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0035 MELBOURNE ROAD
3,//rfE/educN� fib, Town of Barnstable Building Department Brian Florence, CBO Building Commissioner 200 Main Street,Hyannis; MA 02601 www.town.bamstable.ma.us Pre-application for Business Certificate Date a,\ ra ��V Ma Parcel p � . Applicant Information Applicants Name C"l Applicants Address �i ��O'jr►' - Email Address Telephone Number 774-2j o2 's(1.6 Listed ❑ Unlisted ❑ Business Information New Business? ---------------------------------------- Yes No Business is a registered corporation? -------------------------- Yes CNo If yes Name of Corporation Does business operate under the registered corporate`name? Yes �No�1 jam•:- Is the business a sole proprietorship or home occupation? --------- Yes No� if yes then a Home Occupation Registration is required-See Building Division Staff ' Name of Business K Sc C +Ar" 6�1 Business Address JI`A.Q.- Type of Business Building Commissioner Office Use Only Conditions a&l d1711a, Building Commissioner JA fi Date f ri Clerk Office Use Only ' Town of Barnstable Building Department �pE THE 1p� o Brian Florence,CB0 Building Commissioner * STAB . ' 200 Main Street,Hyannis,MA 02601. v MAss. $ Qj 1639• www.town.barnstable.ma.uS ArfD�,�p Office: 508-862-403 8 Fax: 508-790-6230 Approved: Fee: Permit#: HOME OCCUPATION REGISTRATION Date: rI nn Name: l�i� \ oi�Z �� 1SS Phone#: 7`1 Address: ✓5 b 0 J f wL V Village: Name of Business: S Type of Business: ru "C c ro vZ,---V Map/Lot:/-,& cl 0 Y-S INTENT: It is the intent of this section to allow the residents of the Town of Barnstable to operate a home occupation within single family dwellings,subject to the provisions of Section 4-1.4 of the Zoning ordinance,provided that the activity shall not be discernible from outside the dwelling: there shall be no increase in noise or odor;no visual alteration to the premises which would suggest anything other than a residential use;no increase in traffic above normal residential volumes;and no increase in air or groundwater pollution. After registration with the Building Inspector, a customary home occupation shall be permitted as of right subject to the following conditions: • The activity-is carried on by the permanent resident of a single family residential dwelling unit,located within that dwelling unit. • Such use occupies no more than 400 square feet of space. • There are no external alterations to the dwelling which are not customary in residential buildings,and there is no outside evidence of such use. • No traffic will be generated in excess of normal residential volumes. • The use does not involve the production of offensive noise,vibration,smoke,dust or other particular matter,odors,electrical disturbance,heat,glare,humidity or other objectionable effects. • There is no storage or use of toxic or hazardous materials,or flammable or explosive materials,in excess of normal household quantities. • Any need for parking generated by such use shall be met on the same lot containing the Customary Home Occupation,and not within the.required front yard. 1 • . There is no exterior storage or display of materials or equipment. . • There are no commercial vehicles related to the Customary Home Occupation,other than one van or one pick-up truck not to exceed one ton capacity,and one trailer not to exceed 20 feet in length and not to exceed 4'tires,parked on the same lot containing the Customary Home Occupation. • No sign shall be displayed indicating the Customary Home Occupation. • If the Customary Home Occupation is listed or advertised as a business,the street address shall not be included. • No person shall be employed in the Customary Home Occupation who is not a permanent resident of the dwelling unit. ' 1,the undersigned,have read and agree with the above restrictions for my home occupation I am regissterin . Applicant: Date: Homeoc.doc Rev. 10/17 TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map oZ (5 _Parcel_ Permit# H, r eaIth Di.Vision = i /(��` Date Issued s. ConsDi iv'sion 8 Z ' Z Fees Tax Collector- /o L0 2 - �,� Treasurer �� /� SEP i SYST Em1�d�U�T CE Planning Dept. INSTALLED IN COUPUANC WITH TITLE 5 Date Definitive Plan Approved by Planning Board 4 ENMRONMENTAL COIQE AN1t ...Historic-OKH Preservation/Hyannis - TOWN REGUUTIOINS Project Street Address os- A-Z&O Village Owner Address �6 &CC�`�Ui2��' Telephone J-0 k — X/M—3 1 Permit Request /& x /2 A0001 �se,v �� E/i�rii�tiG �� ,��� C1.12,M. de,:. 2L �-1,J,y/J70� ��i/,CG �xf�=�® �.95vi fZG✓�1�� i'�J�D �,,�.1��P/�O - Sgware feet: 1 t floor: existing proposed _ 2nd floor: existing proposed Total new a?Valuation-- �� r n ni g District Flood Plain Groundwater Overlay Constructio`r Type,`A) CIL- Lot Size /.C, Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family (d Two Family ❑ Multi-Family(#units) Age of Existing Structure AD W R' Historic House: ❑Yes W No On Old Kin 's Highway: 0'�s c©'�lo 9 9 � 9fY.., Basement Type: 0 Full ❑Crawl ❑Walkout ❑Other _ wy Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.fft) i rQ % Number of Baths: Full: existing / new Half: existing �/2- o 1 new. Number of Bedrooms: existing -3 new J„,(!� E5 5 csl r— Total Room Count(not including baths): existing new First Floor Room C ount `•'' Heat Type and Fuel: eGas ❑Oil ❑ Electric ❑Other Central Air: ❑Yes 31' o Fireplaces: Existing / New Existing wood/coal stove: ❑Yes BIN'o Detached garage:❑existing ❑new size Pool:❑existing ❑new size Barn:❑existing ❑new size Attached garage:❑existing ❑new size Shed:Urexisting ❑new size Other: Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes ❑No If yes, site plan review# Current Use Proposed Use BUILDER INFORMATION Name '!)eAncb o"e•n Telephone Number A ress J q 7 �, �,ae� �T• License# �,5'?c?q_ Rocklmd— IV4, Home Improvement Contractor# Worker's Compensation# ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE�. ��✓ ���� n1 DATE x FOR OFFICIAL USE ONLY J .. f s PERMIT NO. ' { DATE ISSUED MAR/PARCEL NO. I\ ADDRESS r VILLAGE OWNER DATE OF INSPECTION: FOUNDATION FRAME ( INSULATION ) FIREPLACE • r x ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH?., FINAL ., tr a GAS: ROUGHi = FINAL FINAL BUILDING ; 0 � � DATE CLOSED OUT ASSOCIATION PLAN NO. i L 5. G t RESIDENTIAL BUILDING PERMIT FEES ' APPLICATION FEE New Buildings,Additions $50.00 Alterations/Renovations $25.00 Building Permit Amendment $25.00 i FEE VALUE WORKSHEET NEW LIVING SPACE _square feet x$96/sq.foot= o x.0031- , --7• .�� �;� plus from below(if applicable) ALTERATIONS/RENOVATIONS OF EXISTING SPACE square feet x$64/sq foot= x.0031= plus from below(if applicable) ACCESSORY STRUCTURE>120 sq. >120 sf-500 sf $35.00 ®® >500 sf-750 sf 50.00 >150 sf= 1000 sf 75.00 >1000 sf- 1500 sf 1.00.00 >1500 sf-Same as new building permit: square feet x$96/sq.foot= x.0031= STAND ALONE PERMITS Open Porch x$30.00= (MM3b;) Deck x$30.00 f (nimber) Fireplace/Chimney x$25.00= (number) Inground Swimming Pool . $60.00 Above Ground Swimming Pool $25.00 - Relocation/Moving $150.00 (plus above dapplicable) Permit Fee projcost 1 d �' d1 ✓1C� Vdll�//ILO'IllI/�gbUL O�a� fi[ioE' BOARD OF BUILDING REGULATIONS I License. CONSTRUCTION SUPERVISOR 2 N.umber CS 059245 ' c Expires t0/23J2002 Tr.no: 2865 Restricted To:.'00' DEAN-T DUNCAN _ 307 E WATER ST i ROCKLAND, MA 02370 Administrator ✓lie �omnranuaea�i o���aauc/uaetta Board of Building Regulations and Standards HOME IMPROVEMENT CONTRACTOR Registration; 111164 Expiration: 1W/09/2002 " Type:'INDIVIDUAL - .. DEA'N`T DUNCAN i DEAN DUNC%1N i' 397E WATER ST _ ftOCC ILA D;M41120b Administ'ator I Table J=b(eeatla*od) prperipthe Pad mga for Oaa and Tws4Familr Raaidaadd BO"120 Heated wdb Foai1 Falb MAXIMUM i4IDYR1 UM Hea:>a�Cwling Glazing Gu=8 Ceiling wall now Btaemms Slab Efficiency' Area,(%) U-valuc C R-value] it-value wvaivat 11 r Packwe m i to 6500 Heating Degree Dan s Q IZ°'. 0.40 3E 13 19 t0 6 Normal Y R 12% 0.52 30 19 19 10 6 N0fm'l 6 ES AFUE S t2!'. . OSO 3E 17 19 to, Normal T 15% 0J6. 3E 13 25 NIA NIA 6 New U 15% a." 3E 19 19 10 AF�TE v IM/. 0.44 3E 13 25 NIA NfA FUE a 15% 0.32 30 19 19 10 6 ES Normal X 18•/. 03Z 3E 13 23W WA N0°0zi Y 19% 0.42 3E 19 25 1'VA Plarmai Z 12% 0.42 3E 13 19 AFZJE AA I8% 0-10 30 19 19 6 40 AFIJE 1. ADDRESS OF PROPERTY: � �/ tfk^i') q o 2. SQUARE FOOTAGE OF ALL EXTERIOR WALLS: ��s✓� 3. SQUARE FOOTAGE OF ALL GLAZING: �C a� 4. %GLAZING AREA(#3 DIVIDED BY#2): � 5. SELECT PACKAGE(Q—AA-see chart above): NOTE: OTHER MORE INVOLVED METHODS OF DETE UAR411G ENERGY REQUIREMENTS ARE AVAILABLE. ASK US FOR THIS INFORMATION. BUILDING INSPECTOR APPROVAL: YES: NO: g4bmis-080303a Footnotes to Table J5.2.1b: ' Glazing area is the ratio of the area of the glazing assemblies (including sliding-glass doors, skyl'i-gh d ro basement windows if located in walls that enclose conditioned space,but excludinge total opaque doors)to the g a area. ex ressed as a percentage. Up to 1%of the glazing e area may be excluded from the U-value requ' f p . . For example,3 ft'of decorative glass may be excluded from a building design with 300 ft of glazing area. Z After January 1, 1999, glazing U-values must be tested and documented by the manufacturer in accord f .with the National Fenestration Rating Council (NFRC) test procedure, or take from Table J1.5.3a. U-values, for n whole units:center-of-glass U-values cannot be used. '<< ' The ceiling R-values do not assume a raised or oversized truss construction. If the insulation achieves the full insulation thickness, over the exterior walls without compression. R-30 insulation may be substituted for R-38 insulation and R-38 insulation may be substituted for R-49 insulation. Ceiling R-values represent the sum of cavity insulation plus insulating sheathing (if used). For ventilated ceilings;insulating sheathing must be placed between the conditioned space and the ventilated portion of the roof. 'Wall R-values represent the sum of the wall cavity insulation plus insulating sheathing (if used). Do not include exterior siding, structural sheathing,and interior drywall.For example,an R.19 requirement could be met EITHER by R-19 cavity insulation OR R-13 cavity insulation plus R-6 insulating sheathing. Nail requirements apply to wood-frame or mass(concrete,masonry,log)wall constructions,but do not apply to metal-flame construction. 'The floor requirements apply to floors over unconditioned spaces(such as unconditioned crawlspaces, basements, or garages).Floors over outside air must meet the ceiling requirements. 'T:e entire opaque portion of any individual basement wall with an average depth less than 50%below grade must mcct the same R-value requirement as above-grade walls. Windows and sliding glass doors of conditioned br..,ements must be included with the other glazing. Basement doors must meet the door U-value requirement d_scribed in Note b. The R-value requirements are for unheated slabs.Add an additional R-2 for heated slabs. ' If the building utilizes electric resistance heating use compliance approach 3;4,or 5. If you plan to install more than one piece of heating equipment or more than one piece of cooling equipment,the equipment with the lowest efficiency must meet or exceed the efficiency required by the selected package. 'For Heating Degree Day requirements of the closest city or town see Table J5.2.1a NOTES: a)Glazing areas and U-values are maximum acceptable levels.Insulation R values are minimum acceptable levels. R-value requirements are for insulation only and do not include strvcttrral components. b)Opaque doors in the building envelope must have a U-value no greater than 035.Door U-values must be tested and documented by the manufacturer in accordance with the NFRC test procedure or taken from the door U-value in Table J1.5.3b. If a door contains glass and an aggregate U-value rating for that door is not available, include the glass area of the door with your windows and use the opaque door U-value to determine compliance of the door. One door may be excluded from this requirement(i.e.,may have a U-value greater than 0.35). c) If a ceiling,wall,floor,basement wall,slab-edge,or crawl space wall component includes two or more areas with different insulation levels, the component complies if the area-weighted average R-value is greater than or equal to the R-value requirement for that component. Glazing or door components comply if the area-weighted average U- value of all windows or doors is less than or equal to the U-value requirement(0.35 for doors). 43 • 1 1 t k ' 1 The Town of Barnstable Regulatory Services Thomas F. Geiler, Director Building Division Peter F. DiMatteo, Building Commissioner 200 Main Street,Hyannis MA 02601 Office: 508-862-4038 Fax: 508-790-6230 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 adj acent to such residence or building be done by registered contractors,with-certain exceptions,along with other requirements. . Type of Work: 16V.2 S_UA C40,-4 Estimated Cost Address of Work:3 a2A, 00(_0e I ee 1 yl ,) n6d Owner's Name: Date of Application: I hereby certify that: 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: yh ])neAnlune AQ Date Contractor Name Registration No. OR q:forms:Affidav :rev-122001 '77le Commonwealth of Massachusetts ' Department of In&LstHal Accidents µ _ ; 0117croflmasffOOds 600 Washington Street Boston,Mass 01111 Workers' Coin ensatioa rsvara=ATIdavif r %fin location. ��9 a WA4e r 5/ city �di�'iAAd, .. phone#7����7 ❑ I am a h==wtmr peaftazaing ail work raysdE (& I am a sole etor and lave no one ' is aav - ❑ I am as Dyer ding workers' for W emgiapees wa�iaag tin this job. .. ..:v:n..:::...::...:x vw: ::::...vtv,�yv.±yww{:»....:.R}TTXIXv}: w..a w: N.!r.`!ia}}M!!!1♦;!;.:`M^,`;tw:w:w:xy:...::... .............. .. ......v..... ....:.,.......\..n TM!7•... .. .. •C.«r.. .. :.. aver,., ...^:Wy�^QM•M1f4d�!>'M:4M1(!!!K:.;. .,...k ......r.. .. ...:...:.........t r..... ::::.:...................,.,.::.w»sRf?a•??Tew?Qte�!4•.!;ycor+:k-.,a�Y'rJ!..�2x'�`..'..°•e�Y+:�`�`�``'>.�iLC�,''fi .:zc: F:-.::>Y.:^:::.:±Y:::., ......... ..... ..,.v.. .._... .. ......... ...:.::..v. ..:::�. ...... ....)!?....._..:::: v...v..n .t•:\vvivtih:•%ii1k�:i:kn::ii:ki:'v::;:J'k�]Y:. ........:.::::n. ......n:nv.,........n...:::--.::.,.:...::-. :.v:...nti..t.::......v.x.... ..v.:nwdwv::•..:.r::.:•v. xM..t y>....tx„ .... r...... ......:... w.n........v. ... a:n.....w:xhn:.:}.v.... .... ,1.... .. .vS4w...aA•.•:::::.±...\lA YVCa,ix:Ri:4;!Q!vv:•:ti•:i:•:t{�k:{:i is::±•.: .v.......::•.............y ......fw..,:..,x .....r vxw•:: :.... ......::.. ...,:„:.h:v: ... ... .N.n. ...n..:...:. .......r.....M,..n. ........5- ..xh.... .4.. .. ,....:.r:r....a>r aay..,A naJ.v... .v ..�` ...;... 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RETAINING WALL ' -;—i i i RAIL ROAD TRACK STONE JETTY # 45 SWIMMING POOL PORCH/DECK ❑ BUILDING/STRUCTURE ...... 1:-:A.:., DOCK/PIER \ \ HYDRANT 1 a VALVE O MANHOLE \ 1 y o POST p'P FLAG POLE T O W N O F B A R N S T A B L E G E O G R A P H 1 C 1 N F O R M A T 1 O N S Y S T E M S U N 1 T .o SIGN ® STORM DRAIN N PRINTED SM:IN FEET *NOTE:This map is an enlargement of a Ldo. TE:The parcel lines are only graphic representations DATA SOURCES: Planimetrics(man-made features)were interpreted from 1995 aerial photographs by The James 1"=100'scale map and may NOT meet perty boundaries.They are not true locations,and W.Sewall Company.Topography and vegetation were interpreted from 1989 aerial photographs by GEOD 0 UTILITY POLE II TOWER w e 0 20 40 National Map Accuracy Standards at this t represent actual relationships to physical objects Corporation. Planimetrics,topography,and vegetation were mapped to meet National Map Accuracy Standards 1 INCH=40 FEET* enlorged stole. map. at a scale of 1"=100'. Parcel lines were digitized from FY2002 Town of Barnstable Assessors tax maps. ¢ LIGHT POLE O ELECTRIC BOX Assessor's offioe Ost floor): J , �./: , / �FTHEt0 Asses sor's'`m"ap and lot number ..64O�fl. ... ......:. Board of Health (3rd floor): Sewage Permit number ...... ."'.l.a..�.��...A`; ...........' L t BASII9TI►DIyL, : Engineering Department Ord floor): NA°q.. i6 2 9� House number ............................... .......�`-.'........................... ^°.•,�. •Fp YAY 6 APPLICATIONS PROCESSED 8:30-9:30 A.M. and 1.00-2:00 P.M. only /�(MV- TOWN OF BARNSTABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO ,.................................................................... ........................................... TYPEOF CONSTRUCTION ......<c�-! .............................................................................................. ........... .......... ...` ...................;.....19..��.� TO THE INSPECTOR OF BUILDINGS: The 'undersigned hereby applies for a permit according to the following information: Location ... ..w �C... ..... ............ /... ess�< ...'.A� Q .......... .. /.. `(77. ProposedUse r ..r..l!,�/1.... .4± 1.................:...................................................................................................... Zoning District .............Fire District �. _Name of Owner ..1� -..... ....... :� ... !��e,4, Address ....`r'.>A........ strsch rr, ... ................. Name of Builder ...` .P. .......................Address .. �� ...: +?-� / .. .....................:...... Nameof Architect ..................................................................Address .................................................................................... Number of Rooms .. . izcQ..................................................Foundation .. f .. ... ................................... � � Exterior ....................................................................................Roofing ..... ,G..�..........................1............................ Floors (.�...l�s.n f Interior i" -Heating ..........`...... ............................Plumbing .......... .:f...... ..... .......... Fireplace ..........................................................Approximate Cost .................................................................... I Q�Definitive Plan Approved by Planning Board ________________________________19________ . Area ...... ..:. .......................... Diagram of Lot and Building with Dimensions Fee '» SUBJECT TO APPROVAL OF BOARD OF HEALTH / 14 VA? // t � _ t r 4 t , OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform t0\611 the `R-ules a.n.�d Regulations of the Town-of Barnstable regarding the above construction. l� Name .............................. . .......... Construction Supervisor's License ..0... ...... G _ PrIp- OONEY, RICHARD 14R. & MRS. C'?6 ? g A=268-245 r No •,.34 A. Permit for ,..ADDITION ......5.�.�g.��...Fam .ly.....Dweling....... L'cation .....3.J.... eI)PO1�1.TAe...RQA5.............. ► f 1i F ....................ay.anxIiA9...............................I......... t Owner ....Rchard..Looney......................... a Type of Construction ......Fr.Wn.Q...................... .......... .................................................................... Plot ............................ Lot ................................ August 15,.....19 91 Permit Granted ................................... Date of Inspection ...19 Date Completed ......................................19 r 4 . ERMIT COMPLE T Er,-) 4 , ;r e� � l Apse or's offioe (1st floor): � J SEPTIC SYSTEM MUST EE THE T Assessor's„ma nd lot number ....... . .......�R............ INS'rpt.t.ED 1[�COMPUANC` Board of Health (3rd floor): //.r Sewage Permit number ......8.-.1✓..^.c�l. `r ............ Barr. AND ;Basa9TsnLE. : Engineering Department (3rd floor): VJ s� ENVI saw rnea House number ................................ ..................... iU� �°°mmiss!° °°moo�p�'a�e APPLICATIONS PROCESSED 8:30-9:30 A.M. and 1:00-2:00 P.M. only S1 data TOWN OF BAR STABLE BUILDING INSPECTOR o� Jy� j APPLICATION FOR PERMIT TO ......... .1.1G. TYPEOF CONSTRUCTION ........................................................................................................... ....... /....fl.........................19..9...! TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location ... .7 �.. �rrsatia..:. . . CG�QT ?. ................................. ProposedUse ....................................................................................................................... ZoningDistrict ........................................................................Fire District ..................'............................................................ Name of Owner ..� `? ....... e Address .................. Name of Builder ..� � ... ........Address Nameof Architect .............................I.....................................Address .................................................................................... Number of Rooms .4- -At-0..................................................Foundation w ..................................... w Exterior ..:..�C-4 .......................................................Roofing ..... .... .... ... ....................................................... Floors 4 . ..............................................................Interior ... . Heating .....................................................Plumbing '................ ......................................... Fireplace .. .. .........................................................Approximate Cost ............ I l!�!.C!....................I.......... Definitive Plan Approved by Planning Board _______________________________19________ . Area ZZ 7 ............................ . � 0c� Diagram of Lot and Building with Dimensions Fee SUBJECT TO APPROVAL OF BOARD OF HEALTH /ej IS 4 I i e {➢ J r � 1 k � 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 ...a14.....................y�.. i./. . ............... Construction Supervisor's License #0.0...v.��r.r�.<....... LOONEY, RICHARD MR. & MRS. 3.4.5.2.4. Permit for ...ADDITION .................. .. .... ..... .......Sinq le...F pi.ly..A�,,q,ling........ Lotation ...3.5...Melbourne.-.Ro.ad................. ......Hyannis Owner ....:Mr. 6, Mrs... Richard Looney ........................ ................................... Type' of-Construction ..........Frame ........ ............ ...... • . ............................................................................... • Plot ....................... Lot ..................../............ Permit Granted ....... 19 91 Date of Inspection ......................./... ........19 Date Com .................��etecl ............. ........19 V1 w! Cr 1Y C7, 3 � c me � je /0 a � a y' C�� DEPARTMENT OF PUBLIC SAFETY COMMONWEALTH OF 1010 COMMONWEALTH AVE. MASSACHUSETTS BOSTON,MASS.02215 �,k ENCLOSE CHECK OR M( ^ LICENSE FOR REQUIRED EXPIRATION DATE t; .r F T CONSTR. SUPERVISOR �' 06/30/1993 ADE YAB RESTRICTIONS ° EFFECTIVE DATE LIC-NO. 6 � NONE 06/30/1991 004276 0 "COMMISSION AF-pul m ARTHUR L DOLGOFF - (DO 1JNgSfNDG 20 SUNSET TER N HYANNiISP MA 02672 P EASE .NOTE: FE A DPHOTO(BUSTING OPR ONLY) FEE: � [. 100. 00 E FEC TI VE EB. ' 1, HEIGHT: NOT VALID UNTIL SIGNED BY LICENSEE AND OFFICIALLY STAMPED-OR SIGNATURE OF THE COMMISSIONER /4 L �fd iz D NOT DETACN. L.ICE THIS DOCUMENT MUST BE I- �' SIGN NAME IN FULL-ABOVE SIB CARRIED ON THE PERSON OF SIG UB F LICENSEE THE HOLDER WHEN ENGAG. OTHERS RIGHT THUMB PRINT ED IN THIS OCCUPATION, COMMISSIONER 20OM-2-87-81429 COX i�lc Ccd!f�s k- / PI vy o?xlo SC;s7'- R'30 i� S,�J,16 �y "act _ r i �I � � L 1 ------------- /ems r i Yam+ '>� ''./r.'. /?...iv!:•- 4 ICI / r)' �•. � I11 � I•I / /'fit•..: .C���j j ,61:'.:��•lr�, j Ir