HomeMy WebLinkAbout0089 LEWIS BAY ROAD (14) i3
9 Z�-Z�
�t"E' ti Town of Barnstable ,
Building Department - 200 Main Street
* AB , = Hyannis, MA 02601
MASS. (508) 862-4038
s639.
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Certificate of Occupancy
Application Number: 201006808 CO Number: 201-10126
Parcel ID: 32722360M CO Issue Date: 08/16/11
Location: 89 LEWIS BAY ROAD 209 Zoning Classification:
Proposed Use: CONDOMINIUM
Village: HYANNIS
Gen Contractor: OCEANSIDE CONSTRUCTION & DEV Permit Type: CC00
CERTIFICATE OF OCCUPANCY COMM
Comments: C.O.'FOR UNIT 209
Building Department Signature Date Signed
Town of Barnstable
Building Department - 200 Main Street
ASTABLE. * Hyannis, MA 02601
9� b (508) 862-4038
CFO MA'i A
Certificate of Occupancy
Application Number: 201006808 CO Number: 20110126
Parcel 10: 3272230BI CO Issue Date: 08116/11
Location: 89 LEWIS BAY 209 Zoning Classification: MEDICAL SERVICES DISTRICT
Proposed Use:
Village: HYANNIS
Gen Contractor: OCEANSIDE CONSTRUCTION & DEV Permit Type: CC00
CERTIFICATE OF OCCUPANCY COMM
Comments: C.O. FOR UNIT 209
Building Department Signature Date Signed
t
�INME TOWN OF BARNSTABLE Building
�► 'Application Ref: 201006808 •
BARNSTABLE * Issue Date: 12/16/10 Permit
9 MASS:
Q�pr i63S it Applicant: Permit Number: B 20102722
FD MA
Proposed Use: Expiration Date: 06/15/11
Location 89 LEWIS BAY 209 Zoning District MS Permit Type: SPECIAL PROJECT ADD/ALTER COMM
Map Parcel 3272230BI Permit Fee$ 353.40 Contractor OCEANSIDE CONSTRUCTION&DEV
Village HYANNIS App Fee$ 100.00 License Num 48102
Est Construction Cost$ 38,836
Remarks APPROVED PLANS MUST BE RETAINED ON JOB AND
INTERIOR BUILD OUT PER DRAWINGS-APPROX 1387 SQ FT THIS CARD MUST BE KEPT POSTED UNTIL FINAL
UNIT 209 INSPECTION HAS BEEN MADE. WHERE A
CERTIFICATE OF OCCUPANCY IS REQUIRED,SUCH
Owner on Record: GREENERY DEVELOPMENT LLC BUILDING SHALL NOT BE OCCUPIED UNTIL A FINAL
Address: 52 SHIP'S EAGLE LANE INSPECTION HAS BEEN MADE.
OSTERVILLE, MA 02655 .
Application Entered by: PR Building Permit Issued By:
THIS PERMIT CONVEYS NO RIGHT TO OCCUPY ANY STREET,ALLY OR SIDEWALK OR ANY PART THEREOF,EITHER TEMPORARILY OR PERMANENTLY.
ENCROACHEMENTS ON PUBLIC PROPERTY,NOT SPECIFICALLY PERMITTED UNDER THE BUILDING CODE,MUST BE APPROVED BY THE JURISDICTION.
STREET OR GRADES AS WELL AS DEPTH AND LOCATION OF:PUBLIC SEWERS MAY BE OBTAINED.FROM THE DEPARTMENT OF PUBLIC WORKS.
THE ISSUANCE OF THIS PERMIT DOES NOT RELEASE THE APPLICANT FROM THE CONDITIONS OF ANY APPLICABLE SUBDIVISION RESTRICTIONS.
MINIMUM OF FOUR CALL INSPECTIONS REQUIRED FOR ALL CONTSTRUCTION WORK: ` r'
1.FOUNDATION OR FOOTINGS.
2.ALL FIREPLACES MUST BE INSPECTED AT THE THROAT LEVEL BEFORE FIRST FLUE LINING IS INSTALLED.
3.WIRING&PLUMBING INSPECTIONS TO BE COMPLETED PRIOR TO FRAME INSPECTION.
4.PRIOR TO COVERING STRUCTURAL MEMBERS(READY TO LATH).
5.INSULATION.
6.FINAL INSPECTION BEFORE OCCUPANCY,
WHERE APPLICABLE,SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL,PLUMBING AND MECHANICAL INSTALLATIONS.
WORK SHALL NOT PROCEED UNTIL THE INSPECTOR HAS APPROVED THE VARIOUS STAGES OF CONSTRUCTION.
PERMIT WILL BECOME NULL AND VOID IF CONSTRUCTION WORK IS NOT STARTED WITHIN SIX MONTHS OF
DATE THE PERMIT IS ISSUED AS NOTED ABOVE.
PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS DO NOT HAVE ACCESS TO GUARANTY FUND(as set forth in MGL c.142A).
in M M
BUILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS
1 1 �uvrti 1
2 2 .. if /P,,al„r��vvrr . 2
P o
3 � 1 Heating Inspection Approvals Engineering Dept
OK
Fire Dept 1C 2 Board of Health
TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION
4
Map Parcel, Application #
Health Division Date Issued
Conservation Division Application Fee t60
Planning Dept. Permit Fee S�
Date Definitive Plan Approved by Planning Board P/
Historic = OKH Preservation / Hyannis
Project Street Address Cewts 12_-A TROAo UNI&2nP5
Village
Owner a°l l ew k S "eA� L -C Address Sq b Ma► (T4A 1-7
Telephone Sbb .1-7 6 S7700
Permit Request
�►v�o,� 1,3ti3� S� fit"
Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new
Zoning District Flood Plain Groundwater Overlay
Project Valuation cc_�&L 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 ��"r Historic House: ❑Yes --ERto On Old King's Highway: ❑Yes Cho
Basement Type: ❑ Full ❑ Crawl ❑Walkout ❑Other N)a
Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft)
Number of Baths: Full: existing new 2 Half: existing = new
Number of Bedrooms: existi g 2 new
Total Room Count (not including baths): existing new First Floor Room'Count
Heat Type and Fuel: ❑ Gas ❑Oil QIPElectric t&Other RL"P -
Central Air: Yes ❑ No Fireplaces: Existing New Existing wood/coal stove::0 Yes',6w
Detached garage: ❑ existing ❑ new size—Pool: ❑ existing ❑ new sib¢ Barn: ❑ existing ❑,nbw rsize_
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
(BUILDER OR HOMEOWNER)
( pFtN5if�2- CLlySTRuG-Etaa► ck '�®0• - f
Name -364N }J Ch vy S Telephone Number '-1-7 q F- S'ot<
Address Soo fy^cl�`^' S` V,ns c'T r7 License# 0 B1 bz
H y q rnn c S M A DL60 1 Home Improvement Contractor#
Worker's Compensation #
ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BETAKEN TO CgSELA UQAS-Vp_
SIGNATU DATE
"
S
FOR OFFICIAL USE ONLY
~ APPLICATION#
DATEISSUED
MAP/PARCEL NO.
ADDRESS VILLAGE
OWNER
R.µ
DATE OF INSPECTION:
FOUNDATION
FRAME,
INSULATION
FIREPLACE
ELECTRICAL: ROUGH FINAL
PLUMBING: ROUGH FINAL
GAS: ROUGH FINAL
FINAL BUILDING
DATE CLOSED OUT
ASSOCIATION PLAN NO.
r
I
Massachusetts- Department of Public SafetN
Board of Buildin« Rey
gulations and Standards
Construction Supervisor License
License: Cs 48102 ,
JOHN J HUTCHINS
419 RIVER RD
MARSTONS MILLS, MA 02648
e
C�
Expiration: 9/16/2012
('ommissioner .
Tr#: 3834
The Commonwealth of Massachusetts
I I Department of Industrial Accidents
Office of Investigations
�- 600 Washington Street
Boston, AM 02111
{h www.mass.gov/dia
Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers
Applicant Information Please Print Legibly
Name (Business/Organization/Individual):
Address:_-P
City/State/Zip: � Phone #:
Are you an employer?Check the appropriate box: Type of project(required):
1, am a employer with 4. ElI am a general contractor and I 6. ❑ New construction
employees(full and/or part-time).* have hired the sub-contractors
2.❑ I am a sole proprietor or partner-
listed on the attached sheet:$ 7• ❑ Remodeling
ship and have no employees These sub-contractors have 8. ❑ Demolition
working for me in any capacity workers' comp. insurance. 9• ❑ Building addition
[No workers' comp. insurance 5. ❑ We are a corporation and its
officers have exercised their 10.0 Electrical repairs or additions
required.]
3.❑ I am a homeowner doing all Work right of exemption per MGL I I.❑ Plumbing repairs or additions
myself. [No workers' comp. c. 152, §1(4), and we have no 12.0 Roof repairs
insurance required.] t 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.
tContractors that check this box must attached an additional sheet showing the name of the sub-contractors and their workers'comp.policy information.
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. #: Expiration Date'': ``
Job Site Address:b't 1 S GAxa . I _QA0 City/State/Zip:' 6"A"r\n..S.
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 Si rtif under th pains and penalties of perjury that the information provided above is true and correct.
nature: Date:
Phone#• ��� 2�� u�L�
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#:
Project: Lewis Bay Court- Hyannis, MA
In accordance with Section 116.2.1 of the Massachusetts State Building Code, 780 CMR,
7rh Edition, I, Wayne J. Jacques, Massachusetts Registered Architect/Engineer #6935 of
Jefferson Group Architects, Inc., hereby certify that I have prepared or directly
supervised the preparation of all design plans, computations and specification
concerning:
Entire Project Architectural X Structural
Mechanical Fire Protection Electrical
Other(please specify)
I
For the above named project and to the best of my knowledge, such plans,
computations and specifications meet the applicable provisions of the Massachusetts
Building Code Th Edition, all acceptable engineering practices and all applicable laws
and ordinances for the proposed use and occupancy. I further certify that I shall perform
the necessary professional services and be present on the construction site on a regular
and periodic basis to determine that the work is proceeding in accordance with the
documents approved of the building permit and shall be responsible for the following as
specified in Section 116.2.2:
1. Review, for conformance to the design concept, shop drawings, samples and
other submittals, which are submitted by the contractor in accordance with the
requirements of the construction documents.
2. Review and approval of the quality control procedures for all code-required
controlled materials
3. Be present at intervals appropriate to the stage of construction, to become
generally familiar with the progress and quality of the work and to determine, in
general, if the work is being performed in a manner consistent with the
construction documents.
Pursuant to Section 116.4, 1 shall submit periodically, a progress report together with
pertinent comments to the town of Hyannis Building commissions. Upon satisfactory
completion of the work, I shall submit a final report as the satisfactory completion ad
readiness of the project for occupancy.
I•ir
MA
May 19, 2010
epeon
GINAL` + AND AL DATE
Jefferson Group Architects, Inc.
Wayne J.Jacques,AIA,NCARB
700 School Street-Unit#2
Pawtucket,RI 02860
T:401-721-2245 F:401-721-2238 Construction Control Affidavit-MA Lewis Bay Court.doc
�mE Town of Barnstable
Regulatory Services
saxrrM rABM * Thomas F.Geiler,Director
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
a'4
h ,as Owner of the subject property
�,�o �r,
herebyauthorize�--,� ��'� r' to act on m behalf,
,
Y
In all matters relative to work authorized by this building permit application for.
(Address of Job)
Sig of Owner Date
G I p
Print Name
1
If Property Owner is applying for permit please complete the
Homeowners License Exemption Form on the reverse side.
Q:FORM&O WNERPERMISSION
- I
ow I IN
CORD, 61112010
UCER THIS CERTIFICATE IS ISSUED A MATTER OF INFORMATION
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
Paul Peters Agency,Inc. HOLDER. THIS CERTIFICATE DOES NOT AMEND,EXTEND OR
680 Falmouth Road ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
Mashpee,MA 02649 MPANIES AFFORD[ G COVERAGE
COMPANY
A Atlantic Charter Insurance Com an VDAC
wsvi�D COMPANY
Oceanside Construction,Inc. B
COMPANY
419 River Road C
Marstons Mills,MA 02648 COMPANY
D
i
THIS 19 TO CERTIFY THAT THE POLICIES OF INSURANCE LmED 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 HUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN 13 SUBJECT TO ALL THE TERMS,
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE 13EEN REDUCED BY PAID CLAIMS.
CO TYPE OF INWRANCE POLICY NUMBER POLICY EFFECTIVE POLJCY EXPIRATION LIMITS
LTR DATE CUMIIP07YY) DATE(MM/DP/'/y) (In Thousands)
GENERAL LIA81L ITr BODILY INJURY OCC S
06015REHENSIVE FORM BODILY INJURY AGG 6
PREMISESIOPERAT10NA PROPERTY DAMAGE000 6
UNDERGROUND PROPERTY DAMAGEA00 6
D(PLOBION&COU.APSE HAZARD al&PD COMBINED OOC 5
PRODUCT&COMPLETED OPER BI 6 PD COMBINED AW 5
CONTRACTUAL FERSONAL INJURY AGO 6
INDEPENDENT CONTRACTORB
EIROAD FORM PROPERTY DAMAGE
PERSONAL INJURY
AUTOMOBILE LIABILITY BODILY INJURY
ANY AUTO (Parpanon) 6
ALL OWNED AUTOS IP6vete Peas) BODILY INJURY
WN
ALL OWNED AUTOS (Per eeddenQ
(Olhm IhAA Pdvele Passenger)
HIREDAVTOS PROPERTY DAMAGE 6
NON-OWNED AUT08 BODILY INJURY b
OARAOE LIABILITY PROPPATY DAMAGE
COMBINED 5
EXCESS LIABILITY EACH OCCURRENCE $
HUMBRELLA FORM AGGREGATE
OTHER THAN UMBRELLA FORM S
A F*OROO"0 WIIIII"SAWNAND 'WCV00617205 2/3/2010 2/3/2011 STATUTORYUMITB
LITY EACH ACCIDENT ® 1,000,000
DISEASE-POLICY LIMIT $- I,000,000
DISEASE-EACH EIMPLQYEE !:; ,000,000
OTHER
DEBCRIPTLOM OF OPERATlCN3A OCAT1aNiNRHICLKMPECIAL ITE" ..
Job: 89 Lewis Hay Rd c� .
TM�I
;J say
MWOII
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
Town of Barnstable EXPIRATION DATE THEREOF,THE ISSUING COMPANY WILL ENDEAVOR TO MAIL
Ain]: Paul Rosa 6 12 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT.
200 Main St BUT FAILURE TO IL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY
Hyannis,MA 02601 OF ANY KIND Y HE COMPANY,ITjAGfNTS OR REPRESENTATIVES.
AUTHORIZTrD RE
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