HomeMy WebLinkAbout0102 WILLIMANTIC DRIVE . a
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ACTIVE
Town of Barnstable *Permit#�S
Expires 6 mom from;ssrre date
Regulatory Services Fee O o
v zest �0$ Thomas F.Geiler,Director Vc0 7M 70krd
Building Division
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Elbert C Ulshoeffer,Jr. Building Commissioner
367 Main Street, Hyannis,MA 02601w
Office: 508-862-4038 SEP 14
Z001 1 �Fax: 508-790-6230 T I N oN 6
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. EXPRESS PERM
rNitho�R d APPLICATIONNot RIVS�-ABLE
Map/parcel Number O 3 OS
Property Address /O;Z L)0/1 aA 1(_,, Dr, fflar _-J-on S M i '/S
Residential OR ❑Commercial Value of Work A JJ 3/ . (0
Owner's Name&Address AAl( ( I j Q rn F. Wu r).,5[ h
199 i;,,sA 5 n S4 Pw�• 3 Cz an+on vd m
Contractor's Namej�LW i ZZ; A6 M 0, SnjQr 1✓ f nT Telephone Number
Home Improvement Contractor License#(if applicable) /O U 7 yp
'Construction Supervisor's License#(if applicable) (f.S U 7 a 7'7
[DWorkman's Compensation Insurance
Check one:
❑ I am a sole proprietor
❑ I am the Homeowner
Eplave Worker's Compensation Insurance
Insurance Company Name_ZIC.,f i Cj) A"U_ i Ca 11
Workman's Comp.Policy
Permit Request(check box)
❑ Re-roof(stripping old shingles)
❑Re-roof(not stripping. Going over existing layers of roof)
2 Ke-side
❑ Replacement Windows. U-Value (maximum-44)
❑ Other(specify) .
*Where required: lssuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc.
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