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HomeMy WebLinkAbout0500 OCEAN STREET (18) V OWN I SAN UNV-12122 MADE IN USA A LE MW.RECY M CONiFJJT took CwtllWFOMSDUM!n0 POSTIANWMER wirMt�fiWopram.orp � OFM290 f Ii ` 1 t TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel 6q6 Application # c26 Q a 6 g63 Health Division A Date Issued Conservation Division ( ik Application Fee �/Sh Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board aK Pip- /S­-i3 Historic - OKH Preservation/ Hyannis Project Street Address �� .,�-00 C r Village Wv-126114,65' Owner A�of Address iQS &gjj �� �✓,. �. Telephone 4/O/— Yd Permit Request kPz!aauP ("e_ vr/c-ddy a- '74`d tc-L 60 r�v2--e ,VP.i,✓ �cfG�e:�. C�7r%E��S `�`' COdw/�/'/(�/�S r�ew t—/®w'r_,s ktj&4e_l oen '1!as Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation 167i)&7,"p Construction Type Lot Size Grandfathered: ❑Yes 0 No If yes, attach supporting documentation. Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family (# units) Age of Existing Structure 0 f Historic House: ❑Yes YNo On Old King's Highway: ❑Yes p�fNo Basement Type: ❑ Full , &Crawl ❑Walkout ❑ Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full: existing aT new Half: existing / new 0 Number of Bedrooms: 3 existing O new Total Room Count (not including bathe): existing new 0 First Floor Room Count o2 !;Aeat Type and Fuel: ❑ Gas ❑ Oil ❑ Electric ❑ Other 'Central Air: ❑Yes No Fireplaces: Existing New Existing wood/foal stove U Yes-I❑ No Detached garage: ❑ existing ❑ new size_Pool: ❑ existing ❑ new size _ Barn: ❑existing ❑ew 'size_ Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: �~ Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ "=- c ry Commercial ❑Yes ❑ No If yes, site plan review# Current Use c67`/dia, u s Proposed Use Sa rn APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name %aoz 4. e6v Telephone Number Address 6/3 License # '26 ezSY- Yvr�Ul h AQ L Home Improvement Contractor# 136re-/0 Worker's Compensation # ALL CONSTRUCTIONS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE o2 oZ6 FOR OFFICIAL USE ONLY -{< APPLICATION# DATE ISSUED MAP/PARCEL NO. ADDRESS i VILLAGE . OWNER E ' r � DATE OF INSPECTION: FOUNDATION f FRAME INSULATION. FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL ` FINAL BUILDING i DATE CLOSED OUT ASSOCIATION PLAN NO. The Commonwealth of Massachusetts 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 Le 'bl Name(Business/Organization/Individual): z ill J. Address: r- City/State/Zip:. /1nael aW hone#: Are you an employ ?'Check the appropriate box: Type of project(required): 1.E31I am a employer with l 4. I am a general contractor and I employees(full and/or part-time).* have hired the sub-contractors 6. ❑ New construction 2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7. FRemodeling shipand have no employees These sub-contractors have 8. 0 Demolition working for me in any capacity. employees and have workers' insurance.# 9. Building addition comp.[No workers' comp. insurance required.] 5. ❑ We are a corporation and its . 10.❑ Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their 11.0 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' 13.0 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 artached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp,policy number. I am an employer that isproviding workers'compensation insurance for my employees. Below is thepolicy and job site information. Insurance Company Name: C{,'M/V26L45 " &Lt-v S Policy#or Self-ins. Lie.#: 6s4004?_��1',6 Expiration Date: l0 Job Site Address: c4 CLG S �t �w ®�8if to �t City/State/Zip: n a2 rS py. 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 ce un er the s a p alties of perjury that the information provided abov is tr a and correct. Signature Date: l C� Phone#: X-0 Y jl � d 0230 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#: t oEVE Teti Town of Barnstabfle, .f Regulatory Services .. :. MMST"LE y MASS. �+ Thomas F..Geiler,Director Q7p 1639 • rFo r�xl' Building Division Tom Perry,Building Commissioner 200 Main Stree,..Hyannis,MA 02601 www:town.barnstable.ma.ns Office: 508-8624038 Fax: '508-790-6230 i Property Owner Must Complete and Sign This Section If Using A Builder h , as Owner of the subject property l P p rt-Y hereby authorize -�� U�(a to act on ray behalf, in all matters relative to work authorized by this building permit: Address of Job) **Pool fences and:alarms are the responsibility of the applicant. Pools are not to be filled or utilized before fence is installed and all final inspections are performed and accepted. S a e of Owne Signature of Applicant Print Name print Name o . Dae Q:FORMS:OWNERPEFMISSIONPOOLS 6/2012 Town of Barnstable Regulatory services MUM SfABLE, Thomas F.Geller,Director. nines z6Sy. Building Division Tom Perry,Building C ssion ommi -er 200 Main Street Hyannis,MA 02 601 www.town.barnstable.ma.us Office: _ , 508 862-403 8 Fax: 50 - 8 790 623 0 HOMEOWNER LICENSE EXEMPTION Please Print DATE: JOB LOCATION: number street. . village "HOMEOWNER": name home phone# work phone# CURRENT MAILING ADDRESS: city/town. state zip code The current exemption for"homeowners"was extended to include owner-occupied dwellings of six units or less and to allow homeowners to.engage an individual for.hire'who does not possess a license,provided that the owner acts as supervisor. DEFINITION OF HOMEOWNER Person(s)who owns a parcel of land on which he/she resides or intends to reside, on which there is, or is intended to be, a one or two-family dwelling,attached or detached structures accessory to such use and/or farm structures. A person who constructs more than one home in a two-year period shall not be considered a homeowner. Such "homeowner shall submit to the Building Official on a form acceptable to the Building Official,that he/she shall be responsible for all such work performed under the buildingpemiit (Section 109.1.1) The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other. applicable codes,bylaws,rules and regulations. The undersigned"homeowner"certifies that he/she understands the Town of Barnstable Building Department minimum inspection procedures and requirements and that he/she will comply with said procedures and requirements. Signature of Homeowner Approval of Building Official Note: :Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the State Building Code Section 127.0 Construction Control, HOMEOWNER'S EXEMPTION The Code states that: "Any homeowner performing work for which a building permit is required shall be exempt from the provisions of this section:(Section 109.1.1-Licensing of construction Supervisors);provided that if the homeowner engages a person(s)for hire to do such Work,that such Homeowner shall act as sppervisor." - Many homeowners who use this exemption are unaware that they are assuming the responsibilities of a supervisor(see Appendix Q, 'Rules&Regulations for Licensing Construction Supervisors,Section 2.15) This.lack of awareness often results in serious problems,particularly when the homeowner.hires unlicensed persons. In this case,our Board cannot.proceed against the unlicensed personas it would with a licensed Supervisor. The homeowner acting as Supervisor is ultimately responsible. To ensure that the homeowner is fully aware of his/her responsibilities,many communities,require,as part of the permit application; that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the last page of this issue is'a form currently used by several towns. You may care t amend and adopt such a form/certification for use in your community., Q:forms:homeexempt 4 ' GREW13AI tap ID:Jp . .--. CERTIFICATE F LIABILITYINSURANCE T�1� Y� Tt11S CERTI17CATT! PS ISSUED AS A SPATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS OpON THLt CERTIFICATE HGLZIEFt 1 THIS CERTIFICATE DOES NOT AFFIFOA11VELY OR NEGATIVIE.Y ALIEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES SELOW. TMIS CERTIFICATE OF INSUPA.NCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUINro fNsuRER(S), AUTNONZED REPRESENTATIVE OR pRODUCER,AND THE CERTIFICATE MOLDER. IMPCPTAN.T: If tN G eato hollow Is an ALpI1"19NAL INSURED,the pOjiGy(Ie*)rnust.f d odor It SUBROGATION is YyAiWt ,8► t to fhg t+earn2 3ntl conditions of ttT�'P011 y,O&Ulr►P011CIes map require an 6110.0reemonL A statwmnt on this CePt"Cate do"not eon*rights t.0 the certirlssRt holds In lieu of fta ons4Dr me— e, rr F'ttarlq:5013�Si�7-S640 Gammons-Adams Ins.AS,,fe1C. ZK West Confer Strm Fax:SOB-SOT-5362 T7Xz•— __._ .. WOSI GridgervefRr,MA 02379- _— ChaHos E.Adam: __ asu (s)APreagiraa seyYesa _ NAIC N _ SNSURRRA;IrtfarQ C&at0al IrTSUP$flCa CO �14�53n a;ufteo David A.CiT[�gr_ ty I _ 4-M Weir Rd .. s .YarmaLlthgsOrt.MA 02675.25 IN—ft"AC 125 INSUReIe D_ I r URP91 P t .r COVERAGES ° CERT'IMCATE NUMBER: REVISION NUMBER: THIS I$TO CERTIFY THAT THE POLICIES OF INSUPVNCE LISTED BE.CW HAVE BEEN ISSUED TO THE INSURED NAMED AAOVE FOR THE f�UCY PERIr�D INDICATED. NOTWITHSTANDING ANY FO UIREMENT, 'TERM,OR CONCIT141d OF ANY CONTRACT OR OTHER DOCUMENT YJfTH RESPECT TO WHICI#THIS CERTIFICATE MAY BE ISSUEC CAR AAAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED MiEREIN IS SUBJECT TO ALL THE TERMS, EXCLUVONS AND CONDITICNS OF SUCH POLICIES.LIMITS SHOWN!MAY HAVE BEEN REDUCED BY PAID CLAI1aS. -UR! TYPE Of IN9uw4z '�blEsua i 0MITRAL IJA NUTY .,_ F -maw-To a --L�RRCa�Ce t„ _II COfIl�I�EKCLIL GFN&NALLIA®krTY I� I 'TOrCtS-" �. .. CAS-MADE OCCUR NdEp C7f8 PERSONAL A AM'RJURY a NERALACA'REGA E c I GE NY AGGREGATE LIMrr APKIFS PER: I i PR I� I PROIDMYS-COMP/OP AoG 1 g POLICY .. ... AUTOMONA LMSUIrY ANY AUTO LL LIMP „.� DODILY#{AURY(Perpelfpnj �' AUTOS ALL OWNED � SCH2OUl.CD At1TU"$ BODILY NIUURY(Pa�eoam„p S ► ReD AUTOS N01 q g D. y j RO L� UMR.RELLA UAIIN ' ocCU-R•�—• I exC� UAt EACH OCCURRENCE 5 _ -F--I ..� _jON :L'LARASMA i r-- ' >fNNORKERS COtYaaCN3ATtOp ! A +AND EMPLOTUM UAWTY YIN +r I I ` 57ATU8 —OT � ANY PR0PRiET0"ARTNEPAXECtJTNE �SGOU8-4411 P76-6-11 10/14/12 OM4113 , I �� � :•1�— OFFiCF"11MDCR 6XG-LUDCD9 w/A f CIL.CACa1A0CrDEtYr_ •� ;g— — t t dcwY le fd w L.ols se-�a aLOYe 9 90010 , tl CRIP7rPF. I ^f y-. f:.i.DISPAS[.6tp,M,',YLIMIT�$ SOdi,00 j II I i I DESCR"ON OF OPCRAT6OkS I LOGA` TI'ONS r VCHWLCs(Aaach ACORD 101.*40ftMi Rvpurin 86hd9ub.N Aooro pttoEe la ruyyYpgl —CERTIFICATE HOWCR CANCEA.LATION _ $ItOULD ANY OF THE A80VE DE9CItIBED POLICIES HE CANCELLED BEFORs TR)V/d1 of BarnstableTHE EXPIRATION DATE THEREOF, NOTICE WLL BE DELIVERED IBI ACCORDANCE WRH THE POUCV PROVISION$. _ AUTNARS7_ED ROPRIVIENTA"AS Charm E A STS Ad6RD 26(2010/05) The AOORD a am$and logo Ira nlglstered marug of ACORD 1800ii0Q4 t XVA J SO:C 9T0Z/07/ZT *} Massachusetts- Department ofPublic.Safety j Board of Building Regulations and Stand trds construction;Supervisor License f .. ,license: cs 76458 - 4 • t �Pam' t": k��� 'F�' 'h DAVID A'GREW 438 WEIR ROAD . �YARMOUTHPORT:;MA.02675 4{ Expiration: 6/1/2013 .,` Commuti4roner '= Tr#: 18509 X. i f I • it I i s j I � � I i 1 Yachtsman Condominium Trust Acceptance of Trust Approval The undersigned Owner[s] of,Un t#43 of the Yachtsman Condominium Trust, 500 Ocean Street, Hyannis, Massachusetts,acknowledge[s] that the Trustees of the Yachtsman Condominium Trust have approved the following proposal: • Remove a small window above the kitchen sink in order to maximize space for kitchen cabinets. The area shall be re-shingled to match the existing exterior materials. By acknowledging the Trustees'vote approving the proposal for Unit#43,the undersigned Owner[s] agree that: 1. The specifications provided to the Trustees for approval (copies of which are attached and incorporated hereto) are the final drawings and specifications of the improvements. There shall be no additions or variations to the said drawings and/or specifications without the Trustees'prior written consent. 2. Approval by the Board in noway constitutes a waiver by the Board of the Trust's rights. Moreover,approval by the Board does not indicate that the Board accepts liability or responsibility for the actions of the owners. 3. Any contractors (and sub-contractors) hired to work on the proposal shall obtain the necessary approval and permits from the appropriate local authority or statutory body required under any law(including any statute, ordinance,by-law and/or regulation). The Owner(s) specifiy that Dave Grew will act as the contractor for the proposed renovation. Any and all Contractors and/or sub-contractors shall not commence,continue or complete any work without having the appropriate permits and approvals secured. Contractors and/or sub-contractors shall provide the Manager of the Yachtsman with copies of all approvals and permits, contact information,including emergency contact numers. 4. Any work undertaken shall comply with all relevant local,county and state codes, by-laws,regulations and statutes. 5. Any contractors (and sub-contractors) hired to work on the proposal shall maintain the appropriate liability insurance. Contractors and/or sub-contractors shall provide the Manager of the Yachtsman with copies of the relevant insurance binders. This includes the contractor who is to install the sliding glass doors. 6. Any work undertaken shall be completed by Memorial Day and no work shall be undertaken again until Labor Day,unless approval is sought from and received from the Trustees. 7. I/We assume(s) responsibility for any future costs associated with loss or damage related to the work. 8. Other: As stated above,the materials must match existing exterior materials. =1- f n F r ' n c n O to � u C C 0 Y C rl 1 C 1 � � rl 3 c N N x rr R c I Parcel Detail Page 1 of 3 `71 Logged in As: Parcel Detail Thursday, December 27 2012 Parcel Lookup Parcel Info i324-040-0AR - Condo Unit UNIT 43 Parcel ID Condo Complex YACHTSMAN ) BuildingBLDG 3 Location'500`O-CEAN STREETV " P_ I Pri Frontage Sec Road Sec Frontage I Village`' YANNIS �� I Fire District H AY NNIS Town sewer exists at this address IYes I Road Index 1133 Interactive Y° Map � Owner Info TOS KAREN VCANO, Co owner C7O'KING;KAREN V �, owner Streets25 COREY LANE - - I Street2 City IMIDDLETOWN� ) State iR I Zip 02842 Country • Land Info Acres j0 � use Condominiu MDL-05 I zoning�RB Nghbd F0001 �J Topography F__... _ I Road F.._. Utilities I ( Location F' Construction Info Building 1 of i Year; ( Roof t _��� Ext I 1975 ASP., Built; Struct Wall Living j 1232 I Roof. ( AC None ! I Area 3 cover! Type Int Bed Style]Cminium I Wall all Drywall I Rooms l3 Bedrooms Int Bath Model Res Condo I Floor[Carpet I Rooms�2 Full+ 1 HI Grade[ , Heat jElec Baseboard Total'6 Rooms Type� Rooms Stories 12 S s Heat;Electric Found- Fuel ation i Gross Area I1569 http://issgl2/intranet/propdata/ParcelDetail.aspx?ID=26776 12/27/2012 1 i } d b A � SIZ CY I -- U aF N a f i IA i I I � � I I I 1 Massachusetts Department of Environmental Protection `U06'—S �5 _ Please Enter Decal# i Bureau of Waste Prevention . Air Quality f: BWP AQ 06 Notification Prior to Construction or Demolition Affix Notification Decal Here A. Applicability Importa t:When filling out forms A Construction or Demolition operation of an industrial, commercial, or institutional building, or on the computer, residential building with 20 or more units is regulated by the Department of Environmental Protection use only the tab (DEP), Bureau of Waste Prevention-Air Quality Division, under Regulations 310 CMR 7.09. key to move your cursor-do not Notification of Construction or Demolition operations is required under 310 CMR 7.09 (2)ten(10) use the return days prior to any work being performed.The following information is required pursuant to 310 CMR key. 7.09. B. General Project Description 1. Facility Information: Yachtsman Condominiums— _. Name 500 Ocean Street ---- Address Hyannis MA _ 02601 _ Instructions City/Town State Zip Code 1.All sections of __508 775 1515 this form must be Telephone Number E-mail Address(optional) completed in order to comply with the Size: Department of Environmental 1,200 __ __ 3 Protection Square Feet Number of Floors notification requirements of Was the facility built prior to 1980? © Yes ❑ No 310 CMR 7.09 2.Submit Original Describe the current or prior use of the facility: Form To: Commonwealth of Vacation Condominium — Massachusetts Asbestos Program P.O.Box 120087 Is the facility a residential facility? O Yes ❑ No Boston,MA 02112-0087 If yes, how many units? J 125 _ 2. Facility Owner: Karen King Name _ 125 Cow Lane Address _ Middletown RI 02842 Cityrrown I State Zip Code 401 835 3340 Telephone Number(include area code and extension) E-mail Address(optional) David A. Grew On-site Manager ag06app.doc•6/04 BWP AQ o6•Page 1 of 3 Notification Prior to Construction struction or Demolition C. General Construction or Demolition Description (cont.) 6. If this is a demolition project, were the structure(s)surveyed for the presence of asbestos containing material (ACM)? ❑ Yes 9 No If yes, who conducted the survey? Name Division of Occupational Safety Certification Number J 7. Construction or Demolition 1/3/13 1/30113 — Start Date End Date ' 8. For demolition and construction projects, indicate dust suppression techniques to be used: ❑ seeding ❑ paving If other, pleasespecify: El wetting ❑ shrouding ❑x covering❑ other ------- 9. For Emergency Demolition Operations, who is the DEP official who evaluated the emergency? N/A Name of DEP official Title ---- Date of Authorization DEP Waiver# D. Certification I certify that I have examined the Dav_i ._ :Grew __ � Print N •` above and that to the best of my , �� knowledge it is true and complete. — � �-✓ The signature below subjects the Ai thori ignature signer to the general statutes Owner regarding a false and misleading PositionfTitle statement(s). Grew Buildin & Remodeling Representing 12/27/12 Date P.E.# ag06app.doc•6104 BWP AQ 06•Page 3 of 3 Massachusetts Department of Environmental Protection Please Enter Decal# Bureau of Waste Prevention • Air Quality BWP AQ 06 Notification Prior to Construction or Demolition B. General Project Description (cont.) 3. General Contractor: David A. Grew —_ Name 438 Weir Road ---- Address Yarmouth _ MA 02675 City/rown State Zip Code 508 400 3247 _ _ dgrew verizon.net _- Telephone Number(include area code and extension) E-mail Address(optional) David A. Grew _— On-site Manager C. General Construction or Demolition Description General Statement:If 1. Construction or demolition contractor: asbestos is found during a David A. Grew --- Construction or Name Demolition 438 Weir Road Yarmouth MA 02675 _ operation,all Address responsible parties must 508 400 3247 dgrew a verizon.net _ comply with 310 Telephone Number(include area code and extension) E-mail Address(optional) CMR 7.00,7.09, David A. Grew _ — 7.15,and Chapter On-site Manager 21 E of the General Laws of the 2. On-Site Supervisor. Commonwealth. This would David A. grew —_-- include,but would Name not be limited to, filing an asbestos 3. Is the entire facility to be demolished? ❑ Yes No removal notification with the Department 4. Describe the area(s)to be demolished: and/or a notice of Kitchen cabinets removed at unit#43 release/threat of --- release of a hazardous substance to the Department,if applicable. 5. If this is a construction project, describe the building(s)or addition(s)to be constructed: This is a kitchen remodel Take out old cabinets and flooring and install new. Massachusetts Department of Environmental Protection _'a6 — c��'5 Bureau of Waste Prevention •Air Quality Please Enter Decal_# _ ag06app.doc-6/04 BWP AQ 06-Page+f 3