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AP-2022-004 Coughlin CTown Cleric Stamp V 1111 >LLL to `4!11'n of BcirnsF 'iaeidr' Zoning Board of Appeals Application for a Special Permit For Office Use only. j Date Application Received: Appeal No.: Hearing Due Date: Hearing Date: { Decision Due: t Property owner: Patrick K. Coughlin and Kimberly Piculell Coughlin Phone: Property Location: sr,,,,=t18,f_rL,ake Elizabeth Drive village: Centerville city: Barnstable state: MA I zip:02632 1 IAddress of Owner 1 (if different from above): ctr_eta sil"Mone { City; State: I Zip: I Assessor's Info: Map:226 Parcel: 184 Zoning District: DCPC Groundwater Overlay: AP ' Registry of Deeds/Land ` Book:30989 Page:90 Document#: Certificate#_ Court Reference: I Plan Book:673 Plan Page: 66 Applicant's Name:a same as above Phone: Applicant's Address: Fax#: 1 City: State: I Zip: i If Applicant(s) differs from owner, state nature of interest' i The undersigned hereby applies to the Zoning Board of Appeals for a Special Permit, in the manner and for the reasons set forth below: Cite Section(s) & Title(s) from Zoning Ordinance: 240- 131.4D(2)(a) Change, expansion or alteration of uses and structures I240_ 131.4E Special Permit for Dimensional Relief Description of Activity/Reason for Request: I I 1 The Applicants seek to alter/expand the existing dwelling pursuant to plans prepared by Sullivan Engineering & Consulting Inc. and Atelier R Design. j{ Its property subject to an existing Special !'_ YES - Please list Appeal #(s): i,/ NO 1 Permit or Variance: I i The Applicants)Name will be the entity to whom the special Permit will be issued to. 3 if the Apphcant(s)differs from propertyownep the Applicant will be required to submit one original notarized letter from the owner authorizing the Applicands)to represent them beforetheooard. Also,if perspective owner(s),an executed Purchase and Sales Agreement or lease,or other documents to prove standing and imerestin the property will be required. Existing Level of Development of Property — Existing Number of Buildings: 1 Existing Use of Property:single family Existing Gross Floor Area: 2704 Proposed Level of Development of Property—Total Number of Buildings:1 Proposed Use of Property:single family residential Proposed New Gross Floor Area: 3264 Site Plan Review Number: We ( Date Approved: Description of Construction Activity (if applicable): The Applicants seek to alter/expand the existing dwelling pursuant to plans prepared by Sullivan Engineering & Consulting, Inc and Atelier R. Design. Is the property located in a designated Historic District: Yes No V Is the building a designated Historic mark: Yes No Is this proposal subject to approval by the Board of Health: Yes No Is this proposal subject to the jurisdiction of the Conservation Commission: Yes V No Have you applied for a building permit: Yes No Have you been refused a building permit: Yes No Signature: s�//J` r I Date: February 4, 2022 Print Name: Michael F. Schulz Phone: 508 428-0950 Mailing Address: 1340 Main Street City: Osterville I State: MA ZIP: 02655 Fax Number: 508-420-1536 Email Address: mschulz@schulzlawoffices.com N Ar. 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