HomeMy WebLinkAbout0028 PLEASANT PINES AVENUE 12 Lila! .,,
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TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION
Map- 2. -`4
Parcel Application #
Health Division Date Issued
;Conservation Division Application Fee
?'Planning Dept. Permit Fee •00
Date Definitive Plan Approved by Planning Board
Historic - OKH _ Preservation/ Hyannis
Project Street Address 2?2 Ae,,,
Village
Owner`4& s f�I Z24z e " 74 T el/ Address l ip� ef,
Telephone
Permit Request .0 �i ��P/f L� � G 2�110 a Z 4AfrZ 9Z'"
lB/�v�ose 8��
Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new
Zoning District Flood Plain Groundwater Overlay
Project Valuation p Construction Type /L1_ rL-i
Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation.
Dwelling Type: Single Family J4 Two Family ❑ Multi-Family(# units)
Age of Existing Structure Historic House: ❑Yes fA No On Old King's Highway: ❑Yes ,M 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
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 era Telephone Number �,6'D �/l/�—
Address /� ,.�Gp�tTidD� -/ 40 License # D 9 9:JV
D Home Improvement Contractor#
Email Worker's Compensation #
ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO
SIGNATURE DATE J
FOR OFFICIAL USE ONLY
APPLICATION#
i
DATE ISSUED
MAP/PARCEL NO.
ADDRESS VILLAGE
OWNER
DATE OF INSPECTION:
FOUNDATION
FRAME
INSULATION
r
FIREPLACE
ELECTRICAL: ROUGH FINAL
PLUMBING: ROUGH FINAL
GAS: ROUGH FINAL '
FINAL BUILDING
DATE CLOSED OUT
ASSOCIATION PLAN NO.
I
t
mass save xraacT,
`PERMIT AUTHORIZATION FORM
owner,of the,property located at:
(Owner's ame,.printed}
(Property Street Address) ` (Cityaown)
hereby authorize the Mass Save Home Energy Services Program assigned Participating
Contactor listed below to act on my behaff.and obtain a building,permit to perform insulation
and/or weatherization work on my property.
fi Owner's Signature
o
-�.
Date .
FOR CSGOFFICE USE ONLY
Conservation Services Group has assigned the following Mass.Save Horne Energy Services
Participating Contractor to the above referenced project:
CAPS W'()-
Participating Contractor. ° Date
Mv.12132011 -
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