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0137 PRINCE HINCKLEY ROAD
� � a � � :., . .. m 4 � �..,a �r G .. ,.. .. ._ .. +. ., q 9 � - .. F - � _ TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map 7Z Parcel Mw Application # 6 AX 7 70 Health Division Date Issued f Z IZ— Conservation Division Application Fee Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board �ILIz� /L Historic - OKH _ Preservation/ Hyannis Project StreA Address ZI7 r, G ' 'kC Village QuIlpJ11111f � Owner Address Telephone �98 — 5-1 /I� b _ Permit Request f t W�lti "Am � lc ac?i Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation On' dl Construction Type��' Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family ❑ 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) 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 T—, __4 a o Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing wood/coa stove: �YYes�l No Detached garage: ❑ existing ❑ new size_Pool: ❑ existing ❑ new size _ Barn: ❑eX t ng ❑ 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 r (BUILDER OR HOMEOWNER) Name 9?e e`�;p G' Z� � Telephone Number 5��� Z / Address �� /�i���2 r� /�� License # /D D 2r o z� Home Improvement Contractor#l�� � Worker's Compensation ` ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO 14 SIGNATURE DATE Die . 17; --1 - FOR OFFICIAL USE ONLY APPLICATION# DATE ISSUED MAP/PARCEL NO. s s ADDRESS VILLAGE OWNER DATE OF INSPECTION: r f FOUNDATION r FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL T r GAS: ROUGH FINAL FINAL BUILDING i } DATE CLOSED OUT , ASSOCIATION PLAN NO. i OWNER AUTHORIZATION FORM ( wner's Name) owner of the property located at ry �`C� �n �'v1 e (Property Address) (Property Address) hereb authorize a I y (Sub ntractor) an authorized subcontractor for RISE Engineering, to act on mybehalf to obtain a building ' permit and.to perform work on my property. Owner's Signature Date IE NOV 1 3 2012 i f TO INSULATION FER tS pq 2. �. MIR OIASS 11A.1M SPq A,FOAM SYSPSN090 Mlii GYiTigS INS0""'" [SYYSOS 1-800-696-6611 DIVJ JJA Town of Barnstable15JI3 regulatory Services Building Division 200 Main St Hyannis, NIA 02601 A Date: 111 Vo Dear Building Inspector Please accept this Affidavit as documentation that Cape Cod Insulation, Inc. perfonned & completed the insulation and weatherization work at the property listed below. Cape Cod Insulation did this in accordance to the specifications listed on the building permit application. All work has been inspected by a certified Building Performance Institute (BPI) inspector. All work preformed meets or exceeds Federal & State Requirements. Property Owner Property Address Village 13v)?r�A'ce p� t-✓�I Insulation Installed: Fiberglass' Cellulose R-Value Restricted Unrestricted Ceilings ( X) ( ) (� (/V (. ) Slopes ) ( ) O ) ( ) Floors ( ) ( ) ) ( ) ( ) Walls ( ) ( ) ( ) ( ) ( ) I Sincerel leyC sidy J Presidentd nsulatlon, Inc. a Y �k-II3OIp5 Jr oFT, rOw ,, .Town of Barnstable *Permit# a66��y6� 1 Expires 6 months from issue date Regulatory Services Fee � , t RA_"SrABLE; : Thomas F. Geiler,Director MA 9�b 1d639. ��� �� Building Division prF Ma - rry,CBO, Building Commissioner JUL 2 9 2008 200 Main Street,Hyannis, MA 02601 www.town.bamstable.ma.us Office: 508-T61 n 80F BARNSTA Fax: 508-790-6230 Q EXPRESS PER%_ APPLICATION - RESIDENTIAL ONLY ` Not Valid without Red X-Press Imprint Map/parcel Number 1 Property Address t. 'e {"} ✓1 C I e Residential Value of Work Cg 5,U n Minimum fee of$25.00 for work under$6000.00 Owner's Name&Address SA r ky n �{� � Mzf 1✓�e (f. � � Cie "l Contractor's Name VV ('I l�— �� ��� � _Telephone Number Home Improvement Contractor License# (if applicable) 4 BWorkman's Compensation Insurance Check one: ❑ I am a sole proprietor ❑ I am the Homeowner [-I have Worker's Compensation Insurance Insurance Company Name ✓b L MAJ A I Workman's Comp. Policy# 1 C ( lC�r`/� 1 6-b `r, Copy of Insurance Compliance Certificate must be on file. Permit Request(check box) tt r [TRe-roof(stripping old shingles) All construction debris will be taken to CA I t ❑ Re-roof(not.stripping. Going over existing layers of roof) ❑ Re-side ❑ Replacement Windows/doors/sliders. U-Value (maximum..44) *Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. ***Note: Property Owner must sign Property Owner Letter of Permission. A copy of the Home Impr vement Contractors License is required. SIGNATURE: QAWPFILESTORMMuilding permit formsEXPRESS.doc .r�" 3_ - �4k�,;•� -_ z, MARK"HERBST w 35 PEEP TOAD:ROAD r Y 'AA CENTERVILLE MA 02632 8-420-6216 CELL PHONE 774-238-2938 ' E F www. MarkHerbst.com "r,r4, f ' PROPOSAL SUB ED TO: - WORK PERFORMED AT: ti k Y Pat Fruen F Prince Hinckley Road SAME r ` Centerville MA {y 508-7374331 ,$ 508-420-4929 w � s We herby propose to furnish the materials and perform the labor necessary for the completion of the 2 l following;New Roof Remove I layer o existing shin Imes Insta118"drip edge ti `M1 Install ice&water shield at edge&in valley areas � Install l Slb.felt pqper ; ft Install Certainteed 30yr.Architectural shingles ` Color ).*Please fill in, Thank You � j Cut ridge&install cobra vent Re-lace Ip umbing boots �' 3 3 k rq 8 Storm nail all shingles u 4`s All debris cleaned daily k }�44Y Price includes material labor&dum ees $6 500.00 Re-lead chimp .u er&lower levels 500.00 � x x i �s Re dace rake boards behind chimng 100.00 -*Please check&initial choice(s)above. Thank You All material is guaranteed to be as specified.The above work will be performed*in accor'andance with the specifications submitted and completed in a substantial workman-like manner for the sum of; As•specified above&verified with your.initials w dollars( )with payments as follows;full amount dueup.on completionOil R5 : x .r � *Any alteration(s).from above proposal involving extra costs will be.added:under a separate written -1'+ a` "agreement and become an extra charge. d. y `.s RESPECTF LX M D•ev (5d� ` 3 07-16-08A. =Mark Herbst z ACCEPTANCE OP PROPOSAL x The above pri pecifications and.cond'tions are:satisfactory. We herby,accept this proposal: You * are au_thor' d to the work and pay nts will be as specified,above , e� xa %: ; r, Signatur P a " �1 *This proposal may be withdrawn by said company if not aeeepted within 30 days ,��-y.� ..cY .".x +� 5 { �'" ' 3C"ka.gtr��,K. X !, l i ter.. r S��`� L S t Y y f 4 x k�`" - tVry - �+l'y - x-^ i���Y' ,.x}!.?i�. F� .1.a�� F� ..✓✓X a s. r:'t ,Rt �n � �7 t x 1 - t :3 r t ° r �^ TOWN OF BARNSTABLE _-__________- �, •e Permit No. __________________ r t VAUST11L Building Inspector • Cash --------------- OCCUPANCY PERMIT Bond "No building nor structure shall be erected, and no land, building or structure shall be ured 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 Address V''^t-r�rvi I I e WiringInspector _ Inspection dated• + Plumbing Inspector Inspection date Gas Inspector Inspection date Engineering Department !-• . ,,� rx�!' , ,, _:,✓ ; 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............ ................................................................................................................. Building Inspector o r tc_7i,-- r�tUGLb trL�N11l1-� - 'F-�ZOC>AA t,So GArrr3�� �Sizi�ta�2 ..S' Xaat�� F'LoW � i to � � � ��© G•p•t�. S 30.E tS G % * 49 r?6. LJS�- l ayo 6J4t_. �,15 'DA� P►T uSE. tacco C-�aL. CPr! y '.j ✓ &L.L AZG tso IS.. � 2.S + 3�75 �.P.L�. ! P!T BOT Tom Aer-'N._ r-.,,o St=. -4 TOTAL -t_>eS16Q = 42S &PrD. TZ>TA t_ -C>J41 t--( 1'! aw = 330 6.P.U. [�El2C_D�QT10sti1 t2dTE ���►�1 �..ArtttJ• OiZ L�S`s: (�� Tt.� i--' 1 `• �L C ocia _ �y Tor Fb40 Is4oC.o r J 4'•r� :may cn LOAM �.po� loac> iw SePrtc o A; tNu . r Tc�c►c - CoA S6 Goo Q6 luy. iuv. lt,,o 9e,.'L ` LAW i► SA PST C.,EAhL w�ru •i sro12V Tl T u A T' T t-A t✓. Faj w-D�.-n c* 4 5 N Pt_ h l�l '►Z it►- ��.���_�. ti-lF.�?t=�tJ Cc,-0AnLVG V/ ►Twt Tt-%Z: ;toELt►aE: LOT LaJit;e_vl LI-6 t�tC�IJ L.A u�( l ► - t�cGlS rz_t,�D 1�ti.t� 5Ut'�'�Y�t T1415 Pt-A" I LJOT tt.!'£t"�' JC3tJ i ��t)t:•/t.r�{ yC "[tR� �aFt=;i:t"�, i1�r✓tatl� AF�t�I_tt�.!-J'T'� oe- rc t_Ml Assessor's map and lot number // �/ �G , ._ 2 ' _� �0*THEtO�♦ x Sewage Permit number'..... .. 1......................................: SEPTIC SYSTEM STEM i1/IUS1' BE . • INSTALLED N C MPLIA i BaaasTI LE O; NCE as House number ...... ............. p, VVITI-I APTIC1Ir II STATE '°0 163q. ♦� '' ' SANITARY CODE JINN � �aNPVa` QV'Jd\9 TOWN OF -BAR?V-"n-q.° A'BL F" BUILDING ,INSPECTOR µ APPLICATION FOR PERMIT TO 1.'.. ............. .............................................................................................. TYPE OF CONSTRUCTION .........' .!.►Co.. ......:................................. . ................................................... ....... .....��.................i9) TO THE INSPECTOR OF BUILDINGS: The undersigned h reby applies for a perm/t) according to the following informati n: Location `'i� ' .............. .. .. ............... `t" . ..........::. . .............. ........................................................ ..0 ProposedUse .f� :"� ............................... ................................................................................................. Zoning District ..........................................Fire District ....... .................................... Nameof Owner ... . ................... .Address ......... ............................... Nameof Builder }.............. .................................Address .................................................................................... Nameof Architect ..................................................................Address .................................................................................... s Number of Rooms .:............(,..................................................Foundation ........ ................................. Exterior .. ...... ...............�........................................................Roofing .................:. . .... ........J............................................... Floors a l 'v'?• interior ..... 01 ............ ................................................. ..'/`�:......................................... Heating ......./�. ..:..................................................Plumbing ......... -^--..... G� Fireplace ..................................................................................Approximate Cost .......... J.... .......... Definitive Plan Approved by Planning Board ________________________________19_______ Area 5 ...�.�................... Diagram of Lot and Building with Dimensions Fee 1— Q SUBJECT TO APPROVAL OF BOARD OF HEALTH QO r I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable r arding the above construction. ; Name ..............................I..........:....................................... Small, Alan ' ^ | n 20940 � pue story .-�---.-.... parm� for .................................... / . --------.----------,------- Location Prince Hincklev Road ........................................................... Centerville ' .--^-.----------'-.-.-------.. . - . . ' �Iau 3mall ' Owner ---------------..------. . ~ Type of Construction ---- ------ --...-.-^..---.----------------. . ' #88 Plot -------.�-- ��� ----�------. ` . � Permit Granted .........���.�����-2----lV 79 � � of Inspection ' ' ' 19 ~-'~ Completed ' - . . - . ' PERMIT REFUSED � ^ ' .__---._-_.......---.---..-.. 19 - -.------...`----~.---------.--. . . � � r-~----^'--''^`~----~^-----~--' ' � ...--.�.^--.-^-.---~..--.-.,..----- . � ~— � -.-^-.-.-.-. .~~..---.~..-...--~-. Appr , . ................................................. lg --�^-..----r----^--'^~---'---...' � - -.--.--.---.---...-..--- ' -