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TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION
Map 9P Parcel O G 4 Permit# 573
Health Division Date Issued (t
Conservation Division Fe 4kd. Q)L&--R
Tax Collector Q
Treasurer
Planning Dept.
(ry?I✓1,
Date Definitive Plan Approved by Planning Board
Historic-OKH Preservation/Hyannis I UY11
Project Street Address Q7�S t1Qe PVS &,LL
Village A.)/V
Owner elgo,G,O Address d5 S Q2PPll vC��/�
Telephone 7
Permit Request
Square feet: 1st floor: existing . proposed 2nd floor: existing proposed Total new
Valuation V&0,00 Zoning District Flood Plain Groundwater Overlay
Construction Type Goo d
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 ❑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 Cl No If yes, site plan review#
Current Use Proposed Use -
BUILDER INFORMATION
Name iG a az ors Telephone Number
Address /0 O License# O Z-2
CP tea./lo 44 Home Improvement Contractor#
Worker's Compensation#
ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO
SIGNATURE DATE 2— D�
p_t FOR OFFICIAL USE ONLY
Yw k:•
PE'RMITNO.
DATE ISSUED + -
MAP/PARCEL NO.
ADDRESS VILLAGE ,
z OWNER
DATE OF INSPECTION:
t ,
> FOUNDATION
} FRAME
INSULATION '
l FIREPLACE
ELECTRICAL: ROUGH FINAL
PLUMBING: ROUGH FINAL
r: . GAS: ROUGH FINAL
I -
;, FINAL BUILDING
DATE CLOSED OUT ' r
ASSOCIATION PLAN NO.
fi R 6
As�essor's-bffioe .(1st floor}: DESIGNING ENGINEER MUST SUPE
Assessor's m96 and, lot number .3�.Yr d. �o,. O® ! sNSTALLATION AND CERTIFY IN
Board of Healoth (3rd floor):
THE SYSTEM WA INSTALLED 1
Sewage Permit 'urber ............. ..�.. . .:! a1CCORDANCE TO PLAN. '
2 SASd9Ta LE,
Engineenind�agtm nt (3rd floor): MA°
q zSS �J� 9.
House nUru� r :. ....................................... G',k a,`
u...� �f YPY-
APPLICATION$ `P dESSED .8:30-9:30 A.M, and 1:00-2:00 P.M. only e �-
TOWN OF BA R.N " ,�E�AM
us
BUILDING INSPECT
APPLICATION FOR PERMIT TO ....6'1U.`.L.1S23.PaT.....(V<.w.......Dt Y -C,•,,,• ,,,,,•.•..•..•••..
TYPE OF CONSTRUCTION ..........�.!t;s..Q.... .........................................................................................................
...............................................19........
p TO THE INSPECTOR OF BUILDINGS:
I The undersigned hereby applies for a permit according to the following information:
Location ......... ....��.?-`.�..... 7 ,�lJ�....!.I. ./!... ��L ... .............�1"/./�'-e
Proposed Use �4. ...1i1........G' t��.`...e............................................................................................���!
Zoning District ................................Fire District
..................................... . ..............................
Name of Owner^� .l.�Ll �i.�°.- .....1••• y... .�1' d�dress L6Y....��4�(.t �:....., ���
Name of Builder Ped) .4fa .......< 444.sl...................Address
Name of Architect . .®.4.. ... ... . � .�.........................Address ...............tea.. .
.............................................
Number of Rooms ............ /
......................................................Foundation ....�Q.•.!:�-]--�......�:LZ..��'.-�!(�.."�:.........
Exterior S.'...........................Roofing ....../?`S�l�i.��. ....... �z:�...!4, -� ................
Floors l?.6......4..4:.... t ...............Interior ......
......................................................
Heating . �'GG........ ........Plumbing .j. .5.......................................................................
00
Fireplace ........./.'�..Q..�'1 ." .................................................A roxi����}}.ate Cos ....�4?�..4.0� i
[PQM I-
__ YI(sf l t-
Definitive Plan Approved by Planning Board ___ _a _-_______19 __ . Area ICJ..c
. s�......................
Diagram of Lot and Building with Dimensions Fee ,�� �
.......... ..............
SUBJECT TO APPROVAL OF BOARD OF HEALTH
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G2. SF
OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS
I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above
construction.
Name .... . .. . ....
Construction Supervisor's License -+ ..'..0/-?AF? ...•
Independence Park, Inc. .r .
^A � ` 4
3124"5 office
o Permit for
•
building
{ Location; .........255.,_Breeds..Hill..Road-.••-••••••
' Barnstable
........................Inde endenc.e Park....Inc...... ,• J �, z -, f - ",
OwnerP...........................r................ r
.-. Type of Construction
frame -
.h ... ......................................I.................
t
• Plot ....o:..................... Lot ............:................... �
Permit',.Granied .......S.'.Plt.eznbex...Z9.......19 87 r
Date of`Inspection ....................
Date Completed. .................. .... .....19 "
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by ��
JOE 87-317
CERTIFIED PLOT PLAN
PREPARED FOR.
LOCATION: BREEDS HILL RD . BARN .
SCALE: 1=60 DATE: 9/29/87
REFERENCE:
PB 438 PG 1 INDEPENDENCE PARK INC .
I HEREBY CERTIFY THAT THE BUILDING
SHOWN ON THIS PLAN IS LOCATED ON THE
GROUND AS SHOWN HEREON.
BUILDING CONFORMS TO SETBACK REQUIREMENTS 0i
OF THE TOWN WHEN CONSTRUCTED. ����`N ��\
ARNE y�f,
down cape engineering OJAL#26348 N�
CIVIL ENGINEERS \�f� -f ST
! LAND SURVEYORS
64 Y.ARMOUTH MA DATE REG. .ND SURVEYOR
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