HomeMy WebLinkAbout0054 PINE TREE DRIVE ..ter ....ii��.
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�1HE rows 'down of Barnstable
pires G mantis FDIJ iy,nc(laic
Regulatory Services FCC .
a ,as 12�� Thomas F.Geiler,Director �p,�
r�D ARNSTA6LE Building Division � 8I1?1&7
-fo\N OF Tom Perry,C130, Building Commissioner
200 Main Strcct, I-tyannis, MA 02601
www.town.barnstablc.ma.us
Office: 508-862-4038 I itx: 508-790-6230
EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY
Not Valid wilhoul Iced V-Press Imprint.
Map/parcel Number
Property Address n
� � , •2• r V I � c� fYl(� Q' �� �a
Residential Value of Work Q
0 OM _ Minimum fee of$25.00 for work under$6000.00
Owner's Name&Address n� Q $ ml�l1 OH
S� i IMP 1 c- l�l yeOe rl I Ma 02(o32—
Contractor's Name �l)I ��a �, )�'� Telephone Number / )-,F- -7
Home Improvement Contractor License ft(if applicable)- /0 3-7 1 Lt
Construction Supervisor's License fE(if applicable) O 26 3 2 S
�qWorkman's Compensation Insurance
Check one:
❑ I am a sole proprietor
❑ I am the Homeowner
` I have Worker's Compensation Insurance
Insurance Company Name vie ('S
IJ 5
Workman's Comp.Policy it ( ) I? 1)0e0 b 0 -I to .
Copy of Insurance Compliance Certificate must be on file. 1
Permit Request(check box)
Re-roof(stripping old shingles) All construction debris will be taken to `
❑Rc-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 deparUnent regulations,i.e.I listoric,Conservation,etc.
***Note: Property Owner must sign Property Owner Lct(cr of Permission.
Homc Imp r vement Con actors License is required.
SIGNATURE:
Q:Porms:cxpmtrg
Rcvisc071405
Property Owner Must Complete & Sign This Form
If Using a Roofer / Builder.
l rp,;nr) r�� L-�S as Owner / Agent
of the subject property hereby authorizes Pau J. Cazeault & Sons Roofin_n Inc.
to act on my behalf, in all matters relative to work authorized by this building
permit application for:
Address of Job
Signature of Owner
Mailing Address of Owner
Telephone# 56 -2 7 L43 H /57�2
Date
OIL-
(Please return this form to Cazeault roofing along with your signed contract; It is needed for us to obtain the
building permit required by your town, to complete your roofing project, thank you)fax#508-420-4555
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Assessors.ma ff�� • N 'p`and lot number .. Q......�...1.., '....
4
THE
SdWage Permit number :................. ....................................... ,
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House number ....... ........., :......::....:......:.:.:...:::....
Z 33AUSTABLE, i
y NA86
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TOWN Off- { BARNSTABLE
BUILDING - INSPECTOR
APPLICATION FOR PERMIT TO qtb ... .... 9 y.: :.....................
a A._i
TYPE OF:CONSTRUCTION :: . ........:.. ...... .......................:............:.............................................
................
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TO THE INSPECTOR OF BUILDINGS:
The undersigned erebyQ�pI* fora ermit accfo/rrddiing� To the folio ing information:
Location !.... �.K..`.:.:..!hrl..: ....l7 /.e .f�1�"��.r. ... e. ......... .y. ........;,',,,;...®
ProposedUse .. . ......... ......... ... ...... �.... ..... .......! .r-.................... f
.l�....�................................:..............:Fire District ...... ...............................................
Zoning District .........:
Name of Owner L.l.nf.r. L. ...... ..l. .L.........Address .. ..... .. ...i '� ,....
Nameof Builder . ..... ...... ......�:..: .... .. ............:.....:...Address ............... .. .4 ............. ............................................
dress . ...... .. .... . ...... ...V.... .....�
4
Name of Architect .......:.... ......
. 1.......
Number of Rooms ...�. -':.............................................Foundation ..... ........ .............. ..... .. /.
Exterior ..G �!�r� ...Roofing ...... '
Floors ......... ....11........... . . .. ...... .. ..............................Interior ........ ..P.................................................................
Heating .. ............. ....... ...... .Plumbing ......... .. ..............................................
Fireplace .. sApproximate Cost ... J Q.�.�. . ...................... o
p . .. .. .... ..... ...
Definitive Plan Approved by-Planning Board ___________ _________________19________. Area A......... -..........t-®...........
Diagram of Lot and Building with Dimensions ," Fee
SUBJECT TO APPROVAL OF BOARD OF HEALTH D-4
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OCCUPANCY PERMITS.REQUIRED FOR NEW DWELLINGS --
Ne
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 00.'.3..�........
ELICELGA CORP .
Y
. No 2r84.3... Permit for ...ADDITION........... _
...awellin$.................
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Pf
re e = _-j
LocationL ................ .....
O r
......Centerville
.. f �: •: f y '
Owner. Elicelga...CorP............. ..........
' ( t (f L/t ?fi t . +• ` 1 r It
Type of Construction Frame
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IN
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Plot ..... Lot -:•: _ IT �
_ ��' December -5�-`t`-�""�' 83 '" � � � • �,--.�•..r_�� � f •
Permit Gran+,ed ... .............. ' ......19 _
Date of Inspection ............................... .19
1 - b a .lt ; . i X ;
Date Completed ........... �19
10*
41-0
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417
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