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HomeMy WebLinkAbout0111 OCEAN STREET (8) /// mew-�-.� ST' Town of Barnstable Building Department - 200 Main Street EARNSTABLE, * Hyannis, MA 02601 9 MASS 1639. , (508) 862-4038 RFD MA'S A Certificate of Occupancy . Application Number: 200900677 CO Number: 20100102 Parcel ID: 326045 CO Issue Date: 06/30110 4 ,Location: 111 OCEAN STREET Zoning Classification: HARBOR DISTRICT Proposed Use: . MULTIPLE HOUSES ONE PARCEL Villager. . HYANNIS Gen Contractor: CALDER, KENNETH Permit Type: RC00 CERTIFICATE OF OCCUPANCY RES Comments: C.O. FOR BUILDING B ONLY r f Building Department Signature Date Signed sym, ��. �f �� t r ' w ��` t 1 `1�\ r u SINE TOWN OF BARNSTABLE g114ing u - Application Ref: 200900677 • BARNSTABLE, Issue Date: 09/03/09 P��ml , ,It MASS. prF639. Na A�� Applicant: ROBERT,EVANS D Permit Number: B 20091621 Proposed Use: MULTIPLE HOUSES ONE PARCEL Expiration,Date: 03/03/10 Location 111 OCEAN STREET Zoning District HD Permit Type: COMMERCIAL ADDITION.ALTERATION Map Parcel 326045 Permit Fee$ 510.00 Contractor CALDER,KENNETH Village HYANNIS App Fee$ 100.00 License Num Est Construction Cost$ 100,000 Remarks APPROVED PLANS MUST BE RETAINED ON JOB AND ALTERATION,CHANGE OF USE-BLDG B EXISTING RESIDENCE T THIS CARD MUST BE KEPT POSTED UNTIL FINAL HOSTEL CHANGE OF CONTRACTOR 2/2010 INSPECTION HAS BEEN MADE. WHERE A CERTIFICATE OF OCCUPANCY IS REQUIRED,SUCH Owner on Record: GARRAGHAN,NANCY L BUILDING SHALL NOT BE OCCUPIED UNTIL A FINAL Address: 625 SAWKILL RD INSPECTION HAS BEEN MA KINGSTON, NY 12401-7101 Application Entered by: SS Building Permit Issued By: THIS PERM IT`CONVEYS NO RIGHT TO"OCCUPY ANY'STREET;ALLY OR SIDEWALK OR ANY:PART THEREOF,EITHERTEMPORARILY OR,PERMANENTLY: ENCROACFIEMENTS'ON PUBLIC:PROPERTY,NOT"SPECIFICALLY PERMITTED'UNDER THE BUILDING CODE,MUST BE APPROVED BY THE JURISDICTION. . STREET OR ALLY GRADES AS;W'EEL AS DEPTH AND LOCATION OF PUBLIC SEWERS;MAYBE OBTAINED FROM THE DEPARTMENT OF PUBLIC WORKS. THE.ISSUANCE OF,THIS PERMIT DOES NOT RELEASE THE APPLICANT FROM THE CONDITIONS OF ANY APPLICABLE SUBDIVISION RESTRICTIONS'. MINIMUM OF FOUR CALL INSPECTIONS REQUIRED FOR ALL CONTSTRUCTION WORK: s k 1.FOUNDATION OR FOOTINGS. 2.ALL FIREPLACES MUST BE INSPECTED AT THE THROAT LEVEL BEFORE FIRST FLUE LINING IS INSTALLED. 3. WIRING&PLUMBING INSPECTIONS TO BE COMPLETED PRIOR TO FRAME INSPECTION. 4.PRIOR TO COVERING STRUCTURAL MEMBERS(READY TO LATH). 5.INSULATION. 6.FINAL INSPECTION BEFORE OCCUPANCY. 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. PERMIT WILL BECOME NULL AND VOID IF CONSTRUCTION WORK IS NOT STARTED WITHIN SIX MONTHS OF i�''`� DATE THE PERMIT,IS ISSUED AS NOTED ABOVE. PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS DO NOT HAVE ACCESS TO GUARANTY FUND(as set forth;in MGL c.142A). yr "mac- , f E BUILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTIWAPPROVALS G� 2 �1 SV Ofe— 2 0 2 6 '4 �1 Z-- r✓ i�ri/ d 'n 3 1 Heating Ins ection Approvals Engineering Dept —1 C) Fire Dept 2 Udd of Health TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel Application # d 09 8 007 Health Division Date Issued Conservation Division Application Fe&2:5 Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board Historic - OKH Preservation/Hyannis Project Street Address 1 S cgWn '51. Village V1 in tV`j Owner Address Telephone Permit Requestav5 r a "rt riq e Or= UcaTzcm�, Square feet: 1 st floor: existing proposed 2nd floor: existing proposed a Total new Zoning District Flood Plain Groundwater Overlay "} ZE Project Valuation Construction Type o Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supp rting do umerfttion. . Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family(# units) Age of Existing Structure Historic House: ❑Yes ❑ No On Old King's Highway: 'Q Yes;;p No Basement Type: ❑ Full ❑ Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area (sq.ft) 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 ❑ 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 ❑Yes ❑ No If yes, site plan review# Current Use Proposed Use APPLICANT INFORMATION --- ' (BUILDER OR HOMEOWNER) Name Telephone Number /S 1 — 6 S1 - 01 2`y y Address 6 Z 4ce_�r,_A 3?A_r'e_ License # C'X l a A_ Home Improvement Contractor# Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE `�� DATE -Z FOR OFFICIAL USE ONLY APPLICATION# DATE ISSUED MAP/PARCEL NO. ADDRESS VILLAGE OWNER Y DATE OF INSPECTION: r- FOUNDATION - FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL <` PLUMBING: ROUGH FINAL" GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. k: I* The Commonwealth of Massachusetts Department of.IndustrialAccidents Office of Investigations 600 Washington Street Boston, MA.02111 yy www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name (Business/C,rganization/Individual): Ac.����` ��,� rr�; «, Address: G `t. l-l<<r�� �� �r�.. ✓�/�^ ,(l �'li/>( City/State/Zip:� � c % �( r> o cD�i Phone M. -293 . G f�� 9'2 /6) Are you an employer?Check the appropriate box: Type of project(required): 1.El am a employer with 4• �I am a general contractor and I. employees(full and/or part-time).* have hired the sub-contractors 6. El New construction 2.❑ I am a sole proprietor or partner- listed on the attached sheet.. 7. [ Remodeling :shipand.have no em to ees These sub-contractors have P Y 8 ❑Demolition working for me in any capacity. °employees and have workers'. , [No workers' comp. insurance comp:insurance. $ 9. RBuilding addition required.] 5. ❑ We are a corporation and its 10.0 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.] 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. " $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 m'y employees..Below is thepolicy andjob site information Insurance Company Name: . Policy#or Self-ins. Lic. #: L/j C-2J�j [ l Expiration Date: � Z Z Job Site Address: 10 City/State/Zip �ly. , ;� h%IjA&200( 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 MGLc. 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 ir�thb form of a STOP WORK ORDER and a fine of up to$250.00 a day against the,violator: Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage.verifcation. I do hereby certify under the pains.and penalties ofperjury that the.information provided above is true and correct. Signature '. Date' Phone#." Offcial use only. Do not write in this area,.to be completed by city or town official City or Town: Permit/License# Issuing Authority'(cirde'one) 1.Board of Health: 2. 13uilding;Department 3 City/Town.Clerk 4: Electrical Inspector 5.'Plumbing Inspector .6.-Other Contact Person: Phone.#: t DC1t t�t►nutt°t Pul St.ind uds \la\ti ll'tlU.- *: ' tur,1ldinc�Rclfuritsioonr , Licen$e gour Supev ction Constr S 0619 License: C . 10 'Restricted to: 00 t ,, NETH CALDER +' KEN gTREET } • 40 CHURCH` MILTON;MA 02186 Expiration: 712612012 100619 j Page: 002 ACORD� CERTIFICATE QF LIABILITY INSURANCE 22i2aioY�Y, PRODUCER (781)681-6656 FAX. (781)681-6686' THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION The Driscoll Agency, Inca ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER..THIS CERTIFICATE DOES: NOT AMEND, EXTEND OR 93 Lonq�aater Circle ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. P.O_ Box 9120 - Norwell MA 02061 INSURERS AFFORDING COVERAGE NAIC# INSURED Fire Ins Co of 20478 Acella Construction Corp-. Vv-,urEge-Transportation Insurance 20494 _._ __ .------ - ------ 62 Accord Park Drive ------------ !NG!JR F"C:North River Insurance PJ3 ^ Pr _____ ______ ___..__ _ Norwell MA 02061" v,s;S r: . -- THE POLICIES OF INSURANCE i_ISTEO BELOW HALT REFN ISSUED TO T14E INSURED NAMED ADJVE FOR THE POLICY PERIOD INDICATED.NOTVVITIi.STANDNIG ANY. HFt)UIhFr�lFNdf,TEf?PA O{{CONDITION OF.dM(GCYJrRACT(7E 03'HF{?iIOC;LIF,9FNT WITH RFSPFC•T TJ WHICH THIS CEHTINC/TF MAY PE.1sSl ED OR MAY PERTAIN: THE INSURANCE AFFORDED E3Y THE POLICIES DF,90RIBED HFREIN N- 5 IBJFCT TG r1LL THE TFRMS• EXCLUSIONS AND CONDITIONS OF $LICH POI_IC'!F.S• INSR ADUL POLICY EFFECTIVE POLICY EXPIRATION C TYPEOFtNSURANC£ POLICY NUMBER - DATE MAA;DD!YY DATE(MMiDD,YY) LIMITS - GENERAL LIA6ILIT7 �CCLr^=Ja S 1,000,000 }t ;'u ri•?R^: L S':J•ah{i:rEiY_ y C0.4'P.;;-T:)FF%T — — �-� o 100,000 A•" :;:;v26a\tA p 1 x! r)r,!L.F: .C20B3106786 4/22/2009 4/22/2010 It c Cit :v i c.�•_�. 6 -- - 15,000 PE2�;J\!AL&.A�V J)URY 3' 1,000,000 (';I rNi F%1CAGGI' =•AI: 11 2,000,000 — . I:MI:.A'P Ll�ti Fr.R; - F 00,000 7S ,(, AUTOMOBILE LIABILITY A.NYA:f"C: I�NLi, ,IV E.1;�9i' 1,000,OQOj ( ,e__J�r., B A;._I)WNECAJ?CS 208316874i 41/22/2009 4/22/2010 8L_.cl,V-U;Y X f•FED AI_703 k NCIN-`*NECAUT6S. l•"a 3 ..e.Y: i GARAGE LIABILITY ALT3ONL�- nA: I EXCESS UMBRELLA LIABILITY: F^�..:,•,•q:` 5 1Q;OOO.OOO 10,000,000 .. 6 C. D'iC-I LE 55.30922883 'u 4/22(2009 .4/22/2010 B .WORKERSCOMPENSATIONAND : - E!'dPLOY£RS'LIABILITY NYP;OFF!-n^.PA•. TN_=•:=XEn:T:Vc - El.�a..a-:A ���tii.v ,, I,Q00,000 - I .•.'.0 1 hEx:;_:JJe^` WC2083108884 =]/22%2Q09 9/22/2010 e i.wc:_e,.r.J•:I - El.__ ± - 1 W:LO1_=5 1,000,000 - E.% a >a77 E I LC Li-Wl a I,00Q,000 OTHER Leaped/Rented C20B3I08786 4/22/'2009 4/22/2010 $25,000 any one ite Equipment frotTi others DESCRIPTION OF OPERATIONS/LOCAT$ONS;VEF?ICLMEXCLUSIONS ADCED BY ENDORSEMENTISPEC1AL PROVISIONS FS: Hostel International, 1.01-111 Ocean.Stzeet', Hyannis, MA- renovation of two Y.Iii Ldi.ngs, including demolition of others; :Please rFfer to attached addenduiA.- Notice of cancellation provision is 30 days;• Fxcept 10 days al•L:Iies for: nin7payment of pzemiura. `CERTIFICATE'HOLDER CANCELCA710N, SHOULD.ANY OF Tf4E ABOVE DESCRIBED'POLICIES BE.CANCELLED BEFORE.TNE Eastern.New Erigla.nd Council of EXPIRATION DATE.THEREOF THE ISSUING. INSURER. WILL ENDEAVOR TO MAIL Hostelling, International,.,: 30 GAYS\+!KITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO TNELEFT.BUT .American's Youth Hostels,Inc, 218 Holland Street FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE Somerville,' Ili,- 021.49 INSURER;IT,SAGENTS OR REPRESENTATIVES. ' ' - AUTHORIZED REPRESENTATIVE ACfJRD 25(2001 08) s ACORD.CORPORATION 1988' ofTHEr � Town,of Barnstable Regulatory Services BNIASS.ARNSTABLE Thomas F. Geiler,Director Building Division Tom Perry,Building Commissioner. 200 Main Street,Hyannis,MA 02601 Office: 508-8624038 Fax: 508-790-6230 NOTICE TO THE BUILDING DIVISION OF LICENSED CONSTRUCTION SUPERVISOR ASSUMPTION OF RESPONSIBILITY I; e V� ky- �:� d err , Construction Supervisor License:, # oo("1`t , hereby certify that I have assumed responsibility for the project under construction,,as authorized by building permit# $zL I-xA4.G: J` issued to ry (property address) i on 20�� — Zc��rlG i�il Z �16,07 z< � O The following documents are attached: 2 :copy my Massachusetts State Construction Supervisor's license or Homeowner's License Exemption form(if applicable) " copy of m.y--Home'ImprovementeContractor registration (if applicable) Commonwealth of Massachusetts Workers'.Compensation Insurance'Affidavit. Road Bond (if applicable) d LICENSE HOLDER DATE r °F�HE pow Town of Barnstable ti °. Regulatory, Services vnnxxnaLE'�a Thomas F.Geiler,Director °°lfo icy p�` Building Division Tom Perry,Building Commissioner 200 Main Street,Hyannis,MA 02601 Office:'508-862-4038 Fax: 508-790-6230 NOTICE TO TBE BUILDING DIVISION OF WITHDRAWAL OF LICENSED.CONSTRUCTION SUPERVISOR FROM PROJECT I, Gty1`� , Construction.Supervisor License hereby certify that I am no longer the Construction Supervisor listed on the application for the project under construction as authorized by building permit 16-LJ issued to (property address) �� l �,Jna2,�J l N� on 200 . I also certify that on 1 , 204 b ,I notified the property owner,that the project under construction must cease until a successor licensed Construction Supervisor, is submitted on the records of the Building Division. � 20b� Ib2 � 66 � 2 .z . �o LICENSE I40LDER DATE OW . q/forms/newconh rPfrrrnrr.R-5 7RO CMR. - �y THE r�, Town of Barnstable Regulatory Services RARNSTABLF. ` MsA. �,� Thomas F. C,eiler, Director ► Building Division Tom Perry, Building Commissioner 200 Main Street,l-Ivann s,NIA 02601 _ �a•tiara=,toaa�n.barTisfahle.ma.us . 0 ffic.c: 50S-8624038 Fax: 08- 90-6230 Property Owner Must Complete and Sign This Section If Using,A Budder John Yonce,for Eastern New England Council of Hostelling International-American Youth C_ha7ler of the subject propem7 herebti authonze Acella Construction Corporation to act on iiii behalf, in all matters relative to wrork authorized by this buildup permit application for 111 & 105 Ocean.St, Hyannis (Addmss of job) J _ 2/2/10 Signatur 'of Owner Tate John Yonce -- ---- �. Pn1it.Nanne If _Propert y Owner is applying for permit please complete the Home-owners,License; Exemption-Form on the reverse side. - w • < <1`FORh15 t)11•".I KI'I'K111ti51C?1' , - r ' I ,A ELLA Construction Corporation To Whom It May Concern: Acella Construction Corporation is a General Contractor that hires sub-contractors. Acella has been selected to manage the Hyannis Hostel at 111 Ocean St.Attached to this letter is a list of our sub- contractors and their workers' compensation policy numbers. The hiring of all sub-contractors has not been completed yet. As we continue to do so we will provide the Barnstable Building Department with any necessary information regarding their workers compensation insurance. Thank you, David Dirubbo I 62 Accord Park Drive Norwell. MA 02061,E wTel.y,781-681-9240 Fax 781-681-9241 www.acellaconstruction.com AUELLA Construction Corporatio» Subs List with Workers Compensation policy numbers Hinkley Electric Company,Inc. 108 Parker Road Osterville, MA 02655 Policy#::08WECTJ0977 Effective: 05/19/09—05/19/10 Asbestos Man Removal Co.,Inc. 929 State Road Plymouth,MA 02360 Policy#: 5091807 Effective: 10-3-09 to 10-3-10 . Diaz Construction Co.,Inc. 190 Bodwell Street Avon,MA 02322 Policy#: WC8332378_ Effective: 7-1-09 to 7-1-10 . a 1 62 Accord Park Drive. Norwell,MA 02061 Tel. 781 681 9240 Fax 781 681 9241 www.acellaconstruction.com ` 1 CELLA : Construction Corporation To Whom It May Concern: Kenneth Calder is an employee of Acella construction and will be representing the company as the Superintendent at The Hyannis Hostel on Ocean St. in Hyannis Massachusetts. Sin r ly David Dirubbo 62 Accord Park] r Norwell MA 0206,1 - Tel. 781 681 9240_• Fax 781-681-9241 www.acellaconstruction.com TOWN OF BARNSTABLE,BUILDING PERMIT APPLICATION... Map Parcel Application # �' Health Division -Date Issued Conservation Division Application Fee Planning Dept: Permit Fee` Date Definitive-Plan Approved by Planning Board R Historic - OKH Preservation/ Hyannis Project Street Address9 1� Village \l��`1�1 E Owner 7RU.T-- 1�- vnzher Et2� Address A bZ Telephone Permit Request A d'�('.i��I p o:�;�arm Square feet: 1 st floor: existing 340 proposed 2nd floor: existing�'�� proposed M-o Total new Zoning District _ Flood Plain Groundwater Overlay Project Valuation Construction Type Lot Size 19 I 61 Grandfathered: 0 Yes ❑ No If yes, attach-supporting documentation. Dwelling Type: Single Family Two Family ❑ Multi-Family(# units) Age of Existing Structure 66 f Historic House: ❑Yes No On Old King's Highway: ❑Yes No Basement Type: 4 Full ❑ Crawl ❑Walkout ❑ Other ' Basement Finished Area(sq.ft.) 141A Basement Unfinished Area(sq.ft) �� Number of Baths: Full: existing new Half: existing neon Number of Bedrooms: existing _new C f ,' Total Room Count (not including baths): existing new First Floor Roo Count Heat Type and Fuel: Gas ❑ Oil ❑ Electric ❑ Other Central Air: ❑Yes 'rl No Fireplaces: Existing New Existing wood/°oal stove: ❑`lies 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 Yes ❑ No If yes, site plan review# -Current Use- _- " - - z- - Proposed Use APPLICANT INFORMATION - (BUILDER OR HOMEOWNER) NameIA+E ,Telephone Number Address Z 94 A ails- i . License # C5-7-7-75 0 EMAbDEC 4 OU3 Home Improvement Contractor# ° Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE FOR OFFICIAL USE ONLY v APPLICATION# DATE ISSUED - MAP/PARCEL N0. .. ADDRESS 1 VILLAGE OWNER DATE OF INSPECTION: FOUNDATION i s } . FRAME _ } INSULATION ' s ' FIREPLACE ELECTRICAL: ROUGH :'.'FINAL ' k PLUMBING: ROUGH - FINAL GAS: ROUGH -:.FINAL , FINAL BUILDING DATE CLOSED OUT f ASSOCIATION PLAN NO. ' e Generated by COMcheck-Web Software Envelope Compliance Certificate Massachusetts Commercial Code Report Date:02/18/09 f Section 1: Project Information Project Type:Addition Project Title: Hyannis Hostel'BI` dg_B Construction Site: Owner/Agent: Designer/Contractor: 105 Ocean Street Sandra Tubman Alison Alessi Hyannis,Massachusetts 02601 Trustees of Ruther Rushers Estate ME Architects,Inc. Tubman Road 2384 A Main Street Brewster,Massachusetts 02631 Brewster,Massachusetts 02631 508-896-0051 alison@capecoddesigner.com Section 2: General Information Building Location(for weather data): Barnstable,Massachusetts Climate Zone: 12a Heating Degree Days(base 65 degrees F): 5884 Cooling Degree Days(base 65 degrees F): 606 Vertical Glazing/Wall Area Pct.: 21% Building Type Floor Area Dormitory-(heating only) 680 ' Section 3: Requirements Checklist Climate-Specific Requirements: Component Name/Description, Gross Area Cavity Cont. Proposed Budget or Perimeter R-Value R-Value U-Factor U-Factor Floor 1:All-Wood Joist/Truss . 340 19.0 0.0 0.049 0.054 Exterior Wall 1:Wood Frame,Any Spacing 1192 13.0 0.0 0.091 0.089 Window 1:Wood Frame,2 Pane w/Low-E,Clear,SHGC 0.26 216 — — 0.300 0.592 Door 1:Glass(over 50%glazing),Clear,SHGC 0.50 40 — -- 0.600 0.592 Roof 1:All-Wood Joist/Rafter/Truss 340 19.0 0.0 0.054 0.063 (a)Budget U-factors are used for software baseline calculations ONLY,and are not code requirements. Air Leakage, Component Certification,and Vapor Retarder Requirements: Lj 1. All joints and penetrations are caulked,gasketed,weather-stripped,or otherwise sealed. 2. Windows,doors,and skylights certified as meeting leakage requirements. O 3. Component R-values&U-factors labeled as certified. 4. Insulation installed according to manufacturer's instructions,in substantial contact with the surface being insulated,and in a manner that achieves the rated R-value without compressing the insulation. ❑ 5. Vapor retarder installed. ` Section 4: Compliance Statement Compliance Statement: The proposed envelope design represented in this document is consistent with the building plans,specifications and other calculations submitted with this permit application.The proposed envelope system has been designed to meet the Massachusetts Commercial Code requirements in COMcheck-Web and to comply with the mandatory requirements in the Requirements Checklist. Project Title: Hyannis Hostel: Bldg B Report date: 02/18/09 Data filename: Page 1 of 6 Name-Title Signature Date ry Project Title: Hyannis Hostel Bldg B Report date: 02/18/09 Data filename: Page 2 of 6 The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations ' 600 Washington Street Boston, MA 02111 4 ;v www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Le ibl Name(Business/Orgmization/Individual): ~t 1` ` Address: Z� A RAiti 5-1 City/State/Zip:D- 'Ti 51e(', MA QZ�� 1 Phone.#: D `' 'gip Jf Are you an employer? Check the appropriate box: Type of project(required): 1.❑ I am a employer with . ' 4. r'cll I am a general contractor and I 6. ❑New construction employees(full and/or part-time).* have hired the sub-contractors .2.0 I am a sole proprietor or partner- listed on the attached sheet. T. PQ Remodeling ship and have no employees These sub-contractors have 8. 'rO Demolition working for me in any capacity. employees and have workers' 9. Building addition L [No workers'-comp. insurance i comp.insurance.# 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 12.0 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 hire outside contractors must submit a new affidavit indicating such. ZContractors 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. lam an employer that isproviding workers'compensation insurance.for my employees. Below is thepolicy andjob site information. Insurance Company Name: (p1 Policy#or Self-ins,Lic.M W C d 2(p`ION01 Expiration Date: Job Site Address: 11 Ocean, 5;., City/State/Zip: (1 ; , M oupo 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 tip 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 c under the panandpenalies operju that ry the information provided above is true and correct. Si afore: / Date: 6) Phone#• 57 Of fl e OV'J i Offtcial use only. Do not write in this area,to be completed by city or town offlciaL 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#: Information and Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers' compensation for their.employees. Pursuant to this statute,an employee is defined as"...every person in the service of another under any contract 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 or 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, §25C(6)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 commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required." Additionally,MGL chapter 152, §25C(7)states"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." Applicants Please fill out the workers'compensation affidavit completely,by checking the boxes that apply to your situation and, if necessary,supply sub-contractors)name(s),address(es)and phone number(s)along with their certificate(s)of insurance. Limited Liability Companies.(LLC)or Limited Liability Partnerships(LLP)with no employees other than the members or partners,are not required to carry workers'compensation insurance. If an LLC or LLP does have employees,a policy is required. Be advised that this affidavit 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. Self-insured companies should enter their self-insurance license number on the appropriate line. City or Town Officials 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 permittlicense number which will be used as a reference number. In addition,an applicant that must submit multiple permit(license applications in any given year,need only submit one affidavit indicating current policy information(if necessary)and under"Job Site Address"the applicant should write"all locations in _(city or town).".A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year.Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e. a dog license or permit to bum leaves etc.)said person is NOT required to complete this affidavit. The Office of Investigations would like to.thank you in advance for your 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 Of ee of Investigatians- 600 Washington Street Boston,MA 02111 Tel. #617-727-4900 ext 406 or 1-877-MASSAFE Fax# 617-727-7749 Revised 11-22-06 www.mass.gov/dia. ✓�ie,$r°�'�' �'z ac�iscaeb` k Boar of ui mg e�gulation nd tand ,% i ,Construction Supervisor License .S � •License 'CS 77751 ., Expiration TO%29/200g Tr# 9256 ' �, Restriction 00, c "'h4iL ROBERT D'EVANS� a j� � • ''` i ,21;GOVERN BRADFORD RC f�� J ; BREWSTER!MA 02631- Commissioner ` �� k d•_ ��{ 1j. � I Client#:21966 2AEAR ACORDr. CERTIFICATE OF LIABILITY INSURANCE 08/090rcYYY)2/1 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Dowling&O'Neil Insurance ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Agency HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR 9 y ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. 973 lyannough Rd., PO Box 1990 Hyannis,MA 02601 INSURERS AFFORDING COVERAGE NAIC# INSURED INSURER A: Zurich U.S. A&E Architects,Inc. INSURER B: 2384A Main Street INSURER C: Brewster,MA 02631 INSURER D: ' INSURER E:. - COVERAGES 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.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. LTR NSR TYPE OF INSURANCE POLICY NUMBER PDATEYMMIDD/EFFECYYE PDATE MOLICY M/DD/YY N LIMITS A GENERAL LIABILITY PAS02667337 10/17/08 10/17/09 EACH OCCURRENCE $2 000 000 X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTEDrencel $2 000 000 CLAIMS MADE 51 OCCUR MED EXP(Any one person) $1 O 000 PERSONAL&ADV INJURY $2 000 000 GENERAL AGGREGATE s4,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG s4,000,000 POLICYF_j JE T El LOC AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ ANY AUTO (Ea accident) ALL OWNED AUTOS BODILY INJURY SCHEDULED AUTOS (Per person) $ HIRED AUTOS BODILY INJURYI NON-OWNED AUTOS (Per accident) $ PROPERTY DAMAGE $ (Per accident) GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $ ANY AUTO - OTHER THAN EA ACC $ AUTO ONLY: AGG $ EXCESS/UMBRELLA LIABILITY EACH OCCURRENCE $ OCCUR CLAIMS MADE AGGREGATE $ DEDUCTIBLE $ RETENTION $ $ WC OTH- A WORKERS COMPENSATION AND WCO261980901 10/17/08 10/17/09 X OR LIMIT -I-EEL EMPLOYERS'LIABILITY E.L.EACH ACCIDENT $500,000" ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? NO E.L.DISEASE-EA EMPLOYEE $500 OOO If yes,describe under SPECIAL PROVISIONS below E.L.DISEASE-POLICY LIMIT $500,000 OTHER DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS Insurance coverage is limited to the terms,conditions,exclusions,other limitations and endorsements. Nothing contained in the certificate of insurance shall be deemed to have altered,waived,or extended the coverage provided by the policy provisions. (See Attached Descriptions) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION Town of Barnstable-Bldg.Dept. DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL Ifl DAYS WRITTEN 200 Main Street NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO DO SO SHALL Hyannis,MA 02601 IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE ACORD 25(2001/08)1 of 3 #55549 LS1 © ACORD CORPORATION 1988 o� To,,ti Town of Barnstable r Regulatory Services MARNSTABv MASS.$, Thomas F.Geiler,Director fn.19- 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 I � as Owner of the subjectproperty l hereby authorize A+F— Arc!-,Te In c to act on my behalf, in all matters relative to work authorized by this building permit application for. 10Ce0.44 S c r O D 1 (Address o J b) �l C/ Signature of Owner Date nnt.Name If Property Owner is applying for permit please complete the Homeowners License Exemption Form on the reverse side. . Q:FO RM S:O W N E RP ERM IS S ION zKE rq�� Town of Barnstable Regulatory -Services BARNSUB , : Thomas F.Geiler,Director Building Division rFD � Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 vt'ww.town.b arnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION Please Print DATE: JOB LOCATION: number street village "HOMEOWNER"': name home phone# work phone# CURRENT MAILING ADDRESS: city/town state zip code The current exemption for"homeowners"was extended to include owner-occupied dwellings of six units or less and to allow homeowners to engage an individual for hire who does not possess a license,provided that the owner acts as supervisor. " ' DEFINITION OF HOMEOWNER" . Person(s)who owns a parcel of land on which he/she resides or intends to reside,on which there is, or is intended to be, a one or two-family dwelling, attached or detached structures accessory to such use and/or farm structures. A person who constructs more than one home in a two-year period shall not be considered a homeowner. Such "homeowner"shall submit to the Building Official on a form acceptable to the Building Official,that he/she shall be responsible for all such work performed under the building permit. (Section 109.1.1)~ The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other applicable codes,bylaws,rules and regulations. The undersigned"homeowner'.'certifies;that he/she understands the Town of Barnstable Building Department. minimum inspection procedures and requirements and that he/she will comply with said procedures and requirements. Signature of Homeowner Approval of Building Official Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the State Building Code Section 127.0 Construction Control. HOMEOWNER'S EXEMPTION The Code states that: "Any homeowner performing work for which a building permit is required shall be exempt from the provisions of this section(Section 109.1.1 -Licensing of construction Supervisors);provided that if the homeowner engages a persons)for hire to do such work,that such Homeowner shall act as supervisor.,. . Many homeowners who use this exemption are unaware that they are assuming the responsibilities of a supervisor(see Appendix Q, Rules&Regulations for Licensing Construction Supervisors,Section 2.15) This lack of awareness often results in serious problems,particularly when the homeowner hires unlicensed persons. In this case,our Board cannot proceed against the unlicensed person as it would with a licensed Supervisor. The homeowner acting as Supervisor is ultimately responsible. To ensure that the homeowner is fully aware of his/her responsibilities,many communities require,as part of the permit application, that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the last page of this issue is a form currently used by several towns. You may care t amend and adopt such a form/certification for use in your community. Q:for ms:homeexempt 1 � - 1 .tyIO�PGO°��b ®WATER SHUTOFF TIMOTHY J. BRADY P.E., P.L.S. mot ` PROPOSED I"GAL. REINF.CdJC. CATCH BASIN C.I.GRATE EL.-I6.TS .t:AF>RC✓nw.n TE'LLK:A 176W OF ' EX:tii�NE'E:aL;2 L:Nr.': 1 SNlITOcF 10'HOPE PIPE(FIAhCOR NI-O d2 EO.f 'f:J f)!"Af f.M.OPJ£t'-I ! UPGRADE EXIST/AG WATER SERVICE AND PROVIDE PROPOSED 6$,6'REINF.COW.LE404 _ �0 SPRINKLER MAIN PIT WITH 2.5'STONE(TYP.J �t I DATE UP 4-01 l 1� e t s O . ,g. GAR f E IL IN 11'I E �Y AS RECUIRED LK -. .. Qa! o � 0•(0 RE 1L ,x �-RtgO WIDEN f PAVE EXISTING 'Ap f� ENTRY A. � ( y Me ��8Q E�� ' PROPOSED SIGN AT EXIT V - EQ9` Cape Engineering, Inc. 'I /B - / RIGHT TURN QAr P 9 9. 6 E 6 / 1,�-' wvl�Nawr / * llll CIVIL ENGINEERS DOE TIIJ E1nST. AIm PAve PRwt acew sr J" _ W RApc OL751LPGE P) 6 ro Bpl6 a �' /B M/NL BELOW WATER LAND SURVEYORS - y SERVICE,OR SLEEVE 44 Route 28, Orleans, Mass. PROPOSED 20 tldl ,r O / J 9� ' "� / y.4 4 - SEWER LINE W/TN e' I (508) 255-7120 I/ PARKING SPACE ( SDR35 OR SCW 40 PVC /GW W/RE (T YP.f TO 10'ON EITHER SIDE n ¢/// '� TOTAL LOT AREA �/ / /f�' y ;. c+ OF CROSSING POINT 1•� UP 3T!✓1Y. offV, S N, �� � �. t O '�"{'L`•'� � SAKOF UFGRADf IX/STING WATER t. SERVICE AND PROVIDE . STREET SIGN ;n - X E,\ s ' •w Z ' ,\ SPRINKLER M4/N r k ~; PNNm x P,/c✓ 1s G P O INFO SIGN � � / 1 -� PROPOSED SITE PLAN r—90'0�,(1tp FLEAS� ( .c T BWND 1 i.\ LLCANp1(7T1w�i0' 00�' ELEVATION-15.10' m(/97IIalILk. � 1 L' > ?—TO.F. R � .�� FPS. ry 1Gt'eg ,r 11r•�p 6� i EL.-Ie.v 9 e.. uP 12P PROPOSEDRA 1 BU PR E �VILI�+ — ADDOITIrOND ~ t+� � , v ;� ( t,' �� IFRSR�awnw LOCATION: w. �. OJOP�RyjrlG \ ;9j'PROPOSED GAS ' ca4'�D IRE�NLFE i 111 OCEAN STREET aA SEX VICE oyp.J C�- HYANNISe MA • .. PROF175ED PN9TN3N` ^_'FIRGRBRIACE. CONNECT OUTLET TO EXISTING - - SEWER LINE EXTENDING TO MAIN ` �ts--�TrP•j VERIFrIX/STING PIPE ELEVATION REFERENCE: TO DETERMINE MANHOLE HEIGHT _ REV-?a TNT enaAnee pryti L.�``eaLL , APROP�1$ED•EiE4Taz G-::_.- r, - MAP 326 PRIOR TO INSTALLATION �EZYI,�E auc�aan'� � use -SERVICE 7TrP)� � 'JaFr:arzw;+a. -<cxA t'� PARCEL 045 ro FlR9r PARXe.G s"Aee } 'y".• •. Ip'J"- ... _--" .,,..- RErweEXlsrrnc PREPARED FOR: smE.+uX N ReaIIRm •. .:�"`' ••- / �� �y4 CAPE COD FOUNDATION/ % S�7EES OF R. RUSHESTA ER i u3 i ur J / / pB BUILDING C RELOCATION PORTICN OF EXISTING WALL TO BE REMOVED 1 REMOVE GARAGE 06/10/09 j J / !"I AN SCALE NOTE "A" a ( Revision/Issue Date NOTE A. p"I It JOB# 09-022 Slwet EXISTING GARAGE TO BE REMOVED. BUILDING `C` TO BE RELOCATED TO 09022SP1.dwg / THIS AREA AND REBUILT. TOP OF FOUNDATION PROPOSED AT 18.9't TO BE CONFIRMED ON-SITE WITH BUILDER PRIOR TO CONSTRUCTION. Outs NOTE R: 02/26/2009 1 OF 2 PROPERTY LINE INFORMATION TAKEN FROM EXISTING SITE PLAN Scale FOR CAPE COD FOUNDATION/TRUSTEES OF R. RUSHER ESTATE 12/15/2008. - -