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Home My WebLink About0297 WINTER STREET i I ----- I.�4zg-- Ot QjkJaAA��O UDI P S`tcc C t� WI-'S4, i W O 9 D i DO SrhtLes to .5k e 297 Winter Street Cape Cod Orthodontics P.O..Box 1508 Hyannis, MA 02601 Orleans,MA 02653 508-775-1401 Robert F. Rozene, D.M.D. 508-255-7518 June 9, 2004 i Town of Barnstable Building Inspector 367 Main Street Hyannis, MA 02601 Dear Sir, On June 3rd I called regarding a large shed being put on the property adjacent to my office. This shed does not conform to RB zoning nor has there been a permit for it. I would appreciate your examining the problem at#4 Mulberry Street, Hyannis, MA.and advising me. r Thank you for your help. Sincerely yours, Robert F. Rozene,D.M.D. RFR/wps ... . ., Member American Association of Orthodontists Diplomate of the American Board of Orthodontics _ o .. 1 c Application number...L0C-1A."R............... Fee.............................................................................. >rMAW Building Inspectors Initials....................................... DateIssued................................................................. Map/Parcel................................................................. TOWN OF BARNSTABLE EXPEDITED PERMIT APPLICATION: ROOF/SIDING/WINDOWS/DOORS/TENTS/STOVES/WEATHERIZATION. PROPERTY INFORMATION Address of Project: �rl C,n S NUMBER STREET VILLAGE <1 Owner's Name: �2 91 UI ink r- 51 Phone Number b t-7 -gC..'-.Z q d J Email Address: J M^ 1✓►1 l y e Cell Phone Number G 0`91 q .2 q J Project cost$ �� 0 Check one Residential Commercial OWNER'S AUTHORIZATION As owner of the above property I hereby authorize to make application for INbuilding permit in accordance with 780 CMR Owner Signature: fevJ C�a J e' Date: (Z '�i TYPE OF WORK ED Siding ❑ Windows(no he change)# ❑ Doors (no header change)# ❑Insulation/Weatherization Roof(not applying more than 1 layer of shingles) ❑ Commercial Doors require an inspector's review Construction Debris will be going to ❑ Certificate of occupancy with no construction(complete below) Occupant/family relationship or business name or Existing amnesty apartment(attach a copy of recorded comprehensive permit) CONTRACTOR'S INFORMATION Contractor's name KcAt Home Improvement Contractors Registration(if applicable)# 13 a ti (attach copy) Construction Supervisor's License.#J ® (attach copy) Email of Contractor re^dan ki e r(-e-. 0 : (o ,Phone number 3,� 6 P O&CY ALL PROPERTIES THAT HAVE STRUCTURES OVER 75 YEARS OLD OR/F THE SUBJECT PROPERTY IS/N A HISTORIC DISTRICT, YOU MUST OBTAIN HISTORIC APPROVAL BEFORE A PERMIT CAN BE ISSUED. APPLICATION NUMBER ` *For Tents Only* y Date Tent(s)will be erected Removed on number of tents total Does the tent have sides?Yes No (If yes please attach floor plan with exits marked) Dimensions of each Tent X X X Additional tent dimensions can be attached on a separate piece of paper. Purpose of Event Check one: this event is a: for profit non-profit event . Check one: Food served Yes No Flame Spread Sheet of each tent must be attached. Provide a`site plan with the location(s) of each tent Fuel source being used LP tank 20 lbs. or> Yes No , if yes, a gas permit is required. Natural Gas Yes No if yes, a-gas permit is required. If food is being served at your event please obtain a Health Department approval between the hours of 8:00am-9:30 am or 3:30 pm-4:30pm. Commercial events may require Fire Department approval. *WOOD/COAL/PELLET STOVES Manufacturer# Model/I.D. Fuel Type Testing Lab Offsets from combustibles: front back left side right side HOMEOWNER'S LICENSE EXEMPTION Homeowner's Name: Telephone Number Cell or Work number I understand my responsibilities under the rules and regulations for Licensed Construction Supervisor in accordance with 780 CMR the Massachusetts State Building Code. I understand the construction inspection procedures, specific inspections and documentation required by 780 CMR and thee Town of Barnstable. Signature ,��-^ - Date APPLICANT'S SIGNATURE Signature Z Date [2 21 h All permit applications are subject to a building official's approval prior to issuance. r The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston,MA 02111 www mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Leeibly Name(Business/Organization/Individual): Address: City/State/Zip: 4��6 0/1a Phone Are you an employer?Check the appropriate box: Type of project(required): 1.E31 am a er with Z-employer 4. �am a general contractor and I P Y 6. New construction employees(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 g, 0 Demolition workingfor me in an capacity. employees and have workers' Y P h'• ; 9. ❑Building addition [No workers'comp.insurance comp.insurance. r aired. 5. We are a corporation and its 10.E Electrical repairs or additions ] i Plumbin re officers have exercised their 11. 3.El I am a homeowner doing all work ❑ gairs or additions P myself. [No workers'comp. right of exemption per MGL 12.c. 152 E2400 rePf airs , 1 4 ,and we have no insurance required.]t § � � 13.❑Other employees. [No workers' 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. tContractors 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'co ensation insurance for my employees. Below is the policy and job site information. i Insurance Company Name: � ` 1 Policy#or Self-ins.Lic.#: �11� wO�7 Expiration Date: h 2 12 Job Site Address: 1/� t n 5 i City/State/Zip: 14 1ycorm/ 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 insurance coverage verification. I do hereby certify /f under the pains and penalties of perjury that the information provided above is true and correct Signature /"' Date: Phone#• U' �.2 6 y �y 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 `Y y�- 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 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(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 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 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 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 burn 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 Boston,MA 02111 Tel.#617-727-4900 ext 406 or 1-877-MASSAFE Revised 4-24-07 Fax#617-727-7749 www.mass.gov/dia TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION M6 ( l Map 3 \ O Parcel C130 g Permit# 7 Health Division Date Issued41 Conservation Division s -~ Application Fee Tax Collector 0® IU�- t �p ��C Permit Fee D Treasurer K '-/1 1 C)& u Planning Dept. Date Definitive Plan Approved by Planning Board Historic-OKH Preservation/Hyannis Project Street Address 1 lJ \,q t�, St Village qV)�1� S Owner 2pVq�e O� �QZ`Z <z n P Address arc- c yt1 P. t' .6 Telephone Permit Request C-e - (C4 Q �� Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay -" Project Valuation Construction Type -:` Z4 Lot Size Grandfathered: ❑Yes ❑No If yes, attach supportin'gdocumentation. Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family(#units) ' LL Age of Existing Structure Historic House: ❑Yes ❑No On Old King's Highway: .❑Yes ❑No Basement Type: ❑Full ❑Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full: existing new Half: existing new Number of Bedrooms: existing new Total Room Count(not including baths): existing new First Floor Room Count Heat Type and Fuel: ❑Gas ❑Oil ❑ Electric ❑Other Central Air: ❑Yes ❑No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑No Detached garage:❑existing ❑new size Pool: ❑existing ❑new size Barn:❑existing ❑new size Attached garage:❑existing ❑new size Shed:❑existing ❑new size Other: Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial 016-s ❑No If yes, site plan review# Current Use �`e��L � ��C`-Q Proposed Use" BUILDER INFORMATION Name V1�1 (��k�- ti � VJ 5 Telephone Number ��cb �{ ao (, c9 11� Address 35 Peed License# C) ce V Y) Home Improvement Contractor# t �;L�, '1g 0 Worker's Compensation# L I c� y\a-rt, ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO i Y-6 SIGNATURE DATE 1 l—6-6 -k FOR OFFICIAL USE ONLY E PERMIT NO. DATE ISSUED MAP/PARCEL NO.' .' ADDRESS VILLAGE OWNER ;j si E �^ DATE OF INSPECTION: FOUNDATION FRAME INSULATION FIREPLACE a ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS:, ROUGH FINAL FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN,NO. y ;t Tfse Commonwealth of Massachusetts --- -- Department of Industrial At. _ Office offilyestig8lfnas - -- on Street 600 Washington ' __- Boston,Mass, '0211X `3 Workers' Compensation Insurance Affidavi� / MW hone# ,I[] all work myself . '.I arm homeowner performing I am a sale r rietor 7 INS and have no one workin in c aciON 11 Workers compensati my P+Y}ti hi Ki 'din .wG K4}Y•4.`.:•';}`„S^-.'?'•.S^.:C';i%{:�,'^S}'r';.;;.: f;'�,'.�G�•.':',x++::$s ye.'':Y:?.;:}???,'vi$i<£"t',•b�',•I•' •,.•.y2 ..�x• :<•r }w:'3'`• e 1 rOvl P r r:riY.L:. ?: ?>.x1:6':S R fi�. 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':. ..........:.f.:'J.4.•:•}. }: ... l.,r�r/....r'f. n::rr•::r•at4•:•:f.••. :..,ri:r:::r.+:;�T7'}:.x......., w.>.,t Tt 1Y •::rY. r)r,,E.x. ,S;.vf .r..•,:,..:.f..Y:...:.•V:•'$•}.•+>G.....:•:,. {t•.....x?t•:;i::}•. •Q11@.•Sf*:i:��•::::. y;rn:=s.?si•. •:•.5,• > ,:•}}.L•:r.:....... •::•.,•:r::�;{:;•r.::.}}:.}.'•:;. ...:.?;.,•r:x••::oeYf...?;?:r.;.,,:::.r;�";: r, 2,s+},n.,:'t>;i':..:ir,'.}r::.:};!::+}rr:. + /. +••}:rf.'.+.c:•::;b>:...:::.; :::•;;5:•':.::•;y;: :•:....... .,r........... ,.:;:}:{�..: .:;-:�'<r:r:'n4:.>3:-:.:•:. . enalties of alhtenp to S1,500.D0 md/ar Fyilnre to secure.coverage nquixedunder Section Z5A cf MGL 15Z cari]ead to the imposition of criminal p p; g i coytrn.t as s as civI�penalties in the form of a STOP W OBK ORD�.R and a 9ne of$100A0 a da s ainst ine. Imtdersfsm>i one years imp ed to Office oflnvestiz ttigns oltheDIA.for covemgeverin tim r copy of E}ils sta rntauy be forward ' ury•th�-tthe-rnformatian-pr-ouided�bnue_is�zu,e�ri�cairec't . I da hereby-�erfifyunderth-e' 'ns- pen Date l� Signature LA .•print name' Y - t�� r��e�'� �• 'Phone# do not write ion this area to-be completed by city or town OMdal ofSclaluse only . ' pex di ncense# OBunaineDepartraent ❑Licewing Board ar dty town:` _ ❑Seiectmen's Omer .... cant3Ctper90n: ' 9 .Information and Imtrucfions ac usetts General Laws chapter 152 section ZS requires all employers to provide worker 01 eof another under for their viass h !f e71t to ee is.defined as every personMthe service Y layees.._As_ ..oted fromt�e `law , _ . P- Y �fhe 'express or imp a or ,or An employer is defined as an individual, p P artners , association, corporation or other legal entity, or any two or more of the for, engaged in a j oiat enterpzis e,•and including the Iega1 representatives of a deceased employer, or the receiver or trustee of an;ndivid partnership, association or other legal entity, employing employees. However the owner.of a . elfin house having not more than three apartments and who resides therein; or the occupant ant of the dwelling. . .. of ' dw g another who employs persons to do maintenance, construction or repair work on such dwelling house or oaths�roimds or t thereto shall not because of such employment be deemed to bean employer: .,• 's building aPpurtenan r - . ens'•aI c shall withhold the issuance 6r r w licensing agency . • 52 section.25 also states that every state or local 1 g g y MGL chapter 1 business has of a license or perinit.to operate a fiance with the in uranc0 construct e coveragerequired. Additionally,neithbrthe a not produced acceptable evidence p onyvealrb nor any of its political subdivisions shall enter into any contract for the performance of public work until comet this chapter have been resented to the contracting of compliance, with the insurance requirements of p P evidence P acc ble evx ._ .. . .. authority,. ;,, . .,. .. _ •4 ,• MON Applicants , in the wbrkers' compensation affidavit completely,by checion aticr king the box that applies t� �o your rna be Please fill hone numbers along with a certificate of insuxan Y suPP1Yu?g dO�anY names, address and p supplyi g r �Department of Industrial Accidents for confirmation of insrance coverage. Also be sure to sign and ate the affidavit. The'affidayst should'be returned to the city or town that the application for the permit of license is d e D 'artrnent of Industrial Accidents. Should you have any questions regarding the"lavl"o _if.YQu re ested,not th ep being obi a�vorkeis' cAmpensatidnpolioy,please ciT:aie Depaitaient kfihe number'listed below:. aie 1equired,to s; %� VO n• - ON City or Towns e be sure that the complete and printed legibly, The D epariment has provided a space at the bottom o the Pleas ce of Investigations has to contact you regarding the applicant. Please affidavit for you to fill out in the event the Offs • - fil� the p ermitlli'cens uRib ei'whicki wilLti a used as a reference numc er.�'TTie•affiidavits magi e renecC to•, be snipe,to ?n unle'ss other arrangements have been '��ail or FAX the Departmentby • •ve an estions, . and should ou ha y you cooperation Y ..� • . of Investigations would like to thank you in advance for y _, ,. The 0$i,e ,.s. .,; .. please do not hesitate tol.give'us a call. _ FNIII D artznent's address,tele-lime and fax number. r• �_,,... •. The 7 f The'Commonwealth PofMassachusetts ^Department of Industrial Accidents ptflce of lnYestlgatlat►s • 600 Washington Street Boston,Ma, 02111 far#: (617) 727-7749 yof7HETp�i TOWN OF 13ARNSTABLE • BARNSTABLE. M MAUlk ,6 39. 0 M BUIL, I) IItt INSPECTOR APPLICATION FOR PERMIT TO ...&,t(kAQA...... .....40...... ................................... TYPEOF CONSTRUCTION .........................�w............................................................ ........... ...... TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit accordi to the following i ormation: Location ............2f 7 ....................... .......... ....... . ..... ................. ...................... Alpw......................... ......................................... Proposed Use .......... ..... . ....... ZoningDistrict ... .. .......... ..................................................Fire District ......................... ............... .......................... Name of OwneraA /rg ..............Address 7....... ... . ... . .... . .. .. ... .......... Name of Builder ...*...........Address ...... . . . ... .... ...... . ..... .. .. ... .. .......... .Name of Architect ..................................................................Address .............. ................... Number of Rooms .............2;.,2...............................................Foundation . .................................................. Exierior ......... . .......................................................Roofing ........... .. A . .... ..... ............ ..... Floors .........a!-..4 .........Interior Heating Plumbing ...... ................. ................................................... ......... . ..... . ....................... .. . Fireplace ..................................................................................Approximatt- Cost .......... ....S.11 ...... .......................................... I" Difinitive Plan Approved by Planning Board --------------------------------19--------- THE-L- OPOSED Diagram of Lot and Building with METHOD OF PROV�MNG FOR I RY WATER SUPPLY, SEVIVAGE AND DRAINAGE HEREBY 'PPk" D DISPOSAL 71 TOWN OF BARNSTABLE, L BOARD OF HEALTH or , N S• AND INS AL LE MUS ¢ . STFMT 0 PA Ijy C I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable r g rding the above construction. Name . .... . ........... ........ ..... ... . .4..... ..................... 8ozazup, Dr. Robert ��_ �e0�� I�7�I ra�o�eI �L ��d No '---,_ Permit for --^—`-------' { ' to ` --------------------------' Location .........297..Wioter...8trmat _____ Hvannis ..........................«:................................................. \ / I}r. Robert Ioxoeoe < Owner -----.�—_______________. ^ ` [ frame , Typo of Construction .......................................... � - -----^---------------^----- � | v Plot ............................ Lot ................................. � / < � - / � . Permit Granted -- ..30-----]9 71 ^ � ) Dote of. Inspection — .. .. ---.]9 f b � Dote Completed —.. 7�/...........lg T ' PERMIT REFUSED - `. . ---------------------. lA | ' ' ---.----.------------------.. � -------------------------'' \ .___._________________~___._.. ' | ----------'-----^^—^^-----~^— � � Approved .................................................. lQ -------'-------------^'~^^'—^— \ ) -------'~-----.-----~—.-..~~—. / '� V ON I HE TOWN OF 'BARNSTABLE I BARNSTABLE. 1639- N BUILDING INSPECTOR APPLICATION FOR PERMIT TO .......... .. . ............ .......... ................................. ... TYPE OF CONSTRUCTION ............ Q.,P...... G........................................................................... ....... . ....19.7.3 26 73 TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the followingrinfo"r-rn'ation: ";),G - Location ........ ......................cl.......... ........................ .............................................................................................................. Proposed Use ..... C? F:�T:Klt�� ........ ..... .. Zoning District .........................................................Fire District .....H..y aAA... ............................................. Name of Owner 4.�,4. ........Address Name of Builder .....Address ,�45 4,vkto - .... .......... Name of Architect .../1)A4q...........................................Address ............................................ Numberof Rooms ........ ......................................................Foundation .... ................................. ....................... k— ........... ................................. Exiei ior .... .........Roofing ... Floors ...........................................................Interior ... Heating 141.......... ........ .........................................Plumbing ..X10116A ....................................................... Fireplace ,-e................I.................................................Approximate Cost .......................I.................. Definitive Plan Approved by .Planning Boa I rd -------------- 19� MUsT 13E CTAPLVA'�iCE fF Diagram of Lot and Building with Dimensions ,p AND. CODE SUBJECT TO APPROVAL OF BOARD OF HEALTH -T'ONS� REGULA NT F M. �%T pvapo LIVA5, OD I hereby agree to conform to all the Rules and Regulations of the Town of Barnstableo regarding the above construction. Name .............. ^Rozene^ I�.^ Robert ' No — .. Permit for .......4!dd..tw...pfjiC6 ' . ........... ............................... ` � Location ........9g7.. ..§�°--------' | � ____, '__.. _____________ —�---' / | Owner ...........I .. -Ramne_____.� � ' Type of Construction ........................Irmo...... ^ ' -----^--------------------.. Plot ................ Lot ----------.. � April 26 �� Permit Gron�yd' ---..�,...��---..—'l0 '� Date of | � lg ` � ' - � Date Completed , . ` �PERMIT REFUSED ` .......................................... lg | ' � ' ^ .-------------------------.. . ^—_--.—..—..---.-------------.. .� . . . '—'—^----'-----------^------^' ( ' —.--------.----------..--.~—. ^ / � Approved _--------------. 19 ^ . . ---------------.--.--.-----.. o � ------------------------.-- | � TOWN OF BARNSTABLE BUILDING INSPECTOR TO THE INSPECTOR OF BUILDINGS: The' undersigned hereby applies for a permit according to the following -information: Zoning District Name of Owner ZL, Name of Architect ----------------------A6Jness ------------.—.------------- / Number of Rooms —�.--------------------.Foun6c�inn —. .� -----__—_ � Ex^e,io, ..... .------------Roofing — .................................................... '| Floors —'k��---------- ................ — ..............Interior Moohng ............ ............ ......................................Plumbing -----w��&_�-------_---____.. - � Fireplace ......... ------------------.App,oxima^p Cost —.^, --______________. � . � DdGnNva F1on Approved by Planning Board --------------------------------l9--------' �~�^� ' Diagram of Lot and Building with Dimensions �c c ~ � � � -- � � ell I-;az, � I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above Nome .. _~______~ _ � Roxzane, Dr. Robert � No — — Permit for ......a—d to �� g --. � / ` .-------.~--.----.---..--..--.. � Location ..........297'Winte�...Gtreet_____. � ......................... ------------- Owner ............Dr._Robn�rt..Bbaa��_____. ' � Typo of Construction .................��----.. --~--~--------------------- � Plot ............................ Lot ................................ / August I A7 Permit Granted ---'.�..------.—.]A -' � '�� /�' Dote of Inspection .� .�. �...L�:----..l9"-� � . Dote Completed ------------..lq � / � . � �USED —_--. ...... lV � Kj _---... .. _ ........................................... .---------.—.....—...----.----.. � | ....................._,....--.--..--.._.—......— �Approved ................................................. lq � , ( ' 1 -------.--.-----~...—.----...~— l -. ................. ( /