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�F114E� Town of Barnstable *Permit#`fib 23
Expires 6 months from issue date
+ &UMSPABLE, •
Regulatory Services Fee&6, 2 t
.' ASS
039 Thomas F.Geiler,Director
A i639 A,0 Building Division (_®
RESS PER'-Tom Perry, Building Commissioner
200 Main Street, Hyannis,MA 02601 JUL 18 2003
Office: 508-862-4038
Fax: 508-790-6230 TOWN OF BARNSTABLE
EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY
Not Valid without Red X-Press Imprint
Map/parcel Number
Property Address 11D 6 I e r V 1 A h C '✓1
ET-Residential Value of Work 1 B Cl
Owner's Name&Address
l,06:N l r M �Pvl(_- (Le wit
�c 1W hone Number `'� 8 �
Contractor's Name ��f�y�- � Telephone b
Home Improvement Contractor License#(if applicable)
Construction Supervisor's License#(if applicable) 6q C 4 40
❑Workman's Compensation Insurance
Check one:
❑ I am a sole proprietor
❑ I am the Homeowner
I have Worker's Compensation Insurance
Insurance Company Name 6tJNO
Workman's Comp.Policy# L— F )L913�a q I., q bQ� g p A
Permit Request(check box)
El Re-roof(stripping old shingles) All construction debris will be taken to V1'�
❑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:44Pro erty 0 r must sign Property Owner Letter of Permission.
e Impr e t ntractors License is required.
Signature
Q:Forms:expmtrg
Revise053063
Y r M+f
MARK HERB ST
1 r 35 Peep Toad Rd.
Ltd
�rSyah Centerville MA 02632
Z,..;s,rG'> 'S9,,,{£�;'`��'. r ap,rh�tikL`." a � �! �=ia`da�.k,::•
(508) 420-6216
PROPOSAL SUBMITTED TO: WORK PERFORMED AT:
Mr. Farhadi
100 Tern Lane SAME
Centerville MA 02632
508 771-6009
'We derby propose to furnish the materials and perform the labor necessary for the
completion of the following;
New � � . �`_ - - `" Zp
Remove existing shinglks
:_1
Install 8,�dt� ge- �•�. ,a d Re
.. ...,
.K
install keM&=water shield at edge & in a
vallev.,---reasQ ( �>CAAC- -
Install 13 lb. felt nay` ,
. -
Install Certaintee ilectual Woodccane, Q chin¢lns_
color Silver lining
.-'+ ',ro. -��'�
RePlace all plumbing boots
Counter,flash chimnev
All debris cleaned daily �: y
Price ay�eludes m t-ria labor&dumn -� fi�_Se, `���� ', "tT -des,..-� '''k'.�a..,t aa• s.: Y.,
All material is g fsrnateed to be as specified, and above work to performed in
accordance witbr:!&ifications submitted for above, and completed in a substantial -
workmanlike-n anner for the sum of
Dollars(11,06.06 )with payments as follows; _
Y- * Any allteration s. fro
y ' { ) n �bove involving extra costs will be added under written
w .. agreement,and become 4 cha . over and above signed estimate/agreement
-' RESPECTFULLY S
Signature""
Y'
. -A CEPT. OFYROPOSAL
Y
The above prices_specification & conditions: '"satisfactory,we herby accept.:
you are authorized to do the work,and paym%6its will be as specified above.
Ribg (..
Si natur�� 4
,
�t Date: ---.----�—,-_'---�..�-r--z--; + (,
* This proposal may be withdrawn by said company if not accepted within 30 days
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Board of Building Regulations and Standards
kIOME I,NIPROlVENPNT CONTRACTOR
1 Regi tealo 6-480
t �api2004
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*sr$ - div-ideal c
MARK HERBST _ r f
MARK HERBST N`,� j
35 PEEP TOAD RD.
CENTERVILLE MA 02632 Adinnistrator. {,
0. ay fie Toamimoou�e
BOARD,OF BUILDING REGULA'�T�11
G:
License p NSTRUCTION SUFER�6hSOR
Number' 04'6546
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Tr.n 926
04 � o:
Rejtfia-tdd
MARK D HERBST,
35 PEET TOAD RDA°��
CENTERVILLE, MA 02632 AdMinistratgr