HomeMy WebLinkAbout0082 CAPTAIN BELLAMY LANE ... / � '.
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CAPE. -
'INSULATION
' s _
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- . -IIYIR Y.Aii •>[Amtti3 iPRAT LOAM 4Y411N030 .- • 2 •
• -' " _ 2.-,R YAM 000M INSIIWS10N CMINOf
1-800-696-661141
'I•own ofBaunstable - a
Regulatory Services r a v
Building Division
200 Main St a
Hyannis, N[A 0260.1` ti. _ -
Date, a
Dear Building Inspector
Please accept thisAffidavit as docurrieptation that Cape Cod Ins,ulaticn, Inc. performed &.'
completed the insulation and wea 1 e iz ' 1 t e e li t d'b�elow.-Ca e Co�d
t l r anon 4vor c at.the property s e
1_ - P P Y P
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-1) inspector. All-work preformed meets or exceeds Federal`& State Requirements. �-
Property Qwxtez Property Address r= Village
4 yan f- 4A10
Insulation Installed: .Fiberglass '-Cellulose R-Value Restricted Uzuestricted
Coilings
Slopes
Moors
Wally �' ( ) (X.)r 1 (o?� ) ()e) )
.• -!+' w' .. ter.
t
t •
i I
Sincerely
Hejrye
L Cas, y Jr, President
Cod Iz , elation, Inc.
i
f x
f , TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION
Map �� Parcel �� Cgrp Application # L
Health Division J AM , 0 61 Date Issued V30//L/
Conservation Division Application Fee
Planning Dept. Permit Fee ic
Date Definitive Plan Approved by Planning Board
Historic - OKH _ Preservation/ Hyannis
Project Street Address �PW '� �
Village
Owner �a���,�/�j�f.9�� Address
Telephone,�f X 7-
Permit Request ,l „ 4egz
� 2 �s� G?/�a,�6 ��//u /�m�� -� T �f�✓�`�'
> i
Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new
Zoning District Flood Plain Groundwater Overlay
Project Valuation _ d Construction Type���i�/
Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation.
Dwelling Type: Single Family Two Family ❑ Multi-Family (# units)
Age of Existing Structure Historic House: ❑Yes J4 No On Old King's Highway: ❑Yes 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 z
APPLICANT INFORMATION
(BUILDER OR HOMEOWNER)
Name 4,Wd Telephone Number �{—
Address� �2 /?/14tl License # M
t/"'dw U Home Improvement Contractor# /J__� [� _
Worker's Compensation
ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO j
SIGNATURE DATE
4
FOR OFFICIAL USE ONLY
APPLICATION
PLICATI N#
, G
D&TE ISSUED
MAP/PARCEL NO.
ADDRESS VILLAGE
OWNER
C
DATE OF INSPECTION:
FRAME
INSULATION
FIREPLACE
ELECTRICAL: ROUGH FINAL
PLUMBING: ROUGH FINAL
GAS: ROUGH FINAL
FINAL BUILDING`
DATE CLOSED OUT
ASSOCIATION PLAN NO.
OWNER AUTHORIZATION FORM
y
1, Ly nvi l� c�44
m A ,
(Owner's Name) -
owner of the property located at
(Property Address)
7-1
(Property Address)
hereby authorize �Q- ,
,(Subcontra tor)
an authorized subcontractor for RISE Engineering, to act on my behalf to obtain a building
permit and to perform work on my property.
Owner's Sign re. w•
Date .
r
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/Electriciansll'lumbers
Annlicant Information Please Print Le2lbly
Name 1(Business/Qrganiza6on/Individual): /10,�,/0�_
Address: t a
City/State/Zi /I T t� o phone #• �,�-'5 Z 47'
Are you an employer? Check the appropriate box: W
1.� I am a employer with�,�� 4, ❑ I am a general contractor and I Type of project(required):
employees (full and/or part-time).* have hired the sub-contractors 6 ❑New construction
2_.❑ I am a sole prbprietor or partner- listed on the attached sheet, 7. ❑ Remodeling
ship and have no employees These sub-contractors have g, ❑ Demolition
working for me in any capacity, employees and have workers' `
[No workers' comp, insurance-:° : comp, insurances 9, Building. ❑ g addition
required:] S: ❑ We are a corporation and its J 0,0 Electrical repairs or additions
3,❑ I am a homeowner doing all work ' . officers have exercised their 11,❑ Plumbing repairs or additions
Myself [No workers' comp, right of exemption per MGL 12:❑ Roof repairs
insurance required.] t c. 152, §1(4), and we have no
3a.❑ I am a homeowner acting as a employees. [No workers' .` 13,R OtherL,t',/��G,�
general contractor(refer to#4) comp•insurance required,]•
*Any applicant that checks box#1 must also fiA out the section below showing their workers'compensation#policy information.
Homeowners who submit this affidavit indicating they are doing aA work and then him outside contractors must submit a new affidavit indicating such,
'Contractors 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, 1f the subcontractors 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, Lie. #; /�C,9�i>w, g-"J�a
Expiration Date:
Job Site Address: City/State/Zip:-. r— —
Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiratitia date).
j 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 imprisoninent, as well as civil penalties in the form of a STOP WORK ORDER
d 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 insuranc e.coverage verification,
I do hereby certrfy unqVr the p�and penalties of perjury that the information provided above is true and correcs:
St a
r N
r Date:
Phon #•
Official use only, Do not write to this area, to be completed by city or town ojjiciaZ
CIty or Town: Permit/License #
Issuing Authority (circle one):
I. Board,of Health 2. Building Department 3. City/Town Clerk 4. Electrical Inspector'5. Plumbing Inspector
6. Other
Contact Person: Phone#:
f
_ --' CERTIFICATE OF LIABILITY. INSURA CAPECOD•27 KLIGETT
DA:6/13/2014
MIDDIYYYY)
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 policy(les)must be endorsed, If Sl18ROGATION IS WAIVED,subject to
the terms and conditions of the policy, certain policies may require an endorsement, A statement on this certificate does not confer rights to the
cordficate holder In lied of such endorsement s),
ADDUCER
o ere&Gray Insurance Agency, Inca NAMTA
E:CT
g y NAM Barbara DeLawrence
34 Rte 134 PHONE
outh Dennis,MA 02660 ti ( e — FA c No; 877 $16 2 6
ADpA�bdelawrence r �L-�-L S - �-— _
a ers ra .com
INSURERS AFFORDING COVERAGE �—
r - INSURER A:Peerless Insurance COmpany NAICH
'S REA —
i{ INSURER B I C EMMO RCE I USN RANG-E C qNY -Cape Cod Insulation Inc INSURERC;Evanstonanc�Company
1 18 Reardon Circle
South Yarmouth, MA 02664• INSURER D;ATLANTICOHARTER INSURANCE'GROUP^
INSURE RE: -
OVERAGES INSURER F: _
CERTIFICATE NUMBER; '
INDICT IS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUEp TO THE INSURED NA REVISION p A OIVE FOR THE POLICY PE
ATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT R;TIFICATE MAY BE ISSUED OR MAY PERTAIN, THE'INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
C}USIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY-HAVE BEEN REDUCED BY PAID CLAIMS, UMENT WITH RESPECT TO WHICH THIS
R TYPE OF INSURANCE POTICY EFF . POLICY EXP
X COMMERCIAL GENERAL LIABILITY` POLICY NUMBER MIDDIYYYY MM/ IY
l LIMITS
S I CLAIMS•MAOE I X OCCUR CBP8263063 EACH OCCURRENCE $ 11000,000
`'-� 04/01/2014 04/01/2016
h PREMISES(Ee occurrence) $_L
' 100,000
6
_ _...^-_. .=_•-•*--' r �^ MEDEXP(Anyone person) —,$ 0
GN'LAGGREGATE LIMIT APPLIES PER: " " PERSONAL 8 ApV INJURY_ $ 0
POLICY E]JECOT LOC i - - GENERAL AGGREGATE $ 0OThIER PRODUCTS COMPIOP AGG $
$ 0
.AUTOMOBILE LIABILITY $
I
COMBINED
SING E LIMIT ANY AUTO 14MMBCKVMK- Eaacci ern $ 11000,000
ALL OWNED X SCHEDULED _ - o .04/01/2014 04/01/2015 BODILY INJURY(Per person) $
AUTOS AUTOS _
— --. _
HIRED AUTOS X NON-OWNED_ BODILY INJURY(Per acciden0 $-
AUTOS w PROPERTY pAMAGE -
Per accidenl $
X UMBRELLA LIAR X OCCUR
EXCESS LIAR CLAIMS-MADE XONJ453614 ' EACH OCCURRENCE $ 11000,000
DEO X RETENTION 10,000 - 04/01/2014 04/01/2016 AGGREGATE
WORKERS COMPENSATION _ Aggregate $ "--
ANb EMPLOYERS'LIABILITY _ $ 11000,000
ANY PROPRIETOR/PARTNERIEXECUTIVE YIN ; - OTTH-
OFFICERIMEMBER EXCLUDED? NIA - WCA00525904 06/30/2014 06/30/2016TAT TE ER
i(Mandatory InNH)• E.L.EEACH ACCIDENT $ 1,0
ll YSC IPTI be under I a E.L.DISEASE•EA EMPLOYEE $ 11000,00
DkSCRIPTION,OF OPERATIONS below -
I. yt E.L.DISEASE•POLICY LIMIT $` 11000,000
TION
erP q OPERATIONS 1 LOCATIONS I VEHICLES (ACORD 101,Addltlonal Remarks Schedule,maybe attached If more apaoe Is required) i
ar Co CoComponsatlon Includes Officers or Proprietors,
io al Insured status is provided under the General Liability and Auto Liability when required by written contract or agreement with the Certificate
Holder.
i
rIFICATE HOLDER
- CANCFI I A lnm
Kassitchu_setts -Depaftnie'nt of PUbi% Safety '
i J � "pAard of Building Regula;Eons p'ndr Standards .
Xommiction SupVvvisor
License: CS-100988 n
• ;- \\`.tip I I� r,r% - ib� -- �, �'- .
11-1L,NRY.R CASS]l��(' r%
8 S11-F,A,ROW
WEST YA11MOLM-1 �l
Expiration
Commissioner . 11/1112015
l/yyL o2GG' ilea,6ddGZC'/'liGl•JE�
, .
Oflice of Consumer Affairs and Business Reguhation ;
10 Park Pima Suite 5170
Boston, Massach�isetts 02116 "
I Io1fie Improvement Cq ra�cjtor Registration _
Registration; 153507
Type, Private Corporation
Expiration: 12/15/2014 Tiff 2.13931
CAPE COD INSULATION, INC
t: ::::.
HENRY CASSIDY .`. .`a(. ', ',. __ __...---,._._.............-..... —
,4
18 REARDON CIRCLE 1�V f� �_�_� _._..._..:..._..... . ...........:...........^ .
SO. YARMOUTH MA 02664
,,.1..•,;; ,".. "'Update Address and roturri curd, Mark rcasim I'or chauga
`,.
5 .;uni unr i i
[� Address Reul:wal Ej E16ployment I.] 1.ostCard
b.
'�ilrs `f(�r.�aaar�r.�rr•rtuutlll c��C�'��t;,dcaG6lwlilYJ � „- ,
Orrice ut'cbn Nil nI!r Affair$& 13usinass RVgulnPiuu, license ur registration vnlid;tbr ir.ulivillul use only
OME IMPROVEMENT CONTRACTOR beforo the expiration date. 1f found return to;
' ogistration: 16:3, 67 Type; office of Consumer Affairs and Business 1lobulation
< Lxplratlon: 12/T5/201 A Private Corporation 10 Park Plaza-Suite 5170 '
Boston,MA 02116
(OD INSULA-1.1.ON
lY CASSIDY
-"AR00N CIRCLE
(r1 M01-11•-1, MA 02664 llullerSCl't'el'al' ^- T -
y of val• witho t flare
II
r' = -Z'30 /,Pz ,
c�lwcro
The Town of Barnstable
} 7A1771"`rur. Inspection Department
� �
367 Main Street, Hyannis, MA 02601
�0 Y�Y Y' •
508-790-6227 Joseph D. DaLuz
Building Commissioner
December 281 1993
Ms. Lynn Andrade
82 Captain Bellamy Lane
Centerville, MA 02632
RE: A=230 183
�_82--Captain Bellamy Lane, Centerville
Dear Ms. Andrade:
At the request of the Centerville-Osterville-Marstons Mills
Fire Department an inspection was made of the metal chimney
at the above referenced location. The height does not
comply with the requirements of Section 3408.3.2.6 of the
Massachusetts State Building Code.
Please contact this office immediately re the above matter.
Very truly yours,
A fred . Martin
Building Inspector
AEM/gr
cc: C-O-M.M. Fire Department
Northeastern .Mortgage Co./
'rafs.ji+',`"-'. �maaa*"-&•s+'s-s+Wwa�i..'4'it�........a:a-...-+4 :r..+G.. x,Vv :�7{c.. y _� xrfS.Y'Fy�-v ,.t.7 �,�,,,e,-tSA^i� y�. .,, ..ve,.r,Y.s r-.c="i':sa�e:-Tr'ti`.i+�`=u'°",i°"-"T'd
.. . ..:, WN
�> a OF BIARNSTABLE permit No: __ 28199
TO
------
Building Inspector F .
� m .> .Cash. ----- — -- --
I P TA
OCCUPANCY PERMIT Bond
Isst:ed to Greenbrie �Corp. Address
r.-
Lot 412, 82`Captain Bellamy Lane. Centerville
Wiring Inspector `� Inspection date �c
Plumbing Inspector � .la. Y i !I \. Inspection date
� ) {
Gas Inspector (�{vn 11. l.J� Inspection date �.
Y Engineering Department. f �! f , / f Inspection date
Board of Health 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 AND IN ACCORDANCE WITH SECTION 119.0 OF THE MASSACHUSETTS STATE
BUILDING CODE.
i
,�'` — Building Inspector
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TOWN OF BARNSTABLE
BUILDING DEPARTMENT
Z BASEST : TOWN OFFICE-BUILDING
rua ,.r-
q' i639• HYANNIS, MASS. 02601
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p.
MEMO TO: Town Clerk
FROM: Building Department
DATE:
r An Occupancy` Permit has been
issued for the building authorized by
r �'/ /
Building Permit $k.�.............. ......... ..:..........................................
�....j.............................. ......:......».......... :...»...»»...»......
issued to ......... t �L �... � A .... »...»j..
Please release the performance bond:
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C
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S�T3s+cKs r 3
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PRO TEcric ,ov P�2 4 R?7 M
5 cr L1 L �,E. 7'rJiy/�46,112.s{ W
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CERTIFIED PLOT PLAN
OF
O Cy
g OBE �� T /Z �A P 7. 13,Z-4 1 4�7 y
BE
No. 19367
o� IN
iL
SCALE, / —40 DATEDRfr
GE E GN11EE lNG C •l CLIENT2o�•z I CERTIFY THAT THE F,,,Intl-)A-rl v
E013TE ERER D. REGISTERED J06 NO. &30 9/ SHOWN ON THIS PLAN IS LOCATED
C VIL LAND ON THE GROUND AS INDICATED AND
ENGINEER 8URVEYOR DR,BY, CONFORMS TO THE ZONING LAWS
OF BARNSTABLE , MASS.
CH.BY,
712 MAIN STRE-E.T /
: b H YA N R I S, MASS. SHEET ,.0F / 3 ���
D TE REG. LAND SURVEYOR I
• —TA-GAT o K, ��, � a /aG��r c-m•�°
- , ...I.......t...... ` THE
Assessor's map and lot num ber w�.�3Q.:": ....�L of ro
Sewage Permit number- .....`....... r-� _ O `� ' TIC SYSTEM.MUST
.................... .... .....
A' p 1 r t
�. �C �,.,�� 4 �LLED'IPI COMPL STABLE, i
House number ....... .............:................ WITH TITLE 5 900 ,,"b
EMONMENTAL CODS
F TOWN . �OF BARNS' � � Is
BUILDING INSPECTOR
APPLICATION'FOR PERMIT TO ..!o, --$r.:&mc:r....1?W. . ....W........:....................................................
TYPE OF CONSTRUCTION ... .......................................................................................
1
_l u t tf—= Z 6 a35
................................................
TO THE INSPECTOR OF BUILDINGS:
The undersigned hereby applies for a permit according to the following information:
Location ... ...... TAIt ......
.......- , t\1.........A,V ........ Ml /4s+-- ....................................................
ProposedUse11.L..Y..... < -U..,,q...............................................................................I.........................
Zoning District ...t4'Z. .—J. C�NT6tZ�}I� aSTF�2 i
......................................................Fire District .......................:....`..':...............V.�................
Name of Owner CA> ....................Address .1�.. ; ..x......./d....C
Nameof Builder .............�FAIK ...........................................Address ....................................................................................
Nameof Architect ..................................................................Address ....................................................................................
Number of Rooms .....�.�.kx........................................................Foundation ...............................
Exierior .W. r .....K1.! "-'5...... Roofing ..........................................
Floors ...............................................Interior ..Su 'a- !C.....................................................
Heating!!! ........ ..Y.... .*..............................................Plumbing ...?r..Ala-Fh1 ..........................................................
Fireplace ..............................................:...................................Approximate. Cost ....gS.oda.....:........................................
Definitive Plan Approved by Planning Board AR __�_`L_____19 85_. , • Area 7fl�4F
Diagram of Lot and Building with Dimensions Fee
SUBJECT TO APPROVAL OF BOARD OF HEALTH
GAt�
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 ... .............................................
oa 193`7
Construction Supervisor's License . ..............
GREENBRIER CORP. A=230-119
No .... Permit for ..... s. 9 r Y...,9.i\j e
family dwelling
...............................................................................
Location ....Lot.. Bellanly.
Lane, Centerville
................................................................................ } �+ rI� t, T -
Owner ....... ..Corp......................
Type of Construction ....frame
................... %
........................................................... ..........
Plot .........................I... Lot ................................
Permit Granted .........J!4y..1i................ig 85
Date of Inspection......................................19
Date Completed -.I�.�.. ..........19
&A,
0
M
>
61
cr
Assessor's map and lot number .. ?. '.0.5.................. oFT E To
Sewage Permit number- tn.................r-�......�.U.........`
Z BA"STADLE. i
House number ......�.....�:.. 5........................................... 900 39
�EpMAI a�
TOWN OF BARNSTABLE
BUILDING INSPECTOR
APPLICATION 'FOR PERMIT TO N,v4 ......�t......
TYPE OF CONSTRUCTION ........ .................................................................................
c, Z... .19.��.
TO THE INSPECTOR OF BUILDINGS:
The undersigned hereby applies for a permit according to the following information:
Location ...1 4, .#.2 ..... ..... ...... ........ /�L?Fo,L!! ?-W...................................................
ProposedUse ........................................................................................................
` SZoning District ." ..................................Fire District
Name of Owner .A-Sxig-,,�E eta.... ... .. :.....�.C..,. ....................Address
....................................................................
Name of Builder Address
Six ................................... ......................................... ......................................
Nameof Architect ..................................................................Address ....................................................................................
Numberof Rooms ..sl.X......................................................... P'vu -� ....`=car l4._:L �.............................................................. .....
Exlerior W...5;�i,:!--.%,,V.<......Roofing ...
Floors VlN.YS- ..- < f2 ?ram ............. .............Interior ..Si-j- K
HeatingW4t S.......... �5..............................................Plumbing .. -.. t� ..........................................................
Fireplace ..................................................................................Approximate. Cost
Definitive Plan Approved by Planning Board _____I -19�5_. Area .........................................
Diagram of Lot and Building with Dimensions Fee
SUBJECT TO APPROVAL OF BOARD OF HEALTH
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 ...4%c" - / .............................................
19-�s'T
Construction Supervisor's License 01.j k-3:74 ..............
GBEE0BDIEB CORP. A=230-1-�9
. N-,3 . .
_J�o~
~ �
No ..... Permit for —1. stgXy....5iagIu.
'
dweIl'
��v���.----����-------------__..
Location ......Lot.4f2.....82''Csg,taiiT'�Bellafny `
.................. ___________ '
Owner ............ ..Cor.n....................
Type of Construction .................f.r.ame----..
--------------------------'
Plot ............................ Lot ----------'
-
'
Permit Granted .................... .+f.....lg 85
Dote of Inspection ------------lg
Date Completed ......................................
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