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
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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
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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
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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