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HomeMy WebLinkAbout0046 THANKFUL LANE 17 Cape Save Inc. TOVIN OF BARNSTAS 7-D Huntington Avenue South Yarmouth, MA 02664013 AT 22 i !1: 57 Tel: 508-398-0398 Fax: 508-398-0399 Try �, 8/9/12 Town of Barnstable Thomas Perry CBO Building Commissioner 200 Main St. Hyannis,MA 02601 RE: Building Permits Dear Mr. Perry, This affidavit is to certify that all work completed for 46 Thankful Lane, Cotuit has been inspected by a certified Building Performance Institute(BPI)Inspector. Ceiling: R-22 cellulose Knee walls: R-6 rigid fiberglass. Floor: R-38 cellulose(ceiling of garage under) All work performed meets or exceeds Federal and State Requirements. Sincerely, William McCluskey TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map � Parcel Application #C?�Jo Health,-Division Date Issued Z- Conservation Division Application Fee Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board J/N Historic- OKH _ Preservation/ Hyannis ®� Project Street Address T C.-^ Village C6 Owner J O�A 501oo,8'ari --Address SA,t+1e1 Telephone 5 0 U I b r � �\i- Permit Request ��� -c� GP.`ly�,�6S e fio �Z c ', sp nA f 1, ���cc"Ian W%A- �- 3 0 c�.L���osP, , R r s v ��e,--ti ►c,�lGnE ; h• J r Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood-Plain Groundwater Overlay Project Valuation 14 0 Construction Type . Lot Size Grandfathered: ❑Yes 0 No If yes, attach supporting documentation. Dwelling Type: Single Family W Two Family ❑ Multi-Family (# units) Age of Existing Structure 9 g Historic Hduse: ❑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: X Gas ❑ Oil ❑ Electric ❑ Other ...entral Air: ❑Yes XNo Fireplaces: Existing New Existing wood%coal stove:cQJ Yes_,❑ No Detached garage: ❑ existing ❑ new size_Pool: ❑ existing ❑ new , size Barn: ❑ existing ❑ new Vie_ Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size — Other: = ? Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ c Commercial- ❑-Yes 2(No If yes, site plan review # Current Use Proposed Use - APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name Telephone Number Address t + License# ZG `��� Home Improvement Contractor# �' 3 ' Worker's Compensation # 7Wc, %3 V `I)T_ ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BETAKEN TO SIGNATURE DATE 7 S1 )Z } { / FOR OFFICIAL USE ONLY ` APPLICATION# . . { . DATE ISSUED ®/ MAP PARCEL NO.. . � . \ ADDRESS ' VILLAGE \ OWNER , DATE OF INSPECTION: } .' ,-,,FOUNDATION, 2 . w } FRAME . \ < INSULATION-' » \ FIREPLACE { ELECTRICAL: ROUGH FINAL - . / - / PLUMBING: ROUGH FINAL \ . - / GAS: t . ROUGH mz» . - FINAL - $ � ^ : / :aF NALBULDING,_ , } . . . / 4 DATE CLOSED OUT a _ i . _ . . \ ASSOCIATION PLAN NO. [ B,uilding ,,Permit Authorization c �)C-c-j IseP, ( As owner hereby give my permission -to CAPE SAVE INC.' 7-D Huntington Ave. South Yarmouth 02664 (508)398-0398 to take all necessary steps.to obtain a building permit to -performto work at my property located at q �A� �=� � �AN�E Signed ' ' Date . 1 4 Q + e The Commonwealth of Massach usetts Department of Indttstrial Accidents Office of Investigations 600 Washington Street Boston,MA 02111 ww v.nurss.- v/dia 60 Workers' Compensation Insurance_ Affidavit:Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name(Business/Organization/Individual): C ILO C. Address: - fl Hw+►ting'i"Ot1 �rvtAt►�,� City/State/Zip:&y►4 YarMoaA I MR OU64 Phone#: 50$" 3 4 $ • 0 3 9 g Are you an employer?Check the appropriate boar Type of project(required): 1.10 I am a employer with _ -4. ❑ I am a general contractor and I employees(full and/or part-time).* have hired the sub-contractors 6.,❑New construction 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,- Demolition 9. Building addition working for me in:any capacity: employees and have workers' g [No workers' comp:insurance comp.insurance.$ ❑ b required.] 5• ❑ We are a corporation and its 10.❑Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their I L❑Plumbing repairs or additions myself.[No workers'comp. right of exemption per MGL 12.❑ Roof repairs insurance required.]t c:152,§1(4),and we have 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. I am an employer that is providing workers'compensation insurance for my employees Below is thepolicy and job site information. Insurance Company Name: _Teon n 01 0 4 S u�.Ir an c e Gek m fl Policy#or Self-.ins.Lic.#: _r W C 3 3 13 -4' Expiration Date: y � ! ' l 3 Job Site Address: City/State/Zip: p + Attach a copy of the workers'compensation policy declaration page(showing the policy number and expi tion date). Failure to secure coverage.as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify under the pains andpenalties ofperjury that the information provided above is tru and correct. Signature: Date: Phone 4:_ 39i*1_\0_3(7 R 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#: AC R® CERTIFICATE OF LIABILITY INSURANCE 5/10/oil) THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies) must be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). oNTACT Risk Strategies Company PRODUCER N E: Risk Strategies Company PHONE ' (•781)986-4400 FAX o..(781)963-4420 (AIQ No 15 Pacella 'Park Drive E-MAILDE Suite 240 INSU S AFFORDING COVERAGE NAIC# Randolph MA 02368 INSURERA:Selective Insurance INSURED INSURER B:Safet Insurance Company33618 Cape Save, Inc INSURER C-TechnologyInsurance Co an 7 D Huntington Ave INSURER D: INSURER E: South Yarmouth MA 02644 INSURER F:- COVERAGES CERTIFICATE NUMBERCL125948081 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. I SR TYPE OF INSURANCE POLICY NUMBER MMO/UDD EFF MMIDD EXP LIMITS LTR GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 D7JVVkGE TO EN $ 100,000 X COMMERCIAL GENERAL LIABILITY PREMISES Ea occurrence A CLAIMS-MADE Ex-I OCCUR CPPS1994480 0/16/2011 0/16/2012 MED EXP(Any one person) $ 10,000 PERSONAL&ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER. PRODUCTS-COMP/OPAGG $ 2,000,000 -X1 POLICY PRO- LOC $ AUTOMOBILE LIABILITY CEO accidE�D(SINGLE LIMrr $ 1 000,000 BODILY INJURY(Per person) $ B ANY AUTO ALL OWNED SCHEDULED 6208200 1/6/2011 1/6/2012 BODILY INJURY(Per accident) $ AUTOS AUTOS PROaccidPERTY DAMAGE NON-OWNED $per P X HIRED AUTOS X AUTOS g Underinsured motorist BI split $ 100000 X UMBRELLA LIAB OCCUR EACH OCCURRENCE $ 2,000,000 A EXCESS LU\B HCLAIMS-MADE - AGGREGATE - $ 2,000,000 DED RETENTION$ PPS1994480 0/16/2011 O/16/2012 $ C WORKERS COMPENSATION 8 WC STARY OTH AND EMPLOYERS'LIABILITY YIN ANY PROPRIETOR/PARTNER/EXECUTIVE a NIA A EL EACH ACCIDENT $ 500,00 (MandatoryOFFICERIMEMBERH)EXCLUDED? C3318007 /9/2012 /9/2013 E.L.DISEASE-EA EMPLOYE $ 500,000 (Mandatary in NH) Ifs under S6desw'beE L DISEASE-POLICY LIMIT-1$ 500 000 DRIPTION OF OPERATIONS below r DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(Attach ACORD 101,Additional Remarks Schedule,if more space Is required) Issued as evidence of insurance. Issued as evidence of insurance. Thielsch Engineering, Inca is listed as additional insured as respects General Liability as required by written contract. CERTIFICATE HOLDER CANCELLATION msong@capelightcompact.org SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. Cape Light Compact Attn: Margaret Song AUTHORIZED REPRESENTATIVE PO Box 427/SCH 3195 Main Street Barnstable, MF, 02630 Michael Christian/BM ACORD 25(2010/05) 01988-2010 ACORD CORPORATION. All rights reserved. INSII25 i7nlrH m n1 Tho ARnon n2ma onrl Innn arm tunic•onari marlrc of ARnpn tassxcitusetts- Department of Public Safety BOard of Buildin�- Regulations and Standards Construction Supervisor Specialty License. s License: CS SL 102776 $s Restricted to: IC. WILLIAM MC CLUSKY �% 37 NAUSET ROAD ` WEST YARMOUTH,MA 02673 Expiration: 6/28/2013 ('um»�is•inner Tr=: 102776 - Office of Consumer Affairs and 2USiness Regulation _ 10 Park Plaza - Suite 5170 Boston, Massachusetts 02116 Home Improvement Contractor Registration Registration: 171380 Type: Corporation Expiration: 3/14/2014 Tr# 222184 CAPE SAVE INC. WILLIAM McCLUSKEY 7-D HUNTINGTON AVENUE - SOUTH YARMOUTH, MA 02664 T Update Address and return card.Mark reason for change. U Address J Renewal Employment Lost Card PS-CA1 a 50M-0M04-G101216 ---9 'C90O7tA)209tCl1elZWL d ✓4GQ.76LLCllLC.1C6 ` office of Consumer Affairs&B siness Regulation License or registration valid for individul use only HOME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: n - Office of Consumer Affairs and Business Regulation _ a Registration: . 1.71380 Type: a Expiration 3/14Z./2014 Corporation 10 Park Plaza-Suite 5170 Boston,kA 02116 CAPE SAVE WILLIAM MCCWSKE!';=_7 .-`~-:.• 7-D HUNTINGTON AVENUE_, g SOUTH YARMOUTk MA°02664" Undersecretary Not valid wit o signa Town of Barnstable oFVE, Regulatory Services do Thomas F.Geiler,Director SzAB Building Division RMW v MAM g Tom Perry,Building Commissioner s63y: &�0 Ep Mp`l 200 Main Street, Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-79 -6230 Approved: Pee: �K,25 - 00 Permit#: rl 2151 - HOME OCCUPATION REGISTRATION Date: %---� S Zia `F Name:.JJ Opu �'c l.t Alter Phone#: S L) �/?-0 Address: q Cy TN AltY_ Eu k L )rLA, P Village: ( 67-D / Name of Business: J �.S � I eri-wq-T o%ti a �G rU $ �T�•11 • /TA �p- Type of Business: CGw 5 U�•?-h t Map/Lot:. 013"1 (el J. INTENT: It is the intent of this section to allow the residents of the Town of Barnstable to operate a home occupation within single family dwellings,subject to the provisions of Section 4-1.4 of the Zoning ordinance,provided that the activity shall not be discernible from outside the dwelling: there shall be no increase noise t a uz n or odor;no visual alteration to premises which would suggest anything other than a residential use;no increase in traffic above normal residential volumes; and no increase in air or groundwater pollution. After registration with the Building Inspector,a customary home occupation shall be permitted as of right subject to the following conditions: • The activity is carried on by the permanent resident of a single family residential dwelling unit,located within that dwelling unit. • Such use occupies no more than 400 square feet of space, • There are no external alterations to the dwelling which are not customary in residential buildings,and there is no outside evidence of such use. • No traffic will be generated in excess of normal residential volumes. • The use does not involve the production of offensive noise,vibration,smoke,dust or other particular matter,' odors,electrical disturbance,heat,glare,humidity or other objectionable effects. . * There is no-storage or use of toxic or hazardous materials,or flammable or explosive materials,in excess of - normal household quantities. • Any need for parking generated by such use shall be met.on the same lot containing the Customary Home Occupation,and not within the required front yard. • There is no exterior storage or display of materials or equipment. • ,There is no commercial vehicles related to the Customary Home Occupation,other than one van or one pick-i p truek-notto exceed-one:ton.capacity,and one trailer not to exceed 20 feet in length and not to exceed 4 tires,parked on the same lot containing the Customary Home Occupation. • No sign shall be displayed indicating the Customary Home Occupation. • If the Customary Home Occupation is listed or advertised as a business,the street address shall not be included. • No person shall be employed in the Customary Home Occupation who is not a permanent resident of the dwelling unit. . I,the undersigned ve read and agree 'th the ve restrictions for my home occupation I am registering. Applicant: Date•/I— Homeoc. oc Rev.5/30/03 TO ALL NEW BUSINESS OWNERS DATE:- 15,- o 4 Fill in please: *s ~ `yVl} �C.LL&�r APPLICANT'S ,; YOUR NAME: YO R.HOME ADDRESS: 4 co"�_ r �� BUSINESS i Y�� ' ° ss, TELEPHONE : ,�. ,;. Tele hone Number if Home' NAME OF NEW BUSINESS TYPE OF BUSINESS C�0 7&U-70 12c(� IS THIS A HOME OCCUPATION? YES NO EKJ Have you been given approval from the building division? YES NO ADDRESS OF BUSINESS _( �L�`��' �`" Cam° 6 7�1 MAP/PARCELNU11fiBER When starting a new business there are several things you must do in order to be in compliance with the rules and regulations of the Town of Barnstable. This form is intended tocertific to at the Townobtaining the Clerk's Officeinformation (Ist floor-Town Hall) or if you get the business certificate y need. Onc you have obtained the required s assist you in , listed ertificate first you MUST go to below,you may apply for a business the following office to make sure you have all the required permits and licenses.. GO TO 200 Main St. - (corn of Yarmouth Rd. Main Street) and you will find the following offices: 1. BUILDING CO MI ION R'S DF This individual h be infor ed of equir ments that pertain to this type of business. Autfiori d Signature COMMENTS: 2. BOARD OF H L H This individual ha b en inform of h perm' it is that pertain to this type of business. hor zed Signature COMMENTS: 3. CONSUMER AFFAIRS (LICENSING AUTHORITY) This individual has n infor of the li si r irements that pertain to this type of business: Authorized Signature* COMMENTS: Business certificates (cost$30.00 for 4 years). A business certificate ONLY REGISTERS YOUR NAME in the town (which you must do by M.G.L. it does not give you permission to operate-you must get that through completion of the processes from the various departments involved.OWNS A PRO VAL FORA BUSINESS ORT NA.rf PNkY CIO Assessor's map and lot number ...... ..7...` .. .Gl . 'S `�O f� �,�— ,�©02 �✓ y�fTHEr�� F Sewage Permit number K....�."'!.... ` ..... ...... fi�k-r '�}�] B,SBSTAXE,House number �/ "� �1...G........ 9 039............ ... 00 i639 9� Aj�p110a, TOWN OF BARNSTAB '4 t*'C SYSTEM BE 119STALLED IN COMPLIANCE ANC BUILDING INSPECTORENIAR,�MENTALC VIM'd �3J� hr�ed APPLICATION FOR PERMIT TO ... T��,�-`� A ..................................... .. TYPE OF CONSTRUCTION ...... O.�?.�?............ ........... ......... .......g..........................19,�. TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according �ttothe following information: Location .........{., CsG��! � ........................................... .. ............................................... ............................ Proposed Use ....... ..1 ........................................................................................................................................... ... Zoning District .............. 'r...........................................Fire District Name of Owner tI\ l.:�I .. } ' ? .. k'� !U ....Address Name of Builder . . .. ...........................� CJ 1...d .�3 1.`!kg'N!` �........�N.....�..X. )•T...�... .........Address ....... .......... Nameof Architect ..................................................................Address .................................................................................... Number of Rooms .............................................Foundation Co�� . . r Exterior ../4"�..........................................................Roofing ............. '`. `...�................................................. ........................ Floors ......01Q.�.V.K .T.e.............................................Interior ........ . nn Heating ... . C-''. .................................................Plumbing .......C (� ............... Fireplace �.N +..... ........... Approximate Cost IS7' / ' Definiti�i*#`a-tn Approved b lanning Board ---------------____-----------19________. Area ©�..".................... Diagrar: ':Lot and Building with Dimensions Fee .... ................................ �SUBJE( -�,%` ,APPROVAL OF BOARD OF HEALTH h I hereby agree to conform to all the Rules and RegulattName Tow of rnstable regarding the above r construction. . ... ........... .......... � n:A, REMO & HF.T.F'MT a s No .273. 1..... Permit for .One Story............ . Single Family Dwelling........ Location ..Lot 34� 46Thank .......................................,. fp .... -- r Cotuit ............................................................................... Remo & Helen Cellana Owner .................................................................. { Type of Construction k`r t ............................................................................... —, Plot ............................ Lot ................................ � e Permit Granted ..,December 19, - ....................... .19 84 Date of Inspection ....................................19 .^ i Date Completed ...........................:...........19 y tiL PERMIT REFUSED `t• �'� - i 19 ►• •) ' ................................................................................ .........................................`.. ................... 1 M ................ . ................. .. .................... Approved ............. ......................................... 4 .............. ...... .......... .......................................................... _r ,1," 9 �-- �-�� AmAssessor'slot - ,��� o mop and � number ..� ---'^�',----'. � -- ���"�o | � / _- !� �� sTHE Sewage Permit number Aj ^ ~' .. -��� --. ' _.. ~��/' ' �� �] 7 - ' House � '~.~^. ----..��'—..'-^------- --.'-'` -- ������ �� �� �� �� �� � �� �� ^ � ]� � � ��' p� � ��� 1�� �� �� |"� �� ]� �� �����]�u BUILDING � 0N ��&0 �N INSPECTOR �� �� J ��0N N N�NNN�� N� N �����~ ���� � NN �� ^ -- -- - ---- - -- _- ~ ~~ .~ ~ ��== ~ ~~ ~~ ^ ' - ����������� ��� ���&�0[ �� / 4� /. = ^ ^ ^ � APPLICATION~.�~..~.. .�~ PERMIT .~' -~^-----' ----.-- . . .--..*��,.-------.-. '�--. �' TYPE OF CONSTRUCTION ... .Lx/q �&>........... .. .-��-________.__._../_ _' � . � . ~ ./}�� �'4� ' ~ � �^-.-�/--.......-..]9..�- / TO THE INSPECTOR OF BUILDINGS: The undersigned heva6v applies for o permit according to the following information: � '_-- . . `/ �� /�/�> �- /--) \ \ Location ---'-�^-'`--...�..�..�.��..�----.�-----..����.�..~------.--.-.-.,----,--.-----...---. _ � Proposed Use --..L��.��..-.���--------`--.----------------.....---..---^.--_,_,__.. | � Zoning [X�hd --..-.. .....------.�----.Fbe D�h�� -. L�./ .~T-__,,,__. ^ � � ----' _--..,-- ' --. --- ..---. /.o / ....... °-- ' Nome of Owner \T\����[�..��.���,��/�..L�c�i[ri�/r�.�..A66nso /^-/-l��!/!�,[�t0�.-�.|--.��.�\ / ~ Nome of 8vi|6o, --�� ^�. `��c�^�--'Addn�« .......................�- .. Nome of Architect ----------------------Addnsu ----------------------______ Number of Rooms -----..- / -------------.Foun6ohon -. . .{�-..':. .. _,__________ � Emerior '{~~u'[} -------------------�Roo�ng --/c�^�\i���'��----------------.- Hoo,a _�!/n�l���. ______________.|n�'�r� '.. ..��./4../ /............................ ` ` \ .........F16m6ing .--.~ 11 . . --��... .. ...x�-- .. ` ~ ~~ � Heating Fireplace 1!1� .........................................� Approximate Cost �� �' --------' -'--'' ' r-------^^----`'~ /') Defnh�a'P|on' 6�/P�nning Board : lg----, An�o .� � '~~ ' ' ' ' �� -----� -------� \~~ ` '� Diagram of Lot ' and Building with Dimensions Foe ................................................ SUBJECT TO APPROVAL OF BOARD OF HEALTH � * � / \ \ . ` ' | ~ ~f ^ ' J - ^ \ | � - - ` " ' � | hereby agree to conform to-all the Rules and Reg above , construction. None ......... ............................... | ' ° � CEILAN\, IQM & HELEN , A=39-58 O�� No .�!���.—.. Permit for ----��\���----. , � --�..���.��..'��.��-.�..����..�------_-. Iod� 34 46 Thankful Lane Location ----..�-------------___ ~ z ' ' cotoit —.—'.----..-----------------. Rem 6 Helen Cellana - Owner —.-----------------.--_. ` Type of Construction .. ---------. � -----^--------------------' Plot ............................ Lot ................................ ` ~- ` � . Permit Granted —..I}eqQnter..l8«........ g 84 `� ^ . Date of Inspection ------------lg : . Dote Completed ...................................... / ! � PERMIT REFUSED ~ . — 19 ~ ....................... ' TIP ... � � - ''''—'^~—'--^''--T^--^^'—'^^--^'---'' ' ' ----^--^'—'~--'--~''--^^—^^~'~—'^'— . ' Approved ' ................................................ lA —''~----'------'''^---^--------' ^ ----'--------.------...'...—.... /7 c i .CERTIFY THAT THE FOUND,,JIUN SHOWN DOES NOT VIOLATE ANY EXISTING ZONING REGULATION OF ,Q THE TOWN OF �ARrJST/4$o.� OF (� y� WALTER yGN P: R l OLDHAM �+ N0. 23207 Q O suyl R��r y ' •'SO � Z� �D' �� v i 30°37' o5"W 83 .32 �= 3 C IP,C) i FOU N�+�-'C"1ow C��'IF�L�uN 1�1 Gk LA% ,oI)t-Nprs 1405 ENc rz. �ssoc.Jr.��; t?Ayw f n