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HomeMy WebLinkAbout0089 PLEASANT STREET �y} ',i � I i S-oo I A Gh O r� i I I a i I I , i �A p p licati ynn mbi.&71Ox trctE ..?) ............................................_41110IFee........ etrsrnee Building Inspecto MASS, OCT 0 9 2010 rs Initials�...�,,W.. Date Issued.......... FOWN 0� ......V............................... 6AHNSTABLF 2 0,- 0 D,11 - Map/Parcel................................................................. A�A TOWN OF BARNSTABLE ' 90 U10 EXPEDITED PERMIT APPLICATION: ROOF1111 ING/WINDOWI/DOORI/TENTS/STOVES/WEATHERIZATION PROPERTY INFORMATION Address of Project: Tle-aso-,-\t- Siw-y—t- NUMB STREET VILLAGE Owner's Name: 1-o f-c'� P non Phone Number 5V,6- 77/ Email Address: Cell Phone Number Project cost$ 9,gco= Check one Residential Commercial V/ OWNER'S AUTHORIZATION As owner of the above property I hereby authorize -e S -e, to make application for a building permit in accordance with 780 CMR Owner Signature: Date: TYPE OF WORK 0 siding F-1 Windows(no header change)# ED Insulation/Weatherization Doors (no header change) Commercial Doors require an inspector's review Z�400f(not applying more than I layer of shingles) Construction Debris will be going to 16(S CONTRACTOR'S,INFORMATION Contractor's name. S Home'l4rovement Contractors Registration(if applicable)# (attach copy) Construction Supervisor's License# 08/0y0 (attach copy) Email of Contractor Qa7,4;q(,oby '109VaAcr2, Co stir Phone number 7-7 153 - 6 9 5-� ALL PROPERTIES THAT hAVE lSTRUCTURES MR 75 YEARS OLD OR IF THE SUBJECT PROPERTY IS IN A HISTORIC DISTRICT, YOU MUST OBTAIN HISTORIC APPROVAL BEFORE PERMIT CAN BE ISSUED. r , APPLICATION NUMBER............................................................ *For Tents Only* Date Tent(s)will be erected Removed on number of tents total Does the tent have sides?Yes No (If yes please attach floor plan with exits marked) Dimensions of each Tent X X X Additional tent dimensions can be attached on a separate piece of paper. Purpose of Event Check one: this event is a: for profit non-profit event Check one: Food served Yes Nc Flame Spread Sheet of each tent must be attached. Provide a site plan with the location(s)of each tent If food is being served at your event please obtain a Health Department approval between the hours of 8:00am-9:30 am or 3:30 pm4:30pm.Commercial events may require Fire Department approval. *WOOD/COAL/PELLET STOVES Manufacturer# Model/I.D. Fuel Type Testing Lab Offsets from combustibles: front back left side right side HOMEOWNER'S LICENSE EXEMPTION Homeowner's Name: Telephone Number Cell or Work number I understand my responsibilities under the rules and regulations for Licensed Construction Supervisor in accordance with 780 CMR the Massachusetts State Building Code. I understand the construction inspection procedures,specific inspections and documentation required by 780 CMR and the Town of Barnstable. Signature Date APPLICANT'S SIGNATURE Signature /41�1 _ Date 101q&�d All permit applicati ns are subject to a building official's approval prior to issuance. �5 Telephone 508.771.7222 FAX: 508.778.9312 Barnstable TDD/TTY: 508-778-5333 146 South Street•Hyannis,MA 02601 "Rw"90 ' Housing Authority NOTICE TO PROCEED October 3,2618 Patrick Jacobs P. Jacobs Custom Carpentry and Remodeling - PO Box 344 Yarmouthport,MA 02675 Re: RAP 89 Pleasant Street roof replacement Pursuant to the terms of the above listed project, you are hereby notified to commence work at the start of business on October 4,2018. The time for completion, is thirty days (30)calendar days hence, which is November 2,2018. It is the responsibility of the contractor to meet the schedule as set forth and in accordance with the terms and conditions of the contract. The Contractor is prepared to begin this project as per terms set forth in bid outline on October 4, 2018,the 1 st day of this Notice to Proceed. Si o 1 xecutive Director Patrick Jacob HA, ntracting Officer Owner 10 Mal 9 Commonwealth of Massachusetts Division of Professional Licensure Board of Building Regulations and Standards Constru-664n'bupervisor 1 CS-081040 y Eas ir es: 04/04/2020 PATRICK H JACOBS 28 WHITTIER DRIVE +� DENNIS MA 02638 Commissioner V C�J/�e �Oasnmanr�ea��i,o�t�/cla�rccliccae�a � . Office of Consumer Affairs&Business Regulation - HOME IMPROVEMENT'CONTRACTOR TYPE Individual Registration Expiration 165868 - =05/14/2020 PATRICK JACOBS DB/A P.JACOBS CUSTOM.CARPENTRYAND REMODELING t . PATRICK JACOBS t t 28-WHI17ER DR. °2r f 4 DENNIS,MA-02638 Undersecretary r� f tx The Commonwealth of Massachusetts , Department of Industrial Accidents UOffice of Investigations 600 Washington Street Boston,MA 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information (( Please Print Legibly Name (Business/Organization/Individual): Q0.�LK•- _1accbs Address: P 0. C30x �4y City/State/Zip: -P M Fr oa.t,-7g' Phone#:• 7?Y "357- 6 9Sa Are you an employer?Check the appropriate box: Type of project(required): 1.❑ I am a employer with 4• ❑ I am a general contractor and I employees(full and/or part-time).* have hired the sub-contractors 6. ❑New construction 2.[34 am a sole proprietor or partner- listed on the attached sheet. 7. E Remodeling ship and have no employees These sub-contractors have g. ❑Demolition working for me in any capacity. employees and have workers' [No workers'comp.insurance comp.insurance.$ �• ❑Building addition 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. ' right of exemption per MGL y �o workers comp. 12. Roof repairs insurance required.]t c. 152,§1(4),and we have no employees.[No workers' 13. Other it/�a 1 .eclbF��t/G 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 my employees. Below is thepolicy and job site information. r 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 certify u der the pa' and penalties of perjury that the infornuriion provided above is true and correct Signature: Date: /O Phone#: 774/- 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 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 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 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 Office of Investigations 600 Washington Street Boston, MA 02111 Tel. #617-727-4900 ext 406 or 1-877-MASSAFE Fax# 617-727-7749 Revised 4-24-07 www.mass.gov/dia . r TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION � - -� _70('�I-Li� Map �a Parcel Permit# -111160 / FFkgtttrP�Birvtslan�6A v-ST- Q 67l � P iG" ,9124190ate Issued Conservation Division Irv, 12 / Fee .2634s'L �ax Collector Treasurer - L!tw � C . � Planning Dept. /���� Date Definitive Plan Approved by Planning Board N ✓� ��" C Historic-OKH reservation/Hyannis Project Street Address 02 R Village Owner aY 4 / 100S) L/7r- Address Telephone 2 /— -2 d Permit Request �► I �l rvm C-3,26 , I ' M46�� LI-0222 66 L_LJ,--5 AOL-," a), 0) J r � ��� C_mcl Square feet: 1 st floor: existing 19-3)LI proposed 2nd floor:existing proposed Total new Estimated Project Cost ov Zoning District Flood Plain - 4� 0— Groundwater Overlay Construction Type C J o 0 D ` Lot Size 0a V I i - D Grandfathered: des ❑No If yes, attach supporting documentation. Dwelling Type: Single Family U"' Two Family ❑ Multi-Family(#units) Age of Existing Structure 6I9 Historic House: tj-Yes ❑No On Old King's Highway: ❑Yes la'IVo Basement Type: Gull ❑Crawl [4lalkout ❑Other Basement Finished Area(sq.ft.) C_v f s/ 16130.9 Basement Unfinished Area(sq.ft) Number of Baths: Full: existing Q new Half: existing new Number of Bedrooms: existing new l3 Total Room Count(not including baths):existing new First Floor Room Count Heat Type and Fuel: &Gas ❑Oil ❑Electric ❑Other Central Air: ❑Yes TI"N'o Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑ No Detached garage:❑existing ❑new size Pool:❑existing ❑new size Barn:❑existing ❑new size Attached garage:O existing ❑new size � Shed:O existing ❑new size n/ 4 Other: Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes O-No If yes,site plan review# Current Use Proposed Use �J BUILDER INFORMATION Name-AA �0,7 __7 nee Telephone Number Address 0 U ��� D License# , � 7 a`f y y a 'ram y f �� _AAA: Q Home Improvement Contractor# fT Worker's Compensation# ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO ffo oGf_T SIGNATURE % DATE _ I� l FOR OFFICIAL USE ONLY PERMIT NO. / + DATE ISSUED MAP/PARCEL NO: lot ADD RESS VILLAGE t OWNER DATE OF-INSPECTION: >, ? , FOUNDATION FRAME INSULATION= - FIREPLACE,-,,- E r ELECTRICAL: ROUGH FINAL PLUMBING:�, ROUGH �s FINAL ; GAS: ROUGH �� FINAL " FINAL BUILDINGS DATE CLOSED OUT - + ASSOCIATION PLAN NO. s _ r a " TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map 326 Parcel 027 Permit# Health Division Date Issued 1-2,) IF' Conservation Division Jw& J Fee ---°�/ Tax Collector 0�L U -XI _ /� 4 q Treasurer U Planning Dept. Date Definitive Plan Approved by Planning Board Historic-OKH Preservation/Hyannis Grp Project Street Address 89 Pleasant Street Village Hyannis. ` Owner Barnstable Housing Authority Address 146 South Street$ Hyannis Telephone 771=7222 + Permit Request Moving 1690 Coleman Building from 146 Lewis Bay Road, Hyannis to 89 Pleasant Street, Hyannis. Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Estimated Project Cost Zoning District Flood Plain Groundwater Overlay 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 309 yrs , Historic House: M Yes ❑No On Old King's Highway: ❑Yes n No Basement Type: ❑Full ❑Crawl 29-Walkout . ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full: existing 2 new 1' Half: existing new - Number of Bedrooms: existing 3 new Total Room Count(not including baths):existing 6 new 1 First Floor Room Count 4 Heat Type and Fuel: 0 Gas 0 Oil ❑ Electric ❑Other Central Air: ❑Yes [ No Fireplaces: Existing 2 New Existing wood/coal stove: 0 Yes 10 No Detached garage:❑existing ❑new size Pool:0 existing ❑new size Barn:❑existing ❑new size Attached garage:❑existing ❑new size Shed:0 existing 0 new size Other: Zoning Board of Appeals Authorization ❑ •Appeal# N/A Recorded❑ Commercial ❑Yes Ql No If yes,site plan review# Residential/Rental Residential�Rental Current Use Proposed Use ** BUILDER INFORMATION Name u fJ� y;1_0 L1& /finI/C_& .-4,ys, Telephone Number 6 �96 4 Address 11� F S' 14 9� License# D 3 9 lulillF�h - � ,� � I� /ewe Nq Home Improvement Contractor# I Y-13 Z Worker's Compensation# 176 J D_e =0 0 ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE FOR OFFICIAL-USE ONLY ' 'PERMIT NO. DATE ISSUED - MAP/PARCEL NO. ADDRESS r VILLAGE OWNER i DATE OF INSPECTION: FOUNDATION FRAME ` M1 INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL ; PLUMBING: ROUGH FINAL ' GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT r ASSOCIATION PLAN NO. Commonwealth Electric Company 2421 Cranberry Highway Wareham, Massachusetts 02571 •J L �� Telephone (508) 291 0950 484 Willow Street Hyannis, Ma 02601 October 15, 1998 Town of Barnstable Building Department South Street Hyannis, Ma 02601 To whom it may concern: This letter is to confirm that the electric service and meter has been removed from the property at 146 Lewis-Bay Road in Hyannis. This was done at the request of Carolyn Brown for the purpose of demolition. If I can be of any further assistance in this matter please feel free to contact me at 508-790-1721 X5781. Very truly yours, Judith A. Webb Customer Service Rep Hyannis District cc: Carolyn Brown 0 ^ •12i \V111(l'S Pd;1 - r -- Su. litrmouth. ,AIA 02664 COLONIAL. 1-800-548-8000 G A S C 0 M P A N Y Fax:303-394-2564 September 28, 1998 Hyannis Marina 21 Arlington Street Hyannis, MA 02601 re: 146 Lewis Bay Rd Hyannis, MA account number: 52-13-4051 To Whom It May Concern: This letter is to confirm that the natural gas service to the above referenced property has been cut and capped at the gate box merco. This work was completed by us on September 24, 1998. t Ifyou have any questions, I can be contacted at the number listed above, extension 7503. Sincerely, T (J Bonnie Figueroa Distribution Department ` Barnstable 47, Old R P.O. Box 326 Yarmouth Road C O M P A N Y Hyannis, Massachusetts 02601-0326 508/775-0063 November 2, 1998 Wayne Kurker 21 Arlington Street Hyannis, Ma. 02601-3299 ! Dear Mr. Kurker: Please be advised, the water service at 146 Lewis Bay Road, Account #326-116, Service #2124, is off at the street and the water meter ha; been removed in preperation of the buildi 's demolition. ;ee L. Doug4ks Barnstable Water Company 1he commonweaun oj xiassacnusetu Department of Industrial Accidents 600 Washington Street Boston,Mass. 02111 * Workers' C ensation.Insurance AM davit name: location: city phone# 0 1 am a homeowner performing all work myself. ❑ I am a sole etor and have no one working m' any capad MMMIMMIN, rMIUMMAN, --- ------ I ; I a,1 1 .45: '170, Sam an employer.providing workers'compensation for my employees working on this job. , ......... ...... ........ .......... .............. . ........... .. MV3n ..zjLu LMU .. .... > ... .... ... ....... ..... ........ ................. . ......... ........... .. .. ....... . ............. ........ ........... ............... ........... ... ........... .. .... .. ...... ............................... . ...... ...... ......................... M. ------------------------- am a sole proprietor,general contractor,or homeowner(circle one)and have hired the contactors listed below who have the following wwk on polices: ................................ ......... ........ .... ... twany name ........................................................................................................................... ............................................................................................................................ ........... ............................................... ... ...... ....... . . ... X .. ......................... .. .................... ....................... .......... ... .. .......... ...............:. .............. ...X......... AM:;x: ...................... ..... ......... . ..... ........... ........... ..... . ... ............ ...... .......... ..... . .. ...... OW111111111111101111PAS-------------------- .......... ... . .................. ....... ........... ... . . ........... ............ ............. . ...................... ............ ... ........... ..... .. ............ --�.. ........ ......... ..... ....... inn.- address. .......... ................ ............. ........ ... .. ..... ........ . Uroc ....... .. ......... .... ..... .................... K.. . .......... —�1111,1111,1111111,1111IA FIN F/701�ME"1, IVrZ41111111AIL11IIA1.111ZZIIIAI<IIZ"AIWA Fafime to seems coverage as required order section 2sAof mGL isi can lead io the imposition of criminal penalties of fine up to$11'"0L00 and/or one years'huprisonment as well as dva penalties in the form of a STOP WORK ORDER and a fine of$100.00 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 I do hereby certify under the pacts and 7ab*a of perjury that theinformation provided above is&w and coned Si —ip Date — 401, Al Print —A -3�-Z name "It -------------------- --------------------- official use only do not write in this area to be completed by city or town official city or town: pensitmeense# Department —OLilemsing Board El check if immediate response brequired Osdecimuensoffte 03H—M&D—epartatent contact person:....... phone Other_ (Jeered 9/95PJA) 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, constriction 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 renewai of a license or permit to operate a business cr to.construct buildings in the commonwealth 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. 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 along with a certificate of insurance as all affidavits may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and town that the application for the entity or license is e returned to the or to date the affidavit. The affidavit should b city app p 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 mmnber which will be used as a reference number. t°"1re affidavits maybe returned io 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 Investfgallons 600 Washington Street Boston,Ma. 02111 fax#: (617) 727-7749 phone#: (617) 7274900 eat. 406, 409 or 375 �-amino t ' HOME WROVENENT CONTRACTOR =� � Re9islratioo: 114139 ' !:� Expiration: 8/6/Oi �� Type: Individual KEVIN R. ST GEORGE 1 KEVIN ST SURGE G� �o tal p0 BOX 174/81 CONGRESS $1 ADMINISTRATOF N PENBROKE NA 02358 gNG;/�ee �amrrzam�*� a TIONS BOARD OSTRUCUILE T►ON SUPER ISOR i License: CON 031139 Number: CS 40a1 Expires:08/3012001 Tr:no: Restricted To: 00 ST GEORGE �, KEVIN R 174 81 CONGRESS ST POo 058 Administrator N PEMBROOKE, MA } f Engineering Dept.(3rd floor) Map Parcel Permit#" House# - Date Issued // ' 1 - a m, Board of Health(3rd floor)(8:15 -9:30/1:00-4-3ft) Feer, � Conservation Office(4th floor)(8:30- 9:30/1:00--2:00)"- Llri92 Planning Dept.(1st floor/School Admin. Bldg.) Jr 1HE Definitive Plan Approved by Planning Board 19 MARR- TOWN OF;B S- B E Building Permit Application Proj t S e dress- LyL. LP_,:,�r� R-1,. Village Owner �,Zcu=. \C,-,�gwe Address :Telephone qp-gym Permit Request n First Floor square feet Second Floor 15 square feet Construction Type Estimated Project Cost $ 2-500 Zoning District gs�,d Flood Plain 1 Water Protection Lot Size \ Grandfathered ❑Yes ❑l No Dwelling Type: Single Family Two Family ❑ Multi-�FamilY(#units) Age of Existing Structure Historic House l7 Yes ❑No On Old King's Highway ❑Yes allo 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 No.of Bedrooms: Existing New Total Room Count(not including baths): Existing 1 / New First Floor Room Count Heat Type and Fuel: ❑Gas [6il ❑Electric ❑Other Central Air ❑Yes �o Fireplaces: Existin .7, New Existing wood/coal stove ❑Yes [5 No Garage: ❑Detached(size) Other Detached Structures: ❑Pool(size) (Attached(size) ❑Barn(size) o ❑None ❑Shed(size) v ❑Other(size) Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes UNo If yes, site plan review# Current Use acshr"" \T'c"vse- Proposed Use Builder Information Name Telephone Number a�$ Address �� A��n.,�rr License# i \A, rny., o-21 o-\ Home Improvement Contractor# Worker's Compensation# ie©��, t� b 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 SIGNATURE DATE (O �a 19 BUILDING PERMIT DENIED 6 THE FOLLOWING REASON(S) FOR OFFICIAL USE ONLY PERMIT NO. DATE ISSUED MAP/PARCEL NO. ADDRESS ; VILLAGE OWNER i - DATE OF-INSPECTIONa FOUNDATION FRAME E INSULATION FIREPLACE , ELECTRICAL: ROUGH FINAL i 1 PLUMBING: ROUGH FINAL GAS:-- ROUGH FINAL FINAL BUILDING t DATE CLOSED OUT - - ASSOCIATION PLAN NO. White's Pdth C®L® AL So.o. NN Yarmouth, MA 02664 a 1-800-548-8000 G A S C O M P A N Y Fax:508-394-2564 September 28, 1998 . Hyannis Marina 21 Arlington Street Hyannis,MA 02601 re: 146 Lewis Bay Rd Hyannis, MA account number: 52-13-4051 To Whom It May Concern: This letter is to confirm that the natural gas service to the above referenced property has been cut and capped at the gate box merco. This work was completed by us on September 24, 1998. If you have any questions, I can be contacted at the number listed above, extension 7503. Sincerely, Bonnie Figueroa Distribution Department I . Commonwealth!Electric Company COMBO2421 Cranberry Highway �HC eaeehone 508 291 0950 ham, Massachusetts 2571 p ) 484 Willow Street Hyannis, Ma 02601 October 15, 1998 r Town of Barnstable v Building Department South Street Hyannis, Ma 02601 , To whomeit may concern: This letter is to confirm that the electric service and meter has been removed from the property at 146 Lewis-Bay.Road in ,Hyannis.,. This was done at the request of Carolyn Brown for the purpose of demolition. If I can be of any further assistance)sin;-this`matte`r-'please feel free to contact me at'508-790-1721 X578'1. Very truly yours, L.J Judith A.�iWebb Customer Service Rep Hyannis District } cc: Carolyn Brown IMPORTANT MESSAGE For A.M. Day Time o P.M. M . A Of Phone FAX Area Code umber Extension MOBILE Area Code Number Extension Telephoned Returned your call RUSH Came to see you Please call Special attention Wants to see you Will call again Caller on hold Message-�?_.t2 i3 -7 tZ s�/ Signed uniyersal'48023 LITHO IN U.S.A. Barnstable ATER 47 Old Yarmouth Road P.O. Box 326 C O M P A N Y Hyannis, Massachusetts 02601-0326 508/775-0063 November 2, 1998 Wayne Kurker 21 Arlington Street Hyannis, Ma. 02601-3299 Dear Mr. Kurker: Please be advised, the water service at 146 Lewis Bay Road, Account #326-116, Service #2124, is off at the street and the water meter hasbeen removed in preperation.of the-bGp� demolition. /�Re a L. D Barnstable Water Company ��IS A19 I '�0 HYAN N IS MARINA c p 21 Arlington Street • Hyannis, Massachusetts 02601 • Tel: (508) 790-4000 o Fax: (508) 775-0851 qpE �� Email: info@hyannismarina.com April 3, 1999 Ralph Crossen Building Department 367 Main Street Hyannis, MA 02601 Dear Mr. Crossen: Hyannis Marina is in possession of a demolition permit for 146 Lewis Bay Road in Hyannis. We respectfully request an extension on this permit. Your attention to the above mentioned,matter is greatly appreciated. Respectfully, 1 Wayne Kurker f President `�� 1 � FORMULA The Town of Barnstable 1ARNSTMM 16I 9. Department of Health Safety and Environmental Services ArFDMA'�p Building Division 367 Main Street,Hyannis MA 02601 Office: 508-862-4038 Ralph Crossen Fax: 508-790-6230 Building Commissioner August 6, 1999 Mr.Thomas K.Lynch Executive Director Barnstable Housing Authority 146 South Street Hyannis,Mass.02601 RE: 146 Lewis Bay Road.Hyannis Dear Tom, In response to your letter of August 3, 1999,please be advised that you will need a Licensed Construction Supervisor to apply for the Building Permit and submit the Permit Fee. ($3.10/$1,000 value of the project or$25.00 whichever is more). Enclosed please find the necessary application forms and instructions. I have determined that the lot on Pleasant Street which you own was in separate ownership at the time of the adoption of the proviso that made the lot non-conforming and as such is a buildable lot. Best of luck! Sincerely, Ralph Crossen BUILDING COMMISSIONER Enclosure RC/kl gxommissioner:g990806 a`pyoFTHE r Barnstable Telephone(508)771-7222 Fax (508)778-9312 I BARNIT P Leased Housing Dept. (508)771-7292 9 146 South Street•Hyannis,Mass.02601 Housing Authority August 3, 1999 Ralph Crossen, Building Commissioner Department of Health Safety and Environmental Services Building Division 367 Main Street Hyannis, MA 02601 Dear Ralph: Thank you very much for your early assistance with the rescue effort for the Oldest House in the Village of Hyannis. As you know, the Coleman House, located on 146 Lewis Bay Road, will be relocated to a parcel of land on Pleasant Street owned by the Barnstable Housing Authority. The BHA has been proceeding with the project on several fronts. AKRO Associates, Inc. has drawn architectural plans. Peter Sullivan is completing the engineering work and will be submitting a certified foundation plan. The Hyannis Main Street Waterfront Historic District has approved the move and renovations. Bortolotti will be handling the excavation work and the Belangers will be doing the foundation. Cape Cod Five has agreed to finance the project. Murphy and Murphy will be handling the legal work. The Town of Barnstable and the Kelley Foundation have set aside grant money for the renovation effort. Several local businesses have donated materials to the project and Habitat for Humanity will be helping with painting and reshingling of the house. D & K movers of Hyde Park will be the moving house. MHD Construction, Inc. has agreed to be the general contractor and donated the new kitchen. Many of the above mentioned participants are providing pro bono services for this effort. The BHA is now seeking the necessary permits to move the project into the construction phase. I was told by your staff that I would need a letter from you indicating the parcel was determined to be buildable. Please let me know how I can assist you to get this necessary authorization completed. Thank you. Sincerely, Thomas K. Lynch Executive Director Equal Housing Opportunity Agency �iEe �.me�no-ruaeald o�✓lfaatac�ivael� DEPARTMENT OF PUBLIC SAFETY CONSTR14L]IAN SUPERVISOR LICENSE Expires: r8estrteo�. 0i forma' 9 WESrST WALPOLE. MA 12181 Restricted To: 00 00 - 35,600 cf enclosed space j ;M6L C.112 S.601} i 1A - Masonry only 16 - 1 S 2 Family Homes i Failure to possess a current edition of the Massachusetts State Building Code is cause for revocation of this license. t i t:. . The Commonwealth of Massachusetts ECD Department of Industrial Accidents Office ofINFOS i9atioos - -- 600 Washington Street _ ,+ Boston,Mass.. 02111 - , Workers' Com ensation Insurance Affidavit name C.)cnu= location: ;1-\ city honed! ❑ I am a homeowner performing all work myself. ❑ I am a sole roprietor and have no one working in anyca acity am an emplover providing workers compensation for my emplovees working on this job. Com anv name address - city: phone#: �1G10''�060 insurance co. s oolicv# ❑ 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: >v com anv name: address• Sri,, phone#: insurance co. olicv# company name: address• city ollev# phone#: Insurance co. Failure to secure coverage as required under Section 25A of:11GL 152 can lead to the imposition of criminal penalties of a tine 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 I do hereby certify r the pains and penalties of perjury that the information provided above is true and correct Signature Date Print name NC Phone# 1 O-LAC)06 ofllcial use only do not write in this area to be completed by city or town official city or town: permit/license# ❑Building Department ❑Licensing Board ❑check if immediate response is required ❑11ealt Department Office ❑health Depattnnent contact person: phone#; ❑Other (sewed 9/95 PIA)•, Information and Instructions w„ Massachusetts General Laws chapter 152 section 25 requires all employers to provide workers' compensation for their „ the service of another under any conic employees. As quoted from the"law , an employee is defined as every person in 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 . 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 an�thPr who emninys nerso__ns to do maintenance , construction or repair work on such dwelling house or on the grounds o: 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 renew of a license or permit to ope rate a business or to construct buildings in the commonwealth for any applicant who ha not produced acceptable evidence of compliance with the insurance coverage required. Additionally,neither the commonwealth nor anv 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 in the workers' compensation affidavit completely, by checking the box that applies to your situation be supplying company names, address and phone numbers along with a certificate of insurance as all affidavits may 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 compensation policy, please call the Department at the number listed below. are required to obtain a workers' OEM 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 which wil Office of l Investigations used as a reference number. Th affidavits may regarding the cbe� Please zet��t" be sure to fill in the permit/license numberarrangements have been made. the Department by mail or FAX unless other 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. 00 ////%%%. The Department's address,telephone and fax number. The Commonwealth Of Massachusetts Department of Industrial Accidents Office of Investlgatlons 600 Washington Street Boston,Ma. 02111 fax#: (617) 727-7749 phone #: (617) 7274900 eat. 406, 409 or 375 / WORKERS COMPENSATION AND EMPLOYERS LIABILITY INSURANCE POLICY, PAGE.INSURANCE p�� ^ , � . K�SUU�A���� COMPANY, * _ '' - ' -'_ _' - -'_--� __-- ' -. ' Renewal of Number VyC0001100-00 Southfield, Michigan Policy No. VVC0109096'00 1. The Insured/Mailing Address: Individual | | Partnership MARINE CORPORATION O8AHYANN|SMARINE ECorpmraUonur GEE NAMED INSURED SCHEDULE-3U 207 06/78> .RISK ID # 082170 ' 21 ARL|NGTON STREET ^- ' -- ' |naured� |denU�noUonNn/o>. � HYANN|8. MAO2OU1 `' ' FBN # 04'2623056 ^ Other workplaces not shown above: Refer toGU2O7 (0X]/77B for list cf Additional Locations ' 2. Policy Period: The policy period is 01/01/88 to 01/01/98 12:01 A.M. Standard Time, at the innured'n mailing oddnonn. ' 3. . A. Workers' Compensation Insurance: Part One of the policy applies to the Workers' Compensation Law o the states listed here: Massachusetts ' B. Employers Liability Insurance Port Two of the Policy applies to work in each state Listed in item 3'A. The limits or our liability under Part Two are: bodily/Injury by Accident $ 500000 each accident ` Bodily Injury by Diseaoa $ 500.000 policy limit ` Bodily Injury bv Diueaoe % 500.000 each employee C. Other 8batuo Insurance: Port three of the policy applies to the states, if any, listed here: ALL OTHER STATES EXCEPT NV, NO, OH, WA, VVV, WY D. This policy includes these endorsements and schedules: SEE ATTACHED FORM GU2O7 (06/78) 4. Premium: The premium for this policy will be determined by our Manuals of Ru|oo. C|aouifiooUonx. Rates and Rating Plans. All information required below is subject to verification and change by audit. � Premium Basis Rate Per Estimated, Classification CodeTotal Estimated $100 of Annual \ No. .—Annual Remuneration Remuneration Premium ` ^ SEE ATTACHED FORM VVC 174 W/�U . `�� ' - ' ` ' . | |' Experience Rating Schedule` Modification Rating Premium Factor ` Factor Discount Constant Other Other ' ---� —_-- ---- --- �� Total Estimated � ^ ' ` Annual Premium $ 19.947 Deposit Premium $ ^ � . Minimum Premium $ ^ �7 o ' This�oTheeYe Fixed �a�Policy . ' - Premium Adjustment Pph Fxl �nnmd� �F-_J Period: �` ���Annuo|� L_JGaml Quarterly; L_F-1 ��e � �»» ^ ' ^ ' ` Countersigned By- AutnohoedReoreuuntmdxe. ` ' . THIS INFORMATION PAGE, WITH THE WORKERS'COMPENSATION AND EMPLOYERS LIABILITY POLICY AND ` ENDORSEMENTS,|FAwY.|OSUED TO FORM A PART THEREOF,COMPLETES_THE ABOVE NUMBER POLICY _ ` Copyright 1887Nahona Council on.ComoenoationInaurano* WC000001A ' ' ' �"-A HYAN N IS MARINA CtpC C`w 21 Arlington Street • Hyannis, Massachusetts 02601 Tel: (508) 790-4000 Fax: (508) 775-08D i Email: inro@hvannismarina.com May 19, 1998 Ralph Crossen Town of Barnstable Building Commission 367 Main Street Hyannis, Ma 02601 Dear Mr. Crossen, The garage at_146 Lewis Bay Road, (Red garage doors) and the garage at 1481ewis Bay-Road(Horton House) have been and are used exclusively for storage of marine equipment and boat yard related purposes. The house at 150/162 Lewis Bay Road was also used for marine storage uses for approximately a year before it was removed from the property. The associated garage was used exclusively used for marine storage uses right up until the structures were removed for the sole purpose of constructing the proposed storage building. Structure 146 LBR WEB 676 Sq. Ft. Structure 148 LBR HTN 200 Sq. Ft. Structures 150/162 LBR GLD 1464 Sq. Ft. TOTAL 2340 Sq. Ft. Re ectfully Subm e^d, Wayne urker, President \10� �o a , �Z�3oo� ^� FORMULA i L4L is I I I CIA El T1-99--1-1. I tv Q n _ 'q � �p� x. �, r":G��m �� 'r�-nr.Y-b•�..�.:�Ir = - eg r E I 17N I�^ ®-t n s'_ I n g o f zi I ! o II LtuE J I _ % ti —r i : V i i s 1. 1.eS>,i n 1 � k lit _ � I T m W C u (�`y c S��_}_ .�d.v i w rocs•• � i (}dy" _ ° _ _ f� I P I I I I � � I� � Y6K'FY F�EIA j r I 1 t' k.�• 'Z .. -T T011 1 ' r �a a Iwo i f �3n T I- i r N f y � C 7 � N L :I Z ✓ Wa Y j , �V A n � J C v lJ O si TF ILI I, -- ----_ h. c r..�.}. a3 6r ^ F 3 I ' II 1 :T.FnN 17,5'-rn 4 u ` a ° 97 00 Dfl£T � � !R.' `'! m�a ,� �9 m e°. c•� :�� I Id I. '� s 1 I 71 # . , �. ., �,-� t . - - �. .. 1.. i _ �. rr ' � } m. I I F ' � _ - '��- � t r. � � � � - a. a t�� _ r I. �. - � � - - y. _ ... �, .. � k �_ r--.{ r , �: _ � � _ i-I ,. �' ., ':i � i! .��� 1 z Q a ._ � e .r. .. a �,', ' ., .. � � _ �:. � _� � ,. r.. � .. -a --a' Q. � is .. _ _. §.� i r n i � - � - � � .. _. /�//fl/tom/ /L //.� _ �I 4 , �/ V u�/ ,!? � � � _.,__.___..._ w. �.�_..._. ._ ..�_..,. __...... �r ..- =1 .--.-. f `� .� , � r � � ! 4 �... .�.� i 1z - �@ � ,I '� a � ' fir. $ I �,;i--• , ., k i - .�/ " o0 F I x Iw > � SFr-5 p s �.e T•F 'r 3 ' 1 17n ®�' kI o 'L' •I' / � ° ° Rey �i i; I ♦ II- 'LIUE IB �W— zi p n�0 u n i — W V' + 19, 6 +w a.. r -... _.... __.... - �27— —� r General Notes \ F House number 89 Pleasant Street \\ \ Assessor's Map 326 parcel 027 oN The site is located within an AP ground water protection district o \ \ \ `n There are no wetlands within 100 feet of the property. \ \ \ \ \ The site is not located within a FEMA Zone or an ACEC /�°� \ \ \ \ \ t The proposed dwelling will be connected to Town Water. \ R�g�ae SS sh ` \ \ \ F o 1 \n " The proposed dwelling will be connected to Town Sewer and a Sewer Connection Permit will be required. Sewer pipe to be 4"diameter STR 35 or �" \ ` oy° approved equal. Maximum pipe bend to be 45'with a minimum of 3 foot of cover and a ' 4 x 6 reducer at the property line.For work within the street layout a g•5 g'18 E �to�° ae Road Opening Permit will be required. From the property line to the main line located N 5' Flake\°Fen o � in Pleasant Street run 6"diameter STR 35 pipe. Town of Barnstable records show that 34 yoioi � \ the main line to Pleasant Street to be a 10"diameter clay pipe which will require a 6 x 10 osea�„epng \ \ \ rn wrap around collar. Minimum slope of pipe to be 2%. All questions regarding sewer \ rop " connection direct to David Anderson,Town of Barnstable @ 862-4080 \\ 1\ \ it 1 1 14�35 FInlsh Floor EL, 26 Finish Grade /. ............ _ to Cz=' " Elevntlon 24 _........�/.... /------/-'- gavel c)riv� G ' ' i r__------� / ' - Top of Foundation EL 25 _ _ __ Stone Wall —22— WA owUrt I"Etter.na .K Stab Etevntlon 17.5 53 24 �� 2 Sty 3 W � DH,ellin9 1,p5" W 78.2 } i - u `L TYPICAL SECTION I certify that the proposed foundation shown ,�-h P✓�'' • hereon complies with the sideline&set back �`�-4-- regnirements of the Town of Barnstable and is �--•��• ��J.f.._ not located within the FEMA Flood Plain 0 5 10 15 20 30 40 FEET Sullivan Engineering, Inc. C,ao BSUrV site Tan 89 Pleasant Street PO Box 659 7 Parker Rood Osterville, MA 02655 Ostervdle MA 02655 Barnstable Housing Authority (508)428-3344 (508)428-3ff5 fox (508)420-J994 (508)420-3995 Psu/IPE6vol.aom capesurv0eovecod.net August 23,1999 Dwa r C401g1 r 27— \ General Notes ' � \ House number 89 Pleasant Street Assessor's Map 326 parcel 027 \ \\ \ or+ N \ �I The site is located within an AP ground water protection district There are no wetlands within 100 feet of the property. The site is not located within a FEMA Zone or an ACEC `/ \ \ \ CB The proposed dwelling will be connected to Town Water. \ Re g�ae as sboip p \ \ \ F d�% \^� The proposed dwelling will be connected to Town Sewer and a Sewer Connection Permit will be required. Sewer pipe to be 4"diameter STR 35 or .µ�� \ ° \ ;� approved equal. Maximum pipe bend to be 45'with a minimum of 3 foot of cover and a 4 x 6 reducer at the property line.For work within the street layout a N 78.59'18 E \ off° Road Opening Permit will be required. From the property line to the main line located p cke\Fer,` ° e , in Pleasant Street run 6"diameter STR 35 pipe. Town of Barnstable records show that 341.5 50----0 \\ \ \ \\ \ \\ \ \ 1\ the main line in Pleasant Street to be a 10"diameter clay pipe which will require a 6 x 10 °�°� \ \ Dveell�g wrap around collar. Minimum slope of pipe to be 2%. All questions regarding sewer \ \ rop°ged \ W e SPep� connection direct to David Anderson,Town of Barnstable @ 862-4080 1 I \ , \ \ \......... R=23.35' 1=14.7` Flnlsh Floor EL. 26 \ \ \... ..�../ /i i._... _r -23— " Flnlsh Grade / . ..............:.../.............. -- \ \ = v _ 1 CID I Elevation 24 /... _-� i rivb I o ' 'BFavel'D T Top of,Foundatlon EL 25 T / / - -_ ..: __ all c —r----- Stone W —22— "n DAtrt Invo«.na '' Slob Elevation 17.5 353 24+ — I 2 StY 4�` a 1 5 W Dwelling S 78 ( sP ° V O TYPICAL SECTION �` - I certify that the proposed foundation showny hereon complies with the sideline&set back requirements of the Town of Barnstable and is --��1 not located within the FEMA Flood Plain 05 10 15 20 30 40 FEET Sullivan Engineering, Inc. �c o C��MC�MM sit �en 89 Pleasant Street PO Box 659 7 Porker Rood g Barnstable Housing Authority Osterville, MA 02655 Osferville MA 02655 (508)428-3344 (508)428-3115 ro■ (508)420-3994 (508)420-J995 PsuIIP£600l.com copesurv*-opecod.nef u ust 23 1999 8 + Dwg # C401gl _... _.... __..- 27— \ General Notes House number 89 Pleasant Street Assessor's Map 326 parcel 027 oN \ The site is located within an AP ground water protection district There are no wetlands within 100 feet of the property. The site is not located within a FEMA Zone or an ACEC The proposed dwelling will be connected to Town Water. \ Re g�ae�'b \ \ \ F a�I \ The proposed dwelling will be connected to Town Sewer and a \ �s i /� Sewer Connection Permit will be required. Sewer pipe to be 4"diameter STR 35 or ���' o o , approved equal. Maximum pipe bend to be 45'with a minimum of 3 foot of cover and a E 78. 4 x 6 reducer at the property line.For work within the street layout a 59'18 \Fenc ° Road Opening Permit will be required. N From the property line to the main line located P in Pleasant Street run 6"diameter STR 35 pipe. Town of Barnstable records show that 341 55' �° t° \ ` \ \\ \ \ \\ \ the main tine in Pleasant Street to be a 10"diameter clay pipe which will require a 6 x 10 0�0 �e�g \ \ wrap around collar. Minimum slope of pipe to be 2%. All questions regarding sewer \ \ ro4°sea connection direct to David Anderson,Town of Barnstable @ 862-4080 \\ \ \ ll R=23.35' — \ ..... ......j Flnish Floor EL. 26 1 \ % _._. ......� ��� _ .........-�__a--' Finish Grade ...... .../._....._.... Elevation 24 ................ ../....... .. _--�-----/ - _..__�--rDriv� r C O�avelr r r--- Top of Foundation EL 25 -- I Wall r —22— —y----- Ston W ovn.t tm EL".17A Slab Elevation 17.5 I // Sty 353.24 5, N/ wIF D,Nelling N �g•21'05"W \ s 5 _ o j t ; E TYPICAL SECTION g I certify that the proposed foundation shown �. hereon complies with the sideline&set back `�4---� 1. requirements of the Town of Barnstable and is --t� not located within the FEMA Flood Plain 0 5 10 15 20 30 40 FEET Sullivan Engineering, dnc. CapsSMPM site an PO Box 659 7 Porker Rood 89 Pleasant Street Osterville, MA 02655 Osterville MA 02655 Barnstable Housing Authority . (508)428-3344 (508)428-3115 fca (508)420-3994 (508)420-3995 Psu/IPEcool.com copesurvOX-opecod.net August 23,1999. Dwo # C401g1 _... _.... 27_ —\ Gener_ al Notes House number 89 Pleasant Street Assessor's Map 326 parcel 027 \ oN The site is located within an AP ground water protection district OH \ \ ', \ There are no wetlands within 100 feet of the property. \ \ \ \ The site is not located within a FEMA Zone or an ACEC The proposed dwelling will be connected to Town Water. \ R�g�ae a''b ` \ \ \ F a�br\n` The proposed dwelling will be connected to Town Sewer and a \ �s i / N Sewer Connection Permit will be required. Sewer pipe to be 4"diameter SIR 35 or ^ ✓�' \ o ° approved equal. Maximum pipe bend to be 45'with a minimum of 3 foot of cover and a \ 4 x 6 reducer at the property line.For work within the street layout a �8.5 g'18 E if°i°`t t Road Opening Permit will be required. From the property line to the main line located N e�Fence° of°� \ \ \ \ \ in Pleasant Street run 6"diameter STR 35 pipe. Town of Barnstable records show that 341.55 \'yoi \ 1 1 \ \ 1 the main line in Pleasant Street to be a 10"diameter clay pipe which will require a 6 x 10 0_0 wrap around collar. Minimum slope of pipe to be 2%. All questions regarding sewer \ \ �� ro4osea DW 1 e PA \ U, t-2s connection direct to David Anderson,Town of Barnstable @ 862-4080 \ 1 \ i \ 1 .�Sa / ' D 1 14735 1 _ \ )...� / 23-- Flnlsh Floor EL. 26 1 \ \ ........_...� ......�/ �......... �__a--' Finish Grade Etevation 24 _............ ..�/. ..._...... Top of Foundation EL 25 Stone Wolf ° —22— _r---- �e a,cis 1mr a...va '` Slab Elevntton 17.5 2 2 Sty :5'.'.�� .''�_ 353 5 78 „ W WIF DweUfn9 ;- N 1 0 S 2 ,. TYPICAL SECTION I certify that the proposed foundation shown ti ` 4- f: 1 hereon complies with the sideline&set back —!l requirements of the Town of Barnstable and is not located within the FEMA Flood Plain 0 5 10 15 20 30 40 FEEr ,Sullivan Engineering, dnc. Ca•(SSU r l site an PO Box 659 7 Porker Rood 89 Pleasant Street Osterville, MA 02655 Osterville MA 02655 Barnstable Housing Authority (508)428-3J44 (508)428-3115 lo■ (508)420-3994 (508)420-J995 PsullPEoacl.com -pesurvOcopecod.net August 23 1999 Dwa N C401gi _ The Commonwealth of Massachusetts =- -=- Department of Industrial Accidents == ' F. Office oflfirestlgat/eAs 600 Washington Street Boston,Mass. 02111 Workers' Compensation Insurance davit ����'r, ''�� �//O//D/�/O/���0������/O/O�/O/�/O/�0���/0���0��00��/0���, name: M V1 a m s r a v location (9 t7 city Y&,K rJ Dv7r— NA- V a(.,9 z phone# --7 l Q—eezo ❑ I am a homeowner performing all work myself. ty /❑///%%/O/%%%%%/G % % kin m' an ap %/%% G %%%/he no one wr////// %% %%%%%/%%%///////////%//%%%%/%%%%/%%%%/�//D/////////%%/%//J ❑ I am an employer providing workers' compensation f r my employees working.on this job.: :: :: ::::::::::::::::.:::::::::::::::::::: ................ .. m as name: ::01 aeldress .; ::.::::::::.;:::::;.;:::.::.;;:::::.;:::.;:..:.;:....:;.;;:.;:..:.:::': ERR cites:.. :. ....:...:.:: ...,..:.... .Y .p.. ``. ::..:.< ...;>nhtme#..":.: .. .. ...,._............:.:...::::..;.:.;:.:;: _. am a sole proprietor general contractor, r homeowner(circle one)and have hired the contractors listed below who have thefollowing workers'..compensation polices: ..... :..:....:..:::.::::::::::::.::::::::::::::::::..::::::.:.::::::.::::::::..:::::::.::::::::.:.:....::::::::::::.:::....::::::.:::.:.::.:::::::.:: t omoanv name A li . <r }•,'; is i<;:<'asii>>i isisi: ;+.i ;`ii i%?i?:i i i i i :'?'is is i2:::i;i:;;:?::::i;; `i::=i:;<i;: ........i; i%: <?'; ? is +. i sisi'i:'`;:i;t2?i:: ` ii i < ::::: :.........i......... ... i;...+;;�: :.r•., >..n...,:::.,.. one" : ............ ..::::...... .:.. :•.:::::::• ::: :::•:..:.......................................................................................... i:<}'x':;?{?:ii:: i::};: is2{: i:: :::i';:`: :±::>:::::::is:;:j:i:iS:?f::::i`:r:::...............i`:%•>;•:::i>: i::ii:::j;$::t;:4::ii::.::::ii>':a:F>::?:::.:::::•:i;:::ii::;:+.t:•>::i::;:::•::::•i:ii•>i:i>:•::::+;::•:FF::i>:;:i'4 t..... .........................::::::::::::::....:................:...................................� :.�:::::............. :.:.�........ .. ...................................:.. .:.. ..............................................................................................:::::•:::::. lasiurance.co. .,.:.. ._.... _..... ......... _... ....... ........_.. b1# . ...... ... ... .... :..... .. ..... ...... ..._ .. ... ............. ^- adilress•:' ti _...._................:.._..:..... ... xx X. X. .... ...............................................................::•:::...A.....::.:•. F:X.<iiii>}: iY:i::i};{:v::ii:iJi}i1:::iiiii'riiiF}i}'riii:iiii?j}ii?ii:::::is ii'i.:::x :ii::S::::4'•i+':?':'•::'•::•:'.,{�i?iiii:4iY.;•i};�i . %{:FC:'i ?:> ii jii:+i i:C j}ii:..:i:j......iiiii+iiii • : ii$.ii:�>'v:ii:i:!?i'i??: •::.�::::::::.:� Fsnme to secure coverage as required under Section 25A of MGL 152 can bead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one years'imprisonment as well as civil penalties in the form of a STOP WORK ORDER and a tine of$100.00 a day against me. I understand that a copy of this statement may be forwarded to the Offlee of Investigations of the DIA for coverage veriflcation. I do hereby certify under l;� dw p ' penalties of perjury that the information provided above is trw.and cc nett Si tnre �� S Date U ' - Print name .vt �/D i kl"e C X-140 Phone# official use only do not write in this area to be completed by city or town official city or town: permit/ncense# ❑Building Department ❑Licensing Board ❑checkif immediate response is required ❑Selechnen's Office ❑Health Department contact person: phone#; ❑Other OrAnd 9/9S PJA) Information and Instructions t • , 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,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 in the workers' compensation affidavit completely,by checking the box that applies to your situation and supplying company names,address and phone numbers along with a certificate of msur=ce 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 as 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 0iiRt/hcense number which will be used as a reference mintier. The affidavits may be returned fo the Department by nail or FAX unless other arrangements have beenmade. 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 Imes of Iwestloadons 600 Washington street Boston,Ma. 02111 fax#: (617)727-7749 phone#: (617) 727-4900 eat. 406, 409 or 375 (Y /� of i, 1Ta'.1:JG7C�7CCJP.I(d BOARD-OF BUILDING REGULATIONS License: CONSTRUCTION SUPERVISOR Number: CS O40442 .5.�3 Expires: 05/17/2001 Tr. no: 9764 Restricted To: 00 MEHDI HOSSEINI _ PO BOX 70 ( •.•� %� ORLEANS, MA 02662 Administrator i ofT"Ero Telephone 508 771-7222 Barnstable p Fax (508)778-9312 DA"IT Leased Housing Dept. (508)771-7292 146 South Street•Hyannis,Mass.02601 Housing Authority August 27, 1999 Ralph Crossen, Building Commissioner Department of Health Safety and Environmental Services Building Division 367 Main Street Hyannis, MA 02601 Dear Ralph: Per our conversation earlier today the Barnstable Housing Authority certifies that the agency will repair any damage to the public way created as a result of our moving and construction work at 89 Pleasant Street, Hyannis. This certification is made in lieu of posting a road bond. Thank you. Sincerely, y Thomas K. Lync Executive Director Equal Housing Opportunity Agency y AKRO ASSOCIATES 013 P02 AUG 27 '99 15:02 .• Fjeo�ptlrs {�pao�i'tir�ileeriiy wil�11e31�it • iiii�R1AH 4111fei ahlbs CWT06 iiN Floor 8onsosnt io (90 0,,, yam+ sm to Q lam'i an to t0 It cm ttU DO t! t0 f Mond s M6 #A u a a to 4 5AFM T MOT6 a. t? v WA M 0 1Jli W. A AQ � iWmd Y t! i0A MAO. MANM w W m tt i mAt�E x tt c au q 2S tw► WA T iti9L ait. �//► N/A ltwmoi z Man u a. VAR AA Im ilk t! » N *AFM 1. ADDRESS OFPILOPERTY: S� jc.E^.vAhUY .ST i. SQUAM FOOTAGE of ALL Fx!'E M wum 8.50 3. SQUARE FOOTAGE OF M L OLAZM— 4. %M.AZING AM(03 DIVIDED BY lid: 1'!.S 47v S. SQ.ELZ PACKAGE(Q-AA•roe dwt abm):..,,_ AF NOM an=ARORE INVOLVED ME WW OF DE RUMP ENERGY ARE AVAMABLE. ASK US FOR TM MWRMATION. _ BUILDING INSPgC.MX APPROVAL: YES: Q. d9E0Do3a � . i Hyannis Main Street Waterfront Historic District Commission B 230 South Street, Hyannis,Massachusetts 02601., Application for.Extension of Approval of Cer tificate of Appiropna eness During their meeting held on January 21, 1998, the`Hyannus Maul Street -.3 Waterfront Historic District Commission established a policy,regarding the duration of the Certificate of Appropriateness The policy states that"the Commissions certificate is good for only 60 daays unless a building permit is v il pulled. A.single(1) 60 day extension may be-given making a total:of 120 days. Thereafter the a PPlicant must reapply" r Based on this oli 7�OlMCCS. C�ldiG/1 P cY� :(applicant)would like to apply fora single 60 day extension of the Certificate of Appropriateness which was approved by the Commission during their meeting held on 9, 1 Q49 The initial 60`days expires on rich �r I g49 The extension of an additional 60 days- makut the-approval` period a total of y ;(. .. .. gx . 120 days) will expire on leer � 144q �I'understand that if a permit is r not issued for the approved work before I will need to reapply to the Commission for a Certificate of Apprqpriateness Signature: Petitio or Attorney Date: Address of Proposed Work, St &No.. AssessoA Map # and Parcel # Town, State, Zip �s dFtMe - Hyannis Main Street Waterfront Historic District Commission..: MAM �• 230 Son&Street Hyannis,Massachusetts 02601 TEL: 508-862-4665 / FAX 508-790-6288 Application to Hyannis Main Street Waterfront Historic District Commission in the Tovi n of Barnstable for a CERTIFICATE OF APPROPRIATENESS Application is hereby made, in triplicate, for the issuance of a Certificate of Appropriateness under . M.G. L Chapter 40C, The Historic Districts Act for proposed work as described below and on plans, drawings or photographs accompanying this application for: PLEASE CHECK ALL CATEGORIES THAT APPLY: 1. Exterior Building Construction: ❑ New Building ❑ Addition ® Alteration Indicate type of building:® House ❑ Garage Q Commercial Other j 2 Exterior Painting:❑ .- 3.Signs or Billboards:❑ New sign ❑ Existing sign ❑ Repainting existing sign - 4.Structure:® Fence ❑ Wall ❑ Flagpole ❑ Other 5. Parking Lot, ;, ❑ NSI; lding ❑ Addition ❑ Alteration (Please see the guidelines for explanation and requirements) TYPE OR PRINT LEGIBLY DATE 5/21/9 9 ADDRESS OF PROPOSED WORK-, Pleasant`S t. ASSESSORS MAP NO. 326 OWNER Barnstable Housing'Authority ASSESSORS LOT NO. 27 HOME ADDRESS A46.South...Street, Hyannis TEL.NO. 7'71-7222 [� FULL NAMES AND ADDRESSES OF ABUTTING OWNERS.Include name of adjacent property owners across any public street or way.(Attach additional sheet if necessary). 0 Attached AGENT OR CONTRACTOR Barnstable Housing TEL.NO, `771-7222 (� ADDRESS 146 South Street, Hyannis, MA 02601 -(� DETAILED DESCRIPTION OF PROPOSED WORK: Give all particulars of work to be done, including detailed data on such architectural features as: foundation,chimney,siding,roofing,roof pitch,sash and doors,window and door frames,trim, gutters.- leaders,roofing and paint color,including materials to be used,if specifications do not accompany plans. In the case of signs, give locations of existing signs and proposed locations of new signs. (Attach additional sheet,if necessary). See Attached. gipeck -- � - Owner-Contractor-Agent RECEIVED Space below line for Cbmmission use MAY 2 1 1999 Received by HMSWHDC . TOWN OF BARNSTABLE HISTORIC PRESERVATION DIV. Date Time By The Certificate is hereby: 'A /�,r�' V Approved Disapproved ❑ Date IMPORT this Certificate is approved,approval is subject to the 20 day appeal period provided in the Ordinance. HYANNIS MAIN STREET WATERFRONT HISTORIC DISTRICT COMMISSION #"SPECIFICATION SHEET'*' ADDRESS OF PROPOSED WORK Pleasant Street, Hyannis FOUNDATION Cement r SIDING TYPE Cedar Shingles COLOR Natural CBMINEY TYPE Brick COLOR Red ROOF MATERIAL. Existing Architectural Shing• COLOR Sand/Brown PITCH 10 WINDOW 6 over 6 existing vinyl White COLOR TRIM COLOR White DOORS Wood-solid COLOR Natural SHUTTERS None GUTTERS Existing White Aluminum DECK__ 10' X 12' New Construction Rear of Building GARAGE DOORS None COLOR N/A NOTES: Fill out completely, including measurements and matenals/colors to be used. Three copies of this form are required for submittal of an application,along with three copies each of the plot plan,landscape plan and elevation plans,when applicable.The Plot plan need not be"Certified",but should show all structures on the lot to scale. f a w' PLEASE SUBMIT THE FOLLOWING INFORMATION AND/OR MATERIALS WITH YOUR APPLICATION TO t THE HYANNIS MAIN STREET WATERFRONT HISTORIC DISTRICT COMMISSION. THREE(3)OF EACH.IN THREE(3)SETS APPLICATION: All sections must be completed SPEC SHEET: Complete applicable information FLO,T PLAN: Show atl structures on the lot and any proposed _ additions/changes. Certified plot plan for new homes only DRAWINGS; All Elevations and please include Landscaping plans for changes in existing footprint and in new homes only. ADDITIONALLY THE FOLLOWING MAY BE SUBMITTED: - PICTURES: Of area(s)affected;Street view for additions/changes. SAMPLES: Of materials/colors(i.e.color chart) THE FOLLOWING FEE MUST BE SUBMTITED WITH THE APPLICATION UPON FILING MADE PAYABLE TO TOWN OF BARNSTABLE e tty4-/v 6(. /.Iv t:-- -67 S 77—"e 7Z-L ..FFE.C.'..,77Ve t'N,RCC. Sj Ii`! CERTIFICATE OF APPROPRIATENESS CERTIFICATE OF EXEMPTION '-sm" V CERTIFICATE FOR DEMOLITION OR REMOVAL -.5 uo- P IF YOU HAVE ANY QUESTIONS REGARDING APPLICATIONS,PLEASE CALL THE HISTORIC PRESERVATION DMSION AT 862-4665 BETWEEN 8 A.M.AND 12 NOON,M-F. ' r DETAILED DESCRIPTION OF PROPOSED WORK: The Barnstable Housing Authority (BHA) will be purchasing the historic c. 1690 Edward Coleman, Jr. House, presently located at 146 Lewis Road, Hyannis. The Coleman House is traditionally dated c. 1690 when Edward Coleman, Jr. built the first permanent dwelling in Hyannis at the head of the easternmost cove of Lewis Bay. The BHA will purchase the house from Hyannis Marina to preserve it's historic importance for the Town and to use as an affordable rental unit. Although the house has been changed somewhat over the years, it is a traditional 1 and 1/2 story, four bay Cape cottage enclosed by a gable roof with one rear wall chimney. The three bedroom unit will be moved from 146 Lewis Bay Road, .75 miles to a lot on Pleasant Street (see Assessor's Map 326, lot 27), owned by the Housing Authority. The 30' X 30' building will be moved onto a street level cement foundation, set back 25' from the street. A small mud room 10' X 16' will be reconstructed onto the rear of the building with a rear stairway and deck constructed adjacent to the mud room. The exterior will be reshingled with cedar shingles and the trim will be painted white. A lawn will be created at the front of the structure on the street level. A brick walkway to the front door is planned. Natural landscaping will be used on the side of the building incorporating vinca currently growing on the lot. Existing day lilies will be continued along the front of the structure with a picket fence extended along the front as well. The existing driveway on the left side of the property will be maintained using crushed stone material. A resident parking area will be constructed at the base of the driveway. See attached topographical sketch. Signage A Circa 1690 sign will be placed on the building. During the construction phase, the BHA plans to erect a sign per Town requirement which is 12 square in size and which will describe the nature of this rescue and restoration project. r p � w A x V" v s V � 3 m fi C p o` r. v 0 �l a 134 103 121 2 135 12 8 0' ( t , 1025. E 11£ 1W r 138 109 ( 3 128 4 I / \ \ `� t 59 \ ' 129 58 \\ 61 h 57 56 I J •l 4 r �� \ � Q 53 N May 19,1999 Barnstable Housing Authors � Map326 Parcel 027 s SCALE: 1 = 150' Abutters Map for Hyannis Main Street Waterfront Historic District Commission olbamtgNoftamoveAgn May.20,1999 12:00:25 326023 000 326028 000 326029 000 HYANNIS AREA ECON DEV CORP BUTTERWORTH,CAROL H VOGEL,MICHAEL H TRS %TOWN OF BARNSTABLE PO BOX 192 CAPE ANNE TRUST 367 MAIN ST NEWTONVILLE MA 02160 P 0 BOX 2248 HYANNIS MA 02601 HYANNIS MA 02601 326061 000 327101 000 327118 000 BARNSTABLE,TOWN OF(MUN) BARNSTABLE,TOWN OF(MUN) BAXTER,WARREN T € 367 MAIN STREET 367 MAIN STREET BAXTER,FLORENCE J C HYANNIS MA 02601 HYANNIS MA 02601 P 0 BOX 97 HYANNIS MA 02601 327128 000 327136 000 327263 000 ELLIOTT,JOHN H&FURMAN,JACK BARNSTABLE HOUSING AUTHOR'Y NEW ENGLAND TEL&TEL CO %ELLIOTT,JOHN H TR 146 SOUTH ST PROPERTY TAX DEPT,31 ST FL 4551 GULF SHORE BLVD N APT 180 HYANNIS MA 02601 1095 AVE OF THE AMERICAS NAPLES FL 33940 NEW YORK NY 10036 327264 000 MIHOS,CHRISTY&JAMES TRS %CHRISTYS MKT,INC ATTN:CARO 22 CHRISTY DR BROCKTON MA 02401 f 09/07/1999 10:18 5084283115 SLLLLIVAN ENG INC PAGE 02 E 4, 12,52'08.. -1 cn N 6.3 N 0 15 6 V — O 00 N }rr t "7 V Z h 7il j41.55' New r.o Foundation �N N r+ (r ( J 98,630tSF 353.24 ,`r�r J 78 21'OS' W NJ t Cd w N R �M � Q. n q IU71°I q- 0 15169 S 71 REFERENCES: Assessors Map: 326 Parcel: 27 Deed Book 32121277 certify that the foundation ZONE: RB—1 Shawn hereon conforms to the Setbacks: setbock r•equir�ements of the t ►ifc %' Front: 20' moo.S41 Zoning 8y40w.s of the. town Side: 10' of Barnstable. Rear: 10" 07 �P Frn.fessinnrll Land urveyor -- p—e NO TES: 1.) The foundation shown wa.g located on the ground PLOT PLAN by Conventional survey methods on 02/SEP/99. IN 2.) The property information shown hereon wos o!r`J(!'i)UVM U compiled from available record information and does not represent on actual on the ground survey. (Hyannis) 3.) This pion is not for recordinq and is riot """Wo to be used for construction layout or deed DATE: 071SEP199 SCALE: 1"=80' description purposes. 0 40 80 160F££r PREPARED BY: PREPARED FOR: Sullivan Engineering, Mc. (GaPOSUrV Borngtoble Housing Authority Pp Box 659 7 Porker- Road 146 South Street Osterville, MA 026.55 Osterville AAA 02655 Hyannis MA 02601 (508)428-3344 (5Q8)428-JttS fox (B08)420-J994 (508)42C-J995 Tax P50P wor.cam eo0eaurv9cepxoo.net DWC Jf. 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