HomeMy WebLinkAbout0145 GOSNOLD STREET %.� a �
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Town of Barnstable *Permit#
Expires 6 months from issue date
• Regulatory Services . Fee a
saatasrnata, `
s ns�ss m°i Thomas '
F.Geiler,Director
�p�ED MA't p�0
Building Division
Tom Perry, Building Commissioner
200 Main street, Hyannis,MA 02601 X-PRESS PERMIT
Office: 508-862-4038
Fax: 508-790-6230 MAY 1 4 2003
EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY
Not Valid without Red%Press Imprint I UVVN Ur BARNSTABLE
Map/parcetNumber 2A H Dp
Property Address �l G b S n
Residential �1 Z 1 ►'7 C IJ Value of Work
Owner's Name&Address I C-6 6 n 0 I� �
toV tqY119I S
Contractor's Name m A o y— "VAQAusl Telephone Number
Home Improvement Contractor License#(if applicable) c y�
Construction Supervisor's License#(if applicable)
�orl man's Compensation Insurance
Chec ne:
I am a sole proprietor
❑ I am the Homeowner
❑ I have Worker's Compensation Insurance CD
Insurance Company Name 2.�fLn
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Workman's Comp.Policy# r 9 10 Lo`� (o X `� lP 7 4 cy-
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Permit Request(check box) ^� 5 457 p o
Re-roof(stripping old shingles) All construction debris will be taken to n S�
❑Re-roof(not stripping. Going over existing layers of roof)
❑ Re-side
❑ Replacement Windows. U-Value (maximum.44)
❑ Other(specify)
*Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc.
***Note: Pro erty e t sign Property Owner Letter of Permission. 7
7
Signature 5��
Q:Forms:expmtrg
Revised121901
Mby 10 00 00: 30A D Sternberg 513 004 G070 P. 1
FAX .140. : 5084207ele Mdy. 06 2003 06:48W1 P1
6 �-7
ARK HERBST
35 Peep Toad Rd.
Centerville MA 02632
(508)420-621 b y
PROPOSAL SUBMLTTC'D To..Dick Sternburg WORK PERFORMED AT:
145 Crosnold Ive
Hywwjs MA 02601 SOME
H 313 984-6070 fax 513-98,E-3644
Celt Phone 513-266-1777
We[faulty propose to f urn"t>ta:ntsloriuls and perform the tabor necessary for the
completion of the following:
Np
Remnye 2 invert qfr �f=
Ittsl 1�1$".min_,_ed�P
Lsct[t11�as1�,�felt�v_nnar
Ilisloll certaintead ehlr�rt��� y
R�,n_Irx-c ull�l��,►� �`
c i�rs�a11 cobra vPnr �i�'
All debris _lonno,rt.•l..;l„ u' 0
ice a
All material is guarnatteeed to be as specified,and above work to performed In
accordance with speclHcstioias submitted for above,and completed its a substantial
worlananlike manner for the sum of as specified above&veriflQd by your initials
Dollars( ____,may.wl�b pa;yments as(mllowsj full amount due upon completion
"Any allteratiou(s)from shove invoiving oxtra costs wilt be added under written
agreement,and become au extra charge over and above signed estimate/agreement
RESPECTF' LLY SUBM n-MD
Signature
ACCEffANCE OF PROPOSAL
The above prices specification&conditions are satisfactory,we harby accept
you are autho
rized ayments will be as specified above.
Signatura�s)
Date:�,� j
*This proposal may thdrawn by said company if not accepted within 30 days
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lie �oorvnaaiuuea -aaaac�uaelta
Board of Building Regulations and Standards
HOME I VEIVIENT CONTRACTOR i
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r » rorw 6004 !
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! jape nId v i d u a I i
MARK HERB
MARK HERBST
35 PEEP TOAD RD.
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CENTERVILLE MA 02632 Administrator: i
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BOARD OF BUILDING REGULAX 0 5
License INSTRUCTION SUPERV1,S0 t
` Num�e'i '�S O48546
j h R 1 9 3
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04 Tr.no: 2926 i
R a r^ 1
MARK D 14ERBS' rj.
I 3'S PEET TOAD RD % G• �i
CENTERVI'LLE, MA 0632 Ad'ministratar
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