HomeMy WebLinkAbout0134 TOWER HILL ROAD ,.
..
�� . ,
.,
o
,o ..
.. � ., -
��
7, n ^ ,.
t
,. ��
�i
a .. � .�
- .., i 'D
.. , �• o
��t.
era �N�� �1�
>+�_ .. -., ..�r.�er- ti..�S.�.►el1.Pq���..l�ra,...+wF� �w"t+.�.��.�F. w�. .+--J�..{'�'M''�. �..6�..-A...� �.P o�_.I'v�I�v�n.i+�'Rp.�.wM�MrVwrw�r.rn."M^"�.✓r..�+Fti�►'f ei'�1.s�+�y��A /�,�
ew-r... �!. t ...
. : Town of Barnstable *Permit# $01 y`�
►0� Expires 6 M*OnMs fro issue date
� �'
Re ato Services Fee M 6,
• s�sr�
63 MAM
%bly Thomas F.Geller Director
a , ,0 i
QED � Building Division
Tom Perry, Building Commissioner
• 200 Main Street, Hyannis,MA 02601
Office: 508462-4038 X-PRESS PERMIT •
Fax: 508-790-6230
EXPRESS PERMIT APPLICATION - RESIDENTI"�`N�.`S rTABDLE
Not Valid without Red X-Press Imprint
gn n I TOWN OF BARN
Map/parcel Number2(L �.
7:esid
rtyAddress 2?l- I � ''`-
ential `Value of Work W =�y '" Minimum fee of•$25.00 for work under$6000.00
Owner's Name&Address C�
Contractor's Name l�4 aal" Telephone Number O
Home Improvement Contractor License#(if applicable) v` 21 v
Construction Supervisor's License#(if applicable)
❑Workman's Compensation Insurance
g6ck one:
®® I am a sole proprietor - a
❑ I am the Homeowner r'.
❑ I have Worker's Compensation Insurance r1j cu
Insurance Company Name ;-
Workman's Comp.Policy#
Copy of Insurance Compliance Certificate must be on file. rn
Permit Request(check box)
5d; -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 hired: 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.
0 Improv t Contractors License is required.
Signature
Q:Forms:cxpmtrg
Revisc063004
��� �
� S ��
F114ME Town of Barnstable
. ~ Regulatory Services
Thomas F.Geiler,Director
16 61 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. S � to act on my behalf,
in all matters relative to work authorized by this building permit application for.
124 ll U 054, UVIII'L
(Address of Job)
CQwner
Ioignatureo Date
Print Dame
Q TORM S:OWNERPERIM SION
l
r-
• V
T
r�
- - (LIN' -✓die -e. .... o�/�«aaac�zuaelA
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
Reg-istr atio .1.24310 One Ashburton Place Rm 1301
005 Explran:
l _ri :6hi2
;. ,.. Boston,Ma.02108
lCATE
mes Curley
James Curley
287 Fuller Rd.
Centerville,MA 02632 Administrator Not valid without signatu