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HomeMy WebLinkAbout0007 LAZARUS LOVELL ROAD FI u ; , oy- :... Y ® r- . a:_ ¢�'h'Y � n *.. � a r �,� � � ._. _ r ,,., ., ,� ,e. ,,; 4 _ � �. � � T .. a s -�� �' . ,. ., ,,, � T n ry .� - .. � .. i �� 4 .. ._ w a. - x s W .. � n .� .� � � � � � " a, - .. ,. �.s � � "' U . . .. .. � _ ��, ., a T .; �: ., , . , . ., .. •, r .: ,. ,, gip, �' � ,. . . . ,, �, _,, ,,,r.. .. � ., � - - - L ' i � .. ... �� ..: [i' � c r a _, +, ,. .. _ �. .. �. • c. - � ., .,. �, p .' �. s � - � � � - ' y ..n �� r L +,- n ,� .; - a ,' c Y r �^ ... .:�. .,� V., .r a '. > -. ,' r. Jw.' �,. ` , _ V - .. � � > .. . x T �. n r i x;: � m ,, a .a ., N s n, � u .,, ;. +� ' ;.. ��.� a� ,,. ;; — ,,,, � � _ a �� - x . :� - � �. ''41 ' � � � ,. , _ � � � a .,: �:, .. ., o -� �� �, e � +. a �,� � 5 ".x :' %� it .:. a �' ' n �x:• .. -. � � .. 4� �. .. ,. � ' i. .. i _ '. �. �.. n M .i �. t �'�. ii .. � a 1 � .. S ..y 'e. �'. i' ���. :,, r - ".' _ .. is:.., y t .. .,.. v ', a i � ...., e -n v � a ' ,. p ' ..r r _ rt�:a" a _ f .- "�� ,. .;_ .,_ �. a � TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION J �. 1 Map Parcel pp Q Health Division U®' Conservation Division Permit# Tax Collector Date Issued Treasurer Application Fee .50, Planning Dept. Permit µFee 9-3 0, 00 Date.Definitive Plan Approved by Planning Board D5 gf j�01� Historic-OKH Preservation/Hyannis Project Street Address �,Q _d u-' Village � �i/ LI/9GL. Owner �o9.�66091tl7& CAAI0 LIK/ ' fXOS% Address J Z",O `i44 �'02,e� � � �_1�4 -Z Telephone ) Permit Request IWA4x/S%%V� ���'� /5' x. `� �6 c�J Square feet: 1 st floor:existing proposed 2nd floor:existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation. c;, ZOO ® Construction Type Lot Size IS- Aclyg Grandfathered: ❑Yes ❑No If yes, attach supporting documentation. i r ILI —;c Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family(#units) n 0 Age of Existing Structure Historic House: ❑Yes ❑No On Old King's Highway: ❑Yes O 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: U. 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 ❑Yes ❑No If yes, site plan review# Current Use Proposed Use BUILDER INFORMATION Name eA- V° .�9 U�/�4 ma's' � G_ Telephone Number S116"56' 70 Address %0 &)-e 3 y License# GG3a/0 A 4. 0 Z 00 Home Improvement Contractor# J160110 Worker's Compensation# 6CC,6GrSS. ,S Qcil Z,pQ f' ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO - SIGNATURE DATE i FOR OFFICIAL USE ONLY to PERMIT NO. DATE ISSUED MAP/PARCEL NO. ADDRESS VILLAGE OWNER DATE OF INSPECTION: S -FOUNDATION -0 Ce S —3 'P`� FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING 21 Y 01 1hc- DATE CLOSED OUT + ASSOCIATION PLAN NO. The Commonwealth ofMassachuseits Department oflndustrialAccidents Office of Investigations 600 Washington Street ,Boston, MA 02111 www.mass.goy/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Pl»a]bers Applicant Information Please Print L egibly Name(Business/organizaticn/Individual); Address: City/State/Zip: t i.. /t-t�. l,� 8�� Phone#: ;S�!/ ', � 'S`/y7®. Are you an employer? Check the-appropriate box; Type of project'(regaired): 1,C I am a employer with 4. ❑ I am a general contractor and I 6. ❑New construction employees(fall 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 S: ❑ Demolition working for me iu any capacity. workers' comp.insurance. 9. ❑ Building addition [No workers',imp.insurance 5. ❑ We are a corporation and its officers have exercised their 10.❑ Electrical repairs or additions required,] 3.❑ I am a homeowner doing all work right of exemption per MGL 11.❑ Plumbing repairs or additions myself.[No workers' comp, c. 152, §1(4),and we have no 12.M Roof repairs insurance required.] t , employees. [No workers' . 13.❑ Other comp.insurance required.] 'Any applicant that checks box#1 roust also fill out the section below showing their workers'compensation policy inforrnatiow t Homeowners who submit this affidavit indicating they are doing all work end then hire outside contractors mast submit anew affidavit indicating such ZContractors that check this box must attached an additional sheet showing the same ofthe sub•eont za tors and their work='comp,policy information. ram an employer that is providing workers'compensation insurance for my employees. Below is thepoliry andjob site information. Insurance Company Name: 4SS06147,1 2.s 1A.1S. C e) Policy#or Self-ins.Lic.#: le/C(� ��s3" �S'� / C��'� Expiration Date: Job Site Address: Z% -� GUVOG 4'-Z440 City/State/Zip: l'f. t / le�L,C � /'lam►, Attach a copy of the workers' compensation p.alicy 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$1,504,00 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. 1 do hereby certify ul, er the pal s and penalties of perjury that the information provided above is true and correct; S1 afore: Date: Phone#: 3Z - K7 6 Official use only. Do not write in this area,to be completed by city or town of ccial City or Town: Permit/License# Issuing Authority (circle one): 1.Bo2rd of health 3.Building Department, 3.City/Town Clerk e.Electrical inspector 5.Plumbing luspeetor 6. Other Contact Person: Phone#: i-niormaza®n. ana mszruciiuris 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,.oi-al 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 penult 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),addresses) and phone number(s)along with their certificate(s) of insurance. Limited Liability Companies.(LLQ 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 UP does have employees,a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial Accidents fur 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 compaiiia giou-ld enter$heir 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/Ecense number which will be used as a reference number. In addition,an applicant that mast 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. Anew affidavit must be filled out each ' year.Where a homeowner 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 of idavit. 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. tl�617-727-4900 ent 406 or 1-877-MASSAIFE Revised 5-26-05 Fax�617-727-7749 W W.MasS.aov/&a i ' Town of Barnstable Regulatory Services., aaaxsrAB " Thomas F.Geiler,Director ,Nil Building Division Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 Office: 509-862-4038 Fax: 508-790-6230 Permit no. Date AFFIDAVIT HOME IMPROVEMENT CONTRACTOR LAW SUPPLEMENT TO PERMIT APPLICATION MGL c. 142A requires that the"reconstruction,alterations,renovation,repair,modernization,conversion, improvement,removal, demolition,or construction of an addition to any pre-existing owner-occupied building containing at least one but not more than four dwelling units or to structures which are adjacent to such residence or building be done by registered contractors,with certain exceptions,along with other requirements. Type of Work: "AG Q-1 4A/511-70-6 096k, Estimated Cost c9, ?,CC) Address of Work: 7 ZAZ� ' OS I OVj`LL /4A Owner's Name: /`>,g4 6 iu;41U.rd C QVA L-4M Date of Application: ,S`/0.61t, I hereby certify that: Registration is not required for the following reason(s): MWork excluded by law Job Under$1,000 ❑Building not owner-occupied ❑Owner pulling own permit Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c.142A. SIGNED UNDER PENALTIES OF PERJURY I hereby apply for a permit as the agent of the owner: Date Contractor Name Registration No. OR Date Owner's Name Q:fb=:homeaffidav i BOARD OF RU pION SUpFRVISORING S icense NS I "- 003010 Number �S� i rthai` 1511045 11845 Tr.no: WiLLIAM F SWI PO BOX 108 02 3. Commissioner BARNSTABLE, MA 13 OrJ o u11din e ulat oziis�anWtandards � One Ashburton Place _Room 1301 jl Boston, Massgchusetts 02108 Home Improvement Contractor Registration Registration: 100110 x t:. Type: Private Corporation_ Expiration: 6/9/2006 CAPE ASSOCIATES, tNC., - - - —-- WILLIAM T,SWIF — ---- - - -- - - --- PO Box 1858 N. Eastham, MA 02651 Update Address and return card.Mar-{c_reas.on fox-change. r; Address Renewal ii rlo nient ! -dr ) Lost Ca UPS-CAl io 5OM-04/04-G101216 s>: -.. ✓fir, t?o�w��wozruea� o��/f/la�oar�zuaP,C� Board of Building Rcl ulalio.r s and Standards License or registration valid for individul use only HOME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: Board_of Building Regulations and'Standards Registration*.. 100110 one Ashburton Place Rnr 1301 -� Expiration 6/9/2006 Boston;Ma.02108 Type Private Corporation CAPE ASSOCIATES INC WILLIAM SWIFT 345 Massasoit Rd G� � a/ N. Eastham,MA 02651 - -- -- ---- -"----- Administrator Not valid Nvithout iature , ' ..... .".. + _... "uY+ltxd(a1,Wttx.l i•..i:rR�+:++I�MO�Hh3y n •;wtY.,�,,;..kki^.�'i M1n.2fw'�''':.:sni�r..r ..;Orr,.�i.1,><.r±u'!6w5:u4.>H�5.Ao-4 h',.e"R,i..alar,{n xif�+Y:'VA�f:!LMC.�.gt1,9Ah+ ..+�. ,. . /ek'tiVrkfBM:a!4�.axr%ri_ �vtSyM.£tr,:i.h" Y ,. - • J, -�5' J � -_-__--______._.�� ' d sow� '��'��� � � �� 3 i , � V_ � i j \ t � � � � -�, h� i � � � �� I �r�Lrs 1` 7,k/U s /� G.c:.. ._ zp'' �U)S7 HA�6�, 1 z�Z,X/U s f �� { �` J � ( ' � � � i � i 05/09/2006 14:45 FAX 10002 Mau 'O2 06 08: 11a Will Swift5Q836246U0 p. 1 wn of Barnstable I legulatory Services Thomas F.Geiler,Director Building Division T01 m Perry, Building Commissioner 20C Main Street, Hyazmis,MA 02601 www.towh.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Property Owner Must Comp to and Sign This Section f Using A Builder Z, M &,U a ,as Owner of the subject property hereby authorize d o ,te �!n to act on mybeW, in all matters relative to work aud wrized by this building permit application for. Z r.:S V 16v,-,l .(A ddwss of Job) 7 � G Sigaatuit of Owner Date O'd iv r Prim N ' Q:FORIAS:OW NL•RPERNUSION ,1y � u0 C Arch.nr G c:2{���C 2 �L=�1-Ic Tt�aJK = 33as FSo % • 4a5 6-P.D. USA t o0o ses \� Lv'�_!r'] - �3 �.. ,4ll �I•SPoSAL PIT - usE• locx� Gn.t_ r� Q •�'� � � � . � Al ToT,&c T� SIGt.! = 425 Ups do - - yZo '(-oTo -M[v , Pr_-fZGaL&TtOt-l CzhT� l +i1 '1 MIIJ on r -rpm rW%> Lou IIN. �JKr 4 r PPa Tih"T pG L G o G. 4fi•4f fox SE-pr,c tNv. � T"a1.tK (D0O � �iuV. kov, ,. LEAc N •d PIT e' SA#Jb W 1 roAo •i wAsue:a STo�E C �T►FtC.L'� PLa't' L.�4ti.� 1zr loz G G:AL C ` 1+= 46 .Y3 p I� t-1F.t�L z�IJ G«titnl_�!S W ITt4 Tt z:: `jI Dr I-I►JC LO'r s 1 ` - = OF- T11C� h.uD �Er.T�_'..AGtti Y.C-Qi.JiQEMc"T.► I f -Tow� Of `� b2l. ,,Tx �JT�tZ�.Jt� �!���Lam. A4 f, TI-Al-S ►AdT L:A;CCU Ut•i AaJ tl.lr('r'_:J:✓�t:_�.i i ��U(_./t_.�{ ti 'Yr1�: i.u!~�:;F:='i�; �i+ll�e:ll� A.F�{�Lt GA.t-JT ,,,, i...r �� r r � r- r � t i")r � r' CMi�•�l_ Ln ( t_IW��� --- I A WC ssor's ma� and lot number ewc SEPTIC Se JRX4 M E N L CODE AND, TOWN OF BARNSTA13 � BUILDING' ��� � ���� � ���0 N �����~ 0��m 0 ��� �� APPLICATION FOR PERMIT « --------'--------'-----'-^_---.------' ? � TYPEOF ........................................' ............ .. .. ----lu/1�� TO THE INSPECTOR OF BUILDINGS: The undersignedi rdi to th Location —����*� — ���� � —.��. —..,�� w.in g information: .......... - Proposed Use .�)'2 --------------------------------------------- | / Zoning District � ---..Rve District ---~-------,------_-----.Nomo of Owne, ..........................Address -- ||� Nome of Builder ---.�'�'---^------------'A66rex ------------.--...—..—..------- .Nome of Architect ----------------------A6drex ------'---------.--- ......................... � / Number of Rooms ---,7—.-----------------.Foundohon .......------ ......................... Emerio, — ................................................Roofing .. ............................................. Floors --. .............................................................. .. _________ Heating ......... . =— ----------.---P|um6ing ...... . ..................................... Fireplace � '.— ........................................` _ App,oximohe Cox —. ^-� .. ........................................... . __~________. 72 Definitive Plan Approved 6v P|oning 80006 lQ--_-. Area 2^,o....... . Diagram of Lot and Building with Dimensions Fee .. ------ � SUBJECT TO APPROVAL OF BOARD OF HEALTH Z 0 ub MALL, ALAN s 2229`�.... Permit for ..One Story �. ° -- .... ............ ' Sin le Famil Dwelling ................. ..................... '........ .................... Lot #291 7 Lazarus Lovell .Rd. Location ................................................................ r Centerville ........:...................................................................... { Alan Small Owner ................................................................... • Frame Type-of Construction .......................................... ................................................................................ Plot ............................ Lot ................................ Permit Granted ...........June.....3..........19 80 Date of Inspection ...� . 1.. ............19 Date Completed ......................................19 i PERMIT REFUSED ............................................................... 19 ......... . .. ............................................ . .. .n ................................................ AppravedP �. ................................. 19 ................. ......................................................... ... .. ................................................ Assessors map and lot number `�` Q�OF THE � Sewage Permit number ....... �. � Z MAHHSTADLE° i s House number .......�. . ......................................................... 9 Mae& C� i639' `00 'Ea Mso Or• TOWN OF- BARNSTABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO x- i` �-, f'..........•••....................................................................... TION ..... TYPE OF CONSTRUC ..... .7 �r .r- ,,;:.� ' ................................ `' :.. .. ....: .................................... ............19f:S�� TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information:, Location . ................. .....r .. .. ........................................................ ProposedUse ///% 1� `. ?� ....................................................................................................................... Zoning District .........Fire District .............................. t. `,....... .�. r.. ................................. . Name of Owner ... f:=. :' .. .,. ...... Address ...... .F.f.� ..................................... Nameof Builder ...................................!::`........ .y^ t• ..h.........Address .................................................................................... .Name of Architect ..................................................................Address ................................................................................... .r , Number of Rooms ..................................................Foundation ...a•��/`9.0 F' `�/ f.....,......................................... ............ ..... Exterior ...,;.•...:::!:��;?;+•;:r.,C� ( - ...................Roofing !,''� -, t /!•• ........................................ ..... ........;:.........."'..:.. .....: .................................... ................. Floors .......6 ��.................... ....... ...Interior .................................. # Heating .......'. . t .........�'L.:...... Plumbing .....� ...... /,� 1� tom. ........./..t.................... Fireplace ................... . Approximate Cost ..� f ...,.......... ........................................... Definitive Plan Approved by Planning Board _ __ _____19________. Area L.l...�....� .................. g g Fee ........1�.. ...�......................... Diagram of Lot and Building with , --- SUBJECT TO APPROVAL OF BOARD OF HEALTH 4 t F i I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. SMALL;ALAN No ?.229.0.... Permit for ...One Story Single Family Dwelling ........................................ .................................... Location „Lot #2 91 .5 Lazarus Lovell Rd. ....... . .................................. Centerville ............................................................................... Owner ../Alan Small ........................................ Type of Construction ....Frame ......................... .................................................. .... .... ......... Plot ............................ Lot ................................ Permit Granted ........./June-23............19 80 Date of Inspection...................................19 Date Completed �..........;.......................19 PERMIT RESED ...... ...................... 19 . .. . .. .. .. . ... ...................... .......................... . ................................................. ............................................................................... Approved ................................................ 19 ............................................................................... • ..................... ...................... .......................... p�-�lG►�l LtL,T�., Ll0 �-�AresAGC— G 21�i��1L �-/a��l�j '�0��-�'•-� ��T.� Tadt��( Ft.A�-'✓ tib � 3 t 33G �•F'•17• _ ` ��t?f-1 C TA�►K = 33b.r (So % • 4 9 5 -4.P.D. I - US�- t boo GA,L.. bISPD�A.t_ PST - USE• locx� Gn,L. �\� I � �U�-WdLL AeE..� _ (SD S•F. �il z� 'Olt48 " TOTAL 'L7ESIGl.1 = 425 v. G.pa• Qo Zo \ a T-OTo 1_ U.d l t_�f FLDW = 3- Co F?D. iti MfZGQL&TIOQ Cc'ATE : W 2.M u o2 LESS. p Q - or Ric 4 r�o m 70 "` 4-• F.i.-= al•S - �..�,..., ... :.Y w ,p7 LOW /� iuv. A �t� J6i 4'PP� Tify'T IW. GAS . 4!iS LOX I A:. - 2 iNv. TQ nl K. l 000 tui' �,�,�, t►iv LsAao Pi T e SA�1t WfI T'W •} wasu�-a -STO W E A CG-V-TtFIEtD pLa-r PfZ.oT=-t LLB lot 1 r o sG ALA- 5 G1�L t= �1- © �'``t'1✓ (p �'�Iso Uo W*TS"Z..•, pt_,4 t,l iZ r 4= RE►.i G T!-(A T T 14 c-- IFaU Ot>PL-T!o O S t-10-41 Q 51D� Lt►-1& LOT � t A1JD SE.Y��AGiw: �C-QJt�'Ell/�cuTi OF T:}� -To w Q ov- 13 d"41rx LS C,-asT !U-i y Ui6k4L40JI)i UAIG 6 Q/S.}:TC1Z, 4 IJ�l= tale. ,. c.•l,;R ,.�` ,�,,�'s � � GZ C G l S tY:=r�D lam.F../G �U�V�_`f v t.5. 0 C--g.,-V1t_LG c-) MASS. `1'�-tt�� t?c_n►-a t� uoT L'��,EL7 vt•� �� sl�sre:�.zn�w� %ut.,./��� � -r►{�: u�t-,�_r, ,�•t�e:.it� n.Nt>�t �n.t.�-r .•- t. r C',L- U',Lf-, io t�r_t'cr'tit�i� _ Ln`c t_tN��� - ��,LA 4ti1�At(,, IL TOWN OF BARNSTABLE Permit No. -----------_---------- i »n.>< : Building Inspector Cash ------------------------- 0o'rO YFY � OCCUPANCY PERMIT Bond ----—_--------_---______ "No building nor structure shall be erected, 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 an y;.m 11 Address 31 ? Wiring Inspector %' Inspection date Plumbing Inspector Inspection date Gas Inspector 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. ...................................................... 19._...__ ..........................._............................................................_................. Building Inspector TELEPHONE 428-2077 BUS. BOX 536 .z. 428-5514 RES. Alan Cam. Sm a It. J9ac. Builder CENTERVILLE, MASSACHUSETTS 02632 September 8 , 1980 TO WHOM IT MAY CONCERN I will assume responsibility for the fixing of the step on lot. 291 Lazarus Lovell Road, Centerville, MA. Alan E. Small, President ALAN- E. SMALL, INC.