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HomeMy WebLinkAbout4850 FALMOUTH ROAD/RTE 28 y8�5o FA�MaJr� 2a l �I �TME T Town.of Barnstable Permit# a Expires 6 mo from issue date Regulatory Services. Fee • EARNSTABLE, « 9 MASS. Richard V.Scali,Director ` Q;A 0 9. afy rEcr�a�" liK 7)7I1q' Building Division . Tom Perry,CBO,Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us „ Office: 508-862-4038 Fax: 508-790-6230 EXPRESS PERMT APPLICATION - RESIDENTIAL ONLY Not Valid without Red X-Press Imprint Map/parcel Number009 ( n // Property Address ❑Residential Value of Work$ Minimum fee of$35.00 for work under$6000.00 Owner's Name&Address 8C4A `1��� �-�y+cc-,-2.o f c�[�-� 4-- -------------�------ -- �..��-_.__ Contractor's Name Telephone Number 7�(— f7��f°�" Home Improvement Contractor License#(if applicable) I Q Email:_ q,[1 CV-Qe f0 C®Al CAJ+,4-,(, Cons tion Supervisor's License#(if applicable) I D orkrn' " Compensation Insurance " C ck one: 233 julL I am a sole proprietor ❑ I am the Homeowner ❑ I have Worker's Compensation Insurance TOWN OF BARNSTA13LE Insurance Company Name Workman's Comp.Policy# Copy of Insurance Compliance Certificate must accompany each permit. Permit Re t(check box) o Yr/1 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.35)#of windows #of doors: ❑ Smoke/Carbon Monoxide detectors 4 floor plans marked with red_ S and inspections required. Separate Electrical&Fire Permits required. *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: Q:\WHILESTORMS\building permit forrns\EXPRESS.doc Revised 061313 t.; Hie ComrrxoymwaUh of-Vassachusefts Depm'trtnent a ffidmstt d Accidents - Owe Gf rmlestiga ions .600 fPayhington Street Bestary,,MA 02HI wmv.inass.gor-ldia Workers' Compensation Insurance Affidavit:Builders/ContractursMecfricians{Plvmhers Ate, plirant-Infarmatian Please Prbit Lesibl Name Ousine�drganizationa&idmo: T T�l ��(D-e ��C) Address &k Z 7 S CiWStatf--l2ip: S I I--ta CR- Phone ter n an employer?�Checkthe appropriate box: _ __ T ,.. a#a emp lover with 4_ ❑ I am a:dal contractor and 1 6 New caustruaion, loyees{fullandlorpartfine)_* 11avehireslthe sob contractors. 7_ I am a sole propfietor or partner listed on the attached sheep y- ❑Remodeling skip and have no employees These sub-contractors have g_ ❑Demolition �� w for me.in any � �c cr �_ employees and have workers' L`O Workers'Comp_insurance comp_tasurani;e 9- El Building addition reiuired-] 5_.❑ We are a corporationzad its 10_[]Electrical repairs or additions officers have exercised their l T_. Plnmbrn airs or additions 3_❑ I am a hr}meowner doing all work. ❑ �� , myself [No workers'comp- right of exemption per MGL 12-El RDofrepairs insurance requiied.]1 c,152,§1(4} and we have no r employees-[No workers' - 13_0 other� r66 d— comp-insurance ruquired-J 'Amy zppHc&nI that checks boat#1 amst also fM out the sectiaa below showing Their wae&ets�rnmpensatiaa paiicF infuttmalioa Homeowners crha smbmit this a$davif i„rT ra+ng they ace thing aIT vro dt saxd them hoe aaAside comtxacmrs amtst submit a Mw affidwh ia>Urstn,surf_ lCoaitactors thst rhari this book must sttarhed as additioxW sheet showi ag the name of the MV-fit and state vrhether c r=t these mfides hue amployees Ifthe sub-coat actors hue employms,dLty umst piuuide their warkers'comp_policg number lam an employer iliatisprmi tr�orkers'conWanrsation insntr=re for my empL&yees. Heraw is the jmHq andlob site informiaiian- Isnsurance Company Natne: Policy;g or Self iaz-Uc-4- Expiration Date: Job Site Address: CitylStatelZip: Attach a ropy of the workers'compensation policy declaration page'(showing the policy number and ccpnration date). Failure to secure coverage as required under Section 25A of MGL rw 152 can lead to the imposition of criminal penalties of a fine up to$1,500.0d andlor one-year-, -i t,as well as civil penalties in the fonn of a STOP WORK ORDER and a fine. of up to$250.00 a.dray against the violator- Be advised that a copy of this statement maybe forwarded to the Office of h estrgations.of the DIA for insmr -,e coverage ver7ficattofl_ Ida hereby kerb under the puns ndpena es perjury thatthe innfotraa6anprati&d aban a is bus and correct 01 Sim ature: , D te: — �! Phone if: !3•,Edal use only. Do not write in this area,to be completed by di or town o•f c-&L City or Town: Permit iceuse At F-,n Authority(circle one): 1.Board of Health. 2.Building Department 3.Cit,lTowu Clerk 4.Electrical Inspector S.Plumbing Inspector 6.Other Con-tact Person: Phone#: 6 A A. .V Information and Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers'compensation for their employees. Pursuant-to this statute,an employee is defined as"...every person in the service of another under any contract of hire, express or implied, oral or written." An employer is defined as"an individual,partnership,association,corporation or other legal entity,or any two or more of the foregoing engaged in a joint enterprise,and including the legal representatives of a deceased employer;or the receiver or trustee of an individual,partnership,association or other Iegal entity,employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein,or the occupant of the dwelling house of another who employs persons to do maintenance,construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be as employer." MGL chapter 152, §25C(6)also stases that"every state or Iocal licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance.coverage required." Additionally,MGL chapter 152, §25C(7)states"Neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority." Applicants — Please fill out the workers'compensation affidavit completely,by checking the boxes that apply to your situation and,if necessary,supply sub-contractors)name(s),address(es)and phone number(s)along with their cer fificate(s)of insurance. Limited Liability Companies(I LC) or Limited Liability Partnerships(LLP)with no employees other than the members or partners, are not required to carry workers' compensation insurance- If an LLC or LLP does have employees, a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance rance coverage. Also be sure to sign and date the affidavit. 1he affidavit should be returned to the city or town that the application for the permit or license is being requested,not the Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy,please call the Department at the number listed below. Self-insured companies should enter their self-insurance license number on the appropriate lime. City or Town Officials Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out is the event the Office of Investigations has to contact you regarding the applicant_ Please be sure to fill in the permit/license number which will be used as a reference number. In addition,an applicant that must submit multiple periaitllicense applications in any given year,need only submit one arH davit indicating current policy information(if necessary)and under"Job Site Address"the applicant should write"all locations in (city or town)."A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year.Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i_e.a dog license or permit to burn leaves etc.)said person is NOT required to complete this affidavit. The Office of Investigations wound like to 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 number: The.C0172Diaawnan of Massachusetts Department of Industdal Accidents Qffice of kyestig-atiom 600 Washinatan Street Boston,MA 02111 Tel.t4 617-727-49-00 e.)±406 or 1-a77-MASSAFE Revised 4-24 07 Fax 9 6l7-727-�49 W�w.u�as�ga��dia 9�! Massachusetts bepartment of Public Safety' j Board of Building Regulations and Standards z. R',C'unstructiun_Supcn icirr ; r License: CS-103265' RICHARD P SUI.I.iVAN P.O.,BOX'#775 G + Sa�amore MA 02-561 .t F � :Expiration Commissioner .08131/2015 ! � 4 ` s � V�L'nineanwea7��i a� sJao�r�3et1 Office of Consumer Affairs&Business Regulation. `4 ME IMPROVEMENT CONTRACTOR Type. a gistration: 16057 + xpiration: 11119t2015 DBA ALL LCAPE PRO ROOFING MODELING. i CHARD'SULLIVAN,",,, F $ P ~ 3 CRESCENT AVE. �� PLYMOUTH,MA 02360 Undersecretary L �'A s t' iLTrSET'TS " ` .DR111ER'5 �.. € ASS_ACI4 LIC1rNSE 14� k OF BY 3 I4d NONE S5472524 ' 31: $��. - 7 is ssx M + 07 5-06 „^ 2�CNAFtD'P +,. e 35•ATKINS:ROAD ¢ � E SANOWICH,MA;02537 r , • • "-��•'• `..XX �L/[.����. g pp Orr•OS1072 Rev 07-+ 200B .:fi7. �': w� { c f - Name- bradford hutchenride_r Job address- - 4850 falmouth rd; '. Date- 05/12/14 , cotuit MA 02635 Phone- 508-889-5011 Home address- Cell- Email- P.O. box- Office Job description: new roof (will be stripping off old roof) (main house) 31 We hereby propose to perform the following services in a neat professional manner in accordance with manufacturers specifications and local building code. ` 1.Supply and install Certainteed brand/Landmark line(limited lifetime warranty ten year surestart protection 10 year warranty algea resistance 130 MPH wind resistance warranty)These shingles are heavy weight self sealing multi-layered fiberglass reinforced architectural style shingles featering copper-ceramic stones. 2.Supply and install Certainteed_Wi6terguard ice and water shield at all eves walls roof vents skylites valleys and roof penatrations 3.Supply and install synthetic water-proof under-layment to entire roof deck 4.Supply and install new stink pipe flashings 5.Supply and install 8"white drip edge along_ all fascias 6.Supply and install vent along the ridge free upgrade to Landmark Pro series shingle - free upgrade to SURESTART PLUS 4-STAR coverage w/online registration included In addition to the above work we will also clean and remove debris.from the work area,daily, re-nail roof deck as needed, and clean all gutters. w\Ww.facebook.com/alicapepro ' www:allca a roroofin .com n {1 . Home Improvement Contractor registration#164857 Construction Supervisor License#103265 AH Coos Pro Roofing And Ramooefing asMcag f .761=217-8123 Name- bradford hutchenrider Job address 4850 falmouth rd Date- 05/12/14 cotuit MA 02635 Phone- 508-889-5011 Home address- Cell- Email- P.O. box- Office All material and work is guaranteed to be as specified and all'work will be completed in a t substantial workmanlike manner for a total sum of $9,500.00 with payments made as outlined. Deposit 1/3 $3,000.00 Remainder due immediately upon completion! Please make check payable to Richard Sullivan If paying by credit card please note that there will be an additional'cost of 2.75% in addition to any APR that you may already be incurring. If you would like different payment options please ask: All workmanship will be guaranteed for five years. Factory warranties apply to all materials used and we Stand by the products we use and also our customers. In the event of a problem with any product used we Pledge to stand behind our customers to resolve the issue. ` Any alteration or deviation from the above specifications involving extra costs will be executed only upon written order, and will become an extra charge over and above the estimate. This proposal may be withdrawn by us if not accepted within 14 days. Any issue of mold in the building will not be our responsibility during or after the project.* Signature Date of acceptance �e The above prices,specifications and conditions are satisfactory and are hereby accepted. I as the owner of the property hereby authorize you to do the work as specified. Payments will be made as outlined above. a V1&q * .Os wwW.facebook.com/allcagbpro [Home Improvement Contractor registration#164857 www.allca e r oofin onstruction Supervisor License#103265 i y ' � o D .. Name- bradford hutchenrider V Job address- .'4850 falmouth rd Date- 05/12/14 cotuit MA 02635 Phone- 508-889-5011 Home address- Cell- Email- P.O. box- Office Job description: new roof (will be stripping off old roof) (garage) 16 We hereby propose to perform the following services in a neat professional manner in accordance with y manufacturers specifications and local building code. 1.Supply and install Certainteed brand/Landmark line (limited lifetime warranty ten year surestart protection 10 year warranty algea resistance 130 MPH wind resistance warranty) These shingles are heavy weight self sealing multi-layered fiberglass reinforced architectural style.shingles featering copper-ceramic stones. 2.Supply and install Certainteed Winterguard ice and water shield at all eves walls roof vents skylites valleys- and roof penatrations 3.Supply and install synthetic water-proof under-layment to entire roof deck 4.Supply and install new stink pipe flashings 5.Supply and install 8"white drip edge along all fascias 6.Supply and install vent along the ridge free upgrade to Landmark Pro series shingle, free upgrade to SURESTART PLUS 4-STAR coverage w/online registration included In addition to the above work we will also clean and remove debris from the work area daily, re-nail roof deck as needed, and clean all gutters. - } www.facebook.com/allcapepro www.allcape roroofin .corn Home Improvement Contractor registration#164857 Construction Supervisor License#103265 r Roofing And RambdW�Rg'aarmcas 781-217-612 3 Name- bradford hutchenrider Job address-' 4850 falmouth rd . Date- 05/12/14 cotuit MA 02635 Phone- 508-889-5011 Home address- Cell- , Email- P.O. box- Office , II material and work is guaranteed to be as specified and all work will be completed in a substantial workmanlike manner for a total sum of $5,000.00 with payments made as outlined. Deposit 1/3 $1,500.00 Remainder due immediately upon completion! „. r Please make check payable to Richard Sullivan If paying by credit card please note that there will be an additional cost of 2.75% in addition to any APR that you may already be incurring. If you would like different payment options please ask. II workmanship will be guaranteed for five years: Factory warranties apply to all materials used and we Stand by the products we use and also our customers. In the event of a problem with any product used we Pledge to stand behind our customers to resolve the issue. Y, a Any alteration or deviation from the above specifications involving extra costs will be executed only upon written order, and will become an extra charge over and above the estimate. This proposal may be withdrawn by us if not accepted within 14 days. ' Any issue of mold in the building will not be our responsibility during or after the project. n uracceptance -- Oct, Y, ; Si at a Date of / CCCCCC j �� CCCC ' C-) j D�"� r�G, y The above prices,specifications and conditions are satisfactory and are hereby accepted. a I as the owner of the property hereby authorize you to do the work as specified. Payments will be made as outlined above. www.facebook.com/allcapepro rr Home Improvement Contractor registration#164857 www.allcapeproroofing.com Construction Supervisor License#103265 Q1 .t TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel Permit# ( � SEPTIC SYSTEM N� -roll i q? Health Division INSTALLED IN G®MP ANCEd a ,may Conservation Division � � 1��---�tl F�. VAT H TITLE TLE GFee9, Tax Collector` •_ - "�®' Treasurer anni Dept. o t Dat efiniti Plan App ed by P 'ng Boar r Historic- KH reserva /Hyannis ~• ProjecAStree ddress ��DVillagesOwnec ddress ig Telephone - Z: �) N-1 Permit Request O O Square feet: 1 st floor: existing 4 proposed 2nd floor:existing proposed Total new Estimated Project Cost Zoning District k/"r Flood Plain Groundwater Overlay Construction Type .� / u__ 6 Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family Two Family 0 Multi-Family(#units) Age of Existing Structure Historic House: ❑Yes ❑No On Old King's Highway: 0 Yes 0 No Basement Type: ❑Full ❑Crawl 0 Walkout 0 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:A 1,7 Gas ❑Oil ❑Electric ❑Other Central Air: ❑Yes �t Fireplaces: Existing ZJWNew Existing wood/coal stove: ❑Yes NO Detached garage:0 existing><new sizeLll Pool:0 existing ❑new size Barn:❑existing ❑new size Attached garage:❑existing Anew size h :❑existing ❑new size Other: Zoning Board of Appeals Authorization 0- Appeal# Recorded 0 Commercial ❑Yes *0 If yes, site plan review# Current Use Proposed Use _11_J3�19Ae Ad a ie BUILDER FORMATION l Name Telephone Number Address X License# Home Improvement Contractor# Worker's Compensation# ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO f P SIGNATU i DATE 1 rFOR OFFICIAL USE ONLY ; -PQRMIT NO. �4 .... DATE ISSUED 'r � MAP/PARCEL NO. ADDRESS - i VILLAGE '• All OWNER `+ ' � •�h_. t 3 ,. I f y ♦ r� DATE OF INSPECTION: t ` FOUNDATION •l f, FRAMEaI ��+C r INSULATION I Z�o ►. t ,� FIREPLACE .. ELECTRICAL: ROUGH FINAL PLUMBING:t ROUGH FINAL • - - GAS: • ROUGH FINAL r FINAL BUILDING a DATE CLOSED OUT - f ASSOCIATION PLAN NO. 4 - i C 1 r � 3 �` . Val Assessor's office(1st Floor): /� Assessor's map and loth um r` 2 1a �'� a�1Nt o`s r Conservation`(4th Floor): Board of Health(3rd floor . Q y\L,j ir'j' F,� Sewage Permit number 1 7 W11.H ��.� �,� to L � ru• HouseEngineering I numberepart7 f), 10�)�, , TIRQNMENTgL COCE AN O��Y�Y►\,� Definitive Plan Approved by Planning Board Io19yN �EGULAT10iyS �,o� APPLICATIONS PROCESSED 8:30-9:30 A.M. and 1:00-2:00 P.M.only TOWN OF BARNSTABLE BU G I N IH PECTOR APPLICATION FOR PERMIT TO n TYPE OF CONSTRUCTION n 19 TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: f o2 � �� � Location (V Proposed Use Zoning District Fire District Name of Owner' _C�` d iiC P�,e,.elr1P,P Address Name of Builder r Address Name of Architect Address Number of Rooms Foundation ti9`���,� Exterior Roofing Floors Interior 1 Heating � Plumbing fJ L� Fireplace / Approximate Cost Area Diagram of Lot and Building with Dimensions Fee 0 0 OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Nar�,"" Construction SI tpervisor's License � LAPPANEN, LINDA & BRADFORD HUTCHENRIDER 4850 �RTEE 28 FALMOUTH ROAD, COTUIT No Permit For 12 Story �- S_F_ n_ Location Owner Type of Construction ! , Plot Lot Permit Granted 19 - Date of Inspection: v y Frame 19 Insulatid-W r-a 7 19 Fireplaces 19, Date Completed 19 4 a 3 <T Q*TY(>, TOWN OF BARNSTABLE � ?.1.08 . Permit No. ......: ........ BUILDING DEPARTMENT TOWN OFFICE BUILDING Cash ML .eTv HYANNIS.MASS.02601 Bond CERTIFICATE OF USE AND OCCUPANCY Issued to Linda Lappanen & Bradford Hutchenrider Address 4850 Falmouth Road, Route 28 Cotuit, MA 02635 USE GROUP FIRE GRADING OCCUPANCY LOAD THIS PERMIT WILL NOT BE VALID, AND THE BUILDING SHALL NOT BE OCCUPIED UNTIL SIGNED BY THE BUILDING INSPECTOR UPON SATISFACTORY COMPLIANCE WITH TOWN REQUIREMENTS AND IN'ACCORDANCE WITH SECTION 119.0 OF THE MASSACHUSETTS STATE BUILDING CODE. I ...... ... .. .. ..July..1..,.., 19.95............ ' ....... .. .. .�......, ............. Building Inspector TWE TOWN OF BARNSTABLE Permit No. .. ......97108 ..... BUILDING DEPARTMENT I ""Tr ! TOWN OFFICE BUILDING Cash 7 ■YL HYANNIS.MASS.02601 Bond CERTIFICATE OF USE AND OCCUPANCY Issued to Linda Lappanen & Bradford Hutchenrider Address 4850 Falmouth Road, Route 28 Cotuit, 14A 02635 USE GROUP FIRE GRADING OCCUPANCY LOAD THIS PERMIT WILL NOT BE VALID, .AND THE BUILDING SHALL NOT BE OCCUPIED UNTIL SIGNED BY THE BUILDING INSPECTOR UPON SATISFACTORY COMPLIANCE WITH TOWN REQUIREMENTS AND IN ACCORDANCE WITH SECTION 119.0 OF THE MASSACHUSETTS STATE BUILDING CODE. I ,✓ ... ... .... ... ...Tiny.1.. .. 19................. ' ........ + ................. 4 . Building Inspector t _. TOWN OF BARNSTABLE, MASSACHUSETTS M Ob■ d PE M I T . =9-1-6 1-7 Octb oer 11 , . N9 ~37108 DATE , 19- 94 PERMIT NO. APPLICANT Owner ADDRESS T•T nf-ed RP1oW Owner (NO.) (STREET) (CONTR'S LICENSE) Build Dwellin 1 STORY _Sin le Family Dwelling DWELLING U PERMIT TO g ( NITS _� )� (TYPE OF IMPROVEMENT) NO. - (PROPOSED USE) AT (LOCATION) Lots #19 & 20, 4850 Rte 28, Falmouth Rd, ,Cotuit D ISTRZONING RF (NO.) (STREET) BETWEEN AND (CROSS STREET) (CROSS STREET) LOT SUBDIVISION LOT BLOCK SIZE BUILDING IS TO BE FT. WIDE BY FT: LONG BY FT; IN HEIGHT AND SHALL CONFORM IN CONSTRUCTION TO TYPE USE GROUP BASEMENT WALLS OR FOUNDATION (TYPE) REMARKS: Sewage #94-496 Bond AREA OR VOLUME 1769 SOY. ft• ESTIMATED COST 100, 000.00 FEEMIT 8.50 ' (CUBIC/SOUARE FEET) - _ OWNER Linda Lappanen & Bradford Hutchenrider ADDRESS P.O'. Box 105, Hyannis, - BYILDIN T � �rI Mr- IbS_lO_AWlLE 077-1... N u I K r-L t:A r I rl r- AeI­LI'_AkNY FROM THE CONDITIONS OF ANY APPLICABLE SUBDIVISION RESTRICTIONS. MINIMUM OF THREE CALL -APPROVED PLANS MUST BE RETAINED ON JOB AND THIS WHERE APPLICABLE SEPARATE INSPECTIONS REQUIRED FOR CARD KEPT POSTED UNTIL FINAL INSPECTION HAS BEEN PERMITS ARE REQUIRED FORALL CONSTRUCTION WORK:. ELECTRICAL, PLUMBING AND I. FOUNDATIONS OR FOOTINGS. MADE. - WHERE. A CERTIFICATE OF OCCUPANCY IS RE- MECHANICAL INSTALLATIONS. ' 2. PRIOR TO COVERING STRUCTURAL QUIRED,SUCH BUILDING SHALL NOT BE OCCUPIED UNTIL MEMBERS(REAOY TO LATH).'. 3. FINAL INSPECTION BEFORE FINAL INSPECTION HAS BEEN MADE. - OCCUPANCY. POST THIS CARD SO IT IS VISIBLE FROM STREET BUILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS IE 4/� G % AA x1 iv 9 T�7 3 HEATING INSPECTION APPROVALS E NEERIN RT ENT ®/A L R BO D 0 LTH OTHER SITE PLAN REVIEW APPROVAL WORK SHALL NOT PROCEED UNTIL THE INSPEC. PERMIT w!LL BECOME NULL AND VOID IF.CONSTRUCTION INSPECTIONS INDICATED ON THIS CARD CAN BE TOR HAS APPROVED,THE VARIODUS STAGES OF WORK IS NOT STARTED WITHIN SIX MONTHS OF DATE THE ARRANGED FOR BY TELEPHONE OR WRITTEN CONSTRUCTION. �, PERMIT IS ISSUED AS NOTED ABOVE. NOTIFICATION. ,,u y, TOWN OF BARNSTABLE BUILDING DEPARTMENT HOMEOWNER LICENSE EXEMPTION Please print. DATE JOB LOCATION S12S6) E Numb r Street Address Section Of Town "HOMEOWNER" W � Ci � �t' �y®-77,90 - 0 Name Home Phone Work Phone PRESENT MAILING ADDRESS /574.2A21SO City/ wn State Zip C de The current exemption for "homeowners" was extended to include owner- occupied dwellings of six units or less and to allow such 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 to six 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, by-laws, rules and regulations. The undersigned "homeowner" certifies that he/she understands the Town of Barnstable Building Department minimum inspection procedures and requirements HOMEOWNER'S SIGNATUR t APPROVAL, OF BUILDING OFFICIAL Note: Three family dwellings 35, 000 cubic feet, or larger, will be required to comply with State Building Code Section 127.0, Construction Control. KISCS y HOME OWNER'S EXEMPTION The code states that: "Any Home Owner performing work for permit is required shall be exempt. the (Section 109. 1.1 which a building Home Owner engages Licensin(s) ffConstor ructionpSupervisorsf.this section Owner shall act as supervisor. „ ° do such work Ors) ; Provided that if such Home Many Home Owners who use this exemption are unaware the responsibilities of a supervisor (see Appendix that the for Licensing Construction Supervisors, Secton2. y are assuming awareness often results in serious problems 4, Rules and Regulations -Owner hires unlicensed Persons. In this case particularlThwhenatheof against the unlicensed person as it would with°licenseur d upery Home Home Owner acting as supervisor is ultimately responsible. To ensure that the Home Owner is fully aware of his/her re many communities require, as part of thepermit Owner certify that he/she understands the responsibilitiionPothat1the1Home On the last page of this issue is a form currently used1bs of a supervisor. You may care to amend and adopt such a form/certificationy several towns. community. for use in your i -----l--:--� l/�-� - ` r I `� � � �� .. COMMONWEALTH OF MASSACI DEI'AI,1 NMN OF I?�TDUSTItiALACCIDFNIS c,.<^ 600 WkSITY-NGTON STR.F'-�- B0S7.'0N, ;'\L�SSACHUSETTS 02111 J2rTly'S.. l.c^'.•_� � NVOluall'S' COMPENSATION INSURANCE AFFIDAVIT ], 01aC S c (liccnscclpermincc) with a principal place oLbs/residence at: AP --9,F (City/Statc/Zip) do hereby ecrtifp, under the pains and penalties of perjury, that: ( J I am an employer providing the following workers' compensation coverage for my employees working on this job. Insurance Company Policy Numbcr [ ] I am a sole proprietor and have no one working for me. I am z sole proprietor,gcne:,i contractor o(homcowncr circle one) and have hired the contractors listed belov, who havc the following workers' compensation insurance policies: Name of Contractor Insurance Company/Policy Number Namc of Contractor Insurance Company/Policy Number Name of Contractor Insurance Company/Policy Number Q 1 am a homcowncr performing all the work myself. VOTE: Plcasc be :wa:c L:t wbilc borncowncrs--vho employ persons to do rnaintcna.acc,construction or repair work on a dwelling of not more than 6rcc uniu in which the homcowncr also resides or on the grounds appumcnaat tbcrcto are not generally considered to be employers under the Workcrs'Cornpcos:tjon Act(GL C. 152,sca. 1(5)), application by a bomcowncr for a liccnsc or perrnit n:y evidence the 1cEd sur:s of an employer undo the Workers'Compensation Act 1 understand that a cop,,of this statement will be forwarded to the Department of Industrial Aeddenu'Ofrree of Insurance for coverage \•cr.frc::ion:ne th:;f;;!::rc tc .ccurc cwcrgc :s rcvuucd under Scction 25A of MGL 152 can Icad to the imposition of ujminJ cnalcics � P P corsiscr.o cf: fine of t to Sl5G0A0 an&or impri onmcnt of up to onc yea::nd ei.:i pcnJties in the form of a Stop Work Order and fine of S 100.00: day:,�!a:ns, mc. Signed this C7>v�_ day of 7L , 19 License crmirtc Licensor/Pcrmittor �1 V I� 115.00' 117.71' 87'- 93' EX`�N P-�ON Ep w It o LOT 21 o6 0 Ln o n LOTS 19 & 20 8 7,321 s.f. L=213.00' 51.06' R=1970.29' ROUTE 28 STATE HIGHWAY N 6 0' WIDE CERTIFIED PLOT PLAN TOWN: BARNSTABLE, (COTUIT) MASS. .BR.ADFORD HUT CHBNRIDER LINDA LEPPANEN 'SCALE: 1 �DA-i E':" 1`U//4-. R`EF.: L.C. #346:-6 C , u ZN OF Mgs�q I CERTIFY THAT THE ABOVE DWELLING.IS LOCATED ON THE GROUND AS SHOWN. > THAT IT CONFORMED TO THE TOWNS ZONING SETBACK REGULATIONS AT THE TIME H ti� IT WAS CONSTRUCTED AND THAT THIS MORTGAGE INSPECTION WAS PERFORMED IN CµRISTOPr1ER . ACCORDANCE WITH THE TECHNICAL STANDARDS FOR MORTGAGE LOAN INSPECTIONS COSTA yl AS ADOPTED BY THE MASSACHUSETTS ASSOCIATION OF LAND SURVEYORS AND CIVIL No. 31"s05 Z3PH9ERC0:T:A RATED. THIS LOT IS NOT IN THE FLOOD PLAIN. �y gFGISTER�����Ut" P.L.S. DATE CHRISTO PHER COSTA �3c Assoc. P.O. BOX. 128/465 MAIN STREET EAST FALMOUTH, MASS. 115.00, 113.71 w PROP. WELL LOCATION PROPOSED DWELLING I goo I . I LOT 21 cil 0o 00 o M APPROX. I SEPTIC LOCATION LOTS 19 & 20 87,321 s.f. i � L=213. 51.061 00' R-1970.29' ROUTE 28 PLOT PIAN SHOWING PROPOSED WELL LOCATION TOWN: BARNSTABLE, MASS. -_ --BRAD FORS HUTCHENRIDER SCALE: 1 =50' DATE: 5/5/94 REF.: L.C. #34636 C � I COSTA � _;, NOTE: THIS PLAN IS INTENDED SOLELY FOR THE PURPOSE OF WELL CAT]0. No. 313b' Gs C: R;STOr Nit COSTA R.L.S. DATE P ^ -qr7X 1 ,)s MAIN 5� cT Afi T FAl..MC�UTN. MASS. t SUBDIVISION PLAN OF LAND IN BARNSTABLE Hayward - Boyton & Williams, Inc. , Surveyors 346,36C SHEET / OF 2 October 23, :1903 I ti p(a S42o5950E dh. I.N,r,B. C.B. GNByo5 o1N E'\'6944 25Er.e 561 6 410 352.90SID f(ar` o�h�a�9� ryCID 23 g �ti. 3• 0)Jtc C..s: �... N4PoI!/B'W 2254205/20�E 350.00 - / o a h 2/ o� I - - a ti 350.00 Z N+2 05 U IRO 348.63� f H b WO 2 N � i - '�•j7'3933""IS' O 25 fb to O^ G6�� 1,� 3/8 0 41 tog �116 OIlMpp 0 ,4 N���X/• aDIV g + + ,'�� 923E /5 � hp c, . 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WALL * i .A `r r , : , 'W r < , PbFtN .I a LMNG toOM! 11 Z, +,d'I- r BEN e , r:' L.&'s 0 w'o.a ' -,•i. i ,c—f r �:, Y �3 v �I >, ti>e.:, =;Gt W .: 1/G�rLYvbOV Sutt:; n. 4.;Ff f 4j: a, ,.:' r )'C .vt• 7 i F.. fr o N t arfit.• t.•s+ .7 a ^,r _.R'�. �::n F. t r' TYVLK NOl15E.V •AP ° t, .'v r r i :%" ri eC l ¢ 4 i a yw 'r i , :; * GuaCD t►+�f qC t ��Grp v8 �" ." 1 1 ►►u. r N Y. , s 4 1 - / f .t n .,i;!,, "1,. : . flLL, I.il, t=e)w. 'f l s'•4.� ..i '� , �.., r y , .,4 ) •j. . ., S _eh, t .� t �141 „4 i i' f Cj j , 1 a 1 t r. , �-;� RL�iLL o11 Y1 SsF i ! S i p t t:rsF .. .d • d �' v` a t ),1 .f { CAL . si.+• •�,, nr yµ 1. "b' '" ` it .. dNS '-. yty ,, r } .. + .." ',, 'S 't 11 f 1t e•d r K'L.MIGIIOC b71.15 1 - i NG! 0 1 &&scm uT 4'O of r.,t f TION s: S p 1 i s .{ IIL a r f �.• 1j _ S hi �76MPTCo7f111(.� r.. t ( a r 'F�.i r 11. I Z y tcNt lm&( A{ � ` .AT auLy z7,W' . !r- __1 r— -, . , ew�za J r s �4'carlfActTA 4tAvU�—' 1 f " F ice• i, _ 1=A .}o" H. PoLY woo MFE+EF r i -, , .r .. 1 @f ^ s T� r , - /IO ti; .. `r' c ..}� _ .. f 1 4 ,Y Y 1 , ' y f 1 ♦ 941if ,y:ti�), . .. I '7. P., i•a fi JMLLT�10✓',- .. r- ' >•a k r. 8^ din SY;m.�1�:.�t.�a`F~ 5 G'rloN f `I, , , 1, 1 4%, , - .,a..r/ . . .,. . . . ar I -- . (SEE ARCHITEC URAL Cr=------ fig = - I DETAIL SHEET) I i 10 2-2X12BM, r m'�6b' �•- �6b• OOM .ro m - sET c H ) PE CL _1�IGN7 r<• , _(_ cStoEE AR± r — -- - - __ u DBL2X 10 BM. WA -� Tm- - - IRV. iw DHO -,l z • KR=� I - (8 CLG1 �n i BREAKFAST wR0 ©- 2bI Maser BEDRooM ---- TOVE arN 11'! ; ; (8,cE1LING) • 1OY LAZIISUSANS S*7' 8'4• 14'4' t , (ABOVE > . 't 10 '� STORAGE om a `,V • �• a Res 0 y/ T WALL ? R e s -'a VAULTED GE_ILING _ I I IT ! '� m bTREAD•10 114' RISER•l' ITOTAL RISE•8=10' 315' 2`1• bg• °a LIVING ilia'BRICK I 44E'ART14 I '• U. BEDrR� e] HANDR BEDR`� I A m (8'CEILING) c I (8'CEILING) I UP I 9 11 r{• 60• r{' 60' ii f0'%his f0'%6$• r4' 60' r<' 610' N i WOO C0 MN I -----. . u O—Lr14 2?X 12 BM. . ---- - ----- _ -BHA DRAT- . 2'C 3ti' 57' i1O' T1O' 57'B - --�• 5.�. .a �rl/C��iE��' ,�;i:•�l�E �,� c; 64 4'b• ( / 34 0' Y� 1 L THE tpy` ' . .-•'1/ The Town of Barnstable • an�uvsr�si.E, • 9�A � Department of Health Safety and Environmental Services Building Division 367 Main Street,Hyannis MA 02601 _ Office: 508-862-4038 ;, Ralph Crossen Fax: 508-790-6230 Building Commissioner Permit no. Datk A { 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. 4 Type of Work: t<azea axt= Estimated Cost . r Address of Work: r1i ZZ '2 Owner's N e. 4 Date of Application- 1 hereby certify that: Registration is not required for the following reason(s): Work excluded by law Job Under$1,000 Building not owner-occupied wner pulling own permit. Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS.FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c. 142A. SIGNED UNDER PENALTIES OF PERJURY I hereby apply for a permit as the agent of the owner: Date' Contractor Name Registration No. P9.9 :3::�� Da O er's Name q:forms:Affidav The Commonwealth of Massachuse= r Department of Industrial Accidents ==� ' _ - Ofl/ce o/hestlgat/oos t 600 Washington Street - - Boston,Mass. 02111 Workers' Com ensation Insurance Affidavit ixg name, G iG location: . 1� hone# I am a homeowner performing all work myself. ❑ I am a sole rietor and have no one woflan in achy ❑ I am an employer providing workers' compensation for my employees working on this job.:•:.:::.:_: :::._:.:•::.•:-.::::::.::::.:.::::::::::::::::::: address <$:: ::: :: .. . :::.:. :::-.. :.: :. dtw "� ... .... i as�ma aiitu �LQ,,,�I am a sole proprietor,general contractor, or omm," circle one)and have hired the contractors listed below who have R the following workers' compensation polices:...............:.0 .i/ .�0 :: :.::.::::::::::::::.,::.,.:::: >:;?<,,:?Y:??.;.; m an :name: :.: :.........:... rw• ,:..... Q. :::::......... ................ :`: •address...:. .:.. ... .::. . .. ..........:.;.;?.;::.::;.;;?:.? .;>;::::;.:.;:>;: ..................... ............... r' �::��< ::2:f:�:•22::;;:;:.r::<:•:;•z:::;::;%%::•::•;::�:�::•:i%:2:•2:;;:;•>::?:<•;:•;<: .... a dEres 'tine>tiit : :5:: •':Y•':$::<: r% :?.:%$:::r::r: %i:;:::%....................,....:.:.:...:-:..........:..,....F,.:-^.:.:.v..:.:.:.:.:.:.:.:.:.^.:.:.:.:.:.:.:.:.?'w...:.:;.:.:.:.•.:.:.:.:.:.:.•..�..:.:..�..:.:. .:.:.•.:.•.:.::.:::.:.:.r:.:.:2.v.....-vv...�.:.:;':::::.:..:::.'tw..r.:::..::.::.:.:.:.::.:.::.::.w..:.:,n�t.t�o::?.:,:•..::.:.:•.::•..�... . ...i ' i:S:is:: :i: ............. .......................... �:::2:::::••;:: :::::::::::?n.f??•:•ice?•ii:•i:??!.....2......•..............•.:... :::N•:+::•::.::::: s : i : : . : �::::•:::::::•::...:::: MEMEN110 11M Failure to seems coverage as required mtder Section 25A of MGL 152 can had to the imposition of crhnimd penalties of a ihu:up to$1,500.00 and/or one years'imprisonment as well as civil penalties in the form of a STOP WORK ORDER and a On of$100.00 a day against me. I andavland that s copy of this statement may be forwarded to the Office of Investigations of the DIA for coverage verification. I do hereby certify under the pains , Penalties of Perjury that the information provided above is&w.mid correct Sigttatme Date — Print name C Y D2c1/ Phone# OR oindal use only do not write in this area to be completed by city or town o)fldal city or town: perodweense# ❑Building Deparbnent ❑Licensing Board ❑checkif hm iste response is required nedp ❑selectmen's Office _ ❑Health Department contact person. phone#; ❑Other Ormed 9195 PJA) Information and Instructions , f 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 any contract of hire, express or implied, oral or written. An employer is defined as an individual,partnership, association, corporation or other legal entity, or anytwo or more of the foregoing engaged in a joint enterprise, and including the legal representatives of a deceased employer,or the receiver or trustee of an individual,partnership, association or other legal entity,employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein,or the occupant of the dwelling house of another who employs persons to do maintenance, construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer. MGL chapter 152 section 25 also states that every state'or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required. Additionally,neitherthe 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 members along with a certificate of insurance as all affidavits may be" submitted to the Departmenrt of Industrial Accidents for cmnfirnation 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. 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 contact you regarding the applicant. Please be sure to fill in the p..�eu ih4icemse number-which will be used as a'*?6 Fn6e number. The affidavits may be rem io the Department by mad or.FAX unless other arrangements 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 Me of laismpadons 600 Washington Street Boston,Ma. 02111 fax#: (617) 727-7749 phone#: (617) 7274900 eat. 406, 409 or 375 Maloney Kathy From: Hutchenrider Linda To: Maloney Kathy Subject: Info... Date: Friday, October 01, 1999 7:48AM On my application for a garage permit I needed Kevin Smoller's workman's comp. info. Here it is: he has his insurance with Almeida &Carlson Ins. and is#5406161. Thanks for your help. I looked under the eaves yesterday and that looks great with all your file cabinets in there- I love that space anyway- it makes me want to get a comfortable chair, a blanket&a book and go in there. (You might tell I like cozy spots). Page 1 • Tabia.tiT.2b L! ipilta Paeica6a for aaa and TwoFamdy Rsddmdtd Bagdhw Hood witb Foaai7 Fuck MAXIMUM M11V Mum Wail Elaar Baaeatmt Sob � U-value &vaiv� R vaiuo� Rrvai�rs� Wa pm= tl vaiva° , Rol to 6500 Rnaie;in) Dam Q 12% 0.40 38 13 19 10 6 No ma! & 12% U2 30 19 19 - 10 6 Noel s Cm 010 31 13 19 t0 6 M AFUE T 15% d36 n a 21 WA -WA Noted U 15% 0A6 3f 19 19 10 6 NG=Zi FUS 1i Iself -Q.44 us !3 2; WA WA MA w 13% 03Z 30 19 19 10 . 6 M a 130/0 om 38 13 21 WA WA om� T IVA 042 36 19 21 WA WA Noemd Z 12% Q42 31 13 19 10 6 90 AFUJE AA IrA 0.50 30 19 19 10 6 90AFEIE 1. ADDRESS OF PROPERTY. IV Z SQUARE FOOTAGE OF ALL EXTERIOR W 3. SQUARE FOOTAGE OF ALL GLAZING. 4 4. %GLAZING AREA(#3 DIVIDED B #2): 3. SELECT PACKAGE(Q—AA- cc chart above): NOTE. OTHER MO INVOLVED METHODS OF DETERMINING ENERGY REQUIREMENTS ARE AV LE. ASK US FOR THIS INFORMATION. BUILDING INSPECTOR APPROVAL: YES: NO: q fo=.f9803Ma Footnotes to Table J5Z.1 b: ' Glazing area is the ratio of the area of the glazing assemblies (including sliding-glass doors;,sk��lights, and basement windows if located in walls that enclose conditioned space,but excluding opaque doors)to the gross wail area,expressed as a percentage. Up to 1%of the total glazing area may be excluded from the U-value requi"timent. For example,3 ft of decorative glass may be excluded fmm a building design with 300 ft of glazing area. 2 After January 1, 1999, glazing U-values must be tested and documented by the manufacturer in accordance with the National Fenestration Rating Council (NFRC) test procedure, or taken from Table J1.5.3a. U-values are for whole units:center-of-glass U-values cannot be used. s The ceiling R values do not assume a raised or oversized truss construction. If the insulation achieves the full insulation thickness•over the exterior walls without compression, R-30 insulation may be substituted for R-3 B insulation and R 38 insulation may be substituted for R-49 insulation. Ceiling R values represent the sum of cavity insulation plus insulating sheathing(if used). For ventilated ceilings, insulating sheathing must be placed between the conditioned space and the ventilated portion of the roof. Wall R values represent the sum of the wall cavity insulation plus insulating sheathing (if used). Do not include . exterior siding, strucnrral sheathing,and interior drywall For example,an R-19 requirement could be met EITHER by R-19 cavity insulation OR R-13 cavity insulation plus R-6 insulating sheathing. Wall requirements apply to wood-flame or mass(concrete,masonry,log)wall constructions,but do not apply to metal-frame construction. 5 The floor requirements apply to floors over unconditioned spaces(such as unconditioned=wlspaces,basements, or garages).Floors over outside air must meet the ceiling regrtiremeats. `The entire opaque portion of any individual basement wall with an average depth less than 50%below grade must meet the same R value requirement as above-grade walls. Windows and sliding glass doors of conditioned basements must be included with the other glazing. Basement doors must meet the door U-value requirement descnbed in Note b. The R-value requirements;am for unheated slabs.Add an additional R-2 for heated slabs. If the building utilizes electric resistance heating use compliance approach 3,4, or 5. If you plan to install more than one piece of heating equipment or more than one piece of cooling equipment, the equipment with the lowest efficiency must meet or exceed the efficiency required by the selected package. 'For Heating Degree Day requirements of the closest city or town see Table J5.2.1 a NOTES: a)Glazing areas and U-values are maximum acceptable levels.Insulation R values are minimum acceptable levels. R-value requirements are for insulation only and do not include structural components. b)Opaque doors in the building envelope must have a U-value no greater than 035.Door U-values must be tested and documented by the manufacn=in accordance with the NFRC test procedure or taken from the door U-value in Table JI.5.3b. If a door contains glass and an aggregate U-value rating for that door is-not available, include the glass area of the door with your windows and use the opaque door U-value to determine compliance of the door. One door may be excluded from this requirement(Le.,may have a U-value greater than 035). c)If a ceiling,wall,floor,basement wall,slab-edge,or crawl space wall component includes two or more areas with different insulation levels, the component complies if the area weighted average R-value is greater than or equal to the R-value requirement for that component. Glazing or door components comply if the area-weighted average U- value of all windows or doors is less than or equal to the U-value requirement(0.35 for doors). 43 I .: e H- 1. h 1JAfe. kJ Building DtIV1,11101ion aaNsTM IM 367 Main Street,Hyannis MA 02601 NAM 9 1639. �ApEp MA't A Office: 508-862-4038 Ralph Crossen Fax: 508-790-6230 Building Commissioner HOMEOWNER LICENSE EXEMPTION Please Print DATA j� �i �(/ 9 Q JOB LOCATION: i (3- 1_ m er c street /� village "HOMEOWNE ": a_ _ S4 "I=, i , ` yD�b narri home phone# work phone# CURRENT MAILING ADDRESS: O t'� /6 r own state' zip code The current exemption for"homeowners"was extended to include owner-occupied dwellings of six units or less and to allow homeowners to engage an individual for hire who does not possess a license,provided that the owner acts as supervisor. DEFINITION OF HOMEOWNER Person(s)who owns a parcel of land on which he/she resides or intends to reside,on which there is,or is intended to be,a one or two-family dwelling,attached or detached structures accessory to such use and/or farm structures. A person who constructs more than one home in a two-year period shall not be considered a homeowner. Such"homeowner"shall submit to the Building Official on a form acceptable to the Building Official,that he/she shall be responsible for all such work performed under the building permit. (Section 109.1.1) The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other applicable codes,bylaws,rules and regulations. The undersigned"homeowner"certifies that he/she understands the Town of Barnstable Building Department minimum inspection procedures and requirements and that he/she will comply with said procedures and requirt e Signature Homeowner Approval of Building Official Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the State Building Code Section 127.0 Construction Control. . HOMEOWNER'S EXEMPTION The Code states that: "Any homeowner performing work for which a building permit is required shall be exempt from the provisions of this section(Section 109.1.1-Licensing of construction Supervisors);provided that if the homeowner engages a person(s)for hire to do such work,that such Homeowner shall act as supervisor." Many homeowners who use this exemption are unaware that they are assuming the responsibilities of a supervisor(see Appendix Q,Rules&Regulations for Licensing Construction Supervisors,Section 2.15) This lack of awareness often results in serious problems,particularly when the homeowner hires unlicensed persons. In this case,our Board cannot proceed against the unlicensed person as it would with a licensed Supervisor. The homeowner acting as Supervisor is ultimately responsible. To ensure that the homeowner is fully aware of his/her responsibilities,many communities require,as part of the permit application,that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the last page of this issue is a form currently used by several towns. You may care to amend and adopt such a form/certification for use in your community. Q:FORMS:EXEMPTN +I M J M 1 115.00' 117.71' ;6 rt.. 87' G - �y. w o LOT 21 06 o M LOTS 19 & .20 8 7,321 s.f. L=213.00' 51.06' R=1970.29' ROUTE 28 STATE HIGHWAY N 60' WIDE CERTIFIED PLOT PLAN TOWN: BARNSTABLE, (COTUIT) MASS. BRADFORD HUTCHENRIDER - ---- LINDA LEPPANEN SCALE: 1 "=60' DATE: 7/10/95 REF.: L.C. #34636 C OF A�v,e. 1 CERTIFY THAT THE ABOVE DWELLING IS LOCATED ON THE GROUND AS SHOWN, s THAT IT CONFORMED TO THE TOWN'S ZONING SETBACK REGULATIONS AT THE TIME ( a1Si0VHER IT WAS CONSTRUCTED AND THAT THIS MORTGAGE INSPECTION WAS PERFORMED IN C0511. ACCORDANCE WITH THE TECHNICAL STANDARDS FOR MORTGAGE LOAN INSPECTIONS No. 3130S " AS ADOPTED BY;THE MASSACHUSE17S ASSOCIA11ON OF LAND SURVEYORS AND CIVIL EN=c . THIS LOT IS NOT IN THE FLOOD PLAIN. ti0 SUR`1�r �` DATE r"+N XP T.C'?'n 7=0 T-r A'F;;P e 7 f'3.ems 'r A L L�::� J G a_ � �• -ram ��-V,'A L . "' . M> 1 �' �"` �� ►�1 �- � ��:-►� >� � ►-fry r-- GH ! �( APPROVED BY:, _ .._. . DRAWN BY ._ _. GATE: -- '�-- - - REVISED • __._. r .. ._ DRAWING NUMBER r - F ------------ _7Y . -T-:. L .- c - _ -- II -,pre- i m eE ,BUJ ' S'T ? 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