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Home My WebLink About0027 MEGAN ROAD �� d�� -� /�%� ,, - _ R - - - - � - 4 A i .. i P TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map�;n,� Parcel �� Application # Health Division Date Issued $' Conservation Division Application Fee Planning Dept. Permit Fee �� Date Definitive Plan Approved by Planning Board Historic - OKH _Preservation /Hyannis Project St eet Address c -7 - Village Owner � -- Address Telephone Per it Req e t Iznjo =� Z Square feet: 1 st floor: existing proposed 2nd floor: existing propdgV Total dew Zoning District Flood Plain Groundwater Overlay ��. rz Project Valuatio4 " Construction Type Lot Size Grandfathered: ❑Yes ❑ No If yes, attach upporti doenentation. Dwelling Type: Single Family �1rvo Family ❑ Multi-Family units) -> A f Existing Structure - Historic House: ❑Yes l No On Old Kin 's Highway: ❑Yes Age o g g 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: ❑Yes2existing No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑ No Detached ara e: ❑ new sizePool: ❑ existin ❑ new size Barn: ❑ existin ❑ new size9 9 — g — 9 � Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes ❑ No If yes, site plan review # Current Use - Proposed Use APPLICANT INFORMATION (BITILDER OR HOMEOWNER) Name �- Telephone Number Address License# 7`' 3-S`�°1_ Home Improvement Contractor# 1 0 Email: f#N Worker's Compensation # ALL CONSTRUCTION Dl B S ESULTING FROM THIS PROJECT WILL BE TAKEN TO 3 SIGNATURE ; DATE ` FOR OFFICIAL USE ONLY — I APPLICATION# r s DATE ISSUED MAP/PARCEL NO. `r E i r ADDRESS VILLAGE t OWNER t t 1 DATE OF INSPECTION: FOUNDATION . FRAME �E INSULATION i FIREPLACE J ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL 1 GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT LF '�thAR� ASSOCIATION PLAN NO. 600 Washington Street. Boston,.MA 02111 www.inass you1d4a Workers' Compensation Insurance Afidavt Buflclers/Contractors/Elecfrician.s/Plumbers APPRcmt Information Please Print LezffiI Name(Business/ 'v Address. f pity/Slate/ �o� � Phone.# Are you an employer? Check the appropriate box: a of rO•ect'r 4. I am a oral contradnr and I P 1 ( � 1.Q I am a Ioyer with . .. ogees(toll and/or part time).* have hoed Sheo�aotors 6. El conet,,,�t;rrr, , 2.. I am a'sole proprietor orpaxt=- listed on$ie'attnrhed sheet': 7.. Q Re no&ag ship and have no employees These Sinn;have ' 'a. Q Demolition working for me in-any capacit9: �loyees and.have workers' -9. Q Bm�ding addition . [No workers' camp.hSM.M -e•- 'cam.msoza ce.$ 10. Elechscal aus or additions 5. ❑ We are a corporaii.an'and its ❑ mP•• officers have eg 6sedh ❑Pteir 1L additions `3.Q I am a homeowner doing aIl•work lumhingrePair;or myself [No workers' calm. - right of exemption per MGL 12.Q Roof repay �d-I t c. 152, §1(4),and we have no 12-Q Other e ploy=.[No workers' Cpm1p,inerrOmze,rexluiredJji . kAny appliczat that checks box#1 must also fIl out the section below.showing fte r work='eompmsafim policy iftaoafion. Homeowners who submit fhis affidavit indicating they aro doing all wank and thm h=out mdo coutxt na must submit a new affidwntin&mthE g such. . Cmhaetars that check this box must aftaebed an additional sheet showing the none of Ihe sub-contxsclr¢s and;fain whether or not&wsc mtcf m have mplayc= If the sub-eoahactma have cmployxe,f any mast providt their workers'comp.policy numbs. azn an employer fknt is providing workers'compensafion insurance far my employees Below is fhe polity and job site rtfinrrn c Company Name: olicy#or Self-ins.Lic.#k Expir tf onDate: :)b Site Address: Cify/StatrlZip: ±.tacit a copy of the workers' compensation policy declaradou page-(sho ff n the policy number and ejq#aEon date). a>Z.tae,to secure coverage as required Tmdvr Section 25A of MGL c. 152 can lead to the imposition of cialpenalties of a oe?zp to $1,500.00 and/or one-year imprisonment,as-vr-Jl as civil penalties in the fowl of a STOP WORK ORDER and a fine up to$250.00 a dap aD m fe violator. Be.advised that a copy of this sta—f,�may be forwarded to the Office of Yesti of the DIA for ins=ce cov Yee r- t o to-her der sins-=d penalties of ad the informadun provided abul is awe arid correct Da#e: font;# O$icia!use only. Do not wrrte in th&.areq to be completed by city or town a,f`rcial , City or Town: PermitUrense# ' Iwr ing-Authority(circle one): L Board of Health 2.BmgdingDeparb: eut 3. a6gown Clerk 4.RlectricalInspector 5.PlumbingInspectnr 6. Other �orttact Persou: Phone : '" �e Gane�rrea-reu�ea�C�i o�p/2��uc�iu�el�i � • _-,.--�-.,.'._.',",�" Office of Consumer•Atfairs&Business Regulahan, i, License or registration valid for_individul use only (: bOME IMPROVEMENT CONTRACTOR : . eforethe expiration date. If,found return to:, r� egi'iration ti1!28922Office of Consdmer Affairs and'Busitiess Re"elation 1-,. e,a xpiration 6/7/2015 �'}I�ndivitlual -t. .10 Park°Plaza-Suite'S170 Peter Kennedy f 1` Boston,.lyYIA 021:16 Peter Kennedy { i '4444 MISTIC DRIVE. 'MA.RSTON MILLS, MA 02648, - ' ' Undersecretan Not v lid without signatures s .#, w: i,lassachiisetts Detaartrrent ot'Pjt lic Safety r i "3oard o`i t3-n.itdingA"Litabons andSiandacds I i.. _ f ° Construeho mSupepiior aicense CS-073395 PETER J KENNEPY 444 NUSTIC DR _ Warstons Mills Na' 02648 J,• .J1 r�a, a;� Ex ai atioii Com-nissioner 11/02720 tlt Unrestricted. Buildings of any US,4 r1 Which `' `v 35 000 cubic�feet(991m of : contain less than , � ace_ lose s end P ► } (ailu�e to possess a current edition of thusett hetMessasjicAse " .� t State Building#Code is cause for revocatwon of this license ' -�"DPS Licensing information visit w vw:Mass.GovJDPS ,, - r r r + BAMMBM MAW Town of Barnstable Regulatory Services Richard V.Scali,Interim Director Building Division Thomas Perry,CBO Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder �i rn T �) C nq / ' 6 S ,as Owner of the subject property It hereby authorize W4 21(— KRY,-0-o j L4 to act on my behalf, in all matters relative to work authorized by this building permit application for: j P,7 f0 s2 G pc� ot' (Ad ess of Job) Signature of Owner Date 1A�1 -1--4!10.f i r1 mocks Print Name If Property Owner is applying for permit,please complete the Homeowners License Exemption Form on the reverse side. TAKEVIN D\Building Changes\EXPRESS PMEPEXPRESS.doc Revised 061313 .�BaN� s6kl7'pqIw bde-4-o Del log lr v C e � I��3 � - - - t * � f .. . 1.- zti �. i3 y �� . ', r �_� � ��` ` /d" ,.,......--.�Z,;...;I-�,.'.�-:;--:'-.--.,�:.!w:�Iz-.-..-.-.:,-311--'-.Y-..1.:.-.,:-,,,:�,-!:.�.�...,—...,....,..-�.,..;J..-,-..A.I:."—�I..0/,.`,..,.`.z.1..`.-&�:":�I.,.��...,."..,..—-.�1.,'--..T-.,..�:-:.,,4.-.ice yW a J .. e `� r 4 . t x1.'1111 q - -I y _. __ _; . .: u -ems r. - It �� r . ,,,:��.,..��,��,�$�,j--,",�.,��'- :L " . ^ � r- Y : �� :r T O O _ III J I. 4T= E: L T: PLAN �`�`^ �r.� Ar�2iGr. 30 /r73 Ctr ® ATE :R _E N C E�<ri �o7' , . . .ems s. ,a -C z . "- A o.= �..q.✓cv: �o z .eII. cy. �.- , :° FIE:.R �.BY GfRTffY' TH .A.T THE BUIl,. D ( NG R .EG LAND SIJRYE,`..YOR `S H` ( N.:. . b N T H O S. .P L.A Pit I;S .L O C A T E D': O.N i� G R 1.O :K D. ' A S ': S H..0-W N. H E R E.O N A N D .rr 4 1. T E : a. .s C O,N. F 0 i� M 1".(?: T H E i _ ,, r-t = fitN elf_ l ;AV4'S ' OF .:rH`E TQ WRI OF:. . rz.c/— ,�e-:l W:.H E. N C:':O N S T R:U C T_E D L�� : I . t a :, � i ` rr , BLE : 5 :RvEY =-C7 !vSULTAN1`5 ! G i , . -: W T al w+� u H amass �- .- _ `' r h ' � _ TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map xl 9oZ Parcel S 9 Permit# Health Division Date Issued Conservation Division Fee Tax Collector & AL, C\MIA". 9110. Treasurer Planning Dept. Date Definitive Plan Approved by Planning Board , Historic-OKH Preservation/Hyannis Project Street Address a7 z*.w Village I s Owner sin "a e a S Address ah R4 Telephone (4 l7 1)628 3 Permit Request ��(� 1 e _ ROJ 40D 19 sa F n I Square feet: 1 st floor: existing 60 proposed 2nd floor: existing proposed Total new Estimated Project Cost wi d Zoning District Flood Plain Groundwater Overlay Construction Type 6)0c N �a MX �* Lot Size V-3 4cre 1�pp , Grandfathered: El"Y"es ❑No If yes, attach supporting documentation. Dwelling Type: Single Family 'Two.Family ❑ Multi-Family(#units) Age of Existing Structure 2 5 YeQ a—S Historic House: ❑Yes ❑No On Old King's Highway: ❑Yes ❑No Basement Type: Qfu'll ❑Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) t" Basement Unfinished Area(sq.ft) g�'n, 60 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 J� Heat Type and Fuel: -0 Gas- ❑Oil ❑ Electric ❑Other Central Air: ❑Yes ®Tlo Fireplaces: Existing New Existing wood/coal stove: ❑Yes Elo Detached garage:X existing ❑new rsize' 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 ❑ ,1 Yes No If yes,site plan review# ^ Current Use e. a�►`� v Proposed Use S w, P BUILDER INFORMATION Name c Telephone Number 6'08 75 —o&L Address Q6 Miona-y) Q9 P,Q1oX652 License# _Cs O5 A�A 3 7 1r/ y i�S�[ � Home Improvement Contractor# JIQ, 6 76 , Worker's Compensation# ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO rs n ��SIGNATUR DATE A FOR OFFICIAL USE ONLY PERMIT.NO. DATE ISSUED t MAP/PARCEL NO. �,f VILLAGE ADDRESS �- OWNER a 4 ,i i�• T ci ; .__. t ' # ` :: . ffAA.. DATE OF INSPECTION ': ' f, s tJ, FOUNDATION FRAME INSULATION FIREPLACE � � ): �� . ti �'i• .. ._ ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING„ - o . 1 DATE CLOSED OUT t i J r yt ice' ASSOCIATION PLAN NO. s -16 f 3 F # �^ a cvmmonweaun a Department of Industrial Accidents Ofllca atlasestlgatioffs - _ 600 Washington Street Boston,Mass. 02111 Workers' Compensation Insurance Affidavit name i cr�t C Lli�L 1 location: 0?(0 0.t\ 2 city kC i` " I e M a, do?6 0 I phone# ❑ I am a homeowner performing all work myself. &IIam a sole prietor and have no one worlds in any achy I am an employer rovidiag workers' co ensation for my empltryees woridng on company name:. .... . ss. ::;:::...... ::.::' .: ............. .... ....:..:::::.. ..:..................... .. city, .:.:.:::::.: .::..... :::piione�#� ..::::..::: insurance co. 04 o UP roprieto general contractor,or homeowner(code one)and have hired the contractors listed below who have thee following workers' compensation polices: mP .................:.:::.:,:::.....::...:.:....::.:;::::•::::::: .::..::::......................::::::.:.:::::::.:.:::::::.:::.::,..,::., wm any'name: ...........::::.............:::::::::................................:............... ............. ,.:.............................;. ...... :::r5::}:•:}:.}::::.}}:c•}.:::•:::::::.}•:::::::: K. tv bh , iaaarartce•ctz��.-�:.�<�;;>;;:;:;:;:.:>;:::<;<.::.:<.;;;:;.:;.;:.;;:.;:-;>:;>;;:.:::.:::.:.::.:::.:.:.::.::..:.....,........... ........ o1icP 1 c any name:. <:<:::::::«;;;;;::»::;:<::<:-:::;�>;:;::>: ::. :.... address: .....:::.... h one .:::.:. .. ...:.:.:..:;: :::...: .. .... ................. ........................ i ::.�:::::::.::�:::::.::..::::..:�::.:�::::}:>:::::::::::::::::.............:...........:..:...........:..:...:....:.:�...:.:::::.:�:::::.':::::: ....... <iii�iri};ij:>:iiiiiiii:!4ii::`r':i:::?•}>}:{.}}}i:^:9:::i}i::i: .............::v::::::.�:::::::?:4}:O}:::::::::::::::::::::::::::::vv::::::�::�:::::v::.r:::.�::i':.}':r.v.:`:•::n r.�.v:rr.:rii:�::rr.�:.:..} ... ::::::.w{::;::;::v::::{{isi:.�.}�}::i•�i:ii:i:;i::iti;{rh;:.r•ihn..:...::-::.:.... ci oiiev insurance co::: �// Failure to secure coverage as required under section 25A of MGL 152 can lead to the imposition of criminal pendties of a 8ne up to 51,500.00 and/or one years'imprisonment as well as civil penalties in the form of a STOP WORK ORDER and a Hue of$100.00 a day against ma I understand that a copy of this statement may be forwarded to the Once of Investigations of the DIA for coverage vuMcztton I do her c the pairs and pea ojperjury that the information provided above is trrr�and coned signature s Date I r ®Z9 Print name t C. (— �(G Phone# 7 7 5 O� — official use only do not write in this area to be completed by city or town official city or town: petmiUltceme# ❑Building Department ❑Licensing Board fice check if immediate response is required ❑Heal t Department rtmen❑Health Deparbaent contact person: phone#; — ❑Other_ Urimed 9195 PIA) of WE Ta, The Town of Barnstable . K#M• �sresr.e. • Department of Health Safety and Environmental Services 9. �„►'�'' Building Division 367 Main Street,Hyannis MA 02601 Office: 508-862-4038 Ralph Crossen Fax: 508-790-6230 Building Commissioner Permit no. Date AFFIDAVIT HOME IMPROVEMENT CONTRACTOR LAW SUPPLEMENT TO PERMIT APPLICATION MGL c. 142A requires that the"reconstruction,alterations,renovation,repair,modernization,conversion, improvement,removal,demolition,or construction of an addition to any pre-existing owner-occupied building containing at least one but not more than four dwelling units or to structures which are adjacent to such residence or building be done by registered contractors,with certain exceptions,along with other requirements. [— Type of Work: `" Roo- V�a Estimated Cost Address of Work: Owner's Name: 1� ►n l (M a 0 Date of Application: �� r �_On I hereby certify that: I I Registration is not required for the following reason(s): Work excluded by law Job Under$1,000 Building not owner-occupied Owner pulling own permit Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c. 142A. SIGNED UNDER PENALTIES OF PERJURY I hereby apply for a permit as the agent of the owner. c, o `�Q 6 Date Contractof Name Registration No. OR Date Owner's Name q:forms:Affidav 1 v 7G" Y .. -a 1'".'�_T" v-'vf a „A s _ .. - �^•n. _' Y.'_�Y'.- a __ � -4,-,. n � - - .. mot. i+. _ .-. � o� \ Assessor's map and lot number ..�(7v`. .....7 .... /C `. 7 Sewage Permit number .......... ...................................I........... r °f7NEr°�° ✓ TOWN OF BARNSTABLE i i 8A"STADLE, i "b BUILDING INSPECTOR APPLICATION FOR PERMIT TO ...... .... .. :........................................................................... TYPEOF CONSTRUCTION ..................................................................................................................................... !.a!J,:..c..........19......s TO THE INSPECTOR OF BUILDINGS: / The undersigneed� hereby applies for a permit according to the following information: Location .... y -! .................... .�....s ...... ....,...';.... ..............::�-�::..�.............................................................. ProposedUse .... .. .. ................................................................................................................................................... Zoning District .............:...::=:.................................................Fire District .t'''_ ...... .... Nameof Owner .... .. ./J.,...... v......;..r.................Address ................................................................................... Nameof Builder d3 ..................Address .................................................................................... Nameof Architect ..................................................................Address .................................................................................... Numberof Rooms ..................................................................Foundation ......,,...:....,,............................................................ Exterior ..:�.!�`•��?'' Roofing ..1.% ': �, ................................................................. ..............................................................f Floors ..,..'' --.::.c:: ;...............................................................Interior .........,.......................................................................... Heating ..................................................................................Plumbing .................................................................................. Fireplace ..................................................................................Approximate Cost ...... y :.Ud............................. Definitive Plan Approved by Planning Board _______________________________19________. 4v /Area ` �..1 . .J.:.f ............... o Diagram of Lot and Building with Dimensions 6 Fee .................................... SUBJECT TO APPROVAL OF BOARD,OF HEALTH ;s I 7c I ' I I f - T i 110 I d IN OW \' 'I I � VOOR ! I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. ] Name !?!?'f............................/ ��'..•....�✓... ................... r/• Desoto, Robert P. cc0 17669 garage No ............. "Poy-mit for .................................. .. .......................................................... ............. ...... Location 27.7...Megan Road ..... ....... .......... Hyannis ............................................................................... Robert P. Besoto Owner .................................................................. Type of Construction .........V.......game r.ame................ .............................................. ....................... ........ Plot ............................ Lat ................... ........... .Permit Granted ............. .AY... ....19 75 Date of Inspection ...... ..............19 Date Completed .............. 19 q... ................ PERMIT REFUSED ........................................ ..... 19 .................................... ......................................................................I......................................... .............................../.............................................. ..............................I............................................... Approved ............... ........................... 19 ........ .............. ... ........................ ................ ...........GO......t.................... . .�,�•,;•w.�.,,,_,r�ti err . _r.-., ........w.+.r'vnr..-..r�,,..q..-�q,....�..,....�--v w..r-...-^�+....�..�.--..-.w....,,..r.....•t+ ..v'r,.--..e..-r.." Assessor's map and lot number O ffd'� D� Sewage Permit number `...?........,. 6. ................ °f?"ET°�� TOWN OF BARNSTABLE i i B9HHs LL i "6 �•� BUILDING INSPECTOR APPLICATION .FOR PERMIT TO .....400�.. ...... a ......Y .. 6 wr ......................................... TYPEOF CONSTRUCTION ..........................................................................................................................:........... 014 ..... .. .........19 S/ TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a/permit according to the following information: Location .....` ... %'F��l :a........ `PS. .... %% e�. . *!.....G% `:...........................................1 .. ......... ProposedUse ... . ..I ..................................................................................... .............................................................. ZoningDistrict ............ / .......................................:..........Fire District ............... ... . ..-.. ...................................... Nameof Owner .... ..... ........ ....�. �: .................Address .................................................................................... Nameof Builder .... . .. ..................Address .................................................................................... Nameof Architect ..................................................................Address ................n................................................................... Number of Rooms ..................................................................Foundation .. ... ... ........................... Exterior ..............................................................Roofing ../.�D�,�c.. .... ` .................................... v Floors .. .............................................................Interior ..................................................................................... N Heating ..................................................................................Plumbing ......................00............................................................ Fireplace ..................................................................................Approximate Cost ....... ......................... .......... Definitive Plan Approved by Planning Board -------------------_-----------19________ Area . . .. ................... Qo Diagram of Lot and-Building with Dimensions Fee r� SUBJECT TO APPROVAL OF BOARD .OF HEALTH 7r +�O (o ca- 4 v 0 a w 9 X DooR-- --- 1 I . I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. No ........................................ Desoto, Robert P. r ' 17669 garage No .. .... Permit for .................................... ` r } ...................................... Location 27 Me g an Road Hyannis ............ ....................................................... Robert P. Desoto Owner .................................................................. Type of Construction frame .y . ....................................................... Plot ....................... Lot ................................ May 2 75 Permit Granted t Date of Inspection ...... .............................19 -1 Date Completed ............19 ►i PERMIT REFUSED 'H t r ...................................... ...................... 19 1 3 'i •................................................... ...................... t } ............................... ............................................ ' r' ............................................................................... F• i. 4• :ti ., ............................................................................... Approved ................................................ 19 ............................................................................... ��QyoftHETo�°� 3 TOWN OF BAR.NSTABLE i BBBHSTAIILE, i � . . 7,639. BUILDING INSPECTOR APPLICATION FOR PERMIT TO ..... > ..,,. �� _ i .. TYPE OF CONSTRUCTION ......... �.............. ......J..... ..............�/................19.�3 TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location ....1.,.'� � r�i`✓ /GC�q ��yj2///L/l✓. ................................... Proposed Use ... � N. ...... ir�1!!�J�G/......Cl/.��./ G /� ...................... ...........,......................... Zoning District .... ....:.....::. Fire District ll `. �l ............. .......... ........... ..�...�............ N LG�ham/ Name of Owner ... . ... . ..................... ...... �..,7S..Address ................................. ................,......., .. ............. l/ e, �• / (� r, Name of Builder ...................Address .......... .::............................................... .......................................................................... Nameof Architect ....�`.........................................................Address ...........�.............................................................. ..`.......... Number of Rooms ........ / / C/L� C%G�� GI� . r .........................................................Foundation . .......... ........... ..................................................... Exterior .. .....•5,*l�Z�y��1.......................Roofing �i��....... J` �, .. Floors -,:... �/ /CCY litJ4D Interior ... �....................... ....... .. /...../�................ / Heating /`G �� ..lty ............Plumbing ......./......................................................................... y � I Fireplace ............. 2� ............. ...................................................Approximate Cost . ............................ Definitive Plan Approved by Planning Board _____________ �____19_ / 0 � Diagram of Lot and Building with DimensionsP SUBJECT TO APPROVAL OF BOARD OF HEALTH 4-4 LLJ � cnz1 w 0 0 7 `ra raizi `- >- F- -� < () F < � O I hereby agree to conform to all the Rules an 7R egulations o t e own of Bar nat ble regarding the above construction. Name f `.. � L� William EL Jr. ' ` � �� - No —��.. Ponni� for ------ -- � ^ ( .z____. . . ............. } ' Loco�on��..L. _Rmad__________. ----.---..gyg;.....g—.----------- . | �- � Owner ��l��. J�� ____ .=*.�n^~*o'w.. ....... ' frm000 Type of Construction -------------- . � � --------------.-----------. � - P *�r��Plot ---_—____. Lot .............. ! � � ! ` - Mw`� I 7.3 Permit G,ono*6 --.��'------'—]V. Dote of |n lA- ' | Date l � Completed ' ^� - _ . PERMIT REFUSED -----,—_-------------- lA . . � � . -------.-.-----------------. ^ —_----...----.—.------------. . ----.—.—._---------..—.----... � � � ..................................................................... ......... | ' � Approved ................................................ 19 " ^ ' --------------------------. ^ ' , -----------------------....- . � �+�'sa4 �,€-'R h.,t- - — - _ 'r—�..� ,.i1.sas' yr zL I r ^s Y._Ti-4" - -.. . - _ '$_ ,. .. 3 v5 =t !� _ - _ � . mfr" ______ - �x . q,{ - :�� 7,y - �_7 r7 �� a = it a - r ; 0 f/T . : i. ;i��- A/G... , ax'^. r ' r ? Gig Y� <- i, vw _� - o� Q 4�£ -s , r1. x "� Y - ' Pi Y°�d Y. .. .y� _ � 7- :: -�_ - , I I I � .. " e � , - s' x �'_F '\4 - - - - _ X. x p i � SM 4 i �'�'_Z�-.---."n'-"*..! !' I-I- - , . ,t ., � �,_;t * a-h ., c^ E d «cam. �"� - <a ,�. 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