HomeMy WebLinkAbout0068 CENTER STREET - UNIT 17 __
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TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION L14
noap I Parcel I I Opp Application#
Health ision
Conservation Divisiori �5 Permit# ' s
Tax Collector � ; Date Issued 02
Treasurer pia. lication Fee
Planning Dept. Permit Fee t7
Date Definitive Plan Approved by Planning Board
• 1 �
Historic-OKH Preservation/Hyannis
Project Street Address C L CFteyz� sm.
Village
Owner Coop � '1 - L U • Address
Telephone
Permit Request tS`
Square feet: 1 st floor:existing proposed 2nd floor:existing proposed Total new
Zoning District Q Flood Plain Groundwater Overlay
if
Project Valuation t U Construction Type J 135
Lot Size Grandfathered: ❑Yes No If yes, attach supporting documentation.
Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family(#unitf-)II l'b
Age of Existing Structure N&j Historic House: ❑Yes .moo On Old King's Highway: ❑Yes 0*
Basement Type: ❑Full ❑Crawl ❑Walkout 69ther SL4V3 �--
Basement Finished Area(sq.ft.)' Basement Unfinished Area(sq.ft) R {
Number of Baths: Full:existing new Half:existing new
Number of Bedrooms: existing new `2-
Total Room Count(not including baths):existing new First Floor Room Count
Heat Type and Fuel: t-Gas 0 Oil ❑Electric ❑Other
Central Air: ❑Yes ❑No Fireplaces: Existing New Existing wood/coal stove: ❑Yes Cho
Detached garage:0 existing 0 new sized 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
"BUILDER INFORMATION
Name - � �`� ` �C 'Telephone Number ✓ 77 b
Address,gkq Q\O�(4, .. k6vy-) License#' &iew�
yAW-1$ & MLU,�. M/.A GUq B Home Improvement Contractor#
Worker's Compensation# USC—Q 00J6 l"1 2-01
ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BETAKEN TO
SIGNAT RE DATE
E
'. FOR OFFICIAL USE ONLY
PERMIT NO.
DATE ISSUED
MAP/PARCEL NO. ;
4,
ti
>: ADDRESS VILLAGE
' OWNER-�
?n ,
9
DATE OF"INSPECTION:
FOUNDATION
FRAME
INSULATION
FIREPLACE
4e
Sti
ELECTRICAL: ROUGH FINAL
r PLUMBING: ROUGH FINAL
GAS: ROUGH FINAL
FINAL BUILDING R
DATE CLOSED OUT
I . ASSOCIATION PLAN NO. t
s'
The Commonwealth of Massachusetts
Department of.Industrial Accidents
Office of Investigations
+ a 600 Washington Street
Boston,MA 02111
^M ,� www.mass.gov/dia +
Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers
Applicant Information Please Print Legibly
Name(Business/Organization/Individual): . (�1�1��
Address:L\tA POW4<— rzDAP
City/State/Zip: MA,—SAN)rt'S ML 1S Phone.#:
Are you an employer?Check the appropriate box: Type of project(required):.
1.❑ I am a employer with 4. ❑ I am a general contractor and I
6• ❑New construction .
employees(full and/or part-time).* have hired the sub-contractors 7, Remodeling
2.❑ I am a sole proprietor or partner- listed on the attached sheet. ❑ g
ship and have no employees These sub-contractors have g• ❑Demolition
l employees and have workers'
working for me in any capacity. $. 9. ❑Building addition
[No workers' comp.insurance comp.insurance.
�V5e are a corporation and its 10.❑ Electrical repairs or additions
required.]
3.❑ I required.]
a homeowner doing all work officers have exercised their 11.0 Plumbing repairs or additions
am
myself.[No workers' comp.r right of exemption per MGL 12.❑Roof repairs
insurance required.]t c. 152, §1(4),and.we have no 13.❑ Other
employees. [No workers'
comp.insurance required.]
*Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information.
t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such.
$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.thepolicy and job site
information. p
Insurance Company Name:Policy#or Self-ins.Lic.#: QU CQ'0 0 —k-•Z3l Expiration Date:
Job Site Address: � C '��Z. �T L�YA/Ui U/s City/State/Zip: 0-2E,61
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$25 .00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of
Investigation.s of the DIA for insurance covers a verification.
I do hereby certify un the pains and penalties of perjury that the information provided above is true and correct.
Si Date: 12'
Phone 7 5-7 p 6
r0f,ficial only. Do not write in this area,to be completed by city or town official
wn: 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 Instructions
Massachusetts General Laws chapter 152 requires all employers to provide workers'compensation for their employees.
Pursuant to this statute,an employee is defined as"...every person in the service of another under any contract of hire,
express or implied,oral or written."
An employer is defined as"an individual,partnership,association, corporation or other legal entity,or any two or more
of the foregoing engaged in a joint enterprise, and including the legal representatives of a deceased employer,or the
receiver or trustee of an individual,partnership, association or other legal entity,employing employees. However the
owner of a dwelling house having not more than three apartments and who resides therein,or the occupant of the
dwelling house of another who employs persons to do maintenance,construction or repair work on such dwelling house
or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer."
MGL chapter 152, §25C(6)also states that"every state or local licensing agency shall withhold the issuance or
renewal of a license or permit to 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-contractor(s)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 permit/license number which will be used as a reference number. In addition, an applicant
that must submit multiple permit/license applications in any given year,need only submit one affidavit indicating current
policy information(if necessary)and under"Job Site Address"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 may be provided to the
applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each
year.Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture
(i.e. a dog license or permit to 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
Department of Industrial Accidents
Office of Investigations
600 Washington* Street
Boston,MA 02.111
Tel. # 617-727-49900 ext 406 or 1-877-MASSAFE
Fax 617-727-7749
Revised 11-22-06
wwwrnass.gov/dia
T"a103e J&M-10 teonLnned)
rmcriptive Packages for One and Two-Family R aidential Bnlidinp Heated vritb'Posril'1 eels
kAXfMUM MINIMUM
Glaang Glazing Ceiling Wall Hoar 13ascment Slab Headng/Cooling
Arcs'('/a) U-vatue1 R-valuer R-value' R-values Wall peafinew Ejopmcra Emcieacy'
Pie R-value' R-valuer
5701 to 6500 Heating Degree Days
Q�. 12% 0.40 38 13 19 10 6 Nc=si
R 12% 0.52 30 19 19 10 6 Norma!
S 12% 0.30 38 13 19 10 6 ISAFUE
T 15% 036 38 13 25 N/A NIA Normal
U 15% 0.46 38 19 19 10 6 Normal
Y 15% 0.44 38 13 25 NIA N/A 83 AFUE
W 15% OSI 30 19 19 10 6 85 AFUE
X 19% 032 38 • 13 25. NIA N/A Normal
Y 18%. 0.42 1 38 19 23 NIA NIA Noma!
Z 18% 6.42 38 13 19 10' 6 90 AFUE
AA 13% 1 0.30 33 19 19 10 6 90 AFUE
L 1
1. ADDRESS OF PROPERTY:
2. SQUARE FOOTAGE OF ALL EXTERIOR WALLS: -]
3. SQUARE FOOTAGE OF ALL GLAZING:
4. %GLAZING AREA(#3 DIVIDED BY#2): LL
5. SELECT PACKAGE(Q—AA-see chart above):
NOTE: OTHER MORE INVOLVED METHODS OF DETERMINING ENERGY REQUIREMENTS
ARE AVAILABLE. ASK US FOR THIS INFORMATION,
BUILDING INSPECTOR APPROVAL:
YES:. NO:
q-forms-f980303 a
,1
s RESIDENTIAL BUILDING PERMIT FEES
APPLICATION FEE
New Buildings $100.00
Residential Addition $50.00 '
Alterations/Renovations $ 50.00
Building Permit Amendment $ 25.00
FEE VALUE WORKSHEET
NEW LIVING SPACE
1+ (S square feet x$96/sq. foot x .0041= &�
plus from below(if applicable) —
ALTERATIONS/RENOVATIONS OF EXISTING SPACE
square feet x$64/.sq.foot= x.0041=
plus from below(if applicable)
l�-
GARAGES(attached&detached) .
square feet x$32/sq.ft.= x.0041=
ACCESSORY STRUCTURE>120 sq. ft.
>120 sf-500 sf $35.00
>500 sf-750 sf 50.00
>750 sf- 1000 sf 75.00
>1000 sf- 1500 sf 100.00
>1500 sf-Same as new building permit:
square feet x$96/sq.foot= x.0041=
STAND ALONE PERMITS
Open Porch x$30.00=
(number)
Deck x$30.00=
(number)
Fireplace/Chim*ney x$25.00=
(number)
Inground Swimming Pool $60.00
Above Ground Swimming Pool $25.00
Relocation/Moving $150.00
(plus above if applicable)
Pmjcost Permit Fee-
Rev:063004
Town of Barnstable
Building Department - 200 Main Street
BARNSTABLE, * Hyannis, MA 02601
9 MASS.
$ 1639. , (508) 862-4038
RFD MA'i a
Certificate of Occupancy
Application Number: 20065138 CO Number: 20070198,
Parcel ID: 32715400A CO Issue Date: . 08124/07
Location: 68 CENTER STREET 1.� Zoning Classification:
Village:. HYANNIS
Gen Contractor: OCEANSIDE CONSTRUCTION &OEV Permit Type: SC00
CERT OF OCC SPECIAL PROJ. CM
Comments:
�- 24- 0-7
Building Department Signature Date Signed
TOWN OF BARNSTABLEBU[_Jdi��Ig
Application Ref: 20065138 it
BARNSTABLE, Issue Date: 01/26/07 Perm
9 MASS.
$ArF033P. �� Applicant: OCEANSIDE CONSTRUCTION&DEV
1 A permit Number: B 20070160
Proposed Use:
p Expiration Date: 07/26/07
Location 68 CENTER STREET 1A Zoning District Permit Type: SPECIAL PROJECT ADD/ALTER COMM
Map Parcel 32715400A Permit Fee$ `°' 686.76 Contractor OCEANSIDE CONSTRUCTION&DEV
Village HYANNIS App Fee$ 100.00 License Num 048102
Est Construction Cost$ 84,785
Remarks APPROVED PLANS MUST BE RETAINED ON JOB AND
FITOUT FOR NEW RESIDENTIAL CONDO AT STONERIDGE CROSSING THIS CARD MUST BE KEPT POSTED UNTIL FINAL
UNIT 1A SHELL PERMIT#20062053 I 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 W P
Application Entered by: PR BuildingPermit Issued B :
Y
THIS PERMIT CONVEYS NO_RIGHT TO"OCCUPY"ANY'STREET,'ALLY OR SIDEWALK OR ANY,PART THEREOF,"EITHER TEMPORARILY OR PERMANENTLY.
ENCROACHEMENTS ON"PUBLIC PROPERTY,NOT,SPECIFICALLY PERMITTED UNDER THE BUILDING CODE,:MUST BE APPROVED BY.THE JURISDICTION.
STREET OR-ALLY'GRADES AS WELL AS DEPTH AND'LOCATION OF PUBLI C SEWERS MAYBE OBTAINED FROM THE DEPARTMENT OF PUBLIC WORKS.
THE ISSUANCE OF THIS,PERMIT DOES NOT RELEASETHE APPLICANT FROM THE CONDITIONS OF.ANY APPLICABLE SUBDIVISION RESTRICTIONS -;
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).
BUILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS
2 rlSv 2 2 rd1G7
3 ,D(L 1 Heat g In ection Approvals Engineering Dept
71
Fire Dept 2 Y 1 ^d, Board of Health
HYANNIS FIFE DEPARTMENT