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HomeMy WebLinkAbout0100 INDEPENDENCE DRIVE (4) �no� �� 4 I ', I I G P' i Town of Barnstable Building Department Brian Florence, CBO Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.bamstable.ma.us Pre-application for Business Certificate Date 3/13/2020 Map 6� Parcel Applicant Information Steven King d/b/a PerfectlyCAD Applicants Name 100 Independence Dr, Sking@tenorking.com Applicants Address Suite 7-472 Email Address Telephone Number 774-278-1971 Listed[ Unlisted ❑ Business Information New Business? k'Yes No --------------------------------------- - Business is a registered corporation? ------------------------. Yes iNo If yes Name of Corporation Does business operate under the registered corporate name? YesNo' Is the business a'sole proprietois',or home occupation?----- --- Yes` No If yes then a Home Occupation Registration is required—See Building Division Staff Name of Business 0 p .� Z gnlll�7 Business Address /®® �np�-P��ll�l,P.t'lG� � �L� V Type of Business 1=✓l �f h��'i' �f,Sy�,�( ,•� �a S 17) Building Commissioner Office,Use Only Conditions Building Commissioner e Date Clerk Office Use Only Town of Barnstable i111Cl1n Post ThisCard So:That9 t is1/isible From>the•Street-A rouetl°Plans.Must=be''•Retamed on Job and this CardMust be Ke t MRWAS& •aa' .:, ,' •''., :1v.' k , PP >z �\\` $�& a P s `' PostedUntil Final�lnspection HasBeen"Made. s �`_ z � ; - +• <Whe s. rea Certificate of O.ccw anc ;is Re' wired suchBurld�n sFall;Not be Occu led until aFinal=lns ection has=been made ei jijlt •: \.... .,. p.. Y .n Q.. .. ... ... mow.. .. G.., g _: .. ., r p 4... .N. ,: .. a:p.. .�. ::a. >y... ..;. Permit No. B-19-1683 Applicant Name: ROBERT P COLEMAN Approvals Date issued: 05/28/2019 Current Use: Structure Permit Type: Building-Alteration INTERIOR Work Only- Expiration Date: 11/28/2019 Foundation: Commercial Map/Lot 294-013 Zoning District: IND Sheathing: Location: 100 INDEPENDENCE DRIVE, HYANNIS n Con#trccto Na e \ ROBERT P COLEMAN Framing: 1 Owner on Record: MACGREGOR J BRUCE&CATE TRS ,ontractor'License CS 078019 2 Address: 27000MMUNICATION WAYSUITE B '"• ' Est,Protect Cost: $5,500.00 Chimney: HYANNIS,,MA 02601 bx Permit,fee: $270.00 Description: remove interior walls and finishes to prepare'for renovation-non � � Insulation: F5ee'.Paid ti= $270.00 structural unit 10 fl ` Date: 5/28/2019 Final: Reviewer's Note: J, Building directory shows this space as Unit 4C = g" ,ter �G�1 Plumbing/Gas Rough Plumbing: Project Review Req: `M ' ' Building Official Final Plum bing: mbing: This permit shall be deemed abandoned and invalid unless the work authorized by this permit is commenced within s x months after issuance. All work authorized by this permit shall conform to the approved application andthe`approved construction documents for which"this permit has been granted.. Rough Gas: All construction,alterations and changes of use of any building and structures shall be incompliance with the local zon rig byawand codes. I \N _, 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 Final Gas: work until the completion of the same. Electrical The Certificate of Occupancy will not be issued until all applicable signatures,rby tthee'BB'uildmgand Fie Officials are provid don this'•Fpermit. Minimum of Five Call Inspections Required for All Construction Work: Service: . 2.Sheathing Inspection 1.Foundation or Footing Rough: 3.All Fireplaces must be inspected at the throat level before firest flue lining is installed Final: 4.Wiring&Plumbing Inspections to be completed priorto'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 Work shall not proceed until the Inspector has approved the various stages of construction. Final: "Person racting with unregistered contractors do not have access to the guaranty fund" (as set forth in MGL c.142A). q,Z Fire Department Building plans are to be available on site �' All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT Final: �ZNE ~p tOWN OF BAR VWAR#onN=ter....1.... . �........... BARNSUBIX MY s639 163 20 P rote...........—..............Other Fee........................ . �� TotalFee Paid............................................................... ...... TOWN OF BARNSTABLE Permit Approval by........0..� ...................on.... . BUILDING PERNIIT Map.......... ................Parcel.............. .f........ ,1............. _ APPLICATION Section 1 — Owner's Information and Project Location Project Address �(� J,.10De--F5:,U b FIAX a` D/4 1/6-, VN I r Village .44'V(17 Owners NameZ4&69,yl Nt Y g e f /l Ar l vet%fLa y,r Owners Legal Address 110 66h N4).U/eW1D0 V Y City IVY 4 0V State IVI-� Zip D Z to l Owners Cell# E-mail Section 2 —Use of Structure Use Grroup ❑ 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/( ' ) Y ❑ Finish Basement ❑ Family/Amnesty ❑ Fire Alarm Rebuild ❑ Deck Apartment © Sprinkler System ❑ Addition ❑ Retaining wall ❑ Solar ❑ Renovation ❑ Pool ❑ Insulation Other—Specify Section 4 - Work Description �NDU94�i�� .- ivD.v �7����vK�►-� ' Application Number..................... ................. ......... ec S tion 5—Detail Cost of Square Proposed Construction ��o, S q � J Footage of Project J Age of Structure Dig Safe Number # Of Bedrooms Existing Total# Of Bedrooms (proposed) 110 MPH Wind Zone Compliance Method MA Checklist ❑ WFCM Checklist ❑ Design Section 6-Project Specifics Wiring ❑ Oil Tank Storage JK Smoke Detectors ❑ Plumbing ❑ Gas ❑ Fire Suppression Heating System ❑ Masonry Chimney ❑Add/relocate bedroom Water Supply Public ❑ Private Sewage Disposal Municipal ❑ On Site Historic District ❑ Hyannis Historic District ❑ Old Kings Highway Debris Disposal Facility: I am using a crane ❑ Yes M 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 K16j�- 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 y T—t m iath A- 11 11 inlll 2 f }l t penc ence°it yannis i ea t+ Trust 27C €�rnmurnatioh. Uay'unit 7 Nyanni i4�ta.t bCI1 1`eleohone 348 362 1721 Email W � �5L a M C May 28", 2019 Re:Demolition permit 100 independence drive unit#10 B To whom it.may:concern, ! lease be dvisdd that we have red PaullCpiman to provide demolition,services;at the above: _ . . address , Those services finclude the removal df duttiw'ar t none structural part tigns,'and W.Nng in' preparati1n Off: dei�r� Thank,.you for your attantion'in thsi'natter. s .-- Br :iviacgregor PrInclple coc - m U- CIV Ztn Client#:19777 2ALLIEDSYI ACORD. CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) 01/23/2019 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 pollcy(ies)must have ADDITIONAL INSURED provisions or 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 any rights to the certificate holder In lieu of such endorsement(s). PRODUCER C The Hilb Group of N.E.dba PH NEFAX Ar No Ell:508 775-1620 A/c No): 5087781218 Dowling&O'Neil Insurance Agy E-MAIL R MA P.O.BOX INSURER(S)AFFORDING COVERAGE NAIC e Hyannis,MA 02601 INSURER A:Travelers Insurance Company 36137 INSURED INSURER B:Travelers Indemnity Co.of CT 25682 Allied Systems Technologies,Inc. PO BOX 615 INSURER C: INSURER D: Forestdale,MA 026" INSURER E INSURER F: COVERAGES CERTIFICATE NUMBER: 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 CONTRACTOR 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 SUB POoLICY EFf POLICY EXP LTR INSR WVD POLICY NUMBER MN/DD MM/DD LIMA A X COMMERCIAL GENERAL LIABILITY 6807C39227A1942 1/20/2019 01/20/2020 EACH OCCURRENCE $1 000 000 CLAIMS-MADE � PREMISE OCCUR S Eao a Dsnce $300 000 MED EXP(Any one person) $5 000 PERSONAL&ADV INJURY $1 000 000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $2,000 000 POLICY I XI JECT LOC PRODUCTS-COMP/OP AGG $2,000,000 OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMB Ea accident ANY AUTO BODILY INJURY(Per person) $ OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY(Per accident) $ HIRED NON-OWNED PROPERTY DAMAGE $ AUTOS ONLY AUTOS ONLY Per accident UMBRELLA LJAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED RETENTION$ $ B WORKERS COMPENSATION AND UBOK1485561942G 1/20/2019 01/20/202 PER X Ea EMPLOYERS'LIABILITY ANY PROPRIETOR/PARTNERIEXECUTIVE Y/N E.L.EACH ACCIDENT $1 GOO 000 OFFICER/MEMBER EXCLUDED? N1 N/A (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE $1 000 000 If esd S6descbounder underDRIPTION OF OPERATIONS below E.L DISEASE-POLICY LIMIT s1,000,000 DESCRIPTION OF OPERATIONS/LOCATIONS I VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached H more space is requlred) Insurance coverage is limited to the terms,conditions,exclusions,other limitations and endorsements. Nothing contained in the certificate of insurance shall be deemed to have altered,waived,or extended the coverage provided by the policy provisions. CERTIFICATE HOLDER CANCELLATION PMG Mechanical Systems,LLC SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 11 Jan Sebastian Drive,Unit 12 ACCORDANCE WITH THE POLICY PROVISIONS. Sandwich,MA 02563 AUTHORIZED REPRESENTATIVE 0 1 988-201 5 ACORD CORPORATION.All rights reserved. ACORD 25(2016/03) 1 of 1 The ACORD name and logo are registered marks of ACORD #S228269/M228268 RPSW1 The Commonwealth of Massachusetts Department of Industrial Accidents 1 Congress Street, Suite 100 Boston,MA 02114-2017 �a www massgov/dia 5� Workers'Compensation Insurance Affidavit:General Businesses. TO BE FILED WITH THE PERMITTING AUTHORITY. ADalicant Information Please Print Legibly Business/Organization Name:Allied Systems Technologies, Inc. Address: 15 Jan Sebastian Drive City/State/Zip:Sandwich, MA 02563 Phone#:508771-6744 Are you an employer?Check the appropriate box: Business Type(required): 1.❑✓ I am a employer with 2 employees(full and/ 5. ❑Retail or part-time).* 6. Restaurant/Bar/Eating Establishment 2.❑ I am a sole.proprietor or partnership and have no 7. Office and/or Sales(incl.real estate,auto,etc.) employees working for me in any capacity. [No workers'comp.insurance required] g• Non-profit 3.❑ We are a corporation and its officers have exercised 9. ❑Entertainment their right of exemption per c. 152,§1(4),and we have 10.❑Manufacturing no employees. [No workers'comp.insurance required]* I I.❑Health Care 4.❑ We are a non-profit organization,staffed by volunteers, with no employees. [No workers' comp.insurance req.] 12.[Zl Other Electrical Contractor *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. **If the corporate officers have exempted themselves,but the corporation has other employees,a workers'compensation policy is required and such an organization should check box#1. I am an employer that isproviding workers'compensation insurance for my employees. Below is thepolicy information. Insurance Company Name:Travelers Insurance Company Insurer's Address:C/O Dowling&O' Neil Insurance Agency City/State/Zip: 973 lyannough Rd, PO Box 1990 , Hyannis, MA 02601 Policy#or Self-ins.Lic.#UBOK1485561942G Expiration Date:01/20/2020 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 certify,under thepainnss andpenalties ofperjury that the information provided above 1 is true and correct �a Signature: a4cgl Date: ��Z© //i Phone#:508 771-6744 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.Licensing Board 5.Selectmen's Office 6.Other Contact Person: Phone#: www.mass.gov/dia 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 your insurance company's name,address and phone number along with a certificate of insurance. Limited Liability Companies(LLC)or Limited Liability Partnerships(LLP)with no employees other than the members or partners,are not required to cant'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 d 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). 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 burn leaves etc.)said person is NOT required to complete this affidavit. The Department's address,telephone and fax number: The Commonwealth of Massachusetts Department of Industrial Accidents 1 Congress Street Boston, MA 02114-2017 Tel. #617-727-4900 ext. 7406 or 1-877-MASSAFE Fax#617-727-7749 www.mass.gov/dia Form Revised 02-23-15 . .. oOw ► rH o arAssA :, iw1uOa Is � ELECTRICIANS lg --k tSSt1��STLit FALLOWING LICENSE R CIS�Ef MASTg mc TRIEtAN x1 kxa , ubi r 'RL19>3Nt7 P3COLEMAN�1z �� A LLED.YS �I ECHNIOLOGIES IN k t w116 HILLSI W. CENT ERVLLIE,=NIA"02fY3G '17527 W . r' t „�v.-"'w�'•'.�"'gaF.w,a +TM.�, •>.u�+ ',' `a t. .,sus ,zf�e••�•a.'"` _- OMMONVI►EA�.TH O�MA1yHt�SE � s o O o o tANA-�EL`1=CttOfiAIVS �Rq ..' `fir '•+ . . ISSIES� E EOLLOWINO LICE�I�IS�E AS Ay_ RQBSRT P',SpftEMA PC` ` sCENTEL 014 x a W 19373 - zf �. IN b7`7 '9/2019. ,t# x898fi 1 ^ I OSHA E O 4 9 IV, A,. U S.Department of tabor Occupations!Safety Adnun,siratlon. and Health aofexrian 'flas successfuttcorraiie}�d a t(}ifour Occa tional 7famtng i `, Pa ety and Health a cUOR safHeigttL 41 (Trainer) Pa efi) r Commonwealth of Massachusetts Division of Professional Licensure Board of Budding Regulations ah&Standards Co nst4�tf'$ti�SiSj rvtsor CS-041. 78019 j Aires 09/03/2020 ROBERT P CALEMAN 116 HILLSIDE`DFtIVE�°,t yff UNIT A4 .1 CENTERVILLE tf2632 �� Coriamissoner Application Number........................................... Section 9- Construction Supervisor Name Qd rk�t r r' 6DGi iXAx) Telephone Number ,�'P 9 3 2-e,- 7 Z-U Address W f- 5"'�r' /k City 6 C-A,/e-V-V"(U!fftate Pl l�- Zip Z License Numb License Type Expiration Date Contractors Email Pc,4-,�,-ra4 e &ivt 4l t , G o m Cell# 4A-M F- 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 requ�ire �, d by 780 CMR and the Town of Barnstable.Attach a copy of your license. Signature 1?WU1L p Date S 2-D / Section 10-Home Improvement Contractor F! 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 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.I.C... i 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 Is-- Zd1? Print Name Telephone Number S D�f 32- E-mail permit to: ,pG 'r Vg!,® 4zlV4/L Gpm 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 i 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 i Print Name i