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HomeMy WebLinkAbout0259 NORTH STREET Town of Barnstable 9. PlanningDivision Thomas A. Broadrick,AICP • 200 Main Street,Hyannis,Massachusetts 02601 Director of Planning,Zoning, Tel: (508) 862-4786 Fax: (508) 862-4725 &Historic Preservation www.town.barnstable.ma.us July 14, 2005 Journey Studio & Spa, Inc. Stuart Bornstein C/o Ed Taipale,Esq. 297 North Street Hyannis, MA 02601 SPR 042-05 Journey Studio & Spa, 259 North Street, Hyannis Proposal: Establish and modify relief to include educational/trade.school &Pilates/yoga/spa uses, also increase the number of permitted suites to six for a total of 3,168 sf including basement and attic levels, and to the extent necessary amend the parking relief. Dear Attorney Taipale: Please be advised that Building Commissioner has fully considered and subsequently approved the aforementioned proposal on July 13, 2005. This administrative approval requires the applicant/property owner to modify and/or obtain zoning relief accordingly. You may contact me directly at 508-862-4027 in the event that you require additional information. Sincerely, Robin C. Giangregorio Zoning& SPR Coordinator Cc:ZBA file r `J 1 � i .. � �. r �� } s I j �. � I: U � � �. j � _ � 1 Town of Barnstable Regulatory Services * BARNSTABLE, v MASS g Thomas F. Geiler,Director tFOMA'�A Building Division Thomas Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 March 29, 2005 Stuart Bornstein 259 North Street Real Estate Trust 297 North Street Hyannis,MA 02601 RE: 259 North Street,Hyannis Dear Mr.Bornstein, This letter is a follow-up to our conversation regarding the posting of a Stop Work Order gn March 25, 2005 at the above referenced property for construction in the third floor attic area. This building has been the subject of a number of special permits in the past. Last year relief was requested under special permit appeal#2004-39 to use&occupy the third floor attic area. After much discussion with the Zoning Board of Appeals regarding the previous special permits and previous attempts to gain relief to use this space,it was your decision to withdraw the request for relief without prejudice at the public hearing. One of the issues at the hearing that was discussed at length was the fact that this building exceeds t1Le floor area ratio allowed in this zoning distri,t. This is one of the reasons for the Stop Work Order. To come into the.Building Department and obtain a permit with your full knowledge of the past history of this locus is certainly.disingenuous. Building Permit#79682 has been rescinded and voided due to the lack of relief from the Board of Appeals. We regret any inconvenience this may cause to yourself or your client. You may appeal this decision to the Zoning Board of Appeals. If you wish to do so please contact this office at 508-862-4038 so that we may assist you. Sincerely, Tom Perry Building Commissioner o/�JS k(\J r(-0 c , Hah£; Story: that space above, the plate line but below ties ridge line in: an `xea commonly called the attic space provided that the gross floor are of the half story shall not exceed 66% of the gross floor area immediately below the half story. ( tided by amendment dated Juri:e 28, 20Q2 b Town Council, on; item, 2001- 03 6) Hazardous materials_:_ As defined in the Town of Barnstable General Ordinance Article 39, Control of Toxic and Hazardous Materials. (Added 8/19/93 - Item #93-105 T. Council vote) Hazardous waste: As defined in M.G.L. Chapter 21C. #93-105 T. Council vote) p (Added 8/19/93 Item Intensification of Use: Any new construction, reconstruction, alteration, remodeling, repair, enlargement, change i capacity, or addition of service resultingin g n use, increase in demand. greater off-street parking Lot: A .single area of land in one ownership defined by metes and bounds or boundary lines, no portion of which is bisected by a street. Lot Coverage: The term 'Max. Lot Coverage as % of Lot Area. ' ere as a column heading in Bulk Regulations, shall mean the maximumhlot used coverage by structures as a percent of lot area. 20 Lot Width: The width of any lot shall be -measured wholly within the lo at the building setback line along a straight line parallel to a line t lines, except that an owner of land connecting the intersection of the front boundary with the lot side may establish his own setback line at a distance greater than that required .and the lot width may be determined at the setback line so established. Personal Wireless Service Facilities. Facilities for personal wireless service including commercial mobile radio services, unlicensed wireless services and common carrier wireless exchange adcess services as defined by the Telecommunications Act of 1996. (Added .by vote on 613199 of 99- 074A by Town Council vote of 8 yes l no) Retail: The term "retail" shall not be construed to include "restaurant. " Setback: The distance between a street line and the front building line of a principal building or structure, projected to the side lines of the lot. Where a lot abuts on more than one street, front yard setbacks shall apply from all streets. Shape Factor (Lot Shape Factor) : The numerical value resulting from: (a) division of the square of the perimeter in feet of a lot by the area in square feet. thereof; or 'W I k r alit' TOWN' `BAIIdS�ABT,Eiv CERTIFZC IR v CC F`' CU ?ANC ' PARCEL ID �08 073 002; GEOSASE ti ID 22042 ADDRESS 269.-FORTH REET ST , r• �;.,, ITyahni's. . , ,; � e c v r._'n �Jt }41{ M1y.�`:' �� s m tit PHCINE LOT BLOCK. y. t, r.., ' _ r r a •;S n SLOT q'IE ��'; •^b '� DBA DEVELOP T. L � r. ' 4 ISZ,STRIC'Z`;HY y 4, PERMIT 13717 DESCRIPTIQW], BASEMENT,, 1ST, `?i�D, : 3RD ,FL0O9' FUSE G�2Q P, PERMIT TAPE BC0O: TITLE CERTIFICATE° OFtvQCCU A �-r ��nnrr c ,-',}, o-ir ;�: rN i -,ram r+ 'rk�4r X'..;I+J�p '�•ASFrs '� RF7 ' �.CQNTR OTO ( 1 '} �, RC ` x ;r r �- t 'Jx r� .11 � �t�ira,ta'„'rt! 1{ •rye], kFr rlrynl' * r,i�1}�'u`• t bF r r H r 61y�LL/1 V�ll yylill �nW J �+ p m�, y y} , OTC AL FEES ,: J 1 f �i S Nrtri ,.P4n c r rt r{p h J� )B O14 j),.:' .J.t.t A VCOp 1iVht 1 ,�.t7�.(/�.f'.V/(��l �i}"S ri t - F, .���, 1/�J(�h)!c'•.� Nx Ud I�r 1 f i��r Y�r 1 � '.V•�1 7�L C('1f.'i^�C�^`1✓µ'.}!tk i''�`��} td �c y"�:. (��(���4� (�1>JtJ�J�$ /i ?t��a Jr�r.�,.S}hn�.V Y{/1 rl rf>:.',�,Yadrt.T.y 1 y ( ,•�n 4. h/� M vr�P�f t y � 4t1 y��I�L 'l. i�, t`3lNln �..rI��Ik G-I,t:l�t 7,��5r( GE�T�k�IC T Uk�- �+y/•'�/��'�'� p�T�^f�y' >_ ti :,� /1 � -� ,, FI+'�., .r � '•T 4/4-!t+Vr2TALrqliZt tip°% .� �,i •hc,'t �a sr .aq }t,� h r i} !:ir a�/Y {� �� � �y i t F• t !+ ' , i - a t�e Ya 1 Y '� fl - - .�,�' y t f .. 1 d•'I kn( 6tri'ri C^d Cr. �'/�/�7[)) {y ',� •r � !: _ �J� f �f .5l i .r' �,►�y 11Q1t�1111U�/� � '� }.i J 4 f.{ 'I ' �.`. r r 1 f K}' , ,.'` , -,•. , : 1�' f� J, ..h` 51 �ffi 1 P i 41.d J i !irk Y 4r r y t. 1 ^h a�.u�?�'� l,' JiJ r�11 �19�,}'j t•I OWNER SORI� TI�T `STL�ART ADbAES TWa FIFTH1;TNE� NORM i sr ( 1+ t {, !M1, } '� N I J 9'y, �Qt, r T(i •l 1�'(Ut' (:: ?�� �Lo7l:✓t,R+T�,�t�,L (.�• }� � ` �7�y 7�t�F d t�', � �.d• 4 t._ ��P � Ak��ir) I7t 9�3! + i HYA14 I.S 7 ,h r-;, r -_1m LLJ _1W fr"" .,� r -• + ' •- ( � -' t � �� � � 1 .1IA lL1 �4' .i+ t t J ih1 •DATE ISSUEb Q3r,�12/%9 EXF.TRA'I� r AT ti , I D , Q 03/12/1996 1 1-508-790-6230 BARNSTABLE BLDG DIV PAGE 02 . The Town of Barnstable Department of Health Safety and Environmental Services Building Division 367 Maim,Street,Hyannis MA 02601 Office: 508-790-6227 Ralph Crossen Fax: 508-790-6230 Building Commissioner March 12, 1996 W Stuart Bornstein Oa*Financial Place 297 North Street Hyannis,MA 02601 Re: 259 North Street,Hyannis Map/parcc1308.073,002 Dear Mr.Bornstein: After a review of our zoning and,especially,the.history of your building at the above address,I have the following information for you: I. The building was built under the interpretation of a prior building inspector that the third level, because it is under 50%of the floor below,did not count as a floor. 2. The building permit was not challenged within six years even though you did visit the Zoning Board of Appeals for a.variance request on the use,which is very different. 3. Based on the above facts,I would consider the structure protected under 40a and for lack of any direction to the contrary,a preexisting non-conforming. . Section 4-4.7 removes variance situations from 4-4 consideration,but not structures in this category. 4. Section 4-4.4(1)B.says that if the use is conforming and the structure isn't,and expansion is proposed,it is to be allowed as a matter of right as long as it does not increase the degree of non-conformity of the building. S. Since the use of the third floor does not increase the non-conformity of the structure and the use is conforming(office use is being proposed),it can be allowed. 6. Consequently,I am enclosing an updated certificate of occupancy for the building. Sincerely, Ralph M.Crossen Building Commissioner RMC/km enclosure Q960312A T i Y F r IN T- �.;.AWN O ,�:7f..��S4 'BUILDING . PERMIT ADI)RES5 2 b NORT11 ST LKT PHONE HY NNIS ZIP - LOT f BLOCK r.,OT STYE' D A DEVELOPMENT DISTRICT. HY �FRN IT 7968:2 DESCRIPTION. TENEANT PIT CUT YCGA/PIL.TES/SCHOOL/DA-f SPA' ERMIT TYPE BRtft6DC TITLE COMMERCIAL ALT/CONY E' rttog Of i CONTRACTORS. ROBERTS, M I CHAEL ARCRITE Ro ulatpr ISle es TOTAL FEES BON . ;;$.OQ -CONSTRUCTION 00StS $ .0010 ,00 4. 7 'NONRES./N0NHSKP ADD/CORV` I PRIVATE RUTUD . " .. Z . D. iO4L .. TE� - 1 - V .... .. - ,� EXPIRATION DA THIS PERMIT CONVEYS NO RIGHT TO OCCUPY 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 OF THIS { 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 M FOR 1 (READY TO LATH). PANCY IS REQUIRED, SUCH BUILDING SHALL NOT BE ANICAL INSTALLATIONS. CH- 3.INSULATION. OCCUPIED UNTIL FINAL INSPECTION HAS BEEN MADE. 4.FINAL INSPECTION BEFORE OCCUPANCY. 4 BUILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS 1 1 1 2 2 2• 3 1 HEATING INSPECTION APPROVALS ENGINEERING DEPARTMENT 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. rl TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION ter: 3 0 8 0 7 3 0 0 2 Parcel Permit# Mat... .. Health.Division Date Issued Conservation Division Fee Tax Collector Treasurer ,. Planning Dept. Date Definitive Plan Approved by Planning Board Historic-OKH Preservation/Hyannis Project Street Address 259 North S t. Village Owner 259 North St . Limited Partnership Address 297 North St. , Hyannis annis Telephone ( 508) 775-9316 Permit Request To build out3, 1681 (66% of 4800 s . f. ) SPACE FOR o a ila4- school a s a Square feet: 1st floor:existing proposed 2nd floor:existing proposed Total new Estimated Project Cost n,n n n _ Zoning District Flood Plain Groundwater Overlay .AP Construction Type Grandfathered:. El Yes C No If yes,attach supporting documentation. Lot Size Dwelling Type: Single Family ❑ Two Family ElMulti-Family(#units) Age of Existing Structure Historic House: ❑Yes ®No On Old King's Highway: ❑Yes ®No Basement Type: ❑Full ❑Crawl ❑Walkout ❑Other NIA Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) e Number of Baths: Full:existing 2 new Half:existing new w Number of Bedrooms: existing N/A new Total Room Count(not including baths):existing new First Floor Room Count Heat Type and Fuel: R)Gas ❑Oil ❑Electric ❑Other Central Air: ®Yes ❑No Fireplaces: ExistingN/A New Existing wood/coal stove: ❑Yes ❑No Detached garage:❑existing ❑new size Pool:❑existing ❑new size Bam:❑existing ❑new size . Attached garage:❑existing ❑new size Shed:❑existing ❑new size Other: 4` Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes ❑No If yes,site plan review# Curent`Use Proposed Useuildout 3 , 1681 O Ra°('P_ for a yoga/pilates/school/day spa. BUILDER INFORMATION Name T Rahert Telephone Number (508)775-9316 Address 297 North St. License# CS 053861 8 Hyannis , MA 02601 Home Improvement Contractor# Worker's Compensation"# wcc 5000549012002 ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BETAKEN TO Cape Waste . 9/29/04 SIGNATURE DATE TOWN OF BARNSTABLE CERTIFICATE OF OCCUPANCY YOGA/PILATES SCHOOL tPARCEL ID 308 073 002 GEOBASE ID 22042 ADDRESS 259 NORTH STREET PHONE . HYANNIS ZIP - LOT 6 BLOCK LOT SIZE { DBA _ DEVELOPMENT DISTRICT HY PERMIT 89804 DESCRIPTION CERTIFICATE OF OCCUPANCY #79682 PILATES STt PERMIT TYPE BCOCAD TITLE OCCUPANCY/COMMERCIAL ADD. CONTRACTORS: Department of ARCHITECTS: Regulatory Services TOTAL FEES: $75.00 BOND $.00 piF CONSTRUCTION COSTS $.00 756 CERTIFICATE OF OCCUPANCY • BARNSTABLE, MASS. i6g9• Fp�►l A BUILD LTG DIVISION DATE ISSUED O1/19/20,06 EXPIRATION DATE U 0)ts Nei7777!!4 PARCEL ID 308 073 002 0 ADDRESS 259 NORTH STREET PRONE HYANNIS ZIF - LOT 6 BLOCK LOT STI14,' DBA DEVELOPMENT. DI ST'RI CT 1I� ERMIT 79682. DESCRIPTION TENEANT FIT OUT YOGAjPILATE S/SCIIOOL/DA'( S"' ERMIT TYPE BREMODC TITLE COMMERCIAL ALT/CONY CONTRACTORS: ROBERTS, MICHAEL Department of ARCHITECTS: Regulatory Services TOTAL FEES: $505.00 �tME 1 BOND $.00 y "�► CONSTRUCTION COSTS $50:;000.00 �► ,• snxx • 437 NONRES./NONHSKl�,:ADD/CONV 1.. PRIVATE ' .��,.YMn STABLE, 0.19. BUILDING DIVISION BY— �/ - DATE ISSUED 10/04/2004 EXPIRATION DATE TOWN OF BARNSTABLE BUILDING PERMIT PARCEL ID 308 073 002 GEOBASE ID 22042 ADDRESS 259 NORTH STREET PHONE HYANNIS ZIP - LOT 6 _ BLOCK LOT SIZE DBA DEVELOPMENT DISTRICT" HY PERMIT 79682 DESCRIPTION TENEANT FIT OUT YOGA/PILATES/SCHOOL/DAY SPA PERMIT TYPE BREMODC TITLE COMMERCIAL ALT/CONV CONTW,CTORS: ROBERTS, MI C;HAEL Department of ARCHITECTS: Regulatory Services TOTAL FEES: $505.00 �1NE BOND $.00 CONSTRUCTION COSTS $50,000.00 I I 437 NONRES./NONHSKP ADD/CONY - 1 PRIVATE . j&' LE, MALSa 039. FO Mpl A BUILDING DIVISION BY DATE ISSUED 10/04/2004 EXPIRATION DATE THIS PERMIT CONVEYS NO RIGHT TO OCCUPY 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 I ALLEY 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 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. BUILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS 2 2 2_ 1 S i cv 3� l J l]L /O(.n 1 H 77, INSPECTION APPROVALS ENGINEERING DEPARTMENT I l l 2 1 ^ BOARD OF HEALTH 1 OTHER: Ir SITE PLAN REVIEW APPROVAL fi� 1(,iR1.P►1 I i9�(� ff7 w-(w-,) t 4 / i o. 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. TION. 7,. • I I . I • I I I - I I I I - I I • I • I I I " I ' I �,r �Q,s• � s _ Se TOWN OF BARNSTABLE BUILDING PERMIT APPLICATIONe e� Map i 0 8 073 002 Parcel Permit# Health Division Date Isss6d 4 Conservation Division Fee eo�0 0• 00 Tax Collector Av 17 t-•�;�� yQ�.^O Treasurer + Planning Dept. Date Definitive Plan Approved by Planning Board Historic-OKH` Preservation/Hyannis Project Street�Address 259 North St . Village Hyannis Owner 259 North St . Limited Partnership Address 297 North St . , Hyannis Telephone ( 5 0 8 ) 7 7 5-9'316 Yermit Request -To build out3 , 168 ' ( 66% of 4800 s . f . ) SPACE FOR < y yoga//pilates/school/day spa Square feet: 1 st floor: existing proposed 2nd floor:existing proposed Total new Estimated Project Cost $-,n ,nnn _ Zoning District Flood Plain Groundwater Overlay AP Construction Type Lot Size Grandfathered: ❑Yes W No If yes,attach supporting documentation. Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family(#units) Age of Existing'Structure Historic House: ❑Yes ®No On Old King's Highway: ❑Yes ®No .Basement Type: ❑Full ❑Crawl ❑Walkout ❑Other N A Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full: existing 2 new Half:existing new Number of Bedrooms: existing N/A new Total Room Count(not including baths):existing new First Floor Room Count Heat Type and Fuel: 0 Gas ❑Oil ❑Electric ❑Other Central Air: ®Yes ❑No Fireplaces: ExistingN/A New Existing wood/coal stove: ❑Yes ❑No 0 Detached 'garage:❑existing ❑new size Pool:❑existing ❑new size Barn:❑existing Cl new size Attached garage:❑existing ❑new size Shed:❑existing Cl new size Other: Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes ❑No If yes, site plan review# Current Use Proposed Use suildout 3 , 168 ' of a=acP for a yoga/pilates/school/day spa BUILDER INFORMATION Name N i b ,ap l a ��i t s Telephone Number ( 5 0 8 ) 7 7 5-9 316 Address 297 North St . License# CS 053861 Hyannis , MA 02601 Home Improvement Contractor# Worker's Compensation# WCC 5000549012002 ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BETAKEN TO Cape Waste SIGNATURE DATE 9/29/04 ' FOR OFFICIAL USE ONLY t p ., T. r � _ .�` t i � - r- • • T � e = ill PERMIT NO. DATE ISSUED :MAP/PARCEL NO. ; i ADDRESS VILLAGEr OWNER DATE OF INSPECTION: FOUNDATION ' FRALE ZS- 2. INSb-LATION FIREPLACE { " ELECTRICAL: ROUGH FINAL ' PLUMBING: .. ROUGH FINAL GAS ROUGH FINAL FINAL BUILDING'f � } DATE CLOSED OUT ASSOCIATION PLAN NO. x n7l -=' Department'of Industrial Accidents 177 600 Washington Street ., Boston,Mass. O�111 Workers' Compensation Insurance davit ../,��J////'�//%//!%%/���l�i��'����- name: S I PPEWISSETT =CONSTRUCTION CORP . . location: 297 North St . cit, Hyannis MA 02601 honeft 508 775_ ❑ I am a homeowtler performing all work myself. ❑ I am a sole Provrietor and have no one working in amr ca achy ® I ata an emplo�er providing workers'compensation for my employees working on this job. comonnvnomm. Sippewissett Constritrti nn Cnrrz`_ address: 297 North Strppt Y ..x, �5 08)f 775 ... ..... .•,,.,,.x:"" Gift- Hyannis , MA 026.01 n e:hone _9816 insurance co. 19 ANNE140 929 5 13 1112 nlicvilWCC 50. .0549012002 "' ❑ I am a sole proprietor,general contractor, or homeowner(circle one)and have hired the contactors listed below who have the folloning workers'compensation polices: com anY name• addre.-M city. x. Oiiev ...y}: .;✓.... ...p A= •' ti.. ' ' 3'> insurnnce cm .....,. �s. K ' q, •�� � iM •::N eomnanv name: :�" .. :s' '�=.�••• '�. address: ::A,;,•,`e,,+'•y.'+•'+iCiu�..." 4 ��;R,eo�.m;,,£yC�•.�'S..:°.,..O�ICV•# •�:i-• �9:ax�ms'v�•$�y•M,cr.�V,ry.�, ss��wtw�.:.... 2'd°•:6°y'"x. . insursnt:e Co. N + Fiaurr to.secure coverage n regsired under Section 25A of MGL 152 can lead to the Imposition of criminal pesuddes of s p,1e up to 31.S(110d and/or' one years'bnprnonment as welt as civil penalties in the forth of a STOP WORK ORDER ands Qoe of S10QQ0 a day sgeisat nte. I tutderstand that s COPY of t sta tement atement may befornarded to the Oates of Investigations of the VIA for coverage verukatioa, _.._.._..... _._..... . .�..... _.... .... _..._. r•...__.- ire iri erirrrrfesn rsvlclieve is grit ciid rorrrt iy-�- Inc tl'..._.arclt`- fPe! T �.._..._... _ . . . simmrnre /// Date 9' a-9 D Print name . Micha J . Roberts Phoneit (508) 775-9316 otQcial use only do not write in this area to be completed by city ortown oMdal City or town: pertnilllleenn 0 OBuilding Department (Licensing Board ❑check if immediate response Is required Oseleetmen's 0m. �Eedth Deparment contact Pe non: phone t!; troyyeo 9193 PIA) 3 94, '- bARDiOF 3UILDINGREGUAL ATiIONS'' M- License CO1aSTRUCTIO,N 5iUPERVt;SOR 1� � ' dy Number IS 053861 � A � � Birfhdate 02/1�!}955 is+ � � Ezp�res° 2/13l20Q6' Tr na:. 1709;5 u MI;CHAEL J. ROBE.RTS 6 18�15 FALMOUTH:RD APT1G6 EN'TERVdLLE, ' Acting C., mis; aner j i r+ COMMERCIAL BUILDING PERMIT FEES APPLICATION FEE New Buildings,Additions $150.00 , Alterations/Renovations $100.00 /D D C d Building Permit Amendment $ 50.00 FEE VALUE WORKSHEET NEW BUILDINGS square feet x$140.00/sq.foot= x.0081= ALTERATIONS/RENOVATIONS-OF EXISTING SPACE .. square feet X$96/sq.foot= �'� D O O- X.0081=�Q S- P STORAGE BUILDINGS ONLY square feet X$32.00/sq.foot= X.0081 Commprojcos[ Rev:063004 { �± � ��" i i �, /v �a � / ,/�I O E IO (/ I- R �L-EvfaTOF� LIC�rtT SThlu�i WE l-L- 4- _Q� CJ �s�D1 V�b �17 C; rna -va ro�nS r� P O bt�� 6� PA Project: Shect: =- -2.511 .NCXTFI ST ._. . F Scfltc:�c��l,�;d' Ro;ecc No: J� by e i, O°e°O TOPMAT rn IOMt { ow. CONTOUR - t EsuT NfATFR IJIVE --_r'_-___� OOpOOpO a•� opoOOOop000000 y,t pAw �pR� n.so poeao pop00000p00000 -'V Ta 4r Oud ow. �ELri. p000° o°tf°o°o°o°o°o° 7@ »•••»••..�..�"' O°O°O �.• O°O°O°O°O°O°O° IW�r WMl V®,NIYfAACtFp �p� PROP. ELEV. 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