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Home My WebLink About0461 OAKLAND ROAD yo�TNETo�° TOWN OF BARNSTABLE, 339RN9'TAIDL MAO& 039. mp"I BUILDING INSPECTOR APPLICATION FOR PERMIT TO .......4 .. ......... ............................................................... TYPE OF CONSTRUCTION ...... .................................................................... ...5A ................... TO THE INSPECTOR OF BUILDINGS: The under igne P ereby applies for a permit'acc6rding to the following information: Location ...;. .(...... ... . ... . .. .................................................................Proposed Use . ........................................................... ................................................. ZoningDistrict ..... ... . ............. ......................................Fire District J.................................................................... Name of Owner . ...... ..... ....ze ...........Address ...K21.0....... ......... ...... Nameof Builder .... ........... ............................. ........... .... ..Address .................................................................................... Name 'of Architect ..................................................................Address .................................................................................... Number of Rooms ................ ..................................................Foundation . .................................................... X Exierior .......... ...... ..................................................Roofing . ....... ......... ..................................I........................... ... ...... Floors ..C�. .....4 7.........Interior .... ....... ..........................................I........ Heating .............................................................Plumbing . .. ... .................................................................... ............. Cost ....... . Fireplace ..........316 ...................... .....................ApproximatL ......................................... .. Difinitive Plan Approved by Planning Board ------IJ/-----------------19 4� Diagram of Lot and Building with Dimensions 60% 1`�14 r 7, PIG FOR T' . -E7�1 L SE VV,� P �&NIITAFZY WAT'ER ZcU i I SAL ' AND DRAINAGE IS HEREBY AM-- / 7 TOWN OF, ARN ABLE, BOARD F HEAL H Allrf� MIM ObTAM -SMAtt A LICENS�b �7 PERMIT. AND INSTALL SYSTEM. I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Nam ...... . .... . ....... ........ Coughlin, Jose DEC 311970 No .......12644 one story, .......... Permit ..................................... .. single family dwelling-garage .... ......... .............................................................. Location ..........X Oakland Road................................................... ........................ .Yf9nnip........................................ Owner ............. ............. Type of Construction ......................frame .................... ................................................................................ Plot ............................ Lot ............. ................. 4 . Permit Granted ...... eptember....................2...........19 69 Date of Inspection ....................19 6 .19 Date Completed 4.!X.l............ ...... .. PERMIT REFUSED ................................................................ 19 ............................................................................... ................................................................................ .............................................................. ................ .......................................................................... Approved ................................................. 19 ............................................................................... ............................................................................... ern F<; cC)U �� Town of Barnstable nh yo4 Approved >� Regulatory Services _ Fee oC Jr - V Thomas F.Geiler,Director Building Division �� Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 �7 Home Occupation Registration Date: / - Io- O a , Name: 0 AAR S Phone#: Address: -[(o ) n A 1( Pct• Village: Name of Business: v_�L S AA AVI AA_ Type of Business: Y1nAn %,,,_e .1 D,6�/t r `C Map/Lot: INTENT: It is the intent of this section to allow the residents of the Town of Barnstable to operate a home occupation within single family dwellings,subject to the provisions of Section 4-1.4 of the Zoning ordinance,provided that the activity shall not be discernible from outside the dwelling: there shall be no increase in noise or odor;no visual alteration to the premises which would suggest anything other than a residential use;no increase in traffic above normal residential volumes;and no increase in air or groundwater pollution. After registration with the Building Inspector,a customary home occupation shall be permitted as of right subject to the following conditions: • The activity is carried on by the permanent resident of a single family residential dwelling unit,located within that dwelling unit. • Such use occupies no more than 400 square feet of space. • There are no external alterations to the dwelling which are not customary in residential buildings,and there is no outside evidence of such use. • No traffic will be generated in excess of normal residential volumes. • The use does not involve the production of offensive noise,vibration,smoke, dust or other particular matter,odors,electrical disturbance,heat,glare,humidity or other objectionable effects. • There is no storage or use of toxic or hazardous materials, or flammable or explosive materials,in excess of normal household quantities. • Any need for parking generated by such use shall be met on the same lot containing the Customary Home Occupation,and not within the required front yard. • There is no exterior storage or display of materials or equipment. • There is no commercial vehicles related to the Customary Home Occupation,other than one van or one pick-up truck not to exceed one ton capacity,and one trailer not to exceed 20 feet in length and not to exceed 4 tires,parked on the same lot containing the Customary Home Occupation. • No sign shall be displayed indicating the Customary Home Occupation. • If the Customary Home Occupation is listed or advertised as a business,the street address shall not be included. • No person shall be employed in the Customary Home Occupation who is not a permanent resident of the dwelling unit. 1,the undersigned,have re nd agree with the above restrictions for my home occupation I am registering. Applica Date: -l L - o X . Homeoc.doc TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map_ 9L' Parcel L7 ! s, ,°" a . �' - T0tVtI �r �f�P, 'taTA` LE Permit# Health Division Date Issued Conservation Division r 0APR ' , Fee ,�`'O. d CJ Tax Collector Treasurer SEPTIC SYSTEM MUST BE Planning Dept. NNSTALLE®IN COMPLIANCE? WITH TITLE 5 Date Definitive Plan Approved by Planning Board FF I RI FR M%MENTAL C Mid -3 Historic-OKH Preservation/Hyannis '` `Y'' Project Street Address Village /+a all a ,L 1 Owner ' 'L, S Address W ot—kia ki Telephone, 3 \ �7T �i y Permit Request To = Ut a �4�J� ec:,� n_°� �� ,E bGtc 1�e CX 'V7Q Aa/�-G �a Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total n w Valuation I;� �60; 0 r.) Zoning District Flood Plain Groundwater Overlay Construction Type Lx 6 B i Lot Size;�� Grandfathered: ❑Yes ❑No If yes, attach supporting documentation. Dwelling Type: Single Family 9" Two Family ❑ Multi-Family(#units) Age of Existing Structure ) 30 Historic House: ❑Yes & o On Old King's Highway: ❑Yes 161No Basement Type: a full ❑Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) 3n X l Number of Baths: Full: existing new Half: existing r new Number of Bedrooms: existing new Total Room Count(not including baths): existing S new First Floor Room Count 15- 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 053(,)e r/L t� BUILDER INFORMATION 2c Name ""// G� Telephone Number 600kJ 774/1 � Address 00 , DJO I V 6 License# Imp_Sl�/)�+� /� �rG�/G Home Improvement Contractor# �— Worker's Compensation##n 60 C 3 9061-7/(s5 y ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO Oy�?✓� SIGNATURE DATE - C.Y.) s FOR OFFICIAL USE ONLY s e ` - PE99MIT NO. DATE ISSUED MAP/PARCEL NO., r rr ADDRESS VILLAGE OWNER DATE OF INSPECTION: FOUNDATION + FRAME , INSULATION i FIREPLACE ELECTRICAL: ROUGH FINAL , S f PLUMBING: ROUGH FINAL ; GAS: ROUGH FINAL 1 1 FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. r + RESIDENTIAL: SHEDS - POOLS -DECKS-OPEN PORCHES- GAZEBOS DETACHED GARAGES , FEE VALUE WORKSHEET ACCESSORY STRUCTURES >120 sq.ft.(Sheds,detached garages,gazebos,etc.) . >120 sf-500 sf $35.00 $ >500 sf-750 sf 50.00 $ >750 sf- 1000 sf 75.00 $ >1000 sf- 1500 sf 100.00 $ >1500 sf—USE NEW BUILDING PERMIT APPLICATION DECKS x$30.00 (Number) PORCHES x$30.00-- $ (Number) IN GROUND SWIMMING POOL $60.00 $ ABOVE GROUND SWIMMING POOL $25.00 $ RELOCATION/MOVING $150.00 $ (Plus above fee if applicable) PERMIT FEE $ Q:fornis:dkcost eff:082301 C-A _o rt, ? J J O 6 2� , 1 P , ;) i ( 'ec-k-(k VI7. / f� r ff IA i ( L ! r j I :k 1 f 1 t 4 t r I � i n - -- ILC1CAIN®N 0)"RUR EM-TY a-o S JARA 1B - -^c--- P_A STANDARD LEGEND NOTE:not all symbols will appear on a map 473 tt� GOLF COURSE FAIRWAY ti EDGE OF DECIDUOUS TREES EDGE OF BRUSH ORCHARD OR NURSERY v v v v EDGE OF CONIFEROUS TREES / l MARSH AREA 'MAP271 66 ❑ 1 `-/ —— EDGE OF WATER _ _ _ ——= DIRT ROAD 1 DRIVEWAY PARKING LOT PAVED ROAD ----- ITCH i J 60 —- DRAINAGE D \ / ————— PATH/TRAIL❑ PARCEL LINE MA 72 „a �---MAP# 21-< PARCEL NUMBER #IN0—HOUSE NUMBER 2 FOOT CONTOUR LINE # —te= 10 FOOT CONTOUR LINE Elevation based on NGVD29 }/4.9 SPOT ELEVATION STONEWALL. \ ❑ X—X- FENCE RETAINING WALL RAIL ROAD TRACK i STONE JETTY SWIMMING POOL PORCH/DECK / t 9 ❑ BUILDING/STRUCTURE M 272 1 ❑ 2 \� +!! -°-r- DOCK/PIER • MAP LAP 72 - ID 7 HYDRANT e VALVE OO MANHOLE 0 POST 0" FLAG POLE T O W N O F 0 A R N S T A B L E G E O O R A P N I C I N F O R M A T I O N S Y S T E M S U N I T q SIGN S STORM DRAIN h PRINTED SCALE.IN FEET *NOTE:This map is an enlargement of a **NOTE:The rcel lines are ongraphic _ 1"=100'srnie ma and ma NOT met � p° 1Y representations DATA SOURCES:Planimetria(man-made features)were interpreted from 1995 aerial photographs by The lames � UTIUIY POLE n TOWER p Y property boundaries They are not true lowtions,and W.Sewall Company.Topography and vegeation were interpreted from 1989 aerial photographs by GEOD w e O. 2U_ 40 Notimal Mat Accuracy Standards at this do not represent actual relationships to physical oblects Corporation. Planimenks,topography,and vegetation were mapped to meet National Map kwmcy Standards - r 1 INCH=40 FEET* enlarged sca e. on the map. of a scale of I°=1U0'.Parcel lines were digitized from FY2002 Town of Barnstable Assessor's tax maps ¢ LIGHT FOIE O El1 CfRIC BOX - I 04/10/02 02:46:08 PM The Town of Barnstable Regulatory Services Thomas F. Geiler,Director Building Division Peter F. DiMatteo, Building Commissioner 200 Main Street,Hyannis MA 02601 Office: 508-862-4038 Fax: 508-790-6230 Permit no. Date AFFIDAVIT HOME IMPROVEMENT CONTRACTOR LAW SUPPLEMENT TO PERMIT APPLICATION MGL c. 142A requires that the`reconstruction,alterations,renovation,repair,modernization,conversion, improvement,removal,demolition,or construction of an addition to any pre-existing owner-occupied building containing at least one but not more than four dwelling units or to structures which are adjacent to such residence or building be done by registered contractors,with certain exceptions,along with other requirements. Type of Work: "C- 90 Estimated Cos (9�q dd - J Address of Work: q6 Owner's Name: fb/W�z"A Date of Application: I hereby certify that: Registration is not required for the following reason(s): ❑Work excluded bylaw ❑Job Under$1,000 Lner lding not.owner-occupied pulling own permit Notice is hereby given that: OWNERS.PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED . CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c.142A. SIGNED UNDER PENALTIES OF PERJURY I hereby apply for a permit as the agent of the owner: { Date Contractor Name Registration No. OR q:forms:AfLaty :rev-122001 vas _—__—'•� 1/Ie "ITLml1lirvGu.uia VJ -r'- - r Department of Industrial Accidents 6PNCV Of15YOS lOMORs _ 600 Washington Street Boston, Mass.,02111 Workers' Compensation Insurance Affidavit hone# am a homeowner performing 91work myself am a sole act and have no one wbrlrva in ca achy /%%//%%/%%%////%/ %%///% /%%%%%/%/%/%/o%%/%s////w///o//%%Q//n%/////n/////%/s/%h////G/%//%/%%%%%%%�%%�%/%%%%%%%/%�/O//////�i c ensation for my empl yne g ers :.:•,•:::r:r:• :n.::••:a.t.:,:.::.::;.};:s:::r::::..n•:•t:::•:•:n,i.}:.:;.}::?n:::::n}. 1 g .... ...........t:.n...y :....::.:.....,....:......:......,....r...,.:.::::::..�::._::.�.}:..r}:;::}}:t:::{.:i{.:4:::.n.::......,.•::::.t.:::.}}Y:4:.}:::r:•.}'. ::}:...::.}..:::,,.r.:?.::�.. an em P 'i'+}�:�:'.•r;.;'t!;t{•}}`•:•`.•'^•..$;{;}i'}i:;TY}:.�:••:•';•}$.r•:.}:::•:::::::::nv:w:.-::..v±:{•}:::v:r:?'•i}:{i?::S}{Si:4?•X{i•:4{:.}Yi: :S}:4'f•}:•}`i':4:`:;{r!'r.i•1}i}:C:: ..... ........ ......... .}.:. .r... r. ..nn..n. ........... ..:-.,..............::•nt..........v.....n:v.:,v.•.,.....vv:n•,i^}}};}}'rv;......t.}+::•....... .....rvv::::;•':':;'{';•}"}'{{?{?4'::.v+:.}-•.•+::: ...........n•`.•.........:Y.......1.:,�: n :.....n:w;}.,r .,......-.:..?}.vrn .....v:..............nv:::.... n......n:::n.n.... t:v::., ........... .}.•::�v$:;. !�v:}:.%:::•::�`•: .............r.......... ....r......vvv.v..t............rn.... ... ...r.r.v...••r..}.. ......}::::.v: ::,•w::: :::;,v••. r........ r.v:::....., ry.;:...;..tw•:'•}.r.A4:-:::nv::v..n. .:..v::v. .....:.......,.:........nv....v....v:.. ..:...:....:...r.......n::::?S,•..n:.... r.r....:........n•v',:.r....... ... .... ....: ...... t..r_ r ...r... ...r:.v:•..:...:.rn,v:•::v::• v..w.•.v::.., ... .... .....r ...r.. ,...:..r. ...... _....... .....:... ::n+v{:rxn•:::.v.-•. ...... :....;..4n`::t:i:•{4;4}:,l,.:•:•:}::v. .... n...r ....... ... ... ...nn:,. ...t...... ..v.. .._: ..::r..:_r....:r.}... :....t-n w:::•:::..:... ...x.........}:.{;:{t::•}}i}}:•i:•;ti:::•:.i''i'�•i}.{•: ...... ....... n.,....• ........ ...........r. n...v....... ....n....,• .,....n...•....n;::.}::.•. v.v;x.:•}:}::::::i::.•;...v}r,:v.t..:.. ....:........:r..., ..v.......:..::.... ....{.....vv:t•.............v::.,_._.........::.v.:n.....4:.}....... 4r.....n.....- .{.•:5.. .. .>..r....�........:..t•:........,.:...................... .:.,:.:.�:... .,...•}:.;�::::::�::•r_:.... :...:.....,....::::::::.,•..,...}.:]::r.........r:...r.,_:T,.y?{t<{;:;{:::+?:ctitfr;:':;+:�<Y`^•.;::;: ..,. .rfr.. .:...,. ..... , ..:....: ...:.,... ...n......... ...:..::..... rn........ .,r....... .r .,. .. ..t. .:...... ...... .:.... .. ......:....::::::�:::.::::•:.:.::.x•:.�:.:...r.•.:.v.;•::::::•{ r.r.....:......r •::{:.;': ............. ..... ........ .....h ..... ........._...::r-.•:?:w:::::::.:.n..w:r.......{.:n rS•'::::::::.. ...... .............:...r::....nx..._-n.....v........... ..<.......... .........: ......... }j ....... +a'<•:J ti'•}xr: rv:?•:}::Sr�' ..............:...n.........n........ .... .......... .......... ......:•.t........r:...... .........x::n'•.i?v::::}::•S qy One•# .. ....... ...... ..t ........... .vv.......n•.r .._:v...... ......:...rr............... ,r:::v: LI .....r..,:....t. + ......r........... ...:.!.._ ......r....: .r...,... .t..... .........}.....::v.,•::n........ .....,........... ..v:r:::::::, ... ... .v......•, r:�i�t;:r�{{':;:•{i: :•......:::n.....•:.rv..r...n.n{••..:....••4nw.:r:. .....n•.•:::vr:r.,..........v:..n........ .. ......:. ....... ..... ........ .......... .. ............... r. v.F::.......:.,{::::::i:4:�4;:•.v::r,.:fi}:v. :..:!:::•rn ,i<'i? ......................:., ..,r..x.n. ................� :......... .:....n,..._..... ..........,.......{..........,:..t...n.... :......,r.... ....... _ .}.:. .tin`: ....................... .............r..::........::... ..:.r.....:•.........:n. ............n.• ..................... ::......n.._.......,.w:r::•.,........ .r...r,n..............n,x•.:., ,........ ....,:?v: .,..... .n.n..n n.......• ...n....r..ry ..........4 .....n.,.. ._..!...n....:..... .v................... ..................... ...........:.t.. .......r. r n...t........• .....nt r... .,.. ...,... .........;F.::: •:::::;;...... n....... ............ ......... ......... }..:.n.........•,.............n..•...t.:._...._ ..w:....... ....;:••T.w........a...�....t............................. ::•b:v.:::_;.. r..w:v ....:{.r.......::........:...........::A..:..:.. r..:v::+.n:n...r....v,........n...f;{.,, .... v-:... ... ..:....n............. ......r....n.. !... ...I. ..... ....... n. 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"• .::,r.:v::... .....:•.....................rR......:•:v,r,:. ..n•:•:•..r...r.n.r.....;r.. ...:....:n:{.....a'.'4 v::•.v,......... :: h.:.::.:�::v. ..:..•:.........• ..........:..... ....:/.'.. ....r.......r:..n r....:,.•......:.........r._. .: r..........::::.,•.:-}}:•;a,}:?;�•}}}}}: rnt;-r .:Xr•4:•:C ..............:r:. .. .a...... ..... .,.....,r...r .:•::•:::.....r.._::............., •r:;:.:::.�:}:�•:r];•}:::•: 0 CK.#sz}:::.;{;..;::;:iv:':si �::.....: r:?:i•:.......•:•.,......-vr.... r.,.... n•::.:,•;�r•.::•.. r......:::•:n•;::::.:•::.:::.n:.:-::;:::.:.:.t ........ , .:....:. ........ e tmde;.Section 25A of MGL 152 can lead to the imposition of aiminal penalties of a fine np to 31',Soo.00 and/or dYsue to aetnre eovlra= required WORK u y�>�prisontneai as wen�dvII penaltin in the form of a�a�E the DIA for c�overad;e nne of day.aYainst me: Im►derstmd that a ,py of this statement may be fonrarded to the O1IIce of 1'ave� .• do hereby c he p naltics ofP�JWy at the information provided above is trap and correct nate mature - print name Phone#1 oflicial use only do not write in thU area to be completed by city'or town ofndal . peratit/ficense# ❑Building Departznmt city or town: ❑Licensor=Board ❑Selectmen's Office ❑.checkif immediate response is required C3Health Department n: r phone#; ❑Other contact person: (teviaed 9/43 YIaiJ ' Information and Instructions ichusetts General Laws chapter 152 section 25 requires all employers to provide workers' compensation for their ivees. As quoted froin the "law"., an employee is defined as every person in the service of another under any contract express or implied, oral.or written.' rIployer is defined as an individual; partnership, association, corporation or other legal entity, or any two or more of iregoing engaged in a joint enterprise, and including the legal representatives of a deceased employer, or the receiver or :e of an individual, partnership, association or other legal entity, employing-employees. However the owner of-a ing house having not more than three apartments and who resides therein; or the occupant of the d*elling house of .er who employs persons to do maintenance, construction or repair work on such dwelling house or on the.grounds or in appurtenant thereto shall not because-of such employment be deemed to be an employer. chapter 152 section 25 also states that ei very state or local licensing•agency shall withhold the,issuance or'renewal license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has )roduced'accept,ible evidence:of compliance with the insurance coverage required. Additionally,.neither the nonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until ptable.evidence of compliance with the insi=ce requirements of this chapter have been presented to the'contracting ority. ilicants se fill in the workers', compensation affidavit completely,by checking the box that applies.to your situation and ?lying.compnny:pames, address and phone numbers along-with a,certificate of insurance''as all affidavits may be pitted to the Department_of Industrial Accidents for confirmation of insurance coverage: Also be sure to sign and, the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is ig requested, not the Department of Industrial Accidents. Should you have any questions regarding the`taw"or if you workers' compenssation policy,please call the Department at the number listed below required to obtain a . y o�Town!P�'�' -. as be-sure that the affidavit is'complete and printed legibly. The Department.has provided a space at the bottom of the davit for you to fill out is the event the Office of Investigations has to contact you regarding the applicari. Please sure to fill in the peiniitllic+ease number which will be used as a reference number. 'The affidavits may be retizriR in D eparmment by mail or FAX unless"othei`aiTangement.�have'been made:-"`--�- `-"_, _. `..�__...._._ _ e Office of Investigations would like to thank-you in advance for you cooperation and should.you have any questions, ase do not hesitate to give us a call. 4 ;e Departznent's address,telephone and fax number: The Commonwealth Of Massachusetts Department of Industrial Accidents Offlt:e of invesugsuons 600 Washington Street Boston,Ma. 02111 fax#: (617) 7274749 phone#: (617) 7274900 eat. 406,'409..or 375. The Town of Barnstable E Regulatory Services - Thomas F. Geiler, Director Building Division Thomas Perry, Building Commissioner 200 Main Street,Hyannis MA 02601 Office: 508-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION Please Print ItDATE ' f JOB LOCATION: number street / village "HOMEOWNER": l�ln f 1 S ! CL� / Gl to (s�� 3&7—" q;a q a- name t `h'ome phone# work phone# CURRENT MAILING ADDRESS: L� O C.K city/town state zip code The current exemption for"homeowners"was extended to include owner-occupied dwellings of six units or less and to allow homeowners to engage an individual for hire who does not possess a license,provided that the owner acts as supervisor. DEFINITION OF HOMEOWNER Person(s)who owns a parcel of land on which he/she resides or intends to reside,on which there is,or is . intended to be,a one or two-family dwelling,attached or detached structures accessory to such use and/or farm structures. A person who constructs more than one home in a two-year period shall not be considered a homeowner. Such"homeowner"shall submit to the Building Official on a form acceptable to the Building Official,that he/she shall be responsible for all such work performed under the building permit. (Section 109.1.1) The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other applicable codes,bylaws,rules and regulations. The undersigned"homeowner"certifies that he/she understands the Town of Barnstable Building Department minimum insp 'on procedures and requirements and that he/she will comply with said procedures a requirement . 1 14 ,. �— jpat4e Jf Homeowner ' f ' 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. ' Q:FORMS:EXEMPTN 01/03/1995 22:32 918028624926 _ PAGE 02 The Town of Barnstable Department of Health safety and Environmental Services ro Building Division 367 Main Swt,Hyannis MA 02601 Office: SOB-862.4038 Ralph Crossen Fax: 508-790.6230 Building Commissioner TOWN-OF BARNSTABLE Pe""i" s0 SOLID FUEL STOVE PERMIT Date:t4-q �,I Fee: Owner:(.1RIS-J�&A1 T. =d NaS Phone: 7$- q 4 9 io Address: O Village: !-l!:l awnvi3 Map/Parcel: c22a d ! Date: Stov ew/Used B. e: than CircuIatm C. Manufact ( Lab. No. S'0 D. Model No.: A New Existing (If existing,please note date of last cleaning) B. Flue Size swu.{ C.. Are other appliances attached to Flue? I7 D. Pre-fab Type and Manufacturer E. Masonry: Lined/Unlined .a. Hearth A, Materials: B. Sub Floor Construction:Cd#.4e...-F- ,SIa,b Installer Name: < < < Address: Phone:. Location of Installation: 4G l O,i Q APPROVED BY: Please make checks payable to the Town of Barnstable 'This constitutes an official stove permit after inspection, photographed, and approved by the Building inspector Stove.doc o 1�.- e. I '"RN Department of Health Safety and Environmental Services 659. Building Division 367 Main Street,Hyannis MA 02601 Office: 508-862-4038 Ralph Crossen Fax: 508-790-6230 Building Commissioner TOWN OF BARNSTABLE 73t3 l 3 SOLID FUEL STOVE PERMIT Date: L2 - ^a, Fee: 4f Owner: � ��5 A.,.� - ��`'�'� S Phone: `71 Address: CA,J Ql�,�CC� Village: Map/Parcel: Ogg. Date: Stove A. New/C) B. Type: diant Circulating C. Manufacturer: w ; w i f- Lab. No. Z�}` D. Model No.: ` Chimney A. Ne xistiri f existing,please note date of last cleaning) 1.-- l d J B. Flue Size C. Are other appliances attached to Flue? D. Pre-fab Type and acturer E. Masonry: ine mined Hearth ' A. Materials: B. Sub Floor Construction: 4.-r, Installer Name: Ao Address: Phone: Location of Installation: A< e,,,^ FPt)0,3 APPROVED BY• �/?i' 3 6— Q C/ k Please make checks payable to the Town of Barnstable *This constitutes an official stove permit after inspection,photographed, and approved by the Building Inspector Stove.doc