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HomeMy WebLinkAbout0500 OCEAN STREET (24) S ; 3C- Hai Dyn Q5 c & TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION CY Map ' Parcel I Application # Health Division Date Issued Conservation Division Application Fee Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation/ Hyannis Project Street Address Village �©t+0 Address�S l�i'P-4jo-O"�on Owner 7Y1'1�A ®'�Q7� Telephone 7 g/'— 52�r 9,72 .Permit Request 2 U� �r� IN rnl Ov�P Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation �d Construction Type r-) Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting docum(Ration. Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family (# units) Pa Age of Existing Structure Historic House: ❑Yes 6 No On Old King's ighway:i O Yes ti 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 Total Room Count (not including baths): existing new First Floor Room Count Heat Type and Fuel: ❑ Gas. ❑ Oil ❑ Electric ❑ Other Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑ No Detached garage: ❑ existing ❑ new size_Pool: ❑ existing ❑ new size _ Barn: ❑ existing ❑ new size_ Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes ❑ No If yes, site plan review # Current Use Proposed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name Telephone Number 5bR 4 `IZt7iv��G���� Address tti1 ��f�'IZ.IYILM � 102-f��`3 License # CS���f 3 9Y so Home Improvement Contractor# 1 e5l i Mall: Worker's Compensation # � ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE 0 c 5 r` FOR OFFICIAL USE ONLY 'APPLICATION# _ Yv r DATE ISSUED F .• MAP/PARCEL NO. ,i ADDRESS VILLAGE OWNER r t DATE OF INSPECTION: FOUNDATION FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL r GAS: ROUGH FINAL f FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. i 600 Wash ngton,street. Bostax,MA 02II1 . - WWW.mas&gav/ _ Workers' Compensafion Insurance Affidavit" Builders/Contractors/FIectrician.s/Plumbers Applicant Information 'Please PrintLezffilp Name(snsmess/ 'vidnal):.Sly-�(/�J C1:�G1' ��� �� •�1��� . • .' •• Aar: `7 Z I 06 COY")(6-' 0 c City/siate�z#: IN �- b` �3 �h�.# bog-Z59 = 52 Are you an employer? Check the appropriate ox: -Type of project'(required):, 1.❑ I am a eFPIoyer wiffi 4.\I7�I..1 am a general contzctor and I * Y _have hired e�f 6. []-New constmct cm . employees(full and/or part�imel.• - 2..[] I am a•sole proprietor or partner- listed on the'atta ched sheet 7. Q Rmno&Eng ship and have no e:ployees These have 8. Demolition working forme in•any capacity: employees end have workers'[Na worlds' camp.myn�e. 9. ElBn�g addition eat.insurance. i 5. We ere a muporation'and its 10.0 Elechicalrepim' or addiCons officers have ez�iged their 3.❑ I am a honoeowner doing aIl•wor3c 11.❑Plumbing repairs or additions . rnysolf o workers' comp'. �pf exemption per MGL �)t c. 152, §1(4), and we have no 12.0 Roof repairs e�Inyees.[No workers' 13.0 Other comp.•msur=a regnaed1 • CN7JJ 6�d � . IAny applicant that d=ks box#1 must also fOl out$e scctim bclow.showmg then•wore='eompeasafion policy information. Homeowners who submit this affidavit indicating they ate doing aD work and then hiio outsida contractors must submit a new affidavitindiratmg such. - Conhactms that check Phis box most alfacbed an additional sheet sbowing Ihe name cf die snb oont<act=and sfafr whether or not flwsc mtitics have aiployeas. If the sub-contomton have employers,they must provide their woks'mmip.policy number. cart an employer that is providing workers'compensation insurance for my emplayam Below is the policy and job site rcformatian.• '• • ' . :. .. asurrnm Company Name: olicy#or Self-ins.Lic.ff- ExpinionDalx: :)b Site Address: City/StajrlZip: ±tack a.copy of the workers' compensation policy deciarafion page'(showi the policy nnmber and ezpirafion date). MI=.to sect coverage as required mndcr Section 25A ofMGL,c. L52 can lead to the imposifion of cz[in�a1 penalties of a ne up to$1,500.00 and/or one-year unpu onment,as•we11 as dvp.penalties in the form of a STOP WORK ORDER and a fine np to$250.DD a day against tine violator. Be.advised that a copy of this st-a�may be forwardEd to the Office of YesdRathns of the DIA for Tnmran6e coverage Yenf-catian. io•hereby cerkfy the p atfies Of that the ircformadon provided above is true acid correct long otficiai use only. Do not write nY this'.area,fa be completed by city or fawn affici�l• � ' `City or Town: PermitUcense# I=kg,Authortty(circle one): L Board of Health 2,BmIlingDepartment 3. Cify/Town Clerk 4.Electdrallnspector 5.FltmibmgInspector 6. Other Contact person: Phone : f a►js& iness egu a►on R . OPfce o CTOR HOME IMPROV_ENf+ENT CONTRA Type 9Registration165119 Individual Expiation 11712U14 t NSHETZELn �r STEVEN HETZEU i 72 PINE CONE DR( Undersecretary W.YARMOUTH,MA Q2673 ✓s% . Massachusetts -Department of Public Safety Board of Building Regulations and Standards Construction Supervisor License: CS-104384y►.,.�_� STEVEN L MET4 72 PINE CONE DR 02G WEST YARMOInH Expiration 0712712015 commissioner i Yachtsman Condominium Trust` , Acceptance of Trust Ap2r6va➢ The undersigned Owners]-of Unit#t48.of the Yachtsman Condominium Trust,506 Ocean Street,Hyannis,Massachusetts,acknowledge[s] that the Trustees of the Yachtsman Condominium Trust have approved the following proposal: „ Installation of four replacement windows for the unit(Andersen Teretone Windows only,color to match existing)."Any shingles and trim that are replaced on ; the exterior shall match existing.;Replacement windows shall match,existing windows,both as to size and,placement t By acknowledging the Trustees'vot.e approving the proposal for Unit#48,the undersigned Owner[s] agree that: ; 1. The specifications provided to the Trustees for approval'(copies of which shall be attached and incorporatedhereta)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 no way 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 Owners)specif"iy that any and all Contractors and jor.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,includ ng emergency contact numbers: 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 liabili insurance, Cont c[ors and/or sub-contractors shall liability ra / . provide the Manager of the Yachtsman with copies of the relevant insurance binders. 6'.,Any work undertaken shall be completed,by Memorial Day and no vrork shall be. undertaken again until Labor Day,unless approval is sought from and received from .. the Trustees.. =7.-I/I'Ve assumefs)'responsibility for any future costs associated with loss or damage . related to the work . 8. Other: l 4 As stated above,replacement windows shall match existing both in size and location, and alYexterior materials used during installation must match existing exterior ` conditions. 6'd L e95 80£L 9L deS I The undersigned Owners]of Unit#48 therefore accept the,approval of the.Trustees of the Yachtsman Condominium Trust subject to the.above-noted conditions. Signed this day of 2013 _ Signature7-ftjiiit'Owner ' Prini Name-Unit Owner Signature--Unit Owner Cyr iAiA NARR S - Print e—U awne - itness/Manager achtsman Condominium Trust: s •C'Ocuments Attached: Permits Received(Title an'd Date Received]:. I'd e69:80 S 9 6 deS