HomeMy WebLinkAbout0046 WOODBURY AVENUE I�V(57
00I)l
Town of Barnstable BuilCdin
Post This�Card So That ibis Ulsible'From the Street Approved Plans Must be Retained on Job"and thisCard M9
ustbe
b^ Posted�Until"Finallnspection HasBeen Made y," h r
N Permit
i+ Wherea Certificate of Occupancys Requiredsuch Building sfia1I.;Noi be Occupied unt�I•a Fi�nal�lnspohassbeen made
ter„, �. .� ,.
Permit No. B-18-2814 Applicant Name: BROWN,JEFFREY&LAURIE Approvals
Date issued: 08/29/2018 Current Use: Structure
Permit Type: Building-Shed-Residential-200 sf and under Expiration Date: 02/28/2019 Foundation:
Location: 46 WOODBURY AVENUE, HYANNIS Map/Lot 307 056 Zoning District: RB Sheathing:
Owner on Record: BROWN JEFFREY&LAURIE
' £ ' Contract Name Framing: 1
s a ,� —
Address: 50 WOODBURY AVENUE Contractor License 2
HYANNIS, MA 02601 Est. Protect Cost: $0.00 Chimney:
Permit Fee:
Description: INSTALL A 1OX12 SHED _ $0.00
Insulation:
Fee Paid $35.00
Project Review Req:
Date 8/29/2018 Final:
h z
Plumbing/Gas
h Rough Plumbing:
Building Official
Final Plumbing:
" fit
l
This permit shall be deemed abandoned and invalid unless the work authonzed'by this permit is commenced within six months aft " suance. Rough Gas:
All work authorized by this permit shall conform to the approved application aril the:approved construction documents for,`which-this permit has been granted.
All construction,alterations and changes of use of any building and structures"shall be in compliance with the local zoning by laws:and codes. Final Gas:
This permit shall be displayed in a location clearly visible from access street or o ad and shall be maintained open forlpubl c inspection for the entire duration of the
work until the completion of the same. :
rg
Electrical
The Certificate of Occupancy will not be issued until all applicable signatures by`the Buq,inng and Fie Of icials akre provided on this`permit. Service:
Minimum of Five Call Inspections Required for All Construction Work
1.Foundation or Footing v: _ �,.._- Rough:
2.Sheathing Inspection
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:
"Person g 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 Final:
�� All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT
�—' Towia of Barnstable
r �zHE r Building Department Services ��It�1&'c�:P�
Brian Florence, CBO
t RlxNcrARjJg, • Building CommissionerXAn
is;q �m 200 Main Street, Hyannis,MA 02601 Oil/At
A
e a.us
www.town.barnstabl .m
Office: 508-862-403 8 Fax: 508-790-6230
PERnM9 / FEE: $35.00
SBFD REGISTRATION
RESIDENTIAL ONLY
200 square feet or less
1*ocation of shed(address) Village
Y-0w God
Property owner's name Telephone number
Size of Shed Map/Parcel# ,.
2"1 20 ( �S
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 V,.T=THE JURISDICTION OF ANY OF THE ABOVE -
COMMISSIONS,THERE MAY BE A REVIEW PROCESS AND APPLICATION FEE.
PLEASE SEE THE APPROPRIATE COMMISSION FOR DETAILS.
B AC MPAN]E Y A
FORM MUST CQ _ 1� �
•THIS Q �
PLOY PLAN
Q-forms-sbedreg
REV:08/6/17
lr; Legend
M m Parcels
�•�' Town Boundary
Railroad Tracks
Buildings
Approx Building
12 Buildings
E Pant� fines
Parking Lots
307d192 Paved
# title 307NT
Unpaved
#44 Driveways
F Y
Paved
�, Y' +•: .. Unpaved
1 Roads
i - M Paved Road
n" ? 307 Unpaved Road
Brige
#38
® Paved Median
_ Streams
D Marsh
r:f
4 Water Bodies
3Q7003, i.
U7a5s
#46
ONNOF
3t1T232
40.
2$9110:
35
11 30705:5
3 07051
#50
- N
Map printed on: 8/27/2018 This map is for illustration purposes only.It is not Parcel lines shown on this map are only graphic Town of Barnstable GIS Unit
adequate for legal boundary determination or representations of Assessor's tax parcels.They are
Feet regulatory interpretation.This map does not represent not true property boundaries and do not represent 367 Main Street,Hyannis,MA 026oi
0 42 83 0 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.
Ap�"�rox.Scale: 1 inch= 42 feet cartographic errors or omissions. gis@town.barnstable.ma.us
i
l�
TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION
Map 3 0`7 dam. Parcel Application# U
Health Division Date Issued ( �C
Conservation Division/ Application F e
Tax Collector Permit Fee
`P
Treasurer
Planning Dept. # _,
Date Definitive Plan Approved by Planning Board j
c3
Historic-OKH Preservation/Hyannis ]
I CS
Project Street Address `��, L(106/.✓ /�� v C_ -
Village ",a i `;' `>
:.�
Owner Z a S �5 Z Address S' /✓Gam c��t rr `
Telephone d S7 12 `7 57-
Permit Request '_RC Pi o t e 1 Al S IF
Square feet: 1 st floor:existing 477 V proposed 2nd floor:existing proposed Total new
Zoning District Flood Plain Groundwater Overlay
Project Valuation (0(2QQ, Construction Type W Oodl
Lot Size f' X Grandfathered: ❑Yes ❑No If yes, attach supporting documentation.
Dwelling Type: Single Family Ol Two Family ❑ Multi-Family(#units)
Age of Existing Structure ./V3 D d /9�9sHistoric House: ❑Yes ❑No On Old King's Highway: ❑Yes ❑No
Basement Type: ❑Full ❑Crawl ❑Walkout ❑Other ?i4 A--1i.4 Z dc�L,-t- o ve A
Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) O
Number of Baths: Full:existing , new Half:existing new
Number of Bedrooms: existing new
Total Room Count(not including baths):existing �"' new First Floor Room Count S-
Heat Type and Fuel: Goas ❑Oil ❑ Electric ❑Other V
Central Air: ❑Yes WNo Fireplaces: Existing V,5 New Existing wood/coal stove: ❑Yes &HVo
Detached garage:31xisting ❑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 0 No If yes, site plan review#
-—Current Use Proposed Use
BUILDER INFORMATION
Name 7Xo 4� S Telephone Number 5-6 8 1 17 -5— ei�k_z
Address ky/ w b ay"3 v4 iV u G License# 0 / 6—1�2_ 4/ :
1 �✓�✓ S 1�/ Home Improvement Contractor#
Worker's Compensation#
ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO
SIGNATURE DATE 2,v�2
= FOR OFFICIAL USE ONLY
APPLICATION#
DA7EISSUED
MAP./PARCEL NO.
h
I
ADDRESS VILLAGE
OWNER
DATE OF INSPECTION: r%f �N 5p+-•s
FOUNDATION
FRAME e(eo I v a
INSULATION Of 1 -
FIREPLACE
ELECTRICAL: ROUGH FINAL
PLUMBING: ROUGH FINAL
GAS: ROUGH FINAL
FINAL BUILDING �C _0 g
DATE CLOSED OUT
ASSOCIATION PLAN NO.
fi e
y'
• � i 4
The Commonwealth of Massachusetts
Department of Industrial Accidents
Office of Investigations
600 Washington Street
Boston.,MA 02111' _
wtvw.mass.gov/dia '
Workers}Compensation Insurance Affiddvit: Builders/Contractors/Electriciaus/Plumbers
Applicant Information .Please Print Legibly
Name(Business/Organization/Individual):
•Address:
C i
p
tit S .� Phone.#: .5-6 9 y
S tate/Z
ity/
Are you an employer Check the appropriate box: :Type of project(required):,
1.❑ I am a employer with 4. ❑ I am a general contractor and I 6. ❑New construction .
employees(full and/or part�)•* have hired the sub-contractors
2.❑ T am a'sole proprietor or partner- listed on the'.attached sheet. 7. 'Remodeling
• ship and have no employes � ' .These sub-contractors have S. ❑Demolition
employees and have workers'
working for me in any capacity. 9• ❑$ui�d. g addition
comp.insurance.
'
[No workers comp.insurance 10.❑Electrical rep airs or additions
quired.] 5. ❑ We are a corporation and its
3. am a homeowner doing all work officers have exercised their 11.❑Plumbing repairs or additions '
myself.[No workers'comp. right t5f exemption per MGL 12.❑Roof repairs
insurance.requited.]t c. 152, §1(4),and we have no 13•❑Other
' employees.[No workers'
comp,insurance regiiired.]
*Any ipplieant that checks box#1 must also fill out the section below showing their workers'compensation policy information.
f Homeownen.who submit this affidavit indicating they are doing all work and then hire outside contractors mutt submit a new affidavit indicating'such.
#Contractors that check this box mutt 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.
mpensation Insurance for my employees. Below is.the policy and job site'
1 am an employer that is providing workers'co
information.
Insurance Company Natne:
Policy#or Self-ins.Lic.# Expiration Date:
lob 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$250.00 a day against the violator. Be advised that a copy of this statement maybe forwarded to the Office of
Investigations of the DIA for insurance coveragre verification.
I do hereby ceri ferf jury that the information provided above is true and correct.
Simafore•
Dater
Phone# 571) C^l
Official use only. Do not wrlte in this area, to be completed by.city or town official
City or Town: ' Permit/License#
Issuing Authority(circle one):
1.Board of Health 2,Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector.
6. Other
7�'Ame axxatn(cut�haste� . .
• '. pmcrlgtira psaksgd lvpflae rwd Tv o-lJrx ac' 'Ftnldcatial$alIding�'H'�te$i+fth'I ICI'`pe�
ITh�
' MAXfMU14i IIinYIR3 ,
. tlIazizcg . Glazing Cclling 1Vx11 Hoar $iscmr�t Blab •S�stinglCoolUng
��('>a) L1-Ynlnct IZ-Y� A•YBIuC! I{,Yaluc� �V811 I'exirat�.ct' �I�Cnt F.I�dericy� .
6701 to 6500 Hcstlag Dcgm
• � Ngtacsl
0,40 98 ]3 19 ]4 plotnssl
IZ'fa (xiZ 30 I9 +19 I0, tf
O.sO 31 ' ;3 IS f0 tlarasal
Ii . 036 38 ]3 23 -NIA NIA..
* 1�=ml
u I591, 0.0 38 19 f 9 ]Q V AME
0.44 31 I3 2i NIA
13% 0.32 30 19
NIA Narmi!
X . 18 Y. 033 3 r3 • ]3 �. N/h Nocsaal '
y �sl. MI 3a t9 23 NIA NIA 90 AM
l3'f. M, 9g. 13 19 Ifl
IaY, 0.30 30 19 19 i4 51 SUAI'TIB
r3I�E55 OF PROPERTY: � �
�{ SQUARE FOOTAGE OFALL'SXTERIOR WALLS:
3, SQUARE FOOTAGE OF ALL GLAZING: _ _ v �
4. % 6"AZINQ ARP-A.#3 DNIDED By
1, SSLECT PACKAGE (Q AA-see chart abave),,
CCG�/ti S t� r wok CC',
OT O I'I3EA MORE Iiv-VOI�YED N.IETHODS OF DE MM NG ENMCi-"'REQ S
ARE AVAILABLE, ASK,US FOR"TMS WORMATIGN,
EtTCLMi CITNSFECTDR APPROVAL:
YES' 60:
Town of Barnstable
�p THE Jp�
Regulatory Services
r
* Thomas F.G e'tler,Director
BARNsrABLE,
9 MASS. g
�A 1639• p�0 Building Division
lFo nw't
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: �5_ BcJ04),0 A i4 UQ
number street village
"HOMEOWNER": �Q�irJI9� �n�S
name home phone# work phone#
CURRENT MAILING ADDRESS: va-"l L✓ G� l�uiC� A tt
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 inspection procedures and requirements and that he/she will comply with said procedures and
requiremen
Si ature of Homeowner e
r.
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, j
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.
�oFWEr Town of Barnstable
Regulatory Services
" BARN B Thomas F.Geiler,Director
v mass. �
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
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)
Signature of Owner Date
Print Name
If Property Owner is applying for permit please complete the
Homeowners License Exemption Form on the reverse side.
a ,a
4
o
JU
—_, 00
,P2-yl-
�vN �
7R
CA �a '
G C-14
Cl
o
Town of Barnstable *Permit#4" 70 :3 9 '7
Expires 6 months from issue date
Regulatory Services Fee
Thomas F.Geiler,Director
Building Division
Tom Perry,CBO, Building Commissioner
200 Main Street,Hyannis,MA 02601
www.town.bsm is le.ma.us
Office: 508-862-4038 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 Minimum fee of$25.00 for work under$60T 00.00
Owner's Name&Address �117
Contractor's Name_(/Lc) nj C Telephone Number
c'
Home Improvement Contractor License#(if applicable)
Construction Supervisor's License#(if applicable)
X-PRESS PERMIT .
❑Workman's Compensation Insurance
`
Check one:
❑ I am a%ole proprietor JU N 2 7 2007
IKani the Homeowner
❑,,.I have Worker's Compensation Insurance TOWN OF BARNSTABLE
i`
Insurance Company Name
Workman's Comp.Policy#
Copy of Insurance Compliance Certificate must be on file.
Permit Request(check box) 9 /
0,Re-roof(stripping old shingles) All construction debris will be taken to L. 00
❑Re-roof(not stripping. Going over existing layers of roof)
["Re-side
❑ Replacement Windows/doors/sliders. U-Value (maximum.44)
*Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e Trr, '' toni?etc.
***Note: Property Owner must sign Property Ow r Letter of Permission.
A copy the Home Improvement Cc#actprs License is required. S :6 ;,,y
,..o a
SIGNATURE:
Q:Forms:expmtrg
Revise061306
The Commonwealth of Massachusetts ,
Department of Industrial Accidents
Office of Investigations
600 Washington Street
Boston,MA 02111
www.mass.gov/dia
Workers'Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers
A licant Information Please Print Legibly
Name(Business/Organization/Individual): .
Address:
ity/State/Ziv: Phone
Are you an employer heck the appropriate bog: Type of project(required):.
1.❑ I am a employer with 4. ❑ I am a general contractor and I
6. ❑New construction .
employees(full and/or part-time).* have hired the stab-contractors
2.❑ I am a'sole proprietor or partner- listed on the-attached sheet. 7. ❑Remodeling
ship and have no employees These sub-contractors have 9. ❑Demolition
working for me in anY capacity.ca employees and have workers'
ty $• 9. ❑Building addition
[No workers'comp.insurance comp.insurance.
required.] 5. We are a corporation and its 10.0 Electrical repairs or additions
officers have exercised their 11.❑Plumbing repairs or additions r
'3�I am a homeowner doing all work
myself [No workers'comp. right of exemption per MGL 12.❑Roof repairs
insurance required.]t c. 152, §1(4),and we have no
employees. [No workers' 13.❑ Other
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 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.
I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site
' formation.
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 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 WA for insurance coverage verification.
I do hereby certify and he pains and penalties fp ry that the information provided above is true and correct:
Si Date: G " T — Q
Phone# 5^G C_% PL
—
Official use only. Do not write in this area,tb be completed by city or town official
City or Toww. 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#:
Informnation 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 152, §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(7)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 mi -I' rance
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-contractors)name(s), address(es)and phone number(s) along with their certificate(s) 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 required. 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 in the event the Office of Investigations has to contact you regarding the applicant.
Please be sue to fill in the permit/license number which will be used as a reference number. In addition,an applicant
that must submit multiple permit/license applications in any given year,need only submit one affidavit indicating current
policy information(if necessary) and under"Job Sile Address"the applicant should write"allocation 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 fo any business or commercial venture
(i.p_ a dog license or permit to bum 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.
Ths Department's address,telephone-and fax number:.
The CommonwWth of MawaGhusc4s
Department of IndustrlaJ Aocidonts
Office of Investigations
600 WashingtQU Street
Boston, MA 02111
Tel.#617-727-49GG ext 406 or 1-977-MASSAFE
Fax##617-727-7749
Revised 11-22-06
www.mass.gov/dia
THE Town of Barnstable
OF taY
Regulatory Services
BARNSTABLE, Thomas F.Geiler,Director
9 MASS.
1639. p.� Building Division
rFo N►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: G✓ yo 3 y d .� ,, i3
number street page
"HOMEOWNER":
name home phone# work phone# '
CURRENT MAILING ADDRESS: —g^J O Ca 2�2 j
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 inspection procedure and requirements and that he/she will comply with said procedures and
requiremen
4
Si tore 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 form/certification for use in your community.
Q:forms:homeexempt