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HomeMy WebLinkAbout1160 PHINNEY'S LANE (2) Gl�:T 07 aA7_q Z i C � � p Dept.(3rd floor) 'Map ��—_ Parcel � �- 5JY Permitp# ©o� ;JI]neering House# 1 r' Date Issued Board of Health(3rd floor)-(8:15 -9:30/1:00-4:30) - -_�' Fee Conservation Office(4th floor)(8:30-9:30/1:00-2:00) 3 O; Vil � uST BE Planning Dept.(1st floor/School Admin. Bldg.) S.ESF p CE Definitive Plan Approved by Planning Board 19 DE AND EM ONS TOWN OF BARNSTABLE TOWN Building Permit Application �®roject Street Address_ /, `ric,MQAq- Village AA ) Owner ZLJ I& Address Telephone Permit Request L -G ayx ld First Floor square feet Second Floor square feet Construction Type Estimated Project Cost $ &2_0 Zoning,District Flood Plain Water Protection Lot Size Grandfathered, ❑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 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 ❑No Fireplaces: Existing New Existing wood/coal stove ❑Yes ❑No Garage: ❑Detached(size) Other Detached Structures: ❑Pool(size) ❑Attached(size) ❑Barn(size) ❑None ❑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 /LL/,q�� c_ly,0 L_-az�- Telephone Number Address License# 0S^ y Home Improvement Contractor# l (2--O q Worker's Compensation# W 2A- (D 2- 3!i 2- S-b1 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 PR,9 WILL BE TAKEN TO SIGNATURE DATE ( 3 BUILDING PERMIT DENIED FOR THE FOLLOWING REASON(S) rl L l FOR OFFICIAL USE ONLY -- _ PERMIT NO. y DATE ISSUED MAP/PARCEL NO. r ' ADDRESS VILLAGE' r = + i OWNER DATE OF INSPECTION: t FOUNDATION _7 f a FRAME fINSULATION FIREPLACE ELECTRICAL: ROUGH FINAL• + FINAL,PLUMBING: UCH r . t GAS-,- f m Uti +FINAL" FINAL'BUILD - ; It vto x.. MIR + q r DATE CLOSE m k k y f 1 1 ASSOCIATION O + �f - The Commonwealth Of?Massachusetts Department of Industrial Accidents t Office ollnyesUgatfons = R 6f/(/ ►f'ashitt�ton Street Boston,A1ass. 02111 `-' Workers' Compensation Insurance Affidavit nlicant Information• Please PRINT nameo location: city nhonc# 1 am a homeowner performing all work myself. j I am+rgwa sole proprietor and have no one working to any capacity---- ...._c 2•,:7!�'!+�7+r+— 1 am an employer providing workers' compensation for my employees working on this job. cnm!►an•name! address: city nhonc#• incur. ee o lie •# 1 am a sole proprietor, tract, or homeowner(circle one)and have hired the contractors listed below who have the following wor•ers' compensation polic om an name• address• � a?� o2-� # boa 9asa 'ncuran e ck,�z phone .. t.rri':. ....n"ar.'.-h-s ?1'•eZ'nf^.t'R.t"'._ T'T�•�mrY�'"►y4�'^'�N:"'�fiY'�7 •',;'f' ^�+ -.•'i" '+? +:a.ia.:iaoririy:.+:adaz:+= �r.�wJ'�..u-..'-'� _.._....:J.'Y' - iiJiil►aiiY "."7iS company name: address- city phone#• insurance co policy# �.. :Attach additional sheet if neceswx• ^•ram s^t �aaF}'grd" t Tx: lf• •I•M'r,t y', __ � �? rt • sy Fuilure to secure coverage as required under Section 25A of hIGL 152 can lead to the imposition of criminal penalties of a tine up to 51.500.00 and/or one years'imprisonment as.yell as civil penalties in the form of a STOP NVORK ORDER and a fine of 5100.00 a day against me. I understand that a copy of this statement may be forwarded to the OMcc of Investigations of the DIA for coverage verification. 1 do herehr crrtij)'tinder the pains and nalues of perjury that the information provided above is true and correct. Signature Print name Phone# official use do not write in this area to be completed by city or town official city or town: permit/liccnse# riBuilding Department Licensing Board C3 check if immediate response is required Selectmen's Office [:)licalth Department contact person: phone#• nOther (mned V93 P1A), °ptNE T� : . � The Town of Barnstable snaivsrnBc.E, • Department of Health Safety and Environmental Services ArEo .tA 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. Type of Work: A9,77 &'x io ..¢uu Est.Cost /.�y cIZIZ Address of Work: D Owner's Name �12�i-�2�' J1a�+� 0,, -� Date of Permit Application: I hereby certify that: Registration is not required for the following reason(s): Work excluded by law Job under$1,000. 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 age of the owner: 1h LI l5at6 Contractor Name Registration No. OR Date Owner's Name i LA ID elf2. �� 5 g� y � , r �, y ' \ 75°m' , ' STANDARD LEGEND 77.0 /\ / •-, note:not all symbols will oppea,oa It map C0. GOLF COURSE FAIRW _ \.../ -H�' 7 `� _f / .., ..." _...._' /• ._ DECIDUOUS TREESAY• , �\ e _ \ 7 EDGE OF BRUSH 0.3 ORCHARD OR NURSERY CONIFEROUS TREES f 7 P 1 MARSH AREA i 75°5 ,. ,!, \ GE OF WATER i� \ I J \/ \_ - EDGE ROAD (. ,7q�7 p °3 r-',.� -- J� J ) / DRIVEWAYS \`" , `� J y - t PARKING LOT J - 1.20 AC n PAVED ROAD '• _ _ 1 .f { % •a; ``� �'�` � -_ __� � DITCHES PATH �, /TRAM {� -7 PROPERTY LINES ' a LOT AREA 7 �/ Zt'" HOUSE NUMBER 1B It \ n, r - 1 f00T CONTOUR LINE 1 0 FOOT CONTOUR LINE 73.1 ' x�. SPOT ELEVATION , 5 \/ /\ ° 69 rl: E STONEWALL , , 4 7 2 /\ r' � - FENCE f '\/ f" � RETAINING WALL ; / RAIL ROAD TRACKS 74.9 .\ r L •\ /\. �a ..! / � ` ` TELEPHONE POLE • ' � r ; - I <-<-� STONE JETTY SWIMMING POOL i Cy7'7II /DICK .. PORCH " r. •. / - <.• /•\- � r } �.t �. 4 BUILDINGS/STRUCTURES r #N 40' 7 \ DOCK/PIER , .S s. t /JEIIY ASSESSOR'S MAP BOUNDARY 0.30 AC , , , TTT S I T E MA P li — I' / (r / 7. � z 0 30 AC #17 0.32 AC .. T.O.R.GEO6RAPM1(INFORMAIION SYSTEMS UNIT 9 >� 0.30 AC \/ 11« 4 , SCALE:in feet. \ 71°1 'J 0.41'A 673183 #15 /\ #213\/ i 0 50 100 r \ 72. W E -'-- 0.28 AC / i tiv 0.29 AC .... ���. 91 1 �7� 1/ �� 0.29AC i s #33 / 7 J 37 AE ; 1 l7 NOIf:IMF PA(FI ImFS AR[aNl9 GRAPXI(REPR[SINIAiIDNS OI ° PROPFRIY BOUNDARIES,iN[9AR[Nm iRDE LO(1ilONS m:h R-]-9/ #44 j J 1 #12 9 �` : .. .. FROM 190 IR RAPNF ANDS M If I IERPR IE # _"T-/ % �'' \\\ 0.30 AC .. ! I FROM 1989 AERIAL DYIRIUGNIS,,PNOIOGRAPN9 AINI-800 0 (�:30 AE. j � 11 % I MAYPLp AT 1-100'.PARCEL DATA DIGITIZED FROM 1-IOV „i/-• ,.' I l� ,, .. J '.I� ENGIH[I RING ASSFSSORS MAPS 1909 0! 2 AC .. (� ✓� -C/JQ9yfgJLO'!2U/QQ.GUL Q�✓f'GU.IW�I.LLQ(.LL6 � . DEPARTMENT OF PUBLIC SAFETY Y CONSTRUCTION SUPEP i"SOR LICENSE Number 9xpires; Restricted To.,- 00 Qr'�R�1'rtid KILLIAM L SCHULZE PO BOI 288 CENTERVILLE, MA 02632 '` _ _ L Nw A � 0 i I4V kMl rgap k 1.�W �'aTd,LLSi.tfu �r �:. 407" C ERVII s ApbO r;+- i TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map �� Parcel ®0 q�, Application # t�),�' Health Division Date Issued Conservation Division Application Fee Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation / Hyannis Project Street Address ,C.a �, ti� BLD L itwr-, Village .'i 14 \lan h:s Owner G�C e a!v\l o -e Address Telephone 1"0 53 -b Permit Request 12), -e.. .3 Ufa d- Square feet: 1 st floor: existing Voo proposed n 2nd floor: existing 40a proposed --&—Total new e, Zoning District Flood Plain Groundwater Overlay Project Valuation 5D-Qo Construction Type wt3o a+��J�A M 2 Lot Size Grandfathered: AYes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family(# units) 'c:o- Age of Existing Structure Historic House: ❑Yes allo On Old King's Highway: 4Yes:_JP No e-. ..,� Basement Type: §9 Full ❑ Crawl ❑Walkout ❑ Other �• '�' z Basement Finished Area(sq.ft.) Basement Unfinished Area (sq.ft)I i 10c)0 Number of Baths: Full: existing ` new d Half: existing newer ° Number of Bedrooms: existing 0 new ICO Total Room Count (not including baths): existing _new First Floor Room fount , Heat Type and Fuel: AGas ❑ Oil ❑ Electric ❑ Other Central Air: A.Yes ❑ No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑ No c C 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 4 Yes ❑ No If yes, site plan review# A Current Use Cv�eSy&4- a-\ Proposed Use 1Q_ d\� APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name Telephone Number Address 5 License # 0"3 C> 1 Home Improvement Contractor# e Worker's Compensation # �' Cag ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE S .4 FOR OFFICIAL USE ONLY APPLICATION# DATE ISSUED ' i MAP/PARCEL NO. .F ADDRESS VILLAGE OWNER F r i DATE OF INSPECTION: FOUNDATION " FRAME k INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL 1 FINAL BUILDING r DATE CLOSED OUT ' ASSOCIATION PLAN NO. 't r The Commonwealth of Massachusetts Department of Industrial Accidents w Office of Investigations ' d 600 Washington Street Boston,MA 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Le gib Name(Business/Organization/Individual): . AT-k Address: ,� 5 City/State/Zip: 9:f-A Jz,,r va�\� �pt Phone.#: Sa�s'r Z�k G C Are you an employer?Check the appropriate box: Type of project(required):: 1.`�I am a employer with ft 4. ❑ I am a general contractor and I have hired the sub-contractors` 6. ❑New construction . . employees(full and/or part-time).*. 2.❑ I am a'sole proprietor or partner listed on the-attached sheet. 7. ❑Remodeling ship and have no employees These sub-contractors have 8. ❑Demolition working for me in any capacity. employees and have workers' 9. ❑Building addition [No workers'comp.insurance comp,insurance.$ . required.] 5. ❑ We are a corporation and its 10.❑Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their 11.❑Plumbing repairs or additions myself. [No workers' comp. right of exemption per MGL 12.❑Roof repairs insurance required.]t c. 152, §1(4), and we have no employees. o workers' 13.❑ Other [l`I comp.insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. $Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. t Insurance Company Name: y Policy#or Self-ins.Lic.#: �� �C3�l Expiration Date: \8— �— \ Job Site Address:. Vvrmk e 4 $ •�,AtA-Q_ City/State/Zip: C�.�.�� d kA da(v 3 Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). Failure.to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK.ORDER and a fine of up to$250.00 a day against the violator.-Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby c ti under the i and enalties of perjury that the information prov' d abo a is true and correct. Signafore:. Date: ad !� Phone#: �_",90 Official use only. Do not write in this area,it)be completed by city or town official City or Town: Permit/License# Issuing Authority(circle one): .1.Board of Health 2.Building Department 3.City/Town Clerk 4.ElectricaI Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: Information and Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers'compensation for their employees. Pursuant to this statute, an employee is defined as"....every person in the service of another under any contract of hire, express or implied,oral or written." An employer is defined as"an individual,partnership,association,corporation or other legal entity,or any two or more of the foregoing engaged in a joint enterprise, and including the legal representatives of a deceased employer,or the receiver or trustee-of an individual,partnership,association or other legal entity,employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein,or the occupant of the dwelling house of another who employs persons to do maintenance,construction or repair work on such dwelling house or on the grounds or building appurtenant theretoshall not because of such employment be deemed to be an employer." MGL chapter 152, §25C(6)also states that"every state or local licensing agency shall withhold the'issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced,acceptable evidence of compliance with the insurance coverage required." Additionally,MGL chapter 152, §25C(7)states"Neither the commonwealth nor any of its political subdivisions shall enter into any contract for.the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority." Applicants Please fill out the workers'compensation affidavit completely,by checking the boxes that apply to your situation and,if necessary,supply sub-condactor(s)name(s),address(es)and phone number(s)along with their certificate(s)of insurance. Limited Liability Companies(LLC)or Limited Liability Partnerships(LLP)with no employees other than the members or partners, are not required to carry workers'compensation insurance. If an LLC or LLP does have employees, a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested,not the Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy,please call the Department at the number listed below. Self-insured companies should enter their self-insurance license number on the appropriate line. City or Town Officials Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permit/license number which will be used as a reference number. In addition, an applicant that must submit multiple permit/license applications in any given year,need only submit one affidavit indicating current policy information(if necessary)and under"Job Site Address"the applicant should write"all-locations in (city or town)."A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a. valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year.Where a home owner or citizen is obtaining a license or permit not related fo any business or commercial venture (i.e.a dog license or permit to bum leaves,etc.)said person is NOT required to complete this affidavit. The Office of Investigations would like to thank you in advance for your cooperation and should you have any.questions, please do not hesitate to give us a call. The Department's address;telephone�-and fax number:. .The CommonweaM of Massachusetts ; Department of lndustrial Accidents Offlec of Investigations 600 Washington Street Boston,IOTA 02111 Tel. ##617-727-4900 ext 406 or 1-877-MASSAFE Revised 11-22-06 Fax# 617-727-7749 www.ma.ss.gov#dia WORKERS COMPENSATION ':. . AND EMPLOYERS LIABILITY POLICY ` M TYPE AR INFORMATION PAGE WC 00 00 01 ( A) POLICY NUMBER: (7PJUB-4869PO8-1 -12) RENEWAL OF (7PJUB-4869PO8-1 -11 ) INSURER: TRAVELERS PROPERTY CASUALTY COMPANY OF AMERICA NCCI CO CODE: 13579 1. INSURED: PRODUCER: DEAN F STANLEY BUILDING 27JDD CONTRACTOR INC NORTHWOOD ESHBAUGH INS A 359 CAPT LIJAHS ROAD 540 MAIN STREET CENTERVILLE MA 02632 HYANNIS MA 02601 Insured is A CORPORATION Other work places and identification numbers are shown in the schedule(s) attached. 2. The policy period is from 10-05-12 to 10-05-13 12:01 A.M. at the insured's mailing address. 3. A. WORKERS COMPENSATION INSURANCE: Part One of the policy applies to the Workers Compensation Law of the state(s) listed here: MA B. EMPLOYERS LIABILITY INSURANCE: Part Two of the policy applies to work in each state listed in item 3.A. The limits of our liability under Part Two are: Bodily Injury by Accident: $ 100000 Each Accident Bodily Injury by Disease: $ 500000 Policy Limit Bodily Injury by Disease: $ 100000 Each Employee C. OTHER STATES INSURANCE: Part Three of the policy applies to the states, if any, listed here: COVERAGE REPLACED BY ENDORSEMENT WC 20 03 06A o� D. This policy includes these endorsements and schedules: r SEE LISTING OF ENDORSEMENTS - EXTENSION OF INFO PAGE o� _ 4. The premium for this policy will be determined by our Manuals of Rules, Classifications, Rates and Rating Plans. All required information is subject to verification and change by audit to be made ANNUALLY. DATE OF ISSUE: 09-28-12 ML ST ASSIGN: MA OFFICE: DIRECT ASSIGNMENT 701 PRODUCER: 27JDD 73KGG 001786 fr.Alrbor raee ox 46 Centerville MA 02632 October 24, 2012 Building Department Town of Barnstable Main Street Hyannis,MA 02601 Dear Sirs: This note is to provide.proof that the work to be done at Building 1 Unit B, 1180 "°' C,.,:) Phinney's Lane, Centerville, MA has been approved be the Board of Trustees!arid s1 consists of removal and replacement of windows,removal and replacement 4-front door., removal and replacement of front screen door and installation of sky light in roof in back,) of unit. Very truly yours, George H. Bartlett Property Manager ------------------------- ✓`ee Vi o�nmxaauu� a��/�aaaac/u�aeCCa . . Office of Consumer Affairs&Business Regulation License.or registration valid for individul use only HOME IMPROVEMENT CONTRACTOR before the expiration date.-`If-found return to: I Registration"11,1 149 Type: Office of Consumer Affairs and Business Regulation Expiration F 11/2812012- Individual 10 Park Plaza-Suite 5170 . t Bostony MA,02116 DEAN F.STANL`r ` .i sQ�xtF b DEAN STANLEY ' t r 359 CAPT. LIJAH RD CENTERVILLE, MA 02632 Undersecreta_ r Not valid without signature Massachusetts-Department of Public Safety j Board of Building Regulations and Standards j Construction Supervisor License: CS-035037 DEAN F STA11> Y 359 CAPTAIN Ll jAMWRD CENTERVU LE MA 02632 h 1 - f ' �Cv yy - ' t►�►�� Expiration Commissioner 01/19/2014 1HEl Town of Barnstable Regulatory Services BAMMy KAM.LF Thomas F.Geiler,Director rEn 39. 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 as Owner of the subject J property hereby authorize to act on my behalf, in all matters relative to work authorized by this building permit application for. (Address of Jo ) \oho Signaturey Owner Date Print Name If Property Owner is applying for permit please complete the Homeowners License Exemption Form on the reverse side. QTORM&O WNERPERMISSION Town of Barnstable Regulatory Services BARNSTABLE, : Thomas F.Geiler,Director 16 9. ��� Building Division rFD MAC A 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 LOCATION: number street village "HOMEOWNER": name home phone# 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 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 requirements. Signature of Homeowner ' Approval of Building Official t Note: Three-family dwellings containing 35,000 cubic feet or larger willbe'required to comply with t e 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