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0041 PRINCE HINCKLEY ROAD
'1ckl e r E Town of Barnstable *Permit# (9 V0 2- Expires 6 months from issue date Regulatory Services Fee n� d Thomas F.Geiler,Director Building Division Tom Perry,CBO, Building Commissioner _ X-PRE - % 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us AuL; 6 2005 Office: 508-862-4038 • 508-790-6230 TOwW�F L, EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY ��NST ABLE Not Valid without Red X-Press Imprint �/parcel Numb` p perry Address Vsidential Value of Work Minimum fee of$25.00 for work under$6000.00 n Nam e ame&Address (� tractor's Name V a Telephone Number ne Improvement Contractor License#(if applicable) struction Supervisor's License#(if applicable) Vorkman's Compensation Insurance Check one: I am a sole proprietor I am the Homeowner ❑ I have Worker's Compensation Insurance rance Company Name a kman's Comp.Policy# y of Insurance Compliance Certificate must be on file. .ut R;Re-roof st(c box) �( (stripping old shingles) All construction debris will be taken to (1Jl T o a��(.�C ❑Re-roof(not stripping. Going over existing layers of roof) ❑.Re-side ❑ Replacement Windows. U-Value (maximum.44) *Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. ***Note: Property Owner must er Letter of Permission. Home Improve n ors icense is required. 'iATURE: ^ ms:expmtrg :071405 r P.O. Box 311. 508-367-1679 Centerville,,NIA 02632 Fax: 508-790-1856 PROPOSAL SUBMITTED TO: PHONE: DATT� _ 761 4Q', � u U cc) 6 — ` STRE T: r JOB NAME: JOB#: i CITY,STA E and ZIP CODE: JOB LOCATION: ` ARHV FCT: DATE OF PLANS: JOB PHONE: l[ �d(Aj v We hereby submit specifications and estimates for: ii 11 b t:. d Y . K. Ve pr0p0$e hereby to furnish material and labor-complete in accordance with the above specificajiiqRs, for the_sum of: dollars($ . Payment to be made as follows: All material is guaranteed to be as specified. All work to be completed in a workmanlike Authorized manner according to standard practices. Any alteration or deviation from above specifi- cations involving extra costs will be executed only upon written orders,and will become g an extra charge over and above the estimate. All agreements contingent upon strikes, Note:This proposal may be accidents or delays beyond our control. Owner to carry fire,tornado and other necessary insurance. Our workers are fully covered by Workman's Compensation Insurance. withdrawn by us if not accepted within days. IAZ"tceptance of,Propoaz-The above prices,specifications � and conditions are satisfactory and are hereby accepted. You are authorized Signature: to do the work as specified. Payment will be made as outlined above. Date of Acceptance: Signature: i OA4 T " r u�l t r MAN q /vJ0' v 7 01 z P4GF O \ y RICHARD � 10© z A. SAXTFR 24048,�� f.,k41 4 ccam�,, by StlitV�'� 4E*PT'fG ` 4 ojv. C-SZTtFIED p l.oT yy�yLbCAT10iN C E NTH IZ,-,eI LL.� s c-A L -7-7 C-MtzTtt=,,t T"AT- T14r-- FOUNbAT �ON 5uoww Ptar.► R�FEtZct.iG Wr--eEo" GCw1PLVS W iTN THE S+DrE.U"E: Jana SETIRAGK QE4UliZEN1E"T'; of TNT 1- O T J �7 -to w U OIF c3 JA\ `t• L . . P t_A 1V C3 k . o P U. Z 4 REGlStZ3ZED 1_AWc> SV2VaYo2S TWI5 VLAW IS WOT BASEY7 OW A," USTE.iZVt - o MASS. It-45TIZOAAFENT SU2VE`f j Tt-IE Oi~c'5EirS SiAowlr> APPt_1 ,�L � � ���` � t,,bT BE useo To- vcrEP-m1%t� LoT ttwe.5 w SEPTIC SYSTEM M MUST BE Assessor's map-and lot number 1 Via... ..... .%- ANgST�A.L!LE& IN , PLIANCE ..... .. ....... .... .. R1"ICLE If SIATE 4- ;. 77 i SANITARY CODE AND TOWN . Sewage-Permit number. .... ........� ....... ..... ............ LTIfJNSo TOWN OF �BARNSTABLE OF.TNE Tad I :B TSDLE, • 9 IIA86 BIJ711 ING• INSPECTOR 0 MPY { APPLICATION- FOR' PERMIT JO 4 ...... .................................................................... . .... .......... :.......... t< Cv TYPE OF CONSTRUCTION ......... .........:. .... i ... ........ ......��.....197 r-•TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to th following information: Location ........!!iL...l... ... . ......... . . ... . ......... ... . ............................... ProposedUse .. .. ... ............................ ...................................................................................................................................... Zoning District ............. Fire District ..... ...................................................................... '.Name of Owner ...................:.........: ....................................Address ...... . ........... ..... ....... ..................................... 'Name of Builder ........../sl...................................:................Address .................................................................................... Name of Architect ..................................................................Address ................. Numberof Roo s ... ...............:..........................................Foundation ............. .................................................. • Exterior ..:.......................................................Roofing ........ .. .............................:............................... Interior .......... ....... . ........... �`.7............................................ ` Floors .................................��..pp...��.............................................. Heating .. ;e .7 ..4�S1..............................................Plumbing .... .......................................... Fireplace ..................... ...................I....................Approximate. Cost ..„ �! ......................... Definitive Plan Approved by Planning Board- _-_,__________7______________19________ . Area .......l. � S`. ..... Diagram of Lot and Building with Dimensions Fee .......... T ...................:... SUBJECT TO APPROVAL OF BOARD OF HEALTH 6 • - "d hereby agree to conform to all the Rules and Regulations of the"Town of Barnstable regard' g the above construction. Name ....... .. ........ ... ....... Small, Alan E.- ► , , 1 19157 one story t No ...........::-? Permit for .................... i single family dwelling Location, ...._,Prince'KM1C H� Hinckley Road , Centerville Owner Alan E. Small t.... ................................ ..........r........... ' Type of Construction frame — - ................................................................................ Plot .. .. Lot ...........#97............... Permit Granted .............April 29 77 ....... . ..........1.9 Date of Inspection ....................................19 • - �- Date Completed 71 ..........19 i PERMIT REFUSED Al ................. ........ . .......... .................. 19 ................ ................................................ ..... r .................................... ...................... ......... { ............................................................................... Approved ................................................ 19 ..............................................................................