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Town of Barnstable RECEiPr
BARIMAJUX
200 Main Street, Hyannis MA 02601 508-862-4038
163
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Application for Building Permit
Application No: TB-18-577 Date Recieved: 2/26/2018
Job Location: 66 POINT OF PINES AVENUE,CENTERVILLE _
Permit For: Building-Siding/Windows/RooVI)oors
Contractor's Name: PAUL J. CAZEAULT &SONS, INC. State L.ic. No: 103714
Address: 1031 MAIN ST, OSTERVILLE, MA 02658 Applicant Phone: (508)428-1177
(Home)Owner's Name: SMITH,CAROLYN J Phone.: (202)423-7145
(Home)Owner's Address: 43 LINCOLN STREET, GLEN RIDGE,NJ 07028
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Work Description: Remove existing roof on the house only and install new asphalt shingles. Ln
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cm
Total Value Of Work To Be Performed: $14,480.00
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Structure Size: 0.00 0.00 0.00
Width Depth Total Area
I hereby swear and attest that I•will require proof of workers compensation insurance for every contractor,subcontractor,or other worker before
he/she engages in work on the above property in accordance with the Workers' Compensation Act(Chapter 568).
I understand that pursuant to 31-275 C.G.S.,officers of a corporation and partners in a partnership may elect to be excluded from coverage by
filing a waiver with the appropriate District Office;and that a sole proprietor of a business is not required to have coverage unless he files his intent.to
accept coverage.
I hereby certify that I am the owner of the property which is the subject of this application or the authorized agent of the property owner and have
been authorized to make this application. I understand that when a permit is issued,it is a permit to proceed and grants no right to violate the
Massachusetts State Building Code or any other code,ordinance or statute,regardless of what might be shown or omitted on the submitted plans and
specifications. All information contained within is true and accurate to the best of my knowledge and belief.
All permits approved are subject to inspections performed by a representative of this office. Requests for inspections must be made at least 24
hours in advance.
Signed: Russell Cazeault 2/26/2018 (508)428-1177
Applicant Date Telephone No.
Estimated Construction Costs/Permit Fees
LProjectost : $14,480.00 Date Paid Amount Paid Check#orCC# Pay Type
ee: $73.85 2/26/2018 $73.85 XXXX-XXXX-XXXX-i Credit Card
0985
......._.... .............. ......ee Paid: $73.85
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Town of Barnstable
KASS
t : " 200 Main Street, Hyannis MA 02601 508-862-4038
Application for Building Permit (J
Application No: TB-17-941 Date Recieved: 4/5/2017
Job Location: 66 POINT OF PINES AVENUE,CENTERVILLE ( f S
Permit For: Building-Insulation-Residential
Contractor's Name: Craig Bishop State Lic. No: CS-109777
Address: Sandwich, MA 02563 Applicant Phone: (774) 205-2001
(Home)Owner's Name: SMITH,CAROLYN J Phone: (202)423-7145
(Home)Owner's Address: 43 LINCOLN STREET GLEN RIDGE,NJ 07028
Work Description: Weatherization&Air Sealing .��p� �����
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Total Value Of Work To Be Performed: $540.00
Structure Size: 0.00 0.00 0.00
Width Depth Total Area
I hereby swear and attest that I will require proof of workers'compensation insurance for every contractor,subcontractor,or other worker before
he/she engages in work on the above property in accordance with the Workers' Compensation Act(Chapter 568).
I understand that pursuant to 31-275 C.G.S.,officers of a corporation and partners in a partnership may elect to be excluded from coverage by
filing a waiver with the appropriate District Office;and that a sole proprietor of a business is not required to have coverage unless he files his intent to
accept coverage. 4
I hereby certify that I am the owner of the property which is the subject of this application or the authorized agent of the property owner and have
been authorized to make this application. I understand that when a permit is issued,it is a permit to proceed and grants no right to violate the
Massachusetts State Building Code or any other code,ordinance or statute,regardless of what might be shown or omitted on the submitted plans and
specifications. All information contained within is true and accurate to the best of my knowledge and belief.
All permits approved are subject to inspections performed by a representative of this office. Requests for inspections must be made at least 24
hours in advance.
Signed: Craig Bishop 4/5/2017 (774)205-2001
Applicant_ 4 Date Telephone No.
Estimated.Construction Costs/Permit Fees
Total Project Cost.: $540.00 Date Paid Amount Paid Check#or CC# Pay Type
Total Permit Fee: - $85.00.
.... ....... .. ........ ..... ....... ...
Total Permit Fee Paid: $0.00
^%3✓Ss,.:.a .� .... �...xs�'...c. �� ...iJ✓,.. Son,..i �`3,........,. .,a»��Z.�.'.u,.u'.n.,,..
TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION '~
Map Z U Parcel �D� I Application ,C;)
Health Division y Date Issued
Conservation Division ,r,�. lib 0D� " Y '. Applicati0 e
Planning Dept. Permit Fee
Date Definitive Plan Approved by Planning Board
Historic - OKH _ Preservation / Hyannis
Project.Street Address � e r 'P
Village, d L44
Owner Cy1i1/c A ss /GtP_
Telephone
Permit Request So -5- G
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Square feet: 1 st floor: existing proposed 2nd floor: existing-prop o ed Total new
Zoning District Flood Plain Ground ater lay
Project Valuatio oZZaaConstruction Typ
Lot Size Grandfath red: ❑Yes ❑ No yes, attach supporting documentation.
Dwelling Type: Single Family• Two Family ~ Multi-Family (# units)
Age of Existing Structure Historic Hou e: s ❑ No On Old King's Highway: ❑Yes ❑ No
Basement Type: ❑ Full ❑ Crawl ❑Walkout ❑ er
Basement Finished Area (sq.ft.) B ement 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 neA Floor Room Count
Heat Type and Fuel: ❑ Gas ❑ Oil ❑ Electric ❑ Other
Central Air: ❑Yes " ❑ No . Fireplaces: Existing New xisting wood/coal stove: ❑Yes ❑ No
Detached garage: ❑ existing ❑ new size_Pool: ❑ exi 'ng ❑ new size Barn: ❑ existing ❑ new size_
Attached garage: ❑ existing ❑ new size _Shed: ❑ existin ew size Other:
Zoning Board of Appeals Authorization ❑ A)� eal # Recorded ❑
Commercial ❑Yes ❑ No If yes, site plan view #
r_ _Current Use - _ oposed Use,
APPLICANT INFORMATION
(BUILDER OR HOMEOWNER)
Name �° Y �,1 f�G S (51t�Telephone Number 50
Address &eloo-P L1,4 License # � d
Home Improvement Contractor# Z�� �5�
Worker's Compensation #
ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO /P
SIGNATURE DATE //
FOR OFFICIAL USE ONLY
t APPLICATION# —
DATE.ISSUED
MAP/PARCEL NO.
s
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` ADDRESS- VILLAGE
F
OWNER
DATE OF INSPECTION:
III,.
ill
F.OUNDATI.ONjuA --y-ltrl-V Au��uk,.!r
— FRAME
FIREPLACE
ELECTRICAL: ROUGH FINAL
PLUMBING: ROUGH FINAL
` GAS: ROUGH FINAL
FINAL BUILDING''
DATE CLOSED OUT
C4
ASSOCIATION PLAN NO. '
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