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HomeMy WebLinkAbout0012 IRONSIDE DRIVE a 7/l6[I�p y UPC 12543 No. ��ST.CONSJ� HASTINGS,MN TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION 00 1 01 / Tap 10 Parcel I—C) J Permit# Health Division -'411 )t, -106 Date Issued f Conservation Division s �I 6S_ P1, �f"ZyvS Fee D �- �9ND 516�'0 �vr�P-s Tax Collector '7-/ Application Fee Treasurer Planning Dept. Checked in By Date Definitive Plan Approved by Planning Board Approved By Historic-OKH Preservation/Hyannis SEPTIC SYSTEM MUST BF Project Street Address I R ___%'rWAJ S i CA C �� ENVIRONMENTALTW S Village VJ • s �� -i._ :::.. Owner �,eVc,,ki T 'Tome, = I<cre,J Address Jol Telephone 0 J - 1 '=t v L ermit Request -;arIKArS ?o r-c(i -�3 ex(5+ ,-,k cz c.3 Square feet: 1 st floor: existing J(0 proposed 2nd floor: existing _ proposed Total new Valuation Zoning District Flood Plain Groundwater Overlay Construction Type Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family Two Family ❑ Multi-Family(#units) Y Age of Existing Structure I cq rS Historic House: ❑Yes ANo On Old King's Highway: )JYes ❑ No A Basement Type: ❑ Full El Crawl Walkout ❑Other . Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) 1.3& Number of Baths: Full: existing o? new Half: existing f new Number of Bedrooms: existing 3 new Total Room Count(not including baths): existing 1 new First Floor Room Count Heat Type and Fuel: ❑Gas XOil ❑ Electric ❑Other Central Air: lQ Yes ❑No Fireplaces: Existing �&5 New Existing wood/coal stove: ❑Yes VNo Detached garage:❑existing ❑new size Pool:❑existing ❑new size Barn:❑existing ❑new size Attached garage:Wexisting ❑new size Shed:❑existing ❑new size Other: Zoning Board of Appeals Authorization O Appeal# Recorded❑ Commercial ❑Yes XrNo If yes, site plan review# Current Use - Proposed Use /_ BUILDER INFORMATION r Name �a+6/4 5 e h evL I,,tr Telephone Number 508- 3 b.- 'Z 19 `1 Address f 2 �'ro'Al S iAz 'fir-• License# /. Home Improvement Contractor# Worker's Compensation# ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BETAKEN TO `rwN a ud�r 1 N SIGNATURE DATE FOR OFFICIAL USE ONLY PERMIT NO. , DATE ISSUED 'r MAP/PARCEL NO. ` ADDRESS-, VILLAGE <� OWNER 7 DATE OF INSPECTION: FOUNDATION FRAME INSULATION FIREPLACE w ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH � 'INAL GAS: ROUGH -ems IVAL FINAL,BUILDING C � A DATE CLOSED OUT go W� ASSOCIATION PLAN NO. t . f. �FtHE loy, Town of Barnstable �O Regulatory Services ` STABLE, Thomas F.Geiler,Director i63 � pjF 9. 6. Building Division Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 www.tow.n.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Permit no. Date AFFIDAVIT HOME IMPROVEMENT CONTRACTOR LAW SUPPLEMENT TO PERMIT APPLICATION MGL c. 142A requires that the"reconstruction,alterations,renovation,repair,modernization,conversion, improvement,removal,demolition,or construction of an addition to any pre-existing owner-occupied building containing at least one but not more than four dwelling units or to structures which are adjacent to such residence or building be done by registered contractors,with certain exceptions,along with other requirements. Type of Work: —u&rrnej'S ?o M Estimated Cost Address of Work: 1 j q (Jl Q 110 r• W• _16C J `j Kc g Owner's Name: _7�0/n a S Date of Application: I hereby certify that: Registration is not required for the following reason(s): ❑Work excluded by law ❑Job Under$1,000 ❑Building not owner-occupied WOwner 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 Registration No. O I Date CO ame Q:forms:homeaffidav RESIDENTIAL: SHEDS -POOLS-DECKS-OPEN PORCHES- GAZEBOS FEE VALUE WORKSHEET APPLICATION FEE: $50.00 BUILDING PERMIT FEES: ACCESSORY STRUCTURES >120 sq.ft.(Sheds,gazebos,etc.) >120 sf-500 sf $35.00 $ >500 sf-750 sf 50.00 $ >750 sf- 1000 sf 75.00 $ >1000 sf- 1500 sf 100.00 $ 51500 sf USE NEW BUILDING PERMIT APPLICATION DECKS x$30.00= $ (Number) PORCHES x$30.00= $. (Number) IN GROUND SWIMMING POOL $60.00 $ ABOVE GROUND SWUM IING POOL $25.00 $ RELOCATION/MOVING $150.00 $ (Plus above fee if applicable) PERMIT FEE $ Q:formsAkcost REV:063004 The Commonwealth o Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street; 7`h Floor Boston,Mass. 02111 Workers'Com ensation Innssuurance.Allidavit:Building/Plumbin /Electrical Contractors. name: �-'GrGM uS [� �PVu �►� • address: l d �rdN s'F J< Mf city Tcv-/,S-41 k Let state: ,AM . (1,2(0 U phone#" EA) work •te location full addres y RI-1 am a homeowner performing-all work myself. Project Type: ❑New Construction[]Remodel I am a sole pro rietor,and have no one working in an �capacity. 1ddiin Addition �i�`�'�':? '�'�. .,..•.-,n T �''•°�??.�•.".f`F�. '�+.?��'�: t •F:s'..5�i'•��s',�.,1ia�1�.i��`"�:a.�'rs�'a�'r'�'e'e"i:.Ci":s• +x`:•L'sf>''''yp•,a:'j'�,�,1.'•°rR[-;°�F,",'�L1�:i•�7�b��,'v4M - i I am.an employer providing workers' compensation for my employees working on this job. company name: address:' city: phone#• insurance._ Dolicy# •:l, i3aa,s6`[��x �e, .3.,ak�taml:ee��.;.,��ar`�'••.,..�70& YA*Mo°a::M�a.�..ti•�i°.arY'[cs.�:tf:A•L•.�h-:•�,.�=x�m':�..�afa:a`':�a���. : I am a sole proprietor,general contractor;or homeowner(circle one)and have hired the contractors listed below who have ' the following workers'compensation polices: company name., address: city, phone M insurance co. oltc # •i�:�'�[f='`,`� '.•�•�1�:�r-.�'.�i:'7.�k.�4,�;'ri1i�: .. .t+14�Y.�,,.:r.'�i ....•7�i;� , r-� ,rah ,r v,;",•�.. x +••i a' �,.. y.,o.. �y;�2•t . %3e1f:t�'.t:�-�3;',•:t�9:a y.;:>. .w.: �.•s�aAvs'"�.":�`iia8 va' .e.��'' v.i6`;°�e;•;...,.r��+� 'company name: address: city: phone M ins ur ance tco. oli # b(:�g�E...'fiP,.'.!�i�� h `.:t��►�'���3�.. 7 � : ... . JS1 � '���` r. Failure to secure coverage as required under Section 25A of MGL 152 can lead to the imposition..of criminal penalties of a fine up to Sl,500.00 and/or one years'Imprisonment as well as civil penalties In the form of a STOP WORK ORDER and a fine of$100.00 a day against me. I understand that a- copy of this statement maybe forwarded to the Office of investigations of the DIA for coverage verification. ' r do hereby certify underthe pains and enalties of perjury that the information provided above is true and correct Signature l v Date 12- o S 7:77 Print name 4e✓a l c`Q/ Phone# Sad' 3 6 7 r1 1 official use only do not write in this area to be completed by city or town official city or town: permitllicense# ❑Building Department ❑.check if Immediate response is required ❑Seiectmen'Bs Offoard ice contact person: phone#; (]Health Department ❑Other. (revised sepL 2003) Information and Instructions Massachusetts General Laws chapter 152 section 25 requires all-employers to provideworkers' compensation for their . employees. As quoted from the"law",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'engagediil i joint enterprise"and including the legal representatives.of.a deceased employer,or.the receiver _ br 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 wh6resides 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 section 25 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,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. x i'+o• �.1 '"ir P .K -� 'tY��f :thi?A���.'.� 1't tirj',.rw.�.j!'+0�4,. .. Applicants Please fill in the workers' compensation affidavit completely,by checking the box that applies to your situation. Please supply company name, address and phone numbers along with a certificate of insurance as all affidavits may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested,not the Department of Industrial Accidents. Should you have any questions regarding the"law" or if you are required to obtain a workers' compensation policy,please call the Department at the number listed.below. M1'1L7j� f. fy.SR:•.'.7t�'F{{�� (� 10 '��°i� � .� ,��4� } M1 .= r. .M7�j rlin �,r���~tl,'.r��1��:A�f�-0.'��rE. r"sZ• �i'b :aFi 6: City or Towns 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. The affidavits may be returned to the Depaitment by mail or FAX unless other arrangements have been made. ' The Office of Investigations would like to thank you in advance for.you cooperation and should you have any questions, please do not hesitate to give us a call. p s rElm h_1t._.o. . wt. e• 1The Department's address,telephone and fax number: y The Commonwealth Of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street,7`h Floor Boston,Ma. 02111 fax#: (617)727-7749 phone#: (617)727-4904 ext.406 . • Application to ®1b Ring-*o 3ftb yap Regional 34isStoriC Mis tritt QGDITimittee In the Town of Barnstable CERTIFICATE OF APPROPRIATENESS ation is hereby made,with four complete sets,for the issuance of a Certificate of Appropriateness under Section ;hapter 470, Acts and Resolves of Massachusetts, 1973, for proposed work as described below and on plans, igs,or photographs accompanying this application for: c -K CATEGORIES THAT APPLY: tenor building construction: ❑ New El .❑ Alteration licate type of building: ❑ ❑ ❑House Garage Commercial Other -Varm,2 tenor Painting: ❑ Ins or Billboards: ❑ New Sign ❑ Existing Sign ❑ Repainting Existing Sign r r� N ucture: ❑ Fence ❑ Wall ❑ Flagpole ❑ Other iv OR PRINT LEGIBLY: DATE � �� 'dS LESS OF PROPOSED WORK ASSESSOR'S MAP NO. 110 ER P Vck ASSESSOR'S LOT NO. �3 A E ADDRESS !a -�ro.�JS ide br• u)• 3ev-4j s-,ble TELEPHONE NO. 6V8-36.2- 719� NAMES AND ADDRESSES OF ABUTTING OWNERS, including those of adlacent property owners across any C-; street or way. (Attach additional sheet if necessary.) r- r ' �ay 1 a a J fwa �lA a r�lt a 51 P-e Bal-.y s4q.6 le Qa 4G 1 r- ,� rd vM ice, 14ct rr i5 w, dl m c - F.; ue efc►Ve 1 _SS,,JAta Va-aro U s 1, u 30 fro-J s;de 'V r: LV. 3ary s�b le JT OR CONTRACTOR --r6lta s kaf'ei be ya V er TELEPHONE NO. OT�-36a-719`1 ZESS �'ro,c!s; r. !.(1. ao;�s bye 'ORIPTION OF PROPOSED WORK: Give particulars of work to be done, including materials to be used. Please is locations of (proposed signs, .fd rM,j-S 4 re,h .,u,� w'6.-Lc Cot✓m vS auot u k-4 iRtk I l ',r�S a'v ioX•�5 T;,v1 ' Co 10,4.'R.1 _ u-aAcr; 4b Tw c t✓d e- p re 5s✓�-c ro"►`e. PC i N -"1e V C bLg- reply-iry �!'-.`i - jo.r ^ � lY-iev` Ucav� ef- F-0 �ovr Side_. l�M wj bA - 5aoA.. 1 Signed Ow tractor-Agent mtriltte`®uUs®Only; L_ nor--- ;, ;► LIP OVER u MAY 1 q 2p 5 `This Certificate is hereby Date Approveft0enied TOWN OF BA.VST 1K' E C I e Membe ' Signatures: (%�Za HISTC°IC P 0FRb')TV, Town of Barnstable 'W ' Old King's Highway historic District Committee SPEC SHEET sTOp �C,oF0 ��Of OUNDAT I ON i l l C0 L�� �a-1 S ( ci -in Jr 1 F�Gg9ol� 2 IDING TYPE AJ 0 �Q.. COLOR HIMNEY TYPE!� COLOR .00F MATERIAL :E t- 5 �li l i N r1S COLOR e WOO PITCH 1INDOWS COLOR SIZE PRIM COLOR t�r1 )OORS ZT'i M 1kC av�k tea '' COLORS S� w �"�AI J SHUTTERS ud COLORS BUTTERS / V/t'� COLORS W kt. '�e��iner�.cs•4- . DECKS �o o —DAS4"N MATERIALS W� arm fed NuOC� GARAGE DOORS COLORS ' SKYLIGHTS u l� SIZE COLORS SIGNS /U�/� COLORS FENCE a)IA COLOR NOTES% Fill out completely, including measurements and materials/colors to be used. Four copies of this form are required for submittal of an application, along with Pour copies of the plot plan, landscape plan and elevation plans, when applicable. . � O rmnnFFM RR m 5 RE I UED — FP OWT El.c VA'i0N ' FR•�T• LwLD��/�/p i arw v cUll u6] ' i wB•QDpF 3wiT — CP_o5S SL'C-1o�J ' Cal.ipnwskc> ��to• 5T4wiVal'rrtfgv K/A+I•�..c' IN 11111111fKf - Z•C 8•f.T.So`Sr ��-2•a 9• Bni w Olt' ' •. C/.TigCN CD rlpdf 1'L!1.p•9.7 GuD .. - cwN. Y=o• . coelwr . bl o N /C D ION � d- a5 y na.... FP-on1T E LE VA7/4Dpf G CEOSS S9<TI0N r1C c M R west sri,l.c :: J�- 7 N � W OM 3[� IL .1 — MR i C ' fZICxuT' F_`Lti V/�Tlbhi I . 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DE51C-�.�AT1/ ° �_ 'qaa"i'=/-I.4�4 cJ I T� ��� N FAPIILY "3 6ED°_—1 IS 1'i l .9 W J J IN -'Nn C-AI?CiK-6. DIS P•:.SAL % e11>> i 2°+ V'\R Y FLOW - I I o v 3 33c� G-r..p. 6 s 3 v I�y�°,� 3 3c> >< ISo', a956PD. 12 u 'gyp L"_'_I rtl WEST 1��•A27.)STA Q,LIr MASS. r 3 I ;. �1?v ec. .. uLE ISoo GAL, 'DE_PrnC TAQY- FoIZ �'- - ` LEACH FIELD TF{vNAS �H6VAL162 LEA^-fl FI EL.O -�- USE 25o RILE - 33C S FicW N71T mrvoso¢s 11 4'STooe) SCALE-As/JoTM JS,,.IE 10,M3 'PT '= 44o`.,.1" of b.IT.m ARCM . . �•� �AKTE12 4 1.7YE, 2NC_. USE 12�x -1 ,c (13><'+'1�) _ .4-81 Sr, Fr PILoF6 sS I oN AL LAUD 'nU iLV ICY p2S I 1'�R�cLATK•nJ s:AZ'E 1'1&3 ?_ M,AI oIL ' 1 �Iv7L En�Gia7EERS ! re.rN�•e R 6/31 c,. —D P.r D.":cb6.a—,I& - os'FEIiV 1 LL V- M A SS. 0 Z :/I/B•7 N.Ls.7,U-r 8Aw.8n.-o•/A;.>e7H EL 9r.r _ Ti77"-�F1' •*i.T rsrnc� SUTir-��rn� � et,.53' . pve�Av o f nv.o) I - i,./J.LZ.90' 7tl or x(ALj ,44 tie I,1'e• 9 i a' - �< Iw,.. ,.�.�I Zoe Byi,w.l 6 11 SJ s' p,r. = D[lEN �7+ 1 PIED. 2 e Z, 7!I �_ rew,o SULINAN 29733 eo+e F�RvrILC -q�7�r e VoJ. /o' -c&.c' `1•%f ICE�!F'I 171,tT 7HF. 1�"� DWEI_t.,�'e sto scaLG e-cup M5 To tut° siDsuslg A!J� 5VVeje- e�iPtAnFJJYS CN=r!lG TDw51 cc' ?,P,i.i?Dl3(L i�„� No WaKi 6Vwe,r<7RL r,A 111 . z 7s:7 Town of Barnstable pfttlE 1� Regulatory Services = Thomas F.Geiler,Director BAMSTAMX ►a;9: p�.� Building Division rED � Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us )ffice: 508-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION Please Print DATE: JOB LOCATION: l ar�N 5 r - w' l0°DNS �i numbeer; street village "HOMEOWNER':--, Yt o•nF /�4I VI e y-h .r 36 -7/9 1 Jr f' S Q/c'F 7 3 S name home phone# work phone# CURRENT.MAUING ADDRESS: city/town state tip 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 HOMEOWNER Person(s)who owns a parcel of land on which he/she resides or intends to reside,on which there is,or is intended to be,a one or two-family dwelling,attached or detached structures accessory to such use and/or farm structures. A person who constructs more than one home in a two-year period shall not be considered a homeowner. Such "homeowner"shall submit to the Building Official on a form acceptable to the Building Official,that he/she shall be 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 requirements. ti • Si a of Hom er Approval of Building Official 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 section(Section 109.1.1-Licensing of construction Supervisors);provided that if the homeowner engages a person(s)for hire to do such work,that such Homeowner shall act as supervisor." Many homeowners who use this exemption are unaware that they are assuming the responsibilities of a supervisor(see Appendix Q, Rules&Regulations for licensing Construction Supervisors,Section 2.15) This lack of awareness often results in serious problems,particularly when the homeowner hires unlicensed persons. In this case,our Board-cannot proceed against the unlicensed personas 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 responsibilities,many communities require,as part of the permit application, that the homeowner 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 t amend and adopt such a fomm/certification for use in your community. Q:farms:hameexempt o'�Qo � a BUILDING P_ T TOWN OF BARNST BLE, MASSACHUSETTS September 21 93 'X9 DATE 19 PERMIT NO. `•• APPLICANT Owner ADDRESS owner (NO.) - (STREET) (CONTR'S LICENSE) PERMIT TO Build dwelling ( 2 ) STORY Single family dwelling NUMBERDWELLIN OF G UNITS 1 (TYPE OF IMPROVEMENT) NO. (PROPOSED,USE) lot #43A 12 Yronside Drive, West Barnstable ZONING KP' AT (LOCATION) DISTRICT- (NO.) (STREET) BETWEEN AND (CROSS STREET) (CROSS STREET) LOT SUBDIVISION LOT BLOCK SIZE BUILDING IS TO BE FT. WIDE BY FT. LONG BY FT. IN HEIGHT AND SHALL CONFORM IN CONSTRUCTION TO TYPE USE GROUP BASEMENT WALLS OR FOUNDATION (TYPE) REMARKS: Sewage #93-417 BOND AREA ESTIMATED COST FEE 1464 'sq. ft. $ 115,000 PERMIT 110.75 (CUBIC/SOUARE FEET) Thomas Chevalier OWNER _ n /ADDRESS V5 Knotty Fine Lane, cen)rer'V li.ie, 17H LOLL BUILDING DE PT. �rssYs 's'"`'�Ys^V`a•' 'kv, ;,s�. ,.'�r.., ..-:�,, h ,y�•.-rv-"r:. �Y, a,. „z,*..c�;'=+s� ��+�:�y+e•I�Y'�+r :o. r�u r . ��i -�G; ,.'�. .. �;��� BUI�LDING PE Tom'` ,TO,M/N;,,OFBARNSTABLE, MASSACHUSETTS R. September 21 93 {pp�tt�ps 4 Q� f ,. DATE 19 PERMIT NO. '`• <=1 �� 3Vi! t APPL+ICANT, Owner ADDRESS - _/� + Owner �•' (NO.) (STREET) (CONTR'S LICENSE) �.B,4ild dwelling 2 Single family dwelling NUMBER OF' 1 PERMIT TO (_) STORY - DWELLING UNITS (TYPE OF IMPROVEMENT) N0. (PROPOSED USE) 1 of 043A 12 tronside r*ve, west Harnsca5le ZONING AT (LOCATION) DISTRICT IN0.) (STREET) BETWEEN AND ^ (CROSS STREET) (CROSS STREET) LOT SUBDIVISION LOT BLOCK SIZE BUILDING IS TO BE FT. WIDE BY FT. LONG BY FT."IN HEIGHI, D,SHALL CONFORM IN CONSTRUCTION � r TO TYPE USE GROUP -.00 BASEMENT WALLS OR FOUNDATION ` (TYPE) REMARKS: Sewage #93-417 � BOND ' F t AREA OR 1464 sq• ft• ' 115,000 .•PERMIT 116.75 VOLUME ::4 ESTIMATED COST $ FEE 1 ' (CUBIC/SOU;RE'"FEET) ':._• Thomas,Chevalier` OWNER C5 BY ADDRESS V C `d , C c, i� a BUILDING DEPT. i U. THIS PERMIT-CONVEYS NO RIGHT TO OCCUPY ANY STREET, ALL-EY OR SIDEWALK OR ANY PART THEREOF, EITHER TEMPORARILY OR PERMANENTLY: ENCROACHMENTS ON PUBLIC PROPERTY,'NOT SPECIFICALLY PERMITTED UNDER THE BUILDING CODE, MUST BE'AP- PROVED BY THE JURISDICTION. STREET OR ALLEY GRADES AS WELL AS DEPTH AND LOCATION OF,PUBLIC SEWERS MAY BE OBTAINED FROM THE DEPARTMENT OF PUBLIC WORKS. THE ISSUANCE OF THIS"PERMIT DOES NOT RELEASE THE APPLICANT FROM THE CONDITIONS OF ANY APPLICABLE SUBDIVISION RESTRICTIONS. MINIMUM OF THREE CALL APPROVED PLANS MUST BE RETAINED ON JOB AND THIS 'WHERE APPLICABLE SEPARATE INSPECTIONS REQUIRED FOR CARD KEPT POSTED UNTIL FINAL INSPECTION HAS BEEN PERMITS ARE REQUIRED FOR ALL CONSTRUCTION WORK: ELECTRICAL, PLUMBING AND I. FOUNDATIONS OR FOOTINGS. MADE. WHERE A CERTIFICATE OF OCCUPANCY IS RE- MECHANICAL INSTALLATIONS. 2. PRIOR TO COVERING STRUCTURAL QUIRED,SUCH BUILDING SHALL NOT BE OCCUPIED UNTIL MINAL IN IRE INSPECTION TO BEFORE FINAL INSPECTION HAS BEEN'MADE, 3. FINAL INSPECTION BEFORE OCCUPANCY. POST THIS CARD SO IT •IS VISIBLE FROM STREET BUILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS "APPROVED OWN OF BARNSTABLE (tote,� ;-BUILDING INSPECTOR ��� �4 7 APPROVED alit/ z u���✓e Z OWN OF BARNSTABLE ,BUILDING 4NSPECTOR +� 3 1 ---'-' HEATING INSPECTION APPROVALS ENGINEERING DEPARTMENT 2- 2 BOALID OF HEALTH v OTHER SITE PLAN REVIEW APPROVAL LIB 6Aa4 LoBQ%� -` 0 +r PERMIT 'N!L L BECOME NULL AND VOID IF CONSTRUCTION WORK SHALL NOT PROCEED UNTIL THE INSPEC- INSPECTIONS INDICATED ON THIS CARD CAN BE TOR HAS APPROVED THE VARIODUS STAGES OF WORK IS NOT STARTED WITHIN SIX MONTHS OF DATE THE ARRANGED FOR BY TELEPHONE OR WRITTEN CONSTRUCTION. I PERMIT IS ISSUED AS NOTED ABOVE. NOTIFICATION. v A BUILDING PERMIT t , 1 - Oa dT h — 0 ,._� TOWN OF BARNSTABLE Permit No. .,36182 BUILDING DEPARTMENT I SAUrr TOWN OFFICE BUILDING Cash ................ 7 Yl 6)0. X HYANNIS.MASS.02601 Bond CERTIFICATE OF USE AND OCCUPANCY Issued to Thomas Chevalier Address Lot #43A, 12 Ironside Drive West Barnstable, MA USE GROUP FIRE GRADING OCCUPANCY LOAD THIS PERMIT WILL NOT BE VALID. AND THE BUILDING SHALL NOT BE OCCUPIED UNTIL SIGNED BY THE BUILDING INSPECTOR UPON SATISFACTORY COMPLIANCE WITH TOWN REQUIREMENTS AND IN ACCORDANCE WITH SECTION 119.0 OF THE MASSACHUSETTS STATE BUILDING CODE. September 2, 94 . ....... .... 19................. ..................... Buildi g Inspector ; -ARNSTABLE, MASSACHUSETTS R T September 21 93 DATE 19 PERMIT NO. N9 ,,36.182 0, ;ANT Owncir ADDRESS c (NO.) (STREET) (CONTR'S LICENSE) 'Auild dwe , I iI v d w'2 1.L 1,ing NUMBER OF_. . - PERMIT TO Sir 12 i:I STORY DWELLING UNITS (TYPE OF IMPROVEMENT) NO. (PROPOSED USE) AT (LOCATION) lot #43A 12 1ronside Drive, West Barnscabie ZONING DISTRICT_ (NO.) (STREET) BETWEEN AND (CROSS STREET) (CROSS STREET) LOT SUBDIVISION LOT-BLOCK SIZE BUILDING IS TO BE FT. WIDE BY-FT. LONG BY FT. IN HEIGHT AND SHALL CONFORM IN CONSTRUCTION TO TYPE USE GROUP BASEMENT WALLS OR FOUNDATION (TYPE) REMARKS: Sewage #93-417 BOUD i464 sq. ft. PERMIT AREA OR 1 115,000 110.75 j VOLUME ESTIMATED COST FEE MIT FEET) Thomas Chevalier OWNER lUb Knottv iline Lane, CentervT11e, ♦m 0263t BUILDING DEPT. ADDRESS BY b. I H t I bbUANCE OF THI RM ASE THE APPLICANT FROM_THE_CbN_0_1T_10NS OF ANY APPLICABLE SUBDIVISION RESTRICTIONS.. MINIMUM OF THREE CALL -APPROVED PLANS MUST BE RETAINED ON JOB AND THIS WHERE APPLICABLE SEPARATE INSPECT,ONS REQUIRED FOR PERMITS ARE REQUIRED FOR ELECTRICAL.ALL CONSTRUCTION WORK' CARD KEPT POSTED UNTIL FINAL INSPECTION HAS BEEN C AL, PLUMBING AND I. FOUNDATIONS OR FOOTINGS. MADE. WHERE A CERTIFICATE OF OCCUPANCY IS RE- MECHANICAL INSTALLATIONS. 2. PRIOR TO COVERING STRUCTURAL QUIREO.SUCH BUILDING SHALL NOT BE OCCUPIED UNTIL MEMBERS(READY TO LATH). 3. FINAL INSPECTION BEFORE FINAL INSPECTION HAS BEEN MADE. OCCUPANCY. POST THIS CARD SO IT IS VISIBLE FROM STREET BUILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS APPROVED TOWN OF BARNSTABLE BUILDING INSPECTOR LE ism 2 �Ic APPROVED 2 /)ulo"V1 TOWN OF BARNSTABLE ,..,,BUILDING INSPECTOR o? 6 �?J3 112 2 /HEATING INSPECTION APPROVALS ENGINEERING DEPARTMENT LA-) 014 If BQt OF HEALTH X"4-T Q OTHER SITE PLAN REVIEW APPROVAL WORK SHALL NOT PROCEED UNTIL THE INSPEC- PERMIT 'W!LL BECOME NULL AND VOID IF CONSTRUCTION INSPECTIONS INDICATED ON THIS CARD CAN BE TOR HAS APPROVED THE VARIOLIUS STAGES OF I WORK IS NOT STARTED WITHIN SIX MONTHS OF DATE THE ARRANGED FOR BY TELEPHONE OR WRITTEN CONSTRUCTION. I PERMIT IS ISSUED AS NOTED ABOVE. NOTIFICATION. ars office(1st Floor): sor's map and lot number Oo ©01 ac nservation(4th Floor): Board of Health(3rd floor): tt :6�� Sewage Permit number /� `�hE`pi T1 7 �aas�r�nctt • Engineering Department(3rd floor): / G l Itr*. ,.House number 1� - �_,_ o Nt► r` Definitive Plan Approved by Planning Board 6 5 APPLICATIONS PROCESSED 8:30-9:30 A.M.and 1:00-2:00 P.M.only TOWN OF BARNSTABLE BUILDING INSPECTOR f APPLICATION FOR PERMIT TO f ,S tdr�f �7! NG l ( �Q , I/ TYPE OF CONSTRUCTION u" i 'Fro,m 2 TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: i Location I Q 1 ro•J S i d2 �� - Uj. "bca -AJ:5-lgb 1e 4a� y3�1 Proposed Use Zoning District R F Fire District (V- &r jS4'0.b 1e Name of Owner 1 /i�/nCIS C,112Vsrt t�� Address /QUO Klo4/ P� ue L j, (-e v-kr-vr'11e AA Name ofi Builder T 7 Y-e,,/Aj? C-c (rrOkm--o-1Address _ W• 1311(it)5-4 b le AAA Name of Architect-keyt jt+k -,;4d ier Address P.0_ 130X //'/9 T S J(i(/� (W(,a I Number of Rooms 7 Foundation C O.)Crt 4Q Exterior wh;4 61C)ur Sh�u�l�S �Red dedar- N'oRoofing ��h�i � 71 A)9`!S Floors 4rd�,ycxrCT�ar02� `TAL Interior BLz boat-A f /a s'kr iHeating ire-ed � 0;/ &,rVer Plumbing llS�T- Dryer- /s " tot,/` Fireplace Approximate Cost /ID'/�J� 000 Area �w S Diagram of Lot and Building with Dimensions Fee AO' 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 Siipervisor's License THC i S o 6132 Two Story No Perm�For _ Single Family Dwelling Location Lot #43A, 12 Trnnsj HP Drive West Barnstable T - Owner Thomas Chevalier Type of Construction Frame r Plot Lot Permit'Granted September 21 , 19 93 Date of Inspection: Frame /.�,�� 19 . . ... -V Insulation 3 19 Fireplace 19 19 _ Date Completed , J jv i "# f:�a , ; . : .. : • � : �� .. �4• : . , . . : ' , . : � •i�l Ott i 0 yi.,a, i .�� .•i •1 , i ., r ..iT I .J/ 6 (..' wn/wM/. _._-t..r-` --T ,.--��--�-+ ,.•••mot-.r- .._... .. .. 1 , _1 I t o/-07 pG4 ,/ •,r• ! AT. .1. ,..1..E . � , ,.�-, , 4 J. 7, f4l*, S�A.F.C/.vE AivO. -' SCAL'E /. 550, o g72=-I 'Oi4' "�/ co �.C.4�t! .2E.c'E,2Eit/C'�. LE .CacQ,r�,n Bi Re 4zi A6 57 JAT' 9175' Dit/ i2EG/S /N✓``J-,eU/��wt/T;;$'!/.2YE�/� ,.��; ,..:. ' ;_; TE.2EI� .L,��p Sueli�.c'Ya.c� Oi�,�'E"TSSh�oLs/�YS/�DCi��itlo77..��C• _i. � /'J�4SS. �.SEp 74 OET ,�itl/.t/E Ae>7- . /C,q t/T p COMMONWEALTH OF MASSACHUSETTS =E�F DF-rAKiMENT OF P.TDUSTRIAL ACCIDENTS -y 600 WASHrNGTON STREET BOSTON, MASSACHUS=S 02111 lames.: camooei' _o--n!ss,one• WORKERS` COMPENSATION INSURANCE AFFIDAVIT 1, �omccS Gh�v I►� (licensee/permincc) with a principal place of business/residcncc at: la J no.)s,�de i wesl `a-r.) 44-6le .44A (Ciry/Statc/zip) do hereby certify, under the pains and penalties of perjure, that: �) 1 am an employer providing the following workers' compensation coverage for my employees working on this job. lnsurancc Company Policy Number ( ) 1 am 2 sole proprietor and have no one working for me. [t,VI am a sole proprietor, general contractor or homeowner (circle one) and have hired the contractors listed below who have the following workers' compensation insurance politics: • �Ivj c/ 3 /a �l9io�rool3 Name of Contractor Insurance Company/Policy Number N2mc of Contractor lnsurancc Company/Policy Number Name of Contractor Insurance Company/Policy Number 0 1 am a homeowner performing all the work myself. VOTE: Please be aware that while bomcowners who employ persons to do maintenance,construction or repair work on a dwelling of not more than three units in wbicb the bomcowner aJw resides or on the grounds appurtenant thereto art not generally considered to be employers under the Workers'Compensation Act(GL C. 152,seen. 1(5)), application by a bomeowoer for a license or permit m2y evidence the lcgaJ sutus of an employer under the Workers' Compensaiion Act i unocrstano that a copy of thus statement will be forwarded to the Dcpi trncnt of Industrial Accidents'Ofiiec of Insurance for.eoveratc verification and that failure to secure coverage as required under Section 25A of MGL 152 can lead to the imposition of-rtiminal penalties consisting of a fine of up to S1500.00 and/or imprisonment of up to one year and evil penalties in the form of:Stop Work Order and a fine of S100.00 a day against me. Signed this s� day of Licensee.Rcrmiticc Licensor/Pcrmirtor w• w P : o•-a- n 4' -------------- 1 0 ;III ! 1 :Ili its ° I I 2 ij k b .,e 8 1 3 , q j t4 i �i� z 1 I � y 1 waur IJ-P 2p-p wP 4S !(B Lj cum cwmm Mono&R"Wen"fort NOR ecrw Mr.& Mrs.Thomas L.Chevalier V 16/93 Floor pans 12 ironelde Dr.Lot 43A O elevationehargea d..wM..,w {t; H�:ij ; W.6arnetable,MA "`: :L 60p7Y0.YVa1tl 'C:`T, n m v e) a > _� m m v a a ♦ a a �0 t � R rtter SrwffSS r rr pp kk 6 � �ttd 0l trr �= tgi [ It R 11 1 = T � aaaaa � 6 p s S � y � A 9 ' 9 O IP i!/s !.b • f•f fir 1 . 9 i 1 , 4 ® 9 0 1 C 1q5 y � s y It 4 R • ERE Y 1 � � E If. Ihb a! MQ= 6wwfn"onU&Raw,""ftm NOTlS Mr.& Mrs.Thomas L.Chevalier ME O 4/i Gras Floor plan 12 Irondds Dr.Lot 43A ;w, .s..rw .mom elevatbnchargies .. y ,. W.Barnstable,MA Is-o- Is-o- u 1 w 1 7 Y y � 1 o � - 7 e i 7 9 9 IPO' use• o•e- CROM Custom HMO6KftweWicefor NOTE. N ,,, ;W Mr.d� Mrs.Thomas L.Chevalier .1..1w�i.w..w1eW M _ 12 Irmolds Dr.lot 43A J elevabob cfnrges �►ae.nb•ro...w u 1•r.: W.Barnstable MA � a t I q q li C I I11 � ii h II 9 s 1 II 4 I Y J-•L r-:n II � 1 II 3 II � n n u+a « JS : CwtomHomedRylAenafon rah Mr. Mrs.Thomas L.Cheveller =- • , O 1t: 6vdr 14CdilOOF. = FW�„b -• �w r_ 12 Iron"Dr.Lot 43A rr ate•• ;.h._ .1�r-..-sr C i _ .t NMtdon ".ou.lr•:,a.,ri:i:�l_> N:.ri k W.BJrrnstwbls.MA s � .............-----...--- P a � , ; v �d v a g ` 9 !............._..6............... ................... i }G�a �L Custom Home d RmUenee for. NM- Mr.& Mrs.Thomas L.Chevalier a16/9' loo►pbn� """ •`w""""��'•'R- 121ronside Dr.Lot 43A b� ;.: :.. 3. sNwtlsn olar�a ; ;.i ye.E:t W.bmmsublr.MA �j9bD.7BD.S922':�-•+•.:•:•i:.i.:. nwi...e.r..q.•... w i a f I fl ...._..... i. I� if i it - i . eem �•.................. II Now II II ii i li }........._.......... .. I r Custom Home d RMWIMN n NOTE Po RamMr. & Mrs.Thomas L.Chevalier md � �:�.,.w,erg. :::.:,:,; ,; �� `'�"• Uts/ss poor na .rr.r��.w.•we..,...s r;�-�: Q ImnsIde Dr.Lot 43A yc .av�. b�Yn«.l,ab+MRasna -:'.��.� W.Bwrnrtsblei MA i, F'j:80a/f19f0i1 :_�'_-1. a'i;i. y I i( it ii ii it it I w � 4 " Mr.& Mrs.Thomas L.Chevalier "- LOCAUML Rba y ■++ !� 12 IroneWe Dr.Lot 43A wNhtlewebn e►rnpti T3.,.►ar.nu. q�ie 1 M;.Y„?, :.;. W.barmoUble,MA p5 gg55 Rg Q , a ti � ran xrsa�m F+vr aaoxwa �m'nVkusxwwnw it�A'r v.x par rcarormw i g 999 It �] � e ct s 47, a=- Cuowm Home a RaWaia Ion HCTE Mr.& Mrs.Thomas L. Chevalier w r O14nwtI BWNwwr le0a{. L9f8ilQd ara..... O Ute/o9 Floorplm` "r'a'•,.','�'"�" y�'"'�" 121romW&Dr,Lot 43A eW aWn - ,T.. changes y-. !�,!�ror•a!uobai.;r;�}4. t W.Darnstabl8,MA i WErLa4D Oki fe 7-1-IA 7- .T�/,f-:: S1-/0WN //E.2E0.C/C0�1.dL YS -f/jr�j SC�1 G- -rti� s 4f>,- /.c/� A�c/o SETB.�I C/G (�' �Jb O�1 TE lz o - 13 �EQ!/i,LEiv1E.t/TS o� T�'� 7-owit/a.� •�L,4it! .e4=- I' O4 7T�-p 1y/T///� w 13'� C. RAX7, E-E B-QSE4. . �/,4if/. �2E6/STE,2E1� l�c�,c/p SU.eY�Yar� IV SS. 7-e� .4G�� /✓T Tmcv ���� r i E Application to ePe P�Sr E,ePs`E P�`�F BPE�pE�.s1�i . Old Kings Highway Regional Historic District Committee in the Town of Barnstable for a F I CERTIFICATE OF APPROPRIATENESS Application is hereby made, iri triplicate, for the issuance of a Certificate of Appropriateness under Section 6 of Chapter 470, Acts and Resolves of Massachusetts, 1973, for proposed work as described below and on plans, drawings or photographs accompanying this application for: CHECK CATEGORIES THAT APPLY: 1. Exterior Building Construction: [ New Building ❑ Addition ❑ Alteration Indicate type of building: [House ❑ Garage ❑ Commercial ❑ Other 2. Exterior Painting: ❑ 3. Signs or Billboards: ❑ New sign ❑ Existing sign ❑ Repainting existing sign 4. Structure: ❑ Fence ❑ Wall ❑ Flagpole ❑ Other (Please read other side for explanation and requirements). TYPE OR PRINT LEGIBLY DATE S"a o - 3 ADDRESS OF PROPOSED WORK �4? rry S��E Dr. W, '"� tb�e ASSESSORS MAP NO. OWNER Ihomu5 ke qk ey- ASSESSORS LOT NO. 113A HOME ADDRESS 10b KAroj! l P, ,je Lu A 80,V 67�' TEL. NO. 775�"(DyVV AAA oafoj� FULL NAMES AND ADDRESSES OF ABUTTING OWNERS. Include name of adjacent property owners across any public street or way. (Attach additional sheet if necessary). See AGENT OR CONTRACTOR 2-e�E TEL. NO. ADDRESS :5ck'^A� DETAILED DESCRIPTION OF PROPOSED WORK: Give all particulars of work to be done (see No. 8, other side), including materials to be used, if specifications do not accompany plans. In the case of signs, give locations of existing signs and proposed locations of new signs. (Attach additional sheet, if necessary). -,Lu0 .54o,-y wojd.ev 54r✓c-Ivre' Si.0 Jle Wh��e epdar shl,uJles -f' Red el?dar Clorboard !°vucrp4-e- v�da hoN 36,r a Dr,•2 v.ud er- i4 4Q Ghod rrar9y e di X 24 w;-I-k -F-qm;1 y roam a have �SPhgl� Roc���J4 $I,��Ic�1zS , R-ec( uSec( Sr,-c:4, fire lace � C'1,",».vtY rvyr�.vy "T -�d&) -I-In(! -I✓h ro:Ik 41V i us 1 d e wa t I o-r 4:�,r d/ roo lh Q lo.+T, vcu t s i"d e -,vt,21( a F.u0'r.0 -+rvc4,vre. P"ssv.t -Treak.d urc:d -t�tj ck la )e acl , T.uSulov-(ccf SA-ee( 's r2d LZror, Signed Pau,bl e N G &/4, Pau S . Ow Contractor-Agent Space below line for Cornmitte-W-robled C. e/W141M fonum . C ifi to i herebyU �"'` Date me ' Approved ❑ ORTANT: If Certificate is approved, approval is subject to the 10 day appeal period provided in the Act. r�icannrnued� v. ABUTTING OWNERS ' Assessors Map # Name & Addresses Map Lot # i 110- 1- 18 Christopher & Kathy Glynn Lot # 37 Hanover , MA 02339 110- 1- 19 John M. Kelly TRS Lot # 39A High & Cedar St. , Trusts Mashpee , MA 02649 110-1-20 John M. Kelly TRS Lot # 40A High & Cedar St . , Trusts Mashpee , MA 02649 i 110-1-22 Michael A. Dunning TRS Lot # 45 High & Cedar St . , Trusts Mashpee , MA 02649 110-1-29 James J . Shea III TRS Lot # 52 Jaybird Realty Trusts Longmeadow , MA 01106 111-58 John M. Kelly TRS Lot # 12 High & Cedar St . , Trusts Mashpee , MA 02649 ' f 111- 59 . Anthony & Helen Baudanza dot .# 13 44 Percival Dr.. , Box 683 W. Barnstable , MA 02668 111-60 Joseph R. Timmons /Ralph Tedeschi. TRS Lot # 14 Norwell , MA 02061 i E 111-61 Joseph Glasser hQt # 15. 15 Westwood Rd. ` Storrs , CT 06268 j 0�� , :I ABUTTING OWNERS 1 Assessors Map # Name & Addresses. Map 16t' .# . 111-66 Ralph Tedeschi. Lot .# 41A t 72 Shi-ne Rd. t Norwell , MA 02061 i 111-67 Ralph Tedeschi Lot # 42A P f. 72. Shine Rd. F: Norwell , MA 02061 F. 111-68 Joseph R. Timmons/Ralph Tedes.ch.i. TRS Lot # 44 a. W. Barnstable , MA 02668 111-69 Weeks Crossing Comm. Assoc. Open Space r t Box 560 • E: Mashpee , MA 02649 17 e F FI F`. G f. L 1 ( t. S i. i OLD KING'S HIGHWAY HISTORIC DISTRICT i. Spec Sheep . i f Foundation Type Lo�1 C re e- " w1,; -4t Siding Type Ce<ArAj- ►,�a e'.) tie C(ua %CL7cj Chimney Type 0 Sed Color 1 P� f Roof Material ASo�)a Color Pitch I wood kN1.erlor Windows AAjJerx„J D(ojbke. NvN2 Vi`jo�l v)?)er;or (P A0 ,Pauo�:- Size 4e j Trim .Color LUIn��Q Doors TASu d�.J� ectr ^DaaT Color rRC� Shutters a�r,C-�/ Vl .Aj VL - hSAer-s ?1C CV Woo-Z S�y4--�6 Gutters Wh 14k U/Y) iAJ'L1/YJ Deck Pre ss.,�e '�T Qa ? d WWJ Lze I0XA#q0 1 /�� ✓ � -- Garage Doors "Cl �nq- 1D00.rS Color �ac i Notes: Fill out completely , including measurements and materials/colors to b(, Three copies of this form are required for su$mittal of an applicatioT along with three copies each of the plot plan. landscape plan and plans . when applicable. 'Plot plan need not be "Certified" , but should show all structures on to sole . Pic Imp J • TOWN OF BARNSTABLE BUILDING . DEPARTMENT HOMEOWNER LICENSE EXEMPTION Please,-print. ,: .. .... . DATE JOB.* LOCATION /a2 r'd,v5cd 0- Number Street address Section of--town. "HOMEOWNER'i aS QVC, e -775-- `Oq qO Name Home phone Work phone : PRESENT 'MAILING ADDRESS P.O, �d� (D`7 Aj 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 (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 in a two-year period shall not be . considered a homeowner. Such "homeowner" shall submit to the Building Official on a form acCapt'able to the Building Official, that he/she shall be responsible for all such' work performed under the building permit. (Section 109. 7. 1.) The undersigned :"homeowner" assumes ..responsibility for compliance with the Stat Building Code`.-and other applicable codes, by-laws, rules and regulations. The undersigned "homeowner" certifies that he/she understands the Town of`Barnstable Building Department minimum inspection procedures and requirements and that he/she will comply with said dure 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. HOME OWNER'S EXEMPTION The code state that:. "Any Home Owner performing work for which permit is required shall be exempt from the provisions of thissectionding (Section 109. 1. 1 - Licensing of Construction Supervisors) ; Home Owner engages a persons) for hire to do such work, that such Ho shall act as supervisor.:' . Provided that,.if Home Ow' Many Home Owners who use this exemption are unaware that they' ,.. the responsibilities of a supervisor (see A are assuming' for licensing Construction Supervisors, . Sectiond2. 155) This .lack of aw Rules and Regulations often ,results in serious problems, This when the Home. Owner hires unlicensed persons. In this case our Board cannot proceed against s ,inlicensed person as it would with licensed Supervisor. The. Home Owne g . .the as supervisor is ultimately responsible, r actin; To ensure that the Home Owner is fully aware of his/her. , communities require, as responsibilities certify that he/she understands the responsibermit ilitiesoof ahsu the `Home Owneran last page of this issue is a form currentl supervisor. On the care to amend and adopt such a . form/certification for use in currently ,used by several. towns. You may Your community.