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HomeMy WebLinkAbout0018 STALLION WAY / r R MM r o o101 . Ali ° ` v ✓ i i "j. tj , tJo "d 7 J 1� G end ec� ( ) /1/1 A/,. y- PTIC SYSTEM &qj,-� F;; TM[ p 0 IV Assessor's rrvape 1st Floor): INST C / Assessor's ma and,lot number l / i INSTALLED IN COMPLIA F-Q��� T ''. Board of Health (3rd floor): / � r Sewage Permit number ! •,,�.c 5 ^� w Engineering Department(3rd floor): —� _ ;r ENVIRONMENTAL CODE • ' AHDSTODLL AS TOWN REGULATIONS °° House riumber Definitive Plan Approved by Planning Board 19 �� APPLICATIONS PROCESSED 8:30-9:30 A.M.and 1:00-2:00 P.M.only ' TOWN OF : BARNST*RLEsev°tin ° BUILDING INSPEC °� 1SjL°n lgned l / APPLICATION FOR PERMIT TO Date TYPE OF CONSTRUCTION �/"/'Y�./ L/t/ ' 19 [ l TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according o the followi formation: Location (/� 13 � Proposed Use Zoning District Fire District —Q Name of Owner Address Name of Builder Address Name of Architect llil/I Address . Number of Rooms �O Foundation /-�Oulxuy Exterior" Roofing d 4�&& Floors y- Interior . Heating y < Z-e) Plumbing V(f 9` ? a Ax� 17 Fireplace C ! �G� � '2 Approximate Cost 601 Area Diagram of Lot and Building with Dimensions Fee �I 1� I I OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name /_)'LG�7 ' Construction Supervisor's License 61 0 �� i R No, Permit For _ a Location Owner Type of Construction Plot 4 Lot Permit Granted 19 Date of Inspection 19 - Date Completed 119 rn CO W O Q S � ) IS i 0 ` ' I � `��•�Ivy. '� h3 6XIsnt44. • � F'ovN�tiTioal i3"7 1 L c� '3' O oa w� y or 1 IAXTUt N� 4�s5e��so�5 MPM / cE,e r/.may T,IA7 Tiy� tVVA1DAr,9J Q C��v n✓1c c� IV,. I3��Ns. SHOWN i5/E,2EGLl/�Q^7.nL y.S fit//�// sd 4 L'- / ,¢D -4,fA y /2,i q 9 S 7"NEs,S"/o�.0/.CiE ANv SETB.4 G,� ,�E4vi.2EMENrs' o�' Th/,�' �vw.t/q�' •' G.G•4N .2��'Er2EtiC�- .a 134 # p� $'< a39 Ac• 17 o,4r.Sl s'•iZ�9r � ,�.� � . . TiS//S .�,G.�4.v/.�' �l/OT,�A.S'EO �.v.4�t/ A?�cs/ST�'.�E1a�,'�L,�•/O SU.�✓6y2��c? %N.�`r. UM.�N1",S!/.e1iEY; TyE a�T 'Y/,C� f e0Lt A)G iCo �dG 1 A . f 0 0 -R rn +fix T- 771% ` G A � Q z o nr - - n tA— y ra co 1 D SUN PORCH ADDITION %EXIST DECK R.ARTHUR WILL i --•1 MRS. t MR. SAM FALVEY 420-2815 TAMS, INC to 18 STALLION WAY, MARSTONS MILLS tt2 OAK ST.. GENTERVILLE DESIGN — BUILD CONT. k s EEEH n• � I C ON r� d'� g F 5 �� a •f,F �e•. :r:,t r o' c . c qq - � �r � �'k! „�� c k;.y tt` .7 � � fF. t S 4 l `r F-� � Ir* r. PFr('y � r�j' F Iw• 0�; a,c. - Q 1 ._1 ��• ...�.�w......�9.......�-.-.�...-,..,...n_ - �.�.._....,.....--.�........e.•..-..........s.�..n....-._-......tee- - -..._.,-�...._ _- ..�..� drt. HH 7 1 11 (P j IT d .. r > D11 SUN PORCH ADDITION' /EXIST DECK -- RARTNUR WILLIAMS INC I � MRS. t MR. SAM FALVEY 420-2815 #5 OAK ST.. CENTUVILLE I W m 18 STALLION WAY. MARSTONS MILLS DESIGN - BUILD CONT. To �- Date si Time W ILE,YOU WERE OUT M of Phone Area Code Nu m f Extension TELEPHONED PLEASE CALL CALLED TO SEE YOU WILL CALL AGAIN WANTS TO SEE YOU URGENT RNE CALL Message Operator eftAMPAD 23-021-200 SETS EFFICIENCY® 23-421-a00SETS CALLESS The Contrnon►t'ealth of Alassachusetty • -_:i y Departnient of Industrial Accidents ` � 011lceol/�esl/galloos • 60(I 1{'usliiir11ton Street t, 4; x Boston.Alas. 02111 ?� Workers' Compensation Insurance Affidavit •—'—r'- Please PRl�le�y . . . . ��nnucanr mtormanon > .. m��� name a ©Ake s11� L,rG.c'�co ✓///�w nhnne# I am a homeowner performing all work myself. 0 1 am a sole proprietor and have no one working in any capacity 1 am an employer providing workers' compensation for my employees working on this job. cnmpnnlnme�1[ H�- �r" •�'eq C 1ri1C address phone#h incttrance co I am a sole proprietor,general contractor,or homeowner(circle one)and have hired the contractors listed below who have the followingworkers' compensation polices: P Company nime:--- phone ff- c nolicv# -L.r ..- -.--. .- ,.�.., x.�a,r,-.•r—�•rs-�.c�sss� m t•n C S address ��-`tV cite Car--JrI phone 1h iasurstnce co nolicv ff ooe�)O `f-7 Atiach tidditional-shed ilaecessatX; 7. w� -st+Y- r,�.. :.�..+. :clan Failure to secure coverage as required under section 25A of MGL 152 can lead to the imposition of criminal penalties of a fine up to$1S00.00 and/or one years'imprisonment as well as civil penalties in the form of a STOP WORK ORDER and a line of SI00.00 a day against me. 1 understand that a COPY of this statement may be forwarded to the OMee of Investigations of the DIA for coverage verification. I do hereby cenify under ire pains and penalties of pcdum that the infornmtion provided above is true and cotrecL i L d "Q ' _Z{0 Signature Date Print namekV r asp P one# � -r FMC do not write in this area to be completed by city or town official town: permiMicense ff t71Building Department Duceusiag Board ediate response is required OSeleetmea'aOlficc �Ilalth Department phone fl• nOther Irnued IV PJA1 ........................*........*..........*......*.............. ..................................... ................................................. ........... ...... ................. ...... ........................... .......................................:::: ---------. ..... .................. .... ...................... .............*................ ..................... ........................ -.*-.'-.'-.'-.*-.'-.'*""....................... ....:: ...................................................... ....... ....... ......%....................... ................ ................................................................ ..... ISSUE DATE(MMIDDNY) ................................... . ................ x ......... AN 01 "A. ....... ....... 71�E . ..... T! TE ... ..... .......... ..... ...................... ..................... ..... ............. ...................... ......... ... ..... 11.11............. 05/23/96 ..............*****........ ........ ...... ............. F1 ..... .... PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE The Fair Insurance Agency, Inc DOES NOT AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE P.O. Box 439 619 Main Street POLICIES BELOW. effterville, Ma 02632 COMPANIES AFFORDING COVERAGE . (508). 775-3131 COMPANY A LETTER MARYLAND CASUALTY COMPANY B INSURED LETTER SAVERS PROPERTY & CASUALTY* .. Arthur Williams Inc . COMPANY c 2 Oak Street LETTER SAFETY COMPANY D Centerville MA 02632 LETTER COMPANY E LETTER ...........Iwa............................�­...... ............... ......... .............. .......... ........ XXXXXX.......... ........ ..... .... ..... M ................................................................................. ...................... ........ .... .............. . ............... ...................... ... .................. .......................... ................................................................................................ .......... .::.......... ....... .. ... .... ......................... ...................................... . .................'A ...... .... ... . ........................ ..... ................................................................ ... . .......... THIS IS TO CERTIFY THAT THE POLICIES O�`� "'S""*U"""R""A"""N"'*'C"""E"""L"'l"*'S*"'*T**"E'D""'*'B*'*'*'EL""'O*'***'W***"""H""'A""'V""'E"*"BEEN'......ISSUED...S S...U D...T' 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 POLICY EFFECTIVE POLICY EXPIRATION LTR TYPE OF INSURANCE POLICY NUMBER DATE(MM/DD/YY) DATE(MMIDDfYY) LIMITS GENERAL LIABILITY GENERAL AGGREGATE $1, 000, 000 ' X COMMERCIAL GENERAL LIABILITY PRODUCTS-COMP/OP AGG. S1, 000, 000 CLAIMS MADE I A I OCCUR. TBD 04/01/96 04/01/97 PERSONAL&ADV.INJURY 5500, 000 OWNER'S&CONTRACTOR'S PROT. EACH OCCURRENCE s500, OOO FIRE DAMAGE(Any one fire) $5 0, 0 0 0 MED.EXPENSE(Anyoneperson) 6, 000 AUTOMOBILE LIABILITY COMBINED SINGLE ANY AUTO LIMIT S X ALL OWNED AUTOS BODILY INJURY S SCHEDULED AUTOS (Per person) 100 , 000 X HIRED AUTOS 1006759 01/01/96 01/01/97 BODILY INJURY X NON-OWNED AUTOS (Per accident) S 300, 000 GARAGE LIABILITY PROPERTY DAMAGE S 100, 000 EXCESS LIABILITY EACH OCCURRENCE S UMBRELLA FORM AGGREGATE S OTHER THAN UMBRELLA FORM B X I STATUTORY LIMITS WORKER'S COMPENSATION WC,000047300 04/01/96 04/01/97 EACH ACCIDENT $100 AND DISEASE--POLICY LIMIT $500 EMPLOYERS'LIABILITY DISEASE--EACH EMPLOYEE 5100 OTHER DESCRIPTION OF OPERATIONS/LOCATIONSrVEHICLES/SPECIAL ITEMS . ..... ............ ....... Ifi .......... ................................ . .................................... .......... ........ .. .................. ................. .......... .................. ....... ................................ .............. .......... ... . .............. . . ........ .................... . . . ......... ....................................................................... ..................... .... ......... ............own Of Barnstable SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE uilding Inspector EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO outh Street MAIL 15 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR ,Iyannis MA 02601 LIABILITY OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE . . ........................................ ............................... .................................... ....... . ............ ...........................%. .. ....... ............ .......... .. ............ .......... ... ....................... . .. ..................................... ........... .... ............... ........ ..... ................................ . ............ ........................ .... .......... The Town oftiBarnstable UM ' Department of Health Safety and Environmental Services Building Division 367 Main Street,Hyannis MA 02601 Office: 508-790-6227 Ralph Crossen Fax: 508-790-6230 Building Commissioner For office use only Permit no. Date — AFFIDAVIT HOME IMPROVEMENT CONTRACTOR LAW SUPPLEMENT TO PERIVIIT 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: ,,w.✓ �i'n� 4 Est.Cost M `— Address of Work: Owner's Name 1'���5 �- �✓d'� Date of Permit Application: . • ' I hereby certify that: Registration is not required for the following reason(s): Work excluded by law Job under S1,000. 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 IM[PROVEMEENT 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. .12 .4.1 Date f Cont ctor N64 Registration o. OR. f?ate.: .. . . Owner's Name .. � ... fie �omarnw�ruuea� o�✓�aaaac/ruae%ta ., DEPARTMENT OF PUBLIC SAFETY CONSTRUCTION SUPERVISOR LICENSE Number: - Expires: - Restricted:T.o 00 ARTHUR R WILLIAMS w%AAA � D ��y F'2.OAK STREET . COMMISUM A CENTERVILLE, MA 02632 '•c;'N"�•�i4'.y E��+yt'`�t'`,-.�(°�.''A�.,�}ie��' ��"�.�>r FF 7r: f jP�. .. �'d+F"�R�,:.""'.�0'�GgresHO/�[IM�L[w�`��Laddapwd0�d ' `� HOME,IMPROVEMENT CONTRACTOR r' to T ;ter tti� � � { „te$fitraon00311 - e�,flRI11AfE CORAORATION Expiration t0,6,�/,1. /98yti ARTHURIHILLIAMS, INC.. R. Arthur Willia®s A St. _ ADMINISTRATOR CenterV$119 MA 02632 '�4'ii�..^fd`'i'<";W�'S�pi,K^ .'-`��'["� �k.Xn.:d3.c.""g'+c^�„+."y,ti�-iMJ.a<:.v!.riPa,�"'.:-!7,�+,Y.aTY"`-:.-.;,�W.+Yatt,X�r.,,,4:.,....^...e...- r .:�-:.ice.,(..,-... --w ,:��v.+,.e .,.. r.:-. •_ .,- *M�> TOWN OF BARNSTABLE 4�37673 PermitNo........:......... BUILDING DEPARTMENT TOWN OFFICE BUILDING Cash .... o ' HYANNIS.MASS.02601 Bond X............ CERTIFICATE OF USE AND OCCUPANCY Issued to Bayside Building, Inc. Address 18 Stallion Way Marstons Mills. 11A 02648 USE GROUP FIRE GRADING OCCUPANCY LOAD THIS PERMIT WILL NOT BE VALID, AND THE BUILDING SHALL NOT BE OCCUPIED UNTIL SIGNED BY THE .BUILDING INSPECTOR UPON SATISFACTORY COMPLIANCE WITH TOWN REQUIREMENTS AND IN ACCORDANCE WITH SECTION 119.0 OF THE MASSACHUSETTS STATE BUILDING CODE. i .. .... ..... .. ....July.J 1., 19..95........... . ...... Building Inspector ; .�. y._..,�r+_, .,(..n%,,.5.» :-r....i,'"r+'. .:1.«'�?+:i.....-,- ..w+._-�tR:1.- •y,...y,ti. w�.'1...Ir' - . ., ,... t.+:>., -, _. . *M�>o TOWN OF BARNSTABLE #37673 t PermitNo. ................ BUILDING DEPARTMENT l ..un I TOWN OFFICE BUILDING Cash .Yl 619. 9� ,0+u'' HYANNIS.MASS.02601 Bond CERTIFICATE OF USE AND OCCUPANCY Issued to Bayside Building, Inc. Address 18 Stallion Way Marstons Mills, MA 02648 3 USE GROUP FIRE GRADING OCCUPANCY LOAD THIS PERMIT .WILL NOT BE VALID, AND THE BUILDING SHALL NOT BE OCCUPIED UNTIL SIGNED BY THE BUILDING INSPECTOR UPON SATISFACTORY COMPLIANCE WITH TOWN REQUIREMENTS AND IN ACCORDANCE WITH SECTION 110.0 OF THE MASSACHUSETTS STATE BUILDING CODE. i Jul 11 , 19 95 �� .. ' .. ..... .... ..Y .... `. >.:. iBuilding Inspector ; TOW N OF BARNSTABLE, MASSACHUSETTS ' r1 G PERM 1 T A-174.001.042 DATE April 25 19 95 PERMIT NO. NQ APPLICANT Brian T. Dacey ADDRESS 62 Fernbrook Ln., Centerville 005645 IN0.) (STREET) (CONTR'S LICENSE) PERMIT TO Build dwelline i ( 2 ) STORY Single family residence NUMBER OF DWELLING UNITS 1 (TYPE OF IMPROVEMENT) NO. (PROPOSED USE) AT (LOCATION) 18 Stallion' day. Marstons Piills ZONING BC DISTRICT (NO.) (STREET) BETWEEN AND (CROSS STREET) (CROSS STREET) LOT SUBDIVISION LOT BLOCK SIZE BUILDING IS TO BE FT. WIDE BY FT. LONG BY FT. IN HEIGHT AND SHALL CONFORM IN CONSTRUCTION TO TYPE USE GROUP BASEMENT WALLS OR FOUNDATION (TYPE) REMARKS: Sewage #95-763 AREA OR VOLUME 1890 So. Ft. ESTIMATED COST $ 1501000 FEEMIT $170.00 (CUBIC/SQUARE FEET) OWNER Bayside Building Inc. ADDRESS Centerville, MA BUILD,I'eG lDE fi f THIS PERMIT CONVEYS NO RIGHT TO OCCUPY ANY STREET, ALLEY OR SIDEWALK OR ANY PART THEREOF. EITHER TEMPORARILY OR PERMANENTLY. ENCROACHMENTS ON PUBLIC PROPERTY, NOT SPECIFICALLY PERMITTED UNDER THE BUILDING CODE, MUST BE AP- PROVED 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 THREE CALL APPROVED PLANS MUST BE RETAINED ON JOB AND THIS WHERE APPLICABLE SEPARATE INSPECTIONS REQUIRED FOR CARD KEPT POSTED UNTIL FINAL INSPECTION HAS BEEN PERMITS ARE REQUIRED FOR ALL CONSTRUCTION WORK: _ ELECTRICAL, PLUMBING AND 1. FOUNDATIONS OR FOOTINGS. MADE. WHERE A CERTIFICATE OF OCC-UPANCY IS RE- MECHANICAL INSTALLATIONS. 2. PRIOR TO COVERING STRUCTURAL QUIRED,SUCH BUILDING SHALL NOT BE OCCUPIED UNTIL MEMBERS(READY TO LATH). FINAL INSPECTION HAS BEEN MADE. 3. FINAL INSPECTION BEFORE OCCUPANCY. POST THIS CARD SO IT IS VISIBLE FROM STREET BUILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS 1 6 , l q> 1 -27o,e C, 2 z [0, \0 � 6� (_)I I f 2 �/ 9 VVV p� 1_ / c' 3 1 HEATING INSPECTION APPROVALS ENGINEERING DEPARTMENT o-ti- S 2 9 1 n O BOARD O HEALTH OTHER SITE PLAN REVIEW APPROVAL 0 7 '3 c�•S QN WORK SHALL NOT PROCEED UNTIL THE INSPEC- PERMIT W!L L BECOME NULL AND VOID IF CONSTRUCTION INSPECTIONS INDICATED ON THIS CARD CAN BE TOR HAS APPROVED THE VARIODUS STAGES OF I WORK IS NOT STARTED WITHIN SIX MONTHS OF DATE THE ARRANGED FOR BY TELEPHONE OR WRITTEN CONSTRUCTION. PERMIT IS ISSUED AS NOTED ABOVE. NOTIFICATION. y • I �1 !1 1 BUILDIN. PERMIT E 1iF 47 4 x�Y 'F �' , ,�j• fin- f { b ��r,:;:�.". •r `.s�°ilar`��i;""',r•;.+';!+yJ•.,:"� d r'�^=-zwp r;�5>7�Via. o � a�� ..t,r�"4v r�;. ,?: ,wye;•c.^ -d,:.,,�?kl .<.; ..3 .:.>'. TOWN OF BARNSTABLE, MASSACHUSETTS im�ILEING .PERMIT A-174.001.042 Ap-i i 25 95 No 376�3 DATE 19 PERMIT NO. APPLICANT T1� T T. 171C" ADDRESS 621 �'er`7JTOOK Lr. , C<rnter�'�11F: C^564 • (NO.) (STREET) (CONTR'S LICENSE) NUMBER OF PERMIT TO Build awtill r::; (_I STORY Single family residence DWELLING UNITS � (TYPE OF IMPROVEMENT) NO. (PROPOSED USE) a, hl ZONING 1$ Stall ion '.Ja�. "arstor. sills AT (LOCATION) DISTRICT IND.) (STREET) BETWEEN AND (CROSS STREET) (CROSS STREET) LOT SUBDIVISION LOT BLOCK SIZE BUILDING IS TO BE FT. WIDE BY FT. LONG BY FT. IN HEIGHT AND SHALL CONFORM IN CONSTRUCTION TO TYPE USE GROUP BASEMENT WALLS OR FOUNDATION (TYPE) REMARKS: sewage ;f95-763 AREA OR VOLUME L890 Sq. Ft. ESTIMATED COST $ 150,000 FEEMIT sL-7 .110 (CUBIC/SOUARE FEET) OWNER .4 YSide fj'U.ildin$ Liic. ADDRESS Centeryilie i•]A BUIL � / B'' THIS PERMIT CONVEYS NO RIGHT TO OCCUPY ANY STREET, ALLEY OR SIDEWALK OR ANY PART THEREOF. EITHER TEMPORARILY OR PERMANENTLY. ENCROACHMENTS ON PUBLIC PROPERTY, NOT SPECIFICALLY PERMITTED UNDER THE BUILDING CODE, MUST BE AP- PRO V ED 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 THREE CALL -APPROVED PLANS MUST BE RETAINED ON JOB AND THIS WHERE APPLICABLE SEPARATE INSPECTIONS REQUIRED FOR CARD KEPT POSTED UNTIL FINAL INSPECTION HAS BEEN PERMITS ARE REQUIRED FOR ALL CONSTRUCTION WORK: ELECTRICAL, PLUMBING AND I. FOUNDATIONS OR FOOTINGS. MADE. WHERE A CERTIFICATE OF OCCUPANCY IS RE- MECHANICAL INSTALLATIONS. 2. PRIOR TO COVERING STRUCTURAL QUIRED,SUCH BUILDING SHALL NOT BE OCCUPIED UNTIL MINAL INSPECTION TI TO BEFORE FINAL INSPECTION HAS BEEN MADE. 3. FINAL INSPECTION BEFORE OCCUPANCY. POST THIS CARD SO IT IS VISIBLE FROM STREET BUILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS ( )l 9f i _ 0 C7 s 3 HEATING INSPECTION APPROVALS ENGINEERING DEPARTMENT 1 2 l O l BOARD 0 HEALTH OTHER SITE PLAN REVIEW APPROVAL 04 -7 �S WORK SHALL NOT PROCEED UNTIL THE INSPEC- PERMIT WILL BECOME NULL AND VOID IF CONSTRUCTION INSPECTIONS INDICATED ON THIS CARD CAN BE TOR HAS APPROVED THE VARIODUS STAGES OF WORK IS NOT STARTED WITHIN SIX MONTHS OF DATE THE ARRANGED FOR BY TELEPHONE OR WRITTEN CONSTRUCTION. I PERMIT IS ISSUED AS NOTED ABOVE. NOTIFICATION. 125�30 or i ,LOT AP,4A Al %: CE.2T/.may .71-1A Tf�/E C�rwnv�� w. �3.a,¢Ns. :r2E4U/.eEME•t/7'�'� OF T.�,��' Tz�w�t/�F : F�.C�.4�t/ .2�r"�E�2ENG'E a,< &39 17 0.4TE= s��Z'9S &Loz2 e,.L A4X7;9,oees oVyE INC O�.cSETS Sh�a�✓�✓S�IDC/.CD itlOT B� ,4�i�.L-/CA/V`ram /3 SIDE $4)14,CV 6 Ca 44- i Assessor's Office 1st floor Ma '- Lot Permit#' Conservation Office 4th floor ae5 S Date Issued 6 7.S✓ Board of Health Ord floor 7Z � ys Engineering Dept. (3rd floor) House# S EM MUST BE Planning Dept. (1st floor/School Admin.Bldg.): L(1 a' LLI 3 IN COMPLIANCE Definitive Plan Approved-by PlanningBoard �` ( N�� TLE 5 (Applicationsed rote 8:3 -9:3 m.& 1:00-2:00 m. .T®�"t9� G�E yy TAL CODE AND GULA3i®ms TOWN OF BARNSTABLE.: Building Permit Application Project Street Ad s F !�J Village Fire District (honer /1�I.C_ Address • Telephone -7-7 Permit Rcouest: Af&C Zoning District A L Flood Plain C- Water Protection tio� P Lot Size / 7 6/t Grandfathered ya"4 Zoning Board of Appeals Authorization Recorded / Current Use 1/ A.CAM4t 10� Proposed Use .L,:Cp 0 Construction Type a1�1T Existing Information Dwelling T Single Famil V Two family Multi-family Age of structure /UOUJ Basement type 6 yC.r/i z a Historic House "'— Finished Old King's Highway Unfinished ✓ Number of Baths No. of Bedrooms Total Room Count(not including baths) First Floor Heat Type and Fuel r/0.j/yy AW ; I/6w Central Air 1144 Fireplaces Garage: Detached Other Detached Structures: Pool Attached Barn None Sheds Other Builder Information Name 9114,C Teleiftne number 771` lO YG Address /g,(3 ' Q J License# 00 J /S Home Improvement Contractor# Worker's Compensation # V C1 312-),all 7 Xl 4113 NEW CONSTRUCTION OR ADDITIONS REQUIRE A SITE PLAN (AS BUILT) SHOWING EXISTING, AS WELL AS PROPOSED STRUCTURES ON THE LOT. ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO Project Cost Aso, LT" Fee 17 D•q&-o SIGNATURE DATE `�'' 2,Z-- L BUILDING PERMIT DENIED FOR THE FOLLOWING REASON(S) BPERM T 0. FOR OFFICE USE ONLY 4/25/95 --7-67-3- 174.001.042 ADDRESS 18 Stallion Way VILLAGE Marstons Mills OWNER Bayside Building Inc, DATE OF INSPECTION: • FOUNDATION FRAME INSULATION ' J FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING: �� v e DATE CLOSED OUT ASSOCIATE PLAN NO: 4 f COMMONWEALTH DEPARTMENT OF PUBLIC SAFETY IanrhQo oftsm, �: • smiSBe:.vBe#dfet0 i ONE ASHBORTON PLAC "iluOF E , �; .QpQs/t0ln;Norr�'miaBBa y MASSACMUSETTS lw. BdSYt�f�F, �` -" tv"I Q1Atl. i LICENSE CAUTION EXPIRATION DATE CONSTR. SUPERVISOR FOR PROTECTION AGAINST 04/19/1996 EFFECTIVE DATE LIC-NO. THEFT, PUT RIGHT THUMB k RESTRICTIONS + PRINT IN APPROPRIATE NONE � ^r 06/30/1993 005645 �,.��o o BOX ON LICENSE. j BRIAN T DACEY ° 62 FERBROOK :LANE BLASTING OPERATORS CENTERVILL MA 02632 � MUSTINCLUDEPHOTO. _ Z I PHOTO(BLASTING OPR ONLY) If Y F(�0.O o/� I i - NOT VALID UNTIL SIGNED BY LICENSEE AND OFFICIALLY PAID HEIGHT: STAMPED-OR-SIGNATURE OF OMMISSIONER I I THIS DOCUMENT MUST BE, r SIGN NAME IN FULL ABOVE SIGNATURE LINE IGNATURE OF LICENSEE I CARRIED THE PERSON OF 8y/,o O THE HOLDER WHEN EN; OTHERS-RIGHT THUMB PRINT GAGED IN THIS OCCUPATION. ER 9 COMMONwEALTH OF MASSACHUSETTS OErAK,—,MT OF INDUSTRIAL ACCIDe-T S 600 WASHINGTON STREET' BOSTON, MA.SSACHUSFM 02111 James i Gartpoel: �;or r,'ss,one• w WORKERS' COMPENSATION INSURANCE AFFIDAVIT I L 01censalpermiaee) . with a principal place of business/residence ac (GtY/Smire0p) do hereby certify, under the pains and penalties of perjury,th2v I (] 1 am an employer providing the following workers' eompcnsarion coverage for my employees working on this job. Insurance Company Policy Number ( ) I am a sole proprietor and have no one working for me. ( ] I am a sole proprictor, ncnl Contnaor r homeowner (circle one) and have hired the contraaors listed below who have the following wor c:s eompen=rion insurance policies: Name of Contnaor Insurance Company/Polity Number •• Name of Contnaor Insurance Company/Policy Number _ Name of Contnaor Insurance Company/Policy Number 0 I am a homeowner performing all the work myself. NOTE_ .Mcasc be awuc tint --bile bomcowncrs woo cmoior persons to do maintcaanc=, construction or rcp air worit oa a wriiint: of not more tact: farce uniu in wateo the homeowner aiso resiacn or on the Frounaa appurtenant thereto are not eeoerul.`' a con,icemd to be cr_oiovrrs under the Q'onkcrt' Comvcnsauon AR (GL C 152, sat- IM). appiiatioo by a homeowner tar a license or permit msv cndcocc tac ico surw of an cmpiovrr under the Wori en' Compeoution Act 1 understand that : coo••of this statancnt will be for-arc o ed to the IDeara 'dents' ce o uu nent oFlndurm'jJ Ae On brantz roe mK'a?c vrr :t:�:ton anc ;ice: :aiiurc to iccure tvvrrat:c as mcuircc undo Sccuon 25A*of -MGL 15- can lcac to the imvosiuon of cr=..nsi p-2Jt'� txnstsnne of: t;nc of uC to S1 500.00 and/or impruonz tr-t or up to one �c: and a�v per aiues in the corm of a Stop boric Orae' and a fine of 5100.N a day a€a:ns: me. 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 - C41_138178 DRIVEWAYS NORTHERN SEALCOAT: (L) MARYLAND CASUALTY- EPA18.716945 (W) THE PHOENIX - UB387K530 of 'L 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 RTY MUTUAL, - WC1312492.1_27024 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) MISCELL,ANEOUS INS CO. - 0708878 91 1 PLUMB & HEAT: Wlill'EfL,Y PLUMBING: (:I..) TRAVELERS - 660365K1782.COt'9 (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 - 1711099932 I ,, II Assessor's'Office(1st floor) Map, ' '1 4 Parcel 2Permit# Conservation Office(4th floor)(8:30-9:30/1:00-2:00) A' A-,, b ZUJ C_ D to Issued s '9 Board of Health(3rd floor)(8:15 -9:30/1:00-4:45) S— 76' Engineering Dept. (3rd floor) House# j F16- IKE o� Planning Dept. (1st floor/School Admin. Bldg.) • BARNBTABLE. Definfet Ianoved by Planning Board 19 SEPTIC Qlc ��, lire:;1ALLED IN a LIANCE TOWN OF BARNSTABLE WITH TITLE 5 Building Permit Application ENVIRONMENTAL CODE AND ! TO N REGULATIONS Projess / , �`11 �.oQ 3 C + Village Owner g J J,a �,/� Address' �'•ti s���- Telephone Permit Request viV`fe� f First Floor /0� >I- ` square feet Second Floor y�C,.� square feet Estimated Project Cost $ © 06Z> Zoning District � /" Flood Plain Water Protection Lot Size Grandfathered ? Zoning Board of Appeals Authorization Recorded Current Use �,��./e- f� f,/V Lo, Proposed Use Scr�t,► Construction Type f;!gR"�w Commercial Residential Dwelling Type: Single Family K-S Two Family Multi-Family Age of Existing Structure Basement Type: Finished Historic House Unfinished Old King's Highway Number of Baths No.of Bedrooms Total Room Count(not including baths) First Floor Heat Type and Fuel Central Air Fireplaces Garage: Detached Other Detached Structures: Pool Attached p-- Barn None Sheds Other Builder Information Name Phi•1�1�0/" , �l dn Telephone Number Address License# Home Improvement Contractor# !®D,��f' 7 Worker's Compensation# LAIC ".n!07 ZAD NEW CONSTRUCTION OR ADDITIONS REQUIRE A SITE PLAN(AS BUILT) SHOWING EXISTING,AS WELL AS PROPOSED STRUCTURES ON THE LOT. ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE dZI�Ju 1. f DATE BUILDING PERMIT DENIED FOR THE FOLLOWING REASON(S) FOR OFFICIAL USE ONLY PERMIT NO. DATE ISSUED r-= MAP/PARCEL NO. ADDRESS VILLAGE OWNER - DATE OF INSPECTION: l FOUNDATION FRAME INSULATION n FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH' +; FINAL FINAL BUILDING IQ; DATE CLOSED OUT ASSOCIATION PLAN NO. �n+e, Town of Barnstable *PermitAC2vt Expires 6 s sue dat Regulatory Services Fee • BAMSfABM MASS. Richard V. Scali,Director i639. ♦0 ''iE p Mph Building Division r,� Tom 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 of Valid without Red X-Press Imprint Map/parcel Number Property Address G� O� y 4zw A14�Ws a 00 Residential Value of Work$ AA Minimum fee of$35.00 for work under$6000.00 Owner's Name& ess Contractor's Name Telephone Number Home Improvement Contractor License#(if applicable)L<�"07-? Email: . Construction Supervisor's License#(if applicable) . (96-1 / 9Workman's Compensation Insurance PERMIT Check one:El �C6" 1 I am a sole proprietor C 7 2015 ❑ I am the Homeowner XI have Worker's Compensation Insurance AWN �F 84"ST, B LE Insurance Company Namef Workman's Comp. Policy# Copy of Insurance Compliance Certificate must accompany each permit. Permit Request(check box) ❑ 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) Replacement Windows/doors/sliders. U-Value i (maximum .32)#of windows #of doors: ❑ Smoke/Carbon Monoxide detectors 4 floor plans marked with red S and inspections required. Separate Electrical&Fire Permits required. "Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. ***Note: Property Owner must sign Property Owner Letter of Permission. A copy of the Home Improvement Contractors License& Construction Supervisors License is equ�ired. ,Z4 SIGNATURE: J' C:\Users\Decollik\AppData\Local\Microsoft\Windows\Tempo Internet Files\Content.Outlook\2PIOI DHR\EXPRESS.doc Revised 040215 Authorization Form: I � as owner of the subject property, hereby authori e Baker & Associates to act on my behalf, in all matters relative to work authorized by this building permit application for : Address of property: 18 Stallion Way Marston Mills, MA Signature of owner: )�A Print Name: J- -rFAL C Date: A&I4,31i l 0�Y IN CS-009714 RICHARD P.GAWaAU,jK,' PO BOX 476 �X' West Barnstable NIA ou., of;M- s I C. e- 0410412016 .......... ............. it Office of Consumer Affairs dnd Business Regulation 10 Park Plaza - Suite 5170 Boston, Mass4chusetts 02116 Home Improverne-A ,Contractor Registration Registration. 162600 Type: Supplement Card Expiration: 3/26/2017 BAKER & ASSOCIATES INC. RICHARD GARNEALI P.O. BOX 923 CENTERVILLE, MA 02632 ............... Update Address and return card.Mark reason for change. SCA 1 0 2OM-05111 F Address Renewal F,-] Employment ❑ Lost Card ce of Consumer Affairs&Business Regulation License or registration valid for individul use only EIMPROVEMENT CONTRACTOR before the expiration date. If found return to: Office of Consumer Affairs and Business Regulation Type: 10 Park Plaza-Suite 5170 Expiratlorif,,'3Y.2jW1017:' Supplement Card Boston,MA 021,16 BAKER&ASSOCIATfS;:!!,A-''-' RICHARD GARNEA(j-. 521 SHOOTFLYING HILL RD CENTERVILLE,MA 02632 Undersecretary Not valid without signatdl The Contnnonws ealth of Massac3iusetis Department of Indushial Accidents Office of Investigations 600 Washington Street (�,^„ •_". . �:/ Boston,llhtA 02111 evww.niav&gorv,,1div Workers' Compensation Insurance Affidavit: Builders/Conti-actors/EIectiicians/Plumbers Applicant Information Please Print Legibly Name(Businesvo ,;7ation?Individml): Baker&Associates Inc Address: 521 Shootflying Hill Road City/State/Zip:Centerville MA 02632 Phone 4- 508-362-2445 Are you an employer?Check the appropriate boa: Type of project(required): 1.[(I am a employe'math 1 4. ❑ I am a general contractor and I employees(full and/or part-time).* have hired the sub-contractors 6- ❑Nem�construction 2.❑ I am a sole proprietor or partner- listed on the attached sheet_ 7- ❑Remodeling ship and have no employees These sub-contractors have 8. ❑Demolition working for me in any capacity- employees and have workers' 9. ❑Building addition. [No workers'comp-insurance comp.insurance,! required-] 5. ❑ file are a corporation and its 10-❑Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their 11-❑Plumbing repairs or additions self. o workers'co right of exemption per MGL my. [N mp- 12.❑Roof repairs insurance required.]1 c. 152,§1(4),and we.have no employees.[No worts' 13.❑Other I t��. comp.inst ranee required.] *Any applicam that checks box#1 must also fill out the section below showine their workers`compensation policy information. I Homeowners who submit this affidavit indicating they are doing all wink and then hire outside contmctors nmst submit a new affidavit indicating sack- contractors that check this box must attached are additional sheet showing the name of the sub-cwtruters and state whether or not those entities have employees. If the subcontractors have employees,they trust provide their workers'comp.policy member. I am an employer that is providing workers'conrpensetion innsnranaee for my earploynees. Below is fhe policy and job site information Insurance.Company Name:Associated Employees !/ Policy fi or Self-ins.Licc.4:wcc50050024542015a Expiration Date: 7Qw/,6 Job Site Address: O /D Cit. /State/ r n�,�j �a a /� �,U y ���.E'� a Attach a copy of the workers'compensation poll_y declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to S1,500.00 and/or one-year imprisonment,as well as cical penalties in the form of a STOP WORK ORDER and a fine of up to$250-00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify under three par s and penalties ofperjury thatthe information prot�id�ed abovels fnne and correct Si tune- I T ,aOl" Date: Phone#: Qfficial use only. Do not write in this area,to be completed by ci#,or town official City or Tout: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Budding Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: 6 Client#:9742 2BAKERAS ACORD,. CERTIFICATE OF LIABILITY INSURANCE FOATE(MWDDrfYYY) 04/22/2015 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT:If the certificate holder Is an ADDITIONAL INSURED,the policy(ies)must be endorsed.If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement.A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER NTA NAME: Dowling&O'Neil AIC No FAX Et):508 775-1620 A/c N.: 5087781218 Insurance Agency I EMAIL ADDRESS: 973 lyannough Rd., PO Box 1990 INSURER(S)AFFORDING COVERAGE I NAIC# Hyannis,MA 02601 INSURER A:National Grange Mutual Insuranc INSURED Baker&Associates,lnc. INSURER B:Associated Employers Insurance INSURER C: P O Box 923 Centerville,MA 02632-0071 114suaER D INSURER E: INSURER F: I COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: 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 CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR ADDL UBR POLICY EFF POLICY EXP LTR TYPE OF INSURANCE INSR WVD POLICY NUMBER MM/DD/YY MM/DD/YYY LIMITS A GENERAL LIABILITY MPJ7223M 4/19/2015 04/19/2016 EACH OCCURRENCE $1 000 000 XI COMMERCIAL GENERAL LIABILITY PREMISES la ME'Dence $500 000 CLAIMS-MADE I X l OCCUR MED FRCP(Any one person) $1 O 000 PERSONAL&ADV INJURY $1 000,000 GENERAL AGGREGATE $2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $2,000,000 POLICY I j RO- LOC AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident ANY AUTO ALL OWNED SCHEDULED BODILY INJURY(Per person) $ AUTOS I AUTOS BODILY INJURY(Per accident) $ HIRED AUTOS H NON-OWNED PROPERTY DAMAGE $ Per accident i $ UMBRELLA LIAR OCCUR EACH OCCURRENCE $ EXCESS LIAS HCLAIMS-MADE AGGREGATE $ DED RETENTION$ $ B WORKERS COMPENSATION WCC50050024542015A 4/23/2015 04/23/201 X 1 WC STATU- OTH- AND EMPLOYERS'LU►BILRY FR OFFICERO/MEMBEREXCLUDEDE?ECUTNE� N/A E.L.EACH ACCIDENT $SOO OOO (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $500 OOO II S describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $500,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(Attach ACORD 101,Additional Remarks Schedule,If more space is required) Insurance coverage is limited to the terms,conditions,exclusions,other limitations and endorsements. Nothing contained in the certificate of insurance shall be deemed to have altered,waived,or extended the coverage provided by the policy provisions. CERTIFICATE HOLDER CANCELLATION Town of Barnstable SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 200 Main Street ACCORDANCE WITH THE POLICY PROVISIONS. Hyannis,MA 02601 AUTHORIZED REPRESENTATIVE ©1988.2010 ACORD CORPORATION.All rights reserved. ACORD 25(2010/05) 1 of 1 The ACORD name and logo are registered marks of ACORD #S149786/M149785 MER 1 —4 7 f 2- r �- ' '� �• ''''1 ! .� ' ! 3 �t F-t' t`' r;��' a" r , ,> �� cr� iS?�JELI�IISE �C?'GT% f "-44 { , 1f' ; 42.Z �. f'Er>r,,* '=F �^.!_t �,.�'�_ 4'1�QTIG-ANT. �,._./ ;.aW(7-1-{ r f wo _ - - 1 - ►rac. S�Cf� I- k=oP7 I L.E Ivor r 17 Tod'colt ssov U e 3 -,- i /t� _ GAL ► { .� -- —� pl 2tAc ,� ,'e��cf e' 15G• w / --a- 1 Z4 4;E{'TIG TANbL. — !�— z i 4 CJ GAL. LEAc►{Evi t3ar-roM t - ..c �. _ ? ,.S -� _ t 1 t=. t, ►�_aAC�E �..a s--- •'�' USG ` � �raui St i c.:-,c h �- L l�"r E �G�+ �"�J�:--' �^.: '�'<� __ _ ---.-- ~ 1 r / A�iF OwJ� A - C i�;E t_Er1G,i t,LEEeS f i,( G �y u a t_v.r.IDSu¢JE`(�5 � � - �_ w A nL3ALA, , 21, cv . �PE, PATE AF,2o\IEU' — CAT r.- O UW Z U m V Q W LLJ 36"v36" VENTED CUPOLA O O U 77 ASPHALT ROOF SHINGLES �� ICI�►" � qIt 2 1;'4" BED MLoc do 1 5.8" DENTIL MLDc. �� 12 TRANSOM LIGHT (8xi0 GLASS) , ALUM. GUTTER & OWNSPOUTS — !i - - - � - LT UJ _ _ - _ : __µ.Wj- it _ ( _ ' � L., a x — �MRd001v BOX _ Ag-yr F � E-TIP � '� _ — — -- — _ Lui I R.C. CLAPBOARDS O 3 1/'2" EXP.- � (FRONT ONLY) t(�1 � � o � 1 e l e y a . 1_ d l scale 1/4" _= 1 '-0" C N cL� F...t N O Q I.1J - - no -- 0 T ><i ll' in WA m o -.. _ _._. TT ------------ ui front door detail o ~rear elevation scale 3/18"—1'--0" U � scale 3/6"-1'-0" ----.-------__�__.---_ ___ _ __.___. 0 <Z f— _j L W aC W O � V7 n w m to d W C(N+I. RIDGE CORE 'TN I d W Q` S - I � n C) U REDtiMcac txwt►�Er� . _. I � I - -- SIDING - - z LEAD CAP FLASHING i x4 2 3/4' sED MtDG. ` ALUM. GUTTERS A DOWNSPOUTS -__-- 2 i/4" CORNICE 8624 --- --- Ira RAKE DO. __ RETURNED AT CORNERS - 12 i - DENTAL MLDG. 12( _. _ `- -- -• TOP OF WINDOW a 1W FROU FLOOR i WNDOW HEAD -- _ a t Z WINDOW/DOOR CAP DETAIL ---- ---- -=_== = a SCALE 3 i -0 __- ------.----.--_-.--_- ___ 2 Ix5-- CORNER 80. I - --- - __- 1 -_ --- - i � •) rr000 DECK 2x12 RIDGE BD- -, all L ._ -J , _ - - -_-__ -- ASPHALT ROOF SHINGLES -\ \� - ON 5/8" PLYWD. SHEATHING �� / \ \ `� _-_ - -- -- - - - lop OF FOUN - o IV 2x 10 ROOF RA FTERS 9" FBGL. INS L� \ \ r h t side elevation Deal* 3/1e" a;l'-O" O 16" O.C. '� 2x8 CLNG. JSTS O 1/2- GYPS. 8D. ON O Lij �?- � ' i x3 STRAPPING ! z [� n F 12 \ ao DRIP EDGE VENT \ r 5,'8" PLYWD. SUBFlR- 2x10 FLR.JS'S O 16" C.C. - r RED 9010( C"m"t f ALUM. GUTTERS _J ',/2" G•r"PS. BD. ON (TYP.) 1 x3 STRAPPING zx6 EYT. FRAME WALL O W/5" FBGLJNSL-, J- _ 1/2' SHEATHING,TYPAR HOUSE -� i a (w� W WRAP,R,C. CLAPBRDS OR W.C. '" i� ALUM. GUTTERS kDOWNSPOUTS SHINGLES W 0 2x6 WOLM. SILL PLATE J 5 '8' PLYWD. SUBFI_R. 1 °D - -- _----� ; t7 1� VJ W/1 j 2 x12" GALV. A.B. - _ __ i �i2 - t O 6'O O.C. - - - - - - - r --- - • - --.-__ 1. i �; � � W __._ _� _ 2z 10 FLR.JSTS O 16 O.C., ; -: _ - ._ _ - .__ �/"j - - - - - - - - - ---- _-_ _ T r --- - A, - - 0 Z CL C 3/2x 12 GIRT I 4 ill.===III- -III Iil.A11 Ili =. !�i _wm Swim"-0 3- - = _ - - --- = III�_ a� _. ____.___. _. _..__.._:_._ :.,. ...._._..,__-•--•—. -1 -- t 7'9"x 8" CONC. FOUN. WALL. _I I �- 3 1/2" DIA. CONC. F ILLED � _ - ON 16"x8" CONC. FOOTING _ II(_".. r STL. LALLY COLUMN _;li't:_T I to.- ' m �� _ _... z -J •r+ r (Tyr.) lU �I J-J i _ W Q CLl 3^ CONC. SLAB FLR. - - -- i Q 30"x30"x 12" CONC. 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