HomeMy WebLinkAbout0007 SECURITY STREET ���• / i
�� �� I� ¢J J -- ----_ _ - - -- -� - ---- - -- ---_- -----�
I
i!
�i
i
�,
Town of Barnstable *Permit#
Expires 6 months from issue date
= Regulatory Services Fee
uvsr
• s� BM •
MAM Thomas F.Geiler,Director
Building Division
Elbert C Ulshoeffer,Jr. Building Commissioner
367 Main Street, Hyannis,MA 02601w
Office: 508-8624038
Fax: 508-790-6230
EXPRESS PERMIT APPLICATION
Not Valid without Red X-Press Imprint
Map/parcel Number
Property Address
Residential OR ❑Commercial
Value of Work O�G
Owner's Name&Address
Contractor's Name Telephone Number- 7 7/ 5-Dr-,,
Home Improvement Contractor License#(if applicable) �Od 3 a
Construction Supervisor's License#(if applicable) 8 `7 Q /J y
❑Workman's Compensation Insurance
Check one:
❑ I am a sole proprietor
❑ I am the Homeowner
❑ I have Worker's Compensation Insurance
Insurance Company Name ^
Workman's Comp.Policy# �✓ C U o u di 5 �?
P,�rmit Request(check box)
O-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)
•Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc.
Signature
expmtrg
cFmeA 1UW
Fxpires 6 monrhs from issue date
BAMgr„KJL : Regulatory Services Fee
UAS&
9 1659. 1e�' Thomas F.Geiler,Director
Building Division
Elbert C UIshoeffer,Jr. Building Commissioner
367 Main Street, Hyannis,MA 02601 w . X-PRESS PERMIT
Office: 508-862-4038
Fax: 508-790-6230 MAR 2 9 2 0 01 ,��
EXPRESS PERNIIT APPLICATION
Not Valid without Red X-Press Imprint I OWN OF BA R N STA B LE
Map/parcel Number o
Property Address J ?� '
dResidential OR M Commercial Value of Work "' 10 (9 D. l)C
Owner's Name&Address AU U" Cal I
c0( �`fq Mq -
Contractor's Name 5-P_0Ln' , r?t1C J-eCk rL CO V 44,40Telephone Number `177— F 5,-3
Home Improvement Connector License#(if applicable)
Construction Supervisor's License#(if applicable)
2W/110�rkman Compensation Insurance
Check one:
am a sole proprietor
L� l am the Homeowner
I have Worker's Compensation Insurance
GM '
Insurance Company Name L
Workman 9s Comp.Policy# (!� L LI Q
Permit Request(check box)
(] Re-roof(stripping old shingles)
Re-roof(not stripping. Going over existing layers of roof)
Re-side
17 Replacement Windows. U-Value (maximum•`4)
Other(specify)- Ft'M (;(n d!V� `t0 CEO ��. C-Q�1 w i.,+V1 mzw
*Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation.etc.
Signature
expmtrg