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Home My WebLink About0270 SCHOOL STREET �D ��da �. s� I Town_ of Barnstable "Permit Expires 6 months from inug date Regulatory Services Fee y� Ss P Thomas F.Geiler Director FDMt►'tA � . JIJN Building Division 201E Tom Perry,CBO,.Building Commissioner Ow OF PARN 200 Main Street,Hyannis,MA 02601 ST/�SLE www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230. EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY Not Valid without RedX-Press)Imprint. ; Map/parcel.Number Property Address a7 6 esidential Value of Works �z�j r Minimum fee of$25.00 for work under$6000.00 cg- Owner's Name&Address e i g� "IN1 Contractor's Name Telephone Number Home Improvement Contractor License#(if applicable) Construction Supervisor's.License#(if applicable) ❑Worknan's Compensation Insurance Check one: l el ❑ am a sole proprietor am the Homeowner ❑ 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(stripping old shingles) All construction debris will be taken to •{�®� / _f /S"'��0 �� ❑Re-roof'(not stripping, Going over existing layers'ofroof) ❑ Re-side y b #of doors ; ❑ Replacement Windows/doors/sliders:U-Value (maximtun.44)#of windows *,Where required: Issuance of this permit does'not,exempt compliance with other town department regulations,i.e.Historic,Conservation,etc." No.te:, Property Owner must sign Property Owner;Letter of Permission: o A copy of the Home Improvement Contract, ice a&,Construction Supervisors License is equir : SIGNATUR5�Wl rG'� C:\Useis\decollik\AppDataU ocal\Microsoft\Windows\Tempora es\Content.Out k\�4STGU5QO\EXPIESS.doc Revised 090809 i 1ARNMABtE, • 659. Town of Barnstable 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"l e!`e 1KI/mom /i-®Ayf V ,as Owner of the subject property hereby authorize /4�Te_'IF to act on my behalf, in all matters relative to work authorized by this building permit application for: (Address of Job) 4 — !� ` G0 ature of Owner Date A.1f Print Name If Property Owner is applying for permit,please complete the Homeowners License Exemption Form on the reverse side. C:\Usem\decoUil\AppData\Local\MicrosoR\Windows\Temporary Intemet Files\ContentOutlook\4STGU5QO\EXPRESS.doc Revised 090809 Town of Barnstable Regulatory Services Thomas F.Geiler,Director ►`� Building Division Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION �y Please Print DATE: I l/ JOB LOCATION:_ 2 7 y S-011 y o L 5'r C a 7-1/1 number street village .�j jet "HOMEOWNER": /� �1'I/, VyWe,s/ 2Or I-TSJ! �,2 / (J��O name [�home p one# work phone# CURRENT MAILING ADDRESS: J sP 41J t/ IQ P city7town 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 minimums inspection pr ures and requirements and that he/she will comply with said procedures and requirements. rgnature of Homeowner �tig�t 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 hives 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 caret amend and adopt such a form/certification for use in your community. C:\UsersWecoBWAppData\LocaFMic rosoft\Windows\Temporary Internet Files\Content.Outlook\4STGU5QO\EX MSS.doc Revised 090809