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HomeMy WebLinkAbout0152 STEVENS STREET I �. s -- TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel ( L)Qy Application#n?��� j, Health Division Date Issued Conservation Division Application Fee Tax Collector Permit Fee Treasurer Planning Dept. Date Definitive Plan Approved by Planning Board Historic-OKH Preservation/Hyannis Project Street Address Village _ Owner /i' Address Telephone Permit Request Square feet: 1 st floor:existing is proposed 2nd floor:existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation Construction Type D�1 Lot Size O. 7_3 Grandfathered: ❑Yes ❑No If yes, attach supporting documentation. Dwelling Type: Single Family Two Family ❑ Multi-Family(#units) Age of Existing Structure Historic House: ❑Yes o On Old King's Highway: ❑Yes ❑No Basement Type: Aull ❑Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) ,�� Number of Baths: Full:existing_ new Half:existing r 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 Ao Fireplaces: Existing New Existing wood/coal stove: ❑Yes to 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❑ CommerciaYes ❑No If yes, site plan review# Current Use Proposed Use s / BUILDER INFORMATION Name�J 6 n l l/ � � Telephone Number-off 71JG-'�i 021 Address ate? why License# Home Improvement Contractor# Worker's Compensation# ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO g�Sejk l SIGNATUR ' DATE t012yw'T FOR OFFICIAL USE ONLY APPLICATION# DATE ISSUED MAP/PARCEL N0. ADDRESS# VILLAGE OWNER DATE OF INSPECTION: FOUNDATION FRAME N7 INSULATION a .. FIREPLACE ELECTRICAL: ROUGH FINAL �M PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT r ASSOCIATION PLAN NO. r - e. Z i MEE MASSACHUSETTS EDUCATION &GOVERNMENT ASSOCIATION PROPERTY AND CASUALTY GROUP,INC. E Declaration Item I Participant: Barnstable,Town of Administrator: Mailing Address: 230 South Street CCMSI Hyannis,MA 02601 .100 Quatmapowitt Parkway Ste 201 Wakefield MA 01880 Certificate Number: WC20-04158 (800)552-1150 Agent: Dowling&ONeil Ins Page I Other workplaces not shown above:See Schedule Item 2 Certificate period is from 7/1/2007 to 7/1/2008 12:01 AM Standard Time at the Participant's mailing address Item 3 a Workers Compensation Insurance: Part one of the certificate applies to the workers compensation law of the.states listed here: Applicable States: Massachusetts 3 b Employers Liability Insurance: Part two of the certificate applies to work in each state listed in Item 3A. The limits of our liability under Part 2: Bodily Injury By Accidem $1,000,000 Each Accident Bodily Injury By Disease $1,000,000 Certificate Limit Bodily Injury By Disease $1,000,000 Each Employee 3 c States designated in Section 3a Item 4 The fee for this certificate will be determined by our manual of rules,classifications,rates and rating plans. All information required below is subject to verification and change by audit. See Attached Schedule Minimum Fee: Total Estimated Fee: $483,428 Authorized Signature: Date Issued 9/5/2007 P�oF VE rqy� Town Of Barnstable Barnstable Administrative Services Procurement&Risk Management All-America City anxxsrasl.E, 230 South Street,Hyannis,MA 02601 9 MASS• www.town.barnstable.ma.us i639• ArED MAC A 2007 David W.Anthony Tel 508-862-4652 Chief Procurement Officer Fax 508-862-4717 David.anthony@town.barnstable.ma.us October 23, 2007 Building Department Town of Barnstable 200 Main Street Hyannis, MA 02601 Ref: Workers Compensation Coveraae Julv 1, 2007 to June 30, 2008 This letter is to certify that the Town of Barnstable has workers compensation insurance coverage as per the declaration page attached. This covers all full time, part time, seasonal, and volunteer workers, who are injured while doing their directed and assigned activities for the Town of Barnstable. The only exclusion is for active duty police officers who are covered under a separate and specific accident and health policy. This letter and declaration sheet may be kept on file as proof of coverage for Town of Barnstable Employees. If you have any questions please feel free to call me directly. Sincerely, David W. Anthony Chief Procurement Officer Town of Barnstable FEB-13-2008 WED 12: 13 PM KEYSPAN ENERGY FAX N01 508 394 5019 P. 01 121 Vlhi {'s P;.-dh Stn(d) Y'm-mc,isth, MA 02664 l�.cbruf,try 13, 2008 Jim Atnara FAX: 508-790-631.8 iM: 136, lilt>, 152 Stevens St., Hyannis This is- to Confirm th;It the natural gas lines to the above addresses have been Cut and as requested. This, wzw, done on November 2, 2007. lfyou lr,ivo any questions please call meat 508-760-7481. Susan MeMullin fiield Coordinator Kcysp,':m Delivery Company OFIHE i Department of Public Works 47 Old Yarmouth Rd. 1� P.O. Box 326 �► Water Supply Division Hyannis,MA. * 02601-0326 BARNSTABLE, * 9Q STA TEL:508-775-0063 pip 1639. A�Q� Hyannis Water System Operations FAX:508-790-1313 rFo iu�� December 28, 2007 Town of Barnstable Building Inspector Town Hall Hyannis, MA 02601 RE: Acct#: 605115 — 152 Stevens Street Dear Sir: Please be advised that the above water service was shut off and the meter removed on 12/28/07. The owner has informed us of plans to demolish the building. Sincerely, ?yyann�isWater System WW;0 WhiteWater-Pennichuck Operated and Maintained by WhiteWater,Inc.and Pennichuck Water Services Corp. FROM :ERS. INC. FAX NO. :5Oe9230929 Feb. 14 2ooe 11:17AM P5 ENVIROTEST LABORATORY, Inc. 307 PoM St7eet Westwood,MA 02090 T:781-278-0080 F:781-278-4090 www,etestlab.con, E;nvirottntenW Response Services 9 Blueberry Lane North Dartmouth,.1WtA 02747 R.Asbestos Air"Testing: �]52'Stevans Street Hyannis,MA PROJECT : 40110 To whom this may comero, Please find enclosed the air results taken on February 12, 2008, Envirotest,was contracted to perform air sampling for airborne fibers at the address cited above. All samples collected,were annlyxed by Envirotest Laboratory for the determination of an airborne fiber count.The analysis was performed in accordance with"Phase Contrast Microscopy NIOSH Method 7400." Envirotest Laboratory is accredited imder the Proficiency Analytical Testing Program for air snulysis by Phase Contrast Microscopy. Envirotest Laboratory is also certified by the State of.Massachusetts for analytical Services. If you have any questions concerning your results, this report or the analyticul methods employed, please foci&cc to call mi;at(781)278-0080. �trrrCrely. , at uel N. Cohen tridustrial Hygienist enc. sa*otot l utuv'rtmv la Acoceditsd By The Pmficimay Aaaytiaal Tea4 Prop=(AIKA) I—_� --u )ENVIROTEST LABORATORY Inc. Q0 otvu 307 Pond Street Wmtwoo✓1 MA. 02090 T:781-278-0080 F-.781-278-0090 www.ete-stlab.com F SAWLED SYL!;�FVM CL ANALYZED RV:NEVM MJECT 0:40110 jLA.B SAMPLE SA (PLE SAWRZ START SLOP ;TOTAL. FLOW VOLUME RESULTS �NUUBER DATE TYPE LOCATION `s'm TUAF- TWE IRATE F>BER/CC m NUN. Q BLANK 1 021208 BLANK DCCX )C>C>L-KY, ?C30= 3 XXXXXX 0 BLANK 1 SAME BLANK XXXX X?QOXX V CIKX ',OCXXX 'CCX 0M 0 ERS - 1 SAME IPCM 1 s?FLOOR AT STAIRS 2:30 3:52 82 15.0115.0 1230 <.005 rn M N 01 m m o E z i x S t t k F 1 � � F L I ( EPA MCOMiM DALLFASEC9I PJO OF[A1 raga /cupic cm7nymTrb Z 0SHAPl'XN0sSML C XIMC SURE MATT OF GA rMERSICLMC CENITPAMIr RCCM RACTOB F.trvk mretrhl R anorye Ser►ke SUMMARY.IFA60PE RESVUSARE EELOW 0.61 FIBBAMWC CBNfIMSTER AREA PAss Y LowE;TT ALEOWABLB Li wns SET BY osoA.Lm TEE EPA L w w FROM :ERS, INC. FAX NO. :5089230929 Feb. 14 2ooe 11:17AM P7 . RED TECHNOLOGIES,LLC E.P.A. AGENCY # 14248 ll[Mfg1�719n ENGINEf I11N�bUEVEIJPMe Ni 1 CT, MA RI,VT; NH, ME NY GENERATORS GENERATORS 173 Pickering Street EPA New England EPA Region 2 Portland, CT 06480 1 Congress Street 290 Broadway,26th Floor (860)342-1022 Boston, MA 02114-2023 New York,NY 10007-1866 Fax: (860) 342-1042 (617) 918-1111 (212)264-6770 TK# ASBESTOS DISPOSAL & DOCUMENTATION FORM Job Number ;ji�•' -:'�- P.O. GoaBA A/B A OWNER Contract 'Adorr.".,� �� �\ dre�q Address Glty , _ �..., .:�_State`l`_�. Zip Gty\ S Telephone Number_ k-)C7ti� c'\C•\�� >•) =� Phon-e NNumber Date Container Del._ ._ Date of Pickup__,.._,_ GENCRATING LOCATION Type of Container \-17' .. Address (� VOLUME__ \\ CY Friable 19-' Non-Frlable❑ �.P �� .� >_ _,..�',;�.) � L MUST BE IN CUBIC YARDS S� Zip Bag Drum ❑ T-Pack ❑ Wrapped ❑ Other❑ Ph e Number- • , I certify the above named material does not.contaln free liquid as defined by 40 CFR part 260.10 or any applicable state law,is not a hazardous waste ae definec by 40 CFR part 261 or any applicable state law,has been properly described,classified and packaged,and Is In proper condition for transportation according tc NESHAP standards for asbestos waste disposal found in 40 CFR part 61.150. Shipper's Certification:I hereby declare that the contents of this consignment are fully and accurately described above by the proper shipping name,and are classified, packaged, marked and labeled/placardad,and aro in!�, ects in proper condlt ansport according to applicable international and nations government regulations. AUTHORIZED SIGNATURE �� U4—Q Transporter 1: r Ct� e r °' -11\ Name �, n rl Address Telephone 0 Driver: Registration# �\ - �`� pate: — a ( Signature State/# Acknowledgement of receipt of materials Transporter 2: Name Address Telephone# Driver: �. _Registration #: _ _—Date': Signature State/# Acknowledgement of receipt of materials Transfer Facility:_._•,_,_.___._._r ___— Permit#: Transfer Date: By: Discrepancy: Certification of transfer of materials covered by this manifest Transporter 3: Name Address Telephone# Driver:__�•_,___ .,,,•_.•._,,.__.._._ —_....-...._.__ _ Registration #: Date: Signature State/# Acknowledgement of receipt of materials Landfill Name: ;� Phone No: G!,4. a Ion: Permit # ALoc AProximate Volume of Asbestos ved: Discrepancy If Any: _ Received by: Date: _ Certification of transfer of materials covered by this manifest QEN ERATOR FROM :ERS, INC. FAX NO. :5089230929 Feb. 14 2008 11:18AM P8 "L RED TECHNOLOGIES,LLC E.P.A. AGENCY # 14 2.4 7 'neM4nimic-N CN61NC L P14r.A nCVC LM'MC 4T CT, MA RI,VT, NH, ME NY GENERATORS GENERATORS 173 Pickering Street EPA New England EPA Region 2 Portland, CT 06480 1 Congress Street 290 Broadway, 26th Floor (860) 342-1022 Boston, MA 02114-2023 New York, NY 1 0007-1 866 Fax: (860)342-1042 (617)918-1111 (212)264-6770 TK# ASBESTOS DISPOSAL & DOCUMENTATION FORM Job Number i ,.,. P�k# _ CkE,NER�TOR/B IL ING OWNER COI1tfaCtdC�,���'.:n.••+ �u... �'� c+v-...:c.._'-.�t<'+f�Ca.-. �_r �'��� `c 1`�C•_t:�1�»\.\' - �`'" Address -----` Address_ C.: c �", •• _Y - �.. Citt. `.?c•..- `c'. ..,., �\��y State���_Zlp �`1 Cl v� tat° i. Zlp Telephone Number_ c ) ��;- �C �_ _ Phone Number 7ct C> -.'�lr.• l Date Container Del. Date of Pickup ---� GENEQRATING LOCATION Type of Contalner.._._. e. �.. \. \ Address _\ (:;l C" \ VOLUME CY Friable B'-'Non-Friable ❑ MUST BE IN CUBIC YARDS City fate ZI S. Bag 0"Drum ❑ T Pack O Wrapped ❑ Other ❑ Pnone Numb°r c� I certify the above flamed material does not contain fret liquid as defined by 40 CFR part 260.10 or any applicable state law,is not a hazardous waste as defined by 40 CFR part 261 or any applicable state law, has been properly described,classified and packaged,and is in proper condition for transportation according,to NESHAP standards for asbestos waste disposal found to 40 CFR part 61.150. Shipper's Certification:I hereby declare that the contents of this consignment are fully and accurately described above by the proper shipping name, and are classified, packaged, marked and labeled/placarded, and are I It respects in proper c9dj' n for transport according to applicable international and national government regulations. AUTHORIZED SIGNATURE Transporter 1: `�Name t Addra s ' Telephone# Driver: Registration#: \_�`\ �- �`� Date: 1 Z' -cam' .J Signature State/>f Acknowledgement of receipt of materials Transporter 2: Name Address Telephone If Driver:__ Registration# Date: Signature State/0 Acknowledgement of receipt of materials Transfer Facility: _ Permit#: Transfer Date: By: Discrepancy: Certification of transfer of materials covered by this manifest Transporter 3: __•, _ _� ___ Name Address Telephone# Driver:_ Registration Signature State/# Acknowledgement of receipt of materials Landfill Name: \ _ , a3� Phone No: =7 Location: r_�, :>�:, s.�J �� `. ,\���i^f+ Permit# Approximate Volume of Asbestos Rec'dived: Discrepancy If Any: _ Received by:.. _ Date: Certification of transfer of materials covered by this manifest GENERATOR FROM :ERS, INC. FAX NO. :5089230929 Feb. 14 20oe 11:19Rm P9 .RED TELHNULD61E5 LLC E.P.A. AGENCY # 14 L 4 J �Q .r RAMMATIOM MOWER,NO c DIVILYPMINT CT, MA RI,VT, NH,ME NY GENERATORS GENERATORS 173 Pickering Street EPA New England EPA Region 2 Portland,CT 06480 1 Congress Street 290 Broadway,26th Floor (860)342-1022 Boston, MA 02114-2023 New York, NY 10007-1866 Fax:(860)342-1042 (617)918-1111 (212)264-6770 TK# ASBESTOS DISPOSAL & DOCUMENTATION FORM Job Number �� , ;Z `ii _ _ ( NERATOR/8D(IL II�G OWNER P.0• # _ L ,, Contractor :o��.•���i� �_�;a _ \ r��� ,�`��. '`'4 ;�.._c __r __..... Address State'�_Zip_ ti CI state zlp Telephone Number Phone Number 7�r ._ cf 7`,.j(�t,�u_. Date Container Del. Date of Pickup w7 EN ATING LOCATION P 5.� .., . • ,� Type of Container r,_�-•_.T AddrePe C^,• - - _ VOLUME_.._2'__ CY Friable [ ton-Friable CcT✓ '>'� ems_ :�.�;_� ____.._.. MUST BE IN CUBIC YARDS Ci fate ZI ' ['' Bag 2"�Drum O T Pack D Wrapped ®-- Other ❑ Phone Number j��-;••`)�'ts> ��(,�;-��. I certify the above clamed material does not contain fr4e liquid as defined by 40 CFR part 260.10 or any applicable state law,Is not a hazardous waste as defined by 40 CFR part 261 or any 3ppllcable state law,has been properly described.classified and packaged,and is in proper condition for transportation according tc NESHAP standards for asbestos waste disposal found in 40 CFR part 61.150. Shipper's Certification:I hereby declare that the contents of this consignment are fully and accurately described above by the proper shipping name,and are classified, packaged, marked and labeled/placarded, and are In II respects In proper condition for transport according to applicable international and national government regulations. AUTHORIZED SIGNATURE v.. Transporter 1: - L. \Name Ad re s Telephone# Driver:_ �. s �f ,i' Registration#: s:�\- �_�\' Date' ;�1 - 1tit . Signature State/# Acknowledgement of receipt of materials Transporter 2: Name Address Telephone# Driver: Registration#: -Date: Signature State/# Acknowledgement of receipt of materials Transfer Facility:.._.._.__-___ Permit#: Transfer Date: By: Discrepancy: _•_•__ Certification of transfer of materials covered by this manifest Transporter 3: Name Address Telephone# Driver _ Registration#: Date: Signature State/# Acknowledgement of receipt of materials Landfill Name: v- Phone No: Location: �_. ' Per mit # Approximate Volume of 'sbestos Received: Discrepancy If Any: __._._•_ _ Received by: Date: Certification of transfer of materials covered by this manifest GENERATOR