Loading...
HomeMy WebLinkAbout0022 MONOMOY CIRCLE a� off- A/D,t/oa'YI 4112ig i� i Town of Barnstable 4 *Permit# Expires 6 months from issue date . ,4JUM„BIX . Regulatory Services Fee MAM 1659. �� Thomas F.Geiler,Director A Building Division Elbert C Ulshoeffer,Jr. Building Commissioner 367 Main Street, Hyannis,MA 02601w Office: 508-862-4038 �Gji� 191.9 � e Fax: 508-790-6230 OP �40y EXPRESS PERMIT APPLICATION RNS� Not Valid without Red X-Press Imprint ,9e Map/parcel Number 0 /) (.A Property Address_ to(l c3(n e--V p���I,I to esidential OR ❑Commercial Value of Work o�, 9 -77. UV Owner's Name&Address (301'GLn Contractor's Name �( (hP p ) tY�D�Telephone Number Home Improvement Contractor License#(if applicable) UO 7,qQ Construction Supervisor's License#(if applicable) C_S 7a Al UW"o"rkam's Compensation Insurance r Check one: ❑ I am a sole proprietor �# ❑ I am the Homeowner Ej,k6ve Worker's Compensation Insurance Insurance Company Name 7-k-) A-m-pertce n Workman's Comp.Policy# W C 3 / of`1 r 96 —6z) Permit Request(check box) ❑ Re-roof(stripping old shingles) ❑Re-roof(not stripping. Going over existing layers of r000 ❑ Re-side ❑ Replacement Windows. U-Value (maximum.44) r KKther(specify) *Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. Signature � .� (_ c V ' r expmtrg