HomeMy WebLinkAbout0089 LEWIS BAY ROAD (43) I - .
- --- - -
P .
IKE Town of Barnstable
Building Department - 200 Main Street.
IAMSTABLE. * Hyannis, MA 02601
9�A 6 ,�' (5081862-4038
Certificate of Occupancy
Application Number: 2010.03526 CO Number: 20100193
Parcel ID: 3272230AN CO Issue Date: 11/18110
Location: 89 LEWIS BAY ROAD 408 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
Town of Barnstable
- Building Department - 200 Main Street
EAMST"E, = Hyannis, MA 02601
MASS
9Q3A 1639- , (508) 862-4038
Certificate of Occupancy
Application Number: 201003526 CO Number: 20100193
Parcel ID: 3272230AA CO Issue Date: 11/18110
Location: 89 LEWIS BAY ROAD 408 Zoning Classification: MEDICAL SERVICES DISTRICT
Proposed Use:
Village: HYANNIS
Gen Contractor: OCEANSIDE CONSTRUCTION & DEV Permit Type: CC00
CERTIFICATE OF OCCUPANCY COMM
Comments:
Building Department Signature Date Signed
�� 1
ztKE, TOWN OF BARNSTABLE
B . '
i
ti � . ng .
Application Ref: 201003526 m•
* BARNSFABIE, Issue Date: 07/20/10 Permit
MASS y
qjp 1639• Applicant: OCEANSIDE CONSTRUCTION&DEV
Permit Number: B 20101423
Proposed Use: Expiration Date: 01/17/11
Location 89 LEWIS BAY ROAD 408 Zoning District MS Permit Type: SPECIAL PROJECT ADD/ALTER COMM
Map Parcel 3272230AA Permit Fee$ 370.53 Contractor OCEANSIDE CONSTRUCTION&DEV
Village HYANNIS App Fee$ 100.00 License Num
Est Construction Cost$ 45,745
Remarks APPROVED PLANS MUST BE RETAINED ON.JOB AND
INTERIOR BUILD OUT AS PER PLANS-UNIT 408 THIS CARD MUST BE KEPT POSTED UNTIL FINAL
1 BED, 1 BATH INSPECTION HAS BEEN MADE.WHERE A.
CERTIFICATE OF OCCUPANCY IS REQUIRED,SUCH
Owner on Record: GREENERY DEVELOPMENT LLC BUILDING SHALL NOT B CCUPIED UNTIL_ A FINAL
Address: 1435 IYANNOUGH RD INSPECTION HAS BE DE.
HYANNIS, MA 02601
Application Entered by: TP` Building Permit Issued By:
THIS PERMIT CONVEYS NO RIGHT:TO OCCUPY ANY STREET;AL"LY OR SIDEWALK OR ANY'PART THEREOF,EITHER<TEMPORARILY - PERIv1ANENTLY.
ENCROACHEMENTS ONPUBLIC PROPERTY;NOT SPECIFICALLY PERMITTED,UNDER THE BUILDING CODE,.MUST-BE,APPROVED, ;HE JURISDICTION,
STREET ORALLY GRADES AS WELL'AS DEPTH AND LOCATION`OF PUBLIC SEWERS"MAY BE'OBTAINED FROM THEDEPARTMEN> OFTUBLIC WORKS:=:'
THE ISSUANCEOF;THIS PERMIT:DOES NOT RELEASE THE APPLICANT FROM THECONDITIONS OF`ANY APPLICANL&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(asset forth in MGL c.142A).
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BUILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS
1 ue"el 1
k
#�t G) ,52 0'
3 f r S ---(6 n I Hating Inspection Approvals Engineering Dept
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Fire Dept G1v 2 Board of Hqa1jh
*' TOWN OF BARNSTABLE1B,UILDING PERMIT APPLICATION
Ma03Z_ Parcel' 223c��Q 'Application #'Z-o to
Health Division �� V�- Date Issued
Conservation Division Application Fee A �
Planning Dept. Permit Fee
Date Definitive Plan Approved by Planning Board
Historic - OKH _ Preservation / Hyannis
Project Street Address eq Leum'> (�O� UN tT 4613
Village Avqnn►S
Owner 8`L LEw v5 �y L Le Address ® tMQu-A ST yA)-tT, 4)-7
Telephone W6 77 S S760
Permit Request 1 L(,c 2t VO 6S As ?<r, RXz"KS
Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new
Zoning District Flood Plain Groundwater Overlay
Project Valuation `�tonstruction Type
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: -des ❑ No On Old King's Highway: ❑Yes L144e-
Basement Type: ❑ Full ❑ Crawl -El-Wa-1kout ❑ Other
Basement Finished Area(sq.ft.) Basement Unfinished Area (sq.ft)
Number of Baths: Full: existing ne' 1 Half: existing new
Number of Bedrooms: existing t new
Total Room Count (not including baths): existing new First Floor Room Count
Heat Type and Fuel: ❑ Gas ❑ Oil -6-Electric ❑Other_14eAT �b+ri?
Central Air: c&Yes ❑ No Fireplaces: Existing New Existing wood/coal stove: s ❑ 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# y=
T3
- Current Use _ Proposed-Use
Eii
APPLICANT INFORMATIONrn
-s
(BUILDER OR HOMEOWNER)
Name OC�'�q t-A 5I Telephone Number
Address U Mp"Y\J -5- T u` l'7 License # LSI(S-Z
Home Improvement Contractor#
Worker's Compensation #
ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO
SIG URE DATE
w
FOR OFFICIAL USE ONLY
APPLICATION#
DATE ISSUED
MAP/PARCEL NO.
a
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.
f
a
Town of Barnstable
®� Regulatory Services
�B" 'MARR � Thomas F.Geiler;Director
®; ''�` Building Division
Tom Perry,wilding 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 Usine A Builder
I S as Owner of the subjectproperty
, )
hereby authorize �7A 07k-6�C tV j to act on my behalf,
in all matters relative to work authorized by this building permit application for.
(Address of Job)
"7 la t o
Sin e of er Date
Print Name
If Prope Owner is applying forpermit please complete the
Homeowners License Exemption Formon the reverse side.
QTORM S:OWNERPERMIS SIGN
f
t
The Commonwealth of Massachusetts
Department of Industrial Accidents
' Office of Investigations
600 Wasnington Street
c Boston, MA 02111
www.mass.gov/dia
Workers' Compensation Insurance Affidavit: builders/Contractors/Electricians/Plumbers
Applicant Information Please Print Legribly
Name (Business/Organization/Individual):
Addre MAVtA Sty X U0\3 CZ C7
City/State/Zip: MA 0-26M Phone
Are u an employer? Check the appropriate box: Type of project(required):
1. I am a employer with 4. ❑ I am a general contractor and I 5 ❑ New construction
employees(full and/of part-time).* have hued 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 g, ❑ Demolition
working for me in any capacity. employees and have workers' 9 ❑ Building addition
No workers comp. insurance comp. insurance.!
10.❑ Electrical repairs or additions
required.] 5. ❑ W e are a corporation and its
3.El I am a homeowner doing all work officers have exercised their l l.❑ Plumbing repairs or additions
right of
myself. [No workers' comp. exemption per 12.0 Roof repairs
insurance required.] t c. 152; §L(4), and we havvee n no
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 state whether or not those entities have
employees. if the sub-contractors have employees,they must provide their workers' comp.policy number,
1 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.r: Expiration Date:
Job Site Address: � t City/State/Zip: )k4k—k0
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 1\4GL c. 152 can lead to the imposition of criminal penalties of a
fine up to$1,500.00 andlor 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 D1A for insurance coverage verification.
1 do hereby ce-tifj order the pains and penalties of perjury that the information provided above is trice and correct.
St ture: Date: 9 t
Phone#:
Official use only. Do not write in this area, to be completed by city or town official i
i
i
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#:
The Commonwealth of Massachusetts
Department of Industrial Accidents
Office of Investigations
600 WasRington Street
t Boston, MA 02111
> www.mass.gov/dia
Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Piuinbers
Applicant Information Please Print Legibly
Name (Business/Organization/Individual): 0CeA nS i®',-_ (Cs'rA5T Ue_ .PERM
Addre �S �r,� i A\-T A Sim T UVt )CZ,4 t-3
City/State/Zip: MA 0261-M Phone M _T�4 'ZZa
Are u an employer? Check the appropriate box: Type of project(required):
1. I am a employer with 4• ❑ 1 am a general contractor and I 6 ❑ New construction
employees(full and/of 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 g, ❑ Demolition
working for me in any capacity. employees and have workers' 9 ❑ Building addition
No workers' comp. insurance comp. insurance.
5. ❑ we are a corporation and its 10.❑ Electrical repairs or additions
required.]
3.❑ I am a doing all work officers have exercised their 11.❑ Plumbing repairs or additions
homeowner
myself. [No workers' comp. right of exemption per A�lGL 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 91 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.
tContraciors 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 Nan-,e: ---
Policy# or Self-ins.Lic. Expiration Date:pp _._ _
Job Site Address: `� City/Stat.e/Zip:I- Titplrinc s VUAAOZ 6
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 1\4GL c. 152 can lead to the,imposition of criminal penalties of a
fine up to S1,500.00 and/or one-year imprisonment, as well as civil penalties in the fo rn 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 rnay be. forwarded to tl-ie Office of
Investigations of the D1A for insurance coverage verification,
I do hereby certify order the pains andpenalties of perjury that the information provided above is trice and correct.
Si ture: Date: f t
Phone#:
Official use only. Do not write in this area, to be completed by city or town official
i
Permit/License
City or Town: #
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#:
The Commonwealth of Massachusetts
Department of Industrial Accidents
' Office of Investigations
600 Was4ington Street
c Boston, MA 02111
Www.mass.govIdia
Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers
Applicant Information Please Print JLegibiy
Name (Business/Organization/Individual): OCEAtA-S i CX-0- C-01-AqT
Addre
City/State/Zip: ?1,tYv,5 M Phone
Are u an employer? Check the appropriate box: Type of project(required):
l. I am a employer with 4. ❑ 1 am a general contractor and I me).* 5 ❑ New construction
employees(full and/or part-ti have hired the sub-contractors.. _ _._ _._..._._... .. .., _ .
.
listed on the attached sheet. 7. ❑ Remodeling
2.❑ I am a sole proprietor Or partner-
ship and have no employees These sub-contractors have g, ❑ Demolition
employees and have workers'
working for me in any capacity. 9. ❑ Building addition
No workers' comp. insurance comp. insurance.
❑
5. ❑ We area corporation and its 10. Electrical repairs or additions
required.]
3.❑ I am a homeowner doing all work officers have exercised their 11.❑ Plumbing repairs or additions
myself, [No workers' comp. right of exemption per MGL 12.0 Roof repairs
insurance required.] t c. 152, §1(4), and we have no
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 state whether or not those entities have
employees. 1f the sub-contractors have employees,they must provide their v.'orkers' comp.policy number,
f 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: q ��W�� City/Stai.e/Zip: V�I���`��5�__��`t
AttaAttacha copy of the workers,s compensation policy declaration page(showing the policy number and expiration date).
Failure to secure coverage as required under Section 25A of 1\fGL c. 152 can lead to the imposition of criminal penalties of a
fore up to$1,500.00 and/or one-year imprisonment; as well as civil penalties in ire form of a STOP WORK ORDER and a fine
of upto $250.00 a day against the violator. Be advised that a copy of this statement may be forWarded to the Office of
Investigations of the DlA for insurance coverage verification.
1 do hereby ee iify ruder the pains and penalties of perjury that the information provided above is trice and correct.
a
Si ture: Date: 1 t
Phone#: B
Official use only. Do not write in this area, to be completed by city or town official
i
i
City or Town: Permit/License#
Issuing Authority(circle one):
1.Board of Health 2. Building Department 3. City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector
6.Other
Contact Person: Phone#:
The Commonwealth of Massachusetts
Department of Industrial Accidents
Office of Investigations
600 Was4ington Street
c Boston, MA 02111
www.mass.gov/dia
`workers' Compensation insurance Affidavit: Builders/Contractors/Electricians/PIuinbers
Applicant Information Please Print Legibly
Name (Business/Organization/Individual): 0C GA tA_S i 0,e_ C®rA T
Addre �� �!� gi�h�e�, Sim i' �tPa�� C7
City/State/Zip: MA 026 6 Phone #:
Are u an employer? Check the appropriate box: 'Type of project(required):
l. I a 4. ❑ I am a general contractor and I
m a employer with 6 ❑ New construction
hired the sub-contractors.. .
eiriployees(full and/or part-time).* have hu -- --- --- o - --
2_❑ I am a sole proprietor Or partner- listed on the attached sheet. 7. ❑ Remodeling
These sub-contractors have g• ❑ Demolition
ship and have no employees
employees and have workers'
working for me in any capacity. 9 ❑ Building addition
[No workers' comp. insurance comp, insurance.$
5. ❑ We are a corporation and its 10.❑ Electrical repairs or additions
required.]
3.❑ I am a homeowner doing all work officers have exercised their 11.❑ Plumbing repairs or additions
right of exemption per Z�GL 12.❑ Roof repairs
myself. [No workers' comp.
insurance required] t c. 152, §1(4), and we have no
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 nev,,affidavit indicating such.
tContractors that check this box must attached an additional sheet showing the name of the sub-contractors and stale 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 rnh employees. Below is the policy and job site
information
Insurance Company Name:
Policy 4 or Self-ins.Lic, Expiration Date:
Job Site Address: eq City/Slate/Zip: I�Vannt s K(A__0U6E
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 RfGL c. 152 can lead to the imposition of criminal penalties of a
fine up to $1,500.00 and/or one-year i-mprisonment, as well as civil penalties in the form of a STOP WORK ORDER and a fine
of upto$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 D1A for insurance coverage verification.
I do hereby certify ruder the pains and penalties of perjury that the inforrratior,provided above is true and correct.
Si tire: Date: C f t
Phone#: 8�
_ i
Official use only. Do not write in this area, to be completed by city or town officiaL
i
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#:
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