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HomeMy WebLinkAbout0034 TOWNHOUSE TERRACE ;� `� ►n WI TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map I Parcel I _ Application #c�0 d 5 9 3 Health Division Date Issued ' �� ?0;4�2 Conservation Division Application Fee Planning Dept. Permit Fee w Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation / Hyannis Project Street Address 3 170""1f0u,5E 7-'C A rl Village NYAk4tS Owner M&W E 13A kgrGM4 P0A eL l z A13erTH Address Y/ .S U011A t 08 Telephone S 06- 7 3 7 POW F�+26.u SvalO a Permit Request IMrtt toAd jj. 4T'uYL— bAyyyA G' �c yk-to 11jr- -ro r-pt teT' #1AL PuAicr 1Q l4T-�EcT'�Li tr4Tgnwm -- yr i.4ry cG©jW RLwyve 0:-:C d C64i , ajv'VV� 6 l5lo-A-iAit AIS N0&5-8 Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation ®® Construction Type _7 s s� Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting doouJnentation. Dwelling Type: Single Family Two Family ❑ Multi-Family (# units) C i ` Do Age of Existing Structure .3 Y L Historic House: ❑Yes �KNo On Old Kings Highway,: UtYes ❑ No Basement Type: X Full ❑ Crawl ❑Walkout ❑ Other --+ Basement Finished Area (sq.ft.) Basement Unfinished Area (sift) C'D n Number of Baths: Full: existing_ new Half: existing I> new Number of Bedrooms: A 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: ❑ existing ❑ new size _ Other: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes ❑ No If yes, site plan review# Current Use KCS` 6%4 c.4�Z7 Proposed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER). Name Telephone Number SIP .26 0 12 I Address l a"a PbNc? 7► Q A VW1 License# L S e? 119 o1o? as Home Improvement Contractor# Email Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO fi0 wf-3 O V Y A aUAgvd1-A b ss N-LA L A AvA SIGNATURE UJ �r� W �'`�� DATE 3 , r . i FOR OFFICIAL USE ONLY APPLICATION# i DATE ISSUED Fr MAP/PARCEL NO. ADDRESS VILLAGE f OWNER ' E DATE OF INSPECTION: j ' FOUNDATION f FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL i GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. The Commonwealth of Massachusetts Department of Industrial Accidents w Office of Investigations 1 Congress Street,Suite 100 Boston,MA 02114-2017 www.mass gov/dia. Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Lesibly Name(Business/Organization4ndividual): Whalen Restoration Services Address: 22 American Way City/State/Zip: South Dennis, MA 02660 Phone* 508 760 1911 Are you an employer?Check the appropriate box: Type of project(required): 1.F-1 I am a employer with 25 4. E] 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. ❑ Demolition workingfor me in an capacity. employees and have workers' y P ty +. 9. ❑ Building addition [No workers'comp.insurance comp,insurance.• required.] 5. We are a corporation and its 10.❑Electrical repairs or additions 3.❑ I,am a homeowner doing all work officers have exercised their 1 L❑ Plumbing 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 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. +Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employerthat is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: Are American Insurance Company Policy#or SelPins.Lic.#_UB-SB894542-15 Expiration Date: 4/l/16 Job Site Address: -� 7-0%& .J A CQ SI "t-aCc&ALA City/State/Zip: jW MiNk � 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+n 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 +ins and enalties o er u that the in ormation provided above is true and correct. Si nature: Date `-- 3 -/ j Phone 0: Official use only. Do not write in this area,to be completed by city or town official City or Town: Permit/License# Issttung 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#: Massachusetts -Department of Public Safety � C� tJ/rn. lrvwcntwccacalf�a�P/llr{:%:1rcc�cc�e Board of Building Regulations and Standards Office efConsumerAffairs&Business Regulation Construction Supervisor OME IMPROVEMENT CONTRACTOR License:C-"74928 _ ;'2egistration: 129244 Type: 'Expiration =7/30/201Z Private Corporation WH I.IAM WHAT. N ` r � f-7 122 POND STREgT Whalen Restoration Seances Inc-.j BREWSTER MA%0263� ` VI I SRI ' William Whalen3 r ' 22 American Way �. �rra� Expiration :,� J.�+ South Dennis,MA 0266C"t Commissioner 0811=016 Undersecretary � 1 Unrdstricted-Buildings of any use group'which - contain less than 35,000 CubiC feet(991M )of License or registration valid for individul use only ! before the expiration date. If found return to: enclosed space. Office of Consumer Affairs and Business Regulation 10 Park Plaza-Suite 5170 Boston,MA 02116 , r Failure to possess a current edition of the Massachusetts { State Building Code is cause for revocation of this license. 1-4 Not valid without signature _ For DPS Ucensing information visit: www.Mass.Gov/DPS ' Unrestricted-Buildings of any use group which contain less than 35,000 cubic feet(991M )of License or registration valid for.individul use only before the expiration date. If found return to: enclosed space. Office of Consumer Affairs and Business Regulation 10 Park Plaza-Suite 5170 Boston,MA 02116 Failure to possess a current edition of the Massachusetts _ State Building Code is cause for revocation of this license. 1 � _ For DPS Licensing information visit: www.Mass.Gov/DPS Not valid without signature ' l Rightfax C1-2 7/31/2015 5 : 32 : 08 AM PAGE 2/002 Fax Server DATE(MM/DD/YYYYI CERTIFICATE OF LIABILITY INSURANCE T.. IF&^ATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATDOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BYTHE POLICIES BELOW. THIS CERT,PI;MATE OF INSURANCE DOES NOT CONSTITUTE,ACONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE UCER.AND THE CER71FICATE HOLDER. IMPORTANT:If the certificate holder Is an ADDITIONAL INSURED,the policy(les)must be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require and endorsement. A statement on this certificate does not confer rights to he certificate holder In lieu of such endorsements. PRODUCER CONTACT NAME: HUB INTERNATIONAL NEW EN PHONE FAX 265 ORLEANS RD (A/C,No,Ext): (A/C,No): E-MAIL NORTH CHATHAM,MA 02650 ADDRESS: 77GKF INSURE R(S)AFFORDING COVERAGE NAIC# INSURED INSURER A: ACE AMERICAN INSURANCE COMPANY WHALEN RESTORATION SERVICES,INC. INSURER B: INSURER C: INSURER D: 22 AMERICAN WAY INSURER E: SOUTH DENNIS,MA 02660 INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS 70 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 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 SUBJECT TO ALL THE TERMS,EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAN)CLAIMS. NSR ADD SUB POLICY EFF DATE POLICY EXP DATE LTR TYPE OF INSURANCE L R POLICY NUMBER (MM\DD\YYYY) (MM\DD\YYYY) LIMITS GENERAL LIABILITY EACH OCCURRENCE $ rGENrL MMERCIAL GENERAL LIABILITY DAMAGE TO RENTED $ CLAIMS MADE OCCUR. PREMISES(Ea occurrence) ED EXP(Anyone person) $ PERSONAL 8 ADV INJURY $ GREGATE LIMIT APPLIES PER: ENERAL AGGREGATE $ ICY PROJECT LOC PRODUCTS-COMP/OP AGG $ AUTOMOBILE LIABILITY COMBINED SINGLE $ ANY AUTO LIMIT(Ea accident) ALL OWNED AUTOS 8001LY INJURY $ SCHEDULE AUTOS (Per person) HIRED AUTOS BODILY INJURY $ (Per accident) NON-OWNED AUTOS PROPERTY DAMAGE $ (Per accident) UMBRELLA LIAS OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DEDUCTIBLE $ RETENTION $ $ A WORKER'S COMPENSATION AND X WC STATUTORY OTHER EMPLOYER'S LIABILITY YIN UB-58894542-15 04/01/2015 04/01/2016 1 LIMITS ANY P ROPE RITOR/PARTNE R/EXECUTIVE a N/A E.L.EACH ACCIDENT $ 1,000,000 OFFICER/MEMBER EXCLUDED? (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE $ 1,000.000 If yes,describeunder DESCRIPTIIPTIONN OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 1.000,000 DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/RESTRICTIONS/SPECIAL ITEMS THIS REPLACES ANY PRIOR CERTIFICATE ISSUED TO THE CERTIFICATE HOLDER AFFECTING WORKERS COMP COVERAGE. CERTIFICATE HOLDER CANCELLATION ELIZABETH FERGUSON SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED 34 TOWNHOUSE TERRACE BEFORE THE EXPIRATION DATE THEREOF,NOTICE WILL B DELIV D IN ACCORDANCE WITH THE POLICY PRO AUTHORIZED REPRESENTATIVE HYANNIS,MA 02601 ACORD 25(2010/05) The ACORD name and logo are registered marks of ACORD 1988-2010 ACORD CORPICTRAY16W VllrlghiiWigiveid. i �, ��- � � o �o- . . , _ ,�= � ,�wt� ,fie 'i _ _ c t � I � t I e Restoration. Services Ir c. Fire,Smoke,Soot,Water&Mold Remediniion Services Cleaning . Deodorization , Reconstnlction I Specializing in Fire Restoration - All Work Guaranteed Access, Authorization and.Direct Payment Request Form I (we) authorize WHALEN RESTORATION SERVICES to perform work as estimate at property located at 34 Townhouse.Terrace, Hyannis, MA 02601, to repair damage caused by water. As owner(s) of this property, I (we) understand that I (we) must authorize this work. I (we) hereby authorize WHALEN RESTORATION SERVICES to perform'this work and accept responsibility for payment upon completion. I (we) authorize and direct my Insurance ldomp' ny, Claim # , Policy# , to make payments directly to WHALEN RESTORATION SERVICES, Insurance Claim specialists, for doing this work and to that extent I (we) assign the benefits applicable to this foss to WHALEN RESTORATION SERVICES. I (we) acknowledge receipt of a copy hprpof; ` U ' DATED OWNER_b t�r��V" �V SIG D R OWNER WHALEN RESTORATION REP. SIGNP 22 American W�iy,§outh.Dennis,MA 02660 Phone:(508)766-1911 . Fax:(50 1 8)760-9995 . 1-800-244-2598 E-Mail:ksnelman a whalenrestorations com Web Page:http:HwNvw.whalenrestorations.com DURABLE POWER OF ATTORNEY Know all Men by These Presents that I, MARY BALEGNO of the Town of West Yarmouth, County of Barnstable. and Commonwealth of Massachusetts, do hereby constitute and appoint my'Daughter, ELIZABETH FERGUSON, my true and lawful attorney with the authority to exercise at any time or times the ollowin j g powers, authorities and discretions for me and in my name; i to demand, collect, recover, sue for, receive and give receipt and due discharge for any money, debts, dividends, interest, or other property of any sort, real or personal, now or hereafter due or becoming due to me or to which may now or hereafter become entitled; i to borrow money, and as security therefor to pledge, mortgage, or' hypothecate any securities or other property, real or personal; I to conduct or participate in any lawful business in my name.; � to form, incorporate, reorganize, merge,_ recapitalize sell i liquidate, or dissolve any business; to enter into and/or carry out the provisions of any agreement for the sale of any business interest or the stock therein upon such terms and 1 conditions, including the making of such representations, warranties, and indemnities, as my attorney shall deem proper; to endorse for transfer all certificates of stock, bonds, or other securities; to execute, sign, acknowledge, and deliver in my name any deeds, bills of sale, or other instruments, under seal or not under seal; to represent me and vote in my name at any and all corporate or other meetings; and to give to any person or persons general or special proxies, discretionary or not discretionary, to vote in my name at such meetings; to maintain, repair, improve, invest, manage, insur , sell, rent, x lease, encumber, and in any manner deal with any real or perso al property, tangible or intangible, or any interest therein, in my name and for my benefit, upon such terms and conditions as she shall deem proper; to bring and prosecute any action, suit or proceeding at law or in equity which my said attorney may deem necessary or pro er for the VIE enforcement or protection of any right or interest of mine; to defend or settle any such action, suit or proceeding at law or in equity which may be brought against me; to compromise or adjust any matter; . 1 to apply for a Certificate of Title upon, and endorse and transfer 1 title to, any automobile truck, pickup van or other motor vehicle and to represent in such transfer assignment that the title to said motor vehicle is free and clear of all liens and encumbrances except those specifically set forth in such transfer assignment; to endorse and negotiate for any and all purposes all promissory notes, bills of exchange, checks, drafts or other negotiable or non-negotiable papers payable to me or to my order, including Social Security checks and other checks drawn on the Treasurer of the United States; to deposit funds or property with any banking institution,.'and to withdraw any part or all of said deposits; to make and sign checks or drafts upon any deposits in my name in any banking institution; to employ and dismiss agents, attorneys and brokers and to pay their compensation and charges; 1 to go to any safe deposit box to which I have access, and to place in or take from it any property or papers; to appear for me and represent me before the United States Treasury Department, the Internal Revenue Service, or any other taxing authority in connection with any matter involving taxes in which I am I party; to prepare, sign and file income tax returns; to,pay any such income tax as may be due and to contest and settle in compromise the levy or assessment of any such tax; to execute any claims for refund, protests, appl cations for j abatement, and consents to and waivers of determination and as essment of taxes, agreeing to .a later determination and assessment of t es than is provided by any statute of limitations; to receive 'and endorse and collect any checks in settl ment of any refund of taxes; 2 f to examine and to request and receive copies of any tax returns, reports, and other information from the United States Treasury Department or any other taxing authority in connection with any of the foregoing matters; to contribute to, terminate, withdraw.from, or make any elections, i waivers or consents under any qualified or unqualified pension, profit sharing, deferred compensation, employee stock ownership or other employee benefit plan or arrangement(including, -but not limited to, life and health insurance plans, disability plans, retirement plans including individual retirement accounts, annuities plans, and stock option plans); to apply for, seek i reimbursement from or in any other way to handle all medical insurance and reimbursement plans; and to do all things necessary to carry out the intent j hereof as fully as I might do if I were personally present. Deleaation of Powers Compensation My attorney is authorized to delegate any powers hereunder; to. revoke any such delegation; and to pay herself reasonable compensation for services rendered hereunder from any property owned by me or to which I am now or may hereafter become entitled. Nomination of ConGan,a+ rand/or Guardian also hereby nominate the person who at the time may be serving as my attorney hereunder to be the conservator and/or guardian of my estate and/or the guardian of my person if protective proceedings for my estate or person are hereafter commenced. Third-Party Reliance• Third parties may rely upon the representations of my attorney as to all matters pertaining to any power granted to my attorney, and no person who may act in reliance upon the representation of my attorney or the authority granted to my attorney shall be bound to see to the application of any money, or property transferred to my attorney or upon my order or incur any liability 1 me or my estate as a result of permitting my attorney to exercise any power. ny affidavit i executed by .my attorney stating that my attorney does not have, a the time of doing an act pursuant to this power of attorney, actual knowl dge of the revocation of the termination of this power of attorney is, in the abse ce of fraud, conclusive proof of the non-revocation or the non-termination of t e power at s 3 r that time. -demnificatinn �f Attorn v' , I hereby bind myself to indemnify my attorney who shall so act against any and all claims, demands, losses, damages actions and causes of action, including expenses, costs and reasonable attorney's fees which my attorney may sustain or incur in connection with the carrying out of the authority granted in the power of attorney. Durable P wer• This power of attorney shall not.be affected by my disability or incapacity arising after the execution of this instrument. My death shall not revoke or terminate this power of attorney if my attorney, without actual knowledge thereof, acts in good faith hereunder. IN WITNESS WHEREOF, I hereunto set my hand and seal on. the Jn day of May, 2005. MARY 0ALEGW Barnstable, ss, On this 9 dray of May, 2005, before me the undersigned notary public, personally appeared MARY BALEGNO, proved to me through satisfactory evidence of identification, which was personal knowledge, to be the person whose name is signed on the attached document, and acknowledged to me that he signed it voluntary for its stated p ose. Notary Public My commission expires: a� fa O"MKL SEAL f RICHARD G,CARVEN 1 N0TARY P000C-DMMHU3 fk: ccmm.Expfr s "A.2 4 Elate '61 i PINEBROOK CONDOMINIUM TRUST TO, OF.BA� ���BUILDING 25 TOWNHOUSE TERRACE HYANNIS MA.02601 Phone(508)775-7356 :. 4 1 t • H 7 August 4, 2015 N ION Town of Barnstable Building Department Re: 34 Townhouse Terrance—Ferguson Please be advised that the Board of Trustees hereby give permission to Beth Ferguson, owner of 34 Townhouse Terrace, Hyannis, MA 02601 and her contractors,to perform demolition and restoration work to the unit as a result of damage caused by a water leak. Should you require any additional information or have any questions,please contact our management company at 508-385-9499. Sincerely, The Board of Trustees Pinebrook Condominium Trust i Bk 29040 P 345 -03612C3 —2 —2 PINEBROOK CONDOMINIUM TRUST 25 TOWNHOUSE TERRACE HYANNIS, MASSACHUSETTS 02601 NOTICE OF ELECTION OF TRUSTEES In accordance with Article II, of the by-laws of Pinebrook Condominium Trust recorded in the Barnstable County Registry of Deeds, dated September 16, 1971, Book 1530, Page 132, Instrument#39989,Notice is hereby given of Election of Trustees. The undersigned hereby certifies that, pursuant to the vote held at the annual meeting of unit owners on July 25,2015 at the Community Building,the following unit owners were elected to be the duly constituted Trustees of the Pinebrook Condominium Trust of Hyannis: Names & Addresses Term Expires 4th Saturday of July of the year: Marti Baker, 86 Townhouse Terrace 2018 Catherine Howard, 50 Townhouse Terrace 2018 -J -a ryt:3 r ZE y_. Executed as a seal instrument this °.� day of�u cy 2015. Linda Bezanson, Secreta : COMMONWEALTH OF MASSACHUSETTS Barnstable, ss �r , 2015 Then personally appeared the above-named Linda Bezanson, and acknowledge the foregoing instrument to be of her free act and deed, before me. -� aty Public JOSEPH R. PACE My Commission expiTv's� Notary Public Commonwealth of Massachusetts My Comm.Expires September 25,2020 BARNSTABLE REGISTRY OF DEEDS John F. Meade, Register f F f 1 i / ` f Yi -To use TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION ap � Parcel ��S YY? pP ealth Division Date Issued. /d Conservation Division Application Fee Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board Historic - OKH 7 PreserVatiori/ Hyannis .� Project Street Address > '%4WtuhGts / 9 eE Ise Village yt� t - Owner roy P Coal -a j Address �'►s2iE Telephone p �' �, d Permit Request �S't�p�-iN�'j� �d��G®'�� �ptJ'� ��fi� � � _.Square feet: 1 st floor: existing propose 2nd,fl r: existing proposed Tota4­3l never Zoning District Flood PI ' Groundwater Overlay �Constru tion T e Project Valuation �.00�C� . C�- y � Lot Size ran thered ❑Yes ❑No If yes, attach supporting documentation. Dwelling Type: Single Famil ❑ Two amily ❑. Multi-Family (# units) Age of Existing Structure Historic House.: ❑Yes ❑ No On Old Kings Highway: 0 Yes ❑ No Basement Type: ❑ Full 'LJ.Crawl ❑ Walkout ❑Other Basement Finished Area (sq..ft.) Basement Unfinished Area (sq.ft) Number of Baths: Full: existing new Half: existing new Nup�giber 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 0 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 O No - If yes, site plan review # Proposed Use Current Use. � e -