The URL can be used to link to this page

Home My WebLink About0033 CANDLEWICK LANE _. - � _ - - - . i \ ox CAPE COD TOWN OF'BARNSTAB E INSULATION 21 ( 2 1 ' IMIL GLASS 51AMLISI 111I.101AM SUSPINOIO - SAM GUTTERS INSULATION CIIIINGS _ 1-800-696=6611 DIVISION Town of Barnstable Regulatory Services Building Division 200 Main St Hyannis, MA 02601 , Date: Dear Building Inspector Please accept this Affidavit as documentation that Cape Cod Insulation, Inc. performed & completed the insulation.and weatherization work at the property listed below..Cape Cod Insulation did this in accordance to the specifications listed on the building permit application. All work has been inspected by a certified Building Performance Institute '(BPI)inspector. All work preformed meets or exceeds Federal & State Requirements. Property Owner Property Address Village Insulation Installed: Fiberglass Cellulose R-Value Restricted Unrestricted Ceilings ( ) ( ) ( ) ( ) ( ) Slopes { ) ( ) ( ) ( ) ( ) Floors Walls O ) ( ) ( ) ( ) Sincerely rHy ssration, sident Insc. I I -- TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map �(Oq9 Parcel Application # l�� Health Division Date Issued Conservation Division Application Fee Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board I' / Historic - OKH _ Preservation/ Hyannis Project Street Address (e ty Village Owner l -� �t-�! Address Telephone Permit Request o H— / C J t l asp ` of 5 A 2 - r Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation /2O O •! Construction Type Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family 1;2r/ Two Family ❑ Multi-Family (# units) Age of Existing Structure - Historic House: ❑Yes ❑ No On Old King's Highway: ❑Yes ❑ No r Basement Type: ❑ Full ❑ 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 Total Room Count (not including baths): existing new First Floor Room Count Heat Type and Fuel: ❑ Gas ❑Oil ❑ Electric ❑Other Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑ No Detached garage: ❑existing ❑ new size—Pool: ❑ existing ❑ new size _ Barn:'❑existing rsj new! size_ Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size _ Other::; Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ �. Commercial ❑Yes ❑!IVo If yes, site plan review# `�co Current Use Proposed Use ._ APPLICANT INFORMATION BVILDER OR HOMEOWNER) Nam' o i l l Telephone Number !2 ' 7 7 f Z Address l License# L�� G !►BUT Home Improvement Contractor# Worker's Compensation # G� c�f D66-2 �d / ALL CONSTRUCTION DEBRIS RESULTING FR M THIS PROJ CT WILL BE TAKEN TO SIGNATURE DATE 7J t fit/ tC L FOR OFFICIAL USE ONLY APPLICATION# tiT DATE ISSUED MAP/PARCEL NO. ADDRESS VILLAGE OWNER DATE OF INSPECTION: FOUNDATION FRAME 5 INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING 1. yr DATE CLOSED OUT j ASSOCIATION PLAN NO. C b r r — 1 VA 10 Park Plaza - Suite 5170 3 .- Boston,'Massachusetts 0211E ;. Home Improvement Cutractor Registration Registration` 153567 -Type: Private Corporation - Expiration: 12/15/2012 Tr# 206433 CAPE COD INSULATION,•INC HENRY CASSIDY - - 455 YARMOUTH RD. HYANNIS, MA 02601 r .Update Address and return card. Mark reason for change. Address 12enewal _. Employment Lost Card Ulrirc y ;(.'ui,inner:UGiirs nus�nc}/, Regal uiou. License or registration valid for i::,-I:vidra HOMIi 1�, 8tif� fJ` f�(71Vf�tAC7E� `c�u ti before the expiration date. If touucl return to: �1 Registration: 153567 Type: office of Consumer Affairs and Business Regulation Expiration: 12/15/2012 Private Corporation 10.Park Plaza-Suite 5170 H E a) Boston,MA 0211E f' OD INSULATION, INC _NRY CASSIDY ` 5 YARMOUTH RD. i ANNIS,MA 02601 Undersecretary t alid ith t si tune IVlassachusctts Dcpartmcnt of Public sil(CIN Board of Buddin.� Rcgulations and ltandar•tts ' Construction Supervisor License License: CS 100988 .. ' HENRY' "CASSIDY - ..8'SHED ROW, WEST YARMOUTH, MA 02673 Expiration: 11/11/2013 ('ouuuisiwrrr TO: 7620 r N M r t ' the Corriinonrnaalth of!hlassachiisett,s D ep a r t rn eri t"ofInd Lis trial Accide/7T s v-, ce of -1vestiglatiolls Boston, MA 02111 `�rC.7� } . rvrvrv.muss.gov�dia • ke.l:s' Cotzrperlsatiori lnsurauce'Affidavit: Builders/Contra ctors/°Electrieians/Plurrtbers \p_t)_lic�1rtt IYifol:aiatiorr Please Print Li_yibIy '�rttlli-•. (E�usntess/Ortaniz_ationllndividual): `lf° � ;__:.��_---�- CItw'`,I.,rit /2"Ip 1 Phone: rO `,.I c. you Litt crrgt lover? Check th appropriate box; lylae of prat ch (required): T--- l.( I. am ti rfriployer with 4. 1 am a general contractor a.nd I ----2.Q-- 6. ❑ New construction (-.Irt luya(s Cull anWor Batt tinge have htred tha sub-coon-actors i_.J urn ,i snit, proprir,toi or pattue,r listed on the at(achcA sheet. 1. 1Zemodt littl ,;hq.) trnd have, tic) rinployees Thesc sub-contractors Piave � )7cr1�olttton workuib (or rrtc in auy capacity. crnployees and have workers'' 9• �J Building addition [l,o' vem-kors' comp. insurance corrrp. uisurance.I ' We are a corporation tion and its 10.❑ Elcarical rr,pairs or additions rt-gaited.) � a _ 1 , tit a borncowner,doing all worn officers have exercised their•, l l.[J Pluzxtbing repairs or additions *mysclf.. J'No wr:Ilkcrs' comp, right of exemption per MGL 12•U Roof repairs rst.i.rritir:e retailircd.] e. 152 S 1(4), and wc•have no 13.[a la t herc3 1. employees. [No workers' �'� r comp:insurance required.] ------- ___---- A„y applir.a.nt that checks box tl I must also fill out the section below showing their workers'compcnsaiion policy infommtion. I(orncowncrs who subriliI this affidavit indicating(hey arc doing all work o.nd than hire outside contraclors must sub fit iI a firw affidavit indicating su%h. lCunuactors that el')cck this box must attached arr add itional sheet showing the name of the sub-eolitractors and state whothi;r or no(thuse entities have cIupluyccs. If the sub-contractors have,employees,they must provide that wol'kcrs'comp,policy nuiobcr., I fool art chit/^toyer (ha( is providirlg workers',con pensation insurance for Iny employees. fielory is the jolic), [rat job site 1,`l11.1 r11'1 at1o/i. -�•-- - !nsunur c, Corlipa.ny Name:- — �t,A�'�t -------- / r ii or Self-ins, Lic. 11:_ � Z _ Expiration Dale:_ �_.f,3G ...�p .__ p2�,72 1;1b `,�[c ,addt�s,• � �/ .city/stateizip -- - mach .i t:opy of tirt:.workers.' compensation policy declaration-page (showing; the policy nunfbct and e. piratipli date). Farii.uc to sccute coverage: as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penaltics'of a (tni- up to $1.,500.00 and/or one--year unprisoarnent, as well as civil penalties in dae form of a STOP. WORK ORDER and a fine. i u.p to $250.00 a day agailast the Y)ola'tor. Be, advised that a copy of this Aatemeot may be forwarded-to the Office of l:.rvr.5tlg ations of dic DIA for insurance coverage verification. clo hereby c•e,n.fy w- e prr' aitrl pena,ties of perjwy that tine iriformarion provides!above is trx,,e. acid eorreci. C a tc: 2 -- �� p/ftcial use only. Do not,write in this area, to be corripleted by city or town offei,iL s C'i ry o r 'I U W['I: -- _--- P e r m i U U C E'n s e ll- ----T--- ---._-.�._-_- I� Issuing A uftrority (circle one): ^ 1, board of-hteaMi 2. Building Department 3, Ciryffoien Clerk 4, Electrical Inspector 5. Piurribinp lrrspcc.tor, b. Ot11er I Phone Contact Person t f Client#:4597 CCINSUL ACORD CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) 2102/2012 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. . e certificate holder is an AUUMUNAL INSUKhU,the po Icy ies must be endorsed.It bu WVAIVED,su lec o 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 endomement(s). PRODUCER - NAME Margaret Young Rogers B.Gray Ins.-So.Dennis - I PHONE -._._._ _ :., _ ....... FAX.. 434 Route 134 A/ o,EXt1:508-760�602 --(/uc,,Ne) .877.81.6-2156 j ADDRESS:youngmA@rogersgray,com.,___.. P.O.BOX 1601 I PRODUCER - _ ;....... !-CUSTOMER ID#. -y South Dennis,MA 02660-1601 _...,__ INSURER(S)AFFORDING COVERAGE - NAIC# _.._ „..._. .......... INSURED INSURER'A Peerless Insurance 18333 Cape Cod Insulation Inc INSURERS Ohio Casualty Insurance Company 455 Yarmouth Road _...__. .. INSURERC,Atlantic Charter Insurance Hyannis,MA 02601 _ INSURER D:Commerce Insurance_Company, 34754 INSURER E : a ----- _._.. _. . 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. NSR ADDL SUBR{ POLICY EFF POLICY EXP A GENERAL uaBlLrry CBP8263063 04/01/2011?04/01/2012 EACH OCCURRENCE $1,OOQ000 X}COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED :f?REMI$E$.{E_aogcuRe�ce)__ CLAIMS-MADE X OCCUR MED EXP(Any one person) $5,000 PERSONAL a ADV INJURY $1,000,000 _....._ GENERAL AGGREGATE $2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: JPRODUCTS COMP/OP AGG '.$2,000,000 I PRO $ D AUTOMOBILE LIABILITY I 1 MMBCiKVMK 04/01/2011;04/0112012 COMBINED SINGLE LIMIT 4 (Eaacaden[?......._ ....... ;-$.1,000,000__ ANY AUTO BODILY INJURY (Per person)$ _...._,._.._...._... _..__Y..._ _.... ._..._.. ALL OWNED AUTOS I BODILY INJURY(Per accident) $ X;SCHEDULED AUTOS --__._.__.._._....... PROPERTY DAMAGE X:;HIRED AUTOS i (Per accident) $ ..__ X:NON-OWNED AUTOS '$ B UMBRELLA LIAB X ;OCCUR { 0001254514645 04/01/2011'0410112012!EACH OCCURRENCE $1 OOO OOO EXCESS LIAB ~CLAIMS-MADE ! AGGREGATE $1 OOO OOO DEDUCTIBLE _ i$ X 1 RETENTION $ 10000 i C WORKERS COMPENSATION WCA00525902 06/30/2011' WC STATU OTH. AND EMPLOYERS LIABILITY YIN. 06/30/2012 X..-!TORY_LIMTfS. . .-.ER _ ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? N/A E,LEACH ACCIDENT. _ (Mandatory in NH) 4 E.L. _- _00.000 L DISEASE EA EMPLOYEE 5 If yes,describe under � _ , , POLICYEL-DISEASE- 0 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(Attach ACORD 101,Additional Remarks Schedule,if nwre space is required), Workers Comp Information Included.Officers or Proprietors CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE 1 EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE 01988-2009,ACORD CORPORATION.All rights reserved. ACORD 25(2009/09) 1 of 1 The ACORD name and logo are registered marks of ACORD #S77368/M68179 MEY r OWNER AUTHORIZATION FORM - e (Owner's Nam ) owner of the property located'.at . y (Property Address) + (Property Address) hereby authorize10, • ( ub ntractor) , an authorized subcontractor for RISE Engineering, to act.on my behalf to obtain a building permit and toperform work on my property. A ' r, t Owner's Signature,, • + . Date s , Mckechnie, Robert a From: Mckechriie, Robert :Sent: Wednesday, January 04, 2012 9:10 AM fri 2 To: tz0 601 aol.com Subject: 33 Candlewick Lane, Hyannis Bedroom Question" t Good Morning Mrs. Seely, In my opinion, a singular definition of a"bedroom" is not found in the Massachusetts Building:Code. This is most likely due to the fact that each requirement is listed under the specific section of the Code regulating.that requirement. For instance, the emergency escape requirement is.found in 780 CMR R310, room area in 780 CMR R304, ceiling height in 780 CMR R305, garage separation in'780 CMR R302.5.1, Smoke Alarms in 780 CMR R314, and so on, in many areas of the Code. Usually all questions can be answered by'a building professional, or a person familiar with the building code and the individual case that is being assessed.. I suspect that the overall singular definition, that you are in search of,.does not exist because of the variables that are presented by each individual circumstance or building. Also, the Building Department and the Health Department have separate requirements for bedrooms. I believe that we discussed this previously. Acceptance by one does not guarantee acceptance by the other because of these differences. hope this may be of help, Robert McKechnie Local Inspector Building Department Town of Barnstable. - 506-862-4033 I e a • 1 . 1 Town of Barnstable t a v pp THE 1pL # O Empires 6 mand a from issue date Regulatory Semice5 Fee -� 16 9. F.Thomas . Geiler,Director 3 � -Building DMsion Tom Perry,.CBO, Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us ' Office: 508-8 62-403 8. Fax: 508-790-623 0 EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY (, Not Valid without Red X=Press Imprint Map/parcel Number Property Address N , cam. L _ l ,-„y�►C 0 Residential Value of Work C) D Minimum fee of$35.00 for work under$6000.00 Owner's Name&Address Litt Contractor's Name r� L, -TelephoneNurnber l Y>�-7/ o�/ lome Improvement Contractor License#(if applicable) :onstruction Supervisor's License#(if applicable) -PRESS PE 'T DWorkman's Compensation Insurance FEB 20.�2 Ch ek one: I am a sole proprietor I am the Homeowner ❑ I have Worker's Compensation Insurance TOWN OF BARNSTABLE surarice Company Name r" 'orkman's Comp. Policy# )py of Insurance Compliance Certificate must accompany each permit. " rmit 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 Whore required; Lssu a of permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. ***Note: Pro erty caner must sign Property Owner Letter of Permission. A p f ,he Home Improvement Contractors License& Construction Supervisors License is req d. - �ATURE: . . 'FIL. TORWbuilding permit forms RESS.doc ' 1 I' ti The Commonwealth of Massachusetts Department of Industrial Accidents Office wf Investigations ' d '600 Wdshngton Street 4 Boston,MA 02111 www.mass.gov/dia, Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name usiness/Or anization/Ind,vidual : l (B g ) 1: L Address: 1 GI City/State/Zip: Q Phone.#: Are you an employer? .heck the appropriate box: Type of project(required):: 1.❑ I 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 . 2.0 I am a sole proprietor or partner, : listed on the attached sheet. 7. Remodeling These sub-contractors have ." ship and have no employees 8. El Demolition working for me in any capacity _employee's'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 q ] I am a homeowner doing all work' officers have exercised their 1 L Q Plumbing repairs or additions myself. o workers' co right of exemption per MGL y Y mP 12.E Roof repairs §1 152 insurance required.]t' c. , 4 ,and we have no O 11 E`Other 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 anew affidavitindicating 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: Policy#or Self-ins.Lic.#: Expiration Date:: - Job Site Add ,s City/State/Zip -Attach a opy of the workers' ompensation policy declaration page'(showing the policy number and expiration date)., Failure. secure cov rage as re fired under Section 25A of MGL c, 152 can lead to the imposition of criminal penalties of a fine yip o$1,500.00 d/or one- imprisonment,as well as civil penalties in the form of a STOP WORK ORDER.and a fine of up to 2 .00 a da against olator. Be advised that a copy of this statement maybe forwarded to the.Office of Investi ns of the. for' overa e verification. I do here ertify nd r the pai -and ena[ 'es of perjury that the information provided above is true and correct. Si ature: Date: Phone#: Official use only. Do not write in this area;to be completed by city or..town official City or Town: Permit/Lic"ense# 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#• f 1 Information and Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers'compensation for their employees. Pursuant to this statute,an employee is defined as "...every person.iii 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 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 resides 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, §25C(6)also states that"every state or Iocal 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,MGL chapter 152;§25C(7)states"Neither the commonwealth nor any of its political subdivisions shall enter into any contract for.the performance of public work until acceptable evidence of compliznce with the insurance requirements of this chapter have been presented'to the contracting authority." Applicants Please fill out the workers'compensation affidavit completely,by checking the boxes that apply to your situation and,if necessary,supply sub-contractor(s)name(s),address(es)and phone number(s)along with their certificate(s)of insurance. Limited Liability Companies(LLC)or Limited Liability Partnerships(LLP)with no employees other than the members or partners,are not required to carry workers'compensation insurance. If an LLC or LLP does have employees,a policy is required. Be advised that this affidavit 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. Self-insured companies should enter their self-insurance license numlier on the appropriate line. City or Town Officials 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. In addition, an applicant that must submit multiple permit/license applications in any given year,need only submit one affidavit indicating current policy information(if necessary)and under"Job Site Address"the applicant should write"all locations in-(City-or . town)."A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year.Where a home owner or citizen is obtaining a license or permit not related fo any business or commercial venture (i.e.a dog license or permit to burn leaves-etc.)said person is NOT required to complete this affidavit. The Office of Investigations would like to thank you in advance for your cooperation and should you have any,questions, please do not hesitate to give us a call. The Department's address,telephone-and fax number":. The Commonwealth of Massachusetts D ' arrtment of ladustdal A.ceidcnts Office of Investigations 600 Washington Street Boston,MA 42111 Tezl. #617'727-49QO ext 406 or 1-877-MASSAFE Revise d 11-22-06 Fax#617-727-7749 • www.massgov/dia I 'k IME Town of Barnstable Regulatory Services Sr ABLE, * Thomas F.Geiler,Director HA89.16.19. ♦0 AoBuilding Division 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 DATE: JOB LOCATION: 3a Woc_ l� number street village "HOMEOWNER': �. . �C ��/' (�S ✓/Vi' name Tome phone# work phone# CURRENT MAILING ADDRESS:--T)� , 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 Persons)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 ersigned"h eowner assumes responsibility for compliance with the State Building Code and other. appli We codes,by s,rules and regulations. The dersi d ho e r"certifies that he/she understands the Town of Barnstable Building Department um ins c o prod d sand requirements and that he/she will comply with said procedures and, requ e Signature o omeowner Approval ofBuilding Official Note: Three-family wellings containing 35,060 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,bur 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 �IHE�a , Town of Barnstable Regulatory Services + + # �ARNSfABLE, + MASS �, - Thomas F.Geiler,Director 16yq 1 eo►wa Building Division Tom Perry,Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder 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:FORM&OWNERPERNSSIONPOOLS :k 5 Y O-P) n c 5 230.00 ig by a Health Inspector; therefore, it is not ie Health Division. However, if your vorking hours (8:00 - 4:30p.m.), please or 1:00 - 2:00 p.m.) to schedule and, � _ Please complete the'form and mail it ore December iS, 2004 to the Town .of Ith Division, 200 Main Street, Hyannis, and receipt of your payment and copies of II be sent, via mail, the food/retail ry 1, 2005 will result in an additional fee A 5 eel free to call the Public Health Division TOTAL DUE Q® Food establishment inspections are ongoi p� necessary to make an appointment with t establishment is not open during normal call 862-46447between (8:00 - 9:30 a.m. inspection. Enclosed is a food permit application form. along with the required',payment on or be Barnstable, addressed to the Public He� y MA 02601.:Mpon satisfactory compliance two current ServSafe�Certificates, you wi permit(s) for calendar year 2005. Failure to'renew permit on or before Janu of $10.00 late charge. If'you_should have any questions, please f 62-4644. >4C C 173 ,� � '" . �D� -� ,: � , ti "� , A� 1 ]J y .. � � �r r + 1 v ti �� p! Assessor's map and lot number .2.0, .......'� ..1...C'�� fi cl,2 _ � � 7 SEPTIC SYSTEM3E INSTALLED IN MUST BE WITH ARTICLE COMPLIANCE Sewage Perrriit number ....... .......... .................................. II :1 SANITARY CODE STATE SANITARY CS E AND TOM y�FTHETO�y _ T®W1v OF BARNo ff ■ Q i SAHH3TdBLL i "6 9 .0� BUILDING INSPECTOR G� f� v � e i� .� APPLICATION FOR PERMIT TO .............4�.....:�................�........................��..... ........,<.. .< "��'�Z1. iV.TYPE OF CONSTRUCTION .......... A.S.Cf..................................................................................:.................... .........::, 4!.I X....... ..(e........1911 TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location d .......... 5.... J'y '! ..Jd: ............................... . .. �' r ProposedUse .../....... . Tr/?9. / ...... ., r..................................................................................... ZoningDistrict ....�.1..3.......................................................Fire District ............r....... —,............... /,� �,s.R. .r .,6 �, ................. Name of Owner . .� .fi. . .....1��...'.!.11.&:l.&.c.......................Address ....... Name of Builder 1,7T .. :..(.J�.�/i G .................Add resAA..� 1?zf..k.QV 4... Name of Architect ... `......6�l! 1?�?:.4...................... Address . 1 F/ld!f;! ....'v� ! 1..�.`. ;If. ..... .... .. . . ....... ....................... z yL Number of Rooms ..........�1^................................................Foundation Q.��:. ... .... ..... r. r.a.....:.......... Exterior ....X611l <1...........................................................Roofing .......... r ..... .<.. :.............................................. ,�/ Floors ........ ................................................................Interior ...�.... Gf/ L Heating .............................................Plumbing ..........�...... ...................................... Fireplace .....y,P--,f................................................................Approximate Cost ...... .S:�a !..t........................................ Definitive Plan Approved by Planning Board ________________________________19--------. Area ...../a/aty49...................... Diagram of Lot and Building with Dimensions Fee o�p o SUBJECT TO APPROVAL OF BOARD OF HEALTH A��c"l9i �® �d l I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name . ..../!:L..Y..... °�'1................. Morin, Roland Location, - Candlewick Iane Date of Inspection lV � ^ ` uota Completed . .. � PERMIT REFUSED , . lV ----.._---.-----------. � - ~ � -------.------------------. � � '—_—.--.-------.-----------.. , -----^-----^^'~-------'~---'—'' � ^ � ----------------.--..--.---.. � � Approved ................................................ lA � ^ ---------------~—'^-------'— ' , ------------------------^^^' r� THE r O BARNSTABLE i EAHHSTAM i MO WILDING INSPECTOR 9pp MAM 1639" Fp ppY 9� ' a` APPLICATI FOR IT .......................` "'� �' ................................ TYPE CONSTRU ION ,. - .......... ... ...d-° .`................................................................................................ .. Z ........19 .. —TO THE INSPE OR OF :BUILDINGS: The ' ndersig ed hereby applies for a permit according,lfi the following -information: Location .... ... ... ...... `....... ...... ................ ....... .... ............. ................................... ProposedUse ... . .............................. .................................................................................................. ZoningDistrict ..........N.............................................................Fire District ................................. .........................Q................ Name of Owner ......./�. �- . . ... .. .... .. .:.............Address ,1.,7.��A`�/ ...../.Jk.../P.........�!..�G�4 Nameof Builder ..........�j.......................................................Address .................................................................................... Name of Architect ......`'L...: ..... ............................Address .... .. .. ........ G�: .....................:. Numberof Rooms ......... ...................................:.................Foundation ...... .................. .................................................... Exterior ..e.... .......... .........................:.....................................Roofing .......G .... ... .................................:.............................. Floors .............n.... S--........................................................Interior ....... ...... ......... ................................................... 3 Heating ..... ::..............Plumbing .............../ j.....:.................................................. .. . ............. Fireplace ........... ./..............................................................Approximate Cost ......�9�. .. ..... Definitive Plan Approved by Planning Board -----------_______-----------19________. 1 1J5-L S.17 Diagram of Lot and Building with Dimensions g. SUBJECT TO APPROVAL OF BOARD OF HEALTH LU 1z 2i < ci 2i co lu ® C�iV� In1 l G/N /q 1 N a "— ffj COA ;o . I hereby agree to conform to all-the Rules and Regulations of the Town of Barnstable regarding the above construction. " Name ..... .. �(�.. . .. ....................... 1" , � ' � ' ` i � � / . / � � . ^ v ' -� Cape Alva Corp. 16031 one story single family dwelling Hyannispeaft Cape Alva Co me =�' PERMIT REFUSED ' ~~ - i =�-�� ----..-----------------. lq � ~� 7 477,6. /41 -'`-----.----.-----.--------- � . ~~ —.~---...—.---.~---.—..~.,---.—.— ' ^`~~~^---~—^^--'--'—^^^—^^'-'—`—^^''' ^-----..--....—,.....--.--...----.. 8 � . ' � � Approved ................................................. lA ' � ^ ' -------'----------'--'^—^^---' � | ^ ~ ` ----------,------..---..—,..— � �|