HomeMy WebLinkAbout0325 WHISTLEBERRY DRIVE ��
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+ } } Town-of Barnsfable e *Permit# O%Y 7. �
XV&s 6 ni nths jrom issue date
MAM A : Regulatory Services Fee
063 `m� Thomas F.Gefler�Director
Building Division
Tom Perry, Building Commissioner
. 200 Main Street, Hyannis,MA 02601
Office: 508-862-4038 X-PRESS. PERMIT.
Fax: 508-790-6230 OCT 2 0 200 '
EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY
Not Valid%thout Red X-Press imprint TOWN OF BARN STABLE
Map/parcel Number.
Property Address
Residential Value of Work (�, Minimum fee of.$25.00 for work under$6000.00
Owner's Name&Address
Contractor's Name-. Telephone Number
Home Improvement Contractor License#(if app cable)
Construction Supervisor's License#(if applicable) >
•N '
❑Workman' Compensation Insurance '
Ch k one: r
a
I am a sole proprietor
❑ I am the Homeowner `
•�� rV T
❑ I have Worker's Compensation Insurance U1, o
o
Insurance Company Name u^'
y
Workman's Comp.Policy# — r"'
Copy of Insurance Compliance Certificate must be on file. `;' m
Permit Requ (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
❑ Replacement Windows. 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.
o Improvement tractors License is required.
Signature
Q:Forms:expmtrg
Revise063004
°F,►,E,°,,ti Town of Barnstable
Regulatory Services
Thomas F.Geller,Director
.
�Fa .�p`0 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 A Builder
as Owner of the subject property
hereby authorize. l to act on my behalf,
in all matters relative to work authorized by this building permit application for:
(Address f o )
Signature of Owner Date
Print Name
QTORM&OWNMERMISSION
y�
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�w
617
Board of Building Regulations and Standards License or registration valid for individul use only
HOME IMPROVEMENT CONTRACTOR before the expiration date. If found return to:
;> Board of Building Regulations and Standards
Regi_strattbnr..1.24310 One Ashburton Place Rm 1301
Ezp!at12q;::6/112005 Boston,Ma.02108
Type:
mes Curley
James Curley
287 Fuller Rd.
Centerville,MA 02632 Administrator Not valid without signatu