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1 Building Inspectors Initials.. . ...............................
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TOWN- OF BARNSTABLE
EXPEDITED PERMIT APPLICATION:
ROOF/SIDING/WINDOW S/DOORS/TENTS/STOVES/WEATHERIZATION
PROPERTY INFORMATION
Address of Project: 0 I/
NUMBER STREET'_ VILLAGE
Owner's Name: UQ �-�A Phone:Number
Email Address: Cell Phone NumberLW
Project cost$ Check one Residential Commercial
OWNER'S AUTHORIZATION
As owner of the above property I hereby authorize ` Z.,;, s <� frz�%_.✓�' /�
to make application for a by'lding permit in accordance with 780 CMR
Owner Signature: �` / z. ,� ''' Date: 2-1 2
TYPE OF WORK
Siding Windows (no header change)# ❑ Insulation/Weatherization
❑ Doors (no header change)# Commercial Doors require an inspector's review
❑ Roof(not applying more than 1. layer of shingles)
Construction Debris will be going to
CONTRACTOR'S INFORMATION
Contractor's name 42
Home Improvement Contractors Registration(if applicable)# 2 (attach copy)
Construction Supervisor's License# 7!! as -(attach copy)
Email of Contractor lYi l$�i �� JY)� i a. Phone numberOZ 27D
ALL PROPERTIES THAT HAVE STRUCTURES OVER 75 YEARS OLD OR IF THE SUBJECT PROPERTY,IS IN .
A HISTORIC DISTRICT, YOU MUST OBTAIN HISTORIC APPROVAL-BEFORE A PERMIT CAN BE ISSUED.
APPLICATION NUMBER............................................................
*For Tents Only*
Date Tent(s).will be erected Removed on number of tents total
Does the tent have sides?Yes No (If yes please attach floor plan with exits marked)
Dimensions of each Tent X X X
Additional tent dimensions can be attached on a separate piece of paper.
Purpose of Event
Check one: this event is a: for profit non-profit event
Check one: Food served Yes No
Flame Spread Sheet of each tent must be attached. Provide.a site plan with the location(s) of each tent
Fuel source being used.LP tank 20 lbs. or>Yes No if yes, a gas permit is required.
Natural Gas Yes No ,if yes,a,gas permit is required.
If food is being served at your event please obtain a Health Department approval between the hours
of 8:00am-9:30 am or 3:30 pm-4.30pm. Commercial events may require Fire Department approval
F_ *WOOD/COAL/PELLET STOVES
Manufacturer# Model'/I.D.
Fuel Type Testing Lab
Offsets from combustibles: front back left side right side
HOMEOWNER'S LICENSE EXEMPTION
Homeowner's Name:
Telephone Number Cell or Work number
I understand my responsibilities under the rules and regulations for Licensed Construction
Supervisor in accordance with 780 CMR the Massachusetts State Building Code. I understand
the construction inspection procedures, specific inspections and documentation required by 780
CMR and the Town of Barnstable.
Signature Date
APPLICANT'S SIGNATURE
Signature Date a)_ az
All permit applications are subject to a building official's approval prior to issuance.
Town of BarnstableBuilding
enrnv ras Posf This Card So That it is Visible From the-Street=Approved Plans Must be Retained on Job and this Card Must be Kept
*'^ Posted Until Final Inspection Has Been Made. ern11�
i63q•®`� Pit
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Maxi Where a Certificate'of Occupancy is Required,such Building shall Not be Occupied until a Final Inspection has been made.
Permit NO. B-19-532 Applicant Name: Russell Cazeault Approvals
Date Issued: 02/21/2019 Current Use: Structure `
Permit Type: Building-Siding/Windows/Roof/Doors Expiration Date: 08/21/2019 Foundation:
Location: 234 LONG BEACH ROAD,CENTERVILLE Map/Lots W205-001 4 Zoning District: CBDLBSB Sheathing:
Owner on Record: MASON,ARNOLD Z&LEVITTS,JOAN Contractor Name:` PAUL J. CAZEAULT&SONS INC. Framing: 1
Address: 20 LAURUS LANE Contractor License: 103714 2
NEWTON, MA 02459 Est. Project Cost: $29,000.00
1 Chimney:
Install 'e:
Description: Remove.existing asphalt roof on the entire house. nsta new GAF Permit Fe $ 147.90
halt shingles.
i Insulation:
asphalt g Fee Paid; $ 147.90 _
Final:
Project Review Req: r�"', Date-: r 2/21/2019 -
G ,
.41
f6� Plumbing/Gas
Rough Plumbing:
g
lla
This permit shall be deemed abandoned and invalid unless the work authorized by this permit iscommenced within six months after issuanP. icia Final Plumbing:
permit h n ranted.
` end the'a roved construction documents for which this er t as been All work authorized by this permit shall conform to the approved applicationpp i , p g
All construction,alterations and changes of use of any building and structures shall be in compliance with the local zoning by-laws and codes. Rough Gas:
clearly visible from access street or road and shall be maintained o en for ublic,ins ection for the entire duration of the
This permit shall be displayed in a locationc e y P P P
p
work until the completion of the same. I Final Gas:
- � l
The Certificate of Occupancy will not be issued until all applicable signatures by the Bbilding;and Fire Officials are°provided on this permit. Electrical
Minimum of Five Call Inspections Required for All Construction Work: `
1.Foundation or Footing Service:
2.Sheathing inspection
3.All Fireplaces must be inspected at the throat level before firest flueiining is installed Rough:
4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection m
5.Prior to Covering Structural Members(Frame Inspection) Final: ,
6.Insulation
7.Final Inspection before Occupancy Low Voltage Rough:
Low Voltage Final:
Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations.
Work shall not proceed until the Inspector has approved the various stages of construction. Health
"Persons contracting with unregistered contractors do not have access to the guaranty fund" (as set forth in,MGL c.142A). Final:
Building plans are to be available on site Fire Department
All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT Final:
O N%-srj IE
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Town of Barnstable *Permit# 'Z_�2 2v
Expires 6 months fro *sue date
Regulatory Services Fee
Thomas F.Geiler,Director
Building Division 818V1S(VWO JO NAA01
Tom Perry,CBO, Building Commissioner
200 Main Street,Hyannis,MA 02601 9007 9 9 d 3 S
www.town.barnstable.ma.us
Office: 508-862-4038
EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY
Not Valid without Red X-Press Imprint
Map/parcel Number r_>�
Property Address a of -oA- L
ff-Residential Value of Work 6715c) , bb Minimum fee of$25.00 for work under$6000.00
Ownzr's Name&Address
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Contractor's Name ���� �� � Telephone Number y �?o 6(1 (0
Home Improvement Contractor License#(if applicable) \ 10 `A �V
Construction Supervisor's License#(if applicable)
❑Workman's Compensation Insurance
Check one:
❑ I am a sole proprietor
❑ I.Am the Homeowner
I have Worker's Compensation Insurance
Insurance Company Name
Workman's Comp.Policy#
Copy of Insurance Compliance Certificate must be on file.
Permit Request(check box)
Effe-roof(stripping old shingles) All construction debris will be taken to
❑Re-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 department regulations,i.e.Historic,Conservation,etc.
***Note: Property weer m sign ro rty Owner Letter of Permission.
ome proveme Con c License is required.
SIGNATURE:
Q:Forms:expmtrg
Revise071405
WPM
s T 3 5.Peep:Thad Rd .v
r
F,e Centerville MA 02632
(508) 420-6216
cell phone 774-238-2938
PRO D TOc WORK PERFORMED AT:
Steve McCarthy
29 Shaffer Rd l� 1 SAME
Centerville MA
508-420-1197.We herby propose to furnish the materials'and perform'the labor necessary for the
'F completion of the following,
New Roo
Remove I laver of existing shingles
r ' Install 8'drip edge
Y. Install ice &water shield at edge &in valley areas
>t Install 151bfelt paper
` Install Certainteed Akae Resistant shingles of choice
Cut ridge &install cobra vent
f Reolace all plumbing boots
r¢ All debris cleaned daily
Price includes material labor&dumpjees
fi Certainteed XT 25Mr. Algae Resistant $5,400.00[
3` Certainteed Woodsce 30yr.Algae.Resistant 5,700.00( S ozza
*Please check&initial choice above. Thank You
S All material is guaranteed to be as specified, and above work to performed in
h y accordance with specifications submitted for above, and completed in a substantial s .
{ workmanlike manner for the sum of as.specified above &verified w/your initials `
Dollars with payments as follows;Balance due in full upon
r completion
* Any alteration(s)from above volving extra costs will be added under,written
e � agreement, and becom an ext ge over and.above signed estimate/agreement
RESPECTFU S
Signature 08-30-05 ��
ACCEPTANCE OF PROPOSE. ;SwF
The.above prices specification&conditions are satisfactory,we herby accept
f you are au o do therk,'and'paym a as specified above. � �
Signature(s) � i
Date.
_ c
This pr p al maybe withdrawn by said.company if not accepted within 30 days ' k
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i Assesor's map and lot numbbee`r.... . ilk. � ..��.... �'... SEPTIC CYS , +` T
t INSTALLED IN COWLIAWE
WITH ARTICLE 11 STATE
.............
Sewage Permit number ....:,,.:..:::............ ...........,
SANITARY CQl
yo�T�ETo�� TOWN OF BAR RIIT�
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i BARNSTABLE, i
"6 .e�D Y OUILDIAG IHSPECTO,R
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APPLICATIONFOR PERMIT TO .....................].................................�,`....................................................................
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TYPE OF CONSTRUCTION ......................./kb........,......................................................................................................
................................................19........
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TO THE INSPECTOR OF BUILDINGS:
The undersigned hereby applies for a permit according to the following information:
Location �...... ................................................. ............ ... ...............................
Proposed Use ..........42e2............1-eleli
.........c.e...........................:................................................................................................................
ZoningDistrict ......... ...............................`...........................Fire District ..............................................................................
Name of Owner !//aortq', Yl l✓�Cc �QdWemq V/ Aog:44ed/2f/.....1-hJj ...
............................:.i... . .........Y......................Address ...... ...................................
�/ T� 4"-'-q4
Name of Builder � ... .. .:..C .......:Address 3....................... .................................................... . ..
Nameof Architect ..................................................................Address .....................................................................................
Numberof Rooms ......J.........................................................Foundation ..............................................................................
1�Uorc� /� 11� sfa�..
Exterior ..............9..,.�.'.........�:.f.......................................................Roofing .................. ..........................n...................)..................
Floors /�4�C/ Interior c5 Phi'
.................................................. ...............�.................... .C... ': . ...:................
Heatin � eY jej4 5 v. d f "b p.�.,. ..Plumbing .:....040— AgIX ..'S.....k11C'hQ�l.:.....................
g .................................,............as.....Jy...01 ... ... .............
1 U t/
Fireplace ®�'te /J�«/t /ram 4t ::......................A Approximate Cost //11
.......... . pp CLQQ.. .........
Definitive Plan Approved by Planning Board -------------------_-----------19________. Area �................5°...... ...........
Diagram of Lot and Building with Dimensions
Fee ....... ............................
SUBJECT TO APPROVAL OF BOARD OF HEALTH i'00 4
20Y 1-46
/S;Z S'y
1100
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/V O f_A .,_w
I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above
construction. n
Name ..... ...................... ....... ...........�.'.'..`.'...�...........
Vizgirda, Viktoras
17936 one story,
No ................. Permit for ....................................
It,
single family dwelling
...............................................................................
29 Shaeffer Road
Location ................................................................
Centerville
..... irdaViktoras Viz..........................g..................................
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Owner ..................................................................
J
frame'
Type of Construction ..........................................
. ................................................................................
Plot ............................ Lot ...........4..146..................... 4t
Permit Granted ....... ep tember -15..---19 75
Date of Inspection .............. .iq
Date Completed .........19
PERMIT REFUSED�_-
..................................................... 19
............. ....................
........................ ............................... ......................
...............................................................................
...............................................................
................
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Approved. . ........ ............................... 19
...............................................................................
...............................................................................
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