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HomeMy WebLinkAbout0273 ARROWHEAD DRIVE Z'� 3 AYVdW�Pad I�' VC, N'� j_ _-- oF > Town of Barnstable Regulatory Services MUMSTABLEMass. Richard V. Scali,Director Building Division Thomas Perry, CBO,Building Commissioner 200 Main Street, Hyannis, MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 July 16, 2015 Patricia Gloria Marques -b Norma Eberle 273 Arrowhead Drive Hyannis, MA 02601 Re: Basement Apartment Dear Homeowners, This letter is to inform you that you may currently be in violation of Barnstable Zoning Ordinance 240-11; any use other than a Single-Family home is prohibited. You must contact this office by July 31, 2015 to arrange to bring the above address into compliance or be subject to fines of$100.00 per violation, per day. Sincerely, Robin C. Anderson Zoning Enforcement Officer /blc TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map 2 7O -Parcel-®�j n' ``�.'N' 0'7 171ARINSTABLE Application # Health Division c 'f Date Issued ��116 Conservation Division Application Fee �y ' Planning, Dept. �n=: -�- „d Permit Fee Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation / Hyannis Project Street Address 7 �� /�22 D Cy roc=f,tA >J t c Village /--�w/V Owner &17-,f_1e,1_1A? 1Y1-9-,<®v� Address -2,73 Telephone '7 7f1— G- Permit Request Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation �d®� Construction Type Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family :5( Two Family ❑ Multi-Family(# units) Age of Existing Structure 6,"�`1e'S Historic House: ❑Yes ,3No On Old King's Highway: ❑Yes/V'No Basement Type: 'Full ❑ Crawl ❑Walkout ❑ Other Basement Finished Area (sq.ft.) Basement Unfinished Area (sq.ft) Id 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: U 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 S<a ar.19-y d Telephone Number Address / /Z6 License # J �..� Home Improvement Contractor# ,�Z Email ������c=�dL1�/��e?���'C�2%/vas: ®i Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURES DATE FOR OFFICIAL USE ONLY 1 APPLICATION# DATE ISSUED MAP/PARCEL NO. ADDRESS VILLAGE OWNER DATE OF INSPECTION: I FOUNDATION FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. r 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/Pluntbers Applicant Information / Please Print Legibly /� Name(Business/Organization/Individual): C�/f,, Address:_ /—SO SC / Z-6 ©��y7 City/State/Zip: Phone#: Are you an employer?Check the appropriate oa: Type of prefect(required): 1.❑ 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. ❑Nei construction 2.�&I am a sole proprietor or partner- listed on the attached sheet. 7. 23ZRemodehng ship and have no employees These sub-contractors have g, ❑Demolition workingfor me in an capacity. employees and have workers' Y P[No workers' comp:insurance com .insurance.# 9. ❑Building addition 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 o workers co . right per Ir Y � ' .m ht of exemption MG P 12.E]Roof repairs insurance required.]t . c. 152, §1(4),and we have no 13.❑Other employees.[No workers' comp.insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. $Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. .I am an employer that is providing workers'compensation insurance for my employees Below is the policy and job site information. Insurance Company Name: 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 cert,7y un er the pains penalties of perjury that the information provided above is true and correct Si mature: Date: Z Phone#: Official use only. Do not write in this area,to be completed by city or town official City or Town• Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 0.Other Contact Person: Phone#: Information and Instructions ,``' s� 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 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 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()states"Neither the commonwealth nor.any of its political subdivisions 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 certificate(s)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 permittlicense number which will be used as a reference number. In addition,an applicant that must submit multiple per nit/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 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 homeowner or citizen.is obtaining a license or permit not related to any business or commercial venture (i.e.a dog license or permit to burn 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.of Investigations 600 Washington Street Boston,MA 02111 TO. #617-727-4900 ext 406 or 1-877-MASSAFE Fax#617-727-7749 Revised 4-24-07 vww.mass8 . ov/dia * tAENSTABI.E, • "6 9� Town of Barnstable i63 ��� .erED MA'1 p Regulatory Services Richard V.Scali,Director Building Division Thomas Perry,CBO Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder M424fA, as Owner of the*subject property hereby authorize l � �:� 1 �/��<9e✓� to act on my behalf, in all matters relative to work authorized by this building permit application for: 22-3 (Address of Job) Signa of 6wner Date Print Name If Property Owner is applying for permit,please complete the Homeowners License Exemption Form on the reverse side. QAWPFILESTORMS\building pen-nit fonns\EXPRESS.doC Revised 061313 �- w-� ' f y.. _ t 1 t' t a -tj + s x , • pf 4 13507D717 T { At qw a jNO G3NSl/Vl i !V I.T� 71 t •� .� + ' t �. jl -EH {F v4rIl -il L t 90ieno N 17 97 R - Al- LA +H 4t 77 _ V F 11 F—W !F-, un oausorv`��Nr;" Sal J a tj rs. ,r f d i Massachusetts Department of Public Safety �= Board of Building Regulations and Standards ti s License: CS-086733' " Construction Supervisor CHARLES PISACANO PO BOX 126 HYANNIS PORT MA;Qvt'.t Expiration: Commissioner 07/29/2017. --- -- --- 1pa�r�r�no"zcaecuu�i����ccdlacfaude 3 r Office of Consumer Affairs&Business Regulation r ME IMPROVEMENT CONTRACTOR egistration 179053 Type: �oe. expiration:. 6/17/2016_ Individual CHARLES PISACANO' CHARLES'rPISACANO ' 73 HARBOR BLUFFS RD F HYANNIS,•MA 02601 Undersecretary' t T R License or registration valid for individul use only before the expiration date. If found return to: • er Affairs an d Business Regulation °`Office of Consum } 10 Park Plaza-Suite 5170 Boston,MA 02116 f Not valid without signature ., Construction Supervisor a ` y„ Restricted to: - Unrestricted-Buildings of any use group which contain less than 36,000 cubic feet(991 cubic meters)of enclosed space. a Failure to possess a current edition of the Massachusetts State Building Code is cause for revocation of this license. _ DPS Licensing information visit: WWW.MASS.GOV/DPS