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HomeMy WebLinkAbout0722 MAIN STREET (HYANNIS) (6) G��, ��- 1 \� � - Town of Barnstable Building Post This Card,So That it� Uisibte From the Street-Approved Plans Must be'Reta�ned on.Job and this Cakd6Mu'st be;Kept ;; 3' "sted Until Final�lns ect�on Has Been Made f � j p � Permit Where a Certificate of Occupancy is Required,such Buildmg shall Notnbe Occupied until a Final lnspection has been made ,_......�.. . ..., .,� ,.,J Permit No. B-18-258 Applicant Name: CARLOS H FIGUEIROA Approvals Date Issued: 01/31/2018 Current Use: Structure Permit Type: Building-Addition/Alteration-Commercial Expiration Date: 07/31/2018 Foundation: Location: 724 UNIT 1 MAIN STREET(HYANNIS), HYANNIS -Map/Lot: 308-283-00B Zoning District: OM Sheathing: Owner on Record: OLIVEIRA,JORGINA Contractor Name:",,CARLOS H FIGUEIROA Framing: 1 Address: 22 OLDBURY PLACE Contractor license: CS,-104107 2 SOUTH DENNIS, MA 02660 Est Project Cost: $ 10,000.00 Chimney: Description: WATER DAMAGED PIPE BROKE, RE-INSULATION SHEETROCK AND Permit Fee: $ 191.00 FLOOR Insulation: Fee Paid,;' $191.00 DIPSY POODLE SHOPPE Date: 1/31/2018 Final Project Review Req: WATER DAMAGE ONLY-NO RECONFIGURATION ftv, ry --. Plumbing/Gas J Rough Plumbing: ` Building 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. Rough Gas: All work authorized by this permit shall conform to the approved appl cation and the=approved construction documents for which this permit has been granted. Final Gas: All construction,alterations and changes of use of any building and structures shall be in compliance with the local zonin0 laws-and codes. This permit shall be displayed in a location clearly visible from access street or road and shall be maintained open forpublic inspection for the entire duration of the work until the completion of the same. i? =� Electrical The Certificate of occupancy will not be issued until all applicable si natures b °the Bwldin and:Fire Officials are `rowded on this permit. Service: P Y PP g Y, � g � P Minimum of Five Call Inspections Required for All Construction Work F Rough: 1.Foundation or Footing 2.Sheathing Inspection Final: 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 Low Voltage Rough: 5.Prior to Covering Structural Members(Frame Inspection) 6.Insulation Low Voltage Final: 7.Final Inspection before Occupancy Health Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Work shall not proceed until the Inspector has approved the various stages of construction. Final: "Persons contracting with unregistered contractors do not have access to the guaranty fund" (as set forth in MGL c.142A). Fire Department Building plans are to be available on site Final: All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT F1HE Application Number..........4I BARNSTABLE, * /�j� MASS. Permit Fee... ...!:!...........o a.............Other Fee. ..(.vl/........... 039. CFO Mp`�A Total Fee Paid..........................................I..............:....... ...... BUILDING 17EP1 3 i�/8 TOWN OF BARNSTABLE Permit Approval by... . ........................On...,,1�.... ............. . BUILDING PERMI LiMap.....�.D........................Parcel...C14(J.�.....`/'.y 14 OF APPLICATIOP Section I — Owner's Information and Project Location Project Address 2,11 V\py m '1Jr , K I N�J k, Village �U xm r�5 Owners Name Ut d,_ Owners Legal Address o202 Mac 0-- city SQAJA\ lzr\mt State M. Zip 2 G(oQ Owners Cell �o s - ©I5 ` E-mail P Section 2 — Structural Use ❑ Single/Two Family Dwelling ❑ Commercial Structure over 35,000 cubic feet. Commercial Structure under 35,000 cubic feet Section 3 —Type of Permit ❑ New Construction ❑ Move i Relocate ❑ Accessory Structure ❑ Change of use ❑ Demo/(entire structure) ❑ Finish Basement ❑ Family/Amnesty ❑ Fire Alarm Rebuild ❑ Deck Apartment ❑ Sprinkler System ❑ Addition ❑ Retaining wall ❑ Solar ❑ Renovation. ❑ Pool. ® Insulation Other—Specify Q k Section 4 - Work Description nn ^ i o a4 L a Last updated: 12/28/2017 Application Number.................................................... Section 5—Detail I Cost of Proposed Construction to,d03, OCR Square Footage of Project 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 r ❑ Wiring ❑ Oil Tank Storage ❑ 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 ❑ 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 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 El No Last updated: 12/28/2017 1 I The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston,MA 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit:Builders/Contractors/Electricians/PIlmibers Applicant Information Please Print Ledbly Name(Business/Oro ni7.ation/Individug): _ fr,0 \ Address: © CCkA City/State/Zip: Phone#: S 3 Are you an employer?Check the ap ropriate bog: Type of project(required): 1.❑ I am a employer with 4. ❑I am a general contractor and I employees(full and/or part-time).* have hired the sub-contractors 6. ❑Now construction 2.❑ I am a sole proprietor or putner- listed on the attached sheet. 7. ❑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.insurance comp.insurance. required.] 5. ❑ We are a corporation and its 10.❑Electrical repairs or additions officers have exercised their 11. Plmnbia- repairs or additions 3. am a homeowner doing all work ❑ g P myself.[No workers' comp. right of exemption per MGL 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. tContractors 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 isproviding workers'compensation insurance for my employees Below is thepolky andjob site information. Qntb Insurance Company Name: Pr . Policy#or Self-ins.Lic.#: .0L0 gL�2,4 Z y 10 li expiration Date: Gq- 3n-240`7 U 4 � Job Site Address: 1 Wyl k-m City/State/Zip: -0 z60 I 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 crimmal penalties of a fie 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$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby cerif under th al and penalties of perjury that the information provided above is true and correct Si atrmre: Date: �\ Phone# Official use only. Do not write in this area,to be completed by city or town official City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector. 6.Other Contact Person: Phone#: ctoser . Lo � Ik E i i l• �7 WINDOW i T- /7 -� {. FROVT" BUILDING DEPT JAN 2 9 2018 • I . . 9 TOWN OF BARNSTABLI i 1 i E Srop to gdd E3 line Color lRed v Linevv h 2 v Scale v 0 Graph Rule- t f •� : � �_ . . -• � . _ . .... 27� _. fir~ • . .. . •. tf61400 ti : SaP to 98Q 8 LiaeCofor Red v • LleeWtdth 2 v Sale y 00 Graph ewe. =,�►co CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDD/YYYY) 0512&2017 THIS CERTIFICATY-.*S lib: L:;fO 4LOMR-OF4NFGPAATM4) LV . CIA--iNOW 'lJP&4*96. qp . RDL'DM331S' CERIIFICA 7f: JitiK: BEL AUTHORIZED IMPORRR�REP VR"PAGD.VCER,AWD�TFIE urn I'FI A El1OL13ER. NT: If the certificate holder Is an ADDITIONAL INSURED,the policy(les)must be endorsed. If SUBROGATION IS WAIVED,subject to I he teens and conditions of the policy,certain policies may require an endorsement A statement on this certificate does not confer rights to the certificate holder In lieu of such endorsemen s. PRODUCER CNONT AshleyCT Clark LEONARD.INSURANCE AGENCY PHONE 508 428-6921 RIC No): MA MIL AshW@Leonardagency.com 681 k"N$GREET SUITE B INSURERS AFFORDING COVERAGE NAICO ._.. OS'1'ERVICCE . . MA OZGSS_.. INsuRERA: AiM'IrAUTIIAL-iNS-CO -- —. ._.. 33756" INSURED INSURER B C& F REMODELING INC INSURERC: INSURER D 20 CAPTAIN NOYES ROAD INSURER E: SOUTH YYARMOUTH MA 02664 INSURER F: COVERAQ92, CERTIFICATE NUMBER: 158506 REVISION NUMBER: THIS IS T •TNfIT T+tE-f�•OPIMURANCE-ttSTED BP_tOW'HIWEBEEt#"MStIED,70 NSURED-*AW FOi-7w POtICle 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. INSR ADDL SUBR POUC EFF POLICY EXP C TYPE:OF.INSURANCE y BFR POLICYNUM LIMITS. UU COMMERC .GENERAL LUUlaJTY EACH OCCURRENCE $ CLAIMS-MADE OCCUR PREMISES Ea occurrence $ IVIED EXP one $ WA PERSONAL&ADV INJURY S GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ POLICY jET LOC PRODUCTS-COMPIOPAGG $ OTHER: $ AUTOMOBILEUABIU Y CEOMB aoca tSINGLE LIMIT $ ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED WA BODILY INJURY(Per aocident) $ AUTOS AUTONON S. •PROPEAFYDAMAGE $ - HIREDAUTOS AUTOS Per accident UMBRELLALIAB OCCUR EACH OCCURRENCE $ EXCESSUAB CLAIMS-MADE N/A AGGREGATE $ D112RETENTION $ WOR pg COMPENSATION �/ AND E Af.LOYERS'LIABILITY /� SAME ER ANYPRpI�IETOR/PAABILIT EXECUTIVE Y/N E.L.EAC14ACCIDENT $ 500,000 A oFFICE7t� �IpCOF,tet tt� Nix N* AWC40070324242017A w30/2017 ' l38{2018 (Mandatory in NH) EL DISEASE-EA EMPLOYE O $ 500,000 IF yes,desaibe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT 1$ 500 000 N/A DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached it more space Is required) Worke fs'Compensation benefits will be paid to Massachusetts employees only.Pursuant to Endorsement WC 20 03 06 B,no authorization is given to pay daunsmr beheRs to employees ia-states other than.Massachusettsifthe insured hires,.or has.hired.lhos employees'.outside of Ma. acbusetts....... This certificate of insurance shows the policy in force on the date that this certificate was issued(unless the expiration date on the above policy precedes the issue.date of this certificate of insurance). The status of this coverage can be monitored daily by accessing the Proof of Coverage-Coverage Verification Search tool at www.mass.gov/iwd/workers-c ompensatioMnvestigations/. CERTIRCATE HOLDER CANCELLATION Town of Barnstable SHOUL&AWOF HEABOVE ONCRIetB3PauC1 THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 200 Main Street ACCORDANCE WITH THE POLICY PROVISIONS. Hyannis,MA 02601 :AUTHORRBDREPOMMIrATIVE -L.4 �t (:Ck Daniel M.Cro*y,CPCU,Vice President—Residual Market—WCRIBMA ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 2S(2014/01) The ACORD name and logo are registered marks of ACORD (� 9JtlC�Lt `n �- :,;.•^....'-- - '' �C V/(UlIUI7l0%L/!/CCLLCll O��`'t�! Offlce of Consumer Affairs&Business Rea —_ HOfs1E iN1?RgVEi4QENT CONTFoACTa�; ' TYPE:Corporation a # �istration Expiration 6' .r379� -, 01107/201 0 . f C&E.REM©DEf_IPJG Ir G ,'t t � 7; pi C_mios cigtieiroa ; r to Captain.Noyes R& j ,' S.":'a�sneuth,AA`J?_6a4 Undersecref=-,_. ` - t x , Cl, 1 Fie.gistratl3n valid for indMdual use only before the expiration;ate. if round return to: . Wiice of Consumer Affairs and Business Regulation 10 Park plaza-:Suite 81,70 Boston,';AA Q211$ -",lotvaiiia wit@'etil:sjgnat rr@ Commonwealth of Massachusetts t11X11111. Division of Professional Licensure :Board of Building Regulations and Standards Constr iiti'1 r SiSP�!visor CS-104107 :: " ', E-t�pires: 08125I2019 CARLOS H F, UEIROA; i 20 CAPTAIN NOYES R. 4 SWOUTNYAR1fAOk :.�rC�fSS _lD Commissioner Application Number. ......................................... " Section 9— Construction Supervisor Name Telephone Number , 9 c1 2 Address p CAP'tt UNf NQy- ty 5 tate�_Zip 0 2-6 6 q License Number �QLA J():- License Type'C,JL Expiration Date 01 - 2S- Z 1 q it Contractors Email kO,��Cell# d� 0Z3 l Z �- CA nrn a 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 re uired by 780 CMR and the Town of Barnstable.Attach a copy of your license. Signature Date \"3 ge�tion 10-Home Improvement Contractor Name o-8 Qkfy djlk -f Telephone Number 50'$ 23a Q Sq 2_ AddressaQ C(w4 ` Mkt a City S, Lv1hmQi i J)V\ State rA A Zip 0 Registration Number 3���, Expiration Date a 1 - 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 78 CMR and the Town of Barnstable.Attach a copy of your H.I.C... Signature Date 0\ _ ZG _ an\a1, S tion 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 APLICANT`SAIGN�ATURE St t Tele d, one ber 0 7 9S ph —e.7N— - - F3 E-ar i err-ri t t C 14 I��G cJC 'tO �00 Last updated: 12/28/2017 i' Section 12 -Department Sign-Offs Health Department ❑ Zoning Board (if required) El Historic District Site Plan Review(if required) ❑ Fire Department ❑ Conservation El For commercial work,please take your plans directly to the fire department for approval. Section 13 — Owner's Authorization I, o GIN A OL+V&1A,4 , as Owner of the subject property hereby authorize FAO R !C i V e C-i R I ' to act on my behalf, in all matters relative to work authorized by this building permit application for: 2 .4 SrR Ec-r Ulu i r Y41v�j►s M A 02601 (Address of j ob) gnature of Owner date �LIgG y4 OUVEtRA Print Name Last updated: 12/28/2017