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HomeMy WebLinkAbout0138 WEST WIND CIRCLE o � � � a ^ o , � 0 0 0 . o � �. o a � o a o � � , . � o � o „ � � � o e. '� ... ,� . .,. � � � ,. � „ � � � �� � � n .. ,. � 9 - p. 0 � o � o � � '� b o � ..a .� > .. a, �i � o � � �o o o o � ., o 0 0 a ,. � o o o ,.. � � _ ,. ... a .. � .� ,. a 0 .io a �X o. ., c .. .. � 7 p � o - .. n o o. � �.. - o. - c 1 �. � •• e o, p „o n �. o .v .. ,. o o �o � - 0 � , �J � od t � o' a _ o o o � o n � �� �. '„ � .. � o .� a o a o o. a a, - .. � � � a .. o - � �. ♦: .. a. �, �, �. _ _ ., o - '��+ a - a .. �, a . o � - -- ` , .. .. a c ., ,. ,�. 4 0 � . a � o / .0 a o G .. a ., � U o a , c a �� u. o ., � ., ,, -. ,. 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Permit Fee S e ' .00 Date Definitive Plan Approved by Planning Board COK ' p 1Z.S-1)I Historic - OKH Preservation/ Hyannis_ Project Street Address 3'00 ► IA C► I-C I-R Village OE�er"y I I _ Owner 0T-P- a Address y L 1 V1 C)(-e- B S f�jl�c1C Telephone SQ v "�°Z qb Permit Request fleq yes-b r m I L ` 0 Conye-A, (U r reA b34 r0o ►Y4D CceSSI C)rY1 . nJ"r 2 e- d N� Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District A Flood Plain Groundwater Overlay Project Valuation �01 (�� Construction Type- - � Lot Size r-73 III Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family �6• Two Family ❑ Multi-Family(# units) Age of Existing Structure Historic House: ❑Yes IANo On Old King's Highway: ❑Yes )kNo Basement Type: Full ❑ Crawl ❑ Walkout ❑ Other Basement Finished Area (sq.ft.)__c Basement Unfinished Area (sq.ft)_ Number of Baths: Full: existing CJ� new Half: existing -,a new A Number of Bedrooms: existingl#tlnew t�� a Total Room Count(not including baths): existing new First Floor Room Count Heat Type and Fuel: ❑ Gas ❑ Oil ❑ Electric ❑ Other w Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing wood/coal stoves ❑a ❑ No Detached garage: ❑ existing ❑ new size—Pool: ❑ existing ❑ new size _ Barn: ❑ existing ' new;size_ Attached garage:Xexisting ❑ new size _Shed: ❑ existing ❑ new size — Other: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes No If yes, site plan review# Current Use Proposed Use APPLICANT INFORMATION - - (BUILDER OR HOMEOWNER) Name _I I rdr��U a W� i_6e DS elephone Number Address C l of VI �Qnd V-0-a A License # C,IS Is 014 10 Home Improvement Contractor# '�J I Worker's Compensation # $1N ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TOa/�1uF. i SIGNATURE DATE FOR OFFICIAL USE ONLY APPLICATION# rl DATE ISSUED Wiwi „�► r MAP/PARCEL NO.% 's ADDRESS- VILLAGE, ' ; OWNER , DATE OF INSPECTION: a ",, FOUNDATION' A`� -- FRAME `INSULATION; ATt, f,1l FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL =s GAS::.,L ��. ROUGH::&:, FINAL, 'r .nFINAL BUILDING, *-j4m6,vr= _DATE CLOSED,OUT, i '? ASSOCIATION PLAN NO: t The Commonwealth of Massachusetts Department of irndustrial Accidents Office of-nvestigations 600 Washington Street Boston MA 02111 www massgov/dia Workers' Compensation Insurance Affidavit: guilders/Contractors/Electricians/Plumbers. AVVficant Information Please Print Le 'bl Name (Business/0rganization4ndMduaI): 1 1 lav*- Address: \—I ), (—�of City/State/Zip: 6Nr('e M PC Oa�3�. Phone E an employer? Check appropriate box: a employer with 4. I am a general contractor and I Type of project(required): loyes (�and/or part-time).* have hied the sub-contractors 6. ❑New construction , a sole proprietor or partner- listed on the attached sheet. 7• ,Remodeling and have no employees These sub-contractors have ing for me in any capacity, employees and have workers' 8 �Demolition workers' comp, insurance comp,insurance.# 9.'0 Building addition red.] 5. 0 We are a corporation and its 10.0 Electrical repairs or additions a homeowner doing aIl work officers have exercised theirlL [No workers' comp, right of exemption per MGL11.0 Plumbing repairs or additionsnce required]t c. 152, §1(4), and we have no 12.0 Roof repairs employees. [No workers' 13.0 Other comp. insurance required] Any aPPlicHomeowners 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 thm hire outside contracton must submit a new affidavit indicating such tCoatractors that check this box mast attached an additional sheet showing the name of the sub-contractors s m state submit whether w not those entities have employes. If the sob-contractors have employees they mast provide their workers'coand mp,Policy number. I am an employer that is providing workers'compensation insurance for my employees, Below is the poFscy and jab site information, Insurance Company Name: r kbrA I��*)r hCQ Policy#or Self-ins.Lic.#: g C A S Expiration Date: a 1 1-0-Job Site Address: GOq t Attach City/State/Zip- r10 `�. rn a copy of the workers' compensation policy declaration page(showing the policy number and expiration date) AF Failure to secure coverage as required under 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 the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify and the p enalties a .fPeriury that the information provided ab ve is Sitore: ue and correct U / Phone v l7 Date: #: � f r7ffzcial use off. Do not write in this area, to be completed by city or town o cial City or Town: Permit/I,icense# Issuing Authority(circle one): 1. Board of Health 2.Building Department 3. City/Town oven Clerk 4.Electrical Inspector 5.Plumbing Inspec 6. Other tor Contact Person: Phone#: ACORQ CERTIFICATE OF LIABILITY INSURANCE DATE`S'°"""") M 10/19/2011 PRonuCER 791.948.7652 FAX 791.380,8793 THIS CERTIFICATE IS ISSUED All;A MATTER OF INFORMATION Dowling Insurance Agency, Inc. ONLY AND CONFERS NO RIGHT;UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DC ES NOT AMEND,EXTEND OR 44 Adams Street ALTER THE COVERAGE AFFORI IE;D BY THE POLICIES BELOW. P 0 Box 850962 Braintree, MA 0218S-0962 _ INSURERS AFFORDING COVERAC E NAIC P INSURED Mark TVleja ;1NSURERA: Western World Insu•ante Co. DBA. MTI Houle Designs, LLC INSURERS: Travelers Insuranc! CO. 25666 171 Clay Pond Road INSURERc: Hartford Insurance Co, The 21922 Bourne, NA 02532 INSURER-0: _ INSURER E: COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY F ERIOD INDICATED.NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,EX':LUSIONS AND CONDITIONS OF SUCH POLICIES.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS, rjR FCIICT EXPIRATION TYPE OF INSURANCE POLICY NUMBER PO DATE MMID 11 DATE IAIM LIMIT'S oENERA(.UABILITY N P1300154 05/31/2011 05/31/2012 EACH OCCURRENCE S 1,000, X COMMERCIAL GENERAL LIABILITY PREMj IE6 , $ 50,0 CLAIMS MADE ITOCCUR tJ1ED E tP(Any we perSOn) S 5 oftej A PERS(NAL&ADV INJURY i 1 0,0 GENET ALA6GREGATE ___.._.zJ 0 GE.RL AGGREGATE LIMIT APPLIES PER: PRODI CTS-COMPJOP AGG E 2 OOO, X POLICY 0 JECf F7 LOC AUTOMOBILE UAMLlTY BAf 22M3065 12/13/2010 12/13/2011 - MY AUTO amdent COMB dam) SINGLE LIMIT S 1,000,00 (Ee ) ALL OWNED AUTOS BODIL-INJURY S X SCHEDULEO AUTOS (Per Ix 7On) B X HIRED AUTOS SODIL'INJURY X Per ac wm) $NON-0OWNED II( PRODI RTY DAMAGE IIIII(Per et adept) 14 flARAOB LIABILITY I AUTO )NLY•EA ACCIDENT ;S ANY AUTO OT)IE! THAN EA ACC S AUTO )NLY: AGG S EXCESS I UMBRELLA LLAMUTY EACH 1CCURRENCE S_ OCCUR n CLAIMS MADE AGGR.LATE 8 S DEDUCTIBLE --_ _ —_ S RETENTION 8 _ S NnORKERB COMPENSATION OSWECAA4015 02 01/2011 02/01/2012 _X r�RY_LIM ER AND EMPLOVERV LIABILITYANY PROPMETORIPARTNERIE)(ECUTNEYIN E,L,EICNACCIDENT• Is 1000000 C OFFICERIMEMBER EXCLUDED? -- --- (Mandet"in NH) E.L.DI IEASE•EA EMPLOYEE g 100,00 II des0be under _ SMIAL PROVISIONS below E.L.DI LEASE.POLICY LIMIT S 500.000 OTHER DRBCRIPTION or OPERATIONS I LOCATIONa l VENICL 9 I EXCLUBIONB ADDED BY ENDORSEMENT I SPECIAL PROVISIONS CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED PO ICIES B@ CANCELLED BEFORE THE EXPIRATION DAYS THEREOF.THE ISSUING INSURE!WELL-4DEAVOR TO MAIL �0 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAME I TO THE LEFT,BUT FAILURE TO 00 80 SHAM. Town of Barnstable IMPOSE NO OSUGATN3N OR LIABILITY OF AN'KIND UPON THE INSURER ITS AGENTS OR 200 Main Street REPRESENTATFME Hyannis. MA 02601 AUTNOFMO REPRJ MYNTTYE aohn 0mlinglop ACORD 25(2009101) (D19 -20 9 ACORD CORPORATION. All Eights reserved. The ACORD name and logo are reglabBred marks of ACORD TUTt MA 02532 Massachusetts- Delturtment of Public Safet> . Board of Building Rc,uiatioits and Standards Construction Supervisor. License`. License: CS 80410 Restricted to: 00 MARK F T: 62 DRPO BOX 1505 CASSET,MA 02559 -- Expiration: 1 011 1/201 1 ('ommissionrr Tr##: 8728 (33fllee awmer airs&B _,-h Reid HOME IMPROVEMENT CONTRACTOR Registration:.,,AW553 Type: Expiration: Aq.2013 DBA jam=-_.�.._- E WOMDESI i_ , t = 9 F, —�W-4 MARK TULEJA 270 BARLOWS POCASSET,MA 0255 p=: Undersecretary License or registration valid for individul use only before the expiration date. If found return to: Office.of Consumer-Affairs and Business Regulation it 10 Park Plaza-Suite 5170 j k=N Boston,MA 02116 i I of v d without signature. i l IVlassachusctts- Dcparhncnt.of Public Safcty Board of Buildinl� Rc!�ulations an(I Shuulards Construction Supervisor License License: cS 80410 MARK F TULEJA''. I 62 LAKE DRPO BOX i1505 ' POCASSET MA 02559 I t I Expiration: '10/11/2013 ('unnnissiooi.�• Tr#: 4565 y O�0�1 DESIGNS V O� �/ Niv-cvinivc,Nw riic A MUNtf 171 CLAY POND RD BOURNE MA 02532 PHONE 608-563-1115 FAX 50"63-7930 KITCHENS,BATHS AND MOREIIII PROPOSAL Wrovosal submitted to: I THEODORE BERIAIJ Phone: 508-428-4035 Street: 1138 WEST WIND CIRCLE I Job Name: lCfty,State,Zjp Code: IOSTERVILLE MA 02655 Sal rson: MARK TULEJA MTI TO FURNISH AND INSTALL THE FOLLOWING PER ATTACHED PLANS REMOVE EXISTING,VANITY,SHOWER,TOILET REMOVE EXISTING TILE FLOOR&SUBFLOOR REMOVE 2 EXISTING WALLS REMOVE EXISTING BATHROOM DOOR RELOCATE ELECTRICAL SWITCHES BY DOOR TO OUT SIDE OF BATHROOM INSTALL NEW 6 PANEL PINE DOOR TO MATCH EXISTING 36" CUT OUT FLOOR IN NEW AREA FOR SHOWER CUT EXISTING FLOOR JOISTS TO ACCOMMODATE PITCH FOR SHOWER&REINSTALL FLOOR REFRAME NEW WALL FOR WASHER DRYER CLOSET RELOCATE DRYER PLUG RELOCATE PLUMBING FOR SHOWER,TOILET,SINK,WASHER INSTALL NEW ALLURA SHOWER VALVE WITH HAND SHOWER SLIDE BAR INSTALL WATER PROOF MEMBRANE,WALLS& FLOOR OF SHOWER AREA INSTALL TAPERED MUD/MASTIC FOR SHOWER PITCH INSTALL NEW UNDER LAYMENT INSTALL 2 X 2 TILE IN SHOWER AREA FLOOR INSTALL MATCHING 12 X 12 TILE IN THE REST OF THE BATHROOM FLOOR (Florida Tile,Style:Fontana,Color.Navona Sand) INSTALL TILE ON BACK AND SIDE WALL OF SHOWER 4A Lty INSTALL GREAT NORTHERN VANITY WITH HP ACCESSABILITY(y. 14 11-/0 INSTALL NEW GRAPHITE CULTERED COUNTERTOP WITH UNDERNfOIINT SINK INSTALL 2 24"GRAB BARS INSTALL 1 48"GRAB BAR IN SHOWER AREA INSTALL NEW MANSFIELD ALTO SMART HGT TOILET WITH SLO CLOSE SEAT HOOK UP SINK,WASHER,DRYER,SHOWER INSTALL GREAT NORTHERN CABINET OVER WASHER (Great Northern Cabinet Wood:-Maple,Color.Praline) INSTALL GREAT NORTHERN MEDICINE CABINET INSTALL 1 ADDITIONAL RECESSED LIGHT FIXTURE IN SHOWER AREA REMOVE MIRROR AND RELOCATE VANITY LIGHT(NO CHARGE) FYI CABINET AND MED CABINET $ 1,350.00 NEW TOILET $ 250.00 NEW LIGHT IN SHOWER $ 250.00 TOTAL PRICE: $ 10,916.26 NIC PERMITS,FAUCET,PAINTING,SHOWER CURTIN FINAL PRICING BASED ON APPROVED DRAWINGS AND FINAL SELECTIONS ON ALL PRODUCTS THEODORE BERIAU 2 DESIGNS V��A Af!!R!S 171 CLAY POND RD BOURNE MA 02532 PHONE 508-563-1115 FAX 508-563-7930 KITCHENS,BATHS AND MOREIIII TERMS: $ 3,274.88 DEPOSIT $ 3,274.88 UPON START $ 4,366.50 UPON COMPLETION Al matmkt Is guamntmd to be spec fle"wort to be canpkted In e wabnmfike mmtner eworat k simtdard pmdkes PM egerdm m devbftn from above spedgcab"kwdft am twsm w0 be mevAed only upon wwtnm orders,mid vA btxome m ems drmge ovm mid above bw estimate.All agreement corekWO ttpon sb*w.eccldertb,a dekysbaryM w oormd.Ow to eery fh.tomado.mat othm rwoes my k�Ow wakes we hsj covered by Workers CornpdtsOm hwa oe. Acceptance of Proposal The above pnoes,speadcation,and aondiaion are satisfactory and are hereby aooW ou ar atNmrize to wroth as specified.Payment will be "Wined above. S Data 9 MEMBER OF BU I G TRADES ASSOCIATION #A40122 BUILDING UCEN # CS 0804 10 MA HOME IMPROVEMENT #156533 MEMBER OF BETTER BUSINESS BUREAU #114203 THEODORE BERIAU 2 f �T"E' Town of Barnstable s s Regulatory Services �ST"M r3' es MA&& Thomas F. Geiler,Director 1639. 10g Building Division Tom Perry,Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder as Owner of the subject `e j ct property hereby authorize a`r -TV o� yrn +-6w �� hs to act on my behalf, in all'matters tela.ttve to work authorized by this building permit 3S V S�11��✓1d Cj r-�(Q C�2ry V'MP+ (Address of Job) **Pool fences and alarms are the responsibilityof the applicant.e app ant. Pools are not to be filled before fence is installed and pools are not to be utilized until all final inspections are performed and accepted. ture wner SP., ekA - Sent Print Name Print Name Date QTORMS:O WNERPERMISSIONPOOLS THE Town of Barnstable Regulatory Services BnaNMABM *' Thomas F.Geiler,Director MASS. 16yg. � Building Division Tom Perry,Building Commissioner . 200 Main Street, Hyannis,MA 02601 www.t6m.barnstable.ma.us Office: 508-862-40 8 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION Please Print DATE: JOB LOCATION: number street village "HOMEOWNER": name home phone# work phone# CURRENT MAILING ADDRESS: city/town state- zip code The current exemption for"homeowners"was extended to include owner-occ ied dwellings of six units or less and to allow homeowners to engage an individual for hire who does not possess a license,provided that the owner acts as supervisor. DEFINITION OF HOMEOWNER Person(s)who owns a parcel of land on which he/she resides or intends to reside, on which there is, or is intended to be, a one or two-family dwelling, attached or detached structures accessory to such use and/or farm structures. A person who constructs more than one home in a two-year period shall not be considered a homeowner. Such "homeowner"shall submit to the Building Official on a form acceptable tb the Building Official,that he/she shall be responsible for all such work performed under the building permit (Section 109.1.1) The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other applicable codes,bylaws,rules and regulations. The undersigned"homeowner"certifies that he/she understands the Town of Barnstable Building Department minimum inspection procedures and P P requirements and that he/she will comply with said procedures and requirements. Signature of Homeowner Approval of Building Official Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the State Building Code Section 127.0 Construction Control. • HOMEOWNER'S EXEMPTION The Code states that: "Any homeowner performing work for which a building permit is required shall be exempt from the provisions of this section(Section 109.1.1 -Licensing of construction Supervisors);provided that if the homeowner engages a person(s)for hire to do such work,that such Homeowner shall act as supervisor." j Many homeowners who use this exemption are unaware that they are assuming the responsibilities of a supervisor(see Appendix Q, Rules&Regulations for Licensing Construction Supervisors,Section 2.15) This lack of awareness often results in serious problems,particularly, when the homeowner hires unlicensed persons. In this case,our Board cannot proceed against the unlicensed person as it would with a licensed Supervisor. The homeowner acting as Supervisor is ultimately responsible. To ensure that the homeowner is fully aware of his/her responsibilities,many communities require,as part of the permit application, that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the last page of this issue is a form currently used by several towns. You may care t amend and adopt such a form/certification for use in your community. i i i Q:forms:homeexempt t � TOWN OF BARNSTABLE permit No.31789 BUILDING DEPARTMENT l SA AZ } TOWN OFFICE BUILDING Cash 7 '63 679. f U ur HYANNIS.MASS.02601 Bond .....�,... CERTIFICATE OF USE AND OCCUPANCY Issued to Randolph Harnois Address Lot #27, 138 West Wind Circle Osterville, Massachusetts q 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. March 22 .... ........ ..... , Buil.ing Inspector L} �. 1 ��..� °•. TOWN OF BARNSTABLE BUILDING DEPARTMENT _ »sSTA TOWN OFFICE BUILDING rua i639' �� HYANNIS, MASS. 02601 MEMO TO: Town Clerk FROM: Building Department DATE: An Occupancy Permit has been issued for the building authorized by P BuildingPermit $k. ...........�317 �. .................................... ............................................................................_.................................... issuedto s.... �R 7�� ..................................... .............. . ... ..._ ..... ........._.._.._ Please release the performance bond. : .' "TOWN 0 RNSTABLE, /v1A55ACHU Rf SETTS g LDING" APPLICANT ) ; DATE 19 <• PERMIT! 17 ADDRESS�� 7 jv);lirl ET) , 1 Vz)_.Xe .#006b88 IN0.1 (STgEHT1• PERMIT TO .ICONTq'S LICENSEI T OP 0 MENT) (4) STORY NUMBERr�r)1 «� F':elni 1 ,r NUMBER OF N PROPOS y ' DWELLING UNITS ( ED'd9E1�'� • AT (LOCATION) - '7 ` ZONING (STREET) DISTRICT--1((-�r� BETWEEN (CROSS STREETI AND SUBDIVISION ---------- (CROSS STREETI , LOT BLOCK 9 LOT SIZE BUILD MG IS TO BE ;•kT _,,.(� FT, W(p ( E BY FT. LONG BY S pp �" FT, IN HEIGHT AND HALL CONFORM IN CONSTRUCTION E•. ', TO TYPE. {l,F 7-7 USE GROUP t ! ' _ BASEMENT WALLS OR FOUNDATION tt[ REMARKS: .F, i r?'� ,� ) �. ,•(TYPE) Z AREA OR VOLUME 7 q 130,11cl (CUBIC/SO UARE FEET) ESTIMATED COST $ PERMIT r OWNER" ADDRESS y - � ., r � � .i.l BI�ILQ(NGDEPT. �I �,„tit, •' - FROM- - (, T H E DEPARTMENT O F-P U B L I C S T R I C.IO��I"$"�j''Jr`'C '-"a�°•'•Y H I S'Pre-o rr 0 0 ES'IJ'CT'k'��-E I15E�`Y FI't A'}+•F'•�L ice" ivy-yG .�,t �,+h )( OF ANY APPLICABLE SUBDIVISION RESTRICTIONS, �'��'' +•�Z''r�ag�•,�T;'��a ( MINIMUM OF THREE CALL {oJTYR ' INSPECTIONS REQUIRED FOR APPROVED PLANS MUST BE RETAINED ON JOB AND THIS WHERE APPLICABLE SEPARATE ALL CONSTRUCTION WORK: CARD KEPT POSTED UNTIL FINAL INSPECTION HAS BEEN PERMITS ARE REQUIRED -'FOR I )`VUIV U7i-T'TO'N'S'VYTTO'O'T"fNG�, - MADC. W11G'tr A .:EIT??r-,r-�..- 2. PRIOR TO COVERING STRUCTURAL ''� '��cI.lrANCV_I.,q._.R.E_ ELECTRICAL, PLUMBING AND MEMBERS(READY TO LATH). OUIRED,SUCH BUILDING SHALL NOT BE OCCUPIED UNTIL MecHON.ItAL.;�I.TeLLgTIpNS-^-�ti_r 3. FINAL INSPECTION BEFORE FINAL INSPECTION HAS BEEN MADE. OCCUPANCY. POST THIS CARD SO IT IS VISIBLE FROM STREET • rt 13UII_DING INSPECTION!PPOVAI.S - PLUMRING INSPI(IION,lPPIIUVAI:; °= -•:=: _____._-_,-._.._ _-. -_ _ @LCT ERICAL-INSPECTION APPROVALS z Z !�Z HEATING INSPI(:I ION APPROVALS ) ,. - _. ------------------ ENGINEEF{SNG.DEPARTMENT OTHER __ 3--�/-90 2 , _-- --Y- BOARD .HEALTH N WORK SHALL NOT PROCEED UNTIL THE INSPEC. PERMIT 'N!LL BECOME DULL AND VOID IF CONSTRUCTION TOR HAS APPROVED THE VARIODU.SSTAGES OF WORK 15 NOT STARTED WITHIN SI MONTH$ CONSI RUCI10N INSP[(;TIONS INDICATED ON THIS CARD CAN BE PERMIT IS ISSUED AS NOTED ABOVE OF DATE THE ARRANGLD FOR BY TELEPHONL ORkVRI1TEN NUIIFICAIIUN, r r I-6 ��G 6 /tit 2G. S' oa f,U/11atone !Ueat 'U.ind . end o C-vule =i•- pave (� 3z—S Z7Z ass L10 wide 36.7 V 1-6 i�G 6 pit I 3G z Ig !U/I atone U 33.0 pao jite o0 o No Sca& = 201 a £xp. �t2 7' 'd .. - 39.s C75 ��s 0" ) 40.0 o 33.4 9T 3o P I i 1500 3a3 I_ A 0 •'.a 34.5 �O £X; � 90 und. 4i A2 m 33.7 . Pot 26 .Cot 27 39.7 � 18,872 S f 3a.z d f rrd. I.a Cape r ' 35. �Iq Idaicl�o4, 96ad lgavtvz iA, Ma. 02601 3� 9 C Scc 34.4 . 117./3 Jcte 9-I !-87 Data Sk tcA /-'.tan og .Pa ld in 04tezu-i,1.G-, Pia. No, bedzoonr� 2 got ,'hand ph ka&nai. g Ca2bac�e d i,�. no e i nq tot 27 as ahown on a ptan teco tc e .in . „Peach i.� a 201 r3�Ce l�� bl� 290 pg SS. I �eae�rue " 201 R wat i ovh. ahown aiae on an ad umed dam. 1 Capac� 427 qpd _ i Seat I'i t#1)-66 39 �G te:------Aden ---13 �e oaz o?Nam ('Made 8-19-87 Wit. g. Dun" f No watch enco c%n tehl, p eh in She owula tion ahown on thi i p.tan iA to ca ted i 35.3 3¢.5 on �� a,,, 4hown he�teon, and nto..etas. the, & top .�etback .�e cyuihexevrti o the Jown o% r3a�c .tal�te. topdab date 4-14-88 ; 3z.3 3�.5 t. )eAc. OF i ;come coavtlj.e `` ED .nRn " KE RN 1� y�y 41ajsd 6 1 1 • i ��No.3d�t�if d� ,o ,p a `.F,l ST LA 2Z.k zI.S /// 1 Assessor's offioe (1st floor): // , r �c� MUST FtNEr Assessor's map and lot number .......f /...........9. 1� Q /.� ,F� ��� SYSTEM Q..° Board of Health (3rd floor): e�� • Sewage Permit number .................. . WITH TITLE 5 • "" Z BAUSTODLE, Engineering Department (3rd floor): n"' ��L CCU�_ rnea ,��n g g P ) \! .. .�Jl�.,tJo�ou oa 039 ° House number /3 ' fin a�em ...................oHe d•.,,,... RE IS" YAr APPLICATIONS PROCESSED 8:30-9:30 A.M. and 1:00-2:00 P.M. only TOWN OF BARNSTABLE BUILDING INSPECTOR 1--- ! J) APPLICATION FOR PERMIT TO .... ! l e.........�-??n . .,......Lde.[(. .... ...............J�................... TYPE OF CONSTRUCTION ...(,1L�f D.,O. ........: e // 11 •6 e/��r1 Y'. .!!?1............. .......... ... ?.. .. ....................................... . . ...........19 TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location ..... .. qq ,, `e p f�-a.................crC..7 ,WPC nr ...... .t.�'. �............ ... v 5 ..... ........... �.5... .............L. ...�-. r Proposed Use Q' i}.L...............�.t.N.. .l e......... ..13 X14 Zoning District D t' I-l..f. ..............�.... g Fire District ..... ... .S...l��:..S�.r.l n / t` I Name of Owner ... A!?.dlQ. �.Ga............ .. .dgrlu01 -5 ......Address .'Y. .......G O' ij (� r'�. r 4..P...S....... ..�...... ,. . . Name of Builder 16. •� �. 1. ..� „!. .. ........ DN�S:.V.!^.1�.�. /..0.�..Address .��Z....../.�::/.1�'.l.iJ........ ..�.�...... ./.1J.�. .�1.. Name of Architect lvel,h.L'.... ...Q�� ...`�`..tl..Jed,?!�.....Address .•..�1..4..."..E .��...... NS Number of Rooms ...........J..........&POP.c,. ............Foundation ..........�aIV..C.I .�. e-.......... Exterior aJ.......5.A.I.41P............ ...Roofing . S.h��[..!'.........�.h.r.AJ.�!.e.s. Floors !?J. ........J.../...!.l.'r�(CIDocJ�................lnterior ........�4 �" .� .. ` LtJOV P ............ Heating .... ...........Plumbing ...... .-,a ...!......... d & J! 9r �4'v�✓�f'r r ( i Fireplace ... ... f�s.O..N/ J`............... r`�C... ..............Approximate Cost .........�J..O�.D..D...�. Definitive Plan Approved by Planning Board -Dac— 1D._ /9 Area ....................... Diagram of Lot and Building with Dimensions Fee ..... .................. .................. SUBJECT TO APPROVAL OF BOARD OF HEALTH \ 1� 1 4` OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. (:�24 Nam ........... . ............... Construction Supervisor's License .....OP(o..6. lJ HARNOIS, RANDOLPH No Permit for .....1.12... Y. .......... Sin le Fa .......... Location §.t....Wi.nd...Circle ................O.s.t.e.rv.i.l.l.e..................................... Owner ..... ................... Type of Construction ........Fr?M.Q..................... -7 ............................................................................... Plot ...... ....................... Lot ..................... ............ Permit Granted ..............................April 11 ,...........19 88 Date of Inspection ....................................19 Date Completed .................... 19 �. � � 9d V I "Engineering Dept.(3ra floor) Map:', 1 0� I Parcel Permit# S �)� a`/o • House# - i 3� �1 a Date Issued � 7 �� 7 Board of Health(3r o or)-(8:15 -9:30/1:00-4:30) �— .3� Fee . ��'� • / 11LJ Conservation Office(4th floor)(8:30-9:30/1:00-2:00) �� Planning Dept.(1st floor/School Admin. Bldg.) THE Definitive Plan Approved by Planning Board 19 BARNMOLE. ' TOWN OF BARNSTABLE l3iiilding Permit Ap lication Project Street dress Village Owner �Q Sq!-(.� 'l.� �Tr- Address l 3 1„/e_Ec �i✓t,, E � Telephone Lf d 5 Permit Request iv ZnJ 4Po.VA ,,a,-e 1,- 6 First Floor square feet Second Floor square feet Construction Type Estimated Project Cost $ 0 p0 .6 I Zoning,District Flood Plain Water Protection Lot Size Grandfathered ❑Yes ❑No Dwelling Type: Single Family Two Family ❑ Multi-Family(#units) Age of Existing Structure Historic House ❑Yes ❑No On Old King's Highway ❑Yes ❑No Basement Type: ❑Full ❑Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full: Existing New Half: Existing New No. of Bedrooms: Existing New Total Room Count(not including baths): Existing New First Floor Room Count Heat Type and Fuel: ❑Gas ❑Oil ❑Electric ❑Other Central Air ❑Yes ❑No Fireplaces: Existing New Existing wood/coal stove ❑Yes ❑No Garage: ❑Detached(size) Other Detached Structures: ❑Pool(size) ❑Attached(size) ❑Barn(size) ❑None ❑Shed(size) ❑Other(size) Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes ❑No If yes, site plan review# - Current Use Proposed Use /,� Buflder I/n�ermation ,J ✓ Name l gite_& lephone Number ddress 19 -ro/hs ense# 0 3 3 Al 3 Hgme Improvement Contractor# Worker's Compensation# NEW CONSTRUCTION OR ADDITIONS REQUIRE A SITE PLAN(AS BUILT)SHOWING EXISTING,AS WELL AS PROPOSED STRUCTURES ON THE LOT. ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE V,,J DATE 0 / — ,9 7 Bj.J�I MG P RM.IT I}ENIED FOR;THE FOLLOWING REASON(S) w^, FOR OFFICIAL USE ONLY t PERMIT NO. DATE ISSUED MAP/PARCEL NO. ADDRESS VILLAGE ; OWNER DATE OF INSPECTION: ' FOUNDATION ' FRAME r _ INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL - i PLUMBING: ROUGH FINAL GAS:- ROUGH FINAL FINAL BUILDING - . f . DATE CLOSED OUT ASSOCIATION PLAN NO. • r .. .. .. .. ...�: :;; .::. ,.••. . ;... .. The Town of Barnstable NAM Department of Health Safety and Environmental Services Building Division 367 Main Street,Hyannis MA 02601 Office: 508-790-6227 Ralph Crossen Fax: 508-790-6230 Building Commissi. For office use only Permit no. Date' AFFIDAVIT HOME IMPROVEMENT CONTRACTOR LAW SUPPLEMENT TO PERMIT APPLICATION MGL c. 142A requires that the "reconstruction, alterations, renovation, repair, modernization, conversion, improvement, removal, demolition, or construction of an addition to any pre-existing owner occupied building containing at least one but not more than four dwelling units or to structures which are adjacent to such residence or building be done by registered contractors, with certain exceptions,along with other /requirements. ,,-�-,TYpe of Work: N i'LJ1 ) b i'o 4,L) vP Est.Cost / 0 Ud Address of Work• / 3 �- U10 54- ru t b� Mi 0i 55 Owner's Name --T�n ate of Permit Application: I hereby certify that: Registration is not required for the following reason(s): Work excluded by law Job under S1,000. Building not owner-occupied Owner pulling own permit Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE HOME MWROVEMENT WORK DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL r— 142A SIGNED UNDER PENALTIES OF PERJURY I hereby apply for a permit as the agent of the owner. Contractor Name Registration No. Date OR Tlrc• Cunrnrurrl��CQlllr n� r3fuscaclruscttt • DeIMMIX111 of ludurrrial Accideirts w •:s �. :1 OxceOf/M zff allods ;�_\_+"i • %• �` 6111111 aslun„tan Street %larkers' Compensation Insurance Affidavit —' Please PR1 atirilic:tn`t inrot•mntinn•• _ _ NTie:�tb V name lt-+rttion� cis• nhnnc if M I ant a homeowner performing all work myself. I am a salt:proprietor and have no one workim_ in any opacity I am an empiover providing workers* compensation for my employees working on this job. rnmnanv n•rmc• 1C �'1 C�.l A l I� I Oct /" atltlrccc• 1 ,� �� 1'�� 1 hnn th i ll (.iwmrnncern. �CrAJ �II f ith•t! PN.v� ax �� �i� - -ti `7 [� I am a soie proprietor. ,encral contractor, or homeowner(circle one/and have hired the contractors listed below who the following workers' compensation polices: cmmnanv n ttnc� :rtltirccc• cite- nhnnc t►• incirr�ncc rn nnlicvlt cmmn.1n n*Itnct �tltlrccc- -ir.• nhnnc Ih ncornnee cn nniitry a %teach additional sheet if neeaiary !;•c • --+ .» -,i.. .....,., _.:.._'�._:�_-_- 'ailure ttt secure coverage as required under Section•3A of A1GL 152 can lad to the imposition of criminal penalties of a li up to 0.5ne 00.00 andiur nc y cars•imprisonment as well as civil penalties in the form of STOP WORK ORDER and a line utS100.00 a day against me. 1 understand that a GM of Phis statement may be furwarded to the Olnec of investi0ations of the DIA for coverage verification. rlv ltercht•ccrr/j• uu/er t/rc•paitrs acid prnnllic7 ojperjurr t/tat t/tc iajormotion prodded above is tare an correct nature oats ` I " I? 'Tint name Phone 0 ofliciai use only do nut write in this arcs to be completed by city or town omcial city or town: pertnit/alcense it r'tl3uildin;;Department ❑Ucensin0 Board L. ►-check if imm 5eleetmen's Oberediate response is required C311ealth Uepattmeot contact pertnn: phone0: MOther_�� r . .. .+ .._r. .. >! .• 1. ....1v r.y 77INa':✓r;t� •l:r.• r�•t:••iLr�. . �`!•: tia••. �'... ..i '1:.:•. .. Information and Instructions Massachusetts Getterni Laws chapter 15'_ section '15 requires all employers to pm�►ide workers• campertsatiatt employees. As quoted from the "ta%v"•an entphtree is defined as every person in the service of :ituotltcr undo: contract ofhire, express or implied. oral or,%witten. An cnrplm•rr is defined as an individual. partnership, association. corporation or other legal antitt, or any two tide fomaoims en.uaged in a joint enterprise.and including: the legal representatives of a deceased employer, or t rcccil•er or trustee of an individual . partnership. association or other I' ' I emity, employing emplovc s. Howt m«•ncr of a dwelling 11ousc haying not morn than three apartments and who resides therein. or the occupant of ti da cllitr_ house of another who cmplo?'s Persons to do maintenance, construction or repair work on such dwelI or oil the grounds or building appurtenant thereto shall not because of such employment be deemed to be an err ncL MGL chapter 152 section 25 also states that ever%•state or local licensing agt;ncy shall nithhuld the issun rert01•stl of a license or permit to operate a business or to construct buildings in the commonwealth for sr applicant who has not produced acceptable evidence of compliance wt ith the insurance coverage required Additionally neither the commonwealth nor any of its political subdivisions shall enter into any contract for du performance of public work until acceptable evidence of compliance with fire insurance requirements of this clip been presented to the contracting authority. r �—..�_.�..�.�—..� ...»���.���: .�. 4:.. ... ,. .,... :a.. to•.:+:..:y\.. .�Y..,:�� -�«','.7!".�—. . App icants Please fill in the workers' compensation affidavit completely, by checking the boa that applies to your situntior hone numbers as all affidavits may be submitted to the Department of supplying company names. address and p Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the al'tdavit. 771c affidavit should be returned to the city or town that the application for the permit or license is being requested. not the Department of industrial Accidents. Should you have any questions regarding the "law"or if you are re: to obtain a workers' compensation policy. please =11 the Department at the number listed below. City or •rowi•tts Piease be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bor, the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant be sure to fill in the permittlicense number which will be used as a reference number. The affidavits may be retu: the Department by mail or FAX unless other arrangements have been made. The Office of Investigations would like to thank you in advance for you cooperation and should you have any quc please do not hesitate to _sire us a ►::11, r••araw-�— _.r,�..,,.—. .ww+�'• .. ..a..r._.w. wry—si.. .. •.�— T ' . The Department's addresso telephone and fax number. •-;� The Commonwealth Of Massachusetts Department of Industrial Accidents Office of 1QYeStfgatfoas 600 NVashington Street Boston,Ma. O2111 f-tY o- «t 71 727-7749 r IVIDlITUAULA IN 5PnulluN PLAN 4 NORTHERN ASSOCIATES, INC. 342 N. MAIN STREET ANDOVER MA 01810 TEL: (508) 474-4410 FAX., (508) 474-5067 MORTGAGER: THEODORE F.. JR. & BARBARA BERIAU DEED REF. 9216 / 51 LOCATION: 138 WEST WIND CIRCLE PLAN .REF. 280 / 69 CITY, STATE: BARNSTABLE (OSTERVILLE), MA SCALE: 1" = 30' DATE: 6/27/97 JOB #: 97/3404 N/F JOHN B. LEBEL CONSTRUCTION COMPANY 117.12 + 1 l 1 LOT 27 18 ,87 S. .T Rn-r to P wa 0M Z LOT 26 ,` e m °' 1 W M 34t d0 38Y 201 J O ZZ —r OR Z .2 P •- 2 0 U .� N ,y Z Z ' 10 0 1 14 vv� S71 vV� � N ' C4 E CERTIFIED TO: DREW MORTGAGE NOTE: This mortgage inspection was prepared This mortgage inspection was prepared in accordance specifically for mortgage purposes only and with the Technical Standards fortHortgage Loan is not to be relied upon as a land or property N OF bq Inspections as adopted by the Hnssachusetts Board of line survey, used for recording, preparing deed ��P lf9 Registration of Professional Engineers and Land descriptions, or construction. No corners were �'y Surveyors 250CMR 605. set. Building location and offsets are o CARMEN G I further state that In m approximately located on the round and ✓ y professional opinion that PP Y 9 g � the structures shown conform with the local zoning horizoNtal are shown specifically for zoning determination T Imnsional setback requirements at the time of construction only and are not to be used to establish propert e are exempt under provisions of M.C.L. Cit. 40-A Sec. 7. lines. The matters shown hereon are based on -04 client-furnished information and may be subject O� �a MIf1.Property/House is not in a Flood Hazard. to further out-sales, takings, easements and rights �J+ fCISTERE QJ 02.Property/House is in a Flood Hazard Area. Of way, and other matters of record and prescriptive �i J p 3.Information is insufficient to determine or other rights. Northern Associates, Inc. assumes no DNA( LAND S Flood Hazard. responsibility herein to the land owner or occupant, accepts no responsibility for damages resulting from said / r— /!f 7 Flood Hazard determined from latest Federal Flood reliance by anyone other than the said mortgagee and its assigns s Insurance Rate.Map Panel r�`i��+'•/ a A;: / C: in connection with its proposed mortgage financingto said mortgagor. Date_ ice.. 1 Y''T Zone_��_ 'A' F II 10 ,F TYPICAL WHERE SHOWN 3 3 4 � 3 .. ................ 9p 3 �.. .; . SHADED PORTION REPRESENTS A AREA FLAT I ST AI OPTI SIZE SHOWN i9x32' 4% S.F. SURF. AREA a 1779a- GAL. CAP. ALSO AVAILABLE 16'x34' 530 S.F. SURF AREA a 18476 GAL.CAP 19 x36' 634 S.F. SURF AREA a 21148 GAL.CAP 20'x4d 766 S.F. SURF. 'AREA er 27670 GAL.CAP. V 4 RAMUS..-RECTANGLE ' 'A' FRAME ASSEMBLY TYPICAL WHERE SHOWN 2 � 3 of;.,►•- � �i R IIW 3 {/� •1 W O � 5• w co ffi ►= 0 7 W W u ae W 3 � d.V. N y. • I •1 STAIRS ARE ' OPTIONAL .p IRF. AREA a 26910 GAL.CAP. iRF. AREA a 26910 GAL.CAP r. SURF. AREA a 22045 GAL. CAP. �. F. SURF. AREA a 20822 GAL.CAP. N� >IS• � 0 1h 3 ��. mu I • l • • r' THE FACE OF THIS DOCUMENT HAS A BLUE•BACKGROUND ON WHITE PAPER �,,.. MNN SS hece.e. "Ose\.e a i.,.r'9•ei•,w ♦a. 1-WIRS \ �.. `� ♦♦M. .i. \e. ER THE BACK OF THIS DOCUMENT CONTAINS AN ARTIFICIAL WATERMARK-HOLD AT AN ANGLE TO VIEW • L THE FACE OF THIS DOCUMENT HAS A BLUE BACKGROUND 0� N1 WHITE� PAPERSENSE - WINE �..1 .�� � �� THE BACK OF THIS DOCUMENT CONTAINS AN ARTIFICIAL WATERMARK•HOLD AT AN ANGLE TO VIEW Assessor's offioe (1st floor): // J "Assessor's map and lot number ............ ....._........7.tff�2 �11 FTMETo`` Board of Health .(3rd floor): n d � Sewage Permit number ............... ..F...— .. ^^�... L Basa9?snLL, Engineering Department (3rd floor): . °o 0b 9• \e`� House number .......................... ....7 �3g.......................... a. 0 NOR APPLICATIONS PROCESSED 8:30-9:30 A.M. and 1:00-2:00• P.M. only, TOWN OF BARNSTABLE BUILDING INSPECTOR le J � APPLICATION FOR PERMIT TO .... ( . .le........�h'?,. .......Low I.L. .....................�................ TYPE OF CONSTRUCTION ` .W.0.D. .......... V'.d9r??'! .........' ..........!''�.�.-5... ......:.......�2/.......... � I �-�/............. ...........19.R TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location ..... .t? mac....... . ................l f.e. .....w.!.!v...........C1.rC ............ SS. U.�1 ... ................ r � Proposed Use 5...!.M-t�? 42 f►..!................J.i..et�. ..(.c......... . / �.1. ..................................................... A........... 05.6�r!V.L/.......... Zoning District ........................................................................Fire District ..... 1...!..f."e- Name of Owner ..... A ........... .. Address .. .. .......... ......... ........ ..P........y E......... Name of Builder y � ..... !!-5.�.►':.J..C. 1..A.4v.Address ..���Z...../r�/ �/..rs�................:. /V. ..... .. ..... Name of Architect 0,1.0.e.......��.�....�...&4i!,J....Address ..•. ...... d.f?/;!V.S..................1.�' y .�'. c....G.�!...........Number of Rooms ........... ..........!C� .6� Foundation" .U.r. .. ......... ............ Exterior .( C/�oC ...... ..f1.r.rUr..le.......................................Roofing .. S.h. .! .[.!!......... f'!. ...................,... i .C� !y..L/....... .../.,Y„/t/ GQJDO ..............Interior ........C� ...e...v.......` ... Wa4.. .................. Floors / / Heating ..... � X � � ...........Plumbingf I ...... ..e..5............. 1-::9r4U.Q.........� Fireplace ...A?.s.D.N/ Yr!...............r .r.!C.. .............Approximate Cost .6 (9(90 , ...... Definitive Plan Approved by Planning Board _-V)�___10--------19 73__ . Area ......./Vt ................... Diagram of Lot and Building with Dimensions Fee SUBJECT TO APPROVAL OF BOARD OF HEALTH �• e 9 OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name ...... ... , Construction Suplervisor's License .....,00.<?.6 ........... i HARNOIS, RANDOLPH Z121-011-012 c 1�21 No 317 8 9 Permit for ..1 z StorX.. ... ...... Single Family Dwelling............ ...................................... ... Location i......1.3.q..Yest Wind Circle ....................... .................O.S.t.er.y.i.1le.................................... Owner ....RApjpjph....Ha.r.no.i.s...................... .. .... .. ... .. . Type of Construction ......Frame....................... .. .. ....... ..............I....................................I........................... Plot ............................. Lot ................................ Permit Granted ..... 1.1..".............19 88. Date of Inspection ....................................19 Date Completed ......................................19 ti 1(ltllr�7 a ` O C _ 1 \ I , I OD - x I I N I I ' I 00 LO 00 \M ' I a 1 I , l per I O I I I � �M � I , I , I I I I I I �IW I x I I x ------------- G 68411 > �y. 89111 All dimensions _size designations 2® 20 This is an original design and must Designed: 9/19/2011 given are subject to verification on TECH N O L O G I ES , not be released or copied unless Printed: 10/20/2011 job site and adjustment to fit job applicable fee has been paid or job conditions. order placed. -�- - ETHEODORE BERIAUI Print Drawing #: 1 Scale : 0 1/2" = 1'