HomeMy WebLinkAbout0040 LEWIS BAY ROAD - t ,e ,
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Town ®f Barnstable nvll�uBuilding
Post This Card So That it is Visible From the Street Approved Plans Must be Retained on Job and this Card°Must be Kept : ,,
BARNS['ABLE, � ,.s r s- i rr t
v M Posted@ntil Final Inspection Has Been Made Permit
'634`a1 ^, `�.:i
fob Where a Certificate ofOccancy isReq'uir`ed,such Building shall Not be Occupied until a Final Inspection has beenmade e
Permit No. B-20-486 Applicant Name: Tony McCann Approvals
Date Issued: 02/28/2020 Current Use: Structure
Expiration Date: 08 2
Permit Type: Building-Demolition p / 8/2020 Foundation:
Location: 40 LEWIS BAY ROAD, HYANNIS Map/Lot: 327-219 Zoning District: MS Sheathing:
Owner on Record: CAPE COD HOSPITAL Contractor Name: ANTHONY F MCCANN Framing: 1
Address: 27 PARK STREET -Contractor L.icense:, 042421 2
HYANNIS, MA 02601 Est: Protect Cost: $40,000.00 Chimney:
Description: Demolish existing building and replace with a,parking lot y,See Permit Fee: $364.00
informal site review for approval e Insulation:
FePaid' $364.00
Project Review Req: Call when complete to close permit Date 2/28/2020
Final:
v f "_
Plumbing/Gas
� sr Rough Plumbing:
xBuilding Official
Final Plumbing:
This permit shall be deemed abandoned and invalid unless the work authorized by this permit is commenced within six months afte`r.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 structures sfiall be in compliance with the local zoning-by laws antl codes.
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 by the Building and Fire Officials are p�oyided on this permit.
Minimum of Five Call Inspections Required for All Construction Work:,W Service:
1.Foundation or Footing "- k
N Rough:
2.Sheathing Inspection .. ,. -, ..... .-., .. . .,
3.All Fireplaces must be inspected at the throat level before firest flue lining is installed
4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection Final:
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).
Building plans are to be available on site Fire Department
Final:
All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT
Town ®f Barnstable
��FTHE Tp�� Building Department Services
yP o� Brian Florence,'CBO
Building Commissioner BARNSTABLE
BARNSTABLE,
9 MASS y, a u us asiaiiue°sfiztiir:
1639. ,Bq� 200 Main Street, Hyannis, MA 02601 639-2014
AIFD MAC A www.town.barnstable.ma.us 573
Office: 508-862-4038 Fax: 508-790-6230
March 28, 2019
Cape Cod Hospital
c/o Mr. Daniel Ojala, P.E., P.L.S.
Down Cape Engineering
939 Main Street•
Yarmouthport,MA 02675
RE: Site Plan Review#023-19 Cape Cod Hospital -Additional Parking Lot
40 Lewis Bay_Road, Hyannis, Map 327, Parcel 219
Proposal: Existing building to be demolished. Curb cuts along Lewis Bay Road are to be
closed. Parking lot for 29 cars is proposed to connect the existing hospital
parking area.
Dear Mr. Ojala:
At the informal site plan review meeting held March 26, 2019, the above proposal received an
administrative approval from the Site Plan Review Committee subject to the following:
Approval is based upon, and must be substantially constructed in accordance with, site
plans entitled "Site Plan of 40 Lewis Bay Road, Hyannis" dated March 5, 2019, 2
Sheets, prepared for Cape Cod Hospital by Down Cape Engineering, Inc. Yarmouthport,
MA.
® Stormwater calculations for a 25-year storm/24 hour, and an Operations and
Maintenance Plan will need to be submitted and approved by DPW. Contact: Griffin
Beaudoin, Interim Assistant Town Engineer, DPW 508-790-6400.
® A road opening permit is required to be obtained from DPW.
Consultation with DPW and Hyannis FD is required to ensure safest pedestrian walkway
connection. Contact: DPW contact: Griffin Beaudoin, Interim Assistant Town
Engineer,DPW 508-790-6400. Hyannis FD contact: Deputy Chief Dean Melanson
508-775-1300.
o Applicant must obtain all other applicable permits, licenses and approvals required.
t
Upon completion of all work, a registered engineer or land surveyor shall submit a certified"as
built"site plan and a letter of certification, made upon knowledge and belief in accordance with
professional standards that all work has been done in substantial compliance with the approved
site plan (Zoning Section 240-105 (G). This document shall be submitted prior to the issuance
of the final certificate of occupancy
Sincerely,
y
Ellen M. Swiniarski
Site Plan Review Coordinator
CC: Brian Florence, Building Commissioner, SPR Chairman
Deputy Chief Dean Melanson, Hyannis FD
Amanda Ruggiero, Interim Town Engineer, DPW
THEN R1F 10K DCEDD fnl6afivl]GROUPo
August 12, 2016
FORM OF NOTICE OF CASUALTY LOSS TO BUILDING
UNDER MASS. GEN. LAWS, CH. 139, SEC. 3B
Building Commissioner, or Inspector of Buildings
c/o City or Town Hall
367 Main St.
Hyannis, MA 02601
F
Board of Health or Board of Selectmen �,, U7
c/o Citv or Town Hall _ _ 7-10
367 Main St. =-1 crj
Hyannis, MA 02601 sv
rn
Fire Department or Arson Squad
c/o City or Town Hall
367 Main St.
Hyannis, MA 02601
RE: Our File No.: P1613744
Insured: LEWIS BAY REALTY TRUST
Address: 40 LEWIS BAY RD., HYANNIS, MA
Policy No.: R1201750A
Loss Date: 08/08/2016
Loss Type: Building or Other Structure Damage
A claim has been made involving loss, damage or destruction of the above captioned property,
which may either exceed $1,000.00 or cause Mass. Gen. Laws, Ch. 143, Sec. 6 to be
applicable. If any notice under Mass. Gen. Laws, Ch. 139, Sec. 3B is appropriate, please direct
it to my attention and include a reference to the captioned insured, location, policy number, loss
date and claim or file number.
If no reply is received from your office within ten days, we will assume you have no liens of any
type against this property, and the claim will be paid in our customary manner.
Sincerely,
Lorraine A. Peirce
Sr. Property Claims Examiner
1-800-688-1825 x1139
NORFOLK&DEDHAM MUTUAL FIRE INSURANCE CO. 222 Ames Street,P.O.Box 9109,Dedham,MA 02027-9109
DORCHESTER MUTUAL INSURANCE CO. Telephone:(800)688-1825
FITCHBURG MUTUAL INSURANCE CO. a Fax:(781)329-1818
TOWN OF BARNSTABLE BUILDING]PERMIT APPLICATION
an
Map Parcel Application X7�),D
Health Division Date Issued
Conservation Division Application Fee
Planning Dept. Permit Fee
Date Definitive Plan Approved by Planning Board
Historic - OKH _ Preservation / Hyannis
Project Street Address ��1¢«�,�'.�- _,OA�-p Pd
Village P
Owner Address
Telephone -7 S O g0 C3
Permit Request V_._Zoe 6�' cam,.,
Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new
Zoning District Flood Plain Groundwater Overlay
Project Valuation IZ.S®o--c�o 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 Q No On Old King's Highway: ❑Yes UrNo
V gg —i
Basement Type: ❑ Full ❑ Crawl ❑Walkout ❑ Other c 9 w o
Basement Finished Area (sq.ft.) Basement Unfinished Area (sue fi) —+ CD
Number of Baths: Full: existing new Half: existing c nerti
b.
Number of Bedrooms: existing _new ci
Total Room Count (not including baths): existing new First Floor Ro m Counw
t-
o M
Heat Type and Fuel: ❑ Gas ❑ Oil ❑ Electric ❑ Other
Central Air: ❑Yes ❑ 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:
Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑
Commercial A.Yes ❑ No If yes, site plan review #
Current Use A i Proposed Use
APPLICANT INFORMATION
(BUILDER OR HOMEOWNER)
Name Telephone Number a 3 2 Q�
Address Zr/ [,� '-v P�vc./V, eig License # 16 �//0
Home Improvement Contractor# 3 ��
Worker's Compensation #
ALL CONSTRUCTION,QDEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO
Cc��+• • tX.�
SIGNATURE DATE /CJI' 3 X�
A
FOR OFFICIAL USE ONLY
APPLICATION#
DATE ISSUED
MAP/PARCEL NO.
ADDRESS VILLAGE
OWNER
DATE OF INSPECTION:
OPEN NDATIONL fft
FRAME
INSULATION. :
FIREPLACE
ELECTRICAL: ROUGH FINAL
PLUMBING: ROUGH FINAL
GAS: ROUGH FINAL
FINAL BUILDING -.
DATE CLOSED OUT
ASSOCIATION PLAN NO.
i
f U/ae Wo11.1111";ecuLl1 o/�caJ"x",an,
Office of Consumer Affairs&`Business Regulation License>or registration valid for individul use u.!y-.
P OM E IMPROVEMENT CONTRACTOR
before the.ex iration date..If found return to:"'
— registratio .53792 Type ..Office of Consumer Affairs and Business Regulation
xpiratlon -1/8/2015 DBA 10 Park Plaza'-Suite SL7U.
r ) Boston,MA 02116
C&F REMODELING {
CARLOS FIGUEIROA
20 CAPTAIN NOYES RD
I
S.YARMOUTH; MA 02604 I
Undersecretary. Not valid without signature
� I
U
Massachusetts -Department of Public Safety
Board of Building Regulations and Standards
Construction Supen isor ,
License: CS-104107f :,'
CARLOS H FIGiTI YRO
20 CAPTAIN NOYE551tID'
SOUTH YARMOUTH Y�'� 0 4
Expiration j
Commissioner 08/25/2015
r ,
6
1
�twE ram, Town of Barnstable
. Regulatory Services
* sniuvsraa�, «
MASS. Thomas F.Geiler,Director
s639. ti��
En ° Building Division
Tom Perry,Building Commissioner
200 Main Street,Hyannis,MA 02601
www.town.barnstable.ma.us
Office: 508-862-403 8 Fax: 508-790-623 0
Property Ovirner Must
Complete and Sign This Section
If Using A Builder
I, '-A oke', �' 3P.7o'-5, -�� , as Owner of the subject property
hereby authorize to act on my behalf,
in all matters relative to work authorized by this building permit.
IS , �J�
oZ�0
(Address of job)
Pool fences and alarms are the responsibility of the applicant. Pools
are not to be filled or utilized before fence is installed and all final
inspections are performed and accepted.
Signatur f Owner Si tune of Applicant
1
Print Name Print Name
ty�3l i3.
Date
QTORM&OWNERPERhUSSIONPOOLS 6/2012
Massachusetts Workers' Compensation Insurance Plan
� 1py
Acadia Insurance Company NCCI Carrier Code 33391� Administered by Berkley Assigned Risk Services
ASSIGNE RISK SERVICES Phone
Box 1100,Minneapolis,Minnesota 55440-1100
Phone(605)945-2144 Fax(866)215-8118 Toll Free(800)634-4589
www.berkleyassigneddsk.com
CERTIFICATE OF INSURANCE
I. The Insured: WCIP Policy Number: WC-20-20-000092-05
Carlos Figueiroa Tax ID#: F 01-8723094
dba: C N F Remodeling
Policy Period: From: 51112013,
20 Captain Noyes Rd To: 5/1/20'14
South Yarmouth, MA 02664
Date of Mailing: 1117/2013 -
The Certificate is issued as a matter of information only and confers no rights upon the Certificate Holder.
This Certificate does not amend, extend or alter the coverage afforded by the Policy listed below.
This is to certify that the Policy of Insurance described herein has 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 Certificate may be issued or may pertain, the insurance afforded by the Policy described
herein is subject to all the terms, exclusions and conditions of such Policy.
TYPE-OF INSURANCE LIMITS OF:'LIABILITY Coverage
_. .:. State(s)
Part One
MA
Workers' Compensation Statutory
Part Two Bodily Injury by Accident $500,000 each accident.
Employers'Liability Bodily Injury by Disease $500,000 policy limit.
Bodily Injury by Disease `$500,000-each employee.
Should any of the above described policies be cancelled before the expiration date thereof,
notice will be delivered in accordance with the policy provisions.
All Entities/Insureds:
Certificate Holder's Name and Address: Figueiroa
Election Election
Garden Court Condominium Trust Category Status Name
Attn Carla Roy = Sole Proprietor Include Carlos Figueiroa
708 Route 134
South Dennis, MA 02660
I
Date Issued: 11/7/2013,
Leonard Insurance Agency Inc
683 Main St B
Osterville, MA 02655
Signature_
__ � tel:
�� 3 �
�y
3-S �g ��
the Cor inartwealth of Massachusetts
Department of Industrial Accidents
Office of Investigations
600 Washington Street
Boston,MA 02111
ftmwumas&gvWdia
Workers' Compensation Insurance Affidavit: Builders//Contracto>rs/EIectricians/Pllumnbers
Applicant Information Please Print Legibly
Name(Busmess/Orgauizati —
Address: - po S. !
City/State/Zip: Phone#: c
Are you an employer?C i k the appropriate boa: Type general contractor an of project(required):
1_E I am a employer with 4._� ❑ I am a g l d I 6. ❑New construction
employees(full and/or part-time).# have hived the sub-contractors
2.❑ I am a sole proprietor or partner- listed on the attached sheet. y- ❑Remodeling
ship and have no employees These sub-contractors have g. ❑Demolition
working for me in any capacity. employees and have workers' 9. ❑Building addition
[No workers' comp.incun=e comp_insurance.1
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 MGL 12❑Roof repairs
insurance required.]I c. 152, §1(4),and we have no
employees-[No workers' 13.0 Other
comp.insurance required.]
*Any applicant that checks boa#1 mast also U out the section below showing their workers'compensation policy infarmation-
T Homeowners who submit this affidavit mdica=g they are doing all work and then hire outside contracmrs rams submit a new affidavit indicating such
tContractors that check this boa must attached an additinnal sheet showing the name or flee sub-cantractm and stare whether or not those entities have
employees. Ifthe sub-contractors have employees,they must provide their workers'comp.policy number.
lam art employer that is pros iding nwr&ers'compensation insurance for my employees. Below is the po&cy and job site
information. q
Insurance Company Name: �C "2� -2 G p OG l ` C
Policy 4 or Self-ins.Lic.#: N C, -aG - OGGG �� - S' Expiration Date: 5 If
Job Site Address: 0 1( U_-,1 ie CitrState/Zip:_
Attach a copy of the workers'compensation policy eclaration page(shoving the policy number a d 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 far insurance coverage verification.
I do hereby certify under h ,is and penalties of petjnry that the information provided abospe is true/and correct
Si lure: Date: G��
Phone _ cis
O I ns nly. 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.Cih(Town Clerk 4.Electrical Inspector S.Plumbing Inspector
6.Other
Contact Person: Phone#:
__ 6
AssessD is map and lot number ..��...:�..�•••I.';�-.�I..'L' a ; Z1, � 74�
SEPTIC SYSTEM MUST BE
INSTALLED IN COMPLIANCE
Sewage., Permit number ....... )2- --AjC...,,........................... WITH ARTICLE If STATE .
SANITARY CODE AND TOWN
TOWN (ILY
b EAWSTADLE. o
moo nb 9...\e��
APPLICATION FOR PERMIT TO .... ....���........ ...,r .........................................................
... ....
TYPE OF CONSTRUCTION ......... .. .G?Z -.... ,......�!I! �n !..
1 7
TO THE INSPECTOR OF BUILDINGS:
The undersigned hereby`applies or a permit according to the following informatio
c/ ...... .
Location ...... �`...................... ...� L�ldl�. 0 x��/THY ....a..�G : GL6.iG!L'J
` �f
Proposed Use ............................ ..
Zoning Distri .. 1�...........".:. ............/..... ..../.���. District ....... ......................... .............. ..............
Name of Owner. .. .........................Address ?`.... ..........................
.. ....
... .2�'
. t
Name, of Builder � .........r-�..... .G !'� Address J... �� t�
Nameof .Architect ..................................................................Address ....................................................................................
Numberof Ro ms ..................................................................Foundation .. .....� ..................................................
Exierior. ......... 0 '�........ . ...................Roofing ..............................................:.....................................
.F................
Floors Y` .....................Interior
Heating ...... w.... ..................'.....................................Plumbing ................... ............................................................
Fireplace ..................................................................................Approximate Cost ........f.........................................................
Definitive Plan Approved by Planning Board ________________________________19--------. Area
Diagram of Lot and Building with Dimensions Fee / .-r6
SUBJECT TO,APPROVAL OF BOAR D__OF HEAUT-H
I
I
• j
Zd ,
I hereby agree to conform to all the Rules and Regulations of Town of Barnstable re arding the above
construction.
Name .. .. ............ .....................................
Luke, Dr. William
No ,., 18766 Permit for:.:..,add_ to and
remodel office
4.0 Lewis Ba Road
Location ............. Y
.......... ...................:.
Owner .............Dr.. William Luke
Type of Construction .......frame '
--.................................................................................
`Plot ............................ Lot ................................
October 26 76
Permit Granted .............I I...........................19
Y'Date of Inspection ..................19
Date Completed . �'.:..f . ..............19 ;
PERMIT REFUSED
........................................... ................... 19
...............................................................................
Approved ..................,:........................... 19
.. . .......................... .......................................
Assessor's; ri?ap and lot number .�...:�.r�.:�:.��.��'1:.�.�..
Sewage.Permit number ► P...." '
Qy0F4MEp��a TOWN N O BARKSTABLE
b BABHSTADLE, o°
9p0'eTEp639 pr�0 U L D Z�t� � llU ir E•0 TO R Qy`
:. APPLICATION F013 PERMIT TO ......r. ............. ...�................ ....... '!................:.. ...!.......:..:`.....`.. �....r .. .J/IC_ �'
i
TYPE OF CONSTRUCTION
.� ......................:...:...................19........
TO THE INSPECTOR OF BUILDINGS:
The undersigned hereby applies for a permit according to the following information:
'Location ....r. ..:...................:...................`. .. ...............................C................. .............................:.............................!...
ProposedUse ...............................................' � " `r:... .......... .. ...........................................................................................
Zoning Distric�... r �• �! '� Fire•District .......... ....... .... ..... .....................
Name of Owner ...... ............................................................. ........................................'.� `C
....................................... .............................:............:.
�'�/G"/1L / l /�"d!i/GG"� 'L L!:!,`,Cc-�CGIL/
Name of Builder ....................................................................Address ...................................... .........
Nameof Architect ..................................................................Address ..................................................................
•
Number of Rooms Foundation ..L..G;;�/eo� �
laC�( -C `�r/G. Lcc % ..Roofing
Exterior ...�..................................... ..........: ................ ....................................................................................
r
Floors �...'..�....�. `.........................:�.......................Interior. G GCS , . ....................................................................................
...... /--1 ll C—.....:................................Plumbing
Pleating ......I............... ...... .... . ...................... .............................................. .... . .....
Fireplace ..................................................................................Approximate. Cost ........ ..........................................................
Definitive Plan Approved by Planning Board ________________________________19-------- , Area
........ ..............................
Diagram of Lot and Building with Dimensions Fee 5-6
.......... ...............................
SUBJECT TO APPROVAL OF BOARD OF HEALTH
LA
1�
`'1 rLq
I hereby agree to conform to all the Rules and Regulations of the-jown of Barnstable regarding the above
construction.
Name ..
Luke, Dr. William A=327-219
18,766 add to &
No ................. Permit. for ....................................
remodel office -
...............................................................................
Location. ..........4.0.,.Lewi.1s...Bay..Road................
......................... .............
................................
Owner ................Dr....Will.i.am..L.uke
............
Type of Construction ...........frame,...................
...........
...............................................................................
Plot ............................ Lot ................................
06tober 26 1 76
Permit Granted ................................ .....�1 9
Date of Inspection .........................
**"***"19
Z
Date Completed ,
PERMIT REFUSED 4<\
I
................. ................► ...... .P;................ 19
...... ......... . .......... N..... .n9...
I ,...........
... .................:....................
•
............... .W�'
.......... ...........
............ ............. ......... ...........
Approved ................................................ 19
...............................................................................
...............................................................................
Assessor's map and lot .number .....V .......
Sewage Permit number ................
r
TOWN OF ID` A�RINSTA�.BL
THEin
BA"STADLE: o
630
N RUMORS � �l�pONED
C
i�'.. Lj
APPLICATIOW FOR PERMIT TO :.................
rc TYPE OF CONSTRUCTION .............. .. �1..r......L`
4 ................. ......................... .........................19.
TO THE INSPECTOR OF BUILDINGS:
The undersigned hereby plies for a permit accor ing to the f
L i II wing information:
Location ........ � � � ...........................
Proposed Use .........&-.
.. . .................. ...........� ....L ...
Zoning District .........../...t.�............ ............ ...... ........Fire District ..... .
�s�,�.� C ljC U 1 t C- K c,/
Name of Owner ..... ... ........ ................. .. .................Address .............f.. . . .....
Name of Builder .......�� ���� n.........Address ..3.Z . .0
.....�.............. ............ .... .... ..... .
Name of Architect .....�� - ..___
......... ................. .. ............................Address .................................. ............................... ................
Number of Rooms ....... .... .. ........................................Foundation ......... ...... ....................................................
Exterior ..... "I . ..... .......... .... 'P' `'
... ............ .........................Roofing .......... ................. ....................................
Floors
d6, .......................................Interior ........ ........ ...... ....... .
............................................Plumbin ....................�
Heating ........ g �.. ......... ......... ..'.. ................
7 ,
Fireplace ........... C ...................................................Approximate Cost ........(�...`..`..............i.
Definitive Plan Approved by Planning Board --------------------------------19-------- . Area OcI�
Diagram of Lot and Building with Dimensions Fee �®
SUBJECT TO APPROVAL OF BOARD OF HEALTH
hereby agree to conform to all the Rules and Regulations of t wn of Barnstable re•arding the above
construction. '
Name .,r ............
Cape Cod Surgical
18598 remodel office `
No -----.. Pe,mh for �.....................................
'
'
` `
--------------------------
�
40 Lewis 8ay Road � `
Locohnn ,-------_—....................................
' _
8�a�o10�
--------------------------`
bvvne, ......... Surgical . .
�
Type of 'Construction --..�����------_.
` `
�������������������',������.
]�c� ---------� �� ----------' . '
� '
. .
' .
� .'
�000at l9 76
Permit Granted -----��---�—�--.]V . - .
^ � � "
,Date of Inspection ------------l9
' '
' � ^
Dote Completed --�1~�'��---^---]V-��~
. .
. '
. - .
PERMIT REFUSED '
'
' ^
-----_--------.----.`.'. lg
------------------. `
. '--.�.—.---
,
- .
'
—_---------------.--.----
'/=
~..------------------.—~---..�—
--- / . ^ ----.....--.... ------ --------. . ,
` Approved _------'-------'� lg
' .
'
`
----------------------~--..� ��
�---------------------.-........
'
Assessor's map and lot number ..
f i1
t�
Sewage Permit number .., °t-..-. .... . "` _ .
T OLY W N OF dA ji i N-Pp T A B 1��
o u U
g 8ABHSUM,,t639- On
o
�92
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APPLICATION FOR''PERMIT TO ..........:!.`:: :::.. ........................:. �...� .................. ..................................
TYPE OF CONSTRUCTION ..................................•.y........:..........:...... ..............................................................
` / ......Qr......`t...... ............19....,:.
�• TO THE INSPECTOR OF BUILDINGS:
The undersigned hereby applies for a permit according to the following information:
Location ........ ........ .. .. ..... ......................... . .................... . ... .......... ..................... ...........................
Proposed Use ............................i!c•�G✓�c�` :...:. ��.` ............... ..�`............... .....................::...................................
...�. ` ..... : •............. .. :y�.i`
,
T�
Zoning District ^F G'Z ° Fire District ..... .. v�6,:c��-c .�`.`.....`.\..:....% .................................I....................... , .... ....... .
Name of Owner `.:: .'.l ^!<i.✓a .......................................' t '' c
................... .......................Address ............................................
Name of Builder .......... ..!... ./.............li:.✓.'[ .................Address ...... .............!. ............................ {.. ...!. ......`.
h/.--1?
Nameof Architect ...............:..................................................Address ....................................................................................
Number of Rooms < c'� ` mr '..... . .................... ........ ..................Foundation ................... ..... ....................................................
Exterior .. 'f........:1. :�:�/.�.:r ...........................Roofing ....`� % ` ...... ..................:. ....!'..
Floors .............�/ . .. `.. ........... ......................Interior ................. y .................... ' ......... .... .
rieating ..,.... ; ` ................................Plumbin ............/-.`+.. .. ......... . ...... ............ g ...... ..................................
r_
Fireplace ...Approximate. Cost .
Definitive Plan. Approved by Planning Board ________________________________19--------. Area /. ....................'.:............:..::.'..
Diagram of Lot and Building with Dimensions Fee '`
SUBJECT TO APPROVAL OF BOARD OF HEALTH
hereby agree.to conform to all the Rules and Regulations of the Town of Barnstable regarding the above
construction.
Name . .:.` /� %' ...............................................
Cape Cod Surgical A=327-219
18598 remodel office
No ................. Permit for .....................................
..................................................................... ..........
40 Lewis Bay Road
Location ................................................................
Hyannis
...............................................................................
Owner ...............Cap. ...Cod...Surgical. ..............
...... . ...... . ...... . .... .
Type of Construction .....................frame.....................
...............................................................................
Plot ............................ Lot ................
August 19 76
Permit Granted.........................................19
Date of Inspection ....................................19
Date Completed ......................... ..A. 19
PERMIT EF SEQ
.......... .....
. ........ . ......... . .................. /,-:.,0 , ' 7
.. . . ........................................... .......................
CJ
....................................
...........................
Approved .......................... .......... ...... 19 ry vxI
............. .................................................
PARCE't ID 327 219 GEOBASE ID 24321
ADDRESS 40 LEWIS DAY ROAD PHONE
HYANNIS ZIP
ZJIJ't' - IAC 7 ,.� a :t;2 :.�:._._..._..._.�....�.�. ,..._.
l:BA DEVE`t6t t4vb '... } DISTRICT 'HY .
PERMIT 36503 DESCRIPTION ADAPT INTERIOR 'FOR HANl�ICAk� ,USE
PERMIT .TYPE BREMODC ..TITLE C:OMIERCIAL'A-LT/CONY
CONTRACTORS: CHARLES A GI ACCHETTO Department of Health, Safety
ARCHITECTS: and IEIlnviron�n a ntal Services
7
TOTAL FEES: $305 0 00q
BOND $.00
CONSTRUCTION COSTS $50,000.00
437 N ?NRES INOQ F SKP AnD/;Cc�Nt1: 1 .. -PRI A`1 --P.;t .-
�H3�1�'II'A�II.IE,"
FAA .
BUILDING DIVISION
BV,�� >�
DATE 1SSUED 02/17/1999 rt :` ��RATI:ON- ),ATE �L✓�'��'"�-�-�"�w�
THIS PERMIT CONVEYS NO RIGHT TO OCCUPY ANY STREET, ALLEY OR SIDEWALKFOR ANY PART THEREOF, EITHER TEMPORARILY OR PERMANENTLY. EN-
CROACHMENTS ON PUBLIC PROPERTY,NOT SPECIFICALLY PERMITTED UNDER THE B(At DING CODE,MUST BE APPROVED BY THE JURISDICTION.STREET OR
ALLEY GRADES AS WELL AS DEPTH AND LOCATION OF PUBLIC SEWERS MAY BE OBTAINEQ FROM THE DEPARTMENT OF PUBLIC WORKS.THE ISSUANCE OF THIS
PERMIT.DOES NOT RELEASE THE APPLICANT FROM THE CONDITIONS OF ANY APPLICABCE•,SUBDIVISION RESTRICTIONS.
MINIMUM OF FOUR CALL INSPECTIONS REQUIRED
FOR ALL CONSTRUCTION WORK: APPROVED PLANS MUST BE RETAINED ON JOB AND WHERE APPLICABLE, SEPARATE
1.FOUNDATIONS OR FOOTINGS THIS CARD KEPT POSTED UNTIL FINAL INSPECTION PERMITS- ARE REQUIRED FOR
2. PRIOR TO COVERING STRUCTURAL MEMBERS HAS BEEN MADE.WHERE A CERTIFICATE OF'OCCU-
(READY TO LATH). PANCY IS REQUIRED,SUCH BUILDING SHALL NOT BE ELECTRICAL,PLUMBING AND MECH-
3.INSULATION.. OCCUPIED UNTIL FINAL INSPECTIOWHAS,BEEN MADE. ANICAL INSTALLATIONS.
4.FINAL INSPECTION BEFORE OCCUPANCY. ,_;•:
BUILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPE TION APPROVALS
E ./���� �.sL/�� .,5 (�`cs�✓gam/®� �e��e`�sy e
2 � V/01 9 2 2
3 1 HEATING INSPECTION APPROVALS ENGINEERING DEPARTMENT .
p. BOARD OF HEALTH
OTHER:. SITE PLAN REVIEW APPROVAL
WORK SHALL NOT PROCEED UNTIL PERMIT WILL BECOME NULL AND VOID IF CON- INSPECTIONS INDICATED ON THIS
THE INSPECTOR HAS APPROVEDTHE STRUCTION WORK IS NOT STARTED WITHIN SIX CARD CAN BE ARRANGED FOR BY
VARIOUS STAGES OF CONSTRUC- MONTHS OF DATE THE PERMIT IS ISSUED AS TELEPHONE OR WRITTEN NOTIFICA-
TION. NOTED ABOVE. TION.
D G
o
6 a
TOWN OF BARNSTAB)LE BUILDING PERMIT APPLICATION
AL
Map Parcel,—� a/
// Permit#
Health Division Date Issued
Gensew Division Fee 0-S� 2 J
Tax Collector ��Z
u k PLICd1:T `.ii! 'i .:iA!t' A ;;i?PJER
Treasurer A� �t?NNE,':in'. IU`' THE
MHNEGR!NG l twit ih Pl�ii?it C'
n,.,mo�tt` Cf��TRUC'fiOiC
A$'IPLICANT MUS, OBTAIN A SEWER
awe Definitive-Wan Approved by Planning Board CONNECTION PERMIT Ro, THE
ZNGINEERING DIVISION PRIOR
IS�IZ`- Pfeser t-liar n 11111 flnls MigTRUC9'ION
Project Street Address `7 y � /7"tY teo4z `'�Y�A/^/iS
Village
Owner e4P� Address _�10 : .4Y 204,E
Telephone .5��" 775-- U go c'
Permit Request IV/'V0IZ `I✓te41%2 ?8. 11,4N9•c4P 017—e/�fR
.0/ZA— 6ox- yOo�S 3� °—®��Q ?�49 /o G✓�►cC o✓11;9,94 " Deo4 APO t>t9c o2c A!4 ci.
_Cfe,AL9 ®dC&,&/tA 4 e-A"i,
Square feet: 1st floor:existing 2- oo. proposed Z6cad 2nd floor: existing proposed Total new
Estimated Project Cost*ko OPO Zoning District Flood Plain Groundwater Overlay
Construction Type �/0o9 �
Lot Size A//A Grandfathered: ❑Yes ❑No If yes, attach supporting documentation.
Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family(#units)
Age of Existing Structure 3 0 Y—c'4R% Historic House:. ❑Yes (i No On Old King's Highway: ❑Yes Ud No
Basement Type: lull ❑Crawl ❑Walkout ❑Other
Basement Finished Area(sq.ft.) Z000 Basement Unfinished Area(sq.ft) God
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 210iI ❑ Electric ❑Other
Central Air: M/Yes ❑No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑No
Detached garage:0 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❑
Commercial W'Ies ❑No If yes,site plan review#
Current Use et*;C 0P�oS1_iwW4t_ A6DIC41L eArd-'/CZ Proposed Use M�
BUILDER INFORMATION
Name L'�{�,e�5 ���� Telephone Number
Address �s �� /� �� License# C 06 903
70l /���'� /��� Home Improvement Contractor#
Worker's Compensation# ���� A/C
ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO
SIGNATUR DATE Z
FOR OFFICIAL USE ONLY
j PERMIT NO.
DATE ISSUED � . •. d '.:j` }, '.,+ . .� - _ •' y ,
MAP/PARCEL NO. _
ADDRESS VILLAGE
OWNER ,•% �.. <
DATE OF INSPECTION J , ' =✓ f
FOUNDATION q
FRAME
INSULATION ,. n
FIREPLACE '
ELECTRICAL: ROUGH FINAL
PLUMBING: ROUGH FINAL `.
GAS: ROUGH FINAL
FINAL BUILDING 4140 4C,
DATE CLOSED OUT
ASSOCIATION PLAN NO. `
--- - --- The Commonwealth of Massachusetts
Department of Industrial Accidents
L ;:� 600 Washington Street
Boston,Mass. 011ll
Workers' Comp
e
nsation Insurance
Affidavit
name: JAAw A,%Qa-- (fop 570?�ICg d &O.-M C.
location 4 e-e-V(C A5?4p 120- ,0
i
city `I sl P-S phone# 97,7'7
❑ I am a homeowner performing all work myself.
❑ I am a sole ronrietor and have no one workin in anv ca acity
am an employer providing workers' compensation for my employees working on this job.
compnnv name
address:
city: phone#-
insura a cn. Pn11cV# c
////M/////i%/
I am a sole proprietor eneral :ontracto , r homeowner(circle one) and have hired the contractors listed below who
have
the follo«ing workers' compensation polices:
//�1 ,o
company name: c��' r�-� �+�' ~s 0
-y @ .............
address: L / �t �p�,y
city. e��� ! s"�9� phone
insornnce cn. �comnanv name-
address:
city. ... phone#'
... ..
insurance co. olicv# yAA21�6�0
Failure to secure coverage as required under Section 25A of MGL 152 can lead to the imposition of criminal penalties of a fine up to S1.500.00 and/or
one years'imprisonment as well as civil penalties in the form of a STOP NVORK ORDER and a fine of S100.00 a day against me. I understand that a
copy of this state n may be forward to the Mee of Investigations of the DU for coverage verification.
I do hereby rrif the ains Zan ,�Ienmafties j e that the information provided above is truo and correct
t
Signature Date
� ��16/ S� _
Print name � GCe �i� s l'7� Phone# �76� ,t "—Y¢io O
AMOM
official use only do not write in this area to be completed by city or town official
city or town: permit/license# ❑Building Department
❑Licensing Board
❑check if immediate response is required ❑Selectmen's OMce
❑health Department
contact person: phone#; ❑Other
.. ...:::::.::::..:.....::::::.:
([evsseo 9i95 PIA)
Information and Instructions
Massachusetts General Laws chapter 152 section 25 requires all employers to provide workers' compensation for their
employees. As quoted from the "law", an employee is defined as every person in the service of another under any contzz.=
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 c-
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 section 25 also states that every state or local licensing agency shall withhold the issuance or renewa:
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, 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. o
Mimi
Applicants
Please fill in the workers' compensation affidavit completely, by checking the box that applies to your situation and
supplying company names, address and phone numbers along-with a certificate of insurance as all affidavits 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.
�/11
City or Towns
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. The affidavits may be returned ie
the Department by mail or FAX unless other arrangements have been made.
The Office of Investigations would like to thank you in advance for you 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
Eng@®Q RRUSBWSQ URS
600 Washington Street
Boston; Ma. 02111
fax#: (617) 727-7749
phone #: (617) 727-4900 ext. 406, 409 or 375
.t
2
fl6IOO�YILYI2dI2C!/C[LLc/L O`v Z(Q.JJCLC7I.Cl;iP.11"
t
DEPARTHENT OF PUBLIC SAFETY
g 4 CONSTRUCTION SUPERVISOR LICENSE
I
Nuober Expires:
Restricted jTo: 00
`CHARLES A GIACCHETTO
709 HAIN ST
UALTHAM, MA 02154
TOWN OF BARNSTABLE
BUILDING PERMIT
PARCEL ID 327 219 GEOBASE ID 24321
ADDRESS 40 LEWIS BAY ROAD PHONE
HYANNIS ZIP —
LOT BLOCK LOT SIZE
DBA DEVELOPMENT DISTRICT HY
PERMIT 36503 DESCRIPTION ADAPT INTERIOR FOR HANDICAP USE
PERMIT TYPE BREMODC TITLE COMMERCIAL ALT/CONV
CONTRACTORS: CHARLES A GIACCHETTO Department of Health, Safety
ARCHITECTS: and Environmental Services
TOTAL FEES: $305-00
BOND $.00
CONSTRUCTION COSTS $50,000.00
437 NONRES./NONHSKP ADD/CONV 1 PRIVATE �� a
Pam.
n6g� Qoo
�D
BudILIID IVIIS�
BY
DATE ISSUED 02/17/1999 EXPIRATION DATE
a TOWN OF BARNSTABLE
SIGN PERMIT
PARCEL ID 327 219 GEOBASE ID 24321
ADDRESS 40 LEWIS BAY ROAD PHONE
HYA.NN I S ZIP -
LOT BLOCK LOT SIZE
DBA. DEVELOPMENT DISTRICT NY
PERMIT 25468 DESCRIPTION CAPE COD SURGICAL ASSOCIATES (46"X 46" )
PERMIT TYPE BSIGN TITLE SIGN .PERMIT
CONTRACTORS: Department ®f Health, Safety
ARCHITECTS: and Environmental Services
TOTAL FEES: $25.00
BOND $.00 0`
CONSTRUCTION COSTS $.00
753 MISC. NOT CODED ELSEWHERE
NAM .5
OWNER- LUKE., WILLIAM & .RAPO SEPPO '
_ . o n�g� o�
ADDRESS LEWIS R B & SCARPATO R A
40 LEWIS BAY ROAD
HYANN I S MA BUILDING DI,VISION�`
Bk
DATE ISSUED 09/08/1997 EXPIRATION DATE L''�
I '
Cl
: � • he Twin of BEmst2lbRe '0"Rs-q 6 3-
g ��� ®��HI�Il�I�, ���� �ffi�I l�ffi��ffi�����fl ��I�Il�� _ 7
° D(��D�III`il BbIIIllQIlffi Dllll®ffi g 7
367 Main Street,Hyannis MA 02601
J.
Ralph Crossen
Office: 508-790-6227
Fax: 508-790-6230 Building Commissioner
Application for Sign Permit
Applicant: �a2p' g12o a A1200191Lf Assessors No. 327 219
Doing Business As: CA Pt c xu a AWO Telephone No. :376'
Sign Location t
Street/Road: Ma L ELV 1I W MY4ANS UPI aQ
?onin District" HYANNIS FIRE DISTRICT Old Rings Fiighisay? 1°e . 'o
g
Property Owner
Name: ��&e�8 (� � e`��G {L 1 1 Telephone: 4
Address: 1-0 `village: hom
Sign Contractor
Narne: DeWLM &2A PMCI S Telephone:
Address.. !v5 N P-'61 td1 S LC9 Village: w,
C
Description
Please draw a diagram of lot shooing location of buildings and e.asting signs «ith dimensions,
location and size of the new sign. This should be drawn on the reverse side of this application.
Is the sign to be electrified? oYe--v�io (Vote:Ifni, a mHggpermit rs required)
I hereby certify that I am the miner or that I have the authority of the owner to snake this
application, that the information is correct and that the use and construction shall conform to the
provisions of Section 4 3 of the Town of:BamasleaOrdinance.Signature of Owncr/Authorized Agents9 ��. Dar.:
Size: �t� X !, Permit Fee:
Sign Pennit was approved: Disapproved:
r
Signature of Building Offici l Date: 9" g