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0083 ENSIGN ROAD
x A aS� - n n � n y " ° o 0 � l TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Tq /. Parcel O ® Permit# _ �---- Health Division Date Issued Conservation Divi ' n .311, 1 1W- - ou. Fee ? C 4 Tax Collector �`���� Pp re S Oro 0 Treasurer // —D� SEPTIC SYSTEM MUST BE INSTALLED IN COMPLIANCE Planning Dept. WITH TITLE 5 Date Definitive Plan Approved by Planning Board ENVIRONMENTAL CODE fit?t Historic-OKH Preservation/Hyannis Project Street Address E1\5 f 6 Village Owner &T-r-k kthV\,e0_ 1t Address 9 3RA Telephone Permit Request a i o i o 0v C Square fee• 1st floor: existing 1,676 proposed 410 6 2nd floor: exis ing e) proposed Total new O� Valuation ZoningDistrict Flood Plain Glam Construction Type ©b rr'2,w C Lot Size i_S ..3c90 J:3 Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family U/ Two Family ❑ Multi-Family(#units) Age of Existing Structure o2 S Yr% f Historic House: ❑Yes Flo On Old King's Highway: ❑Yes eiTo , Basement Type: mull ❑Crawl ❑Walkout ❑Other iasement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full: existing new Half: existing new Number of Bedrooms: existing_ new 6- Total Room Count(not including baths): existing new First Floor Room Count Heat Type and Fuel: �f Gas ❑Oil El Electric ❑Other Central Air: Qr es ❑ No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑ No 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 If yes, site plan review# Current Use Re. o Proposed Use 1 BUILDER INFORMATION Name a.'r d1 e^L)iW mod., Telephone Number R--fc/2 A 93 I Address PC, 6&N � License# GS /) &3 , ::d I cfe A- 0,263 T Home Improvement Contractor# 7 � Worker's Compensation# 0 - oc� yn ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO majC6 tM bed- r SIGNATURE DATE D FOR OFFICIAL USE ONLY PERMIT NO. , 1 DATE;ISSUED - r MAP/*PARCEL NO. ADDRESS _' VILLAGE OWNER- DATE OF INSPECTION: FOUNDATION —. - FRAME r INSULATION - FIREPLACE 4 ELECTRICAL: ROUGH FINAL 'r PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING � DATE CLOSED OUT a ASSOCIATION PLAN NO. -- - .S P L