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Home My WebLink About0065 MAGNOLIA AVENUE Yr. l� r TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel Application # -/7 Y77 Health Division Date Issued Conservation Division Application Fee Planning Dept. Permit Fee 1`�S Date Definitive Plan Approved by Planning Board I Historic - OKH _ Preservation/ Hyannis � � e Project Street Address t Ot G It i -A 61 Village Owner /J1 ^) r 0 A C 7 Address S� 'k-6AJ 6 �A A LM , Telephone Y 7- Je 2L Zd 2 6906 Permit Request jc�i A r (1-) �O o• d � +- �..� e�pr (� O Dc12J� C7 rJ L �- ev�,e 06 S' P112 y� 9)C S� � 2Av�s Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuationt &Yconstruction Type Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family Two Family ❑ Multi-Family (# units) Age of Existing Structure Historic House: ❑Yes ❑ No On Old King's Highway: ❑Yes ❑ No Basement Type: ❑ Full ❑ Crawl ❑Walkout ❑ Other Basement Finished Area (sq.ft.) Basement Unfinished Area (sq.ft) Number of Baths: Full: existing new Half: existing new Number of Bedrooms: existing —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 Detached garage: ❑ existing ❑ new size_Pool: ❑ existing ❑ new size _ Barn: ❑ existing ❑ new size_ Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: =- b Zal Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ P3 Commercial ❑Yes ❑ No If yes, site plan review# Current Use Proposed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name 2e*n (r-' JASLXc b+ Telephone Number Address F0 ``� 04 Y� License #_ / 0,4 7 7 V%A A Home Improvement Contractor# Email I OeXeyk�, 'I`1 7 vN,,M Worker's Compensation # O /D� ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BETAKEN TO X. SIGNATURE f W DATE FOR OFFICIAL USE ONLY APPLICATION# ' 4 DATE ISSUED MAP PARCEL NO. ADDRESS _ VILLAGE OWNER DATE OF INSPECTION: FOUNDATION. FRAME INSULATION FIREPLACE ` ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL • k " GAS: ROUGH FINAL . FINAL BUILDING ' DATE CLOSED OUT - k ASSOCIATION PLAN NO. y . Tbwv of Barnstable Rqulatory Sces; B.o:il leg JDY�rYs tin. �vxn Perm 3ti�2�xz�:C oY.rawsion,er` 2!}�IV1'acii�lree"t;IIyunuis;�vL4.�}2C(11 �tv�vtown.3arrisiablc:.mai.ps C7f:fice 60;8-$6 -4t3 8' 90-6230, -+toraPlee adS%g Seci 1f Um' ,g, A" Wide r Pe as`C7cvriet cif tlz subject propeny ¢bpauhanz� � � io act.on mybialf. Ln idmamzs t =vc to rk anao i by lis WUpg p4ruut°appAq lication:£ar (A.ddxtss csob) If ne arul alarms are rlesdnsct �f'.xbe:aPlicc�a1; a ee no�,tt le&o , �+ before en e15),usa e i s ec�ir� s are pxtyrxx�ed,andccpedz S: aZcx S f rc o csSica 401-7 . va y Ptiva -J • The Commonwealth of Massachusetts Department oflndustrudAccidents 1 Congress Stree4 Suite 100 Boston,MA 02114-2017 .�' www mass gov/dia Ntrorkers'Compensation Insurance Affidavit:Builders/Contractors/Electriciaas/Plumbers. TO BE FILED WITH THE PERMITMIG AUTHORNY. Aimlicant Information Please Print 'bl Name(Business/organization/Individual): Z — N J Address: b VJ Ole S' City/State/Zip: bAt,9 Phone#:• �� f � 49 .2 Are you as a ployee Check the appropriate box: vZ 71 m employerwith� Type of project(required): . 1 a ernployees(full andlor part-time).* 7. Q New construction 2.Q I am a sole proprietor or partnership and have no employees working for me in S. Q Remodeling ' any capacity.[No workers'comp.insurance required,] 3. I am a homeowner doing all work 9. Q Demolition ❑ g myself[No workers'comp.insurance rtqu'sed-1 t . 4. 1 am a homeowner and will be 10 Q Building addition ❑ hiring contractors to conduct aU work on my property. 1 w�11 • eruure that all contractors tither have workers'compensation insurance or are Solt 11.Q Electrical repairs or additions proprietors with no employees. 12.Q Plumbing repairs or additions S.Q I am a general contractor and I have hired the subcontractors listed on the attached sheet These sub-coutraaots have employees and have workers'comp.insuraum: 13.Q Roof repairs 6.Q We art a corporation and its officers have exercised their right of exemption per MGL c. 14. er (.�JL''�1'11 fr�1�• L s 1S2,§1(4),and we have no employees.[No works'comp,insurance requhed) "l 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 art doing all work and then hire outside contractors must submit a new affidavit indicating such. tContcactors.that check this box must attached an additional sheet showing the name of the sub-contractors and=ft 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 providvag workers'compensation insurance for my employees. Below is the policy and job site information Insurance Company Name:_ Policy#or Self-ins.Lie. :_ �,J d S�02. C) O y Expiration Date: (� 2 Job Site Address S A A GN d CA, A-Ve . City/State/Zip: H (�/.F 4/4- Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration dato Failure to secure coverage as required under MGL c. 152,§25A is•a criminal violation punishable by a fine up to S1,500.00 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.A copy of this statement may be forwarded to the Office of Investigations of the D1A for insurance coverage verification. I do hereby certify under th 4 p and penalties of perjury that the information provided above is true and correct Si ature: J Date: �1 Phone#: s Official use only. Do not w ' in this area,to be completed by city or town offudal City or Town; Permit/License# Issuing Autho "((circle one): 1.Board of Health-2.Building Department 3.City/Town Clerk 4.Electrical.Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: i G&e ofConsumer Affairs and Business Regulation 10 Park Plaza- Suite 5170 Boston,Massac•usetts 021-16 Home Improvement or Registration - - ^ Registration: 160461 Type: Private Corporation ±i is =;;;;; •—""^,�i: Expiration: 7/29/2018 Tr# 289184 RETROFIT INSULATION, INC. %.f JOSEPH REILLY `Y`, ...,'_ P.O. BOX 105 '.,"'� T-T SEEKONK, MA 02771 Update Address and return card.Kark reason for change. SCA 1 0 2oM-OV11 ' Address Q Renewal Employment ❑ Lost Card .. . Vlte�ai9vJ,wAs6UJ�GGtvv a�Gd'aLaGJac��tl4Blyd• . Office of Consumer AfWrs&Business Regulation License or regiaatlou valid for individnal use only HOME IMPRO.VF--MEW CONTRACTOR before the expiration date. 7f found return to: RegisIzation;s:'1gp4B1 Type: Office of CoAsumer Affairs and Business Regulation 10;Park Plaza-Suite 51.70 Expiration; 7IS912018 Private Corporation f Boston WA 02116 RETROFIT INSULAtj" IW JOSEPH REILLY 644 RODMAN ST FALLRIVER,MA 02721 ` x, Uadersecretary N valid without signature Commonwealth of Massachusetts. Division of Professional Licensure Board of Building Regulations and Standards Constructiokbz00 !Specialty . f CSSL-102771 t t', ., L.'pires:06/05/2019 `lr4;'e^ wrc aqf JOSEPH J RELY. all (°• ..i i� PO BOX 105 SEEKONK MA 6E40 Tf1. Commissioner ' w AC a RETRINS-01 RBLACKI �.r-- CERTIFICATE OF LIABILITY INSURANCE DATE(MMMDIYYYY) 811112018 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: U the certificate holder is an AD51TIO.NAL INSURED,the policy(ies)must be endorsed. if SU.8R4CATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement certificate holder in lieu of such endorsement(s). ,A statement on this certificate does not confer rights to the PRO6uCFRUcense9i78.68$2 CONTACT HUB.International New England, NAME: 222 Milliken Boulevard PHONE E,�,(508j 676-1971 Fall River.MA 02722-9946 E-MAIL A1C N.:(.504)678-2750 ADDRESS: INSURER(S)AFFORDING COVERAGE RIAICiI iNSuREQ INSURERA:Se1eCdV0Jnsurance Company of South Carolina 119259 INsuRERa:Star Insurance Company 18023 RetroFrrt Insulation,Inc, INSURER C: PO Box 105- INSURER a Seekonk;MA 02771 INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS lS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOkRTHE POLICYPERIOD INDICATED, kOTWITHSTANDiNG ANY RECIUIREMENI, TERM OR CONDITION OF ANY CONTRACTOROTHERDOCOMENT'WCFEIRESPECiTOWHI.CHTHlS CERI'1F(CATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN ISSUBJECTTOALLTHETERMS, EXCLUSIONS AND COND}TIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS, 1NSR ... , LTR TYPEOFINSURANCE D POLICYNUMSER MOLECYEFF MM10DYWF— LMn'S A X COMMERCIAL GENERAL L ASHI7Y EACH OCCURRENCE $ 1,000,000 CLAIMS MADE a OCCUR a S21876.53 08115/2016 08115/2017 {OE' PREMISES(Es ddc*frence) S 100,060 MED E KP(Anyone person) 5 5,660 PERSONAL&ADVINJURY s 1,000,000 GEN'LAGGREGATELIMITAPPLtES PER: GENERAL AGGREGATE $ 2,000,000 POLICY 0 JPEReOT' 0Lac PRODUCTS-COMPlOPAGO $ 2,000,000 OTHER AUTOMOBILE LU1aiuly C01gB NED SINGLE LtI q Eaaetl V, $ - 1,0a0,000 ANYAUTO 10018200 08/1112016 0811112017 BODILY INJURY(Par w=n) S ALLO.WNED �( SCHEDULED AUTOS �TOS BODILY INJURY(Per aeeideL;* $ X HIRED AUTOS % AW Ow"E° PROPERTY DAMAGE S Paracdden x WISRELLA LiAa . OCCUR $ A EXCESSLIAa CLAIMS-MADE S2187653 EACH OCCURRENCE S 110 0,000 0.811512016 08/1512017 AGGREGATE• S DEn x RETEnmai�s o 1,000,aao WORKERSs IAS COMPENSATION l P.ER O.TH AND EMPLOYERS'LUN STATL rE ER OFFICERIMEMBEREXCWDED? T YIN Q NIA C084520F 0810212016 08192J2017 ELEACHACCIDENT S 1,Of�a,0Do (1,fand esc in NH) E.LDISEASE,EAEIA $ 1,a0o,00o Dyyeess.deselme under QESCRIPT(ONOF OPERATIONS below E.LDISFASE:-Policy IJMrr $ 1,000,000 MCRIPTION OF OPERATIONS 1 LOCAMONSI YEHIFLES(ACORD 101,A Alonal Remarks 50eduie,maybe attached irmore space Is required) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE National Grid THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN SO Washington Street: ACCORDANCEw1TH THE POLicy PROVISIONS. Westborough,MA 01581 AUTHOSIIZZED REPRESENTATIVE ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014/01) 7;he ACORD name and logo are registered marks of ACORD TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel ha Application# Health Division Conservation Division Permit# Tax Collector Date Issued Treasurer Application F Planning Dept. Permit Fee - Date Definitive Plan Approved by Planning Board Historic-OKH Preservation/Hyannis Proje� cfee ddre s 6S Aw Pla ` T� Villages Owner - dress ►a Telex p 6 e // .L PermifRequ a I t i o Square feet: 1 st floor:existing proposed 2nd floor:existing proposed Total new Zoning District Flood Plain Groundwater Overlay .ProjectYValuation 000 Construction Type Lot Size Grandfathered: ❑Yes ❑No If yes, attach supporting documentation. Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family(#units) Age of Existing Structure Historic House: ❑Yes ❑No On Old King's Highway: ❑Yes ❑No Basement Type: ❑ Full ❑Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full:existing new Half:existing new Number of Bedrooms: existing 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/co a stove: :3 Yes ❑No Detached garage:❑existing ❑new size Pool:❑existing ❑new size Barn:❑ "'sting ❑mow size Attached garage:❑existing ❑new size Shed:❑existing ❑new size Other: Zoning Board of Appeals Authorization '❑ Appeal# Recorded❑ u, Commercial ❑Yes ❑No If yes, site plan review# - Current Use Pr z Use BUILDER INFO-*kMATION Name r�"Tel ph one-Numbers` 5 08- 9 S 32,A Address License# Home Improvement Contractor# Worker's Compensation# ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO S�IGNATU E- I DATE -0 7 3' 3 FOR OFFICIAL USE ONLY PERMIT 1 0. DATE ISSUED V -MAP/PARCEL NO. ADDRESS VILLAGE ' f OWNER r t DATE OF INSPECTION: FOUNDATION FRAME INSULATION ' t FIREPLACE r ELECTRICAL: ROUGH FINAL t S. PLUMBING: ROUGH FINAL GAS: ROUGH FINAL � f FINAL BUILDING i DATE CLOSED OUT r ASSOCIATION PLAN NO. °FINEr Town of Barnstable regulatory Services * BARNST"BM ' Thomas F.Geiler Director M� $ . fp;9. Building Division Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 Office: 509-862-4038 Fax; 508-790-6230 Permit no. Date AFFIDAVIT HOME IMPROVEMENT CONTRACTOR LAW SUPPLEMENT TO PERMIT APPLICATION MGL c. 142A requires that the"reconstruction,alterations,renovation,repair,modernization, conversion, improvement,removal,demolition,or construction of an addition to any pre-existing owner-occupied building containing at least one but not more than four dwelling units or to structures which are adjacent to such residence or building be done by registered contractors,with certain exceptions,,along with other requirements. ' ----- -- i / GT-ype`of Woik: .I t- a (A �)d0� Estimated Cost 0 4 d ,Address.of Work:—=6 5 a a .^ it, t I � �0wn_ees Names 2rt(� N a ii Lk r r,e, r yea�G�VrL�V�� Date-of Application— ZAv Registration is not required for the following reason(-) 7d QWork excluded by law ❑job Under$1,000 [7Building not owner-occupied VQ ner pulling-own-permit I Notice is hereby given that: OWNERS PULLING TIIEIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORD DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c.142A. SIGNED UNDER PENALTIES OF PERJURY I hereby apply for a permit as the agent of the owner: Date Contractor Name Registration No. J Date Q:forms:homeaffidav The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations d 600 Washington Street Boston,MA 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name(Business/Organization/Individual): Address 011 City/State/Zip: (" ��,�,` In._ {d'Jf� Phone.#:5�o?—97 5-32�Sc Are you an employer?Check the appropriate box: Type of project(required):. 1.❑ I am a employer with 4. 0 I am a general contractor and I employees(full and/or part-tim.e).* 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. [J—Demolition workingfor me in an capacity. employees and have workers' Y P h'• 9. ❑Building addition Z1workers' comp.insurance comp. insurance.# equired.] 5. We are a corporation and its 10.❑Electrical repairs or additions a homeowner doing all work officers have exercised their3. 11.❑ 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. 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 statemerit may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do here rtify 7der a pains and penalties of perjury•that the information provided above is true and correct Si afar Date: Phone ,: 3 Off1cial use only. Don write in this area,to be completed by city or town offecial. 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-contractor(s)name(s), address(es)and phone number(s) along with their certificate(s)of insurance. Limited Liability Companies'(LLC)or Limited Liability Partnerships(LLP)with no employees other than the members or partners, are not required to carry workers' compensation insurance. If an LLC or LLP does have employees, a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested,not the Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy,please call the Department at the number listed below. Self-insured companies should enter their self-insurance license number on the appropriate line. City or Town Officials Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permit/license number which will be used as a reference number. In addition,an applicant that must submit multiple 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 affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year.Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e. a dog license or permit to 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 1-8 77-MASSAFE Fax 4 617-727-7749 Revised 11-22-06 www.mass.gov/dia JA �i 1 it N o S �t� L Town of Barnstable Regulatory Services + BARNSPABLE, = Thomas F.Geiler,Director. MASS. 1639• �,+ Building Division lfp+gp2i Tom Perry,Building Commissioner 200 Main Street, Hyannis,NIA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 HOMEONVNER LICENSE EXEMPTION PIease Print DATE: J'r 23"0 l / JOB LOCATION: a c( l/'� 2V✓( (Q.- DignbeT street _ village Pvtd¢v s� ANn �rrl� �5"� �rs3o8— ��3 B'"HOMEO)AWER": m work phone CURRENT 1 SAILING ADD:7s:0 RbUx �J 6 C944 t�-V4l/-I 0- M 0Z63 2 city/towm 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 MlYMer acts as supervisor. DEFINITION OF HOMEOR'NER 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 w,ho 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 fern 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 requirement r, zture o omeo ,�r�) 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 proI�sions of this section(Section i 09.1.1 -Licensing.of construction Supervisors);proNrided that if the homeowmer engages a person(s)for hire to do such work,that such Homeowner.shall act as supervisor." Mary homeowners who use this exemption are unaware that they are assuming the responsibilities of a supervisor(see Appendix Q, Rules 8 Regulations for Licensing Construction-SupeMsors,Section 2.15) This lack of awareness often results in serious problems,pzrticulz-ly when the homeowner hires unlicensed persons. In this case,our Board cannot proceed against the unlicensed person as it would writh a licensed Supenvisor. Tne homeowner acting as Supervisor is ultiMltely responsible. To ensure that the homeowner is fully aware of his/her responsibilities,many communities require;as part of the permit application, that the homeowner certify that he/she understands the responsibilities of a Supervisor, On the last page of this issue is a form currently used by several towns. You may care t amend and adopt such a form/certification for use in your community. Q:`orms:homeexempt