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DATE 0,C-off,_K JOB LOCATION TD ItS=y C E� R V i fit_ F Number Street Address Section Of Town "HOMEOWNER" (Dr�_ N me Home Phone Work Phone ' PRESENT MAILING ADDRESS `� s� -D y1P� 1( t _Tkz-�c C �_ e r r C) 3a 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 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 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 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, 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 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 r HOME OWNER'S EXEMPTION 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 - Licensing of Construction Supervisors) ; provided that if' Home Owner engages a person(s) 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. Assessor's office(1st Floor):; Assessor's map and lot number I/ ` i / Pyo�THE To`` Conservation(4th Floor): Board of Health(3rd floor): • Sewage Permit number t DA817T►LtL y rua Engineering Department(3rd floor): ; �o t639. \�d° �o rrr a. House number Definitive Plan Approved by Planning Board 19, APPLICATIONS PROCESSED 8:30-9:36 A.M.and 1:00-2:00 P.M.only TOWN , OF BARNSTABLE BUIL IHG IN PECTOR APPLICATION FOR PERMITTO E lei/ -U N6 TYPE OF CONSTRUCTION S- � 19 TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location 5q bn F V F F P' i�_('iJ(l�l F 55 Proposed Use Zoning District n Fire District Name of Owner ` 1 i�nm S��-��r 1 ou-r—ffl u Address_c�2--;L (l, i f= �h� �t✓y t. Name of Builder Address Name of Architect Address Number of Rooms Foundation Exterior Roofing Floors Interior Heating Plumbing Fireplace Approximate Cost r/ oL , Area 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. Name 1► i �b r,-e_M Ls�y Construction Si ipervisor's License E MILLER, RICHARD J. & MARJORIE 'wM No 36�6 Permit For RESHINGLE ROOF Single Family Dwelling Location 228 Stoney Cliff Road Centerville Owner Richard J. & Maiorie Miller Type of Construction Frame I , Plot Lot 1 .r .Per'mit Granted October 29 , 19 9 3 Date of Inspection: Frame 19 Insulation 19 Fireplace 19: Date Completed 19' I � Y i i