Loading...
22-A008 100 Mayflower TerraceTOWN OF YARMOUTH RECEIVED Sy; G s 1146 ROUTE 28, SOUTH YARMOUTH, MA 02664-44 1 DEC 14 2021 Telephone (508) 398-2231 Ext. 1292 -Fax (508) 398-08 6 OLD KING'S HIGHWAY HISTORIC DISTRI�T«Qd**ftf;kF APPLICATION FOR CERTIFICATE OF APPROPRIATENESS Application is hereby made for issuance of a Certificate of Appropriateness under Section 6 of Chapter 470, Acts of 1973 as amended, for proposed work as described below & on plans, drawings, photographs, & other supplemental info accompanying this application. PLEASE SUBMIT 4 CO Pies OF SPEC SHEET(S), ELEVATIONS, PHOTOS, & SUPPLEMENTAL INFORMATION. Check All Categories That Apply: Indicate type of Building: Commercial Residential 1) Exterior Building Construction: New Building Addition Alterations Reroof Garage Shed _ Solar Panels V Other: 2) Exterior Painting: Siding Shutters Doors Trim 3) Signs/Billboards: New Sign Change to Existing Sign 4) Miscellaneous Structures: Fence Wall Flagpole Please type or print legibly: Address of proposed work: 100 Mayflower Ter, S Yarmouth, MA _Other: Pool Other: _ Map/Lot # Owner(s): John Ballas Jr Phone #: (508) 394-9088 All applications must be submitted by owner or accompanied by letter from owner approving submittal of application. Mailing address: 100 Mayflower Ter S Yarmouth MA 02664 Year built: 1950 Email: 100 Mayflower Ter, S Yarmouth, MA Preferred notification method: Phone y Email Agenticontractor: Bruce A Junior Phone #: 732-722-1278 Mailing Address: 20 Patterson Brook Rd. Unit 1 W. Wareham MA 02576 Email: permits.wareham@trinity-solar.com Preferred notification method: Phone Email Description of Proposed Work: Install 7.20kw solar panels on roof. Will not exceed roof panel, but will add 6" to roof height. 18 total panels to be located on rear roof facing away from public view. Signed (Owner or agent): Date: 12/10/2021 Y Ownerlcontraclorlagent is aware that a Jermit iaPeduifed from the Building Department. (Check other departments, also.) If application is approved, approval is sub' to a 16 -day appeal period required by the Act. > This certificate is good for one year from approval date or upon date of expiration of Building Permit, whichever date shall be later. > All new construction will be subject to inspection by OKH. OKH-approved plans MUST be available on-site for framing & final inspections. Rcvd Dale: 1 Amount : 1.o Cash/CK #: a&T79 Rcvd by: L., 5 45 Days: Date Signed: Approved Approved with Modifications Denied Reason for Denial: Signed: 1���7 APPLICATION #: s TOWN OF YARMOUTH RECEIVED T EE` OLD KINGS HIGHWAY HISTORIC DISTRICT COMMI DEC 14 2021 ABUTTERS' LIST YAHNIUU i r Applicant's (Owner) Name: 100 Mayflower Ter, S Yarmouth, MA Property Address/Location: 100 Mayflower Ter, S Yarmouth, MA Hearing Date: 11NI�y Notices must be sent to the Applicant and abutters (including owners of land on any public or private street or way) who's property directly abuts or is across the street from the Applicant. Please provide the Assessor's Tax Map and Lot numbers Rn!IL The OKH Office will send out notices using the addresses as they appear on the most recent applicable tax list. Note: Instructions for obtaining the abutters Map and Lot numbers can be found on the Old King's Highway Department page on the Town website: www.yarmouth.ma.us Applicant Information Abutter Information 8.2018 Map Number Lot Number 11 `i ('191�- Application #: ;!;� -A 0]1,� R `\ .m � -- _ \ 2 LQ s / �- ?� $ w C*4 a T- CF3 \a. ! _ LQ � 0 cm Lq . CD _ m @ � � � 2 — G b a) cn ¥ % © a CD q _ 2 � � � I ƒ ± 2,�-AGS - � k F a. § a [§ {ƒ ®E, .kgk § /tuo } ® is f ! k e 2 - �§r k f!� § ve# ) k - ■ ! k DEC 14 � I *kH&OI \. „ � I ƒ ± 2,�-AGS m ( -;)I SOLAR December 10, 2021 MA, Master Electric Contractor # 21233A MA, Home Improvement Contractor# 170355 Rhode Island Contractors' Registration and Licensing Board Registration No. 39372 Rhode Island Renewable Energy Prof REPC-126 For other jurisdictions, please visit: http://www.trinity-solar.com/about-us/locations-and-licenses Tristan Souza Applications Specialist 20 Patterson Brook Rd. Unit 1 W. Wareham, MA 02576 (732) 722-1278 Tristan.Souza@trinity-solar.com RE: Permit Application for Solar Installation Building Department: Town of Yarmouth Historic District Committee 1146 Route 28 South Yarmouth, MA 02664 RECEIVED DEC 14 2021 YARMOUTH OLD KING'S HIGHWAY Enclosed please find an application and check for 100 Mayflower Terr. Cert of Appropriateness. If you have any questions, please contact me at 508-291-0007 x1231. Check attached Very truly yours, Tristan Souza Applications Specialist Wareham, MA and Rhode Island Offices 1 -877 -SUN -SAVES 20 Patterson Brook Road, Unit 1 Ph: 508-291-0007 Wareham, Massachusetts 02576 Fax: 508-291-0040 www.Trinity-Solar.com w SOLAR NJ, Electrical Contractor business permit number34EB015474DO NJ, HIC reg. # 13VH01244300 For other jurisdictions, please visit: http://www.trinity-solar.com/about-us/locat€ons-and-licenses HOMEOWNERS AUTHORIZATION FORM John � r r (print name) am the owner of the property located at address: 100 Mayflower Ter South Yarmouth Ma (print address) ECEIVED DEC 14 2021 YAhNJUV i; I hereby authorize Trinity Solar Inc. ("Trinity Solar") and its employees, agents, and subcontractors, including without limitation, Trinity solar and air , to act as my Agent for the limited purpose of applying for and obtaining local building and other permits from the Authority Having Jurisdiction as required for the installation of a Photovoltaic System, Battery System, roofing or other Trinity Solar offerings located on my property, applying and obtaining permission and approval for interconnection with the electric utility company, and registration with any state and/or local incentive program(s). This authorization includes the transfer/re-administering, and/or cancellation of any existing permits on file for the purpose of updating/applying with an alternate subcontractor. Without limitation to the generality of the foregoing I specifically authorize Trinity Solar et al. to populate technical details, fill-in, edit, compile, attach drawings, plans, data sheets and other documentation to, date, submit, re -submit, revise, amend and modify application, submission and certification documents ("Approvals Paperwork"), including those for which signature pages are included herewith for my signature, in furtherance of the related transaction, and I am providing any signatures to Approvals Paperwork for purposes of the foregoing. Trinity Solar will provide copies of Approvals Paperwork when submitted. My authorizations memorialized herein shall remain in full force and effect until revoked. I acknowledge that these authorizations are not required to proceed with the transaction and are not a condition of the related agreement included herewith but are being given for my own convenience and benefit in order to expedite the approvals processes. Electric Utility Company: Eversource Electric Utility Account No.: 14680670040 %NNam�e on Electric Utility Account: John S Ballas Jr John..---._ Ballas Print Name October 10. 2021 Date Corporate Headquarters 2211 Allenwood Road Wall, New Jersey 037719 1 -877 -SUN -SAVES Ph: 732-780-3779 Fax: 732-780-6671 www.trinity-solar.com FOR INFORMATION ABOUT CONTRACTORS AND THE CONTRACTORS' REGISTRATION ACT, CONTACT THE NEW JERSEY DEPARTMENT OF LAW AND PUBLIC SAFETY, DIVISION OF CONSUMERS AFFAIRS AT 1-888-656-6225. - z 114FDoomooiKm�Fsn$am��mg�mr$Anmm i o pper" L��w oxn�m z� � p.� ° az�F7 o�p�m��a�ozzzm�sw"m�oow�mS � w Fin L-mopP�o S� P'^"'n�aF z'm5zz gmy w n � pp aS�,°pOH^° S�i�nP7 g�am�a�c��F��o�m000gm�ovoo o�y0 w °S�yms1 b° L°"Pnm�pP �m�0Pz EE fi°��a� � zg zFo � p ai F>�9`S r°c_ zpi �e nygai iso ��DVVV RRi m nn m� mixt'°" iii c moYow �a� 'MOP >F w HAM � irFGz�` a O azo Fm 03 Pm#s �m 21 O T �/WAY TZ ° vAr`�'n��am�OSZv2��a£C�)y�OR gyg n��O�mOCY1KKmAR y � 7 � mPyos m'�o �+Oi�-nwi g�goo��g Ln �� n^z'o$`°��fzows �woo�$w n lam= z m Sm<i�9"=��T y �.%% Pa � F�pzR S'n �";�m �w�mg�pf��= oy�a';"oan °ms13S in;m gc� M N m�z °ra m nib gww w>PnP+ �mmm 9y e�mo $QA "$ip�AoSq D Q ~ `P_ =m z wL O Nzn cmc m .,v 27". q �in'm cm Ha m� mp Pgo $ n$ o �izTOOma�moOn � ga�mw'"'�'��Pyi�mng nn g P c" �p��5�;b �Ts�i��5 v$�ign a T R s n ��� aya'i���$5„ . A o Z$msFFoo� P �� EFF nyz a zg<-zlf�zam w a�s�;rz0£^y}"$y n r imi Ei E % $z9mmm omm°° C °=Fop .oa9m�ppr C z �°mA2� zF me b P Doo c)) L R 22 jj Fmpm �e� m i C ah mPya�y24]°y2 ao2 TyA y F n0 $ fl-q <a hi P .mTiC ay r 5 - m n C C C C 2 1,w v1 m m omCoo p zOM�m x Xn�2 m m r0K* DC7 MK0� m mz 0z D� mm m� o z ��o n C) v R, ml op • z- rn m CO M E P P,0 �e m > • C �S000'^Rw m9g❑ a a v o o � SS St 2 H N P S W o ^ o _ D m � m p'y 1 ea mh RECEIVE D $n DEC 1 4 221 an ijO _ �g O p�p�10mC mP; L rSop s FFgD CTf GI � m_> YAhlvivU I t1 mo¢ op ">p s m cmnP a 1m i --fin$ g x o goy" OLD KINGS HIGHWAY$# o I:. om€ gw - 2 mm Hum.-.��� �_� ins€ ��s �� me o R$ �g N M z � s ' pgoi A. o);)H om A f Nr2 024 cF vi6 / ° 1 p❑ N ply T8 U8 mu � � 4 p9 v� � 9a ^iS 5 ''•3R F mRE Ip cl m � b m g m i z r n O � � CNf 0 P aae^c z m mo c S p x r m m o � N x m A A ❑ a o 3 S s � m to S iy fy Sp I Zl K O SF cl A a Ew e O 1 • 3 w 3 � Nap o F i >AlaE "'n o Un � Z azo az`" m"$N §68p 2o_o °`' 818S�am .�'".i,Nz� �m:a�'�e m��� S C 4HI ��' v<Za S 8 m `-a rg I N� ? "�� Am i -°sm° P . op m nma= mg �R fE i„zyamg wy�� zoz oo�r�;"' 2+.i O �'^Nr�.g emmmn ripm�� U -r. T'^°c$ E M., Sa'"m _ p N m Z p 'b'cvg Kzi5 �p t xp .. gp3 �i. ig Apg 86 08 ZA _ G=om='E'�`� Ob�z8fo �y? mm h �- ,'p8g°-n S c§Q^z_�~ O p a$8 �G^� zSy � off° Dvo3 AAOp3sxN 9E” '� a� 3-. Nzam- Qn;O ^zm3v -i �u A n m p n .uc uy P Wy _ io a y3 �m�� n n.� -jx 1. �Om � � o b °m vc+0 AOcaOu'^ A� c ��a °m �poV x j'saa aoi �"m 'IVR, ago 94n -G g ~q �� 8�y" -Tog om_ NZ2�a �T=m o;y orcin§ is Y A .1< ~ g m 3 c� o f _TJ 5=>4 °9p T c9° `°� '^ e 4 Sm4�f� A°2,mn nii° no6� Nimspii ;,fig soN� v9&csn3 ams` yg of;a �N=a =gz :: o RED A �aR 3 m g _44 of °'^ S9z mz m zzzC?io c�F ae� I.gob- S, �'o x,m m'Ai zicN a p �" � oho �a foo a �8=H N8o $xuGsp� V �3,mm a^°3 m �-�m�Z u s '^�i �a npmo� i"�] N9 po T°y �.. vO 23cv a=� imp p zoo z^'^ Z �jC SS 8z, maa �O'� �C r£m izc 9o;Nc c33mn ica m c o o t O 2 78 O 8 9 C F o s 5 _ E o )j ffi L Dn M }) n 3 3 R 3 3 x x g � �Si sy o a -a m nc 33 - p0 ca Mnc TMAL FC 4 m X 3t c R�y� f- N 0. r mo 03 mii E A m' N ^ m7 3'g o33 3 �S z� HA L^ _ g EQ me '�oO ca f _TJ V s�mmo N - mp8 � 3 a p i a V acr C JCn u s s c m 's � m c o o F o s FC 4 m X 3t c R�y� f- N 0. r mo 03 mii E A m' N ^ m7 3'g o33 3 �S z� HA L^ _ g EQ me '�oO ca f _TJ V s�mmo N 10 t201140V ECIV D DEC 142 1 YAHIVIOU I r o mii E A m' N ^ m7 3'g o33 3 �S O L^ _ y f V s�mmo m - mp8 � 3 a p a V acr C JCn c m � m c s 5 o ffi L NON ANW ,4 I CD GAK 0 0 rD I Ave, AD 41-1 Pr rot .... ! . F _ � ,,,u,.s.� rem �3 � - �� i 1��: l � �� .l 1 � � � � '}, F; ,t � � �,_-� m m m i 701 tA g� On L GG f m z j q N i g, m `C �YY n- io 2 D � T 2 $ m r N ec s M om � ` O � toga 2Q m C 7fi9 A O m O z n Zbzi m HM I r ML i s M A`oRo® CERTIFICATE OF LIABILITY INSURANCE FDATE( JDDNYYY) CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, 0/2021 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: Mark GraselaPHONEFax Arthur J. Gallagher Risk Management Services, Inc. MED EXP (Any one person) S5,000 4000 Midlanlic Drive Suite 200 o Ex : 858-482-9900 ac Ru: 856-482-1888 ac No, Mount Laurel NJ 08054 nooREss: CherryH!11.BSD.CertM@AJG.com PERSONAL BADVINJURY 51,000,000 _ INSURERS) AFFORDING COVERAGE NAIC # INSURER A: Gotham Insurance Company 25569 INSURED TRINHEA-03 INSURER B: National Union Fire Insurance Company of Pittsburg19445 Trinity Solar Inc. OTHER: 20 Patterson Brook Road, Unit 1 INSURER C: Endurance American Specialty Ins Cc 41718 INSURER D: Liberty International Underwriters _ W, Wareham, MA 02576 AUTOMOBILE LIABILITY INSURER E i INSURER F: GOVERAGES CERTIFICATE NUMBER: 1248630518 REVISION NL1MRFR- 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 1 rypE OF INSURANCE �AOPLISUBR POLICY EFF POLICY EXP LTR POLICY NUMBER MMIDD= MMIDD LIMITS A X COMMERCIAL GENERAL LIABILITY CLAWS -MADE OCCUR Ifl AUTHORIZED REPRESENTATIVE GL202100013378 61112021 8/1/2022 EACH OCCURRENCE _52,000,000 I DAMAGE TO RENTED PREMISES Ea occurrence $ 100,000 .� I MED EXP (Any one person) S5,000 _I PERSONAL BADVINJURY 51,000,000 _ GEN'L AGGREGATE LIMIT APPLIES PER: POLICY LJ PEr_0T_ LOC GENERAL AGGREGATE $ 2,000,000 PRODUCTS -COMPIOPAGG__ 52,000,000 OTHER: I S B AUTOMOBILE LIABILITY i CA 2960145 6/112021 6/112022 COMBINED SINGLE LIMIT $ 2,000,000 Ea accident i X ANY AUTO BODILY INJURY (Per person) $ OWNED -- SCHEDULED _ AUTOS ONLY AUTOS BODILY INJURY (Per accident) $ HIRED NON -OWNED AUTOS ONLY AUTOS ONLY PROPERTY DAMAGE Per accident)$ $ _ A D X UMBRELLALIAB EXCESS LIAR X OCCUR CLAIMS•MADE EX202100001871 611/2021 ELD30006989100 6!112021 1000231834-05 611/2021 6/1/2022 6/1/2022 611/2022 EACH OCCURRENCE $5,000,000 AGGREGATE $ 5,000,000 DED RETENTIONS _ Limit x of 55,000.000 $19,000,000 B i I WORKERS COMPENSATION ANO EMPLOYERS' LIABILITY YIN ANYPROPRIETORIPARTNEWEXECUTIVE ❑ OFFiCERIMFMBER EXCLUDED? N1A� WC 13588107 ! 611/2021 li 6/1/2022 PER OTH- l_ i STATUTE ER r _ E.L. EACH ACCIDENT 1 51,000,000 IIf (Mandatory In NH) yes. describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - FA EMPLOYEEI S 1,000,000 -� _- -- --- E.L. DISEASE -POLICY LIMIT S 1,000,000 R Automobile CA 2960146 Comp/ Collusion Ded. 6/112021 6!1!2022 All Other Units $2501500 Truck -Tractors and Semi -Trailers $2501500 DESCRIPTION OF OPERATIONS I LOCATIONS 1 VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) w �� f+ Evidence of Insurance. ■1 �_ �ED DEC 14 2021 I AriN.U"U'i r " r� KING'S HIGHWAY CERTIFICATE HOLDER CeNCFI I ATIAN ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD "Av� SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. Evidence of Insurance AUTHORIZED REPRESENTATIVE .� I ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD "Av� RE6i D The Commonwealth of Massachusetts flL z Department of Industrial Accidents Office of Investigations YAF� MO j-, Lafayette City Center OLD KING'S HIGHW 2Avenue de Lafayette, Boston, MA 021114750 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information - Please Print Legibly Name (Business/Organization/Individual): Trinity Solar Inc Address: 2211 Allenwood Road ctty/State/Zip: _ Wall, New Jersey 07719 Phone #: (732) 780-3779 Are ou an employer? Check the appropriate box: l . I am a employer with 300 4. ❑ I am a general contractor and I employees (full and/or part-time).* have hired the sub -contractors 2. ❑ 1 am a sole proprietor or partner- I isted on the attached sheet. ship and have no employees These sub -contractors have working for me in any capacity, employees and have workers' [No workers' comp, insurance comp. insurance.= required.] 5. ❑ We are a corporation and its 3. ❑ I am a homeowner doing all work of ricers have exercised their myself. [No workers' comp. right of exemption per MGL insurance required.] t c. 152, § 1(4), and we have no employees. [No workers' comp. insurance required.] Type of project (required): 6. ❑ New construction 7. ❑ Remodeling 8. ❑ Demolition 9.L]Building addition 10.§rElectrical repairs or additions 11.0 Plumbing repairs or additions 12-0 Roof repairs 13. ED Other -nny appucant tnat cnccks uox n 1 must also tin 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 anew affidavit indicating such. *Contractors that check this box must attached an additional sheet showing the name of the sub -contractors and slate 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 lite policy and job site information. Insurance Company Name: American Guarantee and Liability Ins Co Policy # or Self -ins. Lie, #: WC 13588107 Expiration Date: 06/01/2022 Job Site Address; .._ _ 100 Mayflower Ter City/State/Zip: S Yarmouth, MA 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. 1.52 can lead to the imposition of criminal penalties of a fine up to $1,500.00 and/or one-year imprisonment, as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to $250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereb,}ertffy;tn r the pains and penalties of perjury that the information provided above is true and correct Phone #: (508) 291-0007 Official use only. Do not write in this area, to be completed by city or town official. City or Town: Permit/License # 12/09/2021 Issuing Authority (check one): 1013oard of Health 211 Building Department 3.00ty/Town Clerk 4.11 Electrical Inspector 50Plumbing Inspector 6.00ther Contact Person: Phone #: 9 - 1 DJ � g f \ $ > 7 § 2 m E � \ LO co \\ (P 'A , 7 0 C)_ k_ k§k )wCO § "Al 227 ~ k/ q « —zjpy ¢ ƒ ƒ ]� a � k k z 2§)2� ; 7§�!Cog � Ln UX S 5 &g2§. 2 § U . o) � : } ~ §§5 2 ko «/R§�� L) \/ )) E >� §§ƒ 2`) § 4/ ®}§ 2 k w CL 2 « / k L) §CL( ^ \ / § 2 ° I � g f \ $ > ) � e � \ _ (P 'A , m ak� \k 0 i!@k , § "Al ; e 2l _ —zjpy > «lo--� z 2§)2� ; 7§�!Cog � Ln UX S 5 ��oecoo R IVE0 §[[142021 *ke+Uo%w_., ?,�)-14� $ > \ ] �| 0 \k § "Al \B)2k� —zjpy «lo--� 2=oa § § 68 toLU / 5 Gr�i� )`��/ o) §§K&�m ~ §§5 2 ko )# L) \/ )) /2 §§ƒ 2`) § 4/ ®}§ 2 « / k L) §CL( R IVE0 §[[142021 *ke+Uo%w_., ?,�)-14� 1. Commonwealth of Massachusetts Division of Professional Licensure Board of Building Regulations and Standards ConstructioR.Sb0Iill{{iM;,1 & 2 Family CSFA-067981 61cires:0711312022 BRUCE A JUNIOR 1 S SOMERVIUP ST MARSHFIELOPA 0 r Commissioner RECEIVE[ DEC 14 2021 i r l iviUu I n ,4 OLD KING'S HIGHWAY p -11%q