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Home My WebLink About0500 OCEAN STREET (51) moo �r � Id' 3 t&h i4-- lag TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map —D D Parcel_ OD 0 TOWN OF TRARNSTxm Application 4 Health Division Date Issued -6 ` f Pic L �' M !� C 6 Conservation Division I�.- Application Fe Planning Dept. Permit Fee !� 7/N spa � OM'a'Ksk�+.rtnq Date Definitive Plan Approved by PlanninfBoard r Historic - OKH _ Preservation/ Hyannis qlkA, 4ew 11 Project Street Address ADDV=Al f?/ ,/ A Village �?77�/Qf2 -5 W Owner Cobxl-e d 001JA/, Address 21 NO,,7C V Oe Telephone h,lk? `// Permit Request fZ �EZt7 �� /� c�ee& 12A, 2 cal/ ,c/ gaJ/--a Square feet: 1 st floor: existing RU proposed /72( 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation '7,000 Construction Type Lot Size ✓✓f Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family, Two Family ❑ Multi-Family (# units) ��S`� 2�I0� a(ti� Age of Existing Structure /`. 7S_ Historic House: ❑Yes *No On Old King's Highway: ❑Yes('<(;No Basement Type: ❑ Full ❑ Crawl ❑Walkout ❑ Other Basement Finished Area (sq.ft.) M/� Basement Unfinished Area (sq.ft) / Number of Baths: Full: existing new Half: existing 'r new 7 Number of Bedrooms: . existing 3 new Total Room Count (not including baths): existing 6- new 6 First Floor Room Count A Heat Type and Fuel: ❑ Gas ❑ Oil lectric ❑Other Central) Air: ❑Yes ?1110 Fireplaces. Existing 2- New Existing wood/coal stove: ❑Yes*o Detacva�#age: ❑ existing ❑ new size_Pool: ❑ existing ❑ new size _ Barn: ❑ existing ❑ new size_ Attachrage: ❑ 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 (Allnmk"e-14lephone BUILDER OR HOMEOWNER) Name %a/lef1c� 96 zcc Number Address _1t� ra4qtj o • License#Cc —a?/Ai 7 �26 Home Improvement Contractor# 17-Z 70 Email Uir16TA r 80 l 17h' ,Gam! Worker's Compensation # V—50123 98 ALL CONSTRUCTION DEBRIS ESU ING FROM THIS PROJECT WILL BE TAKEN TO -S&N- SIGNATURE DATE /2��! FOR OFFICIAL USE ONLY APPLICATION# DATE-ISSUED 9 MAP/PARCEL NO. ADDRESS VILLAGE OWNER DATE OF INSPECTION: FOUNDATION FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING DATE:�CLOSED OUT ASOE,IATION PLAN NO. t^ ` t �am• �a�'1�lrassat��`i�s -ftepartraerat of flub st /Accidents B aca a#'IaMtigrrt AMS 660 Wwk ngtn Feet Boston,M 02111 "*IIV 7na=g0T dkx Workers, Compensafiou Insurauce Affidavit Builders/ContractorslEJectriciansiNumbers A_ppli ant Information Please Printb . Name akWinessldpnization o: UC Address: 4--L � � r Cityrstat&Zip: tea=4: Si--6, S--6575 Are you an employer?Check the appropriate b ox--- Type of pr.o,'ect(required): 4 am a dal contractor and I L( I am a employer with," 6_ ❑New coasEcuc#ion I to €u I andloc -dime * hav a fired the sub-co�n-tractors employees{ P ) listed on the attached sheet: y- ❑modeling 2_❑ I am a sore propfietQr or partner-ship and have no employees These sub-contractors have 8- ❑DemnlitiDn working for me M any capacity. employees and have workers' 9 ❑Budding addition ' insurance comp.insurance) �°'workers comp. lt#.❑El,esttical repairs or additions Wired-] 5_❑ aje are a corporation and its 3111 ama homem er doing all work of have exercised their II-C]Plumbing repairs or additions myself[No workers'coov- right ofexemgtion per MGL 12r❑hoof i c-15Z§1(4} and we hnm no L3�Other j�& �r, grsu�rant;e required.] "ti`0' employees-[No comp-in=ance requiresi: *Any Wlfiomt that checks boa*1 mmst also fill out the section below showing rhea vmdmsr romQensatiaargviicp au&rmI*3L T 1£ameowners wbo sabnIIt this affidavit indkat m g they are doing anal sad&yea hie outside contractors mmst snbanit anew sfyrdsvit infirm snrli XConj=ctorS that check this box must sttached as additional shed sh whq the name of&a suV-conft3cvxs and stale whether arnot tlaQse erdities have ampl yees- If the suTo-cnastracta rs haste empIcyees,dhe}y mmst provide their workers'comg.policy number- ram an empkyer that ts prevididrg tt orkers'compansation irmirance far irry Rmptays r Below is thepo cy and;ob site in formalirrm Insurance Company Name: 141114 Policy#or Sel€ins Lie. k (/vC_ —JV / ExguationDate: Z6 Soh Sites Address: OCR cS'p, Civ/StatdziP: Attach a copy of the workers'compensation policy declaration page(showing the policy nn (er and vgAration date). Failure to secure coverage as regdriredunder Section 25A of M-GL n 152 can lead to the imposition ofaim final penalties of a fine up to$1--500.00 and/or one-year' as well as civil pena$ies in the form of a STOP WORK ORDERand a fine of up to$250.00 a day against ola _ Be advised that a copy of this stat�may be forwarded to the Office of Iuvestigations of the DIAi for' overage v aatiom MPP 2 do hereby certify render penahffes of`pedwy dratthe infonrzationprosideda �g is bun and correct Signatme: Bate: � Z 6 Phone#: f� r FFrft in this 'ib be complefed by city a,town offw&E City or Town:. Perurit/License# Issuing Anthority(drde one): 1.Board of Health 2.Building Department 3.City f GwK Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.tither Contact Person: Phone 9- 6 CERTIFICATE OF LIABILITY INSURANCE 09/29/l4 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 RIP ADDITIONAL INSURED, the poliey0es) must be endorsed If SUBROGATION IS WAIVED, subject to the tends and conditions of the policy, certain policies may require an endorsement A statement on this certificate does not confer fights to the certitleate holder in lieu of such endorsement(a). r DUCER Zg PAUL SCHLEGEL SCHLEGEL INSIIRANCE BROKERS INC PrloAx Em: 508-771-8381 FA',,,,}508-771-0663 34 HAW STREET ADDRESS, SCELEGELINSURANCE@GMAIL.CCbt WEST YARHDUTH MA 02673 SOURERM)AFFORDING COVERASE RAW _ INSURERA:NGM INSURANCE COMPANY 14788 INSURED wsURERS:AIM MUTUAL INSURANCE Tuleika Building Company Llc INSURER C: 44 Eaton Court ¢aImER O: POURER E: Cotuit, MA 02635 POURER 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 REOUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT MATH 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. LTR TYPE OF INSURANCE INSR WVD POUCYNUMBER MWD Y r _ UBrrs Qdf6'DmYYYYI MAVDD/YYYYI A GENERALUAaRnY MPI6593Q 09/30/20 09/30/2014 EACH OCCURRENCE S 1,000,000 g COMMERCIAL rsuERALLwe1UTY 09/30/201 09/30/2(M PREMISE6(EaoauffuwwQ s 500,000 LxaaeS+AAOE ®ocam MED EXP(AAf ore pwm* s 10,000 PERSONALanoVlwuaY s 1,000,000 GENERALAGGREOATE s 2,000,000 GENLAGGREGATE11MnAPPDESPER: PRODUCTS-COMP/OPAGG s 2,000,000 P -,, gGT LOC S AVTOMOSRE L/AeruTr tEa acwenN s _ ANY AUTO BODILY RAW IFer PMOR) S ALL OWNED SCHEDULED liOgLY VWURY IPeracdaaa) S -• AUTOS AUTOS HIREDAUTOS ANTED S S UMeRELtAtrae occrm EACH OCCURRENCE S tDxEtu Lu18 CLAVASAtADE AGGREGATE S DEo PeretertlN S S B WORKERSCOMPEnSATTON WC-5012396 ANDEMPLOYERruAs ry YIN TORYLIImT9 ER - ANYPRaPRIETORrPARTNEn11EKECUTNE /26/201 08/26/2015 ELL EACH ACCIDENT s 100,000 OFFICERM95MBEREXCLUDFD2 ❑ NIA leesnaarorym h9U E.L DISEASE-EA OIAOVEE s 200,000 oyes,ae.cree user OESCRPRON OF OPERATIONS brat EIWSEASE-POLIO —T s 500,000 IIE6CRml1pN OF OPERATIOIO/LOCATNNS IYEWCLES iAtlAsn ACORe fai.Aaa1UA,W RRaartN 9Cae0ule,frmom PWPr b mpuraM) VICTAR TULEIRA HAS ELECTED TO BE COVERED UNDER HIS CURRENT WORKERS CCbnMNSATION POLICY CERTIFICATE HOLDER CANCELLATION NO CERTIFICATE HOLDER ON FILE SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL DE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AV n W RMEn REPRESENTATNE 01988-ZDI0 ACGRO CORPORATION.All rights reserved. ACORD 26(2010105) The ACORD name and logo are registered marks of ACORD I , is it "x.O. fir xc 1 • ��I• f(I//I/I/IIIII IY/��I•/^(/I/.i WC/1/I.iP113 Office of Consumer Affairs&Rusidess Regulation License or registration valid for individul use only OME IMPROVEMENT CONTRACTOR before the expiration date. if found return to. z egistration: 173709 Type: Office of Consumer Affairs and Business Regulation Piradon: 11/1/2014 LLC 10 Park Plaza-Suite 5170 Boston,MA 02116 ULEIKA BUILDING COMPANY LLC. IKTAR TULEIKA / 25 BERKSHIRE TRAIL V. BARNSTABLE, MA 02668 -- - — Undersecretary Not valid thout signature I Yachtsman Condominium Trust Board of Trustees 500 Ocean Street Hyannis MA 011601 i _ f DATE. Va /a\0 s RE: unit / , yachtsman Condominium Trust,506 Ocean Street,HYannis i 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 requ�st'wv received from the Unit ' ach`�i' been contracted by the Unit Owners..Contractor,�ir.,,��R � �.e�R� ' ,� . ' Owner to perform the work as defined in the proposal. I his letter serves as notice of the Board's vote to approve the proposal;Nvhich has been noted in the Minutes lutes of the Board Meeting. Signed Under the Pains and Penalties of Perjury this. . day of L Sec e Bo ' chtsman co,n mizsium Trust . 500 Ocean:Street(d o,Manager IsOffice) Hyw6s� MA'02641 _ i .00 3611 ell� f .s ,.. ,� \ f, _ Aw/ 4e , 42 �, ap fool _.. _ 4 p !� alY, f 4� v�wurw'e..+.. -.em,M,... cd....:.,,..a y:i.:..'..� ..�:... ty`•...n.� .,. L � � � P"1.d im KW-I F .._. . of _ Z/ � e 1 9 ra { � 1.� .. IS E14 d _ - v i i