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Home My WebLink About0060 PARK STREET S-7' FPt 9 �. �.. I_ � - _ TOM Town of BarnstableBuilding t r P„ost This gard So That rt is U�sible�rornatheStreetApprovetl Pla"ns Must be Retained on J,ob and this CardMust;be Kept * Posted Unti Final Ins a tion Has,Bee Made ;. Permit Where a�Cert�ficateof°Occutlancy sRequred,suchuBu�ldmg�shall Not"be Occup�ed"unt�l�a F�iial Inspectionhas,been made.: ,,. Permit NO. B-19-202 Applicant Name: KELSEY HOLT Approvals Date Issued: 02/15/2019 Current Use: Structure Permit Type: Building-Alteration INTERIOR Work Only- Expiration Date:, 08/15/2019 Foundation: Commercial Map/Lot: 342-003 OOA Zoning District: MS Sheathing: A" Location: 60 UNIT A PARK STREET, HYANNIS ) Con t'ractor Name KELSEY HOLT , � � Framing: 1 Owner on Record: CAPE COD HOSPITAL ,' �' Conacto�r Ucense` CS=109375 2 ` �,� a Address: 27 PARK STREET •. , Est Project Cost: $14,400.00 Chimney: HYANNIS, MA 02601 Permt.Fee: $306.04 Insulation: Description: REMOVAL OF PORTION OF CARPEDT AND CEILINGTILE/GRID FOR A; Fee Paid y $306.04 NEW WALL INSTALLATION. BUILD TWO NEW PARTITIONS PER PLANS PATCH FLOORING AND CEILING.ADD ONE AND RELOCATE Date , " 2/15/2019 Final: ME ONE SPRINKLER HEAD.ADD A NEW HVAC RETURN AIRGRILLE RELOCATE EXISTING HVAC SUPPLY.ADD NEWWELECTRICAL POWER; , Plumbing/Gas AND DATA TO NEW PARTITION AND PAINT m �� Rough Plumbing: �� .„ Building Official Project Review Req: "� Final Plumbing: i! This permit shall be deemed abandoned and invalid unless the work authonzedby this permit is commenced within six months aftr suance. Rough Gas: All work authorized by this permit shall conform to the approved application and the�approved construction documents for whieh?this permit has been granted. All construction,alterations and changes of use of any building and structuresshall be in compliance with the local zoning by laws a;nd codes. Final Gas: This permit shall be displayed in a location clearly visible from access stre&oe road and shall be maintained open for public inspection for the entire duration of the work until the completion of the same. U Electrical The Certificate of Occupancy will not be issued until all applicable signatures y the Building nd Fire Officials are;provide on his permit. Service: Minimum of Five Call Inspections Required for All Construction Work-. 1.F?jndation or Footing - ". Rough: 2.Sheathing Inspection 3.All Fireplaces must be inspected at the throat level before firest flue lining is installed Final: 4.W 4.rig&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: "Perso ng 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 c Application rumba.. • s�aNsre . • 1 lU v7' MA99. P®it Feq.......................................Other Fce. ...... Total Fee Paid .....6� .........on... /....1............ TOWN_ OF BARNSTABLE Permit Approval� •�• BUILDING PERMIT -�o MV....21.a...............Pet.....�C�. ..»..................... APPLICATION Section 1-'Owner's Information and Project.Location Project Address Owners Name PAeCLKVC� Owners Legal Address P Qosm S C state A zip Owners Cell# .774- �0 9'�DoQ 0 0 - E-mail CJ a d Or Section 2—Use of Structure Use Group Commercial Structure over 35,000 cubic feet Commercial Structure under 35,000 cubic feet. ❑ ;Single/Two Family.Dwelling Section 3—Type of Permit ❑ New Construction ❑ Move/Relocate ❑ Accessory Stricture ❑ Change of use ❑ Demo/(entire structure) ❑ Finish Basement ❑ Family/Amnesty ❑ Fire Alarm Rebuild ❑ Deck Apartment © Sprinkler System ❑. Addition ❑ Retaining wall ❑ Solar LJ Renovation ❑ Pool ❑. Insulation Other—' Specify. Section 4-Work Description f ;1 'rv�� rev off. �o .r ` S,��a � .�i®ar� ��e! C2�1+'►� Hv f4 re\ at r Fi le, f2 kites � 'r �JA'C"Suppl.,4 Adr) vJ G�-il i C wJ-eS an Nam' fA T aRt m,dah!&2/9201 9 -Application Number.................................................... Section 5—Detail Cost of Proposed Construction F q06 Square Footage of Project JQ© S Age of Stivctuvre Dig Safe Number # Of Bedrooms Existing Total#Of Bedrooms(proposed) 110 MPH Wind Zone Compliance Method ❑ MA Checklist ❑ WFCM Checklist ❑ Design Section 6—Project Specifics Wiring ❑ Oil Tank Storage [ Smoke Detectors ❑ Plumbing ❑ Gas [�Fire Suppression ❑ Heating System 0 Masonry Chimney ❑Add/relocate bedroom Water supply --- ❑ Public ❑ Private Sewage Disposal ❑ Municipal "❑ On Site Historic District ❑ Hyannis Historic District ❑ Old Kings Highway Debris Disposal Facility. �yn� I am u1Sing a crane ❑ Yes E9 No Section 7—Flood Zone Flood Zone Designation Within or adjacent to a wetland, coastal bank? Yes F� No ❑ Section 8—Zoning Information 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 ❑ No Last=date&2/9/2019 Client#: 107877 ROBCO2 ACORD_ CERTIFICATE OF LIABILITY INSURANCE D10/24/2018 Y, THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT:If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement.A statement on this certificate does not confer any rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT Denise DeLeo PUTA-Eagle Insurance Group PHONE.. EI,NExt:508 692-6903 A/C,No): 866 676-9319 10 Commerce Way ADDRESS: denise.deleo@peoples.com Suite 3 Raynham, MA 02767 INSURER(S)AFFORDING COVERAGE NAIC# INSURER A:Selective Insurance Co of the Southeast 39926 INSURED INSURER B: - Robert Commercial Construction,Inc. INSURER C: 390 North Front Street New Bedford, MA 02746 INSURER D: INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT WITH [RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE ADDL SUBR POLICY EFF POLICY EXP LTR INSR WVD POLICY NUMBER MMIDDIYYYY MM/DDIYYYY LIMITS A X COMMERCIAL GENERAL LIABILITY X X S2334818 4/11/2016 04/11/2019 EACH OCCURRENCE $1,000,000 CLAIMS-MADE ❑X OCCUR PREMISES EaEoNccTuren"e $500,000 V MED EXP(Any one person) $15,000 PERSONAL&ADV INJURY $1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER GENERAL AGGREGATE $3,000,000 POLICY JECOT LOC PRODUCTS-COMP/OP AGG $3,000,000 OTHER $ A AUTOMOBILE LIABILITY X X A9106624 4/11/2018 04/11/2019 (Ea accident) LIMIT Ea - $1,000,000 _ ANY AUTO - BODILY INJURY(Per person) $ OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY(Per accident) $ X - HIRED NON-OWNED PROPERTY DAMAGE X AUTOS ONLY X AUTOS ONLY Per accident $ $ A X UMBRELLA LIAB X OCCUR X X S2334818 4/11/2018 04/11/2019 EACH OCCURRENCE s5,000,000 EXCESS LIAB CLAIMS-MADE AGGREGATE s5,000,000 DED I X1 RETENTION$0 $ WORKERS COMPENSATION PER OTH- AND EMPLOYERS'LIABILITY Y/N ST UT E ANY PROPRIETOR/PARTNER/EXECUTIVE EL EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? ❑ NIA (Mandatory in NH) - EL DISEASE-EA EMPLOYEE $. If yes,describe under DESCRIPTION OF OPERATIONS below EL DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space is required) Certificate of liability detailing the Workers Compensation coverage is attached separately. JKS Project#1901 CAPE COD HEALTHCARE MAINTENANCE, MULTIPLE LOCATIONS Dellbrook JK Scanlan and Cape Cod Healthcare are named as additional insureds on all policies exept WC on a primary,non-contributory basis as per policy terms and conditions,if required by a written contract.A (See Attached Descriptions) CERTIFICATE HOLDER CANCELLATION DeIIbrOOk/JK Scanlan LLC SHOULD ANY OF THE ABOVE.DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Kristin ACCORDANCE WITH THE POLICY PROVISIONS. 15 Research Road East Falmouth, MA 02536 AUTHORIZED REPRESENTATIVE ��,$ L�6t.�rilw c1�11/tllitic ©1988-2016 ACORD CORPORATION.All rights reserved. ACORD 26(2016/03), 1 of 2 The ACORD name and logo are registered marks of ACORD #S1013189/M984347 DMD'MA ,4cvRL7►� CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDDIYYYY) 10124/2018 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND, OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION 1S WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER 05203-006 NAME: 5203 5203/6/1" Peoples United Ins AgCy Inc AHC No.Ext): (508)65--5250 AIC.No.: 10 Commerce Way Suite 3 EMAIL Denise.Deleo@ eo les.com Raynham,MA 02767 ADDRESS: P P INSURERS AFFORDING COVERAGE- NAIC# INSURER A: A.I.M.Mutual Insurance Company 58 INSURED INSURER B Robert Commercial Construction Inc INSURER C 390 North Front Street iNSURERD: New Bedford, MA 02746 INSURER E INSURER F' COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD _ INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WTH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR ADDL SUBR - - POLICY EFF POLICY EXP LTR TYPE OF INSURANCE INSR WVD - POLICY NUMBER MM/DDIYYY MMIDDIYYYY LIMITS GENERAL LIABILITY - - EACH OCCURRENCE $ COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED $ PREMISES Ea occurrence CLAIMS-MADE OCCUR - _ MED EXP(Any one person) $ PERSONAL&ADV INJURY $ GENERAL AGGREGATE - $ EN'L AGGREGATE LIMIT APPLIES PER - PRODUCTS-COMPIOPAGG $ OLICY EO LOC - AUTOMOBILELIABILITY COMBINED SINGLE LIMIT $ " Ea accident ANY AUTO BODILY INJURY(Per person) - $ ALL OWNED SCHEDULED ) $Per accident AUTOS AUTOS BODILY INJURY( - HIRED AUTOS NON-OWNED PROPERTY DAMAGE $ AUTOS Per accident UMBRELLA LIAB OCCUR - EACH OCCURRENCE $ EXCESS LIAB CLAIMS MADE AGGREGATE $ - DED RETENTION S $ ' affR RS COMPENSATION X T RY LIIMITS OE R AND EMPLOYERS'LIABILITY A A P QT&J ./PARTNER/EXECUTIVE Y� E L.EACH ACCIDENT $ 1,000,600.00 (Mandatory MBEREXCLUDED� N N/A X VWC-100-6022185-2018A 411112018 41l112019 (Mandatory in NH) - E L.DISEASE-EA EMPLOYEE $ If yes RIPTION OF OPERATIONS below describe under - - E L.DISEASE-POLICY LIMIT $ 1,000,000.00 DESC - DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(Attach ACORD 101,Additional Remarks Schedule,if more space is required) Project#20-19-0001 -Cape Code.Healthcare Maintenance,27 Park Street,Hyannis,Ma 02601. The Waiver of our Right to Recover from Others Endorsement has been added as required by the signed written contract or agreement with the named insured and certificate holder. CERTIFICATE HOLDER CANCELLATION Dellbrook/JK Scanlan 15 Research Road SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE East Falmouth,MA 02536 THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE 1988-2010 ACORD CORPORATION.All rights reserved. ACORD 25(2010105) The ACORD name and logo are registered marks of ACORD 1 Client#:41064 2PAINTINGWA ACORD_ CERTIFICATE OF*LIABILITY INSURANCE DATEDIYYYY) 08115/215/2018 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT:If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must be endorsed.If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement.A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT NAME: Dowling&O'Neil Insurance Agy HONK Ext:508 775-1620 alc,No): 5087781218 973 lyannough Road E-MAIL P.O.Box 1990 ADDRESS: INSURER(S)AFFORDING COVERAGE NAIC It Hyannis,MA 02601 INSURER A:NGM Insurance Company 14788 INSURED INSURER B:NorGuard Insurance Company 31470 Painting&Wallcovering by McDonnell,Inc. INSURER C 119 Clearwater Drive INSURER D: Harwich, MA 02645-2901 INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACTOR 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. LTR TYPE OF INSURANCE ADDL SUER POLICY EFF POLICY EXP INSR WVD POLICY NUMBER MMIDD/YYYY) (MMIODfYYYY3 LIMITS. A GENERAL LIABILITY X X MPP6379F 1/01/2018 01/01/2019 EACH OCCURRENCE $1000000 X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED . PREMISES Ea occurrence $SOO,000 CLAIMS-MADE FX1 OCCUR MED EXP(Any one person) $10,000 X PD Ded:250 PERSONAL&ADV INJURY $1,000,000 X XCU Included - GENERALAGGREGATE $2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER PRODUCTS-COMFJOP AGG $2,000,000 _ POLICY X JECTPRO X LOC $ A AUTOMOBILE LIABILITY X X M1 P6379F 1/01/2018 01/01/2019 CO.c.den SINGLE LIMIT LMBI ED $1,000,000 IXANY AUTO BODILY INJURY(Per person) $ ALL OWNED Ix SCHEDULED BODILY INJURY(Per accident) $ AUTOS AUTOS HIRED AUTOS NON-OWNED PROPERTY DAMAGE $1,000,000 AUTOS Per accident A X UMBRELLA LIAB X OCCUR X X CUP6379F 1/01/2018 01/01/2019 EACH OCCURRENCE $5 000 000 EXCESS LIAB CLAIMS-MADE AGGREGATE s5,000,000 DED I X RETENTION$10000 $ B WORKERS COMPENSATION PAWC964880 1/01/2018 01/01/2019 X TORYTLMITs I ERH AND EMPLOYERS'LIABILITY Y/N ANY PROPRIETOR/PARTNER/EXECUTIVE EL EACH ACCIDENT $1,000,000 OFFICER/MEMBER EXCLUDED? N N/A (Mandatory in NH) E L DISEASE-EA EMPLOYEE $1,000,000 If yes,describe under L ION OF OPERATIONS below E L DISEASE-POLICY LIMIT $1,000,000 tors Equip MPP6379F 1/01/2018 01/01/2019 $25,000 tion $10,000 DESCRIPTION OF OPERATIONS/LOCATIONS I VEHICLES(Attach ACORD 101,Additional Remarks Schedule,if more space is required) Project:#1812-CCH Linac Room 2 Upgrade;27 Park Street, Hyannis-, MA 02601 Dellbrook/JK Scanlan,Cape Cod Healthcare Inc.and any other party as required by the written contract between Dellbrook JK Scanlan and the Project Owner are named as additional insured on the general,auto and excess/umbrella liability policies on a primary and noncontributing basis,and shall be for the duration of the contract including the Completed Operations period.Waiver of Subrogation applies to all policies as (See Attached Descriptions) CERTIFICATE HOLDER CANCELLATION DeIIbrOOk Construction LLC SHOULD ANY.OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN dba Delibrook/JKS c/o: myCOI ACCORDANCE WITH THE POLICY PROVISIONS. 1075 Broad Ripple Avenue, Suite 313 AUTHORIZED REPRESENTATIVE Indianapolis,IN 46220 _ ©1988-2010 ACORD CORPORATION.All rights reserved. ACORD 25(2010/05) 1 of 2 The ACORD name and logo are registered marks of ACORD #S217365/M217358 RPCC1 A6® CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDOD 8YY) THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER NAME cT Barbara J LeBlanc Eastern Insurance Group LLC PHONE FAx 500 Forest Avenue AIc No Ext:508-923-2443 a/c No:781-598-8445 Brockton MA 02301 E-MAIL-ADDRESS: BLeBlanc@easterninsurance.com INSURERS AFFORDING COVERAGE NAIC# INSURER A:Charter Oaks Fire 25615 INSURED 189870 INSURER B:The Travelers IndemnityCompany Of America 25666 Glynn Electric, Inc. Glynn Fire Protection Inc. INSURERC:The Travelers Indemnity Company Of Connecticut 25682 70 Industrial Park Road INSURERD:Travelers Prop&Casualty Amer 25674 Plymouth MA 02360-4892 INSURER E:Trav Ind of CT 25682 INSURER F: COVERAGES CERTIFICATE NUMBER:557221174 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. IN SIR I ICY EXP LTR TYPE OF INSURANCE ADS L WVDSUBRI POLICY NUMBER MWDD/YYYY MMIPOLICY EFF LDDIYYYY LIMITS A GENERAL LIABILITY Y Y C031<70528A 1/1/2018 1/1/2019 EACH OCCURRENCE $1,000,000 X COMMERCIAL GENERAL LIABILITY PREMIDAMAGE RENTED r - PREMISESS(Ea occurrence) $300,000 CLAIMS-MADE Fx]OCCUR MED EXP(Any one person) $5.000 PERSONAL&ADV INJURY $1,000,000 GENERAL AGGREGATE $2,000,000 GEN'L AGGREGATE LIMIT.APPLIES PER PRODUCTS-COMPiOP AGG $2,000,000 POLICY X JECT LOC $ PRO- B AUTOMOBILE LIABILITY Y Y 8103K316666 1/1/2018 1/l/2019 COMBINED SINGLE_IMIT Ea accident $1 000 000 Ix ANY AUTO BODILY INJURY(Per person) $ALLOWNED SCHEDULED AUTOS AUTOS BODILY INJURY(Per accident) $ PROPERTY HIRED AUTOS Ix AUTOS EO Perm cdenDAMAGE $ C X UMBRELLA LIAB I X OCCUR Y Y CUP3K732938 111/2018 1/12019 EACH OCCURRENCE $10,000,000 EXCESS LIAB CLAIMS-MADE AGGREGATE $10,000,000 DED I X I RETENTION$0 $ E WORKERS COMPENSATION Y UB3K704755 1/12018 1/12019 X WCSTATU- OTH- AND EMPLOYERS'LIABILITY. Y/N . ANY PROPRIETOR/PARTNER/EXECUTIVE E L EACH ACCIDENT $500,000 OFFICER/MEMBER EXCLUDED ❑N N/A (Mandatory in NH) E L DISEASE-EA EMPLOYE $500,000 If yes,describe under DESCRIPTION OF OPERATIONS below E L DISEASE-POLICY LIMIT $500,000 D Equipment Floater 6604K248208 TIL-18 1/12018 1/12019 Rental Equipment 110,000 A Stored Material CO3K70528A 1112018 1/12019 Any Jobsrte/rransd 1,000,000 Limited Pollution Pollution 500,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(Attach ACORD 101,Additional Remarks Schedule,If more space is required) Additional Insured status is provided when required by written contract on the General Liability per GL form CGD6040813 which includes ongoing and completed operations,Automobile and Umbrella on a Primary and Non-contributory basis.Waiver of Subrogation applies in favor of Additional Insureds on all policies. STORED MATERIAL LIMIT IS INCLUDED UP TO 1,000,000 RE: Glynn Job#18DK19 DellbrookJKS Job#1835 Rogers Roof&Maintenance Dellbrook/JK Scanlan,Cape Cod Healthcare,Inc.,and any other party as required by written contract between Dellbrook JK Scanlan and the Project owner are additional insured on a primary and non-contributory basis where required by written contract on the Automobile,General Liability and Umbrella policies. 30 Days notice of cancellation will be provided to Dellbrook JK Scanlan CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Dellbrook Construction dba Dellbrook/JKS ACCORDANCE WITH THE POLICY PROVISIONS. C/o my COI 1075 Broad Ripple Ave. AUTHORIZED REPRESENTATIVE Suite 313 Indianapolis IN 46220 r ©1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25(2010/05) The ACORD name and logo are registered marks of ACORD Client#: 10383 ENVIRSYS DATE(MMIDDIYYYY) ACORDTii CERTIFICATE OF LIABILITY INSURANCE 10/03/2018 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE'.HOLDER. IMPORTANT:If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must be endorsed.If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement.A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT Sandy Benigno Starkweather&Shepley PHONE FAX AIC No,Ext:401 435-3600 AIc,No: 401-431-9678 PO Box 549 E-MAIL b seni no/,�sarse ADDRESS: g t h p•com Providence, RI 02901-0549 401 435-3600 INSURER(S)AFFORDING COVERAGE NAIC# INSURER A:Liberty Mutual Ins Co 23043 INSURED INSURER B:Travelers Insurance Company - 25674 Environmental Systems, Inc. INSURER c:Associated Employers Ins cmAIM 11104 6 Howard Ireland Drive INSURER D:Houston Casualty Co Attleboro, MA 02703-0037 INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACTOR 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. LT R TYPE OF INSURANCE ADDL SUBR POLICY EFF POLICY EXP LTR INSR WVD POLICY NUMBER MMIDDIYYYY MMIDDIYYYY LIMITS A X COMMERCIAL GENERAL LIABILITY Y Y TB2Z11 B79B5L017 12131/2017 12/31/2018 EACH OCCURRENCE $1 000,000 NTED CLAIMS-MADE �X OCCUR occurrence)PREMISESa $100,000 X MED EXP(Any one person) $5,000 PERSONAL&ADV INJURY $1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER I GENERAL AGGREGATE $2,000,000 POLICY FX ECT I A I LOC PRODUCTS-COMP/OP AGG $2,000,000 OTHER $ A AUTOMOBILE LIABILITY Y Y AS2Z11B79B5L027 12/31/2017 12/31/2018 Ea INED accident SINGLE LIMIT $1,000,000 rX, ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED - BODILY INJURY(Per accident) $ AUTOS AUTOS NON-OWNED - PROPERTY DAMAGE HIRED AUTOS X AUTOS Per accident $ $ g UMBRELLA LIAB X OCCUR Y Y ZUP15T7008117NF 12/31/2017 12/3112018 EACH OCCURRENCE $10 000 000 EXCESS LIAB CLAIMS-MADE AGGREGATE $10 000 000 DED I X RETENTION$10 000 $ C WORKERS COMPENSATION Y MCC20020005282018A 01/01/2018 01/01/201 X PER oTH- AND EMPLOYERS'LIABILITY TUTE ER YIN ANY PROPRIETOR/PARTNER/EXECUTIVE EL EACH ACCIDENT $1,000,000 OFFICER/MEMBER EXCLUDED? � N I A (Mandatory in NH) EL DISEASE-EA EMPLOYEE $1,000,000 If yes,describe under DESCRIPTION OF OPERATIONS below - EL DISEASE-POLICY LIMIT $1,000,000 D Professional Liab HCC1822839 1/01/2018 01/01/2019 $2,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(ACORD 101.,Additional Remarks Schedule,may be attached if more space is required) NH WC-Associated Employers Ins Co/AIM WMZ80080072152018A Eff Date:01/01/2018 Exp Date:01/01/2019 WC Each Accident Limit:$11000,000 WC Policy Limit:$1,000,000 WC Each Employee Limit:$1,000,000 (See Attached Descriptions) CERTIFICATE HOLDER CANCELLATION DeIIbrOOk Construction LLC SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN DBA Dellbrook/JKS ACCORDANCE WITH THE POLICY PROVISIONS. 15 Research Road East Falmouth, MA 02536 AUTHORIZED REPRESENTATIVE ©1988-2014 ACORD CORPORATION.All rights reserved. ACORD 25(2014/01) 1 of 2 The ACORD name and logo are registered marks of ACORD #S1199480/M1068618 SSB e YANKSPR-01 MVERTENTES ACORO CERTIFICATE OF LIABILITY INSURANCE D 10 09/201 YY, 10I09/2018 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE,A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy,certain.policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER License#1780862 CONTACT Amanda Pepin HUB International New England PHONE FAX 222 Milliken Boulevard (A/C,No,Ext):(508)235-2274 (A/C,No): Fall River,MA 02721 .E-MAIL amanda. a in@hubinternational.com ADDRESS: P P INSURERS AFFORDING COVERAGE ' NAIC# INSURER A:Navigators Insurance Company - 42307 INSURED INSURER B:Arbella Protection Insurance Company 41360 Yankee Sprinkler Co.,Inc. INSURER C:Independence Casualty Insurance Company 11984 612R Plymouth Street-Suite#1 INSURER D:Hanover Insurance Company 22292 East Bridgewater,MA 02333 INSURER E:Indian Harbor Insurance Company 36940 INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE ADDL SUBR POLICY NUMBER POLICY EFF POLICY EXP - LIMITS LTR INSD WVD MMIDD/YYYY MM/DD/YYYY A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS-MADE 1KOCCUR X X NY18CGL1858411C 05/14/2018 05/14/2019 DAEMI8ET Ea NTTurrDence $ 100,000 _PRX BI/PD Ded:10,000 5,000 MED EXP An one person) $ PERSONAL&ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER GENERAL AGGREGATE $ 2,000,000 POLICY�JECT LOG - .PRODUCTS-COMPlOPAGG $ 2,000,000 OTHER $ B AUTOMOBILE LIABILITY C Ea accdent OMBINED SINGLE LIMIT 1,000,000 .$ X ANY AUTO X X 1020064626 06/14/2018 05/14/2019 BODILY INJURY Pe'rperson) $ OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY Per accident $ AS AONL� PROPERTY ONLY AUTOS (per ,et $ X Drive Oth Car A UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 10,000,000 X EXCESS LIAB CLAIMS-MADE X X NY18EXC7265491C 05/14/2018 05/14/2019 AGGREGATE $ 10,000,000 DED RETENTION S $ C WORKERS COMPENSATION X PER OTH- AND EMPLOYERS'LIABILITY STATUTE ER ANY PROPRIETOR/PARTNER/EXECUTIVE YIN X WCI0012050305/14/2018 05/14/2019 1,000,000 OFFICER/MEMBER EXCLUDED9 ❑N N I A E L EACH ACCIDENT $ (Mandatory in NH) EL DISEASE-EA EMPLOYEE $ 1,000,000 If yes,describe under 1,000,000 DESCRIPTION OF OPERATIONS below EL DISEASE-POLICY LIMIT $ D Inland Marine REIN 954793207 06/14/2018 05114/201: Leased/Rented Equip. 50,000 E Prof./Pollution PECO03760006 06/14/2018 05/14/201Includes Mold 2,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space is required) Re:20-18-0030-Rogers Outpatient Center 5 Industrial Dr.,Mashpee,MA Dellbrook I JK Scanlan,Cape Cod Healthcare,Inc.and all other parties as required by the written contract with JK Scanlan are included as Additional Insureds on a primary and noncontributory basis where required by written contract,with respect to the Automobile,General and Umbrella/Excess Liability policies. General Liability policy includes coverage for XCU.No Residential Exclusion.A Waiver of Subrogation applies in favor of the additional insureds where required by written contract with respect to the Workers Compensation,Automobile,General Liability and Umbrella/Excess Liability policies.Contractual Liability Applies.Umbrella Liability is excess over Automobile,General and Excess Liability policies.30 Day notice of cancellation will be provided to` Dellbrook on Automobile,General,Umbrella/Excess Liability and Pollution policies.Insured will provide 30 day notice of cancellation with respect to Workers Compensation. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Dellbrook Construction LLC dba Dellbrook JKS THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. C/o myCOI 1076 Broad Ripple Ave.,Suite 313 Indianapolis,IN 46220 AUTHORIZED REPRESENTATIVE ACORD 25(2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD ,aco CERTIFICATE OF'LIABILITY INSURANCE DATE(MM/DD""") 1 1 10/16/2018 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT NAME: Ste hen Turner Alliant Insurance Services, Inc., PHONE FAX 131 Oliver Street,4th Floor A/C No Ext:617-535-7200 A/C No):617-535 7205 Boston MA 02110 ADUDARESS, sturner@alliant.com INSURER(S)AFFORDING COVERAGE, - NAIC# INSURER A:Starr Indemnity&Liability Company 38318 INSURED INSURER B:Federal Insurance Company 20281 Dellbrook JK Scanlan One Adams Place INSURER C:Executive Risk Indemnity Inc 35181 859 Willard Street INSURERD:Navigators Insurance Company 42307 Quincy MA 02169 R INSURER E INSURER F: COVERAGES CERTIFICATE NUMBER:1033386267 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE ADDL SUBR POLICY EFF POLICY EXP LTR D POLICY NUMBER MM/DD/YYYY MMIDD/YYYY LIMITS C X COMMERCIAL GENERAL LIABILITY 54309739 7/1/2018 7/1/2019 EACH OCCURRENCE $1,000,000 ' CLAIMS-MADE FxI OCCUR DAMAGE—TO RENTED PREMISES Ea occurrence $300,000 X XCU MED EXP(Any one person) $10,000 X Contractual PERSONAL&ADV INJURY $1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $2,000,000 POLICY F JECTPRO- LOC' PRODUCTS-COMP/OP AGG $2,000,000 OTHER: $ B AUTOMOBILE LIABILITY - 54309738 7/1/2018 7/1/2019 COMBINED SINGLE LIMIT $1,000,000 Ea accident X ANY AUTO BODILY INJURY(Per person) $ OWNED SCHEDULED BODILY INJURY Per accident $ AUTOS ONLY AUTOS ( ) HIRED NON-OWNED PROPERTY DAMAGE $ AUTOS ONLY AUTOS ONLY Per accident A UMBRELLA LIAB X OCCUR 1000584533181 7/1/2018 7/12019 EACH OCCURRENCE $10,000,000 X EXCESS LIAB CLAIMS-MADE AGGREGATE $10,000,000 DED RETENTION$ - $ B WORKERS COMPENSATION 54309740 7/1/2018 7/1/2019 X PER OTH- AND EMPLOYERS'LIABILITY Y/N STATUTE ER ANYPROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $1,000,000 OFFICER/MEMBEREXCLUE N/A (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $1,000,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $1,000,000 D Excess Liability IS18EXC7114561V 7/1/2018 7/1/2019 Each Occurrence 15,000,000 Aggregate 15,000,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,maybe attached if more space is required) Re:JKS Job#1901,2019 Cape Cod Healthcare Maintenance-Any Location Owned by Cape Cod Healthcare,Inc. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. Cape Cod Healthcare, Inc. 27 Park Street Hyannis, MA 02601 AUTHORIZED REP ESENTATIVE x ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD The Commonwealth of Massachusetts Department of Industrial Accidents 1 Congress Street, Suite 100 Boston,MA 02114-2017 www.mass.gov/dia Workers'Compensation Insurance Affidavit:Builders/Contractors/Electricians/Plumbers. TO BE FILED WITH THE PERMITTING AUTHORITY. Applicant Information Please Print Legibly Name (Business/Organization/Individual):Dellbrook X Scanlan Address: 15 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): I.®1 am a employer with employees(full and/or part-time).* 7. ❑New construction 2.❑I am a sole proprietor or partnership and have no employees working for me in 8. ✓❑Remodeling any capacity.[No workers'comp.insurance required.] 9. El Demolition 3.M 1 am a homeowner doing all work myself.[No workers'comp.insurance required.]t 10 ❑Building addition 4.❑I am a homeowner and will be hiring contractors to conduct all work on my property. I will ensure that all contractors either have workers'compensation insurance or are sole I I.❑Electrical repairs or additions proprietors with no employees. 12:Q Plumbing repairs or additions 5.r,/l 1 am a general contractor and I have hired the sub-contractors listed on the attached sheet. 13.❑ p Roof repairs These sub-contractors have employees and have workers'comp.insurance.t 6.❑We are a corporation and its officers have exercised their right of exemption per MGL c. 14.❑Other 152,§1(4),and we have no employees.[No workers'com-3.insurance required.] *Any applicant that checks box#I must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. $Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name:Federal Insurance Company Policy#or Self-ins.Lic.#:54309740 Expiration Date:7/1/19 Job Site Address:60 Park Street City/State/Zip:Hyannis, MA 02601 Attach a copy of the workers'compensation policy declaration 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$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.A cop of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify un r"the ins an a alties of perjury that the information provided bove is rrue and correct. Signature: Date: Phone#:508-540-6226 Official use only. Do not write in this area,to be completed by city or town official. City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: Town of Barnstable Regulatory Services LRAHMAIM ' s Richard V.Sca14 Director. Building Division, Paul Roma,Building Comatissloner 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-8624038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Usirw A Builder I Michael Bachstein as Owner,of.the subject property hereby authorize DellbrooklJKS to act on my beh A in all matters relative to work authorized by this building permit application for. 60 Park Street, Hyannis, 2nd Floor Renovation (Address of Job) **Pool fences and alarmns are the responsibility of the applicant Pools` are not.to be filled or utilized before fence is installed and all finat inspe a ed and accepted. S' ture of Owner. � Signature of A plicant Print Name Priat Name Massachusetts Department of Public Safety r Board of BuildingRegulations egulations and Standards License: CS-109375 Construction"Supervisor ` KELSEY HOLT 732 ELM STREET i EAST BRIDGEWATER MA 02333 Expiration: Commissioner 06/25/2019 Construction.Supervisor Restricted to: Unrestricted-Buildings of any use group which contain less.than 35,000 cubic feet(991 cubic meters)of enclosed space. Failure to possess a current edition of the Massachusetts State Building Code is cause for revocation of this license. DPS Licensing information visit:",WWW.MASS.GOV/DPS A DELLBROOK j KS 1/11/2019 Building Department Town of Barnstable 200 Main Street Hyannis, MA 02601 Re: Cape Cod Healthcare Maintenance To Whom It May Concern: f am writing to inform you that Kelsey Holt (CS-109375) is an employee of Dellbrook JKS and has authority to request a building permit on behalf of Dellbrook JKS. If you have any questions, please do not hesitate to contact me at 781-380-1675 Sincerely, Dellbrook7K Mike Fish President/C.E.O. I QuiNCYOFRCE: 859 Willard-Street,One Adams Plate,Quincy,MA O2169 t:781:380.1675 €:781.380.1616 FALMouTH OMCE: 15 Research Road,East Falmouth,MA o2536 t 508.S4b.62z6 f:5o8.540.9222 MEDCOM Existing Building Code Review ARCHITECTURAL GROUP Date: January 9, 2018 To: Barnstable Building Department From: MEDCOM Architectural Group, LLC Project: Cape Cod Healthcare 60 Park Street Hyannis, MA 02061 Existing Building Code Review Preface: The proposed work within the space includes renovations and reconfiguration of less than 50% of the building aggregate area. We have reviewed the existing structure and have determined that the work qualifies for Level 2 Alteration requirements of the International Existing Building Code. Relevant Codes: 2015 International Building Code (IBC-2015) 2015 International Existing Building Code (IEBC-2015) Chapter 8 Alterations Level 2 2015 International Energy Conservation Code MEDCOM Architectural Group, LLC Cape Cod Healthcare 60 Park Street Hyannis, MA 02061 Existing Building Code Review Page 2 Applicable Code Sections: Chapter 8-Alterations —Level 2 701 General 801.2 Alteration Level One compliance, in addition to chapter 8, all work shall comply with the requirements of chapter 7, Level 1 Alterations. See below items 702.1 through 705. 801.3 All new construction elements, components, systems and spaces shall comply with the code for new construction. Chapter 7-Alterations —Level 1 701 General 702.1 Interior Finishes shall comply with Chapter 8 of the International Building Code with Massachusetts amendments. 702.2 Interior Floor Finish,, including carpeting shall comply with section 804 of the International Building Code and Massachusetts amendments. 702.3 Interior Trim shall comply with 806 of the International Building Code and,Massachusetts amendments. 703 Fire Protection 703.1 Alterations shall be done in a manner that maintains the level of fire Protection provided. 704 Means of Egress 704.1 Repairs shall be done in a manner that maintains the level of protection provided for the means of egress. MEDCOM Architectural Group, LLC Cape Cod Healthcare 60 Park Street Hyannis, MA 02061 Existing Building Code Review Page 3 705 Accessibility The existing building is'accessible. All new work will comply with 521 CMR Architectural Access Board. 706 Structural 706.1 Where alteration work includes replacement of equipment that is Supported by the building or where a reroofing permit is required, the provisions of this section apply. No new mechanical equipment. 707 Energy Conservation 707.1 Level 1 alterations to existing buildings or structures are permitted without requiring the entire building or structure to comply with the energy requirements of the International Energy Code. Chapter 8-Alterations —Level 2 Continued 803 Building Elements and Materials 803.4 Interior Finish The interior finish materials will comply with the code for new construction. 804 Fire Protection Building is fully sprinkled in accordance with NFPA 13. Building is fully alarmed with an addressable system. 805 Means of Egress The building means of egress has been based upon the code for New construction with regards to occupant load, number of exist, travel distance, stair and door widths, railings and guards. MEDCOM Architectural Group,LLC r Cape Cod Healthcare 60 Park Street Hyannis, MA 02061 Existing Building Code Review Page 4 806 Accessibility The existing building is accessible. All new work will comply with 521 CMR Architectural Access Board. 807 Structural 807.2 All new structural loads and elements, including connections and anchorage shall comply with the 2015 International Building Code. 807.5 ExistingStructural elements resisting lateral loads. 9 There are no additional lateral loads being applied to the structure. No new mechanical equipment 808 Electrical 808.1 All newly installed electrical equipment and wiring relating to the Work done in any area shall comply with the applicable requirements of NFPA 70 except as provided in section 808.3 809 Mechanical 809.1 All reconfigured spaces intended for occupancy and all spaces converted to habitable or occupiable space in any work area shall be provided with natural or mechanical ventilation in accordance with the International Mechanical Code. I MEDCOM Architectural Group, LLC r Cape Cod Healthcare 60 Park Street Hyannis, MA 02061 Existing Building Code Review Page 5 809.2 In Mechanically ventilated spaces, existing mechanical ventilation systems that are altered, reconfigured, or extended shall provide not less than 5 cubic feet per minute (CFM) (.0024 m3/s) per person of outside air and not less than 15 cfm (.0071 m3/s of ventilation air per person, or not less than the amount of ventilation air determined by the indoor air quality procedure of ASHRAE 62. 810 Plumbing 810.1 Minimum Fixtures Where the occupant load of the story is increased by more than 20 percent, plumbing fixtures for the story shall be provided in quantities specified in 248 CMR. No increase in Occupancy Fixtures counts comply with 248 CMR. 811 Energy Conservation 811.1 Minimum requirements. Level 2 alterations to existing buildings or structures are permitted without requiring the entire building or structure to comply with the energy requirements of the International Energy Conservation Code. The alterations shall conform to the requirements of the International Energy Conservation.Code. � rt��k4ti s r� r F.- Gregory B. Siroonian Date: 1-09-2019 MEDCOM Architectural Group,LLC Initial Construction Control Document u To be submitted with the building permit application by a Registered Design Professional for work per the 9th edition of the Massachusetts State Building Code, 780 CMR, Section 107 Project Title: Cape Cod Healthcare Date:1-9-2019 Property Address: 60 Park Street Project: Check(x) one or both as applicable: New construction X Existing Construction Project description: Office Renovation I Gregory B. Siroonian MA Registration Number: 9748 Expiration date: 8/31/2019 , 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 X Fire Protection X Electrical Other: for the above named project and that to the best of my knowledge, information,and belief such plans,computations and specifications meet the applicable provisions of the Massachusetts State Building Code, (780 CMR), and accepted engineering practices for the proposed project. I understand and agree that I(or my designee) shall perform the necessary professional services and be present on the construction site on a regular and periodic basis to: 1. Review, for conformance to this code and the design concept, shop drawings, samples and other submittals by the contractor in accordance with the requirements of the construction documents. 2. Perform the duties for registered design professionals in 780 CMR Chapter 17,as applicable. 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'. "nl'' a r . Enter in the space to the right a"wet"or electronic signature and seal: . Phone number: 508 759 9828 Email: gbs@MEDCOMarch.com Building Official Use Only Building Official Name: Permit No.: Date: Version 06 11 2013 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 06112013 . To�L ✓,qy �� pp A lication Number.........:.............. - Section 9- Construction Supervisor Name_Vzbe� Yto 4 Telephone Number 57e)Zr 2" T7 q(D Address 3oZ On 5�-6'P&2 - - City fE ve" State MA Zip 093 3 3 License Number6.-10�3`7!) License Type UAR TCWExpiration.Date ato a�l.ad�e Contractors Email 6 }-0 belIM00Y.ZK S.C jOA j Cell# SCF-ISn-I qq Q 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 documentation required by 780 . �dp Town of Barnstable.Attach a copy of your license. F Signature ' Date Section-10—Home Improvement Contractor Name Telephone Number Address City State zip Registration Number Expiration Date I understand my responsibilities under the rules and regulations for Home Improvement Contractors in accordance with 780 CMR the Massachusetts State Building Code. I understand the construction inspection procedmues,specific inspections and documentation required by 780 CMR and the Town of Bamstable:Attach a copy of your H.I.C... Signature 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 documentation required by 780 CMR and the Town of Barnstable. Signature Date APPLICANT SIGNATURE Signature '`j Aet ,, Date 9 17 1`q 1 Print Name ko6Ef-+ r 1:2 Telephone Number E-mail permit to: CP Detk'oo'Y- - -S , Cam I a Section 12 —Department Sign-Offs Health Department ❑ Zoning Board Cif required) ❑ ❑ site Plan Review if ❑ Historic District S C �� I3isto Fire Department k ❑ Conservation- ❑ ` For commercial work,please take your plans directly to the fire deparbnent for approval Section 13— Owner's Authorization L , as Owner of the-subject property hereby authorize bell babble TY-. -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 + Last=dated:2192018 Town of Barnstable Building Post This Gard SoThat rt`isVisible_From ihe,Street.,:A moved:glans Mustsbe°Retained on,J.ob antl§thisnCard Mu"st'be Kept : 1639. BAttNf3'CAfi1.15. ,�' „' . `' ps r ', • Posted Until;Final Inspection Has Been Made ? �� Peinir Where a Certificate of OccupancyissRequred,such Building shall Not be Occup�ed�untiha Final}Inspection has been made Permit No. B-18-3171 Applicant Name: MOSES.M CORDEIRO Approvals Date Issued: 10/25/2018 Current Use: Structure P6'mit Type: Building Alteration INTERIOR Work Only Expiration Date: 04/25/2019 Foundation: Commercial Map/Lot 342 003-OOA Zoning District: MS Sheathing: Location: 60 UNIT A PARK STREET,HYANNIS Contractor„Name : ,MMOSES M CORDEIRO Framing: 1 Owner on Record: CAPE COD HOSPITAL Contractor L+censei CS-074674 2 Address: 27 PARK STREET - ��` Est Project Cost: $5,000.00 Chimney: HYANNIS, MA 02601 Permit Fee: $235.00 Description: Build a New Reception Window and remove wall r Insulation: Fee Paid:r $235.00 Project Review Req: Date 10/25/201.8 final 61 2 " ' -- Plumbing/Gas ' Rough Plumbing: A., Building Official k Final Plumbing: ' Rough Gas: This permit shall be deemed abandoned and invalid unless the work authorized.by this per roil is commenced within six months after issuance. All work authorized by this permit shall conform to the approved appl cation:and the approved construction documents-for which this permit has been granted.. Final Gas: All construction,alterations and changes of use of any building and str:"uttures;shall be incompliance with the local zoning by laws and codes. This permit shall,be displayed in a location clearly visible from access street or road and shall be maintained open for public inspectio°n for the entire duration of the Electrical work°;until the completion of the same. a ' Service: The Certificate of Occupancy will not be issued until all applicable signatures by the Buildirig d'Fire Officials are provded on this permit. Minirnum of Five Call Inspections Required for All Construction Work Rough: tW 1.Foundation or Footing 2.Sheathing Inspection Final: 3.All Fireplaces must be inspected at the throat level before firest flue lining is installed 4.Wiring&Plumbing Inspections to be completed prior to frame Inspection Low Voltage Rough: 5.Prior to Covering Structural Members(Frame Inspection) 6.Insulation Low Voltage Final: 7.Final Inspection before Occupancy Health Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Final: Work shall not proceed until the Inspector has approved the various stages of construction. Fire Department "Persons con with unregistered contractors do not have access to the guaranty fund" (as set forth in MGL c.142A). Final: Building plans are to be available on site All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT AppEcadCM . .. � ` Pc=ft Fee................ ..:...............0d=Fee.. ........... �'� �5� J7 TaRal Fa Paid:......... ........ ... TOWN OF BARNSTABLE Permit Approval by.:................................os..�O.�?.. . BUIIIDING PERMIT ... ��... ...... ., .. ..................� APPLICATION Section 1` Owner's Information and Project Location Project Address Owners Name Owners Legal Address city � Zip oaf©1 Owners Cell# ��Ir ��aq� � � E-mail_ - Section 2--Use of Structure Use Group ❑ Commercial Structure over 35,000 cubic feet Commercial Structure under 35,000 cubic feet t ❑ Single!Two Family Dwelling h Section 3—Type of Permit .. ❑ New Conshuction ❑ Move/Relocate ❑ Accessory Structure ❑ Change of use ❑ Demo/(emus structure) ❑ Finish Basement ❑ Family/Amnesty ❑ Fire Alarm Rebuild ❑ Deck Apartment ❑ Sprinkler System ❑_ Addition [] Retaintatg wall [] Solsr lid i Enovadon ❑ Pool ❑ Insulation Other—S uiLb1MG DEPT Section 4-Work DescriptionJ SAP 25 2Q1Q Rol NSTl1RLF Trd 2/9/2019 P i i Application Number.................................................... Section 5—Detail i Cost of Proposed Construction 000 Square Footage of Project Age of Structure Dig Safe Number # Of Bedrooms Existing Total#Of Bedrooms (proposed) 110 MPH Wind Zone Compliance Method ❑ MA Checklist ❑ WFCM Checklist ❑ Design Section 6—Project Specifics Wiring ❑ Oil Tank Storage - ❑ Smoke Detectors ❑ Plumbing ❑ Gas 2-tire Suppression ❑ Heating System ❑ Masonry Chimney ❑Add/relocate bedroom i Water Supply ❑ Public ❑ Private Sewage Disposal ❑ Municipal ❑ On Site j Historic District ❑ Hyannis Historic District ❑ Old Kings Kighway Debris Disposal Facility: OA ��^�-Q c��v'Pg` l . I am using a crane ❑ Yes (D% Igo Section 7—Flood Zone Flood Zone Designation Within or adjacent to a wedand, coastal bank? Yes ❑ No ❑ Section 8—Zoning Information Zoning District i. 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 ❑ No Ter+—A. t..t• )ionn14 l _ Initial Construction Control Document z W To be submitted with the building permit application by a Registered Design Professional for work per the 9th edition of the Massachusetts State Building Code, 780 CMR, Section 107 Project Title: Cape Cod Healthcare Office Renovations Date:9-17-2018 Property Address: 60A Park Street Project: Check(x) one'or both as applicable: New construction X Existing Construction Project description: Build new Reception Window and Remove Wall. I Gregory B. Siroonian MA Registration Number: 9748 Expiration date: 8/31/2019 , am a registered design professional, and I have prepared or directly supervised the preparation of all design plans,computations and specifications concerning': X Architectural Structural Mechanical X Fire Protection X Electrical Other: for the above named project and that to the best of my knowledge,information,and belief such plans,computations and specifications meet the applicable provisions of the Massachusetts State Building Code, (780 CMR), and accepted engineering practices for the proposed project. I understand and agree that I(or my designee) shall perform the necessary professional services and be present on the construction site on a regular and periodic basis to: 1. Review,for conformance to this code and the design concept, shop drawings, samples and other submittals by the contractor in accordance with the requirements of the construction documents. 2. Perform the duties for registered design professionals in 780 CMR Chapter 17,as applicable. 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'. N Enter in the space to the right a"wet"or electronic signature and seal: Phone number: 508 759 9828 Email: gbs@MEDCOMarch.com Building Official Use Only Building Official Name: Permit No.: Date: Version 06 11 2013 f♦ , .f Note 1.Indicate with an`x'project design plans,com utations and specifications that you prepared or directly supervised.If`other'is chosen, P J �P � P P Y P P Y P provide a description. Version 06 11 2013 u The Commonwealth of Massachusetts Department of Industrial Accidents 1.Congress Street, Suite 100 Boston,MA 02114-2017 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers. TO BE FILED WITH THE PERMITTING AUTHORITY. Applicant Information Please Print Legibly Name (Business/Organization/Individual):Dellbrook.JK Scanlan Address: 15 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): L❑I am a employer with employees(full and/or part-time).* 7. ❑New construction 2. I am a sole proprietor or partnership and have no employees working for me in ❑ 8. ✓❑Remodeling any capacity.[No workers'comp.insurance required.] 9. El Demolition 3T�I am a homeowner doing all work myself.[No workers'comp.insurance required.]t 10 ❑Building addition 4.F11 am a homeowner and will be hiring contractors to conduct all work on my property. 1 will ensure that all contractors either have workers'compensation insurance or are sole I I.[]Electrical repairs or additions proprietors with no employees. 12.❑Plumbing repairs or additions 5Q I am a general contractor and I have hired the sub-contractors listed on the attached sheet. 13.� p Roof repairs These sub-contractors have employees and have workers'comp.insurance.: 6.F1 We are a corporation and its officers have exercised their right of exemption per MGL c. 14.❑Other 152,§1(4),and we have no employees.[No workers'comp.insurance required.] *Any applicant that checks box#I must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. :Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name:Federal Insurance Company Policy#or Self-ins.Lic.#:54309740 Expiration Date:7/1/19 Job Site Address:60A Park Street City/State/Zip:Hyannis, MA 02601 Attach a copy of the workers'compensation policy declaration 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$1,500.00 and/or one-year imprisonme s we s civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator copy of thi statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verificatio I do hereby certify un F1r the ns a enalties of /ury that the information provided above is true and correct. Signature: ` ! Dater Phone#:508-540-6226 Official use only. Do not write.in this area,to be completed by city or town official. City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: r DATE(MM/DDIYYYY) AC V CERTIFICATE OF LIABILITY INSURANCE 6/29/2018 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT NAME: Stephen Turner Alliant Insurance Services, Inc., PHONE FAX 131 Oliver Street,4th Floor AIc No El:617-535-7200 A/C No:617-535-7205 Boston MA 02110 aooaesS: sturner@alliant.com INSURERS AFFORDING COVERAGE NAIC# INSURER A:Starr Indemnity&Liability Company - 38318 INSURED' INSURERB:Federal Insurance Company 20281 Dellbrook X Scanlan — One Adams Place INSURERC:Executive Risk Indemnity Inc 35181 859 Willard Street INSURERD:Navigators Insurance Company 42307 Quincy MA 02169 INSURERE: - INSURER F: COVERAGES CERTIFICATE NUMBER:267733657 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR ADDL SUBR POLICY EFF POLICY EXP LTR TYPE OF INSURANCE INSD WVO POLICY NUMBER MM/DD/YYYY MMIDD/YYYY .. LIMITS C X COMMERCIAL GENERAL LIABILITY Y 54309739 7I1/2018 7/1I2019 EACH OCCURRENCE - $1,000,000 CLAIMS-MADE FxI D OCCUR AMAGE TO RENTED PREMISES Ea occurrence $300,000 X XCU MED EXP(Any one person) $10,000 X Contractual PERSONAL&ADV INJURY $1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: - - GENERAL AGGREGATE $2,000,000 POLICY JEPROC LOC PRODUCTS-COMP/OP AGG $2,000,000 OTHER: I $ B AUTOMOBILE LIABILITY Y 54309738 7/1I2018 711/2019 COMBINED SINGLE LIMIT $1,000,000 Ea accident) X ANY AUTO BODILY INJURY(Per person) $- OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS ONLY AUTOS HIRED NON-OWNED PROPERTY DAMAGE $ AUTOS ONLY AUTOS ONLY Per accident $ A UMBRELLA LIAB X OCCUR Y 1000584533181 7/1/2018 7/1/2019 EACH OCCURRENCE - $10,000,000 X EXCESS LIAB CLAIMS-MADE - AGGREGATE $10,000,000 DED RETENTION$ $ g WORKERS COMPENSATION - 54309740 7/1/2018 7/1/2019 X PER OTH- AND EMPLOYERS'LIABILITY Y/N STATUTE ER ANYPROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $1,000,000 OFFICER/MEMBEREXCLUDED? N NIA (Mandatory in NH) - E.L.DISEASE-EA EMPLOYEE $1,000,000 If yes,describe under - - - DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $1,000,000 D Excess Liability ISI8EXC7114561V 7I1I2018 7/1/2019 Each Occurrence 15,000,000 Aggregate 15,000,000 DESCRIPTION OF OPERATIONS/LOCATIONS I VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space is required) , RE:2018 Cape Cod Healthcare Maintenance—Any Location Owned by Cape Cod Healthcare, Inc. 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 THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. Cape Cod Healthcare, Inc. 27 Park Street Hyannis MA 02601 AUTHORIZED REP13ESENTATIVE ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD y � III i i 1 e_t' f � �k a � � w l'I I' III �I DELLBROOK I KS September 19,2018 Building Department Town of Hyannis 200 Main Street Hyannis, MA 02601 Re: Cape Cod Healthcare To Whom It May Concern: I am writing to inform you that Moses Cordeiro is an employee of Dellbrook JK Scanlan and has authority to request a building permit on behalf of Dellbrook JK Scanlan. If you have any questions, please do not hesitate to contact me at 508-540-6226. Sincerely, Dellbrook canlan Seth Adams,Sr. Vice President QUINCY Omce 859 WiI lard Street,One Adams Place,Quincy,MA ozi 69 t:781,380.1675 'f:781.380.1676 FALMOUTH OMCE: 15 Research Road,East Falmouth,MA 02536 1 t 508.540:6zz6 f:508.540.92zz Massachusetts Department of Environmental Protection Lit eDEP Transaction ' COP �' Here is the file you requested for your records: To retain a.copyof this file you must save and/or print. Username: -DELLBROOKJKS17 Transaction ID: 1049264 Document: AQ 06-Construction/Demolition Notification Size of File: 221861( Status of Transaction: In Process Date and Time Created: 9/19/2016 11:41:46 AM 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.; Massachusetts Department of Environmental Protection BWP AQ 06 Pre-Form Notification Prior to Construction or Demolition r This is a revision to an existing form. Project ID for existing form to be revised: r 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 Permit. MassDEP assigned Non Traditional Work Practice Authorization ID: i✓. None of the above conditions apply,generate a new form. Revised: 11/13/2013 Page 1 of 1 Massachusetts Department of Environmental Protection 100294407 swr AQ 06 r Asbestos Project# Notification Prior to Construction or Demolition J r Project Revision ` r7. 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 F 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 HEALTHCARE 60A PARK STREET comply with the Department of a.Name of facility b.Street Address Environmental BARNSTABLE MA 026010000 7748360294 Protection a City/town d.State e.Zip Code f.Telephone notification requirements of 310 BILL HAFFERTY FACILITIES MANAGER CMR 7.09. g.Facility Contact Person h.Facility Contact Person Title 7748360294 wphafferty@capecodhealth.org i.Facility Contact Person Telephone j.Facility Contact.Person Email MassDEP Use Only k.Facility Size: Date Received 375 1 1.Square Feet 2.Number of Floors 1.Was the facility built prior to 1980? R 1.Yes F 2.No m.Describe the current or prior use of the facility: MEDICAL FACILITY n.Is the facility a residential facility? r 1.Yes F 2.No o.if yes,how many units? 2.Facility Owner: P Same address as Facility CAPE COD HEALTHCARE 60A PARK STREET a.Facility Owner Name b.Address BARNSTABLE MA 026010000 7748360294 c.City/Town d.State e.Zip Code f.Telephone 3.Facility On-Site Manager/Owner Representative: r Same contact person as facility R Same address as facility F Same address as owner BILL HAFFERTY 60A PARK STREET a.On-Site Manager/Owner Representative b.Address BARNSTABLE MA 02601 7748360294 c.City/Town d.State e.Zip Code f.Telephone Revised:03/17/2014 Page 1 of 3 Massachusetts Department of Environmental Protection 100294407 BWP AQ 06 Asbestos Project# ti Notification Prior to Construction or Demolition r Project Revision F Project Cancellation C. General Project Description 1.This project is: 17 New Construction r Demolition r,7 Renovation 2.Project Dates: 10/1/2018 12/31/2018 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 EAST FALMOUTH MA 025360000 5085406226 c.City/rown d.State e.Zip Code f.Telephone MOSES CORDEIRO 5089223624 g.General Contractors On-site Manager/Foreman h.Telephone 4.Construction or demolition contractor: W Same as General Contractor DELLBROOK/JKS 15 RESEARCH ROAD a.Contractor Name b.Address EAST FALMOUTH MA 025360000 5085406226 c.City/Town d.State.,,e.Zip Code f.Telephone MOSES CORDEIRO 5089223624 g.Construction and Demolition On-site Manager h.Telephone 5.Licensed Construction Supervisor: . MOSES CORDEIRO : CS-074674 a.Supervisor Name b.Construction Supervisor License(CSL)Number 6.Is the entire facility to be demolished? F a.Yes r b.No 7.Describe the area(s)to be demolished: 8.Describe the building(s)or addition(s)to be constructed: BUILD NEW RECEPTION WINDOW AND REMOVE WALL 9 a.Were the structure(s)surveyed for the presence of Asbestos-Containing 1.Yes r 2.No Material(ACM)? b. Who conducted the survey? VERTEX 'A1062105 1.Name of Asbestos Inspector 2.DLS Certification# Revised:03/17/2014 Page 2 of 3 Massachusetts Department of Environmental Protection O0:294407 BWP AQ 06 Asbestos Project# Notification Prior to Construction or Demolition r Project Revision Project Cancellation C. General Project Description (continued) 10 a.Was asbestos containing material(ACM)found? F 1.Yes r 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 construction projects,indicate dust suppression techniques to be used: . or Demolition operation,all r a.Seeding f— b.Wetting r c.Covering[- d.Paving r e. Shrouding responsible parties must comply with310 f.Other-Specify: NEGATIVE AIR PRESSURE CONTAINMENTAND HEPA FILTERS CMR 7.0017.09,7.15, and Chapter 21E of the General Laws of 12.Is this an Emergency Demolition Operation? r a.Yes W b.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 notification with the d.Title Department and/or a notice of release/threat of e.Date of Authorization(MM/DD/YYYY) f.MassDEP Waiver Number release of a hazardous A Certification substance to the Department,if "I certify that I have personally ROBERTFOLEY applicable. examined the foregoing and am 1.Print Name familiar with the information ROBERTFOLEY contained in this document and 2.Authorized Signature all attachments and that,based on my inquiry of those ROBERTFOLEY individuals immediately 3.Position/Title responsible for obtaining the PROJECT ENGINEER information, I believe that the 4.Representing information is true,accurate,and 9/19/2018 complete. I am aware that there 5.Date(MM/DD/YYYY) are significant penalties for 09/19/2018 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 rl Town of Barnstable ' .� Regulatory Services z • Richard V.S calf,Director vs' Building Division, Paul Roma,Building Commissloner 200 Main Street,Hyzmnis,MA 02601 www.town.barnstable.ma.us Office: 508-8624038 Fax: 508.790-6230 Property Owner Must Complete and Sign This Section If Using A Builder T, Michael Bachstein , as Owner of the subject property hereby authorize DellbrookIJKS to act on my behalf, in all matters relative to work authorized by this building permit application for. 60A Park Street . (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 Signature of Applicant N Print Name Print Name TOWN OF BARNSTABLE_ RIRNP1yRi�R F BUILDING DEPARTMENT MASS APPLICATION FOR CERTIFICATE OF OCCUPANCY Date 1 q a01 Building permit application number map/par Address of structure 60A Pack' Area of structure C.O.will be issued to Name of Tenant Edition of Building Code Use and Occupancy Classification Type of Construction Is the facility licensed by a State agency Yes ❑ No ❑ If Yes If yes, name of agency Relevant Code of MA Regulations (CMR)that apply Automatic Sprinkler System Sprinklers provided? Yes ❑ No Sprinklers required? Yes ❑ No ❑ e e eo 1 Building D partm nt Use only Special Conditions: Application Number................................ . Section 9—Contraction Supervisor Name e�GQQ'f� Telephone Number Address _ flea QCity vS State /V► Tap O�� License Numb License Type onJ*+61,�kxviration Date OG/ OZ1901 . _ Contractors Email M('rJ�cJetM&J. J6--o2haS.COM Cell# 50�=Qaa a I understand my responsibilities under the rules and regaMons for Licensed Comst m.cd=SMPMvism in accordance with 780 CUR the Massachusetts State Building Code. I understand due construction inspect%an procedures,specific inspections and documentation required by 780 CMR and the Town of Bankkle.Attach a cry of your license. Signature Date Section-10 -Home Improvement Contractor Name Telephone Number Address City State zip Region Number Expiration Date I understand my responsibulities under the rules and regulations for Home improvement Cont cc actors in aordance with 780 CMRthe Massachusetts State Building Code. I uuxderstanddue c " spection procedures,specific iasp=dons and documentation requsred by 780 CMR and the Town of Barnstable. Ana clt a copy o EUC.. Signature Date Section It—Home Owners License Exemption Home Owners Name: Telephone Number Cell or Work Number l I understand my responsb1hics under the rules and regulations for Licensed Construction Supervisor in accordance with 780 CUR the Massachusetts State Bmldh*Code. I understand the construction inspection procedures,spec inspections and documentation regufted by 780 CMR and the Town of Barnstable. Signati= Date Ar LICANT SIGNATURE Signature Date Print Name Nl 0 ; Telephone Number - a a a Ll E-mail permit to: Al C001 1'(`b @ JP,I Section 12—Department Sign-Offs Health Department ❑ Zoning Board(if required) ❑ Historic District ❑ Site Man Review Of required) ❑ Fire Department l� Conservation ❑ �' For commercial work,please take your plans directly to flit fire deparhnent for approvaL Section 13--Owner's Authorization L , as Owner of the-subject property hereby authorize �P_ Po6k- �5 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 Last=&ftd.ZV10I6 Town of Barnstable m 4 - � , x Building4: . yi#vfy Y i' .� Post4This Card So.That it"is Visible Frorn`the Street Approved;Plans Must be`Retamed on Job and this Card Must be Kept �z Permit illy� - �' Whe�e�a Ce"rt�ficate.of Occupancyls Regisred;such.6uilding shall N`ot b'e`Occup�ed�until a Final Inspection has�lieen'mede x �� 1 el Permit No. B-18-1578 Applicant Name: Robert Foley Approvals Date Issued: 06/12/2018 Current Use: Structure Permit Type: Building-Siding/Windows/Roof/Doors Expiration Date: 12/12/2018 Foundation: Location: 60 UNIT A PARK STREET, HYANNIS Map/Lot 342-003-OOA Zoning District: MS Sheathing: Owner on Record: CAPE COD HOSPITAL Contractor Name. _ MOSES M CORDEIRO Framing: 1 Address: 27 PARK STREET Contractor License: CS-074674 2 HYANNIS, MA 02601 7 Est. Project Cost: $92,573.00 Chimney: Description: Replace some of the windows, rotted trim and siding Permit $160.00 Insulation: Project Review Req: ' 'Fee Raid: $ 160.00 ._A . .- � 1. .Date:.,,.' 6/12/2018 Final: _ Plumbing/Gas Rough Plumbing: Building Official T Final Plumbing: i This permit shall be deemed abandoned and invalid unless the work authorised by this permit is commenced within six montlisafter issuance. Rough Gas:. All work authorized by this permit shall conform to the approved application and th_e�approved construction documents for Which this permit has been granted. All construction,alterations and changes of use of any building and structures shall b-in compliance with the local zoning by-laves and codes. Final Gas: This permit shall be displayed in a location clearly visible from access street or'road and shall be maintained open for publicinspection for the entire duration of the work until the completion of the same. p Electrical i The Certificate of Occupancy will not be issued until all applicable signatures by the Building and Fire Officials are provided onthis permit. Service: Minimum of Five Call Inspections Required for All Construction Work:, 1.Foundation or Footing _ _ Rough: 2.Sheathing Inspection Final: 3.All Fireplaces must be inspected at the throat level before firest flue lining is installed 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection Low Voltage Rough: 5.Prior to Covering Structural Members(Frame Inspection) 6.Insulation 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 R . °�T"ET Town of Barnstable BARxsrAaLe : 200 Main Street Tel.(508)862-4038 AtA93. 9 '°TE0 39.�a``� INSPECTION REPORT C Permit: Building - SidinglWindows/Roof/Doors Use: Date: 5/24/2018 8:23 AM Inspector: barrowsd Permit Number: TB-18-1578 Name: CAPE COD HOSPITAL Address: 60 UNIT A PARK STREET, HYANNIS Unit No. Inspection Type Inspection Item Status Comment Building Admin - BA-Copy of Applicant's NIC need license attached Construction License Inspection Overall Comment: BUILDING DEP n Overall Inspection Status: FAILED Re-Inspection Date: MAY 2 4 2010 TOWN OF SARNS"ABLE Inspector Signature, Owner Signature Total Score: 100 Town of Barnstable REc i ` rer�at 200 Main Street, Hyannis-annis MA 02601 508-862-4038 Application for Building Permit BUILDING DEPT. Application No: TB-18-1578 Date Recieved: 5/18/2018 MAY 2 4 2018 Job Location: 60 UNIT A PARK STREET,HYANNIS TOWN Permit For: Building-Siding/Windows/Roof/Doors �� A�'NSrArsi_E Contractor's Name: MOSES M CORDEIRO State Lic. No: CS-074674 Address: ACUSHNET, MA 02743 Applicant Phone: (508) 540-6226 (Home)Owner's Name: CAPE COD HOSPITAL Phone: (774)836-0294 (Home)Owner's Address: 27 PARK STREET, HYANNIS,MA 02601 Work Description: Replace some of the windows, rotted trim and siding Total Value Of Work To Be Performed: $92,573.00 Structure Size: 0.00 0.00 0.00 Width Depth Total Area I hereby swear and attest that I will require proof of workers'compensation insurance for every contractor,subcontractor,or other worker before he/she engages in work on the above property in accordance with the Workers' Compensation Act(Chapter 568). I understand that pursuant to 31-275 C.G.S.,officers of a corporation and partners in a partnership may elect to be excluded from coverage by filing a waiver with the appropriate District Office;and that a sole proprietor of a business is not required to have coverage unless he files his intent to accept coverage. I hereby certify that I am the owner of the property which is the subject of this application or the authorized agent of the property owner and have been authorized to make this application. I understand that when a permit is issued,it is a permit to proceed and grants no right to violate the Massachusetts State Building Code or any other code,ordinance or statute,regardless of what might be shown or omitted on the submitted plans and specifications. All information contained within is true and accurate to the best of my knowledge and belief. All permits approved are subject to inspections performed by a representative of this office. Requests for inspections must be made at least 24 hours in advance. Signed: Robert Foley 5/18/2018 (508)540-6226 Applicant Date Telephone No. Estimated Construction Costs/Permit Fees Total Project Cost : $92,573.00 Date Paid 1 Amount Paid Check#or CC#. Pay Type Total Permit Fee: $160.00 .......;................................................. .................... ........................... ................ ............. ............................... Total Permit Fee Paid: $0.00 TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION v W Application Map Parcel pp Health Division Date Issued Conservation Division '.Application Fee / 6 Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board Historic - OKH _Preservation /Hyannis Project Street Address Village 5 Owners L' L. Address 2-2 /� 57; Telephone 6 -,L- 5-6 0 Permit Request d2Oae57! AW 71-eW CJ Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation ©DA 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 l On Old King's Highway: ❑Yes ❑ No Basement Type: ❑ Full ❑ Crawl ❑Walkout ❑ Other Basement Finished Area(sq.ft.) Basement Unfinished Area (sq.ft) Number of Baths: Full: existing new Half: existing new Number of Bedrooms: existing _new Total Room Count (not including baths): existing new First Floor Room Count Heat Type and Fuel: ❑ Gas ❑Oil ❑ Electric ❑Other Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑ No Detached garage: ❑ existing ❑ new size_Pool: ❑existing ❑ new size _ Barn: ❑ existing ❑ new size_ Attached garage: ❑existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes ❑ No If yes, site plan review# Current Use Proposed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name 5�.�-N I n/ //_Yge_)6J._/;,.t)TeIephone Number 22CY2-2- �Z�1 Address f AeA�L6,4 License # 7!& 7�Z ;&/M©k /!�! Home Improvement Contractor# Worker's Compensation # 22-2- Z_0 � y� ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO 61YTA ,z�L SIGNATURE DATE I z4h, f FOR OFFICIAL USE ONLY . e i APPLICATION# DATE ISSUED 3y= . r t MAP/PARCEL NO. . f , i ADDRESS VILLAGE OWNER DATE OF INSPECTION: a) FOUNDATION'S FRAME INSULATION.3s FIREPLACE 4 ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS } ROUGH FINAL -t FINAL B:U_I_LD.[NG� r FTEIA -i ; DATE CLOSED OUT ASSOCIATION PLAN NO. The Commonwealth of Massachusetts Department of lndusMal Aci cidents . Office of Investigations. 600 Washington Street _ Boston,M14 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name(Business/0rg=ization/Individi4:_. .14. 5 e_� V /.+I 1 •Address: City/State/Zip: �;71CZ L 4we--gM Phone.# Are u an employer?Check the appropriate bog: Type of project(required);: ' 4. I am a geeral contractor.and I a employvith n 6. ❑New construction employees(fv11 and/or part-time).*. have hired the sub-contractors , 2.❑ I am a'sole proprietor or partner- listed on the-attached sheet. , 7. Remodeling These sub-contractors have shy and have no employees These ❑.Demolition • working for me in any capacity. employees.and have workers' 9 addition [No workers comp.Insurance comp.insurance.$ s e l jr,►Y;&4 r required.] 5. We area corporation and its 10.0 Electrical repairs or additions 3.❑ I am a homeowner doing sIl work officers have exercised their 11.❑Plumbing repairs or additions o workers c' right of exemption per MGL �3'sel£ � °�• 12.E]Roof repairs ' insurance required.]t C. 152, §1(4), and we have no employees. [No workers' 13.❑ Other .comp.ingarmce required.] *Any applicant that chcakS box#1 must also fiIl out the section below showing thee•workers'compensation policy iaFormation.. t Homeowners who submit this affidavit indicating they are doing all work mad then hire outside contractors must subunit inew affidavit indicating such. $Cantract on that check this box must attached an additional sheet showing the narne of the sub-contracton and state whether or not those entities have employees. If the sub-contractors have employees,try mustprovidt:their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information Insurance Company Name: .Policy#or Self-ins.Lic.# 6. L z 2�Z. Z (c Expiration Date: Z lob Site AddressZ7*�,-a City/state/Zip: �Q_d Z C Attach a copy of the workers' compensation policy declaration page'(showing the policy number and expiration date). Failure,t o sea= 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 imprisomnent, 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 DLk for insurance coverage verification I do hereby certify under the p ' sand aloes of perjury that the information provided above is true and correct Sienature: - Date: 2- Phone# a LZ -s - Official use only. Do not write in this area, tb be complefed by city or.town ob9'WaL City or Town. PermitUcense# Issuing Authority(circle one): .1.Board of Health 2.Building Department, 3.City/Town Clerk 4.Electrical Inspector'5.Plumbing Inspector 6. Other Contact Person: Phone#: •I AC40 CERTIFICATE OF LIABILITY INSURANCE °ATE`MMID°"Y,"' 3/16/2012 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement.-A statement on this certificate does not confer rights to the certificate holder In lieu of such endorsemen s. PRODUCER _ CONT CT NAME: Catherine Martin' Alliant Insurance Services, Inc. PHONE FAX A/C No 195 Farmington Ave Ste 300 E-MAIL Farmington CT 06032 ADDREss: INSURERS AFFORDING COVERAGE NAIC is INSURER A:Natoonal Fire Ins of Hartford 20478 INSURED - INSURER B:Contenental Casualtyo20443 J. K.Scanlan Company, Inc. INSURERC-American r 24 15 Research Road INSURERD: East Falmouth MA 02536 INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER:488264832 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,. EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. ILTR TYPE OF INSURANCE A DL B POLICY NUMBER MM/LDIDY� MMIDD/YYYY YEXP LIMITS A GENERAL LIABILITY 4022220226 /31/2011 /31/2012 EACH OCCURRENCE $1;000,000 X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED PREMISES Ea occurrence $300,000 CLAIMS-MADE a OCCUR IVIED EXP(Any one person)— $5,000 PERSONAL&ADV INJURY $1,000,000 GENERALAGGREGATE $2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $2 000 000 POLICY X PRO LOC $ B AUTOMOBILE LIABILITY 4022220212 /31/2011 /31/2012 Ea accident) $1,000,000 X ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED +. BODILY INJURY(Per accident) $ AUTOS AUTOS X HIRED AUTOS X NON-OWNED PROPERTY DAMAGE $ AUTOS Per accident $ C UMBRELLA LJAB X' OCCUR AUC5940943-02 !31/2011 /31/2012 EACH OCCURRENCE $25,000,000 EXCESS LIAB CLAIMS-MADE AGGREGATE $25,000,000 DED RETENTION$ $ B WORKERS COMPENSATION 022220243 /31/2011 /31/2012 X WC STATURY OTH- AND EMPLOYERS'LIABILITY' Y/N ER ANY PROPRIE'rOR/PARTNER/EXECUTIVE❑ N/A E.L.EACH ACCIDENT $1,000,000 OFFICER/MEMBER EXCLUDED? (Mandatory In NH) E.L.DISEASE,EA EMPLOYEE $1,000,000 If yes,describe under - - - - DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $1,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(Attach ACORD 101,,Additional Remarks Schedule,If more space Is required) - JKS#1239. ,CCH Exterior Walkway,27 Park Street Hyannis,MA 02601. Cape Cod Healthcare and Cape Cod Hospital are listed as additional insureds. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Cape Cod Healthcare ACCORDANCE WITH THE POLICY PROVISIONS. 27 Park Street Hyannis MA 02601 AUTHORIZED REPRESENTATIVE - - ©1988-2010 ACORD CORPORATION..All rights reserved. ACORD 25(2010105) The ACORD name and logo are,registered marks of ACORD `2 47 k.%, 7 j I A L11 f A 3 1 i P.R' O i u"NIN-7v 1-13 'a"a i--cilt �15-1 t,,'tit 1 70 fi.-ITTAW A a A U.�;I C I d� T 11-11"rv;!" -n VMI JQ- :'H r tom. a-"rlq0"iiA Y70D 214T <I 1 1. rO .00-',�,AA YJIV-7 A-13V RO T-M4 S30kj AT'*,,'-'-;2:T7V;Z) Wlluc.! dKi 'k!'�!WU - )AlTV*;) t-k ?400 'WAAVLO� TC NHT V.n .ZF t YZ#JAO'-i SITAORTY'la v TF It's u jzlsw .:A[JAIO�-�wsV (v a. M�gra,rvn u-0 V -*fslv.'M;K);,; �v Odel v-1%3 i.J00) -1:'. vAt fin'mr. 70b,V rl"fsr;h..),.l I k--.f V.,t 11I.,o v Vcq 011 lo er-0;Lm',7 oaIr i �xi�2i*ll it.?1W 6 717i I It'iQ5!Xf IT,1,b ewA ;j-j17' 7�7-- tj - -Tr:7 7�7 -7, A-- 1"I flo SO ee 3-io4c� I il-1;1:� 14 mR,O","r -1 Zz!i :';J ri,,*. rp :46 j— -Zl 4 A -VA 14 Oz-f-I r,,O AN) f"ll);'rYH VQtYA. A,.:! ,'J FJJR.,V,31 -,T JJr,4 OOWf Ai a:-,'T f3,j ri 1 i r t ci hA USCY-1A to b"I -�ffffn ClPKrJA A! er,.n,'"o'n, --- _> IVf issachus tts-Department.of Puhlill Safety Board of Buildimo Regulations and Standards 10� Construction Supervisor License License: Cs 74674 t MOSES M CORDEIRO 45 PEACH BLOSSOM RD ACUSHNET,MA 02743 " t -txpiration: 6/8/2013 Tr#: 19535 ('ununissiuner , General Notes HVAC Registers to be relocated at new wall RECEPTION AREA Existing Thermostats to Remain Existing Flooring To Remain Sliding Glass Window will have a lock installed Door Release/Lock button installed at desk and.Corridor Install Prox Reader on Door A Existing Millwork to remain,WB Mason to remove Transaction top and replace with a finish cap on existing furniture Lock Down WAITING AREA 5.�.. Glass transaction Window installed on side rails and Lower Transaction 36" post mounted to laminate ter Counter. . transaction top with 8"opening 36"AFF.Max for transactions 177 9" Note: Build new wall to deck above ceiling/attach to deck above New opening for transaction counter with soffit Elevator above'. Corridor Inf ill Existing Opening Existing Door . Exit Sign RR , -► \ F . LEGEND XY New 42"X 84"HM Existing Walls door w/vision lite - New Wails —————— Demo r �f Human Resources '�. Reception m� HEALTHCARE DIVISION 5'_0.. 7•-9 -OPEN-: -OPEN.- 6 7/16 "Safety Laminated 30 Glass held with a center post up to soffit and side channels -OPEN- OPEN- 6'. q 36"-Min. 36" Max 42 60 Park St. Human Resources Transaction Window - ELEV.- A v ' Human Resources C * - p Rece tion e 'AP E C 0 D, HE -`��;1+�� ARE HEALTHCARE DIVISION' Page 1 of 1 Shea, Sally From: Dean Melanson [dmelanson@hyannisfire.org] Sent: Tuesday, April 17, 2012 11:53 AM To: Shea, Sally Cc: Moses Cordeiro Subject: CCH projects Ok for HyFD Sally, We have reviewed the construction projects for 60 Park Street 27 Park St the covered walkway and are Ok for them to proceed. v Deputy Chief Dean L.Melanson Office 508-775-1300 Fax 508-778-6448 dmelanson@hyannisf ire.org 4/20/2012 �mp a aka ,{ Mr Founded on Commitment:Built on Service. General Contractors I Oesign/Build I Construction Managementj.Restoration. October 24,2011 Sally Shea Inspectional Services Town of Barnstable 200 Main Street - Hyannis, MA 02601 Re: Cape Cod Hospital-Projects=JK Scanlan Permit Licensed Builder&Worker's Com . s p Dear Sally, Please accept this letter as our confirmation that Moses Cordeiro is the authorized licensed builder for JK Scanlan for all projects-that are ongoing or commencing at Cape Cod Hospital and is authorized to procure permits on. our behalf._ He is a full-time employee at JK Scanlan Co., Inc. and is covered under our Worker's Compensation policy number 4,022220243 per the attached certificate which expires on 8/31/12. We appreciate the cooperation and efforts of Inspectional Services. If you have any questions-or concerns, please feel free to call me at 617-293-2966. ..Sincerely, Chri . Murphy. " - Senior Project Manager J.K. Scanlan Company,Inc. Cc: Moses Cordeiro,JKS Superintendent J. 15 Research Road: I Easi Falmouth,MA 02536 508.540'.6226 tel,",1508.540 9222:fax :I www.jkscanlan:corn R a' .l �_ARNICK, P RINCv'I SCUDDER; ATTORNEYS :'LT LA\X% 1'32 MAN STREET POST OFFICE BOX 398 GER.AL.D S. G.°ARNICK HYANNIS, MASSACHUSETTS 02601 HARWICH OFFICE: MICHAEL J. PRINCI (508) 771-2320 940 MAID STREET JOYCE VV. SCUDDER FAX. (508) 771-3304 F.O. BOX 364 SOUTH HARWICH, MASS. 02661 KATHL EEN FRANKLIN (508)432-5850 THOMAS F HORTON FAX:(508)430-1057 SUSAN M-JEGHELIAN SHIRLEY J. SYLVA, ASSOCIATE October 4, 1988 Ron S. Jansson, Chairman Barnstable Zoning Board of Appeals 3267 Main Street P.O. Box 147 Barnstable, MA 02630 RE: Appeal 1988-71 Coolidge Homes, Inc. Dear Mr. Jansson: At your request, I have asked my client to compile a list of the tenants currently occupying the Park Street Medical Building. You will note that all but three of the suites have a staff of no more than three persons while the one suite has only one person and one is vacant. Notwithstanding, you will note that parking data is set forth in the plans submitted to the Board and accurately reflects the total spaces required under the Zoning By-Laws. In addition, my client has proposed six new spaces which will comply in all respects to the Zoning By-Laws. By comparison with other professional residential buildings which you have recently approved for apartments, this particular complex has more than adequate parking. In addition, I have asked Mr. DaLuz to review the plans and provide proper certification to the Board that the building conforms to the height requirements under the Zoning By-Laws. You should be receiving this document under separate cover. Perhaps the most troublesome aspects of this appeal is not the two very minor provisions of the By-Law which the petitioner seeks to vary, but rather the unusual interest which you have personally taken in the matter. Whil e I was not involved in the initial stages of the proceedings, I have had an opportunity to review the minutes of the August 22 meeting during which you made it clear to my Associate Thomas Horton that you had strong Ron S. Jansson, Chairman Zoning Board of Appeals October 4, 1988 Page 2 personal feelings concerning our law firm's representation before the Board and a continuance which you requested in order to have compliance with Site Plan Review. While your Board may have a Court matter pending involving another petitioner represented by our law firm, I trust that you will not let that interfere with your judgment on this petition. Furthermore, your policy concerning Site Plan Review and coordination of same prior to filing a petition before the Board of Appeals was not made clear to my office nor my Associate at any time prior to the filing of the petition. Even after we had followed your recommendations and obtained a Site Plan Review, you questioned the validity of that review and impuned the integrity of both Mr. Bartel and my Associate, Mr. Horton, who made the presentation before Site Plan Review. Having served on an unpaid part-time board, I recognize the time and energy which members of the Board of Appeals donate to the Town, and appreciate a sincere effort by a Board member to inquire into matters before it. However, given your comments at the early stage of this proceeding, your remarks at the last hearing concerning possible zoning violations in the existing building, and your comments and remarks from the hearing several years ago, I must defend the integrity of this petition and the relief sought by my client. My client, as I stated to you in oral argument, comes before the Board seeking minimal relief by way of variance under the Zoning By-Law. The so-called multi-family apartment section of the By-Law does not specifically make provision for conversion of space within a professional residential building into apartments, but rather speaks to the new construction of multi-family units. Your Board has heard and acted favorably upon a number of similar petitions seeking greater relief than that sought by the petitioner. As the sole lawyer on the Board, your comments carry significant weight. Accordingly, I have copied the remaining Board members so that they will be aware of the parking and building height issue which you raised. Ron S. Jansson, Chairman Zoning Board of Appeals October 4, 1988 Page 3 If you or any other members of the Board should require any additional information rmation concerning the petition, please let me know and I will provide it forthwith. Ver truly y rs, ha J I r MJP/ / cc:( Helen Wirtanen James McGrath Betty Horton Barnstable Zoning Board of Appeals t TENANT LIST 60 PARK ST. SUITE A KENNEDY-DONAVAN CENTER STAFF TWO PERSONS SUITE B LIFE-STYLE HEALTH DYANIMCS STAFF ONE PERSON SUITE C VACANT SUITE D OPTIONS FOR EMPLOYMENT STAFF TWO PERSONS SUITE E MASS. REHAB COMMISSION STAFF TWO PERSONS SUITE F MASS.REHAB ' COMMISSION STAFF TWO PERSONS SUITE G MASS. REHAB COMMISSION STAFF TWO PERSONS SUITE H MASS. REHAB COMMISSION STAFF' THREE PERSONS SUITE I DEPT. OF MENTAL HEALTH STAFF THREE PERSONS SUITE J DEPT, OF MENTAL HEALTH STAFF TWO PERSONS SUITE K DEPT. OF MENTAL HEALTH STAFF THREE PERSONS SUITE L FAMILY CARE PROGRAM OF CAPE COD HOSPITAL STAFF TWO PERSONS t 1 Lf P. ;� `� O Pqf D CO Pq r � r--. TY wl I! it 11 L J L J i ARCHITECTURAL GROUP REMOVE AND REINSTALL MEDICAL&COMMERCIAL ARCHITECTURE NEW - N FURNITURE AS REQUIRED 118WacerhDNse Road BDDrne,MA0253z OFFICE 02 OPEN '^ „ OFFICE j N ' FOR NEW WALL OFFICE P.O.Box,57 Monument Beach.MA 02553 201 OFFICE 1 -4 f r 213 INSTALLATION 202 t:�508,759-9878 p f:(508)759-9828 ZOO / 3'-8" 1 1'-92 rt WWW.MEDCOMARCH.COM • - � W - .. i 1 ._ PROTECT CONTACT:GREGORV SIROONIAN 3° x7° OPEN OFFICE PROJECT: 200 CAPE COD HEALTHCARE 60 Park Street EXISTING OFFICE E V. Hyannis,MA FURNITURE TO REMAIN 0 MEN MEN OFFICE ROOM ROOM 203 Second Floor Renovation _ 211 212 . EPCOPYRIGHT:ESTHAT;NE 6 THE USERACg10WL ARCHOEOTS OODUMENTS ARE • • I' UMENTSOFPROFESSIONAL SE-CE ANDARE BY COMMON COPVRG .TIIS000UMENT IAMENCEOPERTVOFTHE ANY AI AN—L.—MODIPIED,AMENDEO.OR ALTERED IN ANV WAV." • - IS ISSUED FOR INFORMATION PURPOSES ONLY.THE USER AGREES TO - _ - HOLD HARMLESS.INDEMNIFY AND DEFEND THE ARCHITECTAOAINST k .. - ANY AND ALL DAMAGES•CLAMS AND LOSSES.INCLUDING DEFENSE CASTS ARTS N000T OF ANY USE REUSE Op COPYING OF THIS .DN yam,,' F a EP OFFICE OFFICE 0 208 CONFERENCE NOTE: 210 OPEN , . D FOR PE OFFICE .r OFFICE', ISSUE R1V7IT k OFFICE 206. 01-04-19 . 209 207 •� 205" DRAWING TITLE: NEW F - FLOOR PLAN DEMO NOTES I 1 REMOVE PATCH WITH RCARPET TO EXISTING MATCH CARPSEXISTING.S REQUIRED`FOR NEW'WALL INSTALLATION. NREVI LL SIGNS .. - DESCRIPTION` CARPET SPEC: LEES CARPET,'STYLE: EMERGING LIGHTS 11, +. DN - c 18ss_ 47/g" SCEILING.AND CEILING FIXTURES AS REQUIRED IN ' COLOR: CO . 2. REMOVE-PORTION EXISTING � AFFECTED AREAS. SEE SHEET A1.1 FOR NEW CEILING`WORK AND LAYOUT. -PARTITION RTITIO TWALL, -SEE PLANS s/gI. 35/8" 5/8" PRE—MOLDED JOINT FILLER 3-5/8"- METAL STUDSFFFTI WALL LEGENDS 16" O.C. TO DECK ABOVE o EXISTING WALL CONSTRUCTION TO REMpi'OVe y: BREAK:METAL WALL—END TO MATCH EXISTING EXTERIOR 3-1/2 "SOUND ATTENUATION - NEW WALL CONSTRUCTION,,SEE WALL TYPE '1,'. ;�..` '®2 T �1'il'1 i� PROJECT NO. INSULATION TO DECK ABOVE -- WINDOW FRAME COLOR. NEW DOOR TO MATCH:' EXISTING BUILDING STANDARD. Els:. .. DATED SUE. EXISTING.'EXTERIOR JWINDOW 5/8" GYPSUM BOARD BOTH SIDES, S z7° NEW.`OFFICE' LOCKSET' 01/04/19 FRAME, SEE BASE BASE BLDG. DWGS. FROM FLOOR SLAB TO DECK 'ABOVE. r _ DRAWNRY: CHECKED BY: GENERAL NOTES lv>Rx css EXISTING EXTERIOR WINDOW, CAULKING ,. DRAWING NUMBER . SEE BASE BLDG. DWGS. STC-55 RATED 1 NEW SECOND FLOOR 'PLAN 1• ALL NEW.WALLS SHALL BE TYPE '1' UNLESS OTHERWISE NOTED.: `DETAIL W WALL TYPE #1 AI.O SCALE:1/8" = 1'-0" I 2. ALL NEW DOORFRAMES SHALL BE INSTALLED 4" FROM ADJACENT WALL, OR GREATER IF SCALE: N.T.s SCALE: N.T.S. NOTED. 18" CLEAR SPACE MUST BE MAINTAINED ON THE PULL—SIDE OF DOOR. 3. EQUIPMENT AND FURNITURE SHOWN IS SUPPLIED, BY OWNER. 00 14 (9MEDCOM ARCHITECTURAL GROUP c MEDICAL&COMMERCIAL ARCHITECTURE ® ® ® NEW II I 118 Waterhouse Road Bourne,MA D2532 — P.O.Box 157 Monument Beach,MA 02553 OFFICE OFFICE 201 O FFI C, 213 202 t:1508)759-9828 f:(5081 759-9828 +' 11 -�- �R �J� WWW.MEDCOMARCH.COM -�1- -E�- ® - T PROJECT CONTACT:GREGORY SIR00NIAN 2'-6" CAVITY RETURN OPEN OFFICE PROJECT: ® 200 CAPE COD HEALTHCARE 60 Park Street Hyannis, MA O ROOM MEN MEN OFFICE ROOM 203 Second Floor Renovation 211 212 COPYRIGHT: THEUMRAGONONREOGESTHATTHEMW1 CTSDMUME ME INSTRUMENTS OF PROFESSIONAL SERNCE MD ARE BY COMMON - THEPROPER-OFTHEMCHRECT MODIFIEO.PMENDED.OR ATERED IN ANYWAY.R IS ISSUED FOR INFORMATION PURPOSES ONLY.THE USER AUREES TO HOLD HARMLESS,INDEMNIFY MD DEFEND THE ARW ECT AUNNST - ALL DMWGES.CLVMS.AND LOSSES.INCLUOING DEFENSE - M ARIGIN-01FMY USE.REUSE OR OO—OF THIS (� OMUNENT. OFFICE OFFICE 3 204 208 ' - a �s NOTE: CONFERENCE 210 .• OPEN. . OFFICE ISSUED FOR PERMIT OFFICE OFFICE OFFICE OFFICE '61-04-19. 209 207 205 DRAWING TITLE: 1 NEW REFLECTED CEILING PLAN CEILING LEGEND CEILING TYPE, SEE FINISH SCHEDULES REVISIONS CEILING MARKER MANUFACTURER/MODEL# NO DATE DESCRIPTION CEILING HEIGHT, ABOVE FINISHED FLOOR OR SIMILAR RECESSED LIGHT FIXTURE. EXISTING LIGHTING GRID AREA REPRESENTS NEW 2'X4' ACT CEILING NOTES CEILING AND GRID 1. EXISTING CEILINGS ® 7'-6"+/- A.F.F. PATCH CEILING AS REQUIRED SPRINKLER HEAD PROJECTNO. WITH CEILING TILES TO MATCH EXISTING. 'N" DENOTES NEW. "R' DENOTES RELOCATED GATE OF ISSUE 01/04/19 2.TYPICAL BULKHEADS AT DOORWAYS AND OPENINGS SHALL BE 7'-0" A.F.F. 1 NEW REFLECTED CEILING PLAN EMERGENCY BATTERY UNIT. UNLESS OTHERWISE NOTED. Al, SCALE:1/8" = 1'-01. lit N" DENOTES NEW LOCATION."R" DENOTES RELOCATED DRAWNBY: ]VAR, CHECKED BY: GBS EMERGENCY HORN / STROBE LIGHT. "N" DENOTES NEW. "R" DENOTES RELOCATED DRAWING NUMBER N AIR ILLE NA DENOTES NEW.0 SUPPLY OR R RUR DENOTES RRELOCATED Al ■ ;,� sr - � - - � r � � '. . . � ,� ;, t � _ � � �� ' O e ..� � " �� (� ,'s m - ; kj- 2 - HALL INSTALL NEW SR I NURSE LIDE - \ 120 T INFILL EXISTING *' 2- \ AT EXISTING WINDOW OPENING I 106 AT EXISTING OPENING... O M.E D CO M r \ I I t�,. ARCHIFLCFURAL GROUP 10 STORAGE I� 117 ® ® MEDICAL B COMMERCIAL ARCHITECTURE jh FILESFl- J 05 118 Waterhouse Road B urne,MA 02532 _ KEEP THIS P 0 BOX 157 M t BeaEh MA 02553 i b '' EXISITNC CABINET -• a ' OO (-lO i2 t(5081759 9828 0 20 PATIENTS BATHROOM « I150BI759-9802 k 20 - ® III 103 RECEPTION 2 I 104 WWW.MEDCOMARCH.COM CHANCING PROTECT CONTACT GREGORV 5IROONIAN • STATION-SEE 20 - O \ PROIEC'1': ! k .. I ----- H ® FE NEW SUDE \ SD 2p4 20 20 TRANSACTION WINDOW \ ------- CAPE COD HEALTHCARE 20 20 --` 10 OFFICE RENOVATIONS/11T REPAIR BRICK FOR 10 ENTRY FOY pip ,/ 60A Park.Street FE SD 20 SD TRANSTION. 100 RECEPTION ION Hyannis,MA. t �' IJh ri -NTV ❑ - r / \ HARD G PIPE ❑ WATER DISCONNECT RANGE d—. ' • WAITING ROOM - NEW I. l •\ toz ----------------- HARD—� ) El -F PIPE GFI \ \ /- _ / - - COPPNGHT WATER - — `"- -"-J / .naow�enoE611va 11tE.R6NREcr6 oowNENrs NtE \\ / mUNB OE aROrt66tOwx 6[mnoe um XRE evNrXON � Xxo 6vwu rro.ee uaovm,:uENOEo.oQ ulearvwun wXvl .. - .. R�NEORIMIION 6RPoSE6 aN�v THE�eER AOREEs - ,' fir 10 h 10 sE REu6e oR cavnNOOr TNb 3 SECOND FLOOR NEW WORK PLAN \ / EN. A1.D SCALE:1/4"= V-0" - ------ j LJ 2 FIRST FLOOR" NEW WORK SCALE:t/a"_ 1 0 DOOR NOTES GENERAL NOTES PLAN LEGEND 1. ALL EXISTING DOORS TO REMAIN. 1. DIMENSION LINES ARE SHOWN FROM FACE OF EXISTING WALLS AND TO CENTERLINES OF 5. G.C.SHALL CARRY AN ALLOWANCE FOR FLOOR PREP OF EXISTING FLOORS,TAKING 0 EXISTING WALL CONSTRUCTION TO REMAIN 't NEW WALLS, UNLESS OTHERWISE NOTED. DIMENSIONS TO NEW DOORS IN EXISTING WALLS INTO CONSIDERATION THE EXISTING FLOOR REMOVAL AND THE PREP REQUIRED FOR 2. ALL EXTERIOR DOORS -0100. 0101, D102, D103, D107,&D105 ARE SHOWN FROM FACE OF WALL TO THE CENTERLINE OF THE NEW DOOR. DIMENSIONS NEW FLOORING IN THAT AREA. DOOR REQUIRE NEW WEATHER STRIPPING AND NEW BOTTOM SWEEPS. SHOWN.IN CORRIDORS ARE CLEAR DIMENSIONS, NEW AND EXISTING. ^ NEW WALL CONSTRUCTION, SEE PLANS FOR LOCATIONS. 10 NP ADJUST SWEEPS ACCORDINGLY - - 6. ALL EXTERIOR DOORS REQUIRE NEW WEATHER STRIPPING AND NEW SWEEPS. ADJUST 2. ALL NEW EXPOSED(TO CIRCULATION) COUNTER AND WALL—CAP EDGES SHALL BE 3" SWEEPS ACCORDINGLY - WALL TYPE TAG. NEW WALLS SHOULD BE 1', . 3. NEW PRIVACY SETS: DOORS -D122, D125, D126 RADIUSED.ALL EXISTING EXPOSED COUNTER&WALL-CAP EDGES SHALL BE MODIFIED - UNLESS OTHERWISE NOTED. - TO HAVE 3".RADIUSED EDGES. 7. GC.TO INSPECT AND VERIFY ALL CONDITIONS INFIELD PRIOR TO COMMENCING.WORK Q NEW HANDS FREE AUTOMATIC DOOR OPENER ACTIVATOR- 4. NEW PASSAGE SETS: ODOR - 01/1 - AND TO REPORT ANY DISCREPANCIES DI ARCHITECT. - , WALL TYPE 1 (STC-55 RATED), MOUNT BETWEEN 36`MIN AND 42" MAX NOTE: ' - 2X4 WD STUDS 0-16"O.C.WITH 1/2`GYP. BOARD ON BOTH - 5. DOORS- D100& 6101,NEW AUTO OPENER WITH HANDS FREE OPERATION 3. G.C. SHALL PENETRATIONS INSPECT THATSEALED. PATCH, REPAIR,EXISTING EXTERIOR &WALL PAINT AS NECUM ESSARYOARD IS TAPED AND ALL r SID3S1/2"WALL. SOUND°CE LING ATTENUATIONDECK INSULATION BETWEEN.STUDS- FE FIRE EXTINGUISHER LOCATION. ISSUED FOR PERMIT 4. EQUIPMENT AND FURNITURE SHOWN IS SUPPLIED BY OWNER. ROOM ROOM TAG. HALL I NURSE " 120 ��\.I ,�WP R r U - \ / Diz - lD arnstable Bldg. D 2 K STORAGE DRAWING TITLE. Dept. APP"Oved by. (J / ---.- p FLOOR PLAN: !� --- ,oa � A PATIENTS BATHROO EXISTING • erm t Jl, I - 103 RECEPTION t 1X3 PAINTED TRIM,ALL SIDES,&INSIDE " T O - REVISIONS: . HEAD.SILL.AND JAMBS.PAINTED. , �, 1 ///�� SUDING 3/E TEMPERED GLASS WINDOW Y� �I NO DATE DESORPTION WITH TRACKLESS BOTTOM.LOCKING.3" 1X3 PAINTED VALANCE.BOTH SIDES NEW OPENING) \\ WOOD TRIM ALL SIDES,PAINTED. OF WINDOW TRACK,TYP.ALL IN EXISTING WALL \ ' SLIDING TRACKS.STAIN&POLY. REMOVE -^ ------- - KOALA CARE FOR NEW TRANSACTION ✓ K8200-SS GRAY EX,'POST WINDOW 70 ENTRY FOY SOLID SURFACE COUNTER ON ALL SIDES. - ipp / \ RECEPTION \ BABY CHANGING REMOVE STATION. PROVIDE EX. POST \ WAITING / \ RECEPTION � AREA F.R BLOCKING � EXISTING _ " �,i // \\ 6 UI DING D� 1. -I COUNTER - ra '� t. n EXISTING STUD WALL K /��{ PRQIECT NO FLOOR I I I� I �i '�o�d . RECEPTION TRANSACTION WINDOW SECTION BABY CHANGING TABLE d i l J i S DATE OF ISSUE 09-17-18 ^ e,,..L/i-i'-6• srue: L/4-_r•-O' i \ WAITING ROOM / '° TO�IVId F BARNSTABLE DRAWN BY. SW ��' GBS CEILING.DEMO NOTES DEMO NOTES "DEMO LEGEND \' / 1::RE-BULB AND CLEAN ALL LIGHTS AND REPLACE WITH NEW LED BULBS. 1.REMOVE WALLS TO EXTENTS AS SHOWN.PATCH, REPAIR,AND REPLACE AS NECESSARY TO REBUILD WALLS 'f=____=:-_7 EXIST. WALL CONSTRUCTION TO BE REMOVED, SEE ��// DRAWING NUMBER AS SHOWN ON A1.0 ,�PLANS FOR LOCATIONS. \ / 2,PATCH, REPAIR,AND REPAINT EXISTING DRYWALL CEILINGS. 2.FIELD VERIFY ALL DEMOLITION DIMENSIONS. WP EXISTING WALL CONSTRUCTION TO REMAIN 10 / 1D Al REMOVE ALL EXISTING PRIVACY CURTAINS AND REPLACE WITH NEW CURTAINS. EXISTING TRACKS TO REMAIN. \ / /` . O [1 3.REMOVE EXISTING CARPET AND PAD IN ITS ENTIRELY. \\ /' ' ---------� I 4.REMOVE ALL EXISTING MECHANICAL GRILLES& DIFFUSERS,AND REPLACE WITH NEW,SEE Al.l &A2.1 4.REMOVE EXISTING WALL PAPER WHERE NOTED. (WP) (} 5.REMOVE NURSE CALL/PAGING SYSTEM THROUGHOUT. PATCH &REPAIR WALLS. 1 FIRSTOOR DEMO WORK 1A1.O SCALE;1/4'= l'-O" i t _ f' • OMEDCOM ARCHITECTURAL GROUP MEDICAL&COMMERCIAL ARCHITECTURE iLi 118 Waterhouse Road Bourne,MA 02532 / OE a O PA.Box 157 Monument Beach,MA 02553 L 15081 759-9829 0 AM W W W.MEDCOMARCH.COM PROJECT CONTACT:GREGORY SIROONIAN UP 0 ------ o PROJECT: OE. EX ® $D a \\ EXAM I\ /I I\ /I APE COD HEALTHCARE MD 100FFICE COPPICE RENOVATIONS $D \ MD OFFICE 4 REAR HALL (}; I\ / Qe 1\ /I EXAM ( ' 1\ / Q ® / 60A Park Street \\. 0 ® I \\ I \\ I Hyannis,MA. 71 —————————- e E - PC IIF-rPC E C) E & E °EX h OO x X ------ DN. EX .. EX EX I< ,a NEW DRYWA� f\ —. //3 HALL REMA HT TO -1 ��\�/ �X Iv I 1PG T \WI I UPI - (PAINTED -TYP, - I f EXAM E' r F — — — — — — — —+ EXAM I. p O u 4 I— — ° 107 j I coPvwcH 1.1. L L___,1 ce"u`�io°Tut°e av c°�o.reMiS.ou PcixI OR Pea °F"e ors° 2 SECOND FLOOR RCP I Jac I MA NEW l 1 1- --- I a 5aF"nE°:eo�°µ"-111o;E-1—,•o�, e A1.1 SCALE:1/4"= i'-o• - I'— LI STAFF I EX is Ii TRAc I�,�I °xas oo�°F.nt•osE�°usEoa°o�Noo.1. °„ "e ' 9 L "O 1.=MI 11 L— TAFF TOILt� 18 ---- 4 F11i, EXEX_,CEILING LEGEND EXAM1 / I I L" `x EX CEILING TYPE, SEE FINISH SCHEDULES - I PC - HALL MANUFACTURER/MODEL# L_ J E //T\\ I I' n20 ... I I ° NU06E �aN CEILING MARKER OR SIMILAR _ I / '� EXIT i,- I EX CEILING HEIGHT,ABOVE FINISHED FLOOR +— � I I N \ / I NEW 2' X 2' RECESSED LED LIGHT- \ / - ❑ FIXTURE WITH'FLAT PANEL LENS. PHILIPS 'VERSAFORM'2'X2' LED _ W STORAGEF0--LIL_ IX p0EXE%MD OFFICE EX os NOTE: RECESSED PERIMETER UGHT FIXTURE. - LEAN ANDRE-LAMP W/LED BULBS -"E%"DENOTES IXISTING. ` __= EX I I q, - - ISSUED FOR PERMIT CEILING HUNG FIXTURE. // r /°\ EX PATIENTS BATHROOM . "EX"DENOTES EXISTING. LEAN AND RE-LAMP W/LED BULBS I / \ 103 I I RECEPTION $D EX IX EX DECORATIVE RECESSED DOWN LIGHT FIXTURE. ® "EX"DENOTES EXISTING. CLEAN AND RE-LAMP W/ LED BULBS /// I --� O O ° — — — — — — EX 0 SURFACE-MOUNTED WALL SCONCE LIGHT LEAN AND-RE-LAMP W/LED BULBS \ WS FIXTURE IN RESTROOM:"EX'DENOTES EXISTING_ - \ ——————— 0-' EXIT DRAWING TITLE: IX °IX RCP PLAN W$� SURFACE-MOUNTED WALL SCONCE LIGHT LEAN AND RE-LAMP W/LED+BULBS - " _ O ENTRY FO F100YER ER O DOT //� IX p FIXTURE IN OFFICE.EX DENOTES EXISTING o / RECEPTION °IX EX ALL EXISTING ACOUSTICAL TILE LEAN AND REPLACE BROKEN TILES IX / CEILINGS TO REMAINAS' REQUIRED - s 0 0 /// 0. ALL EXISTING GYPSUM BOARD LEAN AND REPAINT - = o po// \\0 -e REVISIONS: CEILING/SOFFITS TO REMAIN. /IX `EX / \ I N0, DATE DESCRIPTION EXHAUST FAN. "EX"DENOTES EXISTING .. CEILING MOUNTED ILLUMINATED EXIT SIGN. MEETS NFPA 101 O 1°E7r ® WHITE HOUSING, RED LETTERING "EX'DENOTES EXISTING A BATTERY-BACKUP. SEE ELEC. DWGS. • - l MEETS NFPA 101 STAND-ALONE k 0 \ WAITING ROOM SD SMOKE DETECTOR W/STROBE. SERIES COMPATIBLE CEILING NOTES l c�\ //°EX J - NEW BATTERY-BACKUP _Z EMERGENCY BATTERY UNIT IN RESTROOMS 1.ALL DRYWALL CEILINGS TO RECIEVE NEW WHITE'PAINT. NEW. PHILLIPS - \ EJ( _ N \ / 2.ALL ROOM CEILINGS TO REMAIN EXISTING UNLESS OTHERWISE NOTED. \ / EMERGENCY BATTERY UNIT. PHILLIPS #22300 ALL UNITS TO BE REPLACED WITH NEW CAX6 SERIES 3.NEW PRIVACY CURTAINS IN ALL EXAM ROOMS. 4.REPLACE ALL EB-V WITH NEW \----------J PROJECT NO. ® HEAT DETECTOR S.CLEAN AND REPLACE BROKEN TILES NEW. AS REQUIRED DATE OF ISSUE 6.RE-BULB AN O9- 7— 8 D CLEAN ALL LIGHTS AND REPLACE WITH NEW LED BULBS. EMERGENCY HORN /STROBE LIGHT. - DRAWN BY. SW •CHEO(ED BY. GBS "E"INDICATES EXISTING TO REMAIN. 7.NEW 2%2 FIAT PANEL LIGHT TO CONNECT TO NEW SINGLE SWITCH. ® EMERGENCY PULL STATION. DRAWING NUMBER 'E"INDICATES EXISTING TO REMAIN. CEILING TYPES CURTAIN SHALL BE FROM THE: _ 1 I ST FLOOR RCP PRIVACY CURTAIN INPRO COLD COLLECTION "IN THE.MOMENT' E%- EXISTING CEILING TO REMAIN. Al . PC ^E"INDICATES EXISTING TRACK - A1.1 SCA E:1/4"= 1'-0' H 1 TO REMAIN. STALL NEW SLIDER H2OL INTRANSACTION WINDOW ONPRUL i NURSE / "ING AT EXISTING OPENINGOMEDCOM - tO v ARCHITECTURAL GROUP ® ® FILES MEDICAL&COMMERCIAL ARCHITECTURE _j 105 118 Waterhouse Road Bourne,MA 02532 OaOKEEP THIS P.O.Box 15]Monument Beach,Mq 02553 104KEEP TH CPHINET t:LSDBI 759-9828 20 ATHROOM T:L5081759-9802 RECEPTION104 W W W.ME000MARCH.COM ® PROIECTCONTACT:GREGORY51R00NIAN nFTAI 20 • 0 \ - Pg01EC I: ----- NEW SLIDE \ SD 204 20 20 O ® FE TRANSACTION WINDOW \ _——__—— D20 20 �--` o OFFICECAPE ORENOVATIONS REEPEAIR BRICK FOR 10 ENTR100F0Y D70 // 60A Park StreetEV _ iE SD 20 SD TRANSITION. // RECEPTION Hyannis,MA. IT 9 p IUI / NTV r / \ / \ HARD G PIPE ❑ I WATER DISCONNECT RANGE I I I1 - 6p \ WAITING ROOM / I----------------- HARD )r /GF� - �I \ \ \ / LJ p--1�\-/ --------------- \ / PYRICHT WATER rNEuAc�wwweoaEs rw,r TNEARCNlIEcrs oocuNEurR ARE . - / Nr,�sERwapsnrrTne—wcnlieMEIFFcr 10 / 10 _IS�µNEnwssoxu.ariN �,110-11 �oiosareRSEio aoEES Rates \ / • SE ooers,ARISING OUT OFANV USE,REUSE OR COPYING OF THIS 3 SECOND FLOOR NEW WORK PLAN \ / \ / ooaGNENT A1.0 SCALE:1/4"= V-D" — I -- 2 • FIRST FLOOR NEW WORK At.D SCALE:I/4'= 1'-0"01 DOOR NOTES GENERAL NOTES PLAN LEGEND ' � a 1t sass 1. ALL EXISTING DOORS TO REMAIN. I. DIMENSION LINES.ARE SHOWN FROM FACE OF EXISTING WALLS AND TO CENTERLINES OF 5. G.C. SHALL CARRY AN ALLOWANCE FOR FLOOR PREP OF EXISTING FLOORS,TAKING o EXISTING WALL CONSTRUCTION TO REMAIN NEW WALLS, UNLESS OTHERWISE NOTED. DIMENSIONS TO NEW DOORS IN EXISTING WALLS INTO CONSIDERATION THE EXISTING FLOOR REMOVAL AND THE PREP REQUIRED FOR - 2. ALL EXTERIOR DOORS -D1OO, DIOI, D102, D103,D107, &D105 ARE SHOWN FROM FACE OF WALL TO THE CENTERLINE OF THE NEW DOOR. DIMENSIONS NEW FLOORING IN THAT AREA. 10 DOOR TAG. REQUIRE NEW WEATHER STRIPPING AND NEW BOTTOM SWEEPS. SHOWN IN CORRIDORS ARE CLEAR DIMENSIONS, NEW AND EXISTING. ' NEW WALL CONSTRUCTION, SEE PLANS FOR LOCATIONS. ADJUST SWEEPS ACCORDINGLY 2.-ALL NEW EXPOSED TO CIRCULATION COUNTER AND WALL-CAP EDGES SHALL BE 3" 6. ALL EXTERIOR DOORS REQUIRE NEW WEATHER STRIPPING AND NEW SWEEPS. ADJUST WALL TYPE TAG. NEW WALLS SHOULD BE-TYPE 1•, ( ) SWEEPS ACCORDINGLY 3. NEW PRIVACY SETS: DOORS -D122, D125, D126 RADIUSED.ALL EXISTING EXPOSED COUNTER &WALL-CAP EDGES SHALL BE MODIFIED UNLESS OTHERWISE NOTED. ® NEW HANDS FREE AUTOMATIC.DOOR OPENER ACTIVATOR - TO HAVE 3" RADIUSED EDGES. 7. G.C.TO INSPECT AND VERIFY ALL CONDITIONS INFIELD PRIOR TO COMMENCING WORK WALL TYPE 1 (STC-55 RATED): MOUNT BETWEEN 36" MIN AND 42" MAX NOTE: 4. NEW PASSAGE SETS: DOOR - 0111 "' AND TO REPORT ANY DISCREPANCIES TO ARCHITECT. -.2X4 WD STUDS 0 16"O.C.WITH 1/2"GYP. BOARD ON BOTH - 5. DOORS- D100& D101,NEW AUTO OPENER WITH HANDS FREE OPERATION 3' G.C.SHALL I ARE SEALED STE T O &HAING EXTERIOR WALL AGYPSUMBOARDNECESSARY.S TAPED AND ALL SIDES OF WALL,.TO CEILING DECK ABOVE. O • FIRE EXTINGUISHER LOCATION. ISSUED FOR PERMIT 3-1/2"SOUND ATTENUATION INSULATION BETWEEN STUDS FE ROOM ROOM TAG. ' 4. EQUIPMENT AND FURNITURE SHOWN IS SUPPLIED BY OWNER. - E---I'-- HALL \ I NURSE \ 120 WPJ// \ �WP 106 STORAGE • - 177 - DRAWING TITLE: s FLOOR - _ —,--- PATIENTS BATHROO EXISTING - - I 103 RECEPTION CLG. RIP 1X3 PAINTED TRIM ALL SIDES.&INSIDE RVI N :I E 50 5 ' HEAD,SILL.AND JAM85.PAINTED. - \ O DESORPTION WTH T A3 B'T TEMPERED GLASS WINDOW - / NO DATE 1X PANTED VALANCE,BOTH SIDES � //A- n\ KING. 3 N1TE N J BOSS,P NTE 3" NEW OPENING WITH TRACKLESS E \ W000 TRIM ALL SIDES,PAINTED, OF WINDOW TRACK, REMOVE YP.ALL - o SLIDING TRACKS.S. IN EXISTING WALL STAIN&POLY. KOALA CARE _, \ ' FOR NEW TRANSACTION —_————— EX. POST WINDOW to K8200-SS GRAY ENTRY -- 1p SOLID SURFACE COUNTER ON ALL SIDES. - ,0 FI-0-0-1 10 // \\ I / RECEPTION 17-4 \ / 101 4\ BABY CHANGING REMOVE / \ WAITING STATION. PROVIDE EX. POST RECEPTION AREA F.R BLOCKING EXISTING .1 COUNTER i 4 / \ �' EXISTING STUD WALL. I I ,FLOOR - i • ®. i i I PROJECT NO. RECEPTION TRANSACTION WINDOW SECTION BABY CHANGING TABLE l j i DATE OF ISSUE sruc vt'-,._o. 1/4'•1•-o- '. \ WAITING ROOM / pg-17-18 CEILING DEMO NOTES DEMO NOTES DEMO LEGEND l \\ 102 // J DRAWN BY SW °xEc�DaY \ / GBS 1.RE-BULB AND CLEAN ALL LIGHTS AND REPLACE WITH NEW LED BULBS. 1.REMOVE WALLS TO EXTENTS AS SHOWN. PATCH, REPAIR,AND REPLACE AS NECESSARY TO REBUILD WALLS L-=========2 EXIST.WALL CONSTRUCTION TO BE REMOVED, SEE \ / AS SHOWN ON A1A PLANS FOR LOCATIONS. \ / DRAWINGNUMSER 2.PATCH,REPAIR,AND REPAINT EXISTING DRYWALL CEILINGS. 2.FIELD VERIFY ALL DEMOLITION DIMENSIONS. WP - © EXISTING WALL CONSTRUCTION TO REMAIN - 10 / 10 3.REMOVE ALL EXISTING PRIVACY CURTAINS AND REPLACE WITH NEW CURTAINS. EXISTING TRACKS TO REMAIN. \ � ' A1 . 0 3.REMOVE EXISTING CARPET AND PAD IN ITS ENTIRETY. \\ .. // 4.REMOVE ALL EXISTING MECHANICAL GRILLES & DIFFUSERS,AND REPLACE WITH NEW,SEE A1.1 &A2.1 I-REMOVE EXISTING WALL PAPER WHERE NOTED. (WP) 5.REMOVE NURSE CALL/PAGING SYSTEM THROUGHOUT. PATCH & REPAIR WALLS. - 1 IRST FLOOR DEMO WORK A1.D SCALE:1/4" (aMEDCLOM rF MEDICAL&COMMERCIAL ARCHITECTURE 2532 Oj 1 O O 118 Bol 157 M Road Bourne,MA 0255 UP.O.B°>t 15]Monument Beach,MA 02553 ® ❑ ❑ t:1508)759-9828 ® � l f:(50BI 759-9802 W W W,MEDCOMARCH.COM PROJECT CONTACT:GREGORY SIROONIAN UP ———— 0 SD - —— —— —— / PROJECT: _ \ EX ® EXAM r MD OFFICE // CAPE COD HEALTHCARE ® SD e \SD \\ 111 �, II\\ / II EXAM OFFICE RENOVATION S MD OFFICE REAR HALL P4c 11 EXAM 60A Park Street 1p9 1 Hyannis,MA. \ I ----0 (PC Ex - ---- ClPC I r------ EX I E' 'E' ' I I'E' °EX I II p T h ,T\ , Imop___0 ❑ ul O O c EX EX ON, / \ I FX EX OO \_\�' EXIT E� +. _3 HALL sl<ruHr r01< �X I E\ -+' /� ® NEW DRYWA� \: / 120 REMAIN \ / r _ I PO \. / UP PAINTED —TYP _ EXAM F EXAM ❑ Cl - _ I �' I 114 _ WI _.. — — — (APYIUGHT --�- ° , PC 1 _ I °Fis o�o°c I—El. en°pw°=u¢nnecr 2\\SECOND FLOOR RCP I T I I E MA I NEw I ESS`��„nµ�IIITIEAR=„;�:�ITT I I A L TRAQ --- I �uA�.N .nuaaN°° °Fl . A1.1 SCALE:1/4"= t•-D' I � 119 I oa .°ovr°d Mn usE. oA c°mn°oe*wls STAFF TOIL 19 p ^ EX ,SD na Ex --_-_ q� CEILING LEGEND _ EXAM I / 1 - L4 F < t is -�._._ IL — — — — — — — — . — — JE% CEILING TYPE, SEE FINISH SCHEDULES NURSE MANUFACTURER MODEL J H0I I oT n�0 CEILING MARKER OR SIMILAR EXIT 106 r EOk Lt CEILIN HEIGHT,ABOVE FINISHED FLOOR !5 1111 i• ' r �r NEW 2- X 2'RECESSED LED LIGHT \ti'/ ❑ - FIXTURE WITH FLAT PANEL LENS. PHILIPS'VERSAFORM' 2'X2' LED I STORAGE EX- 17 (: it FILES �MD OFFICE� I I �� 1os NOTE: RECESSED PERIMETER LIGHT FIXTURE. E% O "EX"DENOTES EXISTING. LEAN AND RE-LAMP W/LED BULBS - I ----- EX _ I � 4� ISSUED FOR PERMIT CEILING HUNG FIXTURE. - /r r—� , 0 "EX"DENOTES EXISTING. LEAN AND RE—LAMP W/LED BULBS / / //\\\ I I,I o _ PATIENTS OBATHRO°OM I I RECEPTION $D - EJ 104 DECORATIVE RECESSED DOWN LIGHT FIXTURE. - o / / \I 4• EX _ EX EX SD _ ® "EX"DENOTES EXISTING. CLEAN AND RE-LAMP W/LED BULBS O — — — — — — EX / --� °E °Ex' \ SURFACE—MOUNTED WALL SCONCE LIGHT LEAN AND RE—LAMP W/ LED BULBS \\ 0 EYJT DRAWING TITLE: FIXTURE IN RESTROOM.'EX' DENOTES EXISTING. °——————— EX EX WS, - RCP PLAN ENTRY FOYER EX SURFACE—MOUNTED WALL SCONCE LIGHT LEAN AND RE—LAMP W/LED BULBS O O 100 O EXIT /' O D W.S Q FIXTURE IN OFFICE.. EX" DENOTES EXISTING c - / 'RE,EDP'ION' EX EX ALL EXISTING ACOUSTICAL TILE LEAN AND REPLACE BROKEN TILES CEILINGS TO REMAIN kS REQUIRED Q Q // p EX ALL EXISTING GYPSUM BOARD LEAN AND REPAINT o // \\0 I o REVISIONS: CEILING/SOFFITS TO REMAIN. 9EX `EX / \ NO DATE DESORPTION EXHAUST FAN. "EX"DENOTES EXISTING. I I I _ I I ® A CEILING MOUNTED ILLUMINATED EXIT SIGN. WHITE HOUSING, RED LETTERING EXIS 101 'EX"DENOTES TING MEETS NFP BATTERY—BACKUP. SEE ELEC. DWGS. I I MEETS NFPA 101 STAND—ALONE& WAITING ROOM I o SD SMOKE DETECTOR W/STROBE. SERIES COMPATIBLE CEILING NOTES l 102 /0EX NEW BATTERY-BACKUP EMERGENCY BATTERY UNIT IN RESTROOMS •t \ �E7( / 1.ALL DRYWALL CEILINGS TO RELIEVE NEW WHITE PAINT. PHILLIPS \ / NEW. \ / 2.ALL ROOM CEILINGS TO REMAIN EXISTING UNLESS OTHERWISE NOTED. 4e EMERGENCY BATTERY.UNIT. PHILLIPS#22300 ALL UNITS TO BE REPLACED WITH NEW CAX6 SERIES 3.NEW PRIVACY CURTAINS IN ALL EXAM ROOMS. \ 4.REPLACE ALL EB-V WITH NEW \ / HEAT DETECTORCLEAN AND - NEW. 6.AS REQUIRED REPLACE BROKEN TILES GATE OF ISSUE 09_17-18 EMERGENCY HORN/STROBE LIGHT. 6.RE-BULB AND CLEAN ALL LIGHTS AND REPLACE WITH NEW LED BULBS. DRAWN gy; SW CHECIOD BY: GBS "E"INDICATES EXISTING TO REMAIN. 7.NEW 2X2 FLAT PANEL LIGHT TO CONNECT TO NEW SINGLE SWITCH. ® EMERGENCY PULL STATION. DRAWING NUMBER "E"INDICATES EXISTING TO REMAIN. CEILING TYPES 7RTAIN SHALL BE FROM THE: 1 FIRST FLOOR RC PCP . PRIVACY CURTAIN OLD COLLECTION "IN THE MOMENT' EX— EXISTING CEILING T0•REMAIN. "E"INDICATES EXISTING TRACK — TO REMAIN. A1.1 SCALE:t/4" t'-0" ,77 ` s I� �1 y HALL INSTALL NEW SLIDER NURSE \ ,20 TRANSACTION WINDOW INFILL EXISTING I-0 / \ AT EXISTING OPENING OPENING I OMEDCOM ARCH ITECFU RAIL GROUP 10 STORAGE 17 ® ® FILES MEDICAL&COMMERCIAL ARCHITECTURE 0 J _10 5 118 Waterhouse Road Bourne,MA 02532 , � KEEP THIS P.O.BOE 157 MonumentntBeach,MA 02553 20 O� '-'0 I--- 12 104 EXISITNG CABINET C L5081 759-9828 20 PATIENTS BATHR00 I.I50B1759-9802 103 RECEPTION ® 104 W W W.MEDCOMARCH.COM II 12 ® ® Ad 1 O CHANGING � PROTECT CONTACT:GREGORV SIROONIAN STATION-SEE 20 \O PROTECT: ----zpa 20 20 O NEW SLIDE S RANSACIO WINDOW \\ ------- CAPE COD HEALTHCARE 20 20 /-- o OFFICE RENOVATIONS REPAIR BRICK FOR 10 ENTRY FOY pip / 60A Park Street ODDSD 20 SD TRANSITION.LEVEL - 100 RECEOP'ION Hyannis,MA. ❑ �q INhi / -TV n ❑ � \ ❑ - / \// HARD G - \\ PIPE / \ WATER I I ❑ DISCONNECT RANGE FI rC2O OO \ WAITING RO OOM / ------ NEW I \ 10z / -- HARD l --------------- \ / ❑ l J ❑ WATER GFI \\ IN ECOus •c°TiaowiEoaEs tw,rs e,weHlrecrsos nne \ / MD ENOT BE MODIFIED. ENbe OR ALTEFE➢l'z,IT 10 10 �MI wsron oNMy"O—ES.—MS DID �ve.IEluorcnEESEo 3 S COND FLOOR NEW WORK PLAN \ / DO_,_ A1.0 SCALE:1/4"_ ,'-O" \ 2 FIRST FLOOR NEW WORK A 1.0 SCALE:1/4'= 1'-0' TVE •x... DOOR NOTES GENERAL NOTES PLAN LEGEND Ko Yy� aoU 1. ALL EXISTING DOORS TO REMAIN. 1. DIMENSION LINES ARE SHOWN FROM FACE OF EXISTING WALLS AND TO CENTERLINES OF 5. G.C.SHALL CARRY AN ALLOWANCE FOR FLOOR-PREP-OF EXISTING FLOORS,TAKING o EXISTING WALL CONSTRUCTION TO REMAIN NEW WALLS, UNLESS OTHERWISE NOTED. DIMENSIONS TO NEW DOORS IN EXISTING WALLS INTO CONSIDERATION THE EXISTING FLOOR REMOVAL AND THE PREP REQUIRED FOR 2. ALL EXTERIOR DOORS -D100, D101, D102,D103, D107, & 0105 ARE SHOWN FROM FACE OF WALL TO THE CENTERLINE OF THE NEW DOOR. DIMENSIONS NEW FLOORING IN THAT AREA. DOOR TAG. r.%? REQUIRE NEW WEATHER STRIPPING AND NEW BOTTOM SWEEPS. SHOWN IN CORRIDORS'ARE CLEAR DIMENSIONS, NEW AND EXISTING. NEW WALL CONSTRUCTION, SEE PLANS FOR LOCATIONS. ADJUST SWEEPS ACCORDINGLY 2. ALL NEW EXPOSED TO CIRCULATION COUNTER AND WALL-CAP EDGES SHALL BE 3•• 6. ALL EXTERIOR DOORS REQUIRE NEW WEATHER STRIPPING AND NEW SWEEPS.ADJUST e WALL TYPE TAG. NEW WALLS SHOULD BE 'TYPE 1'. , ( ) SWEEPS ACCORDINGLY 3. NEW PRIVACY SETS: DOORS -0122. D125, D126 RADIUSED.ALL EXISTING EXPOSED COUNTER&WALL-CAP EDGES SHALL BE MODIFIED UNLESS OTHERWISE NOTED. N NEW HANDS FREE AUTOMATIC DOOR OPENER ACTIVATOR To HAVE 3"RADIUSED EDGES. 7. G.C.TO INSPECT AND VERIFY ALL CONDITIONS INFIELD PRIOR TO COMMENCING WORK 4. NEW PASSAGE SETS: DOOR- 0111 - AND TO REPORT ANY DISCREPANCIES TO ARCHITECT. WALL TYPE i (DS 0 RATED), 'MOUNT BETWEEN 36"MIN AND 42"MAX NOTE: - 2X4 WO STUDS® ,6'O.C.WITH 1/2"GYP. BOARD ON BOTH 5. DOORS- DIOO& D101, NEW AUTO OPENER WITH HANDS FREE OPERATION 3. G.C.SHALL INSPECT THAT EXISTING EXTERIOR WALL GYPSUM BOARD IS TAPED AND ALL SIDES OF WALL.TO CEILING DECK ABOVE. - (� FIRE EXTINGUISHER LOCATION. - ISSUED FOR PERMIT PENETRATIONS ARE SEALED. PATCH, REPAIR, &PAINT AS NECESSARY. - 3-1/2"SOUND ATTENUATION INSULATION BETWEEN STUDS FE ROOM ROOM TAG. 4. EQUIPMENT AND FURNITURE SHOWN IS SUPPLIED BY OWNER. HALL • / / \ I NURSE �WP \\ / 1 0 WP 11- O6I ' S 10 STORAGE FODRAWING TITLE: . ° FLOOR PLAN -1 -- PATIENTS BATHR00 EXISTING I 103 RECEPTION CLG. 104 - ` WP� ,X3 PAINTED TRIM,ALL SIDES.&INSIDE j • O REVISIONS: HEAD,SILL,AND JAMBS.PAINTED. f SLIDING 3/8'T TEMPERED GLASS WINDOW ///O WITH TRACKLESS BOTTOM.LOCKING.3" 1%3 PAINTED VALANCE,BOTH SIDES NEW OPENING) \\ NO GATE OESORPTICN OF WINDOW TRACK.TYP.ALL 'WOOD TRIM ALL SIDES.PAINTED. WI EXISTING WALL \ o SLIDING TRACKS.STAIN&POLY: KOALA CARE REMOVE -' FOR NEW T1ANSACTION ------- ¢ KB200-SS GRAY 1 E%. POST 1 WINDOW -- 10 SOUD SURFACE COUNTER ON A SIDES. - ip EMR100FO LL Y 10 // \\ i / RECEPTION71011 \ - BABY CHANGING REMOVE / \ WAKING STATION. PROVIDE EX. POST RECEPTION AREA F.R BLOCKING EXISTING n ' COUNTER � I / \ EXISTING STUD WALL I I FLOOR _ I ® i PRDIECT NO. RECEPTION TRANSACTION WINDOW SECTION BABY CHANGING TABLE I I I DATE OF ISSUE A svF v=-1._0. — 17."-1•-e' I l\ 09-17-18 J WAITING ROOM / CEILING DEMO NOTES DEMO NOTES DEMO LEGEND l \\ // J DDAWNBY' SW CHECKED BY: GBS 1.REMOVE WALLS TO EXTENTS AS SHOWN. PATCH, REPAIR,AND REPLACE AS NECESSARY TO REBUILD WALLS c==========D EXIST.WALL CONSTRUCTION TO BE REMOVED, SEE 1.RE-BULB AND CLEAN ALL LIGHTS AND REPLACE WITH NEW LED BULBS. AS SHOWN ON A1.0 PLANS FOR LOCATIONS. \ /\ / DRAWINGNUMBFA 2.PATCH,REPAIR,AND REPAINT EXISTING DRYWALL CEILINGS. 2.FIELD VERIFY ALL DEMOLITION DIMENSIONS. EXISTING WALL CONSTRUCTION TO REMAIN 10 f wP © / 10 3.REMOVE EXISTING CARPET AND PAD IN ITS ENTIRETY. 3.REMOVE ALL EXISTING PRIVACY CURTAINS AND REPLACE WITH NEW CURTAINS. EXISTING TRACKS TO REMAIN. \ ' Al - 0 \ / 4.REMOVE ALL EXISTING MECHANICAL GRILLES& DIFFUSERS,AND REPLACE WITH NEW, SEE A1.1 &A2.1 4.REMOVE EXISTING WALL PAPER WHERE NOTED. (WP) 5.REMOVE NURSE CALL/PAGING SYSTEM THROUGHOUT. PATCH& REPAIR WALLS. 1 S FLOOR DEMOWORK . A1.0 SCALE:1/4" 4 OMEDCOM ARCHITECTURAL.GROUP MEDICAL&COMMERCIAL ARCHITECTURE Li 118 Waterhouse Road Bourne,MA 02532 0000 00O _ P.O.Be.157 Monument Beach,MA 02553 t:(508)759-9828 - W W W.MEDCOMARCH.COM Up PROJECT CONTACT:GREGORY SIROONIAN 0 SD O ® -- —_ -- OEX r / PROJECT: \ // III (III _ _ \ IX ZIX EXAM F MD DFFlCE / `� CAPE COD HEALTHCARE ® $D $D \\ RENOV MD OFFICE 4 REAR HALL (� \ /I 111 4= I\ /I EXAM 4' 109 // EXAM OFFICE60A Park Stree0N5 \ / / l 09 \ / / Hyannis, ❑ I I III /�%1I M (Pc r0 PC EX L_E E -- IX oIX ED 1-1 o EX I' ?: I / / \ _ OO 4. I /+\,\\3 E\ —+-/ -� HALL REMANHT TO< /\ //� C O EXIT --------------------- ------------- i� \' I / ® NEW DRYWA� \- / - -- • r I .\ / UPI. I (PAINTED -TYP I.W I I v I r ` EXAM E `y f EXAM O ❑ i ,, I „4 — — — — — — — �eao�orsoe�oMe� u� J - I- O L _ I _ L — w1 E .wo uu:er cow.on , - ' COPYRIGHT , Pc j I e PA�m.er,«eAA��1 2 SECOND FLOOR RCP I MA NEw' -- aN g TM`��R°Win° I � e—L�—II I o 19 A L TRAG I I ICI I 1111 . oa.IN o.°.—e SCALE:,/4"=T'-0" * I IX — STAFF TOIL 19 I 118 IX II $D 4 I 4 // 1 IEX L �, ,....e CEILING LEGEND _ --� E sM j I__ICI IX I _111 CEILING TYPE,.SEE FINISH SCHEDULES I I I E /m\ I I I I'IALI I I I I I NURSE - N Nn 07 T- . MANUFACTURER/MODEL# 1=— J II i -\ 120 I o tpfi £ CEILING MARKER ORSIMILAR I E� _+—'\j €%IT EX O \ �. •.dE CEILING HEIGHT,ABOVE FINISHED FLOOR I � / EX NEW 2' X 2' RECESSED LED LIGHT STORAGE ❑ IX - FIXTURE WITH FIT PANEL LENS. PHILIPS 'VERSAFORM' 2'X2' LED o it�lP EX EX FILES RECESSED PERIMETER LIGHT FIXTURE. - o MD,OFFICE I ExIX _ 0 _ _ • - 1p5. _ ? NOTE: "EX"DENOTES EXISTING. LEAN AND RE-LAMP W/LED BULBS- �--_-- EX t_ -- I 4a ISSUED FOR PERMIT CEILING HUNG FIXTURE. LEAN AND RE-LAMP W/ LED BULBS i // /\\1 OEX • PATIENTS BATHROOM I I RECEPTION $D EX"DENOTES EXISTING. / CEX EX EX DECORATIVE RECESSED DOWN EIGHT FIXTURE. 4' IX SD - ® "EX"DENOTES EXISTING. LEAN AND RE-LAMP W/LED BULBS • /� pl O _ O — EL IX 0 SURFACE-MOUNTED WALL SCONCE LIGHT CIEEAN AND RE-LAMP W/LED BULBS - J - \ ws .FIXTURE IN SURFACE-MOUNTED WALL DENOTES EXISTING. DRAWING TITLE: \ -----.-- IXR 0IX I 'RCP PLAN - ENTRY FOYER - / - - EX W$ SURFACE-MOUNTED WALL SCONCE LIGHT LEAN AND RE-LAMP W/LED BULBS - - 0 0 0 00 0 EXIT / 0 EX FIXTURE IN OFFICE."EX"DENOTES EXISTING ( / RECEPTIONEX O ALL EXISTING ACOUSTICAL TILE • �IX ///. C LEAN AND REPLACE BROKEN TILES EILINGS TO REMAIN - NS REQUIREDEX ALL EXISTING GYPSUM BOARD LEAN AND REPAINT - e �/ / \0 \� o REVISIONS: CEILING/SOFFITS TO REMAIN. I %IX 1EX - / \ NO DATE DESORPTDN ®1' EXHAUST FAN. "EX"DENOTES'EXISTING. MEETS NFPA 101 r I 0� • iIX ® CEILING MOUNTED ILLUMINATED EXIT SIGN. WHITE HOUSING, RED LETTERING - - 'E%"DENOTES EXISTING BATTERY-BACKUP. SEE ELEC. DWGS c l I MEETS NFPA 101 STAND-ALONE& \ WAITING ROOM / $D SMOKE DETECTOR W/STROBE. SERIES COMPATIBLE \ 02 / I c _ NEW BATTERY-BACKUP CEILING NOTES l /OIX EMERGENCY BATTERY UNIT IN RESTROOMS - 1.ALL DRYWALL CEILINGS TO RECIEVE NEW WHITE PAINT. - NEW. - PHILLIPS - .. \ / .. a 2.ALL ROOM CEILINGS TO REMAIN EXISTING UNLESS OTHERWISE NOTED. 44 EMERGENCY BATTERY UNIT. PHILLIPS #22300 - - \ / ALL UNITS TO BE REPLACED WITH NEW CAX6 SERIES 3.NEW PRIVACY CURTAINS IN ALL EXAM ROOMS. \ / \ / ;I.AT.E O. 4.REPLACE ALL EB-V WITH NEW • `-----------� ' i ®• HEAT DETECTOR 5.CLEAN AND REPLACE BROKEN.TILES - SUE NEW. AS REQUIRED 09—1 7—1 8 EMERGENCY HORN/STROBE LIGHT. 6.RE-BULB AND CLEAN ALL LIGHTS AND REPLACE WITH NEW LED BULBS "E"INDICATES EXISTING TO REMAIN. 7.NEW 2X2 FLAT PANEL LIGHT TO CONNECT TO NEW SINGLE SWITCH. DRAWN BY: SW CHECKED BY: GBS -®. EMERGENCY PULL STATION. DRAWING NUMBER - "E"INDICATES EXISTING TD REMAIN. CEILING TYPES CURTAIN SHALL BE FROM THE: - \ FIRST FLOOR RCP PO PRIVACY CURTAIN INPRD GOLD COLLECTION "IN THE MOMENT" EX- EXISTING CEILING TO REMAIN. ,� A\,� SCALE:1/4"- V-O" A . "E"INDICATES EXISTING TRACK H _ TO REMAIN. -