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0088 LITTLE RIVER ROAD
� r Town of Barnstable Building g" R Pos'T;his,Card So,ThatS�t isUisible From the Street Approved Qlans Mustbe.Retamed on Job and this Card Mustbe Kept lA1Ftr^'.3'['ABLE. `z` ',ry � 8� ,� �.� ���' �' � � '` �.. �-xi3��' >v- t - � ,F ry ,p "xs� " �*A..r, d M Posted Until Final Ir%spect�onHas Been Made n �� x Permit . a Where a Certificate of Occupancq�s Required;such Building shall Not be Occupied util a Final Inspectwn,has been made z....z. Permit No. B-18-388 Applicant Name: PAUL J. CAZEAULT&SONS, INC. Approvals Date Issued: 02/09/2018 Current Use: Structure Permit Type: Building-Siding/Windows/Roof/Doors Expiration Date: 08/09/2018 Foundation: Location: 88 LITTLE RIVER ROAD,COTUIT Map/Loth 053-005 Zoning District: RF Sheathing: Owner on Record: SEIDLER,CAROLINE M&ROBERT C TRS :: Contracto Name PAUL J. CAZEAULT&SONS, INC. Framing: 1 r , Address: 88 LITTLE RIVER RD x Contractor.Lieense 103714 2 COTUIT, MA 02635 ,` Est Protect Cost: $29,650.00 Chimney : Description: reroof -yarmouth Permit Fee: $ 151.22 Insulation: Fee Paid $ 151.22 Project Review Req: Final: i Date 2/9/2018 s a _ Plumbing/Gas Rough Plumbing: Building Official r Final Plumbing: g This permit shall be deemed abandoned and invalid unless the work authorize'd:by this permit is commenced within six months after issuance. Rough Gas: All work authorized by this permit shall conform to the approved application-and th""approved construction documents-for which this permit has been granted. ` Final Gas: All construction,alterations and changes of use of any building and structuresshall-be in compliance with the local zoning bylaws:arid codes. This permit shall be displayed in a location clearly visible from access street or.road and shall be maintained open for public�inspectio for the entire duration of the work until the completion of the same. , Electrical The Certificate of Occupancy will not be issued until all applicable signatures by the-Building and Fire Officials are orov�tled on this permit. Service: ri Minimum of Five Call Inspections Required for All Construction Work -" Rough: 1.Foundation or Footing • 2.Sheathing Inspection Final: 3.All Fireplaces must be inspected at the throat level before firest flue lining is installed 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection Low Voltage Rough: 5.Prior to Covering Structural Members(Frame Inspection) 6.Insulation LOW Voltage Final: 7.Final Inspection before Occupancy Health Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Work shall not proceed until the Inspector has approved the various stages of construction. Final: "P-ersons contracting with unregistered contractors do not have access to the guaranty fund" (as set forth in MGL c.142A). Fire Department Building plans are to be available on site Final: All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT Town of Barnstable Building Post This Gard So That rt.is Uisible,From•the Street �Approued Plans Must be Retained on Job and,th�shCard Mustbe Kept M Posted Un!1 F�aldlnspection Hask,BeenMade y` � 7 . Permit S639. 1� ,: .. .. %is Y is a. S• r ' a; ° Wheea Certificate of Occupancy s Required,suclBuildmg shall Not be Occupd until a Final Inspect�nyhas beenfadea, Permit No. B-18-388 Applicant Name: PAULJ. CAZEAULT&SONS, INC. Approvals Date Issued: 02/09/2018 Current Use: Structure Permit Type: Building-Siding/Windows/Roof/Doors Expiration Date: 08/09/2018 Foundation: Location: 88 LITTLE RIVER ROAD,COTUIT Map/Lot: 053 005 Zoning District: RF Sheathing: 3 Owner on Record: SEIDLER,CAROLINE M&ROBERT C TRS a Contractor NamePAUL J. CAZEAULT&SONS, INC. Framing: 1 Address: 88 LITTLE RIVER RD Contractor License'., 103714 2 COTUIT, MA 02635 Est: Protect Cost: $29,650.00 Chimney: Description: reroof -Yarmouth Permit Fee: $ 151.22 Insulation: d Fee`Paid ' $ 151.22 Project Review Req: c Final: Date '' 2/9/2018 Plumbing/Gas Rough Plumbing: .•- •- Building Official Final Plumbing: This permit shall be deemed abandoned and invalid unless the work aotho ied by this permit is commenced within six months after issuance. Rough Gas: All work authorized by this permit shall conform to the approved appl catwri and the approved construction documents,,for hi h�hls permit has been granted. All construction,alterations and changes of use of any building and str•'uctures shall be in compliance with the local zonmgby laws{'and codes. Final Gas: This permit shall be displayed in a location clearly visible from access street,or road,and shall be maintained open for public inspectwn for the entire duration of the work until the completion of the same. r" r Electrical Service: The Certificate of Occupancy will not be issued until all applicable signatures by the Building and Fire Officials are provided on this permit. Minimum of Five Call Inspections Required for All Construction Work Rough: 4 g 1.Foundation or Footing , ', •• _ - " 2.Sheathing Inspection Final: 3.All Fireplaces must be inspected at the throat level before firest flue lining is installed 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection Low Voltage Rough: S.Prior to Covering Structural Members(Frame Inspection) 6.Insulation 7.Final Inspection before Occupancy Low Voltage Final: Health Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Work shall not proceed until the Inspector has approved the various stages of construction. Final: "Persons contracting with unregistered contractors do not have access to the guaranty fund" (as set forth in MGL c.142A). Fire Department Building plans are to be available on site Final: All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT 'own of Barnstab *Permit#���� Tapires 6 months front issue elate Regulatory Services Fee - -� BARNS'r'ABLE, ' "o MASS. �° Richard V.Scali,Director Building Divisic Tom Perry,CB®,Building Commissioner '"'4 200 Main Street,Hyannis,MA 02601 FE. www.town.bamstable. �� �Cg�� Office: 508-862-4038 113. c f Al 0 C7 Fax: 508-790-6230 EXPRESS ESS PERMIT APPLICATION - R-ESIDENTT / Not Valid without Red X-Press Imprint / Map/parcel Number 0 6 y 112 0-5— Property Address �-� 7�A, r;�' ! v e 2 ',�,-Residential Value of Work$ ^ 'Minimum fee,of$35.00 for work under$6000.00 Owner's Name&Address T,5! Contractor's Name A L)L-,O. CA ZL A U _-E Telephone Number Home Improvement Contractor License#(if applicable) 0 Email: a-t 1-1 Construction Supervisor's License#(if applicable) ❑Workinan's Compensation Insurance Check one: ❑ I am a sole proprietor ❑ I am the Homeowner J:J�ave Worker's Compensation Insurance Insurance Company Name Workman's Comp.Policy# (ill G S — i S r 3 o fc�(✓ '- j`� S Copy of Insurance Compliance Certificate must accompany each permit. Permit R st(--heck box) e-roof(hurricane nailed)(stripping old shingles) All construction debris will be taken to VA-P0400 — e-roof(hurricane nailed) (not stripping. Going over - existing layers of roof) El Re-side ❑ Replacement Windows/doors/sliders. U-Value (maxinmm.32)#of windows #of doors: ❑. Smoke/Carbon Monoxide detectors 4 floor plans marked with red S and inspections required. N Separate Electrical&Eire Permits required. "'Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.I-listoric,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: �o � C:\Users\DecoilikUppDatalLocaAMicrosoft\Windows\Temporary Internet Files\Colitent.0utlookL?PIO1DHR\EXPRESS.doc Revised 040215 T1lie CG r?faw suet vj1h of T tr'ssach ,z elcs Depart^c`nent of ��s Fi a�'Accidents Office of,investigations to nas600 Whirs Street � �i g I, } B®stoat, MA 02111 a,;r wjvw ass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information ' Please Print Legibly Name (Business/Organization/Individual): 1 a � C C Address: i � - City/State/Zip: c s _ 4- + .- E Phone #: Are you an employer? Check the appropriate box: ,= Type of project(required): 1.❑i'I am a employer with j 4. ❑ I am a general contractor and 1 employees (full and/or part-time). have hired the sub-contractors 6. ❑ New construction 2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7. ❑ Remodeling ship and have no employees . These sub-contractors have 8. ❑ Demolition working for me in any capacity. employees and.have workers' 9 ❑ Building addition [No workers' comp. insurance comp. insurance.i= required.] 5. ❑ We are a corporation and its 10.❑ Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their .11.❑ Phunbing repairs or additions myself workers' comp.p No work ' right of exemption per MGL y [ 12.❑ Roof repairs insurance required.] t c._152, §1(4), and we have no employees. [No workers' 13.ether comp. insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. tContractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. I ant an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: �- P1 i °u C,0 Policy#or Self-ins. Lic.#: z 3 ( 7 [ji Expiration Date: � ? Job Site Address: ��l 4 , Yl. / t_v-Pit A A - City/State/Zip: Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to $1,500.00 and/or one-year imprisoninent, as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to $250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. Ido hereby certify under the pains and penalties ofperjuiy that the information provided above is trite and correct. 14 Signature: �l Chi-' i'��, .tom Date: / c Phone#: S U' -it 7" 7 _ Official use only. Do not write in this area, to be completed by city or town officiaL City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2. Building Department 3. City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6. Other Contact Person: Phone#: t., office of�`ansuznex Affaz�-s efta rBusiness �Egulatron Z 0 Park Plaza - ,Suite 5170 Boston, Massachusetts 02116 Horne Improvement Contractor RegistJ,ation Registration: 103714 Type: Supplement Card PAUL J. CAZEAULT & SONS, INC. Expiration: 7/9/2018 RUSSELL CAZEAULT 1031 MAIN ST OSTERVILLE, MA 02658 Update Address and rcturn card.Marls reason for change. Address Rencival r sc>;i :;. 2ol�n-osii i � znployment Lost Card I` ,ffice of Consumer Affairs&BusinessRegulatiort icense or registration valid for individual use only r`^— / 1, �_=- •��J�f�OME IMPROVEMENT CONTRACTOR befdre the expiration date, If found return to: (r W 'Uri Office of Consumer Affairs and Business Regulation ;1•�� ,.r Registration: 103711 Type: 1DParkPlaza-Suite 5770 Expiratiori: :7/972018 Supplement Card Boston;MA 02116 PAUL J,CAZEAULT&SONS,INC. RUSSELL CAZEAULT 1031 MAIN ST r OSTERVILLE, MA 02658 _„ TlndersecretarY Not valid tvithout(sig�nature 1 � Pilassachusetts ,Department of Public Saiet goard'of Budding Regulations and Standards I Cun.+tructic?n 8upert'isvr ,z,;��_<•= " l License: CS-108157 RUSSELL CAZEA IIY.T 2071 == - MAIN STREET Brewster&IA 02631 �b ✓C�.. :- E.xpration i CaFTIMISSIOnel' 11/23/2016 l P i Property Owner Must Complete & Sign This Form s If Using a Roofer I Builder. i i 1 (print) f2 t C !,e r- as Owner / Agent of the subject property hereby authorizes Paul J. Cazeault & Sons Roofing Inc. to act on my behalf, in all matters relative to work authorized by this building permit application for: Address of Job I've L /�cl Cn fugzVA oae 5 Signature of Owner Mailing Address of Owner Telephone # Date /a % 7 i Please return this form to Paul J. Cazeault Roofing along with your signed contract. It is needed for us to obtain the building permit required by your town to complete your roofing project fax#508-420-4555 office@cazeault.com f p A c�X)rbi", ;ta I— -'_� �� I /� ('� II '� r j a`I !�)/L\ ��r�; P08/10/20'17 ATE(1111MIDD/YYYY) THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRIIIIATIVELY 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: Linda Sullivan DOWLING & O'NEIL INSURANCE AGENCY qHC"N Exf: (508)775-1620 ffl No: ADDRESS: Sullivan@doins.com 973 IYANNOUGH RD INSURER(S)AFFORDING COVERAGE - P1AIC'r HYANNIS NIA 02601 -INSURER A: LM INS CORP 33600 INSURED INSURER B: PAUL J CAZEAULT& SONS INC -INSURER C: INSURER D 1031 MAIN ST INSUI#ER E: OSTERVILLE MA 02655 INSURERF: COVERAGES CERTIFICATE NUMBER: 181752 RIPVISION 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 ADDL SUBR POLICY EFF POLICY EXP LTR TYPE OFINSURANCE NSD WVD POLICY NUMBER MM/DD/YYYY MM1DDIYYYY - LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ - CLAIMS-MADE OCCUR - DAMAGE TO RENTED PREMISES Ea occurrence $ MED EXP(Any one person). $ NIA PERSONAL R ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ POLICY❑PEC LOC PRODUCTS-COPAPlOPAGG $ OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ Ea accident ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED —' AUTOS AUTOS N/A '.BODILY INJURY(Per accident) $ HIRED AUTOS P -- $ NON-OWNED PROPERTY DAMAGE AUTOS (Per accident $ UMBRELLA LAB OCCUR EACH OCCURRENCE • -$ EXCESS LIAB HCLAIMS-MADE N/A AGGREGATE Is DED RETENTION$ \\// $ WORKERS COMPENSATION' - ^ STATUTE I EORH AND EMPLOYERS'LIABILITY YIN - ANYPROPRIETOR/PARTNERIEXECUTIVE I I WC531S386670027 08/10/2017 08/10/2018 E.L.EACH ACCIDENT $ 1,000,000 A OFFICER/MEMBER EXCLUDED? ,NIA N/A NIA (Mandatory in NH) _ E.L.DISEASE'-EA EMPLOYEE $ 1,000,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT I$ 1,000,000 N/A DESCRIPTION OF OPERATIONS I LOCATIONS 1 VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) Workers'Compensation benefits will be paid to Massachusetts employees only.Pursuant to Endorsement WC 20 03 06 B,no authorization is given to pay claims for benefits to employees in states other than Massachusetts if the insured hires,or has hired those employees outside of Massachusetts. This certificate of insurance shows the policy in force on the date that this certificate was issued(unless the expiration date on the above policy precedes the issue date of this certificate of insurance). The status of this coverage can be monitored daily by accessing the Proof of Coverage-Coverage Verification Search tool at www.mass.gov/lwd/workers-compensation/investigations/. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Paul CazeaUlt ACCORDANCE WITH THE POLICY PROVISIONS. 1031 Main Street AUTHORIZED REPRESENTATIVE Ostelville MA 02655 Daniel Ml.CrOGvey,CPCU,Vice President—Residual Market—WCRIBIMA ©'1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD �. p N ..o Irv. r CdbserVi o' w� it 11/14/14 Thomas Perry, CBO Town of Barnstable Building Division 200 Main St Hyannis, MA 02601 RE: Insulation Permits Dear Mr. Perry, This affidavit is to certify that all work completed for insulation work at 88 Little River Road (application#201204705)has been inspected by a certified Building Performance Institute(BPI) Inspector. Ail work performed meets or exceeds federal and State requirements. Sincerely, w Conor McInerney — ' ConserVision Energy e' M. 376 ROUTE 130,SUITE C SANDWICH,MA 02563 508-833-8384 W W W.CONSERVTODAY.COM TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel'} Application # Health Division Date Issued 3 Z. 9 . Conservation Division -.:Application Fee Planning Dept. ~Y Permit Fee 3 Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation/Hyannis Project Street Address Village Owner 91,n Address Telephone_ ` Permit Request . i G �� �D O 1 Square feet: 1st floor: existing proposed 2nd floor: existing__proposed _ Total new Zoning District Flood Plain_. _Groundwater Overlay Project Valuation Construction Type__- ' Lot Size Grandfathered: ❑Yes, ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family ',❑ Two Family ❑ Multi-Farnily (# units) Age of Existing Structure Historic House: ❑Yes ❑ No On Old King s.,Highway❑ ❑ No 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 APPLICANT INFORMATION (BUILDER OR HOMEOWNER) 4 / - � �� Name _� _ Telephone Number Address .` (Jt� GO '_-)LA�4e License # 15n(���r Home Improvement Contractor# Worker's Compensation # G. � ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE �S (� y FOR OFFICIAL USE ONLY APPLICATION# F A, DATE ISSUED .MAP_/PARCEL NO. - - ADDRESS VILLAGE k ` OWNER DATE OF INSPECTION: �JOUNDATION,,'a' ` 1, a FRAME „__INSULATIONS -�' � t FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL = t, - GAS: =:P ROUGH - FINAL =F1NAL.BUILD NG .� DATE CLOSED OUT ASSOCIATION PLAN NO. .. G The Commonwealth of Massachusetts' r `P10 =� Department of'Industrial Accidents " Office.of Investigations 1 Congress Street, Suite!00 Rost6n, (VIA 02114-2017 www.mass.govldia Workers' Compensation Insurance Affidavit: Builders/Contractors/Eleetricians/Plumbers Applicant Information Please Print Legibly Name(Business/Organization/lndividuat):CONSERVE ENERGY INC. d.b.a CONSERVISI'ON ENERGY Address: 376 ROUTE 130, SUITE C City/State/Zip:SANDWICH, MA 02563 Phone##: 508-833-8384 Are you an employer?Check the appropriate box: Type of project(required):'�0� 1: I am a employer with 6 4• ❑ .l am a general contractor and I * have hired the sub-contractors New construction employees(full and/or part-time). � ., 2.R 1 am a sole proprietor or partner- listed on the attached sheet. T 7'Remodeling ship an have no employees These sub-contractors have.` 8, ❑ Demolition workingfor me in an capacity. employees and have workers' �' Y p 9. Building addition [No workers' comp, insurance comp. insurance., We are a corporation and its lb.Q Electrical repairs or additions required.] � � - 5. ❑ p - 3.❑ I am a homeowner doing officers have exercised their.all work 1 1.7i 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 employees. [No workers` 13•91 OtherWEATHERIZATION camp:insurance required.] 'Any applicant that checks box#I mustalso fill out the section below showing their workers'eontpensation policy information: l Homeowners who submit this affidavit indicating they are doing all work and("lien hire outside contractors_must submit anew affidavit indicating such, tContractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or nor those entities have employees. if the sub-contractors have employees,they must provide their workers'crimp.policy number, I am an employer that is providing worker,% compensation insurance for tr�v employees. Belotu is the policy and job site Information: Insurance Company blame: SELECTIVE-INSURANCE COMPANY OF THE SOUTH Policy#or Self-ins. Lie.#:WC7956539 Expiration Date:3115/13 Job Site Address: � L I �� Vy- City/State/Zip: Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under.Section 25A of MG L c. 152 can lead.to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a.copy ofthis statement may be forwarded-to the Ot ice of Investigations of the DIA for insurancecoverage verification: I do hereby certi u der the ains and enalt es o ' e!2ur that the in ormation..provided above is true and correc& Ss `t3ture: Date:' +� Phone#: 508-833-8384 Official use only.. Do not write in this area,to be completed by city or town official City or Town* Permit/License lsming Authority(circle one): ' 1.Board of Health 2. Building Department 3.City/Town Clerk 4.Electrical Inspector a`.Plumbing Inspector G.Other Contact Person: Phone#: Client#:68880 CONSER ACORD,.. CERTIFICATE OF LIABILITY INSURANCE Dosr�Sraoi 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 bolder in lieu of such endorsement(s). PRODUCER ICONTAC NAME Rogers&Gray insurance Agency,Inc. F LAIC No,EExtl:508 398 7980 IAtC�Nol�_ 434 Route 134Ak E-Mali - ADDRESS: ' South Dennis,MA 02660 — - -- — INSURER(S�AFFORDING COVERAGE ` NAIC 0 508 398-7980 - - -_ INSURERA:Selective Ins.Co of the South INSURED Con-Serve Energy,Inc. INSURER B ... _ 376 Route 130.STE C ;INSURER C ,Sandwich MA 02563 INSURERD. 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 CONTRACTOR 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, LTR. TYPE OF INSURANCE IADOL U8 --..-.-__.._..._ POLICYEFF T pOUCY EXP.-T._..... ;IN SR D POLICY NUMBER MMIDDNYYY);1MMtDDNYYY, LIMITS . --�---j --'-- q GENERALLIABIUTY X I S2011299 3/1412012 03/14/201 EACH OCCURRENCE $1 000000 X-COMMERCIAL GENERAL LIABILITY I i. OAMA�,,E TQ RENTE-D--I--- PREMISES rEa occurrence s 100,009 I CLAIMS-MADE n OCCUR I i MED EXP pa son> ;$10,000 I PER SONAL&ADV INJURY t31,000,000 GENERAL AGGREGATE j S3 OQQ,Q{iQ GEN'L AGGREGATE LIMIT APPLIES PER: ! , 'PRODUCTS COMRlOP AGG t S3,000,000 X'POUCY'Y PRO- LOC ; is _ j—.._ _ 'AUTOMOBILE LIABILITY � { COMBINED SINGLE LIMIT - -A Es ANY acutlenil t__y S,_�_- ANY AUTO - 1 13001LY INJURY(Perpeaon) $ Y. I ALL OWNED )'SCHEDULED I i "!' - —F— -'' L_ AUTOS '.AUTOS f t BODILY NJURY(Per accidern)I S --I NON-OWNED i PROPERTY DAMAGE HIRED AUTOS !AUTOS A UMBRELLayAB X DccuR j X i— I S2011299 3/14J2012`O3I14J201 EACMOCCURRENGE IS1,000 QQQ I �( EXCESS LIAS Y 1 I - CLAIMS MADE{ 1 AGGREGATE I s3,000,000 -1 _....__... DED XI RETENTION 80 I$ I eT— -- WORItERS COMPENSATION -.�-2--r_- —I—'WC STATU A WC7956539 3J14(2012 03I14/2013 X _ AND EMPLOYERS LIAB(LmY � --6RY_IJMI.IS.. .....E - . ANY PRppPRlETOR/PARTNERIEXECUTIVE Y t N i ' E L.EACr,ACCIDENT 0 000 - OFFIC_WEIMBER EXCLUDED? C i N 1 A 1 I > _ fMandatbry in NMI , ; I ILL,DISEASE-EA EMPLOYEE!s100,900 yee;describe under I r------ ID ESCRIPTION OF OPERATIONS below. €.... .....--.... ........... ___....__,_....__ ...._.., .__ I E.L.DISEASE-POLICY LIMIT. $500,000 i I - 1 fIf 1 DESCRIPTION OF OPERATIONS I LOCATIONS t VEHICLES(AttachACORD 101,Additional Remarks Schedule,11 more space is required) Excluded officers under'wbrkers'comp-Conor and Courtney McInerney. Blanket additonal insured coverage applies-under CGL CERTIFICATE HOLDER CANCELLATION Thielsch Engineering,Inc. SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 195 Francis Ave. ACCORDANCE WITH THE POLICY PROVISIONS. Cranston,RI 02910 AUTHORIZED REPRESENTATIVE M ©198 -2010 ACORD CORPORATION.All rights reserved. ACORD 25(2010105) 1 of 1 The ACORD name and logo are registered marks of ACORD #S78899/M78898 DDR dEr' �f ltf +'if•,f T�.•.•G��4 Orrice oton umer` 't �rs'Businessula' ian License or registration valid for individul use only Arr HOME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: 'M Registration: 171251 Typer Office of Consumer Affairs and Business Regulation Ex iratio 10 ark Plaza Suite Partnership Boston,MA 021.16 dMISERVE ENERGY ,r CONOR MCINERNEY f 376 ROUTE 130 SUITE C_ - SANDWICH,NSA 02563 — -- -- - Undersecretary Not valid without signature t a1 M.aSsachust'tts=B)cltat-intent of Public raft s ` Utrs rd of Builtlir�t)�Rey<ulatiutte and 4tam rd""' Copstrtttwt 6n Sprl *rvisor Specialty License License: CS SL 102778 Restricted to; IC 5 €, ,.CON(OR.MCINERNEY': ; 39 SIASCONSET DRIVE d t_ -SAGAMORE BEACH;MA 02562 t ✓*- - p —�`rrL Expiration: 8/19/2012 d ,t§4a'n�shoor° Tf*„ 102778 tA OWNER AUTHORIZATION FORM (owner's Name) owner of the property located at (Property Address). (Property Address) hereby authorize C 00 S )V Y1 j (Subcontractor), an authorized subcontractor for RISE Engineering., to act on my behalf to obtain a building permit and to perform work on my property, Own is Signature r Date C WE D �uR 20 71 Parcel Detail Page 1 of 4 017 +'� �. Lt•i!a ,�;; � � s § axe ��` ���,,. .r + / r • V Logged In As: Pa rCe I ®C.la I I Friday, Decemb Parcel Lookup ' Parcel Info Parcel ID053-005 I DeveloperI LOT A m Lot 1 Location :.88 LITTLE RIVER ROAD � Pri Frontage�94 Sec; Sec Road; Frontage! Village;COTUIT Fire District 1COTUIT Sewer Acct§ I Road Index 10905 Interactive Maprs� r� Owner Info owner SEIDLER, CAROLINE MA ROBERT C TRS 9 Co-owner CAROLINE M SEIDLER 2005 TRUS- Street1 '88 LITTLE RIVER RD I Street2 City!COTUIT �I State AMA Zip I 2635 Country Land Info Acres 0.62 v use ISingle Fam MDL-01 zoning RF Nghbd IWF11 Topography sLeVel ` _._,..—�. .--. - _• —� Road !,Paved utilities Public Water,Gas,Septic Location [Waterfront,Excel View Construction Info Building 1 of 1 Year r_ — _ __ Roof i _www ___�_., — Ext Built;1993 I Struct;Gable/Hip I wall Wood Shingle I Effect R �" Roof AC i __.�._ _ Area ,3294 Cover'Asph/F GIs/Cmp Type(CentralI -- Int Bed __�. Style;Modern/Contemp wan' P Rooms lastered �4 Bedrooms I •. , Model ,Residential Int#Carpet ''`_� . .,_,�. Bath l2 Full 1H I Floor Rooms i INeat r.._ ..� _"—"" � Total FE8 Rooms Grade!Custom Plus Hot Air Type Rooms http://issgl2/intranet/propdata/ParcelDetail.dspx?ID=3435 12/14/2007 Parcel Detail Page 2 of 4 }, Heat i_ Found- Stories i Fuel{GaS ation +P! °tired Conc: 1 Permit History Issue Date Purpose Permit# Amount Insp Date Coma 12/1/1992 B35576 . $350,000 1/15/1994 12:00:00 AM CO 11 Visit Date Who Purpose 8/1/2007 12:00:00 AM Karen Perry In Office Review 7/11/2007 12:00:00 AM Jeff Rudziak. Abatement Review 6/8/2007 12:00:00 AM Sheila Fowler In Office Review 12/11/2002 12:00:00 AM Gary Brennan Meas/Listed 7/16/1999 12:00:00 AM Frederick Stepanis 'Meas/Listed 4/15/1994 12:00:00 AM ME Sates History Line Sale Date Owner Book/Page Sale P 1 9/21/2005 SEIDLER, CAROLINE M & ROBERT C TRS 20282/297 2 7/15/1991 SEIDLER, CAROLINE M 7625/224 ; 3 7/15/1991 FIRST NATIONAL BNK 7625/216 4 HITCHCOCK, MARY C. P1480-El 5 HITCHCOCK, MARY C 7625/218 6 HITCHCOCK, MARY C 832/483 - Assessment Historyx Save# Year Building Value XF Value OB Value Land Value' Total Parcf 1 .2007 $548,000 $2,800 $38,700 $2,169,700 $2 2 2006 $504,500 $2,800 $38,200 $1,891,200 $2 3 r 2005 $455,700 $2,800 $38,300 $1,513,000 $2 4 2004 $375,900 $2,800 $800 $1,375,400 $1 5 2003 $400,700 $2,800 $800 $907,200 $1 6 2002 $400,700 $2,800 $800 f $907,200 $1 7 2001 $400,700 $3,400 $800 $907,200 $1 http://issgl2/intranet/propdata/ParcelDetail.aspx?ID=3435 12/14/2007 i 111 • /1 /1 '��11 ��• 11 • ••• • ;11 11 ',1 �� �• 11 1 ••: • :11 11 'w1 '�� � • 11 •• :11 'w1 '�1 �• 11 ••• • :11 'w1 '�1 '�� �• 11 •• :11 '�1 'w1 1 11 •• ,� 11 �1 ��• �11 • •• '�� 111 'w1 '�1 � : 11 ••1 • /1 1 1 M1• 11 •: • � /1 '�1 '�1 1 1 1 mw •:• • � 11 '�1 '�1 � 11 • fi v nF di n f ' f " �,r1•P. 'zrx k''te c.t .�,+ }3 . a w.Tu "2 01 � l + �n ° tea i�N,!l" fit$ d�F Al�Ch X�"`y S s�:? �. ,�d�,� ; 7Mi' Sf .lN�� t• 1 � P�4iY� y��"��.Ftf 59.1wS}M`C 9: ' i, r3,,3.y y��� ac`Aa#,.fiwTf6} �w "41 Min. y '' 1'g",±,�d,ti-w '' 7w. - s:. r ""�'� 'd 'y'F����� �ice.��`r I� -1 t y,� .x ss ��h'$>x"$�+ "F"y,4�'�,".�'��t s4. ✓j,�€ y,��� b }..', i:�` ���:w '�%: , id dry ka 2ir l�iC t. 07114/2607 t2 oz n t Ire • • • •••. �- • e e 11 -fie YS + MIN `h * omarzoo�iz.ai 2 a r �a xy t Sk4l �'../,� �Xx^1 •aka `� sr.. kit ^u* ��` �[$*a�d� r ��� n k xa• #Pi d..pt"'Tl�fi ^+fS+ 'L�*; p• . .. .fir• .. - T y.,r G �} ��•: a S r a TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel : Applications Health Division Date Issued Conservation Division M �� ��� � ; ;. ; ::;Application Fee Tax Collector Permit Fee ' Treasurer i r • ' Planning Dept. ' f Date Definitive Plan Approved by Planning Board ; Historic-OKH Preservation/Hyannis f t Project Street Address G�1 Village Owner �� a ra l y Spa, Address__ Telephone. �'' ;A56 Permit Request �'�,eZ h hVrd Square feet: 1st floor:existing f�� proposed /60 2nd floor:existing leLa? proposed Total new /66 Zoning District Flood Plain Groundwater Overlay Project Valuation l r!3 o Construction Type ( b! 66� Lot Size Grandfathered: ❑Yes ❑No If yes, attach supporting documentation. Dwelling Type: Single Family Two Family ❑ Multi-Family(#units) Age of Existing Structure 441 Historic House: ❑Yes C9 No On Old King's Highway: ❑Yes 0 No Basement Type: t Full ❑Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) � Number of Baths: Full:existing L new Half:existing new Number of Bedrooms: existing 16 new Total Room Count(not including baths):existing / g new First Floor Room Count !O Heat Type and Fuel: SGas ❑Oil ❑ Electric ❑Other Central Air: ale's ❑ No Fireplaces: Existing p g � New Existing wood/coal stove: 0 Yes o Detached garage:0 existing LJ 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❑ E Commercial ❑Yes ❑No If yes, site plan review# -" Current Use - •--Proposed'Use , BUILDER INFORMATION Name -� Telephone Number Xvh a775q Address License# 050,;2 7 Home Improvement Contractor# /405Ar Worker's Compensation# ,/� ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO Af -If SIGNATURE DATE t it FOR OFFICIAL USE ONLY APPLICATION# DATE ISSUED MAP/PARCEL NO. ADDRESS VILLAGE OWNER :1 r. DATE OF INSPECTION: �t. FOUNDATION d< (3- (3fo FRAME i31GPL p{G 1 Z3���iyt ck— INSULATION � e--6-'�iax. FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL M FINAL BUILDING .r+ DATE CLOSED OUT ASSOCIATION PLAN NO. .y 1 r Town of Barnstable ' Regulatory Services sAMsreei.EHAM Thomas F.Geller,Director ; 4►`e� Building Division Thomas Perry, CBO,Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 568-862-4038 Fa 508-790-6230 PLAN REVIEW Owner: sE �«R Map/Parcel: :5,z? O� Project Address foo Z);We / der'kva,- Builder: C-C- V Cr• ' The following items were noted,on reviewing: ®rl 5000 u T /��s /&dirsr FaotiArGs Reviewed by: Date: ll S LZ 1-7 07 36 Q:Forms:Plnrvw a�' �VL�0 t� . z . LN The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations • a 600 Washington Street Boston,MA 02111' www.mass.gov/dia ' Workers'Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information .Please rint Le ibl Name(Business/Organizatiowbdividual): . l$ ddress..A A2 City/State/Zip: C6 yam' Phone.#: V., u an employer?Checkithe appropriate box: :Type of project(required):. 1 4. I am a general contractor and I am a employer with 6. ❑New constructionemployees(fiill and/or part-time),* - have hired the sub-contractors listed on the-attached sheet. 7. ❑Remodeling 2:❑ I am a'sole proprietor or partner- These sub-contractors have ' ship and have no employees 8. 0 Demolition employees and have workers' tivorking for me in any capacity. 9• El Building addition [No workers' comp.insurance comp.insurance t' 5. We are a corporation and its 10.[]Electrical repairs or additions required.] officers have exercised their 11:❑Plumbing repairs or additions ' '3.❑ I am a homeowner doing all-work . myself [No workers'comp. right of exemption per MGL 12.❑Roof repairs insurance.required.]t c. 152, §1(4), and we have no 13.❑ Other employees. [No workers comp,insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners,who submit this affidavit indicating they are doing all work and then hire outside contractors must submit anew affidavit indicating such. . $Contractors that check this box must attached an additional sheet showing the name of the Sub-contractors and state whether ornot those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.poidy number. I am an employer that is providing workers'compensation insurance for my employees. Below is.thepolicy and job site, information. �- Insurance Company Name: Policy#or Self-ins.Lic.#: • 7 Expiration Dater tate/Zip Job Site Address: City/S Attach a copy of the workers'compensation policy declaration page-(showing the policy number and expiration date). Failure.to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK,ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement maybe forwarded to the Office of Investigations of the ILIA for insurance covera a verification. I do hereby certify under the al -and pen f perjury that the information provided above is tru andcorrect. o� 67 Si afore Date. — Phone#• Official use only. Do not write in this area, to be completed by.city or town official City or Town: . Permit/License# Issuing Authority(circle one): J.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5•Plumbing Inspector 6. Other Contact Person: Phone#: E,�y� Town-of Barnstable Regulatory Services_ * snaxsrnstE Thomas F.Geller,Director_ Muss. `�, n 163¢ ►��� Btuldlncr 131V1SIUTI rED MA'S b • Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 Office: 509-862-4038 Fax; 508-790-6230 Permit no. Date- AFFIDAVIT HOME MROVEMENT CONTRACTOR LAW SUPPLEMENT TO PERMIT APPLICATION MGL c. 142A requires that the"reconstruction, alterations,renovation,repair,modernization,conversion, -improvement,removal,demolition,or construction of an addition to any pre-existing owner-occupied building containing at least one but not more Ihm four dwelling units or to strictures which are adjacent to such residence or building be done by registered contractors,with certain exceptions,along with other requirements. l TyPo f Work I/" �� � � Estimated Cost G s ' e ,Address of Work: Ff Owner's Name Date of Application: C3 I hereby certify that Registration is not required for the following reason(s): []Work excluded by law ❑Job Under$1,000 OBuilding not owner-occupied ❑Owner pulling own permit Notice is hereby given that. OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE HOME IMPROVFAfjK T WORK DO NOT HAVE ACCESS TO THE AR13ITRAITON PROGRAM OR GUARANTY FUND UNDER MGL c.142A. SIGNED UNDER PENALTIES.OF PERJURY I hereby apply for a p agent of weer: Date - Contractor Name Regis lion No. OR Date Owner's Name . .• Tadls dTs.xa(eastttane� . . pssser3gtire Fscksgd fordme Gad T»*-1 =01 Aaldeatisl$ttlydlaga'I3este$lr9t� �'pels , y wirl Moor Ba=r%4 ' .. s1� •x e�coQur,g Xrca' R-vim ' R-vatuel R-y4uc4 Well Pesiiadet Egtdpcseat E(fidea� MI to 6300 Heatlag bvgra Dny s' IZ°!a. 0.40 3B 13 19 10 a N0 12% 0.52 30 19 .19 10. Now` • � . . I2f. p.50 9B ' ;3 I9 1D 15% 030 33 13 33 VA N/A. Normal' •� Normal L1 I5'!o D,4�' 33 IB 19 10 �' �r i3Y. D.4 3B 13 2'1' NIA VA U AFUS �y 13% am 30 19 19 10 3 U AfUS Nom 13% 032 31 • 13 23 NIA NIA d Y 13%. L42 39 19 23 NIA NlA•` Nem Z 13'f 6.4Z 31. 13 19 10 0 90 AFUB AA 1$•!0 030 3D 19 19 1D 8 rAFiI£ ADDRESS OF PROPERTY, L� % 1�✓° 'SQUARE FOOTAGE OF ALL EXTERIOR WALLS: 3, SQUARE FOOTAGE OF ALL GLAZING: 4, % bLAZINQ AREA•(#3 DIVIDED B•Y•02): 3. sBL,ECT PACKAGE(Q AA-see chmt above); .NOTE= OTHER MORE DWOLVED METHODS OF DETMUYMO.G ENERGY REQUMEr M\7S ARE AYAMABLE. ASK US FOR THIS WORMATION& Bu-IDING LNSPECTOR AMOVAL! • YES:, rTO; �oFTHE, y Town of Barnstable. Regulatory Services vsaR5TW8 11'$ Thomas F.Geiler,Director �'ATFn hw�a1� )Building Division Tom Perry, Building Commissioner 200 Main Street, Hyannis,MA 02601 W-TV'W.town.barnstable.ma.us Office: 508-862-403 8 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using ABuilder as Owner of the subject property herebyauthorizeL to act on my behalf, in all matters relative to.work authorized by this building permit application for: . efvey (Address of Job) SIfnature of Owner Da e Pint Name Q:FO RM S:OWNERFERM IS S ION a•:N � I J IN Expirado /2008 ��Dt3 ! 'AGE CRAFT 111 QI l�Cs g R I' DELING ^x� IL 13PA UILDIN��tF¢ULATION N. RU S license COCTION.SVPERVISOR ' �NumbQr` 650234 "r 9/2 Jr.no 29204 MICHAEL DELUG k 568 SANTUIT RD' G-41 — COTUIT, MA 02635 ." ° `Commissioner 1 Ar-O-RDy CERTIFICATE OF LIABILITY INSURANCE DATE(MWDD/YYYY) 10 19 2005 PRODUCER THIS CERTIFICATE IS ISSUED AS'A MATTER OF INFORMATION McShea Insurance Agency, Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 749 Main Street, Suite#H ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. ' Osterville, Ma. 02655 5087420-9011 INSURERS AFFORDING COVERAGE NAIC# INSURED Mike Daluga D/B/A Village INSURERA: National Gran a Mutual Craft Building & Remodeling INSURER B: 568 Santuit road INSURERC: COtuit, Ma 02635 INSURERD: 508-428-2755 INSURER E: COVERAGES 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.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR DDL POLICY EFFECTIVE POLICY EXPIRATION LTR NSRD TYPE OF INSURANCE POLICY NUMBER DATE MM/DD/YY DATE MM/DD/YY LIMITS _ GENERAL LIABILITY r EACH OCCURRENCE $ 1 ,000 000 X COMMERCIAL GENERAL LIABILITY PREMISES Eaoccurence $ 500 OQO CLAIMSMADE CI OCCUR MED EXP(Any one person) $ 10 000 A TBI 10/19/05 10/19/06 PERSONAL&ADV INJURY $ ' 1,000 ,000 GENERAL AGGREGATE $ 2,000 ,000 GENT AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ 2,000 ,000 POLICYF71 PRO- JECT IOC AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT ANYAUTO (Ea accident) $ ALL OWNED AUTOS SCHEDULED AUTOS BODILY INJURY $ (Per person) HIRED AUTOS NON-OWNEDAUTOS BODILYINJURY $ (Peraccident) PROPERTY DAMAGE $ (Peraccident) GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $ ANYAUTO OTHER THAN EA ACC $ AUTOONLY: AGG $ EXCESS/UMBRELLA LIABILITY EACH OCCURRENCE $ OCCUR CI CLAIMSMADE AGGREGATE $ $ DEDUCTIBLE RETENTION $ $ WORKERS COMPENSATIONAND rEMPLOYE H- EMPLOYERS'LIABILITY ER ANY PROPRIETOR/PARTNER/EXECUTIVE _ NT $ OFFICER/MEMBER EXCLUDED? - - Ifyes,describeunder EMPLOYE $ SPECIAL PROVISIONS below :OTHER ICY LIMIT $ DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS , CERTIFICATE HOLDER CANCELLATION Lagadino Building & Design SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THEEXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE.TO DO SO SHALL, IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. xi U"r AUTHORIZED REPRESENTATIVE ACORD25(2001/08) z ©ACORD CORPORATION 1988 FEd-26-2007NO N) 17: 58 MALCOIM $ PARSONS INSURANCE (FAX) 1i8134414'25 P,.00li002 ,CERTIFICATE OF LIABILITY.INSLIRANCE DATE(MMIOD/YYYY, PRODUCER (781)344-3200 FAX 7.61)344-142S 02/26/2007- ( THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION L Malcolm EI Pagson"s' Ins.. agcy. Inc, ONLYANDCONFERS NO RIGHTS UPON THE CERTIFICATE 6 Freeman St. HOLDER.THIS CERTIFICATE DOES NOT AMEND;-EXTEND OR P.O. Box 527 ) ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Stoughton, MA 02072 INSURERS AFFORDING COVERAGE NAIC# INsuREO MIChael De uga - Associated Employers Insurance INSLIREF.A: DBA: Village Craft Building & Remodeling INSURERS 569 Santuit Road NsuRER:c Cotuit, MA 02635 INSURERC --'—"--- . INSURER.E: I - COVERAGES THE POLICES OF INSURANCE LISTED BELOW HAS:BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED.NOTWITHSTANDING ANY REQUIREMENT.TERM OR CONDITION OF ANN CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE.MAY BE ISSUED OR MAY FERTAIN,THE INSURANCE AFFORDED BYTH:POLICIES DESCRIBED HEREIN IS SUEJECT TO ALL THE TERMS,EXCLUSIONS AND CONAITIONS Ox SUCH POLICIES,AGGREGATE LIMITS SHOWN MA.Y HAVE 'IEEN REDUCED BY PAID CLAIMS. IIISR .lb•- - T TYPE OF INSURANCE POLICY NUMBER POLIO EFFECTIVE POLICY EXPIRATION I GENERAL LIABILITY LIMITS - ` - - EACH Dr:CURRENCE 9 . �NMEP.CIAL GENERAL LABILITY DD.NAGE 3-RENTED CLAIMS MADE r OCCUP, are 5 i ME.'EXP iAni Ono Person) $ PERSONAL S AD'V INJURY S GENERAL AGO REGAT'c - 5 GENLA;;GkEGATE UMI-APPLIES PER: - ---- —_ POLICY I ;E� LOCI PRODJCTS•COMPIOP AGG 5 AUTOMOBILE LIABIL:TY ---�-- ANY 4,,IT.O � COMBINED SWDLE LiNIT S (Ea aGlBan J ALL OWNED AUTOS ,. --- SCHEDULED ALTOS - BODILY INJURY 5-- - (Per person) HIRED AIJTCS - - tfJ`dCM;fd[G AUTOS BODILY INJURY - (Ver ace den) 5 PRDP2RT`(DAMAGE S (Per aoc deH) OARAGE LIABILITY - - I ANY AUTO - AUTD ONLY•EA ACCIDENT S .. OTHER h1,AN EA 4= $ - ALTO ONLY: i EXCESSJUNBRELLALIABILITY - ACC 5 OCCUR �.CLA ti15 MADE - EACH OCCURRENCE 5 - i ACGREGATE g i DEDUCTBLE — — — RETeI•TION - — WORKERSCOMPENSATIONAND ,w:C500611401-2006 12/23/2006 12/.23/2007 7TH• 6'JC STATV• QdPLCYERS'LIABILITY Y ti A I kv"FP,CPRIETOR/PARTNER.EXECUTIVE "c L.EACH ACJ DENT. S 100,000 OFFICERrNaiBER EXCLUDED? If Yes 6escriC4 under E.L DLSEASE EA EMPLOYEE S 100 04 SPECIAL PROVISION5 haba, OTHER - - _ I E L DISEASE POLICY UNIT S SOO,OOO 1 I OESCR IPTION OF OPERATIONS I LOCATIONS I VEHICLES I cX(LUSIONS ADDED BY EN DCRSEM ENT I SPECIAL PROVISIONS I Residential contractor C RTIFICATE HOLDER C_ANC L ATION SHOULD ANY OF THE ABC'VE UESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF.THE ISSUING INSURER WILL ENDEAVOR TO MAIL - DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT. BUT FAILURE TO MAIL SUCH NOTICE SHALL IMFOSE NO OBLIGATION OR LIABILITY OFANY KIND UPON THE INSURER.ITS AGENTS OR REPRESENTATIVES. AUTHOR ZED REPRESENTATIVE ACORD 25(2001/08) FAX: (508)428-77( 9 (DACORD CORPORATION 1988 , .MI.. NnaerSerl J 1 Andersen Casement CU�1 :4-3 Andersen r Circle.Top CTC3 � F A31 M1 F 17 L 2 Ji ' Andersen Awning; M. 1 Andersen Awning A51y` Fi 1 A4 N 2 Andersen. Casement C1.6 Fi O 1 Andersen Casement Bow C4.4BOW P ; 1 Andersen Pwood Gliding Door FWG1'2068-4 , -- j Q 2 Andersen Pwood Gliding Door FWG606k R 1 ° Andersen F'wood Gliding Door FWG6068R -- S 1 An Operable Skylight SK4446 T .T -1 Andersen. Casement '. Ck23 00 --- T EL-` 3,9- 7 J Lam= I I i 6AS�r-IENT T O• �aLPcP� qua i o Pfbptf� ��^ 'u l r ✓ 5 l(7 k b i G <( IS ,I� I �� i II Ar>� h' 1 II11 I I III, jII II ,Ilij 't------- u.vO-..a;<oo•n� .-__ ' - 3�DP-+^-.�M 2 � i I I ' I EUL.Dw'C. I f,ae ouj II ;ood III I I1 I j 11 I I I I I `� iaod mod ; ; ; ; " I! IIII 111 I,P ,,�� I I h L!-Noi�G. � pA u j 000dvood ; II_li 'I Iiil!,IIIIIII II I '' \., I -'I -- - -('._• O ® - vood 'I -- 11 ; I 1 vood L a r• I I - f vood -- — =t Nood Now NOod NOad Nood II ---- — — --- - A wood' wood i _.- -- ----- -- --- - ------- t— --------------- mod - wood wood. i I 6 T A5 - ' jl WO ot — -- — �r -- 'l ¢ 5Tu,'Z)Y sl - _ DI , I - 1! 5�enwo.�c �— -\ II I I O. �Fov: L — .,� , : � to ,�•: - - ,I --- l J --- - • 3 r --- 1 I V I :f'It!9_ ,rorf I� I F l 1 I �I NCO �7 r'D tiH h::-7wra Ai 1 I rr, la I r -- --- -- ----- -- fir, i IYA I :1 I • Orleans- Main Street-255-0200 •Martha's"Vineyard=Vineyard Haven-693-3374 INVOICE Y • Wellfleet-Commercial St. 349-3734 �' • Plymouth-Complete Home Concepts • So. Dennis- Rte. 134- 398-6071 28 Shops at 5 Way-746-3085 • Hyannis Bearse's Way 775 6i12 •The Countertop Shop-So.Yarmouth • Complete Home Concepts- Hyannis "299 White's Path -394-6600 Rte. 132 - 362-6308 • Kingston,- Main Street-781-585-5460. • Middleboro,- East Grove Street- 947-2300 �I SOLD TO SHIP TO VILLAGE CRAFT BLDG & REMODEL 568'SANTUIT ROAD ! COTUIIT,p MA 02635 ALL RETURN 8AN�3 CL`AIIVI MUST BE MADE WITHIN 30 DAYS"WITH THIS`INVOICE. RETURNS J� SUBJ C TO A SERVICE CHARGE. SPECIAL ORDERS-ARE NON-RETURNABLE AND SUBJECT TO STORAZ'iL��f444�1 1 ACCOUNT# CUSTOMER P.O.# q TERMS ORDER# ORDER DATE SLSMN INVOICE# INVOICE DATE i 76 3. CONTRACTOR 59'12898 09/05/07_ 138 5873291 09/05/07 ORDERED B/O SHIPPED U/M DESCRIPTION PRICE AMOUNT 1 0 1 EA WHT. CLAD STAT. OCTAGON UNIT 138. 444 1-38. 40 1� #21111 RO 24" X 24" W/GR. IG GL ` 229.305 r ; FILLED BY. CHK'D BY DRIVER MERCHANDISE - September 5, 2007 10:44: 14 0T:7.97 0 / 1 138. 44 { SHIP VIA OTHER # # # 0. 00 # INVOICE # TAX ;t PAGE OF 1 '. 00 FREIGHT i DELUGA, MIKE0. 00 Signature:'— TOTAL 5� t H ann PER PRICE BREAK** " " ° " r_l,1!✓✓ • - '� -.3 i � � �'"TT"' 1 f y 4 � � t` li�, jY•� _mac 13_T_1NP>-— �� � ,, �" � ____ _...--� � ---}1•, 'r R/tY F .fit`► .-`' =`��'T��.-� �' / � .- � i y OT lJ 17- PA Y 1 ACORIX DATE(MM/DD/YYYY) CERTIFICATE OF LIABILITY, INSURANCE 1 19 20 5 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION McShea Insurance Agency, Inc. ONLY AND' CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 749 Main Street, Suite#H ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Osterville, Ma. 02655 508-420-9011 INSURERS AFFORDING COVERAGE NAIC# INSURED Mike Daluga .D/B/A Village INSURER A: National Gran a Mutual Craft Building & Remodeling INSURER B:- 568 .Santuit road iNSURERC: Cotuit, Ma 02635 INSURER'D: 508-428-2755 INSURER E: COVERAGES 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.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR WIL - POLICY EFFECTIVE POLICY EXPIRATION - LTR SR. TYPE OF INSURANCE POLICY NUMBER DATE MM/DD/YY DATE MMIDD/YY LIMITS - GENERAL LIABILITY EACH OCCURRENCE $ 11000,000 ]{ COMMERCIAL GENERAL LIABILITY PREMISES Ea occurence $ 500 000 CLAIMSMADE U OCCUR MED EXP(Any one person) $ 10 000 A -TBI 10/19/05 10/19/06 PERSONAL&ADV INJURY $ 1 ,000 ,000 E GENERAL AGGREGATE $ 2 ,000 ,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ 2 ,000 ,000 POLICY PRO- LOC AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ ANYAUTO (Ea accident) ALL OWNED AUTOS F BODILY INJURY $ SCHEDULED AUTOS- - r (Per person) HIRED AUTOS ` BODILY INJURY $ NON-OWNED AUTOS (Peraccident) PROPERTY DAMAGE $ (Peraccidenl) GARAGE LIABILITY AUTOONLY-EAACCIDENT $ ANYAUTO OTHERTHAN EAACC $ AUTOONLY: AGG $ EXCESS/UMBRELLA LIABILITY EACH OCCURRENCE $ OCCUR CICLAIMSMADE AGGREGATE $ DEDUCTIBLE $ RETENTION $ $ WORKERS COMPENSATION AND W U- TH- TORYLIMITS ER EMPLOYERS'LIABILITY .. ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $ OFFICERIMEMBER EXCLUDED? m. ..E.L.DISEASE EA EMPLOYE $ Ifyes,describeunder SPECIAL PROVISIONS below E.L.DISEASE-POLICY LIMIT $, OTHER DESCRIPTION OF OPERATIONS./LOCATIONS/VEHICLES%EXCL"U$IONS-ADDED BY ENDORSEMENT/SPECIAL PROVISIONS CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE 7DAR Lagadln0 .Bullding & DeS1gI1DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL10 NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE: IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE ACORD25(2001/08) ©ACORD CORPORATION 1988 Plan Reference is Lot A"27,00 Assessors Map 53 Parcel.5 `\ POw, �\ Refer also to this drawing for _ systems. tt- �' ESA/ �• �}�EfaEl�� �` �1 • iT • �00 � �',�,�� r: gam,, `1'' ,,t, � ' ��N� -/�L1C�l.1.=f��Lt! LINE '_��•• , -PoR- Jr .� S • k 77 �. 24 F Apt i �- Assessor's office(1 st.Floor): Assessor's map and.lot number ` �- �/�.J r�y O`— THE To` Conservation ` SEPTIC SYSTEM M Board of Health(3rd floor): INSTALLED IN COMI A ♦w Sewage:Permit number WITH TITLE ssa»T.nt.c '31SI CO Engineering Department(3rd IRONMENTAL floor); - � �', House number' ' TOWN REGULATI® E Ysr Definitive Plan Approved by Planning Board 19 APPLICATIONS PROCESSED 6:30-9.30 A.M.and 1:00-2,00 P.M.only TOWN OF BARNSTABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO Build single family dwelling f TYPE OF CONSTRUCTION _ Wood Residential November 4 19 92 TO THE INSPECTOR OF BUILDINGS: The under4igned hereby applies for a permit according to the following information: Locatio ll Lot A Little River Road, Cotuit n Proposed Use Residential Zoning District RF Fire District Cotuit D�i�e � 4 Name of Owner Seidler Address 4 Kimball Avenue , Wenham, MA NameofBuilder E. J. Jaxtimer Address 48 Rosary Lane , Hyannis NameofArchitect David Mehlin Address 27 No. Main Street , Ipswich , MA Number of Rooms 8 Foundation Poured concrete Exterior Shingled Roofing Asphalt Floors Wood Interior Plaster , Heating 'r`_VAC Oil Plumbing 2 1 baths Fireplace Masonry Approximate Cost $350,000.00 Area 34800 s .fit . Diagram of Lot and Building with Dimensions Fee N akd 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 constructio � r Name E. J. Jaxtimer Construction Supervisor's License 003251 1 riI -SEIDLER, CAROLINE M. ` No a1771 Permit For' 112 Story, Single Family Dwelling Location Lot #A,- 88 Little River Road r ' Cotult • s Owner Ca,roline M. Seidler Type of Construction Frame I s t Plot ` Lot Permit Gran d December 21 , 9 , 9 2 f Date nspect onto '9 �,1 9 s Date Completed 19 i i r C a _ SA S - i , EZw, 7vp OF / se ir 3a.39 /74 88 ' i ` ly, 1 V �!! LoT A Z7 oop FT , o v �� oWJ�4• o. S o i o� Co7�i T eo y CERTIFIED PLOT PLAN LOCATION afT!?!`�.Sla'iC3 ;r CCoTvi r SCALE . .!. = '�' DATE B i49z ,\ZH oF pass, PLAN REFERENCE EDINAJD ALLEY N # No. 26100 a r�s� AECI ST EF`�O L LAON0� I CERTI FY TH AT THE �!ST1.VG /DUN�A�7oN5 SHOWN ON THIS PLAN IS LOCATED ON THE GROUND AS SHOWN HEREON AND THAT IT CONFORMS TO THE SETBACK REQUIREMENTS OF THE TOWN OF 4-0!�-- ... . . . . .WHEN CONSTRUCTED. DATE CLi2oGl�/E �J. -SEIDGE"� /�c��7T/oNE� REGISTERED LAND SURVEYOR TOWN OF BARNSTABLE � Permit No. ...,...�.. .'..... BUILDING DEPARTMENT 4 'uan I TOWN OFFICE BUILDING Cash 7 ,Ml ,6J0 X HYANNIS.MASS.02601 Bond CERTIFICATE OF USE AND OCCUPANCY Issued to Caroline M. Seidler Address gg Little River Road Cotuit, MA USE GROUP FIRE GRADING OCCUPANCY LOAD THIS PERMIT WILL NOT BE VALID, AND THE BUILDING SHALL NOT BE OCCUPIED UNTIL SIGNED BY THE BUILDING INSPECTOR UPON SATISFACTORY COMPLIANCE WITH TOWN REQUIREMENTS AND IN ACCORDANCE WITH SECTION 119.0 OF THE MASSACHUSETTS STATE BUILDING CODE. March 27 95 .. .... .......... ..... ..... 19................. ....... Binding Inspector TOWN OF BARNSTABLE 5Wk.. Permit No. . �:' BUILDING DEPARTMENT TOWN OFFICE BUILDING Cash '639'ML HYANNIS.MASS.02501 Bond CERTIFICATE OF USE AND OCCUPANCY Issued to Caroline M. Seidler Address 88 ]Little River Road Cotuit, MA USE GROUP FIRE GRADING OCCUPANCY LOAD THIS PERMIT WILL NOT BE VALID. AND THE BUILDING SHALL NOT BE OCCUPIED UNTIL SIGNED BY THE BUILDING INSPECTOR UPON SATISFACTORY COMPLIANCE WITH TOWN REQUIREMENTS AND IN ACCORDANCE WITH SECTION 119.0 OF THE MASSACHUSETTS STATE BUILDING CODE. March 27 95 , .. ......... ..... .. ... .. ... 19................. .......c. .. '-"" ` '................... Building Inspector `�..° °•�w TOWN OF BARNSTABLE _ BUILDING DEPARTMENT t 11 5 TOWN OFFICE BUILDING � rua 9' '639' \� HYANNIS, MASS. 02601 ti MEMO TO: Town Clerk FROM: Building Department DATE: An Occupancy Permit has been issued for the building authorized by BuildingPermit #....... .... :. ......... ........................ ................................ .. » . . vz ' issuedto ......rT..... t. / .1 :.............................................................. ...._ ....... ........._.... .. .. Please releasef the performance bond. � . r .A-In B 717 z _ gdJe'L`DIN PERfIT{ TOWN OF BARNSTABLE MASSACHUSETTS T:. A=053-005 DATE December 21 19 92 PERMIT NO. ( '.APPLICANT L' • J. JaXtimeY ADDRESS 4 Roeary Lane, Hyannis 03251 (NO.) (STREET) (CONTR'S C,CENS E, C PERMIT TO Build Dwelling (1 STORY Single Family. -Dwellin U BERILLIN OF G UNITS y.. .(TYPE OF IMPROVEMENT) NO. (PROPOSED USE) _ AT (LOCATION) Lot ttA, 88 Little River Road, Catuit ZONING RF (( DISTRICT_1N0.)_ (STREET) BETWEEN AND (CROSS STREET) - (CROSS STREET) SUBDIVISION LOT LOT BLOCK SIZE BUILDING IS TO BE FT. WIDE BY FT. LONG BY FT. IN'HEIGHT AND SHALL CONFORM IN.CONSTRUCTION t TO TYPE USE GROUP BASEMENT WALLS OR FOUNDATION (TYPE) )� "..:._REMARKS: -. - Sewage � , 547 ' - Bond .AREA OR. ,` t• - _ - - :.',PERMIT 7 VOLUME 2998 SCI ESTIMATED COST 350 Q00•00 FEE $ 232.00 , .(CUBIC/SQUARE FEET); Caro OWNER line M. Seidler ADDRESS 4' Kimball Avenue, Wenham, MA BUILDING DEPT. F HI ERMI TD ES NOT RELEASE•THE APPLICANT FROM THE CONDITIONS OF ANY APPLICABLE SUBDIVISION RESTRICTIONS. i MINIMUM OF THREE CALL APPROVED PLANS MUST BE RETAINED ON JOB AND THIS WHERE APPLICABLE SEPARATE INSPECTIONS REQUIRED FOR PERMITS ARE REQUIRED- FOR CARD KEPT POSTED UNTIL FINAL INSPECTION HAS BEEN ALL CONSTRUCTION WORK: ELECTRICAL, PLUMBING AND f 1. FOUNDATIONS OR FOOTINGS. MADE. WHERE A CERTIFICATE OF OCCUPANCY IS'RE- MECHANICAL INSTALLATIONS. 2. PRIOR TO COVERING STRUCTURAL QUIRED,SUCH BUILDING SHALL NOT BE OCCUPIED UNTILMEMB _ - tt FINAL INSPECTION TI TO LA7.H). - FINAL INSPECTION.HAS BEEN MADE. 3. FINAL INSPECTION BEFORE - " OCCUPANCY. POST THIS CARD SO IT IS VISIBLE FROM STREET BUILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS 3 HEATING INSPECTION APPROVALS ENGINEERING 6EPARTMENT - BO OTHER. SITE PLAN REVIEW APPROVAL WORK SHALL NOT PROCEED UNTIL THE INSPEC- PERMIT '01!L L BECOME NULL AND VOID IF CONSTRUCTION INSPECTIONS INDICATED ON THIS CARD CAN BE TOR HAS APPROVED THE VARIODUS STAGES OF WORK IS NOT STARTED WITHIN SIX MONTHS OF DATE THE ARRANGED FOR BY TELEPHONE OR WRITTEN CONSTRUCTION. I PERMIT iS ISSUED AS NOTED ABOVE. NOTIFICATION. p �+a,� :rk..... .'.., R-�.: -`. v: ,.. 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