Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
Home
My WebLink
About
0460 WEST MAIN STREET
,r It { . . ,, .. -� �, _ .. ,r y_, i F � Gornplaint Call, ti,�Repdorrt Pnnted On 7/26/2019 -„u a �� § wnP}', ads e.�wsr,ace. : ,� 77 WINTER STREET,', HYANNIS' case# C-197612 Or o Case#: C-19-612 Address: 77 WINTER STREET, HYANNIS Date: 7/26/2019 Owner Info: Property Info: HOUSING ASSISTANCE CORP MBL: 460 WEST MAIN STREET 309-216 ` HYANNIS MA 02601 Owner Notified?: Y Complaint Details: Type of Complaint Classification of Complaint Method of Complaint Interior-Exterior Maintenance, Building High Priority Phone Code, Complaint Summary: The basement boiler room not properly cleaned after broken pipe event and area was left to air dry. Apparently,there were two breaks. Sewage smell was detected. Evidence of second floor bathroom leak apparent in the 1st floor hallway near office on women's side: Room to far right end also on women's side has rotten wood and mold. There is inadequate AC.int he shelter-.AC units were not not being used/installed as staff was informed that the cost was too high. Elderly clients were coughing and having difficulty breathing.. Excessive amount of belonging stored in dorms preventing a clear path of egress. Two reported cases of bed bugs in shelter-Duffy will no longer visit facility due to the unsanitary conditions. Action History: Action Taken Date Description Fee Inspector Inspector Assigned to Complaint: mckechnr Filed by: andersor Comments: Comment Date Commenter Comment 7/26/2019 andersor Referred to Health Coordinated response scheduled for 7/29/2019. Briefing at 1:45 PM. Report to site at 2 PM. Plbg, building, Health. Date: 7/26/2019 Town of Barnstable g 'W= 1 oF1He Pt eedd�0n 8/'I$/ 6 a aMNSTABca. s ,0�a 77 WINTER, TREETsHYANNIS s *-C_1A 7 12, Case#: C-19-612 Address: 77 WINTER STREET, HYANNIS Date: 7/26/2019 Owner Info: Property Info HOUSING ASSISTANCE CORP MBL: 460 WEST MAIN STREET 309-216 HYANNIS MA 02601 Owner Notified?: Complaint Details: Type of Complaint Classification of Complaint Method of Complaint Interior-Exterior Maintenance, Building High Priority Phone Code, Complaint Summary: The basement boiler room not properly cleaned after broken pipe event and area was left to air dry. Apparently,there were two breaks. Sewage smell was detected. Evidence of second floor bathroom leak apparent in the 1st floor hallway near office on women's side. Room to far right end also on women's side has rotten wood and mold. There is inadequate AC int he shelter-AC units were not not being used/installed'as staff was informed that the cost was too high. Elderly clients were coughing and having difficulty breathing. Excessive amount of belonging stored in dorms preventing a clear path of egress. Two reported cases of bed bugs in shelter-Duffy will no longer visit facility due to the unsanitary conditions. Action History: Action Taken Date Description Fee Inspector Inspector Assigned to Complaint: mckechnr Filed by: andersor Comments: Comment Date Commenter Comment 7/26/2619 andersor Referred to Health Coordinated response scheduled for.7/29/2019. Briefing at 1:45 PM. Report to site at 2 PM. Plbg, building, Health. 8/16/2019. mckechnr No Building Code Violations Observed. P777-44*��;-_4,,v,-Fw 77, Barnstable:° 3 �� �a� 7�� ,7 r _ Mckechnie, Robert _ From: Thomas.Lanman <tlanman@hyannisfire.org> Sent: Wednesday, December 05, 2018 5:18 PM To: Mckechnie,'Robert; O'Donnell, Stephen;Amara,William Cc: Fire Prevention Subject: FW:460 West Main Street, Hyannis Good Afternoon, Greg and I were made aware of this situation late yesterday by the maintenance staff at HAC Cape Cod.They have 3 roof top units at their offices (this address)with failed heat exchangers.This is their temporary means of keeping the offices heated during business hours until they can arrange for a better temporary heat system to use until the buildings systems are replaced.We were told the cords go to potable electric heaters in the offices. As far as Vknow there are no permits/inspections for this current arrangement.They had inquired about permitting for the temporary replacement for this set-up (propane storage). Further discussion today with Keith Trott,gave the impression that the next temporary"fix" was in the process of being rented.They are considering various options that have various power sources, either propane or diesel. We both agreed that this current remedy(after seeing it earlier today)was not appropriate on many levels. Deputy Melanson is also aware of this operation. It seems that it is removed at the end of the day and then set-up again for the next business day to keep the temperature tolerable for the staff/clients in the offices. Unfortunately none of us are in town tomorrow, but I wanted to make you all aware of this. We checked the property last night around 6 and none of this was present. We were told that today was the last day they were planning to use this. It might be worth a look in the morning to see if it is still being used or not. Thanks, Lt.Tim Lanman, Fire Prevention Officer Hyannis Fire Department Tel: 508-775-1300 Fax: 508-778-6448 Direct Line: 774-368-1685 tlanman@hyannisfire.org From:Thomas Lanman <tlanman@hvannisfire.org> Sent: Wednesday, December 5, 2018 4:53 PM To:Thomas Lanman <tlanman@hyannisfire.org> Subject:460 West Main Street, Hyannis V_ 1 o� Town of Barnstable i .,LARNST"Iy Building Department-200 Main Street �,m° : Hyannis, MA 02601 'OrEn,MA'�' Tel: (508) 862-4038 ,. Certificate Of Occupancy Permit Number: B-18-1416.: CO Issue Date: 9/6/2018 Parcel ID: 269-030 Zoning Classification: SPLIT Location: 460 WEST MAIN STREET, HYANNIS Proposed Use: Name of Tenant: Sprinklers Provided: Gen Contractor: MOSES M CORDEIRO Permit Type: Commercial - Non-Profit Type of Construction: Design Occupant Load: 0 Comments: New Reception Area and Waiting Rooms Building Official Date: •n ace. i Required Prior to Occupying S s A Certificate of Occupancy q py g p Building Code: 780 CMR 8th Edition Final Construction Control Document To be submitted at completion of construction by a ��� `rFio ��✓ Registered Design Professional, h for work per the 8'"edition of the ,g�. �O,6> Massachusetts State Building Code, 780 CMR, Section 107 '� Project Title:Cape Cod Healthcare-Behavioral Health Center Renovations Date:8-31-2018 Property Address: 460 West Main Street Project: Check(x)one or both as applicable: New construction X Existing Construction Project description: Build new Reception Area and Waiting Rooms I Gregory B. Siroonian MA Registration Number:9748 Expiration date: 8/31/2018 ,am a registered design professional, and I have prepared or directly supervised the preparation of all design plans,computations and specifications concerning': X Architectural Structural X Mechanical Fire Protection X Electrical Other: for the above named project. I,or my designee,have performed the necessary professional services and was present at the construction site on a regular and periodic basis.To the best of my knowledge,information,and belief the work proceeded in accordance with the requirements of 780 CMR and the design documents approved as part of the building permit and that I or my designee: 1. Have reviewed,for conformance to this code and the design concept,shop drawings, samples and other submittals by the contractor in accordance with the requirements of the construction documents. 2. Have performed the duties for registered design professionals in 780 CMR Chapter 17,as applicable. 3. Have been present at intervals appropriate to the stage of construction to become generally familiar with the progress and quality of the work and to determine if the work was performed in a manner consistent with the construction documents and this code. Nothing in this document relieves the contractor of its responsibility regarding the provisions of 7 .CMR 107. -- ' A4 Enter in the space to the right a"wet"oreo 4 electronic signature and seal: NO. BOttF�E. Phone number: 508 759 9828 Email: gbs@MEDCOMarch.com Building Official Use Only Building Official Name: Permit No.: Date:' Version 06 11 2013 Town of Barnstable Building " a ; 3 g s Pgos fTh�s Card�So That,�t�is�1/,�s�blFrom the�Street=rA�covedPlansMust be Retained on Job and�this Cayrd�Mus#beKe�1t. H AES1.6. 3f",. �'a€�;�� ''�:.�� ,�'�,r•'�` zE4 ,y��',� ylpp k � � fit• �r C <• ,''.. y � �' .,� :� �" "�' ~x` PostedUntil Finalinspection Has�Been Matle � ,g�a Permit R Where a Cert ficate'of Occu�anc ' ri ed 'such Bu ld�n shall No be Occu ied until a F..�naiSlns. ection:has=been made Permit No. ' - B-18-1416 . Applicant Name: MOSES M CORDEIRO Approvals Date Issued: 06/05/2018 Current Use: Structure Permit Type: Building-Alteration INTERIOR Work Only- Expiration Date: 12/05/2018 Foundation: Commercial Map/Lot 269-030 Zoning District: SPLIT Sheathing: Location: 460 WEST MAIN STREET, HYANNIS . -Contractor:-, aM'e MOSES M CORDEIRO Framing: 1 Owner on Record: ASCLEPIUS CORPORATION "'do�ntractor;Liicefis&gCS7,074674 2 Address:' 460 WEST MAIN ST x Est P�roject Cost: $96,433.00 Chimney: ' AAHYANNIS, MA 02601 " Permit Fee: $ 1,052.54 Description: renovation to interior of current behavioral healthioffices !. 71nulation: $1,052.54Project Review Req: ' D't al e 6/5/2018 - u Plumbing/Gas Rough Plumbing: • �� Building Official _ x .- M, - . Final Plumbing: This permit shall be deemed abandoned and invalid unless the work author�iz`ed y this permit is commenced within six months after issuance. Rough Gas: All work authorized by this permit shall conform to the approved application and the approved construction documentsfor which this permit has been granted. g All construction,alterations and changes of use of any building and structures.shall be in compliance with the local zoning by laws and codes. This permit shall be displayed in a location clearly visible from access street or`roadand shall be maintained open for publicjnspection for the entire duration of the Final Gas: work until the completion of the same. f' Electrical The Certificate of Occupancy will not be issued until all applicable signatures by the Building and Fire Officials:are�pr�ovided on thispermit. Service: Minimum of Five Call Inspections Required for All Construction Work: 15 1.Foundation or Footing ; S . � �o Rough: 2.Sheathing Inspection £ x ,;. a .�. g ... 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 ting 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 lication Number. .i. ............... o ' pem3it Fee.......................................V Other Fee.......... ........... MASEL 0396 Fp TotalFee Paid.............. ............................... .. .. G TOWN OF BA z 'STABLE Permit Approval by.................................On. .... ........ WrA ........ BUILDING PERMIT gip, . .. ParcxL.............. ........... APPLICATION Section 1 — Owner's Information and Project Location r Project Address ® 14457- lage Owners Name Owners Legal Address Z Ciiy State zip 0 Z Owners Cell# E-mail (� Section 2—Use of Structure Use a0up ❑ 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 FJ Addition ❑ RPt 'a n wall ❑ Solar Renovation ❑ Pool El Insulation Other—Specify Section 4 -Work Description ZL f � T Acr m dated!2/9/2018 . r Application Number.................................................... Section 5—Detail . a l Cost of Proposed Constructit g6� ` 3,3. u V Square Footage of Project—Z76 62 Age of Structure Dig Safe Number__ ✓�— # Of Bedrooms Existing Total#Of Bedrooms(proposed) 110 MPH Wind Zone Compliance Method 0 MA Checklist ❑ WFCM Checklist Fj Design Section 6—Project Specifics [Firing ❑ Oil Tank Storage Smoke Detectors �nmbing ❑ Gas ire Suppression ❑ Heating System ❑ 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: I am using a crane ❑ Yes ❑ No Section 7—Flood Zone y Flood Zone,Designation Within or adjacent to a wetland, coastal bank? Yes ❑ No ❑ Section S—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 undated_2/9201 S I MEDCOM Existing Building Code Review ARCHITECTURAL GROUP Date: March 13, 2018 To: Barnstable Building Department From: MEDCOM Architectural Group, LLC Project: Cape Cod Healthcare Behavioral Health Center Renovations 460 West Main Street Hyannis, MA 02601 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: 2009 International Buildinq Code 2009 (IBC-2015) , 2009 International Existing Building Code (IEBC-2015) Chapter 8 Alterations Level 2 2015 International Energy Conservation Code MEDCOM Architectural Group, LLC . 5 Cape Cod Healthcare Behavioral Health Center Renovations 460 West Main Street Hyannis, MA 02601 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 Not applicable 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. 705 Accessibility The existing building is accessible.All new work will comply with 521 CMR Architectural Access Board. MEDCOM Architectural Group, LLC I Cape Cod Healthcare Behavioral Health Center Renovations 460 West Main Street Hyannis, MA 02601 Page 3 706 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 Not applicable 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. 806 Accessibility The existing building is accessible. All new work will comply with 521 CMR Architectural Access Board. MEDCOM Architectural Group,LLC C. Cape Cod Healthcare Behavioral Health Center Renovations 460 West Main Street Hyannis, MA 02601 Page 4 807 Structural 807.2 All new structural loads and elements, including connections and anchorage shall comply with the 2015 International Building Code. 807.5 Existing Structural elements resisting lateral loads. 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. MEDCOM Architectural Group, LLC Cape Cod Healthcare Behavioral Health Center Renovations 460 West Main Street Hyannis, MA 02601 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 Increased occupant load. 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. Gregory B. Siroonian Date: 2-27-2018 MEDCOM Architectural Group, LLC MEDCOM Architectural Group,LLC Town of Barnstable Regulatory Services noes Richard V.Scali,Director Building Division: Paul Roma,Building Commissioner 200 Main Street,Hyannis,MA 02601 www.towu.barnstable.in aus - Office: 508-862-4038 Fax: 508-790-6230 Property"Owner Must Complete and Sign This Section If Using A Builder er —,as Owner of the subject property hereby authorize to act on ray behalf, in all matters relative to work authorized by this building perr<iit application for. (Address of Job) **Pool fences and alarm are the responsibility of the applicant Pools are not to be filled or utilized before fence_ is installed and all final ins " e ed and accepted. Signature of Owner Signature f App' i�� � �ekl, aNei, z;i� Print Name Print Name f 0" Initial Construction Control Document W To be submitted with the building permit application by a d Registered Design.Professional �< for work per the 9th edition of the Massachusetts State Building Code, 780 CMR, Section 107 Project Title: Cape Cod Healthcare-Behavioral Health Center Renovations Date:3-13-2018 Property Address: 460 West Main Street Project: Check(x)one or both as applicable: New construction X Existing Construction Project description: Build new,Reception Area and Waiting Rooms I Gregory B. Siroonian MA Registration Number: 9748 Expiration date: 8/31/2018 ,am a registered design professional, and I have prepared or directly supervised the preparation of all design plans,computations and specifications concerning': X Architectural Structural X Mechanical Fire Protection X Electrical Other: 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'. Olt T1 a+` ,J G No * A y $. 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 06 11 2013 LLBROOKJ KS J February 15,2018 , Building Department Town of Hyannis 200 Main Street Hyannis, MA 02601 Re: Cape Cod Healthcare To Whom It May Concern: am writing to inform you that Moses Cordeiro is an employee of Dellbrook X Scanlan and has authority to request a building permit on behalf of Dellbrook X 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 QUINCYOFFICE: 859 Willard Street,One Adams Place,Quincy.MA 02169 t:781.380.1675 f:78i.380.1676 FALMOUTH OFFICE: 15 Research Road,East Falmouth,MA 02536` t:508.540.6zz6 f:508.540.9222 f � a . s, �..�`'°�`„i. C � C � _ •q S } "fy ,fir a la R a }gam V r L7Massachusetts Department of Environmental Protection 1 eDEP ,Transaction Copy Here is the file you requested for your records. To retain a copy of this file you must save-and/or print. Username: DELLBROOKJKSI7 Transaction ID: 1006154 Document: AQ 06-Construction/Demolition Notification Size of File: 228.01 K Status of Transaction: In Process Date and Time Created: 4/5/2018:2:24:57 PM Note: This file only includes forms that were part of your transaction as of the date and time indicated above. If you need a more current copy of your transaction, return to eDEP and select to "Download a Copy" from the Current Submittals page. ef' Massachusetts Department of Environmental Protection , BWP AQ 06 Pre-Form ~ Notification Prior to Construction or Demolition C This is a revision to an existing form. Project ID for existing form to be revised: F. 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: W None of the above conditions apply,generate a new form. Revised: 11/13/2013 Page 1 of 1 Massachusetts Department of Environmental Protection 100284058 BWP AQ 06 ~ Project Revision.Asbestos Project# Notification Prior to Construction or Demolition - J (4 r' 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)? F' a.Yes W 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 460 WEST MAIN STREET comply with the a.Name of facility b.Street Address Department of Environmental BARNSTABLE MA 026010000 5085406226 Protection c.Cityfrown 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 2.Submit Original 5087711800 BHAFFERTY@CAPECODHEALTH.ORG Form To: i.Facility Contact Person Telephone j.Facility Contact Person Email Commonwealth of Massachusetts k.Facility Size: P.O.Box 4062 Boston,MA 02211 500 1 1.Square Feet 2.Number of Floors MassDEP Use Only 1.Was the facility built prior to 1980? P 1.Yes F 2.No m.Describe the current or prior use of the facility: Date Received HEALTHCARE FACILITY n.Is the facility a residential facility? .1.Yes rv_�=2.No o.If yes,how many units? 2.Facility Owner: 5 Same address as Facility CAPE COD HEALTHCARE 460 WEST MAIN STREET a.Facility Owner Name b.Address BARNSTABLE MA 026010000 5085406226 c.Cityfrown d.State e.Zip Code f.Telephone 3.Facility On-Site Manager/Owner Representative: 17 Same contact person as facility 17, Same address as facility F Same addiess as owner BILL HAFFERTY 460 WEST MAIN STREET a.On-Site Manager/Owner Representative b.Address BARNSTABLE MA 02601 5087711800 c.Cityfrown d.State e.Zip Code f.Telephone Revised:03/17/2014 Page 1 of 3 a� Massachusetts Department of Environmental Protection 100284058 BWP'AQ 06 f Asbestos Project# Notification Prior to Construction or Demolition f` Project Revision t Project Cancellation C. General Project Description 1.This project is: r` New Construction r Demolition : Renovation 2.Project Dates: 5/15/2018 7/20/2018 a.Project Start Date(MM/DD/YYYY) b.Project End Date(MM/DD/YYYY) 3.General Contractor: h DELLBROOWJKS 15 RESEARCH ROAD a.Name b.Address t FALMOUTH MA 025360000 5085406226 c.City/Town d.State e.Zip Code f.Telephone SCOTT MITCHELL 5088587095 g.General Contractors On-site Manager/Foreman h.Telephone 4.Construction or demolition contractor: Same as General Contractor DELLBROOK/JKS 15 RESEARCH ROAD a.Contractor Name b.Address FALMOLMI MA 025360000 5085406226 c.City/Town d.State e.Zip Code f.Telephone SCOTT MITCHELL 5088587095 g.Construction and Demolition On-site Manager h.Telephone 5.Licensed Construction Supervisor: SCOTT MITCHELL CS-089397 a.Supervisor Name J b.Construction Supervisor License(CSL)Number 6.Is the entire facility to be demolished? a.Yes b.No 7.Describe the area(s)to be demolished: 8.Describe the building(s)or addition(s)to be constructed: RENOVATION OF STAFF WORK AREAS AND PATIENT WAITING 9 a.Were the structure(s)surveyed for the presence of Asbestos-Containing Fe—1.Yes r 2.No Material(ACM)? b.Who conducted the survey? VERB A1062105 1.Name of Asbestos Inspector 2.DLS Certification# Revised:03/17/2014 Page 2 of 3 Massachusetts Department of Environmental Protection BWP• 100284058 .� - AQ 06 7 7 - Asbestos Project# Notification Prior to Construction or Demolition Project Revision 1,7, Project Cancellation C. General Project Description (continued) 10 a.Was asbestos containing material(ACM)found? r'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 a.Seeding operation,all g b.Wetting 1 c.Covering r" d.Paving F. e.Shrouding responsible parties must comply with 310 r f.Other-Specify: NEGATIVEAIR PRESSURE CONTAINMENTAND HEPA FILTERS CMR 7.00,7.09,7.15, and Chapter 21 E of the General Laws of 12.Is this an Emergency Demolition Operation? 17 a.Yes P 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 d.Title notification with the Department and/or a notice of e.Date of Authorization(MM/DD/YYYY) f.MassDEP Waiver Number release/threat of release of a D. Certification hazardous substance th e e 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 ROBERTFOLEY on my inquiry of those individuals immediately 3.Position/Title responsible for obtaining the PROJECTENGINEER information, I believe that the 4.Representing information is true,accurate,and 4/5/2018 complete.I am aware that there 5.Date(MM/DD/YYYY) are significant penalties for 04/05/2018 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 Ago CERTIFICATE OF LIABILITY INSURANCE °ATE'MM`°°"YYY, 11/29/20 17 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 endorsements. PRODUCER +NAMACT _Maria MCNuItY Alliant Insurance Services,Inc., PHONE 617-535-7204 _ µFAX 617.-535-7205 131 Oliver Street,41h Floor E MsuLQ- 'i Boston MA 02110 E-MAIL s:Maria.McNully@alliant.com INSURER IS)AFFORDING COVERAGE NAIC# INSURER A.-Allied World National Assurance Corn - 110690 . INSURED INSURERa:The Travelers Indemnity Co 125658 Dellbrook JK Scanlan INSURER c:Travelers Indemnity Company of CT 125682 One Adams Place INSURER D:Starr Indemnity 8 Liability Comp an 38318 859 Willard Street A_�' — Quincy MA 02169 INsuRERE:Navigators Insurance Company 42307 INSURER F: COVERAGES CERTIFICATE NUMBER:239166208 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 DESCRTBED HEREIN IS,SUBJECT TO ALL THE TERMS, EXCLUSIONS AND D CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS ..-�.�..,e _ . INSR� AODC�SUBR" `PODGY EFF §POLICY EXP LTR) TYPE OF INSURANCEINSD I WVDI POLICY NUMBER It MMIQQIYYYY ! MM1DDtYYYY I .LIMITS A X COMMERCIAL GENERAL LIABILITY Y 0308 4515 7/1/2017 7/1/2018 EACH OCCURRENCE $1,000,0o0 CLAIMS MADE I X1 OCCUR �l�aFfA�it 9`�t�NTEb�^� _PREMISES(Ea occurrence)_ $300.000 X XCU � _ MED EXP(Any one person) .$10,000 X Con ac Ua! PERSONAL 8 ADV tNJURY ,51,0°O,ODO GEN'L AGGREGATE LIMIT APPLIES PER GENERAL EGA @ RAL AGGRTE 52.000 000 POLICY L.�:;.J JET [71 LOC i PRODUCTS.COMPIOP AGG I$2,000 000 _ OTHERu$ � B AUTOMOBILE LIABILITY Y 810 3H608117 7/112017 1 711/2018 Ea 07117 r LIMIT $1,000,000 _ ... Ix ANY AUTO I BODILY INJURY(Per person) S I ALL OWNED ALITESULED "°UWY(` AUTOS 13,--' O _ BODILY INJURY(Por ecadenp S HIRED AUTOS AUTOS NON-OWNED R r amiTY $ AUTOS � ( -,Per awdenl. D t UMBRELLALIAB 3 X OCCUR CLAIMS-MAD Y 1000584533171 711/2017 I A GGREGATE $10,000,000 71112018 EACH OCCURRENCE $10,000,.000 X a EXCESS LIAR 1 . . �.�w. E I 1 {{ 1 DED RETENTION$ 1 i i I � ,$ C WORKERS COMPENSATION US 3H613656 711/2017 71112018 X SikTu7 I ORH AND EMPLOYERS'LIABILITY ANY PROPRIETORIPARTNERIEXECUTIVE YINI OFFICERIMEMBER EXCLUDED? N I A E I.EACH ACCIDENT I$1,000 000 (Mandatory In NH} 1 E L DISEASE-EA EMPLOYEE S 1.000,000 If os,closeribo under yy DESCRIPTIONOFOPERATIONSbelow -.:EL.DISEASE-POLICY LIMIT -$1,000,000 E j Excess Liability IS17EXC7114561V 711/2017 7/112018 lEach Occurrence 15,000.000 1A99regate 15,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached If more space 1s 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 Cape Cod Healthcare,Inc. THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 27 Park Street ACCORDANCE WITH THE POLICY PROVISIONS. Hyannis MA 02601 AUTHORIZED REPRESENTATIVE 01988-2014 ACORD CORPORATION..All rights reserved. ACORD 25(2014101) The ACORD name and logo are registered marks of ACORD The Cott momveallh of Massachusetts GTE- Department of Industrial Accidents I Congress Street,Suite 100 ,r Boston, MA 02114-2017 ivtvlv.rrtnss.gov/rlia lVorkers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers. TO BE FILED WITH TILE PERMITTING AUTHORITY. Applicant Information Please Print Legibly Name (Busines!'Organization,,'lndi�iduiil):Dellbrook JK Scanlan Address: 15 Research Road City/State/Zip:East Falmouth, MA 02536 Phone :508-540-6226 ,%re you an employer':Clieck the appropriate box: Type of project (required): 1.13 1 ant a employer%Nith employees(Fall and`or part-iimc)* 7. ❑New construction 2 Q 1 run a sole pmpricior or paatcrship and hate no employees working ror me in 8. Remodeling any capacity.[No warkcrs'comp,insurance required.I 3 D I am a homeowner doing ail work nscll',ltvrt ssorkers'comp.insurance required l r 9. El Demolition 10❑ Building addition 4 MI am a homeowner and"ill be hiring contractors to conduce all%i ork on my property. I aiil ensure that all contractors either lime w orken'compensation insurance or are sole I I.Q Electrical repairs or additions proprietors with no employees 1_.Q Plumbingg repairs or additions 5 ,/ I ant a general contractor and I lime hired the sub-contractors listed on the attached sheet. Time sub-contractors limc employee,and hate workers'comp msurancc.t 13.oROof repairs G.M We area corporation and its onicers have ceerciscd their right of miliption per NIGL e 14.❑Other 152.§1(4).and we have no employees iNo%%orkcrs'comp.insurance rcquircd.l `Any applic:un that checks hoe 91 must also till out the secoou below shoo inu,their workers'conipcusation policy inibirnation, t ltomco%%urs who suhnnt this aftida%ii indicating-,they are doin__all work and then hire outside contractors must submit a new altidm it indicating such. Contractors that check this b0 N must attached an additional sheet show ina the name ol'the sub-contractors and slate whether or not those entities ha%c employees, Ifthe sub-contractors hate employees.they must prof idc Iheir workers'comp,policy munbcr. I tmh an entphj�rer that is provitling workers'compensation insurance fur my emplorees. Beloit-is the pollee'and job site information. Insurance Company Name:Travelers Indemnity Company of CT Policy A or Self-ins. Lic, :UB 31-1613658 Expiration Date:7/1/18 Job Site Address:27 Park Street City,State/Zip:Hyannis, MA 02601 1 Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date). Failure to secure coveraue as required under MGL c. 152, §25A is a criminal violation punishable by a fine up to S1,500.00 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 violat . co •of this statement may be forwarded to th6 Office of Investigations of the D1A for insurance coverage verificaticft I do herehy certify rn the pr its !penalties of perjury that the i/tforination provided above ist trite anal correct. i�znature: Date: —I S r U Phone#:508-540-62 Offtciul ttse only. Do not write in this area,to be completed fiy 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 Application Number........................................... Section 9—.Construction Supervisor. Name -e Telephone Number 56 P `7 Z� 3 6 Y Address City Ad7-� State zip/)"2-S3 License Number 0 7 YL 7_ License Type #Ag4st-, Expiration Date Contractors Email CO/` .0« "Izy'Tips. 4,y Cell# 01 Z Z ;- 6 I understand my responsibilities under the rates 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 b 80 CMR an Town of Barnstable.Attach a copy of your license. Signature e ection�1 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 procedures,specific inspections and documentation required by 780 CMR and the Town of Barnstable.Attach a copy of your IUC... 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 APPL SIGNATURE Signature Print Name �y�s t Telephone Number 22__ G? E-mail permit to: Section 12—Department Sign-Offs Health Department ❑ Zoning Board(if required) Historic'District ❑ Site Plan Review(if required ❑ Fire Department ❑ Conservation ❑ 1 For commercial work,please take your plans directly to the fire department for approval Section 13—Owner's Authorization 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) j Signature of Owner date Print Name 1 i , i Last undated:2/92018 TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel Application # Health Division Date Issued 6P l? Conservation Division r Application Fee Planning Dept. ""t Permit Fee era �, Date Definitive Plan Approved by Planning Board �'�`'�� S Historic - OKH _ Preservation/ Hyannis LA 6 6 1(7 Project Street Address LA--)&-S-r rn M 4 Village ./� o Owner lT L._ i_Pt��_R e iP t,_ Address q(aQ cy g-, sy ML4 Telephone ye Permit RequestiS!?e12��� Square feet: 1 st floor: existingproposed ;;<'L2nd floor: existing /�,iiproposed Total new Zoning District t Flood Plain Groundwater Overlay Project Valuation 5'dDa Construction Type ®D�`�3 � Lot Size -7 Ac-ize S Grandfathered: ❑Yes tr1 o If yes, attach supporting documentation. Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family (# units) Age of Existing Structure LIUMt Historic House: ❑Yes U446- On Old King's Highway: ❑Yes 3-No Basement Type: ❑ Full ❑ Crawl ❑Walkout �ther Basement Finished Area(sq.ft.) Basement Unfinished Area (sq.ft) Number of Baths: Full: existing new Half: existing new Number of Bedrooms: H A' existing _new Total Room Count (not inclu ' g baths): existing new First Floor Room Count Heat Type and Fuel: LYGas ❑ Oil ❑ Electric ❑ Other Central Air: es ❑ No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑ No Detached garage: ❑existing ❑ new size_Pool: ❑ existing ❑ new size _ Barn: ❑ existing ❑ new size_ Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: ZoningBoard of eals Authorization ❑ Appeal # Recorded ❑ p pp Commercial ' es ❑ No If yes, site plan review# Current Use O i��' Jfi�r�- -e—. Proposed Use ®F�ie--,g INFORMATION (BUILDER OR HOMEOWNER) Name� I eo Telephone Number Address iJ/1-4/ao5 i-/✓!ice! r2ae License # -906g!5�Cu" u,c 1.4 ern a o z.s 40 3 Home Improvement Contractor# Email /�i -r??oT7'e /MC dN eW,Qe� Worker's Compensation # ---- - ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE i FOR OFFICIAL USE ONLY APPLICATION # DATE ISSUED MAP/ PARCEL NO. ADDRESS VILLAGE OWNER DATE OF INSPECTION: FOUNDATION FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. .� DePtvltent cf hzd,=[nd Agdd�n!v, flee�Lz-w_dlgafia=. r 600 WaQ hhWfon&reel Boston,M4 02HI • k4`FffkfL711EtS£�1)P��ia - v, - Warl ers' CumPensafien lumrmcmAfffiizvit B. deist u r4�--Mw r:��h�nhers �Wilczld IIIfa n a II Please Pkint 1e0 F Add �66 � t Areyou;nk=ployer? o ecktheapprapz ebam Typeof p °r ]ect{r -LEA I aru a e aplo s u _ 4. ❑I an a general confmctor and I eq d�: emplayees CfuU mWor part-fime). 6- New oansfrac ba * lsavelvreclthe suer-can�a�s ❑ 2.❑ I am a sale prDlisidtar arpadaer- Tisfed onthe attached sheet 7. ❑Rermodd ng slip and have as I r Thew sub-conkadam have �P $ ❑DemnIififla wading, farMseMaay�fy �o3 a haver.o rs' 9 ❑Huilc addi5on coop.i=ranv_-1 afS4cerSlTa exErcis - 4I; ed 3. I ama bameo�et• fine allwarlC 0 damg 1L❑Plumbxagrepairs aradc$tions =Tzal€[No VD&Me tom- riot of egemp5on per MGL - l)ElRoafrepaim ;�+�n,-er�;,,•aji • s c,I52,�I{4h,andweha�ve�:o 13_❑••Dtlier . ` employees-[No wa&ers�jj Camp-zim ance re� F t cbed¢'6oz - �1 maw elsa fi71 auktfit sec&oaBe7acv �eirwo�es' essatiau a aa. mmP _ - P �Y Ha�eaaa4rsuho sahh�t r3ris�da�u inc�im a� <sIf w as - - �c dtbea- hse o-atad� .. P� �� rm.lrvrenre q • 2�St 5V1}ID]t8 SEW��YSt rnrFi o rCautmdarsihmtcheLTcihasbmc must x-MaIxeasasddiGaasl�neetsbamnx�tl�en�oEthesu�s-cemrzsc#ar��mdst�eteLetu�arnattbese�sha•cam - ea�lujees.1€S�esnS caa tsfitceempIoFt�s,t5eymustpmtzd� enr wndmWtbmP-Fadn s� I am ml eticpTayer that is pr=zdug workers'compaisidian i srirasca nr n}T on er ff,-hnv is tT a pvHcy.and lab sffe' fn�arnxaharl. W ` .l •r IaMceCou:.pMgi'r2=:- 1 y i C1OAAJ -�. I6kV\l✓�4 •Policy or Self-ins.Lie. rziratiasIe: 4 U - 2-un rob Mfe address: Cifigl5tafeEg: At#ach a ropy afthe vwo-rkers�conipeasafiGnPo icy dedEaiafion gage(shoving the poTicp giber and ems coon itlte�. Failure to secm-e covex:age as requiredunder Se-c&n 25a-of MCxL e-M, can lead to the imposition of cumiaal peaaltEes of a 5=up to$I,50D OQ amdr'or axle-yearimyri sD;$s w&as dvrl peua s is the fain of a STOP WORK ORDERand a:Eae, , Of Upto ZOM a day a,-aiad the viDl2t . 3e.adViSed tbd a Mpy of this SbIlEMMt=yhe fx-warded to the Of Hce of T vesdgadow o€the D:TA for iusmmcz•caverage vedfic a icy Ida hereby carf aud¢r triatme u f`arsxafza PMi. rd abm fr"and carrect All Pfima A. z� • / � QoWid use ant,}. Do,nut wrke zi fUs yea,fa fie army&&by C4 artown Z!ffic&l City or Town: BsTeng AuffiuraT[Cir&Owl: L Swrd al Health :.Bu mi g Department S.CAylTuwa aerk 4 Electrical Enpwtae S.Pkmbiag Iaspe�for 6.Other 6nfact Persan: Ph m 9- • orm ation anc s c n r SafjM for•Heir MIPIayees. �� � e#ts Genes ILaWs I�r�CS aU��to prUe pier sayer ofErl;, p�uanf-Go this sib,En.=�,royre is defined Qn $e sedvi rc of or finplie,4 oral or v zh=f _ dzEcrn,�p�on or Dfl=Iegal�9,or my tWo or more Au Moyer is defii as-an individII�,P ���g I S M of a deceased=Tl Yet-or the of is a3aiot - eatpZDpers. Howryrr fhe reivrc or trustees of an ,Pam•�o�rm or ciherIegalY,�Pg .�m"off- ar(mmts andWho residese hoosc.havingnotm�setizanfizrec ap house o'4Yne�ofa.dvvel�og e�s�fn do mai��.cc,,-,,,,�,-f;n„c�r rep��r$on�dwclFmg � dWeTrIQg house of=6=�D�P�P=M ghal]nDtbeCdnSC of SaGII�loymcr±be decmedt3 be B.=3Ploper. or on.fire 9M=a s or bu"dmg also sf�es that aeverps'�or local Fir�g a����•�ilib.oId fbe iss'aanec�or M- M chapfrr 152,§�q6) the cor�ar for any rmewal of a Ticease or permit to oP�e a Tznsmess or to r�nsiracE by s cov ge ram -„ applicani:vrlio has xcotprodar�d acceptable evid�ce of comp 'm�� poll sabli ionS shall Adadonalb,Md fit=152,§25CM states�WIffi 'ilia - ce of�Iiancevrifhliceiusarmrd.. thin any caairart fnrtbeperfrm6°fP°hlic 4a�cmR acceptable evidea. �e3.enfs ofthis rhapfPshavzbe®.FrPse�ci fn the contra��anthc Ly:' - APPcaafs ' the W b chla ng the boxes�apply�your t atron-m4 if Phase fa C)z± oZb='�mP�Dn.affidavit m np� y ec y, s aI 4tith their ce s) �„'�,�� w s)name(s),addresses)andPhm°cxunnbez() eCS oi�t f m±LO neY,.s�plY�� �� arlr>aufedDialn�CyPs•�) anO M Y msm nm. LfiitrdLial C=y ce. If anLLC orLT2 3oeshave are not ' fn cony Wow'coaipeasafion insoran members or paw, rid be sobmit�d to thD Depa.-iment of rndnst ial To ees a olicy iS requked- Pr-advisedi3>af this afLxdayitmay affid 4it sb ould • �- Y , P Also T}e srtt-e 1`o sign and dal��he aEda•eit., . ae co Aud fnr�nnnn ofmsoraa not$ie Department of be refDm ed fo$e city or to-WnfEt ffie application far fhe pew or hrense is being req �sregardmgtbeIa�arifponffie�6dto obtaiaa�vo ' �UHYDU aYe any q ccampawes shnvId®.ter their .3:3p.Satian_policy,PleasecalLfh6Depar[mrofatthan=berlistadb Ovr Self-ins self-msaraacdhcc°sc�rrmt - ilafn BUD is Ie4a and leg-hly. Thm Deparlmeathas Provided a Space at,tba botimn Please be sore the the afdavk- P has to co]-'tYon g the,applicant. of ttie a$tdavitfor youth fffi out intb.e eventthe Office ofbiY cr. In•addition.an�PPlicant Please bemr,tofMiIlheP- ccosenrmobezThic.wMbcirsrdasa f en toneaffidav>j:m&'�i'T'g�t ibzt must sabmii m�Ie PP`''MbUC��e applicafi=iu anY given g�n�° Duly "an IBsatims in (criy m p olicv infnraalicm-(if neces=aiY)and vn&rr`lob� d&ss�'ti'-e applica horldy be mYided.to tiie ed ormad�dl�Y�e�Y ortovenmaY P eavifs or TiceDses A neY!affidavitbe f=Iled orb earls copy of-the•a$davitli�has bc�.officially stomp business or�mmcrcialYe`� applicant as.groof-fta a Valid affidavit is on fr1c fur faime p �o not re7w- A anY year.Wh=a.home oWner or ciiizea is obfa�g d P.e: a it p .� IetO this affidavit (ie.adoglicenseorp�tabualkavesefc•)saidPegsanisl�IOTz � �mP a rmsvto4Idliketo(hankyonm-advanceforYots coopesslionarA bovld you.hmm my�== The Oftiee°fln -o please do not he:Sjh3±M to g:cm rs a calL 1 - 'Ihe Dcgp, .tmmes address,telephone and fax nmib= CG lh of _...; Elf lndm � dill Fagg Q-t--a7 l �%HE, Town of Barnstable Regulatory Services ]NAM �, Richard V.Scalt Director. �► +► Building Division.- Paul Roma,Building Commissioner 200 Main Street,Hyannis,MA 02601 www-town.barnstable.ma us Office: 508-862-4038 �` . . <. Y Fax: 508-790-6230 Property, Owner Must Complete and Sign This Section If Using;A-Builder as Owner of the subject property hereby authorize �'�(�� `� ' ' to act on my behalf, in all matters relative to work authorized by this butlding.perinit application for: *0014 (Address of Job) **Pool fences and°alirm-`are-the responsibility of 66-applicant Pools are not to,be fillecl-or utilized;before fence is installed and,all final inspections are performed and accepted. Signature of Owner Signature of Applicant . Print Name Print Name Date Q:FOR W:07NMPERMSS10NP00LS Massachusetts Department of.Public Safety,".,." Board of Building Regulations and Standards License: CS-075174 Construction Super isor - , , N . DONALD K K TROTT x , PO BOX 97 * f SANDWICH MA 02563=: ' * Expiration ' Commissiohe; -11/07/20.18 Office of Consumer Affairs and Business R ation ' 10 Park Plaza Suite 5170 Boston Massachusetts 0 6 Home Improvement Q-111 ac Registration Registration: 182134 Type: Individual >. ' Expiration: 6/1/2017 Tr# 266840 DONALD K. TROTT DONALD TROTT `' F P.O. BOX 97 � �s j SANDWICH, MA 02563 er, ak rn:f Update Address and return card.Mark reason for change. Address ❑ Renewal Employment [:],Lost Card SCA 1 e'; 20M-05/11 �e�po�rrvmo�racuecclG� �C��aacicoJeCCy _ Office of Consumer Affairs& siness Regulation License or.regis tion valid for individut use only OME IMPROVEMENT C TRACTOR before the expiration te. If found return to: egistration: :':1'82,13 Type: Office of Consumer Affai nd Business Regulation xpiration:!__6ffl , Individual 10 Park Plaza-Suite 5170 _= Boston MA 02116 DONALD K.TROTT,;? +`=s DONALD TROTT y . 3DILLINGHAMAV' SANDWICH, MA 02563 Undersecretary Not va i wit oft si ature 8MTCA40: ¶+<Nl■n$HrALi$AmL! ;PT15®10LkFrJ-*2E-, LJ-I*73°»ALL416001°ZR-L) °ol£°uS✓£OU/Ol/ CORPORATE VOTE CERTIFICATION HOUSING ASSISTANCE CORPORATION At a duly authorized meeting of the Board of Directors of the Housing Assistance Corporation held on September 7,2016 at which time a quorum was present it was voted that Walter Phinney,Chief Operating Officer (COO) of the Corporation,be hereby authorized to execute all contracts,checks,agreements,correspondence,bonds, and all other documents reasonably necessary to carry on the day to day operations of the Corporation. Walter Phinney will have the authority to sign in the name of and on „ behalf of the Corporation and will have the right to affix the Corporate Seal to such documents that require it, and such execution of any contracts, checks,agreements, correspondence,bonds, and all other documents reasonably necessary to carry on the day to day operations of the Corporation in the name of the Corporation on its behalf by such under seal of the Corporation, shall be valid and binding upon the Corporation. A True Copy, erk of th Co ration Place of Business: _ 460 West Main Street, Hyannis,MA 02601 Date of Vote: September 7, 2016 I hereby certify that I,Cathy Gibson, Clerk of Housing Assistance Corporation,am the duly elected Clerk and Officer of said corporation,and that the above vote was taken at the meeting on September 7,2016 and the vote has not been amended or rescinded and remains in full force and effect as of the date of this certification. Corporate Seal C y son, rk A44 ASBESTOS INSPECTION S U RVEY Survey Results, Inspection-:Letter ri v APRIL 18, 2017 MICROSOFT [Company address] 1 Commonwealth Environm' e.ntat Inspectional . Services 128 Forest Street, Medford,'MA 02155` HAC Cape Cod Asbestos Testing May, 25, 2017 RE: 460 West Main St ' Hyannis, Ma On May,19,2017 Commonwealth Environmental performed an investigative survey for the presence of suspect ACM at the office space at 460 West Main St in Hyannis, Ma. Samples were collected from wallboard..Samples tested negative for asbestos.. Total Cost-:$400.00 Sincerely, Robert DaPrato PHONE: 781-721-4540 www.coreservs.com FAX: 781-938-3933 Asbestos Identification Laboratory Batch: 22509 • 165 New Boston St.,Ste 227 s •,- Woburn, MA 01801 781-932-9600 Web:www.asbestosidentificationlab.com Email:mikemanning@asbestosidentificationlab.com • Lab Code: 200919-0 May 24, 2017 Robert DaPrato Project Number: Commonwealth Asbestos Testing Project Name:460 W Main St, Hyannis, MA 128 Forest St Medford, MA 02155 Date Sampled: 2017-05-23 Work Received: 2017-05-23 Work Analyzed: 2017-05-24 Analysis Method: BULK PLM ANALYSIS EPA/600/R-93/116 Dear Robert DaPrato, Asbestos Identification Laboratory has completed the analysis of the samples from your office for the above referenced project The information and analysis contained in this report have been generated using the EPA /600/R-93/116 Method for the Determination of Asbestos in Bulk Building Materials. Materials or products that contain more than 1% of any kind or combination of asbestos are considered an asbestos containing building material as determined by the EPA. This Polarized Light Microscope (PLM)technique may be•performed either by visual estimation or point counting. Point counting provides a determination of the area percentage of asbestos in a sample.-If the asbestos is estimated to be less than 1 OW by visual estimation of friable material, the determination may be repeated using the point counting technique. The results.of the point counting supersede visual PLM results. Results in this report only relate to the items tested. This report may not be used by the customer to claim product endorsement by NVLAP or any.other U.S. Government Agency. Laboratory results represent the analysis of samples as.submitted by the customer. Information regarding sample location, description, area, volume, etc., was provided by the customer.Asbestos Identification Laboratory is not responsible for sample collection activities or analytical method limitations. Unless notified in writing to*return samples,,Asbestos Identification Laboratory discards customer samples after 30 days. Samples containing subsamples or layers will be analyzed separately: when applicable. Reports are kept at Asbestos Identification Laboratory for three years. This report shall not be reproduced, except in full, without the written consent of Asbestos Identification Laboratory. • NVLAP Lab Code:200919-0 • Massachusetts Certification License:AA000208 • State of Connecticut,Department of Public Health.Approved Environmental Laboratory Registration Number:PH-0142 • State of Maine, Department of Environmental Protection Asbestos Analytical Laboratory License Number:LB-0078(Bulk)LA-.0087(Air) State of Rhode Island and Providence Plantations.Department of Health Certification:AAL-121 • State of Vermont, Department of Health Environmental Health License AL934461 ; Thank you Robert DaPrato for your business, Michael Manning Owner/Director May 24,2017 Robert DaPrato Project Number: Commonwealth Asbestos Testing Project Name:460 W Main St, Hyannis, MA 128 Forest St Medford, MA 02155 Date Sampled: 201.7-05-23 Work Received: 2017-05-23 Work Analyzed: 2017-05-24 Analysis Method: BULK PLM ANALYSIS EPA/600/R-93/116 FieldID Material Location Color on-Asbestos %- Asbestos% LablD 001 Joint Compound Office white Non-Fibrous 1o0 None Detected 254281 •' - 002 NO SAMPLE NO SAMPLE Not Analyzed 254282 003 Joint Compound Office" white Non-Fibrous 100 None Detected 254283 - - i Wednesday 24 May End of Report Page 1 of 1 Analyzed by: Batch: 22509 w f @M/9 4 I @M/j® .. !! !F9 ' ♦*i @gTJ41 @♦ I MIL??cp?cp$ T 9?@/f3 C CHAIN OF CUSTODY page// g o7 Clie���mp�W`�./'�� ��,5�I w G- .• EPA/600/R-931116 • t — Turnaround+Time Sample Method Address: 1 Z 2 97vrcS� S< - YYICO -6, , f/o/k �l ---- Asbestos Identification Lab Less Project Site&#: 7�U �•m�/� S 165 New Boston St. same Day Phone/email address: g/ / Suite 227 6OS oOS Woburn, MA 01801 Next Day Wipe Q� p, (781)93Z-9600 Two Day aPolnt Count Contact: _ nrww.asbeatosidenttficatlontab.com Stop on 1st Positive? Yes/No Relinquish byte AA _ Date Sampled: Not*Method: Mail/E-Ma•IN I Received by/date: d /f � � ARayzed By: _ BATCH# Rev 1?l15 #of Sam 1es Received: a S p C` bate: '/,Z`���7 Temp in Celcius=fit, Stereo Scope Optical Properties, RI, Non-Asbestos Percentage(%) O Field ID/ a o a y (Client' c \ Reference) Material/Location c o �' y $ m r o o W g vJ d v Q c m °i .°c 0 o m o m A r o ° E Asbestos M _ �- o L L _° m �� Minerals ' rn w in ao a �) m io �, o g x z n OO 1 Material �' J r Chrysotile 0 ( GO rl-)VICcc W Amostte Crocldollte - 1 Location Tremolite Anthophylite f Actinollte (J� Material 3OI n Chrysotile b� , OQ � C�MP6rc.� Amosite m Crocidolite LocationLfl OF/CEll Tremolite Anthophylite Actinollte Material Chrysotile d6 3 Sb/n� W ,r '(J Amasile �p C 0 n-�V-6c� a �n Crocidolita Location Tremolite d Anthophylite f�n Actinollte ( u OM/*M§+►OMOt@m**MOj,@f / aj L11Massachusetts Department of Environmental Protection eDEP Transaction Copy ' Here is the file you requested for your records: To retain a copy of this file you must save and/or-print. Username:, DDSBUILDERS ' Transaction ID: 925071 Document: AQ 06-Construction/Demolition Notification Size of File: 227.84K ' Status of Transaction: In Process Date and Time Created, 611/2017:11:08:59 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 eDE-P and select to "Download a Copy" from the Current Submittals page. Massachusetts Department of Environmental Protection L-7-- BWP AQ 06 Pre-Form Notification Prior to Construction or Demolition This is a revision to an existing form. Project ID for existing form to be revised: !� This job is being conducted under a Blanket Permit. MassDEP assigned Blanket Authorization ID: r This job is being conducted under a Non Traditional Abatement Work Practice Permit. MassDEP assigned Non Traditional Work Practice Authorization ID: W None of the above conditions apply,generate a new form. Revised: 11/13/2013 Page 1 of 1 S Massachusetts Department of Environmental Protection' v BWP AQ 06 116o264857 --- ' Notification Prior to Construction or Demolition Asbestos Project# ti r. Project Revision r° 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)? ri 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 ASCLEPIUS HOUSING ASSISTANCE CORP 460 WEST MAIN ST comply with the Department of a.Name of facility b.Street Address _ Environmental HYANNIS MA 026010000 5083672048 Protection a City/Town d.State e.Zip Code f.Telephone notification requirements of 310 DONALDTROTT MAINTENANCESUPERVISOR , CMR 7.09. g.Facility Contact Person h.Facility Contact Person Title 2.Submit Original 5083672048 KfROTT.@HACONCAPECOD.ORG Form To: i.Facility Contact Person Telephone j.Facility Contact Person Email Commonwealth of Massachusetts k.Facility Size: a P.O.Box 4062 Boston,MA 02211 .11,581 2 1.Square Feet 2.Number of Floors MassDEP Use Only 1.Was the facility built prior to 1980? r,!1.Yes r_..}2.No m.Describe.the current or prior use of the facility: Date Received OFFICE BUILDING n:is the facility a residential facility? r 1.Yes Wei 2.No o.If yes,how many units? 2.Facility Owner: We Same address as Facility ASCLEPIUS HOUSING ASSISTANCE CORP 460 WEST MAIN ST a.Facility Owner Name b.-Address a - HYANNIS MA 026010000 5087715400 c.City/Town `. d.State e.Zip Code f.Telephone 3.Facility On-Site Manager/Owner Representative: 'r Same contact person as facility C Same address as facility r Same address as owner DONALD TROTT` 460 WEST MAIN ST a.On-Site Manager/Owner Representative b.Address HYANNIS MA 02601 5083672048 c.City/Town d.State e.Zip Code f.Telephone Revised:03/1712014 Page 1 of 3 r Massachusetts Department of Environmental Protection _ 100264857 � Asbestos Project# BwP AQ 06 r Notification Prior to Construction or Demolition J Project Revision rI Project Cancellation C. General Project Description v 1.This project is: New Construction ] Demolition Renovation 2.Project Dates: 6/15/2017 8/15/2017 a.Project Start Date(MM/DD/YYYY) b.Project End Date(MM/DD/YYYY) 3.General Contractor: DONALD KTTOTT 3 DILLINGHAM AVE a.Name b.Address SANDWICH MA 025630000 5083672048 c.City/Town d.State e.Zip Code f.Telephone DOANLD K TROTT 5083672048 g.General Contractor's On-site Manager/Foreman h.Telephone 4.Construction or demolition contractor: �+� Same as General Contractor DONALD K TTOTT 3 DILLINGHAM AVE a.Contractor Name b.Address SANDWCH MA 025630000 5083672048 c.Citylrown d.State e.Zip Code f.Telephone DOANLD K TROTT 5083672048 g.Construction and Demolition On-site Manager h.Telephone 5.Licensed Construction Supervisor: DONALD K TROTT CS-075174 a.Supervisor Name b.Construction Supervisor License(CSL)Number 6.Is the entire facility to be demolished? r—a.Yes b.No 7.Describe the area(s)to be demolished: 8.Describe the building(s)or addition(s)to be constructed: CONSTRUCTION OF 5 NON LOAD BEARING WALLS,2X4 CONS 9 a.Were the structure(s)surveyed for the presence of Asbestos-Containing Fe—, 1.Yes r 2.No Material(ACM)? b. Who conducted the survey? ROBERT DAPRATO #AI900657 1.Name of Asbestos Inspector 2.DLS Certification# Revised:03/17/2014 Page 2 of 3 Massachusetts Department of-Erivironmental Protection ` 100264857 BWP AQ 06 f' Asbestos Project# Notification Prior to Construction or Demolition , Project Revision rI Project Cancellation C. General Project Description (continued) 10 a.Was asbestos containing material(ACM)found? r- 1.Yes r!!F 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 , a.Seeding. ~ operation,all b.Wetting c:Covering, d:Paving e.Shrouding responsible parties must comply with 310 l E.Other-Specify: CMR 7.00,7.09,7.15, and Chapter 21 E of the General Laws of 12.Is this an Emergency Demolition Operation? r-a.Yes F 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 e.Date of Authorization(MM/DD/YYYY) f.MassDEP Waiver Number releasetthreat of release of a A Certification - hazardous substance to the Department,if DOANLD K TROTT "I certify that I have personally � applicable. examined the foregoing and am 1.Print Name familiar with the information DOANLD KTROTT contained in this document and 2.Authorized Signature all attachments and that, based . ' on my inquiry of those BUILDING MAINENACE SUPERVISOR individuals immediately 3.Position/Title responsible for obtaining the HOUSING ASSISTANCE CORP information,I believe that the 4.Representing. information is true,accurate,and 6/1/2017 complete. I am aware that there 5.Date(MM/DD/YYYY) are significant penalties for,° 05/15/2017 submitting false information, - including possible fires 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 6f the applicable fee.is made.,, Revised:03/17/2014 Page 3 of 3 DDIY1'YY)E(MM/ :4�O CERTIFICATE OF LIABILITY INSURANCE DATE 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, Theresa Cahalane-NOrkus HUB INTERNATIONAL NEW ENGLAND LLC PHONE Ex • 508945-0445 ac"O1 ' ADnpFss: theresa.cahalanenork@hubinternational.com 600 LONGWATER DRIVE INSURERS AFFORDING COVERAGE NAIC# . NORWELL MA 02061 INSURER A: ACE AMERICAN INSURANCE CO 22667 INSURED INSURERS: HOUSING ASSISTANCE CORP INSURERC: INSURER D: 460 WEST MAIN ST INSURER E: HYANNIS MA 02601 INSURERF: COVERAGES CERTIFICATE NUMBER: 136750 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 rypE OF INSURANCE ADDL SUER POLICY EFF POLICY EXP LIMBS LTR POLICYNUMBER MMIDD MMIDD COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE S CLAIMS-MADE �.OCCUR - DAMAGE TO RENTED PREMISES Ea occurrence $ MED EXP(Any one person) $ N/A PERSONAL&ADV INJURY $ - GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE S POLICY PRO- 0 ❑LOC PRODUCTS-COMPIOP AGG S OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ Ea accident _ ANY AUTO BODILY INJURY(Per person) S ALL OWNED SCHEDULED AUTOS AUTOS N/A BODILY INJURY(Per accident) S HIRED AUTOS NON-OWNED PROPERTY DAMAGE $ AUTOS Per accident UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE N/A AGGREGATE $ DED RETENTIONS $ WORKERS COMPENSATION - X. STATUTE ERA ' AND EMPLOYERS'LIABILITY . ANYPROPRIETOR/PARTNER/EXECUTIVE YIN E.L.EACH ACCIDENT $ 1,000.000 A OFFICER/MEMBEREXCLUDED7 NIA NIA NIA 6S62UB2E47732216 10/18/2016 .10/18/2017 . — (MandatorylnNH) E.L.DISEASE-EA EMPLOYEE $: 1,000,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT S 1,000,000 N/A DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101,Additional Romarks Schedule,may be attached If more space Is required) ; Workers'Compensation benefits will be paid to Massachusetts employees•only.Pursuant to Endorsement WC 20 03 06 B,no authorization is given to pay claims for benefits to employees in states other than Massachusetts if the insured hires,or has hired those employees outside of Massachusetts. This certificate of insurance shows the policy in force on the date that this certificate was issued(unless the expiration date on the above policy precedes the issue date of this certificate of insurance). The status of this coverage can be monitored daily by accessing the Proof of Coverage-Coverage Verification Search tool at www.mass.govBwd/workers-compehsationrinvestigations/. 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. Town Of Barnstable Building Dept 200 Main Street AUTHORIZED REPRESENTATIVE Hyannis MA 02601 Daniel M.Cr ey,CPCU,Vice President—Residual Market—WCRIBMA ©1988-2014 ACORD CORPORATION. All rights reserved: ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD El PROJECT NAME• DDT ADDRESS: Ll 571 . PERMIT# PERMIT DATE:. M/P: �2 _ . �3 LARGE ROLLED PLANTS ARE IN:, . BOX Z SLOT . C,; s Data entered in MAPS program on. Iz 1Z BY: r q/wpfiles/forms/archive s i* TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION f - Nap q Parcel Permit# ' WN OF BARN"aTABLE Health Divisio, Oq Z6 121 03 Date Issued —qa a 3 AN 21 AM 9: I ! � Conservation Division i Z r03 Application Fee Tax Collector Permit Fee ' /,S a• Treasurer HIV ISfON Planning Dept. APMC&TMWOMMASE M CONNECTION PERMIT FROM THE Date Definitive Plan Approved by Planning Board ENGINEERING DIVISION PIIIOR TO CONSTRUMIOX Historic-OKH Preservation/Hyannis Project Street Address .0(lp O Village c- Owner Address Zf�ti® zeo� Telephone Permit Request Try Square feet: 1st floor: existing proposed 2nd floor: existing 4k,0 V_ prop losed � 049'1 Total new Zoning District Flood Plain Groundwater Overlay Project Valuati 2S 00V Construction Type Lot Size Grandfathered: ❑Yes ❑No If yes,attach supporting documentation. Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family(#units) Age of Existing Structure Historic House: ❑Yes ❑No On Old King's Highway: ❑Yes ❑ No Basement Type: ❑Full ❑Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full: existing new Half: existing new Number of Bedrooms: existing new Total Room Count(not including baths): existing new First Floor Room Count Heat Type and Fuel ❑Gas ❑Oil ❑ Electric ❑Other : .,Central Air: LJ Yes ❑No fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑No Detached garage:O 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 gal ILDER INFORMATION NameTelephone Number Address License# &41 Home Improvement Contractor# Mztlo 9D Worker's Compensation#,Z4 4 %01aY70 V f T Z ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE ���) FOR OFFICIAL USE ONLY ,o e + PERMIT NO. L � DATE ISSUED MAP/PARCEL NO. ADDRESS VILLAGE ` OWNER+ e DATE OF INSPECTION: , FOUNDATION. FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH ...FINAL i PLUMBING: ROUGH FINAL GAS: ROUGH FINAL•. . FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. The Commonwealth of Massachusetts Department of Industrial Accidents Office OURYES01 0as _ 600 Washington Street < ' Boston,Mass. 02111 Workers' Compensation Insurance Affidavit r name: , location: � �. • L�>Z J phone ci ' ❑ I am a homeowner performing all work rays ❑ I am a sole pr rietor and have no one worldn in ca achy /// ��� /G% %%% %% workers' co ens on for my employees working on this job. tr}:«.}:.}, w er rovi mP :::::.:.....::::.::::.:{. :L.}}:.::.:,:;Y:::>:?:>:<:• ..v•:, a.:n m .tom •i:•}:{..::;,• ....... ... ........... ............... ..............v...........- :. ..............v............. :.....n........n...•,...v•.v{:•Y::•:•'•+;.....v.........k•%J:v{v:n.,..•?:•:tv.•:S•7n:?:}::.:i{t:;?}}$ti:::%:::<i ...:....:n........;..: :::.::..:.......{.:::: :.r:.Y.......:w}.+•::::....,......v::nv:::.v :. ....::}.:: •.•......v:• v.xb r v•h,•. ... .... n... ..... ..................:... ..... .. ........ r v:•::;r;}}:•:{3}:?;?v;{.7;•;;.nn.n.M.:v.v,}:;{:.}:•:•{}. (( e� .......,. ............. ..... .n...r. ....... ... .....:::::::.v.v::.....v.v;n....• {::•......• -v: ... r...;..:.:v.;+,.....:•.w:::•r.:.:::.v.i•:•.}::v:nv',:v` •.4.{v.:..•v:::::v............ .: .n ..r.....{w::: :... :..::w::::.,n........ .;;.. ........ :•.v ... ., .: .... :..::-:::?J' ::?.-„v:.v:::::•......, ,./ ....... ... .. ... nv:............... '{ ....r.... x%•:;tr:3:{{:v;tr:•:...YS}:•}.•Y:.is t::•:....:. fle .. ..... ..........:.:...:::::...:.::•Y:•:i.}:-.. :.:..+-,.n.r•::.}{?..tr}....,.... Yii;:y:.,7,u..:.,•�}:•:�i.%}+.y S: man... ..r........:•...............v:,n........n, .:./.•.............:: :•:.v.v::nv::r.:.::•'.::.v::::.v:v:::::tr;•:}:., ,.... ,:.v:r ..... yr ' :¢>:L•+.�:}:v:.v:::.v::::•.v.......r.:•.v•... y, ,: :?w::••. ::;3Y}}:.x:•}}:::{•:S?}. .. .....:::•v: ':�11se1ranCe�cix'; +'•••�'''�'•�•�'.'�•''::...:.;;;::n:•.;:<::Y:•}:;::t:%::<::::.>.; .:.}•. .. �/ e rietor eaeral contractor, or homeowner(circle one) and have hired the contractors listedbelow who I am a sal rap , g • . ❑ p banthe . Mxr:::::•.. ensation ohces: ' workers' co ..........................,:.::: ::{ ::�: ::�>::::<{.}::.7:.}}:.:v:�:{:;:<.:}:.�:::.:.:::.:n.,:....n..... ..,•..%....... ......................r...v....-.........r....... ,...:.............. ....,..............,. .:............•...,. ..........::............:::.......,...::::•'t{<.}}li:{•}}:.}}::..::::.5..,.:L.;tr:••+:•,. ........ .. ....... ........r....... .r......... ..-............ ...................... ..........r.:•{{;.}};.}}::::•::h:h?v:7.:v::::•.Y..;.,........:•, ..v.....nv:+r{w:::••:•::::. .....r......r..... .....................r............ r ....:r :. n... .... .... ,.....:...............:.:....................:.^.......v........-.::•.:...........nv...............v .:::;.i}:?•.i•v.�..•:.'{••r.{•.:w::......, ..�t.,.,.•hi,:::;:::�'`v: •....n..,...••{:•............:................ ...................:............:...:..................:..;••.:.. }::::q}y}:•L{•}:tr}:•Yn:w::3. .... .:::::.. r....... .... .. •....................v..:.,.•:•.:...:::.:. .. ... ...:...::. '?:rK Stri:•Y:::.r•:?�`SS?�::1. ....::::v:.;•A,•::vn......::::r................. � 'v}r::i;:•}r.{J?:;:•::::;:•i�S::3tir v. .....- - ....:.. ..... ,•3}SSSSSSS Si:ivv: .,J?. •�`4!wy}'•� •n5r S•.r.•.ri•,.. .. ..name. .. .. ......................:.......:::i 3Y:::.v::•r:•.{•}}:i•}}:•;}^•;{%•SS:J::SS.?S?'`:3Y•S}SS.. •;v::+.{., CD :......:............,.::::.::............ .....:•::r:n::•:.........:::::•...........::•.,•:r........:•::KY:::•........:•::..........:..:•.....v::.:+7••}:•:+.:5•7:3�;?;;•};; .r.:+�:�r,•:;• ......... ...............:....... ...,....:Y....r.......::::::..........,....::::. .........{,...:..:::.:........r......,.h•. ..r.....:.{::.......... ...:. :;;<�• .:,r.r+xcti•.3?.. ....-:.. .....:. ....r.... .....r,.. .......... .... :........,...............:. ? R•::•::{,.:.may:{•:••Y?.):{.:•.,•:::.«•:.. .. ,:::.. ::•x... .. ,.�: ... .... ...... .... ..,:..............:,.............r..........:::....... .....::::•., rr:.r..h:.Y}:?•}:•:tr:•S}}r4{•}i:tr:••7?:+>•.•.... `tr.; x:�s7r>,•*S•Yi.}t;';3:::::;y.;:: •:.,•..............v............}...............:.:r.:.,..........:•:•.................ni•.:..................•:•:....,.....,......:.v:::r....:....•:::......... ::�:{.}}:::tr:.x•:...,..4...............r......, .,.%{.}!::,.fi'?�f:•}k`}�`:2.L:.•.{^x.S...;.:.;.;. .......S..::•.,:•.....,...:::n•.........:.::::::Y...r.........•.i-.:••.,....,......;..:::::::......,...v;.;.........•:..L r.........::::.v:............;............:;.{+.r..... ,......:..:.. Q•}::,'•}:•.. ..3.:Y•:.,::{{:..:................. r.. .. ..........:.,.:...........:,•.•}n,n......r.!.•..:....•,.•:r..:::..............,:?..... .. .... ..................•...... :\' �v?:•.v:n•:n:v.:'^:•rw:ry :N`n•{r{:!......:...:. ..... . ... .......:....... ...........:.:..:..:::.r.:{?{•}:•:tt•}7'•}N{?4:'•Y:i?•:{.}}v:.:r;••;:•;;::;: :{k:•::U'::5;::'iS:'::: '•.:i:'r }'Si}'.. IiF.0 -..ew:::.}r:. .}::v::.,:{•y:vS tn;•. .::tr:•:{r.,;}tr?•:i%!','sari••,ty}• ,.•'!{""'•? ......................:..........:..-.:.v::-i:;{v}:.::•i:vY7:3:•:}w;....vv}'.:.}:.:...;:::•}Y:}'•i:••:,•:-•.:v.::•...:.... tr:::?•:??:• ...:h.f r.{�?:. .:i... -0ty ................:....................::............:..:••::..........•••r,••:y:::::tr};{:••}}:••::x•rr:,,..,..r..•n}:.}........,...:}}x.....n,n.....:}.::•?...vv..n:.::}.t•. ^.•�•�.J.. .rir.::i%�;: ............ ....................n...........•:..r................,....... r.... ..{v r.... ...r...r....:. ........................ .. ....v.........nn.: .v?n.}... n::S iSS::v:• •....r.n.•: .. .. .......:v n........n...•..r.....:. .r.. ..:...... .... ... -vr... .:: .....n.r.. ...... nv.}i::.,...:...::r.... .... .....::::}}S}}x:+.?•.i.'•hflln•:•;}}\• ...,}. :?4�•r;;.i ....r:3..:•............... .....�.. ... v:Y..r.:•. .....v.......r.::•.....,....... .....>..:.....nt.w::v;Arw::r?,. ..Y... _.:{., •.{}...:• :v: }`�:i'•"r .......n :.........}...r..ri r........... :..r .r.... .:F....r............ ,.....-.r.....:.... .....%n....+.:............ ........::r..;:n:n:•.;..; .....;.{. ..C•::rr .{.}.v::}:.. •{}.?{{• +::Y.'i h.:.n..v ....n:...... ..n...�. ....v,.:..v....r... ...............:...................,.v.:.. ....... ..... v:.:.v?::•'}: ...? ,,.F.S}Y ..�n ... .... n.n. ........... : ...... ...........{..:::::r........ .......,x• ..r... •:v:::.::rn!•%•..,::YX:••:^;{:y:..rSr•v,4. r$}.:r.xA,':•}.:. `:I•r?3 .:r.:........,::t::.:.......:•:::::.........:...::.::?,<:....,.....ytr.•.n:...:..........v:::.,•:..:'.::::::.;.:::..:.�:•:.i!.}Y:.}}�..,........., ,-.�:::i.. hone.#,. .x.......•:k•...........w.......r........:::........ ......v:rn.....r......:{,•...........r...-.:.,. n....•:::}::::.v:....:•r ..:..: ...,...... .x...•..:..,.:..:..:..v �..?iv'`:{}nti\3:•7}:�j .v .:. .......n.............n...rn.n..................n...........•..,...:.v.v::::::::,.,v.::.:::.•{:::::rn:::::::;:...:•:•. .. .. . ........ ........ :r....,. ........::;:;n}?:,:•:v?YY}.•:,,•Y:}?::?:.;}}}Yr::v:•}n};!?:,;•}13:.}}}•.}}}ti•::r:.Xr3�:{h:'.:3iv•:7:}%r.v„ .... ..... ............... - ,.r.•:n,,;..:: •.. .......vv....•.r.v:.vtr:•y}•::.,...}xn{w:'.v.vr3,}.yv,.;:;�•}Y?;••v:J:}tit:v4`':•$n`}?':`i}}•::::}- � ....................:........... .. ................ ...............v:.}'•}.•.v...,. ..?.-r{h.3'3.:::.Y'3.{v'•}}'{v:>w:.v.�.r.;{.:.;t:h:S•:::::?.3}l::•:.. y'!`,:rr}{ tvv:f:.l t.}?�:;:`vi% ..........r..rr v...:.v....r::.....w....r.:..:...:n..v......:............n......v........n..,...:..,...:..,......:...::.•v.......r. n..............:.l.:.:.:..:..:......•..?.......::.......n.....r...,....:v.........:.:.:.....:.:.L....3........:.-.ti n....•..:r..t.....i.....:,._..w.,........:.v.x.•.n..:...:.v..•..::..:...:.•....:.......n..v..........................v.....:...:,..•...:.....:.....:.....::...:....::•..:-:....:.....:n...:....:..r....{...w...................h.r...i.,......t.....w.....n..........v.:.w:..v.:..:..n n.'•n.+.....;.-}...r.n.:n r.•::.v..,r..•r.v.v,.{.:,:.S:.•::4•..:..::L..v•..}.....7..:v.:.::.,...v...::w..:.v:.}..:x'.:...:..v..x�.:.r................Y.,.}{.,.::wv...w.r...•.•..tr..:..::...n.v,..v.:..•..h•;....:•.n...;....,.•..rriv..vv•:..:}.f.m.:.,'.n.;•..}:::n},.•}•}.:.4rS.^:'r..•.':,:v.n.n:.t.v;,.:},...?•.n.: :{.}..}..?.;..:v•v:':,:•vyx}:.:?:..rrv.<:Y,'ti:•n}:•t:•.:}••.i}?.:'n..j•+Svtr,%,v}::.v:3^.v::tr:.{•?':^:ri� 0:?.}i...?,•{,1?.8:'Sr yih:.{i•.,}..{..t.,•�}:'::•r.�•:rAv�v�,, Y.T:Y�:•.w%•.4.\,v v`.i>:. r:•.:::5'.. ..;;�.,.,..:..... .r.:.v::w:,......•.:v:^::.........::w:S,•.t•.t•,.•...•::?.v::r:.:., v.::::n:v.. ..........:::,•: ..?.....:::.{.:::?:•y,3:{rn:::•,;, ..k......... +fx3;..v:•{,}}}},;..:},:::?{.}Y.:vr•S-7}R:k ::::.:y...::•'.'.Y>},•;3...x:x•x:.:...n.n..:,:r•:n�.:....:.f;v..}n.;.,x r....v:::.v y J�� •.i.....&•:An....n.•:v}:::•......:;;^::Sxl.. ... .;,,.:!:....}.:.vy::::�vv:•:w:::•:::::.x}::.{•:.{.::.v.v..,{:?:.Y'..v.:'.}:::{{,•;:::.}'}•:v}:•;.}•:{:3 Y �M:.::•:::.... •{{;...:....:...::::•.:.....::•:;::.r.::}:Y•:?:::"2•}:!•:{ >,'•.tiSvr3:.:,>'?t.:}:•.v:<i{;:3:.,;v...:v::n .... r :^f.}}:?::•S:•w•l::••:•::•:•}x•Yr}i•ix;..y:n{•fit;,,, n>,r.::•::.}-:;•.:., .............. ...::::.:.�.:�::.::::.:..:tr;•::�>}l:}•:;i:�?:::};;:}<}:-;}:•}Y}:::^:.::{•}7:SSSiG::::?:S:%%:::;.•:??S::'?•..r:.::•:.v::n•. :•.,.:}.v:•.S::v:SS•:S?::5••.'•:3':.r;... .................::.............:•::.......r..........::•:....-......;.:+:!....-.,........,,,:...�:.........,...:.}::......r...:............sn:,:.•::.....,.....r.r..•..::.:.::r•.:Y.}:•5:;;,•.7:n•:. }}}::..•�:••::it}{:.: {•}Y•:?•::•�:• .... ...n..n...••: •:.................. ........ ..•}.....::................ ...............n..• n.............• ...v............ .........r... ...n,{t:....r....... ......... .h ....n.. :JJ.JY.Y...h:3:; f`:<::' ..... ......... ......n... ............. ............ ...:::7:.v:.v:::.v:... ...r::?m::::•:::;...:v::::::.::r.:v.v:}::::::.y•x:::•.w:::.v:w:x.:,.;..r...;}:v::.:}:3}:::.,:v.q{%:;:Y}{vYftt}},<{?:�•.: :..::::•:r.r....::wn?v.....•:::.;,v::v:• •::;:•:...r....Y.............v..... ...........;. n.•:v.w:::S.:•......:...... v...r...{,.:n.,:....•:v;n•......n::3!•......:.w:?•'?.w:w:::::.v:nY:.::::::;:::w:::::n......:.........:.i:7'ti�}}.r.::::.:•.v.. :r,....;......... .......... +.....::r:::::.r.n•:.:.•.•:::....... .............. :r. :n?..v...v...:w•:•:,•.........:......r?...,:•:•n.•.n.n•,•:vv:::n•.:n......•:?•::r::.:.:x:•;Yi:'•'::•{;.�•?%:}Y.:.....:....�...... ......•r.. .. ...n..:,...• ............... .......x:::w:::::.v•:•:;:{:,v;............. .v::n}.:;....' :n•.,vn+::x.Stiy::;v..- r ........x.r:•:.,:................ .rv.1.rvr}7}}}}:•?:•i•.�r.}w::;••.... ........... .:.n.}::::x•v:::Y:yr vvni y.x::d .;:. exi. ........................::.v:::w::::v4:•}Y}:3;::•:•:. .... ....n:.............•;?.r.•:::i'Lt+.•'%•n}:v'r'vY}Y}l:'•`.•:{,v'�i :}�?;n�::':.•:�!:?•:}•:•}r'•'•: ............ ...... .:.r....:... .............. ...................:::::.v::::v.v:r. +v•.•::7...,nvr:::r ..,,3,::::{•:{{?i?r•}.r:+r.:::•�::•x.:...3rr}+:::::r....v .v::., {,.... ...... ............ n..................:•:{:•:. ^:;3:•}}}}:N:.v::•.,.. !4%ti;';,tr?,.%;• S.y:. }....... .......... .........r ........... .......-.....� ..................:v::::::::.v::.v.• ::•:m::::.•:.•:;:::::r.•::.v.:.....•n,.,...........:w::}:•::?v::v::,;::n:••.v:::::,:•}:.}}:•:•Sh:,.}}:•:•:fr:S31{.......:•:::.;}.:.....}{tr:. .............. ...-. .v$:4:vYitiv�::•':{:S::k4:::.:r•S:?:}ry2;�:'.C:tS:3:•:�:t acldr .. .......:...... ............. .................:::.:::.::::::�.:{.i7:;:....:.:.}:.}::::.::r::........::::::::^:.::::.:•::::x:.:�:!::i::;s::Y::.,.. .... x.:•::•Y;:..,•:.,:;.;;{:?••:;•�::..�r.tr?:':�;::;;::<:»'�;::>i:: :i>Y:'r;S;S i4:;:%J�t:S:;�::>:::•>}}.!.>:•:S{•:;{;Y:-:{..5?::.:;?••7c:';t {3:;^:Y;•i::;•.}•.•.?>:•S•:S;:t:>::'+.%;•:S••.,:;;>:•:.:.�.}'.}:>?:::::: •}:.::•• r:}}:•.::.:re;:s::}s•::•:;•::•:;;•7;.}::;YY:;:;;•}:,?:>Y::::};. ......... .......... .....n....• ............ ............. ........... ............. .:::?{{4:;::•• r:::.}:v.,..rr.. ,S.•C. r. `?" :.,•.,:{?i v:}.v::!7••vr.•%.R}$?•. :.......................... .......n.rr. ............,......-..........v.....,..-............:.........:...h....•:::::.:,..........::^.w:n..•• n......r...v...r:::r.:.x..::........vfr.}%?:•}};•r.•:•.{..,n. .. ?. ..{, nod:ran¢c:coz:s><:<:•}::?.::.}}}:i3.:..:......:.. •::.:;:, / P enaltia o[a Sae n to S1,So0.00 and/or gaq�to sec�e eovera;e�required raider Section 25A of MGL 152 can Iead to the iai ositton of a'latinal p P one y�Y�psi,onmea!as weIl�dvII penalties in the form of a STOP WG�l7RDER and a Sae of 5100.00 a day agaiait and I mtderstand that a copy of this statemeatmay be tornarded to the Office o[Investigations o[the DIA for coverage veriffcation. • I des hereby certify� th pains and pen � ofP�'J�Y��the information provided above is trtu.and tarred Date signature Print name official use only do not write in this area to be completed by city or tram official perndt/licetue# • ❑Building Department Licensin city or town:— ❑ g Board response is required ❑Selectmen's Office ❑checkif immediate q ❑Health Depar(ment contact person: t phone##; ❑ � -— (tsyised 9195 PIA) Information and Instructions Massachusetts General Laws chapter 152 section 25 requires all employers to provide workers' compensation for their employees. As quoted from the `law", an employee is defined as every person in the service of another under any contract of hire, express or implied, oral or written. An employer is defined as an individual,pp artnershi association, corporation or other legal entity, or any two or more of , the foregoing engaged in a joint enterprise, and including the legal representatives of a deceased employer, or the receiver or trustee of an individual,partnership, association or other legal entity, employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein, or the occupant of the dwelling house of another who employs persons to do maintenance , construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer. MGL chapter 152 section 25 also states that every state or local licensing agency shall withhold the issuance or'renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the.insurance coverage required. Additionally,neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority. Applicants i Please fill in the workers' compensation affidavit completely,by checking the box that applies to your situation and sirPPYmg company supplying any names, address and phone numbers along with a certificate of insurance as all affidavits maybe P . submitted to the Department of Industrial Accidents for confirmation of;,m,rance coverage. Also be sure to sign an Gg: date the affidavit. The affidavit should be retumed 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. NO City or Towns Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the pe�rtlhcense number which will.be used as a reference number. The affidavits maybe retarned'tn have been made. the Department by mail or FAX unless other arrangements The Office of Investigations would like to thank you in advance for you cooperation and should you have any questions. please do not hesitate to.give us a call. The Department's address,telephone and fax number: The Commonwealth Of Massachusetts Department of Industrial Accidents 0111ce of fnyestlgatlons 600 Washington Street Boston,Ma. 02111 fax#: (617) 727-7749 phone #: (617) 727-4900 eat. 406, 409 or 375 ✓fze �anvmaiuuea/l�i a�✓�aaaac�iuoeCla I BOARD OF BUILDING REGULATIONS License: CONSTRUCTION SUPERVISOR it Numbers} 030908 irplreC114gb0 Tr.no: 13740 -- Re' nGEa rr(Y `4 NEALA PRATT 42 CWASE RID I E SANDWICH, M4 253 % " I Admimstrafor 77 � 7 gdirh�zp�zus�2GCIz � l lugBoard of Building Regulations and Standards HOME IM'P•R©VEMENT CONTRACTOR Regis�r—a�i�csn 1'03690 w�Xpltt�n 7J 2004 NEALA.PRATT, TQNlf3Jlkl7 deal Pratt ` 42 Chase Rd !G � E Sandwich,MA 02537 pdni�tratnr r }---- 47'-3 1/2' '{ O Buttery L" MEDS ® Smke Detector OFFICE ❑FFICE OFFICE ❑FFICE ® Morn/Strcbe tight O ❑FFICE OFFICE Proposed alterations 47'-3 1/2' OFFICE ❑FFICE RECEPTION pa, Post S'k l o FFI t E CONFERENCE CONFERENCE Existing Offices—NW corner, second floor 36'-3 1/2' -17 Watts al s -2x4 stud, 93' ceiling -3' Plberglass insulation -1/2, blueboard/plaster both sides 1 -vinyl baseboard y .�bP�ak ti-l7roerl- Ceiling ROOM OFFICE OFFICE -suspended —� Floors -Carpet/vinyl Post ■ Skllite E.T • 1- 0-03 NEAL A. PRATT Ca a Cod Human Services o A 2 PAGE 1 of 1 EaAR/DJCHAS%G; -NoneEII MM 0 V.Main Street, H anni CHAS 6 E SANDWICH MA 0537 e`/: NAP PHONE. (Boa) ass-WOO Office Alterations A 1 L J 47'-3 1/2' � • 0 Battery Light MEDS ® Spoke Detector ❑FFICE ❑FFICE OFFICE OFFICE ® HorptStrobe tight OFFICE �— OFFICE FF Proposed alterations 4T-3 1/2' ❑FFICE ❑FFICE RECEPTION Post qI'; P I` CONFERENCE CONFERENCE Existing Offices—NW corner, .second floor 36'-3 1/2, Walls -2x4 stud, 93' ceiling -3' fiberglass insulation -1/2' blueboard/pl aster'both sides -vinyl baseboard Ceiling ROOM OFFICE OFFICE -suspended Floors -Cnrpet/vinyl _ • Post e Skitite NEAL A. PRATT Ca a Cod Human Services DATE: 1-20-03 PAGE 1 OF 1 BUMDER/DESIGNER SCALE: None A 42 � jW,0 6WICH 0 W.Main Street, Hyanni E. SAND MA. 02837 BY: NAP PHONE. (808) 888-3208 Office Alterations L —� RESIDENTIAL BUILDING PERNUT FEES APPLICATION FEE New Buildings,Additions $50.00 Alterations/Renovations $25.00 Building Permit Amendment $25.00 FEE VALUE WORKSHEET NEW LIVING SPACE square feet x$96/sq.foot= x.0031= plus from below(if applicable) ALTERATIONS/RENOVATIONSOF EXISTING SPACE / ( Y6„C0 rC/Q(7 square s feet x$64/s . foot= a sj�a x = `' q q plus from below(if applicable) GARAGES(attached&detached) square feet x$32/sq. ft.= x.0031= ACCESSORY STRUCTURE>120 sq.ft. >120 sf-500 sf $35.00 >500 sf-750 sf 50.00 >750 sf- 1000 sf 75.00 >1000 sf- 1500 sf 100.00 >1500 sf-Same as new building permit: square feet x$96/sq.foot= x.0031= STAND ALONE PERMITS Open Porch x$30.00= (number) Deck x$30.00= (number) Fireplace/Chimney x$25.00= (number) Inground Swimming Pool $60.00 Above Ground Swimming Pool $25.00 Relocation/Moving $150.00 (plus above if applicable) Permit Fee projcost r r) Map QG9Parcel ` Permit# 02 to House# q(7 Date Issued th( r oor)($:15 -9:30/1:00- 9 0) Fee 0-.6 + Planning Dept.(1st floor/School Admin. Bldg.) Definitive Plan Approved by Planning Board `'`. 19 ' BARNSTARLE. 659. TOWN OF�BARNSTABLE Building Permit Application ' Project Street Address ,_,D 4UmrAQ Villagea i Owner ✓IrGS— Address ,S",?I-rt,e, Telephone 7 3_7 7 Permit Request 4 - y'2-l" ',Y� W��- LV M First Floor square feet Second Floor 1406 C.F - square feet Construction Type Estimated Project Cost $ , 060P Zoning District Flood Plain Water Protection Lot Size Grandfathered ❑Yes ❑No Dwelling Type: Single Family ❑P Two Family ❑ Multi-Family(#units) Age of Existing Structure , ?0 d- Y-0: Historic House ❑Yes Q-No On Old King's Highway ❑Yes 42 No Basement Type: ❑Full ❑Crawl ❑Walkout (A Other SG Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) --� Number of Baths: Full: Existing New ® Half: Existing New —T k No.of Bedrooms: Existing New Total Room Count(not including baths): Existing New First Floor Room Count Al - A Heat Type and Fuel: %Gas ❑Oil ❑Electric ❑Other Central Air J'es ❑No Fireplaces:Existing ® New C:3' Existing wood/coal stove ❑Yes No - Garage: ❑Detached(size) Other Detached Structures: ❑Pool(size) A Q Attached(size) ❑Barn(size) ❑None ❑Shed(size) ❑Other(size) Zoning Board of Appeals Authorization ❑ A�Appeal# t, r Recorded❑ Commercial 0 Yes ❑No If yes,site plan review# ___ �• �' Current Use 42 AZ�lGUF,5� Proposed Use Builder Information Name A • Telephone Number �` � Address License# 03® /Q0,19 Home Improvement Contractor# fU��Pd Workers Compensation# 3' 0-9-7-0-9-7- ` NEW CONSTRUCTION OR ADDITIONS REQUIRE A SITE PLAN(AS BUILT)SHOWING EXISTING,AS WELL AS PROPOSED STRUCTURES ON THE LOT. ALL CONSTRUCTION EBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE BUILDING PERMIT DENIED FOR THE FOLLOWING REASON(S) � V FOR OFFICIAL USE ONLY PERMIT NO. DATE ISSUED - MAP/PARCEL NO. ADDRESS l r VILLAGE OWNER - I DATE OF INSPECTION: FOUNDATION- FRAME � 1 ;:• � ... •.' i ,.j + . , - ` •, s � `, , • _ {A)O7'Co•� 4�-� INSULATION FIREPLACE ELECTRICAL: ROUGH 4 FINAL PLUMBING: ROUGH FINAL GAS_ ROUGH FINAL. FINAL'BUILDING DATE CLOSED OUTS.. i ` _F — j g a ASSOCIATION PLAN NO. _ Y I The Commonwealth of Massachusetts __--- Department of Industrial Accidents - �^ J '600 Washington Street , s+ Boston,Mass. 02111 Workers' Co m ensation Insurance Affidavit name: location: ci � 1 , hone# ❑ I am a homeowner performing all work myself. ❑ I am as I . for and have no one workin in any ca acity (V I am an employer providing wor ers compensation for my employees working on this job. com any name. address �Z - ay�zz city � phone insurance co. policv#- ❑ I am a sole proprietor, general contractor, or homeowner(circle one) and have hired the contractors listed below who have the following workers' compensation polices: comaanv name address. city phone#: insurance co olicv# camnany name address: ctty' phone#i - insurance co:. olicv# Failure to secure coverage as required under Section 25A of MGL 152 can lead to the imposition of criminal penalties of a tine up to S1,500.00 and/or one years'imprisonment as well as civil penalties in the form of a STOP WORK ORDER and a Qne of 5100.00 a day against me. I understand that a copy of this statement may be forwarded to the Office of Investigations of the DIA for coverage verification. I do hereby certify der the pains d nalties of perjury that the information provided above is truo and correct Signature / 1101Date Print name Phone# official use only do not write in this area to be completed by city or town official city or town: permit/license# ❑Building Department ❑Licensing Board ❑check if immediate response is required ❑Selectmen's Office ❑Health Department contact person: phone#; ❑Other (reviad 9/95 PJA) t Information and Instructions Massachusetts General Laws chapter 152 section 25 requires all employers to provide workers' compensation for their employees. As quoted from the "law", an employee is defined as every person in the service of another under any contract of hire, express or implied, oral or written. An employer is defined as an individual, partnership, association, corporation or other legal entity, or any two or more of the foregoing engaged in a joint enterprise, and including the legal representatives of a deceased employer, or the receiver or trustee of an individual,partnership, association or other legal entity, employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein, or the occupant of the dwelling house of another who employs persons to do maintenance , construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer. MGL chapter 152 section 25 also states that every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required. Additionally, neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority. Applicants Please fill in the workers' compensation affidavit completely, by checking the box that applies to your situation and supplying company names, address and phone numbers along with a certificate of insurance as all affidavits may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested, not the Department of Industrial Accidents. Should you have any questions regarding the"law"or if you are required to obtain a workers' compensation policy, please call the Department at the number listed below. City or Towns Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permit/license number which will be used as a reference number. The affidavits may be returned to the Department by mail or FAX unless other arrangements have been made. The Office of Investigations would like to thank you in advance for you cooperation and should you have any questions. please do not hesitate to give us a call. The Department's address,telephone and fax number: The Commonwealth Of Massachusetts Department of Industrial Accidents Office of Invesugallons 600 Washington StreetuF Boston, Ma. 02111 fax#: (617) 727-7749 phone#: (617) 727-4900 ext. 406, 409 or 375 ,y 4 ✓� IJOmY/YEOOLCIICCLGC/L Oy v�QCfLUJC DEPARTMENT OF PUBLIC SAFETY CONSTRUCTION'.SUPERVISOR LICENSE Nu®ber Expires: RestfUted.la,_.. Be �qd NEA1 A PkRA T 42 CHASE W- E SANDWICH, NA 02537 v, •�E - ,. _ fit• -� ,. vo •- �^ .... )', Pry%15.�-'�F�'. �.a:2�11 i i':'�:.�, cam' �. ., 4� „"' I AAS -Az 4Q � t C.010 S r•.� _ 1 _ � V� � "ate±: � w ►.• ,� �, \\����ii ay _.. _....- �Cal'�'r�---•,-.,�_-._"t... .S :'C:. 1 ;O' L;' Ll . nn 'nil - - I CO vs -Na As US d l* ------------- dim LL po U (� i t ty Z3 1`' N 1 <j1-7 _ yApSI i i i yi Ll �1. O ^ L v C 2 � A ♦, Me 36 48 52 Office ❑ffice ❑ffice Office 20 CAPE COD HUMAN SERVICES DN ❑ffice 460 West Main Street , Hyannis Office office Office Interior ❑f f'ice Altera lt ,ifons Office Office Office ❑ffice Nea( A, Pratt ) Bul�der WOManS Office 11 Bath Existing Floor Phan Office i ❑ffice Mens Lunch DN off ice Bath Roor Off ice Office 104 Office AdMin Clerical Storoage Library Area ❑ffice ❑ffice 84 Reception office ❑ffice Waiting Clerical Office Conference Office 64 Office Room []1 —1 1 1 Waitin LT Clerical Office ❑ffice ❑ffice Office �Office Waiting F13ffice DN Reception Office OF-rice Office Office Office Office Office? Office ❑ffice Clerical Elevator ® Storage 136 Reconfigur for private group office Provide for copy center Add hall door [if fice Office ❑ffice Ellice CAPE C ❑ D HUMAN SERVICES 460 West Maim Street , Hyannis �iiffice DN Off ice Interior ❑ f fice Alterations ❑ffice ❑ffice ❑ffice OF 'ce ❑ Neal A . Pratt , Builder Womans ❑ffice Office Bath Proposed Alterations Off ice Office New Hoar Mens Lunch DN ❑ffice Bath RoomL ❑ffice Office ❑ffic Admin Cleric F St o.ge Library Enlarge office Are ❑ffice Remove 1 door Reception 1Ce Relocate Wall ❑ffic Conference Clerical Gr up Room Waiting Office Office U ❑ Tice ❑j Office Recep ion Clerical Sec ' Wai 'n Office Office ❑f e office acting Office Med Room DN ❑f ice Office O fice Office Office ❑ffi e Office Office ❑ffice Office ❑ffice Elevator ® storage Remove wall Relocate Wall Enlarge waiting area Add pass through file rack Partition conference room with 2 hour fire rate wall. Create reception area Reconfigure for 3 private offices Add sink f-or Med Room Dagineeling oor) Map Q 6 'T Parcel �J�. Permit# 3 . , S House# `'C�® �=-� Date Issued h 3rd fl))(8 15 9:30/J:00- Fee 3Am tr d� M Conservation Office 4th floor 8:30- 9:30/1:00-2:00 KP s oor/School Admin. Bldg.) '{ prove y arming Board ' 19 _ _ BARNSTABLE. ` MASS A TOWN OFBARN5TABLE Building Permit Application reet Address '- Ai Village ki%:.S ` Owner &Y�2'p C ne Y,e Address Telephone 7 Permit Re uest1 ,`�•� �. 64 �C® First Flo square feet Second Floor square feet Construction Type , l e� Estimated Project Cost $ ate, Dom 9 Zoning District Flood Plain Water Protection Lot Size Grandfathered ❑Yes ❑No Dwelling Type: Single Family 0=Two�O--- Iu1ti�F_a•�n1�y-��# mis)� Age of Existing Structure y�� /^ Historic House ❑Yes ( No On Old King's Highway ❑Yes O/No Basement Type: ❑Full ❑Crawl ❑Walkout Other Basement Finished Area(sq.ft.) Nowt Basement Unfinished Area(sq.ft) Number of Baths: Full: Existing Z— New ® Half: Existing New No.of Bedrooms: Existing vi'! New Total Room Count(not including baths): Existing&effiee--i New First Floor Room Count 11GC`ees r Heat Type and Fuel: ,VGas ❑Oil ❑Electric ❑Other . Central Air XYes ❑No Firepla s: Existing ® New 0 Existing wood/coal stove ❑Yes XNo Garage: ❑Detached(size) i Other Detached Structures: ❑Pool(size) I ❑Attached(size) ❑Barn(size) Al, ❑None ❑Shed(size) l ❑Other(size) Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial es ❑No If yes, site plan review# Current Use Proposed Use Builder Information Name L' Telephone Number ere--3 6 Address _e-- 4 License# T, • Home Improvement Contractor# _�� 3 Worker's Compensation# NEW CONSTRUCTION OR ADDITIONS REQUIRE A SITE PLAN(AS BUILT)SHOWING EXISTING,AS WELL AS PROPOSED STRUCTURES ON THE LOT. ALL CONSTRUCTION DEBRIS RESULTI G FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE BUILDING PERMIT DENIED FOR THE FOLLOWING REASON(S) -L A KV Y FOR OFFICIAL USE ONLY PERMIT NO. DATE ISSUED MAP/PARCEL NO. ADDRESS r VILLAGE' + - OWNER DATE OF_INSPECTION:' FOUNDATION 1 • , FRAME �� 5 95-- INSULATION '1 FIREPLACE ELECTRICAL:, ROUGH t FINAL PLUMBING: ROUGH — FINAL 4 — a' GAS: ,' ROUGH FINAL FINAL BUILDING k DATE CLOSED OUT' ` 99 ASSOCIATION PLAN NO. rr The Commonwealth of Massachusetts , Department of Industrial Accidents g - Office oflnhestigamos 600 Washington Street Boston,Mass. 02111 Workers' Com ensation Insurance Affidavit name: location city • �� �/� • / phone# ❑ I am a homeowner performing all work myself ❑ I am a sole pro netor and have no one working in anv capacity ` %///%%%%%/.... ......../%%/O/%////////////%%%%%//%%//%/%/%/%%/%%%%%%%//////%%%%%%%%%�--- ------- I am an employer providing workers' com nation for my employees working on this job. com anv name. � � address. cl hone#: / . insurance co. Policy# C- Z ❑ I am a sole proprietor, general contractor, or homeowner(circle one)and have hired the contractors listed below who have 4 the following workers' compensation polices: company name address: city :`phone#: , .. insurance cm oltcv company name address. city- "phone#a insurance co olicy Failure to secure coverage as required under Section 25A of MGL 152 can lead to the imposition of criminal penalties of a tine up to S1,500.00 and/or one years'imprisonment as well as civil penalties in the form of a STOP WORK ORDER and a tine of$100.00 a day against me. I understand that a copy of this statement may be forwarded to the Orrice of Investigations of the DIA for,coverage verification. Ida hereby certify under he p ins d penalties of perjury that the information provided above is truo(and correct 01 Signature Date z� e ' Print name Phone# d gtf� ® official use only do not write in this area to be completed by city or town official city or town: permit/license# ❑Building Department ❑Licensing Board ❑check if immediate response is required ❑Selectmen's Office []Health Department contact person: phone#; ❑Other (revised 9/95 PJA) Information and Instructions , Massachusetts General Laws chapter 152 section 25 requires all employers to provide workers' compensation for their employees. As quoted from the "law", an employee is defined as every person in the service of another under any contract of hire, express or implied, oral or written. An employer is defined as an individual, partnership, association, corporation or other legal entity, or any two or more of the foregoing engaged in a joint enterprise, and including the legal representatives of a deceased employer, or the receiver or trustee of an individual,partnership, association or other legal entity, employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein, or the occupant of the dwelling house of another who employs persons to do maintenance , construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer. MGL chapter 152 section 25 also states that every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required. Additionally, neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority. Applicants Please fill in the workers' compensation affidavit completely, by checking the box that applies to your situation and supplying company names, address and phone numbers along with a certificate of insurance as all affidavits may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested, not the Department of Industrial Accidents. Should you have any questions regarding the"law"or if you are required to obtain a workers' compensation policy, please call the Department at the number listed below. City or Towns Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permit/license number which will be used as a reference number. The affidavits may be returned to the Department by mail or FAX unless other arrangements have been made. The Office of Investigations would like to thank you in advance for you cooperation and should you have any questions. please do not hesitate to give us a call. The Department's address,telephone and fax number: The Commonwealth Of Massachusetts Department of Industrial Accidents Office of Invesugadons 600 Washington Street Boston, Ma. 02111 fax#: (617) 727-7749 phone #: (617) 727-4900 ext. 406, 409 or 375 f / DEPARTMENT OF PUBLIC SAFETYj CONSTRU TIAN SUPERVISOR LICENSE Nu®bet.'' -. Expires: a 4AI HEAL A'PRAYT � 42 CHASE RD E SANDWICH, NA 02537 a WILLIAM G.KELLY PRESIDENT KELCO� BUILDING CORP.e + GENERAL CONTRACTING P.O.BOX 216 . SCITUATE,MA 02066 . (617)545-9255 I Assssor�s �rlapf and lot number ...........`/... � �oFtHErp� - G �' Sewage Permit number ...��...� ............................. G'Is Z 33AUSTADLE, i .House number ...:...... MA86 039. 00 'Eam a\ TOWN OF BAR.NSTABLE BUILDING INSPECTOR APPLICATION'FOR PERMIT TO ... a �11z r' � - A-b,17('1.1O p.... t.... .............. . ............................................... TYPE OF CONSTRUCTION .:..... .......... �-'.. .... ...................a ........ ... .. 9.. .............19........ �} r TO THE INSPECTOR .OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location ........ .t........ ................ ...... ........................ Proposed Use ..: -.......... ;/Zoning District !:'!:mcLP. ..................L-R a District .... jACoB D£JZ At,OP14- t 200-e�T 'r'• 12e?EN Name of Owner 4 Y_•Y4PL 1 -) V-EPut� l I Oe-t........Address ..�L44 ..Wt ire-...s ��� .!?!���...:......,.......................... E. ...... Owner: Asclepius Corp. 77 Winter Street, Hyannis, MA Name of Builder ...Address .....:................................................................................ Builder: Kelco- Building Corp. Box 216 , Scituate, MA 545-9255 Name of Architect , ...Address pvtSf (�![foss ..... ./.... ........... .... Number of Rooms ........Foundation ..... Exterior :4...... .....1�t-0c[Z...............Roofing .... U -....,...:.......:................................. Floors ...........................Interior .....��. .. surt u,00lp �T?.JD Heating .6,F-ts. � ..A! ...:.......... .......................:Plumb.ing Ehl�q....../ r' Fireplace ...ppi' .�'ti................ ........................Approximate Cost �. .b�..f70C..:..... ........................ ............ ............................... lo�Ob 1�4 STL NG� 1!4C 1JE--) Definitive Plan Approved.,by Planning Board -------------------_-----------19--------.. Area ........ ...,.....•..•. Diagram of Lot and. Building with Dimensions Fee SUBJECT TO APPROVAL OF BOARD OF HEALTH lY � • I OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS r agree t conform to all the Rule and Regulations of e Tow I hereby gee o o s gu o f Barnstable r arding the above. construction. /m,�� �✓� � .` 019925 . _ . Construction Supervisor's "License ............................. Asclepius Corp. (owner 1/31/86) 4 r r�o�. 26785 Re air Remodel Addition 1 ................ Permit for ......P......./................ ... ....OlCM..�3U ,i??KG.................................. Location ....4.6R..Wejat.I,�..S±xee.t................ - LI .................. ay'a"'Asclepius Cor............................................... -. *' Owner .. - s en- - - 1 Type of Construction .....Frame ................... .......................................................................... Plot ............................... .....Lot ................................ T - August 6, 84 . Permit Gran'ed 19 - Date of Inspe n ......... .1�... ......,19 f ` Date Completed l ti n . f.. d j. 0 i • `�'`5 a y^ b '. Ls 4'i�*6-C3 'tk sRt s L >rl. r j.. TOWN OF BARNSTABLE. permit No.. ...... 26785- - Building:Inspector ector Cash --------- --- i OCCUPAfVCY PERMIT Bond Jacob DerHagopian =. i ¢4 a Issued to Robert Therrien Address " t£� 460 West Main Street, Hyannis 1st floor only ` 4 sip Wiring Inspector Inspection date ZZZZe, }` r ° = =Plumbing Inspector Inspection date } r p Gas`Inspector Inspection date w Engineering Department Inspection date f r - Board of Health Inspection date THIS PERMIT WILL NOT B VA M, AND THE BUILDING SHALL NOT BE OCCUPIED UNTIL nk SIGNEW BY THE BUILDIN PECTOR UPON SATISFACTORY COMPLIANCE WITH: TOWN REQUIREMENTS AND IN'ACCORDANCE WITH SECTION 119.0 OF THE*MASSACHUSETTS STATE , w.w ,w``,BUILDING CODE. -,. ....�...........f 1 ..... .. ..«..........«.....««,«.«««.« _ - u,: b..Ins. ..etor A �4 fir: v . f t 4"' + •-�i�H< `Y ,_ Y n A 4 TOWN OF BARNSTABLE 2 6 7 8 5 Permit No. ._.._---------------------- Building Inspector ITx cashPAM _ OCCUPANCY PERMIT Bond Issued to Asclepius Corp. Address 460 Main St. Hyannis-,Ma Wiring Inspector Inspection date Plumbing Inspec Inspection date Gas Inspector Inspection dater Engineering Department Inspection date`:`; Board of Health Inspection date _j'; r THIS PERMIT WILL NOT BE VALID, AND .THE.BUILDING SHALL NOT BE OCCUPIED UNTIL SIGNED BY THE BUILDING INSPECTOR UPON SATISFACTORY COMPLIANCE WITH TOWN REQUIREMENTS AND IN ACCORDANCE WITS SECTION 119.0 OF THE MASSACHUSETTS STATE BUILDING CODE. ...... _ 19.A .............. B ft ing Inspe r .o�TM�► TOWN OF BARNSTABLE -2 6 7 8 5 Permit No: ----. ___---_____------- } �� Building Inspector cash 1IL ?A - — -------- 'to nr 19. OCCUPANCY PERMIT Bona _�-_______________...- Issued to Asclepius Corp. Address 460 Main St. Hyannis ,Ma Wiring Inspector , Inspection date` Plumbing Inspec Inspection date Gas Inspector Inspection date Engineering Department Inspection date ;. Board of Health Inspection data THIS PERMIT WILL NOT BE VALID, AND THE BUILDING SHALL NOT BE OCCUPIED UNTIL SIGNED BY THE BUILDING INSPECTOR UPON SATISFACTORY COMPLIANCE WITH TOWN REQUIREMENTS AND IN ACCORDANCE WITH SECTION 119.0 OF THE MASSACHUSETTS STATE BUILDING CODE. 19.. ................ 73 ilding Ins pe r TOWN OF BARNSTABLE Permit No ...�67....5 Building Inspector wunm 1 Cash k '�°■�'' OCCUPANCY PERMIT. Bona .... Issued to Asclepius Corp. Address 460 Main St. ;H'annis,Ma I Wiring Inspector , Inspection date r Plumbing Inspec Inspection date Gas Inspector Inspection date: { - i. Engineering Department Inspection date' 5. i Board of Health Inspection date .. THIS PERMIT WILL NOT BE. VALID, AND THE BUILDING SHALL NOT BE OCCUPIED UNTIL SIGNED BY THE BUILDING INSPECTOR UPON SATISFACTORY COMPLIANCE,.WITH TOWN REQUIREMENTS AND IN ACCORDANCE WITH SECTION 119.0 OF THE MASSACHUSETTS STATE BUILDING CODE. ...._.... 19_(f" . 11 ilding Inspe r yoFtNr� TOWN OF BARNSTABLE Permit No. ..2678.5...... BUILDING DEPARTMENT D°81� TOWN OFFICE BUILDING Cash HYANNIS,MASS.0260.1 Bond ..N.A CERTIFICATE OF USE AND OCCUPANCY Issued to ASCLEPIUS CORPORATION Address 460 Main Street, Hyannis USE GROUP B FIRE GRADING 2 hrs.. OCCUPANCY LOAD THIS PERMIT WILL NOT BE VALID, AND THE BUILDING SHALL NOT BE OCCUPIED UNTIL SIGNED BY THE BUILDING INSPECTOR UPON SATISFACTORY COMPLIANCE WITH TOWN REQUIREMENTS AND IN ACCORDANCE WITH SECTION 119.0 OF THE MASSACHUSETTS STATE BUILDING CODE. ... December 3 19....86......... .... .................. .. .Dece............... Building Inspector r .,,,.,ti — .vr ... .. ::ii�_ :'r.v•..a. .....,.r.''.... ti ,_ ;.•w:+..3.z,.. -.-. .dr.-s..... ..b._. 9..+ � .. .. v».:w — .,. „/ .� o4 o� TOWN OF BARNSTABLE Permit No. ..� 8.5...... BUILDING DEPARTMENT TOWN OFFICE BUILDING Cash HYANNIS,MASS.02601 Bond N/A CERTIFICATE OF USE AND OCCUPANCY Issued to ASCLEPIUS CORPORATION Address 460 Main Street, Hyannis USE GROUP H FIRE GRADING 2 hrs. OCCUPANCY LOAD THIS PERMIT WILL NOT BE VALID AND THE BUILDING SHALL NOT BE OCCUPIED UNTIL SIGNED BY THE BUILDING INSPECTOR UPON SATISFACTORY COMPLIANCE WITH TOWN REQUIREMENTS AND IN ACCORDANCE WITH SECTION 119.0 OF THE MASSACHUSETTS STATE BUILDING CODE. December 3......., 19....86......... ......... ;,��.... .....ram....... )Building Inspector TOWN Of BARNSTABLE Zoning Board of Appeals '84 FR 1 U tM 9 17 RICHARD S. LISS Deed duly recorded in the Property Owner j County Registry of Deeds in Book _.. .-._ JACOB J. DER HAGOPIAN ..._......................._......._........._.................................._................_.__........... -_._.» Page ..................... Petitioner District of the Land Court Certificate No. ......................... ..._..........:... ... Book ........................ Page_.... Appeal. No. .......1.984-08 February 10.,..........._...... 19 84 ..............................._... ._.. .... ........_. FACTS and DECISION Petitioner .....Jacob J. Der . ............................ ................ ...... , requesting a. variance-permit for premises at 460 W..."Ma,i-n...Sto ........I in the village (Street) ,of ...........KIan.l1.i.5._....................... adjoining premises of .................. (see attached list) Locus under consideration: Barnstable Assessor's Map no. ...............63.._........_ .. ... lot no. Petition for Special Permit: �] Application for Variance: ❑ made under Sec. ............................................._.........._._ of the Town of Barnstable Zoning by-laws and Sec. ........................_..........................:......................._._................................... Chapter 40A., Mass. Gen. Laws for the purpose of ....__ . ,._...__.___._. Locus is presently zoned in...._.__......H.i..ghw.aX....Rualnesa........................................................._......... . Notice of this hearing was given by mail, postage prepaid, to all persons deemed affected and by publishing in Barnstable Patriot newspaper published in Town of Barnstable a copy of which is attached to the record of these proceedings filed with Town Clerk. A public hearing by the Board of Appeals of the Tomm of, Barnstable was held at the Town Office Building, Hyannis, Mass., at .....$.;.�p.................X14�ix P.M. _._._._._.._January 19, 1984 upon said petition under zoning by-laws. Present at the hearing were the following members: Richard t., Boyw_ ___ Luke P. Lally _» ^ Gai 1 Nig ingal»e___-- Chairman ___......._.__..............._ __. ______ _ __....__......_._...__ r`d . 1 At the conclusion of the hearing, the Board took said petition under advisement. A view of the ' locus was made by the Board. Appeal Page of On w.___ ._._.. _ _...._.__ _ _. 19 _....._.__., The Board of Appeals found Attorney Michael Ford represented the petitioner who is seeking a Special Permit to allow an addition to a building located at 460 W. Main Street, Hyannis in a . Highway Business zoned district. The proerty is currently under a Purchase and Sale Agreement which can be found in the petitioner's file. The lot contains 76,790 square feet. At the November Town Meeting, this area went from Business to Highway Business (amendment to the zoning by-law) requiring the issuance of a Special Permit by the Zoning Board of Appeals , as well as a recommendation from the DPW with respect to ingress and egress to the property, concerning vehicular safety, etc. Two additions are proposed to the building - one to the rear and one tothe side - would be a two-story addition. This building has been used as the Hyannis Porsche Audi Garage, as well as the CETA Office - at the present time the building is vacant. Some controversy as to whether the petitioner needs to be before the Board at all - however, with the new zoning amendment it is felt that. it should be, as well as the fact that there is a new use contemplated - also the proposed additions seem to make it necessary that he file for a Special Permit. The building will be used as offices - the petitioner hopes to have two tenants, one of which would utilize the entire first floor - would be 9,000 square feet on the first floor when the new additi-on is competed. A traffic review of the property - is included in the petitioner's file (project 70 cars daily - where do these figures comes from - what are they based upon - the Welfare office is considered to be one of the tenants - they log their applicants, these are the figures they submitted as possible traffic to their office. A letter from the DPW is also in the file - with reference to traffic hazards , pedestrian traffic, etc. , at the site - with the new proposed use of building. It is felt that there is adequate parking at the site- 35 parking spaces at the present time with 49 additional parking spaces to be created. The petitioner intends to give the building a face lift - replacing the glass on the front of the building with wood - to make the building more heat efficient. Office use is permitted in the Highway Business District - meets all requirement: for a Special Permit. Gail question whether the area is all business zoned - and how far back the lot goes - it is determined that the petitioner can go into the other zone a distance of 30 feet. Bob Therrien comes before the Board to offer them any further .information pertaining to the petition. Gail asks if the petitioner will submit a plan to the. Board showingthe zoning line superimposedon the plan - extension of W. Main Street 200 feet back from W. Main Street —then allowed to go another 30 feet - it may be that the back portion of the lot could not be used I, .............................,,_............................................ __..._._ ._..__..__._.._.......I Clerk of the Town of Barnstable, Barnstable County, Massachusetts, hereby certify that. twenty (20) days have elapsed since the Board of Appeals rendered its decision in the above,entitled petition and that no appeal of said decision has been filed in the office of the Town Clerk. Signed and Sealed this ....................... day of _.._..... ..._...__....................._. ... 19 under the pains and penalties of perjury. Distribution:— Property Owner ..................................................._....__................ _..._.._..._.._... Town Clerk hoard of Appeals Applicant Town of Barnstable Persons interested y Building Inspector Public Information By Board of Appeals Chairman } }' a At the conclusion of the hearing, the Board took said petition under advisement. A vie*of the. ' locus was made by the Board. Appeal No 1984-08_�_ ______ Page 3_______ of 3 On __ __ February 2, _ __ _ __ __ 19 84, The Board of Appeal found for parking. Luke Lally asks - assuming that the parking in question is infringing on the 50 foot setback into the residential area, how many other parking spaces do you have after that - we are told that there are 35 parking spaces at present - ample parking available. No one spoke in favor or in objection to the petition and the Board took decided to review the site and took the matter under advisement. Upon reivew of the site, the Board voted unanimously to grant the Special Permit with the following restrictions: No access to the residential area - Aldea's Avenue No parking in the front of the building as shown on the plan submitted A three (3) foot high, green screening along the perimeter of the b4i-A4-Pg-'0_ Only sodium vapor outdoor lighting to be used Premises to be entirely grassed and landscaped as shown on said plan . To prevent visual pollution to. the residential area in back of the building and also from the view of the general public passing in front of the building, all outside rubbish containers to be screened. � a U JJ E C4.�. -C,a1_ �s S 2, Clerk of the Town of Barnstable, Barnstable County, Massachusetts, hereby certify that. twenty (20) days have elapsed since the Board of Appeals rendered its decision in the above entitled petition and that no appeal of said decision has been filed in the office of the Town Clerk. Signed and Sealed this __. .. day of _ ___.__!._ _t3_2_�!,<..._. ___.... 19 �1......_.._ under the pains and penalties of perjury,. Distribution:— Property Owner _...._..._._.._......._.._..... _.___..._—._ Town Clerk hoard of Appeals Applicant Town of Barnst ble Persons interested Building Inspector Public Information By _____��' __.._ Board of Appeals Chairman JOSEPH D. DALuz TELEPHONES 775-1120 Building Commissioner EXT. 107 TOWN OF BARNSTABLE BUILDING INSPECTOR TOWN OFFICE BUILDING HYANNIS, MASS. 02601 July 24, 1985 To Whom It May Concern: Town of Barnstable Building Permit #26785 issued to Jacob DerHagopian and Robert Therrien and dated August 6, 1984 for property located at 460 Main Street, Hyannis is an active permit and such permit goes with the property' and is, therefore, transferable. r ooeD. DaLuz g Commissioner i vL:4t•' 11 .v:.:v:•v 'i>.v>.iiii i;.`,.iiii•:iii•:>•is4:•}}j}j;i`?i:i+`::yY,.?Jiiiviiij: Is •••••..:::.:.:::::::y:.xvy:.w:::•.}•.:}wnttvy.:v:::::y:x::w:.v:::::::}'i:}'jii•.Li?• ::i3:G:vvv::::::::•.:nvvvv:nwm:•..vv.vtx:v.v••::::.v.v.vw::vvr:.}v:: .............. 4129 ILD til',„;. •..••..`.:'t':.:.'';... •:tiff:.`,.::::.',..`}`••: C. �j ............. .......... r.•}: we st est main�€:.. street�l :. '•�� fi.. HYANNIS ME .......... �$UP �:��?1F'•..~%?.•:•'•.:•.....:c'.,.::::�::::;.:<:isly:',::5•`: •• .'•::�:�:�:�:�'� :' 1�:;: %M1•`:%::':`' ::?� .'•:�::: }'`Y:::i::`: NEIGHBOR >` < .. . :.:i.;ti.:>.}::::.:::: •il ..:.vt,:... . . KI>`. •. �< .......... ...:�...::..:..: UBBISH TRUCKS COMING BEFORE .6A.M. Ow >4 Ish ME f r ^:>s: :•`:� CALLED CO. —THEY WILL NOTIFY 'DRIVER—NOT BEFORE 7:00 .O A M. I IN >: inti>.} .................tiff :::::::::v:• :.v::::::.viiiG};:.}}}:i.}:i•}:::iii{i }}; :w::n..::•:v:::::: <titi ``:: t•': 2�:Y2titti�ti ' 9 .:v:..w::::::; ...w::::•:v is i::::::::• }.i.........i. n:v ::nwnt•.v:::::::::.:::.}:. :::..vvx:::;;..i.}}:ii.}}}:4:ivxv::;;;..........•. «v:i i�iiiitt:iititi;:ti ii...............i••}:ii• ::;::::.:v::::v :::::::n,vv::•:.:v:.:vvv.: ...vtvvv,•:::::}:•:v.::w:.v.:ttvvv:nv,xv:v:•::.v.:vxvv.�:vvvvvv,•.L:•::•}:•:i' v::.....v •••:::::'`•::::nw::.:vv: :........:.....:.:.. ryx}}x}}}•::::nvn}}};iiv':.ti. .}. ..v:.vnvtvv:wnvnv:::.•••n•xxv•t«vv..•..:.:vv:w::nxw.v::••vvvti,:v::n:::.:::••„ :•v::vtvv: �y TOWN OF BARNSTABLE Permit No. 26785 Building Inspector smsran s Cash 161; �0016. OCCUPANCY PERMIT Bond ------------ Jacob DerHagopian Issued to Robert Therrien Address 460 West Main Street, Hyannis 1st floor only Wiring Inspector `�!"� Inspection date fl� t Plumbing Inspector / Inspection date / Gas Inspector v Inspection date �r Engineering Department ; Inspection date Board of Health j - Inspection date THIS PERMIT WILL NOT BE VALID, AND THE BUILDING SHALL NOT BE OCCUPIED UNTIL SIGNED BY THE BUILDING,,INSPECTOR UPON SATISFACTORY COMPLIANCE WITH TOWN REQUIREMENTS AND IN ACCORDANCE WITH SECTION 119.0 OF THE MASSACHUSETTS STATE BUILDING CODE. v��11~ �� 19PI/ �11 ........................:............... f i Building Inspector TOWN OF BARNSTABLE permit,No. 26785 - ------------------------- Buildiug Inspector VAUMU Cash pua - — f6)0. ` °V OCCUPANCY PERMIT Bond --_--_------------ Jacob DerBagopian Issued to R(}bert. Therrien Address 460 West Mainz Street, Hyannis Ist floor €my Wiring Inspector ,p '` Inspection date `- d rr � 1 Plumbing Inspector. Inspection date t Gas Inspector j}r ' Inspection date Engineering Department -' 4 Inspection date 4 Board of Health rf _ Inspection date THIS PERMIT WILL NOT BE VALID, AND THE BUILDING SHALL NOT BE OCCUPIED UNTIL `. SIGNED BY THE BUILDING• INSPECTOR UPON SATISFACTORY COMPLIANCE WITH TOWN REQUIREMENTS AND IN ACCORDANCE WITH SECTION 119.0 OF THE MASSACHUSETTS STATE BUILDING CODE. . 9... .............. �.. •.:N;1. .. fit' ............................ �° Building Inspector T T VERMONT MUTUAL INSURANCE COMPANY MONTPELIER, VERMONTr; z ' BUSINESSOWNERS POLICY DECLARATIONS -T- No. SBP 6 59 67 00 Form Applicable _Standard X Special NAMED INSURED& FOUNDERS COURT CORPORATION DATE OF ISSUE RENEWS OR MAILING ADDRESS 460 WEST MAIN STREET CANCELS NO. Number&Street HYANNIS, MA 02601 Town,State&Zip Code 11/18/97 SBP 6.55 34 21 Policy Period: From 11/14/97 To 11/14/00 at 12:01 A.M.•Star NORCROSS& LEIGHTON,INC.INSURANCE noon In New Hampshire Independent Insurance Agency - — - - 437-Station St: AGENT OR BROKER NORCROSS & LEIGHTON INS-S YAR S.Yarmouth, MA 02664 i Town, State,Zip Code SOUTH YARMOUTH, MA 02664 (508) 394-0946 IN RETURN FOR THE PAYMENT OF THE PREMIUM,AND SUBJECT TO ALL THE TERMS OF THIS POLICY,WE AGREE WITH YOU—TO---'PROVIDE THE INSURANCE AS STATED IN THIS POLICY. BUSINESS DESCRIPTION: APARTMENT BUILDINGS OWNER (LESSORS RISK ONLY) Form of Business: _Individual _Joint Venture _Partnership X Organization(Any Other) DESCRIBED PREMISES PREM. NO. BLDG. NO. LOCATION MORTGAGE HOLDER NAME AND ADDRESS 1 ALL 979 FALMOUTH ROAD SEE VM-16 ATTACHED HYANNIS, MA 02601 PROPERTY - PREM. N0. BLDG. NO. PREM: NO. BLDG. NO. PREM. NO. BLDG. NO. Limits of Insurance for !;1 ALL Buildings BLANKET $1,400,000. - Actuai Cash`'Value-Buildings Option (Y/N) NO Automatic Increase-Building Limit(Percent) 8 % % Business Personal Property $12,500. DEDUCTIBLE $ 1,000. Optional Coverages -Applicable only if an "X' Limits of Insurance is shown in below: Outdoor Signs $ per occurrence 2.._ Exterior Grade Floor Glass Included 3. _ Burglary and Robbery (Standard Form only) or $ Inside the Premises _Money and Securities (Special Form only) $ Outside the Premises 4. _ Employee Dishonesty $ per occurrence 5._ Other (specify) LIABILITY AND MEDICAL PAYMENTS Except for Fire Liability, each paid claim for the following coverages reduces the amount of insurance we provide during the applicable annual period. Please refer to Paragraph DA. of the Businessowners Liability Coverage Form. Limits of Insurance _ FORMS AND ENDORSEMENTS made part of Liability and Medical Expenses $1,000,000 this policy at time of issue: Medical Expenses $5,000. - -'per person BP0002(6-89); BP0006(6--89);BP0009(6-89)7 Fire Legal Liability $50,000. any one fire or explosion BP0108(6-89),BP0419(6-89), 6132146(3-96), ' IL0108(11-85),BP1203(6-89),BP0409(1-87)'' PREMIUM The Total Advance Premium is $ and is payable $5,278. at inception, and $5,278. at each anniversary Countersigned: s -' By Authorized Representative Includes copyrighted material of Insurance Sery 0Wfi'CT`lWF.'%r1th1%1— 'PRY'lifff fight, Insurance Services Office,Inc., 1984, 1985 MORTGAGaotP.py GENERAL ENDORSEMENT VM16 Attached to and forming part of Policy Number SBP 6 59 67 00 issued to FOUNDERS COURT CORPORATION by VERMONT MUTUAL INSURANCE COMPANY at its Agency Located SOUTH YARMOUTH, MA Effective 11/14/97 (city and state) (date of endorsement) MORTGAGEE SCHEDULE 1ST: MASS. HOUSING FINANCE AGENCY ONE BEACON STREET BOSTON, MA 02109 2ND: TOWN OF BARNSTABLE 367 MAIN STREET HYANNIS, MA 02601 All other terms and conditions of this policy remain unchanged. i Agent POLICY NUMBER: BUSINESSOWNERS THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. AMENDMENT - LIQUOR LIABILITY EXCLUSION - EXCEPTION FOR SCHEDULED ACTIVITIES This endorsement modifies insurance provided under the following: BUSINESSOWNERS POLICY SCHEDULE* Description of Activity(ies): NONE Under Section B. EXCLUSIONS in the Businessown- This exclusion applies only if you: ers Liability Coverage Form, exclusion 1.c. is re- (1) Manufacture, sell or distribute alcoholic placed by the following exclusion: beverages; This insurance does not apply to "bodily injury" or (2) Serve or furnish alcoholic beverages for a "property damage" for which any insured may be held liable by reason of: charge whether or not such activity: a. Causing or contributing to the intoxication of (a) requires a license; any person; I (b) is for the purpose of financial gain or b. The furnishing of alcoholic beverages to a livelihood; or person under the legal drinking age or under (3) Serve or furnish alcoholic beverages with- the influence of alcohol; or out a charge, if a license is required for c. Any statute, ordinance or regulation relating to such activity. the sale, gift, distribution or use of alcoholic However, this exclusion does not apply to "bodily beverages. injury" or"property damage" arising out of the selling, serving or furnishing of alcoholic beverages at the specific adivity(ies)described above. i 4 * Information required to complete this Schedule, if not shown on this endorsement, will be shown in the Decla- rations. BP 04 19 06 89 Copyright, Insurance Services Office, Inc., 1989, 1991 Page 1 of 1 POLICY NUMBER: BUSINESSOWNERS THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. LOSS PAYABLE PROVISIONS This endorsement modifies insurance provided under the following: BUSINESSOWNERS POLICY SCHEDULE* ' Provision Applicable Prem. Bldg: Description`, Loss Payee (indicate Paragraph No. No. of Property (Name&Address) A, B or C) ALL ALL MASS HOUSING FINANCE AGENCY A ONE BEACON STREET BOSTON, MA " 02109 The following is added to the Businessowners Prop- c. If we deny your claim because of your acts erty Coverage Form LOSS PAYMENT Loss Condi- or because you have failed to comply with tion, as shown in the Declarations or by an "A," "B" or the terms of this policy, the Loss Payee will "C" in the Schedule: still have the right to receive loss payment A. LOSS PAYABLE if the Loss Payee: For Covered Property in which both you and a (1) Pays any premium due under this policy Loss Payee shown in the Schedule or in the Dec- at our request if you have failed to do larations have an insurable interest,we will: so; 1. Adjust losses with you; and (2) Submits a signed, sworn proof of loss within 60 days after receiving notice 2. Pay any claim for loss or damage jointly to you from us of your failure to do so; and and the Loss Payee, as interests may appear. (3) Has notified us of any change in owner- B. LENDER'S LOSS PAYABLE + ship, occupancy or substantial change 1. The Loss Payee shown in the Schedule or in in risk known to the Loss Payee. the Declarations is a creditor (including a All of the terms of the Businessowners mortgageholder or trustee) with whom you Property Coverage Form will then apply di- have entered a contract for the sale of Cov- rectly to the Loss Payee. ered Property, whose interest in that Covered Property is established by such written con- tracts as: damage and deny payment to you because of your acts or because you have failed to a. Warehouse receipts; comply with the terms of this policy: b. A contract for deed; (1) The Loss Payee's rights will be trans - c. Bills of lading; or ferred to us to the extent of the amount d. Financing statements. we pay; and *2. For Covered Property in which both you and a (2) The Loss Payee's right to recover the full amount of the Loss Payee's claim Loss Payee have an insurable interest: will not impaired. - a. We will pay for covered loss or damage to At our option, we may pay to the Loss each Loss Payee in their order of prece- Payee the whole principal on the debt dense, as interests may appear. plus any accrued interest. In this event,;: b. The Loss Payee has the 'right to receive you will pay your remaining debt to us. loss payment even if the Loss Payee has started foreclosure for similar action on the _ Covered Property. *Information required to complete this Schedule, if not shown on this endorsement, will be shown in the Declara- tions. BP 12 03 06 89 Copyright, Insurance Services Office; Inc., 1985, 1988 Page 1 of 2 0 3. If we cancel this policy, we will give written 2. For Covered Property in which both you and notice to the Loss Payee at least: the Loss Payee have an insurable interest, we a. 10 days before the effective date of cancel- will: lation if we cancel for your nonpayment of a. Adjust losses with you; and premium; or b. Pay any claim for loss or damage jointly to b. 30 days before the effective date of cancel- you and the Loss Payee, as interests may lation if we cancel for any other reason. appear. 4. If we do not renew this policy, we will give 3. The following is added to the OTHER INSUR- written notice to the Loss Payee at least 10 ANCE Businessowners Common Policy Con- days before the expiration date of this policy. dition: C. CONTRACT OF SALE For Covered Property that is the subject of 1. The Loss Payee shown in the Schedule or in a contract of sale, the word "you" includes the Declarations is a person or organization the Loss Payee. you have entered a contract with for the sale of Covered Property. Page 2 of 2 Copyright, Insurance Services Office, Inc., 1985, 1988 BP 12 03 06 89 0 POLICY NUMBER: BUSINESSOWNERS. THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - MORTGAGEE, ASSIGNEE, OR RECEIVER This endorsement modifies insurance provided under the following: BUSINESSOWNERS POLICY SCHEDULE* Name of Person or Organization: MASS HOUSING FINANCE AGENCY Designation of Premises: 'ONE BEACON STREET, BOSTON, MA The following is added to Paragraph C. WHO ship, maintenance, or use of the premises IS AN INSURED in the Businessowners Liability by you and as shown in the Schedule. Coverage Form: This insurance does not apply to structural 4. The person or organization shown in the alterations, new construction and demolition, Schedule is also an insured, but only with operations performed by or for that person respect to liability as mortgagee, assignee, or organization. or receiver and arising out.of the owner— *Information required to complete this Schedule, if not shown on this endorsement, will be shown in the Declarations. i BP 04 09 01 87 Copyright, Insurance Services Office, Inc., 1985, 1991 ❑ HYANNIS FIRE DEPARTMENT 95 HIGH SCHOOL ROAD EXTENSION HYANNIS, MASS. 02601 RICHARD R. FARRENKOPF BUSINESS: 775-1300 CHIEF Smclhe Oetectom Save .eivea EMERGENCY: 775-2323 February 25, 1988 Mr. Paul Chizek, Facilities Manager Center for Individual and Family,,Services of Cape Cod 460 West Main Street Hyannis MA 02601 Re; Fire Inspection of 4=6-0=West-MMa-i_n-Sty. Mr. Chizek, Per your request, below I have listed the applicable codes and reference materials we are utilizing regarding our order to correct problems with marked exit doors . Authority to enter and inspect ; M.G.L. Chap. 148 ss 4 . (attached) Authority to order correction of blocked or impeded means of egress ; M.G.L. Chap. 148 ss 5 (attached) 527 CMR 10 .03 (1) & (2) , (attached) M.G.L. Chap. 148 ss 10 (attached) (above gives authority to promulgate fire prevention regulations) M.G.L. Chap. 148 ss 10B (attached) (fines relating to CMR violations) Reference material used to define a means of egress and determine direction of door swing; NFPA Life Safety Code 101 , 2nd Edition. Specifically the following sections; 5-2.1. 1. 1 .2 requires means of egress to be obvious. (the doors in question have lit exit signs over them. ) 5-2 .1. 1 .4 . 1 requires that a door used in an means of egress swing in the direction of exit travel . 5-1. 2.1 defines a means of egress . you will find a copy of the above attached. As I stated to you on the phone, this Department does not designate the locations or marking of an exit. The responsability for doing this rests with the local building offical. We do, however, have enforcement resp.onsabilities thru the codes inregard to blocked or impeded means of egress , as well as the building official . It is my understanding that Mr. Daluz told you, again, to ignore our order regarding these doors . Let me again state to you that Mr. Daluz has no authority to dismiss, change, or otherwise alter a lawful order from the Head of the Fire Department or his designee. Page 2 - 02/25/88 - Mr. Chizek, C.I .F.S. 460 W. Main St. It is our opinion that a door opening against the required means of egress travel imepedes easy egress, and thus is enforceable under the above code. Should Mr. Daluz chose to explain, in writing, why this requirement does not apply in your application, and if this explaination agrees with our codes and reference material, we will be happy to change, or rescend our order. If you have any further questions, or if Lt. Hubler or I may assist you i ncorrecting this problem, please, feel free to call. Sincerely, Lt. Dean L. Melanson, Fire Prevention Officer Hyannis Fire Department For; Richard R. Farrenkopf, Chief Hyannis Fire Department CC. J. Daluz , Town of Barnstable Building Inspector D.J. Handlin, State Fire Marshal ' s Office ref , attachments FIRE PREVENTION DIVISION HYANNIS FIRE DEPARTMENT 527 CMR: BOARD OF FIRE PREVENTION REGULATIONS 95 HIGH SCHOOL ROAD EXL HYANNIS, MASS, Q?A1 10.02: continued the head of the fire department. The water spray and fi co Py units required by this regulation shall be installed and in operating condition prior to the commencement of any class conducting labora- tory experiments utilizing flammable liquids and open-flame devices on or after the effective date. (2) Each extinguisher or device shall be inspected by weighing, recharging, etc. , at least once each year or immediately after its use by a responsible person who shall note such inspection by his initials and the date. 10.03: General Provisions; (1) Any obstacle which may interfere with the means of egress or escape from any building or other premises, or with the access to any part of said building or premises by the fire department, in case of fire, shall be removed from aisles, floors, halls, stairways and fire escapes. Doors and windows designated as exits shall be kept clear at all times. (2) Such aisles, floors, halls, stairways, fire escapes, doors and windows shall be kept in good repair and ready for use, and shall be kept properly lighted as required by lawful authority. (3) Any vessel moored to or anchored near any dock or pier, which vessel is in danger of catching fire, or is by reason of its condition or the nature of its cargo a menace to shipping or other property, shall be removed. (4) Chimney flues or vent pipes connected to a permanent heating device or incinerator shall be inspected, and cleaned when required, by the owner or his designee at least once each year. Such person shall inspect, maintain and clean, when necessary, each incinerator at least once each six months. (5) Suitable spark arresters shall be installed and maintained in incinerators and in chimneys connected with permanent wood-burning furnaces. (6) On complaint of a violation of the above two rules, the head of the fire department shall investigate and report same to the proper authorities. (7) Combustible construction within five (5) feet of and directly over a boiler or furnace shall be protected with non-combustible material of at least one (1) hour fire-resistive rating. Such overhead protection shall extend four (4) feet in all directions from the top center of the boiler or furnace but in no case less than two (2) feet beyond the perimeter of said boiler or furnaces. This rule shall apply only to new installations or replacement of ex- isting boilers and furnaces and hot water heaters other than electric hot water heaters. 10.04: Containers (1) Except as hereinafter provided, no containers other than covered metal containers shall be used as receptacles for waste paper, oily rags, flammable metal turnings, oily waste, other flammable or combust- ible waste materials, or any material subject to spontaneous ignition. Metal containers shall be provided for ashes. The location, number and capacity of such metal containers shall be designated by the head of the fire department. II 3/31/83 Vol. 15 - 101 ` M<sL leg the cause and circumstances thereof in order to determine if such fire or explosion was caused by carelessness or design or shall cause such an investigation to be made by a member of the fire department of such city, town or district. They shall begin such investigation forthwith after such :fire r explos-ion, and if it appears to the official making such investigation that the fire or explosion is of suspicious origin or is the result of a violation of law, or if he is unable to determine the cause, he shall immediately notify the marshal. All other fires or explosions by which a loss is sustained shall, within forty-eight hours, excluding Sundays and holidays, be reported in writing to the marshal. �L J) Reports required by this section shall be on forms furnished by the `�•:/ department, and shall contain a statement of all facts relating to the cause and origin of the fire or explosion that can be ascertained, the extent of damage thereof, the insurance upon the property damaged, and AFr such other information as may be required. The marshal shall keep in V) w F; his office a record of all fires or explosions occurring in the common- 2 LU S wealth, with the results of such investigations, and such records shall ® ¢ a be open to public inspection. C) w a ® ® o SECTION 3. Investigation t— ossons.w o andE U. U) z The marshal shall investigate or cause to be investigated the cir- '`� (n x a cumstances of all .fires or explosions of suspicious origin� �? � P p � of which he X has notice, and may investigate or cause to be investigated the circum- stances of any fire or explosion occuring anywhere within the Common- wealth. For such purposes the marshal, or some person designated by the commissioner, may summon and examine on oath, administered by the mar- shal or such persoi so designated, any person supposed to know or have means. of knowing any material facts touching the subject of investi- gation. Such witnesses may be kept apart and examined separately, and such examination shall be reduced to writing, and false testimony there- in shall be perjury: Any justice of a district court or of the superior court, upon application of the marshal, or person so designated, may compel the attendance of such witnesses and the giving of such testimony in the same manner and to the same extent as before said court. If, upon such investigation, the marshal, or person so designated, believes that the evidence is sufficient to charge any person with crime, he shall make a complaint therefor, and shall furnish the proper officers with the evidence and names of witnesses obtained by him. The marshal shall, when required, report to the commissioner of insurance his pro- ceedings and the progress of prosecutions instituted hereunder. SECTION 4. Inspection of Premisesj,� hen authorized.,. The marshal, an inspector, the head of the fire department; or any person to whom the marshal or the head of the fire department may dele- gate the authority, may, in the performance of the duties imposed by this chapter, or in furtherance of the purpose of any provision of any law, ordinance or by-law relating to the subject matter of this chapter, or of any rule or regulation of the board of fire prevention regula- tions, established under, section fourteen of chapter twenty-two,in this chapter referred to as the board, or any order of the marshal or head of the fire department, enter at any reasonable hour any building or other 2 rn�L ry8 premises, or any ship or vessel, to make inspection or investigation, without being held or deemed to be guilty of trespass. The marshal or the .head of a fire department to whom he may dele- gate authority, shall make an inspection every three months of institu- tions as�defined''by''the Estate bu old ng, code;; licensed by and under the nsupervision of `the department of public health, or licensed by the (� department of public welfare, and s,haA,'1 make a;;report,00tflo.such�tin'sp'ec't=ion:_,x Ito each such department on formszsubmitted• torthe marshal-ibyas.uchtd.e�„ impartments for tthris .purpose.,.. Said marshal or such head of a fire depart- ment`shill also make an inspection every three months of the premises �� )) specified in innholder's licenses issued under chapter one hundred and forty. SECTION S. Entry Upon Premises and Removal of Combustible O Materials Regulated; Penalty. The marshal, the head of the fire department or any person to whom Q o o the marshal or the head of the fire department may delegate his author- ® w� W ity in writing may, and upon-complaint=o_fcazpersonr7having-an*,int-erest�ini F, w o apy�buildingrorz-prem-isesvor property adj:acent�thereto:;,sha-1-1 at�any z x N reasonable hour, enter-. into.._buildin s and�u onr remises W N z _ g P P ,--which =term for-<.. W a the-purposes-of i-the:,remainderuofx�this...s.ection•4shaillw-inc1ude*al,leys, a _ adjacent thereto; within their jurisdiction and make an investigation as to the existence of�conditonskel-yt`o causef-ire. They shall, in writing, order such conditions to be remedied, and whenever such officers u- or persons find in any building or upon any premises any accumulation of combustible rubbish including, but not limited to, waste paper, rags, cardboard, string, packing material, sawdust, shavings, sticks, waste leather or rubber, broken boxes or barrels or any other refuse or use- able materials that is or may become dangerous as a fire menace or as an obstacle to easy ingress into or egress from such buildings or premises, they shall, in writing, order the same to be removed or such conditions to be remedied. Notice of such order shall be served upon the owner, occupant or his authorized agent by a member of the fire or police department. If said order is not complied with within twenty-four hours, the person making such order, or any person designated by him, may enter into such building or upon such premises and remove such refuse or any useable materials or abate such conditions at the expense of such owner or occupant. Any expense so incurred by or on behalf of the commonwealth or of any city or town, shall be a lien upon such building or premises, effective upon the filing in the proper registry of deeds of a claim thereof signed by such person and setting forth the amount for which the lien is claimed; and the lien shall be enforced within the time and in the manner provided for the collection of taxes upon real estate. Any such owner or occupant who fails or refuses to comply with said order shall be punished by a fine of not more than fifty dollars for each consecutive forty-eight hours during which such failure or refusal to comply continues. shah Qd . . ,Ztt3 5 SECTION SA. Use of Certain Types of Space Hea_t_! in Certain Buildings Prohibited. No person shall use or allow to be used a portable wick-type space 3 use, handling, transportation or storage of dynamite or gunpowder, shall V.. not take effect until such ordinance or by-law is approved by the board, except that any such ordinance or by-law that has not been approved or disapproved by the board within ninety days after the receipt thereof ® shall be deemed to have been approved. SECTION IA. Rules and Regulations f9x,M9de1 Ro.cketsx and ModelRoeke.t Engines. 3 The board shall make rules and regulations for the keeping, storage, manufacture, sale and use of model rocket engines and for the launching, operation and flying of model rockets in accordance with nationally recognized standards for model rocketry as promulgated by the National Z . Fire Protection Association. As used in this section, "model rocket Z F engine" shall mean a solid propellant rocket engine produced by a com- Ui 2 mercial manufacturer in which all chemical ingredients of a combustible G nature are preloaded and ready for use, and "model rocket" shall mean an o aero model that ascends into the air without use of aerodynamic lifting O p � a forces against gravity that is propelled by means of a model rocket I� w o engine that includes a device for returning it to the ground in a condi w - U Z tion to fly again and whose structural parts are made of nonmetallic W cn X r material. Z x X. w } L SECTION 10. Submission and Effective Date of such z Rules and Regulations. The board of fire prevention regulations shall make, and from time to time may alter, amend and repeal, rules and .re.g.u.lations:r-e-lat.ive"ttom ufire�;pFrye -ee itionrwhich said board is authorized or required under any provision of this chapter or of section fourteen of chapter twenty-two to adopt or make. Such rules and regulations, and any alterations , amendments or repeals thereof, shall be filed with the state secretary, in accordance with the provisions of chapter thirty A. Subsequent tox fil ng„and p,ubilication by;*they~statetMs!ecr.e:tary i the: comm s-sioneit;7s�hal*1 cause zoner,copy Z�to be Nforwardedc�to` each-Hof=ficer:'or.-�board rn. eachK„city , vor town4,in�the''"commonwe'alt -t— ose .dut es under# any ,pr..,Lovisions-of yth s ,chapter" arena"ffectxedrth:er.e:by. The board shall hold public hearings on the first Thursday in May and October in each year, and at such other times as it may determine, on petitions for changes in the rules and regulations formulated by it. If, after any such hearing, it shall deem it advisable to make changes in said rules and regulations, it shall appoint a day for a further hearing, and shall give notice thereof and of the changes proposed by advertising in such newspapers, and where appropriate, in such trade, industry or professional publications as the agency may select, at least ten days before said hearing. If the board on its own initiative contem- plates changes in said rules and regulations, like notice and a hearing shall be given and held before the adoption thereof. SECTION 10A. P=ermits0tG'ranted=by Head of Fire Department. The head of the fire department in each city, town, or fire dis- trict shall grant; in accordance with the rules and regulations of the 5 board, such permits for use in such city, town or fire district as may be required by such rules and regulations, and make such inspections therein, and have and exercise such powers and duties in connection therewith, as the marshal may direct. The head of the fire department shall keep a record of every permit so issued, and shall furnish the marshal with such information in respect to such permits as he may require. A fee of five dollars, unless otherwise set in a town by the (( )) board of selectmen or town council, and in a city by the mayor, may be charged by the head of the fire department for any permit granted under the authority of this section, and any such permit may be revoked for cause by him or by the marshal, but in no event shall any such fee be greater than ten dollars. Z The clerk of each city and town shall annually, not later than O z April first, transmit to the commissioner in writing the name and of- N ficial address of the head of the fire department in his city or town, Gc N or in the fire district or districts in which his town is located or Z oQ. a which is or are established within his town. O W _, a �.. w o SECTION 10B. Penalty for Violation of Rules, etc. , UjM N z of Board of Fire Prevention Regulations. uJ cn s Q Z = = Any person who knowingly violates any rule or regulation made by CL w ¢ the Board of Fire Prevention Regulations shall, except as otherwise x = provided, be punished by a fine of not less than one hundred dollars nor ''- more than one thousand dollars. SECTION 10C. Repairs, Installation, etc. of Oil Burning Equipment etc. to be made by Holders of Oil Burner Technician Certificates; Exceptions. No person shall alter, repair or install any oil burning equipment or any of the appurtenaces thereto, except for electrical wiring and connections, as defined by rules and regulations promulgated under the provisions of section ten governing the construction, installation and operation of oil burning equipment and the keeping, storage and use of fuel oil or other inflammable products used in connection therewith, unless he holds a certificate granted by an examiner for the certifi- cation of oil burner technicians. Notwithstanding the provisions of the preceding sentence, the cleaning of an oil burner strainer or nozzle or the cleaning or replacement of a photo cell, in any building or structure by the owner or manager thereof or by any regular employee of such owner or manager in a building or structure owned or managed by his employer, may be done without the holding by such owner, manager or employee of a certificate as an oil burner technician. SECTION 10D. Application for Certificate; Fees; Examination; Term of Certificate; Electrical Work in Connection with Repairs, Installation, etc. Any person who has attained eighteen years of age may make applica- tion to the department for a certificate as an oil burner' technician. Application for such certification shall not be made more often than once in thirty days. A fee of twenty dollars shall accompany each 6 • THIS INFORMATION IS COPIED FRO-4 LIFE SAFETY . Second Edition CODE HANDBOOK Based on the 1981 Edition of the Life Safety Code® 5-1.2 Definitions. - 5-1.2.1 A means of egress is a continuous and unobstructed way of exit travel from . any point in a building or structure to a public way and consists of three separate and distinct parts: (a) the way of exit access, (b) the exit, and (c) the way of exit discharge. A means of egress comprises the vertical and horizontal ways of travel and shall include intervening room spaces, doorways, hallways, corridors, passageways, balconies, ramps, stairs, enclosures, lobbies, escalators, horizontal exits, courts, and yards. =' 5-2.1.1.1.2 Every door and every principal entrance that is required to serve as an =€ .`exit shall be so designed and constructed that the way of exit travel is obvious and direct. Windows that, because of their physical configuration or design and the -•: materials used in their construction, could be mistaken for doors shall be made accessible to the occupants by barriers or railings conforming to the requirements of ...,..5-2.2.3. 5-2.1.1.4 Swing and Force to Open. Y 5-2.1.1.4.1 Any door in a means of egress shall be of the side-hinged, swinging type. ' Doors shall swing in the direction of exit travel: i i(a)sWhen used-inran-ezit, or (b) When.serving+a`high,haza d�aiea ors (c), When.serving-am occupant�load*oW0 or7'more'.` Exception No. 1: As provided in Chapters 14, 15, and 22. Exception No. 2: Where permitted by Chapters 8 through 30, horizontal or vertical security grills or doors, that are a part of the required means of egress shall conform to the following: (a) They must remain secured in the full open position during the period of occupancy by the general public. j (b) There shall be a readily visible, durable sign on or adjacent to the door stating "THIS DOOR TO REMAIN OPEN WHEN THE BUILDING IS OCCUPIED." The sign shall be in letters not less than 1 in. (2.54 cm) high on a contrasting background. (c) Doors or grills shall not be brought to the closed position when the space is occupied. (d) The doors or grills shall be openable from within the space without the use of any special knowledge or effort. (e) When two or more means of egress are required, not more than half of the means of egress may be equipped with horizontal sliding or vertical rolling grills or doors. FIRE PREVENTION DIVISION HYANN1S FIRE DEPARTMENT 95 HIGH SCHOOL ROAD EXT. copy HYANNIS; MASS; 02601 1 i� HYANNIS FIRE DEPARTMENT 95 HIGH SCHOOL ROAD EXTENSION E 00 HYANNIS, MASS. 02601 l RICHARD R. FARRENKOPF CHIEF -51w e Oetectvzd .Save ,P'ived BUSINESS: 775-1300 EMERGENCY: 775-2323 February 5, 1988 Center for Indivisual and Family Servicea of Cape Cod 175 West Main Street Hyannis, MA 02601 Dear Mr. Chamberlin: Since May 11, 1987 we have been to the Center at 06.O::�Wes=t—Main--Sar_eet+ numerous times. Initially we came out to discuss an exit problem. Due to the co- mingeled egress problem with the other tenants and the fact that we never received, reviewed or approved plans for the renovation of this building (as required under the building code) we scheduled and conducted an inspection of the building on June 12, 1987. At that time we listed 15 (fifteen) violations for which you signed for a copy. On July 13 the Center was sent another copy on the inspection. On October 16 we came out to reinspect the property at which time we noted that the majority of the violations were not corrected and additional violations were added. On January 5, 1988 I came out and met with you and the landlord's representa- tive. At that time you explained that you felt it was not this Department's duty or concern to cite violations that other agencies. are responsible for; and further, that the town of Barnstable building inspector told you at a meeting with him to disregard certain violations the Department cited. With respect to the Inter Agency notification of violations, it is our duty under the state building code to do just that, irrespective of the fact that it is in the best interest of public safety. Regarding the building inspector's remark to you, I don't feel that comments , on this subject would be in anyone's best interest. So that there is no question in your mind as to the qay this Department operates with specific reference to exits and means of egress, allow me to explain the following: When we do receive a set of plans for review prior to a building permit being issued, our Deputy Chief reviews the plans and recommends changes or additions to the plan for the building inspector to approve. The building inspector sets the occupancy and assigns the appropriate exits for that occupancy. i I f 1 Page 2. . It is our responsibility upon inspection of a property to ensure that exit and egress paths are maintained. Based on the State Building Code, the NFPA Life Safety Code and our consistant enforcement throughout our jurisdiction, any door opening against the egress path, in a marked exit, is and shall continue to be considered as a blocked exit and will be cited upon inspection. Historically, the inception of codes involving exits come as a result of a specific fire which occured in the city of Boston on November 28, 1942 at the Coconut Grove Night Club in which 492 people were killed attempting to exit the building. I hope this answers your questions concerning the exit problems with the Center. The majority of problems appear to still be in violation and again, you are hereby ordered to remedy same, prior to the signing of your Fire Certificate of Inspection. given by the Division of Health Care Quality as a prerequisite for your original license under requirements of General Laws, Chapter III, Section 51. If I can be of any further heop to you in resolving these matters, do not heaitate to contact me. Sincerely, ERIC HUBLER, Fire Prevention Officer FOR: RICHARD R. FARRENKOPF, Chief Hyannis Fire Department cc: Division of Health Care Quality EH/ncl ,� �., . _ �; - . : � ,7 _; ��� Y �� �� ���� L ` � l` llm2 9�L 1�� ���� ' �x �- i � s � �. � r ���� s � �,� } PERMIT PAYMENT RECEIPT 'TOWN OF BARNSTABLE BUILDING DEPARTMENT 200 MAIN STREET HYANNIS, MA 02601 DATE: 12/18/13 TIME: 15:15 -----------------TOTALS------------------- PERMIT $ PAID 75.00 AMT TENDERED: 75.00 AMT APPLIED: 75.00 CHANGE: .00 APPLICATION NUMBER: PAYMENT METH: CHECK PAYMENT REF: 5757 Sign BAR,,, � . TOWN OF BARNSTABLE Permit MASS. 'OTF� A Permit Number. Application Ref: 201309394 20070945 Issue Date: 12/17/13 Applicant: ASCLEPIUS CORPORATION Proposed Use:_ CHARITABLE SERVICES Permit-Type: SIGN PERMIT Permit Fee $ 75.00 Location 460 WEST MAIN STREET Map Parcel 269030 Town HYANNIS Zoning District SPLT Contractor PROPERTY OWNER Remarks REFACE EXISTING SIGNS 32 SQ FSTD & 10 SQ WALL CC HEALTHCARE HOUSING ASSIST CORP S COASTAL COUNTIES Owner: ASCLEPIUS CORPORATION Address: 460 WEST MAIN ST HYANNIS, MA 02601 Issued By: p POST THIS CARD;SO THAT IS VISIBLE FROM THE STREET � e CAPE COD HEALTHCARE I Terrance Whittemore, CPE Director of Facilities/ Construction Manager i 27 Park Street P.O.Box 640 Hyannis,MA 02601 508.274.3982 fax 508.862.7975 e-mail twhittemore@capecodhealth.org t Town of Barnstable-. Regulatory Services ` .MASS. Thomas F. Geiler,Director ° ►�°g Building Division 3 � Tom Perry, Building Commissioner 6 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us a Office: 508-862-4038 Fax: 508-790-6230 Permit# Building Official approving Application for Sign Permit i �,�- _ Applicant_ �/ Giii�J�i, /�� � Assessors No. Doing Business As:��' Cf1C� '( Telephone No.; y 7 3f? Sign Location Street/Road: el&O e uF5'r Nl W-cL✓ .15 IM467— Zo District: V Old Kings HighwayP Ye Hyannis Historic Districtp Ye Property Owner Name: �G�� 1 k rtq C1L14�jjde Telephone: Address:_ Village:d1(i S✓71i' a-�ems` Sign Contractor r Name: ® i (,4j - - �f y�l Telephone: . `I Mailing Address: Description Please follow the cover directions.You must have an accurate rendition of sign with dimensions and L location. (j9 6 Is the sign to be electrifiedP Yes/ljVo) (Note.Ifyes,a wu�gpermitisrequired) t� Width of buildino face` —" ft.x 10 x.10- Check on R existing sign or New Total Sq.Ft.of proposed sign(s) Ifyou have additional signs please attach a sheetlasliag each one with dimensions If refacing an existing sign please provide a picture of the existing sign with dimensions. I hereby certify that I am the owner or that I have the authority of the owner to make this application, that theinformation is correct and that the use and construction shall conform to the provisions of §240-59 through§240-89 of the Town of Barnstable Zoning Ordinance. Signature of Owner/Authorized Agen�,-ee �' Date SIGNS/SIGNREQU - - 1- �� � b}�tDp����� ��v v jai-e°^io"w� �p• �r�tray"Y'� r j Ww%Wli� f f ll,. +a�a , , - •gg P� . 'L `f.4 !�'�.� ��A,•. ►. 3XT . •a\t r,�•t��'gtlt�\ \. �tSt r' '' L�1 QY ��S���*y � 1ti a�i` 3'�A.r�:S.u��CclS#�++ 9y�"�4�� i• s'� ,��'i%d �, i(�f11br� 37• y•. 'K4r�^� �� vi r �y f<1•.f,i+�� �(r ® .�,�`��.''•__ � �►` �'+ ,}l��r,+��4��'�,'�```�e�'� �{'`}(rr•1"slil�'��►,'•S 'a r r �t,.ea��:4G'SaaY���tl V < t 1�. a•.,,, =��`'lQt,4 4. L�'! �L�i,�w9'��\gZi;�•�a? ��a��� N3 Fin! �d 6�$�'�^'d,�'�qL'�o��,��ii. ... t..,�. • 'i3' ,r1� 8 • �1 may!<'` L��.. .Gi •®n. `C.. 4! 1� .,� � � + �� i +•. \�( .C.+i^ : P�:.. �}n1 rr'f7�N 7 4. Cp ,' ♦ / ,vy' Wr�, �L *d 4 • ar 3+` .,�yp�?g►�1< }�jn �1�48� '� \ ¢� ! a.-♦f �'7•'v-� x' � s:2 r,tt•�0`a 'x f x i L`Yf_. r• ) Tf �xTeq��y4 Ct,� < ��r ori_r d' •xf Fr s 2 �y ® � a• ':S:, tlY' of riry"��•.� / y�rf --�'����r ,�,w� s•��v'*�q•.'� �,� �?•�qr�i ll_V- Mwit j � ``=�"` ^• ' ,�as` �'\'.v-+'' )„S3y-n6 �.:a+`4' �•: _ . 4#.,,,.wV. 'r '.•. ,fib : `tea► _ A" vQa�° �* ' ��� �•ka, ��°'.,r--- �� •,�a' ;asm� P #'r.. '6 `�'"'#l� a. ji • gz _ t R- - 3 • _. _ - + � • r ss+.'*+ ,xI 'y X "4K -�u';' . ;emu ,vV, �.,.;.;'-� �,K - r .:. -ern „ .. ;.. A^.:'�R ,,:.<', '�`�,.�3r e e-�•+ _ w.- � ,. •wow ,. .. - .."�J•� . - ;. a::... , . a ! •^ �*. � ,. +yam. '+,��' #av tG j$�'!t"„�'r,. .. •1.. .. �` " J..�---«.w. a'A '.peJ w ,e a„� _.r. { �; "'"r+9�w;, ..ua��. s",' .+.u. n�,i' ,l,t• :.ro. �t•,�.� ."'L ,x.� ���• "`iy�`.�A.. r Y by- ..a• . +x"s, < "'-.. r s�...,�3,, .r.», ,. ;.e'tee.,..fir°-.'`"y',. 'e : 'fit'S, VAI .i5 ^d'T, ,ar4'-:«� �" r; i ,,•.,r „ �,—'1,,." a.�, r. ,..a` M• ` - .r'v''- '# ..low wJ "',:, �5} k' �.r, °' .'fi, ,F "C'``••" `'r`.an-,tA:,..'"tc.•�`^'\ y _!.- ,i ,.. ♦ ,..,^�.:w.x • � ..;. .,. yam. 'C;pi .w.5 '�v '� �� k l'h. i y a+�• =',-�,` '� Y r � •k -' �k .. ..i••.• .:�. " 1 �J Z.b. rv�t} '� t�✓' ,.._ �}M. .�, l}'¢6E4? r rkm., yriyi ✓T��... 'rR,`tj •°�' � .",. � —��'� ,.� •�.. �. J.'a '+ `1a3�� �. � r.� `�"' S '}`"t'y�"' 4 411y4}�'' •�:.: rRPiA . '.'T �'hYe ♦ ; �..: •- �_, A 3� a N .�` Y��t'+'•`4 hJ„ya.. y { � � Y �?��^eF i a! t wl`c v,�`� :1 � x '� s �:. � AS � .y 3,^�w,y4p �Vti=�}�„"..i.�l,-• � '}�i� {�� y „�-4�� `�.x .w _. :r„'. w . � � .,�i�(`^4k•'*'Z ,. �'�4.:r '�s, ,.j.,. •, �;�.r4'�,'Y;�"r,.�`v<'.ri .tom�.�'.'e.���..*;43..���v �'�'� ��'f.'�'"+r' ;�'���«r� •F �k,�^�?i^ ,,a ,.. '`fit itj i j.wif tl a+•° `Si.t5 ri.�d�a t �. WCy^l�'' tis N"IN Rt r • ,/ 95 i ' �1r`4 btv`',d`5r T. ,�r�`� `.d���"'. ��."ate-" `s�e.�. �<-k'a°tzv k'�J�v' .; •3. ��# �,�' v' �,r. .� ,€�'+0.r' �, m� ,vw a�,�„1,�.,�� ',,a. ���`. �'T.���•-a"'`�'tL. J g , A P q k'�.M ' Wpt c, "MN06""I'M o ^at RIN geol A COD JL E A �'► r •► Ait RVIC HUMAN � z SE yvs so. CtIASTAL COUNTIES ALSERVICES� INCS LEG ME 11; ,"� h�^r;�:tiam* 't.„....,� sx t E•• . 4 , 0 v r 1 7,_ 1 0„ O 2-3/4fl BLACK LETTERING m APE COD HEALTHCARE C RE C TIMES NEW ROMAN pQ m oUoW Centers for Behavioral Health 2"BLACK LETTERING FRUTIGER ROMAN CD Housing Assistance Corporation ;O 3" BLUE LETTERING - FRUTIGER ROMAN Cape Cod 2-1/2" BLUE LETTERING SOUTH COASTAL COUNTIES FRUTIGER ROMAN D LEGAL SERVICES, INC. 2-3/4" BLACK LETTERING TIMES NEW ROMAN Cape Cod Healthcare-Sign Proof P-1 Review ❑Approved Approved with Comments CD Revise and.Resubmit SCALE: 3/4"=1'-0" New Exterior Signs ���®� CAPE 0 W D T MA NHST.RE � P- 1 Architectural Group, LlC Medical and Commercial Architecture T 508 759-9828 F 508-759-9802 DATE: 11-20-13 4'-7" 2" BLACK LETTERING TIMES NEW ROMAN PERo© , CAPE COD HEALTHCARE 1-1/2"BLACK LETTERING U FRUTIGER ROMAN ®o o� Centers for Behavioral Health o 9" BLUE LETTERING ^CN SOUTH COASTAL COUNTIES TIGER'ROMAN FRu LEGAL SERVICES, INC. Cape Cod Healthcare-Sign Proof P-2 Review ❑Approved . ❑Approved with Comments []Revise and Resubmit SCALE: I" F-0" New Exterior Signs CAPE COD HEALTHCARE MEDCOM. 460 WEST MAIN ST. P� 2 Architectural Group, LLC. Medical and Commercial Architecture T 508 759-9828 F 508-759-9802 DATE: 11-20-13. -Ou-n-08-95 10:30A HOUSING ASSISTANCE CORP . 508-775-7434 P. 10 - The Commonwealth of Massachusetts Office of the Secretary of State j State House, Boston,MA 02133(617)727-2800 Michael Joseph Connolly, Secretary RE: CHAPTER 180 CORPORATIONS To Wixom It May Concern: Enclosed please find a photocopy of your Articles of Organization. The corporation has a legal existence as of the effective date stated on the last page of your Articles. Under the provisions of Massachusetts General Law, Chapter 180, section 26A, non-profit corporations must prepare and submit Annual Reports on or before November first of each year (starting with the year after incorpora- tion). This section shall not apply to a church or a religious organization, a non-profit school or college, a charitable hospital, or a library association whose real or personal property is exempt from taxation. This memorandum is intended as a reminder to you of your obligation to annually file this report with the Secretary of the Commonwealth. In addition, you should be aware that Federal Identification Numbers (FIN'S) are used in our computer files as a means of positive identification. As soon as your corporation has been assigned a FIN, please notify the Secre- tary's office so that your corporate file may be completed. Remember to enter your FIN on all future filings. ------ Blank Annual Report forms (CD 369) may be obtained by calling (617) 727- 4176. Sincerely lours, , ,X'Yvonne Ellison' Clerk, Non Profit Corporations Specialized Section i ,Jun-08-95 10:30A HOUSING ASSISTANCE CORP . 508-775-7434 P.09 i t The foregoing amendment will become effective when these articles of amendment are filed in a=t-dance with Chapter 180, Section 7 of the General-laws unless these articles specify, in accordance with the rote adapting the amendment,a later effective date not more than thirty days after such filing, in which event the amendment will be— come effective on such Later date. _ IN WITNESS WHEREOF AND UNDER THE PENALTIES OF P£RJURy, we have hefetb signed our-names.-this IOth day of March ,in the year 1989 ..._. ..................................... President/Vice President ...... ............................. Clerk/Assistant Clerk 1011 OL �� Jun-08-95 10: 29A HOUSING ASSISTANCE CORP - 508-775-7434 P-08 We /it CV — •=- THE COMMONWEALTH OF MASSACHUSETTS _ co ARTICLES OF AMENDMENT (General taws,Chapter 1E0, Section 71 { a < I hereby approve the within articles of amendment �' and, the filing fee in the amount of s / <Q 6-6) laving beers paid, said articles are deemed to have been - filed with me this �� f day of . 19 0 IMICHAEL ®NYO SmWary of TO BE FILLED 114 BY CORF'ORAT!`)N PHOTO COPY OF AMENOPMENT TO BE SENT TO: Housing Assistance Corporation ..................................................... 460 West Main Street Hya=, *s, MA 02601 Telepfsone .f5Q8)...7.71-54QQ......... CaoV MaiMd ,T ' ... fly i,., ♦. � � /�� ���, w _ To Jura-08-95 10:28A HOUSING ASSISTANCE CORP . 508-775-7434 _ P_07 o , � n� .4 r �P tt Xnamtt That whereas Robert E. Terry, Clara Roderickv o a Viraini K . Johnson have associated themselves udib the intention Of forming a corporation under the name o � - f_ Housing Assistance Corporation and have complied with the provisions Of the Statutes of the CoramonwIeallb in h o f said cor made and provided, as appears from the.Articles of pi'banijritioll sce duly approved by the State Secretary and recorded in this olJrce; poraton Now. 14u f orr. I, J O H\ F. X. I➢:t N'()R I?N Secretor o; x be Of Massachusetts, 'go T4,err;t y - ao�_v e�rlt/� � ��r��f� that said Robert E. Terry, Clara Roderick,. Vi2•ginia K. Johnson their associates and successors are legally organized and established as. and made an existing corporation as of �Acember arels971 hereby ,�... 4................uuder the na»>e of Housan- Assist r once Co �Chapt C •por,3t on with the powers, rights and privileges, and sirbject to the limitations, c atie.i and restrictions, which by law appertain thereto, luifaus MY Official signature herem.,to subscribed, and the Great Seal of.The COP21770nwealth of Maisachusetts hereunto affixed, this ...L.Ytc;ity-s.�.7cth•••...•••••....day of ... December in the ye,-r o T d one thousand """"•"' f oar or - nine hundred and Seven.3 Four .7J`'; �� s�.trxe�nru-nf•�jr �a�nrutrtuugufll� F'urm c.D-4ot. ma��c ; r 39t�ttttl $'PtrPltiYit , - ,`'y'� -,Jun-08-95 10:27A HOUSING ASSISTANCE CORP . 508--775-7434 P.06 '1742' tMII=Palth of Iffagsarhaortig MICI- AEL 1. CONNOLLY FEDERAL 10ENTIFICi lasaed Secretary of Stale NO. 2 43 - V ASHBQRTQN P.LACE,,$O ON,.MASS..92108. r . i t 1P 2 LT, 9 37 eV tO'. r et 7 ARTICLES.,OF .AMEMEI�T.''�Jc�r ` General Laws,Chapter ISO, Section 7 This certificate must be submitted to the Secretary of the Commonwealth witriin sixty days after the data ut tl vote of members or stockholders adopting the amendment.The fee for filing this certificate is$10.00 as prescribed t General Laws, Chapter 18o, Section 11C(b). Make cheek payable to the Commonwealth of Massachusetts. Joseph C.- PolcarQ. --- ,PresidenclVicePresident,ar Lee Canto Kelsey ,Clerk/AssistantClerk 'Housing Assistance Coroorataon +pptoved o}Co.O......... .»......»............................................................. 460 West Main Street, Hyannis, MA 02601 locatedat................................................................................................ do hereby certify that the following amendment to the articles of organization of the corporation was duty adopted, a meeting held on Jan 25 rY , 1989 ,by Vote of.......1..................membe .....» shareholders, being U least two thirds of its members legally Qualified to vote in meetings of the corporate (or,in the case of a corporation having capital stock,by the holders of at)east two thirds of the capital stock having tt right to vote thereon): Section 2. d. Now reacts: to borrow money, and issue, sell, and pledge its notes, bands, and other evidence of indebtedness, and to secure any of its obl.i.Ctations by mortgage3 pledge, or deed of t�*vst of all or any of its property, by authority and action of its Board'of Directors; Section 2. d. Has been changed to read: O to borrow and.,Iend money, and issue; sell, and pledge its notes on, bonds, art` other evidences.of indebtedness, and to secure any of its obligations by mortgage, pledge, or deed of trust of all or any of its property, by authority and action of its`+Board of Directors; NOW if the space provided under any article or item on this form is iasumcient,additions shall be se separate 8"t ` sheets of paper leaving a left hand margin of at least I inch for binding.Additions to more than o rciA ontinuec a single sheet so long as each article requiring each such addition is clearly indicated. f ',Jun-08-95 10: 26A HOUSING ASSISTANCE CORP . 508-775-7434 P.05 +' 6. The effective date of or.mr-If.ation of the corporation shall be the date of filing with the Secretary of the f Commonwcaith or is 1;1(er date is desired,specify;late,(no:rt0re than 30 days at(cr dare of filing.) 7. The following information shall not for any purpose be treated as a per nartcn[ par[ of the Articles o ®'rganization of the corporation. a. The post office address of the initial principal office of the corporation to Massachusetts 1S: P. 0. Box 652 , West Yarmouth, Massachusetts 02673 b. The name, residence, and post office address cf each of the initial directors and following officea of the corporation are as follows: NAME RESIDENCE POSTOFFICL•ADDRESS President: . ..Robert E. Te.rry,. 17• . Pontfs Avenue, East Falmouth, Mass . -sE Treasurer: . . C..1-ara. .Roderi.ck. . 56. .S,e,ab.rook. .Rpad, . Hyannis., .Mass.. - same Clerk: . . . Virginia. Johnson, . Blue. .Ro.ck .Road, . -SO.Uth, Yarmouth., Mass., sa Directors: (or officers having the powers of directors) Robert E. Terry Clara Roder*k Virginia Johnson c. The date initially adopted,on which the corporation's fiscal year ends is: December 31 d. The date initially fixed in the by-laws for the annual meeting of rncrtbers of the corporation is: 3rd Thursday in October e. The name and business address of the resident agent,if any,of the corporation is: IN WITNESS WHEREOF a�,d under the penalties c: perjury the above-named INCORFORATOR(S) sign(s) these Articles of Organization this r� day of Y.�fL �4• yc.c� 197Y. iCe"rt E. ..Terry ' ". . . . .Y- . . . . . . .. . .. . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . ... ... Roderick . . .. ... . ClaraRo . . ,L:% .. . . . . . . . . . .. .. . . . . . ... . . . . . . . . . .. . . . . .. . . . . . . . . .... . .. .... I Virginianson 4 t9 he signaturr of each incorporator which;s not a natural pc+•son must t1c by an individual who SL!; sha% t�. r 11pacit.N :n•.chich he acts and by signine shall represent under the penalties of perjury that he is at;it 2utl.,01- tie,its loch Olf 10 sivn wese Articles of Organisation. f ,Jun-08-95 10:25A HOUSING ASSISTANCE CORP . 508-775-7434 P_04 i --•r•� npyvr,pcmen!, the duration of membership and the quaIif'cation and,righisc in111c nrtg votinot g • �::the members of each class,are as fol;ov s;-- There shall be one -lass of members . r 0 4. Other lawful provisions, if fny, for the conduct and regat3tior cf tl1G business and aifzPOTairs of the cor� Or of s d for its valuntaly diS5OUion,or for l+'mitirg,defining,or reyulwing the powers of the corporation, or of it;directors or members,or of any class of members,are as f oilocws:— In the event of the dissolution of the corporation or the winding up of its affairs or other liquidation of assets , the co corgorations ' s property shall not be nveyed to any organization created or operated for profit or to any individual for the fair market value of such less than after the property, and all assets remaining ¢ Payment of the corporation's debts shall be conveyed or 1 distributed only to an organization or organizations created .and operated for non-profit purposes similar .to those of the corporatiod iI lhtrc art no pru%kions 1t�tr "none". i •..luau-08-95 10: 25A HOUSING ASSISTANCE CORP . 508-775-7434 P.03 e. to acquire , construct, provide , and operate rental 'Housing and related facilities suited to the special needs and living requirements of low income persons ; f. to acquire , improve, and operate any real or personal propert: or interest or rights therein or appurtenant thereto; g. to do all things necessary and appropriate for carrying out and exercising the foregoing purposes and powers as permissib:under the. provisions of the Internal Revenue Code of 1954, or any other successor thereto, as amended from time to time Witt out jeopardizing the- state or federal tax exempt status of thf corporation; h. all or substantially all of the activities of this corporation shall be carried on within the Commonwealth of Massachusetts ; i. no substantial part of the activities of the corporation shall consist of carrying on propaganda or otherwise attempting to influence legislation, nor shall the corporation pazticipate in or intervene in (including the publishing or the distribut-i Of statements) any political campaign on behalf of any candidz for public office; j . the corporation shall have all powers conferred upon non-stock non-profit corporations as prescribed by Chapter 180 of the General Laws of Massachusetts , as now enacted or hereafter a- mended, except that (1) the corporation shall neither have no: exercise any power which would prevent it from obtaining exemp tion .from `federal income taxation as a corporation described in Section 501 (c) (3) of the Internal Revenue Code , as now enacted or hereafter amended, or cause it to lose such exempt status ; and (2) the corporation shall not be operated for the purpose of carrying on a trade or business for profit, no divi dents shall be paid, and no part: of the net earnings of the corporation shall inure to 'the benefit of any member, director officer, trustee or private person ; provided, that rothing her in shall be considered. as preventing any member, director, officer' or trustee from receiving reasonable compensation for his services to the ..corporation. :Jun-08-95 10: 25A HOUSING ASSISTANCE CORP . 508-775-7434 P.02 Aug tRos. 30/t11 25a-4-74-091774 • _ ���r C��ntm�r�����1#1r of � JOHN F.X. DAVOREN Secretary of the Common wealth STATE HOUSE BOSTON, MASS. 02133 ARTICLES OF ORGANIZATION (Under G.L.Ch. 180) Incorporators NAME Inrlude given name in full in case of natural persons;in case of a corporuSionc`CE9;YC state of in:orportz Clara Roderick, 56 -..abrook Road, Hyannis Massachusects Virginia Johnson, Blue Rock Road, South Yarmouth, Massachc Robert E. Terry, 17 Pontes Avenue, East Falmouth, Massachu The above-named incorporators do •hereby associate Y the ( mse v cor oration under � es) w:th th p r the provisions of General Laws,Chapter 180 and hereby state(s): a intention of formin L The name by which the corporation shall be known is: HOUSING ASSISTANCE CORPORATIOp. 2. The purposes for which the corporation is formed are as folio Ka.s, a. to receive and administer funds exclusively for educational and charitable purposes without pecuniary. profit, either direct or indirect , to its member.•s ; .b . to assist in the planning an&"devel-opmant of takings, studies and other activi,bLes: :that. improve . housi and living conditions of low-income families- in cooperation . conjunction with local, state, and federal 'govertiment and ci bodies in 1.the Counties of Barnstable, Dukes, . anti-Z4,at,tucket;. C. to purchase, or otherwise acquire, lease as lessee, `:invest .^i hold use, lease as lessor, lease as agent, encumb.er.,,; so;,1., exchange, transfer, and dispose of property of any, descri .ti or any interest therein, by authority and. :act.ion of'• its .BoaY of Directors; • d. to borrow money, and issue, ' sekl , and pledge: is rio_ es ,' (bond: and other evidences of indebtedness, and to ' re "any of itc obligations by mortgage, pledge, or deed of trust of all or Of its property, by authorityand action of its Board of i;i-r( NOTE: If provisions for which the space provided under Articles 2.3 and 4 is not sufficient,additions sh;:uld be Oilcontinaation sheets to he nurtbe:ed 2A, 28. etc, Indicate under each Article where the a:o� , set out. Continuation sheets shall be on 81/P x 13"paper and must have a deft-hand margin 1 inch wade for binding. Only aric side should iSl�.n a • d be used. r -Jun-08-95 10:24A HOUSING ASSISTANCE CORP . 508-_775-7434 P.01 Post-It"brand fax transmittal memo 70 N of pages► d � TO t From to a c FC s 6�r P co.Tz w to ta� Qow . co. P��t n FFax# lp� ` 1 Phone p f S T v � l�` Fax N l 43 THE COMMONWEALTH OF MASSACHUSETTS ARTICLES OF ORGANIZATION GENERAL LAWS,CHAPTER 180 I herebycertify that, upon an eXamination of the within-written articles of organisation, duly .submitted to me, it appears thm the provisions of the General Laws relati%e to the organization of corporations have been com- plied with, and I hereby approve said articles: and the filing tee in the amoun!of 530.00 having been paid,said articles are deemed to have been filed with me this day of 19 EIJeclive gate JOHN F.X.DA VOREN Secretary of the Commoniveoith TO BE FILLED IN BY CORPORATION CHARTER TO BE SENT TO . . . .. .S z . oz6 � 3 FILING F'f E 5:30.04 CIIART1 R MAILED DELIVERED . I TOTAL P.01 i r W i i �6'd k'�c9u5Z ❑1 20:O T S66 L-d0-Nail JUN-99-1995 10:02 =ROM NORTHSIDE DESIGN TO 790623D P.01 NORTHSIDE DESIGN ASSOCIATES FAX COVER SHEET 01 INCTIVE RESIDENTIAL&COMMERCIAL DESIGN t MAIN STREET•YARMOUTHPORT•MA 02675 {508)362.2210 (508)362.9802 i IEND TO FAX #: TTENTION: OMPANX< ROM: (9DY7�Lrv, �� ATE: EGARDING: umber of pages to follow: For L�'r your: Infoxnrr;ation Approval Action Comments Review Please : Forward Return Call Me Follow up Distribute ecial. Ilnstructxoxxs: �• Ice G t ere is as problem with this transmxssian please call Northsi e sign at (508) 362•-2210. Our FAX l� is (508) 362-2210. TOTRL P.01 r JUN-Oe-1995 09:55 FROM NORTHSIDE DESIGN TO 7906230 P.01 NORTHSIDE DESIGN ASSOCIATES FAX COVER SHEET STINCTIVE RESIDENTIAL&COIAMERCIAL DESIGN 141 MAIN STREET•YARMOUTHPORT•MA 02675 (508)362-2210 (508)362-9602 SEND TO FAX ATTENTION: d COMPANY: FROM: DATE; y� REGARDING: Number of pages to follow: �� For your: &- - Information Approval Action Comments Review Please: Forward Return Call Me Follow up ✓�// Distribute Special Instructions: v�2 :A ✓ If there is a problem with this transmission, please call Nort si e Design at (508) 362-2210. Our FAX # is (508) 362-2210. TOTAL P.a1 r f r i - � (fir• ` � ;. f T._3TH_ P i ��c:a sr'�Y �T r .,x '. �:i -•f ,,.7a �'rs'.r�S ..si c �^'� � �s;• ` �'` �_a. - - CL iT10 IL l + m all - I I= t Im r LY � LV - — CY ,_ fn - IT In _ i Lr - !N I-WM71 1 1j x �9a$ { Twti M2M �i X I Q" i5fqwr �J. t frA Iall . -. o M W : Elf monsoon �sF� t�: 1 titer I�1 rmail s .,, gill Isamu Stan 9�� !■H f or 811 . � �r r Page 1 of 1 Shea, Sally O 3oc%' From: Dean Melanson [dmelanson@hyannisfire.org] Sent: Thursday, January 24, 2013 12:11 PM To: Shea, Sally; Moses Cordeiro Subject: 460 W. Main St, Cape Cod Healthcare Sally, Hyannis Fire is OK for a Bldg. Permit to be issued for this project. Deputy Chief Dean L. Melanson Office 508-775-1300 Fax 508-778-6448 dmelanson@hyannisfire.org t 1/24/2013 h M ` TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION- a Map Z Parcel Application d Health Division _A Date Issued t �. Conservation Division _ Application Fee Planning Dept. Permit Fee (t Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation /Hyannis Project Street Address Gf(� b Ci le57- Village 2N5 Owner 6m C 620 Address Z 7 Telephone s0 �G Z S�3oU Permit Request /ZC Qy CSTT A01V S?/ue-T.el;�L LkU dA- O &AIAVI OIL Q � G P Square feet: 1 st floor: existing 3-Z8 proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation /Z1Svv.ae Construction Type g5 Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family(# units) Age of Existing Structure Historic House: ❑Yes ❑ No On Old King's Highway: ❑Yes ❑ No Basement Type: ❑ Full ❑ Crawl ❑Walkout ❑ Other Basement Finished Area(sq.ft.) Basement Unfinished Area (sq.ft) Number of Baths: Full: existing new Half: existing new Number of Bedrooms: existing —new Total Room Count (not including baths): existing new First Floor Room Count Heat Type and Fuel: ❑ Gas ❑ Oil ❑ Electric ❑Other Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing woo 6 ?':'al stovd� ❑Y 5 ❑ No 6 Detached garage: ❑ existing ❑ new size—Pool: ❑ existing ❑ new size _ Barn: ' sting ❑-new paize_ Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: a ' Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ w Commercial ❑Yes ❑ No If yes, site plan review# Current Use Proposed Use- APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name T,��C/��y�.�v os�5 CD!' i� Telephone Number rV t - S2-2-30�y Address /5_/0e5Covtc-� 120 if �1-�►t License# 6 7 7 L�3 b Home Improvement Contractor# -7 Worker's Compensation # _XW o LW el &I J3$ ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO A w "o SIGNATURE DATE G 3 zt� FOR OFFICIAL USE ONLY APPLICATION# -DATE ISSUED MAP PARCEL NO. VILLAGE ADDRESS &I OWNER DATE OF INSPECTION: FOUNDATION FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: FINAL ROUGH GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED CUT ASSOCIATION PLAN NO. The Commonwealth of Massachusetts Department of Industrial Adeidents Office of Investigation 600 Washington Street Boston,MA 02111 Worker's Compensation Insurance Affidavit Applicant Information: J.K,Scanlan Company,-LLC PROJECT NAME: 1244 CCHC 460 Main Street Medical Records Renovation LOCATION: Cape Cod Healthcare,460 Main Street CITY: Hyannis STATE: -MA PHONE#: 508-922-3624. ❑ I am a homeowner performing all work myself. ❑ I am a sole proprietor and have no one working in any capacity. ❑ I am an employer providing worker's compensation for my employees working on this job. Company Name Address City State Zip Code Phone# Insurance Co. Policy# Expiration Date _ ® I am a sole proprietor,General Contractor,or homeowner(circle one)and have hired the contractors listed below who have the following workers'compensation policies:. Company Name_ J.K Scanlan Company,LLC Address Falmouth Technology Park.15 Research Road City East Falmouth State MA Zip Code 02536-4440 Phone# 508-922-36U Insurance Co.'Irvin City Fire Insurance Poli # 02WELG$938 k9tion Date Ju 1 2013 - - Company Name - - -- Address City State Zip Code Phone# Insurance Co. Policy# Expiration Date Failure to secure coverage as required under Section 25A of MGL 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one year's imprisonment as well as civil penalties in the form of a STOP WORK,ORDER and a fine of $100.00 a day against me. I understand that a copy of this statement maybe forwarded to the Office of Investigation of the DIA for coverage verification. I do herebyjeer, and lre p s penalties ofperfury that the.information provided abov is true and correct. Signature -Date: Z-.- 113 Z Print Name: Ward .Jaros Phone#: 508-294-2034. a[use only—do not write in ibis area-to be completed by city or town official City or town: Pemtitilicertse# 1 Building Department ❑Licensing Board C3 Selectmen's Office ❑Health Department 0 Other 0 check if immediate response is required Contactperaw: Phone#: f Nlassachu'ktts Departifi6it of'Public Satety Board of Building Regulations and Standards, Construction Supervisor License License: CS 74674 a MOSES M C_ORDEIRO 45 PEACH BLOSSOM.RD, ACUSHNET,•MA 0274377 �yfzpiration: 6/8/2013 C"ommissi�rner` Tr#- .19536 . t . i s-• Massachusetts Department of Environmental Protection Bureau of Waste Prevention -Air Quality 100169907 i, BWP AQ 06 Decal Number Notification Prior to Construction or Demolition When�filling out A. Applicability forms on the computer,use only the tab key A Construction or Demolition operation of an industrial,commercial,or institutional building,or to move your residential building with 20 or more units is regulated by the Department of Environmental Protection cursor-do not DEP , Bureau of Waste Prevention-Air Quality Control Regulations 310 CMR 7.09. Notification of use the return ( ) ty eg key. . Construction or Demolition operations is required under 310 CMR 7.09(2)ten(10)days prior to any work being performed.The following information is required pursuant to 310 CMR 7.09. m B. General Project Description 1. a. Is this facility fee exempt-city,town,district,municipal housing authority,owner-occupied Instructions residence of four units or less?❑Yes ❑✓ No 1.All sections of b. Provide blanket decal number if applicable:this form must be Blanket Decal Number completed in order 2 Facili Information: to comply with the ty Department of CCHC BEHAVIORAL HEALTH SERVICES Environmental Protection a.Name notification 1460 WEST MAIN ST. requirements of b.Address _ 310 CMR 7.09 HYANNIS MA —� 02601 --� c.Citvrrown d.State e.Zip Code 5087711800 f.Tele hone Number area_ code and extension .E-mail Address(optional) 2000 1 h.Size of Facility in Square Feet i.Number of Floors j.Was the facility built prior to 1980? ❑ Yes ❑✓ No k. Describe the current or prior use of the facility: MEDICAL OFFICE BUILDING I. Is the facility a residential facility? ❑ Yes ❑✓ No ° m. If yes, how many units? Number of Units —° 3. Facility Owner: • a CAPE COD HEALTHCARE �O a.Name O° 127 PARK ST b.Address HYANNIS MA 1 02601 ro c.City/Town d.State e.Zip C e �° 15087711800 TWhittemore@CapeCodHealth.org �O f.Tele hone Number area code and extension .E-mail Address(optional) TERRY WHITTEMORE Q h.Onsite Manager Name ® ag06.doc-10/02 ° BWP AQ 06•Page 1 of 3 Massachusetts Department of Environmental Protection Bureau of Waste Prevention •Air Quality 100169907 BWP AQ 06 Decal Number 1 Notification Prior to Construction or Demolition General Statement:lf B. General Project Description (cont. asbestos is found during a Construction or 4. General Contractor: Demolition JK SCANLAN LLC operation,all a.Name responsible parties must comply with 115 RESEARCH RD 310 CMR 7.00, b.Address Chaand FALMOUTH IMA 02536 Chapterer 21 E of the General Laws of c.Cltvirrown d.State e.Zip Code the commonwealth. 15085406226 1 isadams@jkscanian.com This would include, f.Tele hone Number area code and extension .E-mail Address(optional) but would not be limited to,filing an ISETH ADAMS asbestos removal h.On-site Manager Name notification with the Department and/or a notice of release/threat ofa release of a C. General Construction or Demolition Description hazardous substance to the 1. Construction or demolition contractor: Department,if . applicable. JJK SCANLAN LLC a.Name 15 RESEARCH RD b.Address FALMOUTH MA 02536 —� c.Cityrrown d.State e.Zip Code 5085240999 sdumoulin@jkscanian.com f.Telephone Number area code and extension .E-mail Address(optional) STEVE DUMOULIN h.On-site Manager Name 2. On-Site Supervisor: MOSES CORDEIRO On-Site Supervisor Name 3. is the entire facility to be demolished? - ❑ Yes Q No � C4 —0 4. Describe the area(s)to be demolished: �o MEDICAL RECORDS ROOMS �N �o 5. If this is a construction project,describe the building(s)or addition(s)to be constructed: BUILD NEW WALLS FOR OFFICES �0 a ag06.doc 10/02 BWP AQ 06•Page 2 of 3 Massachusetts Department of Environmental Protection Bureau of Waste Prevention •Air Quality 100169907 BWP AQ 06 Decal Number Notification Prior to Construction or Demolition C. General Construction or Demolition Description (cont.) 6. a. If this is a demolition project,were the structure(s)surveyed for the presence of asbestos containing material(ACM)? ❑ Yes ❑✓ No If yes,who conducted the survey? b.Survevor Name c.Division of Occupational Safety Certification Number 7. Construction or Demolition: 1/28/2013 4/26/2013 a.Start Date(mm/d&My) b.End Date(mmldd/M) 8. a. For demolition and construction projects,indicate dust suppression techniques to be used: seeding ❑ paving b. o , please specify: El wetting ❑ shrouding Iftherla p fy' ❑ covering ❑,1 other HEPA AIR FILTRATION 9. For Emergency Demolition Operations,who is the DEP official who evaluated the emergency? NA a.Name of DEP Official NA b.Title 11N 1/1111 c.Date mm/dd/ of Authorization NA d.DEP Waiver Number D. Certification I certify that I have examined the ISETH ADAMS O above and that to the best of my a.Print Name o knowledge it is true and complete. ISETH ADAMS The signature below subjects the b.Authorized Signature �N signer to the general statutes PROJECT EXECUTIVE �0 regarding a false and misleading c.PositioryTitle �c statement(s). JJK SCANLAN LLC d.Representing �r 1/10/2013 �m e.Date(mm/dd/yyyy) � 0 �Q ® agO6.doc•10/02 BWP AQ 06•Page 3 of 3;® f ■q���ppp��ppp�pqp� pp i. it tl ' ,.ii h.E#@�F�e # x+SA*x-�.i^n -q `; � � ' � 0. • Founded n m o Commitment.Suitt on Service. Ceneral Contractors I Design/Build I Construction Management t Restoration October 12,2012 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 Comp, 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 02WELG3938 per the attached certificate which expires on 7/1113. 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, Christ . M r h Senio oject Manager J.K. Scanlan Company;LLC. Cc: Moses Cordeiro,JKS Superintendent 15 Research Road I East Falmouth,MA 02536 508.540.6226 tel 1508.540.9222 fax I www.jkscanian.com �p THE Tp� mms- w,, ' MASS. 67 q. Town of.Rai-nstable i ll pT�D MAt a Regulatory Services T'hornas F. Geiler, Director Building Division Thomas Perry, CBO Building Commissioner 2.00 Main Street, Hyannis, MA 0260) my-m town.b a rnsta ble.ina,us Off ice: 509-862-403 8 Fix: .508-790-6230 Property Owner lust C0:1xnplete and Sign This Section If Using A Builder as Owner of"tree subject property Hereby authorize r 57 61a'e';V - to act on my behalf, in all matters relative to work authorized by this buildingpel'init application for: (Address of Job) _r z 3 signature of Owner -- Date AL— 'xint Name Property Owner is applying for permit, please complete the Homeowners License Exemption Forma on the ` verse side. Demo/Remove Ceiling Grid and Tile-Reuse Lighting Fixtures r - v, _ �; FILE ROOM. CONFERENCE ROOM c Demo Remove - Borrowed Light Demo/Remove Ceiling' Grid and Tile-Reuse Lighting Fixtures Demo/Remove Dividing Wall • W. ;0� 460 West Main HEALTHCARE DIVISION Demo Plan c� G yt r� ref"pl 14'-0 101-0" . R + New ACT Ceiling F New Carpeting 15/16"Grid-Ultima (All Rooms) Tile(All Rooms) ry OFFICE OFFICE , J r 124 24 30 30 FILE ROOM Direct set Glazing Reuse Door From Conference Room - _ Relocate File Racks z along wall IWO': 460 !Nest Main V_ � Floor Plan HEALTHCARE DIVISION - e rr��r� r 14'-0 10'-0.. ALIGN L3O ' 30" Countertop Support 30" END PANEL Brackets END PANEL. FILE ROOM COUNTER/GLAZING A A Not to scale' '$rA' r� 460 West Main �feVStIOr1S 1 .1 G�� � �; rUrii c. � �z ; HEALTHCARE DIVISION f Page 1 of 1 . Shea, Sally T - - - - From Dean Melanson [dmelanson@hyannisfire.org] Sent: Friday, April 22, 2011 9:52 AM To: Shea, Sally Cc: Moses Cordeiro; Terry Whittemore Subject: 460 West Main Street Hi Sally, Hyannis Fire is OK for the issuance of a building permit for 460 West Main Street. Deputy Chief bean.L. Melanson _ Office 508-775-1300 Fax 508-778-6448 dmelanson@hyannisfire.org F , 4/22/2011 TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map �.�' Parcel, Application # cDO S Health Division - Date Issued -4 ,=-, .. Conservation Division � ' Application Fee / Planning Dept. : Permit Fee Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation/Hyannis Project Street Address z Village �j4�l c Owner n& 4!! � Address -;2! 7 _T iy 9 Telephone 15-0 0 Permit Request S f lit, / 4141'p Square feet: 1 st floor: existing 600 proposed 2nd floor: existing - proposed Total new Zoning District Flood Plain Groundwater Overlay ' Project Valuations/5-1, Construction Type Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family (# units) Age of Existing Structure Historic House: ❑Yes ❑ No On Old King's Highway: ❑Yes ❑ No Basement Type: ❑ Full ❑ Crawl' ❑Walkout ❑ Other Basement Finished Area(sq.ft.) Basement Unfinished Area (sqft).4 Number of Baths: Full: existing new Half: existing newt Number of Bedrooms: existing —new i Total Room Count (not including baths): existing new First Floor Room Count =` r 5J . Heat Type and Fuel: ❑ Gas ❑Oil ❑ Electric ❑ Other Mal 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 56,9�141V //)o5N 5 �ra i&� Telephone Number 57��49 `�Z 3 Address -/��_ ` � `��k: �: ? -v._ License # 7�� � _ _ - TX Z& 0? 3 Home Improvement Contractor# Worker's Compensation # UN 6 4YO 7,6 16 OZO Z ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATUR DATE f /� l FOR OFFICIAL USE ONLY r APPLICATION# DATE.ISSUED MAP/PARCEL NO. ADDRESS VILLAGE OWNER ; f DATE OF INSPECTION: FOUNDATION FRAME ,t INSULATION FIREPLACE f ELECTRICAL: ROUGH FINAL = r PLUMBING: ROUGH FINAL GAS: ROUGH FINAL s FINAL BUILDING DATE CLOSED OUT ' ASSOCIATION PLAN NO. M p4` 1 T t. 1 The Commonwealth of Iklassachusetts Department of Industrial Accidents< Office of Investigation 600 WVashineton Street Roston. MA 021 1 1 " itiW'nrkcr s Gonlncn �►tutn Insurance:'-�ffid,i►i> Applicant Information: ,1. K. Scanlan;CompanY, inc. PROJECT NAME: --16 ® r'.</Ir S,- LOCATION: 0160 tees T��9 ri y F CITY A,,v,,,r S STATE•.:/V/ — PHONE#9 �'� 6- 2so ® ❑ I and a homeowner perfornliilg.Ill work nlvselt: ❑ I am a sole proprietor and have no one working in anv capacity. ❑ tat»an employer providing worker's compensation foi•Inv employees corking on this job, Company Name ------------ Address City State ZipCode Phone insurance Co, Policy Expiration Date ® 1 am a sole proprietor,General Contractor.01 110111cowUr�ch,e C'Uqe)and h have the ate lined the contractors listed below who follo�ting workers' compensation policies: Company Name .1. K.Scanlan' on) an Ine. Address Falmouth Te Park 15 Research Road City East Falmouth State MA Zip Code 0253__.___36_g440 Phone 508-110.6226 Insurance Co. Aon Risk Services Northeast Inc.- Poli-cv` WC4026160202 Expiration Date Au;_ust 31,2011 Company Name Address City State ZipCode Phone Insurance Co. Policy Expiration Date Failure to secure coverage as required under Section 25A of yfGL 152 a to 51,500.00 and/or one -ear`s imprisonment as well as civil penalties in the form of (STOP WORK ORDER and a fine of criminal penalties of a fne tap S 100.00 a day ar�ainst me. I understand that a copy of this statement may be forwarded to the Office of Investi_�ation of the DIA for coverage verification. /do hcrehr r ti/i'toter the pains am1 pen,allies a/•periw-y that the htlirr-rn'uiait!n nridr(l above is U tee ar0 cai rNct. Signature , Date: September 1,2010 Print Name: Marie A. Walker,Chief Financial Officer Phone#:•508-540-6226 ext.614 Oaf icial use onh'-do not wife in Ihis area—to he 01110cted by cin or t00 it official Ut)or to"it: Penn Uliccn,e;t ®Building Department 0 Licensing Board ❑check if immediate response is required 0 Selectmen's Otflce ❑1leallh Department 11 Other C'omact person: s an WC O OO❑ ❑ OC e? i ire i „s • Founded on Commitment.Built on Service. y General Contractors Design/Build I Construction'Management I Restoration LIST OF SUBCONTRACTORS / NON MEP's A • Braintree Rug -- Flooring . Old Colony Millwork • Continental Ceilings ACT, 15 Research Road East Falmouth,MA 025365o8.54o.6226 tel 5o8.540.9222 fax www.jkscanlan.com mammon uuaaaaaaaaaaa �a�>•e��������I�����u���u�W W�W Were®uo�W �aaaaaaa�aaauaaaaaaaaaaauuauauua W u W noassu MullaaaUUMAIaaafNIENOW as Nlwlllaa fauu auaaaaauoaaauuuWauauuaouu �aaa�amouommaaaaaaaa"Wna aWWuaua®aaa Ma��aaaaaaaaIaa111111 aaWaaaaaaWaa1. taaaaWaaaWaaa�Waaa Founded on Commitment.Built on Service. General Contractors Design/Build I Construction Management I Restoration February 28', 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.Comp. 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 WC4026160202,per the attached certificate. We appreciate the cooperation and efforts of Inspectional Services. If Y you have an questions or concerns, Y please feel.free to call me at 617-293-2966. . ..Sincerely, Christy J. M phy •Senior Project Manager: J.K. Scanlan:Company, Inc, Cc: Moses:Cordeiro, JKS Superintendent 15 Research:Road I East Falmouth,MA 02536 508.540.6226 tel 1508.540.9222 fax,I www.jkscanlan.com r , < MRNSMBLE, p� "SS. 16g9• Town of Barnstable �rfD MP'�b Regulatory Services Thomas F, Geiler, Director Building Division' Thomas Perry, CBO Building Commissioner 200 Main Street, Hyannis, MA 02601 wivw.town.ba rnsta ble.ma,us Office: 508-862-4038 Fax: 508-790-6230 ` y Property Owner .must Complete and Sign Thi.s'Section If Using _A, Builder as Owner of-the subject property hereby authorize �L< 4�/14" to act oii my behalf, in all matters relative to work authorized by this building permit application for: ' Y , (Address'of Job) Signature of Owner. Date Print Name � Y If Property Owner is applying for permit, please complete the Homeowners License Exemption Form on the reverse side. QAVVPFILESIF0RMS1building permit formslEXPRESS.doc Reviser107211 Q Y CERTIFICATE OF LIABILITY INSURANCE " 03212011YYY) 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(les)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 Aon Risk Services Northeast, Inc. - NAME: - Boston MA Office (Ar NNo.Ezl): (866) 283-7122 aC.No.: (847)'953-5390 One Federal Street ' E-MAIL 2 Boston MA 02110 USA ADDRESS: _ INSURER(S)AFFORDING COVERAGE NAIL 4 INSURED INSURER A. - National Fire Ins. Co. of Hartford 20478 I.K. Scanlan company, Inc. - - INSURER B: _. American Guarantee & Liability Ins Co 26247 15 Research Road East Falmouth MA 02536-4440 USA INSURERC: INSURER D: • INSURER E INSURER F: COVERAGES CERTIFICATE NUMBER:570041856444 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. Limits shown are as requested LTRNSIOFINSURANCE INSR D MID MMIDD TYPEADOL S POLICY NUMBER POLICY EFF POLICYEXP LIMITS GENERAL LIABILITY U EACH OCCURRENCE $1,000,000 X COMMERCIAL GENERAL LIABILITY - DAMAGE TUWMTfi!5--PREMISES Ea occurrence) $300,000 CLAIMS-MADE X❑OCCUR MED EXP(Any one person) $5,000 X Contractual Liab PERSONAL&ADV INJURY $1,000,000 ' GENERAL AGGREGATE $2,000,000 N GEWL AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMPIOP AGG $2,000,000 0 POLICY X PR0. LOC � - o n A AUTOMOBILE LIABILITY SAP 4026160197 0 1 2010 08/31/2011 COMBINED SINGLE LIMB $1,000,000 a accident) ANY AUTO BODILY INJURY(Per person) $20 000 O ALL OWNED N SCHEDULED BODILY INJURY(Per accident) $40,000ZAUTOS AUTO$ .X HIRED AUTOS NON-OWNED. PROPERTY DAMAGE V AUTOS '� - (Per accident 1: B X UMBRELLA LIAR I X I OCCUR AUCS94094302 08/31/2010 08/31/2011 EACH OCCURRENCE $25,000,000 V 1 EXCESS LIAR ECLAIMS-MADE - _ AGGREGATE $25,000,000 DED RETENTION A WORKERS COMPENSATION AND WC4026160202 08/31 201008 31 2 111 WC STATU- OTH- EMPLOYERS'LIABILITY YIN X TORY LIMITS _ ANY PROPRIETOR I PARTNER I EXECUTIVE E.L.EACH ACCIDENT $500,000 OFFICER/MEMBER EXCLUDED'! a N I A (Myandatory es In NH) - E.L.DISEASE-EA EMPLOYEE $500,000 be under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $500,000 DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES(Attach ACORD 101,Additional Remarks Schedule,If more spade is required) .�.� Description: 1129 - CCH 460 W. Main Renovation: Cape cod Hospital is included as Additional Insured with respect to General M Liability policy where required by.written contract. y7. aZi 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 AUTHORIZED REPRESENTATIVE 27 Park Street Hyannis MA 02601 USA ©1988-2010 ACORD CORPORATION.All rights reserved. ACORD 26(2010106) The ACORD name and logo are registered marks of ACORD LlMassachusetts Department of Environmental Protection Bureau of Waste Prevention •Air Quality 100122848 —� BWP AQ O6 Decal Number Notification Prior to Construction or Demolition ' Important: A. /4 iicab'lll When filling out pp `7 - forms on the computer,use only the tab key A Construction or Demolition operation of an industrial, commercial, or institutional building,or to move your residential building with 20 or more units is regulated by the Department of Environmental Protection cursor-do not use the return (DEP), Bureau of Waste Prevention-Air Quality Control Regulations 310 CMR 7.09. Notification of key. Construction or Demolition operations is required under 310 CMR 7.09(2)ten (10)days prior to any work being performed.The following information is required pursuant to 310 CMR 7.09. B. General Project Description 1. a. Is this facility fee exempt-city,town, district, municipal housing authority,owner-occupied Instructions residence of four units or less?❑Yes ❑✓ No 1.All sections of b. Provide blanket decal number if applicable- Blanket Decal Number this form must be completed in order 2 Facili Information: to comply with the ty Department of CCHC BEHAVIORAL HEALTH SERVICES Environmental Protection a.Name notification 1460 WEST MAIN ST. requirements of b.Address 310 CMR 7.09 HYANNIS MA 102601 — � c.Citvrrown d.State e.Zip Code 5087711800 f.Tele hone Number area code and extension E-mail Address(optional) 2000 1 h.Size of Facility in Square Feet L Number of Floors j.Was the facility built prior to 1980?• ❑ Yes ❑✓ No k. Describe the current or prior use.of the facility: MEDICAL OFFICE BUILDING I. Is the facility a residential facility? ❑ Yes FZ] No �O m. If yes,how many units? . Number of Units �° 3. Facility Owner: N CAPE COD HEALTHCARE �O a.Name �0 27 PARK ST b.Address HYANNIS =MA 02601 co c.Ci /Town d.State a Zi Code 0 5087711800 f.TeleDhone Number dead extension) .E-mail Address(o ti n TERRENCE WHITTEMORE �Q h.Onsite Manager Name ® ag06.doc•10/02 BWP AQ 06,Page 1 of 3 Massachusetts Department of Environmental Protection Bureau of Waste Prevention .Air Quality 100122848 {� BWP AQ OV Decal Number Notification Prior to Construction or Demolition General Statement:If B. General Project Description (cont.) • asbestos is found during a Construction or 4. General Contractor. Demolition JJK SCANLAN CO. INC. operation,all a.Name responsible parties must comply with 115 RESEARCH RD 310 CMR 7.00, b.Address and Chapter FALMOUTH MA 62536 Chapterer 21 21 E of the General Laws of c.City/Town d.State e.Zi Code the Commonwealth. 15085406226 This would include, f.Telephone Number area code and extension but would not be Email Address(optional) limited to,filing an ICHRISTY MURPHY asbestos removal h.On-site Manager Name " notification with the Department and/or a notice of release/threatof release of a ., C. General Construction or Demolition Description • hazardous substance to the 1. Construction or demolition contractor: Department,if applicable. J.K.SCANLAN CO. INC. a.Name . 15 RESEARCH RD b.Address FALMOUTH EM 102536 c.Cit frown d.State. e.Zip Code 5085406226 f.Telephone Number area code and extension g.E-mail Address(optional) CHRISTY MURPHY h.On-site Manager Name 2. On-Site Supervisor: MOSES CORDEIRO On-Site Supervisor Name 3. Is the entire facility to be demolished? ® Yes ✓® No �N �0 4. Describe the area(s)to be demolished: �0 EXISTING FINISHES AT WAITING/RECEPTION AREA , 00 — 0 5. If this is a construction project, describe the building(s)or addition(s)to be constructed: RENOVATION OF WAITING/RECEPTION AREA o Q ag06.doc•10/02 BWP AQ 06•Page 2 of 3 I , Massachusetts Department of Environmental Protection _ ■ Bureau of Waste Prevention .Air Quality 1oo122s4s —� B W P A O 6 .. Decal Number ' Q Notification Prior to Construction or Demolition C. General Construction or Demolition Description (cont.) 6. a. If this is a demolition project,were the structure(s)surveyed for the presence of asbestos containing material (ACM)? ❑ Yes ❑✓ No If yes,who conducted the survey? b.Survevor Name c.Division of Occupational Safety Certification Number 7. Construction or Demolition: 14/4/2011 -_ 6130/2011 a.Start Date(mm/dd/yyyy) b.End Date(mm/dd/yyyy) o 8. a. For demolition and construction projects, indicate dust suppression techniques to be used: seeding ❑ paving " ❑ wetting ❑ shrouding b. If other, please specify: ❑ covering ❑✓ other HEPA AIR FILTRATION 9. For Emergency Demolition Operations,who is the DEP official who evaluated the emergency? NA a.Name of DEP Official NA b.Title • 11/1111111 c.Date mm/dd/ of Authorization NA d.DEP Waiver Number D. Certification I certify that I have examined the CHRISTY MURPHY �0 above and that to the best of my a.Print Name �o knowledge it is true and complete. JChrlsty Murphy �— The signature below subjects the b.Authorized Signature �N signer to the general statutes ISENIOR PROJECT MANAGER �o regarding a false and misleading c. ost ton e o statement(s). J.K.SCANLAN CO. INC. d.Re resentin 3/25/2011 (D e.Date(mm/dd/yyyy) �Q ® ag06.doc•10102 BWP AQ 06•Page 3 of 3 Massachusetts-Department of Public Safety Board of Building.Regulationsand Stanilar`t)s Gonstiuctidnn Supervisor License Ali License: CS 74674•f ;t. Restricted.to 00' 'MOSES M.CORDEIRO,,4- 45 PEACH BLOSSO4!RD,. %ACUSHNET r A462" 43 ` Expiration: 6/8/2011 t'iimniisSionc r" Tr#: 16813 Y F 8'-010- 12._0" 4._0" 8._0.. .04n 101 4F1 - � Demo front Wall/Glass and existing counter in its entirety , Demo Wall Waiting ; ; A--------- Over Head Beam To Remain Room ' Office , Demo Doors&Frames Existing ' Remove Mail Door ' i slots for ; Relocation ,, --------- -=-- =- -- -- ,. / Existing Door Demo Borrowed Light WALL LEGEND - GENERAL NOTES„ Cape Cod Health Care - Existing Wall to Remain 1. Remove Doors and Frames as Shown . Behavioral Health Services 2. Cutback and Infill ceiling to new soffit at beam Demo wall 3. Remove existing counter top. 460 West Main St. _____ Demo - 4. Remove existing Carpeting in Office anddWaiting Room 5. Save for re-use the existing mail slot millwork' . DEMO) PLAN New Carpet - __ New Carpet Wood Base&Chair Rail f @. I Frameless Glass Equally Re Hang Existing _ Waiting Room Only I Divided. j I Mail Slot Millwork I (2)Sliding Reception Windows: with Locks at the Transaction C 31-9 woo j Counters 1 v7 Office Waiting Support Brackets as required Existing � Door Room Now Countertop Laminate End Panel Transaction tops i Existing Door 7'-8" Cover Existing Beam With Radius GWB 4 Soffit I Infill New Wall Below GENERAL NOTES 1. Relocate existing`HVAC supply and return as required for new layout. _ 2. Reposition existing lighting as required for new layout Cape Cod Health Care 3. Relocate existing electrical devices for new counter layout. 4. Phone I Data by Cape Cod Hospital. Behavioral Health Services 460 West Main St. Message Page 1 of 1 Roma, Paul From: Shea, Sally Sent: Friday, April 22, 2011 10:14 AM To: Roma, Paul Subject: FW: 460 West Main Street -----Original Message----- From: Dean Melanson [mailto:dmelanson@hyannisfire.org] Sent: Friday, April 22, 2011 9:52 AM To: Shea, Sally Cc: Moses Cordeiro; Terry Whittemore Subject: 460 West Main Street Hi Sally, Hyannis Fire is OK for the issuance of a building permit for 460 West Main Street. Deputy Chief Dean L. Melanson Office 508-775-1300 Fax 508-778-6448 ., dmelanson@hyannisfire.org r r , 4/22/2011 TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION L Map l4 Parcel D Application # ( � � Health Division Date Issued t Conservation Division Application Fee Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board Historic - OKH Preservation/Hyannis Project Street Address lP D VVE>lc�T QI nCY Village Owner AS cam'!CVj US ,DVP Address lts'1® rV'eSi Hall) 14U�)q) J Telephone I ` Permit Request M rpfpV �C I rid �d rac n n IQ - r© Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District ��aa Flood Plain Groundwater Overlay Project Valuation" f/D�Construction Type Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type:" Single Family ❑ Two Family ❑ Multi-Family (# units) Age of Existing Structure Historic House: ❑Yes ❑ No On Old King's Highway: ❑Yes ❑ No Basement Type: ❑ Full ❑Crawl ❑Walkout ❑ Other Basement Finished Area(sq.ft.) Basement Unfinished Area (sq.ft) Number of Baths: Full: existing new Half: existing new Number of Bedrooms: existing _new Total Room Count (not including baths): existing new First Floor Room Count Heat Type and Fuel: ❑ Gas ❑ Oil ❑ Electric ❑ Other Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing wood/coal stove: SesA No Detached garage: ❑ existing 0 new size—Pool: ❑ existing ❑ new size _ Barn: ❑ existing ❑ nep sib C;-, o Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: ~n � v Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ �° N 3 � Commercial ❑Yes ❑ No If yes, site plan review# ►-' - -~ - CUrrent Use--` Proposed Use m APPLICANT INFORMATION x� (BUILDER OR HOMEOWNER) Name � .� Telephone Number � 402—W4d Address �DBox License # /t)99 _7 0 Home Improvement Contractor# Worker's Compensation # Lo �� u ALL CONSTRUCTION D RIS RESULTING FROM THIS PROJECT WI E TAKEN TO 066" `{ SIGNATURE - DATE ` FOR OFFICIAL USE ONLY APPLICATION# DATEISSUED MAP/PARCEL NO. '' ADDRESS VILLAGE _ OWNERG i DATE OF INSPECTION: FOUNDATION ,4 FRAME - INSULATION _ FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL i GAS: ROUGH FINAL FINAL BUILDING Y DATE CLOSED OUT ASSOCIATION PLAN NO. p f , t • f 3 , i 9 US G 5 19E Town. of 1�arpstabl 50i Regul2tory services y° f+SFcr+TAsis y1F� ��IO Thomas Ff e•2dP4'i P3:v -dyad o via "a5^e:r inn a+ MR'd 4'•75' i a ' � i)eis'�s�: #1�—.lf9r'••�Rl;'•ra t:.l � , a ts. i ,. , a �3ri. X ..0 aeia':.e_. 9xvs= _:._ __.____:._ _._i ._,--. st__-,_ -.._ - •,:�., __. - :...,.-_ --..,ems'- �"�:"-___.___ __ ' --�--�^-ram•.'-- 3. � «�.E� _ �'_ - 'L> !1 } i o rp-c ��=c.:rwx-^-}-rz-_mac.- 7 i i ,d'i���s•a??'!�• S°'E e-w•.�4'���E�3�� ��'�="`��`'Cs'"7a. s��?.ii::�y'C .'',.+da€`3.�Sr�'S�L' :i- a :a` is -- - - :9 i� ©daaaac� ARRAY DESIGN WIND LOAD SUPPORT LETTER August 6, 2010 Cotuit Solar PO Box 89 Cotuit, MA 02635 RE:ASCE 7-05 Compliant Wind Load Calculations Dear Cotuit Solar: The purpose of this letter and supporting documents is to provide design wind loads for the SunLink system proposed for use on the HAC project in Hyannis, MA on 460 West Main as defined in the attached documents. Several important parameters were provided to SunLink by the customer (as noted in the attached calculations, particularly Section 2). SunLink has not been able to independently verify these values; and is relying on the customer's representation that they are accurate. Provided the information received from the customer is accurate, SunLink certifies that the wind loads provided in this document are valid per ASCE Standard 7-05, as they were properly derived from wind tunnel testing of the SunLink system using Method 3 of ASCE 7-05 Section 6.6. The design loads provided in these calculations are similarly dependent on the array configuration shown in the attached layout drawing. Any significant change in the array layout may change the array wind loading and consequently would invalidate SunLink's representation with regard to these loads. Sincerely, Christopher Tilley CEO SunLink Corporation SunLink Corporation e: info@sunlink.com 1010 B St.#400,San Rafael,CA 94901 v: 415.925.9650 sunlink.com f: 415.925.9636 SunLink Module Mounting System Array Weight and Wind Load Advisory The following information pertains to the-proposed SunLink Module Mounting System for the subject project only. It is intended for use by the Engineer of Record for structural adequacy evaluation of the building supporting the array. 1.0 GENERAL PROJECT INFORMATION 1.1 Customer COTUIT SOLAR 1.2 Building/Array Owner HAC 1.3 Array Location 460 WEST MAIN STREET, HYANNIS, MA 02601 1.4 Project ID Number 11000916 2.0 SITE&BUILDING INFORMATION The following parameter values are provided to SunLink by the Customer. It remains the responsibility of the Customer to verify with the Engineer of Record and with the Building Official that these values are appropriate for this project,and to notify SunLink immediately if these parameters require adjustment. 2.1 Basic Wind Speed(3 sec gust) 125 mph 2.2 Exposure Category B 2.3 Site Topographic Effects None 2.4 Building Occupancy Category II 2.5 Building Roof Height 24 ft 2.6 Layout Drawing Name 11000916-HAC-080310-ENG-R3 2.7 Number of Sub-arrays 4 3.0 ARRAY CONFIGURATION&WEIGHTS Notes/Reference: 3.1 Sub-array(s) A, B, C&D 3.2 Module Manufacturer I Model Schott I Poly 220 Per Customer(spec. sheet attached) 3.3 Module Tilt Angle 10 ° Per Customer&layout drawing 3.4 Module Mounting System(MMS) Standard SunLink 10' System for Schott Poly 220 Modules 3.5 Row Repeat Spacing 55.0 in 3.6 Number of Modules 129 Per Customer&layout drawing 3.7 Array Planform Area (pfa) 3330 ft2 _ Area covered by array Per Module Array Total 3.8 Module Area ft 18.01 2,323 : per attached module spec.sheets 3.9 Module Weight plus Enphase M190 lb 55.00 7,095 3.10 SunLink MMS Weight lb 22.51 2,904 3.11 Array Weight(Modules+MMS) lb 77.51 9,999 3.12 Array Weight/Planform Area 3.00 psf =Wmms 3.13 Tilt Bracket(TB)Width 11.25 in 3.14 Tilt Bracket(TB)Length 17.75 in 3.15 Tilt Bracket(TB)Bearing Area 1.39 ftZ Maximum Tilt Bracket Reactions Dead Load Only: 4x1 panels 3x1 panels 3.16 Interior TB Reaction lb 149 114 3.17 Bearing Pressure on Roof psf 107 82 Assuming uniform bearing under TB Connector Quantites: 3.18 Z-Clamp Arm.(ZCA) 18 See Section 5 below. 3.19 Wire Rope Asmbly Conn(WRAC) 4 See Section 5 below. SunLink Corporation-Proprietary&Confidential DO NOT COPY OR DISCLOSE 8/42010 SunLink Module Mounting System Array Weight and Wind Load Advisory 4.0 WIND LOADS Wind loads below are determined per ASCE 7-05 Method 2,together with wind tunnel testing of the SunLink MMS in accordance with ASCE 7-05 Method 3. Notes/Reference: BASIC VELOCITY PRESSURE: 4.1 Velocity Pressure Exp.Coefficient, KZ 0.70 ASCE 7-05 Table 6.3 4.2 Topographic Factor, Kt 1 See line 2.3 above- 4.3 Importance Factor, 1 1 - ASCE 7-05 Table 6.1 based on line 2.4 4.4 Directionality Factor, Kd 0.85 ASCE 7-05 Table 6.4 4.5 Basic Velocity Pressure,q,, 23.8 psf ASCE 7-05 Equation 6.15 DOWNPUSH: Maximum Tilt Bracket Reactions Wind Load Only 41 panels 3x1 panels 4.6 Wind Downward Force lb 572 491 Combined Wind&Dead Loads 4.7 Interior TB Reaction lb- 721 604 ASCE 7 Section 2.4.1 Eq. 5 W+D 4.8 Bearing Pressure on Roof psf 520 436 Assuming uniform bearing under TB Average Tilt Bracket Reactions 4.9 No. of Adjacent TB's Required: 5 6 If the number of adjacent TB's is less than this, use linear interpolation between Lines 4.7 and 4.11. Wind Load Only: 4.10 Wind Downward Force lb 164 123, Combined Wind&Dead Loads 4.11 Interior TB Reaction lb 313 237 ASCE 7 Section 2.4.1 Eq. 5 W+D 4.12 Bearing Pressure on Roof psf 226 171 Assuming uniform bearing under TB Note: Design wind pressure acting on the modules decreases as the amount of module area that the wind is acting on increases. (i.e. Design wind pressure is inversely proportional to effective wind area.) If a structural roof element is supporting just one tilt bracket(such as decking,perhaps),it should be checked for the wind downward load in Line 4.6 acting at the tilt bracket location. If a structural roof element is supporting at least the number of tilt brackets shown in Line 4.9(such as a roof joist, beam,or girder)it should be checked for the wind downward load in Line 4.10 acting at each of the tilt bracket locations. If a structural roof element is supporting more than one tilt bracket,but less than the number of tilt brackets shown in Line 4.9, linear interpolation can be used to determine the downward load at each tilt bracket,as stated in the notes on Line 4.9. SunLink Corporation-Proprietary&Confidential DO NOT COPY OR DISCLOSE 8142010 f SunLink Module Mounting System Array.Weight and Wind Load Advisory 6.0 CONNECTOR&BALLAST CONFIGURATION Notes/Reference: Ballast: See Note 1 below 5.1 Ballast block weight 24 Ibs Ballast Pan Type II 5.2 Ballast pan self-weight 4.8 Ibs 5.3 Number of blocks/pan 10 5.4 Total weight/pan: WBP= 245 lbs 5.5 Coefficient of friction COF= 0.50 See Note 2 below ITEM units SUBARRAY subarray A B C D totals modules 15 36 39 39 129 planform area sf pfa 387 929 1007 1007 3330 unballasted weight lb D=wMms°pfa 1163 2790 3023 3023 module area sf 270 648 702 702 total lift W 1458 2960 3207 3207 total net lift lb FiN=Fl--0.6°D 760 1286 1393 1393 total drag lb Fp 217 522 565 565 ballast req'd for lift lb BL=FiN 10.6 1267 2144 2322 2322 8056, ballast pan type II N„ 0 2 0 . 0 2 ballast weight lb BT=EN•WBP 0 490 0 0 total weight lb WT=D+BT 1163 3280 3023 3023 10488 dist.weight/pfa psf w,,,,=WT I pfa 3.00 3.53 3.00 3.00 - Number of connectors: ZCA 6 9 11 9 35 WRAC 0 1 2 0 3 Avg uplift force/connector avg wind uplift lb• 243 296 247 356 pfa/connector sf 65 93 77 112 net avg uplift lb 127 99 107 155 dra /connector lb 36 52 43 63 Notes: 1 Ballast assumed to be 12 x 12 nomina'I blocks(pavers)equally distributed on both sides of ballast pan.Cross tie wires are required unless blocks are adhered to the pan and to each other with a suitable waterproof adhesive. If blocks used area different nominal size or are a different weight than assumed here,notify SunLink. ` SunLink Corporation-Proprietary&Confidential DO NOT COPY OR DISCLOSE 81412010 SunLink Module Mounting System Array Weight and Wind Load Advisory �I 6.0 FLASHABLE POST ANCHOR(FPA)ATTACHMENT DESIGN LOADS Recommended envelope uplift design forces and moments for design of the connection between SunLink's FPA base and the existing roof structure are as follows: Z Clamp Arm(ZCA) LRFD ASD=0.7 LRFD where applicable 6.1 PZ= 1206 840 lb upward rFlashable 6.2 Py= 760 532 lb north or south z /�1 `FPA Anchor 6.3 My= 1900 1900 in-lb either way around Y axis My 1 Roof 4137 in-lb either way around X axis 6.4 MX= 5910 f J ./� f� � fl��:f 6.5 Mz = 500 500 in-lb either way around Z axis FPA ELEVATION Notes: Py FPA Base- forces and moments shown can occur simultaneously connectors Z axis:vertical to roof not Y axis:array north-south Mz shown x t X axis:array east-west P x z ' c y FPA BASE PLAN Wire Rope Assembly(WRAC) LRFD ASD=0.7 LRFD P: °•ry°ter.°°^°�••°° •cttCN°uW XNNiII - 6.6 Pz= 840 588 lb upward Py.-— —►y 6.7 Py= 220 154 lb north or south 6.8 Mx= 1650 1155 in-lb either way around X axis �.. Notes: - FPAWRAC CONNECTOR ELEVATION forces and moments shown can occur simultaneously Y rcva n:,sc- Z axis:vertical / to roof not Y axis:array north-south X axis:array east-west. r FPA BASE PLAN SunLink Corporation-Proprietary&Confidential DO NOT COPY OR DISCLOSE 81412010 f SunLink Module Mounting System Array Weight and Wind Load Advisory r = 7.0 BALLAST CONFIGURATION Ballast Pan TVDO II BALLAST PAN l LONG UNK7 7.1 Ballast pan dimension'A' A= 27.3 in A. A— 7.2. Ballast pan dimension'B' 6= 12 in �- --0 18 ROOF 7.3 Ballast pan dimension'C' C= 24 in 7.4 Distributed weight under ballast pan type II. 61.2 psf (assuming uniform ballast block stacking) BALLAST PAN ELEVATION Notes: 1 Ballast assumed to be 12 x 12 nominal blocks(pavers)equally NOTE:PAVERS NOT SHOWN distributed on both sides of ballast pan.Cross tie wires are required unless blocks are adhered to the pan and to each other with a suitable waterproof adhesive. If blocks used are a different nominal size or are a 1Array North different weight than assumed here,notify SunLink. I 2 Customer I FOR to notify Sunt_ink if a different COF BALLAST PAN PLAN SunLink Corporation-Proprietary&Confidential DO NOT COPY OR DISCLOSE 81412010 M� SCHOTT Solar PO LYT'" ao� '• ma� �a:;° Polycrystalline Solar Modules s u At a g-lance . y G Industry leading warranty n Narrow outputttolerance `� �' o Lon9 term rehabili W tY a High resistance:to mectiarncat bads,: � a,� J o Up-to=date features a Environmentally,friendly Rely on SCHOTT Solar PV - scrrorrvotr*Mzzolzas/z3otz3s Buy/l►meEICa With confidence SCHOT r Solar POLY-i PV modules are 1 SCHOTT Solar has been a leading global developer and manufacturer of solar - manufactured with pnde;'in products for over 52 years. Engineered in Germany and manufactured in America, Albuquerque,New Mexico:from the high quality SCHOTT Solar PV modules are extremely durable and reliable as domesticand foreign components in demonstrated in several important ways: an 150 9001.20W certrfied.facili f. Industry leading warranty:SCHOTT Solar offers an industry leading linear power The modules from.Albuquerque output warranty for 25 years in addition to five years warranty for any defects in p Qualify as a domest►c'end product ,. materials or workmanship.This enhancement provides 6%more guaranteed power under the Buy Amencari Act(BAA) over the 25 year period compared to standard step-down warranties common in the p Qualify as a U.S made end product industry. under the Trade Agreement Act(fAA}: Narrow output tolerance:SCHOTT Solar POLYTm modules are among the industry o Qualify 'a domestic manufactured leaders in power output tolerances.SCHOTT Solar sorts all modules to a positive product under the Ameiican tolerance(minus zero watts)which provides for a stable,high energy output you Recovery lk Reinvestment Act(ARRA) can feel secure in. Long-term reliability: SCHOTT modules are environmentally tested to double the industry certification standards for thermal cycling and damp heat tests to ensure consistent and superior performance over the long term.In addition,SCHOTT has performance data from over 2S years of actual field testing that supports our high .quality products. High resistance to mechanical loads:SCHOTT Solar modules are tested to an extreme loading pressure of 5,400 Pa to ensure additional security for your investment. Up-to-date features: SCHOTT Solar modules offer up-to-date electrical features such as double insulated PV cables for use with transformerfess inverters and locking connectors. Environmentally friendly: Due to our concern with jobsite waste and disposal costs,we bulk pack our modules in a manner that significantly reduces cardboard waste. SCHOTT solar I Technical Data Electrical data Module type SCHOTT POLYT"^220 SCHOTT POL_YTM'225 SCHOTT POLYTm 230 SCHOTT POLY-235 Nominal power[Wp] P ,p '&220. . >225 .-23. - w W i _ >235 _ _ _ ___ _ . _ 1J Voltage at nominal power M Vmpp 29.7 29`8 30.0 '_ 30.2 - s Current at nominal power[A] Impp 7.41 - 7.55 ~� 7.66 7.78 _ Open-circuit voltage M__� V,c 36.5 _ I T 36.7- -µ [ m -36.9 FFF 37.1 Short-circuit current[Al iu �� 8 15 _ 8.24 8.33 8.42 STC(1,000 W/m;AM 1.5,cell temperature 25°C) Power tolerance(as measured by flasher):-0 Watts/+4.99 Watts Power measurement accuracy:±4%Data at normal operating cell temperature(NOCT) g LNN6mZaI power[Wp) Pmpp <i 158 � 161165169age at nominal power[Vj V,T,pp 26.7 26 9 271 27.2 n-circuit voltage[V] -voc 33.3 33.5 K 33.7 33.9rt-circud current[A] Ix" 6.53- 6 60perature[°C) TppcT 47.2 l ' 47.2 _j 47.2 - 47.2 NOCT(800 W!m,AM i.S,windspeed 7 m/s,ambient temperature 20°C) Power measurement accuracy:±4% Data at Low irradiation At a low irradiation in sityof 200 W/ria'(AM 1 5 and cell temperature 25_C)97 W of the STC module efficiency_(1000 W/qyj will be achieved. Temperature coefficients 933Ms fPow-[95/C] 0 45 �s� ircudvoltage[951C] 0 33 rt�ircuit current j44i/:C] +0.03 [+) j ^. d �i Characteristic data N Solar cells per module 60 Y e s € T W w . Cell ty¢ie _ 6"(156 mm x 1S6 mm),full square " e Front panel - Low4ron s6lar glass 4 mm'thick a Frame material - 'Anodized aluminum n Connection ' junction box.with 3 bypass diodes o PV WIRE,43.3"(1,100 mm)x 4 mm' a i TYCO SolarLok connectors glg 7-7 Dimensions and weight `Dimensions 66.34' (1 685 mm)x 39 09"{993 mm) 1 tolerance t 0.118 (3 mm) �Thickness 1.97"(50 mm)tolerance±0.04 0 mm) ight approx.50.6 Ibs(23.0 kg) N Limits System voltage[VDc) 600 frame profile Maximum reverse cuiient'[A]* L ... 15 Operating module temperature[°C] -40 to+85 - Maximum load(lbs/ft) _ . _ .75 Fire classification C _ No external current greater than b«shall be applied to the module. All dmensions in mmflnches 'Qualifications The SCHOTT POLY-220/225/2301235 Wattt mod'uies are certified to and meet � w the requirements of UL 1703. kilo, SCHOTT Solar reserves the rights to make specification,changes without notice. For detailed product.drawings and specifications,please contact SCHOTT Solar or an authorized'resefler. SCHOTT Solar PX Inc. U.S. Saes and Marketing U.S. Production Facility SCHOTT 6866 Santa Teresa Blvd. 5201 Hawking Drive, SE San Jose,CA 95119 Albuquerque,NM 87106 Toll free:888-457-6527 Phone:505-212-8500 solar, Email:sales@us.schottsolarcom WWW.US.schotts6lar.com P su!- RAY a MODULES .4 8 4x1 PANES •A SUBRRAY A J / // (/ / 1 2 3x1 PANELS F3 tS MODULES 2MODULES OMITTED 63x1 PANELS 3 MODULES OMITTED LAsr PAN TYPEn,rrP. D .. CONNECTORS,TYP. ,R 2 .. ZCA CONNECTORS ..4 ! . l ALIGN OVER EXISTING JOISTS,TYP. 4 7 I r / J WIND DEFLECTORS _ �.... �4. :T,r `.:• r NORTILEDGE OWS Tl ARRAY INFORMATION 50,Amay9 A.B,C a D Quantities: LATERAL LINKS r Z REQDASSHOWN No.of Modules 29 4xl Paneb 28 iJ Module Wattage 220 3x1 Parcels to DC String Length 1 20 Parcels o G .I„_I, No.of Strings 129 Omitted Modules -13L'..�.. SET MIN.FROM SETBACK FROM Rao/Haight(it) 24 Tilt Brackets 68 ° ALL ROOF EDGES Roof Area(h) 11,218 Eno-Row Titi Breaketa TS TO ALL MODULES VERIFY IN FIELD Project Latitude di°39'02.0"N La a al Links 12 .-a I 11 1 /1 Z✓��(^ `'�— .rm a,gte(esgrees) to wog units n Inter-Row Spacing(in) 55 Field DrDS 3 r Plan/°rm Area(fill 3,331 Till B Hoke s Beee s:e 17,75"x 11.25" HOLDDOWNS Lz2t'_ I_ I I I 1 Belfast Pan rips Type I r u 24 __ Ballast Pen Slie 4 Number of Ballast Pans 2 FIELD DR LL FOR AOO T ONAL aVe a Per Stillest Pen 10 I I II I I .. SUB-ARRAYG ANCHOR OR PIVOT BLOCK Numbaf a/Pavers Raqulred 20 CONNECTION(3 LOCATIONS) PANELS 3 Req'd BaOe i Paver W.(Iba) 24LBS EACH ul .._ 23x1 PANES _ Number of ZCA r'4rnectoln 3 MODULES OMITTED Number of WRAC Co—tous 3 a NOTES 1.Th.Nr ose of we drawing Is W show me locelmn of the aney on the building roof and the reaulred location of Su Unk Mounting System components for this proje I -1 1 _II I 1 .. y BaRRAY D yyy��r 39 MODULES 2.Rooftop'Information and other project information has been prevlde0 by ma Customer and has 4x1 PANELS not been verified by SpnLlnK Confirm key dm,enalons In the flats before beglnnlrg Inatetiatlort 5 MODULES OMITTED 3.Notify SunUnk before modifying me layout shown,relocating,omitting or modifying any Sunl-Ink component.InaWI all SunLink components per the SunLhlk Assembly Instructions. 'V 4.All additional Installation requirements,such as ioo0ng protection,elednoal oomponems, watsproofing,and as—Wr atreahmem,ere not by SunumL Refer to appropriate mlm pangs .. ... project dowmems. . 1 I I I I I I II LI.. I I S.Shade a5eaed—shown new,been determined by Sununk for 2 hours beore unto 2 hours after solar nconon December 22ndatprgectlatitude. I I I I I B.foram,weight am loading Information,refer to the Arley Design V"Load Support Letter for whim this layout Is reference. A RQ De1e COTUIT SOLAR R0 0604.10 LAYOUTDEFMTONWRHBNARP200AT10DEOREES „0009,a+1Ac-oeo3,o-ENc-R3 SUNLINK CORPORATION. SLO R1 fl"6.10 LAYOUT REVISED WITH SCHOr r POLY 220 AT 10 DEGREES rm - R2 07-22.10 DEFW ED SA NAMES,LOCATION OF BALLAST AND CONNECTORS. AMS 09 Jul 10 1010 B ST STE 400 SAN RAFAEL CA 94901 wwwsunlink.— P HAC' R3 0ae0.10 REVISED CONNECTORS v:415.925.9050 E415.925.9838 - 460 WEST MAIN STREET,HYANNIS,MA 02601 m.Ma,tiwand�4�wreap�P.,ryNe�D �«pa.nb�a�dmw, a R3 11000916 � ply« x �� Schott POLY 220 109 s 129 28.4 kW 9 , 2 , 817= F 1 - 3 J BALLAST PAVERS-SEE NOTES SPAR LONGITUDINAL LINK &ASSEMBLY INSTRUCTIONS CIAMP BLOCK LATERAL LINK(PER PLAN) LONGITUDINAL LWK BETWEEN MODULES SPAR BALLAST PAN WIND DEFLECTOR ANCHOR BLOCK CROSS-TIE WIRE 3/8"0 TYPE 304 STAINLESS STEEL ROOF SURFACE HEX HEAD CAP SCREW&NUT,TYP. MODULE BALLAST PAN PIVOT BLOCK TIE WIRE TILT BRACKET COVER TILT BRACKET BASE 12"x 12"NOMINAL BALLAST PAVERS ' ✓C 3 Section-Ballast Scale: NOTE.SEE STRUCTURAL DRAWINGS FOR CONNECTION OF FPA BASE TO BUILDING (NOT BY SUNLINK) 7GAx4'ZCLAMPARM 1 Section-Panel Assembly - Scale:1-1/2"=1'-0" (ZCA) 3/4'0 TYPE 304 55 C LONGITUDINAL UNK HHCS&WASHER , 14),5/1B'O ES BHCS WI FLASH ABLE POST ANCHOR ' FLANGE NUTS 14 GA.e LONG TYPE A 1W THICK BASE PLATE - END TILT BRACKET LINKCLAMP ROOF SURFACE LONGITUDINAL LINK - a LOWERSPAR UPPER SPAR TILT BRACKET 1 SIM 4 S 1 SL SL 4 Section-Connector ZCA Scale:1-1/2"=V.0" _ - WIND DEFLECTOR NOTE,SEE STRUCTURAL DRAWINGS FOR g CONNECTION OF EPA BASE TO BUILDING �' ] FIELD DRILLED SPAR (NOT BY SUNUNK) CONNECTION 3z/PANS L OMITTED MODULE LENGTH OF ROPE BETWEEN LENGTH OF ROPE BETWEEN LATERAL LINK CLIP AND CENTER OF LOOP v 15• CLIP AND CENTER OF LOOP=12' 4x1 PANEL (E)ROOF EQUIPMENT FLASHABLE POST ANCHOR 13 CUP LOOP a C J L 5 Section-Connector WRAC Scale:1-1/2"=1'-0" 2 Plan-Partial Array Layout Scale:1/4"=1'-0" A 1,00091"Aca&031D-ENc R3 S U N L I N K CORPORATION COTUIT SOLAR .n AMS o9 JDI 10 1010 B ST STE 400 SAN RAFAEL CA 94001 wwwA0N41Kmm HAC S L 1 r.419.923.9650 t.415.925.91336 - oxaos�mxwwe 460 WEST MAIN STREET,HYANNIS,MA 02601 R3 " 11000916 �.,Ke".�u4 ro �.H bO h x,wmww Naa. No.xnma sPmm=�-".D"no1 wPY",m.mwm«�w11wm.,.,..r�ma.eoa. _ _ Schott POLY 220 10° 129 28.4kW weala �® .. . 9�t O ice o onsumer Affa and Bus�.ness�-eg�ulatio� .n 10 Park Plaza - Suite 5170 Boston, ssachusetts 02116 �� Home Improve ontractor Registration Registration: 146276 Type: Supplement Card Expiration: 4/8/2011 COTUIT SOLAR CHRISTOPHER PETERSON 3800 FALMOU.TH RD. ,� MARSTONS MILLS, MA 02648 g Update Address and return card.Mark reason for Change. DPS-CA7 0 SOM•04/04 G101276 ~� ❑ Address ❑ Renewal ❑ Employment. ❑ Lost Card ��ie �anvrr fu�ru f�ea/� o�../�zctac�clxcuellia �a l� Office of Consumer Affairs&Bnsiness.Reguh., Vq on License or registration valid for individul use only OME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: Office of Consumer Affairs and Business Regulation Registrati0 n276 , 10 Park Plaza-Suite 5170. Expi — _1 Boston,MA 02116 T" 'Card COTUIT SOLAR,' CHR18TOPHER P:O.BOX89 `.�''r1 COTUIT, MA 02635 —`" Undersecretary Not valid without signature Massachusetts - Department of Public Safety Board of Building Regulations and Standards Construction Supervisor License License: CS 102975 Restricted to: 00 f CHRISTOPHER PETERSON 41 THATCHER HOLWAY ROAD ' MARSTONS MILLS, MA 02648 Expiration: I0/712012 Commissioner Tr#: 102975 f .. JUL 99 DATE IMM/001YY) x :0-7/06 1 0 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION PRODUCER ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Don Bunker Insurance ,Agency HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR P.O. Box 221 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. COMP ANIES S AFFORDING COVERAGE Hanover MA 02339- COMPANY 781 ) 312-7206 ( ) - A Nautilus Ins. Co_ INSURED COMPANY Cotuit Solar LLC B Arbella Protection. Insurance CO. P.O. Box 89 COMPANY 64 Old Shore Rd. � Granite State Insurance Com an Cotuit MA 02635- COMPANY D ( ) - • ••< ...• � .<;�� ,per:- ,. . • ••,z;,..,_. '• _ . 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 OP 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 HAV15 BEEN REDUCED BY PAID CLAIMS. POLICY EFFECTIVE POLICY EXPIRATION LIMITS CO TYPE OF INSURANCE POLICY NUMBER DATE(MUJDD/YV) DATE(MM/DD/YY) LTR • GENERAL AGGHE�ATE 52.0�� O O O A GENERAL LIABILITY X COMMERCIALGENERAL LIABILITY NNO 2 67 0 7 0 6/01 /1 0 0 6/01 /1 1. PRODUCTS-COMF- AGC3 S2 0 0 0, 0 0 0 77 CLAIMS MADE QX OCCUR PERSONAL&ADV INJURY $1 ,000,000 EACH OCCURRENCE $1 ,000 000 X OWNEF s&CONTRACTOIrs PROT FIRE DAMAGE(AM one ere) s 50, 000 MED W LIMY ene Pereon) S 5, 000j B AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $1 ,000 000 ANY AUTO 269164000037TO4/-30110 ;0�4/30/11 ALL OWNED AUTOS BODILY INJURY S (Per p-on) X SCHEDULED ALTOS BODILY INJURY S X HIREDAUTOS (Pereccldeny X, NONOWNEOAUTOS PROPERTY DAMAGE S AUTO ONLY-EAACCIDENT S GARAGE LIABILITY / / / / OTHER THAN AUTO ONLY 5 ANY AUTO EACH ACCIDENT S AGGREGATE 8 EACH OCCURRENCE s2,000 000 A uxm uAmuTv 0 6/O 1 /10 0 6/01 /1 1 AGGREGATE $2,0 0 0 0 0 0 uMaRa►A FORM AN0 01 3 2 0 10 000 $ X OTHER THAN UMBRELLA FORM STATU• OTH xFjiar ;s'r N�: .^K.La-.: S 5 O O. 0 0 0 C WORKERS COMPENSATION AND TORY ' EMPLOYzfW LIABILITY WC 0 0 3-4 9-51 61 0 3/2 6/10 0 3/2 6/1 1 EL EACH ACCIDENT - EL DISEASE-POLICY UMIT S 5 0 0,0 0 0 - THE PROPRIETOR/ INCL pARTN8kS/p(ECU1TVE EXCL EL DISEASE•EA EMPLpYEE S 5 0 0 ,0 0 0 OFFICERS ARE: OTHER pESCRIPTION OF OPERATIONSAWATIONS/VENICLM5PECIAL ITE7IfS Installation of solar panels *AGGREGATE LIMIT APPLIES PER PROTECT Additional insureds: Massachusetts Clean Energy Technology Center, the owner & as a lica.ble the host customer . n .F✓.. .,..,. ..... •• •^ � SNOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE WE EXPIRATION DATE THEREOF, THE LSSVINO COMPANY WILL ENDEAVOR TO MAIL Massachusetts Clean Energy 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, Technology Center BUT FAILURE TO MAIL SUCH NOTICE SMALL IMPOSE NO OBLIGATION OR LABILITY 55 Summer Street, 9th Floor of ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES. RIZEO REPRESENTA Boston MA 0211 IIP 0 f 3 am I0/I0 39Cd 83ANnea 80ZLZIEI8L 99=91 0I0Z/90/L0 The Commonwealth of Massachusetts .f Department o De art Industrial Accidents P ' � � Office of Investigations is 600 Washington Street Boston,MA 02111 www.massgov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name(Business/Organization/Individual): Or Address: To Bo 79 City/State/Zip: t4 r► 9 U2 W Phone#: c5o,, Are a an employer?Check appropriate box: Type of project(required): 1. ' I am a employer with 4. ❑ I am a general contractor and I employees(full and/or part-time).* have hired the sub-contractors 6. ❑New construction 2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7. ❑Remodeling ship and have no employees These sub-contractors have g. ❑Demolition workingfor me in an capacity. employees and have workers' Y A tY• 9. ❑Building addition [No workers.'comp.insurance comp.insurance. required.] 5. We are a corporation and its 10.0 Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their 11.❑Plumbing repairs or additions myself[No workers'comp. right of exemption per MGL 12.❑Roof repairs insurance required.]t c. 152,§1(4),and we have no employees. [No workers' 13.❑Other comp.insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. :Contractors that check this box must attached an additional sheet showing the name 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. ,(_ �/I Insurance Company Name: (�11 1 ) �40,k �r I �&Yo Policy#or Self-ins.Lic.#: Q 1 l�l Expiration Date: 1-0 If t - Job Site Address: "/ City/State/Zip: Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certif�derihepaj nd pe allies of perjury that the information provided above is true and correct Si ature: Date: S� Phone#: G J 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 f Contact Person: Phone#: bep Uz IV ut:gsp UV I VI I JVLAK UVOVwO•w I Barnstable Building Inspector,Paul Roma I,Daniel E.Braman,Registered Engineer,have considered the structure specific to the site at 460 Vest Main St,Hyannis,Massachusetts for Housing Assistance Corporation to be of adequate engineering to support the weight of 129 solar photovoltaic panels and racking weighing—31/2 pounds per square foot. g y�� .9 Daniel E. Braman ^; Date N0 SUMS rb - ut JCIO n f> �zT Town of Barnstable do . Building Department - 200 Main Street BARNSTABLE, * Hyannis, MA 02 601 9 MASS. 16g9- a,� (508) 862-4038 rF0 MA't s Certificate of Occlu' pancy . Application Number: 200902452 CO Number: 20080392 Parcel ID: 269030 CO Issue Date: 07123/09 Location: 460 WEST MAIN STREET Zoning Classification: SPLIT ZONING Proposed Use: TAX EXEMPT HOUSING AUTH Village: HYANNIS Gen Contractor: JK SCANLON Permit Type: CC00 CERTIFICATE OF OCCUPANCY COMM Comments: —09 Building Department Signature Date Signed TOWN OF,BARNSTABLE BUILDING PERMIT APPLICATION4. X, 2 Map- Parcel- ,; Application Health Division Date Issued 0 h9q Conservation Division pJcati Ap on" F I- Planning�Dept: {Permit Fee Date Definitive t Plan Approved by Planning Board Historic = OKH Preservation/,Hyannis Project Street Address %0 ftk4 //We6f Pain; 51) Village Owner Cqt e0J WL coy=e. Address Telephone Permit Request i ,ev,40y), /a zw` a ilei Square feet: 1 8t floor: existing-proposed 2nd floor: existing 1 roposed Total new .09ping District Flood Plain Groundwater Overlay Project ValuatiA 15,000 Construction Type Lot Size Grandfathered: Ll Yes' J No If yes, attach supporting documentation. Dwelling Type: Single Family 0 Two Family L3 Multi-Family(# units) Age of Existing Structure Historic House: 0 Yes %--No On Old King's Highway: LJ Yes Ll No Basement Type: LIFull J Crawl LI Walkout Ll Other Basement Finished Area(sq.ft.) Basement Unfinished Area (sq.ft) Number of Baths: Full: existing. new Half: existing 99,w Number of Bedrooms: existing new Total Room Count (not including baths): existing new First Floor R66- -n CouA�.;* Heat Type and Fuel: LJ Gas Ll Oil LJ Electric Ll Other C) 2 Z? Central Air: LJ Yes Ll No Fireplaces: Existing New Existing wooNcoal stove: LILYes L3 No Detached garage: LJ existing L3 new size_Pool: Q existing Ll new size Barn: LJ e isting -J neg size rn Attached garage: L]existing L] new size Shed: Ll existing Ll new size Other: 7�) Zoning Board of Appeals Authorization Ll Appeal # Recorded Q Commercial Ll Yes J No If yes, site plan review# Current Use Proposed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER) 5 Name Telephone Number Address 4 License# _� D Q� Home Improvement Contractor# Worker's Compensation # 1WC,1- 2,0517M-l6 ALL CONSTRUCT[A DEBRIS S TING FROM THIS PROJECT WILL BE TAKEN TO UL DATE TE FOR OFFICIAL USE ONLY APPLICATION# DATE ISSUED MAP/PARCEL NO ADDRESS VILLAGE -;OWNER s DATE OF INSPECTION: FOUNDATION FRAME s INSULATION FIREPLACE _ r ELECTRICAL: ROUGH FINAL 'PLUMBING: ROUGH FINAL GAS: ROUGH FINAL y FINAL BUILDING f DATE CLOSED OUT ASSOCIATION PLAN NO. 3 f Roma, Paul From: Shea, Sally Sent: Friday, June 05, 2009 4:06 PM To: Roma, Paul Subject: FW:460 W.Main -----Original Message----- From: Lt. Don Chase [mailto:dchase@hyannisfire.org] Sent: Friday, June 05, 2009 3:08 PM To: Shea, Sally Subject: 460 W.Main Hi, All set with plans from JK Scanlan for 460 W Main. Thanks Don Lt. Don Chase, FPO Fire Prevention Officer Hyannis Fire Dept. dchase@hyannisfire.org f 1 . la 0 Founded on Commitment.Built on Service.. General Contractors(Design/Build I Construction Management Restoration January 29, 2009 Building Department Town of Hyannis ' 200 Main Street Hyannis, MA 02601 Fax: 508-790-6230 Re: Cape Cod Hospital Hyannis, MA To Whom It May Concern, I am writing to inform you that Bryan Brickley is an employee of J.K. Scanlan Company, Inc.and has the authority to request a building permit on behalf of J.K. Scanlan Company, Inc. If you have any questions please do not hesitate to contact me at 508-540-6226. Sincerely, J. Scanlan Company, Inc. .'A Marie Walker, Clerk of Corporation/Chief Financial Officer 15 Research Road East Falmouth,MA 02536 508.54o-.6226 tel 508.540.9222 fax`1 www.jkscainian.com \ .: a, « . z a� - � � ` } . • � - : « . , x . . � ) . » ) \� . � . �\ \ (� �r �\ . (� r \ �f � �ƒ }�!. � !� �\ - �r }� {\! . p �J The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigation 600 Washington Street Boston,MA 02111 Worker's,Compensation Insurance Affidavit Applicant Information: J. K. Scanlan Company, Inc.r. PROJECT NAME: Cape Cod Hospital—Human Services—Second Floor LOCATION: 460 West Main Street CITY: Hyannis STATE: MA PHONE#: ❑ 1 am a homeowner performing all work myself. ❑ I am a sole proprietor and have no one working in any capacity. ❑ I am an employer providing worker's compensation for my employees working on this job. Company Name Address City State Zip Code Phone# Insurance Co Policy# Expiration Date ® I am a sole proprietor,General Contractor,or homeowner(circle one)and have hired the^contractors listed below who have the following workers' compensation policies: Company Name J.K.Scanlan Company,Inc. ti Address Falmouth Technology Park, 15 Research Road City East Falmouth State MA Zip Code 02536-4440 Phone# 508-540-6226 Insurance Co. National Fite Insurance Policy# WC1-2095375526 Expiration Date August 20 31, 09 KK w ..,. Company Name Address City State Zip Code Phone# Insurance Co. Policy# Expiration Date Failure to secure coverage as required under Section 25A of MGL 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one year's imprisonment as well as civil penalties in the form of a STOP WORK ORDER and a fine of $100.00 a day against me. I un erstand that a copy of this statement may be.forwarded to the Office of Investigation of the DIA for coverage verification. 1 do hereby c t� nder th r s and penalties of perjury that'the information provided abov is.true and correct.. Signature ate: � � Z 0 Print Name: o er Phone#: (508) 540-6226 X 631 Officia se only—do not write in this area—to be completed by city or town official City or town: Permit/license# ❑x Building Department ❑Licensing Board Selectmen's Office ❑Health Department ❑Other ❑check if immediate response is required Contact person: Phone#: I _ s From:LOUSEE INSURANCE AGENCY INC 78193460.12., 06/03/2009 11:`12 $881 P.001/002 _,..ADDED. CERTIFICATE, OF LIABILITY INSURANCE; DATE(MMAD/YYW) 06/03/2009 FAX THIS CERTIFICATE 18ISSUED AS A MATTER OF INFORMATION PRODUCER - PMC Insurance Group ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 50 Cabot Street HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. PO Box 920179 Needham, MA 02492 INSURERS AFFORDING COVERAGE NAIL# INSURED R Aronson Flooring Inc a`Elite. Floors, - - INSURER A: -Technol o - - - -gy-Insurance Co PO Box 1155 INSURERB Hanover, MA 02339 INSURER Q INSURER INSIRERE; - -- COVERAGES THE POLICIES OF INSURANCE LISTED BE-LOW 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 MAYBE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE-TERMS,EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR AODLPOLICY EPPECTIVE POLICY E DAIsImumnAmLIMI►S- TYPEOfWSURANCE POLICY NVMBER EXPIRATION- LI -_.._ ._. ..GENERAL LIAB EACH OCCURRENCE S ILITY -- COMMERCIAL 43EWPAL LIABILITY —D—AXNTOAEWED 5 _ CLAIMS MADE ❑OCCUR MED EXP(Arty cm Pawn) S - PERSONAL&ADIV IKJUF4Y., S '.... .. ,._ ,. GENERAL.AGGREGATE 5 GENl AGGREGATE LIMIT APPLIES-PER PRODUCTS-COMPtOP AGC. S. POLICY - MET LOQ AUTOMOBILE LUBILITV __. - :COMBINED SINGLE LIMIT ANY AUTO (Ea eeddent) 3 ALL OWNED AUTOS :,_... BODILY INJURY S. SCHEDULED AUTOS (Per wow) -HIRED AUTOS BODILY.INJURY S NON-OWNED AUTOS - (Per eedderd) --, -- --— -. PROPERTY DAMAGE. S... - (Per wddem .. GARAGE L"ILJTY __ -. .. ..-.. ._ ...-. .AUTO ONLY•EA ACCIDENT $ ANY AUTO , OTHER THAN EA ACC S. AUTO ONLY. AGO E ... .. .-... r.EXCESS EACH OCCURRENCE, S /UMBRELLALUBILITY �- � - .. OCCUR 0.CLAIMS MADE., AGGREGATE'.. S S1 _ DEDUCTIBLE s aETENncN s WORKERS COMPENSATION AND TWC-3194041 03/18/2009 03/18/2010 _ C STATU- EMPLOYERS'LIABILITY - - "' - A ANY PROPRIETORIPARTNER/EXEcumtE. E.L.EACH ACCIDENT S SOO- 000 OFFICERIMEMBER EXO UDEDT E.L.DISEASE.EA EMPLOYEE-- _5 500,000 It yee,dauctibe udw . . SPEQALPRLMSIUNS Wbw _.., . E.L.DISEASE•POLICYLIMIT 5 500,00 OTHER. -: _ - DESCRIPTION OP.OPERATIONS ILOCATRONS/VEHICLEStCLUSIONS.ADDEDBY ENDORSEMENT/SPECIAL PROVISIONS -All operations usual to the business of the Insured_ Project: Cape Cod Healthcare; Hyannis; MA Ten days notice of cancellation for. no n=payment Of'.p,rerniu.m CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,THE ISSUING INSURER WILL ENDS AVOR.To 6UUL 30.. DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NANEDTo THE LEPT; Bowdoi n Const ruct i On Corp BUT FAILURE TO MAIL SUCH NOTICE SHALL WPOSE N0 OBLIGATION OR LIABILITY 220-1 Reservol r,Street OF ANY KIND UPON THE INSURER,rrS AGENTS OR REPRESENTATIVES. Needham HeigIhtsi MA .02494 AUTHORIZED REPRESeNTATNe 4 Richard Lou ee ELP ACORD 25'(200"1I08) FAX: Q81)444-4970 ®ACORD CORPORATION 1988 Licensee Details Page 1 of 1 The Official Website of the Executive Office of Public Safety and Security(EOPS). Mass.Gov Home ;; Public Safety i. Department of Public Safety Licensee Complaints License Type Construction Supervisor License# 96899 }, Restriction 00 Name Bryan Brickley ,. City,State,Zip Plymouth,MA,02360 �° Expiration Date 1/6/2010 k Status Current No complaints found for this Licensee. Back To Search f} l i D , t http://db.state.ma.us/dps/licdetails.asp?txtSearchLN=CSL9'' 6/3/2009 r � lati Town of Barn-stable Regulatory Services 9 MAS& g Thomas F.Geiler,Director n ��� Building Division Tom Perry,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 as Owner of the subject,l property hereby authorize 5—(-m Lei to act on my behalf, in all matters relative to work authorized by this building permit application for: �p Ahil Is (Address of o ) Aa 4naignatur�e ( f Owner Vate Print Name If Property Owner is applying for permit please complete.the Homeowners License Exemption Form on the reverse side. Q:FORMS:O WNERPERMISSION �oF YKKE try " Town of Barnstable Regulatory Services atirWsrAsr.F— Thomas F. Geiler,Director HALM t639. p,0� Building Division rEn Mai Tom Perry,Building Commissioner 200 Mai.g Street,_.Hyannis,MA 02601 w%v.to wn.b arnstabl e.ma.us Office: 508-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION Please Print DATE: JOB LOCATION: _ number street _ —_village "HOMEOWNER": name home phone# work phone# CURRENT MAILING ADDRESS: city/town state zip code The current exemption for"homeowners"was extended to include owner-occupied dwellings of six units or less and to allow homeowners to engage an individual for hire who does not possess a license,provided that the owner acts as supervisor. DEFINITION OF HOMEOWNER Persons)who owns a parcel of land on which he/she resides or intends to reside,on which there is, or is intended to be, a one or two-family dwelling,attached or detached structures accessory to such use and/or farm structures. A person who constructs more than one home in a two-year period shall not be considered a homeowner. Such "homeowner"shall submit to the Building Official on a form acceptable to the Building Official,that he/she shall be responsible for all such work performed under the building permit. (Section 109.1.1) The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other applicable codes, bylaws,rules and regulations. The undersigned"homeowner"certifies that_he/she understands the Town of Barn table Building Department minimum inspection procedures and requirements and that he/she will comply with said procedures and requirements. Signature of Homeowner Approval of Building Official Note: Three-family dwellings containing 35,000 cubic feet or.larger will be required to comply with the State Building Code Section 127.0 Construction Control. HOMEOWNER'S EXEMPTION The Code states that: "Any homeowner performing work for which a building permit is required shall be exempt from the provisions of this section(Section I D9.1.1 -Licensing of construction Supervisors);provided that if the homeowner engages a persons)for hire to do such work,that such Homeowner shall act as supervisor.,. Many homeowners who use this exemption are unaware that they are assuring the responsibilities of a supervisor(see Appendix Q, Rules&Regulations for Licensing Construction Supervisors,Section 2.15) This lack of awareness often results in serious problems,particularly when the homeowner hires unlicensed persons. In this case,our Board cannot proceed against the unlicensed person as it would with a licensed Supervisor. The homeowner acting as Supervisor is ultimately responsible. To ensure that the homeowner is fully aware of his/her responsibilities,many communities require,as part of the permit application, that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the last page of this issue is aform currently used by several towns. You may care t amend and adopt such a fom✓certification for use in your community. Q:forms:homeexempt I " eDFP Submittal Confirmation for DEP Transaction ID: 244612 Page 1 of 2 Y } eDEP Submittal Confirmation for DEP Transaction ID: 244612 eDEPConfirmation@massmail.state.ma.us [eDEPConflrmation@massmail.state.ma.us] Sent: Wednesday,June 03,2009 8:55 AM To: Jessica Pounder Cc: Bryan Brickley;Ward Jaros t f Thank you for using eDEP Online Filing from the,Massachusetts Department of Environmental Protection. Your transaction is complete and has been submitted to MassDEP. This email is your receipt for the eDEP Online Filing transaction described below. Please review it and keep a copy for your records. Please do NOT reply to this message, this email address will not-receive messages. For assistance with eDEP Online Filing, please email the DEP Help Desk at DEP.HELP@state.ma.us or call 617-556-1100. MassDEP is interested in how we can serve you better. To help us make improvements to eDEP, please take a minute to complete our eDEP Online Filing Survey at http://www.mass.gov/dep/service/compliance/edepsurv.htm. To contact MassDEP Programs, please see http://mass.gov/dep/about/contacts.htm. DEP Transaction ID: 244612 Date and Time Submitted: 06/03/2009 08:26:41 Form Name: AQ 06 - Construction/Demolition Notification Payment Information DEP code: 38568 Date: 6/3/2009 8:26:04 AM Amount ($) : 85 Payment Detail: --AccountType AccountNumber ****4765 ConfirmationNumber: Contractor Contractor Number Name Address Supervisor Project Monitor Lab EMAIL ID OF THE USER: jpounder@jkscanlan.com https://mail jkscanlan.com/owa/?ae=Item&t=IPM.Note&id=RgAAAACQypgYQKOpSL%2... 6/3/2009 7'. ` MU'J� - HEALTHCARE C)IVISION I` Owner: Cape Cod Healthcare -- Location: 460 West Main Street r w j Project Name: Human Services-.Second Floor Date: June 2,2009 s 9-1a" Drawn by: Bryan Brickley Scale: Not to Scale -- EC 0,,�A I d S 2,,A. = f 1 ` —77 -4 '=o �f 91 HEALTI-ICARE DIVISICIN r 1 Owner: Cape Cod,Healthcare l. Location: 460 West Main Street New otx,a } - Project Name Human Services-Second Floor 3x. P:ose } 10 Date: June 2,2009 - a. Drawn by: Bryan Brickley" - - Scale: Not to Scale prof se d /VW Raw Pf�>7 xrc, _ _�— XL X�n .� XL Ia f3 S,bi`� \ a� J. 'f .. "Sq._ S0.= � ?•.JD, Imo, - YL VL 41 t e O (17 LTH O rl �DV ge HEALTHCARE DIVISIN Owner: Cape Cod Healthcare. jiEW R�q o , Location: 460 West Main Street Go sefi Project Name: Human Services-Second Floor - DeZxm Date: June 2,2009 4 Drawn by: Bryan Brickley f �`I 4 5L' + �j �J iJw Y r J1Z7/bq 1 Scale: Not to Scale Y <[r _ (y.SL J fnd m o �I V►�C Lfl ou l _ a Sc fO TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map D(01 Parcel o3.0 Application # Health Division Date Issued L teloca Conservation Division Application Fee Planning Dept. =" Permit Fee v Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation/Hyannis Project Street Address 460 WEsr MA 4 's Mc Village HY.444tS MA 02(vof Owner GaR?oRwi Io4 Address' (v0 14CsT mAW sTperT Telephone 5,00' 5q o o Permit Request DEn10 rXX_r)1J6r soDIM (r= )4STJ4LL Mra TRir► 9 51004C NO VRV+L Woi2t(, EXIST-Mr' 14140o%WS rz PlEmAid. 445Tj4W, fJOW fdL Mioll # oi= SQv41?a OF soiI4 �- s CD6 SQVIVC, Rbar-W(r TO gEi,14 ti/ Square feet: 1 st floor: existing li�81proposed 2nd floor: existing li,%1 proposed KX Total new Zoning District Flood Plain Groundwater Overlay Project Valuation i 000 6 0 Construction Type Lot Size 33 yes OLD Grandfathered: ❑Yes ❑ No If yes,.attach supporting documentation. Dwelling Type: Single Family :❑ Two Family ❑ Multi-Family (# units) Age of Existing Structure Historic House: ❑Yes XNo 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- 0` Half: existing GL new A 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 ❑ 1 Commercial ❑Yes ❑ No If yes, site plan review# Current Use Proposed Use `= co APPLICANT INFORMATION '- (BUILDER OR HOMEOWNER) Name Telephone Number 14To Address ,x I:L \/ALL r ('govf License# 09 Q d 4 d -3 f b F' fAt 1°vf� H Sui fl� 43 Home Improvement Contractor# f-, f 4L_/"0V_1K WIC{ OZ573 Io Worker's Compensation # %1y I U ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO rNA SANII- `f io1✓ SIGNATURE r DATE 31, .2od© 1 FOR OFFICIAL USE ONLY APPLICATION# DATE ISSUED MAP/PARCELNO. ADDRESS VILLAGE OWNER z DATE OF INSPECTION: FOUNDATION FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL E PLUMBING: ROUGH FINAL x GAS: ROUGH FINAL y _ FINAL BUILDING (iF DATE CLOSED OUT ASSOCIATION PLAN NO. R The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston, MA 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information / Please Print Legibly Name(Business/orgattization/Individual): ��� Vak' Glb Address: -7 O E ra�rnav City/State/Zip: Phone.#: Are you an employer?Check the appropriate box: Type of project(required): 1.El I am a employer with 4. I am a general contractor and I 6. ❑New construction employees(full and/or part-time).* have hired the sub-contractors - 1' I am a sole proprietor or partner- listed on the attached sheet 7. �Remodeling Y s . and have no employees These sub-contractors have g. Demolition working for me in any capacity. employees and have workers' 9 '0 Building addition [No workers' comp.insurance comp.inmuranceJ 5. We are a corporation and its 10.0 Electrical repairs or additions required.) 3.❑ I am a homeowner doing all work officers have exercised their . 11.0 Plumbing repairs or additions myself [No workers' comp. right 6f exemption per MGL 12.0 Roof repairs insurance required.]t c. 152, §1(4),and we have no . e ht f rF employees. [No workers' 13.❑Other comp.insurance required.] *Any applicant that checks box#1 must also fill out the'section below showing their workers'compensation policy information. t Homeowner;who submit this affidavit indicating they are doing all work and then hits outside contractors must submit a new affidavit indicating such.- xContractors that check this box must attached an additional sheet showing the name of the subcontractors and state whether or not those entities have employees. If the sub�-_ontrrctors have employees,they must pmvi&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. ti • � - : '�ro i� C6111PInsurance Company Name:— — 1� 2ri��^ �-rGi,�.t t 2h #or Self-ins.Lic.#: )J L4" U D 1 Expiration Date: � I 66 Job Site Address: 460 ► t W-\N « City/State/Zip: 4CL, Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investications of the DIA for insurance coverage verification. I do hereby certify u the ain an en of perjury that the information provided above is true and correct Si ature: '�c Date: .3125 108 — Phone k 5 V4- �q 8, '11 S Official use only. Do not write in this area,to be completed by city or town official, City or Town: Permit/License# Issuing Authority(circle one): L'Board of Health_ 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#• A Information and Instructions r 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-contractors)name(s),address(es)and phone number(s)along with their certificate(s)of insurance. Limited Liability Companies-(LLC)or Limited Liability Partnerships(LLP)with no employees other than the members or partners,are not required to carry workers'compensation insurance. If an LLC or LLP does have employees,a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested,not the Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy,please call the Department at the number listed below. Self-insured companies should enter their self-insurance license number on the appropriate line. City or Town Officials Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permit/license number which will be used as a reference number. In addition,an applicant that must submit multiple permit/license applications in any given year,need only submit one affidavit indicating current policy information(if necessary)and under"Job Site Address"the applicant should write"all locations in (city or town)."A cbpy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year.Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (Le.a dog license or permit to burn leaves etc.)said person is NOT required to complete this affidavit. The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call The Department's address,telephone-and fax number. The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 604 Washington Street Boston,MA 02111 Tel. #617-727-4900 ext 4.06 or I477-MASSAFE Revised 11-22-06 Fax#617-727-7749 www.mass.gov/dia �tHET � Town of Barnstable Reg ulatory for Services aaxxsrABM r MASS. $, Thomas F.Geiler,Director '0'Fc�.ra Building Division Tom Perry,Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-403.8 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using ABuilder as Owner of the subject property hereby authorize It- 6 R©up to act on my behalf, in all matters relative to work authorized by this building permit application for: ��0 ��St IV►AI�.I. ��2�i1ri (Address of Job) i D q10 lboof Signature of Owner.` Da 1`12�DE��G� �R�:S13R1� Print Name /i--C(L L F-ff I VS Cof��'6KIF od If Property Owner is applying for permit please complete the Homeowners License Exemption Form on the reverse side. i Q:FORMS:0 WNERPERMISSION pFTHE Tp Town of Barnstable y�P Regulatory Services. BARKSTA19 . : Thomas F.Geiler,Director MASS. � s6s9. .0� Building Division ArFD MA't A Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 vrww.town.barnstab)e.ma.us Office: 508-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION Please Print DATE: JOB LOCATION:_ _ number street village "HOMEOWNER": name home phone# work phone# CURRENT MAILING ADDRESS: city/town state zip code Y The current exemption for"homeowners"was extended to include owner-occupied dwellings of six units or less and to allow homeowners to engage an individual for hire who does not possess a license,provided that the owner acts as supervisor. DEFINITION OF HOMEOWNER Person(s)who owns a parcel of land on which he/she resides or intends to reside,on which there is, or is intended to be,a one or two-family dwelling, attached or detached structures accessory to such use and/or farm structures. A person who constructs more than one home in a two-year period shall not be considered a homeowner. Such "homeowner"shall submit to the Building Official on a form acceptable to the Building Official,that he/she shall be responsible for all such work performed under the building permit. (Section 109.1.1) ` The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other applicable codes,.bylaws,rules and regulations. The undersigned"homeowner"certifies that he/she understands the Town of Barnstable Building Department minimum inspection procedures and requirements and that he/she will comply with said procedures and requirements. Signature of Homeowner Approval of Building Official Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply.with the State Building Code Section 127.0 Construction Control. HOMEOWNER'S EXEMPTION The Code states that: "Any homeowner performing work for which a building permit is required shall be exempt from the provisions of this section(Section 109.1.1-Licensing of construction Supervisors);provided that if the homeowner engages a person(s)for hire to do such work,that such Homeowner shall act as supervisor." Many homeowners who use this exemption are unaware that they are assuming the responsibilities of a supervisor(see Appendix Q, Rules&Regulations for Licensing Construction Supervisors,Section 2.15) This lack of awareness often results in serious problems,particularly when the homeowner hires unlicensed persons. In this case,our Board cannot proceed against the unlicensed person as it would with a licensed Supervisor. The homeowner acting as Supervisor is ultimately responsible. To ensure that the homeowner is fully aware of his/her responsibilities,many communities require,as part of the permit application, that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the last page of this issue is a form currently used by several towns. You may care t amend and adopt such a form/certification for use in your community. Q:forms:homeexempt oT\i1.ks -L�2 TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION V� Parcel y Application# G Lf�P�J79 Map Health Division Conservation Division Permit# Tax Collector Date Issued 5 Treasurer Application Fee ( L_�_0 j Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board Historic-OKH Preservation/Hyannis Project Street Address �IoCS l�F?T M d� ST Village Owner k k L- a- e ld Address q�n l - (` L,3 sr. 1 Telephone <125T-fib Permit Request CM f Square feet: 1st floor:existing --------proposed floor:existing proposed Tot Zoning District Flood Plain Groundwater Overlay Project Valuation -�� Construction Type Lot Size � Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family(#units) Age of Existing Structure �Historic House: ❑Yes \4 No On Old King's Highway: ❑Yes No Basement Type: ❑Full ❑Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) UNYI Basement Unfinished Area(sq.ft) Cd\ \ Number of Baths: Full:existing new Half:existing V 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 Yp Uw�A� Central Air: W,Yes ❑No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑No Detached garage:Cl existing ❑new size C_ Pool:❑existing ❑new siz%1f\-6 Barn:❑existing ❑new size�k Attached garage:❑existing ❑new size � Shed:❑existing ❑new sizOther: Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes ❑ No If yes, site plan review# Current Use Proposed Use BUILDER INFORMATION Name <,; 4AWA LAC" M �A CAQf; 663 Q(UfTelephone Number Address License# (\ Home Improvement Contractor# 1CZZ�'b �1 ti C- M09LU lS) Worker's Compensation# u>-e 1, j&zg—3— t'� ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO Q6c.4 YL. <�7W ia)Y1Atur�L P� SIGNATURE <S6A-P DATE - �- FOR OFFICIAL USE ONLY _ PERMIT NO. DATE ISSUED MAP/PARCEL NO. ADDRESS. VILLAGE r � OWNER DATE OF INSPECTION: FOUNDATION - A FRAME ' r INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL - GAS: ROUGH FINAL FINAL BUILDING - t DATE CLOSED OUT ` ASSOCIATION PLAN NO. y ` f The Commonwealth ofMassachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston, MA 02111 y www.massgov/dia, Workers' Compensation Insurance Affidavit: Builders/Co a ecfricians/Plumbers A h ant Information Please Print LesdbI Name pusiuess/oro nizatimmadividuq. kV Address: 4�D W M 1� City/State/Zt _ JM W V Phone M. 9q&--3 IOb �v Are you an employer? Chec e•appropria:t x; Type of projecf(regoir•ed): I an a employer with 4. am a general contractor and I 6. ❑New construction employees(fall and/or part t ne).* havehired the sub-contractors 7. Remodeling 2.❑ I on a sole proprietor or patner- listed on the attached sheet t ❑ g ship and have no employees These sub-contractors have 8% ❑ Demolition working for me in any capacity. workers' comp.insurance g, ❑ Ehii1ding addition o workers' insurance 5. ❑We are a corpgration and its � comp. 10.❑ Electrical repairs or additions required.] officers have exercised they 3.❑ I am a homeowner doing all work right of exemption per MGL l i.❑ P'bam g repass ar additions myself.[No workers' cor>V. c. 152,§1(4),and we have no oof repairs t=ance required.]t . employees.[No workers' 13.❑ Other camp.amsuraace required.] *Auy applicant that checl©box#1 mnst also f 11 out the section below showing their workers'oompensation polieyinfonnatioa: ` t Hvmeownars who submit this affidavit indicating they ate doing an work andthen live outaide contzaators mast submit anew aMdsvit mdica twig such ;Contractors that check this boa mast attached an additional sheet showing the name of the subcontractors cad their workers'comp.policy iaformstion. tam an employer that is providing workers'compensation insurance for.my employees. Below is the policy and job site Information, Insurance Company Name: Policy#or Seim.Lac. U I� 3 39ie► Q'Z8-2 - Job Site Address: LALD COME Mlki►J ' City/state/Zip:_�- A+Nn\S Attach a copy of the workers' compensation parity declaration page(showing the policy number and expiration date). . Failure to secure-coverage as required undet Section 25A of MGL c. 152 m3 lead to the imposition of criminal penalties of a fine up to$1,500,90 and/or one-yoar kpr1somn=n as well as cbdlpenalties is the form of a STOP WORK ORDER and a fie of up to$250.00 a day against the violator. Be advised that a copy of this statement maybe forwarded to the Office of Investigations of the MA,for insurance coverage verification. I do hereby certify under the pains and penalties of pedupy that the information provided above is true and correct; Sranature: -A� Z V Date: ds=l7 y(o Phone# "tj Lt� f+36 Da i�3 u`e'i�$"t's{z�"3 iEfi'�di, '8 4' $�• `C +' rj.0 I l City or Town: PermiVL!cense# lssuiq Authority(circle one); I i.Board of Health 3.Building(Department 3.City/Town.Clerk 4.Electrical Inspector 5.Plumbing Inspector 6. Otther a Co•r�act Person: Phone#: InformAtion and Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers' compmsatimfortheir CZ910yeps pursuant to this statute, an employee is defined as ,...everyperson in the service of another under any contract of hoe," ,► express orimplied,.oia1 or written." An employer is defined as•"am individual,partnership,association,corporation or other legal entity,or any two or more of the for6gomg engaged in a joint enterprise, and including the legal representatives of a deceased employer,or the . receiver or trustee of an individual,partaership, 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 tobe 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 it 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 say contract for the performance ofpublic work until acceptable evidence of com921iance with the insurance requirements of this chapter have been presented to the contracting authority." Applicants Please fill out the workers'compensation affidavit completely,by checking the boxes that apply to your situation and,if necessary,supply sub-contractors)name(s),address(es)and phone number(s)along with their certificate(s)of, insurance. Limited Liability Companies(LLC)or Limited Liability Partnerships(UP)with no employers other than the members or partners,are not required to carry workers' compensation insurance. If an LLC or L12 does have employees,a policy is required. Be advised that this afdavit 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 tha•Deparment of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain it workers' compensationpolicy,please call the Department at the member listedbelow. Self-insured companies ahMM their self-msmmee license number an-the appropriate lice. City or Town Officials . Please be sure that the affidavit is complete and printed legibly: The Department hasprovided a space at the bottom. d�affiftrit far you to fill oast in the event the office of Investigations has to contact you regarding the applicant. - Please be sure to fill in the permit/tieense=nber which wM be used as a reference number. In addition,an appliraot that r®st submit multiple permitrlicense 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 markedby the city or town may be provided to the applicautas proof that•a valid affidavit is en file for future permits or licenses. Anew affidavit mnstbe filled out each year.Where a Home owner or citizen is obtaining a license or permit nptielated to any business or commercial venture (i.e. a dog license or permit to bran leaves etc.)said person is NOT requfred 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 C,-%=onwP-a1ffi of M ssa tk5 Depa tm.mt of Industrial.Accidents Office of Inva*atiew 600 Washington Street Boston, MA 02111 Tel. #617-727-4900 ernt 406 os 1 o77 N ASSAFE Fa.0 617-727-7749 Revised 5-26-05 v w v;ma55.gov/dia , I 9Xe Board of Building Regulations and Standards One Ashburton Place - Room 1301 Boston. Massachusetts 021.08 Home Improvement Contractor Registration Reg istration: 112280 Type: Private Corporation Expiration: 2/10/2007 TRADE CONSULTANTS/CAPE COD RJOFI EMO SCHIAPPA- - 111 HATHAWAY ST WAREHAM, MA 02571 Update Address and return card.Mark reason for change. Address ❑ Renewal ❑ Employment El Lost Card DPS-CAJ 0 50ivi-04104-G101216 �le�amirwnu�ea� a�,./�/laaaac`ivaef�a Board.of Building Regulations and Standards License or registration valid for individul use only HOME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: Board of Building Regulations and Standards Registration::--_�12280 One Ashburton Place Rm 1301 Expiration:-:2jj0/2007 Boston,Ma.02108 Type:,,Pflvate Corporation TRADE CONSULTANTS/CAPE.COD ROOFING EMO SCHIAPPA - 111 HATHAWAY STD WAREHAM,rYRA 0=5 1 Not valid wtthoSe s!= at Administrator I U� �oFIHE, Town of Barnstable P Regulatory Services buss. � Thomas F.Geller,Director y Building Division. Tom Perry, Building Commissioner 200 Main Street, fIyanais,MA b2601 " W".town.barnstabte.ma.us office: 508-862-403 8 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder as Owneof the subject property hereby authorize L�p �I�Qp (LtX�to act on my behalf, in all matters relative to work authorized by this building pemut application for. 4(oo Lo M4tk) � 4Ags (Address of Job) • �.- - .� CAS 1�-0(0 Signature of Owner Date a Print Name Q:FORMS:0WNERPERN9SSION _MAY-24-2006 11:46 MORSE INSURANCE AGENCY P.01/01 ACORD CERTIFICATE OF LIABILITY INSURANCE =4/2006 (MMIDOMWY) PAODUtan FAx (508)230-8367 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Morse Insurance Agency NLY AND CONFERS NO. RIGHTS UPON THE CERTWICATE Y Inc.. HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 285 Washington Street ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW, North Easton Village Shoppe North Easton MA 02356 INSURERS AFFORDING COVERAGE I NAIC# INSURED INSURER A:UnderWriterZ at Lloyds Schlappa Enterprises Inc INSURER R:Conmerce Insurance Co. DBA: Cape cod Roafing & siding INSURERc-Travelers 1n3ur&nC6 CO. III Hathaway Street INSURER 0: a Wareham b 02571 IN6URER E: COVERAGES THE POLICIES OF INSURANCE LISM BELOWMAVE 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 RESPECTTO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED EY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INBR A001 TYPE OF INSURANCE POLICY NUMBER pATEY I g EFFECTIVE POLICY EXPIRATION LIMITS A GENERAL LIABILITY n LO471i7 06/09/2005 06/09/2006 EACHOCCUARENC6 1,000,020 NCC'M M RCIAL GENERAL MABILITY MADE TQ RENTED 50,000 1 amurronce S CLAIM8 MADE ®OCCUR MOD fxP An one person) E 5,000 PERSONAL&ADV INJURY S 1,000,000 GENERAL AGGREGATE $ 1,000,000 GEN'L AGGREGATE LUAR APPLIES PER: PRODUCTS-COMP CP Go E 1,000,000 - POL:cY 0 JEePRor F7 Luc 8 AUTOMOBILE LIABILITY 04HWZB1415 06/09/2605 06/09/2006 COMBINEOSWOLELIMIT ANY AUTO (£a ecetdeng E ALL OWNED A0108 BODILY INJURY X SCHEDULED AUTOS (Per Person) E 100,000 X HIRED AUTOS BODILY INJURY S 300,000 X NON-OWNED AUTOS (Per aexider+t) PROPERTY DAMAGE E 250,000 (Per accident) GARAGE LIABILITY AUTO ONLY-EA ACCIDENT 8 ANY AUTO oTiEA THAN EA ACC S AUTO ONLY: AGO E CXCESSIUMORELL,A L(ADIWTY EACH OCCURRENCE S OCCUR ❑CLAIMS MADE AGGREGATE E E -RDEDUCTIBLE E RfTENTION, S E C WORKERS COMPENSATION ANB Y WQSTATU• I OTM EMPLOYERB'LIABILrtY TOnV LIMITS� ER ANY PROPRIETORIPARTNERtEXECUTNE E.L,EAiH ACCIDENT S 100,000 OFFICER/MENBEREXCLUDED? 19SUBD BY COMPANY 07/16/2005 07/16/2006 E.L.DISEASE.1?A.EMPLOYEE 5 500,000 It yes,4mcrIbe YIAor SPECIAL PROVISIONS below E.L.DISEASE+POLICY LIMIT S 100,000 OTHER DESCRIPTION OF OPERATIONSILOCATIONStVEHICLES/EXCLUStONS ADDED BY EMPORSEMENTISPECIAL PROVISIONS CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE CESCRI13ED POLICIES BE CANCELLED BEFORE THE Town of BarnStaLble EXPIRATION DATE THEREOF, THE 155VING INSURER WILL ENDEAVOR TO MAIL Regulatory services/Building Department 10 DAYS WRITTEN NOTICE To THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT 200 s Stre et Hyanninis,, M MA 02601 FAILURE TO DO 50$HALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER ITS AGENTS OR REPRESENTATIVES. AUTHORISED REPRESENTATIVE Barbara Morse CPCU,CIC (CORD 25(2001108) ®ACORD CORPORATION 1988 TOTAL P.01 J 29C O2�OtJ-7O/�Mitt Romney Thomas G.Gatzunis,P.E. Governor /O/�����OOOO Commissioner �/ / 7 Kerry Healey Thomas P.Hopkins �c�rt ce � �'�OO-6P2��222 Director Lieutenant Governor Edward A.Flynn 12,7OCJ6� w .state.ma.us/aab Secretary TO: Local Building Inspector'/ Independent Living Center Local Commission on Disability Complainant FRCe s o Re building StreetD v Enclosed please find'a-copy-of the following material regarding the above location: Application for Variance Decision of the Board Notice of Hearing Correspondence Letter of Meeting Stipulated Order First Notice Second Notice The purpose of this memo is to advise you of action taken or to be taken by this Board. If you have any information which would assist the Board in this case, you may call this office, or you may submit your comments in writing to the above address. Thank"you for you rassista`nce: t ASCLEPIUS CORPORATION 460 WEST MAIN STREET HYANNIS, MASSACHUSETTS 02601 (617) 771-5400 RECEIVED DEPMWMIEW OF PtISLIC SAFETY July 28, 2004 JUL 3 0 2004 ARCHITECTURAL ACCESS BOARD Mr. Gerald LeBlanc, Chairperson Department of Public Safety Architectural Access Board One Ashburton Place, Room 1310 Boston, MA 02108-161.8 RE: Asclepius office building 460 West Main Street, Hyannis Docket # C04 014 Dear Mr. LeBlanc: 1 Attached are the pictures showing the repainted lines and van accessible parking space and the, replaced parking,signs. Picture A is looking to the north and picture B is looking towards the south. The two faded handicapped parking signs have been replaced with new signs. The re- lining of the parking lot included the creation of a van accessible parking space. Please contact me at (508) 771-5400 ext 226 if you have any questions or require additional information. Sincerely, Michael Sweeney for Asclepius i.5}".•Ra" v fie �_ '� `t 'F y { n 17 i f l i H a K L F ' o 1 4 � f t �x 3 ' f t 4. I ' 1 7 r c O ✓��%¢�� xy/v Mitt Romney 26,,t,e"/b, Az Thomas G.Gatzunis,P.E Governor �60��2�0000 Commissioner Kerry Healey Thomas P.Hopkins Lieutenant Governor �✓, ���OO�2��222 Director Edward A.Flynn1,2,066'L ww«.state.ma.uslaab Secretary TO: Local Building Inspector ✓ Independent Living Center Local Commission on Disability Complainant FROM: Architectural Access Board RE: fAscelpiusice building IDA ain StreetDA 4 ' Enclosed please fhd a copy-of the following material regarding the above location: Application for Variance Decision of the Board Notice of Hearing ✓ Correspondence Letter of Meeting ✓ Stipulated Order First Notice Second Notice The purpose of this memo is to advise you of action taken or to be taken by this Board. If you have any information which would assist the Board in this case, you may call this office, or you may submit your comments in writing to the above address. than you for your as-sista(nce Cf O XYX0 /27 1m- Thomas G.Gatzunis,P.E. / Commissioner Mitt Romney oxt �6 / / Governor I/6" JC/- Thomas P.Hopkins Kerry Healey �e Director Lieutenant Governor �/ !I/lLl� e/a l/a!/ 7 www.5tate.ma.uslaaC Edward A.Flynn Secretary STIPULATED ORDER Docket No. C 04 014 RE: Ascelpius office building, 460 West Main Street, Hyannis ' A complaint was filed with the Architectural Access Board regarding alleged violations of its Rules and Regulations with respect to the above premises. By letter of July 13, 2004 Michael Sweeney for Asclepius stated: I have already taken action in response to the two reported violations. I have given the authorization to have the parking lot re-lined. The contractor will make the necessary adjustments to add a space that is van accessible. I have hired another contractor to replace the two faded signs which I purchased locally and have in my possession. Both contractors expect to be complete with the work by the end of the month. The Board adopts this plan as it's own order, with compliance to be achieved by August 1, 2004 You are required to notify this office, in writin within five (5) days of the completion date, indicating whether or not the above work has been completed. You are required to include photographs showing that the work has been completed. Any person aggrieved by the above decision may request an adjudicatory hearing before the Board within 30 days of receipt of this decision by filing the attached request for adjudicatory hearing form. If after 30 days, a request for an adjudicatory hearing is not received, the above decision becomes a final order and the appeal process is through Superior Court. - Date: July 15, 2004 ARCHITECTURAL ACCESS BOARD cc: Complainant o / Local'Building Inspector Disability Commission Chairperson Independent Living Center 1 ASCLEPIUS CORPORATION 460 WEST MAIN STREET • HYANNIS, MASSACHUSETTS 02601 ) 771-5400 July 13, 2004 Mr. Gerald LeBlanc, Chairperson Department of Public Safety Architectural Access Board One Ashburton Place, Room 1310 Boston, MA 02108-1618 RE Asclepius office building 460 West Main Street, Hyannis Docket # C04 014 Dear Mr. LeBlanc: I have already taken action in response to the two reported violations. I have given the authorization to have the parking lot re-lined. The contractor will make the necessary adjustments to add a space that is van accessible. I have hired another contractor to replace the two faded signs which I purchased locally and have in my possession. Both contractors expect to be completed with the work by the end of the month. I am waiting to hear from the shop that 1 purchased the signs from about obtaining a sign for the van accessible parking place. Please contact me at (508) 771-5400 ext 226 if you have any questions or require additional information. Sincerely, Michael Sweeney for Asclepius R l C ;V c lD P DEPARTMENT OF P:!BL IC SAFE jtt 1 ARCHITECTURAL ACCEISS 6,CCARO Slab/� co BARNSTABLE DISABILITY COMMISSION th &UMSrna�e, o ,* 230 South Street, 4 Floor � 9 -Q/Woo Hyannis, MA 02601 nMnrs`� Office: 508-862-4914 Al Melcher,Chairman FAX: 508-862-4960 Paul Nevosh,Vice Chairs TO: John Klimm, Town Manager FROM: Al Melcher,Chairman BDC DATE: May 10, 2004 RE: 5/4/04 letter from Kathryn Enos The BDC has no record of any such calls-as a member of CORD she and Pam Berkley are knowledgeable of the ADA. CORD has been in this building for several years and they know that the land lord is responsible for the stated problems. Also regarding other serious non-compliance access issues going unaddressed. CORD has been on a rampage in the last few months flooding the Mass.Architectural Access Board with complaints as Tom Perry, our building inspector and compliance officer can attest to that. Both Tom and I have been working on access problems. Tom and I have files 4"thick on complaints form CORD. Enclosure CC: Tom Perry,Building Inspector 5/4/04 Kathryn C. Enos P.O. Box 1501 Hyannis,Mass. 02601 John Klemm,Town Mgr. Town Of Barnstable 367 Main Street Hyannis, Mass. 02601 RE: ADA Access Issues Dear Mr. Klemm: As per my conversation today with your office, I am writing to bring.to your attention the problems I experienced in trying to access the Barnstable Disability Commission for nearly a year. In writing this letter I find myself wearing two hats. One is that of an Affirmative Action Officer for the agency employing me and the other is that of a qualified handicapped person. Late last spring I began trying to call your Disability Commission,but to no avail. I called at least a dozen times over the months leaving messages on the answering machine for a return call. I was calling because I believed there were and still are significant ADA access non-compliance issues at the building where I work. The building is located at 460 West Main Street,Hyannis: The parking lot lacks sufficient HP parking spaces and the two in existence are not closest to the door. In addition the entrance is not accessible. I observed quite a few mobility-challenged individuals struggle to get into the building and as an Affirmative Action Officer tried to get the land lord to take corrective action. It was after that,that I became of the HP violations. As Amy mobility became more compromised it then became an issue for personally. Tlie problems_are finally on the road to c OD, R and the Areluteetural Access Board. However,I felt I shouldbring this problem to your attention because I see other } serious non-compliance access issues in this community that are going unaddressed. Most folks might call town hall to make inquiries but might not be knowledgeable enough to call either CORD or Public Safety. If no one at the town level responds then in all likelihood the rights of the disabled will be continually trounced upon. I'm sure you would not want such a social condition to continue any more than I would. Very truly yours, Kathryn C. Enos CC: Pam Berkley, CORD Al Melcher,BDC ,; `A * cF ,Assessor's map and lot number ..... 3 0.......................... THE To ,Sewage Permit nu mber .......................... - ARISTABLE, House number NAGIL , ............ ......................................... 00 039- TOWN OF BARNSTABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO .... /J ............... ......... .......................................... TYPE OF CONSTRUCTION .... .....�-S.INI&......��e�qY?......IPR;a ILI t_-, T�..............................19.& TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according.to the following information: Location ... .......!��.......... .............. ........................................ .......... ..... .......... ProposedUse .... ......... ............................................................................. .................................. Zoning District r,I P�=.................Fire Dikrict .............................................................................. Name of Owner .........Address ................. Nameof Builcler ..............................................Address ..................................................................................... Nameof Architect . . .............Address ............... . .................... .............. ............................... Numberof Rooms ..................................................................Foundation .....l 9,�c', ................................................ Exterior ..... . o. 0 ........P,L.CC. ::_ . .............Roong ..................................................... Floors .Interior ....ca,4 .V ........................................ Heating .......(4p:t...P%................................................Plumbing a?)q......./ ................................................ Fireplace .... ........ ...................................................Approximate. Cost ..... (200 ............................................................... &4 oc, wt., Definitive Plan Approved by Planning Board -------------------—-----------19--------- Area .1k:c...........iII-)e t,-) ..................... Diagram of Lot and Building with Dimensions Fee ............................................. SUBJECT TO APPROVAL OF BOARD OF HEALTH OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS. I hereby agree to conform to all the Ruless and Regulations of e7 e Tow o Barnstable regarding the above construction. N -ne r ................................................................................... 00 Construction Supervisor's License .................................... DER HAGOPIAN, jACOB & ROBERT THERRIEN A=269-30 t 41 dt No .... Permit for � r/? ?tom !./Addltion ..........Office. ...Bui �lug.................................... .. .... ..... .......... Location 4.60 West � ..Mn.. . .... ......... ......... ............... Hyannis ........................................................................... • Owner ... Tnerrien Type of Construction .Frame............................. ................................................................................ Plot ............................ Lot ...........................i.... Permit Granted ....August...6...................19 84 ............. . . Date of Inspection ....................................19 Date Completed ......................................19 <Z31 P�o`THEro�° TOWN OF BARNSTABLE . i i BABH9TAIILS, i - , apYAr. BUILDING INSPECTOR APPLICATION FOR PERMIT TO ....Qr.OYIS:t cuct:.s. ..new...k uil.ding........................................................ TYPE OF CONSTRUCTION &...� aonc bl.-structural steel—laminated beams & ........................ .:........................................................................................ 2" t.&g. deck . ?a y......24.................19.70.. TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location .....460„West,,,Nain. Street a,. Hyannis, Vlassachu e i;ts......... ...................•. Automobile sales and servic - ` Proposed Use ............................................................................. .............................................................................................. ZoningDistri(;t. i.......................................................................Fire District .............................................................................. Name of Owner ....... ...IhOm s W. I,...lttle . .... ...............Address B.QX...1,1.1,,,,,,,,ri�rw696 .. .. . Name of Builder RCS.t. aC..E21 ;1... . .Z1Tlg...:..??:Q.*....Address 1.0...lna.L�rJX.jaa ...r Z'k.. .4 d.a...H1 � 1�laS.� 02043 Name 'of Architect )1 4§...by Owner Address Number of Rooms .........2..4....................................................Foundation R—eminf.Q.rC.Q.d...3.000#...C.4.1?.0 'ete....... Exterior .. .2......c.011ox'.e.te....bl e.GX.................................Roofing 4�...Ply....aar.... ...g.ayQ!................................. Floors ...:�e., 7 .QZCeC�...G.O11P,x.e.t.e............................Interior .A,9...peX...G1�.4�!r1�?�0 ..�...A-.9............................. Heating A's....PeX...Cox.aW1 ,ngS...�1.►.�..:�.�.L.�...�.s_2.�..�.Plumbin ks...P.Q3"...dW ' P-1. 2 Fireplace X/ ...........lU .................... ::........................................Approximate Cost ....$....�.0.2.,.�.O.O...Q.Q................................ Difinitive Plan Approved by Plafihmg. Board _______________ Diagram of Lot and Building with Dimensions Refer to site plan. # A-1 iuildi ee= 2 . feet V g I, sJ y hereby agree to conform to all the Rules and Regulations of the Townyof Bar stable regarding the a ove construction. C),5 Name ........... ... ......: ... ..,r.:.... .......... Little, Thomas Id. Po R c- 13259 one story No ............... Permit for .................................... commercial building .......................................... 460 West Main Street Locatiori ................................................................ Hyannis Owner Thomas W. Kittle ' ......................... �' t masonry & steel m I Type of Construction .......................................... , d .............. %:.............................................................. Plot ............................ Lot ..................... oCl t Permit Granted ...... ................19 70 Date of Inspection ..�1..�.�. ......:.........19 76 Date Completed 19 PERMIT REFUSED � 1 ................................................................ 19 +i # f ' ..................................................................... ...... D ............................................................................... f ............................................................................... i i Approved ................................................. 19 ' ............................................................................... ............................................................................... ----------------- I rD C r. � `f`�a•' Mri 1%1 51 � F f LA ' •S"Li[ate' 'i - I,YP�v1YM.v�11�11E--f�.�M�,� . Fj-,�ers..t.,"iw �rd:_atw'^�.�'�'.�.rt _�.a i:i,3•� 5 ra ;_ _ .._ 1 J, .. ,¢f a•«,Yj J' »,aY. ix"'§'-� t, .:.ts>',ii'" u:<ix 4 i ._:+rz .w c 3;� air"f-_�i'.n:.:£::'T ...?aaEfS t 1::?• -"` �: 'n� Ifa. `._{ s "". 1 ,. ,�u• 3.,4y�'!y� F�}^ s6`,�' �'r.. c�.'`r t ra; ` � +�f .�T,y�'S£?���raFa s$�»'u'IP. `�' •�P u.:, y��.`�j� '�: '""'tiu'� r. n *4S°I ♦j b:.t':.`• 'il I1•I..;i _ '' +. F�•ar•.. i e.. !'F�L+ r fi pia.' "'�N>f �•( 1a7'•: r''� L•:c-�..- ,.,..._..,,�+�g:@:,�•• e. :.,_; .--.:� ..^..-- a.-.. - � 'i a � _..,,fl_9 ;• 4g• i... �t�+A q w��q.r fF- tP ..w.����r `..+ '�'� '' •i✓ `ll...:t:, �.S ,.. 4 ... ^__. 1.._...#�.. ...�.�. _ .. 1 ._. j '�'p•. .:j.s'�.5. ��° ''w'<,•• n ��N.iw:a - y k'. � .�.�, t' .�. ��;I,.....�� .Va.�t-n-ui W t�a ._q...._,.:,.- ... 'a Y' •t ,rt '.•+i y 5 ^a�r 1�. i _ ,d :,m. .« t a.r � i J '+r �q.. f -•• F' �* ,°'� a- !. 'i ,y, rr•• ,e...:.:.J, -- .A 1'? f� I a+•....� Y�(. ( _.m.I.... ".,. r .• 4'-r .� � �...r{,i a�'°- 1 1 } . . '�1 vim` 6 f ..i� ""?!fF ..a.�y• i - 1n �p, li i. . �' .�4Y 12 �, ' ;�� "�' "'.""r ' r .+, '7 `a:. ••M§afw' 0S: 4t l i@ ; fi ,.J... i � �'p-- a�S`�1 'Sol *,� { Ci •1<.. r •t a'„3-�'•: •r.G e } `^7 ' 9 `'" �i�€i" ' � y9 r i d - rnw'',r - •",'r.r .. JQ IGf:. •� 3 ti'e• ✓ t h ; ,, . 6 k ot�1"' tr. .r, t.t'i 44 s,,. ` ,.» .i k6 � t •'R �.p � •k.... '�/• _`I T tl ! `�'G i.p!� .f•,,l 4 r-,+v s l 'i zi KA- # s �y�t � & t .. � -N., S ::.rr...«.� ��". 6 "". '&.:.'I..d�:,�.+•�d t� S,J "i, �'y •t•..-•r ,t ."I ' ..: rra-�,:.r„r a,i��' ,t..ft �'� .. 'c+f 'C.1., - t c -. r n i�� e• _ �"« i 51�.� 1 b..' 4 '�4tt'•! 1 t n.�,. +, 'y xl�t'"L"' Fr�4. # f t t• +� e.( l .v• f�. � `j _ _ ......... ..� .._ .i�Mr ... 4�,... t _._• :i .,�+ �A ! i� ."i' k�x•r.' t>� '� �Ji:. a ...f.,: �. } t�{_ J, _ .. St lk....:f t _ t � a ! rr•...•„� y.. +t i f o h'%r. +'`i��-. r �'•' a t�i�-. �r� .d 1 `i. ''' r_�i , .�..;' r 1 t _v .� i �, „1,..•a � k ��.®,., ,r-.i r.a. w '*f hs I(:.y.. -t ` ra"` r "' � Y!'ie ,} tC S;S"J' r; •:.i� rYt.! 4' 4 �i•M d t .a�^ ••.! vu d } tit N 1 ..r t }c. v 1 r _ '�v 9J L�.'•'d � v.......,... :.:""?`t «rn" �� � i 7� .- sr �ski r _y ♦ .:"` .i q _ f ^'4i�� I . .-...� 15....-. vw.: a I ,e-�.w .,,i,, _ ..��a .. t - � i c * t at Y� +�SSx3 � ^' a _3°$ �,� 'x �+�� �yr �_ S, r Sr: -..•:.:.6 �'F r;. ��- Fs ......s...� Jan ` e? ¢ :i. r ��, r:,� ,.,. _.�� y }. -� �."t as {.... ' �.?fn �F• ICI I..r• �: fi� a + nY z' a ti �M � # .4F i , �.:_ ;ili • � i`7' ., f �.,j a ! tom;: .. � �t 1 �• ..t. � �# S ..j ''a' > ., '� I J •..! { .,.'^^, O i Y w r*!{'}!' ''� •I - #lam'; ' / g I e r i e a- _ :" "9 r 1_ D I.�' � n.•+.ro ws � t �. p .:f � �3 �} � � - �/ 1-+:��'r ...,.. .�.}•'� � �{D`�:..., _ i � � W'f � _ I tti - _- - � ` i ��i/• a.i .. .? ..,y.,- -_,� i. 1 k �'(+�.. iu F i'I'� t J I it ii t-,•�i,p 'is j • a NA. y r f i d? t ) f x 1 •.Ai ��t +,` •F• :a +a 1 ,3. � +. d i• � 7 Y i • ! 'E.. 1 rSl Y5i },n. J!� r _-� f1J ��J .o.e� J.�i I �ie t � �nl q o-�,,. � 1,L._..YtI�J�, ,e7.'L..�.'� i .• S J ' s'11 1� :J �, 1`' D� � � §Y 1 k' •o T X !. # G .�s .� c Ina...._._. r" "' 7t'. p _, P •tj 1 ••,� fin y i, i i•� � y'' . G .... _ ...... -..a.c,_..,a,:,;,,a•or.rrr F. ' �� sp.S'f. :; f �.'., ' • •"r _ fl. j�� ,. . � . �� `' _"� a4 i � I! f ii a 1 rn,. .t 'i -:� U•tom;r... �,�, fi t. tt+, .>r � ,p. a - %j. ? • � __ -t 1 �1y ' ..A•� Y r v i fk.U:__ >' .t' s { :i • C a 1 � C.. - i � • . N a,fD.'� d ...:�[v t' y f � pd I v ` fi _f' -.. •fr � �:..w:"`..-eff4''Y;�',�4.� .P�� v"wwairy y�, ��.3.� `t'q'„b +t+6lr, s ,<��" E"t t # ¢V t Y � r'�'�aj,dip • - .. AR} f add .',+ ,. i ., �t n yr I' + n � -�...,...._. 1^ ...,... �..... '�,r,��#�,trt7`j rit :!' • VJ f vA a j r 9 „tFFF[. 1 f w .::, :,• ♦ r- . l..b � �- a p v�f -,+b" ��i9. ��J(,i��� 3 � r )`-r f" .k+ 1 t -^S .i... #` rla. '.yx �: a- C �. s '4.'C. "f;, at•.'# � 11 t. ;`�.' , wS .'J '•'a �. -�iS .�I .... _...� O !I $ ,4:• .�i F «..:. - .'¢.. -•` 1:. .� ,y "{ F.' vw a '+.,A h.. .y x s r 6.r{• 'ti.•: .:._�, . � 6.} d `�; � s fi!,'. �...:i ea d.`� r` 1 x r� "�i : °v '� } f.+.-.' A���.i• fins•t`��-�'Y`$.r' J ' '� Y y�" + ? � d l a' > d v, J ,� +1�� 4•F .►a4 "$ �, �` .[ �+ FY- I-. dt fii2.d. :. ..if .� r r a � 11 g•�...ak {,�a� it: ri �'� ' 't�ii�.. � ;� t �.. Yd 4�},p � l..ij.�4i .•]!' i'a`0(. � a �, x :•r.3;,? � •lil.., �-♦ � r1r ..� Xa ,.9 r 48 f i � a Ks..,�,:: }�rqSz ti#.??. _.. .. - . �. ,5 �;"� .y i.�sf A�4 . *` a i. . 4 � 'i' .t •e}i "�Y�'n � �•� '��7 t e -..�. �,iwt p9 t .+kr,� ,. aa. J� ` d'`A+��r, �}.. i�' ... l�tY`•i.- � �r� ry w �' ��` • p o 1 �'�d � �� �$�� . '' 'o a! Ar-� � .'aj ,,,; r" + •t 'i....d, 1,4- y1, ''�'"_• ��`:R.,+4-' -. • f'�' :.:.,. ,`.o-. �,'1 •=�J� s.'�r x�. :*8td, .i�t �j r od•• N- .. r.l a y L � • - J' � � +� � is " - rt� 1�A¶) ` �_ .;� i.. j ?. • ,�� er 4 e{ ':1 . `•r:^ de q 5 'W,-7-7 -1 : f is a:h?x. 1f w .x :�n 3 . .... a - . -,.,...� ..> r ���n t D r �}{. • r.y. .'a�'p t� ;' r14@� =3 ��:., ,`'�! _:� .. ..,. «...,3s �Y r� ,f y^• �^ J".. t ' r - aril �_ _IX R 3� � I r.4]�'J 4. `••'1 �. IVA ` t L ]n.l 'S f... l rt '._Dar l ,�• �{ �`• i� � '� y ,� t f ak 1 Nn^ f � r r ' Y r^ ,�� .. .. »r .. I,�-6q•'y�:';��nTatr .��..L.2'. "M�.+R�f�4a,a�.fW �°.a'i� �� •I1..^a+ �,L'°s a I �b w ;plc.�.t....v+n�ia. 4w,.a-.�. :'W-}f 'mil J � yS � q ri�r•i ..� 77��.�aa..",,fe � . 1 • -- U a 8 r NOW, 62 Symbol Count Desodption 8 Desktop computer 3 Laptop computer Tablet.computer 58 6D 63 64 2 Printer [ - 0 d_ __ -..52 .54 JAI � a 53 3134 30 -- fib 26 27 28 _. 3 49 - 8tI 35 Aft n 41 1 5 6 _..._ 23 00�24 25. 65 45 = 8 46 -__ 38 NIX 7 _. 37 rh' 48 44 - 89 21 2.0 43 38 22 47 - - 13 1 EM- 1'9 9 42 41 4Q 1$ 17 16 15 td 10 ' II r OMEDCOM ARCHI"EECTURAL GROUP ' MEDICAL&COMMERCIAL ARCHITECTURE 118 Waterhouse Road B—re,MA 02532 °Box 157 Monument Beach,MA 02553 C CAPE COD HEALTHCARE (5081 759-9828 F.I5081 759-9802 W W W.MEDCOMARCH.COM PROJECT CONTACT:GREGORY SIROONIAN BEHAVIORAL HEALTH CENTER R E N O VAT I O N CAPPH'jECT: E COD HUMAN SERVICES Renovations to Clinic-2nd Floor 460 West Main St. Hyannis,MA. 460 West Main St. Hyannis, MA ` COPYRIGHT • LWE�45 illE axOVEmvO i EMCIHrt�E • ` I, MIXD NAFMFS6oGEENNIFV UFFEMUg55E 51MLH�11E�C1 EWNsf DRAWING LIST: eoe erEEAa�e�or~I ARCHITECTURAL ��' ' ..n. N3 sa AD.1 COVER SHEET ae r II ,� m r 'Er �P_ f.:: "' A003 DPH SHEET NOTE: 1 1 ok� _ o" A004 DPH SITE SHEET T � ISSUED FOR DPH REVIEW May 4,2017 A200 2ND FLOOR DEMO AND NEW FLOOR PLAN A201 2ND FLOOR REFLECTED CEILING PLAN & FINISH PLAN DRAWING TITLE: ` A202 2ND FLOOR INTERIOR ELEVATIONS COVER SHEET EX2.1 EXISTING 2ND FLOOR PLAN EX2.2 EXISTING 2ND FLOOR REFLECTED CLG. PLANS REVISIONS: 1 BEHAVIORAL HEALTH RENOVATION — 2nd FLOOR ' AO.1 SCALE:NTS - `, NO DATE DESCRIPTION 5 04 17 ISSUE FOR PRICING 1 - Barnstable Bldg. Dept. a �d J Approved by: Permit PROJECT NO. 1 7_00 6 1 - DATE OF ISSUE 4-28—1 7 DRAWN BY: J P CHECKED BY: CBS DRANING NUMBER A001 GENERAL NOTES (aM E D CO M ARCHITECTURAL_GROUP i - 1.FOR FLOOR PLAN WITH INTERIOR WALL ELEVATION REFERENCES, EXIST REFER TO SHEET A200. COUNSEUNG RM,N18 MEDICAL&COMMERCIAL ARCHITECTURE O 2. SEE SPECIAL PLUMBING NOTES FOR SINKS,AND DRYING, BELOW. 118 Waterhouse Road Baurn,MA 02532 3. MEDICAL RECORDS STORAGE'REMOTE FROM P.O.Box 157 Monument Beach,MA 02553 EX15T. TREATMENT& PUBLIC AREAS COURSE ELINOG RM.N L7 C(508)759-9828 f:(508)759-9602 W W W.MEDCOMARCH.COM PROJECT CONTACT:GREGORY SIROONIAN TO PUBLIC HANDWASH SINK NOTES: RESTROOMS EXIOC RRIOORC 1.ALL SINKS SHALL BE ANCHORED WITH BLOCKING IN WALL.TO ® WITHSTAND 25OLBS.VERTICAL LOAD. PROJECT: J 2.ALL HANDWASHING STATIONS SHALL HAVE WRIST-BLADE CAPE COD HUMAN SERVICES - HANDLES. EXIST. COUNSMNG RM.N16 Renovations to Clinic-2nd Floor m 0 3.PAPER TOWEL DISPENSERS AT ALL SINKS FOR DRYING HANDS. 460 West Main St. ,.,,..._...,.."...^ IC� -, ! Hyannis,MA. 1 I�® nc2 EXIST. CONF.F.RM. CLR. COON SEEO M.N23 [ Z.l.,.,XIST PEDIATRIC " z®ti LOCKED CABINETS - , ZONE LOCATIONS 413 SCLFT. FOR PATIENT RECEPTION o¢. (� NEW I RECORDS. ® -I I- WINDOW 1 68 SO FT. u1 PATENT AREA y: INTERVIEWCONNSELINIGTRM.N14-- El . � CLR f- .. ..: � ;` INTERVIEW INTERVIEW AR .. STAFF AREA CUR. �-^^^�� COPMIGHi .DRINKING: ECK-.IN� ' �.. WAITING.. CouNSELING RM.N19 # 1 EXISTING SUITE AREA EXIST ,' -WATER - C-6K-0t1T -. oo a.,l' O. Y+ I 'Nsinuw�oro�no��a COUNSFUNND M.N22 //TTII �jsyIDING -INTERVIEW �.� ( sNAu oxoi se` oIFlm O.w[Nom.aR,IL oimm Nury wArTrt CONSULT. 1` ourarn o sausrn AGneeSTo // II f 353 SQ.FT AREA oo n umxrtEcinwiNST I".:'.'a.';� aAlu�sE REus oRcmn�ooF TM[FiNse EXIST. �� � j PUBLIC AREA ' POOR OOOUR 5' 0" p� oIA NAR�,I�euM IS I NEW WINDOW ' _ 372�$Cl.FT.". GLR EXIST.RM.N12 9 EXIST. \ CORRIDOR#1 DRINKING _ +� ,.�... .Exlsr. /' CORRIDOR N2 Goa XIST Il WATER ey ;J=Bq I: COUNSELING RM.N21 _ 1 EXIST. f O j EXIST. TA ORR X 0 EXIST. EXIST: EXIST. EXIST. EXIST. EXIST. EXIST. EXIST. E%IST. COUNSELING RRM.N19 __.._ COUNSELIONC RM.N1 COUNSELINOC RM.N2 COUNSEUNOG RM NJ COUNSELINOC RM.N COUNSEUORM.N6 COUNSELIORM.B7 COUNSEUNOG RM.N9 COUNSELINQG RM.B11 - COUNSELING M.N20 .... -. I t NOTE: - I ISSUED FOR DPH REVIEW May 4,2017 1 2ND FLOOR BEHAVIORALCENTER RENOVATIO 0o SCALE 3/16"- 1706Sgft.Area of Work 4915Sq.f. Total Suite DRAWING TITLE: DPH SHEET N I REVISIONS: i I © CO XIIS RM.. NO DATE DESCRIPTION I I O 0 5 04 17 ISSUE FOR PRICING NR,i PEO %C T IV w nc REC ION - II END N ❑ ','I. I I! IINTMIEW `. INT RA IN Rw .. . 0k-LU yl G I I , COUNSELING RM (, " ��� I PROJECT N0. IL 00 kj � 7-006 I I _ FFFI I Co SULT. OOR DATE OF ISSUE 4-28— 7 I I e Ot ❑ J - NEW WINDOW I ^ n,.,, a DRAWN BY: JP CHECKED BY: GBS —I RRI 00 R N1 L-- _- ❑ I, �'�' DRAWING NUMBER EXIST. a ,'.a Y CORRIDOR N2- 14( A003 4 EXIST. ONI. 1 SO - - EXCORRIOOR C Y 2 21SID FLOOR BEHAVIORAL HEALTH CENTER CEILING 00 SCALE:NTS DO SCALE:3/16"= 1'-0" - ,a 1 OM E D CO M r 1 :.;� .. .y• F.a+ If , ARCHITECTURAL GROUP f a , i • " ear , da S l iP MEDICAL&COMMERCIAL ARCHITECTURE „ 3 Icy <x, '.-!�` 'r^' •."fa: ,i its "'T^ ?r ie +:' '�Cd,9 ,i.. t" y.r ,^' a 'P.O.So,1 A02553 ferhouse Road 8oume MA s ! S7 Monument Beach,M02 C 5085081759-9802 759 f 9828 n } « r Po :1 y+ f 532 WWW.ME000MARCH.COM PROJECT CONTACT:GREGORY SIROONIAN PROJECT p CAPE COD HUMAN SERVICES Renovations to Clinic-2nd Floor 9 6 MA. • �� � �s . s� .y w Hyannis,M . i 41' k , ,7 1 c , r . .4. ` 4 S-7Ui wt w e� i r ^"� ,se [• ,r +1 », COPYRIGHT t t _ 0 �l y F• ..� r_ i£ .3s: �„ q�!'• ! 'e :ice p++�' `f.w '" ' a, - .,.. + �• x� MN�FSFMD TAKE MCN /.d.INST� NOW .SEUSEN. O CNu � r *�. � �J,�A a.^ •: ��'� _ � :�; �y.• ''• y .Y° t q'� _�' - _ OUT OF USE.REU6E OcnNa OFTH6 i �, ■` �" z'xl In � —. '�� yY '� , Ilk E{ I w L 1 i w dt ; nz f A u ..• .ice ,r .,;�,;,v p ' st �, a w�+ia m i ,'r Ss NOTE: t% ISSUED FOR DPH REVIEW May 4,2017 } p¢ DRAWING TITLE: i d, DOH SITE SHEET r < x '" " • - t REVISIONS;- .... .y 4 •\, C A '.' "`F NO DATE DESCRIPTION �.i �S 04 T7 ISSUE FOR PRICING IV '�` .;, •, �. ,a` .TTM1.IDi�P:wr yy ..a wv rF - _ ; ZY G •� ya s C^� PROJECT T N0. E LAr 1JT DATE OF ISSUE 4-28-17 T i, q !!a. ^.J ( _ .+ :7 " I+ x - DRAWN BY: J P CHECKED BY: G BS n w • _ •. r r :r' * 1" -, ,- .„ 'p.,+- .� 1:, v gt<AAN1NG NUMBER a r �Sj+�T' - Sx • ..,� *t!IFi,."•r � ���� v'N ,», ,w. '.� A« ':, ° y,,��r^: • IN u ar J 1 BEHAVIORAL HEALTH CENTER RENOVATION — OV RALL SITE PLAN A004 00 SCALE:1/18'= 1'-0" - DEMO LEGEND E)MEDCOM ARCH[I ECTURAI_GROUP LIST.WALL CONSTRUCTION TO BE REMOVED, - I,{ SEE PLANS FOR LOCATIONS. IXISTNC WALL CONSTRUCTION TO REMAIN MEDICAL B COMMERCIAL ARCHITECTURE I DEMO EXIST.WALL IN ITS 118 Waterhouse Road Bourne,MA 02532 EXISTING ENTIRETY, SEE NEW LAYOUT. P.O.Bow 157 Monument Beach,MA 02553 I - COUNSELING RM. O ^ t: 759-9B28 MI E f:5081799-980202 III DEMO NOTES E I WWW.MEDCOMARCH.COM EXIST. FEDIAi RIC ' O /B 3- 1.REMOVE WALLS TO EXTENTS AS SHOWN.PATCH.REPAIR,AND REPLACE AS NECESSARY WAITING ROOK ppD1ECT CONTACT:CATEGORY SIROONAN TO REBUILD WALLS AS SHOWN ON A200. 11'-87 DEMO EXIST. WALL FOR NEW DEMO O� 2.FIELD VERIFY ALL DEMOLITION DIMENSIONS. WINOCW, SEE NEW LAYOUT. , — — _ — - J.REMOVE EXISTING DOORS.INStALL NEW DOORS AS SHOWN IN NEW LAYOUT. PROJECT: EXISTING. f WORK ROOM a.REMOVE EXISTING CEILINGS ALL CEILING FIXTURES IN AFFECTED AREAS. CAPE COD HUMAN SERVICES SEE SHEET A102 FOR NEW CO CflLING WORK AND LAYOUT. 5.DEMOTE%ISTING FU ING IN ALL ROOMS"IN AREA OF WORK. Renovations t0 Clinic-2nA Floor 460 West Main St. REMOVE EXIST.COUNTER IN 6.REMOW&RELOCATE DUSTIND ELECTRICAL SWTCHES,OUTLETS AND TEL/DATA OUTLETS Hyannis,MA. REMOVE EXIST. NF PANELS - I I ITS ENTIRETY. AS SHOWN IN A2DI AND REMOVE NE LL WITH W WALL AND (1)WINDOW. SEE NEW LAYOUT. EXISTING I COUNSELING RM. Ijlj DEMO EXIST. WALL IN ITS F'1 ENTIRETY, 5=_NEW LAYOUT, n ' EX, ADULT PATIENT I o 0 PEDIATRIC w rr1 WAITING ROOM w EXISTING RECEPTION o I III L.J I RECEPTION REMOVE EXIST. OCDR& OFRAME.AND IN-ILL WITH (() P{ NEW WALL, SEE NEW I REMOVE EXIST.WALL FOR NEW LAYOUT. DEMO REMOVE EXIST. WALL FOR NEW ODOR,SEE NEW LAVOUT.� EXISTING I, I I DOOR, SEE NE LAYOUT.] PATIENT CO RRII DO DEMO EXIST.WALL FOR oRAT DEMO NEW DDDR OPENING 1 III -�2 •_D• 4' " 3'-4"ROOEMC EXIST.WALLFCR NEW � DEMO ' 1I WINDOWS,SEE NEW LAYOUT. _ IfTI-0 3'_4^RD COPYRIGHT EXISTINGDEMD - PUBLIC CORRIDOR DEMO�EEW FXISTI\'G E EPATIENT CORRIDOR FOR NSEE N E . O�OFusE NEusE anianutcHTemnTMOAINsr LIE 1\ �1- 1 - \ rn:,a 1 2ND FLOOR DEMO PLAN 20 SCALE:1/4"= V-0" L�. NO 7 B II a EXIST, PUBLIC FR _ CORRIDOR. x2D NOTE; ( ISSUED FOR DPH REVIEW \ ' WORKSTATION FURNITURE May 4,2017 WALL TO 48"AFF. MAPLE CAR - l BY OWNER NEW 3'-0'.X7'-O"SOLID WOOD FLUSH - ,I DOOR,TO MATCH EXISTING SUITE DRAWING TITLE: STANDARD. 'OFFICE' HARDWARE LOCKSET. GENERAL NOTES 2ND FLOOR DEMO AND 7M -7.�'A) 1 - 1.ALL NEW DOORFRAMES SHALL BE INST,LLLED 4"FROM AQUCFM WAL..OR GREATER IF NOTED.1B'CLEAR SPACE MUSTBE MAINTAINED ON THE PULL-SIDE OF DOOR. - NEW FLOOR PLAN 9'-10" 3'-6"CLR. 9'-10" 2.FIR FXTIN ISO R S B _ M NFPA-10 PORTABLE FIRE EXTNLUISHER AND IS APPROVED ABC RECEPTION - 6'-107/g B'-9 MULTI-PURPOSE 0 L CHEMICAL LIFE. NEW A2DD _ B.MINIMUM OF 10 LB CABINET. r 1_ WINDOW R DC.PROVIDE.PROVIDE(1 RECESSED CABINET WITH BAKED ENAMELFINISH AND SICNAGE REVISIONS: C J 3IF .DIMENSON ONES ARE SHOWN FROM FACE OF EXISTING WALLS WO TO CENTERUNES -_ _6 0 INTERVIEW OF NEW WALLS,UNLESS OTHERWISE NOTED DIMENSIONS TO NEW ODORS IN DOOR. M'N. I O INTERVIEW 1 L-t"7 INTERVIEW' WALLS ARE SNOWN FROM FACE OF WALL TO THE LENTFALINE OF THE NEW DOOR NO DATE DESCRIPTION NEW FIXED WINDOW IN I '.•.l I I.'I 1 I — 3 DIMENSIONS SHOWN IN CORRIDORS ARE CLEAR DIMENSIONS.NEW AND EXISTING. EXISTING WALL, SEE A202. �l :�.I I ': _ — — a.ALL New ED ALL (TOKIS ClRcmwOSED COUNTER AND UL-CAP EDGES SHALL BE 5 O4 17 ISSUE FOR PRICING �- J"RADIUSED.ALL IXISPNG EXPOSED COUNTER&WALL-LAP EDGES SHALL BE 1 4/05/18 ADDENDUM B1 La 'I ,�, Ii 1 I MODIFIED TO HAVE J"HAOIUSED EDGES. 5,SEE OFI1.IELT A2IM R WALL ELEVATION DESIGNATIONS. 1 �I m WAITING L6- ROOM l WALL LEGEND B200 - 2INTERVIEW_ - TRIAGE ExImNG wAu cONsraucnON t0 REMUN 7- 6_4" �.-�.('�. I n -ARD-PIPED WATER � NEW 48"W FIXED �+ OOR I NEW WALL CONSTRUCTION.SEE PVMiS FOR LOCATIONS. CONNECTION FOR DRINKING O ,,1'B201 WINDOW IN EXISTING I I WATER. ' q WALL, SEE A202. --- WALL TYPE TAG.WALLS SHOULD BE'TYPE 1',UNLESSOTHFAWISE NOTED.SEE SHEET A202 FOR WALL TYPES. 3-O"X7'-O' SOLID N WINDONEW 3'-0"XT-0"SOLIDWOOD FLUSH DOOR WITH PR WOOD FLUSH DOOR WITH ROOM rAc - PROJECT N0. FULL VIEW LITE, TO MATCH NEW FIXED WINDOW IN FULL VIEW LITE, TO MATCH NEW WINDOW I 1 7-006 EXISTING SUITE STANDARD. EXIST. ` .EXISTING WALL. SEE A202. EXISTING SUITE STANDARD. - CORRIDOR #1 DWARE LOCKSET. A 'OFFICE' HARDWARE LOCKSEF. Q FIRE DILATE NEW COUPON,R&NNOTE 12.RELOCATED. O � --�1-0 X7-0 rM� - $5 'N"INDICATES NEW.SEE GENERAL NOTE�2. DATE IF ISSUE ' PR O NEW 3-0%7-0 soup r-4" .6" 4-28-17 EN HARD-PIPED WATER CONNECTION WOOD FLUSH DOOR WITH E E FULL VIEW LITE, TO MATCH tD-6" CORF A NEW AUTODINX ODOR OPENER. v FOR DRINKING WATER. O coo1:DINATE WITH IXImNc DO HARDWARE DRANK 8Y: JP CRECKED BY: GBS EXISTING SUITE STANDARD. PI. E 'OFFICE' HARDWARE LOCKSET. PR NEW COORDINATE IWTHH IXTY DISTINO DO R ER HARDWARE E(ISi. SOLID 3'-0"XT- WOOD IDING DOOR WITH /8'T INFlLL EXISTI - DRAWNG NUMBER SI AIRRRRRR ON �-' TEMPERED GLASS FULL VI ITE. FILM BOTH DES. EXIST. PUBLIC DWI DOOR LO WAL CORRIDOR OMIT SLIDING & No BARN 000R HARDWARE FOR OOR WITH NEW WALL OPERATION. NO LOC HA DL SET ONLY. DOOR A2 \ _ 00 / Z 12ND FLOOR NEW FLOOR PLAN 20 SCALE:7/4" q CEILING LEGEND CEILING NOTES CEILING TYPES ` _ O M E__D CO M N CEILING TYPE,SEE FINISH SCHEDULES 1.TYPICAL BULKHEADS AT DOORWAYS AND OPENINGS SHALL BE 7'-0"A.F.F. EX- EXISTING CEILING TO REMAIN Cl B'-0" CEILING MARKER ARCHITECTURAL GROUP __ 2.ALL ROOM CEILINGS TO BE TYPE'Cl'0 8'-0"AFF UNLESS OTHERWISE C, -NEW 2'X2'-ARMSTRONG HEALTH ZONE CEILING HEIGHT,ABOVE FINISHED FLOOR NOTED. NEW CEILING WORK IN AREAS SHOWN.ALL OTHER AREAS ARE ULTIMA#1937 BEVELED ACOUSTICAL CEILING - MEDICAL&COMMERCIAL ARCHITECTURE I EXISTING FOR REFERENCE ONLY. TILE IN 15/16"EXPOSED TEE.METAL NEW 2' X 2'RECESSED LED LIGHT FIXTURE. SUSPENSION GRID. 118 Waterhouse Road Bourne,MA 02532 3.COORDINATE NEW MECHANICAL AND ELECTRICAL FIXTURES IN CEILING P.O.Box 157 Monument Beach,MA 02553 WITH MECHANICAL AND ELECTRICAL DRAWINGS. FIXTURES SHOWN HERE ❑ ARE FOR REFERENCE ONLY. 4 t:(508)759-9828 RM. #23 PE RIC I Q NEW LED DECORATIVE RECESSED f:(508)759-9802 DOWN LIGHT FIXTURE. WAI NG WWW.MEDCOMARCM.COM A2 1 BOLD/DARK GRID AREA PROJECT CONTACT:GREGORYSIROONIAN RECEPTION REPRESENTS NEW 2'X2'ACT EW I ❑ -_ - CEILING AND LAYOUT 1 IND yr NEW OR EXISTING HVAc CAPE COD HUMAN SERVICES INTER IEW SUPPLY.DIFFUSER INT RVIE IN ERVIE Renovations to Clinic-2nd Floor 4 0 West Main St. �� Fr NEW Er EXISTING HVAC EXHAUST OR RETURN AIR GRILLE Hyannis,MA. 0 I "II O f NEW CEILING MOUNTED ILLUMINATED EXIT I I lilt ® SIGN. "EX"DENOTES EXISTING \ I 1 I - --- " I I ■ —■ ■ W OIDG I L�IDIN EMERGENCY BATTERY UNIT. "E"INDICATES EXISTING TO REMAIN. 22 I I rE I TRIA E OOR ` 1 ®N ® I I ® 62 t - ❑ NEW WINDOW j 1 I N WWI DO EXIST. RRIDOR #1 L-- -- ` ❑ EXISTING CEILING/LIGHTS Q [� f_ MAIN I WPYRI(AIT E O I C . #21 - I c �m'u NEsSEi NDIna INDEMNWDoE. . T sNGOUTO uDE0RC nNGOFTHS SALpN� EXIST PUBLIC 1 2ND FLOOR REFLECTED CEILING PLAN — A20 SCALE:1/4"= r-D" WALL FINISH LEGEND r' PAINT: SEE PAINT LEGEND ca&94j• 1{ G.C.SHALL PAINT ALL EXISTING AND N0.$7B P. NEW ROOM SPACES IN THEIR ENTIRETY. 9' [� EXIST. �W COUNSELING RM.(<18 3"WING CORNER WALL GUARD. FROM FLOOR at .y;y-yR TO TOP OF COUNTER OR 48"AFF. - BY: IMPACT PROTECTION SYSTEMS, INC. PT- PT STAINLESS STEEL EXIST. COUNSEUN�G M.�17 —.—.NEW MAPLE CHAIR-RAIL FINISHED W/ 1 COAT NOTE. SEALER Sc 2 COATS POLYURETHANE, ®36"AFF P-1 P-3 — ACCENT PAINT WALL - ISSUED FOR DPH REVIEW P-2 P-4 WALL BASE FINISH LEGEND May 4,2017 EXIST PUBLIC CORRIDOR f f rx-z D cl 1X5 MAPLE WOOD BASE. STAIN&POLY. (' ! OTHER VINYL&CARPET BASES USED ARE t LISTED WITH FLOOR FINISH LEGEND. 1 P - - EXIST. p- 3 -P 2 COUNSEM.�16 _ _4 � COUNTERTOP FINISH LEGEND DRAWINGTITLE: , P LING R � 0 i PT- PL-1 P-LAM CABINET FACES. WILSONART —_______- - PT-1 'KENSINGTON MAPLE' 2ND FLOOR II I REFLECTED CEILING SOLID SURFACE COUNTERTOP. CORIAN 'SAND'' P-2 P-4 j7 .. . COUNSELING RM.B23 12"H TACKBOARD. FORBID '2186 BLANCHED ALMOND' PLAN&FINISH PLAN W W NEW 25"1)SOLD SURF, f't' NEW SOLD SURF.COUNTER(WIM COUNTER O 30'NT.ON NEW SOUD SURF.COUNTER D10N 1a1M�? f: CEILING FINISH LEGEND- D4 02 GROMMR)O 3D"AFF,ON P- WALL STEEL W,�9PACKEI6 CROMMIn O 30'AFF.ON P-LAM "1 RECEPTION ___ f WALL BELOW AS SHOWN AND WALL J F '1=; ; ' 00 BELOW A6 SHOWN AND WALL OLFATS. � -NEW MAPLE CROWN MOULDING FINISHED REVISIONS: 1 SS-1 TYP ALL °�`� TMP N-L W/ 1 COAT SEALER & 2 COATS- ,m._...++.,ww sc _�x _. .9q � NO .GATE DESCRIP170N ' ill P-1 P-3 � F 1 ,. � POLYURETHANE, ® CLG. .. } EXIST. P-2 P-4 ➢ .I ,L �f INTERVIEW -a"INTE LZY INTEIVIEW COUNSELING RM.a14 o FLOOR FINISH LEGEND 05 0 P LEES CARPET BROADLOOM, STYLE EMERGING 10 4/05/18 M #RI ISSUE FOR PRICING CP71 ADDENDUM el P-2 P-4 ' O LIGHTS II, COLOR: DLO CELESTIAL 902 I�I WOOD BASE AT RECEPTION. 4"CARPET OR VINYL BASE ELSEWHERE TBD. B-1� PT-1 W - p a r COUNSELEI%NIGs r. PA CRAFT RROA M OOM STYLE:]fi4fiR.COLOR: R.TBD. EXIST. C1 4TVINYLBXSE. COUNSEUNG RM.B22 I _ O EX. P-1 I fi �I P-2 P-4 'P - If f"�l #Jj ® P�2 P_a n' PAINT COLOR I FGF,ND: NEW WINDOW — � 6TT r i PI-1 72 O.FT: 11 P_2 P_4 Ntz 1 1 tt COUNSELING RM. BENJAMIN MOORE ' WAS,TBD PROJECT NO. j, 0�I' ,.f rj 3 7 i P-2 ACCENT PAINT:TEE) 1 7-006 - EXIST. G I: fqq„ 6 ��))��� COUNSELING RM.821 - '. Alrr �� � fJ (f P-2 P-a ' I t Y Jjf P-3 DOORS&FRAMES'TBD DALE OF ISSUE PT- �NR O 4—28 17 )N P-4 WOOD TRIM: TBD DRAWN BY: JP CHECKED BY: GBS _ CDR®R C P-1 P-3 EXIST. TEL DATA PLAN LEGEND DRA'MNG NUMBER PT- EXIST. EXIST. EXIST. EXIST. EXIST. EXIST. EXIST. EXIST. COUNSELING RM.®19 P-2 P-4 O COONS RM.�1 COUNSELINNG RM.�2 COUNSELIORM.�] COUNSELIORM. COUNSEUORM.®6 COUNSELIORM.A7 COUNSELI�RM.�9 COUNSEUO M.b11 EXIST. _ O COUNSELING RM.#20 pT_ P 1 P-3 P7_ pT- PT-PT- FT- PT- I PT- PT- W NEW DUPLE%/QUAD ELECTRICAL OUTLET® 18"AFF. P-2 P-4 II 6"ABOVE NEW COUNTERS. P-1 P-3 P-1 P-3 a -3+ _ P-1. P-3 _ "R"INDICATES RELOCATED P�2 P-4a P-2 P-4 P_2 P-4 P-2 P 44 P-2 P-4 P-2 P-4 P-2 P-4 - __— P-2 P_4A201 ___a NEW TEL/DATA OUTLET® 18'AFF. 6"ABOVE NEW COUNTERS. 2 2ND FLOOR OVERALL SUITE FI D "R" INDICATES RELOCATED. 20 SCALE 3/16'= V-O" r ` WALL TYPES E)MEDCOM 47/e" SY2" ARCHITECTURAL_GROUP 5�8•' 5�8" 35/8" 5�8•• MEDICAL&COMMERCIAL ARCHITECTURE VARIES }- — 118 Waterhouse Road Bourn,MA 02532 Box 157 Monument Beach,MA 02553 3-5/8" METAL STUDS ® 16"O.C. 3-5/8" METAL STEADS ® i6"O.C. DASHED LINE REP. TO DECK ABOVE TO DECK ABOVE 2"2'-62 ,I OPTIONAL 2 DRAWER t1508)759-9828 ./� ._. BUILT FILE CABINET f:1508)759-9BO2 1-O ' II 3-1/2"SOUND ATTENUATION 3-1/2"SOUND ATTENUATION °� _ METAL WALL BRACKETS WWW.MEDCOMARCH.COM 1HR. OR 2HR. RATED, 'EXISTING•WALL INSULATION TO DECK ABOVE INSULATION TO CLG. DECK ABOVE ...I 25'D SOLID SURF. SEE FLOOR PLANS. SOLID SURF. COUNTER COUNTER PROJECT CONTACT:GREGORV SIROONIAN 5/8"OUIET-ROCK GYPSUM BOARD, '`'I GROMMET E%. FROM FLOOR SLAB TO DECK ABOVE. vi `II STEEL WALL BRACKETS 5/8"GYPSUM BOARD, FROM PROJECT: FLOOR SLAB TO DECK ABOVE, APRON. EACH SIDE. LFR'O LAYERS 5/8"GYPSUM BOARD, f�4 DROP P-LAM PANEL STAFF ff: 2 LAYERS%"MDFCAPE COD HUMAN SERVICES FLOOR SLAB TO DECK ABOVE. SIDE 2%4 WOOD STUDS W/ pLAM APRON 1PWLTM PUMFINISHED3/4 PLAM SHEATHING. jCAULKING, LKING0• 2x4 WO STUDS Renovations to Clinic-2nd Floor BOTH SIDES SIDES nW/3/4••P_LAM 460 West Main St. FLOOR SHEATHING ALL Hyannis,MA. SIDES. STG55 RATED G ST60 RATED TYP. CONSULT. COUNTER COUNTER CROSS SECTION-2 EXISTING WALL WALL TYPE #1 WALL TYPE #2 SCALE: 1/4--1'-°" SCALE: 1 1/2'=V-O' SCALE: 1 1/2"- V-0 SCALE: 1 1/2" S..: I/4' ,'-o• _ 4 , 14'-OY2 10'-10/2' 6-W-2 .. 6" - 2' 0' 6' I BARNDOOR HANGING RAIL HARDWARE 2-0 6" }._0, .-0.. �I SS-1 COPYRIGHT ^ 3 8"T TEMPERED GLASS " 3 8"T TEMPERED LASS FRAMELESS 5'-3" 3/8"T TEMPERED GLASS ... :_.._ SOLID 3'-O"X7'-0"WOOD TxEusEn Acxnow�o°ea TrunrRE AR°RrtEcrs o°cv.,nvrs AwF / 3 3-5' / 25"DSOLIOSURF. COUNTER ® 30'AFF WINDOW INWOOD FRAME. SLIDING DOOR WITH 3/8'T FRAMELESS WINDOW. FILM WINDOW. FILM BOTHSIDES. WOOD ON HALF-WALL. SEE PLAN FOR SHAPE. 2'-1' / FILM BOTH SIDES. WOOD / TEMPERED CLASS FULL VIEW omoRu EDNAsv ff BOTH SIDES. WOOD STOPS & STOPS & 3" MAPLE TRIM AROUND PROVIDE GROMMIT AS COORDINATED � STOPS & 3"WOOD TRIM LITE. FILM BOTH SIDES. xOFFENo�iA�acnn�ci°nc�nwsr 3"WOOD TRIM AROUND ALL j ALL SIDES. STAIN POLY. 4"H BASE. WITH OWNER AND ARCHITECT. AROUND ALL SIDES. PAINT. SLIDING & HANGING BARN rN'oi F �wo wss Fiauoiuo oeFeuse p 4'-0' sn:Aws a a Arn usE eEusE oecmnxo oFrws `oj SIDES; PAINT, 4"H BASE. o ...I F-1 / °i 4"H BASE. j � DOOR HARDWARE FOR DOOR 'i 44"L WALL BASE APRON & DROP OPERATION. NO LOCK. '/. / m PANEL TO 29"AFF. 3-5 8" METAL HANDLE SET ONLY. j NEW 3'-0"X7'-O' SOLID WOOD FLUSH a -' STUDS 0 16"O.C. WITH 3/4" j e DOOR WITH FULL IEW LITE..IN ry - OgN P-LAM SHEATHING ALL SLOES.pL-1 i HOLLOW METAL FR ME, 3 MAPLE "' 4 i._O. I -1 AIN & POLY. Y2 ...._. P.tPah 'OFFICE' HARDWARE LOCKSLT. 3'-a' - SECTION-2 DETAIL eG1 a&•q� .� GLASS WALL ELEVATION Al WALL ELEVATION A2 TYP. DESK ELEVATION 81 WALL ELEVATION B2 WALL ELEVATION C1 No.97 6 " . SCAE: 1/4'-0' SCNE: 1/4•_V-0' SCA E: 1/4"-,-0 SCALE ,/4-_,-0 SCALE 1/4• V-0• C0 . NOTE: 23'-2- 23'-2' 2'-0" ISSUED FOR DPH REVIEW 18'-0"COUNTER RO 4" 3'-4'RO _ /BT TEMPERED NG.T WINDOWS O (2) 3/4" LAYERS OF May 4,2017 1'-33 - - 3/8'T TEMPERED GVSS WINDOWS IN 1'- 4 FRAMELESS OPENING,TRACKLESS BOTTOM. 1%3 KENSINGTON MAPLE PLASTIC 4'-0 2'-0" 4'-0" 2'-0" 4'-0' FRAMELESS OPENING,TRACKLESS BOTTOM. 1%3 2'- _4'-0" 2'-0" 4'-0' 2'-0" 4'-0" MAPLE VALANCE,BOTH SIDES K WINDOW n MAPLE VALANCE, BOTH SIDES OF WINDOW TRACK.TYP.ALL SLIDING TRACKS.3"MAPLE LAMINATE ALL SIDES TRACK,TYP.ALL SLIDING TRACKS.3"MAPLE TRIM AROUND ALL SIDES,STAIN&POLY. �� ^ TRIM AROUND ALL SIDES.STAIN&POLY. / UDI�C % LIOINGI j j SLIDING SLIDING / SSUDING 12 H FORGO TACKSTRIP ABOVE. p-1 TER FABRIC. GUIL ORD OF MA E o I 1 CENTER COASTLINE I#3495.FCOLOR TBD IN u �O 34'D SOLID SURFACE COUNTER 0 36"AFF 24"0 SCUD SURF.COUNTER(3a"o AT FASTENED OVER 1 LAYER ° I .. ..: ^ TRANSACTION WINDOWS)0 36'AFF.(z) . :; 3/4. DRAWING TITLE: o I h I o (AT WINDOWS).SEE PUN. FILE-SIZED DRAWERS AND ONE UT1Lf1Y. "o KENSINGTONVMAPLE PANEL. m 4'MAPLE CHAIR-RAIL 0 36"AFF. r:l — DRAWER BELOW, P-UM ALL SIDES. LOCKING. I y� .STAIN&POLY. SS-1 2ND FLOOR INTERIOR j I (1)LAYER 3/4"MOF VENEERED PANEL WITH 1"REVEAL WITH ACCENT STAINLESS STEEL ELEVATIONS' - UMINATE. "Z-CLIPS" BRACKETS 7 ._6, CLIPS EACH SIDE. 6._6: 6._O. 1 .1 }'_6' �,2'-0" 3'-10� 12'_0•I }'_6' RECEPION LEVATION D1 X5'MAPLE BASE.STAIN&POLY. -1 .1 r ACOUSTIC PANEL DIVIDER, _ - R�EECEPTI ELEVATION D2 SEE DETAIL D3 s�: 1/4' 1-n ACOUSTIC PARTITION PANEL DETAIL D3 y REVISIONS: NO DATE DESCRIPTION _ 5 04 17 ISSUE FOR PRICING �/a K 21'-BY<' Q 4/05/18 ADDENDUM b1 tO'-, EXISTING DOOR TO REMAIN 8-0' NEW 3/8"T TEMPERED GLASS ' 1_ FRAMELESS FIXED WINDOW, IN EXISTING NEW 3/8'•T TEMPERED GLASS 3'-10" ' 3'-10" T-0' WALL. WOOD STOPS & 3"WOOD TRIM 4-BY2 4'-O" FRAMELESS FIXED WINDOW, IN EXISTING AROUND ALL SIDES. PAINTED. - / WALL. WOOD STOPS & 3"WOOD TRIM / EXISTING DOOR TO REMAIN —]--NEW 3/8"T TEMPERED GLASS AROUND ALL SIDES. PAINTED. i•1 FRAMELESS FIXED WINDOW, IN EXISTING / % WALL. WOOD STOPS AI 3"WOOD TRIM a= AROUND ALL SIDES. PAINTED. -I o PROJECT NO. 17-006 r- WALL ELEVATION DS I DATE OF ISSUE WALL ELEVATION D4 WALL ELEVATION DS 5GE 4-28-17 DRAWN BY: JP CHECKED BY: CBS 4 CRANING NUMBER A202 . OMEDCOM ARCHITECTURAL_GROUP MEDICAL&COMMERCIAL ARCHITECTURE 118 Waterhouse Road Bourne,MA 02532 P.O.BOX 157 Monument Beach,MA 02553 t 1508I 759-9828 f:ISOB)759-9802 W W W.MEDCOMARCH.COM PROJECT CONTACT:GREGORY SIROONIAN PROJECT: CAPE COD HUMAN SERVICES 1 Renovations to Clinic-2nd Floor 460 West Main St, Hyannis,MA. COPYRIGHT ." SI-bFo oRi Fu aweuolnomx'PUx�vosms-THEmusexsw�e..Xsro u"o.uxa aviaiu�ir u�Riuseonrmnr OF TTHIisuss IST. owaanR rt' i COUNSELILNOG RM.SIB - EXIST. £DAp; o�y COUNSELING RM #17 6D EXIST.PUBLIC ���'^ CORRIDOR FX-2 0 - EXIST. NOTE: COUNSELING RM.#16 Q ISSUED FOR DPH REVIEW EXIST. �y EXIST. May 4,2017 COUNSEUN CONF.RM. NGG RRM.#24 L . . COUNSELIXIOST M.p23' - EXIST. - PEDIATRIC WAIiINC RM. • DRAWING,TITLE: EXIST. + - WORKOROOM �^ EXIST EXISTING LING RM. COUNSE d14 2ND FLOOR PLAN IT ' COUNSELING RM..#25 _ - T �✓ yl EXIST. EXIST. 111 PEDATRIC RECEPTION 1 COUNSELING RM.#10 Exlsr. .. C� �I I� _ REVISIONS: COUNSELING RM IY22 EXIST. : - 0 - EXIST. q ADULT RECEPTION • _ ADULTQ C RM. t NSEuO M.#12 5 NO DATE DESCRIPTION i�5 04 17 ISSUE FOR PRICING EXIST. L CORRIODOR B1 r EXIST. EXIST. I"F CORRIDOR$2 COUNSELING RM.#21 EXIST. I'._ STAIR ONi EXCORRIOOR C EXIST. - 1 EXIST. EXIST. . - EXIST. EXIST EXIST. EXIST. EXIST. EXIST. COUNSELING RM.A19 .I COUNSEUNNGG RM.#1 COUNSELINOC RM.d2 OUNSELINOC RM.g]COVNSELINOG RM 84 COUNSELINQG RM q6 COUNSEUNNG RM 87 COUNSEUONC RM.d9 COUNSELIN�C RM.®11 O PROJECT NO. 17-006 COUNSELING RN.#20 EXIST. { +I I DATE OF ISSUE 4-28—1 7 DRAVM BY: JP CHECKED BY: GBS DRA'MNG NUMBER 1 BEHAVIORAL HEALTH CENTER — 2ND FLOOR EXISTING PLAN EX2 . 1 x- SCALEE:3/16"= 1-D' 109965q ft Total Buildhig2nd Floor r , (BMEDCOM ARCHITECTURAL GROUP MEDICAL&COMMERCIAL ARCHITECTURE 118 Waterhouse Road Bourne,MA 02532 P.O.So,157 Monument Beach,MA 02553 C(508)759-9828 f:(508)759-9802 W W W.MEDCOMARCH.COM PROJECT CONTACT:GREGORY 91ROONIAN PROJECT: CAPE COD HUMAN SERVICES Renovations to Clinic-2nd Floor _ 460 West Main St. Hyannis,MA. Z COPYRIGHTT. - mE.TMnaurin•r"." co—, AS0,ANY USE.RE LSE ORtOPYINOOF TII�NSE •. EXIST. - COUNSELING RM.A18 COUNSELINIG RM.A17 E�Fya EXIST.PUBLIC CORRIDOR - %0 NOTE: COUNSELIN�C RM A16 ISSUED FOR DPH REVIEW EXIST. May 4,2017 EXIST. I I CONE.RM. •i COUNSELING M.A24- (� EXIST. COUNSEUNNG RM.A23 EXIS PEDIATRICOWAT.mNG RM. DRAWING TITLE: IXISr.ROOM HDMI6 C� coAx EXIST, WORN EXISTING ®B4•AFF I (nN - COUNSELIO M:Al b � 2ND FLOOR -$ EXIST. REFLECTED CLG. PLAN COUNSELIO M.A25 I� - U _C1 �. . - IC�RRECEPTION '- COUNSEEO M.A10 REVISIONS: EXIST EEERRR���IIISSS���VVV vvv vyv COUNSELINGPEOIATR O RM.A?2 ' ITI I EXIST ADULT RECEPTION " '• III r ADULT WATING RM. EXIST R PRICING NO DATE DESCRIPTION COUNSELING ftM. 5 04 17 ISSUE FO Al2 � f _. ......V.1 .._...... _y - EXIST - CORRIDOOOR Al-.._ 0. EXIST. CORRIDOR A2 COUNSELEXIST.ING RM.A21 .. - O .. ffC EXIST. - STNR ON" EXIST PUBLIC I� 1 COXRIO OR , EXIST. EXIST. I EXIST EXIST. EXIST EXIST EXIST. EXIST. ' EXIST. COUNSEUNNG RM:A19 -- O A S A SEUNNG RM.A3 COVNSELINNG RM A4; COUNSELINOG RM.A6 COUNSEONOG RM:A7 COUNSELiORM A9 COUNSELINOG RM.Alt PROJECT NO. COUNSELING RM. 1.COUNSELING RM 2 OUN — EXIST. I { 4 - 1 7 006 I couNSEUNOC RM.A20 I _ OAT ISSUE CHE D 4-28-17 y _ DRAWNBY: J P CKE BY: G B S 1 DRAWNG NUMBER - 1 BEHAVIORAL HEALTH CENTER — 2ND FLOOR EXISTING PLAN EX2 . 2 SCALE:3/16"= 1'-0• 3 4 r •+yJ <M ,. - � � r• 'P 'N �� .� � ' '� � �. �:� � � , 6T?1 ,� "t) '� '--� ;�, I� - _ _ _