HomeMy WebLinkAbout0030 ESTEY AVENUE� .�� �s Ey fl� _
oFt T Town of Barnstable *Permit# 7
Expires 6 months from issue date
• Regulatory Services Fee 1`?5�•uo
BAMSPABL& •
9 tKAss. Thomas F.Geiler,Director
059• �0 i
. Building Division
Peter F.DiMatteo, Building Commissioner
367 Main Street, Hyannis,MA 02601w X-P ESS PERMIT
Office: 508-862-4038
Fax: 508-790-6230 •1 U L 16
L O O� YA
EXPRESS PERMIT APPLICATION
Not Valid without Red X-Press Imprint TOWN OF BARNSTABLE
Map/parcel Number
Property Address
Value of Work
Residential OR ❑Commercial
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Owner's Name&Address b/l I'S� �� � C)' L i D►q � e��C�-�?o Mfl/
Contractor's
Telephone Number
Name m�������� J o/rl I�<d� — P
Home Improvement Contractor License#(if applicable)
Construction Supervisor's License#(if applicable)
❑Workman's Compensation Insurance
Check one:
❑ I am a sole proprietor
❑ lam the Homeowner
have Worker's Compensation Insurance
Insurance Company Name_)U'L el r✓re4�
Porkman's Comp.Policy# L
4 ermit Request(check box) .
❑ Re-roof(stripping old shingles)
❑Re-roof(not stripping. Going over existing layers of roof)
O/Re-side
❑ Replacement Windows. U-Value (maximum.44)
❑ Other(specify)
*Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e:Historic.Conservation,etc.
Signature
Q:Forms:expmtrg:rev-070601
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