HomeMy WebLinkAbout0942 OAK STREET (CENT./W.BARN) 9�� Oak
�-
- - - - - - i
� �
I � �
- -
- -- - �
� ° �
� �
__ 3
a �,
Department(Af Health, Safety
and Envir'ygmental Services
q
{ i639.
NG DIVISION
•BUILD D
S � •%
BY,_
THIS PERMIT CONVEYS NO RIGHT TO OCCUPY ANY STREET,ALLEY OR SIDEWALK OR ANY PART THE R `jF,EITHER TEMPORARILY OR PERMANENTLY.EN-
CROACHMENTS ON'PUBLIC PROPERTY,NOT SPECIFICALLY PERMITTED.UNDER THE BUILDING CODE/'MU.
BE AP BY THE JURISDICTION.STREET OR
,PROVED,
'ALLEY GRADES AS WELL AS DEPTH AND LOCATION OF PUBLIC SEWERS MAY BE OBTAINED FROM THE DEPARTMENT OF PUBLIC WORKS.THE ISSUANCE OF THIS
rV.RESTRICTIONS.'
PERMIT DOES NOT RELEASE THE APPLICANT FROM THE CONDITIONS OF ANY APPLICABLE SUBDIVISIC ---
MINIMUM OF FOUR CALL INSPECTIONS REQUIRED APPROVED�PLANS MUST BE'RETAINED rN JOB AND WHERE:APPLICABLE, SEPARATE
FOR ALL CONSTRUCTION WORK: THIS CARD KEPT POSTED UNTILJFIN r•.INSPECTION PERMITS ARE REQUIRED FOR
1.FOUNDATIONS OR FOOTINGS HAS BEEN MADE.WHERE A CERTIFI;�.. OF OCCU- ELECTRICAL,PLUMBING AND MECH-
2. PRIOR TO COVERING STRUCTURAL MEMBERS ,SHALL NOTBE— _
(READY TO LATHJ_- PANCY IS REQUIRED,SUCH BUILD4 HAS BEEN MADE =ANIbn��Y►wT� LnI -
3.INSULATION. OCCUPIED UNTIL FINAL`INSPECTIO�
4.FINAL INSPECTION BEFORE OCCUPANCY.
BUILDING INSPECTION APPROVALS > PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS
1
3 1 HEATING INSPECTION APPROVALS ENGINEERING DEPARTMENT
i 2 BOARD OF HEALTH
OTHER: SITE PLAN REVIEW APPROVAL
t -: �
� _ .
�-� _ �.:.
S 'w ��� �.
r
. � �� ,� - =
_ . � r _ ,
- �.�`" -
�/ { k
- .�' , . . t
. . .. � � � .
,_�
j': _ i
ti;
_ �t,
To
Oete Time
WHILE YOU WERE OUT
M
of
Phone C l 2
Area Code Number Extension
TELEPHONED PLEASE CALL
CALLED TO SEE YOU WILL CALL AGAIN
WANTS TO SEE YOU URGENT
RETURNED YOUR CALL
Mes ge
Ern
Operator
AMPAD 23-021-200 SETS
EFFICIENCY® 23-421-400SETS CARBONLESS
To
Date �Q — �� Time
W LE YOU WERE OUT
M
of
Phone
Area Code Number Extension
TELEPHONED PLEASE CALL
CALLED TO SEE YOU WILL CALL AGAIN
WANTS TO SEE YOU URGENT
R URNED YOUR CALL
Messag /
�6
Operator
AMPAD 23.021-200 SETS
EFFICIENCY® 23-421-400SETS CARBONLESS
. ��
��
r
f � �
f }
J �-
�-
� � � r
o � �� �
� � , �
t
f �
� �
uFIHE rpm
o The Town of Barnstable BARNSTABLE. ' Department of Health Safety and Environmental Services _
MASS
16}9P �0
'°'Ec,�r•+° Bm Division
367 Main Street, nnis, MA 02601
Office: 508-790-6227 r i Ralph Crossen
Fax: 508-790-6230 Building Commissioner
nspection Correction No ce
Type of Inspection
P
Location Permit Number r `�
Owner Builder L.
One notice to remain on jobsite, one notice on file in Building Department.
The following items need correcting:
I
13 C I Vd (,IA-' OU>✓J
' � n K-Prt�a.Y,.- ZN JR e)- ►�C'� S
Gu. A. "1 A Vk4
"-61�G JLA n IV '�TJI (-T '0� V7 ft' )P44" J-k
..,....j-� ��- �c --- peg s k �� or�.
Please call: 508-790-6227 for reeinspection.
Inspected by
Date
� � ���
����
J
Map o �p Parcel #
(�Conservation Office(4th floor)(8:30-9:30/1:00- 2:00) 5 ��I Date Issued
l®Board of Health(3rd floor)(8:15 -9:30/1:00-4:45) Fee
l Engineering Dept. (3rd floor) House# / 7` C%
Ito
l�Lll "'' o+ rc+r
BARNSTABLE.
19 T .b MA 9
,� .�
` TOWN OF BARNSTABLE
Building Permit Application
Project Street Address L �02
Village W Rat
Owner Address --/ xe l)d�6-21
��rrD'
Telephone
Permit Request n _ WQ,�
First Floor square feet
Second Floor square feet
Estimated Project Cost $ co•, 07Jy
Zoning District RF Flood Plain Water Protection
Lot Size Grandfathered ?
Zoning Board of Appeals Authorization Recorded
Current Use Proposed Use
Construction Type
Commercial Residential
Dwelling Type: Single Family Two Family Multi-Family
Age of Existing Structure 11�0 Basement Type: Finished
Historic House P a Unfinished
Old King's Highway e—S
Number of Baths a� No.of Bedrooms
Total Room Count(not including baths) First Floor
Heat Type and Fuel Central Air Fireplaces
Garage: Detached Other Detached Structures: Pool
Attached Barn
None Sheds
Other
Builder Informa on
PO* a e C A Telephone Number �,7 b,Z to q
ZO;Afddress Z/ �� ---License#
D�3` �ome 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 FRO THIS PROJECT WILL BE TAKEN TO
SIGNATURE ' DATE-
BUILDING PE IT DENIED FOR THE FOLLO ING REASON(S)
FOR OFFICIAL USE ONLY
\� .
PIrRMIT NO.
DATE ISSUED
MAP/PARCEL NO.
ADDRESS VILLAGE
si
OWNER
DATE OF INSPECTION: + '
FOUNDATION
FRAME e�I
INSULATION
FIREPLACE, ,
ELECTRICAL: ROUGH FINAL
PLUMBING: ROUGH FINAL
GAS: ROUGH FINAL ' r
1
FINAL BUILDING
DATE CLOSED OUT t _
1
ASSOCIATION PLAN NO. !
i
5
�I r The Town of Barnstable
o�
BARNSTABLE. Department of Health Safety and Environmental Services
MARCL
f'6 A-°'0� r Building Division
367 Main Street,Hyannis, MA 02601
Office: 508-790-6227 Ralph Crossen
Fax: 508-790-6230 Building Commissioner
Inspection Correction Notice
^ A
TI pe of Inspection 1.,) t�"�i/V fir' � �'�''� y—/0 6
I ( 3Location �"� �� Permit Number
Owner r ---5 J Builder 'T 2L)tz 6-/-C
One notice to remain on jobsite, one notice on file in Building Department.
The following items need correcting:
reol
No ov�-
4ot)k � '
N
Please call: 508-790-6227 for re-inspection.
Inspected by ,_S
t - �Date
f
The Town of Barnstable
MASS
p`• Department of Health Safety and Environmental Services
0
CEO Mi•+p Building Division
367 Main Street,Hyannis, MA 02601
Office: 508-790-6227 Ralph Crossen
Fax: 508-790-6230 Building Commissioner
Inspection Correction Notice
Type of InspectionCl.�
Location X C'�� Permit Number 5 t
L Q il
Owner � c m 1 Builder
One notice to remain on jobsite, one notice on file in Building Department.
The following items need correcting:
-Q6 P"�
-
k r 'r v�
Uj
XN
fir,
Please call: 508-790-6227 for re-inspection.
Inspected by �3 L�-�.-�---
Q `.
Date Fit
LSg 6 Vel S?Gwr n�(,
The Conrmunlrealth of Massachusetts
'.'.t.er Department of Industrial Accidents
`�;, i ' :_i•;a' 6110 11 ashingron Street
` o '' Boston.Mass. 02111
�-- Yorkers' Compensation Insurance-Affidavit
G
phone#
1 am a homeowner performing all work:myself.
w 1 am a sole proprietor and have no one working in any capacity
.... :•. . ....tea.,,.
1 am an employer providing workers' compensation for my employees working on this job.
company nnmg**
ASI d rM�•
.. nhnne#:
insur•ince co nolicy
Lr......r V.. ♦ rw....r.•....r.r ..���•r...���w�1R; .... .yam.: .�... �.- _ _a.. ,r:�.:�i'.v_••'.r..•.• - �.
1 am a sole proprietor,general contractor,or homeowner(circle one)and have hired the contractors listed below who have
the following workers' compensation polices:
company nnmp*
address,
eih phone#:
-�;;--- noliev/!
i"�i:�::= :N'-�f::�.. _ •... ucnti�4'.i�'v'.•r..'s-�'�•^F^.�sc�'• 'x7Rfi7�07���r�%�����"-��-' �75
m v nn
address: - —-
city: phone#•
ias_utAnce co nolicv tY
Atiachaddi6onal'shce'tifaeeessar .-+�Y:- �»�-�^:��`'^H"�'�"' '`:•':""�`' :•• �, �
failure to secure coverage as required under Section 25A of 111GL 152 can lead to the imposition of criminal penalties of a fine up to$1.500.00 and/or
une years'imprisonment as well as civil penalties in the form of a STOP WORK ORDER and a Bae of S100.00 a day against me. I understand that a
copy of this statement may be forwarded to the OMce of Investigations of the DIA for coverage verification.
I herebr c=Yjunder the pains and penalties of pc4urr that the injommion presided ahowr is Vue and corrrM
Signature
ate
�Print -eS — one
onicial use only do not write in this area to be completed by city or town ofQcial
gin•or town: permit/license p nBuiiding Department
pLicensing Board
0 check if immediate response is required OSeleetmea's Office
C311calth Department
phone fl; rnOther
• contact person: -
Ire+iled 3M P1A1
Information and Instructions e
Massachusetts General Laws chapter 152 section 25 requires all employers to provide workers' compensation for their
employees: As quoted from the"law",an emplitpee is defined as every person in the service of another under any
contract of hire,express or implied,oral or written. 1
An empli{rer is defined as an individual, partnership,association.corporation or other : gal entity, or any two or more c
the fore::going 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 the
dweliing house of another who employs persons to do maintenance,construction or repair work on such dwelling house
or on the grounds or building appurtenant thereto shall not because of such employment.be deemed to be an employer.
MGL chapter 1'52 section 25 also states that every state.or local licensing agency shall withhold the issuance or
renewal of a license or permit to operate a business or to construct buildings in the commonVIT21th for any
applicant who has not produced acceptable evidence of compliance with the insurance coverage required.
Additionally,neither the commonwealth nor any of its political subdivisions shall enter into any contract for the
performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter haN
been presented to the contracting authority.
(7 .4
(`' _ .« — p.:iT:.' .� •1 —. ;it':' ��'+�w..:lt:.w'4+iwi.•r.3;:..,,L,�— _
Applicants
Please fill in the workers' compensation affidavit completely,by checking the box that applies to your situation and
supplying-company names.address and phone numbers as all affidavits may be submitted to the Department of
Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date tite affidavit. The
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 required
to obtain a workers' compensation policy,please call the Department at the number listed below.
. « �/ �i;i. '.Ti�.� r:iY.i:°....' Ld:."'^'•�.. .�,i`y-v ^yt". JYi1.••��
�. .� ..... .. •,fir: ;•• ., .:"..,,.:�::ur•'�.G:...«f�ii.:�>���.MN.....h9if7�..•�~ /!......¢�<•��
City or Towns
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. Pleasc
be•sure to fill in the permit/license number which will be used as a reference number. The affidavits may be returned to
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 questions,
please do not hesitate to give us a call.
!rw w„r„�..f�a,-,- .. ..... �'� �:.�.«.y;;:%...;4v:«�.if.•ir;=-'--i:`.:r. :ate•..-�+..'•„ :�:•i::.•:�_ `
`...4�.w � ... •T'- Y...i..!.la^�� . '. r.-t l.• .I YY :..T�.::n1.. �.1��•-MY•:
The Department's address, telephone and fax number.
The Commonwealth Of Massachusetts
Department of Industrial Accidents
Office of Investigations ,�,:•
600 Washington Street _
Boston,Ma. 02111
fax#: (617)727-7749
phone#: (617) 7274900 cat. 406, 409 or 375
The Town of Barnstable
P Department of Health Safety and Environmental Services ,
,e BURAmg Division
367 Main Street,HY=nis MA 02601
Ralph Cros=
Office: sob-790-6=7 Butilding Cetamis
F= 508-775-3344
For office use onlq
Pcmit no.
Dau AFFIDAVIT
HOME IMPROVEMENT CONTRACTOR LAW
SUPPLEMENT TO PERMIT APPLICATION
ction,alterations;renovation,t�won'conversion'
MGL a I42A requires that the"tzco:tstrn �
imptwanenz,.semrnal, demolition. or construction of an addition tom ��� ���
are
building staining at least one but not more than four dwelling units ores, along with other
to such residence or building be done by registered eouract=with certain pti
requirements-
Type
Type of Wotic: Est. Cast j
Address of Work: OW
Date of permit Application: _ 3
I herebn certify that:
Registration is not required for the following rcason(s):
Work colluded by law
'Job under S1.000
Building not owner-occupied
mg own
Notice is hereby given,that: CONTRACTORS
OWNERS PULLING 7EM OWN PERMIT OR DEALING DO NOrM T HAGI VE LESS TO THE
FOR APPLICABLE HOME IMPROVEMENT WORK
ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c. 142A
SIGNED UNDER PENALTIES OF PERJURY
I hcrcby apply for a permit as the agent of the owner.
Z / Registration No.
Date retractor name . .
OR '
4: zk
.. r
COMMONWEALTH
DEPARTMENT OF PUBLIC SAFETY
19
OF ONE ASHBORTON PLACE ossoss a Ca>rent
MASSACHUSETTS At ass s to p
BOSTON,MA 02108 MassaaAssa&ts Slats ssildlsR
LICENSE coda is osssa lsr ratasatWn
EXPIRATION DATE (-)'_'/1 c)/j''' q CONSTR. SIJF'ER V I:=:+iR of-this(CAUTION
RESTRICTIONS EFFECTIVE DATE LIC-NO. FOR PROTECTION AGAINST
00 03/3:'1/1'r 9050525 THEFT, PUT RIGHT THUMB
4 r PRINT IN APPROPRIATE
.21644 ` 0 j BOX ON LICENSE.
` Z -JAMES E BURGE:=; I
_:: # 024-44-25128 Z 4 F::Nr_iB LANE
'TINU UP
WATO
m BLIZLARrl:-: M INjp
CLUD PHOT PHOTO(BLASTING OPR ONLY) FEE• - - BAY MA .(-)' 32.
�.(,)O. (_
NOT VALID UNTIL SIGNED BY LICENSEE AND OFFICIALLY 'S
ATO
HEIGHT: � STAMPED-OR-SIGNATURE OF THE COMMISSIONER j J'/� � 3 1p�4 DOB' y JJ994
F,•;
4'
THIS DOCUMENT A ST BE A CARRIED ON THE PE NOF SIGNATURE OF LICENS « SIGN NAME I FU Alf
SIG�1yRE LINE
THE HOLDER WH€N EN..
OTHERS-RIGHT THUMB PRINT GAGED IN THIS OCCIIf��ATION. '
1
ON 0I11Pg0YE EN7 CONTRA ORlS
�e strati IOUZ'
e IDI NDIUIAL
ENERA AMES`Es;BURGESS/4 `CO R
J:.
�ADMIN�SiRATOR UZZARDS 8A1',j A 02532 '
47y'' c �,,
P 229 805 282
US Postal Service +
Receipt for Certified Mail
No Insurance Coverage Provided.
Do not use for International Mail See reverse
Sent to
putl
Street& mber
3L
P st ice,State,&ZIP C e
oa
Postage $
Certified Fee
Special Delivery Fee
Restricted Delivery Fee
Return Receipt Showing to
Whom&Date Delivered
a Return Receipt Stowing to Wham,
Q Date,&Addressee's Address
0 TOTAL Postage&Fees $a,5a
cc
C9 Postmark or Date
€ k
0
LL
- a
Stick postage stamps to article to cover First-Class postage,certified mail fee,and
charges for any selected optional services(See front).
„.If you want this receipt postmarked,stick the gummed stub to the right of the return
address loving the receipt attached, and present the article at a post'office service m
window or hand it to your rural carrier(no extra charge).
2. If you do not want this receipt postmarked,stick the gummed stub to the right of the
return address of the article,date,detach,and retain the receipt,and mail the article.
rn
3. It you want a return receipt,write the certified mail number and your name and address �
on a return receipt card,Form 3811,and attach it to the front of the article by means of the
gummed ends it space permits. Otherwise,affix to back of article. Endorse front of article
RETURN RECEIPT REQUESTED adjacent to the number.
4. If you want delivery restricted to the addressee, or to an authorized agent of the O
O
addressee,endorse RESTRICTED DELIVERY on the front of the article. M
5. Enter fees for the services requested in the appropriate spaces on the front of this
receipt. If return receipt is requested,check the applicable blocks in hem 1 of Form 3811.
6. Save this receipt and present it if you make an inquiry. co
J
�pFtllE
. "'�. The Town of Barnstable
1639, � Department of Health Safety and Environmental Services
AfEDnne't°i Building Division
367 Main Street,Hyannis MA 02601
Office: 508-790-6227 Ralph Crossen
Fax: 508-790-6230 Building Commissioner
I
I
March 25, 1996
Mr.Douglas Ju
36 Siasconset Drive
Sagamore Beach,MA 02562
RE: 942 Oak Street,West Barnstable,MA 02668
M-216 / P-027
Dear Mr.Ju:
This office has received numerous complaints regarding the condition of your property located at
942 Oak Street, West Barnstable.
Article 1, Section 123.1, 123.2 of 780 CMR,i.e.;unsafe structure requires that you make this
structure and the surrounding property secure and safe.
We understand the complicated process involved in resolving all the issues related to a fire,but it
is imperative that this property be made secure.
Compliance with this order is essential as a danger to life and limb exists. Failure to comply could
result in a fine of$1,000.00 per day,for each day the violation persists. We appreciate your attention to
this matter.
Sincerely,
Richard G. Stevens
Building Inspector
RGS:lb
g960325a
Assessors mop and lot number .................... � F THE j
b �o o�
Sewage Permit number ......:..................................................
t r BAUSTADLE, i
House number ....... .: ,..... ..�1.,..... ..A...:.......:...... ' 9a a
O i039•' \0�
QMARa'
TOWN OF BARN�STABLE
BUILDING 'I"HSPECTOR
APPLICATION FOR PERMIT TO .�l...ffd .....�QA.&WAy
TYPEOF CONSTRUCTION .....................................................................................................................................
....................q•• .1.0.............19,.Q
TO THE INSPECTOR OF BUILDINGS:
The undersigned hereby applies for a permit according to the following information:
Location .............:.j..1+.,2•.....04.11K.....�. mac... U '.�..e .ft.k.Aa.s. L .....
Proposed. Use ......k—A..M..0...................................................................:................................................................................
Zoning District W,►.6A&M-s-e A.4,t5,.•1177-44...........Fire District �R�..1�..�.1/✓1�./...........
Name of Owner��, .�k..C�.l�e4.S,.....���.. ...1/-��{t .Address .R.q-.Z.Ao AK.1l.,...�c.l�.A.R.�S.��4
Nameof Builder ..4,. ......................................Address ....................................................................................
Name of Architect �I�,..SC-.Cir......................................Address ........ ....................................................................
Numberof Rooms ..................................................................Foundation ..............................................................................
Exterior ....................................................................................Roofing ....................................................................................
Floors ..................................................Interior ..............
Heating .................:................................................................Plumbing ......:............ . ...................................`.
Fireplace ..................................................................................Approximate Cost ...... f....V••A. ••.••. ...................................
. Definitive Plan Approved by Planning Board -------_____------_-----------19________. Area `'?`
Diagram of Lot and Building with Dimensions Fee ......... �
SUBJECT TO APPROVAL OF BOARD OF HEALTH rM1
z�� � •
I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above
construction.
Name -
-_T _
COTHRAN, DOUGLAS C.
No Permit for ADDITION
—"'DECK- STAIRWAY & DOORWAY
Location 942 Oak Str.eet
....... ...................................
West Barnstable
...............................................................................
Owner ...,Douglas C. Cothran
.................................
Type of Construction .Frame
.. ................................................................................
Plot ............................ Lot ................................
Permit Granted ....September 2.3, 19 8 0
Date of Inspection ............ 2 /. ....19
Date Completed .........� y ..................19
PERMIT REFUSED
........... .............................. 19
1 �...../!a� . .... ........1.6 , . .....
Approved ......:......................................... 19
Assess s map and'lot number •7
Sewage Permit number ........................................................
Z BAHBSTABLE.
House number ........ �a ..... ..�...ISX....... NAG&
. .F...:.............. ro e
p 1639.
TOWN OF BARNSTABLE
BUILDING INSPECTOR �.
APPLICATION FOR PERMIT TO .....t1..�:a.1�......� '.:':Cl �......��. e. .!......f:.. ...
i f ...':�.a ..a:....?...:e,.x x�fit.yo
TYPEOF CONSTRUCTION .....................................................................................................................................
.................... .............................19k ..
TO THE INSPECTOR OF BUILDINGS:
The undersigned hereby applies for a permit according to the following information:
Location .............t'E .... : ..EC ........................................................
Proposed Use .....:. :;?. t)
.....................................................................................................................................................:......
Zoning District tK,.•:. ? rP K 1�.....►...... ,• 1:............Fire District . .r��.:..a. .r!.°b.::4:!`. ?�`.?:.k:. �.e ! .............
... ..
Name of Owner`• �• .6 , I. +,. :.`....... `.....(f cl •1 i. 1•Address :�. .......... . .... '....... �a . �.. !,!• /, '
- -
Nameof Builder .5- !...s...?.�.�:..... ..............................................Address ....................................................................................
Nameof Architect .:...... ..r,7......................................Address.... ................:......................................................................
Numberof Rooms ..................................................................Foundation ..............................................................................
Exlerior ...........................................................................:.:......Roofing ....................................................................................
Floors ......................................................................................Interior ....................................................................................
Heating ..........Plumbin g ................. .............................U..............................
Fireplace ..:...............................................................................Approximate Cost .......:....
Definitive Plan Approved by Planning Board ________________________________19________. Area .................................
Diagram of Lot and Building with Dimensions Fee ..... L ..../' d.... ..........................
SUBJECT TO APPROVAL OF BOARD OF HEALTH
S
i
I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above
construction.
r Z� Name ................
COTHRAN, DOUGLAS A=216-27
o? 7
No ... Permit for ,ADDITION................... .. . .. .......
DECE...S.TAI.RW&Y...&...D.OQRWAY.............
Location 942 Oak t.K(� .............
. . .q
...................... ...............
............... .........................
Owner ..p6.vg.!AA...C,....C.Q.t;)Ar.ajA................
Type of Construction )..Fr.ame........................
..................I.,................ .............................................
Plot ................ ....... Lot ................................ Q
...,September ..19 80 1
Permit Gra ted .... p
..... ....................
'K,
Date of Inspection ....................................19 J
Date Completed ......................... ........19
PERMIT REFUSED
............................I................................. 19
P
.............................. ...........................
.............. ....................................... .............
.............. ........................................................
Approved ................................................ 19
J
..........................................................................
...............................................................................