HomeMy WebLinkAbout0380 WEST MAIN STREET 380 �v��,;� sr
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TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION
Map Parcel Application#
Health Division
Conservation Division Permit#
Tax Collector Date Issued
Treasurer Application Fee
Planning Dept. Permit Fee
Date Definitive Plan Approved by Planning Board
Historic-OKH Preservation/Hyannis
Project Street Address ��f�Tl i S' �o v37l��/
Village V�r-1 H S n,
Owner .� Address`�( t
Telephone
Permit Request ` >E � �� t� �^
Square feet: lst floor:existing proposed 2nd floor:existing proposed = To,aff new
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Zoning District Flood Plain Groundwater Overlay -)
Project Valuation Construction Type fa
Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting dJIumentation. c0
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:❑existing ❑new size
Attached garage:❑existing ❑new size Shed:❑existing ❑new size Other:
Zoning-Board of Appeals Authorization 'O- Appeal-# _ -`- _ ` Recorded❑
Commercial ❑Yes ❑No If yes, site plan review#
Current Use Proposed Use
BUILDER INFORMATION _775r-
Name Telephone Number
Address QL License# %
cA b' Home Improvement Contractor#
Worker's Compensation#
ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO
SIGNATURE 4A
DATE 7/9
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s FOR OFFICIAL USE ONLY
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PERMIT NO.
DATE ISSUED
a MAP/PARCEL NO.
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ADDRESS VILLAGE ,
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y OWNER
DATE OF INSPECTION: ;
FOUNDATION
FRAME I
INSULATION
FIREPLACE
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ELECTRICAL: ROUGH FINAL
PLUMBING: ROUGH FINAL
GAS: ROUGH FINAL
FINAL BUILDING -�
DATE CLOSED OUT
ASSOCIATION PLAN NO.
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HYANNIS COUNTRY GARDEN , INC.
380 WEST MAIN STREET
HYANNIS, MASSACHUSETTS 02601
508-775-8703 Fax 508-775-3302
1-800-352-GROW
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(plus above fee if applicable)
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The Commonwealth of Massachusetts
Department of Industrial Accidents
Office of Investigations
+ a 600 Washington Street
Boston,MA 02111
° www.mass.gov/dia
Workers' Compensation Insurance.Affidavit: Builders/Contractors/Electricians/Plumbers
Applicant Information Please Print Lezibly
Name(Bus' ess/or anizatio:. dividual): . H rule g `®ve•`i—mv.
Address:
City/State/Zip: V4VAH i ' ASS' ��Phone.#:.���P
Are you an employer. Check the appropriate ox: 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).* ve 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 g, ❑Demolition
working for me in any capacity. employees and have workers'
9. ❑Building addition
[No workers' comp.insurance comp.insurance.
$ ' 10. Electrical're airs or additions
required.] 5. ❑ We are a corporation and its ' ❑ P
officers have exercised their
3.❑ I am ahomeowner doing all work 11.❑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.to ees. [No workers' . .13.❑Other ` Ls
comp.insurance required.] -
*Any applicant that checks box#1 must also fin 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 employer that is providing workers'compensation insurance for my employees. Below is.the policy and job site
information.
Insurance Company Name: 4
Policy#or Self-ins.Lic.#: Expiration Date:
Job Site Addres...Zeyj q ST City/State/Zip:ALIAN NI
Attach a copy of the workers' compensation policy declaration page(showing the policy nZber 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:ender the pai s d Pena ies of perjury that the information provided above is true and orrect
Signature: a ' Date: J p _
Phone
Official use only. Do not write in this area,to be completed by city or town o jzcial.
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 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 i smance
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=contiactor(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 4
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 iii 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 permit not related to any business or commercial venture
(i.e. a dog license or permit to bum 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..
°I`he Commonwealth of Massachusetts
Department of Industrial Accidents
Office of Investigations
600 Washington Street
Boston, MA 02111
Tel.#617-727-4900 ext 406 or 1-877-MASSAFE
Fax 4 617-727-7749
Revised 11-22-06
wvw.mass.gov/dia
Fax Server 7/23/2007 9:55: 14 AM PAGE 1/001 Fax Server
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iPPROCUCER .. ... T14 CERTIFICATE iS IAZUED AS A MATTER OF INFORMATION
FLORISTS I br=AL INSvt;1MCS COMPAM i ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
HOLDER. THIS CERTIFICATE DOES NOT AMEND,EXTEND OR.
FTOrtice I ALTER THE COVERAGE AFFORDED BY THE POLICIES
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THIS S TO I;ERTFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUE;TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
INDICATED, NOTWRHSTANDiNG ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
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®ESCWI°TIONOF@PE2ArONSILOCATM'MWVEHICL".r� EMbAL rrE46s---_— - -- - j as of of tnlraranes in Pores. -
a8e 4snt 6alu August 3 thru AuWawt 5, 21)07
I lTfF, 147tl FiOL-I5£17� p;CX 17,5O8 - -_
$HOUL?ANY Of THE ABOVE OESGRI6-C POLICIES 6E C/INLF.LLED 8_rCRE Tt4E
EXPIRAT13N DATE (HEREOF TI4E ISSUING CCSAPANY WILL ENDEAVOR TO MAIL
TCMSM aE—)SALL7AU t8p 1e � 3U ,DAYS WRITTEN NffYILE TCI THE C8RTFICATE 6tOLCER IdAHEU TO THE LEFT,
100 SJdiin Street { RUT FAILURE TO MAIL SUCH NOTICE SMALL UIPOSE NO OBLIGATION OR LIABILITY
"tIllBII.'7.i8o 22 801 III OF ANv KINn UPON THE COMPANY. ITS AGENTS OR REPRFSENTNUMES.
il)DALYS DIRECT NOTICEKIL.L 3 SEjyT sOR NONPAYM"T
I'AUTNORREr K.EPRI ENTAr1YE`— �:. --v- s y-•-•tt-s`•_-7I*�._�.__
07/17/2007 11:07 FAX 5083989091 UnderCover Tent & Party z 001
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ORDER #: 5649-1
EVENT DAY: FRIDAY DATE: 08-03-2007
UndcrCover Tent & pa EVENT TIME:
DELIVERY: THU 08/02/07 PER CUSTOMER
31 American Way South Dennis, MA,02660 PICKUP: MON 08/06/07 SUBJECT TO CHANGE
Phone: (508)1398-9000 Fax: (508) 398-9091 SALES PERSON: BH PURCHASE ORDER
Website: www.undercovertent.net ORDER DATE: 07-17 TERMS. C.O.D.
BILL TO: SHIP TO:
JOHN DUFLEY
COUNTRY GARDEN COUNTRY GARDEN
380 WEST MAIN STREET
MA
HYANNIS MA 0260 i.
TEL: (508)775-8703 FAX: (508)775-3302
QTY IT13M DESCRIPTION PRICE TOTAL
1 20100 GREEN &WHITE- FRAME TENT 525.00 525.00
6 7X.10 CLEAR SIDE WALL(OPTIONAL TO POINT OF DELIVERY) 24.00 144.00
SPECIAL INSTRUCTIONS: TOTAL: 669.00
)OHN, MERE IS THE ORDER FOR THIS YEAR,THANK YOU. ALSO FIND FLAME
CERTIFICATE AN'D INS BINDER FOR.TOWN SALES TAX: 33.45
DELIVERY. 40.00
LABOR: 0.00
TOTAL: 742.45
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MANUFACTURERS OF THE FTN?SHEO 2595$ 3®24f 93 "
z I► TENT PRODUCTS OESCR[DEO HEREIN
hat the materials described have been flame-retardant treated (or are
enable) and were supplied to:
3TTTPMRNT 1.FAS IN 1 aMEFtCOVER 'TFNTS & PARJY TXC
STATE PA
ly made that: -
od on this Certificate have been treated with a flame-retardant approved
application of said chemical was done in conformance with California
:q[ual to or exceeds NFPA 701,.CPAI 84 GOVERNMENT CERTIFIED LAB*3056
n: LAMINATED U.L,= 214
374 - 65-SM
anvas/vinyl: 15 oz BOYLES BIG TOP VINYL LAMINATE White
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BOYLE & CO.
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SVILLE, NCT��£ RTPAENT—ANCHOR I t1STR1ES INC.
LOUIS R. BROWN
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Town of Bamstabld.
200 Main.Street,Hyannis,Massachusetts 0260-1
BARNSTABM
�b �.•�. Growth Management Department Patricia Daley,
RFD MP'�
367 Main Street,Hyannis,Massachusetts 026.01 Interim.Director
Phon_a(508)862-4679 Fax(508)862.4725 www.town bamstable.maus
December 1.0,2007
Diana'DuffieY
Hyannis Country Garden,Inc.
380 West Main Street r t
Hyannis,MA 02601 ° t
•
Reference: Site Plan Review#049-06—Country Gazden—380 West Main Street,Hyannis.
Map-269,-Parce1.269-052
Proposal;. Installation of a grid-connected wind turbine on a 120 ft;monopole.
to power on-site greenhouses.
Dear Ms.Duffley
Please be.advised that the Building Commissioner;Tom Perry,has found'the site plan for the
above-referenced properly to be-approvable subject to the following:
All construction shall be incompliance with the approved plan.enttled,"Site Plan of
t Land;in Hyannis,Country Garden,#380 West Main Street,Hyannis, MA",prepared for
Country Garden,Inc.,dated January 27,200.7'and revised December 6,2007(Ivoved
Monopole Location)with elevation view of NorthWirid 100/19 Wind Turbine. Plan
,a
prepared byDown Cape Engineering,Inc.Yarinouthport,MA, Scale 1 40':.
+ Applicant must obtain all other applicable permits,licenses and approvals required.
Applicant must obtain a Special Permit from'the Pl aping,.Board for a Land Based Wind
Energy Conservation Facility.
i
46 Upon cor pletion of all;work a'registered engineer or land surveyor shall submit a'letter
f of certification,made upon knowledge sand belief in accordance with professional
standards that all workhas been;done in substantial compliance with the>approved site
plan.(Zoning Section 240-104(G). This document shall be submitted prior to the final
' inspection of the Building Department.
if you have any questions;or require�fiu-ther assistance,my.direct telephone number is08=862-
r
4679.
{ Sincerely,
i Ellen M. Swiniarsk'
Site Plan Review Coordinator
{ CC: ;SPR File
Tom Perry,Butlding'Commissioner
Planning Board SP 2007-16
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E Town of Bm-astable
1 _ Ramgtahle IlLet rival co issian
` � MA 200 Maia Street, Hyannis,Massachusetts 02601
s� (508) 862-4797 Pax(509)962-4725
Pe� wv,�.4mwu.6� Hlt.ts�a.sis
July 31,2006
Brans Simon
Massachusetts Historical Conuuission
220 Morrissey Boulevard,Boston,MA 02125
Re. Country Gardens Wind Generator
Dear Ms. Simon
The Balmstable Historical Comrnission hereby forwards sr.advisory opinion to you that
the proposed wind generator on WeAi Main St m in Hymmis,will have no impact on any
historic resource. West Main St, is chamotefized by apartment buildings and strip
COMInercial development constructed since the 1970's. The Hya s Main St Waterhont
Local Historic District is approximately 1/2 mile to the east: The Hyam-isport National
Register District is approximately one mile.to the.south..
In.malting theiz decision,the Board took tlput from George Jessup;t g who:is the
Oha,ix san of the Hyannis Beaus fit: Waatccrftont District,(also,a B. fible Historical
Coizunissiri esior„ and mho visited the.site,
Thank you for the opportunity for input on this project,
Sncerely-yours
6A LI
CZCs -
Nam Clark, Chaff an
c, Diana Dufflay, CGCr