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HomeMy WebLinkAbout0059 NORTH PRECINCT ROAD T jD e. ° Town of Barnstable Building •nluiSrA LE. Post This Card So That it is Visible Fromthe Street Approved`Plans Must be Retained on Job and this Card Must`be Kept 9 MA'qS' Posted Until Final Inspection Ha's Been Made 1639. •-- ,"' <� '; ` Pg■.� „u•�° mit Where a Certificate of Occupancy„is Required,such Building shall Not be Occupied until a Final Inspection has been made Permit No. B-18-331 Applicant Name: OLIVEIRA, DEVANIR J& ELAINE K Approvals . Date issued: 02/05/2018 Current Use: Structure Permit Type: Building-Siding/Windows/Roof/Doors Expiration Date: . 08/05/2018 Foundation: Location: 59 NORTH PRECINCT ROAD,CENTERVILLE Map/Lot: 148-132 Zoning District: SPLIT Sheathing: Owner on Record: OLIVEIRA, DEVANIR J& ELAINE K 4 Contractor Nam6: Framing: 1 Contractor license: Address: 59 NORTH PRECINCT ROAD j; 2 CENTERVILLE, MA 02632 Est Project Cost: $ 2,500.00 � Chimney: Description: replacement Windows(5) _ _ PeYmit Fee: $35.00 i Insulation: t Fee Paid $35.00 Project Review Req: Date. 2/5/2018 Final: . Plumbing/Gas Rough Plumbing: Building 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. 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: t et ntal EI t The Certificate of Occupancy will not be issued until all applicable signatures by the Building and Fire Officials are provided on this permit. Service: Minimum of Five Call Inspections Required for All Construction Work: 1.Foundation or Footing _ y 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: "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 �1ME Tn.- Town of Barnstable *Permit it:P'/ -,0 Building Department V a 6monthsfrom issue date RAMm•,,mE, : Brian Florence,CBO G y� v 116j¢. �eMAS& � Building Commissioner ti ,/ V �iOrED MA't° 200 Main Street,Hyannis,MA 02601 ® j www.town.barnstable.ma.us � o ` Office: 508-862-4038 "F&608-790-6230 EXPRESS PERMIT APPLICATION - RESIDENT _ ONLY Not Valid without Red X-Press Imprint ft/h Map/parcel Number U I �' Property Address residential Value of Work$ Minimum fee of$35.00 for work under$6000.00 Owner's Name&Address Contractor's Name Telephone Number Home Improvement Contractor License#(if applicable) Email: Construction Supervisor's License#(if applicable) ❑Workman's Compensation Insurance Check one: ❑ I am a sole proprietor ZTI am the Homeowner ❑ I have Worker's Compensation Insurance Insurance Company Name Workman's Comp.Policy# Copy of Insurance Compliance Certificate must accompany each permit. Permit Request(check box) ❑ Re-roof(hurricane nailed)(stripping old shingles) All construction debris will be taken to Re-roof(hurricane nailed not stripping. Going over - - existing layers of roof) - -- - ❑ Re-side Replacement Windows/doors/sliders.U-Value (maximum.32)#of windows #of doors:.n *Where required: Issuance of this permit does.not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. ***Note: Property Owner must sign Property Owner Letter of Permission. A copy of the Home Improvement Contractors License&Construction Supervisors License is required. SIGNATURE: QAWPFILESTORMEXPRESS2017 the Com momveakh r�,f Maysaddrusetts ~�Deparfinent&f industrial Accidents flfce of bzFestiga dom . 600 Washington Street -- Boston,MA 02111 rvrvrumas&govfdia Wiwi ers' Campensatsan7n"ceAffidavit:B,u-ilder,-l(;antractarsMec6r cians/Plumbers Applicant I[i1fmm2atian Please Print y Flame(13nda=K)rgar on&ffivi Address: cityrsta - Phonetwk-' �- Are you an employer?Check the appropriate box: ' T of project r I_❑ I am a em 1 with 4. ❑I am a general contractor and I Type F ] (required): P°� 6. ❑New ooasfructiort employee$(fall amYor part-timer* have hired the sub-contractors' 2.❑ I am a sole proprietor orpartner- listed on,the attached sheet. 7 2JRemodehng ship and have no.employees These sub-contractars have g-,❑Demolition wading for me in auy capacity. employees and hay=e workers' 9. ❑Building addition wodmrs' comp insurance comp.insu[aa I repaired J 5. ❑ We are a-corporation and its 10_❑Electrical repairs cr additions 3-1 I am.a homeowner doing all work officers have esescised their 1 L❑Plumbing repairs or additicns �..el£[No workers'camp- right of exemption per MGL 12.❑Roofrepairs imm ancei d-]l c.152, §1(4�aadwe have no employees-[No o&.Pss' 13.❑Other canp-insurance required] $Auy L"Ucomt9at cbedmboa Fl 'also fno=tthe secd=beIowsbuiug tieusuozRee cvmpe¢satiaaporiicyinfarmauo L Momeawnem who submit thisdfidniliadcadag they amdaing0vraaland&mhimsu=&cantaactors— enbmitanewafd:eatiadiamnesacTi kbut zam lF»r-hwl 3 h WE auast e=bed an admd—si sheet sbauimg flm mmne of&e and state wheAm or not*ose eafitkshanve eqplwiees.If thesab<==ctmshmemployee%dLeym=pmvidetlo&worken'camp.po-lic numbm -Tam an enepIoyer€]iat isprai idiug ivarke-rs'compensation i.rsrirarcce,for my gnrphvjwL-s Refew is i ie paticy and jab sHe information. Insurance Company Name: Policy,4*L.cr Self-iris.Lic-;k FmpirationDate: Job Site Address: - _ __CO/Statel ip: - Attach a copy of the workers'compensationpolicy-declaration page(shovring the policy number and expiration date). Failure to secure coverage as required under Section 25A of M(3L c-IM can lead to the imposition of criminal penalties of a fiae up to$1,500 00 andlor one-yearimprison:mezd,as w611 as civil penalties.in the form of a STOP WORK ORDER and a fine of up to$250-Da a day agate the violator. Be advised that a copy of this statement maybe forwarded to the Office of Irrves igatiom ofthe DIA for insurance coverage+u an I do hereby eero�asugertheINM andrpsrralties afp&j'uty fhatf is infbrmafianprat hW abmv is berg and correct Sit a4rre= �/ I Date: Phase i ,d =� � o. O,Oicial we roe£}. Do clot write in firs area,to be-campfeted by city ortote n o frerat t City or Town.: PermibUcense# Issing ALnfharety(facie one): L Board of$ealth 2.Building Deparfincut 3.Clt�Y£own Clerk 4.Electrical Inspector S.Plumbing Inspector 6.Other Contact Person: Phone#: — - -- - 6 o�rmation and lastrxcdons ' Mass jrmctts Ge�2cral Laws chapter 152 regones aII employers to provide wa6ras'compensation for their=3ploY,-,=- PMMU2Mt7tD this siStUfe,an=Tbume is defined as.6_-may person m the service of another ender any contract ofhi e, CXPrCSS CT iMP Oral or writte . Air ampkyer is as-an mc$vidnA partnersEip,association,corporation or legal entity,or any two or more of tlue foregoing is a Joint=uprise,and inchicTmg the legal repres of a deceased employer,or the receives or ixnstee of individual,paitneOship,association or other legal entity, loving employees- However the owner of a dweIIing a having not more than three aparbnents and who rest therein,or the occ¢pant of the . dweIImg house of anotli who employs persons to do ma�eaance,cons(xIILt or repair wow on such dweIling house or on the grounds or appudnnarsfthereto shalln-otbecanse of such loymeutbe deemedto be an employer." MOL chapter 152,§25C(6) sues that revery sfafe u or local sing cp shad witbhnId the Lssaance or renewal of a license or permit operate a bushels or to constr-act bwl,' mt the comnron:vealth for ray. applicantwho has notprodnced cceptable evidence of cdmpliance the hwm-znnce covearagere:gnired." Additionally,MCrL chapter 152, § states'Neithm the co==we nor jay ofifs political subdivisions shall enter into any contract for the p ce ofpnblic work nntil acceptabl evidence of compliance with the bsoraace. rmfair Tents of this chapter have been encontractingd to the con autho " ApPHran:fr , Please fol out the workers'compensation ar'T " completely;by the,boxes that apply to your situation and,if necessary,supply sab-�ntracbr(s)name(s), es)and phone Cr(s) along with their certificafe(s)of insn=ce. Limited Liab�7ity Compames 9 LC)or Liab�ity-P s(LIT)withno e�Ioyees other.than the members or pa¢taeas,are not regoard to cauy woik compensation ce If an LLC or LLP does have employees,a policy isregaized- Be advised that this yitmaybe - tatheDeparimentof Industrial Accidents for confM ation of insnrance coverage Also b e to and date-the affidavit. The affidavit should be-retnmed to the city or town that the application for the p or ' e is being requestA no t the Department of . Ltrial 14�cciidenis_ ChrniTdyou have any gne�stions rdgarding ' e or you are reed to obtain a workers' compensation policy,please call theDeparfmj=±at the nrumber " below self-instu�edcompaniessbonIdentertheir s elf-isara ce license raamber on the appropriate line. City or Town.Officials t Please be sore that the affidavit is camplefL-and printed legibly- e Dep has provided a space at the bottom of the affidavit for you to fO l out in the event the Office of Inv has ntact you regarding the applicant Please be sure to fill in the pennTtlliccwa n►mber which wM be ed as a refaea umber. In addition,an applicant &Z±must sabmit ID.ultiple p e=tlIicense applitafions in auy giv year,need only one affidavit indicafiag cuseat policy ii�ration Cifnecessary)and ender`Job Sits Address" applicant should . " mall locations in_(city or town)"A copy of the-affidavit that has been officially sb ped ma3ked by th e city wn may be provided to the applicant as proof that a valid affidavit is on file for fcdm p or licenses A new vit must be f Iled ovt each year."Where;a home owner or citizen is obtaining a license or pa not related t4 any b s or commercial venue (Le. a dog license or permit to bum leaves etc.)said person is NC T reqcftEd to complete this davit: The Office of Invesligaiions would lake to thank you in advance r your conperaCion and should have any-quEstions, please do not hesitate to ghm us a call The Df--E5 menf's address,telephone and fax mmmbem Thy CanIan'We t l aclhU& tts - DepottRe t of AoDidents ��of�tv do-� • �rn211'fA -11� T�,1 4 617-27-49 xt 40 �r I-9.�MA.S -� Fax 7 ,7 � Kevised4-2447' 4+E A Town of.Barnstable Building Department 9MASS.erg" Brian Florence,CBO E p.59. e,1` Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.barnstable.maxs Office: 508-862-403 Fax: 508-790-6230 Property Owner Must Complete and Sign This.Section If Using A Builder I, Owner of the subject property t hereby authorize to act on ray behalf, in all matters relative to work authorize y wilding permit application for: (Address f J ) **Pool fences and alarms are e respo sibilify of the applicant. Pools are not to be filled or u ' ' ed before nce is installed and all final - inspections are perform d and accepte . Signature of Owner - Signa of Applicant F - - - - -- - Print Name Print Name Date QTORMS:OWNERPERMISSIONPOOLS Rev:10/17 1 V VV U V1 "ail UO LA.uxu �pFTHE tqk� Building Department o� Brian Florence CBO Building Commissioner sAxxsrAar.E, 9� MAM ,0$ 200 Main Street, Hyannis,MA 02601 i0reo 39. ° www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION /�r Please Print `�'.�' /DATE: JOB LOCATION: ✓ / L�%e --� � number street Village -70 "HOMEOWNER": �2 "'��//yi.O name home phone# work phone# • Y5 CURRENT MAILING ADDRESS:,� City/town state ,' zip code The current exemption for"homeowners"was extended to include owner-occnpied.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 work12erformed under the building permit. (Section i09.1.1) 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. rof f Approval of Building Official i Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the Section 127.0 Construction Control. uildin Code Se _ State Building 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. Town of Barnstable *Permit# 'E-/'7 ,�� 6 months from issue date Regulatory Serviceseeryes Yf MAM Richard V.Scali,Director Building Division ------- ------Panl-Roma,—Building-Commissi er ---- — 200 Main Street,Hyannis,MA OAT www.town.bmustable.ma.us Office: 508-862-4038 Few-., 008 790-6230 EXPRESS PERAHT APPLICATION - RESIUaT��TfC�IP�V6AIY Map/parcel Number t � r Not Valid without Red X.-Press lrnprznt a LL 1 Prop dress Irk? Residential Value of Work$,/, ob,B9 imum fee of$35.00 for work under$6000.00 Owner's Name&Address Contractor's Name Telephone Number Home Improvement Contractor License#(if applicable) Email: Construction Supervisor's License#(if applicable) - ❑Workman's Compensation Insurance Check one: ❑ a sole proprietor 91 am the Homeowner ❑ I have Worker's Compensation Insurance Insurance Company Name Workman's Comp.Policy# a Copy of Insurance Compliance Certificate must accompany each permit. Permit(check box) Re-roof(hurricane nailed)(stripping old shingles) All construction debris will be taken took L fe -roof(hurricane nailed)(not stripping. Going over existing layers of roof) -side ❑ Replacement Wmdows/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 require SIGNATURE: QAWPFII.ESTORMSUilding permit fonmsTYPRESS.doc 01/25/17 Fw The Camw0IiweaWt f?fMazv& Office qfhrwz%-ad= BL1 OIL m g tDFVklLmamgm/aEa Wurkere Cauvenmfi=Insu mce Af ffifavib BaUderslCen{ ucturs/BecbicLgIISffl%mibers Q 3{ ZL PlmgPrini Na= i :&- Are you an employer?fherktbe appropriate bay ' Tni a of project(recpare4- L❑ Iartsa employwwi 4. ❑I am a gemerd conisckw and I 6. ❑New Dori huctim laveivzedi#s ��sact=�a �fish anorPa#trme}-* Tis�ed onfhe attached sbee� 7- ❑Re=deUqg 2.❑I am a sole prcPsietr orgartner ship and have no employees These sdb cornfrad=hafie 8.•❑Demolifioa wcdd.ng fofmn is any capacity- euiPlayees a�dhave as 5* 9. ❑BWI ing atMiticn n ' com i p. ce COMP-pn�. .-# -� 5- ❑ We are a=porafiaaand ifs 10-❑Ele�rical repairs l or adds 3_ I ama a bomearveafr doing all vraric a$$cess have e%ex *red f!tr 1L❑Plnulbmgrep=' or additions. fli of perMn ❑ No W&kws' i' � cam-]� c-M§IM andme have no Lth employees.[No vr�s` 13.❑other cam-i=names Vie-] •dayepgsaa Basccheacibi=01mastdwMcultbesacfimbgvw•s clieawozkes* 0—fioupencyi 5 ML fi „�sa1�3 sbs�if�i ��3o-mg slf�c saaitbea]me a�@eceamst snb�t anewsffida�t smc7L rCastMcta�8�cfiedc9gs6CK bM employees.7ftben3b-cr,,, pulicymmmbEm I am art a�rlapisr 9iat isgraurdur�n�rlcers'caargerasrafiart i�asrararracs for iTryampkwes. $date is YitaPGF jab seta informid:bat. Tn�nce Comgauy�ame- ' Pflficy or Self-ice.-um uDa� Job SiteAddre= t itgJStafet p- Af za a copy of the worke&comPensatioa policy&c1aratiam page(shaving f e:policy=znber and expiration Jute). Faihm to sense coverage as requiredvader Secfi=25A of MM a<M can lead to the imposition of crimima4 penalt%es of a fine up too$LSOa Oa awVbr or e-gearimprism==ik as well as civil peaaltigs.fiie farm of a STOP WORK ORDERand a 5ne of up to$MOO a dap a,;ziost the violaicr. Be advised that a cagy of this sbkmed.rnay ba fi nvvarded to the Of aaf IavwEp&as offbe DIA fox cavenigevedficafiaL , Ida herb9 umdsr teas gains gsalaWa ajgaa jnap Mite inform yaprmiaW abmw is[rats and arrrect & Datezzz Ph tF a we awd)& Da not mite in tlds=ar €at be crraug&ad by city arfatrn Cityan-Taxvtn: PerM tffA-ease:9 Issitg Auflwr€ty(cadreane): 1.Board of$eaIth1.lluffirng Department I CityfFown Clerk d.F.lectriml znspfor S.P mmbbmg Inspector tw O&W Co act Person: Phase : 6" 4 e s Gcb=d Laws chapter M rues aU aR to pMde��cam for$�crr�,- pm {}� ,an�Tnpr�is dcfined m. _==yp'�°nm.• a seavice of saoibrr• dff=BIT coact ofY express or iiap]f ed,'001 ar " An err�Tvyer is damned as'�aa.indi4idual,paring,���•�P�ar other IegaI entity,car�Y tFvo or maze . of fra�.goiug wed a30isrt ..EEMdmcm ogjjo JCgal aepzMefa&=of a dosed e�ploYw.or fhe receiver or of an mffvidaaL Pab=sTiP,aasociafon or offimlegal emtity,CZEploYmg mFLDye--- However iha owner of a d�ITmghousebx7�not mozei3iaa�apar[meots aadx�o resides 6�e�,ariiie occa�t offer- dwaIImg horlse of another who�p�P=Ow to do maztn ce, or repair wak an mEh dweIImg house; or art fie grams& or bmIft appnzb ark eat shaIlnotbecaase of such employmc�tbe d�edfn be e�loye�" MCH,chapter 152,§25(C6)&ISO sf&s fst¢evaystair or local Tires agency Shanwif3ihold fine h=aneg or renewal of a Tcense or perznitto operate a tMkC s or to contract bmZd"mgs za the connmonwealfh for"Y appacantw•h o has not pradnced acceptable e4iff=m of cnmpHanm wiffi the iasmance coverage,reqaked. ,gaffs;ona ly,MCrL cbapfrx ISZ,§25( stairs-Ne db= ie _ nor zny of its poIiiieal subdivisions shall =ter mtb any court aetforihcpafm=ance ofpubliowarkm3ff acceptable evideam of c®pliaprew�i fbe iasm�ce•. reuse' s ofihis cl�apfeThavelepreser �fzc eor�actmg.anihazdy." Applicants _Please SI oil f a wo3s'comp=.nhon affidavit ccinapy�hmly,by cog IhD boxes fhat apply,to your soon�if n Y,=Pply sob_com± Q(s)n=e(s), addresses)andphmonu=bea(s)alongWrthf =em s)of wee_ Limited Liability Campanics �ar T ioLiabiIity Pertnr�shigs(LIiP)'wno�my�otter f�flie members orpazfaers,arenotruedto cazrYwars'c=pensaticminsurance• IfsnLLCor-M doeshave empIo:*s,apolicyisrued. Be advised§hatf3isafEd&ykmaybesnbm�dtnfhrDepadzaentofrndnsfrial Accid�for coffin of insur�g caveaag Asa ba sm a to siga and date�e�g Tba ai�davit should bereb=ned to the city or town fiat fhc 8ppliC3ffM fOi fie pew or license is being re jneshA not the D epmtncsd of Sbonldyou havo arty gacstions regarding fie lave or if mn ate re gaged t]o ob din a warkrrds' romp=MticnpoRcLpie call f=Deparimevtattben= bezlis e:dbeJnw_ Self-bmiedcampaniesshould=Ltr-ribeir self-msara ce Reese number an the RfM line. City or Town Officials - f Please be sate fiat the a day is eaunPIe ansip dle y. The Departm=thas progifM a spare at fha boiim= of the affidavit f or yDUto fill out infix evr,±the Office ofinyefti aflom has to caz�ctyou:regardmg fie apphcauf Pleasebestnato fIlinfhcpm�a��mm:bmwbichvMbeusedasa U•� nnmbcn Inaddlficn En �t mnst submit m�lo p=aw CznM wHbs is us in my given pew,n=-only m�mt ane affidav g t3 policy•info=afusn(ifnxes=y)and ffider"lob Ad s' appIicar¢should write�eII locaiioas in (may .town):'A copy of the-affid&effiathas bean oBIcaally sbnmpe.•d or mazlavdbyt=city or to m may be provided to fbz " applicant as proof that a valid.affidavh is on.Me,for fatare'pcm.fs or Hc=m Anew ,m,ef b busiacm or�o° year.Vh=ahome owner or aibizrn is obi�g ELH=nm a¢peruitnotr�atGdto any dog license orpmnittnbtanleavm ete.)saidpmsanhNOTretparedto�P fits affidavit TbcO$meoflnvestzgaiicroswm3Uh _-to;ihankyouinadvaacofrs�ryanrc0apeaafianandsbovIdyaa�avegayquesttans, please do nothCSftEft to givens a ca.Il_ The Dgep z n eart's addzess, and Ax n x beL: Departramt f�Ze�� g�tia� AMA EMIT ToL 4,t 617-72749W cat 4l6 or I-M MA SAS Fax#617-72Tg74 RovRised424-47 i r i Town of Barnstable Regulatory Services dF Richard V.Scali,Director Building Division .Paul Roma,Building Commissioner 03g6 ��� 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEIVIP'I'ION Please Print DATE: JOB LOCATION• number street l000l village 7 name home phone# work phone# CURRENT MAILING ADDRESS: ��� �C'i,1/ le' city/town state zip code The current exemption for"homeowners"was extended to include owner-ocMied 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. DEFINMON 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-homeowW certifies that he/she understands the Town of Barnstable Building Department minimum inspection procedures and and that he/she will comply with said procedures and requirements. 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 lackof 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 MPFII.EWORMS\building permit fomuAENPRESS.doc 0620/16 L 0 Town of Barnstable ` Regulatory Services Richard V.Scab,Director. . A. Bufiding Divisioa Paul Roma,Building Commissioner 200 IVY Street,Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-8624038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder y ,as Owner of the subject property hereby authorize to act on ray behalf in an matters relative to work authorized by this buflding 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: ORIAS. W iERPHRMISSIONMOIS Assessor's map and lot numb ...`.��— SEPTIC SYSTEM MUST BE SoWage 'Permit number ........... d ............. INSTALLED IN COMPLIANCE WITH ARTICLE 11 STATE P�F7MET� 4• . TOWN 1 0F BARI ' ,NJjj�' L' ' TOWN i BAUSTAHLE,.• "6 9r :,�� fi DUILDIHG INSPECTOR �BD YPY a' APPLICATION FOR PERMIT-TO ..,. .,r. ......:.............r. ............... ^ .......... TYPEOF CONSTRUCTION ...:. ......... ... ..............................................��.................................L................... TO THE INSPECTOR OF BUILDINGS: The undersigned h reby applies for a permit according to thq follow[ info ation: Location 1 ! u j . ..... l/Z.`:.. .................... -�..... ..... ......-./... ....... .........�...................... , Proposed Use ... .......................... ..................................................................... ............................................................... Zoning District � ......................................................Fire District ...CJ... ...... ............................... Name of Owner jrA..����C......................................Address A� Nameof Builder ....................................................................Address ..................................................................................... Name of Architect ..............Address ..................... .............................................r...... .......................... ........,......................... Number of Rooms ...............................................Foundation ..1 .: 1�Gf!'C �G�J2 Exterior ' ....................................:.............................Roofing ... JCS........ .5�6 !..'.....P�� ...................... ........ .... Floors .................Interior • .......... ' .... .. ..... .. . ...... Heating l✓ `v..`.�! ./. .......................................PlumbingC S��0.... . ............... Firepla /e / Approximate Cst 7`..�...w......,..I...Definitive'Plan Approved by Planning Board ________________________________19________. Area ....../ .....5 ..... C 7s .......Diagram of Lot and Building with Dimensions Fee '............................. � .......... SUBJECT TO APPROVAL OF BOARD OF HEALTH I hereby agree to conform to all the Rules and Regulations of thWT1.ownofT..BqMstable re arding the above construction. Name .. ...... ..........................:.............. Spencer, A. W. No 18585 Permit for one story, .................................. single family dwelling ................................................................................ Location .......North. th...Pree&nc t...Road .... ........ . ...... ........ Centerville Owner .........A.. ......................................................................... ...:..................... . W. Spencer ....................................................... Typeframe qf Construction ........................................... ..........:.;.................................................................. 'Plot ............................ Lot ........�14 ...................... 11 eoll� August,13 76 ,Permit Granted .........................................19 arDate of lnspectionz... .. ...... ll......6/-.)-g�` .1 ,/ Date Completed 19 PERMIT REFUSED 10 ................................................................ 19 ............................................ ................................... . .................................. ............................................................................... vrf ........................................................ ................... Approved .................................................19 .W............................................................................ .......................................................................;,- r SOIL L08 1.9 i� v.,.�EAi toarr�$ 9 3 L-o`t-.1.3 / �,-�Q 1 , 2 PE4STONE � lOAM 8 TILL 12 MA%. T_ I. M 96.43 Subsnt 0 O '� 4°�C.I. DIST. �,�° ° °� 1 �. Ysttpw M� urn BOX +I., 0 `•s�.\ ' s'MIN. 1000 14"MIN.I° o, ° 1000 GAL. of SRM© t AllowGAL. ° '°° PRECAST OR ° >` SEPTIC 61oa,••• = BLOCK a oc °I ° '•t ` ' ` TANK �'°•�e SEEPAGE PIT o° ,'� I `. t ''• Sal f� J' o° o cl 20' MINIMUM 1. MFOIUN Meclluh, +o FOUNDATION r _ FIIJIE FIrTe ' /%l' WASHED STONE • . d • SQ>7ti SCALE ~ I"= 4' ELEVATION SKETCH 10` PBRC. RATS /.cssFba„2�i„r� TEST BY :EhYaw', SCALE: 1��= 4 Al •� PECTOR: r'�'Q T h, Wg7EQ, BACKHOE OPERATOR � � a O ,V TEST MADE ON : _ �_yLy L0-T" S ©I I� ,op�TE �y NOR gall J 1_7 PRFCINC T k5 T , �yATE� /+/62 4nA-111 CIS tQ00GAl.PI l000 HL T Fu1 TG-EEpNpNe 1V P.YE U � tiz>< IO' 86'ao;:r.�N­pcz . ✓` 110 'MAN a io` ( do TE11 15T �.o I000 ga I FWAC <? 171 9P �} >+1 K T T t p4•t . yg 0 ,- -0, - js' tom' -f y^+r t * ` s - , _ { �` C {� ,` (� 9 q r " G�ar�' 'r"� GAIT j 8�.. L p T /L W C—TtAND SA WrA Q'1 -r .g V ..,�. c+..r J..-,.Iti� 1�C-Sl'RiCT10N L► IJE 03 l y Q3S. — © for 1-4 -70 r stl 7o` t �, a DENBTES S'Tm.S6T z , z -rt-sT Ho Ex I ' � ' ATEQ ,79,°f9 -, 83. wAT 6 /00• llth t<Sond. S W .0 I HEREBY CERTIFY THAT THE' � 20N,67 12C I S7 RUCTURES' S110WN HEREON WA 5 L OC4TED - AREA - VT,6000 APPROVED BY BOARD OF HEALTH $Y AN AC'r0A)_ FIELD, SURVEY oN r yf1DTH - 100' DATE 19— �'va 6 ,197G•' AND, CONFORMS -To 'tHe ZONING By-LAW OF 1 HE 'rOWN OF 5E7'BAC K S-R-00 3.�enlsr�dCe' t MriSSACHUSETTS. , • �,! . SH OF M,gss9y N OF 1, EDWIN '4 y EDwiN A. / A. C YOUNG YOUNG 9096 10 A ,A No. d 34 O y+,• - • Q�g-ram' �'o.� ,��s'r��L ��, .� v , LOT 14 L"T .i 3 �tiv SURD°� �►����h�`% ELEVATION SCHEDULE '` CELLAR FLOOR _ 87, r- �'�� PROPOSED SITE PLAN-' I INV. AT FOUNDATION = 91 .67 91 . I,7 r SEVAGE SYMIM DESIGN 2. 1 NV. INTO SEPTIC TANK = 9 tI 17 90, ( IN i 3. 1 NV' OUT OF SEPTIC TANK = 91,00 0.50 MASS 4 INV. INTO DISTRIBUTION BOX = 96,To 6I0U SCALE: II- AM' PtPQ Z 2 19 7 5 i NV. OUT OF DISTRIBUTION BOX = 90.53 89,63 6 INV INTO SEEPAGE PIT = 90•00 8940 CAPE COD SURVEY CONSULTANTS ROUTE 132 7. BOTTOM OF PIT = e8q.00 (93,50 ' HYANNIS, MASS. A DIVISION BOSTON SURVEY CONSULTANTS, INC. 8 BOTTOM OF STONE LAYER 64.00 S3so