HomeMy WebLinkAbout0090 INDIAN HILL ROAD go
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Town of Barnstableill
11d111g
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Post Th�s�Gard So,,That rt�sUisible-,Fr,,om the Streets, Approved=P(ans IVlust be-Retained on Job;and this Gard:Must beKept
Posted UntiY_-Final lns ectian Has.Been-Made ;' E1 a"I
Permit
�6q ,z
Where a Gertifidate ofkOceupancy�s Requred;such 6`uild�ng shall Not be Occupied until a Final lnspeetton hasbeen made
Permit No. B-19-546 Applicant Name: Paul Lichiara
. Approvals
Date Issued: 05/13/2019 Current Use: Structure
Permit Type: Building-Siding/Windows/Roof/Doors Expiration Date: 11/13/2019 Foundation:
Location: 90 INDIAN HILL ROAD, BARNSTABLE Map/Lot: 318-030 Zoning District: RF-1 Sheathing:
Owner on Record: HILL, KARL& MARGARET B Contractor Name: EAST COAST METAL ROOFING LLC Framing: 1
2
Contract�orlie'ense: 184472
Address: 90 INDIAN HILL ROAD , 2
BARNSTABLE, MA 02630 Est Project Cost: $38,500.00 Chimney:
Description: Strip Roof. Install Ice and Water Shield. Install Permalock Roofing Permit4Fee: $ 196.35
Insulation:
System.
Fee Pald $ 196.35
Project Review Req: Date: 5/13/2019
Final:
Plumbing/Gas
g Rough Plumbing:
u I
.. -
This permit shall be deemed abandoned and invalid unless the work au thorized+by this permit is commenced'withm six months after issuan Final Plumbing:
All work authorized by this permit shall conform to the approved application an`d th16 approved construction documents for which this permit has been granted.
All construction,alterations and changes of use of any building and structures shall be in compliance with the local zoning by laws and codes. Rough Gas:
This permit shall be displayed in a location clearly visible from access street or road and shall be maintained open for public inspection for the entire duration of the
work until the completion of the same. Final Gas:
if
., :
The Certificate of Occupancy will not be issued until all applicable signatures by,the,Building and Fire Officials�are','6Aded on this permit. Electrical
Minimum of Five Call Inspections Required for All Construction Work. ' - -
1.Foundation or Footing � Service:
2.Sheathing Inspection of
2' '
3.All Fireplaces must be inspected at the throat level before firest flu eAinmg is installed', Rough:
4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection
5.Prior to Covering Structural Members(Frame Inspection) Final:
6.Insulation
7.Final Inspection before Occupancy Low Voltage Rough:
Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Low Voltage Final:
Work shall not proceed until the Inspector has approved the various stages of construction. Health
"Persons contracting with unregistered contractors do not have access to the guaranty fund" (as set forth in MGL c.142A). Final:
Building plans are to be available on site Fire Department
All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT Final:
Application number. .....................................
ya ® Date Issued...... . .................................
EAR.W.ST/SBLE. Y
..........
o.
MAM
x639. `0� SEP 0 v 2018 Building Inspectors Initials.....Ue..... . ......
�
WKd (A6AHNSIABLI Map/Parcel........ Q30.............................
TOWN OF BARNSTABLE
EXPEDITED PERMIT APPL
ICATION:
ROOF/SIDING/WINDOWS/DOORS/TENTS/STOVES/WEATHERIZATION
PROPERTY INFORMATION
Address of Project: —qo /�,�;�,�, -f(;/� ; er r f S�
NUMBER STREET VILLAGE
Owner's Name: I*Urc,atr /(t?r/ //;11 Phone Number 5ok .
Email Address: mjf4a,-e1b;</(a e7e• 60/"1 Cell Phone Number
Project cost$ y,3 9 3 — Check one Residential Commercial
OWNER'S AUTHORIZATION
As owner of the above property I hereby authorize
to make application for a building permit in accordance with 780 CMR
Owner Signature: Se -f(Q��Q �cr�-{cGc-� Date:
TYPE OF WORK
Siding I"J Windows (no header change)#' Insulation/Weatherization
Doors (no header change)# Commercial Doors require an inspector's review
Roof(not applying more than 1 layer of shingles)
Construction Debris will be going to 4J9s4e-1g1 a11a
CONTRACTOR'S INFORMATION
Contractor's name I��tGn`��n��se� - Sov 2�n dP� Fr leva kf ndaw5
Home Improvement Contractors Registration(if applicable)# 17 3 Z.y 5 (attach copy)
Construction Supervisor's License# 0I S'7 07 (attach copy) j
Email of Contractor aS ft� 9 M4(Lc C-O^ Phone number qO/- z 2 R -9 goo
ALL PROPERTIES THAT HAVE STRUCTURES DVER 75 YEARS OLD OR IF THE SUBJECT PROPERTY IS 11V
A HISTORIC DISTRICT, YOU MUST OBTAIN HISTORIC APPROVAL BEFORE A PERMIT CAN BE ISSUED.
APPLICATION NUMBER............................................................
*For Tents Only*
Date Tent(s)will be erected Removed on number of tents total
Does the tent have sides?Yes No (If yes please attach floor plan with exits marked)
Dimensions of each Tent X X , X
Additional tent dimensions can be attached on a separate piece of paper.
Check one:this event is a: for profit non-profit event
Check one:Food served Yes No
Flame Spread Sheet of each tent must be attached.Provide a site plan with the location(s) of each tent
If food food is being served at your event please obtain a Health Department approval between the hours
of 8:00am-9.30 am or 3:30 pm-4.30pm. Commercial events may require Fire Department approval
Y.W®®DIC®AL/.b ELLET STOVES x
Manufacturer# Model/I.D.
Fuel Type Testing Lab
Offsets from combustibles: front back left side right side
HOMEOWNER'S NJ1J`R'S LICENSE E m,MP IO14
Homeowner's Name:
Telephone Number Cell or Work number
I understand my responsibilities under the rules and regulations for Licensed Construction
Supervisor in accordance with 980 CMR the Massachusetts State Building Code. I understand
the construction inspection procedures,specific inspections and documentation required by 780
CMR and the Town of Barnstable.
Signature Date
P1LICANT9S SIGNATURE
Signature Date 9- S"- /J-,
All permit applications are subject to a building official's approval prior to issuance.
Renewal Agreement Document and Payment Terms
byAndersen. dba:Renewal By Andersen of Southern New England Margaret&Karl Hill
M.. I..E.Wr
Legal Name:Southern New England Windows,LLC 90 Indian Hill Rd.
RI #36079,MA#173245,CT#0634555, Lead Firm#1237 Barnstable,MA 02630
10 Reservoir Rd I Smithfield,Rl 02917 H:(508)364-5750
Phone:866-563-2235 1 Fax:401-633-6602 1 sales®renewalsne.com
Buyer(s)Name: Margaret &Karl Hill Contract Date: 08/21/18
Buyer(s)Street Address: 90 Indian Hill Rd., Barnstable, MA 02630
Primary Telephone Number: (508)364-5750 Secondary Telephone Number:
Primary Email: margarethill@me.com Secondary Email:
Buyer(s)hereby jointly and severally agrees to purchase the products and/or services of Southern New England Windows,LLC d/b/a
Renewal By Andersen of Southern New England("Contractor"),in accordance with the terms and conditions described in this Agreement
Document and Payment Terms,any documents:listed in the Table of Contents,and any other document attached to this Agreement
Document,the terms of which are all agreed to by the parties and incorporated herein by reference(collectively,this "Agreement").
Buyer(s)hereby agrees to sign a completion certificate after Contractor has completed all work under this Agreement.
Total Job Amount: $4,393 By signing this Agreement,you acknowledge that the Balance Due,and the Amount
Financed must be made by personal check,bank check,credit card,or cash.
Deposit Received: $2,196
Balance Due: $2,197 Estimated Start: Estimated Completion:
Amount Financed: $4,393 6-10 weeks 6-10 weeks
Method of Payment: Financing We schedule installations based on the date of the signed contract and secondarily on
the date in which we complete the technical measurements.The installation date that
we are providing at this time is only an estimate.We will communicate an official date
and time at a later date.Rain and extreme weather are the most common causes for
delay.
Notes: 50% deposit-GREEN SKY, 50% balance due upon completion-GREEN SKY
I
Buyer(s)agrees and understands that this Agreement constitutes the entire understandings between the parties and that there are no verbal
understandings changing or modifying any of the terms of this Agreement.No alterations to or deviations from this Agreement will be
valid without the signed,written consent of both the Buyer(s)and Contractor.Buyer(s)hereby acknowledges that Buyer(s) 1)has read this
Agreement,understands the terms of this Agreement,and has received a completed,signed,and dated copy of this Agreement,including
the two attached Notices of Cancellation,on the date first written above and 2)was orally informed of Buyer's right to cancel this
Agreement.
NOTICE TO BUYER Do not sign this contract if blank.You are entitled to a copy of the contract at the time you sign.
YOU,THE BUYER,MAY CANCEL THIS TRANSACTION AT ANY TIME NOT LATER THAN MIDNIGHT
OF 08/24/2018 OR THE THIRD BUSINESS DAY AFTER THE DATE OF THIS TRANSACTION,
WHICHEVER DATE IS LATER SEE THE ATTACHED NOTICE OF CANCELLATION FORM FOR AN
EXPLANATION OF THIS RIGHT.
Legal Name:Southern New England Windows,LLC
dba:Renewal By Andersen of Southern New England Bum(s)
Signature of Sales Person Signature Signature
Chris Hutson Margaret Hill Karl Hill
Print Name of Sales Person Print Name Print Name
UPDATED: 08/21/18 Page 2 / 12
TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION
Map Parcel bw Application #
Health Division Date Issued 3-�2
Conservation Division Application Fee
Planning Dept. Permit Fee
Date Definitive Plan Approved by Planning Board
Historic - OKH _ Preservation / Hyannis
Project&eetAdd�re�ss 'o d IVillageX
Owners �� Address
Telephone
Permit Request
o
F�4 i"?Ii[ k a-aohm
Square feet: 1 st floor: existing proposed 2nd floor: existing_propose6F Total new?
Zoning District Flood Plain Groundwater Overlay
Project Valuation 6 b. n Construction Type 1V�
:a
Lot Size Grandfathered: ❑Yes ❑ No If yes, attach su porting jf cur ntation.
--a
Dwelling Type: Single Family ' Two Family ❑ Multi-Family(# units)
M
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 ❑
Commercial ❑Yes LI No If yes, site plan review#
Current Use Proposed Use
APPLICANT INFORMATION
(BUILDER OR HOMEOWNER)
Name L Telephone Number A W
Address License # V 1
U Y�V'wHome Improvement Contractor# f �b
Worker's Compensation # V�� 01
ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT ILL B�TAKEN TO
SIGNATURE DATE
FOR OFFICIAL USE ONLY
APPLICATION#
r DkTE ISSUED.
MAP/PARCEL NO.
I„
ADDRESS VILLAGE
OWNER
4
DATE OF INSPECTION:
_F_QUNDA140N U-ii r> , ; _:-,_� IJ,A
FRAME
f.
- INSULATION ,-
FIREPLACE
r
ELECTRICAL: ROUGH FINAL
PLUMBING: ROUGH FINAL
r
GAS: ROUGH FINAL
FINAL BUILDING-'
DATE CLOSED OUT
ASSOCIATION PLAN NO.
r Town of Barnstable
°a Regulatory Services
NAIRZ
AM Richard V.Scati,Director
A'�„ • building Division
Torn Perry,Building Commissioner
200 Main Street,Hyannis,AA 02601
www.town.barnstable.ma.us
Office: 508-8624038 'Fax: 508-790-6230
Property Owner Must
Complete and Sign This Section
If Using ABuilder
T, rirl of b'�(A I' I�1 I I as Orvr►er of die subject property.
hereby authorize ti. to act on.my behalf,
in all matters relative to wor authorized by this building perrsut application for:
1 �; 1 Cti1 tII1 I ?`Gn(A FjC4,, ,i S L Rto , � 6-2 4' 36
(Address of job) _
"Pool fences and alarms are the responsibIty of the applicant. Pools
are not to be filled or utilized before fence is installed and all final
inspections are performed and accepted.
t,iettj 21 1�. 2N1 I
Signature of Owner Signature of Applicant
Print Name Print Name
Date
Q:FfJRMS:0ti4'i`T£RPk:�M1SStONP(?ULti �
rQ �fit
CAPE COD '
INSULATION
Sd o N� J - �
FWAR 4"'S SIAMLLSS SYAAT FOAM IY$P4ND4Y (i ^Aye,
&AM YYRNL INS NoN C(NINYf "'NNNN/rrr w,y r
1-800-696-6611 43'
1'own of Barnstable
Regulatory Services
Building Division
200 Main St
Hyannis, MA 02601
WLe-, f
.lY
Dear Building Inspector
Please accept this Affidavit as documentation that Cape Cod Insulation, Inc. performed &
complefed the insulation and weatherization work at the property listed below. Cape Cod
Insulation did this in accordance to the specifications listed on the building permit
application. All work has been inspected by a certified Building Performance Institute
(BPI) inspector. All wort:preformed meets or exceeds Federal & State Requirements.
Property Owner Property Address Village
A449 zk— 1476/ q 0 .7W- 4,4W Mt/ 10 :
lusulation Installed: Fiberglass Cellulose R-Value Restricted Unrestricted
Ceilings ( ) (.�) (v24v)
Slopes ( ) ( ) ( ) ( ) ( )
Floors ( ) ( ) ( ) ( ) ( )
Walls
Ax S��4
Sincerely
He ry L Cas: y Jr, President
U- e Cod I , ulation, Inc.
'r TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION
Map ✓ l/ Parcel o3o Application #C;)CI q L2 l
Health Division Date Issued "� ' �`� p
Conservation Division Application Fee
Planning Dept. Permit Fee
Date Definitive Plan Approved by Planning Board
Historic - OKH _ Preservation / Hyannis
Project Street Address �D `�sd!✓-��
Village 449 2!: ,
Owner ehM4Vi2�� Address
Telephone c SJia � �y-5'D
Permit Request ,// ZT���Z ��' C1 �-S `�,//i✓�b�1f' ,f� >� iG
o?�� 1��i(� Bird/ �/� �� �� ����/e�T/J��%�e�i�lt✓/���
Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new
Zoning District Flood Plain Groundwater Overlay
Project Valuation �3 Z Qd¢ 0 Construction Type_, 0P
Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation.
Dwelling Type: Single Family Two Family ❑ Multi-Family (# units)
Age of Existing Structure Historic House: ❑Yes g No On Old King's Highway: ❑Yes I No
Basement Type: ❑ Full ❑ Crawl ❑Walkout ❑ Other
Basement Finished Area (sq.ft.) Basement Unfinished Area (sq.6
.,Number of Baths: Full: existing new Half: existing new-
Number of Bedrooms: existing _new
Total Room Count (not including baths): existing new First Floor Roo Count :I--
Heat Type and Fuel: ❑ Gas ❑ Oil ❑ Electric ❑ Other
Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing wood/+oal stove;,❑Yes ❑ No
M
Detached garage: ❑ existing ❑ new size_Pool: ❑ existing ❑ new size _ Barn: ❑ existing ❑ new size_
Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size _ Other:
`I
Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑
Commercial ❑Yes ❑ No If yes, site plan review#
Current Use Proposed Use
i
APPLICANT INFORMATION
(BUILDER OR HOMEOWNER)
Name af_� C��j/,i6�i✓� Ol� Telephone Number
Address At ���i2o��r �� License # -/"11 ete
VDU Home Improvement Contractor#
Worker's Compensation #
ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO
SIGNATURE DATE //S�
FOR OFFICIAL USE ONLY
APPLICATION#
z DATE ISSUED_
MAP/PARCEL NO.
ADDRESS VILLAGE
OWNER
DATE OF INSPECTION:
.,"FO.UNDATI.O.N�V
F:
FRAME V N
INSULATION..
FIREPLACE
ELECTRICAL: ROUGH FINAL
PLUMBING: ROUGH FINAL
GAS: ROUGH FINAL
FINAL BUILDING
DATE CLOSED OUT
4
ASSOCIATION PLAN NO.
I
{
OWNER AUTHORIZATION FORMA
MA-96 44 8 -
(Owners Name)
owner of the property located at
90 INDIAN HILL ROAD
(Property Address)
BARNSTABLE, MA 02630
(Property Address)
(N
hereby authorize \ CCd r
(Subcontractor)
an authorized subcontractor for RISE Engineering,to act on my behalf to obtain a building
permit and to perform work on my property.
�IILU
_Owner Sign ure
Date
i
i
Town of Barnstable Permit#t5,, x 6o
Expires 6 months from issue date
Regulatory Services Fee
BM Mazasts Thomas F.Geiler,Director "' Uv
Mass
9�A 16s9. A.��' Building Division
rFD MA'S
Tom Perry,CBO, Building Commissioner '�, ,04
200 Main Street,Hyannis,MA 02601 �J
www.town.barnstable.ma.us
Office: 508-.862-4038 Fax: 508-790-6230
EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY
Not Valid without Red X-Press Imprint
Map/parcel Number —3 C
Properly Address-90 12 GL<G o7
Residential Value of Work ..0. Minimum fee of$25.00 for work under$6000.00
Owner's Name&Address J 711 1� o
t%7// //
Contractor's Name 4er_ c ' �^ C'�'` Telephone Number ,�93. i� —7 3 Q
Home Improvement Contractor License#(if applicable)
❑Workman's Compensation Insurance
Chel am a sole proprietor X-PRESSPERMIT
❑ I am the Homeowner
❑ I have Worker's Compensation Insurance FEB 1 2008~
Insurance Company Name TOWN OF BAR STABLE
Workman's Comp.Policy#
Copy of Insurance Compliance Certificate must be on file.
Permit 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)
ZRe-side fji/t/`t / Z' �'�' c c^ �t��C Ci r
❑ Replacement Windows/doors/sliders.U-Value (maximum.35)
*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 is required.
<`
-J;
SIGNATURE:
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i'
Q:\WPFILES\FORMS\building permit forms\EXPRESS.doc
Revise020108
Town of Barnstable.
Regulatory Services
BARMABLE, ` Thomas F.Geller,Director
9`bA,E�b`'� Building Division
Tom Perry, Building Commissioner
200 Main Street, Hyannis,MA 02601
www.town.barnstablepa.us
Office: 508-862-4038 Fax: 508-790-6230
Property Owner Must
Complete and Sign This Section
If Using ABuilder
fi r�tS}�
as der of the subject property
hereby authorize r T� h�� to act on mY behalf,
in all matters relative to work authorized by this building permit application for: .
(Address of Job) /
Signature of der -tYLVS+e.e Date
Print Name
Q:FORMS:OWNERPERM ISSION
Expires 6 mo
' rom e
o?
Regulatory Services Fee
. �sz
IMAM Thomas F.Geiler,Director
&e59. .�
` '�Eo�►�' Building Division
Elbert C Ulshoeffer,Jr. Building Commissioner n
367 Main Street, Hyannis,MA 02601 w - E )
Office: 508-862-4038 APR 2 6 2001
Fax: 508-790-6230 T
EXPRESS PERMIT APPLICATION TOWN OF BARNS iABLc
Not Valid without Red X-Press Imprint J
Mapiparcel Number `J 8 0 —Q
Property Address C/o /a 1)14,^1 IV kILL
Residential OR ❑ Commercial Value of Work
Owner's Name&Address S r /1n-'T
C'UMMtg6.utA P1-5 16c �+��f �0d4 A/C �/Gvf i•
0,QOSS J( S�iaGLvrL`I OL1J4 O//'4`l�
Contractor's Name Telephone Number —
Home Improvement Contractor License#(if applicable)
Construction Supervisor's License#(if applicable)
r7Workman'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#
Permit Request(check box)
Re-roof(stripping old shingles)
Re-roof(not stripping. Going over existing layers of r000
Re-side
Replacement Windows. U-Value (maximum• ) �r��'� �� '�°� �`-a "'' V1 Nv L 01�
Other(specify)
*Where required. Issuance of this permit does not exempt compliance with other town department regulations.i.e.Historic:Conservation.etc.
Sip-nature
expmtrg
• ate— �
map and lot number .....:.. .... :,.�+ `'�...... cFTNFro
-IwAssessor's
ag'Qf Permit number �E`V'�> ro
................... C O3 jV1
fir
5 �
NaLse number .t........ �.:... . ......1�.. / .........................., 30jgVildwoo M6 9
TOWN OF BARNSTABL`
BUILDING INSPECTOR
APPLICATION FOR PERMIT TO ............. .... : .. �...........................................................
TYPE OF CONSTRUCTION ........ . ...�..�� :--:................................................................................................
' ... ......................../... .......192Y�
TO THE INSPECTOR OF BUILDINGS:
The undersigned hereby a plies for a perrmmit�ccording to the following information:
Location ..C— ... ....�.�% '"...... .... .....<�� ^�? �' ......... /-�.k ti.f.✓... /J/e .................
..a&;,a yv'i 1" ram/ ....... .........
Proposed Use ............................................... . ..���y?��............ . ..................
Zoning District ............. l.....-.�......................................Fire District ...:......../........ ..
Name of Owner .... 2< .. ...................Address . ...............
,F
Name of Builder . ... ............Address ......./.,.J .......
Nameof Architect ..................................................................Address ....................................................................................
Number of Rooms .......�. ......................................................Foundation .... ............................................................
Exterior
I .... ... .. ... ................ Roofing ......... 41. ...............................................
Fo .. ................................................Interior ........ ............................................
.t/LJ ...............Plumbin .��
Heating :' '....:.................... g
Fireplace ...... / :: ::..........................................................Approximate Cost .......�n'l ...
..... ...... n. �• . .... j
Definitive Plan Approved by Planning Board ______________________________19-------- . Area
Diagram of Lot and Building with Dimens�ns Fee //
SUBJECT TO AP40VAL OF BOARD OF JLTH
C-OL% €
VU ski,l M ¢
4
1
1
- t
� I '
-T_ 7
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. r/� i
Name ....... ........... :..t ...............
n
a Construction Supervisor's@L'icense ._"�l-`:—;..:'.........0-X........ F
STUART, JEAN A.
No ....27�9' ` Permit for Mend Dormer ' a;
Sin le Family..Dwellin
.................g.................Y..................J....................
Location ....... ...............
I ........................:.......
Owner ..........Jam. , S ids3 ........................
Type of Construction ...........Frame.................... j
Plot ..............................Lot..................................
Permit Granted ............April....3�...........19 85
s
Date of Inspection:.,.. "..? ................19
0._
Date Completed / .' ...........19
ti
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