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HomeMy WebLinkAbout0500 OCEAN STREET (36) y D Ll ® (PT-P . Town of Barnstable Building Post=This Card So That etas Visible:Erom,.the Street, Approved,Plans Must be,Retained on Jobxand this CardMust be Kept s a MAW (Posted Until Final Inspect on Has Been Made 4 � ` _ Permit r Where a Certificate ofOccu anc is Re wired such Buildm shall Not beOccu ied until a Final"Ins ection has been made P Y 4 g Permit No. B-19-823 Applicant Name: Shane Frisby Approvals Date Issued: 03/25/2019 Current Use: Structure Permit Type: Building-Alteration INTERIOR Work Only- Expiration Date: 09/25/2019 Foundation: Residential Map/Lot: 324-040-ODP Zoning District: RB Sheathing: Location: 500 UNIT 94 OCEAN STREET, HYANNIS ContractorName Framing: 1 Owner on Record: WING SERIES LLC k Contractor License 2 Proect Cost:220 BEACON ST Est $ 15,000.00 Chimney: BOSTON, MA 02116 „P.ermit Fee: $ 126.50 Insulation: Description: Updating kitchen/bathrooms with the same layout �` Fee Paid $ 126.50 Date 3/25/2019 Final: Project Review Req: Plumbing/Gas 4 Rough Plumbing: Offidal This permit shall be deemed abandoned and invalid unless the work authorized by this permit is commenced viithi six months after issuance. Final Plumbing: All work authorized by this permit shall conform to the approved applic'atiQr and the=approved construction d m ocuentstfo�which this permit has been granted. All construction,alterations and changes of use of any building and structures shall be in compliance with the local zoning by laws and codes. Rough Gas: r , This permit shall be displayed in a location clearly visible from access street or road>and shall be maintained open for public inspection for the entire duration of the work until the completion of the same. Final Gas: The Certificate of Occupancy will not be issued until all applicable signatures by the Building and Fire Officials are providedon this permit. Electrical Minimum of Five Call Inspections Required for All Construction Work: EzrNgl - 1.Foundation or Footing �' Service: 2.Sheathing Inspection _ ` _ Rough: 1 3.All Fireplaces must be inspected at the throat level before firest flue lining is installed g 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection Final: 5.Prior to Covering Structural Members(Frame Inspection) 6.Insulation Low Voltage Rough: 7.Final Inspection before Occupancy Low Voltage Final: Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Work shall not proceed until the Inspector has approved the various stages of construction. Health "Perso acting with unregistered contractors do not have access to the guaranty fund" (as set forth in MGL c.142A). Final: S� Building plans are to be available on site Fire Department � �� `\ All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT Final: Kitchen Creations < 560 Higgins Crowell Road West Yarmouth, MA 02673 _ 508-775-5311 (Phone) 508-775-5399 (Fax) 1/30/2019 Room 1 cvi --s:a� q Q OI •,,ta + A x y ^•: d ts: 4,/p, ";, ec 'u, ,'"" .': > r3� ' ^fig n ' ..� - t o `� * •5"_e ` 4 4 xI••q ,r' S f k',u`. ';x,..' y ,lkEl 1 - WE 1'2 k��"�:.:...'•. '•e y N� �'R �.Z' i+rtT.i g:+ 'f =fi' A.�-• }�`a V` -+n 6 r �Vc y�-�`� 2, e'.> ::... y, *�"':. ''�a"f`7 .... '� •.��,,.+ :' 'x. 6 �r _ `�- s yr� d•, �...:e'3: .f• _ =,�- •.<�,• .. � t• ;...:�� :_��' „ a, ...;.,,.3.. .� ;,w .-.. :.�, -: e .,..� - ,. ,"5 ate- � t4— �._ � '.`"'i."� .� •�-.. L'�" n ,, .:..,:� d :': .• - -",� �'�"• �t .,� - <c ' t .., ', .�.a..::.. � :;;a;. '.��. ..,. -,•. ..:. .�' �- -' ._ �.., -'=:.i. _, ., l"r. _ ., .: s� - �-.r •,x""'-;:gym 'a x `-tr•.s aa"- :�: .' m '�. <,` . ',e»"1. 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Z- ' 161/8' 161/8 . r ` 331/8ti 33118 �331/8 331/8 ?F ' 87 1/8 �w a ��� tt ce aiv 18 `+.. yy y"t. e a1`+ ,-'.^�1 iz;: _ - ,x• �f 90 12 MN+% --. �r +cam:"*�.''aw � .sq� V, ?'�. , t i`�` a - " t`^ra'�.'"•.'� _. `�" +,'� + '§ v.,; ''�f 233/4 ti - L�.h 3/4 I l 34 .f''".. 34 3/4 Super. ,r 343/4 '"` 1 y • e by i.'`'- .^ .. .:. �. 8 . , 9;:• Ff' .. nF '-., t._ f � `f. !- 36 .--31 1/2 30 16 112 37 � 3 1/2 3/4. 155 1/4 1 Kitchen Creations '' , 560 Higgins Crowell Road West Yarmouth, MA 02673 508-775-5311 (Phone) 508-775-5399 (Fax) 1/30/2019 - Room 1 Not To Scale #1 1551/4 -- 31 1/2 30 _31 12 22 3 112 _ 3/4 - - 36 N 3 "�y y N{ #3 66 12 . a 4 IKE OApplication Number............................................................. BARNSTABM (n MASS. �' �1)1��i1�G DEPT. Permit Fee.......................................OtherFee........................ 039. !� ! MAR 2019 Total Fee Paid FABLE 3 2��qq TON OF BARNSTABLE Permit royal b On......../ W 1.... BUILDING PERMIT Map........................................Parcel......a.................................... APPLICATION Section I — Owner's Information and Project Location Project Address Village ioi i r Owners Name Ce brfW'kVTA � l ii 6 Owners Legal Address Q t )a—Q, Ci Ad� /4- L ty . �C .� State r Zip Owners Cell# r c� r 7�� E-mail G Section 2 —Use of Structure Use Group ❑ Commercial Structure over 35,000 cubic feet ❑ Commercial Structure under 35,000 cubic feet ❑ Single/Two Family Dwelling Section 3— Type of Permit ❑ 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 enovation ❑ Pool ❑ Insulation { Other Specify, s w � Section 4,,.Work Description 1 I l+ v<JILI /n1 JA* I Last undated: 11/152018 Application Number.................................................... Section 5—Detail Cost of Proposed Constructi n t Square Footage of Project Age of Structure l qll 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 t ❑ Wiring ❑ Oil Tank Storage ❑ Smoke Detectors ❑ Plumbing ❑ Gas ❑ Fire Suppression ❑ Heating System ❑ Masonry Chimney ❑Add/relocate bedroom Water Supply Public ❑ Private Sewage Disposal Municipal ❑ On Site sP P Historic District ❑ Hyannis Historic District ❑ Old Kings Highway Debris Disposal Facility: I am using a crane ❑ Yes ONo 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: 11/15/2018 f Construction Supervisor Re:Address � � f� (or) application# Name ✓1 0k Telephone Number Address J ( A,C) City� "kState��Zip 62 6 'P d License Number"b-XLicen e Type�� �� Expiration Date 1 Contractors Email ✓►t�'`� &jjpjjk-�j(cJ( J G C 1# L'0 00, ���" 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.Attach a copy of your license. Signature =—:L- Date The Yachtsman Property MaRWment ; seal ' a a Board of Tmstees Improvement Apprwal s00,Ocean suet fiyaniqhs,MA Q2.601 F _ Ttustm -Re° 11 -. ___ Y p ��;The`la is S0.0{Meal,Stre 'kya n ?DEL}of"j s fir the Ya �"CEoo�ominiu Th t S : fi](� R 1rIf# E+ 'th �t sec Po .t tc� jt �ewt fi n be , m e = j Opoem,CC36itk G�o�r. ' a r r ct d y k nib. �r�c��e T rfn" ha. k as de Red:it thep p E r his`rt . r� r ded;to as r�atic� ,e,i3 ard's ate t �i�rt�ve: � �d t in si b ae ot s o , r , stgFt�,ap#e ftiw -and ft�, ti of Pel ryth s� , daY of a €l . Y TrJuk es k 1 1. • sic" CERTIFICATE OF LIABILITY INSURANCE FDATE(MM/DD/YYYY) 1 08/27/2018 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: Nancy Burns CLEARY INSURANCE INC 61 723-0700 (FAX,c PHONE No: E-MAIL ADDRESS: nburns@clearyinsurance.com 226 CAUSEWAY ST INSURERS AFFORDING COVERAGE NAIC# BOSTON MA 02114 INSURER A: AMGUARD INSURANCE CO 42390 INSURED INSURER B: SANDY NECK BUILDING AND REMODELING LLC INSURERC: INSURER D: 84 MINTON LANE INSURER E: WEST BARNSTABLE MA 02668 INSURERF: COVERAGES CERTIFICATE NUMBER: 307414 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. INSRPOLICY EFF POLICY EXP LT TYPE OF INSURANCE ADDL SUER POLICY NUMBER fMM1DnrYYYYi LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ CLAIMS-MADE OCCUR DAMAGE TO RENTED PREMISES a occurrence $ IVIED EXP(Any one person) $ N/A PERSONAL&ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ POLICY❑PRO JECT ❑LOC PRODUCTS-COMP/OP AGG $ OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ Ea accident ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED N/A AUTOS AUTOS BODILY INJURY(Per accident) $ NON-OWNED PROPERTY DAMAGE $ HIRED AUTOS AUTOS Per accident UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE N/A AGGREGATE $ DED RETENTION$ $ WORKERS COMPENSATION PER OTH- AND EMPLOYERS'LIABILITY X STATUTE ER ANYPROPRIETOR/PARTNER/EXECUnVE Y/N EL.EACH ACCIDENT $ 500,000 A OFFICER/M EMBER EXCLUDED? WA WA WA R2WC954390 08/14/2018 08/14/2019 (Mandatory In NH) EL.DISEASE-EA EMPLOYEE $ 500,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT I$ 500,000 N/A DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached If 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 expiration 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 Coverage-Coverage Verification Search tool at www.mass.gov/lwd/workers-compensation/investigations/. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Town Of Barnstable ACCORDANCE WITH THE POLICY PROVISIONS. 200 Main Street + AUTHORIZED REPRESENTATIVE Hyannis MA 06010 Daniel M.Cra y,CPCU,Vice President—Residual Market—WCRIBMA + ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014101) The ACORD name and logo are registered marks of ACORD Hyannis Yacht Club _ 74 56 134 SAY i 4 ... t 28 .125 '. Q 't•+.,,,.w'_'''#..,11.`i'Eaj 123 _x Lis to �. i..�..q�a_r�-ai .t17 u yit. 113 52 C = ` ,ate, ego 1 L Be 1 v lad �+ 31 43 33 y29 31 JAAX ,jA.Q`�G r' {{g'6 qo 25 #ram �s a rM < s `! e. € vAymi IV -"��'s ���a� *'�t�'- •,�!;�.,.� 81f�.t��;.�"�. ., � 1 r 44, m 4 762 �; '� 1 �• ; t' So 52 aUAA�qQ 42! 1 1 + r ., � 4 1� L= Rental Units 21) '22 24 ` .. ,a t` 0 office Gate Traffic Flow 'down:of Barnstable � �u�liding Departrnenf Services - inss Braa+a Florence,CBO' 4639. Budding C M ommissioner D ai 2(lUMain Sfreet,.Hyannis,;MA 02fi01, wwW AONvn:liarnstaiate.maais Officer. 508-862-403$ 08-7W-6230 Pro le *hef.must Complete and Sign This Section If ITsink,>A: Biu lde r �t�ary Vllang 1, as Owner Of the sc bject property l4nthony Wesel Sandy iVeck Building and RemodWing LLC hereby autho tze t' act ozi My behalf, ua alJ rbatters'relauye to• oxk auth©rizecl b}r.this-building„permit application fore 500.®cean Str �, Hyaenas,IUtA,; (Address.of job) '�' Fool.Fences and.alarmns-a,re the xespoft ib t o the applicant. Pools are.not to b filled o uttlized;before fence is installed and all,fnal nspecttons ar : > forrzed..anci acccptied. S a e cif:Owner 5 atvxe Of Applicant repo y►ting.. rhnt'liarrie Print Naive: <Q FaR1vIS aWNERPItMa55[aNP00LS M 4)$I16117- .. r;.y AcoR�® CERTIFICATE OF LIABILITY INSURANCE DATE(MNUDDlYYYY) 03/07/2019 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 have ADDITIONAL INSURED provisions or 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 Nancy Burns NAME: Cleary Insurance Inc A C.No,Ext: (617)723 0700 ac No: (617)723 7275 226 Causeway Street ADDRESS: nburns@clearyinsurance.com Suite 302 INSURER(S)AFFORDING COVERAGE NAIL# Boston MA 02114-2155 INSURERA: Ohio Security Insurance Company 24082 INSURED INSURER B: MAPFRE Commerce Insurance Company 34754 Sandy Neck Building&Remodeling LLC INSURER C: 84 Minton Ln INSURER D: INSURER E: West Barnstable MA 02668 INSURER F: COVERAGES CERTIFICATE NUMBER: 2019-20 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. INS RR TYPE OF INSURANCE INSD WVD POLICY NUMBER MMIDDIYYYY MMIDD/YYYY LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 DAMAGE TO CLAIMS-MADE �OCCUR PREMISES EaENTE occur ence $ 300,000 MED EXP(Any one person) $ 15,000 A BKS56425157 03/02/2019 03/02/2020 PERSONAL&ADV INJURY $ 1,000,000 GEN'LAGGREGATE LIMITAPPLIES PER: GENERAL AGGREGATE $ 2,000,000 POLICY ❑JEC LOC PRODUCTS-COMPlOPAGG $ 2,000,000 OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 1,000,000 Ea accident ANYAUTO BODILY INJURY(Per person) $ B OWNED Ix SCHEDULED HG2704, 03/23/2019 03/23/2020 BODILY INJURY(Per accideno $ AUTOS ONLY AUTOS X HIRED NON-OWNED PROPERTY DAMAGE $ AUTOS ONLY AUTOS ONLY Per accident UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE 1 $ DED RETENTION$ $ WORKERS COMPENSATION PER OTH- AND EMPLOYERS'LIABILITY Y/N STATUTE ER ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? El NIA SEE ATTACHED (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE $ If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,Addttlonal Remarks Schedule,maybe attached if more space is required) RE;Unit#94 CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN The Yachtsman• ACCORDANCE WITH THE POLICY PROVISIONS. 500 Ocean Street AUTHORIZED REPRESENTATIVE ] - Hyannis MA 02601 ©19/8�8--2015 ACORD CORPORATION. All rights reserved. ACORD.26(2016/03) ` The ACORD name and logo are registered marks of ACORD o� E Town of Barnstable Building Department Services " Brian Florence,CBO Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder I Gregory Wing ,as Owner of the subject property hereby authorize Anthony Nese/Sandy Neck Building and Remodeling LLC to act on my behalf, in all matters relative to work authorized by this building permit application for: 500 Ocean Street, Unit 94, Hyannis, MA (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 ar ormed and accepted. S' a e of Owner S' tore of Applicant Gregory Wing Print Name Print Name 3 l,x /I Date Q:FORMS:OWNIERPERMISSIONPOOI S Rev:08/16/17 t .,.,_ _ ,.x.-. _ ._,___ _. - - I r' .. Commonwealth of.Massachuse. . ® Dtviston of?rofessronal Licensure ' Soard;of Building Regulations and Standards 1i c1 x ons r 4bta S15perviso, C bti CS-090335 " . k F Ea pyres:71109/2020 :4 °� ANTHONY M NESE " ` 84 MINTOPI LNG � % s WEST BARNSTA, MAC 02668-': ° ' -i a­ I ' Commissioner s Corrtmonuyealth of Massachusetts. 44a Tv DIVI 0 of ProteSsional.LIcensure Ho ,:t! deer j - � *d . HE 128057 s EApires:'11/09/2020 ,. X f ,� . ANTHONY M,NESE - 84 MINTON _: x .,"�" WEST BARNSTAB_LE MA.02668 y II i ', - Commissioner `. .. ": W �- —, -.:-.�.,-i._-I,_�-�.,-_r:�-..I..�..-t1,,1-­:���,I1Ii�'_.�.-.--�*.:�..;II,%,,::�.,.,-,-1�:: :;'.�7.�,�--I,..,_:_�';.$�-1:—..,.�...t1�;�_......-.:�. �..,,..�%*­�.-.�,,..,,�-,.I1�,,­�.­�.."Z,-",��-��'�1, ��O/ a::" Lam.,_' 4ww ., Office of Consumer Affairs- BusinessRegulado- ' �` HOME IMPROVEMENT GON.TRACTOR y . E LLC'- Re4istfation Exbiration , a $7 10721/2026 p S.ANDY tVECK SIji f �NU\ EMODELING LLC M F `"` ANTHONY NESE- :t. jZ: 84 MINTON LANE .. "a - �I.I..,,:.,,i.­,�-.I.L.....,-Z�.I1.:.,,I WEST BARNSTABLEA 02668 Undersecretary'. s ' +a .., .- . .. �. � /,.w ry� p.�"CC"tt " ` '�'21 s.ret(r.�e Naann . � '„ This card acknowledges that the recipient has sucoessfuity-completed a 10-hour Occupational Safety and Health Training Course in , t t , Construction SafetjCand Health t ,: ' Anthony Nese # . k ,. .9 - I. 1. II IIi . 1�etei.lice 66873 $16/2014 (Trainer name-print or type) (Course end date) )Y t fia,.,, �t - :r . y 1. F 3 yJF TOWN OF BARNSTABLE *� PERMIT CHECKLIST Sign off hours for Health and Conservation are 8-9:34 a.m. and 3:31 ;30 p,m. A comps pennif qrllaadon includes filling all serdOns.1-.l3 1. NEW STRUCTURES/REMODELING/RENOVATION/ADDITIONS V ❑ Site Plan showing setbacks of proposed and existing structures ❑ Commercial—One complete set of full sized plans one reduced 11"xl T'(plans may require a stamp by an architect or engineer). ❑ Residential - 5 Sets of floor plans no larger than 11"x 1 T'smoke/co detectors marked Worker's Comp.Affidavit and policy(if required) ❑ Res Check or COM check from the 2015 International Energy Cod Council(IECC) Letter of financial Interest for new houses only(not required for rebuild after teardown) ❑ Performance bond made out for$4.00/foot of road frontage(new construction only) 2. DEMOLTION OF A BUILDING (NOT PARITIAL) ❑ Everything above plus shut off letters from following utility companies: 13 Gas ❑ Electrical ❑ Water ❑ Sewer(if required) 3.-DECKS/PORCHES/GAZEEBOS/INSULATION/SOLAR/POOLS/SHEDS ❑ Site Plan showing proposed location ❑ Construction plans showing framing detail(if new framing), ❑ Pools—Barrier details,pool specs(engineers design) ❑ Workman's Comp Affidavit and policy(if required) FAMILY APARTMENTS ❑ Section 1 Plus: ❑Family Apartments are subject to approval from the Building Commissioner. Agreement must be signed, notarized and recorded at the Registry of Deeds and returned to the Building Department. Application Number........................................... Section 9-Construction Supervisor Name Ankk)!S, 2 S.Q/ Telephone Number 56 8_ _P 6 _S q ST Address �tt 1`' 4kjl„) IAKt _ City- &f0,/')A State Zip 02� License Number License Type 641 -1,tv Expiration Date Contactors Email k) 1t k� � s 6i In 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 il documentation required by 78 MR and the Town of Barnstable.Attach a copy of your license. k 'Signature Date Section 10—Home Improvement Contractor Name Telephone Number r' Address City State Zip Registration Number Expiration Date 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 s 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 APv1cA NT SIGNATURE Signature _ 4 Date ' a Print Nam �Z PAC Telephone Number f. E-mail permit to: GZ 3n S n IC In 6m,, u � Last updated: 1 iiisnoi8 Section 12 —Department Sign-Offs 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 approval Section 13— Owner's Authorization ' L , as Owner of the subject property hereby t authorize to act on my behalf, in all matters relative to work authorized by this building permit application for: 1 i (Address of job) ,Signature of Owner date Print Name i i Last updated: 11/152018 TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel C)qn -)b> Application 6 Health Division Date Issued y Conservation Division Application Fee ` Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board Historic - OKH Preservation/ Hyannis Project Street Address �p,q-1 Village vt a7fS Owner r��g47 Al/ql : Address Telephone Permit Request e Get Ilia cJ ,Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay C-Project-_Valuation- ©a Construction Type Lot Size Grandfathered: ❑Yes ❑ 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 Basement Finished Area (sq.ft.) Basement Unfinished Area (soft) Number of Baths: Full: existing new Half: existing - new Number of Bedrooms: existing _new Total Roorn Count (not including baths): existing new First Floor Roo, Count`.,9 Heat Type and Fuel: ❑ Gas ❑ Oil ❑ Electric ❑Other o 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 ,JG�y�� 6;— CI Telephone Number Dy e p � c� Address 7%5 License # Home Improvement Contractor# Email Worker's Compensation # 1 1. OQs Y%11141>66 ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATUR DATE y l FOR OFFICIAL USE ONLY APPLICATION# h f DATE ISSUED 'E MAP/PARCELNO. E= • ADDRESS VILLAGE OWNER DATE OF INSPECTION: FOUNDATION FRAME INSULATION r FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL [ GAS: ROUGH FINAL I r` FINAL BUILDING f. DAT&CLOSED OUT F ASSO;S TION PLAN NO. .►,..: ._ ...�. . .. Y ie Commonwealth of Massachusetts Department of lndustri;al Acddenft Office of Investigations +600 Washington Street Boston,M,4 02111 wnwv mamgmMia Workere Campensatian Insurance Affidavit B ilders/ContmctorslElechzcianMumbers Applicant Information Please Print Legibly Name mus ne nizdomllndividnal):�lfllif Address: �17 e�r City/StatctZip-: 1��CMO-VK A40 Phone ik cVT C?F rSoZ3e� Are you an employe . Check the appropriate box: Tape of project(required): L M am a.employer with. 4 4. ❑ I am a general contractor and I 6 ❑New oonsfnrction employees(fall andlor ee * have hired the subs-coat mton Z.❑ Lam a sole proprietor orpartner- listed on the attached sheet 7. ❑Remodeling ship and have no employees These sub-oontractors have 8. ❑Demolition worlang for me in any capacity. employees and have wodwrs' 9. ❑Building addition [No workers'comp.insurance comp.insurance.x required_] 5. ❑ We are a corporation.and its 10.❑Electrical repairs or additions 3.❑ I am a homeowner doing all work offers have exercised dv!ir 11_❑Plumbing repairs or additions rightof trod erMGL mac£ [No workers comp. c_I52, §1( d.we have,no 12.❑Rflafrepairs requiredL] 13.❑Other 411'14 d 0 f employees.[Na workers" comp.insurance required-] *�Ytry.appticavd dirt checks box*l tiist-also Ell out tine section.below sbnwing their wo[kets'compensation polic}-infurmadam- Homeovmers who submit this affidavit indicating they ate doing all woA nd then hue outside contractors Est submit a new affidavit indicating such. ZComuactom$tat cbeck this bore must attached an additions]sheet showing the name of the vub-contract m and state whettner or not Chase entities have employees. Ifthe sub-contmaorshm employees,theymustpmvide their workers'comp.policy number. I am are aurpYoyer that is providing workers'cons isadon hmarance for my_emptoyeaL Below is the po&y rued job ske informadan jj// Insurance Company Name: Glt_un b A �t 4—, s &ks G✓��t C�titer Cf- WL st hc4ea,1Je-, �6t! Policy#or Self`ins.Ile-#: �j S[,�(.£p y�{l�/� �Z G! Expiration Date: 1d l Job Site Address_,<00 l/L P_k�t �� an i t CitylstatelZip: 4,4 q Attach a copy of the workers'compensation policy declaration.page(showing the policy number anti 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 andlor oniL�-year inTp sonnwent,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 maybe forwarded to the Office of rmwstigatitms of the DIA for insurance coverage verifitation- I do A ere under t , rns a d penatftes epedury that the infotmaPean prmRded abmw fs true and correct CDate: Phone#: � ��� 6Q2 d O, use onf)% Do not writs in this area,to be campl,eted by city or town a f Sc&L City or Town: PermitlLicense# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.Cit ffown Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Othr=x Contact Person: Phone#: 6 r ACC>" CERTIFICATE OF LIABILITY INSURANCE 7(IVMIDIYYYYY) 4/11/14 THIS CER7IFICATE 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), AUTHOMZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. ` IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(Jes) 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 endorsemen s. PRODUCER CONTACT NAME: Gammons Adams Insurance PHONE TFAX 508 587-5640 1 A/C.No: (508) 587-5362 385 .West Center Street E-MAIL ADDRESs: cadams@gammonsinsurance.com West Bridgewater, MA 02379 INSURERS)AFFORDING COVERAGE NAIC# INSURERA:State Auto Insurance Co INSURED INSURER B:Hartford Casualty Insurance Co David A Grew INSURERC: 438 Weir Rd INSURERD: Yarmouthport, MA 02675-2525 INSURERE: 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. IN SR ADDL SUBIR POLICY EF POLICY EXP LTR TYPEOFINSURANCE INSRI WVD I POLICY NUMBER M/DDIY MMIDDIYYYY LIMITS A GENERALLIABILITY BOP2687872 8/13/13 8/13/14 EACH OCCURRENCE $ 11000,000 COMMERCIAL GENERALLIABILTY DAMAGE TORENTEDvncel $ 300,000 CLAIMS-MADE OCCUR MED EXP(Arty one person) $ 5,000 PERSONAL&ADVI NJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GEN'LAGGREGATE LIMIT APPLIES PER PRODUCES-COMP/OPAGG $ 2,000,000 POLICY PRO- LOC $ AUTOMOBILE LIABIUTY COMBINED SINGLE LIMIT a acciderrt $ ANYAUTO BODILY INJURY(Per person) $ ALLOWPED SCHEDULED BODILY INJURY(Per accident) $ AUTOS AUTOS NON-OWNED PROPERTY DAMAGE $ HIREDAUTOS _AUTOS eraccident UMBRELLALIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED RETENTION$ $ B WORKERS COMPENSATION 6S60UB4411P76613 10/14/13 10/14/14 WCSTATU- I OTH- AND EMPLOYERS LIABILITY Y ANY PROPRIETOR/PARTNER/EXECUTIVE � N/A E.L.EACH ACODENT $ ZOO 000 OFFICE RIMEMBER EXCLUDED? (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE $ 100,000 If yyes describe under DESGRIPTIONOFOPERATIONSbelow I I I I E.L.DISEASE-POLICY LIMIT $ 500,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(Attach ACORD 101,Additional Re narks Schedule,If more space Is re qri red) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Town of Barnstable ACCORDANCE WITH THE POLICY PROVISIONS. Building Dept Barnstable, MA AUTHORQEDREPRESENTATIVE ©1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25(2010/05) The ACORD name and logo are registered marks of ACORD Phone: Fax: E-Mail: Mass. Corporations, external master page Page I of I � ,IsmSecretary of the Commonwealth of Massachusetts William Francis Galvin Y �b Corporations Division . Business Entity Summary ID Number: 208049662 Request certificate New search Summary for: WING SERIES LLC The exact name of the Foreign Limited Liability Company (LLC): WING SERIES LLC Entity type: Foreign Limited Liability Company (LLC) Identification Number: 208049662 Old ID Number: 000939673 Date of Registration in Massachusetts: 12-18-2006 Last date certain: Organized.under the laws of: State: DE Country: USA on: 12-14-2006 The location of the Principal Office: Address: 220 BEACON STREET City or town, State, Zip code, BOSTON, MA 02116 USA Country: The location of the Massachusetts office, if any: Address: 220 BEACON STREET City or town, State, Zip code, BOSTON, MA 02116 USA Country: The name and address of the Resident Agent: Name: GREGORY L. WING Address: 220 BEACON ST. APT. 504 City or town, State, Zip code, BOSTON, MA 02116 USA Country: The name and business address of each Manager: Title Individual name Address MANAGER WEI MIIN HUM 220 BEACON ST., APT. 504 BOSTON, MA 02116 USA MANAGER GREGORY L. WING 220 BEACON ST., APT. 504 BOSTON, MA 02116 USA http://corp.sec.state.ma.us/CorpWeb/CorpSearch/CorpSummary.aspx?FEIN=208049662&... 4/11/2014 Grew Building Company Estimate 438 Weir Road --- --- Yarmouthport, MA 02675 Date Estimate# 12/20/2013 77 Name/Address Greg Wing Unit 94 500 Ocean St. Hyannis,MA 02601 Description Total PROJECT: INSTALL NEW WINDOWS 1. INSTALL TWO ANDERSON GLIDING DOORS 2. INSTALL FOUR ANDERSON WINDOWS. 3. SPRAY FOAM INSULATION INSTALLED BETWEEN UNITS AND FRAMING 4. INTERIOR TRIM TO MATCH EXISTING OR AS CLOSE AS POSSIBLE. 5. EXTERIOR TRIM TO MATCH EXISTING OR AS CLOSE AS POSSIBLE 6. TRIM FINISH TO MATCH EXISTING OR AS CLOSE AS POSSIBLE. ( PAINT OR STAIN) 7. OLD WINDOWS REMOVED FROM SITE AND TAKEN TO LOCAL LANDFILL. 8. WORK AREA TO BE KEPT CLEAN DURING WORK AND CONTRACTOR CLEAN SITE AT COMPLETION. PAYMENT SCEDHULE 0.00 BINDER 1,000.00 COMPLETION 4,320.00 Total $5,320.00 Customer Signature The Yachtsman 500 Ocean Street, Hyannis, MA 02601 Yachtsman Condominium Trust P.O. Box 1283 Hyannis,MA02601-1283 (508)775-1515 DATE . RE: Unit 'Yachtsman Condominium Trust,-500 Ocean Street, Hyannis To the Town of Barnstable Building Commissioner, The Board of Trustees for the Yachtsman Condominium Trust voted and approved the attached proposal to be performed as is delineated in the request we received from the Unit Owners. This letter serves as notice of that vote to approve the proposal,which has been noted in the Minutes of the Board Meeting. { Signed Under the Pains and Penalties of Perjury this day of //520f cr ary, 0 of Trustees Yachtsman Condominium Trust 500 Ocean Street (c/o Manager's Office) Hyannis, MA 02601. Enc./File Massachusetts -Department of Public Safety �f Board of Building Regulations and Standards Construction Supervisor License: CS-076458 DAVED A GREW . ` 438 WEIR ROAD. YARMOUITB PORT MAf 06675 �. , Expiration Commissioner 06/01/2015 Office of Consumer Affairs&BusiEbss�'iegulaho4 t j =(�OME.IMPROVEMENT CONTRACTOR a �T(}Registration: 136840 Type Expiration 9/4/2014 . Individual DAVID GREW DAVID GREW 438 WEIR RD. YARM041H,MA 026 Undersecretary