HomeMy WebLinkAbout0014 REDWOOD LANE / ��oo � .�
� ��� � �x
� _ �_ __�
Town.:of.Barnstable:.: *Permit# ' �o
Expires 6 months from '�P rssue date.
h
MA63'
Regulatory ._Services Fee .1�5 - QQ
y g' _
1639. Thomas F.Geiler,Director.
Building Division
Tom Perry, Building Commissioner X-PRESS PER IT
200 Main Street, Hyannis,MA 02601
Office: 508-862-4038 OCT3 2003
Fax: 508-790-6230 TOWN OF BARNSTABLE
EXPRESS PERMT APPLICATION - RESIDENTIAL ONLY
Q Not Valid without Red x Press Imprint
Map/parcel Number ��U
Property Address A .
r 7"
Residential Value of Work_C�
Owner's.Name&.Address D(3c)Q-+
Contractor's.Name l A✓� - Telephone.Number l d I
Home Improvement Contractor License#(if applicable)
Construction Supervisor's.License.#(if applicable)_ _ <._5 0 579 314 T
❑Workman's Compensation Insurance -
Check one:
]� I am a sole proprietor
❑ I am the Homeowner
❑. I have Worker's.Compensation Insurance p .
Insurance Company Name 04j-e 8 r A C 0 N AJ
Workman's.Comp.Policy# �t.cSWq�L�_- fj �� 7�.
Permit Request(check box)
® Re-roof(stripping old shingles) All construction debris will be taken to 3,4.4/V S q �► ` ` .
❑Re-roof(not stripping. Going over existing layers of roof)
❑ Re-side _
Replacement Windows. U-Value - (maximum.44) —
*Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. -
i e
***Note: Property Owner ust si roperty Owner Letter of Permission.
Home Improve ent tractors License is required. F
Signature,';
. a
?:Fotms:expmtrg a
tevised 121901
I v
°ZVE,°wti Town of Barnstable
Regulatory Services
Y Y
BA INSTABLE, ` Thomas F.Geiler,Director
MAS& q
1b39, Building Division
Op fD�A qr
Tom Perry, Building Commissioner
200 Main Street, Hyannis,MA 02601
Office: 508-862-4038 = Fax: 508-790-6230
Property Owner Must
Complete and Sign This Section
If Using A Builder
U^1 I as Owner of the subjectproperty
I � G� �. � � l
hereby authorize r 1 to act on my behalf,
in all matters relative to work authorized by this building permit application for:
57 ke J�- 00.j w.-
L�+r _
(Address of job)
lQ �
Signature of Owner ate
fc
Prin Name
Q:FORMS:OWNERPERMISSION -
.f
' I
_ la/ons�an�t[anars
Boar o uil mg egu
One Ashburton Place.- Room 1301
Boston, Massachusetts 02108
• r
Home Improvement Qtractor Registration
Registration: ,123067
{ i 1 Type: DBA
Expiration: 12/2/2004
THOMAS EDLDRIDGE CONSTRUTLC
THOMAS ELDRIDGE J �
138 SPRING ST. ` .j ; y;
HYAN N I S, MA 02601 ;
1s
Update Address and.return card.Mark reason for change.
— Q Address Renewal Employment ❑ Lost Card
71.
�� �✓1
Board of Building Regulations and Standards License or registration valid for.individul use only
HOME IMP OVEMENT CONTRACTOR before the expiration date. If found return to:
"' Board of Building Regulations and Standards
Registr t,Qr& 123067
One Ashburton Place Rm 1301
xpiration 9� /2/2004� Boston,'Ma.02108
TYR
THOMAS EDLDRIpGECQNSTRVPTION
THOMAS ELDRID�vE~
138 SPRING ST.
HYANNIS,MA 02601 "
Administrator Not valid without signature