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0112 COTUIT COVE ROAD
/�� C� ��� t .�..�� rr :S F,� _ are i u:edN..._.._._...:. ,�. .� .. .. ,., ,, .. 4. ST-I �:tnr... >' M..rams..r._�,:..�.-v�.,..e:�,:..w.•.,_:,....aa.�_:...�.::_.,er.....:.,.,.:_w.. �.__ .. :._ _ .. - ... .. .. ,,.,. . . ..COil OT C V\e- o �-oFr owti Town of Barnstable *Permit# � o Regulatory Services Evprees6monthsfoti, �, IN S PEI�(�I�' U y pASS. � Z�j Thomas F. Geiler, Director .P J' Building Division TOWN OF BARNSTA4FTri Perry, CBO, Building Commissioner 200 Main Street, Hyannis, MA 02601 www.town.barnstable.ma.us Office: 508 862-4038 Fax: 508-790-6230 EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY Not Valid without Red X-Pres,r Imprint Map/parcel Number 00 0 V(e Property Address ;4% Cb+J'1 t Ca 13 0— Ce"�V,� Residential Value of Work 1 C65. Minimum fee of$35.00 for work under$6000.00 Owner's Name & Address t Contractor's Name fl �—\�'��J 5 Telephone Number Home Improvement Contractor License #(if applicable) �,b y Construction Supervisor's License#(if applicable) ({ '-6 5 6 EKWorkman's Compensation Insurance Check one: ❑ I am a sole proprietor ❑ I am the Homeowner ©I have Worker's Compensation Insurance Insurance Company Name ✓Y\ VV\ 3 a -Workman's Comp. Policy# a Copy of Insurance Compliance Certificate must accompany each permit. Permit Request(check box) ET--Re-roof(hurricane nailed) (stripping old shingles) All construction debris will be taken to- ❑ Re-roof(hurricane nailed)(not stripping. Going over existing layers of roof) ❑ Re-side ❑ Replacement Windows/doors/sliders. U-Value #of doors (maximum .35)# of windows *Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e. Historic,Conservation,etc. ***Note: Property Owner rpst sign Pro rty Owner req i d. etter of Permission, A copy of the me Iin rov lent C nt tors License & Construction Supervisors License is SIGNATURE: Q:\WPPILES\FORMS\building permit forms\EXPRESS.doc Revised 072110 C l NOTICE NOTICE TO V TO EMPLOYEES EMPLOYEES The Commonwealth of Massachusetts DEPARTMENT OF INDUSTRIAL. ACCIDENTS 600 Washington Street, Boston, Massachusetts 02111 617-727-4900 As required by Massachusetts General Law, Chapter 152, Sections 21, 22 & 30, this will give you notice that I(we) have provided for payment to our injured employees under the above mentioned chapter by insuring with: ASSOCIATED INDUSTRIES OF MASSACHUSETTS MUTUAL INSURANCE COMPANY NAME.OF INSURANCE COMPANY 54 THIRD AVENUE,P.O. BOX 4070, BURLINGTON, MA 01803-0970 ADDRESS OF INSURANCE COMPANY AWC 7016215012010 01/10/2010 - 01/10/2011 POLICY NUMBER EFFECTIVE DATES P O Box 494 Leonard Insurance Agency Inc' Osterville, MA 02655 (508)428-6921 NAME OF INSURANCE AGENT ADDRESS PHONE Mark Herbst 35 Peep Toad Road Centerville, MA 02632 EMPLOYER ADDRESS 01/11/2010 EMPLOYER'S WORKERS COMPENSATION OFFICER(IF ANY) DATE MEDICAL TREATMENT The above named insurer is required in cases of personal injuries arising out of and in the course of employment to furnish adequate and reasonable hospital and medical services in accordance with the provisions of the Workers Compensation Act. A copy of the Fast Report of Injury must be given to the injured employee. The employee may select his or her own physician. The reasonable cost of the services provided by the treating physician will be paid by the insurer,if the treatment is necessary and reasonably connected to the work related injury. In cases requiring hospital attention,employees are hereby notified that the insurer has arranged for such attention at the NEAREST AND BEST MEDICAL FACILITY NAME OF HOSPITAL ADDRESS TO BE POSTED BY EMPLOYER !�i y7�vtJ y' y jry4ei• v!^L",a. ••s .f It•" J,, „•.^' ,sXr x �, u¢ y.t }� .t' r y y.rit,r..,y [,,(e�,.r(r� j6 n Y:�" •,,:.7,v .f 'k"""5�?^ jw �3;.'+y�,+• �r rE tea•-o �„'�"` yyY- itf-�4+t�Ci t•Si. r�• Y.*y t 4! ,':��r.twcY "h oivc�tir r•..,.,�T. ;`y.}."i. (7,���Ir,#,["G �`^E_:r',(� ' •."ice' vu:��,'• ti� ''N:i�� ����--, t�Je f iL. ytY4�. k.K �l.�hv �k t%y�`�,prl�'�•4e�+yY. �LF .��' ,{ 5. )`" •}r?5,"•'a .�SS ft.'a'-'t{"'q. �, fig? � r R 1- r �7r� 75( � i� �i S' :'r`.r r,r :'G 2'Y G 'f.;' .� �,�. 7Y• �"' ',!. 7 _ y �'7 d:."�, .>•' i' N F 'fl ,�• }'.r S ry '�.'� f J J��t{�h�"� � -+- . �'+• Sf7��54 G ;U p�,5�'w7_ t �'��F. y��-�� } ,.�t�t!,e d `Ft t �.VV�q''rr ,y `S.�r t.c RD�aI 1^5; eNL,� n*r -."" .i- -`sid .,. ,�,yP. •.'y y��.rs .. w,; ra, 35rPEEPTQAD J ADW' y, . x �1l a"" is yh +t F. r ,....�e,r0 t RO y rt�., t S S ''•c rr� k"�'s,�TiZ x Cr .YS c' .e�LE r' f I v.+'•xrn 5¢h +-'{ +' i i -+,x'a'is yei2lit`':"t'rr r�".��e !.�'r'r+.1 ti"4 y.Jr•, r�CENTE'RVILLEMA'03632 .< "d. t ;,r f 'ii•- *^t` '1 k,- _'.rJr -s:.t � T; t >x �A 4+ 420-6216/774-238-2938 ¢ 4I A ; x www.markherbst.com �, '' ` PROPOSAL SUBMITTED TO: �• �+q4 J F ° PatMoriary WORK PERFORMED AT: 151" 112 Cotuit Cove road SAME Cotuit MA �' � M`� We herby propose to furnish the materials and perform the labor necessary for t New Roof. ry he completion of: Remove 1 la er of existin shin les f a, ,nor S t� Install ice&water shield at edge&in valley areas n }. ��Eaa's'r `i i 7,' ' Install 151b. felt paper zt , ztxy o Jy;- , -�•tti,R ,4 » Install Certain Teed LandMark 30vr algae resistant shingles J F y Install cobra vent to ridge '(` Replace all plumbing boots { R r'S „•y Storm nail all shingles All debris cleaned daily err ��� `• Price includes material labor&dump fees iy0 �y� tl_ �• 4 ry^ i .NY..M1 k` 3 Avi,u3.,i t•. }r 3 ',ti'1 �1u;Y •r i All material is guaranteed to be as specified. The above work will be performed in accordance with the specifications.sub`mitted k '` . . and completed in a substantial workman-like manner for the sum of:Nine-Thousand One-Hundred .a ns t rr1 ' •A Dollars($9,100.00)with payments as follows: /@ start with balance due in full completion upon com P P *Any alterations from above proposal involving extra costs will be added under a separate written agreement and become,an ext r?A,,., charge over and above said proposal. JyJ�pl ri RESPECTFU SU IT ' zr 09/18/10 :y §tG ti ,x Mark Herbst ACCEPTANCE OF PROPOSAL s4 ' { The above price,specifications and conditions are satisfactory.I herby accept this proposal. You are authorized to do the work nd payments will be as specified above. J X 1 SIGNATURE: * ^a I y� *This proposal may be withdrawn by said company if not accepted within 30 days. A� 1 tF •� »� �. �#JhA C.r�tly •.�, �... '�,�` q'f.t,i'I. fir• t i i`t c ' 3S+ - ` �dF•r '� 'r - : C rS , � i- ,x,.?+iy- � i, !a13�.Cr .f ;.��x-t�*3 �C's' i-.t "L�a L, :�-r Mt✓"'.r�fv J"'r''�,,".f,}�ySF.,'iaT',�'c"�'„�i^ tt�:; 7 l Y��a :1 .a ;i'`5 k�^4. r;:_,,,j"r{s.r•Fi 4r�(KJ'`tt�'4 g a � :t�r'7, -��S���F..R,t- r:� C u, `>•+ };t.f >i. r....v .r� ., „,t+„ taA�f" 1� ,,s t-: a�� + � 2�, ,`y v�r"(:L..!-_` `^��. ^x4-.�^vb y�.'t„+•f.�� ja:'�.�F�t J.;�:. iJ ri' •.t"�;:s�-�,� TES.. x Z�� •"k i"�� ..'L•*'f�{ {` '.£ie;� �t,f "'k 3, ';s.� �r�° r"- .5� , Y {��. : .�'f J d"{`w. .:4�S,t I �,� r.. w-,{',', t 1FrJ't �`,J r}���1�.ifrJ`Sy Ityi +fkr M ..L Y-'��4t r'ti'+'Y'� fi��;it.'4,; 7Y ,.,•3�� ���,,„5r�`yk_�}.'I°�a;�iq�;�'�. •p•ot'f� nft.��•,j�y• 4. ..�.,p�:tr�t i��'�I„`�s�e �„ j,�'�i�'.�+�J.,t r 5:...,x.ate C 1, .fu�Y n: ,�} {art'k:�'!�`��``�..�.r r , rA;-"5G1- A`; . s).G" - f3 - ';,S •rr 4 kY`'U-{, Y.. { .y+'�i'i '°"r it• �':{.J�,r � :n d '•, n.zi.'r t� P-` E_ 4 {s.'y..,,;k sY g t we• '.�,r �f�f`�'f•'• Z' ..r:.l�``.` �.. y�'�.�Fi��. eF .� ,� .�,'k5ni"�- rtP 3.. r t1+�..t i' y r �r� Y w ��-t&+�t .� «,{..�.ew`.,,. L�i'.rL.{.�.. 'm '� ,... ��..,r, ,va�Ei�.a�+.�:������...-.,. ,d�.,....�,�}19�1.Y +�1•:Salts...• ... ..t-a!W.�.._ �.:. i Y. 1.. r Pul IVlassachuset I(- a Re`um llit ionst ntl,St�jn(k'rds P Board of Buildin!� R`ervisor Licensee.: Construction Sup ,License: CS 48546 �'e• ;^s,.,�",.;Ld;`1 Restricted to: 00 MARK D HERBST 35 PEET.TOAD RD. E j CENTERVILLE, MA 02632 h' Expiration: 1 127/2012 Tr#: 13699 ('unuuissi„ncr• o�� r� License or registration valid for individul use only Office'of Consumer Affairs&Business Regulation before the expiration date. If found return to: HOME IMPROVEMENT CONTRACTOR Type Office of Consumer Affairs and Business Regulation Registration: �126480 10 Park Plaza-Suite 5170 _ f` Individual FAK Expiration: =6/8k2012 Boston,MA 02116 RBST �� "= :'•./i •ti F-� •cam="='�, MARK HERBST 35 PEEP TOAD RD:� `t Not valid wi o t signature CENTERVILLE,MA 02632 _' ~' Undersecretary. The Carninorriveallh of.Massachitsetts - -- Department oflndustrial Accidents - Office of Investigalions 600 Washir.tgtorr Street Bostoz.i, ALL 02111 t:t.%-,m rnass.govldia Workers' Campensafion Insurance Affida,,it: Builders/Con:ti-,ictars/Electrici.-ins/Plumbers Applicant Information Please hint Le 'b1S Name. (B•usiness/Organizabou/Individtial): �{�1�� kAe r6ej Address: 3�Z4� —A City/State/Zip: off'- li_ Phone #: y 0b (Q Are you an emplgyer? Check the appropriate boa.: Type of project(required): I.[ 1 am a employer with,_ 4. ❑ I am a general contractor and I eczlployees(full and/or part=tore). * have hired the sub-contractors6. New constntction 2..❑ I am a sole proprietor orpartner- listed on the attached sheet. 7- ❑Remodeling ship and have no employees These sub-contractors have g. ❑.Deumlition working :fat me in any capacity. employees and have workers' [No workers' comp,insurance comp-insurance..? 9. ❑.Bui[din,9 addition 5. We.are.a corporation, .and its 10.❑Electrical repairs or additions required.] ❑ 3.❑ .1 am a.homeowrne.r doing all work officers have exercised their 11..0 Plumbing repairs or additions thyself. [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' 11❑ Other comp.insurance required.] 'Any applicamt thatchecks box#Lmust also 8llout,the section below showing theirworken'compensa-tion policy infortwtion. T Homeowners who submit this affidavit indicating they are doing all worts and then hire outside.contraciors must submit.a mew affidavit indicating such. TC'ontractors that check this boot must ntacbed as additional sheet showing the name of the sub-contractors anal stale whether or not those entities have employees. Nthe sub-•c.ontxacto.s haw employees,they.-'-[provide their worker.,'comp.policy number. I ant an employer that is providing tivrkers'contpeatsah`on invirance for ti yv eiriplayeas. Beloit,is the policy and job site informadott. Insurance Company Nance.- NwA YA\N�0 f�-t Policy#or Self-ins.Lic.#: p`? p U ��, [�` Expiration Date: \ — Job Site Address: a Cza, o Q,)lbf iQ_ City/State/Zip: CZAu k Attach a copy of the«•orke.rs'compe,jtsatiota policy declaration page(s;h-mving the policy number and expiration date). Failure to secure coverage.as required under Section 2.5A of MGL c.. 152 can lead to the imposition of criminal penalties of a fine up to S1,500..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 S250.G0 a day against the violator. Be avised that a opy of this statement may be forwarded to the Office of Investigations of the D.IA for insutra a cover e v cati I do hereby certify trr tPte s t Iti s o t tat the itrfortn.ation protdded above is trite and correct. Si tune: Dane: l d (� Phone M Official use oddly. Do not[trite in this area,to be con*tpleted by ci07 or town officiaL City or Tawn: Permit/License f# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3. City/To-wn Cleric 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: 6 TOWN OF BARNSTABLE CERTIFICATE OF bCCUPANCY PARCEL ID 006 067 GEOBASE ID 154 ADDRESS 112 COTUIT COVE ROAD PHONE Cotuit ZIP - LOT 38 BLOCK LOT SIZE' DBA DEVELOPMENT DISTRICT CT i PERMIT 17224 /-DESCRIPTION SINGLE FAMILY DWELLING (PMT.#15167) PERMIT TYPE-:_ BO00 TITLE CERTIFICATE OF OCCUPANCY CONTRACTORS:d Department of Health, Safety ARCHITECTS: and Environmental Services TOTAL FEES: BOND $.00 Ox CONSTRUCTION COSTS $.00 756 CERTIFICATE OF OCCUPANCY + HARNSfABM MA83. OWNER CALY, PAUL V & PATRICIA M ADDRESS 10 CROCKER RD W BARNSTABLE MA BUI IN D A BY II DATE ISSUED 08/13/1996 EXPIRATION DATE A, '17,"WN GARNS"Af, -,E N G L 0' 067 J. 1.L Department of Health, Safety and Environmental Services Ci t_-0 Z 00 A C MASS. r,L U_ BUILDING DIVISION' BY', A N D THIS PERMIT CONVEYS NO RIGHT TO OCCUPY ANY STREET,ALLEY OR SIDEWALK OR ANY PART THEREOF, EITHER TEMPORARILY OR PERMANENTLY. EN- CROACHMENTS ON PUBLIC PROPERTY,NOT SPECIFICALLY PERMITTED UNDER THE BUILDING CODE,MUST BE APPROVED BY THE JURISDICTION.STREET OR ALLEY GRADES AS WELL AS DEPTH AND LOCATION OF PUBLIC SEWERS MAY BE OBTAINED FROM THE DEPARTMENT OF PUBLIC WORKS.THE ISSUANCE OF THIS PERMIT DOES NOT RELEASE THE APPLICANT FROM THE CONDITIONS OF ANY APPLICABLE SUBDIVISION RESTRICTIONS. MINIMUM OF FOUR CALL INSPECTIONS REQUIRED FOR ALL CONSTRUCTION WORK: APPROVED PLANS MUST BE RETAINED ON JOB AND 1.FOUNDATIONS OR FOOTINGS THIS CARD KEPT POSTED UNTIL FINAL INSPECTION WHERE APPLICABLE, SEPARATE 2. PRIOR TO COVERING STRUCTURAL MEMBERS HAS BEEN MADE.WHERE A CERTIFICATE OF OCCU_ PERMITS ARE REQUIRED FOR (READY TO LATH). PANCY IS REQUIRED, SUCH BUILDING SHALL NOT BE ELECTRICAL,PLUMBING AND MECH- 3.INSULATION. OCCUPIED UNTIL FINAL INSPECTION HAS BEEN MADE. ANICAL INSTALLATIONS. 4.FINAL INSPECTION BEFORE OCCUPANCY fitnow-waral a lan M w 4:8 a ale]m 16-10 w1a— BUILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS 4 2 2 1 HEATING INSPECTION APPROVALS ENGINEERING DEPARTMENT -7� , P_ 9 4� 7 7-3 • BOARD OF H OTHER: SITE PLAN REVIEW APPROVAL WORK SHALL NOT PROCEED UNTIL PERMIT WILL BECOME NULL AND VOID IF CON- INSPECTIONS INDICATED ON THIS THE INSPECTOR HAS APPROVEDTHE STRUCTION WORK IS NOT STARTED WITHIN SIX CARD CAN BE ARRANGED FOR BY VARIOUS STAGES OF CONSTRUC- MONTHS OF DATE THE PERMIT IS ISSUED AS TELEPHONE OR WRITTEN NOTIFICA- TION. NOTED ABOVE. TION. 7 x 2. 1/ i Assessor's Office(1st floor) Map Parcel Permit# Conservation Office(4th floor)(8:30-9:30/1:00-2:00) Date Issued 6,'' I Board of Health(3rd floor)(8:15 -9:30/1:00-4:45) 1�-'1, " Fee 3 q Engineering Dept. (3rd floor) House# 14,2 �� �THE Planning Dept. (1st floor/School Admin. Bldg.) , cc // BARNSTABLE. ` De ' Ian Approved by lanning Board J 19 "P C-S 8 O I + , 7 P f0 MPS TOWN OF BAi&STAB Building Permit Application Pro t reet Address Ila C07-0/I- COVE RD (�Dgi/ LO:f 3YJ Village c0 w /7- -Owner Address W. B1tgA/5?Rgt0- 0A 6 t°,F Telephone R(aoy Permit Request Ld CQA15 Zeetk—% A 5/Al64 f 1=.lm/f Y l-E0/Met= W`7// C//'"F-Al-r %t7'La ✓ SRQTCC 5V5-TF—A4 First Floor //6(IP 04 R 3 'O = :3 square feet Second Floor // & 7 square feet 6IL13a O at `;c M Ov-at 144A14- C404�41 Ate Q�) Estimated Project Cost $ Zoning District RF Flood Plain C Water Protection Lot Size . Fl 4C-R-Es Grandfathered ? Zoning Board of Appeals Authorization Recorded Current Use i/e9C4 Al? L0 % Proposed Use A'FS/IJ F.NCF— Construction Type &100 b F A,+419 Commercial Residential Dwelling Type: Single Family ✓ Two Family Multi-Family Age of Existing Structure /V t✓Gy Basement Type: Finished Historic House Unfinished Old King's Highway Number of Baths No.of Bedrooms Total Room Count(not including baths)) 1$ First Floor S� Heat Type and Fuel/Tree UIO-to AA Central Air A-10 Fireplaces / Garage: Detached Other Detached Structures: Pool ` -Attached c:9- 044 Barn None Sheds Other Builder Information Name a/I y5 I b F l3L6 61 Ilia_ Telephone Number 7?/— t:0 qG Address eg 8 X �J License# !J 4 5-6 gS C,-c,/V7'�t2V ILL Home Improvement Contractor# Worker's Compensation# "/3/2,aad /7 Pa 13 NEW CONSTRUCTION OR ADDITIONS REQUIRE A SITE PLAN(AS BUILT)SHOWING EXISTING,AS WELL AS PROPOSED STRUCTURES ON THE LOT. J� ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO t � (�d�w SIGNATURE DATE BUILDING PERMIT DENIED FOR THE FOLLOWING REASON(S) FOR OFFICIAL USE ONLY PERMIT NO. DATE ISSUED MAP/PARCEL NO. - ADDRESS VILLAGE - OWNER w _ DATE OF INSPECTION: FOUNDATION , FRAME INSULATf6N FIREPLACE.; • rf ELECTRICAL+• ROUGH FINAL •T 1 1 PLUMBING: �'` ROUGH ~ FINAL _ GAS: ROUGH FINAL FINAL BUILDING , A DATE CLOSED OUT ASSOCIATION PLAN NO. 15c, - _ 3 8 2.7'910 5f ( � t m ¢ _ P t ' i• EX��I►,Y1 —— 3S i} Tcv �t . N I�1 So cov r CERTIFIED PLOT PLAN FOR LOT 38 COTUIT COVE RD., COTUIT, MA. PLAN BOOK 223 PAGE 39 I CERTIFY THAT THE BUILDING SHOWN PREPARED FOR ON 'THIS PLAN IS LOCATED ON THE GROUND AS SHOWN HEREON AND THAT IT CONFORMS TO THE MINIMUM SETBACK BAYSIDE BUILDING INC. REQUIREMENTS OF THE TOWN OF BARNS of MAJ CONSTRUCTED. s SCALE: 1" = 30' MAY 21, 1996 . VIVEN w RUMBA NOTE: THIS PROPERTY LIES IN FLOOD ZONE"C" 78 4`I SUNVO WELLER & ASSOCIATES ` P.O. BOX 119 YARMOUTHPORT,MA.02675 *.PER FLOOD INSURANCE RATE MAPS PREPARED BY THE (508)362-8131 FEDERAL EMERGENCY MANAGEMENT AGENCY. �+,� !ate r✓ .. c •��. ,• Y .. _ plum &MYIEKSP P*C r �, ¢ AIEYS AT-LAW ate'�.- • ..�.�!4+�.. .c�� ...w t` ,-f.w .i ra rj, c:'�• +,3;+i a-:.... _. 6FBAY8ER1 SQUA9E ilr 6itrtF,2$N CEt�i'CEEtVILt:E,tvIASSACHUSBTT9 t62,632.20 _. r ,a .-. .. 7EUPxONE (508) 790 1221 7rELEFAx (508) 790-1238 Mr. Al Martin _ Building Inspector - Town of Barnstable Town Hall Hyannis, MA 02601 September 3, 1994 RE: Lot 38, 112 Cotuit Cove Road, Cotuit, MA 02635 ! Dear Mr. Martin; - F' As per our telephone conversation of September 2, 1994, I am writing this letter relative to the "buildable" aspect of the above-referenced - Lot 38. THe ownership of Lot 38 has been in William'A. Polin exclusively since February 12, 1973 when Mr. Polin acquired title from -Edith S. Craw- ford, Sandra J. Jacobson, and Linda Crawford by deed recorded with the Barnstable County Registry of Deeds in Book 1805, Page 55. Mr. Polin did not own any contiguous lots during this time period. I enclose a copy of the subdivision plan for Cotuit Coves whirch shows that the lots which x border Lot 38 are Lots 22, 23, 24, 25 and 37. The following scenario shows ; the ownership of each of those lots: Lot 22 Allan P. Crawford to Roy V. Shorey et ux by deed dated 7/21/65 - Book 1306, Page 87. ' Roy V. Shorey et ux to John L. and Christine D. Clinton by deed dated 12/27/74 - Book 1589, Page 20. , John L. Clinton et ux to Jonathan William Hirst and Patricia O'Connell Hirst by deed datedl0/2/78 - Book 2800, Page 71. Patricia O'Connell Hirst to Bluestone Enterprises, Inc. by deed dated 3/2/92 - Book 7899, Page 187. Lot 23 Allan F. Crawford to John P. Sherwood by deed dated May 7, 1963 —Book 1201, Page 121. -- -- John P. Sherwood et ux to David E. Chute and Nancy M. Chute by deed dated 2/14/78 - Book 2663, Page 95. Lot 24 Allan F. Crawford and EdithS. Crawford to David M. .Hamblen and Shirley T. Hamblen by deed dated October ; 6, 1962 - Book 1175, Page 404. Lot 25 Allan F. Crawford and Edith S. Crawford to Otis H. McCorkle by deed dated 12/16/66 - Book 1354, Page 841. .' t � ti J. W ��• (�i E. '✓r'<�.a.'� `S ++ •,,. c"' `�' i. i .Y h. •" 't '�&}''a�'"..1 .�1� .vJ' ¢`" v %;�'r,i.r"' J'°2 •y��l! '�7^�i r�'y�+w.>���t"(rt F -��„ ?c.`/'y'grrt.'l 8.'P k'y 1`•y.r .Y':r �r�• _ +'Y �. .` Y�. r•,°. fi^ 1 ; '^f o,� 't'-. -t, K.�<"*a FY'tk �..W.n.4�.'w. "rw'ti> > r�•y„5��Mt;.'qj i v + i f �' •?r Y t+t7��rtV*' � ae.- .. � 7 '4•�+µr �@ t+' `' T ♦vip7r* 'i�' t 4'4t u - . a n.•ti 1 e'. .w w ; ti•.., r �r -r ner.w� 'q^ ^'a� • '7'i-" ai.- 4Na*. rw� C 3J 7 Yet"t"v� ay t{t� vv1[[ 1 '3a'✓' �-• .T ,. hSkr�i+cat{-�'�ra,• �C � b Otis..Hp f �orkl tti`�C1 hW11"Cove; D'ovelopgpttxCarp-: -bJ Ydeed. dF•Tetd M/,22./M.yI�IpN TrV Wk�,.,**V'Y ��!.•i'�$� } 5 �' .. T v S . �� � ram..J.., a.. +... ...�. .� w� +v..r.J � yxti .eW' � e. �. _ ._:5J/� ��•4i Clamshell Cove Development•'Corp. .to .Rvgald-M.�-andy ° Donna F. Cahill by deed dated 3/22/85 - Book 4469, Page 307. ,Ronald M. Cahill?,. -u][_to James ..$, Regan III.,and Steve Huntoon by deed:d'ated 10/27/86 gook 53.80, -Page 163. James E. Regan III and Steve Huntoon to Craig Arnold, Trustee by deed dated 4/17/90 - Book 7136, Page 195. o Craig Arnold, Trustee to Robert J. Morse and Deborah L. Morse by deed dated 8/10/90 - Book 7257, Page 126. _. Lot 37 Allan F.' Crawford and Edith S. Crawford to Karl W. _ Stritter .and Edith M. Stritter by deed dated 1/16/70 - Book 1462, Page 680. According to the records of the Barnstable -County Registry of Deeds, Mr. Polin never had contiguous ownership of any surrounding lot with Lot 38. I enclose copies of the various deeds for your records. Thank you. r. Very truly yours, THeodore J. Myers r 6 P 6 D 6 P 6 � f 6 6 4 9 6 Western Surety , V / 6 P 6 6 E , U LICENSE AND PERMIT BOND For County, City,Town or Village Only-Not Valid for Bonds Required by the State. Not Valid for Contract, 6 Performance,Maintenance, Subdivision,Agent to Sell Hunting and Fishing Licenses or Utility Guarantee Bond. ' KNOW ALL MEN BY THESE PRESENTS: BOND No. L & P-4 2A7 4 3A8 8-2 That we,Ra;s i di- R u i 1 d J rig , T n r _ , of the V i 1"1 a g e of Centerville , State of Massachusetts , as Principal, G and WESTERN SURETY COMPANY, a corporation duly licensed to do business in the State of Ma a c a r h„G P t t G , as Surety, are held and firmly bound unto the T n w n of Barnstable. , State of Massachusetts , Obligee, in the amount (Valid only when a County, City,Town or Village is named as Obligee) of Four hbindred and 00/ 1 00******************** DOLLARS ($ 400. 00**** )� (NOT VALID FOR MORE THAN$25,000) lawful money of the United States, to be paid to the said Obligee, for which payment well and truly to be made, we bind ourselves and our legal representatives,jointly and severally. THE CONDITION OF THIS OBLIGATION IS SUCH, That whereas, the Principal has been licensed to construct a a;ng1P family frame dwelling at Lot 38 Cotuit Cove Road, Cotuit� MA 100 fPPr frontage by the Obligee. NOW THEREFORE, if the Principal shall faithfully perform the duties and comply with the laws and ordin�nc s (47,lauding all amendments), pertaining to the license or permit, then this obligation to be void, ott�' wr p.to<rR�rr}ai'g in full force and effect for a period commencing on the 2 n d ' day of s�:� A* •' 19 9 6 , and ending on the 2 n d day o � ��= Q Q 7 , unless renewed by continuation certificate. W_Fris bond mays Eiterminated at any time by the Surety upon sending notice in writing to the Obligee n too t e�P,,�incipaizrzn care of the Obligee or at such other address as the Surety deems reasonable, and ai%b' prraEiori' `hirty-five (35) days from the mailing of notice or as soon thereafter as permitted by ap e� v t"w &ever is later, this bond shall terminate and the Surety shall be relieved from any liabil'R*y;£o-r1AarAr- subsequent acts or omissions of the Principal. Dated this t a d day of May 1996 Principal Principal Countersigned W E S T E S UT Y O M P A N Y P 6 6 P i • 6 By BY 6 ident Agent President STATE OF UTH DAKOTA ACKNOWLEDGMENT OF URE F F County of Mlnnehaha ss (Corporate Officer) F 6 On this day of , before me, the undersigne r, personally F appeared Joe P. Kirby , who acknowledged himself to be the aforesaid officer of WESTERN 6„ SURETY COMPANY, a corporation, and that he as such officer, being authorized so to do, executed the F foregoing instrument for the purpose therein contained, by signing the name of the corporation by himself i as such officer. R IN WITNESS WHEREOF, I have hereunto set my hand and official seal. F S. BARNES i �• ; 6 NOTARY PUBLIC .c Notary Public, South Dakota ' 6 SEAL SEAL P SOUTH DAKOTA 'AL '5, Western Surety Company , P My Commission Expires 1-22-99 P , IF Form 849-A—2-95 �h„,�,� 1-605-336-0850 , c c u c , J G A. ACKNOWLEDGMENT OF PRINCIPAL " (Individudf or Partners) . . STATE OF G . .ss , f G County of G . ° � S u On this !day of ,before me personally;.appeared ; t , - J , J G I J , u known to me 'to be.1the individual_ described in and 'who- executed the •fore'going instrument and 1. .. e J G acknowledged to me that'_he_ executed the same. J My commission expires "rl Notary Public ACKNOWLEDGMENT OF PRINCIPAL '(Corporate Officer) STATE OF ss County of On this day of ,before me, personally appeared , who acknowledged himself to be the of ; a corporation, and that he as such officer being authorized so to. do, executed the foregoing instrument for the pur- poses therein contained by signing the name of the corporation by himself as such officer. My commission expires ' fi Notary Public G G , \ G F e e , � G �I I Y /O � C�� '� k ' •~ fi f• �/ G � G G \ z O �+f G G (�il/1 9 aCd m �� G f•I Z J �- 0 W z .� � G G 0.4 O D. w f G I t HI Douqul Z9 ). gg o0; palopl ag 956I/61/60 866I/61/t@ MOO SO :alppglltg :Saitdza :iagma HUM BERMS 60Id0I ISa00 �a INNS Hqua 10 dafilfflaa . I r�arn�avmv,J��� ��Jvamuourrn�� a�� 7 COMMONWEALTH OF MASSACHUSETrS � . �. z DEFAIU,MEN-I. OF LNDUSIRIALACCIDE'M 600 WASHINGTON STREET -" BOSTON, MASSACHUSEM 02111 James.: Canooei, ::or-:rnrssjone• WORKERS' COMPENSATION INSURANCE AFFIDAVIT 7 � r I, - A , (liccnsce/permiaee) with s principal place of business/residence ac (City/Srue P) do hereby certify, under the pains and penalties of perjury,that (J 1 am an employer providing the following work=' compensation coverage for my emploveu working on this job. l 7 4 Insurance Company Policy Number () I am a sole proprietor and have no one working for me.. ( J I am a sole proprietor, Ocico:�m�pc=rion r homeowner (circle one)and have hired the eontmaors listed below who have the following wo insurance politics: Name of Contractor Insurance Company/Poliry Number Name of Contractor Insurance Company/Policy Number Name of Contractor insurance Companv/Policy Number 0 1 am a homeowner pc:-forming all the work myself. NOTE .)']cast 6c aware tint wbilc bomcowners wao emnioypersons to do maintenancr. construction or repair-ark on a dwriiine of not more taan tnrec units to .vapeh the aomcowner Liao reaiau or on the Emuads appurtrnant thercte ars Lot tenenal� R'oriccn' Cornncnsauon Act (Cl- 15=.sect- 10)). application by a homeowner for a lie.ewc considered to be ercoiovrrs unary the or permit may mccnce the ieEa.l sta w of an empiovrr under the Woricen' Compensation Act 1 understand that : C00%•of this staccarnt will be forwarccd to tnc Dcnaratscnt of Industrial Aeodcna' Ofncc of lruuranec for mvs-.ec rcn iza-ion ant :ha: :aiiure to secure cCVr.zcc as recuirec under Seenon :5A'of MGL 15: can lead to the imtaosiuon of rsi.:.=L aluct ecnspsone of: fine of ue to Sl 500.00 andior imprtsori=.=t of up to one va and o%-u pc-n tics in the form of a Stop WO-9 t7rder and a fine of S l 00.c-u a day a€a:ns: me. _ �� C,,. 01 i SHEETROCK: MEL REED: (L) WORCESTER INS - CB817530 (W) COMMERCIAL UNION - CBH557387 INTERIOR TRIM: DAVID'S REMODELING: (L) COMMERCIAL UNION - NB F821442 DAVID BIK: (L) MERCHANTS INS GRP- 8CM0278579150 (W) TRAVELERS - 176K337-8-94 OAK INSTALLER: ROBERT BUDDEN: (L) NORTHERN ASSUR. - NBF528652 PAINTING: CAMPBELL PAINTING: (L) TRAVELERS - 1680251K4083COF (W) AMERICAN POLICY - WCC 186604 ROUSSEAU, AL (L) MERCHANTS MUTUAL - 8CM0278570179 (W) EASTERN CASUALTY - ??? GARAGE DOORS: ALL CAPE GARAGE DOOR: (L) U S F & G - BSC14667590301 (W) COMMERCIAL UNION - CBH573757 STORMS & GUTTERS: ALUMINUM PRODUCTS: (L) AETNA MP0021014146 (W) AETNA - JC89258880 OAK FINISHER: AMERICAN FLOORS: (L) TRAVELERS - 680 342W754-0 CARPET, VINYL & TILE: CARPET BARN: (L) VERMONT MUTUAL - SBP6507393 (W) PHOENIX INS. - 6NUB476J652794 WIRE SHELVING: CAPE COD CLOSETS: (L) U S F & G - BSC146983441 APPLIANCES: KITCHEN APPL MART: (L) FIREMENS FUND - AZC80453098 (W) HARTFORD INS CO - 77WZNB1603 MIRRORS & SHOWER DOORS: L & M GLASS: (L) COMMERCIAL UNION - CBR409003 (W) U S F & G - 0071439933 LANDSCAPE & SPRINKLER: COY'S BROOK: (L) COMMERCIAL UNION - ABR345850 (W) CIGNA COMPANIES - C41138178 DRIVEWAYS: NORTHERN SEALCOAT: (L) MARYLAND CASUALTY- EPA18716945 (W) THE PHOENIX - UB387K530 SUBCONTRACTOR'S INSURANCE ENGINEEER: BAXTER & NYE ENG: (L) FIREMENS FUND - S30MXX80564866 (W) LIBERTY MUTUAL - WC1312595563023 EXCAVATION & SEPTIC: DRISCOLL, JJ: (L) U S F & G - HGL 110093 (W) U S F & G 7708711936 FOUNDATION: BAYSIDE FOUNDATIONS: (L) COMMERCIAL UNION - ABR406267 (W) LIBERTY MUTUAL - WC1312201785044 WELLS: DENNIS SCANNELL (L) TRAVELERS - 660873E5627COF92 (W) WAUSAU - 151300062926 CELLAR/GARAGE FLOORS: MICHAEL BROWN: (L) AETNA - MP0023672849 FRAMERS: ROBERT DORRER: (L) TRAVELERS - W680526K991TIA9 (W) AETNA - 006C0023972416C MICHAEL DUFFLEY: (L) COMMERCIAL UNION - NBF821356 (W) LIBERTY MUTUAL - WC1312492127024 ROOFER & SIDEWALL: JOHN MEE: (L) AMERICAN STATES - 01CD1486783 (W) TRAVELERS - 6NUB448K275894 MASON: SHERMAN, WAYNE: (L) COMMERCE INS CO - N60689 (W) WAUSAU INS - TO BE ASSIGNED ELECTRICIAN: CHAVES ELECTRIC: (L) HANOVER INS. - LHN2964649 (W) MISCELLANEOUS INS CO. - 0708878 91 1 PLUMB & HEAT: WHITELY PLUMBING: (L) TRAVELERS - 660365K1782COF9 (W) EASTERN CASUALTY - POLICY IN MAIL ALARM SYSTEM: BALTIC SECURITY: (L) FIRST FINANCIAL - FF0131 G400831 (W) COMMERCIAL UNION - CB0743379 CENTRAL VAC: VACUUM HOUSE: MERRIMACK MUTUAL - SBP1608045 INSULATION: MAP INSULATION: (L) AMERICAN STATES - 02CC326435-3 (W) U S F & G - 7711099932 , � aTIJ - LTrI . I I i I Hea!$n Department Town of Barnstable P 0.Box 534 'Flyannis,Massachusetts 0260 Fax(503)775-3344 �� - j i}} I fl 1 \ II II ' ll II II I i z C I � m II � I i I II • li II i I ---_ 'i YI i �I a III ' I i I I c I� ��_j f I Ii ! i � I _ i I c i J � ' R-::Rri It Ii I • i � J O .ptusi�.V6e<rN �i � I q 3 2niG.v�op6 iwG - - I l I to R ' m I —'- El41 5' [.o. P 14'-0 12'-0•• � � (� F Lo NII II ! I Itp t. j9 I it L_ I I I nwN _._Z n N r r 9 IA tl ! it Ili Z •' 1 li '� •� QQ r ! s Q m a'}'n D J 0, C11tz" ➢ <di a_ �7:oal o r o o�. I n�Q •. mpa - 0 � I r I � i �i• 1.1 ; I ' I 14_4- -- • t � �iT�„•iv<`i l a Ti S r 1I,rJ- I i S Z Ib I� I� 1� -6_..... n c s s o - I , IO m i� !2'.o,. I j II I li � �i.'_9lrosn s'�lifoco, t � - N I[ . ' v II tOWa TUPj[••5 -tj�` p3EIAN OrLArlc-- - I � � I �tt.co•.Ci I:� II ¢o'CpNG2 WAL1.d - I—_-1 .Cut/nwc•( _FOOTWCo _ •-f 8^^cAL9_AR.oUN� XtW-O. 9Y_L:_CoNctL._3� v3 1Ell IS'-4' 6-`�'— 6=9- ... ro'_g. �� 6•_y,. �.p. 18 .� :3!!Z �EnH cow�n.,gT J flFern' poot�T I I 14's.�lh' Y t1" FOOT�wJ fi• i .-E AC_W ENS. I I .GA'fZ GG E----- ... FIN I I I I � I rtj I `..Y'l'-9"CpN G2.\V et•.t_S i I � I I / I I m tG% o- 3c�•_o. r I I I i y oa %� v .1 , p0 ° L z z a of rcj3 ? Z o T. ti ��11 Q LO - L Z y �N nib `� ID � K O a I I ?� I J y ea J� II p s C z a o MAIIIICA _ D -ri ° — a N I 1 � � o, z of Jvia,a d �u TjN fq upm z tN F n Am 4M r C D m o D m^ a r r I m n J a '1) i i z o D 0 �o a a _ TEST HOLE LOG _ DATE: _ ,/vc-y TEST BY: A`UA17c2 EN i2i y WITNESS: — PERC RATE: Lo qM i qM Sasso/G� n sugSoiG I Z 0 n t� O O ° �t DESIGN DATA DAILY FLOW: (3) BD.RMS. x 110 GPD=330GPD 37 'owc'cu 1_ SEPTIC TANK: 33o GPD x 200% = 4:�o G a USF:: /Soo GALLON PRECAST SEPTIC TANK LEACHING FACILITY: r N USE: �3�.LGO�✓ON�/ru5o.�'.S cvirH 3 �/L •.l / N O.r .STo.✓E i'l+,Qo u.�O /'c3�n�-D CAPACITY: " I SIDEWA.LL:.Bo'N Z Ie `vl BOTTOM: /D ')C TOTAL:at cz NOTES: 1. ALL PIPE To YE 4"DIA.SCH 40 PVC. 2. PIP' TO RE 1•;ID LEVEL FOR 2'O1''I'"I'-Ill':•:RumTTON ' ROn. ti 3. RAISE ALL P 1,1CABLE MANHOLE(*'p,its'TO wTTI-IIN 6"O.'FINISL CRADE. 4. SEP rC S)lS•1•k:ii 1S NOT DE*8TGNED FOR TIIr:USK OF A GARr•AGE D S.''OSAL. 2"LATER OF 3/8"PEASTONE OVER 5. SEP'1•`sC TAN:,AND DISTRIBUTION BO\'TO:tF,L\STALLED 3/4"-1 112"\VASIIED STONE ALL ON A 6"LAYER OF STOW-— AROUND €!3 TOP OF FOUND. - !l EL. 3y S0/ 10" 14" �J'��'�. _ • '�''y '-. 3 0. z Z� Z Z193 7 0�7 zo Z�.oo G� y� SEPTIC SYSTEM ']RORLE SITE -V SEWAGE PLAN --- l GENERAL NOTES 1 CON"T. RA(;TOR TO BE RESPONSIBLE FOR THE LOCATION FOR OF ALL UTILITIES,ABOVE AND UNDERGROUND,PRIOR TO ANY F\C'A\•A'TION OR CONSTRUCTION. ,oc->4, A3At -% ZZ3 2. S1;PTiC Sl'S'l'C:M TO RE 1NSTACOMPLIANCELED IN COMPLIANCE WITH � / _ 3/q 310 CMR is.oo:'TITLE V. PREPARED FOR 3. THIS PLAN IS NOT TO BE TJSED FOR PROPERTY LINE i DATE: SCALE: ----•--- t1I° a VQAMAN �n civil U No.J2606C y '�a GISTE� WELLER. & ASSOCIATES 71 MMAIN ST. —P.O. BOX 119 YARMOUTH.PORT,MA. 02675 1 TEL: (508) 362-8131 -----_-- -._. APPROVED BV: