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ca , Town of Barnstable *Permit# -7 AJ�
°hy� lEzpires 6 m ,tthsrom is=a dpte
s 's Re�to Services FeeKAM tf
r3'
A 1 Thomas F.Geller,Director PERMIT
'E�►u+ Building Division
Tom Perry, Building Commissioner S E P % 9 2005
200 Main Street, Hyannis,MA 02601
Office: 508-862=4038 _ TOWN OF BARNSTABLE
Fax: 508-790-6230
EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY
Not Valid without Red%Press Imprint
Map/parcel Number
Property Address � ��. �d rn c��l� ����•P �rat C'd���r ✓n� C7��3 6
.cv
esidential Value of Work
Owner's Name&Address
rP
t crO " 7 7S" I 7�% �e TelepheNumb
Contractor's
-""—
Home Improvement Contractor License#(if applicable)_
7
Construction Supervisor's License#(if applicable) d�o y
Workman's Compensation Insurance
Check one:
[] I.=a sole proprietor
(] ISM the Homeowner
5Jjhave worker's Compensation Insurance
Insurance Company Name
workmau's Comp.Policy
Permit Request(check box)
❑'Re-roof(stripping old shingles) tAU construction debris will be taken to
❑Re-roof(not stripping. Going over existing layers of roof)
Re-side
VN �®
❑ 6111
eplacement Windows. U-Value.(mum•44)
*Wh�a Mnired: 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.
ome Improvem - , o ctors License is required.
Signature
Q:Foims:expmtrg .
Revise053003
PROPOSALS MI EDT ��/f f( PHONE DATE
,STREET
JOB NAME
CITY,STATE and ZIP CODr. JOB LOCATION
_
ARCHITECT DATE OF PLANS
:JOB PHONE
We hereby submit specifications and estimates for:
V,
PIZ& A-,,A
We Propose hereby to furnish material and labor complete in ac ' of.
Payment to made as ollows:.
i .
i '
All material is guaranteed to be as specified.All work to be completed in a workmanlike
manner according to standard practices.Any alteration or deviation from above specifications Authorized
involving extra costs will be executed only upon written orders,and will become an extra Signature
charge over and above the estimate.All agreements contingent upon strikes,accidents or
delays beyond our control.Owner to carry fire,tornado and other necessary insurance.Our Note: his proposal may be
workers are fully covered by Workman's Compensation Insurance. withdrawn by us if not accepted within days.
Acceptance of Proposal The above prices,specifications
and conditions are satisfactory and are hereby accepted.You are authorized to do the Signature
work as specified.Payment will be made as outlined above.
�oE�►,E T°wti Town of Barnstable *Permit# �.����"�''
y�Q Expires 6 u+anths from issue date
,,,M,STA8LE : Regulatory Services Fee t�s
6 SS. ,0 Thomas F.Geiler,Director G
p'FDN1°'`A Building Division
Tom Perry, Building Commissioner
200 Main Street, Hyantus,MA 02601
Office: 508-862-4038
Fax: 508-790-6230
EXPRESS PERMIT APPLICATION — RESIDENTIAL ONLY
Not Valid without Red X-Press Imprint
Map/parcel Number J 1 to ny-l
2—
Property Address oS 10 �CQ O(Yl1 I1E3 � (/� r
[Residential Value of Work l YX . OLD
Owner's Name&AddressV7i1
Contractor's Name' nT Telephone Number 7 et 0 ' 9cSf`0
Home Improvement Contractor License#(if applicable) /W I YO
Construction Supervisor's License#(if applicable) C/5
orkman's Compensation Insurance
Check one:
❑ I am a sole proprietor
❑ I the Homeowner
have Worker's Compensation Insurance
Insurance Company Name /► �L�ti/ I n (�. ,r �Ul�Ci/1 C.� /^U LSD
Workman's Comp.Policy# C i 1/0
Permit Request(check box) -P ESS
A'"RR a� PERMIT
❑ Re-roof(stripping old shingles)
S E P 0 9 2002
❑Re-roof(not stripping. Going over existing layers of roof)
TOWN OF BARNSTABLE
❑ Re-side
M/Replacement Windows. U-Value •'`.:1 33 (maximum.44 �-
d
❑ Other(specify)
'Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc.
Signature
Q:Forms:expmtrg
Revised 121901
Assessor's map and lot number ............................�..,... . SEPTIC SYSTEMIN COMPLIANCE uu � ,
STATE
,.y w �� STALLED
SewagePermit number /.. ��,.
ARTICLE 11
................... .. ...................... �;ITI-1 -TOWN
SANITARY CODE AND
TOWN OF BARNSTAREEs-
.. 9 WA86.
=b39. �'� DUitDING`� INSPECTOR
p.MpY A c, '
APPLICATIONS FOR"PERMIT tT0 ............................. ..................................................................................
TYPE OF CONSTRUCTION ....... ... .. .......r: '.......................................................................... .
....r1 -; .
.....................
TO THE INSPECTOR OF BUILDINGS: ..
The undersigned hereby appli for a permit according to the following inf tion:
Location ... ... .,.3 'h''t'! ....... J... .................. ............................. ...................................
Proposed Use ........` p
ff�� ,
79�3GE
ZoningDistrict ....�..tl..... ......................................................Fire District .. ..!�:...�.�.........................................................
Name of Owner .. ff y. #.. .!#. .......Address .....t.�� ..... 1`` .... ..... .
t!!
Name of Builder V. !., / y. ...............Address ............. .................................................
Name of Architect ,:.... .:. - ' *. .............Address .....
Numberof Rooms .......�.(.............. ..................................Foundation .... ... ...........................................................
Exierior ..... t":.bk,.t ............................Roofin
FloorsInterior ....................................................................................
Heating ... ..Wa.......... .. ...........................................Plumbing ..................................................................................
Q
Fireplace .......I.........................................................................Approximate Cost ....: �� 1d....t��! 1st
Definitive Plan Approved by Planning Board ________________________________19________. Area
... ........... ..... ....................
Diagram of Lot and Building with Dimensions Fee
SUBJECT TO APPROVAL OF BOARD OF HEALTH
I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above
construction.
Name ... ....
Tally Ho Farms, Inc.
51 1 1/2 story
No ......... Permit for ....................................
single family dwelling
.................e.............................................................
26 Palomino Drive
Location .................................................................
Barnstable
...............................................................................
Tally Ho FArms, Inc.
Owner .........T
.........................................................
TYpe of Construction ...............frame.....................
...............................................................................
-:,Plot ... ..............;........... Lot ..................#8 3 ..............
March 2
Permit Granted ............... ......... .............1978
Date of Inspection .... .............19 19
Date Com X'Z
., .... ..pletecl �� .
PERMIT REFUSED
................................................................. 19
. ....
...................... /0/', !.. ...... .... ..............
. ... ..... ........ ........................... .....
. .. ... ...... . ... ....................... ...... . ... ... .........
W...........
Approved ................................................ 19
................................................................
............... ........................................................
I r
TOWN OF BARNSTABLE Permit No. ____.._____
i »non Building Inspector cash.SA . _ ________-___s
ao .e,o. .� � $
OCCUPANCY PERMIT Bond ____.__________
"No building nor structure shall be erected, and no land, building or structure shall be
used for a new, different, changed, or enlarged use without a Building Permit therefor
first having been obtained from the Building Inspector. No building shall be occupied until a
certificate of occupancy has been issued by the Building Inspector."
Issued to rm Ilr1 r. r r> _ Address
Wiring Inspector Inspection date
Plumbing Inspector Inspection date
Gas Inspector Inspection date
Engineering Department Inspection date
THIS PERMIT WILL NOT BE VALID, AND THE BUILDING SHALL NOT BE OCCUPIED UNTIL
SIGNED BY THE BUILDING INSPECTOR UPON SATISFACTORY COMPLIANCE WITH TOWN
REQUIREMENTS.
.....................................................1 19......_ _ ............................................................................................_................._
Building Inspector
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