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I
Town of Barnstable *Permit#0 �2
Regulatory Services Fees 6, nrhs issue dare
HA LE, ZO�G
y . Thomas F.Geiler,Director
' MASS. � 'v
TUB6.3 ?0 rl i�S�� � Building Division
Tom Perry,CBO, Building Commissioner
200 Main Street,Hyannis,MA 02601
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
f
Map/parcel Number � \ C'fY1S'1Gz�t�
Property Address
['Residential Value of Work "I b(00,, G0 Minimum fee of$25.00 for work under$6000.00
Owner's Name&Address
Ln )L Quawnn fflc�, 00f,
Contractor's Name �,n, ` Telephone Number
Home Improvement Contractor License#(if applicable)
Construction Supervisor's License#(if applicable) ( 00 W
�orkman's Compensation Insurance
Check one:
❑ 'I am a sole proprietor
❑ I am the Homeowner
have Worker's Compensation Insurance
Insurance Company Name � ,
Workman's Comp.Policy# �')ua- }
Copy of Insurance Compliance Certificate must be on file.
Permit Request(check box) (C
Re-roof(striping old shingles) All construction debris will be taken to J +
❑Re-roof(not stripping. Going over existing layers of roof)
❑ Re-side
❑ 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:bu i I d in gperm its/express
Revise091307
Town of Barnstable
BAnNS'rMLL Regulatory Services
Thomas F.Geiler,Director
Building Division
Thomas Perry,CBO
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
as Owner of the subject property
hereby authorize M1qL4< Lea A.j to act on my behalf,
in all matters relative to work authorized by this building permit application for:
(Address of Job)
L1
Signature of Owner Date
Print Name
1 1
Q:Forms:buildingpermits/express
Revise091307
y,
�I "' ON CONSTRUCTION
MoLe
Mark Lemon
Roofing & Siding Specialist
PO Box 423
West Hyannisport, MA 02672
Home and Fax: 508-771-6634 Cell: 508-737-1282,
ml_son con struction@corncast.net
Insured- Licensed- Free Estimate-
Prwo P^d140
Bernard and Ann Dunn Property @
PO Box 313 Cummaquid, Ma 02637 32 Tisquantum Road
508-362-6852 Cummaquid Ma
To StripOff back left side of roof and install EDPM full adhered rubber
Y
For the Sum Of: $4,600.00
TOTAL DUE: Upon Completion
We propose hereby to furnish labor& materials complete in accordance with above specification for the sum of:
four thousand six hundred dollars
All materials are guaranteed by manufacturer.All work to'be completed in a substantial workmanlike manner according to specifications submitted,
per standard practices.Any alteration or deviation from above specifications involving extra costs will be executed only upon verbal request and will
become an extra charge over and above the estimate.All agreements contingent upon weather,accidents,or delays beyond our control.Owners
to carry fire,tornado,and other necessary insurance.
This proposal maybe withdrawn if not accepted within 30 days.
ACCEPTANCE OF PROPOSAL----The above prices,specifications and conditions are satisfactory and are hereby accepted.You are authorized
to do the work as specified.Payments will be made as outlined above.
SIGNATURE DATE 10/30/09 SIGNATURE4�fc a��.ce, DATE %d
I
i
e�
P5 essor's office(1st Floor): SEPTIC SYSTEF-4 MUST at THE
�'
Assessor's map and lot number J 114S°TALLED IN CO�P"AN�m� �Q��� Tory
Board of Health(3rd floor): c.• MM
d
Sewage Permit number �Q... �� ,� TMLE 5
ENVIRONMENTAL CODE ANC = DA TAMLL
Engineering Department(3rd floor): rus
House number 3a TOWN REGU TJONS '°� t6yq
Definitive Plan Approved by Planning Board 19, ^�* ZE
APPLICATIONS PROCESSED 8:30-9:30 A.M.and 1:00-2:00 P.M.onlyTOWN ., OF BAR .
BUILDING INSPECTOR
APPLICATION FOR PERMIT TO
TYPE OF CONSTRUCTION LA--,)op FP—4syi-e e, �'a,✓Cb—e Z�� />// l
19
TO THE INSPECTOR OF BUILDINGS:
The undersigned hereby applies for a permit according to/the following information:
Location
Proposed Use ��I .1
Zoning District 9c- Fire District W'14 r'`�S
Name of Owner�o f^Y1 YI in k, _NJ8 KI Address �Q!a etl 14&;il
Name of Builder SS ijak z e/6 h J Address 3
Name of Architect -- _____...�..- Address
Number of Rooms Foundation Cod
Exterior Roofing
Floors Interior �~
Heating Plumbing
Fireplace Approximate Cost
Area
Diagram of Lot and Building with Dimensions Fee 10�
OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS
II the Rules and Regulations of the Town of Barnstable re .-
I hereby agree to conform to a g regarding the above construction.
Name
Construction Supervisor's License
�DUNN, BERNARD & ANN K.
r
BUILD COVERED
} ,N 4 Permit For PA T y n
Single Family -,Dwe1-1ing
Location Lot 15 32 Tisquantum Rd.
Owner- _ Bernard & Ann K.. Dunn
Type of Construction Wood Frame & Concrete -
Plot Lot { ;
'1 December -, 9
Permit 0 Granted D b 16-- `19 1 ,
Date of Inspection 19
Date Completed /02 19
IS Z
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