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HomeMy WebLinkAbout0016 JUNIPER ROAD (oui� i Pew r c• , v , n , e 0 s a oFIME ifa,. Town*of Barnstable , Regulatory Services * BARNSTABLE, ♦ . 9 MASS. Thomas F. Geiler,Director �E039. i Building Division Tom Perry,Building Commissioner 200 Main Street,Hyannis, MA 02601 Office: 508-862-4038 Fax: 508-790-6230 July 22, 2008 q Joy K. Webber 16 Juniper Rd. Centerville, MA 02632 RE: 16 Juniper Rd. Centerville Map: 210 Parcel: 120 p p _ Dear Ms. Webber: This letter shall serve as notice that you are in violation of the Zoning Ordinance of the Town of Barnstable Chapter 240 Section 10(C) in regards to storage containers that you have on the above referenced property. I spoke with you several weeks ago regarding this issue and informed you of the course of action needed to be taken in order to avoid further action by this department. It is unfortunate that you have chosen not to cooperate and hereby ordered to remove the trailers by July 31, 2008 or you will be subject to fines of$100.00 for each day the property is in violation. Should you have any questions you may call (508) 862-4034. By Order, J frey Lauzon Local Inspector Q:zoning5 I •e`e� r� Town of Barnstable �0p THE 1p� �Ptio Regulatory Services s.►xxsr�HLe. Thomas F. Geiler,Director MA 16.19. � � Building Division pr�c�y Tom Perry,Building Commissioner 0� 200 Main Street, Hyannis,MA 02601 www,town.barnstable.m a.us Office: 508-862-403 8 Fax: 508-790-623( PERMIT# _� � FEE: $ 6Q' SHED REGISTRATION 120 square feet or less Location of shed (address) Village Property owner's name Telephone number gx Size of Shed Map/Parcel# . all 0 Si re Dat Hyannis Main Street Waterfront Historic District? Old King's Highway Historic District Commission jurisdiction? �1® .Conservation Commission(signature is required) Sign off hours for Conservation 8:00-9:30 &3:30-4:30 PLEASE NOTE: IF YOU ARE.WTTHIN THE JURISDICTION OF ANY OF THE ABOVE ``\ COMMISSIONS,THERE MAY BE A REVIEW PROCESS AND APPLICATION FEE. PLEASE SEE.TIE APPROPRIATE COMMISSION FOR DETAILS. I �� THIS DORM. MUST BE ACCOMPANIED BY-A PLOT PLAN Q-forms-shedreg REV:042506 I S I I i v A. 3 alLOT \ v If i. • 6 "t�1�14 lAP'ES v C RICHARD UH No. 27671UK .o O , r+_. 694 �n CERTIFIED PLOT LAI. /N is-:7 k-T CERTIFY' T/�i4 T' .TlgE- �,' SHO/ IV CA/ TYIS PLAN /S LOCATED /9/ MAIN ST. (PTE. 28) CAI TH4F rRO UND As INDICATE.D AND WEST DENNIS ) /IAA S S . C'O/VFO!?N�.� .7-� .7f-✓E 4`01VING LAWS DrYT/.�/� � ]EALE:1/03 / - 7/a7 L AND SURYE YOR ��• �Y �S/�EE T OF _ TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map 10 Parcel 20 _::Application#2 0 07 I I a7 Health Division Date Issued d]_ Conservation Division I by F Application Fee ` _ • (.� Tax Collector Permit Fee CO Treasurer d Y 3a/t7 Planning Dept. Date Definitive Plan Approved by Planning Board R Historic-OKH Preservation/Hyannis Project Street Address L4 v, Oc r— l 0 Ct Village ( PA n+P,ir✓' Owner,Tef--Q v-sor fl of ev fow w e.b e Address + r i Oct�1 Telephone S_0 X — �7 -7 tf / Z Permit Request To remov ome_ qj�tev- el -ke- ig rv,& tom e I--6ke� d- i v I-h ►-e Gg o 4D �, I�^l Square feet: 1st floor:existing proposed fCiMe 2nd floor:existing proposed Total new Z /D no I I f Zoning District C Flood Plain Al 0 Groundwater Overlay No Project Valuation 1r200 000 Construction Type COn y- —Ramp Lot Size 2Z /9-Gp.S" Grandfathered: Ed"Yes ❑No If yes, attach supporting documentation. Dwelling Type: Single Family O" Two Family ❑ Multi-Family(#units) Age of Existing Structure 20 �� Historic House: ❑Yes Lid/No On Old King's Highway: ❑Yes Zo Basement Type: LdFull ❑Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) -7 0 Z Basement Unfinished Area(sq.ft) 33 Number of Baths: Full:existing new Half:existing o new C Number of Bedrooms: existing 3 new Total Room Count(not including baths):existing 7 new First Floor Room Count / Heat Type and Fuel: u Gas ❑Oil ❑ Electric ❑Other .y Central Air: ❑Yes U�No Fireplaces: Existing New Existing wood/coal stove: ❑Yes a o Detached garage:❑existing ❑new size Pool:❑existing ❑new size Barn:❑existing ❑new size Attached garage:❑existing ❑new size 2ZXj Shed:Li existing ❑new size Other: 308 sP- Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ 4 Commercial ❑Yes No If yes, site plan review# CD�" « Current Use �'1 rn cf✓� /(,�.��? -- Proposed Use s Gt m e- CE a r BUILDER INFORMATION > � r Name Gh eo/ Telephone Number ACT 77,5 ---29 ZJ Address L S PG/ I V�'^� License# 0 60 '1 7 C !!__P,►^-�e�V I G�.� Home Improvement Contractor# 2 71 Z— Worker's Compensation# nn ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO Yt J-#4 4P— SIGNATURE DATE O `D / D7 \ . . FOR OFFICIAL USE ONLY { APPLCATION# . � . . $ DAT�-I SUED « MAP%ARCELNO. ADDRESS VILLAGE / \ OWNER . DATE OF NSPEC20\ . . FOUNDAT ON U)50v-C68)c?/7/07& . \ FRAME � fa 2-WI-7 { , . ƒ NSUL T O 0 R /0 7 FREPLACE .� . . . ELECTRICAL ROUGH FINAL .� . / PLUMBING: ROUGH FINAL \ GAS: . ROUGH FINAL F NAL BUILDING YhqlK $ » . 9 DATE CLOSED OUT ASSOCIATION PLAN NO. , \ ` . 1HE,1 Town of]Barnstable pF O{f, , Regulatory Services BARWSI'ABLE. ' Thomas F. Geiler,Director MASS g i• . q'p,Ecrs`. Building Division .,. Thomas Perry, CBO,Building Commissioner " 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 PLAN REVIEW - Owner: Map/Parcel: 7-10 12-0 Project Address )(� ���.�;�e, �� Builder: F-%c-y%& The following items were noted on reviewing: I LVL inno C11-drS k P��i� `fir 3 Oe-w p o'vX I oo-1 J Reviewed by; Date: Q:Forms:Plnrvw ��T►+Eroy� Town-of Barnstable Regulatory Services T!S'"BM _ Thomas F.Geiler,Director i63 �`� Building Division Ep µp b • Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 ' Office: 509-862-4038 Fax; 508-790-6230 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 .1✓yl[� / l vl. (f�0� Estimated Cost 0o 000 ,Address of Work: (,3 1421 9 0 Ga rl Owner's Nam �e Date of Application: p f 0 I hereby certify that: Registration is not required for the following reason(s): []Work excluded by law ❑Job Under 31,000 OBuildiag not owner-occupied ❑Ownerpulling 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: ' / Date Contractor Name Registration No. OR Date Owner's Name I The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations d 600 Washington Street Boston,MA 02111 , www.m ass.gov/dia Workers"Compensation Insurance.Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Le 'by Name (Business/Organization/Individual):. avvd Address:_ J Gi✓.�- �-I 1�C��- C�%�e u��� Y �City/State/Zip: © i 3 Z Phone.#: �7 7J Z9 Are you an employer? Check the appropriate bop- Type of project(required):. 1.❑ I am a employer with 4. [ I am a general contractor and I employees (full and/or part-time). * have hired the s'ub-contractors 6. ❑New construction . 2. am a•sole proprietor or partner- listed on the-attached sheet. 7. [�Remodeling ship and have no employees These sub-contractors have g. Demolition workingfor me in an capacity, employees and have workers' Y P t3'• $. 9. 0 Building addition [No workers' comp.insurance comp. insurance. required.] 5. We are a corporation and its ME Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their 11.D 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 tbat 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. 1C6ntractors 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 providb their workers'comp.policy number. Iam an employer that isproviding workers'compensation insurance for my employees. Below is.the policy and job site information. II_ Insurance Company Name: V' 1 beA LC Policy#or Self-ins,Lic.#: F_�-o o o 2 o 3-7 Expiration Date: O Q Job Site Address: ! b �� �'1 '�E%� DV7l City/State/Zip: CP-11.1—/i"(!o Ile .1nf Z�3Z 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 certify under the pains•and penalties of perjury that the information provided above is true and correct: Sienature: , p Date: Zo- Phone #: Official use only. Do not write in this area,'to he 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 CIerk 4. Electrical Inspector 5.Plumbing Inspector 6. Other Contact Person: Phone#: BOISE- Double 1-3/4" x 9-1/2" VERSA-LAM® 2.0 3100 SP Floor BeamT130:1 BC CALCO 9.5 Design Report-US 1 span No cantilevers 0/12 slope Friday,August 24, 2007 15:20 Build 91 File Name: BC CALC Project GName: Slater Residence Description: 2nd floor girt over Kitchen/Dining rms ress: 16 Juniper Rd Specifier: Bill Campbell City, State,Zip: Centerville, Ma Designer: Customer: Richard Neal Company: Shepley Wood Products Code reports: ESR-1040 Misc: 10-00-00 BO,3-1/2" B1,3-1/2" LL 3900 Ibs LL 3900 Ibs DL 1647 Ibs DL 1647 Ibs Total Horizontal Product Length=10-00-00 Load Summary Live Dead Snow Wind Roof Live Tag Description Load Type Ref. Start End 100% 90% 115% 133% 125% Trib. 1 Standard Load Unf.Area(psf) Left 00-00-00 10-00-00 40 10 13-00-00 2 wall Unf. Lin. (plf) Left 00-00-00 10-00-00 0 60 n/a 3 Attic Unf.Area(psf) Left 00-00-00 10-00-00 20 10 13-00-00 Load Disclosure Controls Summary Value %Allowable Duration Case Span Location Completeness and accuracy of input must Pos. Moment 12625 ft-Ibs 9-0.5% 100% 1 1 - Internal be verified by anyone who would rely on End Shear 4345 Ibs 68.8% 100% 1 1 -Left output as evidence of suitability for al Load Defl. U277 (0.414") 86.7% 1 1 particular application.Output here based Load Defl. U394 (0.291") 91.5% 1 1 on building code-accepted design Max Defl. 0.414" 41.4% 1 1 properties and analysis methods. Installation of BOISE engineered wood Span/Depth 12.1 n/a 0 1 products must be in accordance with current Installation Guide and applicable %Allow %Allow building codes.To obtain Installation Guide Bearing Supports Dim.(L x W) Value Support Member Material or ask questions,please call BO Post 3-1/2"x 3-1/2" 5547 Ibs n/a 60.4% Unspecified (888)234-0056 before installation. B1 Post 3-1/2"x 3-1/2" 5547 Ibs n/a 60.4% Unspecified BC CALCO,BC FRAMERO,AJSTM, ALLJOISTO, BC RIM BOARD-, BCIO, Cautions BOISE GLULAMTM' SIMPLE FRAMING SYSTEM@,VERSA-LAMO,VERSA-RIM Column at Bearing BO analyzed for bearing only, column analysis has not been performed. PLUS®,VERSA-RIM@, Column at Bearing B1 analyzed for bearing only, column analysis has not been performed. VERSA-STRAND®,VERSA-STUDS are trademarks of Boise Wood Products, Notes L.L.C. Design meets Code minimum(U240)Total load deflection criteria. Design meets Code minimum(U360) Live load deflection criteria. Design meets arbitrary(1") Maximum load deflection criteria. Connection Diagram b d a c inimum=2" c= 5-1/2" inimum= 3" d= 12" Member has no side loads. Connectors are: 16d Common Nails Page 1 of 1 Sub Contractors J 16 Juniper Road, Centerville n Spencer Hallett plumbing Clint Kelsall electrical Jeffrey Morin painting 9 'r ;r i d £ a :T; #s a *r �' r1 DATE(M DA ACORDTM ,ERTIFAC�1E� FLABLLI �INSU£.RAIt� 8/14/007 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE GERMANI INSURANCE AGENCY HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 908 MAIN STREET. ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. OSTERVILLE;MA 02655 COMPANIES AFFORDING COVERAGE COMPANY SAFETY INS.CO.: - - :. A INSURED - �= COMPANY ' SPENCER'HALLETT PLUMBING AND HEATING g AIG MEMBER COMP.OF AMERICAN TNT. GROUP `PO-BOX 61 COMPANY COTUIT,MA 02635 C COMPANY Ml 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 CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED B Y 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. CO POLICY EFFECTIVE POLICY EXPIRATION LIMITS LTR TYPE OF INSURANCE POLICY-NUMBER DATE(MMTDDNY) DATE(MWDDTYY) GENERAL LIABILITY GENERAL AGGREGATE $ 2,000,000 A X COMMERCIAL GENERAL LIABILITY PRODUCTS-COMP/OP AGG $ BP 00000394 04/20/2007 04J20/2008 CLAIMS MADE OCCUR PERSONAL&ADV INJURY $ OWNER'S&CONTRACTOR'S PROT EACH OCCURRENCE $ 1,000,000 FIRE DAMAGE (Arty one fire) $ MED EXP (Anyone person) $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ ANY AUTO ALLOWNED;AUTOS BODILY INJURY $ SCHEDULED AUTOS = _ (Per person) HIRED AUTOS --.- BODILY INJURY $ NON-OWNED AUTOS (Per accident) PROPERTY DAMAGE $ GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $ ANY AUTO OTHER THAN AUTO ONLY: EACH ACCIDENT $ AGGREGATE $ EXCESS LIABILITY EACH OCCURRENCE $ UMBRELLA FORM AGGREGATE $ OTHER THAN UMBRELLA FORM $ WC STATU- OTH- _ _ W0RK�_SCOMPENSAMQN.AND 1 -. TORY IJMRS ER B EMPLOYERS'LIABILITY WC 176-70-88 02/22/2007 _02/22/2008 EL EACH ACCIDENT $ 100,000 THE PROPRIETOR/ INCL �l EL DISEASE-POLICY LIMIT �$ 500,000 1 I I _ _. PARTNERSIEXECUTIVE--_.__1._—_-1—__.___. ..... ____ _ OFFICERS ARE: U EXCL EL DISEASE-EA EMPLOYEE I$ 1 OO,000 OTHER DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/SPECIAL ITEMS g F ,„ SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL CHARD NEAL 110 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, RI RI PARK E. BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY CENTERVILLE,MA 02632 OF ANY KIND UPON THE COMPANY ITS AGENTS OR REPRESENTATIVES. AUTHOP@Ep REPRE;EN TATIV§`,"'A A 0.D25-S 1195 5 w ,� 6Nlm = � .. 4xACORD�CORPORATION19883 4 Client#:15640 # 2JMMO ACORDTM CERTIFICATE OF LIABILITY INSURANCE: DATE(M 7D�Yl PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Dowling&O'Neil Insurance ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Agency HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. 973 lyanough Rd., PO Box 1990 ; Hyannis,MA 02601 INSURERS AFFORDING COVERAGE NAIC# INSURED INSURERA Continental Casualty Insurance Co. J M Morin Incorporated y 55 Mountain Ash Road INSURER a: INSURER C: Marstons Mills,MA 02648 INSURER D: INSURER E: COVERAGES 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 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.AGGREGATE LIMITS SHOWN MAY.HAVE BEEN REDUCED BY PAID CLAIMS. LTR NSR TYPE OF INSURANCE POLICY NUMBER DATE(MMIDDI EFFECTIVE PDATE EXPIRATION LIMITS GENERAL LIABILITY EACH OCCURRENCE $ COMMERCIAL GENERAL.LIABILITY DAMAGE TO RENTED $ 771 CL.AIMS.MADE E1 OCCUR'._ _---_--- _ �.— _ _. _ �- D EXe.(Anysme person)-.— PERSONAL&ADV INJURY $ GENERAL AGGREGATE $ GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ POLICY J RECT r I LOC AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT ANY AUTO (Ea accident) $ ALL OWNED AUTOS 1 } BODILY INJURY $ SCHEDULED AUTOS - (Per person) HIRED AUTOS BODILY INJURY- NON-OWNED AUTOS (Per accident) i - • - PROPERTY DAMAGE - - (Per accident) GARAGE LIABILITY_ .. . - .. AUTO ONLY EA ACCIDENT $ .. .... . . ANY AUTO r OTHER THAN EA ACC $ AUTO ONLY: AGG $ EXCESS/UMBRELLA LIABILITY , I EACH OCCURRENCE $ OCCUR CLAIMS MADE AGGREGATE $ DEDUCTIBLE $ RETENTION $ $ A WORKERS COMPENSATION AND 6S59UB0684L22007 06/19/07 06/19/08 X WC STATu1. OTH- EMPLOYERS'LIABILITY ANY PROPRIETORIPARTNER/EXECUTNE E.L.EACH ACCIDENT FR $1 OO,000 OFFICERIMEMBER EXCLUDED? ._ --_. E.L.DISEASE EA EMPLOYEE $100,000 If yes,describe under - SPECIAL PROVISIONS below E.L.DISEASE-POLICY LIMIT $560,000 OTHER DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS **Workers Comp Information Massachusetts Premium Due Date Endorsement Form#WC200405 Massachusetts Construction Classification Premium Adjustment Endorsement Form#WC200403 t (See Attached Descriptions) CERTIFICATE HOLDER - CANCELLATION - t SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION Richard Neal DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL in -DAYS WRITTEN f " " 45 Parker Road - - NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO DO SO SHALL Centerville,MA 02632 IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE ACORD 25(2001108)1 of 3 #48770 JMH 0 ACORD CORPORATION 1988 The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations A q d 600 Washington Street Boston,MA 02111' www..mass.gov/dia ' Workers'Compensation Insurance Affidavit: Builders/Contractors/Electridans/Plumbers 'irlicant Information L / Please Print Le ibl Name(B ��++usiness/Organizationadividual): , l� Address: S_ . City/State/Zip: w Ac,ev c-�4 r!C CQ,�Y Phone.#: b �� � 6 ^ ��3 0 . Are you an employer?Check the appropriate bog: ;Type of project(required):, 4. ❑ I am a general contractor and I 1.❑ I am a employer with 6. New construction . loyees(full and/or part-time)..* listed on the • have hired the sub-contractors �� -attached sheet. 7. ❑Remodeling C'_J 1 am a 2; 'sole proprietor or partner- These sub-contractors have ship and have no employees 8. ❑Demolition 'w employees and have workers' 'working for me in any capacity. 9. ❑Building addition • comp. insurance.$' [No workers comp.insurance 10.❑Electrical repairs or additions required.] 5. ❑ We are a corporation and its 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,❑Roof repairs insurance.required.]t c. 152,'§1(4),and we have no 13.❑ Other employees. [No workers comp,insurance required.] *Any applicant that checks box#1 mustalso fill out the section below shc wing 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. . tContractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether ornot those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.polidy 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.#: Expiration Date: lob Site Address: 4 _ City/State/Zip: Attach a copy of the workers' comp5p. tion policy declara€ion page'(showing the policy number and expiration date). Failure.to secure coverage as re �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$250.00 a day against the violator. Be advised that a copy of this statement maybe forwarded to the Office of Investigations of the EIA for insurance covera a verification. I do hereby e tify and a pains and pe Ides of per that the information provided above is true and correct. Date: o?U .2oQ Y Si afore — Phone 70ffl-cial . Do not write in this area, to be completed by.city or town offciaG .Permit/License# ity(circle one): alth 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: •Phone#: i -R . CERTIFICATE OF LIABILITY INSURANCE DA?E.(MMtpDryyyl� ' PRODUCER 1 08-14-07 Edward A. Grezul Insurance Agency, Inc. ONLY ANDTHIS �CONFERTE ISS NO RIUED GHTS UPON OF THE��AC�ATE P.O. BOX 337 HOLDER. THIS CERTIRCATE DOES NOT AMENDS EXI NO OR l ar s t o ns Mi'l l s , MA 02648 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. — - ••---- •-- __ INSURERS AFFORDING COVERAGE_ _ NAICB Clintonn Kelsall ; INSURERA: Maryl And _gagually COR1 do ; INsuReRe• - -"- 16 4 8 Cedar Street NsuRERC_ West Barnstable, MA 02668 INsuRERo - uvsuRER E: - COVERAGES THE REQUIRE OF INSURANCE LISTED IELOW 11AVE BEEN ISSUED TID THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED.I'�OTWI TISTANDING ANY REQUIREMENT.TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT wrm RESPECT TO WHICH This CERTIFICATE MAYBE ISSUED OR MAY PERTAW,THE INSURANCE AFFORDED 9Y THE POLICIES DESCRIBED HEREIN M SUBJECT TO ALLTHE TERMS,,EXCIs CER I ICA CONDITION$OF SUCH POLICIES.AGGRE13ATE LIMITS S►+oWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. ANDulsR oD•._.—_ ._.�.__ ----• --r •• - poucy wucr -TYPE OF POUCY NUMBER E%�RATtOH aE_Nee+u uAeam LNWM COMMEACIALQENEPAppL LIABILITY EACH s 1s000,000 CLAIM9 MADE AOCCUR ISEy S ,• MEDExP(Allyone J S 10 000 A -- — S CP 015 6 2612 04-02-07 04-02-(S PErALnAwIIuuRT s ,OQO. •GENERAL AGGROATE' S 2,00 0,0 0 Q c.ENLAO6RE9ATfsLIMTAPPUE$PER PRODUCIg-COS ..AQ& - 000,000 POLICY PRD LOC r AUTCMOSILE LIABWTY ANY AUTO COMRINW Q )SINGLE LUAIT S ALL OW NED AUTOS +SCHEDULEOAUTUS 9OO&YINAIRY A rot pmm) HIRED AUTOS NON•OWNEOAUTOS BODILCMIN.UW S PPIO 7OARAGEUABRITV AUTO ONLY-EAACdOENT S _ ANYAUTO OTHERTHAN EAAQC $ AVTOONLY: AOG $ plcEss/urlaReLuuADILITr EACHOCCURMCE $ OCCUR f CLAIMS MADE AGGREGATE g . OI;pUCT18LE b RETENTIONWOR s 8 s FUPLOY 9CO IMILJI T10NAND yyC1 CIT1+ EMPLOYERS•LUUlIUTY ANYPROPF112TOR(PARTNEWEI(ECUTIVE E.L.EACHACgOENT y- 0FRCEwNFAIBER EXCLLm� It MS.describe unm EL WF-AW-GA&WILOYEE S PR ID SbWow OTHER ELOLSEABE-POUCYUMIT f OTHER DESCABRICN OF OPERATIONS/LOCATOW I VEHICLES 1EXCUIMURB ADDED 8Y ENDORMMENT/SPECIAL PROVISIONS CERTIFICATE HOLDER CANCELLATION Richard NSJI ConotX1]O CRI 8HDULO AM OF TM ABOVE OESCF BED POL011011 BE CANIM"IM WMArz THE exp RATION Park Street DATE THEREOF,THE!MANG 1N8UB@I WU U49EAVOR TO UAIL DAVIS VMI TEN Cff&:exvil lei fa 02632 NOTICE Yv THE CERTIFICATE HOURN"No to THE LEFT,BUT FAM M TO DO 90 SHALL ONOSE NO OBLICATION OR LUUNLay of AHY KIND UPON THE KRIM9;4 RS AOENTS OR REP ATnlEB R ATiVE ACORD 25(4001/00) 0 ACORDCORPORATION 198E f M ' 1 1 r ti Town of Barnstable OF�T�Y Regulatory Services Thomas F.Geiler,Director Building Division Tom Perry, Building.Commissioner 200 Main Street, Hyannis,MA 02601 www-town.b arnstable.maxs Office: 508-862-403 8 Fax: 5 08-790-62.3 0 Property Owner Must Complete and Sign.This Section If USing ABuilder as Owner of the subject property hereby authorize to act on my behalf, in all matters relative to work authorized bythis bi lding permit application for; . V (Addre s of job) 4 • { $ q d G7 S f...Owner Vate F i Print NaradP 1 Q:F0P MS:0WNERPEP MISS ION lard of Build ing Regulations y ;'Construction Su an Standards rct, pervisorLicense . License, CS 60471 Birthdate ,Ex iratio 5l11/1955 � ' p �„n Rosion 511 2009 Try 14592 i 1G j RICH I ARD W NEAL� 45 PARK AVE CENTERVILLE, MA 02632 m hissioner i l r p 1 V 1LE U/d/➢7/I120�I2LUCpL �i� j.UQC�G Board of Building Regulations and Standards License or registration valid for individul use only HOME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: Registration:N.125712 Board of Building Regulations and Standards Expiration 2/19/2008 One Ashburton Place Rm 1301 ti Type INDIVIDUAL Boston,Ma.02108 RICHARD W. NEAL CONSTRUCTION RICHARD NEAL .r: 45 PARK AVENUE NTERVILLE, MA 02632 Administrator PNot valid without signature 17 M ✓/LG �07I7�7ZIJ�Z�.UP�LUZ O�tu�/UbOGLCO �' � e BOARD OF BUILDING REGULATIONS License: CONSTRUCTION SUPERVISOR Number; CS,,i 060471 Bin 05I_T��W1955 ml cest q .7 Tr.no: 84.0 I Res s1 RICHARD�W-N 45 PARIC;AVE C,F�NTERVILLE, MA 282'' Comm. sionet 1 RESIDENTIAL BUILDING PERMIT FEES APPLICATION FEE New Buildings $100.00 Residential Addition $ 50.00 Alterations/Renovations $ 50.00 Change of Contractor/Builder $ 25.00 FEE VALUE WORKSHEET NEW LIVING SPACE Z (0 square feet x$96/sq.foot= Z 0 0 x .0041= 8 Z ' G 6 plus from below(if applicable) ALTERATIONS/RENOVATIONS OF EXISTING SPACE q / square feet x$64/sq.foot= t 3 6 7 Z x .0041= S q 3 I �D plus from below(if applicable) GARAGES(attached&detached) square feet x$32/sq.ft.= x.0041= ACCESSORY STRUCTURE>120 sq. ft. >120 sf-500 sf $35.00 >500 sf-750 sf 50.00 >750 sf- 1000 sf 75.00 >1000 sf- 1500 sf 100.00 >1500 sf-Same as new building permit: square feet x$96/sq.foot= x .0041= STAND ALONE PERMITS Open Porch x$30.00= (number) Deck x$30.00= (number) 1 Fireplace/Chimney x$25.00= (number) inground Swimming Pool $60.00 Above Ground Swimming Pool $25.00 Relocation/Moving $150.00 (plus above if applicable) Permit Fee Projcost Rev:063004 s L M CMR App=W&J I Table JS.2_lb(continued) Prescriptive Packages for One and Two-Family Residential Bn)Idings Heated with Fossil Fuels MAXIMUM MINIMUM Glazing Glazing Ceiling Wall Floor Basement - Slab Headng/Cooling Ama'(%) U-value' R-valuer R-value' R-value° Wall Perimeter Equipment Effiaascy� Package [R-Value, R-value' !_^' _57.01 to 6500 Heating Degree Days' -- - - L OQ --12%� �. 0.40 ,38` (D)„ 19 1 10 1 R 12% 0.52 30 19• l9~ 10 1 6 Normal CO 12% 0.50 38 1=3, 10 6 C-8-5 AF O T 15% 0.36 38 43 25 N/A N/A No=al U C5% 0.46 38 19 19 10 6 Normal V 15% 0.44 38 25 N/A N/A 85 W 15% 0.52 30 19 19 10 6 X 19% 032 38 d 25 N/A N/A Normal Y 190/0 0.42 38 19 25 N/A N/A Nofmzi 19% 0.42 38 10 6 L90AFUE AA i s% 0.50 30 19 1 19 10 6 90 AFUE I. ADDRESS OF PROPERTY: 2. SQUARE FOOTAGE OF ALL EXTERIOR WALLS: . 3. SQUARE:FOOTAGE OF ALL GLAZING: ( 7 Z 4. %GLAZING AREA(#3 DIVIDED BY#2): 5. SELECT PACKAGE(Q--AA-see chart above): NOTE: OTHER MORE INVOLVED METHODS OF DETERMIMNG ENERGY REQUIREMENTS ARE AVAILABLE. ASK US FOR THIS INFORMATION. BUILDING INSPECTOR APPROVAL: r ' YES: NO: q-forms-080303a 780 CMR Appendix J . 1 Footnotes to Table J8.2.1b: 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. 3 ft of decorative lass may be excluded from a building design with 300 ft of glazing area. For example, g Y 2 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 R49 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. i use . Do not include Wall R-values represent the suns.of the wall cavity insulation plus insulating sheathing (f d) exterior siding, structural sheathing, and interior drywall. For example,an R-19 requirement could be met EITHER by cavity R-19 cavi insulation OR R-13 cavity insulation plus R-6 insulating sheathing. Wall requirements apply to wood-frarne or mass(concrete,masonry,log)wall constructions,but do not apply to metal-fame 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.la NOTES. a)Glazing areas and U-values are maximm u 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 levels,the 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 IMPORTANT—UPGRADE REQUIRED SMOKE DETECTORS REVIEWED � STATE BUILDING CODE REQUIRES THE UPGRADING OF _ Q SMOKE DETECTORS FOR THE ENTIRE W. NG WHEN _ $�ONE OR MORE SLEEPING AREAS ARE ADDEDORCREATED. - jo .SUILDINGDEPT. DATE - ..MOTE; A SEl'AR.4iE PERMIT IS-REQUIRED FOR THE INSTALLATION OF SMOKE DETECTORS-THE ELECTRICAL - - ' PERMIT PQU NOT SATISFY THIS REQUIREMENT. _ FIRE DEPARTMENT - DATE - _ _ BOTH SIGNATURES ARE REQUIRED FOR PERMITTING . Z r CARBON MONOXIDE ALARMS - MUST BE INSTALLED PER - MASSACHUSETTS BUILDING CODE �. ILA tu Z. U1 0 iu. Fr ONT ELEVATION w �' - - SCALE: 1/4° . 1'_0' W A .359. 02o7 DRAWN 13T, K14 NEW CORnER - --- N o o _ LEFT ELEVATIONp l) SCALE 1/4' S m ( sNr_Ei' _ RIGHT ELEVATION DRADRA INN BYE Kw SCALE, 1/4° . 1'-0" - DATE -jag s STEP - It 71 b I " -1j L Z s •_ � i I L� I lkl a y 2 p N ____exisrirw eEnn ewe-__-_____ - I , G O O JOB L TIO% m SLATER F?E5IDENGE �/— J���®�� AFZGHITEGTURAL GRAPHICS 10.SEA�OARD LANS HYANNIS,MA 021 0a FLAN PHON[:508-715-r631 r y� 6 HAL l SHA NN 5 ROOM ---------------- _ 4-Q F . 2441 2446 — 2446 LLI LU 9 � 4'-p° 4'-0' 2,-, � w . - MIDER9�Dd WINDOV. ARE. . OpNTRAOTOR 9FIALL VERIFY ' ' ILCATION9 F'DIPI@N910N9 PRIOR . TO WINDOW ORDER t'IN97ALLATION IN Ir SHE SECOND FLOOR PLAN NENk-&-• SCALE. 1/4° - I'—O° _ Rpf10VED WALL C___________ 7 ,� N JOB - D(IsTIN6 WALL© DRAWN BYE r DATE f - - R�nS2 y e r Y I " C' 4sa� _ O al� JOB L ATIM f j SLATER.RESIDENCE GADzo0kS AF-r-HITBGTU�aL.GRAPIHIG5 �_ % m 10 SEABOARD LANE HYANNIS,MA 02001 j�'Elg G, ` SECTION PHONE:508-775-6(531 I 1 PEZIQER LA N F ` _ , � _.moo`.•vv��i e - {' j 3 1 U 4 1_oT 3' L G 7 6 VVr66YY/�' RiCHAR�J t JAMES u 1.` RICHARD G :N' i C; JAMES No.27871 ; U O'HEARN —� Go No. 694 Q 6n a '� ��`lS,i Ott• Ot�"/ FGIST 4•Ci 40 k CEP�IF'IED PLOT PLAN IN ✓�T/�JST/�j A'Oi1 ss. - ._ .ram 1 .1" CEf?T/F 3' T/�1r4?" THE . .�,.:_r-� ,� � � cJ ® E� , •� S140WAI -ON TJ41S P4 AN /S LOCATED _ /91 MAIN Is T t �RTE. 2�) om THE GROUND AS.JIVDICATE.D AND WEST DENNIS , NIAS6. CONFORMS TO I THE POAIII G,- Lei YV5 /V9AS5. r D�?TE: �/,. 3%% SCALE: Assessor's map and lot numEye I SEPTIC SYSTEM MUST BE .F, INSTALLED 0�)7 2 LLED -IN COMPLIANCE " Sj�vage;�Permit number ..........................................L................ WITH ARTICLE 11 STATE -d SANITARY CODE AND TOWN` TNET��y , :- _, TOWN OF BARNSITU �� L� Z EA" TADLE, i639 BUILD.I,HG INSPECTOR G MA f• APPLICATION FOR PERMIT TO .................. . .. . .. ............. - ......... ........... f� TYPE OF CONSTRUCTION ....... ,v...... ... ......... ................ ... ................ ...................................... ................................................19.... - c TO THE INSPECTOR OF BUILDINGS: The undersi ed hereby applies floor _a permit rdin to the following information- Loco..... ... ^� ....................: ProposedUse ......... . ........... . ................................................................................................................................................. ZoningDistrict .............:........Fire District ., ....................................................................... o Name of Owner ..... ..... ........ ......t'................Address " '`�'` ... ......... ........ .. Name of Builder. -..... ...�....... .. . .�......... .rl.Address . ..! .................. ........ -�"'� 'L.....� Name of Architect Y �, fdfwoe-lr�.... Address I! J . ......................... ..... Number of Rooms �� ... ... ....... . .......................... .................F undation Exlerior ..... ........ ....� ... ... . .......... . : ofin /4e�.� k. # ....... ... Floors „ Interior '......... .. g / '� _ ' g Heatin W • Y /,�.- Fireplace ..................................................................................Approximate Cost .................. .! +.••• .......... ...... Definitive Plan Approved by Planning Board _ 0/0_______________19 --- Area ....../.... 1. ~5: .. ® T i Diagram of Lot and Building with Dimensions Fee �.`. SUBJECT TO APPROVAL OF BOARD OF HEALTH o� I hereby agree to conform to all the Rules and Regulations a the of Barnstable regarding the above construction. Namel .,.... .. ... .!..1 ................. - . ~ � . . � . . ` Childs, David Location s . / . Centerville 7 CA 19 Date of Inspection PERMIT 4REFUSED ° ~ ' ' ` � ^ � � . ' � ^ . . . � - ' ' � . . ' ` ' ^ ' , - --' ' . ' 19 � � � ---'—^^^^~^^^^^''—^^^—'— ' � --------^---~^^—'~^'' Assessor's map and lot'number .......................................... Sewage Permit number ..........................�................................ OFTHET��ye TOWN OF BARNSTABLE Z 33AR39TAIILE, i "6 q BUILDING INSPECTOR om {t• : • ' it-/ /. .,1 ,fi t r-�i'i'7.11.r?�, l L -I t - APPLICATION FOR PERMIT TO ................................. ...,.......................................................................................... ... ...1 f -�►... i ..... TYPE OF CONSTRUCTION .................................................:.... ...................:......................................................... .................................................19........ TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: /;z r + Y / �./ x }.�1 fi.� 1 `1" .... /?.�'. ] . !l���} _ �.d ,r-�t r.� E l t•' _r Location .........:.. .............................� _ Proposed Use .........,.. ...... ..... ZoningDistrict / - .........................Fire District.. ............................................. .............................................................................. A141 __ Nameof Owner ................................."`....................................Address ........................................................::......................... i t� ,+ f Name of Builder 74 / .`. f'!�t •' �•!,: ... 6 .:-.Address f.'`?�..�.����`�� 'f e �'r���.�....:'t.:�.�`-?'��:�.......� r�J A r .. Name of Architect .......'. ... ...... ......... .. .......................... . Address Number of Rooms ' � Foundations f=•........... ....................................................................... f f �• r Exterior f �l. 1f 'si�t�ifl1 :.t ! .R 'Roofing L j ................ ....... o... r .... g .... ` Floors �t .i/lFrD{.! �.. Interior /�r' .�J .--d,�i-'>..'t ....A ....................... f:,. ............ .... T ........................... Heating ........... ir� 0g Ffr �? � ` ..................... ............................Plumbin ..... ... Fireplace `Z�` _".. ........................................Approximate Cost Definitive Plan Approved by Planning Board / _____________19 �f r .... .f..,.... / _ I_ Area ............... ....... Diagram of Lot and Building with Dimensions Fee qq � SUBJECT TO APPROVAL OF BOARD OF HEALTH .i S I hereby agree to conform to all the Rules and Regulations of`the Town of Barnstable regarding the above construction. f Name ....Lr.... ............................................... Childs, David A=210-120 19322 1 1/2 story N a j?e*............ Permit for .......i?.......................... sin�le family dtqelling ...................................... ................... n sr 0 S Juniper s Location ............................. ................... ..... Centervillt L .... ....... ........ .............................................................. ....... ........ Owner ............Davi.d...Chi.lds.......... . .......... .......... .. ....... ....... frame Type of Construction .......................................... ........................................... ....I............................... Plot ............................ Lot ................................ 2 2 Permit Granted ...........Jun.e... ........ .. ...............19 77 Date of Inspection .. ............................19 Date Completed ....... 19 \.............................. PERMITIEFUSED 19 ............................................................................... ........................................I...................................... ............................................................................... r ............................................................................... Approved ................................................ 19 ............................................................................... .................... .......................................................... < J 0 . w GAS• ��= ' . �3 L LC>T 63 L G 7- 6 4 i RICHAPD s V� JAA.SES N� f RICH.4RD_ G q c1 2 v J.A O'hiEA?�1 . I MES r No. 27871 Q :n U O to E.691� U /l `` 0-1G�gT�4 ���/. ��A.. Slsn7ikF�A� CERTIFIED PLOT" FLAN IN /MASS. .r CEP7%FY THAT THE J//J,=,, ;h! RI�!-�r�1�D cJ ®'!-s�E��dN, /.L.S., R a.;. SHOWIV ON THIS CLAN IS LOCATED 19/ MAIN ST. (PTE. 28) ON THE C'RO UND AS INDICATED AND WEST DENNI S , MA S S . C'ONFOR145 TO 79E .ZON/NG L A YVS DATE: SCALE:/ l '� JOB P+10, �'% CL/ENT DA7 F PEG. LAND SURVEYOR DP. a Y: ' SHEET OF "' aq " � �j _ i3 =1 s -, a� 1 0 �•�I`+ --'SOT a Z \4 cv 1 077- 63 Z-O T 6 l�ltk4i 0t! 7« RICHARD G` t LAMES I RICHARD. G O'HEARN I 1' J.AMES T O'HEARN d�� ''p•,. �� �J No. 694 O U GtSTt- -�0 AN'1 TkRA CERTIFIED PLOT LAA1 IN /WASS. Jr CERTIFY TYAT THE %—%' //:::�%� -/J'•^ RIC�fARD b/ ®'f-/�i9RIV9 R L..S., R. S. OWN ON 7I4IS PLA/V IS LOCATED /9/ MAIN ST. (RTE. 28) O'M THE GROUND AS INDICATED AND WEST DENIV I S , MASS . CONFORMS TO THE 210fV//VG LAWS ®F�r /�1i955. DATE: 11,5 /7 % SOLE: DATE 1--PEG. LAND SURVEYOR DR. S Y: SHEET 2 OF