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Home My WebLink About520B PITCHER'S WAY r�aa6 f�fichers Why TOWN OF BARNSTABLE BUILDING PERMIT,APPLICATION„ Map Parcel I ;'Application Health Division �f 3� Date Issued to 3 Conservation Division ,Application Fee Planning Dept: _. -Permit Fee Date Definitive Plan Approved by Planning Board Historic - OKH k Preservation/ Hyannis Project Street Address zo Village Owner P�� ' G'�� Address.: og Sob ST fi A,WZ O Y Telephone ,77 gl S 21� 0 2.Z Permit Request � /P]S Pb 6� fo,a_ya�7` PT F., Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay T Project Valuation Construction Type V U) Lot Size Grandfathered: 0 Yes ❑ No If yes, attach sugportind-40cA,entation. Dwelling Type: Single Family Jd Two Family ❑ Multi-Family (# units) ; 0_% 71 Age of Existing Structure Historic House: ❑Yes ❑ No On Old King's 1, hway-13 Yet, Eflo Basement Type: ❑ Full ❑Crawl ❑Walkout ❑ Other J VOW 6- 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_ / (( oy F Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑ No Detached garage: ❑ existing 0 new size_Pool: ❑ existing ❑ new size _ Barn: ❑existing ❑ new size_ Attached garage: ❑ existing 0 new size _Shed: ❑ existing ❑ new size _ Other: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes U(No If yes, site plan review# Current Use 1:�6L-L 00A 4J - Proposed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name L6161z- � v,7�� Telephone Number 75-1 Yj�' �gZZ Address c �5 License # §JON '' W 0_1Z Home Improvement Contractor# Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO a:56aA VvA 6 S - ,U1 s. M4 SIGNATURE k DATE r a FOR OFFICIAL USE ONLY APPLICATION# DATE ISSUED MAP/PARCEL NO. ADDRESS VILLAGE y , i OWNER DATE OF INSPECTION: FOUNDATION FRAME INSULATION t FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING L. DATE CLOSED OUT I s ASSOCIATION PLAN NO. The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations a 600 Washington Street Boston,MA 02111 www.mass.gov/dia Workers}Compensation Insurance Affidavit: Builders/CoutractorsLElectricians/Plumbers Applicant Information Please Print Legibly Name(Business/Organization/Individual): Address: City/State/Zip: �� Phonet 7g1 12 Are.you an employer? Check the appropriate bog: .Type of project(required):, 4. I am a general contractor and I 1.❑ I am a employer with � 6. New construction . employees(full and/or part-time).* have hired the sub-contractors 2.0 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 employees and have workers' ~�rorking for me in any capacity. 9. []Building addition [No workers' comp.insurance comp. insurance,$, 5 We are a corporation and its. 10.0 Electrical repairs or additions . requited.] ' 3. I am a homeowner doing all work . officers have exercised their 11.0 Plumbing repairs or additions myself.[No workers' comp. right of exemption per MGL 12,0 Roof repairs insurance.required.]t c. 152, §1(4),and we have no 13.0 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.polity 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: lob 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 tip 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 maybe forwarded to the Office of Investigations of the WA for insurance coverage verification. I do hereby certify u d r poi nd pe Ides of perjury that the information provided above is true and correct. Si ature: Date: Phone#: J �l ' S b Z Z- 71ssuing Do not write in this area, to be completed by,city or town officiaG Permit/License# y(circle one .I.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: Massachusetts General Laws chapter 152 requires all employers to provide workers' compensation for their employees. p Pursuant to this statute, an employee is defined as "...every erson 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 withtlie 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-contiactor(s)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. e Comm=wW%of M.usarhwetts depart men of Indrust al Accidents Office of Investigations 60 Washinatoi i Street Bostonx_MA 02111 TO.#f 17-72'-4504 ext 40,6 Qr 1,577 MASS.AEE Fax#617-727-7749 Revised 11-22-06 www.m=.gov/dia • Town of Barnstable mop SHe tp�� 0 Regulatory Services Thomas F.Geiler,Director BARNS. rwsr.>. NAS& pg, �639. ,�� Building Division Tom Perry,Building Commissioner . 200 Main Street, Hyannis,MA 02601 vt'ww.town.barnstabl e.ma.us Office: 508-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION �J ] Please Print DATE: JOB LOCATION: (Al number street '/ village "HOMEOWNER": CO11C� `-'L A&96 1 7q/— 9 21—D6z'I name home p one# work phone# CURRENT MAILING ADDRESS: 7f V�`A�(/ -5 T 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 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 lo9.i.I-Licensing of construction Supervisors);provided that if the homeowner engages a persons)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. oFZHETa�. Town of Barnstable Regulatory Services vB . Thomas F. Geiler,Director �p 0.59. �m lfn µno" Building Division Tom Perry, Building Commissioner 200 Main Street, Hyannis, MA 02601 www.town.barnstable.ma.us - Office: 508-862-403 8 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder r , as Owner of the subject property hereby authorize 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. 'Department of Public Works 47 Old Yarmouth Rd. Qy �, P.O.Box 326 Water Supply Division Hyannis,MA. * 02601-0326 * BARNSPABM * TEL:508-775-0063 9 MASS. �A 039• �� Hyannis Water System Operations FAX:508-790-1313 rED IV�A'� JULY 26, 2007 RE: 520 PITCHERS WAY HYANNIS,MA 02601 TO WHOM IT MAY CONCERN: THIS IS TO INFORM YOU THAT THE ABOVE-ADDRESS - #520 PITCHERS WAY IN HYANNIS, DOES NOT HAVE WATER SERVICE THRU THE HYANNIS WATER SYSTEM OPERATIONS. IF YOU HAVE ANY QUESTIONS, PLEASE CALL THE OFFICE @#508-775-0063. wwv WhiteWater-Pennichuck Operated and Maintained by WhiteWater,Inc.and Pennichuck Water Services Corp. OCT-16-2007 16:43 From:BAYSIDE ELECTRICAL 508 771 6617 To:781 826 Oe22 P.2f2 NOW ]3arnstableBuilding.Department Oct 18", 2007 To whom it nlay concern, Upon inspection of Peter Barber's Property at 520 pitchers way we determined that there is no power going to the locutions of 5203 a.nd 520C. The location of 52a..B and 502C no longer exists. We are an electrical contracting company that has been in business 1.or 25 years. If you have any questions about this location please feel free to call uy at anytime. Our number here is 509-771-7270 and our license#is A17197. Sincerely, Arthu;P.Debe 'Jr Bayside Electrical Conte tors Tile. 1-508.771.7270 Fax 1-508-7716617 Lie.#A 1.7107 172YarmtWili Rciad Hyannis, MA(W.01-2643 1r1:508-771-7270 Fax, 508-771-661.7 ww w.lxrysideelec.com Energy Delivery 127 Whites Path South Yarmouth, MA 02664 June 131 2007 Peter Barber 508 State Street Hanson, MA 02341 RE: 520 Pitchers Way, Hyannis This is to confirm there is no natural gas service to the above address. This was confirmed by a representative of Keyspan Energy. If you have any questions, please call me at 508-760-7481. � l Sue McMullin Field Coordinator Keyspan Delivery Company