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A. u PETER
BAXTER
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_ —OLLEN ®.-OSIGOOO, C.P.O.O.
t0 Umies- S et
PO Box 735 St—et
Sandwich,MA 02563
(SO "33-1620
__ ►�pafTfO►-aR.A4J I�Alx s
me purchaser of these olans is responsible for oomoliance with'eii'lOCaI Durldin00odes and
�, ex ordnances. Neither Allen B.Osgood or participating designers may be held responsible for site
condition°.or the use of these drawings during construction. Purchaser is responsible to
verity ail elements of these plans for desion•accuracy,end size prior to actual construction. -
Iy �Xh ¢Ian MEN H. ®SIG®®® C.• yy'��,�T�+1�- �� _��.�goy. - .. . P.®.0
PO Box 735 - 10 Charles Street
ly Sandwich, MA 02563
``B.v ' F rIor-cQyC�k�'o� (508)-533-1820 .
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awry �'e�ro #y
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COMMONWEALTH
OF I DEPARTMENT OF PUBLIC SAFETY `
MASSACHUSETTS _ ONE ASHBORTON PLACE l-"
A 9 BOSTON,MA 02108 9 '+herwr�
0 � a+st+°*►; s+�Ar
EXPIRATION DATE C O N S T R LICENSE 1i SUPERVISOR R �l /ire �4t+�//d/pg
0 3/17/19 9 6 I /� rtl+s�
RESTRICTIONS �+qa
NONE EFFECTIVE DATE LIC-NO. FOR PROTECTION AGAINST
'^.`' THEFT, PUT RIGHT THUMB
06/30/1 993 012955
PRINT IN APPROPRIATE
WyILLIAM T EVERITT BOX ON LICENSE.
SS /1 1bb-34--9418 D COTUIT3MA 02b35 BL
ASTING OPERATORS
PHOTO(BLASTING'PI ONl1� ; MUST INCLUDE PHOTO.
F 00.00
T NOT VALID UNTIL SIGNED By LICENSEE AND OFFICIALLY
HEIGHT: STAMPED
SIGNATURE OF THE COMMISSIONER DOB: -
t,
03/17/1943 -
THIS DOCUMENT MUST BE .. 6 t I I•CARRIEDONTHEPERSONOF
OTHERS-RIGHT THE HOLDER WHEN EN- -THUMB PRINT GAGEDINTHIS i :r �TURE OF LICENSEE « SIGN NAME IN FULL ABOVE SIGNAT
URE LINE
SSIONER 9
s "
r 11:0:'9a 17:02 '$61772 7.7 122 DEPT IND ACCID Z op
'^fir;. C0t;uno11.lU8a&i, of Maijaclittietti
a1.JaPartme,tE o��9,tdu�frial�cccdenf�
600 11VUyton,.Shwt
James J,Campbell &ton, Ma—" 02f f f
Commissioner
Workers' Compensation Insurance davit
Ilk
cz'
with a principal place of business at:
l 3
ee�c,,ise,e�
do hereby certify under the pains and penalties of perjury, than
() I am an employer providing workers' compensation coverage for my employees working on
this iob.
Insurance Company Policy Humber
I am a sole proprietor and have no one working for me in any capacity.
() I am a sole proprietor, general contractor or homeowner (circle one) and have hired the
contractors listed below who have the following workers' compensation policies:
Contractor Insurance Company/Policy Plumber
Contractor Insurance Company/Policy Number
Contractor Insurance Company/Policy Number
O I am a homeowner performing all the work myself.
I unct!.sterG ; i 2 covy of&:i5 s;—tie-nEnt will be fomv rt-cd to d:e Office of lnvesdrzdons of d;e 01A for coverage verification and that failure to seccre
cc'oe-age ar ree_ Ed under Section 25A of MGL 152 can lead to the inpesition of criminal penaities eonsisdne of a fine of up to s i,500.00 2neicr c-.
yet-s' imGrLcnmr:nt:,s Well as civil penzities in the for.,cf 3 STOP WORK ORDER and a fine of S 100.00 a day against Me.,
Signed this day of / ' , 19
Licensee/Permittee Building Department
Licensing Board
Selectmens Office
Health Department
TO VERIFY COVERAGE INFORMATION CALL: 617-727-4900 X403, 404, 405, 409, 375
TO[v: 0' 3:_-'NST_-`. LE ?i ILDI`:G P : iIT 7-S—��
443=4ssessor's Office 0st floor Ma D -hA f, / dd t/��� Permit#
Conservation Office Oth floor a �.`t MS N��`S�'"��a-`� '� ` Date Issued
Board of Health Ord floor -
Engineering Dept. Ord floor House# S Aj1j �°�
op
Planning Dept. 1st floor/School Admin. Bldg.): ✓J0 ' J -�' i
Definitive Plan Approved by Planning Board MI 19
applications processed 8:30-9:30 a.m.& 1:00-2:00 p.m.) �`yAl
TOWN O STABLE ®gyp
Building.Permit Application *0
Project Street Addre s �aT Yj'►�j
V'F
Village C.' �� U t % Fire District '7-0 y
' (honer _ �4 , Address I EE A�.�� ,
�uLv �r5
Telephone i L�� __-7 qD c'C ea
. _ Ctfiu•�ti
Permit Request: tiFcC/
Zoning District p' RF Flood Plain A/1jq- Water Protection
Lot Size / ®9 Grandfathered y�
Zoning Board of A `eals Authorization i¢ Recorded'P- .BK, SOS Ate, 577 '
Current Use 6wiljla L7- Proposed Use
Construction Type 40Mb Fe z
EaistinQ Information
Dwelling Type: Single Family Two family Multi-family
Age of structure N£Mi Basement tyDe c PDv �o�c>�� Y� ®,v AMV7,V&—,
Historic House N�3 Finished
Old King's Highway � Unfinished �114
Number of Baths �� No. of Bedrooms
Total Room Count(not including baths) 7 First Floor
Heat Type and Fuel 5t-k W 3,4 CvrA,�-:-, Central Air 4/10 Fireplaces O A),!�-
Garage: Detached Other Detached Structures: Pool
Attached v1- Barn N
None Sheds
Other
Builder Information
Name Ll P411-/ 7-- Z�6 Telephone nu er 2�0 L
Address/113 Oz-b b License# �
o 7S Home Im rovemen ontractor# ��
Worker' _. ompensation #
NEW CO'f�1S QR C'b T IIAOtK � NS RE 2 �oA ITE PLAN — ^QUIRE S (AS BUILT) SHOWING EXISTING, AS WELL AS
PROPOSED STRUCTURESON THE LOT.
ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BETAKEN TO jAPWf7T—&-8c
Project Cost ` 601 CW
Fee a cal,
SIGNATURE (. DATE
BUILDING PERMIT DENIED FOR THE FOL OWING REASON(S)
BPERM T
3 �� FOR OI�'ICE USE ONLY
4/ /95 f 7
009.011.004
53 Schooner Drive Cotuit
ADDRESS VU LAGE
William & Mary Everitt
OWNER a
DATE OF INSPECTION:
f ,
FOUNDATION ,r`
FRAME
INSULATION
FIREPLACE � �, v �+ 9i
ELECTRICAL: ROUGH FINAL
PLUMBING: ROUGH FINAL
GAS: ROUGH FINAL
FINAL BUILDING: ^
DATE CLOSEDs It OUT:,
ASSOCIATE PLAN NO. , `
#S
AWE A r t
The Town of Barnstable
• saxivsrnai.E, •
Department of Health Safety and Environmental Services
'OtEo nevi" Building Division
367 Main Street,Hyannis MA 02601
Office: 508-790-6227 Ralph Crossen
Fax: 508-90-6230 Building Commissioner
DATE: April 8, 1996
TO: Whom It May Concern
FROM: Kathy Maloney, Office Assistant
RE: William T. Everitt, Bond#41445507
for 53 Schooner Drive, Cotuit, MA
Building Permit#37596
Responsibility for the above referenced building project has been assumed by the new
property owner. The Town of Barnstable has no further interest in the enclosed road
bond.
Q960408A
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6 WesternSuretyG
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LICENSE AND PERMIT BOND
For County, City,Town or Village Only-Not Valid for Bonds Required by the State.
6 Not Valid for Contract,Performance,Maintenance, Subdivision or Utility Guarantee Bond. y
6 tl
KNOW ALL MEN BY THESE PRESENTS: BOND No. L&P- 41445507
y6 ,
That we, w i t 1\i ^m T F,S n r i f-t• 6 y
6 of the T nw n of`\gar n s t ab l e , State of M a--S^r h 13 o 4t� , as Principal,
and WESTERN SURETY \C<OMPANY, a Corporation duly licensed,,to do business in the State
of Massachusetts \ _, as Surety; are held and firmly bound unto the
Town of Barnstable , State of M a s s a n h i,G t-t-s , Obligee, in the amount
(Valid only when a County, City,Town or Village is named as Obligee)
of One Thousand and 00/100 ($ 1 ,.nnp np ) DOLLARS,
(NOT VALID FOR MORE THAN$25,000)
lawful money of the United States, to be paid to the said Obligee, for which payment well and truly
to be made, we bind ourselves and our legal representatives, jointly and severally.
THE CONDITION OF THIS OBLIGATION IS SUCH, That whereas, the Principal has been
licensed
a G a o n r a f o r by the Obligee.
NOW THEREFORE, if the Principal shall faithfully perform the duties and comply with the laws and
ordinances (including all amendments), pertaining to the license or permit, then this obligation to be void,
otherwise to remain in full force and effect for a period commencing on the Twenty-nr i4 _t•h day of
March , 19 915 , and ending on the_Tw e n tz-N; Y,i-lgiay
of March , 19 Qh, unless renewed by continuation certificate.
-his boridmay be,terminated at anytime by the Surety upon sending notice in writing to the Obligee and to
the'Principal;in care'of the Obligee or at such other address as the Surety deems reasonable, and at the expira-
tiom`of'thirty-five'(35);days from the mailing of notice or as soon thereafter as permitted by applicable law,
"whichever is later, this`bond shall terminate and the Surety shall be relieved from any liability for any subsequent
act""or omissions of the Principal. 05
'�pDated this Twenty-Ninth -_ day of , 19
Principal
l
. Principal
Countersigned ---- WESTER U O M P A N Y 6
G 6
F B By
Resident ent Presi ent ;
iKNOWLEDGMENT OF S ETY
STATE OF SOUTH DAKOTA l (Corporate Officer) F
F County of Minnehaha f ss
On this h day of Ma h , 19 a before me, the undersigned-officer,personally
6 appeared Joe P.Kirby ,who acknowledged himself to be the aforesaid officer of WESTERN
SURETY COMPANY, a corporation, and that he as such officer,being authorized so to do,executed the foregoing ;
instrument for the purpose therein contained, by signing the name of the corporation by himself as such officer.
IN WITNESS WHEREOF, I have hereunto set my hand and official eal.� ;
6 6
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G B.THOMAS
c !
G �-- NOTARY PUBLIC --� , Notary Public, South Dakota ;
G BAL SOUTH DAKOTA
G ?t}'l'ommission t:xpims fi-Y 85 T
Western Surety Company
!
Form 849—8-88 1-605-336-0850
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,s',�/OG�/N yE.2E0.1/COM.dL y!S Wl;'2V SCAL,c— / �� $1� 0ATE J,),IE & R95;
/vE.0/.c/E ANo SETB�4 CK ,o.L.4�t! .2E�'E.2E�G'E
i �?EQU/.�2EME//TS O.C- 7-A46' Tawit/G?F"
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O��SETSSyoi,✓y,snvC/LI� M,07'
• TOWN OF BARNSTABLE
BUILDING DEPARTMENT
HOMEOWNER LICENSE EXEMPTION
Please print.
DATE
JOB LOCATION o--a)t
Number Street address Section of town
"HOMEOWNER" Ly
Name Home phone Work phone -
PRESENT MAILING ADDRESS j�af)
BLSAX
Q �Q
City town State Zip code
The current exemption for "homeowners" was extended to include owner-occupied
dwellings of six units or less and to allow such homeowners to engage an in-
dividual for hire who does not possess a license, provided that the owner
acts as supervisor.
DEFINITION OF HOMEOWNER:
Person(sj who owns a parcel of land on which he/she resides or intends to re-
side, on which there is, or is intended to be, a one to six family dwelling,
attached or detached structures accessory to such use and/or farm structures.
A person who constructs more than one home in a two-year period shall not be
considered a homeowner. Such "homeowner" shall submit to the Building Officia
on a form acGe-ptable to the. Building Official, that he/she shall be responsibl
for all such work performed under the building permit. (Section 109.1. 1)
The undersigned "homeowner" assumes _ responsibility for compliance with the Sta
Building Code and other applicable codes, by-laws, rules and regulations.
The undersigned "homeowner" cert ' ies that he/she understands the Town of
Barnstable Building Dep r t i3jimum inspect-on procedures and requirements
and that he/she will co p y wi h daid roced es and requirements.
HOMEOWNER'S SIGNATURE
APPROVAL OF BUILDING OFFICIAL
Note: . Three family dwellings 35, 000 cubic feet, or larger, will be required
to comply with State Building Code Section 127. 0, Construction Control.
w
HOME OWNER'S EXEMPTION
The code state that: "Any Home Owner performing work for which -a building
permit is required shall be exempt from the provisions of this section
(Section 109. 1. 1 - Licensing of Construction Supervisors) ; provided that if
Home Owner engages a person (s) for hire to do such work, that such Home Owne
shall act as supervisor. "
Many Home Owners who use this exemption are unaware that they are assuming
the responsibilities of a supervisor (see Appendix Q, Rules and Regulations
for . licensing Construction' Supervisors, Section 2. 15) . This lack of awarene
often results in serious problems, particularly when the Home Owner hires
unlicensed persons. In this case our Board cannot proceed against the
inlicensed person as it would with licensed Supervisor. The Home "owner- acti
as supervisor is ultimately responsible.
To ensure that the Home Owner is fully aware of his/her responsibilities, ma.
communities require, as part of the permit application, that the Home Owner
certify that he/she understands the responsibilities of a supervisor. On the
last page of this issue is a form currently used by several towns. You may
care to amend and adopt such a form/certification for use in your community.
i
` The Commonwealth of Atassachusetty
Y•�:I, _=� Department of Industrial Accidents
office Obyest/yatfogs
�`. 600 11 asNpgion Street
• -"� � Boston,Alas. 02111
`-' Workers' Compensation Insurance.Affidavit
,Annlsant information• `` Please PR1NT•lely
��r��. �lD?U� ;r
city phone# -7-2 U O�
1 am a homeowner performing all work myself.
I am a sole proprietor and have no one working in any capacity
❑ 1 am an employer providing workers' compensation for my employees working on this job.
company name-
address, —
city phone#• .
insurance co polity'#
I am a sole proprietor, general contractor,or homeowner(circle one)and have hired the contractors listed below who have
the following workers' compensation polices:
company name:
address•
• phone#•
insurance co policy#
;:�.�C:` .�,--_ •__ �._ "c"`:tr..•CF.:•71�e,-=-?•X-••--1'mr,�'Kt;'.!S�:�Sp'�.':..r •TsiF/�a�a'J�••w•�►�'7�.-'fps.•r �R"-�4'•�"9��34i--essT-"-�-:#J'
stimpam name•
address-
city nhone#•
incur•tncp�� oli •#
:Atinch additional'sheet if neeessary;��...+:: •ram r:._t: Y .:"`:, :'� :' " " a i."�':::+`..
Failure to secure coverage as required under Section 25A of D1GL 152 can lead to the imposition of criminal penalties of a fine up to S1.500.00 and/or
one years'imprisonment as well as civil penalties in the form of a STOP WORK ORDER and a fine of S100.00 a day against me. I understand that a
copy of this statement may be forwarded to the Once of Investigations of the DIA for coverage verification.
l do herebl•cc if a •r th pal s and �talties of p uq•that the information provided above is trae and correct
Signature ate
Print name Phone#
oiTcial use only do not write in this area to be completed by city or town official
city or town: permitAieense# nlluilding Department
�LicensingBoard"`' `
13 check if immediate response is required C3Seleetmen's Office
�1lealth Department
contact person: phone#;. nOther
f - -
(m•ued 3;95 PJA)
Information and Instructions
Massachusetts General Laws chapter 152 section 25 requires all employers to provide workers* compensation for their
employees. As quoted from the"law", an emplc{ree is defined as every person in the service of another under any
contract of hire• express or implied, oral or written.
An emplm+er is defined as an individual• partnership• association. corporation or other ;L-gal entity, or any two or more of
the fore�_oing engaged in a joint enterprise,and including the legal representatives of a deceased emplover, 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 ]louse
or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an emp lover.
MGL chapter 1'S2 section 25 also states that every state or local licensing agency shall withhold the issuance or
renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any
applicant whe fins not produced acceptable evidence of compliance with the insurance coverage required.
Additionallv. 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.
..1.wf'�+Y•�►!'�.�.�rA.•«w•••ww��n •j."i'. �i: �...�''i fi•:r:. �.:7.� �•�'�:1•• �YJI� ♦:"�1:1•��'���� .w•v , . '_
r 7
N
i Applicants
Please fill in the workers' compensation affidavit completely, by checking the box that applies to your situation and
supplying-company names. address and phone numbers as all affidavits 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 tite 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.
an,,,,,
�.. .yR• .~ i j ''iF .w.•,,i ce • .j.. ,;9r; �•�+.••r'..•Siii, ! (•{�] s •.c:n"F�',r!i. ♦Y•.. .. '
City or Towns
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. The at may be returned to
the Department by mail or FAX unless other arrangements have.been made.
The Office of Investigations would Iike to thank you in advance for you 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
fax#: (617) 727-7749 •.
phone#: (617) 7274900 ext. 406, 409 or 375
Albert&Kellv Brog
60 Blackberry Lane
Hyannis,NU 02601
508-778-6035
April 8,1996
Town of Barnstable
Building Dept.
Building Permit Transfer/Application
My wife and I recently purchased from Will Everitt the property at 53 Schooner Drive,
Cotuit,MA(Lot 4A). We currently live at the address listed above. This property is currently
85%complete. I would like to transfer the existing permits to reflect this change in
ownership. We will be acting as the contractors to sub out the remaining finish work that
remains. This change in ownership will not change any of the basic information that was
given when the permit was originally issued. Our plan is only to complete the remaining
finish work that remains.
The property is a new 2 story single family colonial with attached 2 car garage. There are 3
bedrooms,2 V,baths,total rooms excluding baths are 7,there is one fireplace. I see one item
that is different from the orginal permit,which is that the house will be heated with FWA and
not FHW,it will continue to be fueled by gas.
We plan to sub out the remaining flooring,finish plumbing,and tile work. My family will
be completing the finish electrical work.
Thank you for your time.
Re ,
i
Albert and e y Brox
4-
Will Everitt
Custom Homes&Designs
P. O. Box 1340
Cotuit, MA 02635
Will Everitt, Builder (508)428-7909
License# 012955
Registration# 101645
Building Department
Town of Barnstable
Hyannis, MA
April+ 1996
Re: 53 Schooner Drive Cotuit
Building Commissioner,
Please be advised that as of this date I am no longer builder of record on permit
number 37596.
Will Everitt
. .,yq"l �.., ....
TOWN OF BARNSTABLE,MASSACHUSETTS �BI LDINO `PERNT
A=009.v11.004 DATE April 3 .19 95 ERMIzz N.O �37596
APPLICANT GililiSiT. T. VB:ltt i) i ,;, ff l oNjQl_ 1 )t1 5
ADDRESS
(NO.) (STREET) (CONTR'S LICENSE)
PERMIT TO Build dwelling Slagle famii- reside je& NUMBER OF 1
(_I STORY DWELLING UNITS
(TYPE OF IMPROVEMENT) N0. (PROPOSED USE)
AT (LOCATION) 53 Schooner .Drive, (.CCuit (Lot 4A) ZONIN CT r N
(NO.) (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
TO TYPE USE GROUP BASEMENT WALLS OR FOUNDATION
(TYPE)
REMARKS: Sewa,e #95-571
3,268 sq it. & deck
AREA OR 150,000 PERMIT 306. 12
VOLUME ESTIMATED COST $ FEE $
(CUBIC/SQUARE FEET)
iailllam & lllarJ T.".�lerit-t %� r %
OWNER
11 ?U Vl a<)ciC r7l. , I.UL.u3L BUILD) G E�4. �'
ADDRESS By.
THIS PERMIT CONVEYS NO RIGHT TO OCCUPY ANY STREET, ALLEY OR SIDEWALK OR ANY PART THEREOF. EITHER TEMPORARILY OR
PERMANENTLY. ENCROACHMENTS ON PUBLIC PROPERTY, NOT SPECIFICALLY PERMITTED UNDER THE BUILDING CODE, MUST BE AP-
P
ROVED BY THE JURISDICTION. STREET OR ALLEY GRADES AS WELL AS DEPTH AND LOCATION OF PUBLIC SEWERS MAY BE OBTAINED
FROM THE DEPARTMENT OF PUBLIC WORKS. THE ISSUANCE OF THIS PERMIT DOES NOT RELEASE THE APPLICANT FROM THE CONDITIONS
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 CARD KEPT POSTED UNTIL FINAL INSPECTION HAS BEEN
ALL CONSTRUCTION WORK: ELECTRICAL, PLUMBING AND
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 UNTIL
MINAL INSPECTION
TI TO LATHE 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 LECTRICAL INSPECTION APPROVALS
R
2 2 2
3 ' HEATING INSPECTION APPROVALS ENGINEERING DEPARTMENT
BOARD OF HEALTH
OTHER' SITE PLAN REVIEW APPROVAL
WORK SHALL NOT PROCEED UNTIL THE INSPEC- PERMIT 'W!LL 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. PERMIT IS ISSUED AS NOTED ABOVE. NOTIFICATION.