HomeMy WebLinkAbout0047 IRVING AVENUE 4/17 =tvin� ��e,.
Town of Barnstable *Permit
of SME rp� Expires 6 months from issue date
'• ! Regulatory Services Fee
BAMSTAEI�I b
v MASS.. C Thomas F.Geiler,Director
s639•
�pTF0 ''' Building Division
Peter F.DiMatteo, Building Commissioner X-PRESS PERMIT
367 Main Street, Hyannis,MA 02601w
Office: 508-862-'038
SF P 2 6 2002
Fax: 508-;90-6230 BARNSTABLE
EXPRESS PERIIIIT APPLICATION - RESIDENT A�
Not Valid without Red X Press imprint
RA e C
Mapiparcel Number
Properry Address :2`
Value of Work
)ZResidential
Owner's Name&Address
r,
Telephone Number Zz o2z�
Contractor's Name h�✓i
Home Improvement Contractor License#(if applicable)
Construction Supervisor's License#(if applicable) +
❑Workm&n's Compensation Insurance
Check one:
❑ I am a sole proprietor
❑ I am the Homeo%%mer
VI have Worker's Cornpensation Insurance
Insurance Company Name
-
Workman*s Comp.Policy
Permit Request(check box)
VRe-roof(stripping old shingles)
❑Re-roof(not stripping. Going over existing layers of roof)
❑ Re-side
❑ Replacement Windows. U-Value ( 44)
❑ Other(specify)
� cations.i.e.Historic.Conservation.
•Where required: Issuance of this permit does not exempt compliance with other town d amnent regu
Signature
Q:Forms:expmtrc:rev41 i0601