HomeMy WebLinkAbout0089 LEWIS BAY ROAD (45) ,�0 �- �_
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YOU WISH TO OPEN A BUSINESS?
For Your Information_: Business certificates (cost$40.00 for 4 yg,ars . A business certificate ONLY REGISTERS YOUR NAME in town (which you
must do by M.G.L.-it does not give you permission to'oper�e.)You must first obtain the necessary signatures on this form at 200 Main St., Hyannis.
Takethe I f Clerk's Office, 1 F . 3 7 Main St. Hyannis, MA 02601 Town Hall and et the B Certificate that i e completed form to the Town Cle k s O ce, st I , 6 a ( ) g Business Ce ca e at s
required by law.
DATE: r Fill in lease:
10
APPLICANT'S YOUR NAME/S: �/U7/�V//� A�GoG
BUSINESS YOUR HOME ADDRESS:
4 TELEPHONE # Home Telephone Number `7 -7-Y — 7
NAME`OF..CQRPORATION:
NAME OF NEW.BUSINESS TYPE OF;BUSINESS LI19-10 .SG /)C.
IS THIS A HOME_OCCUPATION? YES NO
ADDRESS OF BUSINESS MAP/PARCEL NUMBER 7 Z3.`Q./ (Assessirg)
When starting a new business there are several things you must do in order to be in compliance with the rules and regulations of the Town of
Barnstable. This form is intended to assist you in obtaining the information you may need. You MUST GO TO 200 Main St: - (corner of Yarmouth
Rd. &Main Street) to make sure you have the appropriate permits and licenses required to legally operate your b siu ness in this town.
r 1. BUILDING COM ISSIO EFTS OFFICE
This individu I h e n i o ed o an per i requir ments that pertain to this type of businels�. ST COMPLY WITH HOME OCCUPATION
Aut orize ig e** RULES AND REGULATIONS, FAILURE TO
Q COMMENTS- c COMPLY MAY RESULT IN FINES.
/�/U ^ Q
cc// 2. BOARD OF HEALTH �iC��w(
This individual has been informed of the permit.requirements that pe in to this type of business.
76?�
Authorized Signature*
COMMENTS:
0. CONSUMER AFFAIRS (LICENSING AUTHORITY)
This individual has been informed of the licensing requirements that pertain to this type of business.
Authorized Signature*
COMMENTS:
II
Town of Barnstable
WE Regulatory Services
o Richard V.ScaIi,Director .
�1 Building Division
iARMABM
V MAM $ Tom Perry,Building Commissioner
.� Jl.) 039. �0
QED MA'S a 200 Main Street,Hyannis,MA 02601
;L www.town.barnstable.ma.us
Office: 508-862-4038 Fax: 5087790-6230
Approved:
Fee: 3 'C
Permit#: y,
HOMY, OCCUPATION ItEGISTRAUON
- - _
Date: i
��) 6 p
Name: �7!✓ 6i%G, -fia�L Phone#:
Address: �. a' cF Village:
Name of Business: -f = — � n%�D�//Gr />"%Z ect'•z.
Type,of Business: �i4rv ��4 6'—'� Map/Lot:
J
INhENT: It is the intent of this section to allow the residents of the Town of Barnstable to operate a home occupation
within single family dwellings,subject to the provisions of Section 4-1.4 of the Zoning ordinance,provided that the activity
shall not be discernible from outside the dwelling. there shall be no increase in noise or odor;no visual alteration to the
premises which would suggest anything other than a residential use;no increase in traffic above normal residential volumes;
` and no increase in air or groundwater pollution.
After registration with the Building Inspector,.a customary home occupation shall be permitted as of right subject to the
following conditions:
•. The activity is carried on by the permanent resident of a single family residential dwelling unit,located within
that dwelling unit
Y� Such use occupies no more than 400 square feet of space:
o There are no external alterations to the dwelling which are not customary in residential buildings,and there is
no outside evidence of such use.
wJ No traffic will be generated in excess of normal residential volumes.
The use does not involve the production of offensive noise,vibration,smoke;dust or other particular matter,.
O odors,electrical disturbance,heat,glare,humidity or other objectionable effects.
There is.no storage or use of toxic or hazardous materials,or flammable or explosive materials,in excess of.
normal household quantities.
U Any need for parking generated by such use shall.be met on the same lot containing the Customary Home.
Occupation,and not within the required front yard.
® There is no exterior storage or display of materials or equipment.
® There are no commercial vehicles related to the Customary Home Occupation,other than one van or one.
pick-up truck not to exceed one ton capacity,and one trailer not to exceed 20 feet in length and not to
exceed 4 tires,parked on the same lot containing the Customary Home Occupation.
m No sign shall be displayed indicating the Customary Home.Occupation:
If the Customary Home Occupation is listed or advertised as a business,the street address shall not be, -
included.
No person shall be employed in the Customary Home Occupation who is not a permanent resident of the
dwelling unit
I, the undersigned;have read and agree with the above restrictions for my home occupation I am registering:
Applicant: ! �/- �� �r �2UG.... � .. Date:
Hnmrnr..r�nr>R,.," QR11
oFt�
Town of Barnstable
Building Department - 200 Main Street
BARNSTABLE, * Hyannis, MA 02601
9$ b� ��' (508) 862-4038
RFD MA't a
certif icate of Occupancy
Application Number: 201003523 CO Number: 20100186
Parcel ID: 3272230AK CO Issue Date: 11/18110
Location: 89 LEWIS BAY ROAD 405 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
ASTABLE• * Hyannis, MA 02601
MASS
9�A 1639• , (508) 862-4038
Certificate of Occupancy
Application Number: 201003523 CO Number: 20100186
Parcel ID: 3272230OX CO Issue Date: 11118110
Location: 89 LEWIS BAY ROAD 405 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
TOWN OF- BARNSTABLE. Bdilding
Application Ref: 201003523 m it,
BARNSTABIX, Issue Date: 07/20/10 Perl I I
9 MASS.
�p 1639• �� Applicant: OCEANSIDE CONSTRUCTION&DEV
rF0 AAA s Permit Number: B 20101420
Proposed Use: Expiration Date: 01/17/11
[Location 89 LEWIS_BAY ROAD 405 Zoning District MS Permit Type: SPECIAL PROJECT ADD/ALTER COMM
Map Parcel 3272230OX Permit Fee$ 369.97 Contractor OCEANSIDE CONSTRUCTION&DEV
Village HYANNIS App Fee$ 100.00 License Num
Est Construction Cost$ 45,675
Remarks APPROVED PLANS MUST BE RETAINED ON JOB AND
INTERIOR FIT OUT FOR UNIT.405 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 B CUPIED U A FINAL
Address: 1435 IYANNOUGH RD INSPECTION HAS BEE E.
HYANNIS, MA 02601
Application Entered by: TP Building Permit Issued By:
THIS PERMIT CONVEYS NO RIGHT TO OCCUPY ANY STREET,ALLY OR SIDEWALK OR ANY PART THEREOF"EIT R TEMPORA.RILY.;OR PEvakNENtLY.
ENCRO'ACHEMENTS ON PUBLIC PROPERTY,NOT SPECIFICALLY PERMITTED UNDER THE BUILDING CODE,MUST BE.APPROVED BY,TH J SDICTION
STREET ORALLY GRADES AS WELL AS,DEPTH AND LOCATION OF PUBLIC SEWERS MAYBE 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:
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.
A 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).
E-ZF`t*' ',nth
V PLUMBING INSPECTION APPR VALS ELECTRICAL INSPECTION APPROVALS
BUILDING INSPECTION APPROVALS LU BINGO
19
3 _ r �'—� 1 Heating Ins ecti n Approvals Engineering Dept
U I
Fire Dept 6X—_ 2 Bogro of I
ncz L /10127/'a /�
TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION
Map�aa Parcel Z Z5,OOV, Application #o�D 3 S�Q
l�,— v1 •� �c�
Health Division Date Issued
Conservation Division Application Fee /
Planning Dept. Permit Fee 3 -1
Date Definitive Plan Approved by Planning Board
Historic - OKH _ Preservation / Hyannis
Project Street Address SCA Le_u�5 ` f3j Rof UJVi.T os
Village 4,-Arj 1S
Owner S4 Lew's �y LLC Address 5q6 WA%t� c Uay LT �4 17
Telephone s`l-18 E7W
Permit Request I t **XY_ 2wiLu3 oc)T- A!> ?ft_ �elS
Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new
Zoning District Flood Plain Groundwater Overlay
Project lua56n Y'4 stEction Type
Lot Size Grandfathered: ❑Yes 2 o If yes, attach supporting documentation.
Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family (# units)
Age of Existing Structure Historic House: ❑Yes ;CWo On Old King's Highway: ❑Yes P#k
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: existing 2-new
Total Room Count (not including baths): existing new First Floor Room Count
Heat Type and Fuel: ❑ Gas ❑ Oil 44Electric ❑ Other Jzrmr
Central Air: 'Fes ❑ No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑ 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#
Current Use Proposed Use
APPLICANT INFORMATION i
(BUILDER OR HOMEOWNER)
Name D( ZAHSO. QJ95T Qe_u ap rynA— Telephone Number 74 2_38 .041 k
Address 54y MAuU ST ya,.T - 'j License# 048t U_L
Home Improvement Contractor#
Worker's Compensation #
ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BETAKEN TO CASE W AOr
SIGN DATE 'w ed
'r
FOR OFFICIAL USE ONLY
APPLICATION#
DATE ISSUED `
MAP/PARCEL NO. - ti
f
ADDRESS VILLAGE'
OWNER }
?Z DATE OF INSPECTION: -
FOUNDATION
FRAME;,
INSULATION
FIREPLACE"
ELECTRICAL: ROUGH FINAL
PLUMBING: ROUGH - FINAL
GAS: ROUGH FINAL
FINAL BUILDING `
DATE CLOSED OUT
ASSOCIATION PLAN NO.
4
{
Town of Barnstable
Regulatory Services
RAMErrABM
Thomas F.Geiler,Director
4
39.
nt�`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, D� , as Owner of the subject property
hereby authorize'--�6\nc kN S to act on my behalf,
in all matters relative to work authorized by this building permit application for
(Address of Job)
Sig e of Owne Date
Print Name
If Property Owner is applying for permit please complete the
Homeowners License Exemption Form on the reverse side.
Q:FORMS:OWNERPERMISSION
The Commonwealth of Massachusetts
Department of Industrial Accidents
- Office of Investigations
600 Washington Street
c Boston, MA 02111
www.mass.gov/dia
Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers
Applicant Information Please Print Lelxibly
Name (Business/Organization/Individual): QLEAn_S i e_ COTAsm !A
Addre _S'4(-N ��a� � 't' c7,f�1 L7,Vc- ►1 - -
City/State/Zip: yArn�5 MA 0261 Phone M 7�4 ZW B`i�i
Are u an employer?Check the appropriate box: Type of project(required):
]. I am a employer with 4. ❑ I am a general contractor and I 6. ❑New construction
Are
(full and/or part-time},* 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
working for mein 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.El 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.❑ Otber
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.
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, rf 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 jab site
information.
Insurance Company Name:
Policy#or Self-ins,Lic.#: Expiration Date:pp
Job Site Address: eq �� City/State/Zip: Imp1, ann� IiA
Attach a copy of the workers' compensation policy declaration page(showing the polio}' 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 ce ti i ender the pains and penalties of perjury that the information provided above is trite and correct.
Si ture: Date: 7 In hC�
Phone#
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#:
i
Project: Lewis Bay Court- Hyannis, MA
In accordance with Section 116.2.1 of the Massachusetts State Building Code, 780 CMR,
7m 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 project for occupancy.
MA r-ram
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
s
°coRo. I f 6/1/2010
UCER THI CERTIFICA E IS ISSUED AS 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 02M 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. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION 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 BEEN REDUCED BY PAID CLAIMS.
CO TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVI! POLICY EXPIRATION LIMITS
LTR DATE(MMIOOlYY) DATE(MMIDWYY) (In Thousands)
GENERAL LIABILITY BODILY INJURY OCC 3
COUPREHENSIVE FORM BODILY INJURY AGG 6
PREMISESIOPERAT70NS PROPERTY DAMAGE 000 6
UNDERGROUND PROPERTY DAMAGEA00 S
EXPLOSION s COLLAPSE HA7ARD BI a PD COMBINED OCC $
PRODUCT&COMPLETED OPER BI 6 PD COMBINED A00 E
CONTRACTUAL PERSONAL INJURY AGO 6
INDEPENDENT CONTRACTORS
BROAD FORM PROPERTY DAMAGE
PERSONAL INJURY
AUTOMOBILE LIABILITY BODILY INJURY
ANY AUTO (Parpemon) 6
ALL OWNEO AUTOS(Private Peso) BODILY INJURY
ALL OWNED AUTOS (Par aeddeno
(01har Than PAVats Passenger)
HIREDAUTOS PROPERTY DAMAGE 6
NON-OVMED AUTDB - BODILY INJURY 6
OARAOE LIADILITY PROPERTY DAMAGE
COMBINED 3
EXCESS LIABILITY EACH OCCURRENCE S
UmaPOLLA FORM AGGREGATE 6
OTHER THAN UMBRELLA FORM $
WORKERS COMPRNSATIOM AND
A EMPLOYEWS LIABILITYWCVOO6172OS 2/3/20 1 O 2I3I201 1 X STATUTORY LIMITS
EACH ACCIDENT ® I,0O0,000
DISEASE-POLICY LIMB 6• I,000;000
DISEASE-EACH EMPLOYEE 3- 1,000,000
OTHER
1 J
DESCRIPTION OF O-EaATIQKWLOCAnohsNINICLMPECIAL ITEM -
Job: 89 Lewis Bay Rd -'
Z-
111 11111111MMONNOWNY El ,
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
Town of Barnstable EXPIRATION DATE THEREOF,THE ISSUING COMPANY WILL ENDEAVOR TO MAIL
Ann: Paul Rosa IS 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 HE COMPANY,IT G NTS OR REPRESENTATIVES.
AUTHORIZED RE
l
m
.-% Massachusetts- Department of Public Safety
Board of Buildin- Regulations and Standards
Construction Supervisor License
License: CS 48102
Restricted to: 00
JOHN J HUTCHINS
419 RIVER RD
MARSTONS MILLS, MA 02648
Expiration: 9/16/2010
Commissioner Tr#: 4320
t
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