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Home My WebLink About354 BEARSE'S WAY �� q �� i Engineering Dept.(3rd floor) Map o� Parcell + Permit# .J� House# 2 Date Issued J Board Fee 3 t 19 BARNSTABLE. 9. TOWN OF BARNSTABLE 'f° `'�� 4 Building Permit Application tree Address i 4/ —am=LAl Village ' Owner CXJ,vc�Z� Address / �v�i,•��-ti�� Telephone 7 21 6,/( 41 ` 1Permit Request 7 " First Floor square feet Second Floor square feet Construction Type Estimated Project Cost $ 0-d-21 Zoning District : Flood Plain Water Protection Lot Size Grandfathered ❑Yes ❑No 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 No.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 Garage: ❑Detached(size) Other Detached Structures: ❑Pool(size) ❑Attached(size) ❑Barn(size) ❑None ❑Shed(size) ❑Other(size) Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes ❑No If yes, site plan review# Current Use Proposed-Use Builder Information Name Telephone Number Address License# Home Improvement Contractor# Worker's Compensation# NEW CONSTRUCTION OR ADDITIONS REQUIRE A SITE PLAN(AS BUILT)SHOWING EXISTING,AS WELL AS PROPOSED STRUCTURES ON THE LOT. ALL CONSTRUCTION DEBRIS RE MALTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE al jbl�� BUILDING PERMIT DEN FOR THE FOLLOWING REASON(S) s FOR OFFICIAL USE ONLY j PERMIT NO. - c DATE ISSUED . MAP/PARCEL NO. - ADDRESS VILLAGE ' OWNER DATE OF INSPECTION: t FOUNDATION E FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL ~ PLUMBING: ROUGH FINAL GAS: ROUGH FINAL r r FINAL BUILDING DATE CLOSED OUT d ASSOCIATION PLAN NO. °FIME ri The Town of Barnstable • ssaivsree�. • Department of Health Safety and Environmental Services '�Eoru�e't" Building Division 367 Main Street,Hyannis MA 02601 Office: 508-790-6227 Ralph Crossen Fax: 508-790-6230 Building Commissioner For office use only Permit no. f Date AFFIDAVIT HOME IMPROVEMENT 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. Type of Work: Est.Cost Address of Work: 3S- —357�, (,U Owner's Name r _, 6 Date of Permit Application: I hereby certify that: Registration is not required for the following reason(s): Work excluded by law Job under S1,000. B lding not owner-occupied ,Owner pulling own permit Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT 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 Nam Registration No. OR Dat Owners ame The Commonwealth of Massachusetts ---___'.Iz Department of Industrial Accidents A. t" 1 Office olinvesUffatlotts 600 {f'ashington Street Boston,Alas. 02111 Workers' Compensation Insurance Affidavit p��licant mformatton: Please PRINT lestbly 4, , name• location: cite phone# I am a homeowner performing all work myself. I am a sole proprietor and have no one working in any capacity t'k :"'"a �"*�'^`"..'r¢' "t ^ys nxccs+•K:ancmntr"y' +4)SF.r>-•+4+s'¢az.9$ r ..«*'a`r .. T'r"s"at+� r•+ar{e<-�• .,rr,,. 1.:..._�_.-. ,., L+. `��:...r,:+:'`++ns,firt:r.vw..sezana..v,�a .i:.-`-...s+�' s:'�^v--..«.. ...:, •.a:Ls'�:,.d:Lt..'..'^a6.i_. .` _ .ytiL '.:;3...�....�...�.__.�.._... I am an employer providing workers' compensation for my employees working on this job. company name: address: -- city: phone#: Insurance co policy# ,. -.. ....,. .. ,.. .. > - Y..y-n�� : „ ,. .!yewSr•_ptvscw SM1«.>_7"ST'» 4!1.,.,+ M'.•"""" "^�� 1 am a sole proprietor, general contractor,or homeowner(circle one)and have hired the contractors listed below who have the following workers' compensation polices: comijanyname- address- cit}•: phone#• insurance co policy# , .._i .C. � T.Ft•..:I;�'.:]!t�'ffYi__....y�..�..+..�. �•. .1 -._:J��'T^•�:+t@ irk.=..;. �f4RT.'IS.�G :.'jj•! ei 14.r_TII•tn s4.�••".'�, __ __.. _...._.,.._.. ..__.._ :.a:a•�:s•...:..::...�►'..:..;I�:.:�,.I.aw ri:acR�,.e.' :rai.r��tiier -�t�?` = ➢r`'...;t.r� � "u�.+i;,�ti�atlitl.:.►ia.i�:;i&. ctimpan}•name: address: city: phone#- Insurance co police# Atiachadditionalgshcetiftiecessaty F-� •v i�1 �YNsar:'y �_ *arL£•��"'{�°c ..+'�. _� "�TTMG� Failure to secure coverage as required under Section 25A of n1GL 152 can lead to the imposition of criminal penalties of a�fine up to$1.500.00 and/or one years'imprisonment as well as civil enaltics in the form of a STOP NVORK ORDER and a fine of S100.00 a day against me. 1 understand that a copy of this statement may be forwarded the Office of Investigations of the DIA for coverage verification. I do herehr certify it t! ai s and nalties of perjun'that the information provided above is true and correct. Signature � Date Print name Phone# r- .. ofricial use only do not write in this area to be completed by city or town official ty or town; permit/license# rlliuilding Department Licensing Board check if immediate response is required oselectmen's Office 011calth Department ' contact person: phone#; 17901her �4 ''lY_ •-+r...•!Sffas:y�.ol, �yy _ ,.._....i ..... .. .iI�.O'.R!'�;rsTai�'..•"b,`,ST.'+.s.'.^.TfL�m!?C!s;� r� 1Sf• _ Ire%ised 3,95 P1A) . information and Instructions Massachusetts General Laws chapter 152 section 25 requires all employers to provide workers' compensation for their employees. As quoted from the "law", an e►nploree is defined as every person in the service of another under any contract of hire, express or implied, oral or written. An e►nplor'er 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 vinpIoyer, or the receiver or trustee of an individual , partnership, association or other legal entity, employing employees. However the owner of a dwellinu house having not more than three apartments and who resides therein, or the occupant of the dwellim, 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 section 25 also states that even,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. 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 in the workers' compensation affidavit completely, by checking the box iliat applies"to your situation and supplying comnanv names, address and phone numbers affidavits 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. City or Towns Please be sure that the affidavit is complete and printed legibly. Tile 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. The affidavits may be returned to the Department by mail or FAX unless other arrangements have been made. The Office of investigations would like to thank you in advance for you cooperation and should you have any questions, please do not hesitate to give us a call. f.rl�•T-EMI+�».r5„+R.�ITs�c':�'°�""�S'�;r'.'�ms��, ^.^n'T1�*+vA*vm..�^fir y.AC7'..rr- :,P+nt!Io►aw.f^•+mu+fv 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 fax#: (617) 727-7749 phone #: (617) 727-4900 ext. 406, 409 or 375 • TOWN OF BARNSTABLE BUILDING DEPARTMENT HOMEOWNER LICENSE EXEMPTION Please print. DATE JOB LOCATIO l �" e J AA,S -2601 - Number Street address Section of town "HOMEOWNER" �C�� Q� / Name Home phone Work phone PRESENT MAILING ADDRESS �' ! k '7ql 9' ��6&q 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 such homeowners to engage an in- dividual for hire who does not possess a license, provided that the owner acts as supervisor. DEFINITION OF HOMEOWNER: Persons) who owns a parcel of land on which he/she resides or intends to re- side, 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 Stat Building Code and other applicable codes, by-laws, rules and regulations. The undersigned "homeowner" certifies that he/she understands the Town of Barnstable Building Depar ent minimum inspection procedures and requirements and that he/she will co p y ith said procedures and requirements. HOMEOWNER'S SIGNATURE �-� APPROVAL OF BUILDING OF ICIAL Note: Three family dwellings 35, 000 cubic feet, or larger, will be required to comply with State Building Code Section 127. 0, Construction Control. HOME OWNER'S EXEMPTION The code state that: "Any Home Owner performing work for which a building permit is required shall be exempt from the provisions of P this section (Section 109. 1. 1 - Licensing of Construction Supervisors) ; provided that if Home Owner engages a person (s) for hire to do such work, that such Home Owner shall act as supervisor. " Many Home Owners who use this exemption are unaware that they are assuming the responsibilities of a supervisor (see Appendix Q, Rules and Regulations for , licensing Construction Supervisors, Section 2. 15) . This lack of awarenes often results in serious problems, particularly when the Home Owner hires unlicensed persons. In this case our Board cannot proceed against the inlicensed person as it would with licensed Supervisor. The Home P Owner actin as supervisor is ultimately responsible. To ensure that the Home Owner is fully aware of his/her responsibilities, mar communities require, as part of the permit application, that the Home Owner 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 to amend and adopt such a form/certification for use in your community. i [ ] [R292 017 . 001 ] • LOC] 0354 BEARSES WAY CTY] 07 TDS] 400 HY KEY] 202195 ----MAILING ADDRESS------- PCA11041 PCS100 YR100 PARENT] 0 WINER, ERIC J MAP] AREA] 63AD JV] 373152 MTG] 9104 P 0 BOX 741 SP1] SP21 SP31 UT11 UT21 . 20 SQ FT] 1440 S YARMOUTH MA 02664 AYB11945 EYB11975 OBS] CONST] 0000 LAND 18000 IMP 31200 OTHER ----LEGAL DESCRIPTION---- TRUE MKT 49200 REA CLASSIFIED #LAND 1 18, 000 ASD LND 18000 ASD IMP 31200 ASD OTH #BLDG (S) -CARD-1 1 31, 200 DESCRIPTION TAX YR CURRENT EXEMPT TAXABLE #PL 356 BEARSES WAY HYANNIS TAX EXEMPT #DL LOT 1 LC 17786 RESIDENT' L 49200 49200 49200 #RR 0109 0118 OPEN SPACE COMMERCIAL INDUSTRIAL EXEMPTIONS SALE104/96 PRICE] 46000 ORBIC140249 AFD] I LAST ACTIVITY101/21/97 PCR] Y I a= R292 017 . 001 P R A I S A L D A T A • KEY 202195 WINER, ERIC J LAND BLD/FEATURES BUILDINGS NUMBER ZN/FL= 18, 000 31, 200 1 A-COST 49, 200 B-MKT BY 00/ BY ME 9/87 C-INCOME PCA=1041 PCS=00 SIZE= 1440 JUST-VAL 49, 200 LEV=400 CONST-C 0 ----COMPARISON TO CONTROL AREA 63AD -- TREND EXCEEDS STANDARD NEIGHBORHOOD 63AD HYANNIS PARCEL CONTROL AREA TREND STANDARD 101 10 LAND-TYPE 180001 LAND-MEAN +0% 492001 54197 IMPROVED-MEAN -4201 250-. ] FRONT-FT ] 100 DEPTH/ACRES TABLE 02 1000-.1 LOCATION-ADJ APPLY-VAL-STAT LNR] LAND LFT/IMP] ADJS/SB/FEAT STR] STRUCTURE ARR]AREA-MEASUREMENTS NOR] NOTES COM] MARKET INC] INCOME PMR] PERMITS GRR] GRAPHIC FUNCTION- [ ] STRUCTURE-CARD NO- [0 0 0] DATA- [ ] XMT [?] qw T R292 017 . 001 P E R M I T [PMT] ACTIO ] CARD [000] KEY 202195 • 000000001 PERMIT-NO MO YR TYPE VALUE CK-BY MO YR oCMP NEW/DEMO COMMENT OPERTV ADDRESS I ZONING I DISTRICT CODE SP-DISTS.I DATE PRINTED I CSTATE LASS I PCS I NSHO KEY NO. 0354 BEARSES WAY' 07 4 714Y . 01 4 9 1 q LAND/OTHER FEATURES DESCRIPTION ADJUSTMENT FACTORS Ty UNIT ADJ'D.UNIT Land eyroate &:e o�menvon ILOC./Y R.SPEC.CLASS ADJ. COND. PE PRICE PRICE ACRES/UNITS VALUE Desc,iplion LALIME. 'ROBERT C & ANN M MAP- CD. FF-Dc to/Ac,es #LAND 1 181000 CARDS IN ACCOUNT 10 1BLDG.SIT 1 x .20 =10 300 29999.9s. 89999.9 .20 18000 #BLDG(S)-CARD-1 1 31,200 01 of 01 i #PL 354 BEARSES WAY HYANNIS COST BATHS 2.0 U x C= 100 7000.00 7000.00 1.00 7000 a #DL LOT 1 LC 17786 MARKET NO SSMT S X I C= 100 5.9 5.95 1440 8600-8 #RR 0109 0118 INCOME A USE APPRAISED A D A 49,200 U ; PARCEL- SUMMARY S ; LAND 18000 BLDGS 31200 T 0-IMPS ; El TOTAL- 49200 N N CNST DEED REFERENCE Typa DATE R«ored PRIOR YEAR VALUE T Book Page Incl. MO. V r.D Seles Price LAND 18000 SI C127015 TE:I-06/92 99:000 BLDGS 31200 C124440 f09/91 B 1 TOTAL 49200 C117438 16/89 B 1 BUILDING PERMIT *NO ATTIC....... NumberTy- 18000Amount .LAND LAND-ADJ I INC ME SE SP-BLDS FEATURES BLD-ADJS UNITS Dele 1600- Class Con sl. Total Base Rate Atll.Rate Year Buitl A Norm. Obs v. CND. Loc. 4b R.G. Re pl.Cost New AOj.Repl.Value Stories Meigbt Rooms eA Rms Balbs I Fia. Partywell Fac. unit: unbs ^9`q 119 ee Dep, epna. 02C- 000 100 100 55.25 55.25 45 75 19 80 60 40 779.60 31200 1.0 8 4 . 2.0 8.0 De Scr,plion Rate Square Feel Repl.Cost MKT.INDEX: 1-00 IMP.BY/DATE: ME 9/87 SCALE: 1100.75 ELEMENTS CODE CONSTRUCTION DETAIL • SAS 100 55.25 1440 79560 GROSS AREA 1440 TWO FAMILY DWELLING CNST GP:00 *--------------------60--------------------* TYLE 170UPLEX 0.0 1 ES AOJMT C10 -- --- - -- --- 0.0 ! ! xTiEk-w-A-CLs 8D_ ____10CLP /SHINGLE 6A ! ! EAT%AC TYPE _02GAS _________ 0-0 ! NTER.FINISH 04DRYWALL 0.0 24 BASE 24 NTER.LAYOUT 12 YER.%NORMAL 0.0 ! ! NTER.QUALTY 02SAME AS EXTER._---------- ---0.0 D W! ! E LOOR COVER 04 ARPET 0.0 ---------------------- Tol al nreas ^�" = base 1440 ! ! OOF TYPE 01 GABLE-ASPH SH 0.0 E ----- — - ----- - ------ BUILDING DIMENSIONS *---------------------60--------------------X E_L E C T R I C AL___ _01 VE R AG E _ __ 0.0 A BAS W60 N24 E60 S24 .. OUNDATION 03CONCRETE SLAB 99.9 - -- --- -------------- I _____ _______ L NEIGHBORHOOD 63AD HYANNIS LAND TOTAL MARKET PARCEL 18000 49200 AREA 3871 VARIANCE +0 +1171 STANDARD 25 I (m i 1 0 • ,�o d I � N N), 40 � td 14 N M O N G�