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Home My WebLink About0155 CHASE STREET 755 ChGs� s�. '' ��, ;, �. � s Town of Barnstable SHE r Building Department Services Brian Florence,CBO �7\ sAaivsre IM Building Commissioner KAM 16.lg6 �� 200 Main Street, Hyannis,MA 02601 ''rEny www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 PERNMN FEE: $35.00 opp, MAY07 20 MID REGISTRATION rOI[i/V 0, '� RESIDENTIAL ONLYr� � 200 square feet or less � f Location of shed(address) Village Property owner's name Telephone number x J67 /01 Size of Shed Map/Parcel# Signature Date Hyannis Main Street Waterfront Historic District? Old King's Highway Historic District Commission jurisdiction? You must file with Old King's Highway Conservation Commission(signature is required) Sign off hours for Conservation 8:00-9:30&3:30-4:30 PLEASE NOTE: IF YOU ARE WITHIN THE JURISDICTION OF ANY OF THE ABOVE COMIVIISSIONS,THERE MAY BE A REVIEW PROCESS AND APPLICATION M. PLEASE SEE THE APPROPRIATE COMMISSION FOR DETAILS. THIS FORM MUST BE ACCOMPANIED BY A PLOT PLAN . Q-forms-sbedreg REV:08/6/17 • Y►% Y k Legend a Parcels .� 3�714443 s -Town Boundary 30766 ,_ " t, Railroad Tracks 4. 3117228 13 .., 307143Ell 307170 #€12l'- 131 Buildings ##126,' ��. Painted Lines 9 307155' 1 c Parking L ots 371!'1; '_ ^. k �. 31d715Q 0 Paved 367226- r #14Q 'fig #134 µ Unpaved d 1#0 Driveways ,.ara ✓'t. '1 t'S ..s. Paved 3072.27 1 1: w^"""-- ._ .�• , Unpaved 1 #1.43 Roads .. �l .r . Paved Road -307172 t, .-``. --"` � ,ter""-max t Unpaved Road 140 - N� Bridge -`.. : -"` E Paved Median ` ~ , 1 Streams P 307'15` Marsh V. # 4 RA Water Bodies 3tu17;2 % q tM 307152 �. 307164 a ti 3Q7173. 30711191i1 � #.155: �. 1 ' 3®7164162 3117163001� #li 4. 307174 30777 t 3471 #230 £3 3Q YY w- Map printed on: 5/7/2018 This map is for illustration purposes only.It is not Parcel lines shown on this map are only graphic TOVM Of Barnstable GIS Unit adequate for legal boundary determination or representations of Assessor's tax parcels.They are N Feet regulatory interpretation.This map does not represent not true property boundaries and do not represent 367 Main Street,Hyannis,MA 026oi 0 83 167 an on-the-ground survey.It may be generalized,may not accurate relationships to physical objects on the map 5o8-862-4624 reflect current conditions,and may contain such as building locations. Approx.Scale: 1 inch= 83 feet cartographic errors or omissions. gis@town.barnstable.ma.us 1 TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map 3 O / Parcel '7 Application # T —/7— �d�d Health Division Date Issued Conservation Division Application Fee L5 DD Planning Dept. Permit Fee . Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation/ Hyannis ---- „p ✓�lG� fJ` Project Street Address �' A jr e Village, Owner 1!e,112 Address `zra P Telephone 2 2 6 Permit Request ��d G'/�i�.r3 �� ,L�� 4 ii:�os` d /ij ✓��,f — Square feet: 1st floor: existing proposed 2nd floor: existing proposed =y Total,new _ Zoning District Flood Plain Groundwater Overlay t Project Valuation Construction Type_1J��u['� ° _' Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting dcume tation. cn Dwelling Type: Single Family �2' Two Family ❑ Multi-Family (# units) Age of Existing Structure Historic House: ❑Yes a'No On Old King'sLighway:"JLJ YA �TNo Basement Type: ❑ Full ❑ Crawl ❑Walkout ❑ Other Basement Finished Areas ft. Basement Unfinished Area s�.ft - ( q ) (qj) Number of Baths: Full: existing new Half: existing - riew Number of Bedrooms: existing _new co Total Room Count (not including baths): existing new First Floor Room Count? � c-1 gig 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 ❑ new size_ Attached garage: ❑ existing ❑ 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 APPLICANT INFORMATION T_ -�- (BUILDER OR HOMEOWNER) Name e;'al Telephone Number Sy`- Address /� /�G/�12G'f�ty 4�rzo'e_ License # Home Improvement Contractor# /c�3.5�4 Email,#/G�,�a'lr�L,�P�G®�f.�sr.�� B ? Worker's Compensation ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE l/Z GA/' FOR OFFICIAL USE ONLY APPLICATION # DATE ISSUED MAP/ PARCEL NO. ADDRESS VILLAGE OWNER DATE OF INSPECTION: FOUNDATION FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. i HOME OWNER WEATHERIZATION WORK PERMIT: PLEASE COMPLETE AND SIGN THIS FORM AS THE APPLICANT HOMEOWNER. I � hereby consent to and agree that weatherization work may be done by the Weatherization Program of Housing Assistance Corporation on the property located at: i i The weatherization work done.will be based on programmatic priorities and availability of funding and it may include all or some of the following measures: I Weather stripping; air sealing; attic& basement insulation; exterior wall insulation; ventilation ! measures In consideration of the weatherization work to be done at my home I agree to the following: 1. 1 give permission to Housing Assistance Corporation the property with such equipment and materials as may be necessary to perform weatherization. 2. The Housing Assistance Corporation reserves the right to inspect the fuel or utility bill for the weatherized unit on an ongoing basis for no more than five (5) years after the weatherization work is completed. I have read.the provisions of this agreement and give my consent. Home Owner(signature) Home Owner email: Agent:(signature) I Date: Weatherization Contractors: I J Adam T Inc Cape Save All Cape Energy Frontier Energy Solutions Alternative,Weatherization Lohr Home Improvement ie -�sience ow s Tupper Construction Cape ! The Commonwealth of Massachusetts Department of XndustrialAccidents 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. Aoalicant Information Please Print Legibly Name (Business/Organization/Individual): Cape Cod Insulation Address: 18 Reardon Circle City/State/Zip: South Yarmouth,MA 02664 phone#: 508-775-1214 Are you an employer?Check the appropriate box: Type of project(required): l.a I am a employer with 48 employees(full and/or part-time).* 7. ❑New construction 2.01 am a sole proprietor or partnership and have no employees working for me in $. Remodeling any capacity.[No workers'comp,insurance required.] 3.7 I am a homeowner doing all work myself.[No workers'comp.insurance required.]t 9. ❑Demolition 4,❑I am a homeowner and will be hiring contractors to conduct all work on my property. I will 10 Building addition ensure that all contractors either have workers'compensation insurance or are sole 11.❑Electrical repairs or additions proprietors with no employees. 12.Q Plumbing repairs or additions S.Q I am a general contractor and I have hired the sub-contractors listed on the attached sheet. 13.Q Roof repairs These sub-contractors have employees and have workers'comp.insurance.t 6.7 We are a corporation and its officers have exercised their right of exemption per MGL c. 14. ✓�Other Weatherization 1 S2,§1(4),and we have no employees.[No workers'comp.insurance required.] *Any applicant that checks box#I 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. 1 am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: Atlantic Charter Policy#or Self-ins.Lic.#: WCE00431902 Expiration Date: 6/30/2017 Job Site Address: L1h,f�e City/State/Zip: �� d Attach a copy of the workers' compensation policy declaration page(showing the policy number 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. I do hereby certify under the pains andpenalties ofperjury that the information provided above is true and correct HenryCassidy Sister ature: Y Date: Phone#: 508-775-1214 Official use only. Do not write in this area,to be completed by city or town official City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2. Building Department 3.City/Town Clerk 4. Electrical Inspector 5, Plumbing Inspector 6.Other Contact Person: Phone#: Massachusetts Department of Public safety Board o'f Bullding Regulations and standards License; 08-100888 ' Constructlon Supervisor, HENRY E CASSIDY, 8 SHED ROW �; WEST YARMOUY'H r.. it lit Expiration; Wrlmissloner 1111112017 i s 6 Office of Consumer Affairs and Business Regulation 10 Park Plaza • Suite 5170 Boston, Ma u�setts 02116 Home Improveme:;::;. v, ractor Registration Type, Corporation 4 Cape Cod insulation I t� "�' �� f Registration; 153567 nC ,,, ^, ; / w Expiration; 12/14/2018 18 Reard W Circle So, Yarmouth, MA 02664 , 8L`A•,f �� 20M•OB/11 Update Address and return card, Mark reason for change, !.,.�.------,.._._. �_.,..._..» .•....... .-,.,..._._..._..........._.._.......... -,��I�� $5...(1..JT,�n�}.1/�lti-I�G,ti:,7i41fn7913t_�-l.fa,9!.�' l .. V/t9 �po071�176G7L�Uo2�t�o��[WJ�Fo�6Wea�J• Office of Consumer Affairs&Business Regulation HOME IMPROVEMENT CONTRACTOR Reglatratlon valid for indlvldual use only TI'P-oi Corporation before the expiration date, If fvun urn to; ,,;. c-yt; Offloe of Consumer Affair;and al F:S;�/' • >• 1<x iration as Regulation i;� tis`.%I.k •; @¢, ] 12/14/2018 10 Park Boston Maza 05170 Cape Cod Inswlt I �;` I;1 11 Hen Cassidy' 18 Reardon Ciro o �v, lrs C�,¢ CCQf,.— So,Yarmouth,M ' Vnderseoreta ry t aluy c� CAPECOD•2 KDOY 7 ...,� CERTIFICATE OF LIABILITY INSURANCE DATE 03/30/2017 (MM/DD/YYYY) 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 polloy(les)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 ileu of such endorsements , PRODUCER ACT 10 ore &3aray Insurance Agency,Inc, �� South Dennis,MA 02880 o ext r No 1877 818.2156 ma ro ers ra ,com 9U E a P O DI 0 E AGE NAIL# E P Brie Insur n Coo an 24198 INSURED INSURER Safety n u an a Qom2any 39454 Cape Cod Insulation,Inc, iNsymin g 1 Endurance Amerloan 8P eclalty insurance ComEany 41718 18 Reardon Circle Atle tl -hart r in uranc C m an 44326 got South Yarmouth,MA 02884 f e INSURER F r COVERAGESNUMBER: 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, LTA8R TYpEOPINSURANCB AODL8UBR POLICY NUMBER PO 10 :E P IC EXP A X COMMERCIAL OENERAL LIABILfTY LIMITS CLAIMS-MADE MX OCCUR R/0 GBP8283083 OAMAOE U REeq NTED 1,000,0 04/01/2017 04/01/2018 100,0 MED UP(Any one r h 5,OI I.AGO XF LIMIT AP 9 PER; PERSONAL&ADVINJVAY 1,000,01 X POLICY jM L03� 2,000,01 OTHER: OMP/ PA00 2,000,0( AUTOMOBILE LIABILITY COMB NED 91 0 E IMIT ANYAVTO 0232707 COM 01 04/01/2017 04/01/2018 R��p��8 ONLY X ��oo�NN�Op�yyUyy�I�E6EDpp 8 OIL IN Y Per arson $ X AVT09 0NLY X AVT09 0N1Y SOD' JU Per ooldenl 1,000- �20PER�YI AMAOE C X UMBRELLA L'IA9 X OCCUR EXCESS LIA9 OLAIM8•MADE R/0'EXC10008638001 04/01/2017 04/01/2010 A R 2,000,0C C fDEO RETENTIONS OR 0 ° 'I�� tD°YERs�C�ABIIY Aggregate 2,000,OC A Y qPR��0� IE ��PpRTNERIEXECUTIVE WCE00431902 X P oT . eridaldry�n�H)IxR DED7 N/A 08/30/2018 08/30/2017 DE 1,000 000 II yyes desorlbe under D RIP ON OF OPERATION$ E, ,019E SE•EA EMPLOYEE 1,000,00 E.L,019EA8E•POLI Y LIMIT 1,000,00 DE8CRIPTION OF OPERAqTIONS/ OOATIONS/VEHICLES (ACQRD 101,Addlllonel Remerke Sohedula,may be elleohod if more epeae le required) Yorkers Oompensatlon Inoludes Offloere or Prbprletors. Iddltional Insured status Is provided under the General Liability and Auto Liability when required by written contract or agreement with the Certificate Holder, CANUKkkAl ANY OF For Informational Purposes THE SHOULD EXPIRATIONH DATEV THEREOF DES E NOTICI WILLCANCELLED DELIVERED BEFORE INACCORDANCE WITH THE POLICY PROVISIONS, AUTHORIZED REPREBENTATIVa ACORD 20(2010/03) 01988.2015 ACORD CORPORATION, All rights reserved, • The ACORD name and logo are registered marks of ArMom MASSACHUSETTS PROPERTY INSURANCE UNDERWRITING ASSOCIATION Two Center Plaza Boston,Massachusetts 02108-1904 (617)723-3800 Ma Only(800)392-6108,FAX(800)851-8424 11/10/2015 Form of Notice of Casualty Loss to Building Under Mass.Gen.Laws,Ch.139,Sec.313 HYANNIS BUILDING DEPT 200 MAIN ST HYANNIS MA 02601 Re: Insured: PATRICIA I CONTI Property Address: 155 CHASE STREET, HYANNIS,MA 02601 Policy Number: 1141723 Type Loss: Vehicle Damage Date of Loss: 11/08/2015 Claim Number: 401585 Claim has been made involving loss,damage or destruction of the above captioned property,which may either exceed$1000.00 or cause Massachusetts General Laws,Chapter 143,section 6 to be applicable. If any notice under Massachusetts General Laws,Chapter 139,Section 3B is appropriate,please direct it to the attention of the writer and include a reference to the captioned insured, location,policy number,date of loss and claim or file number. MPIUA Claims Division CMA00021 TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION 1 Map Parcel:' Application # Health Division 3 S 7P i Date Issued De) Conservation Division ^l " ; Application Fee Planning Dept. Permit Fee Date Definitive Plan,Approved by Planning Board Historic OKH Preservation/Hyannis Project Street Address t 5.5 G H Village Owner C \ N I Address Telephone S 0 t�� -7 Permit Request ! e,K 0 l S k 0- V- i►76 b Square feet: Ist floor: existin63�pgoposed 2nd floor: existing proposed_Total nevV _ Zoning District Flood Plain Groundwater Overlay (` roject Valuation`sAk 00—:� Construction Type Lot Size 3 Grandfathered: ❑Yes XNo If yes, attach supporting documentation. Dwelling Type: Single Family .O� Two Family ❑ Multi-Family(# units) Age of Existing Structure (A Historic House: ❑Yes ''*No On Old King's Highway: ❑Yes No Basement Type: Full ❑ Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) j roZ_ Basement Unfinished Area(sq.ft) ff Number of Baths: Full: existing /� new Half: existing new Number of Bedrooms: at existing _new (al X K;k- t J Total Room Count (not including baths): existing _�new First Floor Room Count Heat Type and Fuel: RJ Gas ❑ Oil ❑ Electric ❑ Other Central Air: ❑Yes 14'No Fireplaces: Existing 2 New Existing wood/coal stove: Yes ❑ No Detached garage: existing ❑ new size Pool: ❑ existing ❑ new size _ Barn:Q e sting anew sizeca Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: ZZ 4 ram ` -v Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ o c Commercial ❑Yes ❑ No If yes, site plan review# Current-Use - - - _ Proposed Use C° m APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name -%ot Telephone Number Address � Q�-r°i �� License # 0 d l Home Improvement Contractor# �^ Worker's Compensation # ALL CONSTRUCT17N DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO Bws) SIGNATURE DATE S 6-tl� t �1. FOR OFFICIAL USE"ONLY J f L Y APPLICATION# t DATE ISSUED MAP/PARCEL N0. 'x ADDRESS ` VILLAGE OWNER a DATE OF INSPECTION: FOUNDATION FRAME INSULATION .FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL '# FINAL BUILDING ti a DATE CLOSED OUT ASSOCIATION PLAN NO. The Commonwealth of Massachusetts Department o Industrial Accidents g Office of Investigations ' d 600 Washington Street �< Boston,MA 02111' '�., ,�•�'� www.mass.gov/dia Workers''Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers APplicant Information Please Print Le ibl Name(Business/Organization/Individual): . C N l Address• o.14P 0 1 City/State/Zip: A,VA VV 1 S . Phone.#: Are.you an employer? Check the appropriate bog: .Type of project(required):. 1.❑ I am a y emp to er with 4. I am a general contractor and I 6. ❑New construction . employees(frill and/or part-time).* • have hired the sub-contractors 2.] I am a'sole proprietor or partner- These on the•attach ed sheet. 7. ❑Remodeling ship and have no employees These sub-contractors have g. Demolition employees and have workers' working for me in any capacity. 9, 0 Building addition [No workers' comp,insurance comp. insurance, 5. We are a corporation and its 10.❑Electrical repairs or additions required.] ' 3. I am a homeowner doing all work . officers have exercised their 11.❑Plumbing repairs or additions right of exemption per MGL myself. [No workers comp. 12.(]Roof repairs insurance.required.]t c. 152, §1(4), and we have no 13.❑ 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 affidavit indicating such. $Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether ornot those entities have employees, If the sub-contractors have employees,they must provide their workers'comp.policy number. am an employer that is providing workers'compensation insurance for my employees. Below is.the policy and job site' I information. Insurance Company Name: Policy#or Self-ins.Lic.#: Expiration Date: Job Site Address: City/State/Zip: 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 tip 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$250.00 a day against the violator. Be advised that a copy of this statement maybe forwarded to the Office of Investigations of the DIA for insurance coverage verification I do hereby certify under the pains•and pen tie perjury that the information provided above is true and correct. Si ature: Date: _ Phone#: 5 Official use only.-Do not write in this area, to be completed by.city or town offcial. City'or Town: Permit/License# Issuing Authority(circle one): -1.Board of Health 2,Building Department 3. City/Town Clerk 4.Electrical inspector 5.Plumbing Inspector 6..Other. Contact Person: Phone#: f Town of Barnstable �pF SHE 1p�� .- C y�P Reg y Serviceo '. . F F''Geiler,Director RAIMST"M : homas , tL6.19. .•� Building Division PlfD �a Tom Perry,Building Commissioner 200 Main.Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax:. 508-790-6230 HOMEOWNER LICENSE EXEMPTION Please Print DATE: JOB LOCATION:—, v`// � 's V V -ti 4mber street l/ village ,HOMEOWNER": R9,4n-cJ& 1 Ca pu$ name home phone# work phone# CURRENT MAILING ADDRESS: ct /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 procedurel and requirements and that he/she will comply with said procedures and re a ts. - Signature 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 shalt 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, 4 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 fom✓certification for use in your community. Q:forms:homeexempt tHETa,� Town of Barnstable Regulatory Services • r rK�ss Thomas F.Geiler,Director 163u.+a 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 `1 Complete,and Sign This Section If Using A Builder a7Owne the subject property hereby authorize to act on my behalf, in all matters relative to work authorize y this ding permit application for. (Ad ss of Job Signature of Owner Date Print Nam I roperty Owner is applying for permit please complete the Homeowners. License Exemption Form on the reverse side. Q:FORMS:O WNERPERMISSION J /t nvAlv-racc YOVY?Bf FCTiQfCgf CONTyQACT7NlS iDi'_�NT.it E Roger A Medeiros Advantage Electric, Inc. Hyannis, MA 02601 August 28, 2008 Patricia Conti-Pike 155 Chase Street Hyannis, MA 02601 Patricia: This letter is to inform you that all electrical connections to your existing garage have been disconnected. If you have any questions, please feel free to call or email me. Sincerely, Roger A Medeiros Advantage Electric, Inc. 508-398-3172 office 508-398-3653 fax ramedeiros@comcas.net r v �F Carlino Plumbing & Heating, Inc. d 141 Lincoln Road �� a Hyannis,MA 02601 ,t-� 508-237-3695 P September 1, 2008 o- Trish Conti Project Garage: o } 155 Chase St. same location Hyannis, MA (508) 771-1595 This letter is to inform whom ever that the garage in question that is not attached to the house. It is a separate building with no gas, plumbing or waste piping. There are no plumbing connections to this building. Respectfully Submitted, Carlino Plumbing & Heating, Inc. Joshua Carlino Mass Plumbing license # 30034 HE �ypf t+ �yew TORN OF BARNSTABLE sesaerM MASSACHUSETTS Solid Fuel Stove Permit DATE OF APPLICATION ........... .. l.t �.......�. ...jl............... 146—DEPT. ISSUING PERMIT .... runtr�r1....................... NAME (owner) .................J. `'' '.,1a. 7 ......... /.z,_................................ NAME (Installer) ............................................. ..................................................... / ss ADDRESS ................. .. ............. ... .:,�...C�Y..Y.!:-................................ ADDRESS ........................................................................................................................... STOVE TYPE ...............iC1J.Uz. ........................................................................ CHIMNEY: NEW ........................ EXISTING ..........//......... Manufacturer ..................... :.`?/! wl..`'............................................................... CHIMNEY: Masonry .................. ............................................................ Mass. Approval aka....._ .. ................................................ CHIMNEY: Metal ................... ......................................................................... This is to certify that the above installer has permission to install a solid fuel burning appliance at the listed address in accordance with an application on file with the ................................................................................................... Fire Department, and subject to the provisions of the Commonwealth of Massachusetts State Building Code and regulations made under the authority thereof. IssuedBy: .................................................................................................................................Title .................................................................................... Date .......................................... Permit to install expires 60 days after issue date Stove ............ aap.................... r � 'f .. , h........................................................................................................................................................................................................ StoveClearance k�.A �� fr.................. . ....... i.�.. ........�....1........ ......... .........................................................................................:.......................................................................... Floor ........... rl1.1".��......... ..t... x d •.-.G..............:..........:.1..�� . .......................................................................................................................................................... SmokePipe ....................K............ C................................................................................................................................................................................................................................... SmokePipe Clearance ............... .......................................................................................................................................................................... Chimney '?� och SmokeDetector ......................C........................................................................................................................................................................................................................................................ The undersigned hereby ce0ifies that the installation of solid fuel burning stove and equipment made under au- thority of permit dated ..�') a ..'....JCJ...�..... has been made in accordance with provisions of the Commonwealth of Massachusetts State Building Code now currently in effect and pertaining thereto ........................................................................ Installer INSTALLATION APPROVED .......`�c ....1... .y... By:....... .. .. . .. ,...f %........... .... . ............ Title: ys'. �...... ,/��(crl.:.. date r WHITE: FIRE DEPARTMENT — CANARY: BUILDING INSPECTOR — PINK: APPLICANT ��y�fTN to�y�a TOWN OF BARNSTABEE ! seaasrUa Nut MASSACHUSETTS �OM��` Solid Fuel Stove Permit DATE OF APPLICATLON ......... t......... �.��. P E-DEPT. ISSUING PERMIT ..... . � ��. ....................:.. (owner) .............. ++4P .e?'?.... (1 ;/ ................ ......... NAME (Installer)NAME owner ..................,. ......................� .......0 ................ ............................................... ri-,/ ADDRESS 5 ADDRESS .................................................�.............../i'h �*�..... .. /A GYvc.................. STOVE TYPE .(AlUa CHIMNEY NEW EXISTING �/ ..................................... .. Manufacturer .............:: ....CWI:.( ?. ...............:.........:.................................... CHIMNEY: _ Masonry .................. c'` :.............................:.............................. Mass. Approval . CHIMNEY: Metal ..................... ,fie— )1 `1 ,,. .......... .. .. This is to certify that the above installer has permission to install a. solid fuel burning appliance at the listed address in accordance.with an application on file with the ................................................................................................... Fire Department, and subject to the provisions of the Commonwealth of Massachusetts State Building Code and .regulations made under the. authority thereof. IssuedBy: ...Title .............................:.:...................................................... Date .......................................... Permit to install expires 60 days after issue date Stove ..n,n r, l ! <.+......................................... ......... ........................................... ................ .............. ................................................... .............................................. ......... StoveClearance f......................................... ..�..............................�...................��?....:: ............................ ................................................................................................................. F r Floor ........................................................................................................................................................................................................................................................................:.................. tr SmokePipe ................... ................ .........-:-^................................ : ........................................... ................ .............................. SmokePipe Clearance �C .......................��3i�el................................................................................................................................ ....................................... f Cr ran r tif ;;� Chimney ;k!..�.. .......... ......•............ ................... ................................................. .......... ......... ............. Smoke Detector .............:......... r.................. . The undersigned hereby certifies that the installation of solid fuel burning stove and equipment made under au- thority of permit dated .` .'.... 1 ... has been made in accordance with. provisions of the Commonwealth of. Massachusetts State Building Code now currently in effect and pertaining thereto ........................................................................ ' Installer INSTALLATION APPROVED ...... .... �y.... B :......(.. /�-��. ............ Title• ? ltt'1 4f� datey . .. .. ... ... ..C. ... . WHITE: FIRE DEPARTMENT — CANARY: BUILDING INSPECTOR — PINK: APPLICANT s