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0227 SALT ROCK ROAD
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L - --- , . �'-,�, -,�.�'-�",�._'__�'_""�.._ -,I I I .' ..... " ' I -- � -, - -, --- � - - ': , ,, '' .�_" �'.. ��- '..�_"" -, , - - , �", , - - , - - '1�� '_��"'� LL' � , , � � __ .............. .�.�". , - - ,,,,"" ..' "",_'_�-'_'. _'��_�, ", __'_'� I"L _�_ - _��___ " ,'.�_"' ."'"""! -, ' ��' - ..". �'""!�.� , ''."".,-_","�": '��`� 1. .�_"' TAT � . _ � ,""" :L.","'�' "'I"' '��'��`� �.': , -_ - n� � I ���.�". ,-""..... �� "��',�.', , ___ - �"_ - ,- � ' � �' , ;*-'--� , 111� TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION ,4 Map Parcel Application # 6 l Health Division Date Issued —& "PY P� Conservation Division Application Fee Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation / Hyannis Project Street Address �U 2 4/�/K Zzy f. Village �JJ pia 13 Owner �h�� Le ,3)Z1,a e Address Telephone cf7��'3 G 2, Z 4-, Permit Request / �cyA,S e- /70 12 Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation I S'G D Construction Type /.,/1✓�i� i�� Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family (W Two Family ❑ Multi-Family (# units) Age of Existing Structure Historic House: ❑Yes 21% On Old King's Highway: ❑Yes ;ErNo 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 v N .—i Total Room Count (not including baths): existing new First Floor alm Courcat_ co Heat Type and Fuel: ❑ Gas ❑ Oil ❑ Electric ❑ Other -n Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing wood/coal stave: ❑yes ❑ No � cn Detached garage: ❑ existing ❑ new size—Pool: ❑ existing ❑ new size _ Barn: J J existing ne-. 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 oe ce Telephone Number _57S ZZ: —/L/ 3 — Address Je ,/ �i�� ��if� License # ��f =>✓4 IwI4 Home Improvement Contractor# J'G Z Email Worker's Compensation # �2 ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO z i2�enj f� SIGNATURE //` DATE FOR OFFICIAL USE ONLY /APPLICATION# DATE ISSUED g , MAPi-/PARCEL NO. ADDRESS. VILLAGE 'r OWNER' ' DATE OF INSPECTION: FOUNDATION FRAME INSULATION ?` FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL 'w FINAL BUILDING; DATE�LOSED OUT r ASlPOCIATION PLAN NO. OWNER AUTHORIZATION FORM 0 e-6 r/ki 110 (Owner's Name) owner of the property located at (Property Address)&rn b+wk I (Property Address -` hereby authorize ' J e (�U -I n s V lq - ior) , (Subcontractor) an authorized subcontractor,for RISE Engineering, to act on my behalf to obtain a building permit and to perform work on my property. 1 Own %nature Date e CAPE ro , 1_ INSULATION ZOIU 'Fl ^ W y is f;i°� ;t. CIO RE]Nffj /IY3YOUYi 33AMt353 fPYAi{pAM fYSI{NOtO PARS uuR{Y{ IN{Y3A{IpN C{IIINOf _ 1-800-696-6611 r,Vf `I"own of Barnstable Regulatory Services Building Division 200 Main St Hyannis, MA 0260.1 r, •. . Date'. 7 Dear Building Inspector Please accept this Affidavit as documentation that Cape Cod lnsylation, Inc. perfornied & completed the insulation and weatherization work at the property listed below. Cape Cod j Insulation did this in accordance to the specifications listed on the building pertttit ' application. All work has been inspected by a certified Building Perfonnance Institute (BP•1) inspector. All work preformed meets or exceeds Federal & State Requirements. Property Owner Property Address Village Insulation Installed: .Fiberglass Cellulose R-Value Restricted Uiu•estrieted Ceilings Slopes ( ) ( ) ( ) ( ) ) bloats ( ) ( ) ( ) ( ) ( ) Walls -#,,-AAA 1 Sincerely Hery L as y Jr, President C e Cod I ulation, Inc. I 1