HomeMy WebLinkAbout0025 TODD WAY _ a���
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Town of Barnstable RECEIPT
200 Main Street, Hyannis MA 02601 508-862-4038
Application for Building Permit
Application No: TB-18-178 Date Recieved: 1/19/2018
Job Location: 25 TODD WAY,COTUIT
Permit For: Building-Insulation- Residential
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Contractor's Name: State Lic. No:
Address: Applicant Phone: (508) 695-8222
(Home)Owner's Name: ROBINSON,MARK H Phone: .(508)694-7415
(Home)Owner's Address: 25 TODD WAY, COTUIT,MA 02635
Work Description: 13HR of Airsealing, I Door sweep, 1200sgft of cellulose, I sheathing access, _
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D. a
Total Value Of Work To Be Performed: $3,917.00
0-
Structure Size: 0.00 0.00 0.00
Width Depth Total Area
I hereby swear and attest that I will require proof of workers'compensation insurance for every contractor,subcontractor,or other worker before
he/she engages in work on the above property in accordance with the Workers' Compensation Act(Chapter 568).
I understand that pursuant to 31-275 C.G.S.,officers of a corporation and partners in a partnership may elect to be excluded from coverage by
filing a waiver with the appropriate District Office;and that a sole proprietor of a business is not required to have coverage unless he files his intent to
accept coverage.
I hereby certify that I am the owner of the property which is the subject of this application or the authorized agent of the property owner and have
been authorized to make this application. I understand that when a permit is issued,it is a permit to proceed and grants no right to violate the
Massachusetts State Building Code or any other code,ordinance or statute,regardless of what might be shown or omitted on the submitted plans and
specifications. All information contained within is true and accurate to the best of my knowledge and belief.
All permits approved are subject to inspections performed by a representative of this office. Requests for inspections must be made at least 24
hours in advance.
Signed: Brian Olsen 1/19/2018 (508)695-8222
Applicant Date Telephone No.
Estimated Construction Costs/Permit Fees
Total Project_Cost : $3,917.00 Date Paid Amount Paid Check#or CC# I Pay Type
Total Permit Fee: $85.00 1/22/2018 $35.00 I Visa:XXXX-)CM- F Credit Card
;v_..._.. .-...._._.:.....,.,.._' ...�,._... �,....._,_XXXX-3637 ......:........_....,,...
Total Permit Fee Paid: $85.00 tizzizols $50.00 Visa:XXXX-XXXX- I`` Credit Card
—.---- XXXX-3637
r
Town of Barnstable *Permit#dW7M9W
Expires 6 months from issue date
m RFF',-3- S PERWratory Services Fee 5'~
Thomas F.Geiler,Director
FIEB 16 2007 Building Division
TOWN OF BARR�BO, Building Commissioner
200 Main Street,Hyannis,MA 02601
www-town.barnstable.ma.us �'�
Office: 508-862-4038 Fax: 508-790-6230
EXPRESS PERNIIT APPLICATION - RESIDENTIAL ONLY
Not Valid without Red X-Press Imprint / ��
V
[a / arcel Number
P P
roPem'Address
esidential Value of Work Minimum fee of$25.00 for work under$6000.00
1wner's Name&Address /p 1 adz Re w ^ so rij
:ontractor's Name Telephone Num
[ome Improvement Contractor License#(if applicable)
��Fappiieablej
]Workman's Compensation Insurance r„
Check one: G-- 4 PP r , l
❑ I a sole proprietor
[ e Homeowner
❑ I have Worker's Compensation Insurance
asurance Company-Name b. -/6t 4
Vorkman's Comp.Policy#
:opy of Insurance Compliance Certificate must be on file.
-ermit Request(check box)
❑ Re-roof(stripping old shingles) All construction debris will be taken to
❑Re-roof(not stripping. Going over existing layers of roof)
D-�ke-side OrW-- &C 1P_
[replacement �/doors/sliders. U-Value (maximum.44)
•Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc,
***Note: Propert Owner must sign Proper Owner Letter of Permission,
c of e v ontractors License is required.
IIGNATURE:
I:Forms:expmtrg
.evise061306
The Commonwealth of Massachusetts
`J Department of Industrial Accidents
Office of Investigations
600 Washington Street
Boston,MA 02111'
vti&mass.gov/dia '
Workers'Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers*
Applicant Information Please Print Le gib
Name(Business/Organization/Individual):.
Address: D 1
City/StatelZip: Phone.#: �
Are you an employerT Check the appropriate box: :Type of project(required):,
1,❑ I am a employer with 4, I am a general contractor and I '
• gees(full and/or part time),
* , have hired the stub-contractors 6, ❑New construction .
aI a'sole.proprietor or partner- listed on the-attached sheet. 7. [remodeling
ship.andhave no employees These sub-contractors have g, []Demolition
'*Orldng for me in any capacity. employees and have workers'
[No workers' comp,insurance comp,insurance$' 9. []Building addition .
re d] 5: [] We area corporation and its 10. •Blectrical repairs or additions
3. am a homeowner doing ill-work officers have exercised their M❑Plumbing repairs or additions '
myself,[No workers' comp, right of exemption per MGL 12,0 Roof repairs . .
insurance.required.]t c. 152, §1(4),and we have no
�Io . CN
o� workers' 13.❑Other
• employees,
comp,insurance required.]
*Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy infammaticn.
t Homeowners.who submit this affidavit indicating they are doing all work and then hie outside contractors must submit anew affidavit indicating such.
:Cmtractors that check this box mustattached an additiomal•sheet showing thename of the pub-contractors and state whether ornotthose entities have
employees. If the sub-contractors have employees,they must provide theit•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 requited 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 maybe forwarded to the-Office of'
Investigations of the DIA for insura ce cwera e Y ca 'o
I'do hereby certify t pai pen es o•pe at the information provided above i rue n'd correct.
Si tare: Date;
Phone
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#:
Massachusetts General Laws chapter 152 requires all employers to provide workers' compensation for then 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."
MOL 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.',
Additionany,MGL chapter-1 52,§25C(7)states"Neither the commonwealth nor any of its political subdivisions shall
e table evidence oi'com ha�sce withal a insurance
enter into any contract for.the performance of publia work until ace p p ,
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. Alsa be sure to sign and date the affidavit. The affidavit should
'tor license is being requested,not the Department of
be returned to the city or town that the apphcatson for the pemrr . g qu d, e'P
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 onthe 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 thef affidavit for S'°u t'o fill out in the event the Office of Investigations has to contact you regarding the applicant.
I
Please be sure to fill in the permiQUeense 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 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 aff davit 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 fo 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.
d you have
-an"questions,
The Office of Investigations would like to thank you in advance.for.your cooperation and shoul y Y q
g
Please do not hesitate to give us a call.
The Depgtment's address,telephone-and fax number:.
o CQMM0UWWth Of mamrlhus8lds
Dtputment of lanai ACCidlentS '
Office of Invest gatxoas
600 WaWnatoii Stmd
B64on, 02111
TO. 617-727-4 ext 406 Or 1
Fax#617-727-7749
Revised 11-22.06. w .mass g6v/dia
4
Assessor's office(1st Floor): c 3 6 - U�23 1 IC.SYSTEM MUST BE
Assessor's map and lot number J of T"c ro
Board of Health(3rd floor): TALLED IN COM ego` �#w
Sewage Permit numberya
`EW- �-
Engineering Department(3rd floor), -�S° RONM DARrua Lc
House number - aS T® _�/.� 039-
Definitive Plan Approved by Planning Board 19 �Fo
APPLICATIONS PROCESSED 8:30-9:30 A.M.and 1:00-2:00 P.M.only
TOWN - OF BARNSTABLE
BUILDING INSPECTOR
APPLICATION FOR PERMIT TO U(1G� i�f l(-1656D PO(C P
TYPE OF CONSTRUCTION WOOD 1+ M E
19 9 0.
TO THE INSPECTOR OF BUILDINGS:
The undersigned hereby applies for a permit according to the following information:
Location V, ' - ��� �oDA t.c i
Proposed Use
Zoning District Fire District
Name of Owner z— Address S H fA E
Name of Builder Address
Name of Architect Address
Number of Rooms Foundation
Exterior S� \� `"`' C G Roofing
Floors \,l w G G ` .�o\\� L+�� e� Interior
Heating '^ e- Plumbing r\Q �'-
Fireplace v1 Approximate Cost
Area C> S T
Diagram of Lot and Building with Dimensions Fee ®.
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.
Nam .
Construction Supervisor's License
`" JOHNSON, GARY
No 34877 Permit For BUILD ENCLOSED PORCH
Single Family Dwelling
Location •2 5 Todd Way
Cotuit g
Owner Gary Johnson
1
Type of Construction Frame
� Plot Lot
,
Permit Granted. March
, 19 9 2
,. M
Dat'e)of In egon 19
tc - j
p. Cot 19 1
a
{ t
TOWN OF BARNSTABLE
BUILDING DEPARTMENT
.HOMEOWNER LICENSE EXEMPTION
�I Please print.
DATE _ 7. 4
JOB LOCATION '
ZS bb Lr/b u Co To l T
Number Street Address Section Of Town
HOMEOPIPIER" ��JI
GAr�y '� y� � 5� 6kNSury ADO -_�06 6/7 S3a- Y711
ame Home. Phone Work Phone
PRESENT MAILING ADDRESS A me ;; AS V E
City/Town State
Zip Code
The current exemption for "homeowners" was extended to include owner-
or
dwellings of six units or less and to ;allow such homeowners to
engage an individual for hire who does not possess a license, provided that
the owner acts assu ervisor.
DEFINITION OF HOMEOWNER:
Person(s) who owns a parcel of land on which he/she resides or intends to
reside, on which there is, or is intended to be, a one to six family
dwelling, attached or detached structures accessory to such use and/or farm
structures. A person who '�constructs more than one home in a two- ear
period shall not be considered a homeowner. y
shall sumit
to the Building Official on a form��acceptableStoh the oBuilding Official,
that he/she shall be responsible for all such work performed under .the .
bui_il�a permit. (Section 109. 1. 1)
The undersigned "homeowner" assumes responsibility for compliance with' the
State Building Code and other applicable codes, by-laws, rules and
regulations. ,,
The undersigned "homeowner" certifies that he/she understands the Town of
Barnstable Building Department minimum inspection procedures and
requirements
HOMEOWNER'S SIGNATURE _p1
APPROVAL OF BUILDING OFFICIAL
Note: Three family dwellings 35 000 9 cub
ic
re feet o will be
required to comply with State Building Code Section 127.0,�Construction
Control.
KIscs
.n.if"FJ
k.
HOME OWNER'S EXEMPTION
a.
The code states that: "Any Home Owner performing work for which a building
permit is required shall be exempt from the provisions of this section
(Section 109. 1. 1 - Licensingi,of Construction Supervisors) ; provided that if
Home Owner engages a person(i) for hire to do such work, that such Home
Owner shall act as supervisor. "
Many Home Owners who use this exemption are unaware that they are assuming
the responsibilities of a supervisor (see Appendix Q, Rules and Regulations
for Licensing Construction Supervisors, Section 2. 15) . This lack of
awareness often results in serious problems, particularly when the Home
Owner hires unlicensed persons.. In this case our Board cannot proceed �
against the unlicensed person as it would with licensed supervisor. The
Home Owner acting as supervisor is ultimately responsible.
To ensure that the Home Owner is fully aware of his/her responsibilities,
many communities require, as part of the permit application, . that .,the Home
Owner certify that he/she understands the responsibilities of a supervisor.
On the last page of this issue is a form currently used by several towns.
You may care to amend and adopt such a form/certification for use in your
community.
x
R=F. III
�TKO I i� — — — — --- — — — — — �� ;•-��,—,��I
L. ofREMOVE W.�SN
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MEW 'SLAB
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IHai r;
NO.185E-17X22
t
1
C � ,
4 .. /
!o Parcel r Permit#'
Conservation Office(4th floor)(8.30-9:30/ 1:00-2:00) I �rn: ,� � Date Issued
Board of Health(3rd floor)(8:15 -9:30/,1:00-4:45)
Engineering Dept.(3rd floor) House# .F
P SEPTI MUST BE
IN ST PUANCf .
19 E 5
k ENVIRO C®DE A jD
TOWN OF BARNSTABLE TOWN REGULATION,`)'
Building Permit Application
Project Stree dress Toam W6, —
Village COA—V �� t
n L
Owner Y► 'p I ns b;A) Address 44 cd_�u I'I
Telephone q25 76 62.-
Permit Request v iJ 12- x 1 Z i c� s i c al Ac kc e-I Q u
AJ
�6 a�bvL, ev ay-k
�P- l )YUe_
e
First Floor square feet
Second Floor square feet
Estimated Project Cost $
Zoning District 4 Flood Plain C Water Protection W
Lot Size `3 C3 000 Grandfathered ?
Zoning Board of Appeals Authorization �— Recorded
Current Use Proposed Use S
Construction Type tool
Commercial �� Residential
Dwelling Type: Single Family Two Family Multi-Family
Age of Existing Structure 7Q Basement Type: Finished
Historic House0y0 Unfinished`� +f
Old King's Highway 1 o
Number of Baths No. of Bedrooms
Total Room Count(not including baths) First Floor
Heat Type and Fuel CL.5 Central Air AjG Fireplaces
Garage: Detached Other Detached Structures: Pool
Attached Barn
None Sheds
Other
Builder Information
Name 0-W-X_P_ Telephone Number
Address License#
Home Improvement Contractor#
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 RESULTING FROM THIS PROJECT WILL BE TAKEN TO
SIGNATURE / to
BUILDING RMIT DENIED FOR THE FOLLOWING REASON(S)
FOR OFFICIAL USE ONLY.
PH IMIT NO. y
- r
DATE ISSUED ; F.
MP/PARCEL-NO. r r
DRESS VILLAGE
OWNER
DATE OF INSPECTION: , t
FOUNDATION
• r
FRAME' - r
INSULATION a
k
FIREPLACE d
..ELECTRICAL: ROUGH FINAL !
PLUMBING: ' ROUGH '' FINAL
GAS: r • IR(MUGI FINAL ,
FINAL BUILDING-)
DATE CLOSED OU,I 'a --
m0F ,
ASSOCIATION Pl AA_T m.
�55uC- J7
The Common wealth,(!f Atassachuscas _
-- %ri: ��. ��'.i•�� Department of lndastrial Accidents '
.. � 1. -a '' • ,
Olflceo/lay�s�l tlo�s
HIP •:a' 6(l0 !1 wsliinrton Street -
, Bunton,Muss. 02111
Workers' Compensation Insurance:AMdavit
.Eolica—n nformation: - Ple se PRi1VT le 1v '�` -�
.. . ,
name._
f,/el. on: e:z4, d (/I fa
City C�-h� + /fi1=1— µ nhnnr#
am-a_homeowner performing all work myself. ,
I am a sole proprietor and have no one working in any capacity
tie.�..`►'-�"'y."ar^,,�ar•••:_�- - - - - - _ _ :u�. _ �.�.�a._.,e<
1 am an employer providing workers' compensation for my employees working on this job.
compnny_nnme•
address•
city: nhene#:
insurance co- nnlin•#
I am a sole proprietor,general contractor,or homeowner(circle one)and have hired the contractors listed below who have
the following workers' compensation polices:
company name•
address:
sii}•: phone#:
insurance CO- policy#
f` ::�::' «e-:T•.�'_' �... rs+t7:r_�;.:.il�ss�?ri"i?":TeR''Kr'-^Ili• �.a •t•�•:�MiI.�R��I¢�•'^T'�'_' .9143!4!f7^•'�*'7S
ctimnn_v name:
address:
ccill: phone#:
inenrwnrn en poky# —
Atiach additiunal'sheet iftiecessary• .,:..�q�•. '. ,
Failure to secure coverage as required under Section 25A of 1)1GL 152 an lad to the imposition of criminal penalties of a five up to S1,500.00 and/or
one years'imprisonment as well as civil penalties in the form of a STOP WORK ORDER and a fine of S100.00 a day against me. I understand that a
copy of this statement may be forwarded to the Office of Investigations of the DIA for coverage vesifieation.
/.S;i,.P,-
hereby certify um !ie palu nd penalties o 'uq• of the/afornwtlon pro►7ded above is fate and co/rrGe�ct: q�
atu
re
17
Tint name �'13 I l�` c�� 0V e# 2 ' / 2
official use only do not write in.this area to be completed by city or town official
city or town: permitilicense# nBuilding Department
C3Licettsing Board '
check if immediate response is required OSelectmen°s Office
C311allh Department
contact person: phone q;. nOther
Imised 3,%)5 PJA)
1
information and Instructions'
Massachusetts General Laws chapter 152 section 25 requires all employers to provide workers' compensation for their
employees. As quoted from the"law", an employee is defined as every person in the service of another under any
contract of hire,express or implied, oral or written.
An emplityer is defined as an individual, partnership,association, corporation or other : gal entity, or any two or more o
the form- * g engaged in a joint enterprise,and including the iegal 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 1'52 section 25 also states that every state.or local licensing agency shall withhold the issuance or
renewal of a license or permit to operate a business or to construct buildings in the common*+•ealth for any
applicant who has not produced acceptable evidence of compliance with the insurance coverage required.
Additionally,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 hav
been presented to the contracting authority.
Applicants
Please fill in the workers' compensation affidavit completely, by checking the box that applies to your situation and
supplying-company names. address and phone numbers as all affidavits may be submitted to the Department of
Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affid:i,% 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.
w. �•eR.M�J�.q!
.:•r. !• •..t. y .rF i.� L :.Sai•,7i�,' �tE7 :.•'•
Qtv or Towns
Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of
the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please
be sure to fill in the permit/license number which will be used as a reference number. The affidavits may be returned to
the Department by mail or FAX unless other arrangements have been made.
should you have any questions,
1 'a to thank you in advance for you cooperation ands ) q
The Office of lm esti�anons would like
please do not hesitate to give us a call.
r•.r.4�..� .�� .. : _ .. .. - •�,t 'ICY. '.1.:: ^�
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
fax#: (617) 727-7749
phone #: (617) 7274900 ext. 406, 409 or 375
The Town of Barnstable
KAM. Deparfinent of Health Safety and Environmental Services
6,39. Building Division
367 Main Street,Hyannis MA 02601
Office: 508 790-6227 Ralph Cross=
Fax: 508775.3344 Building Commis
For office use only
Permit no.
Date
AFFIDAVIT
HOME IMPROVEMENT CONTRACTOR LAW
SUPPLEMENT TO PERMIT APPLICATION
MGL c. 142A requires that the"reconstruction,ait=dcns,renovation,repair,modernization•,conversion,
improvement,.removal, demolition, or construction of an addition to any pte-aasting owner occupied
building containing at least one but not more than four dwelling units or to struct=which ate adjacent
to such residence or building be done by registered contractors,with certain exceptions, along with other
tequiremems.
ype of Work: W e r `� Est Cost
/Address of Work: 2� Ua`lam
/Date of Permit Application: ll Z `
I hereby certify that:
Registration is not required for the following rrason(s):
Work excluded by law
--job under S1,000
B ' ding not owner-occupied
Owner pulling own permit
Notice is hereby green that:
OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH 13ITREGISTFED CONTRACTORS
FOR APPLICABLE HOME IMPROVEhIENT WORK DO NOR' 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 '
n,,e er's name
TOWN OF BARNSTABLE
BUILDING DEPARTMENT
HOMEOWNER LICENSE EXEMPTION
Please print.
i/DATE _ — ...:...
✓JOB LOCATION 2� l "q q �g �{—
�l d
Number Street address Section of town
`HOMEOWNER" � d•� �Z� ICoQZ ��p••2..-'���� .
Name Home phone Work phone . .
PRESENT MAILING ADDRESSd VV� "'
To '
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 such homeowners to engage an in-
dividual for hire who does not possess a license, provided that the owner
acts as supervisor.
DEFINITION OF HOMEOWNER:
Person(sj who owns a parcel of land on which he/she resides or intends to re-
side, on which there is, or is intended to be, a one to six family dwelling,
attached or detached structures accessory to such use and/or farm structures.
A person who constructs more than one home in a two-year period shall not be
considered a homeowner. Such "homeowner" shall submit to the Building Official
on a form acGe-ptable 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 Stat
Building Code and other applicable codes, by-laws, rules and regulations.
The undersigned "homeowner" certifies that he/she understands the Town of
Barnstable Building Department 'nimum inspection procedures and requirements
and that he/she will compl w' sai oced es nd requirements.
HOMEOWNER'S SIGNATURE
APPROVAL OF BUILDING OFFICIAL
Note: Three family dwellings 35, 000 cubic feet, or larger, will be required
to comply with State Building Code Section 127. 0, Construction Control.
HOME OWNER'S EXEMPTION
The code state that: "Any Home Owner 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
Home Owner engages a person (s) for hire to do such work, that such Home Owne
shall act as supervisor. "
Many Home Owners who use this exemption are unaware that they are assuming
the responsibilities of a supervisor (see Appendix Q, Rules and Regulations
for -licensing Construction Supervisors, Section 2. 15) . This lack of awarene .
often results in serious problems, particularly when the Home Owner hires
unlicensed persons. In this case our Board cannot proceed against the
inlicensed person as it would with licensed Supervisor. The Home " wner acti
as supervisor is ultimately responsible.
To ensure that the Home Owner is fully aware of his/her responsibilities, ma.
communities require, as part of the permit application, that the Home Owner
certify that he/she understands the responsibilities of a supervisor. On th,
last page of this issue is a form currently used by several towns. You may
care to amend and adopt such a form/certification for use in your community.
,
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NOTE PRE—EXISTING, NONCONFORMING
RES. ZONE- "RF" This MORTGAGE INSPECTION Plan is For FLOOD ZONE- "C"
Bank Use Only
TOWN: ._C0 T_ _ REGISTRY OWNER: GARY W. & TI ERESE A. JOHNSON
DEED REF: __6§0 M _BUYER: _MARL K_' APPRIL�5' �QBII ESE
DATE: 6/94 — _ — PLAN REF: 213 87_ —SCALE:1"= 40 FT.
I HEREBY CERTIFY TO D.TZ _____ tN OF
__THAT T y�
_C_0_OP_E_R_AT_I_VEB_A_N_K ______ HE BUILDING 'r YANKEE SURVEY
SHOWN ON THIS PLAN IS LOCATED ON THE GROUND AS �� PAUL y� CONSULTANTS
SHOWN AND THAT ITS POSITION DOES ____ CONFORM A.
TO THE ZONING LAW SETBACK REQUIREMENTS OF THE 0 40B INDUSTRY ROAD
TOWN OF ---BARNSTABLE-------------AND THAT $ MARSTONS MILLS, MA 02648
IT DOES_ NOT_ LIE WITHIN THE SPECIAL FLOOD HAZARD E�/STE � TEL: 428-0055
AREA AS SHOWN ON THE H.U.D. MAP DATED_2/�JZ__ i L013 FAX 420-5553
Com unit —Pane 250001-0018—D
_ _�' �7I 1_ _'________ THIS PLAN NOT MADE FROM AN INSTRUMENT
UL A M IT EW, PD9 SURVEY, NOT TO BE USED FOR FENCES, ETC. 14748 GGM
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