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HomeMy WebLinkAbout0603 MAIN STREET (COTUIT) C�3 M�.�� 5-�- . - - -- �j I I�� ,t s �.�. -• P t -.... a _ _. �. <`5.7 TOWN OF BARNSTABLE BUILDING PERMIT APPLIC�ATIOIG' ;as Map Parcel Application Health Division r `-gate Issued? Conservation Division ' Application ee Planning Dept. Permit Fee b Z w Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation/ Hyannis Project Street Address Village Owner N l L(<<T1�y 6,d,, ( _VEI KZ om Address es AAtkl&c S Ti7 c�L Telephone Permit Request 12151`1-04,t!2 kf 1;41'5_14A(4_— RQ14 I D�l� Ei CDA(P u an 5GaFE4,( R!5!11RE Yq Ctfk kl- NrX �� N4114 ZZ Square feet: 1st floor: existing 19 roposed grid floor: existing roposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation 20,CM Construction Type Lot Sized— Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family a Two Family ❑ Multi-Family(# units) Age of Existing Structure Historic House: ❑Yes ®'No On Old King's Highway:. ❑Yes 4No Basement Type: mull ®-drawl ❑Walkout ❑ Other Basement Finished Area (sq.ft.) Basement Unfinished Area (sq.ft) 54� 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 W-No Fireplaces: Existing New Existing wood/coal stove: ❑Yes AU-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 ❑ J, Commercial ❑Yes a No If yes, site plan review # Current Use Proposed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name f �1� 1 �� Telephone Number0� 3�07 Address 7 � u�- 7" License # ri lu[l (')) �� Home Improvement Contractor# Worker's Compensation # —ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO &ZEW DATE SIGNATUR ! / C t. FOR.OFFICIAL USE ONLY 1 APPLICATION# DATE ISSUED r , MAP/PARCEL NO. ADDRESS VILLAGE OWNER , • DATE OF INSPECTION: FOUNDATION � - Qf> a5/ FRAME INSULATION S FIREPLACE r ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL ;+ GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT s ASSOCIATION PLAN NO. The Commonwealth of Massachusetts Department of Industriallccideitts ` - Office of Investigations 600 Washington,Street Boston,MA 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Lepbly Name(Business/Organizadon/Ldividual):.� Address: '%5? K S l City/state/Zip: GDT l Wb- ®R36� Phone.#: 5-a7-3�o7•.�1� Are you an employer? Check the appropriate box: Type of project(required):. 1.�I am a employer with 4. I am.a general contractor and I have hired the sub-contractors ' 6. 0 New construction.. .. employees(full and/or part-time). .* - 2.❑ I am a•sole proprietor,or partner- listed on the'attached sheet.. 7. 0 Remodeling shipand have no employees " These sub-contractors have '8. ❑Demolition working for me inn any capacity. employees and have workers' [No workers' comp,insurance, comp,insurance.$ 9. ❑Building addition required.] 5.'0 We are a corporation and its 10.❑Electrical rep airs or additions officers have exercised their 3.❑ I am a homeowner doing all work 1 L 0 Plumbing repairs or additions.. myself. [No workers' comp. right of exemption per MGL . 12.0 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 entitics have employees. If the subcontractors have employees,they must provide their workers'comp.policy number. T am an employer that is providing workers'compensation insurance for.my employees. Below is thepolicy and job site information Insurance Company Name:� �V W Policy#or Self-ins.Lic.#: Expiration Date: Job Site Address: City/State/Zip: Attach a copy of the workers' compensation poIicy 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 DMA forJazurance coverage derification. . I do hereby certify u er enal ' s 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): _ ,Board of Health 2.Building Department 3. Citygown Clerk 4.Electrical Inspector 5:PIumbing Inspector 6. Other Contact Person: Phone#: . '``C� 10/0 CERTIFICATE OF LIABILITY INSURANCE DATE(M2/ 12 /20YYYY) 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. 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: Germani Insurance Agency PHONE FAx 908 Main Street c E 508 428-9194 Alc No): 508 428-3068 E-naL ADDRESS: OsterVllle,MA 02655 INSURERS AFFORDING COVERAGE NAIC# INSURERA:SAFETY INS CO INSURED INSURER B: - Peter D Field ' PO BOX 16 INSURER C Cotuit,MA 02635 INSURER D: AIM Mutual Ins.Co. INSURER E: INSURERF: 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 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 CLAIMS. ILTR TYPE OF INSURANCE POLICY NUMBER MM DD EFF MMI DY EXP LIMITS A GENERAL LIABILITY CP00001803 9/21 2012 9/21 2013 EACH OCCURRENCE $ 1,000,000 X COMMERCIAL GENERAL LIABILITY - - DAMAGETO RENTED PREMISES Ea occurrence $ CLAIMS-MADE DOCCUR - - - - MED EXP(Any oneperson) $ PERSONAL&ADV INJURY $ GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OPAGG $ POLICY PRO- LOCI $ AUTOMOBILE LIABILITY - COMBINED SINGLE LIMIT Ea axIdent ANYAUTO - BODILY INJURY(Per person) $ ALL OWNED SCHEDULED BODILY INJURY(Peraccident) $ AUTOS AUTOS NON-OWNED PROPERTYDAMAGE - $ HIRED AUTOS AUTOS (Per accident) - UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAR CLAIMS-MADE AGGREGATE $ DED RETENTION$ - $ D WORKERS COMPENSATION AWC 7023784012010 5/16/2012 5/16/2013 we STATu- oTH- AND EMPLOYERS'LIABILITY YIN O L M TS E ANY PROP RI ETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $ 100,000 OFFICERIMEMBER EXCLUDED? NIA (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE $ 100,000 If yes,describe under DESCRIPTION OF OPERATIONS below - -- - - - - - - - E.L.DISEASE-POLICY LIMIT $ 500,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(Attach ACORD 101,Additional Remarks Schedule,if more space is required) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Town of Barnstable Building Department THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE ©1988-2010 ACORD CORPORATION. All rights reserved. ACORD 26(2010/06) The ACORD,name and logo are registered marks of ACORD MEMORIES- Office_62 "wwwm�aa of Consumer Affairs and Business Regulation y 10 Park Plaza - Suite 5170 Boston, Massachusetfs 02116 r , Home Improvement Contractor Registration " - Registration: 120362 — Type: DBA Expiration: 11/30/2013 Tr# 217622 . PETER FIELD BUILDING & RESTORATION �� PETER FIELD q� P. O. BOX 16 COTUIT, MA 02635 Update Address and return card.Mark reason for change. Address Renewal ❑ Employment ❑ Lost Card DPS-CAi Co 50M-04/04-G1012i6 - Consumer a� Regulation License or re istration valid for individul use only Office of CousumerAffairs&Bdsiness Regulation g y HOME IMPROVEMENT CONTRACTOR before the expiration date. If found return.to: Registration 120362 Type: Office of Consumer Affairs and Business Regulation tion Ex ira 11/30/2013 DBA. 10 Park Plaza-Suite 5170 Expiration: Boston,MA 02116 PETER FIELD BOWNG A'RESTORATION PETER FIELD ! 857 MAIN ST. � COTU IT,MA 02635 = a - Undersecretary . Not valid with t signat Massachusetts- Department of Public Satet, Board ot'Buildirr-Regulatio s and Standards -- Construction Supervisor License One-and Two-Family Dwellings License: CS 65638 PETER D FIELD PO BOX 16 COTUIT, MA 02635' Expiration: 7/15/2013 C vnuni,.=.ieaacr Tr,?: 1300 oF1HE r Town of Barnstable Regulatory Services saaxsrwsLE, t 9 Mass. $ Thomas F. Geiler,Director �p i639• �� renr,�arA Building.Division Tom Perry,Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-403 8 Fax: .508-790-623 0 Property Owner Must Complete and Sign This Section If Using A Builder I, 0 ha t '%!5 , as Owner of the subject property hereby authorize ��TL (� to act on my behalf, in all matters relative to work authorized by this building permit." (Address of Job). *Pool fences and alarms are the responsibility of the applicant. Pools are not to be'filled or utilized before fence is installed and all final inspections are performed and accepted. Signature of Owner 'gnature of Appli .r LISC!-1� Pet 's Print Name Print Name 9// Dad Q:FORM&OWNERPERMISSIONPOOLS 6/2012 A � �OpTHE r � 'Town of Barnstable Regulatory Services =AMSTABLE, Thomas F. Geiler,Director MASS. i639 •�� Building Division lED MA'1 A Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION Please Print DATE: .JOB LOCATION: number street village "HOMEOWNER": name home phone# work phone# CURRENT MAILING ADDRESS: city/town state zip code The current exemption for"homeowners"was extended to include owner-occupied dwellings of six units or less and to allow homeowners to engage an individual for hire who does not possess a license,provided that the owner acts as supervisor. DEFINITION OF HOMEOWNER Person(s)who owns a parcel of land on which he/she resides or intends to reside, on which there is, or is intended to be, a one or two-family dwelling, attached or detached structures accessory to such use and/or farm structures. A person who Constructs more than one home in a two-year period shall not be considered a homeowner. Such "homeowner"shall submit to the Building Official on a form acceptable to the Building Official,that he/she shall be responsible for all such work performed under the building permit (Section 109.1.1) The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other applicable codes,bylaws,rules and regulations. The undersigned"homeowner"certifies that he/she understands the Town of Barnstable'Building Department minimum inspection procedures and requirements and that he/she will comply with said procedures and requirements. Signature of Homeowner Approval of Building Official ' s Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the State Building Code.Section 127.0 Construction Control. HOMEOWNER'S EXEMPTION The Code states that: "Any homeowner performing work for which a building permit is required shall be exempt from the provisions of this section(Section 109.1.1 -Licensing of construction Supervisors);provided that if the homeowner engages a person(s)for hire to do such work,that such Homeowner shall act as supervisor." Many homeowners who use this exemption are unaware that they are assuming the responsibilities of a supervisor(see Appendix Q, Rules&Regulations for Licensing Construction Supervisors,Section 2.15) This lack of awareness often results in serious problems,particularly when the homeowner hires unlicensed persons. In this case,our Board cannot proceed against the unlicensed person as it would with a licensed Supervisor. The homeowner acting as Supervisor is ultimately responsible. To ensure that the homeowner is fully aware of his/her responsibilities,many communities require,as part of the permit application, that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the last page of this issue is a form currently used by several towns. You may care t amend and adopt such a form/certificadon for use in your community. Q:forms:homeexempt :r O v u - U 2 kE � ° L Q s p EE A �1 �I �I ^i ➢' ' ��1 T 1EN� 11�7 -IIII � �� L + - �9�. fir' At ag, tip Y 1 jil W i • - - o•_ sxlsnNs. j Lu • _ I - exisrleb � on,..w�A.o,.,a; - Exlsrwb sLNINB w - _ EXI6TIN6 = Q F- . ii 111 m i 1L FOUNDATION PLAN FIRST FLOOR PLAN A_9 - • N R:a ` O ^c 0 N 1. N - --rr-�=�s��s�c _...x , I y LYexneL S f J ti L W r zuu.w vvnao vne K IP EM -- ------- ------------- - Q E 3 . L E`c T,.E L E V A T I O N t _ _ 5n EL0 T/1 O N.o y LU N6b S��B E>�9�2P ff9Q • :- -L r`7 rr iT Sr1 rT a..� 'z Cr�:" - � ` �s±�T s ,t_ �rT' 4 r tiiiT�_z i —=Y� mw varwe L 75 ElF .-r.-zr t xr_cTt?tzsTz i x' t� .�IS�� wenem..m mewn mvm R I b N T ELEVATION REAR ELEVATION A-3 sr alI o Ilf lllls i �I(�I alb;p i,It��l tF I*�a• z u ;h l I;m!Ilull ; Illolrfs;d;�ll§ If,, 1't�'i;q 61 • _ - i' �.'•I it � _ -- Lk A - - •�� —— EmsTINs R BE e Y . LU — rF SECOND FLOOR PLAN '. 1 -� —ate—Ml. gg eemi6�s€lit, LU ----- ----- i LU a LU CT aII l s N s i6 LU o Q M o -- - A FIRST FLOOR FRAMING PLAN ROOF FRAMING PLAN ' "_2 NOT'rs I CERTIFY THAT THIS PLAN HAS BEEN PREPARED IN CONFORMITY WITH Q LOT COVERAGE: THE RULES AND REGULATIONS OF THE 6 NO MORE THAN FIFTY PERCENT (507) OF THE TOTAL UPLAND AREA REGISTERS OF DE D . OF ANY LOT SHALL BE MADE IMPERVIOUS BY THE INSTALLATION Of BUILDINGS, STRUCTURE,. AND PAVED SURFACES.CHOOL R.L.S. OGUS SITE CLEARING: R° A MINIMUM OF THIRTY PERCENT (307.) OF THE TOTAL UPLAND AREA OF ANY LOT SHALL BE RETAINED IN ITS NATURAL STATE, WITH ONLY LIMITED SELECTIVE CUTTING OF TREES AND CLEARING OF LOCUS MAP UNDERSTORY SHRUBS AND GROUNDCOVER ALLOWED. SCALE , 1 1 25,000 ASSESSORS GRAPHIC SCALE MAP 36 PARCEL 61 0 40 80 ZONES �,..�-.._,...._....�( W.P. RESIDENCE F MINIMUMS AREA = 43,560 S.F. FRONTAGE = 150' # FRONT SETBACK = 30' SIDE SETBACKS = 15' REAR SETBACK = 15' BUILDING HEIGHT = 30' (OR 2.5 STORIES IF LESS) R.B. FND. Cr N C.B. FND. 50� a � ONJ � A�r S � . .ze'0° LOT ID �5 try, 962 .ft. 57,441 S.F. 5 6���u 0.05 acres J► ¢•�,�G `L6� C.B. FND. to .r a N .,. 2 S�'3•� E�`y ' n OP�"P�4�Q, QO,. 6 PLAN OF LAND BARNSTABLE PLANNING BOARD IN APPROVAL UNDER THE SUBDIVISION (COTUIT) CONTROL LAVj NOj.REQUIRED, s DATE: .S BARNSTABLE, MASS. /6 IA IN NOTE: NOD �RMInON AS TO ARTHUR W. HUGHES III ET AL. TRUSTEES COMPLIANCE WITH THE ZONING ORDINANCE REQUIREMENTS HAS BEEN MADE OR INTENDED BY THE SCALE: 1" = 40' DATE: JULY 8 ,1995 ABOVE ENDORSEMENT. NOTE: LOT 1C IS NOT TO BE CONSIDERED ? BAXTER & NYE INC,-y �a� WI LIAM o� AS A SEPARATE BUILDING LOT AND IS TO REGISTERED LAND SUR , EYORS N Y E N BE COMBINED WITH ABUTTING LAND OF CIVIL ENGINEERS No. 19334 SUSAN R. PEIRSON TRUSTEE, ❑STERVILLE, MASS, I ' DEED REFERENCE: BOOK 7316 PAGE 316 84108-14 PLAN REFERENCE: BOOK 339 PAGE 81