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HomeMy WebLinkAbout0036 KINGS WAY 4 U �! n ^�i� �'� � ,i .. � i � iV Town of Barnstable Building . SrA PostThis'Card'So That it is,Visible From the Street Approved Plans Must be Retained on Job and this Card Must be Kept " Posted Until Final Inspection Has Been Made., P^y.mjllit b99- `1 r .d Where a Certificate of Occup ancy Requited;such Building shall_Not be Occupied,until a Final inspection has been made': Permit No. B-19-4259 Applicant Name: Henry Cassidy Approvals Date Issued: 12/30/2019 Current Use: Structure Permit Type: Building-Insulation-Residential Expiration Date: 06/30/2020 Foundation: Location: 36 KINGS WAY,HYANNIS Map/Lot: 328-006 Zoning District: SF Sheathing: Owner on Record: MAZHEIKA,ANDREI ,.. Contract r NameCAPE COD INSULATION INC Framing: 1 Address: •128 WINDING COVE ROAD = Contra,ctor.1icense: 153567 2 MARSTONS MILLS, MA 02648 ' `< Est P of'ct Cost: $5,400.00 Chimney: Description: Insulation/Weatherization Permit Fee: $85.00 Insulation: Project Review Req: Fee Pal&11� $85.00 bate- 12/30/2019 Final: e e Plumbing/Gas,. Rough Plumbing: 4` VBuilding Official Final Plumbing: This permit shall be deemed abandoned and invalid unless the work authorized,by this permit is commenced within six months after issuance. All work authorized by this permit shall conform to the approved application and the"approved construction documents for which this permit has been granted. Rough Gas: All construction,alterations and changes of use of any building and str ctures hall be incompliance with the local zoning by-laws and codes. This permit shall be displayed in a location clearly visible from access street or road and shall be maintained open for,pu6lic inspection for the entire duration of the Final Gas: work until the completion of the same. r ,- Electrical, ical° The Certificate of Occupancy will not be issued until all applicable signatures bythe Building and Fire Officials are;provided on this.,permit. Service: Minimum of Five Call Inspections Required for All Construction Work: 1.Foundation or Footing 2.Sheathing Inspection _ - _. 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 prior to 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: "Persons contracting with unregistered contractors do not have access to the guaranty fund" (as set forth in MGL c.142A). I� Building plans are to be available on site Fire Department All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT Final: V1 Application number .6 V11� Am Fee ... ................�.5...................... KAM my 31 2019 Building Inspectors Initials....... .... ..... I ABLE : s TOWN O� BARNS Date Issued. ':ah 1. ............................ Map/Parcel....... .F � 6 TOWN- OF BARNS-T-ABLE - - --- EXPEDITED PERMIT APPLICATION: ROOF/SIDING/WINDO WS/DOORS/TENTS/STOVES/WEATHERIZATION PROPERTY INFORMATION r Address of Project: S Wo-, ER STREET AGE Owner's Name:t4v7= ` '1414 2 ke-f'116,9—;Phone Number Email Address: Cell Phone Number Project cost$ ���� Check one Residential Commercial OWNER'S AUTHORIZATION As owner of the above pr rty I hereby authorize e, / to make application for uildin = in accordance with 780 CMR Owner Signature: Date: ` e� 3/� 000 TYPE OF WORK Q Siding 0 Windows (no header change)# P. Insulation/Weatherization 0 oors(no header change)# Commercial Doors require an inspector's review Roof(not applying more than 1 layer of shingles) _ Construction Debris will be going to L�z CONTRACTOR'S INFORMATION Contractor's name -Home Improvement Contractors Registration(if applicable)#/?-2 (attach copy) t Construction Supervisor's License# �-- 1��3('�J c (attach copy) . Email of Contractor y/ "d'_ Phone numbers ALL PROPERTIES THAT HAVE STRUCTURES OVER 75 YEARS OLD OR IF THE SUBJECT PROPERTY.IS IN A HISTORIC DISTRICT, YOU MUST OBTAIN HISTORIC APPROVAL BEFORE A PERMIT CAN BE ISSUED. APPLICATION NUMBER............................................ . .......• *For Tents Only* Date Tent(s) will be erected Removed on number of tents total Does the tent have sides?Yes No (If yes please attach floor plan with exits marked) Dimensions of each Tent X X X Additional tent dimensions can be attached on a separate piece of paper. Purpose of Event Check one: this event is a: for profit non-profit event Check one: Food served Yes No. Flame Spread Sheet of each tent must be attached. Provide a site plan with the location(s) of each tent Fuel source being used LP tank 20 lbs. or>Yes No____,if yes, a gas permit is required, Natural Gas Yes No ,if yes,a gas permit is required. If food is being served at your event please obtain a Health Department approval between the hours of 8:00am-9:30 am or 3.30 pm-4.30pm. Commercial events may require Fire Department approval, *WOOD/COAL/PELLET STOVES Manufacturer# Model/I.D. Fuel Type Testing Lab Offsets from combustibles: front back left side right side HOMEOWNER'S LICENSE EXEMPTION Homeowner's 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 AP P ICANT'S SIGNATURE Signature Date _D� All permit applica ' ns are ubject to a bui ' g official's approval prior to issuance. The Commonwealth of Massachusetts. Department of IndustrialAccidents 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): V'T�r✓/ � f-40✓v f r-1 Address: ?10 if �� d� �P�l�C.r-P- _.. p City/State/Zip: � Phone#: " � J Are m ❑an employer?Check the appropriate box: .Type of project(required): 1. I a a employer with 2---' 4. I am a general contractor and I employees(full and/or part-time).* have hired the sub-contractors 6. .❑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 g• Demolition workingfor me in an capacity. employees and have workers' Y P h'• � # 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 11.❑Plumbing repairs or additions myself. [No workers' comp. - right of exemption per 1VMGL 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. $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 ' urance for my employees.�Below.is the policy and job site information. Insurance Company Name: h— Policy#or Self-ins.Lic.#: nJ Expiration Date: O2 1111q, Job Site Address: l6 0 City/State/Zip: Attach a copy of the workers' compensation p icy declaration page(showing the policy num 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' ance coverage verification. I do hereby certi under th ains andpenalties ofperjury that the information provided above is true and c rrrrectt Signafore: Date: 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#: 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-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 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"the 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 burn 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 02111 Tel.#617-727-4900 ext 406 or 1-877-MASSAFP, Fax#617-727-7749 Revised 4-24-07 www.mass.govfdia t Commonwealth of Massachusetts VvDivision of Professional Licensure Board of Building Regulations and Standards i Const,�rujAl��§bwvisor. CS-111305 FXpires 06/01%2021 T¢9F S s �'�;��+ '•:r � it b._: ANDRE YARMALOVIC.HR � r. •..• ! 204 CINDERELt,0 TERRACE MARSTONS MILLS'MA t)2648 J Commissioner —_ �P• ((3Q17L'Ill0'!'f.F(iPIRIC�O�U[LCLJJCGC�![JCCtd •Office of Consumer Affairs.&'Business Regulation . ' HOME IMPROVEMENT CONTRACTOR TYPE-Individual lstr Reaation gXpR&tLon !' 1772476.' 07/01/2020 t ANDREI YARMALOUICIIi D/B/A BEL-ISLANDS.N.OM ,IMP,ROVEMENT I; 1 . ANDREI YARMALOVLC.M" 204 CINDERELLA TER:- MARSTONS MILLS,MA 0 48, Undersecretary i, ACORO® DATE(MM/DD/YYYY) �. CERTIFICATE OF LIABILITY INSURANCE 3/27/2019 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 policy(les)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 rights to the certificate holder in lieu of such endorsement(s). PRODUCER BRYDEN &SULLIVAN.INS NCONTACT AME: 88 FALMOUTH RD PHONE FAX Ne HYANNIS, MA 02601 E-MAIL ADDRESS: INSURERS AFFORDING COVERAGE NAIC# wsURERA: LM Insurance Corporation 33600 INSURED INSURER B: BEL ISLANDS HOME IMPROVEMENT LLC 204 CINDERELLA TERRACE INSURERC: MARSTONS MILLS MA 02648 INSURERD: 1 INSURER E: INSURERF: COVERAGES CERTIFICATE NUMBER: 47772324 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 CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS GERTIriCATE MAY t3�ISSUE6�OR MAY PERTAIN, THE INSURANCE AFFORDED l3Y THE_.POLICIES bESCRIBED-HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR ADDL SUBR - POLICY EFF POLICY EXP LTR TYPE OF INSURANCE POLICYNUMBER MM/DDr"WI (MMIDDNYYYI LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ CLAIMS-MADE OCCUR PREMISES Ea occurrence $ MED EXP(Any one person) $ PERSONAL&ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER: GENERALAGGREGATE $ POLICY❑JEa LOC PRODUCTS-COMP/OP AGG $ OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ Ea accident ANY AUTO BODILY INJURY(Per person) $ OWNED SCHEDULED -AUTOS ONLY AUTOS BODILY INJURY(Per accident) $ HIRED NON-OWNED PROPS TY DAMAGE $ AUTOS ONLY AUTOS ONLY Per accident $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB HCLAIMS-MADE AGGREGATE $ DED RETENTION$ $ A WORKERS COMPENSATION WC5-31S-615667-019 2/11/2019 2/11/2020 �/ PER STATUTE ERH AND EMPLOYERS'LIABILITY YIN - - ANYPROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $500000 OFFICER/MEMBEREXCLUDED9 N/A ' (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $500000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $500000 DESCRIPTION OF OPERATIONS;LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space is required) WORKERS COMPENSATION INSURANCE COVERAGE APPLIES ONLY TO THE WORKERS COMPENSATION LAWS OF THE STATE OF MA. This certificate cancels and supersedes all previously issued certificates,only as they relate to workers compensation coverage. CERTIFICATE HOLDER CANCELLATION SAND DOLLAR CUSTOMS LLC SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE 23 WHITES PATHS THE. EXPIRATION .DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. SOUTH YARMOUTH MA 02664 AUTHORIZED REPRESENTATIVE Jon Smith ! �` ©1988-2015 ACORD CORPORATION. All rights reserved. 1 ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD 47772324 1 1-615667 1 19-20 WC 1 n0270258 1 3/27/2019 8:24:52 PM (PDT) I Page 1 of 1 Sw, YOU WISH TO OPEN A BUSINESS? For Your Information: Business certificates (cost$40.00 for 4 years). A business certificate ONLY'REGISTERS YOUR NAME in town (which you must do by M.G.L.-it does not give you permission to operate.) You must first obtain the necessary signatures on this form at 200 Main St.., Hyannis. Take the completed form to the Town Clerk's Office, 1st FI., 367 Main St., Hyannis, MA 02601 (Town Hall) and get the Business Certificate that is required by law. DATE: ()S' 2121.6 Fill in please: t.r f'�2,Xy• �nuw�, I APPLICANT'S YOUR NAME/S:' �cCl�iCV ZQii.,��('C[/I L)I1 i t4Fiu - - - - ...._. BUSINESS YOUR HOME ADDRESS: ftr'i� LVd T L !ftjr! O II '➢ jr. TELEPHONE # Home Telephone Number it(DIi r{ 5SN or E I N NAME OF CORPORATION: NAME OF NEW BUSINESS TYPE OF BUSINESS IS THIS A HOME OCCUPATION? YES NO _ ADDRESS OF BUSINESS. S G MAP/PARCEL NUMBER (Assessing) When starting a new business there are several things you must do in order to be in compliance with the rules and regul'ations of the Town of Barnstable. This form is intended to assist you in obtaining the information you may need. You MUST GO TO 200 Main St. — (corner of Yarmouth ' ~ Rd. & Main Street) to make sure you have the appropriate permits and licenses required to legally operate your business in this town. 1. BUILDING COM SI ER'S OFFICEThis individ al h i o , d fQyr requirem nts that pertain to this type of businessi MUST COMPLY G IIATIOOS EFOA OCCUPATION TO 21 RULES AND RE Auto ' d i atur COMPLY MAY RESULT IN FINES: OM ENTad" ` . 4M�_VVIVV 2. BOARD OF ALTH This individual has been informed of the permit requirements that pertain to this type of business. Authorized Signature* COMMENTS: 3. CONSUMER AFFAIRS (LICENSING AUTHORITY) This individual has been informed of the licensing requirements that pertain to this type-'of business. Authorized Signature** COMMENTS: 1 own -oi Barnstable pp'THE rqy Regulatory Services o Richard V. Scab;Director i Building Division 9cb 16 9. � Tom Perry,Building Commissioner prEo►u�t" 200 Main Street,Hyannis,MA 02601 www to wn.barnstable.ma.us , Office: 508-862-4038 Fax: ,5008- ,90-6230 Approved: Fee: ._ Permit#: HOME OCCUPATION REGISTRATION Date:—(') S Name: �/',G!/1 Phone# Address: Village: Name of Business: Type of Business: INTENT- It is the intent of this section to allow the residents of the Town of Barnstable to operate a home occupation, within single family dwellings,subject to the provisions of Section 4-1.4 of the Zoning ordinance,provided that the activity shall not be discernible from outside the dwelling: there shall be no increase in noise or odor,no visual.alteration to the premises which would suggest anything other than a residential use;no increase in traffic above normal residential volumes; and no increase in air or groundwater pollution. After registration with the Building Inspector,a customary home occupation shall be permitted as of right subject to the following conditions: • The activity is carved on by the permanent resident of a single family residential dwelling unit,located within that dwelling unit • Such use occupies no more than 400 square feet of space. • There are no external alterations to the dwelling which are not customary in residential buildings,and there is no outside evidence of such use. • No traffic will be generated in excess of normal residential volumes. • The use does not involve the production of offensive noise,vibration,smoke,dust or other particular matter, odors,electrical disturbance,heat,glare,humidity or other objectionable effects. • There is no storage or use of toxic or hazardous material;,or flammable or explosive materials,in excess of normal household quantities. • Any need for parking generated by such use shall be met on the same lot containing the Customary Home Occupation,and not within the required front yard. • There is no exterior storage or display of materials or equipment • There are no commercial vehicles related to the Customary Home Occupation,other than one van dr one pickup truck not to exceed one ton capacity,and one trailer not to exceed 20 feet in length and not to exceed 4 tires,parked on the same lofcontaking the Customary Home Occupation. • No sign shall be displayed indicating the Customary Home Occupation. • If the Customary Home Occupation is listed or advertised as a business,the street address shall not be included. • No person shall be employed in the Customary Home Occupation who is not a permanent resident of the dwelling unit I,the undersigned,have read and agree with the above restrictions for my home occupation I am registering. - r Applicant _ Date: /75 0.�• /�16.G Homeoc.doc Rev.103113 i '