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HomeMy WebLinkAbout0114 SEAPUIT ROAD 4 !? p „ , TOWN OF BARNSTABLE CERTIFICATE OF OCCUPANCY ]PARCEL ID 095 01.2 002 GEOBASE ID 43866 ADDRESS 114 SEAPUIT ROAD PHONE OSTERVILLE ZIP - LOT 146 BLOCK LOT SIZE _ DBA DEVELOPMENT DISTRICT CO - j PERMIT 35381 DESCRIPTION SINGLE FAMILY DWELLING (PMT.#29529) PERMIT TYPE BCOO TITLE CERTIFICATE OF OCCUPANCY CONTRACTORS: Department of Health, Safety ARCHITECTS: and Environmental Services TOTAL FEES: INElbw, BOND $.00 CONSTRUCTION COSTS $.00 753 MISC. NOT CODED ELSEWHERE # BARNSTABLE, *' v MASS. r �1639. A�O� FD MI�►I I BUILD DIVVZ4 I DATE' ISSUED 12/15/1998 EXPIRa' Il�.: DATE;. WN OF BARNS?;ABLE BUILDING PERMIT ; PARCEL ID 095 012 002 GEOBASE ID 43866 ( ADDRESS 114 SEAPUIT ROAD PHONE. OSTERVILLE 'LIP — I � � LOT 146 BLOCK LOT SIZE DBA DEVELOPMENT DISTRICT CO i PERMIT 29529 DESCRIPTION 2STORY GAMBREL, W/ATT 2CAR GAR. (SEW#98-116) � ! PERMIT TYPE BUILD TITLE NEW RESIDENTIAL BLDG PMT. I "CONTRACTORS PROPERTY OWNER Department of Health, Safety I I ARCHITECTS: and Environmental Services ( TOTAL FEES: $744.00 I BOND $.00 . Ox 1HE j ( CONSTRUCTION COSTS $240,000.00 j 101 SINGLE FAM HOME DETACHED 1 PRIVATE: P � . * BARN3TABI.E, + I: MASS.. 163 BUILD . I I B I DATE ISSUED 03/18/1998 EYPIRATION DATE Ir THIS PERMIT CONVEYS NO RIGHT TO OCCUPY ANY STREET,ALLEY OR SIDEWALK OR ANY PART THEREOF, EITHER TEMPORARILY OR PERMANENTLY.EN- CROACHMENTS ON PUBLIC PROPERTY,NOT SPECIFICALLY PERMITTED UNDER THE BUILDING CODE,MUST BE APPROVED 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 FOUR CALL INSPECTIONS REQUIRED FOR ALL CONSTRUCTION WORK: APPROVED PLANS MUST BE RETAINED ON JOB AND WHERE APPLICABLE, SEPARATE t.FOUNDATIONS OR FOOTINGS THIS CARD KEPT POSTED UNTIL FINAL INSPECTION PERMITS ARE REQUIRED FOR 2. PRIOR TO COVERING STRUCTURAL MEMBERS HAS BEEN MADE.WHERE A CERTIFICATE OF OCCU- (READY TO LATH). PANCY IS REQUIRED,SUCH BUILDING SHALL NOT BE ELECTRICAL,PLUMBING AND MECH- 3.INSULATION. OCCUPIED UNTIL FINAL INSPECTION HAS BEEN MADE. ANICAL INSTALLATIONS. 4.FINAL INSPECTION BEFORE OCCUPANCY. POST THIS CARD SO IT IS VISIBLE FROM STREET BUILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS dcnw y jr�-• U z 2 9 25 yr �-- z 3 1 HEATING INSPECTION APPROVALS EN INEERING DEPARTMENT G WS\ G / BOARD OF HEALTH Q O ER: SITE PLAN REVIEW APPROVAL WORK SHALL NOT PROCEED UNTIL PERMIT WILL BECOME NULL AND VOID IF CON- INSPECTIONS INDICATED ON THIS THE INSPECTOR HAS APPROVED THE STRUCTION WORK IS NOT STARTED WITHIN SIX CARD CAN BE ARRANGED FOR BY VARIOUS STAGES OF CONSTRUC- MONTHS OF DATE THE PERMIT IS ISSUED AS TELEPHONE OR WRITTEN NOTIFICA- TION. NOTED ABOVE. TION. 0 3S3 81 ` Engineering Dept. (3rd floor) Map IQ 9 Parcel G�/;;� d ermit# G'N Q House#" /! Date Issued (. Board of Health(3rd floor)(8:15 =9:30/1:00- ) e. Conservation Office(4th floor)(8:30-9:30/1:00:2:00) co ylr�— Planning Dept.(1st floor/School Admin. Bldg.) SEPTIC S MUST BE INSTALL PLIANCE Definitive Plan Ap d by Planning Board A,v 2 19 5 . RNR- Wrroved '���e !y� 19RS 'DM ENVIRO ODE AND TOWN OF�BARNSTABLE TOWN AT!ONS Building Permit Application Project Street Address 114 SP_QpU(f- —Wd . Village 04Croi Owner - GLL e­, {doer Address ZO , Sjodt I ;Telephone 7`75-- (off 6.L r Permit Request —Zut/og 2 S�orti 90 i��� 'First Floor square feet Second Floor square feet Construction Type ����``u Estimated Project Cost $ �• _ 000 Zoning District )0� - / Flood Plain Nv Water Protection No Lot Size X 5, /V Grandfathered ❑Yes ❑No Dwelling Type: Single Family ©� Two Family ❑ Multi-Family(#units) Age of Existing Structure Historic House ❑Yes ❑No On Old King's Highway ❑Yes ❑No Basement Type: Or full ❑Crawl 0INalkout ❑Other Basement Finished Area(sq.ft.) O Basement Unfinished Area(sq.ft) Z y3v Number of Baths: Full: Existing New J Half: Existing New ! No.of Bedrooms: Existing New Total Room Count(not including baths): Existing New First Floor Room Count Heat Type and Fuel: Ordas ❑Oil ❑Electric ❑Other Central Air Vries ❑No Fireplaces: Existing New Existing wood/coal stove ❑Yes ❑No Garage: ❑Detached(size) Other Detached Structures: U ool(size) 1,69 .39 p'�tached(size) ❑Barn(size) ❑None ❑Shed(size) ❑Other(size) Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes ❑No If yes, site plan review# Current Use Proposed Use Builder Information Name Telephone Number Address License# Home Improvement Contractor# Worker's Compensation# NEW CONSTRUCTION OR ADDITIONS REQUIRE A SITE PLAN(AS BUILT)SHOWING EXISTING,AS WELL AS PROPOSED STRUCTURES ON THE LOT. ALL CONSTRUCTION DEBRIS RESULTINGFROM THIS PROJECT WILL BE TAKEN TO SIGNATURE C� ./ �� 1 i�-/��.. DATE B I I G�PE4RMIt4eF ViE FOLLOWING REASON(S) FOR OFFICIAL USE ONLY PERMIT NO. DATE ISSUED MAP/PARCEL NO. .,T ADDRESS VILLAGE OWNER DATE OVINSPECTION: FOUNDATION FRAME (J�" INSULATION FIREPLACECr YI 11i1, j � ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGU; FINAL L; FINAL BUILDINGS X DATE CLOSED OUP. M ASSOCIATION PLAN O EN-igineering Dept. (3rd floor) Map 1)q,S Parcel 6/o9 n6c32 Permit# House# �l y�3 Date�5&-W Issueedy Board of Health(3rd floor)(8:15 -9:30/1:00-4:30) � �' /0 Fee: �L r 30 Conservat O fice th floor)(8:30-9:30/1:00-2:00) Planning Dept.(1st floor/School Admin. Bldg.) SEPTIC SY T BE Definitive Plan Approved by Planning Board 19 INSTALLED DICE WiT TOWN OF BARNSTABLIE 3 �'�® TC)E'ill�l �ECI� s���t°�';°� Building Permit Application Project Street Address + Village 2c �`;L�e Owner m0c) Address Telephone 'Permit Request S LJ vNwA. First Floor square feet Second Floor square feet Construction Type t-`-- � S y ti, �k K,Q�, �ec� Estimated Project Cost $ 1 G0D , Zoning District Flood Plain Water Protection Lot Size 3 , [4 SAC Grandfathered ❑Yes ❑No Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family(#units) Age of Existing Structure Historic House ❑Yes ❑No On Old King's Highway ❑Yes ❑No Basement Type: El Full ❑Crawl ❑Walkout ❑Other ��Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full: Existing New Half: Existing New No.of Bedrooms: Existing New Total Room Count(not including baths): Existing New First Floor Room Count \ Heat Type and Fuel: ❑Gas ❑Oil ❑Electric ❑Other jCentral Air ❑Yes ❑No Fireplaces: Existing New Existing wood/coal stove ❑Yes ❑No Garage: ❑Detached(size) Other Detached Structures: ❑Pool(size) ( A X ?, ❑Attached(size) ❑Barn(size) ❑None ❑Shed(size) ❑Other(size) Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes ❑No If yes, site plan review# Current Use Proposed Use f _ Builder Information Name w . ��a � `e)A Telephone Number 0.-o �3 r13 l Address Eb ,j2o u —I is, ( License# 0 y a R 1 V ► g A P2 5�W S t" LCL& kl - O aG`J 6 Home Improvement Contractor# OJ S. Co. Worker's Compensation# 6 a4 S G G NEW CONSTRUCTION OR ADDITIONS REQUIRE A SITE PLAN(AS BUILT)SHOWING EXISTING,AS WELL AS PROPOSED STRUCTURES ON THE LOT. ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE Ck DATEk Q1 -,:� g BUILDING PERMIT DENIED FOR THE FOLLOWING REASON(S) Z"M &T 04 A§ e FOR OFFICIAL USE ONLY - PERMIT NO. - DATE ISSUED MAP/PARCEL NO. - ADDRESS VILLAGE - OWNER DATE OF INSPECTION: ` + FOUNDATION FRAME INSULATION FIREPLACE ELECTRICAL: . ROUGH FINAL ` PLUMBING: "ROUGH FINAL , GAS:. ROUGH FINAL FINAL BUILDING" + DATE CLOSED OUT ASSOCIATION PLAN NO. ` M OWNERS COPY - T T MODEL: Grecian • -�Y' 1 i -RAWINGS APPROVED AS NOTED. SIZE: 18'6"x 36'6" 8' Deep T, ' jBjECT TO MINCE WITH WEIGHT: a j OVISIONS OF I&WOES AND GALLONS: • � 1 ` SO. FT. OF SURFACE ON BOTTOM 1' LAWS- DATE: February, 1981 iNDWICH grSP6�"110N DEPT. . •' - l.IYY\N N:(l t A I � � 4' • p •� '' I Je e• 1 r . NSPI TYPE II 1 l I I 11 I •r -I— r -} 149• INl(11• �� � INl°1_ e °• a �� e T T % -' ' '� T - - 1 \ 'o �I NSPI TYPE II 1 � � • Tr'� � � o t I I 1 MODEL Grecian IN,(LI NOTE al m.°ful.mmu w noluom°I SIZE: 16'6"x35'6" 8' Deep .WEIGHT: GALLONS: —f . SO. FT. SURFACE OF BOTTOM: �-- ---------1 DATE: February, 1981 1- NSPI TYPE it MODEL: Grecian •°.�_ ��, — \�, _� �r _� SIZE: 20'6"x 40'6" 8' Deep WRIGHT: I I . .My.•..,. :,•.:,, GALLONS: SO. FT. SURFACE OF BOTTOM: DATE: February, 1981 M ({( �► �J' V{ ��1-1'- ire R �Ya I cn•f'� / - y Gt� .j.:.• ''.•.. f - �,1ar .,N g.l y.. r MO k 3'J F, { , `f• Exclusive,Swing Aalde Clear`Lexan@) Full-View Service-Ease design rkF hand knobs make strainer cover lets you _ g ; All components molded ,Heavy-duty high per• , ,=;;fit t strainer cover removal see when gasket needs L° ' mltemal partves simple s. andss to ll F proof rugged,grroslnn-..�.a fl formance motor with alr� gV� roof Parma lass :..� ,flow ventilation for quiet- easy. �:. No tools are cleaning and eliminates .entire drive group assem : fiberglass filled resin fo6�-11 ;er,cooler operation and ! r required,No loose guesswork.Special self�;� bly can be removed with extra durabili and to parts. .,no clamps, adjusting seal assures �x Y n9 ' maximum dependability." :::. out disturbing pipe or life. Permaglass provides Built-in automatic thermalNt ez dependable sealing. .h s mounting connections;.; high strength and heat =m'overload protection. 6 I - by disengaging just resistance and is immune.t'.Eleclrcally Isolated and 4 + four bolts. to all types of pool Chem- insulated from ta IC8IS.Super-size housing:,-.:-:"- pool UJ er- water yr . � 4. for ex�ra safety. n has extra air handling capacity to assure raped Kier i h &; priming " r' 4 ! , # a :*, r,RRy ..fa�-.;'cam r ,:C�a'.,as 'N• :. .r A p'.0 �y tp �ZF P -y r�• t N? . . Eq. I �u�. �>..s �, n.; .,� •r.,. 4.�x Se_s +`. II1111�11��• y� .,t� p, 189E'`'I w�' •.. - R�N CJ. Super size'110 cubll;Inch= basket gives longer time Totally balanced corrosion-proof Heat resistant,Industrial.'_.:._ Mounting base provides between cleaning. Rigid con, Noryl" Impeller has.smooth,wide : size ceramic seal.Lon k f'stru¢tion and load-extender' openings to prevent fouling or clogging. wearing and 100%drip-proof for motor and pump e,stress-free support lus } ribbing assures free flowing" Energy-efficient design produces more For fresh or salt water use,,.,-: versatile for an installation operation fqr heavy debris loads flow at equivalent horseower. 4: h �: ty y -.....1... . :.�:: r s f _ equirement., 9 M I'--s 3/4"--.-I I 7 518" I - - — o Y - I Fes—)5/tl' SP-2621 MODE HP :..., �.17 HPI SIZE PIM..,A.f MODgL' ')1P. PIPE .pIM,"A". I i - SIZE iP.2516 1 4 i l i . �. v,. n HP, SP•Rsooty -Ili'!. oft yR y} ��t(1� . r12 1/4.,t�; i ' 'W.26M� 13" HPI - M`•Y 1/2 ,,1'6/V,. 7iryGN,� �i� T C' t 1 1/4�t I I I bT-26W 11/I HPI 1 ; SP-260 3/4 , ii .. it . II/J HP) )4. 11.7/8 SP-2621 ;n. :.,x,a;. .3/4" - -- - — I :.. HAYWARD POOL. PRODUCTS, INC. Hayward Pool Products,Inc. Hayward Pool Products,Inc. Hayward Pool Products Canada Hayward S.A. 900 Fairmount Avenue 2875 Pomona Boulevard 6597 Kitimat Road Elizabeth,NJ 07207 Pomona,CA 91768 Mississauga,Ontario L5N 4J4 245.Rue Du Rend Point B6060 Gilly,Belgium �•1986Hayward Printed in U.S.A. 0 i k-1• �6 y� r' � sE !� �� \ - °F THE tq� The Town of Barnstable • nj*.uvsr"UL • 9� � Department of Health Safety and Environmental Services Building Division 367 Main Street,Hyannis MA 02601 Office: 508-8624038 Ralph Crossen Fax: 508-790-6230 Building Commissioner Permit no. Date AFFIDAVIT HOME IMPROVEMENT 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 than four dwelling units or to structures which are adjacent to such residence or building be done by registered contractors,with certain exceptions,along with other requirements. Type of Work: Sled t�wt ,G \o"L Estimated Cost Address of Work: Se✓\,QJ LT— Owner's Name: < �tA►�1 c� � ,2 Date of Application: 1 n l-� I hereby certify that: Registration is not required for the following reason(s): Work excluded by law Job Under$1,000 Building 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 IMPROVEMENT WORK DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c. 142A. SIGNED UNDER PENALTIES OF PERJURY I hereby apply for a permit as the agent of the owner: to I IC� . `'q C)4.),60 38 Da4 Contractor Name Registration No. OR Date Owner's Name q:for ms:Affidav t _ _.- -� The Commonwealth of Massachusetts Department of Industrial Accidents office 011nse5009fts C->y� 600 Washington Street � = sy Boston,Mass. 02111 Workers' Compensation Insurance Affidavit name: location: Cb QG'x `� I A- Ci oZ �, -1 6 city phone# S 3"7-3 ❑ I am a homeowner performing all work myself. ❑ I am a sole ro rietor and have no one workin in any ca acity ❑ I am an employer providing workers' compensation for my employees working on this job. company name: address: . ..... city phone#....: d � .S3—1 3 insurance co. T1 L , ' l S olicv# 5� • "' ❑ 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: companv name:X. address: ;;::'....... :. ......::..:. .... city: phone#:..:: »:.: >:::; r:;::::......:::;:?:>:;... insurnnce co. olicv# company name. .:::....::::...; address: : :,.:::::.. .....,:..:.... city- i: insurance co. :..:.:: . :.. xxx ......:: of iv.# : :.:. % . Failure to secure coverage as required under Section 25A of MGL 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one years'imprisonment as well as civil penalties in the form of a STOP WORK ORDER and a titre of 5100.00 a day against me. I understand that a copy of this statement may be forwarded to the Office of Investigations of the DIA for coverage verification. 1 do hereby certify undJ( Palns dpenalties of perjury that the information provided above is true and correct Si ture Date (o r Print name E �P pz- Phone# --ZO S Z 3 official use only do not write in this area to be completed by city or town official city or town: permit/license# ❑Building Department ❑Licensing Board ❑check K immediate response is required ❑Selectmen's Office (]health Department contact person: phone#; ❑Other (revised 9/95 PIA) AA 4 _+... 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 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 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 who has not produced acceptable evidence of compliance with the insurance coverage required. Additionally,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. y s 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 along with a certificate of insurance 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 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. 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 affidavits may be returned io the Department by mail or FAX unless other arrangements have been made. The Office of Investigations would like 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 Me of Imresilgetlons 600 Washington Street Boston;Ma. 02111 fax#: (617) 727-7749 . phone#: (617) 727-4900 eat. 406, 409 or 375 a 3 { 1 � F ®" yW�F500 ®iIAYW �� gE6pRINE � iar�ac oanm"°'.r..✓s r//i.` +wota xo. [lu.xao pn.� �/� aw i•I• / .. ' roanx w.ocrx..ac: anew/! i r�� El E#■ � I E#f E##�i i ■ ii E� iiiE ii� / ■ � i i ii � 1 ii ��� _. __ -�_- a � � � ■w M E###i Ei �i 11M i�r ii i! HAYWARD AUTOMATIC CHLORINE FEEDERS The convenient and economical way to sanitize your pool MOOD or spa. Easy to install. Easy to use. • FEATURES: EASY-LOK COVER ASSEMBLY has thread-assist mech- • anism to'provide dependable sealing plus convenient ac- cess for adding tablets or sticks. Press-to-release safety c_ catch adds extra security. CHLORINE CHAMBER has extra large capacity and holds up to 9 lbs.of Tri-Chlor tabs to meet the requirements of all sizes and types of pools or spas.Corrosion-proof,versatile design accommodates large or small slow-dissolve tablets ' or sticks. DIAL REGULATING VALVE is easy to use and lets you con- trol and adjust the rate of feed for your pool's variable re- quirements and chlorine demand. FEEDER TUBE provides controlled outlet flow of highly concentrated chlorinated water plus serves as an auto air our w relief to expel entrapped air from the chlorine chamber. VERSATILITY for new or existing pools.Select either direct in-line or off-line unit to make installation easy for your CL-200 DIRECT IN-LINE UNIT SHOWN pool or spa system. CL-220 OFF-LINE UNIT installs next to filter system on integral CL•200 IN LINE FEEDER is fur mounting base and works on system with 11/2" FPT threaded in- 2system pressure differential.Con • let and outlet.For rigid PVC piping nects easily with compression installations, 11/2" socket flush 15.1/2" couplings for new or existing union connectors (optional) are systems. All necessary connec- available to provide a neat in- tors and feeder tubing for installa- stallation that allows for future tion are furnished with each service. CL-220 feeder. Optional . . Union Connectors 3/8"HOLE Easy-Lok Threaded Cover for (SP-15000N-PAK) I 7"�I Saddle Clamp Assembly.For easy safe and convenient access. - a installation in system piping. C L-200 =0UTLET1 CHLORINE PUMPFEEDER f PUMP FROMRETURN HEATER FILTER RETURNPOOLTO POOL Uf Installed) FROM TOPOOL� POOL CL-220 CHLORINE FEEDER CAUTION: Hayward automatic chlorine feeders are designed to use only Trichloro-S-Triazinetrione tablets(or sticks) — slow dissolving type. Consult your pool dealer for complete information. • MAYWROURD POOL PRODUCTS, O[.C. 900 FAIRMOUNT AVENUE, ELIZABETH, NEW JERSEY 07207 / Phone: (201) 351-5400 O 5084201637 04/16 '98 10:39 NO.395 02 0....:.:..::::.:................: :. ::. ::.':' DATE(MM!DD;YY) :. CORD, IN Q i.: 41L�� 'Y 1i :t ADDUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE �e:iri:�:'�n tnau:•arr•:r y,4nnry, Inc HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. t;� l,�,: ;;1.4•:T _ COMPANIES AFFORDING COVERAGE :.at.Ria•illr MA 02655-0427 COMPANY A NXITILIS INSURANCS CONPAATY . 4suAEO C;OIAPANY -.:?.arer ?�•7iP '•.i'•. I B URAI:ITB TATS INS. CC-. C;OMPAN� . C :+gear cn� Mille M« 026.E- COMPANY I7 THIS IS TO CERTIFY THAT THE POLICIES OF IhSJRF•hCE L'STED$ELON'HAVE SEEN iS9UED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD !N"ICATE•J.NOTVrITHSTANDING ANY REOUIREMEN7 TE46!OR CONDITION OF ANY CONTRACT OP.OTHER DOCUMENT vV;TH RESPECT TO WHICH THIS _,ERTIF!CATE MAY BE ISSUED OR MAY PERT:AIV. -HE RJS�;MAN::E ACFORDED BY THE POLICES DESCRIBED HEREIN i5 SUBJECT TO ALL THE TERMS, E'XCLUSiONS AN;,.CONDITIONS OF SUCH POLICIES L:MI_S Sr.OVO.MAY WAVE BEEN'REDUCED BY PAID CLAIMS ' POLICY EFFECTIVE POLICY EXPIRATION `O TVPE OF INSURANCE UNITS POLICY tR DATE(YY,'DD'YV) i DATE IMMiDD.^IY) GENERAL LIABILITY ----�-- —_- 3E!:Ea4:A GRE-ATE £2000000 �— �— M1.1F=::r„GENEfO.A.L•A8a'T!' N' 'e56> 2?:'9B 03;'2'.59 i °Z)3uZ S C;3MP;J�AGG, !2r,J�0ne _ _ i — :..A.VG V.Ar)F ✓C ik PERS.)NA:It.t.OV INSJP.Y £ invNCP'S S.:U"J I{AI:TnF'4 PFiJT EAir.JGCuQOE-!+CE I E 1 G0G,no '' FIRE�IAme:;ne hte, S ... MEN EKC(Ani me oe•eon` £ --TAUTGYOBILE LIABILITY --�--~----�----_--- _ _----- I - OMBINE SING:C JV'- 5 ANY A.,:•` AL_"UNEp AI!T•.)C 5p01.V IfVJUP,v I£ I iJI•itJJ.cUA�•TC�S ----.--- - - BCD:-v (Pe,rj•'•;"lont', _ I r. t I PA-)PFR-Y DAMAGE 5 GARAGE LIABILITY AjYC,ON EA ACC:JEN7 I t — A"A•U-.D �OT-Ea TmAN A'_%70 A_v. i AG7REGATE .S LXCESS LIABILITY I EACr '�:G IRRC NC F ;I ! AGGRE3ATt £ OT.itil!;-IAN roRN. I _ S —_ WC 57ATJ WORKERS COMPENSATION AND ^` '•�'ORY UMI I's i ER _ ~ EMPLOYERS'LIABILITY LR:.v^5T_ I(c' :)::b,rr ::i;'1R•99 iELEAC�AC:tOENt Tit vROPaET:)a: !INCi EL')IAEACt.;OL:CY.IMIT t'ARTNEPS`ExEC:.I'IVr tl UIyEA9E EA EMPLUVF.F 1 OrrICCRS ARE. EX:a I —,._• — —_ OTHER ------•—•----•—�----� —. i I - i !DESCRIPTION OF OPERATIONS:LOCATIONS;VE141CLES:SPE:.'a; ITEMS i I `;j.pvr_,ry '.,PGRi7' 7:.»R. NC'_: SWIMMING F'nr:L ^.ON.^..TP..Ur'TICN .q:.l• V^I'RMAT.LN5 b10F.H.EF.:i• f70MPEN5ATI4N (7:+v5'PAGE :A PRi,',.irm) 'rHpruuH :'4. M:Sa:.�:4'_'3RTTS WORVZR.t r^ME•SNSRTTr,N Aast!rNBU'RISF' PLAN -?,WAITING :'6Y.PA%rY A••9�IGNMSN'.. wMBN THIS IS P.ECEIVFD: A CEP.;IF.ICATE OF IN.13MP. I i ICE PA';r.P OF ^.'Kk •1'VWN OF MIuHPEL• WI:,- PS F.SGi76`•':6C TO Axv:VB 5 SAYS AFTBP PEQUG.9T I.9 MAJS RY FAX '^"' A9JIUNtlU COMPANY. iCERI'IFICAT���HUB.OER:. :... ....:....:...........,.. ..... ::..:..:..::. . . :;::::..:.:CA1iCE{:k>4'1'ION:: :''::::_'.::::: :::::.....':.: ! SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF• THE ISSUING COMPANY WILL ENDEAVOR TO MAIL I11i_ DAYS WRITTEN NOTICE TO THE CERTIFICATE MOLDER NAMED TO THE LEFT, :c:rr L:It•:ra.I OUT FAILURE TO MAIL SUCH NOTICE $HALL IMPOSE NO 06LIGATION OR LIABILITY I OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES I AUTHORIZED REPRESENTATIVE i C-v-.erg•:Ile MA J26SS ruQ .1W ACO-00 9':{tl . ..............;'' :"::.:.:':'::. ':'::::'::.;:::::: ':'::::.:.::..:::.:.::::' '":'::::':'::::".:.....:.....:....-VACOROVORPOPA710N.19.8 . •�� * Clem S � arkl•�n � Pools p � i - i ��y. a' _ �/r,�.�._ .y ,,r;�„� ate' r r,R '� ..'°�•;@C,.. L�..��� �� � _- is���'.� .i��A:�•ifR'W. �� .n.471 -� JMt Cc►�w...��� �ti �.� r+ 1 "'t�'II�3':.. .�4'-.'^•.mac. ..oi I' `I � •t {r 1 ft i T f , � .ti ,o 1rlll"�f�_"� "C J� D aCD y m • A N cn A N' rn '^ II N at.en. 0 � 'f r a O C No rn rn zo ;o s m e N • s i C�l CONC. co a FOUND. h� TF = 43.40' gs,, 83.8'f LOT 145 01, .P J LOT 146 136,937 SF 3.14 ACRES O� � N O � O O LOT 147 o^ LOT 40 25.00, SEAPUIT ROAD JOB # 97-132 CER TIFIED PL 0 T PLAN LOCATION : SEAPUIT ROAD OSTERVILLE, MA SCALE : 1" = 80' DATE : APRIL 6, 1998 PREPARED FOR: REFERENCE LOT 146 LCP 5725 JO YCE MO ORE I HEREBY CERTIFY THAT THE STRUCTURE SHOWN ON THIS PLAN IS LOCATED ON THE GROUND AS SHOWN HEREON. `kH OF 414j s, . off 508-362-4541 �p� ARNE yam✓ fox 508 362-9880 0 0 LA r own cape engineering, inc. 9 No. ,o CIVIL ENGINEERS 7 LAND SURVEYORS — -- — �— --- O,y�l r---- ---- 939 main st yormouth, ma 02675 DATE R SURVEYOR f � I. 1 - z i e I I I. i 0 ' i° I � 3 V I �Is; •y N 1 a vOQ ,PIR' � v O JJaa I I .o� Ahal �$ ry c O ol Ur � u z I I � t : - i, , z1.2. �.to� �•{�� �•L I — I ' I Q N ---- _ faun "`�"i »' a•o� lk iz I l t i I I I I -------------�qq\uu� - f - - o . U I,I pl, ti I I � 10•!7 �P I --- I K �-----T I --.- i r ' y... I t 1 1 �� _ JMp_-`L^jai•�'` L 1 L 1 I I I J� s �\ N cp' 1 y c P A • I axe - •b. yP P �_ 6 n'rvr.wr. L go�i,.c�r .L 13 ' Cz 8� i 0 4 o� All • l 6 0 • "r I rr''� � '. � 3�•� I q '��• r+ � �a 6 4 � � i E r•`. . t a p a /' ,,Y'sc c e•• � 8�•;_IIII S rS''er� � I 2 6r"".� ➢ t �+j tl 1•' 'b bQ" 8a 1��f ((F.�. �I I�� a r . � � C • ?: ^ire o =_—'3 �S � I ��^4g •��� ef' 44_ a SSSG c^ �s E 1Ya a Y° gY 3 p M , zyy . � S� i Ey • �- ,;a F .i F./" � rid • 8= �� � a Bps e / W e � J t slo It It 47 � gd ttf � YW :w: m Q�YM1/.a /`r+.rr`�♦ •_ „•,.:vr' r,eee t r � G S .+ CQ �r.re , �S•r rt<r — [ S al tq p 9 0 E e �,'4�1. ^ ,?y,+ l' • aFa v! + III°1 c ,. ' A99 � E �� •�br,.\� •.b���pe �rfi• f "•" I'll ' Ze a X r ,. i �-- . . The Connizoni 'ealth of.�11uscuc•huscttr ,,,i. Dc purrnlen• of ludustrial Accidenn Ojlice-OfMY-stigat/ors. 600 !f aAhi- iin Street I Bustua. Ma.u. 02111 Workers' Compensation Insurance Affidavit It �nnlicant information: Please PRINT lei' i/ location: at /I l ho �r hone# omeowner performing all work myself. I am a sole proprietor and have no one working in any capacity _.._ ,.. ,...�..., [j I am an entplover providing workers' compensation for my employees working on this job. c-nntnanv name: arlclress: city: Phnne#- insurnnce co. nnlicv# [� I am a sole proprietor. beneral contractor, or homeowner(circle one) and have hired the contractors listed below who have the following workers' compensation polices: comnanv nntnc: atltlresc: (� era !�U sit.•: ! hone 0: .3�1� - !!` incur�nccrn t✓l7 d!SQ/hC,P: Tg,, ✓g i/2ce ��2CCI nnlic.•o (i0 0d(! C05-3t�- Od�C�IS_....__ Mmnanw nuns• tits: � i9/7iC nhnnc#: 77��S� dZ surancc c Attach additional sheet if necesiafryV __... .—_-.... .--------_..__.�-J..r.:L_r.—_- .•.lw7c::r/L. Failure to secure coverage as required under Section ZSA of NIGL 152 can lead to the imposition of criminal penalties of a line up to S1.500.00 andiur one%cars' imprisonment:is well as civil penalties in the form of a STOP NVOR1:ORDER and a fine of S100.00 a day against me. I understand that n cope of this statement mac be forwarded to the Oflce of Investigations of the DIA for coverage verification. I do hercht . i ifde the pains and penalties of perjun•that the information provided above is true ut d correct Date A11,6 AS / T Print name ` Phone# :. official use only do not write in this arcaao.bc completed by sin or towwn official cite or town: permit/licensc# rjBuilding.Department. C3Liccnsing Board O check if immediate response is required C3Scicctmen's Office r 011c2lth Department rrp contact person: P hone#: rlOthcr S. „t.v i Information and Instructions ' Massachusetts General Lags chapter 152 section 25 requires all employers to provide workers' compensation for the employees. As quoted from the "fa��'', an emplt ree is dcfincd 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 nor. the foregoing cngaged in a joint enterprise. and including the le-al representatives of a deceased employer, or the receiver or trustee pf,an individual , partnership. association or other legal entity, employing eimployees. However owner of a dwelling_ house haying 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, lie: or on the `_rounds or building appurtenant thereto shall not because of such employment be deemed to be an empioyer MGL chapter 152 section 25 also states that ewer - 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 who has not produced acceptable evidence of compliance with the insurance coverage required. Additionaliv, 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 been presented to the contracting authority. 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 the application for tite permit or license is being requested. not the Department of industrial Accidents. Should you have anv questions regarding the "law" or if you are require to obtain a workers' compensation policy. please call the Department at tite number listed below. . City oC rowns Please be sure that tiie affidavit is complete and printed legibly. The Department has provided a space at the bottom o-. the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Pie: be sure to fill in the permit/license number which will be used as a reference number. lire affidavits may be returned the Department by mail or FAX unless other arrangements have been made. The Office of Investi=a 'oils would like to thank you in advance for you cooperation and should you have any questior. please do not hesitate to Live 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 i-: (617) 72 7-4900 ext. 406, 409 or 375 - � s • TOWN OF BARNSTABLE BUILDING DEPARTMENT HOMEOWNER LICENSE EXEMPTION Please print. . DATE JOB. LOCATION �eQ (,�� �G(• �/St�!?I/�� Number Street address Section of town "HOMEOWNER" JG ee. Name Home phone Work phone PRESENT MAILING ADDRESS /44 n,�) S DZGO / City town State Zip cc- The current exemption for "homeowners" was extended to include owner-oc=,=. dwe llinas of six units or less and to allow such homeowners to engage an is dividual for hire who does not possess a license, provided that the owner acts as supervisor. DEFINITION OF HOMEOWNER: Persons) who owns a parcel of land on which he/she resides or intends to side, on which there is , or is intended to be, a one or two family dwelli^.; attached or detached structures accessory to such use and/or farm struct E A person who constructs more than one home in a two-year period shall not h considered a homeowner. Such "homeowner" shall submit to the Building Of=_ on a form acceptable to the Building Official, that he/she shall be resmons- for all such work performed under the building permit. (Section 109. 1. 1) The undersigned "homeowner" assumes . responsibility for compliance with the uilding Code and other applicable codes, by-laws , rules and regulations. he unde_ 4 ned "homeowner" certifies that he/she understands the Town of arnstable Building Department minimum inspection procedures and requiremen-, nd that he/she will cc with said procedures and requirements. OMEOWNER'S SIGNATURE PROVAL OF BUILDING OF CIAL ote: Three family dwellings 35 , 000 cubic feet, or larger, will be requires 0 comply with State Building Code Section 127. 0 , Construction Control. HOME 'OWNER'S EXEMPTION The code state that: "An Home Owner WL - y performing work for which::F�a�=buildi..z permit is required shall be exempt from the provisions of this section (Section 109.1. 1 - Licensing of Construction Supervisors) ; provided that is Home Owner engages a person (s) for hire to do such work, that such Home Ok: 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 Regulation-- for . licensingIConstruction Supervisors, Section . 2. 15) . This lack of aware:: 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 ac= as supervisor is ultimately responsible. ,. To ensure that the Home Owner is fully aware of his/her responsibilities, m. communities require, as part of the permit application, that the Home Owner certify that he/she understands the responsibilities of a supervisor. On t: Last page of this issue is a form currently used by several towns. You may ,are to, amend and adopt such a form/certification for use in your communit_:.. MCWR Appew&j Table JSZ1b(eoadaned) preseripdve Packages for Oae and Two-Family Residential Boildlags Heated with Fossil Fuels MAxImum MINIMUM Glazing Glazing Ceiling wall Floor 8atemau 31ab Heatimg/Coolimg �'('A) U-value= R-value' R value' R value' well Pa" Equipmem Mpency' 1pulcage lt value` R value' 5701 to 6500 Headog Degree Days' Q 12% 0.40 38 13 19 10 6 Normal R 12% 0.52 30 19 19 10 6 Normal 3 12% 0.50 38 13 19 10 6 85 AFUE T 15% 0.36 38 13 25 WA N/A Normal U IVA 0.46 38 19 19 10 6 Normal V 15'/• 0.44 38 13 25 WA N/A 85 AFUE w 150/4 0.52 30 19 19 10 6 85 AFUE X 18% 032 38 13 25 N/A N/A Normal Y 18% 0.42 38 19 25 WA WA Normal Z 18% 0.42 38 13 19 l0 6 90 AFUE AA 18•/. 0.50 30 19 19 10 6 90 AFUE 1. ADDRESS OF PROPERTY: .T U r 2. SQUARE FOOTAGE OF ALL EXTERIOR WALLS: 3. SQUARE FOOTAGE OF ALL GLAZING: 1 4. %GLAZING AREA(#3 DIVIDED BY#2): �� :S �0 5. SELECT PACKAGE(Q—AA-see chart above): e. NOTE: OTHER MORE INVOLVED METHODS OF DETERMINING ENERGY REQUIREMENTS ARE AVAILABLE. ASK US FOR THIS INFORMATION. BUILDING INSPECTOR APPROVAL: YES: NO: q-forms-080303a 780 CMR Appendix J Footnotes to Table J5.2.1b: ' Glazing area is the ratio of the area of the glazing assemblies (including sliding-glass doors, skylights, and basement windows if located in walls that enclose conditioned space, but excluding opaque doors)to the gross wall area,expressed as a percentage. Up to 1%of the total glazing area may be excluded from the U-value requirement. For example,3 ft of decorative glass may be excluded from a building design with 300 ft'of glazing area. Z After January 1, 1999, glazing U-values must be tested and documented by the manufacturer in accordance with the National Fenestration Rating Council (NFRC) test procedure, or taken from Table J1.5.3a. U-values are for whole units:center-of-glass U-values cannot be used. ' The ceiling R-values do not assume a raised or oversized truss construction. If the insulation achieves the full insulation thickness over the exterior walls without compression, R-30 insulation may be substituted for R-38 insulation and R-38 insulation may be substituted for R-49 insulation. Ceiling R-values represent the sum of cavity insulation plus insulating sheathing (if used). For ventilated ceilings, insulating sheathing must be placed between the conditioned space and the ventilated portion of the roof. 'Wall R-values represent the sum of the wall cavity insulation plus insulating sheathing (if used). Do not include exterior.siding, structural sheathing,and interior drywall. For example, an R-19 requirement could be met Ei i HER by R-19 cavity insulation OR R-13 cavity insulation plus R-6 insulating sheathing. Wall requirements apply to wood-frame or mass(concrete,masonry,log)wall constructions,but do not apply to metal-frame construction. 'The floor requirements apply to floors over unconditioned spaces(such as unconditioned crawlspaces, basements, or garages).Floors over outside air must meet the ceiling requirements. The entire opaque portion of any individual basement wall with an average depth less than 50%below grade must meet the same R-value requirement as above-grade walls. Windows and sliding glass doors of conditioned basements must be included with the other glazing..Basement doors must meet the door U-value requirement described in Note b. 'The R-value requirements are for unheated slabs.Add an additional R-2 for heated slabs. " If the building utilizes electric resistance heating use compliance approach 3, 4, or 5. If you plan to install more than one piece of heating equipment or more than one piece of cooling equipment, the equipment with the lowest efficiency must meet or exceed the efficiency required by the selected package. 'For Heating Degree Day requirements of the closest city or town see Table J5.2.1 a NOTES: a)Glazing areas and U-values are maximum acceptable levels. Insulation R-values are minimum acceptable levels. R-value requirements are for insulation only and do not include structural components. b)Opaque doors in the building envelope must have a U-value no greater than 0.35. Door U-values must be tested and documented by the manufacturer in accordance with the NFRC test procedure or taken from the door U-value in Table J1.5.3b. If a door contains glass and an aggregate U-value rating for that door is not available, include the glass area of the door with your windows and use the opaque door U-value to determine compliance of the door. One door may be excluded from this requirement(i.e.,may have a U-value greater than 0.35). c) If a ceiling,wall, floor,basement wall,slab-edge,or crawl space wall component includes two or more areas with different insulation levri , th-- component complies if the area-weighted average R-value is greater than or equal to the R-value requirement for that component. Glazing or door components comply if the area-weighted average U- value of all windows or doors is less than or equal to the U-value requirement(0.35 for doors). 43 - - - - - - -- -- -- - - - - - ---- - - - - --- -- -- - -_---eve - - - - - �.----, ---- --- - -- --- -- - i I � fi f l FE ..... -- -_ �. rqG FH i i II I� J I o � i • i i � 3. I i I , i; i j j i s o ,p 2 �r 21 �].� '.b� '•b1 y'.1l . Qp i - i q.T_. � c c I j I I c I I I I 1 —f i n' a. sd ' "Al I• a •p L a a! . V ♦l�yN ' 0Ile uuu I- - '�++ 4-1 o � 17 qd.� do• c o • g � �r a➢ -z 3 ,�— -- . _ odd N I � I II 'pp 6 i�c•'�d�l \ dt - ------------- gt bJ � I I �' � k I'-� C p I I. d•c• I L _ P I r i .a u -=- I iit Ir- 17 i � ;<I FY �' � ICI �� w'•d I I e I I 9� o� I• I•I � I:I�� r I � Pr p Q I I I I I�I z I I•I S ' � o is o' vw�nr. \ A y Si p'• a��N n � - �' •Q F • • z I: s� � �� 3 � z 1.ki71 f N M. 50' i � � I B N i e. . D lot A A 'S Q - \ i I U qq _. f/ / f r\�" �-,, �1� `!��'�,\7 �"''dd'�6�14i;,; x � ��J I: 1 �q;'*��`• �'"' k.J 4 �^ r 1 .. Sur 3 - Wiisran s Rhododendron ,� i Carodra i ierr ir,r 4 i Pe G 3 /olden Lights Azalea i. f Existing boundary of cieuring r C t a �r--F. .i; �',k r , Septa: Pool Fe.,c .. t_a w n Fernale American Holly r' Sand Bunker • ` �a , 1 Wines, fr,nge�treg y Raised lip / v- ._.e ` _` +f 3' Perennials r . 1 - ! Cut Flowers �: \~ I iouso Dogwood Porch 3 Late hark Pink Azalea Putting Green 4/1111 1 Cimbreilo Pine I Lawn It l - 3 Rainbow L,errcotho I 1 , i i I Rose & ID •..,,,������" � Carden 1 Alias cedar � � ! eps 2 - Double Blue Hydr Pool �.,_.._.._. ((( / 1 'x .i: t.o+�n L r i 3 China Girl Holly r� Shell ink ?hradodendre, I t I Dtodor cedoi" ! Bluestone Patio T Slueslonet pool deck ,.3i€rscrr�,f,D,t« wo s�d w,r' bull,. nose copingw/ recessed steel edge' } Lavnr,o r Rhododendron r `�a ra i:stirzg :.. ,ti r i 1 ;r 1' steps %itr l.ir.e t y4. .. v SYi _ _ . i Fraser F»Ir Lown 1 ..- Blue Pr grrtul.rr,tl ` k jk, a 1 / �. ._ DcaGa\Lic i3lie Hydrangea _._ / Show:,r Deck 3 Frag Perennials tt 5 F C Wood FerIC6�4,, Vegetabi lie planter /1 I ,` �7tr`' a_ i y 4 ,. '700-Pachysondro f OB,o.c. Mole American Holly p ',' ��, r 1 r..oml 4 Clothesline / at �; .' � %R li, �.. 1 Pink/Red Hibiscus Chain--link ' _. g i ��. , Elirrestanes 2 Double 11rr�s Hydra rz r � 1 Pool Fence ChcirS.-ilnk a$ / e.. fi`iopol,e r Poor Fence � � ° Red Shrub Rose � Slender Deutzio 3 Fink Jonef Blair Rhododendron J r _ . , N ✓,,•�. jai <0 r,. \�� �^ r•�� � / / 7i 1\ /