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0500 OCEAN STREET (60)
� Icy �� e I (;t.n�-�-- ���s ` TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION 6- Map3l Parcel o 0 Application # Health Division Date Issued Conservation Division Application Fee /O O Planning Dept. Permit Fee cP7 3 bate Definitive Plan Approved by Planning Board3 .? Historic -OKH _ Preservation / Hyannis '—k044 7e 0' Project Street Address 7�- e Village Owner 4 J4 --e Address Telephone c ic ote If,' � A C Permit Request Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation 8M. -Construction Type Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family (# units)X Age of Existing Structure 41 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 ('sgft) Number of Baths: Full: existing_ new Half: existing new Number of Bedrooms: o existing 'new .mw. cn Total Room Count (not including baths): existing new First Floor Room Courity Heat Type and Fuel: ❑ Gas ❑ Oil Electric ❑Other 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 Telephone Number dt� Address 44License# Home Improvement Contractor# o� Email 41� c Worker's Compensation # ALL CONST CTION D BRIS R ULTIN FROM THIS ROJECT WILL BE TAKEN TO -~ SIGNATURE DATE ke� FOR OFFICIAL USE ONLY APPLICATION # DATE ISSUED 'r 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 ASSOCIATION PLAN NO. f Ile Covirfro.-r-weakh of Massachusetts Deparhrteiit of rnd-ustrial Accidents Office oflmw igadons 600 Wasliingion Street Easton„M4 02M ivni1?massgo{'ldia NTurkers' Campensaf an Insurance Affidavit:Builder-.iContr-acturs/EEIectricians/Plumbers APPEcant InfGrmaf on Please Print Le 'bI Name AY I-,a j�zo Address. ugo Cifyffatefip Pllane i"'t- roue . u an employer?Check a appropriate box: Type of project(required): I am a general contractor and I I_ I am a employer urith. ❑ 6_ ❑ construction employees(hall andlor p 2ime * Have]hired the sulr-contractors 2.❑ I am a sole proprietor orpastaer- Tilted on the attached sheet;. 7.yodeling slip and bane no employees. These sub-contractors have g_ ❑Demolition working forme in any capacity_ employees andhave workers' ' [No"t�-oricers' comp_insurance comp.iasurant�.l g- ❑building additiog I 1�0, Electrical r r ed_ S_ ❑ We are a cotptxation and its ❑ repairs or additions 3.❑ I am.a homeoumer doing all work officers have exercised their 11.0 Plumbingrepairs or additions self o wodcem' right of exemption per MGL � �F- tams ance required l i c.152,§1(4�and we have no 12.❑Rnofrepairs employees-[No workers' 13.0 O"ther comp.insurance required-] 'Any apJlica„abutchedksbas91 Must also fill ovtthesectionberawshn,dngtheirwa ceecampensa&npolicyinfo,ma6om Hameawnmwho submit this affdm*iadicaling they are doing all Wat sad then hire outside coutactorsmnst submit a new affidavit indicating such- " Icbn=ctorsYhst cheaiW box must attached an.additianal sheet shouing the naueof[he sub-contrwAars and state whether air natihnse entities have emplayees.If the sub-c=—tactn,s have employees,1hey must provide.their urarkess'comp.policy number. I am an employer that is proli ding n arkers'congwisahon inuirauce-for my enrplvyees Mom is Elie policy tmd job site iicformathm Insurance Company Name: e4A - Policy or Self-ins-Lic. - btpimdonDate: Job Site.Addrem: An CitplStafelT.tp: I f At#ach a copy of the zsor)tiers'campensatianpolicy declaration page(showing the policy numb and respiration date). Fai ire to secure coverage as requiied.undes Section 25A of MGL m M can lead to the imposition o rrimiinal penalties of a fine up to$1,500,BOO andlor one-year impfisonsueut,as well.as chril pe:ualties.in the fog of a STOP WORK ORDERand a fine of up to$250.00 a day against the violator. He adidsed that a ropy of this statement swap be forwarded to the Office of, Iavestigatirms of the DFA for insurance coverage versfcation- I tIa hereby ccrrhfy,i r t apses n 's afpeduty that AS information prosided abm E mid carrect Sitnaature: Iyate: o Phone A: O ? (7�j t3,f iczal use anly. Do not writs in this area,to be campieted by cify artoirn official City or Tomm: PerndtUcense 4 Issuing Authority(circle one): 1.Board of ReaIth 2.Building Department 3.City1rown aerk d.Electrical Inspector S.Plumbing Inspector 6.Other Contact Person: Phone#: Information and fnstruefions M�ccarhusetts General Laws chapter 152 regoaes all employers to provide workers'compensation for their employees. pm_s - this sites,an erzpk yee is defined as-"_.every person in the service of another under any coxfract of hire, express or implied oral or wrMmL" An e Tloyer is defined as"an individual,partnership,association,corporation or other legal entry,or any two or more of the foregoing engaged in a Joint entelP D,and including the legal representatives of a deceased employer,or the receiver or tiu st m 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 - dwellmg house of another who employs persons to do maintenance,consUuc i on or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not becanse 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 construct buildings in the commonwealth for any applicant has not produced acceptable evidence of complian-rm with the insurance coverage required." Additionally,MGL chapter 152, §25C(7)states_N"ther the commgnwealii nor a'ny of its political subdivisions shalt enter into any contract for the performance ofpuhho work until.acceptable evidence of compliance with the fi man ce.. requirements of this chapter have been presented to the contracting mthoxify." AppHcan-ts Please f_I out the worker'compensation affidavit completely,by checking the boxes inat apply to your situation and,if necessary,supply sub-contractor(s)name(s), address(es)and phone numbers) along with their cerifficate(s)of innarancB. Laaitrd Liability Companies(LLC)or Limited LiabUity-Par o-Drships(LLP)withno employees other thmthe members or partaers,are not rujui ed to carry workers' compensation insm-ance. If an LLC or UP does have employees,a policy is rec� B e advised that this affidavit maybe submittrd to the Department of ladustrial Accidents for con-Eirmation of in Trance coverage. Also be sure to sign and date-the affidavit The affidavit should be retained 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 tb-e Department at the number listad beIow Self-insu-ed companies shouId enter their self-fi sm-an ce license number on the appropriate]me. City or Town OfFaciaLs t Please be sore that the affidavit is complete and printed Iegilbly. 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 Pleas e b e sure to fill in the P enit/Iicense number which willbe used as a refer additioence number. In n,Ea applicant that must submit multiple permit/Iicensa applications in any given year,need only submit one af Eidavit indicating current policv iaforination(if necessary)and under"lob Site Address"the applicant should write"all locations in ( L Or town}_"A copy of the-affidavit that has been officially stamped or marked by the city or town maybe provided to the " applicant as proof that a valid affidavit is on f.Ile for fufnre permits or licenses_ A new affidavit must be filled out each year.Where a home owner or citizen is obtaining a license or permitnot related to any business or commercial venture. etc. said eron is NOT to Iete this affidavit ie: a do license or permit to bum leaves ) p reQ�-'d comp ( g P The Office of Investigations would like to thank you in advance for yoi=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 CG.MM�onweaj&of J&ssachmatEs Dent of Iud�za1 AGeid�nt� . f xca of lnvestiotio-= (5GQ V7asbh*Gn Stcf,- * Bagton�IAA Gl 11-1 T61.if 617-727-4900 Q�t 4,06 or 1-M MASSAFE Fax 617-727 7749 Revised 4-24-07 s5-gavidia. Yachtsman Condominium Trust .board of Trustees 500 ocean Street Hyannis,AM 02601 DATE �IaS// c&4 p f e RE: Unit 19 Yachtsman,Condominium Trust,500 0cean 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 w the request we received from the Unit • Owners.Coatu-torC has been conftuted by the Unit Owner to perform the work as defined in the proposal. This letter serves as notice of the Board's 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 Sday of .20 )4 . d ecretary, . oard of T h Condomini Trust 500 Ocean Street(c/o Managee s Office) Hyantds,MA 02601 Ez�cJFile • J� 6 Massachusetts -Department of Public Safety Board of Building Regulations and Standards Construction Supervisor License: CS-MI47 4- CRAIG J RMEY PO BOX 382 - I Ostervilk MA 02555. Expiration Commissioner 0210512017 ���omwneanuieal�o�C�crwa�urelta Office of Consumer Affairs&Busihess Regulation Welgistration: ME IMPROVEMENT CONTRACTOR 125799 Type: piration: 1/30/2016 Private Corporatic C.J.RILEY BUILDER INC CRAIG RILEY • 10 B WIANNO AVE. OSTERVILLE,MA 02655 Undersecretary je Do b <:ills • .. It �• ow ►� Cni 'b o �'• �'+ �. b C!a r � q W • co Ph . - a 2%29/2016 Official Website of The Town of Barnstable-Properly Lookup Select Language Assessing Division Property Lookup Results - 2016 • 367 Main Street,Hyannis,MA.02601 <<BACK TO SEARCH<< (Al int Friendly Owner Information - Map/Block/Lot: 324 / 040/ OOG - Use Code: 1020 Owner Owner Name as of ZECCHINELLI,BRIAN J&KAREN A TRS Map/Block/Lot G IS MAPS 1/1/15 1873 US ROUTE 302 324/040/ OOG BERLIN,VT.05602 Property Address Co-Owner Name BRIAN J&KAREN A ZECCHINELLI REV 500 OCEAN STREET FAM TR Village:Hyannis Town Sewer At Address:No GIS Zoning Value:RB Assessed Values 2016 - Map/Block/Lot: 324 / 040/ OOG - Use Code: 1020 2016 Appraised Value 2016 Assessed Value Past Comparisons Building Value: $258,800 $258,800 Year Total Assessed Value Extra Features: $ 19,700 $ 19,700 2015-$286,000 2014-$286,200 Outbuildings: S 3,900 $3,900 2013-$286,300 • Land Value: $0 $0 2012-$349,400 2011 -$315,300 2010-S 308,800 2009-$430,300 2016 Totals $282,400 $282,400 2008-$496,500 2007-$404,500 Tax Information 2016 - Map/Block/Lot: 324 / 040/ OOG -Use Code: 1020 Taxes Hyannis FD Tax(Residential) $683.41 Fiscal Year 2016 TAX RATES HERE Community Preservation Act $78.87 Tax Town Tax(Residential) $2,629.14 $ 3,391.42 Sales History-Map/Block/Lot: 324 ) 040/ OOG - Use Code: 1020 History: Owner: Sale Date Book/Page: Sale Price: ZECCHINELLI,BRIAN J&KAREN A TRS2014-10-14 C21-148 $1 ZECCHINELLI,BRIAN J&KAREN 2010-12-23 C21-148 $380000 HAYNES,MARGARET& 1999-10-27 #D782842 $0 GRAHAM,CELIA M TR 1998-01-20 C21-148 $0 GRAHAM,CELIA M 1997-02-04 #D686600 $0 GRAHAM,THOMAS J&CELIA M 1977-05-12 C21-148 $0 Photos 324 / 040/ OOG - Use Code: 1020 http://www.townofbarnstable.us/Assessi nglpropertydisplayscreenl6.asp?ap=O&searchparcel=32404000G&searchtype=address&mappar=&awnname=&street... 1/4 V 2/29/2016 Official Website of The Town of Barnstable-Property Lookup G Sketches - Map/Block/Lot: 324 / 040/ OOG - Use Code: 1020 AsBuilt Card N/A Constructions Details - Map/Block/Lot: 324 / 040/ OOG - Use Code: 1020 Building Details Land Building value $258,800 Bedrooms 2 Bedrooms USE CODE 1020 Replacement Cost $319,499 Bathrooms 2 Full-0 Half Lot Size(Acres) 0 Model Res Condo Total Rooms 4 Rooms Appraised Value $0 • Style Condominium Heat Fuel Electric Assessed Value $0 Grade Custom Heat Type Elec Baseboard Year Built 1975 AC Type None Effective depreciation 19 Interior Floors Carpet Stories 2 1/2 Stories Interior Walls Drywall Living Area sq/ft 1,138 Exterior Walls Wood Shingle Gross Area sq/ft 2,300 Roof Structure Gable/Hip Roof Cover Asph/F GIs/Cmp Outbuildings&Extra Features - Map/Block/Lot: 324 / 040/ OOG - Use Code: 1020 Code Description Units/SQ ft Appraised Value Assessed Value FOP Open Porch-roof- 21 $ 1,700 $ 1,700 ceiling UST Utility Storage- 12 $200 $200 attached BFAI Bsmt Fin-Good- 235 $6,200 $6,200 Partitioned WDCK Wood Decking 130 $2,100 $2,100 w/railings PATI Patio-Average 175 $900 $900 BMT Basement-Unfinished 356 $ 11,600 $ 11,600 WDCK Wood Decking 21 $900 $900 w/railings Sketch Legend http./Aovww.townofbarnstable.us/Assessi ng/propertydispl ayscreen 16.asp?ap=O&searchparcel=32404000G&searchtype=address&m appar=&ow nnam e=&street... 214 2/29/2016 Official Website of The Town of Barnstable-Property Lookup Property Sketch Legend B2N Bam-any 2nd story area FPC Open Porch Concrete Floor REF Reference Only BAS First Floor,Living Area FTS Third Story Living Area(Finished) SOL Solarium BMT Basement Area FUS Second Story Living Area SPE Pool Enclosure (Unfinished) (Finished) BRN Barn GAR Garage TQS Three Quarters Story (Finished) CAN Canopy GAZ Gazebo UAT Attic Area(Unfinished) CLP Loading Platform GRN Greenhouse UHS Half Story(Unfinished) FAT Attic Area(Finished) GXT Garage Extension Front UST Utility Area(Unfinished) FCP Carport KEN Kennel UTQ Three Quarters Story (Unfinished) FEP Enclosed Porch MZ1 Mezzanine,Unfinished UUA Unfinished Utility Attic FHS Half Story(Finished) PRG Pergola UUS Full Upper 2nd Story (Unfinished) FOP Open or Screened in Porch PRT Portico WDK Wood Deck PTO Patio " �Pflnt Friendlx Contact Director of Assessing Jeffrey Rudziak P 508-862-4022 F 508-862-4722 8:30a.m.to 4:30p.m. Helpful Links to Downloads Abatements SALES LISTINGS Barnstable FD Residential C.O.M.M FD Residential Commercial-Industrial- Mixed Use Cotuit FD Residential Hyannis FD Residential Townwide Condominium W.Barnstable FD Residential Department of Revenue Exemptions Parcel Consolidation Questions about values Town Tax Rates Town Land Use Codes Helpful Maps All Town Maps Flood Insurance Maps Property Maps http://www.townofbarnstable.Lis/Assessing/propertydisplayscreenl6.asp?ap=G&searchparcel=32404000G&searchtype=(((address&mappar=&ownname=&street... 314 Client#:10798 2RILEYCJ ACORD. CERTIFICATE OF LIABILITY INSURANCE Dosna�olns TrIlS 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(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 endorsemengs). PRODUCER NCONTACT AME: Dowling&O'Neil PHONE 508 775-1620 FAX 5087781218 A/C No Ext: A/C,No Insurance Agency E-MAIL ADDRESS: 973 lyannough Rd., PO Box 1990 INSURER(S)AFFORDING COVERAGE NAX:0 Hyannis,MA 02601 INSURERA:National Grange Mutual Insuranc INSURED INSURER B: C.J.Riley Builder,Inc. P.O. Box 382 INSURER C: Osterville,MA 02655 INSURER D: 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 ADDL SWUM POLICY EFF POLICY EXP LTR TYPE OF INSURANCE INSR WVD POLICY NUMBER MM/DD/YYYY)1(MM/DD/YYM I LIMITS A GENERAL LIABILITY MP059664 5/02/2015 OSM21201 PEACH OCCURRENCE $1 000 000 X COMMERCIAL GENERAL LIABILITY PREMISES Eaoccccurrence $500 000 CLAIMS-MADE Ex-]OCCUR MED EXP(Any one person) $1 O 000 PERSONAL&ADV INJURY $11000 000 GENERAL AGGREGATE s2,000,000 tETNOGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $2,000,000 LICY PRO- JECT LOC $ OBILE LIABILITY COMBINEDSINGLE LIMIT Ea accidentY AUTO BODILY INJURY(Per person) $ ALL OS NED AUTOS LEDBODILY INJURY(Per accident) $ NON-OWNED PROPERTY DAMAGE ED AUTOS AUTOS Per accident $ $ UMBRELLA LIAR OCCUR EACH OCCURRENCE $ EXCESS LIAR CLAIMS-MADE AGGREGATE $ DED I I RETENTION$ $ WORKERS COMPENSATION WC STATU- OTH- AND EMPLOYERS'LIABILITYANY PROPRIETOR/PARTNER/EXECUTIVE Y/N OFFICER/MEMBER EXCLUDED? N/A E.L.EACH ACCIDENT $ (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ It yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(Attach ACORD 101,Additional Remarks Schedule,If more space Is required) Certificate of insurance for workers compensation will be issued by the carrier. Insurance coverage is limited to the terms,conditions,exclusions,other limitations and endorsements. Nothing contained in the certificate of insurance shall be deemed to have altered,waived,or extended the coverage provided by the policy provisions. CERTIFICATE HOLDER CANCELLATION USHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE iTH IRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 0 AUTHORIZED REPRESENTATIVE ,yV — ©1988-2010 ACORD CORPORATION.All rights reserved. ACORD 25(2010/05) 1 of 1 The ACORD name and logo are registered marks of ACORD *c+ctna91A11A1nGn , ,,. V®AC ace group WORKERS COMPENSATION AND EMPLOYERS LIABILITY POLICY TYPE AR INFORMATION PAGE WC 00 00 01 ( A) POLICY NUMBER: (6S62U6-2E89906-9-15)� C_-- NEW-15 INSURER: ACE AMERICAN INSURANCE COMPANY 1• NCCI CO CODE: 12165 INSURED: PRODUCER: C J RILEY BUILDER INC DOWLING & ONEIL INS PO BOX 382 973 IYANNOUGH RD OSTERVILLE MA 02655 HYANNIS MA 02601 Insured is A CORPORATION Other work places and identification numbers are shown in the schedule(s) attached. 2. The policy period is from o5-05-15 to 05-05-16jt2:01 A.M. at the insured's mailing address. 3. A. WORKERS COMPENSATION INSURANCE: Part One of the policy applies to the Workers Compensation Law of the state(s) listed here: MA B. EMPLOYERS LIABILITY INSURANCE: Part Two of the policy applies to work in each state listed in item 3.A. The limits of our liability under Part Two are: o= Bodily Injury by Accident: $ .500000 Each Accident Bodily Injury by Disease: $ 500000 Policy Limit Bodily Injury by Disease: $ 500000 Each Employee C. OTHER STATES INSURANCE: Part Three of the policy applies to the states, if any, listed here: o COVERAGE REPLACED BY ENDORSEMENT WC 20 03 06B a� D. This policy includes these endorsements and schedules: SEE LISTING OF ENDORSEMENTS - EXTENSION OF INFO PAGE o—� 4. The premium for this policy will be determined by our Manuals of Rules, Classifications, Rates and Rating -� Plans. All required information is subject to verification and change by audit to be made ANNUALLY. �J DATE OF ISSUE: 05-21-15 Rd OFFICE: ORLANDO DA ACE 24M ST ASSIGN: MA PRODUCER: DOWLING & ONEIL INS ozoi is 22LGR r • �(o=b�c6`-4 SLl JL Of M4 4'y C� l� 0 5,�t3GTjjp v, No 34774 .Vhk-( 1 .Jell C Ln 4 We. -A c 4F-1V I ; PROPOSED.- DILO, P.E. Consulting Structural En ineer #I48 YACHTSMAN Centerville, Mo sochusetts 028 2-1979 508 771-7601 YACHTSMAN CONDOMINIUMS Drawn By: Mc Dote: It/ /14 Drawing HYANNIS, MA stole: As NOTED Rey. o S K— 2 File Name:ZXXWN Project No.:2014-IIZI rc JP F E H 52� 108 71 75 40# 80 G � I 72 144 E .. YAC-t0Ot "t 5 4 3 2 t y R i i r. T `a r.f ,�,k"+• �'^"mF ','r^ } z ,d te. M. * � k f��;r••'w�'ki'�� �"rsk .a t ,r 4 F•; 1 � t c'r e s r k ti� w . N -- A 1 � TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION g2o fa r,39 •a• Map Parcel Application Health Division Date Issued 2— Conservation Division Application Fee Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board Historic - OKH _Preservation /Hyannis aZ�� Project Street Address 14 a lS 1.���� `cy�u�c� f!yr��, I������t 57 �/G! ����a`5 , ��I,f I`/F Village Owner Address Telephone Permit Request j6k,, hs_a,-L,_Pf f ✓ Sh r >,L_1vu-i, a &L Square feet: 1 st floor: existing proposed 2nd floor: existing 17) proposed Total new Zoning District Flood Plain Groundwater Overlay c Project Valuation l 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 S, Historic House: ❑Yes XNo On Old King's Highway: ❑Yes ❑ No Basement Type: ❑ Full ❑ Crawl ❑Walkout ❑ Other Basement Finished Areas ft. ggS k-WQSeUlnn Basement Unfinished Areas j.- -3 Number of Baths: Full: existing` new Half: existing % 34, new Number of Bedrooms: C -- existingw Total Room Count (not including baths): existing ,' new First Floor Room Count z Heat Type and Fuel: ❑ Gas ❑ Oil Electric ❑ Others Central Air: ❑Yes C0No Fireplaces: Existing New Existing wood/coal stove: Oes ❑ 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 cJ`"� v� L 1 Telephone Number Address �� - a u ( � License # I � J C � IV/, I `� �'1 i t Home Improvement Contractor# �0 Worker's Compensation # �` 5 3-V o-01 ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE v DATE ,;I 1 f � : FOR OFFICIAL USE,(ONLY k= APPLICATION# DATE ISSUED MAP/PARCEL NO. 9 , .y 3. ADDRESS VILLAGE OWNER DATE OF INSPECTION: FOUNDATION f FRAME Y`y INSULATION t .. � FIREPLACE ` ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING t DATE CLOSED'OUT ASSOCIATION PLAN NO. f f Departmqit of industrial A6Wents , Office of Invesfigadons 600 Washington Street Bostoi;MA 02111 ' www.mass gov/dia Workers Compensation Insurance Affidavit: Bwilders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibiy Name(Business/organimdonft&vidud):_ �3�%r l d h 5 7�t-✓� c 1-� (�(9 Address: r �.� • t' City/State/Zip: ,� `� Phone.#: Z? 0 i) I Are you an employer?Check-the appropriatebox: 1 I am a employer with � •4• ❑ I am a Type of project(r equired):general contractor and I • employees(fall and/or part-time).* have hired the sub-contractors' 6 ❑New construction . 2.❑ I am a We proprietor or partner- listed on the-attached sheet. 7. ❑Remodeling ship and have no employees These sub-contractors Have 8. ❑Demolition working for me irt any capacity. employees and have workers' [No workers'comp.insurance comp:insurance.$• 9. ❑Building addition required.] 5. ❑ We are a corporation and its. 10.❑Electrical repairs or additions '3L❑ I am a homeowner do' aII work officers have exercised their ❑ ing repairs ar additions . 11. Plumb' [No workers'comp. right of exemption per MGL ' ce required)t c. 152, §1(4),and;we have no 12.❑Roofrepairs employees. [No workers' 13.❑ Other' Pomp.insurance required) *Any applicant that checks box#1 must also fill out the section below showingtheir workers'c °. ompensation policy informafion. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit $Cont acton that check this box must attached an additional sheet showing the nano indicating such•of the sub contactors and state wbcther or not those entities have employees. If the sub-rantracto have employees,they must providt their work='comp.policy number. rain an employer that is providing workers'compensation insurance for my employees. Below is information. .the policy and job site / Insurance Company Name: J Policy#or.Self ins.Lic.#_ IN t° Z Expiration Date:_ lob Site Address: City/State/Zip: Attach it 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 ne fi 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 lator. Be advised that a copy-of this staterneik may be forwarded to the Office of luvesti ions of the DIA ce coo a e verification. I do hereby certify and r t e air -an pe allies of perjury that the information provided above is and correct. Si lure: Date: Phone-#: — • Offzcial.use only. Do not write in this area,to be completed by city or town gfficiaL • J '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 I 6.Other Contact Person: Phone#: Information and-Instructions Massachusetts General Laws chapter 152 requites all employers to provide workers' compensation for they 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 bur7ding 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 construct buildings in the commonwealth for any applicant who has not produced-acceptable evidence of compliance with the insurance coverage required." Additionally,MGL ohapter 152, §25C(7).staxes"Neither the commonwealth nor any of its political subdivisions shall enter into any contract for,the performance of public-work until•acceptable evidencs-of con4iliurice R2thfhe inst*r.ncv requirements of this chapter have been presented•in 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 ftisur=e. Limited Liability Compan" s'(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 iris 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 perniMicense 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 gown)."A copy of the affidavit that has been officially stamped or marked by the city or gown maybe provided to the applicant as proof that a valid affidavit is on file for future pemnits 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 fo any business or commercial venture (ie..a dog license or permit to burn leaves-etc.)said person is NOT required to complete thus affidavit The Office of Investigations would hlce to.thank you ia.advance for your cooperation and should you have any questions, please do not hesitate txi give us a call The Department's address,telephone-and fix number;. 'The CommQmwea1ffi Qf m=arhusam aeparlme at of E.dustda Aoejdejxts Occ Qf Investigations 600 Washing Sftw Boston,MA 02111 Tel.##617-727 4 900 ext 406 or 1-$77-MASS-AFE Revised 11-22-06 Fax##CI'-727-7749 WWWM ss.PV/din . e/.13/2O11 5:51 :i)9 AM PST (GMT-8), E'RUM: insurancevislorls.coin-nr: 1xrol IDDDtiO e:,t)a: _ uL I- ® OAIE(MWDDIYYY Y) ?COOR o CERTIFICATE OF LIABILITY INSURANCE 6113 2011 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 endorsements . PRODucER.FRANK L HORGAN INS AGENCY INC coNrACT NAME: 44 BARNSTABLE ROAD PHONE - N 508 775-5830 t .L n. o►: (5U8L/i;i 6688 j HYANNIS, MA 02601 EMAIL ADDRESS: INSURER(S)AFFORDING COVERAGE NAIC 0__ INSURERA: LIBERTY MUTUAL GROUP INSURED CAPE & ISLANDS CONSTRUCTION COMPANY INC INSURERB: PO BOX 210 IISURERC: CENTERVILLE MA 02632 D45UKERD: IISURERE: USURER F: COVERAGES CERTIFICATE NUMBER: 10385984 REVISION NUMBER: TIIIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR TIIE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTIIER DOCUMENT WITII RESPECT TO WIIICI I TI IIS 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 SUBR POLICY EFF POLICY EXP L011115 . INSR I YPE OF INSURANCE N D POLICY NUMBER MMOD/YYYY MM/DD/YYYY LTR GENERALLWBILIIY EACI I OCCURRENCE $ DAMAGE TO RENTED COMMERCIAL GENERAL LIABILITY PREMISES Ea ocuuronre $ CLAIMS-MADE OCCUR MED EXP(Any one persm) $ _PERSONAL 6 ADV INJURY GENERAL AGGREGATE $ GEN'L AGGREGATE LIMIT APPLIES PER. PRODUCTS•COMP/OP ACL i PRO• LOC -----$ POLICYINGLE LIMIT AUTOMOBILE LIABIII Y (O aBrcidGDils $ BODILY INJURY(Per porson) $ ANY AUTO ALL OWNED SCHEDULED BODILY INJURY(Per accident) $ Al1TOS AUTOS PeO�denl MAG $NON-OWNED HIRED AUTOS — AUTOS --- $ $ UMBRELLA LIAB OCCUR EACH OCCURRENCE —_ $ - EXCESS LIAS CLAIMS-MADE AGGREGATE DED RETENTION$ $ $ I A L FR WORKERS COMPENSATION WC2-31 S-377540-011 Sf712011 5/7/2012 ,J R TOCIAMITIS OTI I ---_ AND EMPLOYERS'LIABILITY YIN ANv WtUPR1E'fOR/PARINER/EXECUTIVE N N1A E.L.EACH ACCIDENT Is 100000 OFFICERIMEMBER EXCLUDIIII E.L.DISEASE-EA EMPLOYEE E (Mandatory in NH) If yes.dmcrbe under E.L.DISEASE.POLICY LIMIT $ 500000'= DESCRIPTION OF OPERATIONS below DESCRIPTION OF OPERATIONS/LDCATIONS/VEHICLES (Attach ACORD 101,Addltlunal Rsnoorks Schedule,If noon:space Is required) Workers Compensation Insurance: Part One of the policy applies only to the Workers Compensation Law of the Stale of MA. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE TOWN OF BARNSTABLE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. H2 MAIN STREET HYANNIS MA 02601 AUTHORIZED REPRESENIA.IIVE Jeff Eldridge _I ©1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25(2010105) The ACORD name and logo are registered marks of ACORD ..ER nn.: I03959sa nunv rnanaLer 6/13/201L 5:46:22 AN Page 1,af L Tuts.certtiicat� canCa Ls and suporcadas ALL pcev wus Ly Issued cr ctif uates. 03/27/2012 15: 21 18022231003 WAYSIDE PAGE 01 Yachtsman Condominium Trust Accentum of Trust Approval r The undersigned Owner[s] of Unit#148 of the Yachtsman Condominium Trust,500 Ocean Street, Hyannis,Massachusetts,acknowledge[s]that the Trustees of the Yachtsman Condominium Trust have voted to approve the following proposal: Renovations to basement as proposed in attached plans. All renovations must be made in strict conformity with the plans submitted. By acknowledging the Trustees vote approving the proposal for Unit#148,the undersigned Owner[s] agree that: 1. The drawings and specifications provided to the Trustees for approval (copies of which are attached and incorporated hereto)are the final drawings and specifications of the improvements. There shall be no additions or variations to the said drawings and/or specifications without the Trustees'prior written consent. 2. Approval by the Board in no way constitutes a waiver by the Board of the Trust's. rights. Moreover,approval by the Board does not indicate that the Board accepts liability or responsibility for the actions of the owners. 3. Any contractors (and sub-contractors)fired to work on the proposal shall obtain the necessary approval and permits from the appropriate local authority or statutory body required under any law(including any statute,ordinance,by-law and/or regulation). Contractors and/or sub-contractors shall not commence, continue or complete any work without having the appropriate permits and approvals secured. Contractors and/or sub-contractors shall provide the Manager of the Yachtsman with copies of all approvals and permits. 4. Any work undertaken shall comply with all relevant local,county and state codes, by-laws,regulations and statutes. 5. Any contractors (and sub-contractors)hired to work on the proposal shall maintain the appropriate liability insurance. Contractors and/or sub-contractors shall provide the Manager of the Yachtsman with copies of the relevant insurance binders. 6. Any work undertaken shall be completed by Memorial Day and no work shall be undertaken again until Labor Day,unless approval is sought from and received from' the Trustees. 7. I/We assume(s)responsibility for any future costs associated with loss or damage related to the work 8. Other: , " j• ry / • r ✓ � s , /r � 000 Dn7 Jr, -i- y Acceptance of Trust Approval Page 2 of 2 The undersigned Owner[s] of Unit#148 therefore accept the approval of the Trustees of the Yachtsman Condominium Trust subject to the above-noted conditions. Signed this 177—day of 20 `2— Signature-Unit �e Print Name-Unit Owner Sl atur -- U it Owner Print Name- Unit Owner Witn,.- / Hager Yach sman Condoaninlum Trust Documents Attached: Permits Received(Title and bate Received): 03/06/2012 15:13 18022231003 WAYSIDE PAGE 01 i Riie Y tort' Services �a T;lnomu X Gamer.Director Building Division Tom Perry,BeIIdfaig,6m alle ser 200 M&%BtrVM�HyannW,MA 02601 www.towabnrnthbl_ma.as Offioe: 508462-4038 A= 508-790-6230 Property Owner Must CornPlete and Sign This Section —[�sa.x ► $Wider r j 49K as owner of the subject property hereby autho=e keA1,51A41 to act on my behalf, iu all'MIttexs relative to work authozized by this building petmix. . 600 �cZAA f, (Aadma of rob) YAKmor, e'm dons �n r CIA �o�w **Pool fences and alarms are the responsibility,of the applicant. pools are not-to be filled before fence is installed and pools are not to be utilized until au final.�insQections are performed and accepted. AAA 14, S*Uature ovuler Signature of Appl=ut Print Name Print Name 3 Date Q:F0F MS:OWNERFBR.M1891GNML$ Esc. 1�18 3 the pR'ESTAURANT &"BAKERY Coo&i' aVits Rest..:' , � x �V Y ATrmes E " � YourxHosts Brran� Kareri Zecchlelit� (8U�2);223 6611�� X1 ,£ '. February 14, 2012 - Dear Building Inspector, Josh Kouri asked me to provide you with the information and techinical data regarding our proposed air exchange system for our basement renovation. We commissioned an air quality analysis by Mold Doctors and the results were very good. Our total spore count was 1461 which falls in the low spore count range (attached). After extensive research, industry professionals recommend the Humidex UNS-103. This unit moves 180 cfm of 1800 square feet. Our finished living area will only be will be a maximum of 192 square feet(12'x 16'). The fundamental rules for installation will be precisely followed (attached). Michael Martinello from Mold Doctors would be in charge of the installation. Our installation would be consistent with other Humidex installations at the Yachtsman. If you have any additonal questions, please feel free to contact Michael or myself. Brian Zecchinelli cc: Josh Kouri, Cape & Islands Construction MOL ' DOCTORS Michael J. Martinello I.I.A.Q.C. . MICP MM740 " mike@molddoctors.net www.moiddoctors.net Toll Free: 855-MoldDoc (665-3362) Office: 508-499-2261 • Cell: 508-944-1746 �j 1873 U.S.Route 302•Berlin,Vermont 05602 ��W /15/10W Humidex®»UNS-103 HOM Ez HUMIDEX� a GEFRt LATEST AUTHORIZED REGISTER PRODUCTS TIC'S D`EAI ERS WARRANTY Ht HUMIDEX UNS-103 lJ l� r r xM '. This unit is designed for homes with a crawlspace instead of 3, a basement.It will rid the crawlspace of humidity and musty i odors associated with the crawlspaces.Because it removes " humidity,it will also stop the wood from rotting,eliminating those costly repairs. The unit moves 180cfmwith a basement coverage of I 1800sq.ft. dimensions ofthis unit are H 30"W 11"D 7" This unit will: A.4 I + i 4+. • Improve Air Quality J • Reduce window condensation �t • Reduces excess huridity and musty odor �" • Replace damp humid air with warm,dry air f s • Operates at a low cost of$2.00/month of electricity (31 watts) . :_ r,: • Does not require expensive part replaceme!,t—10 year warranty(all parts warranty except outside � vent) s. • Does not require excessive ductwork—vented just r like a dryer tj • A sumnrrtime humidity control system that will also solve wintertime window condensation • Avoid costly household repairs due to window flame and sill rot • No Buckets to empty Download the UNS-103 Installation Manual Download the UNS-103 Owners Manual rww.humidex.ca/products/uns-103/ 1/ I - - EMSL Analytical, Inc. 7 Constitution Way, Suite 107 Woburn, MA 01801 Phone:(781)933-8411 Fax:(781)933-8412 Web: Email:bostonlab@emsl.com Attn: Mike Martinello EMSL Order: 131200272 Mold Doctors Customer ID: MLDD25 PO Box 464 Collected: 1/13/2012 South Yarmouth,+MA 02664 Received: 1/18/2012 Analyzed: 1/20/2012 Proj: 500 Ocean St; Hyannis; Unit 148 Pre Test Test Report:Air-0-Cell(TIA)Analysis of Fungal Spores&Particulates by Optical Microscopy(EMSL Method 05-TP-003) Lab Sample Number: 131200272-0001 Client Sample ID: 17654301 Volume(L): 75 Sample"Location: Basement Spore Types RawCount CoUntIM3 %SILTataL Alternaria Ascospores 1 44 3 Aspergillus/Penicillium 28 1240 84.9 Basidiospores 3 133 9.1 Bipolaris++ - - - Chaetomium Cladosporium Curvularia Epicoccum Fusarium" Ganoderma Myxomycetes++ Pithomyces Rust Soopulariopsis Stachybotrys Torula Ulocladium Unidentifiable Spores 1 44 3 Zygomycetes - - - Total Fungi 33 1460 100 Hyphal Fragment 2 89 - Insect Fragment - - Pollen - Analyt.Sensitivity 600x 44 Analyt. Sensitivity 300x 13` Skin Fragments(1-4) 2 Fibrous Particulate(1-4) 1 Background(1-5) 2 d Bipolaris++ =Bil:rolaris/Dreschtcra/Lsserohilurn Myxomycetes++ =Mvxoniycctes/Periconia/Smut No discernable field blank was submitted with this group of samples. Samples analyzed by EMSL Analytical,Inc.Woburn,MA High levels of background particulate can obscures ores and other Particulates leading to underestimation.Background levels of 5 indicate an overloading of background parliculates,prohlbiling accurate detection and quantification.Present=Spores detected on overloaded samples.Results are not blank•rorrected unless othewise noted.The detection limit is equal to one c fungal spore.structure,pollen,fiber particle or insect fragment. "-Denotes particles found at 300X.•-" Denotes not detected. Due to method stopping rules,raw counts in excess of 100 are extrapolated based on the percentage analyzed. EMSL Renaldo Drakes, Laboratory Manager maintains liability limited in cost of analysis. This report relates only to the samples reported above and may not be reproduced,except in ful•;without written approval by EMSL.EMSL bears no responsibility for sample collection activities or or Other Approved Signatory analytical method limitations.Interpretation and use of lest results are the responsibility of the client. Samples received in good condition unless otherwise noted. ®. ..'1 .. .. • >i c, t.Pt:c,• 3'V •.t I--: ':.-: :., �:'i: r,_ . :C�:.�� _. ail 1 :.t ..._ C �ltt.. _, t.,... i f),* .•�[: .r._>vG _�L .n .- -.r1 i;:.. ..r_•.. .. .., .+'y�.,... f .. �. - 1 ,,.. � .l?r', s;7f'y r,. �h:.> •. :;fi, O 2006,EMSL Analytical,Inc., All rights reserved.No part of this report may be reproduced or otherwise distributed or used without the express written consent of EMS"-. Test Report EXMold-7.23.0 Printed: 1/20/2012 09:16:41AM Page 4 of 16 Ci i R S PO BOX 464 SOUTH YARMOUTH, MA 02664 TOLL FREE 855_MOL LD DOC (665-3362) 0 508-499- 2261 Fax 1800-672-3810 Interpreting Lab Results The following, can be used at a guide to understand the lab results Non- Viable Air Samples Low- 2000 total spore counts Low Moderate-2000-5000 total spore counts Moderate-5000- 10,000 total spore counts High-10,000 total spore counts TNT-Too numerous to count Many ftingi (e.g. Asperegillus sp. Pencillurri ip,) in addition to Stachboytrys can produce powerful niycotoxi.ns, Even low levels of this species should be rernediated. The New York,City Department of Health Bureau of Environmental & Occupational Epidemiology Guidelines on the assessment and reinediation of Stachboytros: If the indoor air exceeds concentration above the outdoor air the guidelines recommend immediate rernediation There are currently no state or federal standards or guidelines regarding results of fungal samples. There are no levels, which are typical or permissible. There are no recommended exposure limits..No permissible exposure limits, no threshold limit values and no short term exposure limits These guidelines are based on historical analysis and experience and should not be used for health evaluation purposes —+� Massachusetts- Department of Public Safety Board of Building Regulations and Standards Construction Supervisor License License: Cs 74660 JOSHUA X KOURI y F` PO BOX 210 CENTERVILLE, MA 02632 Expiration: 2/12/2013 Commissioner Tr#: 12106 t _ _ Zecchinelli Proposal Update Basement i electric -plumbing r -ventilation �t -limited general use 99 � ° 02-12-12 hi� lb p w h �p �q � M 4Q � q.N. W tpb Uy .4 py f• T .,. s L."�"b✓rr � � °,trn 3 40.4N0 wm ti9tm_s�'y�y�r$u Q4y ar_\7_�"A y7}rt'i 1 G!ii�M.t`gmg�ty4a5�\ S 10 tq. Cp`q tiv k. , 14='. °9 \ p.'a 35 �T7 ....... NAjc 3 3 e y ` •C° I2 t'n -fiT 41 a Yachtsman Condo Complex _ 1 r _lzz� o -; m S �� ' 1411 ]PI, Hyannis, Massef3� Unit 148 Basement l' 15 13747 ✓� 1YYlll °m T M�' i'.. Y u w S Hyoncis Yocb.! Glub 10 /Va. / y ±n E? V !ss v v �' E Town 0/ 3JrnslaGln 4 J i N i 1 I AL orscc's UC__�—•—�ov A4AILA.BLE VOLUME UNDER CEILINC EVES - -W/D U''LIT'El PLUME NG -" POWER 'EOL T DR C FF.NLL (LCl : ) HOT WATER wASHEP. WASHER/ P ' i -R DRYER STA CR NO INSULATION C _ P 12 0 —EXISTING COLUMN it 46- CRAWL SPACE AREA —� BEHIND S1A.IR WELL II I EXISTING STAIRCASE {� O E 23C, -34'-L' © = POWER "r i l I GH EXISTING CONDITIONS I N E5 02/01 /201 2 UN;ESS C'IE Fn 5f -- - BF.AR t l.0 WELL l PEC `;=E _ =o u. I 1—AC-.Ivl S F. Cj� l p - `�IN11 -E' i i _ (HOME) .NG'NEE;'NG C v�e :..earn �. / J LV 1,I L T 7 i ... y .t. /; T � J / , INITIAL I SSUE D D AVA I'ABLE VO!.UME UNDER CE'L ING EVES -ELECTRIC PANLI. UPDAI ED --. _10 0 .•TR _ c 6' 6P.SEcOPF,'D HEP1— E I—F O LD DOORS rI 13I6CI LO SETOO CHAMFER CORNER ON NON—LOAD BEARING O I� � - INSULATION CONCRETE HELF P A LE CUSTOM PURCHASED 30 BOOKCASE/ TV SIAND 46•W 60' T k 16 DP EXISTING COLUMN IE C. I ! I C HUMIDE SYSTEM TV STATION i D UTILITIES PLUMBING CON' POLLa6" CRAWL SPACE APEY POWER—� I BEHIND STAIR WELL 30" cl—FOLD DOOR (VENTED) L EAIS7ING SlAtRCA.SE wASHEPi30 - DRYER STACK01 � O L ' � I E g i 69------ I 235 C� y� J = POWER OUTLET PROPOSED I RECESSED LIGHT p 2/0 1 o = CATS Fl HEPNET [� CABLE TV COAX NC'i5! I1 6G AN CC, NE L u'EcLc� EU.s i - �nM! I CECCH'"hLl Ll CON-RALI•NC SEP\ C l —1 [._ (Sp 7-y �Hr. f) ., S�IE) u NeC c� Lti IrJC D.\dS10N HOME --7I CNt=.,N. cc .n e• { )'A 'H I UN., I T 8 7 6 5 4 3 2 1 RE SKIS EPIE E,P DESCA i PiIOX APPROxEU ' - 1 INITIAL ISSUE D D AVAILABLE VOLUME UNDER CEILING EVES ELECTRIC PANEL UPDATED `10- 48 — ——— ————————————— — ——-— rl —-——-—--——-———--———— P HOT P P I WATER T P HTR 6' BASEBOARD H A 36CLOSET O (2) BI—FOLD DOORS OL , C C i CHAMFER CORNER ON OL O INSULATION NON—LOAD BEARING I � AS AVAILABLE CONCRETE SHELF P i CUSTOM PURCHASED p 30� BOOKCASE/ TV STAND 121-0' EXISTING COLUMN 48'W x 60' T X 16' DP 21 i ❑E i HUMIDEX SYSTEM —-J AIR CONTROLLER 46'BEHIND CRAWL SPACE AREA 30, BI—FOLD DOOR O � ' TV STATION BEHIND STAIR WELL L (VENTED) p EXISTING STAIRCASE WASHER/ 30 STACK o o 36 —-————— —————————--— B B 169 235 —34-2' © = POWER OUTLET O = RECESSED LIGHT ❑E = CATS ETHERNET NOTES: ABR I AN ZECCH I NELL I SPECIE UNLESS OTHERWISE oP EO Dare vo oa re A xiun: o• ZECCHINELLI CONTRACTING SERVICES (802)—223-9952 DIWNSIONS ARE IN INCHES EESS oS E Al— ENGINEERING DIVISION w®+iocE.w. A RwE TOLERANCES ON CS. BASE MEN T U P D E EPACrIOM �E-S MIXES EA,E _:005 =25 EATPAPPo YACHTSMAN UNIT 182 oA,E ww.Eix: 5y/ s�xE e_ioEN,xo orro No. Pev wi•LQ Q DAIEA� D sCD ZCS-5559 1 xEM,Ass. ZCS-72860 SCALE 1/1 IDEAS SxEET 1OF1 8 7 6 5 4 3 2 1 TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map. `L Parcel r � ica ions# U ' Health Division Date Issued Conservation Division Application Fee Planning Dept. Permit Fee Ub Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation / Hyannis Project Street Address (�( 1Z°���1 Village i� / ._ Owner An a.n + Ka r� 2�C�/� i r>,e�/ Address 19176 05 ��[�a. �eFl�n CLZi;6Z Telephone 0 Permit Requ .. v 1 �� �--� ou u N� &-Y-Oc-, 6v A 51- /2� .f A., Square feet: 1 st floor: existingproposed �?nd floor: existing proposed 5 �otal new Zoning District Flood Plain Groundwater Overlay. Project Valuation 10 QW Construction Type Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family if Two Family ❑ Multi-Family (# units) CCJ � Age of Existing Structure Historic House: ❑Yes Lho On Old King's Highway: ❑Yes-, No Basement Type: )gTull ❑ Crawl ❑Walkout ❑ Other Basement Finished Area(sgft.) e'?&5 Basement Unfinished Area (sq.ft) Number of Baths: Full: existing_ new Half: existing Number of Bedrooms: existingOnew a Total Room Count (not including baths): existing _'� new First Floor Room Count _ f Heat Type and Fuel: ❑ Gas ❑ Oil NdElectric ❑ Other Central Air: ❑Yes )TNo Fireplaces: Existing New Existing wood/c al stove:':;FYe0L3 No Detached garage: ❑ existing new size_Pool: ❑ exis-W❑ new size — Barn: ❑ exis ❑ new size_ Attached garage: ❑ exist'.❑ new size _Shed: ❑ exis ❑ new size _ Other: 1,41 ra Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial Yes ❑ No If yes, site plan review # Current Use Q rf,P) Proposed Use APPLICANT INFORMATION ' ', o (BUILDER OR HOMEOWNER) Name Telephone Number g Address ( 5 a cLn c EnnA License#CS — 0-7 36gY C�_ru_L � Iv (3 UZ_fo F�2_ Home Improvement Contractor# Email C QQ;0S(CU(Y-r_ , C-Om Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO 12)ou r nC:_ c 1 ) l SIGNATURE DATE "1-7 F� i f FOR OFFICIAL USE ONLY APPLICATION DATE_ISSUED MAP/PARCEL NO; ADDRESS ' VILLAGE OWNER DATE OF INSPECTION: 1 FOUNDATION. F, FRAME ' 1 , INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL '4 FINAL BUILDING DATE-CLOSED OUT ASS ION PLAN NO. a The Commonwealth of Massachusetts Department of Industrial Accidents - Office of Investigations ' 600 Washington Street Boston,MA 0.2111 - www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Le ibl Name(Business/Organization/Individual): � Address: a / r7 T h o r-o ;r) City/State/Zip: N� rann i s NI(a Q Phone#: Are you an employer?Check the appropriate box: 4. ❑ I am a general contractor and I Type of project(required): 1. I am a employer with � 6. ❑New construction employees(full and/or part-time).* have hired the sub-contractors 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. insurance.I ❑ We are a corporation required.] 5. ration and its 10.❑ Electrical repairs or additions IP . 3.❑ I am a homeowner doing all work officers have exercised their 11.❑Plumbing repairs or additions 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.etOther t✓-( comp.insurance required.] 6'ev Q i r Q!Le-46 'Any applicant that checks box 91 must also fill out the section below showing their workers'compensation policy information. V 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; Czyze ne� � �a �--�c �x- . ,raLr-a rye e b l'y�na.n Policy#or Self-ins.Lic.M (! F L1 1A)C C% �J Expiration Date: ! 1 t�l� Job Site Address: L>1_0 - V Ylti �� City/State/Zip: ` 62�®, 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 cerd u er lh a andpenalties ofperjury that the information provided above is true and correct. Signature,% Date: l j cal Phone#: �><7 -7 � j Official use only. Do not w to in this area, to be completed by city or town official City or Town: Permit/License# Issuing Authority(circle one): 1.Board of I3ealth 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(MMfDDNYYY) 01/3112014 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(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 ONTA T NAME: Dowling 8,O'Neil adC No E,, :508 775-1620 Insurance Agency E-MAIL a-,No). 5087781218 ADDRESS: 9731yannough Rd., PO Box 1990 INSURER(S)AFFORDING COVERAGE NAIC* Hyannis,MA 02601 INSURER A:Arbella Insurance Company INSURED INSURER B:Everest National Insurance Comp Oceanside,Inc.217 Thornton Drive INSURER C: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 ADDL SUER POLICY EFF POLICY EXP LTR TYPE OF INSURANCE INSR WVD POLICY NUMBER MWDDIYYYY MMIDDIYYYY LIMITS A GENERALLIABILITY 8500061423 1/01/2014 0110112011 EACH OCCURRENCE $1 OOO,OOO ET EaRENTED COCOMMERCIALDAMAAL GENERAL LIABILITY PREM I ES occurrence $100 000 CLAIMS-MADE F OCCUR MED EXP(Any me person) $5 000 PERSONAL&ADV INJURY $1,000000 GENERAL AGGREGATE $Z OOO,OOO GE N L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMPIOP AGG $2,000,000 POLICY E JECTPRI LOC $ C AUTOMOBILE LIABILITY 243462$ 01/0112014 011011201 COMBINED SINGLE LIMIT EN 'idenl _ 1,000,000 IXANY AUTO BODILY INJURY(Per person) $ ALL OWNED X SCHEDULED BODILY INJURY(Per accident $ AUTOS AUTOS ) HIREDAUTOS XNON-OWNED PROPERTYDAMAGE $ AUTOS Par accldent A X UMBRELLA LIAB X OCCUR 4600061424 01101/2014 01101/201 EACH OCCURRENCE $2 000 000 EXCESS LIAB CLAMS-MADE AGGREGATE s2,000,000 DEC) I X RETENTION 10000 $ B WORKERS COMPENSATION AND EMPLOYERS'LIABILITY BINDER369533 0110112014 01101/201 X WC STATU- OTH- ANY PROPRIETORIPARTNERIEXECUTIVE Y I N E.L.EACH ACCIDENT $1 000 000 OFFICERIMEMBER EXCLUDED7 � N I A (Mandatory InNH) E.L,DISEASE-EA EMPLOYEEIf $1 OOOOOO s,describe under DESCRI TION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $1,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS f 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 01988.2010 ACORD CORPORATION,All rights reserved. ACORD 25(2010/05) 1 of 1 The ACORD name and logo are registered marks of ACORD #S124076IM124075 KKM Massachusetts Department of Public Safety Board of Building Regulations and Standards Construction Supervisor .License: CS-073097 PETER A LA.ROCE 18 CEDRIC ROAD Centerville MA 0'2632 , i Expiration , Cc)mm s sic ner 11/03/2014 �✓ p� � Tpa�nvr� �\ Rice".ofConsomet:Affairs`&Business.Iiegulafion ME IMPROVEN4 •`pNT CONTRACTOR egistratio _ Type. Explratt - i�t - E ? Supplement t OCEAN810E, INC i) t PETER LAROCHE 217 Thomton Dr Hyannis; MA 02601 - Underst craggy 777 License or-reestrahon valid for individul bse only before the expiration date, If found return to. Offige of-Consumer Affairs.and Business•Regulation 10 Park Plaza-Suite 5170 .ard. Boston,MA 02116 Notvaiid without signature i F. r 4ce Use Qnly I ■ IY-k'te _r'. a z n* 7r it - dd l dOE NUMBERK '� ;•� es tho 217 Thornton Drive,Hyannis,Mass.02601 508-771-3110 800-464-3318(MA.Only),774-470-2211 Fax MASS.HOME IMPROVEMENT CONTRACTOR REG.#100121 MASS.CONSTRUCTION SUPERVISOR REG.#000W ASSIGNMENT AND AUTHORIZATION TO PAY The undersigned, herein called claimant, has authorized and ordered from Oceansid.e, .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 or 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, Inc. is working for them and not the insurance company or the adjuster. Payments remaining due and payable .after the claimant has received 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' fees, 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. DATE: qe ! k -f PHONE: 96)2-2-G1 �,C� S A A ALA FA _T2r(,?,VA 2&C_C\k�eto , CLAIMANT'S UG E PRINT NAME V MAILING ADDRESS (BILLING) CITY STATE ZIP U(mVI Vf8 >,f-,n\S, LOSS ADDRESS IV INSURANCE ADJUSTER' S NAME/CO. INSURANCE AGENCY NAME \\OCEANSERV\Customer\documents\ASSIGNMENT 2011.doc Unit 148-2nd floor, / Se-&Iee ern e" 13,6" Bedroom N dIT 3' 1 n :49-91 A 1 H _a 00 7' r �T' �. w 10'3" 33" I CV Bedroom, F- 6'6" —1 �6'6" N �7'8" 2nd floor 20140025_YACHTSMAN 3/19/2014 Page: 7 Unit 148 -Main Level � � G a 4 L. oe ate. , 0211 9 131611 Qyv1 M®t? i AM Room- o> /z,-.r,1,W A74W 2'Tffl,�- z-eie b r- in _ rn. 00 - Kitchen in N O. = =— N C . r- 6 „ � T �Lr Main Level 20140025_YACHTSMAN 3/19/2014 Page: 6 Unit 148-basement Ali !!JJ 4 45em el `1� c l UA -r co o ,Q. Q � storage area/room 2 .4" 1 4' T T 1 1.- in N in. in 8'8" �, cn M vQDY � �T N Y 1 ' movie room Storage Area/ CO ih basement V 20140025_YACHTSMAN 3/19/2014 Page: 5 i Yachtsmana 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 0 day of \Q , , 20 C)Boa ry, d of Truste s tsman Con ominium Trust Ocean Street (c/o Manager's Office) Hyannis, MA 02601 Enc./File