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Home My WebLink About0091 CEDAR STREET 1 i ggLrd NO. 1521/3 ORA ur us.a �ESSE�TE i _ � , �� - ,� �Val, .o� 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 uannsrneLe. • . v� MASS g Posted Until Final Inspection Has Been Made. Permit i63P �e Where a Certificate of Occupancy is Required,such Building shall.Not be Occupied until a Final Inspection has been made. Permit No. B-20-1960 Applicant Name: STEPHEN B ELDREDGE Approvals Date Issued: 08/12/2020 Current Use: Structure Permit Type: Building-Siding/Windows/Roof/Doors Expiration Date: 02/12/2021 Foundation: Location: 91 CEDAR STREET,WEST BARNSTABLE Map/Lot: 130-021 Zoning District: RF Sheathing: Owner on Record: WHITE, RICHARD P Contractor Name: ELDREDGE&SONS Framing: 1 Address: 91 CEDAR STREET CO,NSTRUCTION INC 2 Contractor License: 153262 WEST BARNSTABLE, MA 02668 'I( Chimney: Description: Siding/trim replace- Replacing 3 SQ of white cedar shingles. Est. Project Cost: $2,000.00 l Insulation: Replacing rotten trim. Permit Fee: $35.00 Project Review Req: Fee Paid/ $35.00 Final: Dater 8/12/2020 p pp Plumbing/Gas Rough Plumbing: °+ Final Plumbing: Building Official This permit shall be deemed abandoned and invalid unless the work authorized by this permit is commenced within six months after{ssuance. 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. M I J All construction,alterations and changes of use of any building and striuctures shall be in compliance with the local zoning by-laws and codes. 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. r" Electrical I The Certificate of Occupancy will not be issued until all applicable signatures by the Building and Fire Officials are provided on this permit.The 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 Low Voltage Final: 7.Final Inspection before Occupancy Health Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. 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 Building plans are to be available on site dN Final: All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT �E - TOWN OF BARNSTABLE 1639- BUILDING . INSPECTOR -----''�~'��~��.....--.]9.73 TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for o permit according to the foUo~ins information: �� Location ..—.��.�rVf��,—.��~�---.\�/��—.�.J ` ' | � Proposed Use --..y��..!��k!��...r..-----.. ........................................................... | Zoning District .............�.��---.-------------Fire Digh�� —k��.�— _______ Name of Owner —g ..............Address ....... ..�............Co........| � | Name of Builder .............. .-----------.A66,es ------------_---___________.. Name of Architect —.--.....................---..--------A66ress ------------------___—______ Nonnbe, ofDoom --- ----_Foun6ohon ---��4.0.-5� ................................................. Exterior Exteriu, ..........6t---��—'��---------.Roofing ---- Floors ---' ..............................................Interior .......... . ^�— _________.. Heating .......... .................................... .Plumbing -- .0 ..................................................... �~� Fireplace �----�---------------------..App,ox�mo�eCox ......... ____. Definitive Plan Approved by Planning Board ---------------__-----------lg__, Diagram of Lot and Building with Dimensions SEPTiC SYSTEM MUST ME SUBJECT TO APPROVAL OF BOARD OF HEALTH INSTALLED IN CTIpL}AN'CE V,'UTH A-7l77, � [> ,_^~ . no � . � .� r^ " ~�`~� | ' | »/[uv � Isb ` � I hereby agree to conform to all the Rules and ~ Regulations of the Town. of � Nome . —''—'~ White, Richard 16131 add to single No ................. Permit for .................................... family-dwelling * ............................................................................... Locatio Cedar,-Street n ....................... .......................... -West Barnstable ..........................;..- .................................................... Richard White Owner .................................................................. Type of' Construction .........................frame.................. ................................................................................ Plot ............................ Lot ................................ A I Permit Granted .......... il..2. .............19 73 Date of Inspection .. .... .. ... ......P?r .4f A PP;, 9 2� Date Completed A .7Y...6.... . � � � . PERMIT:REFUSED ...................... .................:......................... 19 ...................... ......................................................... ................................................................................ ......................................................................... ............................................................................... Approved ................................................. 19 ............................................................................... ii ............................................................................... 6-fm,44 rr Town of Barnstable *Permit# Expires 6'montlis from issue date � � Regulatory Services Fee PERMIT Thomas F.Geiler,Director -APR 'i 5 ]Building:Division Tom Perry,CBO, Building Commissioner SOWN OF BARNSTABLE 200 Main Street,Hyannis,MA 02601 www.town.barnstab le.ma.us Office: 508-8624038 Fax: 508-790-6230 EXPRESS PER UT APPLICATION - RESIDENTL4L ONLY ✓� Not Valid without Red X-Press Imprint Map/parcel Number 13 0 I Property Address I �Q U�� tct V�1 • d'J�� .f�� 2esidential Value of Work eso 0 • V y Minimum fee of$25.00 for work under$6000.00 Owner's Name&Address �� 1 -4 Contractor's Name MYLO S C - Telephone Number Home Improvement Contractor License#(if app icable) 19 3 1 Construction Supervisor's License#(if applicable) I ✓ V ❑Workmam's Compensation Insurance YI k one: am a sole proprietor ❑ I am the Homeowner ❑ I have Worker's Compensation Insurance Insurance Company Name Workman's Comp.Policy# Copy of Insurance Compliance Certificate must be on file. Permit Request(check box) dRe-roof(stripping old shingles) All construction debris will be taken to ❑ Re-roof(not stripping. Going over existing layers of roof) ❑ Re-side ❑ Replacement Windows/doors/sliders. U-Value (maximum.44) •Whcrc required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. ***Note: Property Ovperr v t sign Pr/&jTe-r-ty--0-w-'her Letter of Permission. A copy o the Home-'Improv ent tltors License is required. SIGNATURE: Q:Forms:expmtrg Revisc061306 = �ofIHE7, o Town of Barnstable Regulatory Services HAANSTABLE, a►9 Thomas F. Geller,Director Building]division Tom Perry, .Building Commissioner 200 Main Street Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-403 8 Fax: 508--790-6230 Properly Owner Must Complete and Sign This Section Tf Using A Builder T , as Owner of the subject property herebyauthorize �lI� to act on my behalf, . in all matters relative to work authorized bythis building permit application for: (Address of Job) _1 �� Signature of Owne Date Print Name QTORM S:OWNERPERMIS S10N - The Commonwealth of Massachusetts Department oflndustr•ial,4ecidents Y • Office of•-rnvestlgatlons 600 Washington Street Bosion, AU 02111 www.rn ass..gov/dia Workers" Compensation I4sur:3nce.AfFdavit: guilders/Contractors/Electricians/Plumbers Applicant Information /� �nn Name(Business/Organization/Individual);• �-1v�S Please Punt Le 'bI Address: �( 3 City/State/Zip: nos mR Mo O ( phone.#: Are you an employer? Check the appropriate box: 1.❑ I am a employer with 4. ❑ I am a general contractor and I 'Type of project(required):. oyees (full and/orpart:time).* have hired the snbcontractors 6. 0 New construction T�Ia'sole proprietor or partner- listed on tlte•attached sheet. 7. []Remodeling ship and have no employees These sub-contractors have working for me in any capacity. employees and have workers' 8' ❑Demolition '[No workers' comp,insurance comp.insurance.# 9. []Building addition 3.❑ required.] 5. [j ire are a corporation and its 10.[]Electrical repairs or additions I am a homeowner doing all work officers have exercised their rn se1L p 11.❑Pl bing repairs or additions y [No workers' cons . ri t df exemptionper MGL insurance required_] t c. 152, §1(4),and we have no 12• oof repairs employees. [No workers' ..13.❑ Other comp, insurance required] 'Any applicant that checks box#1 must also fill out the section belowsbowing their workors'compensation policy information. t Homrowncrs who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. tCdntractnrs that cheek this box must attached an additional sheet showing the name of the sub-contractors and state whether ornot those entities have employees. If the sub-contractors lave employees,they must providt:their woT'='co 'T'P•Policyuurnbcr.Lam an employer that is proNlding workers'canrpensa information. don insr.rrance for my employees Below is ilte policy and job site Insurance Company Name: Policy#/or Sclf--ins.Lic.#: Expiration Date: Job Site Address: Attach a copy of the workers' City/State/Zip: compensation policy declaration page(showing the policy number and e Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the ' osition of criminal xpu-ation datea fine up to$1,500.00 and/or one-year �!' penalties of a y 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 Investi atiom of the bIA fo cc c e verification. 16 he eb ce ;in the Ins-and enal es ofperjrcry that the information providedN�ovis true and colrect Sienature; , ( Date: N' 1 Phone #; Ivl � —� -- 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): L Board of Health 2.Building Department 3. Ciiy/ToTm Clerk 4.Electrical Inspector 5.I'lumbingInspector 6. Other Contact Person: Phone# 46 q°a 5. ° o � � a ° a w�- •a& ° ° a°° _ ° °6 e 9 ,hs ick � s ° ° o° ° ° = a 8 v - e � eG� @r' 6 a`�" ,5 G— Q r� Bd/4ol` w Ong egurllions a6slfan ar es all License or registration valid for individul use only a,° HOME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: b Registration: 124310 Board of Building Regulations and Standards ° Expiration: 6/1/2011 Tr# 284683 One Ashburton Place Rm 1301 Type Individual Boston,Ma.02108 b James Curley James Curley g 287 Fuller Rd. ...° A ° Centerville,MA 02632 Administrator 'IVot valid without signature ° 3°°�b •�@o .e� °B° °off ° ° - ° v=°� BL�.'Uw7`cg,•'#� r"�'� ��',�i b,��..��_- o_ � • ,^e q °°-B �=�o� � ° ° ., ° ° - lipMassachusetts- Department of Public Safety Board of Buildin- Regulations and Standards Construction Supervisor Specialty License License: CS SL 99138 � Restricted.to: .RF,WS . JAMES CURLEY I 287 FULLER ROAD. CENTERVILLE, MA 02632 i Expiration: 1/28/2012 Cummissiuner Tr,;: 99138 /e:-P b�✓�aeaac/zuaett I' Boa d of Bu11din _R y A,Q a�Jalions anal St`da•rds— r lose or �gistration taliqafor n,dl idul use only HO E IMPROVEIVM•NT CONTRACTOR before the a iration date. ' found teturn to: Re 'st_ratiiiin `1.243 0 y e,..0 Board-of Bui difib Reg7 'tio s' nd-Sian.dards E iration 6 p2 One Ashburt Place Rm 13 _"._. .. . Tr# 1 0873 -•. p=° Bosto a a Wdndi. al "James urley James urley 287 Full r"Rd... v. A 02632 Administrator Not yali without re J J r Town of Barnstable *Permit#a?007d36a0 Aires 6 months from issue dale ii _ b.. Regulatory Services Thomas F.Geiler,Director Building Division X"PRESS PER Perry,CBO, Building Commissio er 200 Main Street,Hyannis,MA 02601 JUN 12 2007 www.town.barnstable.ma.us Office: T -6 Fax: 50 90-6230 Eh0R+@ MT APPLICATION - RESIDE IAL ONLY Not Valid without Red X-Press Imprint Map/parcel Number a- 36 ic2/ Property Address esidential Value of Work Minimum fee of$25.00 for work under$6000.00 Owner's Name&Address Contractor's Name l-ky►'La Telephone Number home Improvement Contractor License#(if applicable) Construction Supervisor's License#(if applicable) ❑Workman's Compensation Insurance Check one: ❑ I am a sole proprietor Dff.I am the Homeowner ❑ I have Worker's Compensation Insurance Insurance Company Name Workman's Comp.Policy# Copy of Insurance Compliance Certificate must be on file. 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) .51Re-side Replacement oor liders. U-Value (maximum.44) *Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. ***Note: Prop , Owner rmist sign Pr Owner Letter of Permission. c py of e r Con iceuse is required. SIGNATURE: Q:Forms:expmtrg Revise061306 r, 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 Le 'blv Naive(Business/Organization/Individual): . l✓Address: City/State/Zip: 1 Phone-4: �� 2— 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 . 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. ❑Remodeling ship and have no employees These sub-contractors have g. ❑Demolition workingfor me in an capacity. employees and have workers' y p �'• # 9. ❑Building addition [No workers' comp.insurance comp. insurance. 10. Electrical repairs or additions equ.red.1 5. ❑ We are a corporation and its ❑ P 3. am a homeowner doing all work officers have exercised their l l.❑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. $Contractors 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. Iam an employer that is providing workers'compensation insurance for my employees. Below is.the policy and job site information. Insurance Company Name: Policy#or Self-ins.Lic.#: Expiration Date: Job Site Address: City/State/Zip: Attach a copy of the workers' compensation policy declaration page'(showing the policy number and expiration date). Failure.to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised t a copy of this statement may be forwarded to the Office of Investigations of the DIA for-AwumcAoverasze VeMdatiorl. I do hereby certi and e p ns p s f e 'u tl a information provided above is true and correct Sienature: Date: J 2l/D 2 Phone#: � Z J 5 l 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#: V - 1� 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-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 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 permit/license number which will be used as a reference number. In addition,an applicant that must submit multiple permit/license applications in any given year,need only submit one affidavit indicating current policy information(if necessary)and under"Job Site Address"the applicant should write"all locations in (city or town)."A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future permits or 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 eommonwealtli of Massachusetts Department.of Industrial Accidents Office of Investigatiions 600 Washington Street Boston, MA 02111 Tel. #617-727-4900 ext 406 or 1-877-MASSAFE Fax#617-727-7749 Revised 11-22-06 Arww.mass.gov(dia pFIKE, Town of Barnstable *permit#-. 111w1w Fxpires 6 rnonths from issue date BARW5rABM ; Regulatory Services Fee co v MASS. Thomas F.Geiler,Director �A 0 9. ♦0 'ED1AD'`p Building Division Tom Perry, Building Commissioner �® PE A 1 200 Main Street, Hyannis,MA 02601 0�®�r A Office: 508-862-4038 MAY l Fax: 508-790-6230 TOW EXPRESS PERMIT APPLICATION - RESIDENTIAL UN�I�'R ST,gBLE Not Valid without Red X-Press Imprint iMap/parcel Number. I g x Cl Property Address 17/ l DOC �rT �° i residential Value of Work I � Owner's Name&Address I ' Contractor's Name t:` I�x-tG� Telephone Number 2j62 S-r �J Home Improvement Contractor License#(if applicable) Construction Supervisor's License#(if applicable) ❑Workman's Compensation Insurance Check one: ❑ I am a sole proprietor ❑ I am the Homeowner ❑ I have Worker's Compensation Insurance Insurance Company Name / Workman's Comp.Policy# Permit Request(check box) , ❑ Re-roof(stripping old shingles) ❑Re-roof not stripping. Going over existing layers of roof) Re-side replacement Windows. U-Value (maximum.44) ❑ Other(specify) *Where required: Issuance this permit does rLpt exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. Signature _(Q Uf. k Q:Forms:expmtrg Revised121901 11l02'94 17:02 $6177277122 DEPT IND ACCID Z 001 cotlU"IllUeaCt{l ol 111ajjac{I.cc�ettj ' aUa�artmenE o�J'ndu�Erial,./�lcciden� . 600 Ui uAiny&n Shn t James J.Campbell iU &n, /i(amac"t6 02f f f Commissioner Workers' Compensation Insurance Affidavit r with a principal place of business at: (Gty/staw4p) do hereby certify under the pains and penalties of perjury, that: () I am an employer providing workers' compensation coverage for my employees working on this job. Insurance Company Policy Number () I am a sole proprietor and have no one working for me in any capacity. I am a sole proprietor, general contractor o om n�circle one) and have hired the ntractors listed below who have the following workevicompensation policies: NO 10-1- tk�-�Pj , - vpieuvS;�Mi,�, Contractor Insurance Compatry/Po[icy Number Contractor Insurance Company/Policy Number Contractor Insurance Company/Policy Number {) I am a homeowner performing all the work myself. unde:-_[znd t`--t a copy of dais statement will be fo:-rarded to d:e Office of Investigations of the DiA for co%Trage verification and that failure to secure coverage as re"nred under Section 25A of MGL 152 cal lead to the imposition of criminal penalties consisdn¢of a fine of up to S 1,500.00 and/or cr-= years' imprisonment as well as civil penalties in the f rm of a STOP WORK ORDER and a fine of S 100.00 a day against me. Signed thiA day of 1.1;12/5;z 19 )r / Licensee/Permit lee Building Department Licensing Board SeIectmens Office Health Department TO VERIFY COVERAGE INFORMATION CALL: 617-727-4900 X403, 404, 405, 409, 375 TOWN OF BARNSTABLE BUILDING PERMIT # dp� . The Town of Barnstable KAM .tee$ Department of Health Safety and Environmental Services Building Division 367 Main Street,Hyannis MA 02601 Office: 508-790-6227 Ralph Crossen Fax: 508-775-3344 Building Commissioner For office use only Permit no. Date AFFIDAVIT HOME IMPROVEMENT CONTRACTOR LAW i 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: �l!' 200 r'LN(— Est.Cost S GG Address of Work: ( CtsDpre_ 8'J ' Owner Name: L 2 k�4 A2n Date of Permit Application: I herebv certifv that: Registration is not required for the following reason(s): Work excluded by law Job under 51,000 Building 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 name egistration No. OR 1 Date Owner's name I i -- 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 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- Ownei 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'•dwiier-' actin as supervisor is ultimately responsible. To ensure that the Home Owner is fully aware of his/her responsibilities,. man 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. • TOWN OF BARNSTABLE BUILDING DEPARTMENT HOMEOWNER LICENSE EXEMPTION Please print. . :. .. .. DATE JOB. LOCATION R QA)AZ Number Street address Section of town "HOMEOWNER" �. 5 ASP UJ�+-t i® . ' Sri 9,2 ?Il6 . Name Home phone Work phone . . PRESENT 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 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: Person(sj 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 in a 'two-year period shall not be considered 'a homeowner. Such "homeowner"- shall submit to the Building Offici. on a form acCpaptable to the Building Official, that he/she shall be responsib. for all such work performed under the building permit. (Section 109. 1. 1) The undersigned "homeowner" assumes .responsibility for compliance with the St: Building Code and other applicable codes, by-laws, rules and regulations. The undersigned "homeowner" certifies that he/she understands the Town of Barnstable Building Departure t mi 'mum. in a tion procedures and requirements and that he/she will compl ith s' i pr u es and requirements. HOMEOWNER'S SIGNATURE APPROVAL OF BUILDING OFFICIAL Note: Three family dwellings 35, 000 cubic feet,. or larger, will be required to comply with State Building Code Section 127. 0, Construction Control. -Assessor's Office(1st floor) Lot ao? Permit# . ,3`7 onservation Office 4th floor Date Issued 9_57 Board of Health Ord floor va ,__Engineering Dept. Ord floor House# ' Planning Dept. (1st floor/School Admire.Bldg.): ' i „ , t Definitive Plan Approved by Planning Board 19 A licati rocess 8:30-9:30 a.m. & 1:00-2:00 .m. TOWN OF BARNSTABLE Building Permit Application' ProL- ress �� • Village � 1 61��1'f?A.) ZL6(L/.� Fire District Owner �1� 2� � �t'T�� Address 2 , Telephone nZ^ 3> 3 Permit Rcauest: Zoning District Flood Plain Water Protection Lot Size -. `i wo Grandfathered Zoning Board of Appeals Authorization Recorded Current Use 91c.s: fJG-)cCO- Proposed Use Construction Type (ooet> 'i`e A-t-v 6-s- Existing Information Dwelling Type: Single Family Two family Multi-family Age of structure S 4�ws Basement tvpe .0-.v9 Historic House Finished Old Kin,R s Highway _xe5 Unfinished Number of Baths No. of Bedrooms -t-w/216� Total Room Count(not including baths) First Floor Heat Tyne and Fuel �eG/'�2GG. Central Air Fireplaces yr=5 i Garage: Detached Other Detached Structures: Pool Attached O&I"c- . Barn None Shedd --ram-e Other Builder Information Name Telephone number Address License# Home Improvement Contractor# Worker's ComMusation # NEW CONSTRUCTION OR ADDITIONS REQUIRE A SITE PLAN (AS BUILT) SHOWING EXISTING, AS WELL AS PROPOSED STRUCTURES ON THE LOT. ALL CONSTRUCTION DEBRIS RE TING FROM THIS PROJECT WILL BE TAKEN TO Project Cost 23 5_0 UGU�-- j Fee /a-s— SIGNATURE DATE BUILDING PERMIT DENIED FOR THE FOLLOWING REASON(S) BPERM T Aj FOR OFFICE USE ONLY '5`r24/95 130.021 ADDRESS 91 Cedar Street VII.LAGE W. Barnstable _ Richard P. '-White OWNER t ' y DATE OF INSPECTION: FOUNDATION { C N�1r1L r ' • _. INSULATION FIhPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL j GAS: ROUGH FINAL FINAL BUILDING: DATE CLOSED OUT: 'TU 2 VCs �� ! ► ASSOCIATE PLAN NO. _