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TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION ,
34elI / S
Map Parcel 0 b� Application # �� O 70?
Health Division Date Issued 12- — —/rlAc
Conservation Division Application Fee
Planning Dept. Permit Fee -
S 06
Date Definitive Plan Approved by Planning Board
Historic - OKH Preservation/ Hyannis
Project Street Address t g C Y't��SS e;q
Village C w.nnMa.r�utid \
Owner Rob i 2 We f f i C k Address 5ken e
Telephone -1- 1-I 53-I 5 0%
Permit Request Ptiri R-- 38 :tec S , %-30 �;tie9.4.ssr an ..-35 cellAlose
-gyp t 1.1iL G4 4I4. l' i r d- 1 +ke.- c v 11 c Q l0.ne,- UJi4 A (e�Q Aci 1 ll-S Airctot,
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Square feet: 1st floor: existing proposed 2nd floor: existing proposed Total new
Zoning District Flood Plain Groundwater Overlay
Project Valuati•on 4500b Construction Type
Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation.
Dwelling Type: Single Family U Two Family ❑ Multi-Family (# units)
Age of Existing Structure Historic House: ❑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: ❑ Gas ❑Oil ❑ Electric ❑ Other
Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑ No
Detached garage: ❑ existing ❑ new size_Pool: ❑ existing ❑ new size _ Barn: ❑ existing ❑ new size_
Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size Other:
Zoning Board of Appeals Authorization ❑ Appeal # Recorded CI ~�
Commercial ❑Yes KNo If yes, site plan review# N.''
3
Current Use Proposed Use 1 - —`a
rilf ',.Ar ›
Y t
APPLICANT INFORMATION
(BUILDER OR HOMEOWNER)
Name I,llt 111"0 (‘,(1 citivke estiL Ac• Telephone Number 50S D 6 3 9 8
Address 3-1 +M454Dn Atre License# ._l—c I. 0 a-3" •b
-5-- KA 6 A,--111 A- 016 g 9. Home Improvement Contractor# I. 7-1 38-0
Email Worker's Compensation # t ,313 6.911
ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO fq re+n.Q,-t"I,
SIGNATURE DATE f 'dam t S
FOR OFFICIAL USE ONLY
• APPLICATION #
DATE ISSUED
MAP/ PARCEL NO.
ADDRESS VILLAGE
OWNER . -
d
i
•
DATE OF INSPECTION:
• FOUNDATION
Y FRAME
t -
INSULATION
3
FIREPLACE
ELECTRICAL: ROUGH FINAL
i PLUMBING: ROUGH FINAL
GAS: ROUGH FINAL
FINAL BUILDING
l
• DATE CLOSED OUT
c ASSOCIATION PLAN NO.
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RISE
ENGINEERING
OWNER AUTHORIZATION FORM
1, CA44 A P ivadv ; . : 1 .
v, 1--irilac,
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(Owner's Name) : _ -
owner of the property located at:
(Property Address)
7,1gAitpwric'' Li M 076`7,5
(Property Address) 051l1 v axld ivaitin )
hereby authorize Ca0')f c L
(Subcontractor)
an authorized subcontractor for RISE Engineering, to act on my behalf to obtain a building
permit and to perform work on my property.This form is only valid with a signed contract..
AhC L 1 I IGK..
Ow 's Signature
/08/45-
Date
RISE Engineering 6 Dupont Avenue South Yarmouth, MA 02664
r
/
Cape Save Inc.
7-D Huntington Avenue
South Yarmouth, MA 02664
Tel: 508-398-0398 Fax: 508-398-0399
12/30/15
Thomas Perry CBO
Town of Barnstable _. ;
Building Division A '-
200 Main St. (,01
Hyannis,MA 02601 ` !
Y �
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RE: Insulation Permit 201508287 `
ri
Dear Mr. Perry
This affidavit is to certify that all work completed for 18 Cypress Point, Cummaquid has been
inspected by a third party Certified Building Performance Institute(BPI)Inspector.
All work performed meets or exceeds Federal and State Requirements.
Sincerely,
\\\\V
William McCluskey
� ( - ( 8 - ' { e1iz
r
j rOti Town of Barnstable *Permit#
Expires 6 months from issue date 5-1
► s,. Regulatory Services Fee
,B�, �
� � Richard V.Scali, Director
ArFD MA't a
— Building Division
Tom Perry,CBO,Building Commissioner
200 Main Street,Hyannis,MA 02601
www.town.bamstable.ma.us
Office: 508-862-4038 Fax: 508-790-6230
EXPRESS PERNIIT APPLICATION - RESIDENTIAL ONLY
3,kg 61 Not Valid without Red X-Press Imprint
Map/parcel Number `U S1- le NIA/�
'-Property Address ( CA/FIN-SS i61 n+ -`'y � '_. l N 1 A d 2 Co 3 7
s
❑Residential Value of Work$ , k q Minimum fee of$35.00 for work under$6000.00
Owner's Name&Address 'r
IS9s � (I-+ scar r t�- . i(A oa 6-75
Ypr
Contractor's Name Telephone Number
Home Improvement Contractor License#(if applicable) Email: yif
Construction Supervisor's License#(if applicable) IT
Workman's Compensation Insurance OCT
❑ P C1'2
310
Check one: T01 rn I ��
L��'I am the Homeoam a sole wner Vetor V/U ®F
BqF;AISTgBI
❑ I have Worker's Compensation Insurance E
Insurance Company Name
Workman's Comp.Policy#
Copy of Insurance Compliance Certificate must accompany each permit.
Permit Requ t(check box)
ry Re-roof(hurricane nailed)(stripping old shingles) All construction debris will be taken to l'l(,Q6
11/
C n%��
f e-roof(hurricane nailed)(not stripping. Going over existing layers of roof)
❑ Re-side
["Replacement Windows/doors/sliders.U-Vali bO (maximum.35)#of windows i(,o' "
..- Ali err #of doors:
❑ Smoke/Carbon Monoxide detectors 4 floor plans marked with red S and inspections required.
Separate Electrical&Fire Permits required.
*Where 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.
A copy of the Home Improvement Contractors License&Construction Supervisors License is
required.
• SIGNATURE: - - ,r(�1(�
Q:\WPFILES\FORMS\building permit forms\EXPRESS.doc
Revised 061313
'town of Barnstable
Regulatory Services
oc Richard V.Scali, Director
4, ,ass'. Q. Building Division
swi3Nsrnsre. Tom Perry,Building Commissioner
MASS.
1659. ` 200 Main Street, Hyannis,MA 02601
QEDdi* www.town.barnstable.ma.us
Office: 508-862-4038 Fax: 508-790-6230
HOMEOWNER LICENSE EXEMPTION
DATE: ce-intox a 9\ c9®t Please Print
JOB LOCATION: ( e.y 4 U Q. (U'm wog U K�
number street village
"HOMEOWNER": 40%, LI- I 5O92-
,..
Y1 GL_
name home phone# work pho e# .
CURRENT MAILING ADDRESS: i e £ pre S3 1 - n
�1ax mbu-W -Pork / rnIel Co 75-
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
requirements.
ThDbrA
Signature o Homeowner
Approval of Building Official
Note: Three-family dwellings containing 35,000 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.
f7
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• sAxrtsre13LE, ••
,, 16591 Town of Barnstable
jft .tA .
Regulatory Services
Richard Scali,Director
Building Division
Thomas Perry,CBO
Building Commissioner
200 Main Street, Hyannis,MA 0260 ► '
. , , www.town.barnstable.ma.0
i
Office: 508-862-4038 + Fax: 508-790-6230
Property 0„ner Must
Complete and 'ign This Section
If Usi►g A Builder
I I, , as Owner of the subject properly
hereby authorize to act on my behalf,
in all matters relative to work autho led by this building permit application for:
(Address of Job) •
Signature of Owner Date
Print Name
If Property Owner is applying for permit,please complete the Homeowners License Exemption Form on the
reverse side.
Q:\WPFILES\FORMS\building permit forms lsmokecarbondetectors.doc
Revised 050412
, Town of Barnstable
&THE lOjs% Regulatory Services
'! si \°" Richard V. Scali,Director
.
* BARNSfABLE. ' Building Division
° 639- Tom Perry,Building Commissioner
200 Main Street, Hyannis,MA 02601
www.town.barnstable.ma.us
Office: 508-862-4038 Fax: 508-790-6230
PERMIT# O r 0 / .1) lQ� FEE: $35.00
SHED REGISTRATION
RESIDENTIAL ONLY
200 square feet or less ,
r—Sr x-ns -cjoi e_
I 0)-fprQ:5.<) FbIftE
Location of ed(address) Village
: Dpuclias i- kobyn ri6L 7 7 t-1 9 ;$(;o(P 3 hrnL.
Property owner's name Telephone number
to X I l--I ' 3 4 g D 46
Size of Shed Map/Parcel#
- doh a OficiLK. rl—11-1- 114 2I
{ 3 c=3
Signatur Date --4 r i
1F
Hyannis Main Street Waterfront Historic District? l' .'='
O1dKing's Highway Historic District Commission jurisdiction? I c -n
If over 120 square feet,you must file with Old King's Highway Cl i 1 IrD s
(111,C , a-
Conservation Commission(signature is required)
Sign off hours for Conservation 8:00-9:30&3:30-4:30
i
PLEASE NOTE: IF YOU ARE WITHIN THE JURISDICTION OF ANY OF THE ABOVE
COMMISSIONS,THERE MAY BE A REVIEW PROCESS AND APPLICATION FEE.
PLEASE SEE THE APPROPRIATE'COMMISSION FOR DETAILS.
THIS FORM MUST BE ACCOMPANIED BY A
PLOT PLAN0\c-QC,,.
C)-) t l'"-- )
` - Q-forms-shedreg
REV:040914
SITE PLAN ,
, Borrower or Owner James D./Robyn L.Herrick
ir Property Address 18 Cymess Point
my Cununactuid county Barnstable slate MA zip cools 02637
Giant Walpole Co-Orterative Bank
ReallyInsite-Property Map Page I of I
ii—eM <4 1.7-:*'37ltF.tt- it :!t vilt•,;'. ;t tat:m.40w' •
Print 'flits Mas Zoom Nooul4,,,y 1/2 Property Property 1/C mile 1/s mile 1/2 mile I ord./ 2 miles ?,miles City/Town . .
Add Test Address o Ginmnslons Add Gnwhies I Sulldings _Firt Topography Cursor Action ,r Pan Identify
Aott-s
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=sol
. - Bu Asilding Into 6 Sin Into RepiSlry Into Owner:MO Ilan
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hup://www.realtyinsite.comkeimls/livemap.aspx?1D=BARNSTABLES,349-066 8/21/2008
APPROVED
JUL 2 4 2014
Town of BE rnstable
Old King's -iighway
Comn-ttee
Loring Appraisal Service
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ZON I N G -)RO TECTED /f v. /&
LOCATION I-or r8y. GT,4ress ,.v-r
I HEREBY CC T FY THAT T H IS'F U L RATION IS OCATED ON THE GROUND
AS SHOWN AND THAT IT CONFORMS TO t!..11 jDF % 574 " ZONING BYLAWS.
SCALE: /' so ' DATE: ..,6/1/ / SIG:
' ASSESSORS MAP LOT . ;FLOOD PLAIN.MAP E •
ZONING DISTRICT ,... SETBACKS 301s/°r' GATE OF RECORD PLAN
UPPERCAPE ENGINEERAG.AND SURVEY COMPANY PLAN REF: z3s/�yq
P,'0., 6 6 E . SANDWICH ,MA . 508-833-11651
44.174ainted 0/7# FP24. 2/5/94( 1- 0 Vi.etr
Assessor's office(1st Floor): 7 9 f' /„ r6 _. ,�'13EpLIANcE
Assessors map and lot number J LC' Cl os THE To
• t w 6--� TITLE 5 Q`' ''i
Board of Health um floor): - 3 -. ENVIRONMENTAL CODE AND e�
Sewage Permit number `,`\ , _ � i
Engineering Department( loor): � � TOWN EGULA'PIONS t DaasszaniE
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House number , °o i67o• \��'
ry Definitive Plan Approve y ni Bo 19 • �,o , j a40 r0r�
APPLICATIONS PROCESSED 8:30-9:30 A.M.and 1:00-2:00 P.M.only,' - r� . p
129
LQWN OF BARNVSTABLE C t
...I- ILDING INSPECTOR-- 4 -E- • 7/s W- s
ATION FOR PERMIP // 6e_4
at ECV-1)
TYPE OF CONSTRUCTION 59,...V(P_,FAThill.2pk.socrpric_.
.3--0 19Cl'T
TO THE INSPECTOR OF BUILDINGS: off 34101 (g ) "1 04'
The undersigned hereby applies for a permit according to the following information: i
Locat'on all•fr 6)M01.4Q V//9,94- - AkeA9 (.0T Oco
, Pro sed Use �(J.9E i fz eit,e.
Zoning District / 1 r I Fire District L► Rig f
1 Le
Name of Owner W W 1J jJ Address /f m // ( . V".=
Name of Builder iffifrYST' Ole Address fl)( 0:7-76, W. (iI.IC,
Name of Architect k, Address '29�%7*,..
Number of Rooms 3 D ram, FoundationF.:Vg-19 ( ' r__ rJ (.4 .
Exterior /A Roofing
��j�� / u 1
Floors_ ' j`•', 'J /(N�� Interior 2
Heating 4/ /, I MA /� Plumbing 2 4 i 1ti -
Fireplace Fes" ' Approximate Cost /o4J� .,
1
Area /Wf /2 '
i
Diagram of Lot and Building with Dimensions Fee T %"
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0-4 ��I f' (205 I° ) f .
A
. 11;37741 X .
.44‘ 10
ii•
676t55/F
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 W Pt4'145
0 17-711
Construction Supervisor's License �
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1:7BRENNIAN -ALTER
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4, BU ,LD HOUSE
I No 3 69 55 Permit F 4,:.
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TOWN OF BARNSTABLE Permit No. 55
•
BUILDING DEPARTMENT
""'7 I TOWN OFFICE BUILDING Cash
67 �9.
�'�tafu+p. � HYANNIS,MASS.02601 Bond X
CERTIFICATE OF USE AND OCCUPANCY
Issued to Walter Brennan
Address 18 Cypress Point (Lot #66)
Cummaquid, MA
USE GROUP FIRE GRADING OCCUPANCY LOAD
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. 1 •
January 19 95
, 19
Building Inspector
,- f • a xi xy l , m; :d sv 'fry ti.... -test ti ABLE .+i'vi=4�' e `'' �'�~`�`K • �� i- r
TOWN OF BARNSTABLE; MASSACHUSETTS
A=349 066
DATE August 2 , 1994 PERMIT_ NO. : ° 36955
APPLICANT Maine Post & Beam ADDRESS P.O. BOX . /6, W. Barnstable 043793
(NO.) (STREET) (CONTR'S LICENSE)
PERMIT TOBulld house & garagl g( STORY single family dw&1lingNUMBER OF
DWELLING UNITS
•
(TYPE OF IMPROVEMENT) NO. - (PROPOSED USE)
• 18 Cypress. Point, Cummaquid ZONING RF 1
-AT (LOCATION) DISTRICT—
. (NO.) - (STREET)
•
BETWEEN AND
(CROSS STREET) (CROSS STREET) -
LOT
SUBDIVISION' LOT BLOCK SIZE
BUILDING IS TO BE FT. WIDE BY FT. LONG BY FT. IN HEIGHT AND SHALL CONFORM IN CONSTRUCTION
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TO TYPE USE GROUP BASEMENT WALLS OR FOUNDATION
(TYPE)
REMARKS: Sewage #94-365
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AREA OR - 125, 000 PERMIT 5145. 50
VOLUME 1856 sq. ft. ESTIMATED COST F
ICONIC,SO UANE FLEi i
OWNEReir BY
Walter Brennan -
ADDRESS 13 Mathias Lane, Barnstable BUILDING
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or ANY APPLICABLE SUBDIVISION RESTR!CT!ONS.
MINIMUM OF THREE CALL APPROVED PLANS MUST BE RETAINED ON JOB AND THIS WHERE APPLICABLE SEPARATE
INSPECTIONS REQUIRED FOR CARD KEPT POSTED UNTIL FINAL INSPECTION HAS BEEN PERMITS ARE REQUIRED :.-FOR
ALL CONSTRUCTION WORK: ELECTRICAL, PLUMBING AND
1. FOUNDATIONS OR FOOTINGS. MADE. WHERE A CERTIFICATE OF OCCUPANCY IS RE- MECHANICAL INSTALLATIONS.
2. PRIOR TO COVERING STRUCTURAL QUIRED,SUCH BUILDING SHALL NOT BE OCCUPIED UNTIL
MINAL INSPECTION
TI TO LATHE FINAL INSPECTION HAS BEEN MADE.
3. FINAL INSPECTION BEFORE
OCCUPANCY.
POST THIS CARD SO IT IS VISIBLE FROM STREET
BUILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTIONTI APPROVALS
1 • 1�2 �P6, Oec1E SP,, cG7/9
-
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2
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3 HEATING INSPECTION APPROVALS EFlfdtfllEE !k EP T T
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as I
` I_. . ' 7 5u�M ?:41,c,4)
BOARD QFg,EALTH
OTHER SITE PLAN REVIEW APPROVAL G� �
WORK SHALL NOT PROCEED UNTIL THE INSPEC- PERMIT W!L L BECOME NULL AND VOID IF CONSTRUCTION INSPECTIONS INDICATED ON THIS CARD CAN BE
TOR HAS APPROVED THE VAR)ODUS STAGES OF WORK IS NOT STARTED WITHIN SIX MONTHS OF DATE THE ARRANGED FOR BY TELEPHONE OR WRITTEN
CONSTRUCTION PERMIT iS ISSUED AS NOTED ABOVE. NOTIFICATION.
, _ 11 r
CERTIFICATE OF COMPLETION- NS1TALLATION CAVArEIRE ALARM SYSTEM
m VUA unstable ❑Centerville-Osterville-Marstons Mills ❑ Cotuit ❑ Hyannis ❑W. Barnstable
To: Head of the Fire Department: Permit No.
. The:undersigned hereby certifies that the installatiosn9f d.fire alarm system described below has been installed in accordance
- with the provisions of Chapter 148, and regulations°;made under authority thereof now curreni:ly in effect and pertaining
`" thereto. Furthermore, this installation has been tested in'accordance with said requirements,is in proper operating condition,
conforms to reviewed plans and complete instructions regarding its use and maintenance:have beer furnished to the user.
Owner/Occupant Name
: ...104
Street Address(House Number Required):
Person To Contact For Inspection and Phone:: IL A02.A ►� '`�
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�_ Installer Information/Description Of Equi ment To Be Installed
Manufacturer Name& Model umber:
add
'k " Type: [ ] Photoelectric ] Ionization m [ ] Oth r
#of Dwelling Untts: #
-1 of Detectors: Bsmt. 1st 1 2nd 3rd Total: S.:544144
4 Other Devices&Number: `_Heat Detectors r_Pull Stations Horns Other:
:, Installer's Name &Compa y: t l
Installer's Address: I 1 fc. "1
,...,-,--:„. : . . Installer's Phone.
. " 13' License Number.
-- ns nature:
g �
taller's Si / / Date:
I
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PROJECT'
NAME:
ADDRESS:
\�S P
q-O•nA531-r,..S -L
PERMIT#
PERMIT DATE: S I lcr
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M/P: ?j k-t. 4 Ole
LARGE ROLLED PLANS ARE IN:
BOX
SLOT 1)2
Data entered in MAPS program on: 10 (0 I 13
BY:
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