HomeMy WebLinkAbout0035 MARSTONS LANE (10)rr3,:oicoMY-sn3 �
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1 '- - r TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION
Map - 2 k 0 Parcel V �J I Application # / ` /6"c / a
Health Division Date Issued 1'/Z`1(0 Psi -
Conservation Division Application Fee
Planning Dept. - Permit Fee
Date Definitive Plan Approved by Planning Board 2 in C;
Historic - OKH _ Preservation / Hyannis
Project Street Address 36 1 V ►uz S ku I
Village lb It„
Owner m al w a a\F 0,M09 Address SaNie.,
Telephone 9 • . -'O O-,)-'—
Permit Request Y 11 Kl ► I ,�1 C� . ® ' di' .(nd
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Square feet: 1st floor: existing proposed 2nd floor: existing proposed Total new
Zoning District FIct Plain Groundwater Overlay
Project Valuations I�) '?OO'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 ❑ 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# c
Current Use Proposed Use 10
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APPLICANT INFORMATION
(BUILDER OR HOMEOWNER) f Q
Name \) �� `. 1< Telephone Number �%' `� $ o 5. 0 q
Address 1 - a 10 X t License# CH t `)
bom I S� ,� 1 V� b Home Improvement Contractor# 3 1 0
Email 5* J 34A-0- , @ C11\f) 0-0-1 '1"-If-Worker's Compensation #
ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO KA N‘: LI
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SIGNATURE C /� ii DATE 3\34\IL0
•
FOR OFFICIAL USE ONLY
APPLICATION# •
DATE ISSUED
MAP/PARCEL NO.
ADDRESS VILLAGE
OWNER
DATE OF INSPECTION: •
FOUNDATION
FRAME
INSULATION
•
FIREPLACE
ELECTRICAL: ROUGH FINAL
PLUMBING: ROUGH FINAL
GAS: ROUGH . FINAL
FINAL BUILDING '
DATE CLOSED OUT
ASSOCIATION PLAN NO.
.
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St+e toss_.�r t
Town of Barnstable
Regulatory Services
Richard V.ScaIi,Director
Building Division
Thomas Perry,CBO
Building Commissioner
200 Main Street, Hyannis,MA 02601 •
www.town.b arns tab le.ma.us
Office: 508-862-4038 ' • Fax: 508-790-6230
Property Owner Must
Complete and Sign This Section
If Using A Builder
ell atd (C\L) V er of the subject properly
-L9 hereby authorize " 1,1 UT\ to act on my behalf,
in all matters relative to work authorized by this building permit application for:
• V\l1 s � Ie
(Address of Job)
Signature o Owner Date
n
ned,a
Print Name
If Property Owner is applying for permit,.please complete the Homeowners License Exemption Form on the
reverse side.
Q:\WPFILESIFORMS\building permit forms\EXPRESS.doe
Revised 061313
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