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'Town ®f Barnstable Permit#
P` C Expires 6 nronihs from issue date
Regulatory Services Fee
i 4
iARNSTAHLE.MAS& i
� Richard V.Scali,Interim Director
1039.
NIP`h
Building Division
Tom Perry,CBO,Building Commissioner
200 Main Street,Hyannis,MA 02601
www.town.barnstable.ma.us
Office: 508-862-4038 Fax: 508-790-6230
EXPRESS PERI%UT APPLICATION - RESIDENTUL ONLY
Not Valid without Red X-Press Imprint
Map/parcel Number 1 g 0p I 100 ,
Property Address uddv- $Oil cjrWc
®Residential Value of Work S Cat a-g a — Minimum fee of$35.00 for work under$6000.00
Owner's Name&Address\ ith r f Riqne 7-h:e 4(n
U 11 ttn4 "JAj--I rna F Ca co
Contractor's Name�(7 U �x n �( n Yl Telephone Number
Home Improvement Contractor License#(if applicable) Email:
Construction Supervisor's License#(if applicable) F-)71 D
®Worktnan's Compensation Insurance
Check one: OCT —9 20 qq l�
El am a sole proprietor
❑ I am the Homeowner TOXIN OF RAR�ISTARLE
XI have Worker's Compensation Insurance
Insurance Company Name Pri noia1 risi fa h u
Workman's Comp.Policy# ( (,9,2719 32��3 94
Copy 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-side
eplacement Windows/doors/sliders.U-Value��_(maximum.35)#of windows
#of doors:
❑ Smoke/Carbon Monoxide detectors 4 floor plans marked with red S and inspections required.
Separate Electrical&Fire Permits required.
"Where required:, Issuance of this permit does not exempt compliance with other town department regulations,Le.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
requ'
SIGNATURE:
T-AEVINI MBuilding Chang-es\EXPRESS PERM171M RESS.doc
Revised 061313
byAnddtsem RE AL By -�NWE
26.41biau ll�ad - lvmiln,ki&-iib5.
. 1'3toi>t;865.3G3,.2'345�F.nc 3D}-633,5Liio >•e�r}ti a}rie: ara�
SaNdt" New Eataad lrinda-s,LW d/612
l aecval by Arrdarsse oYSo�ehern New Eegla"
CUSTOM WMDOW ARID DOOR RM,tODELI G AGRF.L'3ffiM
9a&W� Nbm_
a+ ki s «+r95 c�arsa Ana 4 cv*t rli oo;c�� �� U : �' R
F+ra,ut.� .. »taa�,�.;�Tid'�2�-,'37'l3isr�� e+ •
ll�i)a5 t�e,tl yJareel.;iu I e,Tr dLKasnci/aa niets Sa,�rsa Vi�,r]w��and t\'nde� ld Cd�irla kZrt zeal .
Iry.4rrdet=err b6 54uthtrn i�tew'ti ;nd ;ittaetcr'},it9�eceaudaiecs.>bh ttW terms And ox dtiwuc dwr:bod on one fmni'and die'ar+w�of
thou cWrcemeait and em the atladted mixi ieation sau�eli�3�cailmi e>�a3tis.:+ ,iPcan :.: . 0 Halrorle.®Condo a 1fQ31?
Toollci, 7 to.ld smnte aaa Hwd cd of Papteit Webber O Cash O F:xmd
De;mxie Reaaasdi R3s}:- it of, C-7ia�Ir
-. ..- crtsaca�smsaaifordaf,�crnc,us,rf3�dso
&&ace zt Sun of Job(33%7 tT a' EAi 1CO Ca+�lieir Dam I tl l o&St t> rx sae C--: Cad►biet W enrol 19r tba
Vic+you admaMetige dac ific,Bdtvroe as Stag of jeb er d&&
BAUKE on gt i
.&ftla (_?l ( ��sae ot�SaSsibsst�i Garner drat,acz�cz be tinge rNcge
co,,lSlaion of jo3(33Xr turd and ins;bertgdo by peesoent ehetls.to*drdc cr easfi:
Bdyer(s)'a ye•reeia a,cd'uttders�taeods tbae this Ag>ac�t Oodsdtatts the entire tinders bencem the
tbere am ev i,erbal oaders"a�liag6 any of the tt B.af tbisAgseameat ,a p�s�tbse
' aloedgea �{)
(1)has read this ftmemeut,understands the terms of this
of t7 a A emeata and has reoeived a coi npleteAl :iVae 4 and dined
a►Py. . • dutg�B.tvwoahaehedl�'oiieesofi�aoodlatntngont'hedattl3xstvt#iReatibaaeaad�,+vasorall}
informed at Boyer's ribs to••s•••,•1 this AS"emeut.DO NOT SIONT3DS CQNTRACT 111?it MltEARE 4NV BLAN KSPACYS.
{RhmielafautdSakaOu(yjNvtsDietoBoyer:{i)DoaotsWa dsAgrees tent WasyOrawspasoesimendedfamehesgreei.forms.
to tee eattatof dreg as7 AIC is&raultion are left bbsah.(2)You are entided to a capyor.tbis Aims ac$setinse yots s as
iG�3�You stay af,any ppy off the Cull aopcsid babinco diie utter ih�ns ee�ect,aisd taz 5e deior�,fvt►sassy be entit}sd to
reeeim a partial rebate of the finance andiieseramm charges.(4)11be seller has no sight to unlawfully eater yard premises
or coraresit any bt+ ieh of elm peace to repossess goods puzet.ssed under tb;3 Ageeeattat.M Yohit�eaorrl this Agnaoeat
of
if d bss POt bCen signed 8t the main ice or a brarieh office of the seller,ptel1jdld y*u notify the slier at bis ar ber waia
offiai or branch office s$owri m else Ag.easncattby e+egistrred or oerth6ed sttsdl.-A$dehshall6d peered tlAtee lbaumsdatg6t
of the tlrird calendar day after the,dapoaw ididiebuntftsiSw,theAgeci ot�easdndin5S ay an anyholida}on.vrbich
regular mail delWeries are&6t3rade.Sec tlec accompanyinc potn7b of cancellation Sotm reran of bngtrTs' '
Buae,(i,�isccenvi she corbunjerodu tiisn tnatctit,pra%i&d by,thoRhode Ishod Ca!u;a cr.sR jMrvr�s • ;loe3�tie r9
Retx wx]b Aadars¢n of Southern New England Soycst }
gsaCutxc; ,oclr:ad+fara
o fi
7>Axs
Pit bars of Pat lug. "9T iNoti arc y nr�aroe dire _
You.TIIE BUYER s).MAX C&NCE L TMS'TRANSRCTION AT,ANY TI3M P1 OR TO 3DIdIPW OF I ELE 7lEIEtD .
BUSINEM DAY AItTBR THE DATE OF Ines TmNS cno-m SER THE ATTACKED NOTICE OF CAN(MLL4Tltj?a'FORMS
FORAM 1XPL+1MtM4)N OF TITS RYGHT.
NOTICE OF CANCIB.LAT�Ota HOT'1[€ - CAME-At- - -TIOH -- `
Date of Transa4dm S� It 1
/��P%iLazabligatim
I'
— .You tssalr,�vtee! 1 Otto:o¢Transactzait: -f Yov mmy
this transatuott,-ithout an within ttisis tr-ansaction,si�rehout any perhalty orebiigstion,withinthree businen days from the If you cancel,any three business days fi'6m tilt:above date..Ifiyori Cancel,any
Propt:rhl traded on,any payments made by YOU under tine proptrcy traded in,any p3yrrxxsts made by you under the
Co"b"ct:or Sato,and any negotiabfe instrument executed 1 Contract or Sale,and any negotiable insaument t==ned
by you will,be returned within ten business days following I by you will be retwrc ed wi{fhm tee#busufess days,fobow-mg
receipt,by,the Seller of your cancefiation notice.and any I receipt by the Seller of your cancellation notice,and arty
security inbtrt t: arising out of the transsctien well be setunty inyerest arising out of the won Will be
canceJed.Ifya,r cancci.you n istmake mWiablo to the Seller ' tanootcd lfyou cancel,yoit own make available to theSoRer
at yeonr re0dence,in subtta ndatly as good condWon as whm I at your r ddenoc,insubstandrdly as good waddiore as When
received.any goads delivered to you under this Conwatt er I received. goods
fury Eo,_ delivered to>►o this Gan u hider tractor
Salmi or you rrhay,if youish„w twrnply wltfi the insptlptions of';E Sale;or yosr rt'hay,tfyou VA0,4 eaonsphy with the itesrvctiaas of
the Seller regarfing the re#rsrA shipmentof dse goods at the the Seiler regarding the return sfmprr:em ofthe goods at the
Setter's expense and tad.efyou do make the goods available Setiex's and eislc If you tin make*Ago**xlriilabie
as the Seiler and the Seller dart not pitRt exrr up sroittsin to the Seller and the Seller does not pelt them up vvichin.
dispose,days of good dale of f tion r u may
you 9 twenty ays of theAzte a Dods without cwvellation,your may retain or '
t Doti of the n1r°d reta�Or foal
hip goods wtthoui rga ' y g ut any further obligation.If you.
fail to mAe the goods asrail;'We to the Seller.or if you agree l to make the(,roods Available to the Seller,er iSyoua
zrcle
to return the goods to the Seller and fail to do sot "you t to return the goods to gins Seller and fail to do sq,titian you.rain liable for performance of all obligations under the remain liable for pellimmance of all obligations under the
Centraet:Tfo cancel this craMatlion,ma or deliver a signed CerftracLTo Cancel this bw section,nw-i or deliver a sigr',ed
And dated copy of this rance4o0on notice or " other I and datead copy of this: cance'Aadon notice or any c4W
vaitcennotice,ersendatdegramtoRermwalbrAnderseoof I vMtttnn*tke.orsendatrlegramto Renewal byAndeiscrsof
Sout tern New England at U Albion Ro trews aZi16S. 1 Soucty ern New England at Albion Road,tincolek R 1026b5,
NOT LATER THAN MIDNIGHT_OF / ± NOT LATER THAN MIDNIGHT OF ...23 l�r
Date "f
(fie)
I HERESY CANCELTHISTRANSACTION. J I HERIEiY CANCELTHISTpANSACTION.
Bure/s'�gneay, Whet Namci - -
ileac B^lla�'t;�� se5nnw�u, tgLe
PW-A C-W vm—. fir r -aver Ccvf ink
�,d