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HomeMy WebLinkAbout0481 MAIN STREET (COTUIT)rl81 MAIN] STRc-O TOE Town of Barnstable OF IHE Expires 6 r oaths ran issue date Regulatory Services Fee } BARNSTABLE, y� a 9. ,0$ Thomas F..Geiler,Director. aIEpMA�p 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 - RESIDENTIAL ONLY Not Validwithout Red X-Press Imprint Map/parcel Number-_- �� ��✓ Property Address 5�4 �/U l Ind Residential Value of Work /,_5_�66 Minimum fee of S25.00 for work under S6000.00 Owner's Name& Address <:_111. 0_4' hone Number Telephone ` S Contractor's Name �'!(�} 1 l • ' t P Home Improvement Contractor License#(if applicable) Construction Supervisor's License# (if applicable) - X-PREIS�� o[dWorkman's Compensation Insurance Check one: APR 14 2010 ❑ I am a sole proprietor ❑ I am the Homeowner TOWN OF BARNSTABLE" ® I have Worker's Compensation Insurance Insurance Company Name Workman's Comp.Policy 0 Sq 1 VI 6—Q� Copy of Insurance Compliance Certificate must accompany.each permit.. Permit Request(check box).. 19 Re-roof(stripping old shingles) All construction debris will be taken to Re-roof(not stripping.. Going over existing layers of roof) Re-side # of doors ❑ Replacement Windows/doors/sliders.U-Value (maximum'.44)#,of windows *Where required: Issuance orthis 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. f the Hom. Im ov ent Contractors License & Construction Supervisors License is J required." SIGNATURE: I _ The Commonwealth of(Massachusetts Department of Industrial Accidents ®fftce of Investigations 600 Washington Street �1 Boston, MA 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information ! Please Print Legibly Name (Business/Organization/Individual): FA 6 4_ —v ��fh L LC, Address: �? 0 9PX 19 8 City/State/Zip: �bja MA- ba635 Phone#: Are you an employer? Check the appropriate box: Type of project(required): I aI am a employer with 4. ❑ I am a general contractor and I 6 . ❑ New construction employees(full and/or part-time).* have hired the sub-contractors 2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7. ❑ Remodeling nemployees These sub-contractors have g• ship and have ott Demolition❑ workingfor me in an capacity. employees and have workers' Y p h'• 9. ❑ Building addition i [No workers' comp. insurance comp. insurance.$ required.] 5. ❑ We are a corporation and its 10.❑ Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their I LE] Plumbing repairs or additions myself. [No workers' comp. right of exemption per MGL 12.❑ Roof repairs insurance required.]t c. 152, §1(4), and we have no employees. [No workers' 13.❑ Other 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. :Contractors 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 sub-contractors 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: ^ C Policy#or Self-ins.Lie.#: ®- 1 t1�� /�lxpiratiori Job Site Address: ` 46) I'y1!1�n9'Y City/State/Zip:�6 ��.� ►M 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 up 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 he nd pe lties of perjury that the information provided above is true and correct Si mature: CC Date: Phone#: UQ Yoe a �� Official use only. Do not write in this area, to be completed by city or town official 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 M RightFax C2-2 9/29/2009 5 : 35 : 22 AM PAGE 2/002 Fax Server ACORD. CERTIFICATE OF INSURANCE DATE(MM\DD\YY) 09-29-09 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION WISE&QUINN INS AGCY IN ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND,EXTEND OR 449 PLEASANT ST ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. BROCKTON,MA 02301 COMPANIES AFFORDING COVERAGE COMPANY 24WCB A HARTFORD GROUP INSURED COMPANY FRASER CONSTRUCTION LLC B P.O.BOX 1845 COMPANY C COTUIT,MA 02635 COMPANY D COVERAGE THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED, NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN.THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,EXCLUSIONS AND CONDRIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. - CO POLICY EFF POLICY EXP LTR TYPE OF INSURANCE POLICY NUMBER DATE(MM\DMYY) DATE LIMITS GENERAL LIABILITY COMMERCIAL GENERAL GENERAL AGGREGATE $. CLAIMS MADE OCCUR. PRODUCTS-COMP/OP AEG. $ OWNER'S&&CONTRACTOR'S PROT. PERSONAL &ADV.INJURY $ i EACH OCCURRENCE $ FIRE DAMAGE(Anyone fire) $ AUTOMOBILE LIABILITY MED.EXPENSE(Any one person) $ ANY AUTO COMBINED SINGLE LIMIT $ ALL OWNED AUTOS JURY Per Person SCHEDULE AUTOS BODILY IN ( ) $ HIRED AUTOS BODILY INJURY(Per Accident) $ NON-OWNED AUTOS PROPERTY DAMAGE $ GARAGE LIABILITY ANY AUTOS AUTO ONLY-EA ACCIDENT $ OTHER THAN AUTO ONLY: EACH ACCIDENT $ EXCESS LIABILITY AGREGATE $ UMBRELLA FORM EACH OCCURRENCE $ OTHER THAN UMBRELLA FORM AGGREGATE $ WORKER'S COMPENSATION AND A EMPOLYER'S LIABILITY UB-0341 M556-09 09-26-09 09-26-10 STATUTORY LIMITS X THE PROPRIETOR/ EACH ACCIDENT $ 500,000 PARTNERS/EXECUTIVE INCL DISEASE-POLICY LIMIT $ 500,000 OFFICERS ARE: X EXCL DISEASE-EACH EMPLOYEE $ 500,000 OTHER DESCRIPTION OF OPERATIONS/LOCATIONStVEHICLES/RESTRICTIONSISPECIAL ITEMS THIS REPLACES ANY PRIOR CERTIFICATE ISSUED TO THE CERTDFICATE HOLDER AFFECTING WORKERS COMP COVERAGE CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE ERASER CONSTRUCTION LLC EXPIRATION DATE THEREOF,THE ISSUING COMPANY WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT PO BOX 1845 FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE COMPANY,ITS AGENTS OR REPRESENTATIVES. COTUIT,MA 02635 AUTHORIZED REPRESENTATIVE ACORD 25-5(3193) Ramani Ayer 4 ' ' I .Y it a, hk! ✓"7d6! 4iu "f$ i t�LZ + ✓✓'lam` C�J lay.i .�`` oa�rd"of>Bmi��a�sl�egula�ons audkStandard`` • j 'LonstructiqO�Suervisor l;ic�ems�e �¢ WON e " aft i Ei� )ratio r''• i ! �� �„�a Resh ct� 00'� • DEAD ERASER - r iA FAI MOUTH Mi4 0253.E a(, s aon€er". f ! �lze-t°iomvmonwec�o�,�aaoadurQeka .-' �• Board of Building Regulations and Standards License or registration valid for individul use only HOME IMPROVEMENT CONTRACTOR before the expiration date. 7f found return to: Regish IIq—, 112536 Board of Building Regulations and Standards m"p"��t► ' 3/2011 Ti* 281021 One Ashburton place ism 1301 Type: D44- Boston,Ma.02108 FRASER CONSTRUCTION C.O..;- DEAN FRASER S) .1 104 TWINN VIEW IIANE � E FALMOUTH,MA 02536 Administrator Not re B®�76frjulveig 4c) a4s an Man axrs J9 One Ashbmton Place o Room 1301 13®stom Massaphusetts 02108 Home Improvement•C6ntractor Registration Registration: 112536 Type: DBA FRASER CONSTRUCTION CO. Expirdfion: 3/23/2011 Tr# 281021 DEAN FRASER P.O. 1307(1845 COTUIT, MA 02635 Update Address and return card.Marls reason for change. Al Co 40M-08/08-DBSLIF0RMCA108212008 [:] Address Renewal Bmptoyment E] Lost Card . � Fraser Construction, LLC *CONSTRUCTION P.O. Box 1845, Cotuit MA. 02635 Email: fraser construction @,verizon.net www.fraserroofing com FAX 1-508-428-0123 508-428-2292 5 HICL#112536 CS#97668 RE.-ROOFING PROPOSAL. DATE: February 8, 2010 PHONE: 508-862-4039 work NAME: Royston Nash& Lois Barry MAIL ADDRESS: Same JOB ADDRESS: 481 Main St. Cotuit, MA 02635 FRASER CONSTRUCTION hereby proposes to perform the following services in a neat and professional like manner and in accordance with the manufacturer's specifications and local building code. Remove and Haul away all of the old roofing material .-Re-nail all plywood sheathing as needed: Supply and Install CERTAINTEED LANDMARK /WOODSCAPE AR 30: 30 - Year Warranty, 5 year Sure Start Protection, CLASS A FIRE RATED, ALGAE Resistant, Extra Heavy Weight, Self Sealing, Multi- Layered, Architectural Style, Fiberglass Based Asphalt Shingle with New England's Exclusive COPPER/CERAMIC Stones with a Full 10 Year Warranty against ALGAE Containment. 5 year 110 mph wind- resistance warranty with six nails in common bond area, Fraser construction includes six nails in common bond area at NO additional cost. See actual warranty for specific details and limitations. Color: 11"VoRk, .G1 PRICE- $12,045 Initial dig tee{ Supply & Install - CertainTeed Winter - Guard: (ice & water shield) Waterproof Underlayment System (3ft. on eves and valleys, 18" on rakes, walls, and skylights) Supply & Install -Roofer's Select Underlayment Paper (as recommended by CertainTeed) Supply & Install -(Soffit Venting) Kick's Ventilated Drip Edge or 81',Aluminum Drip Edge with existing soffit vents Supply & Install - Aluminum & Neoprene Soil Pipe Flashing Supply & Install-Ridge Vent Shingle Vent II (as recommended by CertainTeed) Clean & Remove - Debris from work area daily. i 2% Discount if paid by check immediately upon completion 2% Senior Discount if paid by check immediately upon completion You may deduct an additional 2% if you sign up & �.he work is completed in X4 Star Warranty Upgrade will be applied if proposal is signed and returned within 10 days. (see enclosed brochure) NO MONEY DOWN NO Payment at the start or part way thru Payments accepted are: CASH - CHECK-'MASTERCARD - VISA-AMERICAN EXPRESS * Any.payments"not made within 30 days of completion will be charged 1.5 %for every 30 days the payment is late.: Possible Extra -After the shingles are removed from the roof,we will lift one sheet of plywood to make sure that the insulation is not up against the plywood sheathing preventing ventilation from the eaves to the ridge. If it is, ventilation panels will be installed by; removing the plywood sheathing,installing the panels, turning the plywood over and then re-installing the plywood. If needed, this would be charged for as an extra at the rate of$6.00 per panel including Materials & Labor. There are 6 Panels per sheet of plywood Possible Extra -Any rotted or otherwise deteriorated trim boards, plywood sheathing, lead flashing, or other carpentry needing replacement will be done and charged for as an extra at the rate of$60.00 per hour, plus 15% mark-up materials FRASER CONSTRUCTION Warranties the labor for 12 years FRASER CONSTRUCTION Warranties the shingles against Blow-Offs for 10 years. ' CERTAINTEED Warranties the shingles and labor 100% through the Sure Start. Warranty duration: CERTAINTEED Warranties the.shingles to be ALGAE resistant for the duration of the Sure Start Warranty depending on the shingle that was purchased. Any deviation or alteration from above specification,will be executed upon written orders and will become an extra charge over and above the estimate. All agreements contingent upon strikes, accidents or delays are beyond our control. Owner should carry fire, tornado and other necessary insurance upon the above work. We, if not accepted within thirty days may withdraw this proposal. FRASER CONSTRUCTION, LLC: Carries Workman's Compensation and Public Liability Insurance on the above work, certificate available upon request. DATE OF ACCEPTANCE: 1 C � � Homeowner Fraser onstruction, LLC oFT ,Town of Barnstable Permit# oEvpires 6 montlu from issue date Regulatory Services Fee l . S� + BARNSTABLE. MASS. Thomas F. Geiler,Director arBD MA'I A Building Division OY Tom Perry,CBO, Building Commissioner 200 Main Street,-Hyannis,MA 02601 www.town.bamstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY I_ Not Mid without Red X-Press Imprint Map/parcel Number 6 22— Property Address Iyi, 4.0 0 O4 U, o/7 C, [Residential Value of Work't LS,'G(,V) .00_ ' Minimum fee of$2S.00 for'work under$6000.00 Owner's Name&Address J,J - Contractor's Name ra4�_. 60n����1 Telephone Number St.l� (c74'�-O 3 -7 Home Improvement Contractor License,#(if applicable) Construction Supervisor's License-.#(if applicable) ❑Workman's Compensation Insurance > -P ESS PER IT VI one: am a sole proprietor MAR _ 5 ❑ I am the Homeowner 2010 ❑ I have Worker's Compensation Insurance TOWN OF BARNSTAQLE Insurance CompanyName Workman's Comp.Policy# Copy of Insurance Compliance Certificate must accompany each permit. Permit Request(check box) ❑ Re-roof(stripping old shingles) All construction debris will betaken to ❑ Re-roof(not'stripping.-Going over existing layers of roof) ❑'Re-side #of doors . Replacement Windows/doors/sliders.U-Valuecty j-P*E/\ 400maximum.44)#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 Home Improvement Contractors License&Construction Supervisors License is required. SIGNATURE: Q:\WPFILES\FORMS\building permit forms\EXPRESS.doc - Revised 090809 The Commonwealth ofNlassachusetts Department of Industrial Accidents '1--;;° Office of Investigations 600 Washington Street c- 4. Boston, MA 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Le ibl Name (Bus in.ess/OrganizationAndividual): i�`l. �p fuX -_.1 c. Address: z), ('7 S W1Ito S `) City/State/Zip: i'o5r- Lo s�e , (Y*� C( Phone #: SO 5s— o Day Are you an employer? Check the appropriate box: Type of project(required): 1.❑ 1 am a employer with 4. ❑ -I am a'general contractor and I employees (full and/or part-time).* have hired the sub-contractors 6. ❑ New construction 2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7. ❑ Remodeling ship and have no employees These sub-contractors have g, ❑ Demolition working for me in any capacity. employees and have workers' 9. ❑ Building addition [No workers' comp. insurance comp. insurance.t required.] 5. We are a corporation and its 10.❑Electrical repairs or additions 3.❑ I am a homeowner doing all work . officers have exercised their I LE] Plumbing repairs or additions myself. [No workers' comp. right of exemption per MGL 12.❑ Roof repairs insurance required.] t c. 152, §1(4),and we have no employees. [No workers' 13.❑ Other . comp. insurance required.] *Any applicant that checks box 41 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 sub-contractors 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 up 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 certify under thepains andpenalties ofperjury that the information provided above iis.true and correct. Signature: �.. Date' Phone# SCE 6 q J— Q _c)740' — Official use only. Do not write in this area, to be completed by city or town officia•1. City or Town: Permit/License# - Issuing Authority(circle ane): 1.Board of Health 2. Building Department 3. City/Town Clerk 4. Electrical Inspector 5. Plumbing Inspector 6. Other Contact Person: Phone#: j t Information and Instructions Massachusetts General Laws chapter 152 requires all.employers to provide workers' compensation for their employees. Pursuant to this statute, an eniployee is defined as "...every person in the service of another Linder 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 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 required." lee compliance with the insurance coverage evidence of com q applicant who.has not produced acceptable v p hall Additionally,MGL chapter 152, §25C(7)states"Neither the commonwealth nor any of its political subdivisions s A P Y 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 pen-nit 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 permitflicense 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 firture 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 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 02111 Tel. # 617-727-4900 ext 406 or 1-877-MASSAFE Fax # 617-727-7749 Revised 4-24-07 wwwanass.gov/dia �iHETp� Town of Barnstable yT Regulatory Services HARNSTABLE, ' Thomas F. Geiler,Director 9^ 1 `�$ - �fo �ilk, Building Division Tom Perry,Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.bariastable.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 _ p G�/C� ��CL�' Se9ea 1Z to act on my behalf, in all matters relative to work authorized by this building permit application for. (Address of Job) Signature of Owner E5ate Print.Name If Property Owner is applying for pemrlit please complete the Homeowners License Exemption Form on the reverse side. OTORMS:OWNERPERMISSION ii ' Town of Barnstable. F TNF 1p� Regulatory Services ' Thomas F. Geiler,Director * >rnartsrwBLE, * 039. Building Division PrED 't a , MP Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 r www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION Please Print DATE: JOB LOCATION: ' number street village "HOMEOWNER": name home phone# work phone# CURRENT MAILING ADDRESS: 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 requirements. 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 fomi/certification for use in your community. Q:\WPFILES\FO RM S\homeex empt.DOC _ Nlassachu5etts Board of B Department of Pu uildin9 Regulations and�lic$atet, construction su Standar License. Cg ' ; pervisor License d5 .; Restricted 55029 e.H . rto 00 TODp`RrMACDONALD r. r .PO BOX 1767f BREWS f �k, 7 x; TER MA 02631 Cuium;tisioier: Expiration: 6/14/2010 Tr#: 5129 f HIC Registration Complaints Page 1 of 1 The Official Website of the Office of Consumer Affairs&Business Regulation(OCABR) Mass.Gov Consumer Affairs and Business Regulation Home> Consumer> Housing Information > Horne Improvement Contractor Program> ........,........ .......... . ......._... .................................................. ..................... HIC Registration Complaints Registration# 111795 Registrant MAC DONALD INSTALLER INC. Name TODD MacDONALD Address 26 FRANCIS RD City,State,Zip HARWICH,MA,02645 Expiration Date 2/3/2011 Status Current No complaints found for this registrant. You can also view arbitration and Guaranty Fund history. Back To Search ©2010 Commonwealth of Massachusetts http://db.state.ma.us/homeimprovement/licdetails.asp?txtSearchLN=11760 3/5/2010 `i C The Town of Barnstable 9'" & The of Health Safety and Environmental Services, E1639. • Building Division � FEB 200� 367 Main Street,Hyannis MA 02601 5j,4— ; Office: 508-862-4038 Ralph Crossen Fax: 508-790-6230 Building Commissioner TOWN OF BARNSTABLE P693 SOLID FUEL STOVE PERMIT Daw /C/s Fee: Owner: ` /y�o A141,41 Phone: 3 4,� �f Z Address: ��/ Village: Map/Parcel: O /,�� Date: 3 d Stove A. New/Used B. Type: Radiant/Circulating p C. Manufacturer: v l i'4jq S Lab. No. N© C �f ® � � D. Model No.: j �Ccr1Le-- 2 t 4 q Z' Chimney A. New/Existing (If existing,please note date of last cleaning B. Flue Size C. Are other appliances attached to Flue? f6 I'D. Pre-fab Type and Manufacturer Wa ✓E. Masonry: vtined/Unlined Hearth A. Materials: �`Li C B. Sub Floor Construction: G cF�W- Installer Name: Address: Phone: j—dd 05 - T(K'- s i Location of Installation: h 0/( m r ,� APPROVED BY: Please make checks payable to the Town of Barnstable *This constitutes an official stove permit after inspection,photographed, and approved by the Building Inspector. Stove.doc Assessor's map and lot number .... . ...... q Q Q� F THE Sewage Permit number ...........( ................... /G TO1� : ..... d�' ♦� r �-r _ _ B9flBnSTABLE.House numb :' �—� .. . '� ` - ro s ............... ... pow 1639. 9� 'E0 YFY a\ TOWN OF BARNSTABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO .............................................. ........... dd TYPE OF CONSTRUCTION G:.�* ...�bvl.. .. , .................................................. ............... ::.................................. ....... ......... ................................19........ TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location .............j.-�:'(j..!.... 1..�.......... . �1."`'t. .....4 �... �� .�. .P...A,�z: .. _ _ ........ ProposedUse ............../ ,..5.................................................................... Zoning District ....... ..� ....�.............................TFire District ..... . ...... ... ..... d «�ic Name of Owner ..... g.. .p...+. . ... . .' .t "` Sl.. ddress .... '��Y>.Fit `'4.� r ,.. 1. Name of Builder .... � .......K Fa. ......!/A��e°ssJ / ', Il � ...� `-✓J 6•.................•'••:•:• ....... . ..� Name of Architect ..................................................................Address ..........r......................... Number of Rooms ................. ?...........................................Foundation :......... ..... tti j ....................<................... i —............... ........................................Roofing Exterior ............... JL`�?. /. .......Z.....:: ........................................... Floors `� i "' ...all ...................................Interior ........��'C� / .................... Heating..... ... Alp, v ...........................i�^.. �..r!,..........Plumbing .......................'......................................................... ... Fireplace ...................... c Approximate Cost.................. ......................................" ..... ^"✓) r Definitive Plan Approved by Planning Board -------------------------------19 Area ..... G?5. .d� Diagram of Lot and Building with Dimensions '�] ,.., .." Fee :' '' ....... SUBJECT TO APPROVAL OF BOARD OF;HEALTH _. 4z 4�4)( 4D �J V js 7- OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS k A I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. 4ax�Name —" Construction Supervisor's License ...........J. .... LINDSLEY, JAY H. A=22-136 No ...2.6.852... Permit for ......��..�tory.......... .........Single.-ng-le -Es-411 %Y--W-Q I I i Z9..................... Location ...Lot 15,.... 481 Main Street .......................................... cotuit ................................................................ Owner .....9AY.Jlt..T:i.nds!IPY........................... Type of Construction .............................. Plot ............................ Lot ................................ Permit Granted .August 17..................... ................19 84 Date of Inspection ....................................19 Date Completed ......................................19 THE FOLLOWING IS/ARE THE BEST IMAGES FROM POOR QUALITY ORIGINALS) I A , m / �(C�"J IL DATA r TOWN OF BARNSTABLE Permit No. __---------------- Building Inspector 11AUSTAK cash �YL j1• ,_______-______ OCCUPANCY PERMIT Bond Issued to Address Wiring Inspector Inspection date Plumbing Inspector Inspection date Gas Inspector Inspection date Engineering Department Inspection date Board of Health Inspection date 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. ....................................................... 19............ .................................................................................................................. Building Inspector - - FROM .. Mr. F. Lahtiim TOWN OF BARNSTABLE c, Town. Clerk ; _ ,. BUILDING DEPARTMENT 367 MAIN STREET HYANNIS, :MA 02601 Phone: 775-1120 SUBJECT;_ s ` FOLD HERE DATE March 26, 85• J&E,SS,.A:G E asxe•:� Please release R oral for penr4 t265$2. • _ SIGNED DATE - - • . - .. - - - - - SIGNED .. Nei.Rmr A RECIPIENT:RETAIN WHITE COPY;-RETURN PINK COPY - -PRINTED IN U.S.A. SENDER: SNAP OUT YELLOW COPY ONLY.SEND WHITE,AND PINK COPIES-WITH CARBON INTACT. ,. . DGSt�tiJ l7ATA .Z,l�t,41/J J1'�S14-tC,L& FAM I t_� . 3 9� _ WJrj?'6•I GA�Bdt.� C,¢i►.1�2 6.P.Dt. .. _�...i. :_•.---- -...11...__..,..�.�.�;�,--.1 --,}• -- - {_.': ....:._ uKE: I�..�-b . .GAL .+ f /`�. � . "� :m q�� :(!�• � . v1 S PoSAL P CrX10 STQt�� i ���.. i r�• ? 31oow►/AL.. A &X • 22l0 �F . i--.. .._. a` 4, qal.L. : . . . -t-OTA lr t>cst cv" i 'IAA qq 5 /• 0 P�t...dTto�.l Q,aTt=' t to 2 MW oeC.F-f.'� •! �; .: � t � . wilt hit TO p Flap At E1.•9a •�- 7rASg77cq w la►�t+h 4••pPE I SDO tNv. •� !�..► ; . 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OF �BARNSTABLE BUILDING INSPECTOR 1 �� APPLICATION FOR PERMIT TO .................... Wf).�.... .... ......................................................... TYPEOF CONSTRUCTION ....................................................... .................. .................................................. TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a`permit ccordi g to the following i::;ormation: i Location .............L .............../ ........... ...... .................. ... .... :............:.:.................. Proposed Use ..............�0f, 5...................:.. ... '....................... ........ ..: ....... ................................. ... .... .... �. Fire District ZoningDistrict ......... .. .....1........ .... S �/ c Name of Owner ....... ...�. ........ ddres .. .. �F -�� � . ..... � ....... :. . Name of Builder .... �, Name of Architect Address .............. ................................................. .. ........ ............... .... Number of Rooms ....... .......... ..:........................................Foundation ........... ...................... ..,:............. .... :.............. /Iw ' �gg .. ...... ..... Exterior ................ ......,.. ..e.....................,..................Roofing ............ .... .... .............,. .. ............. .....: Floors ......... ...:.Interior ............. .......1. . ... .. ... .... ...................,........ Heating , '..... ��.�!�...P1. 1.!�.:......Plumbing ........... .......�F-..... ...................... Fireplace .................. .. .. :...................................................Approximate Cost .............f.. :[1 ....................................... "...v ... . ... ..... ...... . c L,... . ..Definitive Plan Approved by Planning Board ________________________________19________. Area ..... .............. Diagram of Lot and.Building with Dimensions Fee :.:.:.. . .. ....... SUBJECT TO TROVAL OF BOARD OF HEALTH I � t � 3 2U 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. Name .................................................................................. i G� ..Construction Supervisor's License ®�...................+ / � ........ i#i SLEY. JAY H. R r N� 26852•..• Permit for 'It .Story Single Family Dwelling _ m - • ... t r , J Location Lot 15 481 Main Street r i ... q-;. c............................................... .... Cotuit , t t Owner ...' Jay H. Lindsl! Xy ............. Type of Construction ..Frame................ .1 t ...................... � .. ...........3.................................................. ........ f +Plot .......: .............. Lot ................................ Permit Granted ....Augt..l7.................19 84 ` Date,of Inspection�4� ` .`` .:� 19 -r :^^ #-' " ` .•. - .'' Date Completed .. :.fry:: ......19 , '/ ✓- ,; tom" '�; �(( -..: � /" `' —� �•'� •�-+. � •J %�''�r. �.� � _ 1 � ... .• - i ...— i. ..•!� ems+ "r ... � � �~