HomeMy WebLinkAbout0024 ACORN DRIVE i
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Town of Barnstable
�..._._...... _ Building
: Post This Card'So That it is Visible From the Street-Approved Plans Must be Retained on Job and this Card Must be Kept
Posted Until'FinaI Inspection,Has Been Made. ,
165 Permit
t�
mot. Where a Certificate of Occupancy is Required,such Building shall Not be Occupied until a Final Inspection has been"made.
Permit No. B-16-2025 Applicant Name: JANIK, ROBERT A& MARY T Map/Lot: 216-026
Current Use:
Date Issued: 07/28/2016 Zoning District: RF
j Permit Type: Shed-Residential-200 sf and under Expiration Date: 01/28/2017 Contractor Name:
Location: 24ACORN DRIVE,WEST BARNSTABLE _ Est.,Project Cost: $0.00 Contractor License:
.,
Owner on Record: JANIK, ROBERT A& MARY T Permit Fee: -`�` $35.00
Address: 24 ACORN DRIVE Fee Paid: \$35.00
WEST BARNSTABLE, MA 02668 ' _ Dater y 7/28/2016
Description: 8x12 shed l
Project Review Req : 8x12 shed r
Building Official
This permit shall be deemed abandoned and invalid unless the work authorized by this permit is commenced within six months after issuance.
All work authorized by this permit shall conform to the approved application and the approved construction documents for which this permit has been granted.
All construction,alterations and changes of use of any building and str'uctures shall be in compliance with the local zoning by-law`s and codes.
This permit shall be displayed in a location clearly visible from access street or road and shall be maintained open for public inspection for the entire duration of the work until the completion of the same.
The Certificate of Occupancy will not be issued until all applicable signatures by the Building and Fire Officials are provided on this permit.
Minimum of Five Call Inspections Required for All Construction Work r
1.Foundation or Footing 1
2.Sheathing Inspection
3.All Fireplaces must be inspected at the throat level before firest flue lining is installed—
s
4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection
5.Prior to Covering Structural Members(Frame Inspection) r'
6.Insulation
7.Final Inspection before Occupancy
Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations.
Work shall not proceed until the Inspector has approved the various stages of construction.
"Persons contracting with unregistered contractors do not have access to the guaranty fund" (as set forth in MGL c.142A).
Building plans are to be available on site
All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT
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Town of Barnstable pa�'L S E,iIrr
Regulatory Services
Richard V.Scali Director
s"W ��' Building Divisim"St,
s63q.
Paul Roma,Building Commissioner j pinr
200 Main Street, Hyannis,MA 02A
www.town.barnstable.ma.us CJN1Q1�n� .
Office: 508-862-4038 Fax: 508-790-6230
PERMIT# , �� FEE: $35.00
SHED REGISTRATION
RESIDENTIAL ONLY
200 square feet or less
o?Ll C o 2u�. t17 .— 8�-� 'Ft ek 41 t.
Location of shed(address) Village
last-�- a �►u,k "2^? �-{ -3 3 0- ? � 3' o
Property owner's name Telephone number
gxlz alLIv ."
Size of Shed Map/Parc #
iS-ft.
Signature Date
Hyannis Main Street Waterfront Historic District? N a
Old King's Highway Historic District Commission jurisdiction? C S
You must file with Old King's Highway
Conservation Commission(signature is required)
Sign off hours for Conservation 8:00-9:30&3:30-4:30
r _
PLEASE NOTE: IF YOU ARE WITHIN THE JURISDICTION OF ANY OF THE ABOVE
COMMISSIONS,THERE MAY BE A REVIEW PROCESS AND APPLICATION FEE!
PLEASE SEE THE APPROPRIATE COMMISSION FOR DETAILS.
THIS FORM MUST BE ACCOMPANIED BY A
PLOT PLAN
Q-forms-shedreg ti AN I ,' A �
REV:06/20/16 ��M �`
Town of Barnstable
Old King's Highway Historic District Committee
200 Main Street,Hyannis,Massachusetts 02601.
(508)8624787 Fax(508)862-4784
CERTIFICATE OF EXEMPTION
Application is hereby made,with four(4)complete sets,for the issuance of a Certificate of Exemption under Section 6 and 7 of Chapter
470,Acts and Resolves of Massachusetts,1973,as amended,for proposed work as described below and on plans,drawings,or photographs
accompanying this application:
Date Address of Proposed work, Assessor's Map and lot#
House# e;� Street A7 W CA) O C", j A village: � �a r v
This application is for an exemption of the proposed construction on the grounds that work:
❑ Will not be visible from any way or public place
Is within a category declared exempt by the Old Kings.Highway Regional Historic District Commission
❑ Other
Description of proposed Work: n Y I a 1 6 N(t Q
a q r o N S V r c-,b-i l
—.ctr,,A sn lrlt v i ,.en L cearzc I k e r pG N14 fie), t lac.
Agent or contractor(please print): Tel.no.n 1 2 LI — 3 0— 3 0 1
Address C
Owner(please print) Q Tel no. 7 L( -V 3 1 U E
1
Owners mailing address:
f
Signed,Owner/Contractor/Agent Al
For Committee Use Only This Certi ereby Approved/Denied .Date:
Committee Members Signatures:
AHHROVED
Town Of P@Plar+able
Old King's Highway
Any conditions of approval: Committee
C:(Documents and SettingaldecoUlkU oval SeningslTemporary Internet F11es10LK110KH Exemption Form 07 doc
t
Town of Barnstable Geographic Information System July 8,2016
216070
028
218084 216007
#37 #988
2 062 . 20
0 22 20 #22
216063 216029
#10 0952
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024
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216016 216=7
#9 #10
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APPR
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216016
218010
064 #43 Town of arnstable
Ali
Old Of's Highway 2,eoos 216046
C mittee 0922 0939
29 Fe
DISCLAIMERS:This map is for planning purposes only. It Is not adequate for legal Map:216 Parcel:026 Selected Parcel a ro
boundary determination or regulatory interpretation. Enlargements beyond a scale of Owner:JANIK,ROBERT A&MARY T Total Assessed Value:$262400 4 1'=100,may not meet established map accuracy standards.The parcel lines on(his map
are only graphic representations of Assessor a tan parcels.They are not We property Co-Owner Acreage:0.55 acres Abutters w�E
boundaries and do not represent accurate relationships to physical features on the map Location:24 ACORN DRIVE
such as building locations. Buffer
I
T+` CCARTHY
RUCTION CO.
sld Mal and Commercial Builder
ZATION SPECIALIST 4
� �'1C �► 7 K'"
e7,0:
October 21, 2014
Town of Barnstable
Thomas Perry CBO �; o
Building Commissioner
E a.
200 Main Stret " ' "' 4
c;
Hyannis, MA 02601 NO
RE: Insulation Permits
Q
Dear Mr. Perry,
This affidavit is to certify that all work completed for permit application#201404562 at 24 ACORN DRIVE
has been inspected by a certified Building Performance Institute(BPI) inspector.All work performed
meets or exceed Federal and State requirements
Sincerely,
Michael McCarthy
McCarthy Construction
I
" TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION
Map Parcel Application #
Health Division Date Issued
Conservation Division Application Fee
Planning Dept. Permit Fee 3
Date Definitive Plan Approved by Planning Board
v
Historic - OKH _ Preservation / Hyannis
Project Street Address
Village
Owner '5�•.,L. Address S•.-.�
Telephone
" II
Permit Request 112 cam) >` t• .�-
' r O
O
Square feet: 1 st floor: existing proposed 2nd floor: existing proposed To tat never
0 ZZ
Zoning District Flood Plain Groundwater Overlay
Project Valuation Construction Type
v
Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation.
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
Number 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
Detached garage: ❑ existing ❑ new size—Pool: ❑ existing ❑ new size _ Barn: Cl existing ❑ new size_
Attached garage: ❑ existing ❑ 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 Telephone Number
Mike c a y Construction
Address PO Box 52 License #
West Dennis, 70
Cell (508) 280-6964 Home Improvement Contractor#
CSL-58633 HIC-169393 Compensation #
ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO
SIGNATURE DATE /1y l�
t
FOR OFFICIAL USE ONLY
APPLICATION#
v
_PATE ISSUED
MAP/PARCEL N0.
4
ADDRESS VILLAGE .�
OWNER
DATE OF INSPECTION:
Pv
s
tAFOUNDATION LNi:ijuia{[; e a:mu.A.i A.-
FRAME
iINSULATIONe .
FIREPLACE
ELECTRICAL: ROUGH FINAL
i
PLUMBING: ROUGH FINAL
GAS: ROUGH FINAL
FINAL BUILDING
DATE CLOSED OUT
ASSOCIATION PLAN NO.
� 1 .
The Conzrnonweatth ofMarsachusetts
Deparment of Industrial Accidents
Office of Investigations
600 Washington Street
Boston,MA 02111
www.mass govl&a
Workers' Compensation Insurance Affidavit;Builders/Contractors/Electricians/Plumbers
Applicant Information I Please Print Legibly'
IMIN McCarthy
Name(Business/Organization/Individual): PO Box 52
West Dennis, MA.02670
_ Address: Cell (mi) 280-6964
CSL-58633 UIC-169393
City/State/Zip: Phone
A=am
employer? Check the appropriate box: Type of project(required):
1. employer with� 4. ❑I am a general contractor and I
employees(frill and/or part-tune).
* have hired the sub-contractors 6• New construction
2.❑ I am a sole proprietor or partner- listed on the attached sheet 7. ❑Remodeling
ship and have no employees These subcontractors have g. Demolition
working for me in any capacity. employees and have workers'
irrc�rr nce,t 9. ❑Budding addition
comp.[No workers'comp.insurance
required.] 5. We are a corporation and its 10.❑Electrical repairs or additions
3.❑ I am a homeowner doing all works officers have exercised their 11.❑Plumbing repairs or additions
myself-[No workers'comp. right of exemption per MGL 12❑Roof repairs
insurance required..]t c. 152, §1(4),and we have no I3, her
employees. [No workers'
comp.i omrrance 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 hue outside contactors twist submit anew affidavit indicating such_
$Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and stale whether or not those entities have
employees. If the sub-contractors have earployees,they mast provide their workers'comp.policy somber.
I am an employer that is providing workers'compensa7ion insurance for my employees. Below is the policy and job site
information-
Insurance Company Name:
Policy#or Self-ins.Lic.#: Expiration Date: 7/17�,y
Job Site Address: � Acczr, City/State/Zip:
Attach a copy of the workers' compensation policy decIaration page(showing the policy number and expiration date).
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 r instuance coverage verification.
X do hereby ctify p and penalties of perjury that the information pro er vided ab it true and correct
Si attre: Date:
Phone#:
Official use only. Do not write in this area; to be completed by city or town official
City or Town: Permit/License#
ILLtffh
ihority(circle one):
Health 2.Building Department 3.City/Town Clerk 4.EIectrical Inspector 5.Plumbing Inspector
son• Phone#:
Massachusetts -Department of Public Safety
Board of Building Regulations and Standards
Construction Supervisor
License: CS-058633
MICHAEL J MCC
�AR
PO BOX 52
W DENNIS MA 026704 -
w Expiration -
Commissioner 04/10/2016
tz
Office of Consumer Affairs and Business Regulation
10 Park Plaza Suite 5170
Boston, Massachusetts 02116
Home Improvement Contractor Registration
Registration: 169393
Type: Individual
Expiration: 6/16/2015 Tr# 238121
MICHAEL MCCARTHY
MICHAEL MCCARTHY
P.O. BOX 52
WEST DENNI kO27
Update Address and return card.Mark reason for change.
SCA 1 i� 20M-OS/11 Address Renewal Employment. Lost Card
'
r
AcoRt�� DATE
CERTIFICATE OF LIABILITY INSURANCE
Ili 10/16/2013
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS
CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND, OR ALTER THE COVERAGE AFFORDED BY THE POLICIES
BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED
REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER.
IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to
the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the
certificate holder in lieu of such endorsement(s).
PRODUCER 01962-001 1N2ATACT
Bryden 8 Sullivan Ins Agcy of Dennis Inc ;rA/C.�LNo.Exl): (508)398-6060 _ _ '[a.C,N (508)394-2267 —
PO Box 1497 ;JM Ess:
So Dennis,MA 02660 --- -----------— ------ —'--�- --- ——'
- - --'- ICLSUSERLSLAF.FOl30JN-P C9VERASaE..__.... -'- -' AIC q
A.I.M.Mutual Insurance Company - 33758
INSURED
Michael McCarthy Construction Inc
P 0 Box 52 i
West Dennis,MA 02670 i
I
COVERAGES CERTIFICATE NUMBER: REVISION NUMBER:
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
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,
gEXCLUSIONS AND CONDIT!CNS OF SUCH POL!pDC!ES.LIMITS SHOWN MAY HAVE BEEN REDUCED
CyB�Ypp PAID
PCpLA:NIS.
IrTR' - TYPE OF INSURANCE --"iAINSR 1 WUVp i ..__.. -POLICY NUMBER - .I_IMM/ODD MLMi�D/1!(Y)' __..-------..._ LIMITS
GENERAL LIABILITY I I I EACH OCCURRENCE $
•--
COMMERCIAL GENERAL LIABILITY I I � I (DAMAGE—TO RENTED---.
S
..----------
I CLAIMS-MADE 1 OCCUR i I I ;MED EXP(Any one person) : $
I I I PERSONAL&ADV INJURY ! $
I G AGGREGATE i S ENERAL
GEN'L AGGREGATE LIMIT APPLIES PER: ! I PRODUCTS-COMP/OP AGG ' $
POLICY PE _PC
CT
•AUTOMOBILE LIABILITY ! I COM9INED SINGLE LIMIT
- -- . - • • . - ------ - - -
(��accide.Ot1 _ _ S
ANY AUTO - - —- - I BODILY INJURY(Per person) S -
--
' I ALL OWNED ..I SCHEDULED -
_,.AUTOS _. 'A NON-OWNED U TOS ! I I 'BODILY INJURY(Per accident);$
HIRED AUTOS I------------.__._..____._.,.a_----------..._....
'AUTOS I (P er a c dervl..- - - --- - -...---- -
If A
I
:OCCUR LIAR I CCURRENCE h
S
EXCESS LIAB CLAIMS MADE •AGGREGATE IS
p,KDEEDg! aaryryl�,RETENTION S I I $
I WN REMRL CYER8�L A I OIT!...--- --....._....�----...._...!..-----'--------'-----.. ...-------' -----------'- X TA _
IT 1 :O LI S ER
A D P O 8 L yy L— --.-.--- - -�-- --..__...------- .
qNy PR�pR�E�OR/PARTN�R/E ECUTNEi �N!IN/A!' ! I (E.L.EACH ACCIDENT : $ 500,000.00
A OFFICEWMEM ER EX LU � Y i i VWC-100-6017656-2013A 1 7/17/2013 7/17/2014
(Mandator,In NH) -- E.L.DISEASE-EA EMPLOYEE s 500,000.00
!1( eS d sib ndef ------ --r--------- ---
D�SCRIIPf ft�F OPERATIONS below I I F E.L.DISEASE-POLICY LIMIT I S 500,000.00
T. .
I I I
DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(Attach ACORD 101,Additional Remarks Schedule,if more space Is required)
CERTIFICATE HOLDER CANCELLATION
TOWN OF SANDWICH
Attention: BLDG DEPT SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
TOWN HALL ANNEX THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
Sandwich, MA 02563 ACCORDANCE WITH THE POLICY PROVISIONS.
AUTHORIZED REPRESENTATIVE
la"
i
OWNER AUTHORIZATION FORM
I, <
G ,
(Owner's Name)
owner of the property located at
(Property Address)
West' �c�-c'ns�c�..�o�e� (YID Oa66
(Property Address)
I ,I '
hereby authorize C
(Subcontractor)
an authorized subcontractor for RISE Engineering, to act on my behalf to obtain a building
permit and to perform work on my property..
x. Ow Signa re
Date
Assessor's map and lot number �2, / 6
. s INEME rod
f, Sewage Permit number ........
.....................
............... . . .....
BABBSTAX E,
House number C ..DR.. R?�/Z -42 Ze "AW
1639-
0 V0 Ilk,
TOWN OF BARNSTABLE
BUILDING hNSPECTOR
APPLICATION FOR PERMIT TO .... .......... ......
?.
- ...... .. ........................
TYPE OF CONSTRUCTION .......................4L��...........................................................................................
.............. ..... y.....19.
TO THE INSPECTOR OF BUILDINGS:
The uncleir-signed hereby applie's for a permit according 'to the'following" information:
Location ..... Y.. ............................. ......................................................
...... .........
ProposedUse ................ ...........................................................................................................................................................
ZoningDistrict .........................................................................Fire District ..............................................................................
Name of Owner .........................Address A.y... PA. W.......
Name of Builder ....IlAaA�.D...... .F.......F1*.4�Y.......Address 4s.?....
.Name of Architect ...................... ............................Address ....................................................................................
Number of Rooms Foundation .....0-0.&.4A.-A.77K.....J?..4.4..C..<.......................
............................
Exterior .............. . ....... Roofing .............. ...........................................
V-
Floors ....................... r.4.4.4 .......Interior ................ . . .. ........................................
Heating ..........................?V?).................................................Plumbing ....................1.V....42.........................................................
Fireplace ......................... Z)................................................Approximate Cost ........................
Definitive Plan Approved by Planning Board -------------—-------------- Area ...,-5�//2...0....... ..................
........... f C6
Diagram of Lot and Building with Dimensions Fee .............................................
SUBJECT TO APPROVAL OF BOARD OF HEALTH
7L')
16
\3
*511
C)
I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding'the above
construction.
Name, 4 ............. .. .......
Susich. , Mrs. Mary
No ....21881.. Permit for .....add...b.ree��I��Y.............. . ......
and garage to dwelling
Q;............................................. ...............................
Location ........24...Acorn Drive.........................
....................West Barnstable.......................
Owner ..........Mrs. Mary Susich....................
Type of Construction ........... fram................
................................................................................
Plot............................. Lot ................................
Permit Granted .....December...1.1............19 79
Date of Inspection
Date Completed ... ..................19
PERMIT REFUSED
................................................................ 19
...................................................................
................................................................................
...............................................................................
...............................................................................
Approved ................................................. 19
................................................................................
...............................................................................
p L�......... :. :.:_.:... t,�.
Assessor's ma and lot number `ear �f
PLO f TOf`
THE
'Sewa a Permit number w 5~ ...
.................. ......
: .
g Rq `, I`M1 71 Z BAWSTABLE,
,� i
House number .� ::.�✓.......%f•t ®l M..� � ........ :'!ii, R:�.�IVr;pl-lg4.t 9 NAea
pp 039.
9. \00�
•E�YPY a'
TOWN OF BARNSTAB"LE
BUILDING INSP.ECT0R
APPLICATION FOR PERMIT TO .... l 4t- t „ --? '!�!`u,�..•.................•.•...
TYPE OF CONSTRUCTION ................. $. d:`' :..........
�..T~.................19..!„�.
TO THE INSPECTOR OF BUILDINGS:
The undersigned hereby3 applies for a permit according to the following information:
Location ..... ........ C. F /'� 4/V,�'� ..... . �2 ra/,/ T/ D 4` `......................................................................... .............•.................................
ProposedUse .................:...........................................................................................................................................................
ZoningDistrict .........................................................................Fire District ..............................................................................
Name of Owner W...... A.K.V C,cI S I CH..........Address /� C �? DR !'af �fa r�rvt/J'Gri�
.................................................. .........
Name of Builder ....: ..... � ' Y/ . ......Name of Architect ..................................................................Address ....................................,...............................................
Number of Rooms Foundation
Exierior ................ ... ,+ ......A/C ?.: ;.......Roofing 'i... . .
`
............................................
.. ..... t ..................................................................... .......................... . ....lnterior` J
Heating ..........................Abe ..................::...................::.:......Plumbing ...................:: . .........................................................
)c)0.
Fireplace ..........................nl..0................................................Approximate Cost...��......:�.... ..............................................
Definitive Plan Approved by Planning Board ____________________________ +_19_______. Area ...:..:.:� .'::..............:.............
Diagram of Lot and Building with Dimensions Fee .. ¢'
SUBJECTJO APPROVAL OF BOARD OF HEALTH
y
Icl
6 f
- -- - IRJ
I
I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above
construction.
Name ....... .......� ........... , .....
'. ^� �
Susich, Mrs. Maryro =�=216-26
No 21$$1...... Permit for ...add„breezeway
1z?d..gr. ge..tQ..dwel], ng..............................
Location ..........24..AQQ.rn..1).riX.ee........................
......................h[est...aarrl$1A e........................
Owner .........Mr.9....Mary..,SL1� .G. .....................
Type of Construction .......................frame........
i
........................................
Plot•..... .............. Lot ................................
Permit Grant d ......December 11 19 79
Date of Insp ction ....................................19
Date Completed .................. ...................19
PERMIT - EFUSED
...... .... 19
.............. .. .. ....... .. ....................
....
........................ ..
...................................................
1 ......................... .....................................................
Approved ................................................ 19
...............................................................................