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Home My WebLink About0159 HARBOR BLUFFS ROAD �sq ff�/xe 2�f' i I TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel ' 4 Application # ` Health±Division Date Issued Conservation'Division Application Feed cY�- Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board Historic OKH Preservation/Hyannis Project Street Address 159 kFx7a- �JA _gr) Village Owner &LIDUAg, Address y R&tw 6 12fJ Telephone 15M t J' 0 -7 q f P_er_mit}Reque st Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project ValuationV50 0b00 Construction Type Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family d' Two Family ❑ Multi-Family(# units) Age of Existing Structure 3 rtS Historic House: ❑Yes A'No On Old King's Highway: ❑Yes jallo Basement Type: ❑ Full ❑ Crawl wr�Naikout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full: existing new Half: existing new Number of Bedrooms: q existing _new Total Room Count (not including baths): existing new First Floor Room Count Heat Type and Fuel: ❑Gas ❑ Oil ❑ Electric ❑ Other Central Air: Z'Y-es ❑ No Fireplaces: Existing New Existing wood/c al stove]❑Yes ❑ No Detached garage: ❑ existing ❑ new size—Pool: ❑existing ❑ new size _ Barn: ❑existing ,@Fnew�. size_ Attached garage:Wxisting ❑ new size _Shed: ❑existing ❑ new size _ Other: 0_, Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes Flo If yes, site plan review# Current"Use _ Proposed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name k66I Telephone Number Address 166 6Mn4t License # �tGJO 7 0 03r— Home Improvement Contractor# Worker's Compensation # (V 6 1 1 4120�7 ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO 1 �� C- , 64,61Lie SIGNATURE DATE U _$ FOR OFFICIAL USE ONLY Al APPLICATION# DATE ISSUED d. MAP/PARCEL N0. f • ADDRESS ` VILLAGE .y OWNER ! i k DATE OF INSPECTION:' ' FOUNDATION FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL ! FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. The Commonwealth of Massachusetts ,. Depar�ment of Industrial Accidents Office of Invesfigation.s 600 Washington Street Boston, MA 0.2111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors[Electricians/Plumbers A licant Information Please Print Le gib Name ($vsiness/Orgmuzati6n/1ndividu0): &A4 h1 "J Address: tU City/State/Zip: ��IJI�� V1 ,(� 0 2.®3 $- Phone.#: 5O 543-8 Vf s — Are you an employer? Clzeck the appropriate boz: Type of project.(rerjuire' 1.❑ I am a cmg�Ioycr with 4. ❑ I am a general contractor and I 6 New construction employees (full and/or part-limn)_* have hued the sub contractrrs listed on the attached sheet 7. ❑Remodeling 2- I am a'sole proprietor or partner- 'These sub-contractors have ship and have po employees 8. Demolition en�loyces and have workers' working for me in any capacity. 9. []Building addition cor[No WorkerS' CVMP.-incirranCe WC ax ap. CI Orpor 5. [] VJc are a corporation and its 10_0 Electrical-repairs or additions required] officers"k?avc exercised their 11_[]Plumbing repairs or additions 3.❑ I am a horanowrr-.CS doing all work myMIL[No workers' comp. -right of exemption per MGL 12 Roofrcpairs inmrancc reguizerL]t c. 152, §1(4), and we havt no employees. [No workers' 13.[] Other comp.instuanc,rcq ircd.] *Any applicant flat cbcclo;box#1 must also fill out thc'scc6on below showing their work='eoxmprnsaAon policy infDrrmtion_ tt�Eiomcowners who submit thin affidavit indicating they am doing all work and thin an hire outside etrsetors must eubrnit a new affidavit indicating such_ �--MtMrtAr3 dizf cbmk this box must attached an additional sheet chewing the nm ae of the sub-�mtrattars and staff whctt�cr or not thost cntitits havo 1 cmployem. If the sub-contractors have crriploycee,they must prnvid6 their workers'comp.pobey number. lam an employer that is providing workers'compensalwrz insurance for my employees. Below is the polfcy and job site info rrTmado rL Insurance Corapany Name: Policy#or Self-ins. Lie.#: Expiration Date: Job Sitc 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 requutd under Section 25A of MGL c. 152 can lead to the imposition of rrircinal penalties of a 5nn tip to 51,500.00 and/or one-year imprisonmr'nt, 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. Bc ajviscd that a copy of this statr=iit may bo forwarded to the Officc of JuVC5t1 ations of t1jr,DIA for rnsurancc covcra c Verification. I do her rd under the a' and pert ofperjccry that the information provided above is true and ct.corre Si a_imc: Date: � IXq �0 . _ Phone# V® Ofj5cinl use only. Do nol write in Ibis area, to be completed by city or town officiaL City or Town: Perm.it/License# Issuing Authority.(circle one): 1. Board of Health 2.Building Department 3, City/Towu Clerk 4.Electrical Inspector 5.Plumbing Inspector 6. Other Contact Person: Phone#: Massachusetts Gcneral Laws chapter 152 requires all employers to provide workers'compensation for their employees: pursuant to this statutc, an employee is defined as "..-every person in the service of another under any contract of hire, . cxpsess or implicd, oral or written_" , r is defined as "an in ,Par dividualtnership, association, corporation or other legal entity, or any two or more An employe of the foregoing engaged in a joint cntcrprise, and including the legal representatives o a deceased employer, or the receiver or trustee of an mdundual,partnersmp, association or other legal entity, employing employees. Flowever the owner of a dwelling house having not more than throe apartments and who resides therein, or the occupant of the iwclling house of another who employs persons to.do maintcnancc,construction or repair work on such dwelling house )r on the grounds or building appurtenant thereto shall not becaust of such employment be deemed to be an employer." v6GL chaptcr 152, §25C(6) also states that"every state or local licensing agency shall withhold the issuance or •enewal 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." , VdditionaIly,MGL ohaptcr 152, §25C(7) states`Neither the corrumonwcalth nor any of its political subdivisions shall rater into any contract for the performance of public work uniil acceptable evidence of compliznce with the innLe cquircmenfs of this chapter have been presr-ntcd to the contracting authority." ,pplicantr ` Ica se fill out the workers' compensation affidavit completely,by chzcking the boxes that apply to your situation and, if cecssary,supply sub-cantractor(s)name(s), address(cs) and phone numbers) along with their ccr i ficatc(s) of issuance. Limited Liability Companies(LLC) or Limited Liability Partnerships (LLP)with no-employees other than the icmbers or partncis, arc not required to carry workers' compensation innn-ance. If an LLC or Z LP does have ulployccs, a policy is rcquircd.. Bc advised that this affidavit may be submitted to the Department of Industrial midcnts for confirmation of insurance coverage. Also be Lure to sign and date the affidavit The affidavit should returned to the city or town that the application for the pcumit or license is bring requested, not the Deparhnent of idustrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' impensation policy,please call the Department at the number listed below. Sclf-insured companies should enter their ,If_inntranl;:e license number ou the appropriate,line. ity or Tow- Officials case be sure that the affidavit is complete and printed legibly. The Dcparhnent has provided a space at the bottom ,the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant case be sure to fill in the permitnc�cnsc number which will be mcd as a reference number. In addition, an applicant at must submit multiplo permit/liecnsc applications in any given year,need only submit onp affidavit indicating euacid ,lacy information(if necessary) and undcr`Job Site Address" the applicant should write"all locations in. (city or wn)."A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the plicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit.must be f llcd out each ar.Whcro a home owner or citizen is obtaining a license or permit not related to any business or.comanercial ventnrc ves etc.) said person is NOT required to complete this a$davit a dog license or pcmuit to brim lea c Office of lnvcstigation5 would hke.to thank you in advance for your cooperation and should you have any questions, :ase do not hcsitatc to give us a call Department's a.ddress, telephone-and fax number, i ` The Gommonwt-,dth of Massachusetts Aegaztvoent of Industrial Accidents Office of Luvestipfi ins 600 Wa.shingtan Street Boston, MA 02111 617-72 7-49O.0 cxt 4-06 cr 1-8 77-MASSAFB Fax# (517-727-7744 [ 11-22-06 wwt�.maSS.gov/dia ��°FTMEr y ToW* n of$aMstable Regulatory Services BAaHsrwsLE, Thomas R. Geiler,Director. i639- �a ca Building Division Tom Perry, Building Commissioner 200 Main Street, Hyannis, MA 02601 www.town.barnstable_ma.us Office: 508-862-403 8 Fax: 508-790-623 0 Property Owner Must Complete and Sign ThisSection ff Using A Builder d ' Ac Si MO"— , as Owner of the subject property hereby authorize V t :f�' 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. Town of Barnstable o r r Regulatory Services Thomas F. Geller,Director swxxsrwst.�. - • 16yq- Building Division PTFo �a Tom Perry,Building Commissioner . 200 Main Street, Hyannis, MA 02601 . . Rvww.town.barnstabl e.ma.us 508-862 4038 Fax: 508-790-6230 HohU-OWNER LICENSE EXEMPTION Please Print DATE JOB LOCATION: numb village er S trcet "HOMEOWNER": work phone# name home phone# CUR}ZENT 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 HOMEON'YNER , 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 esponsible for all such work performed under the building permit. (Section 109.1.1) [he undersigned"homeowner" assumes responsibility for compliance with the State Building Code and other applicable codes, bylaws,rules and regulations. kt'e undersigned "homeowner"certifies that he/she understands the Town of Barnstable Building Department ninimum inspection procedures and requirements and that he/she will comply with said procedures and �,quirements. ignaturc of Homeowner pproval of Building Official Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the ate Building Code Section 127.0 Construction Control. HOMEOWNER'S EXEMPTION The Code states that "Any homeowner performing work for which a building prnnit is rcquirrd shall be ezerrrpt from the provisions. this section(Section ltJm.l -Licensing of construction Supervisors);provided that if the homrnW'ncy engages a P�on(s)for hire to do such rk,that such Homeowner shall act as supervisor." Many homeowners who use this exemption arc unaware that they arc assuming the responften roes is s supervisor(sec Appendix Q, )cs&Regulations for Licensing Construction Supervisors,Section 2.15) This lack of awareness often results in serious problems,particularly cn the homeowner hirrs unlicensed persons. In this case,our Board cannot procccd against the unlicensed person as it would pith a licensed rcrvisor. The homeowner acting as Supervisor is ultimately responsible. To ensure that the homeowner is fully aware of his/her r<sponsibilitirs,many communities require,as part of the permit application, the homeowner certify that hdshe understands the respombilitics of a Supervisor. On the last page of this issue is a form currently used by cral towns. You may care t amend and adopt such a forn/eertification for use in your community. I �\s D`\t.`I:Zn1c"tn ant\S \`C`�uldtsor `luense of gui\�\ Superv� 13 t1 struut1On Con 52654 License G Restricted to: 1 N 3 BROW ROgGR1 ' NN1TE S 02p35 912010 . FOXBOIR MP Exp.of too. 2g095 um� fw R¢gula Board of ns and Standards Building ENT CONTRACTOR HOME.IMPROVEM <. 1 Re�!Strat�on Tr# 129469 pirat► n -412412009 individual ''-A Typ t �: Yr . ROBERT J-BROW R , :.: '. I ` ROBERT BRO ' KITE STREET pdm�nist�ator =r t. I 106 G�; ° MA 0.2035 ? _ FOXBORO P ' Sw N OR - YAN o`' z OR vw LOCUS p HARBOR BLUFFS Ov OSNOLD LENS BAY 13 12.14 LOCATION MAP a � 50 16 90.00 BENCHMARK: RIM OF 10 SEWER MANHOLE EL 10.50, FROM SEWER DEPT RECORDS 5::00 12.00 EXISTING STONE WALL LOT 73 4.00 7.00 1Do' FROM TOP OF NK CZ) - ;. 2x4 RAILS 2 PLCS 1.5" CHAMFER 12.82 .81 12.45 6>' TYP LANDING ELEV 10± :.. N .. t�J NEW GRANITE PAVE DWELLING •- 6 vATION CURB :& APRO PAVED — — 3:30 PM DRIVEWAY 22 PATIO STONE AT GRADE 34 CHISEL TOP OF STONE 20 TO REDUCE ELEVATION O o --(?F LANt3{N� - --- 8 _ BURY 2'f TYP AND URY 3 t TYP. LC7615 ANCHOR TO OR ANCHOR TO TOE STONES q DECK EXISTING STONE _ - �y 6 4— 2X12 STRUCTURE ACQ TREATED WOOD .67 WITH COMPATIBLE FASTENINGS T B S EW RETAI ING WALL >4 AND STAIRS LIMIT OF FLOOD ZONE Al2, ELEVATION 12 S CONTRACTOR TO SUBMIT DETAILS s 4 NEW SOD 37 2 ("SHOP DRAWINGS") TO ENGINEER 11t o1 o LIMIT OF 18� SLOPE FOR APPROVAL BEFORE CONSTRUCTING CLUSTER OF CREEPING JUNIPER, 5 OC, TYP, TO BE 5 0 5 10 15 PLANTED SPRING 2007 AT RATE OF 1 GAL/LINEAR FT SCALE: 1•=10` 5.0 $ SWEETFERN, 4 PLCS, TYP SECTION B - B 1200 s 154.00 00 w i 60 LOT 61 BEACHGRASS MEAN co 4.00 PROPOSED S AIRS 69 '� HIGH B. WATER ----` ELEV 3.1 O 78 - --`� THIS PLAN MAY NOT BE USED I ° _ TO ESTABLISH PROPERTY LINES PLAN VIEW LC 7615 R LOT 161 ASSESSORS MAP: 325 PARCEL: 094 10 Q 10 20 30 scALE: 1•=2a f'A ,�-�-c•� PROPOSED STAIR PLAN 159 HARBOR BLUFFS RD, HYANNIS --- - �� AS PREPARED FOR CALF DATE: MAY 21, 2007 CATHERINE k DESIMONE OTE REV.: SEP 18, 2007 BERNARD J. YOUNG, P.E. BOX 1539, DENNISPORT, MASS 02639 (508) 394-1960 SHEET 1 OF 1