HomeMy WebLinkAbout0089 LEWIS BAY ROAD (21) �9 Lax,) tNEW
1HE Town of Barnstable
Building Department - 200 Main Street
&4RNST"LE. * Hyannis, MA 02601
MASS. (508) 862-4038
1639. ��
Argo�a
Certif icate of Occupancy-
Application Number: 201006783 CO Number: 20110130
Parcel ID: 327223000. CO Issue Date: 08116111
Location: 89 LEWIS BA-Y ROAD 213 Zoning Classification:
Proposed Use: CONDOMINIUM .
Village: HYANNIS
Gen Contractor: OCEANSIDE CONSTRUCTION & DEV Permit Type: CC00
CERTIFICATE OF OCCUPANCY COMM
Comments: C.O. FOR UNIT 213
zz
Building Department Signature Date Signed
NE
trti Town of Barnstable
Building Department - 200 Main Street
ASTABLE. * Hyannis, MA 02601
MASS a,�' (508) 862-4038
Certificate of Occupancy
Application Number: 201006783 CO Number: 20110130
Parcel ID: 32722300D CO Issue Date: 08116111
Location: 89 LEWIS BAY ROAD 213 Zoning Classification:
Proposed Use: OFFICE CONDOMINIUM
Village: HYANNIS
Gen Contractor: OCEANSIDE CONSTRUCTION & DEV Permit Type: CC00
CERTIFICATE OF OCCUPANCY COMM
Comments: C.O. FOR UNIT 213
Building Department Signature Date Signed
TOWN OF BARNSTABLE '
INETp Building
Application Ref: 201006783
RN3TASLE, Issue Date: 12/16/10
P
ermit
9A
9 MASS.
�prFG 339. A Applicant: OCEANSIDE CONSTRUCTION&DEV Permit Number: B 20102726
Proposed Use: Expiration Date: 06/15/11
Location 89 LEWIS BAY ROAD 213 Zoning District MS Permit Type: SPECIAL PROJECT ADD/ALTER COMM
Map Parcel 32722300D Permit Fee$ 474.95 Contractor OCEANSIDE CONSTRUCTION&DEV
Village HYANNIS App Fee$ 100.00 License Num 48102
Est Construction Cost$ 52,192
Remarks APPROVED PLANS MUST BE RETAINED ON JOB AND
BUILD OUT FOR UNIT#213 THIS CARD MUST BE KEPT POSTED UNTIL FINAL
1,864 SQ FT 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: A�J pe—��
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 ORALLY,GRADES AS WELL AS DEPTH AND LOCATION OF PUBLIC SEWERS MAYBE 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:
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).
Am
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BUILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS
3 1 Heating Inspection Approvals Engineering Dept
V Yv
Fire Dept l �� 2 Board of Health
• TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION
ce: (�2
Map Parcel CX' Application ��C
Health Division Date Issued LO
Conservation Division Application Fe C.
Planning Dept. u,.Permit Fee .�
Date Definitive Plan'Approved by Planning Board
Historic - OKH Preservation/Hyannis
Project Street Address e3ci IBI Ulm
Village4
Owner 1�ft L&0 lS 01--q-u L-L(— Address Soo rnAl'U
Telephone O v
Permit Request _I t-t�Co-L LO b"i-t- Aa >
Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new
Zoning District Flood Plain Groundwater Overlay
Project Valuation S;L, A-2- Construction Type
Lot Size Grandfathered: ❑Yes If yes, attach supporting documentation.
Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family (# units)
Age of Existing Structure Historic House: ❑Yes Olqe-�On Old King's Highway: ❑Yes -4 -No
Basement Type: ❑ Full ❑ Crawl ❑Walkout ❑ Other N 1�'
Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft)
c)
Number of Baths: Full: existing new Half: existing new
Number of Bedrooms: existianew
Total Room Count (not including baths): existing new First Floor Room Count
Heat Type and Fuel: ❑ Gas ❑ Oil C&Electric Other 4GAT PoMR
Central Air: s ❑ No Fireplaces: Existing New N La Existing wood/coal stove: ',U Yes�Pda
Detached garage: ❑ existing 0 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
(BUILDER OR HOMEOWNER)
01-rts �c. o�
Name cam,S Telephone Number '771 23u !�;q 11
Address�01L 4 �R UN IT-'-' License# ��to Z—
a4Ary- i S nnA 6q-661 Home Improvement Contractor#
Worker's Compensation #
ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO
SIGNAT R DATE t 1 I a� l c
FOR OFFICIAL USE ONLY
APPLICATION#
DATE ISSUED
MAP/PARCEL NO.
ADDRESS VILLAGE
OWNER
DATE OF INSPECTION:
FOUNDATION
FRAME
INSULATION
FIREPLACE
ELECTRICAL: ROUGH FINAL
PLUMBING: ROUGH FINAL
,
GAS: ROUGH FINAL
FINAL BUILDING
DATE CLOSED OUT
ASSOCIATION PLAN NO.
x
1
The Commonwealth of Massachusetts
1 I Department of Industrial Accidents
_t. r Office of Investigations
/ 600 Washington Street
�;..j Boston, MA 02111
w www.mass.gov/dia
Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers
Applicant Information Please Print Legibly
Name (Business/Orgariization/Individual): QC �I��s��- co N5;% Res ct -z`-...D
Address:�>o `Coy,- � 1
City/State/Zip: 0VK%_Q*5 A.L1-t5 Phone #: _71'�t >
-Are you an employer?Check the appropriate box: Type of project(required):
1. am a employer with 4. ❑ I am a general contractor and I 6. ❑New construction
employees(full and/or part-time).* have hired the sub-contractors
2.El am a sole proprietor or partner- listed on the attached sheet. x ❑ 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
required.] officers have exercised their 10.❑ Electrical repairs or additions
3.❑ I am a homeowner doing all work right of exemption per MGL 11.0 Plumbing repairs or additions
myself. [No workers' comp. c.. 152, §1(4),and we have no 12.❑ 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: 89 �u L %.S �-A City/State/Zip: A4 Anrlt-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 hereb cer under t i e pai and penalties of perjury that the information provided above is true and correct
i nature: Date:
Phone . �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#:
r
Information and In tractions
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 trustee 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."
Additionally,MGL chapter 152, §25C(7)states"Neither the commonwealth nor any of its political subdivisions shall
enter into any contract for the performance of public work until acceptable evidence of compliance with 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
necessary,supply sub-contractor(s)name(s), address(es)and phone number(s)along with their certificate(s)of
insurance. Limited Liability Companies(LLC)or Limited Liability Partnerships(LLP)with no employees other than the
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 affidavit 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'
compensation policy,please call the Department at the number listed below. Self-insured companies should enter their
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"the 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 to any business or commercial venture
(i.e. a dog license or permit to burn leaves etc.)said required person is NOT ired to complete this affidavit.
P q .
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,lltelephone and fax number:
The Commonwealth.of Massachusetts
Department of Industrial Accidents
Office of Investigations
600 Washington Street
Boston, MA 02111
Tel. # 617-727-4900 ext 406 or 1-877-MASSAFE
Revised 5-26-05 Fax # 617-727-7749
www.mass.govldia
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Massachusetts- Department of Public Sitfeh
Board of Building Re-
�uhltions and
andards
Construction Supervisor License
License: cs 48102
JOHN J HUTCHINS
419 RIVER RD
MARSTONS MILLS, MA 02648
Expiration: 9/16/2012
('ummissiuner• �.
Tr#: 3834
tl
COR®. N11
611I2010
UCER THIS CERTIFICATE IS ISSUED A MATTER OF INFORMA I I N
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
Paul Peters Agency,Inc. HOLDER. TM18 CERTIFICATE DOE$NOT AMEND,EXTEND OR
680 Falmouth Road ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
IeMashpee,MA 02649 COMPANIES AFFORDING COVERAGE
COMPANY
A Atlantic Charter Insurance Com an VDAC
Wsv�D COMPANY
Oceanside Construction,Inc. B
COMPANY
419 River Road C
1VImtons Mills,MA 02648 COMPANY
D
THIS I9 TO CERTIFY THAT THE LILIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
INDICATED. NOTWITHSTANDING ANY REOUtREMBNT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
CERTIFICATE ATE MAY BE ISSUED OR MAY PERTAIN,THVI INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUdJEOT TO ALL THE TERMS,
R
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE 13EEN REDUCED BY PAID CLAIMS.
CO TYPE OF IN6URANCH POLICY NUMBER POLICY EFFECTIVL POLICY EXPIRATION LIMITS
LiA DATE(MMAXWYY) DATE fmmmP+YY) (In Thousands)
OEMERAL LIABILITY BODILY INJURY OCC S
00MPR@HENBIVE FORM BODILY INJURY AGG
PREMI8E3JOPERATIONS PROPERTY DAMAGE OCC $
PROPERTY DAMAGE AUU $
UNDERGROUND
EXPLOSION a COLLAPSE HAZARD al&PD COMBINED OCC $
PRODUCT&COMPLETED OPER 81&PD COMBINED Apo $
CONTRACTUAL PFI2SONAL INJURY AGO $
INDEPENDENT CONTRACTORS
BROAD FORM PROPERTY DAMAGE
PERSONAL INJURY
AUTOMOBILE LIABILITY BODILY INJURY
ANY AUTO (Perparsan) $
ALL OWNED AUTOS(PRvale Pass) BODILY I WURY
ALL OWNED AUTOS (Per aeddanp &
(OBIm than Ptivale Paes®n®ep
HIRED AUTOS PROPERTY DAMAGE $
NON-OWNED AUTOS BODILY INJURY 6
OARAOE LIAMLITY PROPERTY DAMAGE
COMBINED 8
E X=Z LIABILRY EACH OCCURRENCE S
UMBRELLA FORM AGGREGATE $
OTHER THAN UMBRELLA FORM $
A EWORKEIIIA s LIABILITY EACH
WC`I00617205 2/3/2010 2/3/2011 X I ST TU RENT LIMITS $ 1,000,000
DISEASE-POLICY LIMIT s. 1,000,000
DISEASE-EACH EMPLOYEE 8^';' ,000,000
OTHER. •"y
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DESCRJ"GM OF OPERA710pgL%=AnoNSN6NICLMSMP0dAL1YEM0
Job: 89 Lewis Bay Rd <,
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SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
Town of Barnstable EXPIRATION DATE THEREOF,THE ISSUING COMPANY WILL ENDEAVOR TO MAIL
Attn:Paul Rosa d 12 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT.
200 Main St BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY
Hyannis,MA 02601 OF ANY KIND HE COMPANY,IT G NTS OR REPRESENTATIVES.
AUTHORIZED RE
"STRt! CTT �T t3Lo 1�4��I ? ,11�IT
Project: Lewis Bay Court- Hyannis, MA
In accordance with Section 116.2.1 of the Massachusetts State Building Code, 780 CMR,
7th 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 7th 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.
MA
, ` ' May 19, 2010
GIN AL 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
� E Town of Barnstable
Regulatory Services
BARhum&w I.E. ' Thomas F.Geiler,Director
�Fo � 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
as Owner of the subject property
hereby authorize to act on my behalf,
in all matters relative to work authorized by this building permit application for.
8� Leers`s `may �oa� -
(Address of Job)
Sig of Owner Date
G
Print Name
1
If Property Owner is applying for permit please complete the
Homeowners License Exemption Form on the reverse side.
Q:FORM&OWNERPERMIS SION
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