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HomeMy WebLinkAbout0286 STONEY CLIFF ROAD r 4ocIna • f" It .: : '; .�. ,. �. - .,. : tl w t r t . r o _ , d x n o. Y, , Town of Barnstable *Permit#S&I 1 6 months from issue date Building Department Tee t Brian Florence,CBOKAM T ���" Building Commission.,;4. e11 M 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us 3 O 2017 Office: 508-862-4038 NOVItl Y g9 Fax: 508-790-6230 TOWN OE 8ARNS IABLE EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY Not Valid without Red X-Press Imprint Map/parcel Number 170/044 Property Address 286 Stoney Cliff Road, Centerville, MA 02632 g Residential Value of Work$ 16,500.00 Minimum fee of$35.00 for work under$6000.00 Owner's Name&Address Mary Coughlin 286 Stoney Cliff Road, Centerville, MA 02632 Contractor's Name Sprinkle Home Improvement Telephone Number 508-775-1778 Home Improvement Contractor License#(if applicable) 103757 Email: sprink&comcast.net Construction Supervisor's License#(if applicable) CS-006643 K?Workman's Compensation Insurance Check one: ❑ I am a sole proprietor ❑ I am the Homeowner E7 I have Worker's Compensation Insurance Insurance Company Name Ll I �1�-1uct-t .- Workman's Comp.Policy# W ccs©o S©k(,,-I L-k-7 A Copy of Insurance Compliance Certificate must accompany each permit. Permit Request(check box) ❑ Re-roof(hurricane nailed)(stripping old shingles) All construction debris will be taken to,� ❑Re-roof(hurricane nailed)(not stripping. Going over existing layers of roof) &? Re-side ❑ Replacement Windows/doors/sliders.U-Value (maximum.32)#of windows #of doors: *Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. ***Note: Property Owner ign Property Owner Letter of Permission. A e Improvement Contractors License&Construction Supervisors License is e SIGNATURE: C:\Users\decollik\AppData\Local\Microsoft\Windows\INetCache\Content.Outlook\9NNOKXYW\RESIDENTTLONLYEXPRESS.doe 09/26/17 ■A OMABIX 3 9. Town of Barnstable Building Department Brian Florence,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,(see attched)attched) ,as Owner of the subject property hereby authorize to act on my behalf, in all matters relative to work authorized by this building permit application for: (Address of Job) Signature of Owner Date Print Name If Property Owner is applying for permit,please complete the Homeowners License Exemption Form on the reverse side. C:\Users\decollik\AppData\Local\M icrosoft\W indows\INetCache\Content.Outlook\9NNOKXYWARESIDENTILONLYEXPRESS.doc 09/26/17 Qt .d` M w. { TO If con tract.calls � +}for siding and trim, or roofin • were items ban m on walls.until ob cor plet on. g, . recommend you rem a an Y y breakable, . NOT INCL.UDEDIN CONTI�G;�PRIG o Paintin or stainin around window.or door.o enin sMIN Removal of existing doors. and:windows:often reveals w n gathering, as:wellY asareas that may x or may not be previously stained or.panted: As noted,'Contraetor will. I painting or staining.these areas, notbe responsible for- o Ad*ustments or ReattachmPnr� . Contractor will not as res onsi P . bihty:for removal;,,re-attachments, :or.re positioning of drapery rods, window shades,blinds and/or.mini blinds,:and comes ponding hardware. RIGHTS TO.CANCEL: The Owner may cancel.this Agreement of it'has been si than.the address of the..Contractor, which may:be his main o Y geed b the:Qwner at a.place.other that the Owner notifies the Contractor in.wr .1 at-his` ffice or,branch thereof, provided: posted;.by tele g main office; or,branch liy ordin gram sent or'by delivery,;not later,than midnight of.the.third business:dayary mail: following the signing.of this Agre,ement: DO'NOT SIGN.THIS'coNT HOMEOWNER: RACT'IF THERE ARE A1vy BLANK SPACES I/we accept:this,contract in its.entitety.and UWe.authori act on.my behalf in all matters relative to.the work.to be performed onme Improvement to permits;applications etc:) 'if necessa this fob.(l:e. ry: . omeow Mary Coughlin Date Contractor Signature: 286 Stoney Cliff Road,:Centerville;MA 02632 Date Brad Sprinkle._ :Regist'anon # 103757 . 1 .r Construction Supervisor. Commonwealth of Massachusetts. Unrestricted-Buildings of any use group which contain Division of Professional Licensure less than 36,000 cubic feet(991 Cubic meters)of enclosed Board of Building Regulations and Standards space. ,! Consttn iSti9prvsor CS-006643 I-Apices: 10/08/2019 Z BRAD K SPRMIKLE '' , f + 199 BARNSTA,3U,ROL, HYANNIS M'A.02661 Failure to possess.a currant edition of the Massachusetts State Building Code Is cause for revocation of this license. For Information about this license Call(617)7273200 or visit www.mass.gov/dpi Commissioner Office of Consumer Affairs.and Business Regulation 10 Park.Plaza-_Suite 5.170 Boston,Massachusetts 02-116 Home Improvement Cq! rraactor Registration Registration: 103757 s Type: Private Corporation s - Expiration: 7=018. TcN.419291 SPRINKLE HOME IMPROVEMENT, Brad. Spdnkle 199 Bamstabte Rd. Hyannis, MA 02601 ;` Update Address and return card.Mark reason for cbsuge. h'Address �] Reamal [] Employment ".Lost.Card .SCA 1 Q 2OM-05111 ' '✓�C 1�IJI/)IIIJII/[X:II/I�.IJ��,5'/``(/:1NIC�lI.IC'�l� Office of Consumer Affairs&Business Regulation. . License or registration valid for individual use only OME IMPROVEMENT CONTfi/tCTOR before the expiration data return found rrn to: egbWatlon: 'f03767 Type: Office of Consumer Affairs and Business Regulation. WE-pM*n:. 7`102b18.. Private Corporation n10 Park Plana-Suite 3170 y rF:: Boston,MA 02116 SPRINKLE HOME IMPROVEMENT;INC. Brad Sprinkle y 199 Samstable Rd. Hyannis.MA 02601 Undersecretary j5RE6t-�� otvawtouts tune The Commonwealth of Massachusetts W Department of Industrial Accidents I Congress Street,Suite 100 Boston,MA 02114-2017 www mass.gov/dia Vt'orkers'Compensation Insurance Affidavit:Builders/Contractors/Electricians/Plumbers. TO BE FILED WITH THE PERMITTING AUTHORITY. Aaalicant Information Please Print Legibly Name(Business/Organization/Individual):.SPRINKLE HOME IMPROVEMENT, INC. Address: 199 Barnstable Rd. City/State/Zip: Hyannis, MA 02601 Phone#:508 775-1778 Are you an employer?Check the appropriate box: Type of project(required): IQ I am a employer with 10 employees(full and/or part-time).* 7. ❑New construction 2.❑I am a sole proprietor or partnership and have no employees working for me in 8, ❑Remodeling any capacity.[No workers'comp.insurance required.] 3.❑I am a homeowner doingall work myself t 9. ❑Demolition y [No workers'comp.insurance required.] 4.❑I am a homeowner and will be hiring contractors to conduct all work on my property. I will 10❑Building addition ensure that all contractors either have workers'compensation insurance or are sole 11.❑Electrical repairs or additions proprietors with no employees. 12.❑Plumbing repairs or additions 5.M 1 am a general contractor and I have hired the sub-contractors listed on the attached sheet. 13.❑Roof rep airs These sub-contractors have employees and have workers'comp.insurance.; 6.❑We are a corporation and its officers have exercised their right of exemption per MGL c. 14. a Other j\&k;X 152,§1(4),and we have no employees.[No workers'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. (Contractors 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: A.I.M.Mutual Policy#or Self-ins.Lic.#:WCC50050167472017A Expiration Date: 1/1/2018 Job Site Address: , l0 �J l�1Lv1 lit �d�,Fi� City/State/Zip:e"--k t,t� o ( 3 Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under MGL c. 152,§25A is a criminal violation punishable by 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.A copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify de a d enalties of perjury that the information provided above is true and correct. Signature: Date: l c � Phone#: 508 775-1778 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#: SPRIN-1 OP ID: DS ACORO" DATE(MWDDIYYYY) CERTIFICATE OF LIABILITY INSURANCE F07/11/2017 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: If the certificate holder is an ADDITIONAL INSURED,the policy(ies) must be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT Bryden&Sullivan Ins Agency NAME: Kelley A.Sullivan 88 Falmouth Road a/c°NN Ext:508-775-6060 ac No):608-790-1414 Hyannis,MA 02601 E-MAIL Kelley A.Sullivan ADDRESS: INSURERS AFFORDING COVERAGE NAIC# INSURERA:NGM Insurance Company 14788 INSURED Sprinkle Home Improvement Inc. INSURERB:Associated Employers Insurance 199 Barnstable Rd Hyannis,MA 02601 INSURERC: INSURER D: INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR ADDL SUBR I POLICY EFF POLICY EXP LTR TYPE OF INSURANCE INSD WVD POLICY NUMBER MM/DDIYYYY MM/DD/YYYY LIMITS A COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,00 AGE To RENTED CLAIMS-MADE T OCCUR MPT2640X 07/01/2017 07/01/2018 pREMSES Eaoccu an. $ 500,00 X Business Owners MED EXP(Any one person) $ 10,00 PERSONAL&ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,00 X POLICY❑PRO- JECT LOC PRODUCTS-COMP/OP AGG $ 2,000,000 OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident $ 1,000,000 A ANY AUTO M1T264OX 07/27/2017 07/27/2018 BODILY INJURY(Per person) $ ALL OWNED X SCHEDULED AUTOS AUTOS BODILY INJURY(Per accident) $ X HIRED AUTOS X NON-OWNED PROPERTY DAMAGE AUTOS Per accident $ r X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 1,000,00 A EXCESS LIAB CLAIMS-MADE CUT2640X 07/01/2017 07/01/2018 AGGREGATE $ 1,000,00 DED I X I RETENTION$ 10000 $ WORKERS COMPENSATION PER OTH- AND EMPLOYERS'LIABILITY Y/N STATUTE I ER B ANY OFFICER/MEMBER EXCLUDED PROPRIETOR/PARTNERIEXECUTIVE a N/A WCC50060167472017A 01/01/2017 01/01/2018 E.L.EACH ACCIDENT $ 500,00 (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ 500,00 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 500,00 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,maybe attached if more space is required) Certificate issued for insurance verification CERTIFICATE HOLDER CANCELLATION SPRNKHO SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Sprinkle Home Improvement,Inc ACCORDANCE WITH THE POLICY PROVISIONS. 199 Barnstable Rd. Hyannis,MA 02601 AUTHORIZED REPRESENTATIVE Kelley A.Sullivan ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD F Ass _Parcel y . Permit# 7 / Conservation Office(4th floor)(8:30-9:30/1:00- 2:00) ����p�a e Issued �" 9 ® Board of Health(3rd floor)(8:15 -9:30/1:00-4:45) o(,� Engineering Dept. (3rd floor) House# a 9>6 FJS EPT6O SYS� °UST BE WS ALLED 1ANCE c4® /Crhnnl A *rin. Bldg.) wl D1__fling and 19 ENVIROI\91V! , E X 1D V11) TOWN ul F 4�. A o TOWN OF BARNSTABLE Building Permit Application Project Str 4140 , Village Owner �._ Address Telephone Al L9 9 ' Permit Requests/� First Floor square feet Second Floor hh square feet Estimated Project Cost $ n 1 Zoning Districts Flood Plain Water Protection Lot Size Grandfathered ? Zoning Board of Appeals Authorization Recorded Current Use Proposed Use Construction Type Commercial Residential Dwelling Type: Single Family vl_� Two Family Multi-Family Age of Existing Structure : a5� Basement Type: Finished Historic House /`-1 a Unfinished Old King's Highway 0 Number of Baths No.of Bedrooms Total Room Count(not including baths) First Floor I . Heat Type and Fuel G_) Central Air Fireplaces Garage: Detached Other Detached Structures: Pool Attached Barn None. Sheds Other Builder Information Name 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 00DATE ` . S BUILDING PER DENIED F THE FOLLOWING REASON(S) , FOR OFFICIAL USE ONLY PERMIT NO. ~ DATE ISSUED MAP/PARCEL NO. , { ADRESS VILLAGE ._ OWNER . DATE OF INSPECTION: FOUNDATION y t FRAME: INSULATION ` FIREPLACE r ? ELECTRICAL,: ROUGH FINAL PLUMBING:. ' • �:ROUGH j FINAL GAS: _IROUG tH^ FINAL _ FINAL BUILDING DATE CLOSED:OUTD C. ASSOCIATION PLAN NO. { ` Tile Commonwealth of Atassachusew; R y i �'C.•J �'.� it7-- Dcpartnrcnt nfli'rdustrialAccidents r• . � _=�� Oflfceollm�estlgal/oas . 600 If i�sNq ton Sircct f; Boston,A1ass. 02111�- ►'1s-• �• Workers' Compensation Insurance.AMdavit — -- name �a'4:61 I ❑city tt" ' 1�� phone# I am a homeowner performing all work myself. ❑ 1 am a sole proprietor and have no one working in any capacity ❑ 1 am an employer providing workers' compensation for my employees working on this job. cemn�n}'name• -- address: - cih'• nhone#t . insurnnee co. # L.... �•�. *".rw�_•r..•w.rr ..�.wr«qJx�!!'++�l:. L•.... .... ....: a:._ ., ..... _ _ _ •e,. '.r._r. .i•:.....r� ... .��._ ❑ 1 am a sole proprietor,general contractor,or homeowner(circle one)and have hired the contractors listed below who have the following workers' compensation polices: somn•Jnv name• • address• citx. phone#! incurnnee en nelicv# •s...i-=r,-,.-•—,•.R-ns�+�• _ •TArloo�e7°�s••*}��%'!�:r,+�s��R°^�.T="'�AR43'�`�Y-"�"'� CemlLlly na1nC' • address city nhone#: in15urance co Atiachadditi6iial'sheetifnic .,` :-•f�- s.t'�s, '"p'rf.;"""'�`+`'.. '. r:+s,� failure to secure coverage as required under Section 25A of MGL 152 can lead to the imposition of criminal penalties of a fine up to SIJ00.00 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 apaiast me. l understand that a copy of this statement may be forwarded to the Office of investigations of the DIA for coverage verification. !do herebr if}•under dig pa' sand penalties o 'aq•that the injorntmion pJav►7ded a6ovr is true and correct Signature ` 1 ant name ✓Phone# official use only do not write in ibis area to be completed by city or town official city or town: permit/lleeose# M Building Department ` ptrcensing Board ' check if immediate response is required QSeleetmea's Oftice (3Ilealtb Department contact person• phone#; Mother Iremcd3.'9!PJA) .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 emplm►ee is defined as every person in the service of another under any contract 6r'hire.express or implied, oral or written. An empli{rer is defined as an individual, partnership,association. corporation or other :,gal entity, or any two or more a flit fort`01n 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 dweliing 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 emplover. 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 commonwealth 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 har been presented to the contracting authority. .1:i i�.ra tt•� :_ .y:., i�:�a1..; :wa Ny�Y t.::'Mr4ry:� :1;i��-n. . .a. 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 affrdavit. The affidavi t 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. �„„�, �yl„�„�„�Rn M«,.a.•stn! .. .:,:....._ .:a:, .r:b•.. City 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 permittlicense 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. The Office of Investigations would like to thank you in advance for you cooperation and should you have any questions, please do not hesitate to give us a call. tlwi ! �. _ �i ' r�.... i...... -iws�_...c'i.•«,1:if..e+- _ :'ri.,+ .. .,r�r..::i+►."+.�'��r�•%+ �. :�wwwwrs�l �,.r.W�... � ... � V..w •�„��....tw•. _ „ '�.:1'l.•• ::R.. .. .1 .n,iY � �.'.�..:. ..'1 yy..: 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 ,$ Department of Health Safety and Environmental Services Building Division 367 Main Street,Hyannis MA 02601 mph C== Office: 508-790-6227 Building Commie F= 508-775-3344 For office use only 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 pm-edsting owner 0°cupied building containing at least one but not more than four dwelling units or to S=cmres which are adjacent to such residence or building be done by registered contractors,with certain dons, along with other mquircruents- W �lii� - Est Cost rk: / s d7� Type of o ��i Address of Work: 6' - t?aner.Name• "`� Date of Permit lication: 5 2 I hereby certify that: Registration is not required for the following reason(s): _Work excluded by law ob under S1,000 Building not owner-occupied Owner pulling oven permit Notice is hereby green that: OWNERS PULLING THEiR OWN PERMIT OR DEALING VMHUNREGI CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK 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. OR ' 't, AA PAJ Datie V Owner's nalie • TOWN OF BARNSTABLE BUILDING DEPARTMENT HOMEOWNER LICENSE EXEMPTION Please print. DATE JOB. LOCATION Number tre % address Section of town "HOMEOWNER" i .-�� :. . . .. .. Name Home phone Work phone . . PRESENT MAILING ADDRESS 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 Officii on a form acCaptable to the Building Official, that he/she shall be responsib- for all such work performed under the building permit. (Section 109.1.1) The undersigned "homeowner" assumes _ responsibility for compliance with the Stz 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 and that he/she will comp y with said procedures and requirements. HOMEOWNER'S SIGNATURE AA ' 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) ; Home Owner engages a p provided that if 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 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. c WOOD CRAFT SHEDS STORAGE POOL GARDEN I a� 4 I ` i , I�' I STANDARD 6X8 $ 795.00 8X8 $ 895.00 8X10 $ 1100.00 SX12 $ 1250.00 1OX12 $ 1595.00 12X12 $ 1725.00 12X14 $ 2150.00 12X16 $ 2425.00 Other sizes available - call for prices. All WOOD CRAFT SHEDS are built on site. Our sheds have pressure treated and cement block foundation. We use full dimension premium quality pine. All nails and fasteners are galvanized for weather resistence. 48 inch door 6 ft high - Heavy duty hasp and hinges. Louvered vents, drip edge, stationary window, and shutters. Asphalt shingles choice of 3 colors -4 ft ramp. Custom options available, we can build your shed to suit your personal needs. NO HIDDEN EXTRAS all prices are complete and include DELIVERY AND INSTALLATION . CALL OUR DRISTRIBUTOR NEAREST YOU OR 1-SOO-450-9040 for information. SANDWICH AGWAY 1-508-888-0044 o vv C Fs= MW o z�32 J -7-71- 14199 -� fo � ' � •fir ♦ I �� rl ram• 1 � ��..��., rj . .I� ►, �� / �� � � Q • Jai' ! r e ►,, ,� 'r, 1 A� :! 1 -`tea � —•-� . . _ iy! r11 i�