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0500 OCEAN STREET (56)
3a q ®L/ o og!> N 4 TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION ca,3 Map Parcel Application # Health Division Date Issued t P� Conservation Division Application Fee Planning Dept. Permit Fee P�. Date Definitive Plan Approved by Planning Board Historic - OKH Preservation / Hyannis Project Street Address 60eQ Village /2JS Owner I U r u 61'1' 0 Address W,-2 c-,46up,5-i- A-u e-- rA 7,4�.JAbA Telephone Permit Re u�st cT Sv� is �� Square feet: 1 st floor: existinq, —proposed 2nd floor: existing`(n 1 proposedotal new Zoning District R8 Flood Plain Groundwater Overlay Project Valuation ` o Construction Type Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family Two Family ❑ Multi-Family (# units) Cad Age of Existing Structure Historic House: ❑Yes Lbo On Old King's Highway: ❑Yes )IINo Basement Type: Full ❑ Crawl ❑Walkout ❑ Other S� Basement Finished Area (sq.ft.) _ Basement Unfinished Area (sq.ft) Number of Baths: Full: existing new Half: existing new -(:21- - Number of Bedrooms: existing Onew Total Room Count (not including baths): existing new First Floor Room Count Heat Type and Fuel: ❑ Gas ❑ Oil Electric ❑ Other __4 Central Air: ❑Yes No Fireplaces: Existing—ONew Existing wood/coal s oY�: ❑ ,❑ No-- CD Detached garage: ❑ existing QQ new size_Pool: ❑ existing 60& size _ Barn: ❑ exis 0 new size Attached garage: ❑ existin new size _Shed: ❑ existinew size _ Other: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ La Commercial Yes ❑ No If yes, site planreview # Current Use �cv(�P� a I Onan Proposed Use --- APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name Telephone Number ,�Zfs— eL S(D2 Address C ��-Q ress C License # � 0-730 O A�O 1,�t LL ����2 Home Improvement Contractor# �oZ Email (Ir - OC:P Qt'1gl�O.l t'1 C,�01� Worker's Compensation # (',F y QC C006L �[ ALL S I RUCTION DE RIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO 0 Ct_ v i a SIGNATURE � DATE y rr FOR OFFICIAL USE ONLY APPLICATION# DATE ISSUED t MAP/PARCEL N0. ADDRESS VILLAGE OWNER. DATE OF INSPECTION: i FOUNDATION ' FRAME INSULATION FIRE PLACE ELECTRICAL: ROUGH FINAL I PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING DAB-IELOSED OUT AS OP,-*TION PLAN NO. f The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations ' 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/Or anization/Individual Address: a 17 h o r-nbo 7D lr ! \J f . City/State/Zip: k-1�, ctn jo i) NJ(I Q 2 Phone#: 'S/ / 0 Are you an employer?Check the appropriate box: Type of project(required): 1.I" i am a employer with�� � 4. ❑ I am a general contractor and I employees(full and/or part-time).* have hired the sub-contractors 6 ❑New construction 2.❑ 1 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. insurance) required.] 5. ❑ We are a corporation and its I0.❑ Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their 11.0 Plumbing repairs or additions myself. [No workers' comp. right of exemption per MGL 12.❑ Roof repairs insurance required.]f c. 152, §1(4),and we have no � employees. [No workers' 13.�ther ;:' t.Q, p comp.insurance required.] Q061, W Jv�4 iN *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. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: V e.��-�t" K aA-I C(-Y-Ok = \<s Ura f-)C C C_6 1'Y1(Dan U Policy#or Self-ins.Lic.#: ��f C% �55-1'41 Expiration Date: ( 1 Job Site Address:aD(5l'o a*A U& --L 1 % City/State/Zip: 44116nlS Gl Attach a copy of the workers' compensation policy declaration page(showing the policy num4 and expiration dato� 6 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 cerd u er lh ass and penalties ofperjury that the information provided above is true and correct. Si nature• Date: 1 I Phone#: j -7 -7 1 1 0 Official use only. Do not;;It(, 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#: Client#:586925 20CEANSIDEIN ACORD. CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDDIYYYY) 01/31/2014 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,EXPEND 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(les)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; Dowling 8 O'Neil PAt}c°INE FM He Ext:508 775-1620 A/C No, 5087781218 Insurance Agency EMAIL ADDRESS: 9731yannough Rd., PO Box 1990 INSURERS AFFORDING COVERAGE NAICO Hyannis,MA 02601 INsuRERA:Arbetla Insurance Company INSURED Oceanside,Inc. INSURER B:Everest National Insurance Comp 217 Thornton Drive INSURERC:Safety Insurance Company Hyannis,MA 02601 INSURERD: INSURER E; 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 CONTRACTOR 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. INSR TYPE OF INSURANCE ADDLSUBR POLICY EFF POLICY EXP LTRNS D POLICY NUMBER MMIDDIYYYY MMIDDIYYYY LIMITS A GENERALLIABIUTY 8500061423 01/01/2014 01101/2011 EACH OCCURRENCE $1 000000 X 17—colm MERCIALGENERALLIABILITY DAMAGE? RENTED PREMISES Ea. rance $100 000 CLAIMS-MADE �OCCUR MED EXP(Any one person $5 000 PERSONAL&ADV INJURY $11000 000 GENERAL AGGREGATE $2,000,000 GE N'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $2,000,000 POLICY jE�a LOC S C AUTOMOBILE LIABILITY 2434628 01101/2014 01101/201 5 COMBINED SINGLE LIMIT Ea accident 1,000,000 ANY AUTO BODILY INJURY(Per person) $ ALL OWNED M SCHEDULED BODILYINJURY(Peraccident $ AUTOS AUTOS )X HIREDAUTOS. NON-OWNED PROPERTY DAMAGE $ AUTOS Par accident A X UMBRELLA LIAB X OCCUR 4600061424 01101/2014 01/0112015 EACH OCCURRENCE s2,000,000 EXCESS LIAB CLAIMS-MADE AGGREGATE $2 00O 000 DED I X RETENTION 10000 $ B WORKERS COMPENSATION BINDER369533 01101/2014 01/011201 X wesTATu- GTH- AND EMPLOYERS'LIABILITY Y 1 N ANY PROPRIETOR/PARTNER/EXECUTtVE E.L.EACH ACCIDENT $1 OQO OOO OFFICERIMEMBER EXCLUDED? a N I A (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $1,000000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $1,000,000 DESCRIPTION OF OPERATIONS/LOCATIONS I VEHICLES(Attach ACORD 101,Additional Remarks Schedule,if more space Is required) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE +AA ©1988-2010 ACORD CORPORATION,All rights reserved. ACORD 25(2010105) 1 of 1 The ACORD name and logo are registered marks of ACORD #S124076IM124075 KKM Yachtsman Condominium Trust Board of Trustees 500 Ocean Street Hyannis,MA 02601 DATE: March 14, 2014 RE: Units 147, 148, 149, 150,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 Oceanside, Inc. to perform work as is delineated in the request we received from the Unit Owners. This letter serves as notice of that vote to approve Oceanside, Inc. which has been noted in the Minutes of the Board Meeting.' Signed Under the Pains and Penalties of Perjury this o3 0 day of A� , 20 )Boa ry, of Truste sman Con ominium Trust cean Street (c/o Manager's Office) Hyannis, MA 02601 Enc./Pile APR. 14. 2014 2: 25PM FAX ETC NO. 942 P. 1 toe Use�an1y; i ,QSfnCe 1971 �. -ceanc�ide Restoration 217 Thornton Drive,,Hyannis,bfass.02601 soS-7714110 800-464-3318(MA.Only),774.470.2211 Fax ASSIGNMENT AND AUTHORIZATION TO PAY The undersigned, herein called claimant, has authorized and ordered from Oceanside, Inc. , the materials and/or services requested. ' undersigned hereby assigns to Oceanside, Inc. any unpaid proceeds due or to become due, under the claimant' s policy with the insurance company to pay direct to Oceanside, Inc. or to include its name on a check oz draft, for all requested work, In the event that Oceanside's claim herein is not covered by, or paid by, an insurance company, claimant agrees to pay Oceanside, Inc. within sixty (60) days after work has been completed. Claimant understands that Oceanside, Tnc. is working for then and not the insurance company or: the adjuster. Payments remaining due and payable after the claimant has received i payment from the insurance company shall bear interest at one and one- half (1--1/2%) percent per month. In the event that there is a breach by the claimant of any of the conditions of this agreement, Oceanside, Inc. shall be entitled to recover, as additional damages, attorneys' .feest costs and any other collection expenses reasonable and attributable to said breach. If payment is not received within 60 days, collection action will commence without further notice to the claimant.r LOSS/DAMAGE ADDRESS �f 7�-fib vSS /I VY yG �/�IClSo� /�pr T //�°74 MAILING ADDRESS (BILLINOY CITY STATE ZIP INSURANCE ADJUSTER' S NAME/CO. LOCAL INSURANCE AGENCY ,NAME PRINT NAME INS. CARRIER/POLICY UNDERWRITER DATE:, ..9-0/ --� CLAaM1.11 S upy. PHONE: 9 6t33 9 EMAIL: RECEIVE : NO. 6567 04/14/2014/MON 02 : 34PM Oceanside r 1 Massachusetts - Department of Public Safety Board of Building Regulations and Standards Construction Supervisor .. License: CS-073097 PETER A LARGUR IS CEDRIC ROAD Centerville MA 0632 ; J..G..�. . /r. :.. �Xpiratibn Co-mir ssic ner 11/03/2014 \ ffice;of Consnmer Affairs`& Business Reg, la#ion ME IMPROVEIYINT CONTRACTOR ` egistratio.. _ �� Type:. Explratf r:, n( Supplement t OCEANSIDEO.INC !; PETER LAROCHE 1 217 Thomton Dr Hyannis, MA 02601 CJnderseereta"ry J. License or registration valid foe individul:use only before the:expiration,datc If found return;to: Offire of Consumer Affairs and Business Regulation 10 Park Plaza-Suite 5170 'ard Boston,MA 02116 y Not valid without signature _.. _� Unit 149-Main Level I--9'8„ { I-41211 T 9 3' 1 Kitcheni7) Z 9,4„ hra0lDining Room c� cf) 15,4" v m F 31 8" { h Living Room !' I— . 16, :6 WN 9 i 9ICiU5N00 J0 NIA0 Main Level 20140025 YACHTSMAN 3/19/2014 Page: 9 Unit 149-basement 7 / T k @ � O� fl/vz! Rooml 20 a � �r �f p 9 1 61 7 IA basement 20140025_YACHTSMAN 3/19/2014 Page: 10 cel Detail Page 1 of 3 �-4 rP L ,.�, _ •t �" ; [%' ^� "' 3,AMP,. ,'C- s B,tiFl4.5'rhtiLE_ �t' tA-3, Logged In As: Parcel Detail y` -^ Tuesday,April 1 2014 Parcel Lookup Parcel Info Parcel ID 324-040-OOH l Condo Unit I UNIT 149 l Condo YACHTSMAN l Building BLDG 1 l Complex Location 1500 OCEAN STREET - -- -1 Pri Frontage Il Sec Road l Sec Frontage l Village I HYANNIS _ l Fire District HYANNIS l Town sewer exists at this address Yes ( Road Index 1133 l a Interactive Map Owner Info _ •Owner BICGEN, ERIUGRUL•-- - � - � l Co-Owner� � �� l streets 1102 BATHURST AVE _ ) Street2 POINT CLAIRE QC H9S 4Z8 City ICANADA State I. Zip Country I I Land Info _ Acres 0 Use[Condominiu MDL-65 ( Zoning IRB Nghbd[0001 Topography L`--------- � ( Road ( Utilities — —L] Location F— _� l Construction Info Building 1 of i Year 1975 Roof Ext Built Struct Wall 1 '" Living(� Roof AC ,US[561J; TO[F49]. Area 'O83 l Cover L- 1 Type i"one _._ .. Bed sl 221 ST[, . Style Condominium i wall Drywall Int " ��J Rooms 3 Bedrooms l _ HUM] Model Res Condo Int'Car et Bath 2 Full Floor( p l Rooms� l ' Grade l Type Elec Baseboard Total Rooms 16 Rooms _ Found- Stories 2 1/2 Stories l Fuel Heat Electric- ation Poured Conc. Gross 1973 Area http://issgl2/intranet/propdata/ParcelDetail.aspx?ID=26740 4/1/2014 -eel Detail Page 2 of 3 Permit History Issue Date Purpose Permit# Amount insp Date Comments • Visit History Date Who Purpose 2/3/2012 12:00:00 AM Tony Podlesney In Office Review 2/11/2008 12:00:00 AM Tony Podlesney In Office Review 3/30/2007 12:00:00 AM Nancy Finch Drive by inspection only 10/12/2006 12:00:00 AM Nancy Finch I Drive by inspection only Sales History ,Line Sale Date Owner Book/Page Sale Price 1 8/30/1976 BILGEN, ERIUGRUL C21-149 $0 Assessment History Save.# Year Building Value XF Value OB Value Land Value Total Parcel Value 1 2014 $248,400 $16,200 $4,200 $0 $268,800 2 2013 $248,400 $16,200 $4,300 $0 $268,900 3 2012 $303,900 $7,600 $2,800 $0 $314,300 4 2011 $275,700 $7,100 $0 $0 $282,800 5 2010 $270,000 $7,100 $0 $0 $277,100 6 2009 $388,000 $4,500 $0 $0 $392,500 7 2008 $471,000 $4,500 $0 $0 $475,500 9 2007 $383,800 $4,500 $0 $0 $388,300 10 2006 $345,600 $4,500 $0 $0 $350,100 11 2005 $297,800 $4,500 $0 $0 $302,300 12 2004 $243,000 $4,500 $0 $0 $247,500 13 2003 $119,100 $4,500 $0 $0 $123,600 14 2002 $119,100 $4,500 $0 $0 $123,600 , 15 2001 $119,100 $4,500 $0 $0 $123,600 16 2000 $111,600 $4,100 $0 $0 $115,700 17 1999 $111,600 $4,100 $0 $0 $115,700 18 1998 $111,600 $4,100 $0 $0 $115,700 19 1997 $105,100 $0 $0 $0 $105,100 20 1996 $105,100 $0 $0 $0 $105,100 21 1995 $105,100 $0 $0 $0 $105,100 22 1994 $113,700 $0 $0 $0 $113,700 23 1993 $113,700 $0 $0 $0 $113,700 24 1992 $129,400 $0 $0 $0 $129,400 25 1991 $178,300 $0 $0 $0 $178,300 26 1990 $178,300 $0 $0 $0 $178,300 27 1989 $178,300 $0 $0 $0 $178,300 28 1988 $160,800 $0 $0 $0 $160,800 29 1987 $160,800 $0 $0 $0 $160,800 30 1 1986 1 $160,800 $0 $0 $0 $160,800 Photos http:Hissgl2/intranet/propdata/ParcelDetail.aspx?ID=26740 4/1/2014