The URL can be used to link to this page

Home My WebLink About0525 SOUTH STREET (5) ��S �� -. _ . _. .. _- -- ��o� - -- - - -- ,,,� Town of Barnstable , Building Department Brian Florence, CBO Building Commissioner 200 Main Street, I4yannis,MA 02601 www.town bamstable.ma as Pre-application for Business Certificate dl— Date Map - Parcel Applicant Information Ap licats Name H (n I 1 a►rM� a VDU p- - ..... . ..... ... . _ .� F . ...._ ..._ ._ APplicantsAddress.hvi lade , f-e✓l-4t'dVille MA 02632 Email Address In i J l A r U a Vi on.e- iya -_ Telephone Numb Listed❑ Unlisted ❑ Business Information New Business? ----------------------------------------- Yes NO Business is a registered corporation? -------------------- Yes If yes Name of Corporation Does business operate under the registered corporate name? Yes Is the business a sole proprietorship or home occupation? --------- }e No If yes than a Home occupation Registra#ion is required-See Building Division Stag' Name of Business.H W OI PU P!?A V'P U Business Address 62-5 5oQ+Jn S+ klT j�5 M aA 02.LeO I Type of Business 501 I0 A C V)of I f l'� vy-ta BuildingCoMMI ner Office Use Only Conditions pi Building Commissio Date , ' Clerk Office Use Only HE 1710 Town of Barnstable f. Building Department - 200 Main Street ELA"STABLE, * Hyannis, MA 02601 9 MASS. 1639. (508 ak ) 862-4038 rFD MA'i Certificate, of Occupancy Application Number: 200708075 CO Number: 20080393 Parcel ID: 308162 CO Issue Date: 07124/09 r Location: 525 SOUTH STREET Zoning Classification: HYANNIS VILLAGE BUSINESS DIST Proposed Use: MIXED USE RETAIL & RES Village: HYANNIS '. Gen Contractor DUMONT ENTERPRISES Permit Type: CC00 CERTIFICATE OF OCCUPANCY COMM Comments: REAL ESTATE OFFICE Building Department Signature Date Signed C• •�� TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION y s, Map Q Parcel 'Y 8V Application# (J Health Division Date.Issued Conservation Division A / AE Z Application Fee OW Tax Collector ' Permit Fee 4.. Treasurer Planning Dept. c Date Definitive Plan Approved by Planning Board f Historic-OKH Preservation/Hyannis Project Street Address Village --71 Owner k' ` Address Telephoned .S( Permit Request ' s Square feet: 1 st floor:existing 7 50 proposed 2nd floor:existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation Construction Type C-1 ,.} s Lot Size Grandfathered: ❑Yes ❑No If yes, attach supportin .cumentaj n. Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family(#units) 7 Age of Existing Structure X✓C Historic House: ❑Yes ❑No On Old King's High 'y: ❑Y69vo Basement Type: ❑Full ❑Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full:existing new Half:existing new Number of Bedrooms: existing new Total Room Count(not including baths):existing new First Floor Room Count Heat Type and Fuel: 2rGas ❑Oil ❑Electric ❑Other Central Air: C3 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 LJ Commercial UfYes ❑No If yes, site plan review# Current Use &D'i /L- Proposed Use A/,/ BUIEDER'INFORMATION` Name Telephone Number y - aYAo License# 101 Address l � c�i`� �' S t 9� ��c1 6 v/14, ds?(o Home Improvement Contractor# /'-I9'963 Worker's Compensation# ALL CONSTRUCTION DEBRIS RESULTING FROM THISPROJECT WILL BE TAKEN TO , SIGNATURE zoiu DATE 12 /7 O FOR OFFICIAL USE ONLY APPLICATION# DATE ISSUED MAP/PARCEL NO. y ADDRESS VILLAGE OWNER r " DATE OF INSPECTION': FOUNDATION _ �Z 4- FRAME INSULATION,'��,'-�' FIREPLAC„Ei s?_ A 's" ELECTRICAL:4-`ROUGH FINAL PLUIUIBING: ROUGH FINAL ;x GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT 1 ' ASSOCIATION PLAN NO. The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street a t, • Boston,MA 02111 www.mass.gov/dia Workers`Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers i A.Ppucant Information z Please Print Legibly Name(Business/Organization/-I—ndiivvi-dual): •Address' 2�V � �o�'! Phone.#: City/State/Zip: Are you an employer?Check the appropriate bog: :Type of project(required):, i.❑ I a employer with 4. [] I am a general contractor and I • , have hired the sub-contractors 6• ❑New construction . employees(full and/or part-time).* Remodelin 2. I am a'sole proprietor or partner-. listed on the'attached sheet 7• Elg ship and have no employees These sub-contractors have g• ❑Demolition employee$and have workers' working.for me in any capacity. 9• []Building addition comp.insurance.$,. [No workers comp.insurance 10.❑Electrical repairs airs or additions required.] 5• ❑ We are a corporation and its '3.❑ I am a homeowner doing ill-Work . officers have exercised their 11'0 Plumbing repairs or additions myself,[No workers' comp. right of exemption per MGL 12.[]Roof repairs insurance.required.],t c. 152, §1(4),and we have no 13.0 Other employees. [Na'workers' 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 ornot those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. I4m an employer that isproviding workers compensation insurance for my employees. Below is.thepolicy 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 tip to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORKARDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement maybe forwarded to the Office of Investigations of the DIA for insurance covera a verification. I do hereby certify er the pains art enarI *es of perjury that the information provided above is true and correct. Si ature: Date•l� 07 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#: oFtHETo,,, Town of Barnstable Regulatory Services r r r aniASS.iE MASS. r Thomas F.Geiler,Director 'y ni $, F16 9. & Building Division Tom Perry,Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder as Owner of the subject property hereby authorize to act on my behalf, in all matters relative to work authorized by this building permit application for: (Address of Job) v Signature of Owner Dat Print Name If Propea Owner is -applying for permit please complete the Homeowners License Exemption Form on the reverse side. Q:FORMS:O WNERPERMISSION i �oFZHE r Town of Barnstable Regulatory Services BARNSTABLE, Thomas F.Geiler,Director 9 MASS. g 4,A i639• A,0 Building Division rfv � Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION Please Print DATE: JOB LOCATION: number street village "HOMEOWNER": name home phone# work phone# CURRENT MAILING ADDRESS: city/town state zip code The current exemption for"homeowners"was extended to include owner-occupied dwellings of six units or less and to allow homeowners to engage an individual for hire who does not possess a license,provided that the owner acts as supervisor. DEFINITION OF HOMEOWNER Person(s)who owns a parcel of land on which he/she resides or intends to reside, on which there is,or is intended to be, a one or two-family dwelling, attached or detached structures accessory to such use and/or farm structures. A person who constructs more than one home in a two-year period shall not be considered a homeowner. Such "homeowner"shall submit to the Building Official on a form acceptable to the Building Official, that he/she shall be responsible for all such work performed under the building permit. (Section 109.1.1) ( The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other applicable codes,bylaws,rules and regulations. The undersigned"homeowner"certifies that he/she understands the Town of Barnstable Building Department minimum inspection procedures and requirements and that he/she will comply with said procedures and requirements. Signature of Homeowner Approval of Building Official Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the State Building Code Section 127.0 Construction Control. HOMEOWNER'S EXEMPTION The Code states that: "Any homeowner performing work for which a building permit is required shall be exempt from the provisions of this section(Section 109.1.1 -Licensing of construction Supervisors);provided that if the homeowner engages a person(s)for hire to do such work,that such Homeowner shall act as supervisor." Many homeowners who use this exemption are unaware that they are assuming the responsibilities of a supervisor(see Appendix Q, Rules&Regulations for Licensing Construction Supervisors,Section 2.15) This lack of awareness often results in serious problems,particularly when the homeowner hires unlicensed persons. In this case,our Board cannot proceed against the unlicensed person as it would with a licensed Supervisor. The homeowner acting as Supervisor is ultimately responsible. To ensure that the homeowner is fully aware of his/her responsibilities,many communities require,as part of the permit application, that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the last page of this issue is a form currently used by several towns. You may care t amend and adopt such a form/certification for use in your community. Q:forms:homeexempt I ' -7 - aoa".rasiuiw r w INN ' - reO ' -Ob02i IIIH 1V3d0 t•,, I ;003HOVd 3Nkfl<; J 80tZ0'q,-V'rt asoff 0�3HCiVd 3NVHS TO£l uI�aaeid uol.+ngq,., a.u0 lenpsnspul :adr(1 sP�epne;S Pue suogLln�a�vnlplln8 =1 s Ii oK :0;u.mjaa 800Z/96/Z cuogealdx3: pu-joj 'alep uopr._adra at :�o3aq £986t,L ffuo asn►np�nrpurao not;e�aslBaa 11>r1en uo►a1.gsl4a.r.Ih asia�i� 8Ol3 b211NO3 1N3W3A021dW13WOH L. sptlpulj 0-7 Pt� a�✓ r BOARD OF BUILDING REGULATIONS ' License CONSTRUCTION SUPERVISOR CS 092958 4 Number i Bsrthdate #10l17/1972 I }I 10I17/2009 Tr.no: 92958 ` Expires j i Restncted 00 SHANE .PACHECO I 74 GREAT HILL ROAD SANDWICH; MA 02563 rs Commissioner i fl I i 1 • Ill f TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Ma Parcel �Y C 400 p�- . Application # Health Division Date Issued Z Conservation Division Application Fee Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board Historic - OKH Preservation/ Hyannis Project Street AddressC/_� Village bit q-/► i S Owner a k9%*ykA sr' Address Telephone ��2- ! aAQ S K- AvmgAuPA Permit Request_ 11,ti ale, 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) Age of Existing Structure Historic House: ❑Yes ❑ No On Old King's Highway: ❑Yes ❑ No Basement Type: ❑ Full ❑ Crawl ❑Walkout ❑ OtherZE Basement Finished Area (sq.ft.) Basement Unfinished Area (Salft) ==I Number of Baths: Full: existing new Half: existing new Number of Bedrooms: existing _new _- Total Room Count (not including baths): existing new First Floor Room Count Heat Type and Fuel: ❑ Gas ❑ Oil ❑ Electric ❑ Other , Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑ No Detached garage: ❑ existing, ❑ new size_Pool: ❑ existing ❑ new size _ Barn: ❑ existing ❑ new size_ Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes ❑ No If yes, site plan review# Current Use Proposed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name C�naU�ocl_S�I, Telephone Number ,f Address t, _Z 51&�A Sir-- License # Home Improvement Contractor# Email Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATU 4Euu� DATE FOR OFFICIAL USE ONLY ,APPLICATION# rbATEISSUED MAP/PARCEL NO. ADDRESS VILLAGE ' OWNER DATE OF INSPECTION: FOUNDATION FRAME INSULATION FIREPLACE i ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING DAT�ZLOSED OUT ASS ON PLAN NO. _ OF THE r, Town of Barnstable Regulatory Services * BARNSTABM .. y MAES. g Thomas F.Geiler,Director �'AIFn 0. Building Division Tom Perry,Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Property Owner Dust Complete and Sign This Section If Using A Builder as Owner of the subject property hereby authorize to act on my behalf, in all matters relative to work authorized by this building permit m (Address of Job) **Pool fences and alarms are the responsibility of the applicant. Pools are not to.be filled or utilized before fence is installed and all final inspections are performed and accepted. Vzm\�z - af4�4�.� 0 ignature of Owner ( Signature of Applicant Print Name Print Name Date QTORM&OWNERPERMISSIONPOOLS 6/2012