HomeMy WebLinkAbout0121 TONELA LANE lob l 7ELM L i3 i1/4/6fo
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IIPPIF
TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION .;:'
- 4T-63 - 1
Map; 3 3(-3• p. Parcel ® 22 - Permit#
Health Division '� Date Issued 24, "C)
Conservation Division Fee • !"/3, ye) •
Tax Collector S C-
Treasurer ,, ___\ "') I Cre")
Planning Dept. f)I a '"r
Date Definitive Plan Approved by Planning Board •
Historic-OKH Preservation/Hyannis ,
.
Project Street Address /c / '7-64u•C`,q L- -one .
Village r a• r 1 14 0,_'• 'rS - o 8•
Owner net d frn P•2 n r) Address
•
Telephone •
Permit Request g-2. RO- (s7'rz43 e'dc t&Iii75 / pc n sick oc ShitisCco •
6-O ri•e.excesz.S2 w a c GL u w(•eta...Cep.,
' 30X
Square feet: 1st floor: existing proposed 2nd floor:existing proposed. Total new
• Estimated Project Cost / 000 Zoning District Flood Plain, .Groundwater Overlay
Construction Type
Lot Size Grandfathered: Li Yes ❑No If yes,attach supporting documentation.
Dwelling Type: Single Family 0..., Two Family ❑ . Multi-Family(#units)
Age of Existing Structure Historic House: ❑Yes ❑No On Old King's Highway: ❑Yes O No .;4 .
' Basement Type: ❑Full ❑Crawl ❑Walkout Li Other
Basement Finished Area(sq.ft.)* Basement Unfinished Area(sq.ft)
k Number of Baths: Full:existing new Half: existing new
Ji
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 .0 No Fireplaces: Existing New Existing wood/coal stove: ❑Yes O No
Detached garage:❑existing ❑new size Pool:0 existing ❑new size Barn:❑existing ❑new size
Attached garage:0 existing ❑new size ' *Shed:0 existing ❑new size. Other:
Zoning Board of Appeals Authorization ❑ Appeal# • Recorded❑
Commercial ❑Yes ❑No If yes,site plan review# '
Current Use • Proposed Use
BUILDER INFORMATION ,
Name ERASER CONSTRUCTION Telephone Number
Address 71 PARAGON CIR. ,
COTUIT MA 02635 License#
(503) 420-2292 Home Improvement Contractor# . // S 3 6- '
Worker's Compensation# Aiio/'9//9aIJ - • ,
ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO �Cc/1 loLL4ZJ
F
SIGNATURE .. DATE _ /5/0-0 3
„ , FOR OFFICIAL USE ONLY .
I7 .. ®' ,. a
.-MIT NO. '
. r-
1 `” L..
DATE ISSUED ,,, t'� C.1.
MAP/PARCEL NO. ' �} .
ADDRESS r • VILLAGE • r," •`" ,' c '
� N !C) 4' V rC?)
OWNER . • •
, ,... , +.1/43
Cel
CI iv
DATE OF INSPECTION: , •
FOUNDATION " ' ' ,
FRAME - • - .
.
INSULATION
FIREPLACE -
ELECTRICAL: ROUGH FINAL '
•
PLUMBING: ROUGH FINAL
GAS: ROUGH FINAL
FINAL BUILDING '
DATE CLOSED OUT
S.
ASSOCIATION PLAN NO.
:was,. 9,
1 ) '- * i :The-Town of II;arnstaffe
kl
,:: 41 Department of Health Safety
and Environmental Services
r Building Division
367 Main Street,Hyannis MA 02601
7
Office: 508-862-4038 Ralph Crossen
Fax: 508-790-6230 Building Commissioner
E
Permit no.`' '
Date '7/9// D ::.a
// • x
• i ', . AFFIDAVIT
t HOME IMPROVEMENT CONTRACTOR LAW
- '`. SUPPLEMENT TO PERMIT APPLICATION
1
,
MGL c. 142A requires that tha"reconstruction,alterations,renovation,repair,modernization,conversion,
\. improvement,removal,demolition,or construction of an addition to any pre-existing owner-occupied
building containing at least one but not more than four dwelling units or to structures which are adjacent to
such residence or building be done by registered contractors,with certain exceptions,along with other
requirements.
•
Type of Work: Re ROc) i n Cf Estimated Cost / 0690
•. Address of Work: i n. J9l /On -6- l9 C6 2711 ff'c1/I/ f;if"A
Owner's Name: t _ ° a t t(?-00Y) A/Z/A..)
I i5. . A
Date of Applications 7/a//0-0
I hereby certify that:
Registration is not required for the following reason(s):
Work excluded by law
[Job Under$1,000
Building not owner-occupied
Downer pulling own permit
Notice is hereby given that:
OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED
CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE
ACCESS TO THErARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c. 142A.
t t
•; .:'SIGNED UNDER PENALTIES OF PERJURY
I hereby apply fora permit as the ag owner:
Date t Contracto Name Registration No.
OR
Date Owner's Name
q:forms:Affidav