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HomeMy WebLinkAbout0500 OCEAN STREET (44) S4-: Town of Barnstable Building ,��rr:: x >�,��:i i,�3';"3:-t.�.€, uy'rr a Y ;,.'�" �' ,>k. ��•-.T F Y.v� �" :��.;� $2. -s� � �,,�3 ,;..:3; r k:.'€J'-, ,h Q .-� Y � �5'3 Post,TFis Card°So�That it is Ulsible From the Streets Apprgvetl Plans€Must be Retained:onJob.and this Card?Must be Keptz ; BARNliTABLE. >'r 4s ��; r� zv, ` � � i .eir r3r r'- c. ,, .� �' • *+ Posted-Unti l Final Inspection Has Been Made ' Perm ea rat Where a CertficatQ of Occupancy is rRequlred,such Building hall Not be Occupledun#il a F nal Inspection has been made Permit No. B-19-567 Applicant Name: Matthew M Scavarelli Approvals Date Issued: 02/22/2019 Current Use: Structure Permit Type: Building-Alteration INTERIOR Work Only- Expiration Date: 08/22/2019 Foundation: Commercial Map/Lot, 324 040-ODT Zoning District: RB Sheathing: Location: 500 UNIT 102 OCEAN STREET, HYANNIS Contractor Name Matthew M Scavarelli Framing: 1 Owner on Record: DUFFY, ROBERT& PETER&WM&PAUL TRS r Contractor License 'CS 081091 2 Address: 411 WAVERLY OAKS RD.,STE 340 Est ,Project Cost: $4,500.00 Chimney: WALTH AM MA 02452 160.00 Description: ., Master Bath increase existing shower in size from existing 3x3 to Insulation: Descri p Fee-Paid $ 160.00 3x4 by moving wall that exist(non load bearing) between shower Final: and linen closet Date 2/22/2019 f J Project Review Req: ; Plumbing/Gas Rough Plumbing: Buildin Official g Final Plumbing: This permit shall be deemed abandoned and invalid unless the work ay_ppzed by this permit is commenced within sik months after issuance. All work authorized by this permit shall conform to the approved application and the�approved construction documents for which this permit has been granted. Rough Gas: All construction,alterations and changes of use of any building and structures shall be in compliance with the local zoning by laws and codes. This permit shall be displayed in a location clearly visible from access street or road and shall be maintained open for publicrospection for the entire duration of the Final Gas: work until the completion of the same. Electrical The Certificate of Occupancy will not be issued until all applicable signatures by the Building and Fire Officials are provided on thJ$,permit. Minimum of Five Call Inspections Required for All Construction Work Service: 1.Foundation or Footing `� Rough: 2.Sheathing Inspection 3.All Fireplaces must be inspected at the throat level before firestflue lining is installed 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection Final: 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). Building plans are to be available on site. Fire Department All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT Final: pF�try. ti 0q SG'7 y p� AppIicalion Numer - b ...... ........ ......... .iAxIZSTABLE, nsass $ Permit',Fee.._.:........................,:.. .:.......Othapee .....::: .. ...::.:. �`. Via'o Total Fee Paid::.:.:: . ..:::: a.o.:..... ,,.; : .. TOWN OF BARNSTABLE PermitApproval;by . BUILDING PERA UT J Z y APPLICATION Section 1 —Owner's.Information and Project Location Projea.AddressSc� Ucead-� �-� z F iWN' t- k 0L Village. �ky v S .Owners Name (Zobz��� I, -txl F� Sc �yy1 �•'� \�S�act��l� Z00 Tv-u�� Owners Legal�Address 4U 5 J�� C'(n-iC S �zcc-A Su.•� Soo � 1t,v "s7% C,S'•ila City State ",A%S ;Zip OZ4SZ Owners Cell 4 1 \-L-t l01- E-mail._ 4acS u q ZIL3 C_O yr• Section 2 Use of Structure Use Group' ❑ Commercial-Structurei over35,000 cubic feet ❑ Commercial,Structure under 35,000 cubic feet ❑ Single.Two Family yDwell ng 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 Q Retaining wall ❑ Solar Full Vil Renovation 0 Pool ❑ Insulation Other-Specify Section 4 Work Description ���i��-t. ,8� — �.�7 C,/l.l���4 C� E'x'i�T'TI r✓cr__. c���elt..1 L-y�. >iV cS'/�tr Nt3N t_O.r� c��=—�9�2.i,✓v) �"l'w L� S/',�erw��.c. �� L i�i��1 C��!'�T Last updated_,11/152018 The Commonwealth of Massachusetts Department of Industrial Accidents Office of Invesdgations 1P 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): r7Ar1- Sc ^.., 2c7 Address: 5�;- �6�'� S/11 177,,- i2,y City/State/Zip: f14 02-4 3L-Phone#: P 7 7�C Are you an employer?Check the appropriate box: Type of project(required): I.❑ I am a employer with 4. ❑ I am a general contractor and I * have hired the sub-contractors 6. ❑New construction employees(full and/or part-time). 2.[ I am a sole proprietor or partner- listed on the attached sheet. 7. Remodeling ship and have no employees These sub-contractors have g, ❑Demolition working for me in any capacity. employees and have workers' 9. ❑Building addition [No workers' comp.insurance comp•ins"Y'nce.t required.] 5. ❑ We are a corporation and its 10.❑Electrical repairs or additions 4 ] officers have exercised their 3.El I am a homeowner doing all work o right of exemption per MGL 11.❑Plumbing repairs or additions myself[No workers comp. emP p 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 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 state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. 1 am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: M A7T' SCo9-V/a- 7 d�,L��/•� /Fr�vrs C� �7i'Y GL C Policy#or Self-ins.Lic.#: A L J C- `l�©� 70 Z- 7 ZLy`F-4 Expiration Date: ?�z-�z-.o Job Site Address: �'W AJ Rom ,��T City/State/Zip: /" �/ - O 26 v/ 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 andp hies ofperjury that the information provided above is true and correct Signature: Date: Phone#: 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#: 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 including 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 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 requiredto 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 that 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 eut 406 or 1-8 77-MASSAM Revised 4-24-07 Fax#617-727-7749 www,num.gov/di'a ' Section 12—Department Sign-Offs Health Department Zoning Board(if required) Historic District 0 Site Plan Review(if required} 0 Fire Department Conservation 0 For commercial work,please take your plans directly to the fire department for approval Section 13—Owner's Authorization I V kvavv, S -T�k%-ee , as Owner of the subject property hereby authorize N.c,-k Vinek'J . a�u c ��� to.act on:my behalf, in all matters.relative to-work authorized by this,building permit:application for; (Address of job) Signature of`Owner date Print Name Last.up&ted-11/15/2018 , a t q T• ��. � � - � � ,� car c�. �'`�+: a � � �3a rl Sw 71. at CD IM Pi 12, { r 4 s e y e 4 CAI tj .R� S.. e. 3}�r 1. �......... .......................—. j 61, 0...:a-. fi:.". .. ..... 5 E h3 r Commonwealth of Massachusetts Division of Professional Licensure Board of Building Regulations and Standards Const�rgeti*6 f§bpe`visor CS-081091 Epires: 05/11/2019 . MATTHEW M4SCAVARELLI1 45 EBEN SMITH ROAD VILLE y CENTER' t Commissioner Cj, i .�h �c�ir�rtnncoc�cl�a. el/-i Affairsoffice of consumer HOME IMPRO EMENT CO Regulation CONTRACTOR TYPE Individual Re --stration Ezo_ iration 137804 01106I2021 MATTHEW SCAVARELLI MATTHEW M.SCAVARELLI 45 E BEN SMITH RD<� CENTERVILLE,MA 02632 Undersecretary, ":4�:;��"'.i>yY�Gt°"�a"-"�yY< .pLi��.P`=y.iFs_':� .. ._.... 'r[!�e•-:'•:,:::;i: - O O 7 1 - r:r . : . .a l a , ,yy - ...... .....it ..,,., .,4 .f.i f//• ... .I. F�. 7 e � - - iF 51 5 n l.m S 8 ''ma�yy : s. .. L dg� /Z .ate - tr Y.. — Y , 57J r f - ,..�-. ...,a,..... ..;,; Rti, •aft....., i>.y. , n:) ..v.. • / S 4 r. .. w �........�... .. ., / a i i p G � S �7 r, /( awe., 3? •a:. ti v , fy ra r a. yr ,r ....v,-...� ... .. ...,._... .........,..,.,.......+^»•a .. .. ,a er':;i Y�I'A� FTC r;;T•..- - :•['.• aih'::6'�.°,.�".:' p,r Rk op µ2,J, * ,