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t Town of Barnstable Building
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WAse UT fi;niScaoa lt Telnh osapft eOrtcc,ticsiau,Un�a5HinbacIs Q B;F„e reoRnme Mtatairede.eSd t rseuecth„BAupipldromvs'.e"dsh Pallal nNso Mt buest"O.bcQc-uR erteadm uendt,iol na,JFoinba at nIndus`tpheicsL Cioanrd;h,aM,s ulisvte,bne mKaedptet Permit
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Permit No. B-19-1314 Applicant Name: Russell Cazeault Approvals
Date Issued: 04/19/2019 Current Use: Structure
Permit Type: Building-Siding/Windows/Roof/Doors Expiration Date: 10/19/2019 Foundation:
Location: 23 SUNNY KNOLL DRIVE, HYANNIS Map/Lot 307 114 Zoning District: RB Sheathing:
Owner on Record: CHAPLAN, LAWRENCE R Contractor Name PAUL J.CAZEAULT&SONS INC. Framing: 1
514,
Address: PO BOX 125 �„ Contr<act or License: 103714 2
MARSTONS MILLS, MA 02648 u{ Est Project Cost: $5,775.00 Chimney:
Description: Remove the existing shingle roof on the entire home Install GAF Arlin"if Fee: $35.00
Timberline architectural style shingles. � x Insulation:
Fee Paid $35.00
u� Final:
Date 4/19/2019
Project Review Req: �
Plumbing/Gas
L Rough Plumbing:
11-1=1Building Official Final Plumbing:
This permit shall be deemed abandoned and invalid unless the work a uthonzed by this permit is commenced within six months aftekissuance.
All work authorized by this permit shall conform to the approved appl ation and�the approved construction documents for which 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 zonuig,by��lawsand codes.
This permit shall be displayed in a location clearly visible from access streetbr,road 4ind shall be maintained open for public mspection for the entire duration of the Final Gas:
work until the completion of the same.
'. Electrical
The Certificate of Occupancy will not be issued until all applicable signatures 6y'th' Building and Fire Offic als are provided on this permit.
Minimum of Five Call Inspections Required for All Construction Work: Service:
1.Foundation or Footing � .
2.Sheathing Inspection f Rough:
3.All Fireplaces must be inspected at the throat level before firest flue lining is installed
Final:
4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection
5.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).
Fire Department
Building plans are to be available on site
All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT Final:
die ) Map Parcel Permit#
s�.
/ House# v? Date Issued
,7
Board of Health(3r oor)(8 15 -9.30/1:00 ee
j 1
�t UC NT t1
and _ 19 CONNECTI C 0B E
GINE
ENER
CONSTRU e 9
TOWN OF BARNSTABLE
Building P it Applica 'on
Proje eet ddress
Village 41V1XZ n @
Owner 'Y 1 Ut dAddress
Telephone 1 L70� ' S�`t"
Permit Request
First Floor l a 0�' v square feet Second Floor 1 square feet
Construction Type ,
Estimated Project Cost $
Zoning District ++ Flood Plain 11 0 Water Protection
Lot Size I� Grandfathered ❑Yes ❑No
Dwelling Type: Single Family ' Two Family ❑ Multi-Family(#units)
Age of Existing Structure Historic House-❑Yes 0No On Old King's Highway ❑Yes No
Basement Type: "Full ❑Crawl Walkout ❑Other
VA
Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) 0
Number of Baths: Full: Existing T New T Half: Existing �" New f
No.of Bedrooms: Existing 2 New
Total Room Count(not including baths): Existing New First Floor Room Count 4-
Heat Type and Fuel: ❑Gas ( ,,Oil ❑Electric ❑Other
Central Air ❑Yes gNo /Fireplaces: Existing New -� Existing wood/coal stove ❑Yes Flo
Garage: ❑Detached(size) Other Detached Structures: ❑Pool(size)
❑Attached(size) ❑Barn(size)
❑None ❑Shed(size)
❑Other(size)
Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑
Commercial ❑Yes ❑No If yes, site plan review#
Current Use Proposed Use
Builder Information
Name Telephone Number 77 CIA 4
Address 2 3 . License#
Home Improvement Contractor#
Worker's Compensation#
NEW CONSTRUCTION OR ADDITIONS REQUIRE A SITE PLAN(AS BUILT)SHOWING EXISTING,AS WELL AS
PROPOSED STRUCTURES ON THE LOT.
ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO
i
h
SIGNATURE DATE ✓ ll �' ��.
BUILDING PERMIT DENIED FOR THE EOLLOWING REASON(
FOR OFFICIAL USE ONLY
ARMIT NO
PATE ISSUED -
0AP/PARCEL.NO r
C', ¢� I � f lit F ,, t ' -. - { � - �,�•� _
ADDRESS ti^. 7 ''L' VILLAGE£ .�
OWNER ? •-
DATE OI 4NSPECTION:
FOUNDATION �r
FRAME
INSULATION
«
FIREPLACE •• t
� 4
ELECTRICAL: ROUGH FINAL ,
+
PLUMBING:, ROUGH FINAL
GAS: ROUGH FINAL
FINAL BUILDING ��°=�? i } � -'- ^• _ � � � 1_ �' �
DATE CLOSED OUT=-. {
C 15 {
ASSOCIATION PLAN;NO.
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M I-� _ `
'' __ The Commonwealth of Massachusetts
�-
_. - Department of Industrial Accidents
.. -
-- _. VINce allmesuffatieos
. I t,600.Washington Street
-.y `o r Boston,Mass. 02111
.s
Workers' Compensation Insurance Affidavit
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&- name: 6S5 M- A'a/ A I I - � �
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,.�I am a hom ' performing all work myself. .
❑ I am'a sole n,etor and have no one workin m' ca achy
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❑ I am an employer providing workers'compensation for my employees working_on this job. ::: :::::::::::::::::::::::
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❑ I am a sole proprietor,general contractor,or homeowner(circle one)and have hired the contractaFfs"listed below who
have .
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Fafiore to secure coverage as required under Section 25A of MGL 152 can lead to the imposition of criminal penalties of a fine up to 51,500.00 and/or
one years'imprisonineut as well as dvfi penalties in the form of a STOP WORK ORDER and a fine of$100.00 a day against me. I understand that s
copy of this statement a forwarded to the Office of Investigations of the DIA for coverage verification
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I do hereby certify the p ' and pen 'es of perjury that the information provided above is tare. .
nd correct
Date ,it, y Ab
signature -
Print name Phone# -
MMM
official use only do not write in this area to be completed by city or town official .
city or town: pennit/Iicense# ElBullding Department
. . . OLicensing Board
❑ if repo required ❑Selectmm'a Office
oHealth Department
contact person: phone#; _-❑Other
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The Town of Barnstable
,u $ Department of Health Safety and Environments Services
:sue Building Division
367 Main Sltm Hyaamis MA=01
Ralph C==
OM= M9.790-M7 Building Commissic
Fax: "S.790-Q30
For afltce use only
Permit aa.
Dan AFFMAVIT
HOME n"ROVENIENT•CONTIiACTOR LAW
SiJPPLEMENT TO PERMIT APPLICA77ON
MGL c. 142A ce4
uires that the "reconstruction, alterations. =Ovatfon' repair' moderni=tion.
conversion. improvement, removal, demoiItfon' or construction of as addition to nay pre-*�wg
comov'l, at least one but not more than tour dwelling omits or to
owner occupied building contractors, with
ctures which art adjacent to suStru
ch residence or building be dome by registere:l certain cz=ption&along with other rtgnirements.
ZIType of Work:
•,� ' Est.Cut-
,/'Address of Work--
'11Owner's Name
5� M4K
_ 'ate of Permit App •ilcatioa•
I hereby certify that:
Registration is not required for the following renson(s):
Work ezduded by law
Jab under SI.00L
_
uilding not owner-occupied
Ownerpalitogown permit
OWNERS PU G� O�VN PERMIT OR DEALING Wild UNREGISTERED
O
CONTltAC'I.ORS FOR APPLICABLE GZAh OR GUARANTY FOND UZWER MGZ I42A
ACCESS TO• ,�RgiTRATI
SIGNED UNDER FWALTIES OF PERJURY
I baby 20 fy tar u,permit as the agent of the owner
Dace Contractor Name Boon No.
on
Owners Name
• TOWN OF BARNSTABLE
BUILDING DEPARTMENT
HOMEOWNER LICENSE EXEMPTION
Please print.
' DATE ..... , ._. _•
JOB LOCATIONAY10221
-
Number treet ddress Section of town
ZROME011NER" � b
Name Home phone Work phone .
PRESENT MAILING ADDRESS � - V
0 _
City town State Zip code
The current exemption for "homeowners" was extended to include owner-occuDiec�
dwellings of six units or less and to allow such homeowners lo_ engage an in-
dividual for hire who does not possess a license, provided that the owner
acts as supervisor.
DEFINITION OF HOMEOWNER:
Person(sj who owns a parcel of land on which he/she resides or intends to re-
side, 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 Offic4
on a form acQeptable to the Building Official, that he/she, shall be resnonsih
for all such work performed under the building permit. (Section 109.1.1)
The undersigned "homeowner" assumes . responsibility for compliance with the St
Building Code and other applicable codes, by-laws, rules and regulations.
The undersigned "homeowner" certifies that he/she understands the Town of
Barnstable Building Depart3men ininvm inspection procedures and requirements
and that he/she will comply =aid proc:edur,t: aDA requirements.
->
HOMEOWNER'S SIGNATURE �
APPROVAL OF BUILDING OFFICIAL
Note: Three family dwellings 35, 000 cubic feet, or larger, will be required
to comply with State Building Code Section 127. 01 Construction Control
I
' HOME OWNER'S EXEMPTION '
The code state that: "Any Home Owner 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 is
Home Owner engages a persons) for hire to do such work, that such Home Ow:.
shall act as supervisor. "
Many Home Owners who use this exemption are unaware'.that they are assuming
the responsibilities of a supervisor (see Appendix 0, Rules and Regulations
for •licensing Construction Supervisors, Section 2.15) . This lack of awaren:
often. results in serious problems, particularly when thelHome Owner hires
unlicensed persons. Tn .this case our Board cannot proceed against the
inlicensed person as it'would with licensed Supervisor. The Home"Owner act.
as supervisor is ultimately responsible. _
..
To ensure that the Home Owner is fully aware of his/tier responsibilities, mz
communities require, . as ,part of the permit application, that the Home Owner
certify-,that he/she understands the 'responsibilities of.. a supervisor. On t:.
last page of this issue is a form currently used by several towns. You may
care to amend and adopt such a form/certification for use in your community.
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