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HomeMy WebLinkAbout1676 FALMOUTH ROAD/RTE 28 (10) P a " TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION... ,. _ Z09 Map Parcel , � 'Application c7 '`l 1 Health Division ? 13� Date Issued "13. t Conservation Division �� ;G> ��� � Appl catiort F_ Planning'Dept; G Permit Fee Date Definitive'Plan Approved by Planning Board ) Historic OKH Preservation/Hyannis . Project Street Addressf4cwmfm(31 Village 9 ` Owner� ,� n '� Address _ Telephone !�" a N4 Permit Request tyAnA Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation d Construction Type Lot Size I aL(!� �- Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family :❑ Two Family ❑ Multi-Family (# units) Age of Existing Structure Historic House: ❑Yes ❑ No On Old King's Highway: ❑Yes ❑N"o Basement Type: ❑ Full ❑ Crawl ❑Walkout ❑ Other Ca 1 S�2 o Basement Finished Area(sq.ft.) Basement Unfinished Area(so - Number of Baths: Full: existingi new Half: existing nW 00 Number of Bedrooms: existing _new ,b Total Room Count (not including baths): existing new First Floor Room Count P HeatAType and Fuel: Gas ❑Oil ❑ Electric ❑Other Central Air: Y 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# _t.. ,Current Use Proposed Use L��y APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name ` �U , � - Telephone _ / LU e ephone Number Address ��U. 1 11 License# a,q- 0 q`1 5-D6 09ft'ffe , am Ova) Home Improvement Contractor# Worker's Compensation # tae, ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT�WILL BE TAKEN TO SIGNATURE 6 DATE d i,. FOR OFFICIAL USE ONLY `APPLICATION# IDATEISSUED MAP/PARCEL NO. w - - ADDRESS, VILLAGE OWNER t DATE OF INSPECTION: FOUNDATION FRAME r INSULATION t FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL r FINAL BUILDING F/i)r(-(b;) 6 2! DATE CLOSED OUT . f ASSOCIATION PLAN NO. Th'e Commonwealth 4Massachusetts Department of Industrial Acci�ents O. tce o Inyesti ations ff f g _ 600 Wash ifig, n Street .; s Boston, MA 02111 Workers' Compensation Ins u'ranceAffid'avit`lBuilders/C.ontractors/Electricians/Plumbers A licant'Information ` Please Print-Leg ibl Name (Business/Organization/Individual): F C.G�LCXC� C{ . . l.ill� I t C� - Address: City/State/Zip: t t'c . MA 02,40551 Phone #: 9'o la Are you an employer? Check the ppropriate box: Type of project(required): 1.4 1 am a employer with 4 ❑ 1 am a general contractor and I employees(full and/or part-time).* have hired the sub-contractors 6. ❑New construction 2.❑ 1 am a sole proprietor or partner- listed on the attached sheet. 7. ❑,Remodeling ship and have no employees These sub-contractors have. g• ❑ Demolition workingfor me in an capacity. employees and have workers' Y9. ❑.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 11.❑ Plumbing repairs or additions myself. o workers' com right of exemption per MGL Y L7`1 p• 12:❑-Roof M� insurance required.] t c. 152, §1(4),and we have no Other employees. [No workers 13. comp. insurance required.] *Any applicant that checks box#] must also rill out the section below showing their workers'compensation policy inforniation. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. xContractors 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: Policy#or Self-ins. Lie. #: �1� JI�Q Expiration Dater Job Site Address: `1'Il ,l/WA City/State/Zip: 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 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 a rt y un er the p 'n and penalties of perjury that the information provided above istrue and correct. Signature ' Date: 1 Phone#: �ZD- (0 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): 1.Board of Health 2. Building Department '3. City/Town Clerk 4.Electrical Inspector 5. Plumbing Inspector 6.Other '' Contact Person: Phone#: 'NCO CERTIFICATE OF LIABILITY INSURANCE °ATE(MMID°"""t 06/29/2012 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 IAIC, Ext, 508 428-9194 a/c No: 508 428-3068 908 Main Street E-MAIL Osterville,MA 02655 ADDRESS: ' INSURERS AFFORDING COVERAGE - NAIC A INSURER A:SAFETY INS CO INSURED INSURER B Scott Peacock Building&Remodelling,Inc. P.O.BOX 171 INSURER C: Osterville,MA 02655 INSURERD: Commerce&Industry 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. IN SR ADDL SUBR - POLICY EFF POLICY EXP - LTR TYPE OF INSURANCE POLICY NUMBER MM/DDIYYYYI (MMIDDtYYYYI LIMITS A GENERAL LIABILITY CP00001152 7/5/2011 7/5/2013 EACH OCCURRENCE $ 1,000,000 X COMMERCIAL GENERAL LIABILITY DAMAGE (RENTED PREMISESS Ea occurrence) $ CLAIMS-MADE OCCUR _ MED'EXP(Any one person) $ ` PERSONAL&ADV INJURY $ GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ POLICY PRO LOC $ JECT AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident $ ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS AUTOS HIRED AUTOS NON-OWNED PROPERTY DAMAGE $ AUTOS Per accident $ UMBRELLA LIAR OCCUR - EACH OCCURRENCE $ - EXCESS LIAB CLAIMS-MADE - AGGREGATE $ DED RETENTION$ $ D WORKERS COMPENSATION WC 005-81-5464 6/22/2012 6/22/2013 We sTAru- OTH- . AND EMPLOYERS'LIABILITY Y/N TORY LIMITS ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $ 100,000 OFFICER/MEMBER EXCLUDED? NIA - IMandatory in NH) E.L.DISEASE-EA EMPLOYE $ 100,000 If yes,describe under 500,000 DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 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 Scott Peacock Building&Remodeling,Inc. THE EXPIRATION DATE THEREOF, NOTICE :WILL -BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. Fax#508-428-7625 Scott_Peacock@verizon.net - AUTHORIZED REPRESENTATIVE - - ©1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25(2010/05) The ACORD name and logo are registered marks of ACORD r� d t . Massachusetts -Department of Public Safety Board of Building.Regulations and Standards Construction Supervisor License: CS-o94500 x"- JAMES S PEACOOIC I PO BOX.171 F%�s OSTEVILLE MA 02632;if yr' Expiration Commissioner 07/22/2014 I / Office of Cousunicr A17 'irs/S�B; •`,e s R/si lilt ova (� License or registration valid for ind' it t OME IMPROVEMENT CONT SS rvidul use only egistration: 151853 before,the expiration date. If found return to: j xpiration: 7/j/201 Type . Offico Of Consumer Affairs a 4 Private Corporation 10 Park Plaza-Suite 5170 and Business Regulation SCOTT PEACOCK BUILDING'& REMODELING INC Boston,MA 02116 JAMES PEACOCK 1046 MAIN:STREET SUITE 7- OSTERVILLE,MA 02655 Undersecret:u°y -- Not valid without signature - - Mar 29 13 10: 36a nub q4V tbd5 p1 e Town of Barnstable Regulatory Services ���''�� Thomas F GaOer,Director , man ` Building]DIVw0a Tom Perry, Building Commissioner 200 Main Suet% Hyannis,MA 02601 www-torva.bamtab*=.us Office: 508-862-4 38 Fiat: 509-790-6230 Property p rty Owner Must Complete and Sign This Section If Uswg A Builder I Marcel R. Poyant; Trustee as Ow=of the subject property here au osize� 11 i' l I to act on my bebal{, in all=ar rz relative to work authorized bytbis buWvg peanut app imtIon for: . W&�FAI M Cr (Address o Job) �Z* -3/29113 Sigata of Dave Marcel R. Poyant, Trustee Centerville Shoppiug•Center Z Nominee.Trust Print QFORMS: !OW (. A y Y f Parcel Lookup Page 1 of 1 :w fillFl5 �fil ` J, a. Logged In Parcel Lookup Thursday, SeptemLameded � Nancy Lamed Road Lookup Condo Lookup Multiple Address Lookup Search Options Search By Parcel : • Map Block Lot 209 003 E . rh , <Prev Next> Page 1 of 1 Rows/Page Parcel Location Owner Village 209- 1676 FALMOUTH ROAD/RTE 28 - Multiple Address POYANT, MARCEL R CEN 003 (1676 FALMOUTH ROAD/RTE 28 - unknown) TR 209- 1676 FALMOUTH ROAD/RTE 28 - Multiple Address POYANT, MARCEL R CEN 003 (1676 FALMOUTH ROAD/RTE 28- unknown) TR 209- 1676 FALMOUTH ROAD/RTE 28 - Multiple Address POYANT, MARCEL R CEN 003 (1678 FALMOUTH ROAD/RTE 28 - unknown) TR 209- 1676 FALMOUTH ROAD/RTE 28 -Multiple Address POYANT, MARCEL R CEN 003 (1680 FALMOUTH ROAD/RTE 28 -COACHLIGHT CARPETS) TR 209- 1676 FALMOUTH ROAD/RTE 28 - Multiple Address POYANT, MARCEL R CEN 003 (1682 FALMOUTH ROAD/RTE 28- UNKNOWN) TR 209- 1676 FALMOUTH ROAD/RTE 28 - Multiple Address POYANT, MARCEL R CEN 003 (1684 FALMOUTH ROAD/RTE 28 - DR. MARC AUGER) TR 209- 1676 FALMOUTH ROAD/RTE 28 - Multiple Address POYANT, MARCEL R CEN 003 (1686 FALMOUTH ROAD/RTE 28 - BARBER OF CVILLE) TR 209- 1676 FALMOUTH ROAD/RTE 28 - Multiple Address POYANT, MARCEL R CEN 003 (1688 FALMOUTH ROAD/RTE 28 - UNKNOWN) TR 209- 1676 FALMOUTH ROAD/RTE 28 - Multiple Address POYANT, MARCEL R (1694 FALMOUTH ROAD/RTE 28- FORMERLY CENTERVILLE CEN 003 TR PHARMACY) _ 1676 FALMOUTH., - Multiple Address 209 (1:696:F.ALMOUTHiROAD/RTE 28,-"CENTER_V,ILLE-BEAUTY POYANT, MARCEL R CEN 003 -LOUNGE-) r TR 209- 1676 FALMOUTH ROAD/RTE 28 - Multiple Address POYANT, MARCEL R CEN 003 (1698 FALMOUTH ROAD/RTE 28 -SCHEAFFER JEWELRY) TR http://issgUintranet/propdata/lookup.aspx 9/14/2006 �1HE Signt yS TOWN OF BARNSTABLE Permit * BAxxSrABLE, 9 MASS. 1639. 1 3�A Permit Number: Application Ref: 20062238 20060032 Issue Date: 08/02/06 Applicant: POYANT, MARCEL R TR Proposed Use: IND/COMM Permit Type: SIGN PERMIT Permit Fee $ 25.00 Location 1676 FALMOUTH ROAD/RTE 28 Map Parcel 209003 Town CENTERVILLE Zoning District HB Contractor PROPERTY OWNER Remarks 1- 21 SQ - NEW SIGN FACE ON EXISTING LIGHT BOX BEHIND THE BLINDS Owner: POYANT, MARCEL R TR Address: PO BOX K HYANNIS, MA 02601 Issued By: PC POST THIS CARD SO THAT IS VISIBLE FROM THE SIRE T f Town of Barnstable OF SHE Tph� Regulatory Services Thomas F.Geiler,Director '"KASS. �' * g Building Division , 9� s639. �fD MA'S a Tom Perry, Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Tax Collector Treasurer Application for Sign Permit Applicant: V C\ C« /c��nn 4►�. Assessors No. ®03 Doing Business As: �e��r.� a����S Telephone No. Sign Location WAP Street/Road: ��� �� C tiz.r" (Le �GLZG— Zoning District: Old Kings Highway? Yes Hyannis Historic District? Yes Property O ner Name: 0.r-C9,� "�• �oya Telephone: 0J7°l Address: o k Village: a a-Z(00) Sign Contractor Name: 4:�_> — Ar Telephone: SVir 3`i$--'U Address: t i- to t�.�• Village: Q,, - 7��w�•u�� u��t°y Description Please draw a diagram of lot showing location of buildings and existing signs with dimensions,location and size of the new sign. This should be drawn on the reverse side of this application. Is the sign to be electrified? Yes/No (Note:If yes, a wiring permit is required) Width of building face )—k ft.x 10= 1-1 O x.10= -L k I hereby certify that I am the owner or that I have the authority of the owner to make this application,that the information is correct and that the use a nstruction shall conform to the provisions of Section 4-3 of the Town of Barnstable Zoning Ordinance. Signature of Owner/Authorized Agent: Date: -7-Zf.—O 00 Size: 6 (� p2 Permit Fee:_ Sign Permit was appfoved: Disapproved: Signature of Building Official: Date: Q:I WPFILESI SIGNSI SIGNAPP.D 0 C w 12-6 White's Path , S. Yarmouth , MA 02664-1222 (508) 398-9100 Fax (508) 398-1760 ccsar@verizon.com --- ..... ...... _i 1 - .._ _.. _ ..... ..... E -- - -N- - i i 1 , i i t- ti I .. ... { 1 .......... .:........... -._ _..._-.... r._..._... ....... .. ......_ _____ - � { I Cev�T��rv��,`a Sh� lh Za. ...._. 1 - ..... - - 1 N _ C ; . 1 E. i _ -- Ex�sT�ti� -b k 1-6d CI ti.-r d4k { 9 i i 1 . _ __ ; ._...._ , L 1 ..... ........ € E 7 3 { , 1 2._._.. ._............ ......-. __ .... .. __... ............ .. ........ ........ !4! ................ ... ................. ; ............_ _ ..._...: _.... ..j:... .... 7 , �.. I 1 I { j 3 4 . 1 lei I I r r s i f I• f. c j LIP ,f (D o I 3068 3068 Li a ,V� � ! L (• 3U, i da 1694 16 I6% Falmouth Road Falmouth Road Road Falmouth Road Centerville Centerville Centerville 20'-01/2" 20'-Ow4" 30-3" 20 04' x 40 00' 20 06' x 40-00' 3 .25 1,29 x 40 7.85 st t 801.6 sf 802.4' 29 1 f I_ i i I � I f /306� Replace Sash Replace Sash /3W8 Replace Sash Replace Sa sh 3068 3068 replace 5a SO: 62.5" x 52.5" (t) SO 62.5" x 52 5" (t) SO 62 5" x 52.5" (t) SO 62.5" x 52.5" (±) SO: 64.25" x 64.5" (t) SO 64 25" x E c � Aw