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HomeMy WebLinkAbout0074 OAKVIEW TERRACE 7�/ Oakvt'ecv e�c-,n 4,7 Town of Barnstable *Permit# Expires 6 months from issue date r Regulatory Services Thomas F.Geiler,Director Building Division Tom Perry,CBO, Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town,barnstable.ma.us Tice: 508-862-403 8 Fax: 508-790-6230 EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY //,�, ` Not Valid without Red X-Press Imprint arcel Number ( l�U01 ty Address 74 Ua.%4, Vl -W /� iA A W t�.l S sidential Value of Work' Z�6 Minimum fee of$25.00 for work under$6000.00 -'s Name&Address �CLAt.!�'- fd_� L✓ �Ol.�'�8 actor's Name Q,W A-yLLtG Z �o Mi 1+�6 ti u Telephone Number SbA -16 7- 67Za �e��t�da S �b.l b'�31-�►��'�o� Improvement Contractor License#(if applicable) t 3(Q 1 7 1 t�tciervisor's-Licens�-(-if app�eab-le-) .. . )rkman's Compensation Insurance. hee: ( E I am a sole proprietor I am the Homeowner X4 'S PERM IT i have Worker's Compensation Insurance MAY - 1 2007 mce Company Name TOWN OF BARNSTABLE man's Comp.Policy# of Insurance Compliance Certificate must be on file. i . t Request(check box) ry � c:a ❑ Re-roof(stripping old shingles) All construction debris will be taken to ❑Re-roof(not stripping. Going over existing layers of roof) 30 -- —0 ❑ Re-side Rcement Windows/doors/sliders. U-Value (maximum.44) SA.M *Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Cons .anon,etc, ***Note: o rh .caner must sign Property Owner Letter of Permission, A othe U=rTi-im-provement-Contractors License is required. 1ATURE: ns:expmtrg :061306 The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations ' d 600 Washington Street Boston,MA 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legilaly Naive(Business/Organization/Individual): 4=3"N( WS t C Address: k s to �trt=►+k�..ion� 'CZr� City/State/Zip: 4::�; Phone:#:_ �C$- 167 —6-7-Lo Are you an employer? Check the appropriate box: Type of project(required):, 1.❑ I am.a employer with 4. F] I am a general contractor and I employees (full and/or part-time). * have hired the sub-contractors 6. ❑New construction . 2. am a'sole proprietor or partner- listed on the attached sheet. 7. ❑Remodeling ship and have no employees 'These sub-contractors have 8. ❑Demolition working for me in any capacity. employees and have workers' con insurance.t" 9. ❑Building addition [No workers' comp.insurance P� required.] 5. [] We are a corporation and its 10.❑Electrical repairs or additions officers have exercised their 3..❑ I am a homeowner doing all work 11.❑Plumbing repairs or additions myself. [No workers' comp. right of exemption per MGL 12.EJ Roof repairs insurance required.]t c. 152,§1(4),and we have no employees. [No workers' 13.❑ Other comp.insurance required.] "Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing'all work and then hire outside contractors must submit a new affidavit indicating such. $Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is.the policy and job site information. Insurance Company Name: Policy or Self-ins. Lic.#: Expiration Date: lob Site Address: City/State/Zip: Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). Failure-to 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 ins Pnce coverage verification. I do hereby certify u er ains ar penalties of perjury that the information provided above is true and correct. Signature: Phone#: - 3 — J 72o Official use only. Do not write in this area,to be completed by city or town officiaL City or Town: Permit/License# Issuing Authority(circle one): �I 1.Board of Health 2.Building Department 3. City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#• Information and Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers'compensation for their employees. Pursuant to this statute,an employee is defined as"...every person in the service of another under any contract of hire, express or implied,oral or written." An employer is defined as"an individual,partnership,association,corporation or other legal entity,or any two or more of the foregoing engaged in a joint enterprise,and including the legal representatives of a deceased employer,or the zeaei-v&�_Or t1Lat1ge 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, §25C(6)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,MGL chapter 152, §25C(7)states"Neither the commonwealth nor any of its political subdivisions shall enter into any contract fbi he 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 out the workers' compensation affidavit completely,by.checking the boxes that apply to your situation and,if necessary,supply sub-contiactor(s)name(s),address(es)and phone number(s) along with their certificate(s)of insurance. Limited Liability Companies(LLC)or Limited Liability Partnerships(LLP)with no employees other than the members or partners, are not required to carry workers' compensation insurance. If an LLC or LLP does have employees,a policy is required. Be advised that ibis affidavit may 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. Self-insured companies should enter their self-insurance license number on the appropriate line. City or Town Officials Please be sure that the affidavit is complete'and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permittlicense number which will be used as a reference number. In addition, an applicant that must submit multiple permit/license applications in any given year,need only submit one affidavit indicating current policy information(if necessary)and under."Job Site Address"I:he applicant should write"all-locations in (city or town).":A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year.Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e. a dog license or permit to bum leaves-etc.) said person is NOT required to complete this affidavit. The Office of Investigations would h7ce to thank you in advance for your 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 Comznanwealth of Massachusetts Depa_rtment of industrial A.widents Office of Investigations 600 Washington Street Boston,MA 02111 TO. # 617-727-4900 ext 406 ar 1-977-MASSAFE Revised 11-22-06 Fax#617-727-7749 www.mass.gov/dia f . ppIHE) Town of Barnstable. Regulatory Services BaxMkM ' Thomas F.Geiler,Director asAss. fD;w�"��� Building Division Tom Perry, Building Commissioner 200 Main Street; Hyannis,-MA 02601 wwW.town.b arnstable.ma.us Office: 508-162-4038 Fax: 508-790-62.30 Property Owner Must Complete and Sign This Section If Using A Builder , as Owner of the subject property hereby authorize O,�,q, S�MM'aLjs to act on my behalf, �,Ni Me a S C-n w ST(L.UG.'r10 Q in all matters relative to work authorized by this building Zermitapp��cation for:74 . A (Address of Job) ° T 6 Date Signature of Owner -� � Date Print Name Q:FORMS:O WNERPERMISSION f Y. j' f O %/ • i i wilding Regulatios /���� " HOME n IMPROV and Standards: Regis treh EMENT CONTRACTOR ni 136171 4=EXp 6l19/2008 CHARL'ES E:SIM rI T yp =induidual M4FS CHARLES SIMIVIpNS': ,, } r ; 156 WITCF ,V,- 1 HY OODRD.��=�._.�a�"1 i SOUT ARMOUTH, Mq"02664 Deputy gdjninistrator Town of Barnstable *Permit Expires 6 months from issue date X-PRESS PERMIT Regulatory Services Fee /aC.0n Thomas F.Geiler,Director NOV 15 2006 Building Division T Perry,CBO, Building Commissioner TOWN OF BARN STAB LE200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us Dffice: 508-862-403 8 Fax: 508-790-6230 EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY G Not Valid without Red X Press Imprint r/parcel Number s3c*) )erty Address 74 yl c-u/ i Ld ��u a m p.. Zesidential Value of Work GO Minimum- flee of$25.00 for work under$6000.00 ier's Name&Address dractor's Narne Q_"& AZ C S:1*A .t 6 j i C Telephone Number ne Improvement Contractor License#(if applicable) 3 Co 1-71 Is dun Sapeivisor's rense*ff-applima rle) o o 05N G k Workman's Compensation Insurance Check one: [ I am a sole proprietor ❑ I am the Homeowner ❑ I have Worker's Compensation Insurance trance Company Name rkman's Comp.Policy# ry of Insurance Compliance Certificate must be on file. nit Request(check box) ❑ Re-roof(stripping old shingles) All construction debris will be taken to ❑Re-roof(not stripping. Going over existing layers of roof) ❑ Re-side Replacement Windows/doors/sliders. U-Value . (maximum.44) *where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. 'Note: Property Owner must sign Property Owner Letter of Permission. f Home rovement Contractors License is required. GNAT ns:e se061306 The Commonwealth of Massachusetts Department of Industrial Accidents 1 tryu Office of Investigations li`dk 600 Washington Street � U ' - Boston, MA 02II1 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Lebbh , Name (Business/Organization/Individual) M M o Lt Address: 1 5G City/State/Zip: Hi A, Phone #: 3G7-9-7 zo Are you an employer?Check the appropriate box: Type of project(required): 1.❑ I am a employer with a 4. ❑ I am a general contractor and I 6. ❑New construction ployees(full and/or part-time).* have hired the'sub-contractors 2. I am a sole proprietor or partner- listed on the attached sheet: # 7• ❑Remodeling ship and have no employees These sub-contractors have 8. ❑Demolition working for me in any capacity. workers' comp.insurance. .V 9. ❑Building addition [No workers' comp. insurance 5. ❑ We are a corporation and its _ required.] officers have exercised their 10.❑Electrical repairs or additions 3.LJ I am a homeowner doing all work right of exemption per MGL 11.LJ Plumbing repairs or additions . myself. [No workers' comp. c. 152, §1(4), and we have no 12.[] Roof repairs insurance required.] t employees. [No workers' 13.&'Other U1400W comp.insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. 1 Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such, tContractors that check this box must attached an additional sheet showing the name of the sub-contractors and their workers'comp.policy information. lam an employer that is providing workers'compensation insurance for my employees. Below is the_policy and job site information. Insurance Company Name: Policy#or Self-ins.Lic.#: Expiration Date: Job Site Address: City/State/Zip; ' Attach a copy of the workers' compensation policy declaration 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 IA r insurance coverage verification. I do hereby tify er th pa an enalties of perjury that the information provided above is true and correct Si ma Date: Phone 7, �Ci e5 7Z23 Official use only. Do not write in this area,.to be.completed by city or town official City or Town Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6. Other - Contact Person: Phone#: • -Information and Instructions . Massachusetts General Laws chapter 152 requires all employers to provide workers compensation for their employees. Pursuant to this statute, an employee is defined as"...every person in the service of another under any contract of hire, express or implied,oral or written." An employer is defined as"an individual,partnership,association,corporation or other legal entity, or any two or more of the foregoing engaged in a joint enterprise,and including the legal representatives of a deceased employer,or the receiver or trustee of an individual;partnership, association or other legal entity,employing employees.-However the owner of a dwelling house having not more than three apartments and who resides therein,or the occupant of 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 bean employer." . MGL chapter 152, §25C(6)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 acceptae evidence of compliance with the insurance coverage required." Additionally,MGL chapter 152, §25C(7)s Me "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." A Applicants Please fill out the workers' compensation affidavit completely,by checking the boxes that apply to your situation and,if necessary,supply sub-contractors)name(s),address(es)and phone numnber(s)along with their certificate(s),of - insurance. Limited Liability Companies(LLC)or Limited Liability Partnerships(LLP)with no employees other than-the members or partners,are not required to carry workers' compensation insurance, If an LLC or LLP does have employees, a policy.is required—Be advised that this affidavit 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. Self-insured companies should enter their self-insurance license number on the appropriate line. City or Town Officials Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for,you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permittlicense number which will be used as a reference number. In addition,an applicant that must submit multiple permit/license applications in any given year,need only submit one affidavit indicating current policy.information(if necessary)and under"Job Site Address"the applicant should write"all locations in (city or town)"A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year.Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e.a dog license or permit to bum leaves etc.)said person is NOT required to complete this affidavit. The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call. The Department's address,telephone and fax number: The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Bostoh,,MA 02111 T6-1. #617-727-4900 ext 406 or 1-8.77 MASSAFE Fax#i 6r17-727-7749 Revised 5-26-OS www.mass.gov/dia Town'of Barnstable Regulatory Services rMASS. g Thomas F. Geller,Director fn►A. ° Building Division 4 Tom Perry, Building Commissioner 200 Main Street, Hyannis,MA 02601 Tice: 508-862-4038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder I, T"i[A 4 �aL�'YD , as Owner of the subject property hereby authorize CC d hDS to act on my behalf, S1M,wovS LkSML cX)oV in all matters relative to work authorized by this building permit application for: 74 (Address of Job) Signature of Owner Date Print Name F Q:F0RMS:0WNERPERMISSI0N Home Improvement Contractor Look Up Enter Search terms separated by spaces. Search terms can be Town/City,Name, or License number Select Search type: C'' AND G` OR Search Results Reg. No. Applicant Street If City State Zip Name Title Expiration H 136171 FS ARLES E. 156 WITCHWOOD SOUTHYARMOUTH MA 02664 SIMMONS,IMMONS RD. a CHARLES Total of 1 Records matched. Back to Home Page . BBRS Privacy Statement http://db.state.ma.us/bbrs/hic.pl 11/15/2006 � . BOARD OF BUILDING REGULATIONS License CONSTRUCTION SUPERVISOR Number GS 080901 a 14 Birthdate ll�25/19,62 p1/25h2008 Tr.no: 15463 �p�rek „ ,.. Rested' CHARLES E 156 WITCHWOMA 02664` _C52 S YARMOUTH, Commissioner l ----------------- ---- --- - - — —' Air -•st+S 5::.+1 �� �;.{I�"H�'Y'�•`IG�'21`d "I„I �. "1..� ' lenpi b '9 Ve�;si�3�a j ?JO:*8INO0lN3m9A0 dW-h BWO p- 2og*Pk x•-t � - k ;'rfi-�. G q. Assessors map and lot number _ d � ` QUO OBI 'Sewage Permit number i.." < .... 4`+. ................................. Ll a Z B9BH4TADLE, i House number 74- o, N a �F�YPY 1639-a`� TOWN OF BARNSTABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO :.... ' .lr. . TYPE OF CONSTRUCTION .. Q. .., ....... .{:.. hz.., ... ................:............................................ ............... TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location ...... « .: ..... 1 r `.. . "'" '. ,fir: .&'' .. �.. ..... .: .tit „ , 'J+ r'1. ' Proposed Use ... ?. ..... . .' t. ........ r ................ Zoning District ..... ... ............. Fire District1.. ...... ... y ✓ .. +.^. Name of Owne .+�. . Name of Builder '.. /f .... .f/...... .,. ddress Name of Architect .........: .. ..::... ... 0 :....: ......:.. .....:... :........Addres s .,...:............. .::..:...:.................:....:....:....................... Number of Rooms .........: Foundation .. .......... I . .. 1 , Exterior .......................... ...._Roofing ...... .... Floors, ...f.. ...................:................:.. .......:Interior .. ............................. Heating -..t.�'C .. ... .............................. ..Plumbin ..:PY/ ,..................... 99 Fireplace ............... .. .....5...................... ........ .........Approximate,Cost ',... r .............................. Definitive Plan Approved by Planning Board __ __ ______19 Area: .. .................. . _ I > . 00 Diagram of Lot and Building with Dimensions Fee ..... SUBJECT TO APPROVAL OF BOARD OF HEALTH 5 • l I hereby agree to conform to all the Rules and Regulations of the Towri of Barnstable regarding the above construction. Name ......... .... .......................................... - CAPBICOD0 REALTY T ^ S�� �=�68-30l . " . One St��l/ ' No '.3�4�A.. Parm� for ------------ Sincrle il Dwelling- ............. ' . ~-------.---..-.-------. . Location -.Lot..#5S-74-Oakv.iew..��erraoe. ----.-..fCy���io______..:_______ . ^ ' zr� BeaIt� Trust {�vvnar -..!~����.����------^------ � � .. e of Construction Frame ............................................/................................ Plot .../Lo Permit Granted ' � ° Date Completed PERMI/REFUSED � ' .............................. /v ................................... ---. ^ '--.. .. --.. i~~/ -'_-.. -..^ -�;----- � ~--.- .... .. .................................................. . '-----^-'...-^'-^'^^'~^^-^^--'---^-' Approved ---------------- lg ' -------.....-------~-.-,-.-----. � ^ -------'--------^'--~-~~^'~^^'- `Assessor's map 'and lot nu er ... -.,3.jV...... �7 ���� ! � '2"y pp ���� crC/ T E �i,// SEPTIC Quo � i Sewage Permit number :.1.(R.�r ................................ SYSTEM MUST E INSTALLED IN COMPLIAN • House number .. WITH TIT 5 9 B AB& E. �+ ................. . ................................., LE p s639 L ENVIRONMENTAL CODE AN �`aMPYa\6 TOWN OF BARN�A '�' ; BUILDING [NS:PECTOR c� . 0 APPLICATION FOR ,PERMIT TO .. � t ��,... ....!A"! .. ..... ... ... .....�•�................ ..... TYPE OF CONSTRUCTION .. +Q.Q�. ........!•••••/ /.•:.[•.. ............................................................. ................ TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location .�0.(..... .4?.... .. .L./ s �r'1. G1l.Z :1. ....... A j .J.. . ..... ; .... ........ Proposed Use ...�.�.� )J.Jf.......IA,�.l..lv......I 6.d)(J_ •�...�...............-....................................... .... Zoning District ......�.`.:.! ..............................................Fire District .................................... _ Name of Owner 1Z 1�. �.� .N.. �y........ dd ress .k. L w. Name of Builder fz, C.0.....( t. ddress ............................•....:.................................................. Nameof Architect Address................ .................................................................................... Number of Rooms :.:...........................:.....................:..............Foundation .. �G..� ............................. Exterior 1 � ..........Roofing ........... f.../....... u. r ....................................... ,l . ,.per Floorsy `e.. ..........................................Interior ... t' - .L14...5./..�i� .............................. HeatingJ C.................................Plumbing ...�(,�.... .................... Fireplace ................... �.�...5..........................................Approximate Cost ........ �1 �../�••06 ................ Definitive Plan Approved by Planning Board � _____19 " 0 __ _ � JI.e.................. Diagram of Lot. and Building with Dimensions Fee S ......... ... ..l........................... SUBJECT TO APPROVAL OF BOARD OF HEALTH r hereby agree-to conform to all the Rules and Regulations'of the To of ar stable re rding above construction. • Name .... . .......... ... ............. ............................ - CAPRICORN REALTY TRUST y No 22490 Permit for ... ne„Story„;,,,,, ........Single...Family...Dwelling............ I ' Location Lot...#56 7,4 Oakview TQx.r.a,Ce . .. r .................yann s. ................... .................. . Owner, s ....... ` Type' of Construction F.ra...m.e. .. .... ......................... .:................... Plot ......................... . Lot ................................. Permit Granted .........9eptember...a,...19 80 Date of Inspection ........ .......... ...............19 _ Date Completed �r.. ....... •...-...........19 PERMIT REFUSED i t b-� _ . .�. ...................................... 19 . ................ ............................... - i. ..r^N. ................................................... . ' : ................:......... ............ t r� ......... ...................................... , Approved l . ................ THE FOLLOWING IS/ARE THE BEST IMAGES FROM POOR QUALITY ORIGINALS) I M ^C&L DATA e•"'a' TOWN OF BARNSTABLE� 2244 • I y4 - - ---Permit No Building Inspector Cash nmrnau — — 1610. OCCUPANCY .: PEkMIT Bona "No building nor structure,shall-be elected,'.and no land,`building or structure shall be.' used for-a- new, different, changed, or enlarged use without -a Building Permit therefor, first having been obtained from the Building Inspector. No building shall be occupied until•a- certificate of occupancy has been issued by the Building Inspector." ' Issued to Capricorn. Realty °ruSt Address _ant- Ariz 7G. 0_n1nv-;-=a TnV rn.nA gwnnni'c Wiring. Inspector {' era rl � Inspection date Plumbing Inspector Inspection date Gas Inspector 1: Inspection date ✓Engineering Department ,�. , Inspection date 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: f f � ,; GBuilding Inspector -` K p N ,.� � jt}+.•�;5 t r _ _ �,''�k'aYgf (' ifs � Swt,• t t 1 r , 1 i r1NKat 1p F i " ♦ a 'k �c K•Jal.�'/' 4.e r 5,,10;A } , r•� s t4 dfj5 k, � S '!I n.��}�;rlf .*tf��$'•�r }� ' E, n i�r' 1 a f- * - �. .v4 iad'•W�?'?"♦b. �. � .g t�h`i•tx+:•C`ta�ry s ',� 'a ! dey= � � gy� i � f �l 't k$ ��'"'��..�'�� .� ,a.�. a•�� � 1 �' C•�U I '1J'�� t�t«,,'�,a 5�'t RcYF� t ro `'�T��-0`, v�i�u�4'kp`��.,�F�•t'"�'Y'.;, W�.i 4' A � r..,� ��. ,. 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