HomeMy WebLinkAbout0320 OLD CRAIGVILLE ROAD old' 0�4i6,:allle-
�'THE ro Town of Barnstable *Permit#
'b Expires 6 months from issue date
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,,,W9rAB Regulatory Services Fee
v '""SS't6;q. Thomas F.Geiler,Director Yam'
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A'f01A°�`'' ES Sp
Building Division
Tom Perry, Building Com
missioner
200 Main Street, Hyannis,MA 02601 4fQ
Office: 508-862-4038 To!/�j R 212003 . ®�
Fax: 508-790-6230 0P&A&
EXPRESS PERNIINot ValidwithoutAReOX-Pre- Imprint
RE SIDENTIAL ONLY NSTAe4F
Map/parcel Number j / ;z —ll 3 .
Property Address
ac
[Residential Value of Work d
Owner's Name&Address
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Contractor's Name- - Telephone Number / �a 7L
Home Improvement Contractor License#(if applicable)
Construction Supervisor's License#(if applicable)
❑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#
Permit Request(check box) c
[ErRe-roof(stripping old shingles) All construction debris will be taken to el Nn4"
❑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.
***No Property 0 er must sign Property Owner Letter of Permission.
Signature
Q:Forms:expmtrg
Revised121901