HomeMy WebLinkAbout0088 WALNUT STREET (HYANNIS) � V`/alnuf ����'
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�oFtME rati Town of Barnstable *Permit# ?So ;7
�n Expires 6 months from issue date
aARNSTABLE: * Regulatory Services Fee ��
039. ,0� Thomas F.Geiler,Director
Building Division
Tom Perry, Building Commissioner X-PRESS PERMIT
200 Main Street, Hyannis,MA 02601
Office: 508-862-4038 MAR 1 .7 2003
Fax: 508-790-6230
EXPRESS PERMIT APPLICATION - RESIDENTITQW BARNSTABLE
Not Valid without Red X-Press Imprint
Map/parcel Number
Property Address ep Aix
resi av
esidential Value of Work_ y.7 S`�
Owner's Name&Address C1 It
4
Contractor's Name �� AJ /,e��
� / Telephone Number �,r6 �a�DDy
Home Improvement Contractor License#(if applicable)_ l q
Construction Supervisor's License#(if applicable)
❑workman's Compensation Insurance
rc .one:
I am a sole proprietor
❑ I am the Homeowner
❑ I have Worker's Compensation Insurance
Insurance Company Name
Workman's Comp.Policy#
Permit Request(check box) =
[I/Re-roof(stripping old shingles) All construction debris will be taken to
❑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.
***Note: Prope y Owner must sign Pr pe ty Owne Letter of Permission.
Signature
Q:Forms:expmtrg
Revised121901
�oFTHe ram, Town of Barnstable
r *
Regulatory Services
* s^tASS.MASS. ` Thomas F.Geiler�Director
y 2'
E16 9;. Building Division
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
I, /-�Cf�,�,(/� %�/_=,��,a.�T , as Owner of the subject property \
hereby authorize -��O/V to act on my behalf,
in all matters relative to work authorized by this building permit application for(address of
job)
Signameeo Owner Date
Print Name
Board of Building Regutatio.ns aud,Standards... "
TOME I10,11O\EMENT CONTRACTOR '' a
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