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HomeMy WebLinkAbout0320 STEVENS STREET (11) .�. ��ue�s �'�' 'fie �o p�rm�`T 1 t,,{ — �� TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION 14e / Map O©f Parcel Application#q?b(XP 50 Health Division Conservation Division Permit# Tax Collector Date Issued Treasurer Application Fee t Planning Dept. Permit Fee y Date Definitive Plan Approved by Planning Board Historic-OKH Preservation/Hyannis Project Street Address Village ,, Owner , ' L Address � � lee auXAONO JIF Telephone 7�e,/— ryd' F7 E7 Permit Request A.M42 Square feet: 1 st floor:existingad9W proposed 2nd floor:existing proposed Total new Zoning District 6M Flood Plain Groundwater Overlay Project Valuation/0 Construction Type CA6 Lot Size s Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. 4 cn Dwelling Type.00�Singlaamily Two Family ❑ Multi-Family(#units) Age of ExistinOtrukure Historic House: ❑Yes ❑/No On Old King's Highway: ❑Yes ❑No Basement Type: LhFull =GYawl ❑Walkout ❑Other ab n► �^ L. r ��: Basement Finishe� rea(sgi1 Basement Unfinished Area(sq.ft) Number ofBatW 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: 2Gas ❑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 s—lYe%) c/ u, � B ILDER INFORMATION Name V o�,f' Gig d�1/ Telephone Number ,� � ��r7 Address License# y?� Home Improvement Contractor# Worker's Compensation#4G.1Qr--— a ALL CO. STRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO 01 �(C c SIGNATURE DATE �(/vd �,. Vic ca f FOR OFFICIAL USE ONLY PERMIT NO. DATE ISSUED MAP/PARCEL NO., f ' ADDRESS. VILLAGE OWNER f f DATE OF INSPECTION: FOUNDATION , FRAME ? a i INSULATION s ' FIREPLACE a r ELECTRICAL: ROUGH FINAL n ? PLUMBING: ROUGH FINAL ' GAS: ROUGH FINAL t FINAL BUILDING ? DATE CLOSED OUT ASSOCIATION PLAN NO. r ! I s� The Commonwealth of Massachusetts ;� •' ( Department of Industrial Accidents t• Office of Investigations 600 Washington Street 16111 r Boston,MA 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name (Business/Organization/Individual): . Address: City/State/Zip: \YLW kV4' ���1 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. $ 7• ❑Remodeling ship and have no employees These sub-contractors have 8. VDemolition working for me in any capacity, workers' comp.insurance. 9: ❑Building addition [No workers' comp. insurance 5. ❑ We are a corporation and its required.] • officers have exercised their 10.❑Electrical repairs or additions 3.❑ I am a homeowner doing all work-, right of exemption per MGL I LE]Plumbing repairs or additions . myself. o workers' comp. c. 152, 1(4),and we have no Y � P § 12.❑Roof repairs insurance required.] t employees. [No workers' 13.0 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, ' $Contractors 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: 7-f Policy#or Self-ins.Lic.#: �C � �� O� Expiration Date: Job Site Address: %>1� NOC ``C;��Y1, 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 e 'y Fn ains and penalties of perjury that the information provided above is true and correct. Signature: Date: , Phone Official use only. Do not write in this area,to be completed by city or town official City or Town: Permit/License 9- 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 apartnents 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 permitilicense 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 pert 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 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 Te.1. # 617-727-4900 ext 406 or 1-8.77-MASSAFE Revised 5-26-05 Fax 4 617-727-7749 www.mass.gov/dia P� 1IVt f .i � F J� ,« 3 y A r 8 k 14 k {r J! &' F • 2 W T t ... i t d MA Ma� _ n' NOV-21-2006 . 16:29 CONDYNE LLC 781 848 3774 P.06 oATe talLauDD/rrTYl ACDBA CERTIFICATE OF LIABILITY INSURANCE �/�� I•RODucL:A (781)88I-69S8 FAX (7S1)®ii-O�9 T"MONL AENDIGON CONFERS NO RIGHTS 8 UPON THE CERTIFICATEION Tbe Driscoll Agency, loc. HOLDER.THIS CERTIFICATE DOES NOT AMEND, END OR 93 loytter Circle ALTER THE COVERAGE AFF RD BY THE POLICIES 0ElOw- P.O. Sox $120 No mall, MA 02081 INSURERS AFFORDING COVERAGE NAIL�/ INsuRea Advantage Le ruction. Inc. INSURER A: CrUm 6 Forster CO. Two Adam Place INSURER B: Safe IMoVIIilce Co- Suite 100 INSURER oc National Union Fire Im Ce Quincy, 14 03109 INSURER D: Coatinental CASMIty Ins ce W3URER E: THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED.NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, ,THEINSURANCE AGGREGATE LIMITS SHOWN AFFORDED BY THE POLLEEN REDUCED ED RI ED HEREIN CLAIMS• SUBJECT TO ALL THE TERMS,EXCLUSIONS AND CONDITIONS OF SUCH DD'm2R TYPE OF INBLIRANCE POLICY NUMBER POLICY SPFECTIVE PO IEXIPInnrm RATIDN ULWT$ GENERAL LL49UTY 645710. •�� + +000 O6/ZO/ZGOTj EACH OCCURRENCE s 1,00OZON COMMERCIAL GENERAL LIABILITY I DAMAGE TO RENTED E 100 M CLAIMS MADE OCCUR MED EXP(Any ono PONOPQ 3 S 90 rA I PERSONAL&ADV INJURY s 1 000, GENERAL AGGREGATE s 9EN'LAGGREGATE LIMIT APPLIES PER; PROPUCTS.COMPIOPAGG S $ oa9 POLICY X rT LOC AUTOMOBB.ELIABILITY SAPZOBSNMT 00/a0/200S 06/20111M COMBINED SINGLE LIMIT t 'AUTO I ALL OWNED AUTOS BODILY INJURY a SCHEDULEDAUTOS (F6rPataGn) 0 I R HIRED AUTOS. BODILY INJURY I S NON-0WNEDAUTOS (���J PROPERTY DAMAGE a (Per aadr>ent) GARAGE LIABILITY AUTO ONLY.EA ACCIDENT s ANY AUTO * yN EA ACC i A M AGO I FXCESBIUMBRELLALIA®ILRY >dB485803001 0/8008 O$/Z0/2867 EACH OCCURRENCE a 10.00060 F OCCUR CLAIMAMADS AGGREGATE a 10,000 • C s OEPUCTIBLE a RETENTION 5 19, a WORKM COMPENSATION AND VC1093SN787 06/30/ZMM 06/20/2007 Y WCSTRTU- OTH• EMPLOYERS'LIABILITY E.L.EACH ACCIDENT $ S00, 9 OF ICEWMEM O A MORUCCUTNIE E.L.DISEABE-EA EMPLOYE 5 Soo I cAOL5 Ww1O Ns Ia+an E.L.DISEASE-POUCY LIMT S S00 OTNER pESCRIPTION OF OPERATIONS f LOCATIONS I VEHIOLEB I E7(CW@IONS ADDED BY ENDORSEMENT,SPECIAL PROVISIONS es t�at�is FeaiieatiAl Towahl>snsti4 J Refer to Attached Addendum* idence of Insurance for work performed within the Usorc& scope of i laud business optratiess. otiee of Cancellation provision Is 30 days except 10 days applies for Soo-payment of premium- CERTIFICATE HOLDER -CANCELLATION SHOULD ANY OF THE A80VE DESCAWo POLICIES BE CANCELLED BEFORE TNH EXPIRATION DATE THEREOF,THE LSSUINO INSURER WILL ENECAVOR TO MAIL SO DAYS WRITTEN NOTIGETO THE CERTIPLCATE HOLDER NAMED TO TILE LEPT, Flogasbip Istates Byann18, LLC OUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSEHOOBLIOAT IN ORUABILITY Two Adana Place, Suite 100 OF ANY KIND UPON THE INSURER,ITS AGENA'B OR REPRESENTATIVES. Quincy, NA OZ169 AUTHOR=REPRESENTATIVE � 4 , _� Ili. Driscoll/ �by� ACORD 26(2001108) OACORD CORPORATION 1988 NOV-27-2006 18:03 CONDYNE LLC 781 848 3774 P.01/01 THE COMMONWEALTH OF MA,SSACHUSPTTS BARNSTABLEI,MASSACHUSETT�'S Certificate of (Cowliance TMS IS YO CRR'TIFY,that the On-silo Sevnge DispWat System Constnicmd { ) Repaired ( ) upgraded ( .) AbandonedV'111)1 yat has den censtrueted in 8ccos deasce• With the pmvisior4 of Title 5 attd the for Disposal system con on Permit No. � _�� dated / Installer _ pcsitigner , O bedrooms Approved d flow 3pd onance The it of-this it sb8ll of ran e construed as a guarantee that the ayA# WilI f tic ncd, D ate - - faspecta THI Ct)MM ONW.EALTYJ OF SSACIJUSE ' . PU'BLYC REALTH DMSION-BARNSTABLE, MASSAC TUS T'T Z4s'paval c Ilte i D1 ti'li ton per ' Mit PcrmissiOn is hereby granted to CcIaatruct 'r t ) ti7ap$as ( ) Upgrade ( :,. ) Abandon , System xoc�tcd sty on t n4 as described in the above Application for Disposal System Construction p niP.The applicant r=08nnizes his?her duty 44 comply with Title S and the follourititg local provisions orspecial con l I'ovided: Cass tq=must completed within three years of the d of this pe i. Ztate Approve TOTAL P.01 NOV-29-2006 11:48 CONDYNE LLC 781 848 3774 P.02/02 Anb VAISTAR One NSTAA Way SW 330 E[EC rR/C We8'4*0,Ma"e Chun®ns 0e040 GA S Noverttber.29,2006 Mr.Don O'Neil Advantage Construction Re' Strip Service Confirmation Loc; 371 North St Hyannis MA 02601 Dear Mr. O'Neil The purpose of this letter is to confirm that the electric meters and electric service to the above address has been disconnected effective August 23,2006. please feel free to call me at781- 41- . 3367 if you have any questions,t Si er�ely, i David L.entinl , Customer Service Engineer DEC-01-2006 15:01 CONDYNE LLC 781 848 3774 P.01r01 Departmont of Public Works 47 n>ia Y rep. p-0.B Bo h est 326 Water Supply Division Hyanaizr M. 01601-0325 TEk 500-71"063 a +�. Hyannis Water system Operations Fax:30a.1e0A313 December 1, 2006 Town of Barnstable Building inspector Town Hall Hyaani.s, MA 02601 RE- 371 North Street Dear Sir. Please be advised that the above water service was shut off and,the meter removed on 11/16/06. The owner has informed us of plans to demolish the building. Sincerely, Judy Bent Hyannis Water System t _ wlrnalMolir-F'awnlelwck ' TnTA1 P_01 NOV-27-2006 10:22 CONDYNE LLC 781 84e 3774 P.02 �� ln Energy GcUvc►v 1 27 W Whhiles Path Eiv,i)l South YarmpuM.MA 02,5H Navci-nber 27, 2006 Don O'Neill Advant.ge Coiistructio►i FAX: 781-848-3774 RE,: North Street, Hyannis This. is to conlirm that the natural gas line to the abova address has been cut.-mid capped as requested. This was c ono on November 22, 2006, ll'you ba.vo ally questions please call me at 508-760-7481. '� 1S�Ic �vic�ll_Illixl � Operationti Coordinator Kc.yspan Dolivery Company TnTbl G M9 I T °ft► �o�ti Town of Barnstable Regulatory Services snxxsrABM 9 MAW. Thomas F. Geller,Director 0 ,19.r a`e Building Division Tom Perry, Building Commissioner 200 Main Street, Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder T, �• z�S .� , as Owner of the subject pro erty hereby authorize to act on my behalf, in all matters relative to work authorized by this building permit application for: 271 (Address of Job) igna e o wne Date Print Name QTORMS:OWNERPERMISSION i \ I REVISIONS; / I NO. DATE DESC. i \ 1. 3/15/07 NEW FOUNDATIONS ADDED i i �� 2. 3/26/07 NEW FOUNDATIONS ADDED i \ I 3. 8/27/07 NEW FOUNDATIONS ADDED / I 4. 9/27/07 NEW FOUNDATION ADDED � I I PAULINE HOLMES I I #294 STEVENS STREET I ASSESSORS MAP 308 I PARCEL 6 S 81 4725" E I I 29.56' N/F HYANNIS VILLAGE APPARTMENTS LLC #372 NORTH STREET ,:� I I I CERTIFY TO THE BEST OF MY ASSESSORS MAP 308 / / �°� �p o N I I PROFESSIONAL KNOWLEDGE, INFORMATION 00 PARCEL 8 / p�' �,`L �•o� AND BELIEF THAT THE LOT CORNERS, / �; o• • o a I DIMENSIONS AND SETBACKS TO THE g p• STRUCTURE AS DETERMINED BY INSTRUMENT SURVEY AND AS SHOWN ON �Q� �°' �d��� 17 9' I I THIS PLAN ARE CORRECT. ° oP I I 'O• STUBORN LTD PARTNERSHIP I I #300 STEVENS STREET I I `� // A•0p O '� FFELD x �• ' /_ ASSESSOR MAP 308 I I RAID A PAL.` o. S 1 / p. fop by b 81 47 25 E 1 / ,r �• o,. . Id49.79 I 0. 7 AUNT BETTYS o I I PROFE IONAL LAND SURVEYOR DATE 0'� •O �4� ,sr ,� .f 20.3 ..0 I P � EXISTING FOUNDAl10N I POND O ?O �� ��0���0 ,O ai o TOP OF FOUNDATION=26.3 I / / •��.� ��� `'' ' a I I FOUNDATION �• �p 12.5 I AS BUILT i I PLAN o � a RO• 0 18.0' N I I /1 �OJ� .01� 3.0 4.LOT 1 0� 0'8. 0o I 0- A mo• #320 118,867t S.F. / p p,�g 2 20.3' 2.73t ACRES a �� 4.0 .o' 1 1 / �p �� ' OM ZONE 3.0 �. =� I I STEVENS STREET ti• o ' °� 3.0' 2� 4.0' N I I 4.0' 4.0' e 2 Sir �`•' e,° i� I I N ` �•�1 �� `� 3�y ,��? I �o?s 'c�osGc� � ou W I .p 3.0 4.D' 1K' tO A HYANNIS 1s.o o'F+ N19.0' p'o �* �p, Lv MASSACHUS E TTS N/F CRABTREE LLC ` '' ti �o-� tio ,�0 40- $ I C� (BARNSTABLE COUNTY) #426 NORTH STREET ( �� 1 g�L O -9jj !� 4.0' 3.0' �--•• ASSESSORS PARCEL 96 290 EDGE OF BORpERING JK' _ 3.0' �o VEGETATED ITLAND ? `� J`'O 4.0. 20.3, I �w I . .0' CD I � # o I 1K. " 3 z 1 N W I MARCH 6, 2007 t0io O '- Asti I I I I I I \\ I I � I I N/F OM zon, I I LOCUS INFORMATION CHRISTOPHER#710 MAIN STREET KOCABA \ 1 S81 40 OS E E W I ASSESSORS MAP 308 HVg Z I PARCEL 7 1 cv, ONE I I CURRENT OWNER: FLAGSHIP ESTATES HYANNIS LLC BITUMINOUS ' "nNj�? I I PREPARED FOR: PAVEMENT I •�� E'er- I TITLE REFERENCE: DEED BOOK 21472, PAGE 225 o f Mr. Donald F. O'Neill 65.5 I W I PLAN REFERENCE: BOOK 608, PAGE 35 Condyne, LLC Z /``' i I s O S MAP: 308 Two Adams Place, Suite 100 ASSE S R PARCEL: 4 Quincy, MA 02169 LOT 1 0 FULL BASEMENT I ZONING DISTRICT: OM e 41 I I SETBACKS: FRONT" 20 r N/F u'� SIDE 10 jI PET & kg ' I ,Z I REAR i 10 CMURRAYE 1 W I MINIMUM el LOT SIZE: 20,000 S.F. 349 Main Street, Unit D #712 MAIN ST. w �, W. Yarmouth Massachusetts ASSESSORS FOUNDATION MAXIMUM BUILDING HEIGHT: 40 OR 3 STORIES MAP 308 TOF=26.6 I Lj 02673 PARCEL 279 cN LOT 2 I EXISTING TOTAL LOT AREA: 118,867±S.F. (2.73±AC.) cv 18,9�85±S.F. I NITROGEN SENSITIVE 508 778 8919 •`r 0.44 ACRES rr^^ ZONE: NOT A ZONE II iC) 2007 The BSC Group, Inc. HVB ZONE 9 24.5' 6.1 FEMA FLOOD � s.� '� � ', ,OQ�• �u I ,� N 0 SCALE: 1" = 40' 20.50, ZONE DISTRICT: C 15 75 0 5 10 20 METERS S 89'36'4b" W 9• •�-'�9 OVERLAY DISTRICT: AP ZONE SEWER ACCOUNT NO. 3643 0 20 40 80 FEET 75.16 FIRE DISTRICT: HYANNIS PROJ. MGR.: C. FIELD ............ - -"" MAINSTREET FIELD: P. HAGIST, M. DIBB CALC./DESIGN: P. HAGIST _- " DRAWN: P. HAGIST sotjCHECK: C. FIELD yFILE: 8648-AB4.DWG l G ^` T" ` DWG. N0: 5511 -07 SHEET 1 OF 1 ` JOB. N0: 4-8648.00