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1575 IYANNOUGH ROAD
r 4 o , ry , a Y i p : i il u voFZHET y Town of Barnstable Building Department-'200:Main Street 9c6MASS. p Hyannis, MA 02601 '°TEn Ma's' Tel. (508)'862-4038 Certificate Of Occupancy Permit Number: B-19-2776 CO Issue Date: 2/13/2020 Parcel.ID: _253-019-T00 Zoning Classification: SPLIT Location: 1575 IYANNOUGH ROAD/RTE132, Proposed Use: CENTERVILLE ". Name of Tenant: Sprinklers Provided: YES Gen Contractor: RONALD J.SILVIA Permit Type: Commercial -Business Type of Construction: Design Occupant Load: 19 Comments: UNIT 1 Building Official Date: A Certificate of Occupancy is Required Prior to Occupying Space Building Code: 780 CMR 9th Edition Town of Barnstable Bullffing a gtt3xresr Post This Card So That it is Visible From'the Street-Approved Plans Must be Retained on Job and this Card'Must be Kept Posted Until Final Inspection Has Been Made. TM�Ir' �J111� a +a' Where a Certificate of Occupancy is Required,sucKBuilding shall Not be Occupied until a Final'.Inspection has been made. Permit No. B-19-2776 Applicant Name: SILVIA&SILVIA ASSOCIATES INC. Approvals Date Issued: 11/13/2019 Current Use: Structure Permit Type: Building-Alteration INTERIOR Work Only- Expiration Date: 05/13/2020 Foundation: Commercial Map/Lot: 253-019-T00 Zoning District: SPLIT Sheathing: Location: 1575 IYANNOUGH ROAD/RTE132,CENTERVILLE Contractor Name: - RONAiD J SILVIA Framing:. 1 Owner on Record: SILVIA, FLOYD J TR Contractor License: CS-016932 2 Address: P O BOX 430 Est.Project Cost: $75,000.00 OSTERVILLE, MA 02655 Chimney: Permit Fee: $782.50 Description: unit 1 e build-out,6 oiffices, 1 conference rm, 1 i.t. room, 1 brek rm Insulation: Fee Paid: $782.50 with sink&ref. interior walls metal studs 1/2 sheetrock, carpet, Final: isomg existing acoustic ceiling,lighting. Date: G 1.1/13/2019 Project Review Req: Plumbing/Gas Rough Plumbing: Building Official' . This permit shall be deemed abandoned and invalid unless the work authorized by this permit is commenced within six months after issuance, Final Plumbing: 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 focal 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 Final Gas: the work until the completion of the same. - : The Certificate of Occupancy will not be issued until all applicable signatures by the Building and Fire Officials are provided on this permit.. Electrical' Minimum of Five Call Inspections Required for All Construction Work: Service: 1.Foundation or Footing Rough: 2,Sheathing Inspection 3.All Fireplaces must be inspected at the throat level before firest flue lining is installed 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, "Persons contracting with unregistered contractors do not have access to the guaranty fund" (as set forth in MGL c.142A). Final: Fire D rtmt ; Building plans are to be available on site_ 1712t , A4��� All Permit Cards are the property of the APPLICANT- ISSUED RECIPIENT Final: < "` \� �a — �' , L Town of Barnstable Building s SAMSTn Post This Card So That it is-Visible From the Street=Approved Plans Must:be,Retained on Job and this Card Must be Kept 1 Posted Until Final:Inspection Has'Beerf Made w g . F Permit Where a Certificate of Occupancy.is Re' ired;_such Building shall Not'be Occupied until a;Final�lnspection'has been made Permit NO. B-19-2776 Applicant Name: SILVIA&SILVIA ASSOCIATES INC. Approvals Date Issued: 11/13/2019 Current Use: Structure Permit Type: Building-Alteration INTERIOR Work Only- Expiration Date: 05/13/2020 Foundation: Commercial Map/Lot: 253-019-T00 Zohing District: SPLIT Sheathing: Location: 1575 IYANNOUGH ROAD/RTE132,CENTERVILLE y- Con' actor Name RONALD J SILVIA Framing: 1 Owner on Record: SILVIA, FLOYD J TR Contractor License: CS-016932 2 Address: P O BOX 430 ;; Est Project Cost: $75,000.00 Chimney: OSTERVILLE, MA 02655 '. , Permit Fee: $782.50 Description: unit 1 e build-out,6 oiffices, 1 conference rm, 1 i.t..room; 1 brek rm Insulation: Fee Paid: $782.50 with sink&ref. interior walls metal studs 1/20sheetrock,carpet, isomg existing acoustic ceiling, lighting. Date. 11/13/2019 Final: 2� Project Review Req: Plumbing/Gas Rough Plumbing:. M. Building Official Final Plumbing: This permit shall be deemed abandoned and invalid unless the work authorized by this permit is commenced within six monthsafter"iissuance. All work authorized by this permit shall conform to the approved appl cation'and the approved construction documents for which'th's 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. i r Electrical The Certificate of Occupancy will not be issued until all applicable signatures by the Building and Fire Officials are provided on this permit. Minimum of Five Call Inspections Required for All Construction Work: ` Service: 1.Foundation or Footing 2.Sheathing Inspection Rough: 3.All Fireplaces must be inspected at the throat level before firest flue lining is installed 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection Final: 5.Prior to Covering Structural Members(Frame Inspection) 6.Insulation Low Voltage Rough: 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: "P&sons 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 All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT Final: O�SFIE Application Number.... —Aq...—. -7.-7..(o....... . * BARNSTABLE, MASS. � Permit Fee.......................................Other Fee........................ 0%6 pTFD MfR(A TotalFee Paid........ .._................................................. ...... TOWN`OF BARNSTABLEy + Permit Approval by.. ... ...........on...1..1 BUILDING PERMIT /� Map.......... . ................Parcel....... ..1.... ..... .... APPLICATION �� S Section 1 — Owner's Information and Project Location Project Address 1,S 7 S' I YA NN0 00 RJDrz Px C /3a Village CEA)i5kVIl1E 0;k,3;� Owners Name S D O A FZD i<J T K Owners Legal Address_1 M4 A 14A;V 57- City 0 STE P 4U19 State iYA Zip O�2G Ss Owners Cell# 508 4;0 0 2W, E-mail FSiW l� S 19A A I UfJ S i W1i4 .COH Section 2 —Use of Structure Use Groupfta" RDA-I ❑ Commercial Structure over 35,000 cubic feet _Commercial Structure under 35,000 cubic feet El Single/Two Family Dwelling Section 3— Type of Permit ® New Construction ❑ Move/Relocate ❑ Accessory Structure' ❑ Change of use 4' ❑ Demo/(entire structure)' '' ❑ Finish Basement ❑ Family/Amnesty ❑ Fire Alarm Rebuild ❑ Deck Apartment © Spr W_@ EPT. ❑ Addition ❑ Retaining wall ❑ Solar ❑ Renovation. ❑ Pool _:,,❑ Insulation AUG 27 2019 Other—Specify .' TQWN OF BARNSTABLE Section 4 - Work Description vvir i S ZuiLQ-007, G oFFtC0 I CONEEME lCE 96, 1 1 t M 1 /32C4K El ail m shm 2��" I was HErAL sTU Ds , ?L5 ucar2ac,K 0MUCr EXISTING ACav5r1C_ C-1UyC_ L.1&477y(sr J Last undated: 11/152018 Application Number..................................................... Section 5—Detail Cost of Proposed Construction 7,S Q60, Square Footage of Project 2000 Age of Structure NEW Dig Safe Number ALL =a 1AISI1 L POILDIIVG # Of Bedrooms Existing 0 Total#Of Bedrooms (proposed) O 110 MPH Wind Zone Compliance Method ❑ MA Checklist ❑ WFCM Checklist ❑ Design `Section 6—Project Specifics A LL. ELDW L;X I S i I NG Wiring ❑ Oil Tank Storage 0 Smoke Detectors ® Plumbing Gas ^ ' t �NFFire�Suppression ® Heating System ❑ Masonry Chimney � " i ❑`Addhelocate bedroom Water Supply ® Public ❑ Private Sewage Disposal ❑ Municipal On Site Historic District ❑ Hyannis Historic District ❑ Old Kings Highway Debris Disposal Facility: 130ORN E 'DISIbSAL `. I am using a crane ❑ Yes ®►No Section 7—Flood Zone Flood Zone Designation X Within or adjacent to a wetland, coastal bank? Yes ❑ No Section 8—Zoning Information Zoning District H 31 RD-1 Proposed Use 0MC-F Lot Area Sq.Ft.103 Total Frontage L.� Percentage of Lot Coverage #of Dwelling Units (on site) I Setbacks Front Yard Required Proposed 100. 1 S< 3 - „3 1 ....� 5 --x �. Rear Yards ; �; •.'.Required , ,Proposed . , • . Side Yard i ,' 'Required' • x�` . '` Pro " Has this property had relief from the Zoning Board in the past? ❑ Yes No a Last updated. 11/15/2018 j 7 Application Number........................................... Section 9- Construction Supervisor Name 1ZOA)AL13 S. 5 LLk4A Telephone Number _5-08 400 Ac/0 Address )CC V/UZY )ZD City n57 pVILLC _State HA _Zip DaGSS License Number C S-D l6 9 3 a License Type C.5. 3Sr Expiration Date 0/Ic° �U 9 Contractors Email_R S I L,y1 A Q S/LV1AAAJ1Q S IL VIA - COWL Cell.# S-0 8 400 A?6 3 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. SignaturDate—' Date`'' F; Section 10--Home�IinprovemRent-Contractor • `� `:_ '', t 'yl Name_ RONALD T. S1 L KA ` ,- ' Telephone Number t$o -100-A?6 3 Address 129' A City 05 J2Vl of State HA Zip Registration Number_1 D 1!o a 7 Expiration Date 8/A V a0a D I understand my responsibilities under the rules and regulations for Home Improvement Contractors in accordance with 780 CMR the Massachusetts State Building Code. I understand the construction inspection procedures,specific inspections and documentation required by 780 CMR and the Town of Barnstable.Attach a copy of your H.I.C... j . Signatur624&.......Date \ Section 11 -Home Owners License Exemption Home Owners Name: Telephone Number - Cell or Work Number ~ I understand my responsibilities under the rules and regulations for Licensed Construction Supervisor in accordance with 780 CMR the Massachusetts State Building Code. I understand the construction inspection procedures,specific inspections and documentation required by 780 CMR and the Town of Barnstable. Signature Date " APPLICANT SIGNATURE Signature Date Print Name OVALD J; 5104A Telephone Number 09 -100 1?6 3 E-mail permit to: F S 1LVlA tQ Sl LVjAA it1IJ S 1 LU/A .Co Af Last updated: 11/152018 t r Section 12—Department Sign-Offs Health Department ❑ Zoning Board(if required) ❑ Historic District ❑ Site Plan Review(if required) ❑ Fire Department t ; ,> ❑` :� ;' .. . Conservation ' • ❑ { , �s { . �_ . For commercial work;please take your plans directly to,the fire department for dpproval, r Section 13— Owner's Authorization I, VWYID S I LVIA , as Owner of the subject property hereby authorize Ro"ALla Sd1. J,4 to act on my behalf, in all matters relative to work authorized by this building permit application for: S ROJM 3;k C e)UTFRVJLLZ- NA O A63 ;?- (Address of job) Siiggn�a� d �+caner date s Print Name . Last updated. 11/15/2018 a Lauzon, Jeffrey From: Lauzon, Jeffrey Sent: Monday, September 30, 2019 11:33 AM To: 'rsilvia@silviasilviaandsiIvia.com' Cc: Lauzon,Jeffrey Subject: ViewPermit, Permit No:TB-19-2776 Applicant, Please be advised that the above application has been reviewed by the building department and forwarded to the fire department for review.The following is noted: 1) The application is incomplete. no construction control documents submitted with code narrative: The application is denied pending the submission of the required documents.And, if aggrieved by this notice;you may file a Notice of Appeal (specifying the grounds thereof)with the State Building Appeals Board within forty-five (45) days of the receipt of this notice. Respectfully, —Jeffrey Lauzon Chief Local Inspector (508) 862-4034 ieffrey.lauzon ,town.barnstable.ma.us 1 r— 2CGi(.'ff- Office of Consumer Affairs&Business Regulation HOME IMPROVEMENT CONTRACTOR r _ TYPE:--Corporation Reaps trat on,.� r-Expiration 1=T01y 6 08/23/2020 SILVIA&SILVIA ASSOCIATES INC. jIT 7 c G` Y = .RONALD J.SILVIA 1284 A MAIN ST. OSTERVILLE,MA 02655 Undersecreta` Registration valid for individual use only before,the expiration date.. If found return to: Office of Consumer Affairs and Business Regulation 1000 WashingtoW''Street-Suite 710 Boston,MA 02118 Not valid without signature Commonwealth of Massachusetts Division of Professional Licensure Board of Building Regulations and Standards Const`&t-r{ Sb'V�rvisor CS-016932 fires: 11/18/2019 P . RONALD J SI VIA`, 44 ICE VALLEi RD' OSTERVILLE MA192655 I 1T $ r Commissioner �'""— The Commonwealth of Massachusetts Department of IndustrialAccidents Office of Invesfigadons 600 Washington Street Boston,MA 02111 www massgov/dia Workers' Compensation Insurance Affidavit:Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Leeibly Name(Business/Organizagon/Individual): S I LVI,& S I LY/A LLL. Address: MAW !�r�c--Er City/State/Zip: 0 Phone#:_ S0f3 0 2;16 K 10 6 Are you an employer?Check the appropriate box: Type of project(required): 1.211 am a employer with- (_0 4. ❑ I am a general contractor and I * have hired the sub-contractors 6. ❑New construction employees(full and/or part-time). ° 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 working for me in any capacity. employees and have workers' 9. Building addition [No workers'comp.insurance comp.insurance.: required.] S. ❑ We are a corporation and its 10.❑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 13.[]�Other OFI�CZ J31J>'t1�—CYl employees.[No workers' - 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. xContractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees Below is the policy and job site information. Insurance Company Name:_ LW 1)aN 1XJ TEZ5 t M-4 t: Policy#or Self-ins.Lie.#: (�, p U i3 5S 3 10 7 4,a 1 Q Expiration Date: 4 O Job Site Address: I g 1 rs 2)0M 13;L CEMTSW U r HA City/State/Zip: O o26 3,� 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 c and penalties of perjury that the information provided above is true and correct Si ature. Date. Phone#: -ID 29 to 3 Official use only. Do not write in this area,to be completed by city or town off ciaL 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 opemte: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 cant'workers'compensation insurance. If an LLC or LLP does have employees,a policy is,require& 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. 3The Department has provided a space at the bottom ffi of the adavit 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-tall locations-in (city or town)"A copy of&'affh vit that has been officially stamped or marked by the city oi•town may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year.Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e.a dog license or permit to burn leaves etc.)said person is NOT required to complete this affidavit. The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call. The Department's address,telephone and fax number- The Commonwealth of Massachusetts Department of Industrial Accidents r Office of investigations 600 Washington Street Boston,MA 02111 Tel.#617-727-4900 ext 406 or 1-877-MASSAM Revised 4-24-07 Fax#617-727-7749 www.maw.gov/dia AC40® CERTIFICATE OF LIABILITY INSURANCE °A08115/i201D19' THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT Kathy Silvia NAME: The Fair Insurance Agency Inc. PHONE (508)775-3131 FAX, (508)790-1677 A/C No Ext: AIC No• 619 Main Street ADDRESS:EI kathy@thefairagency.com Suite 1 cINSURER(S)AFFORDING COVERAGE NAIC# Centerville MA 02632 - INSURERA: Berkley Assurance Company INSURED INSURERB: Hartford Underwriters Ins:AR 80411 Silvia&Silvia LLC INSURER C: P.O.Box 430 INSURER D: 1284 Main Street INSURER E: Osterville MA 02655 INSURER F: COVERAGES CERTIFICATE NUMBER: CL1981501955 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 AUUL WISK POLICY EFF POLICY EXP LTR. TYPE OF INSURANCE INSD WVD POLICY NUMBER MWDD MMIDD LIMIT'S COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE S 1.000,000 CLAIMS-MADE DOCCUR PREMISES aoccunence $ 50,000 MEO EXP(Any one person) $ 5,000 A VUMA0121723 08/01/2019 08/01/2020 PERSONAL BADVINJURY $ 1,000,000 GEN'LAGGREGATE LIMITAPPLIES PER: GENERALAGGREGATE $ 2,000,000 POLICY ❑ ET PRODUCTS $JC 2.000,000 OTHER: $ AUTOMOBILE LIABILITY CE I OMBa NEEnDtSINGLE LIMIT S ANYAUTO BODILY INJURY(Per person) S OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY(Per accident) $ HIRED NON-OWNED PROPERTY DAMAGE S AUTOS ONLY AUTOS ONLY' (Per accident $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED I I RETENTION$ S WORKERS COMPENSATION 71 PER OTH- AND EMPLOYERS'LIABILITY YIN STATUTE ER ANY PROPRIETORIPARTNERIEXECUTIVE E.L EACHACCIDENT $ 500,000 B OFFICERIMEMBEREXCLUDED? NIA 6S60UB5831076219 04/01/2019 04/01/2020 (Mandatory In NH) - E.L.DISEASE-EA EMPLOYEE $ 500,000= If yes,desaibe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT S 500,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached If more space is required). 1575 lyannough Road,Hyannis CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN TOWN OF BARNSTABLE' ACCORDANCE WITH THE POLICY PROVISIONS. MAIN ST AUTHORIZED REPRESENTATIVE HYANNIS MA 02601 _�)',4`�� • �1 =' ©19W2015 ACDRD'CORPORATION.;All rights reserved. ACORD 25(2016103) j The ACORD name and logo are registered marks of ACORD f P 16-32 Unit 1 E Town of Barnstable Build-out Building Department Services Brian Florence,CBO BARWA13 MASS. A0� Building Commissioner a 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-79013 T 00 �0 0F Construction Control Package olk 4°9 '°� 01 9 Site Address: Unit lE Buildout, Lakeside Commons, 1575 Route 132, Centerville, MA $�� PHILBROOK Engineering fehiteet/Engineer: T. Varnum Philbrook, P.E. Name: 107 Beach Street, Dennis, MA 02675 Address: Telephone: 508-385-8682 / 508-364-1301 Tvarnphil@Verizon.net Email: Silvia & Silvia Assocs. Contractor: Ronald J. Silvia Name: 1284 A Main Street, Osterville, MA 02655 Address. 508-775-1442 / 508-400-2963 Telephone: rsilvia@silviaandsilvia.com Email: Silvia & Silvia Assocs. Owner: Ronald J. Silvia Name: - 1284 A Main Street, Osterville, MA 02655 Address: 508-775-1442 / 508-400-2963 Telephone: rsilvia@silviaandsilvia.com Email: II�S P 16-32 Town of Barnstable Unit 1 E INE Building Department Services Build-out � g P °. Brian Florence,CBO sna>vsras Building Commissioner �$ MASS. 200 Main Street, Hyannis,MA 02601 AP n�nv A www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Massachusetts Existing Buildina Code Analysis Based on 2015 IEBC wl MA amendments Unit lE Buildout, Lakeside Commons, 1575 Route 132, Centerville, MA Site Address: V Centerville Map: Parcel: Village: Ronald J. Silvia 508-775-1442 Applicant name: Phone: rsilvia@silviaandsilvia.com E-mail: B (Para. 303.1.1) . 19 occups by area Risk Category: lI Use Group: Occupancy Limit: - 1,885 sq ft I.A.W. 780 CMR 2015 IEBC 301.1 -The permit application shall comply with one of the following methods: Choose One: ❑ Prescriptive method ® Work area method ❑ Performance method Construction Control ® Yes ❑No If Yes Documents shall be in accordance with 780CMR 34.00 MA Amendment to 2015 IEBC.The building Owner shall cause the existing building(or portion thereof)to be investigated and evaluated.The investigation and evaluation shall include at least:structural, means of egress,fire protection,energy conservation, lighting,hazardous materials,accessibility,and ventilation for the space under consideration and,where necessary, the entire building or structure and foundation.The results of the investigation and evaluation shall be submitted in written report form. ��jH of n%.q c T VARNUM �Gs USE FILL IN FORM OR ATTACH DOCUMENTS AS NEEDED FOR EACH EVALUATION PHiLeRaoK MECHANICAL N CATEGORY BELOW: No.3069 No Change P �, Structural E __ ~.................. • •••....• • . See attached L/S plan /ONAL Ea Means of egg...........: Fire protection.............. See attached L/S plan v v`4"L�••�2� No Change Energy conservation _.: Lighting. ,8% = 151 sq ft < 174 sq ft provided - OK. Artificial still needed at interior Hazardous Material None Yes, Full Public Access - Facilities provided, No Change Accessibility................: 4% = 71 sq ft < 87 sq ft provided - OK. Reconfiguration of Existing Ventilation : Runouts still required. See L/S plan overlay for Supply work Description of Proposed work: Para. 101.4.1 Buildings not previously occupied; comply with code in existence at the time - for us it is 2015 IBC, MA 9th ed complete. Fit-out existing 1 purpose office space w/ further office partitions both open plan and closed door. Provide for office conference area and employee lunch service area P 16-32 ' Unit 1 E Build-out Initial Construction Control Document To be submitted with the building permit application by a Registered Design Professional for work per the ninth edition of the Massachusetts State Building Code, 780 CA ER, Section 107 Unit Buildout - Project Title: Date: 8 October 2019 Property Address' Unit lE Buildout,, Lakeside Commons, 1575 Route 132, Centerville, MA Project: Check(x)one or both as applicable: New construction Existing Construction Project description: Fit-out existing 1 purpose office space w/ further office partitions T. Varnum Philbrook 30690MA 30 June 2020 I MA Registration Number: Expiration date: ,am a registered design professional,and I have prepared or directly supervised the preparation of all design plans,computations and specifications concerning': Architectural Structural +XX_ Mechanical +XX Fire Protection +xx_Electrical XX Other. Engineer-of-Record + all indicated work by MA licensed tradesman _- separate permits required for the above named project and that to the best of my knowledge, information, and belief such plans, applicable provisions'of the Massachusetts State Building Code, 780 computations and specifications meet the a g ( P P PP P CMR), and accepted engineering practices for the proposed project. I understand and agree that I (or my designee)shall perform the necessary professional services and be present on the construction site on a regular and periodic basis to 1. Review, for conformance to this code and the design concept, shop drawings, samples and other submittals by the contractor in accordance with the requirements of the construction documents. 2. Perform the duties for registered design professionals in 780 CMR Chapter 17,as applicable. 3. Be present at intervals appropriate to the stage of construction to become generally familiar with the progress and quality of the work and to determine if the work is being performed in a manner consistent with the approved construction documents and this code. Nothing in this document relieves the contractor.of its responsibility regarding the provisions of 780 CMR 107. When required by the building official,I shall submit field/progress reports(see item 3.)together with pertinent . comments,in a form acceptable to the building official. Upon completion of the work,I shall submit to the building official a'Final Construction Control Document'. Enter in the space to the right a"wet" or o��bNsH OF lf.48 yG electronic signature and seal: T VARNUM o PHILBROOK 568-385-8682 Tvarnphil@Verizon.net MECHANICAL N Phone number: Email: 4 No.30690 0 'c /S Building Official Use Only ass/-1 NAL ECG Building Official Name: Permit No.: Date: Note 1.Indicate with an Y project design plans,computations and specifications that you prepared or directly supervised.If'other'is chosen,provide a description. Version 01012018 313 .r .. 6 i e � � - � / .. � 1 _ j+� � �� �� �� � '��' L..f'� Ft � ten,F y�','( i' F�,� °"'�^q'1Z^7 G q d 4 - � t .+ - �� i i � + a � 1 i t � a i _ � ] � S Ron Silesia From: Grossman, Michael <mgrossman@commfiredistrict.com> Sent: Tuesday, October 1,2019 11:36 AM To: Ron Silvia Subject: RE: 1575 Route132, Unit 1 Build Out Hi Ron, I have signed off on the permit application for the fit-out with the comment that any alterations to the fire alarm or sprinkler system would require additional review. Mike Michael G.Grossman, Fire Prevention Officer Centerville-Osterville-Marstons Mills Dept.of Fire-Rescue &Emergency Services (508) 790-2375 ext. 1/Fax: (508) 790-2385 wIR ky ( From: Ron Silvia [mailto:rsilvia@silviaandsilvia.com] Sent: Monday, September 30, 2019 2:00 PM To: Grossman, Michael<mgrossman@commfiredistrict.com> Subject: 1575 Route132, Unit 1 Build Out Hi Michael 1575 Build Out Unit 1 1 See Jeffrey comment below about fire dept. I dropped the plan off to the fire dept. and I think you told me you were all set on your end and would let the building dept know. Any questions let me know. Thanks Ronald J. Silvia Silvia and Silvia LLC 1284 A Main St Osterville MA 02655 Office 508-420-0226 X106 F. Cell 508-400-2963 rsilvia@silviaandsilvia.com www.silviaandsilvia.com From: Lauzon, Jeffrey Sent: Monday, September 30, 2019 11:33 AM To: 'rsilvia@silviasilviaandsilvia.com' Cc: Lauzon, Jeffrey Subject: ViewPermit, Permit No: TB-19-2776 Applicant, Please be advised that the above application has been reviewed by the building department and forwarded to the fire department for review.The following is noted: 1) The application is incomplete. no construction control documents submitted with code narrative. The application is denied pending the submission of the required documents.And, if aggrieved by this notice;you may file a Notice of Appeal (specifying the grounds thereof) with the State Building Appeals Board within forty-five (45) days of the receipt of this notice. Respectfully, Jeffrey Lauzon Chief Local Inspector (508) 862-4034 ieffrey.lauzon(a)-town.barn stable.ma.us Town of Barnstable Building gPost Th�svGard SoThat rt�s Visible;From the5treet�At f_rovec!Plans:Must be"Retained on Job and this.Gard MustbeKept • AKiBw "` ed.k.. Y r _. ': m1, pp.e✓` p"a� r '+ ',.`�'1'` :::y'; i `°f ".a $ Mesa Post Llntl Final Inspectign�Has Bee Made s : y w , s Permit ' Where a Certificate of Occupancy+s Required,such Building shall Not be Occupied until a Final Inspection`has been made Permit No. B-18-3311 Applicant Name: SILVIA, FLOYD J TR Approvals Date Issued: 10/15/2018 Current Use: Structure Permit Type: Building-Sign Expiration Date: 04/15/2019 Foundation: Location: 1575 IYANNOUGH ROAD/RTE132,CENTERVILLE N Map/Lot: 253-019 T00 Zoning District: SPLIT Sheathing: Owner on Record: SILVIA, FLOYD J TR Contractor NOme: :> Framing: 1 Address: P O BOX 430 Contractor License: 2 OSTERVILLE, MA 02655 w Est Project Cost: $0.00 Chimney: Description: New Freestanding ladder sign for 4 tenants with street number. Permit Fee: $75.00 White posts,blue back board, black letters on,White sign et bard. Fee Paid:{ $75.00 Insulation: All uniform fonts&colors. a Date 10/15/2018 Final: Silvia&Silvia LLC Contractors & `.}J� L_ r_.iit .__ Plumbing/Gas 3 blank spaces Rough Plumbing: Zonin Enforcement officer available g o c t 0 emen ty Final Plumbing: Project Review Req: Rough Gas: Final Gas: Electrical f Service:, Rough: Final: Low Voltage Rough: Low Voltage Final: Health Final: ro Fire Department Final: Town of Barnstable Building Department SHE T Brian Flor"once,CB4 Building Commissioner BARNSTABLE * BARNSTABLE, # - a..cas:.nu RMM c 0140aa v� 20.0 Main$treet Hyanliis MA 02601 °� ' `�' .�° f 1673-2019 - 'Drfa .a wwN.town.tia,i nstable.m55 . a.us Office: 508-862-4038 Fax. 508-700=6230 Sign Permit -AP id .Zoning District Perm> # -19-33 �1 6WeS 4 75 Oz-D Historic District 17- OK +-D Location by _ 1575 Iyannough Road Centerville MA 02632 Streetaddress and vill'a.ge 2 53� 019 / PJUD - 253 O i 9 T00 �,lvt aAPPlicant -Qc.� Map & Parcel 508-420-0226 S► 1 a � j1,�( aQ fLd Telephone Number Email 1 9�►�V1 Q,C� Sign #1 Sign #2 Wahl 0 Wall Freestanding n. Freestanding Electrified* Electrified 0 Dimensions Sign #1 Dimensions Sign #2 Squar..e feet Square-reef or,, l Reface Existing Sign New/Replace Sign. F ' Width of Building Face ft. X 10 X 10 Lighting Type CrOvna u h�-1n A wiring permit is required ff sign is.electrified;: ig re.of Owner/Authorized Agent Mailing address P. 0. Box 430 osterville, MA 02655. t--- <,__'�6.LrwLifi..nus> f .f' >t..i? l'�`f hF•" 5 ^�.. �,,. H F ,C �f�'""""'d"` "r y� �L.�%�°�,-Uw� �a�. t,1Y',y°.. f�rf'�sf_,,,� � �"�1 '��f�,..,d' 'd+w�'�`13.1 +`• +``�`^�e.' �s � p f.i»'--C aC .'w.' ,.-. ,'"� ,�.. ,�,� �Cf Ate, �^ � �•�.5.. � 4+.,n ++yr �,�-'�,(�.."k»-..;. �� '�"a Y•. 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