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-03 ( 31
�FSHE ram, Tow_ n of Barnstable *Permit#
P� Expires 6 months from issue date
Regulatory Services Fee I'/,
* aaxtvsTnsLE.
9� ass' 'Richard V.Scali,Director
1639• ♦�
ATFD��p p
Building Division
- Tom,Perry,CBO,Building Commissioner MAY
200 Main Street,Hyannis,MA,02601 TO► I f ('www.town.bamstable.ma.us VI/'V OF[[��
Office: 508-862-4038 9 -6230
EXPRESS PERMIT APPLICATION RESIDENTIAL ONLY �iB�F
® Not Valid without Red X-Press Imprint
Map/parcel Number 'Cj �l
Property Address I l7 �tZ �Wk r�
Residential Value of Work$ IG,4too.00 Minimum fee of$35.00 for work under$6000.00
Owner's Name&Address 10 k)�,k
tk,gk-e,a Vt Uz
Contractor's Name bl wouI CLN Telephone Number �^0f' 360 27Y
Home Improvement Contractor License#(if applicable) 110-191 Email: Rs06C G YAW00• WJA,
Construction Supervisor's License#(if applicable) l O Z 6 0l7
f lWorkman's Compensation Insurance
Check one:
❑ I am a sole proprietor
-I am the Homeowner
I have Worker's C��ompenssat-ioon,,Insurance
Insurance Company Name TT lY in �
r
Workman's Comp.Policy# A 0 5-4
Copy of Insurance Compliance Certificate must accompany each permit.
Permit Requ (check box)
ET Re-roof(hurricane nailed)(stripping old shingles) All construction debris will be taken toTbkTT9T?4L.
❑Re-roof(hurricane nailed)(not stripping. Going over existing layers of roof)
❑ Re-side n 32
❑ Replacement Windows/doors/sliders.U-Value (maximum.9-5)#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.
t
***Note: Property Owner must sign Property Owner Letter of Permission.
A copy of the Home Improvement Contractors License&Construction Supervisors License is
required.
SIGNATURE:
Q:\WPFILES\FORMS\building permit forms RESS.doc
Revised 061313 r
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 take_n out by ROOFING AND SIDING OF CAPE COD,
LLC. No lien or security interest will be placed on the residence as a consequence of the
contract. 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:
r
ti
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:
1/3 Deposit 3j-760-' L/aCQ,
1/3 Beginning of work
1/3 upon completion
Date:
Signatures: /
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 date
THIS PAGE IS PART OF AND IN CONFORMANCE WITH PROPOSAL No
TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION
:a -7
Map q Parcel "I Application # CQ 41 qo!A S^?
Health Division Date Issued
Conservation Division Application Fee
Planning Dept. Permit Fee
Date Definitive Plan Approved by Planning Board
Historic - OKH _ Preservation/ Hyannis
Project Street Address �'o w �� �a ���►_
Village Ce.(A_Q.(V'i lie
Owner _10 bti Address 6�am
Telephone D
Permit Request thad - 39 c@ l l* 1 o SC &q� '�-J LJ ce llA l0 5e. ::h + c 4*j1r.
WE SPt( c x4it 65emmf w 'n/mA 6 taa
Square feet: 1st floor: existing 01
proposed 2nd floor: existing � proposed Total new
Zoning District Flood Plain Groundwater Overlay
Project Valuation 8 Construction Type
ri
Lot Size Grandfathered: ❑Yes ❑ No If es, attacks b.
y pportin>�loctentaton.
Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family (# units) c�
Age of Existing Structure Historic House: ❑Yes ❑ No On Old Kirfg l Highwa, ❑ s ❑ No
Basement Type: ❑ Full ❑ Crawl ❑ Walkout ❑ Other
Basement Finished Area (sq.ft.) Basement Unfinished Area (sq.1t) Z5
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
Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑ No
Detached garage: ❑ existing ❑ new size_Pool: ❑ existing ❑ new size _ Barn: ❑ existing ❑ new size_
Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size _ Other:
Zoning Board of Appeals Authorization ❑ A.ppeal # Recorded ❑
Commercial ❑Yes XNo If yes, site plan review#
Current Use Proposed Use
APPLICANT INFORMATION
(BUILDER OR HOMEOWNER)
6
Name Aicv w Telephone Number
11'' 1
Address �'� tt�1a n h�:& License#
J 5e vA �&I\MOAA . M R d U a 4 Horne Improvement Contractor# l 43 g�
Email Worker's Compensation # �J W rr Q S 6 3
V
ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BETAKEN T0�6 ��
SIGNATURE DATE w
f
i r
r'
FOR OFFICIAL USE ONLY
APPLICATION#
j DATE ISSUED
MAP/PARCEL NO.
4�
j ADDRESS VILLAGE _
OWNER
DATE OF INSPECTION:
FOUNDATION
FRAME
INSULATION
FIREPLACE
ELECTRICAL: ROUGH FINAL
II
PLUMBING: ROUGH FINAL
GAS: ROUGH FINAL
EWAL BUILDING
DATE CLOSED OUT
ASSOCIATION PLAN NO.
Building Permit Authorization
as owner
hereby give my permission to }
r ,
Cape Save, Inc.
7-D Huntington Avenue 4
South Yarmouth, MA 02664
Office: 508-398-0398
to take all necessary steps to obtain a building permit to
perform work at my property located at
70 White Oak Trail g
" Centerville, MA 02632 x
Signed
Date
x
ok g ohs
Cape Save Inc.
7-D Huntington Avenue
South Yarmouth, MA 02664
Tel: 508-398-0398 Fax: 508-398-0399
3/30/15
Thomas Perry CBO ';
Town of Barnstable
Building Division _1
200 Main St.
Hyannis,MA 02601
a
.. w
RE: Insulation Permit 201407059
Dear Mr. Perry
This affidavit is to certify that all work completed for 70 White Oak Trail, Centerville has been
inspected by a third party Certified Building Performance Institute (BPI) Inspector.
All work performed meets or exceeds Federal and State Requirements.
Sincerely,
William McCluskey
Assessor's map and lot number .... �.�� "
.... ........................
IN E
TOE
Sewage Permit number ......._ ......� .5. ........::......: d� y�
II\'!5�'ALLED IN CO�:�t=t.IAP� r � B9flB9TADLE.
House number ......:...............:................................................. TITLE,
WITH 9 rasa
�p t639.IENMRON MENTAL CO, \0�
TOWN OF BARN ST �'�RE-h`�
BUILDING ' IHSSPECTOR
APPLICATION FOR .PERMIT TO .::.;1..t iLC1! ..... .h1.11.0:��Na...... ....� .................................................
TYPE OF. CONSTRUCTION ......... ../..�f�.......`.?�.....!/../.�(�,�� ...................................................................
..................... ..............19.
TO THE INSPECTOR OF BUILDINGS:
The undersigned hereby applies for a permit according to the following information:
Location .... 1�..... Z.t`k-�......0A. .../..{%A..&. ..................................................................... ...................................
Proposed Use ..�&.OY1.kv . �'4..� ........�. .....X 36 —� /t� v� L'ACC
�..,...: ............................... ....................................................................
ZoningDistrict ........................................................................Fire District ...................C...l.......v..........................................
Nameof Owner ........................ .... ........................................Address ............. .......lf.....................�!..........:.........
Name of Builder .. .!L4'.....:...:..�'..1.,�............ ... .......S,f1.1~ ..Address .. .. .......... . .....f.'...A41....... ..... : .I�!V...... ..
Nameof Architect ............................................ ......................Address ....................................................................................
Numberof Rooms ....................0..........I..................................Foundation ..............................................................................
Exierior ....................................................................................Roofing ....................................................................................
Floors ......................................................................................Interior ....................................................................................
Heating ..................................................................................Plumbing ...................y.�..........................................................
...
Fireplace ..........Approximate Cost .....:'./...�j..4.4....!.... ...............................
4...........
Definitive Plan Approved by Planning Board -------------------_.-----------19--------. Area �'
Diagram of Lot and Building with Dimensions Fee . z— �
........vti.1../........................
SUBJECT TO APPROVAL OF BOARD OF HEALTH
D
0
H 0 u
CEO
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
Construction Supervisor's License 4i�� ?.........
CAZEAULT, RIC--HARD
27545 Swiizuning Pool
No ................. remit r€or ....................................
Accessory•to..Dwelling............................ s
k
Location 70 White Oak Trail
..........................................................
Centerville 1
.....................................................................
Owner Richard Cazeault t _
Vin 1
• Type of Construction .....St........eel.....&.........Y.............
<......................................................_..... ..........
lot ...................... . .. Lot ..........I. ................ '
r
Permit Granted ..........ebruar�'...22.!.......19 85
Drr _
; ate of Inspection ....................................19 gg a
Date Completed .......... ./................19 O� t
' 1 c
r
Ct
V ��QyofTHETo�p� TOWN OF BARNSTABLE
IV
Z BARNSTABLE, i
MABEL
6 9 �•� BUILDING INSPE TOR
CFO MAY pP'
A70/ /g/ 0 Af e, or
APPLICATION FOR PERMIT TO ....................................C .Z���/?7.u.`?... .................
TYPE OF CONSTRUCTION .......s...v/4�� '� /1�..... r! '
....... ................ ... .............................
� .�. ....... �........19.2e?
TO THE INSPECTOR OF BUILDINGS:
The undersigned hereby applies for a permit according to the following information:
70
Location .........'!a.L�../............�...��.... ....i�/./J../... � o!9 ^ ui�f�
................... ................... ..................
R
�� 1
ProposedUse ......................:E.S.f;1,�r�!....1........................................�t1.f.�..���.h'.�t.....................................................
ZoningDistrict .;...�.�.................. �
Fire District ..14 ................1.........
Name of Owner ......e.....q.,i���ddress 1&,,,......... 2/. ......,� � ........ ���%���iC
/ ....
Name of Builder .h.. .C'hA .0....../.:�......�� �.Address ................................................................; ...............
Nameof Architect ..............�f..................................................Address ......:.............................................................................
Number of Rooms < ..................................Foundations j....... ....................................................
Exterior :...... ... .. .w ..A...... ...Roofin �/.. ..... �
Floors ........ e�? 4......%1� �c//a �.t, � /r/�/ .
Interior ............ ..F-.................................. ..�...... �.��. .
p .�c
Heating / 0 �Q ��� ��/�•�'Y C
�................................Plumbing ,/ ......................��........................:....................
Fireplace .................................................Approximate Cost .. ....fd.®®.e.................................
Difinitive Plan Approved by Planning Board ________________________________19________ . a of�' -g, 1
Diagram of Lot and Building with Dimensions
7 SA p N/ u
�1 0 -j d
_ m
2 a 0 zQ z
W Ld rY LLI Q
0 � o mLL o
E � � � �- O
ON-
a_ I1 00 L LU
LU = W= .�I J
U WEW-. LLl � zz
Ljj
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I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above
construction.
Name� �. ...�,........(.� . .
CamrauIt» Richard P.
U
,
No _ h.�.�.��.�.. Permit _..oruy..story.____ /
.
famil
.............��.�c��..��.��z-��::������—.----.. '
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Location �.�.. ..Oa�. __.______
l Y '
-------�ente.ryilf.e—.--.-------' �
C�wxns —.—. .P... _____.
Type of Construction ..................frame-----
'
—'---'~~'----''.'---'---'--`-----''
Plot ............................ Lot ..........&5...............
| '
&o��l �� �2
Permit Granted ---.����-----'—]A |
~ .
Date of Inspection 19 k ' -
� .
Date
{
Completed �
� � .
.
� PERMIT REFUSED
--.--..--.—...^---------.- lA
^
''-------~-^'--------'`—'~—'^^—^^ [ ��
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-...-._--_...----.-_—..—....-.....,..'.'
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----.---.-,.—~....-.........~--.....
Approved ................................................. 19
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