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Home My WebLink About1876 PHINNEYS LANE �7� �h�� aC,a� �✓o _ �� -- �; _� �. .. k ,� �' i m , o 4 ' .. may. „� ... .. _ ... _ - _--. _. ._ _, Town. of Barnstable *Permit# ere 6 months from issue date Rgff�ling Department wee fsnxxsTAsr�. ®11an Florence,CBO NAM. c� 039. �, Building Commissioner or a � APR 3 0 20Uoo Main Street,Hyannis,MA 02601 �I www.town.barnstable.ma.us Office: 508-862-1516 0 Off- bAHNS TABU : 508-790-6230 EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY p_ Not Valid without Red X-Press Imprint Map/parcel Number (� Property Address t �� \ GQ 30 [V�Residential Value of Work Minimum fee of$35.00 for work under$6000.00 Owner's Name&Address ��_►�InPyl7� ,f1(' 1 � "►�a��t;�.pT �-�� tip �� Contractor's Name Sprinkle Home Improvement Telephone Number 508-775-1778 Home Improvement Contractor License#(if applicable) 103757 Email: S rink Cnl Comcast net Construction Supervisor's License#(if applicable) CS-006643 WWorkman's Compensation Insurance Check one: ❑ 1 am a sole proprietor ❑ I am the Homeowner I have Worker's Compensation Insurance Insurance Company Name AIM Mutual Workman's Comp.Policy# WCC50050167472019A Copy of Insurance Compliance Certificate must accompany each permit. Permit Request(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) Re-side El Replacement Windows/doors/sliders.U-Value (maximum.32)#of windows #of doors: *Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. ***Note: Proper 0 ust sign Property Owner Letter of Permission. A c y f t ome Improvement Contractors License&Construction Supervisors License is SIGNATURE: C:\Users\decollik\AppData\Local\Microsoft\Windows\INetCache\Content.Outlook\9NNOKXY W\RESI DENTILONLYEXPRESS.doc 09/26/17 II � ��caT1"Srfor sidingy�rim,�or�roo ng werect�mme�a�you�removetanyoreaxaote -z ^ . z • { t If ,` o pa y �'�/ti � u J.ad 5r y s u;.rlh,�, �ar • F '�':a4r r 2�. ,,,i, L lang on walls until job completion: u SNOT INCLUDED IN4CONTRACT PRICE= -' �,�4 A Painting or stairun around window or door openings Removal''of existirig1doorsr'and'Win, sfoftmreveals weathering, as well as areas that may F �or may not be previously,staued or painted. As noted, Contractor will not be responsible for ` painting or staining these areas. o Adjustments or Reattachments Contractor will not assume responsibility for removal, re-attachments, or re-positioning of 1' drapery rods, window shades, blinds and/or mini blinds;-and corresponding hardware. i RIGHTS TO CANCEL The Owner may cancel this Agreement if it.has been signed by the Owner at a place other than the address of the Contractor, which maybe his,main office or branch thereof, provided R that the Owner notifies the Contractor in writing at his main office, or branch by ordinary mail posted, by telegram sent or by delivery,not later than midnight of the third business day �9 following the signing of this Agreement. HOMEOWNER; DO NOT SIGN THIS CONTRACT IF THERE ARE ANY BLANK SPACES ih - I/we accept this contract in its entirety and I/we authorize Sprinkle Home Improvement to act on my behalf in all matters relative to the work to be performed on this job (i.e. M permits, applications etc.) if necessary. E ' Homeowner Signature Date Contractor Signa a Date s Ken Vancor Brad Sprinkle- R otration#103757 1876 Phinney's Lane,Barnstable,"MA 02630 s ✓ ?,5. It f Town of BarnstableKVkow ermit 5S� y from inue date Regulatory Services 6"n'111i t Thomas F.Geiler,Director �7¢A Building Division Tom Perry,CBO, Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.batnstable.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 9 g Property Address (D 2kZnv\e. 5 Leusz_ Residential Value of Work (Q�(� _ Minimum fee of$35.00 for work under$6000.00 .Owner's Name&Address 41NY\4- \ 401y\CC)1r Contractor's.Name Sprinkle Home Improvement Telephone Number 508 775-1778 Ext. 10 Home Improvement Contractor License#(if applicable) 103757 Construction Supervisor's License#(if applicable) CS 6643 u O R ES ®E R M''T KWorkman's Compensation Insurance " Check one: S E P 11202 ❑ I am a sole proprietor ❑ I am the Homeowner - (� I have Worker's Compensation Insurance TOWN OF BARNSTABLE Insurance Company Name ASSOCIateCl Industries Of MA / A.I.M Mutual Insurance Co. Workman's comp.Policy# AWC 7004943012012 Copy of Insurance Compliance Certificate must accompany each permit. Permit Request(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) ❑ Re-side #of doors l Replacement Windows/doors/sliders.U-Value •3.� (maximum.35)#of windows _ •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 a Improvement Contractors License&Construction Supervisors License is a SIGNATURE: C:\UsasW=11ik1AppDatal,mW\Micmoft\Windows\Temporary Interrut Files\ContmtOudook\DDV87AAZ\EXPRESS.dm Revised 072110 ` Town of Barnstable Permit Authorization.jpg 2,548x3,300 pixels 9/4/12 12:08 PM Tie Town of Barnstable Regulatory Services Thomas F.Geiler,Director u +►�� Building Division Tom Perry,Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.b arnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using ABuilder I, Ke;n e '�a vc Coy- ,as Owner of the subject property hereby authorize SPRINKLE.TOME IMPROVEMENT,INC. to act on my behalf, in all matters relative to work authorized by this binding permit application for. Ilo�6 �I InV1AJ S WkyLR J�6A ,S`Ick e (Addre'.s of Job) Signature of Owner Date 1/P-V,k ,?-+k `&i4 ca l- Print N If Property Owner is applying for permit please complete the Homeotivners Licer_se Exemption Form on the reverse side. Q:FORMSOWNERPERMISSION http://web.maiLcomcast.net/service/home/-/Town%20of%20Barnstable%20Permit%20Authorization.jpg?auth=co&loc=en_US&id=176920&part=3 Page 1 of 1 s ��oF 1HE r�y� �' Town of Barnstable *Permit# �APfit Expires 6 o the irrssrre date g)1-tort' Services Fee > BAnNSTABLE, : APR . MASS ° 5 2kflomas F. Geiler,Director 1639• �� 7-®WJ„��D AlEp �� ,4/�A/S--Ap�uilding Division Tom Perry, BO, 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 C�J Property Address f X 1-Wive) Is ),A-d-10- 8 V SJ7 RI Residential Value of Work�CO' 00 Minimum fee of$25.00 for work under$6000.00 Owner's Name&Address ll� /l� Vr+tv 0_0 Contractor's Name '11 �� Telephone Number Home Improvement Contractor License#(if applicable) Construction Supervisor's License#(if applicable) ❑Workman's Compensation Insurance Check one: [�am a sole proprietor ❑ I am the Homeowner ❑ I have Worker's Compensation Insurance Insurance Company Name Workman's Comp,Policy# Copy of Insurance Compliance Certificate must accompany each permit. Permit Request(check box) ❑ Re-roof(stripping old shingles) All construction debris will be taken to ❑Re-roof(not stripping. Going over existing layers of roof) �e-side e ( #of doors ❑ Replacement Windows/doors/sliders.U-Value (maximum .44)#of windows *Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. ***Note: Property Owner must sign Property Owner Letter of Permission. copy of the Home Improvement Contractors License & Construction Supervisors License.is qui SIGNATUI2 r zrti Town of Barnstable ' Regulatory Services per$; Thomas F. Geiler,Director 16 Building Division Tom Perry,Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town-barngtable.ma.us Office: 508-862-403 8 Fax: 508-790-623C Property Owner Must Complete and Sign This Section If Using A Builder I, "J as Owner of tho subject property hereby authorize ?%I— -SK ink to act on my behalf, in all matters relative to work authorized by this binding permit application for. (Aidre, of Job) Signature of Owner Date e cco Print Name If Property O ner is applying for permit please complete the Homeowners License Exemption Form on the reverse side. Town of Barnstable Regulatory Services Thomas F. Geiler,Director ' s.�xtasrASL�. - 'd'` Building Division �lfD Tom Perry,Building Commissioner _. .200 lviairi street,—Hyannis;NfA 026-01 _.._ . . . _._.._..... www.town.barnst.able-ma.us Office: 508-962-403 8 Fax: 50 8-790-6230 HOMEOWNER LICENSE E7SF-MMON Please Print j DATE. 3 y� JOB LOCATION t number street village 'HOMEOWNER': name home phone# work phone# CURRENT MAILING ADDRESS: cityhotvo state ap code The current exemption for"homeowners"was nded to include owner-occupied dwellings of six units or less and to allow homeowners to engage an individual for a who d es not possess a license,provided that the owner acts as sut�eryisor. ID ON OR IIOMEOWN'ER Persons)who owns a parcel of land on which he/she esid s or intends to reside,on which there is, or is intended to- be, a one or two-family dwelling, attached or detach ctures accessory to such use and/or farm structures. A person who constructs more than one home in a two-ye period shall not be considered a homeowner. Such 'homeowner'shall submit to the Building Oficial on a rm acceptable to the Building Official,that he/she shall be re onsible for all such work erformed under the bull permit (Section 109.1.1) T1ike undersigned"homeowner"assumes responsib11_i for co Lance with the State Building Coda and other applicable codes,bylaws,rules and reguianons. The vndcrsigned.."homeawnc 'certifies that.he/ a understands th Town of Barr�stable,Buildipg�epartinent minimum inspection procedures and mquiremcn and that he/sbc comply with said procedures and requirements. Signature of Homeowner Approval of Building Official Note: Three-famil dwellings ntainin 35,OOD cubic fcet or larger be required to comply with the N Y g g g 4 State Building Code Section 127.0 Co ction Control. HOMEOWNER'S EXEMPTION The Code states that "Any b cr performing work for which a building permit is rzqu' shall be exempt from the provisions of this section(Section 1D9.1.1 -Liceruurg construction Superyison);provided that if the hameowner. gages a pcnm(s)for hire to do such work,that such Homeowner shall ad as sor." -� \3 Many homeowners who use s exemption are unawarL that they are assrmvng the rrsporrstbtlities of a supervisor(see Appendix Q. Rules&ltcgulations for Li�T�*+g etian Supervisor:,Section 2.1 This lack of awarrness often results In serious problems,particularly when the hoeowner hires unIi_ persons m in this case,our Board cannot proceed against the unlicensed person as it Wrould with it licensed Supervisor. The homeowner icting as Supervisor is ultimately responsible. To ensure that the bomwwner is fully aware of his/her responnb1itics,many communities require,as part of the permit application, that the homeowner certify that Irdshe understands the responsibilities of a Supervisor. On the last page of this issue is a farm currcntly used by several towns_ You may care t amrnd and adopt sueb a fmTn1catification.for use in your community. Q:fmTm-.bomccr:cmpt Town of Barnstable *Permit# L� Expires 6 months from issue date VUk� Regulatory Services Fee o Q Thomas F.Geiler,Director Building Division y Tom Perry,CBO, Building Commissioner r t��-��6 200 Main Street,Hyannis,MA 02601 �v`' RNcJ'(P►8,'� www.town.bamstable.ma.us OF BP` Office: 508462-4038 10 Fax: 508-790-6230 EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY �} /� Not Valid without Red X-Press Imprint Map/parcel Number I 0 3t 7 Property Address f$% Ph l n a e y s t, 1,r n s �/G ❑Residential Value of Work 7 S0� Minimum fee of$25.00 for work under$6000.00 Owner's Name&Address Kt:ri V aii.C®r 18'7G� Pk10n* eYs Ln 94rn-57 �� Contractor's Name S mo Telephone Number Home Improvement Contractor License#(if applicable) O S6)3 Construction Supervisor's License#(if applicable) ❑Workman's Compensation Insurance T; Check one: ❑ I am a sole proprietor ❑dam the Homeowner 0'I have Worker's Compensation Insurance Insurance Company Name J4 Workman's Comp.Policy# 6,fl2 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. U-Value t qp (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. Home Improvement ontractors License is required. SIGNA jV Q:Fomis:expmtrg Revise071405 Town of Barnstable Regulatory Services 3 ; lam _ Thomas F.Geller,Director . 39. 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 Property Owner Must Complete and Sign This Section If Using.A Builder ey r ,as Owner of the subject property hereby authorize Te-SS e o ff- to act on my behalf in all matEers relative to work authorized by this building permit application for: 1S�(o I"�2 inn e�S L� UG�rn51�G�-bI� (Address of Job) ,tc_ 011 �L6 Signature of Owner Date e 1/� 1cor Print Name Q:FORMS:O MRMIMSION