Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
Home
My WebLink
About
0248 WHEELER ROAD
� � n a II 1 r ' i r Town of Barnstable _ Building ? Post This Card So That it is Visible From the Street-Approved Plans Must be Retained on Job and this Card Must be Kept �' 169. Posted Until Final Inspection Has Been Made. ' Permit rasa �� 1 `11 JliJl Where a-Certificate of Occupancy is Required,such.Building shall Not be Occupied until a Final Inspection has been made. Permit No. B-18-2035 Applicant Name: CAPE&ISLAND CONSTRUCTION CO INC. Approvals Date Issued: 07/06/2018 Current Use: Structure Permit Type: Building-Siding/Windows/Roof/Doors Expiration Date: 01/06/2019 Foundation: Location: 248 WHEELER ROAD,MARSTONS MILLS _Map/Lot: 082-013 .� Zoning District: RF Sheathing: Owner on Record: GODE,A JAY&PAMELA J "� Contractor Name: CAPE&ISLAND CONSTRUCTION Framing: 1 Address: 1410 S E 17TH STREET CO INC. 2 FORT LAUDERDALE, FL 33316 - -- Contractor License: 165936 ! i � t Chimney: Description: siding/(18)Windows i # Est. Project Cost: $40,000.00 I } Permit Fee: $204.00 Insulation: Project Review Req: Fee Paid:' $204.00 Final: Date: 7/6/2018 #)a�_ Plumbing/Gas h/ilding Official Rough Plumbing: This permit shall be deemed abandoned and invalid unless the work authorized by this^permit is commenced within six months after issuance. Final Plumbing: All work authorized by this permit shall conform to the approved application and theiapproved construction documents for which this permit has been granted. All construction,alterations and changes of use of any building and structures shall be in compliance with the local zoning by-laws and codes. Rough Gas: This permit shall be displayed in a location clearly visible from access street or road and shall be maintained open for public inspection for the entire duration of the I work until the completion of the same. Final Gas: i The Certificate of Occupancy will not be issued until all applicable signatures tures b the Building and Fire-Officials are provided on this emit. P Y PP g Y g P P Electrical Minimum of Five Call Inspections Required for All Construction Work:! r 1.Foundation or Footing /' Service: 2.Sheathing Inspection r' Rough: 3.All Fireplaces must be inspected at the throat level before firest flue,lining is installed __- 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection Final: S.Prior to Covering Structural Members(Frame Inspection) 6.Insulation 7.Final Inspection before Occupancy Low Voltage Rough: Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Low Voltage Final: Work shall not proceed until the Inspector has approved the various stages of construction. Health "Persons contracting with unregistered contractors do not have access to the guaranty fund" (as set forth in MGL c.142A). Final: Building plans are to be available on site Fire Department All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT Final: Town of Barnstable Building Post This Card So That it is Visible From'the Street-Approved Plans Must be Retained on Job and this Card Must be Kept 1639. Posted Until Final Inspection Has Been Made. • Where a Certificate of Occupancy is Required,such Building"shall Not be Occupied until a Final Inspection has been made. Permit Permit No. B-18-2035 Applicant Name: CAPE&ISLAND CONSTRUCTION CO INC. Approvals Date Issued: 07/06/2018 Current Use: Structure Permit Type: Building-Siding/Windows/Roof/Doors Expiration Date: 01/06/2019 Foundation: Location: 248 WHEELER ROAD, MARSTONS MILLS Map/Lot: 082-013 Zoning.District: RF Sheathing: Owner on Record: GODE,A JAY&PAMELA J Contractor Name: . CAPE& ISLAND CONSTRUCTION Framing: 1 Address: 1410 S E 17TH STREET -CO INC. 2 Contractor License: 165936 FORT LAUDERDALE, FL 33316 Chimney: Description: siding/(18)Windows r Est. Proje't Cost: $40,000.00 Permit Fee: $204.00 Insulation: Project Review Req: Fee Paid $204.00 Final: Date:f 7/6/2018 Plumbing/Gas Buil m Official Rough Plumbing: This permit shall be deemed abandoned and invalid unless the work authorized by this permit is commenced within six months after issuance. Final Plumbing: All work authorized by this permit shall conform to the approved application and the°approved construction documents for which this permit has been granted. All construction,alterations and changes of use of any building and structures shall lie in compliance with the local zoning by-laws and codes. Rough Gas: This permit shall be displayed in a location clearly visible from access street or road and shall be maintained open for public inspection for the entire duration of the work until the completion of the same. 1 Final Gas: The Certificatef I' _ 'o Occupancy will not be issued until all applicable signatures by the Building and Fire Officials are provided on this permit. Electrical Minimum of Five Call Inspections Required for All Construction Work: 1.Foundation or Footing Service: 2.Sheathing Inspection 3.All Fireplaces must be inspected at the throat level before firest flue-lining is installed Rough: 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection Final: 5.Prior to Covering Structural Members(Frame Inspection) 6.Insulation Low Voltage Rough: 7.Final Inspection before Occupancy ' Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Low Voltage Final: Work shall not proceed until the Inspector has approved the various stages of construction. Health "Persons contracting with unregistered contractors do not have access to the guaranty fund" (as set forth in MGL c.142A). Final: Building plans are to be available on site Fire Department All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT Final: r _ ;4; ....fir:.. _. ,::.... . � � e35 o� Application numbe ........�•••�......••••• ••• DateIssued................................................................. i R KAMBuilding Inspectors Initials........................................ rim Map/Parcel..................................3......................... ... ....... - � JUN 25 201 Tftffi,���0 �jjB`` ARNSTABLE a EXPEDITE W-T APPLICATION: \ ROOF/SIDING/WINDO WS/DOORS/TENTS/STOVES/WEATHERIZATION PROPERTY INFORMATION Address of Project: 2 w l t e - ^C f J ° `I & CER STREET VILLAGE Owner's Name: Phone Number Email Address: Cell Phone Number Project cost$ l ���C91� _ Check one Residential Commercial OWNER'S AUTHORIZATION As owner of the above property I hereby authorize to make application for a building permit in accordance with 780 CMR Owner Signature: Date: TYPE OF WORK O-Siding Iv# Windows (no header change)# ED Insulation/Weatherization . 0 Doors (no header change)# Commercial Doors require an inspector's review El Roof(not applying more than 1 layer of shingles) Construction Debris will be going to CONTRACTOR'S INFORMATION Contractor's name C J Zh G Home Improvement Contractors Registration(if applicable) # f of (attach copy) Construction Supervisor's License# (attach copy) Email of Contractors N ` �&, fr .� hone number �� ' ^3 ALL PROPERTIES THAT HA E STRUCTURES OVER 75 YEARS OLD OR IF THE SUBJECT PROPERTY IS IN. ___ .._.. __..,._,..,�... .���T.,o►� A onvnve l AFJ:nrtF A PFRMIT CAN BE ISSUED. APPLICATION NUMBER `............................................................ *For Tents Only* Date Tent(s)will be erected Removed on number of tents total Does the tent have sides? Yes No (If yes please attach floor plan with exits marked) Dimensions of each Tent X X X Additional tent dimensions can be attached on a separate piece of paper. Check one: this event is a: for profit non-profit event Check one: Food served Yes No Flame Spread Sheet of each tent must be attached. Provide a site plan with the location(s) of each tent If food is being served at your event please obtain a Health Department approval between the hours of 8:00am-9:30 am or 3:30 pm-4:30pm. Commercial events may require Fire Department approval, *WOOD/COAL/PELLET STOVES Manufacturer# Model/I.D. Fuel Type Testing Lab Offsets from combustibles: front back left side right side HOMEOWNER'S LICENSE EXEMPTION Homeowner's Name: Telephone Number Cell or Work number I understand my responsibilities under the rules and regulations for Licensed Construction Supervisor in accordance with 780 CMR the Massachusetts State Building Code. I understand the construction inspection procedures,specific inspections and documentation required by 780 CMR and the Town of Barnstable. Signature Date APPLICANT'S SIGNATURE Signature Date All permit applications are subject to a building official's approval prior to issuance. I' " The Commonwealth of Massachusetts Department of IndustridAccidents office of Investigations 600 Washington'Street Boston,MA 02111 www mass.gov/dia Workers' Compensation Insurance Affidavit- $°tiders/Contractors/Elecctriiciam/PI b rs PleApplicant Information Name(Busmess/Organizati on/fndividual): Address: a !J City/State/Zip: v ; Phone#: Type of project(required): Areyou an employer?Check the appropriate box: general contractor and 1 6. New construction 4, Iama 1, am.a employer with_ — have hired the sub-contractors employees(full and/or part-time).* listed on the attached sheet 7. ❑Remodeling 2.❑ 1 am a sole proprietor or partner- These sub-contractors have . 8. Demolition ship and have no employees employees and have workers' 9. Building addition working for me in any capacity e t [No workers'comP•insurance 5. COMP.e a corporation and its 10.0 Electrical repass or additions requires.] officers have exercised their 11.❑Plumbing repairs or additions 3.❑ I am a homeowner doing all work right of exemption per MGL 12,0 goof repairs naysel£[No workers'comp. c.152,§1(4),and we have no 13.0 Other instrance�required.]t employees.[No workers' comp.instzrance required.] *Any applicant that cb=ks box#1 must also fill out the section below showing their workers'compensation policy information t Homeowners who submit this affidavit indicatng they are doing all work and then hue outside contractors must submit a new not rho t indicating loch tContractors that check this box must attached an additional sbect showing the name of the sub-contractors and state whether or not those entities have 1 ees,they must provide their workers'comp.policy number. employees. If the sob-contractors have emp oy �d'ob ST1e I am an employer that is pr oviding workers'compensation insurance for my employees. Below is the policy I informatiom l) hmn-ance Company Name: (� _ r 5 _ 3 7 ���� Expiration Date: Policy#or Self-ins.Lic.#: 2 City/State/Zip: L/ �� % Job Site Address:�� the policy number and expiration date). Attach a copy of the workers' compensation policy declaration page(showing P c3' expiration penalties of tea Failure to secure coverage as required under Section 25A of MG>�a 152 penalties n lead to the in the form of a STOP WOon.of RK and a fine fine up to$1,500.00 and/or one-year imprisonment,as well as civil the violator Be advised that a copy of this statement may be forwarded to the Office of of up to$250.00 a day against �Overage verification. Investigations of the DIA f9 entries of perjury that the information provided above is true and correct: I do hereby certify epains a Date: Si attae: Phone#: Official use only. Do not write in this area,to be completed by city or town officiaL Permit/License# City or Town: Issuing Authority(circle one): Inspector 5.Plumbing Inspector 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Insp 6.e'er Phone#: Contact Person: 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 id the service of another under any contract of hire, express or implied, oral or written." An employer is defined as"an individual,parinership,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 buuldings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance covemge*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 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 numiber 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 pennit/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. The Commonwealth of Massachusetts Department of Industrial Accidents Office a£Iuvestigatiow 600 Washington Street Bostwa,MA 02111 Tel.#617-727-490 ext 406 or 1- MASSA Revised 4-24-07 Fax#617-727-7744 w .mass.g0V/dla I - Tx, cCamim W1 eal!/i a�r/6jj ac%uaetlo Office of Consumer Affairs&Business Regulation I" HOME IMPROVEMENT CONTRACTOR TYPE:.Corporaticn Registration. Expiration 1659a6_.. 04/08/2020 CAPE&ISLAND GONSTRU;--T CO INC. JOSHUA 5 ELM AVE. HYANNIS,MA 02601 Undersecretary Massachusetts Department of Public Safety Board of Building Regulations and Standards License: CS-074660 Construction Supervisor JOSHUA X KOURI PO BOX 210 CENTERVILLE MA 02632 ;I Registration valid for individual use only before the expiration date. If found return to: Office of Consumer Affairs and Business Regulation One Ashburton Plac 301 Boston,MA 02 of v lidwithout signature Construction Supervisor Restricted to: Buildings of any use group which contain Unrestricted- 991 cubic meters)Of less than 35,000 cubic feet enclosed space. Its ion of the Massachusetts Failure to Posse de is cause for evocation a current of this license. MASS.GOVIDPS State Building information visit:WWIN• DpS Licensing `f�+s• *, T 4 I I . , ® DATE(MM/DDIYYYY) ACC)R o CERTIFICATE OF LIABILITY INSURANCE 5/15/2018 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER FRANK L HORGAN INSURANCE AGENCY INC NAME:NTACT 44 BARNSTABLE ROAD PHONE FAX PO BOX 250 E-MA Lo Ext: A/C No HYANNIS, MA 02601 ADDRESS: INSURERS AFFORDING COVERAGE NAIC# INSURERA: LM Insurance Corporation 33600 INSURED INSURER B: CAPE & ISLANDS CONSTRUCTION COMPANY INC I PO BOX 210 INSURERC: CENTERVILLE MA 02632 INSURE RD: INSURER E: INSURER F COVERAGES CERTIFICATE NUMBER: 41936319 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS' INSR TYPE OF INSURANCE J=ADOL WVD SUER POLICY NUMBER MMIDDY/YYYY MMLDDfYYYY LIMITS LTR COMMERCIALGENERALLIABILITY EACH OCCURRENCE $ DAMAGE To RENTED CLAIMS-MADE DOCCUR PREMISES Ea occurrence $ MED EXP(Any one person) $ PERSONAL&ADV INJURY $ GENT AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ POLICY❑PRCT O r LOC PRODUCTS-COMP/OP AGG $ JE $ OTHER: A COMBINED SINGLE LIMIT AUTOMOBILE LIABILITYaccident) $ Ea accident ANY AUTO BODILY INJURY(Per person) $ OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS ONLY AUTOS HIRED NON-OWNED PROPERTY DAMAGE $ AUTOS ONLY AUTOS ONLY Per accident $ UMBRELLA UAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED I I RETENTION$ $ A WORKERS COMPENSATION WC5-31S-377540-018 5/7/2018 5/7/2019 IT ,/ ISTEARTUTE I ERH AND EMPLOYERS'LIABILITY ANYPROPRIETOR/PARTNER/EXECUTIVE YIN N NIA E.L.EACH ACCIDENT $100000 OFFICER/MEMBER EXCLUDE D7 (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $100000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $500000 DESCRIPTION OF OPERATIONS 1 LOCATIONS I VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached If more space Is required) WORKERS COMPENSATION INSURANCE COVERAGE APPLIES ONLY TO THE WORKERS COMPENSATION LAWS OF THE STATE OF MA. This certificate cancels and supersedes all previously issued certificates,only as they relate to workers compensation coverage. CERTIFICATE HOLDER CANCELLATION TOWN OF BARNSTABLE SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 200 MAIN ST ACCORDANCE WITH THE POLICY PROVISIONS. HYANNIS MA 02601 AUTHORIZED REPRESENTATIVE Jon Smith ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD 41936319 1 1-377540 1 18-19 WC 1 n0270258 1 5/15/2018 11:32:51 PM (PDT) I Page 1 of 1 I ,.� Town of Barnstable Building Post This Card So That it is Visible From the Street=Approved Plaris Must be Retained on Job and this Card Must be Kept v M^M (Posted Until Final Inspection:Has Been Made. s M Permit �ym 1 1 1 iliJl Where a Certificate of Occupancy is Required,such Building shall Not be.Occupied`until a Final Inspection has been made. Permit No. B-18-1007 Applicant Name: Richard 1 Tavano Approvals Date Issued: 04/05/2018 Current Use: Structure Permit Type: Building-Sheet Metal-Residential Expiration Date: 10/05/2018 Foundation: Location: 248 WHEELER ROAD,MARSTONS MILLS Map/Lot: 082-013 Zoning District: RF Sheathing: Owner on Record: GODE,A JAY& PAMELA J Contractor Name:' ,Richard 1 Tavano Framing: 1 Address: 1410 S E 17TH STREET Contractor License: 6653 2 FORT LAUDERDALE, FL 33316 i l Est. Project Cost: $ 15,000.00 Chimney: i Description: 2 New Systems One In Attic and Second in Crawl Space Below. Permit Fee: $85.00 Insulation: i Project Review Req: Fee Paid:` $85.00� Date: ,-/ 4/5/2018 Final: Plumbing/Gas = Rough Plumbing: -- --- - - - -- _._ T ,Building Official Final Plumbing: This permit shall be deemed abandoned and invalid unless the work authorized by this permit is commenced within six months after issuance. Rough Gas: All work authorized by this permit shall conform to the approved application and the approved construction documents for which this permit has been granted. All construction,alterations and changes of use of any building and structures shall be in compliance with the local zoning by-laws and codes. Final Gas: This permit shall be displayed in a location clearly visible from access street or road and shall be maintained open for public inspection for the entire duration of the I _ r r work until the completion of the same. --- ---- Electrical The Certificate of Occupancy will not be issued until all applicable signatures by the Building and Fire Officials are provided on this permit. Service: Minimum of Five Call Inspections Required for All Construction Work:; Rough: 1.Foundation or Footing _ _ : ._ �._ _.,_ r 2.Sheathing Inspection Final: 3.All Fireplaces must be inspected at the throat level before firest flue lining is installed 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection Low Voltage Rough: S.Prior to Covering Structural Members(Frame Inspection) 6.Insulation 7.Final Inspection before Occupancy Low Voltage Final: Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Health Work shall not proceed until the Inspector has approved the various stages of construction. Final: t "Persons contracting with unregistered contractors do not have access to the guaranty fund" (as set forth in MGL c.142A). Fire Department Building plans are to be available on site Final: All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT ,o Town of Barnstable Building t u Post,This Cardi So That it is Visible:From the Street lAppeoved Plans Must he Retained on Job and this Card Must be Kept MAM Posted Until,Final Inspection Has Been.Made Permit +° iWhe�e a Certificate of Occupancy is Required,such Building shall Not be Occupied until:' Final Inspection has been made Permit NO. B-18-1007 Applicant Name: Richard J Tavano Approvals Date Issued: 04/05/2018 Current Use: Structure Permit Type: Building-Sheet Metal-Residential Expiration Date: 10/05/2018 Foundation: Location: 248 WHEELER ROAD, MARSTONS MILLS Map/Lot:R082-013 Zoning District: RF Sheathing: Owner on Record: GODE,A JAY& PAMELA J ' Contractor Name:",,,Richard J Tavano Framing: 1 wt Address: 1410 S E 17TH STREET Contractor Licenser 6653 2 FORT LAUDERDALE, FL 33316 Est. Project Cost: $ 15,000.00 Chimney: Description: 2 New Systems One In Attic and Second in Crawl Space Below. t Permit Fee: $85.00 4 Insulation: Project Review Req: { .fee Paidi $85.00 Date: F. 4/5/2018 Final: Plumbing/Gas 1 Rough Plumbing: g Buildin Official .:i:. Final Plumbing: This permit shall be deemed abandoned and invalid unless the work authorized by this permit is commenced within six months after issuance. Rough Gas: All work authorized by this permit shall conform to the approved application and thetapproved construction documents for which this permit has been granted. All construction,alterations and changes of use of any building and structures shallbe in compliance with the local zoning by-laws and codes. Final Gas: This permit shall be displayed in a location clearly visible from access street or road and shall be maintained open for public inspection for the entire duration of the work until the completion of the same. --•-. Electrical The Certificate of Occupancy will not be issued until all applicable signtures by the Building and Fire Officials are provided on this permit. Service: Minimum of Five Call Inspections Required for All Construction Work: Rough: 1.Foundation or Footing 2.Sheathing Inspection Final: 3.All Fireplaces must be inspected at the throat level before firest flue lining is installed 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection Low Voltage Rough: 5.Prior to Covering Structural Members(Frame Inspection) 6.Insulation 7.Final Inspection before Occupancy Low Voltage Final: Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Health Work shall not proceed until the Inspector has approved the various stages of construction. Final: "Persons contracting with unregistered contractors do not have access to the guaranty fund" (as set forth in MGL c.142A). Fire Department C Building plans are to be available on site Final: All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT J Commonwealth of Massachusetts Sheet Metal Permit Permit v /U\ Date: �- -9 Estimated Job Cost: $ Permit Fee: $ Plans Submitted: YES NO Plans Reviewed: YES NO Business License#aLC.S-3 _' Applicant License# Business Information �C t APT / ob Location Information: Name BI Cc y �r Street: (0 _1P K_\; L-� ��� � n � E L,JIn e� I ,a City/Towne ��G n � L City/Town: n1 (( (6+On S ! 1 C` Telephone!3D% - Zj� �� ' Telephone: Photo I.D. required/Copy of Photo I.D. attached: YES ✓ NO _ Sta I 'tial J-1 �M!-�I-unres;cted lick J-2/M-2-restricted to dwellings 3-stories or less and commercial up to 10,000 sq. ft. /2-stories or less Residential: 1-2 family ✓ Multi-family Condo/Townhouses Other Commercial: Office Retail Industrial Educational Institutional Other Square Footage: under 10,000 sq. ft. V- over 10,000 sq. ft. Number of Stories: Sheet metal work to be completed: New Work: Renovation: HVAC f Metal Watershed Roofing Kitchen Exhaust System Metal Chimney/Vents Air Balancing Provide detailed description of work to be done: rJ "Cv lJ /A-,l � � '' INSURANCE COVERAGE: I have a current liability insurance policy or its equivalent which meets the requirements of M.G.L.Ch. 112 Yes Q-o❑ If you have checked Yes,indicate the ty a of coverage by checking the appropriate box below: A liability insurance policy Other e typ of Indemnity ❑ Bond ❑ OWNER'S INSURANCE WAIVER: I am aware that the licensee does not have the insurance coverage required by Chapter 112 of the Massachusetts General Laws,and that my signature on this permit application waives this requirement. Check One Only Q Owner ,� / L��' Agent ❑ Signature of Owner or Owner's Agent, By checking this boxQ,I hereby certify that all of the details and information I have submitted(or entered)regarding this application are true and accurate to the best of my knowledge and that all sheet metal work and installations performed under the permit issued for this application will be In compliance with all pertinent provision of the Massachusetts Building Code and Chapter 112 of the General Laws. Duct inspection required prior to insulation installation: YES NO Progress Inspections Date Comments Final Inspection Date Comments By � (" Type of License: • 1'I�r4.6�� ZMaster Title �/� • �, �y+ l ❑Master-Restricted , City/Town �"�Y�S.�li� ❑Joumeyperson Permit# g l Signature of Licensee / • ❑Journeyperson-Restricted Fee$ b License Number.(E le tq 0 Check at www.mass.aov/dpl Inspector Signature of P rmi Approval Date Prepared: 01/11/18 DIRECT BILL WORKERS' COMPENSATION AND EMPLOYER'S LIABILITY INSURANCE POLICY MERCHANTS PREFERRED INSURANCE COMPANY BUFFALO, NY 14202 NCCI COMPANY NUMBER: 33942., - . INFORMATION PAGE POLICY NUMBER: WCA9099895 TRANSACTION TYPE: RENEWAL AGENCY/BROKER: SOUTHEASTERN INSURANCE AGCY RENEWAL OF NUMBER: WCA9099895 AGENT CODE: 66814/NER06/033 BUSINESS TYPE: LLC 1. THE AIRSMART LLC INTERSTATE/INTRASTATE RISK ID: INSURED 1065 SERVICE ROAD BOARD FILE NUMBER: MAILING WEST BARNSTABLE, MA 02668-1 849 ADDRESS FEDERAL EMPLOYER - IDENTIFICATION NUMBER: 811180983 OTHER WORKPLACES NOT SHOWN ABOVE: (ADDRESS,CITY, STATE, ZIP CODE) 2. POLICY PERIOD is from 02/12/18 to 02/12/19 12:01 AM standard time at the insured's mailing address. 3. A. Workers' Compensation Insurance: Part One of the policy applies to the Workers' Compensation Law of the states listed here: MA B. Employers Liability Insurance: Part Two of the policy applies to work in each state listed in item 3.A. The limits of our liability under Part Two are: Bodily Injury by Accident $1 ,000,000 each accident Bodily Injury by Disease $1 ,000,000 policy limit Bodily Injury by Disease $1 ,000,000 each employee C. Other States Insurance: Part Three of the policy applies to the states, if any, listed here: D. This policy includes these endorsements and schedules: MS IU 05 11 99 MU 06 3J 10 14 WC 00 00 00 C WC 00 00 01 A WC 00 03 10 WC 00 04 20 WC 00 04 21 C WC 00 04 22 B WC 20 03 01 WC 20 03 02 A WC 20 03 03 D WC 20 04 01 WC 20 04 03 WC 20 04 04 WC 20 06 01 A 4. The premium for this policy will be determined by our Manuals of Rules, Classifications, Rates and Rating Plans. All information required below is subject to verification and change by audit. Code Premium Basis Rates Per Estimated Annual Classifications No. Total Estimated Annual $100 of Premium Remuneration Remuneration SEE EXTENSION OF INFORMATION PAGE MINIMUM PREMIUM $ 460 DEPOSIT PREMIUM $ 4,515 TOTAL ESTIMATED ANNUAL PREMIUM $ 4,515 Interim adjustments of premiums shall be made: ANNUAL Countersigned by: �. Authoriz6wrepresentativJ Date COPYRIGHT 1987 NATIONAL COUNCIL ON COMPENSATION INSURANCE WC 00 00 01 A AGENT COPY The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations ' 600 Washington Street Boston, MA 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name (Business/Organization/Individual):AirSmart, LLC Address:1065 Service Road City/State/Zip:508-280-0024 Phone #: 508-280-0024 Are you an employer? Check the appropriate box: Type of project(required): 1.52 I am a employer with I 4. ❑ I am a general contractor and I employees(full and/or part-time).* have hired the sub-contractors 6. ❑New construction 2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7. ErRemodeling ship and have no employees These sub-contractors have g. ❑ Demolition working for me in any capacity. employees and have workers' [No workers' comp. insurance comp. insurance.* 9. Building addition required.] 5. ❑ We are a corporation and its 10.❑ Electrical repairs or additions 3.❑ 1 am a homeowner doing all work officers have exercised their 1 I.❑Plumbing repairs or additions myself. [No workers' comp. right of exemption per MGL 12.❑ Roof repairs insurance required.] t c. 152, §1(4),and we have no employees. [No workers' 13.❑ Other 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. tContractors 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.policy number. I am an employer that isproviding workers'compensation insurance for my employees. Below is thepolicy and job site information. Insurance Company Name:Merchants Insurance Policy#or Self-ins.Lic.#:1WCA9099895 Expiration Date:02/12/201°� Job Site Address:Q �'6 �l-P e-�-e-- 1 L City/State/Zip: (,( rahffi.b, 1,�S 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 ceM under the aitand p alties of perjury that the information provided above is true and correct. Si nature: Date: Phone#: c__J 75 - 2 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#: I MMON1Ni=i M UAlk JJHUSETT 'd e PROFESSIONAL Commonwealth of Massachusetts PIVISIf• '.�; Department of Fire Services ;r�;�;s.A B�AEt�kO.E �_ O `-- BU-317891�.. SHEE V WORKE. -A" _ • 'ISSUES T� OLLOWIN tE ' c to ` u „� ; BUSINES ' ' oil Burner Technician;Certfi � .. -•ems M. RICARD J TAVAIE $; . SMART LLC, ; �' RICHARD J TAVAMO 2 1065 SERVICE RD: r Y1065 SE=�f�% I •r �" _ is {i{►EST BARNSTABLE'MA WEST'6"'k STABLE' 02668 : r :.:' Expiration Date s ` xt.. , ` � , : 1112612019 _ t�; 769 b6ii019. 28211.1.` ,.: z State Fire Marshal - �"x1 s�'yi a�•w sr - :GOMMERCIi = D AMM,S'Wienn,, ��''�• j,l t aaam._ N�NEaaeu�aro� I VAC Teetmlclari Certjfaation, p P�fi Ctean.AlxSecfion.608' ; „„ c9�r tiCedifiialioPDate January26 1994-', RICkI.JRD J T-AVAN(3 �# t �`W16E82861V1 c` 1+�3 i e_1os � r• { iy +a 'yr t7f1•' �4I�' a In � d 1!S k I :. .• W'BARNSrAsLF,AIpY�266g 84y. ..��° by40CFRPar(�?,S;Fold,Then Detech Along All Perforations _.. �:.,� —.. z ' AW OMMONWEA NTH'CIRM Ski GH SE<TF � aF " 8HEETAL IIVORE kir ISSUES,THEfOLLOWING LlG'EI�SE ys ., '. _ � s ^1111i45�TER=UNRFTRICTED > t RI^y�ARD J TAVA1V0` �' � , �- ` rx ma`s V65 SERVICE RD �z W B4gLE,MA 02684$49 11128/20184 r 230842 L'F t ..... ........ .» w. i • Ofr4K Town of Barnstable Regulatory Services HAEDMAJ ffiasg RZ' Thomas F.Geiler,Director a Building Division Ep�d Tom Perry,Building Commissioner 200 Main Street;Hyannis,MA 02601 w^ww.town.barnstable.ma.us Office: 508-862-403 8 Fax: 508-790-6230 Property Owner Rust Complete and Sign This Section If Usi=A wilder I, S (lz(1 C�� -1 SjCcn�,S�lNis� y as C�e�ser of the subject property hereby authorize rS(`c LL to act on my behalf, in all matters relative to work authorized by this building permit (Address of Job) **Pool fences and alarms are the responsibility of the applicant. fools are not to be filled before fence is installed and pools are not to be utilized til all final inspections are performed and accepted. a of C (,t��(}r SijrisJyfe of Applicant Print Name Print Name Date Q VORM&OWNERPERivIISSIONPOOLS I s Assessor's office (1st floor): SEPTIC SYSTEM Assessor's ma MUST and lot number . .. . . /.7 .. THE t ` COMPLI Board of Health (3rd floor): //'�__ � Sewage Permit -number ..............�.�........C.:1..�..?. ... n'` #—11 TITLE 5 >; .BaaasTsntt. i Engineering Department (3rd floor):..................... ,/ ENt;t°-'Gi%6i 1ENTAL CO® r Wa House number .... s2Y.K..�' 5.... TOWN REGULATION �°'Fcrar aye Definitive Plan Approved by Planning Board ________________________________19________ . APPLICATIONS PROCESSED 8:30-9:30 A.M. and 1:00-2:00 P.M. only TOWN OF BARNSTABLE BUILDING . INSPECTOR APPLICATION FOR PERMIT TO L.......... (� ........................ TYPEOF CONSTRUCTION ..................( ...................................................................................................... U ................�!/S ......�`j.......t9. � TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according��to the following information: Location � � �. 1`.:1....i... `-'o�Oto ....�u. -5............................................. ................................... ..... ................ Proposed Use .Is 6k A&E_ ................................................................................................................................................ Zoning District .......(�� ....................................................Fire District ............ ....1.................... Y .............................. .: .....S7y...T.. �?.4'�'L.....Address n c ............Q Name of Owner .....:��. ...............����.....i��?....�1''4��� Name of Builder ..............:............/........................................Address ..................................... , g ..... .�.. .. . . .................. Nome of Architect ..... ..I...:�`.....( .......................Address ...........hf'N S` !r�.....,.. -r..................... Number of Rooms ...Foundation CD.c/G' Exterior .............. ...............................G�Jec?�..................... ...Roofing ........��iglNi�C ................................................. Floors ................. .............. / - t Heating .............g%.......�r (�IAJOB .................................Plumbing .. .}- b� Fireplace ..................................................................................Approximate Cost ......:r; Qom' ...............................I.......... Area ....//6.�6..................... — 90 Diagram of Lot and Building-with Dimensions Fee l R� 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 .v....... .. .....' ........................... Construction Supervisor's License ...... ......... GODE, JAY & PAM 32189 Build No .... ....... Permii for .................. / F, . • Accessory. to.. Dwelling Location ..2.48...Whee.J_er...Ro.ad.................... -.� ........................Maratons...Mi I Is.................. f' Owner ...:Jay..... ...G.Qde.......................... Type of Construction Frame........................ Plot ............................ Lot ................................ Permit Granted ..... ug!1.$.t...1.8.,..........19 88 Date of Inspection .................. ..........119 u '? Date Completed .....:./ .... ....: 19 . C t C" 111117 I 1 Assessor's office(1st Floor):0 � _ 13 �� � !� 4 TA L Mtn I Assessor's map and lot number 60 Board of Health j3rd floor): w Sewage Permit number . Engineering Department(3rd floor): ns House number 30' Definitive Plan Approved by Planning Board 19 ray APPLICATIONS PROCESSED 8:30-9:30 A.M.'and 1:00-2:00 P.M.only TOWN OF BARNSTABLE BUILDING INSPECTOR , APPLICATION FOR PERMIT TO ,I TYPE OF CONSTRUCTION WO Lb F'PA K 19 TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location 4 rc Ls,k, M I L L,S , 04 A O Z6 V-, Proposed Use wN Zoning District Fire District a '"J( Name of Owner f-� �' `j• C�J Address Name of Builder N Address v Name of Architect Address Number of,Rooms Foundation P6 V P fA CoAJCR-,F-7-(T- Exterior � i '� Roofing ffJ PA-C�T Floors 71-1 4-j-3: Interior .60i i- kice" Heating W � Plumbing Fireplace Approximate Cost Area 0 Diagram of Lot and Building with Dimensions Fee 1 3 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 Construction'Supervisor's License GODE, A. J. & P. J. s. 33206 Permit For ADDITION No Single Family Dwelling U Location 248 Wheeler Road ; Marstons Mills + 1 Owner A J & P J Ck)d e , 1 i ! Type of Construction Frame Plot Lot , k?'= Permit.Granted September -14 19 89 Date of Inspection �• 19 Date Completed 7 19 e M; _ .. r �; "��. :- . :y, . - - t:. .. .' _ �,.,, i-i.,•-r•'�y..,r�•r-1'.�i•�,J'+'L.svr�:.,.w+.�t'Y`ro. u-,..�:,„ .t , ..✓.r-�:.. - r4y.,.n".9-,tTFtls' ..•ti. Assessor's office(1st Floor): �5 Assessor's map and lot number v moo`THE Board of Health•(3rd floor): Sewage Permit number X 7- i BAH3Mft Engineering Department(3rd floor): rasa' House number °o a39•'\0�' Definitive Plan Approved by Planning Board 19 ��rpY b• 1 APPLICATIONS PROCESSED 8:30-9:30 A.M.and 1:00-2:00 P.M.only] Cr TOWN OF BARNSTABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO TYPE OF CONSTRUCTION f OCL-D RA PK F— /7" f1A�� 19 �q J TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location �� +'fit; l C.l.5 Z.6 Proposed Use c Zoning District Fire District d -' Name of Owner f'* J. 9� �� ` , C�`,L Address Name of Builder 4 Address Name of Architect Address Number of Rooms ®I✓� Foundation PGtlkf t C'odCkfr?E-. Exterior ��� A"r2. µf/V Roofing Floors ?-f Interior wb, Heating. Plumbing Fireplace Approximate Cost Area 1450 Diagram of Lot and Building with Dimensions Fee r , OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. i Name Construction Supervisor's Licenseji A. J. & P. J. ' GODE A=.082-0.13 08d-O) No 33206 Permit For ADDITION Single Family Dwelling ` Location 248 Wheeler Road Marstons. Mills Owner A. J. & P. J. Gode Type of Construction Frame Plot Lot Permit Granted September 14 ,19 89 Date of Inspection 19 Date Completed 19 ' 171 4i PERMIT COMPLETED 1/111L � oos3/ Is Z j >- Assessor's office (Ist floor): ' c<t Assessor's map and lot number, .Q• �..,.... r. .... /� �' ' . SE?rc SYSTEMTHE r Board of Health Ord floor): Sewage Permit - 9 emit .number / MP S T o` Engineering.Department (3rd floor House number E� ) .c� � .�'-�:S �1:•,L ,tN31 cNTAL COD BeeasTOBLL LE 5Z TOWN REGU a Definitive Plan Approved by Planning Board ------------------------- LATION orars� 19. i APPLICATIONS PROCESSED -8:30-9:30 A.M. and 1:00-2:00 P.M. only TOWN OF B _ AR.NSTABLE BUILDING . . INSPECTOR .;} APPLICATION mac+ FOR PERMIT TO �+ TYPE OF ."—......••:::.. 5.1......................... CONSTRUCTION �� A �•"•!• 626...................................................................................................... TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: .........:: �T ... W�>vE`� Location ... ... ... ......... ^ ..................... ' Proposed Use ................. ............................................................. ....................................................Zoning District - .................Fire District .................d 1 .....! ................1:.. Name of OwnerDz y �... Q i ....... ). ..... .�•.. ..�' ,......Address ............... �.....t�. .�.`�Q.u.�... I Name of Builder /...... .......Address , Name of Architect ......G?`�5 �/ ................................ ......... ................. /.. Address ...........1<fN�S A16?�-r �...... ..... Number of Room """"""'•'•• s ..................................................................Foundation CO .......�............................................Exterior ...,.•••• Web. ......................................................... Roofing ................ ffC, ................................. `- Floors .................. � Interior ................. ............ / lvdc� .....................Plumbing .......................N�'— Fireplace ........�.................................. Approximate Cost Area ./Z� Diagram of Lot and Building with Dimensions "" Fee ...... ql° U Q LJ F� U 1-1 i a r I-Uvi 32I89 Build � ��� No :. F P�rm-1 for ...... _ =1 AC.,8E�sgoiy to Dwellin ..... ... .. �.......... Location ..24B. .Whee.ler...Road>- ........ - . - - -...........MaxAtons...Mills.................... Owner ...:.JVy&..4c...Paix..GOde.................. i Type of Con ..Frame me ..................................•.......... Plat Lot ................... Permit Gran'ed August. 7 8. ' Dore of Inspection ..:......................:......:..,.1.9 7 .. Date Completed jJ 19 'yam "!p; F .� .47 rn w -. .- — -.tiA--�' __° y,+ v .... .. .. �.. ..o•- .. ...t '1;� c{-.t»�M�'`-.,., ���. �.�J ,-��Y __ _� - '` _✓ - ..� .� _ w �.. -�. - ., v � � - - .r Assessor's office (1st floor): // THE Assessor's map and lot number to` Board of Health (3rd floor): Sewage Permit number `.......... Z BAUSTABLE. i Engineering Department (3rd floor): %�S orb 9-a•e� House number ...................................... ....... ...... .............. allo ..... Definitive Plan Approved by Planning Board ________________________________19________ . APPLICATIONS PROCESSED 8:30-9:30 A.M. and 1:00-2:00 P.M. only TOWN OF BARNSTAB_ LE BUILDING INSPECTOR e-011- 7R vc 7- &A r APPLICATION FOR PERMIT TO ..................................................... ....... .......................... TYPE OF CONSTRUCTION .................��!!✓u: ...............,...................................... ,H 0605* QQ ............. ............. J.......19. TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location ....... ...1�...J... ..................................`............................................................ Proposed Use ................ "T"DI`i A-(Sr . Zoning District ....... �A..................................:.......................Fire District Name of Owner .....(i`�D J ..,�..... /��I.. .. ......Address .............. .-. -:..... .... � — .............................. AzA Name of Builder ............................... ......Address Name of Architect '.......... J..../... � ......................Address ...........ti�IN�J((�q�� �..L Number of Rooms • ...................................:..............................Foundation ................................ /�1 r A Exterior .............. ..r'P': ........................................................Roofing ........ ............................................................................. Floors ................/�lLnn��.......................................................Interior 1AJ Heating ..........:. .... —..... .. r�1..................................Plumbing ................................ ............................. Fireplace ..................................................................................Approximate Cost ....... .. . .......................-............... Area ..../Z ..................... Diagram of Lot and Building with Dimensions Fee '--. Cu�� 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 f"" ...................... Construction Supervisor's License ... ...(/{.,/,-�C.......... GODE, JAY & PAM A=082-0,13 No 32189 Permit for ....... .......... Location .... .................. ..................... ..................... Owner .....qay... ...Pam Gode ............................................. Type of Construction Zrame............................. ............................................................................... Plot ............................. Lot ................................. Permit Granted. ..... August 18 ..........................,.........19 88 - Date of Inspection ....................................19 Date Completed ......................................19 ti All' ' TOWN OF BARNSTABLE ; BUILDING DEPARTMENT HOMEOWNER LICENSE EXEMPTION Please print. DATE: JOB.LOCATION um er ' TONS. A (.'LC$ treet a ress. Sectign o :town • "HOMEOWNER" & qZo Millie ome phone or p o:. ne. PRESENT MAILING ADDRESS 6U -. lty town tate 1p co Te . The Current exempt'i'on for, ."homeowners" was extended to include owner-occu i dwellings. of six units or ess 'an to allow such homeowners to engage. an ..pned 1,v1 ua . for hire. who does not possess a license; provided that the own acts as supervisor. (State Building Code Section er :DEFINITION OF HOMEOWNER: . Person(s) 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 to six. family dwelling, attached or detached structures accessory to such use and/or farm structures A person who constructs more than one home considered a homeow in a two-year period shall not .be ner. Such in 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 bui'ldin g permit. ectlon The undersigned "homeowner" assumes responsibility for compliance with Building Code and other applicable codes, by-laws, rules and regulations. � •, the State *The undersigned "homeowner certifies that he/she understands the Town Barnstable Building Department..Amin imum inspection procedures and re uiremen ::and that he/she will comply with said procedures and requirements. is HOMEOWNER'S SIGNATURE APPROVAL OF BUILDING OFFICIAL Note: - Three family dwellings 35,000 cubic feet,' or larger willbe required to Comply with State Building Code Section 12'7.0- Construction Control . . V . ; _......... HOME OWNER 'S EXEMPTION The Code state that : Permit Is required sAny Home Owner performing work for which a buildin-g . hal(Section 109. 1 . 1 '_, exempt from the prov.lsl.ons of this section Licensing of Construction Supervisors,) ; 'provided that if Home.Owner engages a persons) for hire to do such work t shall act as supervisor . ,, hat such. Home Owner Many Home Owners who use this exemption are unaware that the the responsibillt,les of a supervisor (see 'A y are assuming for Llcensing. Constructlon Supervisors, Sectlope2�15)Q,�, Thuse� and Regulations often resuit.s In serious lack of awareness . Unlicensed problems, particularly when the Home Ov;ner h ►res � persons. � In, this .case our Board unlicensed cannot proceed against the person as It would with licensed Supervisor.. ' The Home Owner. :,.as: supervlsor is ultimat'eiy responsible. acting To ensure that the Home Owner Is fully aware of his/her communities require, as / er responsibilities, many certify part of the permit applicatlon, that the Home Owner that he/she as the responsibilities of a supervisor,. last page of .thls Issue is a form current ) care fo amend y used b On the and adopt such a form/certiflcatlon foreuseaIntYour You may . Your community. • m f 741 f i IIA i ,i e N 9 � r t Of' p^� ;a W t�.