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Tim' Y—Cabral, •President 'CSL-1054$.4 .58-01C9!ISONSTREET. :F4L RIVER;,,M,c�02721 -.1 ,:.(506),5':67-4240'.:1 '•ALTERNATIVEWEA RI-ATI.OKOG"'. L:COW1; Town of Barnstable Building s Post This Card So That it isVisible Fr m;the Street Approved=Plans Must be:Retamed on Job antl this Card Must be Kept r v MAR& Posted Until Final,lnspection Has Been Made =b3a , Permit Where a Certificateof Occupancy is Required,such Building shall Not be Occupied until a Emal Inspection has been made Permit NO. B-19-3730 Applicant Name: ALTERNATIVE WEATHERIZATION.INC. Approvals Date Issued: 11/05/2019 Current Use: Structure Permit Type: Building-Insulation-Residential Expiration Date: 05/05/2020 Foundation: Location: 41 ALDEN WAY, HYANNIS Map/Lot: 307-249 Zoning District: RB Sheathing: Owner on Record: FERRELL,JEANNE C&CAROLYN V TRS Contractor Name:,', .ALTERNATIVE WEATHERIZATION Framing: 1 INC. Address: PO BOX 2571 . . 2 HYANNIS, MA 02601 � Contractor,License 175683 1 Chimney:- Description: Weatherization d g Est WdOct Cost: $3,855.00 Permit Fee: $85.00 Insulation:, Project Review Req: ( ` Final: r Fee Paid: $85.00 11/5/2019 Plumbing/Gas r Rough Plumbing: Building Official Final_Plumbing: This permit shall be deemed abandoned and invalid unless the work authorizedkby this permit is commenced within siz 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. "s Final Gas: All construction,alterations and changes of use of any building and structures shall be in compliance with the local zoning by lawsJand codes. :u .; This permit shall be displayed in a location clearly visible from access street or road and shall be maintained open for&blicainspection for the entire duration of the work until the completion of the same. a � � Electrical �, : The Certificate of Occupancy will not be issued until all applicable signatures by the Building and Firel icials 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: 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 Final: i All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT i .r .. . _ 35 r AP.Pl,ication nurrrbet ..................................... ' Date Issued. J Building inspectors IIJnitials.:.. r.as Map/Parcel: �� TO 'VNe OF BARN TABLE n4;rt t EXPEDITED-PERMIT APPLICATION.:= ; ROOF/SIDING/WINDOWS/DOORS/TENTS/STOVES/WEATHERIZATION ` PROPERTY INFORMATION 4 N _ . Address of Pro�eet: NUMBER j7 STREET 'Yul Owner's Name• r x `� Email Address: kx< Cell-Phone Number Project cost$ � Cheek one Residential_ Commercial ... OWNER'S AUTHORIZATION 17 As owner of the-aboveproperly.I,hereby authorize-y'� Q' w to make application for a building permit in accordance with 78 MR :W w Owner Signature:, .Q,IG! c, - Date: TYPE OF WORK ` ] = Siding Windows(no header change)# �Insumtib datherizat gn.��, 0. Doors(no header change)# Commercial Doors require an arspiector sreVt�w 0 Roof(not applying more:than 1 layer.of shingles) Construction Debris will be going to CONTRAC�OR,S INFOR1VfATION - - Contractor',s name ek rv. ( Home Improvement Contractors Re straton if a izcable #'. ��e- %3 attach eo ( PP ) C PY) r Construction Supervisor's License# attach copy) Email of Contractor 'Q/^rlQ, -lGii�eQZ71`rl ;Phone number ALL>PROPERTIES THA;tjkAVE STRUCTURES 6Vt 75 YEi4RS OLD OR_lF THE:SURIECT PROPERTY IS,IA A HISTORIC DISTRICT, YOU MUST OBTAIN HISTORIC APPROVAL BEFORE A PERMIT 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 APP IC 'S SIGNATURE j(Signature (/ Date All permit applications are subject to a building official's approval prior to issuance. THE.�� trd '14 Town of Barnstable A Building Department Services 1639. ,�® Brian Florence,CBo �v Building Commissioner 200 Main-Street,Hyannis,MA 026011 www.town barnstable.maaus Office:508-862-4038 Fax:508-790-6230 Propel Owner Must Complete and Sign This Section If Using.A Builder I, Carolyn.Ferrell ._ ,as Owner of the subject property hereby authorize i& Y Q 1J- WA&'11Z&t act on my behalf, in all matters relative to work authorized by.this building permit application for: 4jr Alden Way Hyannis (Address-of Job) Sig e of(Owner Signa e=of Applicant Print Name Print Name Date The Commonwealth of Massachusetts Department of Industrial Accidents a I Congress Street, Suite 100 Boston,MA 02114-2017 www mass.gov/dia Workers'Compensation Insurance Affidavit:Builders/Contractors/Electricians/Plumbers. TO BE FILED WITH THE PERMITTING AUTHORITY. Applicant Information Please Print Lehibly Name (Business/Organization/Individual):ALTERNATIVE WEATHERIZATION, INC.' Address:2 LARK STREET City/State/Zip.FALL RIVER, MA 02721 Phone#:508-567-4240 Are you an employer?Check the appropriate box: Type of project(required): 1.❑✓ I am a employer with 16 employees(full and/or part-time).* 7, ❑New construction 2.❑I am a sole proprietor or partnership and have no employees working for me in 8. ❑Remodeling any capacity.[No workers'comp.insurance required.] 9. ❑Demolition 3.❑I am a homeowner doing all work myself.[No workers'comp.insurance required.]t 10❑Building addition 4.❑I am a homeowner and will be hiring contractors to conduct all work on my property. I will ensure that all contractors either have workers'compensation insurance or are sole I L❑Electrical repairs or additions proprietors with no employees. 12.❑Plumbing repairs or additions 5.❑I am a general contractor and I have hired the sub-contractors listed on the attached sheet. 13.❑ p Roof repairs These sub-contractors have employees and have workers'comp.insurance.t 6.❑We are a corporation and its officers have exercised their right of exemption per MGL c. - 14.D Other INSULATION 152,§1(4),and we have no employees.[No workers'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. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name:LIBERTY MUTUAL INSURANCE Policy#or Self-ins.Lic.#:XW058867158 Expiration Date:06/07/2020 AIJ Job Site Address: / / J l�P/1 City/State/Zip: S Attach a copy of the workers'compensation po 'c eclaration page(showing the policy numAer and expiration date). Failure to secure coverage as required under MGL c. 152, §25A is a criminal violation punishable by 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.A copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. 1 do hereby certify under e s and alti s of e uty that the information provided above is true nd correct. Signature: Date: Phone#:508-567-4240 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 i 6.Other Contact Person: Phone#: DATE IMM/DDlYYYY) CERTIFICATE OF LIABILITY INSURANCE �. ...1 Q5124/19 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 CONTACT NAME: Anthony F.Cordeiro Insurance Agency HOAX ICNa Ext: 508-677-0407 FAc No): 508-677-0409 171 Pleasant Street E-MAIL ADDRESS: HSouza@Cordeiroinsurance.com Fall River,MA 02721 INSURER(S)AFFORDING COVERAGE 'NAIC k INSURER A: Liberty Mutual INSURED INSURER B: Ohio Security Alternative WeatheriZation INSURER C: Ohio Casualty 2 Lark St INSURER D:' Fall River,MA 02721 INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: 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 ADUL SUBR POLICY EFF POLICY EXP LTR TYPE OF INSURANCE IN SD WVD POLICY NUMBER MM/DD/YYYY MMIDD/YYYY LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE S 1,000,000 DAMAGE CLAIMS-MADE a OCCUR �- ERT PREMISES Ea occurrence) $ 300,000 MED EXP(Any oneperson) $ 15,000 A Y Y BKS58867158 06/07/19 06/07/20 PERSONAL a ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE S 2,000,000 POLICY❑ PRO- ❑ JECT LOC PRODUCTS-COMPlOP AGG $ 2,000,000 OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident $ 1,000,000 ANY AUTO BODILY INJURY(Per person) $ B OWNED ONLY X SCHEDULED Y BAS58867158 06/07119 06/07/20 BODILY INJURY(Per accident) $ AUTOAUTOS X HIRED X NON-OWNED PROPERTY DAMAGE $ AUTOS ONLY AUTOS ONLY fPer accident S X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 1,000,000 A EXCESS LIAB CLAIMS-MADE Y Y US058867158 06/07/19 06/07/20 AGGREGATE $ 1,000,000 DED I I RETENTION S $ WORKERS COMPENSATION PER OTH- AND EMPLOYERS'LIABILITY YIN STATUTE ER ANY PROPRIETOR/PARTNERIEXECUTIVE E.L.EACH ACCIDENT $ 500,000 C OFFICER/MEMBER EXCLUDED? a NIA XWO58867158 06/07/19 06/07/20 (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE S 500,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT S 500,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) Action Inc and NGRID,USA,its direct and indirect parents,subsidiaries and affiliatesshall be named as Additional Insured on commercial General 'Liability and Automobile Liability polcies. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN NGRID USA ACCORDANCE WITH THE POLICY PROVISIONS. 40 Sylvan Road l Waltham,MA 02451 AUTHORIZED REPRESENT �{ t ©198#-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD Commonwealth of Massachusetts, i® Division of Professional Licensure. Board of Building Regulations and Standards Const`.uEt%n{S1J:pervisor CS-105454 Epp i res: 05/08/2021 TIMOTHY CABRAL� r 58 DICKINSON STREET FALL RIVER MA 02T21i Commissioner 6,lZ�"Z�t`L,C�� Office of Consumer:Affairs and:Bushhess Regulation 1.000 Washington Street '-':Suite 710 .:.Boston, Massachusetts 02118. . Home Improvement Coritractor.Registration Type: Corporation ALTERNATIVE:WEAT��ERIZATION. INC. R E i� raticn; 1?�683 xp�a.io;: 0Oi28i2021 _... 2 LARK ST -FALL RIVER, MA 0272:1:'.:::: q. Update Ad dress and Return Card. SCA 1-C,:20^Ar05l1 i :.. .. :.. ... .. ... ... .. ... ... .. ... ... .. ... Office of Consumer.Affairs.&Business Regulation HOME IMPROVEMENT CONTRACTOR: Registration valid for individual use only TYPE:Corporation before the expiration date. If found return to: Registration Expiration . Office of Consumer Affairs and Business Regulation 175683 . 05/28/2021 1000 Washington Stre2t -Suite 710 ALTERNAI IVEE WEATHERIZATION I;NO" Boston;MA 02118 ,''�' - --7 -- d ,� { T1140T-YCA5RALw. r�lL;-DIVE=,MA 02721 ; 'blot va d';Vithou signature Undersecretary. Anderson, Robin ;/�0�' �11�!/�,{�1r\ Ot tr From: Mrs. Ferrell and Mr. Calabro <cfandbc@yahoo.com> Sent: Thursday, August 15, 2019 9:45 AM To: -Florence, Brian ; Cc: Anderson, Robin; Wood, Daniel Subject: Re: Rubbish I was just out walking and past our property at 41 Alden Way and saw that all three mattresses are gone. THANK YOU VERY MUCH. It's really surprising how big a difference this makes in the look of the neighborhood. All of my seasonal renters have spoken about how much they like the town, the restaurants, how close the beach and the ferry are, etc. My biggest fear was that they see one "slum-y'' thing and then associate the town with that. A good word is so powerful and I only want my tenants to.have positive experiences. Best regards Carolyn Ferrell On Wednesday, August 7, 2019, 02:33:09 PM EDT, Florence, Brian <Brian.Florence(a').town.barnstable.ma.us>wrote: Ms. Ferrell; Thank you for your email, it was forwarded to me from the Website for processing. We will enter this into our code compliance system and send someone.out to investigate. If you dd not hear from us in two weeks please feel free to contact Robin Anderson by telephone for a status update. Regards, Brian Florence, Building Commissioner Building Department I Town of Barnstable 200 Main Street Hyannis, MA 02601 508-862-4038 Brian.florence(cD-town.barnstable.ma.us 1 L Alm. From: Town Main Mailbox Sent: Sunday, August 4, 2019 4:00 PM To: Florence, Brian Subject: FW: Rubbish In to the web. Dan From: Mrs. Ferrell and Mr. Calabro [mailto:cfandbc@yahoo.com] Sent: Sunday, August 4, 2019 10:29 AM To:Town Main Mailbox Subject: Rubbish The property at 94 Sea St has had an old mattress and box spring outside their property for several weeks.It is propped against a tree in full view of anyone walking/driving by. I have a seasonal rental property at 41 Alden Way,just two house over,and my guests who are paying$200 a night,have to walk or drive by this everyday.Really, it makes the neighborhood look like a dump and portrays a very poor image of Hyannis for tourists. This morning when I went by it seems that 36 Alden Way,the house across the street from us,also has a discarded mattress on their property. Isn't the town able to issue summons for these public nuisance?It seems this should be a violation of the health code. The mattress outside 94 Sea St had been there at least 3 weeks. Thank you Carolyn Ferrell 917-586-3366 2 COMMOI\7wEALTH OF MASSACHUSETTS OF r\MUS -MALI ACCIDIENTTS _ -� WOR CERS' COMMENSATION INSURANCE AFFIDAVIT (licensee/purniacc) with a principal place of business/residence at: j (Gry/statdZip) do hereby certify, under the pains and penalties of perjuq) that: 1 am an employer providing the,following workers'compensation coverage,for my employees working on this job. s.. lnsurancc Company Policy Number 1161 am a sole proprietor and have no one working for mc. ( j 1 2m 2 sole proprietor, general contr2aor or homeowner (circle onc) and have hired the contractors listed below who have the following workers' eompcnsarion insurzncc policies: Name of Contractor Insurance CompanylPolicy Number ?'2mc of Conu2clor Insurance Company/Policy Number N2mC of Contractor lnsw-ancc Company/Policy Number 0 1 2m 2 homeowncr performing all the wort:myself. t NOTE- Plc�.sc be :wz c th:t while bor:cow:crs%,—'o cr--ploy persons to do rnainicn—C.construction or repair work on: �wcll;r.;of not more th-a.n three u:iu in v 5ien the Lorrcc cr;J o res;Ccs er oc the [rounds appurtenant tbereto arc not generally <ons;ccrcC tc be cr;plcycrs �•^dcr the Wor-kcrs' Corcccs=:ion Ac:(GL C. 152,sect. 1(5)). application by a boracowacrifot a l;ccnsc or pc.mit rn;v evidenec the ICED s.=n:s of employer uzier the r=%orl:ers'Compensation Act_ l unccrs;;� th:c a copy of t:`i: scatc.mcnt--IL be fo.—z: cc to the Deem ncnt cf Industrial Acodcnu'Ofiscc of lnsurana for.cnvcratc verification and that filurc is secure covcr�c as rccuircc un&r Scctio,251.cf NGL 152 can lead to the imposition of_S;irninal p<naltics ccr,:i:ccC c': f nc of up to S?S00.CG Z-&r— c.r u- to crc yc.:-: -n c vil per.altics in the form of: Stop Cork Ordcr and f)nc of S1GC.00 . C.y arajr.s. 17"c. Si,neL Lhis r der) of , 19 b Licensee/Pcrmirtce 1 ieen<_or/Permit:or c J i r\ LOT I S'87*45' 0"f Q o 14.3 �r LOT 0 ALDEN WA Y 4 4' � rrrrr//rrr/r //HOUS`E'rr/ vl. , { rr, , /rrr w, rrr/rrrrr/r/ � 1 S'88 55'OD'E' G3. 00' LOT 3 RES. ZONE.- "RB" Thia MORTGAGE INSPECTION Plan Is For FLOOD ZONE.- 'Ic" TOWN: - REGISTRY OWNER: LFSA-&.5_UUY 6-,-CQTX&— DEED REF: _'9.41$5 —BUYER.' -HEMP F.-&-QRLA, _0T WAAW DATE: ��gZ124_.. PLAN REF; _L4885E -SCALE:1 '= 4 _FT. I REB C RTIFY TO B12dNX..�TtY 1 .6�fEBmAy ,.;� ,'77F� - 7�LE 1�N5� RAvcE C ___THAT THE BUILDING t' `� ~"�`'���;� YANKEE SURVEY SHOWN ON THIS PLAN IS LOCA'!ED UN Tkit-GhOUND AS S PAUL �r CONSULTANTS SHOWN AND THAT ITS POSITION DOES ___- CONFORM A. TO THE ZONING LAW SETBACK REQUIREMENTS OF THE U MERIYMEW 40B INDUSTRY ROAD TOWN OF —____— -AND THAT '� . No.32098 ��� MARsTorrs I+�Li.S, Mp,. oz�4�3 IT DOES_�OT_ LIE WITHIN THE. SPECIAL FLOOD HAZARD r ��Gr��ER�o �<" AREA, AS SHOWN ON THE H.U,D, MAP DATED__ _/a__ '��� lAtt�S� TEL: 420-5555 /__, Cv u - ane 250001-0011-D FAX 42 -�5553 THIS PLAN NOT MADE FROM AN INSTRUMENT 15877 GGIk� A �IEf�-PL �--�— SURVEY NoT TO Bn USED FOR FENCES, EI`C. Adlvra to possess a carraat COMMONWEALTH DEPARTMENT OF PUBLIC SAFETY AtassaabasottsStateSsUffifft OF ONE ASHBORTON PLACE 0�a„BG ornrottaffM MASSACHIta��� BOSTON,MA 02108 Of CAUTION EXPIRATION DATE;i=,i :._ . EFFECTIVE DATE LIC-NO. FOR PROTECTION AGAINST RESTRICTIONS THEFT, PUT RIGHT THUMB PRINT IN APPROPRIATE 0 BOX ON LICENSE. 0 BLASTING OPERATORSMUST INCLU � m Z PHOTO(BLASTING OPR ONLY) FEE: _.i:. ._ V _ .. I NOT VALID UNTIL SIGNED BY LICENGEE AND OFFICIALLY HE{^�'riT: STAMPED-OR-SIGNATURE OF THE COMMISSIONER O ��� Dog: Jut. THIS DOCUMENT MUST BE SIGN Nq�'�q ALL ABO TURE CARRIEDON THE PERSON OF NATURE OF LICENSEE i T [ THE HOLDER WHEN EN- ' >�(� V OTHERS-RIGHT THUMB PRINT GAGED IN THISOCCUPATION. i NER I TOWN OF BARNSTABLE BUILDING DEPARTMENT HOMEOWNER LICENSE EXEMPTION Please print. DATE Ac/ JOB LOCATION —Ald om/ Number Street ad ess =,Section -Of -town "HOMEOWNER" Name g Home phone Work phone - PRESENT MAILING ADDRESS 5� 61 City .town State Zip code The current exemption for "homeowners" was extended 'nded 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(sy 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 acceptable to the Building Official, that he/she shall be responsible for all such work performed under the buildin permit. (Section 109. 1. 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 co m it s ure-s--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. 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 a Home Owner engages a person(s) for hire to do such work, that .such Home Owner 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) '. ' 2his .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�Owner ,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. { The Town of Barnstable • swxxsr"LF. 6& �0 Department of Health Safety and Environmental Services tom'' 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 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. T of Work: Est. stt n ®O Type Co (� Address of Work: �&N, J_A_)CA� A 4­4 A,h n i-, Owner Name: Date of Permit Application: I hereby certify that: Registration is not required for the following reason(s): Work excluded by law Job under S1,000 Building not owmer-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: 10 517 Date Contractor name Registration No. OR tlo/A rT A/AL., Date VV Owner's name ' s ,OCT 0.4 '94 10:18AM DONNEGAN SYSTEMS a _._.,_._._,....,...., ... . ._....... ........ . f fir, .Y 1 I,j,il, . ; . . •.. ts„ „";: Y -�CT 04 '94 10'18AM DONNEGAN SYSTEMS IR i V I� o -41 VA I I � i t t i p':' ,�i � i,► � 4 '4 t''yr 0 °'' T�v ? �xx_�..r.�..:=-zur=z� �wi-rvEr�---�--•-- �, ` IAA '�1 ... 1r.i .....ems . SAa6 wv IN C i 4. l , � n f +I � ...._.. ;_... � It I I ! V I E i 1 , 1 f - o i ..Assessor's office(1st Floor): 1. Assessor's map-and lot,numbar 3 `_ IQ c*THE>o Conservation(4th Floor): Board of Health(3rd floor): Sewage Permit number jy/ IrantE y out Engineering Department(3rd floor):' ° — - - 1639.``�d° House number ! Definitive Plan Approved by Planning Board . 19 ' v APPLICATIONS PROCESSED 8:30-9:30 A.M.and 1:00-2:00 P.M.only TOWN OF B�ARNSTABLE BUILDI G I SP V APPLICATION FOR PERMIT TO TYPE OF CONSTRUCTION 19 TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location \—S Proposed Use Zoning District ZZ Fire District Name of Owner �V l Address 4ki ( S o � Name of Builder Address / >> Name of Architect Address Number of Rooms I Foundationv Exterior JAIII 5 Roofing AaLl Floors 1 Interior n'615 Heating � Plumbing k ' L� Fireplace Approximate Cost . Area Diagram of Lot and Building with Dimensions Fee 0 c -w ro ( i OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS r ' 1 hereby agree4o conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name '+ Construction S11pe iry so s icense OSTERGAARD, -LORI A- of 41 ALDEN WAY-, HYANNIS No 37101 Permit For ADDITION & DECK. S.F. Dwelling Location 41 Alden Way Hyannis ' Owner•, r f Type of Construction r .Plot Lot t i J Permit Granted (2 z [9QY 19 Date of Inspection: _ Frame i 19 > r Insulation ,� 19 ' Fireplace -' _ 19— Date Completed 1 19 o