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0032 VALLEY BROOK ROAD
� it �� � � � ��� ---J F O e l G o —_I i i 0 II II I y Ilk af; Lj).7106 V of r Town of Barnstable *Permit# 3 0 P� p Expires 6 wondhs from issue date Regulatory Services Fee /a i639. Thomas F.Geilerb Director �0 Building Division Tom Perry, Building Commissioner 200 Main Street, Hyannis,MA 02601 �.P Office: 508-862-4038 aS Fax: 508-790-6230 APR U EXPRESS PERNIIT APPLICATION - RESIDENTIAL Q= 4 2006 *` Not Valid without Red X-Press Imprint vivOF t" la /PP arcel Number - I • Eq,�NSTgBC� roperty AddressrJ I I e a16 esidential Value of Work'"_ G d D Minimum fee of.$25.00 for work under$6000.00 )wner's Name&Address Itj ► _el ✓i Yl 2la Ao IU ;ontractor's Name VYI� 'e�UdC�'S Telephone Number come Improvement Contractor License#(if applicable) -3 ;onstruction Supervisor's License#(if applicable) ZYro'rknaes Compensation Insurance Check one: ❑ I am a sole proprietor ❑ I v2 the Homeowner [ ve Worker's Compensation Insurance nsurance Company Name f.A.) Workman's Comp.Policy# .opy of Insurance Compliance Certificate must be on file. 'ermit Request(check box) ❑ Re-roof(stripping old shingles) All construction debris will be taken to ❑Re-roof(not stripping. Going over existing layers of roof) ❑ Re•side R [✓] Replacement Windows. U-Value (maximum.44) *Where required: Issuance of this toes n �tianct with other town department regulations,i.e.Historic,Conservation,etc. ***Note: Property Owner must sign Property Owner Letter of Permission. Home Improvement Contractors License is required. >ignature 2:Formvexpn*g Levis6063004 gM A.M. FOR ATE I� TIMEZ& �.M. M PHOREECi� [OF �. �7 #�ETUFINEl7 PHONE / <44 Yt31lRGALL AREA CODE NUMBER EXTENSIO - M ESSAGWe O R To IS16NEO �niversal 48003 - - z - o i _ m co j l ! t r" r � ' of ,E, � Town of Barnstable 1* Regulatory Services �s ASS Thomas F.Geller,Director 16 Ate. Building Division Tom Perry, Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us office: 508-862-4038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using ABuilder I, a ,�L �t N , as Owner of the subject property —M ,�► _ to act on my behalf, hereby authorize:'. in all matters relative to work authorized by this building permit application for. 3 2— O al k-e �D (Address ofjob) 3p 0 G Signature of OwnJr Date Print I'Tame ' i ....•naa.re.n4trapR�FR7�iTCCTCIN License or registration valid for mdividul use only zcvecz/i i -_ . _. ��/�aaaaclucaeC� before the expiration date If found_return to:- Board of Building Regulations and Standards Board of Building Regulations and Standards I HOMEIMPR9VEMENTCONTRACTOR One Ashburton Place Rm 1301 G Boston,Ma.02108 f Registration26893 i � �Exp�rat on 8/3/2006 Type Supplement Card THE Home Dep6i,,, Home Servic DAMES MARTIN JR 4 Not valid without signature , Q3200 COBB GALLERIA PKWY#20 I HtIANTA,GA 30339 -"" 1 Administrator I Mf8#863 063-A-044 07-75 DH L RC 6500 Renovations Double Hunq - Vinyl Argon/Low E SC NdOr ai fteshdon DS Rating Courd •EmUs wM onywqwdrjccftftIwmaW9ftftk rw cd1-800-746-6686 ardOmmn.web a8e ate 0 . 33 0 . 27 T0 . 44 0 . 31 0 . 29 0 . 47 �91► .t�RCara �rafa�iseZa� I cosandc ctsiats. Central sou h Wt Qualifies for Energy Star Region(s): IJorthern, �. Centrals souwwcn DP'. 5 0 IIM: IMIN oo/Ganes DS/*H-R50 Test size: 36 x 60 Order 0481965070001 50537 B3 r q TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel-l' e 3�' Permit# E� 7 �.�3 Health Division �'2�1-02 $Z-392 Date Issued A9 3 0 2 Conservation Division / 4 Fee J60 s Tax Collector- Treasurer (� Y SEPTIC,SYSTEa1 MUST BE ' Ok INS?AGED IN COMPLIANCE Planning Dept. VVtTt>;TITLE S /%��0 2 Date Definitive Plan Approved by Planning Board ENVIRONMENTAL CODE AND TOWN REGUUI-ONS Historic-OKH Preservation/Hyannis Project Street Address ) Village i 1 Owner ,AV\_ Address Telephone 6negin Permit Request �� c�wi.�. - t 3 7( 16 Square feet: 1 s©t floor: existing proposed 2nd floor: existing proposed Total new C> Valuation oo Zoning District Flood Plain Groundwater Overlay Construction Type IO F94A-,Q Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documer%tition.J Dwelling Type: Single Family Mr�_ Two Family ❑ Multi-Family(#units) Age of Existing Structure Historic House: ❑Yes UlNe- On Old King's Highway: YYes = � a Basement Type: UW--4--❑Crawl ❑Walkout ❑Other W Basement Finished Area(sq.ft.) 6 dQ Basement Unfinished Area(sq.ft) CEO r' !E C.3 M Number of Baths: Full: existing new (M Half: existing — new 0 Number of Bedrooms: existing new c� Total Room Count(not including baths): existing new o First Floor Room Count Heat Type and Fuel: � ❑ 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 L.4o If yes,site plan review# Current Use c Proposed Use BUILDER INFORMATION Name o _ ��Q, Telephone Number Address P License# ©` 3 5-5-6 r - Home Improvement Contractor# Worker's Compensation# % C �? �W, SdS ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BETAKEN TO W SIGNATURE te� DATE 1 —,-� 6 -0L FOR OFFICIAL USE ONLY PERMIT NO. I' DATE ISSUED MAP/PARCEL NO., } • t ADDRESS VILLAGE ` OWNER t DATE OF INSPECTION: - FOUNDATION r 4 FRAME i O^-LZ- Z ' INSULATION a k - ` FIREPLACE r, ELECTRICAL: ROUGH 9 FINAL , fri PLUMBING: _ ROUGI C35 FINAL n GAS- ROUGO FINALAd _ FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO r - r' • i • UA • ' G arcIT r r °F IHE T° The Town of Barnstable BAMffr"M� Department of Health Safety and Environmental Services 1659. Building Division 367 Main Street,Hyannis MA 02601, Office: 508-862-4038 Ralph Crossen Fax: 508-790-6230 Building Commissioner Permit no.. . Date AFFIDAVIT HOME IMPROVEMENT CONTRACTOR LAW SUPPLEMENT TO PERMIT APPLICATION MGL c. 142A requires that the"reconstruction,alterations,renovation,repair,modernization,conversion, improvement,removal,demolition,or construction of an addition to any pre-existing owner-occupied . building containing at least one but not more.than four dwelling units or to structures which are adjacent to such residence or building be done by registered contractors,with certain exceptions,along with other requirements. (\ A Type of Work: � Estimated Cost dr Oo 0 Address of Worl:: 3a VU �`"� (l.ol PA, Owner's Name: Date of Application: I hereby certify fiat: Registration is not required for the following reason(s): s ❑Work excluded by law ❑Job Under$1,000 []Building not owner-occupied ❑Owner pulling own permit Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE ACCESS TO T'HE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c.142A. F~ SIGNED UNDER PENALTIES OF PERJURY I hereby apply for a permit as the a nt of the owner: ~: . Date.; Contractor Name Registration No. . g - a s.. OR Date Owner's Name -0 q:forms:Affidav The Commonwealth of Massachusetts :_•�„ _�� Department of Industrial Accidents . Office 9110 restigatloris -�¢ -� 600 Washington Street Boston ass. 0 M 2111 Workers' ComTensation Insurance Affidavit ''/�'/"n�`cari"�"t�a�""ar>ti!�%/////%%%%�%///%%//�%%�%�///%%�pf�"�3Et�i�:""�','t'�".�"EiY�%%////�%�%%%///%��////�%�i/%%/�%%���/�%�///�///�'/'"`.• pp name: location: 3 a— city 03�— phone# 9;z ❑ I am a homeowner performing all work myself. ❑ I am a sole p?ner�nd have no one tivorking in any capaciIamanmplrpding wo++rLLkers' compensation for my employees working on this job. companv name: �h y... address: city OSTP,I/ILLE L-) phone insurance Co. M AL4 nnlicv# T ////////!/(///.lvi%//////.l!/////////////%////////.11✓�k'///!///////////// .1///////.!!////.Gill✓//.(//!//!//////G%/// /%////% %i/.://i,,,: ❑ I am a sole proprietor,general contractor, or homeowner(circle one)and have hired the contractors listed below who have the following workers' compensation polices: companv name: 4. address. city: phone#c msarnnce cn. :.:.: ...::..: :.... comnanv name- address- city. phone Insurance Co. :....:.:;::: ... olicv# Failure to secure coverage as requited under Section 25A of MGL 152 can lead to the Imposition of criminal penalties of s tine up to S1.500.00 and/or one years'Imprisonment as well as civil penalties in the form of a STOP WORK ORDER and a tine of S100.00 a day against me. I understand that a COPY of this statement may be forwarded to the OMce of Investigations of the DIA for coverage veriacation. 1 do hereby certify under the p and penalties of perjury that the information provided above is trues and correct Signature Date Print name 1 c 6`E(� 1�Q y}coC Phone N 6 Z 0 5 Fwact y do not,write in this area to be completed by city or town ofIIcial permit/llcense# ❑Building Department (:]Licensing Board immediate response is required ❑Selectmen's Office ❑Health Department : phone#; ❑Other (mwo 9l93 PJAI , f RESIDENTIAL BUILDING PERMIT FEES APPLICATION FEE ry �. New Buildings,Additions $50.00 0 �Alterations/Renovations $25.00 Building Permit Amendment $25.00 FEE VALUE WORKSHEET NEW LIVING SPACE V square ee x 96/sq.�foo -- >120s from below(if applicable) ALT ERATIONS/RENOVATIONS OF EXISTING SPACE 600 square feet x$64/sq.foot= x .0031plus from below(if applicable) ACCESSORY STRUCTURE>120 sq.ft. sf-500 sf $35.00 >500 sf-750 sf 50.00 >750 sf- 1000 sf 75.00 >1000 sf- 1500 sf 100.00 >1500 sf-Same as new building permit: square feet x$96/sq.foot= x .0031= STAND ALONE PERMITS Open Porch x$30.00= (number) Deck x$30.00= (number) Fireplace/Chimney x$25.00= (number) Inground Swimming Pool $60.00 Above Ground Swimming Pool $25.00 Relocation/Moving $150.00 (plus above if applicable) // 00 Permit Fee projcost - 9 °' � ` �I ti� ✓�ze �omvrrcaruuea�i a�✓�aa:sacf uoeCla `• BOARD OF BUILDING REGULATIONS €'• jLicense: CONSTRUCTION SUPERVISOR F _Number CS. 043556 F' 4 ss, �1 Expires, 12/13/20Q2 Tr.no: 4782 F.) f ,y Restricted To 00 ` SCOTT E CROSBY f. ji 62 CROSBY Cl . {; OSTERVILLE, MA 026.55 Administrator' ��ie Coan2�rrcoruuea�i a�✓�CCu7Gar,�uQP,�`d Board of Building Regulations and Standards HOME IMPROVEMENT CONTRACTOR Registration:_131378 Expiration: 07/13/2002 Type PEACOCK&CROSBY BUILDERS, SCOTT CROSBY 1112 MAIN STREET UNIT 7 OSTERVILLE,MA 02655 Adiniuistrator f �- �� �v w � -�- Vv �\ C-- � �x �' � '�; ��. C/r. !" (�' - THE►�,� ,- - The Town of Barnstable BAR.ASS.LE.0 MASS. � Department of Health Safety and Environmental Services 9 039• �0 pfEOMP�"• Building Division 367 Main Street, Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 PLAN REVIEW Owner: 0#,14 y N Map/Parcel: Project Address:3-2 il#ury-b° ot� Builder: f 3r'VCvck 64-d-Tay ��D9QS The following items were noted on reviewing: �� nr /O�5Ff/t/S /V r1z 1--r o'V SY s7-,f-,Iw - /V, 3s` C' ,q• �,�-s it re /�,e / C/A/r Reviewed by: G? Date: /D b;' �. q:building:forms:review �, ,. _....:..✓-..:....4,v-ti p.,r..:..r,.r•�..:,.s.-: a. � 4. ii ._. ry .. _ "Tii-WSs.c-+""�y.,,r,� ,+7,�e,,.F�vr..".-M.-.r+ .oF1HE, � The Town of Barnstable o� BARNSTABLE. Department of Health Safety and Environmental Services MASS. 039. �0 prfD,�n+0, Building Division 5' 367 Main Street,Hyannis,MA 02601 Office: 508-790-6227 Ralph Crossen Fax: 508-790-6230 Building Commissioner Inspection Correction Notice Type of Inspection R t— i ft Location i 2 lh. .( Q A Permit Number -4 1.4 7 Z 7 I Owner One notice to remain on jobsite, one notice on file in Building Department. The following items need correcting:` j uulrv\ I r�q uw xc, G"rr %Q'ANA_ � ,1`2 I .S r1�A L' ( _ 0 SA G l� 0) - U Please call: (508-8_622--40-38 for re-inspecti'Un. Inspected by Q) Date .s.-rn:-. .r-i^r--`e. ...y,.,1,�.ram+y•'�""^.... +-,� f,..-c, . .-.�...,R;M+��`Y„'�"'�`"W`"aY.`."�.,.:rf'f;�.'rj`-�'Yr}9!^"a: 3s 1.-X�.+'✓r.�/t'+.Sy�-+Ywiy.vw.+n-.i"^v�..�+""`Y.,.+.../�+vY"".'.iti'"11�"`pFtMEip��O� The Town of Barnstable AYE. MAC. ' Department of Health Safety and Environmental Services � p y i63q' �0 '. pjF1639. Building Division 367 Main Street, Hyannis,MA 02601 Office: 508-790-6227 Ralph Crossen Fax: 508-790-6230 Building Commissioner Inspection Correction Notice Type of Inspection F ;'Zj\N1 Location '?Z Wr;l ic. 2� CLMA Permit Number Owner Builder One notice to remain on jobsite, one notice on file in Building Department. The following items need correcting: r ! r L O'l A �Y (OJ r- �> Y C,)C M t h-)( �o r (0 1 0 Q {7 C�.n f �;f G S ✓\ Z) ./ ��U t c� Y 1 1 Please call: 508-862-4038 for re-inspection. ,. Inspected byil(~) ,n AZ-A,6 Date "Id Y *Permit tHE Town of Barnstable 9/D �pF Tp # hP p� Expires 6 moniksfrom issue date HAMSTABLE, : Regulatory Services Fee r , ' �� Thomas F. Geiler,Director �Eo MAY Building Division Tom Perry, Building Commissioner 200 Main Street, Hyannis,MA 02601 Sep 9612 � 'r Fax.c 508-07906623038 �O�N O,ce� 002 EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY'' - �l?L- N S Not Valid without Red X-Press Imprint Map/parcel Number Property Address J v � h E�Xe'sidential Value of Work Owner's Name&Address VaSj Z,�� 16( Contractor's Name ���+ Telephone Number 7� Home Improvement Contractor License#(if applicable) 3 79 -Construction Supervisor's License#(if applicable) orkman's Compensation Insurance Check one: ❑ I am a sole proprietor ❑ I am the Homeowner ❑ I have Worker's Compensation Insurance Insurance Company Name �( Workman's Comp.Policy# 7C49 S`60 0- Permit Request(check box) e-roof(stripping old shingles) All construction debris will betaken to U14V, ❑Re-roof(not stripping. Going over existing layers of roofl ❑ Re-side ❑ Replacement Windows. U-Value (ma ii um.44) ❑ Other(specify) - *Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. Signs tune _/- Q:Forms:exprimtrg Revised121901 TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION 1�a �� q / .Map_ ' � / Parcel Permit# 2 l 5 �Health Division '� 2s��2 w 252 Date Issued Conservation Division �� -74�-1®';t- Application Fee Tax Collector ( r � �l Permit Fee Treasurer '— 45- d e s eSEPTIC SYZ 2E, Planning Dept. INSTALLED IN COMPLIANIC. Date Definitive Plan Approved by Planning Board VVITIH TITLE 5 ENI/IRON MENTAL CODE ANIL Historic-OKH Preservation/Hyannis Tf)MI RECLILA70NIS Project Street Address Village � ���/ / Owner/ �' N Address Y-2 V4//.�✓6,�ro/�� eJF441 ai o-= Telephone Permit Request /6 zf c: Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation,�.S��� Construction Type Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family JX Two Family ❑ Multi-Family(#units) Age of Existing Structure is ✓A0!g&J Historic House: ❑Yes No On Old King's Highway: ❑Yes �No Basement Type:XFUII ❑Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) :;G Number of Baths: Full: existing new Half:existing new Number of Bedrooms: existing ne Total Room Count(not including baths): existing new First Floor Room Count Heat Type and Fuel:XGas ❑Oil ❑ Electric ❑Other Central Air: VYes ❑No Fireplaces: Existing _ New Existing wood/coal stove: ❑Yes A No Detached garage:❑existing ❑new size Pool: ❑existing ❑new size Barn:❑existing ❑new size Attached garage/4existing ❑new size Shed:❑existing J new sizele�-is-' Other: Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes /*No If yes,site plan review# Current Use Proposed Use BUILDER INFORMATION Name G iA2 �'l �jS� Telephone Number Address k fa;/��, License# Home Improvement Contractor# Worker's Compensation# ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE S i 4 r FOR OFFICIAL USE ONLY 4 n !j PERMIT NO. DATE`ISSUED i r,� F'MaP/PA EL INTO: r j f! r I Xy `• ADDRESS._r - 'f -VILLAGE ;" OWNER DATE OF INSPECTION:` FOUNDATION f FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL t PLUMBING: ROUGH x FINAL GAS: ROUGH' 3 FINAL FINAL BUILDING = �` DATE CLOSED OUT r, ASSOCIATION PLAN NO. 3 °F'THE r° Town of Barnstable ,Regulatory Services - BARMSPABLE, ' Thomas F.Geiler,Director 9 Mass. g `�ArE 639. m Building Division Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 Permit no. Date J AFFIDAVIT HOME IMPROVEMENT CONTRACTOR LAW SUPPLEMENT TO PERMIT APPLICATION MGL c. 142A requires that the"reconstruction,alterations,renovation,repair,modernization,conversion, improvement,removal,demolition, or construction of an addition to any pre-existing owner-occupied building containing at least one but not more than four dwelling units or to structures which are adjacent to such residence or building be done by registered contractors,with certain exceptions,along with other requirements. Type of Work: Estimated Cost 270 0 Address of Work: Owner's Name: Date of Application:rSa 0-2-- I hereby certify that: Registration is not required for the following reason(s): ❑Work excluded by law ❑Job Under$1,000 []Building not owner-occupied Owner pulling own permit Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c. 142A. SIGNED UNDER PENALTIES OF PERJURY I hereby apply for a permit as the agent of the owner: Date Contractor Name Registration No. Date is Q:forms:homeaffidav _ The Commonwealth of Massachusetts R -- - Department of Industrial Accidents Office 01n�esti9atia�s . 600 Washington Street Boston,Mass. 02111 Workers' Compensation Insurance Affidavit name: •.. location: , hone#. ,C 7S •I am a homeowner performing all work myself I am a sole r '-,tor and have no one workin in ca aci�y �� � � �� t��ob ///�////%%%///G�y///%%////G/%/.1%//.1///�/%/%%/ com ensation for mY ° n is Y:Y};::<.,,.�:'•.F$%•'!#%♦'•••''•:':'•`;`: :t"`: ': ;'';";'> ' workers p dm :{.Y:!n,•::f:2x:`�:<@'•$::;:�,:<x{.nnb::x:i:>.};24::•:}':•.r.a:.Y'•}:•:':4%•:.;..}:,Y:?:::>:s:;;•:::^--'F:,?.:...;:.;�:},>.;};;: m an e I a /�}� 1 er_ rovi g :.v<:F:};;�:;:4:.L:r<:;:}rig+<:.:.,..>..r:: ..{r.r.i.::,...::..:.::::.:.: r-.{r.�...:n:.r.$..{. :.}�:.x,..,:..:n. ,:{.r v, y'•?+n}}:�:#inr... n:Y.:.:...N.!:•}:.:.3,..:.v.... .y}>v.L; p Tn1 ........ ..:n•:..:::.,.:{.Yt;{.:4}{4 }F>::F><:}.r....r ::::::::.}:L:..rr:.!.:::.. :}r:J!n:::..} ,.t.. 0:2 } ....r;?.:}. .........F.....r..:....:....>...............r... ......... .. ..t...r.;.n....�.n.. ...r.,......:....:::.::.t•.•:x•..,..:........,i:......:}:{'::":.},:,}••]Fii:::).y;:::...F3:v:,.n,}.:y:;`4:e:>.:r•:...•. ♦ .... ....r.v.. ..r.:::r�:::?:..t,.:::.,... :..:::::::.:.t..::::.in•:. ............:v}-ti,•:.: :..;..:.v:.v:...,..v:•:::::�:•:..;...:•::::.t• ::k,•: ..{•: .... ..«.t..............::. ...r......n. ........................ ......... ...r.....F..... ....v....r...............,.........,...:..,....,???•:r•<�.i:`L:-Y)):•})-..r.r..y;.;}•t • ,rr..,.r..:.........::........... .............:.:...................,.,.:..;........;....r..........}.;.....,..........,.i...............;............vv....... :::1...} r::+:}i:.::vY.•::}S}i't� ....... ........ ....r.. .......r.... .r........ .........r .t..;.., .....r.. .......n. .t... ... ...,r.,..... .....::.r........ ...;:,..n•::.,::•:rr..t•::n••.t..:.-.ir:-.�?t+i5 ••}3^:.:?•:c.i}iY: ...:..4::.......,•::.., ....::.n...r:....::•:.n......••:;:r......r.::.:........t.v. ......r.-::..{.. , t.r.•:::;}.;:•;........... ........ ...... .R.... n.....n;• .....:. .. ....r ...r... $n.,..... .l.;}•:»nv..•a::•:.v: v..:.v::::v.•;•h:?•}}}}}:};;.;:ytii{i•Y:'i:?;n;,•, ..... ..... n.... .n.r.,}.. ...... .... t ...........xw:.....+ vr::v....v..n•::,:•..-:v.......:..^.,v].:.........}.n..}.....!. r:.. :. ... •:.4i: .,?•::..;;..} ..::•n•.v:.v:•:;,v;:+{•nt'••vv•;;:;•vl v.::•x.....v:::Nr.;:row•:::.• ,....n.o..•:.........•...........n.v..r........... :«........• ..:...,...�::{t:•.:v:.....:::::n•yr,..:....::h.... v..Y{{v:.;i}.ti{!.:v:::.vn,w::n;;.}•r,::• :rnv:,,.....,.•.. �.:n;iv:?•}.nv.r••:o••:n•::;•r..•::::::in......r.... ....::•v.v:;;:nv;::::.}}:?•?:•:4`}:•}}::?•}'?F:}:"!•::-nv... •.::•.}}:'.,{::;:ti .:}:•J::;i:{;.)':;Fi2 - ..:....:.. ..........r.,.. :.............:r:::n•.......,•:•:::...........:::. i:.... ♦•;+:+>::::;:::rlw}:#•{.rrr.:Yt}:•:,!},•.,•.�:;:i,Y,;{:�FY:�?V:kt•:i: ;?.v;?t:Y,.•r3r:` I sn .tt ..:............r..::.r::l.n.. r... :::.r:;::Y::i•.:,.....x.,.:-:t••:::%:•:$:r•:••::.v:•.;:.r:: .}..; ;.. .t� .......:;••...n.,....• ... ............ .. r....:..v..' ...,. n.v.......n::•:.vxo...:..... r::•.;:.v:.4.v•:{:Lti:i::v>:i:+•Y::.,.a•:,l'rrii$\{•ri+i4}:•?}}Y.:. .}t•:.v};v:j•:i.y.:?.•;:}vF'r':{{;•:rv......•. v..}... .,4 kxnv::•::• ..�.:v }: .............v:.v:::::x:::{rrx„?•::4::{..n:•i.4:::::::'+t??:4:{•}:nv.{v:{v:•-vn,,,}:::,:::r):•.n.... t:• .. ....... ....:.... ........ :..,......... ...... .♦...... ;.♦ ..... .. ...:n...:.:..:v:..;.{...,......:•:%?•i Y):4:•.,.v•:4:r:4:•}n .v ,?{i,�}'!.n.{):?... ^:{:}Y..Y..\..•}:F:t"� 4.liryi•�•:-}:{b::i�. .......:.........::........:.vr.:.....r:,r:+....,........r•.:......\...v...r...n..:)r...Y..v..:•......, ..rn•...C..........:•.........r..:•v},:. v......,. i>..!,.... ..'t ........... ..:...l...?...n....n. ....... .......x........r...... .r...:.n.... ,.......^f ....x. .....}...., xv:•n•::w:.o}.:.}.}:;.}•. ...... ...r... ....,.... .n....... .......t... ..r..... .t..... 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Failure to secure coverage as requiredunder 5ection25A bf MGL 152 cahlead to the imposition of crlminalpenalties ota 8nee. to dersf.00 and/or one years'hnpriyotunent ns weIl as dvIl penalties in the form of atipna otthe DU f rc o nge One Of$1on.00 a day against ma I midersf�md that a' eopp of this statement may be forwarded to the Office of Tnvestig - I du hereby'certifyunzerthe-pains-and-penaWes-of-perjury•that-the-information-pr-ovided-abnve_is-iu cnd correct - Date t �G[/ O V Signature ,�. .,. ,. , :�' •,,..•. •'' 7�S"���% j Phone name omcial use only an not write in this area to be completed by city or town offldal permitUcense# [3Bud1d1n9 Depar*nent dty or town: ❑Licensing Board ❑selectmen's Office ❑checkif immediate response is required OHealthDeparbnent ~ -(3Other phone#; contact person: r..vi...{f 9/95 PTA) Information and Instructions Massachusetts General Laws chapter" section 25 requires all employers to provide workers' compensation for their employees. As quoted from `law , an employee is.defined as every person in the service of another under any contract of hire,'express or implied, oral or written. , association, corporation or other legal entity, or any two or more of An employer is defined as an individual, Partnership, 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 groudds 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, 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. =Y.'.� r.•. /,,'/%4 /r /� / Applicants Please fill in the workers' compensation affidavit completely,by checking the box that applies to your situatian'aad supplying company names, address and phone numbers along with a certificate of insurance as all affidavitsay m be submitted the Depattament of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and '� date the affidavit. The affidavit should*be retained 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"•o �i£.y4u arc required,to obtain a workers' compensatioh policy,please cill;'ttie Depaztaierit at the number listed below.: City or Towns ,:•- complete and printed legibly. The Department has provided a space at the bottom o Please be sate that the affidavit is f die affidavit for you to fill _Investigations has to contact you regarding the applicant. Please out ixtthe event the Office of Investig Y , g � PP , ` umber whichwil]be'used is a refeieace number. Tlie affidavits racy�i'e'rtq b e sure.to fill in the.p emutfhcense ri _ - : .... the Departmenttip'mail;o FAXiinle'ss other arrangements have beenniade. .., ,- .n, .. .. . .•.i .. The Office of Investigations would like to thank you in advance foryou cooperation and should you have,a_nY9uestions, . please do not hesitate to give us a call. The Department's address,telephone and fax number: ~ The CCommonwealth Of Massachusetts ._Department of Industrial Accidents . amce of Investigations 600 Washington Street ===° Boston,Ma. 02111 fax ff: (617) 727-7749 phone Ph (617) 727-4900 eat. 406, 409 or 375 ��'R • S theChatha� Loff 1 t By increasing the too pitch to • steeper this is the perfect style for the k WO pac rat, The lofts provide storage space for small • seasonal items such as beach chairsand-h6ses, etc-.. while maintaining-optimal- l: t6 " t % y qq • • Gr F cz _ t jegr L �'rj� i x* u 1 n 12x14,Loll /optional 4'door t T, ,.. ;0 1 � ,t, Wr�t 191 11 1 1 :9111 t „y :I<�ur}k ��)� FFitc hx �1 0 x- i12k� r3 $3311 11 1Ox16 Loft W optional diffiblt doo12 pitch and larger sizes availaW. r s Price is,subject to change without notice. Price does not include 5%sales tax. the" Vikyard 'Overham '96 - When outside covered storage is as important as the inside, the,30", verha'n2off.theba-k y allow-s for firewood, kayaks, bikes,et&.... d m .Y•�C'a..*z�;;�.s'. .Lx A7 ..k n y e'er fi j}4. '"t �,9jy to be kept acces sible. vet covered:wi thout z,z�; s� s making..'the entire igger. The fli • • •• 1} is ) 4 Eng_ 15 for its S�ltbox looks. This 1611, sr S"aa k s y 1�;'-ZRK design has aYl2:roof pitch. i } 8A Overhang- opt�or at oul le door, b shingle siding & trim pack y 'w W #s 1 1 11 1' 1 1 `t43tyt ' 4 ' ��. ` •1 11 1 1 11 8x2 Overhang w/optional double doer, shingle siding& rim pack'.''. 0,00 I l� / I, = s I � �1. I� o r '3 `fi 'i II,O I I, i G i I +,I LOT i. I. i ;1 0 o A `;0TF PRE-E.IISTIA%G rbOV-00:bF0R,1ILVC :1';S: ZOrVE. 'RB" — -- 'Chis MORTGAGE. INSPECTION Plan is For —, - - FLOOD ZONE "C" Bank Use Onlv 4VN: _CEIV_TEIZ[%IEEE ___ -__- REGISTRY OtiVNER: R.1PH�IEL .C�f COIVNIE L EV4IVGELIST1 _ ' ;ED REF: __C'ERT 93770 -------BUYER: L)HAI�I E11�'/V----__ _ ATE: �� ------------- --=--- _%/1/Z92__-__------- PLAN REF: 8D SCALE:I"= 30 :_FT.' i HEREBY CERTIFY TO SORTH AIIERICAIV______.__ --- �` YANKEE SURVEY __ _}' ____ __ __ _____THAT THE BUILDING 'OWN ON THIS PLAN IS LOCATED' ON THE GROUND A PAULA. CONSULTANTS 1104VN AND THAT ITS POSITION DOES _ _ CONFORi\{ dMERITHM THE ZCNING LAWSETBACK REQUIREMENTS OF' 'i'HE 40B (SUITE 1) OF B�IRIVS_T.-IBLE AND THAT INDUSTRY ROAD DOES— Q—T _ LIE WITHIN THE SPECIAL FLOOD HAZARD f '* MARSTONS MILLS, MA. 02648 t F iEA AS SHOWN ON THE H.U.D. AIAP DATED_8_.''1 __, . lgNp Su TEL: 428-0055 ,:.)IHnunity-Panel �y 250001 0015 C _ _ FAX: 420-5553 THIS PLAV NOT \L:?DE FROM AN INSTRUMENT 24312 JF �i;T).�c-V `:(1T' 'rO S-?F 1'Crr) Tr1P FT7"�.irT4Q FTC' ,1 Town of Barnstable THE Tp� Regulatory Services BARNSTABLE Thomas F. Geiler,Director y tKnss. $ Building Division Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION Please Print DATE: JOB LOCATION: �^ number street village F 'HOMEOWNER!': h'/l/ name home phone# work phone# CURRENT MAILING ADDRESS: city/town state zip code The current exemption for"homeowners"was extended to include owner-occupied dwellings of six units or less and to allow homeowners to engage an individual for hire who does not possess a license,provided that the owner acts as supervisor. DEFINITION OF HOMEOWNER Person(s)who owns a parcel of land on which he/she resides or intends to reside, on which there is,or is intended to be, a one or two-family dwelling,attached or detached structures accessory to such use and/or farm structures. A person who constructs more than one home in a two-year period shall not be considered a homeowner. Such "homeowner"shall submit to the Building Official on a form acceptable to the Building Official,that he/she shall be responsible for all such work performed under the building permit. (Section 109.1.1) The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other applicable codes,bylaws,rules and regulations. The undersigned"homeowner"certifies that he/she understands the Town of Barnstable Building Department minimum inspection procedures and requirements and that he/she will comply with said procedures and require � , ature of caner f^�� O� Approval of Building Official Note: Three-family dwellings containing 3 5,000 cubic feet or larger,will be required to comply with the State Building Code Section 127.0 Construction Control HOMEOWNER'S EXEMPTION The Code states that: "Any homeowner performing work for which a building permit is required shall be exempt from the provisions of this section(Section 109.1.1-Licensing of construction Supervisors);provided that if the homeowner engages a person(s)for hire to do such work,that such Homeowner shall act as supervisor." Many homeowners who use this exemption are unaware that they are assuming the responsibilities of a supervisor(see Appendix Q, Rules&Regulations for Licensing Construction Supervisors,Section 2.15) This lack of awareness often results in serious problems,particularly when the homeowner hires unlicensed persons. In this case,our Board cannot proceed against the unlicensed person as it would with a licensed Supervisor. The homeowner acting as Supervisor is ultimately responsible. To ensure that the homeowner is fully aware of his/her responsibilities,many communities require,as part of the permit application, that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the last page of this issue is a form currently used by several towns. You may care t amend and adopt such a form/certification for use in your community. Q:forms:homeexempt �- '- 113 TLOCATION 3d SEWAGE PERMIT NO. VILLAGE i C INSTA LLER'S NAME & ADDRESS CZAE7761fl" Olal ,2LC IBUILDEIt OR .OWNER DATE PERMIT ISSUED DAT E COMPLIANCE ISSUED a d «( A � N9 ` -1 0 5T, t TOWN OF BARNSTABLE Permit No 2423f} . ------------------------------- Building Inspector cash •� SUL � — — �u rar a� OCCUPANCY PERMIT Bond --------------�------ Issued to ,James K. Smith Address Wiring Inspector �4 .� � �s� a Inspection date ems. V Plumbing Inspector Inspection date Gas Inspectors Inspection date 7 a Engineering Depart ent., Inspection date f��r _,Board of Health I J�l w�� Inspection date 0 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 AND IN ACCORDANCE WITH SECTION 119.0 OF THE MASSACHUSETTS STATE BUILDING CODE. k� (d^�t .•� ��,.r Building Inspector .�RNSIAB�E h�as�TOWN OF - BARNSTABLE '$3 SEP. 4 PM Zoning Board of Appeals ALLYN JONES SMITH Deed duly recorded in the Property Owner ' County Registry of Deeds in Book SAME ' _ Page , Registry Petitioner District of the .Land Court Certificate No. Book Page Appeal No. _ 12$3r Z 3__r.____.._ __ _SePLQ a .Z _ _ 1983 FACTS and DECISION Allyn Jones Smith July 19 83 Petitioner _____. filed petition on'. 19 , requesting a variance.15�for premises at in the village (Sheet) Centerville Of __ _ . __ _ .._ _____. _.__, adjoining premises of _ ._.__ (see attached list) Locus under consideration: Barnstable Assessor's Map'no. _?88 lot no. 4 Petition for Special Permit: ,E Application for Variance: E3 made under Sec. _ _J of the Town of Barnstable Zoning by-laws and See.-_ 10 _ ._�__ __ _ _ Chapter 40A., Mass. Gen. Laws for the purpose of .Petitioner seeks approval of construction within the ten—foot side card requirement. Locus is presently zoned in Residence C Notice of this hearing was given by mail, postage prepaid, to all persons deemed affected and by publishing in Barnstable Patriot newspaper published in Town of.. Barnstable a copy of which is attached to the record of these proceedings filed with Town Clerk. A public hearing by the Board of Appeals of the Town of Barnstable was held at the Town Office Building, Hyannis, Mass., at 7:20 _? K�'I. P.M. Aucni-qt 28. 1993 , upon said petition under zoning be-laws. Present at the hearing were the following members.: Richard L. Boy Frank P. Congdon Luke P. Lally Chairman Gail Nickerson At the conclusion of the hearing, the Board took said petition under advisement. A view of the locus was made by the Board. 1983-73 Appeal No.. . Page 2 of 2 On SEPTEMBER-:3;. .:_: 19 8—, The Board of Appeals found Attorney Richard- Largay appeared.for the petitioner who is requesting a variance to. allow maintenance of a -garage not in conformance with the sideline setback requirements at 32 Valley. Brook Road, Centerville in a residence C zoning district. Due to circumstances relating to the soil conditions, shape and topography of the subject lot (a .narrow. shape),, the contractor built. the garage to the house'on - the lot within five feet of the side -lot line. All other houses on the street are set back 20 feet from the road. in the event that the variance is not granted ,this would necessitate removal of the garage and this would then be the only house in a subdivision of forty homes that has no garage facilities. Attorney Largay felt the enforcement of the by-law would involve substantial hardship to the petitioner and the desired relief .may be granted without detriment to the public good. The Board voted unanimously to grant the petitioners a variance on the basis that the garage is already existing and that it is not detrimental. a Clerk of the Town of Barnstable, Barnstable County, Massachusetts, hereby certify that twenty (20) days have elapsed since the Board of Appeals rendered its decision in the above entitled petition and that no appeal of said decision has been filed in the office of the Town Clerk. Signed and Sealed this �...) � day of `''=r 19 p3 under the pains and penalties of perjury- Distribution:— Property Owner _ Town Clerk lloard of Appeals Applicant Town of Barnstable Persons interested Building Inspector -- i Public Information B ��� �� Board of Appeals �' y Chairman pEs1�N v �IIJ Crb.C-- fr7Q►MI►-Y - 3 6EORoQN► ,. .^ �J T ' , :.. F.lo GARBAGE (�R,It�IDE2 , DAII.�( ,FI_0W .: I10Y. 3 = 330G.Pr?` 5EPTIG TANK = 33ox15o% ---495G,P. R - U5E 100o GAS. D15Po5At_ PiT , v5E taoD Gt�t-. �. 4 - t�u • flS^ - S�DEYdAt,t_ AL2.Els - 1505.E 17,454 50TTOM AREA= Sa �F• 0 0 �� ' .. - Sa S.F• x I.o � . 5 o C�•P q: . - ` - � � V► �h : 1 : ` _ r l •'toTAl:.. �6.SI�N q-25 G.Pa - • ' .• `, � r.• .Q. , � N m '"ter TaTAL pA 1 L.�{ Fl-OIP! = 330�,PQ L. PG ZcoLATlog 9-ATE: . 1•'wA VAIN octtrE55 :.�f`.,. . � 32t �'A of M%u aAri. W ! BAXTER No.2i0.4$ !ONAI .p. i �. ,." ;.: . . a ... .. .�.. ... ..� ,.. .. !. -roP FND-'4" f 1000 . INv•GAU : V> goX Sfip T �. � V-- t pp0 INY .;d•S� TANK ., � (: GAL,.. L I E.AG N r : PIT- VI WAWSD 6TONfs JLJ SAAQ . , . • . . . , . GE1zTlF,1Gp . PLo-r' PLA►J � "' PRO F i l.� •• 1 SAt2l WO SEA•LE ScAt� �AT� Z 3 P L-A►.� R E F E IZE rat GE• , 1 GERTIPY THAT THE` oUt�`Jt'�TlOh1.5No�lN.. N6.26OW GOruMF>L%?5 VJITN-tHE AND -SSNI& ►GK 26RL)►R.�MEN`fS oF'TN� ."`'.T : i LA� Couc2t tirOcp.TED :W►TNl T 'E Goo C> .P iN �? pAT E ' 1'l 4-$2 sAwrI A.1`(E INC. RE61 SZ EQErO'I•A.N C 5 u V-V EYo�'S T4A15 PL&KI 15 NOT d>bd AW OSTE dlLtlea s N1AS$• '> I�5-['R.uM6NT 5�2vEY �'rHE oFF5ET5 6uou1,'D ''``. NoT 13E VgE.DTd p£.T�R.MI�E I..d•T'''�,.IN,6•�j i4PPt..IGANT ��W1l�i �L.. ��y Lesso/'s -map 'and lot number' ......... ....... ......... Sewage Permit number ...19-2--:_?qA................................. House nfimber ... ................................................. ................ r '�9� �' 00�6 L p�y,` an MU t 9' . 3 ANSTALLED IN COMPLIANCE �0war°r� j TOWN. OF BAATBLE *t;' ENTAL CODE A,ID TOWN REGULATIONS BUILDING 11SPECTOR . 5 1� ` Y d \ �VG�......V W�1�.1� APPLICATION-FOR PERMIT TO .......... ...`n�:T:............. .... .. ..................................................:.. • TYPE OF CONSTRUCTION .................. o amp . .. ............................ ....... ... `...................19...� TO THE INSPECTOR OF ,BUILDINGS. k The undersigned hereby applies fo'r 1a permit according to the following information:, , F Location ....:...1. :.:.::30 . .c \�..... � c� ��'...... .\ V...\.. — ............................................................ Proposed Use ............S A� ..:. - Ol M�..`!` 1..:. .................................................................. x Zoning District' ..... ,!?..1:.�i�.� ..................... ........Fire District .........: .1c:..v ....................................... Name of Owr' r ... mR.n.... ..... . .... .... Address ................ .n.S 't- .:........................ Name of Builder' ..:4�i,M ..... ... S.!....`.`.......... . .Address ....................................................... Name of Architect ................Address' :...:............................................................................... Number of Rooms .................... ........... ... ...Foundation ........... ..:... ............ Exterior .6 ... .................Roofing ......4.. .. may .. ................................................... Floors .......W. ... ............. . ......Ilitenor ............. .... :i; ............... Heating+ .. .. ..............................!........................................plumbing ........ .... ...... . ApproximateCost Fireplace .. �j� ..............� ........ .............................. ......... ,pp. ...... ..................................................... t Definitive I A Pan Approved by Planning Board -- ----------------------19----_--. Area � 1 ... Diagram of Lot and Building with Dimensions Fee SUBJECT.TO APPROVAL OFBOARD .OF HEALTH -;So aj'o / �( X 2- � to 1 r t 4 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 ... cvq—. ..�4......................................... SMITH, JAMES K. .i IV 24239 . 'One Story * :c -No ................. Permit for ............................... �L ......Sa.nle Family...Dwelling _ Location 3 0, 32 Va l leyb ook RC :........... Centerville................:... .......... r .� Owner .....James -K....Smith..... ......... .. � Frame � � ;� � • Type,of Construction ' YP ..................... .............. ............... ............................................. ............ 1 Plot ............................ Lot F................... r ` ' , . h July 22, 82 d Permit Granted µ t t Date of Inspection 19 , Date Completed :�14�..............19�� D F' i 4 N6 Assessor's map and lot number / .......................................... THE Sewage Permit number ...: .-.?. z_, t? Z BJS MAB& House number ..:�.�....:�.�'::............... ro rasa Y a p 039. \®0� • 4 , ��' �a gar°'' TOWN OF BARNSTABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO ��� '�- �z,�f`, 1 �Cl .....................•........................................................................................................ TYPE OF CONSTRUCTION ..................\^•1.:.1(-',A.......:k t !�. .-.......................................................................... .� .............:�:i. TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a pern-it according to the following information: Location ........ - � ?� �q 1,,..............................................................e 'A\ G \ ��. .......: � ......, ' (� � . 1 , : ProposedUse .................. ................................ .............................................................'.......................................................... Zoning District ....4. :?�..<l� '� *, O ...............................Fire District C�F'1 �.. Name of Owner ... c,. .v �......\/,,.....�(,P.,, ��' ..............Address ..................�G�`'..... .�. ........L:'.' ........................... Nameof Builder' .. 0.A. ..... ..... ............Address .................................................................................... - Nameof Architect ..................................................................Address ....................................,................................................ Number of Rooms ................. .............................................Foundation ........... CMJA. ..+ ......`- ' ............ ...Roofing 1 . '� U.t�'�%E1t. k !'C.A.......................... g .............. 4. .. .......................................... Exterior ..............:. Floors , 1 C� .... �✓�3 c' ..........Interior `�'�--�`�V� ....................... ................................................ .........................:.......................................................... Heating ti\.,L t l Plumbing Fireplace ` -`` ..........Approximate Cost ` >:...............`' Definitive Plan Approved by Planning Board ------------_______-----------19_______. Area .......................................... Diagram of Lot and Building with Dimensions Fee ............................................. SUBJECT TO APPROVAL OF BOARD OF HEATH 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 .. .............................................................. SMITH, JAMES K. o� A=i� 24239 One Story No ................. Permit for ....................... ......... .. Single Family Dwellin ..................................... ............................ .... .. Location Lot #30, 32 Valleybrook Rd ..................... �............. . Centerville ....................... .................. James K.. Smith Owner ..................... r........................ ................... Frame Type of Constructio ................... :. ................... ................................ ..................... Plot ....................... . Lot ...................... r - July 22, 82 Permit Granted .. ;.. ..............19 Date of Inspectio ..............'.. .............19 Date Completed .....19 } k ........................ ........