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AH8STABLE, House number ....................... ... ... .................:........................ 1,r_ vamInu b 9NAS�0 a 1639. 00 E"RONMENTAL, CODE A 0 MAI ^� F TOWN ;OFy,BARNS X` T1ONS LCT.TO APPROVAL OF BARNSTABLE CONSERVATIMI BUILDING; IHSPE'CTOR APPLICATION FOR PERMIT TO ` TYPEOF CONSTRUCTION ..........:.........:.........................:...................................................................................... C3 c-1-3 ................................................ TO THE INSPECTOR OF BUILDINGS:` 4` The undersigned, V hereby applies for a permit accorng to the following information. j Location `G 't' 19 �/a� 20�d � �i �cv �.f/� 714an-,o ............ ....................................................................................................................................................................... ProposedUse ........................... .j. .......................................................................................................................................... Zoning •District ........................................................................Fire District .............................................................................. Name of•Owner ..... Gt 1... 'Ylvslna'1.�..................Address ... .'.¢c..d.aJe... .... `f...... rfcY6.4�le Name of Builder . ]li/y FV :s� ��iue �'y1�+ K JyJ�Zls Address ... ............. -.......................................... Nameof Architect ..................................................................Address ......................................................... ' Number of Rooms .:..............:...../.........................................Foundation .. GGecs� ��cc C � �.. ................................ .........Ac................. ' Exterior .......,1.✓. �'i P �G ...Roofing t�'/' '6�vG�Azc- t ............................. ................................................. Y Floors /4 .Interior ��G�T � �.. . ........................................................... ...................................... ......... �r- - Heating` ..:. ec f fli p h 4511E�,................Plumbing ....4�?....41.Jl.d.....!/s ........................ Fireplace ........ 7-/6...... .....`....`.,...............Approximate Cost ........ Definitive Plan Approved by Planning Board ________________________________19 Area ......f.�3�19.....1 Diagram of Lot and Building with Dimensions Fee ......................... • �.... SUBJECT TO APPROVAL OF BOA OF HEAL H �QO 0 COAJf ,. �4 Li 2114 3 C I Zy ,1 Ar ✓" ~ -- Z. a-3 _ I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name . ....:.. ...................................... MARSHALL, PAUL `y 2 2 7 3, "'Permit fo O e 1/2 Story . ...........t.. 4 ... ........................ Single FamilyD ling & Garaa . • e ................................. ......... m Location-.Lot #19 496 Elliot Centerville.................................. _ Owner ...Paul. . ...Marshall. ............ .. .. .... ..... ............... ................. }. • Type of Construction .....E'V.a e....................... ................................................................................ { Plot ............................ Lot ................................ f December 8 80 Permit Granted a Date of Inspection .//j .19 a Date Completed ............... .d' ....19 � PERMIT REFUSED ..... W. . . ...f............................................... BY. . ��. ................................................ tu :................................................. t ..... ..... .. R ® M � f1• Approve'md ..... ....................................... 19 ............................................................................... 9 1........ ......................................................... � Assessor's map and lot number ............................................ Tr -, 7NE Sew,yge Permit number .. .. d.`... .". ............................. Z 3JflH9TAXLE, i H se number ......................1 6 .......................::1.......... rasa � 9 Opo,1639, \0� 'Fp M0 A,• TOWN OF. BARNSTABLE BUILDING INSPECTOR APPLICATIONFOR PERMIT TO ............................................................................................................................. TYPEOF CONSTRUCTION ...........................................................................................�.?.......................................... -f 3 ........ ...... ............................ TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location ..............`.................................�.........J........`...`...........:.`:. .1...'.`.. ............:::...;.?J...:.............. ............................ ... ProposedUse ................................t f .::...................................... .......................................................................I......................... ZoningDistrict ........................................................................Fire District .............................................................................. Name of Owner %•. ! .�•i... . `:It... '�...... '.:. .....`:.:.�`. Address ............................. Name of Builder .... 1:Y.�:'.?...�' ...L' �k^e: . :L..........Address ..: !: .. ?s> 4„r,,�.:.. ".:......... /.`. ........I 1>1:.1j::. Name of Architect ......Address .................................................................................... ..................... Number of Rooms .....:............... �. Foundation "� ` 4 k'u f . - i'`c:' ............................... ...................................................... .................. Exierior /✓ •� �< /'`,; a•� ! ...Roofing / a, s.'............................................... ................ Floors ........ .r�ra. ...Interior ........ �....: :; ....... .......... ............................................................. _ -Heating ,'! .. .. •, .. ......y....: g ....`:...............................................:......................... Fireplace � „f ............... Approximate Cost .........<t.../.. ................................................................. Definitive Plan Approved by Planning Board ________________________________19--------. Area >.....!.�f:.� ' Diagram of Lot and Building with Dimensions Fee " SUBJECT TO APPROVAL OF BOARD OF HEALTH _ C1cr :.r r { _4 �UV 1 � t _4 t r I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name ... : .✓�..... ju�..%t ...'............................... =2 27-122 0 MARSHALL, PAUL— No Permit for ...One„1 ............. Xiy 1.e...F.ami.ly...Dwelling... ...Gjar.age . ... .. .. ....... .... ....... .. Location .LPt...#.1.9...4.9.6..Zll.iot...Rd....... ................. rmiup.................................. Owner .... ............................ Type of Construction Fr.7/1' ........................... ................................................................................ Plot ............................ Lot ................................ Permit Granted .....December. 9 80 ...................... ... Date of Inspection ...................../............19 Date Completed ..................;....................19 PERMIT REFUSED 9.................W.. .... ............... ........ .... .......... .. ... ..... . ... ...... .... ........ .7....ar.92uk . . . . ............................... ............. ..................2--.-............. ......... . .. .......................... Approved ................................................ 19 ............................................................................... ............................................................................... TOWN OF BARNSTABLE Permit No. ----------- ----------_-_----- 1 IImn.n, Building Inspector 0YLCash ------------------------ _Y ,E7q. VIXOCCUPANCY PERMIT Bond ----—_ "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 Address tVillc Wiring Inspector Inspection date Plumbing Inspector Inspection date Gas Inspector Inspection date Engineering 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. ..................................................... 19 _ _ .......................................................................................... . .... .�. ._._ Building Inspector Assessor's office st Assessor nap n1d lotlnumber �. /,26 Gf` isl�'.� AL�.ED IN COMPLIANCE O`THE TO z WITH TITLE 5 Board of'Health(3rd,floor): ENVIRONMENTAL CODE AND Sewage Permit number �`Z�' i Engineering Department(3rd floor): r L TOWN REGULATIONS DAUNs LE House number 'T�/ . s °° 16}9. Definitive Plan Approved by,Plnning Board 19 T i � 'APPLICATIONS PROCESSED 8:30-9:30 A.M.and 100-2:00 P.M.only µ i TOWN . OF BARN BUILDING IN.SPECTO �f APPLICATION FOR PERMIT TO tT't a t--) .TD db, fO ELLI r,)C, TYPE OF CONSTRUCTIONe)-O 19 �+ t G TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location A-16 12 l i 1 c�,l C� O—EFOTEER.".)I we i Proposed Use �tSI gC�JTl6'�, Zoning District Fire District CjgE�-[7EP_s t LL E Name of Owner be. PNoL t'v`Ne�-%4Nu-- Address k-Z 1�E. Name of Builder �� tS ��' � �� Address ' o)O 3�2 uPt2�S art, Name of Architect ZoLoe Address Number of Rooms - Foundation Exterior Roofing Roofing Floors Interior �f✓f ` Heating 02'�`C— �"V y`f'P Plumbing Fireplace � —� — �TZ5 Approximate Cost �b Area Diagram of Lot and Building with Dimensions Fee . OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town of A Barnstable regard' a abov const ion. Na i Cons io erviso License OI t " E1LL D cam_ - ` ✓/s ADD TO ��- '�' .: DWELLING ,No DWELLING For _ Single-Family Dwelling Location 496',Elliott Road - ' Centerville Owner ;- ~" Dr. Paul-Marshall 7 Type of..Eonstructiori ` `Wood , 75 ._ # Lot tPlot f`. .` `'..ell � .. ..:,,� ,�� t'.� *r s 5 .�,' „ � e - _•; `. t Permit Granted 5 I June J6 I f �1 g 92 <•t3 s ate,• '''i ,, # ! t 5 � }, � f i t �5 �. Date of Inspection' '� # ;19 f m Date Completed- ru J' ' e+4 :F Tt t i . 1 DEPARTMENT OF PU13UC SAFETY { COMMONWEALTH S, f OF 1010 COMMONWEALTH AVE. r MASSACHUSETTS BOSTON,MVwll ASS.02215 ENCLOSE CHECK 01.MONEY ORDER - 1.10ENSE 4 EXPIRATION DATE 7451 CONSTR.. SUPERVISOR FOR REQUIRED FEE M 06/30/1993 >, MADE PAYABLE TO s EFFECTIVE DATE LI N 6 C O. RESTRICTIONS NONE = 06/30/1991 000346 € "COMMISSIONER`OF PUBLIC SAFETY" DO NOT` Np J ASH�' STANLEY ''STPETER e � . `~:.,. x 3691 MA IA BARNSTABLE .WA. 02630 P" EASg NOTE FEE • INCREASE (BLASTING OPR ONLY) FEE: ;� Al � .21991 - 100.00 E! FECTIVE ;F,E;B� 1. 989. ::� + HEIGHT: NOT VALID UNTIL SIGNED BY LICENSEE AND OFFICIALLY i.`, ,+_ - •u S • .STAMPED-OR-SIGNATURE OF THE COM STONER r . +7 ... -;.. , 0:{ NOT DETACH -LICENSE' STU THIS EDONTWHE FMUST BE G` + SIGN NAME IN ULL•ABOVE SIGNATU�iE-LiR1E CARRIED E THE PERSON OF I t SIGNATURE F LICENSEE THE HOLDER WHEN ENGAG 1 Y OTHERS-RIGHT THUMB PRINT ED IN THIS .QECUPATIO j ..tt �AC` COMMLSSIONERF r: r•.;' 20OM•2-87.81429 K3 n .e * , ?,10 10 a . ! I , e r , r �• a 'f f r Av Ile vt t ' VVV V tF ' i ' t R M �4 ;;r .. _ � «. p:. �`' a �• _ � ♦ s�pAp3 ,.-- � �r♦�-��`-■fie{ 3 'c is .r �, r - .. 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SET BAG k = /o � �o• �� , _ LOGUj � . - LoT /9 L/E S /.k/ F.L ao D 6/.927A,2 D B, � C THE To!rJ.v aF Br9.e.'✓STA13L1= F/QJy, ....r•:-�::.�', efl, i II , �omr)lv,v,T'tv x:?.9wEL No z Sao f - ooa8 - G F_F_VISEtD Ad om G3o s�z 77 i o O � L D eUS MAP i i 4 � • I ,yor�s /•) ALL ELEVAT/QNS SNo�'N f2EF�/? 7 • TXL� rJ�' T/ON AL- �,EaDE'T/G VERT/GAC 1 i .�ATVM of /92 9 (N 4 V O - 29) 2.) pM. USE O To/� o�' Foc/.vDAT/o N AT o`4 96 - \� T �T / f � O � � Et_L./oT ROAD .e5 ,SNoi••✓r/ onr 2EFEQENCE Q m �° 'v 9Q 8 -• TG jA n/D. 1 - /YA/L SE T /N ¢' .SCe 0e DA k o100, - - OFr �! TB'y /✓e 2 - P'L NA/L FO UAfw /N 4.S^1 ALT O'e/vE' Q /3 _ Gov // �� a FL = //. /G � � o Locus - { r I FJAtJL k, AM r' k. MAe5N,oc ¢� TNT /.vfvenlATioN SNow.v NE AEON :co),4S y( h 3t89- 333 xeol-f ,41w/L ,ed4_zE OEEOS Af✓O PLAA15 OF .eECo,eD AV /N GAQT c eolj j m LE AWN h a>t y o i / I I `I t�•7' Q E FE,2 E�/C E S i Q SAh/.ET E. McRRlS 4�' v I _ / rP •� ,c�A2r e✓J%.oGe CoaAlTY eE�IST/2 % O� DEEDS /. /. � 3 saw-¢ ,3 9 1 P,4 , �'t4 3.33 / / //d�►1 r 40e0,S AL/9N - 13ooA::. 3os, �4. 42 — 4-5 I Obox / TofyN o A�NSTA/3GC c�R� MAP,ass�s3 Nam. z2e- � 22-7 scnn� / 0 t - £3oR� O of NEAGTN F�ER M!T No. go- G zG 2 / TA/Jk t ► � � / / ,o Of 1 Or/v-�x,9eelo 0TloNf�4 P 2 3V ., � V � 1 ;� / /� �3 � /� ENTER v ac.S MASS Fog DO. P�9UL i"�.PS</AL L� 1 }, crrli-rrJ' sin v,c�S , - � , T�v /var 3 /9�9, P2E A �o r3Y, t _ o R rJ,�N .- : J N F L� /J T T I' GE F Tf-+E '9► -f t - I Q 2) PGAN ANT"re-70 "LOT 20 C LL/aT 120 90 Yl �v t � 1 � ,QirO ti�¢E rA7EL oa CCE��:EtY/t.,cE) E�R1✓`TRB�F , /'�A ' ��c va��D Fc.J,� ` Q i 12 0 v 9* �\ \ \ T N,� Tc Aw o / �� 0���/EL Nos TE rr� e vArE o /✓o v. 20, 199o, B Y �\ � � Z � � �, ) I � DEC, • �° , �\ � s \ � '� �� .y k \ \ \ k IN ck 10 \ \ N� f Nay </qy y I a 0 , r✓ _ . . � 1. - " B�e_E CkLsN � ° - ► t 1 ,/ \� � Dons- 3¢,B3 � - - � . - � � �r �, a . �� A,2 N � , `� ) . � 1 11 ( _� � � �? - � G C. S•� -. � � 1 � ,�-rtt7foN F��G6, o 7 I Q < l �'• `` l ` PiQ L A 1/'J. STE 1 _ zo �� - q r '�@ �• t. /30 / 496 E L L I 0 T ROAD 1 x c 5 •t ` � o 44- JPA 1�2- - - FIE SE RCH a v1 •�� _ ,_ �---t---- .---Q----- �- i J. LAPSLEY, PLS TOPOGRAPHIC F I ELO ---- -._- -------- T.P. �t 1 -�-t"E PLAN OF LAN � LFAGf,+/rIC/ T RN ECNE �t=14 S O' �u i3�t O' I R. EISEN EI Tp i -Zan TP1 \ CALCULATION � � BARNSTABLE , M AJ. LAPSLEY, PLS DRAFTING -- --CENTERVILLE BARNSTABLE COUNTY" e�_ l 2.5 _ i b/t i _Z'-o" 1�,a�,i .,; >. <•. _. --- . ,� _. ._ J LAPSLEY, PLS / Imo" % s ..DEL•/0.0!? / _ 3'-0 � - m o X F. I _,, ,•,: .� _s .- �_ ._ �- F ' F/�E , �,t"°i SCALE 1: 240 16 OCTOBER 1991 CHECK } i ,,,, ,„•f - .n..�'"=_.....-. ..,,��'"'. ---•-..>�,�....�' 0 10 METERS RED- FEBfzuA�y z7� 1 94 L 0• WATSON, PLS i s / i • .. �T1M t TEG " t 3AN0 E1-=4.0 �ovv I bra z2.w? 0 20 40 FEET PROJ. MANAGER 0e5E4•vED ,.�\ J. LAPSLEY. PLS f W�a Ft As PRO JECT N0. GUNTHER ENGINEERING, INC . I I L14? CAPE COD DIVISION C-013.�1 76 COTTAGE DRIVE, WEST YARMOUTH, MA 02673 T�Sj .o/T.5 Ot3SE,2 4/E� TEL. (508) 778-5102 DRAWING N0. . _ 8004 . 0 SM B Y 714E BSG GP-OOP oN sAN 71 f 9.8G PREPARED FOR: DR . PAUL K . MARSHALL. I I Joseph D.DaLuz telephone:775.1120 Building CommiaiBntr EXT.107 TOWN OF BARNSTABLE BUILDING Inspector TOWN OFFICE BUILDING HYANNIS,MASS.02601 June 26,198A Mr.Timothy K.Lovelette Marshall K.Lovelette Insurance Agency,Inc.^ Box 836 West Yarmouth,MA 02573 Re:Paul K.Marshall & Amy Marshall 'A96 Elliot Road^.Centerville Dear Mr.Lovelette: I am referring to your letter of June 8,198A and if I understand the inquiry there appears to be a misunderstanding. I spoke with Mr.James Lapsley,registered land surveyor for Cape Cod Survey Consultants concerning your question of the dwelling elevation.The original plan shows a proposed elevation to the top of the foundation at 12.50 feet.Mr.Lapsley's survey indicates that the actual height is 13.27 feet. In Section II of the elevation certification Mr.Lapsley indicated an average elevation.at 9.2 feet.Since I am dealing with construction within the flood elevation which is at 10 feet in the "A"zone for the habitable area,we are in compliance. JDD/gr cc:Dr.P.K.Marshall,II Conservation Commission Peace, )seph D.Daliuz Building Commissioner I XlUr fe)NATIONAL FLOOD INSURANCE PROGRAM ELEVATION CERTIFICATE Th 5,form is to oe used for.11 New-Emergency Program construction m Specia!Flood Hazard Areas.2)Pre-FIRM construcfion after •September 30,1982;3)Post-FIRM construction,and.4)Other buildings rated as Post-FIRM rules 496 Elliot Rd,Centerville,MADr.Paul Marshall ^496 Elli ADDRESSBUILDINGOWNER'S ADDRESS NAME Lot 120 ASS.SHT.No.227 496 Elli PROPERTY LOCATION (Lot and Block numbers and address if available) mterville.MA I certify that the information on this certificaie represents my best efforts to interpret the data available. I understand that any false statement may be punishable by fine or imprisonment under 18 U.S.code.Section 1001. SECTION I ELtGIBILITY CERTIFICATION (Completed by Local Community Permit Official or a Registered Professional Engineer. •Architect,or Surveyor) COMMUNITY NO.PANEL NO.SUFFIX DATE OF FIRM FIRM ZONE DATE OF CONSTR.BASE FLOOD ELEV (In AO Zone,use deplh) BUILDING IS , • •New/Emergency 250001 •20 B 10/1/83 A '10'NGVD •Pre-FIRMReg jP Post-FIRM Reg YES NO -ft is intended that the building described above will be constructed in compliance with the community's flood plain ' • •_ordinance.The certifier may rely on community records.The lowest floor (including basement)will be .at an elevation of ft. NGVD.Failure to construct the building at this elevation may place the building in violation of ••; the community's flood plain management ordinance. YES NO The building described above has been constructed in compliance with the community's flood plain management ^ O ordinance based on elevation data and visual inspection or other reasonable means.'•'. - if NO is checked,attach copy of variance issued by the community.. . .. YES NO The mobile home located at the address described above has been tied down (anchored)in compliance with the • •community's flood plain management ordinance,or in compliance with the NFIP Specifications. I MOBILE HOME MAKE'MODEL YR.OF MANUFACTURE SERIAL NO. (Community Permit Official or Registered Professional Engineer.Architect,or Surveyor) "joc5pnh D RaT n7 BarnstableNAME•dosepn u.uaLuz address ^^^^^maZSintaSnmamanviiPInm] DIMENSIONS X •I FIRM ZONE A1-A30:I certify that the buildinq at the property location described above has the lowest floor (including basement) at an elevation of—-5—3-1 feet.NGVD (mean sea level)and the average grade at the building site isat an elevation of 2_*_2 feet,NGVD. FIRM ZONES V. V1-V30: I certify that the building at the property location described above has the bottom of the lowest floor beam at an elevation of ^feet.NGVD (mean sea level), and the average grade at the building site ^is at an elevation of feet. NGVD...... . FIRM ZONES A. A99. AO.AH,and EMERGENCY PROGRAM:I certify that the building at the property location described above -has the lowest floor elevation of feet,NGVD.The elevation of the highest adjacent grade next . to the building is feet.NGVD. SECTION ill FLOODPROOFING CERTIFICATION»(Certification by a Registered Professional Engineer or Architect) I certifyto the best of my knowledge,information,and belief,that the building is'designed so that the building is watertight,with walls substantially impermeable to the passage of water and structural components having the capability of resisting hydrostatic and hydrodynamic loads and effects of buoyancy that would be caused by the flood depths,pressures velocities,impact and uplift forces associated with the base flood..... YES •NOD In the event of flooding,will this degree of floodproofing be achieved with human intervention? (Human intervention means that water will enter the building when floods up to the base flood level oc cur unless measures are taken prior to the flood to prevent entry of water (e.g..bolting metal shields over doors and windows). YES • NO • Will the building be occupied as a residence? if the answer to both questions is VES.the floodproofing cannot be credited for lating purposes and the actual lowest floor must be completed and certified instead.Complete both the elevation and floodproofing certificates.. -^. FIRM ZONES A,A1-A30.V1-V30,AO and AH: THIS CERTIFICATION IS FOR^SECTIOhT II CERTIFIER'S NAME James P.Lapslev TITLE - Reg.Land Surveyor oodproofed Elevation is fete\,(N^b)©-Certified •Fioodproofed Elevation is D BOTH SECTIONS 11 AND til (Check One).Check One).S LICENSE NO.ior^ffix Ssf..>j,_cY Consultants ^g-. COMPANY NAME ^LICI Cape Cod Survey Consultants ADDRESS •''.ZIP . 76 Enterprise Rd.,02601 ;v QIYY STATE "SIGNATURE STATE •PHONE '-! ''"ma"•775-7155'Hyannis MA 775-7155 The insurance aget^hould the original copy of the completed form to the flood insurance policy application, the secorvo copy shoDid be supplied to the poHcyholder and the third copy retained by the agent INSURANCE AGENTS MAY ORDER THIS FORM PEMA Form 81-31,APR 82 REPLACES FEMA FORMS 81-9(T)AND 81-10(T}.FEB 80,WHICH ARE OBSOLETE. MARSHALL K.LOVELETTE INSURANCE AGCY.,INC. BOX 836 WEST YARMOUTH,MASSACHUSETTS 02673 Tel.:775-4559 June 8,1984 Building Inspector Town of Barnstable Hyannis,MA 02601 Re:Paul K.Marshall &Amy Marshall 496 Elliot Road,Centerville,MA 02632 Enclosed please find correspondance that we have received from the National Flood Insurance Program relative to the above property. I am also enclosing a copy of the Base Flood Elevation Certificate on the property. Considering the elevation of the dwelling the N.F.I.P.is requiring a copy of the variance.It is my understanding that the Town did not issue a variance in this instance and I have advised the N.F.I.P. accordingly.They now indicate that we must obtain a copy of a letter from your department advising that a variance was not required,and the reason why. Please note that the copy of the Elevation Certificate that I am enclosing is the original.The reason for this is the fact that the N.F.I.P.is requiring that your office complete the sections marked with the red "x's".I would appreciate it if this could be taken care of. Thank you for your attention to this matter.You affording us the letter requested above and the return of the Elevation Certificate will be appreciated by all parties concerned. Very Timothy K'.Lovelette cc:Dr.P.K.Marshall II NATIONAL FLOOD INSURANCE PROGRAM COMPUTER SCIENCES CORPORATION . P.O.BOX 619 LANHAM/MD.20706 800-638-6620 P.C ^30 Insured ./^/fOL A" Property Address Application //' Some further information and clarification is needed on the above,cap- tioned submit for rate application.Please provide the items checked below, ® An elevation certificate stating the "lowest floor"elevation. If the elevation given is in fact the lowest floor (including basement or enclosure),a signed memo from your agency stat ing this as fact will suffice. °A recent photograph or blueprint of the building.;;; copy of the variance from the community. Please provide these items in the enclosed envelope or to my atten at the_following address: National Flood Insurance Program Policy Regulation Dept.. P.O.Box 885 Lanham,Md.20706 r "if ^ Please be advised that no coverage is in effect until we have received all requested information,a rate is given,and the total premium is received. Sincerelyj_ /X ^ C 6^-^0AJ ^.. ^^—trndeortltifig '^ecialist .f'f By cD fl"'B//p j bailey