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Home My WebLink About0005 SEAGATE LANE C:JIJ`, I e Town of Barnstable o, Building .., .-. . •.,-ice k„ z ... - Post This Cacd>So That rt is`.Vis�ble From the Sheet=A rovedlanSsr,Must�be-Retamed,onJoband„this Card Must be Kept ,,,, ,' � RNl3T'Afti.F' :z. .,,�, s C,, , p p �, •" b Posted Until Final Inspection Has CuSBeen Made y ° 11Uhere a Certifcateof Oc ` ancisreRe erred<such Buildin shall Not;;be,Occu red until a,Finah Ins ection;:ha,s been made 1 .Per In l .;.� ✓._. u.==� „4 ua''J Permit No. B-18-1794 Applicant Name: Jonathan Whipple Approvals Date Issued: 07/02/2018 Current Use: Structure Permit Type: Building-Insulation-Residential Expiration Date: 01/02/2019 Foundation: Location: 5 SEAGATE LANE,HYANNIS M. Map/Lot: 248-026 Zoning District: RB Sheathing: Owner on Record: KLIMAS,ARVYDAS P& ROBYN E .. Contractor Narne,� JONATHAN N WHIPPLE Framing: 1 Address: P O BOX 771 Contractor license: CS078683 2 NORTH OXFORD, MA 01537 Est: Project Cost: $3,374.00 Chimney: Description: Insulate attic and air sealing Permit Fee: $85.00 Insulation: Project Review Req: Fee Paid; $85.00 ®ate. 7/2/2018 Final: Plumbing/Gas x � 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 m?i6s after issuance. Rough Gas: All work authorized by this permit shall conform to the approved application and the`approved construction documents for which this permit has been granted. with h local zonin b laws and codes: Final Gas: All construction,alterations and changes of use of any building and structuresshall be m compliance t t e & y This permit shall be displayed in a location clearly visible from access street or<road and shall be maintained open for public inspection for the entire duration of the work until the completion of the same. Electrical _ Service: The Certificate of Occupancy will not be issued until all applicable si natures b ;the Buddm and Fire Officialsare roVided on this permit. P Y PP g Y B ,.P Minimum of Five Call Inspections Required for All Construction Work:,` Rough: 1.Foundation or Footing 2.Sheathing Inspection Final: 3.All Fireplaces must be inspected at the throat level before firest flue lining is installed 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection Low Voltage Rough: 5.Prior to Covering Structural Members(Frame Inspection) 6.Insulation Low Voltage Final: 7.Final Inspection before Occupancy Health Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. 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). Fire Department Building plans are to be available on site Final: All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT °pIHE TAw Town of Barnstable *Permit# Expires 6 months from issue date Regulatory Services Fee �35 Thomas F.Geiler,Director �EDMA'Ia Building Division XPRESS PERMIT Tom Perry,CBO, Building-Commissioner 200 Main Street,Hyannis,MA 02601 FEB 2 2 2012 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 EXPRESS PERMIT APPLICATION - RESIDENTIM'SMW BARNSTABLE Not Valid without Red X-Press Imprint Map/parcel Number b a. Property Address G7 3 IZA G A 71 LA N E 4\A 1`t N IS gResidential Value of Work)*3 d DO, Minimum fee of$35.00 for work under$6000.00 Owner's Name&Address RaMA R RV Y V aS S G ATV 1,N. 14�fd )ywl S MA, Contractor's Name A/11A Telephone Number 15L �� d Home Improvement Contractor License#(if applicable) A11 A Construction Supervisor's License#(if applicable) 1VV A ❑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 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. A copy of the Home Improvement Contractors License&Construction Supervisors License is required. SIGNATURE: C:\Users\decollikWppData\Loca1\Microsoft\Windows\Temporary Internet Files\Content.0utlook\DDV87AAZ\EXPRESS.doc Revised 072110 The Commonwealth ofMassachuseta .OfDepartment of Industrial A c ident~s Office of Invatigations 600 Washington Street _ Boston,MA 02111 www.mass gov/dia ' Workers' Compensation Insurance Affidavit: Builders/Contractors/FIectricians/Plumbers Applicant Information Please Print Legibly Name(Busmessiaptnization/Individual):. IXu`( 4I�1-I A ►L t.sN^/�;� •Address: L t City/State/Zip: Phone.#: �U. -7 T 5'_ "7/U v Are you an employer?Check the appropriate bog: a of i o'act(required):.' 4. I am a general contractor and I Type P ] 1.❑ I am a employer with ❑ g . • employees(fan and/or part-time).*. have hired the mb=contractors 6. ❑New construction 2.❑ I am a•sole proprietor or partner- listed on the-attached sheet 7. ❑Remodeling and have no employees These sub-contractors have �P �P Y 8. ❑Demolition - • working for me in any capacity. employees and have workers' ❑ [No workers' comp.inc„n nce comp.insurance.$' 9. Building addition required.] : 5. ❑ We are a corporation and its 10.0 Electrical repairs or additions 3.�I am a homeowner doing all work officers have exercised their 1LE1 Plumbing repairs or additions myself [No workers'comp. right of exemption per MGL IZ. Roof repairs insurance required.]t c. 152, §1(4), and we have no ❑ employees. [No workers' . 13.❑ Other Pomp.insurance required.] *Any applicant that checks box#1 most also M 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-coutractors and state whether or not those entities have employees. If the sub-contractors bare employees,they must provide their workers'comp.policy number. lam an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: Policy#or Self-ins.Lic.# Expiration Date: lob Site Address: City/State/Zip: 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 foe 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 Iuvestiyations of the DIA for insurance coverage verification. I do hereby certi der the pains•and p enaltie of perjury that the information provided above is true and correct Si e Date: a�L—O�•a " Phone#: Official use only. Do not write in this area,to be completed by city or.town qfficiaL .. t City or Town: PermitUcense# Issuing Authority(circle one): ."1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6. Other Contact Person: Phone#: f �IK*ati Town of Barnstable Regulatory Services 9 ssB�' n � Thomas F.Geiler,Director i639• �0 '01E0Mp'lA 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: a +a.a—1)I /� L ^ JOB LOCATION: l7 S IFA &A T1 F L'1`l, 4"1 Imo.N I y tl-S number ,�w street ?Z village "HOMEOWNER": � 'IVY(SAS �{LZI VYS " `(' "� -J J 5 -71 DO name home phone# work phone# CURRENT MAILING ADDRESS: PC, U 0 V 771 N. o t rU2o 014, oL07 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. Sig1rilreFf Hoifeowner 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." . I 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. C:\Users\decollik\AppData\Local\Microsoft\Windows\Temporary Internet Files\Content.Outlook\DDV87AAZ\EXPRESS.doc Revised 072110