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HomeMy WebLinkAbout0213 OCEAN STREET II TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map 2 Parcel ®�357 Permit# 2 Health Division G'% (D ego Date Issued ���3 0 3 Conservation Division Application Fee F_csil 'X Tax Collector 10I30'03 Permit Fee , � Treasurer Planning Dept. tPPLICANT MUST OBTAIlVASRw&, Date Definitive Plan Approved by Planning Board �NNNECTIO PERMIT FROM THE CONSTRUCTlpG DIVISION PRIOR TO Historic-OKH Preservation/Hyannis 1(L Project Street Address 7 � Village �p-�f'r Owner , V (Cy' 4OK-6, Cr' 02fR . , l LC, Address 2� OLbju At-r'(!�, . ►SA_ Telephone _ 40k Q?J a-w- Permit Request `tcp C cei;:F Z �co ok�z (L�� -- Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation Construction Type Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family(#units) , r Age of Existing Structure Historic House: ❑Yes ❑No On Old King's Highway: ❑Yes ❑No Basement Type: ❑ Full ❑Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) lkr� Basement Unfinished Area(sq.ft) Number of Baths: Full: existing ( new D Half: existing new Number of Bedrooms: existing_ new _11 Total Room Count(not including baths): existing new First Floor Room Count Heat Type and Fuel: ❑Gas ❑Oil electric ❑Other Central Air: ❑Yes YNo 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 BUILDER INFORMATION (� Name gall GCe (���� Telephone Number ��I _ 5$� 7 `�� Address i� )LOA [ ' S�- n�( License# 01 a Sc� 0 °3 Home Improvement Contractor# Worker's Compensation# ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO V( CiZr-. SIGNATURE DATE Z0%710 } FOR OFFICIAL USE ONLY PERMIT NO. DATE ISSUED } MAP/PARCEL NO. ADDRESS. VILLAGE OWNER " 5` DATE OF INSPECTION: FOUNDATION (J " 7 FRAME 6t,V INSULATION - FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL L GAS: ROUGH FINAL FINAL BUILDING �> .✓ G /t,: VIC 16 11"7 DATE CLOSED OUT - - ASSOCIATION PLAN NO. i Ulvl7- 3 COMMERCIAL BUILDING PERMIT FEES APPLICATION FEE New Buildings,Additions $100.00 _ Alterations/Renovations $50.00 s'Q, O D Building Permit Amendment $50.00 FEE VALUE WORKSHEET NEW BUILDINGS square feet x$140.00/sq.foot= x.0061= ALTERATIONS/RENOVATIONS OF EXISTING SPACE , square feet X$96/sq.foot= Z3 , S 3 2�oo X.0061= 94 STORAGE BUILDINGS ONLY square feet X$32.00/sq.foot= X.0061 Commprojcost The Commonwealth of Massachusetts M - - Department of Industrial Accidents Office oflnyestlgatians t 600 Washington Street Boston,Mass. 02111 Workers' Com ensation Insurance davit r 'S naive C ��G 2 B''/� llee-\ Location city l,J it,� /`n� �P� shone# ❑ I am a homeowner performing all work myself. 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'�!' :u{t:s.}•;2:•}>3vL,.;.,.:n:]%.-:h. .:x#i i:;::t v:�;., ..4.,:. .;{.:}.r..+...........;,..•:n:•::r}:..d4`••..s xh:a]., yr.:..... +:%•r..::?:•:::,.:^n,....;.,•.n,; 4.....,.:. :•.a•: �11 .M... Y�.:...;..;.¢A•:+r..vn'+r•.•1}•f,.}K�.}#$k::::::;;�i:;:2:Y:,• `•....:..i:x:i•.'+4:Lry}:{.,.:..::{4.a•.:•. •:•},;'• ` •v : W'iQ�nC�i:�V✓:::v:4::;v.x.,.:K:%.hh: ..??.:3:'. ...:.+.. • Failure to aecme coverage as required under Section 35A of MGL 152 can lead to the imposition of crhninal penalties of a fine up to 51,500.00 and/or one yam!hnprlsonmes,t a,wen as dvfi 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 Investiga$ons of the DIA for coverage verification. I do hereby certify under the pains penalties of pedury that the information provided above is truo.mid correct Signature Date `Ola2 7ld Print name ,A //C:c e /4 Aldo, _ Phone# official use only do not write in this area to be completed by city or town official city or town: perwit/license# ❑Building Department ❑Licensing Board ❑checkif immediate response is required ❑Selechnen'a Office _ ❑Health Department contact person: phone#; rImer- 4evi"d 9195 PJn7 ti. Information and Instructions Massachusetts General Laws chapter 152 section 25 requires all employers to provide workers' compensation for their employees. As quoted from the"law", 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 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 commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required. Additionally,neitherthe 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'rw'rance requirements of this chapter have been presented to the contracting authority. r PP A licants please fill in the workers' compensation affidavit completely,by checking the box that applies to your situation and along with a certificate insurance as all affidavits maybe supplying company names, address and phone numbers 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. 111111140 MA 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 ce number. The affidavits may be retumed'io ed as a referen be sure to fill in the permit/Iicense number which will be us _ 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) 727-4900 ext. 406, 409 or 375 . 671 � � �✓�aaaac%zu BOARD OF IB�, , licer>se ► Di1YG FMGULA t S ►�SF�2fiIG T PQN SUPERUISpR - -- 072568 To * 4 Fr.no: 4577 * t AL-LACE A A 13 LEIWELL ST SAF �kCi , AMA 4dmnistrata f r it HYANNIS IBM DEPARTMENT 95 HIGH SCHOOL RD. EXT. HYANNIS, MA.02601 - Eire HAROLD S. BRUNELLEi CHIEF l f��p�ENi iTUOEME AWAl1EMEEi Oi iIRE EYYCAT1011 FIRE PREVENTION BUREAU V BUSINESS PHONE:(508)775A300 FACSIMILE PHONE:(508)778-WB LT.I]UM9LP.H. CHASE,JR.,CFI LT.ERIC F.HXJBLER, CFI >." FIDEREVENTION:OFFICER FIRE PREVENTION OFFICER BUILDING COP-.E. COMPLIANCE FORM THIS FIRE PREVENTION BUREAU:HAS REVlEWEG THE PLANS DAD FOR THE PROPERTY LOC TED AT . �,. Qv ALSO KNOWN`t1S� V Ltvj THE. CHART BELOW INDICATES THE STATUS OF OUR REVIEW: TYPE OF CbNSTRUCTIQN[�dCUAENT WA RECEIVED REVIEWED COMPLIES 3 _ IT 1-NARIATIUE'R.Ei�OR -FIYDEAIVT LOCATION/WATER.$UQLIf` 4:SPR"INKLER SYSTEMS S SPRINKLER C(3NTROL EQUIRIVIENT _ ' fi STANDPIPI: SYSTE1UlS 7 STAN[3PIPE VALVE:LdCAT10iV5 8 FlRE DEPpill N ;.CON IECTIQN 9 FfRE PROTECTIVE SI6f�[1LIIIIG S'ST 10=F P S`:S &A:NNUNCIATOFi LOCATION 11=SM6KE CONTROL.%EXHAUST 12 SMOKE CONTROL:EQUIP.. LOCATION 13=LIFE SAFETY SYSTEM FEATURES 141 FIRE€XTINGUlS}-ih SYSTEMS 15-F E S:CONTROL:EQUIP`LOCATION. V. 16 FIRI*PROTECTION ROOMS 17-Fl I PROTECTIQN E©UlR SIGNAGE 1a=ALARM TRANSMIS51OI�t METHOD--"-'� '1.9-SEQUENCE OF OPERr4TlON DEPORT: 20-ACCEPTANCE TESTING CRITERIA WE BE ` VE HE DOG EN B OM L E AND COMPLIANT FOR THE ISSUANCE OF A BUILDING PER�/iIT a �.� �� WE HAVE COMPLETED THE ACCEPTANCE TESTING FOR THE OCCUPANCY PERMIT AND BELI 'T WITHIN THE SCOPE OF THE BUILDING PERMIT,THE ABOVE ISSUES ARE IN COMPLIANCE. �NiS�iRE r,r������KSN► YA � EX r.. 1 N LLJ QQ �3 a AL LO 7511 ry roll I cr CD LO CV Ln CD 00 m m M m iL LAJ We i N m m LD V CN J LO S 04 Ln m -