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HomeMy WebLinkAbout0320 STEVENS STREET (16) -----�. ��. � o TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel �/ Application# Health Division rp(5' Conservation Division ` p [ax-5 Permit# r Tax Collector ^ Date Issued Treasurer W oil 0� Application Fee Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board Historic-OKH Preservation/Hyannis Project Street Address 3-T'O _ Village Owner C'.1'ia /� „ , "U C Address Telephone — Permit Request r Square feet: 1 st floor:existing _f00 proposed 2nd floor:existing proposed Total new Zoning District 11ke Flood Plain Groundwater Overlay Project Valuation &(91®CIL,> Construction Type co Lot Size / � Grandfathered: El ❑ No If yes,attach supportingJd'ocumengon. ; J > Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family(#units) Age of Existing Structure �.� .ins Historic House: ❑Yes U On Old King 'Yes iCuloBasement Type: ❑ Full ❑Crawl ❑Walkout ❑Other Q1 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:❑existing ❑new size Attached garage:❑existing ❑new size Shed:0 existing ❑new size Other: Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial As ❑No If yes, site plan review# ti Current Use - - Proposed-Use.,, -. _. �'t✓-� , 2ew-<<e,,l . BUILDER INFORMATION Nam �Ci/ Telephone Number Pyor—iF7 Address V License# Oy�7Z �Gf/D A�S_A/l!".CE, o l(�_ Home Improvement Contractor# G/ el Z A46,f 0�7,l6� Worker's Compensation#&G ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PR-OJJECT WILL BE TAKEN TO SIGNATURE DATE d FOR OFFICIAL USE ONLY PERMIT NO. DATE ISSUED MAP/PARCEL NO. e ADDRESS VILLAGE ; OWNER ` j DATE OF INSPECTION: r F FOUNDATION .J r FRAME �-'rf � �"��/;r,✓ «.'�_ , .,+"; sA � INSULATION - '� --- ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT . y ASSOCIATION PLAN`NNO." k• F i { The Commonwealth ofMassachusetts I Department of Industrial Accidents s bt . Office of Investigations tr' u _ 600 Washington Street Boston, MA 02111 :A1 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers' Applicant Information Please Print Legibly Name (Business/Organization/Individual): � C Address:`%_9 C OC Ns l;�ap kc� City/State/Zip: Lb�Xc Phone #: Are you an employer?Check the appropriate box: Type of project(required): re� 1. tam 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- r listed on the attached sheet. $ 7• ❑Remodeling ship and have no employees These sub-contractors have 8. gDemolition working for me in any capacity, workers'comp:insurance. 9,•.❑Building addition E [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 I.❑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.] I I . *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: O A Policy#or Self-ins.Lic.#; - c �S�� Q � Expiration Date: - -�� Job Site Address: rQ� �(1� �� City/State/Zip: )�AONNYI C5 . 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 her of un er a pains 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# 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 individua1,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-contractor(s)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 provide"d`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 provided to town)."A copy of the affidavit that has been officially stamped or marked by the city or town may be 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 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: 716'Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston, 02111 Tel. #617-727-4940 ext 406 or 1-8.77-MASSAFE Fax#i 617-727-7749 Revised 5-26-05 tvww.mass.gav/dia COMNIERML-MLDING PERMIT FEES APPLICATION FEE New Buildings,Additions $150.00 Alterations[Renovations $100.00 Building Permit Amendment $ 50.00 FEE VALUE WORKSHEET NEW BUILDINGS square feet x$140.00/sq:foot= x.0081= ALTERATIONS/RENOVATIONS OF EXISTING SPACE square feet X$96/sq,foot= X'.0081= STORAGE BUILDINGS ONLY square feet X$32.00/sq.foot= X.0081 Commprojcost Rev;063004 �JL1L7 IWaJ Qik�"JI N iC�IR.'I v'ci/A�no Tip't� �--,�-__ fey nI7 p� � ® �'7-']Qom. n nv p�� 1 1 ' ��� � ��Q Ina oaf �� e u ,,•, Mp girl o,,����p�tw���;pa►�tee_t�:5�����EO,��� J� �','�R�, � �.,.,�„w ��1CB��7,OQ RJR.,ROO . ' . ..,mom �o A© � _oo�J,�':,������� ;�,�0��® �. �{! ;.• -^` A -r��©� - rBONN MINA NEW 7, physical objects an the map. DATA SOURCES:Plarrimetrics(man-made features)were interpreted ft )phs by the James W.Sewall Company. 1 I � �` '®♦,:� 6�e QOC�wy t r � I n©� �. ��� �'P��J� �<_��1Il'��® � �4 ,., � 0 t 3• Lw� • - _± F y _ _ . i k l � 4 IM R. MW 10 ISM IT W- i £ NOU-21-2006 10:33 HYANNIS WATER SYSTEM - 508 790 1313 P.01i01 c Department of Public Works 47 Old Yamouth Fid. P.O.Box 326 Water Supply Division Hyannis,MA. 02601-0326 * BARMA>B.= # TEL 508-775-0063 161 , Hyannis Water System Operations FAX:508-790.1313 November 21, 2006 Town of Barnstable Building Inspector Town Hall Hyannis, MA 02601 s RE: Harry's Bar&Grill 700 Main Street , Dear Sir: Please be advised that we have done an inspection at 700 Main Street and the part of the building that owners would like to demolish(old loading dock)has never had water service at that location. Sincerely, dy Bent _ Hyannis Water System s ° WhlteWbW-Pennloknek 7rl-rnl 0 fa1 f P�oft '°�ti Town'of Barnstable Regulatory Services 9snax N. E Thomas F. Geller,Director �'plen,39�A Building Division Tom Perry, Building Commissioner 200 Main Street, Hyannis,MA 02601 Office: 508-8624038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder I, ClP 'W ' 6 O ' Y1 , as Owner of the subject property hereby authorize COAX-.rZ7Z4 7`t✓o act on ray behalf, in all matters relative to work authorized by this building permit application for: 70o r e es (Address of Job) /Lad�10, 00.6 tore of O e Date Print Name /411i�r' :01 /yaa+1s/ QTORMS iOWNERPERMISSION NOV-21-2006 16128 CONDYNE LLC 781 848 3774 P.02 DATE(MMMINYYYY) AMM CERTIFICATE OF LIABILITY INSURANCE _ 10/24/200 PRODUCER (781)651.6686 FAX (7i1)/81.68ii THIS CERTIFICATE IS 133UI;0 AS A MATTER OF INFORMATION ea ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE The 9riscoll Agency, line. HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR 93 1,onvatelr Circle ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. P.O. Box 91210 INSURERS AFFORDING COVERAGE NAIL# Norwell, 11A 02091 INSURED Advantage Constructions Eacicc. INSURER A. Cram I fParster CO. Two Adsao Place INSURER R: Safety Yasurance Co. Suite 100 INSURER C: National iJnion fire Ina Ce Quincy, MA 92160 INSURER D: Contiseutal Casaalty IISfi1 co INSURER E THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE POR 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,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECTTO ALL THE:TERMS,EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. IN R TYPE OF INSURANCE POLICY NUMBER LI FFEiT1YE CY EXPRAYION LIMITS GENERAL LIABILITY 5437103893 06/20/2006 06/20/:001 EACH OCCURRENCE $ 1 000.004 1j COMMERCIAL GENERAL LIA81LiTY O F!MIA TO RENTED S 1OO CLAIMS MADE 1]OCCUR MED EXP(Any one psanan) 3 5,00 A PERSONAL&ADV INJURY a 1,900.0601 GENERALA.GGREGATE S $ ON, GEN'L AGGREGATE U MIT APPLIES PER: PRG0UCT8•COMPfOP AGG S r QQQ POLICY X JECOT LOC AUTOMOBILE LIABILITY SAP2Q838 SS7 09/30/2°.008 06/40/2007 COMMNEO SINGLE LIMIT S pN'f AUTO (Es modent) 1 Goo_ we ALL OWN50 AUTOS _ BODILY INJURY $ SCHEDULE AUTOS (Per penoP) D X HIRED AUTOS 60gLY INJURY S Y NON-OWNEDAUT05 iper0oCl0en0 PROPERTY DAMAGE 3 (Per 8;4dM;) GARAGE UABRJIY AUTO ONLY.EA ACCIDENT S ANY AUTO I OTHER THAN EA ACC 8 . AUTO ONLY: AUG S pXCESNUMBRCULALIABIUTY 31495303901 06/LO/2006 11 06/30/3007 EACH-OCCURRENCE S 10 009 0 1S OCCUR a CLAIMS MADE A@OREGATE ! 10 01®9 C s aaoucTIULE s RETENTION S WORKERB COMPENSATION AND %C2883866787 06/20/20M 06/20/Z007 X ,SSTATU• i EMPLOYERB'LIAMUTY E.L,EACHACCIDENT S S06ANY PROPMUORIPARTNERIEXEOUTIYE OPASE,RIMEM88R EXCLUDED'I EL.DISEASE.EA EM DYES 500am It yyas aw.4 q wmar SPEG�IAL PROVISIONS nelew E,L.DISEASE.POLN3tVNIIT S 8 OTHER ;t7 DESCHIPITON OF OPERATIONS I LOCAT.ONS I VEHICLES I FU(CLLJSIONS ADDED BY ENDONSEIAENT I SPECIAL PROVISIONS '.• Barryrs Commercial Ruilding O Refer to Attached Addendum* idencJe of Imear aaee fbr work performed within the Insured& scope of normal business opera ions. +Odle* of Cascellatieam prvviaion is 30 days except 10 days applies for men-payment of premium. SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE r EXPIRATION DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO NAIL _3_q_DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, CIP Iyannis, UC BUT FAILURE TO NAIL SUCH NOTICE@HALL IMPOSE NO OMMATRINOR LIABILITY T%v Adams Place, Suite 100 Of ANY KIND UPON THE INSURER,ITS AGENTS OR REPREBENYATWEN. Quincy, NA 02199 AUTHORIZED REPRESENTATIVE B. eriacoll/ ACORD 26(2001108) OACORD CORPORATION 1989 NOV-21-2006 16:30 CONDYNE LLC 781 848 3774 P.10 Donald F. O'Neill iVice Presidevnr Principal ' ADVANTAGE Construction, Inc. Two Adana r'lace 8uire 1 OO Tel.7B'1.B46.8787 !�uinay,Ma.02169 Ceti 13i'7.877.7842 d cr eill�o-aondyr.a.oom Fax 761,84e.'2774 H i Donald F. O'Neill II E Vic;^PraeidentJ Frinrip5l C"ONDYNE, LLC Real Eve Fire Levalcpmcn 'two Adams Plooc 7r_I.'i8 .BaB.B7B 7 B,uicc ,CCl Cell C'17.a7t7 7642 Ouincy, MA r'ta1 62 Fax 781.848,3774 www.condyne,com dfonr-iMr candyns.com TOTAL P.10 NOV-21-2006 11:31 CONDYNE LLC 781 848 3774 P.02 PLUMBING S IVIECHAN CAL.LLC Industrial Piping-Gasfltting a Plumbing-Metal FabriCation-Air Conditioning Advantage Canstructian Inc. November 20, 2006 2 Adams Place Suite 100 Quincy, Ma. 02169 RE: Harry's Restaurant.Hyannis,Ma. This letter is to certify that we have inspected the property and found that both gas and water utilities are not mining through or into the adjacent warehouse to be demo. The ga,% lines have been cut and capped as well as the water lines. ATCO Plumbing&Mechanical LLC .will be happy to answer any of your questions pertaining;to the Hany's Restaurant project just call me at (508) 916-1553. Thank you for your time. • Siz�ccr�cly, ,mom Paul ►4lbema.z Owner!Mcmber LLC. PO Box 9628, Fall River, MA 02720 Tel: (508) 916-1553 or(508)916-1604 - Fax: (508) 676-0787 NOV-20-2006 00:04 CONDYNE LLC 7ei e4e 3774 P.01/01 64 A r IAW FOR QUAUry 220 HIGH STREET(AIEAR', TAUNTON, BRA 02780 .PRONE(508)823-0279 P FAX( ) M-6169 Advantage Construction November l 7,200b Two Adams Place Suit 100 Quincy, MA 02169 Attn: Don O Niel Dear Don, This letter is to certify that Young Electrical Services,Inc. tested all circuits on November 17,2006 at the abandoned building at'380 Stevens Street(AKA 700 Main Street Hyannis,IAA). We disconnected some circWts,which originated in Hany'S Restaurant and tested and Verified that the mr-oming electrical sesrvicc is disconnected.and dead. Res�ecrf�lly, Robert A. Young