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Home My WebLink About0046 PENELOPE LANE i �, -3q TOWN OF BARNSTABLE BUILDING PERMIT � • ' PARCEL ID 039 047 GEOBASE ID 2326 ADDRESS 46 PENELOPE LANE PHONE COTUIT ZIP - LOT 61 3 BLOCK LOT SIZE DBA DEVELOPMENT DISTRICT CT PERMIT 72317 DESCRIPTION 14'X J.6' DECK REPLACE EXISTING PERMIT TYPE BADDD TITLE BUILDING PERMIT ADD DECK CONTRACTORS: GRANGE CONSTRUCTION Department Of ARCHITECTS: Regulatory Services TOTAL FEES: $30.00 ti BOND $.00 CONSTRUCTION COSTS $7,000.00 434 RESID ADD/ALT/CONV 1 PRIVATE 0 * BARNSTABLE, 1639. a I BUIIfING DIVISI N BY DATE ISSUES 10/17/2003 EXPIRATION DATE TOWN.,OF BARNSTABLE T FERMI a ' '-� BUILDING T PARCEL. ID 039,,,047 GEOBASE ID 2326 _ ADDRESS 46 PENELOPE LANE PHONE COTUIT ZIP — 03 LOT 61. BLOCK //;LOT SIZE DBA DEVELOPMENT DISTRICT CT PERMIT 72317 DESCRIPTION 14'X 16' DECK REPLACE EXISTING PERMIT TYPE BADDD TITLE BUILDING PERMIT ADD DECK pl CONTRACTORS: GRANGE CONSTRUCTION Department of ARCHITECTS: _ Regulatory Services a TOTAL FEES: $30.00 BOND $_00t1�E CONSTRUCTION COSTS $7,000.00 434 RESID ADD/ALT/CONY 1 PRIVATE IF, 1 * Bn> STABLE, . � Mass. i6gq. QED H1p'�A f BU11 rDlG DWISI N f A k` BY � � � DATE ISSUED 10/17/2003 EXPIRATION DATE THIS PERMIT CONVEYS NO RIGHT TO OCCUPY ANY STREET,ALLEY OR�SIDEWALK OR ANY PART THEREOF, EITHER TEMPORARILY OR PERMANENTLY. EN- CROACHMENTS ON PUBLIC PROPERTY,NOT SPECIFICALLY PERMITTED UNDER THE BUILDING CODE,MUST BE APPROVED BY THE JURISDICTION.STREET OR ALLEY GRADES AS WELL AS DEPTH AND LOCATION OF PUBLIC SEWERS MAY BE OBTAINED FROM THE DEPARTMENT OF PUBLIC WORKS.THE ISSUANCE OFTHIS PERMIT DOES NOT RELEASE THE APPLICANT FROM THE CONDITIONS OF ANY APPLICABLE SUBDIVISION RESTRICTIONS. MINIMUM OF FOUR CALL INSPECTIONS REQUIRED FOR ALL CONSTRUCTION WORK: APPROVED PLANS MUST BE RETAINED ON JOB AND THIS CARD KEPT POSTED UNTIL FINAL INSPECTION WHERE APPLICABLE, SEPARATE t.FOUNDATIONS OR FOOTINGS PERMITS ARE REQUIRED FOR 2. PRIOR TO COVERING STRUCTURAL MEMBERS HAS BEEN MADE.WHERE A CERTIFICATE OF OCCU- ELECTRICAL,PLUMBING AND MECH- (READY TO LATH). FANCY IS REQUIRED, SUCH BUILDING SHALL NOT BE 'I 3.INSULATION. OCCUPIED UNTIL FINAL INSPECTION HAS BEEN MADE. ANICAL INSTALLATIONS. I 4.FINAL INSPECTION BEFORE OCCUPANCY. i POST THIS CARD / IT IS VISIBLE BUILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS 1 1 1 f�M OK. 2 2 2 3 1 HEATING INSPECTION APPROVALS ENGINEERING DEPARTMENT �I I 2 BOARD OF HEALTH «I I OTHER: SITE PLAN REVIEW APPROVAL I 1 ( I WORK SHALL NOT PROCEED UNTIL PERMIT WILL BECOME NULL AND VOID IF CON- INSPECTIONS INDICATED ON THIS THE INSPECTOR HAS APPROVED THE STRUCTION WORK IS NOT STARTED WITHIN SIX CARD CAN BE ARRANGED FOR BY VARIOUS STAGES OF CONSTRUC- MONTHS OF DATE THE PERMIT IS ISSUED AS TELEPHONE OR WRITTEN NOTIFICA- TION. NOTED ABOVE. TION. I I I. I I I f I, I I i I I I I I I � . I I E � I fv 'A W W W W W W W W W N N N N N N`O CON N N N N Oo •p coV O In A O OO V U Cn A W N O �U U (n A W N O �O V O- Cn A W N O _ 0. 41 N w m 0 0 ' tt ww t Batt A n -6 m amp m S.9 m 7C N C mO D 14 . A 1 !9 N / y v 6 m W TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map 03Ci Parcel_ Permit# 793 )_7 Health Division 22 �?211119//7"3 / Date Issued o Conservation Division 10116 We Application Fee Tax Collector_ r oo 3 D �' OL- /-0)403Permit FeeTreasurer ( ^�_� _ �I- S2PTIC• S ^v;F_:j EL:�!-_r-�: Planning Dept. INSTALLED IN CORLIf�C' Date Definitive Plan Approved by Planning Board NTH TITLE 5 ENVIR014MENTAL COCE ANI Historic-OKH Preservation/Hyannis TU6VIi REGULA TION3 Project Street Address O Village Owner Mk 4- Address Telephone Permit Request Iwo t _ t, I� � xl6t Square feet: 1st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation . Construction"Type Lot Size Grandfathered: ❑Yes ❑No If yes, attach supporting documentation. Dwelling Type: Single Family ® Two family ❑ Multi-Family(#units) Age of Existing Structure Historic House: ❑Yes ONo On Old King's Highway: ❑Yes ❑ No Basement Type: s"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 ❑Yes ❑No If yes, site plan review# Current-Use --_ _ --_ Proposed.Use-. BUILDER INFORMATION Name � Telephone Number Address LAW, W. License# okq i 6 Home Improvement Contractor# Worker's Compensation# ALL CONSTRUCTION DE RIS RES LTING FRO THI PROJECT WILL BE TAKEN TO SIGNATURE DATE 4 0. FOR OFFICIAL USE ONLY PERMIT NO. - DATE ISSUED . l MAP/PARCEL NO. ADDRESS VILLAGE OWNER �y DATE OF INSPECTION: FOUNDATION + FRAME �7. Aftl ecf �ff✓S �� `S INSULATION - 4 t+1 FIREPLACE ELECTRICAL: ROUGH FINAL , L PLUMBING: ROUGH' + . FINAL ' GAS: ROUGH ' FINAL -, •J FINAL BUILDING ;trl;V r ca o _, DATE CLOSED OUT ' ASSOCIATION PLAN NO. 4 1 5 l = The Commonwealth of Massachusefts - Department of Industrial Accidents _ Office oflonstfoo Peas _ 600 Washington Street Boston,Mass. 02111 ` Workers' Com ensation Insurance davit i name: location:Q ci v phone# v ❑ I am a homeowner performing all work myself. ❑ am a sole P netor and have no one worldn is capacity I am an em 1 rovidin Job. ;ro n ..... ::: :......... :.:...............:. T'lan % ti <: . :.:. 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Failure to aecure coverage asrequired order Section 35A of MGL 152 can lead to the iunpositioa of ctfnsinal penalties of a fine up to$1,.500.00 and/or one years'imprisonment as wen as civil penalties in the form of a STOP WORK ORDER and a fine of S100.00 a day against me:,I understud that a copy of this sta may be forwarded to the Office of Investigations of the DIA for coverage verification. I I do hereby a the pains and penalties of pe&q that the information provided above is true d eorr Signature Date 03 Print name14 Phone# official use only do not write in this area to be completed by city or town official city or town: permdt/llcense# []Building Department ❑Licensing Board ❑checkff immediate response is required ❑selectrnen's Office ❑Health Department contact person: Phone#; _ ❑Other --------------- (devised 9N5 P7� t y Information and Instructions ' compensation for their 'on 25 requires all employers to provide workers p er 152 sects efts General Laws chapter , achus , Mass �� employees. As quoted from the"law", an employee is defined as every person m the service of another under any co of hire, express or implied, oral or written. r 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 section 25 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,neitherthe 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 inmrance requirements of this chapter have been presented to the contracting authority. EN F/11 Applicants Please fill in the workers' compensation affidavit completely,by checking the box that applies to your situation and su 1 ' companynames, address and phone numbers along with a certificate of insurance as all affidavits may be PP ymg submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and IR 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. City or Towns 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 peimit/license number which will be used as a reference number. The affidavits may be retamed'to the Department by mail or FAX unless other arrangements have been made. The Office of Investigations would like to thank you in advance for you 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 Offlce of imlestlgauans 600 Washington Street Boston, Ma. 02111 fax#: (617) 727-7749 phone#: (617) 727-4900 ext. 406, 409 or 375 HE1 Town of Barnstable Regulatory Services BAMSTABIZ ' Thomas F.Geiler,Director 9�A039. a`�� Building Division lfD MA'S Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 Permit no. Date AFFIDAVIT HOME EAPROVEMENT 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: Estimated Cost Address of Work: Owner's Name: Date of Application: 0 I hereby certify that: Registration is not required for the following reason(s): ❑Work excluded by law ❑Job Under$1,000 []Building not owner-occupied ❑Owner pulling own permit ry 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 hereb appI for a permit as the age t of the owner: �a 6 Date Contractor me Registration No. OR Date Owner's Name Q:forms:homeaffidav °FTC ro Town of Barnstable Regulatory Services ILARMNSTA 9 $ Thomas F.Geiler,Director �pTEDru•+�,� Building Division Tom Perry, Building Commissioner 200 Main Street, Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 Property Owner Must 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: Ca (A dress of Job) Signature o Own Date. Print Name !l.T7l1D�d O.l1R 7ATT:D Dir D�ATC C TlIAT - s 'P W W W W W W W W W IJ tJ N N N tJ N N N N O `O OD -I O1 to A W N O �O W V U Cn A W IJ OD V U cn A W N O N OO N U (A A W N W W W N G D 14 � 7 G; ,..LI , N -1 -Tmt7 ld D 9 a .- a a m w t LII 6TI Pa,�vr z....a o�,/�aaac6u aelta ' Board of Building Regulations and Standards HOME IMPROVEMENT CONTRACTOR Registration 133862 a Exiratn /2�/2005 I v{P� C�0A I GRANGE CON8TR�fETlO I ,w NIALL HOPKINS�� 118 LAKEFIELD S.YARMOUTH,MA 02664 Administrator OAOuBeaL�D BD UI i G I.: License: CONSTRUCTION SUPERVISOR 1 'CS 084916 Number � 419?41970 ` Tr.no: 84916 i izptresR4/02�2007 A NIALL J HOPKINS. (.,te'" Rb 1:18 LAKEFIELD Administrator S0.YARMOUTH, _x ----— Town of Barnstable Regulatory Services Tet-N4 5S-CS�W` r + 9°A MASS. E$' Thomas F.Geiler,Director �A ib 9' p�6 rEo 39.t Building Division Peter F.DiMatteo,Building Commissioner 367 Main Street, Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 SHED REGISTRATION 120 square feet or less �( pely 6 -opt C��J J Location of shed(address) Village Property owner's name Telephone number 04f Size of Shed Map/Parcel# , -a�- d/ Signature Date `. Hyannis Main Street Waterfront Historic District? .r Old King's Highway Historic District Commission jurisdiction? Conservation Commission(signature required) s ` 0 1 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 PLOT PLAN Q-forms-shedreg STANDARD LEGEND / NOTE:not all symbols will appear on a mop IGOLF COURSE FAIRWAY r \ (— ono EDGE OF DECIDUOUS TREES `'.J1 EDGE OF BRUSH # 8 C J i ORCHARD OR NURSERY V-9-7—V EDGE OF CONIFEROUS TREES � . MAP 9 :----- =-_-\ f MARSH AREA / ' EDGE OF WATER 4 y� Q�� DIRT ROAD 7T Ems' 2/ - DRIVEWAY I �PARKING LOT PAVED ROAD — — DRAINAGE DITCH 6 - - - - P 3/ PATH/TRAIL n PARCEL LINE 6 7 Mnr no�—MAP# 109 2,E PARCEL NUMBER E#1850 HOUSE NUMBER # 6 2 FOOT CONTOUR LINE MAP t® 10 FOOT CONTOUR LINE Elevation based on NGVD29 6 >/4.9 SPOT ELEVATION # STONE WALL -X—X— FENCE RETAINING WALL RAIL ROAD TRACK c—� STONE JETTY SWIMMING POOL AP 39 MAP 39 PORCH/DECK 49 6 0 BUILDING/STRUCTURE 8 # 30 �'L-'y1r== DOCK/PIER 49 ZQ HYDRANT- e VALVE OO MANHOLE r 0 POST 0"" FLAG POLE T O W N O F B A R N S T A B L E G E O G R A P N 1 C I N F O R M A T 1 O N S Y S T E M S U N I T .Q SIGN ® STORM DRAIN H PRINTED SCALE:IN FEET *NOTE:This map is an enlargement of a **NOTE:The parcel lines are only graphic representations DATA SOURCES: Planimetrics(man-made features)were interpreted from 1995 aerial photographs by The lames 1"=100'scale mop and may NOT meet of property boundaries.They are not true locations,and W.Sewall Company.Topography and vegetation were interpreted from 1989 aerial photographs by GEOD 0 UTILITY POLE n TOWER we 0 25 50 National Map Accuracy Standards at this do not represent actual relationships to physical objects Corporation. Planimetrics,topography,and vegetation were mapped to meet Notional Mop Accuracy Standards s 1 INCH=50 FEET* enlarged scale. on the map. at a scale of 1"=100'. Parcel lines were digitized from 2000 Town of Barnstable Assessors tax maps. 4 LIGHT POLE O ELECTRIC BOX 4r Of ' - 1 y-,- fir,• ��'� �� '�J �s + v + _ 16 it a 'r a s•f.J iµD � +. lh 4' J ' � • � _ //�� ' y'1 y`ir �' y `^- �• � ' C.-'•10• •t�4 - Ali • i� f._ w�', �r.� •, , 1 1 ' �• . ,: �Min � '� •- ! �w j /�, .►��yr� !+.�4�/ ,�n� {� �r'All t, •s• ,' r, �.� �',•r;4+Lrr'�✓ .,,.h�rM�}" r '+ '!� 4/' �:w.� • , .^. T+ �rtr� �i J fT• 't,,'�' j Y Y+ .. .. fh •` - r' +6 '_ �L - _ • ! ..- +'R' ��r i:�r... <s` r is +y' t � sti.� 4�,ti. .t•t' •t _ • VI 41 WMI •+ + '` ii, `~yy�r4`. .yT�-H�fi,�,ti A J .. Y .^ •�74eq t*AXz 1 D S . ` Assessor's map and lot number ........................................v! F THE t Sewage Permit number �t , ST IN p @M- INSTALLED s@ R�llit'd`d t BJEB9TADLE, i /<J OUSe number ............!�..�}. 6.......P�l. .....�.� ��, WITH TIfLf 9 MAa D/1 R r r ENVIROIYyYA1E.�iY!"4L oo OMPYa\�0� TOWN OF BAR �,B_ , NS LE • _ I / r BUILDING- INSPECTOR APPLICATION FOR PERMIT TO ;�.�zl �..... TYPE OF CONSTRUCTION ........... f .' .................................................: �• ... .f .................191L TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the ollowing information: Location ............Z-0.. ............. /............ "1.. ... . ......... �--''70�°1 .......... ... ProposedUse Q!n..0L........ . �P......... ............�iZak.................................................................................. Iq Zoning District ......(,.C2.. ..Z� l�•••.......................................Fire District ..... .. .. .. .................................................... Name of Owner .....Address ..... .... ......�.�F . .....� .�k7.6d�4..:t �� .. Name of Builder ..................�a,.M. . ..........................Address ......................:.1.ae.,27.... ....................................... Nameof Architect ..................................................................Address .........................................•.......................................... Number of Rooms .....................Foundation .....47.W. .. .. . ........:................................ Exterior ...... &?.t ........................................................Roofing ...A7. "J.f/Y1... .3 ........... Floors ............ . . .. . ....*.... . i�h! .......Interior ....X ...................... Heating ... .........................................................Plumbing ............. Fireplace ..................................................Approximate Cost .........h�. �.... ......................... Definitive Plan Approved by Planning Board ________________________________19________. Area ...Z� ................. Diagram of Lot and Building with Dimensions Fee .�� SUBJECT TO APPROVAL OF BOARD OF HEALTH c I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name ....... . , .Q, -� ....... fA HEOHARIDIS, HARRY _ f �� ''� '�"*p,�r� 3�•��5`'��` . :, 2375= I�io ................. Permit for ........... � ..Sinam gle...F.... ....�Hi��.l�,ng.............. Location ..Lot...4.6,],......46...P.ene1Ajae...Z.asie � .............. 9.dui.t.............................................. Owner. ' Type of Construction ....Exame......................... r, ........... .... ................ Plot ............................ Lot .. .......................... Permit Granted ....P��.!�...me..........r be 81 i Date of Inspection/;;/gQq,C...... ......1w9 ! Date Completed ........! ':.. ..... 98 PERMIT REFUSED Y ' r ' ✓,/ I ' ....... .................................................... 19 as ................:.............................................................. all r ......................................................................... t Approved ................................................ 19 �r „ �O� TOWN OF BARNSTABLE 23675 Permit No. _______-_--- -- i »n.,c Building Inspector Cash ' ------- —-- °Oo �e7o• �° OCCUPANCY PERMIT Bond �X - "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 Harry 1`"bt'0haridis Address Wiring Inspector � y Inspection date Plumbing Inspecto /�Z—_ Zr�3, Inspection date Gas Inspector v '�,� ,r : -�� Inspection date X Engineering Department Inspection dater 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. ilwa "q 'R Cr. ........................ � _......._, 19..w._.. _ ....`..-...;Building'Inspector ........�...._._...._ Assessor's map and lot number '"' r ` ........ Bpi THE t0� { Sewage Permit number ;......... �Q House number P.... BAHMABIL LE, S L)%1 g v p 1639. \00 1 Q MOR A.• TOWN OF BARNSTABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO ► i ('„......d TYPE OF CONSTRUCTION `� j 7 -, . .....,lo�.................19 �.. TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for alpermit according to the following information: Location .!........ �.:!1.-.............(a.A..:....................�..!�, .. .C�.,.,.. � ;?. ?a ?! i......... Z A Proposed Use{ ......&. , ........... ........ .. �.................. Zoning 'District .......—, ?'7..zp. !,!./...........................................Fire District .....f.,..! .t:{ ..................................................... Name of Owner .ff.��/ ... .c ? .d"(1......Address ...`4 ......... Name of Builder r................ ..'L. .✓Y». ..............................Address ........................ ....................................... Nameof Architect ..................................................................Address .............................................. ................................ ,,, 01�Number of Rooms .......... Foundation ....( �1.. 11`r�.P......... ........................................ ................................ Exterior ...... .......................................................Roofin .... T;,f!, .. �:1fri dtPWO r .......... .y F Floorsh ,G� ...... �� !!I� !- ...............Interior ..... r.../.... _ �n,o.5= ,! „ra i+ ..........._r......., - .�, ............ Heating Plumbing / .,. ��^? ........................................................ ✓. .....( .... �,.� ........................... V ( ` Fireplace .................`.)..:4..................................................Approximate Cost Definitive Plan Approved by Planning Board ________________________________19________. Area .... .................. Diagram of Lot and Building with Dimensions Fee ....... .............. SUBJECT TO APPROVAL .OF BOARD OF HEALTH I i R I I hereby agree to conform to all the Rules and Regulations,of the Town of Barnstable regarding the above construction. Name .. ........ `. TBEOBARZDZS, HARRY \^~/ -___-______' . 23675 Ooe St No -----.. Permit for ---.---�!��--- Sin ��. = � Location Jtg.� � ' .............. ......................... . � 0"wn�, �� - . .,r- of Construction � � ........................... .....................3........................... � � Permit Granted Date of | ctio Date ' � .' - PERMIT REF D � 19 � . �� .. / � y�_- '\ / .��.. �\T .---- �� ................................... .--------. � ��K � ' �Ur�~ -----CGVV.po--_-----.-----. � ' ^ -------... . «�.----------. ~ �� ( �� - ` ^ � Approved l�---------------- � ----^--------'—~'—^'---'—`'--`''' -------------'-----^'—~-'---^' ^ �