HomeMy WebLinkAbout0068 CENTER STREET - UNIT 15 .��� g C����2 �ST-�o
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A. TOWN OF BARNSTABLE BUILDING. PERMIT APPLICATION
Map Parcel S
OCT-'Application#+
Health Division Date Issued' A k . d�
Conservation Division Application F
&o
Tax Collector Permit Fee
Treasurer
Planning Dept.
Date Definitive Plan Approved by Planning Board
Historic-OKH Preservation/Hyannis
ate/ µ 4[
Project Street Address 5 2iF,
Village A)l ;Owner (ii. Address
Telephone CIO
C'
S
Permit Request Cd e-- 4aj %D
Square feet: 1 st flo :existin 00 proposed 2nd floor:existing proposed Total new
Zoning District Flood Plain Groundwater Overlay
Project Valuation h.AAri Type
Lot Size ` _ Grandfathered: ❑Yes ❑No If yes, attach supporting documentation.
Dwelling Type: Single Family ❑ Two'Family ® Multi-Family(#units) ���,,,��� \
Age of Existing Structure lint Historic House: ❑Yes *o On Old King's Highway: ❑Yes XNo
Basement Type: ❑ Full ❑Crawl ❑Walkout ❑Other
Basement Finished Area(sq.ft.) A Basement Unfinished Area(sq.ft)
Number of Baths: Full:existing o 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: TYes ❑No Fireplaces: Existing �.-d New Existing wood/coal stove: ❑Yes V�Alo
Detached garage:❑existing ❑new size lk Pool:❑existing ❑new size NJ A Barn:❑existing ❑new size
Attached garage:❑existing ❑new size Shed:❑existing ❑new size JA Other:
Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑
Commercial 14yes ❑No . If yes, site plan review#
Current Use Proposed Use
II /� BUILDER INFORMATION
Name��Yio (>p� CJrA-S yt4A� Go JW<� Telephone Number otoo
Address t 2 5� gc¢�•f 1 lgcx,'PL ,S'� License# S 0 13 C '
`i�M v i Ile. 1 too, Home Improvement Contractor# /i!!�Nl e
Worker's Compensation#
ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO :36t1r,0,L��
SIGNATURE f:K,. DATE 01 —()a — C
FOR OFFICIAL USE ONLY
cNk APPLICATION#
DATE ISSUED
MAP/PARCEL NO. i
t ADDRESS VILLAGE
OWNER
DATE OF INSPECTION:
FOUNDATION
FRAME
INSULATION
FIREPLACE
ELECTRICAL: ROUGH FINAL
PLUMBING: ROUGH FINAL
GAS: ROUGH FINAL
FINAL BUILDING
s=
DATE CLOSED OUT
ASSOCIATION PLAN NO.
i
The Commonwealth of Massachusetts
Department of Industrial Accidents
a
Office of lnvestigations
600 Washington Street
Boston,MA 02111'
www.mass.gov/dia '
Workers'*Compensation Insurance Affidavit: Builders/Contractors/Electridans/Plumbers
kplpflcant Information Please Print Legibly
Name(Business/Organ ization/ladividual):•CAPE A L l C, Lg o �+� n - 0 4 — L'A16X 0 Ab-
-Address:
City/State/Zip: Phone.#:
Are you an employer? Check the appropr a x: ;Type of project(required):.
I.El am a employer with 4. I am a general contractor and I 6, New construction .
e hired the sub-contractors, ,
employees(full and/or part-time).* v
2.AI am a'sole proprietor or partner- � -contr g,ted on the'attached sheet. 7. []Remodeling •
These subactors have Demolition
ship and have no employees ❑
employee$•.and have workers'
'working for me in any capacity. 9, ❑Building-addition
[No workers' comp,insurance comp.insurance,$'
5. ❑ We are a corporation and its 10.❑•Electrical repairs or additions
required.]
3.❑ I am a homeowner doing ill-work .• officers have exercised their 11.❑Plumbing repairs or additions '
myself,[No workers'comp, right of exemption per MGL ; 12.❑Roof repairs
insurance.required.]req ]t c. 152, §1(4),and we have no
employees. o workers' 13.�Other ,�N4N T' PI"
�
comp,insurance required,]
*Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information.
f 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 ornot those entities have
employees. If the sub-contractors have employees,they must provide their workers'comp.policy number.
I arri an employer that is providing workers'compensation insurance for my employees. Below is.the policy and job site'
information.
Insurance,Company Name:
Policy#or Self-ins.Lic,#: Expiration Date:
lob Site Address: City/State/Zip:
Attach a copy of the workers' compensation policy declaration page'(showi"ng 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 penaltits 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 maybe forwarded to the Office of
Investi atio of the IDIA for insuran a coverage verification.
I do hereby rtify under the pains and penalties of perjury that the information provided above is.true and correct
�,
Si ature: Date' _
Phone
Official use only. Do not write in this area, tb be completed by city or town official.
City or Town: ' Permit/License#
Issuing Authority(circle one):
A.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector
6. Other
Contact Person: Phone#:
'�M ✓'rie fa�asr�iaruuealf� �4actuaetld .
#, �` �''•ii BOARD OF BUILDING REGULATIONS •
♦ . -41 ay G it a -
Licdrise CONSTRUCTION SUPERVISOR
• - a '" �`� Number CS 091391 ,
. � `� ,, Birthdate 10/28/1959 - • ,
expires}`1 /28/2008 Tr no 91391
777777777= Restrict®d OQ
FRANK DONOVANF
245 SOUTH MAIN STV
1 CENTERVI,LLE MA 02632`: �� -� .
•.': Commfssionar
rr• ✓12C r06'IYYII24JZClJP.[lLGfL O�✓l�(ruu�adwul
Board of Building Regulations and Standards Licen a or registration valid for indivldu}use only
HOME IMPROVEMENT CONTRACTOR befor the expiration date. 1f found return to:
Boars of Building Regulations and Standards
Regis ti'ati4n ;149918 ` One shbuttonPlace Rm.13O1
lugExpiration '2/21;/2008 Bosto ,Ma.02.108
'Type Private Corporation h.
CAPE COD CRAFTSMAN CO?INC
FRANK DONOVAN
70 Nib
245 SQUTH MAIN STREET
NTERVILLE,MA 02632Not
id without signature
CE Administrator aa�.�..,...
ry
FROP+ on W P N Cl ow i.
is
s
v4rs
Box
LV�
1�/9 Soux - (3Oau'
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°FTHEt Town of Barnstable
Regulatory Services
9BARN Bi'E'g, Thomas F.Geiler,Director
�,o iG3q• aim
Building Division
Tom Perry,Building Commissioner
200 Main Street,Hyannis,MA 02601
www.town.barnstable.ma.us
Office: 508-862-4038 Fax: 508-790-6230
Property Owner Must
Complete and Sign This Section
If Using A Builder
I, p �✓ �R/.a/��� �" as Owner of the subject property
hereby authorize i le-4,/L ODN®yt�iJ —(G • G' ell o act on my behalf,
in all matters relative to work authorized by this building permit application for:
(Address of job)
ature vne at
Print Name
'If Property Owner is applying for permit please complete the ,.
Homeowners License Exemption Form on the reverse side.
QTORMS:0"ERPERMISSION
1
THE
Town of Barnstable .
OF 1
Regulatory Services
Thomas F.Geiler,Director
BARNSCABLE, �
9 MASS.
039• A,0 Building Division
rFn � Tom Perry,Building Commissioner
200 Main Street, Hyannis,MA 02601
www.town.barnstable.ma.us
Office: 508-862-4038 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 dwellints 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
supervisor.
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.
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 person as 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 of this issue is a form currently used by
several towns. You may care t amend and adopt such a form/certification for use in your community.
Q:fonns:homeexempt
TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION
Map 542JI Parcel Application# Orel ® 13'-1 0
Health Division
Conservation Division Permit#
Tax Collector Date Issued 443 13 d�
Treasurer Application Fee 1 (66 T
Planning Dept. Permit Fee fto�
Date Definitive Plan Approved by Planning Board 7 S. DPI
Historic-OKH Preservation/Hyannis G f C�
Project Street Address
Village
Owner fge j^4 �CsL o Address
Telephone
Permit Request A AI ti F* - 6wL-q [[6 �
Square feet: 1 st floor:existing proposed 2nd floor:existing proposed - Total new
Zoning District Flood Plain Groundwater Overlay
Project Valuation g _ 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 &-a& o mR&
Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft)
Number of Baths: Full:existing new2A,0, - Half:existing new
IF
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:AYes ❑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:
toning Board of Appeals Authorization ❑ Appeal# Recorded❑
56
- -
Commercial ❑Yes ❑No If yes, site plan review# T10
Current Use Proposed Use
BUILDER INFORMATION
Name a S117r__ lrtils Cc 'c Telephone Number
` e
AddressTp O A®X Ict" License# ® q g ` 0
iMitPS IL1S w d k M9 62-0-1 8, Home Improvement Contractor#
Worker's Compensation#
ALL CONSTRUCTION DEBRIS ESULTING FROM THIS PROJECT WILL BETAKEN TO C`-lSCkA .-
t
SIGNA URE DATE
k FOR OFFICIAL USE ONLY
' PERMIT NO.
DATE ISSUED
MAP/PARCEL NO.
T I
A
ADDRESS ' VILLAGE
OWNER
• I
} DATE OF INSPECTION:
FOUNDATION
FRAME
€ INSULATION
FIREPLACE
ELECTRICAL: ROUGH FINAL I I
PLUMBING: ROUGH FINAL -I
GAS: ROUGH FINAL
r FINAL BUILDING
3
1 I
1
F•
DATE CLOSED OUT
ASSOCIATION PLAN NO. "
r
�T"E,� Town of Barnstable
Building Department - 200 Main Street
* BARNST"LE. * Hyannis, MA 02601
6 A.�' (5081862-4038
rFD MA'I
Certificate fOccupancy
0
A Number: 200800142 20080018
Application CO Number:
Parcel ID: 32715400T CO Issue Date: 01122/08
Location: 68 CENTER STREET 20T Zoning Classification:-
9
Villa e:
HYANNIS
Gen Contractor: DONOVAN,FRANK Permit Type: CC00
CERTIFICATE OF OCCUPANCY COMM
Comments:
Building Department signature Date Signed
iy
Town of Barnstable
Building Department - 200 Main Street
iARNBTABLE, * Hyannis, MA 02601
MASS.
i6s�- . (508) 862-4038
CFO MP'�A
Certificate of Occupancy
Application Number: 200701370 CO Number: 20070110
Parcel ID: 32715400T CO Issue Date: 06/07/07
Location: 68 CENTER STREET 20T Zoning Classification:
Village: HYANNIS
Gen Contractor: OCEANSIDE CONSTRUCTION & DEV Permit Type: CC00
CERTIFICATE OF OCCUPANCY COMM
Comments: UNIT E - 20T
J
O
Building Department Signature Date Signed
1
INE TOWN OF BARNSTABLE Building
Application Ref: 200701370
BARNSTABLE, Issue Date: 03/13/07 Permit
9 MASS.
�ArFG 39. A�� Applicant: OCEANSIDE CONSTRUCTION&DEV Permit Number: B 20070442
Proposed Use: Expiration Date: 09/10/07
[Location 68 CENTER STREET 20T Zoning District Permit Type: SPECIAL PROJECT ADD/ALTER COMM
Map Parcel 32715400T Permit Fee$ 687.49 Contractor OCEANSIDE CONSTRUCTION&DEV
Village HYANNIS App Fee$ 100.00 License Num 048102
Est Construction Cost$ 84,875
Remarks APPROVED PLANS MUST BE RETAINED ON JOB AND
TENANT FIT OUT FOR RETAIL UNIT E(20T) THIS CARD MUST BE KEPT POSTED UNTIL FINAL
FUTURE TENANT WILL REQUIRE PERMIT INSPECTION HAS BEEN MADE. WHERE A
CERTIFICATE OF OCCUPANCY IS REQUIRED,SUCH
Owner on Record: CODE REALTY LLC BUILDING SHALL NOT BE OCCUPIED UNTIL A FINAL
Address: 52 SHIPS EAGLE LN INSPECTION HAS BEEN MADE.
OSTERVILLE, MA 02655
Application Entered by: PR Building Permit Issued By:
THIS PERMIT CONVEYS NO,RIGHT TO OCCUPY ANY STREET,,ALLY OR SIDEWALK OR'ANY PART THEREO EITHER TEMPORARILY'OR:PERMANENTLY
ENCROACHEMENTS ON PUBLIC PROPERTY;:NOT SPECIFICALLY PERMITTED,UNDER THE BUILDING CODE MUST BE APPROVED BY,THE JURISDICTION.
STREET ORALLY GRADES AS WELL A&DEPTH AND LOCATION OF PUBLIC SEWERS MAYBE OBTAINED FROM.THE DEPARTMENT OF PUBLIC WORKS,.',
THE°ISSUANCE OF THIS PERMIT DOES NOTRELEASETHEAPPLICANT FROM THE CONDITIONS OF ANY APPLICABLE SUBDIVISION°REST,RICTIONS
MINIMUM OF FOUR CALL INSPECTIONS REQUIRED FOR ALL CONTSTRUCTION WORK:
1.FOUNDATION OR FOOTINGS.
2.ALL FIREPLACES MUST BE INSPECTED AT THE THROAT LEVEL BEFORE FIRST FLUE LINING IS INSTALLED.
3.WIRING&PLUMBING INSPECTIONS TO BE COMPLETED PRIOR TO FRAME INSPECTION.
4.PRIOR TO COVERING STRUCTURAL MEMBERS(READY TO LATH).
5.INSULATION.
6.FINAL INSPECTION BEFORE OCCUPANCY.
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.
PERMIT WILL BECOME NULL AND VOID IF CONSTRUCTION WORK IS NOT STARTED WITHIN SIX MONTHS OF
DATE THE PERMIT IS ISSUED AS NOTED ABOVE.
PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS DO NOT HAVE ACCESS TO GUARANTY FUND(as set forth in MGL c.142A).
MO
' ♦- .4., b3
BUILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS
1 1 1
2 ^7 D c�jCC 2 2
^` d'�—
3 1 Heating Inspection Approvals Engineering Dept
I
Fire Dept 2 Board of Health