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0005 THISTLE DRIVE
�� _ a �DFt rti Town"of Barnstable *Permit# 0 k Expires 6 montlis from issue date s Regulatory Services Fee 4//, r swxxsrt+s[E Thomas F.Geiler,Director II ? P E RN Building Division O C T 2 ZOOS Tom Perry,CBO, Building Commissioner` 200.Main Street,Hyannis,MA 02601. TOWN OF BARNSTABLE www.town.barnstable.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 1.77/ 0'77 Property Address O'Residential Value of Work fS d- minimum fee of$25.00 for work under$6000.00 Owner's Name&Address Contractor's Name VR�0 L kke (A4 \ Telephone Number 0 c5? 169 Home Improvement Contractor License#(if applicable) Construction Supervisor's License#(if applicable) y ©lorkman's Compensation Insurance i Check one: ❑ I am a sole proprietor ❑ I am the Homeowner ❑ I have Worker's Compensation Insurance Insurance Company Name A \y'1'\ Workman's Comp.Policy Copy of Insurance Compliance Certificate must accompany each permit. ; Permit Request(check box) } ]'Ike-roof(stripping old shingles) All construction debris will be taken tom , l Re-roof(not stripping.{Going over existing layers of roof) Re-side i #of doors , ,❑ Replacement Windows/doors/sliders.U-Value (maximum.44)#of windows ` *Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. ***Note: Property Owner mus sign Proper Owner Letter of Permission. A,copy of t Ho Impr em Contractors License&Construction Supervisors License'is ` equir'ed SIGNATURE: QAWPFILES\FORMS\building permit forms\EXPRESS.doC Revised 090809 'A Y'�:.Af: �i;.t, '_p :, 5 1 Y}.,.:S• x. e,' a: 2tr. aY y:,:.� 7`�1. .} �1 a '' . .'r 1 :tj; 9•yo._9'F .'#w wcf's {.,' .f,r,t i, .,'�.' i. ,f :1 E e t r:mow° rir).K -;` ti.t=>.# ', ,. ,z .,., a r.� " r ..n �di�.2„Y=c xfix „� �' •:1...:., C*,.sr:.:.-yak,,�,r r !:>` z`* 'r N {::. �) -a^.. +r$��$`S"�.i. f�a,-f�`a fr 'a�,��QY qr. nr) �.a�,,w'y._ �x�'d 'r.v.'3'..{ �5['"t�W rm+^,.'yr.,tF.g�'{� 1�,,.sR� � ,R,,�'C ,S ik.1_?.*a� �°14.ti•.:. �r t?�..,�r y-' ,..�„"."i �+�a ',5` -- v 1,: MARK WERBST V 4 S � 'F q"" � F 35 PEEP TOAD ROAD ;� t t CENTERVILLE MA 03632 r ' ' 508-420-6216/774-238-2938- www.markherbst.com www.markherbst.com 4 i r u u PROPOSAL SUBMITTED TO: WORD(PERFORMED AT Ov Rosie Quinn �r a} � F 5 Thistle Street SAME x .f wx7ti s, Centerville MA ,;L��t We herby propose to furnish the materials and perform the labor necessary for the completion of. T k,tom t, New Roof. Remove 1 layer of existing shingles e rs w 'install ice&water shield of edge&in valley areas Install 8"drip edge M Install 151b.felt paper Y 'x Install Certain Tee dshingle of choicer Install cobra vent to ridge Replace plumbing boots x .n h� Storm nail all shingles $ x fa r y All debris cleaned daily , Ov $ � u Pnce includes material,labor&dump fees `T ' CerfainTeed 25yr.3 TAB shingle $7.500 00( #. r x CeitainTeed 30vr architectural shingle 8.060.00( Please initial choice above. Thank You > " t All material is guaranteed to be as'specified. The above work will be'performed in accordance with the specifications submittetl ; �qr and completed in a substantial workmanlike manner for the sum ok.as specified above&verified with your initials y t �r y Dollars( )with payments as follows: full amount due upon completion41 Oft r 4; Any alterations.from above proposal involving extra costs will be added under a separate written agreement and become an extra . . charge over and above said proposal. t.` T TRESPECTFUL Y UB ED f ➢k:,�#,y�lg4$ a � ,,yam _ '' Y - � v#��n� 06103f09 , r a ^k, Mark Herbst r( bt 'ACCEPTANCE.OF PROPOSAL - �$` ' The above price,specifications and conditions are satisfactory.l herby accept this proposal. You are authorized to do the work If payments will be as specified above. 4xs r SIGNATURE:Pv i Y YThis proposal may be withdrawn rby said company if not accepted with+in 30 days i1 S d.' .U. ',q Va=aY .� }y 1A� S - v -A Tr # xtrk wS �pn , j4' i �y_2 "S"' ;; y"jk�'�'„'ta�;x !" trt T t3.r '• r} )'�-.4 rear ':;:,*4 "3:�"r ,.:b?'P54,�y �'?.F}j -`?��,ar ,�' va, cg . . The Commonwealth ofMassachttsetts Department of Industrial Accidents Office of Investigations 600 Washington Street _ , p Boston, MA 02111 www.Mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Lelia Name (Business/Organization/Individual): t/Yl otz— Address: City/State/Zip: (_e Yh Phone #: Are you an employer? Check the appropriate box: Type of project(required): 1.E 1 am a employer with 4. ❑ I am a general contractor and I employees(full and/or part-time).* have hired the sub-contractors 6. ❑New construction listed on the attached sheet. 7. ❑ Remodeling 2. I am a sole proprietor orpartner- _ ❑ p P These sub-contractors have ship and have no employees - 8. ❑ Demolition workingfor me in an capacity. employees and have workers' Y P h'• 9. ❑ Building addition [No workers' comp, insurance comp. insurance.1 required.] 5. ❑ We are a corporation and its 10.0 Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their 11.❑Plumbing repairs or additions myself. [No workers' comp. right of exemption per MGL 12.[ of repairs insurance required.]t r c. 152, §1(4),and we have no employees. [No workers' 13.❑ Other comp. insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. *Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. lam an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information 4' . Insurance Company Name: J i I Policy#or Self-ins. Lic.#: Expiration.Date: .,)t 1(3 ( (� Job Site Address: 5 �r-�1-p i City/State/Zip: Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration,date). Failure to secure coverage as required-under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment, as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for in urance co er a erificaLion. I do hereby certify.1vider t ains a pea s ofperjury that the`information provided above is true and correct. Signature: Date: 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 3. City/Town Clerk 4. Electrical Inspector 5. Plumbing Inspector 6. Other Contact Person: Phone#: Information and Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers' compensation for their employees. Pursuant to this statute, an employee is defined as "...every person in the service of another under any contract of hire, express or implied, oral or written." An employer is defined as"an individual,partnership, association,corporation or other legal entity, or any two or more of the foregoing engaged in a joint enterprise, and including the legal representatives of a deceased employer, or the receiver or trustee of an individual, partnership, association or other legal entity,employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein,or the occupant of the dwelling house of another who employs persons to do maintenance,constriction 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." 'l Applicants Please fill out the workers' compensation affidavit completely,by checking the boxes that apply to your situation and, if necessary,supply sub-contractor(s)name(s), address(es)and phone number(s)along with their certificate(s)of insurance, Limited Liability Companies LLC or Limited Liability Partnerships LLP)with no employees other than the � h'. P ( ) Y P ( 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 Fax # 617-127-7749 Revised 4-24-07 www.mass.gov/dia NOTICE NOTICE TO TO EMPLOYEES EMPLOYEES The Commonwealth of Massachusetts DEPARTMENT OFINDUSTRIAL ACCIDENTS 600 Washington Street, Boston, Massachusetts 02111 617-727-4900 As required by Massachusetts General Law, Chapter 152, Sections 21, 22 & 30, this will give you notice that 1(we) have provided for payment to our injured employees under the above mentioned chapter by insuring with: ASSOCIATED INDUSTRIES OF MASSACHUSETTS MUTUAL INSURANCE COMPANY NAME OF INSURANCE COMPANY 54 THIRD AVENUE, P.O. BOX 4070, BURLINGTON, MA 01803-0970 ADDRESS OF INSURANCE COMPANY AWC 7016215012009 01/10/2009 - 01/10/2010 POLICY NUMBER EFFECTIVE DATES P O Box 494 Leonard Insurance Agency Inc Osierville, MA 02655 (508)428-6921 NAME OF INSURANCE AGENT ADDRESS PHONE Mark Herbst 35 Peep Toad Road Centerville, MA 02632 - EMPLOYER ADDRESS. _ 12/23/2008 EW,J.OYER'S WORKERS COMPENSATION OFFICER(IF ANY) DATE MEDICAL, TREATMENT The above ppmed 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 NEAREST AND BE$T MEDICAL FACILITY -- NAME OF HOSPITAL ADDRESS f1TA ... _ �_L r �• p�� Construction Su Q p rvisor.License } Dense: CS 48546 , \ Expiration\` 1/27/2010 Tr# 14362 iR6gtHct of MARK D HERBST 1 35 PL TOAD Rp ` ' E .' �,-� CENTERVILLE,MA,032 't �� I Commissioner rk Board of Building Regulations,and Standards 1 HOME IMPROVEMENT CONTRACTOR License or registration valid for indi4idul use only Registration before the expiration date. If found return to: 126480 Board of Building Regulations and Standards Expiration - 6/8/2010 Tr# 26776Ti One Ashburton Place Rm 1301 Type, Ind� idual I Boston Ma.02108 MARK d HERBSTjj MARK HERBST 35 PEEP TOAD Rp' �3f CENTERVILLE,MA `•; Administrator Not valid without signature _ --' f sd. ` Assessor's map and lot number .. ............7..� ...: .rL...... 7HE s cF toy Sewage Permit number ./'•gip•, d�P ♦� ° I MAR35TAILE, i House number. ................................. 9 a MAB 00,0�i63q. 9� TOWN 3-OF BARNSTA•BLE BUILDING :INSPECTOR APPLICATION FOR PERMIT TO .......... l!„1�......!g!5 .'....I L.L .Q.�11.....:................................................ TYPE OF CONSTRUCTION ....... .............. .......:................:.........:........: ...... :......./.......................................19.L1../ TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies form permit according to the following information: Location / �-�......CrQ. 4 ..............:............ ................................... .............. .......... j ProposedUse ... Qpl ....... ... .................................................. Zoning District Fire District Name of Owner .11 / ...f../..! !�./4��L!.(�t1/g .�U�. ddress ` ly/J`/L /Qj....l�=.N../�=?! ✓ r.l � Name of Builder el.w.w.'.1...(9.P.7..............................Address ...:..C�5I, ....................................... Nameof Architect ../vQ ...............................................Address '. .................................................................................... Number of Rooms ... ........................Foundation .:y/:5' Exterior ........:.............Roofing � ..... ......... Floors ....6t .Interior ..... ............................................................... ..... ................................................................. "Heating .�. C21���! . !d...l7lJ�......./��? ...............Plumbing ....!...Y.. ....................:............................................ Fireplace ..:w .S�v�C....l � H Approximate Cost �4!�. ...� .................. ...... O......... .............. Definitive Plan Approved by-Planning Board ________________________________19___:____. Area . J P................................... ...... • C� ©C7 Diagram of Lot and Building with Dimensions Fee �"................. ........................ SUBJECT TO APPROVAL OF BOARD OF HEALTH ���� Lo7lh2 � V �-4- � r I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above 4 construction. f Name ............. . QUINN, ROSE MARIE No .2.3450- Permit for ADDITION............. ................................. .......Single Family Dwellin-q-•,--,--_..... L6cation ...5...T.hi.s.t.l.e...D.r.i ye......................... .. .... .. Centerville ............ .................................................................. Owner ..Rose Maril��...Quinn ........................ ................................. Typ Construction ..FX!4;GQ.......of Constru .................... ................................................................................ Plot ...1`' ..................... Lot ................. Permit Granted .. Septeitber........................;.�......1.-1.,.j9 81 - Date of Ihspection ...................................19 Date Compl ed ..... ............91— 10 Completed ...................I . PERMIT REFUSED ............................... ............................ 19 ................................. .......................;........ ......... 77 ................................................................................. ............................................................................... . ............................................................................... Approvecl ..................................................... 19 % ........... .......... ................................................... ................. .................................................. Assessor's map and lot number .. ...... ''".... .r�...... THE 79/ Sewage Permit number p Z 33ARNSTADLL House number ................................ ............ qoo "639 �e �0 �J Mix a' TOWN- OF BARN.STABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO ....��� /�.:.17......!9!4.._�..... T(�e, �� /(� .�. TYPE OF CONSTRUCTION ....... ... ........................................................................... 9..................................... !Q/ TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location ... .. / 1.6..X�E......�.D..!Q............ �,1.:../J..L.? KK1.4 f; .... .�`�............................. ................................... ProposedUse ......f:7/� LY....... ......� ....... .................................................. Zoning District .��4-...............................................................Fire District l ��R..nr1XI..l. h.LG- C.bTCIP /� Name of Owner (�earr-...../-P/-3!Q.1 `4�� AQ! C W Address Name of Builder ...:.............b...,... .A_7. Y............................Address ......LIST ..z X..A................................................... Nameof Architect ../Qn/(�...............................................Address .................................................................................... Numberof Rooms ..4.//-.....................................................Foundation ... 5................................................................ Exterior .�.f .K7rl......�.........................................................Roofing .. I'#/ „�(„1, f •��.... � ,!4E,SR-�J.�........... Floors .... .................................................................Interior ..... Heatingr` ... '.! >...!� .�1........ ./.?...............Plumbing .... .................................................................. c...o Fireplace ... ..................Approximate Cost ...... ..o... ............................!... Definitive Plan Approved by Planning Board ________________________________19________. Area 0 ...:.r...`. a Diagram of Lot and Building with Dimensions Fee r;........................ SUBJECT TO APPROVAL OF BOARD OF HEALTH I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name .!�,, ® �'a,<f.n�', l.( �.. .�!�.J............. QUINN, ROSE MARZE A=171 77 _____- � ^ � No _334.50_ Permit +�, .���DI]CZ. ____. . .....S .. .. ... ' ............. - Location .5—T#iotle_Dri��._______.. -----{�gg±�|��!ill/�----------- � Owner ..�k����..D8azie_ ______.. . � Type of Construction frXAM?r. ' � . . Plot un/ ' ' - � � Septembell � uona on Inspection '17 - . ""'= Completed ' � PERMIT � - 4EFUwED � ............................... lA �----------. --------.—.------.-------.--. � , ----'~^—^--'----------------' —. ..��---..------' ..—.---.—. v � � Approved ........ ------------- lV � . . ------------^—'-^^^'~--^—'---'— � --''—^--'--------~----....—..... • r Assessor's office Ost floor); r' �' .. 'THE � Assessor's ;map and, at,num .er, .�%x:..:..... WPM MOM � T �♦ Board- of Health (3rd floor);r ��j" ® ffvl,T A U ''D IN com - 'Sewage Permit number . ..... J ..... ..:.... 1.. i NTH TITLE t Baaa9TABLE, : Engineering Department (3rd floor) L "` :I'E rasa /' T�L C House number .................. .. cam........ Etc ssss� .......... .... . spy Definitive Plan Approved by Planning Board i __ _ _ _ ___1.9 TOWN RECULLATIO ---------- APPLICATIONS PROCESSED 8:30-9:30,A.M, and 1:00-2;00 P.M."only; TOWN .- OF . BARNSTA{BLE RIJILDIK , INSPECTOR APPLICATION FOR PERMIT TO ERECT A SUN DECK TYPE OF CONSTRUCTION WO.OD..... ... ( PR.E...SSURE TREATED .) .. .... . .... . ................................................................................ . AUG....8.t.....:.......c.......19.88... TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a. permit according to the following ,information: Location ...........5 THISTLE DRIVE CENTERVILLE .......... ................................................................................................................................................................. Proposed Use `SUNDECK ......................... ...... Zoning District .RC .....Fire District ....,CENTERVILLE-OSTERVILLE :........................................................ ........:........................ Name of Owner JOHN QUINN •5 THISTLE DRIVE CENTERVILLE ................................................................Address ..................I................... Nameof Builder ................................t......:.............................Address .........: ........ ..... .................................. .. Name of Architect ......................:..............:............................Address ................'..... ............... Number of Rooms ...:..........................................Foundation ............SO.NNER. .....TUBES....... ...... ........................................ . . Exlerior ................................................... ................................Roofing ........... Floors ................... ...............................:................................Interior ..............................c Heating ......................I..................................................Plumbing ......... Fireplace ....'.......... Approximate Cost ..... ........$...1t....................:........................ ` 500 y Area ....360..s4:�...ft.. ............. Diagram of ,Lot and Building,,with. Dimensions Fee . .....�.. ..................... 941, , OCCUPANCY PERMITS REQUIRED-FOR.NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name . ...... ......... .............................. Construction Supervisor's License .... //4 :............ QUINN, JOH _ No 3:2.151.. Permit for ..B>Aj.j(j...5an...D.QCk Snge�Fmj.jX...A . ........ H r Location :.�. . 'h S. h�...I).z] V.�...........'........... } .. - ..Ge.rit.ex.V,J:ll:.e..................".......... Owner �70k1)1. fQL1�..I1X1........... ' ................. i _ T `• r _••j_ • • " ". Frame' Type of.Construction _......... _ 4 ...... ........• .... ......... .... .... ..1. �,• - i e+L. - -ter • Plot, "Cot ' ........ . ............... . Permit'Gronted .....August.*.:9.............19 88 ; •4. 4 .. Date of'Inspection ' Date Completed ...:.........t..... .... . .19 • Tj a° Yt-T i. 1 f 0 � .M1ry'x;* .-:.-.:.e-'}". .y '.w '. rz..�. .....;; ., 'x+a��.rr;sr.;. ..,,.. ..,,�--, _... 4' «W�'�d3sw.'8�°+ti4F`3'�'rTnslSr�'yc8�:r.sair4+r+4'"+.�`s�x�+smiZu�e•x,.�.+.r f:..�,y...,yr. w�.,..-.. r•.r �.,.i Assessor's office (1st floor): o�THETo Assessor's map and lot number ....711�.�1..,�/:f�:........ � �♦ v Board of Health (3rd floor): Sewage Permit number Engineering Department (3rd floor): ->71 — �o rasa So House number `e o,f 6 .................................. ......:.................... .......... CEO YPY a' Definitive Plan Approved by Planning Board _______________________________19________ . APPLICATIONS PROCESSED 8:30 9:30 A:M. and 1:00-2:00 P.M. only TOWN. OF BARNSTABLF BUILDING INSPECTOR APPLICATION FOR PERMIT TO ERECT A SUN DECK .................. ... ................................................................... TYPE OF CONSTRUCTION WOOD (. PRESSURE TREATED ........................................................................................................................... .............AUG. 1. ...... ....19.88... TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location 5 THISTLE DRIVE CENTERVILLE ....................................................................................................................................................................................... r' Proposed Use SUIdDECK Zoning District RC !..............................................Fire District CENTERVILLE'-OSTERVILLE ....................`... ..................................................... Name off O'wner .....JOHN QUINN 5 THISTLE DRIVE CENTERVILLE .....................................................Address .................................................................,.................. Nameof Builder ....................................................................Address ............ Nameof Architect .... .............................................................Address .................................................................................... SONNER TUBES ✓- Numberof Rooms ..................................................................Foundation ............................................................................. Exterior ....................................................................................Roofing .................................................................................... Floors ......................................................................................Interior Heating .........................................Plumbing .` Fireplace Approximate Cost .............. $„ 19500 ........................................ Area ....360..39.....�k................. Diagram of Lot and Building with Dimensions Fee ... ..:�..................... G� ti+ 'DEC k - -> .4 N 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 ✓v' .............................. V Construction Supervisor's License .... .......................... QUINN, JOHN A=171-077 No ....32151 Permit for .Build Sun Deck .........Single Family..Dwellin� Location ...5..Thistle Drive ................................ Centerville ............................................................................... Owner .....John...Quinn ...... ............................................. Type of Construction ........Fraia,e..................... ............................................................................... Plot ............................ Lot ................................ Permit Granted .......Ali .. s.t...9.,..........19 88 Date of Inspection ....................................19 Date Completed ......................................19 Ex G gV-AoQ _ FXlSt i�� �ouSE !f 2 X 2 b l I-T w s U k �--- z V ' y �- ) +te i I i 1 r �i