HomeMy WebLinkAbout0349 BEARSE'S WAY ACTIVE
Town of Barnstable *Permit
OF THE F,�Ples 6 rnortdrs j"roue issue dart
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Regulatory Services
9�A MASS Thomas F.Geller,Dhvdor J 0 ,7
lFo�. BuildingDivision X-PRESS PER 17
Peter F.DiMatteo, Building Commissioner
367 Main Street. Hyaaais,MA 02601w ( � �. 9 2 0 01
Office: 508-862--038
Fax: 508-�90-6230 TOWN OF BARNSTABLE/�
EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY
o Not Valid without Red X-Prat IorPtint
map.,parcei Number
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Property:address ---
Value of Work 4 y
esidential
Owner's Name R Address1719L.. F ' SS L
43
elephone Number
Contractor's Na t'me r
Home Improvement Contractor License (if applicable)
Construction Supervisors License-(if applicable) r
r
❑Worktnan's Compensation Insurance
k one:
a sole proprietor
❑ I am the Homeowner
❑ I have Workers Compensation Insurance
Insurance Company N
Workman's Comp-Polic.
Permit Request(check box)
4 `„-roof(stripping old shingles)
❑ Re-roof(not stripping. Going over existing layers of roof)
❑ Re-side
❑ Replacement Windows. U-Value ( 44)
❑ Other(specify) . .
required: Issuance of this permit does not exempt compliance with other town department regulations.i.e.Historic.Conscn ation..:c.
*Where req .
Signature
Q:Forms:eaprnn:rzv.p i0601