HomeMy WebLinkAbout0046 BUMPUS ROAD '/G '��s ,�f'
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IKE ra,,o Town of Barnstable *Permit# l y/
h •� Expires 6 months from issue date
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Regulatory Services Fee
y MA $'
1639. A�m Thomas F.Geiler,Director
Building Division
Tom Perry, Building Commissioner
200 Main Street, Hyannis,MA 02601 X-PRESS PERMIT
Office: 508-862-4038
Fax: 508-790-6230 MAY 14 2003
EXPRESS PERMIT APPLICATION - RESIDEN ONLY
Not Valid►vithoutRedX-Presslmprint ARPIISTABLE
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Map/parcel Number
Property Address mok 3 CoaA
[Residential Value of Work �� OW , W
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Owner's Name&Address L u'1 C y)(-.Qk
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Contractor's Name 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
Workman's Comp.Policy#_
Permit Request(check box)
dRe-roof(stripping old shingles)
❑Re-roof(not stripping. Going over existing layers of roof)
Re-side �
Replacement Windows. U-Value 3 y (maximum.44) r" m
❑ Other(specify)
*Where required: Issuance this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc.
Signature
�:Fo s:expmtrg
Revised121901
y.
Town of Barnstable
y� Regulatory Services
BARNSTABLE, ' Thomas F.Geiler,Director
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E1639- Building Division
Tom Perry, Building Commissioner
200 Main Street, Hyannis,MA 02601
Office: 508-862-4038 Fax: 508-790-6230
Property Owner Must Complete and Sign This Section If Using A
Builder
3 , as Owner of the subject property
hereby authorize to act on my behalf,
in all matters relative to work authorized by this building permit application for (address of
.job)
Cc a
AOwner D to
C
Print Name
Q:FORMS:O WNERPERMISS ION
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 EXElYIPTION
m /\ Please Print
DATE: t 1 W (y J003 I
JOB LOCATION: (D m U
number ,, street village
"HOMEOWNER": a( C. b(Q W 56 F5 - - o Da3
name (� home hone# •work phone#
CURRENT MAILING ADDRESS: 1 1 l� �e1 Dr �,\I e-
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.
DEF] MON 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 shall be responsible for all such work pfor 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 undersign omeowner"certifies that he/she understands the Town of Barnstable Building
Dep at inspection procedures and requirements and that he/she will comply with said
e d e
ignature 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.