HomeMy WebLinkAbout2656 MAIN STREET a
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�T r Town.of Barnstable *Permit#
Expires 6 months from issue date
Regulatory Services Fee
* snxivsTnsre.
nsass. Richard V.Scali,Director
i639 ��
�En +a Building Division .
Tom Perry,CBO,Building Commissioner
200 Main Street,Hyannis,MA 02601 JUN, 1 `
Q �R
www.town.barnstable.ma.us v
Office: 508-862-4038 Fax: 508-790-6230
EXPRESS PERMIT APPLICATION - RESIDZR"WO TABLE
_ Not Valid without Red X--Press Imprint
Map/parcel Number q� ®OD=
Property Address 2 65-76 f T, TIrd4 4e
❑Residential Value of Work$ 0 U Minimum fee of$35.00 for work under$6000.00
Owner's Name&Address L✓u!!� ��Gl G��6 l e?
Contractor's Name L C Telephone Number 716 - S r3 9 (�
Home Improvement Contractor License#(if applicable)�(� (e Email: I kf6G �a.oar�du lj�•.� G�
Construction Supervisor's License#(if applicable).
677Workman's Compensation Insurance
Check one:
❑ I am a sole proprietor
❑ lam the Homeowner
I have Worker's Compensation Insurance !�
Insurance Company Name It 4/-- A
Workman's Comp.Policy ?7
Copy of Insurance Compliance Certificate s accompany each permit. .
Permit Req st(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) to
❑ Re-side
❑ Replacement 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,i.e.Historic,Conservation,etc.
***Note: Property Owner must sign Property Owner Letter of Permission.
A c e H e Improvement Contractors License&Construction Supervisors License is
r t
SIGNATURE:
QAWPFILES\FORMS\bui g p rmi s\EXPRESS.doc
Revised 061313
Estimate 844
r t Date May 23,2014 ..';
°Cape & Islands Construction Co. P.o
Po Box 210 Terms.
Centerville Ma. 02632
508.775.7663 Ship'Via
:Ship Date
•
Gerald Randall
2656 Rt.6A
Barnstable Ma.
508-362-2268
� i- e •
CERTAINTEED Certainteed Shingle Roof 7,400.00
Strip existing shingles from roof.
Secure any loose sheathing.
Install Hicks brand vented aluminum drip edge.
Install Wip brand Ice&Water Shield to all
eves, rakes, valleys and all protrusions.
Install Surround brand Synthetic Felt Underlayment.
Install Certainteed Quick Start starter shingles
to all rakes&eves.
Install Certainteed LIFETIME architectural shingles.
Storm nail all shingles.
(State building code requires 4 nails, we use 6)
Re4lash all vent pipes with new boots.
Install Rigid Vent II ridge venting.
Remove and dispose of all job related waste.
leave your property looking like we were never there!
Provide all manufactures warranties and
LIFETIME warranty on our labor, if it ever fails due to our
workmanship we fix it,forever! It's The Best In The Business.
Please note our wind warranty is also the best
And longest available ANYWHERE!
Total $7,400.00
signature
L F
' Town of Barnstable *Permit#
Expires 6 mpnifilfrom
t✓� isum date
Regulatory Services Fee
Thomas F.Geiler,Director
�QO? Building Division
JuN �TomPerr CBO, BuildingCommissioner
(��� OF gARNSTA�L 200 Main Street, y
H annis,MA 02601.
1 www.town.bamstable.ma.us
Office: 508-862-4038 Fax: 508-790-6230
EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY
Not Valid without Red X-Press Imprint
�� L�
Map/parcel Number ( ��
Property Address
�]Residential Value of Work v U Minimum fee of$25.00.for work under$6000.00
Owner's Name&Address Fr L i a s
Contractor's Name 4 inJ IV z'�l l 0_1y 6,_1 C_4. Telephone Number
Home Improvement Contractor License#(if applicable) //Z ff a y
Construction Supervisor's License#(if applicable) 0/ O
❑Workman's Compensation Insurance
Check one:
,®'"I am a sole proprietor
❑ I am the Homeowner C tV `6
❑ I have Worker's Compensation Insurance C,1
Insurance Company Name o i2 C 4.0 10�4U
CD
Workman's Comp.Policy# r
r—
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)
Re-side W r f iv-F_ 6014/72' G E D �—
❑ Replacement Windows/doors/sliders. 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 Owner must sign Property Owner Letter of Permission.
A copy of the Home Improvement Contractors License is required.
SIGNATURE:
Q:Forms:expmtrg
Revise061306
Town of Barnstalble
Regulatory Services
sB Mss. $ Thomas F.Geller,Director
�''°rfDNw�a10 3BuRding Division
Tom Perry, Building Commissioner
200 Main Street, Hyannis,MA 02601
www.town.barnstabk.ma.us
Office: 508-862-4038 Fax: 508-790-6230
Property Owner Must
Complete and Sign This Section
If Using ABuilder
as Owner of the subject property
hereby authorize to act on my behalf,
in all matters relative to,work authorized by this building permit application for; .
(Address of Job)
Signature of Owner ate
�9V&FZ-v � �i'qC
Print Name
Q T O RM S:O W NERP ERM IS S ION
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