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HomeMy WebLinkAbout0134 MAIN STREET (COTUIT) Mons IVE Town of Barnstable Building e�►n�s-reera. Post This Card So That it is Visible From the Street Approved Plans Must be Retained on Joli and this Gard Must be`Kept. 059,1 Posted Until Final Inspection Has Been Made , "� Where aCertificate of Occupancy::is Require'd ,such Building shall Not"be Occupied until a Fnal.lnspeetion'has,b"een..made t�;a Permit Permit No. B-20-1862 Applicant Name: Henry Cassidy Approvals Date Issued: 07/16/2020 Current Use: Structure Permit Type: Building-Insulation-Residential Expiration Date: 01/16/2021 Foundation: Location: 134 MAIN STREET(COTUIT),COTUIT Map/Lot: 023-011 Zoning District: RF Sheathing: Owner on Record: MATATHIA,SANFORD&BETHANN Contractor Name HENRY E CASSIDY Framing: 1 Address: 10 STONEWELL ROAD Contractor License: CS`-400988 2 READING, MA 01867 Est. Project Cost: $2,900.00 Chimney: Description: Weatherization Permit Fee: $85.00 Insulation: Project Review Req: Fee Paid $85.00 Date:: � 7/16/2020 Final: Plumbing/Gas Rough Plumbing: 1= —. \Building Official Final Plumbing: This permit shall be deemed abandoned and invalid unless the work authorized by this permit is commenced within°six months aftd,issuance. All work authorized by this permit shall conform to the approved application and the approved construction documents for which this permit has been granted. Rough Gas: All construction,alterations and changes of use of any building and structures shall be in compliance with the local zo�ing by-lawsanJ codes. This permit shall be displayed in a location clearly visible from access street or road a d shall be maintained open for,public inspection for the entire duration of the Final Gas: work until the completion of the same. Electrical The Certificate of Occupancy will not be issued until all applicable signatures by the Building and Fire Officials are provided on this,permit. Minimum of Five Call Inspections Required for All Construction Work: Service: 1.Foundation or Footing 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). Building plans are to be available on site Fire Department All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT N`^ Final: Town of Barnstable Building I Post This Card So:That it it Visible From the Street-Approved Plans Must be Retained onaob and this Card Must be Kept - rasraei E *� Posted`Until Final Inspection Has Been Made. p�y�YY11t , = 1 l lilt a Where?a C rtificate:gf Occupan'cy.,is FW6quired,.suc� h Bu ldmg shalI.Notbe 6 ccupped until a Final Inspect o`n has been made ; Permit No. B-19-4083 Applicant Name: Sanford and Bethann Matathia Approvals Date Issued: 12/18/2019 Current Use: Structure Permit Type: Building-Alteration INTERIOR Work Only- Expiration Date: 06/18/2020 Foundation: Residential Map/Lot: 023-011 Zoning District: RF Sheathing: Location: 134 MAIN STREET(COTUIT),COTUIT � - Contractor.Name: Framing: 1 Owner on Record: MATATHIA,SANFORD&BETHANN Contractor License 2 Address: 10 STONEWELL ROADa Est Project Cost: $ 1,000.00 Chimney: T READING, MA 01867 Permit Fee: t $85.00 Description: Fee Paid" $85.00 Insulation: � Date: 12/18/2019 Final: Plumbing/Gas Rough Plumbing: Building Official Final Plumbing; Rough Gas: Final Gas: Electrical Service: Rough: p Final: Low Voltage Rough: Low Voltage Final: Health ` .Final: t� Fire Department Final: 5�� 7• �y Town of Barnstable BU11 ' .o-..+d..w.......�� ".��_ .�o.�am,, ram .; �.�...: � ��W � . L:,a „r $ TJ Post This Card So That it is VisibleFrom`the Street TApprovedyPlansMust be Retained on lob and'this Card Must besKept Building �p Posted Until Final Inspection Has Been Made. Permit ibSW Q� F Sys Where a Certificate ofOccupancyas Required,suchBu-Id' g shall Nof be Occupieduntil a Final Inspection.has been made met„ Our plan is to renovate this house in several steps. The initial step will be to"gut"the interior of the structure by removing most appliances,cabinets,closets and wall coverings(all without change to the house frame,support structure or bearing walls). After the inside space has been cleared out,we will complete certain energy conservation, pest elimination and general sanitation_wor_k. _ � The energy conservation work will include several measures 3 recommended by the Cape Light Compact Program including a secondary door at the base of a bulkhead,a nhoisture barrier over�� -� ­ the dirt floor crawlspace,and.closed cell foam insulation`on the foundation walls. It is our understanding that these energy 4 conservation measures will be covered by a separate building permit application to be submitted by Rise Engineering and/or Cape F Cod insulation. Additional energy conservation,measure"s to be .- completed by the homeowner include the air!,sealing of:doorwa' a _ X concrete dust cover over the crawlspace floor,ventilation of the attic space,and the completion of all wall insulation. The pest elimination work will include trapping of mice,ants and other insects as maybe present. The general sanitation work will involve the cleaning of all exposed building materials mctuding - posts and beams Q Testing for lead and asbestos has been completed on the i' tenor ,. paint, plaster and insulation,all with negatives results ` The initial phase of work will involve no building demolition,no alteration to the exterior facade, and no change to the existing number of bedrooms. Once the initial work is completed, plans will be drawn for the house renovations and submitted with a separate building permit application at a later date. It is anticipated that the renovation plans will include improvements to the house frame and foundation,full replacement of the kitchen and bathroom and modernized utilities including new water,septic, plumbing,heating and cooling systems. Project Review Req: Town of Barnstable Building t Post This Card.So That�t is Visible From the Street-Approved Plans Must be Retained on Job and this Card Must be Kept . Posted Until Final Inspection=Has'Been Made. Permit R Where a Certificate,.of Occupancy is Required,such Building shall Not be Occupied until a.F,inal�lnspection has been made. 1 NO STRUCTURAL WORK. ADDITIONAL PERMIT REQUIRED FOR RECONSTRUCTION. This permit shall be deemed abandoned and invalid unless the work authorized by this permit is commenced within six months after issuance. All work authorized by this permit shall conform to the approved application and the approved construction documents for which this permit has been granted. All construction,alterations and changes of use of any building and structures shall be in compliance with the local zoning by-laws and codes. This permit'shall be displayed in a location clearly visible from access street.or road and shall be maintained open for public inspection for the entire duration of the work until the completion of the same. The Certificate of Occupancy will not be issued until all applicable signatures by the Building acid Fire Officials are provided on this permit. Minimum of Five Call Inspections Required for All Construction Work: 1.Foundation or Footing 2.Sheathing Inspection 3.All Fireplaces must be inspected at the throat level before firest flue lining is installed 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection { �Y 5.Prior to Covering Structural Members(Frame Inspection) ' 6.Insulation + 7.Final Inspection before Occupancy Where applicable,separate permits are required for Electrical,Plumb ng,and Mechanical Insta`ilations Work shall not proceed until the Inspector has approved the various stages of construction Persons contracting with unregistered contractors do not have access to the guaranty �� g � g' ' g anty fund" (as set forth iri MGL c.142A). Building plans are to be available on site All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT,t :: j 4 , i CF THE Tp� Town of Barnstable *Permit# ���� Expires 6 m h • r m F. ate Regulatory Services Fee ` BArttasTAsr.$, Thomas F. Geiler,Director b9. Building Division �prFD MA't� 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 PERMIT APPLICATION - RESIDENTIAL ONLY Not Valid without Red X-Press Imprint Map/parcel Number Property Address esidential Value of Work V Minimum fee of$25.00 for work under$6000.00 Owner's Name&Address 62 C) A Contractor's Name A j A Telephone Number Home Improvement Contractor License#(if applicable) fill , ❑Workman's Compensation Insurance - JER, h Check e: XP am a sole proprietor APR ® 8 ZQQ8 ❑ I am the Homeowner ❑ I have Worker's Compensation Insurance TOWN ®F BARNSTABLE Insurance.Company Name Workman's Comp. Policy# Copy of Insurance Compliance.Certificate must be on file. Permit Request(check box) ❑ Re-roof(stripping old shingles) All construction debris will be taken to ❑ Re-roof(not stripping. Going over existing layers of roof) [D e-side ❑ Replacement Windows/doors/sliders. U-Value (maximum .44) *Where required: Issuance of this permit does not exempt compliance with other town department-regulations,i.e.Historic,Conservation,etc. ***Note: Property Owner must sign Property Owner Letter of Permission. A copy of the Home Improvement Contractors License is required. SIGNATURE: Q:Forms:build ingpermits/express Revisel12807 The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston, MA 02111 , www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers A Oicant Information Please Print Legibly Name(Business/Organizadonandividual): Address: ��'�l� >\ra, City/State/Zip: l'\Cy ; 0 Phone.#: Are you an employer? Check the appropriate box: Type of project(required): 1.❑ I am a employer with 4. I am a general contractor and I 6 F1 New construction . employees(full and/or part-time).* have hired the sub-contractors 2.El am a'sole proprietor or partner- listed on the attached sheet 7. ❑Remodeling ship and have no employees These sub-contractors have g, E]Demolition and have workers' working for me in any capacity. employees9. ❑,Building addition [No workers' Comp.insurance comp.insurance,$ �� 5. We are a corporation and its 10.❑Electrical repairs or additions r 3. am a homeowner doing all work officers have exercised their 11.❑Plumbing repairs or additions myself-[No workers' comp. right of exemption per MGL§ \4 12.0 Roof repairs c. 152, 1/ ,and we have no �'Other insurance required.]t ) . employees. [No workers' • 13. . ` comp.insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. tContractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the subcontractors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: " Policy#or Self-ins.Lic.#: Expiration 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 secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine tip to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certi under the pains' d p allies of perjury that the information provided above true and correct 8 Sienature: i/\V1 Date: 0 — Phone#: Official use only. Do not write in this area,to be comp leled by city or town offtciaL City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person•. Phone#• . 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 hue, 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 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, §25C(6)also states that"every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to 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 certificate(s)of insurance. Limited Liability Companies(LLC)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 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. Self-insured companies should enter their self-insurance license number on the appropriate line. 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 in 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 permittlicense applications in any given year,need only submit one affidavit 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 bum leaves etc.)said person is NOT required to complete this affidavit. The Office of Investigations would 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 Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston,MA 02 111 Tel. #617-727-4900 ext 4.06 or 1-977-MASSAFE Revised 11-22-06 Fax#617-727-774 www.mass.gov/dia r Town of Barnstable • snxxsrnBLe. • t""31639. Regulatory Services Argo►�� Thomas F.Geiler,Director Building Division Thomas Perry,CBO Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us, Office: 508-862-4038 - Fax:,508-790-6230 1 Property Owner Must `Complete and Sign This Section, If Using A Builder I, Vt , as Owner of the subject property hereby authorize to act on my behalf, - in all matters relative to work authorized by this building permit,application for. (Address of Job) Signature of Owner Date Print Name Q:\WPHLESTORMS\building permit forms\EXPRESS.doc Revise020108 Town of Barnstable Regulatory Services Thomas F.Geiler, swxxsTns�. ,Director MA88 1639. p,0� Building Division rEc� Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION Please Print DATE: � (J JOB LOCATION: ✓ V V�1 l t'L� �f7,�F—'1J number street village "HOMEOWNER": V1 Le ` name j home phone# work phone# CURRENT MAILING ADDRESS: I� +_ city/town state zip code The current exemption for"homeowners"was extended to include owner-occupied dwellings of six units or less and to allow homeowners to engage an individual for hire who does not possess a license,provided that the owner acts as supervisor. DEFINITION OF HOMEOWNER Person(s)who owns a parcel of land on which he/she resides or intends to reside,on which there is,or is intended to be,a one or two-family dwelling,attached or detached structures accessory to such use and/or farm structures. A person who constructs more than one home in a two-year period shall not be considered a homeowner. Such "homeowner"shall submit to the Building Official on a form acceptable to the Building Official,that he/she shall be responsible for all such work performed under the building 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 r .qu. ements. Signature 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 lack of awareness often results in serious problems,particularly when the homeowner hires unlicensed persons. In this case,our Board cannot proceed against the unlicensed person as it would with a licensed Supervisor. The homeowner acting as Supervisor is ultimately responsible. To ensure that the homeowner is fully aware of his/her responsibilities,many communities require,as part of the permit application, that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the last page of this issue is a form currently used by several towns. You may care t amend and adopt such a form/certification for use in your community. Q:\WPFILES\FORMS\homeexempt.DOC ,oFT"ErOw Town, of,Barnstable. *Permit# 'Expires 6 months from issue date Regulatory Services Fee * aAxras-rAe[.e, 9cb MASS. `�� Thomas F. Geiler,Director ArfDMAva 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 PERMIT APPLICATION - RESIDENT'IAL ONLY Not Valid without Red X-Press Imprint Map/parcel Number f, Property Address 11A_ �'I�idential Value of Work qU �y G Minimum fee of$35.00 for work under$6000.00 Owner's Name&Address Lecq Contractor's Name �a Telephone Number Home Improvement Contractor License# (if applicable) ' Construction Supervisor's License#(if applicable) PERMI`� ❑Workman's Compensation Insurance Check one: J F P ❑ �am a sole proprietor I am the Homeowner TOWN OF BARNSTABLE. ❑ 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) e-side #of doors ❑, Replacement Windows/doors/sliders. U=Value .(maximum.35)#of windows' *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 oft Home Improvement Contractors License & Construction Supervisors License is required. SIGNATUR Q:IWPFILESIFORMSIbuilding peimit forms\EXPR S.doc' Revised 072-1 10 7 - They Cana romf',ealth of-Massachusetts ---- Deparlinent oflndustr al Accidenis Office of Investigations 600 Washington Street .Boston, AL-I 0211 l' �yl ivrsnl�.nrnss.got�✓rlin Alrorkei-s' Compensation Insurance Affida•w•it: Builders/Cots:tr�ietorsJElectric ans/Pltirnbers Applicant Information Please h-int Legilih, Name (BttAsines,'Orgauizatton-Udrvldnal). Address: City/StateJZi-P `V V wT �� 3j P1loire#:4 ���n 7 o Are you arc employer?,Check the appropriate boa.: T}pe ofprojact(rrquired): l..❑ I am a employer iNrith a. 0 I ant a general contractor and I etx�ployees:(full and/or part-tirise). have hired the sub-contractors b- ❑.flew c:onstnic.tion I❑ I ant a sole proprle-tor orpartrier- listed on the attached sheet. 7. ❑Remodeling shipand have no employees ees These sub-contractors have p y S. .Detnolirion ,harking :for me in any capacity. employees and have wcTkers' com instrrauce.l p ❑.Building addition [No workers' comp.insurance. p- r 5. ❑ We are.a corporatio:n.andits 10.El Electrical repairs or ldditions 3. a.homemimer doing all work officers have exercised their 11.❑Plumbing repairs or additions myself: [No workers'comp, right of exenTtion per 1VGL 1 2 0 Roof re}xgirs insurance:required.) T c; 152, §1{4),and.vve have no . employBes. [No worlrers' 110 Other .. cot p,mstirance required.] Any appikavt that c-hecks box#1-must also fill out the secdou below showing their workers,corrTeusa:ti.on poli.cy information_ Y Homeowners who submit this-aft idsvit indicating they are doing all'wort e:ud then hire outside contractors must submit s u w affidavit indicating such kwtrac.iors that check this bees inua attached an sdditioual:she.et shmving the name of the sub-eorrtractnrs and stare whether or not those entities have employees. Ifthe sub,-onlracturs-have employees,they:must provide their workers'comp.policy number. gJlt Q'T!2fllpZOj r tltai is proi7dirrg ttroris�rs':conrpeersat att insrararrae for ray'ersrpla��eas. Below is the policy and jab sife iT form alY07l Insurance Company Name: Policy#or Self--ius.Li•c.#: Expiration D&e: Job Site.Address: City/State/Zip: Attacb a copy of.the workers' compensation policy declaration page( hoitdng the policy number and expiration date). Failure to secure coverage-as required under Section 2.5A of MGL c. 152 can lead to the imposition of cr.inunal penalties of a fine up to$1,500.00 and/or one-year imprisonment,as well'-ts civil penalties 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 Once of Investigations of the D.IA for insurance coverage verification. I do hereb,cerh cinder thepains r1tye141HOS nfpeVnry that the n:forirtrrtio,tt provided a.boue is trite acid correct Si lure: Date: ghbo 6 Phone M 8 '- Fo Offlcial.use.octly. Do not write in iltis area,to be coinpltrted by cittj or town official City-or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 3. Building Department 3. CVi /Toi n Clerk 4, Electrical Inspector 5.Plumbing Inspector• 6. Otli er Contact Person: Phone M. IKWE � Town of Barnstable' . ' r Regulatory Services BAFtsrABLE, ` Thomas F.,Geiler,Director, , • Building Division . J . Tom Perry, Building Commissioner 200 Main Street, Hyannis, MA 0260`I� www.town.barnstable.ma.us` F Office_ 598-862-4038 - Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION, Please Print DATE: JOB LOCATI N: l `C 1 � IS number 70 P �/ , street �j / p village "HOMEOWNER"Mc, n nL A`eV--�"1 U (P `97,?�. . .t name home phone H work phone H CURRENT MAIL NO ADDRESS:.. " j", 4 " _"r r . oar �e • city"/town state ' zip code The current exenptiort for"homeeowners"'was,extended to include owner-occupied dwellings ofsix 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 FOMEOWNER _. :n - 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 structiires."A 1ers6n 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"homeo ner"certifies that he/she understands the Town of Barnstable Buildin-'Department minimum inspection oce and require and that he/she will comply with said procedures and requirements: Signature of Homeowner Approval of Building Official r Note: Three-family dwellings containing35,000 cubic feet or larger will be required to comply with the State Building Code Section 127.0 Construction Control., HOMEOWNER IS 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 ofconstruction Supervisors);provided that if the homeowner engages a person(s)for hire to do such work,that such Homeowner shall act as s i , 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 wh6n 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 I amend and adopt such a form/certiFcation for use in your community. x_ Q:\WPFILES\FORMS\buildmg permit forms\EXPRESS.doc Revised 072110 a.r � `f Op THE Tp� K yT • � x a � + BARNSTABLE, +' . MASS. 'Town of Barnstable prFD MAC A , Regulatory,Services Thomas F. Geiler, Director, Building Division Thomas Perry, CBO Building Commissioner 200 Main Street, Hyannis, MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder I, as Owner of the subject property hereby authorize to act on my behalf, in all matters relative to work authorized by this building permit application for: (Address of Job) 4n, ure o`fo'.;�—Ier— Sig Date C � V\ Print Name If r y er is applying for permit, please complete the Homeowners License Exemption Form on the everse side. QAWPFILESIFORMSIbuilding permit formsTXPRESS.doc Revised 072110 oFiFtrlp� -tL ow) of Barnstable c� iC�c),-F � L ermit# FIr inpires 6 r rs fr r is'sr Regulatory ServicesServices Fee " B.ARVSMBLE, 1639- � Thomas F. Geiler, Director Building Division C 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 PERMIT APPLICATION - RESIDENTIAL ONLY - 7 Nol Valid wilhonl Red X-Press Irreprinl Map/parcel Number Property Address 1 4 �'� i — P rh' i f 1 �lii(lit. r �'�l�rA Residential - Value of Work � � Minimum fee of$35.00 for work under$6000.00 Owner's Name & Address n%cA Ci�jl-A Inn p � Contractor's Narne Y�v . QL„ Telephone Number o Home Improvement Contractor License#(if applicable) V /-i- Construction Supervisor's License#(if applicable) � � R y.-2 9� pMI �� ❑Workman's C mpensation Insurance ' Che one: V,�.ff . .a e proprietor �' . m the Ho . OjC meowner `p'O N OF BARNSTABLE ❑ 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/s)iders. U-ValuXh4w= C_ #of doors (maximum .35)# of windows_ *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 Improvement Contractors License & Construction Supervisors License is �. required. IGNATURE: ( e' \WPFILES\FORMS\building permit forms\EX PRESS.do evised 072110 The Cirminorrwealth of Massachusetts r -- DeparrtinenI ofIndustrial Aecidents )(" Office of Investigntior�s ., * 600 Washington Street . t �l Bstort'ri✓L� 0211 1,1'b`4L'Ir1.nrarss gav1rlia , Workers' Compensation Insurance A_ ffi.davit: Builders/Conti,ictoi.&/Electti.cians/Plumbers` Applicant Information Please Print LegiMy Name (Business/Orgam--ation'Indtvidtml): 11 t Address: City/State/Zip: C cvG Ph onr' #: Are you an employer?Check the.appropriate bos: Type o.fprojeci.(requited): L❑ I am a employer"pith I am a general contractor and 1 } enTloyees(full and/or part-tune). * have hired the s-ub--contractors . 6 ❑New caast ruction 2,❑ I am a sole proprielor or,partnes- listed on the attached sheet. 7. Remodeling sift and have no employees ees These,sub-contractors have P P y $. ,Demolition working :far the in any capacity_ 'employees and have z workers' [No workers' comp.insurance comp.insurance. }. Building addition , 5. 0 We area corporation.and its 10.❑Electrical repairs or additions 3.jj,1,"a'm a.homeowner doing all lxwk officers have exercised their, l l.E]Plumbing repairs or additions thyself [No workers'comp. - right of exemption per MGi 12.❑Roof repairs insurance:required.]T c_ 152, 1{4),and we have no employees. [No workers' 'thee . ,13 ❑t3, c I comp.insurance required.] 'Any applicant that checics:box#1'must also fill out the section belona,showing(heir wwlien'compevsa:ti:an policy infornratiaei fi Homeowners who submit this.affuL vit indixatiug they are doing all wok and then hire outside--contractors crust submit ai'ew affidavit indicating such. (Contractors that check this boat must attached an additional sheet sba%-ing the:name of the sub-coutractors and stare whether or not those entities have ' employees. Ifthe sub-contractors:have employees,they:nmst.provide their workers'comp.policy number. . I ant are employer that is providing it orkers'compensadon irrsrtrance for ttts,'rxmployews. Beloir is ties policy rntd,job sifts in j"orrrrr dvit - Insurance Company Name: w Policy#or Self--ins.Lie.#:. Expiraticin Date: Job Site.Address: City+fState+'Zip: Attach a copy of.the workers'compe'arsation policy declaration page(sltoasdng the policy number and exph•ation slate). Failure to secure coveragee as required under Section 25A of NfGL c. 152 can lead to the imposition of critiunal penalties,of a'" fine up to$1,500.00 and/or one-yea'r.i PnMn went, as Well.as ciinl penalties.in the form of a STOP'WORK ORD:EIZ and a fine , of up'to$250.00 a day against the violator:Be advised that a copy of this statement maybe forwarded to the©ffict of Investigations of the D.IA for insurance coverage verification. I do l h tz y rYrtdRr fife prsr"fits rtJtal strife"es ofp rjury that fire h forrrrtrtian prm�irterf a ve is trcaa ae►al correct: r Si ma �.: Date: Api Phone#: \�(/ / [Other e.only. Do not w�rit.e in this arear,'to be corrlpletea'bj.cittl ar tojvn o�ciaL" -nm: Permit/License thority(circle one)' Health,-?:Building Department 3.Cityti'own Clerk 4,Electrical Inspector sr.Plumbing inspector rson. Phone#: Y i '6 ti 3 F P�Q(HE ti Town of Barnstable ' Regulatory Services BLE'$ Thomas F. Geiler, Director �tja b79• A�� Building Division Tom Perry, Building Commissioner 200 Main Street, Hyannis, MA 02601 www.town.barnsta ble.ma.us Office: 518-862-4038_ Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION (( Please Print DATE: JOB LOCATION: number street village ..HOMEOWNER" name i � home phone N work phone N I CURRENT MAILNG ADDRESS: `� ,k L S (� Uddo 2, city town state zip code The current exemption for"homeowners"was extended to include owner-occupied dwellings of six units or less and to.allow homeowners to engage an individual for hire who does not possess a license, provided that the owner acts as supervisor. DEFINITION OF HOMEOWNER Person(s) who owns a parcel of land on which he/she resides or intends to reside, on which there•is, or is intended to be, a one or two- family dwelling,attached or detached structures accessory to such use and/or farm structures. A person who constructs more than one home in a two-yearperiod 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 require ents.and that he/she will comply with said procedures and requirements. Sign 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 ofconstruction 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 againstthe'unlicensed person as it would with a licensed Supervisor The homeowner acting as Supervisor is ultimately responsible. To ensure that the homeowner is fully aware of his/her responsibilities,many communities require,as part of the permit application,that the homeowner ' certify that he/she understands the responsibilities of a Supervisor. On the last page of this issue is a form currently used by several towns.You may care t amend and adopt such a form/certification for use in your community, QAWPFILES\FORMS\building permit forms\EXPRESS.doC Revised 072110 - I� Y of T"E r, w BARNSrABLE, 1639.ass. Town of Barnstable plFD MAy A Regulatory Services Thomas F. Ceiler, Director Building Division Thomas Perry, CBO Building Commissioner 200 Main Street, Hyannis, MA 02601 www.town.ba rnsta bl e.ma.us Office: 508-862-4038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder as Owner of the subject property hereby authorize /U 4 to act on my behalf, in all matters relative to work authorized by this building permit application for: (Address of Job) J / v 4ature of Owner a e r 1 -e C Pti'lt Name If Property Owner is applying for permit, please complete the Homeowners License Exemption Forma on the reverse side. QAWPFILESTORMS\building permit forms\EXPRESS.doc Revised 072110 Town of Barnstable �F VE t Regulatory Services • Thomas F.Geller,Director • sexivsr�tE, t . MASS. Building Division Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Q- PERMrr# 7 O� FEE: $ SHED REGISTRATION 120 square feet or less f 3V AJAI S 1 ('0/UiT Location of shed(address) Village L FPc i t &1&u V)" 9"21f- Property owner's name Telephone number n t y c2.3 Size of Shed Map/Parcel# e Signature coDate Hyannis Main Street Waterfront Historic District? Old King's Highway Historic District-Commission jurisdiction? _ Conservation Commission(signature is required) PLEASE NOTE: IF YOU ARE WITHIN THE JURISDICTION OF ANY OF THE ABOVE COMIVIISSIONS,THERE MAY BE A REVIEW PROCESS AND APPLICATION FEE. PLEASE SEE THE APPROPRIATE COMMISSION FOR DETAILS. THIS FORM MUST BE ACCOMPANIED BY A PLOT PLANT MAP 023 010 # 120 CD Q MAP 023 011 # 134 --' MAP 023 012 # 1825 MAP- 3 #: I48 MAP 023 067 OconservationAgn 9/21/2005 8:42:35 AM Town of Barnstable `cF t►+e rqf, �P� tio Regulatory Services Thomas F.Geiler,Director • B ysTABM 9e� MASS. � Building Division iOrEo Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 www,town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-623( PERMIT# b -70558(P FEE: $ SHED REGISTRATION 120 square feet or less s Location of shed(address) Village 0 k0a Property owner's name Telephone number Size of Shed Map/Parcel# . Signature Date Hyannis Main Street Waterfront Historic District? Old King's Highway Historic District Commission jurisdiction? Conservation Commission(signature is required) L Sign off hours for Conservation 8:00-9:30&3:30-4:30 PLEASE NOTE: IF YOU ARE WITHIN THE JURISDICTION OF ANY OF THE ABOVE COMMISSIONS,THERE MAY BE A REVIEW PROCESS AND APPLICATION FEE. PLEASE SEE THE APPROPRIATE COMMISSION FOR DETAILS. THIS FORM MUST BE ACCOM^PA-NIF''-D,,BAY A PLOT PLAN SCE :0/ V Q-forms-shedreg ? 3 REV:042506 . . � � fix. � � • - �s '.�� - 'LOT I 1 e 3 9 AW 66 \) RULES' OG� OF ®E DA TE re a.. "If .. 14.93. Ek I AM, w t r g � � « _ JUB®I E�ISI®/,V - C®N< BA TABLE PLANK. p0� DATE: V , 4 r , NAT I ON AS - ' D zomIW G+ a1DINANGE--` EQU11Z� :> IIVTL-I�tDFD 13Y TI-1�_AOVE )✓{ t� f PLAN OF L"t ti � 41 L OCA TED . "IF Y y FY THAT THrS P w /D REGULA T.I.ONS BARNS TABL E -- C0 7 %JV .t fi �F PREPARED F �. 7 2000 _ ' LEROY J. PEYaR r s DRAIN BY.• HP J50 CAPE 6 ISL ANDS .ENS 800 FALMOUTH RD. , MASHPEE MASS. 5G O x 151" — — — — — — — — — — — • - - $ . - - NO DETED—MINATION AG TO •GOMrLIANGE Wl?W T1-11 ZONIW Ci O INAUGI PZ�QUItZEI'1�NT5' HAS 1 El=fit ;MA17 . 'I NTE-NDED (PAY TWI-._.AJF,cOVE- !~N OIZGEMANT. ..r PLAN OF LAN® . IF L OCA TE'D IN UF'Y THA T THIS PLAN CONFORMS TO THE VDREGUL.4 TTONS OF THE REGISTERS BARNS TA®L E "" CO TUI T MA SS. PREPARED FOR , 7. 7, 2®0® s s ` LEROY 4../. P `RRY, fjR. .y F+t�IC) ti. _M FT- ELAN ZQQ a SAW- (I . v DRA WN B Y.• HP 34 ISO CAPE 6 ISLANDS .ENGINEERING BOO FALMOUTH RD. , SUITE 301 C MA SHPEE - MASS. 508-477-7272 f, L r� TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION S pj! Map Parcel _ Permit# � �S Health Division 9S, Date Issued Pa. Conservation Division 1 �- 13 �®�, Fee � Tax Collector T o�// 1 y"'SIG SYSTEM �•ff �- D �1kS-F'oLLED IN CC)MPLIACCE Treasurer 1,T,Its! %g1ITH TITLE 5 Planning Dept. ENVIRONMENTAL �VIH®C�E�E L1LA®DE AND ��� ' TOWN HE Date Definitive Plan Approved by Planning Board ; Historic-OKH Preservation/Hyannis Project Street Address 13 F 11(�1 `2P Village Owner I 91MA a- nh C'�' Address k3 m VV N, Telephone Permit Request V 5 Lo im IM Na 30 15- UD O Square feet: 1st floor: existing proposed 2nd floor: existing proposed Total new 0 Valuation 0�.���0 / Zoning District Flood Plain Groundwater Overlay 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: existing '37 new 1114og!2. Total Room Count(not including baths): existing new First Floor Room Count Heat Type and Fuel: ❑Gas ❑Oil ❑Electric ❑Other Central Air: ❑Yes ❑No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑ No Detached garage:❑existing ❑new size Pool:❑existing ❑new size Barn: ❑existing ❑new size Attached garage:O existing ❑new size Shed:❑existing ❑new size Other: Zoning Board of Appeals Authorization ❑,Appeal# Recorded❑ Commercial ❑Yes ❑ No If yes, site plan review# Current Use Proposed Use BUILDER INFORMATION Name Telephone Number Address ` License# Home Improvement Contractor# Worker's Compensation# ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE 47 64 O/ ` FOR OFFICIAL USE ONLY - _ PERMIT NO. . y r DATE ISSUED MAP/PARCEL NO. ' ADDRESS _� �s,� _ _ ..�.. `�VILL#AGE . OWNER 156 DATE.QF INSPECTION .. r FOUNDATION FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH �= _ FINAL PLUMBING: ROUGH, FINAL GAS: ROUGH r.k FINAL Z. FINAL BUILDING M DATE CLOSED'OUT ASSOCIATION PLAN NO. t ' 1 c3<3i.t'/ii H/ i tiiirf< •.t:15 <4ii�'•i •W%Z%..1;s 1,M70, M iiiii�ia/ii/ii/iai ■ i 11 1 14144011,11110 • ,bill• ', /, ••111•.// •%11 . 1 , 11 ' .11111 , • ...11 ' • 1 1 .• 14 1 1 ' r 1 11 al . 1 1 1 �'� 11 • • ••1/ • 1 1 1 , II nl /I I II .:I I .;. ♦ .11 1 1 1 �• 1 .•I,1,Y• ,Iw �. • • • •• 1 1 , • " 11 ' , ., CIF M• 111•.11 '✓.1, • 1 •• w.., rom—Me •1 11 I 1 II I� 1 � lY' 3. f�' Q � �• 1 �� {� '' �•. �%::� '1Y00a' jR •'•3, .}�; :$� 1 � �' is � '�" i r u r 1 1 1 1 1 . 1 1 1 .li. H ♦ .�. 11 I I • I. / I City oincial use only do not write in this area to be comp ted by 11 Q checkffluunediate response is required [1:33 epBxOMnt CHhDruuIudSe :.::.. - . :f1 1 . �1 • •11 - . �Itll• . �i • . . . � • • .111•.11 .1• •II . •�1 �,. . . . . -. . •I11 1 - 1 -� f / . - 111�. . •11 11 1 - � . 1 . 1 11 .-1 .11 •111• . 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I 1�1111 -1 I •011ie$ •11 • �•% 1 1 1 • .11 • 11. / • 11 w, 1 • •1 Y •II VI I .+/11�/ 111f• .11 •'•I11• •) •1 •-1 • •11 ,11 • • 1 • •'•1/. fell ffi�SO Joe . . - •�11 r . •••I.11• .11 «- ' ,1/ 11 11 11 .0 r _. 111 .•I IIti 11♦ •)A 1/1 MI J• 1�1 1 •_- . w �. • 1 •111•►: •11 1• .1I 11 11 '•I•.��1w r•11111�11 Y:1• •11 .$ 1 ' 1 r•1.11• _11 1 • MI _ ,•11 ' /1 - 1 •I, /1 .1 .11 • �1, le • 11 YI.1 .1• •11 .11 1 •)• 11 • •1111• .II 1 ,111� • •1 .�V, .11 • • 1 •II 111111 . -/w. •I11' ' 111 r� ■1• ✓.1/- • 11 1/ .11 r I .• • 1� 11 V. • • 111 • w• • 11 - , • •11 •.I 11 •I 1 11) YI• rN • .nll►. 1.1 r•I1111111 V,11 •II •) 11 Y11 .11 r r• �1 '1 1 1 - 1 (1 VJI I 1 , logo• 1 i1 • ' 1 1 • I . / ..1111.1 _• 1• 11 MI 'y71•1 1• •' ✓.1 e1 .11 • I■NC •�/ 1• 1 - •-1.1111 •1 �•1 v �111 • _• ti Iw; 1 I II 1 .✓.1 •I1 711 •1 1r.11 ■• rN • ti/IA 1 1 1 ' • 1 1 .11 • 1I r•f.,I - 'J: •111 • Ili •I 1 • oil 111 �• /• • • Y.111 •I•.•-•w r•I111•.•• Y:1• •11 1 • 1 • ✓. 1 11 i �IGI 111 till ,1 11 111111 •�1 (_- I . 1 1 .1 1 :. . • 1 r•1111• -11 .II . 11.1/11_• J . 1� �• , •.•1 • • :11 • Il 11 11 ' rml 71 •NMI,•1 r • 11 -� • _Y.1• •111 IY. 1• r•I11✓• ' • 1 ti•Y.1 •111 • 11 .11 • N:111 ./. • •1 11 /1 •N•/111 .nl /11111 •./ 11 1 i .� 1 �_• 4 _ �11�1 .�• r 11/1.1 1_1 1 . I••1 _• ' •. see N/1 I 11 • •11 ti • •1 _i -1• ./1 • �1•• �111•. / 1_tit 11 • , i• • t • b: • •11 • • • / •11 • 1• . ' .11 r 1.1 •• •••• •�1 .11 •II .11 •Me 1 • if I • a Ike, .11 • 1 ■ •I/ • ' • •„�1/, ••1 .w • 1• 1 .11 • Y.►' a 1/1 •N 11 tl 11 1 1 1 / w LT71 71 @F1 ' 1 • I 1 1 I I I I 1 1 1 I 1 III • ' ll II I ' The Town of Barnstable • ._• wuvsexsct:. • • . Regulatory Services Eo 9 '�e Thomas F. Geiler, Director Building Division Elbert Ulshoeffer, Building Commissioner . 367 Main Street,Hyannis MA 02601 Office: 508-862-4038 Fax: 508-790-6230 Permit no. Date AFFIDAVIT HOME IMPROVEMENT CONTRACTOR LAW SUPPLEMENT TO PERMIT APPLICATION MGL c. 142A requires that the"reconstruction,alterations,renovation,repair,modernization,conversion, improvement,removal,demolition,or construction of an addition to any pre-existing owner-occupied building containing at least one but not more than four dwelling units or to structures which are adjacent to such residence or building be done by registered contractors,with certain exceptions,along with other requirements. Type of Work: R_ 00 d 1� Estimated Cost Address of Work: ,S Owner's Name: oi, ?wwntc Date of Application: 6161 I hereby certify,that: Registration is not required for the following reason(s): MWork excluded by law []Job Under$1,000 Building not owner-occupied XOwner 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. OR Date -,3 a / Owner's Name IV q:forms:Affidav r The. Town of Barnstable Regulatory Services Ea ,e Building Division 367 Main Street,Hyannis MA 02601 Office: 508-862-403 8 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION Please Print DATE JOB LOCATIO number _ ?J_U street village �"HOMEOWNER": e �' ��vh !- �. name phone# work phone# CURRENT MAILING ADDRESS:_5hAm city/town state zip code The current exemption for"homeowners"was extended to include owner-occupied dwellings of six units or less and to allow homeowners to engage an individual for hire who does not possess a license,provided that the owner acts as supervisor. DEFINITION OF HOMEOWNER Person(s)who owns a parcel of land on which he/she resides or intends to reside,on which there is,or is intended to be,a one or two-family dwelling,attached or detached structures accessory to such use and/or •farm structures. A'person who constructs more than one home in a two-year period shall not be considered a homeowner. Such"homeowner"shall submit to the Building Official on a form acceptable to the Building Official,that he/she shall be responsible for all such work performed under the bui7din¢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 requkements, , Signature opfimp6wnef 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 A The Code state 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 worst,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 terrify that he/she understands the responsibilities of a Supervisor. On the last page of this issue is a form currently used by several towns. You may care t amend and adopt such a form/certification for use in your community. Q:FORMS:EXEMPTN J uc ' '."� T .t ja,�f f•. f�7p �_r,; $ �� t .; ��"� F��Cd`�4f�ti� �kSf� �,�f�1 i6�6� =t �-"� 'l� ,,'3�'f s"� JillON Nv . F s �'95.:1 t � .��y -a; '40 ..,6.. - o T.a<♦ .P �'� � ,.� �,,, 't vz�' 3 ,� ' r`z E �{ eyoc,;{,�,��'a�MYp"1. '�'+y .�'c♦ rM`�°��'s,.-.ws -�. `° �:;;� 'r xr v.P� �}.<j • c��z`� x.,zw. �� ��s ':. -� f: .r � s aX ..rr� a r s. �"'! �VYY� :. `.:..,+Y° ew._w•"'ay.yw 'A1'}} -O 3 R R ..�: J tvH j �' � - � C � S.{t 9 �Eniw..�, ``'��q..'•�� Ar PL : ^¢_.IW_S. �Y. ( '. x -'. v i 9. E.. ��/�Y�P 4 ;�' 1 s4�4 a'Y. 'r v`"'wt a jaT'�m #i}Y�,�X� .� �7 �f• i �i ,. -74 ' ,• "` a'. 3"`� I " 1 V" + -iz p ®'oe r/� m mava Pnioli, °°,..rc - *��,�, ,q '' 's= rEoi E "•s "'' yt\E E *t�z��t} 3 t4 . t'^,y+rre ,;,�� ' rya �'#r i, r ! 'a" ' F :."4y � .q'.\ ( aar a r g 5 T,n i .� 3i at� z „�.•3- f � ! ..q, ; 44 4 =+ '`' a, ,f • � ��t�"";,x. f���x�.tar T �s� � � �, "°� �F�„c� � L` � •a a .�.a•' r ,�. � �� - + �.�.r k t�!ate r;�.3 ti -' Yak ye Fy.W . The unique design of the all aluminum Regal,Duciie„MOO h ,yam places it among the most .world's moseautiful poplsx* � � eta Based on the configuration of the artist s ellipse, itRR� /-1 f combines spacious swimming area with full.size patioT-, deck. An all aluminum walk-around deck and safety "f _ F xk , fence with privacy panels surround the entite pool New construction techniques utilize the exceptionah , x , strength, durability and virtually maintenance:-free y= ; z ` Regal, D h character of aluminum. The size and unusual beauty of the Regal Duchess herald endless days of f,4n0y fun. ' .aa.�++, _ .5:. ...� ., ..e .. t- S J � { ,'- fit•; 3 " Al 4 , ' 34fl�1skRafy � ea " '}i' '{ash S'�' 'rifr� }� .,{y, g '�F�' b� - � K c rs3 `4qr... Y a^+ •i�� jY2 v.`� 3. a r{ s �l'l � �' x � r�� EG'IFC aAT ICON S� `=A'N`D t P E A T U R E S ;�� ,k x° 3621' Querallz t 15x 30' wiArea t AlurnmurnPatio�Deck M . bl� ingy re ue and white �� ' r ,rvs a"dr t a i/ wally ai nt a cef er ew .. � "� � € _ S _ I �round�deck,surrounds�entire pool. aqspafet�r fencelwith,�pnvQcy panels xt }deb al�uminurntvarticalfpool supports 4 Alti nurrl sidewalls thAl never neeaap{ainfing f° InFwallautorr�a� � rnrper x t= ��. �" 1 [ t' 5,..'s' { ., :r. Self lockingal mmu m exteriorladder °� s �, 20:gain yiJ Iner� Terrazzo Design bottom water pu ication'systernk al M � s �s t � 4 r, 3Q- ear f ;able`i ited,factory warranty R 'fa�X lfia" .6 r ' H�`Fuf'dt v r '. firH*k rit rplSy'ft'"1`RS.s�`r ! , r New The S ace Ag g rVI e Swimmin Pool Filter A TOTALLY NON - CORROSIVE FILTRATION SYSTEM The new Regal Duchess filter system is the key to a clean sparkling pool, day after day. It sets a new standard of per- -, formance in home filtration, offering features previously found t only in commercial systems. • Permanent media sand filter 2,100 gallons per hour filter capacity q9 ` ��cc x 4 National Sanitation Foundation Testing Laboratory approved Fiberglass reinforced tank- completely ' corrosion resistant Easy to clean.strainer pot for maximum pump protection � ° �� ' ' • Fingertip control, 6 position multi-port valve i • Filter and 1 h.p. motor and pump x P assembled on non-corrosive base t The Regal Duchess Water Purification System cleans pools fast; removes even the most minute particles the first time through. Filter and pump work together in perfect balance. - 12 Z �3 Lu JS��gip• az V 110, ' � j P� �5 UN 1 �� MILL 001Vol • A6 2 `.� 0 LOCH UON MAP SCALE• l 9-1000cl ' a� Oslo 023" s ZOWlW DIST{zl CEL II G G T: IzF 6h' O OVE:W-LAY D I rvTIZIGT: W p MIN. LOT 44EA : 45, 5ro0 S.r- MW. F1z0NTACjE : ISO' LOT SUAVE p`4rGTM CaLG. LOT 2 -Lo-r 1 = Zo.o - 43, 600 Sic'. LOT 2 cn' Z X RF70VA L i'�'O i REf�7�l1RED UNDER 0 h6 SUBDI VISIION CON7. L LAW BA lMSTABLE PL.AI!!vrm BOARD •OA 1�0,�� 601 DA TE.• — �l P'102D— �►�' t 2 } - 5 PS y � ASS•9 _ ��h - - - - - - - - NO DE'TE-MMINA71014 AS TO GOMrLIANGE WITW THE ZONIN Ci OIZDINAWCt---aeQUIJZEME-NTS WNW MEN I"4DL 012 NTENDED 9Y Tulr_lzOVE E7NDOP-GEM1=N7, PLAN OF LAND A T THIS PLAN CONFORMS TO THE L OCA TED IN LA TIONS OF THE REGIsrERs BARNS TABL E — CO TUI T — MA S S. PREPARED FOR 0 �g - ',�}`► LEROY ✓. PERRY, ✓R. $/DAVID u. "a GHAJl t E-SEl AN - npnZQn SANiL:KI . �Rp85 DRAWN B Y.• HP D-69 134C r� 9ECISICR �� CAPE 6 ISLANDS ENGINEERING ' . 800 FAL.MOUTH RD. , SUITE 301C MASHPEE - MASS. 5OB-477-7272 E555 5U2 FOR REGISTRY USE -t 0. G01 ro 6 LIT 1 Apo 2. 25 A J t�• •lti �,r� m oil y't • �h ka p G�. �J RU S G� OF LINE BEARING DISTANCE ��� pq 1 N 26 "04'55'v# 53. 79 2 N 68 "53'46"E 14.93 50 25 0 50 !00 'CALE IN FEET 6 LOT 43, 600 so 1 s 6 LOT 0 56 6 � 1 P. 25 ACRES A+� h SOP`: ,p S � 9 P y 00 09 Xx ti f y� 0 P OZ VP A0 q, "I CERTIFY THA T THIS PLAN CONFORMS TO THE mows RULES AND REGULA TIONS OF THE Pc T_a g,