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HomeMy WebLinkAbout0599 MAIN STREET (HYANNIS) (6) Pro t TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map 309 Parcel Application # O�U 063 3 4 Health Division Date Issued 611., 1 f� Conservation Division Application Fee 00 Planning Dept. Permit Fee 7" Date Definitive Plan Approved by Planning Boardj Historic - OKH _ Preservation / Hyannis Project Street Address S9 "d-ill �Q�� r��l r► „� Village U CZn n ' S` t Owner Bee __'h ' I rr�e A I I L L-C Address 5g 9 Mu in 51 /-Ji4a-n n i.S P4 Telephone 56 B ` 5 3 Li - q Permit Request S / fait- c, Square feet: 1 st floor: existing proposed 2nd floor: existing proposed ' Total new= Zoning District A? Flood Plain Groundwater Overlay S � �` Type 4 Project Valuation r3 � Construction T e " �� � Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting document- tion. Dwellirig,Type: Single Family ❑ Two Family ❑ Multi-Family(# units) ,u= Age of Existing Structure Historic House: ❑Yes ❑ No On Old King's Highway: ❑Yes ❑ No Basement Type: ❑ Full ❑ Crawl /❑„Walkout ❑ Other 0t-4 6iLA 9 6• 440) Basement Finished Area (sq.ft.) /" �� Basement Unfinished Area (sq.ft) 14/ — Number of Baths: Full: existing new Half: existing new Number of Bedroomsi. A- existing _new F Total Room Count (not including baths): existing Anew First Floor Room Count Heat Type nd Fuel: ❑ Gas ❑ Oil ❑ Electric ❑ Other Alt, Central Air: ❑Yes o Fireplaces: Existing��New Existing wood/coal stove: ❑Yes ❑ No Detached garage: ❑existin6 ❑ new size_Pool: ❑ existing ❑ new size _ Barn: ❑ existing ❑ new size_ 1V Attached garage: ❑ existing O 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 APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name i i I,Lr S-fa(bLick ci f1 S 4-;?Lic+i cn Telephone Number ci - 1 9 Address PO 12DOX -7..la License # iC�l mp u-rh . MA 0)541 Home Improvement6ntractor# I I Q 313 Worker's Compensation # o a-a U 9 15 ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO i SIGNATURE �'l �' DATE Z 'f A FOR OFFICIAL USE ONLY ` APPLICATION# DATE ISSUED MAP/PARCEL NO. ADDRESS VILLAGE OWNER j.: DATE OF INSPECTION: Ix_- FOUNDATION.. I FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING �. DATE CLOSED_OUT ASSOCIATION PLAN NO. r Initial Construction Control Document v To be submitted with the building permit application by a " M d Registered Design Professional A for work per the 81h edition of the wM SVe�e Massachusetts State Building Code, 780 CMR, Section 107.6.2 Project Title: Date: Property Address: 59 9 MAW 6N o�lJi / r17��l, 14 d M Project: Check one or both as applicable: X New construction ❑(Existing Construction Project description: C,0 ftj(f Uci'h0n. 0-� a L S IL 1 I 0M f)I' W t 1 e . MA Registration Number:3� ti Expiration date: � `o ,am a registered design professional, and hereby certify that I s concerning: UO'rf IOUs COr1,4�`�UG on coh9Ya [ ] Entire Project [ ]-Architectural [y} Structural [ ] Mechanical [ ] Fire Protection [ ] Electrical [ ] Other for the above named project and that such plans, computations and specifications meet the applicable provisions of the Massachusetts_State Building Code, (780 CMR),and accepted engineering practices for the proposed project. I understand and agree that I(or my designee) shall perform the necessary professional services and be present on the construction site on a regular and periodic basis to: 1. Review, for conformance to this code and the design concept, shop drawings, samples and other submittals by the contractor in accordance with the requirements of the construction documents. 2. Perform the duties for registered design professionals in_780 CMR Chapter 17, as applicable. 3. Be present at intervals appropriate to the stage of construction to become generally familiar with the progress and quality of the work and to determine if the work is being performed in a manner consistent with the approved construction documents and this code. When required.by the building official, I shall submit field/progress reports (see item 3.)together with pertinent comments, in a form acceptable to the building official. Upon completion of the work,I shall submit to the bu ding official a `Final Construction Control Document'. �AT&^44 4,9 Enter in the space to the right a"wet"or. DOMENf G v� electronic signature and;seal: � DeANGEL�. STRUCTURAL3o a. sew •t( . -. '% � . , :�. . A" ,:; 5 .•xi .. 42.� r� � .hq S 1,�..4" �C\��F`�' pS?k' r --// r .ir � •a7r.; - _• Phone number: `�'`p p6 o E nr � 'Email: Building Official Use Only Building Official Name: Permit No.: Date: Trial Version 10 09 2012 F 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): 1-�/�l 1 l tr Stct.r bL4 C-1(, (n r n Sfr L tc+i(jn Se r y i Ce-S �lC. Address: PC) (30)( 122,6 City/State/Zip: r0 I rnQ ut-h MA 6).5 y I Phone#: 50 9- 5301 , I 1 a`-f Are you an employer?Check the appropriate bog: Type of project(required): 1.[ /1 am a employer with 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 i ship and have no employees These sub-contractors have g. ❑Demolition I working for me in any capacity. employees and have workers' 9. ❑Building addition [No workers'comp.insurance comp insurance.t required.] 5. ❑ We are a corporation and its 10.0 Electrical repairs or additions 3.❑ 1 am a homeowner doing all work officers have exercised their 11.❑Plumbing repairs or additions myself- [No workers' comp. right of exemption per MGL 12.0 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 hue 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 the policy and job site information. 1 Insurance Company Name: I(� Ir i Yl S LA ra-n ciL Policy#or Self-ins.Lic.#: WC- 0 )(9-0 9 0.5 Expiration Date: Job Site Address: 5q q P"1 a I n City/State/Zip: 14 In l'1 i 5 , HA U,LP 0, 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$1,50.0.00 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 the pains and penalties of perjury that the information provided above is true and correct. (Si afore: i `� Date: 2-�- 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 Heal.th 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person Phone#: I Massachusetts -Department of Public Safety Board of Building Regulations and Standards. con4i•iirtion%gy&viwr License: CS-043338 PHILIP M MILLEA PO BOX 726 FALMOUTH Mid 02I if W IM`" Expiration Commissioner 0311.4/2015 \ 9 x License or registration valid for individul use only ; I Office'of Consumer Affairs&Business Regulation k1OME IMPROVEMENT CONTRACTOR; before the expirahon date. If found'return to:,Y e istration: 110373 7ypei. Office of Consumer Affairs and Business Regulation 9 - k ryry 10 Par Plaza-Suite,5.17 [ CExpiration 10/20/2014 Private Corporab(-v Boston,MA 02116 MILLER STARBUGK CONSTRUCTION, INC. PHILIP MILLER JR % i 40 MILL POND WAY . • FALMOUTH,M.A..02536,`. -- Undersecretary,ecretarY. Notvalid without signatur i H L/V/Z VM DATE(MM/DD/YYYY) - CERTIFICATE OF LIABILITY INSURANCE 05/15/2013 H1S,CE42TIFICATE 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(ies)must 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 CONTACT NAME: Gwen Vosburgh Mason & Mason Insurance Agency, Inc. ac"N Ext: 781 .447.5531 (ACNe.781 .447.7230 458 South Ave. E-MAIL ADDRESS: Whitman, MA 02382 PRODUCER CUSTOMER to M Gwen Vosburgh INSURERS AFFORDING COVERAGE NAIC# INSURED INSURER A: Main Street America Assurance 29939 Miller Starbuck Construction Services Inc INSURERB: Star Insurance 000204 PO BOX 726 INSURER C: Falmouth, MA 02541 INSURER D: INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: 12/13 built by KW 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 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. ILTR TYPE OF INSURANCE I SR WVD POLICY NUMBER MM/DDY EFF/YYYY MM/DDY� LIMITS GENERAL LIABILITY MPF1 10O 12/01/2012 12/01/2013 EACH OCCURRENCE $ 2,000,000. X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED $ 500,00 PREMISES Ea occurrence CLAIMS-MADE rX1 OCCUR MED EXP(Any one person) $ 10,00 A PERSONAL&ADV INJURY $ 2,000,00 GENERAL AGGREGATE $ 4,000,00 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ 4,000,001 POLICY PRO- LOC $ JECT AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ (Ea accident) ANY AUTO BODILY INJURY(Per person) $ ALL OWNED AUTOS BODILY INJURY(Per accident) $ SCHEDULED AUTOS PROPERTY DAMAGE $ HIRED AUTOS (Per accident) NON-OWNED AUTOS $ $ OC UMBRELLA LIAB CUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DEDUCTIBLE $ RETENTION $ $ WORKERS COMPENSATION WCO22O91 03127/2013 03/27/2014 We sTATu- oTH- AND EMPLOYERS'LIABILITY Y/N TORY LIMITS ER ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER INCLUDED E.L.EACH ACCIDENT $ 1,000,00( B OFFICER/MEMBER EXCLUDED? N/A (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ 1,000,00C ff yes,-describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 1,000,00( DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (Attach ACORD 101,Additional Remarks Schedule,if more space is required) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE. WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. Town of Barnstable Attention: Bu I I d I ng Department AUTHORIZED REPRESENTATIVE 1 200 Main Street Hy nnis , MA 02601 lPhilip W. Mason. ©1988.2009 ACORD CORPORATION. All rights reserved. ACORD 25(2009/09) The ACORD name and logo are registered marks of ACORD /'I V V IT IJM AGENCY CUSTOM ER ID: LOC#: ADDITIONAL REMARKS SCHEDULE Page of AGENCY NAMEDINSURED Y Mason & Mason Insurance Agency, Inc. Miller Starbuck Construction Services. lnc POLICY NUMBER Falmouth, MA 02541. CARRIER NAIC CODE - EFFECTIVE DATE: ADDITIONAL REMARKS THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER: 25 FORM TITLE: ACORD Certificate of Liability Insurance Garage Liability INSR ADD'L POLICY EFFECTIVE POLICY EXPIRATION LTR INSRD POLICY NUMBER DATE(MM/DD/YY) DATE(MM/DD/YY) LIMITS AUTO ONLY-EA ACCIDENT $ ANY AUTO OTHER THAN EA ACC $ AUTO ONLY: AGG $ Automobile Liability INSR ADD'L POLICY EFFECTIVE POLICY EXPIRATION LTR INSRD POLICY NUMBER DATE(MM/DD/YY) DATE(MM/DD/YY) Excess/Umbrella Liability INSR ADD'L POLICY EFFECTIVE POLICY EXPIRATION LTR INSRD POLICY NUMBER DATE(MM/DD/YY) DATE(MM/DD/YY) LIMITS $ Other Liability INSR POLICY EFFECTIVE POLICY EXPIRATION LTR POLICY NUMBER DATE(MM/DDIYY) DATE(MM/DD/YY) LIMITS ACORD 101 (2008101) ©2008 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD r i py 1 _ ... oo Div� ........ i i I SGNd4�h�N n . 6 _... .. ... . _. . 2 fir. 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' w ............ ........... ........... .... ....... .......... ............ ..... ........... J .. i. _._.. : _. .. ... ...... ..... .... _... ..... .. .... . ......__.. .. .......... .......................... .......... .............. ....... ._ _ ... .. ..___.. .. _ _ _.. .. _._.._ ... .._. .................... ........... ................. ............ �I ; _. 4010 - - - _ U _....... : ........_._...._....._. ..._._ _......... ........_..........._..-...............__.. ... _.. 0 ..... , r IMME Town of Barnstable Regulatory Services F. �rwsrs. • ASS Thomas F.Geiler,Director k Building Division Tom.Perry,Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508=790-6230 Property Owner Must Complete and Sign This Section If Using A Builder � /-Laz , as Owner of the subject property hereby authorize ��/! ! Fki LTt�4iLi-g IL to act on my behalf, in all matters relative to work authorized by this building permit 59 q M cA i rn 54r e-,f 1-fLI X n n 6 (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. S' ture of Owner Sign tore of Applican Print Name Print Name - -2- Z - t� Date - QFORMS:OWNERPERMSSIONPOOLS 62012 r The Commonwealth of Massachusetts William Francis Galvin -... Page 1 of 3 The Commonwealth of Massachusetts William Francis Galvin Secretary of the Commonwealth, Corporations Division One Ashburton Place, 17th floor Boston, MA 02108-1512 Telephone: (617) 727-9640 BEECH TREE ALLEY, LLC Summary Screen Help with this form i3 ,Request a._Certicate ; 1 The exact name of the Domestic Limited Liability Company (LLC): BEECH TREE ALLEY, LLC Entity Type: Domestic Limited Liabili . Company (LLC) Identification Number: 001024072 Date of Organization in Massachusetts: 03/15/2010 The location of its principal office: No. and Street: 766 FALMOUTH RD., MADAKET PLACE #D-20 City or Town: MASHPEE State: MA Zip: 02649 Country: USA If the business entity is organized wholly to do business outside Massachusetts, the location of that office: No. and Street: City or Town: State: Zip: Country: The name and address of the Resident Agent:. Name: JAY R. PEABODY, ESQ. No. and Street: 128 UNION ST., SUITE 500 C/O PARTRIDGE SNOW & HAHN LLP City or Town: NEW BEDFORD. . State: MA Zip: 02740 Country: USA The name and business address of each manager: Title Individual Name Address (no PO Box) First, Middle, Last, Suffix Address, City or Town, State, Zip Code MANAGER PHILIP M. MILLER JR. 766 FALMOUTH RD., MADAKET PLACE#D-20 MASHPEE, MA 02649 USA MANAGER - WILLIAM D. PANE http://corp.sec.state.ma.us/corp/corpsearch/CorpSearchSummary.a... 6/6/2013 i The Commonwealth of Massachusetts William Francis Galvin -... Page 2 of 3 2200 SO. OCEAN LN. APT. 1205 FT. LAUDERDALE, FL 33316 USA The name and business address of the person in addition to the manager, who is authorized to execute documents to be filed with the Corporations Division. Title Individual Name Address (no PO Box) First, Middle, Last, Suffix Address, City or Town, State, Zip Code SOC PHILIP M. MILLER JR. 766 FALMOUTH RD., MADAKET PLACE #D-20 SIGNATORY MASHPEE, MA 02649 USA SOC WILLIAM D. PANE 2200 SO. OCEAN LN. APT. 1205 SIGNATORY. FT. LAUDERDALE, FL 33316 USA The name and business address of the person(s) authorized to execute, acknowledge, deliver and record any recordable instrument purporting to affect an interest in real property Title Individual Name Address (no PO Box) First, Middle, Last, Suffix Address, City or Town, State, Zip Code REAL PHILIP M. MILLER JR. 766 FALMOUTH RD., MADAKET PLACE#D-20 PROPERTY MASHPEE, MA 02649 USA REAL WILLIAM D PANE 2200 S. OCEAN LN. APT. 1205 PROPERTY - FT. LAUDERDALE, FL 33316 USA Consent Manufacturer — Confidential — Does Not Require Data Annual Report _ Resident For Profit Merger Allowed Partnership Agent — — Select a type of filing from below to view this business entity filings: ALL FILINGS Annual Report P Annual Report-Professional j Articles of Entity Conversion Certificate of Amendment I�r ngs New Search Comments http://corp.sec.state.ma.us/corp/corpsearch/CorpSearchSummary.a... 6/6/2013 i Hyo. E t Sch. tr e St. St. L teens No(h Oar MAIN STREET South St O S , �a Main St. \oc ddef 50) Pie• o > N52'56'18"E N52'56'19"E 52.01' 48.15' Oak Gosnold St. N �p O OD - (�ii A BRICK PA DEMOLISH `O TIO o LOCUS MAP ADA ACCESS RAMP & i SCALE 1"=2000'f PORCH I ASSESSORS MAP 308 PARCEL 18 I 10.6' LOCUS IS WITHIN FEMA FLOOD ZONE C AS SHOWN ON COMMUNITY PANEL #250001 \ 0006 D DATED 7/2/1992 ZONING SUMMARY - \ I ZONING DISTRICT: HVB HYANNIS VILLAGE BUSINESS DISTRICT REQUIRED EXISTING PROPOSED MIN. LOT SIZE 5,000 S.F. 14,194 S.F. 14,194 S.F. _ w 10�. MIN. LOT FRONTAGE 10' 48.15' 48.15' o C' 7 MIN. FRONT SETBACK 4' 25.9' 19.9' . U'_ 1 MIN. SIDE SETBACK MIN. REAR SETBACK — — — I MAX. BUILDING HEIGHT 3 STORIES 2 ST. 2 ST. MAX. COVERAGE 100% _.. _ --- . ---- —_ --- PROPOSED ADDITION o 5' SITE IS LOCATED WITHIN AP OVERLAY (6'X25') I DISTRICT w #605 MAIN STREET W RESTAURANT OWNER OF RECORD Ci GIL & MARIA RAPOSA, TR rn 121' PROPOSED I BEECH TREE ALLEY LLC ADDITION I 766 FALMOUTH ROAD (3.5'X10') MADAKET PLACE / D-20 lo.t' MASHPEE, MA 02649 I wCn I BRICK PA T/O 0 REFERENCES I L I DEED BOOK 18898 PAGE 151 m I PLAN BOOK 591 PAGE 14 I N I DD I C I I I I I I I0.3' N O ( O O I I � N I �- •c• - - t( f SUNGL ASS HUT 1 x I f z) dVd JO NM0j I SI N53'42'3 'E BS 26 38' `3 � � x � 9.6' t N57'14'19"E p 33.23' N57'14'29"E SHED TIKI BAR 18.78' SUSHI LOUNGE x — I RICK PA 770 I x 2.4' + PROPOSED 1 I0VERHAN ADDITION I (2.6'X13.9') ———— ` DEMOLISH I ROO 0VERHANG EXTERIOR PROPOSED WALLS & STEPS\ �- GATE l I I . x I I x PROPOSED I EXTERIOR I BF �K PA 770 �` WALLS I I SED RETAIL RETAIL x -� x _ S Al AY S59-39'13"W 0 101.51) A Qj PROPOSED ALTERATIONS PLAN OF LAND IN HYANNIS, MA #599 MAIN STREET PREPARED FOR MILLER - STARBUCK DATE: JAN UARY 6, 2011 Scale:1 10' 0 5 10 15 20 25 FEET �,, s ZH�F M ` jN OF M,qs� ��� 2 gssyc /� U�NI�p tiG� off 508-362-4541 o� Ai'•IicL s OJAIA fax 508-362-9880 UCIVIL downcope.com OVA A I No.465 �0 G, TE��O� down cape engineefing, MC. \ civil engineers b� land surveyors 939 Main Street ( Rte 6A) YARMOU THPOR T MA 02675