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0045 EVENTIDE LANE
MI5 ,�.���,�-��� ►.�,� _- y. _�_ �� S-2-7 — lS `t Town of Barnstable TME� Regulatory Services,,. ,,r qpvuISTABLE Richard V. Scali,Director i 11 BAMSrABLE ' Building Division' _, "., J PM Tom Perry,Building Commissioner�ED MA'1 A Y� g 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us,,. ,_: ,,,. - Office: 508-862-4038 Fax: 508-790-6230 PERMIT# �i a�5 ' �� FEE: $35.00 SHED REGISTRATION RESIDENTIAL ONLY 200 square feet or less Location of shed(address) V' lage 6-e-tii�- Property owner's name Telephone number Size Map/Parcel# Z/,/ , Signature Date Hyannis Main Street Waterfront Historic District? Old King's Highway Historic District Commission jurisdiction? If over 120 square feet,you must file with Old King's Highway Conservation Commission(signature is required) Sign off hours for Conservation 8:00-9:30&3:30-4:30 PLEASE NOTE: IF YOU ARE WITHIN THE JURISDICTION OF ANY OF THE ABOVE COMMISSIONS,THERE MAY BE A REVIEW PROCESS AND APPLICATION FEE. PLEASE SEE THE APPROPRIATE COMMISSION FOR DETAILS. THIS FORM MUST BE ACCOMPANIED BY A PLOT PLAN Q-forms-shedreg REV:040914 i i N N /46S Bp•32 27'E C9 3/ • ,� h Z N _ LOT 15 `r CONC, 993 S.F. m . •o FDN. �'' A. �p /- to a9 .h 5 V1 h R s>. TOWN OF BARNSTABLE ZONING ZONE : RC- To THE BEST OF MY PROFESSIONAL KNOWLEDGE INFORMATION AND BELIEF THE STRUCTURE SHOWN _ SETBACKS OPEN SPACE HEREON CONFORMS To THE HORIZONTAL SETBACKS FRONT - 20' AS GRANTED UNDER THIS OPEN SPACE DEVELOPEMENT. SIDE . - 7.5• REAR - 7.5' PROPERTY LINES SHOWN HEREON WERE COMPILED FROM AVAILABLE - OFldq� PLANS OF RECORD AND DO NOT .y REPRESENT AN ACTUAL SURVEY TERRY °T ANN ON THE GROUND. WARNER NO.38721 THE DWELLING DEPICTED ON THIS �gc�,�� PLOT PLAN PLAN WAS LOCATED ON THE GROUND a�u� IN BY SURVEY ON AUG. 27. 1997 AND �n A 0 � BARNSTABLE. tuAS.$�. EXISTS AS SHOWN AS OF THE DATE ''" 'per OF LOCATION. Z$,►9q- SCALE: 1 --40. AUG. 28. 1997 THIS PLAN /S FOR PLOT PLAN EAGLE SURVEYING A ENGINEERING- INC-PURPOSES ONLY AND NOT FOR $23 Route 6A RECORDING. DEED DESCRIPTIONS Yiwouthport. JIA. 02675 OR ESTABLISHING PROPERTY LINES. (508) 362-8132 (508) 432-6838 THIS PLAN IS VOID IF NOT STAMPED AND SIGNED /N RED. 0 20 40 80 PROJECT NO. 97-297 N q N 145 3 8003 V'?7•£ Z N _ LOT 15 CONC. FDN, 9932 t S.F. m o y s. .t. 9 5 M R S ssa TOWN OF BARNSTABLE ZONING ZONE : RC- TO THE BEST OF MY PROFESSIONAL KNOWLEDGE SETBACKS OPEN SPACE INFORMATION AND BELIEF THE STRUCTURE SHOWN FRONT - 20.' HEREON CONFORMS TO THE HORIZONTAL SETBACKS AS GRANTED UNDER THIS OPEN SPACE DEVELOPEMENT. SIDE - 7.5' REAR - 7.5' PROPERTY LINES SHOWN HEREON WERE COMPILED FROM AVAILABLE �0,11101MASS PLANS OF RECORD AND DO NOT ER REPRESENT AN ACTUAL SURVEY CANNY ON THE GROUND. WARNER NO.38721 THE DWELLING DEPICTED ON THIS PLOT PLAN PLAN WAS LOCATED ON THE GROUND Al uND 1N BY SURVEY. ON AUG. 27. 1997 AND BARNSTABLE. MASS. EXISTS AS SHOWN AS OF THE DATE SCALE: I'-40' AUG, 28. 1997 OF LOCATION. THIS PLAN IS FOR PLOT PLAN EAGLE SURVEYING 4 ENGINEERING.INC. PURPOSES ONLY AND NOT FOR $23 Route 6A RECORDING. DEED DESCRIPTIONS Yaraouthport. 11A. 02675 OR ESTABLISHING PROPERTY LINES. (508) 362-8122 (508) 432-5333 THIS PLAN IS VOID IF NOT STAMPED AND SIGNED IN RED. OFFM 0 20 40 80 PROJECT N0, 97-297 PIC 6 Town of Barnstable Regulatory Services FM !�` 'i�omae F.Gdi a,Dhidtior jBiOdiMDtvwOn Tom Parry,CM ISWMk8 Commoner 200 Mab Save,gym&*MA=01 www.tcava.bz:nsO&I*mI�u5 Fax: 509-790-6230 p$ cet S08462-4038 _ ` �� Not Vaud w*Ow j edx,Pi bVrw AM ,,p,�oelNnmber rP'73 09 S- Q j �,_.._ Vane of wade dam he of S3600 fir work under s6000.00 owmes Name&A4dmo 7C.�iA' Y BUS 77�' .w �NatiuiG'� ' f i TekphosseNnmbar_ ,i�� l "� Fi moe IaqwVM" Lloe "0(if qw'.86 Cp a JnAVn4°e § i ata cede 4"ba"woetoer'e CoMPOild /n LMUMt ay/ wodow's C,=P.Peliay _ ConeCbgm�a>see CMp1lvm•Comte=xA accompany each permit. Perm �t(lefaer=m U&M(Mepog old ) I u1 coaftoodan 3eWe will be takan to (�RladQwtsrrmw SwK(not s**ft cola$over mcIdag kyen of roof) #of d=$ p PAOMM"waftow1wvue/daas&I*Hdere.L-V8bM O=Uft m.9s?#oramdom ❑ SaloW*rbat►Motto&00vtom 4 floor pesos m wtasd with red 8 and hwpediow regatrad. 8epasad zbeft ietal a FUv Pa ults regaind. "VIMly ngfdf+� oM p=#4=sot maipc mmaiooe w�oWar wwa dwsmont r�ohdaor,i a i C.e�wtv�fton.am ««rpom; PM MY.Ow wr am tip Property owner I eta A OW of the 13oaie Impra+wneot Coatraeton Ides A CoUMse"a SvperWwn Liewn Is slcruzMUIS Town of Barnstable Regulatory'Services now"F.Ge ier,ohwftr Building Divlaion Tbomas Perry,CHO BMIdln$Coma4fsdoosr 200.Main Street,'Hyannie,MA 02601 www.tvwa.barnstable.ms,.as Offlow. SOI.962. 038 Fax: 508-790.6230 Property dwnet Must Complete and Sign This Section If Using A Builder• - ;as Owner of the subject rty prope hereby tnthorlZe /�•t�'t%� ,,, C�� to act on my behalf- in&a MMM r k&*to wo&sutbozited by this building permit application for. (Addreee ofjob) of dWnW Date Print Name , . r • it pmperty owner Is app"I for permit;pWam.complete the Homeowners 2.icxdse&xemptdoa Vorm oa,the rwerre old& ' " � %�4e Corr:rnorvaeaith cj h2�;racr::;�e!cs �'"'- . Deparfrrent oj.Fttdustritil�4cciderat`s Orice of Investigations 600 Waskington Sliest . Boston,M4 02111 ►vww-mam.gov/dia Workers' Compensation 1a>.suranceAffidavit, Build ers/ContractOrsrDectrlciaas/Plumbers t�ar�licent Infortisation • Please Pratt Le NY TraMO (Business/Organira ion4ndividuet):_ Address: ell ��o>rlrarnlrn 1� City/staate/Zip; �i� .i7.t� 1�9� ���.� phone#: Z Are ou an employer? Check the appropriate box; l..V1 am a employer with 4. Type of project(required): ❑ I am a general contractor nad I eraployoes(full and/or part-time).* have hired the subcontractors 6, ❑New constrvttion ! 2.❑ 1 am a sole proprietor or partner- listed on the attacbed sheet t 7. (]Romodeling ship and have-no employees Thew sub-coattaetors have B. ❑ Demolition w~orlcing for me In any capacity, workers' comp.Insurance. t-� „[NO Workers' comp, insurance 5. ❑ We are a corporation and its 9' t..; Building ad3itioa required.] officers have exercised their 10•12 ElaCtrlcal repairs or additions 3,❑ I AM a homeowner doing all work right of exemption per MOL. 11.❑Plumbing repairs or additions Myself, [No workers'camp, c. 152,§1(4),'snd we have no insarance required.]t' employees.[No watiszrs' 12 (� Roof repairs •Any appttaartt that chcalp bvxi�i nnur r comp,insttracce required] Other a.sc fill out the aeedon bok�r showing!heir warms'�pensattca policy infatmadoa t ROmbm"M who submit this at!sdavtt tnentiq they are doin;all wort and than him outside otmtactots n =Coetrtetas that check at box mwt attached an odditlond sheet shming the name cethe rrruscsuinNt a new a9lidsvtt indicating camp,a seb•ooatrKto�s end their wort_a poijc'iabmatien• I am an employer teal U pro uldUq worker• corVenssatlon lnawan"Jormy errrployees Below Is the po4 and job site • G'{forrrralton. i Insura'ace Company Name: ;r.0 Polioy 0 or Self ins.Lie.¢I:��Qy 2?!L",Z: Expiration Dater fob Site Address: City/State/Zip. Attach a copy of the workers' cotapensation policy declaration page(showing the policy number and expiration date), Failntro to itecure coverage as requited under Section 2SA ofly OL c, 152 can lead to the imPosltion of criminal penalties of a fine iep to $I,S00.00 and/or one-year imprisonment,as well as t;iri!penalties in the form of a STOP WORK ORDER and a fineof up to$230.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Of oo or invettigatioas of the DIA for insurance coverage verification. I do hereby ecrti}y un er Uia pains and penalties ojperfrtry that the Wornatlort provided above U true and correct a • atc• Dnj .. - O-Mald,,;s`se only. Do not write in tht$area, to be torrrpieted by c4 or town Qnr aW City or,Towns , . Permit/License# Isming Aatlnority(circle one); 1.Board of Health 2, Building Department 3•Clty/Town Clerk 4,Zlectrical Inspector 5,Plumbing Inspector 6.Other Contact Person,. Phone#: i _. c9%a CGo�NnaanrocKr!!/o,' ru�rc/r��ell► License or registration valid for iodividul use only Office of Consumer Affairs&Business Regulation ME IMPROVEMENT CONTRACTOR more the expiration date. If found return to: lAmIllon: 100497 Type: Office of Consumer Affairs and Business Regulation ptratlon: 3J25/2D48 Private Corporation 10 Park Plaza-Suits 5170 : Bos'.on,MA 02116 DAVID COX,INC. David Cox 19 LAVENDER LN �xL�_++a�— W.YARMOUTH,MA 02673 Undersecretary Not valid without signature Massachusetts -Department of Public Safety Board of Building Regulations and Standards Construction Supervisor License: CS-063SS7 DAVID R COX BOX 401 SoPth Yarmouth MA J,,(�,...'"4-- " Expiration Commissioner 1Qd15J2015 i �..�� DAVID-2 OP 10: KG CERTIFICATE OF LIABILITY INSURANCE D mm�nOta THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERIVICATE COES NOT APPiRMATIVELY 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 R11PRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER, IMPORTANT: If the Certificate holder Is an ADOITIONAL INSURED,the polley(les)must be endorsed. If SUBROGATION IS WAIVED,s*"t to the terms and conditions of the policy,certain policies may require an endorsement A statement on this eortlflcate does not confor rights to the oertMoate holder In bay of such endorsomord s. COWACT PROOUtiR NAME: Northwood Ins&�,, ncY,Inc. k .MB-771-1832 �.me):809-393-29M 0 Main M sortie,MBA OZ801 to e Mass- INSIJPtW4$)APPORptNO COVE4AOS NAIL ISW=A:Travelers Insurance Com pany NORM David Cox, Inc. WOURIER87 P.0,Box 401 INSJIWR C: - S Yarmouth,MA 02W ——--- INBURBR D: INSURER E: I INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THi3 IS TO CERTIPYTHAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED A30Y£FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR=C DITION OF ANY CONTRACT OR OTHER DOCUMENT WrrH RESPECT TO WHiCe THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. FOLIGY VW Wpm Of ett�A OS POLICY NUMSER M M l.I1rR8 A COMMER01111.QeAIlRAL LM&ITY EACH v-'�5 1,OOD,O CLAMSMADC 7.00CUR j 48D1481M798 103/14/2014 03114/2015�POJNI�zs(Eeu�ccir�renca, 5 300,00 X usino"Owners t i MED EKP(Any one person{ $ a, i I I PERSONAL aAD'JLWkr{ 'e 1,000,00 1 GEN'LA0GRC3A-E.INOpI-APPLISSPER' ! i I GENERAL AGGREGATE S_. 2.000, IR Pour" ja LOC ` PI RODUC7S.CCMz;gP AGO S Z,000, AUrDWO !LIABILITY i u_ l� pKidOnC_ ANY AU":% I � I � 000I_7 IN,URY iPtroasani 5 ALL AS AWNED L��,'�$ t 7ULIEG I E P1jDl_(!N_URV;Pa a^adantl S —� E NON4o•CWNEL1 MOPEPTY AM • t HIRED AL709 AUTOS Pat accident, --�- WIeRILLAUAS qt{xlrt I EACH 0=CJ7REV_' S lltCla6tlAe HCLAWIS-MAD! I �AG(3RE*ATEWCOMM 5 DD K_T 1 N' I s VON S ATU7E Af00MM.0Y1lRS-L"LI Y �� A ANY FROPRIEIoaPAar�ER2K??Cu7N+? YIN N j WrwlLL FOLLOW FROM co 07HS12014 07/16/2015 E L Ffl ;ACC;CENT S 100, OFFICEFAVAS:REn.UDED'f HrA! T— bAerda"InNH) ( ITHIN 9 DAYS .EL DISEASE-E,,ENPLOIEE'8 00,000 R st,hEi'B "K VIF OPERA-I 1l I�w 500,000 a E.L.Or;EASE.PCU_r WAIT ; DgURPMR OF OPM710M I LOOAT1ONO I ViHCLRS(A00R010i,Addidonat RemaMe Schedule,Mey be attached IF more apace to raqulredl Sl[RTIFIC.ATE-HOL011111. CANCEL- N TOWNBAR sHouLO ANY of THs Asovt:oeecaase POLICIE6 BE CANCELLED BEFORE THE EXISMATION DATR TMBRSOP, NOTICE WILL eE DiLMMI[D IN Town of Barnamble ACCOMMUcs WITH THE POLICY PNO%AIIGNL 230 Main West Hyannis,MA 02601 ALITHDRLZEO REPI OSWATIV,E M 1999.2014 ACORD CORPORATION. All rights,reserved. ACORD 26(2014M) The ACORD name and logo are registered marks of ACORD TOWN OF BARNSTABLE CERTIFICATE OF OCCUPANCY PARCEL ID 273 085 011 GEOBASE ID 37651 ADDRESS 45 EVENTIDE' LANE PHONE HYANNIS ZIP - e LOT 15 BLOCK LOT SIZE DBA DEVELOPMENT DISTRICT HY PERMIT 38878 DESCRIPTION PERMIT TYPE BCOO TITLE CERTIFICATE OF OCCUPANCY . CONTRACTORS: Department of Health;Safety ARCHITECTS: and Environmental Services TOTAL FEES: BOND $.00 CONSTRUCTION COSTS $.00 756 CERTIFICATE OF OCCUPANCY 1 PRIVATE P Q ; . + sARN3TABLE. s FD MI�►I BVILDI I BY DATE ISSUED 06/07/1999 EXPIRATION DATE S ce-e G- S Q e ,� .. l 2-�,4 fv` `� TAnTIN OF BARNSTABLE I'F'I CATE.TE. GF OCCUPANCY .R .J PARCEL ID 273 085 011 GEOBASE ID 37651 ADDRESS 45 EVENTIDE LANE PHONE HYANNIS ZIP LOT 15 BLOCK„ LOT SIZE DBA DEVELOPMENT DISTRICT HY PERMIT 38878 DESCRIPTION PERMIT TYPE BC00 TITLE CERTIFICATE OF OCCUPANCY CONTRACTORS: Department of Health, Safety ARCHITECTS: and Environmental Services BONDL FEES: $.00 Ox�NE CONSTRUCTION COSTS $.00 Qi► 756 CERTIFICATE OF OCCUPANCY 1 PRIVATE R-1 + sAftNS'I'ABLE. • MASS. 039. A1O� :u BUILD BY DATE ISSUED 06/07/1999 EXPIRATION DATE __ ---------------------------- - --------------------------------------------------------co au S-ro I I i F ,x a y4, TOWN OF•-�BARNSTABLE CkRTfFICAT. GF OCCUPANCY - PARCEL ID 273 085 01.1 G OBASE ID 37651 ADDRESS 45 EVENTIDE LANE PHONE HYANNIS �. ZIP M .1 LOT 15 BLOCK LOT SIZE .� DBA DEVELOPMENT DISTRICT HY PERMIT 3€3878 DESCRIPTION PERMIT TYPE BCOO TITLE CERTIFICATE OF OCCUPANCY CON'rRACTORS . Department of Health, Safety ARCHITECTS: and Environmental Services TOTAL FEES BOND $�0D CONSTRUCTION COSTS 7561 , CERTIFICATE OF OCCUPANCY. I PRIVATE P `�;T'E. # BARNSTABLF. # 039 BUILD :. BY �. " DATE ISSUED 08/07/1999 EXPIRATION DATE THIS PERMIT CONVEYS NO RIGHT TO OCCUPY ANY STREET,ALLEY OR SIDEWALK OR ANY PART THEREOF, EITHER TEMPORARILY OR PERMANENTLY.EN- CROACHMENTS ON PUBLIC PROPERTY,NOT SPECIFICALLY PERMITTED UNDER THE BUILDING CODE,MUST BE APPROVED 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 OFTHIS PERMIT DOES NOT RELEASE THE APPLICANT FROM THE CONDITIONS OF ANY APPLICABLE SUBDIVISION RESTRICTIONS. MINIMUM OF FOUR CALL INSPECTIONS REQUIRED FOR ALL CONSTRUCTION WORK.-- —APPROVED PLANS MUST BE RETAINED ON JOB AND 1.FOUNDATIONS OR FOOTINGS F WRER- APP R ABLE, SEPARATE THIS%CARD KE T POS+ ED UN1sIL FINAL INSPECTION'' r 1 v *R l �' I ; -� E r PERMITS ARE REQUIRED FOR 2. PRIOR TO COVERING.STRUCTURAL MEMBERS HAS BEEN MADE.WHERE A CERTIFICATE OF'OCCU- (READY TO LATH)/ PANCY IS REQUIRED, SUCH BUILDING SHALL NOT BE ELECTRICAL,PLUMBING AND MECH- 3.INSULATION. OCCUPIED UNTIL FINAL INSPECTION HAS BEEN MADE. ANICAL INSTALLATIONS. 4.FINAL INSPECTION BEFORE OCCUPANCY. BUILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS 117 ` (1 2 2 � 2 3 1 HEATING INSPECTION APPROVALS ENGINEERING DEPARTMENT 1 I I 2 BOARD OF HEALTH OTHER: SITE PLAN REVIEW APPROVAL •I WORK SHALL NOT PROCEED UNTIL PERMIT WILL BECOME NULL AND VOID IF CON- INSPECTIONS INDICATED ON THIS THE INSPECTOR HAS APPROVED THE STRUCTION WORK IS NOT STARTED WITHIN SIX CARD.CAN BE ARRANGED FOR BY VARIOUS STAGES OF CONSTRUC- MONTHS OF DATE THE PERMIT IS ISSUED AS TELEPHONE OR WRITTEN NOTIFICA- TION. NOTED ABOVE. TION. BUILDI NG PERMIT '', AO Efigineering Dept.(3rdfloor) Map • Z ParcelOS5 `U Permit# A4,�h �T House# yJ� Date'Iss d 7 / ` - -nil �— Board of Health(3rd I7oor)-(8:15 -9:30/1:00-4:30) ' —p 7 Feeleak �r Conservation Office(4th floor)(8:30 9:30/1:00-2:00) to Gt 0 Planning Dept. (1st floor/School Admin. Bldg.) �,►+E (Definitive Plan Approved by Planning Board f -R.. � 19 �-e t C E BCNOaIMICS SEWER ON THE TOWN 0- ARNSTABLE C0 ratoaro i Building Permit Application Proj ddress l� E0fW J? u P vr' L�y✓LOT �s Village ` J Owner WIC4 eZ4 707Address , Telephone Permit Request Fes, First Floor �ad square feet Second Floor square feet Construction Type bAY-Od 1:;�Jcvw e , , cuo Estimated Project Cost $ Rd Zoning District Flood Plain Water Protection Lot Size j!!sf /6100 y Grandfathered &1es ❑No Dwelling Type: Single Family &r-' Two Family ❑ Multi-Family(#units) Age of Existing Structure Historic House ❑Yes 21To On Old King's Highway ❑Yes ff<0 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 No. of Bedrooms: Existing New _1 Total Room Count(not including baths): Existing New First Floor Room Count Heat Type an7es Gas ❑Oil ❑Electric ❑Other Central Air ❑No Fireplaces: Existing New Existing wood/coal stove ❑Yes o P g g Garage: ❑/Dached(size) Other Detached Structures: ❑Pool(size) Attached(size) W)c/ ❑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# Home Improvement Contractor# Worker's Compensation# 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 q:7 l BUILDING PERMIT DENIED AGHE FOLLOWING REASON(S) FOR OFFICIAL USE ONLY f - - .. _. _ • 3. `' _ .... - .. _. -. 'gas;[s PERMIT NO. DATE ISSUED MAP/PARCEL NO. ' ADDRESS VILLAGE w OWNER DATE OF INSPECTION: FOUNDATION _ - 1 FRAME • ' : a _ y INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL $ PLUMBING: ROUGH t FINAL,'10 t' GAS: RO #1 ra FINAL _ f FINAL BUILDING ! DATE CLOSED OUT 1 ; t ASSOCIATION PLAN Nfl f 3 I I...I �—` �I L� __ iL'Aa.;S'.FFMt=Q1_ . t i — �- __ 1 M4 I l -- I r i i r I . -1-��I�" �►D.� �L�-VafiTON — M _ 7 ' l � I I I . I / H i sracei:. _ N m A iftle, I : F• ... - .. .� ^ m I � • 1-3 0 Q ... e MI .._ __..... _.... ,i I I' i i n ro 1 — -- y N � ' I f 1 i ' l f AI . ;I I� tl �V ----f ' 7 6EAl1.. KL....-_. ... on =t 12 oc• \� 2xizR --I � o. IIII��I�PP � � r co3 ZX�{sTdDWdLLi R7YIN5U�. : _tip _ CB IDNU 2niza@ tlo':o.c,. 2*rz Card oc {J'i.t UL•., i. zAtz i ---- - -- -_ -.. . I i N I { 1 i! 1 N 1 �l L ;I i _— _ _- —_ULU_— � � " GbLL�P�?I STUDS LaR� Z><4.s,�1C-,°O c�LY7L1El.'DG'All.,Of'1:I'C�5 : , __Fia?K-�-c.la� Jo1sTs �i2ED.B.-S.SF�I�.Ih•l� L�oWC�.F�A.-.-. __.., _ . ... —@b4L of�Nll�s.�UNDs=.�> P�ff1"io --- . } m". --- ,� 1 ; Eli k k' - ............. kayaks-, _._-szz ___4�.2 ..e_.. _,�'.-,z_ :__ t � t ' 1 j " MIAJ I n� Zt "D c f:;' T . _ . , hl ,-I� I .j t I I1 r � If r t i 1 ( 4 I ;ham Pl y ^.. ...:.: ....._. _ ---- oF� The Town of Barnstable • BABDrs MIX • Department of Health Safety and Environmental Services Building Division 367 Main Street,Hyannis MA 02601 Office: 508-862-4038 Ralph Crossen Fax: 508-790-6230 Building Commissioner November 5, 1998 Anthony and Genevieve Buzzotta d/b/a T&G Builders 54 Pearl Street Melrose,MA 02176 Re: 45 Eventide Lane,Hyannis,MA Dear Property Owner Please be advised that an occupancy permit is required in the state of Massachusetts before occupancy of a new dwelling. Please contact this office regarding this matter. Sincerely, Al ed M in FE Building Inspector AM/km cFatt f The Town of Barnstable BARNSTABLE. MAR& Department of Health Safety and Environmental Services 059, �fo►�+ Building Division 367 Main Street,Hyannis,MA 02601 Office: 508-790-6227 Ralph Crossen Fax: 508-790-6230 Building Commissioner Inspection Correction Notice Type of Inspection _ i/✓0� Location -� ��� , �-� Permit Number 17 . t y Owner Builder One notice to remain on jobsite, one notice on file in Building Department. The following items need correcting:.{' '� ASS �(�-�' t� u✓� �� �.�= C"�1'� kr C r 1�.� ��.. P �U (sr �u n G�' l/2.( to 1 �' C '�t fly.t 1'� L A Ll,./ C.!_U"-,Vn' \jj (j u G W� y yN 2�q t) L goo-.._ )s' Svc1 2e (-,jW. 1040 6 UJ v,.jn u �U r Please call: 508-790-6227 for re-inspection. Inspected by �� pt' 0 Date The Common wealth of.1 fassac h usem. u:i! = ---`=•t::.,: Department of Industrial Accidents � Y - 011=8111085flgal/ores • : 600 11'aching ton Street 4. Boston. Mass. 02111 Workers' Compensation Insurance Affidavit t li :i irif rnt inn-•' ._.. rO TPRINT -E-.,._.,....,._.�.._.�-.._._�.-._...,.._,rr.----_- --- - m ocrtti n• p 1 am a homeowner performing all work myself. [I I am a sole proprietor and have no one working in any capacity r-1 I am an eniplover providing workers' compensation for m% employees working on this job. cootnativ name., address: tin nhnne#• insurance cn. nolicl.N [j I am a sole proprietor. general contractor, or homeowner(circle a ') and have h'red the contractors listed below who have the f llow v rkers' compensation oIices. ' cnm any nnmc• // . t addrrsc: �� cin•• d� hone ie• in-mrancc r_n'c�f� � relics•tt tom ant" nnmc �--� addresc r cite• hone#� insurance co policy 0 Attach additional sheet if necessary- —' __ --Ji' _ -' _ •`ice. •^• -y+-�+�+•• +.y w ��'_��_ `�- F:tiiurc iu secure covcrace as required under Section 25A of AIGL M can lead to the imposition of criminal penalties of a line up t SIS00.00 andiur unc c cars' imprisonment:ts well:is civil penalties in the form of a STOP WORK ORDER and a fine of S100.00 a day against me. I understand that a cope of this statement mac I c forwarded to the office of Investigations of the DIA for coverage Verification. !i10 herehr certift•tin 1 r p ins'at cnalties of perjure•that the information provided above is true ut d correct. Sicnature Date U' Print name Phone# 'rotTiciai use unh• do not write in this area to be completed by tiny or town Official `+ ' yin"or town: permit/license# r•Tlluilding Department C3Lfccnsing Huard (� check if immediate response is required C3Seleesmen's Office ►'_ C3I1eaith Department contact person: phone#: rJ0Ihcr P. Information and Instructions Massachusetts General Laws chapter 152 section 25 requires all empioyers to provide workers' compensation for tl, employees. As quoted loom the "law". an emphr ice is defined as every person in the service of another under ally contract of hire, express or implied. oral or written. An empki-er is defined as an individual• partnership, association, corporation or other legal entity. or ally two or me the foregoing, enaaued in a joint enterprise, and including the le ,al representatives of a deceased employer, or the rcceiver or trustee of an individual • partnership. association or other legal entity, employing; employees. However, owner of a dwellilm house haying not more than three apartments and who resides therein. or the occupant of the d\\!cllin�, house of another who employs persons to do maintenance , construction or repair work on such dwelling !i or oil the ,rounds or building appurtenant thereto shall not because of such employment be deemed to be an employ MGL chapter 152 section 25 also states that every state or local licensing ngency shall withhold the issuance of- 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 insas..:nce co-verage 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 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 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 lndustrial Accidents. Should you have any questions regarding the "law''or if you are require to obtain a workers* compensation police, please call the Department at the number listed below. . City or Towns Please be sure that the'af'fidavit is complete and pri:ited legibly. Tlte= Department has provided a space at,.the bottom the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. P1: be sure to fill in the permit license number which will be used as a reference number. The affidavits may be returnee the Department by mail or FAX unless other arrangements have been made. Tile Office of Investigations would like to thank you in advance for you cooperation and should you have any questic please do not hesitate to aiye us a call. Tlie Departinenf s address. telephone and fax number. The Commonwealth Of Massachusetts Department of Industrial Accidents Office of investigations 600 Washington Street Boston,Ma. 02111 fax #: (617) 727-7749 phone 'i: (617) 727-4900 ext. 406, 409 or 375 TOWN OF BARNSTABLE BUILDING DEPARTMENT HOMEOWNER LICENSE EXEMPTION P ease print. . DATE JOB LOCATION Number Street address S ction of town X"HOMEOWNER Name Home phone Work phone PRESENT.* MAILING ADDRESS J City town State Zip cod: The current exemption for "homeowners" was extended to include owner-occuv. dwellings of six units or less and to allow such homeowners to engage an is dividual for hire who does not possess a license, provided that the owner acts as supervisor. DEFINITION OF HOMEOWNER: Persons) who owns a parcel of land on which he/she resides or intends to side, on which there is, or is intended to be, a one or two family dwelling attached or detached structures accessory to such use and/or farm structurE A person who constructs more than one home in a two-year period shall not r considered a homeowner. Such "homeowner" shall submit to the Building Off: on a form acceptable to the Building Official, that he/she shall be resnon; for all such work performed under the building permit. (Section 109. 1. 1) The undersigned "homeowner" assumes . responsibility for compliance with the Building Code and other applicable codes, by-laws, rules and regulations. The undersigned "homeowner" certifies that he/she understands the Town of Barnstable Building Department inimum inspection procedures and requiremen and that he/she will comply id rocedures and requirements. HOMEOWNER'S SIGNATURE (J 72 , APPROVAL OF BUILDING OFFICIAL Nate: Three family dwellings 35, 000 cubic feet, or larger, will be requires to comply with State Building Code Section 127. 0, Construction Control. .. . - _. --.. .. .. �. C� t. . it i4��•.�. - r 1 .i ?� i' � ••4 t 1 r . rl' � ill :Vr \' • _ _. .- ( .. :,. � 'ryp�nyon�uea.� o�./�aaaac�ivaeCC DEPARTMENT OF PUBLIC SAFETY CONSTRUCTION SUPERVISOR LICENSE Nu�ber = Expires' Res[ricted�Tu µ00 ANTNONY 0 BUZZOTTA .,54 PEARL ST MEIROSE, MA 02176 �':fJi�MiSSVONFFI ..� THE The .Town of Barnstable s�rrer� � �,$ Department of Health Safety and Environmental Services 1619. ► Building Division 367 Main Street,Hyannis MA 02601 Office: 508- 0-6227 Ralph Crossen Fax: 508-790-6230 Building Commi! PLEASE FORWARD THE ATTACHED PAGE(S) TO: TO: ATTN: FAX NO: FROM: DATE: / 9 -,7 PAGE(S): / (EXCLUDING COVER SHEET G max:, " A IY/mil Western Surety , r " r r c Id f F @) j i LICENSE AND PERMIT BOND For County, City,Town or Village Only-Not Valid for Bonds Required by the State.Not Valid for Contract, Performance,Maintenance,Subdivision,Agent to Sell Hunting and Fishing Licenses or Utility Guarantee Bond. KNOW ALL MEN BY THESE PRESENTS: BOND No. L&P-4 2 4 8 218 2 That we, A e g of the of s , State of—Maggarb11CPtt, , and WESTERN SURETY COMPANY, a Corporationof a as Principal, duly licensed to do business in the State T ,as Surety, are held and firmly bound unto the r Barnstable , State of Magsar,bn-,Prr.; ,Obligee, in the amount (Valid only when a County,City,Town or Village is named as Obligee) of ...One Tho and Dollars and No Cents DOLLARS (NOT VALID FOR MORE THAN$25,000) ' )' lawful money of the United States, to be paid to the said Obligee, for which payment well and truly to be made, we bind ourselves and our legal representatives,jointly and severally. THE CONDITION OF THIS OBLIGATION IS SUCH, That whereas, the Principal has been licensed As a Builder (RE Location: Jh@JeW Road. ad Barnstable MA 02548)•by the Obligee. NOW THEREFORE, if the Principal shall faithfully perform the duties and comply with the laws and ordinances (including all amendments), pertaining to the license or permit, then this obligation to be void, othe`t� �+ �7+e1¢ n in full force and effect for a period commencing on the 31 cr .�e� � March day of � ^: s.�� , 19 9 5 and ending on the 11,q r day r , -1996 , unless renewed by continuation certificate. nc� iay': r1nmated at any time by the Surety upon sending notice in writing to the Obligee and to cipal, in the Obligee or at such other address as the Surety deems reasonable, and at the expira- £oil'1pf�hirty- vee days from the mailing of notice or as soon thereafter as perm itted tted by applicable law, w�otieyeiisa r;' 'bond shall terminate and the Surety shall be relieved from any liability for any subsequent ac$s; e Pri ,i, day of 1 Q U 5 I BY: i��rincipal Countersigned March 31 995 Principal WESTERN U Y COMPANY Paul P to B�. By i President �i ACKNOWLEDGMENT OF SU ETY STATE OF SOUTH DAKOTA (Corporate Officer) County of Minnehaha }ss f On this day of ,before me,the undersigned officer,personally `appeared Joe P.Kirby ,who acknowledged himself to be the aforesaid officer of WESTERN SURETY COMPANY,a corporation,and that he as such officer,being authorized so to do,executed the foregoing instrument for the purpose therein contained b r y signing the name of the corporation by himself as such officer. F IN WITNESS WHEREOF, I have hereunto set my hand and official seal. ' S.BARNES a S L UBLIC SOUTTH D KOTA �.` Notary Public, South Dakota ' S F.AL My Commission Expires 1-22-99 Western Surety Company © Form 849—6.93 ► �.,� , � :,:;.• 1-605-336-0850 -� -_+ TRAIJSMISSION VERIFICATION REPORT I TIME: 01/'29/1995 00:=1 NAME: FAX . TEL DATE,TIME 01/29 00:29 FAX N0. NAME 916176658215 DURATION 00:01:26 PAGES) 02 RESULT OK MODE STANDARD I FROM WILSON IHSLIRRNCE P.HONE NO. Jul. 10 19137 02:41PM P1 DATE M 9 017 pff: ACOR PRDouoEa THIS CERTIFICATE I8ISSUED AS A MATTER OF INFORMATION Wilson Insurance Agency Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 109 W. Foster Street ALTER THE COVERAGE AFFORDED SY THE POLICIES BELOW. Me1ros,--',, MA 0 Z 17 6 COMPANIES AFFORDING COVERAGE 665-1034 COMPANY A Western Surety CO. INSURED COMPANY T&G Builders F0 BOX 8117 Melrose, MA 02176 COMPANY D 22 NO Im THIS 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 WiTtl RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANGE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS. EXCLUSIONS AND CONDITIONS OF SUCH POLIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS, POLICY GPIPUCTIVE I POLICY EXPIRATION tTR TYPEOFINSURANGE POLICY NUMBER DATE(MM/DOrfV) PATE IMIAMIYYY) LIMITS COMP GENERAL LIAIMLITV 4 GENE8 AGGREGATF. 10P ACE-> COMMEACIALGENZAAL LIABILITY I NAL&ADV 1,14,1VAY $ CLAIMSMOLOf L I OCCUR PERSO I I OWNER'S a cewpAr-Toi;'s rRo-r EACH OCCURRENCE $ FIRE DAMAGE(Any one fire) S MED EXP(Any ama parson) ---FkUTOMO@iL6 LIABIL17Y 1-1 ANY AUTO COMBINED 6INC31.6 LIMIT $ ALL OWNED AVTO9 1 I BODILY INJURY (Ppr pot;on) $CI4.EGULEDAIJTO9 FHIRED AUTOS BODILY 1144IJA1' I S N0,j-0'A(NGD AUTOS I (Per aciDi4ent) PROPERTY DAMAGE $ GARA121.9 41ARILITV I AUTO ONLY-EA ACCIDENT I$ ANY AUTO OTHER THAN AUTO ONLY: FA04 ACCIDENT $ AGriAEGATr $ EACH OCCURRENCE $ EXCESS LIABILITY UMBRELLA POFkM I AGGREGATE $ i OT4En THAN UMBRELLA FORM j $ WORKERS COMPENSATION AND E EMPLOYERS'LIABILITYUL EACH ACCIDENT THE PROPRIETOR/ INCL EL DISEASE-POLICY LIMIT S PAF7NCAG/17YFC UTIVE OFFICERS ARE: EL DISEASE-EA EMPLOYEE $ A T`Freet Permit BID d$5 ,000 TBA i7/1()/97 7/10/98 STreet Permit Bond 'ON OF OPERATiONrdLOCATIONWVEHICLF:"Vr;CIAL,iTEMS • SHOULX1 ANI Or Y111 ADOVE DESCRIBED POLICIES BE CANCELLED SEFIRE THE Town Of Barnstable EXPIRATION DATE YHEACOF, THE ISSUING COMPANY WILL ENDEAVOR TO kdAtt, Barnstable, MA 10 0AV$WRITTEN NOTICE TO Tmr:CERTIFICATE HOLDER NAMED To THE LEFT; BUT FAILURE TO MAIL SUCH NOTICE SHALL I&IPOSE NO.OBLIGATION OR LIABILITY Of ANV KIND UPON THE COMPANY, ITS, AQSNT$ OR REPRESENTATIVES. AUT"ORIZED REPRESENTATIVE ft i, S f '� . t;. -a. : �� s �eJ 1 r , ��4�� i 3.Assessor's map and lot number ......F. .. .. . � � ._ UST CG�� I a of f Sewagx`�, Permit: number .......:... ..$d ........ , M EVVtR Z BARNSTABLE, i House number ............................`..T.`S...................::....... .... 9aMABIL O sb39- 9� TOWN OF BARNSTABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO .....construct s,ingle...family..dwell.ing..._....... TYPE OF CONSTRUCTION .............wood frame ....................:.............................................................................................. .............. anuary..1.1.1......19..89. TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location ........ #15, Eventide Lane HXannis,.................................................. ................................... ProposedUse .............................................................................................................................................................................. Zoning District ......R...B..........................................................Fire District .......H-Vannis..................................................... Name of Owner ..Capricorn RealtX Trust „Address ..765 Falmouth Road, Hyannis, MA Name of Builder Franco R.E. Dev.Co. Inc. .,.Address . 765 Falmouth Road, Hyannis, MA ........... ..... Nameof Architect ..................................................................Address .................................................................................... Number of Rooms ........... S1x....................................................Foundation .......P.C............................................................... Exterior Clapboard and(or shingles.............. Roofing Ashpalt Shingles............................. g ............... Floors Carpet................................................................... Interior .Sheetrock Heating Gas...F.W...A,........................................................Plumbing ...........a,.`f'ZQ-.CQR.Pgx..................................:.............. — — Fireplace Yes .......Approximate. Cost $50 000 00 Definitive Plan Approved by Planning Board ------- �____oZ___3---------19__ Area. ...1154 sq.... ...... Diagram of Lot and Building with Dimensions Fee SUBJECT TO APPROVAL OF BOARD OF HEALTH C '.4 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 . . . �4ZO. .. 000989.....Construction Supervisor's License ............................... N,? .................. Permit for .................................... ....................4.......................................................... • Location ................................................................ ............................................................................... Owner ............................................... Type of Cbnstruction .......................................... ................................................................................ Plot ............................ Lot ................................. Permit Grantbd ...... ....................................1'9 Date of Inspection ......................................19 Date Completed ..................................19 j. •? sesror's map and lot number .............. ........... � e THE o ,�§ewage Permit number .... ...� ........ 33>flB9T4DLE. i House n�umber ............................................ MARL D��o,t63q .. AEG MPS d\ TOWN OF BARNS.TABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO .....construct..snle family. dwelling ....... .. ......... ..... .......... .. ..... TYPE OF CONSTRUCTION wood frame . ...................................................................................................................................... Januar5!...11 .....19. .................................. .....• . . . TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: . ;Location ........Lot #15,:.. Eventide Lane.... ........... .................. Hannisr...M� ................................. Proposed Use ................................... : .......Fire District .......Hyannis Zoning District R.B............ ................................... ............................................................. Name of Owner .,Capricorn Realty Trust Address 765 Falmouth Road, Hyannis;, MA .................... Name of Builder Franco R.E. Dev.Co. InC. ...Address ...�6.5...Falmouth Road, Hyannis, MA ................................................................. Name of Architect ..................................................................Address ..................................... Number of Rooms ............X.. S 1 ...............................................Foundation .......P.C. Exierior Clapboard...and/or shingles............. Roofing Ashpalt Shingles .. g ................ .... Floors Carpet Interior Sheetrock ................................................................... .................................................................................... Heating Gas.. '.,W..... :......:.. ......................::. g Two—Cotaper .............................. Plumbih ....................,................,...... Fireplace Yes Approximate Cost $50, 000. 00 .......................................................................... ............ .................................. .............. �. a_3__ 115.4:.. a!... ............ Definitive Plan Approved by Planning Board _______�j______ _ ______19__�/l, Area .... s Diagram of Lot and Building with Dimensions Fee SUBJECT TO APPROVAL OF BOARD OF HEALTH /4 . 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. Ncim2eZr 000989 Construction Supervisor's License N,o ................. Permit for .................................... ............................................................................... Location ................................................................ ............................................................................... Owner .................................................................. Type of Construction .......................................... ................................................................................ Plot ............................ Lot ................................ Permit Granted ........................................19 Date of Inspection ....................................19 Date Completed ......................................19 ' P h V) Q, y 136) �. AZ 1% -OCATIOKI MAP scA� 0 i " = 2 000' N -o v, O ' Z_ i ........... 7/ 27 k �X r ,. CF` R£HWICK / CHAPMA}1 O �� "��sS10IYAL G " The OSC Crca n--Cape Cod Inc Madaket P'zce 312 R:xjte 29 BENCH MARK USED: / Mzsh�,eQ MA 110C ELEV . = 75 . 68 N . G . V . D . 02649 ZONE RC- 1 z E i7 477 2525 SETBACKS: (OPEN SPACE) FRONT 20 ' SIDE. 7 . 5 ' REAR 7 . 5 ' Pl-�OPOSED SEWER GOti��L y!��,i 1F C`j'1 it. FOR SEWER MAI�3 DETAIL. SEA_ PLANS D'� KAl--.K',j.NTe- ENG�tiEt=r;I^:S C0 IC LOT 15 1749 CENTRr,L STRE:FT STCUC-,�1T0,N ti'r. . 0;?�r72 (H Y a r7i r-I i S FOR' CONSTRUCTION NOTES ', { C`�i�r.L_I �'"i'J� Y T ' ! !. ALL UNDERGROUND U-11LITIES SHOWNWERE COV ==Il_�� t;�t;'��r iF:G Tti AV � �. .. RECORD PLANS FROM THE VARIOUS UTILITY ^E ?�: AND ARE APPROXIMATE ONNILY. ACTUAL LOCATIONS MU f FIELD. THE CONTRACTOR MUST NO1` IF '3 UTILITY C�} ;. `JKS 74� HC,L)R IN 0F C0MSTRUCT10N. THIS MA.YSE D 0 N E BY C0` � � ` Szeµ T h =' ". _ S C � .•.r G A w,4_ WORK t4 N:1 Pfi liT E R tt k L. .7 J H:+I.-l. l,• t.' 70 •ir t ... ': t s �l � �. ._ .. �}Y ,a � �.._ -_. ..... J� �f...v..,.<_......... .- ,. § t &• f o f t , DE . T. OF PUBLIC WORKS CU-N61' •{�ia I Sl 2- ..•. _ L#�" lit. s f rfssl • � ft= 3. F P 0SR 10 S TART OF C0NSl RUl3 i i C�' s`, y I I c._ P