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TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION
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Map A_\ Parcel ppli �n��ali -33�'I
Health Division Date Issued I
Conservation Division Application Fee
Planning Dept. Permit Fee
Date Definitive Plan Approved by Planning Board
Historic - OKH — Preservation/ Hyannis
Project Street Address 22 cJ,c,k W
Village
Owner Address s'.n-,
Telephone 6zk- 774-6y i f
Permit Request
Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new
Zoning District Flood Plain Groundwater Overlay
Project Valuation CC Construction Type
Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation.
Dwelling Type: Single Family a/ Two Family ❑ Multi-Family (# units)
Age of Existing Structure Historic House: ❑Yes ❑ No On Old King's Highway: ❑Yes ❑ No
Basement Type: ❑ Full ❑ Crawl ❑Walkout ❑ Other
Basement Finished Area (sq.ft.) Basement Unfinished Area (sq.ft^)-r
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:' ❑ ,cRgos ❑ 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 Proposed Use
APPLICANT INFORMATION
(BUILDER OR HOMEOWNER)
Name — Mike-McCartliv Construction Telephone Number
p® Sox 52
Address IATe�ennis, MA 02670 License #
Cell (508) 280-6964
ST -58633 14IC-16939-3 Home Improvement Contractor#
Email Worker's Compensation #
ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO
SIGNATURE DATE
r
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
DATE CLOSED OUT
ASSOCIATION PLAN NO.
6 11
4
RISE
6NCINCBRING
OWNER AUTHORIZATION FORM
(Owner's Name)
owner of the property located at:
(Property Address)
1, A !�7z�3�
L�Property Address)
hereby authorize e(�" (1��Jnllft
(Subc6ntractor)
an authorized subcontractor for RISE Engineering, to act on my behalf to obtain a building
permit and to perform work on my property. This form is only valid with a signed contract.
Owner's Signature
Date
RISE Engineering 6 Dupont Avenue South Yarmouth, MA 02664
yoFTNETo�� TOWN OF BAl NSTA.BL
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BABBSTABLE. i
D 039.
pYl►�e�� BUILORG 10SPECT® R
ry P ✓ /-V
APPLICATION FOR PERMIT TO ...�.L1.1. .....S.1 .5�.1.s..... �!^".�.1.7....�.�!!!.�.I. .l!k:. ....................................
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TYPE OF CONSTRUCTION ....AN..Q I.....E v'z.V.'ek c....�:... ..........................
1....�...6...........1.1............
19'�/...
TO THE INSPECTOR OF BUILDINGS:
The undersigned hereby applies for a permit according to the following information:
Location ..L..�'.7. .C.s£
5
ProposedUse ....... ...l.Y��...F a?.....r .(J Y�;1 i.....�t.S.!...:c+► .............................................................................................
Zoning District .......1.\.. ....................................................Fire District 6J. Y'.r..� �.�t
Name of Owner ....... ...:...�W.�).c.,P.A.W.........Address Q.�....�. .:......!.:��cY�?.l��x r�1 ASS,
Name of Builder .. ..YN.1 ri....t,R.WJ..4.......N...................Address ....W..�..Y.,ZY.�ti� .................................................
Name of Architect ........ .o ..........................................Address
..... ....................................................................................
v
Number of Rooms ........(a...............�..�'��..�41!!z�e...�?s.�Rr Foundation ....Rb.V :..vq. ..... oc-..............
Exterior ...W..�i� � l �,. .z.Y......�`�[\��.Ie:S.....................Roofing .....:.A.S..P' L :....................................................
Floors ......Q..t �L...................................................................Interior .........A.).. .ki2 �1.......................................................
w i[ �}
Heating ..... �............9.......�.�.�►........A.�..'....................Plumbing .............P1.....�� t,rA�� ,$
Fireplace
Fire ...........Approximate Cost ....... �.
p .e. .................................................... lr-d-'b
Difinitive Plan Approved by Planning Board ________________________________19________.
Diagram of Lot and Building with Dimensions
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170
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3 y 868,90 jo�i�G
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I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above
construction.
Name ....�/Nit,. ..4rC?.......................................
Wheeler, Warren S.DEc 3 1 1971
No ..13615 Permit for ,, one story, i
single family difelling
...
Location c�>3 Westchester (,v
................................................. :G .jl.....
....................... ...�l&X.As. ./(
Owner Warren S. Wheeler !
....................................................
Type of Construction ..............frame............................
................................................................................
Plot ............................ Lot .......fq..87.......I........ I
I
I
February 11 71
Permit Granted ........................................19
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Date of Inspection .... ..: .. ...P........19 71
Date Completed ......................................19
4
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PERMIT REFUSED ,
................................................................ 19
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Approved 19
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