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Home My WebLink About0021 YEARLING LANE L44,t� i lSea r o ill q / M Assessor's offioe (1st floor): � C THE ..Assessor's map and lot number .. ` Q F T ` Board of Health (3rd floor): ` .. ... 'Jw�� Sewage Permit number ......................... ..... � ..d:°:� 2 BAS39TODLE, J Erii'gineering Department •(3rd floor): o rasa House number o tb39 e APPLICATIONS PROCESSED 8:30-9:30 A.M. and; 1:00-2:00 P.M. only: TOWN OF BARNSTABLE . BUILDING ANSPECTOR { APPLICATION FOR PERMIT TO .......Build 1 z.Story .......... .......... .................................................................................. TYPE OF CONSTRUCTION ...............WF✓nnd.F?'ame.............................................................................................. .. August 12 86 ................................................19........ TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location LOt t y S L P � �.... -t e /� I TZ_ _ — •; }. ............e.G!..r'....!..^.................... ............... ` ..^................................................................... Proposed Use .......Dwelling.............:..................................... Zoning District R ...........Fire District ....... �® SLS Trust•.. Hyannis MA Nome of Owner ........�..... .............................................Address ..................°.........s...............:...................................... Name of Builder .Lebel-Sollaw$...:....................................Address ..............I-iyannis•,•MA Name of .Architect Nort°h..S.1.de..D.eslgra..................................Address .............armOUthpQrt.&.MA...................................... Number of Rooms .5................................................................Foundation .......PQIK!Ed.CPKMte ...................................:.... Exlerior ...................C.edar..Sh.in.PIes........ ...............:.............Roofing .............ASS.ha1t........................:................................ Floors ....................3/4...T°&r.P1YW0.0,.d..................................Interior ..............ShePitro<;k.................................................... Heating ................GaS..............:............................................Plumbing ................. ..<.:.,,:............ ........................... Fireplace ................»!?sanr;!....................................................Approximate Cost$6.0,QO0....................................................... Definitive Plan Approved by Planning Board __,__S�!_--y-___---_____19 Area .....�.� Diagram of Lot and Building with Dimensions 's a -S , �" t / -7 Fee ............................................. SUBJECT TO APPROVALJOF BOARD OF HEALTH a ' • I OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the T6wn of Barnstable regarding the above construction. Name ..........!.........�............................................................ 043415 Construction Supervisor's License ..................................... I I WILLARD, W. WYETH A=018-078 No Permit for ..Build. Breeze�y ..... & Garage ................................. . Location ..... ........................:..:..........t. ........... .. ...........:......�O?L' '........................................... Owner. ......V t...Wyeth:..Willard........ Type of Construction Frame Plot ..:......................... Lot ................................ Permit Granted ...MaX 19t....................19 87 Date of Inspection ....................................19 Date Completed .......................................19 (J. Ic 1 � e op TOWN OF BARNSTABLE 760 o � Permit No. ....30. .... BUILDING DEPARTMENT TOWN OFFICE BUILDING Cash t6}9. X Q HYANNIS,MASS.02601 Bond .! V I CERTIFICATE OF USE AND OCCUPANCY Issued to S .,L S TRUST t - Address lot #90 21 Yearling Lane, West Barnstable USE GROUP FIRE GRADING ' OCCUPANCY LOAD THIS PERMIT WILL NOT BE VALID, AND THE BUILDING SHALL NOT BE OCCUPIED UNTIL SIGNED BY THE BUILDING INSPECTOR UPON SATISFACTORY COMPLIANCE WITH TOWN REQUIREMENTS AND IN ACCORDANCE WITH SECTION 119.0 OF THE MASSACHUSETTS STATE BUILDING CODE. August26, ......., .19....187........ :.................................. Building Inspector I V ��..°� °•.w TOWN OF BARNSTABLE j BUILDING DEPARTMENT _ ssai�r TOWN OFFICE BUILDING rut ��o1uY►�� HYANNIS, MASS. 02601 MEMO TO: Town Clerk FROM: Building Department DATE: An Occupancy Permit has been issued for the building authorized by BuildingPermit #....»: .�2.7-e�. 6...._............................................................ ..........».......... ........»»..».._...... ......» »»»» issued to Cr .... .......... ..�.�..!J..S� „`... ,, I Please release the performance bond. "" ...:.B'UI'LDING/ -PE*R'M'I'T:., TOWN OF BARNSTABLE, MASSACHUSETTS t' DATE 19 PERMIT t APPLICANT If' - yo-; -1(-1\J.i ADDRESS t/•r I '%� +__'f� :i 1�4 l�s 1 '1 f 1 �iil< (NO.)' (STREET) , (CONTR'S LICENSE) PERMIT TO build J4%<'i13.iiij ( l STORY -'•'lt;il.' 1'`i.t1!,Y.'I,� �)t•i C111:1i WELLING EBLL IR OF NG UNITS { (TYPE OF IMPROVEMENT) NO. (PROPOSED USE) . .3F FIf2:i-C. ..;i.tUJ_tT:; ZONING AT (LOCATION) DISTRICT- IN 0.) (STREET) BETWEEN 'fi.�° AND �• (CROSS STREET) (CROSS STREET) LOT SUBDIVISION LOT BLOCK SIZE BUILDING IS TO BE FT. WIDE BY FT. LONG BY FT. IN HEIGHT AND SHALL CONFORM IN CONSTRUCTION TO TYPE USE GROUP BASEMENT WALLS OR FOUNDATION (TYPE) .,utucJ� REMARKS: ' 1 AREA OR i i a.:'U :(_i• �-i-• fJ i,i f) ), V\j PERMIT _ :' VOLUME ESTIMATED COST $ / FEE u , �- (CUBIC/SQUARE FEET) Y'u s OWNER ADDRESS BUILDING DEPT. By THIS PERMIT CONVEYS NO RIGHT TO OCCUPY ANY STREET, ALLEY OR SIDEWALK OR ANY PART THEREOF. EITHER TEMPORARILY OR PERM'ANENT'LY. ENCROACHMENTS ON PUBLIC PROPERTY, NOT SPECIFICALLY PERMITTED UNDER THE BUILDING CODE, MUST BE AP- PROVED BY THE JURISDICTION. STREET OR ALLEY GRADES AS WELL AS DEPTH AND LOCATION OF PUBLIC SEWERS MAY BE OBTAINED FROM THE DEPARTMENT OF PUBLIC WORKS. THE ISSUANCE OF THIS PERMIT DOES NOT RELEASE THE APPLICANT FROM THE CONDITIONS OF ANY APPLICABLE SUBDIVISION RESTRICTIONS. MINIMUM OF THREE CALL APPROVED PLANS MUST BE RETAINED ON JOB AND THIS WHERE APPLICABLE SEPARATE INSPECTIONS REQUIRED FOR CARD KEPT POSTED UNTIL FINAL INSPECTION HAS BEEN PERMITS ARE REQUIRED FOR ALL CONSTRUCTION WORK: ELECTRICAL, PLUMBING AND j I. FOUNDATIONS OR FOOTINGS. MADE. WHERE A CERTIFICATE OF OCCUPANCY IS RE- MECHANICAL INSTALLATIONS. 2. PRIOR TO COVERING STRUCTURAL QUIRED,SUCH BUILDING SHALL NOT BE OCCUPIED UNTIL 7 MINAL INSPECTION TI r0 BEFORE FINAL INSPECTION HAS BEEN. MADE. 3. FINAL INSPECTION BEFORE �� OCCUPANCY. POST THIS CARD SO IT IS VISIBLE FROM STREET BUILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS ( � 1 z 21/ �4�"�V,� 2 `I 3 H TING INSPECTION APPROVALS / GIN`EERING%EPARTMENT 4 OTHER 2 BOARD OF HEALTH j WORK SAALL NOT PROCEED UNTIL THE INSPEC- PERMIT 'W!L L BECOME NULL AND VOID IF CONSTRUCTION INSPECTIONS INDICATED ON THIS CARD CAN BE TOR HAS APPROVED THE VARIODUS STAGES OF WORK IS NOT STARTED WITHIN SIX MONTHS OF DATE THE ARRANGED FOR BY TELEPHONE OR WRITTEN CONSTRUCTIOV. PERMIT iS ISSU.ED'A# NpirED ABOVE" NOTIFICATION. fs a 'i 6 ' �a6p. fl s j 1c), 1 S-7 sF} JOB # 85-309 CERTIFIED PLOT PLAN PREPARED FOR.- LOCATION: YEARLING LANE W . BARN SCALE: 1=40 DATE: 5/16/87 REFERENCE: LOT 90 PB 420 PG 100 LEBEL / SOLLOWS I HEREBY CERTIFY THAT THE BUILDING SHOWN ON THIS PLAN IS LOCATED ON THE GROUND AS SHOWN HEREON. BUILDING CONFORMS TO SETBACK REQUIREMENTS. OF OF THE TOWN WHEN CONSTRUCTED. ;old ARNE yG s H. u QMLA H down cape engineering + CIVIL ENGINEERS LAND SURVEYORS ROUTE 6A YA`RMOU I { MA DA E REG. LA SURVEYOR _ • r 1 f _..TOWN 0FT,%UqMLEA55E550R5:7'9AP1O.T I'V<o,0 1 yJ 20'MIN. TOP OF i � N/NG. .C�iil.. l�i I?:.'f. �lE -OP1•/S Eta T. I FOUND. 101MIN. i SEPTIC TANK IS DIST. BOX. l-i� SETBACKS F.fIONT_:.=.,"��.SIDES¢-7 REAR0 1,:y. _.. .. y, LEACHING FACILITY ----- I'MIN covf GROU D '� lol.S I�PQoPxiEG� • -- - -- N e y� - exxo GAL. 100,34 �O �,� r�AG`I�A`I �� 100.0 nC a ~�.f• - '#COTE� L+:f.�.' UnLSt1tTCPxE `:xdeso��fa. � f) v zfr �P� (7 - \. � •. ' Or 00 - %00-t ev 96.0 To 0 6.0 At 1p EEFLe�t_6 ` A� iDn►O Fpyi= 1b, 9.D 1 3,0 SECTION.- 5ENJAGE TF�T Rol-6 " r /r4 TEST HOLE:L065 DE5lGl\l FOR Lo'" 9 TE5T 8Y: PERG.RATE DATE : Z FLOW RATE I IOGAL./OA�2 �� WITNE55: o� -�.I / 5EPTIC TANK fj')p (I, REQ'D. sE,0716 rAA1K -� p LEACHING Y J-!�. /�-I'1•�.r 1-L l00,8 FACILITY _ ! . �/ '?oP + - -�- 5/DE WALL�Co+2fo�2x2= 126.0 (Z 5 )= ?rLo.o G/D �02 �- - - - IoP t _ aorro x z� - ►540.0 s35p1(, Z4° St.IP,f.�IL, I�►+i�IG, M (I.O )=.ISM:D G/D ,� u- I 9 e.e �TErA TOTAL `264.o 5F• =g76.O G/o �j IoI.0 _ MEDIUM -`]8•0 _ .. •` `, _, •(�0 '�- rf`' �Ir'ror. USE LEACHING rLCW DIFFLISeel5 WIT1� Att� i 5d� — Mc ll) I 01 STOf.IF �A2OUf ID 1 of C-Tou� UKLDErc _ _ �_ --� - STa.I� — 5T00e- 2(o LOW C-1 K Co kill)C x ' o� o ;!� Pao� NOTES !< -� 17S , I IZC� WAR IL — �II.IE /. DATUM(MSL)= TAKEN FROM ��,C�kJ(`((')GjUADRAfVGLf MAP ! ` � -►auM 94.0 Am SAt,1C�. 2. MUNICIPAL !.LATER I Lj AVA/LABLE �_.. I�Q 90,0 _ 3. DESIGN LOAO/N6 FOR ALL PRECAST U1JIT5:AASHO-(-Iia44 Q. PIPE JOINTS SHALL SE MADE J4ATER T45147. . �IC�G; IrJ��i l�'l LQ 11vh1 o1r PT,C S`(ST6M 5. CONSTRUCT/ON DETAILS TO'BE/N ACCOROAn/CE WITN T- r L � PEfZ V( D 4uv A.PpEo VEp COMM.OF MA55. STATE ENVIRONMENTAL CODE TITLE 7: ICY D �[c�rJ E,v C�f.I.bEE :_�21CfL Tc) C� S'f�UGTi n-' c7F C— I��C LLI�� 6. TNl5 PLAN FOR PROPOSEO WORK ONLY AND SHOULD NOT BE USED FOR PROPERTY- Lfl; STAKING. rl}t tiOYv N ' h1"`S rr a�` f or ARMS H. ,:: :` I .. °2�« :ir�� ocL/r� cape ehq��eeq LEGEND: LOCUS . LOr qO� L�IJ ILA.^ FSARt�I�AF3 - o '''° �I`., CIVIL ENGINEERS � CoNTOUES (Exrsr.) ---- REFERENCE � Z4 ` s T _ LAND Sl1RVEY0R5 DROP, 4=4- �, fciS R ( )--o—�-- DAT ELF oJALFP:E R•L�°S ;CONC.BOUND ® c6 PREPARED FOR: >. r 92ro main gti.Yarmouth/ticl ,TEST HOLE L�E�EI_--'e=OLL0W6 'eALI-r-r board of health SCALE NO. DATE JOB ra`-� APPROVED_ C�PTc. ~�R!.I� IFMA 4 Assessor's offioe-(1st floor): Assessor's map and lot number ...�. D.............................. SEPTIC SYSTEM MU S "E'��, Board of Health (3rd floor): ( INSTALLED IN COMPL Sewage Permit number :........1�7 .............1... .....C.:�j�...,:.... �. ' r WITH TITLE 5 Z B9Sa9T/1DLL Engineering Department (3rd floor): K d House number l-MVIRONMENTAL COD R;a39. 0� ..10.A.`........:.......:..... � -; TOWN REGULATION '�oYaY'� APPLICATIONS PROCESSED 8:30-9:30 A.M. and 1:00-2:00-P.M. only TOWN , OF BARNSTABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO .......Build - .Story i .... ........................................... TYPE OF CONSTRUCTION ..........:....ail.QQd.Fr.aMQ................................................................................................ a . August 12 86 ................................................19........ ' TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies fora permit according to the following information: Location ..................LOt.......9....0.......... -� a f-� v .� rt t i 4, / �-.4:............................................................................................. ProposedUse ........Dwelling................................:..:............................................../...................................................:............. ZoningDistrict ......R F.....:....................................................Fire District ....... .1.. ............................................................ Nome of Owner .... ...............................Address ...........:.H.Y.annisa ItA....SI.S.T.rust...............:. .......................................... H annis 1�9A Name of Builder ..I..ebC1.-SA.1,lO.W.S........................................Address .................y..........x...................................................... Name of Architect Northside-D.esigg..................................Address .............YarMQ.V1h,P.orta.M.A Number of Rooms 5..................................................................Foundation ........P9.Ured.Concrete............................... ...... Exterior .............:....Cedar-Shingles......................................Roofing ..............As.Phall........................................................ Floors .........:..........3/4..T&G.P.ly.wood.................................Interior ..............SheetrOC.k...................................... .... ........ Heating ................Gas...........................................................Plumbing ............P.V.G.and..GOpRQf:.baths........ .................. Fireplace ................Masonry..................................................Approximate Cost$6.0.,00.0............................................ ......... Definitive Plan Approved by Planning Board _____v v_�Y____�____.19 8 (o Area .....j.�.Z-6..`S Diagram of Lot and Building with Dimensions ',S< e- S 7� Fee .... ........................................ SUBJECT TO APPROVAL OF BOARD OF HEALTH r . OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of AtheTn of B ns ble regarding the above construction. Name ............................. 043415 Construction Supervisor's License .................................... S L S TRUST 30760 11 Story No ................. Permit for .......?...story .......Single Family Dwellin ........................................................5......... Location Lot #90 , 21 Yearling Lane .................................................... .......... West Barnstable ............................................................................... ;7 Owner S L S TRUST .................................. .............................. Type of Construction ..........Frame ................................ ............................................................ ........... Plot .... .' ........................... Lot ................................. Permit Granted ...... ................19 87 Date of Inspection ....................................19 Date Completed ...................?.......19 4 Town of Barnstable *Permit#J0620 2 Expires 6 months from issue date . ;A PE ' latory Services Fee (O- �o 3 6 �� ,,Thomas F.Geller,Director Building Division - 5H jFI ;9BO, Building Commissioner y 200 Main Street,Hyannis,MA.02601 wvvvr.tov m.b arnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 EXPRESS PEMM APPLICATION - RESIDENTIAL ONLY / Not Valid without Red X-Press Imprint p/parcel Number fperty Address Residential Value of Work 206-76 Minimum fee of$25.00 for work under S.6000.00 rner's Name&Address c Z:i7nek4 l mtractor's Name— T Pti�i�-f� �c�P,,�S Telephone NTumber_S df--'22! )me Improvement Contractor License#(if applicable) ]Workman's Co ensation Insurance. ec ne: I am a sole proprietor ❑ I am the Homeowner ❑ I have Worker's Compensation Insurance surance Company Name _orkman's.Com.Policy# opy of Insurance Compliance Certificate must be on file. wait Request(check box) Re-roof(stripping old shingl L� es) All construction debris will be taken to ❑Re-roof(not stripping.. Going over existing layers of roof) ❑ Re-side ❑ Replacement Windows/doors/sliders. U-Value (maximum.44) 'Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Consmation,etc. ***Note: Property Owner must sign Property Owner Letter of Permission: A c py of the Home Improvement Contractors License is required. iGNATURE: Forms:expmtrg vise061306 �\ Board of Building Regulations and Standards Li - cense or registration valid for individul use only HOME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: Registration: 10gggq Board of Building Regulations and Standards One Ashburton Place Rm 1301 Expiration:.'9/29/2008 Boston,Ma.02108 ;i V '.-Type: individual XENNETH WEEKS KENNETH WEEKS%- y 30 Spinning Brook Road_: S'buth Yarmouth,MA 02664 Deputy Administrator Not valid without signature .�r.y„ Town of Barnstable. Regulatory Services 9MASSA. Thomas F. Geiler,Director 26 9t Building Division Tom Perry, Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town,b arnstab le.ma.us office: 508-862-4038 Fax: 508-790-62.30 Property Owner Must Complete and Sign This Section If Using A Builder as Owner of the subject property . hereby authorize to act on my behalf, in all matters relative to work authorized bythis Building permit application for, , r �r� (Ad of bb) Signature o er ate O�'!�I tint 1�Tame ` OrORNS:OwNFRPI P.NIsSION ' The Commonwealth of Massachusetts Department oflndustrial Accidents Office of Investigations 600 Washington Street Boston,AM 02111' w0w.mass.gov/dia ' Workers'Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name(Business/organizatiowbdividual): .v.y�� Adclress: -- City/State/Zip:S- Phone.#; 9 Are you an employer?Checkthe appropriatebox: :Type of pioject(required):, 1.❑ I am a employer with 4. [� I am a general contractor and I 6. ❑New construction . egm�loyees (full arld/orpam-time).* , have hired the sub-contractors Remodeling 2, am a'sole proprietor or Partner- ship and have no employees These sub-contractors have S. ❑Demolition w employees and have workers' orking for me in any capacity. t. 9. ❑Building addition [No workers' comp,insurance comp, insurance. 10.❑Electrical repairs or additions required.] 5. C1 We are a corporation and its 3.❑ ;am a homeowner doing all work . officers have exercised their ME]Plumbing repairs or additions ' myself.[No workers' comp. right of exemption per MGL 12,ERoof repairs insurance.required.]t c. 152, §1(4),and we have no . ] employees. [No workers' 13.❑ Other comp,insurance required,] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners,who submit this affidavit indicating they are doing all work and then hire outside contractors mutt submit anew affidavit indicating such. tContractors that check this box must attached an additional sheet showing the name of the sub-contractors aid state whether or not those entities have . employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. I ant an employer that is providing workers'compensation insuranbe for my employees. Below is the policy and job site' information. Insurance Company Name: Policy#or Self-ins.Lic,#:' Expiration Date: lob Site Address: City/State/Zip: Attach a copy of the workers' compensation policy.declaration page'(showing the policy number and expiration date). Failure.to secmr<e coverage as required tinder Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK.ORDER and a fine Of up to$250.00 a day against thq violator. Be advised that a copy of this statement maybe forwarded to the.Office of Investi ations of the INA for insurance covers a verification, I do hereby certify unOer the psi a d penalties of perjury that the information provided above,is true and correct Si tore: Date _ Phone#: 7 Official use only. Do not write in this area, tb.be completed by.city or town aff�ciaC City or Town: " Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3,City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6,Other Contact Person: Phone#: Information ana instructions Massachusetts General Laws chapter 152 requires all employers to provide workers'compensation for their employees. Pursuant to this statute, an employee is defined as"...every person in the service of another under any contract of hire, express or implied, oral or written." An employer is defined as"'an individual,partnership,'association,corporation or other legal entity,or any two or more of the foregoing engaged in a joint enterprise,and including the legal representatives of a-'-deceased employer,or the receiver or trustee-of an individual,partnership,association or other legal entity,employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein,or the occupant of&e dwelling house of another who employs persons to do maintenance,construction or repair work on such dwelling house . or on the grounds orbuilding appurtenant thereto shall not because of such employment be deemed to be an employer." MOIL chapter 152, §25C(6)also states that"every state or local licensing agency shall withhold the issuance or renefval of a license or permit to'operate a business or to construct buildings in the commonwealth for any applicant who has not produced�acceptable evidence of compliance with the insurance coverage required." Additionally,MGL chapter-152,.§25C('n states"Neither the commonwealth nor any of its political subdivisions shall enter into any contract for.the performance of public-work until acceptable wideaee•of•co4l:6*vwii'th:lie ins►rrance- requirements of this chapter have been presented'to the contracting authority." Applicants Please fill out the workers'compensation affidavit completely,by checking the boxes that apply to your situation and,if i necessary,supply sub-contiactor(s)name(s),address(es)and phone number(s)along with their certificate(s)of insurance. Limited Liability'Companies'(LLC)or Limited Liability Partnerships(LLP)with no employees other than the . members'or partners, are not required to carry workers' compensation insurance. If an LLC or LLP does have employees, a policy is required. Be advised that this affidavit maybe submitted to the Department of Industrial' ' Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the-city or town that the application for the pennit.or license is being requested,not the Department of Industrial Accidents.. Should you have any questions regarding the law-or if you are required to obtain a workers.' compensation policy,please call the Department at the number listed below. Self-insured companies should enter their self-insurance license number on the appropriate'line. City or Town Officials Please be sure that the affidavit is complete'and printed legibly. The Department has provided a space at the bottom '.of the-affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permittlicense number which will be used as a reference number. In addition,an applicant that must submit multiple permitnicense applications in any given year,need only submit one affidavit indicating current policy information(if necessary)and under"lob Site Address"the applicant should write"all-locations in (city'or town)."A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant-as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year.Where a home owner or citizen is obtaining a license or permit not related fo any business or commercial venture (i.e.a dog license or permit to bum leaves-etc.)said person is NOT required to complete this affidavit. The Office of Investigations would like to thank you-in advance for your cooperation and should you have any questions, please do not hesitate to give us a call The Depaitment's address,telephone-and fax number:. The CommonwW&ofmassac&mtts Dgwtmeat of lnftsWal A.cddmts Office ofnestozs 600 Washing Stma B.Wca,.MA 02111 Ted.#f 17-'27'-4 ext 4t6 or 1- -MAS'SAFE Fax#617-727-7749 Revised 11-22;06 www.m Sov/dia