HomeMy WebLinkAbout0117 POINT OF PINES AVENUE 31
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nrnss. 200 Main Street, Hyannis MA 02601 508-862-4038
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Application for Building Permit
Application No: TB-17-4030 Date Recieved: 11/17/2017
Job Location: 117 POINT OF PINES AVENUE,CENTERVILLE
Permit For: Building-Insulation-Residential
Contractor's Name: Carl J Rebello State Lic. No: CS-084358
Address: Swansea, MA 02777 Applicant Phone: (508) 567-4109
(Home)Owner's Name: BATTINELLI,NANCY J Phone: (617)721-7824
(Home)Owner's Address: 35 SATUIT MEADOW LN, NORWELL,MA 02061-1455
Work Description: Insulation and Air Sealing.
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Total Value Of Work To Be Performed: $2,176.00
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.
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: Carl Rebello 11/17/2017 (508)567-4109
Applicant Date Telephone No.
Estimated Construction Costs/Permit Fees
Total Project Cost : $2,176.00 Date Paid Amount Paid Check N or CC# Pay Type
Total Permit Fee: $85.00
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.Total Permit Fee Paid: $0.00
0101
TOWN OF BARNSTABLE
Solid Fuel Stove Permit
FiRmE-DEPT. ISSUING PERMIT
DATE OF APPLICATION ................/......... . ... ............................. ........................
STOVE TYPE
This is to certify that the above installer has permission to install a solid fuel burning appliance at the listed
and subject to the provisions of the Commonwealth of Massachusetts State Building Code and regulations made
under the authority thereof.
Permit to install expires 60 days after issue date
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The undersigned hereby certifies that the installation of solid fuel burning stove and equipment made under
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tbority of permit dated �oa boeu made iu u000rduooc ~�t� provisions o£ tbe Commonwealth
of Muooaoboeotto State Building' Code now currently in effect and pertaining thereto --.'_-'--.-_-'-.-.----'
Installer
INSTALLATION APPROVED !3B�� Title: '
WHITE: FIRE DEPARTMENT
- C«wAn, ou/m/wG INSPECTOR - PINK: APPLICANT
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