Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
Home
My WebLink
About
0033 GROUSE LANE
..�3 Coe ���. Y�� TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map ZV Parcel Z�` Permit# © � Health Division S_-SA Date Issued00 -� J Conservation Division �t)Z�Dj-�e Application Fee U Tax Collector Permit Fee co d Treasurer Planning Dept. Date Definitive Plan Approved by Planning Board EXISTING 8MC SYSTEM LIMITED TO #OF Bf R MS Historic-OKH Preservation/Hyannis` v ;�� w tit v Project Street Address 33 - Se 4 A-n/6 Village All s 1da,e.j t_ Owner J�94:bL�rtY Address J33T2cruj.e L-1) 14A-W V1S Telephone cSroJ9 7 - f� Permit Request C !ZX ZO I Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District ' i� Flood Plain C � Groundwater Overlay Project Valuationg. Construction Type Lot Size Grandfathered: ❑Yes ❑No If yes, attach supporting documentation. Dwelling Type: Single Family 3 Two Family ❑ Multi-Family(#units) Age of Existing Structure Historic House: ❑Yes , 9 g C�No On Old King's Highway: ❑Ys� CJo � cry ,qy Basement Type: 9'1I ❑Crawl ❑Walkout ❑Other ' ::!o C Basement Finished Area(sq.ft.) ' /_6V Basement Unfinished Area(sq.ft) Number of Baths: Full: existing c2-- new Half: existing 151- 52 nem Number of Bedrooms: existing 3 new Total Room Count(not including baths):existing LP new First Floor Room C unt rn Heat Type and Fuel' ETGas ❑Oil ❑ Electric ❑Other Central Air: w es ❑No . Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑No Detached garage:❑existing ❑new, size Pool: ❑existing [f-new size -`/ x3D Barn:❑existing O new size Attached garage:❑existing ❑new size Shed:ffexisting ❑new size Other: - Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial 0 Yes ❑No If yes, site plan review# . Current Use Proposed Use BUILDER INFORMATION �'o J" 7 ? ` S 9 Z&F ► Name yr i�S� �� �S�c�✓ Telephone Numbers - `7 7/ ��a . Address j�>- ( �_s /A) License# Home Improvement Contractor# Worker's Compensation# ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE fr�'lu { FOR OFFICIAL USE ONLY y !I PERMIT NO. DATE ISSUED MAP/PARCEL NO. ' ADDRESS VILLAGE OWNER DATE OF INSPECTION: AP- FOUNDATION f" -�, FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH P FINAL PLUMBING: ROUGH FINAL N GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. o�TMer Town of Barnstable Regulatory Services BAMSMBLA Thomas F.Geller,Director NAM p�Eoi- "�� Building Division Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 Fax: 508-790-6230 Office: 508-862-4038 Permit no. Date AFFIDAVIT HOME EVIPROVEMENT CONTRACTOR LAW SUPPLEMENT TO PERMIT APPLICATION MOL c. 142A requires that the"reconstruction,alterations,renovation,repair,modernization,� c conversion, n ier ion, improvement,removal,demolition,or construction of an addition to any pre-existing cup biding containing at least one but not more than four dwelling units or to structures which are adjacent to tered contractors,with certain exceptions,along with other such residence or building be done by regis requirements. - E' /ax LQ� d0 Estimated Cost Type of Work: ��i� /.SX'A A©��a�u a Address of Work: Owner's Nam®: 'lL&V �� Sd� Date of Application: R ©s- - I hereby certify that: Registration is not required for the following reason(s): []Work excluded by law ❑Job Under$1,000 []Building not owner-occupied 26wner pulling own permit Notice is hereby given that: GISTERED OWI�IERS.PULLING THEIR OWN PERMINTIDOIlYIPROVEMENI WORKD0 NOT HAVE CONTRACTORS FOR APPLICABLE ACCESS TO THE ARBITRATION PROGRAM OR GUAp-AM FUND UNDERMGL c.142A. SIGNED UNDER PENALTIES OF PERJURY I hereby apply for a permit as the agent of the owner: Contractor Name Registration No. Date OR Date 0 er's Name Q:fomw.homeaffidav ' _ -- The Commonwealth of Massachusetts �= Department of Industrial Accidents Office of Investigations i 600 Washington Street, Th Floor %r Boston,Mass. 02111 Workers'ComlDensation Insurance Affidavit:Buildin lumbin lectrical Contractors name: address: 33 Gzg ' s.e city state: l zip: l)A to a/ phone# �5-28—•771 - S i''f(11 work,site location full address): A/ a�0 Er I am a homeowner performing all work myself. Project Type: ❑New Construction[]Remodel ❑ I am a sole proprietor and have no one working in any capacity. ❑Building Addition a�'�'��.tY �`.1Ft r�r�"+.i�` � u .w�.',�';'�`'"�r'�' <v:�..ii�.`,it.x`.:•+<w :;. .::...5-... �:.�'!. '. . �`�"'rA.: .."_ T_ c ;;: :;:.:.�Y s . . .:a;�s`:_, ❑ 1 am an employer providing workers' compensation for my employees working on this job company name: address: city: tihone#: insurance co, oli # 1 77sole proprietor,general contracto(I homeowner ircle one) and have hired the contractors listed below who have the following workers'compensation polices: company name address: city " ' phone# insurance co. olic #1 company name L address: city: phone#• insurance co. ol• # Failure to secure coverage as required under Section 25A of MGL 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one years'imprisonment as well as civil penalties in the form of a STOP WORK ORDER and a fine of$100.00 a day-against me. I understand that a copy of this statement may be forwarded to the Office of Investigations of the DIA for coverage verification. I do hereby certify under the pai an penalties of perjury that the information provided above is true and correct Signature Date /1 &:- -Printname 6446C. 16Tid5Dr✓ Phone# -9? 77/-I�W use only do not write in this area to be completed by city or town official city or town: permit/license# ❑Building Department ❑Licensing Board ❑"check if immediate response is required K ❑Selectmen's Office ❑Health Department contact person: phone#; official. ❑Other (revised Sept.206) Information and Instructions Massachusetts General Laws chapter 152 section 25 requires all employers to provide workers' compensation for their employees. As quoted from the"law",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 the dwelling 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 152 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 commonwealth 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 have been presented to the contracting authority. Applicants Please fill in the workers' compensation affidavit completely,by checking the box that applies to your situation. Please supply company name, address and phone numbers along with a certificate of insurance as all affidavits may be 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.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. qw 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. Please 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. The Department's address,telephone and fax number: The Commonwealth Of Massachusetts' Department of Industrial Accidents Office of Investigations 600 Washington Street,7`s Floor Boston,Ma. 02111 fax#: (617)727-7749 phone #: (617) 727-4900 ext.406 . LOT 4 S84 49' 4'�E � 184. 56' ,O� i SHED LOT 3 26,31 ct DECK �- =H33 26..3 25� do LOT 2 _ nr N84 55'08" RES ZONE- '}RE . This MORTGAGE INSPECTION Plan Bank is oOn] FLOOD ZONE.- "C" TOWN: _HMYXv _ -- REGISTRY OWNER: _5_R4D1�'P: Zi2DZ 4 P T E,5QN____ DEED REF: _00_04�_1---__BUYER- JFLNONC ---- -------------------- DATE: _6�1/96 ------------ PLAN REF: _ 9 _ �_SC ALE:I"= 30 ---FT. I HEREBY CERTIFY TO f9LEt1L_ LJ �LQTIaCQ yANKEE SURVEY �. ___THAT THE BUILDING /�C� s; CONSULTANTS SHOWN ON THIS PLAN IS LOCATED ON THE GROUND AS P'AUL.� `�. SHOWN AND THAT ITS POSITION DOES ____ CONFORM W !Tv 40B (SUITE 1) TO THE ZONING LAW SETBACK REQUIREMENTS OF THE 6a.dd4 i TOWN OF _ B_ARNSTABLE ____AND THAT �� w INDUSTRY ROAD ~6-.ptaP IT DOES_ NOT— LIE WITHIN THE SPECIAL FLOOD HAZARD `a•. /: `MARSTONS MILLS, MA. 02648 AREA AS SHOWN ON THE H.U.D. MAP DATED_V__�/�9?__ ' a`4 Sl1F�` �, � TEL: 428—0055 ' FAX- 420-55 3 Co = itv-Panel 350001 0008 D ��������~ THIS PLAN NOT MADE FROM AN INSTRUMENT p- L A. MER[THEW L., SURVEY NOT TO BE USED FOR FENCES ETC. 19140 JF • y�P �.� . -- • .0 :.. Regulatory Services . ..:�. AxivSTABr.E; x � ::� r�:T#omgs.<F.•:G.eiler -Director.. MASS. a g' p sti39• �0 . .. . :130dutg Division . . .�.. .. :.:'"Torn Per'ry;'B'ifilding C-ommissone'r .� .. . .. _ ... ' -. '• .. 200 Main Street, Hyannis,MA 02601 www-town.barnstable.ma.us - Office: 508-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION Please Print DATE: JOB LOCATION: 33 6&Le E 14•✓e _ IA/, number street Q village "HOMEOWNBR": �- (,l� i� �r�iE?Sd;�/ 5D?-77/-Of b as-XdP name horse phone# work phone# CURRENT MAILING ADDRESS: �J q� �d 7.i S n/ city/town state zip code . The current exemption for"homeowners"was extended to include owner-occupied dwellines 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 to the Building'Official,thathe/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 Toy'm of Barnstable Building Department nm;n;rr,um inspection procedures and requirements and that he/she will comply with said procedures and ' Signature of Xomeawrier 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 perfomdng 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." 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 lastpage 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. Q:forms:homeexempt i n s i I `I � II ! If �11i � #jkb v 1 �`ao1,• I{I 4 j ,- r+.6�V Y 4 a yail Ly VA 'c 6y4 000. Out Poo �- (y� (,�y L/l I JT N 3t° 1 a.pk� 0 GG°`V V 1 u I I 7' k _ �• t C Ll Ag i I i �+ �yDk.l� 11l k I s Nay t I ,j i =, o2Kln PT I ' 4 ' x f I A\ coil a Y 7k I 1 I i i p t✓ , s I (^ i- R� si � I i� .,y.e f mw a -l b .._ r � — a 9 t ♦ s tp Assessor's office(1st Floor): 5EIMC Assessor's map and lot number & L/ IN�' Board of Health(3rd floor): Sewage Permit number a- Engineering Department(3rd floor): 313 House number 1639' ®� 1 Definitive Plan Approved by Planning Board 19. o war d 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 TYPE OF CONSTRUCTION Wood /424,q'ig, 19 TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according /to the following information: / Location 33 L' 1����5� �(3iv�i /`E ��3�vvs S 9/ Proposed Use n/ �✓r� -� ti Zoning District Fire District Name of Owner �2/J/!i� �llIxIF - Address 33 5t Name of Builder A ti �� Address /Q r / / Name of Architect 4 S �� /ca'� Address 5p:V 6- IV Number of Rooms �';�� Foundation cSoNd.@in� Exterior N1 Roofing /f, Floors `P ' Interior A,�/1 Heating /X Plumbing NIA. Fireplace Allli? Approximate Cost 47 S � Area Diagram of Lot and Building with Dimensions Fee l ®. kII ;f I OCCUPANCY PERM ITS`REOUIRED 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 Supervisor's License �� CUSTER, FRANK & JUNE No 32973 Permit For Build Deck Single 'Family Dwelling Location 33 Grouse Lane Hyannis Owner- Frank & June Custer Type of Construction Frame Plot Lot ' Permit Granted June 14 , 19 89 Date of Inspection 19 - Date Completed 1 z4ho 19 ja r r A. r THE. GREEN COMPANY, INC. Job No: Sheet: i Subject: By: Date: Checked: Z . y% Ics \. e. i 3 V , Y � ! v x q S 2 .Q f , ; • f , . .,:,. .. p W - t s w — S I if w) £ S fKf � � i Jyy i € i w E O f 4 pc 5 10 w, H vi .swV4CK A € i THE GREEN COMPANY, INC. Job No: Sheet: (� Subject: ,L, By: Date: Checked: w r� N .� ....j Z - r i t 7 ,......,;. F 44 b \ y ..,._. . I x , \ _. .,...maw ....... I-x X� I 2 \ 0 I Z' i I i C f S h � Q t � O,-. _I. \m����� � ..�. 3 "•ti \�� i F /ate "«»."""'._.,..,,. }`` F 14 Z AN 177�7 An F I. V hl i THE GREEN COMPANY INC. Job No: �` �� Sheet: Subject: By: Date: Chec qd: , € ; . s : t f 1 l h a F s } , 10 , £ 1 ' 3 a _ ; e i � 1 t • j€ 31€ I r i f Ft` Assessor's map and lot number o �v�'.:.. ,7' .:., �� � ® �pf THE n Sewage Permit number// v..�t ..........:...... 3 ir'19L� E l it US • . INSTALLED IN C h�e �r� s;�HSTODLE. ONIP House number {° -M r 4P" 1�L� �crt GOp�i6 9-��00 Et1$VIR�'l�l�(i e��¢ O MAV � L CO:E lON TOWN :OF BAR.NSTA a � � tLATir,ags BUILDING INSPECTOR APPLICATION,FOR PERMIT TO ..... . .. e.4..................................................................... TYPEOF CONSTRUCTION .............A. &1L.Z......:....................................................................................... 1.. r.... ...................19. TO THE .INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location ....cm...6.eejv.�.c.....!.l i....................... ................................................................................ coo s'a- , ProposedUse ......................... ... .r......................................................................................................................................... ZoningDistrict .........................................................................Fire District .............................................................................. Name of P./`'.............Address �` .. + ?�1J: ........�47`' f"1/?.1.. (:........ Name of Builder k......... .....................Address .... ............SJ -....... ......../."". 'fsl�/J/.,5 Name of Architect ....... D/✓............................................Address .................................................................................... Numberof Rooms ....... .......................................................Foundation ...�`e.177..................................................... ��C� ..Roofing C ..//� Exterior ..... ...... ..1-C�.0.4?. ................................................... cl......'r................................................... FloorsC.. /'/. ...':n ..........................................................Interior .................................................................................... Heating ............�l�oN.Q ....................................................Plumbing .................................................................................. �y p I Fireplace ..................................................................................Approximate. Cost / �d ®©. ..... ... ..... Definitive Plan Approved by Planning Board ----------------------- S ' ------19-------- . Area .....1.../.... ...........'............... Diagram of Lot and Building with Dimensions Fee ........1 Q................................... SUBJECT TO APPROVAL OF BOARD OF HEALTH • 1-4a 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. Na e ��a ........................... Construction Supervisor's License .................................... { CUSTER, JUNE & FRANK u 27260 Build Shed No Permit for Accesso to Dwellin . ........................ ......................... Location .... 3•.Grouse Lane - .+ 07 ..................Hyannis.............................................. r� �►' `� Owner•,...June. &... rank Custer-.................... �S T' a of Construction,' :.......... YP �.. _ .Frame......... �• ., ........................'........................... _ ... ......... fF\ 15 .— - ! �y •� 4� ..... ...... {{ r/ r s,. Plot ............................ Lot ........:... ............. - . .+ 't t_ t Permit Granted ,,.' November 26,,1 19 84 ► Date of Inspection ....................................19 Date Completed .................................. 'f X,e •• .. j.•A. own c ' Assessor's mop and k* number Sewage Permit Pormit number ................ House number ------------_----------` � _ ' � � r���-���Tl�T �'��� �� � ��� l�T�2r�� � ��� l� �7 -- �� �� �� �� � �J� ������|� �� �� ���� ���� i ' BUILDING � NN N N �� 0 �� INSPECTOR �� �� �� NNNN-NQN ���� N ������ �.N� � NN �� _ �� �� � ���� � �� �� � ����� ���� � �� �� rx/ APPLICATION FOR PERMIT TO -- --.. .................................................................. ~ TYPE OF CONSTRUCTION ............. � � ^ —..x.x---��m.....................lR./Q.�� / TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for o permit according to the following information: / ' Location —���)— I.�,_'�/9_______.. _______,_,_.,_______________. ProposedUse ................ f' .......................................................................................................................................... Zoning District ------.—.—....-----------,Rne District --------.--------~--------. Noma of `~----.A66ros ........ ......... Nome of Builder .................................Address .�f.e...��/���Y°r` .��|/..— Name of Architect ....... 6.--------------.A66nss —_-------------------------- / /` Number of Rooms --_ ....................................................... —^.A���������----------------- � /e~[ Ex�erior —���� ��---------.. -----.—'Ruohng ����!'.'_------�--------------.— ' ' . � ' Floors — -------------------..|nte,icv --------------------_______.. * /v=�J(� Heating —.-------------------------..Plumbing --------------.'.--------____ | | C� | F/n*p|oco ---------------------------.Approximote Cost ---. /............................................�� Def ��vePlan 6y Planning Board l�---- . An»m —' ] ..............— - Approved ����� ---� � Diagram of Lot and Building with Dimensions Fee --..+{.!�.—.......------ SU8JBZ TO APPROVAL OF BOARD Of HEALTH ` ` | / | ! / ` / i . i \ ` OCCUPANCY pEQN\|TS REQUIRED FOR NEW'DWELLINGS ^ ' | kevo6y agree to conform to all the Rules and Regulations of the Town of 8omnsto6|e regarding the above construction. ' Nm��' --------', . �/ ' C/ ] i Construction Supervisor's License ------------ Ub f CUSTER, JUNE & FRANK A=268-254 No .27260..... Permit for .Build Shed ............... Accessory..to.Dwelling Location ...33 Grouse,.U-MlP.............................. ......... .... ....................Hyanns........................................... Owner .....June...&...Frank...Custer'................... .......... ....... Type of Construction .....FX:dMe.......................... ............................................................................... Plot ............................ Lot ................................. Permit Granted ....November 26, 19 84 Date of Inspection ....................................19 T Date Completed ......................................19 t 'y."s' 'L+'SFdb 'Y 's 'S + .,{.^ t.. :.s .; -.i`�i iy.+#.-r^�. .-y .� .+r- .r,......--••'•'"`�. ., -... yr . 2'. �y` A y..^., .. .. Assessor's office(1st Floor):' I� Assessor's map and:lot number y y poi TH E toy Board of Health(3rd floor): Sewage Permit number Z BJ239TADLL, i Engineering Department(3rd floor): ��� rnea House number - 33 �° 'bso• Definitive Plan Approved by Planning Board 19 APPLICATIONS PROCESSED 8:30-9:30 A.M.and 1:00-2:00 P.M.only TOWN OF BARNSTABLE BUILDING INSPECTOR APPLICATION FOR PERMIT O- ,, /(l c TYPE OF CONSTRUCTION Woo i 19 CAS TO THE INSPECTOR OF BUILDINGS: The.undersigned hereby applies for a permit according to the following information: / l Location 33 L7i2o�isc �4/L z X t AZXIIVI 5 d)z. ( LOT J Proposed Use Zoning District g Fire District Atiti�S Name of Owner /���J�r�k /��.t:r �_iis�.�� Address 33 J Name of Builder ///�4/ i.v �. /"/y , Address Name of Architect �>Ci7�l A S /061 /fie rz. Address 5•ys�/ �15 �l/.i��%rZ Number of,Rooms A1114 Foundation 5oti,,ze 5 Exterior Ai 1 Roofing ti Floors P7 Interior A,IIJ Heating A,1, Plumbing Fireplace /l;�/d Approximate Cost 3, �i Sn• e Area Diagram of Lot and Building with Dimensions Fee �- a 30 2, r 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 Supervisor's License CUSTER, FRANK & JUNE A=268-254 No 32973 Permit For Build Deck Single Family dwelling Location 33 Grouse Lane ' F Hyannis ` Owner Frank & JL1nP_ c„ster Type of Construction Frame Plot Lot I• I Permit Granted \YJ ne 14 , 19 89 Date of Inspection 19 Date Completed 19 j i f