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HomeMy WebLinkAbout0032 PITCHER'S WAY MEMO- I I i � r� � jN ov �s q b MoAsuia Town of Barnstable Building matuarnr [Post.Thi's Card So That it is Visible From the Street-Approved Plans Must be Retained on'Job and:.this Card Must be Kept . f Posted Until Final Inspection Has Been Made. �y.yY��* sw .� - � � � - � _ j �l�ijj 1. a .Where a Certificate of Occupancy is Required,such Building shall Not be Occupied until a Final Inspection has been made. 1 Permit NO. B-19-476 Applicant Name: William McCluskey Approvals Date Issued: 02/15/2019 Current Use: Structure Permit Type: Building-Insulation-Residential Expiration Date: 08/15/2019 Foundation: Location: 32 PITCHER'S WAY, HYANNIS Map/Lot 289g065 Zoning District: RB Sheathing: Owner on Record: SULLIVAN, LEE ANNE TR _ Contractor Name WILLIAM J MCCLUSKEY Framing: 1 Contractor:License: CSSL-102776 Address: 32 PITCHER'S WAY 2 i . HYANNIS, MA 02601 Est. Project Cost: $3,700.00 Chimney: Description: Add R-13 fiberglass, R-19 fiberglass,and R-10 rigid insulation to the 1' <Permit.Fee: $85.00 attic.Add R-10 rigid insulation to the basement. Air seal th`e attic i ( Insulation: plane and basement with expanding foam. General weatherization. { >Fee Paid:' $85.00 i Date: 2/15/2019 Final: Project Review Req: signed installers certificate required to close � -9— Plumbing/Gas Rough Plumbing: .Building Official Final Plumbing: This permit shall be deemed abandoned and invalid unless the work authorized by this permit is commenced within six months after,issuance. All work authorized by this permit shall conform to the approved application and theapproved construction documents for which this permit has been granted. Rough Gas: All construction,alterations and changes of use of any building and structures shall be in compliance with the local zoning by-laws and codes. This permit shall be displayed in a location clearly visible from access street or road and shall be maintained open forrpublic inspection for the entire duration of the Final Gas: work until the completion of the same. Electrical The Certificate of Occupancy will not be issued until all applicable signatures by the Building and Fire Officials are provided on this permit. Minimum of Five Call Inspections Required for All Construction Work: Service: 1.Foundation or Footing Rough: 2.Sheathing Inspection 3.All Fireplaces must be inspected at the throat level before firest flue lining is installed Final: 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection 5.Prior to Covering Structural Members(Frame Inspection) Low Voltage Rough: 6.Insulation 7.Final Inspection before Occupancy Low Voltage Final: Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Health Work shall not proceed until the Inspector has approved the various stages of construction. Final: "Persons contracting with unregistered contractors do not have access to the guaranty fund" (as set forth in MGL c.142A). Building plans are to be available on site Fire Department All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT Final: Town of Barnstable o [ *Permit Expires 6 monthaomue date Regulatory Services Fee • snntvsrMM • 3 9. Thomas F.Geiler,Director Building Division Tom Perry,CBO, Building Commissioner 200 Main Street,Hyannis,MA 02601 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 Property Address Residential Value of Work Minimum Minimum fee of$35.00 for work under$6000.00 Owner's Name&Address e 464 P la 6A pl�y&rs W/4Y n.41( Contractor's Name &-t,i4hwudk. Telephone Number. 07 Home Improvement Contractor License#(if applicable) Construction Supervisor's License#(if applicable) IT � ._Fjb ❑Workman's Compensation Insurance Check one: 1 SEP 2 � ❑ I am a sole proprietor ❑ I am the Homeowner I have Worker's Compensation Insurance TOWN OF BARNS I ABLE Insurance Company Name Workman's Comp.Policy# M ,, 5 I zo % 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 j Replacement Windows/door slider U-Value b (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. A copy of the Home Improvement Contractors License&Construction Supervisors License is eq it SIGNATURE: (?J .,/Z-f C:\Users\decollik\AppD ta\Local\Microsoft\Windows\Temporary Internet Files\Content.Outlook\DDV87AAZ\EXPRESS.doc Revised 072110 The Cotr►mon"wakh of iW ssachuselts Department of Industrial Accidertts t Office of 1westigations 600 Washington Street Boston,M4 02111 ",niv.mtas:s govIdia Workers' Compensation Insurance Affidavit: Boulders/Contractot-s/Electi-icians,'Plumbers applicant Information Please Print Ltgjhly Natue(Busuw&i Orgauizanomindii•idug): Address: City'State zip: j e# . �-Z(?(JF o7 C)I Arreyoo an employer?Check the appropriate boa-. Tape of project(requirrrd) l.L 1 am a employer with�_ astt a get ca I l contzacCor and I employees(full and.'or part-time).* have homedsub-contractors the s -contractors h 'Construction listed on the attached sheet- �- ❑Remodeling 2.❑ I am a sole proprietor or partaner- I ship and have no employees These sub-contractors have g_ ❑Demolition working for me in any capacity. employees and have workers.-9- ❑ Building sdditiou i [No corkers' comp.insurance comp.insurance..= required.] 5 � We are a corporation and its l0.❑ Electrical repairs or sddshon � 3.❑ I am a homeowner doing all work offreers have exercised their 11.0 Plumbing repair s or addition � myself. [No uxorken'comp. nglM of exeWticnu per MGL 12.❑Roof repairs j insurance required] c- 1527§1(4),and we has-e no % employees-[No work,' 13.[}-Other comp-insurance required-] -- -- •Aur applicant that checks box#1 must also fill out the section below showing their workers'compensation policy infonnatian Hoz ieo>izicts who submit this affidas°it indicating they are doing rill worts and therm hire outside contractor must submit a new affidat a indicsti:ig Such -Contractors that check this box mwa attached an additional sheet showing the nmme of the s rca®trsctars and state itbethet or not those ent-fi have employees. If the sub-:oacwtors have employees_they must pwvide their wakens comp.policy number. I am an employer that is prosnding i4wrkers'congwnsiation insurance for rrt}entplvyees. Below is the policy and job site information. Insurance Company Nance a -- —-- - Polic;, N or Self ins.Lic.#: l/ Expiration Date: - i �s 'Ili 6 - Jab Site Address: City,�State�`Zig:. Attach a coPy of the workers'compensation policy declaration page(showing the policy-number and expiration datel. Failure to secure coveragee as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to S 1.500.00 and"or one-year imptisonment;as well as chit penalties in the form of a STOP WORK ORDER and a fine of up to$250M a day against the-,-iolator- Be a&rtsed that a copy of this statement may be forwarded to the Office of lux-estigations of the.DIA for insurance coverage verification. I do hereb• fi under the pains and penalties ofperjn►S that the information prodded above is true and correct. Si store:'; Date: -l -_-.--- Phone# — QJ•j'icial use only. Do not write in this area,b be completed by city or town o•,(}Scial. City or Town: PermitfLicesse# ---------_._-- Issuing Authority(circle one): - 1.Board of Health 2.Building Department 3.Uty(Totsvrr Clerk a.Electrical Inspector 5.Plumbing Inspector 6.Othev Contact Person: Phan#:_ — --- I Client#:9742 2BAKERAS DATE(MMIDDfYYYY) ACORD- CERTIFICATE OF LIABILITY INSURANCE 1 05/02/2011 6 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY,THE POLICIES BELOW.THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. - -- ---—- -- ----::-—----- -:- _ --- .. - -- - --- -- - - - — IMPORTANT:If the certificate holder Is an_ ADDITIONAL INSURED---..--,the—policy(ies-)must---- be endorsed.---------- If SUBROGAT-ION- —IS-W AIVED---- -,subj—ect to- the terms and conditions of the policy,certain policies may require an endorsement.A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT NAME: ---- ow IngO'Neilnsurance PHONE 508 775-1620 T ac,No 5087781218 Agency E-MAIL 973 lyannough Rd., PO Box 1990 ADDRESS: I'. INSURER(S) Hyannis,MA 02601 AFFORDING COVERAGE F - _.....__._... _--. NAIC tI INSURER A:National Grange Mutual Insuranc INSURED INSURER8:Associated Employers Insurance Baker 8 Associates,lnc. INSURER C: P O Box 923 -------— __ - --- .._. INSURER D: Centerville,MA 02632-0071 ---------- ---...___._ -_----.,_-------------___--__-__ INSURER E: INSURER F COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACTOR,OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS. EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS, INSR TYPE OF INSURANCE ADDL SUBR POLICY EFF POLICY EXP -------------- LTR _ _ INSR WVD _ POLICY NUMBER MMIDDM'YY MM/DDIYYYY LIMITS — A GENERAL LIABILITY i MPJ7223M 04119/2011.04/19/20121 EACH OCCURRENCE _ $1 000,000 !DAMAGE TO ER NTED $500 000 X�COMMERCIAL GENERAL LIABILITY I PREMISES�Ea occurrence) =_ - — MED EXP(Any one person) $10,000 _ I CLAIMS-MADE j Xl OCCUR j _-. _ PERSONAL BADVINJURY $1,000,000 j GENERAL AGGREGATE 52,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $2,000,000 _ PRO- -- POLICY LOC ---- _._— .. 1 AUTOMOBILE LIABILITY i COMBINED SINGLE LIMIT _! IEa accident) __ .. ...... �. i ---jANY AUTO I BODILY INJURY(Per person) $ - i --- - I--- -- - I ALL OWNED ( SCHEDULED I BODILY INJURY(Per accident) $ 0 AUTOS _-�AUTOS I I NON-OWNED PROPERTY DAMAGE I HIRED AUTOS AUTOS ( Per accident UMBRELLA LIAR ! OCCUR — EACH_OCCU_RREN_Cc_ -- ~~EXCESS LIAR _ S-MADE !AGGREGATE DIED L�RETENTION$ ----- ---- ------ ---- -- --•---"— _.. ..-____. I § --"I - - WC STATU- OT H- WORKERSCOMPENSATION i B WCC5002454012011 4123I2011 04123/2012X IT4RY LIMIT3_ FR AND EMPLOYERS'LIABILITY y/N I - }} ANY PROPRIETOR/PARTNERJEXECUTIVE--"" I E L EACH ACC_IDE_NT $500,000 9 OFFICERIMEMBER EXCLUDED? L nj I!N/A (Mandatory in NH) i _EEL EE_DISEASE-EA EMPLOY $500,000 If yes,describe under �— E.L.DISEASE-POLICY LIMIT II$500,000 DESCRIPTION OF OPERATIONS below L------ - I � j I j i DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(Attach ACORD 101,Additional Remarks Schedule,if more space is required) Insurance coverage is limited to the terms,conditions,exclusions,other limitations and endorsements. Nothing contained in the certificate of insurance shall be deemed to have altered,waived,or extended the j coverage provided by the policy provisions. - 1 i CERTIFICATE HOLDER CANCELLATION Town of Barnstable SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE t THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Thomas Perry ACCORDANCE WITH THE POLICY PROVISIONS. 200 Main Street Hyannis,MA 02601 AUTHORIZED REPRESENTATIVE t ©1988-2010 ACORD CORPORATION.All rights reserved. ACORD 25(2010/05) 1 Of 1 The ACORD name and logo are registered marks of ACORD #S80402/M80401 LS1 \R.ra..r lunr;l 1),pI lII[Ilk'If( "I Yrrl ll: ' .rl; 1. 1 hn:u'r1 <,i. tZuil�lin� Itc•�ulattnu, ,uul �I,iuri.11�?, ` - Construction Supervisor Li cense +cense i rk:ense: CS 6714 Restricted to: 00 RICHARD P GARNEAU JR 251 WOODSIDE RD W BARNSTABLE, MA 02668 „rwrn••„nrr 25310 '. Off" of Consumer Attars �nc113iness RegUkltion -b 10 Park Plaza - Smite 5170 Boston, Massachusetts 02116 Home Improvement Contractor Registration ReUistratiorl 16260)0 1 VPe SUPI)lenli}I'li BAKER & ASSOCIATES INC. Expiration 'i/26/2013 RICHARD GARNEAU 521 SHOOTF.LYING HILL RD CENTERVILLE, MA 02632 Update Address and return card. Mark rcasnn tnr ctwu Address Renewal Floplovmrnt I.o,t ti (llli(;•ut(bn,unu'r;\[fair,& Ru+incss RcFulation License or registration valid for individul use only before the ex 11£3ME IMPROVEMENT CONTRACTOR piration date. If found return to: !`« Office of Consumer Affairs and Business ReLulalion - :Registration: 162600 Type: 10 Park Plaza-Suite 5170 Expiration: 3/26/2013 Supplement Card Boston,MA 021 Ih , T!?;C ASSOC iATES INC. ARCI t:ARNFAU •R- rRV!i_!..L. MA 026:32 . [ndersccrctars• Not valid without signature t � /BAKER crloNsr .9UMP&ASSOCIATEs,INC. 'and UESIGiv P.O. Box 923 Lee Anne Sullivan Phone: 508 362 2445 Centerville, MA 02362 Fax: 508 362 6115 �2 p1tC}lerS Way Email:info@bakercape.com Hyannis,MA Project description: VINYL PATIO DOOR Remove existing patio door and replace with new Harvey Regency vinyl rolling patio door to match. All materials used are of first quality vinyl, aluminum coil, pine, ect. Materials and workmanship will meet or exceed all state building codes. All work to meet manufacturer's specifications. Baker & Associates Inc. is fully insured and licensed, and warranties its workmanship for two years. To include the following: Replace any rotted pine trim, plywood, framing, ect. on a cost plus basis, work to be done only upon written approval of home owner. 7 Remgyal of existing door. New door to be set into bead of silicone. door to receive lead pan flashing at threshold. P e all interior trim with new pine trim to match existing. R�place all exterior trim with new pine to match existing. Door to have: Lifetime Warranty: Vinyl frame Glass & mechanical parts for defects Seal failures & stress cracks Fusion welded sash corners. :Heavy-duty tempered vinyl extrusions have a minimum .10 wall thickness. Meeting rails and locking stiles reinforced with heavy gauge aluminum_ Includes heavy-duty screen with extruded aluminum frame and fiberglass mesh screening. 7/811 insulating double pane glass. Dual. durometer glazing. The Best of Cape Cod Living Begins with Your Horne Energy Star rated * Advantedge — Double Low E /Argon gas with warm edge glazing. .31 U-value Internal colonial grills. Brushed nickle Flush mount dead bolt Removal of old door and other debris from property. Not to include any painting or staining. We propose hereby to famish material and labor — complete in accordance with above .specifications, for the sum of. Total Cost: $2,044. All material is guaranteed to be as specified. All work to be completed in a vk1orknianlike manner according to standard practices. Any alteration or deviation from above specifications involving extra costs will be executed only upon written orders, and will become an extra charge over and above the estimate. All agreements contingent upon 4trike,s, accidents or delays beyond our control. Our workers are fully covered by Workrn.an's Qonipet t -an Authorized Signature: Murk Baker Acceptance of Proposal— The above prices, specifications and conditions are satisfactory and are hereby accepted. You are authorized to do the work as specified. Payment will be made as outlined above. i.vocation of proposed work: Lee Anne Sullivan 32 Pitchers Vijay yannis, MA i (.1tistorner Signature; 1 � ,__ 0 ZCQ '-1tt' d:2f Acceptance: -=--------- i TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel 6� a Permit# (0 6 Health Division Date Issued 9 7 Conservation Division r l 7 Application Fee d to - 00 Tax Collector Permit Fe Treasurer eo r_-40 Planning Dept. Date Definitive Plan Approved by Planning Board Historic-OKH Preservation/Hyannis Project Street Address J-L / /7G/! G✓�"I Village A4,f j9i✓,-i f Owner f}i1 a��[l.�a �o A-K(w•- Add ress P.O. It D54644A �/'h4- Telephone S Z_ 20 Permit Request / 'N d ft L-,o 0'. Square feet: 1 st floor: existing 0 proposed L010 2nd floor: existing 440 proposed 8 Total new /` Zoning District Flood Plain Groundwater Overlay A. Project Valuation, 000 Construction Type Lot Size _ ( A.C-K 4 Grandfathered: 0 Yes 0 No If yes, attach supporting documentation. Dwelling Type: Single Family / Two Family ❑ Multi-Family(#units) Age of Existing Structure Historic House: 0 Yes o On Old King's Highway: ❑Yes eNo Basement Type: &'Full ❑Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full: existing new Half: existing 0 new O Number of Bedrooms: existing_ new A- Total Room Count(not including baths): existing I new S -First Floor Room Count Heat Type and Fuel: /Gas ❑Oil ❑Electric ❑Other Central Air: M Yes ❑No Fireplaces: Existing / New Existing wood/coal stove: ❑Yes a<0 Detached garage:❑existing ❑new size Pool: ❑existing 0 new size Barn:0 existing ❑new size Attached garage:❑existing ❑new size Shed:O existing ❑new size Other: Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes ❑No If yes,site plan review# Current Use S 1 Proposed Use I BUILDER INFORMATION Name r" Telephone Number Address License# Home Improvement Contractor# Worker's Compensation# ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE FOR OFFICIAL USE ONLY, PER—WT NO. DATE ISSUED rl MAP/PARCEL NO. 1f ADDRESS 4 f VILLAGE,- • ^ - OWNER DATE OF INSPECTION: o o FOUNDATION FRAME Fn M s�/ INSULATION ,9 ^1,6�a 3�/d/�p ')n o A FIREPLACE •` ELECTRICAL: ROUGH FINAL r '. PLUMBING: ROUGH FINAL ;f GAS: ROUGH FINAL-- FINAL BUILDING DATE'CLOSED OUT, ASSOCIATION PLAN NO. '' .A. i J Town of Barnstable :Regulatory Services BARNSPABLE. 'Mass. Thomas F.Geiler,Director 9`b i679' Building Division g Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 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 ' exceptions,such residence or building be done by registered contractors,with certain p tions along with other requirements. wa Type of Work:_&,M#v'evael Estimated Cost Oj 000 Address of Work: ��• � ~f 0714 Owner's Name: �'�`� Date of Application: I hereby certify that: Registration is not required for the following reason(s): ❑Work excluded by law ❑Job Under$1,000 ❑ lding 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 Na Q:forms:homeaffidav The Commonwealth of Massachusetts -�� Department of Industrial Accidents office of/o�estigalioos 600 Washington Street Boston,Mass. 02111 Workers' Compensation Insurance AM davit /%/////%//////%%//%%%%%%%%%//%%/�//O namee� location. 3 Z Yf r//� ne# ci ho ❑ I am a hotaeowner performing all work myself. ElI am a sole proprietor and have no one worlds in ca acity din workers' co ensation for my employees working on this job.:.:::::?:y}}:: < . <... an em 1 er rovl g mP :...:.....::?.,::.:.::.:::::...:...... I am P ::::n:•:....................,.:.::::.::::... 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As quoted from the "law", an employee is defined as every person in the service of another under any contract of hire, express or implied, oral or written. - hi assoc iatior co oration°of'other legal entity, or any two or more of artners � rP An employer\is defined as an individual,P P�, the foregoing engage n a d i joint enterprise, and including the legal representatives of a deceased employer, or the receiver or J rP 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 thereto shall not because of such employment be deemed to be an employer. MGL chapter 152 section 25 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,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 y lease fill in the workers' compensation affidavit completely,by checking the box that applies`to your situation and P F. 'address and phone numbers along with a certificate of insurance as all affidavits may be supplying companynames, submitted to the bepartmeirt of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and k 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 can the Department at the number listed below. PION City or Towns 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 pei:r t/licens 'number which will be used as a reference number. The affidavits may be returned io the Department by mail or FAX unless other arrangements have been made. The Office of Investigations would like to thank you in advance for you cooperation and should you have any questions. please do not hesitate to give us a call. Department's address,telephone and fax number. The Commonwealth Of Massachusetts Department of Industrial Accidents amce of Invesugatlons 600 Washington Street Boston,Ma. 02111 fax#: (617) 727-7749 phone #: (617) 727-4900 ext. 406, 409 or 375 f RESIDENTIAL BUILDING PERlVIIT FEES APPLICATION FEDa-`t New Buildings,Additions $50.00 Alterations/Renovations $25.00 ; Building Permit Amendment $25.00 I FEE VALUE WORKSHEET NEW LIVING SPACE 1 6 __square feet x$96/sq.foot= 7plus from from below(if applicable) ALTERATIONS/RENOVATIONS OF EXISTING SPACE r, 1040 square feet x$64/sq.foot= �� S� � x.0031= plus from below(if applicable) ACCESSORY STRUCTURE>120 sq.ft. >120 sf-500 sf $35.00 >500 sf-750 sf 50.00 >750 sf- 1000 sf 75.00 >1000 sf- 1500 sf 100.00 >1500 sf-Same as new building permit: square feet x$96/sq.foot= x .0031= STAND ALONE PERMITS IV/ Open Porch x$30.00= (number) Deck x$30.00= (number) Fireplace/Chimney x$25.00= (number) Inground Swimming Pool $60.00 Above Ground Swimming Pool $25.00 Relocation/Moving $150.00 (plus above if applicable) Permit Fee r I C � C � r�. j The Town of.Barnstable Regulatory Services Thomas F. Geiler, Director Building Division Tom Perry, Building Commissioner 200 Main Street,Hyannis MA 02601 Office: 508-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION Please Print DATE: (Z Z" o 2-- JOB LOCATION: 3Z f��'r`-r Lc/ �"'� ( 4,,V✓V l f number street village "HOMEOWNER": 14 Nct �Io-,.,r �-Vz 7 3 G-S Z.Z.- name home phone# work phone# CURRENT MAILING ADDRESS: P'O— x ` 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 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) 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. Signatur 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. A Q �9 y er fl �� O H y 1. Ali •..S I• �P4f aK���ryry��T`e`".''1! - dD I SMOKE VETEOTOR PEOUtREMM$ SMOKE DETECTORS O.K. Y` ;..• OW LAW. EVEMI-HEADDITION OF A BEDROOM L YRIGGER AN �, /k) �_I( I t:*kDR. OF T-H DETECTORS BARNSTABLE B Il.DIN G DDEPT. 'H9 WHOL11 A ' $ YOU MIDST ' E ACCORCOIN 0 HAVE YOUR L r F RICIAN E APPROPRIATE ? . r e er ,.c k { t3 s y ' 3 I � � c Svc coo '.J 1 3r. i ' f - E o o- C f v G � C d` r l N S c � Y • f I i):h'I.1; III i l d R T I t' o I I . � r 13 122 � I 23 I � � 2,, 217 7_cs � i 7 � I , _ r t7 1 - 0 i.� : } I _ 71 17 I 23 .zc7 7G I z4I � z_, Z, 1 -- ?i o i I • ' S 1 / 1 i.l . 1 400000000-00.0 4010 r� r--� c i i 1 �j