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Home My WebLink About0079 SHORT BEACH ROAD ., �.� ;, r `.5s.. i�..� �.:r a ,"' d� k �,.,w* �'�� F f cq '�.� a r•� y 3, t i4,��`s„� ��a :i; 4 - �. apt-3 i r5 .:'CEAr''; ..�w` d, t y+' !w { 4+•t' a in,fry" Z ". t YOU STAY o C f S' 1 k t P kd - } i 1'�• lh�y � f�Y�4 Y 3 t27A it MN MAN bj lot 51 ism Loops WOO '.; VIM f .•.: ' s.. v i$t a ASS pii Town of Barnstable *Permit Regulatory Services 6mOntlrs from issae date 3 ;at Fee Y BAR Thomas F. Geiler,Director 1 o �S SLEpi Building Division $13A Tom Perry, CBO, Building Commissioner 200 Main Street,Hyannis,MA 02601 . www-town.barnstable.ma us Office: 508-862-4038 EXPRESS PERMIT APPLICATION - RESIDENTJAL ONI, Fax: 508-790-6230 Not Valid without Red X-Press Imprint Map/parcel Number , G C- 1 ��3 Property Address2 S A O le D 2� Residential Value of Work dL367CL lNtinimum fee of$35.00 for work under 56000.00 Owner's Name&Address C9X /Z�; rrvi y�� y --� '30 lei � ,ontractor's Name Telephone Number 6 vc? lame Improvement Contractor License#(if applicable) -onstruction Supervisor's License#(if applicable) , ]Workman's Compensation Insurance Check one: a sole proprietor I am the Homeowner I have Worker's Compensation Insurance ;urance Company Name )rkman's Comp. Policy# py of Insurance Compliance Certificate must accompany each permit. m#Request(check box) ❑ Re-roof(stripping old shingles) All construction debris will be taken to ❑Re-roof(not stripping. Going over existing layers of roofl Re-side ❑ Replacement Windows/doors/sliders, U-Value #of doors (maximum.44)#of windows *Where required: Issuance of this permit does not exempt compliance with other town dep"ent regulations,i.e.Historic,Conservation,etc. ***Note: Property Owner must sign Property Owner Letter of Permission. A copy of the Home Improvement Contractors License&Construc required. tion Supervisors License is ATURE: 'ILESTORMSIbuilding permit forms0TRESS.doC' :d 070110* ,41 The Commonwealth of Massachusetts . Department oflndustrialAccidents l ;l Offzce oflnvestzgations 600 Washin on Street i� Boston, MA 02111 www.massggv/did Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name (Business/organization/Individualy. 4c= Address: ( 2-G City/State/Zip: �,-/,vi art F kr, Phone #:_ V�--0<F F�m an employer?Check the appropriate box: Type of project(required): a employer with 4. ❑ I am a general contractor and I loyees (full and/or part-•time).* have hired the sub-contractors 6. ❑New construction a sole proprietor or partner- listed on the attached sheet. g . and have,no employees These sub-contractors have 8. [].Demolition ing forme in any capacity. workers' comp. insurance, g ❑ Building addition workers' comp. insurance 5. ❑ We are a corporation and its red.] officers have exercised their 10.❑Electrical repairs or additions a homeowner doing all work right of exemption per MGL l l.❑ Plumbing repairs or additions lf. [No workers'comp. c. 152, §1(4), and we have no ]2.❑ Roof repairsance required] t employees.[No workers' 13.❑ Other comp. insurance required.] *Any applicant that checks box#1 must also fill out the section blow showing theirworkers'compensation policy information, t Homeowners who submit this affidavit indicating they am 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-contractor and their workers'comp,policy information. I am.an=player that is providing workers'compensation insurance for my employees: Below is the polity 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 pains7,penalties of perjury that the information provided above is true and corned 3i ature: - Date: 'hone Ofcia1 use only, Do not write in this area;to be compLeted by city or town bffzciaL 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 • J 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 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 bean 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 aeceptable 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 cant'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 insuance 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 tali 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 b6ttom of the affidavit for you to fill out m the event the Office of Investigations has to contact yod 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 Iicenses. 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 ca. ; The Department's address,telephone apd fax number. The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations' 600 Washington Stu eet Boston,MA 02111 Tel. # 617-727-4900 ext 406 or 1-877-MA.SSAFE r n v u L 1'7 '7'1'7 '7'7 A A . tj 0 Town dBarnstable • Regulatory Services MAM Thomas F. Geiler,Director ` Building Division Tom Perry,Building Commissionet 200 Main Street,Hya=is,MA 02601 www.town.barnstable.ma.us Office: 508-862-403 8 Fax: 50 8-790-623 0 Propexty OwrierMust, Complete and Sign This Section If Using A Builder r'. , as Owner of the sub.ect. j property hereby authorize to act on mp behalf, in aI1 matters relative to wprk authorized by this bug&ag pe=i application for. (Address of Job) Signature of Owner Date print Name If Propea Owneris applying forpemitplease corm Iete.the Homeowners Liceme FxCMpt-ion Form on :the revere side. , Prof Yrte ray Town of Barnstable ham. Regrilatory Services i A l ANcr1RL,g, Thomas F. Geller,Director � 1,619. Building Division Ufaj Tom Perry,Building Commissioner 200 Maui.Strcct; Ayannis, MA 02601 www-town barnstable.ma.us Offiac: 508-862-403 8 Fax_ 508-790-6230 HOMEOWNER LICFh'SE=MMON Plesre Print DATE vZ / Joa L.ocAnox: .�Gt r�f2%/. . S c=e't G'�i � �-- ,�c�zG 3' Z number steel �i village '�-lOMEUwIaF�": �i,A .4/P ZeS �.J �-G'i�r✓ v��/ 776 - 411111�a name j bamc phone work phone# CURRENT MAILING ADDRESS: B� / -2- V stdc; zip amdc Tic c==t excmptitm for`homeowners"was extended to include owner-occupied dwellings of six units or less and to allow home -wMers to engage an individual for hire who does not possess a license,prodidcd that the ovrmcr acts as stmcryisor. '. DMMON OF HOM7,07PIP R Pm-son(s)who owns a parcel of land on which heishe resides or intends to reside, on whichtberc is, or is intended to bc, a one or two-fancy dwaing attached or detached struct m=accessory to such use aad/ar farm shvctrars. A person who constr-gcts most than one home is a two-year period shaR not be considered a homey nrr. Such `hor=awncr,,shaIl sabot to the Bmlding OfEdO on a form acceptable to tie Budding Official, that he/she shall be r=ccrisible for all such wor3rperffirmed'undcrtbe binlding permit. (Section 109:1.1) Tl�e undersigned`homeowner"a sum,=responsibdity for eomplia.ncc with the Stdc Budding Code and otbe r applicable codes, bylaws,rules and regnlations. The undersigned"bomcowncr"tmrtifics thaL.Wshe_understands the Town ofBamsiable Budding Department maTrirmlm Mspesction procedures and r gUfi=r,r_„is and that he/she wdl comply with said proccdrars and 5ignztiae ofHatnevwner • Approval ofguilding.Ofcia.l , Note: Three-family dwellings containing 35,000 cubic feet or larger vU be rupirrd to comply with tbz ' State Building Code Section 127.0 Construction Control. ' 5011�OwNER'S EXEEMFTION The Cade states that 'Any homeowner pcfanrm�g workfar which 3 b-1ding parrot is required sba.n be exempt faun the proyisions f this=d=(Section 109.I.1-Liaasmg of caashvetiaa Supervisors);proyided drat if the hmmeowner eagages a poson(s)fe hirc to do such ,or,that surrlt Homeowner shsll act as=Pexvisor," Ivtaay b==-mas who use this tsrzQption are unaware that they am Lnuaung the respmmb$itia of a super vicar(see Appendix Q Ocs&Ra6lations for LiCR+Mz Caastraetiaa Supervisors,Section 2.13) This lack of awara=Mee trsults in serious problems,particularly iat the homeowner hires=lieeased p-=L In this case,our Board caot pn==d agaa�sl the unliccnscd person ss it would with i licensed pervisar. The:homeowner acting at 5upcvisar is ultimately rnsponsib)crm . To tunas that the hamcowncr is fully:ware of Ys/hernspmm'mIitics,many,aon-mamitics require,as part of the painit application, i the homeowner certify that bclshe undastaads the responnnbtli tics of a Supervisor. On the List page of this issue is a•farm an=tly used by Town of Barnstable Geographic Information System August 3,2011 *k: 206639 206030 #56' #36 206038 #64 206037 #70 206033 #55 206034 206124� #59 ' a . 206105 206123 #90 ® 206103 . #79 206125 #95 �T, 0 2,8 Feet DISCLAIMERS:This map is for planning purposes only. It is not adequate for legal Map:206 Parcel:103 boundary determination or regulatory interpretation. Enlargements beyond a scale of Selected Parcel Owner:PISACANO,CHARLES&MARGO W Total Assessed Value:$203500 1"=100'may not meet established map accuracy standards.The parcel lines on this map ( _: are only graphic representations of Assessor's tau parcels. They are not true property Co-Owner: Acreage:0.37 acres Abutters boundaries and do not represent accurate relationships to physical features on the map Location:79 SHORT BEACH ROAD such as building locations. Buffer � `�' Loop Up Print Page 1 of 3 . Owner Information -Map/Block/Lot: 206/ 103/-Use Code: 1060 Owner Owner Name PISACANO, CHARLES & MARGO W Co-Owner Name Property Address Owner Mailing Address 79 SHORT BEACH ROAD PO BOX 126 HYANNISPORT, MA. 02647 Map/Block/Lot 206/ 103/ . Assessed Values 2011 -Map/Block/Lot: 206/ 1031-Use Code: 1060 2011 Appraised Value 2011 Assessed Value Past Comparisons Building $ 0 $ 0 Year Total Assessed Value: Value Extra $ 0 $ 0 2010 - $ 247,700 Features: Outbuildings: $ 144,100 $ 144,100 2009 - $471,300 Land Value: $ 59,400 $ 59,400 2008 - $ 398,900 2007 -$ 382,900 2011 Totals $203,500 $203,500 2006 - $ 504,900 . Tax Information 2611 -Map/Block/Lot: 206/1031-Use Code: 1060 Fire District Rates Town Residential Taxes Barn FD -All Classes $2.31 $8.05 C.O.M.M. FD Tax $270.66 C.O.M.M-All Classes $1.33 Town Commercial (Residential) Cotuit FD -All Classes $1.68 Community Preservation Act $49.15 Hyannis -Residential $2.04 Tax VA -Commercial $3.24 Town Tax(Residential) $1,638.18 W Barnstable - $ Residential $2.65 1,957.99 W Barnstable- $2.34 Commercial . Sales History-Map/Block/Lot: 206/ 1031-Use Code: 1060 History: Owner: Sale Date Book/Page: Sale Price: PISACANO, CHARLES &MARGO W Nov 26 2002 12:OOAM 15990/040 $ 1,300,000 BENNETT, VICTOR.&VICTORIA Aug 24 2001 12:OOAM 14167/222 $ 1,70000 http://www.town.bamstable.ma.us/Assessing/print.asp?searchparcel=206103 8/3/2011 Loop Up Print Page 2 of 3 MCCAFFREY, ROBERT H Dec 15 1987 12:OOAM C112992 $ 175,000 MAHER, WILLIAM J C7984 $ 0 . Sketches-Map/Block/Lot: 206/ 1031-Use Code: 1060 A sketch is not available for this parcel. AsBuilt Card N/A . Constructions Details-Map/Block/Lot:-206/ 1031-Use Code: 1060 Land USE CODE 1060 Lot Size (Acres) 0.37 Appraised Value $ 59,400 Assessed Value $ 59,400 Construction details are not available for this parcel. . Outbuildings& Extra Features-Map/Block/Lot: 206/ 1031-Use Code: 1060 Code Description Units/SQ ft Appraised Value Assessed Value SHED Shed 300 $ 3,300 $ 3,300 DKHD Dock-Heavy 1 $ 146,800 $ 140,800 . Sketch Legend Property Sketch Legend AOF Office, (Average) FTS Third Story Living Area SFB Base, Semi-Finished (Finished) BAS First Floor, Living Area FUS Second Story Living Area TQS Three Quarters Story (Finished) (Finished) BMT Basement Area GAR' Garage UAT Attic Area (Unfinished) (Unfinished) CLP Loading Platform GRN Greenhouse UHS Half Story (Unfinished, CAN Canopy MZ1 Mezzanine, Unfinished UST Utility Area (Unfinishec FAT Attic Area (Finished) MZ2 Mezzanine, Semi-finished UTQ Three Quarters Story (Unfinished) FBM Finished Basement MZ3 Mezzanine, finished UUA Unfinished.Utility Attic FCP Carport PAT Patio Outbuilding Listed UUS Full Upper 2nd Story (Unfinished) FEP Enclosed Porch PTO Patio WOK Wood Deck FHS Half Story (Finished) REF Reference Only WKO Wood Deck Outbuilding Listed http://www.town.bamstable.ma.us/Assessing/print.asp?searchparcel=206103 8/3/2011 Loop Up Print Page 3 of 3 FOP Open or Screened in SDA Store Display Area Porch rt http://www.town.bamstable.ma.us/Assessing/print.asp?searchparcel=206103 8/3/2011