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0074 PALOMINO DRIVE
/0 77777777N .............. '�P ;57 R 7e, ,Mp Mum' (OC4 (0 Town of Baz astable y �tT i Services _rca.-.:s 5 r,'rart hr f,-or."iSS.re •f IZeg�rlaarY Fee !'PERMIT r /r - JUL 11 2012 Building Division Ten Pef,y, CBO, Building, C'emirrissioner _7JU rI81 ! Jii et, =iVJ^iP.iS vii 0260 i TOWN OR BARNSTABLE >rsv '.io.vn.ba-nstab,e.rr a_us 0Tzi 08 8h2- 03, Fax: ;08-79G-52}'0 EXPRESS ESS PER A;T APPL•IC A FI O - R-ESIDENT LA!, ONLY .'tor Ynlid!�'t�OutRerla P:-ess•Ir,:o,-;jil PipafCc, 'up.,ber� ?rope;_y A.ddres, G/Y/It/�/() r'.__ '7/ t1)!ii1 L'_tt iC IiI J.�1 `ol work uP.Ciel 36RrJ 0%iv w's Name, w .. r2 Q C �P 1 C'ontraCtar'5 'IN anj#--h—"' CS , T --- rr /ISUr -! _ }pi R it = i'C=?iZ --7 Z(yk-m- an:s--,. : �'� rn•� -c `ice. --- C:heCK 0F,d: ^� Rl a so1C j.:,prfC ur . T T i I am,the noneowrier J I haw ,S Company N a M e C,py of Insurarice Compliance CL t cafe gust accorrip.any�e ch aer2nlC. (Check box) `j c-i OG7 i,iiufflCn"ne n 1;Ed} iS r!ppin OiC S'i1 2 JcS} Al!COr1Struction! debris w'!! be oaken t0 J R ooF hu!'r Caae ;,fti)ed) ,not strirpin Goili VC- exIStin i8 erS Ji r00i`� y #ofQorFs �Cc17iflCG'rEiCili tN!^UOVY'5iG'OCiSiS1EGCiS. u-t.'c;!i 0, _i1:';aXlfiu:�"° ,35)ft of i^r;nd0"11'S fl 17 "',�✓ E: iC �rCy Vil""T LIST S!10,1 Nr0r i 01'r"]er Leiter:er of Perri i lion. A C07y Of fb 2 Hv"nc TM jai' YenlC'17 C47t-1C 0r$ 1C£I'Se & CoriStruction Super'YISOrS I,1Ce(!SC L P.QttiT"cJ. HOME IMPROVE7WFNf CONTRAIL'r PLEASE READ THiS u,•,y_.:�•:�--� 1 Sold,Furnished and Installed by: (( Branch Name: Boston Date: (p-a q r THD AVHomc Services,Inc. d/b/a The Home Depot At-Home Services 9o8 Boston Turnpike,Unit 1,Shrewsbury,MA 01545 Toll Free(800)657-51,82;Fax(508)845-WI7 Brandt Number:31 FCdcral ID#75-2698460;ME Lic#C 02439;R1 C'ont.-Lic 7#.1642 . —y U } CT Lie#NIC056552 na 2;MA Iltx Tnaprovemont Contractor Rei;_#126891 installation Address: 'L t rbuomt rn Q{oLp� t ©a� City State Zip Work Phone: Home Phoae: Cell Phone: - c Qc [ ] [ ] 314F [ ] [ 1 [5661 ° _37t7- -1-- Home Address: (If different from Installation Address) City State, Zip E-mail Address(to receive project communications and Home Depot updates): Q I DO NOT wish to receive any marketing emails from The Home Depot Project Information: Llndemigned("Customer"),the owners of the property located at the above installation address,agrees to buy, and THD AL-Home Services Inc.('"lire Home Depot")aa'rees to furnish,deliver and arrange for the installation("inStatlatiolt")of all materials described on the below and an the referenced Spec Sheet(s), all of which are ncorIxii-Acd into this Contract by this reference,along with any applicable State Supplement and Payment Summary attached hereto and any Change Orders(collectively, "Contract'); Job#: (I-- Rd-O Products: Spec Sheet(0#: Project Amount Roofing Siding Windnvs Insulation / 9/ $ 3q06b ' ❑Gutters/Covers ]Entry Door% ❑ b q 0 C d Roofng Siding. Wiadows Insulation $ ❑Gutters!Covets DEntry Doors Roofing LiSiding windows Li Eiiiiation ❑Gutters/Covers ❑Entry TNxxs❑ Roofing Siding windows Insulation $ . Couriers I Covers ❑Entry Doors ❑ NSnimum 25%Depart of Contract AmDuOt drip trpm--md-af'd&—a'&& Total Contract Amount $ Maitre pumbasers may not deposit mote alma one-third of the Cttuhact Ammar. Customer agrees that, irnmediately.upon completion of the work.for each Product,.Customer will execute a Completion Certificate. (bile for each Product as defined by an individual Spec.Sheet).and pay any balance.due. As applicable,each Custotricr under.this Contract agrees to be jointly and severally obligated and liable hereunder: The HomeDepot reserves the right to issue a Change Order or terminate this Contract or any individual Product(s)included herein;at its discretion,if The Hoine Depot or its authorized service provider determines that it cannot perform its obligations due to a structural problem with the home,environmental hazards such as mold,asbestos or lead paint,other safety concerns,pricing errors or because work required to complete the job was not included in the Contract. �y Payment Summary: The Payment Summary# (4-- c+ I included as part of this Cantrsct, sets lortll the total Contract amount and payments required for the deposits and final payments by Product(as applicable). NOTICE TO CUSTOMER You are entitled to a completely filled-in copy of the Contract at the time you sign. Do not sign a Completion Certificate(note: there is one Completion Certificate for each listed Product as defned by lndividnai Spec Sheets)before work on that Product is complete. In the event of termination of this Contract,Ctmtomer agrees tO pay The Horne Depot the costs of materials Labor,expenses and services,provided by The Home Depot or Authorized Service Provider through the date of tertnivation,plus any other amounts set forth in this Agreement or allowed under applicable law. THE ROM1E.DEPOT MAY WFFHHOLD AMOUNTS LIMITING M TING THE,HOME DE IT'S OTHER REMEDIES FOR RECOVERY OF SUCH AMOUNTS. T FROM THE DEp0Sff-pAYN1FNT OR OTHER PAYMENTS i14?►DE, WITtIOU"I'. Acceptance and Authorization: Customer agrees and onders s that this Agreement is the entire agreement between Customer and Tb.e Horne Depot with regard to the Prcxlucts and Installation services and supc'rscxlcs all prior discussions and agreements,either oral or written,relating to said Products and Installation.This Agreement cannot be assigned or amended except by a writing signed by Customer and The Home Depot.Customer acltn owl edges and agrees that Customer has read,understands,voluntarily accepts the terms of and has received a copy of this Agreement. Accepte by: Sub uted by: , G a • tom- x �T4 Csto 'SSigiature ate Saks nsullarit's, griature Telephone No, c�atGLIr7'S��/ — Customer ss Signature hate Sales Consultant License No. _ (as applicable) CANCELLATION: CUSTOMER MAY CANCEL THIS AGREEMENT WITHOUT PENALTY OR OBLIGATION BY DELIVERING WRITTEN NOTICE TO THE HOME DEPOT BY MIDNIGHT ON THE THIRD BUSINESS DAY AFTER SIGNING THIS AGREEMENT. TIME STATE SUPPi.EMENT ATTACHED HERETO CONTAINS A FORM TO USE IF ONE IS SPECIFICALLY PRESCRIBED BY LAW IN CUSTOMER'S STATE, NOTICE:ADDITIONAL TERMS AND CONDITIONS ARE STATED ON TETF.RF.V)c1t,,'E SIDE AND ARE PAKI'OF TMS CONTRACT 03.30.12 C.SG White—Branch File Yellow—Custorner ld Wd7£:E 600E 8 •Upf IzzEZ9£e0S: 'ON XH9 pp6tuel . WOaS I .4 tHE Tp� Town of Barnstable Permit#0?����a 1 � Expires 6 monr s jrom issue dare y py� Regulatory Services Fee HARNSfKA A$ s a S 039 A�4, 6 ZOO9 Thomas F. Geiler, Director F BAR Building Division STAB LE Tom Perry,CBO, Building Commissioner 200 Main Street, Hyannis, MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY Not Valid without Red X-Press Imprint Map/parcel Number___ 3 * o D Property Address .-IV dResidential Value of Wort. Minimum fee of$25.00 for work under$6000.00 Owner's Name &Address 1461,4 �l/r✓ C.'ontractor'sName �, /l� �� (�C�',���2/ Telephone Number �s7r2 Mo' 3P&;Z1 1 lome Improvement Contractor License#(if applicable) Construction Supervisor's License# (if applicable) CY5 ❑Workman's Compensation Insurance Che one: I am a sole proprietor ❑ 1 am the Homeowner ❑ I have Worker's Compensation Insurance Insurance Company Name Workman's Comp. Policy# Copy of Insurance Compliance Certificate must be on file. Permit Request(check box) ❑ Re-roof(stripping old shingles) All construction debris will be taken to ❑ Re-roof(not stripping. Going over existing layers of roof ❑ Re-side [Replacement Windows/doors/sliders. U-Value U' (maximum .44) *Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. 'Note: Property Owner must sign Property Owner Letter of Permission. A copy of the Home Improvement Contractors License is required. SIGNATURE: i�.'U PFII.fa11 t)RMSlhuilding permit forms\EXPRESS.doc Revised 100608 i - T T ti Town of Barnstable . Regulatory Services per$ Thomas F. Geiler,Director z 619L. Building Division Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town-barnstabTe.ma.us Office: 508-862-403 8 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using ABuilder I, 0' ( (%(/� 11�� , as Owner of the subject property hereby authorize �� /�; ��U ��ir/ to act on my behalf, J in all matters relative to work authorized by this building permit application for: 7 PcJO UA� 14 o «s (o le .(Address of Job) I�Wb6 5� e of Owner Date Sr Print Name If Property Owner is applying for permit please complete the Homeowners License Exemption Form on the reverse side. y�Pr�y� Town of Barnstable �T� '' Regulatory Services s.�xtlsr�LB1.P Thomas F. Geiler,Director 165 q.... ,�� Building Division ' PIED Tom Perry,Building Commissioner .._.... . .200 Mai3i�3reet;--Hyaimis;MA--02-6-01 _. ..... ... _ _.._. . . _._.._..... RWv.t6,:\w barnstsble.ma us yt Office: 508-862-403 8 Fax: 509-790-6230 HOMEOWNER LICENSE EXEMPTIO Plence Print DATE: JOB LOCATION: number street village "HOMEOWNER': - V name home phone# work phone# CURRENT MAILING ADDRESS: city/town tc rip code The ctnrent exemption for"homeowners"was extended to elude owner-o cu ied dwellin s of six units or less and to allow homeowners to engage an individual for hire wh does not possess a 'come,provided that the owner acts as supervisor. DF.FINrIZON F HOMEOVt%TR Person(s)who owns a parcel of land on which he/she resides or intends to reside, n which there is, or is intended to- be, a one or two-family dwelling, attached or detach structures accessory to such a and/or farm structures. A person who constructs more than one home in a two- ear period shall not be conside a homeowner. Such "hointowner"shall submit to the Building Official of a form acceptable ildi to the Bun Official,that he/she shall be responsible for all such work performed under the Udine permit. (Section 109.1.1) The nndcrsigncd"homcowmcr"asstmes responsibuty for compliance with the State Buil g Code and other applicable codes,bylaws,rules and regulations, f The undersigned."homeownen='certifies that.he/,sho tmderatands the Tpwn of Barttstable,Buil.', Deparhnent in nirnum inspection procedures and requirements and that he/she will comply with said proced s and requirements. if r f. Signatzrrs of Homeowner /r j f ' 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 EXE)EMON The Code states that "Any bomeowner peribm ing work for which a building permit is required shall be exempt from the provisions of this section(Section ID9.1.1-Licensing of con=ctim Supervisors);provided that if the homeowner.mgages a person(s)for hire to do such work,that such Homeowner shall act as supervisor." Many homeowners who use this exerrrpticm errs unaware that they am asmrrmng the responnbilitirs of a supervisor(see Appendix Q, Rulcs&Rcgulations'for Licensing Camstruction Supervisor:,Section 2.15) This lack of awarcntss often results in serious problems,particularly when the homtown cr huts unlicenstd persons. In this use,our Board cannot proceed against the unliccrosed person as it would with a licensed Supa visor. The homeowner acting as Supmvisw is ultimatrly responsrble. To ensure that the homeowner is fully aware of his/her responmbiIitics,many communities require,as part of the permit application, that the homeowner certify that lydshe understands the responnbilities of a Supervisor. On the last page of this issue is a form currently used by several towns. You may can t amend and adopt such it fomrlcerti5c2600.for use in your community. Q:forms:homccxcmpt . 7/ e l�� c.?/.. ... SFPTI Assefisor's map and lot nu ber ........ ✓ C SYSTE TALLED INM MUST BE 7 WITH ARTIC it S-rA ANCE Sewage Permit number ................�3U......................I........ SANIT LE II STAT Rr�U ARY CODE AND E POFTMElp�4 TOWN N OF BARI'�T�°``�Xffft - Z EARNSTADLE, i "6 BUILDING INSPECTOR O�O YFY� APPLICATION FOR PERMIT TO ............�. /.LIY..0................................................................................. TYPEOF CONSTRUCTION .....LN.. .d. .............................................................................................................. ./Z..�,l. ...?.. ....19........ TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the followi nof ng information: Location ..."...�................................................J. ................... ........... ProposedUse ...: r% lh! ........................................................................................................................................... Zoning District Rp—.)...................................................Fire District Name of Owner 7A--11 q...1V....f-eft.k."W.. k....Address .,1.�!.�....5 �.......5.7..... 1>< ............. Name of Builder .1J -0-h('/ I/ 14e1.11 .....Address ..I&4.-M..Or Name of Architect .. ll.Y.,y't...��.... �..k�5.........Address .. ...10.yll /...& ...,N.....s ......... Number of Rooms ...7........t.....'..,,...... .......................................Foundation ....... ....... ../w........ Exterior .fVD .t............. .!: O ....................................Roofing ........, /......................................................... Floors ...W/..Q..*.IL.................................................................Interior .................................................................................... Heating ....F,4m........................0.t.-I .... (x l...........Plumbing ..........................�.......................................................... I Fireplace ..../...........................................................................Approximate Cost .......�7.a�..A.'.0........... .. 930 ' i 1`�................. Definitive Plan Approved by Planning Board -----------_------_-----------19________. Area fib. v. �...................... Diagram of Lot and Building with Dimensions Fee SUBJECT TO APPROVAL OF BOARD OF HEALTH .S'7�omrn Q 1 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. A9'.0049 permit for ... 1/2 stor 1 A single family dwelling f,....................................................................... Location ..-...74..p81omino Drive.................... Barnstable ............................................................................... Owner .........Tal v Ho I= Fasts, Inc, Type of Construction ......fKWA........................ ................................................................................ Plot ............................ Lot ..........�85............... Permit Granted .....March 29 19 78 Date of Inspection ......... .........................19 Date Completed ..��..� ��/� PERMIT REFUSED ................................................................ 19 ........................ ........ ........ ...... ,,f................................ Approved ................................................ 19 ............................................................................... ............................................................................... 'Y,rl��'�. � �d� at',r� r >;1� _ T ... +•. , +�" X t1 i.'a.eta �+'4,Hh r')ws�5 •vc'f "'4`. +k ryt ya.�,1r. 1 ° 3; i w w r ft aF` i '-1�g 01;M"a ti + 1 �y�`.J`ers�..� _t �sl-.tea S r "1t t fl *r K ; tt : sl t rt+�Fr Fyg �• ,& sa,1 d t:rAa� r� +♦`�e''sr rF'+� I r ';, .°• �./ �/"' �s!, d'r,dXw `FtaK��� r, � :�.�k•; /i Jam';t � ' + •;A r t. t :'r I r:,. f 's ,y '�''Sz ft:,:N¢ ,<y ea y, xP' � I#�+nn.., ��i Y q' wff.." fY�Ff'lrid�� 73i14, ` +. 4'.%¢�ssK•a r¢r� c '{..d d,. 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Y ''� �i���, ^Y; �7 r 7 +r 1pr „cth��� } t �gl .� 7> �/V/1'�1 E;,t/6r/�l/�E,?tC,'�� a ,,r i n `:�a rcFti'lrttt•`/u 6MG�►C/Ts-i, .i4t. d., �^ Fij/''/'77,�. - • ;..= .... F, Yft�y..al w,;:°tii TOWN OF BARNSTABLE Permit No- -----------_--------- t�mn� Building Inspector cash ------------------------ �Yl 00 ,ego• 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 Address Wiring Inspector _ Inspection date Plumbing Inspector x _ 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. ...................................................... 19_... _ ................................,............. ................... _....... ._.... ._..__._.._ Building Inspector