HomeMy WebLinkAbout21/23 HIRAMAR ROAD 4
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oFtHE rq,,, Town of Barnstable
-Regulatory Services
w BARNSTABLE,
Thomas F. Geiler,Director
1639•
Building Division
Tom Perry, Building Commissioner
200 Main Street, Hyannis,MA 02601
Office: 508-862-4038 Fax: 508-790-6230
March 8, 2011
Dear Property Owner,
This letter is to inform you that Regulatory Services canvassed the general area of Hiramar and
Fresh Hole Roads on Friday afternoon, March 4,.2011 in an.attempt to assess the current
conditions of the properties located in this area.
This department recommends that all landlords personally inspect their property in order to
obtain an.accurate assessment of their individual rentals. For your convenience I am identifying
the findings in a generic list.below:
• Broken windowpanes and storm doors.
• Failed glass
• Missing storm doors. p.
• Torn or missing screens
Broken glass strewn along the perimeter of dwelling`s
• Broken glass surrounding dumpsters and in parking areas
• Peeling paint
• Uncontained outside storage of household trash'
• Abandoned appliances outside
• Missing or clogged gutters
• Failure to post contrasting house numbers
• Rotting windowsills and support posts
• Missing or broken outside.lighting,fixtures
• Blocked egress including a rear exit nailed shut.
In addition, landlords should confirm that all units have the adequate number of operable smoke
detectors properly placed as required and units relying on fossil fuels are also required to have
carbon monoxide detectors:
Please feel free to contact me directly at 508-862-4027 in the event that you'require additional
information concerning this letter.
n'L_-
Robin C.Anderson
Zoning Enforcement Officer
CC:Chief Paul MacDonald,BPD,Debra Dagwan,Town Council
TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION
Map CL Parcel / Application
Health Division Date Issued a
Conservation Division Application Fee �'
Tax Collector Permit Fee 14.
Treasurer p�--
Planning Dept.
Date Definitive Plan Approved by Planning Board
Historic-OKH Preservation/Hyannis
Project Street Address I-14-1,0Az Rp
Village
Owner /We W14.-fv- Address 40e,00h mEE 0 y yb
Telephone ZG' L332- - 3261?
Permit R�eq/uest ,ReS`e�'�2d G U-/y/C� 1er✓ ��21,
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Square feet: 1st floor:existing `/�� proposed — 2nd floor:existing proposed Total new
Zoning District Flood Plain Groundwater Overlay
(3L 6,Ct.0o
Project Valuation Construction Type 4 000 Af.oV
Lot Size 0 l U rx-- Grandfathered: Yes ❑No If yes, attach supporting documentation.
Dwelling Type: Single Family ❑ Two Family Multi-Family(#units)
Age of Existing Structure t,�7'2 Historic House: ❑Yes Gd No On Old King's Highway: ❑Yes UW
Basement Type: ❑Full ❑Crawl ❑Walkout ❑Other_ ZIf¢-/Zo
Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) "5114
Number of Baths: Full:existing new Half:existing new
Number of Bedrooms: existing_ new --
Total Room Count(not including baths):existing 6" new First Floor Room Count
Heat Type and Fuel: C(Gas ❑Oil ❑Electric ❑Other A/v/A,&4,t er41 s11,99f
Central Air: ❑Yes IdNo Fireplaces: Existing New Existing wood/coallstove: PjYes c=Q46
Detached garage:❑existing ❑new size Pool:❑existing ❑new size Barn:❑existing ❑,i�ew size
Attached garage:❑existing ❑new size Shed:❑existing ❑new size Other: a
>
Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑
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Commercial ❑Yes EdrNo If yes, site plan review#
_ - -- -
Current Use ®4&I/ Proposed Use f
BUILDER INFORMATION
Name 'T����U /'Yl ��f Telephone Number 2-
Address �e��G�l �ialfi® License# 27
/* 6G� Home Improvement Contractor#
Worker's Compensation# A 7V 3 X `z.G -3-61
ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO
>SIGNATURE /'G%a �'�i' DATE 0'X,///�
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71
FOR OFFICIAL USE ONLY ;
APPLICATION#
DATE ISSUED
r MAP/PARCELNO.
ADDRESS VILLAGE
OWNER
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DATE OF INSPECTION:
1
r
FOUNDATION
FRAME
INSULATION
FIREPLACE
ELECTRICAL: ROUGH FINAL
PLUMBING: ROUGH FINAL
GAS: ROUGH FINAL
FINAL BUILDING -
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DATE CLOSED OUT
ASSOCIATION PLAN NO.
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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 LeLribly
Name(Business/Organization/Individual):
Address: 2.cu
` . City/State/Zip: IVI'y'ieli %W Phone.#: u1 7)9 Z90 'Y-9K�t
Are you an employer?Check the appropriate bog: Type of project(required):
1.❑ I am a employer with 4. ❑ I am a general contractor and I
� yer w 6. ❑New construction
mployees(full and/or part-time).* have hired the sub-contractors
2.10 1 am a sole proprietor or partner- listed on the attached sheet. 7. ®'Remodeling
ship and have no employees These sub-contractors have 8. ❑Demolition
workingfor me in an capacity. employees and have workers'
Y P h'• $ 9. ❑ Building addition
[No workers' comp,insurance comp. insurance. 10. Electrical.re airs or additions
required.] 5. ❑ We are a corporation and its P
3.❑ 1 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 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.
xContractors 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 certify under the pains and penalties'of perjury that the information provided above is true and correct.
Signature: _.� � � � ,� Date: o? 1hlt _
'Phone#: 6�.. 2�n
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
6.Other
Contact 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 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 representative's 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 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 permit/license 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
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 of Investigations
600 Washington.Street
Boston, MA 02111
Tel. # 617-72.7-4900 ext 406 or 1 '977-MASSAFE
Revised 11-22-06 Fax# 617-727-7749
www.mass.gov/dia
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T ,
°PYRE r Town of Barnstable
Regulatory Services
= BARNSTABLE, «
r MASS. �, Thomas F.Geiler,Director
�p 1639.
TFD►V1A'IA Building Division
Tom Perry,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 ABuilder
I '. e as Owner of the roect subject e
J P P rtY
hereby authorize J'��i, �J. % � 1 to act on my behalf,
in all matters relative to work authorized by this building permit application for:
(Address of Job)
Signature of Owner Date
Print Name
If Property Owner is applying for permit please complete the
Homeowners :License Exemption Form on the. reverse side.
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Q:FORM S:OWNERPERMISSION
Town of Barnstable
�OFSHE Tp��
y�P Regulatory Services -
Thomas�+ F.Geiler Director BARNSTABLE, * �
q MASS.
i639• ,0 Building Division
TFDrA Tom Perry,Building Commissioner
200 Main Street, Hyannis,MA 02601
www.town.barnstable.ma.us
Office: 508-862-4038 Fax: 508-790-6230
HOMEOWNER LICENSE EXEMPTION
Please Print
DATE:
JOB LOCATION:
number street village
"HOMEOWNER":
name home phone# work phone#
CURRENT MAILING ADDRESS:
city/town 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.
DEFINITION OF HOMEOWNER
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 such use 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
i
Approval of Building Official
Note: Three-family dwellings containing 35,000 cubic feet or larger will be required 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 Homeowner 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 t amend and adopt such a form/certification for use in your community.
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STEPHEN M
PO BOX 25374
HYANNIS,MA 0260`y
1 Commissioner
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F BARPjs TABLE ]Expires 6 month ront issue data
A Y ppfRegulatory Services Fee U//)
v XAM `�' S� Thomas F.Geller,Director
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Building Division
DI isI Old Tom Perry, Building Commissioner
200_Main Street, Hyannis,MA 02601 IT
Office: 508-862-4038
Fax: 508-790-6230 Y 14 2004 .
EXP SS PERMT APPLICATION -RES)I ENTIAL Ol
--Not-Valid without Red X Press Lnprint
- TOWN OF BARNSTABLE
161 v `� Lod 63 4 _ _
Map/parcel Number
Property Address _._. u . _•_ __�.
sidential
_ Value of Work
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Owner's Name-&Address
Contractor's Name
- Telephone Number U ®J �
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Home--Improvement Contractor License#(ifIapplicable) _Construction�upnr'a b (i€applica }
- ❑Workrnan's Compensation;:Insurance - --
—- -- Chef am one:
proprietor
e
am the Homeowner - I
0 I have Worker.'s-Compensation Insurance,---
^Insurance Company=Name
Workman's Comp Policy#
Copy of In-surance:Compliance Certtficate must be on file
- _
Permit Request(check box)}~
l�
Re=roof(stripping old-shingles) All=construction debriswrillbe taken,to
Re-roof(not stripping. Going over-- -existing-layers-of roof):"
_...,:_.❑ Reside
Replacement Windows U-Value -- - (n'_ -
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axunum 44)
__+Where.required_Issuance of this pemlit does not exempt compliance with other town department regulations, a Historic,Conservation,etc
***Not Pr erty Owner-must sign Property Owner Letter of Permission.
Ho Improvement Contractors License is required. _
Signature
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