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HomeMy WebLinkAbout0106 LONGWOOD AVENUE ,� �� Y .,. PROJECT NAME: ADDRESS: OoGQ PERMIT# PERMIT DATE: 7' MAP:: 3 / LARGE ROLLED PLANS .ARE IN: -Box SLOT - LA Data entered in MAPS program on: Z BY: i i Town ®f Barnstable *Permit# :s:3 ]tV&=6M-DXWAow hm darn DARNSUNA Regulatory SelrvicesNAM Fie s63�. ®� Thomas F.Gealer;Director Building Di�i3ion Tom Perry, Building Commissioner 200 Main Street, Hyannis,MA 02601 Office: 508-862-4038 �� PERMITRESS Far: 508-790-6230 AMRESS PE rr��>LICAITON o RES��rr .®NIMOV 12 2009 Not Va4d without Red X Press Iotprint TOWN OF BARNSTABLE Mapiparcel Number Property Address I © � �itti G�P�.�cs o L� 1$J q � IL9 Fee-C . Residential Value of Work /5®lam Nfinimum fee of-$25.00 for Work under$6000.00 Owner's Name&Address - �' L�lz, ,1� _ _ F•1��-� � Cal-��t����` �� �TL•�JT,� ��- ���� � '. Contractor's Name /J'OAF,15 1AJ CTelephone Number 6-b-q- Home Improvement Conductor License#(if applicable) . O Construction Supervisor's License#(if applicable)_ Workman's Compensation Insurance Check one: I am a sole proprietor ❑ I amthe.Hosneowaer I have Worker's Compensation Insurance Insurance Company Name Workman's Comp.Policy# 1�)0—;t 0 2- COPY of Insurance Compliance Certificate must be on fate. ?ermit Request(check box) ❑ Re-roof(shipping old shingles) All construction debris will be taken to ❑Re-roof(not stripping. Going over existing layers of roof) ❑ Re-side Replacement Windows. LT-Value �. T— (maximum.44) *Where r«Nired: Issuance of tisPermit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. ***Note: Property Owner must sign Property Owner Letter of Permission. Home Improvement s e is required ilgDatuIe � e ►,ti:orms:expmtrg � I tvise063004 �" =�, auuu urA�� aur�arr�rr�F� EBNORRz5 RAGE 62 , ra - v Town of Baran. ble I;Legu)*ry Services ' BvAdItg DWon r . x+amYar�f��n�Caxm�alan�r � . limw�=Mmble;m&w Co1ete and Spa This Seclion • if Lsimg iBuilder • • ,• ��Zerabya�r'r�:� �'OS�I�/2/Z.��'Di-1 %� �-1 _�o•�ct Qn�1� , •. �. - .• ' . • m aft�=�3ativ�•to w�kauc'�vr3x-.dl s bug&w PaVA VPB*W= L/ 2 � .. • A r i • Massachusetts - Department of Public Safety, Board of Buildin!-Re-ulations and Standards Construction Supervisor License License: CS 15851. Restricted to: 00 I CRAIG N ASHWORTH 138 OST W BARNSTABLE OSTERVILLE, MA 02655 �' 1 � r cs f Expiration: 9/28/2011 ('unuuissiuncf Tr#: 3091 I J � � �s�,.� �✓f� ,Qc.�iucef..� Board of Building Regulations and Standards License or registration valid for individul use only ° i r HOME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: ` -' Board of Building Regulations and Standards c) Registration: 102014 Expiration: 6/30/2010 Tr# 268470 One Ashburton Place Rm 1301 Ff Boston,Ala. 02108 Type: :Private Corporation ERNEST B. NORRIS&`SON INC Craig Ashworth _' 1 138 Osterville W. Barnstable rd. �� Osterville, MA 02655 Administrator Not valid without signature j . Department oflndustrial Accidents = Office Oflnvestigations 600 W shington Street Boston, MA 02111 t wwwJnass.gov/dia Workers' Compensation Insurance Affidavit: B.udders/ContractorslElectricianslPlumbers Applicant Information -- Please Print Legibly Name (Business/Organization/In&idual): to e3tygls //Ij C_ Address: fo City/State/Zip: 7'�R1�1 / k. ou an employer? Check the appropriate bog: Type of project(required):. AA I am a employer with 4: ❑ I am a general contractor and i 6 New constrgction employees(full and/or part-time).*' have hiredthe'sub-contractors , ❑ I am a sole proprietor or partner listed on the attached sheet,t 1. ❑Remodeling ship and have no employees ' These sub-contractors have $; Demolition working for me in any capacity, workers' comp.insurance, g, ❑Building addition [No workers' comp, insurance 5. ❑ We area corporation and its required] officers have exercised their 10,E]Elbetrical repairs or additions ❑ I am a homeowner doing all work right of exemption per MGL. 11.❑Plumbing repairs or additions myself, [No workers' comp. e. 152, §1(4),and we have no 12,[]Roof repairs insurance required.] t employees.[No workers' 13. Other comp.insurance regtlire.d.] my applicant that checks box#1 must also fill out the section below showing tbeir workers'compensation policy information, lomeowneis who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. ontractors that check this box must attached an additional sheet sbowing the name of the sub-contractors and their workers'comp,policy information. :m an employer that is providing workers cpmpensadon insurance for-my employees. Below is thepplicy and job site formation. surance Company Name: -licy#or Self-ins,Lie.#: W G IV` — Expiration Date: J !3 f 0 6 Site Address Lb 4 C—Gt1 City/State/Zip;� tach a copy of the workers' compensation policy declaration (e a (showing t page wmg the-policy nu 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 . :e up to$1,500:00 and/or one-year imprisonment, as well as civil penalties in the form of a STOP WORK ORDER and a fine up to$250.QQ a day against the violator, Be advised that a copy of this statement may be forwarded to the Office-of vestigations of the DIA for insurance coverage verification. !o hereby certify under the pains and ' Iti of pe ' ry hat the information provided above is true and correct: mature; _ / Date; one#: Official use only, Do.not write in this area,.to be completed by city or town official City or Town: Permit/License# Issuin e Authority(circle one g tY( ) - 1,Board of Health 2.Building'Department 3. City/Town Clerk 4.ElectricaI Inspector 5.Plumbing Inspector 6, Other Contact Person: Phone#: Client#:646400 2NORRISEB ACORD- CERTIFICATE OF LIABILITY INSURANCE 5/2„2009""`�'' i PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Dowling&O'Neil Insurance ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Agency HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR --: ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.._............ .i 973 lyannough Rd., PO Box 1990 Hyannis,MA 02601 INSURERS AFFORDING COVERAGE NAIC# INSURED INSURERA: Acadia Insurance E.B.Norris 8r Son.,Inc. INSURER 6: 138 Osterville-West Barnstable Road INSURER C: Osterville, MA 02655 INSURER D: INSURER E COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED.NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. IN-SR D POLICY EFFECTIVE POLICY EXPIRATION LTR NSR TYPE OF INSURANCE POLICY NUMBER DATE MM/DD DATE MM/DD LIMITS - A GENERAL LIABILITY CPA005234520 05/03/09 05/03/10 EACH OCCURRENCE $1 000 000,..._ X COMMERCIAL GENERAL LIABILITY - DAMAGE TO RENTED - _EBEMI s250,000 CLAIMS MADE FE OCCUR MED EXP(Any one person) $5 000 fir o .- PERSONAL&ADV INJURY $1 000000_:-,-__- ` - - GENERAL AGGREGATE s2,000,000 _... ` GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/O?AGG s2,000,006 -.- POLICY jE O- LOC _ A AUTOMOBILE LIABILITY MAA005233820 , - 05/03/09 05/03/10 ' COMBINED SINGLE LIMIT $ ANY AUTO (Ea accident) ALL OWNED AUTOS BODILY INJURY $1 OOO,OOO X SCHEDULED AUTOS (Per person) , X HIRED AUTOS BODILY INJURY $1 00O 000 X NON-OWNED AUTOS (Per accident) > > PROPERTY DAMAGE' '$500 000 (Per accident) GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $ ANY AUTO OTHER THAN EA ACC $ AUTO ONLY: AGG $ EXCESS/UMBRELLA LIABILITY - EACH OCCURRENCE $ _ OCCUR CLAIMS MADE AGGREGATE $ $ DEDUCTIBLE $ RETENTION $ $ A WORKERS COMPENSATION AND WCA021246412 05/03/09 05/03/1 O X WC"RySTATU- OTHPR - EMPLOYERS'LIABILITY - ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT - $SOO,000'_-. OFFICER/MEMBER EXCLUDED? NO E.L.DISEASE-EA EMPLOYEEI$500,000'__� __;:;_i If yes,describe under SPECIAL PROVISIONS below E.L.DISEASE-POLICY LIMIT $500,000 OTHER' DESCRIPTION OF OPERATIONS!LOCATIONS I VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS Officers are included under the workers compensation policy. Insurance coverage is limited to the terms,conditions,exclusions,other - limitations and endorsements. Nothing contained in the certificate of insurance shall be deemed to have altered,waived,or extended the coverage provided by the policy provisions. CERTIFICATE HOLDER CANCELLATION Y4 -- SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION; Town Of Barnstable _ DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL '10 DAYS 1NR(T7EN_:, 200 Main Street - NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO DO SQ,SHAL4._:;, Hyannis,MA 02601 IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENT$pR_:-„_ REPRESENTATIVES. - AUTHORIZED REPRESENTATIVE - ACORD 25(2001/08)1 of 2 #S57998/M57992 LS1 © ACORD CORPORATION_19.86 I Town of Barnstable *Permit# 70?o I �o Expires 6 months from Issue date r„SM : Regulatory Services FeeMAM ' C� %639. `m� Thomas F.Geiler,Director �EDN1A�� Building Division Tom Perry, Building Commissioner X-PRESS PERMIT 200 Main Street, Hyannis,MA 02601 Office: 508-862-4038 DEC 17 2007 Fax: 508-790-6230 TTO F BARNS TABLE EXPRESS PERMIT APPLICATION - RESIDENTIAL &X Not Valid without Red X-Press Imprint Map/parcel Number 8 7 /�3 Property Address _ - /O C:, L-b e- ��/�AJ�/ 1,697 Residential Value of Work /!Of Q 02 Minimum fee of-$25.00 for work under$6000.00 Owner's Name&Address o d-� Ctimlee& Rp ,9 Contractor's Name 1 G Telephone Number �'6�- Z �8 Home Improvement Contractor License#(if applicable)- /8 o2.a/ Con.� ruction Supervisor's License#(if applicable) ©/ OWorkman's Compensation Insurance Check one: ❑ I am a sole proprietor ❑ I am the Homeowner ❑ I have Worker's Compensation Insurance / Insurance Company Name 4 CAV 14 ` /vc51,)R,4xJCe Workman's Comp.Policy# 0C14 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) ❑ Re-side (� Replacement Windows. U Value (maximum.44) '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 Proper Owner Letter of Permission. Home rov `et tractor erase is required. Signature Q:Forms:expmtrg Revisc063004 { l(Ydd[ECfilladetl _ - Board bf Building Regulations and Standards License or registration valid for Individul use only HOME IMPROVEMENT CONTRACTOR before the ezpiration.date. If found return to:. Registration; 102014 Board of Building Regulations and.Standards One Ashburton Place Rm 1301 Expiration:. 6/30/2006 Boston,Ma.02108 Type: Private Corporation ERNEST B.NORRIS&SON INC Craig Ashworth 385 Sea St --'---;Kot Hyannis,MA 02601 Deputy Administrator of valid without signature r# The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston, AM 02111 www.mass.gov/dia Workers" Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information / Please Print Legibly Name (Business/Organization/Individual): �j d fLR� 5 s',�p,e_( / AJ G Address: / 8 ,57' 1o. 3,4 City/State/Zip: 6GL�. Phone-#: Are you an employer? Check the appropriate boa: -Type of project(required):. 1. I am a employer with � 4. I am a general contractor and I 6. ❑New construction . employees (full and/or part-time).* have hired the stab-contractors 2.❑ I am a sole proprietor or partner- listed on the-attached sheet. 7. ❑Remodeling ship and have no employees These sub-contractors have g• Ej Demolition workingfor me in an capacity. employees and have workers' Y P tY• $. 9. El Building addition [No workers' comp. insurance comp.insurance. required.] 5. We.are a corporation and its 10.❑Electrical repairs or additions '3.❑ I am a homeowner doing all work officers have exercised their 11.El Plumbing repairs or additions myself; [No workers' comp. right df exemption per MGL 12.❑Roof repairs insurance required.] t c. 152, §1(4),and we have no employees. [No workers' ..13.❑ Other comp. insurance required.] , "Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. `T t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. ;Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policynumbcr. lam an employer that is providing workers'compensation insurance for my employees Below isdhe policy and job site information. Insurance Company Name: GA 14 Policy#or Self-ins,Lic.#: lie 014 0 2 Expiration Date: Q3IDS Job Site Address: �i `-���i�LJB�� ✓t< City/State/Zip- Attach a copy of the workers' compensation policy declaration page(showing the policy nu er and expiration date),• Failure.to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the bIA for insurance coverage verification-. I do hereby certify- er the aln pe ties of perj ,that the information provided above is true and correct: Sienatum / Date: 1111.1147 Phone #: Official use only. Do not write in this area,'ib be completed by city or town ofj7clal City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3. City/Town Clerk 4.Electrical Inspector S.Plumbing Inspector 6. Other Contact Person: Phone#: Date: 6/18/2007 Time: 3:27 PM To: 0 9,15087757877 Page: 002-003 Client#:646400 2NORRISEB ;ACOR& CERTIFICATE OF LIABILITY INSURANCE 06/180 ONYM PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Dowling&O'Neil Insurance ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR Agency ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. 973 lyanough Rd., PO Box 1990 Hyannis,MA 02601 INSURERS AFFORDING COVERAGE NAIC# INSURED wsURERA: Acadia Insurance - E.B.Norris&Son.,Inc. INSURER 8: P.O.Box 486 INSURER C: Hyannisport,MA 02647 INSURERD: INSURER E: COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED.NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS LTR NS - DATE MMIDD DATE MMIDD/YY A GENERAL LIABILITY CPA005234518 05/03/07 05/03/08 EACH OCCURRENCE $1 000 000 X COMMERCIAL GENERAL LIABILITY PREMISESO a oTj� ,e 1, $250 000 CLAIMS MADE a OCCUR MED EXP(Any one person) $5 000 PERSONAL&ADV INJURY $1,000,000 GENERAL AGGREGATE s2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMPIOP AGG s2,000,000 POLICY JPERO LOC AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT ANY AUTO (Ea accident) $ ALL OWNED AUTOS BODILY INJURY SCHEDULED AUTOS (Per person) $ HIRED AUTOS BODILY INJURY NON-OWNED AUTOS (Per accident) $ .1 PROPERTY DAMAGE $ (Per accident) GARAGE LIABILITY AUTO ONLY-FA ACCIDENT $ ANY AUTO OTHER THAN EA ACC $ AUTO ONLY: AGG $ EXCESSIUMBRELLA LIABILITY EACH OCCURRENCE $ OCCUR CLAIMS MADE AGGREGATE $ $ DEDUCTIBLE $ RETENTION $ $ A WORKERS COMPENSATION AND WCA0212464 05/03/07 05/03108 w.RYesrATu- FR EMPLOYERS'LIABILITY ANY PROPRIETORIPARTNERIEXECUTNE E.L.EACH ACCIDENT $500,000 OFFICERIMEMBER EXCLUDED?. E.L.DISEASE-FA EMPLOYEE $500,000 If yes,describe under SPECIAL PROVISIONS below E.L.DISEASE-POLICY LIMIT s5000OO OTHER DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS Insurance coverage is"limited to the terms,conditions,exclusions,other limitations and endorsements. Nothing contained in the certificate of ' insurance shall be deemed to have altered,waived,or extended the coverage provided by the policy provisions. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION 1 Town of Barnstable DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL III DAYS WRITTEN 200 Main Street NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO DO SO SHALL Hyannis,MA 02601 IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR REPRESENTATIVES. AUTHOPRESENTATIVE mom, ACORD 25(2001/08)1 of 2 #48083 LS1 O ACORD CORPORATION 1988 I Tovm of Bamotame ' Ong Dsl+om• .a max 548 - 8 SW790-(MO - sporty , • �� owm of the subjed PIOPW ina�l �ow��ls9�csfior:. _ .k� 6 .�. . Engineering Dept. Ord floor) Map Parcel 4 Ai%" ermit# vZ / Yc House# ���� Date I uued 3�- Board of Health(3rd floor)(8:15 - 9:30/1:00-4:30) , ee F60? ST Conservation Office(4th floor)(8:30- 9:30/1:00:2:00) • 3�1 l� y��9�►-� �,,�'� C�-M Planning flent.(1st floor/School Admin. Bldg.) liniApproved by Planning Board 19 ,AND ,off '639. ONS TOWN OF BARNSTABLE ` Building Permit Application. ddress Village 1 c, -Po2 7- Owner G i2 AddressC - Telephone C' -7 7 5 �, O -5 Permit Request E I !i t -,5L4 L C—C:,— First Floor square feet Second Floor 5!' square feet Construction Type LJ ©b t*:7 V—tz ,-- Estimated Project Cost $ 2O - ®m O / Zoning District ��_ Flood Plain N/ A- Water Protection L Lot Size CX L S:T:' Grandfathered ❑Yes ❑No Dwelling Type: Single Family )k Two Family ❑ Multi-Family(#units) Age of Existing Structure 'f Historic House ❑Yes .�JQNo On Old King's Highway ❑Yes XNo Basement Type: ❑Full ACrawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) t� Basement Unfinished Area(sq.ft) Number of Baths: Full: Existing 3 New Half: Existing �_ New No.of Bedrooms: Existing L� New Total Room Count(not including baths): Existing g New Td First Floor Room Count Heat Type and Fuel: Gas ❑Oil ❑Electric ❑Other Central Air ❑Yes 16 No Fireplaces:Existing INew %J O G4,6- Existing wood/coal stove ❑Yes 4No Garage: ❑Detached(size) Other Detached Structures: ❑Pool(size) N�. ❑Attached(size) ( 2 ❑Barn(size) +J A ❑None ❑Shed(size) KA A ❑Other(size) N Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes ❑No If yes, site plan review# Current Use Proposed Use c� Builder Information Name Telephone Number Address 'Jtg Ste.- c5"j' License# Home Improvement Contractor# !4 Worker's Compensation# W GG,^ 6 D d.D S9 7 L} NEW CONSTRUCTION OR ADDITIONS REQUIRE A SITE PLAN(AS BUILT)SHOWING EXISTING,AS WELL AS PROPOSED STRUCTURES ON THE LOT. ALL CONSTRUCTION DEBRIS RESULTING FROM T IS PROJECT WILL BE TAKEN TO U - 2 ,140 U ZAOJV LL SIGNATUR DATE �� BUILDING PERMIT DE D FOR THE FOLLO S) I} FOR OFFICIAL USE ONLY PERMIT NO. I' DATE ISSUED _1 MAP/PARCEL NO. ADDRESS - VILLAGE OWNER DATE OF INSPECTION: FOUNDATION FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: , UGH FINAL � - � .- -_• - ..,'"+ FINAL 1301 DATE ASSOC No. ml 1.. ._ _ / . ., chord --�7 5.6 N ,3'45'4"0"E 47.11' 11'02'00" ' j 245.00' .ENCIA MARZ� 77.4 / L - 47.18' '' =I.EV. == 77.18 3.6 S.B. F-ND. 50 x 77.2 �/„ii riff EXISTING GARAGE 06 R '- �17.1,. 7r 9 / TO BE REMOVED 23.13'� ►.C� 6.4 C.B. END. ti.2 LOT 10 7. R = 47.82' 2'8 paved driv sir; PROPOSED. \ 7,968 sq.ft. L = 23.63' ;751 GARAGE 0.18 acres \ . 2. 7h.Si =s 2 `�:6.3 IN 75.9 <01 ,E ,�. 75.7 1 L- AC H I1-S •3E x 75.2 0 va 1 A I'EM0"VE 6 '�•- x 74.2 0 a r;.[1 FN[?. '� 74 D. o 69. N %. �.���?m�T7 .73.5 o ,,x :::2.6 $ 56 ,�/ N LL' 72.6.CL / DWFU. mr; �Z 7Q.6'- �. 7�.zo' I " « " 64'y,, "' / O. / C. .0.6 70. n'�1/11111 ;1.6 -Llf Ll 7 68.3 65.1 �I I CP ^"-�► 6A.�� - x 69.6 emu'- .4. _ E_XP. 1 68.2003.5ON \ C' ' ( L' I� x 68.9 6ri.0 1 x 8 68.2 64.. � 68.a r8.1 W - -- �,5� \�� 8.0 5 66 63. 57.9 6 / I6 2.7 / 6� paved rive 105/8 n = 11'02-'0(1 / iZ = 245.00' i���1 ENCIH MARZ� 77.4 L 4 ✓.18' _LEV. 77.18 3.6 \ S.B. FND:, x 77.2 ' ii Lr off S� - � • 7r I �, EXISTING GARAGE.' p6, R 47..�7• ' y / `��,��— TO BE REMOVED c ��. 9p. — 2 3.1., ti. G.4 i4lC.B. N D. / � �S/ \ s 3q 75.2 i'�; '► 24.0 S.O. MD LoT 10 R.' _ , 47.82' 2 $ paved. driv '; PROPU�L'0 \ s 7 968 s ft I . L 23.63' . cv ; GAR'gGE q \ 75.1 018 acres 2 x c ' 2 6 3 '" 75.9,�P0 7 y.►� > i ` O f IS hN 75.7 O a : :, I O F: L. ACH ITS '0' 3C t x 75 2 1• � 74 2. ' TZZ o' 12.6 u 72.E. I U \ `O 8 64 `, ! 20 '70 c y 4 fi9:� 68 I r r f I'I 1 x 9 4, EXF'' 1 00 oc` `� ) �-.' G��j" 2G �O- �> I1 x ,68 9 s4' vJ1. s8 s \ 68.0 - i 0 Y ., y\p0 .5 z66f 63 ,r ,rAr. b579 G2 7 P rive V`ti i� • . 105/8 I 8aw+sr, The Taman of Barnstable n ��$ Department of Health Safety and Environmental Services A Building Division 367 Nc-an Street.Hyannis MA 02601 Off oe: 508 790.6227 Ralph Cmssea Date ll R7 AFFIDAVIT HOME n"R0VENTWCO MACrOltLAW SUPPLEMENT'r0 P1M1WAflWCAZi N MGL c 142A requires that the"r=nsJUWon,situatiaa�Tawidon,rep*modemimim eonvasion, i imgmmnent, remmal, demolition, or aonsm cdon of an addition to =7 pm-misting owner aorapied building containing 8t le=one but not more than f=dwelling=its or to 9 which an adxtae E to such residence or building be done by registered contractors,with c �rtaia e=coons,along with other Type of Work- u/S6-j 4,6 Ao4A,.1Z--a:st Cost _ Address of Work: 1 Q _ L-D_�j Owner Name_ Date of Permit Application: I herein otrtifv that: Registration is not required for the following mason(s): Work Grdudcd by law Job tmdcr S1,000 Building notowntr led Owner pulling MM paint N Ducc is hcrcbN given trsz: OWNTR.S PULLING THEIR OWN PERMIT OR DEALING WITH UNREGIST= CONTRACTORS FOR APPLICAELE HOME D vROV0%4E.NT WORK DO NOT HAVE ACCESS TO THE ;10N T.C'C QR C.t-T I.A?,M'RIND U',70E.F IGi,c. I42A SIGNED UNDER PENALTIES OF PERJURY 1 hereby apply for a per-nit as the agent of the owner: - D21 (9 =ctor name Rtgistlation No. OR p::;c Owncr's name � r 1 t, ` :DEPARTHENT OF PUBLIC SAFETY 1- = CONSTRUCTION SUPERVISOR LICENSE Rbt. 9` Expires. Res riue To 00 CRAIG N ASHHORTH 385 SEA STREET HYANNIS, 21A 02601 j 4 Y,. �///• Q / 'SQ,C�LG/J . HOME IMPROVEMENT CONTRACTOR = 102014 Registration ,♦ Type PRIVATE CURPORATIOid . r �Yation 06/30/98 f EXPi y ERNEST B. NORRIS & SON INC M. Ashworth ✓A�CJ^�(�/Zf4-jLQ/385 Sea St ApMINISTRATOR ..HyannisAA 02601 Y ' T11C C(In11110"H•ealllJ of.Massachusetts xJ ,j. Department of Industrial Accidents ei OI�ICea/Iorns�l9a�0ffs , tw 600 t1wlti1191MStreet 02111 Workers' compensation Insurance Afridavit Cin0.1 am a homeowner performing all work myself. 1 am a sole proprietor and have no one working in any capacity ;µ. . am an empiover providing workers' compensation for my employees working on this job. ERNEST B. NORRIS & SON, INC, 385 SEA STREET 508-7.75-0457 HYANNIS EASTERN CASUALTY INSURANCE CCMPANY WCG 1000897 A sty in _ I am a sole proprietor, general contractor,or homeowner(circle vtte)and have hired the contractors listed below why the following workers' compensation polices: :.. re city- '_eU1_ ---'.�'--- .- •wensarn:�--.•se!�:Q"-r►'r:1"t� ' j air - n.- tU :Attach sdditionafshci:i Mice '""° "�� • •• ties of a tine up to S1S00.00 a Failure to secure coverage as required under Section 3A of 1►1GL 152 nn Ind to the imposition of erimiad pond s civil penalties in the form of a STOP WORK ORDER and a line ofnaoo copy of this statement mas•be forwa .00 a day apiust me- I understand t one rear'imprisonment as a ell a rded to the Olfice of lavestigntions of the DIA for coverage .I do Irerebr certify under the pains and p t es of perjure that the information pros 7ded above is truce and catreer: z. to Signature Phonell 508-775-0457 CRAIG N. ASHWORTH — Print name amcial•use only do not write is this area to be eompicted by city or town otltt ial pertai01ceme N 013niiding Department city or town: _ ❑Ueensiag hoard oSeiectmen s Omce check if immediate rapause is required �Neatth Department �Otber�_ phone#: contatt person: 00 Z 2� Assessor's Office(1st floor) Map Lot ® Permit# �029 7 Conservation Office(4th floor) ( �( Date Issued / Board of Health(3rd floor)(8:30-9:30/1:00-2:00) 2C yS Fee Z6 Engineering Dept.(3rd floor) House#1 Planning Dept.(1st floor/School Admin. Bldg.) ? �^ • RARNSTASM Defi ve Plan Approved by Planning Board 19 e 9 TOWN OF�BARNSTABLE , Building Permit Application Project/Street Address Vikl"age 4 f� Owner �{��% �, ��� r Address 2- &VF-3 Telephone rJ Permit Request J 17 �L4 UNJij T'TA Total 1 Story Area(include 1 story garages&decks) square feet Total 2 Story Area(total of 1st&2nd stories) °�� square feet Estimated Project Cost $ OG e7 Zoning District / c — Flood Plain Water Protection Lot Size-1 T$ Grandfathered? Zoning Board of Appeals Authorization \JGb Recorded Current Use K,05cV WG r Proposed Use J t� f � Construction Type on-V Commercial Residential u Dwelling Type: Single Family Two Family Multi-Family Age of Existing Structure 9 g Basement Type: Finished Historic House 00 Unfinished Old King's Highway Number of Baths 2 No. of Bedrooms Cp Total Room Count(not including baths) First Floor Heat Type and Fuel GA67 �6 r' t,i V— Central Air LA Fireplaces Garage: Detached. Other Detached Structures: Pool Attached X Barn None Sheds Other �-b o t5 ' 1 Builder Information Name `�-'orWA1 a*3 F►J Telephone Number 7`15 8 4-5 r-7 Address -J6 5 S C-;4. s'-j License# U 15 8 51 i/ ,o tJ t Home Improvement Contractor# 10 2.0 1 4 Worker's Compensation# W GG— Io6o ;?67 A- NEW CONSTRUCTION OR ADDITIONS REQUIRE A SITE PLAN(AS BUILT)SHOWING EXISTING,AS WELL AS PROPOSED STRUCTURES ON THE LOT. ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE �AM 2 BUILDING PERMIT DENIED FOR THE FOLLOWING REASON(S) FOR OFFICIAL USE ONLY L PERMIT NO. 1 l DATE ISSUED MAP/PARCEL NO. ADDRESS VILLAGE / OWNER , 1 4 DATE OF INSPECTION: FOUNDATION FRAME r , INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL =, PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. The Town ®f;Bay-nns��]ble KAM $ Department o.f Healtfl Safety and Environmental Services m Building Division 367 Win Street,Hyannis MA 02601 Ofoe: 508 790.6227 Ralph Cmssea =x.l Date AFFIDAVIT uomE neROVEMMNT OONTRACMR I.AW , ' - SUPPLZ;.MENT TO PERMI.TAPPLICAZI0N MGL c. 142A requires that the"rowngrudion.after ,t=t►d6n,aP2k mod ou.cottversinn•• i improvement, remm al, demolition, or construction of an addition to zY pm4mis ft vwaer accupied building aantaining 8t least one but not more th=four dwelling units or t0 which M adjacent + to such residence or building be done by re&c rcd Contractors.With exttaln C=Vdons,along with other T3?e of Work: Cad�d r�l vs�R.0 �t.�� list.Cost J � AJ Addrm of Work: _- N-ner Name_ ,Date of Permit Application: `� I hcteln•tr`rrify that ,r Registration is not required for the follov►zng rcason(s): Work Grdudcd by law Job tinder S100 numng m oantt iCd Owner pulling mm permit r retire is hcrcbN givcn t1 s.: OLL'NTM PULLING THEIR OWN*PERMIT OR DEALING 1VrM UNREGISTERED CONTRACTORS FOR APPLICAELE HO,T NVROV N ENT WORK DO NOT HAVE ACCESS TO TEE :. A,,1.:1 r.%—j ION F-,C, =. 0= Gi1,..P:/-?1 M,FjjN'D LTN70ER MG4 t. 12A SIGNED UDDER PENALTIES OF PERJURY I hcrcb%•apply for a permit as the a'gtnt of the owner. Dzt C u3ctor name 1te�suataon No. OR CO MM0 NWEALTH Y F M,AS O F YNO UST UAilftACCIDFNTS G00 �':7/.SI-II-NGTON STiJ�-:-I' BOSTON, MASSACI-IUSk'TTS 02111 James -wORIQRS'COMPENSA:r1ON INSURANCE AFFIDAVIT (licensee/perrniacc) with a principal place ofbusincss/residcnce2c 385 Sea Street, Hyannis, MA 02601 +, (City/S tatc/Zip) _ do hereby eerti6, under the pains and pen2l6cs of perjury,,rhat: l <m an employer providing the following workers'compcnsation coverage for myemployccs working on this job )00= FASMRN CASUALTY _ :QJQR3M:Rft t WrIM nnnR07A fpsumncc Company Policy Number ] I am 2 Solt proprietor and have no onc working for me• j] 12m 2 sole proprietor,gems-J conmaor or homeowner(ardc one)a.nd have hued the eontnaors lured below -who h2vc the following worker.compcnsation insurance politics: ' I me of Contraaor Insur=cc CompanylPolicy N=bcr N-2me of Contraaor Insumnee CompanylPoliey Number Izmc of Contmaor Inn=ncc CompanylPolicy Numba Q 1 =m a homcownt:r performing:ll thcwork myself- )\OTE: I'lc:sc be:Marc tb:twt`1 I cr_cow�crs wLo employ fxrwo:to cto raaiotcatoa,coottrvcuoo or rcpsir�&on a 1•-01;ns of not more t1::i 6rcc ueiu ie�i&vc boracowncr also rclUcc or on the C-MU0 s: 3 ppurueant tsmw it cot Ee I <enti�cr<d to b<employer,vm&r x1c Vo?xri Gorapcar:tioe Act(Cl-C.151.Ccct.. 1(5)).appliutioo by i boraco«�act for a Iiccat< or pernit r..:y cYidcccc tic 1<[J staL+c<< <r.-loyrr t:odcr tSc C'Jork<rt'Corapcor:tion Act `' i cnc<ut:nc to:t= copy of iris rtstccncr.+Diu Oc lc.,-ziecd to ti,c 'Dcprt-cnt of Indu:tri:J Acodcnu'OG,c<of1-11-:nu(or•Co-crazc }` ;1 fion:nd th_t(gilt r<to 1<eur<eorcr�< a uircd under Section 35A o(MGL 152 e:n kad to the irrpo+it;on o(ltirninal penAck, con:isons of a fine of up to S1500.00::.&cr ir:pri onracnt of up to onc yur and civil pcn:lticr in the focm or:Stop Vork Ordu and 1 I (Inc of s100.00 a dzy agvnrc mw- Signed this 28th d2y of February . 19 94 Lice sce/Pcrmirtcc UccnsorlPcrmiaor • • l j �5T' ✓�`�d1.h,LMiIIM�L� HOME`INPROVENENT�CONTRACTQR Registration 102014 Tip e PRIVATES CORPORATION ; e _O Expiration` 06%30/96 k Ernest B Norrls bSon Inc Craig N Ashaortti' b T k ADMINISTRATOR pydililla MA 02601 a ��GG' IJO�I)7/!)tO4tIAIe2(.C/L O�✓Ula�A�Z[COeCt6 �• . Restricted To: 00 ftrART",BNT OF FUBLTC CLPETY C'3kS°hJCTIOR SU?B=VISOR LICPN i 00,- None 1 LIU, expires: 1G - 1 & 2 Family Hones nesticted ma:. 00 Failure to possess a current edition of the Massachusetts State Buiilding Code �,�_,� =w CF iG N ASHWORTY is'cause for revocation of this license. -� 385 SEP, STREET i HYANNIS, MA 02601 Assessor's Office(1st floor) Map Z8 q Lot 0 5) ` vu'Y'germit# 19 Conservation Office(4th floor) /I IJ- - U Date Issued Board of Health(3rd floor)(8:30-9:30/1:00- 2:00) — e Engineering Dept.(3rd floor) House#1 oy/a S TSE Planning Dept. 1st floor/School Admin. Bldg.) , Defimtiu Ian A ed by Planning Board 19 � �" e � ������ t jV emu �. .L'AND TOWN-OPBARNST ABLE u►T� 'Y Building Permit Application Project Street Address Village_ Owner PJC Address Telephone 7 7 5 047 Permit Request 1'JtZTW Ci 7'l .t �I;A�.o 6'X 15�'Gj-4.�6 Total 1 Story Area(include 1 story garages&decks) 2,560 square feet AP APj„ — 780 Total 2 Story Area(total of 1st&2nd stories) 0 square feet Estimated Project Cost $ � ��_ ��jp T . t-too Zoning District Flood Plain Water Protection Lot Size Grandfathered? Zoning Board of Appeals Authorization - Recorded Current Use C 12 Proposed Use Construction Type Commercial Residential X Dwelling Type: Single Family X Two Family Multi-Family. �3 ,4r Age of Existing Structure i V-!5 Basement Type: Finished Historic House A Unfinished Old King's Highway Number of Baths t No.of Bedrooms Total Room Count(not including baths) to First Floor �{- Heat Type and Fuel 40T k(.K)( GA.5 Central Air Fireplaces Garage: Detached _Y, Uµ Q Other Detached Structures: Pool I-3�a- Attached �( t�y� Barn tJ/4 None Sheds Other Builder Information Name l S k3 C- Telephone Number -7 7 5- O L.57 Address �rr g 9 �Q. D T' License# © 15 le)5; T�y ►J L✓'. © �G Home Improvement Contractor# �� Worker's Compensation# CZ NEW CONSTRUCTION OR ADDITIONS REQUIRE A SITE PLAN(AS BUILT) SHOWING EXISTING,AS WELL AS PROPOSED STRUCTURES ON THE LOT. ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE yY� vim' BUILDING PERMIT DENIED FOR THE FOLLOWING REASON(S) FOR OFFICIAL USE ONLY jPERMIT NO. DATE ISSUED MAP/PARCEL NO. - ~ _ t i ADDRESS — ' VILLAGE r OWNER DATE OF INSPECTION: F• a• � _3 4. P, FOUNDATION FRAME ]j INSULATION FIREPLACE` •.A ~'4 ELECTRICAL: —ROUGH FINAL PLUMBING: ROUGH GAS: ;ROUGH FINAL FINAL BUILDIN`4C'� DATE CLOSED OUT ` ASSOCIATION PLAN,IO. a►axsr,�rae, rnstable The Town of Ba XAM �,.� Department of Health Safety and Environmental Services Building Division 367 Main Street.Hyannis MA 02.01 ` OtFroe: 508-790-6227 Ralph Cmssea 509-775.31" p�r:f��r+r.!'n.-•._.�. Dite AFFMAVIT HOME D"ROVEMEWCONTRACTORLAW . SUPPLEMENT TO PERI4IITAPPUCA.UON MGL c- 142A requires that the"traattstruWon,a[Leczdons,rewation, modeta ttion-eoummon, improvement, rernmi, drrnoution, or oansuvction of art addition to ate►pre-Misting owner occupied building containing at Ieast one but not mome than four darning units or to On It which=adraoeat to such residence or building be done by registered c ontractm with t ttaia exeeptfoas.along with other • dSCi �( � e6 k+I Tjpe of work: 4VP,:IC[t L aL CMIP a 00 Address of Work: Owner Name- � ,c��� : . �,�=1✓ . . _..._ Date of Permit Application: S •- I hercbv rxrtifv that. Registration is not required for the following reason(s): ;. Work mcluded by law Job tmder S1,400 DuMng not ow=-occupied r 4aner pulling own permit N'ot:cr is hereby given tt a-,: 01WNTRS PULLING THEIR OWN PERMIT OR DEALING I=UNREGIFr= CONTR.ACTORLS n FOR APPLICAELE PONT IT vROVE►.�'T WORK DO NOT HAVE ACCESS TO THE �,"�::i r�.i I0�Fp•C!G :' •' 0= :r S1C,NED U?ND)rR PENALTIES OF PERJURYAl i I hereby apply for a permit ss the agent of the owner: _ Co / 1D�pl � - 17zt C tractor nams ltegisuati.on No. =:.. OR COMMONwEAL c�F.=�C P ,�?,'/,Y: A�S7\?OF TNMUSTRLA4&*ACCiDENTS ' G00 '/.S1-3 3?\'GTC N S1T�L -T ;30STON, MASSACI-3US3.=S 02111 �amcs� Ga^+aaet• �:ssionc• Wo pjGERS•COMI'LNSATJON INSURANCE AlrFID�VI? 1, (1iccn1cc/1+crmic(cc) ' with a principal place of business/residcna.2n 385 Sea Street, Hyannis, MA 02601 (GCY1Sa(<IZip) do hereby eerri6j, undo the pains and pen:Jcies of perjury,.jhzt: •t llowingworkcrs' compensation co�cragc for mycmployccs worl:.ing on this om an employer providing chc fo "Job. w�rlpfl(1807A Insurance Company Policy Number j) ] ictor and ha�c no onc working for mc. am a sole propr () 12m 2 sole proprictor,goner-]eontnaor or homeowner (circle one) snd have h'ucd the eoncraaors listed below, -who have the following workc.•:eompc=non insurance politics: 00 1,7= of Contncror Insvrsncc Compa.nylPolict•Numbcr b::��.• - i a 1 • ?�2mc ofContraaor lnsurzncc CompanylPolicyNumbcr Inn=nccComp2nylPoligNumbu X-2mc of Contr2gor Q 1 rformingall the work myscll , 2m a homcoK•ncr pc ?\O7� I'Ic=sc be aw:tc t5st�il<Lcr_co�crrwbo croployperroo<to cro roaratcnaoa.toort^+R'aoorrcparr� on a I 1••cllinb or not raoe<tl;sn tSa<ueiv isi6 tS<boracowacr a1w raider oe oe tb<�rouods:pputteeant tScrcto inc not Eeeersll)' :eenr:dcr<d to b<ernployerr t=Lcr the T'Jo?:cri Corapcarstion/yet(GL G 152,te<L 1(5)),appliettioo by a boacowaer roe a lieeose 4 or perrI;t r..:y cricr<ccc 6<lctJ rtrtrt c�tr cr_7loycr codcr tic Workcrt'Compco:aeon Act. r .. i o�latc:aner(o m�<r ,ge t:aEentsnc test a copy of init stater.<rt. i�ix lor�atded to 6c D<p- -e' ent or lndu%triJ Aeod<nu•OGtee i. {', p.�•eririGtion=.n j th.t 611ure to i<eurt en•cr�c_rcSuircd under Section 35d%or MGL 352 czn 1U4 to L%c irrpouuon o[.r6rn n:J p-nJuei t` eoniitonb of a fine orvp to S1500.00:rllcronmrntorup to onc yezr and 6Q pcn:76u to form or:stop L"/ork Ordcrzn d I 6nc of S 100.00 2 day at.:nwt me- t. February . 19 94 Y Si;nccl this 28th dzy of f. r �y 1.iccnsorlPcrmiaor Ucc scc/Pcrmittcc ; j COMMONWEALTH DEPARTMENT OF PUBLIC SAFETY u OF ONE ASHBORTON PLACE Pal7sre to�xs,-a+�R a esrrsat . MASSACHUSETT& BOSTON,FAA 02iG8lg �aat��9.n+•'�':•,: ���n�! fng- GOr 9 J saa-,?:*4s r�Yscstlon LICENSE Vvf.`CAU`ION EXPIRATION DATE CONSTR. SUPERVISOR 0 9/2 8/1 9 95 EFFECTIVE DATE LIC-NO. FOR PROTECTION AGAINST RESTRICTIONS I THEFT, PUT RIGHT THUMB j NONE ,� 0 6/3 �/1 `9 93 015851 8 j PRINT IN APPROPRIATE 1'70 r U a s� BOX ON LICENSE. CRAIG .N ASHWORTH ° 385 SEA STREET 0'1 zcc' HYANNIS MA 02601 � MU INCLUD,,PHO PH .Q ONLr) FE 4l L,7 i.1 NOT VALID UNTIL SIGNED BY LICENSEE AND OFFICIALLY STAMPED-OR-SIGNATURE OF THE COMMISSIONER E.C 09 1993 HEIGHT: i ` SIGN NAME IN,1 Il.C' GNA r qE LINE THIS DOCUMENT MUST BE / :.. �P. Y SIGNATURE OF LICENSEE CARRIED ON THE PERSON OF �` THE HOLDER WHEN EN c COMM! SIONER OTHERS- \\ .ARINT GAGED IN THIS OCCUPATION �,A N-`-V - _ Vm . p 1 4 ; HOME IMPROVEMENT CONTRACTORS REGISTRATION ' ' oard. of Building Regulations and Standards d - •` One Ashburton., Place R6orri,1301 Boston ,, Massachusetts 'ry02108. . a HOME IMPROVEMENT CONTRACTOR I _ _ -- -- Registration 102014 Expiration 06/30/96 - Type - PRIVATE CORPORATION HOME IMPROVEMENT CONTRACTOR L _ Registration 102014 I Ernest B . Norris & Son Inc I _ Type - PRIVATE CORPORATION Craig N . Ashworth Expiration 06/3O/96 385 Sea St Hyannis MA 02601 _ I Ernest B. Norris & Son Inc Craig N. Ashworth I� -7f St G� iI ADMINISTRATOR Hyannis MA 02601 J ! `i I FitLl &M R�V4161 ELI _1 j 4.; , r ,.-.., w.. ,r. r. .•..: :. -. .,. e..e. X.. -. -s... a:....:. -_•.., < .. ..::t.s .i .,t �"` ~ter 4 .... .. .}... F..,...:..Y,..b h. .. ..a.r�.$'. Y C•..Y^. .or!•.. ..... .. ....� w:�: F.!- ..-,,... .'{::. y T .. ..�}n •_ .f. ^.�p 'r.Y �1 .�.'1.. i1:� Y � w,.. r ,u. a ,,...-r .... ..n.. ., ...�,, t.,>-..T . .-.. 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IT �_.:, CTIeI hFLI IZo 7 LnudeK D(,41KI �2�, y. _T � //� ��er•� I Reuse -n e�• 1 ^ }' � I,. 1 / it ' _.._. -.— P '— A'�1E .. ... - 1 ' Q u ...w.-+. ..,..y-+d.�r.• -..•r._. w� .,.-:,,,r,.,...n.w,.•,.,...wv�r, s..!.nw.r+....+s,.,.,u,e,«, -t� 7r +xy „_ +,.,.:�..... w::t�-._•,r,.p.n. .x•,•M,,.,ry,w;a ,.a ,.+.,•i'n;tF,°�,*,w„r,Ywe'�++.e.w,aw°w.•., .. ;rv+.,«...;.,,. � �. .. - - TOWN OF BARNSTAB BUILDING DEPARTMENT- COMPLAINT/INQUIRY +'PORT Date Rec'd B Assessor's No. Last Name First Name r ORIGINATOR - Street-_ Villa a Zi Tel one: Home _ Work Description: _ 'COM2LAINT e.o _,INQUIRY Reguestor's Signaturc ' COMPLAINT Stree Address F _ LOCATION f-:"7�556j� �,� OFFICE USE ONLY INSPECTOR'S Date ACTION/ Ins ector CObMNTS ------------ FOLLO„-Up A CTI027 ADDITIOi:AL INFO- ATTACHED COPY DIS?RIEUTIO27: L fiITE - DEPAR7}--2;T FILE , YELLOW - I2:5PECTOR PZNF� - Z2ISPECTOR (RETURN TO OFFICE Y.GR.) KISCI