Tisbury Massachusetts - Building Permit Application

Building Permit Application


	TOWN OF TISBURY BUILDING INSPECTION & ZONING ENFORCEMENT POST OFFICE BOX 1239 VINEYARD HAVEN, MA 02568 Kenneth A. Barwick - Rhonda DeBettencourt, Phone (508) 696-4280, Fax (508) 696-7341 FEE: ____________ OTHER PERMITS/APPROVALS REQUIRED: BOARD OF APPEALS: _______________ PLANNING BOARD: _______________ BOARD OF HEALTH: _______________ CONSERVATION: _______________ FIRE DEPARTMENT: _______________ HISTORIC DISTRICT: _______________ MARTHA’S VINEYARD COMMISSION: ______ SITE PLAN REVIEW COMMITTEE: _____ ********************************************************************************** PROPERTY OWNER:_______________________________________________________________ MAILING ADDRESS:__________________________________________________________ TELEPHONE:_______________________________ PREVIOUS OWNER IF PURCHASED WITHIN 1 YEAR_____________________________ APPLICANT NAME:________________________________________________________________ MAILING ADDRESS:_______________________________________________________ TELEPHONE:________________________________ PROPERTY LOCATION: STREET: ______________________________________________________________ ASSESSOR’S PARCEL: _____-_____-_____ ZONING DISTRICT: _______________ DATE OF DEED TO OWNER: _______________ BOOK: __________ PAGE: __________ DESCRIPTION OF CONSTRUCTION ACTIVITY: __________________________________________________________________________ __________________________________________________________________________ DIMENSIONS: _______________(LIVING AREA) SQUARE FEET: _______________ NUMBER OF EXISTING BEDROOMS: __________ BATHROOMS: __________ NUMBER OF PROPOSED BEDROOMS: __________ BATHROOMS: __________ DISTANCE FROM WETLANDS, BOG, MARSH, BEACH, OR BODY OF WATER: __________ BUILDER: _________________________________________________________________ MAILING ADDRESS: ___________________________________________________ TELEPHONE: ___________________________________ CONSTRUCTION SUPERVISOR: ______________________________________________ MAILING ADDRESS: ___________________________________________________ TELEPHONE: ___________________LICENSE NUMBER________________ ESTIMATED COST OF STRUCTURE:________________________________ (MATERIAL & LABOR) PLANS REQUIRED (3 SETS EACH):** A. PLAN OF LAND REQUIRED FOR NEW CONSTRUCTION OR ANY CONSTRUCTION OUTSIDE EXISTING PERIMETER OF STRUCTURE* B: DETAILED BUILDING PLANS INCLUDING DIMENSION LUMBER, INSULATION VALUES, MATERIALS TO BE USED, ELEVATIONS, SECTIONS, ETC.** C. APPENDIX J (ENERGY AUDIT) All such plans and computations shall bear the Massachusetts Seal of Registration and signature of the qualified Registered Professional Land Surveyor. All building plans must comply with 780 CMR Building Code. This application will not be processed unless it is deemed complete including attachments as required. ------------------------------------------------------------------------------------------------------- Signed under the pains and penalties of perjury. Signature: OWNER___________________________________________________________________ APPLICANT________________________________________________________________ ********************************************************************************** OFFICE USE ONLY APPROVED:__________ DISAPPROVED: ___________ COMPLIES WITH ZONING BYLAW SECTION: _________________________ PERMIT NUMBER: ___________________ DATE OF ISSUE: ___________________________ _________________________________________________ SIGNATURE OF BUILDING INSPECTOR APPLICATION FOR: ATTACHED___ DETACHED___ TEMPORARY STRUCTURE___ NEW - DWELLING___ GARAGE___ SHED___ OTHER_______________ ADDITION TO - DWELLING___ GARAGE___ SHED___ OTHER_______________ BUILDING TYPE (SELECT ONE): BUNGALOW___ CAMP___ CAPE/SALTBOX___ COLONIAL___ COMMERCIAL___(see Page 4) MODERN/CONTEMPORARY___ TWO-FAMILY___ RANCH___ RAISED RANCH___ SPLIT-LEVEL___ OTHER_______________ STRUCTURAL DATA (MUST BE COMPLETED FOR ALL BUILDINGS): A. FOUNDATION TYPE B. FOUNDATION CELLAR___ BLOCK___ CRAWL SPACE___ POURED CONCRETE___ OTHER__________ OTHER__________ C. EXTERIOR WALLS (SELECT ONE, UNLESS THERE ARE EQUAL PROPORTIONS OF TWO) COMPOSITION/WALL BOARD___ WOOD ON SHEATHING___ ASBESTOS SHINGLES___ STUCCO___ BOARD & BATTEN___ STONE ON MASONRY___ BRICK ON VENEER___ BRICK ON MASONRY___ STONE ON MASONRY___ CLAPBOARD___ VINYL SIDING___ ALUMINUM SIDING___ CEDAR OR REDWOOD SIDING___ WOOD SHINGLES___ GLASS/THERMOPANE___ PREFAB WOOD PANEL___ PRE-FINISHED METAL___ CONCRETE/CINDER___ LOGS___ OTHER_________________ D. ROOF TYPE (SELECT ONE. IF MORE THAN ONE, CHOOSE THE PREDOMINANT) FLAT___ SHED___ GABLE/HIP___ SALTBOX___ MANSARD___ GAMBREL___ E. ROOF COVER (SELECT ONE. IF MORE THAN ONE, CHOOSE THE GREATEST AREA) ASPHALT___ WOOD SHINGLE___ CLAY OR TILE___ SLATE___ METAL OR TIN___ ROLLED COMPOSITION___ BUILT UP TAR/GRAVEL___ OTHER____________________ F. INTERIOR WALLS MASONRY___ PANELING___ PLASTER___ WOOD PANEL CUSTOM___ DRYWALL___ OTHER__________________ G. INTERIOR FLOORS (DO NOT COUNT KITCHEN) PLYWOOD___ PINE OR SOFTWOODS___ TILE___ HARDWOOD___ CARPETING___ PARQUET___ LINOLEUM___ VINYL___ OTHER_________________ H. HEATING FUEL I. HEATING TYPE WOOD/COAL/KEROSENE___ NONE___ OIL___ CONVECTION___ GAS___ FORCED AIR - DUCTED___ ELECTRIC___ FORCED AIR - NON-DUCTED___ SOLAR___ HOT WATER___ STEAM___ RADIANT ELECTRIC___ J. AIR CONDITIONING NONE___ CENTRAL___ HEAT PUMP___ K. OTHER DATA NUMBER OF STORIES:___ NUMBER OF FIREPLACES/WOOD STOVES:___ OTHER SIGNIFICANT FEATURES IF ANY:__________________________________ ****************************************************************** ADDITIONAL DATA (FOR COMMERCIAL BUILDINGS ONLY): A. HEATING/AIR CONDITIONING PACKAGED___ SPLIT___ NONE___ B. STRUCTURAL FRAME NONE___ WOOD FRAME___ MASONRY___ STEEL___ FIREPROOF STEEL___ REINFORCED CONCRETE___ OTHER__________________ C. CEILING & WALL (CHOOSE ONE FROM EITHER SUSPENDED OR NOT SUSPENDED) SUSPENDED NOT SUSPENDED CEILING ONLY FINISHED___ CEILING ONLY FINISHED___ CEILING WITH MINIMUM WALL___ CEILING WITH MINIMUM WALL___ CEILING & WALL FINISHED___ CEILING & WALL FINISHED___ D. OTHER DATA NUMBER OF ROOMS PER FLOOR___ WALL HEIGHT___ PERCENT OF COMMON WALL___ TOTAL NUMBER OF RESTROOMS___ IF RESIDENTIAL UNITS: NUMBER OF UNITS___ BEDROOMS PER UNIT___ BATHS PER UNIT___ ======================================================================= WORKMAN'S COMPENSATION INSURANCE APPLICATION COMMONWEALTH OF MASSACHUSETTS DEPARTMENT OF INDUSTRIAL ACCIDENTS 600 WASHINGTON STREET BOSTON, MASSACHUSETTS 02111 Download form from: http://www.mass.gov/Elwd/docs/dia/forms/f_aff_builders.pdf**


	Town of Tisbury 51 Spring St., P.O. Box 1239, Vineyard Haven, MA 02568 Phone (508) 696-4200 Important Numbers and Hours Terms & Conditions

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