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1600 FALMOUTH ROAD/RTE 28 (5)
I&oo m o - , 9 e 0 r, o e x 0 " Town of Barnstable ° w wilding . Post=ThisAGard So;That it s Visible From the Street-Approved Plan"i Must be Retained Job and th s Card Must be Kept " Posted Unfil Final,lnspection Has Been Made °` " Permit iK►ct° Whereya Certificate of Occupancv,is=Required,.such Building=shall Not bei Occupied?until a FinaFlnspection has been made Permit No. B-19-3105 Applicant Name: JOHN T CALLAHAN, IV Approvals Date Issued: 11/15/2019 Current Use: Structure Permit Type: Building-Alteration INTERIOR Work Only- Expiration Date: 05/15/2020 Foundation:' Commercial Map/Lot: 209-014 Zoning District: SPLIT Sheathing: Location: 1600 FALMOUTH ROAD/RTE 28,CENTERVILLE Contractor Name JOHN T CALLAHAN, IV Framing: 1 Owner on Record: BELL TOWER CORPORATION % Contractor License:' CS=110429 2 Address: P O BOX 1461 - ` Est Project Cost: $20,000.00 Chimney: SOUTH DENNIS, MA 02660 k aPermit_ Fee: $282.00 Description: RETAIL STPACE TENANT IMPROVEMENTS-ANDERSON HARDWARE Insulation: Y i Fee Paid. $282.00 / PATCH AND PAINT WALLS&CEILINGS NEW HEATING UNITS 'Date. 11/15/2019 Final: Z3`Tg Project Review Req; Plumbing/Gas Rough Plumbing: � g a. x Building Official Final Plumbing: This permit shall be deemed abandoned and invalid unless the work authorzed by this permit is commenced within'sixmonths`after'issuance. All work authorized.by this permit shall conform to the approved application-and the approved construction documents for which this permit has been granted. Rough Gas: All construction,alterations and changes of use of any building and structures 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 road and shall be maintained open for public inspection for the entire duration of the Final Gas: work until the completion of the same. " Electrical The Certificate of Occupancy will not be issued until all applicable signatures--by the Buildingand Fire Officials are provided on this permit. Minimum of Five Call Inspections Required for All Construction Work: ,� Service: y 1.Foundation or Footing Rough: 2.Sheathing Inspection 3.All Fireplaces must be inspected at the throat level before firest flue lining is installed Final: 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection ` 5.Prior to Covering Structural Members(Frame Inspection) Low Voltage Rough: 6.Insulation 7.Final Inspection before Occupancy Low Voltage Final: Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Health Work shall not proceed until the Inspector has approved the various stages of construction. Final: "Persons contracting with unregistered contractors do not have access to the guaranty fund" (as set forth in MGL c.142A). Fire Department Building plans are to be available on site 4�f + Final: All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT G 5� Application Number.....B..... �,.......�L..v ............ENE Z VA BARNSTAEME, MASS. gUIL Permit Fee...... Other Fee,........................ 039. TotalFee Pais.............. .................................................. ...... TOWN 0Jr0VWRVAW§Vj --'Permit Approval by.................................On........................... BUILDING PERMIT ....................P=l....... APPLICATION Section 1 — Owner's Information'and,Project Location Project Address— 4V 7�14 M<V —village 5V;r"1/1L I e, Owners Name s l l 2Q �xlxer die Owners Legal Address A�o 12c--J ;zl City re4,- State Al/0- Zip 62 (. 32— e Owners Cell# 7- 2,ge/.5 Section 2 —Us' e of Structure Use Group DCommercial Structure over 35,000 cubic feet ❑ Commercial Structure under 3 5,000 cubic feet Single/Two Family Dwelling Section 3 —Type of Permit F-1 New Construction ❑ Move/Relocate [:] Accessory Structure E] 'Change of use El Demo/(entire structure) ❑ Finish-Basement El Family/Amnesty El Fire Alarm Rebuild 0 Deck Apartment El Sprinkler System -Additio Retaining wall F-1 Solar Renovation ❑ Pool El Insulation Other—Specify-9—e7-4-1-1 5162176—i Section 4 - Work Description Lop Z"K T+A.+.A- 11/1 1CMA1 Q 4 w T V : Application Number.......... Section 5—Detail Cost of Proposed Construction 2- o v fJ y Square Footage of Project ' ", QUA Age of Structure °2 -r Yr Dig Safe Number # Of Bedrooms Existing Total#Of Bedrooms (proposed) 110 MPH Wind Zone Compliance Method +'❑-MA Checklist ❑ WFCM Checklist D-5esign Section 6—Project Specifics EA`Wg ❑ Oil Tank Storage ❑ Smoke Detectors f ❑ Plumbing ❑ Gas ire Suppression LJ Heating System Y; ❑ Masonry Chimney ❑Add/relocate bedroom Water Supply Public ❑ Private Sewage Disposal ❑ Municipal 2 On Site Historic District ❑ Hyannis Historic District ❑ Old Kings Highway Debris Disposal Facility: �����✓/� I am using a crane ❑ Yes 19-No Section 7—Flood Zone Flood Zone Designation ' Within or adjacent to a wetland, coastal bank. Yes ❑ . No 2 Section 8—Zoning Information Zoning District Proposed Use �f�'���L Lot Area Sq. Ft. Total Frontage Percentage of Lot Coverage #of Dwelling Units (on site) Setbacks Front Yard Required 4 Proposed Zwkl ` Rear Yard Required 1 e Proposed a Side Yard Required c Proposed Has this property had relief from the Zoning Board in the past? ❑ Yes L� No A P oP rty g Last undated: 11/15/2018 1 Building Code Narrative/ Scope of Work For ANDERSON HARDWARE TENANT IMPROVEMENT BELL TOWER PLAZA UNITS 24-27,28 11 2 2019 Prepared by.• Mark Schryver Architect 370 Goss Lane Lancaster,MA 01523 Tel.978-844-4708 Email: mschryver@yahoo.com Building Description: The existing building is located at 1600 Falmouth Rd Centerville, MA. The tenant area of renovation is units 24-27,28 and is ;4,985 existing square feet and is TYPE II-B and is fully sprinklered The building has served continuously as: 780 CMR 309.1 Mercantile GROUP M per the Mass state building code fot the last 20 years, the previous tenant was a health food store called Natural origin. The proposed tenant named Anderson Hardware is also considered group M Mercantile per 780 CMR 309.1. Building Elements and Description: Site and accessibility: the building has parking in the front of building and an accessible entrance as the main entryl. Exterior envelope: Exterior is constructed of concrete block, storefront and brick. Interior Conditions: All interior partitions shall remain, a set of interior doors shall be added, and a set of exterior swing doors at the storefront entry. Handicap code: Existing handicap access to main floor meets the first requirement of Massachusetts accessibility code. One existing bathrooms shall have grab bars added for handicap compliance. Emergency exits and egress: Overall number of exits and locations comply with current code. There are three existing exits which will remain, one is required by code per the square footage and occupancy count. Life,Safety: The building is equipped through with a fully approved sprinkler system Interior Finishes: The building is slab on grade concrete with vinyl and carpet finishes, new vinyl and carpet shall be instalo remain, no modifications shall be required since no walls are being added'or removed. Mechanical, Electrical and Plumbing: Exisitng electrical service, Plumbing and water as well as Mechanical heating and cooling systems shall remain,_ the three mechanical units shall be replaced with newer higher efficiency units. 2 The following is an outline of the Chapter 34 Massachusetts state building code which will have to be followed to make any renovations or modifications. The 2015 IEBC code shall be used to determine the level of alterations and the associated impact. If building finishes, windows, HVAC systems are modified or replaced and no significant alteration to the interior environment will occur, Level 2 alterations section shall apply. Section 34 Building Code Provisions:.MGL 780 CMR Chapter 34 Repair Alteration Addition & Change of Use of Existing Buildings will be the tool used to assess and quantify proposed work with the building department as use plans are finalized for the building. Applicable portions of the referenced Chapter 34 have been reviewed and found to be compliant with respect to number and capacity of exits; Exit signs and lights; Means of egress lighting;Height and area limitations; fire notification systems;Accessibility for persons with disabilities. Scope of Renovation Work: partitions and walls-are to remain as existing. Patch walls, floors, ceilings as needed and paint. Replace floor tile as needed and clean.Add new out swing front door. Replacement of 3 existing HVAC units. , Occupancy Loading; Based on the M use for the building, occupancy is at 60 s.f. per person = 83 possible occupants. Egress Components: Egress components currently support the occupant capacity of the building. Existing egress paths unaffected by proposed work and shall remain in place. The proposed Occupancy Loads is 83 occupants with three existing exits to remain. Exit Signs & Lights: EXIT signs and emergency are existing, additional emergency lighting as required and shown on plan. Interior Environment: The provisions of Comm. of Mass 780 CMR Chapter 12 were reviewed and compliance has been determined. Fire Notification System: Existing building system in place,contractor to make sure it is in full compliance. Fire Protection Laws & Regulations: MGL Chapter 148 Fire Protection Laws and Chapter 527 CMR Fire Prevention Regulations Currently the building is equipped with a sprinkler system and will not need any modifications as no partitions are being moved or deleted. Plumbing Code Compliance: Overall the building shall be compliant with the requirements of the Comm. of Mass 248 CMR Fuel&Gas Plumbing Code based on the fixtures provided. Site Accessibility Compliance: The existing site parking and fire vehicle access is not being affected or modified. There is a fire lane around the building providing access to.the building perimeter. The parking layout shall not be affected or changed. Building Accessibility Compliance: The existing space shall be meet the requirements of the Comm. of Mass 521 CMR Architectural Access Board Code based on this review. Lever handles shall be provided on all doors. Accessible entrances and egresses are available in sufficient quantity. Accessible toilets are being made compliant with an electrified access paddle and opener on a door without proper pull side clearancegrab bars at toilet. Energy Code Compliance: Three existing units shall be replaced with new more efficient HVAC units meeting all code requirements. 3 New Wall Construction: No new walls are added,existing tenant separation walls shall remain. Interior Finish Flammability Compliance: No new interior wall finshes, existing shall remain; vinyl base and vinyl composition tile floors existi and shall be patched. All shall meet or exceed required flame spread and smoke contributed ratings. Conclusions: This review finds that the proposed renovations to the existing facility are consistent with the existing building conditions and with a minimal amount of building change as noted herein is an excellent replacement tenant of same use and basic interior layout requiring few changes. Mark Schryver Architect �$gER sc Reif No.31155 LANCASTE . 0 Init ai Construction 'ontrof Document �4 "lb be submitted with the building permit application by a Registerea Design rroiessionai )I r th i 1'.nPxu!!FI!Y4Sai•TCf-� PM 1't ntl rNY'ThP �!YO' Massachusetts State Building Code, 780 CM??, Section 107 Project Title:Anderson Hardware Tenant Improvements.Date:August 12.2019 Property Address: 1600 Falmouth Rd Unit 24-27-28 Centerville.MA Project: Check(x)one or both as applicable: . New construction X Existing Construction Project description: Partitions and walls are to remain as existing.Patch walls,floors,ceilings as needed and paint. Replace floor tile as needed and clean.Add new out swing front door. Replacement of 3 existing'!VAC units. I Mark Sehryver MA Registration Number:31155 Expiration date:8/31/20 ,am a registered design professional, and I have prepared or directly supervised the preparation of all design plans,computations and specifications concerning': X Architectural Structural Mechanical Fire Protection Electrical Oinet. for the above named project and that to the best of my knowledge,information,and belief such plans,computations and specitcanons meet the applicable provisions of the Massachusetts State Building Code,(780 CMR),and accepted engineering practices for the oroposed 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'. • � �1•rgED A��h,�f SCN��E�,� c7 hc.311ES a LAt3CASa A o Enter in the space to the right a"wet"or electronic signature and seal: Phone number: 978 81444708 Email: mschryver@yahoo.com g Building_Official Use Only T. Building Official Name: Permit No.: Date: Mote 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 Carter, Jeff From: Carter,Jeff Sent: Tuesday, October 15, 2019 2:47 PM To: jcallahan@globalpdc.com' Subject: ViewPermit, Permit No:TB-19-3105 Please be advised that we are currently reviewing your building permit'application for 1600 Falmouth Rd,Centerville. At this time we have to deny your request until additional information is provided. As we discussed an additional narrative is required that outlines previous and proposed use, store layout that includes accessibility and fire protection. Feel free to contact me with any questions regarding this request. And, if aggrieved by this notice and order; to show cause as to why you should not be required abate the violation in this notice,you may file a Notice of Appeal specifying the grounds thereof with the State Building Code Appeals Board within forty-five (45) days of this notice in accordance with MGL 143 c. 100 and 780 CMR. Respectfully, ' Jeff Carter Local Inspector Building Department Town of Barnstable 200 Main Street Hyannis, MA 02601 508 862-4035 1 COMcheck Software Version COMcheckWeb Envelope Compliance Certificate Project Information Energy Code: 2015 IECC Project Title: ANDERSON HARDWARE Location: Centerville (Barnstable), Massachusetts Climate Zone: 5a Project Type: Alteration Vertical Glazing/Wall Area: 15% Construction Site: Owner/Agent: Designer/Contractor: 1600 Falmouth Rd John Callahan centerville, Massachusetts 02632 1600 Falmouth Rd Centerville, Massachusetts 02632 617-538-9326 johnc@globalpdc.com Building Area I Floor Area 1-open retail sales( etail):Nonresidential 4985 Envelope Assemblies R-Value Proposed Max.Allowed Post-Alteration Assembly Cavity Cont. U-Factor SHGC U-Factor SHGC Floor: Other(U-Factor option), [Bldg. Use 1-open retail — — sales], Exemption: Framing cavity not exposed. (a) Roof: Insulation Entirely Above Deck, [Bldg.Use 1-open retail sales], Exemption: Neither sheathing nor insulation is exposed. NORTH Ext.Wall:Steel-Framed, 16in.o.c.,[Bldg. Use 1-open retail sales], Exemption: Framing cavity not exposed. SOUTH Ext.Wall: Steel-Framed, 161n.o.c.,[Bldg.Use 1-open retail sales], Exemption: Framing cavity not exposed. Door: , Entrance Door, Entrance Door, [Bldg. Use 1-open __ 0.700 0.400 0.770 0.478 retail sales] Window: Metal Frame Curtain Wall/Storefront, Fixed, -- — 0.350 0.450 0.380 0.478 Clear, Fixed, Fixed, [Bldg. Use 1-open retail sales] ' (a)'Other'components require supporting documentation for proposed U-factors. (b)Fenestration product performance must be certified in accordance•with NFRC and requires supporting documentation. .Nh Envelope Compliance Statement Compliance Statement. The proposed envelope alteration project represented in this document is consistent with the building plans,specifications, and other calculations submitted with this permit application.The proposed envelope systems have been designed to meet the 2015 IECC requirements in COMcheck Version COMcheckWeb and to comply with any applicable mandatory requirements listed in the Inspection Checklist. Project Title: ANDERSON HARDWARE- Report date: 08/23/19 Data filename: Page 1 of 16 - Name-Title Signature Date b �f Project Title: ANDERSON HARDWARE Report date: 08/23/19 Data filename: Page 2 of 16 COMcheck Software Version COMcheckWeb Interior Lighting Compliance Certificate z Project Information Energy Code: 2015 IECC " Project Title: ANDERSON HARDWARE Project Type: Alteration Construction Site: Owner/Agent: Designer/Contractor: 1600 Falmouth Rd John Callahan centerville, Massachusetts 02632 1600 Falmouth Rd Centerville, Massachusetts 02632 617-538-9326 johnc@globalpdc.com Allowed Interior Lighting Power A B C D Area Category Floor Area Allowed Allowed Watts (ft2) Watts/ft2 1-open sales floor(Retail:Sales Area): Exempt 2-bathrooms, back of house(Retail:Dressing/Fitting Room): Exempt Total Allowed Watts= N/A Area Category Exemption Qualifications #Fixtures Total#Watts Activity Area Pre-Alt. Repl./Added Pre-Alt. Post-Alt. open sales floor(Retail: Sales Area. 4451 sq.ft.)_ 48 0 2064.000 2064.000 Exemption: Less than 10%fixture replacement. bathrooms, back of house (Retail: Dressing/Fitting 12 0 516.000 516.000 Room. 534 sq.ftJ Exemption: Less than 10%fixture replacement. Proposed Interior Lighting Power A B C D E Fixture ID: Description/Lamp/Wattage Per Lamp/Ballast Lamps/ #of Fixture (C X D) Fixture Fixture, Watt. open sales floor(Retail: Sales Area. 4451 sq.ft.): Exempt bathrooms, back of house (Retail: Dressing/Fitting Room. 534 sq.ft.): Exempt Total Proposed Watts= N/A Interior Lighting Compliance Statement Compliance Statement: The proposed interior lighting alteration project represented in this document is consistent with the building plans,specifications,and other calculations submitted with this permit application.The proposed interior lighting systems have been designed to meet the 2015 IECC requirements in COMcheck Version COMcheckWeb and to comply with any applicable mandatory requirements listed in the Inspection Checklist. Name-Title , Signature - Date Project Title: ANDERSON HARDWARE Report date: 08/23/19 Data filename: Page 3 of 16' i i COMcheck Software Version COMcheckWeb Exterior Lighting Compliance Certificate f Project Information Energy Code: 2015 IECC Project Title: ANDERSON HARDWARE Project Type: Alteration Exterior Lighting zone 2 (Neighborhood business district) Construction Site: Owner/Agent: Designer/Contractor: 1600 Falmouth Rd John Callahan Centerville, Massachusetts 02632 1600 Falmouth Rd Centerville, Massachusetts 02632 617-538-9326 johnc@globalpdc.com Allowed Exterior Lighting Power A B C D E Area/Surface Category Quantity Allowed Tradable Allowed Watts Watts/ Wattage (B X C) " Total Tradable Watts(a)= 0 Total Allowed Watts= 0 Total Allowed Supplemental Watts(b)= 600 (a)Wattage tradeoffs are only allowed between tradable areas/surfaces. (b)A supplemental allowance equal to 600 watts may be applied toward compliance of both non-tradable and tradable areas/surfaces. Proposed Exterior Lighting Power A B C D E Fixture ID: Description/Lamp/Wattage Per Lamp/Ballast Lamps/ #of Fixture (C X D) Fixture -Fixture Watt. exterior existing canopy (Entry canopy. 800 ft2): Exempt: Non-tradable Wattage Total Tradable Proposed Watts= 0 Exterior Lighting Compliance Statement Compliance Statement: The proposed exterior lighting alteration project represented in this document is consistent with the building plans, specifications,and other calculations submitted with this permit application.The proposed exterior lighting systems have been designed to meet the 2015 IECC requirements in COMcheck Version COMcheckWeb and to comply with any applicable mandatory requirements listed in the Inspection Checklist. Name-Title Signature Date e ' 1 e Project Title: ANDERSON HARDWARE Report date: 08/23/19 Data filename: Page 4 of 16 COMcheck Software Version COMcheckWeb Mechanical Compliance Certificate Project Information Energy Code: 2015 IECC Project Title: ANDERSON HARDWARE Location: Centerville (Barnstable), Massachusetts Climate Zone: 5a Project Type: Alteration Construction Site: Owner/Agent: Designer/Contractor: 1600 Falmouth Rd John Callahan centerville, Massachusetts 02632 1600 Falmouth Rd Centerville, Massachusetts 02632 617-538-9326 - johnc@globalpdc.com Mechanical Systems List Quantity System Type&Description 3 HVAC System(Multiple-Zone w/PerimeterSystem): Heating:3 each-Unit Heater,Gas,Capacity= 66666 kBtu/h Proposed Efficiency=97.00%Ec, Required Efficiency: 80.00%Ec Cooling:3 each-Split System,Capacity= 15 kBtu/h,Air-Cooled Condenser,Air Economizer . Proposed Efficiency= 15.00 SEER, Required Efficiency: 13.00 SEER Mechanical Compliance Statement Compliance Statement. The proposed mechanical alteration project represented in this document is consistent with the building plans,specifications,and other calculations submitted with this permit application.The proposed mechanical systems have been designed to meet the 2015 IECC requirements in COMcheck Version COMcheckWeb and to comply with any applicable mandatory requirements listed in the Inspection Checklist. Name-Title Signature Date t i Project Title: ANDERSON HARDWARE Report date: 08/23/19 Data filename: Page 5 of 16 COMcheck Software Version COMcheckWeb Inspection Checklist Energy Code: 2015 IECC Requirements: 0.0% were addressed directly in the COMcheck software Text in the "Comments/Assumptions" column is provided by the user in the COMcheck Requirements screen. For each requirement,the user certifies that a code requirement will be met and how that is documented, or that an exception is being claimed. Where compliance is itemized in a separate table, a reference to that table is provided. Section # Plan Review Complies? Comments/Assumptions & Req.ID C103.2 ;,Plans and/or specifications provide all ;❑Complies [PR1]1., :information with which compliance :❑Does Not :can be determined for the building ;envelope and document where :❑Not Observable :exceptions to the standard are :❑Not Applicable claimed. C103.2 ;Plans,specifications,and/or ;❑Complies [PR2]1 calculations provide all information :❑Does Not with which compliance can be Not Observable ;determined for the mechanical systems and equipment and :❑Not Applicable :document where exceptions to the ;standard are claimed. Load ;calculations per acceptable :engineering standards and handbooks. C103.2 ;Plans,specifications,and/or . ❑Complies [PR8]1 calculations provide all information :❑Does Not :with which compliance can be ❑Not Observable ;determined for the exterior lighting :and electrical systems and equipment ;❑Not Applicable and document where exceptions to ;the standard are claimed. Information provided should include exterior lighting power calculations,wattage of :bulbs and ballasts,transformers and control devices. C402.4.1 ;The vertical fenestration area <= 30 ❑Complies [PR10]1 :percent of the gross above-grade wall :❑Does Not area. ❑Not Observable: 1 UNot Applicable C402.4.y1 ;The skylight area <= 3 percent of the ;❑Complies ; [PRll]1 gross roof area. :❑Does Not ❑Not Observable; ❑Not Applicable 1 High Impact(Tier 1) 1W2,1 Medium Impact(tier 2) 13 1 Low Impact(Tier 3) Project Title: ANDERSON HARDWARE Report date: 08/23/19 Data filename: Page 6 of 16 , Section # Plan Review Complies? Comments/Assumptions &Req.ID C402.4.2 In enclosed spaces> 2,500 f:2 ;❑Complies [PR14)1 directly under a roof with ceiling :❑Does Not heights>15 ft.and used as an office, lobby,atrium,concourse,corridor, ❑Not Observable ;storage,gymnasium/exercise center, ❑Not Applicable :s torage, center,automotive ;service, manufacturing, non- ,refrigerated warehouse,retail store, (distribution/sorting area, transportation,or workshop,the ,following requirements apply: (a)the 'daylight zone under skylights is>_ half the floor area; (b)the skylight area to daylight zone is>=3 percent with a skylight VT>=0.40;or a minimum skylight effective aperture >= 1 percent. Additional Comments/Assumptions: fI 1 High Impact(Tier 1) 2 Medium Impact(Tier 2) 3 Low Impact(Tier 3) Project Title: ANDERSON HARDWARE Report date: 08/23/19 Data filename: Page 7 of 16 Section # Footing/Foundation Inspection Complies? Comments/Assumptions & Reci.ID C303.2.1 ;Exterior insulation protected against ❑Complies [FO6]1 damage,sunlight, moisture,wind, :❑Does Not landscaping and equipment maintenance activities. ;❑Not Observable ❑Not Applicable C403.2.4. Snow/ice melting system sensors for ;❑Complies 5, future connection to controls. Freeze []Does Not j C403.2.4. protection systems have automatic 6 controls installed. ;❑Not Observable; [FO9]3 ❑Not Applicable j Additional Comments/Assumptions: _ E i i 1 High Impact(Tier 1) 2 Medium Impact(Tier 2) 3 Low Impact(Tier 3) Project Title: ANDERSON HARDWARE Report date: 08/23/19 Data filename: Page 8 of 16 Section # Framing/Rough-in Inspection Complies? Comments/Assumptions & Reci.ID C303.1.3 Fenestration products rated in ❑Complies [FR12]2 accordance with NFRC. PDoes Not j❑Not Observable [ :❑Not Applicable C303.1.3 ;.Fenestration products are certified as ;❑Complies FR13 labels or certificates ❑ [ 1 .to performance] p Does Not provided. ;❑Not Observable ❑Nat Applicable C402.4.3 ;Vertical fenestration SHGC value. ;❑Complies ;See the Envelope Assemblies table for values. [FR10]1 j❑Does Not ❑Not Observable ❑Not Applicable C402.4.3, :Vertical fenestration U-Factor. ;❑Complies ;See the Envelope Assemblies table for values. C402.4.3. ❑Does Not [FRB]1 ;❑Not Observable j UNot Applicable C402.4.4 U-factor of opaque doors associated ❑Complies See the Envelope Assemblies table for values. [FR14]2 with the building thermal envelope PDoes Not meets requirements. ;❑Not Observable ❑Not Applicable C402.5.1. 'The building envelope contains a ;❑Complies 2.2 ;continuous air barrier that is sealed in :❑Does Not 1 FR20 pan approved manner and average[ ] 9 pp :❑Not Observable; ;assembly air leakage<=0.04 cfm/ft2. ;Air barrier penetrations are sealed in ;❑Not Applicable pan approved manner. C402.5.2, Factory-built fenestration and doors ;❑Complies C402.5.4 are labeled as meeting air leakage �❑Does Not [FR18]3 requirements. j❑Not Observable ❑Not Applicable C402.5.7 (Vestibules'are installed on all building ;❑Complies [FR17]3 entrances. Doors have self-closing PDoes Not devices. ❑Not Observable 333 � _ ❑Not Applicable Additional Comments/Assumptions: 1 High Impact(Tier 1) 2 Medium Impact(Tier 2) 3 Low Impact(Tier 3) Project Title: ANDERSON HARDWARE Report date: 08/23/19 Data filename: Page 9 of 16 i Section # Plumbing Rough-In Inspection Complies? Comments/Assumptions & Req.ID C404.5, Heated water supply piping conforms ;❑Complies, C404.5.1, 'to pipe length and volume El Not C404.5.2 'requirements.Refer to section details. 1 [PL6]3 ;❑Not Observable: ❑Not Applicable C404.6.3 Pumps that circulate water between a ❑Complies [PL7]3 heater and storage tank have controls T❑Does Not that limit operation from startup to <=5 minutes after end of heating ,❑Not Observable cycle. U]Not Applicable C404.7 Water distribution system that pumps ;❑Complies [PL8]3 water from a heated-water supply 1❑Does Not pipe back to the heated-water source ❑Not Observable , through a cold-water supply pipe is a ;demand recirculation water system. ❑Not Applicable 3 Pumps within this system have controls that start the pump upon receiving a signal from the action of a I ' user of a fixture or appliance and limits the temperature of the water entering the cold-water piping to �104°F. Additional Comments/Assumptions: t - 't 3 . 1 High Impact(Tier 1) 2 Medium Impact(Tier 2) 3 Low Impact(Tier 3) Project Title: ANDERSON HARDWARE Report date: 08/23/19 Data filename: Page 10 of 16 Section Mechanical Rough-In Igspection Complies? Comments/Assumptions & Req.ID C402.2.6 Thermally ineffective panel surfaces of❑Complies [ME41]3 sensible heating panels have :❑Does Not insulation>= R-3.5. ❑Not Observable ❑Not Applicable C402.5.5, Stair and elevator shaft vents have ;❑Complies C403.2.4. motorized dampers that automatically �0Does Not [ME3]3 close. ;❑Not Observable ❑Not Applicable I 9 C402.5.5, Outdoor air and exhaust systems have;❑Complies C403.2.4. motorized dampers that automatically ;❑Does Not 3 shut when not in use and meet [ME58]3 maximum leakage rates.Check ❑Not Observable gravity dampers where allowed. ❑Not Applicable I C403.2.12 HVAC fan systems at design ;❑Complies See the Mechanical Systems list for values. .1 conditions do not exceed allowable :❑Does Not [ME65]3 fan system motor nameplate hp or fan; system bhp. ❑Not Observable: ❑Not Applicable C403.2.12 Fans have efficiency grade(FEG)>_ ;❑Complies ' .3 67.The total efficiency of the fan at ❑Does Not [ME117]2 the design point of operation <= 15% of maximum total efficiency of the ❑Not Observable fan. :❑Not Applicable C403.2.13 Unenclosed spaces that are heated ';❑Complies [ME71]2 use only radiant heat. :❑Does Not ❑Not Observable , ❑Not Applicable C403.2.3 HVAC equipment efficiency verified. ;❑Complies See the Mechanical Systems list for values. [ME55]2 ;❑Does Not ❑Not Observable ❑Not Applicable C403.2.4. Zone isolation devices and controls ❑Complies 4 installed where applicable. ;❑Does Not [ME112]3 j❑Not Observable ;❑Not Applicable C403.2.6. ;Demand control ventilation provided ❑Complies 1 :for spaces>500 ft2 and >25 T❑Does Not [ME59]1 people/1000 ft2 occupant density and I served by systems with air side ❑Not Observable ;economizer,auto modulating outside ;❑Not Applicable air damper control,or design airflow >3,000 cfm. C403.2.6. Enclosed parking garage ventilation ;❑Complies 2 has automatic contaminant detection ❑Does Not [ME115]3 and capacity to stage or modulate fans to 50%or less of design capacity.`;❑Not Observable ❑Not Applicable C403.2.7 ;Exhaust air energy recovery on ;❑Complies [ME57]1 :systems meeting Table`C403.2.7(1) ;❑Does Not and C403.2.7(2). �❑Not Observable El Not Applicable C403.2.8 Kitchen exhaust systems comply with j❑Complies [ME116]3 replacement air and conditioned T❑Does Not °supply air limitations,and satisfy hood rating requirements and maximum ;❑Not Observable k exhaust rate criteria., j❑INot Applicable 1 High Impact(Tier 1) 2 Medium Impact(Tier 2) 3 Low Impact(Tier 3) Project Title: ANDERSON HARDWARE Report date: 08/23/19 Data filename: Page 11 of 16 Section ; # Mechanical Rough-In'Inspection Complies?• Comments/Assumptions &Req.ID C403.2.9 HVAC ducts and plenums insulated. ;❑Complies [ME60]2 Where ducts or plenums are installed ❑Does Not in or under a slab,verification may need to occur during Foundation I[]Not Observable Inspection. ;❑Not Applicable C403.2.9 Ducts and plenums sealed based on ;❑Complies [ME10]z static pressure and location. PDoes Not ❑Not Observable ❑Not Applicable C403.2.9. Ductwork operating>3 in.water ;❑Complies 1.3 Ecolumn requires air leakage testing. ❑Does Not [ME11]3 ❑Not Observable ❑Not Applicable C403.4.1. Hydronic and multizone HVAC system ;❑Complies 1 controls areVAV fans driven by El Does Not [ME75]2 mechanical or electrical variable ❑Not Observable speed drive per Table C403.4.1.1. ❑Not Applicable C403.4.1. VAV fans have static pressure sensors ;❑Complies 2 located so controller setpoint<=1.2 ❑Does Not [ME67]2 w.c.. []Not Observable ❑Not Applicable C403.4.1. d Reset static pressure setpoint for DDC I❑Complies 3 controlled VAV boxes reporting to !❑Does Not [ME24]2 central controller based on the zones requiring the most pressure. I❑Not Observable ❑Not Applicable C403.4.4. Multiple zone VAV systems with DDC ;❑Complies ;See the Mechanical Systems list for values. 6 of individual zone boxes have static :❑Does Not [ME110]3 pressure setpoint reset controls. ❑Not Observable ❑Not Applicable C408.2.2. ttAir outlets and zone terminal devices ;❑Complies 1 {have means for air balancing. :❑Does Not [ME53]3 $ ❑Not Observable; ❑Not Applicable C403.5, Refrigerated display cases,walk-in ;❑Complies C403.5.1, coolers or walk-in freezers served by Z❑Does Not C403.5.2 'r remote compressors and remote [ME123]3 condensers not located in a I❑Not Observable condensing unit, have fan-powered ;❑Not Applicable condensers that comply with Sections C403.5.1 and refrigeration compressor; systems that comply with C403.5.2.. Additional Comments/Assumptions: r 1 High Impact(Tier 1) 2 Medium Impact(Tier 2) 3 Low Impact(Tier 3) Project Title: ANDERSON HARDWARE Report date: 08/23/19 Data filename: Page 12 of 16 Section. # Rough-In Electrical ln`spection > Complies? , ,Comments/Assumptions. & Req.ID. C405.2.5 :Automatic lighting controls for exterior!❑Complies [EL25]no° :lighting installed.Controls will be ❑Does Not daylight controlled,set based on business operation time-of-day,or ;❑Not Observable ;reduce connected lighting >30%. �❑Not Applicable Additional Comments/Assumptions: t l ` 1 High Impact(Tier 1) 2 Medium Impact(Tier 2) 3 Low Impact(Tier 3) Project Title: ANDERSON HARDWARE Report date: 08/23/19 Data filename: Page 13 of 16 Section # Insulation Inspection Complies? Comments/Assumptions &Req.ID C303.1 ;,Roof insulation installed per ;❑Complies [IN3]1 :manufacturer's instructions. Blown or UDoes Not poured loose-fill insulation is installed only where the roof slope is<=3 in i❑Not Observable 12. ;❑NofApplicable C303.1 I Building envelope insulation is labeled;❑Complies [IN10]2 with R-value or insulation certificate ❑Does Not providing R-value and other relevant data. ❑Not Observable . :❑Not Applicable C303.2 ;Above-grade wall insulation installed ❑Complies [IN7]1 per manufacturer's instructions. �ODoes Not ❑Not Observable ❑Not Applicable C303.2, Floor insulation installed per ;❑Complies C402.2.4 manufacturer's instructions.Cavity or �DDoes Not [IN9]2 structural slab insulation installed in permanent contact with underside of '❑Not Observable decking or structural slabs. ;❑Not Applicable C303.2.1 Exterior insulation is protected from ;❑Complies [IN14]2 damage with a protective material. �❑Does Not Verification for exposed foundation insulation may need to occur during I❑Not Observable Foundation Inspection. �❑Not Applicable C402.2.1 Insulation intended to meet the roof ❑Complies [IN17]3 insulation requirements cannot be �'❑Does Not installed on top of a suspended ceiling. Mark this requirement ❑Not Observable !compliant if insulation is installed :❑Not Applicable Raccordingly. C104 :Installed above-grade wall insulation ;❑Complies !See the Envelope Assemblies table for values. [IN6]1 (type and R-value consistent with ❑Does Not insulation specifications reported in plans and COMcheck reports. ❑Not Observable ❑Not Applicable C104 Installed floor insulation type and R- w'❑Complies ;See the Envelope Assemblies table for values. [IN8]2 value consistent with insulation ❑Does Not specifications reported in plans and COMcheck reports. ;❑Not Observable: ❑Not Applicable C402.2.6 Radiant panels and associated ;❑Complies [IN]L8]3 components,designed for heat ❑Does Not transfer from the panel surfaces to the, g occupants or indoor space are ;❑Not Observable; insulated with a minimum of R-3.5. ❑Not Applicable C104 ;Installed roof insulation type and R- ❑Complies ;See the Envelope Assemblies table for values. [IN2]1 value consistent with insulation :ODoes Not specifications reported in plans and COMcheck reports. For some ceiling I❑Not Observable ;systems,verification may need to ;❑Not Applicable occur during Framing Inspection. C402.5.1. ;All sources of air leakage in the ' ❑Complies 1 :building thermal envelope are sealed, ❑Does Not [IN1]1 ;caulked,gasketed,weather stripped or wrapped with moisture vapor- '❑Not Observable :permeable wrapping material to ;❑Not Applicable minimize air leakage. Additional Comments/Assumptions: 1 High Impact(Tier 1) 2 Medium Impact(Tier 2) 3 Low Impact(Tier 3) Project Title: ANDERSON HARDWARE Report date: 08/23/19 Data filename: Page 14 of 16 Section Final Inspection Complies? Comments/Assumptions & Req.ID C303.3, Furnished O&M manuals for HVAC ElComplies C408.2.5. I systems within 90 days of system ❑Does Not 3 acceptance. [F18]3 ;❑Not Observable s❑Not Applicable C402.5.3 `f Where open combustion air ducts ;❑Complies [F151]3 Eprovide combustion air to open PDoes Not combustion fuel burning appliances, the appliances and combustion air ❑Not Observable opening are located outside the ❑Not Applicable building thermal envelope or enclosed in a room,isolated from inside the jthermal envelope. Such rooms are jsealed and insulated. C402.5.6 ;Weatherseals installed on all loading ❑Complies [F137]1 dock cargo doors. ❑Does Not ❑Not Observable ❑Not Applicable C402.5.8 ;Recessed luminaires in thermal ;❑Complies [F126]3 envelope to limit infiltration and be IC ❑Does Not ]rated and labeled.Seal between interior finish and luminaire housing. j❑Not Observable; ❑Not Applicable C403.2.2 HVAC systems and equipment i❑Complies [F127]3 i capacity does not exceed calculated ❑Does Not ;loads. []Not Observable ❑Not Applicable C403.2.4. Heating and cooling to each zone is ;❑Complies 1 $controlled by a thermostat control. :❑Does Not [F147]3 Minimum one humidity control device per installed ;❑Not Observable: humidification/dehumidification ❑Not Applicable system. C403.2.4. Thermostatic controls have a 5 °F ;❑Complies 1.2 deadband. UDoes Not [F[38]3 j❑Not Observable! ❑Not Applicable C403.2.4. iTemperature controls have setpoint ;❑Complies 1.3 overlap restrictions. '❑Does Not [F120]3 ❑Not Observable; _:❑Not Applicable C403.2.4. Each zone equipped with setback i❑Complies 2 [controls using automatic time clock or ;❑Does Not [F139]3 programmable control system. ❑Not Observable ❑Not Applicable C403.2.4. ;Automatic Controls: Setback to 55°F ;❑Complies x 2.1, [(heat)and 85DF(cool); 7-day clock, 2- ;❑Does Not C403.2.4. 'hour occupant override, 10-hour ❑Not Observable: 2.2[F 40]3 backup ;❑Not Applicable C405.5.1 ;Exterior lighting power is consistent ;❑Complies ;See the Exterior Lighting fixture schedule for values. [FI19]1 :with what is shown on the approved '❑Does Not lighting plans,demonstrating proposed watts are less than or equal ❑Not Observable to allowed watts. 'El Not Applicable 1 High Impact(Tier 1) 2 Medium Impact(Tier 2)( 3 Low Impact(Tier:3) Project Title: ANDERSON HARDWARE Report date: 08/23/19 Data filename: Page 15 of 16 r .Section # Final Inspection Complies? Comments/Assumptions &Req.ID C408.2.1 ;Commissioning plan developed by ;❑Complies [FI28]1 ;registered design professional or �ODoes Not ;approved agency. ❑Not Observable ❑Not Applicable C408.2.3. ;HVAC equipment has been tested to '.❑Complies 1 ;ensure proper operation. :❑Does Not [FI31]1 ; Not Observable ❑Not Applicable C408.2.3. HVAC control systems have been ;❑Complies 2 tested to ensure proper operation, �ODoes Not [FI10]1 :calibration and adjustment of controls.:❑Not Observable ❑Not Applicable C408.2.4 ;Preliminary commissioning report ;❑Complies [F129]1 completed and certified by registered :❑Does Not - design professional or approved ;agency. ❑Not Observable; ; ❑Not Applicable 1 C408.2.5. ?Furnished HVAC as-built drawings ❑Complies 1 submitted within 90 days of system ;❑ Y Y Does Not [F17]3 acceptance. ❑Not Observable $ ;❑Not Applicable C408.2.5. ;An air and/or hydronic system ;❑Complies 3 balancing report is provided for HVAC ;❑Does Not [FI43]1 :systems. j❑Not Observable: ❑Not Applicable C408.2.5. ;,Final commissioning report due to ;❑Complies 4 ;building owner within 90 days of ' ❑Does Not [F130]1 receipt of certificate of occupancy., ❑Not Observable: ❑Not Applicable Additional Comments/Assumptions: v , C s 1 High Impact(Tier 1) 2 Medium Impact(Tier 2) 3 Low Impact(Tier 3) Project Title: ANDERSON HARDWARE Report date: 08/23/19 Data filename: Page 16 of 16 Massachusetts Department of Public Safety t Board of Building Regulations and Standards' License': CS-110429 - Construction Supervisor R ` +, JOHN T CALLAHAN 1 BUTTERCUP LANE _ ,, SOUTH YARMOUTH MA 02664 �� .Expiration Commissioner 07/18/2020 ak The Commonwealth of Massachusetts Department of IndustrialAccidents Office of InvaWgations 600 Washington Street Boston,MA 02111 www massgov/dia . Workers' Compensation Insurance Affidavit. Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name(Business/Organizatimvbdividual).-�C- ✓?�c eQ M"h ��L . Address: D 2 f az�2y , ���— 3 City/State/Zip: i Phone#: - 1p/'�I a'('f x:3 Are yo n employer?Check the appropriate box:. Type of project(required): 1. I am a employer with '2- 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 subcontractors have g, ❑Demolition working for mein any capacity. employees and have workers' 9. ❑Building addition [No workers'comp.insurance comp.insurance,! required.] - 5. ❑-We are a corporation and its 10.❑Electrical repairs or additions j officers have exercised their 11. Plumb' repairs or additions 3.❑ I am a homeowner doing all work ❑ ep myself[No workers'comp. -right of exemption per MGL 12.❑Roof repairs insurance 1eguired,]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 him: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-contactors 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. Q Insurance Company Name: / 'Oem a/ Policy#or Self-ins.Lic.#: 'Expiration Date: 2 11 12 4 , Job Site Address: Aelgl 46 e", City/State/Zip: 0r,_► 4l t�I e M 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 here fy and the p ' d pe 'es erjury that the information provided above is true correct Si Date: Phone Ojj`icial use only. Do not write in this area,to be completed by city or town official City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: Information and Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers' compensation for their employees. 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 UP 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 Deportment at the number listed below. Self-insured companies should enter their self-insurance license number on the appropriate lime. 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 permiUlicense number which will be used as a reference number. In addition,an applicant that must submit multiple permittlicense applications in any given year,need only submit one affidavit indicating current policy. information(if necessary)and under"Job Site Address"the applicant should write"all locations in (city or town)"A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year.Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e.a dog license or permit to burn leaves etc.)said person is NOT required to complete this affidavit. The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call. The Department's address,telephone and fax number: The Commonwealth of Massachusetts I Department of Industrial Accidents ff'tce of Investigations 600 Washington Street Boston,MA 02111 Tel.#617 727-4400 ext 406 or 1-877-MASSAFB Revised 4-24-07 Fax#617-727-7749 www:maw.gov/dia pp - DATE(MMIDDIYYYY) ,4 �ko CERTIFICATE OF LIABILITY INSURANCE 2/l/2020 1129/2019 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder Is an ADDITIONAL INSURED,the policy(ies)must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER- -0ONTAC Lockton Companies NA- E FA 1185 Avenue of the Americas,Suite 2010 PHONE I W A!.CX No New York NY 10036 EMAIL 646-572-7300 ADORES • INSURERIS)AFFORDING COVERAGE NAIC#. INSURER A:Hartford Underwriters Insurance.Com Pany 30104 INSURED JTC III Development Corp. INSURER B:Pacific Insurance Compan Ltd. 10046 1433448 80 First Street INSURER C:American Guarantee and Liab.Ins.Co. 26247 Bridgewater MA 02324 INSURER D:Hartford Insurance Co of the Midwest 37478 INSURER E:Trumbull Insurance Company, 27120 lNSU"RERF: COVERAGES CERTIFICATE NUMBER: 15818092 REVISION NUMBER: XXXXXXX 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. ILT R - TYPE OF INSURANCE ADDILiRn ME)SUER .POLICY NUMBER POLICYD oo EXP LIMITS LTR A .X COMMERCIAL GENERAL LIABILITY N N 08UEAAZ4158 2/1/2019 2/1/2020 EACH OCCURRENCE ryyyl $ 2 000,000 CLAIMS MADE LX_ OCCUR PREMISS aEMu epee $ 300,000 _x. SIR$0 MED EXP Arty one person $ 1.0.000 PERSONAL&ADVINJURY -$ 2,000-000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 4 000 000 POLICY L�PRO- 1:1 LOC PRODUCTS-C.OMPIOP AGO s 4;000.000 $ OTHER: F.. AUTOMOBILE LIABILITY 1J N 08UEABA2284 4/6/2019 2/1/2020 COMBINED SINGLE LIMIT $ _(Ea'acddent) 1,000.000 ANY AUTO BODILY INJURY(Per person) $ XXXXXXX X OWNED SCHEDULED BODILY INJURY(Per accident) $ xxXxXXx AUTOS ONLY _ AUTOS HIRED NON-OWNED PROPERTY DAMAGE $ XXXXXXX X AUTOS ONLY _ AUTOS ONLY $ XXXXXXX C X. UMBRELIALIAB OCCUR N N SXSO442631-02 2/1/2019 2/l/2020 FJACHOCCURRENC.E. $ 10000.000 _ i EXCESS LAB CLAIMS-MADE AGGREGATE $ I O OOO'OOO DED RETENTIONS so $ XXxXXX'X WORKERS COMPENSATION N X .STATUTE. k On, D• AND EMPLOYERS'LIABILITY, YIN 08WEAABOHBI) 2/1l2019 2/l/2020 ANY PROPRIETOR/PARTNER/EAECUTIVE E.L.EACH ACCIDENT $ 1,60000 OFFICERIMEMBEREXCLUDED? N N I A (Mandatory in NH) - • E.L DISEASE-EAEMPLOYEE $ 1,000 000 LO yyes,describe under _ E,L..DISEASE-'POLICY LIMIT -S. 1,000.000 0 SCRIPTION-OF OPERATIONS below B Env Contr Poll N NJ 08 CPI AZ3310 2/1/2019 2/1/2020 Ea.Claim/Agg:$10,000,000 t SIR:$25,000 DESCRIPTION OF OPERATIONS f LOCATIONS I VEHICLES,(ACORD 101,Additional Remarks Schedule,may be attached if more space is required). Evidence of Insurance CERTIFICATE HOLDER_ "_ _ CANCELLATION See.Attacliineiit -15818092 ` _ - Evidence of insurance SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESLi:)Ai..1lE / f _ r ' ©1f;88-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD r C 6 • C Application Number........................................... Section 9- Construction Supervisor f Name ��r Telephone Number'77Y� 3 J____-'�—6 zQ4 Address % ,ay 4""-7 City • Yl� ' State�Zip License Number I/b . License,Type Expiration Date r7//9 l26 Contractors Email c ev" Cell # I understand my responsibilities under the rules and regulations for Licensed Construction Supervisor in accordance with 780 CMR the Massachusetts State Building Code. I understand the construction inspection procedures,specific inspections and _ documentation required by 780 CMR and the Town of Barnstable.Attach a copy of your license:, Signatur Date ,Section 10—Home Improvement Contractor Name f:]7o Telephone Number"77�/-j �✓ /r.�. Address /6G D � A,r6 City e ;zl"'L Lr State /f dl Zip. f Registration Number /5?V?,R Z Expiration Date 3/Z/ 2.0 LZ 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 documentati equired by 780 CMR and the Town of Barnstable.Attach a copy of your H.I.C... Signature Date / Section 11—Home Owners License Exemption Home Owners Name: Telephone Number Cell or Work Number _ I understand my responsibilities under the rules and regulations for Licensed Construction Supervisor in accordance with 780 CMR the Massachusetts State Building Code. I understand the construction inspection procedures,specific inspections and documentation required by 780 CMR and the Town of Barnstable. Signature Date APPLICANT SIGNATURE Signatur Date 4/l6 Print Name a�r t Telephone Numbek/.,,o?z 7- J 34—4;;3216 E-mail permit to: s Last undated: 11/15/2018 Section 12 —Department Sign-Offs Health Department ❑ Zoning Board(if required) ❑ t Historic District ❑ Site Plan Review(if required) ❑ Fire Department ❑` Conservation ❑ For commercial work,please take your plans directly to the fire department for approvak Section 13 — Owner's Authorization I as Owner of the subject property hereby authorizes to act on my behalf, in all matters relative to work thorized by thi building permit application for IJC� G(/ � ULq/T✓ Z Y 2 Z �2 (Address of job) Sign tare of Owner date Print Name Last updated: 11/15/2018 AN'D R N HAR �WAR �T� NANT . _ T WER PLAEA N E24-27 I� M �RO�V M N�T LA A - 0 BELL 28 a s FALMOUTH RDCENTERVILLE 1600 _ APPLICABLE BUILDING 3 11 T DOOR 36 EXIT 00 THE FOLLOWING PLANS WERE PREPARED IN ACCORDANCE WITH THE FOLLOWING APPLICABLE CODES: R EXISTING 4fil UNISEX REST BUILDING DE: 2015 INTERNATIONAL EXISTING BUILDING CODE widi MASSACHUSETI'S ANHMNlENTS-9TH EDITION F CO . - ROOM TO NS PLUMBING CODE. 248 CUR10.00:UNIFORM STATE PLUMBING CODE REMAIN EXISTING EXISTING NEW EMERGENCY MECHANICAL CODE: 2015 INTERNATIONAL MECHANICAL CODE with MASSACHUSETI'S AMENDMENT'S-9TH EDITION � WORKROOM OFFICE TO LIGHTED EXIT SIGN WITH i BATTERY BACKUP PER ELECTRICAL CODE: 2017 NATIONAL EI�,CTRICAL CODE with MASSACHUSETTS AMENDMIIVTS 3'-s• TO REMAIN REMAIN CODE ENERGY CODE: 2015 INTERNATIONAL ENERGY CONSERVATION CODE ff CC), ACCESSIBILITY CODE: 521 CMR-THE RULES AND REGULATIONS OF THE ARC�URAL ACCESS BOARD i i+1 F PAINT COUNTER NEW 5*-O*W-0" EXISTING DOOR OPENING HANDICAP WITH HALF HEIGHT DOORS UNISEX RESTc ROOM NEW _I GRAB BARS 40'-1 oJfe" • m i x _ PR03ECT DESCRIPTION-partitions and walls are to remain as existing. Patch walls, floors, ceilin s as needed and paint . Replace -floor the as needed and clean . Add new out swing , g P front door . Replacement of 3 existing HVAC units . EXISTING PRODUCT SALES p g - FLOOR TO REMAIN Fl± W Vr C9 (9 Vr. LU Z Z z Z Z Z z z Z N J J S � J 1 J J J �- W W W Wr a: W W W W W #1:2 _ _ a to to co W N co CO fn fA 1 �- �- o - a a a a a a °- a a I 2 � 0) � In U) &0 0) CD #33 W — — — — — — — #2 #7 #8 #9 #10 #11 #15 #1.6 #20 #21 #22 #2CD #27 #28 o 0 0 0 0 0 0 0 0 Zr W W W W W W W W W S z z z z Z z z z Z .01 O .AREA OF WORK KEY PLAN OF OVER/`1LL BUILDING �Q EMERGENCY EXIT LIGHT W NOT TO SCALE s'-1 4'-0' S'-0• s-o• j EMERGENCY EXIT LIGHT (/ 42"MIN 42'MIN 4Y MIN, 42'MIN HORN/STROBE UNIT TIED INTO FIRE ALARM SYSTEM PER CODE j REQUIRED REQUIRED REQUIRED REQUIRED 011 o NEW EMERGENCY EXIT Q• E DETAILS - LIGHTING ABOVE WALL TYPE SEED g TH ROAD DISPLAY SHELVING M `FAL OU Z Q O 4'-0' 4'-0' 4'-0' 4'-0' 4'-0" _J 42"MIN 42"MIN 42"MIN 42"MIN 42"MIN REQUIRED REQUIRED REQUIRED- REQUIRED REQUIRED �. :PROJECT INFORMATION P z a CV U) PROJECT ADDRESS: 1.600 FALMOUTH RD.CENTERVILLE,MA - W z COMBINATION.NEW EMERGENCY LIGHTED O EXISTING EXIT SIGN WITH BATTERY BACKUP PER PRODUCT CODE AND EMTSALES FLOOR PROJECT DESCRIPTION. THE PROJECT'INCLUDES PRIMARILY FINISHES AND PAINT TO UNIT#24-27,28 INCLUDING ONE SET OF NEW INTERIOR LIGHTING V _ DOORS ONE SET OF OUT SWING EXTERIOR DOORS,REPLACED CEILING AND FLOOR FINISHES. THE SPACE SHALL BE AN TO REMAIN ' COMBINATION NEW OPEN FLOOR PLAN WITH ONE WALL BUILT IN THE SPACE,NEW CEILING GRID AND LIGHTING AS WELL AS CABINETS FOR CASH REGISTER/ EMERGENCY LIGHTED EN BATHROOM SHALL BE MADE INTO A HANDICAPPED UNISEX RESTROOM AND THE:,, N S O EXIT SIGN WITH - A BREAK AREA: THEM S -„ CHECKOUT- �` ROOM SHALL BE MADE INTO A SECOND UNISEX RESTROOM. v BATTERY BACKUP PER CODE AND EXIT ♦ LIGHTING � ' TYRE II-B FULLY SPRINKLERED IL TYPE OF CONSTRUCTION: NEW 3'o" .0" BUILDING OCCUPANCY. PREVIOUS USE.MERCANTILE GROUP M,PROPOSED USE:MERCANTILE GROUP M(NO CHANGE) 11 X-8�• STOREF NG PROJECT AREA: 4,985 SF EXIST SUITE#24-27,28 36 EXIT DOOR DO ER ODE Barnstable Bldg.Dept. Approved by: 36" EXIT DOOR Permit 9� 3 `S I,SCf,,y . SYMBOLS LEGEND No. 11w BUILDING LIFE SAFETY INFO: SPRINKLERS EXIST AND SHOULD NOT NEED ANY MODIFICATION,VISUAL AND AUDIBLE ALARMS EMERGENCY EXIT LIGHTING LANCAa , PER PLAN,ANY MODIFICATIONS WILL BE UNDER SEPARATE PERMIT BY ELECTRICAL CONTRACTOR 9 EMERGENCY EXIT SIGN/EMERGENCY EXIT LIGHTING HORN/STROBE UNIT TIED INTO FIRE ALARM SYSTEM PER CODE ADDITIONAL REQUIREMENTS: 1. THE CONTRACTOR SHALL REPLACE ALL MISSING FIREPROOFING AND FIRESTOPPING: THE CONTRACTOR SHALL REPLACE ALL FIREPROOFING AFFECTED BY NEW CONSTRUCTION WITH A H ITECT: FIREPROOFING TO MATCH BASE BUILDING STANDARDS,APPROVED EQUAL,OR AS REQUIRED TO Mark Sch ver MATCH THE EXISTING. rY AL CONSTRUCTION SHALL BE NON-COMBUSTIBLE. 370 Goss Lane 2. L 0 Lancaster, MA 01523 3. ALL WOOD AND WOOD BLOCKING SHALL BE FIRE RETARDANT TREATED. 4. ALL INTERIOR FINISHES SHALL COMPLY WITH THE REFERENCED CODE REQUIREMENTS FOR p h. '978 844-4708 FLAMMABILITY AND SMOKE DEVELOPED RATINGS AS WELL AS TOXICITY. a MIN 4u MIN.cLR.IN OPEN PosmoN u.o:N. . PERMIT SET DATE O F D RAW I N G S. 8-8-19 5. ALL DOORS TO BE 36 WIDE M ,3 ( )