HomeMy WebLinkAbout220-232 MAIN STREET (HYANNIS) 41 �a
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Map Parse (j Permit# 3 f
House# - Date Issued
oor)(8:15 -9:30/1:00` � Fee
(4th floor)(8:30-9:30/1:00-2:00) +
or/School Admin.,Bldg.) �tME
ed by PlannaN94
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.�/ I�J4- 7� `/�- ' MASS.
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Building Permit Application
/r reet Address 03 0 a nCQ 3 A- /1'1 a N. SOAP e.p-F
— ✓� � �
✓/Owner Cc 1 dYW CE,L 62 vt�(t Address . ✓Y�a f 1-� S'M e P 7'
Telephone ' 7*7 S - A,S-o o
V/Permit Request D e en e) rm dt+- A,*o m si-te ► p
fig 61 i •o1n d� 1ZP 1u� TauiIeIf1nG aaid taa-2 pro 44 c±
First Floor /S`� 000 7.� square feet Second Floor r square feet
Construction Type liUba vL. YYl_.�.ro Yt 1-�
Estimated Project Cost $ go-, 0 p 0
Zoning is ric a
Grandfathered ❑Yes ❑No
Dwv,ling Type: Single Family ❑ Two Family ❑ Multi-Family(#units)
Age of E ' ing Structure Historic House ❑Yes ❑No On Old King's way ❑Yes ❑No
Basement Type: Full ❑Crawl ❑Walkout ❑Other
Basement Finished Are q.ft.) Basement Unf ' ed Area(sq.ft)
• Number of Baths: Full: Exi g New. Half: Existing New
No.of Bedrooms: Existing ew
Total Room Count(not including baths): Exist New First Floor Room Count
Heat Type and Fuel: ❑Gas ❑0' ❑Electric Other
Central Air ❑Yes ❑N Fireplaces: Existing Existing wood/coal stove ❑Yes ❑No
Garage: ❑Detach size) Other Detached ctures: ❑Pool(size)
ached(size) ❑Barn(size)
❑None ❑ d(size)
❑Other s'
Zoning Board;ofA isAuthorization ❑ Appeal# Recorded❑CommercialYes ❑No If yes, site plan review#
Current Use Proposed Use
Builder Information
Name (2 ,
Telephone Number ?� / - a7 / - 00 6
Address /-�Q g4,/e �,••y vP License# 0 rq 6 r-j-
Je
a O �vY , /n _ Q/ '730 Home Improvement Contractor#
W n,ems--�C �l n - 5���.>>r, ,��., .0 f Worker's Compensation#
NEW CONSTRUCTION OR ADDITIONS REQUIRE A SITE PLAN(AS BUILT)SHOWING EXISTING,AS WELL AS
PROPOSED STRUCTURES ON THE LOT.
ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO /3 d cA y -n Q_ m jt
SIGNATURE DATESSd
BUILDING PERMIT DENIED FOR THE FOL OWING REASON(S)
Rom" 17,i� as
FOR OFFICIAL USE ONLY
PERMIT NO. ,
LATE ISSUED
MAP/PARCEL NO: � -'• `
ADDRESS VILLAGE 1
OWNER '
DATE OF.INSPECTION:
FOUNDATION
FRAME
INSULATION '>
FIREPLACE }- -
4 ,
ELECTRICAL: ROUGH FINAL '
PLUMBING: ROUGH FINAL
GAS: ROUGH ' FINAL
FINAL BUILDING '+
DATE CLOSED OUT,
ASSOCIATION PLAN NO. ~ `
The Commonwealth o Massachusetts
Department of Industrial Accidents
#NCO AtIfimstl9atlens
600 Washington Street
HK Boston,}Mass 02111 .,
.:!' y. '�+�-i.�'te �r _ .. � . e! .n ��1 a`�,.sf,� :.a�x fir,$ � t tS >, .s t` �•,,- . .. _
,-, 4410-%�,.£. „r Workers' Compensatioojoiirance Affidavit
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j, „ ,1iv1,i: F2.?Yt'xds.kh. J: :'t � ..... , *... 4£ <T yad• .la:y...t__
name
i�•l. �.' i • � � .. � ;.. u tw ^�x`a..! 1 ;� «•,,.x ?T�.. r kM.1' ..., -. -.,- j,F... 'i. k # ,-r!,
location : iz ;a
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I am a homeowner`pt rforming'all work myself
P
•I aiii'a`sole 'co `rietor and have no one working m,any capacity x a
I am an employer providing workers' compensation`for`my employees working on this job.
: -
C s E Flo d Com ari Tric
company name ;..::
..
address 9 NAh, Pl o l?rive
city >3edford phone#. 781 -271-9006
insurance co' Safeguard insurance.=Company �oficv# "99 1�0[l7 9R
.I am a sole proprietor,general contractor,or homeowner(circle one)and have hired the contractors listed below who have
-
the following workers' compensation polices:
company name
address:
in, phone.#.
insurance eo gtliCy#
company name.
address: ..-
ciM .:. phone#:
insurance co.. ..: :.
policy#
}Attac -2 t oaa M aeeessa
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 WORK ORDER and a fine of S100.00 a day against me. I understand that a
copy of this statement may be forwarded to the Office of Investigations of the DIA for coverage verification.
/do hereby certify under the pa• s and penalties ury that the information provided above is true and coned �j
Signature11X� f Date ��' -16
Print name Charles E. Floyd Phone# 781 271-9006
r
ial use only do not write in this area to be completed by city or town official
or town: permit/license# rlBuilding Department
- oUcensing Board
0 check if immediate response is required QSdectmen's Office
0He2lth Department
'' contact person: phone#; MOther
(revved 3/95 PIA)
Information and Instructions
t
Massachusetts General Laws chapter 152 section�25 requires all employers to provide workers' compensation for their
zmployees As�quoted from the`°law";,an employee is defined as every..person in•the service of another under any
contract 6f 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'dwellii g 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`girounds`oi•`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
renewal of a license or permit to operate a business or to construct buildings in the"cotmonwealth 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.
.._Z, 22V3,..?'`;'ti -
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 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.
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 to
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
Office of Investigations
600 Washington Street
Boston,Ma. 02111
fax#: (617) 727-7749
phone#: (617) 7274900 ext. 406, 409 or 375
MAY-16-96 13: 36 FROM=COMMONWEALTH ELECTRIC HYA ID= 506+291+0950+5705 PAGE 2/2
Commonwealth Electric Company
2421 Cranberry Highway
COMflectric WarehTelephone (508)291s-0950 2571
484 Willow St
Hyannis, Ma 02601
May 18, 1998
Town of Barnstable
Building Inspector
South Street
Hyannis, Ma 02601
Dear Sir:
This letter is to confirm that the electric service and meter were -
removed from the property at 220 Main Street in Hyannis. This was
done for the purpose of demolition.
If you have any further questions concerning this matter feel free to
contact me at 508-790-1721 %:5781.
Very truly yours,
qaz4bt'a •�i�i '
Judith A. Webb
Customer Service Rep
Hyannis District Office
cc: Larry Freeman
05i15i98 10:38 BARNSTABLE WATER COMPANY 001
Barnstable
AT E R 4 7 Old Yarmouth Road
P.O- Box 326
hl 1' A v 1 Hyannis, Massachusetts 02601-0326 509/775-0063
MAY 15, 1998
Lawrence Freeman
r,F- Floyd ComrBny, Tnv.
9 DeAngelo Drive
Bedford, Ma. 01730-2200
Dear Mr. Freeman;
Phase bt advised, the water scrvict for Colonial Candlclii
Seconds Shop located at 220 Main Street is off at the street
and the meter hao bcen removed in preparation for building
demolition. This location is account #327-161/Service #214.
Rene L. Dou as
Barnatable Water Company
127 white:�Path
Su. )'UMOUth,MA 02664 COLONIAL
1-800-548-8000 G a s c o M P A n y
Fax:508-394-2.564
May 12, 1998
Mr. Larry Freeman
fax 781-271-9045
re: 220& 232 Main St;Hyannis, MA
To Whom It May Concern,
This letter is to confirm that there are no underground natural gas facilities to the front of
#232 or#220 at the above referenced property. This was confirmed by our representative on
May 11, 1998.
Sincerely,
Bonnie Figueroa
Distribution Department
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