Loading...
HomeMy WebLinkAbout0080 KIDD'S HILL ROAD t°' L-112-1114"j L 7P-1 Town. of Barnstable *Permit# 020 01 Z io Expires 6 fronlissue 0 dgte • 11, ...�f, � Regulatory Services Fee �� L�.,) BARNSTABLE, 10 66 q- 41. Thomas F.Geiler,Director • Airo Building Division Tom Perry,CBO, Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.bamstable.ma.us Office: 508-862-4038 Fax:.508-790-6230 EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY Not Valid without Red X-Press Imprint Map/parcel Number p� /q0jf� Property Address 6 0 /T]©� d 1!�i /�- 4-Pik c5 /L • 92 3 0 esidential Value of Work t--/' Minimum fee of$35.00 for work under$6000.00 Owner's Name&Address �'% t./e%7ni� 005 Contractor's Name f�"�1 UZ) Telephone Number g ►,�' . Home Improvement Contractor License#(if applicable) eaWig07 /4057 d • Construction Supervisor's License#(if applicable) X ❑Workman's mpensation Insurance Che one: MAR n 2013 I am a sole proprietor ❑ I am the Homeowner ❑ I have Worker's Compensation Insurance TOWN OF BARNSTABLE Insurance Company Name I ( P1 Workman's Comp.Policy# Copy of Insurance Compliance Certificate must accompany each permit. Permit Request(check box) ❑ Re-roof(hurricane nailed)(stripping old shingles) All construction debris will be taken to ❑Re-roof(hurricane nailed)(not stripping. Going over existing layers of roof) ❑ Re-s. e #of doors Replacement Windows/doors/sliders.U-Value . 3 0 (maximum.35)#of windows ❑ Smoke/Carbon Monoxide detectors 4 floor plans marked with red S and inspections required. Separate Electrical&Fire Permits required. *Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. ***Note: Property • .- us. ign Proper Owne Letter of Permission. A copy o,+; • H' ' � oJ'' ent Contr ctors License&Construction Supervisors.License is re 10 SIGNATURE: , n.turor t revynRMR\hnildino nermit fnrms\E PRESS.doC ttte .. . cF tom, � ti x BARNSTABLE, 9�,t a Town of Barnstable 700,0474.s.9.4. � AjED Regulatory Services Thomas F.Geiler,Director Building Division • Thomas Perry, CBO Building Commissioner 200 Main.Street, Hyannis,MA 02601 www.town.ba rnstable.m i.us Office: 508-862-4038 _ Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder • I, .e i ie,/h 0-1 aU , as Owner of the subject property. hereby authorize 37 P -d �l(iA 'VS to act on my behalf, in all matters relative to work authorized by this building permit application for: 400,-„.„,. w - (Address of Job) Signature of Owner Date r(/5/-11 .t‘ Print Name If Property Owner is applying for permit,please complete the Homeowners License Exemption Form on.the reverse side. • \WPFILES\FORMS\buildin Q: g permit forms\EXPRESS.doc