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0005 PIRATES WAY
� �rc��'�S G(,R *qi� � ��' i�F ppf.y V.rd r r- W tl6r 14 `Py _4 S :ss r i f, INSULATION /IYIM pU.» -M RS WSi T.wM 7CMINpfp Ywrts aurrslls INsuurwll csulNps 1-800-696-6611 •Gown of Barnstable Regulatory Services Building Division 200 Main St Hyannis, MA 02601 Date: y/a9 Dear Building inspector Please accept this Affidavit as documentation that Cape Cod Insulation, Inc. performed &. completed the insulation and weatheri' ion work at the'property listed below. Cape Cod �. Insulation'did this in accordance l the speciticatidns listed on the building permit ' �- application. All work has been inspzgt q,by a certified Building Perforniance Institute (BP'1) inspector. All work preformed meets or exceeds Federal & State Requirements. Property Owner . Property Address Village �� � F��l� • .�-P way • :�� ,�y,����o>�- r y lasulation Installed: Fiberglass Cellulose R-Value Restricted Unrestricted Ceilings Slopes ( ) ( ) ( ) ( ) ( ) Walls Sincerely G � He ry L as y Jr, President (:' e Cod I ulation, Inc. TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Ma Pp Parcel Application L c Health Division Date Issued 3 1 Y i Conservation Division Application Fee k,0 Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation / Hyannis Project Street Address Village Owner I Address Telephone [all �� IS- (D � I .Permit Request (4 rV0-k, (6 4tv `w 00 rk4Ugg a ctv>--- Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new. Zoning District Flood Plain Groundwater Overlay Project Valuation 6 Construction Type Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family Two Family ❑ Multi-Family (# units) Age of Existing Structure Historic House: ❑Yes ❑ No On Old King's Highway: ❑Yes ❑`No Basement Type: ❑ Full ❑ Crawl ❑Walkout ❑Other o Basement Finished Area (sq.ft.) Basement Unfinished Area;s> �.ft) Number of Baths: Full: existing new Half: existing ew a Number of Bedrooms: existing _new ? T� Total Room Count (not including baths): existing new First Floor Room Count! x Heat Type and Fuel: ❑ Gas ❑ Oil ❑ Electric ❑ Other p` Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑ No Detached garage: ❑ existing ❑ new size_Pool: ❑ existing ❑ new size _ Barn: ❑ existing ❑ new size_ Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: Zoning Board of Appeals Aut rization ❑ Appeal # Recorded ❑ Commercial ❑Yes o If yes, site plan review# Current Use Proposed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name �� �� Telephone Number 77 5-17 Address �N� License # Q o Tl Home Improvement Contractor# 15 -35b1 Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO jp dw D SIGNATURE DATE `Z t 4 :t FOR OFFICIAL USE ONLY APPLICATION# i� DATE ISSUED ti , MAP/PARCEL NO. ' ADDRESS VILLAGE OWNER :rx i DATE OF INSPECTION: {. •,_FO_UNDATION FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL 's PLUMBING: ROUGH FINAL Ir r.J GAS: ROUGH FINAL 4 FINAL BUILDING d DATE CLOSED OUT ASSOCIATION PLAN NO. t Massachusetts -Department of Public Safety Board of Building Regulations and Standards Construction Supervisor License: CS-100988 HENRY E CASSD - ^ I 8 SHED ROW 3 WEST YARMOUTH Expiration Commissioner 11/11/2015 I. 0. i • I l i a I I 0 C C UrIsu I'll Gr Al-taus and 13Lisiness I'e`;1.11L ci[� Q Park Plaza - Suite 5170 Boston, WSSUIRISOUS 041 .16 I tome 1111provelilerif Cowractor Registration R(Nl� ti'iIUOII: 15Jb67 1yhe: I livato C:urlwla(iull Expifdt1011: 1 2/-1 J,/?b 1 1 TO 'JAU 1 If'I I;01) IN:5ULA ION, INC RMC..)U hH, MA 02664 1 UpdiU4Addreas Mid ICIL1111 h'lurlc rc.asun liltdwite'r, ;lddress Rcuowal b:nl Ilu •utunt I,u�l(:unl . t. i•;rr r![irr;rY 4'rrf(,!� l��'(-'ll,:.lJir�.'/Ylr:Jri<(.� . A(Ilkiv, S, ltusi[Iess Revuhttiu,t Lircilw ur rebistruiuu valid fur irldividul w�o ullly d's 411 tP41h`i ltVL-All N f CON FRACTOR helurc(he czl)ira(iun date. If found rctttru w; `''"f •,r: I,rUun I`l:I;:x.i( Type: ()HIce ui('uusuulcrAfl;tirs and Llusiucss Itcgulu ulict lU Park I'laca-Suilc�17U Pilva to Curporahcll liustuu,MA U?116 "1a"N. INC, utic.rsrrrcl°rJ ur Pill N'Ilhtl 1 Il;tt i-t` 'a a The Comm fonwealth o Massachusetrs 11 Department of Industrial Accidents O,f fice of.investigations 600 Washington Street Boston, MA 02111 ' wwrv,raass.gov/tile Workers' CompensationInsurance Affidavit: BuddersIContrac�tors/F-1lect riciausi P ititnPoLrs e i yliCatart trtart�r-tlt:ttitytt Plea e±r41t 1.1 ibly Name; (B,,uicsslOrganirab0 /Lodi vidual): i2G' p C/ 1 Z, i-'try/5t<itr/2 i Phone Z %Z/- \rc you aw e1x1ps10yer? Check the appropriate box: I 1. ,,i till a ctnployer with. ? 4. El 1 am a general contractor and 1 Type of Project (required): _ citiployccs (fiill ancl,toc part-time) ac .' have hired the sub-contrtors 6. ❑ New construction L� I :un a sole proprietor orpartner- listed on the attached sheet. 7. [] Remodeling ship artd have no employees These sub-contractors have g, E] Demolition working for the in azty capacity. employees and have workers' [No workers' comp. insurance comp. insuranee.t 9. (] Building addition regturcd:] 5. [] We are a corporation and its 10.[] Electrical repairs or additions am a ionic owner doing all work officers have exercised their -1,LED Plumbing repairs or additions myself. [No workers' comp. right of exemption per MGL insurance rC uirud. t c. 152, 12.❑ Roof repairs q ] §1(4), and we have no 3s.❑ I rim a homeowner acting as a employees. [No workers' 13.a0ther Z,41 S Scncral contractor(refer to #4) comp,insurance required.] 'AtY sPphc;wt tint checker tax#,l must also fill out the section below showing theirworken'compensatiodpolicy information. t Huutcowncrs who submit this affidavit indicating they arc doing all work and then hire outside contractors must submit a new at idavir indicating such. :Cuuauc tors Qum cha;k this box must atwched au additional sheet showing the to of the sttb-cuunrn4a0 n and slaw whotlter or not those catities have cuy7luycev. If the sub curium~roes hove crnploy" dlcy must provide their workers'comp.policy number. I um an employer!hail is providing workers compensation insurance for my employees. 8'elow is the policy and job site luburaricc(;ompwly Policy#or Sclf=ins. Lic. #: ���"" '�� / Expiration Date: 1/y1_5 Job1VWtiC.�ddress: ^_ Y Ci� City/State/Zip: V° / 14 Acr:;ch A copy of the workers' cotnpeusuttion poll y declaration page(showing the policy number amid expiration ate). f allure In socurc,covenage as required under Seca 25A of I IGL e. 15?can lead to the trriposl6on of critrlinal penalties of a Fine up to 31,500.00 and/or one-year imprisonment, as well as civil penalties in the form of a STOP WORK ORDER and a line of up to$250.00 a day against the violator. Bc advised that a copy of this statement may be forwarded to the Orrice of 1nvestigatiow of the DIA, for ua3urucc coverage verification. !do hereby certify rider the g' rid prnaltiex of perjury that the Informatiart provided above rs true and correct i Qd1c ul 41C only. Do not write in this area, to be completed by city or town official City or'Towu: ^_ Permit/LIcense# Issuing.'authority (circle one): 1.Board of lleult4 2. Building Department 3. City/Towa Clerk 4.Electrical lnspector 5. Plumbing Impector 6.Other Cdut actt Perrot,:_ Phone#; 1 CAPECOD-27 MYOUNG UArr IMMIourcy") �- CERTIFICATE OF LIABILITY INSUR.�NCI E 71012013 nns cEF'11FICAI E IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON Tt-IE CERTIFICATE HOLDER.THIS CLRIWICAII DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE: COVERAGE AFFORDED BYTHEPOLICIES hizLOW. I I IIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AU'rr10RIZE0 KEPRLSENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IPAI'OIl I AN l: If the Curtificalte holder is an ADDITIONAL INSURED,the policy(les)must be endorsed. If SUBROGATION IS VVAIVLO,subjucttu wu lurnls and c;OndiliOns of thu Policy, certain policies may requiro an ondorsoment. A statement On this certificate does not cunfur rights 1111110 ;;6h4atu nulcler In NULL of s tlCh undorsulnenL�s�. ul u+ LI ; ntiu It P1.-514062 CONTACT NAA1E ' -- - Margaret Young - , Iho;)an X l;l,y Insurauc,u Agency, Inc. PHONk__ -- FAX-, d.Id RIa 134 _IA IC E> ;:')tna I I)L`Il w,IVIA 02660 k•MAIL _ ADDRESS:nT OLing rY f9241 INSURERS AFFOKOINO QOVLRf\lo L' NAIC_U__, INSURt_rtA:PEERLESS INSURANCE COMPANY IN SURER 8:COMMERCE INSURANCI� COMPANY l:apu GOLI IIISLIIatiOrT, InC. wsunERc:Evanston Insurance_COrnPany__.._..._..:..:._.. . III ku"i'doo Circl4 INSURERo,:ATLANTIC CHARTER INSURANCE GROUP 'iOLI t Yal'rl'IOLIth, IVIA INSURERE: INSURERF: iyL:I�AGLJ r' co'riFICATE NUMBER: RrVISION NUMBER: I l i'FJR I11 Y THAT THE' POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSULD IO THE INSURED NAME.ABOVE FOR THE I101-10 ERIOD LU NOI'V'JITHSTANDING ANY IREQUIREMENT, TERM OR CONDITION OF ANY CONTRACTOR 0IHEII DOCUMENT WITH RL:;PkC110VVHICHTHIS t:1(IN'ICAIL MAY 6E.13�i,UED OR MAY PERTAIN, THE INSURANCE AFFORDED,BY THE POLICIES DESCRIBED H EREIN IS'SUBJECT TO ALL IHC TERMS. _ u,L i;;li.lNti AND CC)Nfa1TI0NS OF SUCH POLICIES,LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. u•:It I Al]OC SllOK—•"" :,It, IY1 E Oh INSUKANCt_ POLICY NUAI9ER • LIMITSND/YxA O VCN1:.IwLLIAutulY EACH OCCUR 1,000,U00 RL-NCE b ' AMJCGF-TO•RENTCD '' 100,000 ;1 X I:I hAlt-IWAL GENERALLIAUILITY CBP8263063 41112013 411(24'14 pHkMISESII�Aair?n��l._..._.� r 5,UOU (;l I I AIIVIti MADE, I.X..) OCCUR Mho EXP(Ar1Y qnu r)01 lKlit . T,_ . PER50NAL.A,.P0V INJURY p _ GENERAL AGGREGATE D �,000,000 �.�,rlvl nti�U<F.GAI r L.IMIT APPLIES PER: - PRODUCI'S-COMP101'AGG b FHO y C OMOINLCI SI L LIMIT A1JlQnl)uukZIlAqu-1IY F..aex:aclull � L; AN,,u,IQ 13MMBCKVMK 411120'13 411120.14 BODILY INJURY(ParpulsDn) S ` u,vNr a SCI-IGOULEO p001LY INJURY(Par ecdUdnq b �llI _x.., AU'IOS — A InKIIJAl1rU.1 X NIIN-OWNED PCOPALCIDLjNMAG __^�-- 6 j \ unI U,�Ct.LA I_IAC �( OCCUR EACH 04CUR RE NC I: (✓ ... -- u,uuu { cncc5:,unL XONJ4535'12 41.1120'13 4/1/2014 AGGREOATC y I,000,OU l_l-AIMS-MAt]E I � i I,t,t� X I�E,I'k'N'IION 10,000 vYc;srnru. ar)I _-. Y 1 N —...__ 11 LK>CUMI'EN SA rLI VY 1 tnUtMPt.UI'Eraa L,IAtIILII'Y - ^. _ ELL....._..... - .3.J1 _.,,... ._._.,_.;... p I•�t.u-t<i cuhtHAKI*NL=wL:xtCUIIVir WCAU0526904 6)3012013 6I30Y20'14 E.L.C,1\CHA.CCIDEN'T p I,000,OOU 0,001) Urit:ctuAlEM[ittt EXU'LUUECI'1 NIA ' IAlaudolu+y Iu NN) — E.L.DISCASC--EA IDYIPLOYEI, ti 1,000,000 j I v,dvrinu Hoar ^_I,000,UUU Ih:ii;RII''llt)N(1F OPEKAI'IOIVS Ualaw '' � -•-,��— Ea._OISE?A5lc_POLICY LIMIT__ro_.__._. I Inc:I�.RII•nr4v ili-U&IzHA PIONS 11_OCA I IONS I VEFIICLES (AttuClr ACORD 101,.Arlalliun.+I R.nwk. Schedulo,II mora>pa<c Is fCy411'u41 Conll,�n::ation includos Officers or Proprietors. - jAuuuonal Inaurud 5LatL1$ is Providad under the General Liability when required by written contract or agreement with the Certiticato Holder. C CANCELLATION _..__... i-r;IIr11:AI r. HOLDER SHOULD ANY OF THE ABOVE DESCRIQEED POLICIES 2I__CANCELLED BEFORE THE EXPIRATION DATIn THI_RIeQf, NOTICE VVILL BI! UkIJVERO IN c:aliu Cod 1115LIlatt'iun, Inc ACCORDANCE WITH THE POLICY PROVISIONS. AUTtIORI//ZED REPRE5ENTA1'N1 _.._ ©'IH13-2010 ACORD CORPORATION. All fights re50f0d. ACURI)25(201 U105) The ACORD name and logo aro registered marks of ACORD OWNER AUTHORIZATION FORM i, (Owner's Name) owner of the property located at FrC4-fcs (Property Addres ) (Property Address) hereby authorize (Subcontractor) an authorized subcontractor for RISE Engineering,to act on my behalf to obtain a building permit and to perform work on my property. i Owner's S' nature x a Date J w. TOWN OF BARNSTABLE *TNE 03 TAELE. 9- DM BUILDING INSPECTOR APPLICATION FOR, PERMIT TO ... ...... .......... ............. ...................................................................... ........... TYPE OF CONSTRUCTION .............k1.4. . . ........ .............. . me.2. ..........1923 TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the foUowing information: 7 21 WLocation J. .... ..... ................WO ....r... ................. .................................. ProposedUse ............04.1�........................................................................................................................................ 11) / 4q -'-7 -7 J, Zoning District .......... .....Fire District ... -15�7........ / ........ Name of Owner ............... .. ..................Address ....... Name of Builder ...............Address 40-.... .. ....0) - .................. ---------- Nameof Architect ..................................................................Address .......................................................... Numberof Rooms .................I............................................. -Foundation .............................................................................. V !e Exterior ....k ..ev Q. W............................................................Roofing .........�.� ...... / .. .............................. .R f?0 , - 4 xa Floors Y/f..................i............................................Interior ...... -oCA-74 .. ............ ......................... ......... .......T Heating ....�..Paf..... ,lt.........................................Plumbing ......... ........................................................ Fireplace ...................................................................................Approximate Cost ............. ... .................................... Definitive Plan Approved by Planning Board ------------------------------ Diagram of Lot and Building with Dimensions SUBJECT TO APPROVAL OF BOARD OF HEALTH � ` Ala W W Z< N LLJ c�n iL P 0 2 < 0 z:0 W rn. L" i� W co 0- 0 ;_ �_ _j 0 a 0 Lu _j CL Cn Wz — LJ I hereby agree to conform to all the Rules and Regulations of the Town 3f Barnstable regardi ga the above construction. Name ... 1,54.1W&V................ ....................................;...................... Sloane, Harold mdd to dwellpig ' ' . -' _- `. . . ' . ' ~ . � � ' < ' / ' Location ... ~ Dote Completed [ ~ � | � ~ ` � PERMIT REFUSED � ------..------------- 1p ` -------------------------- � \ ----^--------------------- . . `''--------'---------`^-----'— \ | ' . ' ---------~----------.—.----. ' / � . , Approved ................................................ 19 � \ ' ---------------.--.--------.. / , --------'--------------~^^—' � . \ | f . f ` _ - �VE Town of Barnstable *Permitft Expires 6 menti rjrom issue dole Regulatory Services Fee t wuwarnet� g Thomas F.Geiler,Director 1639. jFb M1PK�` Building Division Tom Perry,CBO, Building Commissioner 9 200 Main Street,Hyannis,MA 02601 ww-w.taw�t,barrtstable.ma.us Ofificc: 508-862-4038 Fax: 508-790-6230 EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY Not Vend wi[hour Yea X-Press Imprint Map/parcel Number Property Address. r5 Residential . Value of Wor l Minimum fee or$25.00 for work under$6000.00 Owner's Name&Address—,Q�/ r�g1,-1� �z Contractor's Name 9"X Telephone Number I tome Improvement Contractor License N(if applicable) Construction Supervisor's License#(if applicable) X� Kworkman's Compensation Insurance EIS PERMIT Check one: AY ❑ I-ama sole proprietor 4 2010 I am the Homeowner OF I have'Worker's Compensation Insurance TOWNSARNSTAS Insurance Company Name ::6� AA&&, Ps . -.A ►a Workman's Comp.Policy# JRJ-Q 23 02! 2,2� Al 2! Copy of Insurance Compliance Certificate must be on tile. 11crinit Request(check box) XRe-roof(stripping old shingles) All construction debris will be taken to 1f2)11- A X ❑Re-roof(not stripping. Going over existing layers Wool) 4 C-side -11 ❑ Replacement Windows/doorstsiiders.U-Value (maximum.44) 'Where required: Issuance of this permit does not exempt compliance with ocher►own department regulations,i.e.Historic,Conservation,ate. 0"Note: Pro ertAOwnert erty 0 ner Letter of Permission. ent ontractors License is required. SIGNA'ruRE: �i.°H NI•Il.l.ti�l�l)RM5\huilding pcmtit IonnslliXPRESS.doc Revised 100608 I n7cz nhi uiucc:ni �nni 'fi7 'idw ..s ' The Commonwealth of Mavachwdis I?ePardnerit of IxdustrW Act offlee of- itvestigadons' 600 Washington Street Boston,MA 01111 wwwjnass gWd& Workers'Compensadon ee AfMa-vi Baildnwcon attamiEltibfridaw&lnmbers LWOW Adolkald InfOrmadOa Please Print Name(Boa;owownizationRadieiauet): • •Address: � r�• ' City/IsteJlip: Are you as employer?Cheek the aP1roP�be am a gcnctal oaadrac�nr and I Type ofpi Gied(required): 1.( I am a ems with ❑ 6. ❑New coaan employees{soli aad/er. a� have Wtmd the Fab-contracbn ..2: I am a hole p:pprmtor cr patens-' fided an the attached dent 7• Rmaddog ship and hsvea�o a 'Lhasa enb•contim 6lave !i••❑ woddag tot me in any amity empioyccs and have 9. ❑Binding addition No wadmi=oot op.•inss wac COW•hmnUM3 1p.[] 1 or addition;-1 S.[� We me a cm sa poodon d its 3.❑ I am a bomeown�d all w offiew have concized&w 11.0 Phmbg or addidcas MYMM(No wad=,coav• zotofexemptionporhm 12.0 Roaftrain k9unme ro4IMLl t r.15%¢1(4�ad we laws vo 13.❑Other - � •pea arprloQs' camp.b u nce l •Aaya*Kcwteua&wlabwalzmabeMoot "wows' t wboau6aab fib atlbiavitiakafteroyaa ftft uvwtea4ambsaovtadbeoe�atawstaab�aitaaearat8davh � s0oatna�datrbeetWftbnzma�aa�aaad�Rioa�lat�tdiaaasneotawsobeoatracme8a�sd�a�araotWaoea�luve e�pbyaes.Tftlws�oao�l�eraployw6d�Y�F�r�r "�•1�'n"�°°'� . 'rem erapToyartha7u prop�ingtoot '�aspero On inrurmacs for m3'esrptbyeex Belmv isths puff ywtd job site • tnforniollon. • Insurance�ml►Name.,--C���y'� �" �d�c>y(�-��—• ' Poky#or Self-ins.Lia.#,--LRL280 Job Site A ' Attrch a copy of the workere comp t'an policy doelsratdon pap(sbowWg the policy number and aTiration date). Falluvo to si;Ctme eovetap us vgnh d uadar Section 25A of MGL a 152 can lead to&t bvpolition of aiMW pendfim of a fM Up to;1,5WAg and/or ona-year i=pieonmwj%as watt as civil penalties in 6ae foam of a-STOP WM ORDER and a tam of up m S2Sp p0 a da t tt>Q .-)Be advW mat a copy of this stabetp it away be ftvatded to thr Off of of Owu,.AL, Verification. I aio kessebp a I:ps"I the flee bJb► OA proaidQc! It yrte oelnd /a _ PIMM we on66 DO aof Write m M&Qrd%rb be eo y CAF or touw gakw City or Tuwa: Permitfucw"# foulag Authority(drele.one):• ' 1.Board of Seslth I.Buildbg Department 3.CiWowa Clerk 4.Blechkai Impactor S.Plumbing bspector 6.Otber Contact Person; Phone#: i 'd '816i *ON RM:o 1 60OZ W dy /1C®R® C4jICATE ® BILIT ( INSURANCE 09/04/2009 AS A TTER PRODucw ; ONLY AND CONFERS NO RIGNTS UPON TM ��TE ScoaGEL INSUP = I tWLFFER. THIS CERTMATE OM NOT AND, �� OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. EFAIR ST I�-i B umom mwmwRJfl covERAG9 NAK: 9TSST. . 291 0 mumomuRER& pMIZ NOTUAL Rich Gard"r . atSNR w TMVELERS IR90RA= dba Gardner COnStru BauRZRC. 92 Park Place MA 02649 ` `a TQaahpee, �� atu ne _ _ - COVFSiAflES ` TFG POIJCIES of I/d9URANCE HAVE TO THE INSURED NAMED, ABODE FOR THE POLICY F932�0 �• � ANY REOUIREMITt> TERM OF ANY OR OTHER VATH �Cr TO WtDCH THIS CERTIFRATE MAY BE �SUEo OR ANY CERTAM, THE INSUFWN ORDFiO BY THE POk- DESCRIBED HEREIN IS SUSMT TO AU, THE TERNS. EXCLUSIONS AND CONDff=S OF SUCH POUCIES.AGGREGATE UIFRS HAIA BEEN FiEDUI�I} PAID CEARM POwwFocallp�YEItoG1ATlDA1 Lam LTR wum rPEof - 51,000,000 Fi OEfiERALu�HWTY z. CPP0709 08/20/2009 08/20/2010 °� w+muazEB�,we,,,o0 $50,000 Y MLOL I 65,000 _ ;-_' t�DE7�d�wgDefta�6 . : � PEaS�+attAWiRLtIRY 51,000,000 ! AWREWE t2,000,000 I PRoouc—COLO" $2,000,000 GEnAGGREGAELRBr ( pOUCY a I LOC AOTDMOBcommmR.P uAYtnY F ! , .! �a 81Nt3bELaDT t Am Auto !.: Au.ovuNEOAuros ('-' ='' eDoaT@LnRrr t SClF.OUL.EDAVIOS �[' ' � i`- --' BOOSI.YDWRY loRGOAV= AVIOS x �p �OAMAGE t AVfOCMT-EAAO=8" t OARADE UA87tlfY EAACC t NYAUTO �' ::": OT"ERTHM1 A - !s AWOONLY uG t t EACH OCCURRENCE ' EaceeBRN®RatAIM8B11Y` t UADE pOSREGATE OCCUR El s 6 ir� t RETElow" B w�ncERao�vEemATtayANo r 7PJOB07x -' 009 07/06/2009 07/O6/2010 R TORvuwm ER $100,000 EMPLOYERS LIAORM BL•E/4CK AUNT ,wOFFMERMIMP� EiDIEE -EAEspuOYEE 6100,000 B�e�an s , E,OWEAW-P*=Uff S 000,000 SPECIALPROVt8WH8edu.�9 OTHER S •�OF � � � /SPEG[tLPROYiwm cRrnnoNOPBRATmNs/LacA IDS CpVJ3RAG8 FOR RICHARD CAR THE wore s comm am PO OSSLii(Y D : CERTIFICATE HOLDER CANCELLATION '• THE 6"MA ION BNOUtA ANY OF TMABOVE DF9CI�ID POLWm � CANC�D 8'�OiBl RICHARD GAR]D=R �� ^}:I TO 1 pAYt vaurrm DAYS TM6iEOP. THE f8WOt0 ! LYAL ELStFAtlOR 2 92 PARR PXAICK i go= TO M CoMa&Te RD M RIWM TO TmF LWT, WY FAMUN to Do t0 ON" i MSHPSE'1, IIA 02649 =. DLPon NO OBUOATRIN OR uMMM OF ANY RD0 LWON 7M INBYRER. Re a06NY8 OR RSPROBIUMM AI191/DOMRV03BMVWE i ! ACORD CORPORATION 1888 ACORD 25(Mlm) s r- Construction Supervisor Specialty License l.bmw CS SL 4i 1 02PARKPLACEWAY Expiratbn: 112 amp�i.i„oar Tr#.- IW471 r V304 i Eta Wf92Attl ma 2MM + TIM ODA s a t GAAyARDa�N�E T.CONS r WCH D ^ :a 02 PAW PUM WAY ( ; MASHPM ma OMO A OSHA �;!-A?S'61 Q 3 4 u&ohm tAbw o�t�a+m sari atal HaatlN Adrtuntaoratmn Rictlaw Gwwchw IMSSUwadjaicompkuda 104mv O=upattaW 3aletY old HGOM Trm*ft cam to cmtsbuow SaWa taMh mi __.. -- May 24 1.0 O1 : 24p Richard Gardner 5084770973 p. 2 License or registration valid for individul use only before the expiration date. if sound retard to: Board of Building Regulations and Standards One Ashburton Place Rm 1301 o. Bkv 02108 Vi it t signs p t � Town of Barnstable Regulatory Services Thomas F.Geller,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 as Owner of the subject property hereby authorize ( << a(�C to act on my behalf, in all matters relative to work authorized by this building permit application for. Iv)" - his (Address of Job) L Signature of Owner Date Print Name If Property Owner Is applying for permit,please complete the Homeowners License Exemption Form on the reverse side. C:\Users\decollik1AppData\Local\Microsoft\Windows\Temporary Internet Files\ContentOutlook\MY7NB4II.NMRESS.doe Revised 100608 �- . ._._.�... .. _� � .. � • ..�..r - �_../'.._� _.`_"�+i.li J ..,C.:w..--.'r..:?i.,:.-..+.s:aa.. �IPt.- a" �_.:.r:a....}x..:-&:_.a....v. ..�4 Assessor's map�and lot number 7 Sewage; Permit number ...................... ............................... TOWN, OF BARNSTABLE CF THE r0� i BJHHSTdIIIiE, i k '�' r i639 BUILDING INSPECTOR y�O \e�� �-. . a YPY a' r L APPLICATION FOR PERMIT TO :�. !�.... j... ..... . T... :....:L..:....-/•/`Jrt .................................. TYPE OF CONSTRUCTION ....:.....�................... V L-j- 77 s, ,. ....................... .........19........ TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for apermit according to the following information: Location �7 1IrY:.: .:.. .��'.....?:�::".'�.\ `...... . .....'7rlsf;!+.�. . `C..t1..1 ................. �. Proposed Use ................j.!.f!.............w.................................................. .......................................... ............................. Zoning District �` ....................................................Fire District ....... :w.. f..-� Nameof Owner ......f' .....�`.s...............................................i,! Address .................................................................................... j9 _ �. Name of Builder .... �,rfc -✓ *-.-Address ................................<j M ........... ..................................`.. -- - . -, Nameof Architect ..................................................................Address .................................................................................... Number of Rooms Foundation r :�.......1- { �= ...............................J.................................... ......./.{.... , (............................+............................. Exierior ....................................................................................Roofing ............................... .................................................... _ A Floors ..' c!/!1'�f ........................................ ...............: ..................................................................Interior ...................................!.'. Heating ...............................Plumbing !tl';fr�. Fireplace .................... ..............................................................Approximate Cost ....... ..F.......I...!.......'.........'........ h Gf-' Definitive Plan Approved by Planning Board ________________________________19________. Area ................................ Diagram of Lot and Building with Dimensions Fee "............................................. SUBJECT• TO APPROVAL OF BOARD OF HEALTH _- 4 �_ I I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. r •� ---...,.,v Name ...... Sloane, Harold , �=26 "-�"" - .��/ 19243 d �m a1os^a No -----` Permh for ..................................... � family .dwelling ' -----------'-------~--^^---'' ` ' �~ P1ratem Way Locuhoh —��_—.--__—.-.—.^--------. � - ' West Hyantisport --------.----.--.—~---.-----.. � . . Harold Sloane Owner '------------------^--- frame ' Type of Construction -------------- - ......................... ....................................................... Plot ............................. Lot .............................. ' � May 24 77 Permit Granted ------'...---.--]g � Date of |n ---...--------lg � � Date Completed -------.-----l9 - ` � PERMIT REFUSED - ^ ` lV .......... .L—Ll..�---.�------. - . . -----^---'v--^-----'—''------- � . ^ � ^ '—'—'-----'---'--'---'--^—'---^—' � - ' � ........................................................... � � � � � Approved ................................................ lV ' ^ ---------------~--------.-- . ' ------------------'^''—^----'` ^ b °Ellgirii D t. (3rd floor) Map Parcel ` Permit# House# Date Issue Board of Health(3rd floor)(8:15 -9:30/1:00-4:30) 'e• (J. Conservation Office(4th floor)(8:30 9:30/1:00-2:00) Planning Dept.(1st floor/School Admin. Bldg.) I SEPTIC Sy STALLED ST BE 1 e 'tive Plan Approved by Planning Board 19 WLI. ANCE ENVIRONME O TOWN OF BARNSTABLE TOWN REG E�N® IONS , Building Permit Application ; Project Street Address ' p Village IF Owner + Address Telephone yc� Permit Request _!=� /� -•, f"/2.�,,,�1.-. r �,y',z ��i�'�"� !d P. a Il000r First Floor square feet Second Floor square feet Construction Type ' Estimated Project Cost $ a o c Zoning District Flood Plain Water Protection Lot Size Grandfathered ❑Yes ❑No Dwelling Type: Single Family J4 Two Family ❑ Multi-Family(#units) Age of Existing Structure Historic House ❑Yes ❑No On Old King's Highway ❑Yes ❑No Basement Type: 3 Full ❑Crawl p Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) w Number of Baths: Full: Existing New Half: Existing New No. of Bedrooms: Existing_ K, .. INew Total Room Count(not including baths): Existing New First Floor Room Count Heat Type and Fuel: ❑Gas ❑Oil ❑Electric ❑Other Central Air ❑Yes p No Fireplaces: Existing New Existing wood/coal stove ❑Yes ❑No. Garage: ❑Detached(size) Other Detached Structures: ❑Pool(size) ❑Attached(size) ❑Barn(size) ❑None ❑Shed(size) " ❑Other(size) Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes ❑No If yes, site plan review# Current Use Proposed Use Builder Information Name Telephone Number Address License# 06 5/2 7 L Home Improvement Contractor# /G 4/X 9 9 Worker's Compensation# WC'10Q0/.Z / 74F 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 BUILDING PERMIT DENIED FOR TH OLLOWING REASON(S) FOR OFFICIAL USE ONLY PERMIT NO. .ATE ISSUED ,. MAP/PARCEL NO. - ADDRESS " VILLAGE OWNER DATE OF INSPECTION: `Y FOUNDATION FRAME INSULATION'.� . , " ;. • � - — — FIREPLACE i s ELECTRICAL:+ ROUGH FINAL rrl PLUMBING: '%0UGH, FINAL GAS: :ROUGH; FINAL FINAL BUILDING. 0 1— i !t: Z DATE CLOSED OUT ASSOCIATION PLAN-NO. r r ' The Town of Barnstable Department of Health Safety and EnvironmeII� Servtm : Building Division Eo , 367 Main Shwz,Hyannis MA OZ60I Raipit Cross= 01 308-7904ZZ7 guild'sag CO': Fay Mg-790-MO For otIIce use only Permit no._ Date AFFIDAVIT SOME IMPgOVEBU='CONTRAGTOR LAW • SUPPLEMENT TO PERMIT APPLICATION MGL c. 142A requires that the "reco nstracdon, alterations, rmovation, reps+ modernization. conversion. improvement, removal+ demolition, or construction of an addition to nay pre-ezbtiug containing at lost one but not more thaw tbur dwelling tits or to owner occnpied building t contractors. with stractmro which art:adjacent to such residence or building be done by gister eertain c,=ption&along with other requirements Type of Work: addl�� Est.Cost o v Address of Work: Owner's Name �`'n"�"&Q Date of Permit Appiication: a I hereby certify that: Registration is not required for the following renson(s): Work escluded by law lob under SI.00L Building not o m-oecopied Owner palling own permit Nonce is 6 Pgiven that: OWNERS G TEM ONVN PERMIT' OR owmG WS'fi ONREGSS'rERED HOME OVEUMT WORK DO NOT HAVE CONTRACTORS FOR APPLIUBR GZAh OR G�iJRARAN'iY FUND UNDER MGL 14ZA ACCESS TO TSE ARgI�TiON SIGNED UNDER PENALTIES OF PE L=y t hacby Uppiy fora permit as the agent of the owner. /O �zrsctor Name Regis don No. OR Owners Nome I MAScheck COMPLIANCE REPORT ( Massachusetts Energy Code ; Permit # ; MAScheck Software Version 2.0 ; Checked by/Date ; CITY: Hyannis STATE: Massachusetts j HDD: 5973 CONSTRUCTION TYPE : 1 or 2 family, detached HEATING SYSTEM TYPE: Other (Non-Electric Resistance) DATE: 9-4-1998 DATE OF PLANS: Sept. 4,1998 TITLE: Addition PROJECT INFORMATION: Mr. & Mrs . Sloan #5 Pirate Way W.Hyannisport, Mass. COMPANY INFORMATION: Art Dolgoff Building & Remodeling W.Barnstable, Mass. COMPLIANCE: PASSES Required UA = 58 Your Home = 44 Area or Insul Sheath Glazing/Door . Perimeter R-Value R-Value U-Value UA ------------------------------------------------------------------------------- CEILINGS 192 30 . 0 3.0 6 WALLS : Wood Frame, 16" O.C. 320 15 . 0 3 .0 21 GLAZING: Windows or Doors 25 0.300 8 ' FLOORS: Over Unconditioned Space 192 19.0 9 ------------------------------------------------------------------------------- COMPLIANCE STATEMENT: The proposed building design represented in these documents is consistent with the building plans, specifications, and other calculations submitted with the permit application. The proposed building has been designed to meet the requirements of the Massachusetts Energy Code. The heating load for this building, and the cooling load if appropriate has been determined using the applicable Standard Design Conditions found in the Code. The HVAC equipment selected to heat or cool the building shall be no greater than 125% of the design load as specified in sections 780CMR 1310 a`\5e4.4•� �® Q/le"if/ Builder/Designer. Date' /S�� I _ ' MAScheck INSPECTION CHECKLIST Massachusetts Energy Code MAScheck Software Version 2.0 Addition DATE: 9-4-1998 Bldg. ; Dept. ; Use CEILINGS: [ ] 1. R-30 + R-3 Comments/Location WALLS : [ ] 1. Wood Frame, 16" O.C. , R-15 + R-3 Comments/Location WINDOWS AND GLASS DOORS: [ ] 1. U-value: 0.30 For windows without labeled U-values, describe features : # Panes Frame Type Thermal Break? [ ] Yes [ ] No Comments/Location FLOORS: [ ] 1. Over Unconditioned Space, R-19 Comments/Location AIR LEAKAGE: [ ] Joints, penetrations, and all other such openings in the building envelope that are sources of air leakage must be sealed. Recessed lights must be type IC rated and installed with no penetrations or installed inside an appropriate air-tight assembly with a 0 . 5" clearance from combustible materials and 3" clearance from insulation. VAPOR RETARDER: [ ] Required on the warm-in-winter side of all non-vented framed ceilings, walls, and floors . MATERIALS IDENTIFICATION: [ ] Materials and equipment must be identified so that compliance can be determined. Manufacturer manuals for all installed heating and cooling equipment and service water heating equipment must be provided. Insulation R-values and glazing U-values must be clearly marked on the building plans or specifications . DUCT INSULATION: [ ] Ducts in unconditioned spaces must be insulated to R-5 . Ducts outside the building must be insulated. to R-8.0 . DUCT CONSTRUCTION: [ ] ; All ducts must be sealed with mastic and fibrous backing tape. Pressure-sensitive tape may be used for fibrous ducts . The HVAC system must provide a means for balancing air and water systems. TEMPERATURE CONTROLS: [ ] Thermostats are required for each separate HVAC system. A manual or automatic means to partially restrict or shut off the heating and/or cooling input to each zone or floor shall be provided. HVAC EQUIPMENT SIZING: [ ,] ; Rated output capacity of the heating/cooling system is not greater than 125% of the design load as specified in sections 780CMR 1310 and J4.4. MISC REQUIREMENTS: [ ] Refer to 780 CMR, Appendix J for requirements relating to swimming pools, HVAC piping conveying fluids above 120 F or chilled fluids below 55 F, and circulating hot water systems . ----NOTES TO FIELD (Building Department Use Only)------------------------- 4- f� r&C WOOD P- 0 CA 7H&DR,4L A CEILING 24'0" E- -----------------------------------------------------------------------------------------i DOOR DMT REMOVE OLD DECK F 068SAL 10"BONA REMOVE OLD SLIDERS iG 2"DUST CAP =6dth fernnre-u F� NEW CABINETS SCREEN ❑ HOUSE A EXISTING BEDROOM ;9,- ENLARGED CNILINC, 20*0" TILE FLOOR SCREENED ROOM CLOSET EXISTING HOUSE.V 24'0" 11'4� ff SCALE NOW DOOR "mow BEDROOM CLOSE IN VNDOW -,4 REMOVE WXLL REBUILD try CATHEDRAL 8,W,- +- B-1145-ZO CEILING4. XIMEF V: ------------------------------------------ O U-=-IIC,.IE 6- STEVEN M. LeBARON L,rmzm Builder/Designer EXISTING BEDROOM ENLARGED 4-8146 M MOVERIDGE PAINW Y-th.H..02673 CLOSET A cnx CRILlNG R-If IEMI C145 2842 -p MM UZ GDK F F=--1 2X4 Ell R F11 ILLUI LLLE IEEEII 314 MC 2842 ILLLJI OSB -111'1-71 1 Ell 0 -,9"',Fl ff 0R B IN 'DRAWING TYPE: ago L - VENTS 2"DUST C" 217, SHEET NUMBER: FRONT VIEW VIEW ,14P 1'SCALE 114' N OEPA NENT OF PUBLIC SAFETY CONST SUPERVISOR LICENSE :Expires: 00 4 A �juL'QQItOFF 19 NCCORMICK OR W BARNSTABLE, NA .12668 ; INOME IMPROVEMENY EONTRACTOR: -�` r 'Registratioq��04499 �y PRIMATE CORPORATION Expiration ?/14/00 t j ARTjDOl60FF BUILDING/REMODELI rs�{ aev4 h x, uT L'�Dolgof McCor11cAumiNSTRAMW k r. . . Barnstable MBA 42668•' . 'i'�—= The Commonwealth of Massachusetts ... ._ _ ' Department of Industrial Accidents ` _ - flocs oflnyest/gstloos . 600 Washington Street1. -"- ,- I Boston,Mass. 02111 Workers' Com ensation Insurance davit rI&N name: location:/Q � Co/,/ A Y/C ' or- - city 1-6 • � �f^/✓SLI LE A, ' phone# 34:1 // 7 Z ❑ I am a homeowner performing all wor c myself. , ❑ I am a sole n,etor and have no one workii in ca achy %%/%%%/��%%%%% %%%%%/%%%%%%//%%%%%%%/G%%%%%%%%%%/%%%/////%/%/%%%%%/���%%��/G%%//%/%/��/%%%%%/%%%%%%O%%%�%/%/%%/%%/O///////%%�%/j **......""""'-.....,.,....�....................,........................-.-.-.-.-...........................-....:.11!1!1�M.'.'.'.'.'.'.'.- I am an employer providing workers'compensation for my employees working on this job. .. . ....� A-0 2 . k-"*.,, MNN&MMMNMNMN***WL*'� m ;- >::::<a;<::::e < ::> ::>:::::.:>:at an i. nun . & -1.. ......-.. ........ im—,i':,*," ..,........ W - ... :..: ..... cldressF'.; a _ . .. 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Failure to secure coverage ss regained mder Section 25A of MGL im can lead to the imposition of criudnai penaldes of a fine nP to S1,%&00 and/or one years'huprisomnent as well as dvfi penalties in the form of a STOP WORK ORDER and a fine of$100.00 a day against me. I understand that a copy of this stater mt may be forwarded to the Office of Investigations of the DIA for coverage verification. I do hereby certify under the pains and penalties of perjury that the information provided above a&w and coned SignatureO�e9 Date /!p� k . - Print name Ah/�/U/, L agl,&o�/- Phone# .7 e.0 //17 it official we only do not write in this area to be completed by city or town ot$cial . city or town: permitilicense# rIBnilding Department ❑Idcensing Board ❑checkif immediate response is required ❑Selectim's Office OHealth Department contact person: phone#; — ❑Other Owned 9/95 PIA) Irproperty lines s1l ,_.. ,. ;, : . = , •/ it ♦ � �r IFY �----i '� �`I `. i� -. 1 +I ► � " ..ram. �i 11 1�� f� ► � , l � 1.�I � � �.��� '� �•Ar•�' �• ` '►+� ®R � yam;,-r,� ^�. �-tti/y ��' � � �- 1 .+, w,r,� � �►,� •mac � ,� 1 Assessor's map and lot number ..... 1�..0......i.../ SEPTIC SYSTEM MUST BE ItISTALLED IN COMPLIANCE Sewage Permit number WITH A TILE II STATE �e:�•�.�.... �.f�.� •� -� /" SANITARY CODE AND TOWN y0fTHEr��� TOWN, O BARR'T It1 LE S � j B9HHSTADLE. i "6 BURDIb0 INSPECTOR �'0 tlPY a APPLICATION FOR PERMIT TO P-M-0.1cl �. a ),, TYPE OF CONSTRUCTION .........W10.110... ........................................................................................................ .........../.?.........I 9 TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following inforrgatio..n., Location ....� .... l ............Y. ng ............l ... ....... r 0r . .... . .. Proposed Use .........^....�/f r�.................................................................................................. ......................................... Zoning District .......... .........................................Fire District .... �1.. .�r! ... ...... . ..... .. , Name of Owner /(�. .V./�/t ��,�............Address y� �� ...... ................. , Name of Builder . ....` .. Y. / ...............Address .......,� �...../��..... ..`Ir �� Nameof Architect .............I....................................................Address .................................................................................... Numberof Rooms ........ ...... ...............................................Foundation .............................................................................. Exterior .....> �� Roofing .......J � . ..... .......................... ®....... ................................................Interior ...... ® ....:............ Floors ��. ............................................ ....... . ............. Heating ......#4; ...................Plumbing ,-49 � .... Fireplace ......... op...........................................................Approximate Cost .........t st— .40 P.,Oo.......................... o Definitive Plan Approved by Planning Board ________________________________19_______. Area ......3o ...../.............. .............................. Diagram of Lot and Building with Dimensions Fee `�'" .......J........................ SUBJECT TO APPROVAL OF BOARD OF HEALTH e P 1 I r I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name ........ .... ... .....4....... ........................ ...... Sloane, Harold No ..1679.4... Permit for ...,,add to s ng family dwelling ................................................... ......... Location 5„pirates Way ....................... ............ ............... .. . ....................... Hyanni sue................... Owner ..........Harold Sloane ................................................. Type of Construction frame .......................... ................................................................................PI { r a of ............................ Lot Permit Granted .......December 17. ...........................19 73 ' Date of Inspection ........ .... .......... ...........19 Date Completed 1 PERMIT REFUSED ................................................................ 19 ............................................................................... 1 ................................................................................ ............................................................................... ............................................................................... t Approved. ............................................. 19 ............................................................................... ti ............................................................................... c ._ i Assessor's m p and lot number 6�.........................9�- � � '• U G� `'. Sewa e;Permit number .................................................... f } �FTHErO� TOWN OF BARN.STABLE Z 89SHSTADLE, �t. BU�.�LDING INSPECTOR �O 1639•.\00 � ` ice'. "' APPLICATION FOR PERMIT TO V..... .�....{ z L IM i .......O TYPE OF CONSTRUCTION ................ � + .L .........19 77 TO THE-INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location .. ..Pw?�.4.rv5.....V,.4.Y7�.... ......................................................... Proposed Use ....... ... �►v ..`t..r..................................................................................................................................... Zoning District ....... ...................................................Fire District .... �9• 6!!.lY.l•5........................................ Nameof Owner ... . . . ......`-...... . . ... .......A ress ................................................ -00 Name of Builder ....... . ..Address .. .......... . ................F la � Nameof Architect ..................................................................Address ...........//.....n......�.//.....:...................................................... Number of Rooms .......................................:..........................Foundation ....4..I.C.!TL........ � . Exterior .........G ....... .!7.�{V!ti?'�- ..........Roofing ....../....J.. �� ........ ... ............................................... ��,I�! Q 1. ..Interior ..........�.�K.��L Floors • ............ .... ............................ .. ...... ............................................. ............... . ....... . Heating ............. ...... ...................................................Plumbing .........MOM ................: 0 Fireplace ............:.:...../!'( .lY.. ..............................................Approximate Cost ....... ....«,r. d.d..................................... . . Definitive Plan Approved by Planning Board ________________________________19________. Area ........ 4�....:..................... Diagram of Lot and Building with Dimensions Fee ................ ............................ SUBJECT TO APPROVAL OF BOARD OF HEALTH K wr r �srlvr ' J Y I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above . construction. Name . ..... ..... ................................... . . . . , , ' . . . ' ..Sloane, Harold family "digellifig ' Location\ �......................................... .'__..____.���t ______. ' � . Owner ----Harold Slmwom ------------------ _ ';4 . ^ Type of Construction --- ... . . ' . . . ^ � ---.—~-------------. —~----- Plot --------.... Lof --------.�—.. ^ � . ^ ' May 24 77 Permit Granted lV ----'''�--'----'' 1 Date of Inspection ---�---- lQ ' , . . � Date Completed '--. l.V - . . PER ' ��� REFUSED ' ' -----_—.—.r~—....�-------.. lA ' ' \ ' . . .-----.--.-..----.---------.--. . -----....—.---------------~—. j '`^—'~--------^^~—^---^—^—`~^—'' ,...--.--..'----,,,_____:_.~. . . . -..�—.� { . . Approved _---.-----------. iV . -------'------------------'^ ^ } ........................................ ` , ^ ' ' � | ` ^