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HomeMy WebLinkAbout0089 LEWIS BAY ROAD (9) tea Milo TownBarnstable of * Building Department - 200 Main Street * BMWST"LE. * Hyanni i639. s, MA 02601 9� MAC. (508) 862-4038 Argo�a Certificate of Occupancy Application Number: 201006510 CO Number: 20110119 Parcel ID: 3272230OF CO Issue Date: 08116111 Location: 89 LEWIS BAY ROAD 202 Zoning Classification: Proposed Use: CONDOMINIUM Village: HYANNIS Gen Contractor: OCEANSIDE CONSTRUCTION & DEV Permit Type: CC00 CERTIFICATE OF OCCUPANCY COMM Comments: C.O. FOR UNIT 202 / 2 Building Department Signature Date Signed tM Town of Barnstable do Building Department - 200 Main Street BARNSTABLE• *MASS. Hyannis, MA 02601 9 q, 1639. . (508) 862-4038 QED MA'S A Certificate of Occupancy Application Number: 201006510 CO Number: 20110119 Parcel ID: 3272230BB CO Issue Date: 08/16111 Location: 89-LEWIS-BAY ROAD 202 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 202 Building Department Signature Date Signed {M -------------- a A 114E TOWN OF BARNSTABLEBut'luing Application Ref: 201006510* BARNSTABLE, + Issue Date: 12/13/10 Permit 9 MASS. Q�Ar�0 39.�AN� Applicant: OCEANSIDE CONSTRUCTION&DEV Permit Number: B 20102697 Proposed Use: Expiration Date: 06/12/11 Location 89 LEWIS BAY ROAD 202 Zoning District MS Permit Type: SPECIAL PROJECT ADD/ALTER COMM Map Parcel 3272230BB Permit Fee$ 282.58 Contractor OCEANSIDE CONSTRUCTION&DEV Village HYANNIS App Fee$ 100.00 License Num 48102 Est Construction Cost$ 31,052 Remarks APPROVED PLANS MUST BE RETAINED ON JOB AND INTERIOR BUILD FOR UNIT 202 THIS CARD MUST BE KEPT POSTED UNTIL FINAL 2 BED,2 BATH ' 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 MAD OSTERVILLE, MA 02655 Application Entered by: PR Building Permit Issued By: THISTERMITCONVEYS 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 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 DOES NOT RELEASE THE APPLICANT FROM THE CONDITIONS OF ANY APPLICABLE SUBDIVISION,RESTRICTIONS. MINIMUM OF FOUR CALL INSPECTIONS REQUIRED FOR ALL CONTTTRUCTION 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.I42A). n g: p o BUILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS 1 1 ('ova// 1 10 2 2 f/p,s! v,� ,sic 2�� C 3 p fi( 1 1 Heating Inspection Approvals Engineering Dept f2_-�. Fire Dept 2 Board of Health i TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map ation # 106(0 Health Division l `} Date Issued �'- 3 co Conservation Division Application Fee Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation/Hyannis cb Project Street Address CC1.U1 S anj 'Ro UN t't 20Z Villages Owner 80 Lw kS -may L-L Address 6 MA I AJ Telephone,S)g `77B !�70u Permit Request _I Nt�Kc�� ` d`�� l ot, JCS `DNS. 1A+@0*,,� I�L Oct . &, (- . Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation w l�U` Construction Type Lot Size Grandfathered: ❑Yes WTO if yes, attach supporting documentation. Dwelling Type: Single Family , ❑ Two Family ❑ Multi-Family (# units) Age of Existing Structure _' � Historic House: ❑Yes 3 o On Old King's Highway: ❑Yes C144i5" 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: existiro new Total Room Count (not including baths): existing new First Floor Room Count Heat Type and Fuel: ❑ Gas ❑Oil electric A Other Almwr mp- Central Air:_A�Yes ❑ No Fireplaces: Existing New Existing wood/coal stove: ❑Yes Um e Detached garage: ❑ existing ❑ new size Pool: ❑ existing ❑ new size _ O;existing ,Onew®size— Attached garage: ❑existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: u Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes ❑ No If yes, site plan review # ' Current Use Proposed Use APPLICANT INFORMATION - (BUILDER OR HOMEOWNER) C9C 6�ty S i t}e Ct,NSA'{' �P Dom,V�I.o,P ari Namt:10 + Telephone Number __77A Address640 FAA(AJ ST UN CC I'y License # ©qb(152--- 11V AHA) 1S MA 6.2-661 Home Improvement Contractor# Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO C4SELIA WAS(-2 SIGNATURE DATE < < 19I Iu FOR OFFICIAL USE ONLY APPLICATION# DATEISSUED MAP/PARCEL NO. ADDRESS VILLAGE OWNER DATE OF INSPECTION: FOUNDATION FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING t: i DATE CLOSED OUT ASSOCIATION PLAN NO. m :r The Commonwealth of Massachusetts Department of Industrial Accidents I a Office of Investigations u ! 600 Washington Street y_j Boston, MA 02111 c www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name (Business/organization/Individual): n G 2oq�&(n e__ Address:`7 v (�4 t^-J c�.,y �-�`LQ' t-7 City/State/Zip: 6 ZCU Phone #: ')'2Q Z3 u 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.❑ 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. word ers' comp. insurance. 9. ❑ Building addition [No workers' comp. insurance 5.�e are a corporation and its officers have exercised their 10.❑ Electrical repairs or additions required.] of 3.❑ I am a homeowner doing all work right of exemption per MGL I I.❑ 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#I 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. #: \i Gy CK3 r, 11 Expiration Date: t Job Site Address: cbs�-[ PJVUS City/State/Zip: 62Ga 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 certify under the a. s and penalties of perjury that the information provided above is true and correct. S• ature: Date: Ph—oriTrj 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#: Information and Instructions 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 ydu to fill out in'the event the Office of Investigations has to c.ontact you regarding the applicant. Please be sure to fill in the permit/license number which will be used as a,reference number. In addition,amapplicant 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 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: R The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston, MA 02111 Tel. # 6176727-4900 ext 406 or 1-877-MASSAFE Revised 5-26-05 Fax # 617-727-7749 www.mass.gov/dia F , a k _ �lassuchuutts - Dcpxirtmcnt of Public Sufct� in'SRc,erviisor� Board of Build 1111(l St, License11�d`u(ls Construction p License: CS 48102 JOHN J HUTCHINS tr 419 RIVER RD MARSTONS MILLS, MA 02648 -� Expiration: 9/16/2012 Tr#: 3834 ('unuui„inner • 1 p 1 ®CORD. 611/2010 UCER THI CERTIFICA E 18188UED A MATTER OF{NFORMATI N ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Paul Pet4rs Agency,Inc. HQLDER. THIS CERTIFICATE DOES NOT AMEND,EXTEND OR 680 Falmouth Road ALTER THE COVERAGE AFFORDED 9Y THE POLICIES BELpW. Mashpee,MA 02649 COMPANIES AFFORDING COVERAGE COMPANY A Atlantic Charter Insurance Com an VDAC INSVRBD COMPANY Oceanside Construction,Inc, B COMPANY 41.9 River Road C Marstons Mills, MA 02648 COMPANY D THI$l9 TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE GLEN ISSUED TO THEN NMBO R.TH 6 P�1O LCYERIO D INDICATED.NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY 51 ISSUED OR MAY PERTAIN,THE INSURANCE AFfORDED BY THE POLICIES DESCRIBLD 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 LTR DATE(MMIDDIYY) DATE(MM/DWYY) (In Thousands) QENERAL LIAOttJTY BODILY INJURY OCC S COMPREHENSIVE FORM - BODILY INJURY AGG a PREMISESIOPERATIONS PROPERTY DAMAGE 000 6 UNDERGROUND PROPERTY DAMAGE AGO S EXPLOSION fl COLLAPSE HAZARD SI s PD COMBINED OCC $ PRODUCT&COMPLEfED OPER 916 PD COMBINED AGO $ CONTRACTUAL PERSONAL INJURY AGO $ INDEPENDIENT CONTRACTORS BROAD FORM PROPERTY DAMAGE PERSONAL INJURY AUTOMOBILE LIABILITY BODILY INJURY ANY AUTO (Perpereon) 6 ALL OWNED AUTOS(PRvete Pan) BODILY INJURY ALL OWNED AUTOS - (Pet eeddel S (Olhar l PdVate P111149 eq HIRED AUTOS PROPERTY DAMAGE 6 NON-OWNED AUTOS BODILY INJURY& GARAGE LIADILJTY PROPERTY DAMAGE COMBINED 9 EXCESS LIABILITY EACH OCCURRENCE S UM9RELLA FORM AGGREGATE OTHER THAN UMBRBLLA FORM $ o =o�NdTMT)ONAND WCV00617205 2/3/2010 2/3/2011 X STATUTORYLIMITB EACH ACCIDENT s 1,000,000 DISEASE-POLICY LIMIT 9- 11,0011 DISEASE-EACH EMPLOYEE 9--'1,000,000 OTHER BESCR1PTION OF DPERAnom&,L=ATnoNaMKNICLISMPECIAL ITEMS ` Job: 891,ewis Bay Rd �r OWSM (I 1Y SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE Town of Bamstable EXPIRATION DATE THEREOF,THE ISSUING COMPANY WILL ENDEAVOR TO MAIL Attn:Paul Rosa ; 12 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 Wq HE COMPANY,IT G NTS OR REPRESENTATIVES. AUTHORI�D RE �+u $ ,�+, ?�g t^�+z,� +fig ,r/� r o �(�`x y� .1� 40� �[iV 4 �r0NT�i ,.'!'o �QR7M�l' r Project: Lewis Bay Court- Hyannis, MA In accordance with Section 116.21 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 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 th( project for occupancy. Ne^a w935 SOCITON -; , U� MA May 19, 2010 GINAL AND AL DATE II 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