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HomeMy WebLinkAbout0033 HYDE PARK ROAD TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map. pp Parcel A Iication l O V-0 Health Division Date Issued / l Conservation Division j z Application Fee 'V) Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation / Hyannis Project Street Address I c,&yl �''�Ili�l Village [- -Owner / 4"M 0Y Address g-3 �" C- �� -G✓u�Gi Telephone `���` �oZ� 62G3,Z Request . . z Square feet: 1 st floor: existing - proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuationfi 875-d 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: ❑Yes ❑ No Basement Type: ❑ Full ❑ Crawl ❑Walkout ❑ Other Basement Finished Area (sq.ft.) Basement Unfinished Area (sq.ft) Number of Baths: Full: existing new Half: existing new r) Number of Bedrooms: existing _new Total Room fount (not including bath-.): existing new First Floor-Rom Count � Heat Type and Fuel: ❑ Gas ❑ Oil ❑ Electric ❑ Other Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing wood/coal stove: ❑=Yes ❑ No --' rn 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 # Current Use Proposed Use G4V1`" APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name lJ�' 1 Ci Telephone Number c Address t t y, -� License# L- lS ® Home Improvement Contractor# � JJ A#Ir2n L CA Rrl C-?L, Worker's Compensation # 0LV 0ol 1 G/trc> ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO l f� 3-Uk SIGNATUR DATE 4 ._ FOR OFFICIAL USE ONLY 6 '4 APPLICATION# F E. DATE ISSUED . MAP/PARCEL NO. s ADDRESS VILLAGE OWNER DATE OF INSPECTION: --FOUNDATION _ °} FRAME INSULATION FIREPLACE 2 - ELECTRICAL: ROUGH FINAL ti PLUMBING: ROUGH FINAL GAS: ROUGH FINAL i FINAL BUILDING x t , �a DATE CLOSED OUT E k ASSOCIATION PLAN NO. I 6 Yr 03/31/2014 03:53 9787778415 PAGE 01 i OATE(A"OD(YYYY) r L CERTIFICATE OF LIABILITY INSURANCE F3/31/2014 THIS CERTIFICATE IS ISSUED AS A MINTER 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: 11 the certiftau holder Is an ADDITIONAL INSURED,the pollcy(les)must be endorsed. If SUBROGATION 19 WAIVED,subJsot to the terms and conditions of the policy,certain policies may require an endorsement A Statement on this certlllcats does not colder rights to the ' cartlflCete holder In lieu of such endorseme s), - PRODUCER COUNTY INSURANCE AGENCY INC no 123 Sylvan St 1978)774-2463 �,.(976)777-8415 Danvers, MA 01923 AODaEs :0 . - ' IesuAsele>A►rolharro covEhhAOE sAs:e INSURER A:CO=QrC® Ins. Co. INSURED Building Performance Contracting, LLC INsuRER B:Essex Ins. Co. INSURER C:At antic Charter P.O. Box 633 INSURER D:RB Jones Truro, Ma 02666 IN.SURERE: • 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 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. LTR TYPE OF INSURANCE eheR WVD POLICY NUMBER WNDO MWDWYYYI LIMITS GENERAL LIABILITY - EACH OCCURRENCE $ 1,000,000 R COMMERCIAL GENERAL uABILnY _ PREMISES Me oocurrence $ 50 000 CLA1M34UDE EiIOCCUR MEDEXP( ens argon $ 1,000 9 3DE9441 11/19/13 11/19/14 PERSONAL dAOVINJURY $ 1,000 000 l3ENEliAL AGGREGATE s .2,O O D 000 GEWL'AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ 110()0,000 POLICY PRO- AUTOMOBILE6ABILITY ~. Ea aeddenl 1,000,000 ANYAUTO ALL OWNED SCHEDULED BGDDGK 2/2/14 '2/2/15 BODILY INJURY(Perperson) $ A AUTOS E AUTOS " BODILY INJURY(Per ecdden0 $ HIRED AUTOS AUNTOS $ X UMBRELLA LIAR OCCUR EACH OCCURRENCE % 2 00O OOO D otcEss uAe CLAIMS-MA ' CUBW3904112 '5/1/13 5/1/14 AGGREGATE .. s 2,000,000 OQO RETENTION] c S . WORKERS COMPENSATION ;,, k TM- t AND EMPLOYERS LIABILITY T RY I T 'I"ANY PR 11/23/13 11/23/14 f�RIETIM/PARTNEWE7fECUnVE � E.L•EACH ACCIOENi. S 500,000 i C o�Ia;WYrAEABE; d)ICLuoE09 MIA WCV00939900 In r E.L.DISEASE-EA EMPLOYE $ 500,000 U yes easerlbe under , - - DESCRIP�ION OF OPERATIONS below El DISEASE•POLICY LIMIT $ 500,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (A11erh ACORD 101,Additional Remarks Schedule,It more epees 19 reWlred) CERTIFICATE HOLDER CANCELLATION Town Of Barnstable SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE " THE EXPIRATION DATE THEREOF, NOTICE `WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORI RE ENTATI ' 988.2010 ACIDRD CORPORATION. All rights reserved. ACORD25(2010105) The ACORD name and logo are registered marks of ACORD OJ . M `usnr mass-save Pa�reapanlvs coarnncros PERMIT AUTHORIZATION FORM (, Stephen P Lynch ,owner of the property located at: (owner's Name,printed) 33 Hyde Park Centerville (Property street Address) (Gryl hereby authorize the Mass Save Home Energy Services Program assigned Participating Contractor listed below to act on my behalf and obtain a building permit to perform insulation and/or weatherization work on my property. X Owner's signature Date j FOR CSG OFFICE USE ONLY Conservation Services Group has assigned the following Mass Save Home Energy Services Participating Contractor to the above referenced oject: Pa ici sting Contractor Dite 110 I WE Di For Office Use Only Rev.12132011 �.� r Massachusetts-Department-of Public Safety Board of Building Regulations'and Standards C'omtruction Supervisor License:C9-078815 JOSH EMOND - - # i 1 PO BOX 633 - s 'Truro MA 02666^ Expiration s COt41tS115510T1ei d` 0312512015- ���parrvnzavuu � ' License or registration valid for individul use only Office of Consumer Affairs&Business Regulation _ before the,expiration date. If found return to: ME IMPROVEMENT CONTRACTOR Office of Consumer Affairs and Business Regulatio egistration: 174235 Tom' 10 Park Plaza-Suite 5170 piration:A 5�2A]� ,LLC Boston,MA 02116 ` w r =.'z. BUILDING PERFORIQIWCE tMPh CTING,LLC. JOSH EDMONDY , 8 KINNIKINNICK RD TRURO,MA 02666 Undersecretary %1 of valid without signature. The Commonwealth of Massachusetts PtintFarm_ ' 'Department of Industrial Accidents M Office oflnvestigations ' x I Congress Stree4 Ante 100. Boston,MA 07114-7017 www.mass- Idia Workers' Compensation Insurance Affidavit: Builders/Con_ tractors/Electricians/Plumbers �— Ap licant Information -Please Print Leaibiy Name:(Bus►nessrorganu i9n&dividual): LLI 1 Address: L rJ3 j City/State/Zip: Q 26P � Phone Are./6 an employer?Chepkk the appropriate box: Type of project(required): 1. I am a to er with e 4. ❑ I am a general conawfor and I P Y 6. New construction ems frill and/or part-time),* have hired the sub-ci�ntractors ., 2.❑ I-ant a sole proprietor-or partner- listed_on the attached sheet. 7. ❑Remodeling ship and have no employees These sub-contractors have • _. g_ ❑ Demolition working for the in.ancapacity. employees and have.workers' g Y 9. Q Building addition [Ne workers'comp.insurance comp.insurance.t ;= . required.] 5. C1 We area corporation and its 10.�Electrical repairs or additions 3.❑ I.am a homeowner doing all work officers have exercised their_. 11.0 Plumbing repairs or additions right of exemption per MGL myself.[No workers comp. 12.0. f repairs insurance required.]*• • c_ 152,§1(4),and we have no t v t .ems e mP y to o workers'" 13.. Other - - . Ll`i - comp_insurance requned-I *Any applicant that checlts box#1 must also fill oat 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.anew affidavit indicating such. icontractors'that check this box must attached an additional sheet showing the name of the sub-conncactors 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. /J �p Insurance Company Name: AT z4Ac - W `✓�r , Policy#or Self-ins.Lic.#: WC 00/-3 I bb Expiration Date: DU J Job Site Address: 3 City/State/Zip: `l�' Attach a co of the workers compensation policy declaration a(showing,the poll number and expiration date PY P P Y P policy gP� .)= Failure to:secure coverage as required under Section 25A of MGL c. 152:can lead to the imposition of criminal penalties of at ' 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 certify under the ains and enalties o ' or ry that the u ntadan provided above is true and correct Si o Phone#: �Y 736 x. g OfficW use only. Do not write in this.area,.to be completed by city or town official City or Town: PermittLicense# o circle- is Board off He4 4 B one):- nt 3.City/Town/Town Clerk 4.Electrical u r 5.Plumb" a Inspector . mldmb Departure ty Insp�t� ma„ . 6.Other ■ A1ftOAF isoemw. DI6---fl.- . T OF is map,and lot number ::..,1 c .. �/6 pnC SYST�� �pL p►� HE a .��. SS `��� � ®� F roe o Sewage Permitr number ................. j....11. 5..........:...... 1N TA 9 E �d' p"v C� BAHB9TADLE, i .T OZ9rr�� � � - House number ................... ,..... ..:.5.,................. ��{��� ri. Y�® v ,►�a TOV4� ��O ° 163Y.AMA TOWN OF BARNSTABLE co BUILDING INSPECTOR ' X: 'APPLICATION FOR PERMIT TO ... ,.... .. LLJ _' ' TYPE OF CONSTRUCTION 4 C .... /.. . ... . ls .C....w`.� 19..t� TO THE"INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location ....... ........7........../7 ...�.....���Z1�L...............Z.� ....................................... ........................... ProposedUse ......!:1.. S,? lll/. e.e.............................................................................. ........................................................ Zoning District .......A... ....................................................Fire District ........�. k..../0--�.............. Nameof Owner .........,FJ.... . ...........................:.....Address ............. ....................................................... Name of Builder ... .�J("H ,�' . .............................Address .............11�. ................................. ................ Name of Architect .......� ..:...�l>,; ....................Address .............. ....................................................... ...::. . . . . .. Number of Rooms ..........0........................:...........................Foundation .......,.. .. n Exterior ..........Ll� tf........... ...................Roofing ................�.,V.h4�. .......................................... Floors ...... QrR. ..... ....V�. . .. ......................Interior ....... /�. .. Heating ....C�Ac.`?.......t...(—t...1h.1................................Plumbing 1.- -./...............0 ....... .-.��crTdls - Fireplace ...........&AAA.��......... ;.dO.(-6 ...................Approximate. Cost ...........1..�o .................... ....� Definitive Plan Approved by Planning Board _____ q5____L ---------19_-i Area ..... ....... Diagram of Lot and Building with Dimensions Fee SUBJECT TO APPROVAL OF BOARD OF HEALTH A / � ,_ l r OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. ' Name ... ... ..... ......... Construction Supervisor's License ...... :.,v� lC!.. 5 r BAYSIDE BLDG. CO1." A=173-16 .29475 Permit for I..stoxy..sIngls...... .......family A.We.1litlg. ..................................... > Location Centerville ............................................................. ........ Owner .........Bay, de..ru7.,'4 3 L'.g.:CA., - i Type of Construction ..........frame............ ...:............... - -_ .. y ............................... ................ , - r• ` Plot ............................ Lot ................................ .f Permit Granted ...................June...6,„•,,.19 86 .� ` Date of Inspection ' Date Complet d .' ���....:2. ......... 19 _ - eV r to „i h•4 V � �A yr Assessor's mnp acid lot numb r � . . f: j' 'r f C {; J ,/ TNFTO� Sewage Permit numi her ;-.- :~ � -... . ...................... i Zs 1,3oA," L House number ................ F M6......... E. a OO pYA9a\ TOWN OF BARNSTABLE BUILDING INSPECTOR = APPLICATION FOR PERMIT TO �.. f.............. ,.�.� -I .... .............. TYPE OF CONSTRUCTION .......... .............:..a2, 1.....15................19.. .7( TO THE'INSPECTOR OF BUILDINGS: The undersigrie/d yhereby applies for a� p�permit according to the following information: Location .......A��..l.....:... ........... . li(.�'.....Alz",................,�.P-.�-Ii............................................................................. , ProposedUse ..... ......................................................................... ............ ...... .....I......................... Zoning District ......./�....0.................................... .............Fire District ........ems;.. /n ?r.................................. Address ....:.......... frr. f Nameof Owner ......... ..... ..................... C....,..................................................... Name of Builder :... tearX•, .C'. ... ..............................Address ............. ..c:<1t.1 ....................................................... Name of Architect ...... � ...... I1.C�f°:.f'.................. .Address ..............( hrT.......................................................... Number of Rooms ........... ....-Foundation ........... ...... �................... Exterior ..........C A.:;1.......... ....................Roofing h...? 4(f.-J,.4............ i Floors; .....0!9�.[ .....("6tu �{? � ....1Je�`. ..............:......Interior .............?..1•:�?k.._... .... .:��;�.`a-5��....................... Heating � .`�.........'...�'{. .i ............ ..................Plumbing ........... :U C-:........... {J � :......:�...l.�.G.%� 4�5 Fireplace ...........6 AA r�f,. ..... ......?—>J.z) .-f ..................Approxtmate Cost ..... 1. 1� .a. ,-. >�............................... Definitive Plan Approved by Planning Board ____-,-)- _---- ---------19_ _f__, Area .......................................... Diagram of Lot and Building with Dimensions Fee ......... SUBJECT TO APPROVAL OF BOARD OF HEALTH t i I 1 � 4 1 f t OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS s KVry I hereby agree to conform to all the Rules and `Regulations of the Town of Barnstable regarding the above construction. Name ..�. r��..,,. �` /7 ---:......... Construction Supervisor's License i BAYSIDE BLDG. CO. A=173-16 No .... ... Permit for I...s.totry...a:Lngle...... . ........faimil.y..dwallabl&...................................... Location .1.Qt..#.7.....33...Ryde..Park.................. ........C�e-me..r.ville................................................ .. ........ . Owner Bxyside...Ruildlng.-Co......................... Type of Construction ...............trame................. ............... ................................................................ Plot ............................ Lot ................................ Permit Granted ....................Jun.e...6.......1986 Date-of Inspection ... ................................19 Date Completed ......................................19 � ,�Y . Cyr �J C) CO ofINC) TOWN OF BARNSTABLE Permit No. .n.� y.7F :: BUILDING DEPARTMENT TOWN OFFICE BUILDING Cash ............. .. HYANNIS,MASS.02601 Bond .....r�...(�.?r�. CERTIFICATE OF USE AND OCCUPANCY Issued to Address Lnte Ir i, 33 Hyde Park Ns..Yi�'i:1 JYLLr., 1'Y4 C.Y Jaw i.LLLJ i9 G 4..L.y USE GROUP FIRE GRADING OCCUPANCY LOAD THIS PERMIT WILL NOT BE VALID, AND THE BUILDING SHALL NOT BE OCCUPIED UNTIL SIGNED BY THE BUILDING INSPECTOR UPON SATISFACTORY COMPLIANCE WITH TOWN REQUIREMENTS AND IN ACCORDANCE WITH SECTION 119.0 OF THE MASSACHUSETTS STATE BUILDING CODE. ........ " B 19... ....... �i...... JctLi ilVE L 215 j iJv � �f� f�.�� ° uilding Inspector a'����•'. TOWN OF BARNSTABLE BUILDING DEPARTMENT TOWN OFFICE BUILDING rua HYANNIS, MASS. 02601 '�o rnr�• MEMO TO: Town Clerk FROM: Building Department DATE: An Occupancy Permit<has been issued for the building authorized by BuildingPermit #........a9y7s'................................................................._._..__._.................._ _.__....__.......M_....... issued toll".5 .Za4l�i......._. 7........ �. ... ! .. . . Please release the performance bond. I i` ; , na 1r F Y !F i W i � D n. i� TOWN OF BARNSTABLE, MASSACHUSETTS PERMIT J . . JOB WEATHER CARD ,'�py DATE 19 PERMIT NO, rJt ( APPLICANT ADDRESS (NO.) (STREET) (CONTR'S LICENSE) NUMBER OF PERMIT TO ('=) STORY DWELLING UNITS (TYPE OF IMPROVEMENT) NO. (PROPOSED USE) - AT (LOCATION) ( ZONINGDISTRICT (N0.) (STREET) BETWEEN AND (CROSS;STREET) (CROSS STREET) •SUBDIVISION LOT BLOCK LOT BUILDING IS TO BE FT. WIDE-BY '~ FT. LONG BY FT. IN HEIGHT AND SHALL CONFORM IN CONSTRUCTION TO TYPE USE GROUP-.-= BASEMENT WALLS OR FOUNDATION (TYPE) b 5 EMARKS•`' 1 EA.OR P6e' ( UME ESTIMATED COST - (CUBIC/SQUARE FEET) i 4NER` - DRESS BUILDING DEPT. BY -'.IS PERMIT* CONVEYS NO RIGHT`-TO OCCUPY .ANY`STREET', ALLEY OR SIDEWALK OR ANY PART THEREOF. EITHER TEMPORARI- z_RMANENTLY. ENCROACHMENTS:ON::PUBLIC::.•PROPERTY, NOT SPECIFICALLY PERMITTED UNDER THE BUILDING CODE, MUST E t ROVED BY THE JURISDICTION..-STREET`OR ALLEY-GRADES- AS WELL AS DEPTH AND LOCATION OF PUBLIC SEWERS MAY BE OBTf. ( 'ROM THE DEPARTMENT OF PUBLIC.WORKS. THE ISSUANCE OF THIS PERMIT DOES NOT RELEASE THE APPLICANT FROM THE CONDIT. 1! JF ANY APPLICABLE SUBDIVISION RESTRICTIONS. j MINIMUM OF THREE CALL - APPROVED PLANS.MUST BE RETAINED ON JOB AND THIS WHERE APPLICABLE SEPARATE $ INSPECTIONS REQUIRED FOR - CARD KE PT.POSTED UNTIL FINAL INSPECTION HAS BEEN PERMITS ARE REQUIRED FOR t ALL CONSTRUCTION WORK: ELECTRICAL, PLUMBING AND S FOUNDATIONS OR FOOTINGS. MADE.,' Y.'HER.E,.A.CERTIFICATE OF OCCUPANCY IS RE- MECHANICAL INSTALLATIONS. '. PRIOR TO COVERING STRUCTURAL QUIRED,SUCH BUILDING SHALL NOT BE OCCUPIED UNTIL MEMBFINAL INSPECTION TI TO BEFORE FINAL INSPECTION HAS BEEN MADE. `i. FINAL INSPECTION BEFORE - OCCUPANCY. - POST THIS CARD SO IT IS VISIBLE FROM STREET V BUILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS { Lr _ 0 CIO #�3 - - G INSPECTING PP RO V.A LS RERING ALS e II 1 07r ER= -- -------- - 2 � � t�--- ._ WCRK SHALL NCT PPOCEED UNTIL THE - PERMIT WILL BECOME NULL AND.VOID IF CONSTRUCTION iNSPECTIONS INDICATED ON TH!S CARD -5 :NSPE%T CR 7!As aPPR cvED THE VaR'ous '.� WORK IS NOT STARTED WITHIN SfX MONTHS OF DATE THE • CAN BE ARRANGbD FOR BY TELEPHONE STAGES OF CONSTRU,`:T;')N 'cRMIT IS ISSUED AS NOTED ABOVE. • OR WRITTEN NOTIFICATION. 8 A,14.64 96.A1 �200.00 f230.00 V cri Q ti ti I zy z3.gt Tt 110.00, JOB # 84-198 CERTIFIED PLOT PLAN PREPARED FOR.- LOCATION., LOT-7 HYDE PARK . BARN . SCALE: 1 °=3Q ' DATE: 6/5/86 REFERENCE: PB 363 PG 39 - BAYSIDE BUILDING I HEREBY CERTIFY THAT THE BUILDING . SHOWN ON THIS PLAN•°TS LOCATED ON THE GROUND AS SHOWN HEREON `ZN OF M4'r o� ARNE down cape engineering H. � OJALA y -o - CIVIL ENGINEERS No./2�4_..._ _ _._ __ now ` - LAND SURVEYORS ROUTE EA YARMOUTH MA DATE REG. URVEYOR