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HomeMy WebLinkAbout0059 WILD WAY �1 Wildw�,y TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Ma V Parcel ICJ ai C�bTO'$� OF BARNSTABLE: 1-7" 9 c )p p Application # Health Division 2018 JU' - AM I I: 93 Date Issued Conservation Division Application Fee Planning Dept. Permit Fee y� V Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation/ Hyannis Project Street Address Village E m , 111 11S Owner 4! /���bzl Address Telephone Z eo' J 3/0 Permit Request 7 /dJ1� i2 Ze, zl,4 SS rJ la.S,=., j 77 ,S 19'> �v��� �s Z �=��� ��iQ ys Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation �B D O, 0 Construction Type_zAef�ll?,d1_01 Lot Size Grandfathered: ❑Yes 0 No If yes, attach supporting documentation. Dwelling Type: Single Family Wr*"' Two Family ❑ Multi-Family (# units) Age of Existing Structure Historic House: ❑Yes 4-No On Old King's Highway: 0 Yes EWo Basement Type: ❑ Full ❑ Crawl ❑Walkout ❑Other Basement Finished Area (sq.ft.) Basement Unfinished Area (sq.ft) Number of Baths: Full: existing new Half: existing new Number of Bedrooms: existing _new Total Room Count (not including baths): existing ,new First Floor Room Count Heat Type and Fuel: ❑Gas ❑Oil ❑ Electric ❑ Other Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing wood/coal stove: ❑Yes 0 No Detached garage: ❑ existing ❑ new size_Pool: ❑ existing ❑ new size _ Barn:.0 existing ❑ new size_ Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes ❑ No If yes, site plan review# Current Use Proposed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name aze Telephone Number 15-0 �7-S'/Z/ zf Address / S:" l2z!41Z_W&a License # ,/o 9 P 8 / 6L Home Improvement Contractor# 1-/ 1' SSG Email aw /��%��/��Ca Gam Worker's Compensation # lido-3, ', ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE FOR OFFICIAL USE ONLY APPLICATION # DATE ISSUED MAP/ PARCEL NO. # ADDRESS VILLAGE OWNER DATE OF INSPECTION: FOUNDATION FRAME INSULATION + FIREPLACE ELECTRICAL: ROUGH FINAL f PLUMBING: ROUGH FINAL ' GAS: ROUGH FINAL - FINAL BUILDING i DATE CLOSED OUT ASSOCIATION PLAN NO. k ie� �' ,ltietiaral,[r.SeaG,;Df7retar . rf stable Se A TDIUTP rry,H'►10ft",6axaiiaisb'i fit ��ww.tc��toa►ba�r:itstab�e��aus° . Gff ee. 50846246;8' Fax-'-50 -7 (N 30. ,.,. ?xopextr OwnlcF. us - y _ BUR� �: Mark Poulin eehRno Cape Cod Insulation -� {rii Lneialf,, ire ail a at rs°rcia o:to w 3�.a z,� - r asfb r p "t,app�ca��sn;'f"�r.. 59 Wild Way ,Cotuit MA 02635 r bp0rzs•'oa 5° A Z ' ihj.p .1 are;nor to'be f c ut cl )MOM iz�spPo %s arCrine and a�` ct „ S am e o C S4ma we,of cant Massa7husetts Department of public safety Board of Building Regulations and standards License,, 08.100968 Conatruotlon jupervIsor .,1•i I� 11 1 f�l +�.. HENRY E CASSIDY;�` 8 SHED ROW WEST YARMOUrH tl Expiration: C�`Mlssloner 111111201T I ug Office of Consumer Affairs and Business Regulation 10 Park Plaza • Suite 5170 Boston, Ma b.Wustt 02116 � tlonHome Improveme:; itractor Re Istra Type: Corporation Ca a CO ' �°� ��' Registration: 15058 p � insulation, Inc 7 18 ReardbW Circle y ,�: h'la! '� Expiration: 12/14/2016 So, Yarmouth, MA 02664 '°� Y ss�,r 111 20M'05nt Updale Address and ...,. .�...�,_...__,...,....___.1...,....., _ return card, Mark reason for change, tx �e�aoovr�coacwarr�t/oyBQ/�i�owarrv/ccwett�• T�'I•n�_I�,..n:ploy/rr�'srtt_Ll-l.ca,4!.;,�.�'�..... OHloe of Consumer Affairs&Business Regulation HOME IMPROVEMENT CONTRACTOR e.i Corporallon Registration valid for Individual use only T�! before the expiration date, If founA urn toi ;li;'1�i� ;. lixatratlon OHloe of Consumer Affairs and el as Regulation 12/14/201e Boston Maaa• e 5170 0"ape Cod Inswl�l ' 11 Henry Cassldy'k.� 18 Reardon Clro�'$'� �1 �'i' ,¢„cC So,Yarmouth,MA �� Vnderasoretary t al hout sl at The Commonwealth of Massachusetts Department of Industrial Accidents 1 Congress Street, Suite 100 o Boston, MA 02114-2017 .� www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers. TO BE FILED WITH THE PERMITTING AUTHORITY. Applicant Information Please Print Legibly Name (Business/Organization/Individual): Cape Cod Insulation Address: 18 Reardon Circle City/State/Zip: South Yarmouth,MA 02664 Phone#: 508-775-1214 Are you an employer?Check the appropriate box: Type of project(required): I.Z l am a employer with 48 employees(full and/or part-time).* 7. New construction 2.01 am a sole proprietor or partnership and have no employees working for me in $. Remodeling any capacity.[No workers'comp,insurance required.] 3.0 I am a homeowner doing all work myself.[No workers'comp.insurance required.)t 9, ❑Demolition 10 ❑ Building addition 4.7 I am a homeowner and will be hiring contractors to conduct all work on my property. I will ensure that all contractors either have workers'compensation insurance or are sole 11.❑Electrical repairs or additions proprietors with no employees. 12.Q Plumbing repairs or additions S.Q I am a general contractor and I have hired the sub-contractors listed on the attached sheet. 13. Roof repairs These sub-contractors have employees and have workers'comp.insurance.$ 6.0 We are a corporation and its officers have exercised their right of exemption per MGL c. 14. ✓�Other Weatherization I S2,§1(4),and we have no employees.[No workers'comp.insurance required.] *Any applicant that cheeks boy,#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. tContractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp,policy number. I am an employer that Is providing workers'compensation Insurance for my employees. Below is the policy and job site information. Insurance Company Name: Atlantic Charter WCE00431902 6/30/201 Policy#or Self-ins.Lic.#: Expiration Date: 001 Job Site Address:*dl eL"-k ����� �/i% City/State/Zip:Aza 0 2 Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under MGL c. 152, §25A is a criminal violation punishable by a fine up to$1,500.00 'and/or one-year imprisonment, as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator,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 the pains and penalties of perjury that the information provided above Is true and correct. Henry Cassidy owa a.M,.N..M Signature. als�aUi �pW'.I Y.YYnw,M.WN,Wy.,-/WtlYuw,Vl Date Phone#: 508-775-1214 Official use only. Do not write in this area,to be completed by city or town official. City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2, Building Department 3. City/Town Clerk 4.Electrical Inspector 5,Plumbing Inspector 6.Other Contact Person: Phone#: 1 s � CAPECOD-27 EDDLIKE '4�ofzo� CERTIFICATE OF LIABILITY INSURANCE EfDATE(MMIDDIYYYY) 6130/12017 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(les)must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder In lieu of such endorsements. PROgDUCER C CT RID434 ers Rte 134ray Insurance Agency,Inc. acNNo,Ext: ac No:(877)816-2156 South Dennis,MA 02660 I .mall@rogersgray.com INSURER(Sl AFFORDING COVERAGE NAIC q INSURER A:Peerless Insurance Company 24198 INSURED INSURER B:SafetyInsurance Company 39454 Cape Cod Insulation,Inc. INSURER C:Endurance American Specialty Insurance Company 41718 18 Reardon Circle INSURER D:Atlantic Charter Insurance Company 44326 South Yarmouth,MA 02664 INSURER E INSURER F: 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 CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE ADDL SUBR POLICY NUMBER POLICY EFF POLICY EXP LIMITS A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE 1,000,000 CLAIMS-MADE F—X]OCCUR CBP8263063 04/01/2017 04/01/2018 DAMAGE To RENTED 100,000 MED EXP(Any oneperson) 5,000 PERSONAL BADVINJURY 1,000,000 GEN'L AGGREGATE LIMoIT.APPLIES PER: GENERAL AGGREGATE 21000,000 X POLICY ElJP T LOC PRODUCTS-COMP/OPAGG 2,000,000 OTHER: B AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT 1,000,000 ANY AUTO 6232707 COM 02 04/01/2017 04/01/2018 BODILY INJURY Perperson) $ OWNED ONLY X SCHEDULED AU BODILY INJURY Per accident) XX A OR n AMAGE $UOS ONLY e0ac C UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 2,000,000 X EXCESS LIAR I I CLAIMS-MADE EXC10006635002 04/01/2017 04/01/2018 AGGREGATE 2,000,000 DED I I RETENTION$ D WORKERS COMPENSATION X PER OTH- AND EMPLOYERS'LIABILITY R/O WCE00431902 06/30/2017 06/30/2018 1,000,000 ANY PROPRIETORIPARTNERIEXECUTIVE Y/N E.L.EACH ACCIDENT �FFICERIMEM R EXCLUDED9 �N N I A Viandetory In� ) 1,000,000 If yes,describe under E.L.DISEASE-EA EMPLOYE DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT 1,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached If more space Is required) Workers Compensation Includes Officers or Proprietors. Additional Insured status is provided under the General Liability and Auto Liability when required by written contract or agreement with the Certificate Holder. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE For Information Only THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE � �� ACORD 25(2016/03) ©1988-2016 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD Town of.Barnstable *Permit#p,�", L,;K 3� Expires 6 months from issue date Regulatory Services Fee 11 Thomas F.Geiler,Director Building Division Tom Perry,CBO, Building Commissioner X-PRESS PERMIT 200 Main Street,Hyannis,MA 02601 AUG 2 3 2006 www.town.bamstable.ma.us Office: 508-862-4038 -�-�w�����B ��LE EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY CS �j®D Not Valid without Red X-Press Imprint i�p/parcel Number ©ol 7— ��� — v roperty Address t esidential Value of Work ��t���_. Minimum fee of$25.00 for work under$6000.00 ,wner's Name&Address Ank )00011 4 AA I .59 ul;id Wyc ontractor's Name Pp l l& L�t ild oa.S . JC_ Telephone Number 3�tj •�e�G"�p 0 a .ome Improvement Contractor License#(if applicable) 17 7 8 yo bna c'f"sor's�zcertse#(r€aPplicable orkman's Compensation Insurance Check one: ❑ I am a sole proprietor ❑ I P11 the Homeowner have Worker's Compensation Insurance � S tsurance Company Name '' ',1�//1r Q S ��S . e, /orkman's Comp.Policy# L� 80 olkq 0? a .opy of Insurance Compliance Certificate must be on file. ernfit Request(check box) ❑ Re-roof(stripping old shingles) All construction debris will be taken to ❑Re-roof(not stripping. Going over existing layers of roof) ❑ Re-side eplacement Windows/doors/sliders. U-Value (maximum.44) *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 is required. 1GNATURE: I :Fonns:expmtrg :vise061306 aTZTi oJ7Plassachusetts Department oflndustrialAccidents Office of Investigations 600 Washington Street Boston, M4 02111 i4 r mass:gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Pluimmbers Applicant Information Please Print Legibly Name (Business/Organizatim/Individual): PLO114 OJI"AlS . A Address: City/State/Zip: X#i�f Je . IWA 0 A 7 oV Phone A�r..e,,yo n employer? Chec th •appropriate bog: Type of project(required): 1,WTI am a employer with Ili 4• ❑ I am a general contractor and I 6. N employees (fall and/or part-time).* have hired the sub-contractors ❑ e`t'construction' ub 2.❑ I.gm 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. workers' comp.ins rmce. . 9. ❑ Binding addition (No workers' Comp.insurance S. ❑ We area corporation and its 10❑ Electrical r afrs or additions required,] officers have exercised their 3.❑ I am a homeowner doing all work right of exemption per MGL I I.M Phmmbing repairs os• additions myself,[No workers' comp. c. 152, §1(4), and we have no 12.[] Roof repairs insurance required.] t employees. [No workers' 13.0 Other comp. insurance required.] *Any applicant that checks box#1 saust also fill out the section below showing their workers'evmpensation policyinfonaatiow . t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such =Coatractvts that check this box must attached an additional sheet showing the name of the sub-contractors and their workers'comp,policy infbrrnation. ram an employer that is providing workers'compensation Insurance for my employees. Below is the policy and job site Information Insurance Comp any Name: Q 9,r/to SS s Policy#or Self-ins..Lic. #: U d y� o� Expiration Date• / a 7• Job Site Address: . l City/5tate/Zip: / &?,s Attach a copy of the workers' compensat on p.Qlicy 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$1,500,90 and/or one-year imprisonment, as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$150.00 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. 1 do hereby e fy nder the pains a p alties of perjury that the information provided above is true and correct. 8 a� St Date: afore: ��.p �7 y • Phone#: ✓y6 �P/ 1p "�Q 0 oZ Q Official use only. Do not write in this area,to be completed by city or town officiaL City or Towns: Permit/License# Issuing Authority (circle one): 1.Board of health 2. Building Department 3.City/•i'oWn Cleric a.ElectrLeal inspector 5.Fiumbirg Icspec or 6. Other Contact Persona: Phone#: Massachusetts General Laws chapter 152 requires all employers to provide workers' compensation for their employees. w Pursuant to this statute, an employee is defined as"...every person in the service of another under any contract of hire, express or implied,.offal 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 dwellmg 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, §25C(t7 also states that"every state or local licensing agency shall withhold the issuance or , renewal of a license or permti to operate a business or to construct buildingsiin the corrimonwealtb for any applicant who has not'- roduced acceptable evidence.of compliance with the insurance coVtrage required." Additionally,MGL chapter 152, §25C(7)states'Neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance ofpublic work until acceptable evidence of con:�Dliance with the insurance requir=ents of this chapter have been presented to the contracting authority." Applicants Please fill out the workers' compensation affidavit completely,by checking the boxes that apply to your situation and, if necessary,supply sub-contractors)name(s),addresses) and phone nuinber(s) along with their certificate(s) of insurance. Limited Liability Companies(LLQ or Limited Liability Partnerships (LLP)with no employees other than the members of partners, are not required to carry workers' compensation insurance. If an LLC or LLP does have employees, a policy is required. Be advised that this affidavit maybe submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure.to sign and date the affidavit. The•affidxvit should be returned to the city or town that the application for the permit or license is being requested,-not the•Depariment of' . Industrial Accidents: Should you have any questions regarding the law or if you are required to obtain a workers' coup ensation policy,please call the Department at the number listed below. Self-insured compMf-=1ioufld der their self-insurance license number on-the appropriate line. City or Town Officials . 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 a out in the event the Office of Investigations has to contact you regarding the applicant = Please be sure to fill in the perm t/tieense number which will be used as a reference number.;In addition;an applicant that most submit iaultiple permit/license applications in any given year,need only submit one affidavit indicating current policy information (if necessary)and.under"Job.Site Address"the applicant should write"all locations in _(city or town)."A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that-a valid affidavit is an file for future permits or licenses. A new affidavit must be filled out each year.Where a Home owner or citizen is obtaining a license or permit notrelated to any business or commercial ventcae (i.e. a dog license or permit to burn leaves etc.)said person is NOT required to complete this affidavit The Office of Investigations would hike to thank you in advance for your cooperation and should you have any questions, Please do not hesitate to give us a call. The Department's address,telephone and fax number: The Commonwealth of Massachusetts .• • .. Deparhtent of Industrial Accidents Office of Investigations 600 Washington Street Boston, MA 02111 Tel:.T 617-727-4900 ext 406 or 1-877-MASSAFE Fax# 617-727-7749 Revised 5-26-05 `;,r9W.nas5.gov/era 02. 'Uom..... a�./�aaaac�a..aella Board of Building Regulations and Standards License or registration valid for individul use only HOME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: Re,gisication--49840 Board of Building Regulations and Standards -. 9 •1ratron;=2MP/2008 One Ashburton Place Rm 1301 4+ -p _ZO Boston,Ma.02108 ii a L}'d Liability Corporation teffR- PELLA WINDOWS A Di+D'Q.= •Sst STEPHEN DICKIN'S©- ; 1325 AIRPORT ROAD=� �� FALL RIVER,MA 02726 Administrator —2& No valid without signature ✓'aeom�rrccLrzu�eaGC o�. aaaac�cuaeCla $ IO�FUJLpaiNfia IZEGdJLA�TatANS' C.OaI�S4TRU.CsTIQArtJ+SIi RERV'IS N FOR CS 08]18,.4 H'lrth ,e+ 1966 ffi +ems 011-I fir.Rio; 172,37 I f STEPF`;E'N°T I hCK�ktOS A '1 J 12 By�1 NS+IaQE LEA` E'' �g f� ME�RRIM�A�C, M'!1�+1;8.6A�- • Pella Windows & Doors y 1325 AIRPORT ROAD FALL RIVER,MA 02720 TEL.508-676-6820 FAX 508-676-6823 June 19, 2006 To: Whom It May Concern RE: Contractor and HIC License I hereby give permission for Steve Correia to use my Contractor Supervisor's License #CS081843 and my HIC Registration#149840 to pull permits in the State of Massachusetts for all projects related to work performed for Pella Windows & Doors, Inc. Steve Dickinson Operations Manager Pella Windows & Doors, Inc I Windows,Doors & Skylights ACORD CERTIFICATE OF LIAB�I°LITY INSURANCE LOPIDLA 27 DATE(MMIDD,/0 �— PELLA-1 07/li/06 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION The Preston Agency, Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 1350 Division Rd Suite 303 HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR PO Box 810 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. East Greenwich RI 02818-0810 Phone:401-886-8000 Fax:401-885-1700 INSURERS AFFORDING COVERAGE NAIC# INSURED PFR Acuisition, LLC INSURER A: Peerless Insurance Company 24198 q dba: Pella Windows & Doors INSURER B: 1325 Airport Road Acquisition LLC INSURERC:' 1325 Airport Rd INSURERD: Fall River MA 02720 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.AGGREGATb.HMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. LTR NSRE TYPE OF INSURANCE POLICY NUMBER DATE(MM/DD/YY) DATE(MMIDDIYY) LIMITS GENERAL LIABILITY EACH OCCURRENCE $1,000,000 A jXm MERCIAL GENERAL LIABILITY CBP8022572 05/01/06 05/01/07 PREMISES(Eaoccurence) - $ 300,000 CLAIMS MADE NIOCCUR MED EXP(Any one person) $ 10,000 EBL PERSONAL&ADV INJURY $1,000,000 GENERAL AGGREGATE s2,000,000 GENL AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $2,0 0 0,0 0 O POLICY PEa LOC Emp Ben. 1,000,000 AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 1,000,000 A ANY AUTO BA8022972 05/01/06 05/01/07 (Eeaccident) ALL OWNED AUTOS BODILY INJURY $ X SCHEDULED ALTTOS (Per person) X HIRED AUTOS BODILY INJURY $ X NON-OWNED ALTOS (Per accident) PROPERTY DAMAGE $ (Per accident) GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $ ANY AUTO OTHER THAN EA ACC $ AUTO ONLY: AGG $ - EXCESS/UMBRELLALIABILITY EACH OCCURRENCE $ 10,000,000 A X OCCUR ElCLAIMSMADE CU8024072 05/01/06 05/01/07 AGGREGATE $10,000,000 $ RDEDUCTIBLE $ X RETENTION $10,000 $ WORKERS COMPENSATION AND X TORY LIMITS I I ER A EMPLOYERS'LIABILITY WC8023972 05/01/06 05/01/07 E.L.EACH ACCIDENT $1,000,000 ANY PROPRIETORIPARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? E.L.DISEASE-EA EMPLOYEE $ 1,000,000 If yes,describe under SPECIAL PROVISIONS below E.L.DISEASE-POLICY LIMIT $ 1,000,000 OTHER DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS CERTIFICATE HOLDER CANCELLATION TOMBAR SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRTITEN Town of Barnstable NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO 00 SO SHALL Attn: Building Divi s ion IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR 200 Main Street Hyannis.MA 02601 REPRESENTATIVES. AUTHORIZED REPRESENTATIVE 4" /J''{ACORD 25(2001/08) ©ACORD CORPORATION 1988 " Contract Pella Windows &Doors Westerly RI, Centerville MA, Wakefield RI Seekonk MA, Dartmouth MA, Plymouth MA Serving Massachusetts & Rhode Island Phone: Fax: 9 rd y � . r�:,.�.. W. .� , �!Y�.�c.$'.I�;YW. � ti iq¢s,v,� .^•�•. :.,.,. �, ,,r, j .,'� "gig .r�l c�* died r �:.. � � ..{ b � s -�' fl•". :,.",k :P•;- r �P".'�..r - „Cusi tiler s , •.. :: t{ }. t 4 1i G:> .'x , , t F 4 s1: ' t a�. h b: 1. 7'12 0 ,1 :, „I�;y:ZeCty•�fshl „4 .y 7 �t r�ur�, z: >,�i. a �3�a.n �. ;, r. a d To e• ., t�,.,Order_ .� �. �'�f�'.�.'�S '�:t�... ., ;Fl�f'F,�. �'rY:i c. �• g �q� � ��i. �;` .r�,, t p a 1 � •��,5 4�,i � �i ,+SI �x�ll�F: �. ...ls 1,�'S;Yc:�fi.. �,;iill#5.?S`i4�':E.L�{t;.F':+����,k�{;'.:3a .�lL}�s� .�N�.�.Ai�..riss w.R.'liu rtd.�Ge�. `i!Pr+`�b3�n=i.'•1,'�' / POULIN Date 00/00/00 No. Need Date 00/00/00 Sales Rep.Name Prepared by Payment Terms Owner: MARK POULIN Architect Bus.Phone:( ) - Bus. Phone: Dist.Order No. Bus.Fax:( ) - Home Phone: (508)274-6162 Cellular: ( ) Home Phone: ( ) Comments: COMMON ATTRIBUTES: Unless otherwise noted under "Description"all units contain the following attributes.Fixed units to not contain.screens or hardware. Product Brand: Prime Glass: Screen: Fins: Exterior Mat'l: DGP Color/Glass: Muntin: Brickmould: Color: Shade: Hardware: ffleOutslderViewma, � �., „ r a.: a d'•d' Sn �.? q r ST h. >Ym'. ? ,.ti ,Y.. �r�<•'��„ ��'� ..K.. ,:x, t���?=y a• •Q�';f. dr: ka.DesCrl .hOn f. rr• t?t t �' e•nta � � �! rlce .: :�Ll'. r 1c. .,W,�.,�.�:��,� �t....�:� �.. �����:,,.��� �� P _ �, d � • �._.'•-'�,�3�. a ���i��� �I� ���Unit P� ..<� xtended Item#10 Qty: 14 Vent Double-Hung,Frame:27-1/2 X 52-1/2:Pella Impervia,Alternative 683.86 9,574.04 Location: Material,Model 1 ,Half Vent/match Half Vent,White, 11/16" InsulShld IG d Vnt R.O: 2'4" X 4'5" Glazing,Full Screen,White Hardware,3/4"Standard Colonial GBG(muntin _= 2°-Vent pattern:3Wx2H/3Wx2H), White,Precision Fit Frame-3 1/4" Value Added Items:Install Precision-Fit(I I+units)-Qty 1 Disposal fee per wdo/door-Qty 1 Notes Item#15 Qty:2 Vent Double-Hung,Frame:27-1/2 X 36-1/2: Pella Impervia,Alternative 614.66 1,229.32 Location: BATHROOMS Material,Model 1 ,Half Vent/match Half Vent,White, 11/16" InsulShld IG _ °rent gent R.O: 2'4" X 3' 1" Glazing,Full Screen, White Hardware,3/4" Standard Colonial GBG(muntin z°•veM pattern: 3Wx2H/3Wx2H), White,Precision Fit Frame-3 1/4" Value Added Items: Install Precision-Fit(11+units)-Qty 1 Disposal fee per wdo/door-Qty 1 Notes: Contract-Page 1 of 3 Contract for Customer Project: POULIN Order No: ""t"" r ti w a ER� MEeYI escrip w LN 7nN.1f U ,I IM "A Item#20 Qty: I Vent/Fixed XO Sliding Window,Frame:40-1/2 X 39: Pella Impervia, 953.64 953.64 Location: KITCHEN Alternative Material,Model I , White, 11/16"fnsulShld IG Glazing,Half R.O: 3'5" X 3'3-1/2" Screen,White Hardware,Block Frame w/Std Fin Value Added Items: Install Full Tear Out 36"-48" -Qty I Disposal fee per wdo/door-Qty I Notes: Item#25 Qty: I REPLACE ROTTED SILL W/CEDAR SILLNOSE 0.00 0.00 Picture Location: Value Added Items:Repair Rotted Sill-Qty 3 Not Available Notes: ACKNOWLEDGEMENT OF C.S.R. REVIEW WITH CUSTOMER(Customer initials): Terms and conditions: This order is made especially for you, the customer. No cancellations are possible after 3 business days of the signing of this order. This agreement becomes a binding contract only upon review and acceptance by authorized PellaWindows and Doors corporate representative in Fall River, MA. All promises of shipment are estimates only, and our best efforts are used in every case to ship within the time promised, but there is no guarantee to do so. Seller shall not be liable for any direct, indirect or consequential damage caused by delay in shipment. For non-installed orders the customer represents that the window/door sizes and specifications shown on this order are correct and may not be changed or cancelled. The Scheduling Dept will call you with your delivery date. We provide tailgate delivery only ,-please arrange to have assistance on site at time of delivery. For Installed orders, 50%deposit required at time f order, and completion. A FTaxable Subtotal 8,645.02 Customer Signature Pella Sales Areis tativySignatuAe MA at 5.00% 432.25 None. at 0.00% 0.00 None at 0.00% 0.00 Non-taxable Subtotal 3,111.98 Total $ 12,189.25 Date Date Deposit Received 0_00 I Contract-Page 2 of 3 Contract for Customer: Project:POULIN Order No: WARRANTY: Pella products are covered by Pella's limited warranties in effect at the time of sale. All applicable product warranties are incorporated into and become a part of this contract. Please see the warranties for complete details, taking special note of the two important notice sections regarding installation of Pella products and proper management of moisture within the wall system. Neither Pella Corporation nor branch will be bound by any other warranty unless specifically set out in this contract. However, Pella Corporation will not be liable for branch warranties which create obligations in addition to or obligations which are inconsistent with Pella written warranties. Clear opening (egress) information does not take into consideration the addition of a Rolscreen [or any other accessory] to the product. You should consult your local building code to ensure your Pella products meet local egress requirements. contract-Page 3 of 3 Q < t i� ♦ S y W TOWN OF BARNSTABLE Permit No. .,3AQ?7 BUILDING DEPARTMENT TOWN OFFICE BUILDING Cash 7 .Yl 6TV yY "'JJJ �"�ter►r HYANNIS,MASS.02601 Bond ...... t 'I CERTIFICATE OF USE AND OCCUPANCY Issued to Larry Nickulas Address Lot #8, 59 Wild Way Cotuit, Mass. 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.. Se tember 14 19 89 Buildin Inspector ��..�� °•w TOWN OF 'BARNSTABLE BUILDING DEPARTMENT = rART°T out TOWN OFFICE BUILDING � HYANNIS, MASS. 02601 t MEMO TO: Town Clerk FROM: Building Department DATE: jet An Occupancy Permit has been issued for 'the building authorized by BuildingPermit #......... ,7 _.................................................._........._».._.....___ ..._ .. issued to /1/A � l ................................................... ... .... Please release the performance bond. ..�1Y'f*r.?a`71CC'�'�'+N•'�T�j•t:�.t:re. .,, •. is t•lY.. : ., r^ ,o TOWN OF BARNSTABLE, MASSACHUSETTS BU11D1YNO ...' PERMIT A-27-132 TOO 61 COO O DATE Junp- 3U 19 $9 TTT� ��n "7 �� PERMIT NO. - e e f APPLICANT Owner ADDRESS 002265 (NO.) (STREET) (CONTR'S LICENSE) i PERMIT TO Build dwelling ( l�) STORY Single family. dwelliug NUMBER UNITS l' OF- (TYPE OF IMPROVEMENT) NO. (PROPOSED USE) AT (LOCATION) lot #8 59 Wild Way, Cotuit ZONING' (NO.) (STREET) DISTRICT_ RF BETWEEN 'AND ' (CROSS STREET) (CROSS STREET) SUBDIVISION LOT LOT BLOCK SIZE BUILDING IS TO BE FT. WIDE BY FT. LONG BY FT. IN HEIGHT AND SHALL CONFORM IN CONSTRUCTION i 1 TO TYPE USE GROUP BASEMENT WALLS OR FOUNDATIONI Jj ITYPE) REMARKS: Sewage #89-27L ' BOND AREA OR .. VOLUME 816 3q• ft. ESTIMATED COST $ 50,000 FEEMIT 65.50 (CUBIC/SOUARE FEET) OWNER ..Larry Nickulas ADDRESS. Box 395 West Hyannisport, MA BUILDING DEPY., l'`.: n.`��; �.'.it ,•.r .; �f �:}� "UtTLl2-1V1TF71�.�" 1 �``',"-' "Ts 1 .r..r ..x OF ANY APPLICABLE SUBDIVISION RESTRICTIONS.' bt THE MINIMUM OF THREE CALL APPROVED PLANS MUST BE RETAINED ON JOB AND THIS WHERE APPLICABLE SEPARATE INSPECTIONS REQUIRED FOR ALL CONSTRUCTION WORK: CARD KEPT POSTED UNTIL FINAL INSPECTION HAS BEEN PERMITS ARE REQUIRED FOR ELECTRCAL. PLUM 1. FOUNDATIONS OR FOOTINGS. MADE. WHERE A CERTIFICATE OF OCCUPANCY IS RE- MECHANICAL I NSTALB ING j 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 C. 1 •_r�.LC,I/`L.�rL,C,� t� vim- C:tTtr, 2 `'.:.���..�\ ti� d�..�,�;.`.•..-ham L--/ 3 f• & HEATING INSPECTION APPROVALS ENGINEERING DEPARTMENT 1 ' OTHER BOARD OF H A TH WORK SHALL NOT PROCEED UNTIL THE INSPEC- PERMIT WILL BECOME NULL AND VOID IF CONSTRUCTION TOR HAS APPROVED THE VARIODUS STAGES OF I WORK IS NOT STARTED WITHIN SIX MONTHS OF'DATE T PERMIT IS ISSUED AS NOTED ABOVE. HE INSPEr_TIONS INDICATED ON THIS CARD CAN BE CONSTRUCTION. lI ARRANGED FOR BY TELEPHONE OR WRITTEN a NOTIFICATION. ) 97 Vl�► V4P ' � D ' 0 0 � a���ti• /9, 823 s NV 00 Q 7) PREPARED FOR : CERTIFIED PL 0 T PL AN LOCATION SCALE „/ 3�/ DATE REFERENCE: LOT P. B. 433 p o 3 O~ EYC�EEi H. L. C. P. _. FLOOD ZONE C faitiCKLEY >;• I HEREBY CERTIFY THAT THE BUILDING SHOWN ON THIS PLAN IS LOCATED ON THE GROUND AS SHOWN HEREON AND THAT IT -=� CONFORM TO THE ZONING Bf-LAWS OF THE TOWN OF WHEN CONSTRUCTED. LOW & WELL ER, INC. 714 MAINS TREE T _6 2.I S� YARMOUTH, MASS. A T 99—6 S ell" i T ti_a wN': L� 1 .r 4� �iA+.rw+n.H.•as-v,�in +y W r.,t„ ..., .. �:.a_.... ...w•- ... k .L.. ..,... ,e. .. ,rt.f` .d �<, ..;}�;, — +,Qry.Yk��'a ,rk%. v�^ t i�-..a.-....�� ~i:.:� -a��'�- F_ ..l.:.r•+• •� ��4 S .i. ,:3 ` •.• s,� r ` '•'r,` 'u r�'� 'Y`;"„ r �.-} "T'i:"' '=S"J�:` _ ' ?�'-.r�� �- _ 'p' ,va. ,.w.'..,H.a..r�v.+�h `+" +•ea.as _ - � `----'�� %�'X.i .rr :�S�i� :'� • L. .G"i ?.:[: �5y�4��i �•�>K �F�-.�,.,'�s a "�,=,;�r•r .,1:r �! .�,, ti Y.r" :ti * t•e'. *4 r k .- -� �.-._..,... •.;,w.�•.F ♦.- - rr..r•r.'F. ".„i"V� 1,�L.�-._.._ - -.--..--. v. L.-�._---- 1� � T. �- _ --r �.a-y.r:s..� iy..ti <1+F�.9 �) ts. ..X. •,ni � •7 t- :L. — I,. ^r. :,<.+.. O 3-. .r� ]` � .1 -.Ct`y`yam• t F.';,i'.r > ♦ �t.�;f ;a..� ..;/ ..S" =e.' .S:r��+--c��,,.t l¢ 4.4:r.aj ti :ate. y�:t -:.t..�r• '.�Y r. �61+w1,i��,;.:. ,�,�'H r- 3. a u.._+•i'� y t.,a. .w.,�.yq.,.t,,..f.+ptc '�:'.•M-j. :.'C ..{:.2,�•...� . _ _ i. �}..9q.,,•.`��:-ti r'. -•�.�_r;.:.F d�.[�•srt �a_...r ti.a t.. ..���'.� CJ, to .:r+ � ���.f-. .1{-q .;rw,b�f-'�,..1 s'4+!: r ..5 x)a:�. �s "cT� ,x! , s tie• _ - 1 Li.- CID Zoe cod I I ' O i0 ' V`f` I - { T t ea u- - 8 } t . I u C "i��e .� � ! � i� _'� 6 � .�I if*.'�'�'FG 4 Y'4`•yA1 .. {e =.Y,•r�- .\Y.. • -�.r-,>~. ;?� �' - j' -•}--— e '•-�,•�..�,•_"`T ���.1....1.� �_.1.^-���s.���••-� -�-•4�� ..ems.. -� - s j 'a.Stfv"R.:iK}•,r(,....Ce.�.� 4i.hk'h.'a„:. a ,♦. � _g,: .r�. .�s t Y�y��f,�� N.� '�•'.:'��'t � �..� �•'� - Assessor's office (1st floor): ? `J�'� ' �'�' � ��/ OFTNEtO Assessors map and lot number .......... ................................. �♦ Board of Health (3rd floor): Se age Permit number — ..�,...�!. Engineering Department (3rd floor): - �C, JS °oo, rb 9• Housenumber ........................................................................ 'E0M ale APeLICATIONS PROCESSED 8:30-9:30 A.M. and 1:00--2:00 P.M. only R TOWN OF BARNSTABLE .. , BUILDING INSPECTOR r-- APPLICATION FOR PERMIT TO ............ ,./.::..J.(1.... C.(..........al....... ... .0....................... ...................... Aj v / TYPE 'OF: CONSTRUCTION ........................ .!... ..a...... . ................................................................. t i.f.• : . ........... ......- ..-...--19....... TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information:: / Location ::t .,......... ��..;1.............. . (.....................,.!././ ................. ...................f`.... ../.. .:...�J..`........................... r � " ( ' Proposed Use .................. /.. .......�-............. ........................................../......�. `' -'............................... 01 Zoning District ....Fire-_District ter. .. ................. Name of Owner ......... �",P.f-�` .........Al dlf! ...Address ............ .. ;.� r�... ..C>..� - �. .� Name of Builder Address................................. ...................... .....1/. . .. . Name of I ArchiitPa".. ................................................Address ..............................�....�.....................................r.................... Foundation .............. . ... ... ...............Number of Rooms ................... .............. Exterior ..................................... ,� .......................Roofing ........ "L...,d../!.f.... �C ........... ........ .. (Floors ............ �� �✓.T.... ....................Interiorh!9[. .��................ "a.�,f Heating .........................../ .....C,(....................,.......... .. .......Plumbing ....... .... Fireplace ....:..........................000 lzr. ...................Approximate Cost ........ .................... � .................. 'Definitive Plan Approved by Planning Board lf_10-__.____p,___19_?6. Area .......................................... Diagram of Lot and Building with 'a,m,6 sons > f ���/" Fee ............................................. SUBJECT T.O-A1F4RR:OVAL OF BOARD OF HEALTH ,. Ile e Vi 4 .. ..R OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding tkie above construction. Name ...... ..... .�,......... ......................................... Construction Supervisor's License .................................... NICKULAS, LARRY A=27-132 To6 & coo No 330 17 BUILD DWELLING . . ........... Permit for .................................... Single Family Dwelling ............................................................................... Lot #8 59 Wild -Way Location ................................................................. .................... .................. Owner .......Larry.j . ...Ni.cku.l.as...................... . .. .. .... ..... ....... .. .... Wood Type of Construction .......................................... ................................................................................ Plot ............................ Lot' ..' June .3-0 89 Permit Granted .....................: .......19 ............ Date of Inspection, ....................................19 Date Completed ........... ............................19 49k P B oa v e.L� 1- .2-Ve? Assessor's office (1st floor): ,3a --�,� SYSTEM MUST BE o`?NEt�� Assessor's map,and lot number. ......... ........:.:.........:............. IAISTALLED IN COMPLIANCE d�Q� Board of Health (3rd floor): WITH ITME 5 Sewage Permit number ....:g g` :-...a 7.' .. ...n........... ENVIRONMENTAL CODE AND = B6S101"M E. Engineering Department (3rd floor): (, � V " a ( ,JS TOWN REGULATIONS Hcyuse number ..........................:............................................. ' •EO YPY a' I 30 9:30 A.M 1:00 2:00 P.M. only'PROCESSED 8: � M TOWN, OF BARNSTABLE . BUILDING INSPECTOR APPLICATION FOR PERMIT TO .............. iClr.�C.X G -... ...�/?. / ... . ............................ ................ TYPE OF CONSTRUCTION ..........................��, .0...... ................................................................. Z2 TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for permit according to the following information: C� / /� ` / V• r� Location ..................... ............... . .................vl././..✓.. .................... ...................CG�� ProposedUse .................. .. t ........... .......................................... ... .. ..... .. ....................... ........... Zoning District ................. ........................................Fire District —' r/ I Name of Owner .........�. ........ ... ....�. . .a...Address .......... ..V A ....(2.. .....-.... Name of Builder Address .......... WV.. ................................................ .............. ............ . Name .of Architect ..................................................................Address ..................................................................................,.. Numberof Rooms .................... ............Foundation .............. .. .................... ................... ................. Exterior !./f/............. ...Roofing ........ 1R.,J / Floors .............................. ..... R.... .....................Interior dr<-/............. ..`��.......`....����� Heating �j � Plumbing ........................ �. ...1. .... ............................... ...... ................... ......... ........... ........... Fireplace ............................. ............Approximate Cost ........ .......�.1 G' .............. ............... . Definitive Plan Approved by Planning Board ----!!___-- ------------- _ Area (.�./ ....,........ ..2 Diagram of Lot and Building with Dimensions Fee ...... .... ........................... SUBJECT TO APPROVAL OF BOARD OF HEALTH Vi 17"' r OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS r I hereby agree to conform to all. the Rules and Regulations of.the Town of Barn table regarding a above construction. Name ........ ......... .... : ....... ... ........... r z- Construction Supervisor's License ...(.�..../........................ NICKULAS, LARRY ' A=27-132 TOO ,& COO 33027 7 BUILD DWELLING No ................. ...Permit for ................................. Single Family Dwelling ............................................................................... Location .....Lot....#.8.....................W.i.1 d...........Way......... .. .. . ..... . .4vo. ....OA ................................ .. ... .. ......... Owner .......L.ar.ry. ...N.i.c.kul.a.s......................... .... ..... .. . .. ....... .. . Wood Type of Construction .......................................... ................ Plot ....... ................. Lot ................................ Permit Granted ....J.v TIP—.3.0..................19 89 Date of Inspection ....................................19 Date Completed ..... ....19 oil ZrL 1,L t" M M M,� � 220 C) tr 0 T P 0r^ f-NrvDAYIOr� 8 4 ---- H2 - 1 I . 1NV 7( __ , '78.75 74 8511-5 65 � I � ?a --- 1 - ti/O T� EXTE�'JD 19LL /yPPI-ICA ,5Z_6 E h�sfrn c c,—o— - . . / . / G RT,H AJ MA NlL E C /E 5VE , F/NH,-Una r-o7eile SG 1L T: o— e —o— RroPosa& y.-oUn ' I i C FLOW rninlrnuM per -hoof 3�B pecrSTone � _ eP � E' uh L T O $•� w f�-�---- ---- p1 P E To Be. �- 4 '{ O PEE N, 4PSV9L L J, 1 , LEVE 5 PACE �►"Surn washed sfone _ / x ` .,. , 10o 0 L. 56P-rlC 7`AN C IV /T E- 7 / p --,! O2, : TE- 0 L 0 G i DATE. -7 23 8`� TEST BY- L 0 * WEt-Lr-y, Jn/a I _i 82. 3 c'� EDP ©aM Hc�usE i _ no ds osnr D I N IN B�.R,.�. �9. 0r 61"I= C G R AT►_ (, D �T _ O CL _�V U 4 � 9 � . _ . 000 LOAM O PF_N SU l5SO l l_ 19 5 PA G L.E 'H/lVG f3,2 E \ 51 LT , t30 150,6 x -215 , o .P BOTTOM MI- D UI"I � -r .NE_ 4x 6 L /�CN PIT a^I 3� Q S C? 1 i � / COURSE SAND L- 1 IC( gz , , q 1 8 Zi a � 0. _ ;> ? ! O W.,/G'E QT/FY THAT 7-PE B U/L D/�I,JG N AT.E R - _ . 1V T E ,moo ,v CNG0UhlT6REP --_ � Pr20P0$E D Ca f-! G U O FIS LO-F 1 __. SH(DWAJ ©n./ •ri-!/5 PLAAJ DO6-S vwFo,eM To T�-rE 8v�c.v�w�`sir- S l TE S E Ga/? G E PL,41- 1 J` -- E3AC Ae ,QE Q'U/QEME&ITS OF THE 70LAJ AJ 0)= 3,&,R N s 7-AB I-,E .-FOR : 0 T P - t Pk'_EPAREU FOB. GAL t x{ ID HlN,,;CLE � :.,., �_.. ScAL�. As �orE + Y , �; E : D DATE. XX // a Qp 1323 ^ - Sr G\ a• �% S; •_ S .. � OVAL /4�el o exis-f-ln /eva-f-ion G. S ETBfqGiC DATE 9 `. �3 L D o. o o ro os�c/ e J� vaf nor, �2E Q Ul ME� TS o,A, P,eoilED . �'r-o r'7 con-l-ovrs BOi9,�c'D 'OF HEALTH S 15 1 1 0l e _ , -71 4 MF-1 N ''57A2EE T 1�4 -n ur MASS. YA,21-70U7N 'PO,c2T, MAS s . __. PR0FE55l0rl1RG E,vG/NEE125 t,9,1/p, 5U,2VE`IlS,QS