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'l, , A_� �'j__j o�?,,' , ,�. �, 1 ,�jo , W 0 ,'1� ,11��� , " "I . 9 ,;,`L':',;J` , " , * I'll'.,, 'd �Lio,�?, , 1, . 'h"'i,-.,�. I , . kyll �6`11`;; itii,;., �'t�,��T,v _ I, . . , �� "'. - _x I .'4 , ��- w, 641��iilo',_, Y'Jx;,'L�_`!,!_�_ _','n, _J___ ____1� Eligineering Dept. (3rd floor) Map .` Parcel 054/r"l'L'"�ermit# . House# Date Issued Board of Health(3rd floor)(8:15 -'9:30/1:00-4:30)� � � /� ry Fee ; ep . st floor/School Admen. g. _ � kODE De SEPTICT EE 19 INSTALLEANCE TOWN OF BARNSTABLENVIRo ME AND ' Building Permit Application TOWN REGULATIONS Project Street Address L/-Z;,A) Village--- FA.)7&Z e1Al, i i Owner __- IG�! , !t Ac L 4— Address Telephone .6509) 3 69 - Z ISS 77 -Permit Request �. t r n f C.e9z �l JO✓d N7�I� q�+[A �� f iuZ 210 P_ AA 7/ric�Yi S. 5 First Floor goo square feet Second Floor square feet Construction Type wbc>la rR A h, Estimated Project Cost $ J 21 Cho®_— Zoning District Flood Plain Water Protection Lot Size Grandfathered ❑Yes ❑No Dwelling Type: Single Family f Two Family ❑ Multi-Family(#units) Age of Existing Structure Historic House ❑Yes JM No On Old King's Highway ❑Yes a No Basement Type: NfFull ❑Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) 9T)01 Number of Baths: Full: Existing New Half: Existing New No.of Bedrooms: Existing :7 New ,y Total Room Count(not including baths): Existing New First Floor Room Count L/ t Heat Type and Fuel: ❑Gas A Oil ❑Electric ❑Other Central Air ❑Yes ;4 No Fireplaces: Existing / New Existing wood/coal stove ❑Yes No + Garage: ❑Detached(size) Other Detached Structures: ❑Pool(size) i Attached(size) L( X ❑Barn(size) ❑None ❑Shed(size) ❑Other(size) Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes ❑No If yes, site plan review ew# Current Use Proposed Use Builder Information Name5c, — 6/ L A114 tL 2-� Telephone Number �l Address License# 0-S 6 11 qO 192A Home Improvement Contractor# 112 O q9 Worker's Compensation# lz)rx 0 0-Z q 2�a NEW CONSTRUCTION OR ADDITIONS REQUIRE A SITE PLAN(AS BUILT)SHOWING EXISTING,AS WELL AS PROPOSED STRUCTURES ON THE LOT. ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO ZJYJo SIGNATURE DATE lo Z /g BUI DING PERMIT DENIED FO THE FOLLOWING REASON(S) F j FOR OFFICIAL USE ONLY t PERMIT NO. DATE ISSUED71 MAP/PARCEL NO. ADDRESS ? ;' v� , `VILLAGE OWNER DATE OF INSPECTION:. 1 t FOUNDATION- FRAME INSULATION = _ .t '. ,r` -- 1 -- ,. •� , , J r ' FIREPLACE ELECTRICAL: ROUGH FINAL Er PLUMBING: ROUGH FINAL. !' CO t .2 GAS: lo-umll H m mFINAL- r ♦ FINAL BUILDING W X ► ' t t - 0.2 DATE CLOSED OUT" ? m A n- ASSOCIATION PLAN=NO. 4`y r r '5 L ►F ®r�o� -30 F z: �C.UQ VE R f411cox Ow 2,rc 6b"O G, Co PA 7ylf4 Zxio �z GtJ, ALL! . ZXG£2 h"vv � 'UEADE2 3�� CI�X , �J AO GJnGL /.T lif/YIaE/I s S41 4 f�a�2 r v L L s o ® 6 Y r -k Aw .3 7,p�/� Wi�r✓o�,c75 2 x y '7rti o XI L t 30 31C7.. ® 203Z /1� Z w9� Z 2 03 _ VIE A The- Town of Barnstable Department of Health Safety and Environmental Services Building Division 367 Main Street,Hyannis MA 02601 Office: 508-790-6227 Ralph Crossen Fax: 508-790-6230 Building Conuaiss: For office use only Permit no. i Date , AFFIDAVIT ,HOME IMPROVEMENT CONTRACTOR LAW SUPPLEMENT TO PERMIT APPLICATION MGL c. 142A requires that the "reconstruction, alterations, renovatlon,� repair, modernization, conversion, improvement, removal, demolition, or construction of an addition to any pre-existing owner occupied building containing at least one but not more than four dwelling units or to structures which are adjacent to such residence or building be done by registered contractors, with certain exceptions,along with other requirements. - A Est.Cost Type of Work:— �P � Add ress of Work:- 2 �- R--. 1,t✓n Q 11�t; z Owner's Name `C-/y ('AtZnpLL Date of Permit Application: jO// A� I hereby certify that: Registration is not required for the following reason(s): Work excluded by law _Job under SI,000. Building not owner-occupied Owner pulling own permit Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE HOME MWROVEMENT WORK DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c. 142A SIGNED UNDER PENALTIES OF PERJURY I hereby apply for a permit as the agent of the owner. Date Contractor Name Registration No.