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Home My WebLink About0334 OLD STRAWBERRY HILL ROAD 1�3�I Old Strmubrr� t871�. Town of Barnstable *Permit O I A i kle Regulatory Services ee 6aa ;Itued ..sNer.J" Thomas F.Geiler,Director Building Division Tom Perry,CBO, Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.bamstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY Not Valid without Red X-Press Imprint Map/parcel Number a 5 t 1 3-6 Property Address 334 09 e Y✓ -,� residential Value of Work '1 l 1 Minimum fee of$35.00 for work under 56000.00 1 r Owner's Name&Address e>r d 4 -E-C" ►rY\L r(J Y M, 2�1 . Contractor's Name Sprinkle Home Improvement Telephone Number 508 775-1778 Home Improvement Contractor License#(if applicable) 103757 Constriction Supervisor's License#(if applicable) C�5 UP y 3 ZWorkman's Compensation Insurance Check one: ❑ I am a sole proprietor ❑ I am the Homeowner I have Worker's Compensation Insurance "T'O1,'\;; ; ,; I,i�3 L Insurance Company Name Assnt^iatPH I ndi IStriAS of MA Workman's Comp.Policy#AWC 7004943n 19011 Copy of Insurance Compliance Certificate must accompany each permit. Permit Request(check box) ((" �-�e--roof(hurricane nailed)(stripping old shingles) All construction debris will be taken to `ifiL.V MOA l f ate S dC✓ S� ❑Re-roof(hurricane nailed)(not stripping. Going over existing layers of roof) ❑ Re-side #of doors ❑ Replacement Win dows/doors/sliders.U-Value (maximum.35)#of windows *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. A copy of the Home Improvement Contractors License&Construction Supervisors License is r `' i SIGNATURE• C:\Users\decollik\AppDataE=I\Microsoft\Windows\Temporary Internet Files\ContentAutlook\DDV87AAZ\EXPRESS.doc Revised 072110 I The Commonwealth of Massachusem Department of Industrial Accidents Office of Investigations 600 Washington Street Boston,Mass. 02111 www.massgov/dia lug Workers' Compensation Insurance Affidavit: Builders/Contractors/Eleetrcians/Plumbers Applicant Information Please Print Legibly Name(Business/orpmizationandividual): Sprinkle Home Improvement Address: 199 Barnstable Road City/State/Zip:Hyannis, MA 02601 Phone#: 508 775-1778 Are you an employer?Check the appropriate box: Type of project(required): I am an employer with 9 4. 0 1 am a general contractor and I 6. 0 New construction employees(full and/or part time).* have hired the sub-contractors 7. 0 Remodeling 2. ❑ I am a sole proprietor or partner- listed on the attached sheet. ship and have no employees These sub-contractors have 8. ❑Demolition working for me in any capacity. employees and have workers' 9. ❑Building addition. [No workers'comp.insurance comp.insurance. t g required] 5.0 We are a corporation and its 10. 0 Electrical repairs or additions 3. 0 I am a homeowner doing all work officers have exercised their 11. 0 Plumbing repairs or additions myself [No workers'comp. right of exemption perm MGL insurance required]t c. 152,§ 1(4),and we have no 12. &gkoof repairs employees.[no workers' 13. 0 Other comp.insurance required.] •Any applleant that cheep box#1 must also an out the tedinn bdow,showing their worker'eampessiation policy lnformatmn. tHomeownas who submit this affidavit indicating they are doing all work and them hire outside contractors must submit a new afHdavk ladleatiug such. tCopaetors that check this box must attach an addkbnal sheet showing the name of the sub-contrecbors and elate whether or not those euddes have employees. 1f the sub-contractors have employee%they must Provide their workers'comp.volley number. I ant an employer dust&providing n vrkers'compemadon Insurance for my employees.Below is die policy and job site infoInsurance C Associated Industries of MA Insurance Company Name: Policy#or Self-ins.Lic.#: AWC((700494301r2_011 Expiration Date: 01-01-2012 Job Site Address: 334 d -�e City/State/Zip: 4 4 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 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 $250.00 a day against violator.Be advised that a copy of this statement maybe forwarded to the Office of Investigations of the DIA for coverage verification. I do herby sins and penalties of ped3vry that the information provided above is due and correct Si e: Date: P,iw me. Brad Sprinkle phone#. 508 775-1778 Ext.10 Official use only Do not write in this area to be completed by city or town official City or Town: Permit/license#• Issuing Authority(circle one): I.Board of Heath 2. Building Department 3.City/Town Clerk 4.Electrical Inspector S.Plumbing Inspector 6.Other . Contact person. Phone#: CERTIFICATE OF LIABILITY INSURANCE DATE 11M/4/2010 I THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSVRANCS DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CEETIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(a). PROovcsn CO rAca Bryden & Sullivan Ins Agency FROM rAx Inc -(A/C. Na. Et): rc. No): 88 Falmouth Road PRDDUcsR Hyannis, MA 02601 CU$TOM ID#. xMaunm a) ArrORDING COPERMM RUC M INSURED IN$CasR A: A.I.M. Mutual Insurance Cc Sprinkle Home Improvement Inc lusumm B: 199 Barnstable Road INSURER Hyannis, MA 02601 XWSURER D: INSURER E: LNSURsn r: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: r THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. POLICY EFF POLICY EXP Lv� TYPE OF INSURANCC POLICY NUMBER Lrumitrtn ruroirmL LIMITS GENERAL LIABILITY LACK OtttrRAMti B OCONMERCIAL GENERAL LIABILITY - DAb91=TO ROTTED 0 rROPtEA(".00wrs —J 0 OCLALMS MADE D.C. _ WED 1XP (A.Y one P.....) 0 Q _ PIMOVAL i ADV INJURY 'a GEfaML AOQRLGATE GEN'L AGGREGATE LIMIT APPLIES ER: a ❑POLICY PROJECT 0. PRODUCT'$-COMP/OP Am .a a AUTOMOBILE LIABILITY - - COMBINED SINGLZ LIMIT []ANY AUTO (Rs aaaid�t) _ 1 ALL OWNED AUTOS BODILY xNJOR7 (pr p�r•onl 0 CJSCNEDULED AUTOS BODILY nLJVRY(p� —Ldmw $ ❑NIRED AUTOS PROPERTY DANA= ONON-OWNED AUTOS a O e UMBRELLA LIAR ❑ OCCUR EACH OCCURRZUCE a OE%CE99 LIAB Q CLAIMS WIDE AOQAEOATE a DEDUCTIBLE ❑RETENTION WORKERS COMPENSATION _ ® uMtYa_.. orx• AND EMPLOYEES LIABILITY n _ THE PROPRIETOR/PARTNERS/ _ E.L. EACRACCIDwr 0 500,000 A EXECUTIVE OFFICERS ARE ® incl ❑ excl 700494301201,1 01/01/2011 01/01/2012 e.L. DzaEuE -POucY L"aT a 500,000 E.L. DISXAAE-EA EMPLOYEE ' 500,000 COIS�Tl'S 1 DESCRIMON Or OPERATIONS OR LOCATION$: WORKERS COMPENSATION COVERAGE APPLIES TO MASSACHUSETTS EMPLOYEES CERTIFICATE HOLDER CANCELLATION PROOF OF INSURANCE SHOULD ANY OF THE ABOVE.DESCRIBED POLICIES HE CANCELLED BEFORE THE EXPIRATION DATE THEREOF; NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AOTMORI EED REPMIEeEM'YATIK t r t 7 , I It 11, 0. 111 k21II L-I!It1 li+ ar:t .t `t:Iu+I }, -Officeo 6onsumerAff�atrs sines egulation HOME IMPROVEMENT CONTRACTOR 6643. ap' Registration: 103757 Type: �1 Expiration: 7/9/2012 Private Corporatic SPRINKLE HOME IMPROVEMENT,INC. BRAD K SPRINKLE 190 LOTHROPS LANE `' Brad Sprinkle W BARNSTABLE, MA 02668 199 Barnstable Rd.+i Hyannis, MA 02601 Undersecretary,.. 10/8/2011 5478 Restricted to: 00 t✓icense or registration valid for individul use only 00- Unrestricted before the expiration date. If found return to: I-1 2 Family Homes Office of Consumer Affairs and Business Regulation 10 Park Plaza-Suite 5170 Boston, MA 02116 Failure to possess a current edition of the Massachusetts State Building Code is cause for revocation of this license. ; Refer to: WWW.Mass.Gov/DIPS Not valid without sign ture ' J`r, f I Town of Barnstable F a Regulatory Services Tbomas X C.Mer,Director. Bnildhng Dhvishon. Irbomas retry,CBQ Banding Commissioner 200 Main Shvd, Hyannis,MA 02601 wwwAcwnJm=tabk ma.as v fJ8'icx: 508-862-4038 Fax:`S0&7964130 s , Property Owner Must n Complete and Sign Thus Sectio If Ueing'A Builder as Winer of thersubject property hereby authorize Sprinkle Home Improvement to m act on y in all matters relative towork authorized by.this bui1di4 permit application for. ddre(Ass of Job) :. 2,Z_� . Of OwnWl ..Date Print Name . If Property Owner is applytod for Permit,please complete the Homeowners License Ezemptioa Form on Me revere� , C:�IlsaesWeooWkMppDat�� im�o�R►mdow�T Revised 072110 °�t°ry!�F�eo'�.ovaoo�unvstnnz�Blo'asssaoc .0 Olt r Town of Barnstable *Permit# Q� p Expires 6 ni n(1 one ' ue date Regulatory Services Fee * Y * IARNSTABLE. # zcb 6 9 -Thomas F. Geiler,Director �rfD MA't a Building Division Tom Perry,CBO, Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.barnstable,ma.us Office: 50878624038 Fax: 508-790-6230 EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY Not Palid without Red X-Press Imprint Map/parcel Number prope Address S Q . W e �,1 f 7 / AI 15 �v�(>a/' Residential Value of Work S g b/ — Minimum fee of$25.00 for work under$6000.00 1 ✓' t(� /1 //�? Owner's Name&Address Contractor's Name s S /'./OC//V Telephone Number Home Improvement Contractor License#(if applicable) j Cons ion Supervisor's License#(if applicable) Workman's Compensation Insurance ❑Check one: X-PRESS PERMIT I sole proprietor ❑ I the Homeowner have Worker's Compensation Insurance �F P 1 6 1 j Insurance Company Name Ge x2 v V/9 TOWN OF BARNSTABLE workman's Comp.Policy# �� 6 Copy of Insurance Compliance Certificate must accompany each permit. Permit 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) Z;Replacement e #of doorsWindows/doors/sliders.U-Value 0 3 5 (maximum .44)#of windows *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. A copy of the Home Improvement Contractors License& Construction Supervisors License is required. .SIGNATURE: QAWPFILESIFORMSIbuilding permit forms\EXPRESS.doc' The Commonwealth of Massachusetts,# r ' Department o r: f Industrial Accidents. ; kt Office of Investigations r .600 Washington Street" ry Boston, MA 02111 fg } www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name (Business/Organ ization/Individual): Address:/ J� �-7 Po_r1t gat-5 City/State/Zip: 5Oc �e]z- le' 0_-3k K Phone#: `Z n� (o '7/ 6 Y�0 Are you an employer? Check the appropriate box: Type of project(required): 1.93 I am a employer with 4. ❑ I am,a general contractor and I employees(full and/or part-time).* have hired'the sub-contractors 6. ❑ construction 2.El am a sole proprietor or partner- listed on the attached'sheet.. 7. Remodeling ship and have no employees' These,sub-contractors have g,. ❑ Demolition working for me in any capacity. employees and have workers' 9. ,❑ Building addition [No workers' comp. insurance comp: insurance. required.] 5. ❑ We are a corporation and its 10.❑ Electricafrepairs or additions 3.❑ I am a homeowner doing all work officers have exercised their 11:❑ Plumbirig 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 rio employees. [No workers' .13,❑ Other comp. insurance required.] *Any applicant that.checks box#1 must also fill out thesection 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: �tr�� No e-/�J�'S += DA Policy#or Self S.Lic.#: Expiration Date: % A/C) y Job.Site Address: 33 0/0 / City/State/Zip: IV •� � Attach a copy of the workers' compensation policy declaration page(showing the policy num er and xpiration 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 $250.00 a day against the violator. Be advised that a copy of this statement may be'forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify under the pains and penalties of perjury that the information provided above is true and correct. Si ature: Date: (J v Phone#: Official use only. Do not write in this area, to be completed by city or town officiaL City or Town: Permit/License# Issuing Authority(circle one): -1.Board of Health 2.Building Department 1 City/Town Clerk 4.Electrical Inspector 5. Plumbing Inspector 6. Other Contact Person: Phone# av PRoouCER THIS CERTIFICATE IS ISSUED AS A MATTER OF WFORMATIOPI ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Hunker Insurance, Inc. HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR 389 Old River Road, P.O. ZOX 1 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW, 14an4ille RT 02838-0001, Phone:401-769-9500 I:ax:401-769-9502 INSURERS AFFORDING COVERAGE ivAlCm IPISURED Moon Associate s Inc. INSURERA flat3�na2 G=actre Fnsuxaace Co I 14788 DBA Gutter Helmet � DLBA cReaewal b AndersE'n of RI IN'SUREP..6: 3eacgn mutual Snsurannce Co. }?$'� T�lltt HelmetRoofingiNSU°�R CS I`)BA Moon. Works _ 1137 Park East: Drive iNSURERD: Woonaocke~t RT 02895 !NSUP,EP,E: COVERAGES THE POLICIES OF IJRANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NMED ABOVE FOR THE POLICY PERIOD INDICATED.NOT` iTHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCU+AETT VAq H RESPECT TO'iVHICH THIS CERTIFICATE MIRY BE ISSUED OR MAY PERTAIN.THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,EXCLUSIONS AND CONDfnoNs OF sucH POLICIES.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIM& LTR NSR TYPE OF INSURANCE POLICY NUMBER DATE(�) DATE(MhiIDDIYYS ITS GENERALLIABILrrf EACH OCCURRENCE $1000000 A IX COMMERCIALGENERALLIABiure IYIPS26619 09/16/09 09/16/10 PREMISES(Eaocura%a) $500000 CLAIMS MADE_ X❑OCCUR MED EXP(.Any one pew) $ 10 0 0 0 PERSONAL 8,ADV INJURY $ 1000000 GENERAL AGGREGATE $2000000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-=-iPIOP AGG $2 0 0 O 0 O O POLICY JCC LOC AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $1000000 A X ANY AUTO BiS26619 09/16/09 09/16/10 (Es accident) ALL OVYTIED AUTOS BODILY INJURY SCNCELLED AUTOS (Par person) $ HIRED AUTOS BODILY INJURY $ I' NON-OWNED AUTOS (Par accident) PROPERTY DAMAGE $ (Per accident) GARAGE LIABILITY AUTO ONLY-EA.ACCIDENT $ I HANY AUTO OTHER THAN EA ACC $ AUTO ONLY. AGG $ EXCESS I UMBRELLA LIABILITY EACH OCCURRENCE $1000000 A X OCCUR 0 CLAIMS MADE CUS26619 09/16/09 09/16/10 AGGREGATE_ $ $ ODEDUCTIBLE $ xRETENTION $10000 $ WORKERS COMPENSATION X TORY LIMITS ER AND EMPLOYERS'LIABILTTY Y f N B ANY PROPRIETOR/PARTNER,�EXECUTWE ❑ 28586 10/01/09 10/01/10 E.L.EACH ACCIDENT. $500000 OFFICER/MEMBER EXCLUDED? (Mandatory in NH) E.L.DISEASE-EAENKOYEE $500000 It yes,describe under SPECIAL PROVISIONS below E.L.DISEASE-POLICY LIMIT $500000 OTHER DESCRIPTION OF OPERATIONS f LOCATIONS i VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS 1 I S CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION RENEWAT, DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO WI4IL 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO DO SO SHALL IMPOSE No OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR - Renewal By Anderson REPRESENTATNES. 1137 Park East Drive AUTHORIZED REPRESENTATIVE Woonsocket RI 02895 ACORD 25(2009/01) t ISM2M ACORD CORPORATION. AD rights reserve& Mra M. Ov £w'Yt3 - t TIYyft}fit r3 iM g p raft. 285438 • � _ ��• ��,Imo--�� k. l ��,�-.Wyk it ; i' '4•,�.._..'>=1 4_..^t" �t V @N§PG AFC _° I nx ersacr a p . Beard Of Building eg s,and Standee% COnStruction Supo,rvisorisLiftnse Ltense, CS SL 99M ftstrided to, RfW, $. JAMES M0 4-3 AIINE WAD CUMBERLAND, Rl 02864 , ExOration: 3r=12 Hof Prodmi _(q � m^eag ; taidmratid m igi s -��.�. � °'as•;� � m the oeartst 1116' � . as a o a �m is $� '»�v,,,, S Achaf YsYdks � s y�,�Y ?^ to tt nearest 1/16' of amp oQ'e�o `� a r� sE SMAn& a Vi - x s ff �g�� YS MuNierr �� ,J S .823-N m n x a Sash[taHo $ @ e � = Color Uteriar �. 35NIII¢ vgg q^n Color Interior t MmYe s1 s ^p c g R o N Sash flits or Pam 7r n v 5 C QY 61Raipwrli]ers � . Ij ro3 � a .+ Sish Leda pr(SaSh (� lai►01L m,d@alr)1 r2 �L g w y cvawy'riw�ayeiov �� m v on J w tiv... \ �E ° ? o° wNe Patton C e 01" sg CrilleType a w ti ws]Kw rn � Q-m GdIePrdh s.....a.rrb.sne.. ' o � N of Lites We C �U 0 Sim it of Lkes HIGH V v � S2 $ S 8 of tiles yme 21 n s p M „ V d of Lites Him - � G 6 ❑ '� iM l t e V 7 CL n Q3 R € g 74 °. x for Spedal Order $, a V Town of Barnstable :; CF THE Tp� Regulatory Services Thomas F. Geiler,Director sAMSTASLE, 9 MASS, ib3y. Building Division �0 Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 www,town.barnstable.m a.us Office: 508-862-4038 Fax: 508-790-623( PERMIT# ? I FEE: $ SHED REGISTRATION 120 square feet or less Location of shed(address) Village operty owner s nam Telephone number ''f „ Size of Shed Map/Parcel# . Si re Date Hyannis Main Street Waterfront Historic District? Old King's Highway Historic District Commission jurisdiction? Conservation Commission(signature is required) Sign off hours-for-Conservation-8:00-9:30-&:3:3.0=4:3=03 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 LOT P . PLAN 13) Q-forms-shedreg REV:042506 Page 1 of - t .Town of Barnstable Geographic Information System New Search H, Irmo Parcel Viewer Custom Map Abutters Map Size E3 E] Zoom Out J J jIn f r R, r y y + N ® 3 P G Map: 251 Parcel: 135 F Location: 334 OLD STRAWBERRY HILL ROAD I 4 N ` 1� l Owner: MURPHY, GERALD E &JOAN A 251191 ,51250 -_ M345 0344 Location Information Map & Parcel 251135 251251• N 19 Location 334 OLD STRAWBERRY HILL ROAI Acreage 0.35 acres — — a t ' Current Owner ~' Mailing Address MURPHY, GERALD E &JOAN A �, f• - ,,�n 334 OLD STRAWBERRY HL RD HYANNIS, MA 02601 1 W 'k251135-_ iE iM333t L'p334 tJ 333 �. -.1 lAppraised Value (FY 2008) Extra Features $4,000 q Out Buildings $0 O Land $148,100 Buildings $140,300 N 63 PP Total Appraised $292,400 r i is 53 4261134 c A Assessed Value (FY 2008) . 251193.. f_ i 322 `ti Extra Features $4,000 0321 Out Buildings $0 0 61 Fee t Land $148,100 Buildings $140,300 Total Assessed $292,400 Set Scale 1" = 61 I Aerial Photos Copyright 2005-2007 Town of Barnstable,MA All rights reserved.Send questions or comments to GIS BarnstableMA v0.2.91 [Production] file://C:\DOCUME-1\permit\LOCALS-1\Temp\JD3HBTOF.htm 4/3/2008 i f �oFsTOwti Town of Barnstable *PermitOOy0031-�5y ,4 Expires 6 months from issue date / Regulatory Services Fee BARNSTABLE, Thomas F.Geiler,Director r MASS. . �+ 039• Building Division HIED MAC A Tom Perry,CBO, Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.bamstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY Not!Valid without Red X-Press Imprint Map/parcel Number Property Address S), 'sidential Value of Work Minimum fee of$25.00 for work under$6000.00 Owner's Name&Addressk�ye- TAlt,, 1 Contractor's Name '� Telephone Number Chi-V 7711661 Y V //'' Home Improvement Contractor License#(if applicable) T� �V�'� UW-10�,rkman's Compensation Insurance Che one: I am a sole proprietor ❑ I am the Homeowner X-PRESS ❑ I have Worker's Compensation Insurance PERMIT �" 2008 Insurance Company Name _ I�{r (�, JUN 1 s Workman's Comp. Policy# l_OWN OF BARNSTABLE Copy of Insurance Compliance Certificate must be on file. Permit Request(check box) ❑ Re-roof(stripping old shingles) All construction debris will be taken to ❑ Re-roof(not stripping. Going over existing layers of rood 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 Permiss' N J'on. " A copy.of the Home Improvement Contractors License is require ;��t'� SIGNATURE: �Q Q:\WPFILES\F S\building permit forms\EXPRESS.doc Revise020108 i -- - efts ' The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street. Boston, M4 02111 , www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Apy1icant Information Please Print Legribly Dame(BusinesslOrganizationlindividud): kddmss: f--_7�-/1V-t �7•—7 Q' City/State/Zip: Phone.#:_ &Y/ ` Are you an employer? eck the appropriate boa: Type of project(required): 1.❑ I a employer with 4..0 I am a general contractor and I 6. ❑New construction layees(fill and/or part time).* have hired the stib-contactors 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 employees and have workers' working for me in any capacity. 9. ❑Building addition [NO workers' comp.-msnrance comp.insurance.t required.] 5. We are a corporation and its 10.❑Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their I LEI Plumbing repairs or additions myself.[No workers' comp. right 6f exemption per MGL 12.[]Rnof repairs insurance required.]t c. 152, §1(4),and we have no employees. [No workers' 13.❑Other camp.instn-ance required_] *Any applicant that ehwim box#1 must also flU out the section below showing their workers'compensation policy infmTmtion. t Homeowners who submit this affidavit indicating thcy are doing all work and then biro outside contractors must submit a new affidavit indicating such. tContactors that ebeck this box must attached an additional sheet showing the name of the subcontraetms and state wbctber or not those entities have employees. If the subcontractors have employees,they must providb their workers'comp.policy number. I am an employer that is providing workers compensatfnn 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 tip 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 I A for insurance coverage verification. I do hereby c under the pains-and penalties of perjury that the information provided abov is tru and correct 7 Si e: Date: — Phone • Official use only. Do not write in this area,to be completed by city or town officlaC 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 hue, 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 representative's 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 budding 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 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 out the workers'compensation affidavit completely,by checking the boxes that apply to your situation and,if necessary,supply sub-contractors)name(s),address(cs)and phone numbcr(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. Bo advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of inset-nee 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 time 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 till in the permit/license 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 ono affidavit indicating cent policy information(if necessary)and under"Job Site Address"the applicant should write"all locations in (city or town)."A copy of the aff davit 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 btirn 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 C6mmonwoalth of Massachusotts Department of Industrial Accidents Office of Investigations 600 Washington Stredt Boston,MA 02111 TO. #617-727-4900 ext 4-06 or 1-977-MASSAFE Fax#617-727-7749 Revised 11-22-06 www.mass.goer/dia r °F r Town' of Barnstable Regulatory Services MARMAS NAB&I'E'$ Thomas F.Geiler,Director Building Division A Tom Perry,Building Commissioner. ,. 200 Main Street,Hyannis,MA 02601 www.town.barnstabie.ma.us Office: 508-8624038 Fax: 508-790-6230 Property Owner Must - y Complete and Sign This Section If Using A Builder I, - as Owner of the subject property hereby authorize .� to act on my behalf,, in all matters relative to work authorized by this building permit application for. d1'q W A (Address of Jo - Signature of Own r Date Print Name ' If-Property Owner is plying`for permit please complete the Homeowners License,Exemption Form on the reverse side. Q:FORM&O WNERPERMISSION r Town of Barnstable zHE P� ~ O Regulatory Services g rY Thomas F.Geiler,Director JLARNSnTM 1639. �rfD INAI Building Division A Tom Perry,Building Commissioner 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: number street village "HOMEOWNER": name home phone# work phone# CURRENT MAILING ADDRESS: city/town state zip code The current exemption for"homeowners"was extended to include owner-occupied dwellings of six units or less and to allow homeowners to engage an individual for hire who does not possess a license,provided that the owner acts as supervisor. DEFINITION OF HOMEOWNER Person(s)who owns a parcel of land on which he/she resides or intends to reside,on which there is,or is intended to be, a one or two-family dwelling,attached of 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 BuildingOfficial on a forma table to the Building Official that he/she shall be �P g , responsible for all such work performed under the building permit (Section 109.1.1) The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other applicable codes,bylaws,rules and regulations. The undersigned"homeowner"certifies that he/she understands the Town of Barnstable Building Department minimum inspection procedures and requirements and that he/she will comply with said procedures and requirements. Signature of Homeowner Approval of Building Official Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the State Building Code Section 127.0 Construction Control.' HOMEOWNER'S EXEMPTION The Code states that: `Any homeowner performing work for which a building permit is required shall be exempt from the provisions of this section(Section 109.1.1-Licensing of construction Supervisors);provided that if the homeowner engages a person(s)for hire to do such work,that such Homeowner shall.act as supervisor." 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 235) This lack of awareness often results in serious problems,particularly when the homeowner hires unlicensed persons. In this case,our Board carmot proceed against the unlicensed person as it would with a licensed Supervisor. The homeowner acting as Supervisor is ultimately responsible. To ensure that the homeowner is fully aware of his/her responsibilities,many communities require,as part of the permit application, that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the last page of this issue is a form currently used by several towns. You may can t amend and adopt such a form/certification for use in your community. Q:forms:homeexempt i ' p NOTICE N W N®F A r TO = A Q EMPLOYEES �W EMPI.OYEEN SV$ The Commonwealth of Massachusetts DEPARTMENT OF INDUSTRIAL ACCIDENTS 600 Washington Street, Boston, Massachusetts 02111 617-727-4900 — http://www.mass.gov/dia As required by Massachusetts General Law, Chapter 152, Sections 21, 22& 30, this will give you notice that I (we) have provided for payment to our injured employees under the above mentioned chapter by insuring with: ZURICH—AMERICAN INSURANCE GROUP NAME OF INSURANCE COMPANY ONE TOWER SQUARE HARTFORD, CT 06183 ADDRESS OF INSURANCE COMPANY (6ZZUB-7982B18-1 -07) 06-28-07 TO 06-28-08 POLICY NUMBER EFFECTIVE DATES s= SCHLEGEL & SCHLEGEL INS 34 MAIN ST RTE 28 " WEST YARMOUTH MA 02673 NAME OF INSURANCE AGENT ADDRESS PHONE# r MCMORROW, JAMES DBA 53 LEWIS RD JFM PAINTING WEST YARMOUTH MA 02673 EMPLOYER ADDRESS EMPLOYER'S WORKERS COMPENSATION OFFICER (IF ANY) DATE MEDICAL TREATMENT The above named insurer is required in cases of personal_ injuries arising out of and in the course of employment to, furnish adequate and reasonable hospital and medical services in accordance with the ® provisions of the Workers' Compensation Act. A copy of the First Report of Injury must be given to the ® injured employee- The employee may select his or her own physician. The reasonable cost of the services provided by the treating physician will be paid by the insurer, if the-treatment is necessary and reasonably connected to the work,related injury. In cases requiring hospital attention, employees are hereby notified that the insurer has arranged for such attention at the NAME OF HOSPITAL ADDRESS 007125 W2UP1G02 TO BE POSTED BY EMPLOYER _ Board of.Building Regula ions and Standards One Ashburton Place - Room 1301 Boston. Massachusetts 0210$ Home Improvemerit_Contractor Registration Registration: 133704 Type: DBA Expiration: 7/31/2009 Tr# 130177 JFM CONSTRUCTION JAMES MCMORROW 17 CIRCLE DR. - HYANNISFORT, MA 02601 Update Address and return card.Mark reason for change. DPS-CAI a;r soon-os/os-Pcaaso Address Renewal Employment Lost Card r r r Assessor's offioe (1st floor): "'f THE Assessor map and lot numbers'�� ... .• .•• MUST CONNECT TO TOWN SEWER ro�o Board of Health ", er i(I•3�rd I:' floor): Sewage Permit number ... . ..�.7/ .... OK K—J Zo B 9Hd Y9TALD L`E0 �, M69En 'neenn6 .heiatnOt (3rd floor): 3 . House riUi ...................................................1 ..................... a' APPLICATIONS' ?ROCESSED 8:30-9:30 A.M. and 1:00-2:00 P.M. only TOWN OF BARNSTABLE BUILDING , INSPECTOR APPLICATIONFOR PERMIT TO ..... ..... ....... .... .. ......... ..... ............. ....... ...................... ............................... TYPEOF CONSTRUCTION ..................................................................................................................................... ........... ...................... .............19........ TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Cz- �1 Location .. /�� /�� Proposed Use .. .... ............................... Zoning District ........... ... ....... ..................................Fire District ......... ........._ �`? a�............................... Nameof Owner . .. .......... .......... ............Address .................... ...................................................... Name of Builder . .... ....�. � ....../.J.........Address .. .. . .. ...... /-�/,� ,,,,,,,,, Nameof Architect ..................................................................Address .................................................................................... Numberof Rooms ..................................................................Foundation .............................................................................. Exterior ....................................................................................Roofing .................................................................................... Floors ......................................................................................Interior .................................................................................... Heating .........Plumbing......................................................................... .................................................................................. Fireplace ....................................................................Approximate Cost f/...............��.... . Definitive Plan Approved by Planning Board ---------------------- ----------)9-------- • Area .�.�......... . ............ .. Diagram of Lot and Building with Dimensions Fee �..................... SUBJECT TO APPROVAL OF BOARD OF HEALTH ! 1 1 rV v ' 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. Construction Supervisor's License C/.ycx( . ., .... MURPHY, GERALD No !..3.0.9.0.1.. Permit for ... ...Sw imm Ln g Pool ...Accessory...to...D.W.Qjjjjrtg............... Location.....DA...qLi... Road ........ .. s .... .... ... ............................................... Owner ....Ge.r.a.l.d...M.4.rghy............................. Type of Construction ......Q.0 I-!i.t e.................... . ...................I.........................:.................................. Plot ... Lot ................................ ..................... ..... Permit Granted ....... ...23.............19 87 Date of Inspection ....................................19 • Date-Completed ......................................19 c (\3 • Assessor's offioe .(1st floor):„ /� ` 'IF THE �� ... j,.. :. :. cF roe♦ Assessor' ,ma 'p and lot�'number ... >... .. . • Board of Health (3rd floor): /6'�7 && fO • Sewage Permit .number ... ......... .....:..... . ... ......... .. ............ BasasTsnis, S Engineerm (3rd floor): 8 , �artr'm;i� orbYP 9 33� House r o,. APPLICATIONS'! Rb;C':,EiS'SED 8:30-9:30 A.M. and 1:00•2:00 P.M. only kTOWN 'O.F BARNSTABLE "F BUILDING, INS-PECTOR APPLICATION FOR PERMIT TO ............................. ':? r............ :.:......� - -- Y. ......... • TYPE OF CONSTRUCTION ...................... ..................... ....................................................................................... TO THE INSPECTOR OF BUILDINGS: t The undersigned hereby,-applies for a permit according to the 'following information: Location ..�.. ...` ' `'`rc ..........................cY .. ...... .....;./��f .. 1.`u....... .. `4C. Proposed Use �� • � •!'� ........ ..:...... ....... , ............ ...... .......... * ..... . Zoning District ..... ......_� ..:...... i �X( ;Fire Distract y 'r 3..........:..:................. .... ...... ............. ......... .. , Name of Owner .......... ....: ...r....Address - ......... ........ .. .. ............................................. Name of.(BUilder .. ...`/ (<.. ... ..........Address -. .. /,� ......... Nameof Ar ec .,..r-->.................... Address a .................................................. ............................. Number of Roo s ........... . ............ .........^ Foundation Exte'rior ...............—:.r..- ................... ....................'..........Roofing .................. t A, _�.--• Floors ..... >.. ........... ..................................... .Interior .......................� a Heating ......... .......{' ►. -'� t1. .Plumb`ing� s �r ... 4. .... ......... . Fireplace. ,.. ;..Appr6ximate Costi .... j. . .. �............. ......_ ... Defi.nitiveFPr-bmApproved by Planning Board _ _________ �19 Area �Y D .� ` Diagram of Lot and Building r with Dimensions ""FeJC J Q�,07 SUBJECT TO,�,APPROVAL OF BOARD OF HEALTH '� --- - ell J. I It 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. Namel / t � ��tr� . .... . -;.r.....:f.. � .t . ::... � r Construction Supervisor's LicensIe o.Z- /1 �. �. . . ..... . , MI7RPBY, GEIGALD &=251—I35 t �3 No..��09Ul ponni� �n Build �� Pool ----� ---'-------' ' �O, Aooea�� rto Dvell .------ ] -------i!�g. .� Location __3�34.�Old Stzavvb��l[ Hill Dma� ' —' --------- —..�—' | ____�__�_ iS............................ ......... Owner ......(Ge��a�l�l_88o ____.____ . . .. . . . Type of Construction —!�Vaite....................... ' . ^ -------------------------'. Plot �� - �� ' � --� ---' ----------' ' . ^ - Permit G,onne6 .....J—ooa— --23—'c—` --ly R7 . — ' . Dote of Inspection *.....................................lV ' ^ Dote Completed ------------'lA . . ~ , `. � . ' . ^ . - ` ^ . ' . . . . . ' ' - - . ^ ' ' - Assessor's office (1st floor): S./ THE To As Assorrlmap and lot number ..... . ...................................... Board of Health (3rd floor): W'�-�N #AVr'41��BLE; Sewa• e Permit number ... .. F�. g ��••....:....................................T 1 Z BAHB9TADLE.7 i Engineering Department (3rd floor): 3 3L�_ °oo 039. House number .......... ...........: 0Yar a e APPLICATIONS PROCESSED 8:36-9:30 A.M, and 1:00-2:00 -P.M. only, TOWN OF BARNSTABLE BUILDING INSPECTOR APPLICATION FOR,PERMIT TO .. TYPE OF CONSTRUCTION ............. .... .... . r.................................................................................... /... .....19...!!.p TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location ...J....... ... .. . . . ... ..... .......................................... ProposedUse ...... .. ... . .... .................................................................................................................................... a Zoning District /.............................Fire District ................ .... Name of Owner ....... . .... .:....Address ............. ... ..... ... .. . . ��.� v��. ............ Nameof Builder ..... ..... ... ..................................................Address ........................... ....................................................... Nameof Architect ............... ...............................................Address .................................................................................,.. Number of Rooms ..................�.......................................:...Foundation ...... ..... � �� /!C✓............................................... Exterior ...... ....... Roofing . ...... .................................................. Floors . ....A ..........................................Interior ........:........... . ., .................. HeatingQ. /r .......................................Plumbing ........ - ...................................................... Fireplace .........� ..............................................Approximate Cost .................. .................................. Definitive Plan Approved.by Planning Board ________________________________19________. Area ....l.. .. B ........ Diagram of Lot and Building with Dimensions Fee /01... .. SUBJECT TO APPROVAL OF BOARD OF HEALTH r t: 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 ........ ....... ..... .. . C l Construction Supervisor's• License .. .. .. .. ... .'....... ./ MURPHY, GERALD Permit for . ...........S. ....... No . ..�gild ....................... Location.......3.3.4..Old...S.t V.4 W b.e,.V.r.Y..R 41,11..Road .....................Hyannis,............................................ Owner ....... Type of Construction ......l..F.r.aTuJPl......................... ................................................................................. Lot .... A June'-23Permit need ..19, 86 Date oispection ......................................19. Datepleied .......................................19 le CM lk Assessor's office'Ust floor): . ' a map and lot number . . . .... � �� Q°F THE to y Assessors . ........ .. ........ ........ Board of-Health (3rd floor): Sewage Permit number i BAHBSTADLE, i ........................ .... Engineering Department (3rd floor): 'oo r6 9• House number ......................i .: oypY a................................................. APPLICATIONS PROCESSED 8:30-9:30 A.M. and 1:00-2:00 P.M. only , TOWN OF BARNSTABLE BUILDING INSPECTOR r tt APPLICATION FOR PERMIT TO i'*'i . ! y ......!' � +�'.. '.. .. ... A :(.............................................. .. TYPE OF CONSTRUCTION ' ' TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location ...�,... ...... �.. / :......................................... ProposedUse. ... .l:r !� ................................. ................................................................................................ _• e Zoning District .... �.............................Fire District ................`/"...... �.�1. 4 }j� g Name of Owner .. ..:. ..! F . ..X� Lf t s '; ...Address ....s Y r�{. ... i/ f Nameof Builder :. r.:.:F,..: ...... ......Address ........................................... .....'.... ................ Name of Architect .`"" ....Address Numberof Rooms ..............................................Foundation .......:.. '!!:'..t:..! ................................................... Exterior ..... .?�. !.. �...t:. r s Roofing ".f . ....✓..,. s .......................................... ... . ................................. Floors n .Interior � Heating .......... ..... ... ....... .. ......... Plumbing � .._.. ._ ........................... g ...... • �s f -�l �..n h Fireplace ... :... ..:�.lr::..::> ... ...Approximate Cost ......... ' ... .. ..................... Definitive Plan Approved by Planning Board ________________________________19________ .. Area r.r.-.. ..s....... .r..... f Diagram of Lot and Building with Dimensions Fee / �"::: i .... n........y SUBJECT TO AROVAL OF BOARD OF HEALTH 4 4 � 1 1 OCCUPANCY PERIVUTS.REOUIRED FOR NEW 'DWELLINGS I hereby agree to eonform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. ._ Name / ............ Construction Supervisor's License MURPHY, GERAi D; A=251-135 9534 Build Shed No ................. Permit for .................................... Act-essory to Dwelling Location 334 Old Strawberr Hill Road .....................HY ann i s.......................................... Owner Gerald Mur h ................. P...Y............................. 3 Type of Construction ..Frame . ................................................................................ Plot ............................ Lot ................................. Permit Granted June '23, 19 86 ...........:.................. Date of Inspection ....................................19 Date Completed Z