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Home My WebLink About0047 VICTORIA STREET r C ;a Cfe - r 0 r Town of Barnstable *Permit# f�vl� . Expires 6 months from issue date Regulatory Services Fee da % Thomas F.Geiler,Director u�`?$ Building Division IT Tom Perry,CBO, Building Commissioner 200 Main Street,Hyannis,MA 02601 NOV 2 7 2006 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 50TOVMOF BARNSTABLE EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY Not Valid without Red X-Press Imprint / arcel Number r Q � n� � P b P 1�-��--- �I perry Address Residential Value of Work A G — Minimum fee of$25.00 for work under$6000.00 ner's Name&Address «.Giyi Ct CA41% b-a^ �C�•—�� itractor's Name i�,,�! 1� (-+�-�0'� Telephone Number Val a4_ S 2 , me Improvement Contractor License#(if applicable) 1/as 3 6 struction Supervisor's License#(if applicable) Workman's Compensation Insurance Check one: ❑ I am a sole proprietor ❑ I am the Homeowner ❑ I have Worker's Compensation Insurance urance Company NameGt/l,7—�_(�, D )rkman's Comp.Policy# 7 py of Insurance Compliance Certificate must be on file. -mit 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 ❑ Replacement Windows. U-Value (maximum..44) .Mhere required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. ***Note: Property Owner must sign Property Owner Letter,of Permission. �elm,rovement Contractors License is required. GNATURE. 'orms:expmtrg ✓ise071405 a i The Commonwealth oj'Massachusetts -` Department of Industrial Accidents Office.of Investigations a 600 Washington Street Boston,MA 02111 Sv�a www mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers applicant Information Please Print Legibly Jame (Business/Organization/Individual): (_A_C"L4.& kddress: F. O ®K I S �ity/State/Zip: .. C64� V14V& Phone#: re you an employer? Check the appropriate box:. Type of project(required): �-I am a employer with �) . 4. ❑ I am a general.contractor and I 6. ❑ New construction employees(fiill and/or part-time).* have hired the sub-contractors ❑ I am a sole proprietor or partner- listed on the attached sheet. $ 7• ❑ Remodeling ship and have no employees These sub-contractors have 8. ❑ Demolition working for me in any capacity. workers' comp. insurance. 9. Building addition [No workers' comp. insurance 5. ❑ We are a corporation and its 10.❑ Electrical repairs or.additions required.] officers have exercised their ❑ I am a homeowner doing all work right of exemption per MGL 11.❑ Plumbing repairs or additions myself. [No workers' comp. c. 152,§1(4),and we have no 12.❑ Roof repairs insurance required.] t employees. [No workers' 13.0 Other comp.insurance required.] ny applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information: omeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such mtracton that check this box must attached an additional sheet showing the name of the sub-contractors and their workers'comp.policy information. [man employer that is providing workers'compensation insurance for my employees. Below is the policy and job site Formation. ,urance Company Name: licy#or Self-ins.Lic. #: 5 `t Expiration Date: L V 0 b Site Address: Vi clrnin City/State/Zip: tach a copy of the workers' compensa n policy declaration page(showing the policy number and expiration date). ilure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a ie up to$1,500..00 and/or one-year imprisonment, as well as.civil penalties in the form of a STOP WORD ORDER and a fine up to$250.00 a day against the violator. Be advised that a copy of this statement may've forwarded to the Office of vestigations of the DIA for insurance coverage verification. fo hereby ce unr the ins and p ti 'f perjury that the information provided above is true and correct: a — Date: 71 1 J.;k. y v lone#: D, /. 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#: NO MONEY DOWN-NO Payment at the start or part way thru Payments accepted are: CASH- CHECK-MASTERCARD -VISA-AMERICAN E\PRESS *Any payments not made within 30 days of completion will be charged 1 '1/2%for every 30 days the payment is late. Possible Extra-After the shingles are removed from the roof, we will lift one sheet of plywood to make sure that the insulation is not up against the plywood sheathing preventing ventilation from the eaves to the ridge. if it is,ventilation panels will be installed by; removing the plywood sheathing, installing the panels, turning the plywood over and then re-installing the plywood. If needed, this would be charged for as an extra at the rate of$4.00 per panel including Materials&Labor, There are 6 Panels per sheet of plywood, Possible Extra-Any rotted or otherwise deteriorated trim boards, plywood sheathing, lead flashing, or other carpentry needing replacement will be done and charged for as an extra at the rate of$50.00 per hour, plus materials, plus 20% overhead mark-up on total extras. FRASER CONSTRUCTION Warranties the labor for 10 years FRASER CONSTRUCTION Warranties the shingles against Bloc:-Offs for 10 years. CERTAINTEED'Warranties the shingles and labor 100% through the Sure Start Warranty duration. CERTAINTEED Warranties the shingles to be.tT GAB resistant for the duration of the Sure Start Warranty depending on the shingle that was purchased. Any deviation or alteration from above specification tivill be executed upon written orders and will become an extra charge over and above the estimate. All agreements contingent upon strikes, accidents or delays are beyond our control. Owner should carry fire, tornado and other necessary insurance upon the above work, We, if not accepted within thirty days may withdraw this proposal. FRASER CONSTRUCTION: Carries Workman's Compensation and Public Liability Insurance on the above work. DATE OF ACCEPTANCE: 1� i 4 Homeowner Fraser Construction . �/ t f . t fee�ayxmoozusea�o�.�aaeuc�ivaelta Board of Building Regulations and Standards Lic_t}se or registration valid for individul use only HOME IMPkOVEMENT CONTRACTOR befort the expiration date. If found return to: Re Istr re 12536 Bear;0 of Building Regulations and Standards One Ashburton Place Rm 1301 2007 Bostgn,Ma.02108 ONS tc kSER 3ON CIR IA 02635 Administrator 1 Not valid without signature i i 'NA._27. 2006 9:20AN No: 9 586 P:;. 2 � . � IERTIFICATtOF INSIY CIE Iss^ .+Te THIS CTRT[FICATS IS ISSUED.AS A MATTER OF INFORMATUM ONLY PRODIICEII AND CONFERS NO RIGHTS UPON THE CERTISICATE HOLDER. THIS CEATIVI'CATE DOES NOT AMEND,EXTEND OR ALTERTHR COVERAGE WISE&QUINN INSU1t.ANCE AGENCY AFFORDED BY THE POLICIMS BELOW, 449 PLEASANT ST PROCKTON,MA 02301 COMPANIES AF ORDING COVERAGE Co)&ANY- A HARTFORD UNDERWRITERS INS CO IJ� ACOY LET7•ER INSCIIED coa�.sv C FRASER CONSTRUCTION LErI'BR PO BOX 1545 COTUIT,MA 02635 isi�a D COMPANY ]E LErIER COVGRAGFS:' TIMS IS TO CER 1FY THAT TIE POLICIES OF rNSURANCE LISTED BELOW HAVF•.BEEN ISSUST)TO Tn INSURED YUAF0 Psuv6 FOR I'KE POLICY PERIOD NDICATED.NOT%1T.YS'TANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRA.CI OR OTIER DOCUMENT WITH RESPECT TO WEriCTI THIS CERTIFICATE A4AY BE ISSUED OR MAY PERTAIN,T.IlEz INSURANCB AFNADBD 8Y THE POLICIES DESCRIBED MW IS SUBJECT TO ALL THE TERMS,EXCLUSIONS AND CONDITIONS OF SLICHPOLICIES.LTIvM SHOWN MAY HAVE EMN REDUCED BY PAID CT !MS CO TYPE OF LNSIJRATCE POLICY NUI4IBEA POLICY )POLICY LIMITS LTA EFFECTIVE DATE EXPIRATION DATE (MM/DDIYY WYY) GENERAL LIAa1L[TY cE1 ERLL AOGRBOATS 3 COMMERC L-,L GBIdERAL Ltl,=TY I PRODUCTS-COMPIOP AOO, g . PERSONAL A ADV.INXMY cLArL,3 MADE acCUR. i E OWAW&COYMACMILS PROT. mcH occ .`Cs S F`YRB DAW.OH(Am One F;ny E . .LU.NSE[Ang ow Pam $ .. AUTOMOBILELIASJ/TY 5 ANY AUro ALL OWNED AUTOS BODL'Y MXVY •g 3CIIEOULEDALFTOS (Pm Pm:croj BODLLY :ILY S HIRIBDAUTOS (Perh.•senL) NON•OW\'RDAUTOS GAFAOE LIABII.I'TY PROPEKI`Y DAMAGE S EXCBSS LIABILITY U,NISRELL.A FORM EACM OCCUP"CE OTABR THAN IRaWL-LAFORAI AOOREOATB g STATUTOLY LIMITS A WORKM'BCOMPENSATION EACAACCIDOW SICO,000 AND 6S60UB=,94X619I 09/26106 09/26/07 DF->ASE-POUCYLDET $500,000 EMPj:Qkl t'S LIA9IY ITY DtSEASE EACP)MPLOYHP SIoo'coo OTHER DESCRI nC"OP 0?rAA X%eLOCATIONS/VEIIICM/S?MAL ITEMS- THIS"PLACES ANY PRIOR CERTIFICATE LSSUE'D TO TIM CERTIFICATE HOLDER AFFECTINC WOT46ERS COMP CO VLRACB CEAT3iG67E.HOLDE . • SILOULD ANY OF T�ALOVIZ D1p$C'RI$$D POWC[ES SA CM CfiL[.Ii,O I'IE�OE'E THE FRASER CONSTRU&ION EXPDIATI'4 DATE 77MnOE,Tilt ISSMG COMPANY WILL INDEAV011 TO MAIL 10 , PO]BOX 1845 &An WRITTEN NO-aC2 x0 ng CERTIFICATE IIOLNAL NOLM TO THE LIFT. BUT FAMLU TO MAIL SUCH NOTICE S"LL IMPOSE NO OILIGATION OIL COT UIT,MA 01635 LIA Lny OF ANY)POND CWN THE COMPANY,ITS AGENTS OA MJt§SENTATA'RS ALTW UPR=NTAI7YM A�GORll 25$ 7PJ0 . z''t.'Okolm'C660ItAT1aN 1'490[ III Assessor's office(1st-Floor): ,� j kyE Assessor's map and,lot number ! T 'INSTALLED IN COWUH-mIANC �Oi THE t0` Board of Health(3rd floor): + 4 c, i WITH TITLE 5 Sewage Permit number �o`t �E�IRONAAENTAL CODE A 31ARI9rAnci Engineeining Department(3rd floor): �o riot House number TOWN REGULATIONS p 1639. Definitive Plan Approved by;Planning Board i ' 19 ��vo d• e APPLICATIONS PROCESSED 8:30-9:30 A.M.and 1:60-2:00 P.M.only TOWN OF BARNSTABLE ; BUILDING INSPECTOR APPLICATION FOR PERMIT TO e�,,s`91? i I TYPE OF CONSTRUCTION Ajob 1; i ( a a 4 19 9)/ + TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location Proposed Use �A5A L �er� Zoning District of Fire District Name of Owner �0�9�- [. �Jrh 6c� ��►, Address 4✓7 h Name of Builder Address Name of Architect Address Number of Rooms Foundation Exterior Roofing Floors '�� Interior Heating Plumbing I Fireplace Approximate Cost 6 v0 Area�O Diagram of Lot and Building with Dimensions Fee OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name ~ Construction Supervisor's License 45&r1 _ CHAMBERLAIN.p GEORGE ci� -34-142- N -Permit For emodel Garage, to P Family -Room/ Single ;Family Dwelling 7 t 47: V*`� toria Streeif 'Lo' ior�4 Victoria ca Centerville Georj'e Owner -Chamberlain " Type of Constru6tion- Frame Plot Lot t_: PerAit Granted; I January,}1 8 >1 9 91 Date of In'spection 19 ti 'Date Completed ;lily-Z.�✓ '19 c Z 2; M 4,f t: > 04 M 0 TOWN OF BARNSTABLE BUILDING DEPARTMENT HOMEOWNER LICENSE EXEMPTION Please print. -DATE . JOB LOCATION th Cry � Number Street address Section : Of; town HOMEOWNER" �af �� c ��h y�G - Name 9 �L�7- y 4 y � ,/ Home. phone Work .phone PRESENT MAILING ADDRESS G/ 7 l//Gfs,'�h City town d T State Zip code The current exemption for "homeowners" was extended to include owne - dwellin s of six units or less and to allow such homeowners to engageoanupned dividual for. hire who .does not possess a license, provided that the acts as supervisor, owner DEFINITION OF HOMEOWNER: Person(s) who owns a parcel of land on which he/she resides or intends to re- side, on which there is, or is intended to be, a one to six family dwellin attached or detached structures accessory to such use and/or farm structures. A person who constructs more than one home in a two-year considered a homeowner. Such "homeowner" shall submit to the BuildingOfficial Y period shall not be on a form acq.eptable to the Building Official, that he/she shall be responsible for all such work erformed under the buildingermit. (Section 109. 1. 1 The undersigned "homeowner" assumes responsibility for com lia ) Building Code and other applicable codes, by-laws, rules and regulations. " p nce with the Stat The undersigned homeowner" certifies that he/she understand g ns. Barnstable Building Department minimum inspection s the=Town of and that he/she will comply with said procedures and requirements.HOMEOWNER'S SIGNATURE APPROVAL OF BUILDING OFFICIAL Note: Three 'family :dwellings 35, 000 cubic feet, to comply with State 'Building Code Section feet, or larger, will be required , Construction Control. HOME OWNER'S EXEMPTION The code state that: "Any Home Owner 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 es a Home Owner en a e g g p rson (s) for hire to do such work, that such Home Ownez shall act as supervisor. " Many Home Owners who use this exemption are unaware that they are assuming the responsibilities of a supervisor, (see Appendix Q, Rules and Regulations for licensing Construction Supervisors, Section 2. 15) . This lack of awarene: often results in serious problems, particularly when the Home Owner hires unlicensed persons. In this case our Board cannot proceed 'againstIthe inlicensed person as it would with licensed Supervisor. The Home Owner actir as supervisor is ultimately responsible. To en-sure that the Home Owner is fully aware of his/her responsibilities, man communities require, as part of the permit application, that the Home Owner 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 to amend and adopt such a form/certification for use in your community. ♦.v:1 V-9 Assessor's mop and lot number ... ter. Sewage Permit number ... ....... . w .5 C� U'uit-s f Z BAUSTADLE, i House number 1 9 MAGa ..................... G� i639. 6� r mit a\ TOWN OF BARNSTABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO °( . .... � ...... TYPE OF CONSTRUCTION .... .`� .. ................19.9.;1 TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according o the following information: Location ...................... .....! ................ka�.......................................................................................... ProposedUse ...................... .......'/......../:.... ......................... ....... .............. ..... .................. ................... - e � �� J / Zoning District ..... .J� �n..?a.� .................................Fire District .:P�.... ��.. ...�� e!� u/` Name of Owner ...............�i�� P Address 7 �e u �'► �'C k �-' f /� ,I Its A� !................................................ ............................. ................................................... _ ... r o,... l Name of Builder ......w.. .....................................................Address Nameof Architect ..................................................................Address ...................................................... Number of Rooms .... Foundation .f........ . .............:........................ .. .. .... . .. �� Exterior .��a� ��r ..........Roofing �.:�...........:...................... Floors .. ................................� GEC....................................... Pr.f(........f.....�../'.....��%..."�.�.........................Interior .. ..Y. F Heating ..'......T... ../Ll Q/ ..:......Pfu"mbing �� ....:'.!..................:.............-.....:....:.... P � �� S /�h jQ. ....................................... ............ Fireplace !�4f.... . f .:�%.. A`!. a Approximate Cost ..... ..S�G c� ............................. Definitive Plan Approved by Planning Board -----------_-------------------19--------. Area .......................................... Diagram of Lot and Building with Dimensions Fee SUBJECT TO APPROVAL OF BOARD OF HEALTH E� !l OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Tow of Barnstab a regarding the above construction. Name .......r�............... .....................................:.............. Q Construction Supervisor's License . ................. COOLIDGE HOMES A=148-43 25368 One Stor . Permit for y Single Family Dwelling ............................................................................... Location ,Lot 9, 4. ... 7 Vict. . o.ria. ....Street. ... . ..... .. .... .. .... . .. .... Centerville ............................................................................... Owner Co.olidge. . . ...Homes. .......................... .... .. .... .. .... .......... .. Type of Construction ...Frame ............................... ................................................................................ Plot .......................... Lot ................................ Permit Granted ...August 1,.....................................19 83 • Date of Inspection ....................................19 Date Completed ......................................19 1� / � � .�.��. . i �..� .,, ry. .,r...�'^.r'•r `i..t- ..ri^'.r'b v�,af''V ;.7.. 1 i.r#`,{.... Assessor's office(ist Floor): Assessor's map and lot number�1\ �'� 0 T 3 ��THE to Board of Health(3rd1loor): Sewage Permit number 93 — Z DAl3STABLE Engineering Department(3rd floor): / �o t"WASa House number / o 39• \�1 Definitive Plan Approved by Planning Board 19 MAY d APPLICATIONS PROCESSED 8:30-9:30 A.M.and 1:00-2:00 P.M.only. TOWN OF BARNSTABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO eA✓� fir•��'�{- F�/v,ply ,�o�1,,, �..� TYPE OF CONSTRUCTION 19 TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies f�orr�a permit according to the following information: Location y Proposed Use lZoning District Fire District Name of Owner Cato✓q� �d��h.6r- �iYl� Address Name of Builder Address Name of Architect Address Number of Rooms Foundation Exterior Roofing Floors '�� Interior I Heating Plumbing Fireplace Approximate Cost 6�� Are D �� Diagram of Lot and Building with Dimensions Fee ' i OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name Construction Supervisor's License --� CHAMBERLAIN, GEORGE A=148-043 vow z No 34142 permit For Remodel Garage To Family Room/ Single Family Dwelling Location 47 Victoria Street Centerville Owner George Chamberlain Type of Construction Frame Plot Lot Permit Granted j anuary• 18, 19 91. . Date of Inspection 19 Date Completed 19 PERMIT COMPLUED 1/1/�� 'A t TOWN OF BARNSTABLE 2 5 36 8 Permit No. 2- ��nn Building Inspector Cash 1639. �0NIK t 'OCCUPANCY PERMIT Bond -------------- ` Issued to Coolidge Homes ` Address R Lot 9, 4/7 V'kdfdr a 'Sfreet�,.. .Centerville , ' Wiring Inspector i ,�p Inspection data Plumbing Inspector/ v :;,� Inspection date Gas Inspector 'y Inspection date )Engineering.Department Inspection date - l Board of health ' , 3` "" o 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 AND IN ACCORDANCE WITH SECTION 119.0 OF THE MASSACHUSETTS STATE BUILDING CODE. 1T!..,.�,;- a_.�.. 19�� lG��/� ..... ........�, Building Inspector FROM c .^ rl r ^ —� TOWN OF BARNSTABLE. BUILDING DEPARTMENT Imo'. Francis Iahteine �� d,a .�;1-4,-9—_; MAIN STREET HYANNIS, MA 02501 Clek .- 4 / •a x v w w -m Phone: 775-1120 SUBJECT: —J r FOLD HERE DATE Feb 3 1984 MESSAGE s:'.#i:' 'a* 'w,;-r,8•ir.•�-ri#b s?v.,s aY b,Y a Ts t • - _ x Work . as b •cr�"y`SE' ,,tin�Zeted - '' „��•v� :"lF��_..h'9:-`��`�3`S�:��.-� • r :,p:., �2;>r s�m'»x I Please rele ase ,Bond.•z,...... - - i SIf�NED. - DATE _ .. REPLY .SIGNED Ne7•RM1 _ - - _ - n RE ENT:,RETAIN WHITE COPY,RETURN PINK COPY PRINTED IN L.S.A. +_ SENDER: SNAP OUT YELLOW COPY ONLY.SEND WHITE AND PINK COPIES WITH CARBON INTACT: � 1 ^ J �0 •1 � V v 00 .40A. 100=10L .E�E o T' .�i SHG�*VA-1 CM.1 7WIS 44:k4I4.v /'.S' 4OCFi7-Z'a"7. OA/ T'NE �Z*E7i>.c/L7 �iS SI4/OrV.V f,/�CeQrl/ . .t/77 7^/�qT /T ��#t Of A� COAI.'O G.4-! 7 C7 BYE- L./Wi•�/S O.c THE �bvVitl OF `•t-�,�i.�'T,��_�;• p�� Cft'7kG s ,y its O Lit,/ E W /1-7 O u T H OATS % �� - r lessor's. map an4/ d lot number ..... ..... ...... �S INE T� Sewage, Permit number ... ........ . o E f ARISTADLE, i House number `r ......f:..!................................... f........................ y M 6 �p t639 YP-f a• a . `TOWN "OF BAPRNSTAB'LE BU11DINS ' INSPECTOR , APPLICATION FOR PERMIT TO ...... .... ................ ..................... .. ............ ... ................... ........ ® . 1A.'n.e..................... ......... .....,..TYPE OF CONSTRUCTION. ........ ....... ........ ............................. / TO THE INSPECTOR OF BUILDINGS: The undersigned ereb ap/pl/ies fo a permit accccordingg t e, follow' g information: Location .. �. ...... .:...!�..�.0 ® ( .... L... '�/7 ..../ / ................................................................................ .... Proposed Use .... !. . .../......�a. I1! .. ........................ ....... ............ :............ Zoning District ` .. L Fire District .P� �U l'C ... 1 /`.u/f�JjreA .................. ... . Name of Owner ........... f./............"... .�T. ..!.�..... ...................................................... Kam` C / `fit O Address • � 1 � ll Name of Builder .......... .....................Address Name of Architect ..................................................................Address ......... ................. Number of Rooms ..... T.....:...:. :.................:.....:............Foundation .1.:........ ... ........... Exterior .L L!. `........��......... ............. ................Roofing .....�.f(.�!. h..... ................................ o SAP J Floors . � ............................:......Interior ... ..�`...................e �dC/C....................................... Heatin ........ /� ....................................................Plumbin ...��.... �...�,... .............................................. Fireplace 04f.... .(�-'.f--' / ..,'f.` � .........Approximate Cost ........�.. . �m C?. ............ Definitive Plan Approved by Planning Board -----_-----__-____------------19-------- . Area :......................... ............: Diagram of Lot and Building with Dimensions° Fee . C� ................ SUBJECT TO APPROVAL OF BOARD OF HEALTH6No . Al OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Tow. of Barnsta a regarding the above construction. Name ..... ..........................................................:......... Construction Supervisor's License ................. C OEJDGE-HOMES 2�=368 One Sfor No ................. Permit for .......................y.......... .......... inadle...Fami1Y..Dwe.11ing............ Location Lot 9 4. ... 7 Victoria. . . . ...St. reet ...... .. ..... .... .. .... .. .. .... v Centerville . - - aI - j -Owner ...Coolidge•°Homes............ ........ Type' of Construction .... rame......................... .................................................................... ....... Plot .......................... Lot ....... . .................. 1 `; r'-,•� ' - r ^ Permit.Granted .........August 1. .. .19 83 Date of Inspection // - ....19 l g�Date Complet d .....l...Z....:. ........1 _ .r ^� �� • i � •�a �� r ..`^rye � . +a ��µ .�.� _ A •• a� • a a 4