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HomeMy WebLinkAbout0426 NOTTINGHAM DRIVE Lj�� � �10-�-�i� �►�.�, �'r, o y � � �. .� v ,� � _ _ o a � � �, ti ,� � � �� v _ a �� �: �- G 0 G h j ,. ., ... " _ R � � - q � � _ � .� i .. � - ,. .. ...; - - i i �„ ., s a . sty ) t lid I�� Town of Barnstable *Permit# D D Expires 6 months from issue date Regulatory Services . Fee saxtvsTaara, �A z ,�� Richard V.Scali,Director ®� Building Division �IQRan Tom Perry,CBO,Building Commissioner ,rOV 13 ?O'� 200 Main Street,Hyannis,MA 02601 I�//�I c www.town.barnstable.ma.usSTTdd Office: 508-862-4038 Fax: 5SOM 30 EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY Not Valid without Red x Press Imprint Map/parcel Number Property Address 0 VQ 6� esidential Value of Work$ Minimum fee of$35.00 for work under$6000.00 o Owner's Name&Address 4e Contractor's Name ,4, 0/ < Argwuas 6Z5�ANNLOw rrv- Telephone Number .5W -Ut9 /�?r- Home Improvement Contractor License#(if applicable) Email: Construction Supervisor's License#(if applicable) ®I'%91,? kman's Compensation Insurance ` Check one: ❑ I am a sole proprietor 1 ❑ I am the Homeowner Ej-r'ave Worker's Compensation Insurance Insurance Company Name /"!'1r:vv`- rn• C�a f���-+� �r. Workman's Comp. Policy# Copy of Insurance Compliance Certificate must accompany each permit. Permit Request check box) L4-5e--roof(hurricane nailed)(stripping old shingles) All construction debris will be taken to ❑ Re-roof(hurricane nailed)(not.stripping. Going over existing layers of roof) ❑ Re-side ❑ Replacement Windows/doors/sliders.U-Value (maximum.32)#of windows #of doors: ❑ Smoke/Carbon Monoxide detectors 4 floor plans marked with red S and inspections required. "Separate Electrical&Fire Permits required. *Where iequired:.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. . A copy of the Home Improvement Contractors License&Construction Supervisors License is required. SIGNATURE: --- Q:\WPFILES\FORMS\building permit forms\EXPRESS.doc Revised 040215 Cv/9v The Com.,norrivealtli of?Massachusetts Department of frrducstrial Accrderrts Offl-ce of Irn�estigations 600 Washington Street Boston,l3IA 02111 tlwiv.rnass gov1dia Workers' Campensatian Insurance Affidavit: Builders/Contracture/EIectricianslPlumbers Applicant Information Please print Legibly Name(BusinessiorganimbonCndividml)= // N � 5' ��n•�,f C B^�S�.r.u �t•,. �- Address: �(1, i)(7 GWState/ ip- 6-4 v,//Y. !-1 r� Phone-,4- O �/ ✓ Are you an employer?Check the appropriate bom: Type of project(required): 1_2-i—am a employer oath:— 4. ❑ I am a general contractor and I 6 New construction employees(full andfor part-time).* have lured the sub-contractors 2.❑ I am a sole proprietor 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 n•orkers' camp.insurance camp-msurance. 9. ❑Building addition required_] $_ ❑ We are a corporation and its 10.❑Electrical repairs or additions 3.❑ officers Have-exercised their I am a homeowner doing all work 11-❑Plumbing repairs or additions myself. [No workers'comp, right of exemption per MGL 12. c. 152, §1(4),and we have no y ❑Roof repairs insurance required.]i employees.[No workers' 1311Other comp.insurance required-] •elm applicant that checks box"l nmsi also fill out the section below showing then wotkeis'compensation policy information_ Homeowners wbo submit this affi6ae9t indic=n g they are doing all wcA and then hire outside t:antracrors mnst suh=a new 2m vet indic=m—sack :Contractors that check this boa most attached an additional sheet showiag the none of the sub-contractors and stare whether or=those entities have employees. If the sub tantractots have employees,they must pmv-de their workers'comp.policy aumber- I am an employer that is pro-tiding workers'congwrtsation insurance for my enrpIayees Below is thepolicy and job site infortuafion / / / Insurance Company Name: ,5Z%-Vt.t / z�✓t���� C �1 ✓:�f C`' Policy 9 or Self-ins.Lic.4: w Gw Gt/ o i xpirationDate: Job Site Address. yc,V /C,&'/",7�`/`�'7 Qit 11�Y CitylState{zip: 4'-�t Cam•/ .� �j� 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 rriminal penalties of a fine up to$1,500-00 and/or one-year imprisonment,as well as ciiril penalties in the form of a STOP WORK ORDER and a fine of up to$250-00 a day against the violator. Be adtised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certzfj,under the pants and pnnatties ofperjuiy that the information proiided abm a is true and correct Simature: Date: /p'dri Phone Official use only. Do not tsrite in this area,to be completesd by city ortown official City or To-wn: Perumtff icense# Issuing Authority(circle one): 1.Board of Heaalth 2.Building Department 3.City/Town Clerk d.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: -Information and Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers'compensation for their employees. p -D this statmte,as=playee is defined as_"_.every person in fhe service of another under any contract ofhi -, express or implied,oral or writiou." An errp£oyer is defined as"an individual,pamtnembip,association,corporation or other legal entity,or any two or more of the foregoing engaged.in a joint mtrrprise,and including fiat Iegal representatives of a deceased employer,or the receiver or trustee of an mdividnal,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 tHt occupant of the - dwelling house of mariner who employs pennons to do maintenance,construction or rapair work on such dweltmg house or on the grounds or building app a=t 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 Iiceusing 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(7)states"Neither the commaaweahh nor may of its political subdivisions shall enter into any contract for the perfo=aace ofpublic wow uatl acceptable evidence of compliance with the in=ance." requuremcuts of this chapterhave been presented to the contracting avthoriy." Applicants Please fill oirt the workers' compensation affidavit completely,by checking the boxes that apply to your situation and,if necessary,supply sob-contractors)name(s), addresses)and phone numbers) along with.their certificate(s) of insurance. Limited Liability Companies(LLC) or Limited Liability Par-baerships (LLP)with no employees other than the members or partners,are not required to carry workers' compensation msm�ce. If an LLC or LLP does have employees, a policy is required. Be advised that this affidavit may be snbmitted to the Deprtment of Industrial Accidents for confrrmatioa of insrr c-e coverage. Also be sure to sign and date the affidavit The affidavit should b,retuned to the city or town that the application for the permit or license is being requested,not the Depazimenf of Ladd stri al Accidents. Should you have auy questions regarding the Iaw or if you are ri-_q e to obtain a workers' compensation policy,please call the Department at the number listed below. Self-insLlrtd companies should enter their self-in�ce license number on tame appropriate line. City or Town Officials r - Please be sine that the affidavit is complete and printed"IegIly. The Department has provided a space at the bottom of the affidavit for you to i D out:in the event the Office of Investigations has to contact you regarding the applicant- Please be sure to fill in the ptunit/licrose number which will be used as a reference number. In addition, an applicant that must submit multiple pennit/Iicense applications in aay given yea,need only submit one affidavit indicating cuureat policy info=atiolr(if necessary)and under"lob Site Address"the applicant should•write"all lacatic-ns in (c y 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 proofthat a valid affidavit is on f ilr for fufm-e 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 venue (i e. a dog license or permit to bum leaves etc.)said person is NOT regr�ed to complete this affidavit The Office of Investigations would at to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call The Department's address,is lephone aad rax number. T`he CG=QnWe�an-of M&-;sachusf-_tts Departntnt cif ludus�tai a Accidents office Qf f vestigatio.Ag 604 WasbhZGa Size Bostouz IAA E1�11 F TcL 4 617 727-49UG cxt 4€6 or 1-a - S'E Fax 9 617-727-7749 Revised 4-24-D 7 . .mas�gov�dia Nov 03 15 08: 17a p.2 In the event that while stripping the roof we find rot that needs to be replaced,the homeowner then has to agree and authorize any replacement or restoration. Then in addition to the above contract price,the homeowner agrees to compensate the contractor for any,repairs or restoration at the hourly rate of$45.00 for a carpenter and$30.00 for a carpenter's laborer,plus the cost of materials. -Roof to be stripped and cleaned of all old shingles and debris -Roof to be papered with weather watch leak barrier,Synthetic roof underlayment,and installed with Timberline architectural shingles using galvanized nails. (Storm nailed) -All new 8"drip edge and pipe flanges to be installed -Cobra ridge vent to be installed on all ridges -Timberetex premium ridge cap to be installed -A 10 yard dump trailer will be needed on site;and will be removed at completion of the job -Contractor will be responsible for all building permits needed at the property NOTICE REQUIRED BY LAW with the agreement of the contract$500.00 of estimate is due. Further payments under this contract are as follows:- 1/2 of the estimate due at the start;and remainder due at completion of the job. Balance of all materials and labor shall be payable in full upon completion of work described in this contract. Payment as agreed upon shall be made when due. Any payments which are delayed shall be subject to a finance charge of 1.5%per month, The contractor warranties the workmanship completed under this contract for a period of ten years from the date of completion. During the stated warranty period the contractor shall be responsible for the service of the repair or adjustment,but the contractor shall not be responsible for the normal maintenance,repair ` due to abuse,misuse,and or normal wear and tear,which shall be the responsibility of the homeowner. All warranties for the materials supplied by the contractor shall be passed directly to the homeowner. The homeowner may be required to register or mail in such warranty card or evidence of. ownership in order to activate such warranties. Homeowner failure shall not create any responsibility for the contractor under the warranty provisions;the choice of repair of replacement shall be at the discretion of the contractor. The homeowner acknowledges that the form,content,and notices,contained in this contract are intended to comply with the applicable portions of the Mass.General Law Chapter 142A, and regulations promulgated there under. In the event of any instance of non-compliance,only such portion shall be invalid and the remainder of this contract shall be in full force effect. In addition,any such portion not in compliance shall be read and interpreted so as to have its intended meaning to the maximum extent allowed under such law and regulation. Signed as a sealed instrument on this date: � Date: 111 y 140 t Homeowner Contractor DATE(MM/DD/YYYY) AC40RD0® CERTIFICATE OF LIABILITY INSURANCE 08/03/2015 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(ies) must be endorsed. If SUBROGATION 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 certificate holder in lieu of such endorsement(s). PRODUCER CONTACT NAME: Debbie Mark Sylvia Insurance Agency,LLC PHONE FAX 404 Main Street a/c No Ext: 508 957-2125 Alc No: 508 957-2781 E-MAIL Centerville,MA 02632 ADDRESS:mark@marksylviainsurance.com INSURER(S)AFFORDING COVERAGE NAIC# INSURERA:Farm Family Casualty Insurance INSURED - INSURER B: D&T Construction,Inc. INSURER C PO Box 168 Centerville,MA 02632-0168 INSURER D: - INSURER E INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: 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 WITH RESPECT TO WHICH 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. INSR TYPE OF INSURANCE ADDL SUBR POLICY EFF POLICY EXP LIMITS LTR IN SD D POLICY NUMBER MM/DD MM/DD A COMMERCIAL GENERAL LIABILITY 2001XO485 7/21/2015 7/21/2016 X EACH OCCURRENCE $ 1,000,000 CLAIMS-MADE X OCCUR DAMAGE TO REND PREMISES Ea occTuE rence $ MED EXP(Any one person) $ 5,000 PERSONAL&ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 X POLICY D PRO ❑ JECT LOC 'PRODUCTS-COMP/OPAGG $ 2,000,000 OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ Ea acc dent ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS AUTOS HIRED AUTOS NON-OWNED PROPERTY DAMAGE AUTOS Per accident $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED RETENTION$ $ A WORKERS COMPENSATION 2001W7501 7/25/2015 7/25/2016 STATUTE ERH AND EMPLOYERS'LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE Y/N N/A E.L.EACH ACCIDENT $ 1,000,000 OFFICER/MEMBER EXCLUDED? Y❑ (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ 1,000,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 1,000,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space is required) Insurance coverage is limited to the terms,conditions,exclusions,other limitations and endorsements. Nothing contained in the certificate of insurance shall be deemed to have altered,waived or extended the coverage provided by the policy provisions. Carpentry The workers compensation does not provide coverage for Troy A Thomas and Shawn M Doyle. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE D&T Construction Inc THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN PO Box 168 ACCORDANCE WITH THE POLICY PROVISIONS. Centerville,MA 02632 AUTHORIZED REPRESENTATIVE ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD 91,I)VE&ti0 JauoisslwWOO uo!1eJ!dx3 i ����•� 1 �Ii1.IC i. d VW 1TI1AHZJXjJ--- . PZM3Ml L.LON 66V ntORL V'AO1LL - 11,6660,19 3 :asuaorl X1lupadS-josi:tiadnS uo43nljsuoj sWepuelS pue suoileln6aN 6ulplm8 to pJeog dales oggnd 10 1uaLujjedaa- sllasnyoesseytj ��ie�par�va2oaaaueczlL�C o�C�aacLc�eGts F Velgistration: ice of Consumer Affairs&Business Regulation License or registration valid for individul use only ME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: ? 145954 Type: Office of Consumer Affairs and Business Reg 10 Park Plaza-Suite 5170 l atlon �3/15/2017 Private Corporatio. ,. Boston,MA 02116 DOYLE+THOMAS CS.T IN.0 ON J TROY THOMAS 499 NOTTINGHAM DR'�< i CENTERVILLE,MA 02632 Undersecretary Not v Id vvi out signature } Assessor's ma and lot number ... .r. �.. k=..... f p i ' �FTHEtO Sewage Permit number }. :. ? . .. ,�! %?��i•8� SEPTIC SYSTE -INSTALLED ON STABLE, • . p House number. ..............f� .�.................`..........:........:......" WITH TI �a _f c ENVIROIVMENTeaeL� p9w'w ' 'eD TOWN: OF BARNSTAB" 14 RCGULA71 e � BUILDI G NSPECTOR APPLICATION FOR PERMIT TO ................. :..................... . ............... .... ......... . .. .. TYPE OF' CONSTRUCTION' ....:..... . ! ....... ??J..,...................19.... y TO THE INSPECTOR OF BUILDINGS:_ The undersigned hereby applies fora ermit accordg To tli�following in 'rmation 3 _ .tip �Z � Location ......................................................................................................................... .......................:.......a............................ Proposed Use (.C' ..4�. .. ...... . . ...... .. . ........... .................. Zoning District .....,,1 ............................. ...... .. ....... .. .......Fire District .. .......................... .............. .............. • 0 Name of Owner .. . . .. .......Address . ... //��' ..!''�/ ..�.�.. ......... Name of Builder . .... .. ..✓....:... . . ............ ....... . . ..........:.Address .... 1 Nameof Archit ..............................Address .................... .............................................................. Number of Rooms .....................Foundation :.. ....................... ..... ... .�.. ... �. ...... ..... ........................................ Exterior .-1....../�..�....................Roofing ........��'!e��....:........... ............ ............................... Floors ......... ................ ..................Interior ..... .......................................................................... Heating .G' ......................... �.........................................................PI'umbing .........../.................................................................... Fireplace .......... .... :.....................................Approximate Cost .........5 ... `'......................................... Definitive Plan Approved by Planning Board ________________________________19________. Area ...... ..0 � Diagram of Lot and Building with Dimensions Fee SUBJECT TO APPROVAL OF BOARD OF HEALTH IA— / I hereby agree to conform to all-the Rules and Regulations of the To n arns� bl r gardi the above construction. Na . .. ............................... ... ............ � GRIFFIN, K8NNETB ' ' . 32789 REMOI]III, ' � No ----- ...................................... Penni� for ' dazaqe and IpamiIv Room ' ---'—'--^------~^—^~'—^'~^—'^--'' Location .�L��t—#35_.42.6.. ..Dr� � '� Ie ' ^ - —.--./--~~....~..-------..�.—,----.. Owner ...��.Kennetb_Gzif.fi ------ ---. .— ..................... . . ' . ' � ' Type ofConotuchun --Irra�ye. . . . . . ' . -----.^---------...------�---- Plot �� - ---------' ----------'. December 3I 80 ' Permit Granted .:.----------..�.^.]A Date of Inspection --.--------..:..l9Date ' «��- Completed ' . ^ . c ' , ^ ` PERMIT REFUSED -----------.--. ............. —,. .lV ^ ~ - ---- —'' ................................................. r` .�--.~.~.~~....----.—.---. - ' ��.—.. .��. .--..-,---.—.--^---.—~~~' Appgved ................. . -------.---_ lQ ' , . . ............... .............................................. ................. - ' � . C ' `. , a. . �'V,-s a r . . �., ," ,. _ . « p . ! 4i. a "yI . } J ;' 4 's f 1 Pjj 0 f f i .�;C i .' , C t s '--k,�` h. 't. .a'`•-.- .il, ). . r 3 W -S 1. - N" S ?' 1 J+ 3 ' 1 - - ' ry HT' .1 t ! 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MM TITLE 5 AUSTAII EWRONMENTAt H�use number ....... .......... ................................................... 1639- T D Mix A,- TOWN OF BAIMSTABLE, PECTOR BUILDING , IMS &U 44i21U4A`) APPLICATIONFOR PERMIT TO .1.................................................................................................................. ......... TYPE OF CONSTRUCTION ....U-4.01 . ......................................................................................................... ............................... - ,--- TO,_THE INSPECTOR OF BUILDINGS: The undersigned hereb�y applie ,for a grmit according to the foll9wing information: 42 IL)d tvLq 6t/vt— Location ..... . ....................t... .................................... ....................................................... ProposedUse .... ....... ........................................................................................ . ..... ............... ......................... Zoning District ..... I................. . ...............Fire District ... .................... ....................... Name of Owner Aq L 11.4../....... .. . ...............Address �L3......................... Name of Buil der .......1.1L....... .......... .................................Address ..... ............. ............. ............ .Name of Architect ..................................................................Address .................................................................................... e ky Number of Rooms ........./.....................................................Foundation P..A"Wi..4%V....................................... . —Ifol 4,-- g - . 0 1-/ — ExieriorW.-C.C-s........44:41. ..&. ...................................Roofin ...10�. ................................................. Floors ... ................... r ..... ...................................... ... ... . ...... cal�-Pj, ................................Interio iing ....... . .. .... .W..4� Plumbing .....I..................:.......................................:....... eat ..................... Fireplace .............../........................................... Approximate Cost .....!�Mm............................................. Definitive Plan Approved by Planning Board ------ -c ---------19-7 Area ./Z&......................... ith'Dimensions Diagram of Lot and Building w Fee ........... fe......................... SUBJECT TO APPROVAL OF BOARD OF HEALTH 7 I hereby agree to conform to all the Rules and Regulations of Wthe To n of B nst 4-le regarding the above construction. Na .......4 .. ...... . ... ....................................... D.elaney, John J. I'/SV 1998-:. on tory 0.................... Permit for .................................... single family dwelling . ................................................................................ 426 Nottingham Drive Location ................................................................. Centerville ............................................................................... John J. Delaney Owner .................................................................. frame Type-of Construction .......................................... ................................................................................ Plot ............................ Lot ...............#35.... Permit Granted ..........F00A41U... 19 80 Date of Inspection ...... ..........19 Date Completed ..........:19 r PERMIT REFUSED ...... .......................................1.11,11, 19 ............. ...................... ...................... ....................................................... -;F, ............................................................ ............................................................... < AT5PCgryed ........... 19 ry r �� o•""�., TOWN OF BARNSTABLE Permit No. l •,a.n.0 i Building Inspector Cash ---------------------- °"'Y� OCCUPANCY PERMIT Bond ------------------*01� 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 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 ? f l�rtt3F'a5yrt • C>> 1 t t' pa �5o 4 ' y � /7Y/ r ^�� E ;&!•I;/`'.'.'- TV 5 u/z ETAaACkf A2lffX;'0U,iR� d. 4 F`20itJ T ( S/DE J . ..j2F T T�• - ' SE P T/G 5 y5 TAM CONS"T2 4/G TIQN SHXic.L �pNFOTZM TO MASS ns UES/GnN FLON/ G�►L.'' AY BOG, Of NE,�`7/v TZE G4. 7 0 p2CO - 1.A4. S` Z7 L.E 4G V MANHOLE C'd✓E,� 70 c,TE'nl.7U TO ,- tRV/-!3"US COV6/2 1 TO 2�E 1/E. /T Y1/I -fW— /A %A OF G/A D6 f /ZOA-1 CrV' /LT2AT/�116 Sz'bwE �--4- hf11iJ I z .MCo'V� D/A4.11 -x---- — --- ---,�— Did i rP/TGf/ Frew uwE p_'7G = � i %4'�Faar /o"M/N /¢• %4'/Food �2 .rcfi. ,i P/T i �j�f / DiA. ` -Y- Mir! yI ��a or •� _ �' WA:5 GA L L:O��, l N VE-AeT..• �` A LC: /N VE2.T C A P A C I T Y EV ? A/Z OUn/O _. SE oT/G TA'�/K Q 8 .rvr+.� ' CWA 7-GZ-1 T/G h/T) /NVE/2T -r4/T • . . . S / TE pLAA/ � . LvCA7-/Oh/ . .4SEDTIC' TANK'... 17/STx�/Bl1T/On/ BOX - .V TLETS. A Ri7 BE OF -Co O` NCE TE S7A2EAC/G72- 3000 7:t5j MIN. 2000 . T O OR �C���. 1��"J� N-/O LOAD/NG Y W BOC< TE Do fi` ' A kR7- -"Ai a i!,�e S YS TE M Un/[L E 5 5 /Y- 20 ," 3,, rrDS/Gn/ L oA C//vG /S USED, I CE2'TiFY-7WE FoUA'/At5 /S OBI T1 E G 4UA-/1-71 45 5/-/011VAJ AIV O / T T.=/ .gU/=O;tiIG SE.TF-,,4C �,' y' OF %. 'F TOcV�v'OF ; r .'" r tia.� T � �fx SUR 1>A7 AIEA4LT.z/ A<5,5 /T cr ,DATE / Q ppAE�OV�4L �..4 Iwo E '