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Geiler,Director iOtE�MAC� _ TOWN OF BARNSTABL5 Building Division Tom Perry, CBO, Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town-barnstable.ma.us Office: 508-862-403 8 Fax: 508-790-623 0 EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY Not Valid without Red X-Press Imprint Map/parcel Number S Z 00 Property Address 3 4�1V�00y- _ 1_ ❑ Residential Value of Work 2_0,oo o Minimum fee of$35.00 for work under$6000.00 Owner's Name&Address 61f _ak?�Plvler_Z y 061,Aj kwAo Contractor's Name Telephone Number Soe 37(p(d Home Improvement Contractor License#(if applicable) 11 L Construction Supervisor's License#(if applicable) 8 y ❑Workman's Compensation Insurance Ch i one: • ❑✓' I am a sole proprietor ❑ lam the Homeowner ❑ I have Worker's Compensation Insurance Insurance Company Name Workman's Comp, Policy# Copy of Insurance Compliance Certificate must accompany each permit. Permit Request(check box) ❑ Re-roof(stripping old shingles) All construction debris will be taken to M FU 0- ❑ Re-roof(not stripping. Going over existing layers of roof) Z Re-side #of doors [O Replacement Windows/doors/sliders. U-Value 36 (maximum .44)#of windows--�-6� *Where required: Issuance of this permit does not exempt compliance with other town department regulations Historic,Conservation,etc. ***Note: Property Owner must sign Property Owner Letter of Permission. A copy of the Home Improvement Contractors License& Construction Supervisors License is rou e . IGNATURE: IWPFILESTORMSIbuildi g rmit forms\EXPRESS.doc :vised 070110 f y� �IHE Town of Barnstable 1 g Regulatory Services a�wsT,��, • MASS Thomas F. Geiler,Director s639 �� EDIy►e'�� Building Division Tom Perry,Building Commissioner 200 Main Street,Hyannis,NU 02601 www.town.barnstable.ma.us Office: 508-862-403 8 Fax: 508-790-623 0 Property Owner Must Complete and Sign This Section If Using A Builder Ow ner wner of the subject to e _ l P .p n-Y hereby authorize w^ to act on my behalf, in all'tnattets relative to work authorized by this building pertnit 28l 40rba! (Address of Job) **Pool fences and alarms are the responsibility of the applicant. Pools are not to be filled before fence is installed and pools are not to be utilized until all final inspections are performed and accepted. e Si tun O et *ntS' of Print NaAe Print Name Gl 7�,p Dat Q:FORM&O WNERPERMS SIONPOOLS THE T Town of Barnstable Regulatory Services BARNUM LE, = Thomas F.Geiler,Director � Mnss. Building Division 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: JOB LOCATION: number street village "HOMEOWNER": name home hone# P work phone# CURRENT 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 homeowners to engage an individual for hire who does not possess�a li,ens6,:.pi6yided 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,Qfficial o'a form acceptable tt�'the'Bu> ding 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. 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. - t HOMEOWNER'S EXEMPTION The Code states that: ':Any'�iorrteo�vner.,.pefforrittng 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' _,i 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