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0037 THANKFUL LANE
oZA i TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map ' �, Parcel ©� Permit# O Health Division q�r Z-6 3 6> F,►�1. Date Issued 7—Af � o� Conservation Division 61T11T 04k- Loir Plow Application Fee o� Tax Collector IOU Permit Fee s Treasurer " SEPTIC SYSTEM MUST BE PlanningDept. INSTALLED IN COMPLIANCE P WITH TITLE 5 ENVIRONMENTAL CODE AND Date Definitive Plan Approved by Planning Board TOWN RE Historic-OKH Preservation/Hyannis Project Street Address -4-1 119 ►nL LA Villageaz OwnerL&*A Address vS 'f o Telephone #a 6 c , o Permit Request E411CKAAd S_X_ , kL.- n# ` o -„ _P— M Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation D® Construction Type Lot Size Grandfathered: ❑Yes ❑No If yes,attach supporting documentation. Dwelling Type: Single Family 0/" Two Family ❑ Multi-Family(#units) Age of Existing Structure Historic House: ❑Yes Goo On Old King's Highway: ❑Yes �o Basement Type: afu_II ❑Crawl 0 Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full: existing '- new Half: existing new Number of Bedrooms: existing '�` new Total Room Count(not including baths): existing new First Floor Room Count Heat Type and Fuel: ff Gas ❑Oil ❑ Electric ❑Other Central Air: ❑Yes ❑No Fireplaces: Existing New Existing wood/coal stove: ❑Yes (8<0 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 ❑Yes ❑No If yes, site plan review# Current Use Proposed-Use _ BUILDER INFORMATION Name ll/uJ 0,::�Y Telephone Number Address License# Home Improvement Contractor# Worker's Compensation# ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO d SIGNATURE q___, DATE v_ FOR OFFICIAL USE ONLY PERMIT NO: t DATEJSSUED MAP/•PARCEL,NO. ol ADDRESS VILLAGE , OWNER , DATE OF INSPECTION: FOUNDATION 4 FRAME ' INSULATION , FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL rn GAS: ROUE FINAL JEKd 0 FINAL BUILDING -i I DATE CLOSED OUT c E ASSOCIATION PLAN NO? M FS The Comf., ii earth of Massachusetts D'epartmint of I`pndustriaTAg�ccidents' _ 6oaWashington,Street _ Boston;Mass. . "SJ Worker C 112,10 ensation,usurance Affidavit29, -GeneralBusinesses i 009 address: 1% j .• hone#' _. .., . • , state' site locatiozi full address :' : • e []Retail RestaurantBai/EatYrig Establishment work rietor and have no On Easiness at Antos etc. [] I am.a sole prop (�p e salves('including REal Est e, yyorking in and capacity. WI er I am an em toyer with • do•lo ees(frill 8c' art time: : //%/ % %/////1/%�y/%%%%///%%/% ///%//////////%/% this ob., , �%%%/%�///%///� cemveasation for my employees worlau I er p.0—,q ing Wakers' ,• ; on= ,:j °:".. • , '%.:� t r, .. -ploy •' ( ''" '' '�' :.y t :J\• •n. •;} :•'.:. : t.,%,y, •'' :t •{ F t. ':•} 'r�'.: t�' �'. t. •};, .0•_,•1,_et,t:Yf}'+ '+ri'.t' , ?.:,yt...• .i:.:�'';'a i.• : t'• :ttt •}'!ir;'' •'-::'7:•h• d•� ,,:rr7y�'•t•';:�'''•• •'y•."' 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'f,fir,», }, :r } i••�:•;,,,,, •p... ••.� . insur�ri�-'- osi{ion of crimfi!s1 penalties of a fine�to$1,500,00 an or Failure to secure coverage as required under Section 25A of MGL 152 can lead to the imp ent as well as cKilenaliies in the form of a STOP WORK OILDER and a fine of ffi1Q0.00 a day against me T understand that it oneyeara imprison . copy of this statement maybe fozwarded to the Office of Investigations of the DTAfor coverage verification. under a pains andpenalties bf perjury that the information provided above is frud and eorleca; I do hereby ce Dots attue hone# Print name official use only do not write in this area to be completed by city or town official permitllicense# C]Bujjding Department , []Licensing$oard city or towns []Selectmen's Office Q'checkif immediate response is required [:)Health Department . Other phone#; •[] -_,__ contact person: � (tev>Sed scpt 7A03) _ �+�' Y&'' -,• '' ' hformi ion and Instructions' ' IvlaSsachllsett$ Gafter.al Laws*-chapter 152 section 25 requires all employers to pxovidc workers' compeasticin f�r'their. employ AS quoted'from the f`law",, an employee is.dened as every person in the service oi'another under any contract o ffhire, express or implied; oral or written, ` a ers , association, corporation or other legal entity, or any two or rngre of An player is defined as an indi id p p the foregoing gaged. e'joint•enferprise,and including the legal'representatives of a deceased,employer, or the-receiver or artaei bi association or other legal entity, employing employees. *Howevei.the owner of a trustee of an individu��p . px dwelling ho a�y�g'�ot'fnore than three apartments and-who resides tbergh or the pecupant�o the:dwelling house of another who•emPl°3'S persons to do maintenance, construction or repair work on.such dwelling fio i'6r on the grounds or t thereto shall not because 9f such.employmed.be'deemed to be ari employer, building.sppurtenan ., . . • r ery, state'or lbeal ng-agendy. SW MGL chapter•152 section 25 also'states That'o construct b�ildfngsjfn the comnnonwea1 hh for any app cant who has l of a license or pe?'n??t to operate a business not produced acceptable'evidence'of coimpliance with the insurance coverage reiluu-ed.' A.'d tionally,neithbr'the' ' coin onwbalthnor•any.of its political subdivisions shall enter into any eotltract for the performance of public work until' able evidence of compliance with t�e insurance requirements of this chapter have been presented to the contracting accept • , _..... authority: Fox Applicants please f is •the markers''eon pmsa�t affdavit cmVletely,by checking the box that applies to your situation.,Please supply company name, address and phone numbers along with a certificate of insurance as all affidavits maybe submitted to the Dep ent'Of Industrial Accidents-for confirmation of insurance coverage. Also-be sureto sign and•date the affidavit. The affidavit should be retumedto the city or town that the application for the permit or license is being requested, not the pepartment of Industrial Accicleuts. Should you have any questions regardiri�the'UV3 or if you are obtain workers'•compensationp9licy please call theDepaztment at the ntunber listed;below. required to a• • , , VKI City or Towns . pleasebe sure that. .. ,affidavit is cbmplete andprmted legibly. The Department has proyi4ed thea space t.th t p oni f the affiasie davit for you tt fill out in'the event the Office of Investigations bias to contact you reg dwg pp be sure to fill in the penmitnicens a number which will b'e used as a reference number. The.affidavits naay.be retuzned tQ j gp,X arrangements have been made. th'Deparhn tby. urilessother .• irld like to thank advance for you cooperation and should you have any questions, The Office of Investigations wo , Y�� . . esitate to give us a caFL' ' please do not-hesitate • The Department's address,telephone and:fax number: . ' Commonwealth Of Massachusetts' The C , Department.of Industrial Accidents MIN of la"sliDsffiens 600 Washington Street Boston,Ma. 02111 fax#: (617)727-7749 . _` E r Town of Barnstable o,• Regulatory Services . - • ssst $ Thomas F.Geiler,Director 1619. ,� Building Division prED MAtk Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 Fax: 508-790-6230 pffice: 508-862-4038 Permit no. Date A'F MAVIT HOME IMPROVEMENT CONTRACTOR LAW SUPPLEMENT TO PERMIT APPLICATION MGL c.142A requires that the"reconstruction,alterations,renovation,repair,moderniza er o�ccu red conversion, improvement,removal,demolition,or construction of an addition to any pre-existing owr� P budding-improvement, a Least one but not more than four dwelling units or to structures Which are adj acent to such residence or building be done by registered contractors,with certain exceptigns,along with other requirements. 1 Estimp'tedCost / 006,00 'type of Work: _ Address of Work_�?► �u L!� ,s = Owner's Name' e c/ n' • Date of Application: I hereby certify that: Registration is not required for the following reason(s): []Work excluded by law [-]lob Under$1,000 C�DB ''ding not owner-occupied ' UKwner pulling own permit Notice is hereby given that: pyYNERS PULLING THEIR OWN PERMIT OR RI UROVZMENT WOpXDGO NOT HAVE CONTR&CTORS FOR APPLICABLE HOME ACCESS TO THE ARBITRATION PRO GRAM OR GUARANTY FUND UNDER MGL c.142A. SIGNED UNDER PENALTIES OF PERJURY Ihereby apply for apermit as the agent of the owner: Contractor Name Regishationl�Io. Date ' OR _ r_ e Owner's Name �oFIME, Town of Barnstable Regulatory Services BMMSPABM : Thomas F.Geiler,Director 9 MASS. �p 1639• .�" g Buildin Division rEv ro+Pr 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: L U" /nu/mber / street (village "HOMEOWNER": , �. � 1/ 6w d7/y, gKz name home phone# work phone# CURRENT MAILING ADDRESS: PQ f Sri city/town state —zip pcode 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 .w.. -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. meowner 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. Q:forms:homeexempt LOCATION ®F P TY LI ES AY N B ACCU RATE ':S D LEGEND 031 NOTE: all sY will appear on a map QL GOLF COURSE FAIRWAY \� # 55 / rN-y-y-Y, EDGE OF DECIDUOUS TREES \ EDGE OF BRUSH ORCHARD OR NURSERY P—V—V—V EDGE OF CONIFEROUS T ..... 1 1 MARSH 1 —• EDGE OF WATER 1 DIRT ROAD 1 DRIVEWAY 1 E--PARKING LOT PAVED ROAD "•�" �� V. ------- DRAINAGE DITCH P��/(T IAP 0 IV AP PARCEL I�FC� ` 03 9 MAP 26 --PARCELMANU R 032 #367 — HOUSE N \� 1 2 FOOT CO R ILYA # 37 is 10 FOOT COIOTO4dLINE Elevation tJa/sed ob NGVD29 X4.9 S;dTEIEVATION S16NE WALL \ l�/ T wN F BAR ABL X-x FENCE _ / RETAINING WALL D.M. �3 a / —F.-fq—Fj ACK STONE JETTY ` C E SWIMMING POOL � lit v PORCH/DECK HEARIN 0 BUILDING/STRUCTURE AY 1 3 ` 2004 / fat{♦. DOCK PI R .� HY AN BARNSTABLE CONSERVATION A VALVE o LE UAW O POST p� FLAG PJ T O'"W N� O F B A R N S T A B L E E O G R A P H 1 C 1 N F O R M A T 1 O N S Y S T E M S U 1 T SIGN STD. IN i" Nfl PRINTED SLUE:IN FEET =MoAcc-uracy is an enlargement of o **NOTE:The parcel lines are only graphic representations DATA SOURCES:Planimetrics(man-made features)were interpreted Pram 1995 aerial photographs a James a TOWER p and may NOT myet f property boundaries.They are not truelomtions,and W.Sewall Company.Topography and vegetation were interpreted from 1989 aerial phobgrophs by UTILITY PQ�....,•. 0 25 50 racy Standards at tlgs pot represent actual relationships to physical abjads Corporation. Planimetria topography,and vegetation were mopped ro meet National Map Accurary arilsGHT POIE A ELECTRIC BB% 1 Itl =50 FEET t an 1 map. at a scale of 1"=I W. Parcel lines were digitized from FY2004 Town of Barnstable Ass�ofs tax pro hacPman-r1nn 5/12/2004 11:08:27 AM SPECIAL SERVICES CUSTOMER INVOICE Store 2612 HYANNIS Phone: (508 ) 778-8948 65 INDEPENDENCE DRIVE Salesperson: MXC235 HYANNIS, MA 02601 Reviewer: This is only a�QUOTE for the merchandise and services printed below. This becomes an Agreement upol and an endorsement by a Home Depot register validation. tMName HomiELCHER AL (50 dress37 THANKFUL LANE work PhoneCompanyNamey COTUIT .lob Description LUMBER State MA Zip 02635 County BARNSTABLE f. " > MERCHANDISE AND SERVICE SU ;:.::.::.:;:.::.;;:.;:.:.::.:::.;:.::.::.::.::.:::.;::.:::.::.:::.::::::::::::::. REF#V10 STOCK MERCHANDISE TO BE DELIVERED:r ... ...:. ..:. ::::...::..:.:. . :.:..::.:::...:::.... ..:::::...::::::.::::::::::::::.::.::::.:::::.:::..:..:.:::.....:.. ... . R01 702 636 T8.00, EA 1 X4X16 PRIMED FJ. PINE / L� R02 255 201 _ 9.00 EA' 2X4-.16 #1:SYP 25.ACQ/CA _. U . : 4 A2X -8 AQ/CR03 ; 254-258: _. \ R04 2.01 088 :,1 1.00 EA 2X8-16FT. #2/BTR KD HT SPRUCE 1105 -:91`5-378 9.00 EA 1/2 4X8 CDX 15/32 FIR RATED SHTG. R06 915-440 1-1.00 EA' 19/32 4X8 T1-1 9 8" OC PRM-YP SD R08 3T4-636 1.00 EA :121N X'481N TUBE FOR.CON �� R09 .2857266 1.00 :EA 81N.X481N.. TUBE FO W.Nklkl 4 WL _ �Ak <dialll� li 'tNE#gMIQ : :; :: ........ »::>':. >:'::>::::>:::><:' \ > V 1'0 515 663 1 00, E 1 livery Service �� Page 1 of 3 NO. 2612-1 3993 Customer Copy SPECIAL SERVICES CUSTOMER INVOICE - Continued Last Name: MELCHER ' : 1.41. :................. ... REF/tV10 ...:................................. Hi1E<)�t !E' >lilylE1#NIIC� r MELCHER, AL ........ ADDRESS:37 THANKFUL LANE CITY:COTUIT -, STATE: MA ZIP: 02635 COUNTY:BARNSTABLE SALES TAX RATE: PHONE: (508) 428-9461 V ICJ M E>LPt EII R: E V1 R F# 6 STOCK MERCHANDISE TO BE DELIVERED: R1 1 702-678 4.00 EA 1 X8X16 PRIMED FJ PINE / 1312 746-878 5.00 EA F8 COMM ALUM DRIP EDGE 1OFT / R13 929-209 6.00 BD ROYAL SOVEREIGN 25YR GOLDEN CEDAR ./ R14 201-673. 2.00 EA 2X10-16FT. #2/BTR KD-HT SPRUCE / R15 20.1-51.3 1:.00 EA 2X10-8FT. #2/BT.R,KD-HT SPRUCE. V;16 5.15 663 1 0.0 EA CURBSIDE DELIVERY SERVICE 4� r Q' M ELCH E R,.AL ADDRESS:37 THANKFUL LANE `CITY:COTUIT . STATE: MA ZIP: 0:2635 COUNTY:BARNSTABL E ""SALES TAX RATI PHONE: (508)`.428=9461.. .:. �`U'r' 1L CH A,Gv- t��;,�#�,L lUIE�CH�N�?i�� �Vl�� r Page 2 of 3 NO. 2612-13993 Customer Copy � t As '04 i I L L-jz I � �ud`L vt�,, S L C`e iM HIM 1 ��z� i'k��*f �I�I�jt) f�; •�9�[f}(J�i �j�E£}4! F;j{ a E c cw, e — - —�— a c 1,< LLI ! ` I i 4 J-rj 1 I ..�... ;i�►/Y�)�.... i it } _/ I i • 1 p r Nee L It i .. i i --ray tutu v, , V�D� ( �/ ��' ;{�•�j l Pv S r l�, c� �5.; �'c,.Y1 f �. i..�r:�.(a i;;;:r r, �a� I S t N D C�K (/u Aj +t 1 • � 5 iL .. .. t .... _. .. .,.. .. f " ..- .. .. ... .... .. � �� .: ._. .�.. � ., .. .. O.Lys ... .. .. ... .._ .. ... ... : 1 • boo® . a F. Act cr W $ CA jF r', e a Z� -b "•� �c 'Vi v Assessor's map and lot number ... ,�.......... SE TIC SYSTEM MUST BE --3 INSTALLED IN COMPLIANCE WITH ARTICLE II STATE Sewage Permit number ........� .................................. SANITARY CODE AND TOWN REGULATI.QN, . °Ft"ET°�° TOWN OF_ ' BARNSTABLE Z H9SBSTMILL ° "b 9 , RUILUING INSPECTOR ��YPY fr• APPLICATION FOR PERMIT TO ...6A....R:: .... �/ ! C'��.............. ............................................. TYPEOF CONSTRUCTION ............-s -...... . . .............. ,.... .........................................:.................. ..... .....................19... TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies f r'a pe mi according to the following inform tion: Location ....... 1 �.................................. . ...... ... . ............... .......::......................................... ProposedUse ............ ./.d�,��J le,....... (3' '?'?v: y...................................:...................................................................... ZoningDistrict ........................................................................Fire District .............................................................................. Name of Owner .).9//e.7�:..!.:l..Ci�-/C..-!'I..?,. "'d�,�.......................Address .................................................................................... Name of Builder ..rj...I,. C��.� ..... �-'?r......Address ... -� Vie-!":5�/ ��— Q :......... ......... . . ................. Nameof Architect ..................................................................Address .................................................................................... Number of Rooms ........... .........................................Foundation ..........0��v.... . '...1 ................................ Exterior Roofing ........ .P. ....................................�..........•.............................. ................................................. Floors ........J �!�..f /K?. .. .. .... ....................Interior ....... L ............................ Heating .........( .........................................................P.lumbing ......f ........................................... Fireplace ................. `K, .................................................Approximate Cost .. �i�.� ... Definitive Plan Approved by Planning Board ________________________________19_______. Area ...1.. .�s ..................... 60 Diagram of Lot and Building' with Dimensions Fee -^ SUBJECT TO APPROVAL OF BOARD OF HEALTH - �o to �JO f I hereby agree to conform to all the Rules and Regul:lame s of the Town of Barnstable regardi g the above construction. Melcher, Allen No Permit for ....... .. .....stork......... §i] family.. ...........y .................... Loc.t;,4q..............................................................ThankfuiLane cotuit ............................................................................... Owner ..........Allen..............Melcher.......................................... Type of Construction ...............trAing................ ................................................................................ Plot ............................ Lot ............#5............... October 1 73 Permit Granted ...... ........19 4WY F7"A&W Date of Inspection ...A. 9 Date Completed ......................................19 & �6,/z-aa4 A 2, ley PE ..T REFUSED ........................................................ ........ 19 ......................................... z................................ ............ ....... ............................................ ............................................................................... ............................................................................... . Approved ................................................ 19 ............................................................................... ............................................................................... �C SAP U37A Assessor's office(1st Floor): /)�/� ��� �=�/ �„s � �E Assessor's map and lot number (/ 7 IRML ED IN C® u--L" t o 0 Board of Health(3rd floor): Al eA R of �H � MTLE 5 Sewage Permit number 4,/,'i �,� AT Engineering Department(3rd floor): TOWN OWN REGULKI �'' NAB&`L House number °0 i639• Definitive Plan Approved by Planning Board 19 ��r�r a' APPLICATIONS PROCESSED 8:30-9:30 A.M.and 1:00-2:00 P.M.only TOWN , 'OF BARNSTABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO V�U I I .6 1- C— TYPE OF CONSTRUCTION p 19 C/ TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: \ Location ��`] 1 I �� l>� L A— C_ o' U l ('L.,r s ) Proposed Use Zoning District / d Fire District C,60,7--i2/ Name of Owner Address Name of Builder 2" L. M&LC—i4 /& Address }4w- Name of Architect Address Number of Rooms Foundationvx—r��� Fc �- Exterior Roofing Floors Interior Heating Plumbing Fireplace Approximate Cost I §z, D° Area Diagram of Lot and Building with Dimensions Feed a OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS i I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above c truction. Nam Construction Supervisor's License y� � A MELCHER, ALFRED L. N '33638 Permit F6r Build Garage . 4 AccessorX to Dwelling Location 37 Thankful Lane + Cotuit Owner - Alfred L. Melcher Type of"Construction Frame Plot Lot Permit Granted April 2 19: 90 E Date of Inspection //V 3po 19 Date Completed 19'1 i t { a r i i d S:, II T014N OF BARNSTABLE r , . BUILDING DEPARTMENT R TME N r , HOMEOWNER LICENSE EXEMPTION ' Please print, DAT +: J06 LOCATION . ' Num er . "HOMEOWNE „. reet a ress ectlon ms ` ' R a�� dLe 8 : town PRESENT M .fme ome p o AILING ADDRESS P. one rt�lli ;. i ty town The cu"r e , dw' P co e ,rent',exemption. for 1 ellings of six. homeowners units ,or ., was extended to include oumer=occupied ivi ua -.for` hire, who. does` not `an :. ° allow'suchhomeowrlers` to en acts as supervisor, possess a license gage. an..in- �_�...,.. ....•.•• . (State' Building Code Section Provided that the owner DEF�NIT,ION OF HOMEOWNER: ' r�So•n(s) who owns a 'side Parcel Of land on which he/she resides on which there attached is, or is intended to be or intends to re- ..'attached structures.access- a one to ,A pe.rsbn who' Constr�ucts more than one h six family dwelling, ;considered a homeowner. than Y - i such usyeaar per farm structures, on a. form, acceptable to thech "homeowner"n ome in two shal - eowner shall submit toptheoBuildin not be ;for' all such work performed under th Official, that he/she s hall be responsible ;The undersigne�Ilhn eow e bui'iding permi ection _ Buildin homeowner" assumes responsibilit 9 Code and other applicable codes Y for compliance with th ;The Undersigned « by-laws, rules. and regulations_e State BaznstableBuldin homeowner" ee-rtifies .that he/she understands !and that g Department, fiinimum derstands the Town of he/she will comply with inspection procedures and r said procedures and re requirements HOMEOWNER' - quirements::- S SIGNATURE APPROVAL OF BUILDING OFFICIAL Note: Three famil .to comply with y dwellings 35 000 • •State Building cubic feet,''or Code Section 127.0, Cons tructionlCobtrr ojquired 8 , p . e HOME OWNER'S The Code state that permit "Any Home Owner performing (Section1109.1 .1lred shall, be exempt work for wh•Ich . 'a building — Licensingp from . the Prov►sions of thl§;.section 'Home Owner engages a '• °f Construction Supervisors shall act as pe-rson(s)' for hire to do such work ) ", 'Provided that., If.•a r sUperv1sor . ,i that such""I�omo Owner . :. . Many Home Owners t.h e who use this exemption are unatiyars - ,responsibilities .tor. Lice,ns.ln of a •superVls6r that they are assuming often g �onstructlon' Suporvisors (see,'Aphendlx p, results , Section 2, Rules ,and Regula.tIons•V � UnIIcensed In serious problems, 15) . : .This This - lack awareness' unlicensed. persons. „this caSerticularly when the Homo Owner ihlres ln• • our ' Board e person a§ I t wou'I'd 'with licensed Su ery Isca cannot proceed.;'agaInst '.th© _P.._ is ultimately responsible, p - The- Homo Owner acting To ensure ;. . that the Homo Owner ]Is full communities re y aware of his/her .responslbilltl certify4U1•re�:. as-.,.past of the ,:. t.hat he/sh©' permit applicatlon es last 'pa e of Understands the responsl-biIIties 'of '' that, tho. Homo " Owner., , 4Y 9 this Issue Is •a. form,_current I care to amend a. •supervlsor'. pn th©*, and ado s Y used by. several towns. .: adopt such a form/certlflcatlon for use In. You; may Your conimun 1 ty. I' • T A pr .P•i� f � I I� t � ,, 1 • ��S' CARRIAGE SHED GARAGE 441 4-c SALT BOX' = - -- $— _ - - — — vowu 5 T o R a c E Q - GARAGE ' - - - ,N LOFT ROOM 21'-4" x 12'-o". - OPTIONAL 0 CT'L STAJ R BY OWNER i SSORa4 E O" LOFT PLAN Interior dimenaiosa apFoximam • � f r 980 - 15M + / _ 1 S ,I a, 4� .{' °�-� v- -�- ��._ l Z /' /^�� F v / ROS9 032 A R E A C A L C U L A 1 1 0 N [CALI KEY 23110 CARD f 11 ACHOQUI PLOTNO[0000000j N BASE f 13S0jf FOP ]j 624jf ---------------------50-------------------- I J FOP jj H J-j I] if 12 1 ji if ff, jj jlr -------------7-----467----------------- f If f f 3 B A 6 E', 30 f � j -------------------46----------------- J7 000013SI] XMT[?j - 7Xy,fi^�..�• 1i��;:a ti)t^w."4}�"�^'h3.mixl�'s'1«;S.y?^€a!4�Ee:;s ^.9i' .;'R;as'A:""""ma`s-s`"`F' '+•. 'Y,'.. .e��..:'y,+a*^:�."w'.'•".. �,aotta4' wr.,.---aw -sc its• s. '_" e,r Assessor's office(1st Floor): /> 0? ` Assessor's map and lot number U` Prof THE to`* Board of Health 3rd floor)- o Sewage Permit numberALI Engineering Department(3rd floor): 2 JS, �o AB&tL .House number > 7 o.. 1639- Definitive Plan Approved by Planning Board 19`_ WAY d' t • APPLICATIONS PROCESSED 8:30-9:30 A.M.and 1: 200 P.M.only TOWN OF BARNSTABLE r BUILDING INSPECTOR APPLICATION FOR PERMIT TO R(_J I tI TYPE OF CONSTRUCTION �`Q p 19 � TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the 4 following information: Location "? 7 �Ck- r— luL �— _ 6, u Proposed Use lla4AGV,,L� 6;7A-�IA Zoning District Fire District CI,974/ 1 T- 'Y Name of Owner A L FRL✓ ) L Y AA F Lc--'l iF'2 Address L A , C,,-L I 41 Name of Builder N L . M EL—Lk (Z- Address -�'- Name of Architect Address Number of Rooms Foundation �Au> � Ll�l L Exterior Roofing ' ✓� � Y I Floors / Interior Heating Plumbing Fireplace Approximate Cost ! 5, 0 0 Area / Diagram of Lot and Building with Dimensions Fee �Oi t OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS r I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name Construction Supervisor's License � G/ MELCHER, ALFRED L. A=039-032 o34-03a No 33638 Permit For Build Garag` Accessory to Dwelling Location 37 Thankful Lane cotuit Owner Alfred L. Melcher Type of Construction Frame Plot Lot Permit Granted April 2 , 19 9 Date of Inspection 19 Date Completed 19 PERMIT COMPLETED 1/1/qZ-