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".-,�r�­,'� ­ _" .-6__ ' �lj�_- �I —I---- .1 R� 0 TOWN OF BARNSTABLE 2v= Permit No. ------------------- 1 Building Inspector Cash ----- 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," r ? Issued to Pilgrim Colony I1c mes Address I • lot #27 291 Gleneagle Drive, Centerville Wiring Inspector ' ��� Inspection date Plumbing Inspector", Inspection date Gas Inspector (r� Inspection date Y 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. uilding Inspector B i PeAssessor's- map'and lot number /,9. . TIC SYSTEM MUST TOE♦ ,. *THE Permit number ......................... .....;<.......:...../..-,�� ��fi�+ST,QLLEQ NB�d C�3(!!{� �/�����/� c r IANCE BJBBn98TAI1LE, i ' use number ..' .1.�.:.!n?, .':.........: ...........:..... '��IT TIT = z M >; _ � L .. 1 � 9�0 1639. `00� —,..MENTAL CODE AND A'�aMPra' TOWN, OF . BAANSTXBL�` BUILDING' - IN'SPETOR APPLICATION FOR PERMIT TO ...4R-.(�.?..�.�........................fa .�� n .�.e... 3.w..r.!.l. �: '�.i.!. �� �,�. TYPE OF:CONSTRUCTION ...W! ® r ............. •...... ........... ......, ,. ......... ....../. ................� TO THE INSPECTOR OF BUILDINGS: E The undersigned hereby applies for a permit according to the following information: c Ce&"ie r v i 'i e) Location .®.`.... V:... .C'?P?..L�. ./.. ......�.�.4 •. ...........I�.J.Q.Q'r� � . 0..10.. ..�°..................... ProposedUse ...: .!. . ....................... . ............................................................................. Zoning District ..........!r •.........................................................Fire District :.... - Name of Owner,. .:.&c' .!. P^. ....l.�cvsv..eS....Address .7d....kti!. .x!^ 4e.. n.... H'l9 ,1 Ey .... Name of Builder' Address �. rGti!�-r!.�-..:. .i�®...�?�^ ............................................ Name of Architect ................................".... .........................Address .........r7.. 4. n..l.......................... ... Number of Rooms ........ ..................:".........................`........Foundation C-2.yX.V07.......zof........... �.��� t'Li� L•-�n aZ� _�.—�,�, � . �Exlerior .. .. $I ts JRoofing ... a! Floors . .... ........`3/��r.. �" .....,Interior v1.... ..s .. o� .lo„C.�?e�Y+�►c� �'®i5�$ G!��: ~ I 1_11� �� e" � F, ,, J Heating ................... ...... !................................ Plumbing ... ........................................................................... O Fireplace �¢!�!..?..Y..�o"°::-' �-�e'4"��..3`��....... Approximate Cost ......���. QP�.................. r ip Definitive Plan Approved .by Planning Board -------------------------------�9 - Area Diagram of Lot. and.Building with Dimensions Fee Q aS SUBJECT TO APPROVAL OF BOARD OF HEALTHCSK3D . OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town of Barn st ble regarding the above construction. Name ... .... . . . ......... ............. ........... r—I '" ► --- - - Alf rPil'gr !n Colony Homes Y ; 2382;ermitfr one story j. .... ............. ...... 1 r • „ single family dwelling ................................... ...... Location ........291 Gleneagle Drive " Centerville r r ............ + 'Pilgrim Colony Homes Owner .. ., r frame 3 Type of,Construction ...................... ................... t } iK .... ._t.• r..:.........................27................ �.• a ' Plot ............................ Lot ................................ r February 19 82 - Permit Granted .......... ...........................19 I Date of Inspectior� �.................. ........19 y Date Co leted .. 19' ., Jam. � .. , r - - f i r'I � ° • - < � ; %• ff z r fli e� 'r e.,'*` fi i.,+, ,., y.. '� �i ».a I - r,,. r,r ;it. ,...�C a-,�''s`s^�'. . ' L d r .r f f:{� . 1 ' J , l {P {."2-'t-j I t A,,,,j..-t �.I' •M I i 11, }jj4 `� �1p±'u 1'7 1 1 1 �•.�C -� .. f I - I e a rs + . 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T-15_-z-BOARD OF -HEALTH :o ` .. t , b 1 :, a �_ . �--� -! •� ' i r „,,,n 1 CERTIFY T.HAT•T,HE- 4-n0h_J`D`l.t�I SHOWN'ON THIS '` ��• .{ = PLAN IS LOCATED ON THE GROUND` AS 81-d.OWN F�-_ :�I:i.I.I.—,�.JI.,��:I i":-',�-.,_­l�I;.,�-,-,­_��;.,,Ia..,:�;1.�-:I.,_:..II;/.-I.��I-,,.-,II,.1I I i­­..--�..,�,'.�,,.,:.,,.II­ K -T0-IEREON AND-THAT lT„ CON.FORMS TO THE"`ZONING S AS`V�, x, AND BUILDING LAWS' `L�F 'THE iTO,WN OF�k, -i► i 3� , G 5s" �r = o ANr�Y WHEN CONSTRUCTED 'ArJD'TO TH'E RESTRICTIONS r ON. 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I^ t--'•s---t" }TC'� Ya„ :tG�S� '^ ! y.S. i '". tart t t i a 6 - -d - 1-U:JI���.k�}6 Rl .r r a Fro k f` ..I.fj —/ r a ; FS E* a I .. 7 t tom;, 8. ,I ;. tt M1 ,t _- .. I. _ 1 ' n a , 1 1 — __ , - - ' 1 t fj '° '" v t . ... --_Tl/�t�_! LC-'-14L \�._:� 1 I. I'-` , f.l. ',I b<ETCH F� i. EAN _OF LIT® tf®J ' I si FOR r t , 'i 4 'r I -,- DATE LoyE"/\T cJ1� L i tJ,tJ\ SCALE 1': �# a p,4_ b.t, c t 7" Ic- I c3! j` 1 ,\., IT f/-\� 5 �K o� 4A!" J iK3E I- M . � L 4 7 r I''-1 :7I Y .1 /Y _ r''��✓y. - ti57" F B fO� I03 , . 1- e '"'.. ,_ PA I ��. !)ice. 5 I (. [; 1 '� - F!. # t i (7 r f :! S R SWEET'SER s �i'$ I '` ,tE�15` r1 I✓��liv{; Er,GIN E'ER .p -��t,(MOF+M1lgS � r }" r ' i I e" 97 SF_A �T•REET; - p� ;STA r� y�", 1 r DEN`fv1SPORT, 'v1ASS z ' . . 1 } RA -s: , S, t r .i-- O E - ," P a . NOTES , ` o S . , i 'g-r ' ELEVATIONS SHOlvv� :1' ) ARE IN FEE T- ABOVE 0 / �u +� � I `a r ".ss to ' , �q z �� �r . �' s I : s .,. , DATE v AGENT t J ' y _'BUaHD c:F H:EASt TN ` � , �%`� ,-�,..-�,4.;,I,�",II I-.o�.--�.��.I,­­�,1.I—,�t,l.I.Ii.4l,�1_.-.1_�,-I F.1�I,.'­.I�I 1....,I-I J.I—'I,.-�.i-i.�.'1�.,-I�-.1-1.,i.�.,)--��.4�I:4,.4-.,Y��,7-'­-..�1; e,,,, at�f `, SHOWN 01N THIS . I'CERTIFY TFdAT THE A ? Y$ 4 PLAN IS LOCATED ON `THE GROUND AS b;HOWN. J ! sc {ar .yEREO'N. AND THAT- IT-C�TN-O.R-tv9.� TO THE ZONING �C �;3b 'i " AND BUI,LD,ING LAWS OF THE TOWN QF --_ r` - o�� , TANLEY �-, "2 rti� d a ' `VNF-IEN CONSTRUCTED AND TV T.HE > ,ESTF2.ICTIONS f O N-"RECORD ..('� ' �:1 kEFSI R }. `n� 1,t ,�,, It . +_ 1 `kai - - - -- - - _. - DLi'fE REGIGTEREP 'LAND SURVEYdR . ,stjf .�' ', I . .s SHEET I OF . . ' d ,.i'r~ +'. a H k i , ` I r .I m SENDER: I also wish to receive the 'o ■Complete items 7 and/or 2 for additional services. ■Complete items 3,4a,and 4b. following services(for an d Pmif your name and address on the reverse of this form so that we can return this extra fee): card to.you. Attach this form to the front of the mallpiece,or on the back if space does not 1. ❑ Addressee's Address g ` permit.; '. y ■Write'Retum Receipt Requested'on the mailpiece below the article number. 2. ❑ Restricted.Delivery N ■The Return Receipt will show to whom the article was delivered and the date a delivered. Consult postmaster for fee. 3.Article Addressed to: 4a.' Nu"GAIC �x E 4b.Service Type 4«'� --�' �` —• ❑ Registered Certified tY ❑,Express Mail ❑ Insured c cc ��i _ ❑ Return Receipt for Merchandise ❑ COD 7.Date of D livery z 0 p 5.Received By: (Print Name) 8.Addressee's Address(Only if faquested A w and fee is paid) r I g ure: ressee oMAg " ~ i ;tit.: t i� lfli }i( itii t i it lilt i, PS F rm 3811, Decembe 1994 102595-97-e-0179 Domestic Return Receipt I UNITED STATES POSTAL SERVICE �, Mq First-Class Mail pm 1.�Y -Permit No.G=10 Print your na ViQcirjs�*I' ndd9 ZIP C •;� � ., ;�;;{ F�Is.fox . Town of Barnstable Building Division 367 Main St. Hyannis, MA 02601 Gf _ as. EH, „il„rli Assessor's map rand lot number � ..`, , „ / �FTNEro Sewage Permit number ......`........ : ......... ...cn.....�::. ' ARNSTA13 i . 8 LE, ouse number ... .fr .. ?z.::...... .......................... ............. p 1639 9NAM ...rf' �„�, _ pow�63q. `0 TOWN OF-,14A�RNSTABLE BUILDING INSPECT0R �r T-T � 140 J t��JAPPLIATION FOR PERM � h �� Q.!!+�t ...................... b�'2 � � i✓� . ff TYPE,OF CONSTRUCTION .... ......... r 1 � l I TO THE (INSPECTOR- OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: c Location '', o . .. ... (T',.!�.�'!!rt..��Q' ..I ':......D.... .......... !ll ............................................. Proposed Use �. �. �C?, �.+. ........................................................ ............................ < . r....................I......................... ZoningDistrict .....: ................................. ..........................Fire District ............................................................................... r Name of Owner ..� 'Qa G.;C...1:Q,tnY .YV.t ! ' Address .7C.?�4...1,�%� r ai►.;t'•...t... .........•...............'?d'r'f�'d Name of Builder' .. . ...a'' l..p ..... ' a 1',.$.Address ...........z? Name of Architect ............................... Q., n A ' Atw E.S.. Address ........ �. .............................................. . ..... lqitack.. Number of Rooms ......... .................................�.....�......:... age Foundation �77 �� ti ................. ...................................... tt Exterior f:"' ................. t�$.. lr Q t"t~.(�•+�' ..Roofing Q�CL 17� � 35— t w .............................`...................... Floors .� �... ��► ..o�........: ..T.y.... C' ........Interior 7 ✓Z �'' ce(f t ir►� Xo I S*s Heating G4.G� tct�.. .� ..` ......�.�C'...................Plumbin9 .............` ...�".... ..s.... ..�..� ,rf2oa fc '�'- t3��c "o� GlAQ ' Fireplace `' ��...............-.............................Approximate Cost ...............;.............* ............................... Definitive Plan Approved by Planning Board -___________—"'__-----------19-------- . Area r .���.... a�: ........ Diagram of Lot and Building with Dimensions -Plo+,' ta►&^ 0,44.c)-cLed Fee .:......... ................. ............. SUBJECT TO APPROVAL OF BOARD OF HEALTH OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS • i I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. � F � Name .....................r-. .*f 7!� .a . ........ ...... :::........... � Pilgrim Colony Homes A=192-139 No ..2382z... Permit for .... one story single family dwe.11i. ng ...... . ........................................... Location 291 Gleneagle Drive ................................................................ Centerville ............................................................................... Owner Pilgrim Colony Homes ............................................. Type of Construction frame .... ....................................... ..................................... Plot ..q..................... .. Lot .........#27................ ' Permit Granted ..................Febru.......ary.....19 82 .........:19 I E Date of Inspection ....................................19 1 a Date Completed 19 i 1 i ��• . top. r !, . VAll I I I -NO WTI". tN� r+' 3 Z 203 495 43.0 US Postal Service Receipt for Certified Mail No Insurance Coverage Provided. Do not use for International Mail See reverse to d Street&NUM Post Office,State,&ZIP Cod oa63;L Postage $ Certified Fee Special Delivery Fee Restricted Delivery Fee Return Receipt Showing to Whom&Date Delivered n Return Receipt Stowing to Whom, Q Date,&Addressee's Address 0 TOTAL Postage&FeesGo $ M Postmark or Date 0 LL rn a I Stick postage stamps to article to cover First-Class postage,certified mail fee,and charges for any selected optional services(See front). - 1. If you want this receipt postmarked,stick the gummed stub to the right of the return address leaving the receipt attached, and present the article at a post office service window or hand it to your rural carrier(no extra charge). 2. If you do not want this receipt postmarked,stick the gummed stub to the right of the Q return address of the article,date,detach,and retain the receipt,and mail the article. LO 3. If you want a return receipt,write the certified mail number and your name and address rn on a return receipt card,Form 3811,and attach it to the front of the article by means of the gummed ends if space permits. Otherwise,affix to back of article. Endorse front of article a �- RETURN RECEIPT REQUESTED adjacent to the number. Q 4. If you want delivery restricted to the addressee, or to an authorized agent of the O O addressee,endorse RESTRICTED DELIVERY on the front of the article. GO I CV) i 5. Enter fees for the services requested in the appropriate spaces on the front of this E I receipt. If return receipt is requested,check the applicable blocks in item 1 of Form 3811. ti I f 6. Save this receipt and present it if you make an inquiry.' 102595-97-B-01 45 (1 i l + i °Erne BARNSTABM Mara 1659. �AlED MA'S A The Town of Barnstable Department of Health Safety and Environmental Services Building Division 367 Main Street,Hyannis MA 02601 Office: 508-790-6227 Ralph Crossen Fax: 508-790-6230 Building Commissioner October 28, 1997 Paul&Stephanie Hickey 291 Gleneagle Drive Centerville,MA 02632 RE: M-192/P-139 Dear Property Owner: Our records indicate that your house at,291 Gleneagle Drive,is currently being used as a two-family home contrary to Barnstable Zoning Ordinances. You must contact this office as soon as possible to either: 1) apply for a building permit to restore the property to a single-family home 2) apply to the Zoning Board of Appeals for a variance 3) prove that this is a legal two-family You must contact this office immediately to tell us what direction you wish to take. S' i Gloria M.Urenas Zoning Enforcement Officer GMU:lb CERTIFIED MAIL Z 203 495 430 f970311a e ' �[ ] [R192 139 . ] LOC] 0291 GLENEAGLE DRIVE CTY] 10 TDS] 300 CO KEY] 117572 ----MAILING ADDRESS------- PCA] 1011 PCS] 00 YR] 00 PARENT] 0 HICKEY, PAUL DAVID & MAP] AREA141BC JV1286657 MTG10000 HICKEY, STEPHANIE ANN SP1] SP21 SP31 291 GLENEAGLE DRIVE UT11 UT21 .34 SQ FT] 1052 CENTERVILLE MA 02632 AYB11982 EYB11982 OBS] CONST] 0000 LAND 26800 IMP 96200 OTHER ----LEGAL DESCRIPTION---- TRUE MKT 123000 REA CLASSIFIED #LAND 1 26, 800 ASD LND 26800 ASD IMP 96200 ASD OTH #BLDG (S) -CARD-1 1 96, 200 DESCRIPTION TAX YR CURRENT EXEMPT TAXABLE #PL 0291 GLENEAGLE DR CENT TAX EXEMPT #DL LOT 27 RESIDENT'L 123000 123000 123000 #RR 0607 0128 OPEN SPACE COMMERCIAL INDUSTRIAL EXEMPTIONS SALE108/94 PRICE] 109000 ORB19306/017 AFD] I TE LAST ACTIVITY] 10/21/95 PCR] Y i `R192 139 . A P P R A I S A L D A T A KEY 117572 HICKEY, PAUL DAVID & LAND BLD/FEATURES BUILDINGS NUMBER ZN/FL=RC 26 , 800 96, 200 1 A-COST 123 , 000 B-MKT 92, 200 BY 00/ BY /00 C-INCOME PCA=1011 PCS=00 SIZE= 1052 JUST-VAL 123 , 000 LEV=300 CONST-C 0 ----COMPARISON TO CONTROL AREA 41BC ----------------------------- NEIGHBORHOOD 413C CENTERVILLE PARCEL CONTROL AREA TREND STANDARD 101 10 LAND-TYPE 268001 LAND-MEAN +Oo 1230001 90503 IMPROVED-MEAN +60 2001 ] FRONT-FT ] 100 DEPTH/ACRES TABLE 02 1001 LOCATION-ADJ APPLY-VAL-STAT 1 LNR] LAND LFT/IMP] ADJS/SB/FEAT STR] STRUCTURE ARR] AREA-MEASUREMENTS NOR] NOTES COM] MARKET INC] INCOME PMR] PERMITS GRR] GRAPHIC FUNCTION- [ ] STRUCTURE-CARD NO- [0 0 0] DATA- [ ] XMT [?] i R192 139 . P E R M I T [PMT] ACTION [R] CARD [000] KEY 117572 000000001 PERMIT-NO MO YR TYPE VALUE CK-BY MO YR %CMP NEW/DEMO COMMENT PROPERTY ADDRESS J STATE � ZONING I DISTRICT CODE SP-DISTS.I DATE PRINTED I CLASS I PCS I NEIHD PARS.FLJDEN IFICATION NUMIRFE K 02`)1 GLENEAGLE DRIVE 10 Etc 300 1000 01/09/95 1011 uJ '.Iu 1 /2 157. EV NO. LANDIOTHER FEATURES DESCRIPTION ADJUSTMENT FACTORS T 1 1 7 5 7 C Lantl El"oale Sine Drmensron YP UNIT ADJ'D.UNIT ACRES/UNITS VALUE Description H I ie'=Y P A U L :D.AVID MAP- D co FF.De!hlAcres LOC./VR.SPEC.CLASS ADJ. COND. E PRICE PRICE t L A J J 1 2 6'3 0 0 CARDS IN ACCOUNT - L 1U 18LDG.SIT 1 x _3y =10 197 39y49.9 78749. 9 .34 2h30J .:LD`;CS)-CA o-1 1 96.200 01 of 01 A 7:'L ':)Z'il L,L�NEAGLE DR CENT t , N BATHS 1 .1 U X C= 100 6000.0 6000.0 - 1.00 6JIJu JUUU 'j YDL LOT 21 MARKET 92200 D BLA BSiiT .RM S 24 X 22 C= 100 45.1 45_1 528 233Ju j ;:2k J6L1 u128 1 N C 0 m FIREPLACE Li X I C= 100 31GO.0 3100.0' 100 31Ju Y SA E D APPRAISED VALUE D J A 123.00C A u PARCEL SUMMARY T S LAND 26800 A T SLDIGS 96200 M C-IMPS TOTAL 12300C F E N I N CNST A TN DEED REFERENCE Typ. DATE R«o o a P R I C F{ YEAR VALUE - BOOk Page Incl. MO. Yr.(� Sales Price ! A N D26800 T S �J'6/017Al' 1r'Jii/94 109000 OLDISS 96206 u 34;3 252 I:05/3 2 68900 (TOTAL 123000 R CIJ1 / _-I1 20000 E BUILDING PERMIT E S T I M A T E D-8 3 S Number LAND LAND-ADJ INCOME I SE SP-SLDS FEATURES dLD-ADJS U�iITS Del. Type A.-, 26600 32900 Class Consl. TOj,' Base Rate Atl.Ile r B II A Norm, Db$V, Uni!s Unils I Ace 1 9e De, Contl. CND Loc %R G Rep' Cost New Ad, Repl Value Slon Heigh! Rooms Rms Ball19 a Fia. Penyw.11 Fe<. O1C 0J0 110 110 59.40 55.34 82 82 12 (89 100 89 108-394 9620J 1 . ? 7 4 1 .1 5.0 Des,,peon Rate Square Feet Repl.Cost MKT.INDEX: 1 V G IMP.BY/DATE: / SCALE 1/G V.O 0 ELEMENTS CODE CONSTRUCTION DETAIL S 6AS 1uJ 65.34 1008 653b3 6 c S N 1c FAMILY DWELLING CA "v' FFG 30 19.60 336 6.586 *---12---*N T 3TYL_ U2SPL.IT LEVEL `. FWD 35 3_SO 120 1020 -- ------- -JI --------------- ! f'WD ! R 10 10 DESIGN -Ad J1 D SIGN ADJUST 5.0 UFO 60 39.20 44 1725 t.- --- ----------------- U t I cATcR..IALLS ;�T'1JOD FRAME(? C ALA7/AC TY?'c J3 - --7--- ---------- -� T *----14----*---12---*------42---------------* IN TEA. A;I-SN -JU ------- FFG - -.- -- ---��- _ LECTRIC ! ! I-J--c 1--- ------------ uu t .L.3YJJT JT- ------;r.� I ---------------fl7ER:�-JRLTY- -U2",ANit-AS -txTER_ �-C _ A W! ! FCJu 1 S TsKO?T Jll - -- -L L D Tolal Areas Au• . 456 Base= 1008 ! + I ---- RUOF-TVY[--- -Ju --------------- BUILDINGDIMENSIONS 24 24 6+ASE 24 tL CC rR-1 LAL___ _Gcr ------------------ r T SAS W42 N24 FFG W14 524 E14 N24 FUf.,1AT1-uv- — Ju - _- ---- FWD N10 E12 510 W12 .. SAS t -------------- - _-- ! � E42 S24 L ! ! ! LAND TOTAL MARKET PARCEL 2630E 12z000 *----14----*---------------42---------------X An=A 10c,5.5 VA2IANCE +0 +112.3 STAJDARD 20 U� RESIDENTIAL PROPERTY MAP NO. LOT NO. FIRE DISTRICT SUMMARY STREET Glenee4e Drive Centerville 73 LAND - .139 C-O BLDGS. OWNER TOTAL c RECLAND ORD OF TRANSFER DATE BK PG I.R.S. REMARKS: p y ��� 7� BLDGS. O1unariL -- TOTAL ene �a *, •A aC LAND ee-�►`.-- - - 3 2 72-..-1.767.. _�.26 �- ... BLDGS. TOTAL — LAND /.Sea' Col ony•Home&, Inc. 1-30-81 3234 69 . $10,0 . 0) BLDGS. i r Y TOTAL alPeiy�� LAND BLDGS. v e, o./ TOTAL LAND BLDGS. TOTAL LAND BLDGS. — TOTAL LAND INTERIOR INSPECTED: BLDGS. TOTAL DATE: LAND ACREAGE COMPUTATIONS BLDGS. LAND TYPE #k OF ACRES PRICE TOTAL DEPR. VALUE TOTAL HOUSE LOT y LAND CLEARED FRONT — BLDGS. REAR TOTAL WOODS&SPROUT FRONT LAND REAR OI BLDGS. WASTE FRONT TOTAL REAR LAND BLDGS. TOTAL LAND Q) BLDGS. LOT COMPUTATIONS LAND FACTORS 7 TOTAL FRONT DEPTH STREET PRICE DEPTH% FRONT FT. PRICE TOTAL DEPR. COR. INF. VALUE HILLY TOWN SEWER LAND ROUGH TOWN WATER BLDGS. HIGH GRAVEL RD. TOTAL LOW DIRT RD. LAND /9�Z• /39 w►SSACHUSIMS UNIF9,," Asp;j-4 �, 1► , ;. �n 1+Q f TOWN 0! SARNSTAl11.6 2 Hysonis, Massachusetts Permit '1. Building owner P '— • AL Now(( Mnovation ❑ "pl,uoeme.nt Plans S,uboitted Yes ❑ No Q s , .. w as OYMtt11T. AA a ^w tAttMtNT �; ' ttT FLOOR i. P� r;� O , 208 FLOOD x ! 7777 F,. r" sao FLOOR 5 - s tTN FLOOR 1TM FLOOR „ f OTN/LOOM y �+ TTN PkOOQ a c:. : OTN FLOOR 771 Pc roe) ;nstalli ►p Colspy Naao ��rn`. S Y Mdre}ss dew, a 5 astl ;sl)iP H •usinoas Teophgno r7"2/ 7 S/6 o o 4acogt �� P �alittar.,. , i bus"may ert so.f as Mbb/N bb". 04 I bg",Wm "(M.wMw/►,M,�Mn/MYINIni w,'I,w 4.aww N she MM/f ssI NMoWp/M ass so*Mir out s"bm bgw WfommM v"W hm* INM�1��/Y rt,llirrAiwlM IN11 Oss i�/I11,i>�1�N>f � 1 have Informed. 'ths owner or his tyegtthet l dD t Y 1 Insurance Igcludin� eompleteo OP!TV":°C!►ver" Signature Of wner. - pn, 1 have a current Ilablllty Insoren" policy to; Nlclw dons TYPE LICEN$61 Oas`t+i,ttos-/ mL=iijnatyro'of Lloonsed City/Towns Koster Il �r .qae. Os tittos APPROVED IOPPICt Ytt ONLY) • Joysne�n l- O j