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HomeMy WebLinkAbout0500 OCEAN STREET (28) Dcaa-y.) C- u-m.'+ 5-9 II it oFi�rqy, Application Number...... . v. ��3 * SAETiSfABIX # QQ MASS. Permit Fee......Z .°. ...........Zoning District..........0 1639. CFO MA'S A TotalFee Paid ............................................................... ...... TOWN OF BARNSTABLE Permit Approval by...a.8e` ado ...............on .... ..2.:....... BUILDING PERMIT Map...3 Z.u - o y q P ........................... .........I..............Parcel .. APPLICATION Section 1 — Owner's Information and Project Location 1 Project Address 0 O ,cam, �(� _ Village r')��� Owners Name '�Q-24ham (� n 4 MAR 1 Owners Legal Address p U (')(�� �'1 7 020 City_ —u State ),o ,, Zip t Owners Cell Section 2 — Use of Structure Use Group ❑ Commercial Structure over 35,000 cubic feet ❑ Commercial Structure under A,W649 99PT ❑ Single/Two Family Dwelling FEB 2 4 2020 Section 3 — Type of Permit TOWN OF BARNSTAB ❑ New Construction ❑ Move/Relocate ❑ Accessory Structure ❑ Change of use ❑ Demo/(entire structure) ❑ Finish Basement ❑ Family/Amnesty ❑ Fire Alarm Rebuild ❑ Deck Apartment ❑ Sprinkler System ❑ Addition ❑ Retaining wall ❑ Solar Renovation ❑ Pool ❑ Foundation Only Other—Specify � z , Section 4 - Work Description Last updated: 1/31/2020 Application Number.................................................... Section 5—Detail Cost of Proposed Construction (X Square Footage of Project p Age of Structure Sop�u;9 Dig Safe Number # Of Bedrooms Existing_ Total # Of Bedrooms (proposed) 110 MPH Wind Zone Compliance Method ❑ MA Checklist ❑ WFCM Checklist ❑ Design Section 6 —Project Specifics Wiring ❑ Oil Tank Storage, ❑ Smoke Detectors [�Pl'urribing" R Gas ❑ Fire Suppression ❑ Heating System ❑ Masonry Chimney ❑ Add/relocate bedroom Water Supply Public ❑ Private f y Sewage Disposal a Municipal ❑ On Site Historic District ❑ Hyannis Historic District ❑ Old Kings Highway Debris Disposal Facility: j h-�,,,.� 4 (Ia�A.A Owy I am using a crane C Yes ❑ No Section 7— Flood Zone Flood Zone Designation Within or adjacent to a wetland, coastal bank? Yes ❑ No ❑ Section 8— Zoning Information Zoning District Proposed Use Lot Area Sq. Ft. Total Frontage Percentage of Lot Coverage #of Dwelling Units (on site) Setbacks Front Yard Required Proposed Rear Yard Required Proposed Side Yard Required Proposed Has this property had relief from the Zoning Board in the past? ❑ Yes ❑ No Last updated: 1/31/2020 x v o g } y 3 e v r, t a Ile a Ul El a j �g x , m S e , 275" 85T.. 33"-- 45'r Current Sink 8 Stove Location to be moved W2733 W3015 W2733 W36is W2733 W361524 BPP NGE.GAS.30- DB1 BWB1.5 1 DISHBEPF U248724FTF -- -- --- ------------- -- ----------------EXT_-R1<----- ---- EXT-R SWITCHING TO GAS TEP2487F1.5FPE - REF.2D.1 DW 36 jCn 1 1 ' * t 1 BC45R B36 3,DB36 B36 -------------------- ,1 BP9634.5CRSG R .-_�.__._._._ I: �_ ._�.---BP9634.5CRSG R--- 1 7116 Flat Scribe and 0 - added for panel ainets at 87"High _ I Stock+ 1-314"Crown:to Ceiling ; '* - N 1 � r ; � 1 • 1 1 I 1 1910" 36 " O _ . SCANNED m MAR 17 2020 ` s o Let- .. � - :_x..r•i at�' - � :. ...}' .. i ...}... / a+�'3a•.i � ... {u){� m -- .ryM � . '�` �` ! — �l-, i ,ate. r .f. ��3�fid.st.. w 'y'_ 4 i +.3.r•"o � }ems. . a x I � Y 4 r i +y x, s ? d DMI wed fIs FF 11�-A,, a .�' .fie'? •� ��� s ..�. � � ",;"�1 Tt� � '�'imk,`a� � _ ^� k g y a r c a � x a R �>v 3. i I}I � ryp y �1 n it 5 _ r i C, a . s _�"' y�sa;`` .. 17 IMP *� 4 rc = w. i ti SO TAP a y ' ►E i ye �+ T ". 1 1 f�� Commonwealth t go O f Build' Professional�, usetts Board of ng Regulations censure COns\rt1 �{ and Standards CS-049879 ijP�:rvisor STEVEN f ��t 41pires:65/22/2020 P.O.BOX B27'-" . C CENTERVILLE Iftf�q 02 , ��/S•S7�iC)�J CO►►I .issi°ner LIZ Office of Consumer Affairs&Business Regulation HOME IMPROVEMENT CONTRACTOR Registration valid for individual use only TYPE•Individual before the expiration date. If found return to: Re,ist: fp ". Expiration Office of Consumer Affairs and Business Regulation 11/02/2020 1000 Washington Street-Suite 710 h' STEVEN L ME l; " }t` Boston,MA 02118 a _ —ry��i STEVEN L.MEL9 74 FROST LN :i��'+r°' HYANNIS,MA 02601, Undersecretary Not valid without signature •-r The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston,MA 02111 www.mass.govhUa Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly _ Name(Business/Organiration/Individual): N �C1all PC Address: 62l City/State/Zip: b Phone#: Are you an employer?Check the appropriate box: Type of project(required): 1.P 1 am a employer with• 1 4. ❑ I am a general contractor and I 6. ❑New construction employees(full and/or part-time).* have hired the sub-contractors 2.El I am a sole proprietor or partner- wed on the attached sheet. 7. PRemodeling have ship and have no employees These ees a sub-contractors workers' g• ❑Demolition workingfor me in an capacity. employees and have workers' Y � �• .insurance.: 9. ❑Building addition [No workers comp.ins>ance comp required.] 5. ❑ We are a corporation and its 10.❑Electrical repass or additions ] ffi h exercised ❑ �repairs or additions officers have exercse their 11. Plumb' 3.El I am a homeowner doing all work P myself[No workers'comp. right of exemption per MGL 12.❑Roof repairs insurance required.]t C. 152,§1(4),and we have no employees.[No workers' 13.❑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 mast submit a new aff davit indicating such. tContractors that check this box must attached an additional sheet showing the name of the subcontractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. lam an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: h!T , �, ��T IA • — Policy#or Self-ins.Lie.#: AWC_k b6_�Q COI9 -A Expiration Date: Job Site Address: �'D C 2gAc. 5fi City/State/Zip: `wei 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 certify under the pains and penalties of perjury that the information provided above is true and correct Sisrrature_� 0 > Date: Phone#: S Ofj`icial 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#: Information and Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers' compensation for their employees. Pursuant to this statute,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 inchiding 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,§25C(6)also states that"every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to constrict buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required." Additionally,MGL chapter 152, §25C(7)states"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 f - Please fill out the workers' compensation affidavit completely,by checking the boxes that apply to your situation and,if necessary,supply sub-contractors)name(s),address(es)and phone number(s)along with their certificate(s)of insurance. Limited Liability Companies(LLC)or Limited Liability Partnerships(LLP)with no employees other than the members or partners,are not required to carry workers'compensation insurance. If an LLC or LLP does have employees,a policy is required Be advised that this affidavit may be submitted to the Department of Industrial Accidents 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 Industrial 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. Self-insured companies should enter their self-insurance license number on the appropriate line. City or Town Officials 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 permit/license number which will be used as a reference number. In addition,an applicant brat must submit multiple permit/license applications in any given year,need only submit one affidavit indicating current policy information(if necessary)and under"Job Site Address"the applicant should write"all locations in (city or town)."A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year.Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e.a dog license or permit to burn leaves etc.)said person is NOT required to complete this affidavit. The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call. The Department's address,telephone and fax number: The Commonwealth of Massachusetts Department of Industrial Accidents, Office of Investigations 600 Washington Street Boston,MA 02111 Tel.#617-727-4900 ext 406 or 1-877-MA►SSA.FE Revised 4-24-07 Fax##617-727-7749 www.mam.gov/dia I A CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) 09/24/2019 THIS CERTIFICATE 13 ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS O 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 ¢ETWEEN 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 sta ement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER NAME• Mark Sy via MARK SYLVIA INSURANCE AGENCY LLC PHONE 506 �57-212A aC No: EDDRE ferdmark: jennisylviainsurance.Com 404 MAIN ST IN RE S AFFORDING COVERAGE NAIC# CENTERVILLE MA 02632 INSURERA: AIM M TUAL INS CO 33758 INSURED INSURER B: STEVEN L MELLOR INSURERC: MELLOR BUILDING & REMODELING INsurtERD: P 0 BOX 627 INSURER E: CENTERVILLE MA 02632 INSURERF: COVERAGES CERTIFICATE NUMBER: 452572 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. ADD SUB POLICY EFF POLICY EXP _TR TYPE OF INSURANCE POLICY NUMBER M DD/YYYY).(MM/DDArfM LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ CLAIMS-MADE DOCCUR T PREMISES Ea occurrence $ MED EXP(Any one person) $ N/A PERSONAL&ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ POLICY a JECT El LOC PRODUCTS-COMP/OP AGG $ —3OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ F�accident ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED AUTOS AUTOS N/A BODILY INJURY(Per accdent) $ HIRED AUTOS NON-OWNED PROPERTY DAMAGE AUTOS Par ecddent $ $ UMBRELLA LIAS HOCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE N/A AGGREGATE $ DED I I RETENTION$ $ WORKERS COMPENSATION X STATUTE ERA AND EMPLOYERS'LIABILITY Y/N ANYPROPRIETORIPARTNERIEXECUTIVE E.L.EACH ACCIDENT $ 1,000,000 A OFFICERIMEMBEREXCLUDED? N/A N/A N/A AWC40070355822019A 06/17/2019 O6/17/2020 (Mandatory in NH) E.L.DISEASE-EA EMPLOYEEI$ 1,000,000 if Dyea, IPTIOe.under E.L.DISEASE-POLICYLIMIT $ 1,000,000 DESCRIPTION OF OPERATIONS below N/A )ESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES(ACORD.101,Additional Remarks Schedule,may be attached H more space Is required) Workers'Compensation benefits will be paid to Massachusetts employees only.Pursuant to Endorsement WC 20 03 06 B,no authorization is given to pay claims for benefits to employees in states other than Massachusetts if the insured hires,or has hired those employees outside of Massachusetts. This certificate of insurance shows the policy in force on the date that this certificate was issued(unless the expi I lion date on the above policy precedes the issue date of this certificate of insurance). The status of this coverage can be monitored daily by accessing,the.Proof of Coverag -Coverage Verification Search tool at www.mass.gov/lwdANorkers-cothpensaUonriinvestigations/. Sole proprietor has not elected coverage. '.ERTIFICATE HOLDER CANCELLATION SHOULD ANY OFT E ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Town Of Barnstable Building Department ACCORDANCE WI H THE POLICY PROVISIONS. 200 Main.Street AUTHORIZED REPRESE ATIVE Hyannis MA 02601 `"' Daniel M.Cr y,CPCU,Vice President—Residual Market—WCRIBMA ©1988-2014 ACORD CORPORATION. All rights reserved. CORD 25(2014101) The ACORD name and logo aro registered marks of ACORD , Application Number........................................... Section 9 — Construction Supervisor Name Sfi-@y ,>n �e l�b Telephone Number S y& --) Address Z)6X 6�City State Ica, Zip ,63�-- License Number( License Type Expiration Date Contractors Email �, ��� `,� HL� nnDa. Cell # I understand my responsibilities under,the rules and regulations for Licensed Construction Supervisor in accordance with 780 CMR the Massachusetts State Building Code. I understand.the construction inspection procedures,specific inspections and documentation requireA by 780 CMR and the Town of Barnstable.Attach a copy of your license. Signature J- Date Lo U Section 10—Home Improvement Contractor - Name "e�,-�� �'`G,,r- Telephone Number S 01;% Address ' t �r 6!�,j _City State Zip 611,61- R Registration Number 1 j--7 61 b Expiration Date n � ,(2 I understand my responsibilities under the rules and regulations for Home Improvement Contractors in accordance with 780 CMR the Massachusetts State Building Code. I understand the construction inspection procedures,specific inspections and documentation required by 780 CMR and the Town of Barnstable.Attach a copy of your H.I.C... Signature Date_ ,/ ,6_ /) Section 11 —Home Owners License Exemption. Home Owners Name: Telephone Number Cell or Work Number I understand my responsibilities under the rules and regulations for Licensed Construction Supervisor in accordance with 780 CMR the Massachusetts State Building Code. I understand the construction inspection procedures,specific inspections and documentation required by 780 CMR and the Town of Barnstable. Signature Date APPLICANT SIGNATURE 4 Signature Date J I�aa Print Name SIQ-u Qr M t?1( or Telephone Number S y&,42Z(� -7Lt , E-mail permit to: �, (� lN' 40 hnAa 0 d Last updated: 1/31/2020 Section 12 — Department Si Sign-Offs g .. 4. Health Department Zoning Board(if required) Historic District ❑ , Site Plan Review(if required) ❑ Fire Department ❑ Conservation For commercial work,please take your plans directly to the fire department for approvak Section 13 — Owner's Authorization I, r �� 5 , as Owner of the subject property hereby authorize e p."p, , _ 'to act on my behalf, in all matters relative to work autl�orized b this build'n ermit applicat' for: .5� d 57`. l�, sAX2yin O (Address of job) Si atur of Owner date Print Name Last updated: 1/31/2020 � ' . Town of Barnstable e - Building } .. _ C..J Pos �t`Ths Card So That it is Uis�ble From theStreet Approved P;,,IansMustJbe°Retained on Joband this Card Must;be Kept 6NLTTfTCACi1.L. i W. ' bPosted UntiloFinal Inspection Has Been Mader h s R, f .. u, f Permit r Where aCertificate of Occupancy is Requjred,such BuildmgshallNotbe Occupied until a Final Inspection'has been made Permit No. B-20-553 Applicant Name: STEVEN L. MELLOR Approvals Date Issued: 03/09/2020 Current Use: Structure Permit Type: Building-Addition/Alteration-Commercial Expiration Date: 09/09/2020 Foundation: Location: 500 BLDG 3C UNIT 58 OCEAN STREET, HYANNIS Map/Lot: 3247040-OCL Zoning District: RB Sheathing: Owner on Record: GROSSMAN,ANDREW J&JENNIFER L Contractor Name:' STEVEN L Mellor Framing: 1 Address: 49 CLAYTON BLVD#1514 Contractor Lcensei 11Z610 2 BALDWIN PLACE, NY 10505 Est Project Cost: $ 14,000.00 Chimney: Description: REMODEL KITCHEN, REMOVE NON LOAD BEARING WALL Pe"rmit Fee: $227.40 Insulation: Fee Paid:' $ 227.40 Project Review Req: Final: ✓ Date 3/9/2020 �"3, Plumbing/Gas " Rough Plumbing: , .: .. Building Official Final Plumbing: This permit shall be deemed abandoned and invalid unless the work authorized by this permit is commenced within s ix months after.issuance. All work authorized by this permit shall conform to the approved application and th6approved construction documents for which this permit has been granted. Rough Gas: All construction,alterations and changes of use of any building and structures shallbe incompliance with the local zoning by lawsa � nd codes. This permit shall be displayed in a location clearly visible from access s#reeto road and shall be maintained open for public inspection for the entire duration of the Final Gas: � 4 { work until the completion of the same. , Electrical The Certificate of Occupancy will not be issued until all applicable signatures by#the Building and FirejOfficials are provided on this permit. Minimum of Five Call Inspections Required for All Construction work:, 4 ' Service: 1.Foundation or Footing ' 2.Sheathing Inspection ti` y " �. , Rough: . 3.All Fireplaces must be inspected at the throat level before firest flue lining is installed Final: 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection 5.Prior to Covering Structural Members(Frame Inspection) Low Voltage Rough: 6.Insulation 7.Final Inspection before Occupancy Low Voltage Final: Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Health Work shall not proceed until the Inspector has approved the various stages of construction. Final: "Persons contracting with unregistered contractors do not have access to the guaranty fund" (as set forth in MGL c.142A). Fire Department Building plans are to be available on site All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT Final: