HomeMy WebLinkAbout0916 MAIN STREET (COTUIT) ��� �in ��r�-�
� ��
i
F
� .& Town of Barnstable Building
a Posh This Card So That rt is':Visible From fhe Street-"App.roved Plans Must be Retained on�Job and'this Card Must be"Kept"
r • n. -
'. Posted Until Final,.lnspection Has Been Made., �s ^-,;M y w: d^ �. � w� � ;µ
µ�11' Where a.Cectificate of Occupancy.is,Requ retl,such.Building shall Not.be Occupied;until a„Final Inspeetion�has been made.k '= Permit
Permit NO. B-20-1628 Applicant Name: Catherine Bunting Approvals
Date issued: 07/30/2020 Current Use: Structure
Permit Type: Building-Demolition-Accessory Expiration Date: 01/30/2021. Foundation:
Location: 916 MAIN STREET(COTUIT),COTUIT r Map/Lot: 035-092 — �4 Zoning District: RF Sheathing:
Owner on Record: BUNTING,CATHERINE L& LLYOD M ET AL Contractor Name's Framing: 1
Address: 41 BOULDER ROAD Contractor;License, 2
WELLESLEY, MA 02481 — "- " - Est Proj� t Cost: $ 1,500.00
Chimney:
Permit Fee: 50.00
Description: Take down existing boathouse. $
Insulation:
Fee Paid: $50.00
Project Review Req:
Date. 7/30/2020 Final
Plumbing/Gas
f Rough Plumbing:
Building Official
This permit shall be deemed abandoned and invalid unless the work authorized by this permit is commenced within.,six months a issuance. Final Plumbing:
6t
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-laws and codes.
This permit shall be displayed in a location clearly visible from access street orroad and shall be maintained open for public inspection for the entire duration of the Final Gas:
work until the completion of the same.
i
: - 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 .
2.Sheathing Inspection Rough:
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 Final:
5.Prior to Covering Structural Members(Frame Inspection)
6.Insulation Low Voltage Rough:
7.Final Inspection before Occupancy
Low Voltage Final:
Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations.
Work shall not proceed until the Inspector has approved the various stages of construction. Health
"Persons contracting with unregistered contractors do not have access to the guaranty fund" (as set forth in MGL c.142A). Final:
Building plans are to be available on site Fire Department
All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT Final:
O w�y.�E
Town of Barnstable
,: a
t Post his Card So That it is Visible from the Street :Approved`Plans.Must be Retained on'Job and this Card Must be Kept �. Shed
Posted Until Final Inspection Has Been Made �r'4+ °. ,° �9 � � ,: `; •
p Registration
Nur� Where a Certificate of Occupancy is Required,°such Building shall Not be Occupied until'a Fina,l.lns ectiori hasbeen made
Registration Number: B-20-1661 Applicant Name: Catherine Bunting A rovals
Date Issued: 07/30/2020 Current Use: Structure
Permit Type: Building-Shed-Residential-200 sf and under Expiration Date: 01/30/2021 Foundation:
Location: 916 MAIN STREET(COTUIT),COTUIT Map/Lot: 035-092 Zoning District: RF Sheathing:
Owner on Record: BUNTING,CATHERINE L& LLYOD M ET AL Contractor Name:.- -,, Framing: 1
Address: 41 BOULDER ROAD Contractor License; ` 2
WELLESLEY, MA 02481 Est Project Cost: $8,000.00 Chimney:
Description: Replace a rotting and soon to be demolished boat house with a Permit Fe $35.00
new, prefab boat house from Walpole Woodworkers. - Insulation:
p Fee Paid:: $35.00
8'x16'
Date: . 7/30/2020 Final:
Project Review Req: SHED REGISTRATION FOR 8X16 FEET ACCESSORY STRUCTURE 'f le9 0
SETBACK A MINIMUM OF FIFTEEN FEET FROM SIDE Plumbing/Gas
PROPERTY LINES AND TO THE REAR OFFPRINCIPAL Rough Plumbing:
STRUCTURE. _ Building Official
Final Plumbing:
This permit shall be deemed abandoned and invalid unless the work authorized by this permit is commenced withrn-six months after issuance.
All work authorized by this permit shall conform to the approved appl!cation 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 strluctures shall be in compliance with the local zohing by-laws and codes. -
This permit shall be displayed in a location clearly visible from access street or road aid shall be maintained open for�ubk 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 agoflre Officials are provided o.n.this permit. ,
Minimum of Five Call Inspections Required for All Construction Work. Service:
1.Foundation or Footing
h:
2.Sheathing Inspection Rough:
(� = �r g
3.All Fireplaces must be inspected at the throat level before firest flue lining is i t Iled"
4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection Final:
5.Prior to Covering Structural Members(Frame Inspection)
6.Insulation Low Voltage Rough:
7.Final Inspection before Occupancy
Low Voltage Final:
Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations.
Work shall not proceed until the Inspector has approved the various stages of construction. Health
"Persons'contracting with unregistered contractors do not have access to the guaranty fund"(as set forth in MGL c.142A). Final:
Building plans are to be available on site
Fire Department
All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT Final:
ON t<y,�E
Map 10 � Parcel _ Permit
House#` Date Issued 8 if"
a rn how
Board of Health(3rd floor)(8:15 --9:30/1:00-4 ) ee ` 7_37,SO
Conservation Office(4th floor)(8:30- 9:30/1:00-2:00)
Planning Dept.(1st floor/School Admin. Bldg.) i SEPTIC SYST T BE
INSTALLED I NCE
Definitive Plan Approved by Planning Board = 19 WIT ;
` ENVIRONME AND
TOWN OF BARNSTABLETOW.
Building Permit Application
Project Street Address 9le-P /y_
,
Village ( 0,7Zy,
Owner i .� . - -7 Address
Telephone
Permit Request S','c� a// �(' et,/ (' 5 /b
a /---ern G- ;
'First Floor square feet Second Floor square feet
Construction Type -
Estimated Project Cost $ ct d
Zoning District Flood Plain Water Protection
Lot Size Grandfathered es ❑No
Dwelling Type: Single Family Two Family ❑ Multi-Family(#units)
Age of Existing Structure Z O} S 14- 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
No.of Bedrooms: Existing New
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
Garage: ❑Detached(size) Other Detached Structures: ❑Pool(size)
❑Attached(size) ❑Barn(size)
❑None ❑Shed(size)
❑Other(size)
Zoning Board of Appeals Authorization. ❑ Appeal# Recorded❑
Commercial ❑Yes ❑No If yes, site plan review#
Current Use Proposed Use
Builder Information 7,1 2
Name �16_110aL-� Telephone Number
Address License# Q Z
Cam✓ r -� Home Improvement Contractor# G 0
Worker's Compensation#
NEW CONSTRUCTION OR ADDITIONS REQUIRE A SITE PLAN(AS BUILT)SHOWING EXISTING,AS WELL AS
PROPOSED STRUCTURES ON THE LOT.
ALL CONSTRUCTION DEBRIS R ULTING FROM_THI PROJECT WILL BETAKEN TO
SIGNATURE DATE C
BUILDING PERMIT DENIED FOR THE F OWING REASON(S)
-
,, - G a FOR OFFICIAL USE ONLY
PERMIT NO.
DATE ISSUED 7
MAP/PARCEL NO.
ADDRESS VILLAGE
OWNER '
DATE OF?INSPECTION:
FOUNDATION
FRAME -
'INSULATION
a
FIREPLACE
ELECTRICAL: ROUGH . _ FINAL.. "
PLUMBING: ; ROUGH FINAL
GAS: C RQUf,,GH> FINAL
o
FINAL BUILDING►
DATE CLOSED OUT-.#~ r -
r
ASSOCIATION PLA,)NO
�'���"°� •_ . ; The Town of Barnstable
9 WARM � Department of Health Safety and Environmental Services
��,r„�► Building Division
367 Main Street,Hyannis MA 02601
Office: 508-790-6227 Ralph Crossen
Fax: 508-790-6230 Building Commissione
For office use only
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 y registered contractors, with
certain exceptions,along with other requir meats.
Type of Work: �/ 'C Al. Est Cost
` Address of Work: // ///�C> i7 ✓ l ['i /iC/i
Owner's Name .�
Date of Permit Application:
I hereby certify that:
Registration is not required for the following reason(s):
Work excluded by law
Job under SI,000.
Building not owner-occupied
Owner 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 PROGZAM OR GUARANTY FUND UNDER MGL c. 142A
SIGNED UNDER PENALTIES OF PERJURY /�� Z Cp J
I hereby apply fo p mit as the agent o e owner. (�
V
0//'L
Da Contrac r i e Registration No.
OR
Date Owner's Name
` � ✓fie �anvnaancuea� a��'/�a�ac�uaretta �3: '
DEPARTMENT OF PUBLIC SAFETY
CONSTRUCT=ION SUPERVISOR LICENSE �
,,Number ,p Expires:
Restrr¢ediTa Be
46
LARRY D NICKULASBOX 518
rf
WEST BARNSTABLE, MA
072.
HOME IMPROVEMENT CONTRACTOR f:
Registration 100496
{ Type - INDIVIDUAL -
Expiration 06/18/00
LARRY NICKULAS
_ Larry D. Nickulas
HUCKINS NECK RD
ADMINISTRATOR CENTERVILLE MA 02632
^it -• -•-. t:= Departinew of Industrial Accidctrts
6 0/ficeof/nyesUgal/o�s
600 Washing-ton,Stree •
-} Boston. Alas. 02111 `
Workers' Compensation Insurance Affidavit
dpnlicant tnfortnation: - PlcaSe PRINT lE'N- '-
name:
a�r r ; •
1 am a homeowner performing all work myself.
I am a sole proprietor and have no one working in any capacity
-.e±.:..•+.^.�} �.s-+-�u?.._use!.-+q�rn.Y+r-+�c.►..lr-•T!M` R71�'S!..il'A�•.�-rw.r+.!aeaJ.r+!'�rr •���!•r^n...n`r'...y"��-•..•-�•.....
!�. C3-1 am an employer providing workers' compensation for my employees working on this job.
c n Pa name:
address: ��� � G'> (J x—
city: �( iS �G1 l,/�.f;/ Gi 1�2 I-Ir phone#:
insurance co. #
1 am a sole propri or, general contractor omeowner(circle one) and have hired the contraL;tors listed below who have
the following workers compensation polices:
� ��
Company name: � �. /7C
'1 dr c•
insurance co. f��i'"7�'''1��� ��f nolicv#
R-ry'::: '.H�.0:'_."+�s....'T•:Z','vf�.T •- T��'`.s r'-' bX.�?. '�7!:f • `.ay, 7' '.9:IY11'� ''�`�i'3
'•'#'si':'/'._
cnmP.lnv nimc•
address: / C/
city: phone#• / �`
e
incur•tnce co, oolicl#
:Attach additi0nal sheet if necessa ..:. Y __^ `: sr+"Ss=' ' �' %c`"' ^ '• '^' `� -`
Failure tJ)secure coverage as required under Section 25A of NIGL 152 can lead to the imposition of criminal penalties of a fine up to 51.500.00 and/or
one years' imprisonment as well as civil penalties in the form of a STOP WORK ORDER and a fine of 5100.00 a day against me. 1 understand that a
copy of this statement may be forwarded to the Office of Investigations of the DIA for coverage verification.
1 do ilerehr cenijr under the pains of Wallies oJperjure th the in ormation provided above is true and correct.
ZSi^_ acury Date /
_ /
Print name i'ry /1l/ C!= y /o'l Phone [J
nfrciai +Jse,rely do nbf write in !his area to be completed by eih or town official
5 -
city or town:. permit/Iicense q rIBuilding Department
I 0Licensing Board
t 0 check if immediate response is required c3Seleetmen's Office
�liealth Department
contact person: phone q: r tUther j<•
�.. •r. e.�..,—.-
Ire�ised
t f
�t Town of Barnstable *Permit
�{. Expires 6 months fro iss dam
Regulatory Services Fee
sniwsresi E Thomas F.Geiler,Director
9�A059. ,•� Building Division
rfD MA'I�
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 M cki V�.
�esidential Value of Work S 6 o U Minimum fee of$25.00 for work under$6000.00
Owner's Name&Address
Contractor's Name /r p,(Q , 0, Telephone Number SC8 7,i6--Se;4
Home Improvement Contractor License#(if applicable)
❑Workman's Compensation Insurance ®PRESS PERMIT
Check one:
I am a sole proprietor ,JUN — 4 2008
❑ I am the Homeowner
❑ I have Worker's Compensation Insurance TOWN of BARNSTA5 .
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 Cct s s i Gli w.Ic
❑Re-roof(not stripping. Going over existing layers of roof)
❑ Re-side • r I
❑ Replacement Windows/doors/slideis.U-Value (maximum
"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 re P{ly.,It (13 r 1
SIGNATURE:
Q:\WPFILES\FORMS\building permit forms\EXPRESS.doC
Revise020108
�e
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/Blectricians/Plumbers
Applicant Information Please Print Legibly_
Name(Business/Orkmdzationandividual): .f e f t R�,,
Address: A r,c 1,4 <f
City/State/Zip: �,I\ AAA o? �D Phone.#: ,S oC 4t6 —S �
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. ❑New construction
. employees(full and/or part-time).* have hired the stab-contractors
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.•insu=ce comp.tnsurance.t
rPi sired] 5. We are a corporation and its 10.0 Electrical repairs or additions
3. I am a homeowner doing all work officers have exercised their I Ln 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 fiU out the section below showing thcir wmiccis'eomp=s;ation 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-conhactors and state whether or not those entWcs have
employee. if the subcontractors have employees,they must pravidt their workers'comp.policy number.
lam 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$1,500M 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•and penalties of perjury that the information provided above is true and correct-
Signature: - Date: 6 1- o k
Phone#: de 7 —
Official use only. Do not write in this area,to be completed by city or town offciaL
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 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
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(LLCM or Limited Liability Partnerships(LL.P)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 Towti 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 permit/license applications in any given year,need only submit on;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 io any business or commercial venture
(ie.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 Accideuts
office of Investigations
600 WashinPn Street
Boston, MA 02111
W. #617-727-490.4 ext 406 or 1-$77-MASSAFE
Fax# 617-727-7749
Revised 11-22-06
. www.mass:gov/dia
°FYHE, � Town of Barnstable
' Regulatory Services
BARNSTABMASS.IE' x Thomas F. Geiler,Director
0.19.
$'OrFn,r,NrA Building Division
Tom Perry, Building Commissioner
200 Main Street, Hyannis,MA 02601
www.town.barnstable.ma.us
Office: 508-862-403 8 Fax: 508-790-623 0
Property Owner Must
Complete and Sign This Section
If Using A Builder
as Owner of the subject property
hereby authorize -5-±Ke ." la-e,k- to act on my behalf,
in all matters relative to work authorized by this building permit application for:
(Address of Job)
S
Signature of Owner 01 D to
Print Name
If Property Owner is applying for permit please complete the Homeowners License
Exemption Form on the reverse side.
e
Town of Barnstable
�pF SHE 1p�
Regulatory Services
-� Thomas F.Geiler,Director
r
+ BARNSTABLE,
MASS.
�A 163;9. A Building Division
rfD � Tom Perry,Building Commissioner .
200 Main Street, Hyannis,MA 02601
-Av.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-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 fom✓certfiification for use in your community.
✓lie Yoar.�rrzauuP,aCtf o�'.///Ziaaaac�u�aeCta, Y .
Board of Building Regulations and Standards ' ,License or registration valid for individul use only
HOME IMPROVEMENT CONTRACTOR •before the expiration date. If found return to:
Registration 1 �(��g t- : �` I Board of Building,Regulations and Standards
h Ashburton Place Rm1301
E pira
� a $ "'g `�z 37 Bostan;Ma 0210;$
TYp
e4 ;
.BULLOCK CONST �
STEPHEN BULLOCK
8 HUGHES ST - --
r Not valid without signature
Pali,0����eo ;P dnnn�j[ ator