Loading...
HomeMy WebLinkAbout0266 WINTER STREET f� �rS4. TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION c f • Map Parcel U / Application # 6 Health Division Date Issued Conservation Division Application Fee Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board Historic - OKH Preservation / Hyannis Project Street Address 4w zwA&�- 2 Village Owner Address Telephoneo�� �/ //l� Permit Request zeal axa- "0/ c9-/a, � � A4,911 Square feet: 1 st floor: existingl' eroposed 2nd floor: existing proposed Total new Zoning District'mny Flood Plain Groundwater Overlay Project Valuation Construction Type_/ �S% Lot Size ' 4(9 Grandfathered: ❑Yes )(No If yes, attach supporting documentation. Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family (# units) --__01k Ad/d/i2r Age of Existing Structure -i7 Historic House: ❑Yes A<o On Old King's Highway: ❑Yes *No Basement Type: XFull ❑ 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 -4 c) Heat Type and Fuel: Gas ❑ Oil ❑ Electric ❑ Other GY��" CD Central Air: ❑Yes No Fireplaces: Existing New Existing wood/;cosl stove: ©Yeses❑ No ( C Detached garage: ❑ existing ❑ new size_Pool: ❑ existing ❑ new size _ Barn: ❑ existing ❑ ew ;size_ Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: _ Zening Board of Appeals Authorization ❑ Appeal # Recorded ❑ Qommercial Yes ❑ No If yes, site plan review# Current Use Proposed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name 154 ke,1- 1 ss.Mla ie i' Telephone Number ,r0� Address �� License # Les,1 tU e Ap- Home Improvement Contractor# Worker's Compensation # Wed.( ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT.WILL BE TAKEN TO yarftoUg 0e -/ SIGNATURE V DATE 7' $ } \ \ FOR OFFICIAL USE ONLY } APPLICATION# . . DATE ISSUED / UAP/PARCELNO ADDRESS VILLAGE , > ( OWNER } DATE OF INSPECTION: ) I . } FOUNDATION . \ FRAME - INSULATION } FIREPLACE ~ 2 } ELECTRICAL: ROUGH FINAL ® , } PLUMBING: ROUGH . FINAL � . . . . GAS: ROUGH FINAL \ FINAL BUILDING f . . . . / DATE CLOSED,OUT 2 \ - 4 , • \ . i ASSOCIATION PLAN NO. t The C01rrtt10rrweal[h ofAfassachusetts Department of IndwstrWAccidents : ;I Offzee of Invesdffations 600 Washington Street Boston, hlr4.0211I r www.rnass.govl4a Workers' Compensation fnsuranceAMdavit: Builders/Contractors/EIectricians/PIumbers A-ppReant Information-Please Print Legibly KBIIle (Bttsincss/Drgsnizafionlfndivid ah�.f!-' Address: CItylStatelZl `'�>i�� Phone #: C C/zl' F an employer? Check the appropriate box: r13 e of project(required): m a employer wzth / 4. ❑ I am a geneial contractor aiid I ployees(fall and/orpart-time).* have hired the sub-contractors ❑New construction a sole proprietor or partner- listed on the attached sheet $ 0 Remodeling and have no employees' These sub-contractors haveDemolitionking forme in any capacity, workers' comp, insurance, Building addition workers' comp,insurance 5. [� We are a corparation and its ired] officers have exercised their EIectricat repairs or additions a homeowner doing all work right of exemption per MGL Plumbing repairs or additionself. [No workers' comp. c. 152, ¢L(4), and we have n o Roof reFaus ance required.] t employees, [No workers' Other P. comp.insurance required,J Any tppticant that checks boz#1 most aisa f8J out the section below shoaing'thcir workm,comp=im ion policy information t Horotowners whCj submit this a.ffidavit•indicating they are doing all work and then hirr outside cunt-tors must submit a new affidavit indicating such. :ConicaetDrs that check this box must aftanbcd an additional shot showing the name of the sub�ontractnrs and ifieir,workccs'comp.policy information. I Mn an employer that is providing workers canzpmmdon b=rcrance for my employees. &Claw is the policy and Job site infor�or`r. / , Insurance Company Naive: _�i,�Jl►� �2 `� �0 '� ///Op���.t •Policy#or Self-ins. Lic. # u���ff� �rIJ�I Expua.tion Dater Job Sid Address;, �� City/Stata/Zip: Attach.a copy gf-the workers' compensation policy declaration page(showing the policy number and ezpiratian 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 STDP WORK ORDER and a fine of up to$250.00 a day against thcviolatnr. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for ir<crn-a„ce coverage verification.` I do hereby t[ aces pPF1 nfl�oc ofpe1fwy nat tfie information provided above is L-ae and correct- Sign ' acre: Date: Phone#: Of f�zcid use only. .Do trot write in Zk&area, ro be completed by city or town offcial City or Town: PermitlLicease Lrsaing Agthorrfy(circle one): I. Board of Health.Z-,Building Department 3. City/Town Clerk 4. Ele:ctrical Inspector 5, Plumbing Inspedtor 6. Other 'r 1 Client#:9742 Y 2BAKERAS ACORD,. CERTIFICATE OF LIABILITY INSURANCE DATE02120IYYYY) 0512l201 f THIS 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. T 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 - CONTACT NAME: _ Dowling 8r O'Neil Insurance PHONE 508 775-1620 ---TFAX 5087781218 - - (A/C,No.Ext: ---- 1-�C—No)-- -------- - Agency ADDRESS: — -- 973 lyannough Rd., PO Box 1990 -- -- T--- Hyannis,MA 02601 X INSURER(S)AFFORDING COVERAGE NAIC# INSURER A:National Grange Mutual Insuranc I INSURED - INSURER B:Associated Employers Insurance 5 ' Baker&Associates,Inc. -"- - INSURER c P O BOX 923 " INSURER D: Centerville,MA 02632-0071 _ ---- - - -"-—--- - ---- - ----- 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 j INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS t 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 — ADDL SUBR - - _ POLICY EFF POLICY EXP ---- ------ LTR _ _ TYPE OF INSURANCE INSR WVD _POLICY NUMBER MMIDDIYYYY MMIDDIYYYY _ LIMITS A GENERAL LIABILITY ' MPJ7223M _ 411 9/201 1 1 04/1 9/201 Z EACH OCCURRENCE $1,000,000 DAMAGE TO RENTED X COMMERCIAL GENERAL LIABILITY - PREMISES Ea occurrence $500,000 i CLAIMS-MADE X�.OCCUR - _ j , MED EXP(Any one_person) PERSONAL&ADV INJURY $1 000,000 -• -, LGENERAL AGGREGATE $2,000,000 GEN'LAGGREGATELIMITAPPLIES.PER (PRODUCTS-COMPIOPAGG $2,000,000 ._ POLICY13 PRO JECT -- LOC --�--- —.--- --- -- -,- -- - i COMBINED SINGLE LIMIT AUTOMOBILE LIABILITY. -_ IEa accident)- $ ANY AUTO i - BODILY INJURY(Per person)-- $_ - -- .I ALL OWNED - (T- SCHEDULED i BODILY INJURY(Per accident)I S " AUTOS __._ AUTOS I iI _ _ I` -1. -.-_..... .- NON-OWNED PROPERTY DAMAGE S HIRED AUTOS AUTOS _ ! r(Per accident UMBRELLA LIAB OCCUR -- — -- EACH OCCURRENCE $ EXCESS LIAB - I,` AGGREGATE $ - i CLAIMS-MADE; _ i —_-- -. --- __ DED�-- RETENTION$ _ �...—,I ,..-. - -. �_._...._. I _ $ - -- WORKERS COMPENSATION - WC STATU IOl H- - B WCC5002454012011 4/23/2011I0 4/2 312 0 1�X ITORY LIMITS_( IER AND EMPLOYERS'LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE� I N I _ !F L EACH ACCIDENT $500 000 _ . ! OFFICER/MEMBER EXCLUDED? LN_I N I A - I y. E (Mandatory in NH) I - •, E L DISEASE EA EMPLOYEE`SS00,000 It yes,describe under • - - DESCRIPTION OF OPERATIONS below _ - __.�_ E.L.DISEASE POLICY LIMIT I$500 OOO jI DESCRIPTION OF OPERATIONS I LOCATIONS 1 VEHICLES(Attach ACORD 101,Additional Remarks Schedule,if more space is required) Insurance coverage is limited to the terms,conditions,exclusions,other limitations and endorsements. Nothing contained'in the certificate of insurance shall be deemed to have altered,waived,or extended the - coverage provided by the policy provisions. CERTIFICATE HOLDER CANCELLATION ' i Town Of Barnstable r SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE 1 THE EXPIRATION DATE THEREOF; NOTICE WILL BE DELIVERED IN Thomas Perry ACCORDANCE WITH THE POLICY PROVISIONS. 200 Main Street Hyannis,MA 02601 AUTHORIZED REPRESENTATIVE i —WJ«.. I i ©1988-2010 ACORD CORPORATION.All rights reserved. ACORD 25(2010/05) 1 of 1 The ACORD name and logo are registered marks of ACORD #S80402lM80401 LS1 _ Vo = (a Office of Consumer A fairsIn Ausiness Regulation 10 Park Plaza - Suite 5170 t.. Boston, Massachusetts 02116 Home Improvement Contractor Registration Registration: 162600 Type: Supplement Card Expiration: 3/26/2013 BAKER & ASSOCIATES INC. RICHARD GARNEAU —------ ----- --- 521 SHOOTFLYING HILL RD Y ----- -- - - �- -- - . CENTERVILLE, MA 02632 Update Address and return card.Mark reason for change. (� Address Renewal Employment Lost Card SCA i C- 20M-05/1 t C,//,e �(.'CeIIl7 0111(leffIll[/C - - trice of Consumer Affairs&Business Regulation License or registration valid for individul use only ME IMPROVEMENT CONTRACTOR before the expiration date..If found return to: Office of Consumer Affairs and Business Regulation (. egistration: 162600 Type: 10 Park Plaza-Suite 5170 =y Expiration :.3201;3 Supplement Card Boston,MA 02116 BAKER&ASSOCIATE S.INC RICHARD GARNEAW P P.O. BOX 923 L�pt CENTERVILLE, MA 02632 Undersecretary *Notd without signature tY � • �lassa.husccts - Dclr,u tmcrtt of Public sat'ct� 4 Boar..d of Building Re!-ti lilt ions and Standards _Y Construction Supervisor License License: CS 9714 Restricted to; 00 . RICHARD P GARNEAU JR 251 WOODSIDE RD W BARNSTAB.LE MA 02668 Expiration: .4/4/2012 ( oniqu�.i,,der Tr#:,25310 , ci -'F Office of Consumer A fair s nd Business Regulation a h '' 10 Park Plaza Suite 5170 ` Boston; Massachusetts 02116 Home Improvement Contractor Registration Registration: 162600 * 'Type: Supplement Card Expiration: 3/26/2 013 BAKER &ASSOCIATES INC.,._ RICHARD GARNEAU 521 SHOOTFLYING HILL RD ` CENTERVILLE, MA 02632 T Update Address and return card.Mark reason for change. SCA I .. 20M-05117 • Address Renewal - ' Employment i Lost Card as owner of the ' - subject property, hereby authorize Baker & Associates to act on my behalf, in all �. matters relative to work authorized by this'building permit application for Address of property: 25-Minter St. Hyannis, MA i � s [Signature oaf_own '. [Print— e - ate: �---1\--'� —► � - "".�c�"".+-.^.-^�--+-.....-.--•`---......�-.'"---^-*r-�.✓-s-•-.a-�"`"'r...'.;t..r..,�"�.a„"�'•.t..v"'y.ti+-.-�^r.-..+.-..-........,.-x�-,rr-.+-.�...-..,�-.s,.�:=..,.+...++w-�-.,p+r-...'r.-�^ve.+-.---^''' 1, Assessor's map and lot number .: .. ... Sewage Permit number ......,........ �QyoFTNEro�y� ' TOWN OF BARNSTABLE d 3 1i BABBSTABLE, "b BUILDING -INSPECTOR APPLICATION FOR PERMIT TO .....liar?.....A.......L'��>=.....C.a.9........Gri .t. ......................................... - TYPEOF CONSTRUCTION ...............W..P.o.V.................................................................................................... TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location ....... .......;5-. ..........)V y. , 2.a..Air....................................... ................................... ProposedUse ..........S.I.tS.� .........C Aa.....1.fd.24z ..................................... ...................................................... Zoning District ............ .......................................Fire District ........R'�`/.�71. .i.5........................................... Name of Owner ...... eF_It... OLI. .J.4 �.0 ....Address .....2 ....f' /.t?.7r'e-a.......sS.2�. .,t%5O71rl,eS Nameof Builder ........ ..........................................Address ...................................................................... Nameof Architect .............. .....................................Address .................................................................................... Number of Rooms ..............6.../. .r. .......................................Foundation .. �Yt..CMG'ti��P......51.0. .............................. Exterior .......4j.O.-O.-O.........:j_X'wX.c...j7//.................Roofing .......................... .............................. Floors ......... ............................................Interior .................................................................................... HeatingN .......................................................Plumbing ........./.�.A.�..�'.................................................... Fireplace 1C?- . ..................................................Approximate Cost .x.Q. ............................................... Definitive Plan Approved by Planning Board ________________________________19--------. Area 9--ot......... Diagram of Lot and Building with Dimensions Fee SUBJECT TO APPROVAL OF BOARD OF HEALTH / 0 �y s ti I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name . Olaadmr" Carl Brian ' .. 17458 add garageNo ... Permit for ................................. to dwelling ............................................................. ,. [� Locohon'.��— �����er..�.�ree���.�.L�!---. a / ----.--.�a����--------------- { . ' . Ovvna, ...........Carl B.r.isn.Olandmr_____. frame Type of Construction .......................................... | ' -------------------------' ' . ~ ' P|c� --------_� �� __________' ' - \ ` ' -_ - Pennit Granted .......Nomember..26.--..l9 74 � ~Dote of Inspection � Dote Completed � aTR ~~^- ��R8&U E����0 ----^_--------------- lP . . ---..�-------------------~--. / . . .--.---.-.-------------------. . . —�.��.. ------------^--`—'r---`''' ' - . . ----.-------,—.------..----~. " � . Approved _---------- ............. 19 ' ^ ---------------..--------.-- . . . -----------'------------^'^~- ^ - ��R,,11 + 'i � �rfL - YT r ��.+.\4u.��...9..�i'°'_'�cay",�,a„9�k' I,j�wr"ti2aa«b ,�-��i...1,Y1*.r .\ym✓r'f.fyia.��W^. �. , ..'V:v4..��,...�-r,,�, ,-�� tt r�'��7� 1 FEE v t, ` ter °' TOWN' F BAR L di . �r J Ord a ,�, , 1 ` . O NSTA'By E MASS. r " r Nyy N ,.,„.,k,,, 26 74 ) THIS IS TO-CERTIFY' THAT ;A PERMIT.'IS 'HEREBY GRANTED�TO •' � � g y p� (PROPERTY OWNER) (ADDRESS) T0 1 f�[•1 av 91' r',)' 1 „(BUILD(- .(ALTER( ,•�~-,(REPAIR( 1ggg3 .. -......... ....... .-- VV . Se mi ! p(T�YBPE�,yOP.BUILDING)! ~..^(APPROXIMATE SIZE); '.,!.L OCATION (STREET AND NUMBER) - (VILLAGE) / iJ.Omer . !"F NAME'',OF BUILDER OR CONTRACTOR. - ---_-»` J ;APPROXIMATE C08T _ aii° }L :I1 �� � r r TO CONFORM'rT0 ALL THE;RULE$ AND_'°REGULATIONS OF THE TOWN r r� r OF BARNSTABLE REGA f o ,I HEREBY-'A'GREE ! RDING THE ABOVE CONSTRUCTION. y' ,r W'.l� -.. .fOWNERI '•:(GONTRA_CTOR). - •'�1 ,��,� 1pWILDING.INSPECTOR a , P a SO Isct,to Approval of'Board of Health • 1 �w Y.S'� i i i� _�, i � � �� � � +Y 1 1 1 J y Assessor'sap and lot number .....:?................f ....... Sewage Permit number .... r° .... `' ' T"ET TOWN OF BARNSTABLE Z BA"STADLE. i "b BUILDING INSPECTOR APPLICATION FOR PERMIT TO ......A.1?.0.....A n A r. ca.g....... ................................. TYPEOF CONSTRUCTION �^ n.. ?........................ ..:....................................................................................................... 7. lr, a Q :....197 . TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location .....�..5"t .........ya 7 ,,/. .............................................................................. ProposedUse ............ ............C�!.!?..... . !.!'.!? .. ................................................................................................ J Zoning District ............9...A..::..../........................................Fire District ........ ��� .tad Name of Owner ...... , / a , 41.477?�rZ: ....Address ...' ....... < . �...'�.. . :. M/�-a�,�+„cS �. Nameof Builder ......... .................................................................................... Nameof Architect ..............� .....................................Address .................................................................................... Number of Rooms .............. ?'. '........................................Foundation ...rr?!:�..<..F�.�'"�''......�'e . ............................... Exterior ....... ........ J.-.a!'.................Roofing ......�+�.<��d.�!r�..�.�....................................................... Floors -*77wn. ...............................................Interior .................................................................................... i!� ...........................Plumbing 2 Fireplace ...................................................Approximate Cost / �',. t3 Definitive Plan Approved by Planning Board ________________________________19________ . Area s. .'?... � ..- ......... Diagram of Lot and Building with Dimensions Fee --) SUBJECT TO APPROVAL OF BOARD OF HEALTH I I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name *�.; ............................... i Olander, Cary Brian No .., 17458 permit r .,, add garage to dwelling ........................................................................... 2(p(p Winter Street Location ................................................................ Hyannis ............................................................................... Owner Carl Brian Olander .................................................................. Type of Construction ........frame .................................. ................................................................................ Plot ............................ Lot ................................ Permit Granted .,, Nov ember 27 74 .....................................19 Date of Inspection ....................................19 Date Completed ......................................19 PERMIT REFUSED ................................................................ 19 ................................................................................ ............................................................................... ............................................................................... Approved ................................................ 19 ............................................................................... ...............................................................................