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HomeMy WebLinkAbout0533 WIANNO AVENUE �5��3 V��anc� o �►� i� T Yin. �,.'+�+.... - �. h M. n. I]A w�--....-nnr. A.- w+_ A .+fy .�.,Ile. ,:r;f}�.��- rfr� '��w..ew w'+/'tir*..VM:'titi.� J; TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map 2 Parcel 4G 3 Application # " Health Division Date Issued Conservation Division .�' Application Fee Planning Dept. Permit Feed . S Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation / Hyannis Project Street Address 3 U1 WO #V S, Village o5TCZZU 11-& Owner7� Address �� �- f1D �V�� Telephone '�_ _ 3���• I�G-���TY- -� a� � Permit Request FJJ A► VXrti CO�VWPF_/V1 W CAM4- )�-S A Square feet: 1 st floor: existing L7;W proposed q 7 2nd floor: existing proposed d Total new; �7 Zoning District Flood Plain Groundwater Overlay Project Valuation ,�I'Ow Construction Type_UA& m Lot Size `7 Grandfathered: 0 Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family 0--' Two Family ❑ Multi-Family (# units) Age of Existing Structure 8-6 Historic House: ❑Yes 0<0 On Old King's Highway: ❑Yes W-No Basement Type: 0 Full 2"Crawl ❑ Walkout ❑ Other Basement Finished Area (sq.ft.) Basement Unfinished Area (sq.ft) Number of Baths: Full: existing_ new Half: existing new Number of Bedrooms: 67 existing e) new Total Room Count (not including baths): existing i 6) new First Floor Room Count Heat Type and Fuel: was 0 Oil ❑ Electric ❑ Other Central Air: W3 es ❑ No Fireplaces: Existing New ExiSq?i 0Yve: ❑Yes ❑ No Detached garage: ❑ existing ❑ new size—Pool: ❑ existing ❑ new size —rC �d existing ❑ new size garage: 9 — 9 _ Attached ara e: ❑ existing 0 new size Shed: ❑ existing ❑ new si tther 2018 1 8F B,gRNS r ABLE Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial 0 Yes d No If yes, site plan review # Current Use 1`��1 U'3-L Proposed Use R ES 14)f4M ik- APPLICANT INFORMATION - (BUILDER OR HOMEOWNER) v �_ Name U�l � �Sf+0FR1G Telephone Number q � 7 �� .� Address W 2_ ANN S1r_ ISU II-S I b License # 6 47 QU5� Home Improvement Contractor# Worker's Compensation # 100 4216'k ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO WZW G4,J)*Ypa�Q W s .Ul Cis SIGNATURE DATE FOR OFFICIAL USE ONLY APPLICATION# DATE ISSUED. MAP/PARCEL NO. ADDRESS VILLAGE OWNER ` DATE OF INSPECTION: 7RFOUNDAIJON�f1.�r��;��i�F�li1?.r�iUAti'-.�. FRAME FIREPLACE ELECTRICAL.:— ROUGH FINAL PLUMBING: ROUGH FINAL GAS: _ . ROUGH FINAL FINAL BUILDING t DATE CLOSED OUT. . ASSOCIATION.PLAN NO.. anaNsrABIX, 1639. 6 Town of Barnstable RFD MA't Regulatory Services Richard V.Scali,Director Building Division Thomas Perry,CBO Building Commissioner 200 Main Street, Hyannis,MA 02601 www#own.barnstable.ma.us Office: 508-8624038 Fax: 508-790-6236 Property Owner Must Complete,and Sign This Section If Using A Builder 0 '9 �%4�� as Owner of the subjectproperty hereby authorize Sc �(J5A) "SG15HOffac— ����' _ to act on my behalf, in all matters relative to work authorized by this building permit application for: 6 3 W ft/,V4 1U (Address-of.Job) le2 �. I Signature of Owner Date Print Name If Property Owner is;applying for permit,please complete the.Homeowners License Exemption Form on the reverse side. QAW MESTORMS\building perinit forrms\EXPRESS.doc Revised 061313 �1jlj The Commonwealth of Massachusetts �� � s Department of Industrial Accidents I Congress Street, Suite 100 �h ?��� Boston, MA 02114-2017 Oq,9 www mass.gov/dia NST�B Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers. �F TO BE FILED WITH THE PERMITTING AUTHORITY. Applicant Information Please Print Le ibl Name (Business/Organization/Individual): SU7/V �JI►"�K� S�L Address: �>> ,2 ��/� S't'� So IT`t I e City/State/Zip:05MU)gh, A, OW Phone#: I"y-111 Are you an employer?Check the appropriate box: Type of project(required): 1.❑I am a employer with employees(full and/or part-time).* 7. ❑New construction 2.❑I am a sole proprietor or partnership and have no employees working for me in g. ❑Remodeling any capacity.[No workers'comp.insurance required.] 9. ❑Demolition 3.❑I am a homeowner doing all work myself.[No workers'comp.insurance required.]t 10 [!�Building addition 4.❑I am a homeowner and will be hiring contractors to conduct all work on my property. I will ensure that all contractors either have workers'compensation insurance or are sole 11.❑ Electrical repairs or additions proprietors with no employees. 12.❑Plumbing repairs or additions 5.❑I am a general contractor and I have hired the sub-contractors listed on the attached sheet. 13.❑Roof repairs These sub-contractors have employees and have workers'comp.insurance.: 6.❑we are a corporation and its officers have exercised their right of exemption per MGL c. 14.❑Other 152,§1(4),and we have no employees.[No workers'comp.insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit 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.Lic.#: Wcr qg9,5�u Expiration Date: 7/WW k1_ Job Site Address: frV 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 MGL c. 152, §25A is a criminal violation punishable by 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.A copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify under the ins and penalties of perjury that the information provided above is true and correct. Si nature: '2 1 f/Y'�h Date: 1 Phone#: — q- 111 Official use only. Do not write in this area,to be completed by city or town official. City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: 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 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 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 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 Department's address,telephone and fax number: The Commonwealth of Massachusetts Department of Industrial Accidents 1 Congress Street, Suite 100 Boston, MA 02114-2017 Tel. # 617-727-4900 ext. 7406 or 1-877-MASSAFE Fax# 617-727-7749 Revised 02-23-15 www.mass.gov/dia Client#: 12032 2BISHOPRICST ACORD. CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) 01/03/2018 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT:If the certificate holder Is an ADDITIONAL INSURED,the policy(ies)must be endorsed.If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement.A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT NAME: Dowling 8 O'Neil Insurance Agy A/C PHONE ,:508 775-1620 ac Ne: 5087781218 973 lyannough Road E-MAIL ADDRESS: MA P.O.Box INSURER(S)AFFORDING COVERAGE NAIC# Hyannis,MA 02601 INSURER A:NGM insurance Company 14788 INSURED INSURER B Steven J.Bishopric,Inc. 1112 Main Street,Unit 18 INSURERC: Osterville, MA 02655 INSURER D: INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD ! INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR I ADDL SUB POLICY EFF POLICY EXP LTR TYPE OF INSURANCE INSR WVD POLICY NUMBER MMIDD MMIDD LIMITS A GENERAL LIABILITY MST4295K 1/01/2017 1`1101/2018 EACH OCCURRENCE $1 OOOOOO X COMMERCIAL GENERAL LIABILITY P&WG1SJs &NT D nCe $100 000 CLAIMS-MADE FY OCCUR / MED EXP(Any one person) $5 000 X PD Ded:250 8UI LDIA G PERSONAL&ADV INJURY $11000 000 l� �� GENERAL AGGREGATE $2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: FEBPRODUCTS-COMP/OP AGG $2,000,000 POLICY PRO- QQ JE LOC $ AUTOMOBILE LIABILITY It,OF COMBINED SINGLE LIMIT V Ea acadent ANY AUTO B,q STq BODILY INJURY(Per person) $ ALL OWNED SCHEDULED �Z[ BODILY INJURY Per accident) $ AUTOS AUTOS ( ) HIRED AUTOS NON-OWNED PROPERTY DAMAGE AUTOS Per accidentI $ $ UMBRELLA LIAR OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED RETENTION$ $ A WORKERS COMPENSATION WCT4295K 7/19/2017 07/19/201 -X WC STATU- OTH- AND EMPLOYERS'LIABILITY OFFICERO/MEMBER EXCLUDED ECUTIVEa N I A E.L.EACH ACCIDENT $500 OOO (Mandatory In NH)Ifes E.L.DISEASE-EA EMPLOYEE $500 000 y ,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT s500,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(Attach ACORD 101,Additional Remarks Schedule,If more space Is required) Insurance coverage is limited to the terms,conditions,exclusions,other limitations and endorsements. Nothing contained in the certificate of insurance shall be deemed to have altered,waived,or extended the coverage provided by the policy provisions. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE ©1988-2010 ACORD CORPORATION.All rights reserved. ACORD 25(2010/05) 1 of 1 The ACORD name and logo are registered marks of ACORD #S204255/M204254 RPJ21 *^ • -. ..r.uv Wv//c„uv/c[VCKLK90 V/tyVL.LCFIJLlT3[LCJG"(S(l•T•. _ -.� t. _ �—._. r. ....�....— . Office of Consumer Affairs&Business Regulation I License or registration valid for individual use only i HOME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: Registration.„�1061a1 Type: Office of Consumer Affairs and Business Regulation "� 10 Park Plaza-Suite 5170 Expiration:=7/22f2018 Private Corporation -== Boston,MA 02116 STEVEN J.BISHOP���C IN_C ' Steven Bishopric 1112 MAIN ST UNIT 18' } y� � OSTERVILLE,IV.A 02655 Undersecretary Not v19id witholit signature �'� ems; _ •_� � •._--�.�.......�_!�� .. . Commonwealth of Massachusetts Division of Professional Licensure Board of Building Regulations and Standards Constrg&Vtbi?p,rvisor CS-047928 'Tires: 09/29/2019 STEVEN J BISHORRIC '' O P O BOX 656 MARSTONS MILLS'`MA 02648 �� Commissioner � �Ul`Dll�Ca� FFa�o? TowN oFeq O18 s � o b W oil, ��e w�� -t'o ��Pam^► F��� RNs.�PsL 0 � I 3f rp'r 31 J-x� Elasn oy gon woo- V*ut 0- ztusv�� j ' Assessor's offioe (1st floor): �d L� Q C�� IC o'�Y STENYd MUSTB�� `fNf TO `Assessor's map and lot number ............ Board`of Health (3rd floor): 1&STALLED IN COMPLIA e� ♦� WITH TITLE 5 _Sewa a Permit number ..............Q......................f:!.'...cf.-..... . .• S 9 Engineering Department (3rd floor): ENVIRONMENTAL CODE 9T/►DLE, . roea House number ......................................................................... TOWN REGULATION '°off t63q•,�e� C YAY APPLICATIONS PROCESSED 8:30-9:30 A.M. and 1:00-2:00 P.M. only TOWN OF BARNSTABLE BUILDING - INSPECTOR APPLICATION FOR PERMIT TO ..........z....�4Z4G....:. �o`!.t2/.............. 1�1�............................................. TYPE OF CONSTRUCTION ........A(W.... dq!i?.F....................................................................................... ..........%l............ .................... TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location ........7..3 ......W .ovYv.uC..... !'`.`.................%.S%�eLLC............................................................................. r Proposed Use ......... AW..t�. ..... .............. Zoning District .../..zine........................................................Fire District 4, . Nome of Owner .... 7.r/.Y�....:�.`....NA.v�, ,...IX-661a.VT..Address ......a./....... y....4A-...... 1. Name of Builder ..`1/f��/1«..5 1..G�V.L,r�fSr+.�........'..........Address .....3y .... T..4%.i4..... ....5,4,j�NiCN Name of Architect F4t..4. !.SG.!!-4+.4.....4-4:vc-we ..Address ..... 3,�y....... v��L��`f Number of Rooms PG................................'.............Foundation .. n/.C.:/?. .115......................................... Exterior ..........................................Roofing .......... ',.. -.......... 3! G.�C—s ........................... Floors2v...................................................................Interior '�'aylri� 9.4.L............................................. Heating .14 QC ...... Plumbin �, . ..1 .LtO.:,.................................................... g ........�.1.!!+� .....�,,�//�...�e,[.b..................................... Fireplace ...Approximate Cost /� 00 Definitive Plan Approved by Planning Board ________________________________19________ . Area ....' V 2'C� � . '... ................ Diagram of Lot and Building with Dimensions Fee ............. . ............... SUBJECT TO APPROVAL OF BOARD OF HEALTH OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS S 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 ... 3!9,3 Ii-IGG-INS, JOHN & NANCY 30349 REMODE-i No ................. Permit for ................... ,.............. ........ ..Single...Family...Dwelling...... .. ....... .. Location 533 Wianno Avenue ................................................................ Osterville ..................................................................... ......... Owner .....John & .IqancV Hicr5ins ................. .......... ........... ................. Type of Construction ....F.r.am.e........................... .. .... .. .......................................................................... Plot ............................ Lot ................................ Permit Granted ....January...5 -19 87 .. . .. .. . .. .. .. ............ Da-te of Inspectiona l e.................19 Date Completed ...... .........:'19 21 66 A In C4 Assessor's offioe Ost f,loor): / _ p * E,'Assessor's map and lot number ......�to 2 v®� { Board of Health Ord floor): Sewage Permit number .....................................d!.:...c .....� Z 33AU4TGDLE, Engineering Department (3rd floor): +o MAGI p t6}9• 6� Housenumber ....................................................................... f� v' APPLICATIONS PROCESSED 8:30-9:30 A.M. and 1:00•2:00 P.M. only TOWN OF BARNSTABLE ' BUILDING INSPECTOR APPLICATION FOR PERMIT TO ...... ..R,4 ZE..'....�1 i'�v/.-e,G .......,Qr�.il�............................................. TYPE OF CONSTRUCTION wvuQ.....e�r .........i9 .. TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: 3 •.�v�vo v ......................................................................................... Location .......�a... ...... .................... ...E...............cl 7,51z V (-e- Proposed Use .........P!:?.r.V! tr......�.�.J•!:7�cr-!�!C F..... ......... .......- :%7o/. ..... .�-.��t��?A..{.�`c. Zoning District ...A.loot. w........................................................Fire District '..'��.-. ... r H..,.... ..:.N�,vc 10G i r / 7? �r�Y ...... ..................... Name of Owner ..... .... �. ....... !S.yV....Address ......�.............................y ��?: .. ..a Nome of Builder /l�f/IN CH..........y.. . .... dzs37..................Address ............ // Name of Architect / o k. S1 /i/EL Cf eV p. R„�1, Li s�?cc.q.....Lvwc.�...Address .... 3/,..................................... ... Number of Rooms ..............l.�p...............................................Foundation ........Cvn/Cn, 7z ......................................... Exlerior -.... f!!.�«FS...........................................Roofing ........'../ .>. -......X;�v T............................... i Floors Z ............Interior .�.. ?a.. ✓At.4• Heating f : ...........................................:.;.........Plumbing ........`T/�!<).. � NA a;.... � p ..................Approximate Cost � . Fireplace .......d/✓Cs:........................... ' ......... v Definitive Plan Approved by Planning Board --------------------------------19-------- • - Area / '!l,Q.. ............ Diagram of Lot and Building with Dimensions Fee .. ............�................ SUBJECT TO APPROVAL OF BOARD OF HEALTH i OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to'oll the Rules and Regulations of the Town of Barnstable regarding ,the above construction. ' Name :.... Construction Supervisor's License ...013/Q, ............... e,i . � BIGGI0S, JOBN 6 NANCY A=162-003 ^ 30349 REMODEL ^ | � � No -----' Permit for ................. , ^ / � Single Family Dwelling � -------------------`---- ( 533 VVia000 Aveuoe Location ----_----------------� � . . � DstervilIe � --------------------`-----. ` � Owner —.Jobo & 0aooy...Bi ,'`io.o ' Frame � Type of Construction -------------- ` -----------'--------------' . . | ` Plot .--------� �» _---------' . . � � January5, 87 Permit G,unKx] -------------.lV / � Date of Inspection ------------l9 � Dote Completed ------.------lP � � , ^ � � ^ ^� . | ^ . , ' � ^ ' - . ' ' ` . ' . ^ — SNSdS 40 �3A Master edroom L. 11'-1 5/16" —� -- ------ - 11'-7 7/16" Mudroom/la-� dry \�� Master Bath • co 100 Off r- 0- C*4 TZ alk-in Io et i 06 i -- --, -- - --7z A//F ALLY' L• L. C. PLAAl 15::546 .4 0 zoo. oo' . o 40 A. C R ES t .s REFEREA/CES + BAR)V5rABL.- cOUNTy RFC. OF DEEDS BA .S/08 PG 285 32 %¢3 L A,✓o COc/Rr Pl-A`Al iSS4B A ASSESSORS HAP 16,Z o Lor 3 t - SjO� . O LIJ Y • 70' t�lr AVEA/UC � s CPU V.4R/AB BL/c - u SCALE : �H = ZOI LE Alloy f./) o Gy PLAN of LAAIv 3 / CERTIFY THAT THE PROPERT,! L/A/E9 SHOA/N NEREOit/ /i(/ ARE 1'HE LIMES, OF SEXIST/NC O/,IVERSN/P, AAID TyE LIVES � B�4 S T,4 BLS' (OS TERV/L LE) ACE. OF STREETS AAID !JAYS SNOAIW 'ARE Th/OSE OF PUBL/C OR m PR/VA TE STREETS OR A/AY.S A L READY ES ,BL TA /SHEO, AA/O BARNS TABLE CO LINT Y, MA. Tf/AT NO A/EI,/ L/�/ES FOR O/✓/S /� IO.✓ of Ex�sT/�/C O� ERSHiP o ©R.FOR :A&AJ AlAYS ARE S gOAA/. , AS SURVEYED FOR ' �S'COTT L. C.7LES R.L.S. SCALE : /'�= IM DAM- .- OCT. Z7, I9816 ` G LES / CERT/F Y THAT 7'#/5 PLAN co it/FQRMS 7-6 THE RZIL Es t,OC41J PLAit/ �e'PtTvN AND REcUL AT1OAIS OF Th/E RED"/S TRY OF p4-EDS. A1019TAIERAI ASSOCIATES n/ T S. ��. Q BALLARD h/AY SCOTT L. C/LES R.L.S. .DATE 1 I LAAIRRE' IIC C, MA .