Loading...
HomeMy WebLinkAbout0118 ACRE HILL ROAD / �� // / � o I � I , I . I — . I I I I � I . I I I� I I , � -. � , I � . . . . I I 1. � I I I � . 11 - I I I I . � 11 I I . I " I - I , 11 11 I I , I I - I � I , - I 11 I'll 1. I . I I � - I I 11 . 1 . 1 I ' ' I I - 1 , � �. I ., I ' ' I ' ll, I 'll - I lll� I I . ' ' I ' ll ' ' ' .� 11 � �, ,,�, - - I , ' 'I ." , � � -,11 I 11 .11, I , I I 'll I I I ' ll 1, ., - I I I .1 I I I I �I -, I I � I , I I � � I I � I I I i I . I I I I I I z � . " �, I I I I: �,11 . I I I I I �, . �, I � I ";.,.� �,�. . I I. I .I I 1� I. I -'�.. " I �. � I I I.�11 I I I � ,11 I I�' . I I � I I I q I� I �,� I � �. � .I� � ,. I I I I. -1 I I I .I I� 1, I � 11 " I I I I :"., �I I :1 I I I I:. I I I I e I�,�� I: I I�, . I �I I I I I 1� I I I I I — , 1� . �.I I I I I .1. � I� I I 1,. I I � � I : ��� 11 .1 .. I �I I � I � ,I. . I � I � � � . I I . I . I � I � I I I I I �. .I . . I—..-1- :, (, h ,? .'-n 1 .. r., .: 4 i. 6 '4 -1 _ q a. T: E fir. q tt k• � i a. ,' ;. Ar - v ��, �. t }. -I ":il +i S, pp1. q i' f I' W �t Ill a I Illt tY S i. -� `�' w. ., d r � r � Town of Barnstable Building, �a=� ; Post This Card.So That it is Vi3ible FromAhe Street-Approved Plans`Must be Retained,on lob and this Card Must„be Kept BARNIMF mom. $ Posted Until Final Inspection"Has Been Ma .de. • 1639 _ Permit it rtial° Where a Certificate of Occupancy is Required;;such Building,shall Not be Occupied until a".Final Inspection hasrvbeen made y Permit No. B-19-3866 Applicant Name: ALTERNATIVE WEATHERIZATION INC. Approvals Date Issued: 11/18/2019 Current Use: Structure Permit Type: Building-Insulation- Residential Expiration Date: 05/18/2020 Foundation: Location: 118 ACRE HILL ROAD, BARNSTABLE Map/Lot: 297-060 Zoning District: RF-1 Sheathing: Owner on Record: DALTON,ANNE BOCKHOFF Contractor Name: ALTERNATIVE WEATHERIZATION Framing: 1 Address: 118 ACRE HILL RD INC. 2 Contractor License: 175683 BARNSTABLE, MA 02630 Chimney: Description: weatherization Est. Project Cost: $4,423.00 Permit Fee: Insulation: $85.00 Project Review Req: Final: 'Fee Paid: $85.00 Date:' 11/18/2019 Plumbing/Gas Rough Plumbing: r v�A: Building Official Final Plumbing: This permit shall be deemed abandoned and invalid unless the work authorized by this permit is commenced within six months,after issuance. Rough Gas: All work authorized by this permit shall conform to the approved a pplication,,,and"the approved construction documents for which this permit has been granted. Final Gas: All construction,alterations and changes of use of any building and structures shall be in compliance with the local zoning by,.laws and codes. This permit shall be displayed in a location clearly visible from access street or)road and shall be maintained open for public inspection for the entire duration of the work until the completion of the same. Electrical m 5 Y Service: The Certificate of Occupancy will not be issued until all applicable signatures by the,Building•and Fire Officials are provided on this permit. Minimum of Five Call Inspections Required for All Construction Work `' Rough: 1.Foundation or Footing g 2.Sheathing Inspection Final: 3.All Fireplaces must be inspected at the throat level before firest flue lining is installed 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection Low Voltage Rough: 5.Prior to Covering Structural Members(Frame Inspection) 6.Insulation Low Voltage Final: 7.Final Inspection before Occupancy Health Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Work shall not proceed until the Inspector has approved the various stages of construction. Final: "Persons contracting with unregistered contractors do not have access to the guaranty fund" (as set forth in MGL c.142A). Fire Department Building plans are to be available on site Final: All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT ; Application numb .number ....... ............. .. .... Date Issued.......���.�. ............................................ slr Building Inspectors Initials... ..... ........................ f Map/Parcel -7 TOWN OF BARNSTA 9LE s EXPEDITED=PER.N f APPLICATION: ROOF/SID1NG/WINDO'WS/DOORS/TENTS/STOVES/WEATHERIZATION "' < PROPERTY INFORMATION Address ofProject: NUMB , . LASTREET VII _ Owner's Name: _404m . Phone Number d 7 Email Address: OA Ae bWk ( Cmj"+,/I&ell Phone Number r � Project cost.$ rK YJ 3 Check one: Residential Commercial `OWNER'S,AUTHORIZATION As owner of the above property I hereby authorize ✓/ �Yt �� � to make application for a building permit in accordance with 78 MR Owner Signature: it e aka-c, Date: TYPE OF WORK . Siding Windows(no'header-change);#.;- Insulatton/Weatherization 0 Doors (no header change)# Commercial Doors-:require an inspector's:=Tevieiv ❑ Roof(not applying more than 1:layer of shingles) Construction Debris will be going to CONTRACTOR'SINFORMATION Contractor's name Home Improvement Contractors Registration(if applicable)# (attach copy) z m� Construction Supervisor's License# (attach copy) Email of Contractor Q:,`�'Q,�wali � � ll�c 'j7J yl, Phone number h'UP- 7 a1 0 ALL PROPERTIES THAT HAVE:STRUCTURES OVER-75 YEARS OLD OR lF THE SUBJECT PROPERTY lS IN A HISTORIC DISTRICT, YOU MUST OBTAIN HISTORIC APPROVAL BEFORE A PERMIT CAN BE ISSUED. APPLICATION NUMBER............................................................ *For Tents Only* im 3 •'' t d Date Tent(s) will be erected Removed on number of tents total Does the"tent have sides?Yes No (If yes please attach floor plan with exits marked) Dimensions°of each Tent X X X . Additional tent dimensions can be attached on a separate piece of paper. Check one: this event is a: for profit non-profit event Check one: Food served Yes No Flame Spread Sheet of each tent must be attached. Provide a site plan with the location(s) of each tent If food is being served at your event please obtain a Health Department approval between the hours 0.f 8.00am-9.30 am or 3:30 pm-4:30pm. Commercial events may require Fire Department approval, *WOOD/COAL/PELLET STOVES Manufacturer# Model/I.D. Fuel Type Testing Lab Offsets from combustibles: front back left side right side HOMEOWNER'S LICENSE EXEMPTION II Homeowners Name: Telephone Number Cell or Work number I understand my responsibilities under the rules and regulations for Licensed Construction Supervisor in accordance with 780 CMR the Massachusetts State Building Code. I understand the construction inspection procedures,specific inspections and documentation required by 780 CMR and the Town of Barnstable. Signature Date APPA1CPT9S SIGNATURE Signature (/ Date W--7--7 All permit applications are subject to a building official's approval prior to issuance. 0� 'SHE TO Town of Barnstable a IIARNSTA$IE, Building Department Services Brian Florence,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 1, Anne Dalton , as Owner of the subject property hereby authorize AkU—fIQ+I1e1 �"JJ r�ir'/UYL. to act on my behalf, in all matters relative to work authorized by this building permit application for: 118 Acre Hill Road Barnstable (Address of Job) W n klsi Signature of Owner Signature o Applicant 'A W& �A%' A V*AV1 ro-. rint NaIt -W (11�lo c..kAN me Print Name _ � - 0 Date The Commonwealth of Massachusetts Department of lndustrial Accidents 1 1 Congress Street,Suite 100 Boston, MA 02114-2017 www mass.govldia Workers'Compensation Insurance Affidavit:Builders/Contractors/Electricians/Plumbers. TO BE FILED WITH THE PERMITTING AUTHORITY. Applicant Information Please Print Legibly Name (Business/Organization/Individual):ALTERNATIVE WEATHERIZATION, INC.' Address:2 LARK STREET City/State/Zip:FALL RIVER, MA 02721 Phone#:508-567-4240 Are you an employer?Check the appropriate box: Type of project(required): 1.[D I am a employer with 16 employees(full and/or part-time).* 7., ❑New construction 2. m a sole proprietor or partnership h p and have no employees working for me in ❑1 a l 8. ❑Remodeling any capacity.[No workers'comp.insurance required.] 3.❑1 am a homeowner doing all work myself.[No workers'comp.insurance required.]t 9. ❑Demolition 4.❑I am a homeowner and will be hiring contractors to conduct all work on my property. I will 10❑ Building addition ensure that all contractors either have workers'compensation insurance or are sole 11.❑Electrical repairs or additions proprietors with no employees. 12.E]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.t 6.❑We are a corporation and its officers have exercised their right of exemption per MGL c. 14.❑✓ Other INSULATION 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 thepolicy and job site information. Insurance Company Name:LIBERTY MUTUAL INSURANCE Policy#or Self-ins.Lic.#:XW058867158 Expiration Date:06/07/2020 Job Site Address ( p W City/State/Zip: M1 Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration d2he). 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 e s and alti s of e ury that the information provided ab ve is true and correct Signature: Date: Phone#:508-567-4240 , 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#: f _ ' A��� DATE iiNMIDD/YYYY) Ij" CERTIFICATE OF LIABILITY INSURANCE otMM/D ff 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 have ADDITIONAL INSURED provisions or 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: Anthony F.Cordeiro Insurance Agency PHONE FAX,Ex 508-677-0407 a/c No): 508-677-0409 171 Pleasant Street ADDRE Fall River,MA 02721 SS: HSouza@Cordeirolnsurance.com Fall INSURER(S)AFFORDING COVERAGE '-NAIC# INSURER A: Liberty Mutual INSURED INSURER B: Ohio Security Alternative Weatherization INSURER C: Ohio Casualty 2 Lark St INSURER D Fall River,MA 02721 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 UULSUBK POLICY EFF POLICY EXP LTR TYPE OF INSURANCE 71NDWVD POLICY NUMBER MM/DDIYYYY MM/DD/YYYY LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS-MADE aOCCUR DAMAGE TO RENTED PREMISES(Ea occurrence) $ 300,000 Pv1ED EXP(An one erson $ 15,000 A Y BKS58867158 06/07/19 06/07/20 PERSONAL&ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE S 2,000,000 POLICY❑PRO- JECT ❑LOC PRODUCTS-COMP/OP,AGO $ 2,000,000 OTHER $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ Ea accident 1,000,000 ANY AUTO BODILY INJURY(Par person) $ B AUTOS N SCHEDULED YBAS58$67158 06/07/19 06/07/20 BODILY INJURY(Per acciden?) $ AUTOS GNLYAUTOSX HIRED NON-OWNEDPROPERTY DAMAGE AUTOS ONLYAUTOS ONLY (Per accident $ X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 1,000,000 A EXCESS LIAB CLAIMS-MADE Y Y US058867158 06/07/19 06/07/20 AGGREGATE $ 1,000,000 CED RETENTION$ $ WORKERS COMPENSATION PER OTH- AND EMPLOYERS'LIABILITY YIN STATUTE ER ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $ 500,000 C OFFICER/MEMBER EXCLUDED? nn NIA XWO68867158 06/07/19 06/07/20 (Mandatory In NH)If yes,describe underI E.L.DISEASE-EA EMPLOYEE $ 500,000 DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 500,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) Action Inc and NGRID,USA,its direct and indirect parents,subsidiaries and affiliatesshall"be named as Additional Insured on commercial General Liability and Automobile Liability polcies. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN NGRID USA ACCORDANCE WITH THE POLICY PROVISIONS. 40 Sylvan Road t Waltham,MA 02451 AUTHORIZED REPRESENT p ti ~l' ©198f-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD Commonwealth of Massachusetts i Division of Professional.licensure. Board of Building Regulations and Standards Constrv�t46A'Stipervisor CS-105454 15 ir es: 05/08/2021 TIMOTHY CAB rr s 58 DICKINSOIV ST' T,, FALL RIVER MA 02721/ ' - M 10 < . Commissioner X21Z1 It/�'?./�2�tfLCItC�CIGGG� ` ��` CG1�CGt!?�CC � Office of Consumer Affairs and Business Regulation 1000 Washington Street - Suite 710 Boston; Massachusetts 02118 Home Improvement Contractor Registration Tv pe: Oorporation Registr ti n: 175683 AL T ERNATIVE VVEATHEREAT!ON: INC rxo a*poi: 05i28i2021 2 LARK ST FALL RIVER, MIA. 0272':: I Update Address and Return Card. SCA 1 0 2QN1-0517 rr• %ri uiirviri•rri/ iriiirii%ii:r//' p. Office of Consumer Affairs 8 Business Regulation HOME IMPROVEMENT CONTRACTOR Registration valid for individual use only TYPE:Corporatian before the expiration date. If found return to: Registration Expiration - Office of Consumer Affairs and Business Regulation 175683 05/28/202 1 1000 Washington Street-Suite 710 ALTERNA I 'E",NEATNERIZATION INc. BBston;MA 02118 --- - --- 7rr E in �• 1f �� TIMOTHY CASRAL ! 3 % 2LARKST ,`1li y FALL RIVE-R..i,,4A. 027E' lot valid'WIthout\signature Undersecretary _ ?. : p. s._. TOWN OF BARNSTABLE Permit No 12g� w� Building Inspector XMISAnc Cash owe.. -------------- ^'-n OCCUPANCY PERMIT Bond _ CCC333 '.'No building nor structure shall be erected,'and no land, building or structure shall be used for a new, different, changed, or enlarged" use: without a 'Building.Permit therefor first having been obtained from the Building;Inspector.No,building shall-be occupied until-,a' . certificate of occupancy has been issued bytthe Building Inspector." Issued to Donald ,Dorn Address lot 09 118 Acre Hill Road4 Barnstable Wiring Inspector-Inspection date Plumbing Inspector' _ Inspection date v Gas Inspector Inspection.,date j. d tea. c) Engineering Department :�` f ✓� ,�( �°;f Inspection date J 77� THIS PERMIT WILL NOT BE VALID, •AND THE BUILDING SHALL NOT BE., OQCUPIED UNTIL SIGNED BY THE BUILDING-.INSPECTOR''UPON SATISFACTORY •COMPLIiN-CE'-WITH TOWN , REQUIREMENTS. t I L 19.b I ✓ - �, ..�. ..........�. I'Building Inspector r Assessor's map and lot numb oF_swe A� y Sewage�,Permit number �- ' CO ABLE, i House number4tIZe �' s a ,`, WITH TITLE 5 �o i639. ENVIRONMENTAL CODE .TOWN OF BARNSTX FIULATIONS BUILDING INSPECTOR APPLICATION FOR PERMIT TO Construct Dwe 11 ing............................................................-......... TYPE OF CONSTRUCTION Woo.d Frame ...... ....................................................................................................... May 16 79 ................. .............................19........ TO THE INSPECTOR OF BUILDINGS:,. The undersigned hereby applies for a permit according to the following information:0 Lot 9..Acre H R , r Location ............................. ..............ill.................oad.........Ba...nstable.........................................................:........:.....:.................................... ProposedUse ........Residential............................................................ ............................................................................. Zoning District ...•••Residential ,..Fire District Barnstable .......................... .............................................................................. Name of Owner Donald Dorr -,•••..Address Falmouth Name of Builder James K. Smith .Address Barnstable ............................. .................................................................................... Name of Architect ®"'................................................Address ............... .................................................................................... Number of Rooms 6 .....................................................Foundation Poured Conceete ............. .............................................................................. Exierior ..Brick...................................................Roofing ............Asphalt Shingle....................................... Floors Wall to wall ..............................................................Interior ............ ry?.all ........................................................ Heating FHW bY...oil........................................Plumbing ..........l�z..baths...................................................... i Fireplace ....................one.......................................................Approximate Cost .....32a000............................. ......... . ......... Definitive Plan Approved by Planning Board ________________________________19________. Area ......... Diagram of Lot and Building with Dimensions � 9 9 Fee ...............1............................ SUBJECT TO APPROVAL OF BOARD OF HEALTH ®/Vo. t 0� ISM I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name ... ............... ..... ...... ............. 0 Dorr, Donald ;No .... Permit for ....... ..... .. .. ......... dingle family dwelling.................... Location .............11$..Are Hill Road........... .............................. .................... c. c Owner .................J).Qna1.d..DQr.r......................... t7 TypT of Construction ................f-r=.e............... C ............... ........................................................... Plot ........................... Lot ..........#9................. Permit Granted ..........May 4-6................19 79 C Date of Inspection ........................... 0 , .... .19.... Date Completed ........... ................... .........19 PERMIT REFUSED dw 19.......... .... ............................... ,< ry ; . .............................................. T1 ................................................. ;n... ................................................ .............. ..On.................................................... fn .Appro'Vel.......�A............................. ..... 19 .. ............................................................................. ......................................................................... Z►�M+ae•+.s�LevJ•e'el�adM�Y[m6 � r�s�.�s'•!wivao.-�s�sV� - _ .' f*ffn6ol�F. ,,�//,'�1 — \`;� 9A TES T AT 50,88 �9 PR0P05 b WATER ONE - - - - ... --- - -230 �. sPtft .zo EA CA i T14 . rangy P Ile- !sf9 l i5ry. {t .7 V.L ; S \�i®h'�"�^wM1:`."t'S1C�ttg(E:•r4'sYaSt�lzke'R.rtLi'R'iSa?$^«`3�- _ _ .x�9eiYw5mYC'+'iLb.Yrai�n'n+i>�Yacmnwal+'w.e.�.ns�f.na.•w.+4ruW�.r.;xw..a.'sw.w:..ge•uw...'uvvr�.t�•W.•+m?:-+w•w•.w.o..a --- -"--..�.�.!s�raz __ {/ { LOT 9 TEST Poo 01C To BZI R. 6 L 6 t/ S 1- /NL . J 9NP 13 u/ -D/ivG S ETL3ACA::f CU/,2E_ �IE,I/TS F20/v T / 5 Si DL`_:: / 2,E-.4 7c E FP20�'c7 SED - �_ L3E_L�lZUO,ti95 ' SE P.T/C 5 v5 TAM CoA./.5 772 UC T/ON SHALL GOnJFO/ZM TO MASS - FLOG(/ GAL )C)14y' E/Vv/�o�i/y�,vr�j� Goon Tir�� Ij. G /2Ev'i5� 7-/- 77gG hEALTN ��GIJLA T/OS LLAC14 2.4TE aARNSTALL ��C / �E A S +1 N E ,,M 3v�. Q TOP ©F „DF �E,4 S7o/V� EI2✓/OCIS CO✓L- ^` An1 N OL-L #CO✓EIz TO Ek TE nlZ7 ?p 7O ,a2E ✓�.t/T /n/E ; . W/ Tf!/N � � S iO�✓E 4'_o✓G�zs I��5� /�20.�/ �OX 4„ D/A. ATZ/Z �a/N _ T1Gi✓T 4" D/A. tit�`"L'b /O L tl G�/ t.',�s 'l '( �•' � �4,•�FOOT t I M/N /4•< /� %FDoT �2� M/ni !- Ls? ( ^ �, f. �j¢': i2 D/.A. _Y- IQo( My �4 �oT -, � 02�0 { vVAS N6t7 //v✓FeT -a P'AC/ Tv � ,� '� { ,Anov,U� I SE�T:G 7"4//� ELEV- I I (_1NATGr' 7"IG/-/T) /N(/E2T �� ( P17-#1 { i ;/vvEer NO -G,�,�BACE L,2/NDE-P � � / O 1- 1 S / TE ILLAN . PIL70,�0 ��L� SL_ WA G T/0A,/ IMI S_T - __ ---------= SEAT/G -TA/uK (�/�T�/B(�T/O�/ E5O,� C� 04LJ7 - TS� ANAD LE'4C:- �/ � �'/T aTE S T2E V�TJ/ 3000 / >'.1'. y i ... . 1. ; /•. �v' /Nl ' /V'�// �__. �/"1 OLzf, ' O✓E G 5 v5 T E ti7 Un/_ �/- U I CERTIFY THE• EXISTING FOUNDAT/0/�l LOCAT/ON /5 CORRECT AS SHOl ,iN AN DOES CONFORM TO TNT 17L)IL D/A/ SETI3RCK REO:JIREM�ItITS ��/r T1��` ?r�;a,/IBC E O BARN 5-rA 8 LG i i• 4 j--- ��,r ��-f.�.�.�r'��C✓':a L1,4 T_1'r 9 Jf .%; r t.. -:;.