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° Is. p Y. Y } a oF11HE ray Town of Barnstable *Permit#�Ol w Expires 6 months from issue date Regulatory Services Fee * IARNSTABM Richard V.Scali,Interim Director �fD MA't a Building Division Tom Perry,CBO,Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY I of Valid without Red X-Press Imprint Map/parcel Number 3?, R, on . Property ess U C� c� v esidential Value of Work$ DO , 0—p Minimum fee of$35.00 for work under$6000.00 Owner's Name&Address Contractor's Name Telephone Number Home Improvement Contractor License#(if applicable) Email: Construction Supervisor's License#(if applicable) ys -PaMS PENN� ❑Workman's Compensation Insurance 2U14 Check one: SEP 1 ❑ I am a sole proprietor [9—I-aTn the Homeowner TOWN OF BARNSTABLE ❑ I have Worker's Compensation Insurance Insurance Company Name Workman's Comp.Policy# Copy of Insurance Compliance Certificate must accompany each permit. Permit Reque (check box) Re-roof(hurricane nailed)(stripping old shingles) All construction debris will be taken to ❑ 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 plan::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. A copy of the ome Improvement Contractors License&Construction Supervisors License is required.. SIGNATURE: T:\KEVIN D\BuildingChanges\EXPR PERMIT\EXPRESS.doc Revised 061313 Town of Barnstable Regulatory Services pfTie r, Richard V.Scali,Interim Director Building Division � . ' Tom Perry.Building Commissioner v MASS. $ 1639. 200 Main St. ct, Hyannis,MA 02601 ArFp �a www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION DATE: Please Print \Y JOB LOCATION: nui ber ( st e t 7� village "HOMEOWNER": _C \ 'E ckq_ name home ph o e# 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 license,provided that the owner acts as supervisor. DEFINITION OF HOMEOWNER Person(s)who owns a parcel of land on w-lich 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 th-,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"homeo "certifies that he/she understands the Town of Barnstable Building Department minimum inspection Mand requireme t hat he/sie will comply with said procedures and requirements. Signature of Hom ow r 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. Yoe;may care t amend and adopt such a form/certification for use in your community. T:\KEVIN—D\Building Changes\EXPRESS PERM IT.EXPRESS.doc Revised 061313 Town of Barnstable *Permit� b Expires 6 months from issue date Regulatory Services F Xm ? TAIT Thomas F.Geiler,Director. � MA Building Division R O 9 zO12 _ Tom Perry,CBO, Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.bamstable.ma.us T(:ft TAB Fax: 508-790-6230 EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY jj Not Valid without Red X-Press Imprint Map/parcel Number 3 {p Property Address � C)— esidential Value of Workf;Z QD6, C- Minimum fee of$35.00 for work under$6000.00 Owner's Name&Address k c3, off t a0a��6 Contractor's Name Telephone Number 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 M f,),e Workman's Comp.Policy# Copy of Insurance Compliance Certificate must accompany each permit. Permit Request(check box) ❑ Re-roof(hurricane nailed)(stripping old shingles) All construction debris will be taken to ❑Re-roof(hurricane nailed)(not stripping. Going over existing layers of roof) Re-side #of doors ❑ Replacement Windows/doors/sliders.U-Value (maximum.35)#of windows *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. e A copy oIthhe ome Improvement Contractors License&Construction Supervisors License is required 1 SIGNATURE: C:\Users\decollik\AppData\Local\Mic�oso \Windows\Temporary Internet Files\Content.Outl00k\DDV87AAZTXPRESS.doc Revised 072110 a r DIME Town of Barnstable Regulatory Services r ELARNSTARL& Thomas F.Geiler,Director i°rfuls`� 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: "� 1 JOB LOCATION: e° number street village "HOMEOWNER": F `e. ��� name home phone# work phone# CURRENT MAILING ADDRESS: 13 W 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" eowner"certifies that he/she understands the Town of Barnstable Building Department minimum inspection D res and re ' e nts and that he/she will comply with said procedures and requirements. Signature of Ho owner 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 caret amend and adopt such a form/certification for use in your community. C:\Users\decollik\AppData\Local\Microsoft\Windows\Temporary Internet Files\Content.Outlook\DDV87AAZ\EXPRESS.doc Revised 072110 I �o* Town ®f Barnstable r.. �#70 _` c Expires 6 ntonths front issue dnle uARNSTABL> Regulatory Sei-vices Fee A- $� ib Thomas F. Geiler, Director plfD"'A�a Building Division Tom Perry, CBO, Building Commissioner 200 Main Street, Hyannis, MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY Not Valid without Red Y-Press Imprint Map/parcel Number �)38 _O(vfu Property Address 6e_ r346TO?_ SA QQ)y j le Residential Value of Work i �� Minimum fee of SZS.00 for work under S6000.00 Owner's Name&Address J L)I-R-" _B J-1 LET— Contractor's Name Telephone Number Home Improvement Contractor License #(if applicable) Construction Supervisor's License#(if applicable) ❑Workman's Compensation Insurance Check one: AUG' ~ 5 2009 ❑ I am a sole proprietor I am the Homeowner TOWN OF BARNSTABLE ❑ I have Worker's Compensation Insurance Insurance Company Name Workman's Comp. Policy# Copy of Insurance Compliance Certificate must.be on tile. 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. U-Value (maximum .44) *Where required: Issuance of this permit does not exempt compliance wi.h other town department regulations, i.e. Historic,Conservation,etc. ***Note: Property Owner must sign Property Owner Letter of Permission, Home Improvement Contractors License & Construct Supervisors License is required. SIGNATURE: Q:\WPF[L"ES\FORM xpress\EXPRESSPERMIT.DOC Revisc060,109 / t I r Town of Barnstable Regulatory Services Thomas F. Geiler,Director M'` Building Division prfO '� Tom Perry,Building Commissioner is-IvfA 02601 _.... _200 Mairi=Street—Hyam , w`ww.town.b arnstable.ma.us Office: 508-962-4038 Fax: S09-790-6230 HOMEOWNER LICENSE EXEMPTION Please Print DATE: JOB LOCATION: -- number s trcct village "HOMEOWNER": home phhone fa work phone# CURRENT MAUNG ADDRESS: ( °/1)e 414;i w4 cttyltown 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. DEFIMUON 017 HOMEOWNER Persons)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) ibility for compliance with the State Building Code and other The undersigned"homeowner"assumes respons applicable codes,bylaws,rules and regulations. The undersigned."homeowner"certifies that-he/she understands the Town of Barpstable,Building Department r munum inspection procedures and requiremcnts and that he/she will comply with said procedures and requirements. Sign ,.of amcovna Approval of Building Official Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the Stag Building Code Section 127.0 Construction Control. HOMEOWNER'S EXEMPTION The Code states that "Any homeowner perfomring work for which a building permit is required shall be exempt from the provisions of this section(Section 1 o9.1.1 -Licensing of construction Supervisors);provided that if the homeowner cngagea a parson(s)for hire to do such work,that such Homcowna shall Oct as suPe visor." Many homeowners who use this exemption are unaware that they an assuming the responsibilities of a supervisor(see Appendix Q, Ru1cs&Regulations for Licensing Construction Supervisors,Scction 2.15) This lack of awareness often results in serious problems,particularly when the homcowna hires unlicensed persons. In this ease,our Board cannot proceed against the unlicensed parson'as it would with a licensed Supervisor. The homeowner acting as Supervisor is ultimately responsible. To ensure that the bomeowna is fully aware of hisihQ resp=bilitics,many communities require,as part of the pamil 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 tDwns. You may care t amend and adopt such a famVccrtificatim.for use in your corranunity. t ro�ti Town of Barnstable ° Regulatory Services r r r r 9 �xxes[E$ Thomas F. Geiler,Director $�Eo If,�� Building Division 0 Tom Perry,Building Commissioner 200 Main Street, Hyannis, MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-62 Pro x ty Owner Must Complete an Sign This Se on If Using uilder r, Owner o e subject property hereby authorize o act on my behalf, m all matters relative to wcrlc authorized by this 'din ermit a licatt n for.g P PP r. (Address o ob) Signature of Owner Date Print Name If Property fixer is applying for permit please complete the Homeowners License Exemption Form on the reverse side. 0 r Town of Barnstable *Permit# WP�O E.Vpires 6 morrtte [ro; rr rrfe y Regulatory Services Fee sAetvsrnsY e; t v 1"Akqq ` - Thomas F.Geiler,Director n — ti. , I V RFD MPS�, Building Division Tom Perry,CBO, Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.nia.us Office: 508-8624038 Fax: 508-790-6230 EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY Not Valid without Red X-Press Imprint Map/parcel Number � Property Address t�e�l �Q"t'�_k ®� e ' esidential Volute of Work _ Minimum fee of$25.00 for work under$6000.00 Owner's Name&Add ress 0 �K D N 4::;, Contractor's Name Telephone Number ( Home Improvement Contractor License#(if applicable) Construction Supefvlsof's License#(if applicable)_ ❑Workman's Compensation Insurance ,-PRESS PERMIT Check one: ❑ I a sole proprietor APR 2 4 2.009 JSJ�am tile:Homeowner ❑ I have Worker's Compensation Insurance j-aVVN OF BARNSTABLE Insurance Company Name Workman's Comp.Policy# Copy of Insurance Compliance Certificate must be on file. Permit Request(check box) Q- e-rooaf(stripping old shingles) All construction debris will be taken to l ❑Re-roof(fiat stripping. Going over existing layers of roof) ❑ Re-side ❑ Replacement Windows/doors/sliders. U-Value (maximum.44) *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. A copy of the Nome Improvement Contractors License is required. F SIGNATURE: C:\Users\decollik\AppData,:Loc� is osoftlWindow'sUemporary Internet Tiles\Content.Outlook\MY7NQ41L\EXPRESS.doe Revised 100608 ' Town of Barnstable Regulatory Services g � BAWMAMA ! Thomas F.Geiler,Director MAM "'� Building Division Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-8624038 - Fax 508-790-6230 HOMEOWNER LICENSE EXEMPTION Please Print DATE: r� JOB LOCATION: str village rZ "HOMEOWNER": 1756 do( A nam home phone# work phone# CURRENT MAILING ADDRESS: ` Vim)wt, �CQ� 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 buildingpermit. (Section 109.1.1) The undersigned"homeowner".assumes responsibility for compliance with the State Building C6d'e'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 Si o 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 Mack 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:\Documents and Settings\PSingley.AMl\Local Settings\Temporary Internet Files\OLK288\homeexempt(2).DOC VQ V- ��' �.� Town of Barnstable *Permit# _,:�©0 6 i Expires 6 months from issue date , ,,W,,BM Regulatory Services Fee MASS Thomas F.Geller,Director Building Division Tom Perry,CBO, Building Commissioner 200 Main Street,Hyannis,MA 02601 X-P RE E S PERMIT www.town.bamstable.ma.us Office: 508-862-4038 FaW64710 EXPRESS PERMIT APPLICATION - RESIDENTIAL TOM OF BARNSTABLE Not Valid without Red X--Press Imprint Map/parcel Number_J 3 4 — Property Address ❑Residential Value of Work Minimum fee of$25.00 for work under$6000.00 Owner's Name&Address Juos oo A. NQ UI.Sac &4 Z— y1 Aot^k7c ' st,� /y/pO&Yee�'t0 , A19 02,3yc -1,6 Contractor's Name Telephone Number 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# 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) a Re-side 1A.).C- 9NI'YOC bfS ❑ Replacement Windows. U-Value (maximum.44) •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. Home Improvement Contractors License is required. SIGNATURE: D `U.2t Q:Forms:expmtrg Revise071405 %113/63 JAL ,p�'oFt Town of Barnstable *Permit# 9?0'7 8y Expires 6 months from issue date SABLE. Regulatory Services Fee � -5,00 HAM v 039. Thomas , F.Geiler,Director Building Division Tom Perry, Building Commissioner 200 Main street, Hyannis,MA 02601 X-PRESS PERMIT Office: 508-862-4038 Fax: 508-790-6230 AUG 0' 6 2003 EXPRESS PERMIT APPLICATION - RESIDENTI F BARNSTABLE Not Valid without Red X Press Imprint Map/parcel Number S3g®0�6 3( 2• Property Address /_?©/"?a/,_ Q/r" ::9�D f/ fJS4 C AL D esidential Value of Work Owner's Name&Address Contractor's Name V4 Telephone Number Home Improvement Contractor License#(if applicable) Construction Supervisor's License#(if applicable) ❑workmen's pensation Insurance h one: am a sole proprietor I am the Homeowner ❑ I have Worker's Compensation Insurance Insurance Company Name Workman's Comp.Policy# Permit Request eck 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. U-Value (maximum.44) *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. o rovement C tractors License is required. S1 , Q:Forms:expmtrg Revise053003 t - r Engineering' ep .(3rd floor) Map. 3 Parcel (� Permit# House# ' hz b o#- -g Date Issued - Fee ( 5,. • �TME►pr,_ pi UY 19 ' ' .T • BARNSTABLE. 05 TOWN OF BARNSTABLE Building Permit Application Project Street Address ,3 L `Q Village Owner . Address (O Telephone Permit Request _�ka First Floor s uare feet Second Floor tU � q square feet Construction Type \Q bo '-L Estimated Project Cost Zoning,District R Flood Plain Water Protection Lot Size Grandfathered )o Yes ❑No Dwelling Type: Single Family Two Family ❑ Multi-Family(#units) Age of Existing Structure �( Historic House ❑Yes ❑No On Old King's Highway Yes ❑No Basement Type: ❑Full ❑Crawl, ❑Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full: Existing ' 1 New Half: Existing New No.of Bedrooms: Existing New Total Room Count(not including baths):Existing New First Floor Room Count Heat Type and Fuel: ❑Gas ❑Oil ❑Electric ❑Other — Central Air ❑Yes .4No Fireplaces: Existing -New Existing wood/coal stove ❑Yes ❑No Gjrage: ❑Detached(size) Other Detached Structures: ❑Pool(size) ❑Attached(size) ❑Barn(size) 1ANone ❑Shed(size) " ❑Other(size) Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes ❑No If yes, site plan review# Current Use Proposed Use Builder Information Name- Telephone Number Address License# Home Improvement Contractor# Worker's Compensation# NEW CONSTRUCTION OR ADDITIONS REQUIRE A SITE PLAN(AS BUILT)SHOWING EXISTING,AS WELL AS PROPOSED STRUCTURES ON THE LOT. ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE I k K DATE s 1\_11 BUILDING PERMIT DENIE OR THE FOLLOWING RE SO (S) z.r _ E `✓r FOR OFFICIAL°USE ONLY PERMIT NO J, DATE ISSUED MAP/PARCEL NO'. ADDRESS b VILLAGE OWNER 'r DATE OF INSPECTION: a i FOUNDATION k a u FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH _ FINAL PLUMBING: ROUGH 'FINAL'. -' t k s - GAS: ROUGH t FINAL FINAL BUILDING DATE CLOSED OUT _ 4 ASSOCIATION PLAN NO. Y TOWN OF BARNSTABLE .BUILDING DEPARTMENT HOMEOWNER LICENSE EXEMPTION Please print. DATE e� JOB LOCATIONT v Number Street address Section of town "HOMEOWNER" OK _US Name Home phone Work phone - - PRESENT MAILING ADDRESS__Q� Ck O 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 such homeowners to engage an in- dividual for hire who does not possess a license, provided that the owner acts as supervisor. DEFINITION OF HOMEOWNER: Persons) who owns a parcel of land on which he/she resides or intends to re- side, 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 Officia on a form acceptable to the Building Official, that he/she shall be responsibl for all such work performed under the building permit. (Section 109. 1. 1) The undersigned "homeowner" assumes .responsibility for compliance with the Sta Building Code and other applicable codes, by-laws, 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 com y with sai rocedures and requirements. HOMEOWNER'S SIGNATURE APPROVAL OF BUILDING OFFICIAL Note: Three family dwellings 35, 000 cubic feet, or larger, will be required to comply with State Building Code Section 127. 01 Construction Control. 1 HOME OWNER'S EXEMPTION The code state that: "Any a Owner performing work or which a building, permit is required shall bee mpt from the provisio s of this section (Section 109. 1. 1 - Licensing of onstruction Super sors) ; provided that if Home Owner engages a persons) fo ire to do such work, that such Home Owner shall act as supervisor. " Many Home Owners who use this exemption a aware that they are assuming the responsibilities of a supervisor (see endix 0, Rules and Regulations for -licensing Construction' Supervisors, S cti 2. 15) . This lack of awarenes often results in serious problems, part' ularly en the Home Owner hires unlicensed persons. In this case our oard cannot , oceed against the inlicensed person as it would with U censed Supervi r. The Home " wner- actin as supervisor is ultimately kespon ble. To ensure that the Home Owner i fully aware of his/her r on ibilities, man communities require, as part the permit application, tha the Home Owner certify that he/she underst ds the responsibilities of a supe isor. On the last page of this issue is form currently used by several towns. You may care to amend and adopt s ch a form/certification for use in your c unity.