HomeMy WebLinkAbout0173 SPRING STREET /7a S�,rc Sn
— - - -
oFINE r Town of Barnstable *Permit# .E a
Expires 6 months from issue date
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y Fee U
: BARNSrABLL . Regulatory Services
9 N►ss.s639• Thomas F.Geiler,Director
�A p�0
lfor�+ Building Division X'PRESS PERMIT
Peter F.DiMatteo, Building Commissioner
367 Main Street, Hyannis,MA 02601w AUG 1 6 2001
Office: 508-862-4038 , OWN OF$
Fax: 508-790-6230 ARNST;'';�;: r--
EXPRESS PERMIT APPLICATION — RESIDENTIAL ONLY _
/ / Not Valid without Red X-Press Imprint
Map/parcel Number 3,2 C C14 (v
Property Address
Residential slue of Work cS'6G1
Owner's Name&Address
Contractor's Name Telephone Number �a
Home Improvement Contractor License#(if applicable)
t Construction Supervisor's License#(if applicable)
r
4 ,
❑Workman's Compensation Insurance
3S Check one:
�❑ am a sole proprietor
am the Homeowner
❑ I have Worker's Compensation Insurance
Insurance Company Name
Workman's Comp.Policy#
Permit Request(check box)
XRe-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 /
Q:Forms:expmtrg:rev-070601