HomeMy WebLinkAbout0204 PITCHER'S WAY ao<f ��fc�ie�s l�a-�
i
Town of Barnstable *Permit#
�THE tp� Fspim 6 months from iss�uel/dale
Fee
: Regulatory Services
B" MAS& Director
9 �t►ss. g Thomas F.Geller, � Y
�E0,39. Building Division
Elbert C Ulshoeffer,Jr. Building Commissioner
367 Main Street. Hyannis.MA 02601w ✓(/N 2
Office: 508-862-4038 TC�N pF Z401
Fax: 508-790-6230 STge
e
EXPRESS PERMIT APPLICATION ��RtN
Not Valid without Red&Press Imprint 'V t, �F
Map/parcel Number
Property Address
Residential OR ❑Commercial
value of work S 00
a to
Owner's Name&Address
2 GO
�D
elep
T
hone Number 5 7�g 119 50
r
Contractor's Name
Home Improvement Contractor License#(if applicable) '
Construction Sup ervisor's License#(if applicable)
workman's Compensation Insurance
Pe
eck one:
I am a sole proprietor
❑/I am the Homeowner
(� I have Worker's Compensation Insurance
Insurance Company Name
Workman's Comp.Policy# 1
Permit Request(check box)
❑ Re-roof(stripping old shingles)
(]Re-roof(not stripping. Going over existing layers of roof)
('Re-side
❑ Replacement windows. U-Value (maximum.44)
❑ Other(specify)
Historic.Conservation.t[c.
•where required: issuance of this permit does not exempt compliance with other town department reegtiadons.i.e
Shinature
expmtrE