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HomeMy WebLinkAbout51 MAIN STREET (HYANNIS) (2) 1 I a..a r 5�-�-� rya- 07 � - f I t ` TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel �33 'VO Permit# Health Divisiorll-1 `✓ Date Issued " Conservation Division 1 Fee. Tax Collector s _- 5-0 TreasurerhP K- T.CANT AMST'0 Planning Dept. aRR xc DIVISION pH lop 0 NEWER ,Lxurn Date Definitive Plan Approved by Planning Board a� eaOrl Historic-OKH Preservation/Hyannis Project Street Address S - Village Owner (°C� � �.,.� '�(� �/l C Address 16U QUA Telephone Permit Request Square feet: 1 st floor: existing 100' proposed 2nd floor: existing proposed Total new — :Valuation o�v� Zoning District Flood Plain Groundwater Overlay Construction Type_Won — Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. T Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family(#units) Age of Existing Structure ,{ U Historic House: ❑Yes ❑ No On Old King's Highway: ❑Yes ❑ No Basement Type: ❑Full ❑Crawl , ❑Walkout ❑Other vn Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full: existing new Half: existing 2— new S Number of Bedrooms: existing new Total Room Count(not including baths): existing )) new 13 First Floor Room Count -Heat Type and Fuel: ❑Gas ❑Oil Ca'Electric ❑Other Central Air: U'Yes ❑No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑ No Detached garage:❑existing ❑new size Pool:❑existing ❑new size Barn:❑existing ❑new size I Attached garage: ❑existing ❑new size Shed:❑existing ❑new size Other: 0_1 CSo Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes ❑ No If yes, site plan review# I O Current Use Proposed Use �1 Liz= BUILDER INFORMATION Name Y or,C., Telephone Number -77 5 170Q Address License# C VAeA� U X(.3 1— Home Improvement Contractor# /00 71 Worker's Compensation# GS1,OU S i,5_JG Y-71 G O/ ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO Yx ryv.tj vf, J SIGNATURE DATE C2&Q t FOR OFFICIAL USE ONLY ¢. .- s E c L s _ PERMIT NO. DATE ISSUEDi 1 k r r" MAP/PARCEL NO. ADDRESS .r VILLAGE OWNER 1 DATE OF INSPECTION'-- FOUNDATION FRAME INSULATION` s FIREPLACE t ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL - F GAS: ROUGH F °"' FINAL, FINAL BUILDING r DATE CLOSED OUT ASSOCIATION PLAN NO. p 5 "i21` The Commonwealth ofMassachusetts Department of Industrial Accidents Office at/arestigatieas 600 Washington Street Boston,Mass. 02ill Workers' Comipensation Insurance Affidavit am ����MOMMN/111 name: location: city phone# ❑ I am a homeowner performing all work myself. ❑ I am a sole rietor and have no one worlds in aav capacity ❑ I am an employer providing workers' compensation for my employees woridng on this job. company names, ii C: ' :.:. .... :::::...... ..::::;. ... address ;Phan ;..:.:...:... s'E cttt* r: f insurance co::. Ale t►licv ❑ I am a sole proprietor, general contractor, or homeowner(circle one)and have hired the contractors listed below who have the following workers' compensation polices: :. companvname ad are s s.. . .................. ................................. :•:::::::::::...................:.:•::. ••::::::::::•:::::.::::..:..........:............:....:..... :.;::::::.;;.::.;:•:•;:;.::: ..,............................. ............................... .... ...alo ie cihr ............ ........................................................................................... ............................................. ............x. .................................................... ....:...........:............t....... y ...................t<:•:•::<i::•:::;:•::::•:::::•:�.'. .:.:.::<>:::: ::.:::�: :�:.>::;::::<:.z:::;:::« ::::: ::� �: »;:.>:.:.: .:;:.:�, . . t.::�:::.:;:.::.:.;:<•;:.;:.:.;>:.:;.:;.:;.:�::. OiiGP anv:ramtn : : :,. . address. ........ ............ ....... ..>•:>�:::;:><::»::;:::::>:>:::>:.>:::<:;:<<>�>::::::<::»>::::>;;::;: : one#. >'.::<s<;:<:�>�::> :?:::�::`��:?:<: . ' .�<. >:> city' :.. ,...:... .... ...:... / FaBnre to secure coverage as required under Section 25A of MGL 152 can lead to the imposition of criminal penalties of a fine up to s1,S00.00 and/or one years,imprisonment as well as civil penalties in the form of a STOP WORK ORDER and a fine of$100.00 a day against me. I understand that a copy of this statement may be forwarded to the Office of Investigations of the DIA for coverage verification I do hereby certify under the p airs and penalties of perjury that the information provided above u tru,and correct Signature Date n Print name Phone# 7 7UU — oincial we only do not write in this area to be completed by city or town official city or town: permit/license# ❑Building Department ❑Licensing Board ❑check if immediate response is required ❑Selecmren's Office ❑Health Department contact person phone#; ❑Other (tevued 9195 P1A) Information and Instructions ° Massachusetts General Laws chapter 152 section 25 requires all employers to provide workers' compensation for their employees. As quoted from the "law 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 section 25 also states that every state or local Iicensing 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,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 in the workers' compensation affidavit completely,by checlang the box that applies to your situation and supplying company names,address and phone numbers along with a certificate of insurance as all affidavits maybe submitted to the Department of Industrial Ac©dents 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 IndustiW 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. City or Towns 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 pemiit/license number which will be used as a reference number. The affidavits may be ret arhR io thr Department by mail or FAX unless other arrangements have been made. The Office of Investigations would like to thank you in advance for you cooperation and should you have any questions. please do not hesitate to give us a call. The Deparaneat's address,telephone and fax number. The Commonwealth Of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston,Ma. 02111 fax#: (617) 727-7749 phone#: (617) 727-4900 eat. 406, 409 or 375 . w.+..•.-ww+r��. w.tir.r�..:ew+ya�rr+.aliylrYiONw-i'w.. :i..ir3tl+seTo.i;4, . (7/2ee �omv»zoouuea.�i o�/�aaa�«aek` � - BOARD OF BUILDING REGULATIONS License: CONSTRUCTION SUPERVISOR Number. CS 026071 r Birthdate: 10/03/1947 ff 1 Expires:.10/0312001 Tr.no: 6312 !' Reitilicted To: 00 FRANCIS E MOGAN 442 BAY LN CENTERVILLE, MA 02632 Administrator L HD NJ a fl£' L }mac � _� .>• , . N . D :•, �aMS aw 34 4k +Y s 'V1,lH�✓�` x x1 �_ •3 :, Lg '�'t,,.< ....,... :. x. .. A�-« .. .SSK r. ,, .. .. ++K.: .?E.k....,., .. .. � r.. _ -..,. s- -.,. :ssA �� r..•, t 'e: .9."'f..r`,. y�.., -..,t• #, u->;''.4:n �,.�. 4F.. 'fc�:i ,� .....eS.,. ,..?,.:z.. ,:.tw. ??��,.'�„ > r ,,.,t ;p.�:.t y. .�. �, s r. :' :vim. Y,.+' �',..> w- ....C.,.....: r .,,. ,+. s�z 6i. r '..� ..,b•: 7 d rxr„ .l..,p., g;,'>rtri }.,...+ .-k...,,y , ,.. .c,�, ,r.....�t 'r "'�sr a^2"ao=x '.�'; �i .a ��', •°�' .h e.�_ 'L.„ �? i-t. �.7� 'Z/ �.RY- Y+ S! '+a 4, •�- �� r., t' ..;� t" �"CL � S.-� Y r °�' .4r":=' '- y- �.-�i ,... .t - S: �;./ s}. ,..->jr .T.V C .;� ,ry �:a ra-'f�a t. �'4Y `�.._K�. r�.•�� 'sYr•�,• 4' x� �r b++�1�t'1 r � rys.">c ,f .. j �I t 09 �l N.LF ^f'YS 7$ .iS rrol.ut l S -14 8-1 0-2:001 9:23AM FROM HYANN I S F I RE/RESCUE 508 773 6448 P. 1 95 HIGH.SCHOOL RD. EXT. HvANNIS,MA, 02601 AcrAati:r., HAROLD S. BRUNELLE, CHIEF !D$Air J sl e9asY AWAA6Hfi1 Of PI!toYCAY1EY •1{9 J A J6EW Pl V V E 9.4l0*, S BUREAU BUSINESS PHONE:(508)775-1300 FACSIMILE PHONE:(508)778-6448 f,r. 11.?UNP►1LD If. CHiASE,JR-,CFI LT. ;ElUC.F. HiJ113VER,CFI FIRE FRIEVIENTION OFFICER FIRIE FREVFNTI[ON OlF'FICER BUILDING' . CODE COMPLIANCE FORM THIS FIRE PREVENTION BUREAU HAS REVIEWEC THE PLANS DATED "TOR THE PROPERTY LOCATED AT �(1C>_ -y51`"":,::. : ALSO KNOWN AS:_---- THE CHART BELOW INDICATES THE- STATUS OF OUR REVIEW: TYPE OF..'CON$TRtJCT1G4d..D'i?Ct1MENT,, ' NIA RECEIVED REVIEWED COMPLIES .1—NARRATlYE REPOR?. 2-FIRE FIGHTING/RFSCUE ACCESS :3-HYQ RANT LOCATION/WATER SUPPLY _4 ....... — - �.,.,.. . - -SPRINKLER SYSTEMS vim, - 5-SPRINKLER CONTROL EQUIPMENT { 6-STANDPIPE SYSTEMS: _ 7-9TANDPIPE VALVEa:OCATIONS. B-SIRE UEP;ARTMEN'TGONNECTION 9-FIRE PROTECTIVE SIG NALING.SYST. 10-F.P.S.8. &ANNUNCIATOR LOCATION. 11-SMOKE CONTROL I EXHAUST - 12-SMOKE_CONTROL EQUIP.:.LO'CATION 1✓' .13-L;FF SAFETY SYSTEPJLFEATURES __—....._... .._..--- 1 — -- - )�14 FIRE E XTINGUISHING SYSTEMS — f t5-F.E.S. CONTROL EQUIP LOCATION. �. .1 -= IRE.PRGTECTJON ROOMS'.- 17 FIF#E PROTECTION EQUIP SIGNAGE 1 t;-ALARM TRANSMISSION METHOD 19-9EQUENCE OROPERATION REPORT -- 20-ACCEPTANCE.TESTING CRITERIA f -- WE BELII�Vy �/TH .DOCUMENTS TO C L •:ID COMPLIA14T FOR THE ISSUANCE OF A BUILDING PERMIT. �/��6� f' WE HAVE ;;OI1gPL.ETEG THE AC EPTAN 'E TESTI CCCUPANCY PERMIT AND BELIEVE THAT WITHIN THE SCOPE OF THE BUILDING PERMIT,THE A3()V51S$UES'ARE IN COMPLIANCE. TOWN OF BARNSTABLE CERTIFICATE OF OCCUPANCY--DOCTORS OFFICE--BLDG.PMT#550'17 PARCEL ID 342 0 3 05E GEOBASE ID .32930 ADDRESS 51 MAIN STREET (HYANNIS PHONE HYANNIS ZIP — LOT BLOCK LOT SIZE _ DBA DEVELOPMENT DISTRICT HY PERMIT 56369 DESCRIPTION CERTIFICATE QF OCC/PER BLDG.PMT.#55077 PERMIT TYPE BCOO TITLE CERTIFICATE OIF OCCUPANCY CONTRACTORS: Department of Health Safety ARCHITECTS: P Y and Environmental Services TOTAL FEES: BOND $.00 per 1w CONSTRUCTION COSTS $.00 756 CERTIFICATE OF OCCUPANCY 1 PRIVATE PT,`.R + BARNSTABM MASS. ED MI�►I BUILDING DIVISIO DATE ISSUED 10/11/2001 EXPIRATION DATE BY r BUILDING PER 1` C � f I' PARCEL ID 342 030K7bE GEOBASE ID 32530 ADDRESS 51 MAIR STREET (HYANNIS PHONE HYANNIS ' " ZIP — LOT BLOCK LOT SIZE DBA DEVELOPMENT DISTRICT HY PERMIT 55077 DESCRIPTION RENOVATE FvTSTING OF ICE ';PERMIT TYPE BREMODC TITLE COMMERCIAL ALT/CONY ONTRACTORS: MOGAN, FRANCI S E. , JR. Department of Health, Safety RcxlTTs: and Environmental Services ,r .OTAL FEES: $233.00 OND $.00 Ok tME ONSTRUCTION COSTS $30,000.00 437 NONRES./NONHSKP ADD/CONV 1 PRIVATE P *.,F�s ; * BARNSTABM MASS. s639. A� FD M� BUILDING DIVIS,I N BY `�----� DATE ISSUED 08/10/2001 EXPIRATION DATE r TC WN1 OF. BARNSTA BUILDING. f 1 PARCEL ID 342 CdE GEOBASE ID 32930 ADDRESS 51 IN STREET (HYANNIS PHONE HYANWT 5 a * �` '�' ZIP LOT BLOCK < L►Oi` SIZE DBA ;'. DEVELOPMENT DISTRICT HY. i PERMIT 66077 . DESCRIPTION RENOVATE_ EXISTING' OEFICE ' PERMIT TYPE '.BREMODC; TITLE COMMERCIAL ALT/CONY I CONTRACTORS: MOG,AN' . FRANCIS 'E. 4 JR. r Department of Health, Safety ARCHITECTS.: and Environmental Services TOTAL ,FEES $233.00 BOND COSTS "$30 a 000.00 ti 437 NONRES-/NONHSKP ADD/CONV 1. PRIVATE P" A a BARNSTABLF, # _ MASS. ° W >t639. BUILDING DIVI S- O BYm - 'DATE ISSUED _ 68/10/2001 EXPIRATION DATE � THIS PERMIT CONVEYS NO RIGHT TO.000UPY.ANY STREET,ALLEY OR SIDEWALK OR ANY PART THEREOF, EITHER TEMPORARILY OR PERMANENTLY.EN- CROACHMENTS ON PUBLIC PROPERTY,NOT SPECIFICALLY PERMITTED UNDER THE BUILDING CODE,MUST BE APPROVED BY THE JURISDICTION.STREET OR ALLEY 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 APPLICABLE SUBDIVISION RESTRICTIONS. MINIMUM OF FOUR CALL INSPECTIONS REQUIRED FOR ALL CONSTRUCTION WORK: APPROVED PLANS MUST BE RETAINED ON JOB AND WHERE APPLICABLE, SEPARATE 1.FOUNDATIONS OR FOOTINGS THIS CARD KEPT POSTED UNTIL FINAL INSPECTION PERMITS ARE REQUIRED FOR 2. PRIOR TO COVERING STRUCTURAL MEMBERS HAS BEEN MADE.WHERE A CERTIFICATE OF OCCU ELECTRICAL,PLUMBING AND MECH- (READY TO LATH). PANCY IS REQUIRED,SUCH BUILDING SHALL NOT BE ANICAL INSTALLATIONS. - 3.INSULATION- OCCUPIED UNTIL FINAL INSPECTION HAS BEEN MADE. 4.FINAL INSPECTION BEFORE OCCUPANCY. M701:12WEEMko BUILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS �. 2., 2 2 3 ! 1 HEATING INSPECTION APPROVALS ENGINEERING DEPARTMENT -u✓" l J Y 2; BOARD OF HEALTH OTHER: SITE PLAN REVIEW APPROVAL _ WORK SHALL NOT PROCEED UNTIL PERMIT WILL BECOME NULL AND VOID IF CON- INSPECTIONS INDICATED ON THIS THE INSPECTOR HAS APPROVED THE STRUCTION WORK IS NOT STARTED WITHIN SIX CARD CAN BE ARRANGED FOR BY VARIOUS STAGES OF CONSTRUC- MONTHS OF DATE THE PERMIT IS ISSUED AS TELEPHONE OR WRITTEN NOTIFICA- TION. NOTED ABOVE. TION. 5(p .3cq lk .1 �r 0 1� �a l PROJECT ADDRESS: PERMIT# 77 PERMIT DATE: MIP: 6, Z " �� �b LARGE ROLLED PLANS ARE M a BOX SLOT Data entered it MAPS program on: l �� BY: _ .