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7° TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION
Map c2 4 Parcel Application# V
Health Division -, S'QA 'Oq -
Conservation Division Permit#
'ax Collector Date Issued
Treasurer Application Fee 6
Planning Dept. Permit Fee •
4 ,
Date Definitive Plan Approved by Planning Board
Historic-OKH Preservation/Hyannis
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Project Street Address Cp3
Village ��c tL��. �. t-
1"Owner 5_e�^h G2evw IsotasAddress 9A �0 AA( �;u PgAt's
Telephone —77 C>
Permit Request � �e.l�, Cx C_C,.V aie.. 4-"5 f-C4 Wh-Tj_.
COAStrG%rf P1-e5Si4,re_ /.-erJeJ a)C) l `r! P - act,_ G
DIg4tt- 16 nab e_ i M121,C- bci I u s ky- ra i I 5 V A-M 16 &aJ (:�-
Square feet: 1 st floor:existing proposed 2nd floor:existing proposed Total new
Zoning District Flood Plain Groundwater Overlay
,A
Project Valuatidrl 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: El Yes ° No On Old King's Highway: ❑Yes *NO
Basement Type: ❑Full ❑Crawl ❑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
�jHeat Type and Fuel: ❑Gas ❑Oil ❑Electric ❑Other
Central Air: ❑Yes ❑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 O Appeal#, Recorded❑
v Commercial ❑Yes ❑No If yes,site plan review#
Current Use Proposed Use
BUILDER INFORMATION
Name-aori Ak(e_ t6w_ Q we—rv\a. Telephone Number 5CF6 -
Address jZcrJ License# C S 60 P q 3
yutvtc�i 5 M t W&p 1 Home Improvement Contractor# 163757
Worker's Compensation# ?Cb Y(l Y 361,2(X6
ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BETAKEN TO �ar►v ouA -Tmv%s
SIGNA<-RE DATE `� �'
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FOR OFFICIAL USE ONLY
PERMIT NO.
DATE ISSUED
MAP/PARCEL NO. i
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ADDRESS, VILLAGE _
-OWNER
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DATE OF INSPECTION:
FOUNDATION
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FRAME
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INSULATION
FIREPLACE
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ELECTRICAL: ROUGH FINAL
PLUMBING: ROUGH FINAL
GAS: ROUGH FINAL
FINAL BUILDING `
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DATE CLOSED OUT
s ASSOCIATION PLAN NO.
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I authorize Sprinkle Home Improvement to act on my.behalf in all matters relative to the
work to be performed on this job (i.e. permits, applications etc.) if,necessary.
Own ignatu a Contractor Signa re
Date Date
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APPLICANT.- JONES TO WN. BARNSTABLE
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LOT 66A
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LOT 65A �� LOT 64A
7�-'-A of A,
EDWARD N'
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�p• No. 2898o
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NOTE. PRE—EXISTING NON—CONFORMING
NOTE.- THE SHED APPEARS TO BE VERY, CLOSE TO THE LOT LINE 7�Z�
FLOOD PANEL: 25000 _00_08_D__ FLOOD ZONE. _C -- DATED. 07102192
I hereby certify that this mortgage inspection plan was prepared for- Plan is For
UNITED MORTGAGE CORP. Bank Use Only
The location of the building shown ,does NO_T__ fall within a special flood hazard zone. PLAN REF = 13915
The location of the dwelling does ------ conform to the local zoning by-laws in effect Scale 1" __20 _ FT
at the time of construction with respect to horizontal dimensional setback requirements ----
or is exempt from violation enforcement action under Mass. General Laws CA 40A -Sec. 7. Dale.-
PLEASE NOTE. The structures on this inspection were located by tape not instrument and are approximate only. An actual survey is necessary
for a precise determination of the building location and encroachments, if any exist, either way across property lines. This inspection must not
be used for recording purposes or for use in.preparing deed descriptions and must not be used for variance or building plan purposes This
inspection must not be used to locate property lines. Verification of building locations, property line dimensions, fences or lot configuration can
only be accomplished by an accurate instrument survey which may reflect different information than what is shown hereon. This inspection is not
to be used for any purposes other than mortgage. Yankee Survey accepts no responsibility for damages resulting from said reliance.
YANKEE ,S UR VEY CYONS UL T NTS FAX 508-420-5553
0 BOX 265, 40 INDUSTRY RD, MARSTONS MILLS, MA 02648 PHONE 508-428-0055 35696 JF
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Town of Barnstable *Perm C>D&it# y
Expires 6 months rom issue date
Regulatory Services Fee
Thomas F.Geile>r,Director
Building Division
Tom Perry,CBO, Building Commissioner SS P
200 Main Street,gyannis,MA 02601 T R���
www.town.barnstable.ma.us 0 QQ
Office: 508-862-4038 w�V��xe508-�59a230
EXPRESS PERMIT APPLICATION - RESIDENTIAL.ONLY gRNSrq&
Not Valid witisout R ed X-Press Imprint `�
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Map/parcel Number 1 (� ®'
` can "1
Property Address O t ne C�-s+ S 11/l11 na 0o
esidential Value of Work.-_�, 0 Minimum fee of$25.00 for work under$60,00.00
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Owner's Name&Address Tnseok II
P U t L—Cam i S P6 �� M i4 oat,72
Contractor's Name (1 2 Telephone Number ri p$ 1 1
Home Improvement Contractor License#(if applicable)_
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Construction Supervisor's License#(if applicable) 6uV�;�_ �.
❑Workman's Compensation Insurance
Check one:
❑ I am a sole proprietor
❑ I am the Homeowner
have Worker's Compennssation Insurance
Insurance Company Name
Workman's Comp.Policy#
Copy of Insurance Compliance Certificate must be on file.
Permit Request(check box)
❑ Re-roof(stripping old shingles) All construction debris will be taken to
❑Re-roof(not stripping. Going over existing layers of roof)
❑ Re-side
replacement Windows. U-Value _(mum.44)
*Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc.
***Note: Property 0 rtfl Property Owner Letter of Permission.
me lm nt Contractors License is required.
SIGNATURE:
Q:Forms:expmtrg
Revise071405
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I authorize Sprinkle Home Improvement to act on my behalf in all matters relative to the
work to be performed on this job (i.e. permits, applications etc.) if necessary.
Own igna u e Contractor Signa re
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Date Date
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