HomeMy WebLinkAbout0055 BUNNY RUN S-S e
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. Town of Barnstable •
.�g, � Building
Post This GardSo That ,:is�/�sible From the"Street-A roved.Plans Must1be Retained orrlob and,, , Gaed-Must be Ke t ::
:� s Pp � p
N " 19- Posted Until Finalilrispection Has Been ade ,� ,P3 4
ori� " Whereya",Cert�ficate4otOdel anc -�s'fte u�red ;such Bu1ldirr shallINot be Occu 1edrunt i a Final lns ect�onsha;been made Permit
Permit No. B-18-1670 Applicant Name: Paul Eaton Approvals
Date Issued: 06/21/2018 Current Use: Structure
Permit Type: Building-Solar Panel-Residential Expiration Date: 12/21/2018 Foundation:
Location: 55 BUNNY RUN, BARNSTABLE Map/Lot: 234-024 Zoning District: RF-1 Sheathing:
r
Owner on Record: Netty Hoagland '- Contractor Name:` PAUL A EATON ' Framing: 1
Address: 55 BUNNY RUN Contractor,License CS=088720 2
CENTERVILLE, MA 02632 Est Project Cost: $ 11,000.00 Chimney:
Description: Install 2.95kw solar panels on roof.Will not exceed roof panel, but Permit Fee: $ 106.10
will add 6"to roof height. 10 total panels Insulation:
Fee Paid: $106.10
Project Review Req: • Date 6/21/2018 Final
_ /1 "3_ Plumbing/Gas
s
'6, r Rough Plumbing:
'' Po.Building Official Final Plumbing:
This permit shall be deemed abandoned and invalid unless the work authorized.by this permit is commenced within-six months after;issuance.
All work authorized by this permit shall conform to the approved application and the.approved construction documents for which this permit has been granted. Rough Gas:
All construction,alterations and changes of use of any building and structures shall be in compliance with the local zoning by laws and codes.
This permit shall be displayed in a location clearly visible from access streetdor ro)drand shall be maintained open for public inspection for the entire duration of the Final Gas:
work until the completion of the same. '�! �
Electrical
The Certificate of Occupancy will not be issued until all applicable signatures by the Building and Fire Officials are provided on this permit.
Minimum of Five Call Inspections Required for All Construction Work: Service:
1.Foundation or Footinil,g
a
2.SheathingInspection
Rough:
3.All Fireplaces must be inspected at the throat level before firest flue lining is installed
4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection Final.
5.Prior to Covering Structural Members(Frame Inspection)
6.Insulation Low Voltage Rough:
7.Final Inspection before Occupancy
Low Voltage Final:
Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Health
Work shall not proceed until the Inspector has approved the various stages of construction.
Final:
"Persons contracting with unregistered contractors do not have access to the guaranty fund" (as set forth in MGL c.142A).
Fire Department
Building plans are to be available on site
—p '** All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT Final:
Town of Barnstable At: J [1
. � Regulatory Services Date: z1uli'_
oFt"E rOyti Richard V. Scali, Director i I ee:
' '� ° Buildin Division
Building
Tom Perry, BuildingCommissioner
1�aTfD Mass �,/
MA'S�``� LNG®EPT'200 Main Street, Hyannis,MA 02601
gv�t D S www.town.barnstable.ma.us
rEs p5201%
Office: 508-862-40381 Fax: 508-790-6230
y r
T�wN p� BABNV '' OF BARNSTABLE
SOLID FUEL STOVE PERMIT
Owner: :.f C>L Phone: 599 737 q c 7
Install at: 55G/1rt f �/f Village: C_. &&�
y _
Map/Parcel: Date: /57/
Stove
A. New fly
B. Type: Radiant • cula ing)
C. Manufacturer: Vev'p �Gc ST<f � // Lab. No.
D. Model No.: W''7 .ei- (, ari'I 5>pie4 F
Chimney
A. New Qxisting 'If existing please n to date of last cleaning) `�0V
B. Flue Size h /2_ CI'n P 5
C. Are other appliances attached to Flue? o
D. Pre-fab Type and Manufacturer
E. aso nlined
Hearth
A. Materials:
B. Sub Floor Construction: #6,- 04 J cC
Installer
Name: Address:
Phone:
Location of Installation:
H.I.0 Registration#
Construction Supervisor#
OR check,Homeowner Installing,no license required
LICENSED INSTALLERS SIG URE•
APPLICANTS SI • 7E: 011C --
APPROVED BY: //
//
Please make checks payable to the Town of Barnstable
*This constitutes an official stove permit after inspection,photographed, and approved by the
Building Inspector
Q:forms:stove &o
ralte Oh�n p-F L
Rev 11/4/13 @ "�J
, Town of Barnstable
�P'�rne am, . . •" .
.. " Regulatory Services
• K.,,imernABL) - Thomas F.G1er,DirectorfD Building Division • ..
Tom Perry,Building Commissioner -
.
200 Main Street, Hyannis,MA 02601 '
• • www.town.barnstable.ma.us .
Office: 508-862-4038 . Fax: 508-790-6230
HOMEOWNER LICENSE EXEMPTION . •
C., Please Print
DATE: 2 f, // �✓ • . •
JOB LOCATION: , S .g�n/! ,L-,7 e-( ��/�
e
number street village
_
"HOMEOWNER": DO rV 1 Z-e' __- . •
name home phone# - work phone#
CURRENT MAILING ADDRESS: •G/7,/Y1 .Q— .
city/town . - state zip code
The current exemption for"homeowners"was extended to include owner-occupied dwellings of six units or less and
to allow homeowners to engage an individual for hire who does not possess a license,provided that the owner acts as
supervisor.
• DEFINITION OF HOMEOWNER
Person(s)who owns a parcel of land on which he/she resides or intends to reside, on which there is, or is intended to
be,a one or two-family dwelling, attached or detached structures accessory to such use and/or farm structures. A
person who constructs more than one home in a two-year period shall not be considered a homeowner. Such
"homeowner"shall submit to the Building Official on a form acceptable to the Building Official,that he/she shall be
responsible for all such work performed under the building permit (Section 109.1.1)
The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other
applicable codes,bylaws,rules and regulations. .
The undersigned"homeowner"certifies that he/she understands the Town of Barnstable Building Department
minimum inspection procedures and requirements and that he/she will comply with said procedures and
require eats. •
gnature of Homeowner .
. Approval of Building Official •
Note: 'Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the . .
State Building Code Section 127.0 Construction Control. . •
HOMEOWNER'S EXEMPTION
. The Code states that "Any homeowner performing work for which a building p.iu it is required shall be exempt from the provisions
of this section(Section 109.1.1-Licensing of construction Supervisors);provided that if the homeowner engages a person(s)for hire to do such .
work,that such Homeowner shall act as supervisor."
Many homeowners who use this exemption are unaware that they are assuming the responsibilities of a supervisor(see Appendix Q,
Rules&Regulations for Licensing Construction Supervisors,Section 2.15) This lack of awareness often results in serious problems,particularly
when the homeowner hires unlicensed persons. In this case,our Board cannot proceed against the unlicensed person as it would with a licensed
Supervisor. The homeowner acting as Supervisor is ultimately responsible. •
To ensure that the homeowner is fully aware of his/her responsibilities,many communities require,as part of the permit application, -
that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the last page of this issue is a form currently used by
several towns. You may caret amend and adopt such a form/certification for use in your community.
Q:forms:homeexempt S
A r1HE Town of Barnstable.i„ N..„
• -
•
Regulatory Services -
n�ss 8 Thomas F.Geller,Director •
_pep we, Building Division •
Tom Perry,Building Commissioner -
• 200 Main Street,Hyannis,MA.02601 •
• www.town.barnstable.ma.us
i •
A
Office: 508-862-4038 \ - Pax: 508-790-6230
4 -
i -
• \ • •
Propty Owner Must •
Complete and Sign This Secti n
If Using A Builder •
•
I, , as I.l wiser of the subject property
hereby authorize to act on my behalf,
in all matters relative to work autho.►.ed by this b ,A ding permit -
(Address .f,rob) •
**Pool fences and alarms ar i- the r-sponsibility of the applicant. Pools •
are not to be filled or utili7% before ,-nce is installed and all final
inspections are performed and accept;d.
/ .
/ . .
Signature of Owner J Signa e of Applicant • • -
/ •
Print Name . Print Name • •
•
Date - - • - • - -
Q:FORMS:OWNERPERIESSIONP00LS 62012 • -
,t " TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION
I0
Map a 3 Parcel oay pplication #
Health Division Date Issued b
Conservation Division Application Fee 6k""
Planning Dept. Permit Fee
Date Definitive Plan Approved by Planning Board
Historic - OKH Preservation/ Hyannis
Project Street Address 1e
.. Village 6 (2 33,1 B t_6
Owner n 9 frocZede-) Address SS Sunnj\ un co.4-ervxI leM\ O C3a
Telephone (5 ) - i - �0� '_
Permit Request 51 S� L(� e, G 1 T1 LI R-3`b v.196- . 4 -''C 1 er U 5 5
Square feet: 1st floor: existing proposed 2nd floor: existing proposed Total new
Zoning District Flood Plain Groundwater Overlay
Project Valuation 39 4 o.0° Construction Type AI..T
Lot Size o q I AcxS Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation.
Dwelling Type: Single Family X Two Family ❑ Multi-Family (# units)
C
Age of Existing Structure 14 611 Historic House: ❑Yes No On Old King's IFgt way: 0='es No
Basement Type: ❑ Full ❑ Crawl ❑Walkout ❑ Other
(.. tr./3 Finished Area (sq.ft.) Basement Unfinished Area (sq.ft). "4
.71
Number of Baths: Full: existing. new Half: existing new —4
Number of Bedrooms: existing _new I CD n
A 0-
Total Room Count (not including baths): existing new First Floor Room Count
Heat Type and Fuel: ❑ Gas ❑ Oil ❑ Electric ❑Other
Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑ No
Detached garage: ❑ existing ❑ new size_Pool: ❑ existing ❑ new size Barn: ❑ existing ❑ new size_
Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size _ Other:
Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑
Commercial ❑Yes ❑ No If yes, site plan review#
Current Use Proposed Use
APPLICANT INFORMATION
(BUILDER OR HOMEOWNER)
Name f:a.);(1 L'\ 511Q.aA`n Telephone,Number 7 7 4-a-1 ) -04.I
Address SO ,‘CC\-\ Rd License # 1 O Sq 4 1
b(t u s e-r Pi JR Oa(.3 A Home Improvement Contractor# 16 0 6 54
Email - 5 SC-0,(. VUOIC rcirlal .COYn Worker's Compensation # 100 —6p/S3/S-abi'JA
ALL CONSTRUCTION DEBRIS H SULTING FROM THIS PROJECT WILL BE TAKEN TO
1-m q\ica . /nne) Pci Ufl.\\--(a (,.f\,,.kvL )nick 6a6(45
SIGNATURE DATE 9 aa(&ZlL1.
FOR OFFICIAL USE ONLY
, APPLICATION#
DATE ISSUED
MAP/PARCEL NO.
ADDRESS VILLAGE
OWNER '
•
DATE OF INSPECTION:
FOUNDATION •
FRAME
INSULATION
FIREPLACE
ELECTRICAL: ROUGH FINAL •
PLUMBING: ROUGH ' FINAL
GAS: ROUGH FINAL
FINAL BUILDING
DATE CLOSED OUT
ASSOCIATION PLAN NO.
.y •
-�
•
OWNER AUTHORIZATION FORM
L
I JOHN P FRAZEE
(Owner's Name)
owner of the property located at
55 BUNNY RUN
(Property Address)
CENTERVILLE, MA 02632
(Property Address)
hereby authorize `t ( PN(
(Subcontractor)
an authorized subcontractor for RISE Engineering, to act on my behalf t obtain a building ,
permit and to perform work on my property.
JoLf4eehn P Frazee(Sep 9,2014)
Owner's Signature,
Date
•
•
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'c.f:-. ,'---;;E:,-4-4---
Oil
-, .q' �, ,.} �c- � c, '� '�` n c� '� Energy:
� � f;�' '2 P ti, N 4 g ',� ,. r �.'*H,. ,, _;
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Town of Bamstable Final Inspection Affidavit
Date: < < 1i4 11
.
Thomas Perry, CBO
Building Division
200 Main Street ,
Hyannis, MA 02601
RE: Insulation Permits
Dear Mr. Perry,
This affidavit is to certify that all work completed at:
Street: v�n� �v
Village: t�Ci�n?�ti b 1 t
has been inspected by a certified Building Performance Institute (BPI) Inspector. All work
performed meets or exceeds federal and state requirements.
Permit application n ber: 2�j!W(j�3
Issue date: I
Sincerely, ,
.... fs
-"I
437
N.
AV
Francis Sheehan '
Presidentrn
Frontier Energy Solutions, Inc.
502 Harwich Road
Brewster, MA 02631
Office: 774-237-0410
Email: fssfrontierenergy@gmail.com
Town of Barnstable o OF Bt.; tS1 CS I(43)IL 694(1 .
�`t"E' rj, Regulatory Services , f t;
�S Thomas F.Geiler,Director �;`'
" BARNbTAB$ Building Division
MASS
) ►fm Tom Perry,Building Commissioner
200 Main Street, Hyannis,MA 02601 DiVb
www.town.barnstable.ma.us
Office: 508-862-4038 Fax: 508-790-6230
PERMIT# �' v S l03 E.,
$
SHED REGISTRATION •
200 square feet or less
e Cir.►,- bl
5- ,60n'�! � �n
Location of shee(address) Village •
r Zo
Property owner's name Telephone number
12K ( � � � G� �
Size of Shed Map/Parcel#
ature Date
= Hyannis Main Street Waterfront Historic District?
Old King's Highway Historic District Commission jurisdiction?
If over 120 square feet,you m
Conserva on Commission(signature is required)
Sign off ho for Conservation 8:00-9:30&3:304:30
PLEASE NOTE: IF YOU ARE WITHIN TILE JURISDICTION OF ANY OF'1'HJ ABOVE
COMMISSIONS,1'I1ERE MAY BE A REVIEW PROCESS AND APPLICATION FEE.
PLEASE SEE THE APPROPRIATE COMMISSION FOR DETAILS.
THIS FORM MUST BE ACCOMPANIED BY A
PLOT PLAN
Q-forms-shedreg
REV:05201
NEW ENGLANI) LAND SURVEY MORTGAGE INSPECTION PLAN tv
Professional Land Surveyors NAME ____
25 SUTTON AVENUE vI
Oxford, MA 01540 LOCATION 55 BUNNY RUN v1
v
0
PHONE: (508) 987-0025 CENTERVILLE, MA
FAX: (508) 234-7723 SCALE 1"=50' DATE 8/17/2012
REGISTRY BARNSTABLE
BASED UPON D CUjE ITAION PROVIDED.REQUI ED MEMI5DENIS WERE CERTWY T0:CAPE COD FATE
MADE OF THE FRONDME An ota s)SHOWN ON nos ISTRIRME oar z
INSPECTION PIAH.RI OUR JUDGEMENT ALL VISE EAS 3 ENDS ARE N. DEEO R 19160/201
SNOIIN MD THERE ARE NO MOIA S OF teals ITS
REGA I(G STRUCTURES TO PROPERTY LINE OFFSETS(MUSS OTHERWISE ../ 0' 1'
NOTED VI DRAWING N01E: NOT DEFINED ARE AROS ROURND ( / : P1AN 172/51
MORTGAGE INSPECTION NOT AN StRY •
POOLS. EADVDRAYS.OR WM NO FOUNDATIONS.�DO�f USE '' N0. • 10 BE CERNFY TRW THE 151.01/10 ARE ROT
TO EJECT FENCES.OTHER 80IRNOMRY STRUCTURES.OR TO PLANT ' $ ROOD ILATARD AEA 1 1 SPECK
COMPUANCE WITH LSHRUBS. LOCAITON OCAL FOR SPR)OP�I HEREON°s EIMER°" .IA, `�� 2500010005C Ea 08/19/1985
REQUV EMENTS.OR TS EXEMPT FROM VIOLATION ENRXICBENT ACTION '
UNDER.MISS. GA..TIRE YE MAP. Mk SEC. 7. UNLESS ODEReaE use ROOD IODNIO EOM NON EOM OETE ED BY SCALE AND IS
NOTED. MIS CERTFICATTON 5 NON-TRANSFERABLE. ME ABOVE NOT LAY ACCIAME IRRL ITUWIME PUNS ME ISSUED
CERTIFICATING ARE WIDE TTITN TIE PROVISION THAT TIE RIFORKMON In ARID MO/OR A WRIER CONTROL STRNYEY 6 PERMITTED.
PROVIDED IS ACCURATE MO THAT THE MEASUREMENTS USED ARE POSE REVI1=ONRRK BE OEIMICISA
ACCURATELY LOCKED DI RELATION TO THE PROPERLY LIES.
1
s ')
LOT 0
17,9 �
I 1\� �,�A /55
i.
•
0' 25' 50' 75' 100' 150'
REQUESTED BY: COLLINS & CABRAL 11
DRAWN BY MD
CHECKED BY: ALB SCALE: r=50'
FILE: 1214P5570 -
t_
Town of Barnstable *Permit#
a 6 C7 0213. Expires 6 months from issue date /
Regulatory Services Fee oe,
... Thomas F.Geller,Director - �®PRESS PERMIT
Building Division
r Tom Perry,CBO, Building Commissioner JUL. 2 7 2006 6R'
200 Main Sheet,Hyannis,MA 02601
www,town.bamstable.ma.us TOWN OF BARNSTABLE
Office: 508-862-4038 Fax: 508-790-
bLiu
EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY 0 1)23
Not Valid without Red X-Press Imprint 1a3�
3 `P"-~ O .�t2rns- �''le
Map/parcel Number 5,4
Property Address 3 5" /3U.G,,t y uti j2o - A- aae6cf
r, Residential Value of Work 19 ® Minimum fee of$25.00 for work under$6000.00
Owner's Name&Address rde,k-ce5 r%Gee1..4-71/4.6 -sii.eie, /f fre
Contractor's Name � f--OCatC �ST Telephone Number -77/ 36‘
Home Improvement Contractor License#(if applicable) 1/? /4
Construction Supervisor's License#(if applicable) C,c 7 Y$ ;
❑Workman's Compensation Insurance
Check one: , .
❑ i am a sole proprietor
0 I am the Homeowner
0 I have Worker's Compensation Insurance
Insurance Company Name ci,I5e Ai ) . ( 14 -d. 13�z-rciti A- a
Workman's Comp.Policy#
• Copy of Insurance Compliance Certificate must be on file.
Permit Request(check box)
0 Re-roof(stripping old shingles) All construction debris will be taken to
/ .•�
❑Re-roof(not stripping. Going over existing layers of roof) ,.
❑ Re-side .. .
Cp Replacement Windows, U-Value a 37 (maximum.44)
f
*Where required: Issuance of this permit does not exetrq t compliance with other town department regulations,i .Historic,.i6onservation,etc.
***Note: Property Owner must sign Property Owner Letter of Permission. ,-
Home ovement Contractors License is required.
SIGNATURE: ie e/2
Q:Forms:expmtrg
Revise071405
a
y •
`Snow Construction
TRIM`COVERAGE SPECIALISTS • VINYL SIDING
‘r COMBINATION WINDOWS&DOORS • REPLACEMENT WINDOWS • SEAMLESS GUTTER SYSTEMS
Licensed Massachusetts Contractor 8 Homeport Drive
Lic. #007855 Hyannis,Mass.02601 Member of the Better Business Bureau
Telephone 771-9366
b.
Date .7 .:. -0C . ....
Purchaser's Name Led71 / i $ Tel. No. 5162
Address. ► z3L/4s.4-4/ A-, as if
PURCHASE AGREEMENT - - CONTRACT AGREEMENT .
I/We, the owner(s) of the premises mentioned below, hereby contract with and authorize you as contractor, to furnish
all necessary materials, labor and workmanship, to install,construct and place the improvements according to the following
specifications, terms and conditions,on premises below described: �^
Owner's name Tel 3 No. A f`
Job address City = - Ii State
REPAIR WORK: No repair work shall be done, except as herein specified and expressly agreed to in writing by
the Contractor.
SPECIFICATIONS
do PP 4 .f fir _I_4.s 7,�# (if [L'aH//7' /"44'(/e,v !//4 yy
a Le 64.-14-ga ,c ..Sr he. )
8er le/-ee.t, 1.-' -SS 6 eitc c
f d C i c t u,i rlozer A L SPA
740•9 A- tatz, E 644-zIpt-a
R e-r ee 6I-A- Se r 4.4 S° .
CCr it.er ' (24.-Y- ,"3-e C.A- s.e..;% Le., t," - €- 1-#
fo v- -re. / AC 6-0A
Materials and labor to cost$ ?00 Down'Payment$ '""' Balance of$,2P49®DUE UPON COMPLETION.
Contractor will do all of said work in a workmanlike manner:
Owner agrees that in event of cancellation of this contract before work is started, Owner shall pay to Contractor on demand.
Twenty-five per cent of the contract price as liquidated damages for the breach.
No work to be done on this property other than that specified in this contract without additional charges.
All verbal or written agreements not mentioned on the face of this contract are void, and no salesman has any authority to
change, alter or add to this contract in any particular. This contract contains the entire contract between the parties. A
copy of this contract is hereby acknowledged to be received.
is contract is subject to strikes, accidents,or other delays beyond our contr I. 4144,4_,
ITNESS HEREOF the parties have hereunto signed their names this day of 194
(14.1 441/ Signed
R+prewntative Owner
Accepted SNOW "INSTRUCTION CO. Signed
V Owner
•
By
Busi yss Certificate filed under Mass.General Laws with Town Clerk of Yarmouth.
:.„„,„,i,o'l.°2°1" -,,, _,_______.__.,i . csim/441,6c,
„E Taf,�, Town of Barnstable *Permit# 8 321 1
OF Expires 6 months from issue date .
:wisp °�
, - � .: .-- gulatOr S • ,•:Fee.. "�_
••• 9� n - •
. ,•„_„ : ,Thomas F.'Geiler,Director
'rF.•rA " • -:.-Building Division- • .94.. .
• •. ••-' ••-. •-Toni Perry, Building Commissioner .•
• •••200 Main Street,-Hyannis,MA 02601---• X PRESS �,�
Office: 508-862-4038 _ .._ ;: • - _..
Fax:•508-790-6230' . .. •. . •. '.I•. • . ••.-.... -. .
:.
. .. .. •- '-EXP SS PE•RicI1T•APPLICATION --RESIDENTIAL�NL Y. 2005 '
Not Valid without Red X-Press Imprint TOWN OF BARNSTABLF. -
Map/parcel Number 4 1/0 / •
Property Address . c 6 a4/4.1v it./ a 0 c e vre,e lilt(-e ,y1 /\ . d 2Z e
Vesidentigl Value of Work _ccCO Minimum fee of$25.00 for work under$6000.00
Owner's Name&Address ffie AA c f S pi em yn fO/- smlie Al' ,4 4 c v--ea
Contractor's Name S4,4.7u'' Ca;frc-T '
Telephone Number 7 7/ 2 e
Home Improvement Contractor License#(if applicable)
/1 d- c./'
pp
Construction Supervisor's License#(if applicable) 00 75" ,
❑Workman's Compensation Insurance •
Check one: •
.
ler I am a sole proprietor •
0 I am the Homeowner
0 I have Worker's Compensation-Insurance .
•
// 5 e 4 62 a(4,�/ /3/',' iW- -in fir
Insurance Company Name (,�
Workman's Comp.Policy#
Copy of Insurance Compliance Certificate must be on file.
Permit Request(check box) • •
❑ Re-roof(stripping old shingles) All construction debris will be taken to
•
❑Re-roof(not stripping. Going over existing layers of roof)
IRe-side •
Ql Replacement Windows. U-Value ---=-49-;37 (maximum.44)
*Where required: Issuance of this permit does not exempt compliance with other town departrnent regulations,i.e.Historic,Conservation,etc.
***Note' Property Owner must sign Property Owner Letter of Permission.
Ho Improvement Contractors License is required.
fc
Signature ii,."
Q:Foramexpmtg
Revise063004
• I
_ ,
s .
Town of Barnstable .
,oiTME royti `
o Regulatory Services .
ySAIINSTABLE, Thomas F.Gee1er,Director
16,9' �4 Building Division
�'ifDPM Tom Terry, Building Commissioner
200 Main Street, 1 ymnia,MA 02601
w.town.barnstable.ma.us
Fax; 508-790-6230 '
Office: 508.862�038
•
Property Owner Must
Complete and Sign This Section •
If Using ABuilder .
,as Owner of the subject property
. /�
}/„ rl ie • L . „�` � .to act on fnybehalf;
1lthor]Ze... ��11/�rAnt_�A
. • �'hereby a . .
in 41
rriatters relative to work authorized bythis building permit application for.
•
(Address Job) •
•
•
& ' e . 41.---
Signature of Owner ate F s, ,r, ri_E .ii, ,
•
print Ns= •