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Post This Card So That rt is Visible From the Street Approved Plans Must be Retained on Job and this Card Must be Kept
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Where a Certificate of Occupancy s Required,such.Bu ldmg shall Not,t a Occupie( unt1l a Final Inspection has been made it
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Permit No. B-19-4125 Applicant Name: Craig Bishop
Approvals
Date Issued: 12/12/2019 Current Use: Structure
Permit Type: Building-Insulation-Residential Expiration Date: 06/12/2020 Foundation:
Location: 75 OLD TOWN ROAD, HYANNIS Map/Lot: 268-069 Zoning District: RB Sheathing:
Owner on Record: HOME, DEBORAH&DANIEL Contractor Name. CRAIG P BISHOP Framing: 1
Address: 75 OLD TOWN ROAD Contractor License; 109777 2
HYANNIS, MA 02601 `' Est: Project Cost: $2,205.00 Chimney:
Description: Air sealing, insulate basement sills, insulate crawlspace ground and Permit Fee: $85.00
walls,install bulkhead door Insulation:
Fee Paid.: $85.00
Project Review Req: Date: - 12/12/2019 Final:
Plumbing/Gas
Rough Plumbing:
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This permit shall be deemed abandoned and invalid unless the work aufho ¢ed r `by this permit isJcommenced within six months after issuan Final Plumbing:
All work authorized by this permit shall conform to the approved application'an theFapproved construction documents for which this permit has been granted.
All construction,alterations and changes of use of any building and structures shall be in compliance with the local zoningby-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 p661i6rspectio6 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 signaures by the Building and.Fire Officials areprovidedvon this permit. Electrical
Minimum of Five Call Inspections Required for All Construction Work
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1.Foundation or Footing � z � x Service:
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2.Sheathing Inspection ' Rough:
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3.All Fireplaces must be inspected at the throat level before firest flue ng is{instaIled 4 g
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
"Pe ons contra ' 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:
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Town of Barnstable
y FTHE Tp��O Regulatory Services
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Thomas F.Geiler,Director
3ARNSTABLFE
9 �• . Building Division
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pTFD MAC A Tom Perry,Building Commissioner
200 Main Street, Hyannis,MA 02601
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Office: 508-862-4038 Fax: 508-790-6230� r/'
PERMIT# FEE: $ S o u
SHED REGISTRATION
120 square feet or less
Location of shed(address) Villa
Property owner's name Telephone number
b ,e'�0 1�
Size of Shed Map/Parcel
Signature Date
Hyannis Main Street Waterfront Historic District?
Old King's Highway Historic District Commission jurisdiction?
Conservation Commission(signature required) zs:l :-5 ZI;
PLEASE NOTE: IF YOU ARE WITHIN THE JURISDICTION OF ANY OF THE ABOVE
COMMISSIONS,THERE MAY BE A REVIEW PROCESS AND APPLICATION FEE.
PLEASE SEE THE APPROPRIATE COMMISSION FOR DETAILS.
THIS FORM MUST BE ACCOMPANIED BY A PLOT PLAN
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Q-forms-shedreg
REV:121901
MAP 268
268
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'Engineering Dept.(3rd floor) Map ',Parcel :Permit#
House# Date=Issued
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Board of Health(3rd floor)(8:15 -9:30/1:00-4:30) r 'fee20)
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Conservation Office(4th floor)(8:30- 9:30/1:00-2:00) " L{16} n,
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BABNSTABLE,
- MASS.OW OF BARNS' TABLE - s639•
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` Building Permit Application
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Project Street Addres
Villagev
Owner ,d �� �„ Address : f.1
Telephone 17 D 91 V17 I ¢
Permit Request
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First Floor +00 squarg fee Second Floor square feet
Construction Type dE' 1
Estimated Project Cost $ i.),, 66b
Zoning District r Flood Plain Water Protection
Lot Size L 7c7 j4cr� Grandfathered ❑Yes ❑No
Dwelling Type: Single Family V"' Two Family ❑ Multi-Family(#units) .
Age of Existing Structure 50 �'� Historic House ❑Yes o On Old King's Highway ❑Yes fro
Basement Type: ❑Full awl' •❑Walkout ❑Other
Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft)
Number of Baths: Full: Existing New Half: Existing d New
No. of Bedrooms: Existing 2- New
Total Room Count(not including baths): Existing 4- New er First Floor Room Count 3
Heat Type and Fuel: VGas ❑Oil ❑Electric ❑Other
Central Air ❑Yes Udf*4o Fireplaces: Existing New (7 Existing wood/coal stove ❑Yes WNo
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Garage: ❑Detached(size) Other Detached Structures: ❑Pool(size)
❑Attached(size) ❑Barn(size)
one Shed(size) 3 u
❑Other(size)
Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑
Commercial ❑Yes @ No If yes, site plan review# -
Current Use °j F=c`,w� Proposed Use C -L�
Builder Information
Name 2-,,, 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 E TAKEN TO
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SIGNATURE DATE
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BUILDING PERMIT DENIED R THE FOLLOWING REASON(S)
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{ FOR OFFICIAL USE ONLY
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PERMIT NO. -I �-
DATE ISSUED i' t
MAP/PARCEL NO. Al - -
ADDRESS _ VILLAGE *,
OWNER
DATE OF INSPECTION: ''
A.
FOUNDATION
FRAME f -
INSULATION Cea G 7A. l I
FIREPLACE
ELECTRICAL: ROUGH FINAL
PLUMBING: ROUGH FINAL
GAS: ROUGH FINAL - t
FINAL BUILDING
DATE CLOSED OUT
ASSOCIATION PLAN NO. t
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SCALE: �l= /_D APPROVED BY: DRAWN BY
DATE: REVISED
DRAWING NUMBER
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The Conintonwealth of Massachusetts
ov. Dc parttnent ojluduvtrial Accidents
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Office 0111veSM211oas
hflll Wu.vhingron Street
Boston. A1av:v- 02111
Workers' Compensation Insurance Affidavit _
,;k6lic.int information: �- Please PRINT
Ram_ e_V lam( e?9t 4 y1�0 Yt
Incation. 4 ?A 0/cd /O bt/x
citw YVE:s� I r�a �i�p�f" � " A Chong t�
1 am a homeown r performing all work myse f.
I am a sole proprietor and have no one working in any capacity
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I am an emplover providin_workers' compensation for my employees working on this job.
coumanv name:
address•
city: nhnnc#•
insurance co. pnlicv#
I am a sole proprietor. general contractor, or homeowner(circle one) and have hired the contractors listed below who have
the following workers' compensation polices:,,
comnanv name:
address:
city: Rhone#•
insurance co. _[Lolicv it
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cnmpanv nninc:
address-
city: nhnnc#:
insurance co. policy#
Attach additional sheet if necessary; ;l*-=-�+ T!^_"•%r•.%' ':�, .,•• y—y--". +� ;—^�'�~': --'
Failure tt►secure coverage as required under Section:5A of AlGL 152 can Iead to the imposition of criminal penalties ol•a line up to S1.500.00 andior
unc\cars' imprisonment as well as civil penalties in the form of a STOP NVORK ORDER and a fine of S100.00 a day against me. I understand that a
cop} of this statement mac be forwarded to the Oftiice of Investigations of the DIA for coverage verification.
I do hereby certift•tinder Me pains and pcna/tics of perfuty that the information provided above is true and correct.
t �97ienature Date
Print name Phone# 1 — �9�d�' ��2g03
' official use only do not write in this area to be completed by city or to%vn official -�
city or town: permit/license# riBuiiding Department
Licensing Board
0 check if immediate response is required E3select men•s Officr t
C311e21th Department
contact person: phone#: I—tOthcr
P.
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. ."� The Town of Barnstable
%659. , Department of Health Safety and Environmental Services
Eo " Building Division
367 Main Street,Hyannis MA 02601
Office: 508-790-6227 Ralph Crossen
Fax: 508-790-6230 Building Commissioner
For office use only
Permit no.
Date
AFFIDAVIT
HOME IMPROVEMENT CONTRACTOR LAW
SUPPLEMENT TO PERMIT APPLICATION
MGL c. 142A requires that the "reconstruction, alterations, renovation, repair, modernization,
conversion, improvement, removal, demolition, or construction of an addition to any pre-existing
owner occupied building containing at least one but not more than four dwelling units or to
structures which are adjacent to such residence or building be done by registered contractors, with
certain exceptions,along with other requirements.
'2 Type of Work. 9" Est.Cost
Address of Work:-
Owner's Name 1�c�ca�J
Date of Permit Application: 'T 0
I hereby certify that:
Registration is not required for the following reason(s):
Work excluded by law
Job under S1,000.
Building not owner-occupied
Owner pulling own permit
Notice is hereby given that:
OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED
CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE
ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c. 142A
SIGNED UNDER PENALTIES OF PERJURY
I hereby apply for a permit as the agent of the owner:
Date Contractor Name Registration No.
OR
Date Owner's Name
The .Town of Barnstable
SAE.RNSTABL
MASS. p Department of Health Safety and Environmental Services
0
Building Division
367 Main Street,Hyannis,MA 02601
Office: 508-790-6227 r Ralph Crossen
Fax: 508-790 6231) ( Building Commissioner
Inspection Cqueetion Notice - ----
Type of Inspection
Location C� c— -- Permit Number
Owner
One notice to remain on jobsite, one notice on file in Building Department.
The following items need correcting:
(D
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r� ro
xL cov--r--A
�'I' y
Please call: 508-790-6227 for re-inspection. -
Inspected by 94
Date - \4 ' 7 -
4
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The Town of Barnstable
BARM .
MASS.ASS.. � Department of Health Safety and Environmental Services
i639.039. Building Division
367 Main Street,Hyannis, MA 02601
Office: 508-790-6227 Ralph Crossen
Fax: 508-790-6230 Building Commissioner
�Q Inspection Correction Notice
Type of Inspection
P
Location (n Tt)\,1,jO Permit Number
Owner Builder
One notice to remain on jobsite, one notice on file in Building Department.
The following items need correcting:
v � ��� l �`�� fit P&Tv
Please call: 508-Z6227 for re-inspection.
Inspected by
Date7 -
TOWN OF BARNSTABLE
BUILDING DEPARTMENT
HOMEOWNER LICENSE EXEMPTION
Please print.
DATE
JOB LOCATION 6 �- /j Town K 1/VAS // R
Number Street address Section of to
"HOMEOWNER" Mi e l 414 V;khce A*7t g 77;' 7903 +3'"—de
Name Home phone Work phone grYy`
`tqo ..r•
PRESENT MAILING ADDRESS J 7 1 1W TD wH ' •
ad.
0"2.41�0�
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:
Person(s)• 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
BuildingCode and _
other applicable code. pp s by-laws, rules. y 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.
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. 0, Construction Control.
HOME OWNER' S EXEMPTION
The code state that: "Any Home Owner 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
Home Owner engages a person (s) for hire to do such work, that such Home Owne:
shall act as supervisor. "
Many Home Owners who use this exemption are unaware that they are assuming
the responsibilities of a supervisor (see Appendix Q, Rules and Regulations
for licensing Construction Supervisors, Section 2. 15) . This lack of awarenes
often results in serious problems, particularly when the Home Owner hires
unlicensed persons. In this case our Board cannot proceed against the
inlicensed person as it would with licensed Supervisor. The Home "Owner actin
as supervisor is ultimately responsible.
To ensure that the Home Owner is fully aware of his/5er responsibilities, man
communities require, as part of the permit application, that the Home Owner
certify that he/she understands the responsibilities of a supervisor. On the
la--t page of 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.
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