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HomeMy WebLinkAbout0027 NARROWS WAY 47 �C '� ,,� I�i i Town of Barnstable Building anso-rsrABLK ; Post This Card So That it is Visible From the Street-Approved Plans Must be Retained on Job and this Card Must be Kept A Posted Until Final Inspection Has Been Made. '+ ° Where a Certificate of Occupancy is Required,such Building shall Not be Occupied until a final Inspection has been made. Permit Permit No. B-19-3050 Applicant Name: FRANK DONOVAN Approvals Date Issued: 10/01/2019 Current Use: Structure Permit Type: Building-Alteration INTERIOR Work Only- Expiration Date: 04/01/2020 Foundation: Residential Ma Lot: 021112 Zoning District: RF Sheathing: Location: 27 NARROWS WAY,COTUIT Contractor Name.-,.,,FRANK DONOVAN Framing: 1 Owner on Record: HOLLAHAN,GERALD H &JANE M Contractor License: C$=-091391 2 y Address: 27 NARROWS WAY Est. Project Cost: $42,000.00 Chimney: COTUIT, MA 02635 P $ 264.20. Permit Fee: Description: Kitchen Upgrade Replace Cabinetry Countertop,floor and paint. Insulation: { Fee Paid $ 264.20 Date. ;. 10/1/2019 Final: Project Review Req: ` Plumbing/Gas Rough Plumbing: \Building Official Final Plumbing: This permit shall be deemed abandoned and invalid unless the work authorized by this permit is commenced within'six months after'issuance. All work authorized by this permit shall conform to the approved application and the approved construction documents for which this permit has been granted. Rough Gas: All construction,alterations and changes of use of any building and structures,shall be in compliance with the local zoning by-laws and codes. This permit shall be displayed in a location clearly visible from access street or road and shall be maintained open for public inspection for the entire duration of the Final Gas: work until the completion of the same. % AN ' Electrical 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: Service: 1.Foundation or FootingT Rough: 2.Sheathing Inspection 3.All Fireplaces must be inspected at the throat level before firest flue lining is installed 2 Final: 4.Wiring&Plumbing Inspections to be completed priorto Frame Inspection 5.Prior to Covering Structural Members(Frame Inspection) Low Voltage Rough: 6.Insulation 7.Final Inspection before Occupancy Low Voltage Final: Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Health 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 All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT Final: S� SHE r ~O Application Number. ... ....... .......... BARMA]" • MASS. Permit Fee.......................................Other Fee........................ s639. � Eb M a Total Fee Paid.......:.....I....... .t ........ ...... TOWN OF BARNSTABLE Permit Approval by. ...............On...... �D.��.1.� . ... BUILDING PERMIT /.................Parcel............./.1.. .................... . .... ................. APPLICATION Section 1 — Owner's Information and Project Location Project Address 1Vaz s 0-o uA7- Village .�'�•t=,B6E' Owners Name (SeKAL6 ts,,I & L Owners Legal Address �V/, 1Y"201yJ- &)*-e—I City 8 77,1!✓ rk State Zip D g Owners Cell# E-mail": �/�<-L- �� !� do BUILDING DEg6tion 2 —Use of Structure Use Group SEP.1.6 2019 ❑ Commercial Structure over 35,000 cubic feet TOWN OF BARNSTABLE ❑ Commercial Structure under 35,000 cubic feet ❑ Single/Two Family Dwelling Section 3 — Type of Permit ❑ New Construction ❑ Move/Relocate ❑ Accessory Structure ❑ Change of use ❑ Demo/(entire structure) ❑ Finish Basement ❑ Family/Amnesty ❑ Fire Alarm Rebuild ❑ Deck Apartment © Sprinkler System ❑ Addition ❑ Retaining wall ❑ Solar ❑ Renovation ❑ Pool ❑ Insulation - Other—Specify. Y Section 4 - Work Description T e2oho l-e -to ,,A 1 Application Number.............................................,....... Section 5—Detail Cost of Proposed Construction--7 p, Square Footage of Project Age of Structure / Dig Safe Number #Of Bedrooms Existing Total#Of Bedrooms (proposed) 110 MPH Wind Zone Compliance Method MA h p ❑ Checklist ❑ WFCM Checklist ❑ Design Section 6-Project Specifics ❑ Wiring ❑ Oil Tank Storage `; ❑' Smoke Detectors ❑ Plumbing ❑ Gas ❑ Fire Suppression ❑ HeatingSystem ❑ Masonry Chimney ❑C e Add/relocate bedroom Y m'Y Y Water Supply ❑ Public ❑ Private Sewage Disposal ❑ Municipal r ❑ On Site Historic District EJ Hyannis Historic District Old Kings Highway Debris Disposal Facility: I am usingka crane a❑ Yes ❑ No Section 7—Flood Zone Flood Zone Designation Within or adjacent to a wetland, coastal bank? Yes ❑ No ❑ Section 8—Zoning Information Zoning District Proposed Use Lot Area Sq. Ft. Total Frontage Percentage of Lot Coverage #of Dwelling Units (on site) Setbacks Front Yard Required Proposed } Rear Yard Required Proposed Side Yard Required Proposed- Has this property had relief from the Zoning Board in the past? ❑ Yes ❑ No y r acr,,,A.f.4• >>n cnm 2 The Commonwealth of Massachusetts Department of InduytHdAccidents Office of Investigations 600 Washington Street Boston,MA 02111 www.mass goMilla Workers' Compensation Insurance Affidavit:Builders/Contractors/Electricians/Plumbers Ayulicant Information Please Print Lesibly Name(Business/Organization4ndividual)• fiRai k ,,)®VW(/G; Address: �_ O City/State/Zip: Phone#: Are you an employer?Check the appropriate b : Type of project(required): 1 ❑ I am a employer with- 4. 0 I am a general contractor and I • ,,/employs(full and/or part-time). have hired the sub-contractors 6. ❑New construction t 2. I am a sole proprietor or partner- listed on the attached sheet. 7. B-M modeling . ship and have no employees These sub-contractors have 8. ❑Demolition workingfor mein an c act employees and have workers' Y aP tY• t 9. ❑Building addition [No workers' comp.insurance comp.ftwz nce. ram] 5. ❑ We are a corporation and its 10.❑Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their 1 L❑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.❑Other 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 most submit a new affidavit indicating such. $Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: Policy#or Self-ins.Lie.#: Expiration Date: Job Site Address: 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 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 may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certi under pains d enalties of perjury th�thenformation provided above is true and correct: S' Date: '— Phone#: 0jJ7cial use only. Do not write in this area,to be completed by city or town official City or Town: PermitlLicense# 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#: r Information and Instructions , Massachusetts General Laws chapter 152 requires all employers to provide workers' compensation for their employees. Pursuant to this statute,an employee is defined as"...every person iri the service of another under any contract of hire, express or implied,oral or written." An employer is defined as"an individual,partnership,association,corporation or other legal entity,or any two or more of the foregoing engaged in a join#enterprise,and including the legal representatives of a deceased employer,or the receiver or trustee of an individual,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 the occupant of the dwelling house of another who employs persons to do maintenance,construction or repair work on such dwelling house or on the grounds or budding appurtenant 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 licensing agency shaII 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 commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority." Applicants Please fill out the workers' compensation affidavit completely,by checking the boxes that apply to your situation and,if necessary,supply sub-contractors)name(s),address(es)and phone number(s)along with their certificate(s)of insurance. Limited Liability Companies(LLC)or Limited Liability Partnerships(LLP)with no employees other than the members or partners,are not required to carry workers'compensation insurance. If an LLC or LLP does have employees,a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested,not the Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy,please call the Department at the number listed below. Self-insured companies should enter their self-insurance license number on the appropriate lime. City or Town Officials Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permit/license number which will be used as a reference number. In addition,an applicant that must submit multiple permit/license applications in any given year,need only submit one affidavit indicating current policy information(if necessary)and under"Job Site Address"the applicant should write"all locations in (city 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 proof that a valid affidavit is on file for future 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 venture (i.e.a dog license or permit to burn leaves etc.)said person is NOT required to complete this affidavit. The Office of Investigations would like 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,telephone and fax number: The Commonwealth of Massachusetts De wtment of Industriai Accidents Office of Investigadons 600 Washington Street _ Boston,MA 02111 Tel.#617 727-4900 ext 406 or 1-877-MASSAFE Revised 4-24-07 Fax#617-727-7749 www.mam.gov/dia :?f.itie of Corsssimar 9S'alrs&yusY. -egulatloa yi Hi vlc—!DIPROVE-M N'r.COfdTRACTO.9 ftegia.tatio~aaiid;csr rd T'fFindividual before the exouai;on date. If tier is;railc,? Ex irapen Office of Corsum.cr Affairs'anc+Susiness Frgulation 'f ir'rt 21 1 Oil t9!2G 1919 10 Park Plaza-Suite 5170 FRANK DC,N(ltfr3ti`::: c 3:yil, .A 021 1G - s HYAI Fx S,;.�� €2en1': �� -Mot valid without sigpajure Ulndersecretalu Commonwealth of Massachusetts Division of Professional Licensure Board of Building Regulations and Standards Construction Sunervisor CS-091391 Eatpires: 10/28/2020 FRANK DONOVAN I"CARLOTTA AVENUE HYANNIS MA 02601 • Commissioner CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDONYYY) o9103/2019 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 CERMCATE 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 COWACT cris Webster SULLIVAN GARRITY&DONNELLY INSURANCE AGENCY INC PrwtN (5W)453-2529 FAx AIC No E VIP@sgdins.com 10 INSTITUTE RD AFFORDItG COVHtAGE NAIC# WORCESTE R MA 016M BMIRE RA_ TRAVELERS INDEMNITY CO OF AMERICA 25666 INSURED .. INSUPXR B SILVA PROPERTY IMPROVEMENT INC DEC_ ItSURERD: 40 INDUSTRY ROAD UNIT 4 (NSUItERE_ MARSTONS MILLS MA 02648 - MSURER F: COVERAGES CERTIFICATE NUMBEI R.• 443860 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF 04SLHWICE 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 SOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. ADDL LTTR TYPE OFD4SURANCE POLWYNUrB PoilClfEFF POLICY yyi LIMBS COMMERCIAL GENERAL LIABILITY EACHOCCURRENCE $ CLAIMS-MADE OCCUR t DAMAGE TO RENTED PREMISES Ea acamence $ MED EXP(Any am person) $ NIA PERSONAL&ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER GENERAL AGGREGATE $ POLICY❑� LOC PRODUCTS-COMP/OPAGG $ OTHER $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ Ea accident ANY AUTO , BODILY INJURY(Per person) $ ALL OWNED SCHEDULED (Per accident) $ AUTOS AUTOS NIA BODILY INJURY HREDAUTOS NO . _ PROPERT'YOAMAGE $ aai prd $ uMBRELLALIAB OCCUR EACH OCCURRENCE $ EXCESSLUU3 CLAIMS-MADE NIA AGGREGATE DELI I I RETEMON$ $ WORKERSCOMPENSATION X ATUTE FOR AND EMPLOYERS'LIABILITY YIN A OFF ANYPRoc RIMEMBER� � WA NIA 6HUB1K54479619' 0IVi5I2019 08115=0 ELFACHACCIDENT $ 1,000,000 (M-da"InHH) EL DISEASE-EAHuSPLO $ 1,000,000 If yes,desrnbe under DESCRIPTION OF OPERATIONS 6edv otSEASE-POLICY LIMB $ 1,000,000 NIA DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES(ACoRo 1(1,AddrlmnaI Rol¢Sched dQ orgy be e is required) Workers'Compensation benefits will be paid to Massachusetts employees_ nly_Pursuant to Endorsement WC 20 03 06 B,no authorization is given to pay claims for benefits to employees in states other than Mirmachusalls if the insured hires,or has hired those employees outside of Massachusetts. This certificate of insurance shows the policy in form on the date that tht certificate was issued(urdess 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/iwd/workers-armpensatiWmvesfigaborisi. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLMIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Jane Hollahan ACCORDANCE WRH THE POLICY PROVISIONS. 27 Narrow Way - AUnrOIdZED REPRESENTATM Cotuit AAA 02635 .`'� Daniel M cCray,CPCU,Vice President—Residual Market—WCRIBMA ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD 5 Tray Dividers on top Hood includes steel liner and blower motor assembly 210 CO F Brick Fireplace ,. w jlN. ,.00D03 96-W D30 O d� 2 - - 71uI, 8D30 R1' .03 IS-IF 3630 Cn M . B 30 r 3,. R 55rroIG;t steel a CO O .n ! Pu�-out Spice Rack Scooped Drawer for utensils ' - - / - 2 rollout shelves 2goutShalves r Double. astebasket - / t I 1 4 m m f' 616R .DISH-I 6` U 33 Q .. B 96. 4 7 6 2 F 461 1 5 - F !l a f , 275 7" All dimensions maize designations i This is an original design and must Designed: 5/24/2019 given are subject to verification on not be released or copied unless Printed: 5/29/2019 job site and adjustment to fit job120,20 applicable fee has been paid or job Y conditions. order placed. Tollahan 7 All ,� K n I t �h :� k �� Application Number........................................... Section 9- Construction Supervisor Name ��Ua Telephone Number ,S"b�' 7 ©�Cg� Address 1m6r7/0 1�lq City State Zip ©P6a�' License Number License Type ' : ' piration Date /D -�'^ Contractors Email�/1�,,� �,ny � /��/r '�wCell# I understand my responsibilities under the rules and regulations for Licensed Construction Supervisor in accordance with.780 CMR the Massachusetts State Building Code. I understand the construction inspection procedures,specific inspections and documentation requiired by 780 CMR and the Town of Barnstable.Attach a copy of your license. Signature Date- 1� /0j Section 10—Home Improvement Contractor i Name � �� Telephone Number Address ZQ2C&112 City L4V,,z1,, C State&4, Zip ©,2 68I Registration Number�J�o�/ Expiration Date I understand my responsibilities under the rules and regulations for Home Improvement Contractors in accordance with 780 CMR the Massachusetts State Building Code. I understand the construction inspection procedures,specific inspections and documentation re ed by 780 CMR and the Town of Barnstable.Attach a copy of your KLC... Signature Date le-1 rl� Section 11 —Home Owners License Exemption Home Owners Name: Telephone Number Work I understand my responsibilities under the rules ations for License Qnstruction Supervisor in accordance with 780 CMR the Massachusetts State Buil ' e. I understand the construction inspe i n-gr lures,specific inspections and documentation require CMR and the Town of Barnstable.ig nature Date APPLICANT SIGNATURE Signature zl� 1 �/�� Date Print Named Telephone Number 6 E-mail permit to: aA kLV , Section 12—Department Sign-Offs Health Department ❑ Zoning Board(if required) ❑ Historic District ❑ Site Plan Review(if required) ❑ Fire Department ❑ Conservation ' ❑ For commercial work,please take your plans directly to the fire department for approval. -- - Section 13— Owner's Authorization I, N 4�9- , as Owner of the subject property hereby authorize p to act on my behalf, in all matters relative to work authorized b this building permit application for: oS Y UGy� 1��/T /� !� 2 (0 (Address of job) 61 �age of Owner date Print Name Application number ............... Fee ..................... ............................ K" ., Building Inspectors Initials.......... ..... .............. MAY 1 }� S� •l� 1 � I �� Date Issued:.:.....:............ .............. . Map/Parcel...... ...................... TOWN, OF BARNSTABLE EXPEDITED PERMIT APPLICATION: ROOF/SIDING/'WINDOW S/DOORS/TENTS/STOVES/WEATHERIZATION PROPERTY INFORMATION Address of Project: -� ,��� � i� 19 k 0"3,z NUMBER STREET VILLAGE Owner's Name: N,`s AoAein,sk-� Phone Number : 7�- Email Address: Cell Phone Number Project cost$__ 1 , kOO Check one Residential Commercial OWNER'S AUTHORIZATION As owner of the above property I hereby authorize C"4 0 to make application for a building pqrnpt in-accordance with 780 CMR Owner Si Date: /f f TYPE OF WORK 0 SidingWindows no header char e # � Insulation/Weathe • •( g ) rization E-1�Doors (no header change)# Commercial Doors require an inspector's review I v! Roof(not applying more than 1,layer of shingles) Construction Debris will be going to CONTRACTOR'S INFORMATION Contractor's name Home Improvement Contractors.Registration(if applicable)# /1536' {_ (attach copy) Construction Supervisors License#- CS— O A3326 (attach copy) . Email of Contractor VI3 C- hone number To'--CIS —6/14.7 ALL PROPERTIES THAT HAVE STRUCTURES OVER 75 YEARS OLD OR IF THE SUBJECT PROPERTYES IN A HISTORIC DISTRICT, YOU MUST OBTAIN HISTORIC APPROVAL BEFORE A PERMIT CAN BE ISSUED. APPLICATION NUMBER............................................................. , *For Tents Only* Date Tent'(s) will be erected Removed on number of tents total Does the tent have sides? Yes No (If yes please attach floor plan with exits marked) Dimensions of each Tent X X X Additional tent dimensions can be attached on a separate piece of paper. . Purpose of Event Check one: this event is a: for profit non-profit event Check one: Food served Yes No Flame it id P d h att Spread.Sheet of each tent must be ace . rove a site plan with the location(s of each tent , P ) Fuel source being used LP tank 20 lbs. or>. Yes No___,if yes, a gas permit is required. Natural Gas Yes -No ,if yes,a gas permit is required. If food is being served at your event please obtain a Health Department approval between the hours of 8:00am-9.30 am or 3:30 pm-4.30pm. Commercial events may require Fire Department approval. *WOOD/COAL/PELLET STOVES Manufacturer# Model/I.D. Fuel Type Testing Lab Offsets from combustibles: front back left side right side 9 I HOMEOWNER'S LICENSE EXEMPTION Homeowner's Name: Telephone Number Cell or Work number P I I understand my responsibilities under the rules and regulations for Licensed Construction Supervisor in accordance with 780 CMR the Massachusetts State Building Code. I understand the construction inspection procedures,specific inspections and documentation required by 780 CMR and the Town of Barnstable. Signature Date APPLICANT'S SIGNATURE Signature Date All permit applications are subject to a building official's approval prior to issuance. APPLICATION NUMBER *For Tents Only* Date Tent(s)will be erected , Removed on number of tents total Does the tent have sides?Yes No (If yes please attach floor plan with exits marked) Dimensions of each Tent X X X. Additional tent dimensions can be attached on a separate piece of paper. Purpose of Event Check one: this event is a: for profit non-profit event Check one: Food served Yes No Flame Spread.Sheet of each tent must be attached. Provide a site plan with the location(s)of each tent Fuel source being used LP tank 20 lbs. or>Yes No-, ,if yes, a gas permit is required. Natural Gas Yes No - if yes,a gas permit is required. If food is being served at your event please obtain a Health Department approval between the hours of 8:00am-9:30 am or 3.30 pm-4:30pm. Commercial events may require Fire Department approval *WOOD/COAL/PELLET STOVES Manufacturer# Model/I.D. Fuel Type Testing Lab Offsets from combustibles: front back left side right side HOMEOWNER'S LICENSE EXEMPTION Homeowner's Name: Telephone Number Cell or Work number I understand my responsibilities under the rules and regulations for Licensed Construction Supervisor in accordance with 780 CMR the Massachusetts State Building Code. I understand the construction inspection procedures, specific inspections and documentation required by 780 CMR and the Town of Barnstable. , Signature Date APPLICANT'S SIGNATURE Signature = Date a All permit applications are subject to a building official's approval prior to issua ce. 6 S R Application number...... ..-..�.c�...-..�.. a. ..........Fee .. .......................... KAM ` Building Inspectors Initials.................... DateIssued.:.............................................................. Map/Parcel........ ...................... TOWN OF BARNSTABLE EXPEDITED PERMIT APPLICATION: ROOF/SIDING/WINDO WS/DOORS/TENTS/STOVES/WEATHERIZATION -PROPERTY INFORMATION Address of Project: , wa, CAk3*:k '9 N O aZ63;� NUMBER STREET VILLAGE . Owner's Name: Scszs AaV,;.n\at-, Phone Number '17�L-2.33 - 3�7 Email Address: Cell Phone Number Project cost$ ; k60 Check one Residential Commercial OWNER'S AUTHORIZATION As owner of the above property I hereby authorize �c to make application for a building pqrnpt in accordance with 780 CMR Owner Signature• )11 Date: TYPE OF WORK Siding ED Windows (no header change)# El Insulation/Weatherization ED Doors (no header change)# Commercial Doors require an inspector's review I Roof(not applying more than 1 layer of shingles) Construction Debris will be going to ak1 0 ;% \�!' 3 � � CONTRACTOR'S INFORMATION Contractor's name Home Improvement Contractors,Registration(if applicable)# /5 oG N (attach copy) Construction Supervisors License# CS-2 6'),33�20 i.•: • ,(attach copy) Email of Contractor 3 Q`t�d„Kx,.&�'Phone number T,� C41- "4 S ALL PROPERTIES THAT HAVE STRUCTURES OVER 7S YEARS OLD OR IF THE SUBJECT PROPERTY IS IN A HISTORIC DISTRICT, YOU MUST OBTAIN HISTORIC APPROVAL BEFORE A PERMIT CAN BE ISSUED. ACC® CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDD"YY„) llk� 05/13/19 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 have ADDITIONAL INSURED provisions or 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 NAME: Anna LOSordo Robert E Bouchie Jr.Insurance Agency,Inc. PHONE No.Exc: 508-664-5660 (AIC No); 608-564-5531 1352 Route 28A PO Box 400 AD Cataumet,MA 02534 O�SS: Info@Bouchielnsurance.com INSURER(S)AFFORDING COVERAGE NAIC 0 INSURERA: S&H Underwriters(Acceptance Indemnity) INSURED INSURER 8: MWCARP(Atlantic Charter Ins Co) Stuart&Co.,LLC INSURER C: 175 Teaticket Highway,Unit 13 INSURER D: Teaticket,MA 02536 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 MAYBE 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 NSD WVD POLICY NUMBER MMIDD MMIDD LIMITS x COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS-MADE �OCCUR _ PREMISES Ea occurrence $ 100,000 MED EXP(Any oneperson) $ 5,000 A CL00253842 05/22/18 05/22119 PERSONAL&ADV INJURY $ 1,000,000 GEN'LAGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 X POLICY ECTT LOC PRODUCTS-COMPIOPAGG $ 2,000,000 OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ Ea acci ent ANYAUTO BODILY INJURY(Per person) $ OWNED SCHEDULED - AUTOS ONLY AUTOS BODILY INJURY(Per accident) $ HIRED NON-OWNED PROPER DAMAG $ AUTOS ONLY AUTOS ONLY Per accident $ UMBRELLAIJAB OCCUR EACH OCCURRENCE $ EXCESS UAB CLAIMS-MADE AGGREGATE $ DED I I RETENTION$ $ WORKERS COMPENSATION X1 STATUTE ERH AND EMPLOYERS'LIABILITY Y I N ANY B OFFICERIMEM EREXCLUDED?ECUTIVE❑ NIA WCV01406500 05/23/18 05/23/19 E.L.EACH ACCIDENT $ 100,000 (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE $ 100,000 If gas.describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 500,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached If more apace Is required) Brian Stuart Is not included in the workers compensation coverage. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN Jerry 8:Jane Hollahan ACCORDANCE WITH THE POLICY PROVISIONS. 27 Narrows Way COtult,MA 02632 AUTHORIZED REPRESENTATIVE Robert E Bouchie Jr ©1988-2016 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD I c _ Commonwealth of Massachusetts Division of Professional Licensure P Board of Building Regulations and Standards Co nstroCdbn"Supervisor CS-023320 E ires:06/18/2020 KENNETHISTUART 1 t t 63 HANDY RD` .,' POCASSET MA 02559 f C L Commissioner I ' 4 ...��� 5;iisireorrtc��I'/ i .!�lii3.9�rcciG•//.1 Office of Consumer Affairs&Business Regulation HOME IMPROVEMENT CONTRACTOR Registration valid for Individual use only TYPE:,Supplement Card before the expiration date. If found return to: Regiskittion Expiration Office of Consumer Affairs and Business Regulation ,'163689 01/02/2021 1000 Washington Street-Suite 710 STUART&CO, LLC , Boston,,MA 02118 Y k }J KENNETH I.STUART.-On,',,- 63 HANDY RD. POCASSET,MA 0 54.11' Undersecreta Not valid without signature ry r. Thee Commonwealth of Massachusetts Department of Industrial Accidents _ Office of Investigations 600 Washington Street Boston,MA 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information ` Please Print Legibly Name(Business/Organization/Individual): Address: V-7 City/State/Zip: V. G;ky 36 - Phone#: Are you an employer?Check the appropriate box: Type of project(required): 1.�I am a employer with_3 4. ❑ I am a general contractor and I * have hired the sub-contractors 6. ❑New construction employees(full and/or part-time): - 2.❑ I am a sole proprietor or partner- listed on the attached sheet. t 7._❑Remodeling ship and have no employees These sub-contractors have 8. ,0 Demolition workingfor me in an capacity. employees and have workers' y P tY• 9. ❑Building addition . [No workers' comp.insurance comp.insurance.: 10.❑Electrical repairs or additions required.] 5. ❑ We are a corporation and its P 3.❑ I am a homeowner doing all work officers have exercised their 11.❑Plumbing repairs or additions myself. [No workers' comp. right of exemption per MGL 12.[g,�,00f repairs insurance required.]t c. 152,§1(4),and we have no employees. [No workers' 13.❑Other 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. $Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. 1 am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site- information. n` Insurance Company Name: Policy#or Self-ins.Lic.#: la►f® l/`a Expiration Dater Job Site Address: �� k n� %A 9-:v �� e�.%wL City/State%Zip: 6:V3, _ 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 may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. Idoherebycerg& nder th p ins and penalties of perjury that the information provided above-is true and correct Signature: y Date. 4/— Phone#: -77q- Official use only. Do not write in this area,to be completed by city or town officiaL City or Town: Permit/License# r 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#: .4 Information and Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers'compensation for their employees. Pursuant to this statute,an employee is defined as."...every person in the service of another under any contract of hire, express or implied,oral or written." An employer is defined as"an individual,partnership,association,corporation or other legal entity,or any two or more of the foregoing engaged in a joint enterprise,and including the legal representatives of a deceased employer,or the receiver or trustee of an individual,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 the occupant of the <_ dwelling house of another who employs persons to do maintenance,construction or repair work on such dwelling house or on the grounds or building appurtenant 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 licensing agency shall withhold the issuance or renewal of a license Ior 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 commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority." Applicants Please fill out the workers' compensation affidavit completely;by checking the boxes that apply to your situation and,if necessary,supply sub-contractor(s)name(s),address(es)and phone number(s)along with their certificate(s)of insurance. Limited Liability Companies(LLC)or Limited Liability Partnerships(LLP)with no employees other than the members or partners,are not required to carry workers' compensation insurance. If an LLC or LLP does have employees,a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested,not the Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy,please call the Department at the number listed below. Self-insured companies should enter their self-insurance license number on the appropriate line. City or Town Officials Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permittlicense number which will be used as a reference number. In addition,an applicant that must submit multiple permit/license applications in any given year,need only submit one affidavit indicating current policy information(if necessary)and under"Job Site Address"the applicant should write"all locations in (city 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 proof that a valid affidavit is on file for future 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 venture (i.e.a dog license or permit to burn leaves etc.)said person is NOT required to complete this affidavit. The Office of Investigations would like 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,telephone and fax number: The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington..Street Boston,MA 02111 Tel.#617-727-4900 ext 406 or 1-877-MASSAFE Revised 4-24-07 Fax#617-727-7749 www.mass.gov/dia a f Town of Barnstable Building t PostsThis£Ca""rdSoThat�t�s>UisibleaFrom trcA�tm theStree� z Mus e.Ke PP t n3 p lksv s.. {W Po�hse,rd avu:_Cwre...ars.t.ai�`f 3ic✓ate","of ,. .3. ::. M. eeMn lInspectHasBe d,such Buldmg sM hall NPermot,,be,Occupied.untiha�„Fin�a l�nspectionwhas;been made ; iticc41nysRwr Permit NO. B-19-287 Applicant Name: Carl Rebello Y Approvals. . Date Issued: 01/25/2019 Current Use: Structure Permit Type: Building-Insulation-Residential Expiration Date: 07/25/2019 Foundation: Location: 27 NARROWS WAY,COTUIT Map/Lot 021 112 Zoning District: RF Sheathing: Owner on Record: HOLLAHAN,GERALD H&JANE MCo ract�o Nme ,Carl J Rebello Framing: 1 Address: 5525 SE FOREST GLAD TRAIL Contractor license: -S`084358 2 HOSE SOUND, FL 33455 E 41, st Protect Cost: $7,400.00 Chimney: n 4g i Description: Insulation&Air Sealing. Perrot Fee: $87.74 Insulation: Project Review Req: Fee Paid: $87.74 �� Date 1/25/2019 Final * � � �dl Crv� Plumbing/Gas 1 k - Rough Plumbing: � .._ .. .. z �, Building Official Final Plumbing: This permit shall be deemed abandoned and invalid unless the work authorized by this permit is commenced within siz.rrionths after issuance. Rough Gas: All work authorized by this permit shall conform to the approved appl cation arid' ,approved construction documents for which this permit has been granted. All construction,alterations and changes of use of any building and structurs shall be m compliance with the local zonigylaw�s and codes. Final Gas: This permit shall be displayed in a location clearly visible from access street,,,, r,ad,and shall be maintained open for;public inspection for the entire duration of the work until the completion of the same. t Electrical The Certificate of Occupancy will not be issued until all applicable signatures by,the Build g and Fire Offic als ov are prided on t s'permit. Service: Minimum of Five Call Inspections Required for All Construction Work % " h 1.Foundation or Footings R� Ak Rou g . 2.Sheathing Inspection 3.All Fireplaces must be inspected at the throat level before firestflue lining is installed Final: 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection 5.Prior to Covering Structural Members(Frame Inspection) Low Voltage Rough* 6.Insulation 7.Final Inspection before Occupancy Low Voltage Final: Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Health 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 . Assessor's office(1st Floor): Assessor's map and lot n £ -�� .�� gyp{TMt to` Conservation - 3 0 4®2 SEPTIC�YSp7°�i �MUS`T 8 �`w ( ) , INSTTALLED IN CO1�13LId41� DA817TLDL i Board of Health 3rd floor: �, , Sewage Permit number - �/- W'T'FI TITLE 5 rua E ts®IV °o se3o. d' Engineering Departmentl3rd f or): MENTAL CODE AN �DUO* House number "lowly REGULATIONS Definitive Plan Approved by Planning Board 19 APPLICATIONS PROCESSED 8:30-9:30 A.M.and 1:04 2:00 M.only TOWN OF - BARNSTABLE BUILDING INSP CTOR APPLICATION FOR PERMIT TO TYPE OF CONSTRUCTION 19 _ TO THE INSPECTOR OF BUILDINGS: The undersigned herpoy applies f r a permit according to the following information: Location Proposed Use Zoning District /a —Fire District Name of Owner �� J ddress Name of Builder Address Name of Architect Address �✓G � Number of Rooms ` Foundation Exterior v At Roofing Floors ® Interior Heating /� Plumbing ) Fireplace [/!i 1 Approximate Cost ✓ �'U (! Area DiagAm of Lot and Building with Dimensions Fee, / '34�)P ✓�7f -- "2 le — C2d� u GV t J OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name Construction Supervisor's License McINNIS, VICTOR 4 No 35043 Permit For One Story 1 Single Family Dwelling Location -Lot #25 & 25A, 27 Narrows Way Cotukt. - ` Owner i Victor McInnis Type of"Construction Frame Plot , Lot i 0'1 - Permit Granted May 8 , 19 92 Date of Inspection's_9_ - ? 19 _ , D t om I ted �f ®�`G l� ' ' jg • t t f 1 i a Al I10 ,r SIDtl� f z I 1_ 1� ff 7�tT r B T'fo � nat - r Z 21 -'—rr r Tl r 7 T`T01A�I4AI�Yfi3DTG¢Jrt__i_+r ��-1 Ertl1_ �r f� I��` 1 L 71 ,i-i oaf t ? 7ER. li � o. 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'i:e•.• 3?� r� � ... 4b a ..f-+>frQSi:•{sA3� v t' 3:�:7�" :<.- <: '3iC...1:.hA_ .�.r•-.� YS�- ._,.. �(''a. v.•i�...,-e�.:i_-c :ei't rh- �1, :•�_h.<.:e';::i�%;i'�:e.<.�...taw ` "� WkrVU =1ih'-"si7C�.r'.c<.�"_•- „�^- ;y. y' - `•.1 T - O I J •� 1 Ira �-i K`'•.,�.• _ _ _ e a °.4.7 - - ^!" •.i� f_ -tee"�' r: Y s� .4 - t - .•r 7 -�+=�''� ,y\ ,;}� } ,: '�. m'°�`� .try{ --_.: ;. :.;;.•.:::-,,<. ,. ... ;. .-._. .. `♦ -'--_ •t...<.� .•.. ,. � — '1� \:ti.raabnu.W�ii:).�',w2.4:r�y>d::,.:+rrsa,L o.�a•::� '+c3�tre a+.>�`t.-r_.'.r :�a/..f.:.':fv,:r:wi,.d::Fl�ixl.l:Yt.aK:.aki._rd...3U.LC:nrvu�.:.vN<.�\rm:r_,..:_ --- ...,...�..�-.C.<v,..d. ,iw�.=s:sv.�.K'c...rr>.�:.n•.+.�...a..�.,..,.Zrw�+rlc. I 7Y[> TOWN OF BARNSTABLE 35a43 Permit No. ......,......... BUILDING DEPARTMENT I " a- I TOWN OFFICE BUILDING Cash 7 �Yl 67V• X HYANNIS.MASS.02601 Bond ................ CERTIFICATE OF USE AND OCCUPANCY Issued to Victor McInnis Address Lot #25 & 25A, 27 Narrows Way Cotuit, Mass. 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. 'e�XJI oe October 22, 92 � a ... ...... ...... 19................. /'. . .............. Building Inspector ��..°�•�ew TOWN OF BARNSTABLE BUILDING DEPARTMENT °T mugTOWN OFFICE BUILDING 'g�Or11Y��� HYANNIS, MASS. 02601 MEMO TO: Town Clerk FROM: Building Department DATE: /O/Z Z4) Z---- An Occupancy Permit has been issued for the building authorized by BuildingPermit $k.....: '.�'r/ . -�.................... ............................................................................_....................».................._........._...... issued 'to .........! ...... �.................... ...N ... rdlvs !U, ��.. vw CoT ,t Please release the performance bond. t TOWN OF BARNSTABLE, MASSACHUSETTS BUILDING- PERM F As21-112 f DATE iMay A PERMIT NO. 1_ Q1504 yF6 APPLICANT_ Architald Realty ADDRESS arker ROe�dF 0`sterville $01985' (N0.) (STREET) - (CONTR'S LICENSE) PERMIT TO Build Dwelling (_L) STORY Single Family NUMBER OF' (TYPE OF IMPROVEMEN ) NO. DWELLING UNITS yy (PROPOSED US[) AT (LOCATION) Lot #25 & 25A, 27 Narrows Way, C'Otilit ZONING (NO.) (STREET) DISTRICT RF BETWEEN AND (CROSS STREET) (CROSS STREET) SUBDIVISION LOT LOT BLOCK SIZE BUILDING IS TO BE FT. WIDE BY FT. LONG BY FT. IN HEIGHT AND SHALL CONFORM IN CONSTRUCTi TO TYPE USE GROUP BASEMENT WALLS OR FOUNDATION (TYPE) REMARKS: Sewage #92-99 t Bonet AREA OR VOLUME 2776 5 q• f t PERMIT'' 139 • ESTIMATED COST .$ 180/000• "FEE $ 0O (CUBIC/SQUARE FEET) OWNER XXXXX Victor McInnis ADDRESS Same BUILDING DEPT. BY xN THIS PERMIT CONVEYS NO RIGHT TO OCCUPY ANY STREET, ;ALLEY OR SIDEWALK OR ANY PART THEREOF. EITHER TEMPORARILY PERMANENTLY. ENCROACHMENTS ON PUBLIC PROPERTY, NOT SPECIFICALLY PERMITTED UNDER THE BUILDING CODE, MUST BE A PROVED BY THE JURISDICTION. STREET OR ALLEY GRADES AS WELL AS DEPTH AND LOCATION OF PUBLIC SEWERS MAY BE OBTAIN I FROM THE DEPARTMENT OF PUBLIC WORKS. THE ISSUANCE OF THIS PERMIT DOES NOT RELEASE THE APPLICANT FROM THE CONDITIO OF ANY APPLICABLE SUBDIVISION RESTRICTIONS. MINIMUM OF THREE CALL -APPROVED PLANS MUST BE RETAINED ON JOB AND THIS WHERE APPLICABLE SEPARATE INSPECTIONS REQUIRED FOR PERMITS ARE REQUIRED FOR ALL CONSTRUCTION WORKt CARD KEPT POSTED UNTIL FINAL INSPECTION HAS BEEN PLUMBING AND ELECTRICAL,,I. 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 UNTIL MINAL INSPECTION TI TO LATHE FINAL'INSPECTION HAS BEEN MADE. 9. FINAL INSPECTION BEFORE OCCUPANCY. POST THIS CARD SO IT IS VISIBLE .FROM STREET BUILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS 1 ! 2 2 ,t/ 2 m� 3 I TING INSPECTION APPROVALS ENGIN IN PA MENT` 2 BOARD OF HIALTH OTHER SITE PLAN REVIEW APPROVAL WORK SHALL NOT PROCEED UNTIL THE INSPEC• PERMIT WILL BECOME NULL AND VOID IF CONSTRUCTION TOR HAS APPROVED THE VARIODU ARRANGED FOR BY TELEON PS STAGES OF WORK I5 NOT STARTED WITHIN SIX MONTHS OF DATE THE INSPECTIONS INDICATED EP THIS CARD CAN CONSTRUCTION. PERMIT IS ISSUED AS NOTED ABOVE. THIS OR WRITT NOTIFICATION. � I i j . 2S: SF .._. JJ ' �ou�.JDaT1orJ : r OF V •� n ------ 22 7�. : A0vN6,4 r1D4 ZO CoTviT � /��l �s .�OGYN/�E,eEO CO�IPL YS Gt�/Ty. SCA L.G ArvO SE7 BA CfG C.6; i. 1Atio LY/T /mot/ OATS 1��' .gZ.. l9L /Z �G . G�� •-Tf//S=G.Cf1.v/S tio7� _ :. .._�-. ': .B�1XT.E,eE�t/YE /�/ �C BASE"O Ow,4�!/ AEG/STE.2Ep •L.,qc� /NST,eU�E//T U,2YE}i T Y Ya O,� .. . O :. USED" Ta OET�,�LI/.t/�-.C-dT /it/�S� .4F�.f.L/C,Q/t/T Y T '{- C5 .: �. we y .0 7 mw4 S _....Dinlog sodroom Sodroom Aoom WNW s W F 5" n _ ar s i y € n, Or p11VG DEP�' �3 t 16 2019 �.�. � .•, SEP" 0WN OV gARNS1AB�E ; � i