HomeMy WebLinkAbout0035 HIGHPOINT ROAD ~� i i �� �V1 C ,
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Town of Barnstable *Permi 1
F�wes 6 months rom issue date
Regulatory Services Fee f
snxtvsr BLF,
MASS. Richard V.Scali,Direct ® { N V
,or 0 9.
Building Division
Paul Roma,Building Cgmmissioner'] 3 PENN,
200 Main Street,Hyannis �{,260� 1 z�16
www.town.barnstable.ma".t�s" �I'84 /�,
Office: 508-862-4038 l3NSTA8 Fax: 508-790-6230
EXPRESS PERAUT APPLICATION - RESIDENTIAL ONLY
Map/parcel Number
Not Valid without Red X-Press Imprint
I
Property Address 3 S �,l� k �O l o`T R D qflcf, sto o S k<;�s
IffResidential Value of Work$ gio00.00 Minimum fee of$35.00 for work under$6000.00
Owner's Name&Address L )O 1.1!R Lis J'`kt V�5
Contractor's Name <NtW4 LftVbVjCmTelephone Number tPe`36 0,27 V JF
Home Improvement Contractor License#(if applicable) Email: toL.,
Construction Supervisor's License#(if applicable) (QZ 600
I Workman's Compensation Insurance
Check one:
❑ I am a sole proprietor
I am the Homeowner
I have Worker's Compensation Insurance
��
Insurance Company Name _ E` qyI -qwa co WW1 S
Workman's Comp.Policy# R2 W 6 8 2?
Copy of Insurance Compliance Certificate must accompany each permit.
Permit Req t(check box)
f5Re-roof(hurricane nailed)(stripping old shingles) All construction debris will be taken to D-L�M—D❑ roof(hurricane nailed)(not stripping. Going over existing layers of roof)
ff Re-side
❑ Replacement Windows/doors/sliders.U-Value (maximum .32)#of windows
#of doors:
❑ Smoke/Carbon Monoxide detectors 4 floor plans marked with red S and inspections required.
Separate Electrical&Fire Permits required.
' *Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc.
***Note: Property Owner must sign Property Owner Letter of Permission.
A copy of the Home Improvement Contractors License&Construction Supervisors License is
re red.
SIGNATURE:
Q:\WPFILES\FORMS\building permit forms\EXP SS.doc
06/20/16
Me Commompeakh ofMassac&asetts
Departimaut of Dint Acddents
O,rce Of Imesfigmiam.
600 Washusgfon Mreet
Bastin,MA 02111
-- innv-masmgorldia
Workers' Compensaffun Insurance Affidavit Builders/Cantracturs/Mech cians/Fhnmbers
AppIkant Inform,atian Please Print re y
Address- e g (1•�t N S lJ
c yis r W Mir- 026`1 ��< <?6() 27g 9
Are you an employer?.Checkthe appropriate box: ZIPe of project(required):
I. I am a enaployez with I am a general contractor and I 6 New oomStrUCE s
4 El
(fullandfo s bave hired tfie sulr-conhractors ❑
2.❑ I am a sale proprietatr orpartner- Tilted on the attached sheet: 7. ❑Remodeling.
ship and have no employees These sub-contractors have g. ❑Demolition .
wod-ng for me in any rapacity. employees and have wogs' 9. .El Building addition
[No wodm&pomp_imm anre comp-mertrarrrr I
5_ ❑ We are a corpomtitm and its 16-❑ tri Electrical repairs or additionsregntred officers have exercised their LL❑ 1t�bm P additions
3.❑ I am a homeoumet doing all work g�Paim or ad
€[No
F-o workers' rigbt of egempfion per MGL
in req�d-]� c.152, §1(4�andwe have n L.❑Roofrepaim
employees.[Nowodwrs' 13-❑other
conq_insurance required.] "
#Any appffcaatHaatcheftbos iT1 oust also fiRoutthe sectionbeiowshondag theawodseie compeasatiaaporicyinf rms6 n-
meonraers who snb�i dais affidae in�catiag 13neg e=e��na 81F Wo>3G sad Bien hire outside remtrnrtn.e��submit anew affidaeit mdinak sadL
rCa additi—1 sheet shoua:g the name of the sRb-caz=CM=and state whether or not these e7dtiesbrc-
empb res.Ifthesub-c�have employee-%theyn ymnidetheir wudEE&C mP•Pa&FwOr-
Lam an eviployer that is prouiduy ivorkets'coaperisafian LFtsttrattce far my enrptn3ves. $elory is fihe pufi4y and job site
hzforma am
Insurance Company Name:
•Poficy�or pelf-ius.Iic_�: 122 I�Jl�6 S-�8 2� F�pir-atiaaDafe: Z.O �b
Job Tde Address: ��r'U f�i U� 1 ly 1 �/ Cftyfstatel7sp:
Attach a,mpy of the workers'compensationpolicy dedaration page(showing the poficy member and esph-ation date).
Failure to sec>m<coverage as required under Section 25A of MW—m 157 can lead to the imposition of criminal pennhies of a
fine up is$150Q0a iuWor oriaye-a-rimprisonment,as well as riiil penalties in the form of a STOP WORK ORDERand a ftme
of upto$250-00 a day against the violator. Be z&ised'the a copy ofthis statement=aybe forwarded to the Office of
Investigations o€the DIA for imsurauce coverage verifcation-
Fafa Ifersby�F Pis and panaW s af'perfury that the in orma€mprm=irW/abmv is hue and carrot-
Date- i
sLafnrP ( Zo II
Phom g-
Of% at use anly: Do not mite in thin mra,€o be cvmpleted by ciip artown of t
City or"Fawn: PermhUcense;ff
Lwidng Anflority(dude one):
L Board of Health r.Ong Department 3.CAyfrawn Clerk 4•.Electrical Inspector 5.Phnnbing Fnspector
6.Other
Comtact Person: Phom#-
6
Information and Instructions �
hb,ssarlmcetts CTe=dal 152 reQ�es all e=E joys to pruni'w�&compensation.fW their CnpIOY=.
pm mzntto ibis sib,Ian anp&yze is dcimsd as¢.every person m ffie scsvicc of another uader a3iy co^ft:u-t of dre,
exprcm or jm3plfe�oral or wrdtou."
An eznployEr is defined as"an mfxyidnal,part =mbip,assocm&on,anporafion or oibea legal aatdy,or may two or more
of the foregoing eAagaged is a Joint entc�,and incbndmg flie legal representatives of a deceased emrployer,or ffic
receivear or trustee of an individual,partnership,association or otherlegal entity,employing=PmYe- However fho
owner of a.dwelling bone havingnot mod a than-ffi=apartments and-who resides therein,or the occapant of the -
dwmMng house of another veto employsm
pemons to do ai�ce,camst act;on nt or repair wrak a such dwelling house
or on.the grounds or bmldmg appmt=3 rrt 1heretn shaU not because of such employment be deemed to be an employed
MQ,cbapter 152,§25C(6)also states that'every state or local licensing agencyshallwithhOld$ie issaance or
renewal of a license or permit to operate a business or to construct buildim p is tine commonwealth for any
applicantwho has notproduced acceptable evidence of compliance with tim insurance.coverage required."
Addi:tiona ly,MCrL chapter 152,§25CM staffs'Ncif =the—cmwealihnor army of itspol6ral subEvisions shall
on into any contract for the perf=auee ofpublic wonicu ntl acceptable evidence of complign.=with the inSM311ce.
reqairements of this chept=bave been presentedto the co—f oaufhollty"
APplicaats -
Please fM o-c± the worms'compensation affidavit completely,by cbeckng&e,boy=that apply to Your sitaaiion and,if
ne,.essary'snFPly sub- r(s)name(s). address(es)andphone— ez(s) aIongwiththM cmtlffcat*) of
s wino In ems offie5 than the
mso=ante. Liroited LnbMV Companies(LLC)or LmiitedLiability Paz�ssbip (LLP). 3P Y
members or part =rs,are not regrm-ed to carry workers' compensation ms[IIance. if an IS C or 112 does have
employees,apohc:y is regaiL d Be advised that this affidayitmaybe snImrtted.to the Department of Industrial
Accidents for conf irmafm of iusoranoe coverage Also be sure to sign and date the affida-vit The affidavit should
be rt�toin(--d to the city or town that the application for tTie peoit or license is being requester not the Deparfineof of
n are in obtain a work='
'ons the lave or ifyo required
'dents. Should you have any regarding .
)•ndustrisI Acci yo 4n�
anies shouId entor then-
lease call the D arimeat at the number listed below. Self-mscued� .
compe�sationpohr%Y,P � _ .
self-,,,s*�•a„
ce TJ.cense�on the line.
City or Town Officials
Please be sore that the af5davif is complete and pritedlegtfly. The Depar[menn has provided a space at the bottom
of the affidavit for you to fillout mthe event the Office ofinvesfigations has is contactyoaregazdingthe applicant-
se manber which will be used as a reference member. In addition,an applicant
Please be sure fn fn71 in the pe�it/Iicen
tbat must submit mole permitlli cense applit atons m any given year,need only submit one affidavit mdicatmg cunt
policy information Cif necessa y)and under`Job Site Address;'the applicant should wry"all locations in (citY or
town).'A copy of the-affidavit that has beers officially stamped or marlmd by the city or town may be provided In the
appHc mt as-prooYthat a valid affidavit is on file for fitoxre pezmitr or Iiceoses Anew affidav>tmvst be filled out each
Wh
ew hew a home owner or citizen is obtaining a u
license or ptt not rrlatEd fn any business or commercial
(i-e- a dog license or permit tobum leaves etc_)said person is NOT recparLd to complete this affidavit
The Office of Inves6gatioas would Like to thank you is advance for your cooperation.and should you have any questions,
please do not hesitate to give us a call.
The IDepartmenfs address,telephone and fax nIImber:
4nW -ffiE of CbLU
Dent oflii� AMUent%
Bastm,MA O�I11
Tf,-L 617- -4 Q� E4€16 4r I-977 MA MATF
Fax 9 617`27 7M
Revised 4-24-07 .inasggnlT�
ACO w CERTIFICATE OF UABIUTY INSURANCE DA,E ifaYDDATrn
0 311 02 01 6
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.TINS
CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND,EIREND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES
BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED
REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER.
IMPORTANT: If the carillicats holder is an ADDITIONAL INSURED,the policy(les)must be endorsed. If SUBROGATION IS WAIVED,subject to
• the terms and conditions of the policy,certain po0dee may regUbB an endorsement A statement on this cerficate doe{not confer rights to the
cgtlficeW holder In Iieu of such endarsemanks).
PRODUCER YAYEI Ante Sanza
HUB INTERNATIONAL NEW ENGLAND LLC rA'"E 1 (508)94si863
A onnesanm@hubirftmetianal.com
265 ORLEANS RD. IreUMN1f AFFORDING COVIEhAee Niter
NORTH CHATHAM MA 02650. NUMEN A- AMGUARD INSURANCE CO 42390
WSUIRED rSUREa e L
ROOFING&SIDING OF CAPE COD LLC !-S—w C
MORENO, -- ----
6B WINSLOW GRAY ROAD rsuaERer
WEST YARMOUTH MA 02673 INSURER F: _
COVERAGES CERTIFICATE NUMBER:36336 REVISION NUMBER:
THIS IS TO CERTIFY THAT THE POLICIES OF_INSURAHCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
INDICATED, NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS ..
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
rlR� �7fbDE'60a roucv EFF POLICY UP
LTR TYPE Oi N61/YNCE I POLC'r NUYBER YNdTYTY I LOIrTB
COY DERCLK GENERAL LIABILITY EACH OCCURAENCB �I _
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AN•/AUTO !DORY IIAIRY(PN P—) !
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AUTOS AUTOS BODILY rNfsATY IWN aeUAmP S
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Wafters'Compensafion benefits wig be paid to Massachusetts emphy.m only.Pursuant to Endornament WC 20 03 06 B.no aut harbzallon is given to pay
clams for benefits to emph"es In stales other then Massachusetts if the insured hires,or has hired these employees Outside of Massachusetts.
This certificate of insurance shows the policy in farce on the date that this Oeriiflcate was issued(unless the expiration date on the above pd•Iry precedes the
IGSUG data at this Denifirate of insumnce). The status of this coverage can be monitored daily by accessing the Proof of Coverage-Coverage Verification
Search tool at h .mass.gwRwdUwMm-oampohsatiavinves6gahms/.
CERTIFICATE HOLDER CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
HUB International NE LLC ACCORDANCE WITH THE POLICY PROVISION&
265 Orleans Road
AUTNORJZEO REPRElENTATNYE
N Chatham MA 02650
Daniel M.Croy,CPCU.Vice President-Residual Market-WCRISMA
01988.2014 ACORO CORPORATION.AD rights reserved-
ACORD ZS(2014101) The ACORD name and logo are registered marks otACORO
/'•' 4
Massachusetts -uepartment or t'U011C aareiy o .—"1 v 111, "1 `y """""""`"' I
Board of Building Regulations and Standards Office of Consumer Affairs&Business Regulation
ME IMPROVEMENT CONTRACTOR
-��nstructi�;n Supervisor istration:
License: CS-102600 1. k'—V�. j 9 170?87 Type:
�N # piration: .12119/2017 LLC i
DZNUTRY LABK901vI ROOFING AND SIDING:OF-'CAPECOD, LLC.
68 Winslow Gray Rd ?_ '
West Yarmouth NIA 'i ,,
DZMITRY LABKOVICH`:.',;.;;:10 68 WINSLOW GRAY RD.
Expiration i W.Y.4RMOUTH, MA 02673` ` Undersecretary
Commissioner 03/27/2017
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Roofing and Siding
I BBEt of Cape Cod,LLC
68 Winslow Gray Rd
West Yarmouth, MA 02673
508-360-2749
e-mail: rsocc ,yahoo.com
roofingandsidingofcapecod.com
HIC REG#170787; LIC# 102600
Job Address:
Name: Douglas aJl!!qN*. - 'IenKim$ Town:
Address: 35 High Point Rd Job Phone: SQ-q2-g-8?22.
City: Marstons Mills Other Phone:
State: MA E-mail: dtcarney54@aol.com
ZIP. Estimator: Dmitry Labkovich
08/09/16
We hereby submit specifications and estimates to furnish and install new roofing as follows:
1. Strip existing roofing and remove debris. Calculated(2 layers).
2. All gutters will be cleaned out, grounds cleaned up and nails extracted with magnets. We
utilize magnets so as to minimize your exposure to personal injure and/or property
damage from nails left behind at the job site.
3. After removal of roof, wood deck will be inspected for splitting, rot or other
deterioration. Owner will be advised of need for wood replacement prior to
commencement of wood replacement work.
4. Along all eaves of house. Ice & Water Shield waterproofing underlayment (36 " wide)
will be directly adhered to the wood deck. Waterproofing underlayment is installed to
eaves to protect against interior leakage and subsequent damage from wind-driven rain,
ice and snow dams, and freeze back conditions.
5. Install waterproofing underlayment in full width(36 wide)to all valleys and 6" to all rake
edges. Install waterproofing underlayment at all vent pipe collars and any other
projections and skylights. Underlayment adds additional protection against leakage at
critical terminations. Over remainder of house synthetic roofing paper will be installed
and nailed to the wood deck.
6. Install new white drip edge to all perimeter cave edges. Drip edge is installed to protect
from leakage and rot and to provide a neat and clean perimeter profile.
Accepted by date
THIS PAGE IS PART OF AND IN CONFORMANCE WITH PROPOSAL No
2
7. All existing vent pipes will receive new aluminum vent pipe flashings with neoprene
gasket collars, or copper if doing red cedar roof.
8. At all eave edges or roof, shingle starter strip will be cut an installed with sealing strip at
lower edge of roof in accordance with manufacturer's specifications. This provides a
watertight and wind-resistant termination for your roof.
9. Storm nailing: Because we live in a severe storm region, additional (storm) nailing is
strongly recommended by Roofing and Siding of Cape Cod, LLC,the manufacturers and
the National Roofing Contractors Association. Secure new roof with 50% more nailing,
upgrade minimum standard (4) four nails per shingle to (6) six nails per shingle, 1 `/4 " i
long. Nails will be galvanized with a rust-inhibitive coating. If red cedar roof,then using
stainless steel fasteners.
10. Shingle installation: Supply and install roofing shingles according to the manufacturer's
specifications, according to the below selected material and warranty. All work to be
performed by insured professionals.
11. Install waterproofing underlayment surrounding chimney. Underlayment will extend up
vertical portion of chimney a minimum of (2) two inches. Caulk all lead flashings
together around chimney with Dymonic caulk. This is not a guarantee but a maintenance
procedure. We cannot guarantee chimney from leakage with roof job only. See chimney
proposal if applicable. We cannot guarantee existing skylights or venting units unless we
replace them with new ones.
The above s specifications are required to meet the National Roofing Contractors Association
(NRCA) roof standards, as well as to meet manufacturer's specifications for warranty
requirements. Touch-up painting may be required and is not included in this proposal.
Roofing and Siding of Cape Cod,LLC warranty:products and workmanship (100%Labor and
Materials)for 10(ten)Years after installations.
CertainTeed warrants that its shingles will be free from manufacturing defects. Below are high-
lights of the warranty for LandmarkTM. See CertainTeed's Asphalt Shingle Products Limited
Warranty document for specific warranty details regarding this product.
• Lifetime,limited transferable warranty
• 10-year SureStartTM warranty(100%replacement and labor costs due to manufacturing
defects)
• 10-year StreakFighterTM warranty against streaking and discoloration caused by airborne
algae
• 15-year, 130mph wind-resistance warranty
Landmark, with Life-Time Warranty
Labor and Materials: $5,200.00
If acceptable, initial here: Color: 2Cse`�
9
r
Accepted by date S %C o/
THIS PAGE I P F A 1N CONVORMANCE WIT POSAL No
3
Ventilation System
Ventilation is a system of intake and exhaust that creates a flow of air.Effective attic
ventilation provides year-round benefits,creating cooler attic in the summer and drier attic in the
winter,protecting against damage to materials and structure,helping to reduce energy
consumption and helping to prevent ice dams.
EAVE VENTING: Perimeter eave venting will provide your house with the necessary intake
ventilation to prolong the life of the shingles and the wood sheathing to ensure properly balanced
ventilation system in compliance with FHA requirements and to provide cooler attic
temperatures in the summer and less moisture laden damaging in the winter.
Vented Dripedge.
EXHAUST: At peak of roof, an approximate (3) three-inch-wide continuous gap will be cut out
of deck. Air Vent, Inc. Shinglevent II solid vinyl ridge vent with external baffle will be fastened
over the opening in the deck. Shingle caps will be cut, installed and fastened over the vinyl ridge
vent into the decking with 2 '/2 inch coated roof nails. Shinglevent I1 comes with a 30-year
material warranty from Air Vent, Inc. Shinglevent I1 vinyl ridge vent provides you home with
the necessary exhaust ventilation to prolong the life of the shingles and the wood sheathing to
ensure a properly balanced ventilation system if used in conjunction with eave intake ventilation,
and provide cooler attic temperatures in the summer and less moisture-laden damaging air in the
winter.
NOTE. With full ridge and Soffit venting in place, gable louvers must be blocked off to prevent
negative air flow.
Remove, frame in,and side area
Labor and Materials: $325.00
If acceptable, initial here:
We hereby submit specifications and estimates to furnish and install new White Cedar Shingles
(A Grade)on the following areas:
Two gable walls and cheek areas
Specifications as follows:
1. Remove existing siding and dispose of debris;
2. Inspect sheathing for rot or other deterioration and advise homeowner of any additional
work;
3. Inspect existing waterways at window, door and comer boards and notify homeowner of
any additional work;
Accepted by date
THIS PAGE ISPAUUVrIN NFORMANCE WIT RUPOSAL No
r
4
4. Install Typar breathable house wrap.
5. Install new window and door drip cap flashing;
6. Install double first course of siding. Install new siding using approximate 5 "
exposure hitting tops and bottoms of windows and door openings as allowed(may not be
possible at all).
7. Siding to be secured using rust-resistant fasteners %Z inch to 1 inch above next course
line;
8. Stainless steel nails 16"on center,flush nailed if using clapboards;
9. Shingle joints to be at least'/4"away from fasteners and 1"away from previous course
joints(to minimize exposed fasteners when siding shingles).
10. Clean yard of all debris and utilize magnet to minimize exposure to property or personal
damage from nails left behind;
11. Remove and re-install electrical fixtures;
12.Last course to be hand nailed using#5 box stainless steel nails;
LABOR AND MATERIALS: $6,840.00
If acceptable, initial here:
We hereby submit specifications and estimates to furnish and install new PVC trim (rakes,
fascia-soffit-frieze,comer board&all windows trim) on following areas:
All Rake-Boards,All Corner-Boards.
Specifications as follows:
1. Strip existing trim and dispose of all debris.
2. Install new PVC trim.
3. Use"Coretex"screws and plugs system.
Labor and Materials: $2,560.00
If acceptable, initial here: IlMa
We hereby submit estimates and specifications for the following work:
• Remove side chimney and dispose of it.
Labor and Dump fee: $860.00 If acceptable, initial here:
Accepted by date 0�
THIS PAGE IS P F N ORMANCE WITH OSAL No
5
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Job is estimated to commence approximately weeks after deposit received unless
otherwise noted here:
Work is scheduled to be substantially completed in approximately: days If acceptable,
(both)initial here:
Start and completion times are approximate and subject to change due to, but not limited to,
the following circumstances: weather delays, additional work on previous jobs, permitting
delays,etc.
This is the entire agreement. Any discussions or verbal agreements are superseded by this
agreement. Such agreements, even those of the smallest nature, must be in writing to be
recognized.
Any work above and beyond the specifications outlined in this proposal will be priced on
request. All additional work, including travel time and lumberyard runs, will be subject to extra
charge. In the event of rot repairs, roof repairs or any related work requiring immediate
attention,we will proceed without customer approval.
We look forward to working with you;please call if you have any questions.
Sincerely,
ROOFING AND,SIDING OF CAPE COD,LLC
ROOFING AND SIDING OF CAPE COD,LLC will provide cleanup on a continuing basis and
all debris will be removed from site. All products installed by ROOFING AND SIDING OF
CAPE COD, LLC will be to manufacturer specifications. All work will be performed by insured
professionals.
iAll material is guaranteed to be as specified and the above work to be performed in accordance
with the drawings and/or specifications submitted for above work and completed in a substantial
workmanlike manner. There will be no refund for special-order windows, doors or any other
Accepted by Ldate o?
THIS PAGE IS P IN C O CE WITH R OSAL No
6
non-stocked materials after three days from approved proposal. All warranties will be null and
void if account is not current and paid in full.
Owner to move all personal objects, furniture, etc., from work areas. All items against walls
should be considered for removal during any exterior siding jobs, additions,etc. to guard against
damage. In the case of any roofing and ridge venting,dust and debris should be expected and any
items in the attic should be removed. ROOFING AND SIDING OF CAPE COD, LLC is not
responsible for any damages if said items remain in place.
Curtains, drapes and window and door treatments may need proper reinstallation or replacement
by customer due to sizing on any. window or door replacements and is not included in jobs
contracted with ROOFING AND SIDING OF CAPE COD,LLC
Any alteration or deviation from above specifications involving extra costs will be executed only
upon written orders and will become an extra charge over and above the estimate. All
agreements contingent upon strikes, accidents or delays beyond our control. Owner to carry fire,
tornado and other necessary insurance upon above work. Workmen's Compensation and Public
Liability Insurance on above work to be taken out-by ROOFING AND SIDING OF CAPE COD,
LLC. Owners who secure their own construction-related permits or deal with unregistered
contractors will be excluded from access to the guaranty fund.
This Contract not valid unless signed by Corporate Officer: ZGCv
Acceptance of Estimate
The above prices, specifications and conditions are satisfactory and are hereby accepted.
ROOFING AND SIDING OF CAPE COD,LLC is authorized to do the work as specified.
Payment will be made as such:
Accepted by date � 0 0
THIS PAGE IS P T CO ORMANCE WIT PR POSAL No
r
i 1/3 Deposit
1/3 Beginning of work
1/3 upon completion
Date:
Signatures: 'v
vv,
Note: No work shall begin prior to the signing of the.contract and transmittal to the owner of a
copy of such contract. You, the buyer may cancel this transaction at any time prior to midnight
of the third business day after the day of this transaction.
Accepted by , o?
ate g O �
THIS PAGE IS P F AN CO CE WIT14 PR POSAL No
t
Assessor's office(1st Floor): r, SEPTIC SY
Assessor's map and'lot number r 7 r STEM MUST BE
Board of;Health(3rdtfloor): p� r ;INSTALLED IN COMPL,IAN
Sewage:Permit number — S t.' f = VM T .e 5i, ' 7z,
- Q ". n- Z DeD.a9TGDLL i
Engineering Department(3rd floor)! f �; ENVIRONMENTAL CODE A
�A /w� �+ rrua
House number c - ��ML�gM °�_ ��AatNTl®��
Definitive Plan Approved by Planning Board r 19
APPLICATIONS PROCESSED 8:30-9:30 A.M.and 1:00-2:00 P.M.only
seS OF . BARNTOWN a n Comission
' BUILDING j N S P E C T
• � 1 Qnn Signed Date
APPLICATION FOR PERMIT Ti IO �� V "
TYPE OF CONSTRUCTION Lk' no C i
TUN L 6 19
TO THE INSPECTOR OF BUILDINGS:
The undersigned hereby applies for a permit accordin to the
cfollowing information:
f✓ APR J l OP
Location c Tn
Proposed Use
Zoning District �7 Fire District
44
Name of OwnerQ'U����(7%�� V �/VK�NS Address 7 ' �Gw� l�l�i�'Utf`.�1"/"-�'l/ S
Name of Builder �) IU �� �1SQ �C Address. G�( DW
Name of Architect /'' Address
Number of Rooms 0'N Foundation
Exterior u-)mTe rE,919Roofing q52 r f#L T
Floors InteriorV ���
Heating PlumbingIv`
Fireplace Approximate Cost U-,6 'G
11h f4t27
Area
Diagram of Lot and Building with Dimensions Fee �Q. "—
OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS
I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction.
1 '
Name
' Construction Supervisor's License 0 2
JENKINS, DOUGLAS & DIANE
N634'368 Permit For Dormer.
- -
Single Family Dwelling
r~ Location, .35 Highpoint Road: . :
•Marstons Mills
;?f Owner Douglas & Diane Jenkins :' ! y'
Type9-Construction Frame
Plot �• ' -.:Lot _ -:-� � "• �-
75,
1. Permit Granted! June 3,.' �.,,51
a ted 9 90 _ �t I •�-
Date of Inspection. �1-'19 _
rr -r a
Date Completed !J! `1)19CO
F /
10
AA
C
1}
.. i
1 r npk.4a luENT OF PUBLI SAFETY
�+ COMMONWEALTH 1:�50 COMMONWEALTH "C- t o
OF ,.;:•• gpgTON,MASS.02215
''w MASSACMUSETTS
LICEN`avISQF °
r,( \STRi- SURE.
EXPIRATION..DATE LIC NO.
1 EFFECTIVE DATE
i.RE 7Fi(CTIONS: f'/ 0 4
sH CF R:IF
hG1vF J r ➢; :{ SIEVEN J S 7 RQ
s . ��. �& .:' b7 HIGNPOI. R !�A G
F M.
s� pARSTONS of
� ` s a ^
pHflToteLABTWG OPR ONIn
` Al 4c�f +!�,n1•L h � �•n;^• �' SC By LIC •SEE ANDS OF"
U C,AEEY d;
8 C '1, OT YALID UN S
SIDNATURE OF THE COAUA1S 0"ER
srAMPE0 oa
a
_SIGN URE CK„UGE^
. _ ���".•.. � �ftlCUME�Nf-r @�7 a y� "
.:CAFaEO-0N#liE PERSOFI r Fri l -1)[i)F/MISSI
UPATI'
;•OCFUP�.71cD�,.
r
".e TOWN OF BARNSTABLE Permit No. --------------------------------
i Building Inspector cash
----------------------
"Yl
OCCUPANCY PERMIT Bond ---_----------__ __
"No building nor structure shall be erected, and no land, building or structure shall be
used for a new, different, changed, or enlarged use without a Building Permit therefor
first having been obtained from the Building Inspector. No building shall be occupied until a
certificate of occupancy has been issued by the Building Inspector."
Issued to C S.bsG lAnd ';,ru::�t Address 4Z'4'en fiaroor, waif,
Wiring Inspector Inspection date
Plumbing Inspector Inspection date
Gas Inspector Inspection date
Engineering Department Inspection date
THIS PERMIT WILL NOT BE VALID, AND THE BUILDING SHALL NOT BE OCCUPIED UNTIL
SIGNED BY THE BUILDING INSPECTOR UPON SATISFACTORY COMPLIANCE WITH TOWN
REQUIREMENTS.
........................................ 19 ..................................................o ....................................... ....._...._
Building Inspector
„�•""'. TOWN OF BARNSTABLE ��
Permit No.
Building Inspector 'l/
1 11AUSTM Cash --
°""Y OCCUPANCY PERMIT Bond
"No building nor structure shall be erected, and no land, building or structure shall be
used for a new, different, changed, or enlarged use without a Building Permit therefor
first having been obtained from the Building Inspector. No building shall be occupied until a
certificate of occupancy has been issued by the Building Inspector.”
Issued to Cabl.! T".Yl ift Address C-roo,i �1?_:2bor,,
I oi; �S ;�.��ln+�izz'�, ,io �., : ..+�"::•;;a7,:y .i?1
Wiring Inspector /` �� Inspection date
Plumbing Inspector ���! t + f� Inspection date ,
Gas Inspector Inspection date
.10 Engineering Department !/A Inspection date
THIS PERMIT WILL NOT BE VALID, AND THE BUILDING SHALL NOT BE OCCUPIED UNTIL
SIGNED BY THE BUILDING INSPECTOR UPON SATISFACTORY COMPLIANCE WITH TOWN
REQUIREMENTS. ,
_.... ..._.............._, _.. _..
Building Inspector
y
20,o�75F '
• .�0 30" � Gp� t •
r�(w -P
• 4`+l , .` "t�t
t.G_ 1 tl �v-'-DATE, �VG.�'.�� q
1�-F—r- tEljr
/ NE
�J,s.IAL y; 1�✓,/rti' .Tr't S/a�c���G" LAoJb. .�.Dt>rl_ ' A,;, .
i•- 1 SErf3A�.�• ' ,�E'c-t�'c'�.rz��fE'�VTS '�,c• >,v,Cr`.. � - '
._ T�cvN ��r- •3,��'cf�'T:Q cSTC.�.: :. '�,.,+� X.Y"�►2 �- �`��. �k)C.
�Ze 4e v LA u?> �Ued Eyoa5
• PiavL ��� 6AN
�
As�essor map and, lot nu ber .....��f I (I QL�,v'L T— 1. -7
- SEPTIC SYSTEM MUST BE
_ g
Sewage Permit number a f INSTALLED IN COMPLIANCE
........ . ;...............
WITH ARTICLE II STATE f.
TOWN O F BARN' ' -
SAWSTABLE. �LUT r, '°..rowN
*'THe t i
639.'-
BU"�LLDING INSPECTOR
� fa c.
'EO YPY a' '
APPLICATION FOR PERMIT-.JO ............... . ......... ............. ........
10
TYPE OF CONSTRUCTION ...............� 'lJ7o>... �z !'° `e ..............................................................
........................�. ... ?.r.....19. �
TO THE INSPECTOR OF BUILDINGS:
The undersigned//hereby applies fora permit according to the following information:
Location -'Gt. ,t!•�!�•s> �'•••®/�' ' ....................................................................
ProposedUse ....... ...... ....................................................................................................................
Zoning District .............. z�.'.2 .....................................Fire District ..........................................................:
/.��.Z ..... ..2 .S. ......Address .r.. rS
Name of Owner .
Name of Builder ..... .:,rAl/Y .�2. .r�.i4.,n ...Address .....................✓ .i ... 'e.............:.......................
Nameof Architect ..................................................................Address ....................................................................................
Number of Rooms ............ ...............................................Foundation ....... .&...�...�.....................................
Exterior ............./..f....:` ..................................................:.....Roofing .........,pf!` ... .. ........................................
Floors ........ ..a ...............Interior ..........�f.C`T........
.........................Plumbing ...:..........Heating .............. :Vk ......................
��............... ...........
Fireplace .....................Y ...�........................:.......................Approximate Cost ..................� L"'dl
Definitive Plan Approved by Planning Board -----------_____-----------19_______. Area _...f14
Diagram of Lot and Building with Dimensions .Fee �—
SUBJECT TO APPROVAL OF BOARD OF HEALTH
. 6
1
. S
Y
I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above
construction.
Name .. ....,1. .. a .............................
Cable Land Trust
18512 1 1/2 story,
_
p ............... ..Permit for- .................................
single f aani ly dwelling • *. ''��
Location J�;,,High�oint Road..........................�.............
j*q§tons Mills
/G
Owner ...........B;able•,Land Trust ,fir r !u j
.. ................... ✓�' '`f'. ^ + n ii ':f' / ,' 1 ,.
Type of Construction ,f;ame,,,,,,,,... . j
Li r J,j' v
.................................................... r `� • +,�/
Plot ............................. lot ........f5... ......... �
Jti Iremi t Granted .........Jul...12 .........' 1976 Lp �; f
-'.Date of Inspection 9 -.F,1,7,..0
Date Completed �/........s..........:�,:.... 19 1 1 f
PERMIT REFUSED fr
.. ...... "b.......................... ............ ..
r
r Approved ................................: .. 19 4 �' t,.
f `► � f .'
6 ................................................... .,`.......................
..:............................................................... . ... ! .41
r
rR9:sb'C'"y✓%F1�',•,,,a �Ntr`'`4t� �i. ^ '•^li7""'s„1.d'A.ai:>5i,�1r5Dy,;:
:r,.,+f�•� �,f„rd '�r,"'tsv�r�7.b +'���s"a 7 'i' :�'�„y�=.,.f'�!`�'r,,..ri'�,�i�•�G`�v'''"'�,,"3�a yam..
sessor's office(1st Floor):
:. ss .,• �aa - a.y. TEE T
Assessor's map and;lot number o 0
Board of Health 3rd_"floor):
`"'Sewage Permit number /(� , D e
Engineering Department(3rd floor): _ _ ssaa9rsnLc
• rus
House number °o i639•
Definitive Plan Approved by Planning Board 19
APPLICATIONS PROCESSED 8:36-9:30 A.M.and 1:00-2•:00 P.M:only
TOWN OF BARNSTABLE
BUILDING 1 N S P E C T 0 RkL\,,11--\-� 3 ���• ��
APPLICATION FOR PERMIT TO �� �/yr
TYPE OF CONSTRUCTION two
UN L � 19
TO THE INSPECTOR OF BUILDINGS:
The undersigned hereby applies for a permit accordinn ttoo the following infor�m�attii}on: �` ` } c
Location Q ` 'v�0 1 V0"1'�- �' 9 �'�l t 1 `
Proposed Use C fZo A
1 Zoning District Fire District
f " Name of Owner d/QU6-���IT�� J ��X)NS Address 3� ��tT�1 G��
Name of Builder �) !`r V2A) ll ��S!/ �C Address �Gfl(0 O 7 l)
Name of Architect Address
Number of Rooms o A") Foundation
Exterior �AN-T� C�S� Roofing :J`
Floors � `� Interior
Heating Plumbing
Fireplace Approximate Cost 00-60
Area
Diagram of Lot and Building with Dimensions Fee
OCCUPANCY PERMITS REQUIRED FOR NEW.DWELLINGS
I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction.
Name f , t 1 .
ie
Construction Supervisor's License
r
JENKINS;, DOUGLAS & DIANE A=028-043
No 34368 Permit For Build Dormer
Single Eami1y Dwelling
Location 35 Highpoint Road
Marstons Mills
Owner Douglas & . Diane Jenkins
Type of=Construction Frame
Plot Lot
Permit Granted June 3, 19 91
e Date of Inspection 19
Date Completed -`�19
ly
I
/�
Assessor's map and lot number ....... ...................
4� 7- 1�2 -7 �
-Se age r,�,fmit number ......... .`.. .....................................
3tj
TOWN OF BARNSTABLE
CF 7N E t0
_J
i MAIUSTABLE, i
° 6 9 •0� t BUILDING INSPECTOR
�a M0
i t.. �.{11R1...?""/�i/.T /`fi r 7 �+1%/sM-C..1
APPLICATION FOR PERMIT TO ................. ..................................................,.............................. ............
TYPE OF CONSTRUCTION �
r� Yi
y ........................./A 2:........19.745;
TO THE INSPECTOR OF BUILDINGS:
The undersigned hereby applies for
,/a�permit according to the following information:
Location 1/ '� r�!�f ��/A.0 7 a''?'' ,.
... ... .............................................. . ...................................................................
ProposedUse 7777 i•+•-e .-r-,n,. e...r�'......................................................................................................................
ZoningDistrict .............`? .........................-...—..�.................Fire District ........�.....................................................................
Al t l .... /-��a�O/...✓,/�`.e...l� .........................
i S
Nameof Owner ...........,..,,.....:. .:...........,.......�.......r..................Address ..._....`_..._,.......-...........................
Name of Builde� � !-.. �.�* Address
Nameof Architect ..................................................................Address ....................................................................................
Number of Rooms ...........4...............................................Foundation ....... ..?�,.. ��...
Exierior �� .....Roofinga� <.. .. ��✓���
.... .... ... .
Floors ... �' ...............Interior ..........'=!4!. ........!
Heating .............. .�L ...............................................Plumbing ............. �
Fireplace .................... .. .................................................Approximate Cost ...................................... .............................
- r'V
Definitive Plan Approved by Planning Board -----------_______-----------19________. Area -'�.:-::::....h,!.
' S—o
Diagram of Lot and Building with Dimensions Fee
SUBJECT TO APPROVAL OF BOARD OF HEALTH
I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above
construction.
• Name . / ,- Ya ..............................
.:,�;;�.a �.
t1
Cable Land Trust A=28-43 ve"
,;185L 1 1/2 story,
No .................. .Permit for ....................................
single family dwelling
................................................................................
Highpoint Road
Location ......... ....................................................
Masstons Mills
...............................................................................
Cable Land Trust
Owner ....................................................
Type of Construction frame
..........................................
....................................................... ..........
Plot ............................ Lot ..... .2 5. V/
.................
12 76
Permit Granted ......::.....:.::...:...................19
Date of Inspection ....................................19
Date Completed ... ....................................19
PERMIT REFUSED
................................................................ 19
................................................................. .............
................ ..... ................................
)........................ ...............................
A
7. ....................... ....... ............................ ........
7/
;Approved Ald...... ........... 19
-A
...............................................
..................... ...... ..............
...................
Conway
REALTOR
Mr,Joseph DeLuce,
Town of Barnstable
397 I-fein Street
Hyannis,Mass,
Dear Mr.DeLuce:
7Sl
Building Inspector
CAPE COD
DIVISIOIV
Falmaulh.The Mall,540-1100
Sandwich, Route OA,838-2300
Hvannis,W.Main ?.Piiic Sis..771-3600
East Dennis.Player's Plaza,Route OA.385-8333
COMMERCIAL DIVISION
Hyannis.Sheraton-Regal Inn, Route 132,775-5138
September 30,1977
Re: Lot #25 Highpoint Road,Marstons Mills
Kerrigan to Jenkins
Thank you for permitting the buyers,Mr,and Mrs.Jenkins,
to move into the above property with a temporary occupancy permit,
as per our telephone conversation this morning.
It is understood by all parties that the official occupancy
permit will not be issued until the fireplace condition has been
corrected to meet with your approval,
Mr,and i^trs,Jenkins have agreed not to use the fireplace
until the occupancy permit has been issued ty your office.
Very truly yours,
JACK COUim,RSAITOR
/
CO:Mr,and ^^^s.Doug Jenkins
Mir,Paul Kerrigan
Iferianne Tooher
Assoc.Realtor
'Cor^WAY C0UNJI<Y'
ADMINISTRATION - 183 COLUMBIA ROAD - HANOVER -826-5144
NINETEEN SALES CENTERS IN MASSACHUSETTS
CohtMt,Route 3A,383-1800
Ouxbury,Route 3A,934-6565
Hanover.Roule53&t39.S26-3131
Hantort.Route 58 &14.233-952S
Hlngtiam,Route 3A.749-1600
MarUiMeld.Route 139 & 3A. 837-2877
Plyrriaulh.Route 44,746-7500
Scituale Harhai,Front St.,5454100
Soullr Weymoulh,87 Pleasant St.,337-7770
Taumon, 73 Broadway.823-7766
Wlritman,Route 18,447-5571
West Bridgewater,Route 106.5844700
Wollaston,253 Beale St.,479-1500
COMMERCIAL DIVISIONS
Hanover. Route S3 &138.826 3134 -Quincy,773-1800
RECEIPTFORCERTIFIEDMAIL—30^^(pluspostage)SENTTOMr.PaulKerriganSTREET AND NO.c/oGreenHarborPostOfft&iP.O.,STATEANDZIPCODEGreenHarbor,Ma.RETURNRECEIPTSERVICESOPTIONALSERVICES FORADOITIONAlFEESShowsto whom anddatedelivered15^Withdeliverytoaddresseeonly65dShowstowhom,date andwheredelivered..35^Withdeliverytoaddresseeonly85dDELIVERTOADDRESSEEONLY50dSPECIALDELIVERY(extrafoerequired)PSFormApr.19713800NOINSURANCECOVERAGEPROVIDED—NOT FORINTERNATIONALMAILPOSTTJDAT^^(Seeotherside)*GPO:1974O-551-454
STICK POSTAGE STAMPS TO ARTICLE TO COVER POSTAGE (first class or airmail),
CERTIFIED MAIL FEE,AND CHARGES FOR ANY SELECTED OPTIONAL SERVICES,(see front)
1. If you want this receipt postmarked,stick the gummed stub onthe left portion ofthe address
sideof the article,leaving the receipt attached,and presentthe article at a post office service
window or hand it to your rural carrier,(no extra charge)
2. If you do not want this receipt postmarked,stick the gummed stub on the ieft portion of
the address side of the article,date,detach and retain the receipt,and mail the article,
3. If you want a return receipt,write the certified-mail number and your name and address on
a return receipt card.Form 3811,and attach it to the back of the article by means of the
gummed ends. Endorse front of article RETURN RECEIPT REQUESTED.
4. If you want the article delivered only to the addressee,endorse it on the front DELIVER TO
ADDRESSEE ONLY.Place the same endorsement in line 2 of the return receipt card if that
service is requested.
5.Save this receipt and present it if you make inquiry.
UNITED STATES POSTAL SERVICE
OFFICIAL BUSINESS
SENDER INSTRUCTIONS
Print your name, address,and ZIP Code in the space below.
* Complete items 1, 2, and 3 on reverse side.
• Moisten gummed ends and attach to back of article.
RETURN
TO I
PENALTY FOR PRIVATE
USE TO AVOID PAYMENT
OF POSTAGE,$300
Mr.Joseph DaLuz,Building Inspector
Town of Barnstable
397 Main Street
Hyannis,Ma.02601
SENDER;CompleteitemsU2, and 3.Addyouraddressin the"RETURNTO"spaceonreverse.1.Thefollowingserviceisrequested(checkone).QShowtowhomanddatedelivered15^•Showtowhom,date,&addressofdelivery..35jt•RESTRICTEDDELIVERY.Show towhomand datedelivered65^•RESTRICTEDDELIVERY.Showtowhom,date, andaddressofdelivery85^2.ARTICLEADDRESSEDTO:Mr.PaulL.Kerrigan3.ARTICLEDESCRIPTION:REGISTEREDNO.CERTIFIEDNO.INSUREDNO.596751(Alwaysobtainsignatureofaddresseeor agent)I have received thearticledescribed above.SIGNATUREFl^Ad^essee•Authorizedagentdate ofp^EilVERY5.ADDRESS(Comp/eteonly ifrequested)postmaMp^6. UNABLE TO DELIVER BECAUSE;CLERK'SrGPO:1975—O-568-047
35'A/i^Vi
nr\iik
September 2,1976
Mr.Paul L.Kerrigan
161 Gurnett Road
c/o Green Harbor Post Office
Green Harbor»Ma.
Dear Mr.Kerrigant
It has been brought to my attention through my Inspectors that
you have been moving people into new dwellings without final
completions.There also exist areas of construction which have
not been completed and released by my inppectors.
It is the concern of this office that the occupancy procedure
be followed.We will assist in any way possible,but I will also
enforce the code by whatever manner.
I have enclosed the section of the Code dealing with Occupancy
Permits.If we can be of any assistance please notify this office.
Peace,
JDD/gr
enc.
Joseph D.DaLuz
Building Inspector
December 27,1977
Mro Jenkins
Lot #25 Highpoint Rde
Marstons Mills,MasSe
Dear Mr.Jenlcins:
In reference to the fireplace at Lot #25 Highpoint Rds
1.)An inspectdion request was not received by this
office,as per prodedure.
2.)When checked during an occupancy pemmit inspection
it was found that the smoke chamber was not built
-^LaccorjifEg Jdo specifications.
Very truly yours,
Carl Audino
Asst.Building Inspector
fai
/l)i
March 22,1977
Mr.Paul Kerrigan
Cable Hill
Duxbury,Massachusetts
N0TIC5 TO CORRECT PUBLIC HSAbTH HUISaiTCS
Lot 25,High Point Road,Marstons Mills,was inspected on
March 21,1977,by Mr.Paul Murray,Health Inspector,Town of
Bamstable,because of a complaint.The following violations
of Article II,of the State Sanitary Code,and Massachusetts
General Laws i^ere noted:
RBGULATIOM 15,5 of i,rticle IX:Cans,bottles,papers,an
old rug,arubbish and garbage on property.
CHAITLR 111~150A:Property used as durcping grounds without
assignnent or state approval.
You are directecl to abate the above violations irithin three (3)
days of receipt of this notice.
You may request a hearing before the Board of Health if written
petition requesting same is received seven (7)days after the
date order served.
Non-compliance could result in a fine of up to $500.Each day's
failure to comply with an order shall constitute a separate
violation.
PER ORDER OF THE BOARD OF HEALTH
John M.Kelly
Director of Public Health
JMK/mm
CO:Building Inspector
3^
CABJ-E LiUro TRUST RM2SS A=28"43
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fee_$2&*5£L
N9 18512 Town of Barnstable,Mass.
July 12
.19
76
Cable Land Trust
THIS 18 TO CERTIFY THAT A PERMIT IS HEREBY GRANTED TO
Green Harbor.Ha.
<PROPERTV OWNER}
TO Build I 1/2 Story frame dwelling
(AUTBR)
Single family dwelling
LOCATION
(TYPE OF BUILDING)
lot #25 Highpoint Road
CADORESSt
(REPAIR)
816 SOw ft.
Mars ton,
(APPROXIMATE SIZ8I
3 Mills
ISTRBBT ANO NUMBER)
NAME OP BUILDER OR CONTRACTOR .
Paul Kerrigan
APPROXIMATE COST $18,000
I HEREBY AGREE TO CONFORM TO ALL THE RULES AND REGULATIONS OF THE TOWN
OF BARNSTABLE,REGARDING THE ABOVE CONSTRUCTION.
(CONTRACreiH
Sewage #75-299
BUILDING INSPECTOR
Subject to Approval of Board of Health.
/37 oo
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•Assessor's,rnap and lot nuxnber ^
:W
Sewage Permit number
-7
TOWN OF BARNSm-iBfE:-=""
BUILDING INSPECTOR
BAEIST&Bl
APPLICATION FOR PERMIT TO
TYPE OF CONSTRUCTION
f.y^.Zrrrt 19.!Z^
TO THE INSPECTOR OF BUILDINGS:
The undersigned hereby applies for a permit according to the following information:
:..^.rr,....S£:Location
Proposed Use
Zoning District District *
of OwnerName
Name of BuijZr^5s^^^^./^.<^<l^-^-<^-^--^^---Address
Name of Architect Address ....
Number of Rooms Foundation
Exterior Roofing ....
Floors
Heating
Fireplace ..^.S-.-.:Approximate
Definitive Plan Approved by Planning Board 19
Interior ..
Plumbing
Diagram of Lot and Building with Dimensions
SUBJECT TO APPROVAL OF BOARD OF HEALTH
Cost ^...'^.
_
Areo ii.rs
Fee
I hereby ogrw to conform to all the Roles and Regulations of the Town of Bamstoble regarding the above
construction.
Nqme
/•
y wi,?.?.?:?Permit for ...i...?'/.?...?.!;?^?.?.
iv..•••/>-I ri ••••\
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V Marstons Mill.<3
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