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HomeMy WebLinkAbout0091 WATERSIDE DRIVE q/ Gva��r�--s i cl��r .. ._ 0 i A . � , 6 - Town of Barnstable *Permit#2A } r ►res 6 months from issue date " �'````� Regulatory Services F f Fee Bnaxsri ALE, pjE��.��JL l 6 .2013 Thomas F.Geiler,Director' Building Division TOWN OF Tom Perry,CBO, Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.bamstable.ma.us Office: 508-862-403 8 Fax: 508-790-6230 EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY Not Valid without Red X-Press Imprint Map/parcel Number 11 Property Address /� l�+�t� , G/�yt►.r2 t �1111e M4x'-2, esidential Value of Work$ ` c �„ ° Minimum fee of$35.00 for work under$6000.00 Owner's Name&Address ^tr f,,�e.,c Contractor's Name O Telephone Number r. Home Improvement Contractor License#(if applicable) Email: Construction Supervisor's License#(if applicable) QTU 2W-'orkman's Compensation Insurance Check one: ❑ I am a sole proprietor ❑ I aip the Homeowner [; I' ave Worker's Compensation Insurance Insurance Company Name in, CGSac.a r. - Workman's Comp.Policy Copy of Insurance Compliance Certificate must accompany each permit. Permit Request(check box) ❑ Re-roof(hurricane nailed)(stripping old shingles) All construction debris will be taken to ❑Re-roof(hurricane nailed)(not stripping. Going over existing layers of roof) � e-side ❑ Replacement Windows/doors/sliders. U-Value (maximum.35)#of windows #of doors: ❑ Smoke/Carbon Monoxide detectors 4 floor plans marked with red S and inspections required. Separate Electrical&Fire Permits required. *Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. ***Note: Property Owner must sign Property Owner Letter of Permission. of the Home Impr vement Contractors License&Construction Supervisors License is require . SIGNATURE: i. Q:\WPFILES\FORMS\building permit forms\EXPRESS.doc Revised 061313 Office of Consumer Affairs &Business Regulation-Mass.Gov Page 1 of 1 The Official Website of the Office of Consumer Affairs&Business Regulation(OCABR) Consumer Affairs and Business Regulation Home Consumer Home Improvement Contracting HIC Registration Complaints Registration # 145954 Home Improvement Contractor Registrant DOYLE + THOMAS CONST INC Registration Home Page Name TROY THOMAS Address P.O. BOX 168 City, State Zip CENTERVILLE, MA 02632 Expiration Date 03/15/2015 Complaints Details No complaints found for this registrant. You can also view arbitration and Guaranty Fund history. Back To Search http://services.oca.state.ma.us/hic/licdetails.aspx?txtSearchLN=46578 7/16/2013 J 508-328-1635 SPECIALIZING IN ALL FORMS OF ROOFING & SIDING doyleandthomasconstruction.com P.O. BOX 168 SBa CENTERVILLE, MA 02632 Fully Licensed & Insured ' Construction Supervisor Lic# 99913 Doyle and Thomas Inc. Proposes to perform the following work: Location of proposed work: I Mr. & Mrs. Daigneault j 91 Waterside Drive Centerville, MA 02632 Date on which construction should begin: July 2013 I The homeowner hereby acknowledges and agrees that the scheduling dates are approximate and that such delays that cannot be avoided by the contractor shall not be considered as a violation of } this contract. The contractor agrees that when such delays become known to the contractor,the contractor will advise the homeowner as soon as possible. The homeowner hereby acknowledges that in certain remodeling work,the demolition process i may reveal defects in the existing structure which must be repaired, creating additional work which may need to be carried out in order to complete the work described in this contract. In such case the homeowner agrees that the duration of the work and the schedule date of completion may differ, and that such variation is not to be considered a violation of this contract. i The total cost for labor and materials under this contract: $3,936.10 Above proposal includes the strip&install of red cedar primed clapboards on south facing wall only as discussed. We will also be removing hurricane shutter, replacing rotted wood&re-installing shutter I i _ I i Thank Ynit Fnr Givinn U,; ThP 0nnnrtunity To HPIn You Imnrove Your Home ® DATE(MMJDD/YYYY) CORo CERTIFICATE OF LIABILITY INSURANCE 06/03/2013 11..�. 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 NAME:CT Debbie Mark Sylvia Insurance Agency,LLC PHONE FAx 404 Main Street EMANo E:t:(508)957-2125 Arc No:(508)957 2781 ADD SS:mark marks Iviainsurance.com Centerville,MA 02632 INSURER(S)AFFORDING COVERAGE __ _ NAIC t_ INSURERA:Farm Family Casualty Insurance __ _ INSURED INSURERS: -- D&T Construction,Inc. INSURER C: PO Box 168 Centerville,MA 02632-0168 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 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.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR I IADDL SUBR POLICY EFF POLICY EXP LIMITS LTR TYPE OF INSURANCE I INSR WVD POLICY NUMBER I MWDDlYYYY MMIDDIYYYY A GENERAL LIABILITY 2001XO485 7/2112012 7/21/2013 EAkCH OCCURRENCE i€ 1,000,000 DAJOAGE TO REN ED X COMMERC:IAL GENERAL LIABILITY I PREMISES(Ea occurrence) 50,000 CLAIMS-I`/iFDE ,�OCCUR tdEG E>cP!Any one pE6ofQ I ti. 5,000 PERSONAL&ADV IPJJGRY I Y Included _ I ! ! GENERAL AGGREGATE 2,000,000 g GEPPL A.GGREGHTE LIMIT APPLIES PER PRODUCTS-COMPiOP AGG j Y 2,000,000 PRO- LOC ! Ea accident) I X POLICY JECT AUTOMOBILE LIABILITY COMBINE SINGLE LIMIT { I BODILY uiuR'i(Per person) Atav AUl'U q ALL UY4NED SCHEDULED j BODILY INJURY(F'er awdent) i A1JT05 AUTOS I PROPERTY DAMAGE NON-OWNED i UTOS F'aracadant) HIREDAUTOS A i ,) UMBRELLA LIAR I OCCUR I EACH OCCURRENCE ff I AGGREGATE EXCESS LIAB T CLAIMS-10ADE I DEC) RETENTION 3 _ p WORKERS COMPENSATION 2001W7501 4/2620t3 7/25/2013 ��R.'LIP11T5 X 'E AND EMPLOYERS'LIABILITY Y/N 17000,000 AN'r PROPRiETORiPARTNER/EXECUTIVE E.L EACH ACCIDENT $ OFFICERIMENIBER EXCLUDED" Y� NIA 1,000,000 (Mandatory in NH) E.L.DISEASE-E.AEMPLO''EEI t Ifya5.0 w1beunder E.L.DISEASE-POLi,ZYLIMIT i 1,000,000 DESCRIPTION OF OPERATIONS celoo i i DESCRIPTION OF OPERATIONS J LOCATIONS I VEHICLES (Attach ACORD 101,Additional Remarks Schedule,if more space is required) Carpentry CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE .WILL BE DELIVERED IN D&T Construction Inc ACCORDANCE WITH THE POLICY PROVISIONS. PO Box 168 Centerville,MA 02632 ` AUTHORIZED REPRESENTATIVE i I: � ©1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25(2010105) The ACORD name and logo are registered marks of ACORD In the event that while stripping the siding we find rot that needs to be replaced,the homeowner then has to agree and authorize any replacement or restoration. Then in addition to the above contract price,the homeowner agrees to compensate the contractor for any repairs or restoration at the hourly rate of$45.00 for a carpenter and$30.00 for a carpenters laborer, plus the cost of materials. -Siding to be stripped and cleaned of all old siding&debris -Home to be papered with Typar house wrap -red cedar primed clapboard to be installed -5 Yard dump trailer will be needed on site; and will be removed at completion of the job -Contractor will be responsible for all building permits needed at the-property NOTICE REQUIRED BY LAW With the agreement of the contract$500.00 of estimate is due. Further payments under this contract are as follows: 1/2 of the estimate due at the start; and remainder due at completion of the job. Balance of all materials and labor shall be payable in full upon completion of work described in this contract. Payment as agreed upon shall be made when due. Any payments which are delayed shall be subject to a finance charge of 1.5% per month. The contractor warranties the work completed under this contract for a period of one year from the date of completion. , During the stated warranty period the contractor shall be responsible for the service of the repair or adjustment, but the contractor shall not be responsible for the normal maintenance, repair due to abuse, misuse,and or normal wear and tear,which shall be the responsibility of the homeowner. All warranties for the materials supplied by the contractor shall be passed directly to the homeowner. The homeowner may be required to register or mail in such warranty card or evidence of ownership in order to activate such warranties. Homeowner failure shall not create any responsibility for the contractor under the warranty provisions;the choice of repair of replacement shall be at the discretion of the contractor. The homeowner acknowledges that the form, content,and notices contained in this contract are intended to comply with the applicable portions of the Mass. General Law Chapter 142A, and regulations promulgated there under. In the event of any instance of non-compliance,only such portion shall be invalid and the remainder of this contract shall be in full force effect. In addition,any such portion not in compliance shall be read and interpreted so as to have its intended meaning to the maximum extent allowed under such law and regulation. Signed as a sealed instrument on this date: Date: Homeowner Contractor i� r,° i�SSdLtluseLis - t]eJaftrnent o, "ubli �afety 1 YOafd 3?SuiCll(t 4��_yulat oas and Stan�ards Construction Supen isur Spcciult.N License: CSSL-099913 TROY A THOMAS r COMMONWEALTH OF MASSACI 499 NOTTIN.GHAM:DRNE:. Office of Consumer Affairs and Business CENTERVIIFLE MA.02632 Home Improvement Contractor Re-istrati( 10 Park Plaza,Suite 5170 Boston,MA 02116 Q : XrJl�ailOn a Commissioner' - APPLICATION FOR RENEWAL OF RE( 04/13/2014 HOME IMPROVEMENT CONTRACTOR OR SUn,,vi. MGL Chapter 142A,201 CMR 18.00 ONLY CERTIFIED CHECKS OR MONEY ORDERS CAN BE ACCEPTED. REQUIRED RENEWAL FEE: ANY OTHER FORM .OF PAYMENT. INCLUDING BUT NOT LIMITED TO $100 PERSONAL OR BUSINESS CHECKS, WILL BE RETURNED AS INELIGIBLE. 1. Name of Applicant as listed on Current Registration: 2. Registration Number: 3. D/B/A used by Applicant(if different from current registration): (If filing as a new DB/A, you must provide a copy.of the Business Certificate filed with the City or Town Clerk.) 4. Address/Telephone Number of Applicant(if differenf•from current registration): Telephone#: ^, j�'Gj� 5. No. of Employees (if different from current registration): ,� 6. If Applicant is a Partnership, Corporation, or Trust, indicate the name,Social Security No.,and contact number of the individual responsible for Applicant's work-(if different from current registration). :.�I (nri �, : - —, 11jrst Middle Last Telephone#: Make all certified,checks or money orders 7. Registration Renewal Fee enclosed: $ f;C'i: payable to"Commonwealth of Massachusetts." ONLY CERTIFIED CHECKS OR MONEY ORDERS CAN BE ACCEPTED. Pursuant to Massachusetts General Laws Chapter 62C§49A,I certify under the penalties of perjury that,to the best of my knowledge and belief,I have filed all state tax returns and paid all state taxes required under law. Si 6ature of Applicant Title held, if applicable Date A FALSE ANSWER TO ANY QUESTION IN THIS APPLICATION CONSTITUTES GROUNDS FOR SUSPENSION OR REVOCATION OF THE APPLICANT'S REGISTRATION. C-4 T the Commonwealth o,f assa useits Department of Industrial Aceidenis . O f w.e of Investigations 600 Washington Street B vstvn,MA 02111 n+wmmass;gvv/dia w Workers' Compensation Insurance Affidavit:Bmlders/Contracturs ectricians/Phimbers Applicant Information I Please Print Ix ibly Na= 1) �0"1 :4: n ra�►+rt15 C.r ns�-�T�y^ �vr. Address: City/Sta&Zip: -14 Phone47 Are you an employer?Check the appropriate boa: Type of project(required): 1. Yam a employer with J� 4. ❑:I am:a general contractor and 1 6_ ❑New construction employees(full an&or part-time).* have hired the stkn c�ors 2.❑ I am a sole proprietor or listed on the attached sheet. 7. ❑Remodeling These sub-contractors have ship and have no employees $. ❑Demolition working fox me in any capacity. employes and have workers' [No workers'comp_inmrance comp.rnsuranml 9. El Building addition required] 5. ❑ bile are a corporation and its 10.❑Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their I LF❑Plumbing repairs or additions myself [No workers'camp. right of exemption per MGL 12_❑Roof repairs insurance -]I c.152, §1(4),and we have no employees.[No wotims' 13.❑Other comp.insurance requira] 'Any apphc=ttat checks box#1 mast also fiIl tut the section below showimig*w woders'campmmtt n pobey mf muum I Homeowners who snb=this off&m iafcati y,they ate doing gll work and then"hire outside conuacturs mmst:subm s a new affidavit indicating sacbL f Contmctors dw cbect this box must g ached an additional sheet showing the muue of the s&-canrzcmcs had state whether or not fhuse entities bav employm.If the subtaairactnrs bwe employees,@hey must provide their workers'comp•policy amber. I ant an emplliyw that t'sprouitiitrg xrorkars'contperrswtion.itamrarrca for my snrptn}�ees. Betaty is the polity at�d job sit information. Ins>uaace company Name: Policy#or Self-iris.Uc.4: '201 � id -:Expiration Date: Job Site Address: j� "Gt k.j4L,1,e4, 4✓l.)toe city/Sta zip: .,, /'� _ .��' 4Qr7.t Attach a copy of the workers'compensation policy declaration page(showing the policy 'number and e34"i tiion date): Failure to secure coverage as required under Section 25A of MjGL c. 152 can lead to the imposition of criminal penalties of a" fine up to S1,500.00 and/or one-year imprisovanent,as well as civil penalties in the form of a STOP WORK ORDER and a tine of up to$250.00 a day against the violator-. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do>ttrrsby oath.6,under theprtins andpenahies$. perjury that the information pmveArd abmir is lace and correct Sitntature: Date_ I)r- `fie t524�� Phone#: Lk9 ! 02lcial use only. Do not write in this area,to be completed by city or town offie at City or Town: PermitJLicense# Issuing Authority circle gone 1.Board of Health 2.Building Department 3.City1rawu Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Mane.M 6. ( k( t Assessor's map and lo't nuns er'°'� .. / 111 �- . *THE tp�I• Sewage. -Permit number ..... l....... ...., ... .,�.,...... % BA"STAMLE. i House number ............0 9 NAM �p 03q• 0 M a' TOWN OF BARNSTABLE i BUILDING' INSPECTOR APPLICATION FOR PERMIT TOLz••°"r .k.`b":.<�.�.. �.� .C✓ %:..�� Cy . ................................. TYPE OF CONSTRUCTION ...r' A'''� ............................. I ............w.... w.. . TO THE INSPECTOR OF BUILDINGS: The undersigne d/hereby applies for a permit according to th following//informatiio�on:�+ Location ... Y. ... 1 � .. r. ... .. . ... d... .....c � ' �� : . ......... ProposedUsev�y .` ly!?................................................................................................................................... Zoning District ......:. . .. ... .. � ... U�SF e District Name of Own K.. .... .. .. .... ... .. .. ,.4 . . , ,�._... .F.,!;.Addres ... . ..... M... .. .. ... Name of Builder'.... .... .. ......... .. .. ..... ...0..........Address Nameof Architect .. . ... ,........................:...................Address .. ....... .....................:.................................................. �� 4 �. Numberof Rooms ................ .................................................Foundation ......... ......�,.�,.Q,.�R.......................................... Exierior . .4 .�0 �...... . � �1�1./ .....................................Roofing „r 1Y..1U� .................... Floors ...;....��,,,_,,� , ,�y. �, �...........................................:Interior .. . .. .. .... ���"•"•••F..................................................... r Heating .. ..... .� +(,.,-'.................................:............Plumbing .. . . ... .. ....W/ Fireplace .................................................................Approximate Cost .... ................................... . Definitive Plan Approved by Planning Board -----------_-------------------19_______ . Area .......................................... Diagram of Lot and Building with Dimensions .............................................F SUBJECT TO APPROVAL OF BOARD OF HEALTH '� tea......�.•.r.nv..� � - I f t r i 1 OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS + I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. e ' Name Mdd� A !f J ..............:............... V Construction Supervisor's License .��! � ............... RIVERS END REALTY TRUST -A; % 21-1 • 22?-�7/ No 4940 Permit for ...1 2..Story Single Family Dwelling ............................................................................... Location „Lot 11, 91 Waterside Drivs ............................................. Centerville .................................................:............................. Owner ..Rivers End Realty Trust ................................................................ Type of Construction .......Frame................................... Plot ............................ Lot ................................ April 13, 83 Permit Granted 19 Date of Inspection ....................................19 Date Completed vo L f 1 s r, .ii 4J„o�TM� �e y TOWN OF BARNSTABLE f Permit No. --����-- -------; h Building Inspector . j leasxAnc Cas ` - "' OCCUPANCY , ''PERMIT 'Bond - Issued to RIVERS E;(�p I�EAtt_?�1,TAT- Address, Lot 1' 91 Iqater-sidP DriV , Centerville ..., Wiring Inspector ' ,�" Inspection date Plumbing Inspector Inspection date t Gas Inspector ,� r-�y y /�=a � ,r �;�,�x Inspection date :-1, !' XEngineering Department , - " Inspection date >Board of Health y Inspection date• ,;if THIS PERMIT WILL, DE VALID, AND,;THE BUILDING SHALL NOT BE OCCUPIED UNTIL u SIGNED BY THE BUILDING INSPECTOR 'UPON SATISFACTORY COMPLIANCE WITH TOWN REQUIREMENTS AND IN ACCORDANCE WITH SECTION 119.0 OF THE MASSACHUSETTS STATE BUILDING CODE. .. .................................................................. ... r`1L'TF'9 .............,��..^ �` ' Building nspector 1 Y. ,H ��.,� " �•.ew TOWN OF BARNSTABLE BUILDING DEPARTMENT = aseasr = TOWN OFFICE BUILDING rb 9 HYANNIS, MASS. 02601 ,y MEMO TO: Town Clerk FROM: Building Department fI 0DATE: % An Occupancy Permit has been issued for the building.authorized by �- d Building Permit #.:...............„/......_....�..........------.._... ......,:.................................... ./....:.... ......IL .. issued toiil. .. ... .. . ..... . .»» Please release the performance bond. 1 Assessor's ma and IPtnu er7 7/p ...... ........... . ... �FTHEtO Sewage Permit number ...... .�...... �..�• .• SYSTE10 i W't I� dL7Pj� Z BARNSTABLE, i ' `1�......:.:...................................... ALLE IN �� M3a House number 9 WITH139- TITi LE � � O��O Yar WN O ��10001TSI A�B LE BUILDING INSPECTOR APPLICATION, FOR PERMIT TO/'�o•C �� �1�1f:�1. ..... ��G%,.dam.. .. �� . .. . . . . TYPEOF CONSTRUCTION . .. ... j r ................................. ..................................:..... y - ' ........... . .l.lz.....19 TO THE INSPECTOR OF BUILDINCiSc a The undersigne hereby, applies for a permit according to th'f0l1I0Wing information: , �^ /� / Location .�. :.1C'11 ..... ... ..� ...1.... ... L. .... ��1.{..�!S,.Vl4,.. .......... �XA1 � .. ...... .......................................................Proposed Use ................................................................ Zoning District ...... . District ............. . Name of OwneN. Addres6rs.... Nameof BuilderC .... :...... . . .. .r..���..........Address ............................................u..................................... .. ..................................Address ......Name of Architect ..�Nm . ... �.......11 `, Number of oms `.l..\.......................................:.........Foundati r,.O.k-e.am.................. .. t Exlerior .. .....................................Roo fing ... ?...��L•.�? .................... Floors � Y. 1..1,,/.....:.......................................Interior }ieattng.., � ...'..... ........... ................... lurriabin` ' ... _ Fireplace .b�.......................:..... ..................Approximate Cos....�� i. R. ........................... � a s Definitive Plan Approved by Planning Board -------------------_-----------19________. Area .......,...... ... ......r. ......... Diagram of Lot and Building with Dimensions Fee ..... . ............................ SUBJECT TO APPROVAL OF BOARD OF HEALTH ® � 1 OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS 1 hereby agree to c9nform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name � ............................ 0 0-3�Construction Supervisor's License ..... . ... ................ `JND REALTY TRUST 2494 1�2- Storly ........... ... Permit for,................... ............ ... ........... .. �ingle Family Dwelling ....... ....... Story r i v Location ��o t...1 1........9.1...W.a.te.r.s......e....Dr.iv- .. .. .. .. .... .. . .. .... Centerville ................................................................................ F7 veris ,.End Realty Trust ti� Owner .................; ............................................. rof -,j Type Construction. ..Frame........................................ ............................................................................. ,Plot ............................ Lot April 13, 83 1P6 ..:�,Permit Granted .............................. .,.......119 e -insp .......-,bat ection ......................... .1-9, cite7Completed ...... AA.4 ; VI -tk IN �d .... dab. 6 4 t al V A u .:•:' 077, , !�'z .._._. _ _ -" �`\r`.. Y-;'1`f+�.'Y.t-�T7j�: � 6--•�-�,,��:,,-,mot. 119 J GoifG` + ell te e., - QPPro�!. edq�: c�yC ...... 0 OF gs k Ir RICHARU og DAMES No. 27871 TO TH& SEST OF MY IAIFORMfg7"/ON , kNod�ttL .DiC + 4&AJT�-je v L L E J/�Y�/ /� F f�• a F T!"�>. i.f, +'�F�a + `Qx .fir, t �' { k •- 7 q S'S 3 SH'O�tIN N a. O A 'AJ 1AJC. , 4S * I , , {t•`S_ El�/ Cs®GAT�67 CAN �JT E 93�¢ W ./Ad04Gfa'_ —AJ�'T ®EA/N/,S � 'M fi e ' � l4r } 4r !{e*1�...,ti .y. si I%�• , AG7� ,..A y i `a7©E� �NO.� Goe1%S.r t ; is Pie.`6Y SHEET OF r,;4: