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oME,� Town of Barnstable *Permit (76 ?p
Expires 6 mo t f o sue
Regulatory Services Fee
saxxsrnste, z
9� MASS. $ Richard V.Scali,Director
039. p
Building DiviX01missioner
poss
Tom Perry,CBO,Building 5 Z015
200 Main Street,Hyannis,MA 026010 1
www.town.barnstable.ma.us �ARNS1 A��-
Office: 508 862 4038 O\N o Fax: 508-790-6230
EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY
Not Valid without Red X-Press Imprint
Map/parcel Number
;;r
Address ( P , 5�d 1 e
Residential Value of Work$ 10. -75� Minimum fee of$35.00 for work under$6000.00
Owner's Name&Address �!"04 CaI4,&.1 04`
30 ("�R" 14C /Am e
Contractor's Name ^(ice Telephone Number zf,7q 7-2-2 (OS22
Home Improvement Contractor License#(if applicable) �-�j 2 Email:
Construction Supervisor's License#(if applicable) �,�
❑Workman's Compensation Insurance
0k 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 Reque t(check box)
e-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
❑ Replacement Windows/doors/sliders.U-Value (maximum.32)#of windows
#of doors:
❑ Smoke/Carbon Monoxide detectors 4 floor plans marked with red S and inspections required.
Separate Electrical&Fire Permits required.
*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&Construction Supervisors License is
required.
SIGNATURE:
Q\WPFILESTORM �uilding permit forms\EXPRESS.doc
Revised 040215
Siding: Remove old white cedar siding from 4 back roof cheeks,1 cheek in the front going up to the
chimney,and the entire garage side gable and replace with new white cedar siding,including new lead and
step flashings going up the cheeks.
Extras:Block the Gable end vents,and replace damaged side wall shingles on the opposite gable from the
garage.
POSSIBLE EXTRA CARPENTRY:Any Rotted or Otherwise Deteriorated Plywood Sheathing,Missing
Metal Flashing,Side Walling or Any Other Carpentry or Masonry Needing Replacement will be done and
charged for as an Extra:Materials Plus Labor at the Rate of$80.00 per Hour.
PAYMENT SCHEDULE:A Deposit of One Half is due at the Signing of this Roof Proposal and the Final
Payment for the Balance is Due Immediately Upon Completion.
All work is scheduled to begin within 60 days of the date of acceptance of this proposal
COREY & COREY
Warranties the Shingles and Labor for 10 years.
CERTAINTEED Warranties the shingles and labor 100%for the First 10 Years
and the Shingles your LIFETIME if the shingles becomes defective.
CERTAINTEED Warrants the Shingles up to a
CATEGORY II HURRICANE-110 MPH WIND WARRANTY .CERTAINTEED Warrants the Shingles to be Algae
Resistant for a Full 10 Years.
COREY & COREY
carries Workman's Compensation and Public Liability Insurance on the above work
Please make checks payable to:
PATRICK CLIFFORD
Total Investment: $10,750.00
DATE OF ACCEPTANCE: a.3 -/,y
ACCEPTED BY: SUBMITTED BY:
HOMEOWNER COREY&COREY CONSTRUCTION
A
- t •
�F�ME nn.
Town of Barnstable *Permit#r�c�`�
Expires 6 months from issue date d
Regulatory Services Fee aS
, Thomas F.Geiler,Director m
Building Division Pkess P
Tom Perry,CBO, Building Commissioner
/7-
200 Main Street,Hyannis,MA 02601 T® AR � eS 20
www.town.barnstable.ma.us ��oFs j0
Office: 508-862=4038 '��/ ,�5 8-790-6230
EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY
Not Valid without Red X-Press Imprint
.Map/parcel Number 1� l b 7 3
Property Address ,30 ro h)I fe_ Lei ij e- (I r r1 S J—j c 1 e 14, 0a,6,30
❑Residential Value of Work Li Db Minimum fee of$25.00 for work under$6000.00
Owner's Name&Address r,�(C cQ ✓R I��rl
.
�? C�r'an�+e, I. yle
Contractor's Name U t t'a IC I'e- t'o r)l e-- T vvN 0,-6y-r_m eye Telephone Number .50 V -7 -7 S-I I`l 8
.Home Improvement Contractor License#(if applicable) 103 7 S 7
Construction Supervisor's License#(if applicable)
VorkmanIs Compensation Insurance
Check one:
❑ I am as o* le proprietor
❑ I am the Homeowner
❑Thave Worker's Compensation Insurance t
Insurance Company Name �Gi C -� Z►�C�I fS t S (Y1 Pt
Workman's Comp.Policy# I.J.0 _]W`A 9 4 3 L(L')_c)o!j
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]
❑ Re-side
#of doors
[� Replacement Windows/doors/sliders.U-Value m, 1(o (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.
A copy of 0 mVT&707rovement Contractors License&Construction Supervisors License is
req .
SIGNATURE:
QAWPFILESTORNIMbuilding permit forms\EXPRESS.doc
Revised 090809
TIME Tak Town of Barnstable
ti
Regulatory Services
rMABS. � Thomas F.Geiler,Director
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 ABuilder
I, \�Q Cl.l dl C 0 y a �� 1 n I ,as Owner of the subject property
hereby authorize ] )Q mP_ TrOrDVP�T12�1� to act on my behalf,
in all matters relative_to work authorized by this buii1ding permit application for:
D d- n 14-e_ L&n e B a.r
(Address of Job
S-rgnature of Owner Date
Yd 1104 � //;1/,
Print Name
If Property Owner is applying for permit please complete the
Homeowners License Exemption Porin on the reverse side.
Q:F0 MS:0WNERYtKMISS10N
�!( As map and. Number
3/ ac:...
: !3i�` /Z.�/1 � S Lb`6'.? ypi tot`
THE
Sewage Permit number ...... .. ". .............:.....:
. .' �1...:. t4 SYISTt.6 +°�I BAHBSTADLE. i
House number .............. ..... ' a
p MAB
r. INSTALLED TALLED IN COMPiu.I;f'a, Ypr
a 5 _TOWN O t��1ZRl�I "WXaf� � `.
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2 =ar �� �—Yz
,• APPLICATION FOR PERMIT TO ..........QS�.. .... ..`.........................:....................................................................
TYPE OF CONSTRUCTION .......... ...................... ..................................
....... .............19.g 3.
TO THE INSPECTOR OF BUILDINGS:
The undersigned hereby applies for a permit according .to tthee following information:
nn i 4 �Z�`�,......... Z�t,.�� Z I.P,..-......................
Location ...�..Q .........:.1.\........ .... ......... .................... ........................................
ProposedUse ...... .... !' ........ ........................... .....................................................
Zoning District ...... .\` .� * .................. . .Fire District .....\:. NLs..,`..... .......................................... .
Name of Owner .. C) . !1 ...�.Vz .�. ` .Address.. ................ ..........
Name of Builder o G?-...�` � . .3 1..:. t+iM2 !t• �..................
<1 t
Address ............ ............. ............
Nameof Architect ..................................................................Address ..........................`:............... ...................................
Number of Rooms ....5A%% .....................................................Foundation ,Q!�YQ�..�.4 .-V.
........Roofing .....
Ars.t X7�-�........................................................
Floors e .... ...............Interior ....
.. . . .O. �,........................ .. ................. ;:.......................................
.77�Heating :.T'C•.. A........ ..Q l.h.......:....... Plumbing �+^v.�. ..C. !5,............................................. 1
•Fireplace 1�Q�!'��..... W.. ..k?� -`./ :....................Approximate Cost :':.::.3 000 .............
Definitive Plan Approved by Planning Board -------------------_-----------19 , Area J"�`�"............................
Diagram of Lot and Building with Dimensions Fee
SUBJECT TO APPROVAL OF BOARD OF HEALTH
r
OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS
I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above
construction.
1
Name ..:.. ..... ....
Construction Supervisor's License i... ...`...!.................
QLVILLINI, YOLANDA
No
25408 D-2 Stor
..............L Permit for ....................................
Single Family Dwelling
. ................................................................................ N t
-k
Lot 71, 30 Gra'ni
Location ...........................................................te L.ane .
....
Barnstable
...............................................................................
Yolanda Cavallini
Owner ....................................................................
Type of Construction ...Frame....................................... t
..............................................................................
...................... Lot ...............................
Permit Grahtled ..... ........11-9 83
Date of lnspectiong:S�q_�y............ .......19
Date Completed .......... pz
... 19
R ab
V
P%' 3
4
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25408
.� TOWN OF BARNSTABLE Permit No. _-------___-----_--_________
Building Inspector
aaasa Cash ---------_-----
�ea` �
OCCUPANCY PERMIT Bond
r ;
Issued to Yolanda Cavallini Address,.
Lot 71, 3,,� Granite fans", B.anstdble
Wiring Inspector
,�/� �� Inspection date
Plumbing Tnspector J� ,�. Cc) dam,_.. Inspection date
Gas Inspector yla` x Inspection date
Engineering Department !'f G �� r`` f�. .4„Inspection date f --2zz "
Board of Health' �� '� inspection date ✓ ;��fX�/ 47
THIS PERMIT WILL11NOT BEP VALID, AND THE BUILDING SHALL NOT BE OCCUPIED UNTIL
SIGNED BY THE BUILDING INSPECTOR UPON SATISFACTORY COMPLIANCE WITH TOWN
REQUIREMENTS AND IN ACCORDANCE WITH SECTION 119A OF THE MASSACHUSETTS STATE
BUILDING CODE.
............... �9_..._ _
Building inspector'
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I CERTIFY THAT THE FOUNDATION
SPOWN DOES'NOT VIOLATE ANY
EXISTING ZONING REGULATION O '
ENE TOWN OF $�,2;h1 SQ U N ,71 oki Cep"1-1F Ic f 14/)
OF
„n WALTER yG r t -fit `
P.
v OLDHAM �, ++I?'.,�k�v� t:i; •i fit ''d,
4�23207,
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