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r Town of]Barnstable *Permit# �5/ s 3 1�--
o.* Expires 6 months from Issue date
s�axsrnsz�. * eplatory Services Fe `D
Thomas F.Geller,Director
Building Division X-PRESS PERMIT
Tom Perry, Building Commissioner
200 Main Street,.Hyannis,MA 02601 JUL 1 2 2005
Office:.508-862-4038
Fax; 508-790-6230 TOWN OF BARNSTA •F=
EXPRESS PER ffr APPLICATION - RESIDENTIAL ONLY
Not Valid without Red X Press Imprint
ap/parcel Number k 7 0 (9 d
operty Address Ll y I C �`1 C.�1�, ck,w
Residential Value.of Work kn9 c45 Minimum fee of•$25.00 for work under$6000.00
wner's Name&Address
ontractor_s_Name . cn \L ��2 1e�5 Telephone Number�_�p L
ome Improvement Contractor License#(if applicable)__ \ Co LA Q �
onstruction Supervisor's License#(if applicable) `
]forkman's Compensation Insurance
Check one:
❑ I am a sole proprietor
PIthe Homeownerhave Worker's Comp ensationn Insurance
ssttrance Company Name
V�6�\3
Poritman's Camp.Policy# '10 L,:D a 1 `c7r� a b b
;opy of Insurance Compliance Certificate must be on file.
'ermit Request(check box)
roof(stripping old shingles) All construction debris will be taken to_ ZS5 3
❑Re-roof(not stripping. Going over existing layers of roof)
❑ Re-side
❑ Replacement Windows. U Value (maximum.44)-
*whemrequired: Issuance of this permit doe of exempt compliance with other towa department regulations,i.e.Historic,Conservation,etc. '
***Note: Pr rty Own si roperty Owner Letter of Permission.
H ctors License is required.
Signature UA Zr
�:Forrns:expmtrg .
iZevise063004
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35 Peep=Toad Rd ' = r .
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Centerville MA 02632
f � aµ (508) 420-6216 rF .
O . M TED TO. WORK PERFORMED AT: �
Y ,447 Prince Hinck
y F Centerville
SAME t" t:
W tofh tewateralandpfmele herby proposeu for h r the
' completion of the following; z
t� New roof
. MM
�
' Remove one laver of shingles ym
a Install 8"drip edge
Install ice and water shield at edge and in valley areas s r
Install certianreed algae resistant shingles of choice 4
Cut ridge and install cobra vent .0
Replace plumbing boots
All debris ocl&aned dailyfY 7 A
Certainieedki.25 AR$6950 OQ
9. r Certainteed wogAeMe 30 AR$7475.00
Please check&initial choice above thank you
aRM
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' Y All material is guaranteed to be as specified, and above work to performed ins €' li
5 accordance with specifications submitted for above, and completed;in a substantial` `.
X workma like manner for the sum of as specified above &verified w/your initialXr ` s
`.. Dolla 4.Z56
O with payments as follows,full amount due upon completion
r ` ;
r r*.Any.alteration(s)from above i volving extra costs will be added under written
agreement,and become ezt}' :c r over and above signed estimate/agreement
RESPE �
CTFU S
Signature
X ACCEPTANCE OF PROPOSAL
uF n} The above rites specification & conditions are satisfacto x �- P P r3',we herby.accept'
you are authorized to'do t work,an ayments will be as specified above,
Signatur
Date: /3ca ct_,e, Z-
U .
1 k This proposal may be withdrawn by said;`company if notccepted within 30 days
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The Town of Barnstable
Sum � Department of Health Safety and Environmental Services
Building Division
367 Main Street,Hyannis MA 02601
Office: 508-862-4039 Ralph Grossen
Fax: 508-790-6230 Building Commissioner
SHED REGISTRATION
if V
Location of shed(address)
Property owner's e , f�� Telephone number
3
Size of Shed Map/Parcel
Signature Date
Hyannis Main Street Waterfront Historic District? 1. D
Old King's Highway Historic District Commission jurisdiction?
Conservation Commission(signature required) ! ��
THIS FORM MUST BE ACCOMPANIED BY A PLOT PLAN
Q40MU-shedreg'
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►.10 'GA; -BAGS 6WhJDEtZ
DAIL.s( F%-ow z 110 X 3 = 33oG Pv,
SEPTIC, TAuK = a3ox15o% =a9yG.P. .
u5E loon GAL.
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ot5Po5AL_ PIT u6E laoo GAS.
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BOTTOM AREA= .. 20 'S,F, .% Pr
So S.F x 1• o � 5o �-
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TOTAL- DA►%-Y FLOw( = 33��.i?O T
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•:'RICHARD �.
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THULIN : Pp-%Ne-E HIo�4C►eLfcy FRO, I
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L0CP,TE0 •WIT W HE F�-ooD Pt+A1N
DATE A*74Y (,( BAXTEcZ a NYE INC.
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No'T DE 'U5EDTo pETE`Zl�IN� �cT t-IMEcJ APPI,ICAtJT
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TOWN OF BARNSTABLE Permit No. ____26282___
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Building Inspector
l N.v3T.>1 i cash
rYa 7�d3 9'ta Val a',
OCCUPANCY PERMIT Bond
Issued to Address
Princ-e Hjrj kjey,,JZc)r Ce-itAryille
Wiring Inspector _ Inspection date
,4
Plumbing Inspector ' `` N , �+c Inspection date
Gas Inspector Inspection date
Engineering Department Inspection date
Board of Health 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 AND IN ACCORDANCE WITH SECTION 119.0 OF THE MASSACHUSETTS STATE
BUILDING CODE.
....................................................... 19............ ..................................................................................................................
Building Inspector
ssessor's ma and lot number 1...�.4 ..�% 3„• .... e
Sewage Permit :number .. :`' a �y, c:a
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House number 9 - a I_
AL CC-D: °0 0'YPY 9. 0
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TOWN .'-,,OF AyRNSTAB{ E _J t
RUMD'IHG INSPECT s:
APPLICATION FOR PERMIT TO . ... ,
TYPE OF CONSTRUCTION ... ..... ................... ............. .. .. ..o i
' � .. - ! � .mot �'• " 'i
....19.....
'r TO THE INSPECTOR OF::BUILDINGS: G 3!
The-undersigned hereby applies for a per<mit accord.ing,,ttoo/.,the following information:
Location
ProposedUse .................................................... ............ , ... ........ 'i
Zoning District ........:......... .. .... ... ....... ...................Fire District .... ......... .... :....� ........... .... ...
x. Name of Owner_...L " ........ ...................Address ............. ....................................... ,
.Address Name of .Builder t........./.!..........,. ..;...� ...........:............. ............................................. .............. ... ..... .
Name of Archifect ............:. ...........Address ....
Number of Rooms (T' Fo0fdation.
..... i a �. I... F
Exierior ..,r���L —1....-`... .... . ...Rodfing �... ....... -.F............. t......
Floors ......�7~"�••v\. ............................. * Interior LA1 .............................. i
....: .... f.
.,Heating !;�.... ... ...........:.... Plumbing .........:. '.:.., a.
Fireplace ...... 0:........................ ..........:..._ ::.Approximate. Cost ... ,r.� ..., �--�
Definitive Plan Approved by Planning Board -------------------------------19-------- . Area / 0.............:,... .j
j :.
Diagram of Lot and Building with Dimensions Fee Q9�--
... U..,. '..
SUBJECT TO APPROVAL' Of BOARD' OF HEALTH
0
OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS <
hereby agree to conform to-all the Rules and Regulations of the Town,of Barnstable regarding the above
construction.
Name ... ............... ... .....................
Construction Supervisor's License, ..................... .............
L, ALAN E. :y
No Permit for Djae....5.tary........... y �
{ Si ' le`_' Familt...p�l�lli.n•g................
Location ..Lot..19.r... 44..7....,Px.1)aC.e...H..ack.ley `Rd. ..
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.....................................
Owner..................................la l�t. r
.1 h ....... } . ....... .- i • . - J . `
Type -oft Construction ........................... A
+. `..... i .... ........ ... .... .. -
.Pint ....................... Lot .... ..... ........ j e
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Permit Granted AP.rl ..7 z ..19 $4
Date of Inspection . ............ ...............19
Date Complete1�. Z�................19 F .
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PE2Go�ATION RATEa 1'°IN 2M►N o�LES� `� 61714
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