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HomeMy WebLinkAbout0348 BISHOPS TERRACE Town of Barnstable *Permit# � Co� Expires 6 months from issue date r 'LC1 �- Regulatory Services Fee ''77 1 Thomas F.Geiler,Director ° Building Division Tom Perry,CBO, Building Commissioner �� 9y 200 Main Street,Hyannis,MA 02601 0 www:town.barnstable.ma.us Office: 508-8 �3860� / Fax: 508-790-6230 +f S P I IT APPLICATION - RESIDENTIAL ONLY Not Valid without Red X-Press Imprint Map/parcel Number ; ZT Property Address 3tl� TJAACL,t KLAA� �'l r9- r *Residential Value of Work Q(5 0 Minimum fee of$25.00 for work under$6000.00 Owner's Name&Address 3y Q,� ,4 - N Contractor's Name F-A!vim Telephone Number .5Q S-- Home Improvement Contractor License#(if applicable) Construction Supervisor's License#(if applicable) C �D o Oworkman's Compensation Insurance Checl one: ❑ I am a sole proprietor ❑ I am the Homeowner 0,I have Worker's Compensation Insurance Insurance Company Name T g(11 )) Workman's Comp.Policy# _ LL 2 — o 3 Li l rn ,5 Copy of Insurance Compliance Certificate must be on file. Permit Request(check box) 3-Re-roof(stripping old shingles) All construction debris will betaken to ❑Re-roof(not stripping. Going over existing layers of roof) ❑ Re-side ❑ Replacement Windows/doors/sliders. 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: Property Owner must sign Property Owner Letter of Permission, A copy of the Home Improvement Contractors License is required. SIGNATURE: Q:Forms:expmtrg Revise061306 — F r - The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations i 600 Washington Street Boston, MA 02111 Y www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name (Business/Organization/Individual): �/1 0 �iti L LC, Address: City/State/Zip: j` .t,� 'V�A- 0oQ 3s Phone #: 56 9 — s Qa Are you an employer?Check the appropriate box: Type of project(required): I ZJ 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 working for me in any capacity. employees and have workers' 9. ❑ Building addition [No workers' comp. insurance comp. insurance. required.] 5. ❑ We are a corporation and its 10.❑ Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their I LE] Plumbing repairs or additions myself. [No workers' comp. right of exemption per MGL 12.❑ Roof repairs insurance required.] f c. 152, §1(4), and we have no employees. [No workers' 13.0 Other comp. insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. f Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. xContractors 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:_ Policy#or Self-ins.Lic. #:- �, a — 0 3 57,5 6 — 0 � Expiration Date: Job Site Address: 7 D (/A&)P' � T-A, 1 at t_ City/State/Zip: (T Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment, as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certi he nd pe lties of perjury that the information provided above is true and correct Si ature: Date: Phone#: �5a Yoe Official use only. Ito 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#: hightFax N3-2 10/1/2008 1 :56: 31 PM PAGE 2/002 Fax Server ........................ .::........... X. • ISSUE DATE � •::•: 10/01/08 i THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY PRODUCER AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. WISE&QUINN INSURANCE AGENCY COMPANIES AFFORDING COVERAGE 449 PLEASANT ST BROCKTON MA 02301 COMPANY A HARTFORD UNDERWRITERS INSURANCE CO LETTER INSURED CoaiPANY B FRASER CONSTRUCTION LLC LMER PO BOX 1845 COMPANY C LETTER COTUIT MA 02635 COMPANY D LETTER cow E Lary ER 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,TERJvi OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIPICATE 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 CO TYPE OF INSURANCE POLICY NU11•IBER POIdCY POLICY LIMITS LTR EFFECTIVE DATE EXPIRATION DATE OAMD/YY) MM/DD/YY GENERALLIAHIIITY GEMtxet AGGREGATE $ ❑COMMERCIAL GENET AL LIABMITY PRODUCTS-COMP/OP AGG• $ ❑ CLAIMS MADE ❑ OCCUR PERSONAL&ADV.RIMY $ ❑OWNER'S&CONTRACTOR'S PROT. EACHOCCURRENCE $ ❑ FIRE DAMAGE(Any Ow Fire) $ IDED.EXPENSE(Any oneperson $ AUTOMOBILE I LABII IT Y COMBINED SINGLE LIMIT $ ❑ ANY AUTO ❑ ALL OW m AUTOS BODILY INJURY $ - (PerPason} ❑ SCHEDULED AUTOS ❑ MRFDAUTOS BODILYINMtY $ (Pv Accident) ❑ NON-OWNED AUTOS ❑ GARAGELIABIISfY PROPERTY DAMAGE $ ❑ EXCESS LIABILITY ❑ UMBRELLAFORM EACHOCCURRENCE $ ❑ OTHER THAN UMBRELLA FORivI AGGREGATE $ STATUTORY IIN13TS X A WORKER'S COT•IPENSATION EACH ACCIDENT $500,000 AND UB- 09/26/08 09/26/09 DISEASE POLICY MDT $500,000 0341M556-08 EMPLOYER'S LIABILITY DISEASE-EACHEMFLOYEE $500,000 OTHER THE PROPRI E7MR/PARTNERSADMCUTI VE . OFFICERS ARE INCLUDED. i IDESCRIPnON OF OPERATIOmaA)CATIOM%WMCIW/SpBCIAL yMLS THE BVSi1RFD'S&W WORKERS COA114ENSA770N POLICY Alm ITSLRIQI'ED OTHER STATES INSLIR ANCE ENDORSH1IEdY1'A[IfHORIZES THE PAYBRtl7C OF BENEFITS FOR LARI 6L1DE BY TUEINSURED'S 11L1 E 6EPWYEES IN STATES OTHER THAN BW.NO AUTHORIZATION IS GIVEN TO PAY CLAIAIS FOR BENEFITS IN ANY STATE OTHER THAN BLA C IF THE IS INSURED HBTPS.OR HAS BMW.FRB; PEES OUTSIDE OF B W.THIS POLICY DOES NOT PROVIDE COVERAGE FOR ANY SrAT E O•IHER THAN 11 W. THIS REPLACFS ANY PRIOR CERTIFICATE ISSUED TO THE CERTIFICATE HOLDER AFFECTING WORKERS COURT COVERAGE .:•. ... .... .... �,h:�-fib:':-';::•":•.::}:2: c} ::•.:{{:�:�:{{::{:{::i. :}::; ::{}:::;{::::{:;::: �:: TOWN OF BARNSTABY.E •..........•.•....•.....••. SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE ME PO BOX 40 E iPIRATION DATE THEREOF,THE ISSUING COnD'ANY WR L ENDEAVOR TO DWII, HYANNIS NIA 02601 to DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAt1B3D TO THE LEFT, BUTFAHAMET05LAMSUCHNOTICESHALL BUIOMNOOBLIGATIONOR LIABILTI'Y OF ANY KIND UPON THE COMPANY,ITS AGENTS OR REPRESENTATIVES - alriHoa>�p B>�RBSmvrATrvs �::::.::.::.::.::.:::.:;-:•::::-:::•::•:::-::-:•:::: :::-:<•:>::::-:•: :::•::•: :-:::::•::•::-:::••= :=::�.�� :cc��P?o1��te�:�-emu:= - � ' .,, � -��mmzovzuleal!! a�., e�u.,a-eG�d ��•} " ftP?A ;Lircense � i °h-6E011• TO 976e8 DE AN •FW!k3 � 1-O4 cr . TWIAIIGNIEW EAST FAL•fl'OU-TH,: Q�536 L'i"mmi ioa Te Pom�nazcuea/t! a�✓�/laaaacl�itcoe�la Board of Building Regulations and Standards License or registration valid for individul use only HOME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: Registration; 112536 Board of Building Regulations and Standards E1p1ration' 3-123/2011 Tr# 281021 One Ashburton Place Rm 1301 Type: DBA Boston,Ma.02108 FRASER CONSTRUCTION.C.O. , DEAN FRASER 104 TWINN VIEW LANE E FALMOUTH,MA 02536 Administrator Not re I I tile 40 Boar o uil in e ula g g ons an tan�rs� One Ashburton Place - Room 1301 Boston, Massachusetts 02108 Home Improvement Contractor Registration Registration: 112536 Type: DBA Expiration: 3/23/2011 Tr# 281021 FRASER CONSTRUCTION CO. DEAN FRASER P.O. BOX 1845 COTUIT, MA 02635 Update Address and return card.Mark reason for change. Address Renewal Employment Lost Card CA1 is 40M-OB/08-DBSLIFORMCA108212008 L 1 C R-28-2009 08:12 From:HOUSE D 5087906437 To:95084280123 P.1/2 Fraser Construction3 ,LLC CONSTRUCTION p,o..Box 1845, Cc>tui:t M.A. 02635 • Cmail; fir�ticr consq!!u On uwcri ol7.nct www.fr, err10.1 .com IiAX. 1-50K-421�-i1123 508-428-2292 H1CL#112536 C'5197668 RE-ROOFING PROPOSAL DATE: April 270 2009 PHONE: 508-$62-8259 NAME: Lance Kun>tzrnan EMAIL ADDRESS: lkuntzman@gmail.com JOB ADDRESS: 348 Bishops Terrace Hyannis, MA 02601 FRASER CONSTRUCTION hereby proposes to perform. the following services in a.neat c►n.d professional lilts manner and in. accordance with the man.ufacturcl-'s specifications and local building code. -Remove. and Haul*away all of the old, roofing material -Re-nail all plywood sheathing as needed, Su 1F and Inatall - CERTAINTEED LANDMARK /WOODSCAPF AR 'i Warranty, S year Sure Start Protection, CLASS A FIRE 'RATED, a'�ll.00 30: 30 - Year Resistant, elling, Multi - Layered, Architectural Style, fiberglass Extra. Heavy Weight, Self S Based. Asphalt Shingle with New England's Exclusive COPPER/QCERAPMICw Stones a Full 10 Year Wa ai m nes with rranty against ALGAE Contain en Y rc��;ictt�a 0 Warranty with six nails in common bond area, Fraser construction includes six nails in common bond area at NO additional cost. See. aCtua,l warranty for specific details and li.mita,tions. Color: Colonial Slate (suggested) PRICE- $6,250 Initial Price includes Ice & Water on entire porch area Sup ly 8a Install - CertainTeed Winter - Guard: (ice &water shield) Waterproof Underlayment System. (311, on eves and valleys, 18" on rakes, Walls, and skylights) 1 & Install -- Roofer's Select 1lnderlayment Paper (as recommended Stt g by Cermin'feed) Sup AV & I nstall -Hick's Ventilated Drip Edge or 811 Aluminum Drip Edge Supply & Install - Aluminum & Neoprene Soil Pipe Flashing gR"11& Install-Air Vent Ridge Vent (as recommended by Certaij-ijGeed) Clean & Remove - Debris from work area daily. p 5087906437 To:95oe4280123 P.i__1'e *4 Stair Warranty Upgrade will he applied if proposal ie signed tied returned within 10 days'. (see ellel"ed brochure) 2% Discount if paid by check immediately upon completion NO MONEY DOWN - NO 1'aymen.t at the start or part way thru payments accepted are: CASH - CRECK- MASTERCARD VISA -AMERICAN EXPRESS Any payment;not Made within 30 days of completion will he charged 1,5'% far every 30 days tile Ianymi:nl:is late. will one Possible Extra-After the shingles are removed from the. s othewl wood sheathing of g plywrood to make sure that the in.sulat:ion is not up age ventilRtion panels will be preventing ventilation from the eaves to the ridge. I.f it is, turning the installed by; rem.oving the. plywood sheathing, installing the p;:.is w ul , over and then re-ii1sl'alling the plywood, if:needed, this would 'be charged for plywoodpanel p including Materials & Labor. There Eire 6 as an extra at the. rate. of 600 per panels per sheet of plywood. plywood sheathing, Possib le Extra-Any rotted or otherwise deteriorated trim boards, d flashing, or. other, carpenl'ry needing replacement k�l bma.te►-e°�d.ls d chargccl for as lea g lus 15/� m p an. extra. at the rate of$60,00 per hour, p FRASER CONSTRUCTION Warranties the labor for 12 yeaxs ]ZpSER CONSTRUCTION Warratl ties the shingles against F Blow-Offs for 10 years. CERTAINTEED Warranties the shingles and labor. 100% through the. Sure Start Warranty duration. TAINTEED Warranties the shingles to be ALGAE resistant ed the duration of theCER Sure Start Warranty depending on the shingle that w� p Any deviati on or alteration frorrj above specification will be estimate Upon writte"I greements orders and will. becom a e n extra. charge over and above the ent upon, strikes, accidents or delays are bey on the above work. We, f not our control. owner should contingent P carry'fire, tornado and other.necessary insurance UP os� accepted within thirty days may withdraw this prop s Compensation and FRA SER CONSTRUCTION, LLC: Carries Workman'available upon request Public Liability Insurance on the above work, certificate DATE OF ACCEPTANCE: i Fraser Comet on, LLC ­'Homeowner .t . n 'y �s J75EP D...DALUZ TELEPHONE: 775.1 120 &dd�ng Comminioner EXT. 107 6r TOWN OF BARNSTABLE BUILDING INSPECTOR TOWN OFFICE BUILDING HYANNIS. MASS. 02601 November 6, 1981 Mr. Charles Corey _,Corey Roofing -- ----� 348 Bishops Terrace ! Hyannis;., MA. ' 02601 - Dear Mr. Corey: This office has received complaints that you are operating and advertising a roofing business from your home. For your information, your dwelling is located in a-residential zone and a business use is not permitted. The complaint eludes to three trucks parked in the streets. Since it appears that you are operating a roofing.business from 348 Bishops Terrace (telephone directory yellow pages/page, 250) I must advise you that you are in violation of zoning-and -this practice must cease. I shall expect to hear from you within ten (10) days of receipt of- this letter as to what steps you propose to use to correct this very serious violation. Failure to comply could be very serious with -the end result a session in Court and I trust that step will not be necessary. Peace, Joseph D. DaLuz Building Commissioner JDD/gr cc: Town Counsel Board of Appeals Certified Mail #358 287 413 R.R.R. D ran ®SENDER: Complete items 1,2,and 3. •~ M. �+ Add your address in the"RETURN TO"space on 0 � reverse. _m 1. The following service is requested(check one.) ❑ Show to whom and date delivered............—ot ❑ Show to whom,date and address of delivery...—a m ❑ RESTRICTED DELIVERY o Show to whom and date delivered............_¢ ❑ RESTRICTED DELIVERY. Show to whom,date,and address of delivery.$_ (CONSULT POSTMASTER FOR FEES) 2. ARTICLE ADDRESSED TO: m Mr. Charles Corey C 348 Bishops .Terrace z Hyannis, MA 02601 M 3. ARTICLE DESCRIPTION: M �^ REGISTERED NO. I CERTIFIED NO. INSURED NO. .74 358 28741 m (Always obtain signature of addressee or agent) rn "4 I have received the article described above. m M SIGN RE OAddressee (]Authorized agent rn c I4f NN I . 1, 4 DA E O E ERY P TMARK" ,� m n` Z 5. ADDRESS(Complete only if requeste 13 m n X919181148] 6. UNABLE TO DELIVER BECAUSE: *GP UNITED STATES POSTAL SERVICE 1 OFFICIAL BUSINESS PENALTY FOR PRIVATE SENDER INSTRUCTIONS USE TO AVOID PAYMENT C Print your name,address,and ZIP Code In the space below. OF POSTAGE,s300 1 - U.L':MAIL • Complete items 1,2,and 3 on the reverse. i • Attach to front of article if space permits, i otherwise affix t5,back of article. f • Endorse article"Return Receipt Requested" adjacent to number. RETURN TO . Mr. Joseph DaLuz, Building Commissioner Town of BarnsNafef Sender) 367 Main Street { (Street or P.O.Box) �I Hyannis, MA 02601 n (City,State,and ZIP Code) TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map o7SCn Parcel Permit# Health Division Date Issued /4 O 2 Conservation Division � Application Fee Tax Collector �2— /O ARk L Permit Fee�3 D Treasurer �G/2_ /OF316-yof o %� Planning Dept. Date Definitive Plan Approved by Planning Board Historic-OKH Preservation/Hyannis Project Street Address _3 "Aa s :2 / 4z&e Village �y4 014 � S Owner t1� tnHt ✓1�_S Address 1ShDo l�ej2f?GC�P Telephone Permit Request / F12v���st�,� 1� �S X Square feet: 1st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation f066c. 60 Construction Type Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family 0/ Two Family ❑ Multi-Family(#units) Age of Existing Structure S� Historic House: ❑Yes 9 No On Old King's Highway: ❑Yes ®'Iqo !4 Basement Type: Gull ❑Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) '' = Number of Baths: Full: existing new Half:existing_/ new``' Number of Bedrooms: existing new x v`: Total Room Count(not including baths): existing new First Floor Room Cunt Heat Type and Fuel: dGas ❑Oil ❑ Electric ❑Other Central Air: ❑Yes YNo Fireplaces: Existing l New Existing wood/coal stove: ❑Yes ❑No Detached garage: ❑existing ❑new size Pool: ❑existing ❑new size Barn:❑existing ❑new size Attached garage:❑existing Cl new size Shed:❑existing ❑new size Other: Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes ❑ No If yes,site plan review# Current Use Proposed Use _ BUILDER INFORMATION Name U h v\ n vt t �?icd� Telephone Number 7 c/ Address 91ShpS � yaae' License# Home Improvement Contractor# Worker's Compensation# ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE 1 FOR OFFICIAL USE ONLY w .4. t PERMIT NO. r . � - DATE ISSUED t= MAP/PARCEL NO. ADDRESS ` _ VILLAGE i OWNER /r r DATE OF INSPECTION: r FOUNDATION FRAME INSULATION ' FIREPLACE ELECTRICAL: ROUGH FINAL'- - { - PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING '. DATE CLOiSED OUT ASSOCIATION PLAN NO. i . 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FaIIure to secure coverage as required ender Section 25A of MGL 16 cahiead to the imposition of crlmuss,penames of a fine up to$1,500.00 and/or one yearn'imprisonment as re as ecl penalties in the form of a STOY wORK ORDIgR and a fine of$100.00 a dap against me. I u nders4�md that a' ge verification. copy of oils statementmay be forwarded to the Office of Investigations of the DIA for covera {� :- Y he, -and-penalties-of-perjury-that-the-information-pr•osidedxh' easlu� ciid correct I do hereby certzfyu ' / - Date Signature �� ^��,�;• T .,. .�. , •• .:Phone# ' Print name � '� � - official us a only do not write in this area to b e completed by city or town ofEcial "permit7license# [jBudlding Department dty or town: ❑Licensing Board ❑selecfinen,s Office phone n; contact person: r f..via{19J95 P1P.1 � �• Information and Instructions Massachusetts General Laws chapter 152 section 25 requires all employers to provide workers' compensation for their d from the `law", an employee is.defined as every person in the service of another under any aorztract employees. As quote of hire,'express or implied, oral or written. artaers , association, corporation or other legal entity, or any two or more of An employer is defined as an individual, hip 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 xesides 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 ' urtenant thereto shall not because of such employment be deemed to be an employer. appu rtenant MGL chapter'152 section 25 also states that every state or local licensing agency shall withhold for iauahnce br"fine"w"' al licant who has of a license or permit.to operate a business or to construct buildings to the commonwealth y pp 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. Applicants Please fill in the workers' compensation affidavit completely,by checking the box�t applieses to y�our y be 1pplyfg company names,address and phone numbers along with a certificate of _ _. 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 i being requested, not the Department of Industrial Accidents. Should you have any questions regarding the`law'o iif yQu -� lease calltlie Depaituierit at the number listed below:.' are requited.to obtain.a workers' compensaticax policy,p City or.Towns 4 Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom ofrle affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. P1e�se� ei which will be used as a tefeieiLce numli'er. The affidavits maybe reui? tE?•. in e. ermrtlhcense pupa the Department,LL3�44 a of 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. 11 MA: The Department's address,telephone and fax number. The'Commonwealth Of Massachusetts Department of Industrial Accidents ghee of investigations - 600 Washington Street , '= Boston,Ma. 02111 fax#: (617) 727-7749 : phone#: (617) 727-4960 eat. 406, 409 or 375 °*IHE� Town of Barnstable Regulatory Services saxxsz'AsLE. ' Thomas F.Geiler,Director �' A`�� Building Division TED MP'� Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 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: / �.�Yl1�,t�S �y/2/ � x z Estimated Cost �L7�� Address of Work: :3� Owner's Name: j C�i,�1 � ✓1 - Date of Application: I hereby certify that: Registration is not required for the following reason(s): nWork excluded by law []Job Under$1,000 []B lding not owner-occupied boner 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. Date Own s Name Q:forms:homeaffidav The Town of Barnstable Regulatory Services Thomas F. Geiler, Director Building Division Tom Perry, Building Commissioner 200 Main Street,Hyannis MA 02601 Office: 508-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION Please Print DATE: JOB LOCATION: number street (� �r� village "HOMEOWNER':�C��n e on 1 V) J�8` ���� )z—1 7 1 SVC) name G I home phone# work phone# CURRENT MAILING ADDRESS: ��t� � S �y 0 S I'e)eP,a-t-`e ����IdtiS 1M+44 d�� f 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 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 proced eG✓"'�d requi�ents Si re of Home 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." I 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 form/certification for use in your community. O:FORMS:EXEMPTN i FITZPATR:ICK HOME BUILDING CO. INC. LICENSE#045416 FULLY INSURED P.O.Box 154 FORESTDALE MA.02644 (508)SM-3075 Proposal PROPOSAL SUBMITTED TO: PHONE: DATE: John and Ronna Jennies 508-778-5129 10/3/02 STREET: JOB NAME: 348 Bishops Terrace CITY,STATE,AND ZIP CODE: JOB LOCATION: Hyannis,MA 348 Bishops Terrace H annis,MA Add 8'x 25'Farmers Porch To Front Of Existing Home 10"Sona Tubes Filled with Concrete 4'Below Grade Pressure Treated 2x8 Frame 1x4 Mahogany Decking 4x4 Posts Cased with#2 Pine 1 1/2"Square P.T.Ballusters 2x4 P.T.Rails 2x6 Ceiling Joists 2x8 Rafters Facia and Soffit will be#2 Pine 1/2"CDX Plywood Roof Sheathing 3 Tab Roof Shingles to Match Existing as Close as Possible(Home Owner Must Pick Out Shingles) NOTE:Owner Will Get Building Permit NOTE:Ceiling is Not Included NOTE:Painting is Not Included NOTE:All Clean Up and Debris Removal Will Be Done By Owners WE PROPOSE hereby to firmish labor complete in accordance with above specifications,for the sum of: Six Thousand Three Hundred and Fifty Dollars dollars(S$6,350.00 Payment to be made as follows: $2117.00 Down-$2117.00 after Frame is Complete and$2116.00 Upon Completion All material is guaranteed to be as specified All work to be completed in a substantial workmanlike manner according to specifications submitted, Per standard practices. Any alteration or deviation from above specifications involving extra costs will be executed only upon written orders,and will Authorized become an extra charge over and above the estimate. Signature ACCEPTANCE OF PROPOSAL The above prices,specifications and conditions are satisfactory and are hereby accepted You are authorized to do the work as specified. Payment will be made as outlined above. . Signature �. Date of Acceptance p a 00 a Signature h 1 qV r��1 .2,X� W b, .3 � �r19 0 s % _ [L®CAlk-ro DF PR®PEM ED � V N® T BE ^CCQJ E STANDARD LEGEND — \� NOTE:not all symbols will appear on a map 71 . 2 GOLF COURSE FAIRWAY r EDGE OF DECIDUOUS TREES ^ �^ EDGE OF BRUSH ORCHARD OR NURSERY ... / V—v—v--V EDGE OF CONIFEROUS TREES / MARSH AREA MAP 251 _ \ EDGE OF WATER 162 7 2 ❑ 6 —= DIRT ROAD / \ DRIVEWAY PARKING LOT # 336 PAVED ROAD DRAINAGE DITCH ————— PATH/TRAIL PARCEL LINE ** r teAPno E-- —MAP# 21 PARCEL NUMBER #INO E---HOUSE NUMBER 2 FOOT CONTOUR LINE -- - 10 FOOT CONTOUR LINE Elevation based on NGVD29 �j 4.9 SPOT ELEVATION / \ 71 1 r c STONEWALL —XX— FENCE p RETAINING WALL ... RAIL ROAD TRACK czzz:: � STONE 1111Y MA Q ❑ �o� SWIMMING POOL \ .18 9 ❑ 7 \;I PORCH/DECK # 348 / U 0 BUILDING/STRUMRE DOCK/PIER ❑ ,\_ --�_ j dQ HYDRANT a VALVE O MANHOLE O POST O" FLAG POLE -T O W N O F B A R N S T A B L E e E 0 e R A P N I C I N F O R M A T I O N S Y S T E M S U N I T v SIGN ® STORM DRAIN ■ PRIMED SCU.IN FEET *NOTE Tbis map is on enlargement of a **NOTE-The parcel lines are only graphic representations DATA SOURCES:Nanimehim(man-made feftes)were irterpreted from 199S aerial photogmphs by The James v------ - 1°=I00'sale am and m NOT meet of n TOWER w c P W property boundaries.they are not hue loaharq and W.SewaN Company.Topogaphy and vegetaRon were interpreted from 1989 aerial phofigmpiw by 6EOD � tf HLfiY FOIE 0 r 20 40 Notional Map AowmcV Standards at Hh do not represent adual relatimsh lis to 00ml obleds Coryoallon.PlanIww%�gaphy,and wwata ion were mapped to meet National Map kwmcv standards s 11 01=,D 00* enlarged sale 11 on the map. of o sale of 1°=100'.Poral lines ware dpiiaed from FT2002 Town of Bamstable Auatmfs tax maps. LIGHT POLE O ELEI TRIC BOX F:\dgn\conservation.dgn 09/16/0210:14:47 AM