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1825 SOUTH COUNTY ROAD
r � � � Y �, o ,.�-.. . ...._.� - r • I ; 1 f a 1 i 1 7 9— � � Poo =V s . � I o � � 8 023 013 TOWN OF BARNSTABLE CERTIFICATE OF OCCUPANCY PARCEL ID 098 023 604 GEOBASE ID 4559 ADDRESS 1825 SOUTH COUNTY ROAD PHONE MARSTONS MILLS ZIP — LOT 4 LC200 BLOCK LOT .SIZE DBA DEVELOPMENT DISTRICT CO PERMIT 67665 DESCRIPTION 4 BED SINGLE FAMILY HOME PERMIT 467665 PERMIT TYPE BC00 TITLE CERTIFICATE OF OCCUPANCY CONTRACTORS: Department of ARCHITECTS: Regulatory Services TOTAL FEES: i BOND $.00 pf�ME CONSTRUCTION COSTS $_00 101 SINGLE FAM HOME DETACHED * BAMSTABLE, • MASS. 1639. BU DING DI�ISIN BY ,r DATE ISSUED 03/25/2003 EXPIRATION DATE _ a S APPROVED .��� r�, WN OF BARN�STABLE/ GAS lli ❑`WIRING ❑ PLUMBING ❑ BUILD-IN N ! 1 r 4 _ TOW14 AF. BARN STABLE B(s�l :l'�ERMI T PARCEL ID 098- 023 004 GEOBASF ID 4:559 ; ADDRESS 1825 SOUTH COUNTY ROAD, PHONE MARSTONS MILLS ZIP - LOT` 4 LC200 BLOCK LOT -SIZE DBA w y . DEVELOPMENT DTSTRICT. CO PERMIT 52242 DESCRIPTION 4 .BED SINGLE FAMILY DWELLING PERMIT` TYPE BUILD TITLE NEW RESIDENTT.AL BLDG PMT .CONTRACTORS: ROGERS AND MARNEY ARCHITECTS: Department of Health, Safety TOTAL PEES: $3, 163.01 . and Environmental Services BOND $':QD CONSTRUCTION COSTS $1,,020,519.00lo OkT� +,D 1 PRIMATE P3,! Eh. + &UMSTABLE, APPROVED MAM TOWN OF BARNSTABLE — U I L D I N G x BUILDING D! ON ' P,f !f 01 — ,XFT `' 'ION DATE BY t, NY PART THEREOF, EITHER TEMPORARILY OR PERMANENTLY. EN- CDING CODE,MUST BE APPROVED BY THE JURISDICTION.STREET OR ROM THE DEPARTMENTA P P R O V E D +A "rn E SUBDIVISION RESTR CTOIONS.BLIC WORKS.THE ISSUANCE OFTHIS TOWN OF BARNSTABLE NS MUST BE-RETAINED.ON JOB AND T POSTED UNTIL FINAL INSPECTION WHERE APPLICABLE, SEPARATE PERMITS ARE REQUIRED FOR u WHERE A CERTIFICATE OF OCCU- ELECTRICAL,PLUMBING AND MECH- }'`f'U C'B'UI LDI N G IR IRED,SUCH BUILDING SHALL NOT BE p L FINAL INSPECTION HAS BEEN MADE. ANICAL INSTALLATIONS. IS VISIBLE FROM STREET BUILDING INSPECTION APPROVALS PLUMBING-INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS r� i wv)wlz- °J��A 2 _ i _ 2 2 3 1 HE ING INSPECTI N AFfPROVALS ENGINEERING DEPARTMENT 2 BOARD OF HEALTH OTHER:' SITE PLAN REVIEW A VAL /,I-' /l" O WORK SHALL NOT PR CEED UNTIL PERMIT WILL BECOME NULL AND VOID IF CON- INSPECTIONS INDICATED ON THIS- THE INSPECTOR HAS APPROVED THE 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. r I I ` 1 I I I I • I O Q a G Z b 5 6j p p _rG TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION GS Map Parcel `r Permit# FEB 2 7 2001 �� / /! lealth Division fs v 74 1` s o Date Issued 3LoaoG(� Conservation Division �3^ ,ze Fee ,• • SEPTIC SYSTEM Tax Collector /1 INSTALLED IN CCt� �,� _ ut WITH TITLE 5 Treasurer . �- c. -�7� EIVVIR®IVt��ENT,gL C®® ffi!T3j1!X!09Planning Dept. k) o 4'f e�ram..,„ .���,,,,.._ /-k- � �.1_, TOWN REGULA11011SN Date Definitive Plan Approved by Planning Bard Historic-OKI Preservation/Hyannis Aw. Project Street Address I B ZS S o vTj}. (%oc yey e Village 0 'WLw ' 1l � GVSH�►tG' Owner D%Prtji:k 6 rz N u P-Tr- Address NiN 6'49M , MA 02 n q3 -Telephone -7 P 1 - '7 q 9' - 2S4 A Permit Request Comsmgipc r St►`Gt_=, F•Amogy Iza c>-vNez PF'k PLAhiS SW( AAL441&1� POOL- Square feet: 1 st floor: existing proposed 3 3 9 S 2nd floor: existing /proposed 27 O Total new 6 t S 8 Valuation 1, ozo.s-i q Zoning District --Flood Plain N Groundwater Overlay A P Construction Type We7ot> F?A?vf F: I Lot Size L 2. 2 8 RG. Grandfathered: 2re-s ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family &r'--Two Family ❑ Multi-Family(#units) Age of Existing Structure 0 Historic House: ❑Yes &H16— On Old King's Highway: ❑Yes ®< Basement Type: ®'Full ❑Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) 2.04 5 Basement Unfinished Area(sq.ft) 1043 i Number of Baths: Full: existing new Half: existing new Number of Bedrooms: existing new !I Total Room Count(not including baths): existing C7 new I I First Floor Room Count `x Heat Type and Fuel: ff'Gas ❑Oil ❑ Electric ❑Other Central Air: ff<e-s ❑No Fireplaces: Existing — Newer Existing wood/coal stove: ❑Yes BM Detached garage:❑existing ❑new size Pool:❑existing R ew sizeWy.,go Barn:❑existing ❑new size --► Attached garage:❑existing QK5w size Shed:❑existing ❑new size Other: Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes M-Ko' If yes, site plan review# Current Use N/A- Proposed Use gim[,L F F=A M t I_�j BUILDER INFORMATION Name Ro&ges A 1M.4gNEY, LNG. Telephone Number 5-08 . 4Z8• 6106 Address K u 3 t 0 License# (IS O l to 174 Ost-E.e\-,#1 L1_f_. M a 02 6= Home Improvement Contractor# 1 001 &A Worker's Compensation# WC 4S'7 9 8 cb 3 ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN e!y MtjCon4kk S SIGNATURE DATE 2 , ?_G 0 FOR OFFICIAL USE ONLY PERMIT NO. DATE ISSUED MAP/PARCEL.NO. ADDRESS VILLAGE' OWNER !`<• = DATE OF INSPECTION FOUNDATION ; T FRAME INSULATION ra cr. FIREPLACE a ELECTRICAL: ROUGH, FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING x DATE CLOSED OUT ASSOCIATION PLAN NO. 5 `'' I, JOHN R. ALGER, on oath, depose and say that I am an attorney for DIANA C. BENNETT who is the owner of a certain parcel of land situated at 1825 South County Road in the Village of Marstons Mills consisting of 12.128 acres and shown as Lot 4 on Land Court Plan 20070-B being a plan prepared by Barnes Engineering Company, Inc. dated July 31,. 1978 and filed in the Land Court in Boston on August 9, 1978, she having acquired title by deed from G. Wade Staniar et al, Trustees dated July 2, 1997 recorded as Document No. 698828 from which Certificate of Title 145060 issued; That said lot is in a RF district in Marstons Mills, has a frontage of 125 feet which is required and an area of 12 acres; Therefore, it is my opinion that this lot complies in all respects with the zoning ordinance of the-Town of Barnstable as upgraded by the recent change to 2 acre zoning. WITNESS my hand and seal this 27th day of February, 2001. #JO, A. GER COMMONWEALTH OF MASSACHUSETTS Barnstable, ss. February 27, 2001 Then personally appeared John R. Alger and made oath that the foregoing statement made by him is true. - n Y� Not Public My commission expires: 9 11 /l- I, oZ00 f LAW OFFICES OF JOHN R..ALGER,P.C. S PARKER ROAD P.0.BOX 449 OSTERVILLE,MA 0265S-0449 t CTF#:145066 BARIISTABLE L F040 COURT R[' l S 1l,, We, G. WADE- STANIAR and MARY C. ST'ANIAR,,TRUSTEFS OF STANIAR FAMILY REALTY TRUST under a Declaration of Trust dated October 4, 1990, being Document No. 518932,Concord,Massachusetts, for consideration paid and in consideration of SIX HUNDRED THIRTY-FIVE?THOUSAND AND 00/100($635,000.00)DOLLARS grant to DIANA C. BENNIi7'7' of 111 Cushing Street, Hingham, MA 02043, with QUITCLAIM COVENANTS,a certain parcel of vacant land situated at 1825 South County Road,Barnstable (Osterville),Barnstable County, Massachusetts shown as LOT 4 on land Court Plan 20070-11. Said premises are conveyed subject to the rights and reservations set forth in Document No. 241474, insofar as now in force and applicable. Said premises are conveyed subject to a final decree in favor of the County of Barnstable for the alteration of the layout of South County Road dated March 9, 1977 being Document No. 218007, insofar as now in force and applicable. Said premises are conveyed subject to the rights granted in an easement given to the New 17nglarid Telephone& 'Telegraph Company, et al dated August 28, 1979 being Document No. 258732. Said premises are conveyed subject to wetland restrictions imposed by the Commonwealth of Massachusetts being Document No. 286071. Said premises are conveyed subject to the restrictions imposted by an agreement dated December 18, 1987, being Document No. 447187, insofar as now in force and applicable. Said premises are conveyed subject to a Conservation Restriction to the Barnstable Land Trust, Inc. covering the extreme southerly portion of Lot 4 known as "The Island" being' Document No.6, ::K ....... _or title see Certificate of Title No. 122]48. THE UNDERSIGNED TRUSTEE HEREBY WARRANTS AND REPRESENTS THAT THE STANIAR FAMILY REALTY TRUST SETT FORTH ABOVE IS STILL IN'� FULL. FORCE AND EFFECT AND HAS NOT BEEN AMEiNDI",D IN ANY WAY AND THAT THE TRUSTEE:HAS BEEN AUTHORIZED BY TIME BENEFICIARIES OF SAID TRUST TO EXECUTE? ANI7 DELIVER THIS DEED. LAW OFFWES OF JOHN R.ALGER,P.C. 686 MAIN STREET P.O.BOX 449 OSTERVILLT'.,MA 02655-0449 i R ' n WITNESS our hands and seals this_ Z— day of v�V , 1997. STANIAR FAMILY RI3AI.TY TRUST G. WADE STANIAR, TRUSTEE BY: MARVYC. STANIAR, TRUSTEE: STATE:0I7'oHx�_/w-y� COUNTY OE lf�'�5. � HATE: Then personally appeared the above-named G. WADE STANIAR & MARY C. STANIAR, TRUSTEiES as aforesaid, and acknowledged the foregoing to be their free act and deed,before me N ARY PUt31., C �hJ►�✓� �A Commission Expires: I:1 C. J: C•;1 bARNSTAkf t6UNTY REGISTRY OF DEEDS A TRUE COPY,ATTEST JOHN F.MEA09 Ragar9R 2 BARNSIA8LE REGISTRY OF DEEDS S Doc. No. 698,828 i Ctf. No. 145066 TRANSFER CERTIFICATE OF TITLE From Certificate No. 122148, Originally Registered December 12, 1990 in the Registry District of Barnstable County. THIS IS TO CERTIFY that DIANA C BENNETT, of 111 Cushing Street, Hingham, Massachusetts 02043, the owner(s) in fee simple, of that land situated in BARNSTABLE in the county of Barnstable and the Commonwealth of Massachusetts, described as follows: LOT 4 PLAN 20070-B Said land is subject to the flow of a natural water course running through the same and shown on said plan as a Brook. And it is further certified that said land is under the operation and provisions of Chapter 185 of the General Laws, and that the title of said owner(s) to said land is registered under said Chapter, subject, however, to any of the encumbrances mentioned in Section forty-six of said Chapter, which may be subsisting; and to any and all public rights legally existing in and over the same below mean high water mark in Marstons Mills River and a Creek as shown on said plan. WITNESS PETER W. KILBORN, Chief Justice of the Land Court at Barnstable, in said County of Barnstable, the second day of July in the year nineteen hundred and ninety-seven at 3 o'clock and 30 minutes Attest, with the Seal of said Court, i JOHN F. MEADE, Assistant Recorder. Land Court Case No. 20070 MEMORANDA OF ENCUMBRANCES ON THE LAND DESCRIBED IN THIS CERTIFICATE , y Ctf:145066 698, 828 4? DATE OF INSTRUMENT DOCUMENT DATE AND TIME NUMBER KIND RUNNING IN FAVOR OF TERMS OF REGISTRATION DISCHARGE 27,552 N SEE DECREE (CASE 20070) 07-11-1950 i �} 1 07-13-1950 9:20t- 218,007 FD COUNTY OF BARNSTABLE SEE DOC 10-18-1974 1 03-10-1977 2:09 241,474 N RTS EASEMENT & RESERVATIONS 08-30-1978 2 09-19-1978 3 :05 258,732 ES . NEW ENGLAND TEL & TEL SEE DOC 08-28-1979 1 COMPANY (&O) 11-00-1979 10:31 � 286,071 RS COMMONWEALTH OF WETLANDS SEE DOC 10-07-1980 1 MASSACHUSETTS 09-11-1981 11:06 447,187 N AGREE 3 4 & 5 20070-B 12-18-1987 i 1 12-30-1987 3:59r�-.� 548,284 N AGREE 4 & 5 20070-B 02-09-1992 1 03-25-1992 3:17 689,382 O BARNSTABLE CONSERVATION 4 20070-B 03-12-1997 1 COMMISSION 03-13-1997 11:57 694, 516 AR 4 20070-B 05-13-1997 1 05-16-1997 9:17 t" 698,827 RS CONSERVATION 4 20070-B 05-12-1997 1 07-02-1997 3:30 796,587 A 548,284 001 03-24-2000 i 1 $.1.00 04-04-2000 3:54 BARS S-1A: LE COUNTY REGISTR"OF DEEDS A TRUE COPY,ATTEST JOHN Pr,MRAPTPR 7,. 9 8.: SUBDIVISION PLAN OF LAND IN BARNSTABLE Barnes Engineering .Company• Ino.• '8urveyore' 20070a July 31, 1978 ' HIGHWAY +e000 w1 srATE f8 ass e s w o 6 1' Wor In IE o gyp ' b0a� ,. , • 1 1, 1, �, �.' �'Cb, 11 r i vd, Sys, b` ► o� G¢Ay C N»'psrs `.' 1� Vie. ��f .�3 '4a•9�► �' .�90' w O°� Ok CA t� WARREN'S 1 f� 9e' •'c� ' } cov C. \ i �. c ,bgGo � Oi O `� �• 4b�b b. �, co V �� y �' Ott► ��'' i SALT MARSH 'd-o 0 �. N$4 94 MARMNS i 9,4 MILLS RIVER .� 0 1.1 o eo Nwa.la ! SALT MARSH / • �� °" ��\ motet wnieespltt L° be issued for/sndshbhem jt 2y . By the C wrt. 0 r �,°ta'" LAND RE6/ST 1"IA OM 01MCE Ave. 0 re I! ifi`a4'�?7:.... Suk of166 ►en�feet to on hid► YS s,/978_ ..... 'oroiir RL.woo ,fVJWrArlbuf! G.N.G. EST/MA TED PROJECT COST WORKSHEET LIVING SPACE Value (high end construction) I Sf3 square feet X$115/sq. foot= 7p F�N�Sl4tD 8►�s�uAf/�"( n� 20 4 p, square feet X$96/sq. foot= 1 ct(.{ 60 .-- uNF►141S. fE> qSl. square feet X$57/sq. foot= s9 GARAGE (UNFINISHED) ��-g s8 square feet XF$25/sq. foot= 316,4s_ PORCH 6S6 square feet X$20/sq. foot= t 3. 120. ZC . co�•�KEc-C-o� �36 square feet X$r sq. foot= 6 112 OTHER square feet X$??/sq. foot= Total Estimated Project Value i n n__c-19., p S I 1 o no = 1,0 210,S2- x 3.10 � i The Commonwealth of Massachusetts Department of Industrial Accidents __ -- office o/%vesugaUeos - 600 Washington Street Boston,Mass. 02111 Workers' Compensation Insurance Affidavit i namem location: city phone# 1 am a homeowner performing all work myself. I am a sole proprietor and have no one working in any capacity I am an employer providing workers' compensation for my employees working on this job. company name: ROGERS & MARNEY. INC. address:: P.O. BOX 310 city: OSTERVILLE, MA 02655 phone#: 508-428-6106 insnr�ccsp. EASTERN CASUALTY policy# WC95798003 O 1 am a sole proprietor, general contractor,or homeowner(circle one)and have hired the contractors listed below who the following workers' compensation polices: SEE ATTACHED SHEETS company name: address: city: phone#: insprance co. poly# IME company name: address:: city: phone#: �sarante co. policy# Failure to secure coverage as required under Section 25A of IN1GL 152 can lead to the imposition of criminal penalties of a fine up to 51.500.00 sod/n• one years'imprisonment as well as civil penalties in the form of a STOP WORK ORDER and a fine of 5100.00 a day against me. I understand that a copy of this statement may be forwarded to the Office of Investigations of the DIA for coverage verification. 1 do hereby certify under the paws aFn d nalties of perjury that the information provided above is true and correct Signature Date 2 Z6 •O I Print name O4 Phone# Si7 Z 6106 official use only do not write in this area to be completed by city or town olrtcial city or town: permit/license# rlBuilding Department �- oLiccnsing Board check if immediate response is required 0Se1ectmcn's Office 4y contael person: phone#; Health Department .0Othcr 1,-i,.d 3195 P1A1 - S Information and Instructions Massachusetts General Laws chapter 152 section 25 requires all employers to provide workers' compensation for their employees. As quoted from the"law", 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 section 25 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, 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 in the workers' compensation affidavit completely, by checking the box that applies to your situation and supplying company names, address and phone numbers as all affidavits 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. 11111 City or Towns 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. The affidavits may be returned to the Department by mail or FAX unless other arrangements have been made. The Office of Investigations would like to thank you.in advance for,you cooperation and should you have any questions, please do not hesitate to give us a call. The Department's add;nss, and i !)char?�►-.^a? ;;: �._tclL �t•__! ;�►r_c__.c _a Aice,of Mueslinaticus 600 Washington Street ! Boston,Ma. 02111 fax #: (617) 727-7749 phone #: (617) 727-4901) ext. 406, 409 or 375 ticoRr CERTIFICATE OF LIABILITY INSURANCklD 02 DATE(MWDDM) YCO 1 03/28/00 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE McAlpine Insurance HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR ")OD Post Office Sq ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. . zterville MA 02632 �none: 508-771-0105 Fax:508-771-1258 INSURERS AFFORDING COVERAGE INSURED INSURER A: Vermont Mutual Insurance Co INSURERB: Savers Property&Ca alty Ins C Bay Colony Concrete Forms Inc INSURER C: Pilgrim Insurance, Company 32 Third Ave INSURER D: Osterville MA 02655 1 INSURER E: COVERAGES 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 T MS,EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. IN SR TYPE OF INSURANCE POLICY NUMBER POLICYEFFECTIVE POLICY EXPIRATION LIMITS LTR DATMM/DO/YY DATE M!D GENERAL LIABILITY EACH OCCURRENCE $ 1 r 000 r 000 A X COMMERCIAL GENERAL LIABILITY BP17030923 03/30/00 3/30/01 FIRE DAMAGE(Any one fire) s501000 CLAIMS MADE F—IOCCUR MED EXP(Any one person) s 5,000 PERSONAL&ADV INJURY. $ 1,000,000 GENERAL AGGREGATE s2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMPIOP AGG $2 r 00 0 r 000 POLICY -PEQ- n LOC AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT s C ANY AUTO PMC7129126 03/11/00 03/11/01 (Eaaccident) C ALL OWNED AUTOS PMC7129214 0 /30/00 03/30/01 BODILY INJURY X SCHEDULED AUTOS (Per person) s 2500000 HIRED AUTOS BODILY INJURY $ SOOOOOO NON-OWNED AUTOS (Per accident) PROPERTY DAMAGE $ 1000000 (Per accident) GARAGE LIABILITY AUTO ONLY-EA ACCIDENT S ANY AUTO OTHER THAN EA ACC S AUTO ONLY: AGG S EXCESS LIABILITY EACH OCCURRENCE S OCCUR CLAIMS MADE AGGREGATE S S — DEDUCTIBLE I S _ RETENTION $ I S WORKERS COMPENSATION AND I I X I TORY LIMITS I ER B EMPLOYERS*LIABILITY WC 0000753-0 03/31/00 03/31/01 I E.L.EACH ACCIDENT I S 100 r000 E.L.DISEASE-EA EMPLOYES S100,000 E.L.DISEASE-POLICY LIMB I S 500 r 000 1 OTHER I I I DESCRIPTION OF OPERATIONSILOCATIOtdSNEHICLES/EXCLUSIONS ADDED BY ENDORSEMENTISPECIAL PROVISIONS Concrete Forms CERTIFICATE HOLDER N I ADDITIONAL INSURED;INSURER LETTER: CANCELLATION ROGERS 1 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATIO DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN Rogers & Marney NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO DO SO SHALL FAX#508-420-3550 IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR PO Box 310 Osterville MA 02655 REPRESENTATIVES. I John McAl ine ACORD 25S(7/97) ©ACORD CORPORATION 1988 AGORD CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YY) TM 05/22/2000 PRODUCER (508--J— 7�> 131 (508)790-1677 ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE The Fair Insurance Agency, Inc HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR P.O. Box 430 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. 619 Main St. INSURERS AFFORDING COVERAGE ,terville, MA 02632 I, R:D Shoreline Construction, INSURER A: Essex Insurance Co 87 Pond Street �\ INSURERS: Hanover Ins. Co. Osterville, MA 02655 \1I INSURERC: Granite State 111 INSURER D: INSURER E: COVERAGES 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.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. LTR TYPE OF INSURANCE POLICY NUMBER DATE(MM/DO/YY) DATE(MM/DD/YY) LIMITS GENERAL LIABILITY 3CE2855 05/01/ ' 00 05/01/2001 EACH OCCURRENCE $ 300,000 X COMMERCIAL GENERAL LIABILITY FIRE DAMAGE(Any one fire) $ 50,000 CLAIMS MADE � OCCUR MED EXP(Any one person) $ S00 A PERSONAL&ADV INJURY $ 300,000 GENERAL AGGREGATE $ 600,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG S 300,000 ri POLICY PRO- LOC JEC7 AUTOMOBILE LIABILITY AMN51SS119 05/ 4/2000 05/14/2001 COMBINED SINGLE LIMIT ANY AUTO (Ea accident) $ ALL OWNED AUTOS BODILY INJURY $ X SCHEDULED AUTOS (Per person) 100,000 B HIRED AUTOS BODILY INJURY NON-OWNED AUTOS (Per accident) $ 300,000 PROPERTY DAMAGE $ (Per accident) 100,000 GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $ ANY AUTO OTHER THAN EA ACC $ AUTO ONLY: AGG $ EXCESS LIABILITY EACH OCCURRENCE $ OCCUR ❑CLAIMS MADE AGGREGATE $ $ DEDUCTIBLE $ RETENTION S $ WORKERS COMPENSATION AND C1250169 07/25/2000 07/25/2001 TVV ORYUMIrs ER EMPLOYERS'LIABILITY C E.L.EACH ACCIDENT $ 100,000 E.L.DISEASE-EA EMPLOYEE S 100,000 E.L.DISEASE-POLICY LIMIT $ 500,000 OTHER DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS CERTIFICATE HOLDER ADDITIONAL INSURED;INSURER LETTER: CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,THE ISSUING COMPANY WILL ENDEAVOR TO MAIL 1q DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, Rogers & Marney BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY hG} Ostervi 11 a-West Barnstable Road OF ANY KIND UPON THE COMPANY,ITS AGENTS OR REPRESENTATIVES. Osterville, MA 0Barn AUTOO EDREP�R/ESENT V f J C� •t� "I i Oct 12 p bur mac ins 09-771 -1258 p. 1 - DATE INMIDOtY'i l ID 02 10/12/00 CORD CERTIFICATE OF LIABILITY INSURANC e�RGz..R1 Q ' THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION PRO ER I ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Burlingame Insurance HOLDER.THIS CERTIFICATE DOES NOT AV END,EXTEND O Robert Burlingame ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. 20D Post Office Sq INSURERS AFFORDING COVERAGE -`--- Centerville MA 02632 — ------ Phone: 508-771-0105 Eax:508-?71-1258 -�IItyS�FERA:__Vermont Mutual Insurance !NSUREC —_-- I�� •suRE_B: — INBURSR Barger MascnzY, Inc �vaSLRERDJ _—___--.-'--- ---'---- - -_._-.- PO $OX 219 Cotuit MA 02635 I = NDII COVERAGES R OCC`JME`T WITH=aES•'ECT TO WHICH.THIa CERTIFICATE MAY BE ISSUEQ CR T}+E?OL!CIES OF INSURANCE LISTED BE•_O'1V HAV=SEEN ISSUED NDIN- TO THE i!vSl!RED NAPotED ABG�E FOR MG Tr{E POLICY PER!CD INDiCATEC.NO'ti^1 THST:R AI`J'R-OUIREME e,TERM OR CONCITION OF ANY CONTRACT CR.THE ` PfvrY PERTp+N,THE INSURAti CESHOVJIv M-0 5H L E POLL REDUCEDI By PAI?CLIkIIAS SUBJEC-TO ALL H TCLV=IONS A^yD CONDITIONS OF SUC . POLICIES.AOGF EGA:E_9Lsl •L�T�Y-E c ITS !/e _ DATE MMDDIY I CATS 0.7MrDOlYY� „ ` TYPEOFINsURANOE POLICY NUMBER i I EACH jCGURQENCE S 5UD,QOO LTRI r, ^ A,w one Grei tS50,000 gNERAL LIABILITY 0 9/2 6/0 C 0 9/2 6/01 1 F'FtE oav+AGE(`_,—._.�-`--.---- 1 I MEC EXP(Any one Cersa:n; 8 5,0 0 0 A 4]({GOMNiERGAIC'cNERALI!AE!LRY ` gP17013142 4 J_.._-._. -- I—!� _ CLAIMS MvOE X(.CCCU''I i � cRS`NAL 8 AOV IIJ,aRY 5 50O_,000 i i i I GENERAL AGGREGATE - S 1,00_0,0.00000 . (! i FRGO'JCTS CGnt?'Op AOG S 1,000 i I•EN'L AGGREGATE LIMIT AP--LEG?E2 C GO -I r�P40: I ,O - I 1 POLICY - I I I MBINEO5 9yGLELI M!T $ � I(Ea auc;dert+ L AUTOMOBILE LIABILITY ! $ I ANY AUTO I i (Per pe IN. (Per 1 ( persrn) ALL OWI�SDAUTOS —.—.—.-----. SG(FOULED AUTOS ` BCL•ILY Ir Y ny g 1 I (Per a=dent) 41REO A'JIUS ' 'PROPERTY DAMAGE I s {<ON•O4Vtyc0 AUTOS — j (Pm a,::,,dmHy I It _---- — I r�OAUTO EA ACCTHER T'AN GARAGE LIABILITY' } ( AGG S 1II ONLY; 1 ANY AUTO I ` EACH OCCURRENCE ! AGGREGATE —_- EXCESS',tAB.LITY CLAIMS MADE OCCUR L 1 DEDUCTIBLE I!-- ! �_ TgLRYY UMM': — RETENTiv'N $ I I -SOO OOD ' I 0/09/OO 10/09/01 �E.L EACH ACCIDENT I WORKERS COMPENSAT ION AND _ s _ —._- .I 7CJ946593 _—_� _ _ EMPLOYERa LIABILITY ! I - CISEASE.EA EMPLOY-4 000. B I4 + 1 I EL.C!SEASE-FOUCrUM:T {S 500 DOC' I I I• OTHER II DESCRIPTION OF OPERATONSILOCATphS,VEHiCLFWEXCLUSIOI`. ADD=-'BY Et1D025Eh1ENiI5P`-CIA'-•'`O'�!"'`N Masonry i 7IADJITCNALMSLRC0;INS'JRSRLET7ER: •— CANCELLATION r�z#.506-420-3550 ERTIFICATE HOLDER t ROGERS 1 SI-C•ULD ANY OF THE ABOYc DESCRIBED POLICIES BE CANCELED 3EFOFE Th'.E EFPIRAIII 04TE THERE F.THE ISSUING INSURER WILL ENDC-AVOR TO ARIL 10 DAIS I.RITTcy NOME.O THE=ERTIFICD.iE HOLLER NAMED TC THE LEFT B- FAILURE TC GC SO S!i`+ rs & Mazney � { IMP..^•S=NO OEuOATON GR_IA3ILITY OF ANY K!NO U-UN 74E INSURER ITS AGENTS O PO BOX 310 R=PRESENTATIVES. Osterville MA 02655 Ro)rezt Eurlin ame pACORD CORPORATION 19d9 I ACCORD 253(7197) I I ACORD CERTIFICATE OF LIABILITY INSURANC g!D x DATE 01/11 0 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Northwood Eshbaugh Ins. Agency HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR 805 West Main Street ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Innis MA 02601 ._.one: 508-771-1632 Fax:508-778-1789 INSURERS AFFORDING COVERAGE INSURED INSURER A.- MASSWEST INSURANCE INSURER B: EASTERN CASUALTY INS. COMPANY Harmon Painting, Inc. INSURERC: P. 0. BOX 86 INSURER D: Osterville MA 02655 INSURER E: COVERAGES 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.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE POLICY NUMBER FOLIC EFF TIVE PO IC EXP RATIO LTR DATE MM/DD/YY DATE MM/DD/YY LIMITS GENERAL LIABILITY EACH OCCURRENCE $1000000 A COMMERCIAL GENERAL LIABILITY ART036057100 04/01/00 04/01/01 FIRE DAMAGE(Any one fire) $50000 CLAIMS MADE OCCUR MED EXP(Any one person) $5000 X Business Owners PERSONAL BADVINJURY $ 00000 GENERAL AGGREGATE $2000000 GEN'LAGGREGATELIMIT APPLIES PER: PRODUCTS-COMP/O AGG $2000000 POLICY PRO LOC JECT AUTOMOBILE LIABILITY COMBINED NGLE LIMIT ANY AUTO (Ea accid ) $ ALL OWNED AUTOS BO YINJURY $ SCHEDULED AUTOS (P person) HIRED AUTOS BODILY INJURY NON-OWNED AUTOS (Per accident) $ PROPERTY DAMAGE $ " j (Per accident) GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $ HANY AUTO OTHER THAN EA ACC $ AUTO ONLY: AGG $ EXCESS LIABILITY EACH OCCURRENCE $ OCCUR El CLAIMS MADE AGGREGATE $ $ DEDUCTIBLE $ RETENTION $ $ WORKERS COMPENSATION AND TORY LIMITS XjOTH- ER B EMPLOYERS'LIABILITY WC97798007 01/04/01 01/04/02 E.L.EACH ACCIDENT $500000 E.L.DISEASE-EAEMPLOYEE $5000G0 E.L.DISEASE-POLICY LIMIT $500000 OTHER A Commercial Applica ART036057100 04/01/00 04/01/01 A I Business Owners ART036057100 04/01/00 04/01/01 DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS CERTIFICATE HOLDER N ADDITIONAL INSURED;INSURER LETTER: CANCELLATION ROGERS SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL -2D—DAYS WRITTEN I NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO DO SO SHALL Rogers & Marney, Inc. P. 0. BOX 310 IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR Osterville MA 02655 REPRESENTATIVE AUTHORIZED ESENTATIVE ACORD 25-S(7/97) ©ACORD CORPORATION 1988 ... DATE MM/DD/YY :. .:. : . :::. :.: :.;:.; :.�.[ :B.I:L:[..�`Y:.:: .: . .: 1:RA: : A CORD .::...::::. :...........................:..:.::......................................................................................................:.::.:::::::.:::::::.::::::::..:.:..:...:....::.............. 12 21 2000 / / RO FAX.;.:::. (508)997-6061 (508)991-3283 ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE t h e a s t e r n Insurance Agency, Inc. HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR State R d. ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. .0. Box 79398 COMPANIES AFFORDING COVERAGE ..................................................................................................................................................... N. Dartmouth, MA 02747 COMPANY Merchants Insurance Co. Of NH, Attn: loan Leger Ext: A ........kffI......................................................................................................................................:..................................................................................................................................................... INSURED COMPANY Safety Insurance Co. David G Holcomb B HolcombPlumbing & Heating ............................................. .. ......................... .......................................... COMPANY Merchants Mutual Insurance Com PO Box 170 �+ C Osterville, MA 02655 Ly/ ............................................................................................................................................... COMPANY D cay . ........:...:.::::.:::::.:::::::::::.:.:::.:::::::............................................................................................................................................................................................................................. N........I..T..... W HAVE BEEN I ED TO THE.INSURED NAMED ABOVE FOR THE POLICY PERIOD THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE L S ED BELO SSU 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 NUMBER POLICY EFFECTIVE:POLICY EXPIRATION:: LIMITS LTR*: DATE(MM/DD/YY) ` DATE(MM/DD/YY) GENERAL LIABILITY GENERAL AGGREGATE $ 2,000,000 :................................................. X COMMERCIAL GENERAL LIABILITY : : PRODUCTS-COMP/OP AGG $ 21000,000 CLAIMS MADE X 'OCCUR: ° PERSONAL&ADV INJURY $ 1,000,000 A i::i:::3`:....... ......: CMP9138499 12/18/2000 2/18/2001 .............. ............................................ ( OWNER'S&CONTRACTOR'S PROT :EACH OCCURRENCE $ 11000,000 ........................... # SO?FIRE DAMAGE(Anyone fire) $ 000 ................................................................................ MED EXP(Any one person) $ 5,000 AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ ANY AUTO ......................... ALL OWNED AUTOS { :BODILY INJURY $ X ;SCHEDULED AUTOS (Per person) 100,000 1500507 /1218/2000 12/18/2001 :..................................................................................... HIRED AUTOS BODILY INJURY 3 NON-OWNED AUTOS (Per accident) $ 300,000 ) ....... .....................................................: :PROPERTY DAMAGE $ 100,000 GARAGE LIABILITY 'AUTO ONLY-EA ACCIDENT $ ANY AUTO # OTHER THAN AUTO ONLY: .................................................................................... ........................................:. EACH ACCIDENT $ .............................................................: ;............................................... .................................... AGGREGATE: $ EXCESS LIABILITY ; EACH OCCURRENCE $ ......... UMBRELLA FORM ? AGGREGATE $ OTHER THAN UMBRELLA FORM $ WORKERS COMPENSATION AND TORY LIMITS: ER EMPLOYERS'LIABILITY .......:.....................:.......:........:;;:i:$;::: Si?:::;:::z:: : ::: EL EACH ACCIDENT $ C 'THEPROPRIETORI WCA9089132 12/18/2000 12/18/2001 PARTNERS/EXECUTIVE INCL : ; EL DISEASE-POLICY LIMIT $ V V ................................................ 500,000 OFFICERS ARE: EXCL :EL DISEASE-EA EMPLOYEE• S 100,000 OTHER DESCRIPTION OF OPERATIONS/LOCATIONSIVEHICLES/SPECIAL ITEMS For any and all operations performed during the policy period. CERTI-1 -AN:CELLA..O .......... FtCA iE.:k4Q.........:................................................................:..:.:.:::..::.:::::.:::::::::::::.::..::::::::.:: ::::::::::::::::::::........:................................................................................................ ::::::: :::::::::.::::::::: :::::::.:::......................................::..:::::::::.::::•:::::::•::::.:::::::::::::::::::::.:::::::::::: ::::::•:::::::::.:::::::::::..:..::::.....:.:.:.:..:...:::.:..................................................................... SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,THE ISSUING COMPANY WILL ENDEAVOR TO MAIL I 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, Rogers & Marney Inc. BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY Po B o X 310 OF ANY KIND UPON THE COMPANY,ITS AGENTS OR REPRESENTATIVES. O s t e r v i l l e, MA 0 2 6 S S AUTHORIZED REPRESENTATIVE Joan Leger N::>f9B8 <'::»:<:::>:;>::»>:::«:::::>:......<:::::.... ::<:::::::>:<:>::>:::>:::«:>::::>::>:<:>::»><<z:::>:::«:»:<`:<:>::>::»::»:<::::::<:>:<:>::>:«::<::::::'.>::?::::: : ::::::::::::::::::>::::>�AGO.L7:GORi?ORI1T[0..... f95..................:.....::::::.::::::::::.:.:..............................................................................................................::.::::::::::::::::.:::::::.::::::::::::.:......... f2 ......::.::..:.:..:.:.................... .:.:...::.:.::::::::.:.::::...........................................................:...::::::.:::.:::::::::::::.:........................:::::::::::::::::..:.................................... .. :...:: {........}....................................................................................... . ................................................................................................:..:.::::;::;:::::•:::•::•:;:.::>::•:::::.:::::::::::::::::.:•::::::::::. FR-0[l : NORTHXOD ESHBAUGH FAX NO. Jul. 14 2000 10:59AM P1 A2Q8D CERTIFICATE OF LIABILITY INSURANCI&'D Ka DA07/1GO/4/010 vID-2 07/1 PRDCUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF!NFORMAT(ON ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Eshbaugh Ina. Agency, Inc. HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR $05 West Main Street ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. iyannis MA 02601 i Phone: 508-771-1632 Fax:508-778-1789 t WSURERSAFFORDINGCOVERAGE MSURED `INSURER A: MASS WORKERS COMP INSURERS: TRAVELERS David R. Cox Remodeling INSURERc: P. 0, SOX 401 INSURER D: S Yarmouth MA 02664 --- INSURER E; COVERAGES % THE POLICIES OF INSURANCE USTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY P INDICATED.40TWMRSTANOING ANY F,£QUIREIVEJT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WMCH THIS ERTIPICATE MAY BE ISSUED OR MAY PCRTAIU.rwr.INSURANCE AFFORDEO BY THE POLICIES DESCRIBED HEREIN 15 SUBJECT TO ALL THE TE.RHS.E&CLU31ONS AND CONDITIONS OP SUCH POLICISC.AGGREGATE UNITS SHOWN MAY NAVE BEEN REDUCED BY PAID CLAIMS. I' ' TYPE Or INSURANCE POUCY NUMBER L TION! LIPdfT5 -.. LTR! DATE MMMN Y TE MM/DO GENERALL1481LITY EACH OCCURRENCE $SOOOOO _ B COMMEACIAL GENERAL UABILTTY I680887D4700TIA99 I 03/14/00 03/14/01 FIRE DAMAGE(AAy*"ri") $50000 I; I CLAIMS MADE OCCUR( I NED LXP(Any am Parwn) $500_0 ...._. X Huainess Owrarc Ij PERSONAL J.ADVINJURY ,$500000 Ln_ I GENERAL AGGREGATE If1000000 L CMN'LAOGREGATEUNITAPPLIESPER I PRODU0T5•0OtlP/OPAGG(S 1.000000 I PoUCY FRO- LOC JECT AUTOMOBILE LIABIUTY COMBINED SINGLE LIMIT 'ANY AUTO (F.a:,kk,,Q I f ALLOWNEDAUTOS I BODILY INJURY S SCHEDULED AUTOS (PW Pemcn) j HIREOAUTOS I BppLYINJURY -•• NON-OWNED AUTOb I Per accldort) = I I PROPERTY DAMAGE S f (Pa dcddwa) GARAGE LIABILTY I I AUTO ONLY-1 ACCIDENT S ANY AUTO I I 1 OTHER THAN EA ACC j f j j i AUTO ONLY: A001 S — -- EXCESS LIABILITY EACH OCCURRENCE I s OCCUR CLAIMS MADE ! AGGREGATE S IS DEDUCT.SLE I $ Rj,T9NTIDN f I I f WORMERS COMPENSATION AND ;WlRY LIMITS! r�E3Z i RS EMPLOYE LIABILITY To A I WCV2000834 07/15/00 I 07/15/01 �E.L EACH ACCIDENT S 100000 I II E.L.DISBAW-VA EwLOYE4 s 100000 i W..0I3EAW•POLICY UMIT f 500000 CTHEII B Business Owners j 1680887D4700TIA99 1 03/14/00 03/14/01 PROPERTY $000 i j I DESCRIPTION OF OPERA'ION"OCATIONSIVF-HtCLMEXCLUSIONS ADDED BY ENDORSEMENT16MCIAL PROVISIONS Carpentry CERTIFICATE HOLDER I N I ADDITIONAL)NSURED;INSURERLEITER: CANCELLATION iC SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRAT{ f DATE THEREOF.THE ISSUING INSURER WILL ENDEAVOR TO MAIL 20 DAYS WR)TTEr, NOTICE TO THE CERTIFICATE HOLDER. ED TO THE LEFT.BUT FAILURE TO DO SO SMALL Rovers 6 M310 , Inc. I IMPOSE NO OSLr-ATKNJ OR LIA8I OF ANY KIND UPON TH@.INSURER,ITS AGENTS OR P. O. SOX 31O I RFPRSSEMTATiVES. Osterville MA 02655 j A,r�y House Acc..2 - ACORD 25.5(7/97) ©ACORD CORPORATION 798E ACORD- CERTIFICATE OF LIABILITY INSURANGE 1128/2000 ... ........ . .. ......................:.... PRODUCER (508)994-9688 FAX (508)991-5461 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION UTKOWSKI & KESTENBAUM ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR 414 COUNTY STREET ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. P 0 BOX 5911 COMPANIES AFFORDING COVERAGE .................................................................................. NEW BEOFORD, MA 02742-5911 COMPANY Commercial Union Attn: Ext: A ............................................................................................................:............................ ............. ... ............. ....................... ......................... .. . INSURED COMPANY Granite State Insurance Co Randall C. Agnew Electrical Contractors B RandallAgnew Electrical Contractors ............................................. ..............................................I.......................... PO Box 1270 COMPANY Cotuit, MA 02635 C COMPANY D COVERAGES...... . n;'.;;;:;..... 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 NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS LTR DATE(MM/DO/YY) DATE(MMIOD/YY) GENERAL LIABILITY GENERAL AGGREGATE S 2,000,000 X COMMERCIAL GENERAL LIABILITY PRODUCTS-COMP/OP AGG -S 2,000,000 ......................I............................. _..... CLAIMS MADE X OCCUR PERSONAL&ADV INJURY S 1,000,000 A " NBFB41863 11/16/2000 11/16/2001 OWNER'S&CONTRACTOR'S PROT EACH OCCURRENCE S 1,000,000 FIRE DAMAGE(Any one fire) 'S 100,000 MED EXP(Any one person) S 5,000 AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT :S ANY AUTO 1,000,000 ...................................................................... .. .. ALL OWNED AUTOS BODILY INJURY X SCHEDULED AUTOS (Per person) S A ... .. CBXE04239 11/16/2000 1 11/16/2001 .............................................:..................... X HIRED AUTOS BODILY INJURY .S X NON-OWNED AUTOS (Per accident) PROPERTY DAMAGE S 0 GARAGE LIABILITY AUTO ONLY-EA ACCIDENT S 'I ANY AUTO H OTHER THAN AUTO ONLY ......................................................................... EACH ACCIDENT S AGGREGATE S i EXCESS LIABILITY EACH OCCURRENCE S i UMBRELLA FORM AGGREGATE S ............................................ ... .. OTHER THAN UMBRELLA FORM S WORKERS COMPENSATION AND : i WC STATU• EMPLOYERS'LIABILITY i TGRY LIMITS: ER i;(.... _ B WC6523895 06/23/2000 06/23/2001 EL EACH ACCIDENT S 500,000 THE PROPRIETOR/ i INCL EL DISEASE-POLICY LIMIT S 500000 P.ARTNERSIEXECUTIVE -- ` ... ' OFFICERS ARE EXCL E DISEASE-EL EMPLOYEE S 500,000 OTHER DESCRIPTION OF OPERATION S/LOCAT ION SNEHICLESISPECIAL ITEMS CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,THE ISSUING COMPANY WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT. Rogers & Ma rn ey Inc BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY PO Box 310 OF ANY IK ND yPOt I HE COMPANY,1y6'4GEN3 O RE RESE TATIVES. Osterville, MA 02655 AUTHORIZED REP A I E . ACORD 26S(1f95); ACORO CORPORATION 1988 I I MAScheck COMPLIANCE 'REPORT I I Massachusetts Energy Code I Permit # I MAScheck Software Version 2.01 Release 3 I I I I Checked by/Date I I I TITLE: Bennett Residence CITY: Barnstable STATE: Massachusetts 'HDD: 6137 CONSTRUCTION TYPE: 1 or 2 Family, Detached HEATING SYSTEM TYPE: Other (Non-Electric Resistance) DATE: 2-27-2001 DATE OF PLANS: 2-23-01 PROJECT INFORMATION: 1825 South County Rd. Osterville,. MA COMPANY INFORMATION: Rogers & Marney, Inc. Box 310 Osterville, MA 02655 COMPLIANCE: Passes Maximum UA = 1222 Your Home = 1124 Area or Cavity Cont. Glazing/Door Perimeter R-Value R-Value U-Value UA ---------------------------------------------------7--------------------------- CEILINGS 3175 30.0/. 0.0 ill WALLS: Wood Frame, 16" O.C. 3746 19.O J 0.0 225 BSMT: Conc. 8.0' ht/5.0' bg/8.0' insul 2096 13.0 0.0 145 GLAZING: Windows or Doors 1180 ) 0.360 425 FLOORS: Over Unconditioned Space 1043 19.0 0.0 49 SLAB FLOORS: Unheated, 24 .0" insul. 220 10.8 169 HVAC EQUIPMENT: Furnace, 87. 1 AFUE HVAC EQUIPMENT: Air Conditioner, 12.0 SEER ------------------------------------------------------------------------------- COMPLIANCE STATEMENT: The proposed building design described here is consistent with the building plans, specifications, and other calculations submitted with the permit application. The proposed building has been - designed to meet the requirements of the Massachusetts Energy Code. The heating load for this building, and the cooling load if appropriate, has been determined using the applicable Standard Design Conditions found in the Code. The HVAC equipment selected to heat or cool the building shall be no greater than 125% of the design load as specified in Sections 780CMR 1310 and J .4 . U___ ��/ Builder/Designer Date 0- a r�� TITLE: Bennett Residence MAScheck INSPECTION CHECKLIST Massachusetts Energy Code MAScheck Software Version 2.01 Release 3 DATE: 2-27-2001 Bldg. 1 Dept. 1 Use 1 I I CEILINGS: [ ] I 1. R-30 I Comments/Location I I WALLS: f ] I 1. Wood Frame, 16" O.C. , R-19 I Comments/Location I BASEMENT WALLS: [ ] I 1. Conc. 8.0' ht/5.0' bg/8.0' insul, R-13 interior cavity I Comments/Location 1 WINDOWS AND GLASS DOORS: [ l I 1. U-value: 0.36 For windows without labeled U-values, describe features:. I # Panes Frame Type Thermal Break? [ ] Yes [ ] No I Comments/Location I FLOORS: [ ] I 1. Over Unconditioned Space, R-19 I Comments/Location I I SLAB-ON-GRADE FLOORS: [ ] 1 1. Unheated, 24 .0" insul. , R-10.8 I Comments/Location I Slab insulation to extend down from the top of the slab to at I least 24" OR down to at least the bottom of the slab then I horizontally for a total distance of 24". I 1 HVAC EQUIPMENT: [ ] I 1. Furnace, 87. 1 AFUE or higher I Make and Model Number [ ) 1 2. Air Conditioner, 12.0 SEER or higher I Make and Model Number I I AIR LEAKAGE: [ ] I Joints, penetrations, and all other such openings in the building I envelope that are sources of air leakage must be sealed. When installed in the building envelope, recessed lighting fixtures shall meet one of the following requirements: I 1. Type IC rated, manufactured with no penetrations between the inside of the recessed fixture and ceiling cavity and sealed or 1 gasketed to prevent air leakage into the unconditioned space. 1 2. Type IC rated, in accordance with Standard ASTM E 283, with no I more than 2.0 cfm (0. 944 L/s) air .movement from the the I conditioned space to the ceiling cavity. The lighting fixture shall have been tested at 75 PA or 1.57 lbs/ft2 pressure I difference and shall be labeled. I VAPOR RETARDER: • [ ) I Required on the warm-in-winter side of all non-vented framed I ceilings, walls, and floors. I I MATERIALS IDENTIFICATION: ( ) I Materials and equipment must be identified so that compliance can I be determined. Manufacturer manuals for all installed heating I and cooling equipment and service water heating equipment must be I provided. Insulation R-values, glazing U-values, and heating and I cooling equipment efficiency must be clearly marked on the building I plans or specifications. I I DUCT INSULATION: [ ] I Ducts shall be insulated per Table J4 .4 .7. 1. I I DUCT CONSTRUCTION: [ ] I All accessible joints, seams, and connections of supply and return I ductwork located outside conditioned space, including stud bays or I joist cavities/spaces used to transport air, shall be sealed using mastic and fibrous backing tape installed 'according to the I manufacturer's installation instructions. Mesh tape may be I omitted where gaps are less than 1/8 inch. Duct tape is not I permitted. The HVAC system must provide a means for balancing I air and water systems. I TEMPERATURE CONTROLS: ( ] I Thermostats are required for each separate HVAC system. A manual I or automatic means to partially restrict or shut off the heating I and/or cooling input to each zone or floor shall be provided. I. I I HVAC EQUIPMENT SIZING: [ ] I Rated output capacity of the heating/cooling system is I not greater than 125% of the design load as specified I in Sections 780CMR 1310 and J4 .4 . SWIMMING POOLS: [ ] I All heated swimming pools must have an on/off heater switch and I require a cover unless over 20% of the heating energy is from I non-depletable sources. Pool pumps require a time clock. HVAC PIPING INSULATION: [ l I HVAC piping conveying fluids above '120 F or chilled fluids I below 55 F must be insulated to the following levels (in. ) : I I PIPE SIZES (in. ) I HEATING SYSTEMS: TEMP (F) 2" RUNOUTS 0-1" 1.25-2" 2.5-4" I Low pressure/temp. 201-250 1.0 1. 5 1.5 2.0 I Low temperature 120-200 0.5 1.0 1.0 1.5 I Steam condensate any 1.0 1.0 1.5 2.0 COOLING SYSTEMS: I Chilled water or 40-55 0.5 0.5 0.75 1.0 I refrigerant below 40 1.0 1.0 1.5 1.5 I I CIRCULATING HOT WATER SYSTEMS: [ ) I Insulate circulating hot water pipes to the following levels (in. ) : I I PIPE SIZES (in. ) I NON-CIRCULATING I CIRCULATING MAINS & RUNOUTS HEATED WATER TEMP (F) : RUNOUTS 0-1" I 0-1.25" 1.5-2.0" 2.0+" I 170-180 0.5 I 1.0 1.5 2.0 140-160 0.5 I 0.5 1.0 1.5 I 100-130 0.5 I 0.5 0.5 1.0 a r • I ----NOTES TO FIELD (Building Department Use Only) ------------------------- i ✓�ce Lanvmanweall� 4�✓'`���� BOARD OF BUILDING REGULATIONS License: CONSTRUCTION SUPERVISOR Number. CS 016174 {, Expires: 05/07/2002 Tr.no: 26118 Restricted To: 00 CHARLES D ROGERS 300 BAXTER NECK RD 'r'' :�' 9Ie04ZTr1A14Z MII 1 C MA n2F4A OAminicfraMr fie U � a�✓��ay.�zc�iu�e�i Board of Bu.ildinq Regulations and Standards One Ashburton P.la e - Room 1301 T,�r�n r"' .i. �'f;, r•`.: �"� Te Lo�+c��an�uoa/(/r a�.l�cv�ci„., -: �\ HONE INPR04ENENT CONT;�aC10R Ramistratiov - k Ezpiratiu: 6 9 02 i har .le F;oa Type: Privite Corporatic G0/'. 310 Ostervi l le MA 026�5=, ROGERS E N9RNEY, INC. Charles Rogers WNSMLE RB; 1 TOWN OF BARNSTABLE BUtLhIN.G PERMIfAPPLICATION Ma �_ Parcel Z - -S MAR 6 �1 a p P? e y,v Permit# ML Health Division Date Issued1A6 6 M..�1 _..__ .... Conservation Division 42-11z� 19A �3 plj o f Z cco-d 0l//4/o/ Fee 9J?" . 641-D Tax Collector ���t7I(,� SEPTIC SYSTEM MUST BE INSTALLED IN COMPLIANCE � lo �� Treasurer WITH TITLE 5 Planning Dept. ENVIRONMENTAL CODE AND A ROAD PLICAN O MUST OBTAIN A R OPENING PERMIT TOWN REGULATIONS FROM ENGINEERING DIY. Date Definitive Plan Approved by Planning Board PRIOR TO CONSTRUCTION Historic-OKH ' Preservation/Hyannis ' Project Street Address OuwtTY t�.p Village M PrQ-'S1VMS M 1LLLS 6V.SH I Owner O►P rfr+ 13P-wI tycTr— Address kA r N e,44 M , ma 020 43 Telephone ? 81 • ?q Q - ZS-4 8 Permit Request u7c�7 ?-0, X A0, =K G I2oUN hoot_ Square feet: 1st floor: existing proposed 2nd floor: existing proposed Total•new oo Valuation 30, 000,— Zoning District IZ F Flood Plain Groundwater Overlay A Construction Type nt 2w i-ram Lot Size 1 Z ,Z% Ac Grandfathered: 8'Yes ❑No If yes, attach supporting documentation. Dwelling Type: Single Family 0' Two Family ❑ Multi-Family(#units) Age of Existing Structure KIF-s / Historic House: ❑Yes 521,No On Old King's Highway: ❑Yes @-No Basement Type: RTu'll ❑Crawl * ❑Walkout ❑Other Basement Finished Area(sq.ft.) 20-I 8 Basement Unfinished Area(sq.ft) N n43 Number of Baths: Full: existing 9 new r�? Half: existing J new Number of Bedrooms: existing_ new 0 Total Room Count(not including baths): existing t 1 new First Floor Room Count 7 Heat Type and Fuel: NI'l as ❑Oil ❑ Electric ❑Other Central Air: 21e-s ❑ No Fireplaces: Existing S New Existing wood/coal stove: ❑Yes Leo' Detached garage:❑existing ❑new size Pool:❑existing Q ew size %6xgo Barn:❑existing ❑new size Attached garage:❑existing R new size Shed:❑existing ❑new size Other: Zoning Board of Appeals Authorization ❑ Appeal# A114- Recorded❑ Commercial ❑Yes (9<6 If yes, site plan review# Current Use Proposed Use 4&2& BUILDER INFORMATION Name `12oGFQ5 .1 MAA-RNr- . LNG Telephone Number Sb8 .12$ 61(OA Address fS K 310 License# C S nj( ?9 0s-t-p-(Z ) iui- �m }- Home Improvement Contractor# I On t3� Worker's Compensation# W G qs'?9 800-S ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BETAKEN yel GW M AC.o vK+(P,5 SIGNATURE DATE Z-Z?-D 1 FOR OFFICIAL USE ONLY w PERMIT NO. Y DATE ISSUED •��,MAP/PARCEL NO. 7. ADDRESS, � .< VILLAGE OWNER rw DATE OF INSPECTIONQ FOUNDATION FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH `;' °p FINAL 5" ..� a .. PLUMBING: ROlfM d -FINAL, GAS: ROUGH FINAL M FINAL BUILDING DATE CLOSED-OUT _ ! s-o v•e, ASSOCIATION PLAN NO. The Commonwealth of Massachusetts == ( Department of Industrial Accidents '� - -- Office OfIIIYCstfolfOOs - 600 Washington Street —.may Boston, Mass. 02111 Workers' Compensation Insurance Affidavit i ❑aMC: location: city phone 1 am a homeowner performing all work myself. I am a sole proprietor and have no one working in any capacity Now 1 am an employer providing workers' compensation for my employees working on this job. companvname: ROGERS & MARNEY• INC. addres3e: P.O. BOX 310 city: OSTERVILLE, MA 02655 phone#: ...508-428-6106 insurance co. EASTERN CASUALTY —_ policy q ' WC95798003 0 1 am a sole proprietor,general contractor,or homeowner(circle one) and have hired the contractors listed below who h4..- the following workers' compensation polices: SEE ATTACHED SHEETS I v company name r > address• tlt7 phone#: insurance>co: ' ' . ,..policy q company name: city: _ phone# ,.._ insurance co. policy N Failure to secure coverage as required under Section 25A of hICL 152 can lead to the imposition of criminal penalties of a fine up to S1S00.00 andiri• one years'imprisonment as well as civil penalties in the form of a STOP WORK ORDER and a fine of 5100.00 a dtiy against me.'I understand that a copy of this statement may be forwarded to the Office of Investigations of the DIA for coverage verification. I do hereby certify under the pa' s and penalties of perjury that the informat'ion/provided above is true and correct Signature VV lMV1t° ate Print name �O C CA— Phone#' 08 •�{Z 8- t;l�� nly do not write in this area to be completed by city or town official : permit/license a f lBuilding Ucpartmcnt -- O Licensing Board mmediate response is required QSCICetmen's Office 011e2lth Department (c7onracton: phone#; nOthcr ,ra isod 3/95 PIA) s, Information.and Instructions Massachusetts General Laws chapter 152•sectiorr25 requires all employers.to.provide workers' compensation for their employees. As quoted from the"law", 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 tIiree.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 section 25 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, 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 in the workers' compensation affidavit completely, by checking the box that applies to your situation and supplying company names, address and phone numbers as all affidavits 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. City or Towns 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. The affidavits may be returned to the Department by mail or FAX unless other arrangements have been made. The Office of Investigations would like to thank you in advance for you cooperation and should you have any questions, please do not hesitate to give us a call. The Department's a(!-1 r I)Cttar?Yi?._'l C�: `.^.(IL3'il':.:� i-►C::'c_.cc_•::i ' �i tllfisC rrf pnuesli�atla6ts ., ,, 600 Washington Strect '4 Boston,Ma. 02111"• Vo. ' fax #: (617) 727-7749 phone 11: (617) 727-4901) ext. 406, 409 or 375 SEP-157-00 02 :43 PM CUSTOM GUNITE POOLS INC 401 6251041 P. 01 11.7 WVA'' -A f� OF LIABILITY INSURANCE OATt:NYy=° CERTIFICATE ..... ... ....._ 07/18/00 'he Feitel.betg company THIS CERTIFICATE IS iSsuEO iA A AAA pp' INFO VAT�OH — 222 Milliken Blvd. HOLOW THIS CiRTIFIC�ATEONLY AND CONFERS No I DOOES NOT AMID EXr��Ta P.O. Box 3 T _._.-_ --"-'---••---- p OR TS WON 220 A6T� THE COVERAGE AMACEO fY THE P�169 BELOW. rail River, NA 02722 INSUIRERSAFFORDIN000VERAGE Custom GL Hite Poole Inc. ��_:.aA'CNA insurance 656 Xighland Road ` - O r...... .'...:—..__........._... _._..... _.._—. ..�-- .... . _. . ...-- Tiverton, RI C2878 Ilna�leAU, .__.. . _ ......-- TH¢POIJO&C W NCIPdNCT:L:STELI SBOYi MNVE 6E31V ISWED TO THE NSL'RE7 ko.41ED a AMAY NY PSTA FJV1 HE TE:PIp6 OR COFf•CIf�N 0:DNY CM?fIA-0 QA OTH/R COCJNEVT Y TH6 TO Yih11G#TN19 CEATfaC4 MAY RH T OR POLlCC L THE IIV1aJ1t1YC2 aFp.�gp� by TH2►OLId6S CESC tIbBD MEMN IS SUBJECT TO Ail.THE TUWS 0MLIiS1 ISANCCONDIT10NSOFg�C. EOu1TE JMTfi @ I C7A N NAY HA\C BMIV RE:�U�BY FAO CLAIMS. A TN401'NtI:RANCO •..—__._._.:..... .. ! lTbl: ��III�iTCA-.. '_ aOLGYNLIMbEft �iYl� D � to•.On: A �2FN:AAL0AiiLTY .�JaATFtYNr O 0 Yyji CY:T! r , ;10" 0756665 —o`er Is_ 00 07/Q1/00 07/O1/01 �i►c�oceup+E�c� T1. 0,000 X IC"JY.:N9�G�:3cti�7A`:Ayh t1' 1 I .._—. • C:AIV�MAJII ! 'iICEC?AY.A;iE An onaC'01�lyoao Y 0 0.0 GEv.Kf:iFA'El'MiTA'rL�.:►t.; ENERA:AGfIoi4AT6 t— �— °PO I—" , i o4pDu,•'t3•GJMP10%A5¢ n — - auAetL�Tv •860018147 ....� 1. -' ..�..... ..----• ---.. ._..._.__. 07/01/00107/O1/01 �--' Q Q Q J I OARAOE ci11 L1Y �— -- ' AAvA J•� - �A`JTO ON:Y•E4 AUOJEY'T_ . GA AG" I 1 _ lr>,LA Ili,n , L_.�BCC-L '••.••' 'aC�OGOUPFS ENCf S IA;NIIII �1 ' I ' ' I IFe'6l'ON f �A WONK(g9COMF6N-8A-r O...M._A.M..r.1..... iI 1. 7.4..O 8 07 07M.1 Ec-c�ea'�o1:e_nMr+ cA-j I'6�`s— 55e 0 '-..' OIMER �n•L•DQEASe•POLI^Y,Iy'• 17Q0 000 .. • I I CEDCRPT'DVOFOPLRATOMC�LOCAfONtJrEi+CLIN OIUC' OACDE09YE"OnalMCM1rOPEpAtPp0Yl0.ON/ ' CERTIFICATE HOLDER 1 1AO,TOVAL V8UAWC;'N2UNERLETTFA CANCELII.ATION �MOULOANYOFTI•EASOVISHICA QIrOrOI CEOSlCANCEttEO�[FORlTF!d®t/'•MTON Custom GLnite Poole,Inc• DAT:THCAWF,rNtCBU•MONSURERW'VLfNOdAVOMTOMA'L.U—DAYC\VR:TTEN NOT:f.ETOTHCCi'o ACATC NOL0ERNALIEOTOrHELM,20FRLURIMMODSKAIL M!OI t NC O6NQAri0A 00 UA!'L TYQF AN1 R'N:,I IT E:wOL'REI,,TOAQ ENTD 6R RCM!!]EATAt vEf3 A TMOU=fi0 R6P11��f•�N.T►T:yVE /� ;CORD 24-S p/}1 Of 2 016 412 �- NF 1 o AZOiiD CORtPOgATla1 toelr J • I' pp � _ ��ie iDanim4nwea.`�i 4�✓��Sac�uufe�l6 BOARD OF BUILDING REGULATIONS License: CONSTRUCTION SUPERVISOR Number. CS 016174 Expires:05/072002 Tr.no: 26118 Restricted To: 00 CHARLES D ROGERS 300 BAXTER NECK RDA'. : JJ/A/e0CTe1NQ WII t C MA n2FAA oAminictrnmr 1. Board of Building Regulations and Standards One Ashburton Place Room 1301 R- toil . Massa hl. ^ ".�. !71c� Trripro .ara nt C 0 1 tr t'.c':r R(?ryi:a1.1 a1..L^n 1.0013/1, 6/9/0=' T Y�)r'- r:,�-.1.'..':a•r r,-;r n --:.i..,s..^,r, 92.&...'.a o�.%`la:uac/u.:e•; HOME IMPROVEMENT CONTRACTOR Registration: 100134 ^r)CIERS MAPNEY . INC- Expiration: 6/9/02 C har-Ies Rowers Type: Private Corporatio P .O . 60"X 310 Ostervi I le MA 02655 ROGERS & HARNEY, INC. Charles Rogers 445 NEST BARNSTABLE ROAD ADMINISTRATOR Ostervllle MA 0260,C I aF I KE rp,- + The Town of Barnstable + + SARNSfABLE, 9�A MA& ��� Department of Health Safety and Environmental Services rF163. Building Division 367 Main Street,Hyannis MA 02601 Office: 508-862-4038 Ralph Crossen Fax: 508-790-6230 Building Commissioner Permit no. Date AFFIDAVIT HOME IMPROVEMENT CONTRACTOR LAW SUPPLEMENT TO PERMIT APPLICATION MGL c. 142A requires that the"reconstruction,alterations,renovation,repair,modernization,conversion, improvement,removal,demolition,or construction of an addition to any pre-existing owner-occupied building containing at least one but not more than four dwelling units or to structures which are adjacent to such residence or building be done by registered contractors,with certain exceptions,along with other requirements. Type of Work: lea i W&v.._ttyG Fee c�� Estimated Cost Address of Work: I FZ!K S. CoUN,T-ce Owner's Name: C>l A—NJ Or Al N S= Date of Application: I hereby certify that: Registration is not required for the following reason(s): ❑Work excluded by law ❑Job Under$1,000 ❑Building not owner-occupied ❑Owner pulling own permit Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c.142A. SIGNED UNDER PENALTIES OF PERJURY I hereby apply for a permit as the agent of the owner: z 1 �oGF �2s d MH-121 a t T-'-(c. t 00 R1 Date Contractor Name Registration No. OR Date Owner's Name q:forms:Affidav I pw • -' .S � {,.c�i I:fatt Sol 1JIL: J�o��a IC,art2 ",-_5 oecca..4(o. -�- r CONS11ZlKPON SHALL COMPLYIVITH LATEST FDlr10t1 I I mL°.:.. asoo.caL: �_�� �a•.tC.ars.) OF jNEAPOLICAISLC CODC C:R 15UILDINC-1 ORDINANCE-- , f-.,�;!•..�---<ri .. � . .. —2 CONTR PTOR 511ALL VERIFY ALLDIMENJ)ON� I� AND C0N0k IoNS(HOWN OR THIS SNEET)aN'WTF— s ce.xj Q t11 •� - POOL DICK AND YARD ARCH AROUND POOL. - 4•.o I�1W I LENGRi O�PC,pt_�50=o"(MAX (,dK,<•n,DECK) F i - _1 i��-•? 'HALL JLOPE AWAY F7cbM FbOL. 4 PRCN\De DAI RNAGE AROUND POOL-O IF\VATER 15 ♦ 1 i(nn j - lM,v) I I- �� -- I �T zaat.c EKmu,jE F_D.No GROUND HATER AT POOL LEVEL. ♦ 1 1 . -- � f ``♦ i I I�-- ii "ICJMAS S POOL SHALL f3_8=o MIN•CxEP IF dVlW-Ba°•RD 6 USED. FFoe ct'' ?c"'su s o' I -s 6 FOOL FGvIPMENT (FILTERS,PUMP,HC4TER,ETC•)614Ai T:c a stogy.♦ ��t.'..x a // t'"'y') i I NOT Cic LOCATED IN REGU�EO FRS OR 310E YARDS. 5 eE�SeT vF 4:1 0< I OMryc. ti clin�uvF[ r1 I I --s.7•-'OIL:SwuL GF-UNDISIURBM�ANRAL 1000 P.5•F��. o- L. � APPROVED COIAPACj'ED FILL I< �tV .•.xo n:/ oT„ i -,-8 CCNCRt�: PNEUYWjICALL R,PLEO CVNCRE 16- . 6• IZT� -SHALL HAVE A MINIMUM oMPRC55\\.,F_ 3iR`NGjN OF 2CCO PSI AT 2a DAYS,\V%T" NOT ttORE PtA4 1 LOQGIfU01I.t.'.L SECTlaN I2 jouP['okJACOR ofnojAc_R£CRs5so LIGWFICM- A.5 PARTS SAND TO ONC PARC' CEIAENT• BY VOLUtrnE ` I 1 16i r+o!! M�Fpt3a�uuv.s,Te L1- ��^,'r•' •D[«_'�l fwo,..rLo[C�G.wr.fS fa SLpotoyS+•:lFe ls'.o,i....c..oto�u u l _I lit�T. '6 fT --+9• ANO-3 GALLONS OF U\Vt,ADj)ESTRV RQBC. R PECCO.SCAt SN6re[AtEC CE:KENT. lam pytiy P\78•s w SCAN pconw C9c PL.ACE (-A q: , c' wI-MT )GECK - lo RCwfoRC,NG SEL -SHALL CORFORIN"R LDA TGAp\SGlTLK' I.I. H�eH exD r' �` oe711 i �/eNaci.v A,STi'�.5PfC5 A-fd5.DESIGN PA5ED ON Ua000 U.`�-ry-.--� I;1•- LEAP ALL BARS INIttAIJIN 40 PIAhiCTCRS : a `o• / n,ppoT SJ \�I` AT 5FLIC1=5 A.tJD CAf7tJeR5 �{ .. p ° co Rfa 0 To rtlTW ! ••.• �oowrl. � �. —,.-II 4�tt�ttEcw�rlteAL DL_J\ctsToHOLpaT�Be. te,1 QtACe AIJD MAINTAIrI 2'CLPARANCE 5M'46EN CAR(}1 .L_ .•' •r: - _ 'GS-.u:sT. C:,nYE7W Tb Dt:•f•'Fit, SPPF• II �•II Tttt To Hstv�SualaN --�-r_° `. SEALIAI C� ( TAIL j I GPICI:/•t RECC-<_y`D L�OC1Z .�.�'►lK)te- 6 oe.e.•ee-,r aea,taep AtJD L. FMIL6 r':sN was tier CjRICAL Ci000t,'Q44 TO ('htP.SQrL^I.".- �f'h°e uvaeva+e�Evxa c.Deaeovwo.nd 'dt}tw�5<T+tio�la+f -�12 SNt/JMIt�C) FOOL CLL Ct s W,ER I E twa�,-FbT A!R4C BY LOC/aeaaeeac•L. YAW MANIs+E fra.ca—rb-V°:l¢ Swop, ww,tiv-T:R Dcucs:•eC»Aurorp[fcuaV REQUIRED FRIo2 Ta WILoIU�INSF>=CTbRS LVE tut VIM(48aaAS AFTDR a C,-G.:. '..... o U Qci 4N L1µYEf b✓.ur.t'. STg9I OF Rf_ T a.ot t�s7cs�tCa t'S']R \ I / CLEA2aNCE • ♦�/ F.••.i fRvs bfT Mro/ / - tw[Scon(cr..J Lfoi•we �• i•� Cc.S:Y,2T.oy Jo,r( ' 1�• L;MIll C4W. �ovTtLUAL �\ `'9 �iwfMnM+L3'ita•sM.<nC< O``, p(� GE(AlL Gr�c PETAIL'*D' 7++NErc / y [.<•ru..D �(�L.:K (,AOF DWr UUE Ir-T7dl LILAC YN.K IS.C[ EC�_ ,I "A-F.0 NRMC �) —� SP,,,.ryFr f,LlCa is's ED W.PRCs3W a s•� IISTRUCt\yp' n -�-�s c—'M E._9 1 ec4 AT . �1 VET CrldCRETE TN e�6' Y 4 3 SURFACE 6KIHHER 1JIC++E•`:• T(PICAI PRESStACE SFS EM PtP PING C14S41 FC[SN G'aTt2 IN•J T q err g:'e.so:� I�ayVL FAR l uiYS 1 - �• F- �2 Do f4or-WRt4OA ucttIT\\!Head FOCA- tS ed.,m I f -TO tb tjq USE SF.�JC Rub BEk HOSt=.JHF1�FiLLIIIG Fks01- r------ y- - -—C- .. :(BLiLGK RUar3cR MARKS PLASTER) . p=4 c"wr sit _ I t 1 i-- S WOO F SEC rose o'. -j d nca anc.., L_J L_J i a•rresro wa. c ti S/r . .. o �r vq>.v m ,ca Fa.s°,� � j5•.. .CL. Q�p� `�S t\�17�1 AT•lL I�G•I� MOfZ PEl 4• P21of ' \ I �T-2 a. s7f0 \ � i7fjt2 LY .CLt.fu3t.K \ 3 \ II , SHALLOW END s �' vi �,ti 6�vcis.L er03an1 - .. _ ' '. I •� .. ' - f� DDn. SGa a-,:T •,psi\_pJD 3°3 1 K ,J We: 4. Mtvef 5'LttAJC,)IT RuMre 12 6' 7° rm o' 3 5� A00 114,IS'•1'To,ib'O,L^O IPf 6N2 ah 5- a. ' 2•1 fit R-LCIM or Q{ '1'�. IOXI - F ,.• a. ��P"` A8� RESF[CTIW am. 2'M IO DEEP END 5TAn1DARD SOIL , 12 DEEP EK.0 RAV,?CR bc's CAAlfT011 0. BOAADiIAII, �� SEG2 --•-�- CUSTOM GUN I I E POOLS, INC. r�B F2 SF CE"rll f� o,c.eV. °3- EGISTEREO 65fo HKiFILAND TNEF�TO^tL R=• OVAL ENGIXFSR Ds+.TE: D4rlVNBv: CMFLXEO: SsoBOI I� RECESScD I�ND Cesw\ {4 kt\ISEO ecwo I .M SNALIow eJ+o NONe - 9-7-65 �C1. ... .. .. .. .. .. .:. ._ . - .... . .. .: .:-ems, :.'�.�: :.it....:i ;�.•. ;u•. 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F 1 , / � I Y Y 3cc 1 41 RN e II I � � I f I •a ' i 15 -,r-- F— p ,r 1 I I r I I I d . , I I •� I xE• I � Y • s w i •� i c � � I I I I i0 !Q■ r �. '� �A• � Z ' lbt � i � ttt�"`,"`crrrl7 �. £. LVV CS * �� � �•� �� �� �, t3`�: ter-. � '" STREKALOVSKY ..& HOIT' INC. rn ;;. A^ _ , , ARCHITECTS 51 NORTH ST. HINGHAM,. MA. 02043 TEI. (617) 749 6 FAX (617) 7 0 4279, 14 .. .1 - ..y i I . I *__ � ( "1T!" 1 I WINWW WINDOW 6` 4a7 NP T � '-' - � I I T1� I Y M d i%�• - -- 3 +I i 6 P i t � N " s Ai f- � 1 I i0+ Z .1•: - -FH 4- I A Al S _ s ! qo . EDP i Id _ T. 3L I • . / .._ N X _. _ A,• v I N q I V i TZ n, TL i F o W 6� I -- �1-- --- - - -- o z wI d 3 � o _' �!► s ,� ♦• d_ o via a A. [� ;gyp L.V► ZL �C� �•• -G h� ' "0 z' N (TI STREKALOVSKY & HOIT INC. z� ?5 a� � - ARCHITECTS .257 Ask Z. 51 NORTH ST. HINGHAM, MA.- 02043 ` , •p /,Sq�7 TEI. (617) 749-4160 FAX (617) 740-4279 •� p� r� - I :k: of �. 17!0' 1-7 i WINDONI SG�AI � I rz� I I I I I I ' II ICJ I I I i I� / 12• 1= �i I I i I 11 I I 9. £i 7-0 I I I I iT t - - l -- S I • �?F 1 �.� +I —,see i � .••� 'L� I - a 41 ia;:j: 11 -6 _ J-7 II• I�I II' -- ' 111lj11 y 1. _ . N y o Sip a: 10 �NN.�f .�h19�1G� z _ A — � ,, STREKALOVSKY & HOIT INC. - c 4�'3rf1;�/ICL PA. ARCHITECTS e Q {,: ( � I�,I •,,,. e 51 NORTH ST.. HINGHAM,MA 02043 . ' 19 '". ' N � GDI D:••: 1+O0 i� .' TEL V81)749-4160, FAX V81)7404279." S ..K 1 i — J � o o .r v A c p -74 wv tw1111641V -A v sk ILI RM o I� o ' I I �ii�� . Till °�I - L • I � -- b fII F �- V,71 �.p rk — i :.. 2 f' I _-... .: � t" 0 tAd 1 Ki 3 41 ' �� N .� '" .. � p STR WIT INC. EKALOVSKY & . H Z sn o - ARCHITECTS, 3/�I.LR.:- . . . . .. :tsi� v �. ;;.;;. . .•-, .� �,• ,• o __ _ _ _ _ _._ _:_ _ .. ,,.,�. 51 NORTH ST. HINGHAM, MA.. 02043 -.k ;cr..;:-��:. _ . . :';.E �. � ': -_ - �---'•------�.._._-•-•----�'• TEL (617) 749-4160 ' FAX (617),740-4279 .'. u .77 1., ' • � I L (� I I II i...__ III ! .r 1 • 'I, ' i�I t I I• 9"6 7E r� .. • , ��' 'III, ,,. s,,. I — aUr ! r Till, a . t% Fi Iits n N N o =o STREKALOVSKY.'A HOIT ANC•. �® . . viu:C..:..::: ... ... ,....� . = Ai�CHITECTS z r �o r''Y� e .- ;"W I' • .. o _ 51 NORTH ST. HINGHAM, MA. 02043 . o ,�; TEL (617) 749-4160 FAX (617) 740-4279 A FYK _ t - �S,UtY,iK r . ,.. ...... I v J I r `ilk "1 Sa 2_b. rL j I IN // j 1 �/� II O I ' I I 720' LL- 11I O I I !, • - I �,k f�l II N 1 � �I I j � � ; O j .I 71 it JP _ I II is I I— i I I .3 O -- —{ — 16 :. N > . > STREKALOVSKY .& HOIT. INC. . ARCHITECTS . . . . . . . .. ...-Ak a - w EWA . ' •: N%v 04 N 51. NORTH ST. .HINGHAM, MA. 02043.• . .!V — .;•T,``,,� :,.A +O TEI. (617.) 749 4160' FAX (617) 740 4279 .. �.J a• - jj I I : !_�. 11IT i ;IIIAll ji Hal i 4iW ! W T;*. Oil i • '0 n 9-' I. i .;AL 17 i I 6 . I I . r' .710° o .I 1 �02 �Ic ro a a a o 4 I TREKALOVSKY- & .HOIT INC. lie :f .. ,• ter\ - ,�:.:. .; ARCHITECTS 51 NORTH ST. HINGHAM,. MA.. 02043 J-... - 740-4274 Y lJ • • I I o Dvi . I tt ram? ii v I i Al I I I - i� i - I ' v ' • I ; I I/ s 1 ' II f i� V � I �s U Tt: I v i c 1111104 Z v Q `,�'� . s rn to Vf�rv'Vli IT ��71�> �. _ - �� _ • , : STREKALOVSKY & HOIT INC. �. Z '• •• 70,E < 4. _ N o �,�^�vlu,E :X5�.; ARCHITECTS c p .J z e ml p 51 NORTH ST• HINGHAM,MA. 02043. at �`: .. ...... a. ;... �.:4. •i., TEL(781)749.4160 FAX(781)740.4279 1 I i . - o I I -----art-- �_. ---'� ' I I I I i ` I I 1 0 i� ©. o •f Y' ,O�' I Cz1.2132� I�i.53C 8 i - I I J i I 8, f j. I i I I 1 0 01 o Z-0 A > IrA Err . SIDr:N�c xaa � o r' A STREKALOVSKY & HOIT. INC.' ARCHITECTS 257 ~ • o ° y IQ T-forJ PLAN 51 NORTH ST. HINGHAM,MA. 02043 a — TEL(781)7494160 FAX.Q81)740-4279 a�.r • I • � I � j � • - ----- ` _ i I i I t�mmtr 1 I ! I oQoo T T V. CA i e I Jl f� ro � o A =�n1 CA >> . =o ��N N eTr" Q.c�l o�NGe STREKALOVSKY & HOIT .INC. Tt �3* K o rn 11) .• O hr���I we AA 1a ARCHITECTS N J 1 tsn: = ,A �. 51 NORTH ST. HINGHAM,MA. 02043 TEL(781)749.4160 FAX(781)7404279 - A 0 TES'(_AG.G �.LLl►-• ., I Y , all Io I I T . I-t4 4-1 21 - I Son o'I — I -- — }--} t Nil 1bz t / VA ri I �e' 47. S . !` �. F'm6CN N�1T Gsl r7 ANC Pi o STREKALOVSKY & HOIT INC. • Z a . ..... .o�T�c,v iVl 4 ARCHITECTS .,�. 51 NORTH ST. ' HINGHAM,MA. 02043 Al" TEL(781)749.4160 FAX(781)7404279 'I r� + p a ID i 0 ppm�� o \ .0 =o p 5 N.r,l 4 (— i�G N C i STREKALOVSKY. & HOIT INC. ARCHITECTS tA _ 51 NORTH ST. HINGHAM,MA. 02043, TEL(781)749-4 FAX(781)740.4279 0 0 1 I I I - - La ;i• O y I' :�•Lx1 _ $••Zxl2 lit- • — i I �I •Lx(11' I - 71,111- N 1 E 1. i ir I Y ' f i o D =o ��tiN�T" 2 sio��G� STREKALOVSKY & WIT INC. p S o> C I UI �� p ` p r' � � ARCHITECTS 1, 4 pi �ree.vl�t,E NSA � r 51 NORTH ST. HINGHAM,MA. 02043 v 6 N R TEL(781)7494160 FAX(781)740.4279 U1 C R ad V = - _.. . . W 0 2 = 11 it L1.1 z W 1 IId' o,C. T cn I " o, I l / +Le d' LP q jil 1 A ...... el lF1 p,� Io10� Y 12 1 ro o )�� +b r► to+J r► ] U{d 111 J i 2 i i i t N IJ( I V{Q�Q REVISIONS: 1e(p;P PROJECT A NUMBER: " 1 J 0 61.. DATE: '3 C SCALE:. Y ' DRAWN:... . CHECK: yor DRAWING NUMBER: !�,• . . 4 p r�ads � i Y I - 17 --••---- 1 .i 1. h. i 0 � i __._... , f ' -- '-77 /3 • ;.ti airs°. a I 0 1I ' Z J. K \� i 1?�gl D vW E T STREKALOVSKY & HOIT INC. . I ARCHITECTS 51 NORTH ST. HINGHAM,-MA. 02043 ,..........:- ': �2 '• L..•2: ...,. :. .:: SBr "N` TEL(781)749.4160 FAX(781)740-4279 i 4 -- -- ✓✓ ri KIO o I J-1 O \ < � Al \ 1. 1 �Y o }oaf b �l' I v4 c ._...-....... - X 4.t 7 ILI r' tkl c 1 tc = O Q �{ I' 0 I I � i • i I J� I 0 fV Eu ua no tn F. A �f�N rJ ET't-.�.r��lp�uGE �`E"���4> •€. STREKALOVSKY & HOIT INC. C. Op. _ o G�� V.I LLb / Ar ARCHITECTS �►�► ; .� '; 51 NORTH ST. . HINGHAM,MA. 02043 740.4279 TEL(781)749 4160. fAx pet) I � a'-v CCe>. z N 111:.v�. . L � I I, o I a R 6- 5a �_ Q� X 4 i I t� a +I' 6�►.,Ne:�-r- Es�oc .. ._ STREKALOVSKY & HOIT INC: ARCHITECTS b ,•I� . ,,, - �l NORTH St HAM MA 02043 �1-a V ate. .,7��AI�cG..=:.::S�T(o.t,�S.__....,. TELpa1)7as-a1so. Fax(7e1)740-4279 . ....,..:. . PROPt7tJY-LNE DETAIL • Oara Jr-49 e LOCATION MAP y_ ! CAOUADRAMME t2sAw O Vr V S • NAP Ib PAA3=17—4 za"m / Qa a Ar oweAr asrwcfs • mac Ow wcr.W NIFA VOW w w�eOo s t N/AW i . SOE=!.' IWAR >, A«_W ■asma HaWf-w FLM ASSWO (Sm Nm00, . x 10 �8 � 'L O T 3 O T' 4 i ' //� / • LOT 5 wtm�Pie ,,�; / 41 f it Jli 1 Q: 40 CLOM i r� 1 f." v S• 1 IN•aya - . ,.• :_ L m�. it w. . ;„,�. . .. ,� � iAIIAa aAa s••r+w UK~s w<r K o µ r to .am as ' �' ,t•. 'faii wwm lion!<�►•1FA�i1 ..„ NI[�,Nf o ""t~ r S UT E L.AN Y,�,,.•i MfVM AT ;•,�: OStERYl 4.MASS. y. F rr. i PEiEIt .G• :)�ETf. j. 1 rr.. f: ;► S MARG11. 1 � SCAIE' 10'.• 14 4� •,• 'MxiEl1 , 1' OIL;ILD PRO •r: ;f 1 - M.. r• ' , : r:. .4 , r t. rr,.. .�g P -5. f: ;.; , f , •L a it �^ a •4:�fa ,r. - '=a z• '.t•J f l '1,x :i•r. D a v 1' r j� �f MO VE J' a ' P'• rn D l:- y d. r. i r•r N. �•t �J : t, a - 1 E' �,• try.{{+� ���:,.: ^ma`s r2 ::rlJ >r_r t •Y_ �+ t'.. '?fix:.�•'' .rZ f < o is .fr I •J•- Y .aS• ..• [ TI• %i:t :i- r.b• f� 4• ,a t s, � ^'mil. ti:�•s:•'i i-"4 ._F :f., i.t±�. ,r•!' r• �y t - >': r �ctvb• Yi- _>• 1. - ..:� SAS .S:s'M'. ,i=�'i :ei` r5" .C= .i+eEk ..�..._ .r�.t;,.. i-•. .z=. .a "Cti i•'... :'�.,a.- :•�...- . .. .,t'-' •.TA..I`ZF!Y- :'S„.'1.:.��_ 7A.. ��7: J) /� >.f}j.. :5`I' ,.1:� -'t '�f:�!',�'r, :1•r"e";L .:):-v`G•'`• „Ar`.�'.. ice' X"•,�I 7f ti•L.' 'a: � �:� - .yfn.avTl 6..Je.sX:["�.'i`1�.�:•':lteat_e.'r.*r:orv�.�:•'- 'r'.�..s._�:�e:% i:7.,..aFr H:9..��:Si._...,�.� .r,�.uM•+itixS. t.�lT'�:�n.f:i.1.?!Cn���+it,t .vl..tn..�i-s ...,.•+rsir3'�. ri.r•,..:Jk��a•�P,�:_°Y4�i:T':w'.�.f-Ertl/::.' f I 1 c� - Assessors Map yti j,rJ • vi' Parcel 23-4 Zoning RF a ! m, Setbacks Front 30� �• � s � � 'e I Side 15 r Rear 15' Overlay Districts: GP 8.AP r � (OC 1 o VI I/ �� N N N N 1 / N L O) O ti _ 4 ' A-/ o NOTE t / �o'\ � � • C_a___�-,' � I s eA I I I I N/F William 9 Ru/h Poot_ To Be 07—OWIC o' oo �• O� �� ��er�`9 1Ic o N i LI► — \ � I I I I I I i \ _ ��� 1 \ LOCUS PLAN •:A-2 1 .1 I 1 �,EA STc1�PaD WAl Scale : I �t= 2000' + \\ 3.0=38.0 _ ^ F 1 o t J LY M SO' 1 TERRACV EL E , 31,5 SEPTIC B XIC D- O A-4 I I I t �3 I TANK 67'sfiR"` / I / wo A-5 �20 xt,16 Pf3oPo3t'.O o �� W/F DWELLINC. a ' H I.6 - PROPOStJ) \ f d GARAfiE pool HGuIf? oPoT RRLC 4 TFL1 IS ���� I PRYWEL°- - /L �K / /ORK LIMI `l \ E G aRtvEwAY TO SOUTH A-7 I / SILT FE;hH W IT1i '-1 C,OU NTy ROAD / I � STAK�O HA`I BALxS TEMP. ow R � �—w t' i F z / 800 _ To `� LIM IT. SILT Pr_, / J \ \ \ \ W/STAKED NAy Uj \ _ �OF BANK S LIMi r 6-INIA ju LOT AREA, OUNTY Ro4pUTH A-B �� \ BAL.. 9� i �OGAT6P UORN / — ru N/F Michael 9 Lisa ~ —: ` 2a Pojo/ek \ -15 A-/4 A-20 A_2 PLAN VIEW A-2/ ' ��� ���' Note: For landscaping details see BVW Flagged by A-/3 Scale : I"= 40' *Field Data by Baxter a Nye A-22 plan by Thomas Wirth Associates FUGRO EAST,INC Inc.for the Bennett Residence dated Dec.10,2000 TEST HOLE 1 EL-. 40,5' oRGa.Kle MATERIAL_ NQTES DESIGN DATA 1 o Y R 2./Z 2,t I.Water Supply ForThis Lot is Municipal WotCr Single Family-5 Bedroom 5AN DY LoAM 2 Location of Utilities Shown on This Plan Are Approx. With a Garbage Grinder A Dail Flow I10 x5=550 GPD IZ„ 2,S Y R N/N At Least 72 Hours Prior to Any Excavation For This y a Project The Contractor Shall Make The Required Septic Tank:550 GPD x 200/a=1100 GPD B L-OAT,AY SANG Notification to Dig Safe(1-800-322-4844) Use a 2000 Gallon,2 Compartment Septic 7,5 YR S/6 Tank 2y` a The Contractor is Required to Secure Appropriate LEACHING AREA C ME p1 uM SAND Permits From Town Agencies For Construction ' 550 GPD/0.74=744 SF+50%=I I16S.F.Required 10 YR 4/4/ Defined byThis Plan. SidewolI=2(12'+67)2=316 S.F. 1 4 4 4 Install Risers as Required to Within 12!'of Bottom Area=I2ax67 = 804 S.F. _ PBRGOLAT1oN �-st:ST 1120 S.FTotalProvided C ������� Finished Grade. so. �1 J CLASS I MA-rKK1Al. LEACHING CHAMBER DESIGN 5.All Structures eu'ried Four Feet or More or Subject DEPTH /4 I N8 INe NHS All Pipes to be Schedule 40.Use M t�A ET T 2 M 1 N C.N 7 -500 Gal.Leaching Chamber to Vehicular Traffic to be H-20 Loading. ARLJCAlrr•1 NAMEE NO GsROLINPWAT&llk 9MCOLINTME) 6 Septic System to be Installed in Accordance With 12'x 67'Washed Stone Field as Shown. DATE: b y 9-7 310 CMR 15.00 Latest Revision And The Town of �;. _ / / Barnstable Board of Health Regulations �+f'° (��, + •xoacrwcrroN g9SM '.�'`1N Of fir` W ITNP-S65 Z,PUNNINGy T.0,C3, B•Ck W 7 All Piping lobe Sch.40 PVC. * vJ �\l�Ll__) ENGINEER : BAXTER b-NYE x '`i, J��C`w PETER .- B.Septic Tank Shall be a 2000 Gal.,2 Compartments. Zc P.iCHARD G.• ^ i �+ww���c+duhmolcru��o0rdarotCoodidm� The First Com artmentShallHoveaVolumeofNot NOTE: All Components to be `�ut'�'I� ', p H-20 Loading. R. 5 10"0 25733 co Less Than I100 Gal.And The Second of Not Less LHEUREUX 1 oa o.�o.. EST HOLD 2 ELEv, 39.0 Than 550 Gal. F.G.40.5 F.G.40.0 -: No.34312 a Ft Cl�1l p • a O .is , 'g fafiS,l �� Ordr of Cooditlom w"a t••wd ❑ O pGANIC MAE TRIAL Q `p f61STJA a t I O Y R ZA 36.4 lWe Am Nu be aonddaad m 3 SANI]Y L.CAM 38. ° Top El.37.4 A 2, ' 5 Y R '-I 38.0 37.8/3 Bot.El.34.4 12" LOAMY SA O 37.0 36.8 74 7.5 v fZ 6,1$- 2 Compartment,2000 - Bedding as Bottom Test Hole I -4 4" Gallon Septic Tank Per Title 5 No Ground Water G MC-p1L1M •1►NO Observed erveed 1 o Y ra 6/'� '44 —__ -- DELVELOPED PROFILE OF PROPOSED SEPTIC SYSTEM NO GROUWDWATIL�R >=t�r�ouNTeD Not to Scale Directions, from Hyannis take Route 28 towards Osterville: Take a loll onto South Coulity Hoad and the lot is on the right # 1825 Certified Plot Plan /Inh^Grad so s Fab'" Comacted Proposed Septic System y, J t��I The proposed. foundation complies with the Town of Barnstable sideline & setback requirements is not located within the 100 year floodplain AT U i Lsochlad 1825 SOUTH COUNTY ROAD a^°'^°� "'�-'"`� The septic system is to be built in accordance with all provisions of Title 5 s �'"�"° 310CMR15.00 Latest Revision and the Town of Barnstable Board of Health OSTERVILLE , MASS. 12 °� Regulations. This includes complying with all performance and material specifications FOR PETER C. BENNETT CROSS SECTION OF CHAMBER not specifically noted on this plan. SCALE: AS SHOWN DATE: DEC. 14, 2000 'NOT TO SCALE SULLIVAN ENGINEERING INC. At�O -TamR WORK LIMIT LINE 1- OSTERVILLE , MASS. ____