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0223 STEVENS STREET
��3 s���s ��� �`�. III ' Town of Barnstable " "s ',, "' '� ,R.,�.. .emu: �., .' a ,..,... —a �.*x s xwz Building Post This Card So Thatrt is Visible From the Street Approved Plans Must beRetamed on Job andthis Card Must be Kept ib Posted Until FinalInspection�Has Been Made Where a.Certificate.of Occupancy is RegWired,such Buildingshall Not be Occupied{until a Final Inspection has been made e�n11t ��"c__ a,.twa .:;G :,,�. F_a 3-a< u�;�.�-,•.. a.. ,......:.,s".a,.:.. ,... . ...� .. .. .'`' _ .m..... r.- .M«.,�.-swim.M....... . �*. w.,.">.M aW. ;.�a ...,,.,.-�.._ Permit No. B-19-3981 Applicant Name: Casey Haley Approvals Date Issued: 01/09/2020 Current Use: Structure Permit Type: Building Alteration INTERIOR Work Only- Expiration Date: 07/09/2020 Foundation: Commercial Ma L p/ of 308-258 Zoning District: OM Sheathing: Location: 223 STEVENS STREET,HYANNIS Contractor Name:' ,,SHANE P MCMAHON Framing: 1 Owner on Record: VILLAGE MARKETPLACE LLC Contractor, License 4092905 2 Address: P-O BOX.1562 t Est,Prolect Cost: $500,000.00 Chimney: HYANNIS, MA 02601 Permit Fee: $4,685.00 Description: This is a interior fit-out for expansion for the Veterans Affairs z Insulation: �AFee Paid=� $4,685.00 Medical Center. The interior fit-out expansion�is approx 1888 sq.ft Final: that includes 5 exam rooms,supporting Date 1/9/2020 pporting which includes new , I' mechanical,electrical,and plumbing.The intenorjit`out is�'a jacent to where the Veterans Affairs office currently reside. Plumbing/Gas change of contractor to Williams Building co.Shane McMahon � d Rough Plumbing: Project Review Req: y _ � _ ;.. Building Official Final Plumbing: • This permit shall be deemed abandoned and invalid unless the work auth�orizetl bythis permit is commenced within siz rimonthsafter issuance. Rough Gas: All work authorized by this permit shall conform to the approved application and the;approved construction documents".,'for which this, permit has been granted. All construction,alterations and changes of use of any building and structures shz IF156 in compliance with the local zomng,by taws and codes. Final Gas: 1 This permit shall be displayed in a location clearly visible from access street or�,roadfand shall be maintained open for public inspection for the entire duration of the work until the completion of the same. Electrical a M AM The Certificate of Occupancy will not be issued until all applicable signatures by the Bwldmg End Fir&Ofhci is are provided on"this permit. Service: Minimum of Five Call Inspections Required for All Construction Work: e e � 1.foundation or Footing .`� Rough: 2.Sheathing Inspection 3.All Fireplaces must be inspected at the throat level before firest flue lining is installed Final: 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection 5.Prior to Covering Structural Members(Frame Inspection) Low Voltage Rough: 6.Insulation 7.Final Inspection before Occupancy Low Voltage Final: Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Health Work shall not proceed until the Inspector has approved the various stages of construction. Final: "Persons contracting with unregistered contractors do not have access to the guaranty fund" (as set forth in MGL c.142A). Fire Department Building plans are to be available on site Final: All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT pF THE � —�/9C� [ Application Number..~.ly v7' Qn ............................................. • R R BARN3rABLE, # A MAss. $ Permit Fee.......................:...: ....Zzon-i�ng District,......................:. RFD MA'1 A Total Fee Paid.................... . ............:........................... ...... TOWN OF BARNSTABLE Permit Approval by.:...............................On.................:......... BUILDING PERMIT '309 Map......................................cParcel............................. ........ APPLICATION Section 1 — Owner's Information and Project Location Project Address (92)w- fi QliP_n s 'Villa e g Owners Name 1 lik ' `� e.Q SCANNED k� cM--ers+egal-Address MaRos 2020 City- IQ�1 $ S �:--='-�/ p= Owner7C-ell-# �� 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 Structure ❑ Change of use ❑ Demo/(entire structure) ❑ Finish Basement ❑ Family/Amnesty ❑ Fire Alarm Rebuild ❑ Deck Apartment © Sprinkler System ❑ Addition ❑ Retaining wall ❑ Solar f ❑ Renovation ❑ Pool ❑. Foundation Only Other-Specify pi Section 4 - Work Description .. Roza 14aA J. �T Last updated: 1/31/2020 Application Number............... Section 5—Detail Cost of Proposed Construction` 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 ❑ Fire Suppression ❑ Heating System ❑ Masonry Chimney ❑ Add/relocate bedroom Water Supply l ❑ Public ElPrivate Sewage Disposal ❑. Municipal ❑ On Site Historic District ❑ Hyannis Historic District ❑ Old Kings Highway Debris Disposal Facility: I am using a crane C' Yes ❑ No Section 7— Flood Zone Flood Zone Designation Within or adjacent to a wetland, coastal bank? Yes ❑ 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 P P Y g .Last updated: 1/31/2020 I� - Application Number........................................... I Section 9— Construction Supervisor Tele hone Number (s� -- 71 la 39B'lr� Name 5,%Qh,t MCMQ1On P Address QU'14 Low5g City Lt\r4)L4\d —State_ QH Zip C730- � h License Number CS� (��o��©� License Type Expi ation Date' off , b CContractors Email Srng—no� E:w111ia+thslxa11c1ihc�Ca> ���i�- (,Cell # (:P03--71(.i> -39$'li1 I understand my responsibilities under the rules and regulations for Licensed Construction Supervisor in accordance with 780 CMR the Massachusetts State Building Code. I understand the construction inspection procedures,specific inspections and documentation required by 780 CMR and the Town of Barnstable.Attach a copy of your license. Signature Section 10 — Home Improvement Contractor r Name Telephone Number Address City State Zip Registration Number Expiration Date I understand my responsibilities under the rules and regulations for Home Improvement Contractors in accordance with 780 CMR the Massachusetts State Building Code. I understand the construction inspection procedures,specific inspections and documentation required by 780 CMR and the Town of Barnstable.Attach a copy of your H.I.C... i Signature Date Section 11 —Home Owners License Exemption Home Owners Name: Telephone Number Cell or Work Number I understand my responsibilities under the rules and regulations for Licensed Construction Supervisor in accordance with 780 CMR the Massachusetts State Building Code. I understand the construction inspection procedures,specific inspections and documentation required by 780 CMR and the Town of Barnstable. Signature Date APPLICANT SIGNATURE Date bu r70 Print Name C ca,1Tlac;. 5 Telephone Number° 3$-39y 3Uy4 E-mail permit to: k (hula t)3i1l�GrtaSbu��\c1► ra s Last updated: 1/31/2020 Section 12 — Department Sign-Offs Health Department C Zoning Board (if required) Historic District ❑ Site Plan Review(if required) ❑ Fire Department ❑ Conservation ❑ For commercial work lease take your plans directly to theIre dePartmentfor approvaL Section 13 — Owner's Authorization I, , as Owner of the subject property hereby authorize to act on my behalf, in all matters relative to work authorized by this building permit application for: (Address of job) Signature of Owner date Print Name 1 t Last updated: 1/31/2020 „ . Town of Barnstable - Building BARNSU LL +` Post This Card So That it is Visible From the Street=Approved Plans Must be Retained on Job and this Card Must be Kept?Posted,, "'^� Untilfinalelnspection Has Been Made. �� .bs�. Perm - . o+° Where a Certificate of Occupancy is Required,such;Building shall,Not be Occupied until a Finahlnspection!has been made. Permit No. B-19-3981 Applicant Name: Casey Haley Approvals Date Issued: 01/09/2020 _ Current Use: Structure Permit Type: Building-Alteration INTERIOR Work Only- Expiration Date: 07/09/2020 _ Foundation: - Y Commercial Map/Lot: 308-258 v 4 Zoning District: OM Sheathing: Locations 223 STEVENS STREET, HYANNIS -- I Contractor Name:`,,REZA A HADAEGH Framing: 1 Owner on Record: VILLAGE MARKETPLACE LLC Contractor License: 31663 2 Address: P O BOX 1562 -- — "^- Est. Project Cost: $500,000.00 Chimney: HYANNIS, MA 02601 ” Permit Fee: $4,650.00 Description: This is a interior fit-out for expansion for the Veterans Affairs r! $4 Insulation: Fee Paid:; ,650.00 Medical Center. The interior fit-out expansion is approx. 1,888 sq.ft " that includes 5 exam rooms,supporting spaces which includes new Date:` 1/9/2020 Final --_`_ - mechanical,electrical, and plumbing.The interior fit out is adjacent to where the Veterans Affairs office currently resides. �r,�� Plumbing/Gas Rough Plumbing: Project Review Req: y tBuilding Official Final Plumbing: This permit shall be deemed abandoned and invalid unless the work'authorized by this permit is commenced within six months after issuance. ' All work authorized by this permit shall conform to the approved application and the approved construction documents for which`this permit has been granted. Rough Gas: All construction,alterations and changes of use of any building and structures shalllbe in compliance with the local zoning by-laws'and codes. This permit shall be displayed in a location clearly visible from access street or roadand shall be maintained open for public inspection for the entire duration of Final Gas: the work until the completion of the same. Electrical The Certificate of Occupancy will not be issued until all applicable signatures by the Building and Fire Officials are provided on this permit. Minimum of Five Call Inspections Required for All Construction Work: Service: 1.Foundation or Footing i 2.Sheathing Inspection Rough: - _ _ �_ ,�..._.,-.•--- 3.All Fireplaces must be inspected at the throat level before firest flue lining is installedT ^ Final - 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection \ 5. Prior to Covering Structural Members(Frame Inspection) Low Voltage Rough: 6.Insulation 7.Final Inspection before Occupancy Low Voltage Final' Where applicable,separate permits are required for Electrical, Plumbing,and Mechanical Installations. Health Work shall not proceed until the Inspector has approved the various stages of construction. Final: - "Persons contracting with unregistered contractors do not have access to the guaranty fund" (as set forth in MGL c.142A). Building plans are to be available on,site Fire Department All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT Final: f - Town of Barnstable . • Building.Department Services Brian Florence,CBO Building Commissioner S 200 Main Street, Hyannis,MA 02601 www.town.barnstable.maus Mld Office: 508-862-4038 Fax: 508-790-6230 HOMEAWNER LICENSE EXEMPTION Please Print DATE: JOB IACATION: numbea street villas; "HOMEOWNER": - name. home phone# worts phone/ CURRENT MMMG ADDRESS: cityAMM- state ap•code The current exemption for"homeowners"was extended to include owner-geeapied dwellines of six units or less and to allow homeowners to engage an individual for hire who does not possess a license,provided that the owner acts as supervisor. DEFDMON OF HOMEOWNER Person(s)who owns a parcel of land on which he/she resides or intends to reside,on which there is,or is intended to be,a one or two- family dwelling,attached or detached structures accessory to such use and/or farm structures. A person who constructs more than one home in a two-year period shall not be considered a homeowner. Such"homeowner"shall submit to the Building Official on a form acceptable to the Building Official,that he/she shall be responsible for all such work performed under the biuldingpennit. (Section 109.1.1) The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other applicable codes, bylaws;rules and regulations. The undersigned"homeowner"certifies that he/she understands the Town of Barnstable Building Department minimum inspection procedures and requirements and that he/she will comply with said procedures and requirements. Signature of Homeowner . Approval of Building Official Note: Three'familydwellings containing 35,000 cubic feet or larger will be required to comply with the State Building Code Section 127.0 Construction Control. HOMEOWNER'S EXEhWnON 4., The Code states that: "Any homeowner performing work for which a building permit is required shall be exempt from the provisions of this section(Section 109.1.1-Licensing of construction Supervisors);provided that if the homeowner engages a person(s)for hire to do such work,that such Homeowner shall act as supervisor." Many homeowners who use this exemption are unaware that they are assuming the responsibilities of a supervisor (see Appendix Q,Rules&Regulations for Licensing Construction Supervisors,Section 2.15) This lack of awareness often results in serious problems,particularly when the homeowner hires unlicensed persons. In this case,our Board cannot proceed against the unlicensed person as it would with a licensed Supervisor. The homeowner acting as Supervisor is ultimately responsible. To ensure that the homeowi ner is fully aware of his/her responsibilities,many communities require,as part of the permit application,that the homeowner certify that he/she understands the responsibilities.of a Supervisor. Ou the last page this issue is a form currently used by.several towns. You may care to amend and adopt such a form/certification for use in your community. Q.\wPFH,FSIFORMS\building permit kff=\EE} FMS.doc 08/16/17 Town of Barnstable Building Department Services ` Brian Florence,CBO i6yq-� �� Building Commissioner 200 Main Street,Hyannis;MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder I. TrY1Q All W'10ia S ,as Owner of the subject property hereby authorize NVYV. A4 R(An0h _ to act on my behal f in all matters relative to work authorized by this building permit application for. 023 SkN&6 Sire s , 0yiE, RkAnnntls MA 0c)Lo(A (Address of Job) **Pool fences and alarms are the responsibility of the applicant Pools are not to be filled or utilized before fence is installed and all final inspections are performed and accepted. s Signs a of Owner Signature of Applicant 0,o .M��i dyr l Print Natde Print Name Date r . Q:FORW:OWNERPE.MSIONPOOLS Rev:09/16/17 -� WIL'LI=3• OP ID: KT ACORO" CERTIFICATE OF LIABILITY INSURANCE DA02/20/2020TE - �.� o2/Zoi2o2o . 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 781-642-9000 CONTACT Eastern States Insurance NAME:PHONE 781-642-9000 FAX 781-647-3670 Agency,Inc. A/C,No,Ext): (A/C,No): 50 Prospect Street E-MAIL certificaterequest@esia.com Waltham,MA 02453 ADDRESS: INSURERS AFFORDING COVERAGE - NAIC# INSURER A:Travelers Indemnity Co.of CT INSURED Williams Building Company,Inc INSURER B:Travelers Ind Co of America _ 25666 259A North Street,Suite 2 Phoenix Insurance Co Hyannis,MA 02601 INSURER C: 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 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 LTRTy PE OF INSURANCE DDL UBR POLICY NUMBER IMPOLICY EFF POLICY EXP LIMITS C X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS-MADE �X OCCUR C04P272713 . 01/01/2020 01/01/2021 DAMAGES TO( RENTED 500,600 R M a occu a ce) $- MED EXP(Any oneperson) $ 10,000 PERSONAL 8.ADV INJURY $ 19000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 POLICY JPE LOC PRODUCTS-COMP/OP AGG $ 2,000,000 OTHER: Emp Ben. $ 1M12M B AUTOMOBILE LIABILITY - CEOM�BINEDccide"tSINGLE LIMIT - $ 1,000,000 X ANY AUTO BA4P268460 01/01/2020 01/01/2021 BODILY INJURY Perperson) $ OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY Per accident $ X AUTOS ONLY X AUOTOS ONLY PROPERTY DAMAGE Per accident $ $ B X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE CUP4P277180 0.1/01/2020 01/01/2021 AGGREGATE $ 59000,000 DED I X I RETENTION$ 0 $ A WORKERS COMPENSATION X PER OTH- S ATUTE ER AND EMPLOYERS'LIABILITY .YIN lJB4P275973 - 01/01I2020 01/01/2021 500,000 ANY PROPRIETOR/PARTNER/EXECUTIVE NIA E.L.EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? (Mandatory in NH) - E.L.DISEASE-EA EMPLOYEE $ 500,000 If yes,describe under 500,000 DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ A Equipment Floater QT6604P874503 01/01/2020 01/01/2021 Sched 487,231 Leas/rent. 300,000 DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) re: Building Permit-223 Stevens Street, Hyannis, MA.: CERTIFICATE HOLDER CANCELLATION EVIDENC SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Evidence Of Insurance ACCORDANCE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED. IN ACCORDANCE WITH THE POLICY PROVISIONS. a AUTHORIZED REPRESENTATIVE ACORD 25(2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD Information and Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers'compensation for their employees. Pursuant to this statute,an employee is defined as"...every person in the service of another under any contract of hire, express or implied,oral or written." An employer is defined as"an individual,partnership,association,corporation or other legal entity,or any two or more of the foregoing engaged in a joint enterprise,and including the legal representatives of a deceased employer,or the receiver or trustee of an individual,partnership,association or other legal entity,employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein,or the occupant of the dwelling house of another who employs persons to do maintenance,construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." MGL chapter 152,§25C(6)also states that"every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required-" Additionally,MGL chapter 152,§25C(7)states"Neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority." Applicants Please fill out the workers'compensation affidavit completely,by checking the boxes that apply to your situation and,if necessary,supply sub-contractor(s)name(s),address(es)and phone number(s)along with their certificate(s)of insurance. Limited Liability Companies UIQ or Limited Liability Partnerships(LLP)with no employees other than the members or partners,are not required to carry workers'compensation insurance. If an LLC or LLP does have employees,a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested,not the Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy,please call the Department at the number listed below. Self-insured companies should enter their self-insurance license number on the appropriate line. City or Town Ofcials , Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permit/license number which will be used as a reference number. In addition,an applicant that must submit multiple permit/license applications in any given year,need only submit one affidavit indicating current policy information(if necessary)and under"Job Site Address"the applicant should write"all locations in (city or town)."A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file,for firtme permits or licenses. A new affidavit must be filled out each year.Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e.a dog license or permit to burn leaves etc.)said person is NOT required to complete this affidavit. The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call. The Department's address,telephone and fax number: The Commonwealth of Massachusetts' Department of IndusftW Accidents Orfee of Investigations -600 Washington Street. BoStDn,MA 02111 Tel.#617-n7-4900 ext 406 or 1-877-MASSA.F.0 Revised 42407 Fax#617-727-7749 www.mass.gov/dia' The Commonwealth of Massachusefft Department of Industrial Accidents Office of Investigations 600 Washington Street Boston..MA 02111 www.mass govldia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Ayylicant Information Please Print Legibly Name(Business/Organizagon/Individual): W,0I(a 13 o6wict Qwyi Y jN Zinc Address: 9!51 A IJcy* Saw e City/State/Zip: t 11' Phone#: 4 Are you an employer heck fthe appropriate box: Type of project(required): 1.EP I am a employer to er with- 4) 4. ❑ 6.I am a general contractor and I ❑ New construction employees(full and/or part-time).* have hired the sub-contractors 2.❑ 1 am a sole proprietor or partner- listed on the attached sheet. 7. Remodeling ship and have no employees 'These sub-contractors have g• ❑Demolition working for mein any capacity.acit3'• employees and have workers' t 9. ❑Building addition [No workers'comp.insurance comp.insurance• 5. ❑ We are a corporation and its 10.0 Electrical repairs or additions required.] officers have exercised their 11. Plumb' airs or additions 3.❑ I am a homeowner doing all work ❑ �repairs myself[No workers'comp. right of exemption per MGL 12.❑Roof repairs insurance required.]t c. 152,§1(4),and we have no employees.[No workers' 13.[__1 Other comp.mP required-] 'Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. tContractors that check this box must attached an additional sheet showing the name of the sub-cout actors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. lam an employer that isproviding workers'compensation insurance for my employees. Below is thepolicy and job site Information. Insurance Company Name: • Y1C"4 Policy#or Self-ins.Lie.M UPHP a_ 5-1.7:-3 Expiration Date: 1111,10i Job Site Address: a3 5, .ue N 5� On a-23 City/State/4: IS 104 0;)(*',;1 Attach a copy of the workers'compensation policy declaration page(showing the policy nunker and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or oie-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify under the pains and penalties of perjury that the information provided above Is true and correct: Signatrre• �� Date: DL)&) 0 Phone#• t" Of)`wW use only. Do not write in this area,to be completed by city or town of k1al City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.EIectrical Inspector 5.Plumbing Inspector 6.Other Contact Person:— Phone#• OpIHE r Town of Barnstable Building Department Services 1ARMSTABLE, Brian Florence,CBO MASS. � s639. Building Commissioner pjF r A 200 Main Street,Hyannis,MA 02601 ' www.town.barnstable.ma.us Mice: 508-862-403 8 Fax: 508-790-6230 NOTICE TO THE BUILDING DIVISION OF WITHDRAWAL OF LICENSED CONSTRUCTION SUPERVISOR FROM PROJECT. / fQNIPcf I, Ke.m t�c +GC1 , Eontretiaii-Speyer I �nse. # 31 U tp3 hereby certify that I am no longer the C listed on the application for the project under construction as authorized by building permit #-'l��1c9�31 ! , issued to (property address) on + 2NQ. •r - I also certify that on 201 ,I notified the property owner,that the project under construction must cease until a successor licensed Construction Supervisor, Is submitted on the records of the Building.Division. F Reza A. Hadaegh 02/256/2020 LICENS OLDER DATE q/forms/newcontr reference R-5 780 CMR ' rev:08/23/17 Town of Barnstable D.o .. r... ....,:.. ,-�.-k�..�...,.,�.,^t.. .,�,........+.�.. r -n.,,. ,...,,...g-•:-HAPUNSrAHM ,.�+,a,--'� ,r Building � { pp _,. �.;Post This Card So That it is Visible From the Street=A roved Plans Must be Retain �r 'this Card Must be Kept F ed on Job and_ "� A.Posted Until Final Inspection Has Been.Made ," �' ; ` w a Q �arna�° `-Where a'Certificate of Occupanc is Re wired, uch Buildm shall Not"be Occu ied until a Final Ins ection has been made. r Permit' �`� �� Permit No. B-19-3981 Applicant Name: Casey Haley Approvals Date Issued: 01/09/2020 Current Use: Structure Permit Type: Building-Alteration INTERIOR Work Only- Expiration Date: :07/09/2020 Foundation: Commercial - Map/Lot: `308-258 Zoning District: OM Sheathing: Location: 223 STEVENS STREET, HYANNIS Contractor Name: REZA A HADAEGH Framing: 1 Owner on Record: VILLAGE MARKETPLACE LLC Contractor License: 31663 2 Address: P O BOX 1562 $ " Est. Project Cost: $500;000.00 Chimney: HYANNIS, MA 0260E P Permit Fee: $4;650.00 Description: This is a interior fit-out for expansion for the Veterans Affairs Insulation: Fee Paid:' $4,650.00 Medical Center. The interior fit-out expansion is approx.1;888 sq.ft Final: that includes 5 exam rooms,supporting spaces which includes new Date 1/9/2020 mechanical,electrical,and plumbing..The interior fit out is adiacent � to where the Veterans Affairs office currently resides. ter % Plumbing/Gas ', Rough Plumbing: Project Review Req ; Building Official Final Plumbing: This permit shall be deemed abandoned and invalid unless the work authorized by this permit is commenced within six months afte�.issuance. All work authorized by this permit shall conform to the approved applicationand the€approved construction documentsifor which this permit has been granted. Rough Gas: All construction,alterations and changes of use of any building and structures shall be in compliance with the local zoning bylaws and codes. This permit shall be displayed in a location clearly visible from access street or road and shall be maintained open for public inspection for the entire duration of the Final Gas: work until the completion of the same. ' Electrical The Certificate of Occupancy will not be issued until all applicable signatures by the Building and Fire Officials are-provided-on this.permit. Minimum of Five Call Inspections Required for All Construction Work-I.' �`r4 k Service: 1.Foundation or Footing Rough: 2.Sheathing Inspection _ 3.All Fireplaces must be inspected at the throat level before firest flue lining is installed . 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection Final: 5.Prior to Covering Structural Members(Frame Inspection) Low Voltage Rough: 6.Insulation 7.Final Inspection before Occupancy Low Voltage Final: Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Health Work shall not proceed until the Inspector has approved the various stages of construction. Final: "Per tracting with unregistered contractors do not have access to the guaranty fund" (as set forth in MGL c.142A). M Fire Department tom - Building plans are to be available on site '� All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT Final: i Town of Barnstable tHF� Building Department Services BARNSTABLE Brian Florence,CBO , + y'c rM6A3.S9S. °' Building Commissioner Argo M ° 200 Main Street, Hyannis, MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 .Construction' Control Package Site Address: 223 Stevens Street Architect/Engineer: Menemsha Solutions Name: Omar Jauregui Address, 370 Libbey Industrial Parkway,Weymouth MA 02189 Telephone: 781-666-4967 Email: ojauregui@menemshasolutions.com Contractor: Name: Address: Telephone: Email: Owner: Williams Building Company Name: William Poole Address: 259A North Street Suite 2 Telephone: 508-394-3644 Email: wpoole@williamsbuildingco.com 1plkve � 74P Initial Construction Control Document To be submitted with the building permit application by a Registered Design Professional y` for work per the ninth edition of the Massachusetts State Building Code, 780 CMR, Section 107 Project Title: Date: 01/06/20 VA MEDICAL CENTER ADDITION Property Address: 223 STEVENS STREET, HYANNIS, MA 02601 Project: Check(x)one or both as applicable: New construction Existing Construction X Project description: Reza A.Hadaegh I MA Registration Number:#31663 Expiration date:08/3.1/20,am a registered design professional,and I have prepared or directly supervised the preparation of all design plans,computations and specifications concerning: Architectural Structural Mechanical, Fire Protection Electrical Other: for the above named project and that to the..best.of my knowledge,information, and belief such plans, computations and specifications meet the applicable provisions of the Massachusetts State Building Code, (780 CMR), and accepted engineering practices for the proposed project. I understand and agree that I (or my designee)shall perform the necessary professional services 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'. Enter in the space to the right a "wet" or electronic signature and seal: Q"a0'Fy� No.31663 TOCA 1 Phone number: 781-666-4967 Email: ojauregui@menemshasolutions.com '`fe, of�assa��°sue Building Official Use Only Building Official Name: Permit No.: Date: Note 1.Indicate with an'x project design plans,computations and specifications that you prepared or directly supervised:If'othee is chosen,provide a description, Version 01 01 2018 Construction Control Progress Checklist To be submitted at completion of required site reviews for construction progress per the ninth edition of the Massachusetts State Building Code, 780 CAIR,Section 107 Project Title: Date:ol/o6/20Permit No. VA MEDICAL CENTER ADDITION Property Address:223 STEVENS STREET, HYANNIS, MA 02601 Reza A.Hadaegh I, MA Registration Number: #31663 Expiration date:08/31i20ain a registered design professional and I or my designee have observed the following work, and to the best of my knowledge, information, and belief the construction work indicated below has been performed in a manner consistent with the approved plans and specifications: . Required Site`Review°and Documentation for Portions or Phasee of Constructiott i . . a:•.2 to.be eiforuied'b.the apropmate re tared deal rofessional orhts,,her deli ee or d L c li2`:§81R contractor.`' - Site Review and Documentation ':X:.; Site Review and Documentation Soil condition and analysis Energy Efficien Requirements Footing and Foundation,including Reinforcement and x Fire Alarm Installationz ' Foundation attachment Concrete Floor and Under Floor Fire Suppression Installation Lowest Floor Flood Elevation Field Re orts$ Structural Frame-wall floor roof ': Carbon Monoxide Detection S stem4 Lath and Plaster/Gypsum y Seismic reinforcement Smoke Control Systems(Special Inspection per Sections 9093 Fire Resistant Wall/Partitions framing and 909.18.8 Fire Resistant Wall Partitions finish attachments Smoke and Heat Vents Above Ceiling inspection Accessibility 521 CMR Fire Blocking/Stopping*System Other: a Emergency Lighting/Exit Si na e Means of Egress Com onenets di;,, Special Inspections(Section 1704)c Roofin ,coping/System Venting Systems(kitchen and cleanouts,chemical,fume Mechanical Systems 1.Indicate with an'x' the work you reviewed for compliance with the approved plans and specifications and describe in detail below. 2.Include NFPA 72 test and acceptance documentation 3.Include applicable NFPA 13,13R,131),14,15,17,20,241,etc.-test and acceptance documentation 4.Include NFPA 720 Record of Completion and Inspection and Test Form . 5.Include field reports and related documentation 6.Nothing contained within construction control shall have the effect of waiving or Iirititing the building official's authority to enforce this code with respect to examination of the contract documents,including plans,computations and specifications,and field inspections. Description of Construction Work Observeda: a. Describe in"sufficient detail the work (i.e. foundation steel reinforcing,kitchen vent system,etc.)and the location on the project site,and list if applicable,the submittal documents that pertain to the work which was inspected. Enter in the space to the right a"wet"or . - a. 44yFc, electronic signature and seal: _ .. No..31663, 781-666-4067 Phone number. Email: ojauregui@menemshasolutions.com ro CA 05� �q!9 OF kA55P�� Building Official Use Only Building Official Name: Date: Version 01 01 2018 I . �r Initial Construction Control Document To be submitted with the building permit application by a is Registered Design Professional y' for work per the ninth edition of the Massachusetts State Building Code, 780 CMR, Section 107 Project Title: Date: 01/06/20 VA MEDICAL CENTER ADDITION Property Address: 223 STEVENS STREET, HYANNIS, MA 02601 Project: Check(x) one or both as applicable: New construction Existing Construction X Project description: Randall A. Nelson I MA Registration Number#E-46985Expiration date:08/31i20,am a registered design professional,and I have prepared or directly supervised the preparation of all design plans,computations and specifications concerning': Architectural Structural IMechanicia Fire Protection Electrical er: (Plumbing) 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'. Enter in the space to the right a "wet" or of::* electronic signature and seal: `RANDALL A `� ojauregui@menemshasolutions.com NELSON Phone number:781-666-4967 Email: ELECTRICAL. Building Official Use'Only oiat E Building Official Name: Permit No.: Date: Note I.Indicate with an'x'project design plans,computations and specifications that you prepared or directly supervised.If'other'is chosen,provide a description. Version 01 01 2018 �r Construction Control Progress Checklist To be submitted at completion of required site reviews for construction progress per the ninth edition of the Massachusetts State Building Code, 780 CMR,Section 107 4 Project Title: Date:01106i20Permit No. VA MEDICAL CENTER ADDITION Property Address: 223 STEVENS STREET, HYANNIS, MA 02601 , Randall A. Nelson I, MA Registration Number#E-46985Expiration dateb6/30i20am a registered design professional and I or my designee have observed the following work, and to the best of my knowledge, information, and.belief the construction work indicated below has been performed-in a mariner consistent with the approved plans and. specifications: Required Site;Review and Documentation for Port:oris or Phases of Construction ta to be erformed'b .the a" ro riate re teied deli iofes'I hal or l>ts:her c�esi` ee oi:i%4 G Lc.112`§81R contractor . - Site Review and Documentation 7C: Site Review and Documentation Soil condition and analysis Energy Efficiency Requirements Footing and Foundation,including Reinforcement and 77 Fire Alarm Installation Foundation attachment 777 Concrete Floor and Under Floor = Fire Suppression Installation Lowest Floor Flood Elevation Field Rep ortss Structural Frame-wall/floor/roof Carbon Monoxide Detection S stem4 Lath and Plaster/Gypsum <': Seismic reinforcement Smoke Control Systems(Special inspection per Sections 909.3 Fire Resistant Wall/Partitions framing and 90918.8 Fire Resistant Wall Partitions finish attachments Smoke and Heat Vents Above Ceiling inspection Accessibility 521 CMR Fire Blocking/Stopping System Other: Emergency Li htin Exit Si na ge Means of Egress Com onenets Special Inspections(Section 1704): -Roofing,coping/System Venting Systems kitchen and cleanouts,chemical,fume Mechanical Systems 1.Indicate with an Y the work you reviewed for compliance.with the approved plans and specifications and describe in detail below. 2.Include NFPA 72 test and acceptance documentation 3.Include applicable NFPA 13,13R,13D,14,15,17,20,241,etc.-test and acceptance documentation 4.Include NFPA 720 Record of Completion and Inspection and,Test Form S.Include field reports and related documentation - 6. Nothing contained within construction control'shall have the effect of waiving or limiting the building official's authority to enforce this code with respect to examination of the contract documents,including plans,computations and specifications,and field inspections. Description of Construction Work Observeda: a. Describe in sufficient detail the work (i.e. foundation steel reinforcing,kitchen vent system,etc.) and the location on the project site, and list,if applicable,the submittal.documents that pertain to the work which was inspected. Enter in the space to the right a"wet"or �� ' electronic signature and seal: � H IEgSc 781-666-4967 RANDALL, number. Email: ojauregui@menemshasolutions.com NELSONELECTRICAL.Building Official Use Only Building Official Name: Date:,Phone ion 01 01 2018 i Ninth Edition 780 CMR 107.6 Construction Control Document Construction Contractor Services Certification Pursuant to Section 107.6.3. ' t Name of Contractor: r If a Corporation,name of responsible Corporate Officer: If a DBA or Partnership,name of individual:. f I hereby certify that, to the best of my knowledge and belief, construction-performed under permit number issued on ' ,has been completed' mi+substantial accord''with the approved' construction documents, with all pertinent deviations 'specifically noted per Section 107.6.3 of `the Massachusetts State Building Code(780 CMR),,9w Edition Base Volume. Name of Project: Address of Project: List of Pertinent Deviations: Print Name: Signature: Date: Notarized by: Standard Notary Statement: This document,shall be submitted-to the Responsible Registered Design.Professional (RDP) .and, when requested,to the Building Official in-accordance with 780.CMR section 107.6.3 (9e►edition) at the completion of all construction projects performed pursuant to 780 CMR Section 107.6 Control Constniction. r Town of Barnstable of IN r,0 Building Department Services ?, Brian Florence,CBO enRrfSTABLE Building Commissioner 1639: ,,m 200 Main Street, Hyannis,MA 02601 Leo MAY a www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Massachusetts Existing Buildina Code Analysis Based on 2015 IEBC wl MA amendments Site Address: 223 Stevens Street, Hyannis, MA 02601 Map: 308 Parcel: 25&258 Village: Hyannis Applicant name: Omar Jauregui Phone 781-666-4967 E-mail: ojauregui@menemshasolutions.com Risk Category: Use Group: B Occupancy Limit: I.A.W. 780 CMR 2015 IEBC 301.1 -The permit application shall comply with one of the following methods: Choose One: ® Prescriptive method ❑ ' Work area method ❑ Performance method Construction Control ❑ Yes ❑No °If Yes Documents shall be in accordance with 780CMR 34.00 MA Amendment to 2015 IEBC.The building Owner shall cause the existing building(or portion thereof)to be investigated and evaluated.The investigation and evaluation shall include at least: structural, means of egress,fire protection,energy conservation, lighting, hazardous materials, accessibility, and ventilation for the space under consideration and,where necessary, the entire building or structure and foundation._The_results of the investigation and evaluation shall be submitted in written report form. USE FILL IN FORM OR ATTACH DOCUMENTS AS NEEDED FOR EACH EVALUATION ' CATEGORY BELOW: Structural NSA There are two means of egress provided for the interior office fit-out addition based on total occupant load(addition+existing office space)of 84 occupants per 2015 IBC 1006.2.1.The exit access travel distance for both means of egress fall within the allowable Means of egress,,,,, exit access travel distance per Table 1017.2 for a non-sprinklered building. Per 2015 IEBC/NFPA Section 13.3.4 and 13.3.5 this office addition will not retrofit sprinkler system.This a Level 2 alteration singlefor a g' occupants.The Fire alarm system of Fire protection _ : the existing space will be extended throughout the office addition,total new re a tinh o h u ahinets have been added in the office addition. Lighting power density and lighting controls meets the requirements.of780 CMR Massachusetts State.Building Code.The Energy conservation ; controls consist of wall and ceiling mounted occupancy sensors HVAC:C:ondpnsing units ara JR q SEER.- Complete domolition and installation of a new lighting system consisting of 2x4 troffers,2x4 troffers,4'utility strips, Lighting emergency lighting,and exit signs. Hazardous material will be handled under the Veteran's Affairs spec.section on 02-82 13.13 Glovebag Asbestos Abatement in the Hazardous Material event hazardous material is found.Dust control procedures are noted on Demolition Sheet general notes. Accessibility is maintained in the interior fit-out addition by maintaining the egress corridor width of 50".The main entrance off Stevens Street has an automated door operator. There is an additional ADA toilet room and access to a drinking fountain in Accessibility.• the existing space that is within the allowable travel distance.Interior corridors of the addition have been designed with wall mounted handrails. Ventilation Ventilation provided through energy recovery ventilator in accordance with ASHRAE 62.1 Description of Proposed work: The interior fit-out work for single tenant includes approx.1,888 sq.ft.of renovated space that is an .—Lion to the existing medical otrices at 273 btevens Street,Hyannis,MA.. i he space is expanded through an existing room into an empty space that will include six exam rooms,toilet room,and supporting spaces.The interior fit-out has full renovation by mechanical,electrical and plumbing. 21, r gee r fh r pri eti CJn 613i201Il C09 1pa � � surrsr�ss p 223 STE1/E too" S STIN-44 At�IE IS n �,`'�.' _� rf0 MPy� ,1 � 3 � .,✓ cy tyr � � �. Casey � ���13$ " "� �� ,� ' � � ', ``�✓ l i v � i fE r S% � ate" a.✓i lf/' ,., .. ,,,,..,,, � .�i?' �f�.r.,�s'�irf.,, w. l--_,r, `. �� , ,d. . ., .m � �a'�. 'fix .f��,�e, c, .. Case#: C-19-138 Address:; , 22 SEVENS STREET, Date: 3/8I2019 HYANNIS—' Owner Info: Property Info: VILLAGE MARKETPLACE LLC MBL P O BOX 1562 308-258 HYANNIS MA 02601 Owner Notified?: Complaint Details: Type of Complaint Classification of Complaint Method of Complaint Building Code, Low Priority Phone Complaint Summary: Residential tenant claimed windows were changed without permits and work is shoddy. Action History: Action Taken Date Description Fee Inspector Close Case 3/20/2019 Close case $0.00 bowerse Re-Open Case 4/8/2019 $0.00 bowerse Close Case 6/3/2019 $0.00 bowerse Inspector Assigned to Complaint: bowerse Filed by:, andersor Comments: Comment Date Commenter Comment 3/8/2019 andersor Work occurred last year. No current work to address. Ed met Tim O'Connell on site to check with owner and tenant. Owner declared he will not get any permits. Ed stated this is a maintenance issue for the building but found nothing to address on this date. s «wm..,:•a ,„�,:�,au,k,n,�.sx,.....,.. ..,..,,i' s..a_.aa ,f,_,.�„,x�,v�`kr ; <��'. '�x 'f.7. ,"m 3�, �'' ,.�',' _,...,.. ,.,. oFT"E► Town of Barnstable Inspectional Services rAnxSraat.E NAM Florence,CBO .y �a. , �A 1b39• Building Commissioner rEo MAt° 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us INSPECTION REPORT Address : 223 STEVENS STREET, HYANNIS Case# C-19-138 Inspection Type : Violation Inspector: bowerse ... . ....... Description Date Unit IStatus Comment =Violation 04/12/2019 FAIL Called Jamar(tenant)Owner has done some 3 maintenance to try to find and correct leak i ;The forecast is for rain tonight He will keep me i updated Inspection Type : Violation Inspector : bowerse _.....____.__.___ .. .z __.._. ._.... _.. . _. W.___... Description Date Unit, Status Comment ._., _ ............._.___...,,,,,,,�_... � ._...,..._.__r Violation ._ ..__._..... ......_ .._.. '06/03/2019 PASS No recent contact from tenant F =Complaint believed to be resolved i ;attached Health dept documentation i I I recommend closing complaint ±..___._ .......... .._.... ....... .. ._-... ___...... . Inspection Type : Violation Inspector: bowerse ___----- _._ . _ ._ . ...... ......_._ _ ...... . ,.._ __..._. .. Description Date 'Unit ;Status 'Comment I .....,, __.... _ .,. ---------- __ . ...... Molation _ �03/11/2019 =PASS No sign of ongoing work °!recommend closing complaint i Inspection Type : Violation Inspector : bowerse .........._._.._ ... . . .... _.._ _-- _ ;Description Date Unit Status IComment Violation 03/08/2019 PASS I No sign of recent work being done recommend; closing complaint ....... _,.... ......_._.__—_----- .,.....� ..., . ...._�._.� ... ..,. ._,.__........ _'...._.. .. .,,...w_ _..... Inspection Type : Violation Inspector bowerse ....... _ ............. _.. .._.... .. . ......... ..... ..... . . __.. ........ Description 'Date IUnit Status Comment 'Violation �04/08/2011 FAIL ISpoke to tenant today water coming in above window Owner should Locate leak and repair as 3 I ?needed ossible Lack of building maintenance issue ..,.,.,,.._....... ..... ..._,,, .._.....,,,..,,,,,....,..,,. """_,,,. .. .. .... Town of Barnstable Building Department - 200 Main Street t LE. # Hyannis, MA 02601 9�A i63� a.�' (508) 862-4038 �. _- - Occupancyr ifi ofCe t cate . Application Number: 200707179 CO Number: 20080175' Parcel ID: 308258 CO Issue Date: 09115/08 Location: 223 STEVENS STREET Zoning Classification: OFFICEIMULTI-FAMILY RESIDENTIA Village: HYANNIS Gen Contractor: ROBERTS, MICHAEL Permit Type: CC00 . CERTIFICATE OF OCCUPANCY COMM Comments: VETERANS ADMINISTRATION BUILDING Building Department Signature Date Signed C PROJEC ;. -NAB ADDRESS: PERT# 6�T i'ERlYIgT]DATE: LARGE ROLLED PLANS BOX Z`Z. �L®'T _�, Data entered iri MAPS program on ) BY. a - e. q/wpfiles/ orms/archive : TGIF. " AJn� n , A4. 4 TOVYN Ci RARNSTAIBLETHE DE1lPSEY GROUP; INC. E. ;8. Beaumonts Pond'Drive Foxboro, MA.02035 Tel (508} 543-5499 STRt3CTilRAL ENGINEER z r9O*8 TING CIVI ENGINEERING INVESTIGATIONS • .ftEf'flRTS - DIVISION March.29;2015 Ms.Kathryn Kolka Property Manager _ Holly Management 297 North Street . Hyannis,NIA 02601.: Re: Providence Veterans Administration Medical Center-HyanniS Cominunity Based Outpatient Ctinic I233-Stevens~Street=Unit 241E�-Hyannis,l'IA TDG#13047 Dear Ms'.'Kolka, „ This letter followsan e-maiLsenVon March 18,2015.from Michael LeBeau,P.E.of Providence VA Medical Center- to Tresa Busby; Administrative Assistant to`Stuart Bornstein; President;of Holly Management & Supply Corporation._.In that document,lvlr. LeBeau'requested that this office provide a signed and sealed letter stating that all issues identified in the 2013;.report have been:sat isfactorily recttfed,;Jin particular,at].the items in #10 with the caveat"according"to you(Ms.,Kolka)"..` :Also the letter should_address.concerns raised during..a walk-through on February 17, 2015.attended by Mr. LeBeau, Mr. Bornstein and me. Consequently, you and I rnet at the site on March 23,to review and:inspect:any issues outstanding at the time of the 201 a report,a copy of which is attached' hereto. All items on that report have now been have been:rectified with the following exceptions. item#6. The water damage to'the interior wall of the breakllunch room arid.conference room east::walt is still unresolved. Item#8 The persistent wand-noise:through the west-facing window of Room.127 during.hijh'winds could not be confirmed as having been resolved. Item#1©? Ala wood not fire protected remains unprotected;particularly around the perimeter foundation walls, at which new pressure treated wood sills ha&hten installed. It is my impression, fwlowing-ourmeeting last'week,thai'these`last few items will be addressed in the foreseeable, future. - Regarding.the..walk-through o€February'17 the,following:.concerns and observations were expressed by Mr. LeBeau Issue-No visible evidence of sill holdowns at new replacement sills. See photos;#6;9&,I 1 •. ` Solution-Add Simpson FSA:or FJA Foundation Anchors @.6'-0"on center at new sills. See Simpson catalog cut attached 3129115 m Ms.Kathryn Kolka Providence VA Medical Center, 233 Stevens Street Hyanniss:MA- 2 item B. _ •` Issue-Exposed wood`beams and:siIts not fire-proofed. See photos 96,.7&9 Solution—Wrap beams and replace ceilings that.were removed't'expose sills. Rem C Issuer-Rotatedbeam and colurtins in basement..See Photos-913,15& 16 Solution-The=rotated beam and columns:will be restored to a plumb position or replaced.-_ • '� Item ..4 Issue,—Concern for the struetural>ineegrity of firm (5) eit (S)-Inch,thick by forty eighi (98):inch wade concrete block piers against the.inside face of the south foundation wall.—See photo*20; :' ... Solution=The piers appear w.be rion-bearing,write no obvious pumose:and thus,ot little concern: See photo 8 Item E. - issue-Cracks and.loose mortar-in interior brick maspr--arches within reer►hciiise.lobby'spac ". :See photos ' „17 &I9 Solution The cracks are:nori-structural`and may`be txeated cosmetically;` The jomts'should be routed out and`re- - mm F €.. .. Issue-Cracks inseams of interior sheetrc�ck corridor walls at firstfloor,•See photos 1,3 4&5 Solution The cracks are:mast_likelv'associated with slut buckling of the walls;due.co the excessive acctmulated. snots load of late;lanuaryand early'Febnaary on itie flat section cif roof along the center:of the buldms t,,See pliato o18. W.thattheYsnow has melted.and't}ie roof rebounded,the Nvah cracks inay.iie repaired cosmetically.. w Should youthave:any questions:about`this:report'or if we can be;of further service to you in this matter:please do, z not hesitate to eontae#us. . Respectfully, THE D>J PSEY GRaUi INC Ric and J e se .P.1 R ICHARD J. a DEPY ` .. ca :S`T �lCTUR;�L - Cc:Stuart'Bornswin ° r � Y 7. F; F,4 .. _ t _— _— THE''DEM'PSEY GROUP, INC.- 8 Beaufthts Pond Dfive 'Foxboro, MA 02035 Tei. (508) 543-5499 STRUCTURAL ENGINEERING <CONSULTING CIVIL ENGINEERING (NVEST.IGfiTlQNS. REPORTS July 15,2013 Ms.Kathryn Kolka; , Property Manager Holly Management 297 North Street Hyannis,MA 02601. Re: Providence Veterans Administration Medical Center-Hyannis Community:Based Outpatient Clinic 233 Stevens Street-Unit'241E-Hyannis,Massachusetts Response,to Department;of Veterans Affairs Memorandum of 04/08/113 TDG#13.047 Dear Ms:;Kolka, _ This letter, surrimarizes Imy response to the issues raised .iri..the memorandum of a4/08/13 by staff of the Projects/Engineering Section ofthe Facilities Management Service,Providence VA Me te dical Cenr concerning the building conditions at the Hyannis Medical 0i fice. The letter:is organized so;as to refer to the observaiions in. . numerical.order as they appear in the attached copy of the 04/08/13:memorandum: Item>#1.. The cracked and;broken resilient;floor tiles in the reception area at four(4)door-openings_have:_been satisfactorily _ . repaired:based upon myalservations. .. item':#2: The cracked and.broker[resilient floor tiles in the central corndor:and uneven floor surface have been satisfactorily . . . _ , repaired based upon my observations: Item#3 The excessive fle.,inggofthe.floor.in the centrai,corridor adjacent to;Room 121 was:attributable to a. steel:angie lintel above a door opening in`;the basement.that had. apparently been compromised when: a duct.'penetratiori was introduced adiacent'to'one(1)jamb The':lintel.lost,its:support..at that bearing end, resulting in a three (3)inch pluslminus.sag m1he floor<above. The jamb has been rebuilt in a satisfactory manner,based upon my:observafion Item#4 The broken ceramic floor'tiles in the male staff bathroom, across foam Raom 12.1.have. been replaced in a anr, aseupoy ervasatisfactorym mobtion. Item#5 The broken,resilient floo€tile.and_uneven flooraevel in Room 121 is associated:uith.the basement lintel:discussed in Item#3. It has been repaired and the file replaced in a'satisfactory manner,based upon my observation. 07 5/13 Ms.Kathy Kolka F Response to Department of Veterans Affairs,Memorandum of 04/08/13 Providence Veterans Administration Medical':Center Hyannis Community Based Outpatient.Clinic 233 Stevens Street Unit 241E Hyannis,Massachusetts 2. Item#6 The water damage to the interior.wall of the break/lunch room and.conference room.east wall is ongoing,according to you(Ms.Kolka). Item#7 The'out=of-plane brick masonry on the.'east-facing exterior,wall is on-going,according to you(Ms.'Kolka). . Item#8 The persistent'wind noise through.the west facing window' of Room,127, during high winds will be rectified, . according.to you.(Ms.Kolka). Item#9 The wall opening in the basement.was repaired in a satisfactory manner,based upon my observation (see Item#3 and Item#5). Item#10 a.. The'rottmg wood sills,are.all associated with recessed entries at the first floor that are open to the weather. They will be rebuilt,according to you(Ms.Kolka). b: The;beams with.evidence of rotted.ends are directly<below the recessed entries discussed in Iteml.0a; above. Theywill be reinforced,,or'replaced,.according to you(Ms.Kolka): c. The.beams:that are not positively,attached to columns_will be:rectified,according to.you(Ms.K.olka). d. The evidence of abandoned termite tubes has been resolved,.according to you(Ms.Kolka). e. The beams that have rotated and columns upon which'they rest will be restored to.apiumi;position or replaced,according toyou(Ms.Kolka) f. Wood beams that are indirect contact.with concrete that have been compromised bymoisture or insect infestation Aft be.rein€orced or replaced. Those thatemain intact will be periodicaily'montored. : g. All wood not.fire protected,will be. 'Item#11. ... Electrical violations will be identified and corrected Please refer to the attached plan with field;-observations that identifies areas requiring structural repair or replacement. e w Should you have,any questions about this_letter or if we can be of fu ther:assistance to you in this matter,`please do not-hesitate to con.tact us. Respectfiilly, ,tw OF' THE DEMPSEY"GROLP.INC." RICRAROJ., DEMPSEY Richard J.Dempsey,RE STRUCTt1RAl. " President Nn.29173 FROA OR PANT RWI On=OM Omm G y 1° 3 GUT-N nV OOOR AS REam VCT ff, cm l6iJ I ITF,t4. 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F`Lavtz ��I i`J' b. :►jar(z3 . : lr-QM 1-)C, 7-A 0 J lsf FAQ 1S to o 'ollhuJ►J ANa AkeoSfcD ow1..}sr - 2 Qfi(r!t!L t'0 IZ(iPn2f l �z(-Vaa of -I- la Aj: �tTti Town of Barnstable Building Department - 200 Main Street k * BARNSTABLE. # Hyannis, MA 02601 dpMASS (508 1639. ) 862-4038 prFO MA'S A Certificate of Occupancy - Application Number: 200707179 CO Number: 20080175 Parcel ID: 308258 CO Issue Date: 09/15/08 Location: 223 STEVENS STREET Zoning Classification: OFFICEIMULTI-FAMILY RESIDENTIA Village::, HYANNIS Gen Contractor: ROBERTS, MICHAEL Permit Type: CC00 CERTIFICATE OF OCCUPANCY COMM Comments: . R Building Department Signature Date Signed OFIKE TOWN OF BARNSTABLE ° ' ti Bui[ding Application Ref: 200707179 • y BARNSTABLE, Issue Date: 12/13/07 Permit MASS. �p 1639•rFD A Applicant: ROBERTS MICHAEL Permit Number: B 20073072 Proposed Use: MIXED USE RETAIL&RES Expiration Date: 06/11/08 L,oca':aon 223 STEVENS STREET Zoning District OM Permit Type: COMMERCIAL ADDITION ALTERATION ar Parcel 308258 Permit Fee$ 810.00 Contractor ROBERTS,MICHAEL . village HYANNIS App Fee$ 100.00 License Num 053861 Est Construction Cost$ 100,000 ;i,:rr::rks APPROVED PLANS MUST BE RETAINED ON JOB A:,ND TENANT FIT-OUT FOR VETERANS ADMINISTRATION IN UNIT 233E THIS CARD MUST BE KEPT POSTED UNTIL FINAL' AKA 233 STEVENS STREET INSPECTION HAS BEEN MADE. WHERE A CERTIFICATE OF OCCUPANCY IS REQUIRED,SUCH Owner on Record: ONE VILLAGE MKT PL LMTD PRT BUILDING SHALL NOT BE OCCUPIED UNTIL A FINAL, Address: 297 NORTH ST INSPECTION HAS BEEN MADE. HYANNIS,MA 02601 Application Entered by: PR Building Permit Issued By: ` THIS PERMIT CONVEYS NO RIGHT TO OCCUPY ANY STREET,ALLY OR SIDEWALK OR ANY PART THEREOF,EITHER TEMPORARILY,ORPERMANENTLY. ENCROACHEMENTS ON PUBLIC PROPERTY,NOT SPECIFICALLY PERMITTED.UND.ER THE BUILDING CODE,MUST BE APPROVED BY THE JURISDICTION. STREET ORALLY GRADES AS WELL AS DEPTH AND"LOCATION OF PUBLIC SEWERS MAYBE OBTAINED FROMTHE DEPARTMENT OF PUBLIC WORKS::,, THE ISSUANCE OF THIS P,.ERMIT DOES NOT RELEASE THE APPLICANT FROM THE CONDITIONS OF ANY APPLICABLE SUBDIVISION RESTRICTIONS. MINIMUM OF FOUR CALL INSPECTIONS REQUIRED FOR ALL CONTSTRUCTION WORK: 1.FOUNDATION OR FOOTINGS. 2.ALL FIREPLACES MUST BE INSPECTED AT THE THROAT LEVEL BEFORE FIRST FLUE LINING IS INSTALLED. 3.WIRING&PLUMBING INSPECTIONS TO BE COMPLETED PRIOR TO FRAME INSPECTION. 4.PRIOR TO COVERING STRUCTURAL MEMBERS(READY TO LATH). 5. INSULATION. 6.FINAL INSPECTION BEFORE OCCUPANCY. WHERE APPLICABLE,SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL,PLUMBING AND MECHANICAL INSTALLATIONS. WORK SHALL NOT PROCEED UNTIL THE INSPECTOR HAS APPROVED THE VARIOUS STAGES OF CONSTRUCTION. PERMIT WILL BECOME NULL AND VOID IF CONSTRUCTION WORK IS NOT STARTED WITHIN SIX MONTHS OF DATE THE PERMIT IS ISSUED AS NOTED ABOVE. PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS DO NOT HAVE ACCESS TO GUARANTY FUND(as set forth in MGL c.I42A). vn BUILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS A ,� �, /` �. C� � �tJ1�� , - aF^ �' a 2 ' � � - ? .2� � 2 Gn' 3 1 Heating Inspection Approvals Engineering Dept Fire t" tO `� 2 ; n C,- Board of Health �. ���. .( �S.'i 5 1 i Y�. �'� ��%- !�6z-77,Z