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HomeMy WebLinkAbout2239 IYANNOUGH RD/RTE 132 (17) 0 UPC 12543 No. 53LOR_ cufi°S�a HASTINGS. MN TOWN OF BARNSTABLE BUILDING PERMIT.APPLICATION Bo-JK Map Parcel'- 618 Application # ci Health Division Date Issued S�. d Conservation Division , PP A licatioh Fe Planning'Dept: ;'Permit Fee Date Definitive:Plan Approved by Planning Board - Historic - OKH Preservation/Hyannis ; gnho� Q Project Street Address � 132 223 � � ��• U�1) Village WeJ ;&n57 q We Owner �oU►v, of �arns���.�e Address t� /l/lain S , . �►,„�'s /'IM 07061 Telephone �— Permit Request ���o�� o r: bect)"c4f o 6v;f),'r S rt r S d fA a ArCAS in 6 it^in � LA Square feet: 1 st floor: existing proposed A150 :2nd floor: existin'g4 proposed ZL►LD Tota new D ` ' o Zoning District, F Flood Plain IJ� Groundwater Overlay A/6 Project Valuation DU Construction Type �3 Lot Size ' 4. 0°0) gWCS Grandfathered: ❑Yes )(No If yes, attach supporting documentation. Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family(# units) "[ Age of Existing Structure Historic House: ❑Yes �d No On Old King's Highway:,VYes ❑ No Basement Type: 0 Full ❑ Crawl Walkout ❑ Other Basement Finished Area (sq.ft.) � 13 D P ' Basement Unfinished Area (sq.ft) Number of Baths: Full: existing ® new 'l Half: existing 0 new Number of Bedrooms: 0 existing 9 new Total Room Count (not including baths): existing d new J First Floor Room Count 8 Heat Type and Fuel: *.Gas ❑ Oil ❑ Electric ❑ Other Central Air: ❑Yes )d 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 # 2 *-6'12 Recorded Commercial ❑Yes ❑ No If yes, site plan review# Current Use Cxi,S mj S ►vc vte Proposed Use S�or49 e Eor evil,Lr APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name rrw- VALLC Gf-d"r Telephone Number S .Nc6 -N 0 Address . t4Lr-vvffl VIT0 3 License#— GS — 61 Z 6 g 0 �L fALN01 , M+ 02lq3(D Home Improvement Contractor# Worker's Compensation # WC a 41— 6-31 ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO 0%T-A9 oc SIGNATURE DATE S k FOR OFFICIAL USE ONLY .APPLICATION# DATE ISSUED MAP/PARCEL NO. i AGE ADDRESS VILLAGE r - - OWNER DATE OF INSPECTION: y .,FOUNDATION !Y FRAME 'w :`.INSULATION -FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: r. ROUGH FINAL { FINAL BUILDING r, '? DATE CLOSED OUT ASSOCIATION PLAN NO. r r The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations' 600 Washington Street Boston, MA 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name(Business/Organization/Individual): ►(IIf V,4L LC (go v P Address: City/State/Zip: Phone.#: Ay re an employer? Check the appropriate box: Type of project(required): 1. I am a employer with 4. I am a general contractor and I mployees(full and/or part-tim.e).* have hired the sub-contractors 6. El 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 [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 I.[]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. ZContractors 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: a1J 1 ' Policy#or Self-ins.Lic.#: Expiration Date:A Job Site Address: City/State/Zip: Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under.Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year.imprisonment, as well as civil penalties in the form of a STOP WORK ORDER and a fine. of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certi fy un r the p in nd it hies of perjury that the information provided above is true and correct. `� Date: [5-.0 Signature: ' Phone#: 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#: r Information and. Instrructions Massachusetts General Laws chapter 152 requires all employers to provide workers' compensation'for their.employees. Pursuant to this statute,an employee is defined as "...every person in the service of another under any contract of hire, express or implied,oral or written." An employer is defined as"an individual,partnership,association, corporation or other legal entity,or any two or more of the foregoing engaged in a joint enterprise, and including the legal representatives of a deceased employer, or the receiver or trustee of an individual,partnership, association or other legal entity, employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein,or the occupant of the dwelling house of another who employs persons to do maintenance; construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." MGL chapter 152, §25C(6)also states that"every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced-acceptable evidence of compliance with the insurance coverage required." Additionally,MGL chapter 152, §25C(7) states"Neither the commonwealth nor any of its political subdivisions shall . enter into any contract for,the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority.' Applicants Please fill out the workers'compensation affidavit completely,by checking the boxes that apply to your situation and, if necessary,supply sub-contractors)name(s),address(es)and.phone number(s) along with their certificate(s)of insurance. Limited Liability Companies.(LLC)or Limited Liability,Partnerships(LLP)with no employees other than the members or partners,are not required to carry workers'compensation insurance. If an LLC or LLP does have employees,a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested,not the Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy,please call the Department at the number listed below. Self-insured companies should enter their self-insurance license number on the appropriate line. City or Town Officials .Please be sure that the affidavit is complete'and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the.permittlicense number which will be used as a reference number. In addition,an applicant that must submit multiple permit/license applications in any given year,need only submit one affidavit indicating current policy information(if necessary)and under"Job Site Address"I.he applicant should write"all locations in (city or town).".A copy of the affidavit that has been officially stamped or marked by the city or town maybe provided to the applicant as roof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each p year.Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e. a dog license or permit to bum leaves etc.)said person is NOT required to complete this affidavit. The Office of Investigations would like to-thank you.in advance for your cooperation and should you have any questions, please do not hesitate to give us a call. The Department's address,telephone-and fax number: The Commonwealth of Massachusetts Deepartment of lndustrial Accidents Office of Investigations, 600 Washington Street Boston, MA 02111 Tel. # 617-727-4900 ext 406 or 1-877-MASSAFE Fax# 617427-7749 Revised 11-22-06 www.mass.gov/dia BOARD License: CONS BUILDING REGULATIONS �' Number: RUCTION SUPERVISOR t . CS 092040 6/24/1976 , 1. ExP!r6s:06/24/2009 Restricted Tr'no. 92040 CHRISTIAN T VAL'LE' 00 415 SHOREWOpp EAST FgLMOUTH; Ijlq 02536 G` g Cornmtsstorier 06-15-09; 18: 39 ;TheUalleGroup 15087906230 ; 15085481950 # 2/ 3 WORKERS COMPENSATION AND EMPLOYERS LIABILITY INSURANCE POLICY INFORMATION PAGE Associated Employers Insurance Company Burlington, Massachusetts NCCI NO 40969 (800)876-2765 POLICY NO, WCC 5008149012009 ITEM PRIOR NO. NEW BUSINESS - 1. The Insured VaII6 Group Inc Mailing Address: 70 East Falmouth Highway Falmouth MA 02636 . STE 3 (No. Street Town or Crty County Stale ZIP Code ❑ Individual ❑ Partnership ® Corporation ❑ Other FEIN 04-3370104 Other workplaces not shown above: 2. The policy period Is frorrp4/16/2009 _ to 04/16/2010 N __12:01 a.m.standard time at the insured's malling address. 3. A. Workers Compensation Insurance; Part One of the policy applies to the Workers Compensation Law of the states listed here; MA B. Employers Liability Insurance: Part Two of the policy applies to work in each state listed In Item 3.A. Thellmltsof our liability under Part Two are-. Bodily Injury byAccident$ 1,000,000 eachaccldent Bodily Injury by Disease $ 1, 000,000 policy limit Bodily Injury by Disease $ 1,000,000 eachemployea C. Other States Insurance; COVERAGE REPLACED BY ENDORSEMENT WC 20 03 06 A D. This policy includes these endorsements and schedules; SEE SCHEDULE 4. The premium for this policy will be determined by our Manuals of Rules,,Classifications,Rates and Rating plans. All information required below Is subject to verification and change by audit Classifications Premium Basis Rates Code EaUrnaled Per$100 tellmated No. Total Annual of Annual Remuneradon Remuneralton Premium 1N1'1tA 295103 SEE EXTENSION OF INFORI 4ATION PAGE Minimum premium$ 270.00 Total Estimated Annual Premium $ 1,e06.00 As indicated,interim adjustments of premium shall be made: Deposit Premium $ 1,679.00 ❑ Annually ❑ Semi Annually ❑ Quarterly ❑ Monthly MA Assessment Chg. $1,1SSAS x 6.3000% $73.00 This policy,Including all endorsements,Is hereby countersigned by _ 04/21/2009 Au001i2ad Signaturs Dale GOV I GOV KIND PLACING CLAIM NAME SAFETY STATE CLASS AUDIT OFFICE OFFICE CHECK GROUP The Fairway Agency Inc MA 6606 17 604 305 Forest Street WC 00 00 01 A(11-88) Bridgewater,MA 02324 Includes copyrighted malarial of the Nplionml Council on CompamAtion Insurance, esid with ils pemli5sion. i 1 i ' NmAawaV.�mA�tnm.ru I�IN°iro\se-.-.uu\.u�w wa-\nu a-ii-m manna mw6.am moe°� I V. 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N m Z � » L N I o o D m PROPOSED FAMILY HOUSING DEVELOPMENT I � 1 O D o N � �- D r 1 11 ���� BROWN LINDQUIST FENUCCIO&RABER 0 Q K a o 'z Z T T O WEST BARNSTABLE COMMUNITIES-SITE A ARCHITECTS.INC. o a m g o K m Z 2239 IYANNOUGH RT. 132 W. BARNSTABLE, MA. rt'1 m O 203 WRLOW STREET.S111E A PH 508-362-83U fV Z - YARMWIHTKAI.MA C2675 +"um� FAX 508-362-2828 9 pt m U, Z DEVELOPED BY: N a m HOUSING ASSISTANCE CORPORATION o r b Z 460 WEST MAIN ST, HYANNIS, MA. r STAMP: r DECK ABOVE S �I 1`. -: -- ---- ,r �- �-- ------Tp----q PLO. /1vU Yam,. I I UP UP I I MA I I I I • C �I I 1 I 12'-0' TYP. s=' • I I I I a n -----TO----Q1 I I 12'-0' TYP I ----pT I 1 I I I / u g UP I I I I I BLIP 6/�/ ,� / U I I I I I 4 I o I / u -----_-1�----� I I I _o ---�1------- Z I QI I I I I � I I� Q8y 1 I I I I H S I I I I I 1 U I I I I G ? E r Z y I I I I o 13 Z C 7'v4'°6' DP N . I I 9_4. I O v D U GI CONC.SLAB I `• QOMM N ENTRY I Cd ` I G 9 4G ® o I 6 y SNARED `9 `9 � O - m _STORAGE BIKE C. LAJ p 2.6 BEARING © Z ~ F- 3 WALL (I HR 3 W LlJ _RATED OF DOORS c Co J Of WA BEARING WA BEARING / I Zr O w O WALL(I) �i WALL (I FIR `�I N TTP.CHAIN LINK -__ ATED) iv RATED) SEPARATION W 1_ t/7 - WRAP JAMBS OF FENCE L Z Z Lv cn © ALL OPENING5 /LOCKABLE WITH�' TTPE-X CHAIN LINK O O Z m iv ® WALL BOARD © © iv Q DOOR V Do m / \ Z o p ®� `9 's Z G W 2 Lli m A3.3 O 0 O Z Z F W Q G © � ® Q QQ Q N rt N MAINTENANCE _ �p m I 'a a' LL F Z:) N LLu SHOP AREA 7'-0' 3'-3' 7'-0' 7'-0• 3'-3° 7'-0• IIII / � N O U) z o 0 Q Q z 6-4' 3-6' 6-6' 6'-6" 3'-3° �•6' 7° O C 1n C O ;p c DEDICATED ;o W CV p 2 ! RESIDENT STORAGE LOCKABLE CLOSET iv STORAGE AREAS (TOTAL,20) TITLE: le'-o° 35'-0" - IB'-o• NOTE; BUILDING SEE ORIGINAL CONSTRUCTION PERMIT DRAWINGS NO. 5 FOR ALL MECHANICAL,ELECTRICAL,AND FIRE LOWER LEVEL �1 LONER LEVEL FLOOR @ BUILDING NO. 5 (SNARED STORAGE CONCEPT) PROTECTION SYSTEMS FOR THIS AREA (BASEMENT PLAN) . SCALE: a} a DATE ISSUED: ' FLOORING AS PER FINISH SCHEDULE y 6/11/09 OVER 3/4'T i G ADVANTECH SUBFLOOR GLUED 4 NAILED REVISIONS: b'(RI9)FIBERGLASS 1 INSUL. 05/19/08 e I` 2Q 9/12/08 REVISED INTERIOR DOOR 2 9/12/08 LOCATIONS,AND FENCE LAYOUT FOR Q r-I STALLS#9,12,13,16,17,20,21,24,25. 6p 1I09 j STALL DIMENSIONS ADDED 3 I DRAWN BY: TS 80 a .�' .... - -. .:':. _ _..- -.:.: AND CHANGED PROJECT#:3 DELETED INTERIOR DOORS C•0026-06 9IIV TO DOORWAY OPENINGS WITH%"G.W.B. SEE STRUCTURAL DRAWINGS TS AT 1 O,C, - WRAPPED INTO OPENINGS. ADDED FLOOR/ DRAWING NO.: SEE STRUCTURAL CEIUNG ASSEMBLY DETAIL. 2 LAYERS CH TTPE% Irl' OVER �� 888 RESILIENT CHANNELS ATT I6'D.C. a� a ay IST FLOOR/CEILING ASSEI"IBLY AT BLDG 5 +�'9 ? SCALE: NONE I Sg I HOUR RESISTIVE ASSEMBLY L== ICC E5 REPORTS EBR-1336