Form ID

Publication date

Location of premises

Certificate

One Storey Office Building

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
c/o Mac 5 Corporation
Address of Owner
490 Dundas St. W., PO Box 22040, Belleville, ON K8N 5V7
Name of Contractor
Geertsma Construction (1988) Ltd.
Address of Contractor
406 Maitland Drive, Maitland Plaza RR 5, Belleville, ON K8N
Name of Certifier
(KNY Architects Inc.) A.K.A. Karp Namisniak Yamamoto Architects Inc.
Address of Certifier
3410 South Service Rd., Burlington, ON L7N 3T2 Suite #201

Identification of Premises

“Legal Description of Property” Firstly: Part of Lot 3, Concession 5, Township of Madoc, County of Hastings designated as Part 1 on Plan 21R-19912 Secondly: Part of Lot 3, Concession 5, Township of Madoc County of Hastings and Part of block H, Registered Plan 218, Village of Madoc, now Municipality of Centre Hastings, County of Hastings, designated as parts 4. 5. 6. 7. 8. 9, 10, & 11 on Plan 21R-15310 and Parts 1, 2, 3, 4, 5, 6, and 7 on Plan 21R-18827 subject to an easement in favour of Ontario Hydro over Parts 4, 16 and 17 on Plan 21R-15311, Reserving a right of Way over Parts 1 and 2 on Plan 21R-18827