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C44*
I
OF ZHE Tp�
ti Town of Barnstable *
a
in Department-200 Main Street• �xrvsrws�. Building p �
MASS O� .rw
.639. `0� Hyannis, MA 02601 `.
�'A40MOt' Tel (508) 862-4038 �.
Certificate Of Occupancy
Permit Number: B-19-3417 CO Issue Date: 10/18/2019
Parcel ID: 274-018 Zoning Classification: SPLIT
Location: 1336 PHINNEY'S LANE, BARNSTABLE Proposed Use:
Name of Tenant: Sprinklers Provided:
Gen Contractor:
Permit Type: Commercial - Business
Type of Construction:
Design Occupant Load: 0
Comments: Tenant Fit Out for Pawsitive Provisions Expansion.
Building Official Date:
A Certificate of Occupancy is Required Prior to Occupying Space
Building Code: 780 CMR 8th Edition '
Town of Barnstable . • •
Post This Card So That it is Visible From the,Street Approved Plans Must be'Retained on Job and this Card Must be Kept
v a `mot Posted Until'Final Insp,ection Has Been Made. ' ,
rru n Where a Certificate of Occu anc ;is Required, such Bu,Idm shall Not be Occu ied Until,a Final Inspection has been made Permit
Permit No. B-19-3417 Applicant Name: Approvals
Date Issued: 10/11/2019 Current Use: Structure
Permit Type: Building-Alteration INTERIOR Work Only- Expiration Date: 04/11/2020 Foundation:
Commercial Map/Lot: 274-018 Zoning District: SPLIT Sheathing:
Location: 1336 PHINNEY'S LANE,BARNSTABLE
Contractor Name: Framing: 1
Owner on Record: GOODWIN,JAMES B TR Contractor License: 2
Address: PO BOX 977 Est. Project Cost: $0.00
Chimney:
HYANNIS, MA 02601 Permit Fee: $ 175.00
Description: Paint,Cleaning, changed out damaged VCT Tile. Expanding into Fee Paid:; $ 175.00 Insulation:
adjoining Unit/No Construction,Opening Existing Door (Posistive / /S/C���k�L
Provision tenant) Date 10 11/2019 Final: 6D l ( ���9�
Project Review Req: f ` Plumbing/Gas
Rough Plumbing:
Building Official
This permit shall be deemed abandoned and invalid unless the work authorized by this permit is commenced within six months after issuance. Final Plumbing:
document3 for which this permit has been ranted.
h rued bythis permit shall conform to the approved application andthe:a roved constructiong
All work aut o PP PP PPRough Gas:
All construction,alterations and changes of use of any building and structures shallbe in compliance with the local zoning by laws and codes.
This permit shall be displayed in a location clearly visible from access street or road and shall be maintained open for public inspection for the entire duration of the Final Gas:
work until the completion of the same.
The Certificate of Occupancy will not be issued until all applicable si natures the Bu ldin andFire Officials are rovided on this permit. Electrical
P Y PP g by �g P
Minimum of Five Call Inspections Required for All Construction Work:' Service:
1.Foundation or Footing =,
2.Sheathing Inspection Rough:
3.All Fireplaces must be inspected at the throat level before firest flue lmi'ng isinstalled— `"
4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection Final:
5.Prior to Covering Structural Members(Frame Inspection)
6.Insulation Low Voltage Rough:
7.Final Inspection before Occupancy
Low Voltage Final:
Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations.
Work shall not proceed until the Inspector has approved the various stages of construction. Health
"Persons contracting with unregistered contractors do not have access to the guaranty fund" (as set forth in MGL c.142A). Final:
Building plans are to be available on site
Fire Department
All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT Final:
r
•
VIE
it,
+>>T,.7z'' � Application Number
2)— 161 34/ /---
MA88. Permit Fee Other Fee
MA'S D a:, a � `Illve_
Total Fee Paid Ili / 07)
T 1 o V I cal O
TOWN OF BARNSTABLE Permit Approval by On Jd 1 i 1 i y
BUILDING PERMIT0 Map a .Pal I
APPLICATION
Section 1 — Owner's Information and Project Location •
r
Project Address Village ari01)3
Owners Name kW Wale/P_Q3 -T
Owners Legal Address A ISac 7
City vnn(s State 111YJ Zip
�C�`77
a
Owners Cell# 03 E-mail
Section 2 —Use of Structure
Use Group ❑ Commercial Structure over 35000 cubic fees,;;
❑ Commercial Structure under 3.5,000 cubic feet'.
' t ill
❑ Single/Two Family Dwelling
Section 3 —Type of Permit
❑ New Construction ❑ Move/Relocate ❑ Accessory Structure a'Change of use
❑ Demo/(entire structure) ❑ Finish Basement ❑ Family/Amnesty ❑ Fire Alarm
Rebuild 0 Deck Apartment ❑ Sprinkler System
❑ Addition ❑ Retaining wall ❑ Solar
❑ Renovation 0 Pool ❑ Insulation
Other—Specify
Section 4 - W W. Description
fa/1(01 CAlig COngai I at Lcrilli
4 0 1,1U \q,i0 oI n f— r-caYL7di&J(
6 0'111)5 QZIY (MT
Application Number
•
Section 5—Detail
Cost of Proposed Construction SLOCb4.00 Square Footage of Project 11(Izs, j''
Age of Structure Dig Safe Number
#Of Bedrooms Existing Total#Of Bedrooms(proposed)
110 MPH Wind Zone Compliance Method ❑ MA Checklist ❑ WFCM Checklist ❑ Design
Section 6—Project Specifics
❑ Wiring ❑ Oil Tank Storage ❑ Smoke Detectors
❑ Plumbing ❑ Gas ❑ Fire Suppression
0 Heating System ❑ Masonry Chimney ❑Add/relocate bedroom
Water Supply 0 Public ❑ Private
Sewage Disposal ❑ Municipal 0 On Site
Historic District ❑ Hyannis Historic District ❑ Old Kings Highway
Debris Disposal Facility: I am using a crane 0 Yes 0 No
Section 7—Flood Zone
Flood Zone Designation
Within or adjacent to a wetland,coastal bank? Yes ❑ No El
Section S—Zoning Information
Zoning District Proposed Use Lot Area Sq. Ft.
Total Frontage Percentage of Lot Coverage #of Dwelling Units(on site)
Setbacks Front Yard Required Proposed
Rear Yard Required Proposed
Side Yard Required Proposed
Has this property had relief from the Zoning Board in the past? ❑ Yes ❑ No
act i,ntistPtr• >>nSn_niR
Application Number
Section 9- Construction Supervisor
Name Telephone Number
Address • City State Zip
License Number License Type Expiration Date
•
Contractors F.mail Cell #
I understand my responsibilities under the rules and regulations for Licensed Construction Supervisor in accordance with 780
CMR the Massachusetts State Building Code. I understand the construction inspection procedures,specific inspections and
documentation required by 780 CMR and the Town of Barnstable.Attach a copy of your license.
Signature Date
Section 10—Home Improvement Contractor
Name Telephone Number
Address City State Zip
Registration Number Expiration Date
I understand my responsibilities under the rules and regulations for Home Improvement Contractors in accordance with 780
CMR the Massachusetts State Building Code. I understand the construction inspection procedures,specific inspections and
documentation required by 780 CMR and the Town of Barnstable.Attach a copy of your H.I.C...
Signature Date
Section 11 —Home Owners License Exemption
Home Owners Name:
Telephone Number Cell or Work Number
I understand my responsibilities under the rules and regulations for Licensed Construction Supervisor in accordance with 780
CMR the Massachusetts State Building Code. I understand the construction inspection procedures,specific inspections and
documentation required by 780 CMR and the Town of Barnstable.
Signature •
Date
APPLICANTS NA
Signature ? l/i�
J � Date
Print Name I jeapink Telephone Number____
�� giioi1 E-mail permit to: Oa � � d a�,
Section 12 —Department Sign-Offs
Health Department ❑ Zoning Board(if required) 0
Historic District ❑ Site Plan Review(if required) 0
Fire Department ❑
Conservation 0
For commercial work,please take your plans directly to the fire department for approval.
Section 13— Owner's Authorization
I, 'A' 262 EttOCIO* , 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
T w,a • >>n'nmx
•
Nicole Mapa September 12, 2019
Pawsitive Provisions LTD.
P.O. Box 859
Hyannisport, MA 02647
Dear Nicole,
This letter is to document my authorization as landlord and Trustee of Hot Water Realty Trust III of the
change of use to retail for unit 1-1 1336 Phinneys Lane in Hyannis MA 02601.
cerely,
ames Goodwin
Trustee of the
Hotwater Realty Trust III
Town of Barnstable
�F1HE t�, Building Department Services
Brian Florence,CBOA�
• `� •d Building Commissioner BARNSTABI B RARNBTARLE,
�6 9 ��f 200 Main Street, Hyannis,MA 02601 { u
t639-xoia
440 MOe� www.town.barnstable.ma.us
Office: 508-862-4038 Fax: 508-790-6230
August 14, 2019
Nicole Mapa
Pawsitive Provisions
1336 Phinney's Lane
Unit 1-1
Hyannis, MA 02601
RE: Site Plan Review#050-19 Expansion of existing retail use into a separate unit
1336 Phinney's Lane,Hyannis Map 274, Parcel 018
Proposal: Applicant is seeking to expand her existing business (Unit 1-2) into Unit 1-1, This is a
multi-unit building with the benefit of Special Permit No. 1985-76. Previous use was
office. Applicant has 6 dedicated parking spaces with many other spaces available if
needed.
Dear Ms. Mapa:
At the informal site plan review meeting held August 13,2019,the above proposal was found to
be approvable by the Site Plan Review Committee with the following condition:
• Applicant will need a tenant fit out building permit.Plans for the tenant fit-out will
need to be designed by a MA registered design professional (architect or engineer)
and submitted with the Building Permit application.
Sincerely,
ayyyyyyy��
Brian Florence
Building Commissioner.
CC: Site Plan Review Staff
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EXIT SIGN.SHADED REGION INDICATES FACE
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, ; TOWN OF BARNSTABLE .
it M PERMIT CHECKLIST
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Sign off hours for Health and Conservation are 8-9:30 a.m. and 3:30-4:30 p.m.
A come`application includes filling all teens 1-13
1. NEW STRUCTURES/REMODELING/RENOVATION/ADDITIONS
❑ Site Plan showing setbacks of proposed and existing structures
0 Commercial-One complete set of full sized plans one reduced 11"x17"(plans may require a stamp by
an architect or engineer).
❑Residential- 5 Sets of floor plans no larger than 11"x 1 T'smoke/co detectors marked
❑ Worker's Comp.Affidavit and policy(if required)
❑ Res Check or COM check from the 2015 International Energy Cod Council(IECC)
Letter of financial Interest for new houses only(not required for rebuild after teardown)
0 Performance bond made out for$4.00/foot of road frontage(new
construction only)
2. DEMOLTION OF A BUILDING (NOT PARITIAL)
❑ Everything above plus shut off letters from following utility companies:
El Gas
❑ Electrical ✓
❑ Water
❑ Sewer(if required)
L3. DECKS/PORCH ES/GAZEEBOS/I NSULATION/SOLAR/POOLS/SHEDS
❑ Site Plan showing proposed location
❑ Construction plans showing framing detail(if new framing),
❑ Pools-Barrier details,pool specs(engineers design)
❑ Workman's Comp Affidavit and policy(if required)
FAMILY APARTMENTS
❑ Section 1 Plus:
❑Family Apartments are subject to approval from the Building Commissioner. Agreement must be signed,
notarized and recorded at the Registry of Deeds and returned to the Building Department.
Town of Barnstable
Building '-
:i - Pcist This Card So That it is Visible Fro the Street :ApprovedyPlans Must be Retained onlpb an t isx^'"Gard Must be Kept �r,.>
BARNAB �' c . m �
tbs MASS' `$ Posted Until Final:Inspection°Has BeeniMade 4-- = Z''' ' e ' ;Y � " ' •i, d ' ."-, y�
Perm
e" LSWhere a Certificate of Occupancy is Required,such,BuildmgShall Not be Occupied;until a Finalanspection,lias been made7._
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Permit No. B-16-3243 Applicant Name: ANDERSON,WILLIAM E&AUDREY P TRS Approvals
Date Issued: 11/10/2016 Current Use: Structure
Permit Type: Building-Sign Expiration Date: 05/10/2017 Foundation:
Location: 1336 PHINNEY'S LANE, BARNSTABLE Map/Lot: 274-018 Zoning District: SPLIT Sheathing:
Owner on Record: ANDERSON,WILLIAM E&AUDREY P TRS ?; -F-"Contractor Name: Framing: 1
Address:
23 ELLIOTT STREET , t , Contractor License 2
CENTERVILLE, MA 02632 µp n Est Project Cost: $0.00 Chimney:
Description: 8 square foot sign for PAWSITIVE PROVISIONS i Permit.Fee: $50.00
4'
Project Review Req: 8 square foot sign for PAWSITIVE PROVISIONS Insulation:
1, i Fee $50.00
1 , '' at 1/ /2016 Final:
Plumbing/Gas
[ ' :' - - ",.... - 7,', , ' .-. Build' Official
r -,, ', Rough Plumbing:
This permit shall be deemed abandoned and invalid unless the work authorized by this permitis commenced within six months after issuance. Final Plumbing:
All work authorized by this permit shall conform to the approved application and the approved construction documents for,whictithis permit has been granted.
All construction,alterations and changes of use of any building and structures shall be in compliance with the local zoning by-laws and codes. Rough Gas:
This permit shall be displayed in a location clearly visible from access street or road and shall be maintained open for public inspection for the entire duration of the
work until the completion of the same. ( Final Gas:
The Certificate of Occupancy will not be issued until all applicable signatures by the Building and Fire Officials are provided on this permit. Electrical
Minimum of Five Call Inspections Required for All Construction Work:
1.Foundation or Footing . Service:
2.Sheathing Inspection
3.All Fireplaces must be inspected at the throat level before firest flue lining is installedM Rough:
4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection
5.Prior to Covering Structural Members(Frame Inspection) Final:
6.Insulation
7.Final Inspection before Occupancy Low Voltage Rough:
Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Low Voltage Final:
Work shall not proceed until the Inspector has approved the various stages of construction. Health
"Persons contracting with unregistered contractors do not have access to the guaranty fund" (as set forth in MGL c.142A). . Final:
Building plans are to be available on site . Fire Department
All Permit Cards are the property of the APPLICANT-ISSUED.RECIPIENT
Final:
v �•. Town of Barnstable
/
Regulatory Services
`'E' ` Richard V. Scali,Interim::ect01.
1639.
;psk�� Building �`'i
L
Tom Perry, Building Commissioner ®/N0
200 Main Street, Hyannis, MA 02601 j, ''�®j/® C�'�
www.town.barnstable.ma.us ®�/V0F 4?8,
Office: 508-862-4038 /�'
Fax: 47.6 -6'230
Permit# 6..,kfii--gi�
Building Official approving
Application for Sign Permit
Applicant: 1 l at_ nagov Assessors Nop�'"'�_.4Ej g'
Doing Business As: __
-1ASAIVe_ 1 V Ydd ____Telephone N G3a
Sign Location ] � 1' /' _ ��f� /�i� �,• �3
Street/Road• 1f l,v - - - Lana 41.1 fli f ► 1 tt l.�`.
Zoning Distric 4. _ Old Kings Highway? Yes allHyannis Historic District? ell
.
Property I
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pL:aittita_
Name:____ �)�,
Telephone73:142,
Address:__ Sst rr d
Stcotractorn ( Telephone -e: I
1 Mailing Address:___ fioannEcsrviig-
1 Descrip on
Please follow the cover directions.You must have an accurate rendition of sign with dimensions and
location.
Is the sign to be electrified? Ye• . (Note:If yes, a wiring permit is required)
Width of building face _`_ft. x 10=-- _x .10= —_
Check one Reface existing sign ,or Newt_Total Sq. Ft. of proposed sign (s) _____ _
If you have additional signs please attach a sheet listing each one with dimensions
If refacing an existing sign please provide a picture of the existing sign with dimensions.
I hereby certify that I am the owner or that I have the authority of the owner to make this application,
that the information is correct and that the use and construction shall conform to the provisions of
§240-59 through §240-89 of the Town of Barnstable Zonin Ordinance.
JO42J
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Signature of Owner/Authorized Ag Date (I
SIGNS/SIGNREQU PauishVe PYOIJL 1 0413
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Town of Barnstable
e -
Building
,
' �, y ,�.. _sft Tfihrrs.CardoTaLi� U� s F� the re t-Appo�;1- aniis.', �e o�9:pi a
e�,d tt�.s pCax�dMeus t beK�e�p t • !iii t Post.,, ,: �. �` `. t�..,. � 1 � �tz �� ��k �� ,t, , �,� z �� ��� �.� x�,: �,SAL. e ted Untr in InspctionHas�BenMade z . tb .OdunaFrnan toIt' beenmd ,.' Permit: : R WheeaCeriaeof41 an rsRe uredscBuidin sall.Noe re iae Permit No. B-16-3214 Applicant Name: Nicole Mapa Approvals
Date Issued: 11/04/2016 Current Use: Structure
Permit Type: Building-Precode-Certificate of Occupancy-No Expiration Date: 05/04/2017 Foundation:
Construction Map/Lot 274 018 Zoning District: SPLIT Sheathing:
e
Location: 1336 PHINNEY'S LANE,BARNSTABLE �VIVIC�
Contractor Name Framing: 1
Owner on Record: ANDERSON,WILLIAM E&AUDREY P TRS ,, , . f� s , Contractor Llcensel,.
Address: 23 ELLIOTT STREET ) ' EstifProfect Cost: $0.00 Chimney:
CENTERVILLE MA 02632
`� � e� Permit Fee: $75.00
Description: Tenant Fit out no construction. Change from Assemb�y�us�e to Retail. 4 4., Insulation:
Fee Paid, $75.00
Retail Sales(Petfood) &Supplies(Pawsitive Provisions)
Date 11/4/2016 Final: Ij , L/�(1:r
Project Review Req: Tenant Fit out no construction. Change from,�Assembly use to U /',
Retail. Retail Sales(Petfood) &Supplies(Pawsitive Pv:trovision ) . �.., %�1"/ �-' ° Plumbing/Gas
Rough Plumbing:
' ' "''''' '':''s , Building Official
Final Plumbing:
This permit shall be deemed abandoned and invalid unless the work authorized by this permit is commenced within sixsmonthsafter issuance.
All work authorized by this permit shall conform to the approved applicat o i and the approved construction documents for which this permit has been granted. Rough Gas
All construction,alterations and changes of use of any building and structures shall be in compliance with the local zoning y lawstand codes.
Final Gas:
This permit shall be displayed in a location clearly visible from access reet or road and shall be maintained open for public inspection for the entire duration of the
work until the completion of the same. fA
l :
Electrical
The Certificate of Occupancy will not be issued until all applicable signaturesYby the Building and Fire'Offiaals are provided on this,permit.
Minimum of Five Call Inspections Required for All Construction Work x Service:
1.Foundation or Footing
)1,i' i,,,,,.� � �"- 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__ 11
:so.
TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION
Ma 11_ Parcel Q I g Application
Health Division Date Issued /1 Oy ./6 .
Conservation Division plL 'on Fee
Planning Dept. er ';
Date Definitive Plan Approved by Planning Board
Historic - OKH Preservation/ Hyannis Fb ,
-- c-frt/P1<E-6
Project Street Address (33 ' P/kM v y' 4'0 , 1" a / 1 -3
Village 0 s
Owner fir$ r S- Address �3 sE/l/ led 6, v1 (& , 9iiA,
Telephone. TO' 9-3 ci—q‘115
Permit Request 1 40v1- 1 16
At< A D 6tr7%' M ' Cali-le 435"1��
U s`t. -r re°f‘,11 v ( s'c fey of f �4c -i- sure 1(�s (P& s,' h'v
(Fy)Nisink-S')-
Square feet: 1st floor: existing proposed 2nd floor: existing proposed Total new
Zoning District Flood Plain Groundwater Overlay
Project Valuation -6 Construction Type
Lot Size Grandfathered: ❑Yes 0 No If yes, attach supporting documentation.
Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family (# units) ---,N
Age of Existing Structure Historic House: ❑Yes CI No On Old King's Highway: 0 Yes ❑ No
Basement Type: ❑ Full ❑ Crawl ❑Walkout ❑ Other '
Basement Finished Area (sq.ft.) Basement Unfinished Area—(sq.ft) _
Lr ;�
Number of Baths: Full: existing new Half: existing ...Sew
Number of Bedrooms: existing _new i r-
ill
Total Room Count (not including baths): existing new First Floor Room Count .
Heat Type and Fuel: ❑ Gas ❑Oil ❑ Electric ❑Other
Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑ No
Detached garage: ❑existing ❑ new size_Pool: ❑ existing ❑ new size Barn: ❑ existing ❑ new size_
Attached garage: ❑existing ❑ new size _Shed: ❑ existing ❑ new size _ Other:
Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑
Commercial ❑Yes ❑ No If yes, site plan review#
Current Use Proposed Use
APPLICANT INFORMATION
' r (BUILDER OR HOMEOWNER)
Name 61 M Telephone Number cc l j ,
LeX
AddressKge License#
00 113 1flf 041 Home Improvement Contractor#
Email i . V r PO AMGri 14 Can Worker's Compensation #
ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO
tI qapSIGNATURE DATE
FOR OFFICIAL USE ONLY
PPLICATION #
DATE ISSUED
MAP/ PARCEL NO.
ADDRESS VILLAGE
•
OWNER
DATE OF INSPECTION:
. FOUNDATION
FRAME
INSULATION
FIREPLACE
ELECTRICAL: ROUGH FINAL
PLUMBING: ROUGH FINAL
GAS: ROUGH FINAL
FINAL BUILDING
DATE CLOSED OUT
L-;
ASSOCIATION PLAN NO.
-
Town of Barnstable
Regulatory Services
Richard V.Scali,Director
mid►�� Building Division.
Paul Roma,Building Commissioner
200 Main Street,Hys+nnis,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, G✓i/Jrn wi 4 A 'c1 , as Owner of the subject property
hereby authorize Att'ZD / / 4 to act on my behalf,
in all matters relative to work authorized by this building permit application for:
•
/ 33 6 th rt,l s LN • V (--2 4,4 Is) 1
(Address of Job)
**Pool fences and alarms are the responsibility of the applicant. Pools
are not to be filled or utilized before fence is installed and all final
inspections are performed and accepted.
Signature of Owner ignature o Applicant
•
Vai
Print Name Print Name
Date v
Q:FORMS:OWNERPERMISSIONPOOLS
.
Town of Barnstable 44- _ , ,-
Regulatory Services . .
�o1FTME Richard V.Scali,Director
/ ; *s• ? BuildingDivision
� 'I Paul Roma,Building Commissioner
.*,...101) z639ii/i 200 Main Street, Hyannis,MA 02601
/ Y
www.town.barnstable.ma.us
Office: 508-862-4038 Fax: 508-790-6230
HOMEOWNER LICENSE.EXEMPTION
Please,Print . \\\\
'DATE: , ,
.r
JOB LOCATION: �- '
number ,•`street village
t/
"HOMEOWNER": i
name home phone# work phone#i
li CURRENT MAILING ADDRESS:
city/town state zi code
The current exemption for"homeowners"was extende. to include owner-occupied dwellings of six •its or less and to allow
homeowners to engage an individual for hire who does n.. possess a license, .rovided that the own acts as sue ervisor.
DE I 1 ON OF HOMEOWNER
Person(s)who owns a parcel of land on which he/she reside 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 ch use and/or farm structures. A person who constructs more than one
home in a two-year period shall not be considered a homeowne : Such"homeowner"shall submi to the Building Official on a form
, acceptable to the Building Official,that he/she shall be responsibi. for all such work performed ••der the building permit. (Section
109.1.1)
.
The undersigned"homeowner"assumes responsibility for compliance ''th the State Building ode and other applicable codes,
bylaws,rules and regulations.
The undersigned"homeowner"certifies that he/she understands the Town of arnstable B ding Department minimum inspection
procedures and requirements and that he/she will comply with said procedures d requir•'II ents.
Signature of Homeowner .
sr ,
Approval of Building Official
Note: Three-family dwellings containing 35,000 cubic feet or larger 'Ube req ed to comply with the State Building Code
Section 127.0 Construction Control.
HOMEOWNER'S EXE 'a'TION
The Code states that: "Any homeowner performing work 2 r which a building p rmit is required shall be exempt
from the provisions of this section(Section 109.1.1-Licensing of instruction Supervisors); provided that if the homeowner
engages a person(s)for hire to do such work,that such Homeoyvner shall act as supervisor."
•
Many homeowners who use this exemption are una'wOare 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 haineowner 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
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.
Q:\WPFILES\FORMS\building permit forms\EXPRESS.doc
•06/20/16
1336 Phinney's Lane .
Unit 1 -2 & 1 -3
Hyannis, MA I
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