HomeMy WebLinkAbout0053 LANTERN LANE II
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Town of Barnstable *Permit# 6 ��/
Expires 6 months from issue date
r
Fee
• Regulatory.Services
M,►ssB $ Thomas F. Geiler,Director
16s9y Buildin Division
Eo g
Tom Perry, Building Commissioner
200 Main Street-Hyannis.MA 02601 X-PRESS PERMIT
Office; 508-862-�4038 APR `� O 2004
Fax; 508 790-6230
EXPRESS PERMIT APPLICATION - RESIDENTIAL ONL
NotYM without Red&Presslmpr•tnt TOWN OF BARNSTABLE
arcel Number
Map/p
Property Address
Value of Work
Residential
&Address
Owner's Name
1ey�/c
Telephone Number t16J, F�'%�
Contractor's Name �l t
Rome Improvement Contractor License#(if applicable)
Construction Supervisor's License#(if applicable)
[]Workman's Compensation Insurance
Check one:
ff I am a sole proprietor
[] I am the Homeowner
I have Worker's Compensation Insurance
Insurance Company Name
Folic #
Workman's Comp• Y
Permit Request(check box)
ge_roof(stripping old shingles) All construction debris will be taken to ;
(�Re-roof(not stripping. Going over existing layers of roof)
maximum 4
geplacementWindows. U-Value ( utat►ons`and Staneards:
Nance with other to . Board of Bnildiu RQg
*p/gere zege� Tssuaace°f permit does not exempt comp HOME I p. tVEMENT CONTRACTCiR
* xNote; Pro weer must signProperty Owner Lett;, } trt�° 1Q�2oo4 ..
o e improvement Contractors License is requ
�za p _ ry
Signature
W CAPRA HOME I
FRANK CAPRA
40 COPPER LANE GG
t* N7ERVII LE�MA 02632
°FtKE T � Town of Barnstable
Regulatory Services
BARNSZABM ` Thomas F.Geiler,Director
MASK.
9�Ar039. 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 4 fe=r& 61 �-� __ to act on my behalf,
in all matters relative to work authorized by this building permit application for:
ze,rt,
(Address of Job)
+Signaormer Date
Print N e ✓
QTORMS:O WNERPERMISSION