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0003 VANDUZER ROAD
o 0 6 1 o n s Town of Barnstable -PermitRegalatory Services Expires 6 r o •i e MAM Thomas F.Geller,Director Buffdang DbAsion Tom Pearry,CEO, Budding Commissioner 200 Mafia Street,Hyannis,MA 02601 www town barnstable.maus Office: 508-862-4038 Fax:508-790-6230 EXPRESS PERART AIPMCATI©N - RESIDENTIAL ONLY Q Not VaUif%elrorrt.RedX.PresslmprW Map/parcel Number 359 0 1 A Property Address Residential Value of'Work .Z � 1V.fzuiM M fee of$25.00 for work under$6000.00 a Owner's Name&Address G Sy i Vlll G2�3 Contractor's Name �-r,,Se�r �„ -� ,-TL C C 'Telephone Number 65C4)U,-? Home Improvement Contractor License#(if applicable) l 1 02 5 3 Constriction Supervisor's license#Clf applicable) �" 8 ✓�,Worloman's Compensation Tnsua s� e mce � �w Check one: I" P ❑ I am a sole proprietor ;? I am the Homeowner 406 2 O l have Worker's Compensation Insurance Insurance Company Name �164r6r-,a( -- UOion Workman's Comp.Policy# C-6oc?9 Ro-(a0! •'V OFeiq A' Copy of Insmrance Compliance Certificate must accompany each permit �'V s;r Permit Request(check box) ° Re-roof(stripping old shingles) All construction debris wiI1 be taken to Q Re-roof(not stripper. Going over existing layers of root) El Re-side #of doors Q Replacement Wmdows/doors/sliders.U-Value (maximum.44)#of windows *Where rega¢sd: Usnauce of this pcm&does not exempt compliance with other town depar=em reaWations,i.e.Historic,Conservatioa,etc. **"Note: Property Owner must sign]Property Owner Letter of Permisidon. A copy a Rom Imprilo t Contractors License&Construction Supervisors License is �req ui r SIGNATURE: Q_\WPFMES\F0RMSZ;9ding permit formslEPRESS.aoo Revised 090209 a w FRASER CONSTRUCTION Warranties the labor for LIFETIME of roof. FRASER CONSTRUCTION Warranties the shingles against Blow-Offs for 15 years. CERTAINTEED Warranties the shingles and labor 100% through the Sure Start Warranty duration. CERTAINTEED Warranties the shingles to be ALGAE resistant for the duration of the Sure Start Warranty depending on the shingle that was purchased. Any deviation or alteration from above specification will be executed upon written orders and will become an extra charge over and above the estimate. All agreements contingent upon strikes, accidents or delays are beyond our control. Owner should carry fire, tornado and other necessary insurance upon the above work. We, if not accepted within thirty days may withdraw this proposal. FRASER CONSTRUCTION, LLC: Carries Workman's Compensation and Public Liability Insurance on the above work, certificate available upon request. DATE OF ACCEPTANCE h 1 V Homeowner Fraser Construction, LLC -� TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map_ Parcel lf' ip3plica ion#a©�� Health Division Date Issued 2� Conservation Division Application Fee Planning Dept. Permit Fee ) Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation / Hyannis Project Street Address �2637 <hAry6u I Village Owner 30KCpGU `��l Address Telephone 54 - 362 Permit Request /, f'[dtil ��` lZ1Y�- 15rCUIA1 C'2�l /ate /fd a c 5 . GT �- /l Grk1 e� ( ' a 1c 161 Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation ��- Construction Type Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family 0/ Two Family ❑ Multi-Family (# units) Age of Existing Structure Historic House: ❑Yes ❑ No On Old King'szk ighway: Yes83 No r—a ry Basement Type: ❑ Full ❑ Crawl ❑Walkout ❑ Other 3 ' Basement Finished Area(sq.ft.) Basement Unfinished Area (sq. ... rws 9 „* Number of Baths: Full: existing new Half: existing _ new-, Number of Bedrooms: existing —new r. Total Room Count (not including baths): existing new First Floor Room ount -- Heat Type and Fuel: ❑ Gas ❑ Oil ❑ Electric ❑ Other Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑ No Detached garage: ❑ existing ❑ new size—Pool: ❑ existing ❑ new size _ Barn: ❑ existing ❑ new size_ Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes ❑ No If yes, site plan review# Current Use Proposed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name gr,� /mod /�/�u��%6,� Telephone NumberJ�2 ,7��� /, /S1- Address Z� 'g;*'5W 10"P License #_ Home Improvement Contractor# Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE '1 /2' FOR OFFICIAL USE ONLY • APPLICATION# DATE ISSUED MAP/PARCEL NO. ADDRESS VILLAGE OWNER DATE OF INSPECTION: FOUNDATION FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. OWNER AUTHORIZATION FORM (Owner's Name) owner of the property located at (Property Address,)) t-rlM yQfsr? , INAr (5437 , (P`rbperty A dress) hereby authorize Ca � Gl �11 QAJ , (Sut:-co actor) an authorized subcontractor for RISE Engineering, to act on my behalf to obtain a building permit and to perform work on my property. Owner's Oi4narury i / Date 4 t . i CAPE COD T0lslf,? Or INSULATION ?T? NOV —6 P'd 2. 35 EFN" TIRIR GLASS 51 MLESS SPRATTOAM SUSPENDED RATTS GUTTERS INSULATION CEILINGS 1-800-696-6611 � "`°�"' DIVISMI Town of Barnstable Regulatory Services Building Division 200 Main St Hyannis, MA 02601 e Date: l0/a G11 Dear Building Inspector Please accept this Affidavit as documentation that Cape Cod Insulation, Inc. performed & completed the insulation and weatherization work at the property listed below. Cape Cod Insulation did this in accordance to the specifications listed on the building permit application. All work has been inspected by a certified Building Performance Institute (BPI) inspector. All work preformed meets or exceeds Federal & State Requirements. Property Owner Property Address Village Insulation Installed: Fiberglass Cellulose R-Value Restricted Unrestricted Ceilings ( ) ( ) ( 361 ( ) ( ) Slopes ( ) ( (c3 ( ) ( ) Floors ( ) ( ) ( ) ( ) ( ) Walls Sincerely He y E C sidy , President Cape Cod nsulation, Inc.