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HomeMy WebLinkAbout0135 WEST MAIN STREET (19) 35, -_ 519oR- 1®a- 14,r �I i �I 5 M F.A D KEEPING YOU ORGANIZED No. 10230 H163 FOORRB RY$� MIN.RECYCLED WmAm CONTENT 1090 ca �o��,inve POST-CONSUMER OM290 MADE IN USA GET ORGANIZED AT SMEAD.COM TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map o? d Parcel P I— Application � o Health Division Date Issued Conservation Division Application Fee Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Boardf7�/i Historic - OKH _ Preservation/ Hyannis Project Street Address 3 �✓T I�?rlii✓ Sep Village Owner a ea Address �3S' CU•/�`lri�f7` e liGar��� /tt,� Telephone 5"01 77/ ! 3 Permit Request '� �����!2 d PNT L21i.v!) o,,Q/J drt�r!/� �xi✓�iiY Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District 16 Flood Plain Groundwater Overlay Project Valuation 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 // J'00 064 Historic House: ❑Yes O°//No On Old King's Highway: ❑Yes ❑ No Basement Type: © Full ❑ Crawl ❑Walkout ❑ Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full: existing new Half: existing new Number of Bedrooms: existing _new Total Room Count (not including baths): existing new First Floor Room Count Heat Type and Fuel: ❑ Gas ❑ Oil ❑ Electric ❑ Other Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing wooj�_/c4,joal stove❑Ya ❑ No 0 r C> Detached garage: ❑ existing ❑ new size_Pool: ❑ existing ❑ new size _ Barn: e listing Lnew-T!s ize_ Attached garage: ❑existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: E2 Zoning Board;Yes ppeals Authorization ❑ Appeal # Recorded ❑ -.. as Commercial ❑ No If yes, site plan review# Current Use te' L t*or�oe�iw1; l;yle I Proposed Use d APPLICANT INFORMATION (BUILDER OR HOMEOWNER) �0 he T. ��,ra t, X-,( J-o/ 6�� ✓� Name Telephone Number Address 14 VS"' N, -lo ww License# es G YJ/1 *44 4f Z Home Improvement Contractor# Worker's Compensation # e �3 A 0? ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO U/I ed tV 4 e„ c4e veer e e. f,ZD J'4 WO ,u a'e* V zZ 6 9 f SIGNATURE 7 DATE /�jb 0�/ FOR OFFICIAL USE ONLY ` APPLICATION# r. DATE ISSUED - MAP/PARCEL NO. i • ADDRESS VILLAGE OWNER " r - i " x DATE,OF INSPECTION: FOUNDATION " E- FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL r GAS: ROUGH FINAL f a FINAL BUILDING �E DATE CLOSED OUT ASSOCIATION PLAN NO. b The Commonwealth of Massach useas Department of Industrial Accidents ,. Office of Investigations 600 Washington Street Boston,MA 02111 www.mas&gov/dia Workers' Compensation Insurance Affidavit: Binders/Contractors/Electricians/Plumbers Applicant Information Please Print Lersibly Name(Business/Orgmization/individual):��_�r ZZl �1 0rne, irne t-o ued'ne"J4 7,V-L Address: /ip{uJ-h,Lu 0 12 p City/State/Zip: C 0` u 4 i MA 61 3s Phone#: 50 ell.1l� Are you an employer?Check the appropriate box: 1.['L `[Yt am a employer with 40 '1` 4. ❑ I am a general contractor and I Type of project(required): 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' o workers'comp,insurance corn iasurance.t 4. ❑Building addition quimd.] 5. ❑ We are a corporation and its 10.❑Electrical repairs or additions 3.❑ I am a homeowner doingall work officers have exercised their I L Plumbing re❑ g pairs or additions myself.(No co workers' right of exemption per MGL �• 12.❑Roof repairs insurance required.]t. c. 152,§1(4),and we have no 13.. Cher "2 employees.[No workers' comp.insurance required.] J1YCI✓ru� 'Any applicant that checks box 41 must also fill out the section below showing their workers'eoml cation policy WomadOIL 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 subcontractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. 1 aria an employer that is providing workers'compensation insurance for Rey employees Below is the policy and job site information. r� Insurance Company Name: ACE C'v c -e p-°r y (4 y v C.A Si aj L'i y . P 'c #or Self-ins.Lic.#: cc q 5 g' L 3:Zlfi,� q Y Al11/ Expiration Date v l to A j 3-C P/. M4 i Al Jt• A f' 5 r .1 0 2!d! Job Site Address: City/State/Zip: f ✓/ 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$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to S250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. 1 do hereby ' lender the pains and penalti f perjury that the information provided above is true and correct Sim s—�> Date: U S N Z 0 it Phone#, r e i vo %.r✓de Official use only. Do not write in this area;to be completed by city or town official City or Town: Permit/License# Issai.ng Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk. 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: Client#:47298 CAPIHOM ACORD. CERTIFICATE OF LIABILITY INSURANCE DATE 01/04/2011m THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT:If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must be endorsed.If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement.A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT Karen Walther NAME: Rogers 8r Gray Ins.-So.Dennis PHONE FAX 434 Route 134 E IC,No, E.:508 398-7980 Alc,No: P.O.Box 1601 ADDRESS' waltherka@rogersgray.com South Dennis,MA 02660-1601 CUSTOMER 10#: INSURER(S)AFFORDING COVERAGE NAIC# INSURED INSURER A:National Grange Insurance Co. _ Capizzi Home Improvement,Inc: Capizzi Enterprises,Inc. INSURER B:ACE Property$Casualty Ins.Co INSURER C: 1645 Newtown Road Cotult,MA 02635 INSURER D: INSURER E SURER F: - COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED.NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE DDL UBR POLICY EFF POLICY EXP - LTR S POLICY NUMBER MMIDD MM/DD LIMITS - A GENERAL LIABILITY MPB1075H 06/08/2010 06/08/2011 EACH OCCURRENCE - $1 000 000 - X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED PREMISES Ea occurrence $500,000 CLAIMS-MADE F XI OCCUR MED EXP(Any one person) $10,000 PERSONAL&ADV INJURY $1,000,000 GENERAL AGGREGATE $2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $2,000,000 POLICY PRO 7 - 7 LOC $ A AUTOMOBILE LIABILITY BPO10786 06/08/2010 06/08/2011 COMBINED SINGLE LIMIT A ANY AUTO M1M28044 06/08/2010 06/08/2011 (Ea accident) $500000' BODILY INJURY(Per person) $ ALL OWNED AUTOS BODILY INJURY(Per accident) $ . X SCHEDULED AUTOS PROPERTY DAMAGE X HIRED AUTOS - (Per accident) $ X NON-OWNED AUTOS U1 $250/500,000 X1 Drive Other Car U2 $2501500,000 A UMBRELLA LIAR X OCCUR CUB1076H 06/08/2010 06/08/2011 EACH OCCURRENCE s5,000,000 EXCESS LIAB CLAIMS-MADE - - - AGGREGATE s5,000,000 DEDUCTIBLE $ X RETENTION 10000 - $ B WORKERS COMPENSATION - NWCC45843208 12/25/2010 12/25/2011 X WC STATU- OTH- AND EMPLOYERS'LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVEY/N E.L.EACH ACCIDENT $1,000,000 OFFICERIMEMBEREXCLUDED? NIA (Mandatory In NH) _ E.L.DISEASE-EA EMPLOYEE $1,000,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT 1$1,000,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(Attach ACORD 101,Additional Remarks Schedule,If more space is required) Workers Comp Information Included Officers or Proprietors CERTIFICATE HOLDER CANCELLATION 10 Days for Non-Payment SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN Town of Barnstable ACCORDANCE WITH THE POLICY PROVISIONS. 200 Main Street Hyannis,MA 02601 AUTHORIZED REPRESENTATIVE 0198 -2009 ACORD CORPORATION.All rights reserved. ACORD 25(2009/09) 1 of 1 The ACORD name and logo are registered marks of ACORD #S61971/M61970 MEE L r ' i� virc vviwiicvicwrowcciu tr`vvocu:wcw�cuacuw - Offce of Consumer Affairs&Business Regulation License or registration valid for individul use only v' I HOME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: ' Office of Consumer Affairs an&Busin:ese.Regulation 3= Registration::-1100740 Type:YP 10 Park Plaza-Suite 5170 Expirat on -.6123 2012 Supplement Card Boston,lVIA 02116 CAP1771 HOME?IMPROVEMENT;;'INC. JACK STRUNSKI: 1645 Newton Rd Cotuit,MA 02635 Undersecretary Not valid without signature Cr tm*LMassachusetts- Department of Public Safety Board of Buildin�a Regulations and Standards Construction Supervisor License 'License: CS 64817 JOHN T STRUMSKI .PO BOX 864__. BUZZARDS BAY, MA 02532 f, Expiration: 6/18/2012 ('ontmi�tiiuder' Tr#: 10573 J _ i HASTINGS MEADOWN CONDOMINIUM TRUST ke 5ean� 135 WEST MAIN STREET #47 �5 HYANNIS, MASSACHUSETTS 02601 Date: 31 May 2011 To whom it may concern, Permission has been granted for Charles and Anita Babineau, owners of unit # 35, Hastings Meadow Condominium to replace their existing windows with windows of similar material, construction and estetics. If you have any questions regarding this approval please contact myself at 508.771.8575 or John Pupa at 508.420.0047 Cordially, Cre Dorey ' President—Board of Trustees Hastings Meadow Condominbium -- Owner r HASTINGS MEADOW CONDOMINIUM 135 West Main Street Hyannis,Massachusetts 02601 3 August 2007 Charles and Anita Babineau 135 West Main Street Unit 35 Hyannis, MA 02601 Dear Charlie and Anita, Enclosed please find the letter that the Town of Barnstable is requesting from the board president for you to obtain a building permit to replace your windows. The enclosed copy is the original. Please provide to your builder. You will need to provide a copy of the building permit (when issued) to the board of trustees. We have already received a copy of the certificate of insurance from the builder's insurance carrier. As a reminder, the board also needs a copy of the professional license of the builder performing the work. It needs to be provided a minimum of 2 days prior to the start of the work. The manager will verify that the person(s) performing the work is the person named on the license. If you have any questions please contact me at (508) 420-0047. John J. Pupa Financial Manager Cc: Unit File „o�"'�r♦ TOWN OF BARNSTABLE Permit No. ____22g50 _______ I »n.� Building Inspector Cash OCCUPANCY PERMIT Bona _—_____ No building nor structure shall be erected, and no land, building or structure shall be used for a new, different, changed, or enlarged use without a Building Permit therefor first having been obtained from the Building Inspector. No building shall be occupied until a certificate of occupancy has been issued by the Building Inspector.” Issued to Jos J. Taylor Address Centerville Llnit 35 1.35 West Main Street:., Hvamis Wiring Inspector Inspection date Plumbing Easpector � A Inspection date Gas Inspector Inspection date Engineering Department Inspection date THIS PERMIT WILL NOT BE VALID, AND ,THE BUILDING SHALL NOT BE OCCUPIED UNTIL SIGNED BY THE BUILDING INSPECTOR UPON SATISFACTORY COMPLIANCE WITH TOWN REQUIREMENTS. I/veaf7t Buildingl'Inspector