Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
Home
My WebLink
About
0416 SEA STREET
y / e, L S , i I i I I i i I E ICI E A— 0 KEEPING YOU ORGANIZED No. 10230 H163 I OSUSTAINABIf FORESTRY MIN.RECYCLED INITIATIVE CONTENTION Cof0dFlwSoureing POST-CONSUMER 8FW2 0 MADE IN USA GET ORGANIZED AT SMEAD.COM The Town of Barnstable Department of Public Works URNNYM 382 Falmouth Road,Hyannis,MA 02601. �. BARNSTABI,E MASS www.town.bamstable.ma.us 1639•2014 61 �bss• .� 75 Daniel W. Santos,P.E. Office: 508.790.6400 Director Fax: 508.790.6343 March 28,2017 Desroches,Frances M&Donald 416'Sea Street— Hyannis,MA 02601 SUBJECT:Numbering of Buildings Map No. 306 Parcel No. 185 Lot No. 001 Dear Property Owners, Notice is hereby given in accordance with the Code of the Town of Barnstable, Chapter 51,Numbering of Buildings,adopted August 18, 1994. Public convenience and necessity requires the assignment of number 416 for your property located on Sea Street,Hyannis. This number should be affixed to your building so that it is visible form the street as outlined in exhibit "E", Town of Barnstable Rules and Regulations for Numbering of Buildings. To date, the past address for the Map No. 306 Parcel No. 185 Lot No. 001 was 61 Lighthouse Lane Hyannis. Upon inspection by the Hyannis Fire Department,the Hyannis Fire Department initiated and has agreed with this change of address to comply to the Town of Barnstable Rules and Regulations. The easement through Map No. 306 No. 184 was recorded as Land Court Case No. 12102F plan dated November 1977. Sincerely, Roger D. Parsons,P.E. Town Engineer Encl: ® Town of Barnstable Rules and Regulations ❑ Common Address Questions ❑ Site map ® Assessors Change Form PareelEdit Page 1 of 1 lit fi + ego Logged In As: Parcel Tuesday,March 28 2017 gpol(catlon Center Road,System 8Aorts Road System The record has been updated. Parcel Detail Parcel ID: 306185001 sewer 3567 Act; T/R ❑ Update Devel Lot: LOT 17 Owner: DESROCHES FRANCEI Co Owner: Street:. P1 LIGHTHOUSE LN j MY: IHYANNIS state: MA zip: 02601 Location: — " "' ,.. ......W.._.I )..... Village: Hyannis r 416 I SEA STREET I • 1447 . .. i Pri Road Index: Frontage: Q —I To set road,you can also enter road Index and tab out of held. secondary Road: LIGHTHOUSE LANE i sec sec Index: . . ................. Frontage: 55 I Visions Location: 61 LIGHTHOUSE LANE Last updated: 3/28/2017 949:00 AM j No.slags: 1 ( Acwunt No: 215$68' Lot size(acres): 0,23999082 state class: 1010 Year 1979 Fire Dist: 4 Added:. .Y.... .I .... I Deed Date: 4/13/2001 I Deed Ref C161197 Land Value: J345800 Bldgs 146600 I extra Features: 43300 j Value: Cando Complex: I Building: I Unitt Update http://issgl2/intranet/propdata/Pax celEdit.aspx?ID=24860 3/2.8/2017 May 3, I994 EXHIEV E TOWN OF BAMETABLE ROLLS AND REGULATIONS Iron N MBERXXG of BU110=08 fEF t GPAARXT, CRDXNANCES A,RTxCLL V Agsiam att (Refs Section I .Article V) The Assignment of bui.ldi.rig numbers will be under the direction of t b_wn Rnaina r. Method of Nnmhgr Fatabl jghmft,; (Reft Section x AXtiole V). The town will utll i.za a system of numbers issued by roadway stationing. Whereas, a number may be assigned every. 101 along . the centerline of the roadway. The beginning of atationing will start at (A) the main, road in which the new road -originates, B) the entrance of the. road closest to the nearest Distriat •Vlra Department or (C) the cul-de-sac Closest to the main road (in the event of a double ended road) "EVEN" numbers will be issued to lots privari.l,y on the north or east side of the roadway. "ADD' numbers %Ul be issued to lots primarily on the south ,= want side of the roadway. corner .Sots: Building numbers axe assigned to all roads that the property abuts. However, access io critical to property location therefore, Xield inspection may be required to verify propew. numbers, Unnamed WaX.s: Dnna bd roads, easements, rights of ways will be addressed from the main road in which* the way takes access. "Ways off of" will not be recognized for individual addressing. Note: Unofficial road names will not be recognized for asaigni.ng building numbers. l,gcta3 AaaegB t Numbers will bn assigned to all roads abutting e. lot or pa.rael. The town will not be responsible to prove legal, access for number assignments for abutting roads. N'owever, numbers will not be assigned for lots that do not abut the road In qutation unless an alternate legal access can be proven by the property owner. Driveways in common twill only be recognized for numbering with proof of :Legal access over other Iota. Lots that abut roads outside of town. boundary lines- must obtain building i uz bero , from that partiaal.ar town to avoid di.fferencea i.n numbering of those roads. I EXHIBIT $ 1Mul.tinle Buildings and/or Units: Only one acoigned 40treat riwnbex w]ll: be issued per lot or parcel.. .Multiple buildi ngo or unLts will be unitized. * The- Engineering Division will not be zespcaoible for recording unit numbers. Should previ&sly agsi.gned numbers , to existing bu.l.l.dings prove confluaing for iame5rgency responVe departments, the unit nWnbers may be changed to eliminate confusion, othoxwise this section applies bnly. to new structures. N a: U'he objeetivs•of this section is to insure ,the posting of numbers adequate In size 'and color so as to be visible -from the road on wh�oh the number was issued. 3,zeI The size of the numbers shall be not less than three inches not more than twelve inches In height. Co ax: The color of the numbers shall, be of high contrast with the background material. Black on white is optimum, braes numbers on neutral colored background or .unfinished aiding i.s not acceptable. Sh#9f_. The shape of the numbers shall be Arabia. Roman Nuxerale, script or written shall not be used. Loaa ian: Numbers shall be visible from both directions from the main road that the numbers were issued. Numbers shall be posted cia the building at eye Leval,, preferably at the' main entrance. Buildings whia4 are not visible from the toad, or not Located within 100 feet of 'the load shall have the numbers affixed on the building so that they are visible from the driveway and at the , raad entrance of the driveway. A Mail box, host, wooden sign or other' • approved device at the road entrance of the driveway visible from thB.inain road may.be considered suitable Assignment of Unfo;gement: Notices of incorrect or nonposting of numbers may be forwarded to the Police Department for .issuance of noncriminal citation as outlined in Section 6, Article V. If, . after 30 daps of notifi.cati.on of vi.olati.on, the property owner hap failed to affix visible street numbers as assigned by the Town Edginear, a noncriminal citation shall be issued. V i' ,,�7�bFNDUM NTrM�r rR 7 (fORiV1�R Y Q� ►�Ca��.�►�'� T Rom:Town Of BArn stable Rnles and It egalations for Numbering trf Buildings,General Ordinances Article,V, s Corner Lots:Bui"iding uumbers are assigned-to allraads that thaproperty abuts. However,access is critical to jvopexty location.Therefore,field inspeotion may be required to verify proper .xxumber. Discussion:Comer lots pose problems for issuance beoauso of dlfhr&options for ideAfffpiug a building location by appearance.Since placeznea of the building,landscape contours,driveway access and fences,foliage or other obstructioxx causes a building of tlxis type to be viewed differently,the following will bo used for proper det=dnation of correct assignment of building numbers.: : 1)Primary attempt for assignment with be for what is determined as fhse front door entrance ofthe building.. 2)Buildings that cannot be accessed.from the road that the front faces(because of _ property elevations,fences foliage or other obskuctlons)VAR be assigned a number from the road for its primary driveway access 3)Baiidnags that are placed cater-oomered on the lot may utilize the driveway entrance as the detenninipg factor for which road will be used for assignment of buildingnumbers. (NOTE:reter to items l&2:For bordedhw determinations.)Only cat irLoomered placed' 4 buildings a circular driveways will have the option&nur berhoad assignment. 4.)Conditions that may change the"appearance of'locatloiP may xequire re-assignment of I numberhoad combinations. CoxLcMou:Addressing is of vital importance for proper field identification of a building,eepeoiaRy in the case of em eargenoy.Staudankod techniques are requixed.to ' understand some of the complex placements and alternate accesses provided to buildings. UtiUmS these methods should reduoe the oonfudon oflooaiing these buildings in the field. � Cd barn.B 911.doc: 6� ASSESSOR'S MAP 306 IN T 100 ana - 187 3 €• j 7 ' `i- '=1.8iSa8 \ t end 23 in: MI °�H_�-'--T ` •m K"` 187 2 r rm 73$ 2 •i�GI •m q 1 71K .h f on :i r r : -t : a a Iola f ' -- I 7 86 1 •a 283 Q s '; Atr/ ,e nn %8 -2 8p,r'r t 9's F*ri, sv r 88 { osu ...-s f o 89•m iN. es --n s,,,,_s ' €• •na _�.i:._, sYu-2 ,,i'''I'r'" ..-. 6s n1 2.16 ` i� ' y' i �• t»:,.. y nr•,17v9 ana Y �,\ -"-i- \ :m = :. IC I 247 Cr � 14 7fD 11 4 r � a _60 t ova cua 92 s -•391ea 1 ` i ]9 f f f",I ij/ i 54 1 V D VNRKI ...__ O= ; .r.sa= / 55 t n+ - a i ''3 r t- �� . �.=z___ �.r i16 r Ona �34 101 41 g . . ,_ o '..__t - --"r" , tot •R •J �ayE�na ... ga1,�sv 1 __ .._. '1 u Is /,t�• .� '. _._. �r . ! n t 1nr ,���`��"''J`fJ-._.._.-.•-t`— ona t 49 203.1 �• '` `'e. 7 f i °nt. ase� ava .ma . q 2 I one - oaas FP t23 .�.• 48-1 $� x '' ' -s--• _.,. O 919 t,•ava'' I I:,r •m w ' `�- :118 1 i oua 722s-;--.. =nf °20� nw ,48' ona i — f i .' " 3.4 ona I s 7 2yaq s ► 3' I - I � C ova 19 109 2 —r t as 0 8 r gsev 137 124 171 j 44 1.M '1 to i i 0r an 11 '1� i € fn ;�/ oua � R/7 iY 8 2 nq aTa i i l G�SN 180 u€CE ona s au jIIrd7r I`a•♦•rI _ �u �,ai �a�t_','yy'� ¢.;_°.7..te a o •,n.;..'--,v..1, °�E3E.EE as�- .''`ri ,_-�82 -: t4rJ�1�e1€87'�,7= 1`--o•n�tnoma-s!{.'ii1,1,'`r1 `3';•,f5te�m,'o^Ys st•. a71 ' ` 12.4 u 9 i;-'., s"1s�as. frm Qf•-!'�Q > \�`\ i vamn ~ 0a 224 t12m - 7 + - inn8� 14 - , M. oua 1 . 1 an 4 mu129 7" '•m a r�Ism ' '.7514 o 111C l�f Q t 242 G osoa s 1 1J n, a a - t4so k 1,2 30 -'— _-. ••n5.__ ., S aua--',1 222 sSo' „bu C _ ._.. ._ S _ _.. , .v• j .�.,,` • ona I :f os :'` .. o.n{ oaa 14 ----I '--310 ,v 1- r , �✓FO CR2 -.-•----* I ex n4 3 '1 �__.. k �..... DNA[ n a ewa i I 1Q.-,aua 1 mT { 1 eoDLQ{ se '{ �-'-i-�N _ .per�'� - ose { j n 1360 '.. M rt on" -✓- a-.sy�,_.'m 2oT3'..a.{�. -:rS{{1.+=-�—""a._- \-..: �`�.� {,i I !�t8`rI 4,'�I f� •�sE �,,I,i'n-a—`—if .� €`io;43�„"3. �', _•si x.W..,•r,_'�_�7:.+. !-�r �[;•�"_��I.v,4 1 43174 85-21 o174-21 1a9°2a o sLa it s 1� r '�k°✓t^ , r`D 2 —� � / '. 1- E J ,�•...� 166-1 on nl • ana ova ss���p11aass •rj i173 3 ,, 172 1 t ..y'� ,,tin .n i of 3 u CJ . Y7 11r22Q t ; nr • y�' n r r I � a E:.. e alt ::✓'", r------ � �a P`'� t ., 1! � � •s n���� a� � ,"e y { A 244 a 205 i 5� aQ I s i f ona "•„ - evl rr'� 245 4' 17 ry7 / '\ i •sp"k` vnra °"9 nl iff ova 4 &le i `F...?,•. ` a a: 148 : q .i t.. _..� �`Y > - �nm of t;•---'--'.•` nw "l . t - 1 ' 510 'Isis 173 n v 5 '3n °oa �' r' ' _� � ?, ti ,e.. °� 1/'-__ i4. ``<-�i`•i lid oua 149 0»a O.nC Y .�lJq, / �:�a .C. 207 ` i 51 r ,le 119 / ' I 88 �t sl.: ' 1 + 2F•1»I 52 to •� t50..�r r `.a4 i 195 511 "j slv t t x T f _ Aise, & ' map u and lot n er .Q.�..�./. �� �!(� A� /� *THE T�1� SEPTC SYSTEM MUST BE Sew%ge Permit y................................. Q Rg. INSTALLED IN COMPLIANCE Z BARNSTABLE. House number ........ WITH ARTICLE II STATE r mum SANITARY CORE AND °�OwpY.a`0m r_ TOWN 'OF BA:R.NS'@ I ABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO � u'�'............................... ........ ...................................................................... TYPE OF CONSTRUCTION ........... ................................................................................................................ ...........................................V' 2- 19`� -- TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location � /G 7ile)41s, ..�i4it/�............. ProposedUse .......C. '.,t!v.��.!�!�.��l�..C1-........................:..................................................................:.....:................:...... Zoning District ...................... .............................................Fire District ............... S ...................................................... Name of Owner &4M.d. A/.. :. eE . .......:......Address �.....S''E ...... 1�.A/V/V/S et Name of Builder j ....... ..........Address ..� Name of Architect Zt �( `` ' `�.........................:........................................Address .................................................................................... p��, r/ Numberof Rooms ...............�Y..............................................Foundation �Q.........onft(C.:............................................... Exterior ..................VlS.QQ ... jL� G1, ..-.t.......................Roofing ......... ........................................... Floors .......................................0,4!�.('��.�;!/t�lJ'_' ...........Interior ........................��i2C.� A C� ................. l ..... ..... ........................... Heating V i4e ......................................Plumbing ............�...1. —....................................................... .................�.......... ... Fireplace ........ .....................................................Approximate Cost ..................... �. L Definitive Plan Approved by Planning Board ________________________________19--------. Area ....1.2?�.S ........... Diagram of Lot and Building with Dimensions Fee ............................................. SUBJECT TO APPROVAL OF BOARD OF HEALTH ///a 7,7/ ..�2 I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. ' Name .....���..........'�✓I,......... .......... .. .... Seely, Coleman. C. j.20988.... Permit for .........l..l./.2...story... .. .. . . .... . .... 4...'s.ing.1.e..fami.ly. ...dwelling.. . ............................. . .. ........ .... . ........ . .... Location ...........6.1...Lig.h.thou.se..L.a.ne.............. . . ...... . ........ . .. .. . .... Hyannis . ............................................................................... Owner .... .......Coleman 1 em.a.n..C.....S e e.l.y................. ........ . .. .. . ...... . .. Type of Construction ......................frame Y .................... ...................................................................... Plot ............................. Lot .................... Nermit Granted ...........JanuarY...2a.......19 79 Date of Inspection ...... .....................19 Date Completed .... . ........19 X PERMIT REFUSED ................................................ 19 ............................................................................... ............................................................................... ..............................................♦................................ ............................................................................... Approved ................................................. 19 ............................................................................... ............................................................................... C &. �yt 1 �- r- a 1 w, L � ' C- V-Ttr aa Pear Qt.h.a.t GGRTi4=`{ T14AT- Ti-4i= �UViJ�k1 IU1�5+10�/►+1 p�at...l R�FccZE►•1GE. Wr-jZQOii.l Gt>A,IP►._--!S W ITN Y►-�i= SiDE t_i�� L['� 1 �--� A►.iD SETNSAG14 1�EQ Ui24�+V�� 'j'S Oi= TNT 7dWLi �' �,k� 1t� 4Qt:, �21U2. tZtcGIS�;Z�D t..�.!-�� 5t3��E�focLS D LA w 1'S Q aT USYEV-VtI_LG v ArtASS. t*4gMLJ"F-k-4T -Sozv'-( 1 'Ttd!✓ O r=,railrS St IGWW APPL!Gla tJ r � BS USED To ©t?�cen,�ia� 4.o-c- L_1 Wes ;�Cr{f�' N' CAPE COE) TOWIN OF AW6,, B INSULATION = AUS 12 AN 01 TIY to OLAt; 3tA gt[td NYAT fOAq tYSPLNPIP {AIT; YYR{Y; IX;YLif10X CIIlIXO$ ���a •lOCMAY4 _ 1-800-696-6611 I MASION '1own of Barnstable Regulatory Services Building Division 200 Main tit Hyannis, „„MA 02601 /rf Date: Dear Building Inspector Please accept this Affidavit as documentation that Cape Cod Insulation, Inc. perforated completed the insulation and weatherization work at the property listed below. Cape Cod Insulation did this in accordance to the specifications listed on the building permit application. All work has been inspected by a certified Building Performance Institute (BP,I) inspector. All work preformed meets or exceeds Federal 8c State Requirements. Property Owner Property Address Village ix.{aaW +DeviAAco (beidocl-.es (,( kcy44 'gXk 1.0 f(YAnIIiJ I '4. 111SUlation Installed: Fiberglass Cellulose R-Value Restricted Unrestricted Ceilings ( ) ( k) ( ►q ) ( ) 016 Slopes ( ) ( ) ( ) ( ) ( ) l"lours ( ) ) ) ( ) ) Walls ) ( ) ) ( ) ( ) Sincerely He ry L Cas: y Jr, President C. e Cod 1 , ulation, Inc. TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel " I Application Health Division Date Issued Conservation Division Application Fe' Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation/ Hyannis Project Street Address Village Owner y�/� J��,1/-Z la G'.17 zey Address Telephone Permit Request dam Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation //��� , Xonstruction Type ZEE Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting docurngntation. Dwelling Type: Single Family Two Family ❑ Multi-Family (# units) - .f Age of Existing Structure Historic House: ❑Yes A"o On Old King's Highway ❑Yet ;dNo 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: ❑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 Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes ❑ No If yes, site plan review# Current Use Proposed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name 42�� 1"; ,/,�.�/ � �o Telephone Number Address ,;Ef /� License # ®® Home Improvement Contractor# Email Worker's Compensation # wall ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE `/G �l FOR OFFICIAL USE ONLY APPLICATION# ` k DATE ISSUED k MAPS/PARCEL NO. F i `$ ADQRESS VILLAGE b£ OWNER 7• F DATE OF INSPECTION: FOUNDATION FRAME INSULATION FIREPLACE T. ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING DATE�PLOSED OUT AS�s ATION PLAN NO. r- G .aq(a8rpy PARTOPATIxe mass Save cow SWa.rgeiArnuyY VnarQ�F4i1s9arKY PERMIT AUTHORIZATION FORM r I, x A�� C!< ro�'f°� 'S , owner of the property located at: (Owner's Name,printed) (Property Street Address) V (City/Town) hereby authorize the Mass Save Home Energy Services Program assigned Participating Contractor listed below to act on my behalf and obtain a building permit to perform insulation and/or weatherization work on my property. Owner's.Signature Date FOR CSG OFFICE USE ONLY Conservation Services Group has assigned the following Mass Save Home Energy Services Participating Contractor to the above referenced project: k— Participbting Contractor ate Rev.12132011 r y .Massachusetts -Depaftm�nt of 1$bb6 Safety _Hoard of Building Regulations end Standards �. Construction Supervisor License: CS-100988 HENRY E CASSI133f MZF" 8 SHED ROW WEST YARMOVfH 911 'i is Expiration Commissioner 11/11/2015 s Office of Consumer Affairs and Business Regulation - 10 Park Plaza - Suite 5170 :. Boston, Massachusetts 02116 Home Improvement Co ni tractor Registration I =_ Registration: 153567 Type: Private Corporation � sr Expiration: 12/15/2014 Tr# 233831 CAPE COD INSULATION, INC z HENRY CASSIDY — 18 REARDON CIRCLE SO. YARMOUTH, MA 02664 -- ` Update Address and return card.Mark reason for change. SCA 1 0 20M-05/i 7 Address Renewal Employment ❑ Lost Card' C_l/Ge (prrrurrG(vrerueCCGti2 a �/��zJvcCcf/Lt[4es _ 01-lice of Consumer Affairs&Business Regulation. License or registration valid for individul use only OME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: gistration: .:jt3,567 Type: Office of Consumer Affairs and Business Regulation xpiration:. 12/1"512Q1,4 Private Corporatiesi 10 Park Plaza-Suite 5170 ` Boston,MA 02116 CPECODINSULATI,'ON I�C HE ARY CASSIDY 18 EARDON CIRCLE g SO YARMOUTH,MA 02664 Undersecretary Atval witho AWatkre The Commonwealth of Massachusetts Department of IndustrialAccidents Office of Investigations a I Congress Street, Suite 100 N l Boston,MA 02114-2017 www rnass.gov1dia Workers' Compensation Insurance Affidavit: Builders/Contractors/]Electricians/Plumbers AvOicant Information Please Print Legibly Name (Business/Organization/Individual): Address: V,0�`✓ City/State/Zip: ; ' r n Phone#: ^ 5� ( 2 A e ou an employer? Check the a propriate box: F6, ype of project(required): I.�l am a employer with 2r7 4. ❑ 1 am a general contractor and I ❑ New construction employees (full'and/or part-time).* have hired the sub-contractors listed on the attached sheet. . ❑ Remodeling 2,❑ I am a sole proprietor or partner- These sub-contractors have ship and have no employees 8. Demolicio ❑ 'n ( working for me in any capacity. employees and have workers' 9 ❑ Building addition t comp. insurance.$ � [No workers' comp. insurance 10.❑ .Electrical repairs or additions f 5. ❑ We are a corporation and its required, "n IL work officers have exercised their 11.❑ Plumbing repairs or additions l a m a homeowner doing a a�.❑ g exemption er.MG L right of exem repairs myself. [No workers' comp. g p p 12.❑ Root insurance required. t c. 152, §1(4),and we have no 13.g0ther t V employees. [No workers' 4 comp. insurance required.] E *Any applicant that checks box#I must also fill out the section below-showing their workers'compensation policy information. it 1-lomeowners who submit this affidavit indicating they are doing all-work and then hire outside contractors must submit a new affidavit indicating such. f tConuactors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have J ciuployees. If the sub contractors have employees,they must provide their workers'comp,policy number. I I ant an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site l infi)rrruitiun. �� 6Nay insurance Company Name: `vV /,, i Policy#or Self-ins. Lic. . WGA c�?2 r Q Expiration.Date: 1 �b I Job Site Address: City/State/Zip: ®Z { Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a tine tip to$1,500.00 and/or one-year imprisonment, as well as civil penalties in the form of a STOP WORK ORDER and a fine Of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the.DIA for insurance coverage verification. 1 I do hereby cer tfy the pains and penalties of perjury that the information provider/above is true and correct. Date: Signature: Phone/k: F11),snly. Do not write.in this area,to be completed by city or town official. 1 n: Permit/License# hority (circle one): } 1. Board of Health 2. Building Department 3.City/Town Clerk 4. Electrical Inspector S. Plumbing Inspector 6.Other i Phone#: Contact Person: !I i ,� CAPECOD-27 CVANGELDER � - CERTIFICATE OF LIABILITY INSURANCE EDATE DlYYYY) 4I112014 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW, THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder Is an ADDITIONAL INSURED,the poliey(ies)must be endorsed. If SUBROGATION IS WAIVED,subject to thu teens and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not center rights to the certificate holder in lieu of such ondorsement(s). PRODUCER CONTACT Ro00rs k Gray Insurance Age - NAME: Cape Cod Commercialal Agency, Inc. NE _—!----- FAX (877)816 256 1 — 434 Rt0 134 -LAIC No,Ext): ---[IAIc�Noj__.------- _ 56 SOuth Dennis,MA 02660 E-MAIL — T-- ADDRESS: __.._..___..____...____ INSURER($)AFFORDING COVERAGE NAICN - INSURER A:Peerles5 Insurance C011lpan_y N u u, INSURER B:COMMERCE INSURANCE COMPANY Cape Cod Insulation Inc INSURERC:Evanston Insurance Company— IU Reardon Circle INSURERD;ATLANTIC CHARTER INSURANCE GROUP South Yarmouth, MA 02664 INSURERE: ---- ---- - ----._........... --- -- --- _---.—_--- INSURER F COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: I HIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CER I'IFICA'IE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, CXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. WSf;i ... ............ I TH!I TYPE OF INSURANCE INs i Sl1BR POLICY EFF— POLICY YY wyn POLICY NUMBER MMI00/YYYY MMIDOIYYYY LIMITS A IX COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,00 -DAM ------- CIAIM6"MADE CBP8263063 04/01/2014 04/01/2015 pREAGE _... 00CUR IES(Ea -$ 100,000 MED EXP(Any one parson) $ 5,000 PERSONAL S ADV INJURY $ 1,000,00 j i;EN:.rit;GFtt;t.,:i I[i I_IMII APPLIES PER: GENERAL AGGREGATE $ - 2,000,000 X rluLi- I Jr'EI'tC0TLOC PRODUCTS-COMP/OP AGG -- _—_------- _.-2,000,00 i iiltlL-R $ I AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ B i ANY AWO I14MMBCKVMK 04101/2014 04/01/2015 BODILY INJURY(Par parson) $ + -U-t.ll'lVIVEIJ .X... SCHEDULED BODILY INJURY(Par acadonp $ 1,000,000 I;UfUS AUTOS X ----- ..._... NON-OWNED PROPERTY DAMAGE $ HIhEU,iuTOS X... AUTOS (peraccidenl) __—___..._..----------.---------..------._. — j x UMBReLLA LIAB X OCCUR EACH OCCURRENCE $ 1,000,000 excess uAB CLAIMS-MADE R/O XONJ453612 041U112014 0410112015 AGGREGATE $ )ED i X I REIENI'ION$ 10,000 Aggregate 1,000,000 WORKERS COMPENSATION D PER OTFI- IA{ND EMPLOYERS'LIABILITY - SPAT LII'E ER N'rPROPHI[TOR/PARTNEWEXECUTIVE Y!N CA00525904 - 06130/2013 06/3012014 E.L.EACH ACCIDENT $ 1,000,000 i0flICER)MENIBEREXCLUDED? FIN NIA �—.__..---------_•-------.-_------_--._ I(M-ndatory In NH) E.L.DISEASE_EA EMPLOYEE $ - 1,000,000 itlES;RIPIION Oi-OPERATIONS balow E.L.DISEASE-POLICY LIMIT 1,000,000 - UESCRIP LION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101,Additional Ramarks Schadulo,may be attached Itmore space Is required) _ Woikars Compensation includes Officers or Proprietors. Additional Insured status is provided under the General Liability and Auto Liability when required by written contract or agreement with the.Certificate Holder. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE EVIDENCE OF INSURANCE THE EXPIRATION DATE THEREOF, NOTICE: WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE ©1988-2014 ACORD CORPORATION. All rights reserved.'' ACORD 25(2014/01) -The ACORD name and logo are registered marks of ACORD TOWN OF BARNSTABLE Permit No. __----_ $ I »STAX Building Inspector Cash39 -___-�- rua eo�0 rar � �/ r OCCUPANCY PERMIT Bond �lL/r�0 No building nor structure shall be erected, and no land, building or structure shall be used for a new, different, changed, or enlarged use without a Building Permit therefor first having been obtained from the Building Inspector. No building shall be occupied until a certificate of occupancy has been issued by the Building Inspector." Issued to Coleman Neely Address Hyannis 51 L'. �Lhouse Lane, Hyannis f�1 Wiring Inspectors . -'t ! " Inspection date Plumbing Inspector { e Inspection date Gas Inspector f T Inspection date, AEngineering Department Inspection date '- ( THIS PERMIT WILL NOT BE VALID, AND THE BUILDING SHALL NOT BE OCCUPIED UNTIL SIGNED BY THE BUILDING INSPECTOR UPON SATISFACTORY COMPLIANCE WITH TOWN REQUIREMENTS. _�_ ..__.._._....... ................. .........._......._... . Building Inspector a r ' �- TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION r Map Parcel ` 5- 1 Permit# � 3 q ',Aealth Division /r/VA i►7 /`S- ����`� Date Issued l a ' 1 -7 1 a ,/60nservation Division f y cfa D'fj�,-. Fee APPLICANT MUST OBTAIN A SEWER reasUCQr, I—d l O _ CONNECTION PERMIT FROM THE. -. ENGINEERING DIVISION PRIOR T© °j. E TBUCTION Da oard - ` i - FTC Project Street Addre s Village Owner ac Kam D �' e 1���-/ `� Address Telephone J _ Permit Request s D /O e a Square feet: 1st floor: existing proposed 2nd floor: existing proposed Total new Estimated Project Cost OD® Zoning District Flood Plain Groundwater Overlay Construction Type Lot Size Grandfathered: ❑Yes ❑No If yes, attach supporting documentation. Dwelling Type: Single Family 0 Two Family ❑ Multi-Family(#units) Age of Existing Structure Historic House: ❑Yes X No On Old King's Highway: ❑Yes ❑No Basement Type: QQ Full ❑Crawl. ❑Walkout ❑Other Basement Finished Area(sq.ft.) 0 Basement Unfinished Area(sq.ft) Number of Baths: Full: existing 2 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 0 Electric ❑Other Central Air: ❑Yes W No Fireplaces: Existing —� New Existing wood/coal stove: X Yes ❑No Detached garage:❑existing ❑new size Pool:❑existing ❑new size Barn:❑existing ❑new size Attached garage:a existing ❑new size Shed:❑existing ❑new size Other: [,kvin•e.A . Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes ❑No If yes,site plan review# Current Use Proposed Use 4 BUILDER INFORMATION ,•/Name /j'I/J —le lephone Number dress ,.Wome Improvement Contractor# Worker's Compensation.# Y--no ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE `2 // r r - FOR OFFICIAL USE ONLY PERMIT NO. DATE ISSUED MAP/PARCEL NO. ADDRESS L. VILLAGE i 4 OWNER` 5 - a r ;^ ,.•' 1. r, ' '• - - , DATE OF INSPECTION: Lo )` 6e FOUNDATION J aka Y O FRAME r INSULATION y _ FIREPLACE r. ELECTRICAL: ROUGH FINAL • = e PLUMBING: ROUGH FINAL ` y 1 GAS: ROUGH` a FINAL k .• _ ' 1 FINAL BUILDING' " DATE CLOSED OUT ; a �M ASSOCIATION PLAN NO.`�,_ • L The Town of Barnstable % snansrns� .� Department of Health Safety and Environmental Services Forte' SBuilding Division ` 367 Main Street,Hyannis MA 02601 Office: 508-862-4038 Ralph Cressen Fax: 508-790-6230 Building'Commissioner Permit no. Da te 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. �T e of Work: IC114S <v t)"'ill h �R6xc Estimated Cost 4AAddress of Work: Owner's Name: el ll_,4 an /aa e✓ ,,,bate of Application: I hereby certify that: Registration is not required for the following reason(s): Work excluded b ❑ Y 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 t hereby apply for a permit as the agent of the over. Date Contractor Name Registration No. OR Date Owner's Name q:forms:Affidav —\ - -____- The Commonwealth of Massachusetts M = ._ y / Department of Industrial Accidents -. ' Mce of/aresMMORM/nas 600 Washington Street -.... Boston,Mass. 02111 — Workers' Co m ensation Insurance admit name: location: city phone# ❑ I am a homeowner performing all work myself. ❑ I am a sole rietor and Dave no one worki>i in ca aclty ❑ I am an employer providing workers' compensation for my employees working on this job. .....:::::::. a name.: :;.::::>:<::-:-:::::: cons ny >::;•:•:.::.:; ;.;:.T:.;:.;:!..%.:'.;::.;:.;;;:.T:.i:.:.iii:. :.:: .. .......::.:... ::;;;'::;:' ..:.:::::.,: >::;'>': ada'r,evO: :.:.:.::::>:>:' ...:'.::.:::: city... :::::..:::.:::::: :.... :::.::. ....:....... .:.. ......... .................................... ........................... .....................:::::.:::. ......::...:.::::.... iasura .. . .:.... :::. .:.:. :• :: :.:. .. ., MMUi ❑ I am a sole proprietor,general contractor, or homeowner(circle one)and have hired the contractors-listed below who have e- the following workers'compensation polices: :.::.:. .:: :> ./ :¢ompanvname W,?;', t;�>; ::.. _�,� r, :>>.>::>:::>::>::;::;::>s:>::<:::>::::>::;; ::;:. :: . <>; address ��� 1 ume:., ;:.:;:.;:.:-- :,...:..;;.;<•i::ii:..--:;:<.i;i:.i:.:_:.:;:.i:.i:....*..ii:.isi:.ii:.i:::iii:•Hi;•:;!.;.,:;:;::>;:< ..... :::o'n:n': ... ... ........... ... .. ....... :: :.::.::.:'...::»:» o:a:.:: ..... -X........... .t!. .. ::.. :::::.:... ... .... .......... .. :.::�+�::.. ?: #M. (t ,ci ........ ' :. one.#.............. .... ...y»nil:!!>iiw.: }�'i.:•i.':•:':'::i i':::i':v;h':i::;:::; :i'.•.•ii:f'::•::: .'v�'ii:?::i•'v:•:i:L:{:', '••k:•' ..•.. ... ...:::::::::: ::: ::::�::::::T' :w:::: . . '.:�:::.�::::: ':vi :::::: :: .. Lii ::i ': :.. v:.;.: :,i.'. ..... Fi!:::::}iiiii::::::;':!..::y;ii:: i::iii'!: :;;ii' :'' .. .... ..{..;i' .....:... :.......: v. :::. •T' ii:.:�: w:::•iiW:::::iiii:i'TTTT "•::::::::::::::::::i:' nanrance,co....: ...,... . .... . .. . �:. /i. ii:.i:;:.i::.:.:;::;;.:;ii:•i:.i:.i:.. :::::::::::::.:. ..::::.:::::::.. :<:»:<:<:>?>:>:> canrpanv name: n....:.:. :: .'.. :::.:::,::::::.::..:.:... ......... I. ::. :...:..:::::::::.::::::::::>::::.i:.i::::::::::::.:::.;.::.i:.ii:.i::.. k tidress. >:«`: >S A o::..:::::i:::x -- Cites bitene :t ............ .........::...... .... :..s:..::.. .;:<-i:!: ::;:.;;:.i::.i:.i:.i:.::<.:.i;..•::.i;;;:!.:::.::::......::....::...::.ii:.i::::::.:::.ii:.:.!............•:.::........::::::::.::::..... .:::.....:......:,.:.......:..............:.:.................. ......... ............................................................... .......::::.... .:............i;....::::......:..: ::.:::..:::::•:::.::...,..,.:...:.:.....::::::::s:.::::::.::::.::::::::::::::::::::.::::::.............................................. ...................:.....:, :::::::.... .....................................................:•::•::::::::::::::::::::::n:•:::.�::::::::::'t3TT:iiiiii:...i ..........................................................................................................:.::.::.�+:............. :....I :::::::::::s::::;;;::::i:T::i;:::;:i::i::;::%.:i:iiT:.::.:;i:.;o:•i:i:!;•»:n:.:,•`.••.......?�.;:h::':i::?::i:::;:::. Mbrance:co;.._ ..... oliev.# _ :...:..::.......i.._.:..... .......... Fafim�e to secure coverage as required under Section 25A of MGL 152 can lead to the imposition of criminal penalties of a tine up to S1,500.00 and/or one years'imprisonment as well as civil 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 statement may be forwarded to the Office of Investigations of the DIA for coverage verification. I do hereby certify 'the pains and penalties of erinry that the information provided above is truce correct tune Date /Z—I I— Signa Print name Phone# official we only do not write in this area to be completed by city or town official ' city or town: petmita icense# ❑Building Department . ❑Licensing Board ❑checkif immediate response is required ❑selectmen's Office ❑Health Department contact person• phone#; _ ❑Other Ormad 9195 PIA) Information and Instructions Massachusetts General Laws chapter 152 section 25 requires all employers to provide workers' compensation for their employees. As quoted from the "law", an employee is defined as every person in the service of another under anv coatr- , of hire, express or implied, oral or written. An employer is defined as an individual,partnership, association, corporation or other legal entity, or any two or more of the foregoing engaged in a joint enterprise, and including the legal representatives of a deceased employer, or the receiver c: trustee of an individual,partnership, association or other legal entity, employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein, or the occupant of the dwelling house of another who employs persons to do maintenance, construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer. MGL chapter 152 section 25 also states that every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required. Additionally,neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority. Applicants 'Please fill in the workers' compensation affidavit completely, by checking the box that applies to your situation and supplying company names, address and phone numbers along witha certificate of insurance as all affidavits may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested, not the Department of Industrial Accidents. 'Should you have any questions regarding the`law"or if you are required to obtain a workers' compensation policy,please call the Department at the number listed below. City or Towns Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permit/license number which will be used as a reference number. The affidavits may be returned io the Department by mail or FAX unless other arrangements have been made. The Office of Investigations would like to thank you in advance for you cooperation and should you have any questions. please do not hesitate to give us a call. The Department's address,telephone and fax number. i The Commonwealth Of Massachusetts Department of Industrial Accidents Office of Invesugauans 600 Washington Street Boston;Ma. 02111 fax#: (617) 727-7749 phone#: (617) 7274900 ext. 406, 409 or 375 i I OEPARTHENT OF PUBLIC SAFETY CONSTRUCeTION SUPERVISOR LICENSE Na��er Expires: ' Restricted to.: 00 GL-ENW� QAVIS:y 25'CHuko—`ST � x COHASSET,t NA 02025 r &%JLJ0A"JU 1\l AZ%L ADDITIONS OR ALTERATIONS If located: North of ute 6-any work visible from outside-needs approval from OKH In Hyan -If work visible from outside - Check to see if it's included in the Hyan If Waterfront District-if so it needs approval from them APPLICATION PACKAGE MUST INCLUDE: Map/parcel number Sign-offs from Conservation(if exterior work) r Treasurer Street address [}Owner's name&address �ermit request-full description of proposed project quare footage-proposed project Pstimated project cost omplete Dwelling information for Assessor's Office Builder's information tore Plot plan [� 2-sets of reduced (8.5"x 11: or 8.5" x 14'�plans with cross section& framing schedule [Wome Improvement Contractor's Affidavit — orker's Comp form must include: Insurance company's name & Worker's Comp policy number Copy onstruction Supervisor's Licens& Home Improvement Specialist's License OR Homeowner s icense Exemption Form. B-----LFee NOTES: CHI MINEYS Need Home Improvement License No plot plan required PIERS & DOCKS oNeed Construction Super license AND Home Improvement License Owner cannot pull own permit q-forms-PERMrrs 1 Rev 8/12198 e, 1 � e� cs L •• x - - . -- iI A 11/I llll/tAll M n A q WALL Cl�L1l�� ?'ate � C Z- L�c�l v �►5 � C i s� cL r i FLD� Tv �STS �I v ncD �T�D wAcLL� IV Fv arA�G .� Thee own ®f Barnstable I PAtyJ)- s111Aj Lrs ovE/1 --- - �; Roo d P� y G �Af f2= Ct G T o1 S75 �► b� � �fZ>� L,iJ /N Dv u NEAcW2S (- - YP ) WIT r _ FL o 0 2 �-o/sTs C v• c. P. T S L � wo FRAMING SECTION a - - - - - - ALL DIMENSION LUMBER SHALL ' BE Kb SPF NO.2 OR BETTER. x COLLAR TIE @ 48'. O.G. i 2 X� RAFTER i 2 x (pCEILING JOIST @ SHINGLE "� O.C. w/IS L6. FELT �Ix PINE FACIA I i i I R--- ",�,;;� t SOFFIT VENT RRIER PINE SOFFIT ot LAS 2x FLOOR JOIST Qj j"nr r-- oil 76 �s Assessor's map and lot number, � ..:.. .`"!;�%'.�..�:.� (�� ' :%�C ," V j�—� 70' �� 7�'y ......... . i Pao Sewage Permit number ......................:....................... ........ . Z BARNSTABLE, i House number '.r ""Sa............................................................ 9�p 1639. 9� Q May k. - TOWN OF BARNSTABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO TYPE OF CONSTRUCTION ...........7 ���M�'....................................... ......................................................... ..........�.u.: :...4� ...........19 �.. TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location ............................... ...`....�.. .......f? 1 ."._...... .....:....,fG..........,ltll! .....;... �...! .............. Proposed Use ' �..f�l ��. ................................ ........................................................................................................................... Zoning District .............................Fire District ..............!:`?:� .......................................................AN1 .5 .... ............................ Name of Owner i1LF l s41,t/ �� �`�I 1"1"19 5.77 I c1e 1f////C' 4 ................Addr�ss :...:... t. ...... .................... Name of Builder ........._.................................... ........Address r , t tl Nameof Architect ................Address "...........': ....:.t................................................... .............. ............................., ................. �r f Numberof Rooms Foundation « ?�( '................................................................. ............................................................................... ....................Exterior .................i,�lre-.TN /^l��l'� 1'1 * ...Roofing �� �........................................... Floors (//liC'1�,d j'/l4���—+-' Interior ! L' t/i{/l L ................................�........................................... ..............� f� ........,.................... ....................... r Heating ...................................:�...............�..........................Plumbing .................................................................................. Fireplace Af r�/ Approximate Cost ................... ..... . ............ ............................ r > ............................................ Definitive Plan Approved by Planning Board ________________________________19________. Area ... .� . "....°................................ . Diagram of Lot and Building with Dimensions Fee ' '.r... ........................... SUBJECT TO APPROVAL OF BOARD OF HEALTH �?�✓ y, y I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. .. Name ...................................... . Seely, Coleman C. Vne 2O988 No -----.. �'�o1ogIe-----~------.—',.----6l Ligbtbouoeioco�on ------_—..�.�'----..�� --. � � uyauu10 ----------'------~'—~------'' CoIe�ao C. 3eaIv | Owner ----------------.:----- i frame Typo of Construction .......................................... Plot .........................../Lot ................................ re,pv Granted ,4M`eM Date of Inspection ..............z............19 ' °"= C" ^pe'~~ ' PERMIT REFUSED ���� \ � � ...................... ` U / —~—'' '/[ ^` /---''�---' '[—'' � d� � —.~— ` � —^.�.°^..----. ' � | - � v�) . -----\~���y�» ............... Approved ---------------- YQ -------'-------^'--''--'^'—^^~`- -------.,-----.~------...--.— � -