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HomeMy WebLinkAbout220-232 MAIN STREET (HYANNIS) 41 �a I r ' � ` ___�� ��� . �� ,, Qr�� , �z � S�� � r ,�d '. 3 �`�' �� E 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 19 - , .�/ I�J4- 7� `/�- ' MASS. �J �'^�� vV ARNSTABLE 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 m 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 " r...;,. ..,.....-::+� ...r ...5. ..,+? .. .. phone 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 ZO 'd LLOBSLL809 'ON XVJ 03NVONH ZZ:LO f1H1, 86-b t-AVW