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', - ......'' ','' • —•,; ,'•."--,-',',,'..".-• ' ' -.-• •s. ,,•,,' , , '.'•••• ' 1 . -.i-, :, -, •• '', ‘: -',...; r, , ,,I', . , ,. .... .„. .. .. ,., „•... ,—, • , , ,, . ,,„ .., -- :„ ,, .. , • . , , ..,.. ' " .-...:, . . . -.. • , . „' , . - '-..,-.. ...,,-„ ,,,, i. .• , -. .,,,,,. .,. , ,, ,, ,., . . .,- .„. •..,„,•. , •. . , . . „ . . „ . . . . .. ,.„ 0 ., . ., . . . . . . . . . . . . ., . , , _ , . . ; . . , • . . . , . . . . . „ . . 0 • • . , . . . . „ . .. ,.. .. . , Town of Barnstable *Permit �. �y E res 6 mouths from issue dare l�+i '� 1t1_ Qa Regulatory Services cc autntsrnetaE. • g � _ t Thomas F.Geiler,Directorhud �/ s63q. "��� .0k " Building Division or Tom Perry,CBO, Building Commissioner �oYY 200 Main Street,Hyannis,MA 02601 r1• 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 23 j �� Property Address ,?.5�9 .54 iI/f Ck 11 ✓ -g-iJ Fa Residential Value of Work /t'PG'O ' Minimum fee of$25.00 for work under S6000.00 I 2vs% Owner's Name&Address ��' 0 f L, ���G/� , Contractor's Name Telephone Number Home Improvement Contractor License#(if applicable) Construction Supervisor's License#(if applicable) ❑Workman's Compensation Insurance Check one: RI am a sole proprietorX-PRESS PERMIT I am the Homeowner ❑ I have Worker's Compensation Insurance MAR ® 5 2010 Insurance Company Name TOWN OF BARNSTABLE Workman's Comp.Policy# Copy of Insurance Compliance Certificate must be on file. Permit Request(check box) a Re-roof(stripping old shingles)A1I construction debris will be taken to X22A. ( iffi iAO� ?t.U.CIti 1119 7c-Ae i,k ---,-Lep‘fitCQ SA 1,4ti+2.._ 5,�./y GUL6,"\, ,(IS/i/°-ALT s 4.1")O4Z & ID Re-roof(not stripping. Going over existing layers of roof) C ❑ Re-side ❑ Replacement Windows. U Value (maximum.44) *Where required: Issuance of this permit does not exempt compliance with other town department regulations,ie.Historic,Conservation,etc. ***Note: Property Owner must sign Property Owner Letter of Permission. Horn Improve ent Contractors License is required. SIGNATURE: i C/ T Q:Forms:expmtrg Revise071405 r;1 " • Town of Barnstable sp*t E p1� Col Regulatory Services • BARNSTABLE. Thomas F.Geiler,Director • BuildingDivision • kt659.1t o Tom Per Building;Commissioner Perry, 200 Main Street, Hyannis,MA 02601 vvww.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION Please Print DATE: 3- 610 JOB LOCATION: 36 S- o<2 f •4.1,o iv number street, village "HOMEOWNER": 41/1,Ll4'i SGt y/s1 ry , SGUei J2 Ys'.t name /' home phone# work phone# CURRENT MAILING ADDRESS: / , &4U� /U,i9 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 procedures and requirements and that he/she will comply with said procedures and require ts. / , 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:forms:homeexempt THE T Town of Barnstable *Permit# ( 44 ',AO Expires 6 onths from issue d • BARN TABLE, ; Regulatory Services FeeCiY 3;. ��' Thomas F. Geiler,Director Atfo i���� Building Dig1 Tom Perry, Building Commissioner X-PRESS PERMIT 200 Main Street, Hyannis,MA 02601 Office: 508-862-4038 -OCT 1 0 2002 Fax: 508-790-6230 EXPRESS PERMIT APPLICATION - RESIDE` STABLE Not Valid without Red X Press Imprint Map/parcel Number 33 8 -DOS Property Address . /e/96ei '21'z /S-4.140 /1/1X k]Residential Value of Work Z as-- Owner's Name&Address /1/AV 6 S O / " /�W S a°G,g /a8 -A 3 l ,4t Gz6 iD Contractor's Name QLvM — Telephone Number c.5-di'3d Z- . . Home Improvement Contractor License#(if applicable) Construction Supervisor's 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# fV Permit Request(check box) f ❑ Re-roof(stripping old shingles) All construction debris will be taken to 0 `-' • ❑Re-roof(not stripping. Going over existing layers of roof) • • • Re-side r4. Replacement Windows. U-Value • 3/ (maximum.44) R ❑ Other(specify) *where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. Signature Q:Forrns:expmtrg Revised121901