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Town of Barnstable RcE
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Application for Building Permit
Application No: TB-17-1896 Date Recieved; 6/16/2017 cn
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Job Location: 9 STONEY CLIFF ROAD,CENTERVILLE �—
Permit For: Building-Insulation-Residential --
Contractor's Name: WILLIAM J MCCLUSKEY State Lic. No: CSSL-102776
Address: West Yarmouth, MA 02673 Applicant Phone: (508)398-0398
(Home)Owner's Name: PARKER,MARGARET LEE Phone: (508)778-5636
(Home)Owner's Address: 9 STONEY CLIFF RD, CENTERVILLE,MA 02632
Work Description: Add R-19 and R-30 cellulose to the attic.Add R-19 fiberglass and 2" rigid insulation to the basement.Air
seal the attic plane and basement with expanding foam.General weatherization.
Total Value Of Work To Be Performed: $5,000.00
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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: William McCluskey 6/16/2017 (508)398-0398
Applicant Date Telephone No.
Estimated Construction Costs/Permit Fees
Total Project Cost : $5,000.00 Date Paid Amount Paid Check#or CC# Pay Type
Total Permit Fee: $85.00 6/16/2017 $85.00 XXXX-XXXX-XXXX- Credit Card
0299
........................................................................_..................................................................................................................................................................................................................................................
Total Permit Fee Paid: $85.00
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Cape Save Inc.
7-D Huntington Avenue
South Yarmouth, MA 02664
Tel: 508-398-0398 Fax: 508-398-0399
6/29/17 '
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Town of Barnstable _5 CD
Thomas Perry CBO g
Building Commissioner
200 Main St. Hyannis,MA 02601 p'
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RE: Building Permit#B-17-1896
TO: Building Inspector(s),
This affidavit is to certify that all work completed for 9 Stoney Cliff Road, Centerville has been
inspected by a third party Certified Building Performance Institute(BPI)Inspector.
All work performed meets or exceeds Federal and State Requirements.
Sincerely,
William McCluskey