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HomeMy WebLinkAbout0003 OAK STREET � ��2 v V � i —; TOWN OF BARNSTABLE BUILDING.PERMIT APPLICATION. Map Parcel 1 ;Application Health Division Date Issued:' I �,6raVrz_ Conservation Division Application Fee Tax Collector Permit Fee Treasurer - Planning Dept. Date Definitive Plan Approved by Planning Board Historic-OKH Preservation/Hyannis Project Street Address S © G Village WkN�S Owner hA PAC T,A k Address ' Telephone Permit Request U Square feet: 1 st floor:existing proposed 2nd floor:existing proposed Total new Zoning District ., Flood Plain Groundwater Overlay Project Valuation O Construction Type Lot Size Grandfathered: ❑Yes ❑No If yes, attach supporting documentation. Dwelling Type: Single Family X 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 Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full:existing new Half:existing new Number of Bedrooms: existing new ® N Total Room Count(not including baths):existing new First Floor Rqv Count 214 Heat Type and Fuel: ❑Gas ❑Oil ❑Electric ❑Other z i v NO W Central Air: ❑Yes ❑No Fireplaces: Existing New Existing wood/ oal stove;,.❑Yeg ❑No Detached garage:❑existing ❑new size Pool:❑existing ❑new size Barn: existing 0 neuoize 00 Attached garage:❑existing ❑new size Shed:❑existing ❑new size Other: v rn Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes ❑No , 1f yes,site plan review# _— Current Use Proposed Use UILDER INFORMATION Name ` 1� \ TelephoneN �� Number � Address License# 04 q l b C Home Improvement Contractor# 61 Worker's Compensation# 1 tJ ALL CONSTRUCTION DEBRIS RESULTING FROM THI P OJECT WILL BE TAKEN TO �� 'M SIGNATURE DATE �� FOR OFFICIAL USE ONLY t APPLICATION# i DATEISSUED MAP/PARCEL NO. ADDRESS VILLAGE OWNER DATE OF INSPECTION: FOUNDATION ' FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL - GAS: ROUGH FINAL _.oti FINAL BUILDING �4 f DATE CLOSED OUT � rS ?u :12;'; �� ASSOCIATION PLAN NO. F y The Commonwealth of Massachusetts J Department of Industrial Accidents ` Office of Investigations 600 Washington Street Boston,MA 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name(Business/Organization/Individual): Address: X � City/State/Zip: �f 40Phone #: � 0 67)7 ,I re ou an employer?Check the appropriate box: Type of project(required): 1 am a employer with 4. El am a general contractor and I 6. ❑New construction CCC 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. workers' comp.insurance. 9. ❑ Building addition [No workers' comp.insurance 5. ❑ We are a corporation and its required.] officers have exercised their 10.❑ Electrical repairs or additions 3.❑ I am a homeowner doing all work right of exemption per MGL I LE] 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' 13.0 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 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: p /� Policy#or Self-ins.Lic.#: Q�1 4) �`t° Expiration Date: % O UDI Job Site Address: � ®�'` City/State/Zip: Attach a copy of the workers' compensation policy declaration page(showing the policy num er 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 d g ' st the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of e IA r insurance coverage verification. I do hereby ce nder ains and penalties of perjury that the information provided ab ve is true and correct Signature: Date: Phone#: U ®� �� 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#: �sr,•„„/i,{„p jl( a� License or registration valid far'individul rrse only O1fce�Eu -11 am smrs�.<gu a`fron •I before the expiration date.If found return toe ,. office of Consumer Affairs and Business HOME IMPROVEMENT CONTRACTOR s Rcguldtion TYPe 5170 Expiration1 .. -_- pogistratfon n Private 12012012 165773 10 Park Plaza-Suite s Corporat!mj Boston.V1A'o 6 .+ N L HOPKINS BUILDERS INC,lt _ -• - _ . 4 NIALL HOPKINS` -n, .21 G FRUEAN AVEI c �'6 "�"""� t Not val' vithout signature - LL£11 YARMOUTH MA 62664 Undersecretary• .1 Massachusetts•Department of Public Saret., Board of Buildin Regulations and Standards' -Construction Supervisor License LicgnSe:CS 84216 NIALLJ HOPKINS BOX 231r SQ,YARMOUTH.MA 02664 Expiration:A7212013 -TrN: 14504 ` i i ' ® DATE(MM/DD/YYYY) �`�o CERTIFICATE OF LIABILITY INSURANCE 09/09/2011 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT NAME: Mark Sylvia Insurance Agency PHONE FAX 771 Main Street Alc No Exc: 508 428-0440 A/c No): 508 420-9227 E-MAIL ADDRESS:mark@marksylviainsurance.com Osterville,MA 02655 INSURERS AFFORDING COVERAGE NAIC# INSURERA: Farm Family Casualty Insurance INSURED INSURER B: Niall Hopkins Builders,Inc. 118 Lakefield Road INSURER C PO Box 231 INSURER D: South Yarmouth,MA 02664 INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: 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. INSR TYPE OF INSURANCE ADDL SUER POLICY NUMBER MMIDDY� POLICY LIMITS LTR A GENERALLIABILITY 2001L6275 10/30/2010 10/30/2011 EACH OCCURRENCE $ 1,000,000 DAMAGE To RENTED X COMMERCIAL GENERAL LIABILITY PREMISES Ea occurrence $ 100,000 CLAIMS-MADE �X OCCUR MED EXP(Any one person) $ 5,000 PERSONAL&ADV INJURY $ 1,000,000 GENERALAGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ 1,000,000 X POLICY PRO LOC $ A AUTOMOBILE LIABILITY 2001 C53575A 6/25/2011 6/25/2012 COMBINEDSINGLE LIMI( accident) T $ ANY AUTO BODILY INJURY(Per person) $ 1,000,000 ALL OWNED SCHEDULED BODILY.iNJURY(Per accident) $ 1,000,000 AUTOS x AUTOS NON-OWNED PROPERTY DAMAGE $ 1,000,000 HIREDAUTOS AUTOS Peraccident $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED I I RETENTION$ $ A WORKERS COMPENSATION 2001 W6459 9/8/2011 9/8/2012 TWC-WC x oTH- AND EMPLOYERS'LIABILITY ER ANY PROPRIETOR/PARTNER/EXECUTIVE YIN�N N/A E.L.EACH ACCIDENT $ 500,000 OFFICER/MEMBER EXCLUDED? (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ 500,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 500,000 DESCRIPTION OF OPERATIONS/LOCATIONS I VEHICLES (Attach ACORD 101,Additional Remarks Schedule,if more space is required) Carpentry,Electrical CERTIFICATE HOLDER CANCELLATION (508)790-6230 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Town of Barnstable Building Department THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 200 Main Street Hyannis,MA 02601 AUTHORIZED REPRESENTATIVE ©1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25(2010/05) The ACORD name and logo are registered marks of ACORD i a ` 1 OWNER AUTHORIZATION FORM 3 I i - 1 I, Gregory F. Cardinale (Owner's Name) owner of the property located at 3 Oak Street (Property Address) Hyannis, MA 02601 (Property Address) hereby authorize 1 Ck Q 112 YL (Subcontractor) an authorized subcontractor for RISE Engineering, to act on my behalf to obtain a building permit and to perform work on my property. 'Owner's na ure October 31,.2011 Date �G�� v D i 4 OCT 31 2011 L.. Town of Barnstable OFTME Regulatory Services 0 Thomas F.Geiler,Director { SAMSTABM ` Building Division 039. Tom Perry,Building Commissioner 200 Main Street; •Hyannis,.MA 02601 � .. www.town.barnstable.ma.us . Office: 508-862-4038 Fax: 508-790-6230 PERMIT# 00 4 L 0& 7 FEE: $ 3 SHED REGISTRATION 200 square feet or less 3 Oak Street Hyannis Location of shed(address) Village G Gregory F. Cardinale 617-448 9335 r M ti , r• s k z .! t 1 ka.:.Jf t .R Property owner's name Telephone number 10 ft X fs 8'O ."q. ft Map 310,/,Parce1. 192 -� - Size of Shed f. .l ,. . . �' ,a Map/Parcel#. r, �s£ #.e'r ,�;`v x� September 27, 2011XJ ignature Date Hyannis Main Street Waterfront Historic District? No Old King's Highway Historic District Commission jurisdiction? No �C 5h s-ervatibniz Commissronl(sgn'arture=is-requft*d) Sigh-o = oursfrCons�eation�:800-9_�30-&_3�1k43=0"�� PLEASE NOTE: IF YOU ARE WITHIN THE JURISDICTION OF ANY OF THE ABOVE COMMISSIONS,THERE MAY BE A REVIEW PROCESS AND APPLICATION FEE. PLEASE SEE THE APPROPRIATE COMMISSION FOR DETAILS. THIS FORM MUST BE ACCOMPANIED'BY A-_. PLOT PLAN PLOT PLAN s.._ JPG 310273 N 57 _ 310271 k16_ 310272 10 feet min 310191 o New Shed 10' X 8' N 58 10 feet(min) 310193 310192 q3 6�M sr 309062 �"' �.y atl 85 A #0940561 3940380 309059 309361 309058 _ p37 N37j N41 YOU WISH TO OPEN A BUSINESS? For Your Information: Business certificates(cost$30.00 for 4 years). A business certificate ONLY REGISTERS YOUR NAME in town (which you must do by M.G.L.-it does not give you permission to operate.) Business Certificates are available at the Town Clerk's Office, 18`FL., 367 Main Street, Hyannis, MA 02601 (Town Hall) U< DATE: 05 /� Fill in please: RN�f k APPLICANT'S YOUR NAME/S: + I�;Jr A1n/�'�S 1� . BUSINESS YOUR HOME ADDRESS: ro r s r sr s n r—Dd TELEPHONE # Home Telephone Number 7 may= 7 e 7yj NAME OF CORPORATION: NAME OF NEW BUSINESS 1-2 W1 O 0V YPE OF BUSINESS IS THIS A HOME OCCUPATION? YES NO tC� ADDRESS OF BUSINESS S OR JC ST /�Yf�J�✓��l f�la , OH O% MAP/PARCEL NUMBER tAssessing) 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 business in this town. 1. BUILDING COM 10 R'S�FEThis individua ha' b infof ny er it requirements that pertain to this type of business. MUST COMPLY WITH HOME OCCUPATION RULES AND REGULATIONS. FAILURE TO G _ ut- izedtatfrre* COMPLY MAY RESULT.IN FINES.C MEN S: ilAtlti _ S - L 2. BOARD OF HEALTH This individual has been informed of the permit requirements that pertain to this type of business. Authorized Signature* COMMENTS: 3. CONSUMER AFFAIRS (LICENSING AUTHORITY) This individual has been informed of the licensing requirements that pertain to this type of business. Authorized Signature** COMMENTS: Town of Barnstable oFtHe Regulatory-Services r� �. ti Thomas F. Geiler,Director 0 Building Division rt BARNSCABLE, * - y MASS. Tom Perry,Building Commissioner °rEo �A 200 Main Street, Hyannis, MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Approved: Fee: �s. Permit#: Z. HOME OCCUPATION REGISTRATION Date: 0 kos-l) Name: J A, �G�v,�C : S� Phone #: .7 7 Address:_ 3 OA K 57 , Village: G WfS /-101pq "�m�o v C=rn L;rl/� Name of Business:----- ----- ---- ---------------- --- — ------------- --- --- --- Type of liusiness:�—�o/'JC� %�� Map%Lot: INTENT: It is the intent of this section to allow the residents of the Tmvii of Barnstable to operate a home occupation iNitliin single f<nnaily chvellings,subject to the provisions of Section/(-l./t of the Goiiilig orclivarnce, prbviclecl dial the activity sliall not be discernible from outside the dowelling: there shall be no increase iu noise or odor;no�1sual-alteration to the. premises which avould suggest unytliing other than a residential use;no increase iu traflic above normal residential volumes; and no increase in air or grounthwater pollution. After registration m'di the Building Inspector,a customary home occupation shall be permitted.as of right subject to the following Conditioins: ` be activity is camed on by the permanent resident of single family residential chvelling unit, located withiia' that dwelling unit: • Such use occupies no more than 400 square feet of space. • There are no external alterations to the dwelling idiich are not customary in residential buildings,and there is no outside eAridence of such use. • No traflic.�Vill be generated ail excess of normal residential volumes. - The use does not involve the production of offensive noise, Vibration,smoke, (lust or other particular matter, odors,electrical disturbance,Beat,glare,humidity or other objectionable effects. • There is no storage or use of toxic or hazardcius ni ater-ias,or flamniable or explosive Materials, in excess of rlornla housellokl.quantities. • Any need for pairking.generated by such use shall be met on the same lot corltaiuiugthe Customary Home 0ccupat1011,and not mithin 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 san or one pick-up truck not to exceed one ton capacity,and one trailer not to exceed20 feet in length and iurt to exceed 4 tires,parked on the same lot containing the Customary Home Occupations. • No signs shall be displayed indicating the Customary Home Occupation. • If the Custoniauy Honle Occupation is listed or advertised as a business,the street address shall heat he included. • No person shall be employed in the Custonnaiy Homet)cc•upatiou Who is'not a permanent resident of tale chv lling unit. I, the undersign have read and agree« e abov -estric•tions f>r my Brine occupation I and registering. Applicant: Date: ir,., n 1 r4'n9