HomeMy WebLinkAbout0241 CASTLEWOOD CIRCLE �7�I �asr ZEz✓
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�oE114E roy, Town of Barnstable *Permit#
Expires 6 months frons issue date
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Regulatory Services Fee
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9. Thomas F.Geiler,Director
p'ED'AP`p Building Division
Tom Perry, Building Commissioner P®��� �1Ci® `T
200 Ma X� R
in Street, Hyannis,MA 02601 PER
Office: 508-862-4038 MAY. 14 2002
Fax: 508-790-6230
EXPRESS PERMIT APPLICATION - RESIDENTM&dipMBARNSTABLE
Not Valid without Red X-Press Imprint
Map/parcel Number
Property Address
WResidential Value of Work 1190,5u ' Q 0
Owner's Name&Address P�cC
4L+
Contractor's Name \J WO Telephone Number
Home Improvement Contractor License#(if applicable) t 1 O
Construction Supervisor's License#(if applicable)
❑Workman's Compensation Insurance
C�h ck one:
u I am a sole proprietor
❑ I am the Homeowner
❑ I have Worker's Compensation insurance,
Insurance Company Name
Workman's Comp.Policy#
Permit Request(check box) tt nn
dRe-roof(stripping old shingles)
❑Re-roof(not stripping. Going over existing layers of roof)
❑ Re-side
❑ Replacement Windows. U-Value (maximum.44)
❑ Other(specify)
*Where required: Issuance of this permit does not exempf compliance with other town department regulations,i.e.Historic,Conservation,etc.
Signature
Q:Forms:expmtrg
Revised 121901