950 CMR: OFFICE OF THE SECRETARY OF THE COMMONWEALTH

APPENDIX AMASSACHUSETTS HISTORICAL COMMISSION

220 MORRISSEY BOULEVARDBOSTON, MASS. 02125

617-727-8470, FAX: 617-727-5128

PROJECT NOTIFICATION FORM

Project Name: ________________________________________________________________________________

Location / Address: ___________________________________________________________________________

City / Town: ________________________________________________________________________________

Project Proponent

Name: ______________________________________________________________________________________

Address: ____________________________________________________________________________________

City/Town/Zip/Telephone: _____________________________________________________________________

Agency license or funding for the project (list all licenses, permits, approvals, grants or other entitlements beingsought from state and federal agencies).

Agency Name Type of License or funding (specify)

Project Description (narrative):

Does the project include demolition? If so, specify nature of demolition and describe the building(s) whichare proposed for demolition.

Does the project include rehabilitation of any existing buildings? If so, specify nature of rehabilitationand describe the building(s) which are proposed for rehabilitation.

Does the project include new construction? If so, describe (attach plans and elevations if necessary).

5/31/96 (Effective 7/1/93) - corrected 950 CMR - 275

950 CMR: OFFICE OF THE SECRETARY OF THE COMMONWEALTH

APPENDIX A (continued)

To the best of your knowledge, are any historic or archaeological properties known to exist within theproject’s area of potential impact? If so, specify.

What is the total acreage of the project area?

Woodland ______________ acres Productive Resources:Wetland________________ acres Agriculture _________________ acresFloodplain______________ acres Forestry ___________________ acresOpen space______________ acres Mining/Extraction ___________ acresDeveloped ______________ acres Total Project Acreage_________ acres

What is the acreage of the proposed new construction? _________________ acres

What is the present land use of the project area?

Please attach a copy of the section of the USGS quadrangle map which clearly marks the project location.

This Project Notification Form has been submitted to the MHC in compliance with 950 CMR 71.00.

Signature of Person submitting this form: _________________________________Date: ____________________

Name: ______________________________________________________________________________________

Address: ____________________________________________________________________________________

City/Town/Zip: ______________________________________________________________________________

Telephone: __________________________________________________________________________________

REGULATORY AUTHORITY

950 CMR 71.00: M.G.L. c. 9, §§ 26-27C as amended by St. 1988, c. 254.

7/1/93 950 CMR - 276

B E A L S + T H O M A S

Digital USGS Map of Medfield, MA, dated 1987, provided by the Officeof Geographic and Environmental Information (MassGIS), Commonwealthof Massachusetts Executive Office of Energy and Environmental Affairs.

MEDF

IELD

WALP

OLE

Assisted Living FacilityMedfield, Massachusetts

LCB Senior Living3 Edgewater Drive, Suite 101

Norwood, MA 02062

Scale: 1" = 2,000' Date: 05/06/2015

Source File 217704P032A.mxdB+T Project No. 2177.04

Locus MapFigure 1

NORTH

North Arrow

COPYRIGHT (C) BY BEALS AND THOMAS, INC.ALL RIGHTS RESERVED

FEET

Z0 2,000 4,0001,000

Civil Engineers + Landscape Architects +Land Surveyors + Planners +Environmental Specialists

BEALS AND THOMAS, INC.Reservoir Corporate Center144 Turnpike RoadSouthborough, Massachusetts 01772-2104T 508.366.0560 | www.btiweb.com

Civil Engineers + Landscape Architects +Land Surveyors + Planners +Environmental Specialists

BEALS AND THOMAS, INC.Reservoir Corporate Center144 Turnpike RoadSouthborough, Massachusetts 01772-2104T 508.366.0560 | www.btiweb.com

Civil Engineers + Landscape Architects +Land Surveyors + Planners +Environmental Specialists

BEALS AND THOMAS, INC.Reservoir Corporate Center144 Turnpike RoadSouthborough, Massachusetts 01772-2104T 508.366.0560 | www.btiweb.com

Civil Engineers + Landscape Architects +Land Surveyors + Planners +Environmental Specialists

BEALS AND THOMAS, INC.Reservoir Corporate Center144 Turnpike RoadSouthborough, Massachusetts 01772-2104T 508.366.0560 | www.btiweb.com

FIRST FLOOR

188' - 0"

SECOND FLOOR

200' - 0"

THIRD FLOOR

211' - 0"

T.O. PLATE

221' - 8"

ROOF STRUCTURE

223' - 0"

35' -

0"

1' -

4"

10' -

8"

11' -

0"

12' -

0"

FIRST FLOOR

188' - 0"

SECOND FLOOR

200' - 0"

THIRD FLOOR

211' - 0"

T.O. PLATE

221' - 8"

ROOF STRUCTURE

223' - 0"

1' -

4"

10' -

8"

11' -

0"

12' -

0"

FIRST FLOOR

188' - 0"

SECOND FLOOR

200' - 0"

THIRD FLOOR

211' - 0"

T.O. PLATE

221' - 8"

ROOF STRUCTURE

223' - 0"

1' -

4"

10' -

8"

11' -

0"

12' -

0"

35' -

0"

FIRST FLOOR

188' - 0"

SECOND FLOOR

200' - 0"

THIRD FLOOR

211' - 0"

T.O. PLATE

221' - 8"

ROOF STRUCTURE

223' - 0"

1' -

4"

10' -

8"

11' -

0"

12' -

0"

FIRST FLOOR

188' - 0"

SECOND FLOOR

200' - 0"

THIRD FLOOR

211' - 0"

T.O. PLATE

221' - 8"

ROOF STRUCTURE

223' - 0"

12' -

0"

11' -

0"

10' -

8"

1' -

4"

FIRST FLOOR

188' - 0"

SECOND FLOOR

200' - 0"

THIRD FLOOR

211' - 0"

T.O. PLATE

221' - 8"

ROOF STRUCTURE

223' - 0"

1' -

4"

10' -

8"

11' -

0"

12' -

0"

D E V E L O P E R :

A R C H I T E C T : The Architectural TeamScale : 3/32" = 1'-0"

P-102__ELEVATIONSLCB AT MEDFIELD LCB SENIOR LIVING

361 MAIN STREET, MEDFIELD, MA

03/23/16

14106

Scale : 3/32" = 1'-0"20

ELEVATION - EAST C - 30TH SCALE

Scale : 3/32" = 1'-0"22

ELEVATION - WEST C - 30TH SCALE

Scale : 3/32" = 1'-0"21

ELEVATION - WEST B - 30TH SCALE

Scale : 3/32" = 1'-0"12

ELEVATION - NORTH B - 30TH SCALE

Scale : 3/32" = 1'-0"10

ELEVATION - NORTH A

Scale : 3/32" = 1'-0"11

EAST ELEVATION - PART C

FIRST FLOOR

188' - 0"

SECOND FLOOR

200' - 0"

THIRD FLOOR

211' - 0"

T.O. PLATE

221' - 8"

ROOF STRUCTURE

223' - 0"

1' -

4"

10' -

8"

11' -

0"

12' -

0"

FIRST FLOOR

188' - 0"

SECOND FLOOR

200' - 0"

THIRD FLOOR

211' - 0"

T.O. PLATE

221' - 8"

ROOF STRUCTURE

223' - 0"

1' -

4"

10' -

8"

11' -

0"

12' -

0"

FIRST FLOOR

188' - 0"

SECOND FLOOR

200' - 0"

THIRD FLOOR

211' - 0"

T.O. PLATE

221' - 8"

ROOF STRUCTURE

223' - 0"

FIRST FLOOR

188' - 0"

SECOND FLOOR

200' - 0"

THIRD FLOOR

211' - 0"

T.O. PLATE

221' - 8"

ROOF STRUCTURE

223' - 0"

1' -

4"

10' -

8"

11' -

0"

12' -

0"

FIRST FLOOR

188' - 0"

SECOND FLOOR

200' - 0"

THIRD FLOOR

211' - 0"

T.O. PLATE

221' - 8"

ROOF STRUCTURE

223' - 0"

1' -

4"

10' -

8"

11' -

0"

12' -

0"

FIRST FLOOR

188' - 0"

SECOND FLOOR

200' - 0"

THIRD FLOOR

211' - 0"

T.O. PLATE

221' - 8"

ROOF STRUCTURE

223' - 0"

1' -

4"

10' -

8"

11' -

0"

12' -

0"

D E V E L O P E R :

A R C H I T E C T : The Architectural TeamScale : 3/32" = 1'-0"

P-101__ELEVATIONSLCB AT MEDFIELD LCB SENIOR LIVING

361 MAIN STREET, MEDFIELD, MA

03/23/16

14106

Scale : 3/32" = 1'-0"30

ELEVATION - SOUTH - 30TH SCALE

Scale : 3/32" = 1'-0"21

MAIN ENTRANCE - S-E ELEVATION - 30TH SCALEScale : 3/32" = 1'-0"

31ELEVATION - EAST A - 30TH

Scale : 3/32" = 1'-0"10

ELEVATION - EAST-30TH

Scale : 3/32" = 1'-0"11

SOUTH ELEVATION - PART B

Scale : 3/32" = 1'-0"20

SIDE ELEVATION AT ENTRY