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HomeMy WebLinkAbout1676 FALMOUTH ROAD/RTE 28 (7) noq Town of Barnstable Regulatory Services « sexxsrnaie, MASS. Thomas F.Geiler,Director Building Division Tom Perry, Building Commissioner 200 Main Street, Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 March 28,2013 Coachlight Carpets .. Steve Luciani 1680 Falmouth Road Centerville,Ma 02632 Re: Storage Trailer Property ID: Map 209 Parcel 003 Locus: 1680 Falmouth Road, Centerville Dear Mr. Luciani: It has come to the attention of the Building Commissioner that you have a storage trailer on display in anticipation of a special sale in early June. The Commissioner has asked me to inform you that a permit is necessary in order to temporarily maintain the trailer on this site. He also would like you to know that Building Division staff at 200 Main Street is available to assist you in securing the required permit and approval. We look forward to seeing you very soon and hope that your event is a successful one. CSinc ely, Robin C.Anderson Zoning Enforcement Officer J:\Illegal Apartments\1680 Falmouth Rd Coachlight trailer letter 03282013.DOC } TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION -Appiication # b: Map Parcel L O Date Issued Health Division A Application Fee Conservation'Division Permit Fee Planning Dept. Plan Approved by Planning Board '7 Date Definitive pp Historic - OKH _Preservation / Hyannis 616 Project Street Address Village Jr 04,Owner Address Telephone Permit Request : ` ' Square feet: roosed Total new,1 st floor: existing proposed 2nd floor: existing p p Zoning District Flood Plain Groundwater Overlay, ; Project Valuation '-®as Construction Type Lot Size 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: D Yes ❑ No Basement Type: ❑ Full ❑ Crawl ❑Walkout ❑Other 4 Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full: existing______— new Half: existing new y 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_ Cen tral Air: ❑Yes Li No Fireplaces: Existing New Existing wood/61oal stov� ❑Yeses ❑ No Pool: ❑ existing ❑ new size — Barn: ❑existing ❑ new size_ Detached garage: ❑ 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 # - - - - - -- - - - I�a�� -t` �, Proposed Use Current Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name 1� '�� Telephone Number Address , License# (� Home Improvement Contractor# Worker's Compensation # Ix ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO DATE SIGNATURE "� f FOR OFFICIAL USE ONLY • - 4, APPLICATION# f DATE ISSUED MAP/PARCEL NO. ADDRESS VILLAGE OWNER DATE OF INSPECTION: FOUNDATION K FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL - PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING ' x .. DATE CLOSED OUT _ a v ASSOCIATION PLAN NO. s' The Commonwealth of Massachusetts Depar finent of Industrial Accidents x Office of Investigations, 600 Washington Street Boston, MA 02111 i. wwiv.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Ele'etricians/Plumbers Applicant Information Please Print Legibly Name (Business/Organization/Individuall)):: Address: ICI SAA City/State/Zip: Phone.#: [� `1 �0 J 7llzb Are you an employer? Check the propriiate box: Type of project(required): 1. I am a employer with 4. 0 1 am a general contractor and I 6. ❑New construction employees(full and/or part.tiine).* have hired the s'ub-contractors 2.❑ I am a sole proprietor or'partrler-' listed on the'attached sheet. T. ❑Remodeling These sub-contractors have g, '❑Demolition ship and have no employees working for me in any capacity. employees and have workers' 9 ❑Building addition [No workers'.comp.-insurance comp. insurance. required.] - 5. [� We are a corporation and its l0.❑Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their 1 LE]Plumbing repairs or additions myself. [No workers' comp. right of exemption per MGL 12.E]Roof repairs insurance required-] t c. 152, §1(4), and we have no q employees. [No workers' 13•❑ Other, comp.insurance required.j *Any applicant•that checks box#I 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. tConftactors 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. lam 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. Lic.#: �V � Expiration Date: Job Site Address: l r t IpV Y t City/State/Zip: �1 '' •`�� 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 tip 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 ins vera e verification. I do hereby c ider th p ' s an • enalti of perjury that the information provided above is true and correct. Si ature Date: Phone [Issuing 7Authority nly. Do not write in this area, to be completed by city or town officiaL : Permit/License# rity(circle one):ealth '2.Building Department 3. City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector n: Phone#: Information and Insftuctions 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 tivstee 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." "Neither the commonwealth nor any of its political subdivisions shall Additionally,MGL chapter 152, §25C(7) states . enter into any contract for.the performance of public work until acceptable evidence of complianee,%zth the insurance 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 s names address es and hone numbers) along with their certificates)of ub contractor ) P necessary, supply s ( ) ( )� ( the insurance. Limited Liability Companies'(LLC) or Limited Liability Partnerships(LLP)with no employees other than 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 afldavit 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' lease call the Department at the number listed below. Self-insured companies should enter their compensation policy,p self-insurance license number on the appropriate line. City or Town Officials .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" (he applicant should write"all locations in (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 fo any business or commercial venture (i.e. a dog license or permit to burn 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: The Commonwealth of Massachusetts Deparizn.ent of lndustri.al Accidents Office of Iuvestigatlans. 600 Washington Street Boston, MA 02111 Te1. #617-727-490.0 ext 406 or 1-877-MASSAFE Fax# 617-727-7749 Revised 11-22-06 www.mass.gov/dia DATE(MM/DD/YY)m`, ACORDTM s CERTIFICATE OF L RAN' E =x ;. •3:• , 7/14/2009 ' PRODUCER- � THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY•AND CONFERS NO RIGHTS UPON THE CERTIFICATE GERMANI INSURANCE AGENCY HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 908 MAIN STREET ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. OSTERVILLE, MA 02655 COMPANIES AFFORDING COVERAGE COMPANY A SAFETY INSURANCE INSURED - COMPANY -- SCOTT PEACOCK BUILDING&REMODELING B AIG AMERICAN HOME ASSURANCE CO. PO BOX 171 COMPANY OSTERVILLE, MA 02655 C COMPANY p CQVERAGES _ ..:. , h 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 B Y 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. CO TYPE OF INSURANCE POLICY EFFECTIVE POLICY EXPIRATION LTR POLICY NUMBER DATE(MM/DD/YY) DATE(MM/DD/YY) LIMITS GENERAL LIABILITY - GENERAL AGGREGATE $ 2,000,000 A X COMMERCIAL GENERAL LIABILITY CP00001152 07/05/09 07/05/10 - - PRODUCTS-COMNI P/OP AGG $ CLAIMS MADE D OCCUR - PERSONAL&ADV INJURY $ OWNER'S&CONTRACTOR'S PROT - - EACH OCCURRENCE $ 1,000,000, FIRE DAMAGE (Anyone fire) $ MED EXP (Anyone person) $ AUTOMOBILE LIABILITY ANY AUTO COMBINED SINGLE LIMIT $ ALL OWNED AUTOS BODILY INJURY $ SCHEDULED AUTOS (Per person) HIRED AUTOS BODILY INJURY $ NON-OWNED AUTOS (Per accident) PROPERTY DAMAGE $ GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $ ANY AUTO OTHER THAN AUTO ONLY:. EACH ACCIDENT $ AGGREGATE $ EXCESS LIABILITY EACH OCCURRENCE $ UMBRELLA FORM AGGREGATE $ OTHER THAN UMBRELLA FORM $ W C STATU- OTH- B WORKER'S COMPENSATION AND W C 007-45-4805 06/22/09 06/22/10 TOR,u.ITS ER EMPLOYERS'LIABILITY EL EACH ACCIDENT $ 100,000 THE PROPRIETOR/ INCL EL DISEASE-POLICY LIMIT $ 500,000 PARTNERSIEXECUTIVE OFFICERS ARE: Ed EXCL EL DISEASE-EA EMPLOYEE $ 160,000 OTHER DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/SPECIAL ITEMS CERTIFICATE HOER Gu d _v - .,.ysLD . .x ._ � ANCELLATION »:`_ --,.m i�w m ... . . e .� SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE _ EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL ATTN^ SALLY 1_0 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT," BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY TOWN OF BARNSTABLE OF ANY KIND UPON THE COMPANY ITS AGENTS OR REPRESENTATIVES. FAX#-, 508-790-6230 AUTHO$*EP EP'PRE EENTATIV§ ACORD 25$ 1/95 . ,;•-. ;, � z©QCORD.CQRPORATION`198$,'` M � `J/e 1`�o��rorreoruueall� a�./��aclucdeC!a , Board of Building Regulations and Standards License or registration valid for individul use only S HOME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: Re istration:, 151853 Board of Building Regulations and Standards k�_u�' Ex iration One Ashburton Place Rm 1301 P 7/7/2010 Tr# 271501 Type Private Corporation Boston,Ma.02108 SCOTT PEACOCK.BUILDING&REMODELING INC JAMES PEACOCK 1046 MAIN STREET SUITE7, n OSTERVILLE, MA 02655 Administrator Not valid without signature License: CONSTRUCTION SUPERVISOR Number: CS 094500 B i rthdat6:"07/22/1962 Expires: 07/22/2010 Tr.no: 94506 Restricted: 00 JAMES S PEACOCK PO VILLE OSTEVILLE , MA 02632. Commissioner Jul 21 09 07:43a p. 2 • Town of Barnstable i Regulatory Services Uiisw 3r War,P reetar mass a� Buildivatg Division Tom Perry.D"Ing Commissioner 200 Main Street.Hyazmis.MA 02601 WWW tgMsbss7tsCable aaa.as office: 50"62-4038 Fat: 508-79D-6230 Pmperty Owner Must Completc and Sign This Section If Usiing A Builder s Z, Marcel R. Poyant, Trustee ,as Owner of the subjeec pWpctty hcrebyauehorize Scott Peacock:.Building & Remodeling Inc. tip act on mybehaY, in all imucts relative to work autliotizcd brytl6s bitUng permit application for. 1680 Falmouth Road, Centerville, MA 02632 (Address of job) / 7/21/09 Sig c of OOwner Dxtc Marcel R. Poyant, T stee Centerville Shopping Center I Nominee Trus�. P07_� l -.r 1'rinc Name ,,If ralwru, is applying for permit please complete the . Homeowners License Exemption Form on the reverse side. rr*nxnrt�-AWNr�tPFltlriLCSlAN ' Parcel Lookup Page 1 of 1 Logged In As: Thursday, Septemb, y rn v Nancy Lamed a(„ce I Lookup Road Lookup Condo Lookup Multiple Address Lookup Search Options Search By Parcel Map Block Lot 209 I 003� 1-77 Sear�: <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 FALMOUTHBOAD/RTE 28 Multiple Address POYANT, MARCEL R CEN 003 +-(1"6LWiFALMOUTH:ROAD/RTE-28. C.OACHL_IGHTfCARP.ETS) 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 C'VILLE) 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 003 (1694 FALMOUTH ROAD/RTE 28 - FORMERLY CENTERVILLE TR CEN PHARMACY) 209- 1676 FALMOUTH ROAD/RTE 28 - Multiple Address POYANT, MARCEL R (1696 FALMOUTH ROAD/RTE 28 - CENTERVILLE BEAUTY CEN 003 LOUNGE) TR 209- 1676 FALMOUTH ROAD/RTE 28 - Multiple Address POYANT, MARCEL R CEN 003 (1698 FALMOUTH ROAD/RTE 28 -SCHEAFFER JEWELRY) TR • http://issql/intranet/propdata/lookup.aspx 9/14/2006