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HomeMy WebLinkAbout0084 ROLLING HITCH ROAD it .,j , ,F' " � -.� � _ .,. .a �ti,w � .,y � .,.' ., i � ��.. .Z: __ .. .'. e� .. _ 4 .. _t ... P. - 't. .� ,. . . .' .. .. .: a, .. :A .. .. .. �� � - v ., .. �.. � �� � s ,. _ .. .� q C2 fIME SS PERM'�frown of Barnstable *Permit# Expires 4 n is frotri issue date Regulatory Services Fee p &UMSfABLE • 1 2012 1. � MASS. �$ UG — Thomas F. Geiler,Director 0 9• ArED MAC� BARNSTA►P Building Division TOWN OF om Perry,CBO, Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable'.ma.us Office: 508-862-4038 Fax: 508-790-6230 EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY �(( Not Valid without Red X-Press Imprint Map/parcel Number Property Address ?4� (rZp//)vt 9 A 9 e!!�(G Residential Value of Work Minimum fee of$35.00 for work under$6000.00 Owner's Name&Address ("�L 4 kb (40 S Contractor's Name Telephone Number S Q- 7 1; :F-0100 Home Improvement Contractor License#(if applicable) Construction Supervisor's License#(if applicable) ?/,3 l ❑Workman's Compensation Insurance Check one: I am a sole proprietor IEJ I am the Homeowner ❑ I have Worker's Compensation Insurance Insurance Company Name Workman's Comp. Policy# Copy of Insurance Compliance Certificate must accompany each permit. Permit Request(check box) ❑ Re-roof(stripping old shingles) All construction debris will betaken to ❑ Re-roof(not stripping. Going over existing layers of roof) �Re-side s �,�� #of doors O/Replacement Windows/doors/sliders. U-Value jam+ y (maximum .44)#of windows *Where required: issuance of this permit does not exempt compliance wV6 other town department regulations,i.e.Historic,Conservation,etc. f ***Note: Property Owner must sign Property Owner Letter of Permission. A copy of the Home Improvement Contractors License& Construction Supervisors License is A"rerired. SIGNATURE: j Q:\WHILES\FORMS\building permit forms\EXPRESS.doc Revised 070110 RAIRNSWrAB Town of Barnstable Regulatory Services Thomas F.Geiler,Director Building Division 1 Thomas Perry,CBO Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 . Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder,. J as Owner of the subject property hereby authorize t"f'Ou/1�`j- I )OdIO f/Gh/, to act on my behalf, in all matters relative to work authorized by this building permit application for: P / (Addiess of Job) Signat4e, of Owner ` ' Date - r . Print Name If Property Owner is applying for permit, please complete the Homeowners License Exemption Form on the . reverse side. QAWPHLESTORWbuilding permit forms\EXPRESS.doc Revised 051811 II DIME Town of Barnstable egulatory Services omas F.Geiler,Director 039. lEpy►��� ilding Division j Tom Per ,Building Commissioner 200 Main eet, Hyannis,MA 02601 www.t wn.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 HOMEOWNER ICENSE EXEMPTION Ple a Print DATE: JOB LOCATION: number street village "HOMEOWNER": \ name home phone# wor phone# CURRENT MAILING ADDRESS: city/town sta zip code The current exemption for"homeowners"was extended to include owner-6 cu ied dw lin s of six units or less and to allow homeowners to engage an individual for hire who does not possess a license, rovide that the owner acts as su eisor. . DEFINTI'ION OF HOMEO R Person(s)who owns a parcel of land on which he/she resides or intends to resi e,o which there is, or is intended to be,a one or two- family dwelling,attached or detached structures accessory to such use and/or f structures. A person wbo constructs more than one home in a two-year period shall not be considered a homeowner. Such"homeo er"shall submit to the Building Official on a form acceptable to the Building Official,that he/she shall be responsible for all suc 0 rk performed under the building permit. (Section 109.1.1) The undersigned"homeowner"assumes responsibility for compliance wit the Stat Building Code and other applicable codes, bylaws,rules'and regulations. The undersigned"homeowner"certifies that he/she understands the T of Barmnstabl Building Department minimum inspection procedures and requirements and that he/she will comply with said p ocedures and requ' ments. Signature of Homeowner Approval of Building Official Note: Three-family dwellings containing 35,000 bic feet or larger will be required to c ply with the State Building Code Section 127.0 Construction Control. HO OWNER'S EXEMPTION The Code states that: "Any homeowner per orming work for which a building permit is equired shall be exempt from the provisions of this section(Section 109.1.1 icensing of construction Supervisors); provi d that if the homeowner engages a person(s)for hire to do such work,that uch Homeowner shall act as-supervisor." Many homeowners who use this exemp on are unaware that they are assuming the responsibi 'ties of a supervisor (see Appendix Q,Rules&Regulations for Lie sing Construction Supervisors,Section 2.15) This lack o awareness often results in serious problems,particularly whe the homeowner hires unlicensed persons. In this case,our and cannot proceed against the unlicensed person as it ould with a licensed Supervisor. The homeowner acting as Su rvisor is ultimately responsible. To ensure that the homeowner ' fully aware of his/her responsibilities,many communities require,as art of the permit application,that the homeown certify that he/she understands the responsibilities of a Supervisor. On a last page of this issue is a form currently use y several towns. You may care t amend and adopt such a form/certification or use in your community. Q:\WPFILES\FORMS\building permit/rns\EXFRESS.doc Revised 051811 .y. TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map ` Parcel _ ,,..,.Application Health Division °' -'Date Issued l Conservation Division Application Fee j Planning Dept. R' Permit Fee Date Definitive Plan Approved by Planning Board _ I 0 4 l Historic - OKH — Preservation/ Hyannis o /Project Street Address � � /!�—,/�T.� �d s _1�Zp Village f'G��f��2✓`i -e Owne I 2/li, [ Address Af 0oA/w e , &�rc4 .de/ L"* r'a /le Telephone ? 7.5�"fir/ 7- Permit Request �/o �e�Yl! 20 9,! /3� ,q is ,I&_$G��224W ' i leek 1e J1 &et4 121 ,2!�2ff—(f2G d",Ae Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation LXDonstruction Type Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting`d©curd ntation. Dwelling Type: Single Family 0-' Two Family ❑ Multi-Family (# units) Age of Existing Structure Historic House: ❑Yes ❑ No On Old King's Highway:' b Yes ❑ No Basement Type: ❑ Full ❑ Crawl ❑Walkout ❑ Other y 'LAI Basement Finished Area(sq.ft.) Basement Unfinished Area (sq.ft)4 S02 s iv in, Number of Baths: Full: existing new Half: existing new Number of Bedrooms: existing _new Total Room Count (not including baths): existing ._ new First Floor Room Count Heat Type and Fuel: ❑ Gas ❑ Oil ❑ Electric ❑ Other Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑ No Detached garage: ❑ existing ❑ new size—Pool: ❑ existing ❑ new size _ Barn: ❑existing ❑ new size_ Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes E AuNo If yes, site plan review # Current Use Proposed Use APPLICANT INFORMATION - -- - - (BUILDER OR HOMEOWNER) Name e, Telephone Number 65 7- / �- Address �'�` y�9�2No��� ,/2� License #1� Home Improvement Contractor# Worker's Compensation # �lDDur.�u�94! ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE t .t ' FOR OFFICIAL USE ONLY APPLICATION# - DATE ISSUED { MAP./PARCEL N0._ r ADDRESS s VILLAGE OWNER !f DATE OF INSPECTION: ` FOUNDATION FRAME 1INSULATION f • FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH _ r FINAL ' -FINAL BUILDINGa_ DATE CLOSED OUT ASSOCIATION PLAN NO. f ----------------- s OWNER AUTHORIZATION FORM (Owner's Name) owner of the property located at (Property ddress) (Property Adress) . hereby authorize' C40e Cc�,Q- (Sub ntractor) an authorized subcontractor for RISE Engineering;to act on my behalf to obtain a building permit and to perform work on my property. ' Owner's Signature Date . . 4+{ CAPE COD TOWN OF "''STABLE. INSULATION 2013sa I';tj [j7 �IRN� FIBER GLASS SEAMLESS SPEAV FOAM SUSPENDED EAIU OUTTEES INSULATION CEILINGS --•�ua�� - 1-800-696-6611 D7.; y Town of Barnstable Regulatory Services Building Division 200 Main St Hyannis, MA 02601 Date: z 3 i/ Dear Building Inspector- Please accept this Affidavit as documentation that Cape Cod Insulation, Inc. performed & completed the insulation and weatherization work at the property listed below. Cape Cod Insulation did this in accordance to the specifications listed on the building permit application. All work has been inspected by a certified Building Performance Institute (BPI) inspector. All work preformed meets or exceeds Federal & State Requirements. Property Owner Property Address Village Insulation Installed: Fiberglass Cellulose R-Value .-Restricted Unrestricted Ceilings Slopes ( ) ( ) ( ) ( ) ( ) Floors ( ) ( ) ( ) ( ) ( ) Walls ( ) ( ) ( ) ( ) ( ) Fiver Of y Gvor k hPr r or•*red Sincerely ` VHry ssration, sident Insc. II A Assessor's Office(lst floor) Map Parcel 6 Permit# (�Yie 0 Conservation Office(4th floor)(8:30-9:30/1:00- 2:00) Date Issued Board of Health(3rd floor)(8:15 -9:30/1:00-4:45) Engineering Dept:(3rd floor) House# i►E►ok�,� Planning Dept.(1st or/School Admin. Bldg.) ti,. Definitive Pla Approve y Planning Board 19 ® `� TOWN OF,BARNSTABLE41 Building Permit Application Project Stree Address Village QAA -:Owner �c��. I � IS��v��c, cS�� ��Vc.� Address 4 3�% i����,� ��� cc _ / u, ;Telephone 7 7 ��11 ��11 Permit Request 1(1 e�,,� �Jc�vc r�Je;y- ex,SJ�C �ec Gi ccicrJ o'e-L ) to" ;First Floor �rc�.1 alto sti �cc.�c j Cr�S�i� square feet = r7&'�. Second Floor square feet Estimated Project Cost $ )S 1A2 p Zoning District Flood Plain Water Protection Lot Size Grandfathered ? Zoning Board of Appeals Authorization Recorded Current Use is f DLA11_4,h c.A Proposed Use Construction Type L.-)0 /Q �- Commercial Residential v Dwelling Type: Single—Family Two Family Multi-Family Age of Existing Structure i a-Osg V-XI Basement Type: Finished Historic House ,U A Unfinished r/ Old King's Highway nJ-/4- Number of Baths _ No.of Bedrooms Total Room Count(not including baths) :::2 First Floor Heat Type and Fuel Central Air Fireplaces Garage: Detached Other Detached Structures: Pool Attached Barn None Sheds Other Builder Information Name r •1-Cam°J c�, Telephone Number -77 9-X20 Address License Home Improvement Contractor# J0(2 Worker's Compensation# n-2 b 5(X2 0 t/- /Y NEW CONSTRUCTION.OR ADDITIONS REQUIRE A SITE PLAN(AS BUILT).SHOWING EXISTING,AS WELLAS PROPOSED STRUCTURES ON THE LOT. ALL CONSTRUCTIiO`N DEBRIS RESU(L�TING FROM THIS PROJECT WILL BE TAKEN TO �Gv v�,5�`�•� �"Gw9�� �j SIGNATURE C> — `?i/�y..� DATE /V Lw 15 S BUILDING PERMIT DENIED FOR THE FOLLOWING REASON(S) c ~ FOR OFFICIAL USE,ONLY PERMIT NO. ` { DATE ISSUED MAP/PARCEL NO. ADDRESS VILLAGE r r OWNER DATE OF INSPECTION: FOUNDATION FRAME. �j O •'�( _y� �. i { — } INSULATION FIREPLACE, ' ELECTRICAL: TUGH FINAL t PLUMBING: • ROUGH FINAL — GAS: s ROUGH FINAL FINAL BUILDING DATE CLOSED OUT ! A ASSOCIATION PLAN NO. ' t F g { r 42", Tvp of COAIC. I �ot�ND Z. 6o.3B I 134 8 Z �• - I V.N Asr aZ3�IZVE / v,r BOX a' Lo r Lor*49'9le /7 sue° v • t�'� Z3 zo z s�r7 I O 7a"K- 23' e�� W 3 Lo �/L 7 IM O 4S� � Amy. raP of P"s �1• t � o i 1 P A� ' t o tv I � 0 a AI t�l iai. a• LOA V NoT�- EZc°Y�171aNS BASS oN s/T� PLq"� .q.SSu.s DA�y. LOCATION SCALE . /.._.30�. . . . DATE . . . . . . . . . . '. . . PLAN REFERENCE Al ; r o•v KZ`--`-Y I rn s. \gNv'STEPQ I CERTIFY THAT THE SHOWN ON THIS PLAN IS LOCATED ON THE GROUND AS SHOWN HEREON AND THAT IT CONFORMS TO THE SETBACK REQUIREMENTS OF THE TOWN OF WHEN CONSTRUCTED. DATE . . . . . . C<�uLtS F. S7~- Z y - p&7-1776^/4-X—> REGISTERED LAND SURVEYOR a r a rI{ r: ( a SON 1, �'tb�.,b�f�. CY1A SAO top IT Olin -- �---=-; • _ xi� �� - x Y - . '. The Town of Barnstable Department of Health Safety and Environmental Services Building Division Ma 367 Main Street,Iiyaanis MA 02601 Ralph Crosses Office: 509-790.6n7 Building Comm Fax: 508 775-3344 For office use only Permit no. Date__--. AFFIDAVIT HOME IMPROVEMENT CONTRACTOR LAW SUPPLEMENT TO PERwr APPLICATION MGL c. 142A requires that the"reconstruction,alterations;renovation,repaid mod on.boa' iznprwemetut,.remcm-4 demolition. or construction of an addition to any p occupied OW` vibichwe adjacent building containing at least one but not more than four dwdliag twits or to to such residence or building be done by mgmered conmctors.with certain c=paons+ along with other Type of Woric:�o�rr� cgta, - ��. �'` OK.�`Est.Cost t - �o Address of Work: t2 Ow•ner.Name: Date of Permit Application: I hereb<certify that: Registration is not required for the following rrason(s): Work occluded by law Job under SI,000 Building not owner-occuPied Owns'pulling own permit Notice is hereby given that: OWNERS pULI,ING THEIR OWN PERMIT OR DEALING S � CMffRACTORS WORK DO NOT HAVE TO THE FOR APPLICABLE HOME IMPROVEMENT ARBITRATION PROGRAM OR GUARANTY FUND UNDO Md c 142A SIGNED UNDER PENALTIES OF PERJURY I hereby apply for a permit as the agent of the owner. /00718 Contractor tsarne Registration No. Date OR ' Assessor's office(1st Floor), Assessor's map and tot number SEPTIC SYSTEM MUST B TMc Conservation INSTALLED IN COMPLIA `'• Hoard of Health(3rd floor): WITH TITLE 5 t 31sa17T►DL Sewage Permit number ENVIRONMENTAL CODE e4m p `%e IL Engineering Department(3rd floor): � TOWN REGULATION �0 House number c + Definitive Plan Approved by Planning Board 19 APPLICATIONS PROCESSED 8:30-9:30 A.M.and 1:00-2:00 P.M only TOWN OF BARNSTABLE BUILDING DIVISION APPLICATION FOR PERMIT TO Am TYPE OF CONSTRUCTION _ /-�/� �C� ,Q�f /�SP/•IAtT 19 TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location a4 �Q«s tiA rr * Qdpaa t�U j�RVe c t C" P-;epe se n n C L ' Zoning District Fire District C/evict t" *•'�SPs�e�.�ct t� Name of Owner;h be A-I-j Address A 4 .em Name of Builder Address---- SA4-sr*4L*- Name of Architect ��� Address Number of Rooms Foundation G�Cy?d7'L Exterior Roofing 143~c7— Floors R Interior Heatingr a`� C Plumbing Fireplace Approximate Cost-%���j Z ��. Z��► of Area �8 A.,1#CA0'L. ` — Diagram of Lot and Buil with Dimensions "�'¢ND r; rt Fee k OCCUPANCY PERMITS RQUIRED FOR DWELLINGS 2 J� I hereby agree to conform to all the Rules and Regulations of the Town of Barnstatfle regarding the above construction. G-Z 7 � Name Home Imrpovement Contractor Registration# A1 a. Construction Supervisor's License# �'� -a SULLI•_7AN', PAUL F. ADD No Permit For SKYLIGHT Single -family dwelling ' -84 Rol-ling Hitch Rd. - Location , �'enterville �, Owper Paul F. Sullivan ,? + .'Types of Construction + t r ,Plot{ Lot + Permit.Granted September 13' 9 94 ` • A _Date of Inspection 19 Date Completed l— 19�✓` 10 7 ' 10 V TOWN OF BAR14STABLE BUILDING DEPARTMENT HOMEOWNER LICENSE EXEMPTION Please print. DATE JOB LOCATION R!I� TeX yitt d Number �~ Street Address Section 'Of Twno "HOMEOWNER" �l� c /- 77$=,�'�' Name Home Phone Work Phone PRESENT• MAILING ADDRESS City/Town State Zip Code The current exemption for "homeowners" was extended to include,-owner- occupied dwellings of six units or less and to allow such homeowners to engage an individual for hire who does not possess a license, provided that the owner acts as supervisor. DEFINITION OF. HOMEOWNER: Person(s) who owns a "parcel of land on which he/she resides or intends to - reside, on which there is, or is intended to be, a one to six family dwelling, attached or detached structures accessory to such use and/or farm structures. A person who constructs more than one home in a two-year period shall not be considered a homeowner. Such "homeowner" shall submit to the Building Official on a form acceptable to the Building Official, that she shall be responsible for all such work performed under the building permit. (Section 109.1.1) The undersigned "homeowner" assumes responsibility for compliance with the State Buiidina Code and other applicable codes, by-laws, rules and regulations. fib ��`SvlsPsz— 6��Z�r7Y.�•v • oa,ty The undersigned "homeowner" certifies that he/she understands the Town of Barnstable Building Department minimum inspection procedures and requirements HOMEOhT14ER'S SIGi7ATUREpvn> i ,4&_ �6 APPROVAL OF BUILDING OFFICIAL Note: Three family dwellings 35, 000 cubic feet, or larger, will be required to comply with State Building Code Section 127.0, Construction Control. ►cius r F OME OTTNER'S EXEMPTION The code states that: " ni Any Hoe Owner permit i required shall Perfor in w rk (Sect required be exempt from the 9 for which a building Home Licensing of Construe Pr°visi ns of this section Ow a engages a persons) for hire on Supery sors) ; provided that Owner s all t as supervisor. „ o do such if ork, that such Home Many Ho a Owners wh -"% y V, - ~;__.",— the �"• res onsibilities of. this exe tion are unaware that the are for Lic using Constructionsupe sor (see Appendix Y are assuming awarene sR;often results in s rvisor`s' • .<Rules and Re Secfi'on 2.15j : This lack oflations -Owner h res unlicensed pers ns,°us problems, part' arl a94ainst the unlicensed. a -.� In this'', `our Bo Y when the Home Home - P,� on as 1 rd cannot proceed r acting as sup isor is WOuTd with licen ed supervisor. timately respon ible. The To ensur that the ,Ho l; many co unities-re�' O,a� Er is;full" q re, as ` art ofhaware 'of his/ er responsibilities, Owner ce tify that a/she understands th Permit a ' On the -la t PP1 • _ation; that the:... Home , . 4 - Page o this issue is a form crrrentlibil 'ties of a su erv' You may ca e to end and adopt such a form P ns. community. Y us d by several towns.certifica ion for use in your S, d a ez J 'A sessor's map and lot number S J l3 ..................a-e Pl/� �DL- "2r���g3 �QyoFTHElO�o ; T r Sewage Permit number ........................ w SEPTIC.SYSTEM IV UST House number INSTALLED IN COMPI_M 'A MNAR3AM L G 63 ITH TITLE 5 '°�cm a�0 TOWN OF BUILDING INSPECTOR } �- .�� APPLICATION FOR PERMIT TO ......./' ............................ ................ ........... .................................... TYPE OF CONSTRUCTION .................... � ................................................................... F .. ... ' f TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location .......... Q. .. . ..7. ................. .....9. y.................................�:.Ii` ...���+^ .... .............. Proposed Use ..... .... .- M ............ ...... .... .. ........ ..... .......................... ! Zoning District ........... ..'..........................................::.....Fire District ......... Nameof Owner ...L.Y........��. .......................................Address .................................. .............................................. Name of Builder. ....1.�.. ....... .......Address Z r... �� ....... 4 '�""............................ v .. .. ' Name of Architect ........................ Address .................................................... ' ........................... Numberof Rooms ........ ......................................................Foundation ........................... .................................... f Exterior .............................................. .............................Roofing .......... ...7. ............ ... . .......................... . Floors ,�J`JrrC,� l".11 lv �.° .., ....... .: ............... .Interior p ' Heating ..................�- r •..�� '^c'^',�t ,`' .Plumbing ............`Z .. .............:..... d. Fireplace .............................:.Approximate Cost ®D f. D 00 ................ Definitive Plan-A roved by Planning. Board ---------------_—------------19______. Area jj 8 �bLS Diagram of Lot and Building with Dimensions Fee ........... ............. SUBJECT TO APPROVAL OF BOARD OF HEALTH - - - �r 30 . /3 { 10 27 rg OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS i I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable re arding the above construction. No ....................... .... .... ............... H. FREDERIKS �14.... Permit for .................................... (po 1�,- Story .....Single..Fandly...Dwelling................... .. ........ .... ............. ........ . .. Location ....tot 17 &..18A 84 Rolli Hitch Rd. . .................. .............. .......... . ....... 11i .H�L............ ...................C:ent.ervi.11e................ .... ............... 41 H. Frederiks Owner ............................................. ................... Type of Construction ...............Frame............................ I. . ................................................................................ Plot .............................. Lot. .......... .................... 85 Permit Granted ............................February 22,............19 Date of Inspection .....................................19 Dates Completed ........19 7-- ~ ._y'_ "`7'kF..., h`�P�.°'Y:•�.sc, �Ys"ri�%.sYt� n.�. ,.� Pr: TOWN OF. BARNSTABLE t s y 1544 Permit No - 2 - --- Building..Insp'ec' for ' aiasn�m ham. Cas �o MArs A7 OCCUPANCY PERMIT "Bond --- �--'- H. Fred ksIssued to'. �L!L- Address ' lots 17 &x,18A 84:Rsal:lingg Ri. 'i,Poad-;':.Ceiitezv le Wiring Inspector s Inspection date �.� Plumbing Inspector. s)// fi ~ <Inspection:date - i.! ./_// i.. e 1 s Gas.Inspector C1 Inspection date. ;n iwa i%Engineering Department ��•- �/�/ r fr� ref .Ins ection date _ t1' I�l �: Board of Health Inspection date �/_ j G;-n' THIS PERMIT WILL NOT-BE VALID, AND, THE BUILDING SHALL NOT BE-:OCCUPIED' UNTIL. SIGNED BY'-THE •'BUILDING. INSPECTOR .UPON 'SATISFAOTORYi-COMPLIANCE _WITH. TOWN REQUIREMENTS AND:IN ACCORDANCE ,WITH SECTION 1194 OF THE MASSACHUSETTS;STATE BUILDING CODE: ; L V ..................................................Buildink..Inspector. I r I 1 1 1 Z I ZT 0/7 Z 3 Zo Z �- Lnr i8 e Q t t �oLL�ti G CERTIFIED PLOT PLAN LOCATION .C�``'�! •�1//GL�� /�l!9SS- SCALE . ..... .... DATE PLAN REFERENCE BE`7wG LoT '��7 4WD H0gGF of Lo T wl-0 Syo ww A oN CD k, E. KELLEY EL° 2�1C0 I CERTIFY THAT THE . SST/N�'•./�or!ND/aTjp� iSTEg *�' SHOWN ON THIS PLAN IS LOCATED ON THE GROUND L u.", +b AS SHOWN HEREON AND THAT IT CONFORMS TO THE �s SETBACK REQUIREMENTS OF THE TOWN OF 8i�'i /!��T•?9�L WHEN CONSTRUCTED. DATE REGISTERED LAND SURVE R