HomeMy WebLinkAbout0694 PITCHER'S WAY rV!� -
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y�'r ,yny Town of Barnstable Building
That it es;:Uisible From the Street .A rovedjPlans Must be:Ftetained on;Jab.and?th�s Card Must be Ke,t
pp. p
ov BARfdtTCAOLE. ' ti
�rA PostedUntil Final lnspectio`n Has Been M3ade 3
� � Permit
► Where aCert�ficate of Occu anc"" isfRe�ured,suchBuldin shall£Not be Occupied€until a Final Inspecteonhas been made
x.. ;Pam,.. y _.:.�, . . � , g ,., .. � .. � ,.,. •;
Permit No. B-19-1305 Applicant Name: Henry Cassidy
Approvals
Date Issued: 04/19/2019 Current Use: Structure
Permit Type: Building-Insulation-Residential Expiration Date: 10/19/2019 Foundation:
Location: 694 PITCHER'S WAY, HYANNIS Map/Lot: 271 175 Zoning District: RB Sheathing:
IM
14
Contractor Name HENRY E CASSIDY Framing: 1
Owner on Record: PINTO,WILLER S&MARIZE S
e
Address: 114 MELBOURNE ROAD F
Contractor Lff6hse:R3 CS 100988 2
HYANNIS, MA 02601 Est Pro ect Cost: $3,800.00 Chimney:
Description: Insulation/weatherization 'a PermltFee: $85.00
Insulation:
4 Fee Patd $85.00
Project Review Req: Date ° 4/19/2019 Final:
Plumbing/Gas
I �
Rough Plumbing:
Building Official- �� Final Plumbing:
This permit shall be deemed abandoned and invalid unless the work autFionzed,by this permit is commenced within six months after Issuance.
All work authorized by this permit shall conform to the approved application and the approved construction documents!foF which this permit has been granted. Rough Gas:
All construction,alterations and changes of use of any building and structures shall be to compliance with the local zon g':by taws and codes.
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 Final Gas:
work until the completion of the same. 2 f
Electrical
The Certificate of Occupancy will not be issued until all applicable signatures by,the Building All
Offci Is are,providedson this permit.
Minimum of Five Call Inspections Required for All Construction Work `�� Service:
1.Foundation or Footing , Rough:
2.Sheathing Inspection
3.All Fireplaces must be inspected at the throat level before firest flue lining is installed
4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection Final:
5.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
Town of Barnstable „
�USI 1~v COMPLY WITH HOME.OCCUPATION.
Building Department, PULES`.AND REGULATIONS. FAILURE TO
Brian Florence;CB0 n0N7P,Y MAY PESULT I,l`dRRLES..:
Building Corn nissioner
200 Main Street,Hyannis, MA 02601
www.towu.barnstable:ma.us
Pre-application for Business.Certificate
Date Z2 '2�15 Map�7l Parcel
Applicant Information
Applicants Name 1
Applicants Address o3( 9 Email Address (A F IZ-�(q.k vim. F L R A AA S@
r OJ� �-MA
)
Telephone Number \�0% 1� Listed ❑ Unlisted ❑
Business Information ,
New Business? ------ -
------------------------------ Yes No
Business is a registered corporation? ---------- ------------. Yes No -
If yes Name of Corporation
Does business operate under the.registered corporate name? Yes . No
is the business a sole proprietorship or.home occupation? --------- Yes No
If yes then a Home Occupation Registration is required—See Building Division Staff
Name of Business ;4 12.t ._ C N SiR-U G (O/�
r
Business Address 6 1 Ch .(ZS 7 irj`f " Ni S ,
Type of Business .til\ i AA V 52-, V-z rNkAC ri1 7l
uil4ing Commissioner Office se Only
nditio s -
Building Commissi ate
Clerk Office Use Only
=. Town of Barnstable
Building Department
�Op SHE Tp� -
o Brian Florence,CBQ
Building Commissioner.
* ABLE. 200 Main Street,Hyannis,MA 02601
y Mass. .
i639• ,0 wwwaown.barnstable:ma.us
TfC MAC A
Office: 508-86274038 Fax: 508-790762N
Approved:
Fee:
Permit#:
HOME OCCUPATION REGISTRATION -
Date: O ( l Z Z l
Name: 2/-iN/ O C 1D(J1q r`Z ID 0 L_ 12�i4p ljPhone#: �s! 5 g /1-7
Address: 6 q y h l T C W C'i2-S �✓A y ,�(`/�ti� S Village:
Name of Business: 4if 1714 C Oi✓S ri?V C 7-1 p 7/
Type of Business: /O�"' t (�.t?o Vl_`y,-N-F Map/Lot: - I (�
INTENT: It is the intent of this section to'allow the residents of the Town of Barnstable to operate a home occupation
within single family dwellings„subject to the provisions of Section'4-1.4 of the Zoning ordinance,provided that the
activity shall not be discernible from outside the dwelling: there shall be no increase in noise or odor;no visual
alteration to the premises which would suggest anything other than a residential use;no increase in traffic above normal
residential volumes;and no increase in air or groundwater pollution.
After registration with the Building Inspector,a customary home occupation shall be permitted as of right subject to the;
following conditions:
• The activity is carried on by the permanent resident of a single family residential dwelling unit,located
within that dwelling unit.
• Such use occupies no more than 400 square feet of space.
• There are no external alterations to the dwelling which are not customary in residential buildings,and there
is no outside evidence of such use.
• No traffic will be generated in excess of normal residential volumes.
• The use does not involve the production of offensive noise,vibration,smoke,dust or other particular
matter,odors,electrical disturb ance,,heat,glare,humidity or other objectionable effects.
• There is no storage or use of toxic or hazardous materials,or flammable or explosive materials,in excess.
of normal household quantities.
• Any need for parking generated by such use shall be met on the same lot containing the Customary Home
Occupation,and not within the required front yard.
• There.is no exterior storage or display of materials or equipment.
• There are no commercial vehicles related to the Customary Home Occupation, other than one van or one
pick-up truck not to exceed one ton capacity, and one trailer not to exceed 20 feet in length and not to
exceed 4 tires,parked on the same lot containing the Customary Home Occupation.
• No sign shall be displayed indicating the Customary Home Occupation.
•' If the Customary Home Occupation is listed or advertised as a business,the street.address shall not be
included..
• No person shall be employed in the Customary Home Occupation who is not a permanent resident of the
dwelling unit.
1,the undersigned,have read and agree with the above restrictions for my home occupation I am registering.
Applicant: Date: 0/ / Z? / t 9
'S3NI3 N111nS38 AV1a AI(Jol00
Homeoc.doo Rev.10/17 0138niib'3 SN0iiv1n938 (INV S31n8
N0UVdn000 3w0H H11M A�Idw001Sf1w
Town of Barnstable
R
- Regulatory Services
'►'� Thomas F.Geiler;lDucctor
1 OF B
• Building Division ° F. ;)517,
a�eaysr�.e, :r�ass. �' Tom Perry,Buil �Gommissioner
p 1659 �m _ .� r; 3 t r
n " 200 Main Street, Hyannis,MA 02601 t+s =
www.town.barnstable.ma.us
Office: 508-862-4038
Fax: 508-790-6230
Approved:
Fee: .35'e
Permit#: (� J
HOME OCCUPATION REGISTRATION
Date:_ O( 2
Name: ,D V� Phone
Address: � b/C
V-illage:
Name of Business:_-- �-- G r CL ' /f/l�41 C C S
Type of Business: CC Em Ai Y116 C Va46��j Map/Lot: e�9—�
INTENT: It is the intent of this section to allow the residents of the Town of Barnstable to operate a home occupation
vvitliiu single family dwellings, subject to the provisions of Section 4-1.4 of die Zoning ordinance,provided that the activity
shall not be discernible from outside the dwelling. there shall be no increase in noise or odor;no visual alteration to the
premises which would suggest anything other than a residential use;no increase in traffic above normal residential volumes;
and no increase in air or grounndiaater pollution.
After registration varitt the Building Inspector,a customary home occupation shall be permitted as of right subject to the
following conditions:
• The activity is carried on by the permanent resident of a single family ily residential dwelling unit,located within.
that dwelling unit
• Such use occupies no more than 400 square feet of space.
• There are no external alterations to the dwelling which are not customary m residential buildings,and there is
no outside evidence of such use.
• No traffic will be generated in excess of normal residential volumes.
• The use does not involve the production of offensive noise,vibration,smoke,dust or other particular matter,
odors,electrical disturbance,heat,glare,humidity or other objectionable effects.
• There is no storage or use of toxic or hazardous materials,or flammable or explosive materials,m excess of
normal household quantities.
• Any need for parking generated by such use shall be met on the same lot containing die Customary Home
Occupation,and not within the required fi-ont yard.
• There is no exterior storage or display of materials or equipment.
• There are no commercial vehicles related to the Customary Home Occupation,other than one van or one
pick-up truck not to exceed one ton capacity,and one trailer not to exceed 20 feet in length and not to
exceed 4 tires,parked on die same lot.containing the Customary Home Occupation.
• No sign shall be displayed indicating the Customary Home Occupation.
• If the Customary Home Occupation is listed or advertised as a business,diee street address shall not be
included.
• No person shall be employed ii the Customary Home Occupation vvho is not a permannent resident of the
dwelling unit.
I,the undersigned, ve read, d agree vv• the ab , res � 'onns for my home occupation I an registering.
Applicant
Date:
Honieoc.doc Rev.01/3/08
YOU WISH TO OPEN A BUSINESS
For Your Information: Business Certificates cost $40.00 for 4 years. A-Business Certificate ONLY REGISTERS THE BUSINESS
NAME in town (which you must do by M.G.L.- it does not give you permission'to operate.) You must first obtain the necessary
signatures on this form at,200 Main St., Hyannis. Take the completed form to the Town Clerk's Office, 1st FL.; 367 Main Street,
Hyannis, MA 02601 (Town Hall) and get the Business Certificate that is required by law.
Fill in please: Date,.'
4 ? APPLICANT'S NAME: C--1 YL ,; -v
YOUR HOME ADDRESS: 6 'Pik �:,;vr' /a•
rtK' BUSINESS TELEPHONE # HOME TELEPHONE'
#:
NAME OF CORPORATION:. _ ; `C ' C C C- A iv'r e C u ,C C FID #
NAME OF:NEW BUSINESS C (3C('_S 'C C/1 -v r;a/,E G vi;r C Sa' E P O TYPE SS C`(C-A v C- L` C GS
'F BUSINE
IS THIS A HOME OCCUPATION? V YES NO
ADDRESS OF BUSINESS 6 l.q `+fir C(1/C J S MAP/PARCEL NUMBER
' (Assessing)
When starting a new business there are several things you must do to be in compliance with the rules and regulations of the Town of
Barnstable. This form is to assist you in obtaining the information you may need. You MUST GO TO 200 Main St. (corner of Yarmouth Rd.
& Main Street) to make sure you have the appropriate permits and licenses required to legally operate your business in town.
1. BUILDING C�N1Vf� S1 NER'S OFFICE MUST COMPLY WITH HOME OCCUPATION
This individual ha een-i o ed f a permit requirements that pertain to this type of businesPULES AND REGULATIONS. FAILURE TO
\ _ COMPLY MAY RESULT IN FINES.
Au or-ized Si �
COMME TS
)
" 2. BOARD OF HEALTH
6�'1 1S
This individual has been informed of the permit requirements that"pertain to this type of business.
Authorized Signature**
CO
MMENTS:S.
3. CONSUMER AFFAIRS (LICENSING AUTHORITY)
This individual has been informed of the licensing requirements that pertain to this type of business.
Authorized Signature**
COMMENTS:
t`r'
Date: May 31, 2007 Thursday 5 PM
Locations:
20 Castlewood Circle, Hyannis
694 Pitchers Way, Hyannis
103 Fawcett Lane, Hyannis
240 Fawcett Lane, Hyannis
42 Megan Rd—did not respond
23 Bramble Bush, Cotuit
Inspectors: David Stanton,Health,Paul Roma, Building &
Robin Giangregorio, Zoning
Fire Dept: No Representative
Police: Officer Jim Ellis
20 Cas ewood Circle
• Admit t by Ludiggia Costa, wife of pr erty owner, Hercules Costa.
• Found 3 b room home.
• Two adults an an infant live h e.
• No evidence of o rcrowdi
• Basement unfinishe .
• Husband is a contr or orking from home—but no evidence of full scale
business.
• No discerna zoning violatio ound here.
UPDATE:
• He ules Costa left a voicemail message ter that evening.
• . e was confused about our visit.
y° Will contact him at 508-364-9182 to discuss complaint & findings.
694 Pitchers Way
• Admitted by Paulo Sergio Spiguel, tenant.
• Owner is Willer Pinto 508-572-7501
• Tenant has a landscape company, Lighthouse Landscaping 508-232-0991.
• Found two bedrooms in basement lacking egress.
• Exit order issued for both.
• Electrical panel cover missing.
• Found new heating system without red sticker.
• Found small container of oil/fluid underneath new unit.
1
a _ Ky
• Old system still in basement.
• Found a drywell bucket full of oil and water.
• Noted fumes in this area.
• Noted 4 vehicles in driveway.
• Previous drive-bys indicated multiple trucks & cars in addition to commercial
equipment.
• Paulo stated 5 adults and one child lives here.
• All are related by blood or marriage.
UPDATE:
• Owner contacted Paul Roma 6/1/07.
• Stated he rented property as a 3 bedroom home.
• Indicated he advised tenant to keep only 2 trucks here.
• He will be in Mon. (6/3/07) to obtain a building permit application for code
corrections.
• Will inform owner to ensure business is relocated.
• Owner came into office Monday 6/4/07
• He replaced panel cover for electrical.
• He advised tenant to relocate business.
• Tenant cleaned debris from outside area by garage.
• Owner obtained building permit application.
• Will complete and return said application by Thursday 6/7/07
UPDATE:
• Noticed an increase in commercial vehicles at this site recently.
• Called owner, Willer Pinto 508-572-7501 on 9/5/07.
• Advised owner to have tenant remove all vehicles or be subject to $100.00
tickets per truck per day.
• He threatened to evict tenant.
• I advised him to do whatever is necessary in order to have business relocated.
103 Fawcett
• Owner, Regilsis Abreu admitted us.
• Owner's information: 4 Cygnet Road, W Yarmouth, 508-360-5236
• Prior history of overcrowding and basement apartment.
• Building file noted kitchen removed from basement two years ago.
• Tenants were moving in upon our arrival.
• Owner on site with her children cleaning.
• BOH advised her to remove trash and provide covered containers.
• She ordered a dumpster for the clean up.
• Found three cars on site.
2
• Two cars belong to prior tenants and will be removed this week.
• 3 bedroom septic system.
• Found one bedroom on first floor(former sunroom) and two upstairs.
• Found 2-bedroom basement apartment.
• Needed smoke & CO detectors.
• Ordered removal of keyed locks on bedroom doors.
• Ordered removal of basement apartment kitchen &bedrooms.
• Stairs treads to second floor need correction.
• Must install cover over light fixture.
• Exit order issued for basement.
• Owner must obtain building permit—apply within one week.
• BOH must confirm rental registration status.
UPDATE:
• Owner came in.
• Advised owner there was a party last with approximately 12 -015 cars.
• BPD responded to noise complaint.
• Review landlord responsibility and liability; advised her to check property herself
late PM.
• New exit order issued in English at her request.
• PR assisted here with building permit application.
• Owner registered as a rental unit while she was in the building.
240 Fa cett
• Admit d by Fabricia Tavares, daughter property owner.
• Six adult ive here.
• Found 3 be oms on first floor.
• One be oom used as offi exercise room.
• Found 2 bedroom asement ap ment with egress issues.
• One bedroom sed fo storage exercise.
• Exit order issued for ba nt bedrooms.
• Need hand railing.
• Must reverse door on d hou entrance to basement apartment.
• Advised owner, Jose ilela to ap ly for family apartment.
• Advised owner of n essary code c ections.
• All residents are re ated by blood or rriage.
• No signs of over owding.
• Some confusion/about rear parking lot behi d fence on Pitchers.
• Numbered spaces assigned(on fence).
• Will ollow up with owner during permit ' g process.
IN Co firm with Engineering about curb cut a roval for parking area.
• A so must confirm lot lines.
3
TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION
Map I I Parcel Application# ao�6 —7(L
Health Division `
Conservation Division Permit#
Tax Collector Date Issued aS
Treasurer Application Fee
Planning Dept. Permit Fee S
Date Definitive Plan Approved by Planning Board
Historic-OKH Preservation/Hyannis r
Project Street Add ess "Ll
Village a V1 V1 ton
Owner ( S r ✓1 4n Address '
Telephone
Permit Request C
Square feet: 1 st floor:existing proposed 2nd floor:existing proposed Total new
Zoning District Flood Plain Groundwater Overlay
Project Valuation qu 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 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(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 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: -�
i
cy
Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑
Commercial ❑Yes ❑No If yes, site plan review# o °p
�7r
Current Use Proposed Use
14
BUILDER INFORMATION N)
Name Telephone Number 1
Address License#
Home Improvement Contractor#
Worker's Compensation#
ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO
SIGNATURE DATE
}
r
FOR OFFICIAL USE ONLY
u
y
r PERMIT NO.
i
'r
Y DATE ISSUED
s -
MAP/PARCEL NO.
Y
N
y
t ADDRESS VILLAGE
f
i
r OWNER
DATE OF INSPECTION:
FOUNDATION
a
j{ FRAME
INSULATION
FIREPLACE
ELECTRICAL: ROUGH FINAL
PLUMBING: ROUGH FINAL
GAS: ROUGH FINAL
FINAL BUILDING OK- -7 ,'3-o
k
`e
DATE CLOSED OUT
f ASSOCIATION PLAN NO.
i
KWE
n Town of Barnstable
BARNSTABLE. ` Regulatory Services,
MASS.
1639• Building Division
prEO Mp+a
200 Main Street, Hyannis, MA 02601
Office: 508-862-4038
Fax: 508-790-6230
Inspection Correction Notice
Type of Inspection
Location ail c Permit Number
Owner
One notice to remain on job site, one notice on file in Building Department.
The following items need correcting:
s "5 A-r PS
i AP- N
Please call: 508-862-4038 for re-inspection.
Inspected by
Date
�a
The Commonwealth ofMassachusetts
Department of Industrial Accidents
` Office of Investigations
a 600 Washington Street
Boston,MA 02111
www.mass.gov/dia
Workers" Compensation Insurance Affidavit::Builders/Contractors/Electricians/Plumbers
Applicant Information Please Print Ise ibIv
Name(Business/Organization/Individual): .
Address: Uh,,.
City/State/Zip: S. Phone.#: -7 a ��
Are you an employer?Check the appropriate box: Type of project(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. ❑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
workin 6r me in an capacity. employees and have workers' .
Y P tY 9. ❑Building addition
[No orkers' comp.insurance comp. insurance.$
quired.] 5. ❑ We are a corporation and its 10.0Electrical 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
Cl`r
employees. o 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.
: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' c0impensition policy declaration page(showing the policy number and expiration slate).
Failure.to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of z
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
Si ature: j Date: �6
Phone#:
Official use only. Do not write in this area,to be completed by city or town offcciat
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 Ins' tructions -
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(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 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
Tel. TA 617-727-4900 ext406.or 1-877-MASSAFE
Fax�617-727-7749
Revised 11-22-06
www.mass.gov/ciia
P��pTF+E,py�O Town-of Barnstable
y Regulatory Services
'* ! Thomas F.Geller,Director
MASS.
16;9• Building bivisi0I1
'"lED MAC a b
Tom Perry,Building Commissioner
200 Main Street, Hyannis,MA 02601
Office: 509-862-4038 •, Fax; 508-790-6230
Permit no.
Date
AFFIDAVIT
HOME MROVEMENT CONTRACTOR LAW
SUPPLEMENT TO PERMIT APPLICATION
MGL c.142A requires that the"reconstruction, alterations,renovation,repair,modernization,conversion,
improvement,removal,demolition,or construction of an addition to any pre-existing owner-occupied
building containing at least one but not more than four dwelling units or to structures which are adjacent to
such residence or building be done by registered contractors,with certain exceptions,along with other
requirements. D
Type of Work: b_�r�. Estimated Cost 06 0
Address of Work:
W
Owner's Name:
Date of Application:
I hereby certify that:
Registration is not required for the following reason(s):
❑Work excluded by law
❑Job Under$1,000
QBuil ' o owner-occupied
er pulling own permit
Notice is hereby given that:
OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED
CONTRACTORS FOR APPLICABLE HOME MROVEMENT WORK DO NOT HAVE
ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c.142A.
SIGNED UNDER PENALTIES.OF PERJURY
I hereby apply for a permit as the agent of the owner:
Date Contractor Name Registration No.
OR
Date Owner's Name
Q:fm s:homeaiFidav ;
THE Town of Barnstable
CF 1p�
Regulatory Services
BMMSTABLE, Thomas F.Geiler,Director
'1 b s 1% Building Division
rFD MA't
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: I TL,V�J-� "`-� ( V t)k S
number y I Peet village - C�
"HOMEOWNER": 1 /V 1`�-r � ` "'1 0 (j �5 7
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
require e
Signaiure6r'Houte6wrier
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.
Q:forms:homeexempt
THE FOLLOWING
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Request Parcel Number 73 Lot:
684 AND 694 PITCHER'S WAY AT 271 Map: Block:
THESE ADDRESSES (694 IS A PORK
CHOP LOT),TREES ARE CLEARED Parcel Lookup
WITH A MINIMUM OF 6-8 TRUCKS
AND CAPS RIGHTALONG 684'S LOT
LINES RIGHT UP TO THE HOUSE.
(BEHIND 684), CALLER THINKS 101
WINDSHORE HAD THE PROPERTY
CLEARED FOR MORE PARKING NOT
SURE, 101 WINDSHORE IS ONWED
BY A TOMAS TOSCANO.
http://issgVIntemaIVYRS/WRequest.aspx?ID=20387 9/1/2006
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Town of Barnstable Pe't C
1ME rpy� Regulatory Services ate: �/2
Thomas F.Geiler,Director �(
sARMSPABLE, : Building Division
9 MASS.
cbp 1639• �,m Tom Perry, Building Commissioner
lED 1A0� 200 Main Street, Hyannis,MA 02601
Office: 508-862-4038 Fax: 508-790-6230
TOWN OF BARNSTABLE
SOLID FUEL STOVE PERMIT
Owner: M LC-l-f--1 lc l l kerC Phone: 5( 2 — °191='S!
Install at: CT-1 'I Q[fic he�-�S W —Village: lc
Map/Parcel: j �� Date: '771-A u o2C�
Stove
A. Ne B. Type: adiant Circulating
C. Manufacturer: Lab. No.
D. Model No.:
Chimne
C Ne Existin (If existing,please note date of last cleaning)
B. Flue Siz
C. Are other appliances attached to Flue?
D. Pre-fab Type and Manufacturer
E. Masonry: Lined/Unlined
Hearth
A. Materials: E3 QCX.
B. Sub Floor Construction: IE 1;
Installer
t
Address: >
Name: B R 1 fl l� EV:B tt� Y1 o�Z.��i Dl�
Phone:
Location of Installation:
APPROVED BY:
Please make checks payable to the Town of Barnstable
=*Thistitutes an official stove permit after inspection,photographed, and approved by the
Building Inspector
Q:forms:stove
Rev 122801
S
• i t
OFTME Tp� Town of Barnstable
Regulatory Services
• sA MASS.iE Thomas F. Geiler, Director
y MASS. g, ,
o MAC a�0 Building Division
Thomas Perry, CBO
Building Commissioner
200 Main Street, Hyannis, MA 02601
www.town.barns tabl e.maxs
Office: 508-862-4038 Fax: 508-790-6230
Building Department Checklist
Date: —�, ` D —7
Location: & �( 1+
Year built:
Zoning district: ��
ceiling height (7' basement; 7'3" house) after 1973 only
sleeping room (70-sq. ft.)
smokes AAA
egress - / —O
carbon monoxide detectors
# sleeping rooms
# sleeping rooms allowed
septic or town sewer
#kitchens
? apartment
exit order
car count and license pla e#
fire separation if needed
mechanicals:
make up air
proper work clearances
other
AA A
building permit needed
electrical permit needed
plumbing permit needed
Town of Barnstable
BABNSTABLE.p
' Regulatory Services
9 MASS. 0
e1 59� Building Division
200 Main Street, Hyannis, MA 02601
Office: 508-862-4038
Fax: 508-790-6230
Inspection Correction Notice
Type of Inspection
Location /I Permit Number
Owner
One notice to remain on job site, one notice on file in Building Department.
The following items need correcting:
17
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RASt I -51-rAtPs
5t-10 (c, SET-, Cb4t tq
N orl oX I -b r-S t-7--T-
Please call: 08-862-4038 for re-inspection.
Inspected by
Dater �V��
�ivs 1'�2vC � �` T lI30 040 PA;��--?PZAPIO 3400 . 5 /o VOCE ESTA
POPAa / -SArSC-MBE" ' ?ae-A ® ?rzo-;Fv St M .tic e-tAC P-
�IJSJ?€TO%4 LOCA Lle
�.ss i�Aru'�A .00 Z"
t ,
S"O 9 90w 4z-3 0
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lot 19 a tk a,e t
132650
,qtt Cap e (nca tnee"
�Q 49 RaZoa goad
42 Ilia. 02601
odled n
v du)e),. .tot 18
is
Q Scale I "-30
/ 24' Date 3-12-88
v qe
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4.eit
Xo-t 17
Nbu i, ' ahown on th i./, ptan ii
tocated on the ground ad. ahown heaeora,
and nsee� the 4�Aach 2ecyu i/censevt-tom
og the gown o� 13c✓un4 tab fz.
0
lie i ncg tot 19 as shown on a p.tan
N tecoaded in We. 302 pg. 92
N `
��i tche�tA (Alay Scott gavanez. -•
40 wade o � . 694 t ito ems._JJai�
�� � A
n � (L � y�� 2601
W c Owt o.32490�"76ay _
/dyann�i `a 0
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Assessors map and lot number ..... ........... ......................... IN-,�A,l.X9 IN COMPLIP.NME
SIT N E t0
. WITH TITLE 5
Sewage. Permit number` ........... 7.-... .,, d
AENTAL CODE AND
r House number ..............� q`-( T01MId REGULATIONS = BaENAG& LE,
....... .............................................. i639 e00
YPY O'
TOWN OF BARNSTABLE
BUILDING INSPECTOR
APPLICATION FOR PERMIT TO ..'
TYPEOF CONSTRUCTION ..... .....................................................................................................
.................-.rl'i.R�.GL7.....16....19.T g
TO THE INSPECTOR OF BUILDINGS:
The undersigned hereby applies for ao�permit according to the following information:
Location ...�i..9.Y... �.�1.......(�/.ax ...IV-;-
..................................... ........?.................9. ..........
ProposedUse ..:d�.. ..................................................................................................................................................
` ,
Zoning District ............. <. ...................................................Fire District ....... . . .:.........................
...................
Name of Owner ,d"..c ....,l.� .e/J......:...................Address ..Co.9y....�.'-���./1�0.....
Name of Builder' ....�!.`. ................................................Address 1...�.4y,
Nameof Architect ..................................................................Address ....................................................................................
Number of Rooms ......40-YR 40-YLR.................................................
e s
Exterior .....�Lc��/ �......................Roofing ...ad'oldJ .... . .............................
�
Floors .....-.1- me,7111.........................................................Interior ...... .. . . ...................................................
Heating ..../.f7.m'/3. ............................................................Plumbing ..:... ..........................................................
Fireplace ....... ..........................................................Approximate Cost .. Q o.....s................................
Definitive Plan Approved by Planning Board --------------------------------19-------- • Area, v...... ..J .....�`. ...
Diagram of Lot and Building with Dimensions Fe �
SUBJECT TO APPROVAL OF BOARD OF HEALTH
OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS
I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above
construction.
Name . '` .....f .........
1AVARES, SCOTT
317 Attached Garage
No ..........15.. Permit for ....................................
Single Family.,,Dwelling.,,,,,,,
........
. ..... . .. ....
Location ....694 Pitchers Wa
..................
.......................Y..................
...................HvAnn.i.q...........................................
Owner. ......SqRtt...TaKYAX�(PA..........................
Type of Construction .....ZrAMP........................
................................................................................
Plot ............................ Lot ..................... .........
March. 17 ,
Permit Granted ........................................19 88
Date of Inspection ....................................19
Date r Ca (�
,ppleted ................... ..................1 9
e)
M
1.n 'M
Assessor's map and lot number .....:.:.......... ..........................
P�Of THE TOE
Sewage Permit number ............ .7r....,r1Tf ....... n
33AUSTABLE,
House number ..............(/...).................................................. NAM
p 1639. \00
a MAX a•
TOWN OF BARNSTABLE.
r, BUILDING INSPECTOR
APPLICATION FOR PERMIT TO -16 � .
TYPEOF CONSTRUCTION ........ ....:.ti.. .... .......................................................................................................
................. Iq.. :
TO THE INSPECTOR OF BUILDINGS:
The undersigned hereby applies for a permit according to the following information: \
Location ....�-. ��....:4�,•; .; s. ..... .r? , > :......':?.................................. ....... .f..� `.........
. .... ......
. Proposed Use
Zoning District ............Fire District .'y
r
............................................................ .......:.... ...................................................
Name of Owner ... ".r. r>al..... .; . y,.;��,i ........................Address .. .`.{... , ` �* ..... `... �.:..: ...........a.
Name of Builder` ............................Address ..h. c/ :, —
Name / .. ,..,
Nameof Architect ..................................................................Address ....................................................................................
Number of Rooms . ..................................................Foundation
r
Exterior r...... ` '?`:• .. ......��.,..... �' o .:: .....................Roofing .!}� ....
..*f,�•.%r..,t...... � w.,;� ........................
Floors . ,r .........................................................Interior ....... f
_. .....................................................
Heating ........Plumbing .......
Fireplace ...... ost .................... APP ......................................................
Definitive Plan Approved by Planning Board ________________________________19________. Area ..........................................
Diagram of Lot and Building with Dimensions Fee .............................................
SUBJECT TO APPROVAL OF BOARD OF HEALTH
U
L
OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS
I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above, `,•. �r
construction. J l
�� Name ................ ..................................
fTAVARES, SCOTT _ A=271-175 -
/ T- 27/--12,5—
No .31715... Permit for ....Build Attached Garage
S incll,e,,,Fami,ly,,,Dwe l l in.g........
Location ...694.. Pitcherp,,,Wsa.y...................
..................... s........................................
Owner .......Scott. ....Tavares. . . . .........................
.... .... .. .... .. .
Type of Construction .....FX.aM.e........................
_ ................................................................................
Plot ......................... . Lot ................................
r
Permit Granted March 17, 19 88
4
Date of Inspection ....................................19
:A
Date Completed ......................................19
•
I
ssor's nip and lot number .: .v ..1...5'.. ✓:L�
Asse
•� SEPTIC SYSTEM MUST BE
jP14` 5 INSTALLED 'IN COMPLIANCE
Sewa``� ..hermit number e
g <.i ............................................:............. WITH ARTICLE II STATE
SANITARY CODE�-AND.TOWN
�- yFTNTTp�f �, Y TOWN OF BARNS " IDLE
DO
Z B9HB,S,TADLE;,S •�; �i - `�' E
y MAGI. r BVI�.DIHG . ! i
�p 3 • �0� u?
INSPECTOR
t; 19
a�0 .Y a I
C fib' 0 c2 /
APPLICATION4OR`"PERMIT T;O ........... .............................................
TYPE OF CONSTRUCTION .. .. ...... ....
........... ../...................19 .
TO THE INSPECTOR OF BUILDINGS:
The undersigned hereby applies for /a permit/according to the following information:
Location ...r ' � ...v"i• �,�y.. :2..4 ! .................... ...........................:.............................
Proposed Use .......IQA(1d 1.. 4..................................................................................................................................
...................................................................
Zoning District ..........a..�.5................................................Fire District ... /` Gf/.r'�" C? .r............... ....................
Name of Owner ....Co, 4ellWc e......A41............Address ............. 1 .....................................
Nameof Builder ....................................................................Address ....................................................................................
Nameof Architect ..................................................................Address ....................................................................................
Number of Rooms .................(S..............................................Foundation ........../ ......... .....................
Exterior ............... .............................................Roofing .......... ....I .. i� ...................L.............................
Floors ..............� r...C.l.......................................Interior ............... ............................ .
Heating ........ <.'<..�L1.1....1J. .........C 1Z1 .............Plumbing ...................L........................:..,.........,
.......................
Fireplace ........................00!!p....................................................Approximate Cost ........ lJ.. .............................................
Definitive Plan Approved by Planning Board ________________________________19________. Area /PQ.4S 6 ...j..�..
Diagram of Lot and Building with Dimensions Fee ��.®®
; .................. ...................
SUBJECT TO APPROVAL OF BOARD OF HEALTH
I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above
construction. ��. .
Name..l�_ :.--
.
Capewide Development
19623 one story
No�. ............... Permit for ....................................
.single family dwelling
q......... -...............................................
Pitchers
Locate . ..............................v
.............. Hyaaai ............................ ............
Owner ............Ca id.e...Dev.elpm�-Rt................ ....
Type'of Construction ............frame...............................................................................................................
#
Plot ............................. Lot ............19....................
September 22- 77
_ Permit Granted ............V...........................19
Date of In
spection .......... .. 19
,
—Date Completed 19
PERMIT REFUSED
.......................................:........................ 19
10
............................... ..........................................
........................................... .....................................
............................. ...................................
...............................................................................
Y
Approved ............................................ 19
........................................................... ...................
...............................................................................
Assessor's map and lot number .....t ) 1 t....... ...
Sewage Permit number ....`.................................I...................
• i (j n
y�F THE
TOWN ' OF BARNSTABLE
`-1 1 BARNSTADLE, i - �y
.MPY9 BUILDING INSPECTOR
t� n
APPLICATION,FORT PERMIT TO
15
TYPE OF CONSTRUCTION �� ��'�''�� i�k.
.....................................................................................................................
} .......... '��............................19.:..
TO THE INSPECTOR OF BUILDINGS:
The undersigned hereby applies four a permit according to the following information:
Location ..... '...:,/!.Ti:.��r �•.IG�Z..ir...................�//i�;.C//1.�....................... ...................................
,.
Proposed Use ��//a'.z��./...Z4 .........................._........................................................_..............
............. .......................................................
Zoning District ' + Fire District e�t-b
Name of Owner ....fr. �1P(/ii'/�!''�' ,f �`��l11,/l T
,
i
...................................:.....................Address .........................: ........................................................
Nameof Builder ....................................................................Address .....................................................................................
Name of Architect Address
Number of Rooms ................A. .............................................Foundation ........... �-..............?.�,...'
. ........................................
Exterior �' 1� r- Roofing /� //,
. .. .. ............................................ r ............�................... ............................
(
Floors .Cs�r Interior ........................9 Gi� f
........................................................
Heating %': ... /�./ /•:/i../..............Plumbing ..................................................................................
.......................................:...............
Fireplace ..............................................Approximate Cost .....................................................................
.........................:..........
Definitive Plan'Approved by Planning Board ________________________________19_:_____. Area .... d.............. ......l .....
-
Diagram of Lot and Building with Dimensions Fee �`� N"
SUBJECT TO APPROVAL OF BOARD OF HEALTH
I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above
construction.
Name' !'/� ........: `......./.'.*. :............
Capewide Development - A=271-175
t9623 one story
No .. ......... Permit for ....................................
single family dwelling
. ...............................................................................
Location .........Pitchers Way.......................................................
Hyannis
Owner ....... Capewide Development
............................................................
Type of Construction ............f....rame........................................ ......... ....
Plot ............................ Lot
....
Permit Grant d ......September 2
... .................. ......19 77
i
Date of Inspec([on— ..19
.....................
Date Completed ........... 19
PERMIT REFUSED
............................/............................. 19
.......... ?...................
................................................................................
................. ....................................... ...................
. ............................*...................................................
Approved ................................................. 19
...............................................................................
.......... ...........................................................
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