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Home My WebLink About0044 BARNSTABLE ROAD HYVie- Y��,e- _ - --- - � l O y TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION 'R ' Map :3-J Parcel 76 Permit# 1 Health Division Date Issued Conservation Division Fee 7 0 2�� Tax Collector (� Treasurer__�:A r Planning Dept. Date Definitive Plan Approved by Planning Board Historic-OKH Preservation/Hyannis Project Street Address Village Owner LA �i-e Address �.J Telephone Permit Request /Lc'�C;9� S'�r' al /d Square feet: 1st floor: e-xiisting proposed 2nd floor: existing proposed Total new b Valuation / Zoning District Flood Plain Groundwater Overlay 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 0 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 0 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❑ Commercials ❑ No If yes,site plan review# Current Use Proposed Use BUILDER INFORMATION Name �zJ -S Telephone Number Address .� �'�r .Sf �'r r License# Home Improvement Contractor# Worker's Compensation# E-& F LL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO �LLj,, '�¢' 97Y GNATURE DATE ' 2 C __ 11 • FOR OFFICIAL USE ONLY _. Y PERMIT NO. DATE ISSUED = - MAP/PARCEL NO. . ,>: ADDRESS �': VILLAGE,. OWNER DATE OF INSPECTION_E FOUNDATION FRAME , INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL I GAS: ROUGH FINAL FINAL BUILDING - DATE CLOSED OUT ASSOCIATION PLAN NO. t' ------__ The Commonwealth of Massachusetts —" =i. De artment of Industrial Accidents ' ��=� -- �--� Offrceoffo�estfgations 600 Washington Street +/ Boston,Mass. 02111 Workers Co m ensation Insurance Adavit cYntr�irfarnranutt:IN��`,. ., locatic,r hone# city C I am a homeowner performing all work 1mseif. C I am a sole pro rietor and have no one working in anv capacity F- am an emplover providing workers' compensation for my employees working on this fob vcompnnv name �.�f — �'� R address w. 1 v�- M city phone# olicv::, insurance co. I am a sole proprieto general contractor or homeowner(circle one)and have hired the contractors listed below who have the folloiiing workers' compensation polices: company name: :.... address: .:.. •:.:: -. :::............. Oka# city: ::...:.::..:...:::;..:;:;::;:.. insurance co. - .:.: .:.. :..... 'v:::.i:vi•:'i::::jL: i.:'??:i:?i::isi.'isiiiiiii�i::•:i!•:'i:+;:;�;�:-.vi.?:i='JO:::}?;:.}'+:.:v:::.,i:;:�`v:� �'- :.<.::, company name: address: d. hone# dt4 insurance co. ...: oiity# : : . Man S1S00.0��T,;.. ;> A4 Failure to secure coverage required under Section 25A of MGL.152 can lead to the imposition of criminal penalties of a fine up to . one pears'imprisonment as well as civil penalties in the form of a STOP WORK ORDER and a tine of S100<00 a day against me. I understand that a copv of this statement may be forwarded to the Office of Investigations of the flIA for coverage verification. 1 do hereby certify'under the pWiA and penalties of perjury that the information provided above is true and correct z �,.,•._ Date — - Signature_ -- Phone# — Print name' c'? o inciri use oniv do not write in this area to be completed by city or town official permit/license# ❑Building Department' city or town: ❑Licensing Board ❑Selecanen's Office 71 check if immediate response is required ❑Health Department phone#; contact person: Q Other. :� Information and Instruc tions Massachusetts General Laws chapter 152 section 25 requires all employers to provide workers' compensation for their oted from the "law",an employee is defined as every person in the service of another under any contra-= employees. As qu 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 �entatives of a deceased employer, or the receiver the foregoing engaged in a joint enterprise, and including the legal rep trustee of an individual,partnership, association or other legal entity, employing-o employees. However the ownerse of of a dwelling house haying not more than three apartments and who resides therein, or the occupant of the dwelling house ersons to do maintenance construction or repair work on such dwelling house or on the c another who employs p ce, building appurtenant thereto shall not because of such employment be deemed to be an employer. MGL chapter 152 section 25 also states that every state or local licensing agency shall withhold the issuance or renes of a license or permit to operate a business.or to construct buildings in the commonwealth for any applicant who h: not produced acceptable evidence of compliance with the insurance coverage required. Additionally,neither the commonwealth nor any of its political subdivisions shall eater into any contract for the performance of public work until been resented to the contracting acceptable evidence of compliance with the insurance n of this chapter have P authority. Applicants d Please fill in the workers' compensation affidavit completely,by checking the box that applies to your situation an s and phone numbers along with a certificate of insurance as all affidavits may be supplying company names, addres for confirmation of insrrance'coverage. Also be sure:to sign and `R`Lr submitted to the Department of Industrial Ac application for the ermit or license is ' #.. date the affidavit. The affidavit should be returned to the city or town that the app P 'law"or if yc t big requested,not the Department of Industrial Accidents. Should you have any questionsregarding the oli please call the Department at the number listed below. are required to obtain a workers' compensation p �', s rgi P _. . . � City or Towns Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of t affidavit for you to fin out in the event the Office of ontact has to c you regarding the applicant. Please be sure to fill lathe peiaiit/licease member which will be used as a reference member. The affidavits may be returned to the Department by mail or FAX unless other arrangements have been made. u in advance for you cooperation and should you have any questions. The Office of Investigations would Idce to thank You _ . please do not hesitate to give us a call. The Department's address,telephone and fax number. The Commonwealth Of Massachusetts Department of Industrial Accidents Office of ipyesdUadons 600 Washington Street - Boston;Ma. 02111 far#: (617) 727-7749 phone #: (617) 7274900 eat 406, 409 or 375 THE r, The Town of Barnstable . . 9 h Safety. and Environmental Services $ Department of Healt Building Division 367 Main Street,Hyartais MA 02601 Ralph Crossen Office: 508-862-4038 Building Commissiore: Fax: 508-790-6230 Permit no. Date AFFIDAVIT HOME IMPROVEMENT CONTRACTOR LAW SUPPLEMENT TO PERMIT APPLICATION MGL c. 142A requires that the"reconstruction,aiterattons,reaovauon,repair,modernization,conversion, improvement,removal,demolition,or consmwdon of au addition to say pre-existing owner-occupied building containing at least one but not more than four dwelling twits or to sir ctmes which are adjacent to such residence or building be done by registered contractors,with certain exceptions,along with other requirements. 2v 0 Estimated Cost �. fJ U Type of Work: ��'' � � � Address of Work: lZ� f s -��I t Owner's Name: -12l4i� Date of Application• L- I hereby certify that Registration is not required for the following reason(s): Work excluded by law Job Under S1,000 Building not owner-occupied Owner pulling own permit Notice is hereby given that: WITH UNREGISTERED OWNERS PULLING THEIR OWN PERMIT OR DEALINGWORK DO NOT HAVE CONTRACTORS F ARBITRATION PROGRAM GUARANTY FUND UNDER MGL c. 142A. ACCESS TO THE SIGNED UNDER PENALTIES OF PERJURY I hereby apply for a permit as the agent of the owner: Contractor Name Registration No. Date OR Date Owner's Name Assessor's�Office(1st floor) Map Parcel, Permit# Conservation Office(4th floor)(8.:30-9:30/1:00-2:00) Date Issued oZ 3 Board of Health(3rd floor)(8:15 -9:30/1:00-4:45) iU ' Famed ' �W-- Engineering Dept.(3rd floor) House# 41T CONNED SEWER Planning Dep . st floor/School Admin. Bldg.) ENG THE CONSTJtUCTI Definitive P pprove Planning Board 19 . rEo �.� TOWN OF BARNSTABLE x y . Building Permit Application r ��F Q ems § Project reet Address ,n�� Village `fit dl�t yy� D 13k # ' Owner sir— � � � � Address el Telephone Permit Request First Floor 31 57�9 square feet Second Floor Z-�)y square feet Estimated Project Cost $ 20 O d Zoning District Flood Plain tl/A— Water Protection Lot Size 7 c� Grandfathered ? Zoning Board of Appeals Authorization o [A- Recorded Current Use &�' �0 MM Eyl f� ' Proposed Use Construction Type Commercial (� U Residential Dwelling Type: Single Family 1 � �-Two ` Multi-Family Age of Existing Structure Basement Type: Finished Historic House Unfinished Old King's Highway Number of Baths No.of Bedrooms Total Room Count(not including baths) First Floor Heat Type and Fuel Central Air Fireplaces Garage: Detached Other Detached Structures: Pool Attached Barn None Sheds Other Builder Information Name �' � tr �-'1 Telephone Number(sv Address �Y\ lPl�~C `�1�u1 License# YftC3j �_Home Improvement Contractor# 7 Worker's Compensation# /7 4 NEW CONSTRUCTION OR ADDITIONS REQUIRE A SITE PLAN(AS BUILT) SHOWING EXISTING,AS WELL AS PROPOSED STRUCTURES ON THE LOT. ALL CONSTRUC BRIS RESU TING FROM THIS PROJECT WILL BE TAKEN TO 1 SIGNATURE iZUu L L911 DATE UL 2 %L BUILDING PERMIT DENIED FOR THE 61LOWING REASON(S) FOR OFFICIAL USE ONLY PERMIT NO. DATE ISSUED t _ MAP/PARCEL NO. ADDRESS VILLAGE OWNER 7 DATE OF INSPECTION: FOUNDATION FRAME INSULATION' FIREPLACE ELECTRICAL: ROUGH Y - FINAL ' I PLUMBING:`/ ROUGH FINAL ��t-sue f t _• _ . _ GAS: TROUGH 'FINAL r a ! FINAL BUILDINI Mo DATE CLOSED ' m� - { ASSOCIATION PE740. + ' ty ' THE FOLLOWING IS/ARE THE BEST IMAGES FROMPOORI- QUALITY ORIGINALS) I m ^ DATA PHILBROOK ENGINEERING & CONSTRUCTION ENGINEERING DESIGN&INSPECTIONS BEACH STREET DENNIS, /V U G DE MA 02638 T.VARNUM PHILBROOK,P.E. 1-508-385-8682 MEMBER-ASCE - o�► 2'�� , 1 L��s�i .�ti�� _ctw .13 /J V G - �wr�c� Q�-ca r++� _�2L�'AD1•R9 '._�__�71J3'�l OUT- cvgw Nb'1"L - J 0�1= �l Lt�4x�c¢ � Q��P� +r►L�S .s�En�o�-� 'mac. � 3o bye 11.02'94 1; 02 'ZT61 727;122 DEFT IT'D AM*D" - kn -=, l 0/%7a)(Ul2wca 1. O/ ``ilaliQclitt6e� +} �aPartnteaf o�.y,�frctaC.,�dcccdenL� �_ 600 .James J.Campbell L?osfon, Mcwac"lta 02111 Commissioner Workers'.-Compensation insurance Afridavit with a principal place of business at: do hereby certify under the pains and penaides of perjury, that. () I am an employer provid'mg workers' compensation coverage for my employees working on this job. c or„ 61Qemol s h� J�1�A �C FBI Co . Insurance Company y Policy Number 0 I am a sole proprietor and have no one working for me in any capacity. am a sole proprietor, eneral contras or homeowner (circle one and have hired contractors listed below w e t e following workers' compensation policies: the c �Co woo o k-(08 Contractor Insurance Company/Policy Number Contractor Insurance Company/Policy Number Contractor Insurance Company/Policy Number () I M a homeowner performing all the work myself. c„ Went wil:re 'lo-wzreed tc t�e O`ice of irvesbrrions of d:e DIA for com2ge verification and that f`i!ure to sect:re (CVt,2ge r e_ire en r Sec:icn 2 A L 152 c:,A Ie2C to OX Imposition ci ciminai pcnzWes consistine of a fne of up to S 1,500.G0 2r.G/er cr.: Yf2:S i*rruc.mcn ;�w as c:,if z ; in to torn- cf a STO P WORK ORD ER and a fine of 5100.00 a dry against me. Sinned this day of Z> 19 Licensee/Permittee Building Department Licensing Board Selectmens Office Health Department TO VERIFY COVERAGE INFORMATION CALL: 617-727-4900 X403, 404, 40!;, 409, 375 TOi:'\ OF BAR•�S ZiB?.E BUILDING PERMIT ,37�� y 91te -P DEPARTMENT OF PUBLIC SAFETY ONE ASHBURTON PLACE, RM 1301 BOSTON-,.MA 02108-1618 CONSTRUCTION SUPERVISOR LICENSE Number: Expires: Birttidatee :-� ��=Y CS 015044 08/15/1997 „_.08/15/1957, Restricted To: 00 r y- PETER E KELLY Detach bott 93 PHEASANT WAY back/ and CENTERVILL, MA 02632` 'Keep top fc "of address �•�.• :.r Zy----*-. --^a.rsryt."-tF--...a--�-.y-- -pis : +t yti r -Y�r•"-'tk ".rT" aR'r` a -: f .� s irtt 4 t+ 7t ,�G ti$.Ft r� ?� s� `rfs -�r �'i'°y}Y r.�, -^ N` a }.•R '' Jr, Nt•rt J�� s 2 �i � � :R+K'.{t y`� i `P`si �,�4 on apphcatton. lu � i �.f -F"2 rµ�� d o the mailing address t, {Sv1+y$ 'tt''x itd5 e y,r. ify 1` y z n t 4r) y9 "�V L �[�" "^s s y�.rs:�'S . '�,.•.${3� a!ra....� ��,,...-.:t { .r ..y ��.*;,.J N�#�°K� .!'-�1 1 :_.i a x <'+ , nt �: ❑Lost Card ❑Other pQ /�/ .,;.�.(`` S.,J} ✓he T00f7eHa69NI/NQfU6 .�>!amaevEuaeld it -HOME IMPROVEMENT CONTRACTOR ` y` �� w"� } I � _ � • ,ifySt Reg istrat iov,,103928�i r a es g �p i k q ��, ,yGx yin P t1ys, 6 } TYpe INDIVIDUAL - 0�: �r1i�„Yy� r� tt b^f,.j3 Expiration } , •.,fr� iy,� ni"'t•rry., .nyx� �' '�t� pp btu! Gx"C+'* � a 'fi Y �� _� Peter E" Kelly_ h x` w; 'am2 trs_w; -..ry p a� '` •rV'x Ya St„ Y+�"kZN q 1 �.nt� �`-b`� '�tF' 't�'U 'h`. 93 Pheasa nt Na tk y wl x i -'ryenterville MA . �LQ7r1 Q.p I7 �iZG� �. µre•s'Ei�,.� rt � �. s ��t+.� y �y s F^'c' �* I ADMINISTRATOR t asgc f; n b3yu {t� i4 tyk adz y `� r eta ✓mil t�� ...i.:.«+.Ye.,.9 �_•y ,."ta-..�u< ,-..uva,.�..�u�. L,r.Jcw:s%�+L'1,..iotT•.a'y'.a�..».:+4g.'' ..-.r+.:.:w tr;,:�+.w,..�'.a.,',:u::i;.. .:aLww.f...,..... - "';::: ::::: ":: ".:: ::::.DATE MMIDD/YY .. :::::: :: ::::: :.�. :'.::..: .�.;:: :::i ::::i:::: ::.. :. :.. RAN: :.. :..:::.:: ::::::::::;:::::::::::::::::;:;::i::::::: ( ) ACORD :::::::::::::::::::::::: ::: : :::::: ::: :: , I:L . "'1 .... .'��.k ::::::::: : . .::: :. ::;.;:.;:::.::::::.::::::...................... .... ::::::::::::::::::.::::::::::::::::::::::::::::::.:::::<.;:.;:.;:.:<.;:.;:.;:.;:.; 08 2 996 PRODUCER:::::. .................. ....................................................... / 2/1 (508)775-5830 FAX ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE organ-James Insurance Agency, Inc. HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR 44 Barnstable Rd. ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Hyannis, MA 02601 COMPANIES AFFORDING COVERAGE .................................................... ............................................................................................. COMPANY Commercial Union Attn: Sandy Ci ncotta Ext: A INSURED ................................................................................................................................................................................................................................................................................. . Peter Kelly d b a B COMPANY CentervilleConstruction .................................................................................................................................................... 93 Pheasant Way COMPANY C Centerville, MA 02632 ..................................................................................................................................................... COMPANY D 5.......................................................................................................................................................................................................................................................................... THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED:BE 0,.....L W FIAVE BEEN ISSUEDTO 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. .......................................................................... CO > TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE :POLICY EXPIRATION': LIMITS LTR DATE(MM/DD/YY) DATE(MM/DD/YY) GENERAL LIABILITY GENERAL AGGREGATE $ 600,000 .............................................:........................................ COMMERCIAL GENERAL LIABILITY : PRODUCTS-COMP/OP AGG :$ 300,000 i CLAIMS MADE :OCCUR PERSONAL&ADV INJURY :$ A > > '.......< NBF822710 : 02/25/1996 02/25/1997 ........................................... ............. 00.,000 3 OWNER'S&CONTRACTOR'S PROT EACH OCCURRENCE $ 300 �OQ .....I............................................. ............ ... .. .........:.....................................................: RE DAMAGE(Any one fire) $ 100 .................... ...........000 .. MED EXP(Any one person) $ 5,000 AUTOMOBILE LIABILITY ANY AUTO ANY SINGLE LIMIT ......................................... ................................... ALL OWNED AUTOS BODILY INJURY $ SCHEDULED AUTOS (Per person) HIRED AUTOS BODILY INJURY $ NON-OWNED AUTOS (Per accident) ....... .....................................................: PROPERTY DAMAGE $ GARAGE LIABILITY AUTO ONLY-EA ACCIDENT :$ ........................................... ANY AUTO OTHER THAN AUTO ONLY: ......................................................::..... ...................... EACH ACCIDENT:$ ........................................................................................ AGGREGATE:$ EXCESS LIABILITY EACH OCCURRENCE $ ........................................... ................................... UMBRELLA FORM :;AGGREGATE $ ..............................................:..................................... OTHER THAN UMBRELLA FORM $ WORKERS COMPENSATION AND :TORY LIMITS ER :::: EMPLOYERS'LIABILITY ..... .....::::.; ::::::..... EL EACH ACCIDENT :$ THE PROPRIETOR/ .......................................... .................................. INCL : EL DISEASE-POLICY LIMIT :$ PARTNERS/EXECUTIVE :.......; ........................... ................................ :i OFFICERS ARE: EXCL'; :i EL DISEASE-EA EMPLOYEE:$ OTHER DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/SPECIAL ITEMS ork to be done at 44 Barnstable Road Hyannis, MA 02601 ........................................................................... ..........................................::::...::......:::::::::::::::::::: ::::::::::::::. SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,THE ISSUING COMPANY WILLENDEAVOR TO MAIL Horgan-James Realty Trust 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, P.O Box 2 5O BUT FAILURE TO MAIL S H NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY 44 Barnstable Road OF ANY KIND LI T OMPANY,ITS AGENTSW REPRESENTATIVES. Hyannis, MA 02601 AUTHORIZED REP IVE' A:. CAA. ORPORATION:::9:886 .......:) ...........................................:::::::::::::::::::::::::::::::::::.::::::.:...:................................................... ........... ................................................ r Centerville Construction Company 93 Pheasant Way Centerville MA 02632 (508)790-3150 Sept. 6, 1996 Town of Barnstable Building Division 367 Main St. Hyannis, MA 02601 RE: Horgan Real Estate 44 Barnstable Road Hyannis MA 02601 Building Permit Number #C;z //s� Att. Mr. Martin Mr. Martin, ' As you requested here is an additional list of work being done in the near future at 44 Barnstable Road; 1 . Repair to flashing in areas where needed 2. Replace rotted sash on west side of building 3. Repair to tower roof slates 4. Replace.a 35x35' area of flat roof on third floor 5. Replace damage railingsecond floor , := Mr. Martin thank you for your help if you have any question please give me a call. r teterelyo r