HomeMy WebLinkAbout1051 SERVICE ROAD Xkrd NO. 152113 ORA
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• Q�TM[�p TOWN OF BARNSTABLE Permit 36317
No. ......:.........
BUILDING DEPARTMENT
1 Smarr. I TOWN OFFICE BUILDING Cash
.M
6Tp. `
HYANNIS.MASS.02601 Bond .....x..........
CERTIFICATE OF USE AND OCCUPANCY
Issued to David Still
Address Lot #5, 1051 Service Road
West Barnstable, Mass.
USE GROUP 2--FIRE GRADING OCCUPANCY LOAD
1.
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 AND IN ACCORDANCE WITH SECTION 119.0 OF THE MASSACHUSETTS STATE
BUILDING CODE.
„Tanuar�� 31. . . , 19.....9.4..t.......
Building Inspector
i
L
X-PRESS PERMIT Town of Barnstable *Permit# 0
FxpVksts sue dace
JUN 2 6 2007 Regulatory Services F
TOWN OF BARNSTABLE Thomas F.Geiler,Director
Building Division 7
Tom Perry,CBO, Building Commissioner
200 Main Street,Hyannis,MA 02601
www.town.barnstable.ma.us
Office: 508-862-4038 Fax: 508-790-6230
EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY
C ( Not Valid without Red X-Press Imprint
Map/parcel Number
Property Address 3 jv4l (if lL d
Residential Value of Work Minimum fee of$25.00 for work under$6000.00
Owner's Name&Address /_ WU•d
/C9v so/'v-,der Led Zf. c L� �.l����
Contractor's Name �— Telephone Number
Home Improvement Contractor License#(if applicable)
Construction Supervisor's License#(if applicable)
❑Workman's Compensation Insurance
Check one:
❑ I am a sole proprietor
0' I am the Homeowner
❑ I have Worker's Compensation Insurance
Insurance Company Name
Workman's Comp.Policy#
Copy of Insurance Compliance Certificate must be on file.
Permit Request(check box) n
Re-roof(stripping old shingles) All construction debris will be taken to "-" (�1 0 [ � yii l 0
❑Re-roof(not stripping. Going over existing layers of roof)
❑ Re-side
❑ Replacement Windows/doors/sliders. U-Value (maximum.44)
'Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc.
***Note: Property Owner must sign Property Owner Letter of Permission.
co y of the Home rovement Contractors License is required.
,Py
SIGNATURE:
Q:FonT s:expmtrg
Revise061306
The Commonwealth of Massachusetts
Department of Industrial Accidents
£ Office of Investigations
600 Washington Street
Boston,MA 02111
www.mass.gov/dia
Workers' Compensation Insurance.Affidavit: Builders/Contractors/Electricians/Plumbers
Applicant Information Please Print Ledbiy
Name(Business/Organization/Individual): �I/1Mr {�1� 51.4//]{1'
•Address: 1 (95-1 � tGr C-t
City/State/Zip:� Phone.#:
Are you an employer? Check the appropriate bog: Type of project(required):.
1.❑ I am a employer with 4. ❑ I am a general contractor and I
6. ❑New construction .
. employees(full and/or part-time).* have hired the stab-contractors
2.El am a'sole proprietor or partner- listed on the-attached sheet. 7. ❑Remodeling
ship and have no employees These sub-contractors have 8. ❑Demolition
workingfor me in an capacity. employees and have workers'
Y P tY• $. 9. ❑Building addition
[No workers'comp.insurance comp.insurance.
required.] 5. ❑ We are a corporation and its 10.❑Electrical repairs or additions
officers have exercised their ❑Plumbing repairs or additionsr 11. r
'3.[�I am a homeowner doing all work
myself. [No workers' comp. right of exemption per MGL 12.0 Roof repairs
insurance required.]t c. 152, §1(4),and we have no
employees. [No workers' . 13.❑ Other
comp. insurance required.] .
*Any applicant that checks box#1 must also fin out the section below showing their workers'compensation policy information.
t Homeowners who subrnit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such.
tContractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have
employees. If the sub-contractors have employees,they must provide their workers'comp.policy number.
I am an employer that is providing workers'compensation insurance for my employees. Below is.the policy and job site
information.
Insurance Company Name:
Policy#or Self-ins.Lic.#: Expiration Date:
Job Site Address: City/State/Zip:
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
fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine
of up to$250.00 a day against the violator. Be advised that a copy of this statement maybe forwarded to the Office of
Investigations of the DIA for insurance coverage verification.
I do hereby certi -nder the pains-and alties ofperjury that the information provided above is true and correct;
Si afore:_ - - A —.. Date:
Phone
Official use only. Do not write in this area,tb be completed by city or town officiaL
City or Town: Permit/License#
Issuing Authority(circle one):
1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector
6. Other
Contact Person: Phone#:
Information andInstructions
Massachusetts General Laws chapter 152 requires all employers to provide workers'compensation for their employees.
Pursuant to this statute,an employee is defined as"...every person in the service of another under any contract 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 or 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, §25C(6)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,MGL chapter 152, §25C()states"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 out the workers'compensation affidavit completely,by checking the boxes that apply to your situation and,if
necessary,supply sub-contiactor(s)name(s),address(es)and phone number(s) along with their certilicate(s)of
insurance. Limited Liability Companies'(LLQ or Limited Liability Partnerships(LLP)with no employees other than the
members or partners,are not required to carry workers'compensation insurance. If an LLC or LLP does have
employees, a policy is required. Be advised that this affidavit 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. Self-insured companies should enter their
self-insurance license number on the appropriate line.
City or Town Officials
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. In addition,an applicant .
that must submit multiple permit/license applications in any given year,need only submit one affidavit indicating current
policy information(if necessary) and under"Job Site Address"the applicant should write"all-locations in (city-or
town)."A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the
applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each
year.Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture
(i.e. a dog license or permit to bum leaves-etc.)said person is NOT required to complete this affidavit.
The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions,
please do not hesitate tc give us a call.
The DepaFtment's address,telephone-and fax number:.
The Commonwealth of M=4ohusetts
Department of Industrial Accidents
Office of Investigations,
600 Washington Street
Boston, MA 02111
Tel. #617-727-49QO ext 406 or 1-977-MASSAFE
Fax# 617-727-7749
Revised 11-22-06
www.mass.gov(dia
�? _ LDING PERM)
SOWN OF BARNST CHUSETTS -
' . DATE November � � 19 93 IT O. 0
Bayside Building, Inc. . Box I CePERMnte,rvi�le, MA UU5
APPLICANT ADDRESS -
(NO-) (STREET) (CONTR'S LICENSE)
PERMIT TO Build dwelling ( 1j ) STORY Single family dwelling NNUMBER.DWELLIN OF
G UNITS 1
(TYPE OF IMPROVEMENT) NO. (PROPOSED USE)
lot #5 ' S1 Service )toad, Wegt'-, arnstable ZONING RF
AT (LOCATION) DISTRICT
(NDJ / t (STREET) F;?
BETWEEN - ,4N0.
(CROSS STREET) (CROSS STREET)
•'..'.e LOT
SUBDIVISION " `� - LOT BLOCK SIZE
BUILDING IS TO BE FT. WIDE BY FT. LONG BY FT. IN HEIGHT AND SHALL CONFORM IN CONSTRUCTION
TO TYPE USE GROUP BASEMENT WALLS OR FOUNDATION
(TYPE)
swage REMARKS: #93-579 '
BOND
AREA OR 1148 sq. ft. 135,000 PERMIT 92.00
VOLUME ESTIMATED COST $ FEE
(CU8IC/SOUARE1FE ET)
David Still � {•, t -- ,!
OWNER r� � box36 nyannisport, MA L / BUILDING DE PT. �t
ADDRESS BY / �f
THIS PERMIT CONVEYS NO RIGHT T:O OCCUPY ANY STREET, ALLEY OR SIDEWALK OR ANY PART THEREOF. EITHER TEMPORARILY OR
PERMANENTLY. ENCROACHMENTS ON PUBLIC PROPERTY,. NOT SPECIFICALLY PERMITTED UNDER THE BUILDING CODE, MUST BE AP-
PROVED BY THE JURISDICTION. STREET OR .ALLEY.GRAbES AS.WELL.AS-DEPTH AND.LOCATION OF PUBLIC SEWERS MAY BE OBTAINED
FROM THE DEPARTMENT OF PUBLIC:•WORKS. THE ISSUANCE OF THIS PERMIT DOES NO:T RELEASE THE APPLICANT FROM THE CONDITIONS
OF ANY APPLICABLE SUBDIVISION RESTRICTIONS.
f
MINIMUM OF THREE CALL -APPROVED PLANS MUST BE.RETAINEIDON JOB AND THIS WHERE APPLICABLE SEPARATE
INSPECTIONS REQUIRED FOR CARD KEPT POSTED UNTIL FINAL INSPECTION HAS BEEN PERMITS ARE REQUIRED FOR-
ALL CONSTRUCTION WORK: ELECTRICAL, PLUMBING AND
I. FOUNDATIONS OR FOOTINGS. MADE. WHERE- A CERTIFICATE OF OCCUPANCY IS RE- MECHANICAL INSTALLATIONS.
Z. PRIOR TO COVERING STRUCTURAL QUIRED,SUCH BUILDING SH,ALL,NO•T BE OCCUPIED -UNTIL
MINAL INSPECTION
TI TO BEFORE
FINAL INSPECTION HAS B�E�EN;MADE.
3. FINAL INSPECTION BEFORE -
OCCUPANCY. _
POST THIS CARD SO .17'.-IS VISIBLE"°FROM STREET
BUILDING INSPECTIOV APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS
j ��.
� f
2 2 '14lye' vi�Z�<"i`
3 I HEATING IN EC ION APPROVALS S` ENGINEERING DEPARTMENT
2 ` / BO RD OF HEALTH
I C/ �-
OTHER SITE PLAN REVIEW APPROVAL
�.1Gc•�cd��
WORK SHALL NOT PROCEED UNTIL THE INSPEC- PERMIT W!L L BECOME NULL AND VOID IF CONSTRUCTION INSPECTIONS INDICATED ON THIS CARD CAN BE
TOR HAS APPROVED THE VARIODUS STAGES OF WORK IS NOT STARTED WITHIN SIX MONTHS OF DATE THE ARRANGED FOR BY TELEPHONE OR WRITTEN
CONSTRUCTION. PERMIT IS ISSUED AS NOTED ABOVE. NOTIFICATION.
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BUILDIN G
PERMIT .
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Je � r' - �'- S.3
Assessor's office(1 st Floor): / R�e' t
Assessor's map and��lot num /�► . �/� a•vN E>o
Conservation '
r.. :
Board of Health 3rd floor): f ��9C' iVC
wa e,Permit number
� �e g
Engineering Department(3rd floor): // 1 AWR®RlMENTAL CODE AN ee�o 30
House number Definitive Plan,Approved by TOWN REGULATIONSPlanning Board — t9<
APPLICATIONS PROCESSED 8:30-9:30 A.M.-and 1:o0-2:00 P.M.only I
TOWN "' OF ' BARNSTABLE
BUILDING INSPECTOR
APPLICATION FOR PERMIT TO
TYPE OF CONSTRUCTION
.23 1s 93
TO THE INSPECTOR OF BUILDINGS:
The undersigned hereby applies for ermit according toDthee following information:
Location /
Proposed Use /
Zoning District Fire District
Name of Owner l/L�i '��I Address 6 3 6 GT"���2 a a 4� y�
Name of Builder < ✓ Address
Name of Architect Address
Number of Rooms li> Foundation 6—xotzh
Exterior C A Roofing
Floors t- V!L4 i Interior
Heating ' 4f �/ L- Plumbing _ �C
�- C �O//� a arm
Fireplace y Approximate Cost /-�S �f
Area
s lk,
Diagram of Lot and Building with Dimensions Fee
b
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 7 /?�,,
Construction Supervisor's License 400 S SA
STILL, ,DAVID
No, 36317 permit For 1 z Story
Single Family Dwelling
Location Lot #5, • 1051 -Service Road
West Barnstable
Owner. .-David Still
Type of Construction Frame
Plot Lot
Permit Gr ted November 12, 19 93 '
Da f Ins e�tione�,� 19
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226.00' # 93-318
CERTIFIED PLOT PLAN
LOCATION : LOT 5 RANTA CIRCLE W.BARNSTABLE, MASS.
SCALE : 1 " = 120 ' DATE : 11/10/93
PREPARED FOR.
REFERENCE : LOT 5 PB 492 PG 94
•
I 'HEREBY CERTIFY THAT THE STRUCTURE DAVID STILL
SHOWN ON THIS PLAN IS LOCATED ON THE /p`�N Or Miss
GROUND AS SHOWN HEREON. RUNE 9�y�
Gf
I o OJA
I down cape engineering inc. 'y #2 �)
CIVIL ENGINEERS o'' 9F ERA
LAND SURVEYORS Ol�ir /p�3 ALA s
RTE 6A - YARMOUTH. MASS. DATE REG. SURVEYOR
41DW7r0F BARNSTABLE, MASSACHUSETTS k5ulLum
DATE 93 T'
Buildj, PERM �o 149 36317
C. . 0. MA U0
APPLICANT B a side ADDRESS i'm 11—ox —) c'�!'n t t�—L i 1 5645
IN 0.) (STREET) (CONTR'S LICENSEI
Build dwt4li iilg i 21 sinwle. dwelli", NUMBER OF
PERMIT TO (—) STORY _DWELLING UNITS
(TYPE OF IMPROVEMENT) NO. (PROPOSED USE)
lot #5 iO5i Servic,� Road, Wes.u. Bannstab-'e ZONING RF
AT (LOCATION) 0 ISTR CT
(No.) (STREET)
BETWEEN AND
(CROSS STREET) (CROSS STREET)
LOT
SUBDIVISION LOT—BLOCK SIZE
BUILDING IS TO BE FT. WIDE BY FT. LONG BY FT. IN HEIGHT AND SHALL CONFORM IN CONSTRUCTION
TO TYPE USE GROUP BASEMENT WALLS OR FOUNDATION
(TYPE)
REMARKS: Sewage #93-579
Jac L�
AREA OR 1148 sq. fE. 135,000 PERMIT 92.00
VOLUME ESTIMATED COST $ FEE
(CUBIC/SQUARE FEET)
OWNER David Still-
P.O. 1557. 5_36 14yi._11*111��pOrL, PIA OZO41 BUILDING DEPT. I
ADDRESS BY
THIS PERMIT CONVEYS NO RIGHT TO OCCUPY ANY STREET, ALLEY OR SIDEWALK OR ANY PART THEREOF. EITHER TEMPORARILY OR
PERMANENTLY. ENCROACHMENTS ON PUBLIC PROPERTY, NOT SPECIFICALLY PERMITTED UNDER THE BUILDING CODE, MUST BE AP-
PROVED BY THE JURISDICTION. STREET OR ALLEY GRADES AS WELL AS DEPTH AND LOCATION OF PUBLIC SEWERS MAY BE OBTAINED
FROM THE DEPARTMENT OF PUBLIC WORKS. THE ISSUANCE OF THIS PERMIT DOES NOT RELEASE THE APPLICANT FROM THE CONDITIONS
OF ANY APPLICABLE SUBDIVISION RESTRICTIONS.
MINIMUM OF THREE CALL -APPROVED PLANS MUST BE RETAINED ON JOB AND THIS WHERE APPLICABLE SEPARATE
INSPECTIONS REQUIRED FOR PERMITS ARE REQUIRED FOR
ALL CONSTRUCTION WORK: CARD KEPT POSTED UNTIL FINAL INSPECTION HAS BEEN ELECTRICAL, PLUMBING AND
I.
FOUNDATIONS OR FOOTINGS. MADE. WHERE A CERTIFICATE OF OCCUPANCY IS RE- MECHANICAL INSTALLATIONS.
2. PRIOR TO COVERING STRUCTURAL QUIRE0,SUCH BUILDING SHALL NOT BE OCCUPIED UNTIL
MEMBERS(REAOY TO LATH).
3. FINAL INSPECTION BEFORE FINAL INSPECTION HAS BEEN MADE.
OCCUPANCY.
POST THIS CARD SO IT IS VISIBLE FROM STREET
BUILDING INSPECTIOI)I APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS
2 2 2
3 I EPARTMENT HEATING IN EC ION APPROVALS ENGINEERING D
i L,lc\;"4. 1-31 Vv
2 BOAD OF HEALTH
✓ y a.
OTHER =!Q_V-J��JCA :V_
SITE PLAN REVIEW APPROVAL
L
WORK SHALL NOT PROCEED UNTIL THE INSPEC- PERMIT W!LL BECOME NULL AND VOID IF CONSTRUCTION INSPECTIONS INDICATED ON THIS CARD CAN BE
TOR HAS APPROVED THE VARIOULIS STAGES OF I WORK IS NOT STARTED WITHIN SIX MONTHS OF DATE THE ARRANGED FOR BY TELEPHONE OR WRITTEN
CONSTRUCTION. I PERMIT IS ISSUED AS NOTED ABOVE. NOTIFICATION.
.?�...--,....._w,.a ti:i4,�.{1,y:-.,,,,-:..-�....q h^'ik�-.'t-^«.r.-._�i.. a.I� .'" .-'.- ......c-.- ti .- � � -....` :='�'r'.,s. •. 1. -�.;:-'. - _�
,,_TWF TOWN OF BARNSTABLE Permit No.3.631,7.........
BUILDING DEPARTMENT
4 """ ! TOWN OFFICE BUILDING Cash
�Ml
39-. HYANNIS.MASS.02601 Bond ................
CERTIFICATE OF USE AND OCCUPANCY
Issued to David Still
Address Lot #5, 1051 Service Road
West Barnstable, Mass. ,
USE GROUP FIRE GRADING OCCUPANCY LOAD
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 AND IN ACCORDANCE WITH SECTION 119.0 OF THE MASSACHUSETTS STATE
BUILDING CODE.
January. 31.!. ... , 19 ....9 4........ ............... .
Buil ding Inspector
. - . ,• . � 4, `�'y�.:l.�.�^tf i'.f�.`h��1 �.�` 3+,.� ,_ ;,�{n.,�+�,-r+Wi...wr� »�R..:+n., ..o��.,�cF i=ki'' � '��'�-'Ir.,,c�• :�
°•. TOWN OF BARNSTABLE
BUILDING DEPARTMENT
Z TOWN OFFICE BUILDING
rua
.639• �� HYANNIS, MASS. 02601
MEMO TO: Town Clerk
FROM: Building Department
DATE:
An Occupancy Permit has been issued for the building authorized by
Bu ilding Permit �C
issued to ...._. G �„ G !•,•„•,........_.._......._.........................................._....
...
Please release the performance bond.
t
pia TOWN OF BARNSTABLE, MASSACHUSETTS BUILDING PERMIT
A=I-") 004 93 T-40
DATE PERMIT.1�9. 36317 . A,
APPLICANT ADDRESS —1
x V�) i'kA U(JJ045
(NO.) (STREET) (CONTR'S LICENSEI
Build dwt!_!.' 1'ikg 1 S in l!_. Lamiiy dwe 1.li:-Ig NUMBER OF
PERMIT TO I—) STORY _DWELLING UNITS
(TYPE OF IMPROVEMENT) NO. (PROPOSED USE)
lot #5 105i Servicz! Road, WeSL B;i f j i c;c.4a b."LI e ZONING RF
AT (LOCATION) DISTRICT
(NO.) - (STREET)
BETWEEN AND
(CROSS STREET) (CROSS STREET)
LOT
SUBDIVISION LOT BLOCK SIZE
BUILDING IS TO BE —FT. WIDE BY FT. LONG BY FT. IN HEIGHT AND SHALL CONFORM IN CONSTRUCTION
TO TYPE
USE GROUP BASEMENT WALLS OR FOUNDATION
(TYPE)
REMARKS: Sewage #93-579
?1 0 114 D
AREA OR 1148 sq. fc. 135,000 PERMIT 92.00
VOLUME ESTIMATED COST $ FEE
(CUBIC/SQUARE FEET)
David StAili
OWNER
V.U. 6ox bJb Iyz�lltnlsporL, L,1A 0�_164/ BUILDING DEPT.
ADDRESS BY
THIS PERMIT CONVEYS NO RIGHT TO OCCUPY ANY STREET, ALLEY OR SIDEWALK OR ANY PART THEREOF. EITHER TEMPORARILY OR
PERMANENTLY. ENCROACHMENTS ON PUBLIC PROPERTY, NOT SPECIFICALLY PERMITTED UNDER THE BUILDING CODE, MUST BE AP-
PROVED BY THE JURISDICTION. STREET OR ALLEY GRADES AS WELL AS DEPTH AND LOCATION OF PUBLIC SEWERS MAY BE OBTAINED
FROM THE DEPARTMENT OF PUBLIC WORKS. THE ISSUANCE OF THIS PERMIT DOES NOT RELEASE THE APPLICANT FROM THE CONDITIONS
OF ANY APPLICABLE SUBDIVISION RESTRICTIONS.
MINIMUM OF THREE CALL -APPROVED PLANS MUST BE RETAINED ON JOB AND THIS WHERE APPLICABLE SEPARATE
INSPECTIONS REQUIRED FOR PERMITS ARE REQUIRED FOR
ALL CONSTRUCTION WORK: CARD KEPT POSTED UNTIL FINAL INSPECTION HAS BEEN ELECTRICAL, PLUMBING AND
I. FOUNDATIONS OR FOOTINGS. MADE. WHERE A CERTIFICATE OF OCCUPANCY IS RE- MECHANICAL INSTALLATIONS.
2. PRIOR TO COVERING STRUCTURAL QUIRED,SUCH BUILDING SHALL NOT BE OCCUPIED UNTIL
MEMBERS(READY TO LATH).
3. FINAL IN
BEFORE FINAL INSPECTION HAS BEEN MADE.
OCCUPANCY.
POST THIS CARD SO IT IS VISIBLE FROM STREET
BUILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS
'
2 2 2
3 HEATING INSPECTION APPROVALS ENGINEERING DEPARTMENT
31
2 V . BOXIRD DF HEALTH
OTHER SITE PLAN REVIEW APPROVAL
I
WORK SHALL NOT PROCEED UNTIL THE INSPEC- PERMIT 'W!LL BECOME NULL AND VOID IF CONSTRUCTION INSPECTIONS INDICATED ON THIS CARD CAN BE
TOR HAS APPROVED THE VARIOULIS STAGES OF WORK IS NOT STARTED WITHIN SIX MONTHS OF DATE THE ARRANGED FOR BY TELEPHONE OR WRITTEN
CONSTRUCTION. I PERMIT ;S ISSUED AS NOTED ABOVE. NOTIFICATION
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