Loading...
HomeMy WebLinkAbout0034 WEST TERRACE �� ,, E :� d ww, `k#�'�' r , �...,...:,:...a,..,.., `. .:.: _.. ,. .u;e� L.a F.: -...�„�..r'1i: :�,:.„ .;�y,,J _ .�;.wr ...nxm�s...`_.,..�v.s..�ea..z,,..,..... �....,_...._.. ,�,4•s � � � �. o 'ww..w...�..........,.u...<.s..W.ra...�,.._._....y r.,.�:',�iw-.a.4+v,. f hx'�<�_...s....a: �� vawsa.,w..:,,a�.,ii�%` ,��:;, ICI ___. __—"'_.. i i i f TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map /Parcel 1 21 Application #a vay Health Division V Date Issued Conservation Division Application Fee Planning Dept. Permit Fee _ O Date Definitive Plan Approved by Planning Board es 7 Historic - OKH Preservation/Hyannis Project Street Address 5-1 W, TE"ACC, CENTE9.VI LL E , 14A Village 1�RN 5-1—A9 Z E_ Owner FR-69 /DeS nomf €* &4/j. 6'RX CA Address, Zo 2- AX sT Telephone / /7-• S 4 0 3 Permit Request / lAl aR o p/F/C,.4-rl vxv j TD X< S 7"/.y G LAU-S 6V oPrryeyIwG Zoo LoAD Se- kIPG IJALL AND e (2L41A C F 54CE'TZO Fo,< Cos^,Er/C-S Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation 000 Construction Type 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 ❑ No On Old King's Highway: ❑Yes ❑ No 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: existin new Total Room Count (not including baths): existing new First Floor Room Count Heat Type and Fuel: ❑ Gas ❑Oil ❑ Electric ❑Other , ` r Central Air: ❑Yes . ❑ No Fireplaces: Existing New Existing wood/eoal stove: ❑,Yes ❑ No Detached garage: ❑ existing ❑ new size_Pool: ❑existing ❑ new size _ Barn: Mxisting—0 new size_ z - Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: tr. Q ca r- Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Ln m Commercial ❑Yes ❑ No If yes, site plan review# Current Use - Proposed Use APPLICANT INFORMATION �- (BUILDER OR HOMEOWNER) Name tR y ��S M oiy Telephone Number (a -7 - S 0 el 4 3 S ;_.Address . License# CCAI t"E/Z V/L.L E /-I A Home Improvement Contractor# Worker's Compensation # ALLrCONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE 3/ O O d FOR OFFICIAL USE ONLY APPLICATION# DATE ISSUED ? i ' r MAP/PARCEL NO. ADDRESS VILLAGE OWNER ' DATE OF INSPECTION: _ S FOUNDATION FRAME INSULATION FIREPLACE , ELECTRICAL: ROUGH FINAL - r PLUMBING: ROUGH FINAL ' s r GAS: ROUGH FINAL s ' FINAL BUILDING DATE CLOSED OUT y ASSOCIATION PLANNO. t f . The Commonwealth of MassaclTi SOtts Department of Industrial Accidents Office of Investigations 600 Washineon Street Boston, MA 02111 www.mass"gov/dia Workers' Compensation Zusurance Affidavit: Builders/Contractors/EIectricianslPlumbers A_pplicant Information Please Print Le�zbly Name (BusinesslOigazuzaticn/IndividuaI):��� �J/�B�� Address:{ -J %E/l if C E C 6N/ t2V City/Statdzip: Phone.#: Are you an employer? Check the appropriate box: Type of project(regmret3): 1.❑ I am a cr�Ioycr with 4. ❑ I am a general contractor and I 6. construction coshruction employees(full and/or part-time).* have hizad the Sub contractors .1 ' listed on the attached sheet 7. ❑Rx nodeling _❑ I am a sole proprietor or partner- ship and have no employees ...These sub_contractors have $. ❑Demolition employees and have workers' working for me many capacity. 9. ❑Building addition [No workers' com n b.-inc„raee comp."'s"i-ance.$ �] 5. We are a corporation and its 10_❑Electrical zepairs or additions 3. I am a hom�wnes doing alI work offic cis ers have exercised their 11.❑Plumbing repairs or ad ns ditio myself[No workers' comp. right of exemption per MGL 12 ❑Roofrepairs incnrancc reduced]t p. 152, §1(4),and we have no no 13:❑ Other employees. [No workers' comp.insurance required_) *Any applicant that ebrcla bax#1 must ako fiD ovt the section below showing their wDrkLIS'eol�sation policy infararation t Homeowners eowns who tubruit this afT3davit indicating thry arc doing O work Omd then lure o cont-actors m utside conctors ost tubrmt a new adtidavi[indicating such_ T rntraetors that_beck this box must atfaebed an additional&beet thawing the name of tt,e sub eontraztors and state wl,etl,a or not thosd a,tiitics bavo cr,ploycm. If the sub-contractors have employers,they must pravick their workers'comp.policy n,anber. f am an employer th-ai is provid}ng workers'compensation insurance for my employees. BeLow is the policy and job site informmadon. Insurance Company Names: Policy#or Sclf--ins. Lic. #: Expiration Datc: Job Site Address: City/State/Zip: Attach a copy of the workers' compensation policy declaratiou.page (showing the policy number and expiration date). Failure to scare coverage as rcquircd-undLr Section 25A of MGL c. 152 can lead to the imposition of rri,nirial penaltics of a fnr,tip to $1,500.00 and/or one-year imprisonment; as wc11 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 sta-tLmnik may be forwardi4 to the Office of juVCStjgatiM1S of the DIA-for insurance coves- c verification, erjury that the information provided above'is true and cQrrerl I do hereby certify r the a" and pe of p o0 Si atiue: Datc: / Z — — Phone# / ' © � © �� Oflzcial use only. Do not write in this area, !b be completed by city or town offccW City or Town: Permit/Licelam# Issuing Authority(circle one): 1. Board of Health 2.Building Department 3. City/Towu Clerk 4.Electrical Inspector S.Plumbing Inspector 6. Other Contact Person: Phone#: t Massachusetts General Laws chapter 152 requires.all employers to provide workers'compensation for tbcir employees: Pursuant to this statute, an employee is defined as "...every person in the service of another under any contract of hire, i r express or implied, oral or written_" An ernplayer is defined as"an individual, partnership,association, corporation or other legal entity, or any two or more Of the foregoing engaged in a joint enterprise, and including the legal representatives of a deceased employer, or the receiver or trustee of an individual,partnership, association or other Icgal entity, employing employees. However the DxWner of a dwelling house having not more than three apartments and who resides therein, or the occupant of the iwclling house of anotber who employs persons to do maintenance,construction or repair work on such dwelling house )r on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." v6GL chapter 152, §25C(6) also states that"every state or local licensing agency shall withhold the issuance or -enewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has notproduced•acceptable evidence of compliance-.With the insurance coverage required." tdditionally,MGL ohaptcr 152, §25g7) states `Neither the commonwealth nor any of its political subdivisions shall Inter into any contract.for the performance of public work until acceptable cvidcacc of compliance with the in-unancc egquizemcats of this chapter have been presented to the contracting authority." ,pplirants lease fill out the workers' compensation atidavit completely,by clucking the boxes that apply to your situation and, i# ee ssaiy,supply svb--contractors)name(s), address(cs) and phone numbers) along with their eertificatc(s) of rsurance. Limited Liability Companies(LLC) or Limited Liability Partnerships (LLP)with no-employees other than the minbms or partners, are not required to carry workers' compensation insurance. If an LLC or LL,P does have employees, a policy is required. Bc advised that this affidavit may be submitted to the Department of Industrial ccidLnts for confirmation of'insuramc coverage. Also be sure to sign and date the affidavit. -affidavit should :returned to the city or town that the application for the pcnmit or license is being rcqucsted,not tho Department of idustzia.l Accidents. Should you have any questions regarding the Jaw or if you are required to obtain a workers' )mpensation policy,please call the Department at the nun ber listed below. Sclf-insured companies should enter their ,lf-insuranGO license number on the appropriate line. ity,or Town Officials case be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom 'ih, affidavit for you t4 fill out in the'event the Office of Investigations has to contact you regarding the applicant case be sure to fill in the permit1hccnse number which will be used as a rcfcrcnce numbcr. In addition, an applicant at:must submit multiple permit/license applications in any given year;need only submit onp affidavit indicating content ,icy inforiaation(if necessary) and under"Job Site Address" the applicant should write"all locations is (city or A copy of the affidavit that has been officially starrped or marked by the city or town may be provided to the plirznt as proof that a valid affidavit is on file for f ifmr,permits or licenses. A new affidavit,must be filled out each ar.Where a home owner or citizen is obtaining a license or permit not related foamy business or commercial venture eaves etc.) said person is NOT required to complete this affidavit a dog license or permit to brim l c Office of Investigations would hie to thank you in advance for your cooperation and should you have any questions, :use do not hesitate to give us a call Department's address, telephone-and fax number. Thu Commonwealth of MassaGhus(-,t1U Dg3artmDnt of Industrial Accidents Gffce of luvestigafians 600 Washington Street Boston, MA 02111 TeI. # 617-727-49-0.0 ext 4-06 cr 1-877-MASSAFE Fax# 617-727-7749' [ 11-22-06 www.mass.gDv/dia Town of Barnstable �.... op YHE ri O N ReLy latory Services Thomas F. Geiler,Director yART25TAHL.E. . M ABC Building Division - p�PJf1 µAy",�� Tom Perry,Building Commissioner . 200 Main Street; Hyannis, MA 0260I wwy.town.b arnsta bl a-ma.us 508-862 4038 Fax: 508-790-6230 HOhZEOwNER LICENSE EXEMPTION �J Please Print DATE: 3 , o v f n Q> s JOB LOCATION: "`�' Tc-MA C '�IIlAI�T/�/J CiG n umb cr s treet Village 6 ~ pip S6,9.- O 'Z�GO "HOMEOWNER":� r� tDL _ o�� � �/7 �� �� work hone# name , r - home phone# P CURRENT MAILING ADDRESS: ZOZ— N S UN T 2 S' �oS-To,v Al cfZ Z7 city/town stab np code The current exemption for"homeowners"was extended to include ol-vner-occupied dwellings of six units or less and to allow homeowners fo engage an individual for hire who does not possess a license,provided that the owner acts as supervisor. DEFINITION OF HOMEOWNER per who owns a parcel of land on'which he/she resides,or intends to reside, on which there is, or is intended to- be, aone or two-family dwelling, attached or detached structures accessory to such use farm structures.far structures. A twa-year period shall not be considered a homeowner. Such person who constructs more than one home in a . shall be `homeowner" shall submit to the Building Of icial on a form acceptable to the Building Official, that he/she esponsible for all such work performed under the building permit. (Section 109.1.1) Me undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other applicable codes, bylaws,rules and regulations. he undersigned"homeowner"certifies that he/she understands the Town of Barnstable Building Department ninimum inspection pro dures artd requirements and that he/she will comply with'said procedures and �quirem igna f Hom wncr oproval of Building Official Note: •Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the ate Building Code Section 127.0 Construction Control. HOMEOWNER'S EXEMPTION The Code states that "Any homeowner perfomung work for which a building prnnit is required shall be excrrrpt from the provisions this section(Section 109.1.1-Incensing of construction Superyisors);provided that if the homeowner crigages a pason(s)for hire to do such rk,that such Homeowner shall act as supervisor." ' Many homeowne re rs who use this exemption aic unawa that they arc assuming the responsibilities of a srrpavisor(scc Appendix Q. les&Regulations for Licensing Cnnatruction Supervisors,Section 2.15) This lack.of awamness often results in serious problems,particularly cn the homeowner hires unlicensed persons. In this case,our Board cannot proceed against the unlicensed person as it would with a ticerised icryisor. The homeowner acting as Sup"avisor,is ultimately responsible. To ensure that the homeowner is fully aware of his/her rrsponsibilities,many communities require,as part of the permit application, :the homeowner certify that hc/she understands the responsibilities of a Supervisor. On the last page of this issue is a form currently used by :ral towns. You may caret amend and adopt such a forrdccrtificatian for use in your community. I .0FVErO'`s�y Town of BaMstable Regulatory Services BARNSTAHF }♦pp � y auss $. Thomas F. Geiler,Director. A. - Building Division Tom Perry, Building Commissioner 200 Main Street, Hyannis, MA 02601 www.town.barnstable-ma.us Office: 508-862-403 8 Fax: 508-790-623 0 Property Owner Must Complete and Sign ThisSect' n Using A BuRder r ; as Owner of the'subject property ' hereby authorize to act on my behalf, in all matters relative to wotk autho ed by this building pe 't application for: (Address of Job) Signature of Owner Date Print Name If Property Owner is fly g permit se complete the Homeowners License Exemption Fo n th'e reverse side. EXISTING DECK REMOVED VANITY MIRROR AND COVERED HOLE WITH 18'X18' PIECE 13F SHEETROCK .BACK DOOR BATHROOM BDRM,N2 KITCHEN SUN ROOM r r v tr el CLOSETFo CLOSET p V N I: LIVING ROOM R E BASEME L: BDRM 03 A C E MASTER BDRM CLOSET CLOSET COSMETIC CHAIR RAIL MOLDING WAS FRONT DOOR LFRAMING A COSMETIC MANTEL REMOVED AND SHEETROCK WAS CUT BACK AROUND THE EXISTING FIREPLACE. 2FT AND REPLACED WITH NEW SHEETROCK. EXISTING WALL WAS MODIFIED 4 W, T E R R A C E BY CREATING AN OPENING CENTERED ON THE WALL APPROXIMATELY 4' HIGH X 9' LONG, (2) 9 1/2' LVL BEAMS WERE PLACED AS HEADER SUPPORT, FLOOR PLAN NEW SHEETROCK WAS INSTALLED. ALL EXISTING ELECTRICAL WIRING WAS NOT MODIFIED N.T.S. ONLY THE RECIPROCAL BOXES WERE REPLACED, DRAWN BYt FPD TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map 6 Parcel- ,._ Application #C M1Jk 7�'V Health'Division Date Issued Conservation Division ' ;Apptioatioh Fee 411 Planning;Dept' Permit Fee' Date Definitive!Plan Approved by Planning Board Historic _OKH Preservation/ Hyannis Project Street Address F eAR4 cc- C_a6 Tu to t 1-1-6 Village Owner �p SlyKo vct j%✓^T &A : Address Telephone &/7 �D Permit Request h&ACaAI Ati& U,019,Elt eI TzHFN AND lluF i 11 A-,b opt/S L C.4T Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater'Overlay Project Valuation O Construction Type Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family 0 Two Family ❑ Multi-Family(# units) Age of Existing Structure Historic House: ❑Yes ❑ No On Old King's Highway: ❑Yes ❑ No 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: existin new Total Room Count (not including baths): existing new First Floor Room Couf Heat Type and Fuel: Gas ❑ Oil ❑ Electric ❑Other ' ) C. Central Air: ❑Yes No Fireplaces: Existing \/ New Existing woos licoal st6ge: O-Yes j(No Detached garage: ❑ ex sting ❑ new size_Pool: ❑ existing ❑ new size _ Barn: ❑ xistingzLI new size_ Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: �- � r� Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes ❑ No If yes, site plan review# Current Use Proposed Use APPLICANT INFORMATION llnyQ_ (BUILDER OR HOMEOWNER) 'Name r9_Fn!f?F1_C1< �/�,iMo�v� Telephone Number .Address 2 L N ST UN/ T �Z License # o vT/-/ OS`Tn/V 14 q O Z 2 7 Home Improvement Contractor# Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE F ti j FOR OFFICIAL USE ONLY z. APPLICATION# DATE ISSUED - MAP/PARCEL NO. ADDRESS VILLAGE OWNER DATE OF INSPECTION: FOUNDATION , r. FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL , GAS: ROUGH FINAL FINAL BUILDING t DATE CLOSED OUT ASSOCIATION PLAN NO. r . , The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washineo.n Street Boston, ALL 02111 www.mass.gov/dia Workers' Compensation Tnsurance Affidavit: Build ers/Contractors/Electri dans/Plumbers A_ licant Information Please Print LesT ibly Name (Business/organizafion/Individual)' tki—ED Address:{ City/Statnlzip: V/L e MA Phone.#:_ /Z--,a )(0 Are you an employer? Check the appropriate box. Type of p'roject(required): 1.❑ I am a employer with 4. ❑ 1 am a general contractor and I 6. ❑New construction employers (full and/or part-time).* have hired the Sub-contractors 2❑ listed on the attached sheet 7.�Remodcling I ain a sole proprietor or partner- ship and have pn employees These sub contractors have $. Demolition employees and have workers' working for MOM' any caps-city. employees 9. ❑Building addition • . [No workers' ep�.•inc,rr DC Comp.1mSiII2IlCe. 5. ❑ We are a.corporation and its 10-0 Electrical repairs or additions r�qu�red] officers have exercised their , 1LE]Plumbing repairs or additions 3. I am a homeowner doing all work mysclL[No workers' comp. Tight of exemption per MGL 12 ❑Roof repairs insurance rrquizrd]f c. 152, §1(4), and we havt no employees. [No workers' 13.❑ Other cmT.insurance required.] *Any applicant that ebecla box C must aka fill out the section below showing their workers'eompcnsat}on poEcy information- t Homcown=, who submit this ai5davit indicating they arc doing all work and them hire outside cantrsctors must submit anew;'&&-itindiclting such. :Contractors d,a2 cbcck this box must attached an additional&beat tbow m ing the name of the sub cnntractrlrs and stain wbcthcr or not those entities have employees. if the sub-contractors have anployecs,they must providb tbcir workers'comp.pobv number. lam art employer that is providing workers' compensation insurance for my employees. Below is the policy and jab site ' information. . ' Insuianm Company Name: Policy#or Self-ins. Lic.#: Expiation Date: Job Site Address: City/State/Zip: Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date), Failure to sccurc coverage as requited under Section 25A of MGL c. 152 can lead to the imposition of rrim_inal penalties of a 5mc tip to $1,500.00 and/or one-year imprisonrn nt, as well as civil pcnaltin in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for ii=,rance covcra e verification. I do hereby certzfy r the pains-and na.Ities of perjury that the information provided above true and correrl 10, Si atzue: JzjolDate: Phone# / — U o 0 3 official use only. Do not write in this area, Ib be completed by city or Town offtciaL City or Town: Permit/Liceun# Issuing Authority (circle one); 1.Board of Health 2.Building Department 3. City/Towu Clerk 4.Electrical Inspector 5.Plumbing Inspector 6. Other Contact Person: Phone#: Massachusetts Gcneral Laws chapter 152 requires all employers to provide workers' compensation for their crIIployecs: pur,-uant to this statute, an employee is defined as "...every person in the service of another under any contract of hire, express or implied, oral or written." r An ernp[oyer is defined as"an individual,partnership, association, corporation or other legal entity, or any two or more of the foregoing engaged in a joint enterprise, and including the legal rcprescntativcs of a deceased employer, or the receiver or trustee of anindividual,Partnership, association or other legal entity, employing GmployccS. HOWCYCr the' owner of a dwelling house having not more than tbree apartments and who resides thcrcin, or the occupant of the iwclling house of another who employs persons to do maintenance,construction or repair work on such dwelling house :)r on tha grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." viGL chapter 152, §25C(6) also states that"every state or local licensing agency shall withhold the issuance or -enewal of a license or permit to operate a business or to construct buildings in the commonwealth for any rpplican.t who has not pro duced•acceptable evidence of compliance with the insurance coverage required." �dcditionaIly,MGM ohapter 152, §25C(7) states`Neither the commonwealth nor any of its political subdivisions shall mter into any contract for the perionnance or;public work until acccptable cvidcacc of compliance with the ins-urance cquircmcnts of this chapter have been presented to the contracting authority." ,pplicants lease fill out the workers' compensation affidavit completely,by checking the boxes that apply to.your situation and, if ecessary,supply stub-coniractor�s)name(s), address(es) and phone numbers) along with their certificate(s)of Lsurancc. Limited Liability Companies(LLC) or Limited Liability Partnerships (LIP)with no-employees other than the tcmbers or partners, arc not required to carry workers' compensation inm ante. If an LLC or LLP does have vployces, a policy is required. $c advised that this affidavit may be submitted to the Department of Industrial ccidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit The affidavit should returned to the city or town that the application for the pr,=Ht or license is being requested, not the Department of AmtrW Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' )mpensation policy,please call the Department at the number listed below. Sclf-insured companies should enter their If insuranco license number on tho appropriate line. ity or Towir Officials case be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom 'tbe affidavit for yov to fill out in the:event the Office of Investigations has to cont'act.you regarding the applicant ease be sure to fill in the permiVhcense number which will be used as a reference number. In addition, an applicant rt must submit multiple permitlliconse applications in any given year, nred only submit onp affidavit indicating current liey information(if necessary) and under"Job Site Address" the applicant should write"all locations in (city or Nni."A copy of the&$davit that has been officially stamped or marked by the city or town may be provided to the plicant as proof that a valid affidavit is on;file for future permits or licenses. A new affidavit,must be.filled out each rr.Whcm a home owner or citizen is obtaining a license or permit not related to any business or coyrrnercial venture a dog license or permit to brim leaves etc.) said person is NOT required to complete this affidavit c Office of Investigations would h7rt to thank you in advance for your cooperation and should you have anyquestions, ase do not hcsitatt to give us a call Department's address, tcicphone•and fax number. The Commonwealth of Massachusetts Department of I.adustial Accidents Office of Investig-ations 6.00 WashingtGn Street Boston, MA 02111 TO. # 617-72 7-4 90.0 ext 4.06 or 1-S77-MA.SSAFB Fax# 617-727-7749' 11-22-06 www.ma.s,-,.gov/dia Town of )Barnstable Of YHE Regulatory Services • Thomas F. Geiler,Director S BARNSiABLE. Building )Division v�PJEO µAl A,�� Tom Perry,Building Commissioner 200 Main Street, Hyannis, MA 02601 www.town.b arnsta b I e.ma.us fice: 508-862 4038 Fax: 508-790-6230 H011I:EOWNER LICENSE EXEMPTION �j Please Print DATE: JOB LOCATION: ItiI �F�� A IZV STA L c� number 1� C Street village „HOMEOWNER": YJ!' aN r &f7 2 16—©4W name home phone# work phone# CURRENT MAILING ADDRESS: sue. Op IT-- 1 6� Sp�T� �oC,ioN �'(A 02/27 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. D1;FINITION 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 yermit. (Section 109.1.1) The undersigned"homeowner."assumes responsibility for compliance with the State Building Code and other applicable codes, bylaws,rules and regulations. Tlyr undersigned"homeowner"certifies that he/she understands the Town of Barnstable Building Department minimum inspectio rocedmes and requirements and that be/she will comply with said procedures and - equir ts. :ign of H mcowna r .pproval of Building Official ' Note: •Three-family dwellings containing 35,00.0 cubic feet or larger will be required to comply with the tate 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 ezrmr(s from the provisions this section(Section 109.1.1 -Licensing of construction Supervisors);provided that'if the homeowner engages a persons)for hire to do such )rk,that such Homeowner shall act as_suprrvisor." Many homeowners who use this exemption aim unaware that they arc assuming the responsibilities of a supervisor(see Appendix Q. tics&Regulations for Licensing Construction Supervisors,Section 2.15) This lack of awareness often results in serious problems,particularly ten the homeowner hir unlicensed persons. In this case,our Board cannot proceed against the unlicensed person as it would with a licensed e pervisor. The homeowner acting as Supervisor is ultimately responsible. To ensure that the homeowner is fully aware of his/her responsibilities,many commtmitics require,as part of the permit application, t 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 rc,al towns. you may care t amend and adopt such a fomr/ccrtification for use in your corrununity. 1. ,xery Town of Barnstable . Regula to ry S ervices • i.+.aHsn�scs, y, Mes.4 $ 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: 508-790-623 0 Property Owner Must Complete and Sign-This'Secti n Zf 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 s building permit application for: (Addres of Job) S' atute f Owner Vate jaoves Print Name If Property Owner is applying for permit please complete the Homeowners.License Exemption Form on the reverse side. su, �9D !-4 C i.i t --- i 10Cb Al 13 r. i