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HomeMy WebLinkAbout0049 CAP'N ISIAH'S ROAD � P � � Town of Barnstable ,oFTHE rpy� Regulatory Services o� Thomas F.Geiler,Director s"RMASS. ' ' Building Division v�PIED �16 Tom Perry,Building Commissioner 260 Main Street, Hyannis,MA 02601 www.town.barnstable,ma.us Office: 508-862-4038 Fax: 508-790-6230 PERMIT# Za I I FEE: $��So SHED REGISTRATION 120 square feet or less 17 cl C �' 7 . z s i .S rO 1 Location of shed(address) Village Property owner's nam Telephone number 12 0 (23 9OC 9 Size of Shed Map/Parcel# Signature Date Hyannis Main Street Waterfront Historic District? Old King's Highway Historic District Commission jurisdiction? �Conse vvat n Commission(signature is,r.equired)_,, _� Sign off hours for Conservation 8:00-9:30 &3 30 4:30 PLEASE NOTE: IF YOU ARE WITHIN THE JURISDICTION OF ANY OF THE ABOVE COMMISSIONS,THERE MAY BE A REVIEW PROCESS AND APPLICATION FEE. PLEASE SEE THE APPROPRIATE COMMISSION FOR DETAILS. THIS FORM MUST BE ACCOM]PANIED BY A PLOT ]PLAN Q-forms-shedreg REV:042506 • � CAP 'N .ISIAH S.-PD. 49'!4'J7 R-580.00 N "EA..68.06 56.94 7/•� .00 ro 46 S..00 w ry t N y is icn LOT 01 , 20, 000 S. F. 80.99 S 59'01'11 a# PLOT PLAN �F LAD. THE BEST OF MY KNOWLEDGE, THE FOUNDATION , L OCA TED IN SHOWN ON 'THIS PLAN IS AS IT ACTUALL Y EXISTS ON THE GROUND. d _ BA PNS rA BL E—CO i Ur.T—MA SS. DA TE.• AUG. 10, 1987 o\�,a '�`�< PREPARED FOR DAVID o CHARILES- JAI MES GULL D 28085 DATE.•AUG. 10 1987 . `� ., ; SCALE,.• 1 50 FT FLOOD ZONE C (NON—HAZARD) �Si�`r���TCn��;t t CAPE & ISLANDS' SURVEY.ING TEA TICKET -- MASS i `OFIKE Tp� Town of Barnstable � ..BARNSTABLE. Regulatory Services r. MASS. Building Division i ArFD MPy� 200 Main Street, Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 Inspection Correction Notice Type of Inspection 2; f Location � °,�� ,S t►44j 5 C Permit Number Owner Builder - f One notice to remain on job site, one notice on file in Building Department. The following items need correcting: K o t4 f2 E- Ja rtiC-, / J lQz op 7r/ AiI fI-1 s ,> 4 lr } — W r i W ' Please call: 508-862-4838'for r - sP-stiorr G Inspected by �YZ Date 4 Assessor's offioe .0st floor): ^� Q / p//'. J a -....�[7 / THE T W Assessor's map and lot number .......................................... '- '`C (� Q..°�`♦ Board of Health (3rd floor): Sefage•..Permit': number ��.-37........ 'r;.'":. ...... f... Z EAHd9TAD E. i . .. ........ Engineering',: e�}a:itm nt (3rd-floor) L� I K +oo rb 9 Hduse nC�mber>,. :::".::................................................................. o MaI a• is t ;' APPLICATION8'-' 'R&ESSED 8:30-9:30 A.M, and 1:00-2:00-'P.M. only TOWN OF BARNSTABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO ....Y.V.P.W....: a!^ �✓c.�4 .. i10,.t..1/(.P �..... a TYPE OF CONSTRUCTION n /Jt �( .,,.. /�n,v►'>?Q.....LttJ..Gt(y..�..�f:.l!1GL.!M..:Q................�!!� ..........................�`..�L.......19."� TO THE INSPECTOR OF BUILDINGS: ,.. .. . . . . The undersigned hereby applies for a permit according to the following information: Location ............/10.._/......�/.....� n..—I. I.0cc. .... .( ..D............ ...o... 0 ............! ProposedUse ........ ...... t ...... .......................................... Zoning District .........!' . r................................................. Fire District ...... (��.( .................................................... Name of Owner ...:., .K�.I K? ...6.f..U.1.�...........................Address ....�$...P! >P..(a.c!c%5 .. d!...... �i.� .P.S� ►!l� Name of Builder ....... .. .........................Address .... R!i:gP... . ... .l�b.. ....... ....... Nameof Architect ......^.....................................................Address .................................................................................... r rI Number of Rooms .......... ...................................................Foundation o�Pz..X `? ......Pl�.v.df ... ....... Exterior ............ ...................................................Roofin -S g .......P 4.... .................................................. Floors .......�"W6...................................................................Interior Heating :.............. ..... -- ...Plumbing..... ..... ............................ Fireplace ........ !.�. r! Approximate Cost ....��.� ©�o Definitive Plan Approved by Planning Board --------------------------------19-------- . Area .......................................... Diagram of Lot and Building with Dimensions Fee ............................................. SUBJECT =10PVAL OF BOARD OF HEALTH t 0 t OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all.the Rules and Regulations of the Town of Barnstable regarding the'ci6ove construction. Name ...(.....v� .. ........... -r.............................. Construction Supervisor's License ...0.>.. x1l.Y.,3 .r/,.. � � GUILD, JA88ES A=O38-069 4�--~~ Tvvm Story � No -----' Permit for ------------ ` _ Si l }7 il Dwelli ---'����—e--�����-----��o�-- ^ Location --I^—ot #5l� 49 Caot,—`--—i Road Io �b ----' -----^= `-� Cotoit . -------------------'-----r. James Guild ' - ~ Owner .......James F ra�e ' Type of [on��ruc�ion -------------- . -----------'--------------' Plot ............................ Lot ----------' � ^ ^ ' ' ` S �t. l� 87 Permit Granted .......... —e-- �--_�—'lV , Date of Inspection ....................................l9 . ` � Date Completed ------------]P ' i/ ' ^ ,� w . . ' . ' . ' ~' ` - ^ / ` / ' '^« � � v� �� ` /' ' / ' | ' / | ~ a TOWN OF BARNSTABLE 3120.3... PermitNo. .......: . ....... BUILDING DEPARTMENT TOWN OFFICE BUILDING Cash Nl -' On*a `'�ca..T+^ HYANNIS,MASS:02601 Bond .. CERTIFICATE OF USE AND.OCCUPANCY Issued to James Guild Address Lot':#'51 49 Cap On' IS'iaM':s oad Cotuit, Mass': ' . USE GROUP' 'FIRE GR`A6AG' O'CCUPAN Y LOAD THIS. PERMIT WILL NOT.BE VALID, AND THE.BUILDING\HALL NOT BE OCCUPIED.UNTIL` SIGNED BY THE BUILDING INSPECTOR UPON SATISFACTORY.CQMPLIANCE :WITH TOWN REQUIREMENTS AND [N'ACCORDANCE WITH SECTION 119 OWF THE MASSACHUSETTS.STATE BUILDING CODE ` ' ,- Au ust 17 9.0 1A. I Buil ing Inspector g I s. j:, ��..��� '•.w TOWN OF BARNSTABLE BUILDING DEPARTMENT STAIM TOWN OFFICE BUILDING ►• � G ruaL °b t039. HYANNIS, MASS. 02601 �0 rAY . MEMO TO: Town Cleik FROM: Building Department DATE: An Occupancy Permit /has been issued for the building authorized by Building Permit $k. ? / .a ... . ........... `....._ _....... .. ......_.........._ .._. issuedto / .._ r� ...... .................................._...................... ......._......._... ......... .........»..»»..»»»»» ..........� ».. ..V k Please release the performance bond. . j i TOWN.OF BARNSTABLE, MASSACHUSETTS 1' ` BUILDING DATE APPLICANT 'PERMIT�F�T� ADORESS/ a PERMIT TO ( NUMBER. OF: T_) STORY DWELLING UNITS'' AT (LOCATION) ZONING': 4.'7 �• / a�L iISTILE!;, 1. o act, C o tu.i t. BETWE N AND a (CROSS STREET) .: (CROSS STREET). ;Ci•< •:;'::�;;..:: SUBDIVISION LOT ,..;.r• „i;ij.i-. + ._ LOT BLOCK SIZE BUILDING IS TO BE FT, WIDE BY FT, LONG BY FT: IN HEIGHT.ANO SHALL CONFORM IN.CONSTRUCT.LON. TO TYPE ;E :,.r..<.•: USE GROUP BASEMENT WALLS OR FOUNDATION ',;>f•` j;;: '' ' /r (TYPE)'; , REMARKS: C•. � .t.- - AREA OR ..:Borid.: VOLUME _ C ..,.;,✓' f.... ESTIMATED COST J PERMIT' - 1'C/SOU irE FEET) FEE. OWNER ADDRESS • BUILDING DEPT, 1 u (:: ' .s�,.ice•'��'�. •�.r:. OF ANY APPLICABLE SUBDIVISION RESTRICTIONS. MINIMUM OF THREE CALL APPROVED PLANS MUST BE RETAINED ON JOB AND THIT ERE APPLICABLE SEPARATE INSPECTIONS REQUIRED FOR ALL CONSTRUCTION WORK: CARD KEPT POSTED UNTIL FINAL INSPECTION HAS BEE REQUIRED FOR RMITS ARE I. FOUNDATIONS OR FOOTINGS. MADE. WHERE A CERTIFICATE OF OCCUPANCY IS RECHANICAL INSTALLATIONS. 2. PRIOR TO COVERING STRUCTURAL ECTRICAL, PLUMBING AND MEMBERS(READY TO LATH). QUIRED,SUCH BUILDING SHALL NOT BE OCCUPIED UNTI 3. FINAL INSPECTION BEFORE FINAL INSPECTION HAS BEEN MADE, 1 OCCUPANCY. POST THIS CARD SO IT IS VISIBLE FROIi� STREET BUILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS 1 ELECTRICAL INSPECTION APPROVALS 1 kkr, . . l Ig_ ss •RQT- pew{,- fl w L Au .•( 10^ yo 3 HEATING INSPECTION APPROVALS I --- ENGINEERING DE P ENT OTHER ti BOARD OF HEALTH Lqa�L cr.z %lalo WORK SHALL NOT PROCEED UNTIL THE INSPEC. PERMIT 'H! T TOR HAS APPROVED THE VARIODUS STAGES OF WORK IS NOT 5 STARTED NULL ITryINND VOID IF MONTH$ OPSTRUCATE THE CONSTRUCTION. INSPECTIONS INDICATED ON THIS CARD CAN SE PERMIT i$ ISSUED A$ NOTED ABOVE ARRANGED FOR BY TELEPHONE OR WRITTEN NOTIFICATION. CAP 'N rSrAH'S " R.580.00 N 49'!4'!7 E A�68.06 56.94 S"jNs y LOT 51 , 20, 000 .S.F. . 80.99 • S 59'OJ�'11'W . . \ . PLOT PLAN OF LAND. "TO THE BEST OF MY KNOWLEDGE, THE FOUNDA TION '.: L OCA TED IN SHOWN ON THIS PLAN IS AS I T ACTUALL Y EXISTS ON BA RNS TA BL E-CO TUI T-MASS. THE GROUND. " AH of �as�� \ PREPARED FOR DATE.•AUG. 10, 1987 ���•: OAVID DAMES GUILD CHARLES SANICKI � R.L.S. o "4 28085 DATE:AUG.10 , 1987 SCALE.' 1 50 FT. FLOOD ZONE C (NON—HAZARD) s�� U r� CAPE 6 ISLANDS SURVEYING ��1 LAND�'a's� TEA TICKET - MASS. ��R4 w _���Go�irt� CUi <(Zacv 159 TOWN HALL SQUARE FALMOUTH. MASSACHUSETTS 02540 TELEPHONE 540A222 AREA CODE(617) June 17 , 1987 Mr. Joseph DeLuse Building Commissioner Town of Barnstable Town Hall Hyannis, MA Dear Mr. DeLuse; Please be advised that I represent James C. Guild, the-owner of -Lot 5-1 Cap'n Isialf' s--Road, Cotuit I have researched the title and find it to be a buildable lot as the prior owner, Linda D. Goehring, owned no contigious lots in the sub-division. Very truly yours, AEE R. PERPl�LL, ESQ. PRP:ms cc: James C. Guild N, 4` - _ _ - - - - - - -, --*-' � ssess>�r's offioe .(1st floor): _ �''C SYSTEM �r US7 OF. Assessor's map and lot number .........�.......a. ....�6.`.9::?.11% + IN C®MPLIANQ Board of Health (3rd floor): WITH TITLE 5 Sewa a Permit number ....rQ"Y?.... ............. SSG NMENODE = aaa9TAD E;.. TAL C Engineering „ ",a`rtm4nt (3rd floor): �J K TOVWW REG +�o,,�NAB House n'Umber...::::".............................. ...�...! ..... �L���®�� 0YAY6� .................. APP ICATIONS �P'OCESSED 8:30-9:30 A.M. and 1:00-2:00 P.M. only TOWN OF BARNSTABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO .. Vv.q,-w...2(4!,7. VV....ice.!...�... v". s�.... 'n TYPE OF CONSTRUCTION ....Why:r�..'Fib.inn:�.......!�.,e.S ,u:c....:��.......�cl.:v!'�X':........................... .......................... TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: 6 Location ...........��...... I.:.... 'fir-ffi n 5/�1 ........... ........w1A s ' w Proposed Use ........Qv..S... ...... .✓.':e.Se... ......kov.se.......................................... Zoning District .........97.r..................................................Fire District ......CVX4,,L-1..................................................... Nome of Owner ...:S1o.1 Aw-'s...Gil.I.............................Address ...j3l$...Pt.-n P..tit,ia :fix-,..Q,:(..... 2.��10.� � Nome of Builder ..... S..G.v..t.4E.F'../� .....................Address .... ..... ...... Nomeof Architect ........ .....................................................Address .................................................................................... Number of Rooms .......... 1 t v n ...................................................Foundation ..o�g..J.r�3�'.......Po..r/. . .....��...�,6.7'..�'. ......... Exterior ............C,.Qe?4G *-+ ...................................................Roofing .......1�.,S.P.�st.�,�.................................................. Floors .......!tww....................................................................Interior .... : Hdoting .........Q'tj.................................................................Plumbing ....w Fireplace ........ ..........................................................Approximate Cost ..../1,101 90............................................ Definitive Plan Approved by Planning Board ----------------------_----------19________ . Area .........��6 y . .......................... Diagram of Lot and Building with Dimensions Fee •.......... 5....... SUBJECT T P V L OF BOARD OF HEALTHC�" 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 ... ..rr.. .... . Construction Supervisor's License ...�J. 2 D...�.3.�... GUILD, JAMES `1M o :3120L.-P.6}mit for ...Two...Sto...Y......... .Single Family Dweiiing ? location ......49 Cap.'n ..Isiah Road Cotuit ............................................................................... Owner .....James Guild ................................ ^ l Type of Construction Frame : a c Plot Lot ................................ A 111 Permit Granted ....Sept. 16 r...... ....-19 87 I �_ Date of Inspection ......................1.9 ?_, Date Corn fete ..?.77'.� ...........19 e t+ V 07 F r l t1HE Town of Barnstable *Permit# OErpires 6 mo dlrs jroin issue date Regulatory Services Fee 43 IARNSTABLE, 9cb i639. � Thomas F. Geiler,Director Building Division . Tom Perry, CBO, Building Commissioner 200 Main Street, Hyannis, MA 02601 _ www.town.barnstab le.ma.us Office: 508-862=403 8 Fax: 508-790-6230 EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY Not Valid wit/rout Red X=Press Imprint Map/parcel Number Property Address `f rs p -ZJ i e,� rz9 Residential Value of Work .S; .5-0c, Minimum fee of S35.00 for work under$6000.00 Owner's Name& Address G �/p/ 1 ,j'O(;"! Contractor's Name Telephone Number Home Improvement'Contractor License#(if applicable) . Construction Supervisor's License#(if applicable) ❑Workrn 77 an's Compensation Insurance ' t�„ 3 Check one: a sole proprietor ,__1•� .$ �, , ,.ItI 1 am the Homeowner ❑ I have Worker's Compensation Insurance I '%�i � OF E3ARN331-AS"l Insurance Company Name Workman's Comp. Policy# Copy of Insurance Compliance Certificate must accompany each permit. Permit Request(check box) ❑ Re-roof.(stripping old shingles) All construction debris will be taken to ❑ Re-roof(not stripping. Going over existing layers of roof). EO/Re-side #of doors Replacement Windows/doors/sliders. UValue (maximum .44)#of windows *Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. ***Note: Property Ownei must sign Property Owner Letter of Permission. A copy of the Home Improvement Contractors License& Construction Supervisors License is required. . SIGNATURE: Q:\WPFILES\FORMS\buil perm itforms\EXPRESS.doc The Commonwealth of Massachusetts c i Department of Industrial Accidents ^g; jr Office of Investigations 600 Washington Street w a j Boston, MA 02111 . www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name (Business/Organization/Individual):. a c tt r nUCl(,1,} Address: `7 r� G Tit/ .-.I—_S 1,qhi R d City/State/Zip: C l 0 a J Al/q p) 3-5'Phone #: s o '? ! 2 o — 9150 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 6. ❑ New construction employees(full and/or part-time).* have hired the sub-contractors 2.❑ 1 am a sole proprietor or partner- listed on the attached sheet. x ❑ Remodeling ship and have no employees These sub-contractors have 8. ❑ Demolition working for me in any capacity. workers' comp. insurance. 9. ❑ Building addition Za[Norkers' comp. insurance 5. ElWe are a corporation and its ]0.❑ Electrical repairs or additions ed.] officers have exercised their 1homeowner doing all work right of exemption per MGL 1 LE] Plumbing repairs or additions myself..[No workers' comp. c. 152, §1(4), and we have no 12.❑ Roof repairs insurance required.] t employees. [No workers' 13.0 Other comp. insurance required.] *Any applicant that checks box#l 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. tContractors that check this box must attached an additional sheet showing the name of the sub-contractors and their workers'comp.policy information. I am an employer that is providing workers'compensation insurance for my employees. Below is thepolicy and job site t 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 pains and penalties of perjury that the information provided above is true and correct. Si ature: Date: :2 Phone#: Official use only. Do not write in this area,to be completed by city or town official 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 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 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-contractor(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 isTequired. 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 pen-nit/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 021.11 Tel. # 617-727-4900 ext 406 or 1-877-MASSAFE Revised 5-26-05 Fax # 617-727-7749 www.mass.gov/dia } ' ! t Town of Barnstable h� 0 Regulatory Services STAB Thomas F. Geiler,Director BARNIJas,tss_ - . � ib�P � Building Division PlFO MA't a Tom Perry, Building Commissioner 200 Mairi.Street,_Hyannis, NfA.02601 www.town.barnstable.ma.us Office: 508-862-403 8 Fax: 508-790-6230 I301•,fEOV NER LICENSE EXEMPTION Please Print DATE: 2 /1 6-1 / JOB LOCATION: � zs i e 7 j fl d I✓(3 A number s trcct village "HOMEOWNER": � F A�QG.t `7�V Iwo— wpb name / ,���homc phone# J work phone# CURRENT'MAlI.ING ADDRESS: - Pd- I If c 0 io r Al//9- 01 C.?J 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 BONIEOWNER 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 constrgcts 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 re ements. Signatur H eowner Approval of Building,Offrcia) 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 scction.(Sectian 109.1.1 -Licensing of construction Supervisors);provided that if the homcowncr engages a prrsw(s)for hire to do such work,that such Homeowner shall act as supervisor." Many homeowners who use this exanption arc unaware that they arc assuming the responsibilities of a supervisor(sec Appendix Q, Rules&Regulations for Licensing Construction Supervisors,Section 2.15) This lack ofawarcness bftcn 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 resporuibili dcs,many communities require,as part of the permit application, that the homeowner certify that hrJshe understands the respansibilitics 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 fom✓certification for use in your eorrnnunity. TKME Town of Barnstable ` Regulatory Services sARNsrABLB, . MAs& �, Thomas F. Geiler,Director yg- 0 Building Division Tom Perry, Building Commissioner 200 Main Street, Hyannis, MA 02601 wWw.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using ABuild& as Owner of the subject.property hereby authorize to act on my behalf, m 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.