HomeMy WebLinkAbout0012 SECURITY STREET U
TOWN OF BARNSTABLE BuflAing
INE
201205520 •
BARNSTABLE, Issue Date: 09/21/12 P e r m.'t
y MASS
�ArF6 339. a Applicant: CYR,LUKE S Permit Number: B 20122321
Proposed Use: SINGLE FAMILY HOME Expiration Date: 03/21/13
Location 12 SECURITY STREET Zoning District RB Permit Type: SHEET METAL RESIDENTIAL
Map Parcel 268141 Permit Fee$ 35.00 Contractor CYR, LUKE S
Village HYANNIS App Fee$ 50.00 License Num 420
Est Construction Cost$ 1,000
Remarks APPROVED PLANS MUST BE RETAINED ON JOB AND
NEW HEATING SYSTEM IN ATTIC WITH A.C. THIS CARD MUST BE KEPT POSTED UNTIL FINAL
INSPECTION HAS BEEN MADE. WHERE A
CERTIFICATE OF OCCUPANCY IS REQUIRED,SUCH
Owner on Record: MCCARTHY,MICHAEL P&KARA J BUILDING SHALL NOT BE OCCUPIED UNTIL A FINAL
Address: 12 SECURITY STREET INSPECTION HAS BEEN MADE.
BARNSTABLE,MA 02672
Application Entered by: PR Building Permit Issued By:
THIS PERMIT CONVEYS'rNO RIGHT TO OCCUPY ANY STREET,ALLEY OKSIDEWALK OR ANY PART.THEREOF;EITHER--TEMPORARILY:ORPERM'NENTLY ENCROACHMENTS ON PUBLIC NO
SPECIFICALLY PERMITTED UNDER THE.BUILDING CODE,'MUST BE APPROVED BY THE JURISDICTION,, STREET.OR ALLEY GRADES AS WELL AS'DEPTH AND LOCATION OF PUBLIC SEWERS IvI,4Y BE
OBTAINED FROM THE DEPARTMENT OF PUBLIC,WORKS'THE ISSUANCE OF THIS PERMIT�DOES,NOT RELEASE THE APPLICANT'FROM.THE'CONDITIONS OF ANY APPLICABLE SUBDIVISION`1::
RESTRICTIONS
MINIMUM OF FOUR CALL'INSPECTIONS REQUIRED FOR ALL CONSTRUCTION WORK:
1.FOUNDATION OR FOOTINGS.
2.ALL FIREPLACES MUST BE INSPECTED AT THE THROAT LEVEL BEFORE FIRST FLUE LINING IS INSTALLED.
3.WIRING&'PLUMBING INSPECTIONS TO BE COMPLETED PRIOR TO FRAME_INSPECTION.
4.PRIOR TO COVERING STRUCTURAL MEMBERS(READY TO LATH).
5. INSULATION.
6.FINAL INSPECTION BEFORE OCCUPANCY.
WHERE APPLICABLE,SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL,PLUMBING AND MECHANICAL INSTALLATIONS.
WORK SHALL NOT PROCEED UNTIL THE INSPECTOR HAS APPROVED THE VARIOUS STAGES OF CONSTRUCTION.
PERMIT WILL BECOME NULL AND VOID IF CONSTRUCTION WORK IS NOT STARTED WITHIN SIX MONTHS OF
DATE THE PERMIT IS ISSUED AS NOTED ABOVE.
PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS DO NOT HAVE ACCESS TO GUARANTY FUND(as set forth in MGL c.142A).
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BUILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS
1 1 1
2 2 2
3 1 Heating Inspection Approvals Engineering Dept
Fire Dept 2 Board of Health
f
Commonwealth of Massachusetts
Sheet Metal Permit
Map�a&arcel
Date: 60 a.n a Permit#cP Z6-)S Lb
Estimated Job Cost: $ 11000 .CAS Permit Fee: $ 5
Plans Submitted: YES NO Plans Reviewed:.YES NO
Business License# Applicant License# Ll'd-
Business Information: Property Owner/Job Location Information:
Name: IQc L Vtcal-i� Name: h i l Kt Car
Street: d �kt Li 5.5 Qi.i v 4e StreetsE-
City/Town: 0;"7-3 City/Town: 41Y a.n c AAA
Telephoner So 8 -3 k,c - 23,10 Telephone: (0 e S 6.1`" 1301
Photo I.D. required/Copy of Photo I.D. attached: YES ' NO
f Staff Initial
J-1/M-1-unrestricted license
J-2/M-2-restricted to dwellings 3-stories or less and commercial up to 10,000 sq. ft./2-stories or less
Residential: 1-2 family Multi family Condo/Townhouses Other
Commercial: Office Retail Industrial Educational :.
Fire Dept. Approval Institutional Others a
Square Footage: under 10,000 sq. ft. over 10,000 sq. ft. Number of Stories: _ a.
Sheet metal work to be completed: New Work: Renovation: i
171
HVAC Metal Watershed Roofing Kitchen Exhaust System
Metal Chimney/Vents Air Balancing
Provide detailed description of work to be done:
NSURANCE COVERAGE:
have a current liability insurance policy or its equivalent which meets the requirements of M.G.L.Ch. 112 Yesq No ❑
i
f you have checked)LU, indicate the type of coverage by checking the appropriate box below:
k liability insurance policy Other type of indemnity ❑ Bond ❑
)WKER'S INSURANCE WAIVER: I am aware that the licensee does not have the insurance coverage,,required by Chapter 112 of the
4assachusetts General Laws,and that my signature on this permit application waives this requirement.
Check One Only
Owner ❑ Agent ❑
Signature of Owner or Owner's Agent
3y ctecking this box❑, I hereby certify that all of the details and information I have submitted(or entered)regarding this application are true and
iccurate to the best of my knowledge and that all sheet metal work and installations performed under the permit issued for this application will be,
n compliance with all pertinent provision of the Massachusetts Building Code and Chapter 112 of the General Laws.
Duct inspection required prior to insulation installation: YES NO
Progress Inspections
Date Comments
Final Inspection
Date Comments
Type of License:
3y Master
'itle
❑ Master-Restricted lll!!l
;itylT:)wn
❑Joumeyperson Signature of Licensee
fermi:#
❑Joumeyperson-Restricted
License Number: y 210
:ee$ ❑
Check at www.mass.govIdol
nspector Signature of Permit Approval
The Commonwealth of Massachusetts
Department of Industrial Accidents
Office of Investigations
' 600 Washington Street
_ Boston,MA 02111
www.mass.gov/dia
Workers' Compensation h=Ance Affidavit: Builders/Contractors/Electricians/Plumbers
Applicant Information Please Print Legribly
Name(Busmes_s/orgmizatimvindivi&4:_. A 9j
•Address: `S 0 6�t S S q �r r✓
City/State/Zip: W . aI'r�`' 1 MA agv� (Phone.# 5 046. 34 o - $ ee 0
Are you an employer? Check the appropriate bog: Type of pi oJect(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=contract•rme 6. ❑New construciica .
listed on the-attached sheet. 7. . Remode 2.� I am a'sole proprietor or partner- � ling
ship and have no These sub-contractors have
employees8. ❑Demolition : •
working for
many capacity, employees and have workers'
9. addition
[No workers' comp.insurance comp.insurance.$
requaed] 5• ❑ We area corporation and its 10.7 Electoral repairs or additions
Officers have exercised their
'3.0 I am a homeowner doing all work 11.❑Phnnbing repairs or additions .
myself [No workers' comp. right of exemption per MGL
insurance required]t c. 152, §1(4), and we have no 12.�Roof repairs'
employees. [No workers 13.❑ Other
comp,insurance required]
*Any applicant that checks box#1 most also fllout the section below showing their workers'compensation policy information.
t Homeowners who submit this affidavit indicating they are doing all work and then hare outside coutract ms must submit a new affidavit indicating such.
tCan+*a that check this box mrst 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 most Provide their worla rs'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.# ExpirationDate:
Job Site Address: r� q f:�:, 5 f-t-it-. City/State/Zip: �
Attach a copy of the workers' compensation policy declaration page,
(showing the policy number and expiration date).
Fa:Eore•to.sccUre coverage as regoiredimder Section25A ofMGL c. 152 can lead to the imposition of cIIminal penalties of a .
f ne up to$1,500.00 and/or one-year impriso�en�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 may be forwarded to the Office of
Investigations of the DIA for insurance coverage verification.
I do hereby certify under epains-andpenalties ofperjury that the information provided above is true and correct;
Signature:. . Date: / o't-Ot a-
Phone#
Official use only. Do not write in this area, tb be completed by city or town offzciat'
City or Town: PermitUcense#
-Issuing Authority(circle one):
.1.Bbard of Health 2.Building Department 3.City(Toven Clerk 4.Electrical Inspector 5.Plumbing Inspector
6. Other
Contact Person: . ` .Phone#:
IKETown of Barnstable
t
Regulatory Services
t HALENGrABU. s
MASS Thomas F.Geiler,Director
1639. ,fig
n ` Building Division
Tom Perry,Building Commissioner
200 Main Street,Hyannis,MA 02601
www.town.barnstable.maxs
Office: 508-862-4038 - Fax: 508-790-6230
Property Owner Must
Complete and Sign This Section'
If Using A.Builder
as Owner of the sub
lect.ptopertp
heteby authorize ) to act on my behalf,
in all,matters teladve to work authorized by this building Pertnit9
(Addy ss of Job)
Pool fences and alarms are the responsibility of the applicant. 'Pools
Pp _
are not to be filled-before fence is installed and pools are not to be
utilized until all final inspections are performed and accepted.
of wrier Signature of Applicant
L�K�. r
Pnn-t Name
Piint Naive ,
1z via
Date
Q:FORMS:O W NERPERMIS81ONPOOLS
'T, , Town of Barnstable
Regulatory Services
* 1aivsTABIX, : Thomas F.Geiler,Director
MAsa
16.19. �� 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
HOMEOWNER LICENSE EXEMPTION
Please Print
DATE:
JOB LOCATION:
number street
village
"HOMEOWNER":
name home phone# work phone#
CURRENT MAILING ADDRESS:
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 log.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 procedures and requirements and that he/she will comply with said procedures and
requirements.
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 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 forn/certification for use in your community,
Q:forms:homeexempt
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