HomeMy WebLinkAbout0032 CROCKER STREET � C�C'i�e.'Q-� '�
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Town of Barnstable Building
waNn> Post This Card So That it is Visible From the Street-Approved Plans Must be Retained on Job.-and this Card Must be Kept '
MASS. Posted Until Final InspectionMas Been Made. r
1639. � � � � - e1 It
e iWhere a Certificate of Occupancy is Required,such Building shall Not be Occupied until a Final Inspection has been made
Permit NO. B-19-1850 Applicant Name: Henry Cassidy Approvals
Date Issued: 06/10/2019 Current Use: Structure
Permit Type: Building-Insulation- Residential Expiration Date: 12/10/2019 Foundation:
Location: 32 CROCKER STREET,CENTERVILLE Map/Lot: 210-158 001 Zoning District: RC Sheathing:.
Owner on Record: HENDRICKS, MICHAEL&RAY,CRYSTAL A Contractor"Name: -,,HENRY E CASSIDY Framing: 1
E ;t
Address: 32 CROCKER.STREET ' Contractor:License: CS=100988 2
CENTERVILLE, MA 02632 � Est. Project Cost: $6,200.00 Chimney:
Description: Insilation Permit Fee: $85.00
Insulation
Project Review Req: Fee Paid.` $85.00
Pro -
1 Final`.
Date: 6/10/2019
Plumbing/Gas
Rough Plumbing:
Building Official Final Plumbing..
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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 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 zoning by-laws and codes.
This permit shall be displayed in a location clearly visible from access street or road and shall be maintained open for,public inspection for the entire duration of the,. Final Gas:
work until the completion of the same. e
Electrical
The Certificate of Occupancy will not be issued until all applicable signatures by the Building and Fire Officials a're;provided on this;permit.
Minimum of Five Call Inspections Required for All Construction Work: Service:
1.Foundation or Footing Rough:
2.Sheathing Inspection k� 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
S 7
' ► Town of Barnstable Building
_. �ng
iPost:This Card So That it is Visible'From the Street Approved Plans Must be Retained on;Job and this Card Must be`Kept
Posted Until Final Inspection Has Been Made
5 .f, � �. x � • - � Permit
° Where a Certificafe of Occupancy'is Required,such Building hall Not be Occupied until a.Final Inspection has`been made (
Permit NO. B-18-185 Applicant Name: HENDRICKS, MICHAEL& RAY,CRYSTAL A Approvals
Date Issued: 01/24/2018 Current Use: Structure
Permit Type: Building-Siding/Windows/Roof/Doors Expiration Date: 07/24/2018 Foundation:
Location: 32 CROCKER STREET,CENTERVILLE Map/Lot: 210-158-001 Zoning District: RC Sheathing:
Owner on Record: HENDRICKS, MICHAEL&RAY,CRYSTAL A Contractor Name: Framing: 1
Address: 32 CROCKER STREET Contractor License 2
CENTERVILLE, MA 02632 Est' Project Cost: $5,800.00
Chimney:
.flermit Fee:
Description: reroof(stripping old shingles) $35.00
f Insulation:
Fee Paid:, S 35.00
Project Review Req:
t .Date 1/24/2018 Final:
Plumbing/Gas
r Rough Plumbing:
- Building Official
t
Final Plumbing:
This permit shall be deemed abandoned and invalid unless the work authorised by thJs permit is commenced within'six monthsafter.issuance. Rough Gas:
All work authorized by this permit shall conform to the approved application and 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 road and shall be maintained open for public inspection for the entire duration of the
work until the completion of the same.
)
;_ — ; � � ,n Electrical
The Certificate of Occupancy will not be issued until all applicable signatures by the Building and Fire officialsare provided on this`permit. Service:
Minimum of Five Call Inspections Required for All Construction Work
1.Foundation or Footing ,t , 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
S.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
IVKE Town of Barnstable *Permit#
p Fapires 6 mo from issue date
Building Department Services - Ve
Brian Florence,CBOMASS
® �
0.19. � Building Commissioner
yr 200 Main Street,Hyannis,MA 02601
www.town.barnstable.ma.us
Office: 508-862-4038 19 �FM7, 50.8-790-6230
EXPRESS PERMIT APPLICATION - RESIDE IA NLY
Not Valid without Red X-Press Imprint t
Map/parcel Number
Property Address crtic zm �""r-'
❑Residential. Value of Work$ � `00,66. Minimum fee of$35.00 for work under$6000.00
Owner's Name&Address CV G ' k"4 G J,&c�4DE
Contractor's Name Telephone Number '
Home Improvement Contractor License#(if applicable) Email:
Construction Supervisor's License#(if applicable)
❑Workman's Compensation Insurance
Check one:
❑ I am a sole proprietor
I am the Homeowner
❑ I have Worker's Compensation Insurance
Insurance Company Name
Workman's Comp.Policy#
Copy of Insurance Compliance Certificate must accompany each permit.
Permit Request(check box)
jJ Re-roof(hurricane nailed)(stripping old shingles) All construction debris will betaken to—cle nuw ,fil�
❑Re-roof(hurricane nailed)(not stripping. Going over existing layers of.roof) ,
❑ Re-side
❑ Replacement Windows/doors/sliders.U-Value (maximum.32)#of windows
#of doors:
'Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc.
***Note: Property Owner must sign Property Owner Letter of Permission.
A copy of the Home Improvement Contractors License&Construction Supervisors License is
required.
SIGNATURE:
QAWPMESTORMSIbuilding permit fomu\EXPRESS.doc
08/16/17
27ze Corr womveaith r�,f Massa iusetts
Departwerzt&f rndustria1 Accid=&
- - fl c, e of1mWtigafi0=
600 Washhzgfon,5 6wet
Bastoni MA 02111
wim mass gov/dui
Workers' Cumpensat an Insurance,Affidavit Btdlders/ContractarsMechicians]Plumbers
Applicant Information Please Print t DIY
OLA
Address
Cityf�tatel �,3�Phane� ��r _
Are you an employer?Checkthe appropriate box: ' Type of project(required):.
1.❑ I am a employer uth. 4. ❑ I alias a general contractor.and I 6. El New eonsauctim
employees(full anNor par time).* have hued.the soli-contmctors
2.❑ I am a sole proprietor orpartuee listed on the attached sheet: 7- ❑Remodeling
ship and have no.-employees Throe sub-contractors have 8..❑Demolition
woriong for me in any capacity. employees and have wo�s' 9. B�uildin addition
[No worlce[s'comp.insurance comp-m¢nrarx ❑ g
] 5. ❑ We are a corporatim and its 14❑Electrical repairs or additions
afters have exercised
3� I am a homeowner doing all work 1 L❑Plumbing repairs ar additions
m o woslrees' _ right of won per MGI. lry Roofnepatrs
; �€ce required.]F c.152,§1(4�aadwe have no.,
employees.(No wodmrs' s,El Other
comp.iosurmm required-]
Ai3y applicznt9mtdedsbox ftl mast also fill ootthe sectioa below shntdng M&was$eta'compenm6c uporityitsfarmatism_
Rameawmm who submit this affida«t bus-ing d ey axe dGm9 alF wat ml then hire wide contractocsmnst sohmit a new affidavit;fla'csdin sorb_,
Zcantzaam ff=,T,Ba ibis boot mast attachd sa addiiianal sheet shoring the acne of @se sub-comssctacs and state whether ar not those amities bave
emphsyees.Ifthesnb-caatiactots hive emplayee%theymustgmtridedak warken'tomp.polkynmmber-
I am an ellepfopr tliatispm dfng tvarke-rs'compensd ivii innirance for my earpfopees Below is tltepoHCV and job site
information
Insurance Company Nam:
Policy Cr Self-ins Luc_ Dipisation Date:
Job Site Address` City/State zip:
AEtach a copy of the workers'compeasationp.olicy declaration page(showing the policy nusaber and respiration date).
Failure to secure coverage as required-under Section 25A of MGL a.152 can lead to the imposition of criminal penalties of a
fine up to$000 00 and/or one-yeas iimprisonzr=d,as w&as civil pen.alties.in.the form of a STOP WORK€RDERand a fmi e
of up to$250-00 a day against the violator_ Be advised that a copy of this statement maybe R wirded to the Office of
Investigations ofthe DIA for insurance coverage verification
l do Hereby garfiffy under the pain s and pen aMes o f'pet jury that the info rmadmi-prov& d abMre true acid correct
sismahireJA A ADate f ��
Phone ik
0jokinf uss only. Do not write in aria area,to be completed by city ortown a icial
City or Town: PerunitlLicense 4
Issuing Authority(circle one):
L Board of Health 2.Building Department 3.Cityffosrn Clerk 4.Electrical Inspector 5.Plumbing Inspector
6.Other
Coact Person. Phone#:
— 6
Laformation and Instructions '
MassachIIse#fs General Laws chapter M regaues all cmployeas'to provide waizrs'compensation for their employees.
Pursrjantto this sue,as eml7layee is defined as."_.evmy peas6n.in.$ie service of another endear any conract of hire, i
express or implied,oral or wtitt nQ"
An M
oyer is CIF-fined as"an individual,partnersTi�p �di,asso on,c orpor on or other legal entity,or any two or more
of the faregoizcg engaged in a Joint=brprise,and including the legal rep¢esenfa&es of a.deceased employer,or the
receiver or trustee of an individual,parfneship,associafim or other legal entity,employing employes. However the
owner of a dwelling hone having not more than tbree apartments and who resides therein,or the occapant of the -
dwPTTiag house of another who employs persons to do make,construction or repair work on such dwelling house
or on the grounds or bmMing app thereto shall not because of such employment be deemed to be an employer:'
MGL cbaptr r 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•constract bmTdhV is the commanePealth for any
applicant who has not produced acceptable evidence of cdmpE=ce with the iosura.nce.covexage requlred."
Additionally,M(M chapter 152,§25C(7)states aNeither the nor airy of its political subdivisions shall
enter into any contract for the pmformauce ofpnblic work untl acceptable evidence of compliance with the ins¢rsnce._
requir=en s of this chapter have Been pr =trd to the contacting anihozity." -
AppHcauts
Please flI out the workers' compensation affidavit completely;by cherkmg a boxes that apply to your situation and,if
necessary,supply sr±- ntractor(s)nam e(s), address(es)and phone mimber(s)along with their certificates)of
insrnance. Limited Liability Companies(I.LC)or Limited Liability Part a=hips(L.P)Wlthno employees other than the
members or pmtaeas,are not rbgaired to carry wormers'coInPensaficn insurance. If an LLC or LLP does have
employees,a policy is requn-ed. Be advised that this affidayit may be sn_�;�to the Department of Industrial
Accidents for conffimation of insurance coverage Also be sure to sign and date the affidavit_ The affidavit should
be retnmeti to the city or town that the application far the permit or license is being requested,not the Department of .
Industrial Accidents. Should you have any questions regarding the law or ifyou are reqaired to obtain a workers'
compensation policy,please call the Department at the number listed below. Self-fimred cmapanies should mtrx their
self-insurance license number on the appropriate line.
City ar Town OMcials
t
Please be sine that the affidavit is complete and printed.legibly. The Department has provided a space at the bottom
of the affidavit for you tD 1�1 out in the event the Office of Investigations has to correct you regarding the applicant
-
Please be sure to fill in the penmitlliccnse nwnber which will be used as a reference number. In addition,an applicant
that must submit multiple pmanWHcense applications in any given year,need only submit one affidavit i adicaimg current
policy ination(if necessary)and under`cJob Site A-ff&=s"the applicant should wnte
lfbrm "all locations in (cit•Y or
town)_'A copy of the•affidavit that has been officially stamped or marked by the city or town maybe provided to the
applicant as proof that a valid affidavit is on file for fbture permits or licenses A new affidavit must be filled oilt each
year, Where a home owner or citizen is obtaining a license or permit not related to any business or commercial vmitlm
(i_e. a dog license or permit to bum Ieaves etc.)said person is NOT regaired to complete this affidavit:
The Office of Investigations would 10m tD thank you in advance for your cooperation and should you have any questions,
please do not hesitate to give us a call.
The Department's address,telephone and fax nrmiber:
Tht tip Of Massachnstm
Depa dMent E&Iziditsbid Accident%
�4�aslaing�n
BQStou,I&obi I I
Tf,-L 4 617-' -4 wt 4€6 or 1-977 IL SAFE
Fax-9 617` 27'749
revised4-24-07 W-MazgaWdia
Town of Barnstable
Building Department Services
VASIL ` Brian Florence,CBO
�i639. ►``� Building Commissioner
fp�
200 Main Street,Hyannis,MA 02601
www-town.barnstable.nmus
Office: 508-862-4038 _ Fax: 508-790-6230
Property Owner Must
Complete and Sign This Section -
If Using A Builder
L ,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)
**Pool fences and alarms are the responsibility of the applicant Pools
are not to be filled or utilized before fence is installed and all final
inspections are performed and accepted.
Signature of Owner Signature of Applicant
Print Name Print Name
Date
Q
:FORMS:OWNMERMISSI0NP00LS
Rev:09/16/17
Town of Barnstable f
Building Department Services
Brian Florence,CBO
' Building Commissioner
200 Main Street, Hyannis,MA 02601
KAM www.town.barnstable.maus
Office: 508-862-4038 Fax: 508-790-6230
i
HOMEOWNER LICENSE EXEIVTPTION
Please Print
DATE:
JOB LOCATION: ��v C
Cumber village
"HOMEOWNER":
name f home phone# work phone#
CURRENT MAILING ADDRESS: .
f �(t4Gr611
city own stw 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
edures and requirements and that he/she will comply with said procedures and requirements.
atureof ,.,.t .
Approval of Building Official
Dote: 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 persons)for hire to do such work,that such Homeowner shall act as supervisor."
1•
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
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.
Q:\WPFILES\FORMS\building permit lnrms\MRESS.doc
08/16/17
OCT-17-2000 10:04 '1RRK J. 5LRDST0NEq P.C, 731 848 7421 P.01/04
MARK J. GLADS'TONE, P.C.
220 Forbes Road
Suite 301
Braintree, MA. 02164
Phone:(781)843-7202(Ext.46)
Fax:(781)648.74-21
E-mail:pollets(ftladlaw.com
WEBSITE: wyd^w.gladlaw.com
T l� ECOMMUNiPATION TRA SMITTAL
DATE: 10/17/00
TO: Thomas Perry—Centerville Building Inspector
FROM: Heather Perry
SENDERS FAX NUMBER: (781)848-7421
RECEIVING FAX NUMBER: (508) 790-6230
RE: Boots v. Gordon et al _
COMMENTS: The following Is the report from our expert witness regarding the property
located at 32 Crocker Street.
Th,,wlk you.
TRANSMISSION TIME: 10:00 AM
TRANSMITTED BY: hp
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TO THE RECIPIENT OF THIS FAX, THIS MAY CONTAIN INFORMATION THAT IS
PRIVILEGED,CONFIDENTIAL AND EXEMPT FROM DISCLOSURE UNDER
APPLICABLE LAW. If you are not the Intended recipient,any dissemination,
distribution,copying or use of this document Is strictly_prohibited_ If you
have received this communication in error,please notify we by telephone
[Collect: (701)963.61011 to arrange for the destruction or return of the
original document to us.
YWeYttfRflftff/9t/RRRRYtR'..tRRYf•..tfNRRROfJMfR.RbMYYWtdYVVW'tYftfflfRRVR1RfA..........test.*."
OCT-17--2000 10:04 MgRK T. GLRDSTONE= ".C. 781 948 7421 P.02/04
AnHONY L.GALEOTA,JR
CONSULTANT
341 ttTTLETOH ROAD
KARVARD,MASSAC1iUESTTS,01451
(971)456•B518
August 22, 2000
Mark J.Gladstone. P.C.
Attorney at La-
270 Forbes Road-Suite 301
Draintrec,MA 021$4
Au: Attorney John R.Pollets and Niaura Richards
Re:Boots et al v. Gordon et al
Dear Attorney PolletV
At your request 1 was present taring a s to visit A 32 Crocker Street, Centerville, IM.A on June S; 2000
beginning at approximately I1:0t;AM, Present at the site visit were Jon iaordon,Claire DeWildc, Tamara
Boats,Attorney Margo Nash and yourself.
The purpose of ibis site -sit was to observe repairs of alleged dannages as outlined by 'descriptions of
1DeWi1va, Boots and Attorney Nash as well as correspondence dated January 4, 2000 between Attorney
Freeman and Attorncy Nash and a Complaint Filed by krorney Nash on behalf of I)eWilde and Boots
dated January 13,2000,
The following are my comments.
It is apparent that the house in question is an older ;home which had been r,-.modeled. with that in mind, it
is not the irtent that remodeling would completely re-build the house to a condition of a newly constructed
house.
The main issues appear to be leaking skylights, floor stains,fireplace and chimney, gutters and downspout
discharges(floe wells),and the roof overlay.
SKYLIGHTS
From slit photographs taken it Is apparent that several skylights knave .leaked. According to
correspondence the skylights were the original skylights manufactured by Wasko. 'These
skylights were tnanufactured as a self Clashing unit not requiring additional add on flasVng. The
lost 5edl (fogging) of one unit is .ornmon and should have been observed during the "Home
Inspcctiott"performed by Tiger Horne lttspection. Inc, for Dewolfe and Boots and brought to the
attention of Gordon prior to the passing ofpapers for replacement of the glass panel to be made by
Gordon.
OPINION:
It is contmonly accepted that skylighu, commonly leak at the intersection of skylights and roof
openings. It is also comrs>fln pratftce that this ype of leaking is easily repaited by reserirtg the
skylight in a waterproofing mastic and scaling the intersection of the skylight with the roof
sheathing with an appropriate sealant.
ESTIMATED C057;
1. The estimated cost to remove and reseal,including replacement of(2)skylights is $350.00
2, The estimated cost to remove and replace(1) fogged$lass Panel is $173.00 i
t
OCT-17-2000 10t04 MRRK J. 5LPD3T0NE, P.C. 791 343 7421 P.03iO4
wOOD FLOORS
The staining on the hardwood floor and sub-floor as noted in the photcgraphs may have been
caused by old water staining or animal urine. I? appears from the photographs as though sonic
minor damage of the sub-Root .at the front entry, had occurred. This condition would not have
been observed with the hardwood flooring in place or until the hardwood flooring had been
removed. This is a common area for potential wood rot. No evidence of hardwood damage was
noted from the photographs.
Dark staining of a hardwood floor covering is common practice when discoloration of hardwood
flooring is observed. This was done by Gordon.
OPINION:
The method used by Gordon to darken the floor by staining with a dart: stain and sealing the
hardwood floor is appropriate. Since no damage to the sub-floor could be observed without
removal of the hardwood floot and no complaint of urine odor wss an issue and since the
condition of the hardwood floor in the entry area was adequate since no complaint of softness of
the floor and since no defeei was noted by Tiger Home Inspection, Inc. during the home
inspection which was conduemd on behalf of Boots et at, the condition of the hardwood flooring
was considered to be usable and normal condition at the time of closing-
1 f, as alleged, the floor was damaged due to the leakage from the skylight, an adequate repair
could have been made and the floor re-stained and sealed,.
ESTIMATED COST:
The: estimated cost to replace appioxunately 25 square feet of hardwood flooring, stain the new
flooring and seal the entire floor is $375-00
FIREPLACE.AND CHIMNEY
As seen in the photographs, water staining and old parging (cement coating) are visible_ These
conditions are common with old chimneys.The staining is usually caused by lack of a rain cap on
the exterior top of Lhe chimney. Rain caps are not required. It should be noted that only the wall
on the kitchen side of the fireplace was removed and the area above the original ceiling were open
allowing the chimney itself to be visible in those areas only according to Gordon. Parging of the
exterior face of the chimney would have been sufficient to make the chin-mcy in tact.The framing
surrounding the ehirrmey as viewed from the photographs appears to conform to present day Code
requirements. Since Heatolator type fireplaces are considered to be zero clearance units, meaning
that clearances to eombusrible materials as outlined in the existing code does not apply.
As seen from the photographs, the metal fireplae. appears to be the ortbinal prefabricated
Heatolator fireplace unit. Rusting and denting of this type of unit is common. Even though the
photographs show rust I am unable to determine if there was actual rust through of the steel
firebox or smoke chamber. No defect of the fireplace was noted in the repay! of'Eiger Horne
Inspection, Inc, which was performed for Boots et aL It is common in most casts to repair rust
through,if it has occurred,by welding new steel to the existing prefabricated unit.
The comment relative to the chimney not complying with present day Codes as stated in the
Capputzi letter dated May 25, 2000 is not applicable as no work was performed on either the
fireplace or the chimney by Crordon. Thetefore, these items are grandfathered since no
Commonwealth of Massachusetts Code existed at the time of construction of this house. .
OPINION.
It is my opinion that repairs to the chimney and the fireplace could have been made,if necessary,
by parging of the chimney and the repairs to the steel firebox and smoke chamber of the fireplacc,
Certainly the inatallatioe of a new prefabricated zero clearance fireplace may have been an option.
2
OCT-17-2000 10:05 MRRK J. OLPI)STONE, P.C. 791 348 7421 P.04/04
EST1:u1ATBD COST:
The estimated cost 10 remcve attd replace with shectrock the walls surrounding the chimney and
fireplace,parge the cttrmney and repair the fireplace would not have exceeded' $75D.00
If a new prefabricated zero clearance fireplace had been installed in place of the fireplace repair,
the cost of furnishing and installing the new fireplace would not have exceeded ari additional
31750.00
GU 17ERS AND DOWNSPOUTS
"Flow wells", butters or downspouts are not
required per Code, it is alleged, *.'ne water tfom the
roof overshot the gutters.
OPINION:
if;,n fact the water from the roof overshot the gutters,repairs to correct this condition could have
been perfotmed.
ESTIMATED COST:
The estimated cost to provide alteration to the gutters to prevent the roof water from overshoot04
the guners is:
ROOF
The origins; roof, as viewed from the phatr)graphs, was constructed with 2X6 roof rafters. This
methol of frarrstng was common When this house was built and is prevalent in houses built during
that era and car be observed even today in existing houses of this age. The photographs and the
letter of C.ltpizzi,dated May 25, 2000 do not indicate that the original framing system had failed.
The so called"retake shift zoof'as stated in the Capizzi letter was installed,according to Gordon.
as the 2X6 rafters had sagged somewhat and Gordon wanted a straight surface bc,"ore installing an
expetzsive architectural grade shingle surface. Gordon has also stated that several rafters had been
sistered by him and 2X3s be cr tapered and installed on a portion of the front muf to remove the
sag as well as OSB board installed over the areas where the sistering and the OSB board had been
installed. Gordon also stated that sections of rotted roof boards were observed and replaced at
other locations of the roof.
The purpose of the additional framing and OSB board was not to strengthen the roof structure
excerpt in locations whc-e Gordon ststered additional rafters.
"11te roof shingles presently out the too are of a lesser quality that.those installed by Gordon;
OPINION:
It is my opinion that the work relative to the roof was adequate as performed by Gordon. Further,
it is my opinion that the reconstruction of the roof from nay observations of tkte photographs as
welt as discussion heard from Boots,Artomey Nash and Gordon was unnecessary.
in summary it is my opinion that the work suggested by Cappizzi and others far exceeded that
which was necessary to provide a comfortable safe rnvironrncnt for the plaintiffs, It is further my
opinion that the work ordered by the plaintiffs far exceeded accessary repairs which should have
been the yardstick For repairs for home of this age.
y truly yours,
� n 1
Anthony aleota,Jr
MA Bid prvsrs 1 is N , GGS 20
Boston B rs Lic No,B 63
ASHI Cert 1Vv. 00007 5
3
TOTgi. P.04
" TOWN OF�BARNSTABLE BUILDING PERMIT APPLICATION
Map 02/0 Parcel l S y,00 i Permit# q 9
Health Division 3 .30 --Op? 1 I�fSTi�l�D� � °� iD4tq.,Issped 3 3
Conservation Division - E IRo"ENTAL�/ITW TITL
'Tax Colle - TowN,RE AND
GUL�T9�C®� �
Treasur' Q'� /` �g�''
Planning Dept. e
Date Definitive Plan Approve by Planning Board
��p2 ��cL
Historic-OKH Preservation/Hyannis
Project Street Address ` �0� l Zen
Village L ry 1 oo -�-
Owner `� l" +�P a Address
Telephone
'Permit a est 3. rc-jmo 14C CA 4 zel s• f oo i S
:^ i
/! G4— PAiAmo,, StPkr—Y I.r Ilew. ;G a,4 j
cis C14,h_dk'APtw) . r c is icy- re P R4 �Ic��tf .
Square feet: 1st floor:existing • I proposed 2nd floor: existing proposed Total new
Estimated Project Co/ ° eve Zoning District Flood Plain Groundwater Overlay
Construction Type
Lot Size Grandfathered: ❑Yes ❑No If yes, attach supporting documentation.
Dwelling Type:'Single Family 6� Two Family ❑ Multi-Family(#units)
Age of Existing Structure Historic House: ❑Yes N—o On Old King's Highway: ❑Yes avo
Basement Type: Full ❑Crawl ❑Walkout• ❑Other
Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft)
Number of Baths: Full: existing new Half:existing new
R �
Number of Bedrooms: existing new
Total Room Count(not including baths):existing new First Floor Room Count
Heat Type and Fuel: ❑Gas ❑Oil •❑ Electric , ❑Other
Central Air: ❑Yes No Fireplaces: Existing f=-� New Existing wood/coal stove:"U'Yes ❑No
Detached garage:❑existing ❑new size n Pool:❑2xisting
stin ❑new size Barn:❑existing ❑new size
Attached garage:❑existin ❑new size Shed: ❑new size Other:
9 9 9
Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ `
Commercial ❑Yes tO No If yes,site plan review#
Current Use _/ �j/��`l )4' Proposed Use
BUILDER INFORMATION fj
Name �(ll Telephone Number
Address License# '
I Home Improvement Contractor#
Worker's Compensation# js
e.
ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO
SIGNATURE,' DATE _3
s _ _ FOR OFFICIAL USE ONLY " _ ' •, _ '
PERMIT NO.
DATE ISSUED
MAP/PARCEL NO.
ADDRESS .. VILLAGE
OWNER
DATE OF INSPECTION
FOUNDATION
• FRAME Q« _ _ ,: - -• , ,
INSULATION
FIREPLACE °-
ELECTRICAL: ROUGH FINAL'
r PLUMBING: ROUGH FINAL_r
'1 GAS: ROJGH FINAL"
FINAL BUILDING 3. Z�✓,�;� ! r
DATE CLOSED,OUT
ASSOCIATION PLAN NO. `_ !
TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION
Map t Parcel �� o Ob� F Permit#.
Heetu,Division Date Issued
Gensmvafiamg�vWon Fee
Tax Collector
y�
Treasurer f4%�/G���-� � -
Ram"'.
Date Definitive Plan Approved by Planning Board
• Histe�ie--AI4H �er�/#yanrais
Project Street Address
'Village j Qc(7rk VILLA
Owner ,L l/_�E IyL��`� 7ri�-MRiit Bo0r5 Address "54.k?)e {
Telephone
Permit Request� ae 2 51<A/ki 6O Ts l BSI AL67 OX aELIfS C.
� so P
Square feet: 1st floor:existing proposed 2nd floor: existing proposed Total new
Estimated Project Cost�� _Zoning District Flood Plain AJ Groundwater Overlay
Construction Type
Lot Size Grandfathered: ❑Yes CJ40 If yes,attach supporting documentation. ;
Dwelling Type: Single Family W Two Family ❑ Multi-Family(#units) '
Age of Existing Structure Historic House: ❑Yes U o On Old King's Highway: ❑Yes U4110
b
Basement Type: ❑Full . O Crawl ❑Walkout ❑Other
,Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft)
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
Heat Type and Fuel: ❑Gas ❑Oil ❑ Electric ❑Other
Central Air: O Yes ❑No Fireplaces: Existing New Existing wood/coal stove: ❑Yes O No
Detached garage:❑existing ❑new size Pool:❑existing ❑new size Barn:❑existing O new size
;Attached garage:❑existing ❑new size Shed:❑existing ❑new size Other:
Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑
Commercial ❑Yes Alo If yes,site plan review# -
Current Use Proposed Use
BUILDER INFORMATION
Name e— _Yt MA4-1 Telephone Number q!57-/k
Address . License# D VCQ
0 %2u,r d-63 Jr Home lmprovement,Contractor'#
Worker's Compensation# G�CBa 8�
o
ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO
SIG NATUR / DATE
- FOR OFFICIAL USE-ONLY
PERMIT NO.
DATE ISSUED
MAP/PARCEL NO. t _
ADDRESS VILLAGE- - �{
OWNER
-DATE OF'INSPECTIO +. a r:-�
a r V
FOUNDATION
FRAME
INSULATION
FIREPLACE �-
ELECTRICAL: ROUGH FINAL
PLUMBING: ROUGH FINAL
GAS: ROUGH FINAL,
5t FINAL BUILDING
DATE CLOSED}OUT ------------
} 4 r
ASSOCIATION PLAN NO.
• 1
4
' {{ t r , •f • I R {
HOME'7MPROVfMEN ` r ;:,,� '�anznurnureca
�. Registration ' T:CONTRACTOR
10074p t ,�at % BOARD OF`B,UILDING REGULATIONS
TYPe`PRNA TE CORPORATION License: CONSTRUCTION SUPERVISOR
Expiration
06/23/pp + Number: CS 057032
CAPIZ7I HOME IMPROVEMENT
a5•� , INC`. I ExpirQs 09/26/2001 Tr.no: 5742
pl
ADMINISTRATORaPitzi,. Sr
��'%?45 Newton Rd
} Restricted?To• oo ;
Cotult MA 02635
== i THOMAS X CAPIZZI JR � !�✓ I .
280 PERCIVAL DR ! .
W BARNSTABLE, MA 02668 Administrafor ;
4
} 4
.: � `a ✓fie Vomw�u� �/U� �, .
I ✓lie '�anz�rea�uueal(�. o.��< ZaJJaefiuJeCIJ-
DEPARTMENTPUBIIC`SAFETY.
r '' OEPARTNENT OF PUBLIC SAFETY L
CONSTflUfTION SUPERVISOR LTGENSE
I r CONSTRUCTION SUPERVISOR LICENSE + Expires:
!
— Restricted To 00
I' Restricted To 00
GAPIZZI
�� FREOERICK V RASCH III 4 ,' ` ; 1645'NEWT;OWN.RO
W,ee-YA 1060 BOURNE.RD II ' COTUIT,
4
Pll'MOUTH. NA 02360
'i
s• y, s..
. 3 4
� f
rN
Pr-
Ar
� - -
Prrzt _ -
• h
.:
: . . : The Town of Barnstable
�j•AAT t
�' Department of Health Safety and Environmental Services
059. Building Division
367 Main Street, Hyannis MA 02601
Office: 508-790-6227 Ralph Crossen
Fax: 508-790-6230 Building Commissioner
For office use only
Permit no.
Date i
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 requirement f -
Type of Work: '- -
1=st. Cost
Address of Work: ��, S� �'
Owner's Name
Date of Permit Application:
I hereby certify that:
Registration is not required for the following reason(s):
Work excluded by law
Job under 51,000.
Building_not owner-occupied
Owner 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 PROGZAM 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.
n
C fl P
OR
Date Owner's Name
_ e ommon o
AS : — Department of Industrial Accidents
?� -" wee 01/DYCStlUMONS
'- 600 Washington street
Boston,Mass. 02111
Workers' Com ensation Insurance Affidavit
m
name:
location:
city r)hone#
❑ I a homeowner pmformidg all work myself.
❑ I am a Sole etor and have no one worldn in aav achy
I am an employer providing workers' compensati n for my employees worlang on this job.
/ .;.
":
tom anv siame4.
gdaress . : . .:
D hone: .
XX
..
. _.
. ;:...:.
Afisurance ca:;.:::. :.. :: oils v#
❑ I am a sole proprietor,general contractor, or homeowner(circle one)and have hired the contract listed below who
have G0G e, ��
the following workers'compensation polices:
-..
.:... .:..:.:. ..:.::...
..:. '.'.
cons anv name.D
r;
:;;;:;.
...........
address. .............:
.............
:.
::..
:..:..........::.:..:..::.::::.:::.:.:....;':::.::.:.:.:.......
... . ....::::....
sr :>
�t
( :[
tv} DEitm
.......`?iii:::: : +}}:>::��":i:[i:}gill:; :}gill:;:;isiiiiw•::'4iii:rii:+iiiiiiii:•i:'•:i�i:i;:: ::}:i::i;iY;:;i:;:;i�l:':;i::i:;:;f;ii'J::ii::::�:<:::::ji:!:i:'i:J )i:•iiiiii:({:;::iij�i:;::: i':i:?::;Y+i:�:
........................................
:+•:::v::•.�::::::...:.:i:.;;.�::......,.. }.:::::.. .... ....):•:::::::::v:::.:......n........:..............::.:..v:::4::. pvi:yry:ice.:>:::: ........ X................._.:::......:::..:v:::::::::::[.:::.:.�:.?i::v:•i:4........::::.....::......:::' .... .......... .....J.e. A.....h....�...
....[ :.::.[..�::::.::::n:w.v;::(S:,•, �W.CAM..•.:
hsnrarrce ca...... ...................,............:.......,......:..............:.;,.... ::::......
X.
X.
............................. ......:........:..
.;.;: .,..
�:s:
............
......`.. ...:........ ... : :..;:;:.:
::
address: ..:.: -: ...:. ,..
. >?>::::
».
>.:.
tlty _ _ . :.. Gene#: 4.
:.:.::.......... .:.:........ ........:.....:. . ........
:.:..........
:.:;...:
..........
...........::::.::�..:::::::::::.:::::.�.�::::.�:::[::::::::::::.�::�;n:::::.i':{:::::.}:vii'�3:+:..;;:.��:::::::::!:Si:;'::<::%sY.is�'ii?>is�.:?�:•:ii:iii::ii ?:ii:[:)'+i'}ti:;:�iiiy
..........
:.
Fai]are to seems coverage as required under Section 25A of MGL 152 can lead to the imposition of aimiaal penalties of a fine up to S1_0o.00 ad/or
ono years'imprisomaent as well as dve penalties in the form of a STOP WORK ORDER sad a fine of S10o.00 a day against rah I mderstiad thad a
copy of this statement may be forwarded to the Once of Investigations of the DIA for coverage verification.
I do hereby cczrttify under the pave and penalties of ppedury the the information pro-tided above is true and correct p
Signature fXZzc/�2!c-/� �/ /�/Cc><t�i �:� Date
oiScial use only do not write in this area to be completed by city or town otHdal
city or town permitlllceme is ❑Bufldhrg Department
�] if fixy ..ai.d.�ponm is required ❑Licenv�Board
❑Sdecizaen's Office
_ ❑HealthDepariment
contact person: phone#; m other
(tsvts.d 9N5 PJN
r +
i
` TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION
Map 416 Parcel 159 ®a � C�,mom'" Permit# e�"��
.ki®a4tli-Sinision C Date Issued �-' 000
n Fee d 7, 2
Tax Collector
Treasurer s n I l 5 t✓ I pe�rn
Planning Dept.
Date Definitive Plan Approved by Planning Board
ProjeA Street Address
fwn �2(�t�[I.�Qp �- "�� ®�5 Address mime-
Telephone .93�7
Permit Request 0,WM1Jf-J ff_ft i kb Poo",
otry" Tv %i Psr FLOUVz-
(�i l i�u.r9 A-L 5 b De VM r 5 V S7 '067)ioUL-'
to zX/ID s&
Square feet: 1 st floor:existing proposed 2nd floor:existing proposed Total new
Estimated Project Cost ����3` Zoning District - Flood Plain Groundwater Overlay
Construction Type W b FK-r
Lot Size Grandfathered: ❑Yes ❑No If yes, attach supporting documentation.
Dwelling Type: Single Family Two Family ❑ Multi-Family(#units)
Age of Existing Structure Historic House: ❑Yes 54o' On Old King's Highway: ❑Yes Woe
Basement Type: ❑Full ❑Crawl ❑Walkout ❑Other
Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft)
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
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 d No If yes,site plan review#
Current Use Proposed Use
BUILDER INFORMATION
Namehwju /*Me i7mlo -- Telephone Number
Address-i(o4t- License# 0S `7a 74
COS_MA � 0 3� Home Improvement Contractor# /dd 7
Worker's Compensation 51?a, (0
ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO
SIGNATURE DATE DATE _ / ,S-La
Jok,c,4-pia Z_
r FOR.OFF•I"CIAL USE ONLY
PERMIT-NO..'
DATE ISSUED
MAP/PARCEL NO. — -'
4 l y
.ems f � r;• my° _
ADDRESS VILLAGE
OWNER;"+
DATE OF INSPECT
p
FOUNDATION 'a r
FRAME
Y -
INSULATION
FIREPLACE
ELECTRICAL: ROUGH^ FINAL —A'
'
PLUMBING: ROUGH FINAL
GAS: ROUGH FINAL
• .f r?
FINAL BUILDING =
DATE CLOSED OUT
ASSOCIATION PLAN NO::" rya
ti
- - i V :T-V--AA Vi y..�a
Department of Health Safety and Environmental Services
Lei¢ .•
Building Division
367 Main Street,Hyannis MA 02601
Office: 508-862-4038 Ralph Crossen
Fax: 508-790-6230 Building'Commissione:
Permit no.
Date J
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: Chimix,I Estimated Cost ,3 0
Address of Work: 0" of-
Owner's Name: Q, (9:1-re— -!a niiifrQ. 9)n c?S
Date of Application:_ 6 0, �
I hereby certify that: '
Registration is not required for the following reason(s):
Work excluded by law
[3Job Under$1,000
Building not owner-occupied
E30wner 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.
46,6 6
Dad Contractor Name Registrauon No.
OR
Date Owner's Name
q.fonns:Affidav
--- The Commonwealth of Massachusetts
!{w :- - _ -
+1�� =. Department of Industrial Accidents
_ = � Olfice of/o�estigatians
600 Washington Street
Boston,Mass. 02111
Workers' Com)ensation Insurance Affidavit .
r/�
name: ma
location: 3c2 Cn OKei- !:31
city Cnr1&n6 1140 I-M phone 1l 7�S0J �36
❑ m I a a homeowner performing all work myself. �
❑ I am a sole roorietor and have no one working in any capacity
I am an employer providing workers' compensation for my employees working on this job. i
l�- � i
comonnv name: 1�/� 1a d"1L f'f blYl� =llil� Alirs JILT
address: A 1e&J7D W AJ
city: 0 / ]� ' tool to.3S phone#:
insurance co. ilff yuzrh:�,—Ab Colicy# Sfyot&(Orl .
❑ I am a sole proprietor, general contractor, or homeowner(circle one)and have hired the contractors listed below who
have
the following workers' compensation polices:
comoanv name:
address:
dtv phone#•
insarnnce co. oiity# ' `
comnanv name:
address
city phone M
....:::::.....
Insurance co. oil CV# :< <. <: >•: ;>:; . :: ,x........ :::
Failure to wears coverage as required under Section 25A of MGL 152 can lead to the imposition of crhninal penalties of a lane up to S1.500.00 and/or
one years'isnprisomnent as well as civil penalties in the form of a STOP WORK ORDER and a tine of 5100.00 a day egainst me. Lund erst fd that a, ,
copy of this statement may be forwarded to the OMce of Investigations of the DIA for coverage veeipeation.
I do hereby certify under the pains andppenalties perjury that the information provided above is Irtu and con eat,
_Date
Date J� _
Phat name 159,Cb Et/LIL Lt. R A S C N_ �ne Q�10t ZZ 1 Phone is s l$�
(:o(nuse only do not write in this area to be completed by city or town otntial
own: pertnitlUcense 0 ❑Building Departtnmtt
C3Llcensing Board
k if immedWe response is required ❑selectmen's Omce❑Health Departmentperson• phone M. ❑Other_
lnvim*95 PJA1
HOME,:r:--.�.
1 1 iJ, IMPRO VEME
a ;,Reglstra „NT CONTRACTOR;
I tlon' 100740 " " 1 a BOARD'OF BUILDING REGULATIONS
TYPe ` PRIVATE CORPORATION ' + I License CONSTRUCTION'SUPERVISOR
;
:a� _
;. P1ratlon 06/23/00
* s l Number CS 057032
CAPIIZI'HOME IMPROVEMENT +
Ezpirgs 09/26/� Tr nos :5742
I i
dS CdP1ZZ1; �r }
ADMINISTRATOR i o 4 J,:. j.
New t o Restricted,T61: 00
COtU1 t MA 02635 t THOMAS`X CAPIZZI JR
i
• 280 PERCIVAL DR- - I
W:B.ARNSTABLE, MA 0266.8 ' Admlmstrator i;
f;I
�r
Tuj. Gomz�noiuueii/✓(� o �.�Glczvaudell� �� DEPARTMENT OF PUBLIC SAFETY
w DEPARTMENT OF POOLIC;SA.FETY
max,@s, CONSTRII(TION SUPERVISOR LICENSE
t
CONSTRUCTION SUPERVISOR LICENSE Numher , Expires:
j' @
, �`•- 4 �-y—�-�•--' ;i .. i fi.' R�st� >;�SI Tay @
Restricted`To 00 { ` w
�. l
FF'REDERT�C�� V RASCH III
,- -- 1645 NEWTOIJN RV
.
,re 1060 BOURNE:"RD U'
� I> COTUIT,
PLYMOUTH, MA 02360
I
e own of Barnstable
TMe
Department of Health Safety and Environmental Services
Building Division a
BAMSTMM
` 367 Main Street,Hyannis MA 02601
�prFD MA'I A
Office: 508-862-4038 Ralph Crossen
Fax: 508-790-6230 Building Commissioner
HOMEOWNER LICENSE EXEMPTION
3,u3p ,?f
Please Print
DATE:
JOB LOCATION: 5 nye le r _�
number/ j 70AA
t // villagey"HOMEOWNER": 61a,4eK 5[ t446l (n N ��¢� 7�f ! d Ot
name home phone# �] work phone#
CURRENT MAILING ADDRESS:
9/ A/� vI
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 en rmit. (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 inspect' procedures and requirements and that he/she will comply with said procedures and
requirements
_Al��
Signature o omeowner
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 to amend and adopt such a form/certification for use in your community.
Q:FORMS:EXEMPT
The Town of Barnstable
9ART TAME. t
9 '� �m�' Department of Health Safety and Environmental Services
Forte'' ,;Building Division
367 Main Street,Hyannis MA 02601
Office: 508-862-4038 ' Ralph Crossen
Fax: 508-790-6230 Building'Commissioner
Permit no.
Date 3 IWo—a
lit
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
reggirements.
Type of Work: t- 1 Estimated Cost ,>
i
Address of Work: e lat &r !� �t �°f P)ile
Owner's Namd) rf� r j
Date of Application: 3 13,91�
I hereby certify that:
Registration is not required for the following reason(s):
Work excluded by law
Job Under$1,000
[:]Buil ' owner-occupied
caner 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.
3bt o r R
DatOwner's Name
q:fbmis:Affidav
The Commonwealth of Massachusetts
+ j Department of Industrial Accidents
- Office oflnti-estigations
°-�
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600 Washington Street
�— Boston Mass. 02111
%/ sensation Insurance davit
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location-
name: �/J�
/�O)� 1 L��1�le Zia
city hone#
MA"am,a homeowner performing all work myseif.
fn I am a sole proprietor and have no one working in any capacity
❑ I am an employer providing workers' compensation for my employees working on this job.
comnnnv name:
address:
city phone#�
insurance cn. nolicy#
❑ I am a sole proprietor, general contractor, or homeowner(circle one)and have hired the contractors listed below who
have
the folloning workers' compensation polices:
company name•
address: :•:,:;: ::.:.
city ohone#-. . .
insornnce co. olicv# -
comnnnv name:
address:
ciri: ... phone#' :.,....::;;;;.
insnrancc co. :..:::• oliev# ;:;;:. ........
///////
Failure to secure coverage as required under Section 25A of MGL 152 can lead to the imposition of criminal penalties of a fine up to sizoo.00 and/or
one years'imprisonment as well as civil penalties in the form of a STOP WORK ORDER and a fine of 3100.00 a day against me. I understand that a
copy of this statement may be forwarded to the OMce of Investigations of the DIA for coverage verification.
I do hereby certify u p ' an penalti/espojperjury that the information provided above is tru and orr�d
P?t�j (f��L l�F S� 15 Date �((�
Signature _
Print name �� 19f�®fi IrS Phone# / � ,
official use only do not write in this area to be completed by city or town ofncial
city or town: permit/license# QBuilding Department
❑Licensing Board
❑cheek if immediate mporue is required ❑Selecanen's O111u
. Health Department
contact person: phone#; ❑Other
(mvm 9,95 P1A1
Information and Instructions
Massachusetts General Laws chapter 152 section 25 requires all employers to provide workers' compensation for their
employees. As quoted from the "law", an employee is defined as every person in the service of another under anv comer-
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,sand including the legal representatives of a deceased employer, or the receiver c:
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 Cr
building appurtenant thereto shall not because of such employment be deemed to be an employer.
MGL chapter 152 section 25 also states that every state or local licensing agency shall withhold the issuance or renews
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,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 insurance requirements of this chapter have been presented to the contracting
authority.
Applicants
Please fill in the workers' compensation affidavit completely, by checking the box that applies to your situation and
supplying company names, address and phone numbers along with a certificate of insurance as all affidavits 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.
WEI/ i N/m/m/
City or Towns
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 cons=you regarding the applicant. Please
be sure to fill in the permit/licease number which will be used as a reference number. The affidavits maybe returned 10
the Department by mail or FAX unless other arrange have been made.
The Office of Investigations would like to thank you in advance for you cooperation and should you have any questions.
please do not hesitate to give us a call.
The Department's address,telephone and fax number.
The Commonwealth Of Massachusetts
Department of Industrial Accidents
Office of Invesdpadons _
600 Washington street
Boston;Ma. 02111
fax#: (617) 727-7749
phone#: (617) 727-4900 ext. 406, 409 or 375