HomeMy WebLinkAbout0029 SUNDELIN WAY ur
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UPC 12543 .
No. 53LOR
MpC�•uno 4w "
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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
M"9. Posted Until Final Inspection Has Been Made. Permit
' Mo+` Where a Certificate of Occupancy is Required,such Building shall Not be Occupied until a Final Inspection has been made.
Permit No. B-20-1794 Applicant Name: William Callahan Approvals
Date Issued: 07/13/2020 Current Use: Structure
Permit Type: Building-Insulation-Residential Expiration Date: 01/13/2021 Foundation:
Location: 29 SUNDELIN WAY,WEST BARNSTABLE r Map/Lot: 216-068 Zoning District: RF Sheathing:
Owner on Record: MERCANDETTI, RICHARD&JENNIFER HOLLY Contractor Name: EFFICIENT BUILDINGS LLC Framing: 1
Address: 4521 WINONA COURT Contractor License: 169944 2
DENVER,CO 80212 Est. Project Cost: $4,000.00 Chimney:
Description: Attic Insulation Permit Fee: $85.00
j Insulation:
Project Review Req: Fee Paid $85.00
Date: 7/13/2020 Final:
Plumbing/Gas
Rough Plumbing:
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*ssuance.
All work authorized by this permit shall conform to the approved application and the approved construction documents for which this permit has been granted. Rough Gas:
All construction,alterations and changes of use of any building and structures 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 Final Gas:
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.
Minimum of Five Call Inspections Required for All Construction Work: Service:
1.Foundation or Footing
2.Sheathing Inspection _ Rough:
3.All Fireplaces must be inspected at the throat level before firest flue lining is installed Final:
4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection
5.Prior to Covering Structural Members(Frame Inspection) Low Voltage Rough:
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:
"Pe ntracting with unregistered contractors do not have access to the guaranty fund" (asset forth in MGL c.142A).
r� Fire Department
Building plans are to be available on site
All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT Final:
Town of Barnstable *Permit#
Expires 6 months from issue date
Regulatory Services Fee .3
• �xxsrwaLa, •
1639. Thomas F. Geiler,Director
Building Division X-PREST Building Commissioner `s PERMI1' 4
200 Main Street, Hyannis,MA 02601 SEp
- 9 1�,f
www.town.bamstable.ma.us
Office: 508-862-4038 TOWN OF SAFFW jqj�-7L9LQ-6230
EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY
/ Not Vatid without Red X-Press Imprint
Map/parcel Number «1(� Q Gj
Property Address / �� :r'i ,,1, �- '�/ , )�V24,
]_Residential Value of Work
Minimum fee of$35.00 for work under$6000.00
/ •G /�
Owner's Name&Address B ���j "` .,� K.,( 7"/
Contractor's Name i
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
I am the Homeowner
❑ I have Worker's Compensation Insurance
Insurance Company Name - r4—jj e- j �� / �L .
Workman's Comp. Policy#
Copy of Insurance Compliance Certificate must accompany each permit.
Permit Request(check box)
Re-roof(stripping old shingles) All construction debris will be taken to ,
❑ Re-roof(not stripping. Going over existing layers of roof)
❑ Re-side
#of doors
❑ Replacement Windows/doors/sliders. U-Value (maximum .44)#of windows
*Where required; Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc.
***Note: Property Owner must sign Property Owner Letter of Permission.
A copy of the Home Improvement Contractors License& Construction Supervisors License is
required.
SIGNATURE:
QAWPFILES\FOR S;Nb m ermit forlm\E R. SS.doc
Revised 070110
The Commonwealth of Massachusetts
r 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): �^�Q�� Z�j
Address:
City/State/Zip: 1)9 Phone #:
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 1
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 8. ❑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 U .J I am a homeowner doing all work officers have exercised their
/\ g 11.❑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 7'� p
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 is providing workers'information. compensation insurance for my employees. Below is the policy and job site
Insurance Company Name:
Policy#or Self-ins. Lic. #: Expiration Date:
Job Site Address: City/State/Zip:
Attach a copy of the workers' compensation policy deciaration'page(showing the policy number and expiration date).
Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a
fine up to$1,500.00 and/or one-year imprisonment, as well as civil penalties in the form of a STOP WORK ORDER and a fine
of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of
Investigations of the DIA for insurance coverage verification.
I do hereby certify under the pains and penalties of perjury that the information provided above is truea d correct
Si afore: Date: / l
Phone#:
Official use only. Do not write in this area, to be completed by city or town official
City or Town: Permit/License#
Issuing Authority(circle one):
1.Board of Health 2. Building Department 3. City/Town Clerk 4.Electrical Inspector 5. Plumbing Inspector
6. Other
Contact Person: Phone#:
r
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�THE lq�,_
Town of Barnstable
Regulatory Services
snl3rtsrest E Thomas F. Geiler,Director
MAse.
`bA A39. •0� Building Division
T fD Mp`l A
Tom Perry,Building Commissioner
200 Main Street, Hyannis,MA 02601
www.town.barnstable.ma.us
Office: 508-862-4038 Fax: 508-790-6230
HOMEOWNER LICENSE EXEMPTION
Please Print
6711 /1
DATE:
JOB LOCATION: ��j �C� /1' �
number street village
"HOMEOWNER": �O3n ' �!) C2-6) (o
name home phoneW
work phone#
CURRENT MAILING ADDRESS:
ci /town 'state—'' zip code
The current exemption for"homeowners"was extended to include owner-occupied dwellings of six units or less and
to allow homeowners to engage an individual for hire who does not possess a license,provided that the owner acts as
supervisor.
DEFINITION OF 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 cedures and requirements and that he/she will comply with said procedures and
requiremen .
gn of Homeowner
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 person as it would with a licensed
Supervisor. The homeowner acting as Supervisor is ultimately responsible.
To ensure that the homeowner is fully aware of his/her 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 form/certification for use in your community.
Q:forms:homeexempt
THE fti y Town of Barnstable
Regulatory Services
s6;¢ Thomas F. Geiler,Director
�
o may' Building Division
Tom Perry,Building Commissioner
200 Main Street,Hyannis,MA 02601
www.town.barnstable.ma.us
i
Office: 508-862-4038
Fax: 508-790-6230
Property Owner Must
Complete and Sign This Section
If Using A Builder
I' 7 , as Owner of the subject property
hereby authorize 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. Pools
are not to be filled before fence is installed and pools are not to be
utilized until all final inspections are performed and accepted.
Signature of Owner Signature of Applicant
Print Name Print Name
Date
Q:FORMS:O WNERPEFMISSIONPOOLS
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