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" , ,, -, 1. , L ,- �`��,, '' ,i ��. .11 "IL.-�l.,-,,�,-"�l',�,�..���,i�""I""�.111,�,'�l.-�,,,�,'.,,�,, �,_'-�',,,�',��;L� � . 1 A%,---t�,1 1,I.I* ,� � � - � "I , ': ,2 �,� . � ", ,,,�427�vw"U v 1 ,;` I :'' ,,�.,�,"�,v'i�,"" , ,�'":to AT �: ` :­��� ., , +"� ,'v� ` - �' � ., I � � I. , - I ,, , � : c ':",�� ", � , I , ,� � , �, - ­_­�­11­11-, -1 - _ , � . � , ,�� ,,�-" "; I -� � ­! ��i� ," , � ,,�,.�.' '�"""".�"I'�'..'�l, '', � , .L 11 4 ,��. ,��, ,,,�" i.,­,­ o - -,," . ::-,�:,� � K A A"1 v , , , ,,, . �) I ,: , , 1 ,:�,,I ., , ''� _ % � S S �, .,�', , -".,�, '- , -,,.,:, I 11 7 A,02 0'.'LLL�.�-L-L;L IV -- , __ , ��q ". , i ,�,,_L �",�:i, �,� �� I �. , ��L ,I � . ,, , , ­�,� ,�,, , - �_ _��x A __ � ,_� � ; - t n�Lur,� .: .,,- _''_ '.'�_ � i�",��",','��,,", .�� &�L Town of Barnstable Building ..... ...,, ,._.�•, ,,1".- 7� i .. s _ Post This and So That it is Visible`From�the StrQ t-Approved Plans Must, a Retained on Job and this""Card Must-be Kept " . " Posted Until Final, Been (Made. a � � =• .6 E -� Permit Where a Certificate of Occupancy is Required,such Bulldmg shall Notbe Occupied until a Final Inspection-has been made Permit No. B-20-109 Applicant Name: W. Ray Colwell Approvals Date Issued: 01/14/2020 Current Use: Structure Permit Type: Building-Insulation-Residential Expiration Date: 07/14/2020 Foundation: Location: 1100 CRAIGVILLE BEACH ROAD,CENTERVILLE Map/Lot: 206-092 Zoning District: CBDCB Sheathing: Owner on Record: GLENN, LYNNE Contractor Name: °rSC Energy Framing: 1 Address: 1262 WEATHERSTONE DRIVE ` ` N Contractor.License 194390 2 ATLANTA,GA 30324 E`st Project Cost: $8,380.00 Chimney: Description: Insulation;See Contract ; Permit Fe $92.74 Insulation: Fee Paid: $92.74 Project Review Req: ' Date 1/14/2020 Final: Plumbing/Gas �'G Rough Plumbing: - yBuilding 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 aril 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 zoning by laws and codes. r I Final Gas: This permit shall be displayed in a location clearly visible from access street orroad and shall be maintained open for public inspection for the entire duration of the work until the completion of the same. Electrical The Certificate of Occupancy will not be issued until all applicable signatures by the Building and Fire Officials are provided on this;permit. Minimum of Five Call Inspections Required for All Construction Work: " Fr Service: 1.Foundation or Footing Rough: 2.Sheathing Inspection g 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 Final: All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT 6 6M A42e_ 5��'T �OfViE r Town of.Barnstable *Permit# $d �{ Expires 6 nronthsfrom issue date Regulatory Services Fee swaxsrAB�e, Thomas F. Geiler,Director 9�p =N 39 A,�� Building Division 712009 rFn n+t.� Tom Perry, CBO, Building Commissioner 200 Main Street, Hyannis, MA 02601 www.t.own.bamstable.ma.us Office: S08-862-4038 Fax: 508-790-6230 EXPRESS PERMIT APPLICATION - RESIDEWIAL ONLY Not Valid without Red X-Press Imprint Map/parcel Number Property Address �C Ir�'4 I C5t 0) tl� °�''✓rP �c4 [kf<esidential Value of Work�� ,QCO, Oa Minimum fee of$2S.00 for work under $6000.00 Owner's Name&Address pb e_� ( ;2.L,.,O se �0 Contractor's Name Telephone Number Home Improvement Contractor License# (if applicable) ❑Workman's Compensation Insurance Check one: �*®� PERMIT ❑ I am a sole proprietor F9�am the Homeowner JUL 9 2008 ❑ I have Worker's Compensation Insurance Insurance Company Name TOWN OF:BARNSTABLE Workman's Comp.Policy# Copy of Insurance Compliance Certificate must be on file. Permit Request(check box) . E�t<e-roof(stripping old shingles) All construction debris will be taken to ❑ 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. i6oric,Conservation;etc. 'Note: Property Owner must sign Property Owner Letter of Permission. ,Xs r' A copy of the Home Improvement Contractors License is required. ; cat rat SIGNATURE: Q:\WPFILES\FORMS\building permit forms\EXPRESS.doc Revise020108 r 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 Le 'bi Name(BusinesslOrganizaYion/individual): (12c'-be ) �j reed Address: �ld0 GYC�e4V ' Nte beach RceY71tr✓t (I.P— CA City/State/Zip: r`'&m4-ery;( I-e Phone.#: it-be-7(09-4 Are you an employer? Check the appropriate box: Type of project(required): 1.❑ I am a employcr.with 4- ❑ I am a general contractor and I * haved the shb--contractors 6. ❑New construction lure employees(full and/or part-time). Remodeling 2 El am a sole proprietor or pier- These on the attached sheet �• ❑ g These sub contractors have 8. 0 Demolition ship and have no employees working for me in any capacity. employees and have workers'. 9 ❑Building addition comp.insurance. r wo o workers' co�.•instrr anr_e [N rt rk 5. ❑ We arc a corporation and its 10.❑Electrical repairs or additions 3.�I qu a homeowner doing all work officers have exercised their l l.❑Plumbing repairs or additions myself [No workers' comp. right of exemption per MGL 12 ❑Roof repairs roam ante require)t c. 152, §1(4), and we have no employees. [No workers' 13.❑Other comp,insurance required] '`Any applicant fiat ehcckc box#1 must also M out the section below showing their workrss'mrupcnm ion policy infomratim-L t Homeowocrs who submit this affidavit indimf g tfuey arc doing all work and than hire outside contractors must submit a new affidavit indicating such. 1--=tractors that cbmk this box nrtrat zd=hcd an addiiimml sheet showing the name of the sub-contractors and state wbetha or not those entities have =gloycrs. If the sub-contractors have ernploymr,tbcy must pravidt their w mi=s'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees Below is the polity and job site information. Insuranc:.Company Namc: Policy#or Self-ins.Lic_#: Expiration Date: rob 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,inprisonmeat,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. Bc advised that a copy of this statement may be forwarded to ffic Office of hn4ti9&tions of the DIA for insurance ravers a verification. der ereby cerkfy under the ains-and penaes of perjury ct lti that the information provided above is true and corre i Date: Phone# d 76 J O frrial use only. Do not write in.this area, to be completed by city or town officiaL City or Town: Permit/License# IsvtdngAuthority(circle one): 1.Board of Health 2.Building Department 3.City/Tow-n Clerk 4.Electrical Inspector 5.Plumbing Inspector 6. Other Contact Person: Phone#: f Town of Barnstable �pF the Tp�y yw� o Regulatory Services awttrtsrwsri;. . Thomas F.Geiler,Director MASS. q, 163g. Building Division PTED 1 u'� Tom Perry,Building Commissioner . 200 Main Street, Hyannis, MA 02601 vtww.town.barnsiable.ma.us Office: 508-862-4038 Fax: 508-790-6230 HOMEOWNTR LICENSE EXEMPTION Please Print DATE: JOB LOCAPNjgE��� number street village "HOMEOWNER": HOMEOWNER!':— name homeepphonc# work phone# CURRENT MAILING ADDRESS: 1 U IC. —LY` l h o city/town Q state zip code The current exemption for"homeowners"was extended to include otuner-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 requirements. • ignature of Ho owner , 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 perfomung 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 persons)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 err 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. �pTHE Tom, Town of Barnstable � Regulatory Services �swxxMearEB` Thomas F. Geiler,Director 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 S' n This Section If Using Builder X , as O e of the subject property hereby authorize to act on my behalf, in all.matt,ts relative to work authorized by this buil g permit a lication for: (Address of Jo Signature of Owner Date j J . Print Name If Property Owner is applying for permit please complete the Homeowners License Exemption Form on the reverse side.