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HomeMy WebLinkAbout0294 STEVENS STREET ��lL s`�w��S �ST �� -- Town of Barnstable AM ' Regulatory Services fog Building Division 200 Main Street,Hyannis,MA 02601 508-862-4679 fax 508-862-4725 Initial Site Plan Review Issues & Concerns Applicant: Freefall LLC SPR#: 049-17 Property Address: 294&300 Stevens Street,Hyannis Informal Map/Parcel: Map.308,Parcels 005,006&010 Zoning: OM- GIZ k Proposal: Create new parking lot as accessory overflow parking for One Financial Place office building located at 297 North Street,Hyannis(Map 308,Parcel 044-CND). Electric gate will secure lot from public parking. The above proposal was reviewed in a site plan review staff meeting held July 18. The following comments are offered: Jeffery Lauzon, Interim Building Commissioner/Chairman • Proposal must meet zoning requirements. Relief will be required as submitted. • 2 HC spaces in accordance with Town of Barnstable ordinance will need to be installed. Elizabeth Jenkins—Planning_&Development Director • Design of the parking lot must in compliance with Hyannis Village Zoning District Site Development Standards 240-24.1.11 (c &d)for off-street parking design standards and landscaping. Dean Melanson—Hyannis FD • Proposed gate is required to meet Fire Department standards for access. • Detail of how the gate will be utilized and how it is accessed is requested. • FD.ladder truck turn radius template,will need to be added to the plan. Amanda Ruggiero—Assistant Town Engineer • A pedestrian crossing that ties into the sidewalk with HC ramps at curb cuts will be required. • The abandoned curb cut will need to be restored with like material curbing. • Lighting plan is requested. • Storm water calculations are requested. . • TSS and 0&M plan requested. • Detail of cross cut of pavement is requested. Town of Barnstable, MA District Regulations Page 54 of 108 (8) Signage.Signage provisions rely on the requirements of the underlying zoning district or on rights that may be vested in the property as determined by the Building Commissioner. (9) Accessory structures. (a) Parking lot kiosk.A kiosk for parking lot attendants and/or business needs may be allowed. Kiosks are typically located at the main entrance(s) to or exit(s) from the lot. Each kiosk shall not exceed 15o square feet in gross floor area and shall be located so as not to interfere with fire lanes, emergency access aisles, or site circulation. Kiosks shall include temporary sanitary facilities,for employees. In no case shall the temporary sanitary facility be visible from any public way.Such structures shall be subject to applicable code or other permitting requirements and shall not host other principal or accessory uses such as retail without the required approvals. (b) Trash receptacles. All lots shall provide accommodations for client and employee trash. Trash receptacles and/or dumpsters shall be located near each parking lot kiosk as may be required by the Building Commissioner and the Fire Safety Official. In no case shall the receptacles be visible from any public way. [1] Editor's Note:This order also provided for the renumbering of former§§24o-24.7.io through 240-24.7.72 as§§24o-24.7.n through 24o-24.i.i3,respectively. , § 240-24.1.11 Site develophient standards, [Added 7-14-20Q5 by Order No.2005-100] A. Application. Unless otherwise stated herein, the following additional site development standards shall apply within the Hyannis Village Zoning Districts,with the exception of Zone 3,the Single Family Residential District. (i) Utilities and services. (a) Mechanical equipment, whether ground level or rooftop shall be screened from view of adjacent properties and public rights-of-way and designed to be an integral part of the building. (b) Trash containers shall be fully screened on three sides with solid walls a minimum of six feet high with a solid front gate, six feet high, which shall be kept closed. Trash compacters shall be enclosed to minimize noise. (2) Stormwater.Rain gardens,as defined in§240-24.1.12 below,are encouraged. (3) Drive-through windows. Drive-through windows are prohibited within the Hyannis Village Zoning Districts, with the exception that banks allowed as a principal permitted use may construct and operate a drive- through window upon the issuance of a special permit. (4) Off-street parking requirements. All new, expanded or-intensified uses shall provide adequate off-street parking. .No uses shall be intensified, except for single-family detached dwellings, without providing adequate parking as provided herein. (a) Parking spaces,computation.See§240-24.1.3 above for additional parking regulations applicable to the HVB District. [1] Unless otherwise specified,all development shall comply with,the parking requirements contained in Article VI, §24o-56, Schedule of Off-Street Parking Requirements, of the Barnstable Zoning Ordinance. The SPGA may by special permit reduce the on-site and- off-street parking requirements consistent with these regulations. 12] For multifamily housing, off-street parking shall be provided on-site at a ratio of 1 1/2 spaces per each dwelling unit and shall be located not less than 30 feet from the base of the multifamily dwelling and be easily accessible from a driveway on the site. http://www.ecode360.com/6558853 8/1/2017 f Town of Barnstable, MA District Regulations Page 55 of 108 [3] Existing parking spaces may be counted to meet the minimum off-street parking requirements for an intensified use only if it can be demonstrated that they are not used as of right by existing uses and are exclusively available as of right for said proposed intensification.. (4] Circumstances warranting reduction of requirements. The SPGA may reduce or waive required on-site parking if lesser off-street parking is shown to be adequate given such special circumstances as: [a] Use of a common parking area by different uses having different peak hours of demand and where the applicant provides a lease agreement between the necessary parties. [b] Age or other characteristics of occupants which reduce auto usage. [c] Characteristics of use invalidating normal methods of calculating parking demand. [d] Supplementary parking provided off premises.. (b) Location of off-street parking spaces. [1] All required off-street parking spaces shall be located on the same lot as the use for which such ' spaces are required, except that the SPGA may reduce or waive on-site parking required by the Zoning Ordinance for new development located within 500 feet of leased parking,provided that a lease agreement is presented as part of the site plan approval or special permit process and provided that a fee is paid which would be set aside for the creation of future municipal parking facilities to service the district, consistent with a schedule of fees, if any, to be adopted in the Design and Infrastructure Plan. In no case shall leased parking be allowed on land that is residentially zoned for,or in residential use as,a single-family or a two-family dwelling. (c) Parking design standards. [1] Parking areas shall be located to the rear of a building unless such location would have an adverse environmental impact,or is infeasible due to configuration of the site.To the extent that parking cannot be located to the rear of a building,it shall be located to the side of a building to the extent possible. [2] Each off-street parking space shall have a minimum dimension of nine feet by 20 feet, excluding_ the driveway, and consistent with the dimensional parking requirements set forth in §240-104, Minimum parking lot design standards,of the Barnstable Zoning Ordinance. [3] Maneuvering space shall be provided so that vehicles need not back onto a public way. (4] Lighting shall not cause glare for motorists,pedestrians or neighboring premises. Full cut-off light fixtures shall be used in which no more than 2.5%of the total output is emitted at go°from the vertical pole or building wall on which it is mounted. [5] Drainage facilities for each parking area shall be designed and constructed to contain-stormwater runoff on the premises. (d) Parking lot landscaping. [1] Trees. One three-inch minimum caliper low-water-use, low-maintenance tree must be provided , for every five parking spaces and must be located within 5o feet of the parking lot.Trees shall be maintained and irrigated as necessary and planted within at least 50 square feet of permeable area.Existing trees located in the interior of lots shall be credited towards this requirement. - [2] Five or more spaces: A six-foot landscape buffer must be provided between property lines and parking spaces. The landscape buffer must screen parking with a dense hedge providing year- http://www.ecode360.com/6558853 http://www.ecode360.com/6558853 8/1/2017 Town of Barnstable, MA District Regulations Page 56 of 108 fi round screening or a fence must be constructed with no more than 50%open.space between the panels.Hedges and fences may be subject to other regulation. [3) Ten or more spaces: A six-foot landscape buffer must be provided between a building and a surface area parking lot or drive except at entrances,building loading,and utility locations. (4] Twenty-one or more spaces: at least lo%of the interior parking lot must be landscaped. Planting along the perimeter shall not be considered as part of the io%. Interior planting beds are ideally continuous to allow for maximum plant bed size and are constructed as rain gardens to control stormwater. No landscaped island shall be less than six feet wide, except that in parking lots with 51 or more parking spaces where the minimum island with shall be io feet. [5] Plant materials shall be low-water-use and low-maintenance and be of a sufficient size to create an attractive appearance.A list of recommended plant materials shall.be included in the Design and Infrastructure Plan and can be obtained from the Planning Department. Brick or stone mulch shall not be used in place of plant material in landscaped islands. Where mulch is used, it shall not be Placed in such a manner that it will wash into catch basins or drainage pipes in the lot or in adjacent roadways. (e) Landscaping of pre-existing parking lots. [i] Upon the expansion of an existing parking lot containing 21 or more parking spaces and/or an alteration of a structure, or a change or extension of a use which increases the parking requirements by five or more spaces according to the standards of M 240-48 through 240-58, Schedule of Off-street Parking Requirements,the entire existing parking lot shall be brought into compliance with this section. (5) Landscaping. (a) Existing significant trees and shrubs shall be maintained to the maximum extent possible. (b) The front yard landscaped setback from the road lot line shall be io feet,unless otherwise specified. (c) Within the HD,MS,SF,HG and TD Districts,landscaped setback from all residential property lines shall . be 20 feet. (d) In addition to natural vegetation that is retained,the front yard landscaped setback shall be landscaped with a combination of indigenous grasses,trees and shrubs commonly found on Cape Cod. (e) All developments must be adequately landscaped with low water use plants and provide habitat value whenever possible. No plantings shall obscure site entrance and exit drives and road intersections. Planting areas should serve as stormwater treatment areas often referred to as"rain gardens."As such they should be designed in a way that they are slightly depressed below adjacent parking or sidewalk grades with run-off directed to these areas. Plantings,while encouraging drought resistance,should be capable of withstanding seasonally wet conditions. (f) Street trees.One deciduous tree with a three-inch minimum caliper is required to be planted within the front setback for every 30,feet of frontage of property if the front setback is greater than zero feet. Trees in paved areas'shall have a minimum of 25 square feet of permeable area for growth. Trees in islands shall have a minimum of 50 square feet of permeable area for growth.All landscaped areas shall - be continuously maintained,irrigated, and fertilized. Plant materials shall be organically maintained to- the maximum extent possible. (g) No occupancy certificate shall be issued until the landscape plan has been implemented according to an approved site plan, except the Building Commissioner may issue an occupancy certificate prior to installation of landscape materials, provided that the applicant posts security with the Town for 15o% of the estimated cost of installation of the plant materials. http://www.ecode360.com/6558853 8/1%2017 } TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel 006 Application ( �_ Health'-Division Date Issued Z. Conservation Division a Application Fee Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board p VV\ f Historic - OKH _Preservation / is �v� �� Project Street Address y E -eve i S Sto,,e }- Village 44 t4 14 � Owner nw1,►, LPL Address A91 444 D., 14P�,s, M ®�6/ Telephone '7 7 S — Cl 31 L Permit Request D•P 0 0!1_� 1)-e +0 e, 00 s e-l Ale je I3cd r t. (,ut'1 Wt Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District -Flood Plain Groundwater Overlay � 91 roject Valuation 200-0, 00' Construction Type Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family (# units) Age of Existing Structure Historic House: ❑Yes ❑ No On Old King's Highway: ❑Yes ❑ No Basement Type: ❑ Full ❑ Crawl ❑Walkout ❑ Other Basement Finished Area(sq.ft.) Basement Unfinished Area (sq.ft) Number of Baths: Full: existing new Half: existing new Number of Bedrooms: existing _new ( ; Total Room Count (not including baths): existing new First Floor Room Count--- 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: ❑ 6 xisting ZU 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 H k.S ft '1 / Telephone Number Address 2 W04 5k-- wi 01 A" k4 0 60 License # Home Improvement Contractor# Worker's Compensation # W CG 5Oo U O I o I I ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO Iberv � � a� ��.. Qjs`p$S�� , � S' Sew✓. c.c �ie�.d, o � we � , � 0 � 53-7 SIGNATURE DATE 1 n r FOR OFFICIAL USE ONLY APPLICATION# _ DATE ISSUED MAP/PAR_CEL NO. r , ADDRESS VILLAGE OWNER. A1. 3 1' DATE OF INSPECTION: s --FOUNDATION ;•x FRAME r INSULATION FIREPLACE ELECTRICAL: ROUGH = - FINAL l PLUMBING: ROUGH FINAL GAS; c,:e,+ ROUGH FINAL :FINAL BUILDING , i DATE CLOSED OUT ASSOCIATION PLAN NO. .f °= The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Bostojr,MA 02111 www.massgov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/EIectricians/Plumbers Applicant Information J J Please Print Legibly. .).1, ] e`(Business/Organizadon/Individual):. /'iti MC I� -(04 S f/�v cJ o G li -IA � Address: C1 1 v t h -- City/State/Zip: `t H P1 is, O;L&O ) Phone.#: 5©� Are you an employer?Check the appropriate box: -Type of project(required):: 1.[ I am a employer with 4• ❑ I am a general contractor and I - have hired the sub-contractors 6. ElNew construction . employees(full and/or part-time).*. listed on the-attached sheet. 7. Remode• 2.❑ I am a sole;proprietor or partner- ❑ � ship and have no employees "These sub-contractors have g, (demolition working for me in any capacity. employees and have workers' 9. ❑Building addition [No workers'comp.insurance comp.insurance.$' required] 5. ❑ We are a corporation and its ME]Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their 11.❑Phnnbing 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.❑Other employees. [No 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 attadfied an additional sheet showing the name of the sub-contractors and state whether or not those entities have employers. if the sub-contractors have employees,they must provide their workers'comp.policy number. I am get employer that-is providing workers compensation insurance for my employees. Below is.the policy and job site 'information. . Insurance CompanyName: A scG e i t,A-e dt-�VA V .v 'e r s H S u"0 u h Policy#or-Self-ins.Lic.#: (Ili C.C--5060 5 t j Expiration Date: L Z' Job Site Address:_ 2 qy S f et/P&-t S ff^e-4- City/State/zip. 0,2(�G'4{kLib. t. V 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 imprisonmeni;as well as civfi 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 Investig DI ations of the A for insurance coverage verification. I do hereby certify under the pains•and penalties of perjury that the information provided above is true and correct Si atiure: " Date: 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#: t .. Client#:16170 2SIPPEWISSETTCO DATE(MM/DD/YYYY) ACORD, CERTIFICATE OF LIABILITY INSURANCE 01/19/2012 TRIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT:If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must be endorsed.If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement.A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER NAME: Joanne Sullivan Dowling&O'Neil PHONE 508 775-1620 FAX A/C,No,Ft): ac,No: 508-778-1218 Insurance Agency ADD R'ESS: jsullivan@doins.com 973 lyannough Rd., PO Box 1990 INSURER(S)AFFORDING COVERAGE NAIC# Hyannis, MA 02601 INSURER A:Associated Employers Insurance INSURED INSURER B: Hard Hat Construction INSURER C 297 North Street INSURER D: Hyannis, MA 02601 INSURER E INSURER F COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO, ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE ADDL UBR POLICY EFF POLICY EXP LIMITS - LTR INSR WVD POLICY NUMBER MM/DD/YYY MM/DD/YYY GENERAL LIABILITY EACH OCCURRENCE $ COMMERCIAL GENERAL LIABILITY PREMISES(E.o ur ence) $ CLAIMS-MADE F—IOCCUR MED EXP(Any one person) $ ' PERSONAL&ADV INJURY $ GENERAL AGGREGATE $ GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ POLICY JE O- LOC $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident ANY AUTO BODILY INJURY(Per person) $ - ALL OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS AUTOS NON-OWNED PROPERTY DAMAGE $ HIRED AUTOS AUTOS Per accident $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB HCLAIMS-MADE r. AGGREGATE $ DED RETENTION$ $ A WORKERS COMPENSATION WCC5000549012011 2/07/2011 12MV201 X TORYTL MITS OTH- AND EMPLOYERS'LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVEY/N E.L.EACH ACCIDENT $1 000/000 OFFICER/MEMBEREXCLUDED? FN] N/A (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $1,000 OOO It yes,describe under _5, DESCRIPTION OF OPERATIONS below E.L DISEASE-POLICY LIMrr I$1,006,000. t DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(Attach ACORD 101,Additional Remarks Schedule,if more space is required) Operations performed by the named insured subject to policy conditions and exclusions. Regarding work being performed at 294 Stevens Street in Hyannis,MA 02601 4 CERTIFICATE HOLDER CANCELLATION Town of Barnstable-Bldg Dept. SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE g - p THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED., IN 200 Main Street ACCORDANCE WITH THE POLICY PROVISIONS. Hyannis,MA 02601 AUTHORRED REPRESENTATIVE @ 1988-2010 ACORD CORPORATION.All rights reserved. ACORD 25(2010/05) 1 of 1 The ACORD name and logo are registered marks of ACORD. #S90586/M90585 JRS LHYANNIS, achusetts- Deliartment of Pu#ilic Safety d of Building Rc.ula jons and`Standards`-onstruction Supervisor License e: CS 18226 BORNSTEIN STREETMA 02601 Expiration: 10/31/2013 °Ofr' Tr#: 5910 t r h 9 i t; Town of Barnstable Regulatory-Services,, . lj awes. �, ' Thomas F.Geiler,Director A 1639. Builan g Divisjgn Tom Perry,Building Commissioner' 4 200 Main Street;:Hyannis,MA702601: ,a www.town.barnstable.ma us Office: 508-862-4038 Fax: °508-790-6230 • S r . by PropertyOwner Must C,o.mp lete and Sign This •Setion- If Using A' uilder a , . a as_Owner of the subject property hereby-authorize � o ay `K S f '*� *' y authobehalf, to act on-my in all matters relative to -work authorized'bythts'builduigpermit.¢ a. ' ' • �] .� ,'.•/ ,,{,,4 t$ fit; T Y , Y l (A41 ddress of-Job } *Pool fences.and alarms are the responsibility of the applicant ,Pools are not to be :Med"before.fence is-installed and pools'are not to be utilized until a1finatinspections are performed and accepted Signature-ofQwrier° .'_ Signatures fApplicant' Print Name Print Name Dae - f t r a. , .. .� 9TORM&OWNERPERMSSIONEOOLS a -F BIKE Town of Barnstable Regulatory Services BAMWABIX, « Thomas F.Geiler,Director v� 1 ,� = Building Division Ar fD�,t p .. 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 r 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 BuildingCode 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 The Commonwealth of Massachusetts William Francis Galvin- Public Browse and Search. Page 1 of 2 The Commonwealth of Massachusetts William Francis Galvin �f 141Secretary of the Commonwealth,Corporations Division f a k y xt a, One Ashburton Place, 17th floor " a Boston,MA 02108-1512 Telephone:(617)727-9640 HARD HAT CONSTRUCTION COMPANY, INC. Summary Screen Help with this form Request a Certdlcate �; 1 The exact name of the Domestic Profit Corporation: HARD HAT CONSTRUCTION COMPANY,INC. Entity Type: Domestic Profit Corporation Identification Number: 000868419 Date of Organization in Massac66setts: 05/20/20044. Current Fiscal Month/Day: 12 i 31 The location of its principal office: No. and Street: 297 NORTH STREET City or Town: HYANNIS State:MA Zip: 02601 Country: USA If the business entity is organized wholly to do business outside Massachusetts,the location of that office: No. and Street: City or Town: State: . Zip: Country: _. { Name and address of the Registered Agent: Name: - STUART A.BORNSTEIN No. and Street: HOLLY MANAGEMENT& SUPPLY 297 NORTH STREET City or Town: HYANNIS,' State: MA . Zip: 02601 -: Country: USA The officers and all of the directors of the corporation - Title Individual Name Address(no Po Box) Expiration First,Middle,Last,Suffix Address,City or Town,State,Zip Code of Term PRESIDENT STUART BORNSTEIN _ 297 NORTH STREET Until next meeting HYANNIS,MA 02601 USA TREASURER 'STUART BORNSTEIN 297 NORTH STREET Until next meeting HYANNIS,MA 02601,USA SECRETARY STUART BORNSTEIN 297 NORTH STREET Until next meeting HYANNIS,MA 02601 USA DIRECTOR STUART BORNSTEIN 297 NORTH STREET Until next meeting HYANNIS,MA 02601 USA http://corp.sec.state.ma.us/corp/corpsearch/CorpSearchSummary.asp?ReadFromDB=True... 1/19/2012 f The Commonwealth of Massachusetts William Francis Galvin Public Browse and Search ` Page 2 of 2 business entity stock is publicly traded: The total number of shares and par value,if any,of each class of stock which the business entity is authorized to issue: Par Value Per Share Total Authorized by Articles Total Issued Class of Stock Enter 0 if no Par of Organization or Amendments- and Outstanding Ni m of Shares Total Par Value >'` Num of Shares CNP $0.00000 _200,000 $0.00 200,000 Consent Manufacturer Confidential Data . Does Not Require Annual Report X Partnership X Resident Agent `.' X For Profit. = Merger Allowed }` Select a type of filing from below to view this business entity flings: ALL FILINGS _- �• e , Administrative Dissolution l Annual Report I Application For Revival Articles of Amendment i4�, r. ............. ..... Vlew F Inl s 7-New Search Comments s O 2001-2012 Commonwealth of Massachusetts .; All Rights Reserved HID . y { http://corp.sec.state.ma.us/corp%corpsearch/CorpSearchSummary.asp?ReadHomDB=True... `i -1/19/2012 FROM :HYANNIS WATER SYSTEM FAX NO. :508 790 1313 Jan. 05 2012 01:02PM P1i2 'THE Department Of Public Warks YVat.rr Su pply Division BARNBTABLZ .' 4•. EnMa�°' ;� Hyannis.Water System Operations 777 January 5, 20I2 4 ' 'rowla orBamstable Building.inspector Town Hall Hyannis, MA 02601 RE: 294 Stevens Street.-Map &Parcel.#.108-006 Dear Sir: . Please be advised that th'e above water service,wits shut 0ff,3nd tihe:meter icn oved rl new owner:has informed us of plans to demolish the building. Sincerely,: I ync,ta.rcic Hyarmis Watcr Systcm r I lationa grid January 6, 2012 Attn: Ed Mackay Re: 294 Stevens St., Hyannis, MA. This letter is to notify you that after our investigation it has been determined that there is no gas being supplied to 294 Stevens St., Hyannis, MA. Sincerely, ' Diane Camara Gas Customer Fulfillment National Grid 4.0 Sylvan Road E-3 Waltham, Ma 02451 Office: 781-907-2927 Fax: 781-522-1058 E-mail: Diane.Hazelton-samara@us.ngrid.com 4 , ONSTAR One NSTAR Way EL EC rRI c Westwood,Massachusetts 02090 GAS January 11, 2012 Mr. Arron Bornstein 257 North St. Hyannis, MA'02601 RE: Electric Service disconnect at 294 Stevens St., Hyannis, MA. Dear Mr. Bornstein, Nstar has verified the electric service has been removed and metering removed per your request— 294 Stevens St., Hyannis, MA Please call me at 781-441-3433 if you have any questions. Sincerely, Heidi Danforth CSE Nstar Electric Co. _' • " Town of Barnstable *Permit# �'� Expires 6 months from issue date X.pRESS PER Regulatory Services Fee JUL 2 O 2006 Thomas F.Geiler,Director RNSTABL'E Building Division TOWN OF BA Tom Perry,CBO, Building Commissioner 200 Main Street,Hyannis,MA 02601 1 v www.town.barnstable.ma.us VVV Office: 508-862-4038 Fax: 508-790-6230 EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY Not Valid wiiltout Red X-Press Imprint Map/parcel Number 369 ' Q0rP Property Address❑Residential Value of Work - Minimum fee of$25.00 for work under$6000.00 ® `1A)l& Owner's Name&Addres :,ra)leis eo/ Contractor's Name Telephone Number Home Improvement Contractor License#(if applicable) Construction Supervisor's License#(if applicable) ❑Workman's Compensation Insurance Check one: ❑ I am a sole proprietgr ❑ I am the Homeowner ❑ I have Worker' Compensation Insurance ' Insurance Company an Name �\ .h Worl=an's Comp.Policy# Copy of Insurance Compliance Certificate must be on file. Permit Request(check box) �e-roof(stripping old shingles) AD construction debris will be e taken to e p� f e,n�:.s� ❑Re-roof(not stripping. Going over existing layers of roof) Vsideplacement Windows. U-Value (maximum.44) *Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. ***Note: Property Owner must sign Property Owner Letter of Permission. Homllmprovement Contractors License is required. SIGNATURE: Q:Forms:expmtrg Revise071405 i ne L ommonweacrn of ivlas�sac:nuaeus Department of Industrial Accidents (�� W Office of Investigations 600 Washington Street Boston, M4 02111 www.rnass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Le 'bl i Name (Business/organization/Individual): Address: 2 V le tz,9, 1 A ' City/State/Zip: _J / r& - , Phone #: �� 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 6. ❑ New construction employees(full and/or part-time).* have hired the sub-contractors 2.❑ I am a sole proprietor or partner- listed on the attached sheet $ Remodeling ship and have no employees These sub-contractors have 8. ❑ Demolition working for me in any capacity. workers' comp.insurance. 9, ❑ Building addition o workers' comp. insurance 5. ❑ We are a corporation and its squired.] officers have exercised their 10.❑ Electrical repairs or additions 3. I am a homeowner doing all work right of exemption per MGL 11.❑ Plumbing repairs or additions myself. [No workers'-comp. c. 152, §1(4),and we have no 12.❑ Roof repairs insurance required.] t employees. [No workers' 13.❑ Other comp.insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information' t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such FContractors that check this box must attached an additional sheet showing the name of the sub-contractors and their workers'comp.policy information. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: Policy#of 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 under the pgi#s ndpenalties of perjury that the information provided above,k trees atd correct. Psimature: Date: 2 a 6 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 a.Electricai 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 erNploye �. 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-contractors)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 of5cially 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 burn leaves etc.)said person is NOT required to complete this affidavit. The Office of Investigations would-hike 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-°077-MASSAFE Fa-A # 617-727-7749 Revised 5-26-05 www.rn2ss.gov/aia