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VNI , Town of BarnstableBuilding
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- PostThis Card ?, that rtis£Uis�bferFrom thej5treet Approved Plans Must be=Retain don Job;and.this;Card Must be�Ke t
Posted li�ntil inallnspection Has Been Made: � ' ���� , � _ � �Z
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i R Wher a.Cert�ficate of�Occu an is'.Re� erred,such Bu�ld�n shall Not kie O,ccu red until anal Ins ect on has been-mane : Permit
Permit NO. B-17-957 Applicant Name: Craig Bishop _ Approvals
Date Issued: 04/07/2017 Current Use: Structure
Permit Type: Building-Insulation-Residential Expiration Date: 10/07/2017 Foundation:
Location: 115 COMMERCE ROAD,BARNSTABLE Map/Lot 318-017 Zoning District: RF-1 Sheathing:
Owner on Record: KORKUCH,WILLIAM&TESS T Y Contracto�FName Craig Bishop Framing: 1
Address: 115 COMMERCE ROAD Contractoe icense CS-109777 2
BARNSTABLE,MA 02630 r, _ t tproJect Cost: $3,656.00 Chimney:
Description: Weatherization&Air Sealing
" Permit-Fee:. $85.00 Insulation:
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Project Review Req: Weatherization&Air Sealing E Fee Paid; $85.00
Final:
Date 4/7/2017
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Plumbing/Gas
_. o um Rough Plumbing:
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._ =Building Official Final Plumbing:.
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This permit shall be deemed abandoned and invalid unless the work authorized by this permit is commenced within spc°months after issuance.
All work authorized by this permit shall conform to the approved application and the approved construction documents for whith iccfi is permit has been granted.All Gas:
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All construction,alterations and changes of use of any building and structuresshall be in compliance with the local zonngg`by laws and codes. Final Gas:
This permit shall be displayed in a location clearly visible from access st eet,O road nd shall be maintained open fo puiilic inspection for the entire duration of the
work until the completion of the same.
p = Electrical
The Certificate of Occupancy will not be issued until all applicable signatures,by the Bui dinng�and Fire�urTicials�are prpvide�d n thts permit. Service:
Minimum of Five Call Inspections Required for All Construction Work
1.Foundation or Footing Rough:
2.Sheathing Inspection _,
3.All Fireplaces must be inspected at the throat level before firest flue lining is installed Final:
4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection
5.Prior to Covering Structural Members(Frame Inspection) Low Voltage Rough:
6.Insulation
7.Final Inspection before Occupancy Low Voltage Final:
Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Health
Work shall not proceed until the Inspector has approved the various stages of construction. Final:
"Persons contracting with unregistered contractors do not have access to the guaranty fund (as set forth in MGL c.142A). Fire Department
Building plans are to be available on site Final:
All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT
I r.
Town of Barnstable
` ASS, 200 Main Street, Hyannis MA 02601 508-862-4038
Application for Building Permit
Application No: TB-17-957 Date Recieved: 4/6/2017
Job Location: 115 COMMERCE ROAD,BARNSTABLE
Permit For: Building-Insulation-Residential
Contractor's Name: Craig Bishop State Lic. No: CS-109777
Address: Sandwich, MA 02563 Applicant Phone: (774)205-2001
(Home)Owner's Name: KORKUCH,WILLIAM&TESS T Phone: (508)566-3285
(Home)Owner's Address: 115 COMMERCE ROAD, BARNSTABLE,MA 02630
Work Description: Weatherization&Air Sealing
Total Value Of Work To Be Performed: $3,656.00
Structure Size: 0.00 0.00 �`, 0.00 —
Width Depth `a Total Area
I hereby swear and attest that I will require proof of workers'compensation insurance for every contractor,subcontractor,or othe worke'rm-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 covera1Z 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 HI's•mtent 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 propertyowneF%d 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: Craig Bishop 4/6/2017 (774)205-2001
Applicant Date Telephone No.
Estimated Construction Costs/Permit Fees
Total Project Cost : $3,656.00 Date Paid Amount Paid Check#or CC# Pay Type
Total Permit Fee: $85.00 4/6/2017 $85.00 XXXX-XXXX-XXXX- Credit Card
3464
.............................................................................................................................................................................................................................:..........................................................................
Total Permit Fee Paid: $85.00
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Town of Barnstable
P�pF YHE Tp�� '
Regulatory Services
Thomas F. Geiler,Directors, t NP,
+ 3ArNFrA13M • 16'* 1
MASS.1639. Building Division
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D Tom Perry,Building Commi'sS; ngyy $ 03
200 Main Street, Hyannis,MA 02601
www.town.barnstable.ma.us
..M....,�...----• Sit/l�
Office: 508-862-403 8 Fax: 508-790-623(
PERMIT# FEE: >$ _
SHED REGISTRATION
120 square feet or less
l 5 SL b�O
Location of shed(address) Village
Alm ko4 Kuc+1 56�
Property owner's name Telephone number
Size of Shed Map/Parcel#
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Signature Date
Hyannis Main Street Waterfront Historic District? � //4
Old Kin 's Highway Historic District Commission jurisdiction?
�V'YL► �...�
Conservation-C�ommis sio on-(sign isrrequlred)
Sign=off hours for-Con`sei-vation 8:00=9:30&3 30~=4.-
PLEASE NOTE: IF YOU ARE WITHIN THE JURISDICTION OF ANY OF THE ABOVE
COMMISSIONS,THERE MAY BE A REVIEW PROCESS AND APPLICATION FEE.
PLEASE SEE THE APPROPRIATE COMMISSION FOR DETAILS.
THIS FORM MUST BE ACCOMPANIED BY A
PLOT PLAN
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oF114E ram, Town of Barnstable *Permit#
Expires-6 months from issue date
Regulatory Services Fee
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sexrtsTaBIX + Thomas F.Geiler,Director y�y �$
��b,, ,.•� Building Division -P R I
rfD MA't
Tom Perry,CBO, Building Commissioner
260 Main Street,Hyannis,MA 02601 APR, 2 2 2008
www.town.b arnstab le,ma.us
Office: 508-862-4038 TOWN OF BARNST9� 8-790-6230
EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY
Not valid without Red X-Press Imprint
Map/parcel Number 00
Property Address_ �] t"� C o*vt W Q_-r( e-. �oGc� �,,,t,,,s }u V} 6
residential Value of Work\j l t obb, t)U Minimum fee of$25.00 for work under$6000.00
Owner's Name&Address ii
4t 6A >M Zr1 o 2.6 3v
Contractor's Name Telephone Number 06
Home Improvement Contractor License#(if applicable)
❑Workman's Compensation Insurance
Check one:
❑ I am a sole proprietor
®'I am the Homeowner
❑ I have Worker's Compensation Insurance
Insurance Company Name
Workman's Comp.Policy#
Copy of Insurance Compliance Certificate must be on file.
Permit 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)
❑ Re-side
[Replacement Windows/doors/sliders. U-Va]J,� �!:�n,-aximum .44)
*Where required: Issuance o;this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc.
***Note: Property Owner must sign Property Owner Letter of Permission.
A copy of the Home Improvement Contractors License is required.
SIGNATURE:
Q:Forms:bu ild i ngpermits/express
Revisel 12807
Town of Barnstable
Regulatory Services j
snxtasrABL& Thomas F.Geiler,Director
� MASS.16 ,�� Building Division
ArED N1p'I A
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
1 Please Print
DATE: � I Z Z L
JOB LOCATION: 115- CQ7 V-0 men U K 00 F�_o V ks.
number street village
"HOMEOWNER': FG—SS kuC,1, a*-3(,a-d loo Soe 566 3.457
name // home phone# work phone#
CURRENT MAILING ADDRESS: 5 (moo l/VI Vv ak U I2UGt d
actvVIS-ALQ lryr 1t 026 3d
city/town state zip code
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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 with said procedures and
requirements.
—Le
Signature of Homeowner
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:\WPFILES\FORMS\homeexempt.DOC
I
Town of Barnstable
r r
� sARN3fABLE. i
Regulatory Services
i6gq. ♦0
ArE p `'t a Thomas F.Geiler..Director
Building Division
Thomas Perry,CBO
Building Commissioner
200 Main Street, Hyannis,MA 0A01
www.town.barnstable.ma.0 s
Office: 508-862-4038 Fax: 508-790-6230
Property r Must
Complete and Sig This Section
If Using uilder 7
I, Owner of the subject property
hereby authorize X to act on my behalf,
in all matters relative to work authorized by this g permit application for.
(Address of oV) ,
Signature of Owner Date `
4 �
Print Name
1.
Q:\WPHLESTORMS\building permi/sEXPRESS.doe
Revise020108
t�
Town of Barnstable *Permit#
Expires 6 months from.issue date
Regulatory Services Fee >1
Thomas F.Geiler,Director Building DIVI$1011 Q-1 0
1
Tom Perry,CBO, Building Commissioner
200 Main Street,Hyannis,MA 02601
www.town.bamstable.ma.us
Office: 508-862-4038
Fax: 508-790-6230
EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY
Not Valid without Red X-Press imprint
Map/parcel Number
Property Address__ills CECJ ✓� _ C � 5 ��� n
�esidential Value of Work � c�c�• d� Minimum fee of$25.00 for work under$6000.00
Owner's Name&Address
Contractor's Name f C � k S� Telephone Number�0,�
Co
_ -�--=
Home Improvement Contractor License#(if applicable)
Construction Supervisor's License#(if applicable) ®
ESS
❑Worlanan's Compensation Insurance p� PERMIT
Check one, MAY 2 5 2007
❑ a sole proprietor
I am the Homeowner TOM OF BARNSTABLE
❑ I have Worker's Compensation Insurance ✓
Insurance Company Name C2 fr,
W orkman's Comp.Policy# WC o
Copy of Insurance Compliance Certificate must be on file.
Permit Request eck box) i� f
All construction debris will be taken to Id fA � v
1�Re-roof(stripping old shingles)
❑Re-roof(not stripping. Going over existing layers of roof)
❑ Re-side
❑ Replacement Windows/doors/sliders. U-Value (maximum.44) fci }
.r!3
*Where required: issuance of this permit does not exempt compliance•with other town department regu a o ,':e'is ,.Conservation,etc.
***Note: Property Owner must sign Property Owner Letter of Permission.
A copy of e Ham Impr ment Contractors LicefiCig&4iWed..C2 VW 007
SIGNATURE: - ...`' °cl :_ s
Q:Forms:expmtrg
Revise061306
L
°f,HE, y Town of Barnstable.
Regulatory Services
9B MASS. Thomas F.Geiler,Director
�'AIfDMP�A10 Building Division
Tom Perry, Building Commissioner
200 Main Street, Hyannis,NIA 02601
www.town.barnstable.ma.us
Office: 508-862-403 8 Fax: 50.8-790-6230
Property Owner Must
Complete and Sign This Section
If Using A Builder
Owner of the subject property
hereby authorize to act on my behalf,
in all matters relative to work authorized bythis building permit application for; .
(Address of Job)
S' attire o Own D
not ame
Q:FO RAMS:OwNERPERMIS S ION