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EXPRESS inm nING PERMIT APPLICATION
TOWN OF YARMOU M
Yarmouth Building Department
1146 Route 28
South Yarmouth, MA 02664
(508) 398 2231 Ext. 126
CONSTRU,CnON ADDRESS: Cx—,!a)
ASSESSOR'S IIVFORMAnON:
z ezphes 180 day+ from
date
RECEIVED
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OWNER: geaO2c� -<I c �s e ,4�67
NAME PRESFNPADDRESS Email Address:
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NAMH MAII.WG ADDRE S TEL 4 Email Address:
Residential Commjerciaall.Q� Est. Cost of Construction Q� p/ �J
Home Improvement Contractor Lic. # / o ` S 7 i#_ _Construction Supervisor Lie. 2! f 'y
Wodn-,an's Compensation Insurance: (check one)
I am the homeowner I am the sole proprietor I have Workes Compensation Insurance
G/ /
Insurance Company Name: Worker's Cetup. Policy#
Tent Duration
Siding: # of Squares
Roofing: # of Squares_
WORK TO BE PERFORMED
(Fire Retardant Certificate attached?)
Replacement windows: #
) Remove existing* (max. 2
. � Old Kings EUghway/Historic Dist. (✓) Replacing like for like
`The debris will be disposed of at
Location of Facility
Wood Stove
Replacement doors: #
PPROVE
DEC 06 2017
YARMOUTH
I declare under penalties of perlm that she statements herein contatn areVCe'hd correct to the best of my knowledge and belief. I nndastmd that any false ansarr(s)
will be just cause far lion of my license and for =ounder G.I.. Ch. 268, Section I. f "�
Applicant's Sign Date
Owners Signature (or attachment) --Date:
Approved
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Building Official (or designee)
Zoning District
Historical District: Yes No Flood Plain Zone: Yes No
Water Resource Protection District: Within 100 ft of Wetlands:
Yes No Yes No
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KELLY ROOFING PH. 508 509 4640
8 Rhine Road MA C.S.L. 1099167
Yarmouthport MA H.I.C.R. # 128957
MA 02675
Nov 16' 2017
Proposal submitted to Chris George of 4 Frances Helen Road Yamwuthport MA.
We propose to supply all materials and Labor required to remove and replace the
existing double layered asphaa roof at the address above.,
an wasi.
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AS debris to be removed to town transfer.
$' White Aluminum Drip Edge to be installed on all eaves.
Ice and Water damage protection membrane to be installed on first Six feet of all eaves and
around all protrusions.
Remainder of roof deck to be covered with #15 felt paper.
Instal limited lifetime warranty Architect style Shingles. color to be specified.
Aft shingles to be storm nailed (6)
Replace plumbing vent p" hoots with new.
Repair/ Replace aft ffashings as necessary
Install Shingle Vent It ridge vent with hand nailed caps.
Complete Clears up off all areas including all gutters and all nails after project complete
At a total cost of S5000
Proposal Submitted by: Oliver Keay
Proposal accepted by: "�(Z Date.//l Z 2017
Yids proposal is valid for 45 days from date above, please
Call to verity thereafter.