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dINf '+ TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION
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Map 2 _ 8 Parcel 0 f1 Z Application #&C t a b S (
Health Division Date Issued \6 ` 'Z—
Conservation Division Application Fee
Planning Dept. Permit Fee / I
Date Definitive Plan Approved by Planning Board P/L----
1
Historic - OKH Preservation/ Hyannis
Project Street Address 3 5Civ 1)DER's L A N C
Village gMZ►\IS I A B L E
Owner AI geR.i 1 i\J ci LAM, Address 21 fS Ni- ST. CAM( 82I 0-
Telephone (o17 ' (Q10 ' 0 (D 0 (0
Permit Request Mft4 I"op VEND Vk uI 0 Ni 5Kit{lr(E l"(ice U)s(A ►/0-IV
krf P (2-0or 3Aac. -2o Mom- 5GZi aK)
Square feet: 1 st floor: existing proposed X 2nd floor: existing X proposed Total new X
Zoning District ,l Flood Plain Groundwater Overlay
Project Valuation 1*1)21 Old Construction Type
Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation.
Dwelling Type: Single Family Two Family CI Multi-Family (# units)
Age of Existing Structure 1 52 -' Historic House: KYes ❑ No On Old King's Highway:AYes ❑ No
Basement Type: •tFull (Crawl ❑Walkout ❑ Other 1/v CrcvV 12 6/I,(/
Basement Finished Area (sq.ft.) Basement Unfinished Area (sq.ft)
Number of Baths: Full: existing h Z new Half: existing 1/2 new
Number of Bedrooms: Li existing new
Total Room Count (not including bLi
a s): existing new First Floorrl ,om Count =2
0 _tea
Heat Type and Fuel: ❑ Gas Oil ❑ Electric U Other :,717.S
Central Air: ❑Yes X No Fireplaces: Existing I New Existing woo /coal stove: C (1 .es ' No
Detached garage: Cl xisting ❑ new size_Pool: CI ' ting CI new size Barn: 1 existing ❑ n , size
E.,� x
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 To l3 L( (,'A-I-if Telephone Number 500 ' a t 7 . 2161
Address 136 BA(Z►JS'iA @ l.0 Rb License # CS- 0 S`f( 05
Pr'!A N N I S /'l A Home Improvement Contractor# 1 (139 y Z
Worker's Compensation # W2A2WC000O25-
ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO 2-DO
TJN filke,1/(K,ieS
SIGNATURE DATE L OI CJ l t 2-
FOR OFFICIAL USE ONLY
APPLIIC,ATION#
DATE ISSUED
MAP/PARCEL NO.
ADDRESS VILLAGE
OWNER
DATE OF INSPECTION:
FOUNDATION
FRAME
INSULATION
FIREPLACE
ELECTRICAL: ROUGH FINAL
PLUMBING: ROUGH FINAL
t r
GAS: ROUGH FINAL
FINAL BUILDING
DATE CLOSED OUT ,
ASSOCIATION PLAN NO.
To: Nancy Lamb Pagc 11 of 18 2012-10-19 18:46:28(GMT> - From.To y La
STAT
AS
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LETTER:4F-AU 'HORIZATION TU:AP . Y E- ,
N:THE-PRO:P. RTY O _..TED SAT; _ �.1•••
I HAVE A 1THOR'1ZE:D:TOBY LEARY FINE. NOQD QR.KING,INC TO ACT AS MY;A E.NT TO APPLY
FOR A BUILDIi G PERMIT�IN;ACCORDA CEl ITH 78D CM:R.TH;E t1 ASSACUUSETFS STATE. .:.
BU
SSACLS-SEEST.TA.fT.:EAPPLY:.F,.R:::4:.,B..::U:._IE,_ _ :.SION TO#E : .' .. .. .a.:U_-L.O,I :GCOD P::�E_ R,�M:::I�_.�T�.:;i.=N:.. .A::..tomC.•":O:;I Z.
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AP:PIMA(UT:S TELEPHONY: :. � : :
R PONSIBLE`-O"F.FICEf3 ': :.:.; :.._
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