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0089 LEWIS BAY ROAD (37)
�, f __ __ __ ---.--- - _ F Town :of Barnstable Building Department 200 Main Street t BARNSTABLE, * Hyannis, MA 02601 .9 MASS. . �D3�a�� (508) 862-4038 MA r Certificateof Occupancy Application Number: 201004676 CO Number: 20100202 Parcel ID: 3272230AF CO Issue Dater 11/18110 Location: 89 LEWIS BAY ROAD 315 Zoning Classification: Proposed Use: CONDOMINIUM Village: HYANNIS Gen Contractor: OCEANSIDE CONSTRUCTION & DEV Permit Type: CC 00 CERTIFICATE OF OCCUPANCY COMM Comments: G t Building Department Signature Date Signed Town of Barnstable Building Department - 200 Main Street BARNST.4Z * Hyannis, MA 02601 9 MASS 1639. . (508) 862-4038 �'FD MP'i A Certif icate of Occupancy Application Number: 201004676 CO Number: 20100202 Parcel ID: 3272230AF CO Issue Date: 11118110 Location: 89 LEWIS BAY ROAD 315 Zoning Classification: Proposed Use: _ CONDOMINIUM Village: HYANNIS Gen Contractor: OCEANSIDE CONSTRUCTION & DEV Permit Type: CC00 CERTIFICATE OF OCCUPANCY COMM Comments: Building Department Signature Date Signed '4t Town of Barnstable p � Building Department - 200 Main Street t BARNSTABIE. * Hyannis, MA 02601 b a, (508) 862-4038 FD� Certificate of Occupancy Application Number: 201004676 CO Number: 20100202 Parcel ID: 32722300S CO Issue Date: 11/18110 Location: 89 LEWIS BAY ROAD 314 Zoning Classification: MEDICAL SERVICES DISTRICT Proposed Use: Village: HYANNIS Gen Contractor: OCEANSIDE CONSTRUCTION & DEV Permit Type: CCOO CERTIFICATE OF OCCUPANCY COMM Comments: i Building Department Signature Date Signed n'3 - a��. J �tNEr TOWN OF BARNSTABLE �' �► Application Ref: 201004676 • BARNSTABLE, Issue Date: 09/17/10 Permit y MASS �ArFG 339. p�� Applicant: OCEANSIDE CONSTRUCTION&DEV Permit Number: B 20101920 Proposed Use: Expiration Date: 03/17/11 Location 89 LEWIS BAY ROAD 314 Zoning District MS Permit Type: SPECIAL PROJECT ADD/ALTER COMM Map Parcel 32722300S Permit Fee$ 545.29 Contractor OCEANSIDE CONSTRUCTION&DEV Village HYANNIS App Fee$ 100.00 License Num 48102 Est Construction Cost$ 67,320 Remarks APPROVED PLANS MUST BE RETAINED ON JOB AND UNIT# INTERIOR BUILD OUT APPROX 1,683 THIS CARD MUST BE KEPT POSTED UNTIL FINAL L 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: 1435 IYANNOUGH RD INSPECTION HAS BEEN MADE. HYANNIS,MA 02601 Application Entered by: PR Building Permit Issued By: THIS PERMIT CONVEYS NO RIGHTTO OCCUPY ANY STREET,ALLY OR SIDEWALK OR ANY PARTTHEREOF;EITHER,TEMPORARILY OR PERMANENTLY:. ENCROACHEMENTS ON PUBLIC PROPERTY,NOT SPECIFICALLY PERMITTED UNDER THE BUILDING CODE,MUST BE AP 11 PROVED BY THE JURISDICTION. STREET'OP,ALLY'GRADES AS"WELL AS DEPTH AND LOCATION OF PUBLIC SEWERS MAY BE OBTAINED,FROM THE`DEPARTMENT OF'PUBLIC WORKS. THE ISSUANCE-OFTHIS PERMIT DOES NOT RELEASE THE ,APPLICANT FROM THE CONDITIONS OF ANY APP"LICABLE`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. \ 1 4.PRIOR TO COVERING STRUCTURAL MEMBERS(READY TO LATH). 5.INSULATION. t 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 2 C>�L pp/Z- 2 .a/ 2� ��o?✓l' 1� 3 a( C)CC 1 Heating Inspection Approvals Engineering Dept ( - �-, P/z- Fire Dept 2 Boar 1oz? / M o llIIS110 v . C/ TOWN OF BARNSTABLE,BUILDING PERMIT APPLICATION Map Z� Parcel Application ( Health:Division Date Issued a v Conservation Division �4 �`� Application IS OU Planning Dept. - Permit Fee Date Definitive Plan Approved by Planning Board to ¢b , Historic - OKH _ Preservation / Hyannis Project Street Address .ILw%S `2pz Y'o� Village A rn rn%S V rl- i��_ Owner �9 �. _ 1% L YaRLe;Address U 'MAIN N l Telephone I$ 70 Permit Req l`T lQk L0 O� Square feet: 1 st o _.—fisting— proposed 2nd floor: existing proposed Total new . Zoning District Flood Plain Groundwater Overlay Project Valuation 24 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 2©'r Historic House: ❑Yes &i"o On Old King's Highway: ❑Yes 211 lb Basement Type: ❑ Full ❑ Crawl ❑Walkout ❑ Other Basement Finished Area (sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full: existing new(2_ Half: existing new Number of Bedrooms: existin Z ne Total Room Count (not including baths): existing new First Floor Room Count Heat Type and Fuel: ❑ Gas I ❑ Oil ❑ Electric c&Other O C-47 PUMP Central Air: .4-Fes ❑ No Fireplaces: Existing New OCAS Existing wood/coal stove: ❑Yes EFNo Detached garage: ❑ existing ❑ new size—Pool: ❑ existing ❑ net, 7 _ Barn: ❑ existing ❑ new size_ ��VV � 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) DUNS tc�e CoN�-�•� D��cl.�pc�PN'� Name _160ri Telephone Number -7 74- 2 >5 P-4 k 1 Address &qb YYIAtH `v_ ON tT 1-7 License #4510`Z HyA�1nr S M(A 0266 Home Improvement Contractor# 'N/b Worker's Compensation #\WeL\J006t-1Z0`�;_ ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO CASE SIGNATURE DATE FOR OFFICIAL USE ONLY APPLICATION# DATE ISSUED MAP/PARCEL NO. ADDRESS VILLAGE OWNER DATE OF INSPECTION: FOUNDATION FRAME r INSULATION' FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. Town of Barnstable Regulatory Services BARNErrAIBM MAS&" 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 i J i y 3 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. 69 Lis t S (Address of Job) Sig of Owner Date C/ � - Print Name { If Property Owner is applying for permit please complete the Homeowners License Exemption Form on the reverse side. Q:FORM&O WNERPERMIS SION The Commonwealth ofMassachrrsetts Department of Industrial Accidents Office of IIIvestigations doo Washington Street Boston, MA 02111 j� www,niass.gov/dia Workers' Compensation Insurance Affidavit: Build ers/Contractors/Electricians/Pluml Applicant Information Please Print Ise Name (Business/Organization/Individual): Of �KStO'C- Cv1NST �p�VMM`a�t - Address: `{O �At - Unj e T k'7 k� aunt City/State/Zip- USA e%n t S MA bz_f-et Phone 4:6V3 -77B S106 Are you an employer?Check the appropriate box' Type of project (required) L-"'am a employer with .4. ❑ 1 am a general contractor and 1 . 6 [] New construction have hired the sub-contractors Employees (full and/or part-time).* listed on the attached sheet. 7; ❑ Remodeling 2.❑ I am a sole proprietor or partner- These sub-contractors have ship and have no employees, 8�. ❑ Demolition working forme in any capacity. employees and have workers' 9 ❑ Building addition No workers' com insurance comp.insurance.t [ p• .. 10.❑ Electrical repairs or required.] 5. ❑ We.are a corporation and its 3.❑.I qu a homeowner doing all work officers have exercised their 11.❑ Plumbing repairs or right of exemption per MOL rs myself. [No workers' comp. g •p 12.❑ Roof repay t c. 152, §1(4), and we have no 13. Other . insurance required..] ❑ employees. [No workers' 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 tContraclors that check this box must attached an additional shcct showing the name of the sub-contractors and state whether or not those entities ha employees. If the sub-contractors have employccs,they must provide their workers'comp.policy number. I am an employer that isproviding workers' compensation insurance for my employees. Below is.thepolicy andjab information. Insurance Company Name: Policy# or Self-ins. Lic.#: WCV©Ob�QS Expiration Date:2 t3 Job Site Address: cqq City/State/Zip: Attache a copy of the workers' compensation policy declaration page (showing the policy number a.nd expiration Failure to secure coverage as required under Section 25A of MOL c. 152 can lead to the imposition of criminal penaltit fine up to s 1,500.00 and/or one-year imprisonment, as well as civil penalties in the form of a STOP WORK.ORDER at of up to $250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to:the Off ce of Investigations.of the DIA for insurance coverage verification. I do hereb eery unde�fh ns and penalties ofperjury that the information provided above is true and correct. Date: nature: Phone —n S 7d" Official Ilse only. Do not write in this area, to be completed by city or town official. City or Town: Permit/License# Issuing Authority (circle one): ^ �. ..'. , A r.,r—inr S Pl„mhinp lnsp ect0 ' 111formation and ZnstructioDs Massachusetts General Laws chapter 152 requires all employers to provide workers' compensation for their employees. Pursuant to this statute, an einployee 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 performance of until acceptable evidence of compliance with the insurance enter into any contract for the 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 sihuation and,if necessary,supply sub-contractor(s)name(s), addresses)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 permitAicense number which will be used as a.reference number. In addition, an applicant that must submit multiple permitflicense 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 starnped'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. Anew 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 bum leaves etc.)said person is NOT required to complete this affidavit. 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, telephone and fax number: The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston, MA 02111 Tel, 4 617-727-4900 ext 406 or 1-877-MASSAFE Fax # 617 727-7749 P P;,;QPrt 4-?4-07 l 4l J * dtT 1,�1✓..• r*`�,, F J K(/iq r It7 6'+G,+3 r �'4�''TG '-a N'4.+t z x 7,C-,4J-i'fir{}^'\).rk,r ^-•]/r!' k Y+ 9 y s � { F r J!,. ry1✓.°3,.."f1r,,,x>n.}i..'f.*.�,: .r .,<.:sa","`J Jr�;`,rF it..s:., ksf� 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 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,pr�oject for occupancy. MA 2 May 19, 010 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 I z Massachusetts Department of Public Safct} _ Board of Building Re�aulations and Standards Construction Supervisor License License: CS 48102 Restricted to: 00 JOHN J HUTCHINS 419 RIVER RD MARSTONS MILLS, MA 02648 Expiration: 9/16t2010 (bnunissiuncr Tr#: 4320 i. , CORD. 61112010 UCER THI CERTIFICA EIS ISSUED A MATTER OF INFORMATI N 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 COMPANIES AFFORDING COVERAGE COMPANY A Atlantic Charter Insurance Com an VDAC INSURED COMPANY Oceanside Construction,Inc. B COMPANY 419 River Road C Marstons Mills,MA 02648 COMPANY D THIS Is TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDWO ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY 01 ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. CO TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS LTA - DATE(MMIPDrYY) DATE(MMIDPWYY) (In Thousands) - 09NEML LIAEILJTY BODILY INJURY OCC 3 COMPREHENSIVE FORM BODILY INJURY AGG 6 PREMISESIOPERATIONS PROPERTY DAMAGE000 6 UNDERGROUND PROPERTY DAMAGEAOa 6 EXPLOSION IL COLLAPSE HAZARD al a PD COMBINED OCC 3 PRODUCT&COMPLETED OPER BI 6 PD COMBINED AGO 5 CONTRACTUAL PERSONAL INJURY AGO 6 INDEPENDENT CONTRACTORS 5ROADFORM PROPERTY DAMAGE FERWNAL INJURY AUTOMOBILE LIABILITY BODILY INJURY ANY AUTO (Per person) 6 ALL OWNEO AUTOS(Piyato Peso) BODILY INJURY ALL OWNED AUTOS (Per acoldeno 6 (01har[him Pdvate Paeaenper) HIREDAUTOS PROPERTY DAMAGE 6 NON-OWNED AUTOS BODILY INJURY& OARAOE LIAINLITY PROPERTY DAMAGE COMBINED 3 EXCESS LIABILITY EACH OCCURRENCE 3 UMBRELLA FORM AGGREGATE OTHER THAN UMBRELLA FORM 8 WORKERS CCMPRNSATIOWAND WCV00617205 2/3/2010 2/3/2011 X STATUTORY LIMITS A ErwLorensLIs ILITY EACH ACCIDENT 3 1,000,000 DISEASE-POLICY LIMIT $- 1,000;000 DISEASE-EACHEMPLOYBE 111-'1,000,000 OTHER 1 ; DESCRIPTION OFOMRAnoNaiwCATIONSNENICLISMPECIALITEMS Job: 891,ewis Bay Rd {1 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE Town of Barnstable EXPIRATION DATE THEREOF,THE ISSUING COMPANY WILL ENDEAVOR TO MAIL Artn: Paul Rosa ; 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 VFPIqTHE COMPANY,IT G NTS OR REPRESENTATIVES. 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