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HomeMy WebLinkAbout3641 MAIN ST./RTE 6A(BARN.) 1�;kPS ���"�6 4f,5:..��i}tal�1'� ,1�� '������ � � r r4��tr+ M �0� � �• . ti• p r f ,}Y�p ! t jot :k N � 1 [ _' , ,f ► aft ► i 'jailf. 141 t.. i, as ` it NS A i �' ii ' •4� v l F { "r7 r�3 frig � y;....•�, r1 u.* .il A f i "H" 'a �i i� �.r `A" 1 r.. �+ '' i4 u k. q iA ,•rsY 't . 3' 14 �� a k ,+ � AA 1 tl r ;tk Pr � ka• � s 4 k� .i„ ,a '# i" 1 ,a•, it y � 5A k 4 Ya § r y an +o i� 1 ! A »• fu ��Jl d i,: ' � .'+i4 r w.> i1i a xi i} i.•r ,� ��A. � tl :. q} ��.. ° } r H� A' P �a {tix 'a ,) � Y4p1 y2{4+ � v •Y •tl 'kp , 4 v��v 4 i1 at ,� At .•Sr i, � •i � .,�. t y ke ` JA, •4 }},� • S is a ' •ir �� ,/ f Cy ,yt� At � 4 ,A�• Ti'f J A t: .t f .� ( ri'' ! �! �i..• }, �'k ,A-, w +R is a' � + 5•?` •6" 4 �t `t 'a<.' k: -+A ,5(i i+d'�' ac '.i• .s 5 Vi ;.-<3 7 W ! Yf 1 } r. � ,e � •y, rl �1 r � ,A Ai A k• qx e. .n. �, r :� l;�:, ''`.t. 11.` (c; a�; ,`n F t -4 �x, ;jt�, Y L, � •[A � v •&.: { � is xH, '!! } ,4• i 41, 1 i f AA• i� � {M c'A, 1 :..{F.' •1� 1 i �1, i q%,'li= aP� xl { i`` ,�:`t �t } ;i ..,•, " x � 5 ,,. r• b t• t" i p i s t ',;' �� ,fi: yt 5A s .i k1 k iA /! tri yr i d i •i "k 5 i .,A r 9F it �} x � }. � it a 1 k3,..� •, � r• Y� e ❑ � x � .ltfv, I f � TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel �' Application oo6i�clollf Y40 Health Division Date Issued `7. Conservation Division '✓ 5.3 "4-In Application Fee Planning Dept. Permit Fee 5 Date Definitive Plan Approved by Planning Board Historic - OKH _Preservation / Hyannis Project=Street Addr Qse`s 1 M A / S Villa �} � /SQL / owner—'I "SO&S15 C rAdd6 -- Telephone so o� , Y erg C� s S V ermit—Request D / 69V OEESY (O 6 DCLO-54,{� 4 Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation Construction Type ' f Lot Size Grandfathered: ❑Yes ❑ No If yes, attach porting urrtatio`. „n Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family (# units) 3 c Age of Existing Structure Historic House: ❑Yes ❑ No On Old King's H,ighway:a Yet❑ No Basement Type: ❑ Full ❑ Crawl ❑Walkout ❑ Other Basement Finished Area (sq.ft.) Basement Unfinished Area (sq.ft) Number of Baths: Full: existing new Half: existing new Number of Bedrooms: 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 ❑ No If yes, site plan review# Current Use Proposed Use APPLICANT INFORMATION C sb�'-7X- T r 7q (BUILDER OR HOMEOWNER) d . 3��r 81�� Name �f7�r S Telephone Number R 3 Address ��!I1 MIN) S'r- License # 'EA&J'S ZMC Home Improvement Contractor# Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO 4 SIGNATURE DATE FOR OFFICIAL USE ONLY g APPLICATION# } P DATE ISSUED MAP/PARCEL NO. F, ADDRESS VILLAGE OWNER k DATE OF INSPECTION: FOUNDATION FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. z ' The Commonwealth of Massachusetts ` Department of Industrial Accidents Office of Investigations ' 600 Washington Street L r Boston, MA 02111 s www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name (Business/Organization/Individual): `^' • 2 _ Address: N— < k QQ Zy City/State/Zips ^D3y Phone #: � Z `f e Are you an employer?Check the appropriate box: Type of project(required): L❑ la employer with 4. ❑ I am a general contractor and I e ployees(full and/or part-time).* have hired the sub-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 8. ❑ Demolition workingfor me in an capacity. employees and have workers' Y P h'• 9. ❑ Building addition [No workers' comp. insurance comp. insurance. required.] 5. ❑ We are a corporation and its 10.❑ Electrical repairs or additions 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 employees. [No workers' 13.0 Other .comp. insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. $Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: Policy#or Self-ins.Lic.#: Expiration Date: Job Site Address: City/State/Zip: Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under 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 inst the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of th IA r insurance coverage verification. I do hereby cep penalties of perjury that the information provided above is true and correct. Si nature: Date: 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#: 1 Information and Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers' compensation for their employees. Pursuant to this statute,an employee is defined as"...every person in the service of another under any contract of hire, express or implied, oral or written;" An employer is defined as"an individual,partnership,association,corporation or other legal entity, or any two or more of the foregoing engaged in a joint enterprise,and including the legal representatives of a deceased employer, or the receiver or trustee of an individual,partnership,association or other legal entity,employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein,or the occupant of the dwelling house of another who employs persons to do maintenance,construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." MGL chapter 152, §25C(6)�also states that"every state or local licensing agency.shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required." Additionally,MGL chapter 152, §25C(7)states"Neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority." ' Applicants Please fill out the workers' compensation affidavit completely,by checking the boxes that apply to your situation and, if necessary, supply sub-contractor(s)name(s), address(es)and phone number(s)along with their certificate(s)of insurance. Limited Liability Companies(LLC)or Limited Liability Partnerships(LLP)with no employees other than the members or partners,are not required to carry workers' compensation insurance. If an LLC or LLP does have employees,a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested,not the Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy,please call the Department at the number listed below. Self-insured companies should enter their self-insurance license number on the appropriate line. City or Town Officials Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permit/license number which will be used as a reference number. In addition,an applicant that must submit multiple permit/license applications in any given year,need only submit one affidavit indicating current policy information(if necessary)and under"Job Site Address"the applicant should write"all locations in (city or town)."A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is.on file for future permits or licenses. A new affidavit must be filled out each year. Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e. a dog license or permit to burn leaves etc.)said person is NOT required to complete this affidavit. The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call. The Department's address,telephone and fax number: The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston, MA 02111 Tel. # 617-727-4900 ext 406 or 1-877-MASSAFE Revised 4-24-07 Fax # 617-727-7749 www.mass.gov/dia Town of Barnstable Regulatory Services • Thomas F. Geller,Director s,�twsT�nr..e, "s"SS.16.3 9. Building Division ArFOy Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Fax: 508-790-6230 Office: 508-862-4038 _ - HOMEOWNER LICENSE EXEMPTION QPlease Print DATE. // /v 0? JOB LOCATION: 3611 ��rl /A/ � �i//`i'U s��(�C number AA Q. street Q village .,HOMEOWNER!': f7� lrT/ �/ o&SS 64Q_ O9, U2/�10 u l� name home phone# work phone# CURRENT MAILING ADDRESS: P01 40 IAA-��� 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 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 or two-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 he/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 Building Code and other applicable codes,bylaws,rules and regulations. The undersigned"homeo r"certifies that he/she understands the Town of Barnstable Building Department minimum inspection proce ures and requirements and that he/she will comply with said procedures and require nts. Signa re of omeowner Approval of Building Official Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the State Building Code Section 127.0 Construction Control. HOMEOWNER'S EXEMPTION The Code states that: "Any homeowner performing work for which a building permit is required shall be exempt from the provisions of this section(Section 109.1.1 -Licensing of construction Supervisors);provided that if the homeowner engages a person(s)for hire to do such work,that such Homeowner shall act as supervisor." Many homeowners who use this exemption are unaware that they are assuming the responsibilities of a supervisor(see Appendix Q, Rules&Regulations for Licensing Construction Supervisors,Section 2.15) This lack of awareness often results in serious problems,particularly when the homeowner hires unlicensed persons. In this case,our Board cannot proceed against the unlicensed person as it would with a licensed Supervisor. The homeowner acting as Supervisor is ultimately responsible. To ensure that the homeowner is fully aware of his/her responsibilities,many communities require,as part of the permit application, that the homeowner certify that hdshe understands the responsibilities of a Supervisor. On the last page of this issue is a form currently used by several towns. You may care t amend and adopt such a foma/certifieation for use in your community. ENE„ Town of Barnstable Regulatory Services r � HAH.NsTADLE, Thomas F. Geiler,Director 039. 14 Building Division Tom Perry,Building Commissioner 200 Main Street,Hyannis, MA 02601 www,town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-62 Property Owner Must Complete and Sign This Section If Using A Builder r , as Owner of the subject property hereby authorize to act on my behalf, in all matters relative to work authorized by this building permit application for. (Address of Job) Signature of Owner Date Print Name If Property Owner is applying for permit please complete the . Homeowners License Exemption Form on the reverse side. The Commonwealth of kfassachusetts Department ofYndustrial Accidents Office of Investigations' 600 Washington Street Boston, MA 02111 :, ww)v.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers A licant Information Please Print Ise ibl NaMo (Business/Organization/individual. �-L/� Address Tt� ? City/State/Zip: 7W8LC Phone.#: Are you an employer? Check the appropriate box: Type of piroj 2ct(required): T.❑ I am a employer with 4•." `q�i am a general contractor and I 6 New construction '� have hired the slib-contractors employees (full and/or part-titn.e).* listed on the'attached sheet. 7.. 0 Remodeling 2.0 I am a'soleproprietor or'partrier-' These.sub-contractors have g, 'o Demolition ship and have no employees employees and have workers' 9 Building addition ' working for me in any capacity. ' [No worker's'. insurance.$ s'•comp.•insurance 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 bf exemption per M GL 12.0 Roof repairs insurance required_] t c, 152, §1(4), and we have no 13.El Other 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. tContractors 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. Iarn an employer that isproviding workers'compensatiorc insurance for my employees. Below is the policy andjob site information. Insurance Company Name: Policy#or Self-ins.Lie.M Expiration Date: fob Site Address: City/State/Zip: Attach a copy of the workers' compensation policy declaration page (showing the policy number and expiration date). Failure io secure coverage as required under Section 25A of MGr,c. 152 can lead to the imposition of criminal penalties of a fine tip to$1,500.00 and/or one-year imprisonment, as well as civil penalties in the form of a STOP WORK ORDER and a in.. 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 c era e verification. I do:hereby ce under e pain d ercalties of perjury that the infannation provided ab ve is true nd correct St ature: Date: L — Phone#: Offxcial use only. Do not write in this area, tb be cotnpleled by city or town offxciaL City or Town: PermitUcense# Issuing Authority(circle one): own Clerk 4.Electrical Inspector S. Plumbing Inspector 1.Board of Health '2.Building Department 3. City/I 6. Other 111for at ®n and. 1PSt� 'U&i®ns Massachusetts General Laws chapter IS2 requires all employers to provide workers' compensation for their employees. Pursuant to this statute, an emplo eee is defined as "...every person in,the service of another under any contract of hire, express or implied, oral or wtten. ri An employer is defined as "an indivi a1,partnership, association, corporation or other legal tity, or any two or more of the foregoing engaged in a joint ente rise, and including the legal representatives of a d eased employer, or the receiver or tiustee of an individual, partnership, association or other legal entity,emplo employees. However the owner of a dwelling house having not mo�•e than three apartments and who resides ther 'j or the occupant of the dwelling house of another who employs p�oos to do maintenance, construction or ru work on such dwelling house or on the grounds or building appurtenant eto shall not because of such emplo) ertt be deemed to be an employer." MGL chapter 152, §25C(6) also states that Ae ry state or local Licensing agen s all withhold the issuance or P renewal of a license or permit to operate a b iness or to construct buildin i the commonwealth y applicant who has not produced acceptable ev deice of compliance with t a 'nsurance coverage required." AdditiouaIly,MGL chapter 152, §25C(7) states` ither the commonwealth o any of its political subdivisions shall . enter into any contract for,the performance of publi work until acceptable i-eace of compliance with the insurance requirements of this chapter have been presented to e contracting autho ' .Applicants / Please fill out the workers' compensation affidavit compl tely,by ch 14ng the boxes that apply to your situation and, if necessary, supply sub-coatiractor(s)name(s),•address(es)an phone er(s) along with their certificates)of insurance. Limited Liability Companies.(LLC) or Limited Lability �tnerships(LLP)with no'employees other than the members or partners, are not required to carry workers' comp nsa o insurance, If an LLC or LLP does have employees,a policy is required. Be advised that this affidavit I submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sur t sign and date the affidavit. The affidavit should n be returned to the city or tow that the application for the pe t license is being requested,not the Department of Industrial Accidents. Should you have any questions regarding law or if you are required to obtain a workers' compensation policy,please call the Department at the aura !!er ist below. Self insured companies should enter their self-insurance license number on the appropriate line. City or Town Officials Please be sure that the affidavit is complete'and printc�Ie bly. The De ar6inent has provided a space at the bottom of the affidavit for you to fill out in the event the Office Investigations as to contact you regarding the applicant. Please be sure to fill in the permitllicense number whir will be used as a erence number. In addition, an applicant that must submit multiple permiWicense applications ' any given year, nee 'only submit one,affidavit indicating current policy information(if necessary)and under"Job Site ddress" the applicants uld write"all locations in (city or town),.".A copy of the affidavit.that has been officia y stannped or marked by flit city or town maybe provided to the applicant as proof that a valid affidavit is on fill fo future permits or licenses. A w affidavit must be filled out each year. Where a home owner or eitizen is ob i license or permit not related fo an business or commercial venture (i.e. a dog license or permit to bum leaves etc?)s d person is NOT required to comple this affidavit The Office of Investigations would like to. you in advance,for your cooperation and hould you have any questions, please do not hesitate to give us a call. The Department's address, telephone. ad f4(umber: The Co rnmo nwealth of Mas.saclnusetts Department o£IA.clustrial Accidents Office of Investigatbns. 600 Washington Street Boston, MA 02111 Tel. # 617•-727-490.0 ext 406 or 1-877-MASSAFE Fax # 617 727-774 4 Revised 11-22-06 WWw.mass.gov/dia f. Yn E7A 0 67 lit -------------- 1.14 LA am(y�,� —��9►2,! d°� G ........_w i ff &a 3�Z/iD r� ao P5 r � ` vertiAl �91�el �l ew &/(a.tva-zi AO ki,vi+ow) 1 ki WI _ reri - ¢} 44,ip —--�----�- A-. YA iAj ol _ ri r-- --- I 1 At a + S - � , Z new (%v vazb e Hy;► v= - Irk PJIGI�'-- / - I e.X c �, ew VED a qPP � RO n — AUG 1'22009� E vv Y y '�� BarnsYabte id Kings HighwaCommMee Old t19�►�ct W �itgr r�r v� I IGH ri'I rr4;?r lt N,orth) , Lf ya i o n _ J ��; 4 kv Wu11 ro "I Mg. J 1 . APPROVED AUG 122009 �Y G"ft e53 Town of Barnstable !jl'iV (.'1_""'_`�' }_-_..I_. t. ."1'—'"- Old King's Highway I—, .. ._ i_ .. Committee - LL de b e �-t-i on Ma ,L VExpires � Town of Barnstable *Permit# 6 6 months from issue date X-PRESS PERMIT Regulatory Services Fee ��-- Thomas F.Geiler,Director AUG 3 0 2006 Building Division C TOWN OF BARNSTABLE Tom Perry,CBO, Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.bamstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY Not Valid without Red X-Press Imprint Map/parcel NumberS7 Property Address 3W4 /'IM2:4 S'f' ,G 1 6 4- 13apt-ST46 [p4esidential Value of Work t ��d Minimum fee of$25.00 for work under$6000.00 Owner's Name&Address -T- W. `iyonsck- \Y'. 31A l /Z12'6a 'St / ( �►� 2��p Contractor's Name w `', e�y Telephone Number �M•30"4177 g Home Improvement Contractor License#(if applicable) ��S Construction Supervisor's License#(if applicable) 01 ❑Workman's Compensation Insurance Check one: I am a sole proprietor I am the Homeowner ❑ I have Worker's Compensation Insurance Insurance Company Name _ t�Q_ Workman's Comp.Policy# Copy of Insurance Compliance Certificate must be on file. Permit Request(check box) ❑ Re-roof(stripping old shingles) All construction debris will be taken to ❑Re-roof(not stripping. Going over existing layers of roof) Re-side 24 mgvm -k-ea M. 662!1 is sxPe ..) Fz&(eK%tN%' ❑ Replacement Windows/doors/sliders. U-Value (maximum.44) *Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. ***Note: Prop rty weer must sign Property Owner Letter of Permission. A co f the H e ro e Contractors License is required. SIGNATURE: ' Q:Forms:expmtrg Revise061306 e Gommonwealth of Massachusetts Department of Industrial Accidents Office.of Investigations 600 Washington Street Boston,MA 02111 `�M 5�•'' www massgov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers kpplicant Information Please Print Legibly dame. (Business/organization/Indidual): Address: City/Stat Phone#: ( ��S' �� - `E�' 7 17 .re you an employer? Check the-appropriate box:. Type of project(required):- El I am a employer with 4, ❑ I am a general contractor and I 6. New construction employees(full'and/or part-time).* have hired the sub-contractors[ I am a sole proprietor or partner- 7 Remodeling listed on the attached sheet t ❑ g !! ��ship and have no employees These sub-contractors have 8. ❑ Demolition working for me in any capacity. workers' comp.insurance. 9. ❑ Building addition [No workers' comp. insurance 5. ❑ We area corporation and its 10.❑ Electrical repairs or.additions required.) officers have exercised their ❑ I am a homeowner doing all work right of exemption per MGL 11.❑ Plumbing repairs or additions myself. [No workers' comp. c. 152, §1(4), and we have no 12.❑ Roof repairs insurance required.] t employees. [No workers'' 13.0 Other comp.insurance required.] ny applicant that checks box#I must also fill out the section below showing their workers'compensation policy information `• fomeowners.who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such mtractors that check this box must attached an additional sheet showing the name of the sub-contractors and their workers'comp,policy information. . cm an employer that is providing workers'compensation insurance for my employees. Below is the policy andjob site Formation. ,urance Company Name: licy#or Self-ins.Lic..#: Expiration Date: b Site Address: City/State/Zip: tach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). ilure to.secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a e 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 up to$250.00 a day against the violator. Be advised that a copy of this statement maybe forwarded to the Office of iestigations of the DIA f ' once coverage verification. 'o hereby certify un ins nalties of perjury that the information provided above is true and correct attire:. Date:. one 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): I.Board of Health 2..Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6. Other Contact Person: Phone#: Information and Instructions lassachusetts General Laws chapter 152 requires all employers to provide workers' compensation for their employees. s arsuaut to this statute, an employee is defined as"...every person in the service of.another under any contract of hire, xpress or implied,oral or written." \ °� artnej association,corporati 'or other legal entity,or any two or more m employer is defined as an individual,:p ,.. hip, f the foregoing engaged in a joint enterprise, and including the legal repre tatives of a deceased employer,or the eceiver or trustee of anindividual,partnership,association or other legal ntity,employing employees. However-the wner of a dwelling house.having not more than three apartments and wh resides therein, or.the occupant of the welling house of another who employs persons to do maintenance, co -traction or repair woik•on such dwelling house r on the Bounds or building appurtenant thereto shall not because of s,ch employment be deemed to be an employer." 4GL chapter 152, §25C(6)also s• es that"every state or local lice sing agency shall withhold the issuance or enewal of a license or-permit to o erate a business or to con stru buildings in the commonwealth for any applicant who has not produced ace ptable evidence-of complia ce with the insurance coverage required." Additionally,MGL chapter 152, §25C(7).states"Neither the co nwealth nor any of its political subdivisions shall mtei into any contract for the performanc\`ofpublic work until ac eptable evidence.of compliance with the insurance -equirements of this chapter have been presentedd to the contrac ' • authority." Applicants Please fill out the workers' compensation affidavit completely by checking the boxes that apply to your situation and,if. necessary,supply sub-contractor(s)name(s),address(es) and one number(s) along with their certificate(s) of insurance. Limited Liability Companies (LLC)or Limited I�i� ility Partnerships(LLP)with no employees other than the members or partners, are not required to carry workers' co m ation insurance. If an LLC or LLP does have employees,a policy is required. Be advised that this a a ' may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also b sure io sign and date the affidavit. The affidavit should be returned to the city or town that the application for the p t or ' ense is being requested, not the Department of Industrial Accidents. Should you have any questions reg ding the la or if you are required to obtain a workers' compensation policy,please call the Department at the er listed be w.. Self-insured companies should enter their. self-insurance license number on the appropriate line. City or Town Officials . Please be sure that the affidavit is complete and printed Iegibly. The Department provided a space at the bottom of the affidavit for you to fill out in time event the Office Tf Investigations has to con t you regarding the applicant. Please be sure to fill in the permit/license number which will be used as a reference niXber. In addition, an applicant' must submit multiple permit/license applications in y graven year,need only submi ne affidavit indicating current that policy information(if necessary)and under"Job Site Add ess"'the applicant should write locations m (city or town)."A copy of the-aftidavit that has been officially stamped or marked by the city or to maybe provided to the applicant as proof that-a valid affidavit is-on file for:futue permits.or licenses..A new affidavi must be filled out each year.Where a homeowner or citizen is obtaining a license or permit not related to any business r commercial venture ie. a do license or permit to bum leaves etc.)said person is NOT required to complete this a - vit. ( g you in advance for our cooperation and should yo ave any questions, would like to thank p The Office.of Investigations w Y i. Y - - please do not hesitate to give us a call. The Department's address,telephone and,fax number: �. The Commonwealt of Massachusetts . Department of Industrial.Accidents a, Office 9f juVestigations 600 Washingfon Street Boston,MA 0211 L. " Tel. #617-727-4900 ext 406 or-1-877-MASSAFE Fax#617-727-7749 evised 5-26.05 www,mass.gov/dia �yi Y o - : - - .. ;+-. k•.nro'±.xv'+2_vi'.t='N ;: u2er'�,,-.v.>rs.-= yr- - '-%'•:::.v.�:: •}-t.;: 'x��:,.v;., t� ��.�,_.k� «<M� .�'�h„�;;�>;:.�-:.�r�..::<:;:fi�:r...r . , ».>:}>2.Yi.:;:-:�,:�i:.��v��.>:>'av_ 09 zo a ...H:'v'::?4>SY.•�;•v;•Y;f•-i}.:0...v.'•:.r n rxn...w:it-:xn v. PRODUCER THIS CERTIFICATE IS ISSUED AS A MAT-TER OF INFORMATION ONLY_ C N G S UM—N THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR RIDER RISK SPECIALISTS ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. INSURANCE AGENCY, INC. COMPANIES AFFORDING COVERAGE P.O.BOX 115 COMPANY - CATAUMET, MA 02534-0115 A PENN-AMERICA INSURANCE COMPANY INSURED COMPANY GEORGE W.• BLAKELY B . P.O. BOX' 2 0 6 COMPANY BARNSTABLE, MA 02630 C COMPANY D - - ,.p r]4.r.3.�v} Y '•:?d:4?? •'1:....,?-.. :.}r:-,iv_ i-YYlr _N.4..L{C \v,�rt� h' ,,,'"3$.2y:�:•.-nv ..t ?rr�.•.' � ��,.._ £, tom'. v ,,��. a'*t_.,���•.:-r.fiCC.2'v:r.•�fiY.,..=:.+..r z. r�G:t,;:*i��'• wv;;u•�l:f-(5. -nt'> Y'3., �tTY r rv' ;�....h;_,t, f,,.r-r-irk w gi'r!} :.+.;.-,�>r: ..Ct,..::n:::,;:.::}l}.,\,chiE•k,--•a'fi.;rt'.; �y.:r l3 K'FY3C /r 3�J>�i s t .? l.& �s ��.1��"3 r. .a ?n-r_4.y_t-lna.�.�� rt r..�}xt-.v, •:}}r�..XYY:xc. G n.<rYr.�_h{.Crlhrr>f 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. Co TYPE OF INSURANCE POLICY NUl118BL POLICY EFFIECME POLICY EXPIRATION LIMITS LTR DATE IMMIDDIM DATE(MT&4)0 YY3 cBYBiAL LIABILITY - GENERAL AGGREGATE s2, 000, 00 X COMMERCIAL GENERAL LIABILITY I PRODUCTS-COMP/OP AGG S1,O 0 0,0 0' CLAIMS MADE a OCCUR PERSONAL&ADV INJURY $1, 0 0 0,a 0' A OWNER'S&CONTRACTOR'S MOT PAC6446630 12/05/06 12/05/07 EACH OCCURRENCE $1, 000,00 FIRE DAMAGE(Any one*e) s5 0, 0 0 0 MED EX ("one peisoN $5, 0 0 0 AUTOMOBILE UABiUTY ANY AUTO COMBINED SINGLE LIMIT S ALL OWNED AUTOS BODILY INJURY $ SCHEDULED AUTOS Wer person) HIRED AUTOS BODILY INJURY $ NON-OWNED AUTOS (Per accident) PROPERTY DAMAGE $ GARAGE LIABILITY AUTO ONLY-EA ACCIDENT s ANY AUTO OTHER THAN AUTO ONLY: I EACH ACCIDENT $ AGGREGATE $ EXCESS LIABILITY EACH OCCURRENCE $ UMBRELLA FORM AGGREGATE $ OTHER THAN UMBRELLA FORM S WORKERS COMPENSATION AND TVC ORS TA ITS ER EMPLOYERS"LIMLn Y EL EACH ACCIDENT $. THE PROPRIETOR/ INCL PARTNERS/EXECUTIVE £L DISEASE-POLICY LIMIT 8 OFFICERS ARE: EXCL EL DISEASE-EA EMPLOYEE S OTHER DESCRIPTION OF OPERATIONSIIACATIONSAfmc ispW(AL ITEMS m_.. �,.sic:M1x .,�.tr:.:'•`::�;.-ti' '.=i+tea<y" :,%�::�:-'+tis.::.:..rt{-:^s=.r -::,,` .2: - `•:fk 1' t Yr., �i'�!::.<?Y•r. r'�$� n.-'\L7.-••- 'x G4ti%.^r.":rYga'� w,�;,• .)'`5,'- ... .- sf.• �:,i._ r_T- }'}'ti:.>r:,..--rt? -.., fi>,'}t - 3M -,I!T l••�lv` +S� r.:h• : s hln. ir -::{ltv yt-:) ?Y +-:,•.. 4�4., W.sC>':w•Y.;•:: -:Y:i!.L::A•.vr.. :,,,•:::�>.,r.,;a,-:._,..:..: �.. :rr.:..trrt;'';::::::•r.,�.,- ..� r�S,iifi;�3-�r.Y�r�.,,��i.S'+�i7.:4 !;ari�..,aS��_. .},.,,...».,., .r:r.....��„-n+,..,....._"rtr._.�i..2Y..'�ec"£+3+Lv v,_. r`%:tea`Y�:•� SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF. THE ISSUING COMPANY WILL BIDEAVOR TO MAIL 10 DAYS WfMER NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LET. BUT FAILURE TO MAIL SUCH NOTICE SHALE POSE NO OBLI OR LIABILITY OF ANY KI19D UPON PANY. A ENTATIVES. AUTHORIZED RE $11TA :...:-.•-r-r,•r,:-:_ _r.,-:.,•::•....,,...,.r..:_r,.:::.,v-:-,.::r::r..r•::xr-- '._..--"-„-r,-:::.-r::- ..,..._. - +r?w - .r_f.Y�t'f.-}>•lrM - -:-�\i.vA::"v'Jfri �Zvr i"tY�. ,:i''w"fr::.i- 'r4, .zTi:`i_-";a^::oi_ ��� .. .r-.- ,h::•.::,C-;c-..r,.,n -^�:^.:-:: ., -_!�:r!.�?ryrn,ac2'.-:`f^z-'i .x r - _r..v'`.,�Y- .u.e' - - :,r:�� :f'�Yi?'r' �'itio-•• a .,!rl ��M.•: �_a.-_lF.- �:�_..__-r.........:...nw.ri.r:,:..::?>.-.vrta-.va:,-_.._h_:.rr1•..?.....:rr.n:_...:e$ti.._..........._.....r...}....�.._._.v..-�.1~.•J,- a•.--�..,vv..r.,r.....,_...._..._..... ...,-h,-".t.... __ ,per ✓�-� � ��� Board of Building Regulations nd Standards HOME IMPROVEMENT CONTRACTOR Registration:`104514 Expiration 7/14/2008 Type Ind"i- GEORGE W.BLAKELY George Blakely 130 Redwing Ln/P O Boz Barnstable,MA 02630 - Deputy Administrator ✓fie Toanvinoortueau�i �,{�,/��ac�%u6P.t� ' BOARD OF BUILgING REGULATIONS License: CONSTRUCTION SUPERVISOR Number CS, 014344 Birthdate 03120/1950 I ,< Expires.03/20/2008 Tr.no: 14015 Restricted 06-- GEORGE W BLAKE, y 130 REDWING LNIPO BOX.206 // 02630 BARNSTABLE. MA Commissioner , J L , Q Town of Barnstable °^ Regulatory Services 9 Ms�i$� Thomas F.Geiler,Director n 39. Ate. Building Division Tom Perry, 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 I, v��� 1, ,0�6�/✓�lit , as Owner of the subject property hereby authorize_ ��, (�, . �, , to act on my behalf, in all matters relative to worfauthorized by this binding permit application for: (Address offob) GZ- � ,;� S' aafore of Owner DaVe Print me Q TO RM&O W NERP ERM I S S ION y Assessor's office(1st Floor): r7 C) Assessor's map and lot number ' Conservation(4th Floor): ✓ v 4All ��P' •w Board of.Health(3rd floor): t ssa»r�act Sewage Permit number FI£µ ,,,,,K Engineering Department(3rd floor): �1630'���� House number o ebr Definitive Plan Approved bj Planning Board 19 i APPLICATIONS PROCESSED 8:30-9:30 A.M.and 1:00-2:00 P.M.only TOWN OF ` BARNSTABLE ' BUILDING INSPECTOR :IR APPLICATION FOR PERMIT TO Restoration & Repair TYPE OF CONSTRUCTION W n n rl F r a m P ` - 29 19 �L4 TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location 3641 Main St. . Rnut.P hA . RarnstablP . MA Proposed Use Residential Zoning District Fire District r�x Name of Owner Tylee Stoesser Address NameofBuilder Can The ,PvPI Cornnany Address RD Rnt r�:risP Rd Hyannis, MA 02601 Name of Architect N/A Address N/A Number of Rooms N/A Foundation Exterior Wood Cedar Shi ng1 Ps: Roofing Asxa11a1 t Floors Interior Heating Plumbing Fireplace Approximate Cost Area Diagram of Lot and Building with Dimensions Fee l_ 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. Name Constructior�S�lpervisor's License n � No -A*84_ Permit For On the I - Level Company Location 3641 Main St. (Rte. 6A) Barnstable Owner Tv lee Stops--- Type of Construction Plot Lot A=317-041 Permit Granted May 2 1 g 94 Date of Inspection: Frame ` 19 - _ Insulation 19 Fireplace 19 .. Date Completed 19 t I - • ram. , ,r t } { 9 COM F .f ite eertif,cotos d 66 may be %ssued ands..A..ad..B_._...as shown hereon LAND REGISTRATION OFFICE Coue't srvT.03. 1943. / Seo4 of Ali ion 10 feet to .e;ach ', e CdNwvwsr. forwr AW Cow&. A.Z941. Recorder. Qe 41-•- s yJ�,.►IAM , � f,, Ob r' •L�l sD. ```'`"�� 'It log" AId.h,lot t � 36Y� may« St '��,y`- ,ti, �►, d� . '; ►3��sta.6le �4� �y •�. t� OIK�!•teiw --.-� -� � Za-ot:�w 27.36�• � `;��, A p • /f i 'ram. 51'1•?s'•Xowo el- OV40 • .A Y William A. Jones � aucdivisi:on of Laud shown on Plan 14172A F:lei with Ge_t• of Title :io. 2301 ReSistr,* District of Barnstable County Ga" ?eat. le 1943• :Ielson 2earse, C. E. Assessor's office(1 st Floor): r., Assessor's map and lot number o� To Conservation Board of Health(3rd floor): " Sewage Permit number 9z DARISz.UZ � rua Engineering Department(3rd floor): eo 'a39- House number 6'S (sC��� �oar'r► 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 INSPECTOR APPLICATION FOR.PERMIT TO i I OCA p l-0, TYPE OF CONSTRUCTION 19 9� TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: ` Location 3 ro `r'Wa� SL e czti) 13 ct-1 ✓l:s 6 / Proposed Use _ z° S d-p—, Zoning District t ) F Fire District r )a r' yl 5 . Name of Owner cL 1 Q,` F ��( l�-� SToeSS r Address low 3 / 7 &Zen- 2p // /� Name of Builder 042e Ana,.oJl -All c Address__?4 Z� ��, < �/U u if Name of Architect Address L �1 Number of Rooms //�� Foundation � cm C rn4-5 rc,Te �U/QL/C Exteriors l r r) C' cornp o� S ,fr F�`P S Roofing 4 s � R T Floors Y 6y) C f P T C 5 �� Interior U A I I S Heating Plumbing Fireplace Approximate Cost _- / O/ o©0 , Area _ C �S Diagram of Lot and Building with Dimensions Fee • 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. Name Construction Supervisor's License j a 3 €`STOESSER, RALPH & TYLEE No 34303 Permit For Erilarge Exist. Garage `S1-ng1e _Family Dwelling t Location -3641 Main Street Rte 6A { ` Barnstable ; Ral hr& T lee Sto'sser Owner. py Type of Construction ,Frame Plot-- Lot Permit Granted j anuary 23 , 19 1 92 Date of Inspection { 19 I _ Date Completed 19_ , s i f 1 C. 1 i • I i j 1 1 1 � 1 1 1 � ) QN �E,a, ELE\/AT7oa! r5 , il. }I� jI1 FFF L LLU 1 I C7 H T J.LE )/AT70nl I -IT �-�- I - � IJ t F P i E L.T-- VA-r7 o nJ I Aou FLooW- H WI& MESp oTH yEvn "GONG • LIP EXPOSED Us„eA&E oNt-y F2oyr , TREoJc H Pou2 UNbEle �x005E . GoaCr2ETEflAO 5�op E ►°oV►e- To D0O+2 2EPI-At6 51tLS WI �o10 E�oua)rD> A) o 5 8-o" a v" , a v -o�� a>✓ �p ,, t —— 7_ 1_ - I? EX:77 E7(t yn wI4 FC VR PL W DI� AUD DODIHLi ,UEW A•yPH I ��I1 *2Y�GA2nGE... \g� - 2 A x 4 dXS NEADt2Cj O�E2 I � G DOGS Y Wf NDOW I, EI uj c SNINGLf)' 5'77cJ t- - Y a X45 �/G ��• PPt+JT 7v NATcN• c s 7U0 WAll... 7•_O"•� �.TLH-En�yTlx�v Nf, - I (p"COiJC. PoUl2 W/TH � W I,2E M Ef[+ I ROD �NEtJ B`X 6Al2 Ab DOo,'� - ' TKFNLeR cF F0UR P`caN r, ,c5 Loc� VND Exf°o5 FOPMDh770A) WA((- Gon�C C ETr A'e FR OS Tx W101-LID U N D t.eAM/,t)G— G,F/•77l�.c7 �dC.E �✓'-/_O•• If �NEtJ �I tT GOSEO �" EXIST-1 C- A eA I `I 51Afj 8'X2V' GARAGE _. i S N i I 00✓C__._.__.-__.__�.._.... DOOR — orE j1n+V POcQS D•D'� LOOK PLA Ad / LE copy or rt aF pj,n lepsrete certir,'cates of title may be issued T�RATION Off/CffG/S LAND R'or. .Parcels..k.o.nd-fl........as shown hereon EGIS i3,/9t3. Ythe Coupe. Se_ tt erthit von 80 feet fo an inch �.�.O A..� ..�....r:-!-1-di. C.&NLmd+ny, fnginWr for Courf £Pr/1/9#3. Recorder. Qe�K 48- s- swlljoxm �, �•., � u. ' "4 a'Ka,Y 19a hreP7 4b COCa e- �t o P41t r c ma�N St ` .a g+r, 34Y/ 303-11 b'• t�� �_..,��-s-i��3�:c w _—----•�-=--_.Za`O e�s_e�y?7 36 / `•";, Ift Joswu& Ge.e.R was 2o,w �8��i 0fy �. e U > Z 41 �:....,........._.... �f.:.y: o j� � Y ��--.�, �5 tq',�rs_zow._._�---._.• Ire a" CI n W/Yliarn A. ✓ones � . 3ucdivicion of Laird shown on plan 14172 A Filed witH Ce::. of Title No. 2357. Registry ristrict of Barnstable County LAND W B;,R:13Ta7-2L7 Q �� 1943. °� :Ielson 3earse, C. E. Assessor's office(1st Floor): Assessor's map lot num er 1.7 - c�TMc to Conservation v INSTALLED Board of Health(3rd floor): - �T�pO�L� t Sewage Permit number �wl�® House nrumberr �, ylt�1 floor) Tow REGUL C Ho 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 INSPECTOR APPLICATION FOR PERMIT TO p VL-Gk. TYPE OF CONSTRUCTION 19 TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location �� Proposed Use Zoning District / // Fire District Name of Owner Address 15; �AF Name of Builder Address ga Name of Architect Address Number of Rooms Foundation Exterior Roofing Floors Interior Heating Plumbing Fireplace Approximate Cost cpc c_:�.00 Area 1, F Diagram of Lot and Building w' Dimensions Fee �©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. Name in? '+Z �,.J �• �� ti�� Construction Supervisor's License 6WR6C� STOESSER, RALPH No 34975 Permit For BUILD DECK' r� , Single Family Dwelling Location 1 3641 Main Street Barnstable Owner. Ralph Stoesser Type of Construction Frame a Plot Lot , a Permit Granted April 16 , 19 92 - t Date of Inspection 19 Date Completed - 19 ' u p t -ti Y 3 ' i MARTIN aeo T., /LLWORK CODIe Quality Building Products Since 1917 0..�._..._ •rr-r .a 'ptw ..-.-.�. :.0��_._..�s_�_,.�,.r:�. -�ra�'ss'.7��-��"'r-^'F',s.._- r...- ,.:��_�.r•-^_ti^.atw�;'."i:�"-_v:...,:._._.._., ..._. .t, 983 PAGE BLVD. 01 Md �� SPRINGFIELD, MASS. en 0 Cf UN ^�:.,�a.,_..y,�.,�.:t@.n.1as::.'ro.¢ffc_.Llama..:^.,�-��-a_^tF�s:=^."_.�.i.^� .:'r..rr e..^:.3. _.t..rrr-Fi-xc�a:��...� -:.5�n�.^r.�.'--..ate . ..n. 1_.:s..'...� 's'cm• _,x.�. _s.:s..z. DATE: I.�I i JOB tr �f_.2 _ t {•: l t 1 t __ ___ ____j,.-------- ____ # � S i i Y• ,._ _ •_ _ _ s4--------------- r 4 ; _L_ _____-j..___ _S_�__{____�._� �._t.___-_�__ ___i____.S_ _ __ _ ____ ____t_____• _ ____ ___ ____ __ __ ter'' __ oo ir— r ,_ � } --�----fir t�__�._____.�_._� � , _�_______f_,_ �— -_---�--.M__• '__ � _ _ � � j , ANDERSEN&PERMSHIELDt WINDOWS &PATIIO!;DO III FOR COMMERCIAL.&INSTITUTION USE 0 < OWN. OF BAR STABLE MASSACHUSETTS J�oE46s� OWI A38ESSORS MAPS 44 I.C.J�`tOlrr ..{.T � �,.rta+*" ✓ a •. ' �C. = 03GC k /kk• I �- t .n"� Kt. , + nJt 1 ` S r rk°,�Y'(�y"�"• a1r. rl ` f S 19 a .. / 1 � // �!�`r•'AM+11.' fr,y'�� 7 j}4R��S 3t�( o TF. .I� 1 yc t t / u il�t, / e y �S-� ' ,yp•.,grr � aA I "!S ay I \ �, •r1 ,.. -II_L// t0 's i,'. .11�/ . `( �x +� 1 j'� l GI ` tyn tru aa.= +. !,. !<'I f Y.1 (' '1 . }` �p'��r�f�,s �} ��'' �sl�,v, !�,a I > � ;. ;``�. j,8b� •. 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O ,■ EV E I,V E D Atom, ��1 fJ i,�`SSfY'f + y�yy,' j .s 2 r # " t r tht4'(?c R Y �.rr'<'� C rig f�`S f SFP0 991( . � ��• r 1 1. � 1� ti,..�.tlti -vrrl: ►��ja �','rr��+�.lill�e.�4��j11'e r•r�titlm�'x7.1 '/n.�.1'2• A \+ -, ' m�.. � a ` r . r } ...�. �i�t#,syl�l�tw(c}xt"!'���4�g+�����"�n«!��n!'!'�hj�NJr f i.l 4•.1� . 'I 1 �q •i j ,M'7':`ArfS d.rs.«gl...ni..ti„l,\, • w r'� ryT l� y}���/ y ,. . ��. KING1 S HIGHWAY: OLD .. 'i ° {Y 4 7, ^� ;d•�p^ a dl^'�^ ii"'i- Yr Tt' ....�. IsCM A$-8 Mfd.'�X '�l, , "r, t +.'1� 1 .t4.i✓/�T •S}!yf�•t�A*XR x�.�.'k*•"a;r y 4 ;�t � '•I t, i � � -.•�1 y. 4 :.4. , r ! �7yt w.Yrl'•.s•, � +s�fr � s>3�f � • )) 'v �� - t..