The URL can be used to link to this page

Home My WebLink About0004 VANDUZER ROAD ✓O ... _ ., _. ., y i n .. 1 ., . e .. '�F. �r ti t TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map �J� Parcel �� Application # Health Division Date Issued q-Z'Y-/Y P� Conservation Division Application Fee �6 Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation/ Hyannis Project Street Address 4 VOL(-Id Mle_r Road Villa ��..,, . ems_ Owner�Se, N ' ' ns Address 101 (2ru4)U)'lr_ 1 np1,e& (I loycasler Telephone s5 �� 3 Ra0 /hiq 01�0� Permit Request f f Q-f IA54dIt 19" R" 59 (t,0 Cad lass R-1 Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay i Project Valuation Construction Type .Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. C Dwelling Type: Single Family ❑ Two Family. ❑ Multi-Family(# units) h. Age of Existing Structure G Historic House: ❑Yes ❑ No On Old Kirin Highw ; ❑Yes ❑ No Basement Type: ❑ Full ❑ Crawl ❑Walkout ❑ Other Basement Finished Area(sq.ft.) Basement Unfinished Area (sq. ) Number of Baths: Full: existing new Half: existing nno 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 ❑ neiv 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 Proposed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name K-t upper Telephone Number s_Tn g 1703 01 t t Address �19 ('� I'1'lI Tech k License#�J� IASf �`om Inn- a a 03 Home Improvement Contractor# 1:7 Email min C 4iLDwLo. �DiT-) Worker's Compensation # W&t1_,6n,95Sg30/6_hD ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO T 8 J SIGNATURE DATE + d FOR OFFICIAL USE ONLY - ARPLICATION# DATE ISSUED MAPy/PARCEL NO. ADDRESS VILLAGE OWNER DATE OF INSPECTION: FOUNDATION FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING- DAT&.CLOSED OUT ASSOCIATION PLAN NO. `162353 OWNER AUTHORIZATION FORM (Owner's Name) owner of the property located at r Property Address) (Property Address) hereby authorize (Sub ntractor) an authorized subcontractor for RISE Engineering, to act on my behalf to obtain a building permit and to perform work on my property. ner's Signature 15 ao, Date j '' AUG 8 2014 0'3�5-, Of(07B y Engineering Dept. (3rd floor) Map . 3�� Parcel = -Permit# 3 g" R House# M1 Date Issued �C� Board of Health(3rd floor)-(8:15 -9:30/ 1:00-4:30)�7�C�` �'W Fee as" Conservation Office.(4th floor)(8:30-9:30/1:00-2:00) ` Planning Dept.(1st floor/School Admin. Bldg.) �3 c SEPTI INS Y MUST BE Definitive Plan Approved by Planning Board P.A- �PP?4i'es.� � NPLIANCE TOWN OF BARNSTABLE ToWN CODE AND ULATIONS Bui pd4ug Permit Application Project Street Address lo Village �If�� Owner Q r Address Telephone , Permit Request J ` z2 � First Floor c square feet Second Floor A square feet Construction Type X 7Stv cr Estimated Project Cost $ 40 Zoning District Flood Plain Water Protection Lot Size Grandfathered ❑Yes ❑No 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 §1 Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full: Existing New Half: Existing New No. of Bedrooms: Existing New Total Room Count(not including baths): Existing New First Floor Room Count Heat Type and Fuel: Oh Gas ❑Oil ❑Electric ❑Other Central Air ❑Yes ®No Fireplaces: Existing �6-t-e-New Existing wood/coal stove ❑Yes ag No Garage: ❑Detached(size) Other Detached Structures: ❑Pool(size) ❑Attached(size) ❑Barn(size) Q None ❑Shed(size) ❑Other(size) Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes f(No If yes, site plan review# - Current Use Proposed Use Builder Information Name ��'►„ q s� (�,pnrLl� Telephone Number C,7a(�_ "S 2! o,,i f Address t �, ( a License# c,q(p, 78 �n�..t 0 c L t Q �Vl; C>� �� Home Improvement Contractor# j q,F + Worker's Compensation# NEW CONSTRUCTION OR ADDITIONS REQUIRE A SITE PLAN(AS BUILT)SHOWING EXISTING,AS WELL AS PROPOSED STRUCTURES ON THE LOT. ALL CONSTRUCTION DEWiaL.SULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE LJ J DATE 9 BUILDING PERMIT DENIED FOR T FOLLOWING REASON(S) P FOR OFFICIAL USE ONLY PERMIT NO. , DATE ISSUED MAP/PARCEL NO. ' ADDRESS 1 VILLAGE F OWNER s r DATE OF INSPECTION w FOUNDATION _ FRAME INSULATION FIREPLACE 1 •9 ELECTRICAL: ROUGH FINAL PLUMBING:- ROUGU FINAL GAS: m, UGg tr FINAL FINAL BUILDING t*t A DATE CLOSED OUT 0 yen a, y 0 ASSOCIATION PLAN O. c t: m The Town of 1��rnsta le erMAM16yg$ Department of Health Safety and Environmental Services Building Division 367 Main Street,Hyannis MA 02601 Office: 508-790-6227 Ralph Crossen Fax: 508-790-6230 Building Commissioner For office use only Permit no. Date AFFIDAVIT HOME IMPROVEMENT CONTRACTOR LAW SUPPLEMENT TO PERMIT APPLICATION MGL c. 142A requires that the "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: C Est.Cost Y� Address of Work: L-)Y1') I rCr Owner's Name n a q JLA Date of Permit Application:__&q I l I hereby certify that: Registration is not required for the following reason(s): Work excluded by law Job under S1,000. Building not owner-occupied Owner 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 THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c. 142A SIGNED UNDER PENALTIES OF PERJURY I hereby apply,for a permit as the agent of the owner. Date r Contractor Name Registration No. OR nnte Owner's Name