HomeMy WebLinkAbout0180 IYANNOUGH ROAD/RTE 28 a
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TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION
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Map a 0 Parcel ��r'`0 Application 30�
Health Division - Date Issued l Z
Conservation Division ` . App►ication Fee o2
® Planning Dept. Permit Fee
C) Date Definitive Plan Approved by Planning Board
Historic - OKH _ Preservation / Hyannis
Project Street Address
m J Village 1 `f1
Owner dress I 51-
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J Permit Request ,ry , �.,;
Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new
Zoning District Flood Plain Groundwater Overlay
Project Valuation Construction Type
Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation.
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: U�(Full ❑ Crawl ❑Walkout ❑ Other
Basement Finished Area (sq.ft.) Basement Unfinished Area (sq.ft)
�i Number of Baths: Full: existing new Half: existing new
Number of Bedrooms: existing _new
L47� Total Room Count (not including baths): existing new First Floor Room Count
Heat Type and Fuel: ❑ Gas ❑ Oil ❑ Electric ❑ Other
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Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing wood/�q I stove: ,0 Yes No
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Detached garage: ❑existing ❑ new size—Pool: ❑ existing ❑ new size _ Barn: ❑ ea���;,ing ❑gw size_
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Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: 1
Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑
Commercial ❑Yes ❑ No If yes, site plan review# (
Current Use + a -� _ -Proposed Use - - __ _
APPLICANT INFORMATION
(BUILDER OR HOMEOWNER)
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Name /A �� ;` : ��°'`� �`.< Telephone Number
Address Q�" �t"vN(Y\ 6 L License# ��9G——,� J 4! °ice
Ntf )y l Home Improvement Contractor#
Worker's Compensation #
ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO All 51AE V
SIGNATURE DATE Q
FOR OFFICIAL USE ONLY
JAPPLICATION#
DATE ISSUED
r MAP/PARCEL NO.
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ADDRESS VILLAGE
OWNER
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DATE OF INSPECTION:
FOUNDATION`
FRAME
INSULATION`
FIREPLACE
ELECTRICAL: ROUGH FINAL
PLUMBING: ROUGH FINAL
GAS: ROUGH FINAL
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<FINAL BUILDING . r
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DATE CLOSED OUT
ASSOCIATION PLAN NO.
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aar+srnat r. v table
,7 9. �'��/ T o ear i 3 of Barn S�d`� 1� .
Rea iil a to ry Services
Thumas F.Geiler,Director
Building Division
Thomas Perris,CBO
Building Commissioner.
200\taro Street. Fiyarnis,MA 02-60-1,
Www.tow n.ba rhga blc:m ams
Office: ?08-862-4038 Fax: =08'790-6230
Property Owner Must
Complete and Sign This Section
If ."sing A Builder
l Atlantis lyanough Realty LLC Owner Of the: Sl1h)CCC p--0DC-rt7)-
her bs' at.+tllor]re ..,._The Stop 3c Shop Supermarket Company LLC — to act c it my bellal4, '
demolition
Hi all matters re ati'Ve to work authurizel by tli,is 44 peenut appliclaou fol-
180 lyanough Road,Hyannis
(Address )(Job) .�.,
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�� �- �• May 21,2012
By ---
�iL l'l U CAI ov 114,:Manager JDmc
A
hunt IN.'arne.—f
If Property Owner is applying,for permit,please complete the 1-1omco3vners License Exemption form on the
reverse side.
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Revised 072110