Loading...
HomeMy WebLinkAbout800 BEARSE'S WAY (8) �� •� � - - - `� f i o*INN Printed On:7/9/2020 04 Complaint Call Report '"RMANA ;,� 800 BLDG 2 UNIT 2ND BEARSE'S WAY, HYANNIS case# C 201ss Case#: C-20-139 Address: 800 BLDG 2 UNIT 2ND Date: 4/21/2020 BEARSE'S WAY, HYANNIS Owner Info: Property Info: MBL: Owner Notified?: Complaint Details: Type of Complaint Classification of Complaint Method of Complaint Building Code Medium Priority Phone Complaint Summary. Report of work without a permit in this unit. Complete remodel. Action History: Action Taken Date Description Fee Inspector Close Case 7/9/2020 No violation present $0.00 bowerse Inspector Assigned to p g Complaint. bowerse Fled by: sheas Comments: Comment Date Commenter lComment Dater 7/9/2020 Town of;Barnstable. y TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel 4CvJ 0 A F Application # Health Division Date Issued Conservation Division Application Fee T9 Planning Dept. Permit Fee Av Date Definitive Plan Approved by Planning Board Historic - OKH Preservation/ Hyannis Project Street Address Village Owner i Address o �� sob Telephone , Permit Request � � 1 ���� yG� � ,o �.� os Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood-Plain Groundwater Overlay Project Valuation JS b d Construction Type 2L_64W,46 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 ier �aZ Basement Finished Area(sq.ft.) Basement Unfinished Area (sq.ft) 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 ❑ 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# Current Use_ Proposed Use APPLICANT INFORMATION (�B/UILDER OR HOMEOWNER) Name �lSr4 ® '�I�LfS� Telephone Number Address % & ✓ 4Sl��1o9 License �- S,Q AA 10(C VI Da.g-Z 3 Home Improvement Contractor 6S� C/'L 2. Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE �/� & /� !l FOR OFFICIAL USE ONLY APPLICATION# DATE ISSUED MAP/PARCEL NO. 9 ADDRESS VILLAGE OWNER DATE OF INSPECTION: FOUNDATION r , ,f FRAME t INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL t GAS: ROUGH FINAL FINAL.BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. The Commonwealth of Massachusetts Department of Industrial Accidents ' 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 Legibly Name(Business/Organization/Individual):�abbw ,:1'c, D/1� D 'la� er ,eC01,S+S Address: A/� :ran ` b95 tan ]b r i ue, City/State/Zip: wl^ Phone#: 8 / Are you an employer? Check the appropriate box: Type of project(required): 11 I am a employer with to 4. ❑ I am a general contractor and I employees(full and/or part-time).* have hired the sub-contractors 6. ❑New construction 2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7. Eliemodeling ship and have no employees These sub-contractors have g, ❑ Demolition working for me in any capacity. employees and have workers' [No workers' comp. insurance comp.insurance. 9. Building addition 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 I I.❑ Plumbing repairs or additions myself. [No workers' comp. right of exemption per MGL 12.❑ Roof repairs insurance required.] t c. 152,§1(4),and we have no employees. [No workers' 13.0 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 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: zur'ch-Ann r , Policy#or Self-ins.Lic.#: " /a 9 P ! O Expiration Date: Job Site Address o? // > City/State/Zip: A- i'd-4 I'd llz_ 111,4,pwgf,&!nr S Attach a copy of the workers'compensation policy d eclaration page(showing the policy n ber and expiration date). Failure to secure coverage as required tinder 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$250.00 a day against the violator, Be advised that a copy of this statement may be forwarded to the Office of Investigations of the.DIA for insurance coverage verification. I do Hereby cer if un a the pains andpenalties ofperjury that the information provided above is true and correct. Signature. Date: ` Phone#: Official use only., Do not write in this area, to be completed by city or town official City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Cleric 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: f RightF'ax N1-1 12/22/2011 7:19:42 AM PAGE 3/003 Fax Server '"��r yee� '�1�o��s• �r+Y ,+t� � n, r s r �1 %.a vj�a�,.i€r,�r T,r c,r',�{x,$.F ISSUE DATE 12122(2011 THIS CERTIFICATE 18 ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTSFICA HOLDER THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVCLY AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED THE POLICIES BELOW,THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE I8811ING INSURER(S)�UTHORM REPRESENTAnVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT:If the certificate holder Is an ADDITIONAL INSURED,the pol]Wles)must be endorsed,if SUBROG TION IS WANED,subject to the terms and conditions of the policy,certain policies may require an endorsement A statement on this certificale d es not confer rights to the certificate holder In Hsu of such endorsement a. PRODTJCF,B CONTACT OCEANSIDE INS GROUP NAME` NE 52 WEST MAIN STREET A/C,No,Ext: (AJC,No): HYANNIS,MA 02601 E-MAIL ADDRESS: PRODUCER CUSTOMER ID R INSURED INS S AFFORDING COV)ItAOE NAIL tF BENABBY INC DBA INSURER A ZURICH DISASTER SPECIALISTS INSURER B P 0 BOX 480 INSURER C SANDWICH,MA 02563 INSURER D INSURER E INSURER F COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED MINE INSURED NAMED ABOVE P R IRS POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIliVMNT,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 IB:REW IS SUBJECT TO ALL THE TERMS,E XCLUSIONS AND CONDIIHONS OF SUCH POLICIES.LIMITS SHOWN MAV HAVE BEEN REDUCED BY PAID CLAIMS, INSR TYPE OF INSURANCE ADDL SUER POLICY NUMBER POLICY EFF POLICY E LE&TS LTR INSR WVD I GENERAL LIABILITY i EACAOCCURRENCE S s O C010MCW.OENERALLU,BJLITY PREMISES(Eech : ownence MED,EXPENSE Wy one S I Q CLALMS MADE 0 OCCUR Perm 0 PMSONAL&ADV f INJURY (1 1 OENERAL AGOREOATE S i OEWL AGOREOATE LD43T APPLIES PEP ' PRODUCTS-CoMP/OP S I 0 POLICY 0 PROJECT O LOC AUG AUTOMOBILE LIABILITY COMBBSED SINOU S LIMIT ch eccldenl 0 ANY AUTO BODILY INJURY S i M Pers BODILY INIDRY S l 0 ALL OWNLO AUTOS et Accident) O SCHEDULED AUTOS PROPEM DAMAGE SCHEDULED S : er atc,dmt i 0 KREDAUTOS S 0 NON•OWNFD AUTOS S 0 0 UMBREU ALIPB 0 OCCUR I EACH OCCURR_NCE S O ERCESSLLAB O CLAIMS-MADE AGGREGATE, S 0 DEDUCTIBLE S 0 RETENTION S S WORKERS'COMPENSATION WC A AND EYOLOYEIIS LIABILTFY NIA STATUTORY Y!N j LUI S ANY PROPRMTORRARTTfJV I EXECUTNE OFFL1-MULNdBER N NIA 6ZZUS-g102P700 O110U12 O!lO1/l3 LDMEASE-POUIC, CCIDENT $500,000 i (MMA ORYINNH) � -_H 5500,000 i rr yos,dourk mdor DL•SCRWRON OF $500,000 OPERATIONSbelow U¢RCRIPTION OF OPBRATIONB/LOCALtONAIVFIi1CLE9(ANach ACOAD TOIL Addilioml Remerks Schedule,irmore spMe a requiceA) ' THF.INWREII'8 MA'JlORY.ERS COMPENSATION POLICY AND rrs LazTE.D OTNER STATES INSURANce EFTDomw2rr AUIHORIEES TJM PAYmEwT'OF BENEFITS FOR CLAUS MADE BY THZ,INSURED' F-\GLOYEES IN STATES OrM THAN MA NO AUTHORIZATION IS MEN TO PAY CLAIMS FOR BENEFITS IN ANY STATE OTHER THAN MA IF THE RMURID HIES,OR HAS HRED,EMPLOYEES OUTSIDE ` Mk M POLICY DOTS NOT PROVIDE COVBRAOE'OR AITY STATE OTHER THAN AEA THIS REPLACES ANY PRIOR CERTIFICATE 189DED TO nM CERTIFICATE HOLDER AFFFCTTNG WORKERS C LSP C'OVERAGR �,CFRT.�11`,��� ��8,:','cY;,..�,,,,o,iaSx,i,...�.�;Y ;,`.?;:.:,x:'� �§ya a Gplll ulfiE. .rY ll:•�. .;_: �,. � : - -,��::a`,m �'�;�SrS�a;<i•; SHOULD ANY OF THE ABOVE DEBC ED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,N TICE MALL BE DELIVERED IN ACCORDANCE MAIN THE POLICY PR VISIONS. AUMORM ROTE MATIVE - � BYGRYY I"1GIC�.eGt9V . ..., � TINKw sses oo co "'"I�a�'M[ i Massachusetts-Department of Public Safety Board of Building Regulations and Standards Construction Supen•isor License: CS-071402 JO 10 5)3UA L COIN _ w� r. 1082 OLD STAG + CENTERVE�IX % V �,a Expiration Commissioner 12/31/2013 3 c �po�i�z��zcvizcuea�G� Rice of Consumer Affairs& eri Business Regulation ME IMPROVEMENT CONTRACTOR License or registration valid for individul use only before the expiration date. If found return to: e ra o tQ8642 Office of Consumer Affairs and Business Regulation " Expiration'-8T20/2014; TYPe'' 10 Park Plaza-Suite 5170 g BENABBY INC/DISASTER.,SPECIALIST' Supplement 4:ard Boston,MA 02116 1 k mt� JOSHUA COHEN Box 480 ,z :n Sandwich, MA 02563 Undersecretary Not valid without signature DIME l°y� Town of Barnstable Regulatory Services y 'ssBlE Mg Thomas F.Geiler,Director TFDMA�a Building Division Tom Perry,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 I, 140.1/1LAV 11adb 'LI —rll. , as Owner of the subject property hereby authorize e- to act on my behalf, in all matters relative to work authorized by this building permit. 00 ecie'TZ:5 41 Ad � .2 h/ya��, (Address of J b) ! **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. SL'gmatur o wner ature of Applicant tin JY a) Print Name Print Name +' Date Q:FORMSDVINERPERMISSIONPOOLS 6/2012