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0089 LEWIS BAY ROAD (18)
I ME " ti Town of Barnstable Building Department - 200 Main Street BARNSTAMAS& * Hyannis, MA 02601 MA59. �, (508) 862-4038 Certificateof Occupancy Application Number: 201006778 CO Number: 20110124 Parcel ID: 32722300K CO Issue Date: 08/16/11 Location: 89 LEWIS BAY ROAD 207 Zoning Classification: Proposed Use: CONDOMINIUM Village: HYANNIS Gen Contractor: OCEANSIDE CONSTRUCTION & DEV Permit Type: CC00 CERTIFICATE OF OCCUPANCY COMM Comments C.O. FOR UNIT #207 z-- Building Department Signature Date Signed INE Town of Barnstable Building Department - 200 Main Street BAMSTABLE, = Hyannis, MA 02 601 9� MASS. (508 1639. ) 862-4038 Certificate of Occupancy Application Number: 201006778 CO Number: 20110124 Parcel ID: 3272230BG CO Issue Date: 08116/11 Location: 89 LEWIS BAY ROAD 207 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 #207 Building Department Signature Date Signed a" r ZNE TOWN OF BARNSTABLE �� � ,�� a 11ti Bu. , in g Application Ref: 201006778 '`-a�' • BARNSTABLE, Issue Date: 12/16/10 Permit 9 MASS. �ArFG 3���� Applicant: OCEANSIDE CONSTRUCTION&DEV Permit Number: B 20102720 Proposed Use: Expiration Date: 06/15/11 Location 89 LEWIS BAY ROAD 207 Zoning District MS Permit Type: SPECIAL PROJECT ADD/ALTER COMM Map Parcel 3272230BG Permit Fee$ 432.90 Contractor OCEANSIDE CONSTRUCTION&DEV Village HYANNIS App Fee$ 100.00 License Num 48102 Est Construction Cost$ 47,572 Remarks APPROVED PLANS MUST BE RETAINED ON JOB AND BUILD OUT FOR UNIT#207 THIS CARD MUST BE KEPT POSTED UNTIL FINAL 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: AiL./3v THIS PERMIT CONVEYS NO RIGHT TO OCCUPY ANY STREET,ALLY-OR SIDEWALK OR ANY PART THEREOF;EITHER TEMPORARILYOR PERMANENTLY: ENCROACHEMENTS ON PUBLIC PROPERTY,NOT SPECIFICALLY PERMITTED UNDER THE BUILDING CODE,MUST BE APPROVED BY THE JURISDICTION: STREET OR ALLY GRADES AS WELL AS DEPTH AND LOCATION OF PUBLIC SEWERS MAY BE:OBTAINED FROM THE DEPARTMENT OF PUBLIC;WORKS.- THE ISSUANCE OF THIS PERMIT DOESNOT RELEASE THE APPLICANT FROM THE CONDITIONS OF ANY APPLICABLE SUBDIVISION RESTRICTIONS. MINIMUM OF FOUR CALL INSPECTIONS REQUIRED FOR ALL CONTSTRUCTION WORK: 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. 5° 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). BUILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS 1 2 2N�f��a"'"t���� 2 3 l f 14 1 Heating Inspection Approvals Engineering Dept f z- Fire Dept i,9 2 Board of Health S TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Ma ` Parcel: C � '` �" p Application Health Division Date Issued ( U Conservation Division Application Fe Planning Dept. Permit Fee Z+ Date Definitive Plan,Approved by Planning Boards 'aU 0 Historic - OKH Preservation/Hyannis 1 `� Project Street Address aa (,vwv S 3 f�o� Uti l-C `7 Village (-�yarnlS mom- 02-Gc>l Owner ec( �aUlS Zoz,�, LA- - Address. A-)eq(A J S9- k3&3 L—t + c-ir Telephone Permit Request AS Square feet: 1 st floor: existing : proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation Construction Type Lot Size Grandfathered: ❑YesHo -ff yes, attach supporting documentation. Dwelling Type: Single Family :❑ Two Family ❑ Multi-Family (# units) Age of Existing Structure Historic House: ❑Yes ❑doe- On Old King's Highway: ❑Yes ❑ W)4 Basement Type: ❑ Full ❑ Crawl ❑Walkout ❑ Other h/1 Basement Finished Area (sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full: existing new _� Half: existing new Number of Bedrooms: existirCL,?2new Total Room Count (not including baths): existing new First Floor Room Count Heat Type and Fuel: ❑ Gas ❑Oil CO-Electric �&-Other H mW7=Pbm,9- -7 Central Air: &Yes ❑ No Fireplaces: Existing New 01" Existing wood/coal stove ❑Yes 3le- Detached garage: ❑ existing ❑ new size Pool: ❑ existing ❑❑ new size _ Barn: existing O1 new,gsize_ A Attached garage: ❑existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: I W _ 3 n `7l Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes ❑ No If yes, site plan review# Current Use Proposed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER) -7�� Z.3'u �4 Name -Sb t l�v�z,�►c ti S Telephone Number Addresses© MAttil S� U!v l t'� License # 04 5l O L- l�y P ne)IS (YI A 0 2-&l Home Improvement Contractor# Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO CP1SGXJ121 w �- SIGNATURE DATE I FOR OFFICIAL USE ONLY APPLICATION# DATE ISSUED MAP/PARCEL NO. ADDRESS VILLAGE OWNER DATE OF INSPECTION: FOUNDATION FRAME" f a INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL M " PLUMBING: ROUGH FINAL a GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT r ASSOCIATION PLAN NO. I C i I The Commonwealth of Massachusetts Department of Industrial Accidents i ~5 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): Address: City/State/Zip: Phone #: `7 `Z. c `4 Are you an employer?Check the appropriate box: Type of project(required): 1. ' am a er with employer . 4. ❑ I am a general contractor and I p y 6. El 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. $ _❑ 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.❑ 1 am a homeowner doing all work right of exemption per MGL I LFJ 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. $Contractors 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. Lic. #: Expiration Date: Job Site Address:18CA City/State/Zip: 4 irsZ6ak 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 rti under t e 'ns and penalties of perjury that the information providedabove is true and correct. Si nature: Date: Phone# ��� `Z 2,u f�1,, f 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 S. Plumbing Inspector 6. Other Contact Person: Phone#: l s Nl,tssachusctts- Department of Public Sat'et} Board of Building t Regulations and Standards Construction Supervisor License License: cs 48102 JOHN J HUTCHINS 419 RIVER RD MARSTONS MILLS, MA 02648 Expiration: 9/16/2012 ('ummisiuner �. Tr#: 3834 CORD. 6/1/2010 UCER THISCERTfFICA E IS ISSUED A MATTER OF INFORMA'T1 N ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Paul Petors Agency,Inc. HOLDER. THIS CERTIFICATE DOES NOT AMEND,EXTEND OR 680 Falmouth Road ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Ma�.shNe,,MA 02649 MPANIES AFFORDI G COVERAGE COMPANY A Atlantic Charter Insurance Com p VDAC wsv�® COMPANY Oceanside Construction,Inc. B COMPANY 419 River Road C Marstons Mills,MA 02648 COMPANY D THIS IS TO CERTIFY THAT THE_ LIMES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POUCY PERIOD INDICATED, NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDMON 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 SEEN REDUCED BY PAID CLAIMS. CO TYM OF W6URANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS LTQ DATE(MMIDD/Yy) DATE(MMIDDrYy) (In TII GeNERAL LIABILITY BODILY INJURY OCC S COs1PRHHENSIVE FORM BODILY INJURY AGG PREMISESIOPERATIONS PROPERTY DAMAGE OCC 6 UNDERGROUND PROPERTY DAMAGEA00 6 EXPLOSION&COUAPSE HAZARD BI&PD COMBINED DOC $ PRODUCTS/COMPLETED OPER 91 S PD COMBINED AQ0 S CONTRACTUAL PrRSONAL INJURY AGO $ INDEPENDENT CONTRACTORS gROADFORM PROPERTY DAMAGE PERSONAL INJURY AUTOMOBILE LIABILITY BODILY INJURY ANY AUTO (Perparsnn) 6 ALL OWNEO AUTOS(Private Paso) BODILY INJURY ALL OVtMED AUTOS (Per aeddeno (Other Ihm Private Pus®nppD HIREDAUTOS PROPERTY DAMAGE 6 NON-OWNED AUTOS BODILY INJURY& OARAOE LIAMLITY PROPERTY DAMAGE COMBINED S EXCESS LIABILITY EACH OCCURRENCE S UM9RELLA FORM AGGREGATE I, OTHER THAN UMBRELLA FORM $ WORKERS COMPINSA71ON AND WCV00617205 2/3/2010 2/3/2011 X STATUTORY LIMITS A EmPLoyER•sLFAeIILITY EACH ACCIDENT ® 1,000,000 DISEASE-POLICY LIMIT $- 1,00010DO DISEASE-EACH EMPLOYEE 3-: ,000,000 OTHER DEecw-MOM OF 0MR^TIQPM ocAnorvaN1NICLKWPl WAL ITEIra - Job, 89 I,ewis Bay Rd SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE 'town of Barnstable EXPIRATION DATE THEREOF,THE ISSUING COMPANY VOLL ENDEAVOR TO MAIL Atm:Paul Rosa a I2 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT. 200 Mein St BUT FAILURE TO IL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY Hyannis,MA 02601 OF ANY KIND Yj HE COMPANY,R G NTS OR REPRESENTATIVES. AUTHORRED RE '®s m 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) 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 7rh 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. aSftq � 9 SOCTON MA May 19, 2010 S:aa GIN AL AND AL DATE o 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 1 Town of Barnstable Regulatory Services BAMEMABM rMAR& Thomas F.Geiler,Director eo 39. 0. 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, 4a , as Owner of the subject property hereby authorize --�a�� ��'`�`^"r- to act on my behalf, in all matters relative to work authorized by this building permit application for: 8� leers�s may �o� (Address of Job) Sig of Owner Date C l� e Print Name f If Property Owner is applying for permit please complete the Homeowners License Exemption Form on the reverse side. Q:FO RM S:O W N ERPERM IS S ION k _ F' 3 4 4 Ml M] I W-0. zlw U-46! 18'b' B'-d5' gLV. 1211V• 841' 144f• II'-01•TYP. J�EDROOM amnraaconrI BED 00olmLIVING BEDROOM BEDROOM L ROOM ' BATH ti o + 0� e F. LIVING s ° ROOM ,c m ROOM LIVING 1. II. �' ' BEDROOM ,mas 4'-0W 5b D'3• I ROOM s'-u• sw' d-ros• B5• 1 M wtos 84r ,asas D*6Yl CL CL. 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