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Home My WebLink About0069 SHEAFFER ROAD 4 ty A.. 41 } • z J4� TM:,kyC;'r+ygF Sr_'a sy,�-...�k� a,.yj��s y. .w e s�� e� ,a�. 1, .�•1 F a '1 5 [ a'i�` 4 .P - ' 0 y <. 4 Vy v , ' a ' r r . v 0 Town of Barnstable RECEIIPTE + SARNSYABL& MAC. �, .200 Main Street, Hyannis MA 02601 508-862-4038 a Application for Building Permit Application No: TB-17-4067 Date Recieved: 11/22/2017 Job Location: 69 SHEAFFER'ROAD, CENTERVILLE Permit For: Building-Insulation-Residential Contractor's Name: TODD LEDUC State Lic. No: CSSL-106019 Address: East Greenwich, RI 02818 Applicant Phone: (401) 965-8578 (Home)Owner's Name: CLEMENT,PHILIP JOHN&COURTNEY Phone: (774)392-0007 (Home)Owner's Address: 69 SHEAFFER ROAD, CENTERVILLE,MA 02632 Work Description: Air sealing and insulation of attic flat and basement sills. 1 i Total Value Of Work To Be Performed: $5,000.00 s-n 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: todd leduc 11/22/2017 (401)965-8578 Applicant Date Telephone No. Estimated Construction.Costs/Permit Fees Total Project Cost : $5,000.00 Date Paid Amount Paid i Check#or CC# Pay Type Total Permit Fee: $85.00 W 11/22/2017 $35.00 XXXX-XXXX-3}00{-; Credit Card 8065 Total Permit Fee Paid: $85.00 11/22/2017 - _$50.00 ;XXXX-XXXX XXXX Credit Card 8065 i TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel . Application # Q Health Division Date Issued Conservation Division Application Fe Planning Dept. Permit Fee, Date Definitive Plan Approved by Planning Board 07 I �lS�lo Historic - OKH Preservation/Hyannis Project Street Address \,o90.FE� Village e�- Vt1p— M'( Owner C �Ne Address \-" (0 0o&o a Telephone aw Permit Request�i3� e__ CO t� 0-a( w hCY�cc`5� tC9J�c�S �,e iYyJ.32__ [ e Lin �lC O l nC7 (l\'C`G Square feet: 1 st floor: existing . proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation bQ0 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 ® ZE Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing wood t al stove=]Y�❑ No i Detached garage: ❑existing ❑ new size_Pool: ❑ existing ❑ new size _ Barn: ❑�Q-6k ting LlWw Sze_ 0- Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: �v Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ o m Commercial ❑Yes ❑ No If yes, site plan review# Current Use Proposed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER)_ Name J\ Telephone Number Address License # mg Home Improvement Contractor# Worker's Compensation # V ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO OQS�/ I� SIGNATURE • . Cam. flUJW DATE i Q2 I CS+ l i FOR OFFICIAL USE ONLY APPLICATION# DATE ISSUED MAR/PARCEL NO. i , ADDRESS VILLAGE OWNER DATE OF INSPECTION: FOUNDATION 1L , FRAME ` INSULATION - FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS:� E: ROUGH ° ' Y FINAL -FINAL BUILDING DATE CLOSED OUT f x ASSOCIATION PLAN NO. Town of Barnstable �0 SHE r � y�P o Regulatory Services r BARNSTABLE,p Thomas F.Geiler,Director MASS. 0 q,A i6Sq. A�4 Building Division rep ' 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 -� Please Print DATE: qO r JOB LOCATION: 1r7� ` )�1PC �� P IC3Uk` number street village- "HOMEOWNER": name home phone# work phone# CURRENT MAILING ADDRESS: lDU\�] C� � e 0e-(V WL_ mr� . Oa(9_11)a` 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 writh said procedures and r ui(r'e�'m�'�e-,nts.ZA t ature of m wn eU 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 form/certification for use in your community. Q:forms:homeexempt I °fIHEr � Town of Barnstable Regulatory Services rsn MASSS. Thomas F. Geiler,Director Building Division Tom Perry,Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us f�`~ Office: 508-862-4038 Fax: 508-790-6230 1 Property Owner Muse Complete and Sign This Section i If Using A Builder I, , as Owner of the subject property hereby authorize to act on my behalf, in all matters relative to work auth d by his building permit application for: (Addres of Jo 7 Signature of Owner Dat Print Name If Property Owner is applying for permit.please complete the Homeowners License Exemption Form on the reverse side. Q:FORMS:O WNERPERM ISSION