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HomeMy WebLinkAbout0046 PARKWAY PLACE ' _ �� ' ��� i _ ' � t i i {� i TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION � ttII` Map Parcel � L� Application Health Division Conservation Division Permit# Tax Collector Date Issued Treasurer Application Fee —b 11 Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board Historic-OKH Preservation/Hyannis —b Project Street Address Village u Owner 6 , /���`°� �� �'�"�.S Address �3`" Telephone / S® 2 Permit Request Square feet: 1 st floor:existing proposed 2nd floor:existing proposed Total new Zoning District Flood Plain Groundwater Overlay ®6 Project Valuation�� F�®� Construction Type Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family(#units) 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.) 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 411eat 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:❑existi� ,,.,,°g ❑new size Attached garage:❑existing ❑new size Shed:❑existing ❑new size Other: LF ?; C Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ -- cs c Commercial ❑Yes ❑No If yes,site plan review# Current Use Proposed Use BUILDER INFORMATION ca Name ��'` --l ✓%�-�° (.i ✓ Telephone Number ��' 2f-0101 Address C9ir License# n /L0 07 D 1-6�0 Home Improvement Contractor# `77 V` 04' ® Worker's Compensation# ALL CONSTRUCTION/DEBRIS RESULTING FROM THIS PROJECT WILL BETAKEN TO SIGNATURE DATE1 "'� r ' 3 ` FOR OFFICIAL USE ONLY PERtv1IT NO. DATE ISSUED MAP/PARCEL NO. r i i e t ADDRESS VILLAGE OWNER i DATE OF INSPECTION: FOUNDATION FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL } s PLUMBING: ROUGH ' FINAL i GAS: ROUGH FINAL FINAL BUILDING A DATE CLOSED OUT i ASSOCIATION PLAN NO. The Commonwealth-ofMassachusetts Department oflndustrialAccidents r • Office of Investigations .�1 r 600 Washington Street '' Boston, MA 02111 f www.mass.gov/dia Workers' Compensation Insurance Affidavit: Build ers/Contractors/Electricians/Plumber.s Applicant Information Please Print Legibly Name (Business/Organization/7ndividual): Ae, h ;�P 1(1I0 /,-,4zV G 6,j Address: ® 4 .13 O)r �G7 City/State/Zip: '- Y.11pw 17 r 'L 0 / Phone#: Are you an employer? Check the appropriate bog: Type of project(required): 1.❑ I am a employer with 4. ❑ I am a general contractor and I 6. ❑New construction 2.Wmployees(full and/or part-time).* have hired the'sub-contractors I am a sole proprietor or partner- listed on the attached sheet. t 7• ❑Remodeling ship and have no employees These sub-contractors have 8. ❑Demolition working for mein any capacity. workers',comp,insurance. 9. ❑Building addition [No workers' comp,insurance 5. ❑ We area corporation and its required,] ' officers have exercised their 10.❑Electrical repairs or additions 3.❑ I am a homeowner doing all work right of exemption per MGL I L❑Plumbing repairs or additions . myself. [No workers' comp. c. 152, §1(4),and we have no 12.❑Roof repairs insurance required.] t • employees. [No workers' 13.7 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 their workers'comp"policy information. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: Policy#or Self-ins,Lic.#: Expiration Date: Job Site Address: . City/State/Zip- 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 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 `certif�y nder�the pains and penalties of perjury that the information provided above is true and correct Si mature: "f✓s�1-�- ��/wG�" Date: Z3 "® 16r 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#: -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-contractor(s)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 n required to c workers' compensation insurance, If an LLC or LLP does have members or partners, are of qu arty p 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 permit/license 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 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 Departmgnt of Industrial Accidents Office of Investigations 600 Washington Street Boston, 02111 Te,,1. # 617-727-4900 ext 406 or 1-8.77-MASSA�E Fax#617-727-7749 Revised 5-26-05 www,mass.gov1dia of� Town of Barnstable Regulatory Services lA AM.LE, HAM. * Thomas F. Geiler,Director 9 M �A�ED MA'S p�0 Building Division Tom Perry, Building Commissioner 200 Main Street, Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder as Owner of the subject.property hereby authorize � �' �'��G'`}"�'�`L'% to act on my behalf, in all matters relative to work authorized by this building permit application for: (Address of Job) Signature of Owner Date Print Name QTORMS:OWNERPERMISSION f fie �o�non+re� �rp�aaac�ZUQed4 I BOARD OF BUILDING REGULATIONS k ,+ License: CONSTRUCTION SUPERVISOR � f I Number 031106 I Birth 955 EE34to =i007 Tr.no: 13983 Re 3 :�— PETER G MAND 1 PO BOX 1647 � HYANNIS, MA 0260h C �� Commissioner TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map f I a 3 Parcel Permit# (6 7a Health Division Date Issued Conservation Division Application Fee Tax Collector Permit Fee Treasurer Planning Dept. Q Date Definitive Plan Approved by Planning Board Historic-OKH Preservation/Hyannis Project Street Address P�211(_0A ��-16tect Village 0-ftwt3 Owner ate. Address 767 Telephone � g^ ��g� �� r ' m Permit Request P`�-i � la1on f� 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 do_cumentatibr. N) Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family(#units) Age of Existing Structure Historic House: ❑Yes ❑No On Old King's High y: ❑Y-es E No Basement Type: U Full ❑Crawl ❑Walkout ❑OtherLM Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) rn 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 .t 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 2 es ❑ No If yes,site plan review#_nqq-6 2 -- Current Use Proposed Use GQ�AA BUILDER INFORMATION C, Name ( L3 7-6 AlTelephone Number 7 Address rLr ' !y License# y y A k`r) fS Home Improvement Contractor# Worker's Compensation# ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE �� DATE 0 FOR OFFICIAL USE ONLY PERMIT NO. e DATE ISSUED MAP/PARCEL NO. a - ` ADDRESS VILLAGE OWNER DATE OF INSPECTION: FOUNDATION ' FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL ' FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. OFTME Tph, Town of Barnstable 0,0 BARNSTABLE, * Regulatory Services y MASS. g 1639• Thomas F.Geiler,Director AlE p�,1 A Building Division Tom Perry,Building Commissioner 200 Main Street,Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 Date: Name: lfk7A77 Address: °t V Village: DO CO 1s Zoning: Current/Last Use "T rn Proposed change of use �010n�C " �n�pl�Z� �C Change of Use Request I, hereby voluntarily surrender the use and knowingly give up all rights associated with its history. At this time I request that a Change of Use permit be issued for the aforementioned use. �- Signature Approved Not required Staff notes: Q:Bldg\forms\changeuse Rev 122801 TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel Permit# l Health Division Date Issued Conservation Division A Application Fee Tax Collector D°� Permit Fee d Treasurer _ ®� Planning Dept. Date Definitive Plan Approved by Planning Board Historic-OKH Preservation/Hyannis p� J. Project Street Address Village , /mil J Owner Address Telephone Permit Request qu re eet: 1 st floor: existing `'(�6) proposed_� 2nd floor: existing — proposed Total new _T Zoning District o t7 Flood Plain P61, Groundwater Overlay Project Valuation mo ) Construction Type Lot Size ��� Grandfathered: ❑Yes ❑No If yes, attach supporting documentation.�1�7 Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family(#units) Age of Existing Structure 61Cs Historic House: ❑Yes No On Old King's Highway: ❑_Yes I(No Basement Type: Full ❑Crawl ❑Walkout ❑Other ! Basement Finished Area(sq.ft.) � Basement Unfinished Area(sq of Number of Baths: Full: existing new Half:existing > no new C) Number of Bedrooms: existing new G Total Room Count(not including baths): existing new First Floor oom Count P Heat Type and Fuel: ❑Gas ❑Oil ❑ Electric ❑Other Central Air: ❑Yes O No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑No Detached garage:❑existing ❑new size Pool:❑existing ❑new size Barn:O existing ❑new size Attached garage:O existing ❑new size Shed:O existing ❑new size Other: Zoning Board of Appeals Authorization ❑ Appeal# Recorded O Commercial O Yes ❑No If yes, site plan review# - Current Use Proposed Use t� BUILDER INFORMATION Name_4� Telephone Number Address�r /,�/'f�� ;D C License# d ZZ 2 Cuse / /l� 2:Z5 7 Home Improvement Contractor# Worker's Compensation# ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE ✓ —��7 FOR OFFICIAL USE ONLY ; 1 4 l It PERMIT NO. � r --_DATE ISSUED , MAP/PARCEL NO.— ADDRESS VILLAGE OWNER x. DATE OF INSPECTION: FOUNDATION ' FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL a GAS: ROUGH FINAL ,. �✓r FINAL BUILDING r. 1 DATE CLOSED OUT ASSOCIATION PLAN-NO. ' a- °FZHE Tom Town of Barnstable yP °� Regulatory Services B"NST"LE. ' Thomas F.Geiler,Director MASS. 9q, 1639' Building Division PIED MA'S A b Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 Permit no. Date AFFIDAVIT HOME IMPROVEMENT CONTRACTOR LAW SUPPLEMENT TO PERMIT APPLICATION MGL c. 142A requires that the"reconstruction,alterations,renovation,repair,modernization, conversion, improvement,removal,demolition,or construction of an addition to any pre-existing owner-occupied building containing at least one but not more than four dwelling units or to structures which are adjacent to such residence or building be done by registered contractors,with certain exceptions,along with other requirements. Estimated Cost �l� Type of Work: tl Address of Work: Owner's Name: Date of Application: I hereby certify that: Registration is not required for the following reason(s): ,Work excluded by law , ❑Job Under$1,000 ❑Building not owner-occupied El Owner pulling own permit Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c.142A. SIGNED UNDER PENALTIES OF PERJURY I hereby apply for a permit as the agent of the owner: Date Co actor Name Registration No. OR Date Owner's Name Q:forms:homeaffidav iME 1p� Town of Barnstable " Regulatory Services BMWSTAByQ MaAM IE$ Thomas F.Geiler,Director Op i679• ♦0 lE039 Building Division Tom Perry. Building Commissioner 200 Main Street,Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 August 15, 2002 MidCape Chiropractic C/o Steve Wilson 812 Main Street Osterville,Ma 02655 o Re: SPR 049-02, 46 Parkway Place,Hyannis (R342-034) Proposal: Establish chiropractic and massage practice Dear Mr. Wilson; Please be advised that this application was approved administratively at the Site Plan Review staff meeting on August 140 with the following condition: The applicant must obtain a change of use permit. The applicant shall reserve the two parking spaces identified as 1 &2 for employee parking only. Sincerely, Robin C. Giangregorio - Site Plan Review Coordinator ••� �—�� :. ® = DRAINAGE CATCH BASIN = UTILITY POLE/GUY WIRE a ► 45 = ELECTRIC METER x ►rn �+ � • �~ ��----� = CONTOURS SPOT GRADES OO SEWER MANHOLE •� \; D4 = WATER GATE/SHUTOFF 0 0 = TREES ' ,�; N/F FARRISH Q = SHRUBS ` /NAc 7A, A = LIGHT POLE 4& 0 0 0 = POST RAIL FENCE • 00 = SEWER LINE 39 F(n \ � �s ---- --�--f = OVERHEAD WIRES 65 •�s o ` Y \ �,�, ��, EXISTING HOUSE r0 BE COVERED TO CHIROPRACTIC OFFICE LOCUS MAP L SCALE: 1" = 26W 1500 SQ. FT. 1ST do 2ND FLOOR PARKING REQUIRED = 1 SPACE PER 300 SQ. FT. �FS.G 5 SPACES REQUIRED CB/DH FND �cs� \ PARKING PROVIDED = 5: 3 OUTSIDE, 2 IN GARAGE THE THREE OUTSIDE SPACES TO BE CRUSHED STONE LANDSCAPING ems_ OR SIMILAR PERVIOUS SURFACE. 1. WHERE POSSIBLE EXISTING TREES AND SHRUBS TO BE TRANSPLANTED s AREAS ONSET. ALL RUNOFF TO BE CONTAINED ON SITE. TO ADJACENT 2. LAWN AREAS TO BE MAINTAINED. ; \ EXISTING IMPERVIOUS AREA = 2290 SQ. FT. A / oQ \ PERCENTAGE OF LOT = 2290/8150 = 28% W00 D 0 I oy PROPOSED IMPERVIOUS AREA = 3,555 SQ. Fr. 9.?,5 PERCENTAGE OF LOT = 44% ?, PROJECT BENCHMARK :DATUM = ASSUMED WOOD AME 99.r:. IBM = PK NAIL SET IN PAVEMENT 0 ELEV. 100.36' GARAGE 1R�,o ZONING DISTRICT. PRD (PROFESSIONAL RESIDENTIAL DISTRICT) OVERLAY DISTRICT AP (AQUIFER PROTECTION) MINIMUM LOT AREA: 7,500 SQ. FT. 2 COVERED ACES ; :p 1 MINIMUM FRONTAGE: 75' P ;� ST FRONT YARD = 20' SIDE YARD = 7.5' REAR YARD = 7.5' i' PARKING; P PO N/F FENNELL �ryh v� / / coNC�E��`99? 99 B N/F MCAULIFFE \ LOCUS PROPERTY IS SHOWN AS: 4.1 STAKE SE � ASSESSOR'S MAP 342 PARCEL 34 T�' 93 LOCUS DEED: ' LAN[?sCAPED DEED BOOK 4645 PAGE 98 V" , AREA \ o '� 3 98.E fyGl ` \ PLAN REFERENCES: x ` �' '�`� \ LOT 16 PLAN BOOK 54 PAGE 41 ONE WAY s ` COMMUNITY PANEL NUMBER 250001 0005 C � THE FOOD INSURANCE RATE ASAP UIEFINES THIS AREA AS 20NE C, c-------- ---- •o• AN AREA OF MINIMAL FLOODING. �. i0Q 0 STEPS 100,J \ DSCAPED \ LOCATION OF UNDERGROUND UTILITIES ARE APPROXIMATE AND AREA WOOD DECK 9 u / ANTENNA iron, ,$ SHOULD BE VERIFIED IN THE FIELD BY THE APPROPRIATE UTILITY COMPANY PRIOR TO ANY CONSTRUCTION. / S THIS PLAN IS BASED ON AVAILABLE RECORD INFORMATION AND PLANS AND AN ON THE GROUND FIELD SURVEY BY THIS FIRM s \ ON 6/14/02. CB FND PROPERTY OWNERS: O ';13RUSH � r EXISTING WOOD FR ME DWELLING ��' I PRANCES MURPHY o F:E \ 102.95 46 PARKWAY PLACE /STONE .' HOUSE 46 10^,r 0 o �3. 6Tp0 PARKING SHRUBS/PLANTINGS �� , HYANNIS, MA 02601 SHRU8S/PLA INGS STONE N UP 29 6 ' -� °ti # 1 / 46 ParkwayPlace IANDSCAPED AREA �" Fr5 993 a of�A�`'� 2S. BND �� / f ryb . ROOF OVER I 1 D \; \ yL /GPP� u/ Hyannis, MA o- s PREPARED FOR r}� UP # 3 1,1 Chiropractic � /p ± '-^t•' .. ( 1 a LAr DSCA Et AID£ i..\_} ✓ Mid-Cape R�5 x •r,i a 101 i�i.,' L 1DL� "1� r t c / 1 N �Y � � � j LAWN x 1"rJ.; 9• d�� s\ TBM = PK NAIL SET t LAWN PARCEL AREA 0 Ni ,' s O ELEV. 100.36' t 3 N r 8,150+/- SQ. FT. s\ w LAWN o- tfri.:= ;�� 0.19+/- ACRES Clo x 1CM-3 Site Plan s� L=116. 8P ,z BA►XTER NYE �i HOLM APPROXIMATE LOCATION OF EXISTING R=110. 85' s a GREN, INC. SEWER CONNECTION (PB 377/PG18) « J� g a""/ Registered Professional `l+� X "0 t Engineers and Land Surveyors '� 5 MEN d a +� / o f Q �,� 812 Main Street, Osterville, Massachusetts 02655 e G `�` /s Phone - (508)428-9131 Fax - (508)428-3750 S S S S —s S "` \ �S �,� S —S S ��g ��S 5 # S S S S / PiC0,34 UP # 129/5 �� 10 0 10 20 � R a.r»---�,np 1 K C E �-- SCALE IN FEET W A _ �- A Y P L � - 4 5 *Nkv- SCALE:1"=10' DATE: 07 09 02 ;cp� 0 p U 8 1 8 L I C W A Y coNOR� s� CB DH 9 T 0 w N L A Y 0 u T / a�P�,tH OF MgsS REV. DATE. REMARKS UP #—— �,+r'' / t C.l.9 / O ST oyG �ti].: CONCRE � col SIDEWALK x ;01.s UP # 4 y 10L3 100.9 �� No.30216 I A�ocF ,ftTrERcO\���� DRAWING NUMBER CB FND irJO.9 Ss/ONALE�' �L H: 02 02-056 surve worksht 02-056PROP1 .dw 2002-056