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0318 TOWER HILL ROAD
o � .� ,� �� �� ; h .. �, � ,. U .. � .. i J. � ... � ,. ., o ..� .. � � Il ,, j� � � `31 'e ,. ,. '. - .� .. � � ., - ., .. .��... _ ._,,._ � - � u �, _ ,�, �� .� � � - � o __ .: - . •- �Im Town of Barnstable Building • BA8H81'ABLE. Post This Card So That it is Visible From the Street-Approved Plans Must be Retained on Job and this Card Must be Kept MAE& Posted Until Final Inspection Has Been Made.039. Permit �t Where a Certificate of Occupancy is Required,such Building shall Not be Occupied until a Final Inspection has been made. Permit No. B-20-762 Applicant Name: JAMES S PEACOCK Approvals Date Issued: 04/01/2020 Current Use: Structure Permit Type: Building-Alteration INTERIOR Work Only- Expiration Date: 10/01/2020 Foundation: Residential Map/Lot 118-042-002 Zoning District: RC Sheathing: Location: 318 TOWER HILL ROAD,OSTERVILLE Contractor Name:,"JAMES S PEACOCK Framing: 1 Owner on Record: OCONNOR, KRISTIN&LAWRENCE Contractor License: CS-094500 2 Address: 318 TOWER HILL ROAD t - Est. Project Cost: $5,000.00 Chimney: OSTERVILLE, MA 02655 $ Permit Fee: $85.00 Description: REFIT 2ND FLOOR BATHROOM ! Insulation: Fee Paid:' $85.00 Project Review Req: NO STRUCTURAL WORK. SAME LAYOUT. Date: r 4/1/2020 Final: G .�''✓ ��ay Plumbing/Gas ilG Rough Plumbing: _...,.....,� ,.�._..,.,,,,� ��Building Official Final Plumbing: This permit shall be deemed abandoned and invalid unless the work authorized by this permit is commenced within six months after'issuance. All work authorized by this permit shall conform to the approved application and the approved construction documents for which this permit has been granted. Rough Gas: All construction,alterations and changes of use of any building and structures shall be in compliance with the local zoning by-laws and codes. This permit shall be displayed in a location clearly visible from access street or road and shall be maintained open for public inspection for the entire duration of the Final Gas: work until the completion of the same. IElectrical The Certificate of Occupancy will not be issued until all applicable signatures by the Building and Fire Officials are provided on this permit. Minimum of Five Call Inspections Required for All Construction Work: Service: 1.Foundation or Footing 2.Sheathing Inspection Rough: 3.All Fireplaces must be inspected at the throat level before firest flue lining is installed 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection Final: 5.Prior to Covering Structural Members(Frame Inspection) Low Voltage Rough: 6.Insulation 7.Final Inspection before Occupancy Low Voltage Final: Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Health Work shall not proceed until the Inspector has approved the various stages of construction. Final: "Persons contracting with unregistered contractors do not have access to the guaranty fund" (as set forth in MGL c.142A). Fire Department Building plans are to be available on site All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT Final: E Town of Barnstable Regulatory Services BUi �4 �T• s ASS. Richard V.Scali,Director 63 s9• �� EaMA'�` Building Division MAR Y 12�20 Tom Perry,Building Commissioner ' 200 Main Street,Hyannis,MA 02601 TOWN OF BARNSTABLE www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A_Builder I KRISTIN O'CONNOR ,as Owner of the subject property herebyauthorize J•SCOTT PEACOCK to act on my behalf, in all matters relative to work authorized by this building permit application'for: 31 8-TOWER HILL ROAD OSTERVILLE,MA 02655 (Address of Job) **Pool fences and alarms are the responsibility of the applicant. Pools are not to be filled or utilized before fence is installed and all final inspections are performed and accepted. �C 6'0�� <1'� (2— Signature of Owner Si tune of Applicant Pig Re-a C Print Name Print Name o Date julid The Com wnwea&h ofMassachusetfs Department oflndrtri WAccidents TOWN OF bARNSTABLE Office of Invadgadons 600 Washington Street Boston,MA 02111 www.mass gavlft Workers' Compensation Insurance Affidavit:Builders/Contractors/Electricians/Plmnbers Avolicant Information r Please Print I,eaiv Name(Business/organizafion/tndividual):J Gi1'Yl ` SCDf+ C' Ciy&KrUy���.Il'? Address: J�6'1 1 -� 1 - C1 11/1 : .r 4--) �iiYl U�U1 i v-)I,, - L� City/State/Zip: MA 0abS Sf Phone APyoamm p an employer?Check the appropriate box: l. a employer with 4. ❑ I am a general contractor and I Type of project(required): employees(fall and/or part-time).* have hired the sub-contractors 6• ❑New construction 2.❑ I a n a sole proprietor or partner- listed on the attached sheet. 7. ❑Remodeling ship and have no-employees These ors have 8. (❑Demolition working for mein any capacity. employees and have workers' [No workers'comp.insmmce camp.msurm=.t 9. ❑Building addition required.] 5. We are a corporation and its 10.[]Electrical repairs'or additions 3.❑ I am a homeowner doing all work officers have exercised their I LO Plumbing repairs or additions myself[No workers'comp. right of exemption per MGL 12. Roof repairs insurance required.]t c.152,§1(4),and we have no employees.[No workers' 13.E]Other comT%.insurance required.] *Any applicant that checks box#I mast also fill But the section below showing their workers'comp=sationLP0liGy information. Homeowners who submit this affidavit indicating they ate doing all work and then hire outside conuactors mast submit a new affidavit indicating such tContracmrs that check this box must attached an additional sheet showing the mama of the sub-coubactors and state whether not those entities have em es.ploye If the sub-contractors have employees.they mast provide their workers'comp.policy number. r I am an employer that is providing workers'compensation insurance for my employees Below is the polir y and job site informadom L r Insurance Company Name: �1 c�7 I L"(1.1�, L(o b) I"� �✓ j(" �7 Policy#or Self-ins.Lic.#: ���1✓n Ct� 1..��`') D Expiration Date.• Job Site Address:_ 3 City/Statazip:Os�e r r If P4�9 Oa 4 S� Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date). Fahlure 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$1,500.00 and/or one-year imprisonment,as well as civil penalties in the foam 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 tue Office of Investigations of the DIA for insurance coverage verification. I do hereby c under the paurs penalties of perimy that the information provided above it true and correct Sim: Date- 31_/10-07 o Phone#: Ojflckt 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 S.Plumbing Inspector 6.Other Contact Person: Phone;#• ACC>RO CERTIFICATE OF LIABILITY INSURANCE DATE(AAIAIDDIYYY1t7 06/27/201 9--- 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 have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy, cat—Lain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorseme s. PRODUCER CONTACT NAME: Germani Insurance Agency PHONE , 508)428-9194 FAX 908 Main Street N,: 508)428-3068 AD RE s: certs germaniinsurance.com INSURERS AFFORDING COVERAGE NAIC p Osterville MA 02655 INSURER A: SAFETY INS CO 39454 INSURED INSURERS: National Liability&Fire Ins Co 19054 Scott Peacock Building&Remodeling,Inc. INSURER C- P.O.Box 171 INSURER D INSURER E: Osterville MA 02655 1 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. ILTRNSR TYPE OF INSURANCE AOD SUBR PIOIJCOY EFF POLICY EXP POLICY NUMBER "phffm LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE S 1,000,000 CLAIMS MADE ®OCCUR DAMAGE TO RENTED PRgMISES Me o=mence S MEO EXP(Any one person) S A BMA0022118 07/05/2019 07/05/2020 PERSONAL&ADV INJURY S GEN'L AGGREGATE LIMIT APPLIES PER JECT GENERAL AGGREGATE S 2,000,000 POLICY PRO- LOC PRODUCTS-kX)MP/OPAGG S OTHER- S AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT S ANY AUTO Ea accident OWNED SCHEDULED BODILY INJURY(Per person) S � HIRED AUTOS REDS ONLY AUTOS U OOflVNED BODILY INJURY(Per accident) S AUTOS ONLY AUTOS ONLY PROPERTY DAMAGE S ..(Per accident S UMBRELLA LIAB OCCUR EACH OCCURRENCE S EXCESS LIAR CLAIMS-MADE AGGREGATE S DEC) RETENTION S WORKERS COMPENSATION SPER OTH AND EMPLOYERS'LIABILITY STATUTE ER ANY PROPRIETORIPARTNERIEXECUTIVE Y/N B OFFICERIMEMBER EXCLUDED? EL EACH ACCIDENT S 500,000 ❑ NIA V9WC07g467 0612?J2019 O6/22I2020 IF(Mandatory NH) EL DISEASE-EA EMPLOY S 500,000 escribb e under DESC,desRIPTION OF OPERATIONS below EL DISEASE-POLICY LIMIT S 500,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101,Additional Remarks Schedule,maybe attached N more Space is required) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Scott Peacock Building&Remodeling,Inc. ACCORDANCE WITH THE POLICY PROVISIONS. P.O.BOX 171 AUTHORIZED REPRESENTATIVE I Osterville MA 02655 aX:508-428-7625 Emallscott—peacock@verizon.net 01988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD Commonwealth of Massachusetts Division of Professional Licensur_ Board of Building Regulations and Standards Construct i '11-J apaTVIS07 CS-094500 _ Ekpires:oTIVJ2020 BUILDING D E PT. JAMES S PEACO@tC _ _ MAR 12 2020 P.O.BOX 17? 1046 MAIN Slf UMT 7 : - - :, TOWN OF BARNSTABLE Commissioner C4 a-, m I • J�e�r.�x:����iirrii//!�it�^•j�tri:ur•�n,•r/G Office of Consumer Affairs&Business Regulation HOME IMPROVEMENT CONTRACTOR TYPE:Coroorallon RegistrAgn Expiration 151881 07/06/2020 SCOTT PEACOCK BUILDING&REMODELING ING JAMES S.PEACOCK 1046 MAIN STREET SUITE 7:- (� OSTERVILLE,MA 02655 Undersecretary o ' Co fu �COCLptl� DUILDING DE T o- ~per Application Number.... .....Z.........�Z ........................... ~ >�. MAR 18 2020 1HA88 g Permit Fee...............�. .................Other Fee:....................... 0,59. TOWN OF BARNST BLE TotalFee Paid............................................................... ...... TOWN OF BARNSTABLE Permit Approval by....... . .......................On...9J.) �......... BUILDING PERMIT f ({�z ' !\C Map....:�. ... .........!...............parcel..� .................... ....... APPLICATION 50- Section 1 — Owner's Information and Project Location - Project Address 2-� To(, of l6 I Village 05fy-Ir if i l Owners Name_ f N. S-h Y G 1 Cl)y) V)or SCANNED Owners Legal Address APR 0 3 1010 City C w-kJ State Zip Ga f-a Owners Cell# �"'� 3" J 3� ' S aU g E-mail I Y)�e e-•C-0 YV� Section 2 —Use of Structure Use Group ❑ Commercial Structure over 35,000 cubic feet ❑ Commercial Structure under 35,000 cubic feet ❑ Single/Two Family Dwelling Section 3 — Type of Permit ❑ New Construction ❑ Move/Relocate ❑ Accessory Structure ❑ Change of use ❑ Demo/(entire structure) ❑ Finish Basement ❑ Family/Amnesty ❑ Fire Alarm Rebuild ❑ Deck Apartment ❑ Sprinkler System ❑ Addition ❑ Retaining wall ❑ . Solar Renovation ❑ Pool ❑ Insulation Other—Specify Section 4 - Work Description S Last undated: 11/15/201 R Application Number..`..'............................................... Section 5—Detail Cost of Proposed.Construction 06fl Square Footage of Project Age of Structure Dig Safe Number # Of Bedrooms Existing Total#Of Bedrooms (proposed) 110 MPH Wind Zone Compliance Method ❑ MA Checklist ❑ WFCM Checklist ❑ Design Section 6—Project Specifics ❑ Wiring ❑ Oil Tank Storage ❑ Smoke Detectors ❑ Plumbing ❑ Gas ❑ Fire Suppression ; (' az ❑ Heating System ❑ Masonry Chimney' V ❑Add/relocate bedroom Water Supply ❑ Public ❑ Private Sewage Disposal ❑ Municipal ❑ On Site Historic District ❑ . Hyannis Historic District ❑ Old Kings Highway Debris Disposal Facility: I am using a crane ❑ Yes ❑ No Section 7—Flood Zone Flood Zone Designation Within or adjacent to a wetland, coastal bank? Yes ❑ No ❑ Section 8—Zoning Information Zoning District Proposed Use Lot Area Sq. Ft. Total Frontage Percentage of Lot Coverage # of Dwelling Units (on site) Setbacks Front Yard Required Proposed Rear Yard Required Proposed Side Yard Required Proposed Has this property had relief from the Zoning Board in the past? ❑ Yes ❑ No Last updated: 11/15/2018 Application Number............................................ Section 9= Construction Supervisor Name J ► SQ-64-1' Telephone Number °J Dg - 4'a0" '7 4206 Address P� • BOX I CityQS�Y-Vi 1 lam, State M Zip License Number C)q L S0O License Type U Expiration Date Iaa� i aD�.O Contractors Email S GD f'}_ OEtC DCMV QJ 1-WY)►V) ?�Cell # 5��- q--13 �. I understand my responsibilities under the rules and regulations for Licensed Construction Supervisor in accordance with 780 CMR the Massachusetts State Building Code. I understand the construction inspection procedures,specific inspections and documentation required by 780 CMR and the Town of Barnstable.Attach a copy of your license. Signature Date Section 10-Home Improvement Contractor Name SG rn-& / ova Telephone Number Address City State Zip Registration Number �57 1 `7 Expiration Date ` Gi 1020 o2Q I understand my responsibilities under the rules and regulations for Home Improvement Contractors in accordance with 780 CMR the Massachusetts State Building Code. I understand the construction inspection procedures,specific inspections and documentation required by 780 CMR and the Town of Barnstable.Attach a copy of your H.I.C... Signature Date --Section 11 —Home Owners Lic nse Exemption Home Owners Name: Telephone Number C 4r-Work Number l I I understand my responsibilities under the rules and r ations for Lic�,ed Construction Supervisor in accordance with 780 CMR the Massachusetts State Building Code. I erstand the construection procedures,specific inspections and documentation required by 780 CMR and the T wn of Barnstable. C - Signature Date APPLI000C SIGNATURE Signature C c -�;�✓J« - L Date Print Name �,L Telephone- her- 5 )9- L)a E-mail permit to: S�}' e C�c( I ZQV I► - --:�_`- Last undated: 11/I V201 R Section 12 —Department Sign-Offs Health Department ❑ Zoning Board(if required) ❑ Historic District ❑ Site Plan Review(if required) ❑ Fire Department ❑ : ° Conservation ❑ For commercial work,please take your plans directly to the fire department for approval Section 13 — Owner's Authorization i I, , as Owner of the subject property hereby authorize to act on my behalf, in all matters relative to work authorized by this building permit application for: (Address of job) Signature of Owner date Print Name Last updated: 11/15/2018 _ . . n of B ble�, Bu 1 g Tow arnsta 1639. .., '....�...`...' .7w n Post This Card'So That tt is;Visible From the Street Approved Plans Must be Retained on Job and this Card Musf be Kept eeitrtsr U = :: M" Posted Until final lnspection Ha's Been Made �^� ��G i Where a"Certificate of Ocwpancy.is Required,such,Buildmg shall Not be Occupied until a Final�ion has been made Permit No. B-18-1549 Applicant Name: CAPE COD INSULATION, INC Approvals Date Issued: 06/07/2018 Current Use: Structure Permit Type: Building-Insulation-Residential Expiration Date: 12/07/2018 Foundation: Location: 318 TOWER HILL ROAD,OSTERVILLE Map/Lot: 118-042 002 Zoning District: RC Sheathing: Owner on Record: WILDMAN,ANNE D&CHARLES LTRS Contractor N me'CAPE COD INSULATION, INC Framing: 1 Address: 318 TOWER HILL ROAD „ Contractor License: 153567 2 OSTERVILLE, MA 02655 Est. Project Cost: $3,000.00 Chimney: Description: Weatherization Permit Fee: $85.00 Insulation: Project Review Req: �. Fee Paid $85.00 Final: - .— Date: 6/7/2018 Plumbing/Gas b, Rough Plumbing: Building Official r �.. Final Plumbing: This permit shall be deemed abandoned and invalid unless the work authorized by this permit is commenced within six months after issuance. Rough Gas: All work authorized by this permit shall conform to the approved application and the!approved construction documents for which this permit has been granted. All construction,alterations and changes of use of any building and structures shall be in compliance with the local zoning by-laws and codes. Final Gas: This permit shall be displayed in a location clearly visible from access street or road and shall be maintained open for public inspection for the entire duration of the work until the completion of the same. Electrical The Certificate of Occupancy will not be issued until all applicable signatures by the Building and Fire Officials are provided on this permit. Service: Minimum of Five Call Inspections Required for All Construction Work: Rough: 1.Foundation or Footing 2.Sheathing Inspection Final: 3.All Fireplaces must be inspected at the throat level before firest flue lining is installed 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection Low Voltage Rough: 5.Prior to Covering Structural Members(Frame Inspection) 6.Insulation Low Voltage Final: 7.Final Inspection before Occupancy Health i Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. I Work shall not proceed until the Inspector has approved the various stages of construction. Final: "Persons tr g With unregistered contractors do not have access to the guaranty fund" (as set forth in MGL c.142A). Fire Department � Building plans are to be available on site Final: All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel Application I V 7 I 5 Health Division Date Issued " Conservation Division Application Fee Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board MAY.17 2018 Historic - OKH Preservation/ Hyannis "-OVVN O,-BA 1V,9T48L! Project Street Address JZZ Z2 k.) 4& zLIZ Village D 6 '�s2 �i Ile Owner G//a/_-"e la) )y Address Telephone 27 Y 4-0 E O 9 Permit Request ���A// v �/���>2 %2 �D G' '4 S Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain .Groundwater Overlay Project Valuation , o,e_, ram, UConstruction Type Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family 9--' Two Family ❑ Multi-Family(# units) Age of Existing Structure Historic House: ❑Yes J2 No On Old King's Highway: ❑Yes qMo 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 ❑ No Detached garage: ❑ existing ❑ new size_Pool: ❑existing ❑ new size _ Barn: ❑ 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� ��' d /^.c�5�/ ii o�G Telephone Number d-1 9 7 Z-5 /L f Address License# /G D Home Improvement Contractor# Email /k Worker's Compensation # �f� C"G�� �L7/ �1'6 � ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE 444Z DATE / -7 FOR OFFICIAL USE ONLY APPLICATION # i DATE ISSUED MAP/PARCEL NO. . ADDRESS VILLAGE OWNER IF DATE OF INSPECTION: FOUNDATION . FRAME INSULATION { FIREPLACE ELECTRICAL: ROUGH FINAL 'f PLUMBING: ROUGH FINAL GAS: ROUGH FINAL r FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. The Commonwealth of Massachusetts Department of XndustrlalAccldents I Congress Street, Suite 100 Boston, MA 02114-2017 k9i www,mass,gov/dia Workers' Compensation Insurance Aflldavltt Builders/Contractors/Electriclans/Plumbers, TO BE FILED WITH THE PERMITTING AUTHORITY. Avvilcant Informadon �;; Please Print Leeibiv Name (Busmess/OrganizadorAndivldual); Cape Cod Insulation Address: 18 Reardon Circle City/State/Zip; South Yermouth,MA 02664 Phone#; 508-775-1214 Are you an employer?Cbeek the appropriate boxi Type of project(required): l Q l am a employer with 48 employees(full and/or part-time),' 7, ❑New construction 2,7 1 am a sole proprietor or partnership and have no employees working for me In $, Remodeling any capacity,(No workers'comp,insurance required,) 3,❑1 am a homeowner doing all work myself,-(No workers'oomp.Insurance required,)t 9, ❑ Demolition 4,❑I em a homeowner and will be hiring contmotors to conduct all work on my property, 1 will 10 ❑ Building addition ensure that all eontmetors either have workers'compensation insurance or are solo ,❑ Electrical repairs or additions proprietors with no employees, 11 ❑ S,❑1 am a general contractor and I have hired the sub•oontractora listed on the attached shoot, 12, Plumbing repairs or additions 'mesa sub-oontraotors have employees and have workers'comp,insuranee,t 13,I❑�-�,,Roof repairs 6,(]we are a corporation and its offloers have exercised their right of exemption per MOL o, 14,l_il Other Weatherization 152,11(4),and we have no employees,(No workers'oomp,insuranoe required,) Any applicant that checks box#1 must also fill out the section below showing their workers'compensation polioy Information, t Homeowners who eubmlt N87ndavlt Indicating they ere doing all work and then hire outside contractors must submit a new affidavit Indicating such, tContraotors that oheok Us box must attached an additional sheet showing the name bf the sub•oontraetols and state whether or not those entitles have employees, if the sub-eontraoto ri hava employees,they must provide their workers'oomp,polloy number, I am an employer that is providing workers'compensatlon Insurance far my employees. Below is the policy and Job site ' I�/ormation. lnsuranoe Company Name:' Atlantic Charter Polloy#or Self-ins,Llo,#: WCE00431902 _• Expiration Date 06/30/2018 _ Job Site Address;_�f o ;/.1//9") D s�e,2✓_.// City/State/Zip: O Z Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date), Failure to secure coverage as required under MOL o, 152, §25A Is a criminal violation punishable by a fine up to$1,500.00 a11d/or one-year Imprisonment, as well as alvll penalties In the form of a STOP WORK ORDBR and a fine of up to$250.00 a day against the violator, A oopy of this statement may be forwarded to the Offloe of Investigations of the DIA for Insurance coverage verifloatlon, 1 do hereby car under tl pains and penalties of perjury that the tV'ormation provided above is true and correct ry $3 r-fti7i� 'wvw.w..wvwwww�w�w.rw,•� O Phone#: 50 5-121 Offlcial use only, Do not write In this area, to be completed by city or town ojyictal, City or Townt Permit/License# Issuing Authority(circle one)i 1.Board of Health 2, Building Department 3, Cltyrrown Clerk 4, Electrical Inspector Plumbing Inspector 6,Other Contact Persont Phone#t ' i • C���e �p�wn ' . Office of Consumer Affairs and Business Regulation 10 Park Plaza - Suite 5170 Boston, Ma: . �i setts 02116 t Home Im rovems a ractor Registration _ - - Corporatlon Cape Cod insulation - % Regl fratb 153567 Inc ti �u iratlon 12/14/ 18 Reardon Circle y a• �~ Exp 2018 So, Yarmouth, MA 02664 _ tl '$CA t 0 MOM Update Address and return card, Mark reason for change. CO tiacancusa Cl ���aao%cr4etA. OHloo of ConaumerAffelre&Business Regulation HOME IMPROVEMENT CONTRACTOR Registration valid for Individual use only e{ corporation before the expiration date, If foun urn to; ` f -9.g ,ration Exairetlon Office of Consumer Affairs and al 10 Park Plaza• e 8170 ae Regulation 12/14/2018 Boston,MA 11 ,t Cape Cod Inau,`4'`F Henry Cassidy ' 18 Reardon Ciro So,Yarmouth,M `.. y C� Undersecretary t ai hout sl at Commonwealth of Massachusetts 171 Division of Professlon`al Licensure ;Board of Bullding Reqqulatlons and Standards • Cons�,��t1t�,r��•(���rvlsor .: ., CS-100988 fires: 11/11/201.9 - HENRY E CA� ID`(' / O Yf 8 SHED ROW �i' WEST YARMO�J,TJit, ON\ • ` commissioner ' �1 CAPECOD-27 KDOY11E CERTIFICATE OF LIABILITY INSURANCE FDATE 04/03/2018Y) 04/03/2018 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 Ileu of such endorsements. PRODUCER C CT Rogers&Gray Insurance Agency,Inc. PHONE 434 Rte 134 Alc No Exc: ac No:(877 816-2156 South Dennis,MA 02660 .mall@rogersgray.com INSURERS AFFORDING COVERAGE NAIC p INSURER A:Peerless Insurance Company 24198 INSURED INSURER B:Safely Inderrinily Insurance Company 33618 Cape Cod Insulation,Inc. INSURER C:Endurance American Specialty Insurance Company 41718 18 Reardon Circle South Yarmouth,MA 02664 INSURER D:Atlantic Charter Insurance Company 44326 . 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 EFF POLICY EXP POLICY NUMBER LIMITS A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE 1,000,000 CLAIMS-MADE a OCCUR BKW63328281 04/01/2018 04/01/2019 DAMPaEMAGE TO RENTED 100,000 ISE MED EXP(Any one arson 5,000 PERSONAL&ADV INJURY 11000,000 EN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE 2,000,000 X POLICY f LOC PRODUCTS-COMP/OP AGG 21000,000 OTHER: B AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT 1 000 000 (Ea accident,ANY AUTO 6232707 04/01/2018 04/01/2019 BODILY INJURY Per erson $ OWNED ONLY X SCHEDUyLLEEDp X AUTOS ONLY X AUTOS ONLY BODILY INJURY Per accident 1,000,000 �tOaccl a AMAGE AUTOS er acciCdent C UMBRELLA LIAR X OCCUR EACH OCCURRENCE 2,000,000 X EXCESS LIAB CLAIMS-MADE R/O EXC10006635002 04/01/2018 04/01/2019 AGGREGATE DEC) RETENTION$ Aggregate 2,000,000 D WORKERS COMPENSATION PER TORT ANY EMPLOYERS'LIABILITY X ANY PROPRIETOR/PARTNER/EXECUTIVE YIN WCE00431903 06/30/2017 06/30/2018 1,0000 FICER/MEMg��EXCLUDED? ]N NIA E.L.EACH ACCIDENT 00 andatory In NH) If yes,describe under E.L.DISEASE-EA EMPLOYE 1,000,000 1,000,000 DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101rAdditional Remarks Schedule,maybe 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 CANCELLATI N SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE 14 ACORD 25(2016/03) 01988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD of �l+e Tp Town of Barnstable co , y� Regulatory Services BARNSTABU, : Richard V. Scali,Director MASS. 9�p 1639. Building Division �rFp MA oil Paul Roma Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-8624038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section I, CHARLES L WILDMAN , as Owner of the subject property hereby authorize 'od �' r)-5'u14i 0 n to act on my behalf, in all matters relative to work authorized by this building permit application for: 318 Tower Hill Road Osterville, MA 02655 (Address of Job) )- Signature of Owner Date Print Name c If Property Owner is applying for permit,please complete the Homeowners License Exemption Form. C:\Users\decollik\AppData\Local\Microsoft\Windows\INetCache\Content.Outlook\L7U69LF2\EXPRESS(2).doc 01/25/17 TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parce Application # Health Division Date Issued Z Z Conservation Division Application Fee Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board ��-- Historic - OKH _ Preservation / Hyannis Project Street Address % ` I'n eveja /l oicc Village A/yAlm t��it�//� Owner' GICk &&Cfn Address Telephone Permit Request cline let! c F &a / clncAl jQu% > h Aeec.zs J n QIn Paid �3 6 � Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay i Project Valuation 301 OCO.cl&Construction Type Lot Size . ©r74L aq—, Fr' Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family (# units) Age of Existing Structure Historic House: ❑Yes l'No On Old King's Highway: ❑Yes 3'No 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 ❑ No Detached garage: ❑ existing ❑ new size_Pool: ❑ existing ❑ new size _ Barn: LRAisting &new ize_ Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: '(r A Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ ZLE Commercial ❑Yes ❑ No If yes, site plan review# co Current Use Proposed Use APPLICANT INFORMATION / (BUILDER OR HOMEOWNER) —Name _�40 y l'til�LS Telephone Number _'fibs Address U 7 C a d&=_q Y LA'S License # O YAL2_,44,4J-r'4. A A 4- • Home Improvement Contractor# � C��'l 7 I Worker's Comper4,-�ation # 50091 701 ZO1 Z ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJEC.�WILL BET: ,EN TO .S ci_) $ .e o SIGNATURE DATE i FOR OFFICIAL USE ONLY APPLICATION# �- r DATE ISSUED MAP/PARCEL NO. ' ADDRESS VILLAGE OWNER'.'- r _ s DATE OF INSPECTION: y . FOUNDATION FRAME r INSULATION FIREPLACE ` ELECTRICAL: ROUGH ' FINAL <• t S J PLUMBING: ROUGH FINAL- GAS: ROUGH FINAL f FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. .f b' �r 'z �4r TO wu- 0f B arn-E le . Regulatory Services " r x, l F Th❑mas F. OmIer,Director i Building Division ' tic�k • • - ' Tharnas Perrpf fi.B0,Bm7ding Cor ozier ` ?-do Main MA 02601' PPs�w.fDwn barnsta6le-m2-us O�iccc 5D8-862-4038 508-790-6Z3D' C � .l --D '-I h" map/Parui: Project Address11--Builder- `+'( 6¢�-�-5• The f6lhw?ig dams were noted on x-evzeewmg: CG S' 647s M U S 7 c pL y w Ac ReYiew-ed by: f� DepartmentoflndustriaiAccidents Office of Investigations 600 Washington Street Boston,MA 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant haformation -Please Print Legibly Name(Busines1/0rgMd2, ion/Individ4:- Address: �7 .Q�e/Q.2(Ly LAAAM City/State%Zip: S ,it44A z&4 Phone.#:��jpg-7_ 3gq/_Zp� Are ou an employer? Check the appropriate box: -Type of project'(required):, 1. am a employer with f 4- .❑ I am a general contractor and I have hired the sub-contractors 6. ❑New construction.. .. employees (full and/or part time).�* '- 2.❑ I am a sole proprietor or partner- listed ou 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. Buil ' addition [No workers' comp.me„rance. comp.insurance•# ' ❑ required] 5. ❑ We are a corporation and its 10-0 Electrical repairs or additions 3.❑ I am a homeowner doing4'.work officers have exercised their 11. Plumb'❑ mg repairs or additions myself [No workers' comp. right of exemption per MGL . 12.❑Roof repairs insurance required.]t 152, §1(4),and we have no employees. [No workers 13. comp.insurance required.] *Any applicant that checks box#1 must also fill out the section below.showmg their workers'compensation policy information. t Homeowners who submit this affidavit indicating they ace doing all work and then him outside contractors must submit a new affidavit indicating such. $Contractors That check this box must attached an additional sheet showing the name of the sub-contractois and state whether or not those entities have employees. If The sub=contcactors have employees,They must providt their workers'corn l.policy number. 'I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and jab site information. Insurance Company Name: S Policy#or Self-ins.Lic.# > Sg 7O( l !Z Expiration Date: Job Site Address:3 to l City/State/Zip: L 5 Attach a copy of the workers' compensation policy declaration page'(sho7ing the policy number and expiration 11.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$1,500.00 and/or one-year imprisonment, as-well as civil penalties in ihIe 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 bIA for insurance coverage verification. I do-hereby ce der the pains-and penalties of perjury that the information provided abo a is true if correct Si afar . Date: - Phone �7iq 4� /7-6 Offccia!use only. Do not write in this area, to be completed by city or town offuial City or T.own: Permit/License# Issuing Authority(circle one): A' Board of Health 2,Building Department 3. City/Tow 'Clerk 4.Electrical Inspector 5:Plumbing Inspector 6. Other Contact Person: Phone#: . 1 ~ . OOHE ti Town of Barnstable 1 Regulatory Services y� $ Thomas F.Geiler,Director s63g. �m Building.Division Tom Perry,Building.Commissioner 200.Main Street,Hyannis,MA 02601 www.town.barnsta ble.ma.u.s Office: 508-862-4038 Fax: .508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder I, Z9 Q/7&L I4I IrIh7G h as Ownert of the subject property hereby authorize �2�y l,c%4L�S to act on my behalf, in all matters relative to work authorized by this building permit (Address of job) Pool fences and alarms are the responsibility of the applicant. Pools are not to be filled or utilized before fence is installed and all final inspections are performed and accepted. 110 Signature of Owner' �aX4icant Wt A Print Name Print Name Zz A? /o Date Q:F0RMS:0WNERPEPMISSI0NP00LS 62012 Town of Barnstable - ' Regulatory Services BAiNsriBm Thomas F.Geiler,Director . NAM 019• ,�� Building Division. . Tom Perry,Building Commissioner 200 Main Streef,.Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-79.6-6230 HOMEOWNER LICENSE EXEMPTION Please Print DATE: JOB LOCATION: number street village "HOMEOWNER": name home phone# work phone# CURRENT MAII.WG ADDRESS: city/town state zip code The current exemption for"homeowners"was extended to include owner-occupied dwellings of six units or less and to allow homeowners to engage an individual for hire who does not possess a license,provided that the owner acts as supervisor. DEFINITION OF HOMEOWNER Person(s)who owns a parcel of land on which he/she resides or intends to reside,on which there is, or is intended to be, a one or two-family dwelling, attached or detached structures accessory to such use and/or farm structures. A person who constructs more than one home in a two-year period shall not be considered a homeowner. Such "homeowner"shall submit to the Building Official on a form acceptable to the Building Official,that he/she shall be responsible for all such work performed under the building permit (Section 109.1.1) The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other applicable codes,bylaws,Hiles and regulations. The undersigned"homeowner"certifies that he/she understands the Town of Barnstable Building Department minimum inspection procedures and requirements and that he/she will comply with said procedures and requirements. Signature of Homeowner - Approval of Building Official . Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to-comply with the State Building Code Section 127.0 Construction Control. HOMEOWNER'S EXEMPTION The Code states that "Any homeowner performing work for which a building permit is required shall be exempt from the-provisions of this'section(Section 109.1.1-Licensing of construction Supervisors);provided that if the homeowner engages a persons)for hire to dd.such work,that such Homeowner shall act as supervisor. Many homeowners who use this exemption are unaware that they are assuming the responsibilities of a supervisor(see Appendix Q, Rules&Regulations for Licensing Construction Supervisors,Section 2,15) This lack of awareness often results in serious problems,particularly when the homeowner hires unlicensed persons. In this case,our Board cannot proceed against the unlicensed person as it would with a licensed Supervisor. The homeowner acting as Supervisor is ultimately responsible. ' To ensure that the homeowner is fully aware of his/her responsibilities,many communities require,as part of the permit application, that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the last page of this issue is a form currently used by several towns. You may care t amend and adopt such a form/certification for use in your community. Q:forms:homeexempt I Office of Consumer Affairs and Business Regulation 10 Park Plaza- Suite 5170 Boston, Massachusetts 02116 Home Improvement Contractor Registration Registration: 105179 Type: DBA Expiration: 7116/2014 Tr# 226538 WALLS CONSTRUCTION & REMODELING Troy Walls. 87 CRANBERRY LANE SOUTH YARMOUTH, MA 02664 Update Address and return card.Mark reason for change. Address Renewal [] Employment Lost Card SCA 1 0 20M-05/11 V/ee t(�a�cr�cza�ecueull�o�C�/�aaaccc�u�eLld Ofrice of Consumer Affairs&Business Regulation License or registration valid for individul use only Vxeogmi E IMPROVEMENT CONTRACTOR before the expiration date. If found return to: stration: 105179 Type: Office of Consumer Affairs and Business Regulation piration: 7/16/2014 DBA 10-Park Plaza--Suite-5-170- Boston,MA 02116 WALLS CONSTRUCTION&REMODELING Troy Walls ' 87CRANBERRY LANEQ� -� SOUTH YARMOUTH,MA 02664 Undersecretary I of vali out signs Massachusetts- Department of Public SafetN Board of Building Regulations and Standards Construction Supervisor License License: CS 44847 TROY A WALLS 37 CRANBERRY LN 3 YARMOUTH,,.:MA 02664 Expiration: 7/5/2013 Commissioner Tr#: 18847 J Client#- 40463 2WALLSCO VA It(MM/UU/YYYY) ACORD, CERTIFICATE OF LIABILITY INSURANCE 11/27/2012 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). PRODUCtH NIA I NAML: Dowling&O'Neil PHONE 508 775-1620 PAX 5087781218 VC No Ewl: AIC Nu Insurance Agency L-MAIL ADDRESS: 973 lyannough Rd., PO Box 1990 INSURER(S►AFFORDING COVERAGE NAIC8 Hyannis, MA 02601 INSUKIKA:National Grange Mutual Insuranc INSURLU INSURER0:Associated Employers Insurance Walls Construction& Remodeling, Inc. INSUKEN C: 87 Cranberry Lane INSURERD: South Yarmouth, MA 02664-1007 INSUKtH l= 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 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 r,AID CLAIMS. INSR IYPt OF INSUKANCt ADD UB POLICY EFF POLICY EXP uMI IS LTR INSK wvu POLICY NUMtltK MM/DDIYY MMIDD/YY A GENERALLIABILITY MPK1492X 9/14/2012 09/14/2013 EACHoCCURRENCE $1000000 X C'OMMPKCIAI CiPNPKAI I IAHII IIv PREMISES(En wuenw $500 000 CLAIMS-MADE a OCCUR MED EXP(Any une ve'sun) $10 000 Pf Ki()NAI A AI/V INAIKY $1,000,000 GENERALAGGREGATE s2,000,000 G+N'I AGGHI-GAI P I IMI I APPI IFS PPK: PKOI111C IR-CiOMP/OP AGG $2,000,000 PKO- POLICY I I I LOC $ AU IOMOBILL LIAt)dll Y COM HINHI SINGI f I IMII (Ee ewOw11) $ ANY AUTO BODILY INJURY(Pei veisuo $ ALL OWNED SCHEDULED HOI)11 Y IN.II IKY(Par arntlrnl) $ A I C)I I ; Al I 1 OS NC)N.C)WNH) PH OPP I(I Y I)AMAC*- $ HIKPU All I OR AUTOS, r D,.11.l $ UMBRELLA LIAB OCCIIK PACH OCCIIKKPN(:P $ bxCtSS uAtl CLAIMS-MADE AGGREGATE $ 10-1) 1 1 KP IPN I ION$ $ B WORKERS COMPENSA I ION WCCS009587012012 11/05/2012 11/05/201 X W^'til All'-o H OI . AND EMPLOYERS' AB RRY LI YIN ANY PETOTUPARTNEIUEXECUTNE P,I.PAC:H AC:l:II1PN1 $500 D00 C1PFI(:FKM-K/Ml-II-MHPH PXC:I IIIIPU? I N I N I A (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE $500 000 If yes,IJes+:'dle ulllle' ' DESCRIPTION OF OPERATIONS belun P.I.I11iPAiP-PCII I(':Y I IMI I $500,000 �s ry U6SCHIP IION OP OPILKA IIONS/LOCA IIONS/VEHICLES(Attach ACOHU 401,Additional Hamarks Schadula,If mora zpaca Iz raqulrad) RE. Wildman- Poo) permit V 'n 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 � TOovn 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 AUTHORED REPRESENTATIVE xm n 1988-2010 ACORD CORPORATION,All rights reserved. ACOIfD 25(2010/05) 1 Of'1 The ACORD name and Io9Q_are registered marks of ACORD #S 10.3565/M 103564 LS 1 DRAWING �D WIT L 9:�Rk Qt>� INK q r s Hr Al D P. SCHLACHTER PHOTO IE URE/SE MA PROF. ENGINEER No, 42832 U ACCE E 4283Z 37 FIELDSTONE DRIVE,SOMERVILLE,NJ 08876 908-231-1725 voice 908-231-0451fax �O j 36' 30. 6. A-FRAME DETAIL DECK SUPPORT DETAIL SHORT BRACE 4' 10• A-FR BRACE 16' 6'(INCH) 8• PAWL / PANEL (4) LACTYP ' (1) PLACES 6 4• LO6Bt%CE STAKE ! HORIZONTAL BRACE MANDATORY ROPE AND FLOAT 12 NOTE: INCHES FROM SLOPE CHANGE 1) DEPTH AND SHAPE OF POOL MEETS MINIMUM STANDARDS OF MA CODE 780 CMR 120.M103.1. 2) A MEANS OF EGRESS FOR BOTH THE DEEP END AND THE SHALLOW END OF THE POOL MUST BE PROVIDED AS REQUIRED BY ANSI/APSP-5 SECTION-6. FINISHED —r PANEL 3)ELECTRICAL REQUIREMENTS BONDING/GROUNDING MUST BE ._ DEPTH 3 4 3'�6�HEICiHT PROVIDED IN ACCORDANCE WITH MA CODE 780 CMR 9101.1 FINISHED 8.DEPTH AND 527 CMR 12.00. \ 4) ALL A-FRAME BRACES WILL BE MOUNDED WITH A MINIMUM OF (1) CUBIC FOOT OF CONCRETE, OR A 6' 2 INCHES SAND POURED CONTINUOUS CONCRETE PERIMETER COLLAR. OR VERMICULITE 5) 'NO DIVING' LABELS TO BE INSTALLED AROUND PERIMETER 4• 6• 14• 12' OF THE POOL. 6) ENTRAPMENT PROTECTION MUST BE PROVIDED IN ACCORDANCE WITH MA CODE 780 CMR 120.M106. INTERNATIONAL SWIMMING POOLS NOTES SWIMMING POOLS ARE DANGEROUS WHEN USED IMPROPERLY. POOL PERIMETER: 104• I N T E R P❑❑ L ^ NEVER DIVE IN THE SHALLOW END Or ANY POOL. CW BOAR SULI WITH THE DIVING D AND SLIDE POOL AREA: 576 S Ft MANUFACTURER(S) AND THE ASSOCIATION OF POOL AND SPA PRD<ESSIONALS (Bill EISENHOWER AVENUE q ALEXANDRIA. VA 22214 (703-938-DOW)PR1OR TO INSTALLING DIVING BOARDS AND/M SLIDES ON VOLUME: 24,400 APPROX. GAL. THIS POOL TO ENSURE THE POOL MEETS THE EQUIPMENT MANUFACTURERS MINIMA STANDARDS FOR 16' /� 36' RECTANGLE ALLOWABLE INSTALLATION OF THEIR PRODUCTS) ON THIS POOL. INTERNATIONAL SWIMMING POOLS IS NOT RE93ENSI8LE FOR THE POOL'S INTERIOR DETAIL. RATHER THE LINER MANUFACTURER MUST ENSURE TOOWN1DfPRC1OOALSEAND POOLSOWNERSDTO FOLLOW AALLL SAAFFEETT.Y GUIDELINESROF OIN.S..P.1.. LLOCALB'tLDERs DATE: 11/13/12 SCALE: NONE ORDINANCES. AND EQUIPMENT MANUFACTURERS. DRAWN BY: P.T. ACADREF:SHSR1636D M ®Parva r Tit�eR, /�ir.o I �� c o THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ............ OF.............................................. .. ............ ............................... .._...— Applutttion for Dispaiial Works Tonstrurtion Permit Application is hereby made for a Permit to Construct ()!) or Repair ( ) an Individual Sewage Disposal System at: / -..— ja ti Addrns ------ ^Addr ................_---- _ Owna �i7.�/ �A/1�1 :.............. '/c --__ _....._..._.. -- r.._...- •--•-----•------•-----••---------------------- SizeW .........' _ .. Addrns aInstaller • Lot..................._H_...Sq. feet d' Type of Building Garbage Grinder (�✓(a U Dwelling—No. of Bedrooms.__---`9..................."---------.Expansion Attic (aO Cafeteria ( ) a Other—Type of Building ----------------------"---- No. of persons_------------------------ Showers ( ) — � Other fixtures .....-.._..._...-•----.._..--••----••............._.. -3�.Q..---•-_.._.•--gallons. Design Flow"-------------------5�...._......_._gallons per person er day. Total daily flow-----.---------- -v . �d00 loos Len �° ' .._.. W Width.f/../@__...Diameter.- iy6-----s -- W Septic Tank—Liquid'capacity•_---•--"gal gth_ ._".�Q.__. Total leaching area.-•---•---•-•. q• x Disposal Trench—No.till...__••---.Width..--•---•.--•---.._ Total Length rJ �.---•-- Depth below Inlet....6__..._..---Total leaching area--".N,('�_...sq.ft. 7� Seepage Pit No....190.-0.:""-- Diameter......--"- - Other Distribution box (X) Dosing tank ( ) z . _. Date........................................ `" Percolation Test Results Performed by.......-"_---•---•--.. r'" nd water...& ,� a Test Pit No. L..._.�.-..minutes per inch Depth of Test Pit...... �_-.------ Depth to grou ...........4TE Test Pit No. 2................minutes per inch Depth of Test piL ...... Depth to ground water...................._....... a w :.._. .. ---------------- -............ ------------_.......-.............. O Description of Soil---------- 1112! J� ......-._..._...."--••--••-----•-----•• - ........... x - .--- x Nature of Repairs or Alterations—Answer when applicable-•-------------------••----------------..........•---•---•--•--......_..__......_..._..__..... A U __......... Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITLE 5 of the State Sanitary Co The undersigned further agrees not to place the system in operation until a Certificate of Compliance has been ss d by the board th. . Signed... - - -•--• D .--------•- �-. - -------•---•- . ....7 2 t,k. ,.._..__ Application Approved By--------- Application Disapproved for the following reasons:_....... ....................................................M..... _ ---- .......................................................................... D - -- I' — Issued.—_--------------------__.._-----__----_ Permit No.--•----...----••-----••----•- __..._..._.._...— Date J -- I' THE COMMONWEALTH OF'MASSACH'USETTS if BOARD OF HEALTH i� .' OF..................................................................................... (Irrtifiratr of f11implianrr ( THIS IS T CE TIFY, That the Individual Sewage Disposal System constructed ( I') or Repaired ( ) _r .-.............- —._..........._..-•----.................•--.....----- __...._ - -._... _---- - by-_—_---- Ins all lL ______________""--_"--_..._...___..__..__..__.."__.___..._---_"_-.__-__ at - ...--ord has been instilled in accordance with the provisions of TIC Z _5S3 he State Sanitary Code as described In the application for Disposal Works Construction Permit No.--"- --.--- - -. THE ISSIJ NCE OF THIS CERTIFICATE SHALL NOT BE CONST E AS`1�GIlARANTEE THAT THE SYSTEPA WIL FU CTIONN SATISFACTORY. _ --"---••--••--•............."---- ................... DATE.....aj .1... _X_.__..._..- -_----"----__-.--__----•---••— Inspector_....`_7 THE COMMONWEALTH OF MASSAC U ETTS BOARD OF HEALTH ............... .........................OF............... ----------------.............................................. No... �isosttl orko �onstrnrtion Permit . iz c -----'•------...-••--•. • ...................... ---- Permissions hereby granted_..-------••-�--..._..---•--- " to Construct ( Zor Repair ) an Individual Sewage Disposal System� atNo........_. .r.'.... / - .................� �_/L i�:--......- -"•--""---"•--"•--.. ••............. ._.._... ... . ..... Street as shown on the application for Disposal Works Construction Permit No--------"------------ Dated...--_""-..."-"--------------------------- —� ........................_...._ Board of Health DATE--------------------------------------------------------------- ..... ......- FORM 1255 HOBBS & WARREN. INC.. PUBLISHERS ,�+NGLAr FAMtt_�( - 3 BEORooM I 0 GAQBA66 -62.ImD6P- \OL'G DA1t_y Ft-ow = 110 x 3 = 330 .Pp SEPTIC. TAtiJK = 33ox15o% '-495(s.P. q U51✓• 100o GAL. 01P5 L IT E A P y5 t o o E.4 0 L. 50 � • 5�DEWALL A26A - 15o S.F. ... F R , r � � � I BOTTOM AIZEA. 50 5•F .�� tr\ of 5p S.F x 1• o = 90 ap q �o 'T \Wky j OT A E51GN D.L- D : .q-25 C�.P `y :,.q1� hey ��J �� 1 fao'/i ToTAt_ DA t LY FI.o.N/ 330 6QP, Gxv>�o 48 Z � �•jv • May.• VRoPOSlC I� PE2Go1_AT1Dt� RATE : I"IN ZA(N o2L�55 Fu¢(.t `fb, F7VJHt� � r ° }N OF blgsf. F�Ark QF It WiLLIAM I�r ALAN .C. N ,p 11u. 19334. 011ST Ef' �a 1*0 sulk TESTq ,-L� •�'X� . i FG• �: TOP FN0=100.0 y1-, w� - v INV. 4-7.0 I LcAH , loco 41 SU6 DtST. _ .INV. GAL. aO�L. (dd0 Bc -A SEpTIG (y��/ 96.4 -rAIJK LEAG41 � i - - u . . Nt+Zj7�IJM� WIT C1G L 5 6.4 . SA 1,4L1 / Z 6ToNE WAS%4rD GER.TiFIGD PLdT Pt..AN PR.OFIL� �� L.oGA� 1oN OSTe- No 5LAL.E S cA L E 1 CE W-T III P -f -kAT 'TNE'PRoK pwO-L4U,5N OWN PLAN REFEczE► ► cE � I N6R G--0W GOMPL_\(6 YJITN-T1-lE StoEt_tN>✓ LD-T,:Z A-I.Ip sc-TE�aGk 2.EQuIR.>✓M1rNT5 oFcN� p�AK FoQ EoR�E WA . i -I'o v� A WN BRN5TA5 -- a ti_s4� E ,CI(�t� is N F I �ocp.TE� •WtTN11J T1-i6 G1_odp PLAN . . S�i?T z9,. I 9'! 8 ; BAxTi-:.Q.e P.IYE INC. R.EGIS-T6grwD ANC>.5uF-VEYC zs Tt-115 PL&N1 115 N&T BA56D C)Id -.Am 03TE2.VILLE MP.SS. IN5TP-UMENT SUV-V�y r'TNE OFF'JETy 151-I0ULI) I_ NOT 1✓E V56DT6 1]ETE�.M1l-1E LOT .1�IhlErj APPL:tGANT AsEuilt Page 1 of 1 Lt L O C A T ION ` / R S I *A CIE-PE RMIT NO. VILLAGE INSTALLER'S NAME i ADDRESS. i U I L D E R OR OWNER P4 � � �arY DATE PERMIT IS*SIIED100111/ DATE C0M ►LIANCE ISSUED �. It I/ JI d z® �4 r�• http://issgl2/intranet/propdata/prebuilt.aspx?mappar=l 18042002&seq=1 11/7/2012 I 4. OPERATING YOUR •••' Poolguardo The POOLGUARD DOOR ALARM uses two delay modes which allow I — l� the user to exit and enter the door without the alarm sounding. These two modes are explained below. A. FIRST DELAY MODE: When the door is opened the alarm _ automatically goes into the first delay mode which gives you 7 seconds after the door is opened to push the pass thru switch. If the �r pass thru switch is not pushed within 7 seconds the alarm will sound with the door open or closed. To silence the alarm close the door then push the pass thru switch. B.SECOND DELAY MODE:When the door is opened and the pass thru switch is pushed within 7 seconds, this puts the door alarm in the f second delay mode which allows you 14 seconds to go through the door and close it. When the door is closed within 14 seconds,the j alarm will automatically reset. If the door is not closed within 14 ABOVE GROUND POOL ALARM seconds,the alarm will sound. WITH REMOTE RECEIVER Figure 4 SENSOR PLASTIC COVER IN GROUND POOL ALARM SWITCH WITH REMOTE RECEIVER W 0 Z 6— KNOCKOUT l7 Q R O TERMINALS 0 Z W N NOTE:If the alarm sounds for approximately 5 minutes and the door is GATE ALARM Poolguard's Family of Products still open.The alarm horn will start to pulsate,5 seconds ON and 5 Helps Protct Your Family! seconds OFF.The alarm will continue to do this until an adult closes the door and pushes the PASS THRU switch on the door alarm to www.pooiguard.com silence the alarm. If the alarm sounds for approximately 5 minutes and the door is closed,the alarm will reset. 5. LOW BATTERY FUNCTIONPOOL SAFETY TIPS When the 9-volt battery is low,the door alarm horn will chirp once every -Supervise children at all times. 10 seconds—this means it is time to install a new battery, Battery life is -Never permit swimming alone.Never leave a child alone,even j approximately 1 year.Test your door alarm weekly by opening the door to answer the telephone. and allowing the alarm to sound. -Always remove the entire solar cover from a pool before swimming. •Remember that alcohol and water safety do not mix. WARRANTY AND REPAIRS -Have your pool area fenced and the gate locked to prevent unauthorized entry to the pool,and install a gate alarm. POOLGUARD is sold with a limited warranty to cover defects in parts -Lock and secure all doors in the house which permit easy and workmanship for one year from date of purchase.(Retain proof of access to the pool,and install a door alarm. purchase). If Poolguard exhibits a defect, please call our Customer -Have a responsible adult teach swimming and water safety to Service department at 1-800-242-7163.Unauthorized returns will not be your children. accepted.Proper repair is only ensured when the unit is returned to the •Maintain clean,clear water in the pool. manufacturer. Visit our website at www.poolguard.com to fill out your -Do not swim during electrical storms. warranty registration information. -Do not permit bottles, glass, or sharp objects to be used around the pool. -Ask your pool dealer how you can improve your pool safety—they will be glad to assist you. -Above all: remember that common sense, awareness, and caution will allow you to enjoy your pool. , ICBM INDUSTRIES, INC. P.O.Box 658 NORTH VERNON,IN 47265 po o I g u a rd 812-346-2648 I j Poolguard® PBM INDUST RIES,INC. www.pooiguard.c;om I MADE IN THE USA REV. 07-10 6. INSTALLATION OF OPTIONAL SCREEN DOOR KIT CONNECTING DOOR ALARM TO SENSOR SWITCHES DOOR ALARM READ THE DOOR ALARM MANUAL FOR INSTALLATION ON ONE DOOR FIRST: InstallationInstructions THE SENSOR WIRES ARE PERMANENTLY CONNECTED TO THE DOOR ALARM. CONNECT BOTH SENSOR WIRES COMING FROM THE DOOR ALARM APT2 TO THE SENSOR SWITCH ON THE DOOR FRAME. THEN USE THE SUPPLIED MEETS MODEL D PT SIGNALING JUMPER WIRES TO CONNECT TO THE SCREEN DOOR SENSOR SWITCH _ (SEE DIAGRAM BELOW). THE TWO SENSORS SHOULD BE HOOKED UP IN PARELLEL WITH EACH OTHER. THE PLASTIC COVERS ON THE SENSOR SWITCHES&SENSOR -� MAGNET MUST BE REMOVED BEFORE INSTALLATION • I SWITCHES GO ON THE FRAME BY THE DOOR �� SWITCHBF1 LISTED MAGNETS GO ON THE DOOR ITSELF-SEE PICTURE IN MANUAL EQUIPMENT NEEDED A.ONE DOOR ALARM AND 2 MOUNTING SCREWS \ LEDB.ONE SET OF SENSOR SWITCH AND SENSOR MAGNET AND 4 SCREWSFOR DOOR FRAME&DOOR " \ CH C.ONE SET OF SENSOR SWITCH AND SENSOR MAGNET,JUMPER WIRES, y \AND 4 SCREWS r6 \-FOR SCREEN DOOR FRAME AND SCREEN DOORIF YOU HAVE ANY QUESTIONS CALL US AT 1-800-242-7163MAIN DOOR SCREEN DOOR SENSOR kSENSING swITCH LARMW o Wgure 1 uard• a a The horn is 85dB at 10 feet ¢ ¢ THRU IMPORTANT O OPASSTHRU z Z SWITCHTHOROUGHLY • ' z Q N • • ALARM The product has been designed to aid in the detection of unwanted 1UMPER,AHORN intrusions into unsupervised areas. POOLGLIARD DAPT-2 IS A WIRES SAFETY ALARM SYSTEM AND NOT A LIFE SAVING DEVICE. It should be used in conjunction with the safety equipment currently in use Figure 5 and should not affect existing safety procedures. INSTALLING THE 9V BATTERY(FIG.2) A.Determine the best location.The door alarm must be installed at least 54"above the threshold of he door. 9V dc alkaline battery.Energizer No.522 or Duracell No. B.With a pencil,mark 2 spots 2 1/2"a art vertical) u &down where ,,, P P P Y( P ) A. Remove the assembly screw from the back of the'door alarm and the alarm will be mounted. These 2 marks are where the 2 larger supplied screws will be inserted into the wall to hang the door alarm. 1 remove the top cover.(See Figure 2) C.Insert the 2 larger supplied screws into the wall on the 2 marks.Leave NOTE: If the battery spring is not in the corrrr l B.Pull down the battery spring and install the battery(see figure about 5/32"(not including the head of the screw)of the screw from ect position under thhee battery,the alarm will not the wall. back together. D Hang the door alarm on the mounted screws and pull downward until C. When the gv battery is installed, alled, the LED will flash once every the screws are positioned in the small end of the hanger holes in the seconds. When the alarm sounds, the LED will flash once every D. second. back of the alarm. If you purchased the OPTIONAL Screen Door Kit see section 6. D. Reassemble the door alarm with the assembly screw. NOTE:Once E.(Figure 5) the battery is installed the alarm may sound accidentally until the sensors are connected properly. 3. SENSORINSTALLING DOOR 2. INSTALLING POOLGLIARD DOOR ALARM(FIGS.I&2) A. The Door Alarm comes with one sensor switch and one sensor Indoor Use Only magnet;remove the covers from both of these parts by using your Your Poolguard Door Alarm is designed to be installed within 12"of the fingernail or small tool to unclip the cover from the bottom side and sensor switch for the sensor wire connection.To mount the door alarm sliding it off the sensor. on wall next to door: B.Each sensor has two holes for mounting,the sensor magnet usually BATTERY SPRING BATTERY goes on the door and the sensor switch is usually mounted to the PASSTHRU SWITCH door frame. C.Metal framed doors may need a space between the sensors and the Figure 2 LED door using a small piece of wood or double sided foam tape. HORN D.The Sensors must be installed parallel to each other with a spacing between them of approximately 3/4".The sensors can be mounted Horizontally or Vertically as long as they remain parallel. E. Loosen the two terminals on the sensor switch by loosening the `HANGER HOLE screws then place either wire end coming from the door alarm f.w da o I between each of the terminals. It doesn't matter which wire goes to ASSEMBLY SCREW HOLE which terminal, Replace Plastic Covers. Note:If the cover for the sensor switch does not lock into place because +HANGER HOLE of the sensor wires,remove the knockout from the side of the sensor ��maw�io switch cover(See Figure 4) r N { u' 1. h r � �i ale It '' !•; i - .w.. it • tf �� • fir• 1.� Y • to ��',^+r ` y iv+R '4, IP Ar 1 - w :3 v •� ` t t :F' TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION el A/) j6 Map �� U Par V Application# ��GZ Health Division Conservation Division Permit# Tax Collector Date Issued o� t _' Treasurer Applicatioln'Fee Planning Dept. Permit Fee /Do? , a 7 Date Definitive Plan Approved by Planning Board Historic-OKH Preservation/Hyannis Project Street Address 31t, Village 05 TZW V,i-Lr_ Owner j2#4Phv Address 1*/LC 11121b. Telephone Permit Request I v 42OZ4.8 Z 5177 F-4vgw 0ta.P» e 1> Square feet: 1 st floor:existing 1011rea proposed dW T 2nd floor:existing , proposed O Total new Zoning District o Flood Plain O Groundwater Overlay OjeANNon--' �q—,--� Construction Type wool �.wt Lot Size_,7914 Grandfathered: W�Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family Two Family ❑ Multi-Family(#units) Age of Existing Structure Historic House: ❑Yes OrNo On Old King's Highway: ❑Yes X No Basement Type: RFu-ll— ❑Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) W 10 Basement Unfinished Area(sq.ft) 16( Number of Baths: Full:existing 1;�- new D Half:existing t�,_> new t Number of Bedrooms: existing_ new n Total Room Count(not including baths):existing new First Floor Room Count Heat Type and Fuel: was ❑Oil ❑Electric ❑Other Central Air: � ❑No Fireplaces: Existing New Existing wood/coal stove: ❑Yes Jk`No Detached garage:❑existing ❑new size Pool:Mekisting ❑new size Barn:❑existing ❑new size" _, Z;. Attached garage:wing ❑new size Shed:❑existing ❑new size Other: T; �, cz; Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ , Commercial ❑Yes ❑No If yes, site plan review# N m Current Use I4.eG450ieG Proposed Use `y7 wcY`•:v BUILDER INFORMATION Name 4 Telephone Number Address l?-D•0 eX go License# ©�6 ©S 1 ✓�G ,Zvi y04.s.� Home Improvement Contractor# Worker's Compensation# 3/S 3.S'177yo14 ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE k FOR OFFICIAL USE ONLY a PERMIT.NO. ` DATE ISSUED r MAP/PARCEL NO. ADDRESS VILLAGE .a OWNER ' ! DATE OF INSPECTION: FOUNDATION (OP 3)l 0749r FRAME J'��lb J6Y 2 e INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. I The Commonwealth of Massachusetts Department of Industrial Accidents t Office of Investigations • ' 600 Washington Street ' Boston,M4 02111' www.mass.gov/dia ' Workers"Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information .Please Print Legibly (B B ) ly� l�C L�'6ZG/1 Name usiaess/Or ation/Individual -Address: ?O'Goy" YRD City/State/Zip: STne-cll kgkf Phone.#: Lf4o4 Are you an employerT Check the appropriate box: 4 general contractor and I " :Type of project(required):, 1.❑ . am I am a employer with a g employees(full and/or part-time).* . have hired the sub-contractors b. ❑New construction . 2.El am a'sole.proprietor or partner- listed on the'attached sheet. 7. ❑Remodeling ship.and have no employees These sub-contractors have g, ❑Demolition working for me in any capacity. employee4 and have workers' (No workers' comp,insurance comp.insurance.$' 9. �g addition required.] 5. ❑ We are a corporation and its 10.❑•Electrical repairs or additions officers have exercised their '3.❑ I am a homeowner doing all-work . 11.❑Plumb ing repairs or additions , myself. o workers' co right of exemption per MGL Y � n?P, 12.❑Roof repairs . . insurance.required.]t c. 152, §1(4),and we have no employees, [No workers' 13.0 Other_ comp,insurance required.] *Any applicant that checks box#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 anew affidavit indicating such. TContractors that check this box must attached an additional sheet showing the name of the pub-contractors and state whether or not those entities have employees. If the sub-contractors bane employees,they must provide theiF workers'comp.policy number. I ant an employer.that is providing workers'compensation insurance for my employees. Below is.the policy and job site' information. Insurance Company Name: 1�1 GG�LL` - Policy#or Self-ins.Lie,#: 4,-' S3.5247_7 Ye !/o Expiration Date: G/lZ,107 Job Site Address l -w TOcw M(a POD City/State/Zip: eQSTEIZy<L e, C,444W�• Attach a copy of the workers' compensation policy declaration page'(sbowing 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$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK.ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement maybe forwarded to the-Office of' Investigations of the DIA ce coverage verification, I do hereby ce der pains•and penalties of perjury that the information provided above is true and correct. signate Date: /G17 Phone#: 56—$_yZle— WOO Official use only. Do not write in this area, to be completed by,city or town official. i City or Town: ' Permit/License# Issuing Authority(circle one): A.Board of Health 2,Building Department 3. City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: UJIU 1-HI L Uk;UL DltJL3 ' Massachusetts General Laws chapter 152 requires all employers to provide workers' compensation for their employees. Pursuant to this statute, an employee is defined as"...every person in the service of another under any contract of hiie, 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." 1vMGL chapter 152, §25C(6)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,MGL ehapter.152,§25C(7)states"Neither the commonwealth nor any of its political subdivisions shall enter into any contract for.the performance ofpubfic.work until acceptable evidenee-of•coraidan-6. withtlie insurance requirements 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,it necessary,supply sub-conti;actor(s)name(s),addresses)and phone number(s) along with their certificate(s) of insurance. Limited Liability Companies(LLC)or Limited Liability Partnerships(LLP)with no'employees other than the members*or 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 may be submitted to the Department of Industrial Accidents for confirmation ofinsurance 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 nuruber listed below. Self-insured companies should enter their self-insurance license number on the appropriateline. 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 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. In addition,an applicant that must submit multiple permit/license applications in any given year,need only submit one affidavit indicating current policy information(if necessary)and under"Job Sife 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 on 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 not related to any business or commercial venture (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 like to thank you in advance for your cooperation and should youhaveany questions, please'do not hesitate to give us a call. The Department's address,telephone-and fax number:. The Commouwwlh of Ma snh tts• Dt putment of lndusWal Aeeidents Q .ee Of 1-nvest gatlous 600 Wasbinpli Stet Boston,MA 02111 • . Te,]. #617-727 000.ext 406 ar 1-87'�-MASSAF£ Fax#617-'27-77-49 Revised 11-22-06 wwwmamg6v'/dia 9 i ' /TME � 1 V TI L Vi LKi AA W0,6 Regulatory Services N •A y►arrsreaz Thomas T.Geiler,Director ass. �,��. Building Division Tom.Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 ww w.town..b arnstable.ma.us Fice: 508-862-403 8 Fax: 508-790-6230 Permit no. Date AFFIDAVIT HOME TMPROYEMENT 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 big 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: .2�G1gt7�'o g �04 rgh d Estimated Cost Address of Work: /g weE;e 91 LG• OQ � S TE�viGLF Owner's Name: /'.c/r9.Z = Date of Application: I hereby certify that: Registration is not required for the following reason(s): []Work excluded by law ❑Job Under$1,000 ElBuilding not owner-occupied []Owner pulling own permit Notice is hereby given that: OWNERS pULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRA 0 OI HE ARBITRATION PROGRAM 0 GUARAAP,APPLICABLE HOME N Y FUND UNDER MGL WORK DO NOT HAVE ACCESSc.142A. SIGNED UNDER PENALTIES OF PBRMY I hereby apply for a permit as the agent of the own Date • Contractor Signature Registration No. OR Date Owner's Signature Q,vpMes.for=-.homeaffidav Rev 060606 RESIDENTIAL BUILDING PERNIIT FEES APPLICATION F,EE New Buildings $100.00 Residential Addition $50.00 Alterations/Renovations $ 50.00 Building Permit Amendment $25.00 FEE VALUE WORKSHEET NEW LIVING SPACE ao� square feet x$96/sq.foot= 774 x.0041= ,Q g plus from below(if applicable) ALTERATIONS/RENOVATIONS OF EXISTING SPACE �bd square feet x$64/.sq,foot=-4 x .0041= qq plus from below(if applicable) GARAGES(attached&detached) square feet x$32/sq,ft.= x.0041= ACCESSORY STRUCTURE>120 sq. ft. >120 sf-500 sf $35.00 >500 sf-750 sf 50.00 >750 sf- 1000 sf 75.00 >1000 sf- 1500 sf 100.00 >1500 sf-Same as new building permit: square feet x$96/sq.foot= x.0041= STAND ALONE PERMITS Open Parch / x$30.00= D.od (number) Deck x$30.00= (number) Fireplace/Chimney x$25.00=' • (number). Inground Swimming Pool $60.00 Above Ground Swimming Pool $25.00 Relocation/Moving $150.00 (plus above if applicable) Projcost Permit Fee B'? Rev:063004 I r Table JS=b(continued) Prescriptive Packages for One and Tpo-Family Residential Bnildinga'Neated with-Fo O Fuels MAXIMUM MINIMUM Glazing blaring Ceiling Wall Floor Basement Slab Heatiag/Cooling Area'(1/6) U-value= R-value' R-value' R-value, Wall Perimeter Fquipmcot EfEcicnc},9 package R-value° R-valuer 5701 to 6500 Headog Degree Days Q 12% 0.40 38 13 19 1 10 6 Normal R 12°/a 0.52 3o 19 19 !0 6 Normal S 12% 0-50 38 13 19 16 6 85-AIFUE T 15% .036 38 13 25 N/A N/A Nooaal U 15% 0.46 38 19 19 10 6 Normal V 15% 0.44 38 13 25 N/A N/A 85 AFUE W 159/a 0S2 30 19 19 10 6 .8S AFUE X 18% 032 38 13 23 N/A N/A Nomad Y 18% 0.42 38 19 23 N/A N/A Normal Z 18% 1 0.42 38 13 19 10. 6 90 AFUE AA 18%. 0.50 1 30 19 19 10 6 90 AFUE 1. ADDRESS OF PROPERTY: i 2. SQUARE FOOTAGE OF ALL EXTERIOR WALLS: 3. SQUARE FOOTAGE OF ALL GLAZING: 4. %.GLAZING AREA(#3 DIVIDED BY#2): 5. SELECT PACKAGE(Q—AA-see chart above): NOTE: OTHER MORE INVOLVED METHODS OF DETERMINING ENERGY REQUIREMENTS ARE AVAILABLE. ASK US FOR THIS INFORMATION. BUILDING INSPECTOR APPROVAL: YES: NO: q-forms-®80303 a . t 780 CMR Appendix J .Footnotes to Table A2.1b: ' Glazing area is the ratio of.the area of the glazing assemblies (including sliding-glass doors, skylights, and basement windows if located in walls that enclose conditioned space,but excluding opaque doors)to the gross wall area,expressed as a percentage. Up to 1%.of the total glazing area may be excluded from the U-value requirement. For example,3 ft of decorative glass may be excluded from a building design with 300 fl of glazing area. 2 After January 1, 1999, glazing U-values must be tested and documented by the manufacturer in accordance with the National Fenestration Rating Council (NFRC) test procedure, or taken from Table J1.5.3a. U-values are for whole units:center-of-glass U-values cannot be used. The ceiling.R-values do not assume a raised or oversized truss construction: If the insulation•achieves•:the full insulation thickness over the exterior walls without compression, R 30 insulation may be substituted for R-38 insulation and R-38 insulation may be substituted for R-49 insulation. Ceiling R-values represent the sum of cavity insulation plus insulating sheathing (if used). For ventilated ceilings, insulating sheathing must be placed between the conditioned space and the ventilated portion of the roof. `Wall R-values represent the sum.of the wall cavity.insulation plus insulating sheathing (if used). Do not include exterior siding, structural sheathing, and interior drywall. For example,an R-19 requirement could be met EITHER by R-19 cavity insulation OR R-13 cavity insulation plus R-6 insulating sheathing. Wall requirements apply to wood-frame or mass(concrete,masonry,log)wall constructions,but do not apply to metal-frame construction. The floor requirements apply to floors over unconditioned spaces(such as unconditioned craw4aces,basements, or garages).Floors over outside air must meet the ceiling requirements. `The entire opaque portion of any individual basement wall with an average depth less than 50%below grade must meet the same R-value requirement as above-grade walls. Windows and sliding. glass doors of conditioned basements must be included with-the other glazing. Basement doors must meet the door U-value requirement d scnbed in Note b. 7 The R-value requirements are for unheated slabs.Add an additional R-2 for heated slabs. ` If the building utilizes electric resistance heating use compliance approach 3;4, or 5. If you plan to install more than one piece of heating equipment or more than one piece of cooling equipment, the equipment with the lowest efficiency must meet or exceed the efficiency required by the selected package. For Heating Degree Day requirements of the closest city or town see.Table J5.2.1a NOTES: a)Glazing areas and U-values are maximum acceptable levels.Insulation R values are minimum acceptable levels. R value requirements are for insulation only and do not include structural components. b)Opaque doors in the building envelope must have a U-value no greater than 0.35.Door U-values must be tested and documented by the manufacturer in accordance with the NFRC,test procedure or taken from the door U-value in Table J1.5.3b. If a door contains glass and an aggregate U-value rating for that door is not available, include-the glass area of the door with your windows and use the opaque door U-value to determine compliance of the door. One door may be excluded from this requirement(i.e.,may have a U-value greater than 0.35). c)If a ceiling,wall,floor,basement wall,slab-edge,or crawl space wall component includes two or more areas with different insulation levels,the component complies if the area-weighted average R-value is greater than or equal to the R-value requirement for that component. Glazing or door components comply if the area-weighted average U- value of all windows or doors is less than or equal to the U-value requirement(0.35 for doors). 43 Town*.of Barnstable Regulatory Services . - rsr�BLe, • Thomas F.Geiler,Director . as�ss. 9cb %639- .�� Building Division p�ED MAi� Tom Perry, Building Commissioner 200 Main Street, Hyannis,MA 02601 Fax: 509-790-6230 Off 508-862-4038 Property Owaer Must Complete and Sigrl'This Section If.Using A Builder ,4� ,as Owner of the subject property I, hereby authorize to act on mp behalf, in all matters relative to work authorized by this building p ermit application for: (Address of job) / G 07- Signature of Owner Date rint tame Q:F0RMS:0WNWERMiSSI0N. 71.�ommrrnzu ea i o��/�aaaar/waella BOARD OF BUILDING REGULATIONS, License: CONSTRUCTION SUPERVISOR Number:-CS 083484 _..._.."., - n Expires 07/1.112008 Tr;-no:,2353.0, Restricted 00'y' mire. e RONALD W WELCH 85 BRIGANTINE DR; �— HATCHVILLE, MA 02536- Commissioner n ' + J/ Board of Building Regula(ions and Standards One Ashburton Place - Room 1301 Boston. Massachusetts 02108 Home Improvement Contractor Registration Registration: 128405 Type: Partnership Expiration: 4/5/2007 KENDALL & WELCH CONSTRUCTION DAMON KENDALL 54 KOMPASS DR. ----- -"-""- FALMOUTH, MA 02536 Update Address and return card.Mark reason for change. 11 w 5OM•04105-PC8698 Address Renewal Employment ❑ Lost Card \ 92e .1,111vsaCAMWtt 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: Board of Building Regulations and Standards Registration: 05 One Ashburton Place Rm 1301 Expiration: 4/6/25/2007 Boston,Ma.02108 Type: Partnership :ENDALL&WELCH CONSTRUCTION 'AMON KENDALL 4 KOMPASS DR. ALMOUTH.MA 02536 Administrator Not valid without signature i Aug-07-06 09:56am From—MURRAY & MACDONALD 15084573101 T-074 P.02/02 F-663 ACORt7,. CERTIFICATE 4F LIABILITY INSURANCE DA' (MWMWYYYY) 8/7/2006 PRODYCER (508)540-2400 FAx (508)289-4111 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Murray & MacDonald Insurance Services HOLDER.LY AND HISOCERTIFICATE DOES NOT AMEN. EXTECERTIFICATE D OR 406 Jones Road ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Falmouth MA 02540 INSURERS AFFORDING COVERAGE NAIC INSURED INSURERA:W"tQrn World Kendall & Welch Construction Inc 1NSL1RPR8:Saf0tY InsuranCe 39454 P.O. Sox 1478 INSURER c:LibertyMutual Ins Corp INSURER D: North Falmouth NA 02556 INSURERE: 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. L3LINSR INBRO TYPE OF INSURANCE POLICY NUMBP.R ATE((M6UC�n� TE IMM�RIDIYY)N LIMITS GENERAL LABILITY EACH QCF R CE $ 1,000,000 X COMMPRCIAL GENERAL LIABILITY P IS Esoearrroncs S 300,000 A CLAIMSMAOE ❑X OCCUR NFPS89748-2 6/15/2006 6/15/2007 MEOExP An one ersen) S 10,000 PERSONAL B AOV IRJURY 3 1,000,000 i GENERAL AGGREGATE S 2,000,000 GEN'LAGGREGATEppL�IIMIT APPLIES PER, PRODUCTS.COMPlOP ACC i 2,000,000 X POLICY JE F LOC AUTOMOBILE UABIUTY COMBINED SINGLE LIMIT ANY AUTO IQ accident) i B ALL OWNED AUTOS 2152655 11/17/2005 11/17/2006 80DILYINJURY X SCHEDULED AUTOS (per person) i 250,000 R MIRED AUTOS BODILY INJURY X NON-0OWN AUTOS (PataccidenA i $00,000 PROPERTY DAMAGE i 100,000 (F'araccio u GARAGE LIABILITY AUTO ONLY-EA ACCIDENT i ANY AUTO OTHER THAN EA ACC S AUTO ONLY: AGG i EXCESSNMBRELI A LIABILITY EACH OCCURRNNCE i OCCUR CLAIMS MADE A60REMATE i S DEDUCTIBLE i RETENTION S s C WORKERS COMPENSATION AND Ori M EMPLOYERS'LABILITY ANY PROPMETOR+PARTNER/EXECLRNE E.L.EACH ACCIDENT i 100,000 OFFICERMMEREXCLUDED? wc331S354774016 6/15/2006 6/15/2007 E.1-DISEASF-EAEMPLOYE S 300,000 If yes,dcambo under SPECIAL PROVISIONS belay E.L.DISEASE-POLICY LIMIT Is 500.000 OTHER DESCRIPTION OF OPERATIONSILACATIONSMENICLES/OCCLUSIONS ACOFD BY ENDORSEMENTISPECUIL PROVISIONS CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES Be CANCELLED BEFORE THE Town at Barnstable EXPIRATION DATE THEREOF, THE ISSUING INSURER wLL ENDEAVOR TO MAIL Building Inspector 10 DAYS WRITTEN NOTICE TO THE CERT)FICATE HOLDER NAMED TO THE i.EF7,BUT 200 Main Street FAILURE TO 0080 SHALL IMPOSE NO OBLIGATION OR UABILITY OF ANY KIND UPON THE Hya=iEa<, NA 02601 INSURER ITSAGENTSORREPRESENTATNES. AUTHORILEO REPRESENTATIVE Claudine wrighcer/KCD �1e'� ACORD 25(2001/08) Q ACORD CORPORA710N 1988 INS025 toice.O6 AM$ VMP Morwoe Selutkins,Inc-(11M)W4545 Paso I of 2 I ePt et%uz vval vva ran ou[ vci r .............. ....:.... ....: DATEMM\ Dw D Y) A PaooucER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE ROBERT E BOUCHIE JR INS HOLDER. THIS CERTIFICATE DOES NOT AMEND EXTEND OR P o BOX 400 ALTER THE COVERAGE AFFORDED BYTHE POLICIES BELOW. CAIAUMEI MA 02534 COMPANIES AFFORDING COVERAGE COMPANY A INSURED COMPANY COSTA, IHOMAS L DBA B TOM COSTA BUILDING & FRAMING COMPANY 29 LAD: SLIPPER LANE C MASHPEE MA 02649 COMPANY D VER '' ESC`>s: :: `"•'i<> i": <> :-':`•`::`s:»> :`<<` <':::`: :< i s>!<`s si::>:, ..... .. 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. TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS LT CO DATE(MM\DMYY) DATE(MM\DD\YY) GENERAL LIABILITY GENERAL AGGREGATE $ COMMERCIAL GENERAL LIA131LITY PRODUCTS-COMP/OP AGG. $ CLAIMS MADE=OCCUR. PERSONAL&ADV.INJURY $ ffWNER'S&CONTRACTOR'S PROT. EACH OCCURRENCE $ FIRE DAMAGE(Any one tire) $ MED.EXPENSE(Any one person) $ AUTOMOBILE LIABILITY COMBINED SINGLE $ ANY AUTO LIMIT ALL OWNED AUTOS BODILY INJURY SCHEDULED AUTOS (Per Person) $ HIRED AUTOS BODILY INJURY NON-OWNED AUTOS (Per Accident) $ PROPERTY DAMAGE $ 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 WORKER'S COMPENSATION AND STATUTORY LIMITS A z. NIX. EMPLOYER'S EMPLOYER'S uABILtrY (UB-8118A40-9-06) 09-21-06 09-21-07 EACH ACCIDENT $ THE PROPRIETORI INCL DISEASE—POLICY LIMB $ PARTNERS/EXECUTIVE OFFICERS ARE: EXCL DISEASE—EACH EMPLOYEE $ nn OTHER DESCRIPTION OF OPERATIONS/LOCATIONSIVEHICL SIRE R CTIONSISPECIAL ITEMS THIS REPLACES ANY PRIOR CERTIFICATE ISSUED TO THE CERTIFICATE HOLDER AFFECTING WORKERS COMP COVERAGE. AtGEILI CA SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL KENDALL AND WELCH CONSTRUCTION 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE INC LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR 84 6C MAIN STREET LIABILITY OF ANY KIND UPON THE COMPANY,ITS AGENTS OR REPRESENTATIVES, OSTERVILLE MA 02655 AUTHORIZED REPRESENTATIVE :::. 07/1 2008 14:36 PAX 308 790 1677 FAIR INS ®001 •-•�- im ChR77FIGATE OF LIABILITY INSURANCE A 50E)775�9 1 FAX (508 790-16T7 TiiaB CERTIFICATE 19 LOSUE0 AS A MATMR OF UPORMTMN Tk& ans. MACU -amba Agency, ins dKLlr AND CONFeRS No RIGHTS UPON THE C TIFlCATE P.O. Boot 430 As vc ER.THIS CERMIOATE DOES NOT AIIFAJ�De, DON 110 ftin St. -08 ZMtervil le, MA 02632 lNBURERS AFFORDMO COVERAGE HM O nmuR® �, too, 30 MURNMA; Nation CrrillDe P.O. Box 339 24uRRa 5a Marston Mills, NA 026" v Insurange CC. Nr mpt G AM inBUJeeR a; i MBURGR M THE POUe16S aF MVSU W O CMDUSTO GN OX NAVE 9EdV ISSUED TO THE INSURE NAMED ADM FOR THE POUcv PMIOD INDU`�JITRDi ntoTYW tN9TANGINd ANY pEdUitPNENT.tER1A DR CONDITION OR ANY CONTRACT OR Otl tER bDCWaENT YV1TH RESPECT 1"C)WMICFI TNIB Clot71P1CAT E MAY BE 16BU�aft MAY PE3tTM�+N��,T�HE MISLwiANCE/1FFOROEo�7>sE PotaCI,�DE9cjt1!!® � SUBJECT ALL TM!!TERARB eXCLll1ll0►1s AND CQAIDITI U D SUCH Poi=ee.Ac�teGATE LIMITS SHOM MAY HAVE BEON REDUCED U PAID CLA/iR$ TMOP pMUANCE PftacTmum1 Offww LLnmr NPI70532 X cOmMmOm eer=w.4-mury EACH GMFMWJoNjMs 1 000.0 MAM ww XD OCCUR • 300 A mm�lArsonePw : 10 10/02/2005 l0/02/Z006 PMM0ML&A9VkUW e i,000, EU1AGMEGA-MMTAWtMgP9C MRALAMMM7e t 2 000 mvc.,m 2% M Lcc PR0buCrs-CQMP PA= s 7 000 00 wuioAU uwuAONrrr 1900608 12/O]/a00g 12/01/2006 L� AWNM wttro ALL OMMiO AuTo o aRGfr LmIR = X seNE'atwiowurnF; I' g rMRlnwtRba � S =� NOW-OWM0 AUMS 300 aeRA9tuA�rrY � q s l000 ""+►� Auroa►r4r-awvoiwN� � 11J1 L1Aap rry AUpRTHM EA woC i A96 GOOD CLAW"AM OQOURRWpW � Afi6EJ�ATG s nr<oucr,se s Ret��rrlaa = s M LcA �D AMCT0115790 006 Ot/b1/20M 0 s C A p'ROl•J11kr1DReP 1l2007AM cFFl N� c�n� 4L&AGMAcclM r e�w eJL D F-- Aae-aoUCr>t : Soo 'rpK OPO/m1A /LOCA1rMrb 1 VIM xu m r ADO®01/9rDpRg i I SPLM%L PRD�gpp� eI10IILo Apt►OR trlE AJlOYC oesr�r� ��t���TNs aPlfcAnoM DAn TileR ,TML IpI1Mq rwllRlR wK,L IalWAMM IC MAL MMALL ai< WmM 1�12AV@ Wrrrw Mor,ea,o 7M GERT r WATM MQLMM NAMM on We UMV PO 8M 1478 MT J;ALuRs"%WL M=aanee awe DX4M MM OULJiA7mN Q*twurrr N FAIJ401 M. NA 02566 ac Awr rcnw uPON M wanaR rra,� qr qg �a�eewTlVIM AYi�10ROm IlbllfslMA7NQ ' MM 25 M01100) FAX: C5063583-1062 KathZ 5ilvi ArTUI a�j np� �IICORE7 COMWORATUM IBM ACORDM CERTIFICATE OF LIABILITY INSURANCE DA7/25/06 PRODUCER THIS CERTIFICATE IS ISSUED ASA MATTER OF INFORMATION Dolan, & Maloney Ins. Agay. LLC ONLY AND CONFERS NO RIGHTS UPON T HECERTIFICATE 141 Turnpike Road HOLDER THIS CERTIFICATEDOES NOT AMEND,EXTEND OR Westborough, MA 01581 ALTER THE COVERAGE AFFORDED BY THE POLICIES BROW. INSURERS AFFORDING COVERAGE ( N_AIC# INSURED I INSURER A:_COMMERCE INS CO JOSEPH E PELTIER ELECTRIC INC INSURERS ASSOC IND OF MA MUTUAL INS 40 VILLAGE DR IINSURERC: E SANDWICH, MA 02537 INSURER D: INSURER E: I 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. 'NSR ADD'L` _ .—-- — -- —-- ._ ._.. ..._ LTR P INSURANCE 1 POLICY NUMBER D TCYEFFDDIYYI PDATE(m RargNT I LIMITS GENERAL LIABILITY 1 LEACH OCCURRENCE Is S,OOO,OOO A COMMERCIAL GENERAL LIABILITY I H DAMAGETO'RENTEO I QQ443 I 9/25/05 9/25/06 PREMISES(Eaoccurence) $ _ 501000 CLAMS MADE I X' OCCUR I MED EXP(Any one person) $ 5,000_ ' r4PERSONAL&ADVINJURY I $ I GENERAL AGGREGATE $ 2,,OOO,_OOO_ _ GEN'LAGGREGATELIMITAPP LIES PER: I i I PRODUCTS-COMP/OPAGG $_ 2,OOO,OOO X !POLICY . JECOT- r — —LOC I i I i AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT I $ A IANYAUTO IYV2598 8/29/05 8/29/061 (Ea-ddenq ! {ALL OWNED AUTOS BO � BODILY INJURY X SCHEDULED AUTOS ' I i (Per person) $ 100,000 X I HIRED AUTOS r I I BODILYINJURY }{ I NON-OWNED AUTOS I I (Per acent) $ cid 300,000 PROPERTY DAMAGE (Per accident) ; $ 100,000 GARAGE LIABILITY � 1 � I AUTOONLY-EA ACCIDENT I $ ANYAUTO I OTHER THAN _ EA ACC I.$AUTO ONLY: AGG 1 $ EXCESS/UMORELLALIABILITY I I LEACH OCCURRENCE Is 1 OCCUR CLAIMS MADE ! I I AGGREGATE i $ DFOUCTIBI RETENTION $ I $ WORKERS COMPENSM ION AND I i 1 STATU- TH-I $ EMFLOYERS'LIABILITY IVWC 6008130012006 3/28/061 3/28/071--�TORY LIM ITS_-X ER BI ANY PROPRIETOR/PARTNER/EXECUTIVE ! E.L.EACH ACCIDENT $ 500,000 OFFICERIMEMBEREXCLUDED? I IE.L.DISEASE-EA EMPLOYEE I$_ 500,000 H)es,describeunder SPECIAL PROVISIONSbebw IE.LDISEASE-POLICY LIMIT $ 500,000 OTHER I i � J D PSCRIPTION OF OPERATIONS/LOCATIONS/VEH ICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS ELECTRICAL CONTRACTOR CERTIFICATE FAXED TO 508-888-5003 CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIESBE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,THE ISSUING INSURER W ILL ENDEAVOR TO MAIL 10 DAYS W RITTEN KENDALL & WELCH ONSTRUCTION NOTIC ETD THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO D OSO SHALL PO BOX 1478 IMPOSENO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR N FALMOUTH, MA 02556 REPRESENTATIVES. AUTHORIZED REPRESENTATIVE ACORD 25(2001/08) ©ACORD CORPORATION 1988 I - DATE(MM/D D/YYYY) ACORD. CERTIFICATE OF LIABILITY INSURANCE 6/25 2006 PRODUCER (508)540-2400 FAX (508)289-4111 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Murray MacDonald Insurance Services ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Y HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 406 Jones Road ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Falmouth MA 02540 INSURERS AFFORDING COVERAGE NAIC# INSURED INSUIRERA:Arbella Protection Colony Insulation Inc. INSURER B:AIG 28 Jonathan Bourne Road INSURE IC: INSURER D: Pocasset MA 02559 INSURERE: 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 INSRO ADD'L TYPE OF INSURANCE POLICY NUMBER DATE EFFECTIVE DATE MM/D POLICY DIYYN LIMITS LTR GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 DAMAGE TO RENTED ncom MERCIAL GENERAL LIABILITY PREMISES Ea oewrronee $ 100,000 A CLAIMS MADE 7XOCCUR 8500028928 8/18/2005 8/18/2006 MEDEXP one n $ 5,000 PERSONAL 8 ADV INJURY S 1,000,000 GENERAL AGGREGATE $ 2,000,000 GEML AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ 2,000,000 X POLICY JECTT LOC AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT ANY AUTO (Ea accident) $ 11000,000 A ALL OWNED AUTOS 49692400002 8/18/2005 8/18/2006 Boo LYINJURY X SCHEDULED AUTOS (Per Pereon) $ X HIREDAUTOS BODILYINJURY = X NON-OWNED AUTOS (Per accident) PROPERTY DAMAGE $ (Per accident) GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $ ANY AUTO OTHER THAN EA ACC S AUTO ONLY: AGG S EXCESS/UMBRELLA LIABILITY EACH OCCURRENCE $ X OCCUR CLAIMS MADE AGGREGATE $ S A DEDUCTIBLE 4600028929 8/18/2005 8/18/2006 $ X RETENTION S $ B WORKERS COMPENSATION AND I TORY LIMITS I ER EMPLOYERS'LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT I$ 500,000 OFFICER/MEMBEREXCLUDED? WC8942449 6/15/2006 6/15/2007 E.L.DISEASE-EAEMPLOYE S 500,000 If yes,describe under SPECIAL PROVISIONS below E.L.DISEASE-POLICY LIMIT $ 500,000 OTHER DESCRIPTION OF OPERATIONSILOCATIONSNENICLESIEXCLUSIONS ADDED BY ENDORSEMENTISPECIAL PROVISIONS CERTIFICATE HOLDER CANCELLATION (508)563-1062 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE Kendall b Welch Construction EXPIRATION DATE THEREOF, THE ISSUING INSURER 1MLL ENDEAVOR TO MAIL Ronald Welch 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT BOX 1478 FAILURE TO DO SO SMALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE N Falmouth, MA 02556 INSURER,ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE Gloria Smith/GMS ACORD 25(2001/08) ®ACORD CORPORATION 1988 TOM ',a weG},:T.T. 540/017 1101 /T.TR +iqR RMq 'GNT 'ANn-In-I 7 / 20 /06 12 : 36 : 15 PM 4134 1,12 UJ / U0 CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDDIYYfY) ACORD 7/20/2006 rre �DUCER FAX (508)289-4111 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE .-.urray & MacDonald Insurance Services HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 406 Jones Road ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Falmouth, MA 02540 Douglas MacDonald INSURERS AFFORDING COVERAGE NAIC# INSURED INSURERA Charter Oak Fire Cape Cod Mechanical Systems, Inc. INSURERB Travelers Indemnit 8 Fruean Way INSURER C:St. Paul Travelers INSURER D:AIG South Yarmouth MA 02664 1 INSURER 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 ADD'L POLICY EFFECTIVE POLICY EXPIRATION LTR INSRD TYPE OF INSURANCE POLICY NUMBER DATE(MM/DD/YY) DATE(MMJDDIYY) LIMITS A GENERAL LIABILITY I6806937B396 03/12/2006 03/12/2007 EACH OCCURRENCE $ 1,000,000 X COtrMrRCIAL GENERAL LIABILITY DAMAGE TO RENTEDPREMISES(Ea occurrence) $ 300,000 CI.AIMSMADF a OCCUR MEDEXP(Any one person) $ 5,000 PERSONAL&ADV INJJRY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER PRODUCTS-COMP/OP AGG $ 2,000,000 X POLICYPJER' LOC B AUTOMOBILE LIABILITY I81013338747 03/19/2006 03/19/2007 COMBINED SINGLE LIMIT ANY AJJTO (Ea accident) $ 1,000,000 ALL!)IANEDAJJTOS BODILY INJURY X SCH�DilLEG AUTOS (Per person) $ X HIREDALTOS BODILY INJJRY $ P NON-O"NED AUTOS (Per accident) PROPERTY DAMAGE $ (Per accident) GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $ ANY AUTO OTHER THAN EA ACC S AUTO ONLY. AGG $ C EXCESS/UMBRELLA LIABILITY CUP0657Y378IND05 03/12/2006 03/12/2007 EACH OCCURRENCE $ 1,000,000 OCCUR CLAIMS MADE AGGREGATE $ 1,000,000 CEDUCTfB:.E $ RETENTION $ $ D WORKERS COMPENSATION AND 8957286 03/12/2006 03/12/2007 WCsTU OTH- EMPLOYERS'LIABILITY TORT'LIMMITTS ER .�IJY PROPRIETORJPARTNcR/EXECUTIVE E.L EACH.00CIDENT $ 500,000 OFFICER/MEMBER EXCLUDED? E L DISEASE-EA EMPLOYEE$ 500,000 If yes.describe under SPECIFY.PROVISIONS below E.L.DISEASE-POLICY LIMIT $ 500,000 OTHER DESCRIPTION OF OPERATIONSILOCATIONSIVEHICLESIEXCLUSIONS ADDED BY ENDORSEMENTISPECIAL PROVISIONS Certificate holder is additional insured with respect to general liability form CG D2 520 01/03 CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE Kendall & Welch Construction Inc EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL Katrina 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT PO BOX 1478 FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE North Falmouth, MA 02556 INSURER,ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE Gloria Smith/GIVIS ACORD 25(2001/08) ©ACORD CORPORATION 1988 INS025iutusI.oh AMS VMP Mortgage Solutions.Inc(S00)327-0545 Page 1of2 5993 ate: '//LV/'LUVO ''XIMS: L;44 NM WO: is y,l,Kenaell h wejun coo Client#:42270 NORTSEA YI ACORD.- CERTIFICATE OF LIABILITY INSURANCE rioros'""" PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION _ Rogers 8,Gray Ins.Agency,Inc ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR 434 Route 134 ALTER THE COVERAGE AFFORDED BYTHE POLICIES BELOW. P.0. Box 1601 South Dennis,MA 02660-1601 INSURERS AFFORDING COVERAGE NAIC# INSURED INSURER A: Ohio Casualty Group Northern Sealcoating and Paving, Inc. INSURER B: American Home Assurance 20 Candlewood Lane INSURERc: Arbella Protection Co P.O. Box 995 INSURER 0: Dennis Port, MA 02639 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. LTRNr TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS DATE fMM1DD1YY1 DATE(MMIDDIYYI A GENERAL LIABILITY BL00753312747 01/22/06 01/22/07 EACH OCCURRENCE $1 000 000 X COMMERCIAL GENERAL LIABILITY DPREMISES(Ea occurrence,AMAGE TO RENTED $50 DOD CLAIMS MADE a OCCUR MED EXP(Any one person) S5 00O PERSONAL&ADV INJURY $1 000 000 GENERAL AGGREGATE s2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG s2,000,000 POLICY JJEC LOC C AUTOMOBILE LIABILITY 59140400002 01/21/06 01/21/07 COMBINED SINGLE LIMIT $1,000,000 ANY AUTO (Ea accident) ALL OWNED AUTOS BODILY INJURY X SCHEDULED AUTOS (Per person) $ X HIRED AUTOS BODILY INJURY X NON-OWNED AUTOS (Per accident) $ PROPERTY DAMAGE $ (Per accident) GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $ F I ANY AUTO OTHER THAN EA ACC $ AUTO ONLY: AGG $ EXCESSIUMBRELLA LIABILITY EACH OCCURRENCE $ OCCUR CLAIMS MADE AGGREGATE $ DEDUCTIBLE $ RETENTION $ $ B WORKERS COMPENSATION AND WC8959278 04/01/06 04/01/07 X WC STATU- OTH- EMPLOYERS'LVIBILITY ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $SOO O00 OFFICER/MEMBER EXCLUDED? E.L.DISEASE-EA EMPLOYEE $500 000 If yes,describe under SPECIAL PROVISIONS below E.L.DISEASE-POLICY LIMB I$500 000 OTHER DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES 1 EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION Kendall&Welsh Const.Co. DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL In DAYS WRITTEN East Falmouth,MA 02536 NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE ACORD 25(2001/08)1 of 2 #23306 WOB 0 ACORD CORPORATION 1988 Jol 21 Ob-Oi': 3�1• —I•:U1 DAT t(MM/UIJ/YY yy) AM2Ra CERTIFICATE OF LIABILITY INSURANCE 16 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE McShea Insurance Agency, Inc. HOLDER_ THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 749 Main Street, Suite#H ALTER THE COVERAGE AFFORDED BY THE POLICIES 6ELOW. 99terville, Ma. 02655 508-420-9011 _ INSURERS AFFORDING COVERAGE NAICO _ INSURED A St E Concrete Forms♦ Inc• INSURER A: Rational Orange mutual I .. CO. _ INSURER R: Ame=iC84 HOMO Insurance Comany 32 General Holoway Rd. INSURER C: - south Yarmouth, Ma 02664 INSURF.R0: _ 1508-394-9046INSURER t: COVERAGES THE POLICIES OF INSURANCE LISTE L1 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 1S SUBJECT TO ALL 1 HE TERMS,EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.AGGREGATE UMITSSHOWN MAYIIAVE DEEN REDUCED BY PAID CLAIMS. _ POLICY NUMBER POLICY FFFm �LICY DTI LIMITS LTR as GFNF.RAL LABILITY TTGG F.ACH OCCURRENCE a 1 000 000. DAMAGE TO-RETITED ]( COMMERCIAL GENERAL LIABILITY PREMISES Faowimmm S $00 000 CLAIMS MADE (OCCUR MEDFXP(Anynnepown) S 10,000 A _ XPI34700 4/4/06 4/04/07 PERRsoNALaADvINJURY s 1,000 000 _ GENERAL AGGREGATE S 2,000,000 GCNI AGGREGATE LIMIT APPLIES PFR: PRODUCTS-I:OMWOPAGG S 2,OQO 000 POLICY 7PRO- LOC JECT AU_TOMOBILELIABILITY COMBINED SING(E 1 IMIT ANVAUTO (Ea Bodoni) S 500,000 -_ _,- ALL OWNED AU10S BODILY INJURY X SCHEDULED AUTOS (Perponon) S — A HIRED AUTOS M8134700 4/4/06 4/4/07 BODILY INJURY S NON-OW NED AtrtOS (Peraodaent) PROPtRIY UAMAGE S (Pefseddent) GARACELIABILITY AUTOONIY.FAACCIDENT S ANYAUTO OTHERTHAN EAACC .S •. _. .•..--- _ .. .... AUTOONLY: AGO I EXCESS/UMBRELLA LABILITY EACH OCCURRENCE S 1,000,000 X OCCUR F—I CLAIMSMADE AGGHEGAYE _ S 1 r D00,000 TBI 4/4/06 4/4/07 p, DEDUCTIBLE S RETENTION 1 10 000 S WORKERS COMPENSATION AND R TORYLIMRS ER EMPLOYCAT LIABILITY WC6704106 4/4/06 4/4/07 E.L.EACNACCIDENT S 500 000 •w I'NWNIC1OrJPAAfNI;W1:XeCU11Vr .. _. .._._.._._..., B OIIICtNmtl I;em EXCLWtur t.L VISEASt-EA EMPLOYE S 500.000 rtyyees�awAueunoer SPECIAL PROVISIONS below E.L.DISEASE-POLICY LIMIT $ 500,000 OTHER DESCRIPTION OF OPtRA I IONS I LOCH I IONS I VEHICL ES I FXCI.US10NS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF rHE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL30 DAYS WRITTEN Kendall & Welch Construction NOTICE TO THE CCRTirICATE HOLDER NAMED TO TIM LEFT,BUT FAILURE TO DO SO SNAL L IMPOSE.NO ORl tGATION OR LIABILI I Y OF ANY KIND UPO NSURCR,ITS AGENTS OR 5 0 8-4�,8-4 9 07 NtPRtStNTATN AUTHORIZED RF ACORD25(2001108) ACORD CORPORATION 1988 Permit# Permit Date REScheck Software Version 3.7.3 Compliance Certificate Project Title: Wildman Residence Report Date:01/16/07 Data filename: P:\Wildman Residence\rescheck.rck Energy Code: Massachusetts Energy Code Location: Osterville,Massachusetts Construction Type: 1 or 2 Family,Detached Heating Type: Other(Non-Electric Resistance) Glazing Area Percentage: 28% Heating Degree Days: 6137 Construction Site: Owner/Agent: Designer/Contractor: 318 Tower Hill Road Charlies Wildman Ronald Welch Osterville,MA 02655 318 Tower Hill road Kendall and Welch Construction Osterville,MA 02655 P.O.Box 490 Osterville,MA 02655 508-428-4900 Compliance: .. Cavity - - �.. Ceiling 1:Flat Ceiling or Scissor Truss: 280 30.0 0.0 10 Wall 1:Wood Frame, 16"o.c.: 440 13.0 0.0 26 Window 1:Vinyl Frame:Double Pane with Low-E: 83 0.320 27 Door 1:Glass: 42 0.320 13 Floor 1:All-Wood Joist/Truss:Over Unconditioned Space: 280 30.0 0.0 9 Furnace 1:Forced Hot Air:90 AFUE Air Conditioner 1:Electric Central Air: 13 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 Massachusetts Energy Code requirements in REScheck Version 3.7.3 and to comply with the mandatory requirements listed in the REScheck Inspection Checklist.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 J4.4. Builder/Designer Company Name Date I Wildman Residence Page 1 of 4 if REScheck Software Version 3.7.3 Inspection Checklist Date:01/16/07 Ceilings: ❑ Ceiling 1:Flat Ceiling or Scissor Truss,R-30.0 cavity insulation Comments: Above-Grade Walls: ❑ Wall 1:Wood Frame, 16"o.c.,R-13.0 cavity insulation Comments: Windows: ❑ Window 1:Vinyl Frame:Double Pane with Low-E,U-factor:0.320 For windows without labeled U-factors,describe features: #Panes Frame Type Thermal Break? Yes No Comments: Doors: ❑ Door 1:Glass,U-factor:0.320 Comments: Floors: ❑ Floor 1:All-Wood JoistlTruss:Over Unconditioned Space,R-30.0 cavity insulation Comments: Heating and Cooling Equipment: ❑ Furnace 1:Forced Hot Air:90 AFUE or higher Make and Model Number: ❑ Air Conditioner 1:Electric Central Air: 13 SEER or higher Make and Model Number: Air Leakage: ❑ Joints,penetrations,and all other such openings in the building 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: 1. Type IC rated,manufactured with no penetrations between the inside of the recessed fixture and ceiling cavity and sealed or gasketed to prevent air leakage into the unconditioned space. 2• Type IC rated,in accordance with Standard ASTM E 283,with no more than 2.0 cfm(0.944 Us)air movement from the the conditioned space to the ceiling cavity.The lighting fixture shall have been tested at 75 PA or 1.57 Ibs/ft2 pressure difference and shall be labeled. Vapor Retarder: ❑ Required on the warm-in-winter side of all non-vented framed ceilings,walls,and floors. Materials Identification: ❑ Materials and equipment must be identified so that compliance can be determined. ❑ Manufacturer manuals for all installed heating and cooling equipment and service water heating equipment must be provided. ❑ Insulation R-values,glazing U-factors,and heating equipment efficiency must be clearly marked on the building plans or specifications. Duct Insulation: Wildman Residence Page 2 of 4 1 ❑ Ducts shall be insulated per Table J4.4.7.1. Duct Construction: ❑ All accessible joints,seams,and connections of supply and return ductwork located outside conditioned space,including stud bays or joist cavities/spaces used to transport air,shall be sealed using mastic and fibrous backing tape installed according to the manufacturers installation instructions.Mesh tape may be omitted where gaps are less than 1/8 inch.Duct tape is not permitted. ❑ The HVAC system must provide a means for balancing air and water systems. Temperature Controls: ❑ Thermostats are required for each separate HVAC system.A manual or automatic means to partially restrict or shut off the heating and/or cooling input to each zone or floor shall be provided. Heating and Cooling Equipment Sizing: ❑ Rated output capacity of the heating/cooling system is not greater than 125%of the design load as specified in Sections 780CMR 1310 and J4.4. Circulating Hot Water Systems: ❑ Insulate circulating hot water pipes to the levels in Table 1. Swimming Pools: ❑ All heated swimming pools must have an on/off heater switch and require a cover unless over 20%of the heating energy is from non-depletable sources.Pool pumps require a time clock. Heating and Cooling Piping Insulation: ❑ HVAC piping conveying fluids above 120 degrees F or chilled fluids below 55 degrees F must be insulated to the levels in Table 2. I Wildman Residence Page 3 of 4 Table 1:Minimum Insulation Thickness for Circulating Hot Water Pipes Insulation Thickness in Inches by Pipe Sizes Non-Circulating Runouts Circulating Mains and Runouts Heated Water Temperature(°F) Up to 1" Up to 1.25" 1.5"to 2.0" Over 2" 170-180 0.5 1.0 1.5 2.0 140-160 0.5 0.5 1.0 1.5 100-130 0.5 0.5 0.5 1.0 Table 2:Minimum Insulation Thickness for HVAC Pipes Fluid Temp. Insulation Thickness in Inches by Pipe Sizes Piping System Types Range(°F) 2"Runouts 1"and Less 1.25"to 2.0" 2.5'to 4" Heating Systems Low Pressure/Temperature 201-250 1.0 1.5 1.5 2.0 Low Temperature 120-200 0.5 1.0 1.0 1.5 Steam Condensate(for feed water) Any 1.0 1.0 1.5 2.0 Cooling Systems Chilled Water,Refrigerant and 40-55 0.5 0.5 0.75 1.0 Brine Below 40 1.0 1.0 1.5 1.5 NOTES TO FIELD:(Building Department Use Only) i Wildman Residence Page 4 of 4 Engineering Dept. (3rd floor) Map Parcel Permit# 41 House# 3) '� / Date I q d -a-/A:V9 7 oard of Health(3rd floor)(8:15 -9:30 0:00-4:30) -S` Fee f �Zonservation Office(4th floor)(8:30-9:30/1:00-2:00) Planning Dept.(1st floor/School Admin.Bldg.) .►� SEPTIC UST BE Definitive Plan Approved by Planning Board 19 INSTALL LIANCE TOWN OF BARNSTABLUNVIRONM CODE AND — - Building Permit Application TOWN REGULATIONS Project Street Address Village Owner �' 1��-� ,1 U)-;t4 a v Address S'�¢m t ,¢, v51(3,fYK-� Telephone Permit Request t First Floor square feet Second Floor square feet Construction Type U t120 D �7_?�-E Estimated Project Cost $ .-- Zoning District Flood Plain Water Protection Lot Size 6'. 7 V(o Grandfathered p Yes ❑No Dwelling Type: Single Family E:r' Two Family p Multi-Family(#units) Age of Existing Structure /' Historic House ❑Yes No On Old King's Highway ❑Yes ❑No Basement Type: ❑Full ❑Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full: Existing_ New d Half: Existing O New G No. of Bedrooms: Existing New 0 Total Room Count(not including baths): Existing New First Floor Room Count Heat Type and Fuel: p,C as p Oil ❑Electric ❑Other Central Air pis ❑No Fireplaces: Existing New Existing wood/coal stove Q-Ws ❑No Garage: ❑Detached(size) Other Detached Structures: ❑Pool(size) ❑Attached(size) y Y 2 y ❑Barn(size) p None ❑Shed(size) ❑Other(size) Zoning Board of Appeals Authorization Q Appeal# Recorded❑ Commercial ❑Yes ❑No If yes, site plan review# Current Use Proposed Use Builder Information Name LE-!T Telephone Number -17'1c--, Address C32 -9 y tom/ License# C4 ��&�z 1g�& Home Improvement Contractor# ZZ$ 349 Worker's Compensation# 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 - G * � SIGNATURE _ DATEAf BUILDING PERMIT DENIED FOR THE FOLLOWING REASON(S) ,.► " r° - FOR OFFICIAL USE ONLY PERMIT NO. ` DATE ISSUED MAP/PARCEL NO. ADDRESS - VILLAGE •'" i OWNER 1 i DATE OF INSPECTION: ' FOUNDATION » FRAME /I 7 , INSULATION FIREPLACE f O I bO ELECTRICAL: ROUGH FINAL " PLUMBING: ROUGH . FINAL GAS: -OH 7 k FINAL FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN N,(3 iM :S C7 , • ..Y f �J Y'.:� .f1�r s�Jam.. T_�.• • � 444 c4 i y •� Aj"'. s�i mar i`r s �'�r^'( •. <: .i•.!. ., .s• r 5,•.. "3'S]�t�<, u'�' «�,�. � •yf .� ��i.���i�l`,,•,lMw k��`�.h Jry�S'Y 1 S � -• • `. "/.- ' ;`1'. iCj;R `� 4•1. - �' t- r h +^a" � '� h 'fl + i. . .... ..,. . - ; � ., '.� x�'•�• .�r ,�� $ �'"' " �„ � ` 'on application�' •.ti,�`,�''" ".r,� ' - -j•}^� cX.n`�'.s l.;T. i �,xtt<+'hy,9+T '7 xt►�.�r•"�,yvl�wl ,�< f�'St.. N S >,; •' k d to the mailing address on the �•.,h.NE'r?��a,'(if "�}4 S:.,g b.. �n ;.! <' -ztr•``4 �e a ty x � ,�_ ,4 i ��.�" ` "Ya; t Kip❑Lost Card ❑Other ' + v ```���ttt r � ,,,+�.y' y.,y�l ter. � l F�•f^ 7 �. ------------------ Kg" 1. Sr . . ._„� �> •t'.�Mid rk., ��.,j� •�• , f HOME IMPROVEMENTCOMTRACTOR 4a ,Registraton�''yS18389� TYPerxNDIVIDUAI { - : . Ezpiration 03%07/99N -CHA_RL'ES W apt. f SLAND AVE/PO�QOX 304..-� ADMINI NNISPORT MA'0264Z� STRATDR : } Y ZIP �5.� .�74•{.0:...5r4' iAi;'•il. �'SRs1. Ti I,K r '}�•p Tip CI, t !i.�r . mn $ MAY CHARLES W TARDANICO BOX 304 (�. . HYANNISPORT, HA 02647 — —J- -�- --- -- ((1 �/�e i0o�nmrairwea��i o�,,�CuJella I S Restricted To'; DEPARTMENT OF PUBLIC SAYETY CONSTRUCTION SUPERVISOR LICENSE 00 - None Nulber: ' Expires: 1G - 1 6 1 f Restricted To: 00 failure to po, Massachusetts r W e— CHARLES U TARDARICO is cause for. BOX 304 HYARRISPORT, MA 02647 Tile Ctlnintonwealtlt of Massachusetts ,,J Depart►nent of Industrial Accidents =i Office ollavest/gatiotts 6(lll 1♦f'ashin�Ion Street _ Bustu►r,Mass. 02111 Workers' Compensation Insurance Afftda%it __.__-� ....... --c--- ,a..:,•-...,-^.ter+-••-------••--- �. �., - ---- i G locatoone r S nhone# ����� ri I am a homeowner performing all work myself. rl I am a sole proprietor and have no one working in any capacity e}.:•...^owl- :�..�--sT '�' .; .D�.a.+l��.*�+[*:F.c--+�+. :'e .;..�.+r-... .., .. ^.'.. :.� +....., .••^ -,x- I am an employer providing workers' compensation for my employees working on this job. cornpany addr cite phnne#• incurince co ) # 0 1 am a sole proprietor, general contractor,or homeowner(circle one)and have hired the contractors listed below who have the following workers' compensation polices: comLlnm name: addresse -7� i =it) s'e'/ S Dim/ phone#• S insurance co, policy -. .. e-rr ^+.� ;r�:r;T^'-+u .r,�r.:•7C�!w .y,„,e.A,� ,•�la-•�- �_..�...._as�. -_.....'ss:ea• - :-r mac; :�• tim any name! address: city Phone#• insurance co ` policy# _ :Attach additional Sheet if•neeelS8 �'! r -- '1,,c Jr ra'F"N# 7.=`4_''•:•'Yi�x�:4a:: `:c:Il::r�Ati "e=�+r:_`_?J u.: a. .. ...�' o: Failure to secure coverage as required under Section 25A of D1GL 152 can lead to the imposition of criminal penalties of a fine up to S1.500.00 and/or one years'imprisonment as well as civil penalties in the form of a STOP NVORK ORDER and a fine of S100.00 a day against me. 1 understand that a copy of this statement may be forwarded to the Once of Investigations of the DIA for coverage verification. I do herehr certifu arsdr and dun-that the injorntation provided above is true and correct. Sienatun Date Print name v(' �G�—.'t/�!d/L'� Phone# Z7 5 �'!l A_ } official use only do not write in this area to be completed by city or town official city or town: permitAicense# rlliuilding Department C3Licensing Board check if immediate response is required E3Scleetmen's Office z C3I1calth Department ' " contact person: phone#; MOther t: (revised 3,195 P1A) The Town of Barnstable W AM Department of Health Safety and Environmental Services °ram - Building Division 367 Main Street,Hyannis MA 02601 Office: 508-790-6227 Ralph Crossen Fax: 508-790-6230 Building Commission: For office use only 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: Est. Cost Address of Work: Owner's Name r ��-� �°�✓ u J �� Date of Permit Application: + �T o202 —mil 7 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 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. Date ntractor Name Registration No. OR 01 i 1. o � TOWN OF BARNSTABLE . , Permit No. __-__:2 4 4 g 4 - I Building Inspector cash OCCUPANCY- PERMIT Bond Issued to Paul Fair ,�Address Lot 2, 3h8 Tower Heil! Road, .Osterville Wiring Inspector i�j� ,�-a Inspection date i Plumbing Inspector � i�µA� Inspection date Gw Inspector ��° 'I JiL . l Inspection date " K J8 X Engineering Department,:2! Inspection date '19— ZI Board of Health VA Inspection date = f�- 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. -711 ......................... ........ i9d ................ ............ Building Inspector f � / r M -A- FROM - w F� `T TOWN OF BARNSTABLE BUILDING DEPARTMENT Mra Francis.Lahteir ' }�. �,. _ �.,..�...... .y�.367 MAIN STREET . HYANNIS, MA -02WI 2bm Clerk Phone:: 775-1120 i SUBJECT: FOLD HERE S DATE Sept. 18, 1984 t" MESSAGE 1 I. y' Work has been conraleted under Plertitit 24494 (Paul Fair) W.A Ya+t s�«•v•k Y•I v•FBI«�a.>,t.Y i'!a a1_ �Yi49iv♦. u1 a'a" �. a •+a Please release Bond. ,sr i44/Tr;i 4.+ap ar bar♦6n iY.f y,�.«.r�- ' SIGNED ' f / DATE 7 y REPLY SIGNED ® Ne7•RmI RECIPIENT: RETAIN WHITE COPY,RETURN PINK COPY PR NTED,IN U.S.A. SENDER: SNAP OUT YELLOW COPY ONLY.SEND WHITE AND PINK COPIES WITH CARBON INTACT. Asse tr's map and lot number .....1.../..1/................... .. n . 3 ' THE r0` Sewage " Permit number ........G7. 11..`....... ........................ LL-P`III; SYSTEM MUS ST= i House number INSTALLED IN COMPLIA rius WITH TITLE 5 oYar TOWN OF B AR NSTAVBZfy; ; c ODE AND BUILDING- INSPECTOR h APPLICATION FOR PERMIT TO TYPE OF CONSTRUCTION tt ........................................................................................................... ........................ 19`.!N... � TO THE INSPECTOR OF BUILDINGS: a The undersigned hereby applies for a permit according to the following information: i Location ......L© ,.....TG?49� .P.. ,.�7: :. ... rl:.f!14.'C.......1>74.•..................................... ProposedUse ................ �....A'n,41,Fa/.4............................................................................................................. tZoning District ................. .... Fire Distnct . ............................................................................ jName of Owner ......1 dt�UL /�/, ��......................................Address g3: !Q1�1,�.. %�). . r0.f� �L .1� 72 Name of Builder- All.CAR- 5—q!4 ... A,6 Address .......����'�!!�.��. .�!�.......9A.A.,,u..................... Name of Architect l.Y..l4/� sva� � D..M �,.. �1 :.....Address ....... Number of Rooms ....................�..........................................Foundation ....CQL. 0 ........................................... Exterior .......N!ll{/.T ...C.A..4!t!Q....�1. !�?�I S Roofing ......... . .......................CEdA�' ��j!!J >5.................. ........... ... 09 Floors .........r+l/V�.....&4.&A......................................Interior .........0AY1 ............................................ D Heatingi G � ®�Jr S y...............................................Plumbing ............................. ... ...................�...................... Fireplace pp ..rj'..............................................................I..:..A Approximate Cost �.�l.. ..................... . ... # Definitive Plan Approved by Planning Board -----------_---—_---------19______. Area .......1�................a............... Diagram of Lot and Building with Dimensions Fee SUBJECT TO APPROVAL OF BOARD OF HEALTH X32 I� OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the T 9nof Barnstable regarding the above construction. d Name,X'........ .. ............................................... FAIR, PAUL Q No 249.4.... Permit for 1.�..st..... ............... ..:Single...F'am lv Dwe.l� ?n�.............. Location ..Lot...#.Z.......3.1.$...rX9W.� ..�i .�.7.. Rd. Osterville ............................................................................... Paul Fair Owner .................................................................. Type of Construction ....Frame......................... Plot ............................ Lot ................................ �y October 27, 82 r:v^ermit Granted 19 F Date of I pe ni?'7J!:M.....................19 . Date Co ple d 19 f e .. V�7lU VN1 H - r - - S►►�GLZ-- FAMILY - 3 BEORooM /L� • N� GAczgAGE '(>wn1DE2. \��'• �� If•.^'•>'�...M." DAlt_y P%-ow = tic> X 3G TN = 33oGPQ , �'(.` o-r- �� =.495G.P $EPT1AK = 330x15 0 0 : 05p-7- 1 000 GA%-. ot5PD5AL PIT y5E lo00 GAS_. pIT �1.3 ✓ ` �•�• A� t S�DENlAI.L A21r1►. = t�jd S.F. � a v � a r 'y I t5o 5.F z?56gR -TOTA t- V>S'51 M : .¢2 5 G.P R. -rcTAt_ pA l t_Y FLo.W G>ea. 41, 2 8 PE2cot_ATlof�t R�►TEr l''IN VAIN o2LE55 F&QNAL* `�8, owuo x Q� Ways ��1N QF WILLIAM ALAN Nol 11u. 19334 J N 0_� w . . . . . .o I �01+6TEfL ' 4wo SUa iONAI 106 it TEST q I F4 ►: TOP FWD*%00.0 I � r i �I I,oAH , _ tOOU LZ Ley 1NV. 1 gvTsGvrlG. 9G.8 Q• � ,.;. <, ,,.� i sue •,� o i ..�� , soil.. loon IAIY, i . . is� _ GAL.. U-0 INV.' _.. . .__ _.._.._._. .. _�• 1i . . _ . . t."&vm WIT" r tiG L �16. f �I 6•roNG j��" 1 'S?�llj t.r I �J JWLJ 10 } 90.0 ,e ec, ou � 'GwS , I ;� CEtZTIFtGG P1-dT P>_AIJ ! I - PR.oFILt= I I.oCA-r 1CIJ pSTE�v ► L..�-E , ! No SCALE SCALE ��N*. -QcTpATE 6� l o �8 Z�. NI R E P E V-St,4 CGE• 1 � CE�Ttt=Y - THAT TNT"IGurJC. �u0.•SNowN , NERCOI�t COMPL\(5 WITH-[HG- L O•T 'L AWD 6C--15 .GK 'PLAN FoR �EORGE ''ir 'WALt0A I �'aWN ol✓BARNSTA3\-.E AND ►S li t_Ocp.TED WlTN1N TN6 GLooC:> PL.AI . : s ' .L9! .... OAT 14•8Z BAXTEiz-e 1�1YE INC. R.EG 1 S"[f�Q6� LAND 5 M R.Yi'cYolir'S TuIS PL&KJ 15 Nam' 4A56D 4> d AN 03TEP.J1/ILI.E. • MA55. T2.uMENT Sul`vEY 4-rNE oFF5ET5 6uout3> C �� No-r aE V'j�DTb pETEQl1111�1= LpT' L-•11.1Ej. APPLICP.►-I-r V�5tvNI vNI A-x � r 5%W GLC-• FAMtLY - 3 BE pczooM Ck ' WO GAIZBAGE- DAIt_y FLOW .: t►ox 3 = 33oGPL? �t'�.� ° 5EPTtG `rAtJK = 330x154>% =495&.Po tJSE 100o GAL. 1 �1 �a,s� ` DI.5P05AL PIT v5E' (000 GAL. PVT S 1 DEWALL AP-Sh. = 15a S.tr 15o S.F X �•5 = 3?5 G.t'�? �.Ho 6��,c;e ` \12 \ 50TTOM AREA= tp� G.P. -TOTA l- r->6SiGN 'ToT At_ pA 1 L4,( F%-O.W ,: 33o G,eD. axP-'e, Z PE2COLATIOW RATE : I"IN ?MIN / I i; M � t Uri W ILLIAM PLAN C. N r E IQ 4.'10 . �� ,p Nei. 19334. �1r1TEfi �• O 7E . its .�/ r 4*0 SUR iONAL�N6 r._ I-. s. TE5T FG. '; TOP FND=100•0 q t Gwot-c- 9 8 µ LoAH. Iona INV. • DIST. INS GAL- 9G.8 SU8 gv�C S£PT%G So%L- Joao 1IJJ .. 9a.` TA►JK i ! PIT._ _ ;--..INY. INyG..4_:. . ..___._ : . :..'...-..: _ ._._,• h ` �i McD`v«1 u!►ru -- -- -_ice. WASI.I6D ee SktU\a. it�a,1 �+— GERTIFIGD PLoT P1.-AIJ II PRoFIL.� I! NO SCALE SCALE �1ry*. FT V A.TE 5� 1 0 /8 Z' pt2oR a P t-A N RED 61ZEN Gt= �� GEQTtVL THAT 'TNT DWO.J4U&5N WN NElZC-.OW GOMPU?6 WITN'TIaE LOT Z A►Jp 5G-7C54G1C re-GQt)tt2EM>=NTs of= -CND pLAtV F01Z f E 9WPE 1�WN o1=BARNsTAB`E A,e.I� 1s N� : : SE�T� z9, 1 9z+. e:S t_OGpTED :WITNIW TN6 C:%-000 PI.AI LSAT BAxTEV-e Wye: INC. � l�l 15 NET 5A56n C d AN 'rN15 pL& REoSs"rE2Nl�l.� ��,WP,55YEYoiZS I, f+ I uM6NT SUC-V6`( j,� -TNE OFF'5F-7r Su0Ut,D i No'Z' C�� VS�DTb PETER-.MINE t✓o�" VIN6.�j APPt-ICA�••►T �?s�uL. FPS\�, I 5 t PHILIP M. BOUDREAU ' ATTORNEY AT LAW 396 NORTH STREET HYANNIS, MASSACHUSETTS 02601 TELEPHONE (617) 775-1085 PLEASE REFER TO FILE NO. - i September 21, 1982 Mr. Joseph Daluz Building Inspector i Town of Barnstable Hyannis, MA. 02601 Re : Lot 2, former 401 way (private) shown on Plan Book 345 Page 12 Dear Mr. Daluz : Lot 2 is owned by Paul Fair et ux and is one of two lots shown on plan recorded with Plan Book 345, Page 12 , Barnstable County Registry of Deeds . Lot 2 is part of a larger parcel comprising Lots 1 and 2 on said plan which was owned of record by George E. Walsh et ux. The "former 401 way" is also shown on plan recorded with Barnstable Deeds in Plan Book 74 Page 37 and leads from Tower Hill Road to Pond Street over said land of Paul Fair and adjoining land of his grantor, George Walsh et ux. In the deed from George Walsh to Fair dated October, 1980 and recorded in Book 3178, Page 85, no right -of way was reserved over said way by the Walshs . The r _ onlypersons abutters with an &- P (abutters) y possible -interest have�re-lease3�'-' + the same as follows : 3 Mabel M. Nute by deed recorded July 28, 1982 Book 3533 , Page 78, copy enclosed (Mrs . Nute was deeded a 201 right of way from her abutting property over said way to Tower Hill Road as appears on ' copy of plan filed herewith in Plan Book 345 Page 12 . Donald E. Vandenburgh et ux released rights over said wa g g Y to the Fairs by deed dated May 11, 1982 in Book 3489 Page 188 reserving a 201 access from their abutting property to Tower Hill Road over the southeasterly 201 of said former way. Thomas B. Hartigan released to Paul Fair et ux all rights over said way excepting a 121 right of way to Tower Hill e Page 2 . . . . . . . Joseph Daluz September 21, 1982 Road to the southeasterly extremity of said way. There are, therefore, no possible parties of interest in any portion of the 40' way other than the 20' and 12 ' rights of way reserved respectively to Nute, Vandenburgh and Hartigan as- the extreme southeasterly corner of the premises, as shown on said plan . S incer41y, / ilip M. B�ou3reau PMB/lms i � z P 0 PON O S TA2EET N 1B'1/•IO I • PL AN OF Z /V 0v 0,5TE/2VIL LE — OA2/VS7-/46LE, Fl.-j SUO✓cYEO Foe 3 OL/V C e C. C o f'�cllV b ZC,04Z //NcH-40 Ftc7 ✓uNL /9aG of Z h 0 I • lVn/r/vt✓E•Baa�e7r-.Ooc///remf•fi.�//vtl� �. Q 0 a O , 1 � �� Ott ryt•.o�j � sr �. 'sue 001 1 06Ors �Jy�Ty4T9 •j, �; < 0 O.FT c u p o a v Of N0 10 fa. 's.�i a7' q al ,A - , Booa3533 ME 078 20547 RELEASE DEED I , DIABEL M. NUTE of 200 Pond Street , Barnstable (Oster- ville) , Barnstable County, Massachusetts , for consideration of ONE ($1. 00) DOLLAR, RELEASE TO PAUL E. FAIR and LA VERNE FAIR, husband and wife, as tenants by the entirety, both of 93 Franklin Street, Stoughton, Norfolk County, Massachusetts, All interest in and rights of way of every kind and nature in, over or upon the "former 40 ' way" shown on plan of land entitled "Plan of Land in Barnstable (Osterville) , Massachusetts , for George E. Walsh, Scale 1" = 40 ' Sept. 29 , 1978 , Baxter and Nye, Inc. , Registered Land Surveyors, Osterville, Massachusetts" , . which said plan is duly recorded with the Barnstable County Registry of Deeds in Plan Book 345, Page 12 , which may be appur- tenant to my adjoining land which is shown -as-.land of 'Les.li.e F. Nute/on said-:plan.. For grantor ' s title, see deeds from Sarah Abrams to Marney and Nute dated April 22 , 1955 recorded with Barnstable Deeds in Book 908 , Page 455 and from Marney et al to Leslie F. Nute et ux dated March 5, 1960 and recorded with said Deeds in Book 1073 , Pa e 5. See also Estate of Leslie F. Nute, Barnstable Probate No. WITNESS my hand and seal this , / day of 1982 . r Mabel M. Nute COP414ONWEALTH OF MASSACHUSETTS Barnstable, ss. � ,`.r 1982 Then personally appeared the above-named MABEL M. NUTE and acknowledaed the foregoing instrument to be her free act and deed, before me Notary Putp is �f�vh�1 Q• a4�jr My commission expires : ,i � ���/ I " I �tI;UKUEU AUG 5 8Z BOOK 9 PAGE 187 13283 RELEASE DEED I, THOMAS B. HARTIGAN, of 298 Tower Hill Road, Barnstable (Osterville) , Barnstable County, Massachusetts, for consideration of ONE ($1.00) DOLLAR, RELEASE TO PAUL E. FAIR and LA VERNE FAIR, husband and wife, as tenants by the entirety, both of 93 Franklin Street, Stoughton, Norfolk County, Massachusetts, All interests in and rights of way of every kind and nature in, over or upon the "Former 40 ' Way" shown on plan recorded with Barnstable County Registry of Deeds entitled "Plan of Land in Barnstable (Osterville) Mass. for George E. Walsh; Scale l" = 40 ' Sept. 29, 1978, Baxter & Nye, Inc. Registered Land Surveyors, Osterville, Mass. ", which said plan is duly recorded with Barn- stable County Registry of Deeds in Plan Book 345, Page 12, which may be appurtenant to my land more particularly shown as "Parcel B" on plan of land entitled, "Plan of Land in Osterville - Barnstable - Mass. Property of Osborne F. Marney, Scale :- 1 inch = 40 feet - June 27, 1961, Ed. Kellogg, Civil Eng 'r, Osterville", which said plan is duly recorded with Barnstable County Registry of Deeds in ll Ro, Plan Book 164, Page 123,. exceating, however, the 12 foot right of way `!Stki in deed from Osborne I, rney et Ux recorded with Barnstable Deeds in Book 1129, Page 421. See deed recorded with Barnstable County Registry of Deeds in Book 1129, Page 421. J WITNESS my hand and seal this day of r)la,, 1982 . THOMAS B . HARTIGAN COMMONWEALTH OF MASSACHUSETTS Barnstable, ss : nc.� a S 1982 Then personally appeared the above=named Thomas B. Hartigan and acknowledged the foregoing instrument to be his free act and deed, before me, m •t Notary Public My Commission expires : OU" MAY 28 82 RECO�GED 0 Q4 ZV?,,GE 8 -3284 RELEASE DEED We, DONALD E. VANDENBURGH and ANN S. VANDENBURGH, husband wife, as tenants by the entirety, both of 3 Greenwood Street, Sherborn, Middlesex County, Massachusetts, for consideration of One (1) Dollar, release to PAUL E. FAIR and LA VERNE FAIR, husband and wife, as tenants by the entirety, . both of 9$ Franklin Street, Stoughton , Norfolk County, Massachusetts, ) All interests in and rights of way of every kind and nature in, over and upon the "Former 40' Way" shown on plan recorded with Barnstable County Registry of Deeds entitled, "Plan of Land in Barnstable (.Osterville) Mass. for George E. Walsh, Scale 1" = 40' Sept. 29, 19-78, Baxter & Nye, Inc. Registered Land Surveyors, Osterville, Mass.", which said plan is duly recorded with Barnstable County Registry of Deeds in Plan Book 345, Page 12, which may be appurtenant to our adjoining land more particularly shown as "Parcel A" on plan of land entitled "Plan of Land in Osterville - Barnstable - Mass. Property of Osborne F. Marney, Scale: 1 inch = 40 feet - June 27, 1961 Ed. Kellogg - Civil Eng'r. , Osterville", which said plan is duly recorded with Barnstable County Registry of Deeds in Plan Book 164, Page 123 Reservi,n..^ to the grantor a right of way to Tower Hill Road across the southeasterly twenty (20' ) feet of the forty (401) foot private way hereinbefor mentioned. WITNESS our hands and seal this I day of May, 1982. BEY SCHuL-z Donald E. Vandenburgh 1'DRNEY3 AT LAW / ) �J -T� PINE STREET �.0. BOX 300 � Arin S. Vandenburgh WANNIS,MA.02001 ;4017) 778-0346 BOOK3489 PAGE 1 9 Commonwealth of Massachusetts Barnstable, ss. May . , 1982 Then personally appeared the above-named DONALD E. VANDEN BURGH and ANN S. VANDENBURGH and acknowledged the foregoing instrument to their free act and deed, before me - i Notary Public My commission expires -;Y a SCHUI -CYRNEYS AT LAW 1-.-INE STREET P..A. BOX 309 '4NlNIB.MA.02601 IM 71 77B-034E I- RECORDED MAY 28 82 . 7 i Assessor's map and lot number ......` .:............................. ��..�.i OF TBE TO g it umber , m� o� Sewage Perm n ..... .... .... . .. House numbe %639- k s�sas:set, S �o Mar d� TOWN OF BARNSTABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO �� �i�.�! f � `j t/ . . .Jf .. ,. .. ... ...... .......................... .......... ..................... h ti! p TYPE OF CONSTRUCTION ........ ..... ....•�....`..t( ....................... .....�.............. q�l � 19 TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location ......4A.r. z....... ......' �rA.:......................:................................. ProposedUse ................blean:`.... .. .................................................................. ................ q .. ............... ZoningDistrict ........................................................................Fire District .................................................ff ........... f Name of Owner ...... "G?:%�/ r'>f 1.................. ...............Address Name of Builder' ES ,ff7G:.....Address ...... ...................... Name of Architect ar/.....14Aa 4C5,11(.......Address .......1-5wnA.•Mg.../ !�. D.� 6 j Number of Rooms ....... ...........................................Foundation .... ............................................. Exlerior .......�V1¢l Tom:. ^,C,, ;t�,�? ....e��I{nkl ... . ....Roofing �&w. Floorsf ' ; b Interior ..........G- ! ' Gf/,/ � .- . Heating :...............................................................Plumbing :................................... Fireplace .. . �: { Approximate Cost ...... ........................................` ` ......... A:'... .... ..... Definitive Plan;Approved by Planning Board ________ 19 . Area ....... .............. Diagram of Lot and Building with Dimensions Fee Z` SUBJECT TO APPROVAL OF BOARD OF HEALTH ' yo OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the:; Rules and Regulations of the Jawn. of,'Barnstable regarding.the above construction. Name ::...............g.....z........................................................ � ( 75 FAIR, PAUL A=118-42-2 � 24494 Permit for .. 1� Story........... ...................... Single Family. "Dwelli.ng ` �.......... ............................................ ....... Lot #2, 318 ower Hrll Road Location .................................. .... .............. Osterville .... . ................................................................. , Owner Pa.ul. ....Fai.r .... .. . ....... .......................................... Type- of Construction ..Frame I' ............................................ ................................. Plot ............................ Lot'........... Permit Granted ........October 27, 19 82 L Date of Inspection ....................................19 Date Completed ......................................19 2C) 1 Y '-`° F�41`.`✓� `•I.n`vc�`�1rv�7I-lddd r7,�1`)I.� ..L41 � . .� � �_ ,. - . �tv I�•t��,�:�� �J�035 n �3scl•a:v.hi 5 '1'11r13i =i 4 >l i �• :n �.y ,LN4J r1 .1r5�Pi 1 N`dtw rp AR I`V'1ri av N1 NiN:1:iM, a3sd o� E9 1�/M"' 3`�clo3� 2{:b� :Nb'td '1DN St <1r-4'v', -,gb� st ib3 o' tvMo� .arv•d --.j:.p 1 rvl-13n I S �t I i ru-lM •S 'idw:o 'tvo3. s'3H •3�7�N�2S9��21 :� t'�I�/"t d. . ' N/�QHS.,�� ..�,����.�3N i �iv,Hy ��.�+`1���.�� �., 257 �h�;'�JI �`t<f7S oN ly'd 1 W�U!, i q 6'74, v, y1hlVJ 7 7� r�+ 0001 '►1Q� + INN �NI oo01 _ Nboy r ,r. d •.•C. ✓ u15.�LS:�_.1�r- -rJ 6 �7 4 �, FTC k. -. i O V cN -Q PI J d o f `7y Z. y s,; f i �•�"- j' hey;91INQf 3L O li t r+2!()-i Niw-z N+ ;1, -a C3a9 4rvii: = I`11'Orl� �.`11 t/CE "1`dlvl' 91$��3 ,'ltfloL +�� i',ar, • 'd S O�' V'32ft! Y110>_10q ' ''.��*���: �` �'`?`.�'! f ,. �toe•4 - ad•�'SL�' ,.s•, �t ����- �S ,0�9. .'�/ ., '�1>� OQo{� .�5c�,:• 1td "9VSO�yta t ¢t r .; �.� � ' ' ��� k � � b d'9•Sb..ti%•- '/av5.l-xoEF� ��r►di •.��id:�s. t£ x�avrj:�t .iwvvo..//-+���yy�`J•�ir�oy►}ay, Assess is off4.e Pst floor): /� 0 r� — 00� v(JaE�C s pi THE TO Assessor's map and lot number ........0.................................... �M MUST B Q.. �♦ Board of Health (3rd floor): Nz INSTALLED IN COMPLtAN Sewage Permit number ....... WITH TITLES t BAUSTODLE, ? Engineering Department (3rd floor): ENVIRONMENTAL CODE AN ° t°°' Housenumber ......................................................................... �� Definitive Plan Approved by Planning Board ________________________________19------TOWN AEQVu TIONS APPLICATIONS PROCESSED 8:30-9:30 A.M. and 1:00-2:00 P.M. only .TOWN OF BARNSTABL.E BUILDING INSPECTOR f APPLICATION FOR PERMIT TO ..... .... ..C� �:�....... rrw... .............1............................. TYPEOF CONSTRUCTION .. ......... .............. ................................................:..................................................... .......................5�3�.............19.".°.. TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: s '. QT Location .. ..1 C�..........l:.cltv'.. ........... 1.1/.(......1\ ..... ... � l��. '............... . ProposedUse ............................................................................................................................................................................. Zoning District ...... ..... ..............................Fire District 4�� L.. N l� rll (Z !�I0LO46 -wu, -Obi e4h[.L>d��!lA- Nome of Owner . . .....Lll!/.G(G.......... ...1.1�.............Address 3.I ....... ... ,(,............................. .... ........... .. ....... Name of Builder ... . ........�!�Y...... ..� .. F............Address .�3p (.d(.�1Q ZOO j Name of Architect ..... .......Address ............ -3 �8 NumberHof Rooms •..................................................................Foundation .............................................................................. Exierior ..................:............................................................... .Roofing .................................................................................... Floors .......................................................................:. .Interior Heating .......................................................:..........................Plumbing ...................� Fireplace ..................................................................................Approximate Cost .. ....... .......................... Area X 3,2 �. Diagram of Lot and Building with Dimensions., Fee O .............................. OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regardi the above construction. "w4tia A4 4 Name ...... ..i.`• Po .... #0"4-3�- Construction Supervisor's License ............................ FAIR, PAUL E. & LAVERNE �j No ..31.9. $. Permit for SW.].illMiRg...P.Q.0 ' AQce.ss.0.ry...to..Awel.l.ing........... Location ....8-1.8...T.Qv,?e.x...Rill...Road.......... ..................Os.ter.vi.i.Ie.................................. Owner ........PauI...F4......&...Lave rne...Faix Type of Construction ........F.ibexg.Las....&...P.oured Concrete o - ..........................................................:.................... Plot ............................ Lot ............................... Permit Granted .....May?....3.I....................19 88 �. OW Date of Inspection ....................................19 Date Completed ...� J............19 fn cc 71 f Assesc4's offige.(1st floor): °*THE Assessor's map: and lot number ...............................:............. .. TO�o Board of Health (3rd floor): �Q o d � Sewage Permit number ...... 7.. �3..1...T D"33TGDLE, i Engineering Department (3rd floor): rasa House number .... o �b3o 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 BARNSTABLE BUILDING INSPECTOR r APPLICATION FOR PERMIT TO /^� ��`' '� ' Mv"`�!....�. .C ..... ^. .............�............................. TYPE OF CONSTRUCTION ................................. .......:..°.........:................................................................. S�J�.!..........:..19. TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location ............ . . d...........1., !J? ........ .!..1.�......1\ - l ........................ .............. ..... .............. ProposedUse ............................................................................................................................................................................. • Zoning District ......9.0..:.....................................................Fire District ..:........................................................................... Name of Owner (! .. .'>. ...F..¢.I..AI� � E..... f. ......:Address W fI�.w6e �ST�le1�l LLCiI1�f1 ozbs3- . Name of Builder l.!?E'w!!?............... Address ... ;S' Nameof Architect .i........ ........... ..........:.:...:..........:.:...:....::.:...Address ............................... .:................................................... Number of Rooms ..................................................................Foundation ......................................!�.P�t::::!.................�....: Exlerior ..................:..........................................................:......Roofing ................................................................................... Floors ..................................................... ..Interior Heating ..................................................... ...........:..........Plumbing Fireplace p Approximate Cost ...........�. �re...( ..lJ.................................... Area ...:. ...X ........... Diagram of Lot and Building with Dimensions Fee .t�.f .o.e................. 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 .... ....... . n r n Construction(Supervisor's License �� �7 �� �- / �� FAIR, MAUL E. & LAVERNE A=118-*0427D02 *7 No .. Permit for ..S.WiMilkg...P.Q.0.1 .......Ac..cesso.ry..to. Dwelling...-....,. .. Location ...................Towe.r...H.i.1.1...Ro.ad................ .. ..... .... Osterville ............................................................................... Owner ...FAIR .......E...... ...Lavexile...F.a.:Lr... Type of Construction FIge-rqLas.....&'..P.aured Concrete .................................................................. .......... Plot ............................. Lot..................... ............ Permit Granted .......Ma.y... ...... ..........19 88 Date of Inspection ....................................19 Date Completed .... ............ ......................19 o sessor's office (1st floor): oFTNETo Assessor's map and lot number, ...�.L.9.-....' ..-., ...; SEPTIC SYSTEM MUST BE Board of Health Ord floor): _ � INSTALLED IN COMPLIANC Sewage Permit number ................................................. Z BAR3STABLE, WITH TITLE 5 NAM Engineering Department. Ord floor � n '° to 9. House number �,� ...3/k ... !(oV ENVIRONMENTAL CODE AND °�'�o�ara�0 ....................... . TCWq REGULATIONS ®TiIQNS APPLICATIONS PROCESSED 8:30-9:30 A.M. and 1:00-2:00 .P.M. only' TOWN OF BARNSTABLE BUILDING ' INSPECTOR , APPLICATION FOR PERMIT TO ..........EJ..UV�(�.........R n,G�z..-/?Y i- 6,9t4/�6� .... ................................................................... TYPEOF CONSTRUCTION .............. D ......................................................................................................... EG......./................19. TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location ,04.T .U. .....................14u!t�..F ...1 l•I 5..... ..�....................... L............................... Proposed Use ............. E .y.............6.q.K 6 ....?'.....:iq�C,<..C %rX. �S .......................................... Zoning District ...........................R.!1. .................................Fire District � ................................. Name of Owner v ...'..............................Address .... .../.... . .....................owe /LL Name of Builder ....... .��.:... ✓(C/{. ..KS.p'iJ..........Address a T/i../•5........�� .........OST�I�UiG�r� ........ ...................... Nameof Architect .........:........................................................Address ............................................................1....................... � I C Er . 7 Numberof Rooms ............................/...................................Foundation .................... :..... ............................ t Exterior .................( :..0......�''�/N��G .. .....................Roofing ..........9--e.c.......... `......................... Floors ..................................................Interior ...........c, 1i�GETi�Jj OC/�........�.. �E ,�e��Qy Heating 17(6.7........A1..'t...................................Plumbing ....................... . Fireplace ........................,/v"V.!! .-...................................Approximate Cost �. �J... .�................... ..... ........................ p . Definitive Plan Approved by Planning Board ________________________________19________ . Area ......... .....d Diagram of Lot and,Building with Dimensions Fee .......13 ..........•.•............ SUBJECT TO APPROVAL OF BOARD OF HEALTH Q �A a NZ gad O/LL- 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. NameP.. .�... .......... ..... .... .. Construction Supervisor's License .......v�. .....`�...... FAIR, PAUL -7 No ... Permit for ...ADDITIONr Single ............... ....Family Dwelling .................. ................... Location ........ 318. Tower Hill Road ......... ................................ sterville .........O....................................................... Owner ..........Paul...Fair..................................... Type of Construction ...Frame...,. ................................................................................ Plot ............................ Lot ................................. Permit Granted ..........Feb ruary 12, .......19 86 ................ ...... Date of Inspection ......... 19 Date Completed ............ ........:...19 <: 0 14 M Ir ri OPssors office (1st 'floor): �J �TNEr Assessor's map/and lot number ....� -:... !.�..'. ...... Board .of Health (3rd floor): d � W o Sewage Permit number s I. . Z BaaasTsnLE . Engineering Department (3rd, floor): 9°o NAM House number ........................ -'1...3.1.. ....�...0.�... ...... o�ar a' APPLICATIONS PROCESSED 8:30-9:30 A.M. and- 1:00-2:00 P.M. only TOWN. OF BARNSTABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO 6 U(1,n 1?. -C=2 wA Y +-- 6,4 r<146&_ ....... ..................................................................................... TYPE OF CONSTRUCTION ...........11 ....... ..... ........194" ? TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: n Location1'. ... .........�—//C t.....l.f /. .2,.......................................................... r .. 1,? ZEc-Z � . , . .... ......Proposed Use . . �KI ��l6 . "� ..(....lo......=?�/..........................................D r Qv T Zoning District ............................1,.! :t...........::...................Fire District ......................�v/GG C= Address .......... ................... .... •..;.......... Name of Owner OA�� . . 3/b' �awl-�' fi`/LL Yt)� Name of Builder ....... ..........Address .....'2, -T-;',/�.5....... .............. .. ,�viGCt Nameof Architect ..................................................................Address .................................................................................... Number of Rooms ............................./...................................Foundation CC-:/..lG,:..v T Exterior l.c/ S�//N6GE ,..5........:............Roofing ............pp....'.c:........ ........................ .................................. 1� Floors ..................................4�.................................................Interior .............._ y(E Ti20CJ< ............. ........................................ — Heating g ....................................... Fireplace ....................Approximate Cost `J� J! r'..G.................. Definitive Plan Approved by Planning Board --------------------------------19-------- . Area . �1......... ....................... Diagram of Lot and Building with Dimensions Fee SUBJECT TO APPROVAL OF BOARD OF HEALTH { 'n t tZ �4 \ 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. F . . •.. Name ...... ....�. %............. ..\ Construction Supervisor's License .........:..... ... .:!............. L ' FAIR, PAUL A=118-42-2 28932 ADDITION Permit for .................................... ................ Single Fmaily Dwelling ............................................................................... Lot 2, 318 Tower Hill Road Location .............................................................. Osterville . ................. ............................................................. Owner .......Pau.1...F a.i.r....... . .... . ......................................... Type of Construction ....Frame....................................... . ................................................................................ Plot ........ .................... -Lot ................................ Permit Granted ..........Febur'ary 12,....19 86 .......................... Date of Inspection .......... ........................19 Date Completed .......................................19 �c2 ��/B� The Town of Barnstable BAE. Department of Health Safety and Environmental Services Y MASS. t639. �0 A�epMA+e Building Division 200 Main Street,Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 Inspection Correction Notice Type of Inspection Location 12 1 1 .�.►e. �-�+ I � Permit Number Owner Builder One notice to remain on job site,one notice on file in Building Department. The following items need correcting: F� l r � yr /i.� r 1 . 1�1 P C� c� 1)✓1 r e. l�Z U C)y 2.r ; /v, r b",,4 >A' `4`c c It-)Q (' J f G ' Please call: 508-8�62-4/03.8-for re-inspection. Inspected by - ��� / Date �A h Exist. system per os—built S54 V permit no. 82 — 531 C 106 (O , I CB FND c�3 Pool L.P. Conc. Apron CR O O G 0 OQo� 26.9 0 AC Unit ?19 o{ , , , i CB FND i i � RO rA N MICAH LOCUS POND <G� Z I JOSHUA i O POND SAM POND TOWER HILL RD ILi CD I::!- 7U,S 141CA]C� Existing pool pump & filter. (p 0 ,54„E / 552053 • CB FND I LOTS �� 20,746 sq.ft. ASSESSORS DATA.• MAP 118 PARCEL 42 002 G REFERENCE DEED: � .'Q P 12963'-234 REFERENCE PLANS- 345-12 ZONING DISTRICT- RC 0 VERLA Y DISTRICT• WP & RPOD BUILDING SETBACKS: �g FRONT. 20' SIDE & REAR- 10' FEMA DATA: ZONE "C" f' OF PANEL 250001 0016 D MAP REV JULY 2, 1992 PLOT PLAN OF LAND Prepared For.• 318 TO T?T�'R HILL ROAD i In ..Os terid-1 e, Massa ch use tts Scale.*. 1" = 20' Date. Jan uarp 15, 2007 �*XAAA Prepared By.• ►► _N0H OF� � Stephen J. DoW1e and Associates EGISTF �SSgC� 42 Canterbury Lane, E. Fabnoutb, HA 02536 o� 9Fo yam.; Telepbone: 5081540-2534 STEpHEN # Y y.� R� vision Block • �► Su37559 SV0GQ • NO. I DATE I DESCRIPTION . i ' �'�' : ,IIIIIIIIII I II IIIIIII I i � I! J INK■■■a__ � 'I(IIIIIIIIII IIIIII IIIII � I illlllllllllll IIIIIIIIIIIII j .r - ;''� ��� illlllllllllll IIIIIIIIIIIII IIIIIIIIIIIIIIIIIIIIIIIIIII NOR ■■■ ■��� II■��■■ �IIIIIIIIIii !_:. "oliliiliaiiiiliuiliilil Z I •lilllililllllli Iii.11lilll NOON / ON NOON - ■..■' I.■.■ IL... uluulullllrlllulliu I Imamma, ■ • `IIIIIIIIIIII(II(IIIIIIIII y II.... i IlliIN11TH Illllillll i IIIIIIIIIIIIIIIIIIIIIIIII i; • Illlllilllillll IIIIIIIIII■ -a s MINIM - ■■■ IISlow 000000 010101� I ' liI • _ — � NOON � •;■► NOON ■. C� IlMEMO MEMO y 'll�O I _ IIIIIIIIIIIIIi�IIIUIp!II AO MEN _ _„_■�� IiillilQllupiillllfiull: IONENEW: NONE NOON ■.: ■ ��. WLDM NOON I�I■1 �� M. - - -�, ®� NIEW ENG � ANID D _ �© E- �© DESIGN • ,• ���., ra c•a ra \\ i `7 C2-2 to I LU I " C i ml?ff Gy MAG Flt117R IQ1 � � i � I •-s yr � (' € lip- AIX Vr �■ � �1 I I p }� {1t 0 I ° t - t ra ca ra 4'-V a _J L I l i L------J a l ® I I rccmm"Row - �r toil •I I I I ® P q C I I I L � 4I I I I I .� � � •• I I I I I o� €$qqp 21 1/E'LR 30A I I I o I • Ia• O.C.F" L J I I h I I ao• � I ---- a a --- ¢!b r I I ' I ® I I I I I I I I I . I I ® I I I I . I H WUMM RESIDENCE t DATE >�,�„9T = BqrmLAM .� �4 318 TOWER HU RV t SCALE As NQTED Z p OSTERVLLr. MA 02GW DRAWN JS N NEW ENGLAND DESIGN CKD JS Pa TI V. BARNSAW2L . MA 02668 DEr9rzH (3M)r4 APPD JS { y • 1 11 I' t -_ �'I �' z � I lei - OXIDE ALARMS N , f• MO CARBON MUST BE INSTALLED PER BUIL ETTS DING CODE l' MASSACHus _ I EXISTING EXISTING F ll Il I GARAGE - a ENTRY EXISTING Nov EXTERIOR WALL5 t FAMILY ROOM I EXISTING 2 �. DINING AREA EXISTNG MUDROOM i F KRGNEN NEW INTERIOR WALLS S r tt 4.1. 24X24 _________________________ -.__-__-_-_-__._...-.- Il EXISTING IllALLS F �' L• t C L• O Ii,7 1 � GTdIR9 I, • , r GT6 LP w `9 esiw r 1 \ m , 1: �{ 3' Of Li I� 4 { IMPORTANT — UPGRADE - B C.J �1°O = o STATE BUILDING CODE REQUIRES THE UPGRADING OF �. 7 0 SMOKE DETECTORS FOR THE ENTIRE DWEWNG WHEN I� HALL WE OR MORE SLEEPING AREAS ARE ADDED OR CREATED. i 2 4° 3'a>S' IXIsnNG 4 . � A SEPARATE REQUIRED FOR T I LIVING ROOM s I q I miI I9 s NEW 8 E7CISTINCs FIRST FLOOR PLAN Iti + INSTALLATION OF SMOKE DETECTORS-THE ELECTRICAL J PERMIT DOES NOT SATISFY THIS REQUIREMENT. f 1' I� NEW Q !I I 0 16°O.G. SCREENED I V S �5 � PORGN i 1 m gg U� 4 9 EXTENSION �q _ - QI TO EXISTINu N p - '� S BEDROOM f ;2•-4° ••O n vYLTFD �; Q ��coveRm O C Ta YREp PdNEip ASPHALT ROOFING f I yBul ASPHALT ROOFING_ — -�I XO OX Q NEW= 4 :24X24 24X24NEW— -- I a'v° 6 0' a'o• TYP. IX8/Ix3 I 14'-O° L RAKE BROS. •i _— EXISTING mu — — ,1 — _ —� I� IE �XISTINGc ��II � I { � J� /G SHINGLES ?i ie 1� •j t TYP. IXS/IX6 1 r!I > L BRDS. TYP.IX5/IX6 CNP-BROS. ; - I CUSTOM POST RIGtHT ELEVATION j LEFT ELEVATION I SMOKE DETECTORS REVIEWED EXISTING ,� I I FRAME NEW ROOF SOFFIT.- - _ OVER BAT UNIT I1 3- FA FFI AND �� 1•TP3LE BUILDING—DEPT. SIR•DATE , ASPHALT ROOFING=TYP. pcB/Ixa NEW -- RAKE 13 FIRE DEPARTMENT DATE BOTH SIGNATURES ARE REQUIRED FOR PERMITTINGI C�J FRONT ELEVATION ,a '�'� � �'•'• P. IX5/DC6 /G SHINGLES •® ��--+ '�° i G z 1 DATE REF151ON DRAWN BT PAGE SGALE J� C ee6 fgn6 MR MRS WILDMAN �?� PROPOE D EXTENSION OF EXISTING M/E3EDROOM. OS-09-06 .0 •L OF 3 v<:r-O' ''l `,/ Ss o 318 TOWER WILL ROAD a ;IIII I OSTERVILLE MA, te� ,,,� VQA , PWO"� �r�C�u.,,ALL Z E"Wwcv ..LIACOMW 4�100��,��Pr�� � ....,e,aow•e coase�.n aRaouKtn a eEacrs rur avr ee�xo,aa�ow•emte r:nr eE eersamrm ar txw.eoa ramrnaw dr0 dccEPraeeE r�veefr erRuctw.ae Exoro.m raR oreaw.e� i ;II,� ,:�sr mw+�rseue rta omca Z rde errE eo.wrncwe ae reR ng ueE ar T�aR•moce naeur.egwnwcrrat a•eawnarrore vhRsr DFYGM amr exv.EwarEe¢ mn+txK EAHMF.BP.+rm humour.G9aa�tel { i� SIDING ;I'g1�I I M- TYVEK OR EQUAL j UUU 112"PLY,SHEATHING IF iSHINGLE STARTER ❑ ;.I pr�pr•� COARSE G` IXISTMG ♦ 4L, 2X&P.T.BILL BATH I � I12"X6"BILL REALER ! 215 TOP RING 2"CLEAR EXISTING '/�_I EXISTING i BEDROOM I�— BEDROOM . J 5/8'XI2•ANCHOR BOLTS I .I •_-- F I a o 0 r O.G. It I 1 I BILL I I I: ° SILL DETAILS I; e..:aen 'i• I pG � II I• I • : I II N ! I j I: a nr.ull oun€Ilu II I nl=��II�I�:�I�11 II uli Ir un u I nu I I!imml Im Ir. Ik in! m I I 1 nu�u I:' EXISTING SECOND FLOOR PLAN ❑ Q� 191 la l I!.Ir 1 1.1 ,'f!l u'u n.l u I :12:i I u I .I t• : 1 I I 1 i a.CONCRETE WALL •I __________________________________:___-__ ' /DAMP.PROOFING GSA: I' � - I D/APPOVE . r .� ' C - ------------ j 1 _ .o 1 4"POURED CONC.SLAB l -------------------- ____________________________ _ t I 2XrKEY CONC.FTG. V . p e , 1 i COMPACTED GRANULAR/ i FOOTING FOOTING DETAILS 8" CONCRETE WALL z ------------------------------• I _ 4 i : ------ ' .. .• GRAWI• - - I .qL ------ - ----- -- - ------31 ----- / 43 _______ _:::::::::�:: C/) �lfi 1 NEW 6 EXISTING FOUNDATION PLAN L FLOOR FRAMING PLAN ;7 J' r 1 r c - --------------- - SPACEc E ----------- CRAWL eue O 'i • ----------- ve'aooe- ------- ---------- NEW I i " " ..:_I - O BASEMENT : O 2X10'e PT o 16"O.0 . ...... - } > TYP.HANGERS 4"THICC I I• v CONG.SLAB - EXISTING FOUNDATION WALLS 6 � 8 : II .. .. 8 _____________ _______X� _-__ :_------•-•-- F: -•---' - - - _ 'b. •m. '.b. "n•. •n. •n. 2X10'e•16'O.C. ._------- ------- --- ---V-------1 t NEW FOUNDATION WALLS B D : D A A i z µ DATE REVISION •DRAWN BY PAGE i SCALE MR t MRS WILDMAN � PROPOED EXTENSION OF EXISTING M/BEDROOM. 08-09-06 ® •a of vs:ro• ?11 0 318 TOWER WILL ROAD • � � OSTERvILLE MA. . iaeue almo:✓✓a caoee�.m aannw s a oEerw+e nu•.nr eE.mo,eEasevemeE rwr avr aer>:wx.man er uz.¢aoa c aor+e a.m�xr;°uaee u�vaewr erpOZAE E�Ermne rae aVw'.N.aor :,;17 erar eunwue�e ru osw 2f ran WE earomave an rae r�UM ar FkME DeAunrae�eor/eraucrox. vaaC+cc+OF eo MX=k.VfN"oEatsv allM t[CAt Ere.o�EO¢ arn+tarae ENGG9Se INo eem.oer.awaus I f JI RIDGE VENT 2XI2 RIDGE 2xi0 RAFTERS I&"O.G. RIDGE VENC- 1/2 PLY.SHEATHING RIDGE VENT :2XIO RIDGE 15-'ASPWALT PAPER 7 2X12 RIDGE ASPHALT SHINGLES 2XIO RAFTERS 16"O.G. 12xa RAFTERS 16'O.C. i/2"PLY.SHEATHING 1/2'PLY.SHEATWINC PAPER 15-ASPHALT PAPER IS•ASPHALT ASPHALT SHINGLES ASPHALT SHINGLES R30 INSUL. Ir. LX3 STRAPPING 't-IX&TIC.BROS. 2x0 i 1/2"WALLBOARD RAFTERS•ib'O.C. In'WALLBOARD 2XS'.C.J.If PLY.SHEATHING' ZX4'6 0 Ir.'O.C. 16,O.C. 1\ 3' 1-2Xro'.C.J. LEV O.C. M/5EDROOM SCREENED 14 IS-ASPHALT PAPER R13 INSULATION J 15, 1 ------- - p r R30 INSUL- A&PWALT SHINGLES 1/2'PLY.SHEATHING I. PORCH OR EQUAL S X3 STRAPPING 'I-3-2xio TYvEK WRAF 0 :12"WALLBOARD C O.C. SIDING :3/4"T/G PLIf. 0 IR- /-1 NAILED 4 GLUED. in"WALLBOARD M/5EDROOM CULSTOM POST KING Ft:K4 DEC X3 STRAP 2X4,6-Ir",O.C. 1/2"WAMLLBOAR I PING �-Llm /2"WALLBOARD w8l, 9 • 1 " ., i6- 0. R13 INSULATION ;Z�L- R13 INSULATIO 5 INSUL 1/2-PLY.SHEATHING J.'. M/BATW 2XIO'e-16"O.,J� TYVEK WRAP OR EQU�-, 3/4 TIC.PLY. 112'PLY,SWFATWIN 2XIO'6 1. LEV Z<4*o*16'0. TYVEK WRAP OR EOU I/G PLY- NEW NAILED 4 GLUED' CRAWLL SPACE NAILED GLUED. - &LOIN �R 0 IS INSUL /* IS INSUL 2XIO'.6 16"O.C.-/ eq-, 4•CONC.SLAB BASEMENT % % CROSS SECTION (B) 4"CONC.SLAB CROSS SECTION (A) 4'CONC.aB ............. CROSS SECTION (D) CROSS SECTION (C) ...... ........ ......... .............. ................ ........ ........... ------ ........... ASPHALT ROOFING ASPHALT PAPER ...... in"PLY.SHEATHING ............... ------- ...... Zt. eV.- ........... ............ DRIP EDGE 5,GUTTER TYP.HURRICANE TIES \,-IXB FACIA ...... 5400 VENT ..... ..... DC9 SOFFIT .......... ........ ....... ...... RIDGE VENT t-in'BED MLDG. ..... 2XI2 RIDGE ........ .. IX 'FREIZE o RIDGE -------- 2XI2 RID GE D 2XI0 RAFTERS EXISTING eVE 16'O.C. 11 A In"PLY.SHEATHING EDROOM 3.4 IS-ASPHALT PAPER ASPHALT SHINGLES C.J. 16,o.,::' SAVE DETAILS 1-----------li�-Z R30 INSUL. S-lf2*LVL'6-/' 1 2>ca'6 v ie",O.C. ASPHALT ROOFING D(3 STRA IV-ASPHALT PAPER L12'PLY.SHEATHING In'WALLBOAR:> F-PING 13 1/2"WALLBOARD 3 2XAIG*16'O.G. WALL M/EIATW 13 �=4 2XIO RIDGE R13 INSULATION ME M/BEDROOM ........ . In'PLY.OWFATWINI !R TYVIEK WRAP OR EOUAL J StDim s 3/4"TIC.PLY. H NAILED 4 GLUED. 2X5*6 O.C. u u DRIP EDGE 5,GUTTER V\-1-I.-UL. \-2'X"lo,.•Iro"O.C. BASEMENT BAS EXISTINGEMENT ROOF FRAMING PLAN IX8 FACIA F S400 VENT D(S SOFFIT 4'coNc.SLAB z 1-1/2"BED MU:lr-. (/, y t���// / �j• // ,/ �VE IX FREIZE. SAVE DETAILS CROSS SECTION (E) DATE REVISION Ii!DRAWN BY PAGE SCALE MR 4 MRS WILDMAN FRopoEr-> EXTENSION OF EXISTING M/BEDROOM. ;- ,C)ea f-77 gm 318 TOWER PILL ROAD 0(,0 OSTERVILLE MA. 0, MOT BALL 00- COM. oW.,�.ADE6ZN6 NOT so--Izaw- �T Off DE722RPMW Or LOCAL S= JLEKWr6 Aa.OS�N. p- EDm wEco-mous are f.CR I u5sC aaaEmA z,s owwdcON67R,--r� WYDE-AZNN LOCALOZ#,-ER Loca ,06.6g. 0 3 per as built � existir:;. °,001 pump & filter 32 —. 53=1 h^� w ^� .� a cb found i outside limits of �� w pool apron a 52.53'S4 E o`� 5 LP w/disk . ,' found,'' existing , ��' � •'f�., garage �� ® � . � '' • . o. 20,746 sq.ft. ' IL Z ApL brick i 16' ` o e 'istI6 walks deEk existing m 16' oak . 3 bedroom dwelling 27.0f PROPOSED •'•: , " ADDITION ' x 00. AC Unit ' X 3� C .. �e�0e Oy ' ' NOTES: ''lam J ' �' 0+`y~ ,•'' ' REFERENCE DEED: 8717/33 3G.3 REFERENCE PLAN: 345/12 • FEMA DATA: existing stockade fence ,,'�" LOCUS DOES NOT LIE IN A FLOOD HAZAP• ASSESSORS DATA: BARNSTABLE MAP 118/42-2 , , ZONING DISTRICT: RC BUILDING SETBACK!z- ,'�i� FRONT — 20' HOr>< SIDE — 10' — • cb found oI REAR �' eOM�`'S Rp 0 LOCUS 'X, PION D <G� o a'� D JOSHUA O POND SAM POND TOWER HILL RD T , ° 7C.T 1�1CA Exist. system per as built 54!15 to permit no. 82 — 531 5 Existing pool pump & filter Cg� 0 0^7 tom• CA 1�6 59 15 •51� � '�� �� ON CB FND J Pool CB FND -' 55 Conc. Apron LOT 2 , 20,746 sq.ft. ' a ASSESSORS DATA: 0 m O TC' G MAP 118 PARCEL 42/002 G ' REFERENCE DEED: 12963-234 REFERENCE PLANS. �� 345-12 ZONING DISTRICT RC OVERLAY DISTRICT WP & RPOD 26.9 { BUILDING SETBACKS: AC Unit �j` -�,/ FRONT 20' SIDE & REAR: 10' �tJ ' FEMA DATA: ZONE »C" CA c \�' PANEL 250001 0016 D 0 p REV m ��G MA E JULY-2 1992 - i - PLO T PLAN 0_,F LAND Prepared For.• - �318 TO WER HILL ROAD In Ostervzlle, Massa ch use t is Scale: 1" = RO' Date: Jan uarp 15, 2007 ®jj.AA AA Prepared By.- CB FND - ► Stephen J. Dople and Associates ���aLTH oF��ryss t+ 42 Canterbury Lane, E. Falmoutb, AM OR536 ��tio ¢EGISr R� 9Cy® Telephone. 5081540-2534 • a sr�P ° N HEN M F V1 S Z GO rZ _ZE3.Z e DOYLE y y • � #37�q � s FaS l 0 NO. DATE DESCRIPTION i � Rim i R Rp I o cn AIN z 2 MICAH LOCUS POND `G� a JOSHUA U POND SAM PONTOWER HILL RD LOCUS MAP EXIST. SYSTEM PER AS-BUILT o Oar �c"' s 15 NWa PERMIT NO. 82 -531 p 36 c POO\'�� `r —'' .51, A�\0 230 �P��N s f MAss9 s L! ♦ Gi E� C CB PND QQ N75 3d ,0 ,5 �"��PSTEP Erra� a CB PND __q. DOYLE c�i ENO,37559 P a T \ LOT 2 q�� \ 20,74E 5cl.ft. � o � ASSESSORS MAP 118 PARCEL 42 002 6'Pr� REFERENCE DEED: 12963-234 REFERENCE PLAN: 345-12 PEMA ZONE "C" 1 FIRM PANEL 250001 0016 D PANEL REVISED: JULY 2, 1992 ZONING DISTRICT: RC OVERLAYS: . WP AND MA ESTUARY 2 Q ``\ POOL CERTIFICATION PLAN -11 PREPARED FOR (� #3 18 TOWER HILL ROAD 05TERVILLE, MA55ACHU5ETT5 DATE: JANUARY 12, 2013 0 20' 40' i CB FIND j SCALE: 1" = 20' i PLAN REVI51ON5: i NO. DATE REVISIONS STEPHEN DOYLE AND ASSOCIATES 42 CANTERBURY LANE EAST FALMOUTH, MASSACHUSETTS 0253G TELEPHONE: 508 540-2534 5jd5urvey@aol.com '. . .ra•...rr�.cur..m�..,h..wewuwwnwue.++v�+.w.+rr.,a.,nw� . mow rormmmnremxwa.«� ,�..n:a,°.x wnrrt,,.r�w,ae,. ,v,.a.^.+�^r^�anmm<mrmm�+wam>��ht*�„m:;r n.rn., «,r�..,�.«r.„.w„�.,,,w..,nw..nw,www�w�.uw,+.....m�w.r,,..w ,wn Ma..r...w,ww.,..wm r�r�,wrw fi, 14 CaI � � �w7Ma• tZf'v`` iat V��3�, .�ail, / q._ R G I S T RY tar ( FED,,; Y � n M AAA P -5 CALL- 0 0 \ h 4 o , c— I� �G� t 3 - Atl 051 ww_.•«„ ZY 9 Ike ll�.l a 0 STi � L A� I� SutZv>�YdeS CAST QZ\/I L-L s 1 ? Ks EP 'r"�C�b 10 WILLIANI „ Nu 19S311