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TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION
Map Parcel [�lL i y Application #,9`/ 2 -''c2®6
Health Division Date Issued -Z�_/7 �
Conservation Division JUN 3 ®,Z017 Application Fee
TOWN OF BARNS? -
Planning Dept. AS Permit Fee
LE
Date Definitive Plan Approved by Planning Board
Historic - OKH. _ Preservation/ Hyannis /
Y�[N�a I'
Project Street Address
Villagefrt/��/i, C
Owner /ICA—tkuz > /&Z—,-Q CA7T.ti( Address
Telephone
Permit Request _ /1T 74AQJ
CMJ6 C vim' /,3o-o z, VJ AI G
Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new
Zoning District Flood Plain Groundwater Overlay
Project Valuation 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
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 ❑ Appeal # Recorded ❑
Commercial ❑Yes ❑ No If yes, site plan review#
Current Use Proposed Use
- - - APPL-ICANT INFORMATION
(BUILDER OR HOMEOWNER)
Name Telephone Number Vl� 2
Address tS 01',enG(, .51V License# 094102
�Z*7 MWJT h Home Improvement Contractor# /g2t�Af
Email 15 Aiw Zl��"��S1r�i, (��. Worker's Compensation # C_-4cJ�d5v/T30S-
ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO
SIGNATURE DATE -7
FOR OFFICIAL USE ONLY
APPLICATION #
DATE ISSUED
MAP/ PARCEL NO.
ADDRESS VILLAGE
OWNER
DATE OF INSPECTION:
FOUNDATION
�. FRAME
INSULATION
FIREPLACE
ELECTRICAL: ROUGH FINAL
PLUMBING: ROUGH FINAL
GAS: ROUGH FINAL
FINAL BUILDING
DATE CLOSED OUT
ASSOCIATION PLAN NO.
1
rate.
,f
We appreciate the opportunity to present this proposal and look forward to working with you on
this in the near future. This Engagement for Services will remain effective for 14 days.from.the,
date above and we are happy to address any,questions or concerns you may have regarding the
project. *.
Best regards,
Frame 2 Finish Custom Builders, Inc.
s
J
I have read and understood, and I agree to, all the terms and conditions contained in the
Agreement above.
t:
DATE Frame 2 Finish Custom Builders; Inc.
6 3a
JATIE Owner r
m
I
4
oFt T Town of Barnstable 7* ermit## � (D6
E.rpires 6 maifhsfrom i' ! fe 1
,. Regulatory Services Fee
=,ARVSrABt.E,
$� p aSs. Ix
619. Tho,mas F. Geiler, Director
Building Division
T V
om Perry, CBO, Building Commissioner
200 Main Street, Hyannis, MA 02601
www.town.barnstable.ma.us
Office: 568-862-4038 Fax: 508-790-6230
EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY
Not Yalid without Red X-Press Imprint
Map/par el Number
Prop Address t
Residential Value of Work Minimum fee of$35.00 for work under$6000.00
Owner's Nam e & Addressqq
h
Contractor's Narne S(' Ij 0V/A ' C Telephone Number
Home Improvement Contractor License #(if applicable)' ) /ace /3 3 J
;n/sti
on Supervisor's License#(if applicable) 7o0 F
Workman's Compensation Insurance '
Check one:
❑ I a soleo proprietor
❑ m the Hmeowner PE
RMIT
I have Workers Compensation Insurance
be�Avv
SFP SIG
Insurance Company Name #44111;J,
y
Workman's Comp. Policy# Q_ TOW OF RNSTABLE
Cony of Insurance Compliance.Certificate must accompany each permit:
Permit Request(check box)
❑ Re-roof(hurricane nailed) (stripping old shingles) All construction debris will be taken to
❑ Re-roof(hurricane nailed,)(not stripping. Going over existing layers of roof)
❑ Re- ' e
#of doors
Replacement Windows/doors/sliders. U-Value ® t S (maximum .35)#of windows
*Where required: Issuance,of this permit does not exempt compliance with other town department r'egulaiions,i.e.Historic';Conservation;etc.
***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\EXPRESS.doc
Revised 072110
HOME g1 MO1EMENTCONTRACT ;
'ti � � . � .... PIi�.SE Rl!li1n,'I'�LS • ti ,
1' Sold,Fwuished' and lnstalled,b
Y p Branch Names Boston> ... .-•:Date: _1 .. „ ' •:.':'LIiD At-Hon�o•Services:i>u�.
_ .-.,.-,�-,.; ;:_ .._ .. :. dib�a•,'11�e:HomeDopotAt-HAmeServicea:•
345A C>zreawwd'Streefi Uffit2,Woroestec.:IvlA Ul 607
Branch Nnmber:3X .. . • Toll Free(800).657-518� Fax(508)756 88?3.'.
_.. -
- _ ._Fedual.<D ta:7i=26',�6t;A3E lie�G a2439;RTCom:iidf;16427:,
t Cj tic o 22;Mn home Tmpio r Reg:#126M
U�alia0m Ao rt .
-Work Prime: . Elam Phi: cc»
ieA
Home Adel:
if.d;ffncfroatl�s�1118tio�►;Addti): ...., , : ;u_. a ... . . .
.sn+te: zip,.-.
/ Ei mat7'Address.(toicceive projoet c4ommunications.ind:Honi--Dcp&W''dates):'`
i DO NOT wLdvto roceiva any,mm*edng'euiails from The Hor=Dcpot ` . .... .
Proieet Info nc i7nder gaed("Castom�'7:the owncis of tYic'prnpertY located at the above-i oin addF0iN a FCM hAilYi
and THA At-Home Services.Inc.("The Hon Depot')agrees to fivaisti:de1iv and ariartgc for,the installation f-Thstaliation')•of
all..matmials,dcsc ibcd on•.the,below..and on.;tha:refercncxd,Sp Sem
cr-Sheet(s),all:of which a inoorporawd.,anto,this Conlrad:by this
reference;along:with any:applicable-State,Sttpglenieat and,Paynvent, mary attz"ed bc=W and any Change Qom'(collectively.
JOb Amountoductc
. .
Rodf}ng'' ' Siding' Wmdows' ' lnsuladon.: .•. .• .
RoofiiAg; iding Wigdows insuLuion
�a�:• wmaow�,: ate: . . . .... . .. . _ $; . ... .. .
Co.cm pxy,D n
• Rom6ng Srding• . .WmdowsLisulabon .. � . . . .
PC)Co
Mm Z+96Depo afC A ntdue,�ponecegition!QTtweoutra.m. TataiGonhactAiauuvnt '$
MdDePrarhaws may natdepmit mnmthtmou&ddrd0(fhe(:o#*WAmaenk
Custonie r agrees that;immediately'aj=cgrtipletion of;the'adrlt`fna:eac6 Product;t5istomer wdl Tecate`a Coirrpletior!C.¢rt;ficate .
(one for each Product:as,define 'by'aa individual Spec Sheet)anti'pay aay'baitutots due. AS applicable,aadifiostomar-under'this
Contract agrees to lie jointly and severally'obllgated and,liable herciin(Ier '
The Home Depot,ra=vice the tight to,issue a Change Order,or tem bate.0*Conpact.or:my.individu:d-Pmdcct(s)include he ceiu.-at
its discretion.if The Home Depot or itc due to a structural
problem with the.home,envirorunwalbazarda•sasch as•moTd asbestac.ot lead•paint,other sefety.Concerns,pricing errors or."e e
work required,to coaipiete tfie job was not ii,4aed in the
Payment Snmmaaw.:TThe•Payment Summary:#• .included a&part•of:tbis_Contract;im forth edotat
Contract'arnount•andpayntents,TcgWmd'for,the deposits and fmdTaymeuts byProduct(as uppbcable)::
NOTLC TO CUSTQIC+tIER
You are entitled io4 completely f lied-in copy otthe C Do rot sign a Completion CertaYicatle(note:
there is one Compietfon Urdfficate for each listed Product.aa' by indvidual'Spec'Sher*bcfomworironthat Product
is complete
In the event of termination of this Contract,Customer.agrees to•pay The Home Depot the costa of matcrials,.labor,expc--
and services provided by The Horne Depot or Authorized Service Provider through the date cif termination,plus any other
amounts set forth in this Ag; at or alloyed under applicable law. THE HOME DEPOT MAY WITHHOLD AMOUNTS
OWED TO THIS'.HOME DEPOT FROM THE DEPOSIT PAYMENT OR OTHER PAYMENTS
MADE, WITHOUT
LIMITING THE HOME DEPOT'S OTHER REMEDIES FOR RECOVERY OF SUCH AMOUNTS.
Aecentanee and Autbgriaation: Customer agrees aad,understands that this Agreement is the entire agreement between Customer
and The Home Depot with regard to the'Products and Installation services and su pca'sedcs all prior discussions and agreements,either
oral or written,relating to said Products and Installation.This Agrccmcut cannot be assigned oramended wtcept by a writing signed
by Customer and The Home Depot.Customer acknowledges and agrees that Customer has read;understands,voluntuily acceptH the
terms of and hoc mc:cived a copy of this Agreement.
Alff)
O Sa by: `d
A LX
�yo s S Date,Sales C 1!<tat's Date.,
X Telephone No..
Customer's Signature Date Saks Consultant License No.
CANCELLATION: CUSTOMER MAYCANCEL THIS (�+R+ )'
AGREEMENT WITHOUT PENALTY OR OBLIGATION
BY DELIVERING WRITTEN NOTICE TO THE HOME .
DEPOT BY MIDNIGHT ON THE THIRD BUSINESS
DAY AFTER SIGNING TIMLS AGREEMENT. THE ..
STATE SUPPLEMENT ATTACHED •CIO
CONTAINS A . FORM. TO USE IF ONE IS
SPECWICALLY PRESCRIBED BY „LAW IN '
CUSTOMER'S STATE
twit'ICE:NDDmoNAt.7nB m Am cowl7clfom An srAm ON T=REVE pm sm Am AnpART of Tms coNTjicr
11a0-s GSC Wh?to Branch Flo Yollow,Ctxtwmr Pink•-Sales Consultant
.....• , .very nn mn rn.rnn na•oT nrw_no_nnu