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0297 NORTH STREET (6)
Qc 7 Nor-A TOWN OF BARNSTABLE BAR-W , Ordinance or Regulation WARNING NOTICE Name of Offender/Manager t �`! � Address of Offender !� ` My/MB Reg.# /6 Village/State/Zip ` '���/ � t Al A � Business Name - W1 am/p'm, on Business Address Signature 6f6'Eaforcing Officer Village/State/Zip 1 � '/�{ i r � ✓` </ r� t Location of Offense ;`) 'OA41L1 4 ur Eriflorcin De t/Division, - Offense T (. M1 1t f ,yeti OJ- e•tl Facts This will serve only as a warning. At this time no legal action has been taken. It is the goal of Town agencies to achieve voluntary compliance of Town Ordinances, Rules and Regulations. Education efforts and warning notices are attempts to gain voluntary compliance. Subsequent violations will result in appropriate legal action by the Town. WHITE-OFFENDER CANARY-ORD./REG.-PROG. PINK-ENFORCING OFFICER GOLD-ENFORCING DEPT. TOWN OF BARNSTABLE • SIGN PERMIT PARCEL ID 308 044 GEOBASE ID 22017 ADDRESS 297 NORTH STREET PHONE HYANNIS ZIP - LOT 5 BLOCK LOT SIZE DBA DEVELOPMENT DISTRICT HY PERMIT 80547 DESCRIPTION 2 PANELS & WALL SIGN FEDEX KINKO'S PERMIT TYPE BSIGN TITLE SIGN PERMIT CONTRACTORS: Department of ARCHITECTS: Regulatory Services TOTAL FEES: $50.00 BOND $.00 tME CONSTRUCTION COSTS $.00 753 MISC. NOT CODED ELSEWHERE 1 PRIVATERARNSTA LE, MAM 03A.� BUILDI DIV ION BY DATE ISSUED 11/10/2004 EXPIRATION DATE "` I f @1/07/1995 04:09 91802B624926 PAGE 02 •� Departmac of aesuum, o, wLJ o.....,r._. Bn Division �s 9: 367 Main Shv*4 HYmnis Mai.ami - Ralph,Crmsea Office: 50"62-4038 ; Bui*g Co z=SSIOnt Fax: 508-790.6230 -„ Tax Collector s4 `�► Appucatfcn ,�ow MP t Fwzni` Applicaat•- Si AAP- ,�/ 3 'C"enba5� ors No. b Poe, Doing Business As- Teiephoanallo.,6 q Suet balk- Z9'IdozL d17-9 S zoning D : ,r,Old T=P ERghwae YeslNo Hyannis Matoric District? YeBINo Property h'r rn�ae.cQ ersl� Telepho:se: A �- MA Sip Contractor Names_ , %2L L 1G ('i1 Add =: I Ln3 G, Oeetnh6k la l iTfll DM of lot zhww hwat=of buadinp and eisting signs with Please draw a diagram �shsuld be dram on the z�verse side of diaiendons.Iocatioa and size ofthe•new this application- wa A-v o-,R�s L I e.e.�er�c.� . Is the to be electrified? Y�/No jNa�•Iry� a totr'uWpvmd Le mquired) that I am the OWIM or tbat I ha�*e tha.a 9 of the owner to make this I hereby certify application,that the 3s correct and that tho usa and acnst r=d=shan conform to the provisions of Section 4-3 of the Town of Barastabie Zoning Ordiaaace. sigmtnro of Owner horized es: • It P Date: - -U 7SQ FT Size:a P I)J0 5 FF�. � ► Pewit Fee: s N Sign Permit was approved: ITiaap Signature of Buiiriiag Qfficiat:� o . .. � .,k„ :cH o£:L: o k .xk, .$,♦ Ys<, ?£w. :{. ^�'�':aY »:<k.. �s ns' F %..✓.:%,. ;s. .?:, •s%tir a f..^ a.v'.4.f/ 9a2.I s, .:»<• 'fj" .#%;�aa'arfff `;,v,<.< �l xc ' ..:f '.�. ^ < ,r#<,}�Y>y,kz L $ aN{Yf /:.':C :r•`r ��u:.'.�`�,S,..r:: "�� ,Y .'3.. y a 3� 'R •fr...b ,�,: /cfi,� p;». ,/x :I' �•u 2<a?,;<;x �. r. � �J" 4 is�^93»,:x/y fF,L.•�..^v9,:4�Ka,.� `�..y: .`J%�`f�. 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Z z a Z i'wX_. ` � a tiU�\C \Q \�.y \ C ---------------- MY �I? \ ` a a C_ � �`� �'C`va\ `s 9j: \♦ g r\y. \\\a. Yia�� a•\� x< \\e'd\\ may„ ` x `\. d�'wa \ a"O, w: `t' � •x� < zE,,M \�\\\ v\`\�`0 as v�YRa 'Nd�\Mas+;ccc�r�'t� a 04 a� z \\ North Ave RO t ,e N sg NS > EI& � I � NS I NS s NS kinkoor 60'4' m . I at this ske I I • Id 80,-Op B RR 8 6 , NS 11'-9"(3581 mm) 6'-1 1/2"(1867mm) Feax I K in kds D E� t E .. Office and Print Center o ' ` rK'� n kd s 21.7sq.e.) Office and Print Center (11.7 sq.ft.) s, 43"Cabinet sign - (42.1 sq.ft.) 8'-1 1/2"(2475mm) 9'-9"(2972mm) E i Kink sSk N" nkds Office and Print Center Office and Print Center 30'Cabinet sign (20.1 sq.h.) 36'Cabinet sign , (28.9 sq.ft.) _ FedEx Kinko's Office and Print Center Signing Guidelines Primary Sign Family 13.7 11/8:Nov 3 20042 3 -. 35PM7756'IMAGEPOINT FOOD SERVICESLY MNGT N o - 9 3 6 9 PP - 2/212 Corporate Office 3 sa;S.Gay 8treol.eulte 100 Imagepoiht,. Knox TN379a2 TO e6S55 261,1011 Pax:05.342,0-5 www.irnc3aeDoInt.com October 29, 2004 Stuart Bornstein RE: Request for Landlord Authorization Staffordshire Limited Partnership A Massachusetts LTD Partnership FedEx Klnko'11,144800388 c/o Staffordshlp Corporation 297 North 9t, 297 North St Hyannis,MA 02001-5100 Hyannls, MA 02e01 Doer Sir or Madam: Your tenant, Klnko's,was purchased by FedEx. As a result, FedEx Kinka's Inc., has chosen ImagePolnt to manufacture and install new signage at this location, The new signage will comply With existing city zoning regulations and requirements. Your written approval of the new signage Is required so that ImagePolnt and its loiml agent can obtain local permits: Enclosed are the signage recommendations and artwork approved b FedEx Klnkos for your slte.l Planes review these recommendations and If you are In agreement, lease sign and have notarized this form and return via mail and fax. In addition, please provide any Plo Plan or Parcel Information that you may have for thl6 site. This will help expedite the permitting process. In addition, please verify that the following contact Information is corr�ct for your office: Contact Name: Stuart Bornstein Fax* Phone: (608) 776-9316 Email: Joan.kelly@verizon,net If you have yuestlons or concerns, please contact me at(800)444-7 4® ext. 4?Q Thank you, Freemen-Smith ProJect Manager, FedEx Klnko's As owner/manager of the property at the above referenced location,II hereby.authorize FedEx Kinko's inc, to install the attached signage as recommended and manufactured by ImagePoint, Inc. Furthermore, I authorize ImagePolnt and or their local agents to proceed with appil tion(s)for and to secure necessary permit(&), and install new approved ®®signage. , Approved by: �(Signature Date: 3 0 (Print) Sworn to and subscribed before me this day of , 2005 Public ran fieldl 7/2&07 Print, Sts p, or Type Commissioned Name of Notary ubllc Personally Known/Produced Identmcetibn TypeooRecelved Time)(Nov .. 3 .— 2 ' 59PM 000" SAXTON SIGI®1 Boston H7rfrerc! Albany t ,. November S,2004 Town of Barnstable Building Department Re: FedEx Kinkos Signs Attn: Dave 367 Main Street Hyannis,MA 02601 Dear Dave: As per our conversation this morning,the following is a brief summary of what we are applying for and what is being removed: /t�vis�'d We are applying for; J (2) 2 Sq.ft.tenant panels for free standing sign One 20 sq. ft. wall sign to read FedEx Kinkos One 30"(3 sq, ft.)window beacon(FedEx loge)omitted in first application,have forwarded you a color rendering of one. A total of 27 sq. ft. D As for the window signs,we were advised by FedEx Kinkos that all window signs have been removed, N As for the parking lot signs,we were not contracted to permit those signs. I was advised that they were being removed and replaced at some time in the future,and that FedEx will apply for the permits, They are' 3 sq. ft.each and there are 10 of them. As for now, Saxton Sign Corp.is requesting a permit for 27 sq. ft,of signage. If you have any questions,please feel free to contact me. Sincerely, Stacey I�+c�harde Permit Agent Moi4iq, PC Box 163, East Greenbush, NY 12061 Shipping; 1320 Rcute 9, Schodack, NY 1'2033 Phones: (518) 732-7704 FAX(518) 732-7716 Toll Free(800)942•NEON IO'd ZZ:ST VOOZ 8 AoN 9T1L-Z2ZSI;S:Xp-z1 SNOIS NOiXHS O �riR'dB V PAY M CV i i t p x-Uln ' I x-u f O C�a CX) � x 0 N .. rL r� u`7 I anl8 x3Pai MZ6W WE P LL- 1081,9 xlPa3 EOZb we Y a6u"D x3POI L£Z83A#"E_y � D3 �3 ald-rnd x3Pai MOO M-e� _ =aye si0103'aoelns ISJi}un St uKHleiauap}kcA. V7 uoaeap poc Mwpuw Z - - )a au3iasuaD H Q 1AMA pi3ilddV . 1�a � l 3 Town of Barnstable i OFIHE A O MAARS ABas: Building Department-200 Main Streetjy > r`6A : �•�p Hyannis, MA 02601 TEn M+Y°i Tel. (508) 862-4038 Certificate Of Occupancy Permit Number: B-18-1142 CO Issue Date: .7/25/2018 Parcel ID: 308-044-OOC Zoning Classification: OM Location: 297 UNIT 3 NORTH STREET, HYANNIS Proposed Use: Name of Tenant: Sprinklers Provided: YES Gen Contractor: DAVID THORNILEY Permit Type: Commercial - Business Type of Construction: IIIB: Non-combustible Exterior Walls Design Occupant Load: 101 Comments: 1ST FLOOR. Building Official Date: A Certificate of Occupancy is Required Prior to Occupying Space Building Code: 780 CMR 8th Edition TOWN OF BARNSTABLE rsrns,.E. BUILDING DEPARTMENT 9 MASS. �, 039. 44 APPLICATION FOR CERTIFICATE OF OCCUPANCY Building Permit application number B-18-1142 Date 6/29r18 Address of structure 297 North street Hyannis, MA 02601 Map/Parcel 308-044-ooc Area of structure C.O. will be issued to 1st Floor Name of Tenant Cape Cod Healthcare Edition of Building Code (under which the building permit will be issued) 8th Use and Occupancy Classification Business Group B Type of Construction Existing IIIB Design Occupant Load 101 Occupants per Floor Is the facility licensed by a State agency? Yes ,/ No If Yes r� p If yes, name of agency ' C� Relevant Code of MA Regulations (CMR) that apply u, T cfl rn Sprinklers Sprinklers provided? Yes No Sprinklers required? Yes No Building Department Use only Special Conditions: O r a -amQ f a -r am: - -d ,� -- - t u A•�Fr I, TtlE rifireprotectionLwyahoo.com R.I. License#447 MA License#SC-210038 Backflow#0012695 Deputy Chief Dean L.Melanson Hyannis Fire Department 95 High School Road Eat. Hyannis,MA 02601 Re: Cape Cod Healthcare 297 North Street,Bldg. #3 First Floor& Basement Drwg. #FP1Revl 128 Subject: Final Sprinkler System Affidavit Date: May 24, 2018 This letter shall serve as a Final Affidavit for the above-referenced building and that to the best of my knowledge,the provisions of the building code have been complied with and the area of work meets all d. necessary requirements for,t�e��gfro�s, use and occupancy. AAICHAEL Fr ! D1NA0 fir. e.�G i N�Plcltelt,"1\11" ? ?G` Y? ignatureF Subscribed and sworn to before me the 24"' day of May, 2018 - WHITNEY UVA - - eAVA 'No Notary Public,State of Florida /� 1q ,Lv' $ Commission»FF 167539 ptari UbliC my comm.expires Oct.9,2016 My Commission Expires: tel.(508)362-4541 939 main street rt 6a fax(508)362-9880 yarmouth port mass 02675 down cape engineering, inc land court civil engineers&land sulveyors Daniel A.Ojala,P.E.,P.L.S. surveys Arne H.Ojala,P.E.,P.L.S. Daniel E.Gonsalves,E.I.T.,S.E. structural design June 27, 2018 Craig J.Ferrari,E.I.T.,S.E. Brian Florence, CBO site planning Town of Barnstable Building Commissioner 200 Main Street Hyannis, MA 02601 sewage system designs RE: #297 North Street, Hyannis, MA SPR Approved plan certification. inspections Dear Mr. Florence: This memo is to inform your office that the site work at#297 North Street has been completed. permits The Amano lift gates have been installed and the HCP striping installed per the attached approved plans. Pursuant to Zoning section 240-105 G I hereby certify that the above referenced site was constructed in substantial compliance with the attached Site Plan. If you have any questions, please do not hesitate to contact me. S\��jN OF&fq 9c, Very truly yours, o`' DANIEL ties A. U OJALA � No.40980 Daniel A. Ojala, PE, PLS o �P Down Cape Engineering, Inc. �qNo SUMO o� Encl..site plan dated June 18, 2018 1"=20' on 24"06"paper DCE File#17-360 Medcom CCH T00'/v 0��?®� . Town of Barnstable Building BARNM e •. ost`Th�s Card'SoThat it-is U�s�ble From'tFe Street .rA` rovedPlans°Must,beRetalned,on�Joband„thls Ca d�Must=be Ke` 16o ertificate.of®ccu anc is Re aired;such<Bultlm ;shall Not be Occ�u red unta Finalrt ln's''..ection"hasbee n made,. Permit PhreWd Permit No. B-18-1142 Applicant Name: DAVID THORNILEY Ap provals Date Issued: 06/06/2018 Current Use: Structure Permit Type: Building-Addition/Alteration-Commercial Expiration Date: 12/06/2018 Foundation: Location: 297 UNIT 3 NORTH STREET, HYANNIS Map/Lot: 308-044 OOC Zoning District: OM Sheathing: A' Owner on Record: STAFFORDSHIRE LP Contractor Name DAVID THORNILEY Framing: 1 vw Contractor License: CS 111442 Address: 297 NORTH STREET , 2 HYANNIS,MA 02601 `� EstProlect Cost: $0.00 Chimney: Description: FLOOR#1 Permit Fee: $ 175.00 Interior Fit-out of floor including all new Ductwork, LGM�F,gypsum Insulation: $ 175.00 wall board,ACt flooring, paint and millwork Fee Paid 0 to aAL6/6/2018 Final: Project Review Req: FIRST FLOOR ONLY.ORIGINAL PERMIT B=173416 MrPlumbing/Gas A Rough Plumbing: � _ c Building Official � � d Final Plumbing: Rough Gas: This permit shall be deemed abandoned and invalid unless the work authorized bylthis permit is commenced within six months after�issuance.NUM g v construction documents"for which this permit has been ranted. All work authorized by this permit shall conform to the approved application and ihe;appro ed construct o _ p g Final Gas: All construction,alterations and changes of use of any building and structures shallbe in with the local zomngby laws and codes. This permit shall be displayed in a location clearly visible from access street o,roadiand shall be maintained open for public nspect!on for the entire duration of the work until the completion of the same. 44 Electrical r Service: The Certificate of Occupancy will not be issued until all applicable signatures by the Building and.'Fire Officials are prouidec!an this permit. Minimum of Five Call Inspections Required for All Construction Work Rou h: 1.Foundation or Footing. .,... .. ��... 2.Sheathing Inspection Final: 3.All Fireplaces must be inspected at the throat level before firest flue lining is installed 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection Low Voltage Rough: 5.Prior to Covering Structural Members(Frame Inspection) 6.Insulation Low Voltage Final: 7.Final Inspection before Occupancy Health Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Work shall not proceed until the Inspector has approved the various stages of construction. Final: "Persons contracting with unregistered contractors do not have access to the guaranty fund" (as set forth in MGL c.142A). Fire Department Building plans are to be available on site Final: All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT Town of Barnstable BuMing Post'This Card So That�t is,Visible:From the Street Approved,,,an Must be Retained on Job and this Card Must be Kept < erI 8AItS+t�3'CAY1.E,. • b ' 'Posted Until Final Inspection Has Been Made �� u ;_ fy f„ a,?g 3aRti II,NotbeOccu"ied.intil:a"Finallns' ect�on,hasbeen�made ,"i; t r JWherrea Certificate ofOccupancy is Requred,such Builtlmg s p ; . . !- w�, ,,. ,. ..>ti� ,✓.' .n ..?.; a .. `,.,,zx <... r.� ,";. ..�. ,fiAb., r. r,a„r., r L ,p :«„E,z. _I;fi. _ ^ate ;rr ,. Permit No. B-18-1142 Applicant Name: DAVID THORNILEY Approvals Date Issued: 06/06/2018 Current Use: Structure Permit Type: Building-Addition/Alteration-Commercial Expiration Date: 12/06/2018 Foundation: Location: 297 UNIT 3 NORTH STREET, HYANNIS Map/Lot 308-044 OOC Zoning District: OM Sheathing: Owner on Record: STAFFORDSHIRE LP Contractor Narne DAVID THORNILEY Framing: 1 Address: 297 NORTH STREET Contr Licens e'. CS 111442 actor 2 HYANNIS, MA 02601 PoCost: $0.00 Chimney: Perrnit�Fee: Description: FLOOR#1 )` $ 175.00 Insulation: Interior Fit-out of floor including all new Ductwork,LGMF,gypsum t wall board,ACt flooring,paint and millworkPaid $ 175.00 g Final: Date 6/6/2018 Project Review Req: FIRST FLOOR ONLY.ORIGINAL PERMIT B 17�3416 ' fF Plumbing/Gas �. AF Rough Plumbing: Building g Official Final Plumbing: This permit shall be deemed abandoned and invalid unless the work authonied-by this permit is commenced within szsmonths afteKissuance. Rough Gas: All work authorized by this permit shall conform to the approved application nd the approved construction documents for whichthis permit has been granted. Final Gas: All construction,alterations and changes of use of any building and structures hS1fbe in compliance with the local zoning by lawsand codes. This permit shall be displayed in a location clearly visible from access st eet or road and shall be maintained open forpu6lic inspection for the entire duration of the 21 work until the completion of the same. r b �" Electrical '7W ,. Service: The Certificate of Occupancy will not be issued until all applicable signatures by theBuildingFandFire Cfftaalsare provided on�this permit. Minimum of Five Call Inspections Required for All Construction Work: x Rough: 1.Foundation or Footing ?'� ,�. � • xw.� 2.Sheathing Inspection Final: 3.All Fireplaces must be inspected at the throat level before firest flue lining is installed 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection Low Voltage Rough: 5.Prior to Covering Structural Members(Frame Inspection) 6.Insulation Low Voltage Final: 7.Final Inspection before Occupancy Health . Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Work shall not proceed until the Inspector has approved the various stages of construction. Final: "Persons contracting with unregistered contractors do not have access to the guaranty fund" (as set forth in MGL c.142A). Fire Department Building plans are to be available on site Final: All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT Application Number............................................................. 0 a'r BARNSTwRrar s r D�ALis.°� ;Permit Fee.......................................Other Fee........................ i639{ v- Total Fee Paid........................ ..:;................................. ...... oex =� cl-, TOWN OF BARNSTABLE Permit Approvalby..... ........oa... A.... g....... B JILDMG PERNIIT YMap..... ..................................ParML............................................. APPLICATIONS s Section I -Owner's Information and Project Location Project Address 4 © tA`n ooc I Village C__) Owners Name 1�t , Owners Legal Addresses V,Lr 'VA, tk- City State tnA Zip 07.(v0 1 Owners Cell# 5©46--3(5z$' Oq 0 E-mail cx>vv% Section 2—Use of Structure Use Group tL uc, ,4np,�,p ❑ Commercial Structure over 35,000 cubic feet ❑ Commercial Structure under 35,000 cubic feet ❑ Single/Two Family Dwelling Section 3 —Type of Permit ❑ New Construction ❑ Move/Relocate ❑ Accessory Structure ❑ Change of use ❑ Demo/(entire structure) ElFinish Basement ElFamily/Amnesty ❑ Fire Alarm Rebuild ❑ Deck Apartment El Sprinkler System ❑ Addition ❑ Retaining wall ❑ Solar ® Renovation ❑ Pool ❑ Insulation' Other—Specify Section 4 -Work Description r.A.qr,,,,dnted-2I92018 Application Number.................................................... Section 5-Detail Cost of Proposed Construction Square Footage of Project i1.4oco 6q q Pe r Q loo(- Age of Structure Dig Safe Number # Of Bedrooms Existing 'a Total#'Of Bedrooms(proposed)' 110 MPH Wind Zone Compliance Method MA Checklist ❑ WFCM Checklist YDesign Section 6—Project Specifics 0 Wiring ❑ Oil Tank Storage ❑ Smoke Detectors ❑ Plumbing ❑ Gas ❑ Fire Suppression Q Heating System ❑ Masonry Chimney . ❑Add/relocate bedroom Water Supply N•Public ❑ Private Sewage Disposal [3 Municipal+ ❑ On Site Historic District ❑ Hyannis Historic District ❑ Old Kings Highway Debris Disposal Facility: hZLkCa S Jac I am using a crane ❑ Yes ❑ No Section 7—Flood Zone Flood Zone Designation Within or adjacent to a wetland,coastal bank? Yes ❑ No Section 8-Zoning Information Zoning District Proposed Use ' Lot Area Sq. Ft. Total Frontage Percentage of Lot Coverage #of Dwelling Units (on site) Setbacks Front Yard Required Proposed Rear Yard Required Proposed Side Yard Required Proposed Has this property had relief from the Zoning Board in the past? ❑ Yes ❑ No Last=dated_7J9201 S i Initial Construction Control Document To be submitted with the building permit application by a Registered Design Professional r for work per the 8th edition of the Massachusetts State Building Code, 780 CMR, Section 107 Project Title: Cape Cod Healthcare Office Renovations Date:9-15-2017 Property Address: 297 North Street—Floor One Project: Check(x)one or both as applicable: New construction X Existing Construction Project description: Office area renovations I Gregory B. Siroonian MA Registration Number: 9748 Expiration date: 8/31/2018 ,am a registered design professional, and I have Prepared or directly supervised the preparation of all design plans,computations and specifications concerning : x Architectural Structural — Mechanical - Fire Protection Electrical Other: for the above named project and that to the best of my knowledge, information,and belief such plans,computations and specifications meet the applicable provisions of the Massachusetts State Building Code,(780 CMR),and accepted engineering practices for the proposed project. I understand and agree that I(or my designee)shall perform the necessary professional services and be present on the construction site on a regular and periodic basis to: 1. Review, for conformance to this code and the design concept,shop drawings,samples and other submittals by the contractor in accordance with the requirements of the construction documents. 2. Perform the duties for registered design professionals in 780 CMR Chapter 17,as applicable. 3. Be present at intervals appropriate to the stage of construction to become generally familiar with the progress and quality of the work and to determine if the work is being performed in a manner consistent with the approved construction documents and this code. Nothing in this document relieves the contractor of its responsibility regarding the provisions of 780 CMR 107. When required by the building official,I shall submit field/progress reports(see item 3.)together with pertinent comments, in a form acceptable to the building official. Upon completion of the work,I shall submit to the building official a`Final Constructi . o ent'. Enter in the space to the right a"wet"or ! electronic signature and seal: ND,7 Phone number: 508 759 9828 Email:gbs@MEDCOMarch.com Building Official Use Only Building Official Name: Pennit No.: Date: Note 1.Indicate with an`x'project design plans,computations and specifications that you prepared or directly supervised.If`other'is chosen, provide a description. Version 06 11 2013 i Initial Construction Control Document a W To be submitted with the building permit application by a W - Registered Design Professional a for work per the 81h edition of the M s Massachusetts State Building Code, 780 CMR, Section 107 Project Title: Cape Cod Healthcare Office Renovations Date:9-15-2017 Property Address: 297 North Street—Floor One Project: Check(x)one or both as applicable: New construction X Existing Construction Project description: Office area renovations I,Robert C.Bravo, RE MA Registration Number: 46657 Expiration date: 6/30/2020 , am a registered design professional, and I have prepared or directly supervised the preparation of all design plans,computations and specifications concerning': Architectural Structural Mechanical Fire Protection X Electrical Other: for the above named project and that to the best of my knowledge, information,and belief such plans,computations and specifications meet the applicable provisions of the Massachusetts State Building Code,(780 CMR),and accepted engineering practices for the proposed project. I understand and agree that I(or my designee)`sliall 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 �yJ.�N OF " electronic signature and seal: ROBERT C am BR, Vt' ELE , in Phone number: 508 295 0050 Email: rbravo@griffithandvary.com ---- " "-- - Buildingl�flicial�t7se Only- -"-"--- Building Official Name: Permit No.: Date: Note I.Indicate with an`x'project design plans,computations and specifications that you prepared or directly supervised.If`other'is chosen, provide a description. Version 06 11 2013 Initial Construction Control Document = To be submitted with the building permit application by a W Registered Design Professional e for work per the 81" edition of the Massachusetts State Building Code, 780 CMR, Section 107 Project Title: Cape Cod Healthcare Office Renovations Date:9-15-2017 Property Address: 297 North Street—Floor One Project: Check(x)one or both as applicable: New construction X Existing Construction Project description: Office area renovations 1, Wayne E.Mattson, P.E MA Registration Number:41546 Expiration date: 6/30/2020 ,am a registered design professional, and 1 have prepared or directly supervised the preparation of all design plans,computations and specifications concerning': Architectural Structural X Mechanical Fire Protection Electrical Other: for the above named project and that to the best of my knowledge, information,and belief such plans,computations and specifications meet the applicable provisions of the Massachusetts State Building Code,(780 CMR),and accepted engineering practices for the proposed project. I understand and agree that 1(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'. ZN Of Enter in the space to the right a"wet"or ` y electronic signature and seal: o`' WAY NE E. MATTSON O ECHAN N0.41 Phone number: 508 295 0050 Email: wmattson@griftithandvary.com y ----- ---- _ --.._._ ._ .. . - -- -- - - ----Buitcti►�gOffrcial-tJse-Only— -- - - _ -- -- - Building Official Name: Permit No.: Date: Note 1.Indicate with an`x'project design plans,computations and specifications that you prepared or directly supervised.If`other'is chosen, provide a description. Version 06 11 2013 i Initial Construction Control Document To be submitted with the building permit application by a Registered Design Professional for work per the 8th edition of the Massachusetts State Building Code, 780 CMR, Section 107 Project Title: Cape Cod Healthcare Office Renovation Date: September 15,2017 Property Address: One Financial Place Building 3 297 North Street Hyannis.MA-Floor One Project: Check(x)one or both as applicable:X Existing Construction New construction Project description: Tenant Fit-Up/New HVAC Gas Fired Furnaces And Rooftop Unit To Suit New Architectural Floor Plan I Joel Gordon MA Registration Number: 31392 Expiration date: 06-30-2020,am a registered design professional, and I have tprepared or directly supervised the preparation of all design plans,computations and specifications concerning : Architectural Structural X Mechanical AC Fire Protection Electrical Other: for the above named project and that to the best of my knowledge,information,and belief such plans,computations and specifications meet the applicable provisions of the Massachusetts State Building Code,(780 CMR),and accepted engineering practices for the proposed project. I understand and agree that I(or my designee)shall perform the necessary professional services and be present on the construction site on a regular and periodic basis to: 1. Review,for conformance to this code and the design concept, shop drawings, samples and other submittals by the contractor in accordance with the requirements of the construction documents. 2. Perform the duties for registered design professionals in 780 CMR Chapter 17,as applicable. _ 3. Be present at intervals appropriate to the stage of construction to become generally familiar with the progress and quality of the work and to determine if the work is being performed in a manner consistent with the approved construction documents and this code. Nothing in this document relieves the contractor of its responsibility regarding the provisions of 780 CMR 107. When required by the building official,I shall submit field/progress reports(see item 3.)together with pertinent comments, in a form acceptable to the building official. Upon completion of the work,I shall submit to the building official a`Final Construction Control Document'. �ZH OFF Enter in the space to the right a"wet"or �`� sr,� electronic signature and seal: ° JOEL GORDON H MECHANICAL No. 2.. ._. t2 Phone number: (978)927-3900 X117 Email: bfe001d2fac.com 0 Building Official Use Only Building Official Name: Permit No.: Date: Note 1.Indicate with an`x'project design plans,computations and specifications that you prepared or directly supervised.If`other'is chosen, provide a description. Version 06 11 2013 Application Number........................................... Section 9—.Construction Supervisor Name avicl. or l Telephone Number V-,l-.Paco__513D Address City ems}gel` State M Zip ® 3a License Number_ ct�- t l I�-l. _ License Type cr6,rockma n Expiration Date ttoI 0`119�0 a 1 "Seitvto r Contractors Email_A V\,t M vt es����btcc�n ,oe?s,cp rn Cell# `arm f2t'n I understand my responsibilities under the rules and regulations for Licensed Construction Supervisor in accordance with 780 CMR the Mass use State Building Code. I understand the construction inspection procedures,specific inspections and documentatio re by 80 CMR and the Town of Barnstable.Attach a copy of your license. Signature Date L 1-6 ���ec' tion-.10 —Home Improvement.Contractor Name Telephone Number Address City State Tip Registration Number Expiration Date I understand my responsibilities under the rules and regulations for Home Improvement Contractors in accordance with 780 CMR the Massachusetts State Building Code. I understand the construction inspection procedures,specific inspections and documentation required by 780 CMR and the Town of Barnstable.Attach a copy of your H.LC... Signature Date Section 11—Home Owners License Exemption Home Owners Name: Telephone Number Cell or Work Number I understand my responsibilities under the rules and regulations for Licensed Construction Supervisor in accordance with 780 CMR the Massachusetts State Building.Code. I understand the construction inspection procedures,specific inspections and documentation required by 780 CMR and the Town of Barnstable. Signature Date APPLICANT SIGNATURE Signature Date th- l,' Print Name ��vtit ihof nql Telephone Number `jVj !�a 6-6f 50 E-mail permit to: T.,..�......i..a-.i.11 mnni 0 r Section 12 -Department Sign-Offs Health Department © Zoning Board(if required) ❑ Historic District ❑ Site Plan Review(if required) ❑ Fire Department ❑ Conservation For commercial work,please take your plans directly to the fire department for approval Section 13—Owner's Authorization as Owner of the-subject property hereby authorize to act on my behalf, in all matters relative to work authorized by this building permit application for: (Address of j ob) Signature of Owner date Print Name Last undated:2/92018 i Application Number.................:......... . } HAM TOWN OF BAR S r„u ffee.................................:.....Other Fee........................ -639� Ep MIS U 40PR 2 0 P I TaiWT-Paid......... .................................. .. ..... ...... TOWNOF BARNSTABLE Permit Approval by.................................0a........................... BUILDING PERMITD I VI S T N Map..................... .............PaixL...... ................................. APPLICATION Section I — Owner's Information and Project Location Project Address o' -f doryln ib�- bJ d%nct -tP 3 2 aocg-A village 4 Owners Name Owners Legal Address o94'f Vlp C Mop g— C State f`-Py - , zip CA(PO) Owners Cell# 5c)cZ °-3 , — o aa E-mail I °cong t FSection 2—Use of Struc re Use Group iSuS� s �o ❑ Commercial Structure over 35,000 cubic feet 5 ❑ Commercial Structure under 35,000 cubic feet ❑ Single/Two Family Dwelling Section 3 —Type of Permit ❑ New Construction ❑ Move/Relocate ❑ Accessory'Structure' ❑ Change of use ❑ Demo/(entire structure) ❑ Finish Basement ❑ Family/Amnesty ❑ Fire Alarm Rebuild ❑ Deck Apartment ❑ Sprinkler System ❑ Addition ❑ Ret fi wall ❑ Solar Renovation ❑ Pool ❑ Insulation Other—Specify Section 4 -Work Description ini r � . i Act rmdRfed-2/9/2019 t Application Number.................................................... Section 5-Detail Cost of Proposed Construction Square Footage of Project i\}o coo ?ems C lm(- Age of Structure iq,%Ia.'--%4 Dig.Safe Number # Of Bedrooms Existing Total.#Of Bedrooms(proposed) 110 MPH wind Zone Compliance Method ❑ MA Checklist ❑ WFCM Checklist .E] Design Section 6—Project Specifics 0 Wiring ❑ Oil Tank Storage ❑ Smoke Detectors Plumbing ❑ Gas ❑ Fire Suppression Heating System •❑ Masonry ne Chim ❑Add/relocate bedroom y Water Supply ❑ Public ❑ Private Sewage Disposal ❑ Municipal ❑ On Site Historic District Hyannis Historic District ❑ Old Kings Highway Debris Disposal Facility:Ne I am using a crane ❑ Yes No Section 7—Flood Zone Flood Zone Designation Within or adjacent to a wetland, coastal bank? Yes ❑ No El Section 8—Zoning Information Zoning District Proposed Use Lot Area Sq.Ft. Total Frontage Percentage of Lot Coverage #of Dwelling Units (on site) Setbacks Front Yard Required Proposed Rear Yard Required Proposed Side Yard Required Proposed Has this property had relief from the Zoning Board in the past?,. ❑ Yes ❑ No Last=flated 2/92018 Application Number........................ Section 9- Construction Su' eiwisor Name Telephone Number -1- -aaU Address,3�-A .z,n WS-5Y City e v State n--%A Zip 'coc'_y License Number C`j- l Vt 2 License Type ea(n�vzkAmO Expiration Date o`}T_� Contractors Email I understand my responsibilities under the rules and regulations for Licensed Construction Supervisor in accordance with 780 CMR the s usetts State Building Code. I understand the construction inspection procedures,specific inspections and documen on ' ed by 780 and the Town of Barnstable.Attach a copy of your license. Signature DateIr ` r " Section-10—Home Improvement Contractor Name Telephone Number Address City State Zip Registration Number Expiration Date �. I understand my responsibilities under the rules and regulations for Home Improvement Contractors in accordance with 780 CUR the Massachusetts State Building Code. I understand the construction inspection procedures,specific inspections and documentation required by 780 CMR and the Town of Barnstable.Attach a copy of your IUC... Signature Date Section 11 —Home Owners License Exemption Home Owners Name: Telephone Number Cell or Work Number I understand my responsibilities under the rules and regulations for Licensed Construction Supervisor in accordance with 780 CMR the Massachusetts State Building Code. I understand the construction inspection procedures,specific inspections and documentation required by 780 CMR and the Town of Barnstable. Signature Date APPL ANT SIGNATU RE sipatul a. Date * t 1t Print Name Le_ Telephone Number 4-Pj-aaco-�5 131' E-mail permit to: t-vo�n`[ n ,cpn'� C�CZb pow T.,..F.....i..a�.i.I/n nn1 0 Section 12 —Department Sign-Offs Health Department ❑ Zoning Board(if required) ❑ i Historic District ❑ Site Plan Review(if required) ❑ ' Fire Department ❑ f'~ Conservation For commercial work,please take your plans directly to'the fire deparbnent for approval Section 13--Owner's Authorization I as Owner of the-subject property hereby authorize to act on my behalf, in all.. matters relative to work authorized by this building permit application for: (Address of job) Signature of Owner date Print Name :j 7 4 Last undated 2/92018 Town of BarnstableBuilding a • snxrrsrxes Post This Ca4d So That it is U�sible From the.Street-Approved Plans Must be Retained on Job and this Card Must be Kept „r,14 A#���' Posted Until,Final Inspection Has Been Made. T e Where a Certificate of Occupancy is Required,such Buildrng shall Not be Occupied u»tiI a Filial Inspection,has been made...,,:, rermit Permit No. B-17-3416 Applicant Name: THORNILEY, DAVID Approvals Date Issued: 11/22/2017 Current Use: Structure Permit Type: Building-Addition/Alteration-Residential Expiration Date: 05/22/2018 Foundation: Location: 297 UNIT 3 NORTH STREET,HYANNIS Map/Lot: 308-044-OOC Zoning District: OM Sheathing: Owner on Record: STAFFORDSHIRE LP Contractor,Name DAVID THORNILEY Framing: 1 Address: 297 NORTH STREET Contractor Lice : C nseS-111442 2 HYANNIS, MA 02601 Est Project Cost: $ 1,859,941.00 Chimney: 711 Description: INTERIOR FIT ODUT OF ALL 3 FLOORS TO INCLUDE ALL NEW; PermEit Fee: $ 17,085.40 DUCTWORK, LGMF AN JIPSUM WALL BORAD,ACT; FLOORING, Insulation: S PAINT Fee Paitl . S.17,120.40 CAPE COD HEALTHCARE a Date ;' 11/22/2017 Final: 2/2 change of contractor to David Thorniley a � 't`' y Plumbing/Gas Project Review Req: ..,, Rough Plumbing: Building Official Final Plumbing: This permit shall be deemed abandoned and invalid unless the work authorize.d by this permit is commenced within six mclrths�affer:.issuance. Rough Gas: All work authorized by this permit shall conform to the approved application and the approved construction documents for whichtthis permit has been granted. Final 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 work until the completion of the same. Electrical The Certificate of Occupancy will not be issued until all applicable signatures by the Building and Fire Officials are provided on this permit. Service: Minimum of Five Call Inspections Required uired for All Construction Work: p q : "" Rough: 1.Foundation or Footing 2.Sheathing Inspection Final: 3.All Fireplaces must be inspected at the throat level before firest flue lining is installed 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection Low Voltage Rough: 5.Prior to Covering Structural Members(Frame Inspection) 6.Insulation Low Voltage Final: 7.Final Inspection before Occupancy Health Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Work shall not proceed until the Inspector has approved the various stages of construction. Final: "Persons contracting with unregistered contractors do not have access to the guaranty fund" (as set forth in MGL c.142A). Fire Department Building plans are to be available on site Final: All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT � �� �1 { � ,. I �- � !, -- r ^ .� �.n _ . __ _. TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel Application # Health Division Date Issued Conservation Division Application Fe Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation/ Hyannis Project Street Address (Jo VV� 6' — k,nG f� 3 Village Owner Address Telephone Per it Request Square feet: 1 st floor: existing i iono proposed 1 t000 2nd floor: existing ncoc, proposed r,cx Total new 3rr1 rt� Zoning District Flood Plain Groundwater Overlay Project Valuation Construction Type Lot'Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family(# units) Age of Existing Structure Historic House: ❑Yes ❑ No On Old King's Highway: ❑Yes ❑ No Basement Type: ❑ Full ❑ Crawl ❑Walkout ❑ Other Basement Finished Area (sq.ft.) Basement Unfinished Area (sq.ft) Number of Baths: Full: existing new Half: existing new Number of Bedrooms: existing —new Total Room Count (not including baths): existing new First Floor Room Count Heat Type and Fuel: ❑ Gas ❑ Oil ❑ Electric ❑ Other Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑ No Detached garage: ❑ existing ❑ new size_Pool: ❑ existing ❑ new size _ Barn: ❑existing ❑ new size_ Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: o,1 0G Del. Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes ❑ No If yes, site plan review# � Current Use Proposed Use APP NFORMATION (BUILDER O OMEOWNER) Name �' ' ,t 1 �ef' Telephone Number Address �� t�tn�e�'y� License # (� - Ilk *A2, 971-1 �cc-r t pa ,P F N� t�2,2,2,y4 Home Improvement Contractor# Email ,�Wy—' �n�k e o.(,��,c�t �u\ e���c c�rr�Worker's Compensation # o ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE s FOR OFFICIAL USE ONLY APPLICATION # DATE ISSUED MAP/ PARCEL NO. ADDRESS VILLAGE OWNER DATE OF INSPECTION: FOUNDATION FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING i DATE CLOSED OUT ASSOCIATION PLAN NO. \ TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION MapU% Parcel t Application #. Health Division `r" Date Issued Conservation Division Application Feepl -, Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation/ Hyannis Project Street Address A97 NoFV�i /-)t Village v Owner Address Telephone _ Permit Request lr\h A A Olt Ark Square feet: 1st floor: existing I ocr,proposed� r� .cam 2nd floor: existing mr� proposed r Mtn Total new ` � rr Zoning District Flood Plain Groundwater Overlay Project Valuation Construction Type Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family ❑... Two Family ❑ Multi-Family(# units) Age of.Existing Structure Historic House: ❑Yes ❑ No On Old King's Highway: ❑Yes ❑ No Basement Type: ❑ Full ❑ Crawl ❑Walkout ❑ Other Basement Finished Area(sq.ft.) Basement Ur'fi fished Area (sq.ft) Number of Baths: Full: existing, new Half: existing new Number of Bedrooms: existing _new Total Room Count (not including baths): existing new First Floor Room Count Heat Type and Fuel: ❑ Gas ❑ Oil ❑ Electric ❑ Other Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑ No Detached garage: ❑,existing ❑ new size—Pool: ❑ existing ❑ new, size _ Barn: ❑ existing ❑ new size_ Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes ❑ No If yes, site plan review# Current Use Proposed Use I A'PPE ICANT INFORMATION (BUILDER OR HOMEOWNER) ,y _. -. ems- `-- _ ..._...t,.-_-" _.... �'-•.,"�^^---•--,....•-.-�.+-.'.,i' _._ __. 7 Name A_�'%01 i ' D g R)����r� -Z Telephone Number1'f4-;Ufa 13�a J ` w s Address " �`�v tDInt-e. License # r-,--) Home Improvement Contractor# - Email A k��Fn kt o i k/Z Worker's Compensation #'WR ALL CONSTRUC TIO N DEBRIS RESULTING„FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE // DAT.E' FOR OFFICIAL USE ONLY APPLICATION # DATE ISSUED MAP/ PARCEL NO. ADDRESS VILLAGE OWNER DATE OF INSPECTION: FOUNDATION FRAME - INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. ' I pFTNE rqk, Town of Barnstable Building Department Services BARNSTABLE. Brian Florence,CBO 9�A 1659. � Building Commissioner lFD 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 NOTICE TO THE BUILDING DIVISION OF LICENSED CONSTRUCTION SUPERVISOR ASSUMPTION OF RESPONSIBILITY Construction Supervisor License . # C, -Ili qLi- , , hereby certify that I have assumed responsibility for the project under construction, as authorized by building permit# ?j- I+ -3 At! , issued to (property address) pCi 6 t- on ` ,Rf� ` , 201 cb. The following documents are attached: copy of my Massachusetts State Construction Supervisor's license or Homeowner's,License Exemption form (if applicable) copy of my Home Improvement Contractor registration(if applicable) Commonwealth of Massachusetts Workers' Compensation Insurance Affidavit. Road Bond(if applicable) • 4 yl- i LI NSE HOLDER DATE i q/forms/newcontrb rev:08/23/17 I , s Commonwealth of Massachusetts Division of Professional Licensure lug Board of Building Regulations and Standards Construction SUOFrvisor CS-111442 Expires: 06/07/2021 DAVIDTHORNILEY •4 t 358 WINTER STREET BRIDGEWATER MA 02324 _ Commissioner v--_ 1 I I f (R) rubicon BUILDERS January 30, 2018 Town of Barnstable Building Department 200 Main Street Hyannis, MA 02601 RE: Cape Cod Healthcare Office Renovation 297 North Street To Whom It May Concern: Please accept this letter as confirmation that I James DiGiorno in capacity as President of P � � m Y P Y Rubicon Builders LLC, hereby authorize my employee David Thorniley to execute the building permit application on behalf of Rubicon Builders LLC for the above referenced project. Sincerely, rmes DiGiorno resident Rubicon Builders t. 508.823.4530 ext 101 c. 508.328.9428 jdigiorno@rubiconbuilders.com Rubicon Builders LLC•792 South Main Street•Mansfield,MA 02048 1:508.823.4530•rubiconbuilders.com The Commonwealth of Massachusetts Department of IndustrialAccidents Office of Investigations ` 1 Congress Street, Suite 100 e Boston, MA 02114-2017 www mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Hanle (Business/Organization/Individual): Rubicon Builders, LLC. Address:800 South Main St City/State/Zip: Mansfield, MA 02048 Phone #:(508)823-4530 Are you an employer? Check the appropriate box: Type of project(required): 1.❑■ I am a employer with 30 4. ❑ I am a general contractor and I employees (full and/or part-time).* have hired the sub-contractors 6. New construction 2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7. ❑■ Remodeling ship and have no employees These sub-contractors have 8. ❑ Demolition working for me in any capacity. employees and have workers' 9. ❑ Building addition p' insurance. 10.❑ Electrical re [No workers' comp. insurance airs or additions required.] 5. ❑ com We are a corporation and its p 3.❑ I am a homeowner doing all work officers have exercised their 11.❑ Plumbing repairs or additions myself. [No workers' comp. right of exemption per MGL 12.❑ Roof repairs insurance required.] t c. 152, §1(4),and we have no employees. [No workers' 13.0 Other comp. insurance required.] Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. $Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name:Travelers Indemnity Company of CT Policy#or Self-ins. Lic. #:UB 7GO48673 Expiration Date: 1120/2019 Job Site Address: 297 North St City/State/Zip: Hyannis, MA 02601 Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under 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$250.00 day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigatio of th DIA for insurance coverage verification. I do here y ce 'y er th pain nd penalties of perjury that the information provided above is true and correct. Si ature Date: Phone#: 5 234530 Official use only. Don t write in this area,to be completed by city or town official. City or Town: Permit/License # Issuing Authority(circle one): 1.Board of Health 2. Building Department 3. City/Town Clerk 4. Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: pp1HB ram, Town of Barnstable Building Department Services RAMSTAsre. = Brian Florence,CBO �$a 16 9 ��� Building Commissioner rF � 200 Main Street,Hyannis,MA 02601 www.town.barwtable.ma.us Office: 508-862-4038 Fax: 508-790-6230 NOTICE TO THE BUILDING DIVISION OF WITHDRAWAL OF LICENSED CONSTRUCTION SUPERVISOR FROM PROJECT , Construction Supervisor License #_ ���� ,hereby certify that I am no longer the Construction Supervisor listed on the application for the project under construction as authorized by building permit # 3- issued to (property address) NA on �� ,2011. I also certify that on 201 ,I notified the property owner,that the project under construction must cease until a successor licensed Construction Supervisor, is submitted on the records of the Building.Division. V 1� LICENSE ALDER ATE q/forms/newcontr reference R-5 780 CUR rev:08/23/17 f Town of Barnstable Building Department Services WASL Brian Florence,CBU ems" Building commissioner 200 Mam SbUt,HYaM3iS,MA 02601 www.to mbarnstabie.ma.us Office: 50&8624038 Fa>` 508-790-6230 Property Owner Must Complete and Sign.This Section If Using_A Builder Owner of the subject property hereby authorize v 10:L u ,�. v. , to act on my behalf is all matters relatrve to work authorized by this building pew application for: - L Q lM 6 ©z 6 c i (Address of Job) **Pool fences and alarms are the responsibility of the applicant Pools are not to be filled or utilized before fence is installed and all final inspections are perfomaed and accepted. S'gna °f�wnex Signature of Applicant d l 41 Diu Print Name Print Name Dates Q:FoxMs:oWI S101P00LS RcP 08/16117 12e,,, 2-1-17 oiwt 6-AM ,aco" CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) `..� 1/22/2018 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies) must be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTA T Alliant Insurance Services, Inc., PHONE Ste hen Turner FAX 131 Oliver Street,4th Floor •617-535-7200 WC,No):617-535-7205 Boston MA 02110 ADDRess: sturner@alliant.com INSURERS AFFORDING COVERAGE NAIC# INSURER A:Charter Oak Fire Insurance Company 25615 INSURED INSURER B:Travelers Indemnity Company 25658 Rubicon Builders, LLC 800 South Main Street INSURER C:Starr Indemnity&Liability Company 38318 Mansfield MA 02048 INSURER D:Great American Assurance Company 26344 INSURER E:Arch Specialty Insurance Company 21199 INSURER F: COVERAGES CERTIFICATE NUMBER:251090624 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE ADDL SUBR POLICY EFF POLICY EXP LTR POLICY NUMBER MM/DD/YYYY MM/DD/YYYY LIMITS A X COMMERCIAL GENERAL LIABILITY Y Y CO 7GO48138 1/20/2018 1/20/2019 EACH OCCURRENCE $1,000,000 CLAIMS-MADE PC]OCCUR A DAMAGE (RENTED PREMISES Ea occurrence) $300,000 X Contractual Liab MED EXP(Any one person) $5,000 X XCU PERSONAL&ADV INJURY $1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $2,000,000 POLICY a ECT LOC PRODUCTS-COMP/OP AGG $2.000,000 OTHER: Deductible $5,000 B AUTOMOBILE LIABILITY BA 7GO47800 1/20/2018 1/20/2019 COEa aMBcINED c dent d.n')SINGLE LIMIT $1,000,000 ANY AUTO BODILY INJURY(Per person) $ ALL OWNED X SCHEDULED BODILY INJURY(Per accident $ AUTOS AUTOS ) X X NON-OWNED PROPERTY DAMAGE $ HIRED AUTOS AUTOS Per accident C UMBRELLA LIAB X 1000584891181 1/20/2018 1/20/2019 D OCCUR EXC2274569 1/20/2018 1/20/2019 EACH OCCURRENCE $20,000,000 X EXCESS LIAB CLAIMS-MADE AGGREGATE $20,000,000 DED I X 'RETENTION$ $ A WORKERS COMPENSATION Y UB 9,1731645 1/20/2018 1/20/2019 X STATUTE EMPLOYERS'LIABILITY y/N STATUTE ER ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $1,000,000 OFFICER/MEMBER EXCLUDED? N/A (Mandatory In NH) E.L.DISEASE-EA EMPLOYEF4$1,000,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $1,000,000 E Contractors Pollution PDCPP0026500 1/20/2018 1/20/2019 Poll Agg/Occ $2,000,000 Professional Liability Prof Agg/Occ $2,000,000 Deductibblie $25,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached If more space Is required) EVIDENCE OF INSURANCE. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. Rubicon Builders, LLC 792 South Main Street, 1st Floor Mansfield MA 02048 AUTHORIZED REPRESENTATIVE ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD f f 100 Cummings Center Suite 235E Beverly,Massachusetts 01915 ENGINEERINGTelephone: (978)927-3900 X117 COMPANY Fax: (978)927-0239 Email: bfec@bldgfac.com April 10,2018 Stu Bornstein Holly Management& Supply Corp. One Financial Place 297 North street Building 1 Suite 121 Hyannis, MA 02601 RE: 297 North Street Building 3 Hyannis, MA Dear Stu: Joel Gordon of this office performed an HVAC inspection on Monday April 9, 2018 and the following items were noted: I. Comments from pictures dated 1-18-2018 from 13.04.08jpg Please make sure all duct joints transverse and longitudinal are sealed and ducts are internally lined. At this time return is lined but does not appear the supply duct is. 2. Comments from pictures dated 3-16-2018 from 11.18.57jpg Please make sure all duct joints transverse and longitudinal are sealed and ducts are internally lined. 3. Comments from pictures dated 1-18-2018 from 13.07.35jpg Return duct was internally lined. 4. Comments from pictures dated 1-18-2018 from 13.07.46jpg Return duct was internally lined. Did not appear that the supply duct was lined. 5. Comments from pictures dated 3-16-2018 from 08.02.05jpg Diffusers on ground not installed. 6. Comments from pictures dated 3-16-2018 from 08.02.08jpg Diffusers on ground not installed. 7. Comments from pictures dated 3-16-2018 from 11.06.52jpg Ductwork joints outside above roof were sealed. Ductwork must be insulated outside and weatherproofed. 8. Comments from pictures dated 3-16-2018 from 11.22.48jpg No comments. 9. Comments from pictures dated 3-19-2018 from 11.23.53jpg No comments. 10. Comments from pictures dated 3-19-2018 from 11.08.46jpg Make sure there are volume dampers at all duct branch take-offs. 11. Comments from pictures dated 3-20-2018 from 10.14.36jpg It did not appear that duct joints were air tight at the corners. 12. Comments from pictures dated 3-22-2018 from 10.03.29jpg No comments. 13. Comments from pictures dated 3-22-2018 from 12.57.18jpg Make sure there are volume dampers at all duct branch take-offs. 14. Comments from pictures dated 3-22-2018 from 14.33.21jpg Make sure there are volume dampers at all duct branch take-offs. All work appeared to be installed per the contract set of documents and in good - workmanlike manner. Should you have any questions regarding this report,please feel free to give me a call at (978)927-3900 x 117. Very truly yours, Joel Gordon, P.E. I M E D CO M MEDICAL&COMMERCIAL ARCHITECTURAL GROUP ARCHITECTURE ARCHITECTS FIELD REPORT Date: January 10, 2018 To: Town of Barnstable Building Department From: MEDCOM Architectural Group, LLC. Project: Cape Cod Healthcare 297 North Street Hyannis, MA Work in Reviewed: . Demolition of all three floors complete. Third floor interior partition framing underway. Sprinkler main rough-ins underway Items Noted: 1. Reviewed exterior wall conditions for water leaks. ��if�4ED qq� Q4. 34.'�g•stq��� Gregory B. Siroonian , 9 N°• '� =I President _. +w aF 118 Waterhouse Road Boume,MA 02532 t:(508)759-9828 f:(508)759-9802 WWW.MEDCOMARCH.COM I M M G D C O- " I ARCHITECT SURE COMMERCIAL ARCHITECTURAL GROUP ARCHITECTS FIELD REPORT Date: February 14, 2018 To: Town of Barnstable Building Department From: MEDCOM Architectural Group, LLC. Project: Cape Cod Healthcare 297 North Street Hyannis, MA _ Work in Reviewed: Third Floor Framing 85% complete. Third floor exterior wall rigid insulation in progress. Second Floor Framing 80% complete. Items Noted: sue° � p ' ti ! No.9748� 1 Gregory B. Siroonian President ' ' 118 Waterhouse Road Boume,MA 02532 t:(508)759-9828 F(508)759-9802 WWW MEDCOMARCH.COM i M E D CO M MEDICAL&COMMERCIAL ARCHITECTURAL GROUP ARCHITECTURE ARCHITECTS FIELD REPORT Date: March 15, 2018 To: Town of Barnstable Building Department From: MEDCOM Architectural Group, LLC. Project: Cape Cod Healthcare 297 North Street Hyannis, MA Work in Reviewed: ACT and sprinkler heads being installed. Third floor drywall complete. Second floor Drywall in progress. First floor framing 80% complete. Demolition on floors 1 for concrete slab cutting for new underground plumbing. Items Noted: 1. It was discussed with the contractor that only the stairwell walls and through floor penetrations require fire stopping. Gregory B. Siroonian �6 ' President t .9748 � 118 Waterhouse Road Boume,MA 02532 t(508)759-9828 f:(508)759-9802 WWW.MEDCOMARCH.COM r MEDCOMI MEDICAL&COMMERCIAL ARCHITECTURAL GROUP ARCHITECTURE ARCHITECTS FIELD REPORT Date: January 10, 2018` To: Town of Barnstable Building Department From: M'EDCOM Architectural Group, LLC. Project: Cape Cod Healthcare 297 North Street:. Hyannis, MA Work in Reviewed:. Demolition of all three floors.complete. Third floor interior partition framing underway. Sprinkler main rough-ins underway Items Noted 1. Reviewed exterior wall conditions for water leaks. �A 0 Apo, Gregory B. Siroon'ian a o t . .9740 President ,s 118 Waterhouse Road Ooume,MA 02532 t:(508)759-9828 f:(508)759-9802 WWWW.MEDCOMARCH.COM f umM E D C.0 M. MEDICAL&COMMERCIAL. ARCHITECTURAL GROUP ARCHITECTURE ARCHITECTS FIELD REPORT Date: February 14, 2018 To: Town of Barnstable Building Department. From: MEDCOM Architectural Group, LLC. Project: Cape Cod Healthcare 297 North Street Hyannis, MA Work in Reviewed: Third Floor Framing 850/o complete. Third floor exterior wall rigid insulation in progress. Second Floor Framing.80% complete. Items Noted: D Gregory B. Siroonian President 118 Waterhouse Road Bourne;MA 02532 t:(508)759-9828 f:(508)759-9802: WWW.MEDC-OMARCH.co . MEDICAL&COMMERCIAL um MEDCO I ARCHITECTURAL GROUP ARCHITECTURE ARCHITECTS FIELD REPORT Date: March 15, 2018 To: Town of Barnstable Building Department From: MEDCOM Architectural Group, LLC'. Project: Cape Cod Healthcare 297 North Street Hyannis, MA Work in Reviewed: ACT and sprinkler heads being installed. Third floor drywall complete. Second floor Drywall in progress. First floor framing 80% complete. Demolition on floors 1 for concrete slab cutting for new underground plumbing. Items Noted: 1. it was discussed with the contractor that only the stairwell walls and through floor penetrations require fire stopping. Gregory B. Siroonian President 118 Waterhouse Road Bourne,MA 02532 t:(508)7%-9828 f:($08)759,9802 www.mEbCOMARCH.COM i Town of Barnstable Building Department Services VIM& �g Bdan Florence,CBO s " Bm Ming Commissioner 200 Main Street,Hyaouis;MA 02601 wW*WAOWI.bar sUble-ms.us Office: 509-8624038 Farc 508-79"230 Property Owner Must Complete and Sign This Section UEsing A Builder r S a.x Owner of the subject Property hereby authorize v =G UjAJ to act on my beh in all matters relative to wozk aathoazed by this b ' h,.ton pesmzt�p for: 4 e �� as 6ai �( dcl��J��ob) **Pool fences and alarms are tine responsibility,of the applicant pools are not to be filled or utilized before fence is iaxsiaRed ana all final inspections ate Performed and accepted. S' of Owner Signature of Applicant print,Name Fziat Nazxle' Date Q:F0R'M0WNMPERmissI0jeo0 S Rev:08/16/17 M ; TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION 30q d 06 Ma Parcel . Application # lr Health Division Date Issued C Conservation Division Application Fee � t 7 Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation/ Hyannis Project Street Address ;iq-7 N .1P4re. Village Pp'\{ Owner atP a n�S�� �Q_ L� Address o�17 9J ,.er, ��ougrtis. A y &o l Telephone Permit Request d A 3 C AD 2,r,Of o,.0 me-./ LC-mr 17 Square feet: 1 st floor: existing 11,000 proposed 2nd floor:.existing//� (r� proposed Total new : Zoning District Flood Plain Groundwater Overlay � e � go Project Va ation_<. Construction TypeC Lot Size Grandfathered: ❑Yes WAo If'ye's, attach supporting documentation. Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family(# units) Age of Existing Structure Historic House: ❑Yes ❑No On Old King's Highway: ❑Yes &No Basement Type: UPM11 ❑ Crawl ❑Walkout ❑ Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) '`341ro Number of Baths: Full: existing new Half: existing new < . Number of Bedrooms: HA existing _new Total Room Count (not including baths): existing new First Floor Room Count Heat Type and Fuel: ❑ Gas ❑Oil ❑ Electric ❑ Other Central Air: pies ❑ No Fireplaces: Existing ALg New _ Existing wood/coal stove: ❑Yes,)dNo Detached garage: ❑ existing ❑ new size_Pool: ❑ existing ❑ new size _ Barn: ❑ existing ❑ new size_ ' Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes ❑ No If yes, site plan review# Current Use Proposed Use APPLICANT INFORMATION - -- (BUILDER OR HOMEOWNER) Name Kt,%,b 1 �m 8��.��hr, GJ( y�,-j ruS Telephone Number 50E- Q3-q1 30 Address �9� S �+°►� Sir � License# es'_ oNy 6 o l May" 0 InA ®aDql Home Improvement Contractor# Email W,oxcg 0, rjx ')c p0�aa,►JJC S, Cate Worker's Compensation # U/13 -7 6 0q �3 ALL CONSTRUCTION DEBRIS ESULTING FROM THIS PROJECT WILL BE TAKEN TO C( /y n aR S �Ul �� .. /1Jm. n r SIGNATURE a�' DATE � �' J P � FOR OFFICIAL USE ONLY APPLICATION # DATE ISSUED MAP/ PARCEL NO. ADDRESS VILLAGE OWNER DATE OF INSPECTION: FOUNDATION FRAME INSULATION i FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. r Y rvoic.. . 6U1LDEB5, October 3., 2017 Town of Barnstable Building Department 200 Main Street Hyannis, MA 02601 , RE: Cape Cod Healthcare Office Renovation 297 North'Street To Whom It May Concern: Please accept this letter as confirmation that I, James DiG'iorno, in my capacity as President of Rubicon Builders LLC, hereby authorize my employee Ward Jaros to execute the building permit application on behalf of Rubicon Builders LLC for the above referenced project. Sincerely. 2�1 r ames DiGiorno President Rubicon Builders t. 508.823.4530 ext 101 c. 508.328.9428 idigiorno@rubiconbuilders.com Rubicon Builders LLC, 702 South Main Street a Mansfield,MA 02048 1:608.823.4530 rubiconbuilders.com 111 " 8UILDGRS October 3, 2017 Town of Barnstable Building Department 200 Main Street Hyannis, MA 02601 RE: Cape Cod Healthcare Office Renovation 297 North Street To Whom It May Concern: Please accept this letter as confirmation that I, James DiGiorno, in my capacity as President of Rubicon Builders LLC, hereby authorize Ward Jaros to execute the building permit application on behalf of Rubicon Builders LLC for the above referenced project. Sincerely, �� J�mes DiGior/o Oresident Rubicon Builders t. 508,823.4530 ext 101 c. 508.328.9428 jdigiornonrubiconbuilders.com f Rubicon Buildws LLC 792 Soulh(;lair Sireel- cins(ield,MA 02043 I:508.823,11530 rubiconbuilder .cone Massachusetts Department of Public Safety P Y Board of Building Regulations and Standards License: CS-044609 Construction Supervisor WARD J JAROS 25 CHARDONNAY LANE PLYMOUTH MA 02360 (� Expiration: Commissioner 10/31/2017 (508)862-4034 FAX(508)790-6230 JEFFREY LAUZON BUILDING INSPECTOR TOWN OF BARNSTABLE REGULATORY SERVICES BUILDING DIVISION TOWN OFFICE BUILDING 200 MAIN STREET,HYANNIS,MA 02601 email:jeffrey.lauzon@town.barnstable.ma.us J Massachusetts Department of Environmental Protection to0271093 BWP AQ 06 r Notification Prior to Construction or Demolition Asbestos Project# - r Project Revision r. I— Project Cancellation A.Applicability A Construction or Demolition operation of an industrial,commercial,or institutional building,or residential building with 20 or more units is regulated by the Department of Environmental Protection(MassDEP),Bureau of Waste Prevention,Air Quality Division,under Regulations 310 CMR 7.09.Notification of Construction or Demolition operations is required under 310 CMR 7.09(2)ten(10)working days prior to any work being performed.The following information is required pursuant to 310 CMR 7.09. 1.Is this a fee exempt notification(city,town,district,municipal housing authority,state facility,owner-occupied residential property of four units or less)? r a.Yes W b.No 2.Blanket Permit Project Approval,if applicable: Approval ID# 3.Non-Traditional Asbestos Abatement Work Practice Approval,if applicable: Approval ID# Instructions: B. Facility Description 1.All sections of this form must be 1.Facility Information: completed in order to CAPE COD HEALTHCARE 297 NORTH STREET comply with the a.Name of facility b.Street Address Department of Environmental BARNSTABLE MA 026010000 5083960214 Protection c.City/Town d.State e.Zip Code f.Telephone notification requirements of 310 MIKE BACHSTEJN EXECUTIVE DIRECTOR OF FACILITIES MANAGEMENT CMR 7.09. g.Facility Contact Person h.Facility Contact Person Title 2.Submit Original 5083960214 MBACHSTEIN@CAPECODHEALTH.ORG Form To:Commonwealth of i.Facility Contact Pennon Telephone j.Facility Contact Person Email Massachusetts k.Facility Size: P.O.Box 4062 Boston,MA 02211 36,000 3 1.Square Feet 2.Number of Floors MassDEP Use Only 1.Was the facility prior rior to 1980? r 1.Yes W 2.No m.Describe the current or prior use of the facility: Date Received OFFICE SPACE r' n.Is the facility a residential facility? r 1.yes' r 2.No o.If yes,how many units? 2.Facility Owner: r Same address as Facility THE BORNSTEIN COMPANIES 297 NORTH STREET a.Facility Owner Name b.Address HYANNIS MA 026010000 5087759316 c.City/Town d.State e.Zip Code f.Telephone 3.Facility On-Site Manager/Owner Representative: Wo Same contact person as facility W Same address as facility r Same address as owner MIKE BACHSTEIN 297 NORTH STREET a.On-Site Manager/Owner Representative b.Address HYANNIS MA 02601 5083960214 c.City/Town d.State e.Zip Code f.Telephone Revised:03/17/2014 Paget of3 , Massachusetts Department of Environmental Protection 100271093 BWP AQ 06 r Asbestos Project# Notification Prior to Construction or Demolition r7 Project Revision r Project Cancellation C. General Project Description 1.This project is: r New Construction r Demolition r Renovation 2.Project Dates: 9/19/2017 5/22/2018 a.Project Start Date(MM/DD/YYYY) b.Project End Date(MM/DDNYYY) 3.General Contractor: RUBICON BUILDERS 792 SOUTH MAIN STREET a.Name b.Address MANSFIELD MA 020480000 5088234530 c.City/town d.State 7 Zip Code f.Telephone DAVID THORNILEY 7742265130 g.General Contractor's On-site Manager/Foreman h.Telephone 4.Construction or demolition contractor: r Same as General Contractor SKINNER DEMO 155 BODWELL STREET a.Contractor Name b.Address AVON MA 023220000 5085590123 c.City/Town d.State e.Zip Code f.Telephone DAVID SKINNER 7817186008 g.Construction and Demolition On-site Manager h.Telephone 5.Licensed Construction Supervisor: WARD JAROS CS-044609 a.Supervisor Name b.Construction Supervisor License(CSL)Number 6.Is the entire facility to be demolished? r-a.Yes 171 b.No 7.Describe the area(s)to be demolished: ALL INTERIOR FINISHES AND MEPS 8.Describe the building(s)or addition(s)to be constructed: NEW INTERIOR FINISHES AND MEPS 9 a.Were the structure(s)surveyed for the presence of Asbestos-Containing R 1.Yes r-2.No Material(ACM)? b.Who conducted the survey? VERTEX-LUKE KRZYEWSKI AI900665 1.Name of Asbestos Inspector 2.DLS Certification# I Revised:03/17/2014 Page 2 of 3 100271093 BWP AQ 06 Asbestos Project# Notification Prior to Construction or Demolition r' Project Revision Massachusetts Department of Environmental Protection (� Project Cancellation L n C. General Project Description (continued) 10 a.Was asbestos containing material(ACM)found? W 1.Yes r 2.No General b.If ACM was found during the survey,please provide the Asbestos 100272122 Statement:If Notification Form(ANF)Project Number. asbestos is found during a Construction 11.For demolition and construction projects,indicate dust suppression techniques to be used: or Demolition r operation,all a.Seeding b.Wetting r7o a Coverings d.Paving r e.Shrouding responsible parties must comply with 310 1- f.Other-Specify: CMR 7.00,7.09,7.15, and Chapter 21 E of the General Laws of 12.Is this an Emergency Demolition Operation? r a.Yes W b.No the Commonwealth. This would include, but would not be c.Name of MassDEP Official who evaluated the emergency limited to,filing an asbestos removal d.Title notification with the Department and/or a notice of e.Date of Authorization(MM/DD/YYYY) f.MassDEP Waiver Number release/threat of release of a D. Certification hazardous substance to the Department,if "I certify that I have personally BRAD HIGDON applicable. examined the foregoing and am 1.Print Name familiar with the information BRAD HIGDON contained in this document and 2,Authorized Signature all attachments and that,based PROJECT MANAGER on my inquiry of those individuals immediately 3.Positionrrtle responsible for obtaining the RUBICON BUILDERS information,I believe that the 4.Representing information is true,accurate,and 9/6/2017 complete.I am aware that there 5.Date(MM/DD/YYYY) are significant penalties for submitting false information, including possible fines and 6.P.E# imprisonment.The undersigned hereby states,under the penalties of perjury,that I am aware that this permit application or notification shall not be deemed valid unless payment of the applicable fee is made." Revised:03/17/2014 Page 3 of 3 I_ Page I of 2 �tMSS�DEPSnffrte Filing System Submission Receipt Thank you for using eDEP Online Filing from the Massachusetts Department of Environmental. transaction is complete and has been submitted to MassDEP. This email is your receipt for the eDEP Online Filing transaction described below. Please revie1A for your records. Please do NOT reply to this message,this email address will not receive messages. For assistanc Filing,please email the EEA Help Desk at mailto:EEA.ServiceDesk@State.MA.US or call 617 MassDEP is interested in how we can serve you better. To help us make improvements to eDEP, minute to complete our eDEP Online Filing Survey at http://www.mass.gov/eea/agencies/massdep/sery ice/online/edep-contacts-and-feedback.html. To contact MassDEP Programs, please see http://mass.gov/dep/about/contacts.htm. DEP Transaction ID: 949882 Date and Time Submitted: 09/06/2017 08:13:02 Form Name:AQ 06 - Construction/Demolition Notification Thank you for using eDEP Online Filing from the Massachusetts Department of Environmental transaction is complete and has been submitted to MassDEP. This email is your receipt for the eDEP Online Filing transaction described below. Please revie A for your records. Please do NOT reply to this message,this email address will not receive messages. For assistanc Filing, please email the EEA Help Desk at mailto:EEA.ServiceDesk@State.MA.US or call 617 MassDEP is interested in how we can serve you better. To help us make improvements to eDEP, minute to complete our eDEP Online Filing Survey at http://www.mass.gov/eea/agencies/massdep/service/online/edep-contacts-and-feedback.htmi. To contact MassDEP Programs,please see http://mass.gov/dep/about/contacts.htm. https:Hedepcor.dep.mass.govNiewCOR/Https/ViewCOR.aspx?ID=949882 9/6/2017 f Page 2 of 2 DEP Transaction ID: 949882 Date and Time Submitted: 09/06/2017 08:13:02 Form Name: AQ 06 - Construction/Demolition Notification Payment Information DEP code: 148224 Date: 9/6/2017 8:12:39 AM Amount($): 100 Payment Detail: GALLANT JONATHAN --AccountType -- AccountNumber ****2560 Confirr https:Hedepcor.dep.mass.govNiewCOR/HttpsNiewCOR.aspx?ID=949882 9/6/2017 F ' Brad Higdon From: eDEPConfirmation@massmail.state.ma.us Sent: Wednesday, September 06, 2017 8:13 AM To: Daniel Hulyk Cc: Brad Higdon Subject: eDEP Submittal Confirmation for DEP Transaction ID:949882 Thank you for using eDEP Online Filing from the Massachusetts Department of Environmental Protection.Your transaction is complete and has been submitted to MassDEP. This email is your receipt for the eDEP Online Filing transaction described below. Please review it and keep a copy for your records. Please do NOT reply to this message,this email address will not receive messages. For assistance with eDEP Online Filing, please email the EEA Help Desk at mailto:EEA.ServiceDesk@State.MA.US or call 617-626-1111. MassDEP is interested in how we can serve you better.To help us make improvements to eDEP, please take a minute to complete our eDEP Online Filing Survey at http://www.mass.gov/eea/agencies/massdep/service/online/edep-contacts- and-feedback.htm1. To contact MassDEP Programs, please see http://mass.gov/dep/about/contacts.htm. DEP Transaction ID: 949882 Date and Time Submitted:09/06/2017 08:13:02 ************************************************************************************** Form Name:AQ 06-Construction/Demolition Notification Thank you for using eDEP Online Filing from the Massachusetts Department of Environmental Protection.Your transaction is complete and has been submitted to MassDEP. This email is your receipt for the eDEP Online Filing transaction described below. Please review it and keep a copy for your records. Please do NOT reply to this message,this email address will not receive messages. For assistance with eDEP Online Filing, please email the EEA Help Desk at mailto:EEA.ServiceDesk@State.MA.US or call 617-626-1111. MassDEP is interested in how we can serve you better.To help us make improvements to eDEP, please take a minute to complete our eDEP Online Filing Survey at http://www.mass.gov/eea/agencies/massdep/service/online/edep-contacts- and-feedback.htm1. To contact MassDEP Programs, please see http://mass.gov/dep/about/contacts.htm. ************************************************************************************** DEP Transaction ID: 949882 Date and Time Submitted: 09/06/2017 08:13:02 1 ************************************************************************************** Form Name: AQ 06-Construction/Demolition Notification Payment Information DEP code: 148224 Date: 9/6/2017 8:12:39 AM Amount($): 100 Payment Detail: GALLANTJONATHAN --AccountType-- AccountNumber****2560 Confirmation Number: ************************************************************************************** EMAIL ID OF THE USER:dhulyk@rubiconbuilders.com ************************************************************************************** EMAIL ID OF THE OTHER USERS: bhigdon@rubiconbuilders.com ************************************************************************************** 2 Street 297 north All Villages Sea <Prev Next> Page 1 of 2 Rows/Page: 308-044-OOA 297 NORTH STREET STAFFORDSHIRE LP HYAN 1100 30804400A 308-044-OOC 297 NORTH STREET STAFFORDSHIRE LP MYAN 1100 30804400C 308-044-OOE 297 NORTH STREET STAFFORDSHIRE, LP HYAN 1100 30804400E 308-044-OOG 297 NORTH STREET STAFFORDSHIRE LP HYAN 1100 3080440OG F� 308-044-001 297 NORTH STREET STAFFORDSHIRE LP HYAN 1100 308044001 Lu v�h tlo�-d� U �' • DATE If A�® CERTIFICATE OF LIABILITY INSURANCE 9/5/2017 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsements. PRODUCER CONTACT Stephen Turner Alliant Insurance Services, Inc., NAME:PH .617-535-7200 FAX ONE No,:617-535-7205 131 Oliver Street,4th Floor E-MA Boston MA 02110 IL .sturner alliant.com INSURERS AFFORDING COVERAGE NAIC# INSURERA:Charter Oak Fire Insurance Company 25615 INSURED INSURERB:Travelers Indemnity Company 25658 Rubicon Builders, LLC INSURERC:Starr Indemnity&Liability Company 38318 800 South Main Street INSURERD:Travelers Indemnity Company of CT 25682 Mansfield MA 02048 INSURER E:Nautilus Insurance Company 17370 INSURER F:Great American Assurance Com an 126344 COVERAGES CERTIFICATE NUMBER: 1157781375 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE POLICY EFF POLICY EXP LIMITS LTR INSD WVD POLICY NUMBER MMIDD/YYYY MM/DDIYYYY A X COMMERCIAL GENERAL LIABILITY Y CO7GO48138 1/20/2017 1/20/2018 EACH OCCURRENCE $1,000,000 CLAIMS-MADE X�OCCUR DAMAGPREMISES E TOEa occu RENTED rrence $300,000 X Contractual Liab MED EXP(Any one person) $5,000 X XCU PERSONAL&ADV INJURY $1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $2,000,000 POLICY PRO- JECT LOC PRODUCTS-COMP/OP AGG $2,000,000 OTHER: Deductible $5,000 B AUTOMOBILE LIABILITY Y BA 7GO47800 1/20/2017 1/20/2018 Ea accident $1,000,000 ANY AUTO BODILY INJURY(Per person) $ AUTOS�ED X AUTOSULED BODILY INJURY(Per accident) $ X HIRED AUTOS X NON-OWNED PROPERTY DAMA E $ AUTOS Per accident $ C UMBRELLA LIAR N OCCUR Y 1000023414 1/20/2017 1/20/2018 EACH OCCURRENCE $20,000,000 F X EXCESS LIAB EXC4101697 1/20/2017 1/20/2018 CLAIMS-MADE AGGREGATE $20,000,000 DED I X I RETENTION$0 $ D WORKERS COMPENSATION UB 7GO48673 1/20/2017 1/20/2018 PER OTH- AND EMPLOYERS'LIABILITY Y/N X STATUTE ER ANY PROPRIETOR/PARTNER/EXECUTIVE N/A - E.L.EACH ACCIDENT $1,000,000 OFFICER/MEMBER EXCLUDED? (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $1.000,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $1,000,000 E Contractors Pollution CCP2020739-10 1/20/2017 1/20/2018 Poll Agg/Occ $2,000,000 Professional Liability Prof Agg/Occ $2,000,000 Deductible $25,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space Is required) RE:Job#1071, Cape Cod Healthcare Office Renovation 297 North St Hyannis, MA 02601. Town of Barnstable is included as Additional Insured as required by written contract and executed prior to a loss, but limited to the operations of the Insured under said contract,with respect to the Automobile, General Liability and Umbrella/Excess Liability policies. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Town of Barnstable THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 200 Main Street ACCORDANCE WITH THE POLICY PROVISIONS. Hyannis,MA 02601 AUTHORIZED REPRESENTATIVE g..�4,.,,,a,,;,. ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD ' The Commonwealth of Massachusetts Department oflndustrialAccidents' Office of Investigations J l Congress Street, Suite 100 y Boston,MA 02114-2017 www mass.gov/dia Workers'Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly N31Tle (Business/Organization/Individual): Rubicon Builders, LLC Address:792 South Main St City/State/Zip:Mansfield, MA 02048 Phone#:(508)823-4530 Are you an employer? Check the appropriate box: Type of project(required): 1.❑■ I am a employer with 30 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. X Remodeling ship and have no employees These sub-contractors have g, 0 Demolition working for me in 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 3.❑ I am a homeowner doing all work officers have exercised their I LE] Plumbing repairs or additions myself. [No workers' comp. right of exemption per MGL 12.❑Roof repairs insurance required.] t c. 152, §1(4),and we have no employees. [No workers' 13.❑ Other comp. insurance required.] 'Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. =Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees Below is the policy and job site information. Insurance Company Name:Travelers Indemnity Company of CT Policy#or Self-ins. Lic. #:UB 7GO48673 Expiration Date: 1/20/2018 Job Site Address: 297 North St City/State/Zip:Hyannis, MA 02601 Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under 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 oql�e DIA for insurance coy age verification. I do hereby certi 1�n er th p in / n enalties of perjury that the information provided above is true and correct. Sip-nature: � Date: 9/5/17 Phone#: 5088234530 Official use only. Do not write in this area,to be completed by city or town official. City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: Mass. Corporations, external master page Page 1 of 2 .iAi Sd-. nr � y • sY,t' 1.J1K Corporations Division Business Entity Summary ID Number: 001122481 £Request certificate New search Summary for: RUBICON BUILDERS, LLC The exact name of the Domestic Limited Liability Company (LLC): RUBICON BUILDERS, LLC Entity type: Domestic Limited Liability Company (LLC) Identification Number: 001122481 Date of Organization in Massachusetts: 12-05-2013 Last date certain: The location or address where the records are maintained (A PO box is not a valid location or address): Address: 109 UNDERWOOD STREET City or town, State, Zip code, HOLLISTON, MA 01746 USA Country: The name and address of the Resident Agent: Name: DAMES ]. DIGIORNO Address: 109 UNDERWOOD STREET City or town, State, Zip code, HOLLISTON, MA 01746 USA Country: The name.and business address of each Manager: Title Individual name Address MANAGER DAMES J. DIGIORNO 109 UNDERWOOD STREET HOLLISTON, MA 01746 USA In addition to the manager(s), the name and business address of the person(s) authorized to execute documents to be filed with the Corporations Division: Title _ Individual name _ Address The name and business address of the person(s) authorized to execute, acknowledge, deliver, and record any recordable instrument purporting to affect an interest in real property: Title Individual name Address http://corp.sec.state.ma.us/CorpWeb/CorpSearch/CorpSummary..aspx?FEIN=001122481&... 10/3/2017 Mass. Corporations, external master page Page 2 of 2 REAL PROPERTY DAMES J. DIGIORNO 109 UNDERWOOD STREET HOLLISTON, MA 101746 USA ❑ ❑Confidential ❑Merger Consent Data Allowed Manufacturing View filings for this business entity: ALL FILINGS Annual Report Annual Report - Professional Articles of Entity Conversion Certificate of Amendment v ;•View filings Comments or notes associated with this business entity: New search, http://corp.sec.state.ma.us/CorpWeb/CorpSearcb/CorpSummary.aspx?FEIN=001122481&... 10/3/2017 MA SOC Filing Number: 201738372780 Date: 5/26/2017 1:35:00 PM The Commonwealth of Massachusetts Minimum Fee:$50000 N C William Francis Galvin r k I Secretary of the Commonwealth,Corporations Division One Ashburton Place, 17th floor t Boston, MA 02108-1512 fAl ' Telephone: (617)727-9640 1° Identification Number: 001122481 Annual Report Filing Year: 2016 1.a. Exact name of the limited liability company: RUBICON BUILDERS,LLC 1.b. The exact name of the limited liability company as amended, is: RUBICON BUILDERS,LLC 2a. Location of its principal office: No. and Street: 109 UNDERWOOD STREET City or Town: HOLLISTON .. State:MA - Zip: 01746 Country:USA i 2b. Street address of the office in the Commonwealth at which the records will be maintained: No. and Street: 109 UNDERWOOD STREET City or Town: HOLLISTON State: MA Zip: 01746 Country:USA �5 l 3.The general character of business, and if the limited liability company is organized to render professional y� service,the service to be rendered: BUILDING CONSTRUCTION AND TO ENGAGE IN ANY LAWFUL ACT OR ACTIVITY FOR WHI CH LIMITED LIABILITY COMPANIES MAY BE FORMED UNDER THE ACT. �I 4. The latest date of dissolution, if specified: ii 5. Name and address of the Resident Agent: Name: JAMES J. DIGIORNO No. and Street: 109 UNDERWOOD STREET i City or Town: HOLLISTON State:MA Zip: 01746 Country:USA 6. The name and business address of each manager, if any: Title Individual Name Address (no Po sox) First,Middle,Last,Suffix Address,City or Town,State,Zip Code a. MANAGER JAMES J.DIGIORNO 109 UNDERWOOD STREET HOLLISTON,MA 01746 USA 3 gcg _= 7.The name and business address of the person(s) in addition to the manager(s),authorized to execute documents to be filed with the Corporations Division, and at least one person shall be named if there are no :y li managers. ` Title Individual Name Address (no Po sox) First,Middle,Last,Suffix Address,City or Town,State,Zip Code B. The name and business address of the person(s)authorized to execute, acknowledge, deliver and record jany recordable instrument purporting to affect an interest in real property: Title Individual Name Address (no Po sox) First,Middle,Last,Suffix Address,City or Town,State,Zip Code REAL PROPERTY JAMES J.DIGIORNO 109 UNDERWOOD STREET HOLLISTON,MA 01746 USA ,. g 9. Additional matters: SIGNED UNDER THE PENALTIES OF PERJURY,this 26 Day of May,2017, JAMES J. DIGIORNO,Signature of Authorized Signatory. ) ©2001 -2017 Commonwealth of Massachusetts :. All Rights Reserved MA SOC Filing Number: 201738372780 Date: 5/26/2017 1:35:00 PM THE COMMONWEALTH OF MASSACHUSETTS I hereby certify that, upon examination of this document, duly submitted to me, it appears that the provisions of the General Laws relative to corporations have been complied with, and I hereby approve said articles; and the filing fee having been paid, said articles are deemed to have been filed with me on: May 26, 2017 01:35 PM WILLIAM FRANCIS GALVIN Secretary of the Commonwealth Seled Language. Assessing Division. Property Lookup 2017 367 Main Street,M annis,Ma 02601 Select A Search Street Address Method Map/B1ggh> Street#EnW hdl or partial street ad'dnes& Omar Last Name 297 north Swrdi Street Address Parcel ti Address Owner 3080WOA 297 NORTH STREET STAFFORDSHIRE LP Details ` 3OW4400D 297 NORTH STREET GLADSTONE LP Details 98iaR 30804400E 297 NORTH STREET STAFFORDSHIRE LP Details 30BD4400H 297 NORTH STREET STAFFORDSHIRE LP � Details 1y�p /D c2 30W4400i 297 NORTH STREET STAFFORDSHIRE LP Details Mao (o 6 30W4400M 297 NORTH STREET MANNAL,RICHARD K TR OZ Details ry2 30804400E 297 NORTH STREET STAFFORDSHIRE LP Details 30804400K 297 NORTH STREET STAFFORDSHIRE LP Details mm 3 30804400C 297 NORTH STREET STAFFORDSHIRE LP C3) }stair Mate ,6 c 30804400E 297 NORTH STREET STAFFORDSHIRE LIP t$i itv a� lot 30804400E 297 NORTH STREET STAFFORDSHIRE LP 1 308044001 297 NORTH STREET STAFFORDSHIRE LP 1 �ldR 30804400L 297 NORTH STREET STAFFORDSHIRE LP Details Map 072005 310 NORTH BAY ROAD MARTIN,SHAWN D TR Details ji 072004 340 NORTH BAY ROAD MADDEN,ROBERT E&TERRY L TRS Details 1kR 308011 340 NORTH STREET PERRY,MARY A Details mm 308009 340 NORTH STREET PERRY,BENJAMIN A Qawk tw 308010 340 NORTH STREET FREEFALL LLC Qekk 072003 360 NORTH BAY ROAD CASTLE,CAROL E TR getaits' IdaR 072002 370 NORTH BAY ROAD BURTON,MARK H Details Mao 308M 372 NORTH STREET JOB TRAINING&EMPL CORP Details map 308007 385 NORTH STREET MRK ENTERPRISES LLC ackwa -map 072001 390 NORTH BAY ROAD O'CONNELL,DONN&EILEEN R TRS Dakth -mm f Shea, Sally From: Taylor, Pamela Sent: Monday, October 02, 2017 7:53 AM To: - Shea, Sally Cc: Sumner, Matthew Subject: RE: CCHC Offices 297 North St Hyannis MA Deed/Parcel Revisions for Building Permit Sally, I have not even looked at your attachments but please realize that no changes to parcels can be made by this office until FYI 9. It is too late for FYI 8. I am composing an email for all departments as we are having issues with property owners recording deeds and documents now and wanting us to do it immediately.We cannot reconfigure any properties at this time. This includes any condo issues. We can change ownership and addresses only (if the parcel exists) through December 2017. Thanks; Pamela -----Original Message----- From: Shea, Sally . Sent: Friday, September 29 2017 4:35 PM To: Sumner, Matthew; Taylor, Pamela Cc: Lauzon, Jeffrey .Subject..FW: CCHC Offices.297 North St Hyannis MA - Deed/Parcel Revisions for Building Permit Hi.Matt and Pam, The person below would like to obtain a permit for the entire building above. This was not possible as there is a parcel=i.d. for each unit. He wanted one:permit. This would not work as each unit has its own history and may have a different owner now or in the future. Based:upon the info below it appears as though they are seeking to dissolve the condo and it should now have its own parcel i.d. Town of Barnstable Assistant Zoning Admin/ Lead Permit Tech. 508-862-403:1 . �. --- Original Message----- . From: Brad Higdon [mailto:bhigdongrubiconbuilders.com] Sent: Friday, September 29,2017.2:16 PM To: Shea, Sally Cc: David Thorniley Subject: CCHC Offices 297 North St Hyannis MA - Deed/Parcel Revisions for Building Permit 1. Good afternoon Sally, I was just checking in to see if your system is recognizing that building 3 at 297 N. Street is now just one unit/parcel. The first attachment is what your database was showing for 297 N. Street. The second attachment is the amendment to the deed making building 3 a single unit. Thank you for help on this. 2 - rr I 8k 30795 P o 328 =49629 09-29-2017 a 082.540 AMENDMENT OF MASTER DEED#4 V� THE VILLAGE MARKETPLACE II CONDOMINIUM Reference is made to the Master Deed of THE VILLAGE MARKETPLACE 11 CONDOMIMUM(the Condominium)dated March 16, 1984 and recorded on May 8, 1984 with the Barnstable County Registry of Deeds in Book 4100, Page 224, as completely restated and amended by the instrument entitled: COMPLETLEY RESTATED AND AMENDED MASTER DEED dated July 12, 1984 and recorded with said Deeds in Book 4182, Page 26 and to Exhibits"A" and`B"attached to the Master Deed and recorded with said Deeds in Book 41001 Page 245 and 246 respectively, all as amended by instruments recorded in Book 4368,Page 135, Book 4369, page 51 and in Book 4481, Page 120(collectively, the Master Deed). The undersigned,Jamila A. Bornstein,Trustee of the Lawee Realty Trust under a declaration of trust dated September 13, 1978 and recorded with said Deeds in p Book 3803, Page 184,being the Declarant and sole owner of all units in buildings 2 and 3 of the Condominium hereby amends the Master Deed as follows: A. The description of Buildings 2 and 3 as set forth in paragraph 3 of the Master Deed is hereby amended as follows: "Building 2: This building is a three-story structure of cement block, steel and brick construction, approximately 56.50 feet in width and 140.81 feet in length. The building has a poured concrete foundation which is either full basement or slab, and is shown on the Condominium plans. The building has brick facades and a combination asphalt shingle and slate roof. The entire building consists of Unit 2. Building 3: This building is a three-story structure of cement block, steel and brick construction, approximately 56.88 feet in width and 201.58 feet in length, constructed on a concrete slab foundation, with brick facades and a combination of asphalt shingle and slate roof. The entire building consists of Unit 3." B. The description of Units as set forth in paragraph 4 of the Master Deed is hereby amended as follows: There is added to said paragraph 4 the following: "E. Unit 2,Building 2 consists of building 2 in its entirety including its foundation and Unit 3, Building 3 consists of the building 3 in its entirety including its foundation. F. The Unit designation as shown on the"as-built" floor plans of Building 2 filed with said Deeds in Plan Book 382,Page 83 is hereby amended to show Unit 2 as Y ' encompassing all three floors of the said Building 2; and the Unit designation as shown on the"as built" floor plans of Building 3 filed with said.Deeds in Plan Book 382, Page 84 is hereby amended to show Unit 3 as encompassing all three floors of the said Building 3." - C. The Site and Floor Plans referenced in Paragraph 7 of the Master Deed as to Buildings 2 and 3 are as recorded in said Plan Book 382, Pages 83 and 84 and, as to Building 1 are as recorded in Plan Book 392, Page 11. The Site Plan referenced in said Paragraph 7 is as recorded in Plan Book 382, Page 82. D. Attached hereto are the amended Exhibits A and B to the Master Deed to reflect the amendments set forth herein. F. Save for the within amendments, the Master Deed is hereby ratified'and confirmed in all respects. :Executed as a sealed instrument this day of September, 2017 LAWEE REALTY TRUST BY: JAMILA A. BORNSTEIN, Trustee COMMONWEALTH OF MASSACHUSETTS Barnstable, ss September , 2017 Before me, personally appeared the above named JAMILA A. BORNSTEIN, Trustee as foresaid, personally known to me to be the person who executed the foregoing deed and acknowledged to me that she executed the same as his free act and deed. Notary Public My Comm Exp: Z�OG 17 2 02-3 i The above amendment is hereby assented this day of September, 2017 THE VILLAGE MARKET PLACE II CONDOMINIUM TRUST BY: = JAMILA A. BORNSTEIN, TRUSTEE COMMONWEALTH OF MASSACHUSETTS Barnstable, ss September , 2017 Before me, personally appeared the above named JAMILA A. BORNSTEIN, Trustee as foresaid, personally known to me to be the person who executed the foregoing deed and acknowledged to me that she executed the same as his free act and deed. Notary > ��Ot11 � Public?/31/ `U y Comm Exp: Q Initial Construction Control Document To be submitted with the building permit application by a Registered Design Professional a for work per the 8a'edition of the Massachusetts State Building Code,780 CMR, Section 107 Project Title: Cape Cod Healthcare Office Renovations Date:9-15-2017 Property Address: 297 North Street Project: Check(x)one or both as applicable: New construction X Existing Construction Project description:Office area renovations I Gregory B. Siroonian MA Registration Number: 9748 Expiration date: 8/31/2017 ,am a registered design professional, and l haveprepared or directly supervised the preparation of all design plans,computations and specifications concerning : x Architectural Structural Mechanical Fire Protection Electrical Other: for the above named project and that to the best of my knowledge,information,and belief such plans,computations and specifications meet the applicable provisions of the Massachusetts State Building Code, (780 CMR),and accepted engineering practices for the proposed project. I understand and agree that I(or my designee)shall perform the necessary professional services and be present on the construction site on a regular and periodic basis to: 1. Review,for conformance to this code and the design concept,shop drawings, samples and other submittals by the contractor in accordance with the requirements of the construction documents. 2. Perform the duties for registered design professionals in 780 CMR Chapter 17,as applicable. 3. Be present at intervals appropriate to the stage of construction to become generally familiar with the progress and quality of the work and to determine if the work is being performed in a manner consistent with the approved construction documents and this code. Nothing in this document relieves the contractor of its responsibility regarding the provisions of 780 CMR 107. When required by the building official,I shall submit field/progress reports(see item 3.)together with pertinent comments, in a form acceptable to the building official. Upon completion of the work,I shall submit to the building official a`Final Construction Control Document'. Enter in the space to the right a"wet" or :; j ��� 1 electronic signature and seal: -mot Phone number: 508 759 9828 Email: gbs@MEDCOMarch.com jam:' Building Official Use Only Building Official Name: Permit No.: Date: Note 1.Indicate with an`x'project design plans,computations and specifications that you prepared or directly supervised.If`other'is chosen, provide a description. Version 06 11 2013 r- Initial Construction Control Document u To be submitted with the building permit application by a R Registered Design Professional for work per the 8"'edition of the Massachusetts State Building Code, 780 CMR, Section 107 Project Title: Cape Cod Healthcare Office Renovations Date:9-15-2017 Property Address: 297 North Street Project: Check(x)one or both as applicable: New construction X Existing Construction Project description: Office area renovations I Robert C.Bravo MA Registration Number:46657 Expiration date: 6/30/2018,am a registered design professional, and I have prepared or directly supervised the preparation of all design plans,computations and specifications concerning: Architectural Structural Mechanical Fire Protection X Electrical Other: for the above named project and that to the best of my knowledge, information,and belief such plans,computations and specifications meet the applicable provisions of the Massachusetts State Building Code,(780 CMR),and accepted engineering practices for the proposed project. I understand and agree that I(or my designee)shall perforrn 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 -A0 OF electronic signature and seal: ROBERT C. B EE RIA 466 Phone number: 508.295.0050 Email: rbravo@griffithandvary.com AL Building Official Use Only Building Official Name: Permit No.: Date: Note 1.Indicate with an`x'project design plans,computations and specifications that you prepared or directly supervised.If`other'is chosen, provide a description. Version 06 I 1 2013 I Initial Construction Control Document u To be submitted with the building permit application by a Registered Design Professional for work per the 8th edition of the Massachusetts State Building Code, 780 CMR, Section 107 Project Title: Cape Cod Healthcare Office Renovations Date:9-15-2017 Property Address: 297 North Street Project: Check(x)one or both as applicable: New construction X Existing Construction Project description: Office area renovations I Wayne E.Mattson MA Registration Number:41546 Expiration date: 6/30/2018 ,am a registered design professional, and I have prepared or directly supervised the preparation of all design plans,computations and specifications concerning': Architectural Structural X Mechanical Fire Protection Electrical Other: for the above named project and that to the best of my knowledge,information,and belief such plans,computations and specifications meet the applicable provisions of the Massachusetts State Building Code, (780 CMR),and accepted engineering practices for the proposed project. I understand and agree that I(or my designee)shall perform the necessary professional services and be present on the construction site on a regular and periodic basis to: 1. Review,for conformance to this code and the design concept,shop drawings, samples and other submittals by the contractor in accordance with the requirements of the construction documents. 2. Perform the duties for registered design professionals in 780 CMR Chapter 17,as applicable. 3. Be present at intervals appropriate to the stage of construction to become generally familiar with the progress and quality of the work and to determine if the work is being performed in a manner consistent with the approved construction documents and this code. Nothing in this document relieves the contractor of its responsibility regarding the provisions of 780 CMR 107. When required by the building official, I shall submit field/progress reports(see item 3.)together with pertinent comments, in a form acceptable to the building official. Upon completion of the work,I shall submit to the building official a`Final Construction Control Document'. -1N OF Enter in the space to the right a"wet"or Iby electronic signature and seal: o' WAYNE MATfSON o MECHANICAL U NO.41546 ca Phone number: 508 295 0050 Email: wmattson@griffithandvary.com Y Building Official Use Only Building Official Name: Permit No.: Date: Note 1.Indicate with an`x'project design plans,computations and specifications that you prepared or directly supervised.If`other'is chosen, provide a description. Version 06 11 2013 Initial Construction Control Document To be submitted with the building permit application by a Registered Design Professional for work per the 8'"edition of the Massachusetts State Building Code, 780 CMR, Sectio 107 ®(� Project Title: Cape Cod Healthcare Office Renovations Date: Oct. 27,2017 Property Address: 297 North Street .q Project: Ch`k(x)one or both as applicable: New construction X Existing Construction Project description: Office area renovations I Michael J. Di Meo MA Registration Number: 32201 Expiration date:June 201 ,am a registered professiona fire protection engineerl, and I have prepared or directly supervised the preparation of all design plans, computations and specifications concerning': Architectural Structural Mechanical X Fire Protection Electrical Other: for the above named project and that to the best of my knowledge, information,and belief such plans, computations and specifications meet the applicable provisions of the Massachusetts State Building Code,(780 CMR),and accepted engineering practices for the proposed project. I understand and agree that I(or my designee)shall perform the necessary professional services and be present on the construction site on a regular and periodic basis to: I. 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'. J �-�NOFNja" , 'P''.'<. MICHAEL J DIMEO u�� NO.32201 Mich el J.Di Meo,P.E. Pre protectlsr. Phone number: 401-447-6875 RI Fire Protection,LLC Oqc 9E�iRE�,.r�✓�c;;t' PO BPx 8069 Cranston,RI 20920 — Building Official Use Only Building Official Name: Permit No.: Date: Note 1.Indicate with an`x'project design plans,computations and specifications that you prepared or directly supervised.If`other'is chosen, provide a description. Version 06 11 2013 i �r 3 - oQou _ — awe v'% e , .•..mom f r+N. t t`�3.R,, r v 9' r 4 1 h 4 -- MA. License#SJ 14922 ~ NOV 13 2017 rifireprotectionkyahoo.com TOWN OF BARNSTABLE October 26, 2017 Deputy Chief Dean L Melanson Hyannis Fire Department 95 High School Road Extension Hyannis, MA 02601 Re: Cape Cod Healthcare Office 297 North Road Basis of Design Methodology a The desi is based on theprescriptive methodolo for full compliance with the � methodology P Commonwealth of Massachusetts and the referenced National Fire Safety Codes. The codes and standards referenced in the 780CMR and 527CMR are the International Building Code (IBC) and the National Fire Protection Association (NFPA). These codes were developed through long standing fire research testing and industry experiences. The sprinkler systems design covered under this Narrative will exceed the performance criteria specified in the respective codes with available Public Water supply. This is a Business Office building. This Narrative is limited to the fire sprinkler system. The sprinkler system in the heated areas will be a Wet Pipe System. The Attic area is not heat and will protected with special upright dry sprinkler heads. There are non-combustible spaces between the suspended ceilings and the metal pan concrete floors above. These spaces do not require sprinkler protection. The base Building Occupancy classification is B, Business. r 0 Gd Design Criteria 1. The first, second and third floors will be used exclusively for offices. This is a light hazard occupancy classification. The design discharge criteria is a sprinkler discharge of 0.10 gpm per ft2 over the most remote 1500 ft2 with a 100 gpm allowance for simultaneous Hose Stream use. There are many small offices on these floors. Each area will be protected with quick response 135 OF 1/2 inch orifice sprinklers with a 5.6 k-factor. Each sprinkler will be spaced to provide protection over a maximum 150 ft2 floor area. There is one large open space on the third floor. This area will be protected with extended coverage sprinklers with a quick response rating, a 135 OF 1/2 inch orifice sprinklers and an 8.0 k-factor. Each sprinkler will be spaced to provide protection over a maximum 400 ft2 floor area. These special sprinklers require a 40 gpm flow with a minimum 25 psig end head pressure. They will have a 135 OF rating and 3/4 inch orifice. 2. The 1500 ft2 Basement has 7 ft. ceiling height. It will be as Miscellaneous Storage in accordance with Table 13.2.1 with Ordinary Hazard Group 2 fire hazard classification. The sprinklers will have a standard response rating with a 135 OF rating and 1/2 inch orifice and a 100 ft2 protected area per sprinkler. The Attic will not be heated. It will be protected with a Special Dry Sprinkler Head and supplied be a connection to the sprinkler branchlines on the third floor. These Dry Sprinklers will be quick response 155 OF 1/2 inch orifice sprinklers with a 5.6 k-factor. Each sprinkler will be spaced to provide protection over a maximum 100 ft2 floor area. These Special Dry Upright Sprinklers will eliminate costly future Maintenance cost associated with Dry Pipe Valve Systems and provide more reliable continuous protection. Design Capability Hydraulic Remote Area#1 • The Sprinkler System Demand on the Third Floor requires 161 gpm for the four (4) operating sprinklers with a minimum 67 psig pressure at the base of the Riser. With a simultaneous 100 gpm Hose Stream Allowance, the total demand for Hydraulic Area No 1 is 261 gpm at 67 psig. The Hyannis Water District can meet this demand. Hydraulic Remote Area#2 • The Sprinkler System Demand on the Second Floor requires 187 gpm for the twelve (12) operating sprinklers with a minimum 45 psig pressure at the base of the Riser. With a simultaneous 100 gpm Hose Stream Allowance, the total demand for Hydraulic Area No 2 is 287 gpm at 45 psig. The Hyannis Water District can meet this demand. • The existing Standpipes in each Stairway shall be thoroughly flushed by Rhode Island Fire Protection. These Standpipes are interconnected with 4 inch. Pipe on the first floor. There are 11/2 inch Hose Cabinet's on each floor at each Stairway. A Hydraulic Calculation has confirmed the existing Standpipe System can provide a 500 gpm flow at one Stairway with a simultaneous 250 gpm flow at the other Stairway when a Fire Department Pumper Engine is connected to the Building's Fire Department Connection. This is in accordance with the Commonwealth's Building Code, CMR780, Section 905.2.1. For example, the Standpipe requires 750 gpm Water Flow at 136 psig at the Base of the Sprinkler Riser. The Public Water System can provide 750 gpm at a 68 psig pressure at the top of each Standpipe. The Fire Department Pumper Engine needs to boost this pressure by 68 psig to meet the Hydraulically Calculated Water Demand. The existing Public Water System and with the Hyannis Fire Department Pumper Engine is capable this. The existing Standpipe design is still valid. Sequence of Operation • The Wet Pipe Sprinkler System on each floor has an individual Fire Control Valve Assembly. There is a Water Flow Alarm on each Assembly and a Tamper Switch on the shutoff valve for each Assembly. There is a Water Flow Alarm on the Main Sprinkler Riser and Tamper Switches on all Shutoff Valves on the Main Sprinkler Riser and Backflow Prevention Device. • A single sprinkler head will respond to an abnormal high temperature at the rating for each type sprinkler. When the heat responsive element actuates, the sprinkler will flow and begin to control the fire. A flow from ONLY one (1) sprinkler head will activate the Waterflow Alarm on both the respective Flow Control Zone and on the Building's Main Sprinkler Riser. • A Water Flow contact has been provide for interconnection to the Fire Alarm Control Panel (installed By Others) to cause a Fire Alarm in accordance with the Fire Alarm Control Panel design. • A Tamper Switch contact has been provide for interconnection to the Fire Alarm Control panel (installed By Others) to cause a Valve Closure Alarm in accordance with the Fire .r Alarm Control panel design. Testing &Maintenance Criteria a) A Hydrostatic Test on the Sprinkler System shall be completed in accordance with NFPA 13 at 200 psig for a 2 hour duration upon completion of the installation. b) Rhode Island Fire Protection will provide all equipment for these Tests and verify all equipment is in proper working order for the Tests. c) The Fire Department shall be invited to witness the Fire Sprinkler System Acceptance Test. RI Fire Protection will provide a Contractor Material Test Certificate for the Water Flow Test and Valve Tamper Switches. Method of FUTURE System Testing and Maintenance shall be in accordance with NFPA 25 and it is the responsibility of OTHERS. Supportive Building Information a) The Building has an approximately 8,500 ft2 area per floor. b) This is a three story with a partial, e.g. about 1,500 ft2 basement on the west end. The building height is approximately 30 ft. c) The Building has non-combustible construction: Brick exterior with concrete floors on metal pan with steel framing. d) There is adequate access around the building e) There is open space on three sides for Emergency Fire Department operations. f) A Hydrant Water Flow test was conducted on January 25, 2017 at the corner of North Street and Stevens Street with the Hyannis Water Department. A 72 psig Static Pressure was reduced to a 66 psig Residual Pressure with a 920 gpm flow. g) There are 2 - 2 1/2 inch Hose Connections existing on the Fire Department Pumper Connection. These will be replaced with one 4 inch Storz Connection. h) There is one on-site Fire Hydrant on the west end of the Property. There is a Public Hydrant within 100 ft. to the west of the Fire Department Pumper Connection. i) A new sprinkler Riser with backflow preventer will be installed. j) The Building has a Class I Standpipe in both the east and west enclosed Stairway. Individual Floor Control Valve Assemblies for each floor will be installed on the Standpipe in the west Stairway. k' k) The existing Standpipe are supplied by an existing 4 inch diameter underground Yard Main from the Public Main in North Street. Hydraulic Calculations have confirmed the existing 4 inch Yard Main can provide an adequate Water Flow, i.e. both flow and pressure for the new Sprinkler System modification to the existing Standpipes. There are no plans to replace the existing 4 inch Yard Main with a new 6 inch Yard Main Fire Codes and Standards The Fire Protective Systems will meet the applicable requirements in: • Commonwealth of Massachusetts's Building Code, CMR780 • NFPA 13-2013, Automatic Sprinklers • M.G.L. 148 Responsibility of By Others • 527CMR- Responsibility of By Others • Local Ordinances-Responsibility of By Others • Specialized Codes -N/A • Federal Laws, OSHA, ADA etc -Responsibility of OTHERS There were no interpretations or clarification between the prescriptive design criteria and code requirements necessary for these systems. There were no waivers or variances sought for the Fire Sprinkler Systems covered by this Narrative. a. Fire Alarm System By-Others b. Smoke Control System- By Others c. Other Building Life Safety Features - By Others d. Portable Handheld Fire Extinguishers - By Others e. Alternative Fire Suppression Systems- none f. Carbon Monoxide Detection- By Others OF F.Qqs moo . HREL 9cyG Respect 11 ` '"`''-E0 1 n,4420 ��• yrotactlon � ic Di Meo,P.E. Fire Protection Engineer Shea, Sally From: Deputy Dean Melanson <dmelanson@hyannisfire.org> Sent: Friday, October 06, 2017 1:57 PM To: Barrows, Debi;John Cosmo; Florence, Brian; Kelly Foley; Lauzon,Jeffrey; Parvin, Lindsay; Bill Rex; Shea, Sally Cc: Ward Jaros; David Thorniley, Brad Higdon Subject: 297 North Street Building C Building Permit Hyannis Fire has reviewed safety requirements with the occupant and owner.We are Ok with a building permit being issued. Deputy Chief Dean L. Melanson Hyannis Fire Department 95 High School Road Extension Hyannis MA 02601 Office 508-775-1300 Fax 508-778-6448 dmelanson@hyannisfire.org 1 Town 'of of: table ° .r UlClhrl ,w x , s - 'AN", �. r � -,• - � � <sU�s Er m, la �St ee �,A rove Plans.Must�be Retained on, ob a ._a, .. b. �-n'nra _.., .�ry,«. ...,. A �i, ::s.. .,,,...,. _ �w..,e,.L L.r;..:kr:i.,� �, n. (��X'- � �' ~ i • s .. <.,,.- ; . r _� ifieate•ofiOccu an ► : fired t ch : Id�n :.shad-Not�beMOccU red<,untii.a:Ftnalins action has,be.,. , � r„ '.' J01 Perrrilt;:No B=17=3076 it Applicant Name: WARD J JAROS Approvals Date issued.:'`09/21/2017 _Current Use Structure Permit Building Alteration INTERIOR Work Only- Expiration Date: 03/21/2018 Foundation:. t Commercial Map/Lot 3087044 OOC Zoning District; OM Sheathing: Location: 297 UNIT 3 NORTH STREET,HYANNISContractorName: WARD J 1AROS Framing: 1 k ,. a Owner on Record: STAFFORDSHIRE LP vQ Contractor�Ucense CS-044609 2 Address: . 297 NORTH STREETS Est11Project Cost: $ 181,270.00 Chimney: HYANNIS MA 02601 ' Permit Fee: $ 1,749.56 Description: DEMO INTERIOR(BLDG 3) UNIT 3. FUTURE PERMITTO'k FIT OUT FOR; r.; Insulation: k Fee Paid $ 1,749.56 CAPE COD HEALTHCARE: g Final: Date 9/21/2017 Project Review Req: DEMO INTERIOR(BLDG 3) UNIT 3. FUTUREPERMIT�FOR F1TOUT�� FOR; r - ;� � Plumbing/Gas CAPE COD HEALTHCARE yt k Rough Plumbing: ......... P ,Y x „- F Building Official Final Plumbing: This permit shall be deemed abandoned and invalid unless the work authonze"clib h s permit is commenced within six months after issuance. ,, Rough Gas: _ All work authorized by this.permit shall conform to the approved,applicatJon and the approved construction documentsnfor which th>is permit has been granted. All construction,alterations and changes of use of any building and st uctures shall be incompliance with the local zon g by laws=and codes. Final Gas: This permit shall be displayed in a location clearly visible from access streetor9road�and shall be maintained open for public inspetio for the entire duration of the work until the completion of the same. 'WIT � Electrical i The Certificate of occupancy will not be issued until all,applicable sgnature�by theBuiing and',F�reOffcials are,providedon the permit. Service: Minimum of Five Call Inspections Required for All Construction Work 1.Foundation or Footing £a 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 Workshall not proceed until the Inspector has approved the various stages of,construction _ F1nal s, _ - arsons contractin with.u'nre isiered:`Contcactor do`not:: ave access to:ahe uaran fund as setforth,In MGL c:142A _ g. _g - -h:• men _ . . -, Fire'Depart• g ,. , .. - t : .,.. .. Building plans,are o be available on site F inal. All Permit-Cards are the: ro e p p rty of the APPLICANT-ISSUED RECIPIENT' _ - TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION , Map Parcel du_ogl ,in Lpplication # Health Division IJ . '�Qp_�''� WE; ID e Issued Conservation Division 0 Application F Planning Dept. Permit Fee 4� Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation/ Hyannis Project Street Address 07 d� S*-,9-zA 14,,u,nn>s . MA ®,)b 0 1 P Village a A;s Owner &6�drl sit'ee,, Llty,0 Ver4a-rJ,1P Address Al IV, Ayl 11444„:c XjM 0"01 Telephone 501-'7-75 e 93l to Permit Request berms 'r Ar1b. la J t� -�r -� , but Square feet: 1 st floor: existing/�Ooo proposed 2nd floor: existing��yyy proposed Total new Zoning District Flood Plain Groundwater Overlay 3'd19` //,aW Project Valuation 2'� Construction Type $26" Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family (# units) Age of Existing Structure /q74 Historic House: ❑Yes UMo On Old King's Highway: ❑Yes Oslo Basement Type: Q4611 ❑ Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area (sq.ft) ca�iyqN Number of Baths: Full: existing new Half: existing new Number of Bedrooms: pJA existing —new Total Room Count (not including baths): existing new First Floor Room Count Heat Type and Fuel: VGas ❑ Oil ❑ Electric ❑ Other Central Air: 'Yes ❑ No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑ No Detached garage: ❑ existing ❑ new size_Pool: ❑ existing ❑ new size _ Barn: ❑ existing ❑ new size_ Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes ❑ No If yes, site plan review# Current Use l} ►c - Proposed Use C3Xq APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name R14AS[,©, 13";1dV5 Telephone Number -7'71(, ylg.do6d Address � � S ,�, .,� fit: fi'Z'�, License # Qg oq1 Home Improvement Contractor# Email dt n nA'1c tri_ (j-m_ Worker's Compensation # ALL`CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE ATE � 5'_, 7 FOR OFFICIAL USE ONLY APPLICATION # DATE ISSUED MAP/ PARCEL NO. ADDRESS VILLAGE OWNER DATE OF INSPECTION: FOUNDATION FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL _ FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. f iviassacnusens uepartment Ot VU011C batety Vj Board of Building Regulations and Standards License: CS-044609 Construction Supervisor WARD J JAROS 25 CHARDONNAY LAN .f PLYMOUTH MA 02360 { 1�-/►l Expiration: � Commissioner 10/31/2017 : ii at . o b � w f The Commonwealth ofMassachusetts Department oflndustrial Accidents Ofce oflnvestigations d 1 Congress Street; Suite 100 Boston,MA 02114 2017 5� www.mass gov/dia Workers'Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name (Business/Organization/Individual): Rubicon Builders, LLC. Address:792 South Main St City/State/Zip: Mansfield, MA 02048 Phone#:(508)823-4530 Are you an employer? Check the appropriate box: Type of project(required): L❑■ I am a employer with 30 4. ❑ 1 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. ❑N Remodeling ship and have no employees These sub-contractors have g. ❑Demolition working for me in any capacity. employees and have workers' [No workers' comp. insurance comp. insurance.: 9. ❑Building addition required.] 5. ❑ We are a corporation and its 10.❑Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their 1.1.❑ Plumbing repairs or additions myself. [No workers' comp. right of exemption per MGL 12.0 Roof repairs insurance required.] t c. 152,§1(4),and we have no employees. [No workers' 13.❑Other comp. insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. $Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name:Travelers Indemnity Company of CT Policy#or Self-ins. Lic.#:UB 7GO48673 Expiration Date:1/20/2018 Job Site Address: 297 North St City/State/Zip: H411 4M ANA 04a 1 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 herebycertify�under the pains andpenalties ofperjury that the information provided above is true and correct. Signature: Date: 9'Ab7 Phone#: 5088234530 Official use only. Do not write in this area,to be completed by city or town official City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: f ' Initial Construction Control Document PAX 'fo be submitted with the building permit application by a Registered Design Professional y for work per the 8"'edition of the Massachusetts State Building Code,780 CMR,Section 107 Project Title:Cape Cod Healthcare Office Renovations Date:7-31-2017 Property Address: 297 North Street Project: Check(x)one or both as applicable: New construction X Existing Construction Project description:Office area renovations I Gregory B.Siroonian MA Registration Number:9748 Expiration date:8/31/2017 ,am a registered design professional, and I have prepared or directly supervised the preparation of all design plans,computations and specifications concerningl: x Architectural Structural x Mechanical Fire Protection x Electrical Other: 1 for the above named project and that to the best of my knowledge,information,and belief such plans,computations and specifications meet the applicable provisions of the Massachusetts State Building Code,(780 CMR),and accepted engineering practices for the proposed project. I understand and agree that l(or my designee)shall perform the necessary professional services and be present on the construction site on a regular and periodic basis to: l. Review,for conformance to this code and the design concept,shop drawings,samples and other submittals by the contractor in accordance with the requirements of the construction documents. 2. Perform the duties for registered design professionals in 780 CMR Chapter 17,as applicable. 3. Be present at intervals appropriate to the stage of construction to become generally familiar with the progress and quality of the work and to determine if the work is being performed in a manner consistent with the approved construction documents and this code. Nothing in this document relieves the contractor of its responsibility regarding the provisions of 780 CMR 107. When required by the building official,I shall submit field/progress reports(see item 3.)together with pertinent comments,in a form acceptable to the building official. Upon completion of the work,I shall submit to the building official a`Final Construction Control Document'. Enter in the space to the right a"wet"or •_ electronic signature and seal: 4 Phone number:508 759 9828 Email:gbs@MEDCOMarch.com Building Official Use Only Building Official Name: Permit No.: Date: - Note I.Indicate with an'x'project design plans,computations and specifications that you prepared or directly supervised.If'other'is chosen, - provide a description. Version 06 11 2013 DATE(MWOONYYY) A�® CERTIFICATE OF LIABILITY INSURANCE 11/19/2017 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsements. PRODUCER CONTACT Alliant Insurance Services, Inc., NAM Stephen Turner FAX 131 Oliver Street,4th Floor O . c o•617-535-7205 Boston MA 02110 E-MAIL .stumer@alliant.com INSURERS AFFORDING COVERAGE NAIC# INSURER A:Charter Oak Fire Insurance Company 25615 INSURED INSURER B:Travelers Indemnity Company 25658 Rubicon Builders, LLC INSURER C:Starr Indemnity&Liability Company 38318 792 South Main Street, 1st Floor INSURERD:Travelers Indemnity Company of CT 25682 Mansfield MA 02048 INSURER E:Nautilus Insurance Company 17370 INSURER F:Great American Assurance Com any 126344 COVERAGES CERTIFICATE NUMBER: 1370886271 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE POLICY EFF POLICY EXP LIMBS LTR INSD WVD POLICY NUMBER MM/DD MM/DD A X COMMERCIAL GENERAL LIABILITY Y Y CO 7GO48138 1/20/2017 1/20/2018 EACH OCCURRENCE $1,000,000 CLAIMS-MADE X❑OCCUR DAMAGE TO ENTED PREMISES EaR occurrence $300,000 X Contractual Liab MED EXP Any one person $5,000 X XCU PERSONAL&ADV INJURY $1,000,000 GENT AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $2,000,000 POLICY I X1 JET LOC PRODUCTS-COMP/OP AGG $2,000,000 OTHER: Deductible $5,000 B AUTOMOBILE LIABILITY BA 7GO47800 1/20/2017 1/20/2018 MBINED SIN LE LIMIT $ Ea accident 1,000,000 ANY AUTO BODILY INJURY(Per person) $ AALL UTOS NED AUTOS ESULED UUTTO BODILY INJURY(Per accident) $ X HIRED AUTOS X NON-OWNED PROPERTY DAMAGE AUTOS $ Per accident $ C UMBRELLA LIAB X OCCUR 1000023414 1/20/2017 1/1/2018 EACH OCCURRENCE $20,000,000 F EXC4101697 1/20/2017 1/1/2018 — — X EXCESS LU16 CLAIMS-MADE AGGREGATE $20,000,000 DED I I RETENTION$ $ D WORKERS COMPENSATION y UB 7GO48673 1/20/2017 1/20/2018 X PER OTH- AND EMPLOYERS'LIABILITY STATUTE ER Y/N ANY PROPRIETOR/PARTNERIEXECUTIVE E.L.EACH ACCIDENT $1,000,000 OFFICER/M(Mandatory In ER EXCLUDED? N/A E.L.DISEASE EA EMPLOYE $1,000,000 (Mandatory In NH) It yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $1,000,000 E Contractors Pollution CCP2020739-10 1/20/2017 1/1/2018 Poll Agg/Occ $2,000,000 Professional Liability Prof Agg/Occ $2,000,000 Deductible $25,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,maybe attached H more space Is required) EVIDENCE OF INSURANCE. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Rubicon Builders,LLC THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 792 South Main Street,1st Floor ACCORDANCE WITH THE POLICY PROVISIONS. Mansfield MA 02048 AUTHORIZED REPRESENTATIVEOa J ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD Y 9/6/2017 eDEP-MassDEP's OnlineFiling System MassDEP Home I Contact i Privacy Policy MassDEP's Online Filing System Usemame:RUBICONBUILDERS Nickname:RUBICON BUILDERS My eDEP Formsm My Profilec* Help I Notifications Receipt Forms Signature Payment Receipt Summary/Receipt A print receipt Exit Your submission is complete. Thank you for using DEP's online reporting system. You can select"My eDEP" to see a list of your transactions. DEP Transaction ID: 949882 Date and Time Submitted: 9/6/2017 8:13:02 AM Other Email DEP Transaction ID: 949882 Date and Time Submitted: 9/6/2017 8:13:02 AM Other Email : Form Name: AQ 06 - Construction/Demolition Notification Form Name: AQ 06 - Construction/Demolition Notification Payment Information DEP code: 148224 Date: 9/6/2017 8:12:39 AM Amount ($): 100 Payment Detail: GALLANT JONATHAN --AccountType --AccountNumber ****2560 Confirmation Number: My eDEP MassDEP Home i Contact i Privacy Policy MassDEP's Online Filing System vec.14.1.11.0©2017 MassDEP https://edep.dep.mass.gov/Pages/PdntReceipt.aspx 1/1 Massachusetts Department of Environmental Protection loo2no93 BWP AQ 06 ¢t Notification Prior to Construction or Demolition Asbestos Project# ' F Project Revision r Project Cancellation A.Applicability A Construction or Demolition operation of an industrial,commercial,or institutional building,or residential building with 20 or more units is regulated by the Department of Environmental Protection(MassDEP),Bureau of Waste Prevention,Air Quality Division,under Regulations 310 CMR 7.09.Notification of Construction or Demolition operations is required under 310 CMR 7.09(2)ten(10)working days prior to any work being performed.The following information is required pursuant to 310 CMR 7.09. 1.Is this a fee exempt notification(city,town,district,municipal housing authority,state facility,owner-occupied residential property of four units or less)? r- a.Yes r b.No 2.Blanket Permit Project Approval,if applicable: Approval ID# 3.Non-Traditional Asbestos Abatement Work Practice Approval,if applicable: Approval ID# Instructions: B. Facility Description 1.All sections of this form must be 1.Facility Information: completed in order to CAPE COD HEALTHCARE 297 NORTH STREET comply with the a.Name of facility b.Street Address Department of Environmental BARNSTABLE MA 026010000 5083960214 Protection c.City/Town d.State ;-zip Code f.Telephone notification requirements of 310 MIKE BACHSTEIN EXECUTIVE DIRECTOR OF FACILITIES MANAGEMENT CMR 7.09. g.Facility Contact Person h.Facility Contact Person Title 2.Submit Original 5083960214 MBACHSTEIN@CAPECODHEALTH.ORG Form To:Commonwealth of i.Facility Contact Person Telephone j.Facility Contact Person Email Massachusetts k.Facility Size: P.O.Box 4062 Boston,MA 02211 36,000 3 1.Square Feet 2.Number of Floors MassDEP Use Only 1.Was the facility built prior to 1980? r I.Yes I✓2.No m.Describe the current or prior use of the facility: Date Received OFFICESPACE n.Is the facility a residential facility? r 1.Yes r 2.No o.If yes,how many units? 2.Facility Owner: F Same address as Facility THE BORNSTEIN COMPANIES 297 NORTH STREET a.Facility Owner Name b.Address HYANNIS MA 026010000 5087759316 c.Citylrown d.State ;-zip Code t Telephone 3.Facility On-Site Manager/Owner Representative: r Same contact person as facility r Same address as facility F Same address as owner MIKE BACHSTEIN 297 NORTH STREET a.On-Site Manager/Owner Representative b.Address HYANNIS MA 02601 5083960214 c.Cityfrown d.State ;"zip Code f.Telephone Revised:03/17/2014 Page 1 of 3 Massachusetts Department of Environmental Protection � i BWP AQ 06 00271093 Notification Prior to Construction or Demolition r Project Revision Asbestos Project# r Project Cancellation C. General Project Description 1.This project is: r New Construction r7p Demolition r Renovation 2.Project Dates: 9/19/2017 5/22/2018 a.Project Start Date(MM/DD/YYY`) b.Project End Date(MM/DD/YYYY) 3.General Contractor: RUBICON BUILDERS 792 SOUTH MAIN STREET a.Name b.Address MANSFIELD MA 020480000 5088234530 c.Cityrrown d.State e.Zip Code f.Telephone DAVID THORNILEY 7742265130 g.General Contractors On-site Manager/Foreman h.Telephone 4.Construction or demolition contractor: F Same as General Contractor SKINNER DEMO 155 BODWELL STREET a.Contractor Name b.Address AVON MA 023220000 5085590123 c.City/Town d.State e.Zip Code f.Telephone DAVID SIQNNER 7817186008 g.Construction and Demolition On-site Manager h.Telephone 5.Licensed Construction Supervisor: WARD JAROS CS-044609 a.Supervisor Name b.Construction Supervisor License(CSL)Number 6.Is the entire facility to be demolished? r a.Yes rV b.No 7.Describe the area(s)to be demolished: ALL INTERIOR FINISHES AND MEPS 8.Describe the building(s)or addition(s)to be constructed: NEW INTERIOR FINISHESAND MEPS 9 a. Were the structure(s)surveyed for the presence of Asbestos-Containing ry 1.Yes r 2.No Material(ACM)? b. Who conducted the survey? VERTEX-LUKE KRZYEWSKI A1900665 1.Name of Asbestos Inspector 2.DLS Certification# Revised:03/17/2014 Page 2 of 3 �i Massachusetts Department of Environmental Protection 100271093 BWP AQ 06 � Asbestos Project# Notification Prior to Construction or Demolition l— Project Revision r Project Cancellation C. General Project Description (continued) 10 a.Was asbestos containing material(ACM)found? 171.Yes (`2.No General b.If ACM was found during the survey,please provide the Asbestos 100272122 Statement:If Notification Form(ANF)Project Number. asbestos is found during a Construction 11.For demolition and construction projects,indicate dust suppression techniques to be used: or Demolition a.Seedin b.Wettin operation,all r g g r7o c.Covering d.Paving e.Shrouding responsible parties must comply with 310 r f.Other-Specify: CMR 7.00,7.09,7.15, and Chapter 21 E of the General Laws of 12.Is this an Emergency Demolition Operation? 1—a.Yes r b.No the Commonwealth. This would include, but would not be c.Name of MassDEP Official who evaluated the emergency limited to,filing an asbestos removal d.Title notification with the Department and/or a notice of e.Date of Authorization(MM/DD/YYYY) f.MassDEP Waiver Number release/threat of release of a D. Certification hazardous substance to the Department,if "I certify that I have personally BRAD HIGDON applicable. examined the foregoing and am 1.Print Name familiar with the information BRAD HIGDON contained in this document and 2.Authorized Signature all attachments and that,based on my inquiry of those PROJECT MANAGER individuals immediately 3.Position/Ttie responsible for obtaining the RUBICON BUILDERS information,I believe that the 4.Representing information is true,accurate,and 9/6/2017 complete.I am aware that there 5.Date(MM/DD/YYYY) are significant penalties for submitting false information, including possible fines and 6.P.E# imprisonment.The undersigned hereby states,under the penalties of perjury,that I am aware that this permit application or notification shall not be deemed valid unless payment of the applicable fee is made." Revised:03/17/2014 Page 3 of 3 CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DDIYYYY) 9/5/2017 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER COAME cT Stephen Turner Alliant Insurance Services, Inc., PHONE 617-535-7200 FAQ No),617-535-7205 131 Oliver Street,4th Floor E-MAIL Boston MA 02110 stumer@alliant.com INSURERS AFFORDING COVERAGE NAIC# INSURER A:Charter Oak Fire Insurance Company 25615 INSURED iusuRERB:Travelers Indemnity Company 25658 Rubicon Builders, LLC INSURERC:Starr Indemnity&Liability Company 38318 800 South Main Street INSURERD:Travelers Indemnity Company of CT 25682 Mansfield MA 02048 INSURER E:Nautilus Insurance Company 17370 INSURER F:Great American Assurance Company 26344 COVERAGES CERTIFICATE NUMBER: 1157781375 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, .EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCEADDLISUBR POLICY EFF POLICY EXP LTR INSD WVD POLICY NUMBER MM/DD MMIDD LIMBS A X COMMERCIAL GENERAL LIABILITY Y CO 7GO48138 1/20/2017 1/20/2018 EACH OCCURRENCE $1,000,000 DAMAGE TO RENTED CLAIMS-MADE X❑OCCUR PREMISES Ea occurrence $300,000 X Contractual Liab MED EXP(Any one person) $5,000 X XCU PERSONAL&ADV INJURY $1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $2,000,000 POLICY JECTT LOC PRODUCTS-COMP/OP AGG $2,000,000 OTHER: Deductible $5,000 B AUTOMOBILE LIABILITY Y BA 7G047800 1/20/2017 1/20/2018 Ea acciden UUMETNEMSI ELIMIT $1,000,000 ANY AUTO BODILY INJURY(Per person) $ ALL OWNED X SCHEDULED BODILY INJURY(Per accident) $ PROPERTY X HIRED AUTOS X AUTOS NON-OWNED (Per acclden DAMAGE $ AUTOS C UMBRELLA UAB X OCCUR Y 1000023414 1/20/2017 1/20/2018 EACH OCCURRENCE $20,000,000 F EXC4101697 1/20/2017 1/20/2018 X EXCESS LIAB CLAIMS-MADE AGGREGATE $20,000,000 DED X RETENTION$0 $ D WORKERS COMPENSATION UB 7GO48673 1/20/2017 1/20/2018 X P STATUTE E ORH- AND EMPLOYERS'LIABILITY ER YIN ANY PROPRIETOR/PARTNER/EXECUTIVE - E.L.EACH ACCIDENT $1,000,000 OFFICER/MEMBER EXCLUDED? N I A (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE $1,000,000 If yes,describe under E.L.DISEASE-POLICY LIMIT $1,000,000 DESCRIPTION OF OPERATIONS below E Contractors Pollution CCP2020739-10 1/20/2017 1/20/2018 Poll Agg/Occ $2,000,000 Professional Liability Prof Agg/Occ $2,000,000 Deductible $25,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space is required) RE:Job#1071,Cape Cod Healthcare Office Renovation 297 North St Hyannis,MA 02601. Town of Barnstable is included as Additional Insured as required by written contract and executed prior to a loss,but limited to the operations of the Insured under said contract,with respect to the Automobile,General Liability and Umbrella/Excess Liability policies. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Town of Barnstable THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 200 Main Street ACCORDANCE WITH THE POLICY PROVISIONS. Hyannis,MA 02601 AUTTHOORMED REPRESENTATIVE ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014101) The ACORD name and logo are registered marks of ACORD Mass. Corporations, external master page Page 1 of 2 d4y. 1 Ct p` :J Corporations Division Business Entity Summary ID Number: L95487216 Request certificate ILNew search Summary for: STAFFORDSHIRE LIMITED PARTNERSHIP The exact name of the Domestic Limited.Partnership (LP): STAFFORDSHIRE LIMITED PARTNERSHIP Entity,type: Domestic Limited Partnership (LP) Identification Number: L95487216 Old ID Number: Date of Organization in Massachusetts: 01-04-1995 Last date certain: 12-31-2050 The location or address where the records are maintained (A PO box is not a valid location or address): Address: City or town, State, Zip code, Country: The name and address of the Resident Agent: Name: AARON B. BORNSTEIN Address: 297 NORTH STREET City or town, State, Zip code, HYANNIS, MA 02601 USA Country: The name and business address of.each General Partner: Title Individual name Address GENERAL STAFFORDSHIRE 297 NORTH STREET HYANNIS, MA 02601 USA PARTNER CORPORATION ❑ ❑Confidential ❑Merger ❑ Consent Data Allowed Manufacturing View filings for this business entity: ALL FILINGS Amendments to Limited Partnership Certificate ` Annual Report Articles of Entity Conversion Certificate of Cancellation http://corp.sec.state.ma.us/CorpWeb/CorpSearch/CorpSummary.aspx?FEIN=L95487216&S... 9/6/2017 Mass. Corporations, external master page Page 2 of 2 View filings Comments or notes associated with this business entity: ti FNew search http://corp.sec.state.ma.us/CbrpWeb/CorpSearch/CorpSummary.aspx?FEIN=L95487216&S... 9/6/2017 3 �t sill ...... - MIN 01, _ lit -- TONS KNOW is top hnh—� c IV— Oil amon "was STORE- : f TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION C. Map Parcell(" m��V � pp �/ A lication r _ '© Health Division Date Issued Conservation Division �4� G0�� Application Fee � Planning Dept. 4c, �,� Permit Fee Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation / Hyannis Project Street Address c�9, 7 Norith 66 i3 a i l d wlq Village Owner�o f'clal .�- , 'n In� Address Telephone ffl �®'7,zz•1-165)00 Permit Request [Le_� -r c IY7-1C_A Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation 000—D Construction Type o-j Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family (# units) Age of Existing Structure, Historic House: ❑Yes ❑ No On Old King's Highway: ❑Yes ❑ No Basement Type: ❑ Full ❑ Crawl ❑Walkout ❑ Other Basement Finished Area (sq.ft.) Basement Unfinished Area (sq.ft) Number of Baths: Full: existing new Half: existing new Number of Bedrooms: existing _new Total Room Count (not including baths): existing new First Floor Room Count Heat Type and Fuel: ❑ Gas ❑Oil ❑ Electric ❑ Other Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑ No Detached garage: ❑existing ❑ new size_Pool: ❑ existing ❑ new size _ Barn: ❑ existing ❑ new size_ Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: Zoning Board of eals Authorization ❑ Appeal # Recorded ❑ CommercialYes' ❑ No If yes, site plan review# Current Use 11'e- lest" I Proposed Use - APPLICANT INFORMATION (BUILDER OR HOMEOWNER) � Telephone Number J-62- �� ' 6,3 l Name le 91 1 Address 39 Sc, kn 7"�11 � �' -M License# !�� �c Home Improvement Contractor# Email 17, Worker's Compensation # 7,� ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATU DATE i FOR OFFICIAL USE ONLY APPLICATION # ,DATE ISSUED MAP/ PARCEL NO. ADDRESS VILLAGE OWNER DATE OF INSPECTION: FOUNDATION FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT r ASSOCIATION PLAN NO. 44 CA VA t7i Or 9 q 0 qb P ; P PO Fh H o ❑ a ❑ ❑ ❑ ❑ a •4 w CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDD/YYYY) TIFICATE 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. c o IMPORTANT:if the certificate holder is an ADDITIONAL INSURED,the policy(ies)must be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require and endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endonteme s. PRODUCER CONTACT NAME: HUB INTERNATIONAL NEW PHONE FAX 265 ORLEANS ROAD INC.No,Etct): (A(C,No):' E-MAIL NORTH CHATHAM,MA 02650 ADDRESS: 24P4N INSURER(S)AFFORDING COVERAGE NAIL INSURED INSURER A: TRAVELERS PROPERTY CASUALTY COMPANY OF AMERICA HITCHCOCK,THEODORE DBA T L HITCHCOCK INSURER B: CONSTRUCTION INSURER C: INSURER D: 30 SCORTAN HILL ROAD INSURER E WEST BARNSTABLE,MA 02668 INSURER F: COVERAGES CER11RCATE NUMBER: REVISION NUMBER: THIS 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 W SUBJECT TO ALL THE TERMS,EXCLUSIONS AND CONDITIONS OF SUCH POUCIES. UMRS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR ADD SUB POLICY EFF DATE POLICY EXP DATE LTR TYPE OF INSURANCE L R POLICY NUMBER (MMIDD►YYYY) (MMIDDIYYYY) LIMITS GENERAL LIABILITY CH OCCURRENCE $ COMMERCIAL GENERAL LIABILITY AMAGE TO RENTED $occurrence)CLAIMS MADE OCCUR. REMISES(Ea occurrence) EXP(Arty one person) $ GEN'L AGGREGATE LIMIT APPLIES PER: SONAL&ADV INJURY $ ENERAL AGGREGATE $ POLICY PROJECT❑LOC RODUCTS-COMP/OP AGG $ AUTOMOBILE LIABILITY COMBINED SINGLE $ ANY AUTO LIMIT(Ea accident) ALL OWNED AUTOS BODILY INJURY $ SCHEDULE AUTOS (Per person) HIRED AUTOS BODILY INJURY $ NON-OWNED AUTOS (Per accident) PROPERTY DAMAGE $ (Per accident) r - UMBRELLA LIAR OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DEDUCTIBLE $ RETENTION $ $ A WORKER'S COMPENSATION AND WC STATUTORY OTHER EMPLOYER'S LIABILITY YIN US-2E101644-17 03126/2017 03/26/2018 X LIMITS ANY PROPERITORIPARTNEWEXECUTIVE OFFICERIMEMBER D(CWDEDT WA E.L:EACH ACCIDENT $ 1,000,000 (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE $ 1,000,0()0 It yes, I under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 1,000,000 DON DESCRIPTION OF OPERATIONSILOCATTONSIVEHICLESIRESTRICTIONS/SPECIAL ITEMS THIS REPLACES ANY PRIOR CERTIFICATE ISSUED TO THE CERTIFICATE HOLDERAFFECTING WORKERS COMP COVERAGE. THE WORKERS'COMPENSATION POLICY DOES NOT PROVIDE COVERAGE FOR HrrcHCOCK,THEODORE. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. - AUIHORQED REPRESENT ACORD 25(2010105) The ACORD name and logo are registered marks of ACORD 1988-2010 ACORD CORPORATION. All rights reserved. • ..,r........^.": ""•""" "`1 Jrre tgorirrrrorarnearlu o`(.mz jjaclwjeti,- - i, Board of Byilding Regulations and Standards \ Office of Consumer Affairs&Business Regulation License: CSSL-099828 - HOME IMPROVEMENT CONTRACTOR construction Supervisor Specialty n s Registration 165907 Type: Expiration 416- Private Corporation TED L HITCHCOCK TL HITCHCOCK CONS IVOCT-tONZERVICE INC. 65 LISA LANE WEST BARNSTABLE MA 02668 THEODORE HITCHCO-GK=c-:: 55 LISA LANEa=t•* nn ,, - WEST BARSTABLE,MA`02668 Undersecretary (� l� Expiration: j Commissioner 06/0112018 �i License or registration valid for individual use only before the expiration date. If found return to: Office of Consumer Affairs and Business Regulation 10 Park Plaza-Suite 5170 Boston,MA 0211 t ��� Not valid without signature , 1 WE ToWn of Barnstable Regulatory Services Richard V.Scan,Director. Building Division. Paul Roma,Bailding Commissioner 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.ns Office: 508-862-4038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder L 9. f �1i1•r,� ��, ,as Owner of the subject prop hereby authorize_I ir.VZ•GDG to act on.my behalf; in all matters relative to work authorized by this building permit application for S f 3 0 t I d .3 Nt C tl)V) I (Address of Job) **Pool fences and alarms are the responsibility of the applicant Pools are not to be filled or utilized before fence is installed and all final inspections are performed and accepted. x Signature of Owner Signature of Applicant � a Print Name Print Name Date QFORMS:OWNERPERMISSIONPOOIS Town of Barnstable All Regulatory Services �rtW Richard V.Scali,Director Building Division BARNMI= : Paul Roma,Building Commissioner esy �m 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-8624038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION Please Print DATE: JOB LOCATION: number street village "HOMEOWNER": name home phone# work phone# CURRENT MAILING ADDRESS: city/town state zip code The current exemption for"homeowners"was extended to include owner-occupied dwellings of six units or less.and to allow homeowners to engage an individual for hire who does not possess a license,provided that the owner acts as suervisor. . DEFINITION OF HOMEOWNER Person(s)who owns a parcel of land on which he/she resides or intends to reside,on which there is,or is intended to be,a one or two- family dwelling,attached or detached structures accessory to such use and/or farm structures. A person who constructs more than one home in a two-year period shall not be considered a homeowner. Such"homeowner"shall submit to the Building Official on a form acceptable to the Building Official,that he/she shall be responsible for all such work performed under the building permit. (Section 109.1.1) The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other applicable codes, bylaws,rules and regulations. The undersigned"homeowner"certifies that he/she understands the Town of Barnstable Building Department minimum inspection procedures and requirements and that he/she will comply with said procedures and requirements. ry Signature of Homeowner Approval of Building Official Note: Three-family dwellings containing.35,000 cubic feet or larger will be required to comply with the State Building Code Section 127.0 Construction Control, HOMEOWNER'S EXEMPTION The Code states that: "Any homeowner performing work for which a building permit is required shall be exempt from the provisions of this section(Section 109.1.1-Licensing of construction Supervisors);provided that if the homeowner engages a person(s)for hire to do such work,that such Homeowner shall act as supervisor." Many homeowners who use this exemption are unaware that they are assuming the responsibilities of a supervisor (see Appendix Q,Rules&Regulations for Licensing Construction Supervisors,Section 2.15) This lack of awareness often results in serious problems,particularly when the homeowner hires unlicensed persons. In this case,our Board cannot proceed against the unlicensed personas it would with a licensed Supervisor. The homeowner acting as Supervisor is ultimately responsible. To ensure that the homeowner is fully aware of his/her responsibilities,many communities require,as part of the permit application,that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the last page this issue is a form currently used by several towns. You may care to amend and adopt such a form/certification for use in your community. 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FEB. .16, 2018 Y Tti pq REMOVE EXISTING STOREFRONT DOOR.-1 �REMOVE EXISTING STOREFRONT DOOR. �REMOVE EXISTING STOREFRONT DOOR. �REMOVE EXISTING STOREFRONT DOOR. �REMOVE EXISTING STOREFRONT DOOR. r\\ / ' / OMEDCOM ARCHITECTURAL GROUP MEDICAL®COMMERCIAL ARCHITECTURE REMOVE ALL DRYWALL - I -- REMOVE ALL DRYWALL 118 Waterhouse Road Bourne,MA 02532 &INSULATION ALONG SAWCUT FLOOR FOR NEW TRENCH.—J STOR & INSULATION ALONG R.O.Bar t57 Monument Beach,MA 02553 PERIMETER WALLS VERIFY UNIT OF EXISTING I I C I \ PERIMETER WALLS SANITARY UNE IN THE FIELD I L_---_ ----__�__ 1508759-9 828 r----- ----- -- ] f:I508)759-9802 II II I I REMOVE DOOR&FRAME II II - WWW.MEDCOMARCH.COM REMOVE EXISTING II.—REMOVE ALL INTERIOR PARTITIONS, II I I ELEV. � III—REMOVE ALL INTERIOR PARTITIONS. II REMOVE EXISTING Fr HANDRAILS IN II CEIUNGS.LIGHT FIXTURES, FLOOR II I I MACH.RM II CEIUNGS.LIGHT FIXTURES.FLOOR II HANDRAILS IN PROJECT CONTACT:GREGORY SIROONIAN STAIRWELL.INSTALL NEW _ II FINISHES IN THIS AREA II I I / II FINISHES IN THIS AREA. —II' STAIRWELL. INSTALL NEW HANDRAILS FOR CODE II II I REMOVE DOORS. II I HANDRAILS FOR CODE COMPLIANCE BY OTHERS II II I I - EXISTING FRAME TO REMAIN. II II UP COMPLIANCE BY OTHERS DN DN PROJECT STAIR A I I STAIR B � IIa � CAPE COD HEALTHCARE. II OFFICE BUILDING RENOVATION fit\ O O - V - o REMOVE ALL PLUMBING FIXTURES O II `REMOVE ALL PLUMBING FIXTURES REMOVE PORTION OF WALL FOR AND SINKS. REMOVE ALL II 297 North Street AND SINKS:REMOVE ALL - II NEW ENTRANCE. PLUMBING ONES AND VENTS. CAP REMOVE EXISTING WALLI Hyannis,MA.02601 REMOVE EXISTING WALL PLUMBING UNES AND VENTS.CAP ALL DRAINS 4•BELOW SLAB. - 'I SEE DRAWING A1.O.FOR EXTENT ALL DRAINS 4•BELOW SLAB. II 0 0 /��III /'I COPYPoCHT. ARE REMOVE PORTION OF WALL FOR J/ - - TIE NEW ENTRANCE. 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DRAWING NUMBER D1 . 0 REMOVE EXISTING O M E D CO M ARCHITECTURAL GROUP PORTION'OF WALL--____ REMOVE ALL DRYWALL FOR NEW BATHROOM — INSULATION ALONG PERIMETER EXPANSION j ��REMOVE ALL CEILING MEDICAL®COMMERCIAL ARCHITECTURE. � INSULATION THROUGHOUT REMOVE EXISTING DRYWALL, 118 Waterhouse Road Bourne,MA 02532 II II FINISHES.CEILING,UCX1S,dt REMOVE EXISTING TOILET II II P.O.Sox 157 Monument Beath,MA 02553 NEDIFFUSERS IN RESTROOMS PARTITIONS AND ACCESSORIES ll II II II C(508)759-9828 REMOVE'EXISTINC REMOVE ALL INTERIOR PARTITIONS. REMOVE ALL INTERIOR PARTITIONS. 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LIGHT FIXTURES, FLOOR II CEILINGS.LIGHTFIXTURES.FLOOR /j// // II FINISHES IN THIS AREA II %//�i/// II FINISHES IN THIS ARE0. — a II II II REMOVE ALL DRYWALL g II II T.�wceoNw aTTwe II If INSULATION ALONG ll II o PERIMETER WALLS oaur 2DIEMQ D FLOOR D1.1 SCALE:1/8 •- 1'-p'. REMOVE EXISTING WINDOW AND - REMOVE EXISTING WINDOW AND - - - REMOVE EXISTING WINDOW AND BUILT OUT SILL SEE AIA FOR BUILT OUT SILL SEE A1.1 FOR - BUILT OUT SILL. SEE A1.1 FOR NEW WORK. NEW WORK. NEW WORK. REMOVE ALL DRYWALL& - `wNO.. 1 REMOVE EXISTING INSULATION ALONG PERIMETER e PORTION OF WALL WALLS ' - FOR NEW BATHROOM O: II II - EXPANSION - II�REMOVE ALL INTERIOR PARTITIONS, II \\\\_---_ III—REMOVE ALL INTERIOR PARTITIONS, II REMOVE EXISTING DRYWALL. REMOVE EXISTING TOILET II II II CEILINGS. LIGHT Fl%TURFS,FLOOR II CEIUNGS, LIGHT FlXNRES. FLOOR II FINISHES IN THIS AREA II FINISHES. CEILING. LIGHTS,k PARTITIONS AND ACCESSORIES I. FINISHES IN THIS AREA I REMOVE EXISTING- II. - II DIFFUSERS IN RESTROOMS REMOVE EXISTING TOILET FIXTURES II II REMOVE EXISTING HANDRAILS IN TfFII II II II HANDRAILS IN STAIRWELL. INSTALL NEW ON UP MENS UP ON STAIRWELL INSTALL NEW HANDRAILS FOR CODE - REr_n REMOVE.000NTERS,SINKS,h srAlRe COMPLIANCE BY OTHERS sTaRA 0 NS HANDRAILS FOR CODE � STROOM FAUCETS COMPLIANCE BY OTHERS E\ Ems\ 11 gi Ems\ [� ----------------a---- ----.-----¢---------- 1 REMOVE EX NG ---ar=---------------- ----- --------¢---------------- ISTI DOORS AS SHOWN. TEUDATA �JAN.CLO ——— EXISTING FRAMES O 0 REMOVE EXISTING JANITORS REWUN - CLOSET' iF=====---- ---------- -- ---- ---- ---- -----� f-------- -- ----------- DRAWING NTLE II L/ II \—REMOVE S&ALL CORRIDOR - I L/ II DEMO WALII II III—REMOVE ALL INTERIOR PARTITIONS, II SECOND& II REMOVE ALL'INTERIOR PARTITIONS, II II CEIUNGS, LIGHT FIXTURES, FLOORCEILINGS. FIXTU . II II FINISHES IN LIGHT THISAREA FL00 +II I FINISHES IN THIS AREA III _ THIRD FLOOR PLAN II II II II . [REMOVE ALL DRYWALL do INSULATION ALONG REVISIONS: PERIMETER WALLS . NO DATE DESCRIPTION 16— R;--xo 0--1 jS LREMOVE EXISTING WINDOW AND .REMOVE EXISTING WINDOW AND REMOVE EXISTING WINDOW AND BUILT OUT SILL. SEE All FOR - BUILT OUT SILL SEE AIA FOR BUILT OUT SILL. SEE All FOR NEW WORK. NEW WORK. NEW WORK. DEMO NOTES t - S CO 00 D1. SCALE:1/8•- V-0• 1.REMOVE WALLS TO EXTENTS AS SHOWN. PATCH, REPAIR,AND REPLACE AS NECESSARY TO REBUILD WALLS AS SHOWN ON A1.0. PRDECT NO. 2.FIELD VERIFY ALL DEMOLITION DIMENSIONS. DEMO LEGEND J.REMOVE EXISTING DOORS. INSTALL NEW DOORS AS SHOWN ON A1.0 AND IN SCHEDULE ON A??? DATE OF ISSUE 07-31-17 4.REMOVE EXISTING CEILINGS AND ALL CEILING FIXTURES IN AFFECTED AREAS. DRAWN BY: CHECKED BY: C====7 EXIST.WALL CONSTRUCTION TO BE REMOVED, SEE SHEET A???FOR NEW CEILING WORK AND LAYOUT. MRH GBS SEE PLANS FOR LOCATIONS. 5.SAWCUT EXISTING FLOOR SLAB AS SHOWN AND REQUIRED TO INSTALL NEW PLUMBING FIXTURES DRAWING NUMBER O EXISTING WALL CONSTRUCTION TO REMAIN LOCATED ON SHEET A1.0 AND PLUMBING DINGS.SEE ENLARGED FLOOR PLANS AS REQUIRED. S.DEMO EXISTING FLOORING IN ALL ROOMS WITHIN AREA OF WORK. 7.REMOVE R RELOCATE EXISTING ELECTRICAL SWITCHES,OUTLETS AND TEL/DATA OUTLETS AS Dl . SHOWN IN A??V 1 Hyn E {� e{ NOTES lem. Sch. 's 1. DATUM IS NAVD88 2. THIS PLAN IS FOR PROPOSED WORK ONLY AND NOT TO tn St. BE USED FOR LOT LINE STAKING OR ANY OTHER PURPOSE. o Moir, 3. CONTRACTOR SHALL BE RESPONSIBLE FOR CALLING St, o us a� DIGSAFE (811) AND VERIFYING THE LOCATION OF ALL o UNDERGROUND & OVERHEAD UTILITIES PRIOR TO o COMMENCEMENT OF WORK. 4. EXISTING UTILITY LOCATIONS ARE APPROXIMATE. _ o Oak Gosnold �t Lewis Bay LOCUS MAP SCALE 1"=2000't ♦ \ ----•-''"�...---'''� '".►!'--�`�� � ASSESSORS MAP 308 PARCEL 44 \ LOCUS IS WITHIN FEMA FLOOD ZONE X (AREA OF MINIMAL FLOOD HAZARD) AS SHOWN ON COMMUNITY PANEL #25001CO568J S O MAP 308 DATED 7/16/2014 BUILDING 2 56� 55 OWNER OF RECORD T 297 NORTH STREET BUILDING 1 \ HYANNIS, MA 02601 f REFERENCES .$So o LCP 8094 C \ CERT 137680 DOC 119775 DOC 968653 T DOC 837025 MAP 308 000 s, ZONING SUMMARY 44 O D ZONING DISTRICT: HYANNIS VILLAGE BUSINESS DISTRICT 297 ° MIN. LOT SIZE 5,000 S.F. o�rE MIN. LOT FRONTAGE 10' MIN. FRONT SETBACK 4' MIN. SIDE SETBACK - __a_ MIN. REAR SETBACK MAX. BUILDING HEIGHT 42' MAX. LOT COVERAGE 100% T, \ -_FAR.. (MHEED USE ONLY) 3_ _ 8.0' 11.0' � SITE IS LOCATED WITHIN THE AQUIFER PROTEC11ON OVERLAY DISTRICT RE-STRIP BUILDING 3 SPACES AS SHOWN T o ■ PARKING CALCULATIONS: EXISTING 115 PARKING SPACES JRo5 HANDICAP SPACES REQUIRED o f 5 HANDICAP SPACES PROVIDED, INCLUDING ONE VAN 06 VIA ACCESSIBLE SPACE. S O OMPACTOR \ ■ "�' E� T OLLARD (TYP) 0 , . SITE PLAN OF so MAP 308 54 17 #297 NORTH STREET MAP 308 HYANNIS MA # � PREPARED FOR ,*SO PREPARED / CAPE COD HOSPITAL /\ DATE: J U N E 18, 2018 Scale: 1 ; 20 0 10 20 30 40 50 FEET off 508 362-4541 fax 508-362-9880 .I I downcape.com we colt engineerin inc. OF M'q9 DANIEL u civil en /.� A engineers la O.;r.i_A land surveyors © No 40980 939 Main Street ( Rte 6A) �0"EssE o o� I,.--�y YARMOUTHPORT MA 02675 DATE DANIEL A. OJALA, P.E., P.L.S. DCE 17-36Q