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°p1RE_r Town of Barnstable *Permit#2 °5 t
Expires 6 man hs fr m i date
, s; °y Regulatory Services • Fee
iA-FtNSTABLE Thomas F. Ceder, Director
.9 MASS,
i63q. Nt, Building Division .�
orEb MAC
Tom Perry,CBO, Building Commissioner I
200 Main Street, Hyannis, MA 02601
www.town.barnstab le.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. L �
Property Address / 5 y 7 / "I qr y P U 11 vi R Oq
Residential Value of Work / 3 0 Q Minimum fee of$25.00 for work under$6000.00
Owner's Name &Address fU ey 1' P7 . C r 05.6 y
3y7 / e7r y 0a4 ,7 Rd /5)41 51-4•
Contractor's Name r! o,; e o ‘, Telephone Number cOe, 5 2
Home Improvement Contractor License# (if applicable)
❑Workrnan's Compensation Insurance
Check one:
® ", PERMIT
❑ I am a sole proprietor
N. I am the Homeowner S E P 1 2 2008
❑ I have Worker's Compensation Insurance
TOWN OF BARNSTABLE
Insurance Company Name
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)
V. Re-side
❑ Replacement Windows/doors/sliders. U-Value (maximum,.44)
*Where required: Issuance of this permit does not exempt compliance with other town department regulations,i a,rionservation,etc.
***Note: • Property Owner must sign Property Owner Letter of Permission.
A copy of the Home Improvement Contractors License is required.
SC :01 .'\1 ZId. J [ Z
SIGNATURE:
•
Q:\WPFILF_S\FORMS\building permit forrns\FYPRESS.doc
Revise020108
Town of Barnstable
(;-:-::*THE ropy
, Ai • o Regulatory Services
•
p""' Thomas F. Geller, Director
• sARNSTA.BLe, •
.9 MASS.
,659. <m Building Division
pTFD �a Tom Perry,.Building Commissioner
. 200 Main Street, Hyannis, MA 02601 li
www.town.barnstable.ma.us
Office: 508-862-4038 Fax: 508-790-6230 • 1
• HOMEOWNER LICENSE EXEMPTION
Please Print .
DATE: / //,:"/(1,c-
JOB LOCATION: / ? Y7 ,717 f r' y l)o-fj h Re 0 (✓ly i/7 17e (
number/ street �* � village
"HOMEOWNER": /�ci b eef 1i C�.r_' y 3 0( 1 C 7 .70t/o 5- )7C,, J/7l , .
name ,Q home phone# work phone#
CURRENT MAILING ADDRESS: ( fir D G 4(
elf ti ria(., /h, a ra •
1 . 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.
gnature of 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 caret amend and adopt such a form/certification for use in your community.
.�r
Soo
•
oFYHE T To ii of Barnstaple
i •
er ices
,,�,, Reg latory S v
ki659. ."
NAB ' ` Thom's F. Geller,Director
'0MAs Buih ing Division
Torn Perry, t ilding Commis loner
200 Main Street, Hyannis, MA 2601
www.town.b rnstable. .us
Office: 50 8-862-403 8 Fax: 508-790-6230
Property Owe er ust
Complete and Sin Th's Section
If Using Build .r
X, / 'let /k Cta5 / , as Owner of the subject property
hereby authorize to act on my behalf,
in all matters relative to work a orized by this building permit app 'cation for:
(Address of Job)
Signature of/9, ner Date
Print Name
If Property Owner is applying for permit please complete the Homeowners License
Exemption Form on the reverse side.
Assessor's office,(1st Floor): �
Assessor's map and lot number t" 3 1 0e-D.. c C > :9AµL.. PTIC SYSTEM C`THE TO`
A@ LED IUp •
Conservation _ 6 INS IN COMP�r, fay.
Board of Health(3rd loor): W�
Sewage Permit number ��rg lire; -" "�!��t ���fl��pp��T��LE J s�°y�Lt
�d6� ®��ICOD O^gr6�p.
Engineering Department(3rd floor): �+ „�,,
House number /3)7 �+��/ tf `•"�'�Ih"S o���
Definitive Plan Approved by Planning Board 19
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 / Q ` / /a
TYPE OF CONSTRUCTION * + •
19
TO THE INSPECTOR OF BUILDINGS:
The undersigned hereby applies for a permit according to the following information:
Location_1347 Mary Dunn Road Curer agui d
Proposed Use Garage Brezeway S `7 O I A CSC. 1130 C'
Zoning District Fire District Barnstable
Name of OwnerRobert M, Paula A Crosby Address 1347 Mary Dunn Rd. Box 2 Barn
Name of Builder Self Address 1347 Mary Dunn Rd. Box 2 Barn.
Name of Architect Address
Number of Rooms 3 Foundation Poured Concrete
Exterior Shingles Roofing Asphault Shingles
Floors 2 Interior Finished/ unfinished
Heating Hot Water Plumbing None
Fireplace Approximate Cost $21 000.00
Area 24x24 10x1
Diagram of Lot and Building with Dimensions Fee to See
•
•
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
.'"( -...
CROSBY, ROBERT M. & PAULA A.
---,.
3 3.4 ,60003
No1). Permit For BUILD ADDITION & GARAGE
• , Single Family dwelling
1347Dunn Road
Location Mary • .
--1,(4=111131V5 13z:Nry\S4-alo 1.6 , .
..' /.7., .
Own& Robert M. & Paula A. Crosby
Frame
Type of Constriidtion
• ,
• '6,*?,
_,.. . .
/,
1/•
Plot -4-.` Lot
„ ..., -
- .i.
-•> , ,
Permit aranted June 1 r ,' 19
-
Date of Inspection/CY/9/9g - - 19 •
1 .
. ,
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, .. ...
Date Completed /0*/-c; 7 :: 19
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": TOWN OF BARNSTABLE `'F f§°�x
t . t. - 4 llfC �'l S'
�iti Y am+ r
BUILDING DEPARTMENT
ga`lc a ' f�
r'yr - HOMEOWNER LICENSE EXEMPTION '"
' � Please
.,a, print. k�ti�µ
: DATE (J • 7 �':.:P..:'
� ,,, fir'.
•
�ij `}�fix ..:
}$5 : , '.
r
;. JOB LOCATION `"r ek-
F'F 4 Mar Dunn Road Cumma uid titer" `,
Number Street Address
Section Of Town,,.};'
' '.'HOMEOWNER"
2-3065
`' Name 362-3312 ,
Home Phone Work Phone
PRESEN
,r s, ', }, T MAILING ADDRESS J}
Ma 02630 ,,AAga
�hy ( r. ee t l 7"
"`V C y Town State02630 K �=
„:
'110
Thewcurrent exemption for "homeowners" was extendedZ PyCode� J;
�` :: occu led dwellin s of six units or less and to allowtsuchchome oners
engage an individual for hire who does not possess a rovi to
the owner acts as supervisor. license, provided that
v, :.;`,DEFINITION OF HOMEOWNER:
Person(s) who owns a parcel of land on which
he/she resides or intends to ���..
,�i reside, on which there is, or is intended to be, a one to six family
��.�� 5�' dwelling, attached or detached.�R structures accessory to such use a /or f rm� ' i 1
FEE structures. A person who constructs more than one home in a two-
�� period shall � „ �.�sag , not be considered a homeowner. Such " ylar
M to the .Building Official on a form acceptable to the Building
x�� ,y`�' that he�`�she' shall be res onsible for homeowner" shall submit'��
�r nderc he ; ,
� �bui.dina Hermit. (Section all such work r
, .,,� , , 109 . 1 . 1 erformed under they �k' _
Yt, The undersigned "homeowner" assumes responsibility for
,�tx ,,, State Building Code and other applicable r sr� °
compliance h the f
0 4 regulations. codes, b wit } `
> :, by-laws, rules. and 4 t{n
. ¢4 J.' � ? t 43I t
The • ,fi,�c�
undersigned "homeowner" certifies that he/she understands ,r�
�2 Barnstable Building Department minimum inspection roc ��
the Town of. s
gf '' requirements p edures and
dud , % / ,�r�,�'
1 P f .G r,iri:.
s 2,g HOMEOWNER'S SIGNATURE
i�rRx c; kAtx
t }�
wyf APPROVAL OF BUILDING OFFICIAL YE
dz
� kr•..,Z c:
P� ^ ..Note; Three family dwellings '
� uh '
35, 000 cubic � ':
{required to comply with State Buildingfeet, or larger, will be
`, Control. '
Code Section 127 . 0, Construction
MI8C5
..;
. .
HOME OWNER'S EXEMPTION)
/
• The code states that : "Any Home Owner performyng work for which a bul40igl.
permit is required shall •e exempt from the provisions of this section:k,',;:':Ak
(Section 109 . 1 . 1 - Licensi • of Construction/supervisors) ; providedh44.4*
*,likHome Owner engages a person % ) for hire to do such work, that such Home. "044
Owner shall act as supervisor. "
Many Home Owners who use this exe • •tion ,are unaware that they are assiiliA.TO
',fctfi .:the. responsibilities of a superviso ( see Appendix Q, Rules and Regulations:4=
for Licensing Construction Supervisor Section 2 . 15 ) . This lack of• awareness ,A-347A,141
often results in serious pr•b -ms, particularly when the Home
▪ Owner hires unlicensed persons . In his se our Board cannot proceed-,..:' :6:
w,,,,,,,..:1;,',Against the unlicensed person as i would wi h licensed supervisor. . „ghei5Mfr.W
Home Owner acting as supervisor i. ultimately ', esponsible.
•
To ensure that the Home Owner fully aware of hi her responsibilities,many t',1?-'
communities require, as tart of the permit appl ation, that the HOTyle.
▪ Owner certify that h /she u •erstands the responsibili ' es of a supervisor.
On the last page of .his i ,sue is a form currently used •y several stowns'.:
You may care to amen :, ant adopt such a form/certification ipr use in,your . ,: ',„
community.
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tJJD
111F� ' I certi• f that this •
r'1, Ft y property is located CERTIFIED PLOT. PLAN„
" r� " in Flood .Hazard Zone C (outside the 500 .
f`r, d J ,year', flood) as identified by the LOCATION .�q1e ' 77 8!„C-J.(Co.H.4i l,bJ"
•
Department of Housing and Urk n ,
`s Develoi. pment (HUD) . t?'' SCALE _�c DATE. M �8 /.y�3
{l'f i�?r,` s°'v,-- '`` PLAN REFERENCE BG7iv.. 4,-,r,, - `
'f ( € ED'A�AR 5., ..SAV/041 6 A/ /�L B,�C 3Z¢
1�y 1 ,M r/,gx••/8 /q . S
f Date • �• i{ELi
tY �'I PC. 43
'',,nu • Reg , n¢b. i�v
t' ir, �fi, 9kiS1EQ�i
•
q,� (, I certify to its title insurance company •
sr that 'there are .no visible encroachments or I CERTIFY THAT THE E37is`r7AeS Dw�'447w" '
easements except as shown and that this AS SHOWN HEREON SHOWN ON THIS AAND THAT N IS ATE CONFORMS.TO THE
1 plan was prepared under my immediate SETBACK REQUIREMENTS OF THE TOWN OF,:,
^ 1 { supervision. 8g'n^!s?9$.L.4-;. .., .W• HEN CONSTRUCTED ' -'
DATE M.gy /8 /7Q,3
`I, , ,!�o8 r .C2osey y vx - Prn 77o/.1c ,S ' . . �� LA 7
~° 1 , REGISTERED:LA;ND ;,SURVE'Y
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.•`"`'. TOWN OF BARNSTABLE
``�� `o Permit No.
11,111T11L Building Inspector Cash
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' "Y OCCUPANCY PERMIT Bond _ —V
"No building nor structure shall be erected, and no land, building or structure shall be
used for a new, different, changed, or enlarged use without a Building Permit therefor
first having been obtained from the Building inspector. No building shall be occupied until a
certificate of occupancy has been issued by the Building Inspector."
Issued to Robert Crosby Address s`iar'nstable
Wiring Inspector Inspection date
Plumbing Inspector Inspection date
Gas Inspector Inspection date
Engineering Department 1 . �,. � .%_ , , a ,do 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.
, 19 _....
Building Inspector
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I _., CERTIFIED PLOT PLAN
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4- s 4"r14.1). D/4Jry"-7 LOCATION .8 /vs7 4SS . /A9.4s S.
SCALE / ' 4°' . -DATE.T'.Ly Z8./980
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PLAN REFERENCE .O47wQ' eo7 44 e-
�DWARD E KE!!EY S,t,�,y, ,,/ a,n� A�/ �'o..e
CUMMAQUID MASS. 02637 , , . . -
.`$.* Off N� rr ,&cO.eiEt, /A/ PL,.Q,r, 3z4
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ED EARD if,o . P�4 It. . . . . ..
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-,v� 51��O I CERTIFY THAT THE 4°c.R. i577 vQ•l -."'.vD 7o.v,4
F �� SHOWN ON THIS PLAN IS LOCATED ON THE GROUND
Qis�� t� AS SHOWN HEREON.AND THAT IT CONFORMS TO THE
- z;'4U�v(`'ND S -- t., SETBACK REQUIREMENTS OF THE TOWN OF
. .ek .4d.779O44:... . . . . . WHEN CONSTRUCTED.
INiGL/*7-7 F SIN/FT 'DATE -lid-7 � !S ?s � ''
PET!TI0NER:,3fh4i�/STia}$- /Nf}55-
i REGISTERED LAND SURVEY
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SHEET Z. o1 Z SN6Z' -a
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TOP OF FOUNDATION
CONCRETE COVER
D.'
CONCRETE COVERS
,,n arir/�7A.»77�n11�++,ii nii > i
mew-4 , '•iiA1q,
�; 4 CAST IRON 12"MAX. . .",,,,"r •,,,• 12"MAX�'� ,. �„�
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• PIPE (OR + in) iiv 4��ORANGEBURG(OR EQUIV.) T
EQUIV.)— MIN. PIPE- MIN. 1 LEACH ' A
,' PITCH 1/4"PER. PITCH I/4"PER.FT e% 7 pIT
b PRECAST
6..'0 lt -i LEACHING
o'• NVERT ° Q G :•,'•
''6 EL...S4•.9R.. INVERT INVERT n . o C 64 PIT OR
• SEPTIC TANK EL 4$,t DIST• EL'g 86 . .> w K EQUIV.
%,e INVERT 7 BOX ,•> % cia Q <�1'
e: EL..'?8•8 '. • /G0 GAL. INVERT INVERT ,_ wW O- :•:. 3/4"TO11/2•
EL4io3 w o
• o EL 0 . _ .: C ;. WASHED
1 w STONE
0 s / _NI [41---- 8 ' ), •••
1 IZ 6sDIA.
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1 ' �'--- /o• DIA. ► Honk PROFILE OF GROUND WATER TABLE '
SEWAGE DISPOSAL SYSTEM.
NO SCALE
SOIL LOG WITNESSED BY :
DATE•7.1 ?0/%'O TIME //'3o ' '1 . .P4 r e• i‘.1- 1?-4e . '. BOARD OF HEALTH
TEST HOLE I TEST HOLE 2 .7 r:Al- . E. ie.-6144X PE ENGINEER 1
II ELEV. . •5.4. . . ELEV. S•o o e�,WAJzD 4-, P-L.S.
iye
5u8-So 14. S
oA 1 DESIGN DATA :
ciF3`So i G
lA
N
,S0.„ 34 NUMBER OF BEDROOMS . 3
~ `rp• TOTAL ESTIMATED FLOW . . 33c? . . . GALLONS/DAY
BOTTOM LEACHING AREA . .?B So. . SQ.FT. /PIT
Pau Spa 78~
`. SIDE LEACHING AREA . . ./88•50 SQ.FT./ PIT
�� GARBAGE DISPOSAL N6n/4.(50% AREA INCREASE)
Hl1D,
.5A+60a TOTAL LEACHING AREA Z47.0o SQ.FT
/tea /.5Z„ PERCOLATION RATE lL-55 4"--' 7 io MIN/INCH
LEACHING AREA PER PERCOLATION RATE . .. SQ.FT.
N9. WATER ENCOUNTERED
NUMBER OF LEACHING PITS -4. ?1::!T.w/.7.7e Wo.
APPROVED . .. . . . . . BOARD OF HEALTH T of STa '.. 6 .d 4e.€ S'/DL-5.: /S;C7tr✓S f
.Srn . ..
DATE . . . . . . . . . . K
THOMAS E. ELLE� CC3. /I�f j�
AGENT OR INSPECTOR ENGINEERS—SURVEYORS L1 If
346 LONG POND DRIVE
Q."1,4 S UTH YARMOUTH,MARE k �''•�N QFM4
,,' l+OF 4,R ' d'4, 02664 SS9
'�:1.. ':'� (.0THOMAS G. `.,I
LOTS c EDWARD '.:; ; El I ,.t4,<
. i ;ii co Illi 1
LV/64.44-,7. f S,w/Pj- �,° SiONAL E"
PETITIONER : �'h ! L'
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sA�sessgi•'s map and lot number. y - (.5�- -01C�f- 7-3 26
fr• �� (r. SEPTIC.SYSTEM MUST BE .
• 3 ,�.�` . INSTALLED IN COMPLIANCE
Sewage Permit number �� .
rt �� • WITH TITLE 5
POF7HEtp' Hk. , 3y7. TOWN . OF 'BARNA`�`�`T ' t_�CODE ;�, _.
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HJHB9T11DLE, i
�,e�� BUILDING. ' INSPECTOR
- APPLICATION FOR PERMIT TO 401. +!
TYPE OF CONSTRUCTION ....4/DO6 , .�,r0-e1d smTeelte6ete. ..l5. .7.ex .>"
• 47 -es/-6J.0 19
TO THE INSPECTOR OF'BUILDINGS: .• •
The undersigned hereby applies for a permit according to the following information:
Location ..407 or\S- /.1i9teY 4Q.l./A#V yeaehO. 'OX/7. !aW9) .4ae9a.P44527.� IZO
Proposed Use .... /.N..64a .,/59/7J
Zoning District ...e 14.?461/.•127•/44 Fire District ..'i.'vi.s" 7.;9��.
27• 2C.6i"C5'� /Si9./sv . '�. <4,51e CS -73.02-•
Name of Owner . �x,--- ._. . ..... ... .... -#- Address ... .... . . :'.1 :`a= . f=..
if 40
Name of Builder .d_. 4 -+1� ... ..t_Sf .1rj Address ®50r60.? eric9 e'a'{.•�<F4Kg
Name of Architect Address '
Number of Rooms 3 Foundation .:. .�. .047,04/! 00
Exierior 4)/C CS*'A16 aLS Roofing ......�'.�SS. °1.A!!! ?7 ,.WJ'VeS*s,
Floors .. ed/ I.5.9244D3 Interior
Heating ,...•/dWG.• Plumbing ../4°. 44,7049
atef
Fireplace ....,7:.5 Approximate Cost 84420C
4'
Definitive Plan Approved by Planning Board 19 Area ./Q.Oa
as
Diagram of Lot and Building with Dimensions Fee &ot
SUBJECT TO APPROVAL OF BOARD OF HEALTH
4/40 (.6)-Sed/r7) I
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s407
AGES
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I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above
construction. _� 0a
Name `Z-� (�y�
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C .•Crosby, Robert
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No 22391 Permit for 1 1/2 s ory
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single family dwelli
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Location 1347 Mary
f'•Barnstable Q2P2Mgc.I. )..., ,•.
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. .Owner Robert Crosby _
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Plot - Lot #5 . . t • -,
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i Permit Granted July 31 '''. '
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Date of.Inspection ,./Z) .7 . 19 q70 •
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• Date Completed '.19 • •
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