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TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION
Map' ... v Parcel—
pp icaon �rU
Health Division Date Issued 2Y yAeZ
Conservation Division Application Fee
Planning Dept. Permit Fee
Date Definitive Plan Approved by Planning Board
Historic - OKH _ Preservation/ Hyannis
Project Street Address
Village
Owner f/w- I Address
Telephone
:Permit Reques
�j6 Z -L j ,ky p � '
rr ��Gl
Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new
,Zoning District Flood Plain Groundwater Overlay
Project Valuation IWO _Construction Type
Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation.
Dwelling Type: Single Family Cd Two Family ❑ Multi-Family (# units) �..,
Age of Existing Structure Historic House: ❑Yes ❑ No On Old Kin lq HighwQ-.1 ❑Y ❑ No
Basement Type: ❑ Full ❑ Crawl ❑Walkout ❑ Other
Basement Finished Area (sq.ft.) Basement Unfinished Area (sq. t)
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: ❑ 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 ❑ Appeal # Recorded ❑
Commercial ❑Yes U_KO If yes, site plan review#
Current Use Proposed Use
APPLICANT INFORMATION
ILDER OR HOMEOWNER)
(If -
Name Telephone Number ��0 Z�s
Address `���� License #' 106 6 q� 0
Home Improvement Contractor#
Email Worker's Compensation # CA Z7
ALL CONSTRUCTION DEBRIS RESULTI411VYXnJ4
FROM THIS PROJECT WILL BE TAKEN TO
SIGNATURE DATE ��i� 5 /�-
t
FOR OFFICIAL USE ONLY
4
APPLICATION#
r• DATE ISSUED
k
MAP/PARCEL NO.
ti
ADDRESS VILLAGE
t
OWNER
DATE OF INSPECTION:
FOUNDATION
FRAME
INSULATION
f FIREPLACE
ELECTRICAL: ROUGH FINAL
rti PLUMBING: ROUGH FINAL
GAS: ROUGH FINAL
FINAL BUILDING
D'RT,&CLOSED OUT
A!WQION PLAN NO.
t•
0
OWNER AUTHORIZATION FORM
(C r ?s Name)
owner of the property located at F
(Property Address)
(Property Address)
hereby authorize
(Subcontr tor)
an authorized subcontractor for RISE Engineering;to act,on my behalf to obtain a building
permit and to perform work on my property.
-
` �wne�'s Signatures
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F
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IDI
CAPE COD
INSULATION
f1YERYUYY SIFM ISSS MAT(DAM SYSILNDED
EARS YDTTM INSNSA(ION MONG1
11-800-696-66111
`['own of ffiunstable �
Regulatory Services
Building Division
200 tviain St -
Ryanni.s, MA 0260.1
Date: /D/v
Dear Building Inspector "
Please accept this Affidavit as documentation that Cape Cod Insulation, Inc. perfornied &
completed the insulation and weatherization wprk at the property listed below. Cape Cod
Insulation did this in accordance to the specifications listed on the building permit
application. All work has been inspected by a certified Building Performance Institute
(BP-1) inspector. All wort:preformed meets or exceeds Federal & State Requirements.
Property Owxler Property Address Village
IRSLIlatlon installed: Fiberglass Cellulose R-Value Restricted Uiuuestricted
Ceilings
Slopes
Moors
Walls
Sincerely
Fte ry L Cas. y Jr, President
i_' e Cod Iq ulation, Inc.
TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION
TOWN OF BARNSTABLE
o
Map, Parcel' V Application
JUN:.27 AM 11 37
Health Division Date Issued 71,,3113
n >:Co servation Division Application Fee
q-
Planning Dept. D1V1CT Permit Fee V�
Date Definitive Plan Approved by Planning Board '
Historic - OKH _ Preservation / Hyannis
Project Street Address
Village
Owner Address S�
Telephone___�7�
Permit Request '�-I� �}.- R�z��.� �Q.1.,, ,jk,r_�,l
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: ❑ Full 0 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
Heat 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 ❑ Appeal # Recorded ❑
Commercial ❑Yes ❑ No If yes, site plan review#
Current Use - Proposed Use
APPLICANT INFORMATION
(BUILDER OR HOMEOWNER)
Name Alike McCarthy,Construction Telephone I
O
Address West pone is,,MA 026.70; icense #
Wi�C 41t-----Cell M,(508),
C6 :-58633 MC-169393 Home Improvement Contractor#
Worker's Compensation #
ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO
SIGNATURE DATE
I
FOR OFFICIAL USE ONLY
1 ♦
ti APPLICATION#
• DATEISSUED
MAP/PARCEL NO.
i Aj,
€ ADDRESS VILLAGE ' i
OWNER
- v maw
r;.-.: -
owl
DATE OF INSPECTION: • ♦ n +
•+f S
WFOUNDATIONoMwi-'yowus tz DA i t are
FRAME
FIREPLACE "
ELECTRICAL: ROUGH FINAL
PLUMBING: ROUGH FINAL
GAS: ROUGH FINAL
t. FINAL BUILDING' "--
t'
DATE CLOSED OUT
ASSOCIATION PLAN NO.
{
77� 1715
�l S3�9� '
OWNER AUTHORIZATION FORM
(Owner's Name)
owner of the property located at
R4 Vqak-� C4,4��
L (Property Address)
(Property Address)
(
C `` C ��I�cnct C i/Q/J
hereby authorize �i
(Subcontractor)
an authorized subcontractor for RISE Engineering, to act on my behalf to obtain a building
permit and to perform work on my property.
Owner's Signature
/ - 0 /.3
Date
JUN 3 2013 �
r
7
y J��/Pi
® AUCTIONTOWN
C�.
'psi UbLl nd Commensal B '
QUA1IY�C r �'
W, P
March 15, 2014
Town of Barnstable
Thomas Perry CBO o
Building Commissioner
200 Main Street
Hyannis, MA 02601
RE: Insulation Permits --
ET)
Dear Mr. Perry,
This affidavit is to certify that all-work completed for permit application#201304303;Status A; Parcel
210030 at 114 Yacht Club Road, Centerville, MA; Permit Type RADD and issued on 7/3/2013 has been
inspected by a certified Building Performance Institute(BPI) inspector. All work performed meets or
exceed Federal and State requirements
Sincerely,
Michael McCarthy
McCarthy Construction
- TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION
N Map 240 Parcel D 30 ] Application#
Health Division q — & -7
Conservation Division 47� 3a ,.C,S i
$$ Arl L, w,Permit# I ��
Tax Collector ('N37,ALLPD IN COMPLIANC,'fbate Issued / -G�—� � y
Treasurer ! ® rnf'MFION DENTAL CODS Xa4 Application Fee S y
Planning Dept.
� va + Um ' e; Permit Fee
Date Definitive Plan Approved by Planning Board
Historic-OKH Preservation/Hyannis
Project Street Address 0x1* 00b Q �\CN
Village 1! `
Owner }- �OlP,nr aa�-? r Address e— c..s o-66 qe
Telephone O S-
Permit Request T1 a (-R CICe. IeTt : Or f n,_%W8 sSiA..f C e S
eV4 . 40ifflW7 r House)
Square feet: 1st floor:existing proposed 2nd floor:existing proposed Total new
Zoning District Flood Plain Groundwater Overlay
Project Valuation — Q 6 CJ Construction Type
Lot Size Grandfathered: ❑Yes ❑No If yes,attach supporting documentation.
1 Dwelling Type: Single Family Y' Two Family ❑ Multi-Family(#units)
Age of Existing Structure Historic House: ❑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
3
Number of Bedrooms: existing new
Total Room Count(not including baths):existing new First Floor Room Count
Heat Type and Fuel: ❑Gas ❑Oil ❑Electric ❑Other c-
Central Air: ❑Yes ❑No Fireplaces: Existing New Existing wood/coaaslove: LYYes 0 No
J-�
Detached garage:❑existing ❑new size Pool:LJ existing ❑new size Barn:❑existing ❑new size
zi Ji
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 y � ✓-
Name- SIGw 7ilwvikm Telephone Number
Address License 69 q L105
"cow Home Improvement Contractor# a 3°`1 9
0" 6 y Worker's Compensation# 6IMr a21�b0
ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO
�1 }t�y
SIGNATURE DATE
' FOR OFFICIAL USE ONLY
, 1
R`
-PERMIT NO.
DATE ISSUED-`
MAP/PARCEL NO.
y
ADDRESS VILLAGE
OWNER
4
DATE OF INSPECTION:
X - y
FOUNDATION t
FRAME
t
INSULATION
FIREPLACE
ELECTRICAL: ROUGH FINAL
PLUMBING: ROUGH FINAL
GAS: ROUGH FINAL
FINAL BUILDING
DATE CLOSED OUT
ASSOCIATION PLAN NO.
. r +
oF1HET � w Town of Barnstable ► ` ' aA '' �-
Regulatory Services 20H JAN 19 PM T. 27
■AJMW BM
y Huss Thomas F.Geiler,Director
�p 163q. '�0 .
rEp.Mp$� Building Division
Tom Perry, Building Commissioner DIVISION
200 Main Street, Hyannis,MA 02601
www.town.barnstable.ma.us
)ffice: 508-862-4038 Fax: 508-790-6230.
Property Owner Must
Complete and Sign This Section
If Using A Builder
I, J ,r.. •• .� 'j- �� �,e,r , as Owner of the subject property
hereby authorize 1 0 — to act on my behalf,
in all matters relative to work authorized by this building permit application for:
((u
(Address of Job)'
Signature of Owner Date
,
Print Name _. ...
7.r .irt.,;.y�. ,.... dr. :?; ri' :,�, _ 3f`rs...T4 ��a, yjf�+y)?"�sf•. (..l. ay:J�':e.� e Y i-Z?I..
^fit
Q:FORMS:OWNERPERMISSION
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