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HomeMy WebLinkAbout0135 WEST MAIN STREET ��o - tad -959) Town of Barnstable Builds „.� �,» keg ?� a�.W � a Building , Post:This Card SonThat itis Visible From the Street Approved Plans`Must b'e Retained on Job and,this Card Must be Kept n +..OA1iNS`IXB •. .-'A `., t.. f'F. ". �cs �y a '"" Posted Until Final;lnspection HaS.Been Made z � ,� k- lbj9: ', .:i;. ". .aH '-. ":.. . .'SirNo- �," , ° 4 .` -.t ¢` S .ti.`' .. .� �'^ Where a Certificate of,Occupancy is°Reauirie -such Bulldmg�shalH.Not,betOccupied�until a>Final Inspectiori;has.been:rnade Permit �� .. Permit No. B-18-1592 Applicant Name: Approvals Date Issued: 05/21/2018 Current Use: Structure Permit Type: Building-Siding/Windows/Roof/Doors Expiration Date: 11/21/2018 Foundation: Location: 135 UNIT 6 WEST MAIN STREET, HYANNIS Map/Lot: 290-102-OOF Zoning District: SPLIT Sheathing: Owner on Record: BERGSTEIN,JOEL, DANIEL&JACOB Contracto'r,Name:. Framing: 1 Address: 144 HARDSCRABBLE LAKE DRIVE Contractor License 2 _ � Est Pro'ect Cost: $4,000.00 CHAPPAQUA, NY 10514 - �, Chimney: �'P_ermitFee: 160.00 Description: REPLACEMENT WINDOWS(5) REPLACEMENT DOORS(1)SLIDER. - $ ` Insulation: :Fee Paid., $160.00 Project Review Req: Date , 5/21/2018 Final: a N 4, Plumbing/Gas Rough Plumbing: Building Official �. Final Plumbing: This permit shall be deemed abandoned and invalid unless the work authorized by this permit is commenced within six"months after issuance. Rough Gas: All work authorized by this permit shall conform to the approved application and the approved construction documents for which this permit has been granted. All construction,alterations and changes of use of any building and structures shall be in compliance with the local zornng by laws aril codes. Final Gas: This permit shall be displayed in a location clearly visible from access street or road and shall be maintained open for public inspection for the entire duration of the work until the completion of the same. Electrical The Certificate of Occupancy will not be issued until all applicable signatures by the Building and Fire Officials are provided on;this permit. Service: Minimum of Five Call Inspections Required for All Construction Work: 1.Foundation or Footing �_ x '` Rough: 2.Sheathing Inspection 3.All Fireplaces must be inspected at the throat level before firest flue lining is installed Final: 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection S.Prior to Covering Structural Members(Frame Inspection) Low Voltage Rough: 6.Insulation 7.Final Inspection before Occupancy Low Voltage Final: Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Health Work shall not proceed until the Inspector has approved the various stages of construction. Final: "Persons contracting with unregistered contractors do not have access to the guaranty fund" (as set forth in MGL c.142A). Fire Department Building plans are to be available on site Final: All Permit Cards are the property of the APPLICANT-ISSUED.RECIPIENT v Q �{� dfr Application numbe -� ? .�v... . DateIssued................................................................. NAM Building Inspectors Initials........... T 20 ) ........................ '� Map/Parcel.��� .(.��.� vv'�fryry ....... ... TOWN OF BARNSTABLE EXPEDITED PERMIT APPLICATION: ROOF/SIDING/WINDO W S/DOORS/TENTS/STOVES/WEATHERIZATION PROPERTY INFORMATION Address of Project: L:j:�C ��5� �;�, �?- !>n�`4- �5�1 n f 5 Can 1O NUMBER STREET VILLAGE Owner's Name: j e_o,� Phone Number Email Address: Cell Phone Number I9/ `)Go qw&5 Project cost$ gOOO Check one Residential Commercial OWNER'S AUTHORIZATION +NAe_4 e,) As owner of the above property I hereby authorize to make application for a building permit in accordance with 780 CMR Owner Signature: Date: TYPE OF WORK ED Siding 121 Windows (no header change)# Q Insulation/Weatherization Doors (no header change)#1 j1' j Commercial Doors require an inspector's review 0 Roof(not applying more than 1 layer of shingles) Construction Debris will be going to CONTRACTOR'S INFORMATION Contractor's name Pe re� .1{1 S Home Improvement Contractors Registration(if applicable) # (attach copy) Construction Supervisor's License#�J�-�®a2 �7 � h(attach copy) a Email of Contractor ar�✓'a4.S �Cr��. CO,4A Phone number - 7- �3 ALL PROPERTIES THAT HAVE STRUCTURES OVER 75 YEARS OLD OR IF THE SUBJECT PROPERTY IS IN A HISTORIC DISTRICT, YOU MUST OBTAIN HISTORIC APPROVAL BEFORE A PERMIT CAN BE ISSUED. APPLICATION NUMBER........................................:......�..:.;...... *For Tents Only* Date Tent(s)will be erected Removed on number of tents total Does the tent have sides? Yes No (If yes please attach floor plan with exits marked) Dimensions of each Tent X X X Additional tent dimensions can be attached on a separate piece of paper. Check one: this event is a: for profit non-profit event Check one: Food served Yes No Flame Spread Sheet of each tent must be attached. Provide a site plan with the location(s) of each tent If food is being served at your event please obtain a Health Department approval between the hours of 8:00am-9:30 am or 3:30 pm-4:30pm. Commercial events may require Fire Department approval *WOOD/COAL/PELLET STOVES Manufacturer# Model/I.D. Fuel Type Testing Lab Offsets from combustibles: front back left side right side HOMEOWNER'S LICENSE EXEMPTION Homeowner's Name: Telephone Number Cell or Work number I understand my responsibilities under the rules and regulations for Licensed Construction Supervisor in accordance with 780 CMR the Massachusetts State Building Code. I understand the construction inspection procedures,specific inspections and documentation required by 780 CMR and the Town of Barnstable. Signature Date APPLICANT'S SIGNATURE Signature Date All permit applications are subject to a building official's approval prior to issuance. `• 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/Organization/Individual): � t1a, Y1�2 Address: City/State/Zip: W /� v Q' (,,,,7Xhone#: Are.you an employer?Check the appropriate ox: Type of project(required): 1.0 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.❑ 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 0 Building addition [No workers'comp.insurance comp.insurance.: required.] 5. We are a corporation and its 10.❑Electrical repairs or additions 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.[]Other comp.insurance required.] *Any applicant that cbmks 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 sbeet 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 thepolicy and job site information. Insurance Company Name: Policy#or Self-ins.Lic.#: Expiration Date: Job Site Address: City/State/Zip: 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 cera under the pains nd penalties of perjury that the information provided above is true and correct. Si afore: Y �yG� Date: / �S Phone# �a�' 7� fficial use only. Do not write in this area,to be completed by city or town official L[[6. ity or Town: Permit/License# suing Authority(circle one): Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector Other ontact Person: Phone#: Information and Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers'compensation for their employees. Pursuant to this statute,an employee is defined as"...every person iri the service of another under any contract of hire, express or implied, oral or written." An employer is defined as"an individual,partnership,association,corporation or other legal entity,or any two or more of the foregoing engaged in a joint enterprise,and'including the legal representatives of a deceased employer,or the receiver or trustee of an individual,partnership,association or other legal entity,employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein,or the occupant of the dwelling house of another who employs persons to do maintenance,construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." MGL chapter 152, §25C(6)also states that"every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required." Additionally,MGL chapter 152, §25C(7)states `Neither the commonwealth mar any of its political subdivisi ons shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority." Applicants Please fill out the workers'compensation affidavit completely,by checking the boxes that apply to your situation and,if necessary,supply sub-contractors)name(s),address(es)and phone number(s)along with their certificates)of insurance. Limited Liability Companies(LLC)or Limited Liability Partnerships(LLP)with no employees other than the members or partners,are not required to carry workers'compensation insurance. If an LLC or LLP does have employees,a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested,not the Department of Industrial Accidents. Should you have any questions regarding the law or if you are 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 permit/license number which will be used as a reference number. In addition, an applicant that must submit multiple permitllicense applications in any given year,need only submit one affidavit indicating current policy information(if necessary)and under"Job Site Address"the applicant should write"all locations in (city or town)."A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year.Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e.a dog license or permit to bum leaves etc.)said person is NOT required to complete this affidavit. The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call. The Department's address,telephone and fax number: The Commonwealth of Massachusetts Department of Industrial Accidents Office ofInvesliga tlow 600 Washington Sh=t Bost,MA 02111 Tel. 617-727-49-00 ext 406 or 1477-MASSAM Fax#617 727-7749 Revised 4-24-07 www.mass.gov/dia HASTINGS Meadow Condominium Board of Trustees 135 West Main Street Hyannis, Massachusetts 02601 (508)420-0047 March 26th, 2018 Jacob Bergstein - - 74 Townhouse Terrace Hyannis, MA 02601 Dear Jacob, The board of trustees is in receipt of your request to replace work within your unit at Unit 6, Hastings Meadow Condominium in accordance with the rules and regulations or by-laws of the condominium association. r After reviewing the work requested,the following was provided: WORK TO BE COMPLETED: • Replacement windows with Double Hung with the configuration to match the current existing configuration. All windows to have dividers. • Replacement of rear slider DOCUMENTATION: 1. A copy of the BUILDING PERMIT HAS NOT been received. 2. A copy of the PROFESSIONAL license HAS NOT been received. //4/"A copy of the certificate insurance naming HASTINGS MEADOW CONDOMINIUM as an additional insured HAS NOT been received. /4. Proof of workman's compensation insurance HAS NOT been received. CONDITIONS 1. The licensed carpenter for whom the license has been provided must be present during all work. The identification of the carpenter performing the work must be verified by the grounds manager at the time of installation. 2. All materials to be taken off the property and not placed in dumpsters on the property STATUS: APPROVED (subject to #1-4 under documentation being fulfilled) Should the work completed and/or item installed not conform to this submission,the board of trustees will require removal/correction to comply with this approval. If you have any questions please contact Shawn Horan at 508.775.6880 or John Pupa at 508.420.0047. Cordially John J. Pupa Financial/Business Manager Hastings Meadow Condominium DATE(MM/DD/YYYY) �2�. CERTIFICATE OF LIABILITY INSURANCE T3 26 2018 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION MCSHEA INSURANCE AGENCY INC ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 1550 Falmouth Rd Ste #2 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Centerville, MA 02632 508 420-9011 INSURERS AFFORDING COVERAGE NAIC# INSURED Aupperlee, Michael INSURER A: AIM MUTUAL Michael Aupperlee Renovations INSURER B: Associated Employers Insurance 169 Sandlewood Drive INSURER C: Cotult, MA 02635 INSURER D: 508-428-6654 INSURER E: COVERAGES 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.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR DD'L I POLICY EFFECTIVE POLICY EXPIRATION I.Tq INSIPID TYPE OF INSURANCE POLICY NUMBER DATE MM/DD/YY DATE MM/DD/YY LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 300 000 )[ COMMERCIAL GENERAL LIABILITY PREMISES Ea occurence $ 500, 000 CLAIMSMADE �OCCUR MED EXP(Any one person) $ 10 000 A MPJ26304 2/9/2018 2/9/2019 PERSONAL&ADV INJURY $ 300, 000 A GENERAL AGGREGATE $ 600 000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ 600, 000 A POLICY jE LOC AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT ANYAUTO (Ea accident) $ ALL OW NED AUTOS BODILY INJURY $ SCHEDULED AUTOS (Per person) HIRED AUTOS BODILY INJURY NON-OWNEDAUTOS (Peraccident) $ PROPERTY DAMAGE $ (Peraccident) GARAGE LIABILITY AUTOONLY-EA ACCIDENT $ ANYAUTO EAACC $ OTHER THAN AUTOONLY: AGG $ EXCESS/UMBRELLA LIABILITY EACH OCCURRENCE $ OCCUR ❑CLAIMSMADE AGGREGATE $ DEDUCTIBLE $ RETENTION $ $ WORKERS COMPENSATION AND WCST TU-ITS TH ANY PROERSORIPA LITYTHE TORY WCC5011097 6/19/2017 6/19/2018 E.L.EACH ACCIDENT $ 500, 000 ANY PROPRIETOR/PARTNERIEXECUTIVE B OFFICER/MEMBER EXCLUDED? E.L.DISEASE-EA EMPLOYEf$ 500, 000 SPECIAL PROVISIONS below E.L.DISEASE-POLICY LIMIT $ 500, 000 OTHER DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS Carpenter/ Included a CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION TOWN OF BARNSTABLE DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF AN`�KIND UPON TH SURER,ITS AGENTS OR REPRESENTATIVES. / / AUTHORIZED REPRESENTATIVE r ' ACORD25(2001/08) ©At:0�0 CORPORATION1988 �oFE Tom, Town of.Barnstable r Building Department 9 � Brian Florence,CBO `bPlE16 9. Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.barnstable.maxs Office: 508-862-4038 Fax: 508-79076230 Property Owner Must Complete•and Sign This.Section If Using A Builder • P' 6 LC% I, ,as Owner of the subject property hereby authorize 1�'Cjwe-l v to act on my behalf; in an matters relative fo work authorized by this building permit application for: 135 W e-yi H,477 J 17- /-/v 4 4A/T (Address of Job) **Pool fences and alarms are the responsibility of the applicant Pools are not to be filled or utilized before fence is installed and all final• inspections are performed and accepted. Signature of Owner Signature of Applicant P v Uj n% G2 2 Obi 4 /fit' �✓QI 45' �� Pmek Print Name Print Name Date Q:FORM&OWNERPERMISSIONPOOLS Rev:l0l17 �DFSHE Tp�, Building]Department Brian Florence CBO. Building.Commissioner HARMABLE, a� 9� >MAM ,0$ 200 Main Street, Hyannis,MA 02601 iDTfD ram•{" www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 HOMEQWNER LICENSE EXEMPTION, Please Print DATE: JOB LOCATION: number street village "HOMEOWNER": name home phone# work phone# CURRENT MAILING ADDRESS: cityttown state zip code The current exemption for"homeowners"was extended to include owner-occupied.dwellings of six units or less and to allow homeowners to engage an individual for hire who does not possess a license,provided that the owner acts as supervisor. t. DEFINITION OF HOMEOWNEh Person(s)who owns a parcel of land on which he/she resides or intends to reside,on which there is,or is intended to be,a one or two-family dwelling,attached or detached structures accessory to suchuse and/or farm structures. A person who constructs more than one home in a two-year period shall not be considered a homeowner. Such "homeowner"shall submit to the Building Official on a form acceptable to the Building Official,that he/she shall be responsible for all such work performed under the building permit. (Section 109.1.1) The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other applicable codes,bylaws,rules and regulations. The undersigned"homeowner"certifies that he/she understands the Town of Barnstable Building Department minimum inspection.procedures and requirements and that he/she will comply with said procedures and requirements. Signature of Homeowner Approval of Building Official Note: Three-family dwellings containing 35,000 cubic feet or larger will•be)ieq`uired to comply with the State Building Code Section 127.0 Construction Control HOMEOWNER'S EXEMPTION The Code states that: "Any homeowner performing work for which a building permit is required shall be exempt from the provisions of this section(Section 109.1.1-Licensing of construction Supervisors); provided that if the homeowner engages a person(s)for hire to do such work,that such Hon eowner shall act as supervisor." ` Many homeowners who use this exemption are unaware that they are assuming the responsibilities of a supervisor(see Appendix Q,Rules&Regulations for Licensing Construction Supervisors,Section 2.15) This lack of awareness often results in serious problems,particularly when the homeowner hires unlicensed persons. In this case,our Board cannot proceed against the unlicensed person as it would with a licensed Supervisor. The homeowner acting as Supervisor is ultimately responsible. To ensure that the homeowner is fully aware of his/her responsibilities,many communities require, as part of the permit application,that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the last page of this issue is a form currently used by several towns. You may care to amend and adopt such a form/certification for use in your community. Massachusetts De Board of Building Reartment of Public Lice gulations and Safety nse: CS_102315 Standards Construction Supervisor l)"EK R EVANS- 11 FEATHER BEp'LANE4 ti WEST YARMOVTFI Mq",p .;- 261-3• a Commissioner -- Expiration: 06/01/201S l „�•'"”• TOWN OF BARNSTABLE 22950 e Permit No, --------_=---- -- Building Inspector II.asnur Cash —_—_-- OCCUPANCY PERMIT Bond __--N/A_.-_ 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 James J. Taylor Address Centerville ITni.t46 7_35 West Main St re—pt, Nvasmi-c Wiring Inspector , v ��� � Inspection date,4� Plumbing Easpector 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 REQUIREMENT$. ,. ...... .......... ............................................... __._....._ Building Inspector