMIDDIYYYYI DATE IMMIDDIYYYYI LIMITS GENERAL LIABILITY RFS1001710 04/18/2010 04/18/2011 EACH OCCURRENCE $ 1,000,000 X COMMERCIAL GENERAL LL481LIn DAMAGE TO RENTED PREMISES a occurrence $ 50,000, CLAIMS MADE n OCCUR - _ IVIED EXP(Any one Person) $ 5,000 A X Includes Errors & PERSONAL B ADV INJURY $ 1,000,000 omissions GENERAL AGGREGATE is 2,000.000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMPIOP AGG $ 2,000,000 - X POLICY PRO- JECT LOC AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT '$ j ANY AUTO - (Ea accident) ALL OWNED AUTOS " BODILY INJURY $ SCHEDULED AUTOS (Per person) - HIRED AUTOS BOOILYINJURY f NON-OWNED AUTOS (Pe(accident) PROPERTY DAMAGE f .(Per accident) GARAGE LIABILITY AUTO ONLY-EA ACCIDENT f ANY AUTO - - ' OTHER THAN EA ACC $ ` AUTOONLY: AGG f EXCESS I UMBRELLA LIABILITY EACH OCCURRENCE $ OCCUR _CLAIMS MADE AGGREGATE $ - E DEDUCTIBLE ^ _ f. RETENTION S $ WORKERS COMPENSATION - C A U- H- AND EMPLOYERS'LIABILITY YIN TORY LIMITS ER ANY PROPRIETORIPARTNER/EXECUTIVE❑ E.L.EACH ACCIDENT $ OFFICERIMEMBER EXCLUDED? _ (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE f ff yes describe under - _ SPECIAL PROVISIONS below - E.L.DISEASE•POLICY LIMIT -$ OTHER _ DE,-CRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS Evidence of Insurance 'elO days notice of cancellation for non-payment of premium: , CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL *30 DAYS WRITTEN Ryans Construction NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO DO SO SHALL Attn: Scott Mitchell IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR SOS South St. REPRESENTATIVES. Walpole, MA 02081 AUTHORIZED REPRESENTATIVE IStanleyTutton IV ACORD 25(2009/01 TAX: 508.668.2455 01998-2009 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD w ' ' CERTIFICATE OF LIABILITY INSURANCE oiiii2o 0 PRoOUCER (181)729-8770 FAX (781)729-0053 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION John A. Pierce Insurance Agency, Inc ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 934 Main St. HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Winchester, MA 01890-1994 INSURERS AFFORDING COVERAGE NAIC# INSURED Lundy Inc INSURERA One Beacon Insurance 0006 5 Pinecrest Road INSURERS: Safety Ins. Co. 0016 Hingham, MA 02043 UNSURERC; Chartis INSURER D: INSURER E: COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED.NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR DD' TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATIONR�Rr LIMITS GENERAL LIABILITY FBIU66485 06/I5/2010 06/15/DATE(M2011 EACH OCCURRENCE S 1,000,000 X CO"MERCIAL GENERAL LIABILITY DAMAGE TO RENTED $ 3OO n, mrta OO n a) r CLAIMS 1.9ADE I S1=S(fa OCCUR A9ED EXP(Any one person) $ 5,000 A PERSONAL&ADV INJURY $ 1,000,00 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG S 2,000,00 X POLICYPRO- JECT LOC AUTOMOBILE LIABILITY 6210381 06/15/2010 06/15/2011 COMBINED SINGLE LIMIT ANY AUTO (Ea accident) S ALLOWNEDAUTOS BODILY INJURY $ B X SCHEDULED AUTOS (Per person) 1,000,000 X HIREDAUTOS BODILY INJURY $ X NON-OWNED AUTOS (Per accident) 1,000 000 PROPERTY DAMAGE (Per accident) $ 1,000,000 GARAGE LIABILITY - AUTO ONLY-EA ACCIDENT $ ANY AUTO OTHER THAN EA ACC $ AUTO ONLY: AGG $ EXCESSIUMBRELLALIABILITY FB1U6648S 06/15/2010 06/15/2011 EACH OCCURRENCE S 5,000 000 X OCCUR CLAIMS MADE AGGREGATE $ A 5000000 $ Fx DEDUCTIBLE $ RETENTION .$ 10 r 40 $ WORKERS COMPENSATION AND , 4CO06894341 02/03/2010 02/03/2011 WCSTATU- OTH- EMPLOYERS'LIABILITY QRY C ANY PROPRIETOR/PARTNERIEXECIJTIVE - E.L.EACH ACCIDENT S 500,000 OFFICERIMEMBER EXCLUDED? E.L.DISEASE-EA EMPLOYEE $ 500,000 If yes,describe under SPECIAL PROVISIONS below E.L.DISEASE-POLICY LIMIT $ 500,000 OTHER DESCRIPTION OF OPERATiOgS I LOCATIONS I VEHICLES 1 EXCLUSIONS ADDED BY ENDORSEMENT!SPECIAL PROVISIONS S required by signed contract, Ryan-Construction Incorporated, Cape Cod Health Care Pain Center are included as Additional Insured for.°all but Workers Compensation. The insurance is primary and non ontributing with any coverage by the Additional Insured or Owner. Waiver.of subrogation applies to GL mbrella and Auto Liability. Ob: Cape Cod Health `Care Pain Center Hyannis MA CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, Ryan Construction Incorporated BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY SOS South St - OF ANY KIND UPON THE INSURER,ITS AGENTS OR REPRESENTATIVES. Walpole , MA 02081 AUTHORIZED REPRESENTATIVE Kevin Pierce ACORD 25(2001108) ©ACORD CORPORATION 1988 I IMPORTANT If the certificate holder Is an ADDITIONAL_INSURED,the policy(ies)must be endorsed.A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsemenl(s). 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). DISCLAIMER The Gerfificate of Insurance on the reverse side of this form does not constitute a contract between- the issuing insurer(s),authorized representative or producer, and the certificate holder,nor does it affirmatively or negatively amend,extend or alter the coverage afforded by the policies listed thereon. ACORD 26(2001/08) 1 ! DATE(MMIDD/YYYY) i 'ACCORD CERTIFICATE OF LIABILITY INSURANCE 07/14/2010 T. PRODUCER (.508)997-6061 FAX (508)990-.2731 THIS CER, ICATE IS ISSUED A&A MATTER OF INFORMATION Southeastern Insurance Agency, Inc. ONLY AND CONFERS NO.RIGHTS.UPON'THE CERTIFICATE HOLDER.THIS CERTIFI,CATEDDES NOT AMEND,EXTEND.OR 439 State Rd. ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. P.O. Box 79398 ; N. Dartmouth, MA 02747 j INSURERS AFFORDING COVERAGE NA1C.# INSURED Rustys Inc ' , RPH Equipment Leasing Inc INSURER A: Arbella Protection Insurance i 222 Mid Tech Drive INSURERB. I West Yarmouth, MA 02673 INSURER C: . I INSURER D'r ._... I INSURER E: COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED.NOTtMTHSTANDING kINSRADD' REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,EXCLUSIONS AND CONDITIONS.OF SUCH CIES.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED.BY PAID CLAIMS. L POLICY EFFECTIVE POLICY EXPIRATION I LIMITS RD TYPE OFANSURANCE _ I POLICY NUMBER DATE MMIDDIYYYY IDATE MMIDDIYYYY-� - I 8500041993 02/05/2010 1 0.2/05/2013 ;EACHO% RENCE !s 1,QOO,00. .GENERAL LIABILITY i I X I COMMERCIAL GENERAL LIABILITY i. PREMISES(Ea occurrence) S ZOO,000 :CLAIMS MADE f X i OCCUR MED;EXP(Any one,person) 5 —_ 5,00. A PERSONAL ADV INJURY S 1,000,00 &' GENERAL AGGREGATE is_ 2,000,00' I GEN'L AGGREGATE LIMIT APPLIES PER:`. - PRODUCTS-COMPIO°AGG.�S -2,000,00.` f POLICY i._...1 PRO-JECT LOC _ I AUTOMOBILE LIABILITY 5672400003, 0;2/05J2010 .O.?/05/2011 COMBINEDSINGLELIMIT I S. L� I I(Ea accident) I 1 r 000,00 ! I.ANY AUTO - - - I I ALL OWNED AUTOS BOOiCY INJURY g (Per'Dersoo) A I X SCHEDULEDAUTOS X IHIRED.AUTOS I BODILY INJURY y (Per accident) ` X l NON-OWNED AUTOS - - ! PROPERTY DAMAGE (Per accident) I s INC j GARAGE LIABILITY AUTO ONLY AACCIDENIT. $ EA O ACC S .. -�ANY AUTO I I THERTHAN :.: AUTO ONLY: AGG j_$ .. - I EXCESS I UMBRELLA11ABILJTY 460004.19951'02/05/•2010 ;. 02/OS/2O111EACH-OCCURRENCE $ 3,:000,000'_ I OCCUR CLAIMS MADE (AGGREGATE: S X �I 3,DOD,OO r...__---_.— AI $ I DEDUCTIBLE ,RETENTION 5 - . WORKERS COMPENSATION 91144701101 0�1/1S/2OlO I, 0�1/15/20,11 X TORY LIMITS ER 'AND EMPLOYERS'LIAB(LnY .yl-N I I i E.L.;EACH ACCIDENT S 1,000,Orr . ANY PROPRIETORIPAR-NERIEXECUTIV- - A OFFICER/MEMBER EXCLUDED? (Mandatory in'NH)' I E.L."DISEASE.EA EMPLOYEE 5 11 -0 OO,OO - liyes,desedbeunder - : I - i E.L.DISEASE-POLICYLIMIY.jS 1.,.000,00' SPECIAL PROVISIONS below ' OTHER j 1 1 I I I' I DESCRIPTION OF OPERATIONS I LOCATIONS!VEHICLES(:EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORETHE EXPIRATION DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER-NAMED TO THE LEFT,BUT FAILURE TO DO SO SHALL IMPOSE NO.OBLIGATION OR LIABILITY OF•ANY KIND UPON THE INSURER,ITS AGENTS OR REPRESENTATIVES. ... ... .. AUTHORIZED REPRESENTATIVEr Krista Hartford ACORD 25(2009/09) FAX 617.423.0872 ©198&ZUU9 ACORD CORPORATION. All rights reserved. �'. ACORD,. CERTIFICATE OF LIABILITY INSURANCE iaA3i 20 0' PRODUCER phone: S08-586-5432 Fax: 508=587-.4935 THIS CERTIFICATE IS ISSUED AS.A.MATTER OF INFORMATION Smith, Buckley &Hunt ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 800 Forest Avenue HOLDER, THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Brockton MA 02301-5749 INSURERS AFFORDING COVERAGE NAIC# INSURED INSURERA:Continental Western Ins Co 10804 Glynn Electric INSURERB:Acadia Insurance 31325 11 Resnik Road Plymouth MA 02360 INSURERC: INSURER O: INSURERS COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING, ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID, CLAIMS. . INSR ADD POLICYEFFECTIVE POLICY EXPIRATION - LTR JNSRD TYPE OF INSURANCE POLICYNUMBER DATE MM 00 DATE(MMIDDfYYI LIMITS A GENERAL LIABILITY CPA 0319631-10.. 1/1/2010 1/l/2011 EACHOCCURRENCE S 00() 000 X COMMERCIAL GENERAL LIABILITY- RE' TO RENTED PREMISES Ea bca rence $2 5 0 0 0 0 CLAIMS MADE R]OCCUR MED EXP(Any one person) $10 000 F PERSONAL 8 ADV INJURY $1 0 0 0 0 0 GENERAL AGGREGATE $2. OO GEN'L AGGREGATE LIMIT APPLIES PER:- PRODUCTS-COMP/OPAGG S 2 OOO 000 POLICY j RO LOC X A AUTOMOBILE LIABILITY 'MAA 0319932-10 1/1/2010 1/1/2011 COMBINED SINGLE LIMIT X ANY AUTO (Ea accident) $1,0 0 0,0 0 0 ALL OWNED AUTOS BODILYINJURY S X SCHEDULEDAUTOS (Perperson) X HIRED AUTOS BODILYINJURY S X NON-OWNEDAUTOS (Peraccident) PROPERTYDAMAGE $ (Peraceident) GARAGE LIABILITY AUTO ONLY-EAACCIDENT S ANY AUTO OTHERTHAN EAACC S " AUTO ONLY: AGG S $ EXCESSIUMBRELLA LIABILITY CUA 0319633-10 1/1/2010 1/1/2011! EACH OCCURRENCE S1010001000 X OCCUR CLAIMSMADE AGGREGATE $10 000 000 S DEDUCTIBLE y RETENTION S $ TH- A WORKERS COMPENSATION AND CA 0319634-10 1/l/2010 1/1/2011 X WCSLATIUTR- ER EMPLOYERS'LIABILITY - - EL.EACHACCIOENT S 00 000 ANY PROPRIETOR/PARTNER/EXECUTIVE � - - OFFICER/MEMBEREXCLUDED7 EL.DISEASE-EAEMPLOYEE.SSOO 00 If yes,describe under SPECIAL PROVISIONS below E.L.DISEASE-POLICY LIMIT $5O0 000 A OTHER CPA 0319631-10 1/1/2010 1/1/201:1 Rental E q $110,000 Equipment- Floater y Site $500,000 . Install/Bldrs Risk DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS Electrical Work - CERTIFICATE HOLDER CANCELLATION " SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER Bid Purposes Only WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN NOTICE TO THE XXXXXXXXXXXXXXX CERTIFICATE HOLDER.NAMED TO THE-LEFT;. BUT FAILURE TO DO SO XXXXXXXX XX XXXXX SHALL IMPOSE NO OBLIGATION OR LIABILITY*OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE ACORD 25(2001/08) ©ACORD CORPORATION 1988 . IMPORTANT' If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). 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).. DISCLAIMER The Certificate of Insurance on the reverse side of this foam does not constitute a contract between ' the issuing insurer(s), authorized representative or producer, and the certificate holder, nor does it affirmatively or negatively amend, extend or alter the coverage afforded by the policies listed thereon. ACORD 25(2001108) . ��.mot• ,. - oFrorti Town,-of Barnstable - °" Regulatory Services '9raBLJ% Thomas F.Geiler,Director.mass. v� 1639. 10� ' �Eo Building Division Tom Perry,Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us i Office: 508-8624038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder I> t C w�l i c=�dAC. 'as Owner of the subjectproperty r rya J� hereby authorize to act on my behalf, f o 77 :A9..rc.hl in all matters relative to work authorized by this building permit application for. �G NO 12TA rl,,26 F, (Address of Job) a Signature of Owner Date T Whittemore,'CPE .5 7 Director of'Faciiities 9C-)tlll Construction Manages Print Name If Property Owner is,applying for permit please complete the e Homeowners License Exemption Form on the reverse-side. Q:FORMS:OWNERPERMISSION Page 1 of 1 Shea, Sally From: Lt. Don Chase [dchase@hyannisfire.org] Sent: Tuesday, July 20, 2010 2:19 PM To: Shea, Sally; Perry, Tom Subject: 46 North St All set with plans for the new CCH pain clinic in Unit 3 @ 46'North St:, Hyannis. All set with sprinkler , plans here as well. (Canco) Ryan Construction South St. Walpole, MA Scott Mitchell, Project Manager Thanks ^ ` Don Lt. Don Chase,Jr.,-FPO Fire Prevention Officer Hyannis Fire Department 95 High School Rd. Ext. , Hyannis, MA 02601 ' i t C 7/20/2010 RYA N C O N S T R U C T 1 O N 505 South Street Walpole,MA 02081 508-668-6788 Fax:508-668-2455 July 14,2010 Attn:Town of Barnstable Building Department 200 Main Street Hyannis,MA 02601 RE: Scott Mitchell Ryan Construction, Inc. certifies the above referenced employee is competent and authorized to apply for building permits with the Town of Barnstable MA. Per Ryan Construction, Inc.policy all associate files are maintained at the corporate office, 505 South Street, Walpole,MA. The personnel documents include the following: • Application and References • I-9 Verification(including supporting documentation) • Applicable Licensure • Applicable Certificate(s)of Insurance • Performance Evaluations • Training Documentation If you have any questions or need additional information you may contact me at 508-668-6788.. Sincerely, RYAN CONSTRUCTION, INC. Thomas Downie VP of Operations CONSTRUCTION CONTROL AFFIDAVIT Project: Pain Center—Hyannis, MA Project No.: 10002 Project Owner: Cape Cod Healthcare Project Location: 45 North Street Hyannis, MA 02601 Type of Project: Renovation Architect: JACA Architects, Inc. 9 Billings Road,N. Quincy, MA 02171 Tel. 617 769-6300 In accordance with Section 116.0 of the Massachusetts State Building Code, I, Anthony F. Cavallaro, Registration No. 6972,being a registered professional architect,hereby certify that I have prepared or directly supervised the preparation of all design plans, computations and specifications concerning: ENTIRE PROJECT X ARCHITECTURAL MECHANICAL FIRE PROTECTION ELECTRICAL OTHER(specify) for the above named project and that,to the best of my knowledge, such plans, computation and specifications meet the applicable provisions of the Massachusetts State Building Code, all acceptable engineering practices and applicable laws and ordinances for the proposed use and occupancy. I further certify that I shall perform the necessary professional services and be present on the construction site on a regular and periodic basis to determine that the work is proceeding in accordance with the documents approved for the building permit and shall be responsible for the following as specified in Section 116.2.2: 1. Review of shop drawings, samples and other submittals of the contractor as required by the construction contract documents as submitted for building permit and approval for the conformance to the design concept. 2. Review and approval of the quality control procedure for all code required controlled materials. 3. Special architectural or engineering professional inspection of critical construction components requiring controlled materials or construction specified in the accepted engineering practice standard listed in Appendix B. Pursuant to Section 116.2.2,I shall submit periodically, daily, weekly, or other periods(specify) progress reports together with pertinent comments to the Building Inspector. Upon completion of the work,I shall submit a final report as to the s t factory completion and readin o he project for occupancy. �iED AgC�,o, map v a No 6972 O THONY F. CAVALLARO QUINCY, O MA �Ja U q�TH OF n �- SUBSCRIBED AND SWORN TO BE RE ME THIS "l DAY OF \J Lu 10. N Y PUBLIC MY COMMISSION EXPIRES: PAULINE K SULLIVAN NOMY Public cowmOwfinkh d MaNWINWIft mreaw*moun Asa,2012 ELECTRICAL DESIGN AFFIDAVIT PROJECT LOCATION: 46 North Street, Hyannis, MA NAME OF PROJECT Cape Cod Hospital—PainCenter SCOPE OF PROJECT: Renovation of existing structure In accordance with Section 116.0 of the Massachusetts State Building Code, I; Russell Keith Garratt being a registered professional engineer/architect hereby certify that I have prepared or directly supervised the preparation or reviewed with responsible care all design (or construction) plans, computations and specifications concerning the above named project. In those cases wherein I have reviewed with ` responsible care the plans, computations and specifications of other architects and engineers, I have determined, through their certification (affidavit/registration) that they are Massachusetts registered professionals qualified to prepare these documents. To the best of my knowledge and belief(and by the certification of those registered professionals who have prepared certain documents within their areas of. expertise) these plans, computations and. specifications conform to the applicable provisions of the Massachusetts State Building Code. I further certify that I, or my authorized representative,shall.perform the necessary professional services and be present on the construction site on a regular and periodic basis to determine (inspect) that, generally, the work is proceeding in accordance with the documents approved for the building permit and shall be responsible for the following as specified in Section 116.2.2: t , 1. Review of shop drawings, samples and other submittals of the contractor as required by the construction contract documents as submitted for building permit, and approval for conformance to the design concept. 2. Review and approval of the quality's control procedures for all code-required controlled materials. . 3. Special architectural or engineering' professional inspection of critical construction components requiring:controlled materials or„construction specified in the accepted engineering practice standards. , I or my authorized representative shali'make periodic site visits to observe the construction: [At the completion of the construction, I, shall submit to the building official a ,report as .to the 'satisfactory ` completion and the readiness of the project for occupancy (excepting any items not endangering such occupancy and listing pertinent deviations from the approved building permit documents): OF MAssgc9 .; ' �o AUSSELL KEITM Gv, o GARRATT v ELECTRICAL No.46056 A9pxF SGISTERNG\��``Q x j Signature Subscribed and sworn to before me this day of (,(/-y 20 Zjo__�: _ v1, .20 3 NOTARY P91BLIC My Commission'Expires On. YN 0,MONEY Public » Commonv,eatth of Massachusetts My Comm.Expires October 4,20t 3 " 7-7 "u t • 2p . .} Mai'#�{: CONSTRUCTION CONTROL AFFIDAVIT ^ '' `Date: 07 16 2010 Project Number M 10002 Project Titl Healthcare, Pain Center Protect Location �.,�.Hyannilk-MA - Name ofi Building P, Center Scope of Prbjdbt.z ;Space Renovations IN ACCORDA E WITH SECTION 116.0 OF THE MASSACHUSETTS STATE BUIDING CODE, I REGISTRATION NO.t001PS BEING A REGISTERED PROFESSIONAL ENGINEER;HEREBY CERTIFY THAT I HAVE PREPARED OR DIRECTLY SUPERVISED THE PREPARATIONOF ALL DESIGN ' PLANS; COMPUTATIONS, AND SPECIFICATIONS a CONCERNING F Civil Kr `Architectural Structural Mechanical Electrical 4Fire Protection° Other(specify) X (Plumbing) { c FOR THE ABOVE NA11 MED PROJECtAND,THAT, TO THE BEST OF MY KNOWLEDGE, SUCH PLANS, COMPUTATIONS f- ;SPECIFICATIONS MEET THE APPLICABLE PROVISIONS OF-THE MASSACHUSETTS STATE BUILDING�CODE, ALL ACCEPTABLE ENGINEERING PRACTICES AND ALL APPLICABLE LA1NS FORpTHE-PROPOSED PROJECT: I FURTHER CERTIFYaTHAT I OR MYREPRESENTATIVES SHALL PERFORM THE NECESSARY PROFESSIONAL SERVICES AND BE PRESENT ON THE CONSTRUCTION SITE ON A REGULAR AND PERIODIC BASIS, DETERMINE THAT THE WORK IS PROCEEDING IN ACCORDANCE WITH THE DOCUMENTS:APPROVED fOR THE BUILDING PERMIT AND SHALL BE RESPONSIBLE FOR THE FOLLOWING AS SPECIFIED"IN SECTION 116.22 1. Review of shop drawings, samples and other submittals of the contractor as required by the construction contract documents as subrriitted;;fgr building permit, and approval for conformance to the design concept. 2. Review and approval of°the quality control proceduresfor all code required control materials. 3. Special architectural or-engineering,professional inspection of critical construction components`requiring controlled materials or construction specified in the accepted engineering practice standards listed in Appendix I. PURSUANT TO SECTION, 116.4; 1 ;SHALL .SUBMIT PERIODICALLY, A PROGRESS- REPORT TOGETHER WITH PERTINENT COMMENTS TO THE BUILDING INSPECTOR. UPON COMPLETION OF THE WORK, I SHALL SUBMIT A.FINAL REPORT AS'TO THE SATISFACTORY COMPLETION AND READINESS OF THE PROJECT FOR OCCUPANCY. JAMES P. STROKE. Signature . No.20066 �p 4 ------ ..--- - --- -- ......... ' i �� E�GiNEER-FIRE QRGTECTfON CONSTRUCTION CONTRA_L AFFIDAVIT t v ro k �14 �*Protect Number=t 1T- Pral�t-Name: � � 'Isr kA Pro ect L 7 GC rG� In accordance with paragraph 116.()of 780 CMR, the Massachusetts State Building Code, 1, lon a r Massachusetts Ristration Num eg ber being a registered pro onai Engineer hereby certify that all plans, computations and . changes thereto, involyin sub'ect, specifications, and g 1 ProJ�will be Prepared by or under the direct supervision of a Massachusetts registered engineer or Massachusetts registered Professional engineer and bear his or her original signature and - sea!or by the le§!ty rQcognized Professional per#orrning the work-as as defined:by.Massachusetts General Law {MGL�c '!#2 81R mi4t k Q,For the above nametl project l;or a r rsterrad r e9 PM essronal architect/ ineer under rrrygn ept, shop drar�trings, samples,ami'other submittals which are submitted byth�ntractornizen ' eview in a willrsxordancee ¢with the requirements of tf7e }K � cor�tructron documents. �''�� t vsali feiriew and a`� rove the ai u F •, ,PP q itY cotttrol:procedures for all code-required controlled materials.� r ` �1 further certify that 1 wilt The present on the construction site at intervals appropriate to the become generaif}r=famrtiarvu,th the P stage of construction to l�ro9Cess"and quality of the work and to determine, in general,if the work is ...'being-,preformed h a rnanrter consistent with the construction documents: yid , ¢-a€ � raEku 's t I Pursuant to t78t1 CMRY S 16 2 3 l ywll Or1pvIde the results of structural tests and i n x - ��,� sPeciions to the building offirialand - a I will submit* # +sa t�nodcaity: a progr>Vss apart with Alt pertinent comments of the site visits and corrrpliance of all pestinertt sfQ.rrts tat#re building offal wit! submit a,report.;as to the satisfactory completion and the readiness the project for occu x s �= �� . AanCyr r z •y 'fx 4F, Of " :P �"�, Frigrneer �0 Date Subscribed anct �: sworn to before 'is ,�� /� • day of c" 20��/ MiC ttheW YY"..B( r CorlrYtIssi.o t Texp1ff65. N AUQ>Usl:k pml t Date Notary Commission hcPires R1 09/28J17o A83S NII-IAONdS 3NIJ 03Wd3 WdLS-E Oio2, Inr- SI. CONSTRUCTION CONTROL DOCUMENT Project Title: Cape Cod Health Care Pain Center � Date: 21-2070 Project Location: 46 North Street,Hyannis,MA 02601 Scope of Project: Mechanical(HVAC)systems for new medical center with offices,exam rooms,two(2)Class A operating rooms,and recovery rooms. In accordance with Section 116.0-116.2.4 of the 7th edition of the Massachusetts State Building Code: I, Mass.Reg.#P Tl Being a registered,professional Engineer/Architect hereby CERTIFY that I have prepared or directly supervised the preparation of all design plans,computations,and specifications concerning: ( )Entire Project O Architectural ( )Structural' ((F)Mechanical (-)Fire Protection ( )Electrical O Other(specify) for the above named project and that to the best of my knowledge,such plans,computations,and specifications meet the applicable provisi ons of the Massachusetts State Building Code,all acceptable engineering practices and all applicable laws for the proposed project. Furthermore,I understand and AGREE that I shall perform the necessary professional services and be present on the construction site on regular and periodic basis to determine that the work is proceeding in accordance with the documents approved by the building permit and shall be responsible for the following,as specified in Section 116.2.2: ` 1. Review of shop drawings,samples,and other submittals of the contractor,as required by the construction contract documents,as submitted for the building permit,and approval for the conformance to the design concept. 2. Review and approval of the quality_control procedures for all code-required controlled materials. 3. Be present at intervals appropriate to.the stage of construction to become generally familiar with the progress and quality of the work,and to determine,in general,if the` work is being performed in a manner consistent witl the construction documents. I shall submit,periodically,in a form:acceptable to the building official,a progress report together with pertinent comments. Upon completion of the work,I shall submit to the building official a final report as to the satisfactory completion and readiness of the project fo occupancy. Signature and Seal of registered professional; ' t )OHN No 2477i ' �'tea �,y� P , LlMassachusetts Department of Environmental Protection Bureau of Waste Prevention •Air Quality 1100109840 BWP AQ 06 Decal Number Notification Prior to Construction or Demolition (When filling out A. Applicability forms on the computer,use only the tab key A Construction or Demolition operation of an industrial,,commercial, or institutional building, or to move your residential building with 20 or more units is regulated by the Department of Environmental Protection cursor-do not use the return (DEP), Bureau of Waste Prevention-Air Quality Control Regulations 310 CMR 7.09. Notification of key. Construction or Demolition operations is required under 310 CMR 7.09(2)ten (10)days prior to any work being performed. The following information is required pursuant to 310 CMR 7.09. B. General Project Description 1. a. Is this facility fee exempt-city,town,district, municipal housing authority,owner-occupied Instructions residence of four units or less?❑Yes ❑✓ No 1.All sections of b. Provide blanket decal number if applicable: this form must be Blanket Decal Number completed in order to comply with the 2. Facility Information: Department of CAPE COD HEALTH CARE Environmental Protection a.Name notification 146 NORTH STREET requirements of b.Address 310 CMR 7.09 H annis MA 02601 a Cilvrrown d.State e.Zio Code 5086686788 f.Tele hone Number area code and extension .E-mail Address(optional) 10000 h.Size of Facility in Square Feet i.Number of Floors j.Was the facility built prior to 1980? 1FZ Yes ❑ No k. Describe the current or prior use of the facility: DOCTORS OFFICE I. Is the facility a residential facility? ❑ Yes ❑✓ No -O m. If yes, how many units? - Number of Units —�0 3. Facility Owner: CAPE COD HEALTCARE �o a.Name 00 27 PARK STREET b.Address HYANNIS MA 02601 (D c.city/Town d. tale e.Zip Code 0 5082743982 � f.Teleohone Number area code and extension .E-mail Address(optional) 0 Q h.Onsite Manager Name ag06.doc•10102 BWP AQ 06•Page 1 of 3 4 d1 ' Massachusetts Department of Environmental Protection ■ 1�Ll Bureau of Waste Prevention .Air Quality 000109840 BWP AQ 06 Decal Number Notification Prior to Construction or Demolition C. General Construction or Demolition Description (cont.) 6. a: If this is a demolition project,were the structure(s)surveyed for the presence of asbestos containing material(ACM)? ❑ Yes ❑✓ No If yes,who conducted the survey? b.Survevor Name c.Division of Occupational Safety Certification Number 7. Construction or Demolition: 7/2/2010 11/1/2010 a.Start Date(mm/dd/yyyy) b.End Date(mm/dd/yyyy) 8. a. For demolition and construction projects, indicate dust suppression techniques to be used: ❑ seeding ❑ paving✓❑ wetting ❑ shrouding b. If other, please specify: ❑ covering ❑ other. 9. For-Emergency Demolition Operations,who is the DEP official who evaluated the emergency? NA a.Name of DEP Official . NA b.Title 7/16/2010 c.Date mm/dd/ of Authorization NA d.DEP Waiver Number D. Certification Cl) I certify that I have examined the ISCOTT MITCHELL �o above and that to the best of my a.Print Name �o knowledge it is true and complete. The signature below subjects the b.Authorized signature �N signer to the general statutes PROJECT MANAGER �o regarding a false and misleading c. os o e �o. statement(s). IRYAN CONSTRUCTION d.Representing e.Date(mm/dd/yyyy) �O �d �Q ■ ag06.doc•10/02 BWP AQ 06•Page 3 of 3■ Massachusetts Department of Environmental Protection Bureau of Waste Prevention .Air Quality 1100109840 BWP AQ 06 Decal Number Notification Prior to Construction or Demolition General B. General Project Description coot. Statement:If 1 P (cont.) asbestos is found during a 4. General Contractor: Construction or Demolition IRYAN CONSTRUCTION - operation,all a.Name responsible parties must comply with 1505 SOUTH STREET 310 CMR 7.00, b.Address and Chapter WALPOLE MA 02081 Cha terer 21 E of the P General Laws of c.Citvrrown d.State e.ZiD Code the Commonwealth. 15086686788 This would include, f.Tele hone Number area code and extension .E-mail Address(optional) but would not be limited to,filing an CHRIS SPILLANE asbestos removal h.On-site Manager Name notification with the Department and/or a notice of release/threatof release of a C. General Construction or Demolition Description. hazardous substance to the 1. Construction or demolition contractor: Department,if applicable. RYAN CONSTRUCTION a.Name 505 SOUTH STREET b.Address WALPOLE IMA 02081 c.City/Town d.State e.Zip Code f.Telephone Number(area code and extension) g.E-mail Address(optional) CHRIS SPILLANE h.On-site Manager Name 2. On-Site Supervisor: CHRIS SPILLANE On-Site Supervisor Name 3. Is the entire facility to be demolished? ® Yes ✓0 No �N 0 4. Describe the area(s)to be demolished:" �o NA N —0 5. If this is a construction project, describe the buildings)or addition(s)to be constructed: INTERIOR RENOVATION .�.o ��C7 Q ag06.doc•10/02 BWP AQ 06•Page 2 of 3 l V . RYAo N, C O N S i R U C T 1 O N 505 South Street Walpole,MA 02081 508-668-6788 Fax:508-668-2455 July 14,2010 Attn: Town of Barnstable Building Department 200 Main Street Hyannis,MA 02601 RE: Scott Mitchell Ryan Construction,Inc. certifies the above referenced employee is competent and authorized to apply for, building permits with the Town of Barnstable MA. Per Ryan Construction,Inc.policy all associate files are maintained at the corporate office, 505 South Street Walpole,MA. The personnel documents include the'following: • Application and References • I-9 Verification(including supporting documentation) • Applicable Licensure • Applicable Certificate(s)of Insurance • Performance Evaluations • Training Documentation If you have any questions or need additional information you may contact me at 508-668-6788. Sincerely, RYAN CONSTRUCTION,INC. u Thomas Downie VP of Operations PAIN CENTER JUL Y 15, 2010 46 NORTH S T. HYANNIS, MA DESIGN NARRATIVE REPORT FOR THE AUTOMATIC FIRE SPRINKLER SYSTEM BUILDING DESCRIPTION The above named project is an existing 4000 ft2 one story building. The building construction consists of; wood stud exterior walls, steel beams &joists, gypsum board on wood stud interior walls and steel truss roof. Building construction is Type II-A. The building is protected with an existing wet pipe fire sprinkler system per NFPA-13, the Seventh Edition of the Mass State Building Code and the requirements of Hyannis, MA. The new work consisted of new and relocated sprinklers as per Drawing 1 dated 6/7/10. DESIGN CRITERIA The building wet pipe system is designed and installed per NFPA-13. All piping will be approved steel and installed per manufacturers specifications. An outside hose stream allowance of 100 GPM will be provided in the calculations. SEQUENCE OF OPERATION The fire sprinkler systems shall operate when a sprinkler head's fusible link reaches the specified melting point to which it operates. The opening of a single or multiple sprinklers allow the water from the city supply main to enter the system and discharge from all fused sprinklers. The alarm switch on the system riser will activate, tripping the fire alarm system. The control valve tamper switches will activate at no more than one turn of valve closure. TESTING All new sprinkler system piping and components shall be hydrostatically tested @ a pressure of 200 PSI for 2 hours per NFPA-13 2007 edition. Additionally an Inspectors Test and Drain test shall be conducted. A copy of the Contractor's Material and Test Certificate for Above Ground Piping shall be provided to the owner and the Authority Having Jurisdiction at the completion of the system installation and testing. The system shall be tested and maintained in accordance with NFPA 25. WATER SUPPLY, An existing 6" fire service from the city water main is provided inside the building. Water information is derived from a flow test conducted at the job site. This test yielded the following results: STATIC=78 PSI, RESIDUAL=66 PSI, FLOW=840 GPM. OFeu�� Al �C 'j-ql 16 ''10 08: 52a Bi 1 1 4019419708 P. 1 SPECIAL HAZARDS FIRE PROTECTION 21 LOOKOFF RD CRANSTON, 'RI 02905 i H Y D R A U L IC C A L C U. L A T. I 0 N S C 0 V E R S`HR E E T 'f Cape Cod Healthcare Pain Center a W A T E R S .0 P P.•L .y STATIC PRESSURE (psi) 78 F RESIDUAL PRESSURE (psi) 66 RESIDUAL FLOW (gpm) 840 ` B 0 0 S T E R P U M P S. ; 6 NUMBER OF BOOSTER PUMPS 0 S P R I N K L •E R' S MAXIMUM SPACING OF SPRINKLERS (ft) 12.5 MAXIMUM SPACING OF SPRINKLER LINES (ft) 12 SPECIFIED DISCHARGE DENSITY, (gpm/sq. ft.) THIS SPRINKLER SYSTEM WILL DELIVER A DENSITY OF, .1..-gpm/sq. ft. FOR A DESIGN AREAlOF 900 SQ. FT. OF TLOOR AREA ' THIS SYSTEM OPERATES AT A FLOW OF :244.46-gpm_AT .A PRESSURE. OF. 23.53 psi AT THE BASE OF THE RISER (REF. PT. 5) PIPES USED FOR THIS SYSTEM , 101 CAST IRON CEMENT LINED (150) ._ 001 SCHEDULE 40 L:;&100G&k12H -INOF CAM ti FRffm Cos j ; t i Jul -T%",•10 08: 52a Bi 11 4019419108 p.2 SPECIAL HAZARDS FIRE•PROTECTION Cape Cod Healthcare Pain Center 1 PAGE 1 HYDRAULIC CALCULATIONS AT SPECIFIED DENSITY THE FOLLOWING SPRINKLERS ARE .OPERATING IN: ' [ ] TEST AREA 1 [ } TEST AREA 2 [ ] TEST AREA 3 [ ] REMOTE AREA Elevation of -sprinklers = Elevation above water test., REF. PT. K ELEV. FLOW PRESSURE ft gpm psi 22 5.50 12.00 16.73 9.25 31 5.50 10.00 17.82 10.50 32 5.50 10.00 17.40 10.01 ,.. 38 5.50 12.00, 15.86 8.32 41 5.50 12.00 15.54 7.98 42 5.50 . 11.50 16.02 8.48 • 24 5.56 12.00 17.09 9.66 28 5.56 12.00 15.36 7.79 29 5.56 11.50 15.53 7.97 96 5.50 12.00 15.23 7.67 47 5.50 11.50 15.00 7.44 51 5.56 10.00 23.49 18.29 r 52 5.50 10.00 22.36 16.53 53 5.50 10.00 21.02 14.61 THE SPRINKLER SYSTEM FLOW IS T 244.F46-gpm. THE OUTSIDE HOSE FLOW AT REFERENCE POINT NO. I IS ' 100.00 'gpm ' ( ] THE INSIDE HOSE ( j . RACK SPKLR'S. [ ] YARD HYDT. FLOW IS: 0.00 gpm THE MINIMUM DENSITY PROVIDED BY THIS SYSTEM IS 0.100 gpm/sq. ft. f' THE FOLLOWING PRESSURES 6 FLOWS OCCUR z ---> AT REF. PT. 1 <-- STATIC PRESSURE 78.00 psi. RESIDUAL PRESSURE 66.00 psi AT, 840.00 gpm TOTAL SYSTEM FLOW 344.46 gpm AVAILABLE PRESSURES 76,56 psi AT, 394.46 gpm; z OPERATING PRESSURE 29.28 psi AT 344.46 gpm' PRESSURE REMAINING1 47.28. psi THE ABOVE RESULTS I1NCLUDE 5.60,psi FRICTION LOSS AT REF: PT. # 4 FOR A ( ] BACKFLOW PREVENTER [. ] METER [ ] DETECTOR CHECK VALVE [ ] OTHER DEVICE . t ' t I I Jed-1 '1'G'i 10 08: 5 2 a Bi 11 4019419709 P. 3 h. SPECIAL HAZARDS FIRE PROTECTION Cape Cod Healthcare Pain Center PAGE 2 FITTING•Equivalent Length per NFPA 13 1994,. 6-4.3 '-' Indicates Equivalent Length. 'T' Indicates Threaded Fitting 1=45 Elbow, 2=90! Elbow, '3='T'/Cross, 4=Butterfly Valve, 5=Gate_Valve, 6=Swing Check Valve i FROM TO FLOW 'PIPE £ITS EQV.' H-W' PIPE :_ DIA. FRIC. ELEV... FROM TO DIFF (gpm) ;(ft) ' (ft)' C ,, TYPE (in) (psi) . (psi) (psi) (psi) (psi) 1 2 244.46 25.-00 352 48.44 140 1 `101' 5.890 0.002 0.000 29.28 29.12 0.17 2 3 244.46 7.00 2 10.38 140 - ..101 5.890 0.002 .0.000 29.12 '29.08 0.04 3 4 244.46 6.00 522 23.00 120. 1, 6.065 0.003 0.433,, 29.08 28.57 0.08 4 5 244.46 1.00 52 13.00 '120 "` 1" 6.065 0.003 0.000 28.51 23.53., 5.04 5 6 244.46 9.00 26 42.00 120 1 6.065 0.003 3.900 23.53 19.50 0.13 6 7 244 .46 55.00 0 0.00 120 ' I� 6.065 0.003 0.000 19.50 19.31 0.19 7 8 244.46 46.00 0 0.00 120 �l 5.047 0:006 0.000 19.31 19.06 0.25 . 8 9 177.58 3.00 3 13.'00 120 1 3.068 0.040 0.000 19.06 18.42 0.64 , 9 10 177.58 7.00 2222 20.00 120 1 3.068 0.040 0.000', 18.42 ' 17.35 1.07 10 11 177.58 17.00 2 5.00 120 1 3.068 0.090 0.000 17.35 16.51 0.83 11 12 177.58 4.00 0 0.00 120• 1' 3.068 0.040 0.000. 16.51 16.35 0.16 ' 12 13 177.58 9.00 0 0.00 120' 1 '3.068 0.040 0.000, 16.35 16.00 0.36 13' 14 177.58 15.00 0 0.00 120 1 3.068 -0.040 0.000." 16.00 15.40 0.60 14 15 99.93 3.00 0 0.60_ 120 1 2.469 0.040 0.000 15.40' 15'.28 =. 0.12 15 16 64.70 6.00 0 0.00 ' 120 1� 2.469 0.018 0.000>. 15.28 1`5.17 0.11 16 17 64.70 1.00 32 * 9.00. 120' 1 1.610 0.142 0.433 15°17 13:32 1.42 17 18 64.70 2.00 3 6.40 120 1 1.610. 0.142 0.000 13.32 12.14 1.19 18 19 33.82 12.00 0 0.00 120 1 ` 1.380 0.090 0.000 12.14 11.05" 1.08 19 20 16.73 9.00 0 0.00 .120 " ,1 1.049 0.093 0.000 -11°05 10.21 0.84 20 21 16.73 1.00 2 1'.70 120 .1 1.049 0.093 ° 0.433 10.21 9.53 0.25 21 22 16.73 A-00 0 0.00 120. 1- 1.049` 0.093 0.000 9:53 9:25 0.28 19 23 17.09 1.00 23 5.90 120 ' 1 1.049' 0.097 0.433 11.05 .9.95 0.67 23 24 17.09, 3.00 0 "` 0.00 120 1 ; 1:049 0.097 0.000 9.95 9.66 . O.29 18 25 30.88 3.00 . 3 4.20 120 "",l 1.049, 0..290 0.000 1.2.14 10.05 2.09 25 26 30.88 3.00` 2 1.10 120 1 1.049 0.290 0.217 10.05 8.47 . 1.36 26 27 15.36 1.00 2 1.70 420 1 ` .1.049 0.090 0.217 8.47 8.03 0.22 27 28 15.36 3.00 - 0 0.00 120 • '1 1.049 0.080 0.000 8.03• 7.79 0.24 26 29 15.53 2.00 3 4:20 120 1 '1.049 0.081 0:000 9.47-' , , .7.97 0.50 15 30 35.23 9.00 3 4.20 120 1 1.049 0.370 0.000 ?5.28 12.24 3.04 30 31 35.23 3.00, 2 . 1.70 120 ' 1 1.0-49 0.370 .0.000 12.24,. 10.50 1.74 31 32 17.40 5.00 . 0 0.00 120 1 1.C49 0.100 0.000 . 10.50_ 10.01'. 0.49 14 33 77.65 1.00 3 •6.40 120'; 1' 1.610 0.199 0.433 ` -15:40` 13.49 1.47 33 34 77.65 LOO _ 3 6.40 120 1 1.610 0.199 0.000 .1 1.66 34 35 47.42 7.00 0 0.00 120 1 1.380 0.169 0 000 11_83 10.65 1.18 35 36 15.66 15.00 2. 1.70 120 1 1.049 0.084 0.000 10.65 9.23 " 1.4'2 36 37 15.86 1.00 2- 1.70 ,120 1 1.049 0.084, 0.433 ' 9.23 8.57 0.23 37 38 15.86 3.00 . 0, 0.00 120 1 1.049 0.084 0.000 8.57 8.32 �0.25 35 39 31.56 0.50 31 4.20 120 '` 1 1.049 0.302 -0.217 10'.65 9°01- -1.42 39 40 15.54 0.50 2 1.70 120 ,1 ' 1.049 0.081 0.217 9.01• 8.61 '0-'19 40 41 15.54 6.00 2 1.70 120 1 1.049 0.081', 0.000, 8.61 7.98 0.63 39 42 16.02 2.00 3 '4.20 1.20 1 1.049 '0.086 0.000 9.01 8.48` 0.53 ' e • I 1 j i ati 4161-; 10 08: 53a Bi 11 4019419708 p. 4 SPECIAL HAZARDS:FIRE .PROTECTION Cape Cod Healthcare Pain Center PAGE 3 .FITTING Equivalent Length per'NFPA 13 1994, 6-4-3 Indicates Equivalent-Length. 'T' Indicates. Threaded Fitting 1=45 Elbow, 2=90'Elbow,. 3='T'/Cross,. 4�Hutterfly Valve, 5=Gate'Valve, 6=SwingJCheck Valve __ --__ FROM TO FLOW PIPE FITS EQV. , H-W PIPE DIA FRIC. ELEV. FROM TO DIFF- (gpm) (ft) -(ft) C TYPE (in) (psi) (psi) (psi) (psi) (psi) 34 43 30.23 3.00 3 4.20 120 1 i.049` 0_279. 0.000 11.83 9:82 2.01 43 44 30.23 3.00 2 1.70 120 1 1.049 0.279 0.217 9.82 8.29 1.31 44 45 15.23 0.50 2 1.70 `120,. 1 1.049 0.078 0.217 8.29. 7.90 0.17 45 46 15.23 3.00 0 0.00 120 1 1.049 0.078 . 0.000 7.90 . , 7.67,- 0.24 44 47 15.00 7.00 3 4.20 '.120 . 1 1.049 0.076 0.000 8.29 7.44 0.85 8 48 66.88 8.00 3 21.00. .120 1.- 5.047 , 0.001 . 0.000 19.06 .19- 04 0.02 48 49 66.88 16.00 0 0.00 , 120 1 5.047 • 0.001 0.000 - 19.04 �19.03 0.01 49 50 66.68 2.00 3 8.50- 120 1 2.067 0.045 0.100. 19.,03' 18.56 ' 0.47'' 50 51 66.88 1.00 0,' 0.00 120 1 1.3801 0.319 0:000 . 18.56 18.24 '0'.32 51 52 43.39 12.00 0 0.00 120 1 1.380 0.143 ' 0.000 18.24 16.53 1.71 ' 52 53 21.02 12.00 2- 1.70 120 1 1.049 0.142 0 000 16:53 14.61 -,.1.92 A MAX. VELOCITY10F 14.34 ft./sec. OCCURS BETWEEN •REF." PT. 50 AND 51 Sprinkler-CALC Release. 7.2 win By Walsh Engineering Inc. North Kingstown R-I. U.S.A. . t J�+1 ''1'6. 10 08: 53a Bill 4019419708 p. 5 WATER SUPPLY/DEMAND GRAPH Cape Cod Healthcare Pain Center 150.00 140-00 :� b 130.00 A 120.00 P 110.00 R 100.001 9, , E 90.00 S 80.00 �� r S 70.00 U 60.00 R 50.00 < �4n0.�0n0 T 20.00 `, t a1 a 10.00 0.00 0 500 1000 1500 2000 0 supply: 66 00 psi @ 840:00•gpm FLAW ' E77 Demand 9.28 p i a•344.46 gpm ' Sprinkler-CALC 7.2 W in _ M1 • ,.. t q.'- a ... .. : 4r =1 x e Massachusetts- Department of Public Safe'th Board of Building Regulations and Standards Construction;Supervisor License" a License: CS 60828 Restncted.to 00 SCOTT D'�MITCHELL 160 FAIRBANKS RD , _ t MILTON, MA c,G_ �� c .• Expiration: 2t7/2011 s. Commissioner'. a Tr#: 7071 k t v� (� OMEDCO.M EC ARCHITTURAI_GROUP ° MEDICAL @ COMMERCIAL ARCHITECTURE 118WM lho .AR dallIn MA03533 Y P.O,B.157 Monument Beach.MA 035s3 I 1 clsoel]59-seze 508 . WWW.ME000MAR[N.[OM rPROJECT CONTACT:GREGORY SIROONIAN L-- I� ri� I(�II PROJECT: CAPE COD HEALTHCARE i1 MEDICAL OFFICE SUITE = ` UNIT-5 RENOVATION E: E North Street FE Hy � � Hyannis.s,MA. E r E E :. ��l t7l e, r° IIUNI &3 r1 L}I-Il II •`��— - IOr g E I I® o o F ® PUBLIC o .. e 1' �E =I RESTRMS E°�R GH:iDM A�W, B M�R3 A�ROF p - BUILDING CODE ANALYSIS-8th Edition 'w "c'wm °" m°R _ ( - 2009 INTERNATIONAL BUILDING CODE WITH'MASSACHUSETTS STATE BUILDING CODE 780 CMR �f'0-R-0 �'fi °Jf f FEY R ® BASIC/COMMERCIAL IAL EIGTH EDITION AMENDMENTS TO _ 2 9 INTERNATIONAL BUILDING CODE. y —L� �E) �I8 S ESS GROUP LII � B ERC NTS THE 00LLJ � �NITV EC' � � USE GROUP CLASSIFICATION BUSINESS 'B', — M• i' TYPE OF CONSTRUCTION: TYPE 28. wN is " ° ° ° 780 CMR TABLE 903.2 OCCUPANCY AUTOMATIC SPRINKLER REQUIREMENTS ,B PROVIDE AUTOMATIC FIRE D SPRINKLER SYSTEM THROUGHOUT BUILDING IF > 12000 SF OR'.MORE THAN 3 STORIES I— . AN AUTOMATIC FIRE SPRINKLER SYSTEM SHALL BE PROVIDEDe THROUGHOUT ALL AREAS. _ EXIST, _ 2009 IBC: TABLE 503 ALLOWABLE HEIGHT AND BUILDING AREAS' III. UNFINISHED ALLOWED, 3 STORY 60' & 23,000 SF.PER FLOOR 1pp_U^ TENANT ACTUAL BUILDING HEIGHT: 1 STORY UNIT 5 1129 S.F. _ ACTUAL BUILDING"AREA: UNIT.1 TOTAL FLOOR AREA — 26,355'SF 2009 IBC: TABLE 601 FIRE—RESISTANCE RATINGS REQUIREMENTS FOR BUILDING ELEMENTS (313): I I G PRIMARY STRUCTURAL FRAME — HOUR _ .! � BEARING HOUR WALLS, EXTERIOR — 0 HOUR C BEARING WALLS, INTERIOR — 0 HOUR NONBEARING WALLS & PARTITIONS EXTERIOR TABLE 602 >30' — 0 HOUR No]I>_ 1 FIRST FLOOR EGRESS PLAN NONBEARING WALLS & PARTITIONS INTERIOR — 0 HOUR ^ FIRE ENCLOSURE OF EXITS, EXIT CORRIDORS, STAIRWAYS — 1 HOUR - - ISSUED FOR PERMIT p 00 SCALE:3/32'=1'-0' HVAC SHAFTS AND ELEVATOR HOISTWAY — 2 HOUR Nov.20,2017 1L7 I 2009 IBC: TABLE 803.9 INTERIOR WALL & CEILING FINISH REQUIREMENTS BY OCCUPANCY,USE - C® �) GROUP LID I EX T ENCLOSUURES RK& EXIT EPASSAGEWAYS — CLASS C Il- I CORRIDORS — CLASS C —pl I ROOMS & ENCLOSED SPACES — CLASS C oRamNcmLE: 3 MEANS of EGRESS: ts= CODE ANALYSIS SHEET 2009 IBC: OCCUPANT LOAD TABLE 1004.1.1 MAXIMUM FLOOR AREA ALLOWANCES PER OCCUPANT, y^� ASSEMBLY WITHOUT FIXED SEATS UNCONCENTRATED TABLES & CHAIRS 15 SF NET c ' O - FIRST FLOOR UNIT 5 AREA 1,652 SF / 100 17 OCCUPANTS R TOTAL FLOOR AREA — 26,355 SF NO DA I DAZE OESCRIP110N TOTAL BUILDING OCCUPANT LOAD = 264 OCCUPANTS II 7 EGRESS CAPACITY COMPONENTS EGRESS WIDTH PER OCCUPANT WITH APPROVED AUTOMATIC SPRINKLER SYSTEM DEC 2009 IBC' 1005 EGRESS WIDTH: Nl (� FIRST FLOOR EGRESS DOORS 0.2" X 17 = 4", ACTUAL 72" TOWN p�swimsTRS6-t. 2009 IBC 1015.2.1 TWO EXITS OR EXIT ACCESS.DOORWAYS WHERE TWO EXITS ARE REQUIRED AND BUILDING IS EQUIPPED WITH AN AUTOMATIC SPRINKLER SYSTEM THE EXITS SHALL BE PLACED APART EQUAL TO NOT LESS.THAN ONE—THIRD OF THE LENGTH OF THE LEGEND: MAXIMUM OVERALL DIAGONAL DIMENSION OF THE BUILDING.- ' - DIAGONAL DIMENSION 160'-2" / 3 = 53'-5" ALLOWED, ACTUAL 76'-6" <•-•-PATH OF EGRESS - s 2009 IBC: TABLE 1021.2 STORIES WITH ONE EXIT f FE FIRE EXTINGUISHER WITH SPRINKLER SYSTEM AND ONE MEANS OF EGRESS 100'—C", ACTUAL LENGTH 100'-0" MAXIMUM. PRIACT NO. - 1 6-011 1 2009 IBC 1022.1 INTERIOR EXIT STAIRWAYS SHALL HAVE AFIRE—RESISTANCE RATING OF NOT LESS THAN DAIEGP ME ❑ FIRE ALARM^f 2 HOURS CONNECTING FOUR STORIES OR MORE, NOT LESS THAN 1 HOUR CONNECTING LESS THAN 4 10/30/17 - F PULL STATIONS, STORIES. DRAIN BY: UP CHED(EO BY:GBS 780 CMR: ALL PUBLIC BUILDINGS SHALL BE DESIGNED TO BE ACCESSIBLE'TO, AND FUNCTION AND SAFE ® CLG.ILLUMINATED FOR THE USE BY, PHYSICALLY DISABLED PERSONS, AND CONFORM TO THE REQUIREMENTS 521 CMR DRA'MNC NUuetn EXIT SIGN MASSACHUSETTS ARCHITECTURAL ACCESS BOARD'S RULES AND REGULATIONS 780 CMR: ENERGY EFFICIENCY ° Q YOU ARE HERE BUILDINGS SHALL BE DESIGNED AND CONSTRUCTED IN ACCORDANCE WITH THE INTERNATIONAL ENERGY CONSERVATION CODE 2009 (IECC 2009) WITH MASSACHUSETTS STATE BUILDING CODE 780 CMR A005 ` EXIT BUILDING EXIT BASIC/COMMERCIAL EIGHTH EDITION AMENDMENTS. TO OUTSIDE - MEDCOM ' - EXISTING EXISTING MO ARCHITECTURAL GROUP NEW 3'-OX7'-0 DOOR& CORRIDOR NEW 1HR RATED CORRIDOR FRAME IN EXISTING OPENING rx-1-00 DOOR&FRAME IN X10 NEW 3'-OX7'-0 DOOR& EXISTING OPENING MEDICAL&COMMERCIAL ARCHITECTURE 1 V-O" r FRAME IN EXISTING WALL 118 Waterhouse Road Bourne,MA 02532 I Beach,MA 02553 I' 6(500)759-9828 FUR TUBE BY OWNER -� � ' ® ® is 15081759-9802 TI W W W.MEDCOMARCH.COM '', I I ❑ I is MAKE EXIST WALL I I f: - PROJECT CONTACT:GREGORY SIROONIAN MEET 1HR RATED WALL UL-465, • ?�, SIMILAR. =� { BOILER - f. R PROTECT: f ROOM `� ROOM CAPE COD HEALTHCARE ACOUSTIC PANEL PARTITION mM 03 M103 e _ 4 sa.Fr.0 ❑ ❑ Medical Records Fit-out 6'' PT2 � SCHEDULERS h EXIST.COLUMN @�I I' 46 North Street M 100 TO REMAIN NEW 2X2 ACT CLG. I'4 IJ13FHEOULERS I I HyanDls,MA. m o I O \/ M100 I- 71DS0.FT. I' ® 9'-0"AFF EXISTING TENANT 6-0 NEW WALLS AS SHOWN 8'-2Y" EXISTING ❑. : TENANT E%10 NEW 1L RATED %101 II- WALL UL-465 I I 4- ---- I 4 - , _r - - o cap OwlFD95 Mnr TxE utcnm:Cr'9 OttI1HtENr9 nRE n I: n o ElEmT OFTXE APCHrtEc! FURNITURE BY OWNERAl "s MulEa Ago sr w .. OUroFM111, eaeu111ce.wnaor TH9 c I9,y OFFICE OP OFFI E -I M1011 Um-LU li � -. - 1409O.FT. _ CSO. - q 1 4 I - VACANT ❑ ❑ VACANT ll& « SPACE .. «, Ili SPACE )' N0.SJ7B 4.e X10 !J 1129 SOFT. NOTE: — ISSUED FOR PERMIT S NEW Doors'&INSULATED rEi° -- � - Nov..20,2017 EXISTING WINDOW OPENING. Li - u ' 1 NEW GROUND FLOOR MEDICAL RECORDS PLAN - / 2 1NEW RECORDS CEILING PLAN DRAWING TITLE A1.0 SCALE:1/4"= 1'-0" Area of Work= 392Sq.Ft. A1.0 SCALE:1/4'= r-o"' - NEW GROUND FLOOR GYM PLAN& CEILING LEGEND REFLECTED CLG. PLAN GENERAL NOTES LEGEND CEILINGYPE, SEE FINISH scHEDULEs -MANUFACTURER/MODEL # 1. ALL NEW DOORFRAMES SHALL BE INSTALLED 4" FROM ADJACENT WALL, OR GREATER o EXISTING WALL CONSTRUCTION TO REMAIN CI B'-0" CEILING MARKER - REVISIONS: IF NOTED. 18"CLEAR SPACE MUST BE MAINTAINED ON THE PULL-SIDE OF DOOR. OR SIMILAR NEW WALL CONSTRUCTION, SEE PLANS FOR LOCATIONS. CEILING HEIGHT, ABOVE FINISHED FLOOR EMERGENCY BATTERY UNIT. PHILLIPS i/22300 NO DATE DESCRIPTION E' INDICATES EXISTING TO REMAIN. CAX6 SERIES 2.FIRE E%TINGUISHER SHALL BE: LITHONIA LIGHTING LED 2'X2'. A. NFPA-10 PORTABLE FIRE EXTINGUISHER AND IS APPROVED ABC NEW OR EXISTING 2' X 2' RECESSED LED WALL TYPE TAG. MEETS NFPA 101 STAND-ALONE MULTI-PURPOSE DRY CHEMICAL TYPE. _ -.LIGHT FIXTURE.; -B. MINIMUM OF 10 LB CAPACITY. - 'TYPE1' $D SMOKE DETECTOR. "N" INDICATES NEW. & SERIES COMPATIBLE C. PROVIDE RECESSED CABINET WITH BAKED ENAMEL FINISH AND SIGNAGE. � -5/e"GYPSUM BOARD, BOTH SIDES TO 6"ABOVE CLG. .BATTERY-BACKUP D. PROVIDE (1) -3-5/8"METAL STUDS ® 16"O.C. TO 6"ABOVE CLG. -3-1/2"SOUND BATT INSULATION B/T STUDS TO 6-ABOVE CLG. NEW OR EXISTING DECORATIVE RECESSED + EXISTING SPRINKLER HEAD TO REMAIN ® LITHONIA LIGHTING 6" LF6N 3.DIMENSION LINES ARE SHOWN FROM FACE OF EXISTING WALLS AND TO CENTERLINES ROOM DOWN LIGHT FIXTURE. "E%" DENOTES EXISTING. OF NEW WALLS, ARE OTHERWISE NOTED. DIMENSIONS TO NEW DOORS IN EXISTING O ROOM TAG "R"DENOTES RELOCATED. WALLS ARE SHOWN FROM FACE OF WALL TO THE CENTERLINE OF THE NEW DOOR. DIMENSIONS SHOWN IN CORRIDORS ARE CLEAR DIMENSIONS, NEW AND EXISTING. 0FIRE EXTINGUISHER LOCATION, "R" INDICATES RELOCATED. NEW SPRINKLER HEAD EMERGENCY HORN / STROBE LIGHT. 4. ALL NEW EXPOSED (TO CIRCULATION) COUNTER AND WALL EDGES SHALL BE "N" INDICATES NEW. SEE GENERAL NOTE#2. D� "E" INDICATES EXISTING TO REMAIN. 3"RADIUSED. ALL EXISTING EXPOSED COUNTER &WALL-CAP E EDDGES SHALL BE MODIFIED TO HAVE 3" RADIUSED EDGES. 2 - - '%2'ARMSTRONG HEALTH ZONE 5. PROVIDE BLOCKING IN WALL FOR WALL-HUNG SINKS TO WITHSTAND 250LBS. OF WEIGHT. CPT CARPET:CARPET FT, STYLE: Z6468, COLOR:TBD ULTIMA//1937 BEVELED TILE - BOLO/DARK GRID AREA PROJECT N0. WITH 4"CARPET BASE. REPRESENTS NEW 2'X2' ACT 15/16" 'PRELUDE XL' EXPOSED TEE 1 6-0 1 1 6. PROVIDE MOISTURE-RESIST. GYP. BOARD BEHIND ALL SINKS, WALL-HUNG & COUNTER CEILING AND LAYOUT METAL SUSPENSION GRID. 7. EQUIPMENT AND FURNITURE SHOWN IS SUPPLIED BY OWNER. - DATE OF ISSUE 1 0-30— 7 ,H, NEW OR EXISTING HVAC SEE MECHANICAL DWGS: 8, G.C. SHALL INSPECT THAT EXISTING EXTERIOR WALL GYPSUM BOARD IS TAPED AND Q NEW DUPLEX/QUAD ELECTRICAL OUTLET. OUTLETS SHOWN SUPPLY DIFFUSER DRAWN BY: - CHECKED BY: ALL PENETRATIONS ARE SEALED. PATCH, REPAIR, & PAINT AS NECESSARY. Ft' GFlll ABOVE COUNTERS SHALL BE 6"ABOVE COUNTER. "GFI" SHALL CEILING NOTES JP GBS BE A GFCI OUTLET. NEW OR E%ISTING HVAC EXHAUST SEE MECHANICAL DWGS. 1.TYPICAL BULKHEADS AT DOORWAYS AND OPENINGS SHALL BE 7'-0"A.F.F. DRAWING NUMBER IV NEW TEL/DATA OUTLET- (2) DATA AND (1) PHONE JACK OR RETURN AIR GRILLE PER OUTLET. OUTLETS SHOWN ABOVE COUNTERS SHALL 2.ALL ROOM CEILINGS TO BE TYPE "Cl" 0 9'-0"AFF UNLESS OTHERWISE NOTED. NEW BE 6"ABOVE COUNTER. CEILING WORK IN AREAS SHOWN. ALL OTHER AREAS ARE EXISTING FOR REFERENCE NEW CEILING MOUNTED kLUMINATED EXIT MEETS NFPA 101 ONLY. LIGHT SWITCH ON WALL® 48"AFF ® SIGN. "E%" DENOTES EXISTING WHITE HOUSING, RED LETTERING y BATTERY-BACKUP. SEE ELEC. DWGS. "C1"CLG: NEW 2'X2' ARMSTRONG HEALTH ZONE ULTIMA #1937 BEVELED ACOUSTICAL - - CEILING TILE IN 15 16" 'PRELUDE %L' EXPOSED TEE METAL SUSPENSION GRID. .,0 OMEDCOM EXISTING • EXISTING ARCHTECTURAI.GROUP NEW 3'-DX7'-O DOOR& CORRIDOR NEW 1HR RATED CORRIDOR FRAME IN E%ISTNG OPENING X10 DOOR&FRAME IN X10 NEW 3'-OX7'-0 DOOR& EXISTING OPENING MEOCAL@COMMERCIAL ARCHITECTURE 11'-0' r FRAME IN IXISTIN WALL i/ 1.Waterhousenum nt B. NIA r � ® e ® ® P.O Bax 157 Monument Beall.MA 02553 EllU150B1>59.9028 FUR TUBE BY OWNER f r:I50B1>69-9802 ❑ WWMLMEOCOMARCHCOM MAKE 1HR WALL PROTECT CONTACT:GREGORY 9ROONAN EXISTIN RTU MEET 1HR RATED I CI 9_D __ WALL UL-465. �.,. 2X2 EGG CRATE RETURN•—__ SIMILAR. IHIP I I PROJECT, ( TYPICAL BOILER BOILER ROOM ROOM CAPE COD HEALTHCARE sl v M103 M103 05 ACOU PANEL PARTITION 10=, — ❑ ❑ (, ( Medical Records Fit-out ^ I 1 f 46 North Street Z T SCHEDULERS r .COLUMN �-- I lc .E0ULER5 Hyannis,MA, m ® 20" %20" ®/f MNN NEW 2%2 ACT CLG. III �/ M D I D10 SO.Ff �. TRANSFER GRILLE o 9'-DRESS • Ir _EXISTING DUCT TO RCKAIN f B'-0 NEW WALLS AS SHOWN B- EEL EXISTING O NEW SUPPLY AIR DUCT TENANT TENANT X1 8 X NEW 1 L RATED ' WALL UL-965 e IDx $. .. 8 X 6 !I NRNITURE.BY OWNER El R Rr aRu..use eus "e ORmnx xs II C 1 9' OFFICE 4 I. OFFIGE e MI01 4- 'e t DsnFT - I I -n 90 T CPT fi VACA ❑ III VACANT 17 SPACESIDE WALL DIFFUSER SPACE 17M X1A 250(TYPICAL LPM _ I- i1 NOTE: ISSUED FOR $ � �-I- $ PERM�IIT TEEL . N INSULATED S ODOR&FRAME IN 1 NOV.20.2017 EXISTING WINDOW OPENING. ' u NEW GROUND FLOOR MEDICAL RECORDS PLAN • - ! L 1NEW RECORDS CEILING PLAN DRANANG TITLE: - A1.D SCNE:1/4'-1'-0• A1 Area of Work 392Sq-Ft .0 SCALE:1/4•-1'-0• NEW GROUND FLOOR GYM PLAN& CEILING LEGEND s REFLECTED CLG.PLAN GENERAL NOTES LEGEND CEILING TYPE.'SEE FINISH SCHEDULES ° 1.ALL NEW DOORFRAMES SHALL INSTALLED 4"FROM ADJACENT WALL,OR GREATER O EXISTING WALL CONSTRUCTION TO REMAIN C1 6'-0" CEIONG MARKER MANUFACTURER/MODEL# REVI EIDNS: IF NOTED. 18°CLEAR SPACE MUST BE MAINTAINED ON THE PULL-SIDE OF DOOR. OR SIMILAR NEW WALL CONSTRUCTION,SEE PLANS FOR LOCATIONS. 'CEIUNG HEIGHT.ABOVE FINISHED FLOOR �j EMERGENCY S EXISY GUNIT.TO PHILUPS#22300 NO DATE DESatwnON IE81 E°INDICATES E%ISTING TO REMAIN. CA%6 SERIES 2.FlR IN H4 B LITHONIA LIGHTING LED 2'X2'. A.NFPA-10 PORTABLE FIRE EXTINGUISHER AND IS APPROVED ABC NEW OR EXISTING 2'X 2'RECESSED LED - WALL TYPE TAG. MEETS NFPA 101 STAND-ALONE MULTI-PURPOSE DRY CHEMICAL TYPE. - LIGHT.FIXTURE! ' B.MINIMUM OF 10 LO CAPACITY. _5�GYPSUM BOARD.BOTH SIDES TO 6°ABOVE CLG. $D SMOKE DETECTOR.'N'INDICATES NEW:. &SERIES COMPATIBLE C.PROVIDE RECESSED CABINET WITH BAKED ENAMEL FINISH AND SIGNAGE. -}-5/8'METAL STUDS IC i6"O.C.TO 6"ABOVE CLG. BATTERY-BACKUP D.PROVIDE(i) -3-1/2"SOUND GATT INSULATION B/T STUDS TO 6"ABOVE CLG. v NEW OR EXISTING DECORATIVE RECESSED .EXISTING SPRINKLER HEAD TO REMAIN ® OTHONMI LIGHTING 6"LF6N - - 3.DIMENSION ONES ARE SHOWN FROM FACE. EXISTING WALLS AND TO CENTERLINES ROOM DOWN LIGHT FIXTURE."EX'DENOTES EXISTING. OF NEW WALLS,UNLESS OTHERWISE NOTED.DIMENSIONS LINE NEW DOORS IN EXISTING O ROOM TAG "R"DENOTES RELOCATED. WALLS ARE SHOWN FROM FACE OF WALL TO THE CENTERONE OF THE NEW DOOR. � ' DIMENSIONS SHOWN IN CORRIDORS ARE CLEAR DIMENSIONS,NEW AND EXISTING. r NEW SPRINKLER HEAD FE FIRE DICATEISHER LOCATION,RA INDICATES RELOGITEO. - EMERGENCY HORN/STROBE LIGHT. 4. ALL NEW EXPOSED IT CIRCULATION)COUNTER AND WALL-CAP EDGES SHALL BE • "N"INDICATES NEW.SEE GENERAL NOTE N2. 'E"INDICATES EXISTING TO REMAIN. ' ' 3"RADIUSED:ALL E%ISTING EXPOSED COUNTER&WALL-CAP EDGES SHALL BE MODIFIED TO HAVE 3"RADIUSED EDGES. 2'X2'ARMSTRONG HEALTH ZONE -- CPT2 )/ ' 5.PROVIDE BLOCKING IN WALL FOR WALL-HUNG SINKS TO WITHSTAND 250LB5.OF WEIGHT. CARPET PATCRAFT,STYLE:Z6468,COLOR:TBD WITH 4'CARPET BASE. BOLD/DARK GRID AREA ULTIMA 15/16•'P1937 BEVELED 11LE RELUDE XL'EXPOSED TEE PflD1EGT N0. 1 6—O 1 1 REPRESENTS NEW 2'%2'ACT METAL SUSPENSION GRID. 6.PROVIDE MOISTURE-RESIST.GYP.BOARD BEHIND ALL SINKS,WALL-HUNG&COUNTER CEILING AND IAVOIIT 7.EQUIPMENT AND FURNITURE SHOWN IS SUPPLIED BY OWNER. I DATE OF ISSUE 10-30—)7 ' ,µ NEW OR EXISTING HVAC SEE MECHANICAL DWGS. - 8.G.C.SHALL INSPECT THAT EXISTING EXTERIOR WALL GYPSUM BOARD IS TAPED AND F1R NEW DUPLEX/QUAD ELECTRICAL'OUTLET.CUTLETS SHOWN SUPPLY DIFFUSER DRAM BY, ip DIEWD BY: GBS ALL PENETRATIONS ARE SEALED.PATCH,REPAIR,&PAINT AS NECESSARY. x G ABOVE COUNTERS SHALL BE 6'ABOVE COUNTER. "GFl"SHALL CEILING`NOTES BE A GFCI OUTLET. NEW OR EXISTING HVAC EXHAUST SEE MECHANICAL DWGS. 1.TYPICAL BULKHEADS AT DOORWAYS AND OPENINGS SHALL BE 7'-0"A.F.F. DRAMIC NUMBER NEW OUTLET. OUTLET-(2)DATA AND(1)PHONE JACK ® OR RETURN AIR GRILLE PER OUTLET. COUNTS SHOWN ABOVE COUNTERS SHALL 2.ALL ROOM CEILINGS EA BE TYPE'C1"OTHER AREAS UNLESS OTHERWISE NOTED.NEW • BE 6°ABOVE COUNTER. - - CEIUNG WORK IN AREAS SHOWN.ALL OTHER AREAS ARE E%1571NG FOR REFERENCE CEILING MOUNTED ILLUMINATED EXIT MEETS NFPA 101 ONLY. LICHT SWITCH ON WALL 0 48'AFF (2) IN SIGN."EX"DENOTES EXISTING WHITE HOUSING,RED LETTERING . BATTERY-BACKUP.SEE ELEC.DWGS. "C1'CLG:NEW 2'X2'ARMSTRONG HEALTH ZONE ULTIMA#1937 BEVELED ACOUSTICAL A1 . 0 CEILING TILE IN 15 16°'PRELUDE XL'EXPOSED TEE METAL SUSPENSION GRID. / • I