HomeMy WebLinkAbout0174 WHITE OAK TRAIL n
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F1,KE. Town of Barnstable *Permit#
Expires 6 montlisfrom issue dal
` ERMIT Regulatory Services Fee
BAR LE, STABLE
� 2009 Thomas F. Geiler, Director
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ARNSTASLE Building Division
Tom Perry, CBO, Building Commissioner
200 Main Street, Hyannis, MA 02601
www.town.barnstable.ma.us
01'fice: 508-862-4038 Fax: 508-790-6230
EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY
p Not Valid without Red X-Press Imprint
k1ap/parcel Number
Property Address
residential Value of Work ����- Minimum fee of$25.00 for work under$6000.00
Owner's Name & Address 111' //�
Contractor's Name l(Ci �y �C1�i��� Telephone Number ` +�� APO '5,P4 A
I tome Improvement Contractor License#(if applicable)
Construction Supervisor's License # (if applicable)
❑Workman's Compensation Insurance
Che one:
I am a sole proprietor
❑ 1 am the Homeowner
❑ I have Worker's Compensation Insurance
Insurance Company Nalne
Workman's Comp. Policy#
Copy of Insurance Compliance Certificate must be on file.
Permit Request(check box)
�e-roof((stripping old shingles) All construction debris will be taken to
❑ 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 Improvement Contractors License is required.
SI ',NATURE::
).'\kl'l-II:1:S1.PC)RMS\building permit forms\EXPRESS.doc
Revised 1,00608
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VEr, Town of Barnstable
Regulatory Services
vMAM $ Thomas F. Geiler,Director
�Ep 16 Building Division
Tom Perry,Building Commissioner
200 Main Street, Hyannis,M.A.02601 VTy
iv..town_barnstable.ma.us
Office: 508-862-403 8 Fax: 508-790-623
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Property Owner Must
Complete and Sign This Section
If Using A Builder
I, Z,19 �,1 t�erS S, H- ,as Owner of the subject property
hereby authorize f/[, j$ �,�l�i�r�/siJ to.,act on my behalf,
kii all matters relative to work authorized/by this building permit application for.
)? Y b�k S a��- a g fi�
(Address of job)
Signature of r Date
Print Name .
If Property Owner is applying for permit please complete the
Homeowners License Exemption Form on the reverse side. :
4, TOWN OF BARNSTABLE Permit No. -----------------------------
1 Building Inspector
rivaCash ---------------------
0*A*t OCCUPANCY PERMIT Bond ----___- -
"No building nor structure shall be erected, and no land, building or structure s all be
u ed 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
Wiring Inspector Inspection date
Plumbing Inspector Inspection date
Gas Inspector Inspection date
Engineering Department 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.
.....................................................1 19......_ ....................................................................................................._
Building Inspector
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WAS LOCATED ON THE GROUn/l
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(39 WILLOW ST Y4,e1l11QUTNPO2T Ma. .
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SEM SYSTEM MU E.
1 39-
LIMAL-CODE A
TOWN. LATIONS
TOWN
OVUM& INSPECTOR-
TO THE INSPECTOR OF BUILDINGS:`
The undersigned hereby applie r a permit according to the followi
. w ............................ Address ht�WA.OM
Name of Builder T- ja4�j...u— �z....................Address ......1TfiA0.0A4...uIdi's................................
Exierior .... ........... ...4..................Roofing .......mp.Atdl, ... .................................... .......
pk.:�........................................................Interior .........A.t.1.4
Heati
Diagram of Lot and Building with Dimensions Fee ....... ................
SUBJECT TO APPROVAL OF BOARD OF HEALTH
�
� | hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above
construction.
' .
^ No
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SILVA, MELBA & JOHN
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22835 One Stor , -
.t3o ................. Permit for ..........................Y........
. ........5.ir gle..F.=j,1y...P.W.P'.1.1 ..........
Location
Lot #35 174 [white Oak Trail
................................................................
Centerville
...............................................................................
Owner ...John...& Melba Silva
Type'of Construction
Frame..........................
........ .......... _ .................. ...............................
Plot ............................ Lot ................................ i
A t.
1.
Permit Granted ........................................;3, 9 81
... ....
Date of Inspection w1a.� .
Date Completed ... ..................................19
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1
PERMIT REFUSED
19
............ . .... .w. ��
.. � ... .......................... a�
........... . .! e ! . . ..... ......... .....
.............e . . ...............................
Approved'..:............................................. 19