HomeMy WebLinkAbout0098 RUE MICHELE a
� , , 4 A;
7,
..........
ovum A 7%I=
Nq I A I V �,�K 0 WIT
A lit W h
an
son
nos
Rini
owl
m was IV am
mks
Ent
VIEW
0 lot
Sol oil
"two won
7.1 ir
I WNW
oil 1 =TVs-,
sit.,
QQ,
"Was ymm HIS
NNW jr
L� Sao on,a
..........
_ 0
Y �
Ms4{6ltl S•.R
Y�.l4LPt 4�R tymi
a_
ww•w
"•M
h r °a
Ai Lot a
tnt 2
s �
Ra&oed Mass EO.TC ..t&,
r
LOCUS MAP OWNER OF REOORD :a•'-
L
INFERENCES
ZONM
e
_
PLAN O.F LAND
i _ °""w"`"•
BARNSTABLE. MA
MEADOW POND, SIC.
IMEABLE PLANNAI0 BOARD wee wma s�,toos
.unwwu umv oc.um.�so. r.m
tnvnm u.a eo.,eawm q.
aPINK iown eeye�laeerl�ng,�.
cry wcttr "
-2h✓1� ivr�svxverons
,m,.�,.�_ .min e.w.w o�oo.man wu mw a mmauymt w mtrs
4
Town of Barnstable *Permit#
Expires 6 mont jos ue date
Regulatory Services Fee
snxtvsTwsr.E,
MAS& , Thomas F.Geiler,Director W O
prED MA't�
Building Division gIS j12
Tom Perry,CBO, Building Commissioner
200 Main Street,Hyannis,MA 02601
www.town.barnstable.ma.us
Office: 508-8624038 Fax: 508-790-6230
EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY
Not Valid without Red X--Press Imprint
Map/parcel Number 3-�35�O�9 U� �
P=-roperty'Address" R UrL
(Residential Value of Work$ Minimum fee of$35.00 for work under$6000.00
Owner's Nam=Address �n/-1rU
Contractor's Name Telephone Number
Home Improvement Contractor License#(if applicable) Email:
Construction Supervisor's License#(if applicable)
❑Workman's Compensation Insurance
Check one: AUG — 5 2013
❑ I am a sole proprietor
❑ I am the Homeowner
gave Worker's Compensation Insurance
TOWN OF EARNSTAELE
Insurance Company Name
Workman's Comp.Policy#
Copy of Insurance Compliance Certificate must accompany each permit.
Permit Request(chock-box)
0''Re-roof(hurricane nailed)(stripping old shingles) All construction debris will be take to o
❑Re-roof(hurricane nailed)(not stripping. Going over existing layers of roof)
❑ Re-side
❑ Replacement Windows/doors/sliders.U-Value (maximum.35)#of windows
#of doors:
❑ Smoke/Carbon Monoxide detectors 4 floor plans marked with red S and inspections required.
Separate Electrical&Fire Permits required.
*Where required: Issuance of 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.
c py of the Home Improvement Contractors License&Construction Supervisors License is
re i e
SIGNATURE:
\WPFILES\FORMS\b i n e mii forn�tEXPRESS.doc
Q BP
Revised 060513
Town of Barnstable
Regulatory Services
Thomas F.Geiler,Director
caress.
39. 1. 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 I ON �V hhe.,r lnV
number street village
"HOMEOWNER=:---ti,
name home phone#,n e work phone#
�Ci1RRENT-MAIL1NGfADDRESS. I Ce vrCC-
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 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
p-- procedures requirements and that he/she will comply with said procedures and requirements.
Approval of Building Official
Note: Three-family dwellings containing 35,000 cubic feet or Iarger 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&ReguIations 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.
C:\Users\decollik\AppData\LocalXMicrosoft\Windows\Temporary Intemet Files\ContentOu[look\QRE6ZUBN\EXPRFSS.doc ,
Revised 053012
THE Town of Barnstable
°+ Regulatory Services
�� Thomas F.Geiler,Director
�' 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
Property Owner Must
• Complete-and Sign'This Section
If Using A Builder
a er of the subject property
hereby authorize to act on my behalf,
in all matters relative to work authorize p thi uilding permit.
Land
)
*Pool fences andponsibility o the applicant. Pools
are not to be filled oence is install d and all final
inspections are perfed.
�'ignature of Owner tore of Applican
Print Name Print Name�e—,
Date
QYORMS:OWNERPERMISSIONPOOLS 6/2012