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TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION
` '" OF
Map- Parcel TOWN AP `� Application � 610.
Health Division �F, ^ ' 't� sy , � „ �' Date Issued
Conservation Division Application Fee
Planning Dept. ._. — Permit Fee
Date Definitive Plan Approved by Planning Board QI°=11
Historic - OKH _ Preservation / Hyannis
Project Street Address 1 OLD W JNA V( LAIC
Village uNi5mr I"\ r
Owner Yu0-14 z"-tk'w y Address L`D Pq 11) q'
Telephone tal7 '94 — 110 / )�� )
Permit Request A EPW5 CW
Square feet: 1 st floor: existing proposed nd floor: exi ting proposed Total new
Zoning District Flood Plain ou ater Overlay
P_r_oject_Valuation S Construction yp'
Lot Size Grandfa ered: ❑Yes ❑ No If yes, attach supporting documentation.
Dwelling Type: Single Family �A- Two Family ❑ Multi-Family(# units)
ti
Age of Existing Structure His ric Ouse:❑Yes 0-No On Old King's Highway: ❑Yes �-No
❑Basement Type: ❑ Full Cr ❑Walko ❑ Other
Basement Finished Area(sq.ft.) Basement Unfinished Area (sq.ft)
Number of Baths: Full: existing w Half: existing new
Number of Bedrooms: existing new
Total R -m-Count (not include g ths): existing new First Floor Room Count
Heat Type a Fuel: ❑ Gas ❑ Oil ❑ E tric ❑ Other
Central Air: ❑ s ❑ No ireplaces: Existing New Existing wood/coal stove: ❑Yes ❑ No
Detached garage: existing ❑ ew size_Pool: ❑ existing ❑ new size _ Barn: ❑ existing ❑ new size_
Attached garage: ❑ exis ' g ❑ n w 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 ` � � �ly+�v Telephone Number tSGK-3��
Address License #
moifif fatf AiAr CA75 Home Improvement Contractor# 1yg
Email l j?� a Gu ��+f.f2� �t� .Co yh Worker's Compensation #
ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO
YIM Tit Wo
SIGNATURE DATE
1 "
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
4
DATE CLOSED OUT
ASSOCIATION PLAN NO.
f
�tT°wti Town of Barnstable
� RNJ
TAP RegulatoryServices LE
t sn t�MASS. # Richard V. Scali, Director
Mass.
i659. p i I I !V Y (• l [
rFn Nw� Building Division -� t=o
Tom Perry,Building Commissioner
200 Main Street, Hyannis,MA 02601.
www.town.barnstable.ma.us Id=
i,T-11
Office: 508-862-4038 Fax: 508-790-6230
NOTICE TO THE BUILDING DIVISION OF WITHDRAWAL OF
LICENSED CONSTRUCTION SUPERVISOR FROM PROJECT
1, � f , Construction Supervisor License
# 07S7 q'b , hereby certify that I am no longer the Construction Supervisor listed
on the application for the project under construction as authorized by building permit
# 30!`1 Q�to l(o , issued to (property address) 7� 0 ��fI�jV S
Na 155L/c `f on 201�(:
I also certify that on S �� , 2011 , I notified the property owner,that the
project under construction must cease until a successor licensed Construction Supervisor,
is submitted on the records of the Building Division.
NSE OLDER DATE
i.
q/forms/newcontr
reference R-5 780 OAR
rev:040414
< TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION
Ma P Parcel ��S �pplication #
Health Division Date Issued
Conservation Division Application Fee
Planning Dept. Permit Fee
Date Definitive Plan Approved by Planning Board
Historic - OKH _ Preservation / Hyannis
Project Street Address t 5 1 k i 1AA Q__J°S LOLn 0—
Village 'R &re"� k Eti�
Owner i yr i y ��aLL ray Address �+re2-t
Telephone 12 [ ���er+'8W n _hA A 024-1 2—
Permit Request �Q. e f -1,�):/t '" �Q V (�G() °f 2 �,' �f�i�C,•SS �-.�-
-
Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new
Zoning District Flood Plain Groundwater Overlay
Project Valuation _6c Construction Type
v.�
Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supportt'g documentation.
Dwelling Type: Single Family U61 Two Family ❑ Multi-Family (# units)
Age of Existing Structure Historic House: ❑Yes ❑ No On Old King Highway: oa1'es ❑ No
Basement Type: ❑ Full ❑ Crawl ❑Walkout ❑ Other w
—=i
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 ( VL '� Proposed Use
APPLICANT INFORMATION
(BUILDER OR HOMEOWNER)
Name r z) �.� a-r' 6t �aAY lel phone Number
Address Ls�(Y Z I(�t riMl L� G 4�� License # 09 q
aLY _A CAC C 3 Home Improvement Contractor# I WTL�
Email k-S S !6D LW (?-A 9f ��-i Cn�)�1Gt • c4Worker's Compensation #VWG"1Ut
OG-(�0[
ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO
J"n, Av Aa-- �2� ynLt k6ruvi 1. N
SIGNATURE DATE 2� [
I
K FOR OFFICIAL USE ONLY
APPLICATION#
DAT�ISSUED
MAP/PARCEL NO.
ADDRESS VILLAGE
OWNER
DATE OF INSPECTION:
FOUNDATION
` FRAME
i
INSULATION
FIREPLACE
ELECTRICAL: ROUGH FINAL
PLUMBING: ROUGH FINAL
GAS: ROUGH FINAL
FINAL BUILDING
DATE CLOSED OUT
ASSOCIATION PLAN NO.
i
OWNER AUTHORIZATION FORM
r
1, C
( ses Name)
owner of the property located at
5- Lane
(Property Address) / -}
(Property Add ss)
hereby authorize O
(Subcontractor)
an authorized subcontractor for RISE Engineering,to act on my behalf to obtain a building
permit and to perform work on my property.
�000'l.g/
Owner's Signature
Date
y
Ss
4
v
D F
Date: (�
Thomas Perry, CBO
Building Division
200 Main Street
Hyannis, MA 02601
RE: Insulation Permits
Dear Mr. Perry,
This affidavit S is to certi that all work completed at:
Street: ()W
Village:
has been inspected by a certified Building Performance Institute (BPI) Inspector. All work
performed meets or exceeds federal and state requirements.
Permit application number: ZU t H 025��
Issue-date:
Sincerely,
Francis Sheehan
President
Frontier Energy Solutions, Inc.
502 Harwich Road
Brewster, MA 02631
Office: 774-237-0410
Email: fssfrontierenergy@gmail.com
j�L•—�T� q�j
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