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Home My WebLink About0037 ELM STREET 3 ,7 Town of Barnstable Building '.39. Post This Card So That it is Visible From the Street Approved Plans Must be Retained on Job andgthis Card Must^be Kept : v �r,+se Posted Until Final Inspection Has Been,Made >, b ° ,Where a Certificate of Occupancy is Regwred,such Building shall Not^bewOccup�ed until a Finallnspection has been made rvM Permit Permit No. B-20-287 Applicant Name: Michael Maher Ap provals Date Issued: 01/31/2020 Current Use: Structure Permit Type: Building-Insulation-Residential Expiration.Date: 07/31/2020 Foundation: Location: 37 ELM STREET, HYANNIS Map/Lot: 309-059 Zoning.District:.. RB Sheathing: Owner on Record: JONES, NANCY MACHADO Contractor Name: MICHAEL MAHER Framing: 1 Address: 7324 FRIAR TUCK LANE Contractor License:..CS-109089 2 MINT HILL, NC 28224 Est. Project Cost: $5,600.00 Chimney: Description: Air seal and insulate the basement sills,insulate the;knee wall Permit Fee: $85.00 slopes,vent a bathroom fan to the outside,vent a kitchen.fan to the Insulation: outside, install a vapor barrier in the crawl space,insulate the crawl Fee Paitl $85.00 space walls Date, ka. 1/31/2020 Final: Project Review Req:. Plumbing/Gas Rough Plumbing: Building Official Final Plumbing: This permit shall be deemed abandoned and invalid unless the work authorized by this permit is commenced within six months after.issuance. All work authorized by this permit shall conform to the approved application and the approved construction documents forgwhich this permit has been granted. Rough Gas: All construction,alterations and changes of use of any building and structures shall be in compliance with the local zoning by-iawsand codes. This permit shall be displayed in a location clearly visible from access stre ofroad and shall be maintained open for public inspection for the entire duration of the Final Gas: et work until the completion of the same. Y Electrical The Certificate of Occupancy will not be issued until all applicable signatures by'the Building and.Fir6�Officials.are provided on this permit. Minimum of Five Call Inspections Required for All Construction Work:': b Service: 1.Foundation or Footing " Rough: 2.Sheathing Inspection _ nw 3.All Fireplaces must be inspected at the throat level before firest flue lining is installed 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection Final: S.Prior to Covering Structural Members(Frame Inspection) Low Voltage Rough: 6.Insulation 7.Final Inspection before Occupancy Low Voltage Final: Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Health Work shall not proceed until the Inspector has approved the various stages of construction. Final: "Persons contracting with unregistered contractors do not have access to the guaranty fund" (as set forth in MGL c.142A). Building plans are to be available on site Fire Department All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT Final: C --SSo f— �,�_ SST T ( t �.� own of Barnstable *Permit# Rrrer 6 mo egulatory Services rr s�artsrasra, , Fee. MASS e� Thomas F. Geiler,Director 1 Building Division 1" Tom Perry, CBO, Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-403 8 Fax:508-790-6230 EXPRESS PERMIT APPLICATION - RESIDENTIAL.ONLY Not Valid without Red X-Press Imprint •Map/parcel Number Property Address 0 Residential Value of Work Minim in fee of$35.00 for work under$6000.00 Owner's Name&Address Contractor's Name Telephone Number Home Improvement Contractor License#(if applicable) 3onstruction Supervisor's License#(if applicable) Workman's Compensation Insurance PERMIT Check one: - PRESS❑ I am a sole proprietor , I am the Homeowner/MI n I have Worker's Compensation Insurance TOWN OF F3ARNSTABLE tsurance Company Name 'orkman's Comp. Policy# opy 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 roofl Re-side Replacement Windows/doors/sliders. U-Value #of doors (maximum .44)#of windows *Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e Historic,Conservation,etc. ***Note: Property Ownef must sign Property Owner Letter of Per ' A copy of the Home Improvement Con ors e &Co struction Supervisors License is required. NATURE: t • i PFILESIFORMSIbuilding permit fo k0TRESS.doe sed 070110 ,4 The Commonwealth of Massachusetts Department ofIndustrialAccidents '6 Office of Investigations U26DD Washington Street 1, Boston, MA 021411 www.massgov/.did Workers' Compensation insurance Affidavit: Builders/Contractors[Electrician/PIumbers Applicant Information Please.Print L 'bl cName-(Bust�miraEondndivid1w): 76 Address` Cit}'/Sta�te%ZiP:~ Phone #: Cy Are you an employer?Check the appropriate box: Type of project(required): 1.❑ 1 am a employer with 4. ❑ I am a general contractor and I employees(full and/or part-time),* have hired the sub-contractors 6' E]New construction 2.❑, I am a sole proprietor or partner- listed on the attached sbeeL t �•. ❑modeling ship and.bave no employees These sub-contractors have 8. ❑-Demolition working forme in any capacity. workers' comp. insurance. g, ❑Building addition [No workers' comp. insurance 5. ❑ We are a corporation and its required.] officers have exercised their 10.❑Electrical repairs or additions 9 I am a homeowner doing all work right of exemption per MGL I I.❑ Plumbing repairs or additions myself.[No workers'comp, c. 15.2, §1(4), and we have no IZ.❑ Roof repairs . insurance required] t employees.[No workers' comp. insurance required.] 13.❑ Other "Any applicant that checks box 11 must also fill out the section below showing theirworkers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and they hire outside contractors must submit a new affidavit indicating suck tConbictors that check this box must attached an additional sheet showing the name of the sub-contracton and their workers'comp.policy information. I am an employer that is provirimg workers compensation i information. nsurance for my employees. Below is the polity and job site 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 up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the farm 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 cerfil nde. the s a penalties cf perjury that the information provided abo e is true d coned �_-- - Date: 'hone-#:.�= Official use only. Do not write in this area;to be completed by city or town'o�uiai 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 J 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 in 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 I52, §25C(6)also,states that"every state or local 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()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 compliance 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 certificates)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 Tequired. 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 number 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 ih the event the Office of Investigations has to contact yod 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 permitAicense 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 to 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 Department of Industrial Accidents Office of Investigations' ' 600 Washington Street Boston,-MA 021I 1 Tel. # 617-727-4900 ext 406 or 1-877-MASSAFE 1._ .9 L7'7 '7''7 -7'7AA - Ji . r Town of Barnstable Regulatory Services Thomas F. GeBer,Director BaUding Division Tom Perry,Building Commissioner 200 Mani-Strct: Ayannis, MA 02601 w>'w.town�bamstable.ma.us Offi ac: 508-862.403 8 Ftiz.- 508-790-6230 HOMEOWNER LIt:F.h'SE=Ir MON Please Print . DATE �oaTrrocanoN:� ,,� � l� ba street I village &77) �_ e t'ratne.. bone aoe# work phone# CURRFTIT MAILQlO iIDDRFSS: t' statz rip cads The ctarent exemption fur"homeowners"was extended to include owner-occupied dyml inp of six units or less and to allow homeowners to engage an individual for lure who does not possess.a license,provided that tb> owner acts as Suvcryisor. DEFWMC)N OF EOhtEORNTR Persons)who owns a parcel of land on which Wshc resides or intends to reside,on whicht$cre is, or is intended to- bc, a one or two-fi3mily dwelling, attachcd or detached structerrs accessory to such use and/or fay sfructures. A person who constrgcts more than tine home in a two-year period shall not be considered a homeownrr. Such "horneowner"shall sabnut to the Bmldiug Official on a form acceptable to the Building Official, that he/she shall be respoasible for aIl such work pc>fa�cd'rnda the building pc�it_ (Section 109.1.1) The-undersigned`homeowner"assumes respemsibr2ify for compliance with the State Building Code and otbor applicable codes, bylaws,rules and regulations. The umdcrssgned"homeowner"certifies that hclshe_tmderstands the Town of Bamsfable Building Department min earn rasp' pro es and requirements and that he/she will comply with said procedures and re n �5ignzofHomcuwna Approval of Burldfng,0$cial ' Note: TIu-ec-family dwellings containing 3 5,000 cubic feet or larger will be rcgturzd to comply with the ' State Building Code Section 127.0 Cons ractibn Control. HoiKxowmER'S FxEMP?ION The Code stales that Ally hgmeoweerpotc n g work for which a bmIdatg permt is mquard shall be exr:'mpt from the psovisians f this s=d=(Seeticin 709.1.1-Lioza rag of eonstrnetioe Supervisors);provided that if the homeowner engagrs a peaaa(s)for has to do such ,vr1S that s�uC ma ch Iiomcawna shall ad as supervisor,• Maay beowncrs who use this,c.z:mption arc unaware that they err zrsurrsng the respo='Wities efa supcvisor(ser Appendix Q, uJes&FZcgula dons for I icrnsing C—h—Son Supervi—,Seeticm Z1S) Tlvs lack of awareness bft=mauls in serious probl=3s,parti=j-iy -Ia the homeowner hires unlicensed pm== In this ease,our Board cannot proceed against the uolicensed person as it would with i 7icetscd pery sor. Tbti homeowner actEtg as Supervisor is ultartatc)y mspo='ble. To caume that the bon=wner is AtUy aware ofhivbc:rz*oanb0id-.marry communities rcgtdre,as part of the pavnit application, t the bomeowner certify that helsbe understands the rmpombiVties of a Supayism On the Fast page of this issue is a.form anTcnt7y used by �_._�_a_.t.a..-......ti.'_r i-.tea__.:�.:--•--—------ •. yl r � Town of Barnstable o _ . Regulatory' Sev ces . _MAM¢ Ceder,Director BuiIdin Division ` g Tom perry,Building Commissioner 200 Main Strect,Hyannis,MA 02601 www.town.barnstable.ma.us Office; 508-862-403 8 Fax: 508-790-6230 Property Owrier,Must Complete.and Sign This Section If Using A Builder as Owner oftbe svbjec.property hereby atthorize to act on my behalf, in all mime relative to W dC authorized by this building permit application.for. (Add=SS of Job) $ignat=e of Owner Date Print Name If BDPeity Owner is applying for permit pleas e conz Iete. the Homeowners License Exemption Form on :the revexpe side. �o�rw r ti Town of Barnstablo 7vrc' C� Sa ermrt# Regulatory Services L,rpires 6 nrorrl/rrjronr issae sA�vsr�t3[s, Fee y #ASS. � ,619- �� Thomas F. Geiler, Director,or�h1A�n Building Division Tom Perry, CBO, Building Commissioner - 200 Main Street, Hyannis, MA 02601 www.town.barnstab le.ma.us Office: 508-862-4038 EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY Fax: 508-790-6230 Nol Valid tPilhouf Rea X-Press]irrprba Map/parcel Nurnber � Property Address -3 r' [ni '(Residential Value of Work ®� Minimum fee ofS35,00 for work under S6000.00 Owner's Name & Address �� Contractor's Narne Telephone Number Home Improvement Contractor License #(if applicable) Construction Supervisor's License#(if applicable).. pERMtT ❑Workman's Compensation Insurance _ Check one: 0C 4_ �0lI 1�7❑ I am a sole proprietor OF ��RNS.1-��'�'I am the Homeowner TOWN I have Worker's Compensation Insurance Insurance Company Name Workman's Comp.Policy# Copy of Insurance Compliance Certificate must accompany each permit. Permit Request (check box) ❑ Re-roof(hurricane nailed) (stripping old shingles) All construction debris will be taken to XRe-roor(hurrienne nailed)(not stripping. Going over existing layers ofroof) ❑ Re-side ❑ Replacement Windows/doors/sliders. U-Value #of doors (maximum .35) #of windows *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 Contr,actor s License &,Construction Supervisors License is wired. - GNATUREI: �• + I WPRLESIFORMSIbuilding permit formslEXPRESS.doc vised 072110 The. Carrtrnoiryveallk of_Afassachusetts _..._._._ Departinerr.t of l7idttstrial.Aceidetits F- {, Office ofInvestignfions � , r6 600 Washington S'Ireee Boston, AL4 02111 , n,n wJna.ss goiv'dia vlf,orkers' Compensation Insurance aiffida,,it: B>gilders/Conti-�ic.toj-&/Electi•ici;ans/Plumbers Applicant Information Please Print Leglibiy Name (Business,'Organizii ionQndivldtial): / Cityi`Stxtel�ip: (1 l� } Plioile f'¢ --16 0:=1 0(, rlre you an employer?CIS :c.lt:the approprZnte box: _ TYpe of project(regirhvd): 1.❑ I am a employer with 4. � I am a general contractorJ ernployees(fu1t.andlor part-fiiir�,e). have hired th.e s,ub-contra 6- 0 New coi stnrc.tion2..❑ I am a sole proprietor or partner- listed on the attached she7. 0.Remodelingslii and have no em to gees These svb-contractors hayp P 5 8- O.Detuolitroilwarlcu�g :for me in any capacity: erployrees acid have porkcom iasurauce.Y ❑.Building addition[No workers' coaap,insurance p- . required] 5. We are a cotporationaaid. 10.❑Electrical repairs oraddi:tions3. :I am a.homeowner doing.all work afficess have e�cercised th11 []Plumbing repairs or additionsthyself. [No tivorkeas'comp. right of exemption perti[G1 Rtaof repairsirasurarrce:required.) r c- 15?, 1(4), and>ve haveemployees. [No workers' 110 Other comp.insurance required.) 'Any avpplicavtthatchecks box#I.must also fill out the.sectionbelo-, &hawing heirivor]iers'cmWevsiaionpolicyinformation.. l Homeowners who submit this affidavit indRatinglthey are doing all work and then hire outsidecontraclors must submit a uew.affidavit indicating sucli- `CGnlractnr5 thst cbeck this box vstest SttachM an additionst:she.et sbjowing the:name of the Sub-coutractars sad 6tsi2 whether or not those vntitks have employees. Ifthe sub-c.ontsactors:bs<<e employees,they.must provide their wurkers'comp.policy number. I as.r arr. urplo:ta�r°tltat is prouidirig rlroa"kers'coririieatsrth`r�rt iftsarrrrrr.ce for>r{t't7artplaJ :Belon'is the police gnarl job•site h!forniadvii, Insurance Company Name.- Policy 4 or Self-iris.Le.#: Expiration Date: Job Site Address: City/State/Zip. Attach a copy of the workers'compensation policy diec aration page(&hoiving the policy number and expiration date). Failure to secure coverage as required under Sectiori 25A of MGL c. 152 can lead to the imposition of cr.itninal 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 1&7ORK°ORDER and a fine of up to$250-00 a day against the violator. Be advised that a copy of thii sr artement may be forwarded to the Office of Investigations of the D.IA for insurance coverage verification. 1 do hereby cer ' e th its ar ialfz'es ofprnr,7uty that the is forrrlarttoat p•ot7rlid.d.bot,a is true and correct. Si ma Dote' Phone official use Duly. Do not writ.in tliis urea,to be cnrripltrted by cith or tott�n^:o cral City or Tonm: PermitlLicense# Issuing Auth ority(cil-cleone): 1.Board of Health ?.Building Department 3. C`.ity/Tolvit Cleric 4,Electricnl Inspector 5.Plumbing Inspector 6,Other Contact Person: Phone# 4 . ol► Ty 'Town of Barnstable ' Regulatory Services ^ (ASS. ' tnss. Thomas F. Geiler, Director y $ .639. Aim ro,,,Hr Building Division Tom Perry, Building Commissioner 200 Main Street, Hyannis, MA 02601 www,town.barnsta ble,ma,us Office: .518-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION Please Print DATE: ® / 0 JOB LOCATION: 3 r// 7 fit number street `�--x--`village "h(OMEOWNER ---�--`•-��—� name sy home phone N work phone N CURRENT MAILNG ADDRESS: 3 / `YI 'Tr. uty/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-yearperiod shall not be considered a homeowner. Such"homeowner"shall su.bmit.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 minitnum inspection cedur s an q rements and that he/she will comply with said procedures and requirements. 1 Signature of Horn Approval of Building Official Note: Three-family dwell ings: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 stales 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 ofconstruction 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 ofawareness 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 caret amend and, adopt such a form/certification for use in your community. Q:\WPFILES\FORMS\building permit forms\EXPRESS.doc Revised 072110 . ti pp THE r� w DARNSrABLX M MASS. Town of Barnstable �61q• �6 prFD MA'S A Regulatory Services Thomas F. Geiler, Director Building Division Thomas Perry, CBO Building Commissioner 200 Main Street, Hyannis, MA 02601 www.town,barnstable.ma.us Office: 508-862-403 8. Fax: 508-790-623 0 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 application for: (Address of Job) Signat-ire of Owner Date Print Name If Property Owner is applying for permit, please complete the Homeowners License Exemption Forma on the reverse side. OAWPHLESTORMSIbuilding permit forms\EXPRESS.doc Revi.eerl n721 10