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HomeMy WebLinkAbout0368 SOUTH MAIN STREET t:t'.<. .v 0' t. a';ji5 ,rs,.ry +:a; �•'l�' f*. s * .e..Y{ , 4�„ *1�,�.n d, •'..�, y ,.•B. .,s _ ,T.�" -*v t.�> - ,.,. a v :. �;'�::�ti, ,,t , , tr ,rF�n„�,.,, d,:x, ..�' ?� ,m,�. ;�� .,�, v .r �».� � u� t`rv;.: s.F "'°� �'•ri.r,. •... ',.� • :+. -, .�.� "�: .. s -?�:.> .c , ,.,�,. t 'M,., r.._.. ,� ,... ».•, r ,r� '�:; �,M }, �u1Ja dnI +' x} 4... .�`; ��. - •:;. ..-.. f,n ..,r,�x _ , .te,.,p eP��.,, 7..* ',•y...:. y....s� t s�'vY"-�..~ _...,ra - t` ��� raa�t � r .� a rfi�;:a7 � .:i a,y�. ,� .,+ 2�,,,N. y x •;.�, 5 �4�'"�:'t i}' V+s�,, 44 ?f'1 jy. o ° y a , { ONE IN j 1- IA�vns �ANV Ann NSA oil Tool 4 VA P f 1 i r o , { r ANh- , o ' TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION f Map Parcel 4c>40 Health Division Date Issued 7 I -7 r I5- Conservation Division Application Fee 1 Planning Dept. "`Permit Fee Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation/ Hyannis Project Street Address Z5 k:;,43 S0051 c2 i n SKW02-1 Village ✓'l �tri��@. Owner(�I 6� 1-jaz/l 1,)Omi ee �i°al Address_1264A' Flo- ) c7fi"e.-_'7r Telephone Permit Request Aernall- i�u p 1G C qo sq SjdteWall y i n r�(e S �— Square feet: 1 st floor: existing 35aproposed 2nd floor: existing N60 proposed —Total new Q Zoning District A Flood Plain C, Groundwater Overlay /00 Project Valuations ai�V Construction Type I,uf Lot Size D . 11 U(6 Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family(# units) Age of Existing Structure 101 10 Historic House: ❑Yes ❑ No On Old King's Highway: ❑Yes Flo Basement Type: ❑ Full ❑ Crawl ❑ Walkout 3Other `Qa r-I Basement Finished Area (sq.ft.) O Basement Unfinished Area (sq.ft) Number of Baths: Full: existing 2 new co Half: existing (0 new c9 Number of Bedrooms: © existing 0 new Total Room Count (not including baths): existing H new First Floor Room Count Heat Type and Fuel: Q�Gas ❑ Oil ❑ Electric ❑ Other Central Air: , Yes ❑ No Fireplaces: Existing New CO Existing wood/coal stove: ❑Yes\0 No Detached garage: ❑ existing ❑ new size_Pool: ❑ existing ❑ new size _ Barn: ❑ existing ❑ new size_ Attached garage: ❑ existing ❑ new size —Shed: ❑ existing ❑ new size _ Other: r-N-OrLe Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes ❑ No If yes, site plan review# Current Use i W ) rzg i a t( Proposed Use 1Y11Z a APPLICANT INFORMATION (BUILDER OR HOMEOWNER). Name11a��t �f�f�r� Telephone Number Address 12 Din License # c S" o I L J 3 Z ,OS`fe(O k Q e i At Home Improvement Contractor# 1016o), / Email �+�V�����y`�Qnc�°5� ,�G • &,Dm Worker's Compensation # &OS(0O01353 10-7CO215 ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BETAKEN TO � !'✓�-Q SIGNATURE (4 ��G r r`z DATE ! 'J�301 r Yf FOR OFFICIAL USE ONLY APPLICATION# DATE ISSUED MAP/PARCEL NO. ADDRESS VILLAGE " OWNER DATE OF INSPECTION: FOUNDATION FRAME INSULATION FIREPLACE l.t *. ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING t DATE CLOSED OUT ASSOCIATION PLAN NO. f r, ���f7�}YII�➢1Ci OF�.�[LT5'LFL�irLFL�`fS �r Office-of Qm ' 600 Washn-V=Street. www.mass go Vdra Workere Campensaf on Insurance dam`Builders/CantratorslElectricians/Plumbers AppIicam Iuformaiian Please Pilaf Ugibly Name ���U Cv Ocn I.QV Ott, AM c�yt<st. : -'ed v ll , m A OZ 6'-5S �m ���- y 2-0 -.02 Z 6 Are you an employer?Check ffie appropriate bore: Type of 4 ❑ ect r I am a I 1 I era a goal confzactar and I� l �PoY�With l 9 _�— 6_ New amdaxtim employees{fill andlorpart-time}_* ��'e Z❑ I am a safe proprietor orpartner listed on the attached sheet. 7- ❑Remodeling ship and have no employees These sib coohractoa have 8_ Demolitmff In and have wormers' �xradzng forme in my capacity. �P 4_ ❑Buildmg addition [No workers' comp:mi mrance comp-msmanomml recptred:] 5-❑ We am a corporafiona ld,its 10-0 metrical repairs or additions 3.❑ I am a homeow=doing a1I wos officers hn-e emecrised fir 1 LE]P lambing repairs or additions myseM [No worbm' ri&of em=3pfian per MGL 12_0 RE, f repairs insurance regnire&]t c-1.52,§1(4} and wehneno employees Wo 13-®{ltl rS/./JE WALL SlfluGlleS Cam,_ ,I 'oar�t eturcb,.ds b=-i=sibMlo,athe m6mabdvws bftvaaae Snmeawners orbo submit min xfBdavrt mdres'bag They are demg NIiaddc=d&=him DOW&canuacum subart a riwa affdarit mdwzting cam Cma that clerk 19us hmCmust atbuiied is aaditirmsi sheet sbow�the name of gie mdstaee zrhet6ec briar those emitie�Iaavu empwyem If the snip•-eon=ctms base a platee%diLT naut F--&their worked'eoaag,PORGY number . lam arc empfojw thai'ispnnidhW markers'ca forr inmrance for m}^'eNrptsryeeL Helarr is the p4&cy ruxd}ob x&s i €nf.unrta aiL I wa=ce coMPeYName: Cc r4 on (1 r) 4crS S POECy# or Self ins ���ooylJ 5 831'0`162 S Fxgi�tieazDDate: � I � ��o�� roils1b-- :61q Ho-kt, �ti'e� citylstatdZip (�el�Te(viIles MA OZ6- Affac4,a copT'af them orkeas campensation policy decTaratiQu gage(showing the polity isueuhez•and expiration date). Far1im to iu c —cav age as zegaiceduuder Section 25A:of MUM c. 152 can lead to the i�wsitiou ofc�inal penalties of a five UP try$1,50Q0a andlor om yearimpdsonmen,as well as civil penalties m fe foam of a,STOP WORK ORDER and a fine cfmRta.$250-00 a:stay against the violator_ Be advised brat a copy of tins statement maybe f wwarded to tbtie Office of itwe*E lion of ffic DIA€or insarm=coverage version_ Ida hereby asritfy under the ' s nnrFpanaLEier afper,�urp thatch a irc,fgrmadim primik £abave s hue and correct -, 1, PhNe9- 'JO$ L42002-2b (1j vial u se anF}: I}cr i[ot riAs in tF:is urea,to ba caarpleted by city or tarn af,f c& My or Town: Perm fff&ense# fttaing a ntfi or4(circle one). L Board of Health 2.Build Department&Cftpdrowa Qe rk 4.Electrical Fnspector,S.Fkrahing I'nTmtor .6.Sher Contact rmo- : Phone#: 6 e l_- T f • MASS Town of Barnstable Regulatory Services . i Richard V.Scali,Director Building Division Thomas Perry,CBO Building Commissioner 200 Main Street, Hyannis,MA.02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder r M cu;� ��rPe'T omi Al rvsT N ias Owner of the subject property hereby authorize 11Cl. and NU 14, to act on my behalf, in all matters relative to work authorized by this building permit application for: . &19 &loan .eefi 3 6 5' . v`1� tit CAin (Address of Job) IL1 b �lrj ignature aofOwnet Date dtl� J' S�Lv/d l,. oyQ 7. Sig vlA Print Name - If Property Owner is applying for permit,please complete the Homeowners License Exemption Form on the reverse side. QAWPFaM\FORMS\building permit forms\EXPRESS.doc Revised 061313 Massachusetts -Department of Public Safety Board of Building Regulations 9 ns and Standards Constructiofn Supervisor License: CS-016932 -0j Is _ R O N ALDJ SI r L 44ICE VALLEY�RD OSTERVU,LE N 02t ` Expiration ' . Commissioner 11/18/2015 f ��11P Gritu[r'HW,0l1/1,cj laJJrrr��FJe�t Office of Consumer Affairs&Business Regulatiou. R We4—O . gME IMPROVEMENT CONTRACTOR { 7istration: , 101627 Type: xpiration: 8/24/2016 Private Corpo.ratiat k '" I SILVIA&SILVIA ASSOCIATES,INC. Rbnald Silvia 1'284 A MAIN ST. gya3 OSTERVILLLEE,MA 02655 Undersecretary A'CORU DATE(MMroolmrY) ' CERTIFICATE OF LIABILITY INSURANCE 15 THIS CERTIFICATE IS ISSUEO AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER TFiiS" CERTIFICATE DOES NOT AFFIRMATIVELY 6k NEGATIVELY AMEND, EXTEND OR ALTER,THE;COVERAGE AFFORDED: BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BE THE ISSUING INSURER($), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER IMPORTANT: If the,certlf(cate holder is an ADDRIONAL INSURED,the policy(les}'must be'endorsed.'N SUBROGATION IS WANED,eubJ to Certificate'holderi ect the terms and conditions of the policy,certain policies may requlre'an endorsement. A statement on this certificate does not confer rights e6tthe to n lieu of such endorseme nt s. to PRODUCER- Kathy Silvia The Fair Insurance Agency Inc.. .NE (508)775-3131 FAX 619 Main Street 4AAIL (30e_)790=1677 Suite 1 ADDRESS:kath"the fax ragency,com Centerville INSURERS AFFORDINGGOVERAGE NAIC0 INSURED MA 02632 gli A:FIRST MgRC[JRY INSURANCE Silvia t Silvia LLC B:Hartford Underwriters Ins.-AR80411 P.O. 'Box 430 c t .1284 Main street D c.Aatezville E . MA 02;655 .INSURER E c COVERAGES CERTIFICATE NUMBER:CL1571601051 THIS REVISION NUMBER:I$TO'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 PAID`CLAIM& rACLAIMS4ADE SURANCE POU Y EFF, POUC PO ICY NUMBER UMITS NERAL LIABILITY EACH OCCURRENCE $, 1,000,On OCCUR A PR MIS S occurren S 50,006 IIR�CfiL000004595201. -S/1/2014 S/1/20.15 MED EXP 'one arson -$- ,5,000 PERSONAL&ADV INJURY. $ 1,000,000 POLICY GENLAGGREGATEUMITAPPUESPER GENERAL AGGREGATE $., $1000,000 EC El LOC OTHER: -PRODUCTS'-COMP/OPAGG $ 2,000,000 AUTOMOBILE LIABILITY COMBINED Is Ea acddent I MI $ ALL OWNOWNSD SCHEDULED J. A BODILY INJURY(Per pore-) '-— E . AUTOS' AUTOS NON-OWNED BODILY INJURY(Per accident) $ HIRED AUTOS AUTOS I PROPERTY DAMAGE $ Per accident) . . !JVBRPI LA OCCUR ' EACH OCCURRENCE $ EXCESSLUAB. CLAIMS-MADE AGGREGATE $ DE ON. WOF"RS,CONP.ENSATION $ AND EMPLOYERV'UABIUTYER E ANY PROPRIETOR/PARTNER/EXECUTIVE Y I N B OFFICER/MEMBER EXCLUDED? El NIA E.L.EACH ACCIDENT $ 500,000.. (Mandatory InNN) 6S60UBS831076215 2015 4/1/2016 E.L.DISEASE-EA EMPLOYEE $ 500,000 Hyyeesa des6ibe under DES�RIPT1pN0E0PERATWNSbelow E.L.DISEASE-'-11---IT $ 500 000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(ACORD 101,AddMtlonal Remarks Schedule;may be attached If mom spate is squired) 619 Main Street Centerville :CERTIFICATE HOLDER CANCELLATION'" SHOULD ANY OF."THE ABOVE DESCRIBED POLICIES BE CANCELLED'BEFORE Town of earaetab a THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN main Street ACCORDANCE WITH THE FOt iCY PROVISIONS. HYIiumis MA 02601 AUTHORIZED REPREs1ENTATIVE Kathy Silvia/FAIMCl 019884014 ACORD CORPORATION. Ail rights reserved. ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD INS025(201401) Mass: Corporations, external masher page Page 1-of 2 Sf William Francis Galvin Secretary of of Corporations Division Business Entity Summary ID Number:. 000875362 Request-certificate I New search Summary for: 619 MAIN STREET, L.L.C. The exact name of the Domestic Limited Liability Company (LLC): 619 MAIN STREET, L.L.C. ' Entity type: Domestic Limited Liability Company (LLC) Identification Number: 000875362 Date of Organization in Massachusetts: 08-30-2004 Date of Involuntary Dissolution by Court Last date certain: Order or by the SOC: 04-19-2011 The location or address where the records are maintained (A PO box is not a valid j location or address): r Address: 1284A MAIN.ST., P.O.BOX 430 I City or town, State, Zip code, OSTERVILLE, MA 02655 USA Country: The name and address of the Resident Agent: Name: FLOYD J. SILVIA Address: 1284A MAIN ST., P.O.BOX 430 City or town, State, Zip code, OSTERVILLE, MA 02655- USA t Country: fThe name and business address of each Manager: i - ! Title Individual name Address MANAGER FLOYD J. SILVIA 1284A MAIN ST.; P.O.BOX 430 OSTERVILLE MA 02655 USA In addition to the manager(s), the name and business address of the person(s) authorized to execute documents to be filed with the Corporations Division: Title Individual name Address SOC SIGNATORY RONALD J. SILVIA 1284A MAIN ST., P.O.BOX 430 OSTERVILLE, MA 02655 USA The name and business address of the person(s) authorized to execute, acknowledge, deliver, and record any recordable instrument purporting to affect an interest in real property: http://corp.sec.state.ma.us/CorpWeb/CorpSearch/CorpSummary.aspx?FEIN=000875362&... 7/17/2015 Mass..Corporations, external master page Page 2 oN Title - Individual name Address es REAL PROPERTY FLOYD j. SILVIA 1284A MAIN ST., P.O.BOX 430 OSTERVILLE, MA 02655 USA REAL PROPERTY RONALD 3. SILVIA 1284A MAIN ST., P.O.BOX 430 OSTERVILLE, MA 02655 USA f Confidential IR Merger ffil Consent Data Allowed Manufacturing View filings for this business entity: ALL FILINGS Annual Report Annual Report - Professional ;tip Articles of Entity Conversion Certificate of Amendment View filings Comments or notes associated with this business entity: :1:te n (New search 0 1� 1 I i I a 1 ' { ' l i http://corp.sec.state.ma.us/CorpWeb/CorpSearch/CorpSummary.aspx?FEIN=000875362&... 7/17/2015 RE-ROOFING/RESIDING/WINDOWS (COM MRCIAL) ❑ If located in OKH or Hyannis Historic District- Certificate of Appropriateness required unless same color/same materials specified on application [� Map/parcel number Approval Sign-offs from: [� Tax Collector Q Treasurer # of squares of shingles or square footage of roof or sidewall to be shingled/sided Specify stripping old shingles or going over old roof. If going over ❑how many roof layers existing-now ❑what size are rafters? What is span? [ Owner's name & address Project valuation must be'entered ❑� Builders Information [� Signature [� Workman's Compensation.Insurance Affidavit State form must.be completed and a copy of Insurance Compliance Certificate must be submitted. [� A copy of the Construction Supervisor license is required. Effective Match 1,2009 [/Check expiration date,ncyrestrictions Permit fee$160.00 Properly Owner must sign Property Owner Letter of Permission. Projects requiring the use of a crane must complete the forms issued by the Aeronautics Commission q-forms/bldgpermits/pm mitchxklists rev.070610 v