Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
Home
My WebLink
About
0104 WEST WIND CIRCLE
/o'� GcJ�.at G�J,�� ,. _ _ r---......- �J LJ ti� � ,, 1 � � �� � �� � J �L _ Town of Barnstable Building • 1`LSr^'Yo,'+'.�'f•irrP';S2L?e+.y�'�"s'"'ti r"'e:-r".t.. ..r.. ;sal,' s r°'k"�x —�.- P Card So That it is,Visible From the Street ,Approved'Plens IVlust be'Reta.ined on Job and this Card Must be Kept K ost.This BARrMA81$ .�.. `;r... - .. - - MASS. ( i .e T �t. 1 t: 7"' ""�.shb > «9r t'tas.u. • Posted Until Final Inspection Has Been Made ttir° � � a ,� >,�� t �Pr s63A ♦ a t r� .�F» r. ,=v ; AAA^ a .: x �q t; ` � n�*a �{3:4 5 y:. r Permit ° Where a Certificate of Occupancy is Regwred,such.Building shall Not be Occupied until a Final Inspection has been.made�` 'T) �1.wYi.iiW4. .ai.�N �. . .. _..,...,.-sxs,:a+n^e+.ti`..ar.dt:-•` �___•,:,Gyrsar...::__...,..- r< r..: _ et..•»,«r. no5r..r+.xn.�..a.:�«iu Permit No. B-17-4395 Applicant Name: D&G WHITE INC. Approvals Date Issued: 12/28/2017 Current Use: Structure Permit Type: Building-Siding/Windows/Roof/Doors Expiration Date: 06/28/2018 Foundation: Location: 104 WEST WIND CIRCLE,OSTERVILLE Map/Lot:,, 121-011-009 Zoning District: RC Sheathing: Owner on Record: SHEERIN, MARGARET M&ELIZABETH A ylA�' Con�tractor'Name: D&G WHITE INC. Framing: 1 Address: 8 LEAH STREET `�, Contractor:License: 178929 2 *-.:,ten ,fF �.,G MELROSE, MA 02176 F k- ca' Est: Project Cost: $3,000.00 Chimney: Description: Replacement Windows(8) r„:: '.y".t r`'Permit Fee: $35.00 Insulation: Project Review Re = ,- ; Fee Paid: $35.00 J 4 Final: h •• r yy •w Date: ." 12/28/2017 y Plumbing/Gas St Y�;.� f ,.��k�♦�1" Pi Rough Plumbing: w t . ._Building Official ` A5 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 documerits for which this permit has been granted: ' ''• '_""•'"" Final 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 work until the completion of the same. w•: s k -, �, „:t,•� �s �` Electrical ad k ` .,3"`-��� a• Service: 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:,' ,r � , "rKt ,,. Rough: 1.Foundation or Footing ; � _�T5�;;,•�tt , -.a.��r, 2.Sheathing Inspection 3.All Fireplaces must be inspected at the throat level before firest flue lining is installed Final: 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection Low Voltage Rough: 5.Prior to Covering Structural Members(Frame Inspection) 6.Insulation 7.Final Inspection before Occupancy Low Voltage Final: Health Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. 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 Final: All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT I'�va2 vj Town of Barnstable *Permit _`" I _ �13"►J Building Department EVe 6monthsjromissuedate ELAMSTABIA Brian Florence,CBp ® 0599- ,0� Building Commissioner 10rFo °i 200 Main Street,Hyannis,MA 02601Q4 www.town.barnstable.ma.us vt�Az Office: 508-862-4038 / `C�, Fax: 508-79U'=6230 EXPRESS PERNIIT APPLICATION - RESIDENTIAL�6NL.Y •Not Valid without Red X-Press Imprint 1,0146) Map/parcel Number /'�V�/j .j.� ,�r Property Address ZA 1 _ C-Avy4e C_ Residential Value of Work Minimum fee of$35.00 for work under$6000.00 Owner's Name&Address 10!k � ( ' &X40(Alk, M41 Contractor's Name Telephone Number Home Improvement Contractor License#(if applicable) I 19 Z9 Email: Q( i 5�✓1(rf CVt, Construction Supervisor's License#(if applicable) G-b— 000-100 ❑Workman's Compensation Insurance Check one: ❑ I am a sole proprietor ❑�,�am the Homeowner LIQ 1 have Worker's Compensation Insurance Insurance Company Name Workman's Comp.Policy# -RJUP>m2,L2gon--4-(-7 Copy of Insurance Compliance Certificate must accompany each permit. Permit Request(check box) ❑ Re-roof(hurricane nailed)(stripping old shingles) All construction debris will be taken'to ❑Re-roof(hurricane nailed)(not stripping. Going over existing layers of roof) V e-side eplacement Windows/doors/sliders.U-Value (maximum.32)#of windows #of doors: •Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. ***Note: Property 0 r t s' operty Owner Letter of Permission. A copy of th in I r ement Contractors License&Construction Supervisors License is required. SIGNATURE: QAWPFILES\F0RMS\EXPRESS2017 The Commomveahh of Massacdjusefs Department of lndus&ial Acciden& Offwe ofImw*ations 600 Washhiglon Street Boston,AM 02111 mvau masLgorldia Workers' Compensation Insurance Affidavit:Builders/ContractarsMecbicianslPhumbers Amlicant InformatiuII L Pleasre Print f.e�rbTY Name �.� ( rQt161 q VU ("0J G1(?0 L i J5 Adore: V3VZ(U e ?7&--%vt-7 Are you an employer?Check the appropriate box: Type of project(required}: I.❑ I am a employer with 4. ❑ I am a general contractor and I 6_ ❑New oomsfrttction employees(full andlbr part-time)-* have hued the sub—contactors 2.❑' I am a sale proprietor orpartuer- listed on the attached sheet, 7- ❑wo g sh�P and have no. 1 gees These sob-contractam have 8_• Demolition �P� woAdrtg for me in any capacity. employees and have workers' [No wog.Comp_+nenrance co rnettranar I - 9. ❑Building addition required-] 5.�We are a•corporatim and its 10.❑Electrical repairs or additions officers have exercised 3_❑ I am homeowner doing all wozk 1L❑Plumbingzepairs or additions mysdf o woslmrs' right of exemption per MGL 12.❑Roof irs repa nce required.]T c.152, §1(4h andwe have no employees-[No workers' 13.❑other cam-MEaraace ] 'clayaW czotdiatchedtsboa4F1mastalsofilloutthesectionbelowdwvdmgdekwoAerecompeosati ++parieyiafurmaficL Someuamemwhasabmitthisaffidasr they are doing Oval and&enhueoutsidecontrctmmnst submit anew aSidavkindicatingsacIL IC=mctgts that r'h-1r this bmt mast attached as additional sheer sboumg theaame of the sub ca�sscma awd stye whether ar not those eofities have employees.Iftbamb-coa==mhaue employees,diepmustpmnrAeffieu wasters'camp policy number- I am an eutplayer teat is prauiditW ivv�orkers"cc�o�arp(e�nsidion ihmirasce for my amplayees Below is i ie policy and job sae nresInsuranc ( vl�i�(�'I�t�✓(,� W Company Name:PoRcy;9 or Self-in Iic_;g: ExpirationDate: 1 Job Tda Address: � _ C9cis Cify/Statel7sp: Q/1 ER)& W(+ Attach a copy of the workers'compensationpolicydeclaration page(shoving the policy number and expiration bate). Fa&m to secure coverage as r+equirednudes Section 25A of MGL a 152 can lead to the imposition of criminal pem% s of a fine up to$1500:00 andror one-fear imprisonzaeut,as well as civU pessalties.in ffie form of a STOP WORK ORDER and a fine of up to$250-00 a day against the violator_ Be adtvsed that:a copy of this statement snaay be forwarded to the Office of Rrvestigations of the W for insurance ge verifrcatioa_ Ida hffdy carhfil th that the inform dmi. a ' true and correct — Zl) l-7 l Phone 1 { O,@iciaf use anly. Do sat ivrke in dib area,to be coinpfeted by trip ortoirn oficial. City or Town• PermitUcense# Issuing Authority(circle one): 1.Board of Health I Building Department 3.[hNjOrown Clerk 4.Electrical hispector S.Plumbi ag Inspector 6.Other Contact Person: Phone#: Taformation and Tastracionis . r , Mmsachuse#ts Geheaal Laws chapter 152 regaires all employers to provide worlo:as'eampausaflon fur fbzir employ=- pmmuanttn this sty,an errg kYw is defined as.-.every person in the service of another under any contract ofhire, expr=or hnplied,oral or wiiftc� An ezzpIoyer is defined as"an mefividng pamtnership,assade ion,corporation or other legal entity, or any two or more of thhe foregoing engages in a Joint eodmpase,and including the legal represeubdives of a decried employer,or the receiver or trustee of an individual,part nersbip,emaciation or other legal entity,employing employees. However the owner of a.dwelling house having not mare than three apartments and who resides therein,or the occ¢pant of the - dwPlIing house of anolher who eiaploys persons to do maintenance,consIrvLtion or repay work an such dwelling house or on the grounds or building app thereto shan not beca-nse of sash emiplayment be deemed tit be an employer." MM chapter 152,§25C(6)also sees that"every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to constmr-t buildings in the commonwealth for any applicant who has not produced acceptable evidence of cdmpr=ce with the insurance coverage required." Additionally,M(IL cater 152,§25C(7)sties"Neither the co=ao:wmIth nor my of ifs political subdivisions shall enter into any contract for the perfva mw ofpublic work maid acceptable evidence of eompliapce with the i„cm-a„ce. requir,errieits of this chapte;.have been presented to the ardhoi*." ApPficanfs Please fill oid the woi3='compensation affidavit completely;by cher-- g the boxes that apply to your sitnation and,if necessary,supply soh-contractors)name(s), addresses)and phone hhumber(s)along with their certificate(s)of insurance. Limited Liability Companies(LLC)or Limited Liab>lity Partnerships(LLP)wifh no employees other,than the members or partners,are not required to carry workers'compemsafian internee- If an LLC or LLP does have employees,a policy is rtgoired. D e advised that this affidayit may be submitted to the Department of Industrial Accidents for coufnmation of msnrmce coverage. Also be sure to sign and date the affidavit The affidavit should bo rstr med to the city or town that the application for the permit or license is being regacsted,not the Department of . Irijinstrial A=dams_ Should you have any questions regarding the law or ifyou are regained to obtain a workers' compensation policy,please call the Department at the nru be-r listed below Self-mssned companies should enter their self-insurance license number on the appropriate lime. City or Town Officials t - Please be sure that th o affidavit is complete and prided legibly. The Department has provided a space at the both of tine affidavit for you to fill.out in the event the Office of Investigations has to contact you regarding the applicant- Pleas a be sure to fill in the penmit(licease number which will be used as a reference number. In addition,an applicant that must submit multiple p ermilIicense applitaiions i a any given year,need only submit one affidavit indicating Current policy in brmation(if ne�y)and un der"Job Site Address"the applicant should write"all locations 7n (�'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 prooft3hat a valid affidavit is on file for fuinre'permzfs or licenses Anew affidavit must be fMe d out each year.Where a home owner or citizen is obtaining a license or permit not related fn er any business or commcial vent (ie. a dog license or peunit to burn leaves etc-)said person is NOT rcquiond to complete this affidavit The Office of Investigations would like the th—Ir you in advance for your cooperation and should you have any questions, please do not hesifaiE to give us a call The Depaztrnmf's address,telephone and fax number: Tha Cam wal&of Ma-sach Depaitmmt cif Tr&-Msti-ial Accidents f �tce of e�t�gatio= t4ahinan Sizes ROAM.,M&E 1 I I ` (,-L 4 617 727-4900 txt 406 ar 1- 7 MA&% FE Fax#617 727 7749 Revised 4-24-4)7 � �� r t `Mail - sheerin128@hotmail.com Page 1 of 2 New windows installation/ Repair rotted Rake boards and Corner board Glen White <gwhite@whitesconstruction.net> Thu 11/30/2017 7:49 PM TO:Peggy Sheerin <sheerin128@hotmai1.com>; \ WHITES CONSTRUCTION (PROPOSAL) \�d s PHIL & PEGGY SHEERIN 104 WESTWIND CIRCLE OSTERVILLE, MA. Scope of work: (Windows) *Remove old windows (8) Total Count *Check for any signs of rot or insects (Note: If excessive rot is found an addition fee will occur upon customer approval) *Cut back shingles around perimeter of opening *Vacor tape around the perimeter of opening *Install new Harvey Classic Double Hung into opening *Vacor tape around the nail flange on the new window *Trim exterior of window using 1x4 Azek. Attachment using.screws and plugs *Re-shingle around new window if needed using White cedar shingles *Interior trim to match existing 2 112" Colonic casing *(Note: Finish on interior trim to be rimed only) v ( p y) Kee� a�► � All debris to be taken to local landfill I ,v p > Oti1� /V Total Cost 0 $8899 Sctn pVe Exterior Trim (Rake& Corner Board) (2) Options Opti #1 https://outlook.live.com/owa/?oath=/mail/inbox/m 11 rani 7 i F /128@hotmail.com Page 2 of 2 *Cut back Rakes 3' to 4' feet from end *Piece in new Rake board either using Azek or Primed Pine * Replace Corner Board (back right) using Azek Total Cost $750 Option #2 *Replace Garage nd Rake boards entirely *Replace with Azek (Attachment using screws and plugs) *Replace Corner Board (back right) using Azek Total Cost $1675 Customer sign: ontractor sign: FA deposit of 20%($1779.80) is due upon proposal acceptance.)1/3 due ($2373.06) is —due—upon commencement of project. 1/3 ( 2373.06) is due when project is 1/2 done. Remaining balance ($2373.06) due upon completion. Note: Pricing is based off of window quote not Rakes and Corner board cost. P.S. Harvey has their annual shut down over the holidays so we need to order by the beginning of next week so l can get the windows. before Christmas. Please feel free to call if you have any questions (508) 776-9617 Thank you again Glen White Whites Construction 6701 i7czt[« htq)s://outlook.live.com/owa/?path=/mail/inbox/rp 12/1/2017 cam//te ipar���rtmuuettAX,o�cwLagaac�uaeClu `Office Of Consumek Affairs&Business Regulatiou.•r.. -{ HOME IMPROVEMENT CONTRACTOR Registration:r178929 Type: .,., Expiration:=—�61212- Corporation D&G WHITE INC. =_ � GLEN WHITE 512 WHISTLEBERRY DR /% MARSTONS MILLS,..MA92648 . Undersecretary . Massachusetts -Department of Public Safety Board of Buildin g Regulations and Standards Construction Supen-isur License: CS-108700 e .r GLEN WHITE 512 WHISTLEBERRY D91VES Marstons Mills Na 026",8; ,,;, ; y,,f�, if-lit Ilk Expiration Commissioner 03/04/2019 v/ae rDa����wvreueall�o� io�aciudeffi 4 Office Of CoMM&Affairs&Business Regulatiou..xc OME IMPROVEMENT CONTRACTOR Registration: 178929 Type: Expiratior =6 j Corporation D&G WHITE INC. N.. ==, �' VA. GLEN WHITE �� j 512 WHISTLEBERRY -MARSTONS MILLS,.MA"026¢8 Undersecretary 1 Massachusetts -Department of-Puolic Safety Board of Building Regulations-.and 9 nd Standards- Construction-Supervisor - License: CS-108700 - GLEN WHITE — v 512 WHISTLEBERRY" Marstons Mills MA 02618. _ Expiration':; Commissioner 03/04/2019: i i I 9 Massachusetts -Department of Publi, �! Board of Building Regulations-and St: Cnnstrtiction Supervisor License: CS-108700 Unrestricted-Buildings of any use group vi GLEN WHITE contain less than 35,000 cubic feet (9TH m3) 512 WHISTLEBERRY DRIVES _ Malstons Mills MA 02648' �' enclosed space. Commissioner Failure to possess a current edition of the Massachu State Building Code is cause for revocation of this lic Foc DPS Licensing information visit: www.Mass.Gov/DP5- Sb910 dW'SIIIW 4. F ain euSis no IMn t EA 0 r '—'BCI ANH393' _ �. 3 4�. P.1 M 3. IZZ It uoijejodio0 4VIOZ uoljej!dx3 9IIZ0 VX i ad A, 6Z68Y..1'?:uo!;eJ;s!Baa OLISa;!nS-uze!j: U015"INOO 1N3W3nO2ldWl 39YOHI uo!;e!ngag ssau!sng pue sa!e Y aawnsao73 x•noye!ngag"among ly sl!q;,;d puinsaoj jo aaig+ ;o;uan;aa pano;R. a;ep uo!;ej!dga ay ,C!ao asn-lenp!A!pa!-ao;p!leA uogea;s!Sal,�o: I NOTICE N NOTICE TO a TO EMPLOYEES AF EMPLOYEES OEM 5ZI6 The Commonwealth of Massachusetts DEPARTMENT OF INDUSTRIAL ACCIDENTS 1 Congress Street, Suite 100, Boston, Massachusetts 02114 = 2017 617-727-4900 — http://www.state.ma.us/dia As re uired by Massachusetts General Law, Chapter 152,Sections 21,22&30, this will give you notice that I7we) have provided for payment to our injured employees under the above mentioned chapter by insuring with: THE TRAVELERS INSURANCE COMPANIES NAME OF INSURANCE COMPANY P.O. BOX 1450 MIDDLEBORO, MA 02344-1450 - ADDRESS OF INSURANCE COMPANY (7PJUB-2E29017-4-17) 06-26-17 TO 06-26-18 POLICY NUMBER EFFECTIVE DATES HUB INTERNATIONAL 177 MAIN ST FALMOUTH MA 025402748 NAME OF INSURANCE AGENT ADDRESS PHONE# d, °- D & G WHITE INC 512 WHISTLEBERRY DR MARSTONS MILLS ° MA 02648 EMPLOYER ADDRESS EMPLOYER'S WORKERS COMPENSATION OFFICER(IF ANY) DATE MEDICAL TREATMENT The above named insurer is required in cases of personal injuries arising out of and in the course of employment to furnish adequate and reasonable hospital and medical services in accordance with the provisions of the Workers' Compensation Act. A copy of the First Report of Injury must be given to the injured employee. The employee may select his or her own physician. The reasonable cost of the services a provided by the treating physician will be paid by the insurer, if the treatment is necessary and reasonably connected to the work related injury. In cases requiring hospital attention, employees are hereby notified that the insurer has arranged for such attention at the NAME OF HOSPITAL ADDRESS 004552 wzuP,G,s TO BE POSTED BY EMPLOYER TOWN'OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel ' ,. U I I . Application # Health Division, 8(ADS�G Date Issued 10 4l-1 6 Conservation Division DEPT Application Fee —OCT G�� Planning Dept. 6 2016 Permit Fee v 0C Date Definitive Plan Approved by Planning BoardOF eAP,n,,_ �E Historic - OKH _ Preservation/Hyannis a7l Project Street Address !Gy Village Owner Address S Telephone Permit Request Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation 5 �G� Construction Type Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family 0--' Two Family ❑ 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 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 Mike McCarthy Construction Telephone Number PO Box 52 Address West Dennis MA 02670 License # Cell (508) 280-6964 C-SL 58633 HIC-1169.393 Home Improvement Contractor# Email Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO AI SIGNATURE DATE jdlL/I L FOR OFFICIAL USE ONLY APPLICATION # DATE ISSUED MAP/ PARCEL NO. • ' . ADDRESS VILLAGE OWNER DATE OF INSPECTION: FOUNDATION FRAME ): INSULATION FIREPLACE - ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL C c� ;1 GAS: ROUGH FINAL ` FINAL BUILDING �_y • DATE CLOSED OUT H • ASSOCIATION PLAN NO. r cell ploTown of Barnstable '$� ' ee�s t"acd-V'.SMU,.',DtimoAor Division Tam Yeriy,DuMlIn&:CouiwMOw 204 Mein Sftce Hyamis,MA 02601 VFWW.town barusbuema us �Pfire: 5% R-4038 F= -SM790.-6230 Prpp�xfy Ovuear must ompleft-and 7Chis Sic �o�n CI Y v •2�r N ,: ¢ e �:s t Pith AM _ ,. in a matters mac to vrojk=fioi=dbyte s binding pm=VpEcatiim:for Io L4 tiu 2 5-�— LO "` .W1•felkes anal Ogh3b are tke •� .. . � ' :.of'fie. phm at Po6h ate ix :�e:# Qrtied are'ict+: ia11e a �11a1 $igna;aue Cvvner 5 of Appficaant AMA if.0 4-� qp&,k v �;soRr�sANr��s�ss�oz�oois � 02 Office of Consumer Affairs and Business Regulation 10 Park Plaza - Suite 5170 Boston, Massachusetts 02116 Home Improvement Contractor Registration Registration: 169393 v= Type: Individual Expiration: 6/16/2017 Tr# 264961 EL MCCARTHY MICHAEL MICHAEL MCCARTHY i P.O. BOX 52 Ni - — WEST DENNIS MA 02670 , Update Address and return card.Mark reason for change. SCA 1 G 20M-05/11 Address n Renewal Employment ❑ Lost Card �e tpo�ramzoxtvealt�.o1C�/j/liroaac1,.icJeC,-6 Office of Consumer Affairs&Business Regulation License or registration valid for individul use only WExpiration-::-n_6Tl:6l/?P,.l.�7 OME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: egistration: 169393 Type: Office of Consumer Affairs and Business Regulation Individual 10 Park Plaza-Suite 5170 Boston,MA 02116 MICHAEL MCCARTLIY. ==i,. v -; MICHAEL MCCARTHY;=-~ ZW- 6 RANGLEY LN.SOUTH DENNIS, MA 02660Undersecretary ith t signature Y s Department of Public Safety Mass ach=seft Board of Building Regulations and Standards License: CS-058633 Construction.Supervisor MICHAEL J MCCARTHY a P.O.BOX 62 " s WEST DENNIS MA 023 670. •'ate � - � 1��/►l"^^ vim-- n: Commissioner 04/10/Expiration: I I The Commonwealth of Massachusetts Department oflndustrialAccidents 1 Congress Street, Suite 100 Boston,MA 0211472017 www mass.gov/dia Workers'Compensation Insurance Affidavit:Builders/Coutractors/Electricians/Plumbers. TO.Bk FILED WITH THE PERMITTING AUTHOR]TY. Applicant Information Please Print Le ibly Name (Business/Organizanon/Tndividual): Mike McCarthy Construction Box 52 Address: wPCt Dennis, MA 02670 City/State/Zip: Cell 08)#280-6964 _ UIC-1 69393 Are you an employer?Check the appropriate box: Type of project(required): 1.91 am a employer with employees(full and/orpart-lime).• 7. New construction 2.❑I am a sole proprietor or partnership and have no employees working for me in 8. EJ Remodeling any capacity.[No workers'comp,insurance required.) 3.E]I am a homcowncrdoing all work myself.[No workers'comp.insurance required.)t 9• ❑Demolition 4.❑I am a homeownerand will behiring contractors to conduce all work on my property. 1 will 10 Q Building addition ensure that all contractors either have workers'compensation insurance or are sole I LE]Electrical repairs or additions proprietors with no employees. 12.❑Plumbing repairs or additions 5.Q I am a general contractor and I have hired the sub-contractors listed on the attached sheet. These sub-contractors have employers and have workers'comp.insurancc.l 13.❑Roof repairs 6.❑We arc a corporation and its officers have exercised their right of exemption per MGL c. 14.(2OtbeC 152,§1(4),and we have no employees.(No workers'comp.insurance required.) Any applicant that checks box ill must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating[hey are doing all work and then hire outside contractors must submit a new affidavit indicating such. lConlractors that check this box must attached an additional sheet showing[he name of the sub-contraclors•and stale whether or not those entities have employers. If the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. M Insurance Company Name: Policy#or Self-ins.Lic.#: Expiration Date: )a /+h- 116 Job Site Address: City/State/Zip: Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under MGL c:152,§25A is a criminal violation punishable by a fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator.A copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify under t a' s enallies ofperjury that the information provided above is true and correct: Si ature: Date: Phone#: Lsca) mac.-6S'C�r Official use only. Do not write in this area,to be completed by city or town official. City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector S.Plumbing Inspector 6.Other Contact Person: Phone#: 4 DATE(MMIDDlYYYY) , ACC??n CERTIFICATE OF LIABILITY INSURANCE 12/07/2015 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND, OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER 01962-001 NQ�€ACT Bryden&Sullivan Ins Agcy of Dennis Inc ��I}�e Ext; (508)398-6060 a.No,: (508)394-2267 PO Box 1497 RMSS: So Dennis,MA 02660 INSURERAFFORDING COVERAGE NAIC p INSURER A: A.I.M.Mutual Insurance Company — 33758 INSURED INSURER B Michael McCarthy Construction Inc INSURER C P O Box 52 INSURER D: West Dennis, MA 02670 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. ILTR TYPE OF INSURANCE I SR POLICY NUMBER MMIDDIYYYY WINS YYYY LIMITS GENERAL LIABILITY EACH OCCURRENCE $ COMMERCIAL GENERAL LIABILITY PREMI E SEaENTED occurrence) $ CLAIMS-MADE ❑OCCUR MED EXP(Any one person) $ PERSONAL&ADV INJURY $ GENERAL AGGREGATE $ r L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ OLICY E OC COMBINED SINGLE LIMIT $ AUTOMOBILE LIABILITY E ci ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS AUTOS HIRED AUTOS NON-ONMED PROPERTY DAMAGE $ AUTOS (Per accident) $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS UAB CLAIMS MADE AGGREGATE $ DED RETENTION $ I Xyy�g7 $ AoRKMRgO Lf IJ14s oTR t sNA1 r YIN E.L.EACH ACCIDENT $ 1,000,000.00 A ONYIPROpRgjWPARTN5WCLITNEI E.L. NIA VWC-100-6017656-2015A 12/15/2015 12/15/2016 DISEASE-EAEMPLOYEE $ 1,000,000.00 (Mandatory In NH) EXXCC rr UW'CRIPTION brF bPERATIONS below E.L.DISEASE-POLICY LIMIT $ 1,000,000.00 DESCRIPTION OF OPERATIONS/LOCATIONS I VEHICLES(Attach ACORD 101,Additional Remarks Schedule,H more space Is required) CERTIFICATE HOLDER CANCELLATION Cape Light Compact PO Box 427 SHOULD ANY OF THE ABOVE DESCRIED POLICIES BE CANCELLED BEFORE Barnstable,MA 02630 THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROrSIONS. AUTHORIZED REPRESENTATIVE / ©1988-2010 ACORD CORPORATION.All rights reserved. ACORD 25(2010105) The ACORD name and logo are registered marks of ACORD i �,f 1 � 1114 1',1 1 �Inuu C __ I11111i 1 0 1 =SAY411 _ T w � .�.� _ - _ Y<< _ �,o '_ �.,� :; . � _ --- - , � i �� �� I / Z r o �� � r -�` � �� __ -� � \ '� I �� r r _ I� n.� 1 ' � i p _ � �,n� �. ya I' � m � � � �� p - s �'°'- � j iC� I �r J � � TIL ' �� I i C I � �, pi � j ��t�l r A:yy` � RI�'� �� '_� J r � •� � `a I� ;� � ��� :�= �, ;�: ��-3 ^.� � e �� _ �, 3� �� _ g � � � �� �$ I I 2giv�� 0 I '� r jl; •o i FILFF�1-11 - 3 � o-o• '-------'---'— L 6 --- ' _a d � _ z r I a- a I� FT -- w F NV r :•• 24" - Zc" to }sC, o —II 24:4 �d A N ,J 26 o" ti ' ! l BZ.oo 36.7 rz 3 4.3 Z9.4 \�Z g• I- —I Cap e F. Oi"e 1007 EKE -- :� ►b 66 rwizt 4 LoT Z. 1 SOO � 3�' LvT y T�i LICIT 's 32= N j0I z914 1$,457a5� a Pita N I CjAIR• wN. -.Lc i 3o Zo' 60 Ta 3j� is©9 = �---/ '� � Sep:•tic de�,i.�.n . 31.0 .3' FAt i&a ted. itow 3 30- pd 48X.7'+c�ceal 27� CAT<N r�SIVS bot— >/2�?=Lr ,!m: 33.t Aide-e c ?�,7�.1= . 130 l /Jea.t hind Cilci..'.e / P►c �M LI0 r w i de �ff 1 J Capac i tq .1462. c�,pd� ao�Va No Scate ! n - - r500 — -- 16�8 .fide v. „. ,. :, M tJ N I 4' 4' i. Site, /?•tan o f .Cand in va tet-vi -e, IW .9o�c fdwa4,l 7. S taijo td ! 1 `ieirno ,•to•t. 3 ate- alwwn on -ecotde-d. plan ; %n book 290 pica SS: Reua i ona. ate on a,,,d,urted dd twt. # r Date: r q,,&l t: Sa&n4tab& boatdo 7 7,atth late 4-2 S=9 S .S-ccte I "-30 RV, Cap e 6n, --* a-eh-Ag; �9 Ya tc o,, road Rgav niA, M9 02661 ; 5�e� pat#";` -2 r 9 3 0f Aiade 8-2-8 3 Wit. o.acobi ram' l WGt et enco+.cunt e&ed Petc. .to/, 2 min per A� i; S & S L9;4 coara.e to meditmIt AaTusr a�7usr -eA. �` � l,�ll_raF ware wa'r'�tG sj�`��.:i;,��c•�- i it 4"17.9 V7 ! l_ Town of Barnstable *Permit# l ,o ]Expires 6 months om issue date Regulatory Services Fee awxrtsreste, M"S& g Thomas F.Geiler,Director �p 059. ♦0 rfD MP't Building Division Tom Perry,CBO, Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma us 0ffice: 508-862-4038 Fax: 508-790-6230 EXPRESS PERAUT APPLICATION - RESIDENTIAL ONLY Not Valid without Red X-Press Imprint Map/parcel Number / �-ac>�3 • Property.Address Q�—� 0 iD, esidential Value of Work 63�0_ Minimum fee of$35.00 for work under$6000.00 Owner's Name&Address � i�A .�, l' zt o,Li Lcip Contractor's Name �i� Telephone Number �1�3`6 0 7 Y -- I�CavvT'c> D 41 Home Improvement Contractor License#(if applicable) Construction Supervisor's License#(if applicable) �z 6,/ ,2 1 X-P R C e c8 P E R9►Iu m ❑Workman's Compensation Insurance Check one: . JAN 17 2013 ❑ I am a sole proprietor ❑ I am the Homeowner 2I have Worker's Compensation Insurance TOWN OF BARNSTABLE Insurance Company Name Ll 1/`1 G 1 Jy 5 Workman's Comp.Policy# Copy of Insurance Compliance Certificate must accompany each permit. Permit Request(check box) /p .2'Re-roof(hurricane nailed)(stripping old shingles) All construction debris will be taken to aiyt ❑Re-roof(hurricane nailed)(not stripping. Going over existing layers of roof) ❑ Re-side #of doors ❑ Replacement Windows/doors/sliders.U-Value (maximum.35)#of windows ❑ Smoke/Carbon Monoxide detectors 4 floor plans marked with red S and inspections required. Separate Electrical&Fire Permits required. *Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. ***Note: Property Owner must sign Property Owner Letter of Permission. A copy of the Home Improvement Contractors License&Construction Supervisors License is required. SIGNATURE: Q:IWPFII.EMFORIAMbuilding permit formslEXPRESS.doc i . The Common wealth of Massachuselts Deparhnentoflndusiri&Accidenis Office of I'nvestigations ' 6670 Washington Street Boston,M4172111 "ww.mass.gov/diu Workers' Compensation Insnrance Affidavit: BuiIders/Contractors/Electric anst.Ph tubers Applicant Information Please Print Legibly Name(B idual): Address-- City/State/Zip, ��.•.-�/- Phone ik Ce O 7 `/5— Are you an employer?Check the appropriate box: Type of project(required): 1_U am a employer with 4_ ❑ I am a general contractor and i employees{full and/or pam�e). * ltave:lrired the sub-contractors 6. ❑I�ew ccros�roction 2_❑ I am a sole proprietor orparttter- listed on the attached sheet. 7. ❑modeling ship and hate no employees These sub-contractors have g_ ❑Demolition. employees and have workers' ,,v inn for in any capacity. 9.- ❑Budding addition INo work insurance camp. comp_insurance,S rewired.] 5. ❑ We are a corporation and its 10.0 Electrical repairs or additions 3-❑ 1 am a homeowner doing all work afficers have exercised weir 1 I_❑Plumbing repairs or additions exemption xem f right o ep per 1Y1GL myself [No workers'camQ- 1?.�oofrepairs insurance required.] c. 152,§1(4),and we have no employees-[No workers' 13.❑Other comp.insurallm required-) ;Any applicant tbat checks box fl amst also fill cut the section below showing then worlters'contpensatL0n police infbn=tin llontea a nm who subnut this affidavit indicatibg they ate doing all Vmd and then hire outside contractors utnst submit anew affidavit indics1 mg sncL- tCon=czars that check this boat must atmched ao additional sheet sbnwing the mme of the SRb C =S and state whether ar not-hose entities haee an employees. If the smb-coatmaars have employees,theyrst.pmvide their workers'comp.policy aumber. I ain an ormploy r that is provOng workm'cottrperraation inmranco for my enw1airem Betom is the pofigy atd job site hiformadon. e Inswance Company Name: !ut A/1,cifiz f 6-15 Policy#or.Self-ins.Lic.i#:_7 rr,a-� y t o I Expiration Date: � � �//oo®/ " Job Site Address: ZILU City/State/Zip: Ss Attach a copy of the workers-compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c- 1522 can load to the imposition of criminal penalties of a fine up to$1,500-OG and/or one-year imprisanment,as well as civil penalties in i ie form of a STOP WORK ORDER and a.fine of up to$250-00 a day against the violatar. Be advised that a copy of this statement may be forwarded to the Office of Im-estigations,of the DIA for instuaace coverage verifrtation- I do hereby cm.,1 nder fhepafns nd penfifties ofFedjuy that the informudion provided above is hits and correct Phone#: 6 9 ©,,lcial arse only. Do not mite in this area,to be cousptete+d by dO OF town ofciat City or Torn: PermitUcense# j Issuing Authority,(circle one): 1.Board of Health y.Building Department 3.City/Town Cleric; d.13ectracal Inspector 5.Phu.mbing Inspector 6.Other Phone f#-. DATE(1v MMDNYY) CERTIFICATE OF LIABILITY INSURANCE 07/05/2012 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). PRODUCER CONTACT Oxford Insurance Agency NAME: PRONE 1'AX P O Box 370 (A/C. Ho. Est): E-NAIL ADDRESOxford, MA 01540 PRODUCER CUSTOMER IDi. rNSURED(S) AY's'ORDINO COVERAGE MAIL 1 INSURED INSURER A: A.I.M. Mutual Insurance CO 33758 Libero Molinari INSURER B: dba Molinari Home Improvement INSURER C: 11 Sheep Pasture Way INSURER D: East Sandwich, MA 02537 INSURER E: INSURER is 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 PXOUCED BY PAID-CLAIMS.. ... - .—.-._. .._ _.. _. .--.------' --^------ N„ar POLICY EFF POLICY EXP LIMITS i� TYPE OF INSURANCE POLICY NUMBER �wN/oP/rrYY) (NN/NW/nn) GENERAL LIABILITY EAcx OCCURANCE 9 ❑C.M(ERC IAL GENERAL LIABILITY DAMAGE TO RENTED PREMISES(Ea.occurrence) ❑❑CLAIMS MADE ❑OCCUR H&D EXP (Any no person) $ ' PERSONAL L ADV INJURY GENERAL.AGGREGATE $ GEN'L AGGREGATE LIMIT APPLIES ER: ❑POLICY El PROJECT ❑LOC PRODUCTS-COMP/OP AGO 9 9 AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT 9 (ea accident) ❑ANY AUTO BODILY INJURY (Per person) $ []ALL OWNED AUTOS BODILY INJURY(por accident) 9 F�SCNEDULED AUTOS PROPERTY DAMAGE 9 ❑HIRED AUTOS (par accident) NON-OWNED AUTOS 9 8 UMBRELLA LIAR ❑ OCCUR EACH OCCURRENCE $ []EXCESS LIAR CLAIMS MADE AGGREGATE $ ❑DEDUCTIBLE $ ❑RETENTION $ S WORKERS COMPENSATION ® arm O�- AND EMPLOYEES LIABILITY rmAr NJMIra 8R THE PROPRIETOR/PARTNERS/ E.L. EACH ACCIDENT $ 100,000 A EXECUTIVE OFFICERS ARE Elincl ® excl. 7008113012012 E.L. DISEASE -POLICY LIMIT $ 500,000 05/21/2012 05/21/2013 Y.L. DISEASE -EA EMPLOYEE $ 100,000 2OlMffiNT9 DESCRIPTION OP OPERATIONS OR LOCATIONS: LIBERO MOLINARI IS NOT COVERED BY THE WORKERSNCOMPENSATION POLICY. CERTIFICATE HOLDER CANCELLATION TOWN OF BARNSTABLE SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE 200 MAIN STREET POLICY PROVISIONS. AUTHORIZED AEPRE98NTATIVE HYANNIS, MA 02601 Page No. of Pages. 1 i MOLINARI HOME IMPROVEMENTS 93 THORNTON DRIVE f HYANNIS, MASSACHUSETTS 02601 Phone/Fax (508) 888-3750 Sandwich P"ROPOSAL Phone/Fax (508) 771.5266 Hyannis PHONE DATE TO KnG- A 7n_ 1 /,�1 71 -1 / ?G / 1 I"OQ -W r_'I Ci,l (-(-,Iril,ITI lnhln JOB NAME/LOCATION '1 (.A W17QT I.IThIn (^To OSTER1;T! I C MA JOB NUMBER JOB PHONE We hereby submit specifications and estimates for: DC_onnC E.NTTOC ROOF kF1 QTRIP nr-C CVTQTTh1l^_ O00C1h1(` ++2 ThICTnI I M17TAI n0Tl.:I Cr)r...0 a+T ThiQTnl 1 hli7W 1/ChIT CITOC CI nQ!_1Th1l:.'. ThIQTnI I 1 FI R . FE T TOR PO PER P•,hln 10E nhln L,InTCOQLITCI n ffS rl.- FC K CI ,Ct-tTF.I(.: nRO thin CHIMNEY /\hln rnI1hITCOCi nQu I.WCOC' MCrCQCA0V 4+/_ TI,IQ`T I I I nhlnMA0V CZUThIC`l CC I TMTTCn I TCCT'TMC I.IP,OOnhITV .. ... ....:,ti. 1 . ,:...:._ :_., 1..:.. :, ,, .,. ...,:_�.,, _,I....... ... .....a.: ,s. , :_.�. :.....,.: r... : .1 r E 'V, :. ,, : (rnno Tn or CCI !_'('TCn P\/ r)WNIC0 +I.7 TH(iR01tr'.:t..t rl Cnhl IIn r1C A I nCg0TC DCI nT7hl(.`. TO Tt.JC npnt/C IN'nOI! TO ThICTP,I I OTnl.^..0 VENTC I.InI II n 0C nhl nnnTTTnMnt d\7 nn f"7C0 I ThlCnl CnnT CI II I V Thi Qt 101=6 wr)ovMChIQ rnMOChiQnTTnht nhln I TADTI T'TV ThI C•I IO nhIrC WS IPR'®jp(U)0cR hereby to furnish material and labor—complete in accordance with the above specifications,for the sum of: QC1/ChI Twn1 ICnhln CTW17 WI lklnOCn _________-.____,_____ doljars nn )• Payment to be made as follows: . — o ONE H(,t C TO BE r)(',Tr) I IDnh1 rnMMChIrCI,riChlT (1C TUC AMM/C Wr)OV TWI=' tWnl nhlrC Tn 01= OnTn ti0nhl COM01 CTTnh1 All material is guaranteed to be as specified. All work to be completed in a professional manner according to standard practices. Any alteration or deviation from above specifica- Authorized Boris involving extra costs will be executed only upon written orders, and will become an Signature extra charge over and above the estimate. All agieements contingent upon strikes,accidents or delays beyond our control. Owner to carry fire,tornado,and other necessary insurance.Our Note:This proposal may be workers are fully covered by Worker's Compensation Insurance. withdrawn by us if not accepted within Trt n-^,V C days. Acc�a pa&m c a ®ff 1Pftjp®@ffill —The above prices, specifications and conditions are satisfactory and are hereby accepted. You are authorized Signature to do the work as specified.�mente made as outlined above. /� / � Signature Date of Acceptance: (J I ;.as l.lJ it%.11 it AV t ti - UV II II tIIt Cl It IF I'Ull l It .7d1 Ct. Board of Buil(l.4w.Re-ulations and Standards;` ' Construction Supervisor .License License: CS 40124; . LIBERO J MOLINARI 11 SHEEP PASTURE`WAY E SANDWICH, MA 02537 ate' Expiration: 3/29/2013 I �'unnnisviunct T,r#: 12618- I '. U/L6�QO�/7?/l7ZN/ZLL/6CI•GC� dCLClLL4G'�iJ l . Office of Consumer Affd&s&Business Regulation::- " License or registration valid for individul use only. 1 OME IMPROLIEMENT CONTRACTOR before the expiration date. If found return to: i egistration: 102322 Type: Office of Consumer Affairs and Business Regulation j xpiration:.,.-7/112014... DBA ='::10 Park Plaza-Suite 5170 Boston,MA 02116 MOLI ARI ROOFING _• Libero Molinari EEP PASTUREtWAY g � � SANDWICH, MA 0253Z` Vddersecretary Not valid without signature J. t•.:......::': .. i d L TOWN OF BARNSTABLE s CERTIFICATE 'OF OCCUPANCY . P - C4gL ID 1.21 011 009 -GEOBASE ID 6327 ADDRESS--, 104 WEST WIND CIRCLE PHONE Osterwille ZIP - LOT 3 BLOCK LOT SIZE DBA DEVELOPMENT DISTRICT CO, PERMIT 15374 DESCRIPTION SINGLE FAMILY DWELLING (PMT.#10777) i .PERMIT TYPE BC00 TITLE CERTIFICATE" OF OCCUPANCY e CONTRACTORS: ' ` Department of Health, Safety ARCHITECTS: and Environmental Services I TOTAL FEES: tt1E BOND $.00 , CONSTRUCTION -COSTS , $.00 QA 756 CERTIFICATE OF OCCUPANCY * BARN3I,ABM * ' MA83. OWNER CONNOLLY, CAROLYN E 039. A� ADDRESS 108 TANGLEWOOD DRIVE ED Mfg BUILDING LVI'S OSTERV I LLE MA BY DATE ISSUED 05/23/1996 EXPIRATION DATE ',(� .* 1. S'Yti��:vftf 11':d.Y :ia. .>r _a°„�iw,i'...u., �iis�L ,.. .. ... .•.:<.w.•:: - ... .. ... -. -. ter...,... _ Yy_.,• 'A�'•'R LV P�1RtGL G��:IJihaG: 1'T`1 ADDRE; ;3 �f1 s WEST -WIND :t`'RC ,E?' WT DB 1 . i)i5';'E1rC�1Mir:i 'h —I", `0 --- DISME 11T ( cJ PERMIT /'r'1 S."N(.);...:': YAM.g0NE' W/12 X 12 D: ;.:d:. S I M (3AfZACi. ' P 'N I-J' ';" i''I; ?c; L i,,: ► 3�� NI:':`:d �;I;c;/(,'OMM BLD(:Department of Health, Safet and Environmental Services 75 a0Nll' �1NE ]Lb: _'i1i _i)• ,... - F. A :,.D PP Ir VA I t: p `� HARNSTABLE, s' MASS. ')G NRR CLNNi i639. AL'J:1.;1au108 ctl�;(a�.iti.Y •'lili L/'\i-', 03TIES.RV BUILD bN" c'� ] :, EU , _' .. ', BY .0 c ' Ex . ! ! x THIS PERMIT CONVEYS NO RIGHT TO OCCUPY ANY STREET,ALLEY OR SIDEWALK OR ANY PART THEREOF, EITHER TEMPORARILY OR PERMANENTLY.EN- CROACHMENTS ON PUBLIC PROPERTY,NOT SPECIFICALLY PERMITTED UNDER THE BUILDING CODE,MUST BE APPROVED BY THE JURISDICTION.STREET OR ALLEY GRADES AS WELL AS DEPTH AND LOCATION OF PUBLIC SEWERS MAY BE OBTAINED FROM THE DEPARTMENT OF PUBLIC WORKS.THE ISSUANCE OF THIS PERMIT DOES NOT RELEASE THE APPLICANT FROM THE CONDITIONS OF ANY APPLICABLE SUBDIVISION RESTRICTIONS. MINIMUM OF FOUR CALL INSPECTIONS REQUIRED FOR ALL CONSTRUCTION WORK: APPROVED PLANS MUST BE RETAINED ON JOB,AND WHERE APPLICABLE, SEPARATE 1.FOUNDATIONS OR FOOTINGS THIS CARD KEPT POSTED UNTIL FINAL INSPECTION PERMITS ARE REQUIRED FOR 2.PRIOR TO COVERING STRUCTURAL MEMBERS HAS BEEN MADE.WHERE A CERTIFICATE OF OCCU- (READY TO LATH). PANCY IS REQUIRED,SUCH B41LDING SHALL NOT BE ELECTRICAL,PLUMBING AND MECH- 3.INSULATION. OCCUPIED UNTIL FINAL INSPECTION HAS BEEN MADE. ANICAL INSTALLATIONS. 4.FINAL INSPECTION BEFORE OCCUPANCY. 0 i BUILDING INSPECTION APPROVALS PLUMBING INAFECTION APPROVALS ELECTRICAL INSPECTION APPROVALS rej40AA0',Wf/w.�t/ 64C 2 ? 2 f 3 1 HEATINCy4NSPECTI N APT OVA S ENGINEERING DEPARTMENT i t (� S S 2 BOARD OF H H O R: 11_ _hfPT SITE EVIEW APPROVAL 9<V WORK SHALL NOT PROC ED UNTIL PERMIT WILL BECOME NULL AND VOID IF CON- INSPECTIONS INDICATED ON THIS THE INSPECTOR HAS APPROVED THE STRUCTION WORK IS NOT STARTED WITHIN SIX CARD CAN BE ARRANGED FOR BY 1 VARIOUS STAGES OF CONSTRUC- MONTHS OF DATE THE PERMIT IS ISSUED AS TELEPHONE OR WRITTEN NOTIFICA- TION. NOTED ABOVE. TION. 508-790-6227 1.I' - To Date Time WHlLffl YO'U�W E OUT of Phone Area Code Number Extension TELEPHONED PLEASE CALL CALLED TO SEE YOU WILL CALL AGAIN WANTS TO SEE YOU URGENT RETURNED YOUR CALL poi/03 61 Me e �K Operator AMPAD 23-021-200 SETS EFFICIENCY® 23-421-400 SETS CARBONLESS • Assessor's Office(1st floor) Map 12 Lot P it# 071 /0717 Conservation Office(4th floor) cl Z _ Date Issued &I Board of Health(3rd floor)(8:30-9:30/1:00- 2:00) e Engineering Dept.(3rd floor) House#1 /01BE Planning Dept.(1st floor chool Admin. Bldg.) A t/ vef� �(J �'�"��� `�WJV e LW 1 UANCE 9 &— W . Definitive Pla pprove y Planning Board /�lQ• a 6 �y 19 EMMON ' ODE AND TOWN OF BARNSTABLE TOWN RE ONS Building Permit Application Project eet Addre W 65T WIN t ( dJ5e IV6 , l� . Village G STc(U* 1 ( 1 9- - GonhOtl C,a,�.�yn Owner K0 1�l�t/u S (Ce;N Mr 4 —i K V.S`W ddress C(4- S U 5,(-r .l W- -6(<6 t_, j`j�/l th:f- Telephone 5-0 Permit Request -D 4,AA k u 1 (.rlp,( , 6-e_ 1 Z-.X-IZ -.7: Total 1 Story Area(include 1 story.garages&decks) G. square feet ' 4. Total 2 Story Area(total of 1st&2nd stories) "square feet Estimated Project Cost $ (j Zoning District _G Flood Plain Water Protection Lot Size l , � Grandfathered ? Zoning Board of Appeals Authorization Recorded Current Use i Proposed Use Construction Type LU0 6 i� Commercial Residential , Dwelling Type: Single Family Two Family Multi-Family Age of Existing Structure -.J a Basement Type: Finished Historic House /(J D Unfinished Cp 1,JCYt 67 Old King's Highway Number of Baths A- No.of Bedrooms 3 Total Room Count(not including baths) `�' First Floor Heat Type and Fuel Central Air Fireplaces Garage: Detached. Other Detached Structures: Pool Attached ✓ 14-x Z f!- Barn None Sheds Other �`�' Builder Information Name J /4,96 K) Telephone Number ,5 6 23 49C1(l, Address 14 J U s, jnj IA-1 , License# '_J21?rL_),Z-kgA y,7,4Home Improvement Contractor# 1101 Worker's Compensation# �NEW CONSTRUCTION OR ADDITIONS REQUIRE A SITE PLAN(AS BUILT)SHOWING EXISTING,AS WELL AS PROPOSED STRUCTURES ON THE LOT. JALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO e SIGNATURE DATE BUILDING PERMIT DENIED FOR THE FOLLOWING REASON(S) FOR OFFICIAL USE ONLY PERMIT NO. ' r DATE ISSUED MAP/PARCEL NO. ADDRESS VILLAGE 4 OWNER DATE OF INSPECTION: !� FOUNDATION FRAME INSULATION - V� FIREPLACE �� J ELECTRICAL: ROUGH 'FINAL PLUMBING: ROUGH FINAL GAS: FINAL FINAL BUILDING ] _ fit DATE CLOSED OU"P,; ,j ASSOCIATION PC NOO �� 8 y . , ✓/�6 TDt�It9lt4�tlj/�p,� �✓�'�44Q4C�ECl6EC� ` DEPARTMENT OF PUBLIC SAFETY ; Restricted 10: 00 CONSTRUCTION SUPERVISOR LICENSE E Huber.- _ Expires: DO - None — 2 faily Holes Restricted To 00 R i �� �! � •;. ..-,M'«F;^'EDYARD 1 SigfFORD �4LrGM�Ot� �p_V �3 3L3 k z(,u 94 SUSAN LN i CO AMISS BREYSIER, MA 02631 TMvvtf(s 3- 's' r ) 1• . ` 1. • r :1;.' S '1 :1.. . .t' 1'f:r .S l \_ 'J ..... 1 . 'C. 1 - 11,,0= '94 IT:02 'CS1 i72 i?12_2 DtY1 IM) l"IM /. A n n T L.onunoiacuealtA of J71aajczc/xcc4etb . W- 0 lUnPartineitl e��isdu�frcaL�ceuta� doo .J..nYEon St, James J.Campbell (3 &n, V aesac" 02f 11 : Commissioner Workers' Compensation Insurance davit �. ( � with a principal place of business at: �- � ) (�, /U, 12- rRELS 16:�- M A, oz-63 I a eccrises�sm� - do hereby certify under the pains and penalties of perjury, that () I am an employer provid'mg workers' compensation coverage for my employees workit this job. Insurance Company Policy Number () I am.a sole proprietor and have no one working for me in any capacity. () I am a sole proprietor, general contractor or homeowner (cirde one) and have hired ti contractors listed below who have the following workers' compensation policies: Contractor Insurance Company/Policy Nurn Contractor Insurance Company/Policy Nunn. Contractor Insurance Company/Policy Nr.m () I am a homeowner performing all the works myself. cc:;-i of cis s_.emcnt Mii:to fo:r:arced tc ire O:ice of ir•,•;esvr;;ons of the OTA for cc%Trage verificaticr and that faifur e t ce�r.aje:s r¢e�i:ed t:naer Sec:icn 25A of MGL 152 calm ieao to the Imposition of crimiml penakies eonsisdne of a fine of u;to S 1,100.G0 Lea::' irrrrLc-c-Ent,-s well as cti•ii penalties in the fcrr.cf, OP WORK ORDER and a fine of S T00.00 a day apinst me. Signed this day of Licensee Building Deparvnent Licensing Board ' !{ I oh, . 5'lr/-{--rY9,L S;V MIN `�11e3V1A(�'a a�J�7 �1v7 •any -t�o,����'1 P�� , ar+7 ' -L97, ?13cr-9$ -4 o00Se3 , .q) volt -5 �v�� r 1' r..J:MS"(y4 r.:'J.py �^'�:w �. '7. it.-^4-Y._ f�.r. ' - _ ♦� - 5 t y` 28 'c • - ;, - 130 '1 77 2b6 1 t_ ,e.a s• 13' 1914C•S, 10 4j. �# 1 e sY .�c�c 1.70•. -4igf. IZ'Z O .aSK .. !�& 1.35AC N o. 11-3 �` tI sa O (- -q1.. .34pL P �f� S as t§l.''i ,r M 1 '�_,'�l .. 11-b 1 � .Y Q® •ae.�,- � "` at �� K � \ 1 �V r p t° a ",Lo.' •9s,.� ® c: .as,� o ® ti Rn � i®'r � , t, 11-e1 � .c � >�•• - � r / �:•Q p o _D'�•� O - - ! 11_7 /3G g o fl•Ll m 37A, �J co Y f.`!;., - ! /'/\/r '/` ' `� P, L° 9 5 e< I r_dq.. �1 t�> 11-21.• :® .. ff to �r / '.' ` ..,1 I - B � .•`w I I_.3S sy .3cn4�' 'y'6 s 11_ .3a:rL ea , ' .31AC O O 11-9 11-34 ` y0 •3GK IdV 'ao .. •.+ 6e .4Zrc1 c o 11-4L �o� II-24BoAc Q - top ! f 1 > m ; .41oc 11-4.1 �4 0° '.35nc • 10 i B .3bt II-jb 1 -35m (Q,�s� `�J •O .I At- - 11-40 vp 8 +I sj 43 II-3 u 11-39 J . � j I o © y .41 ep 35-,_ rQ I46�otf `p>�(. s3 ' •37 n,t; 11-16 ® oo 1 ��1�' 'e rrq `eO.f 14. ow oh •964c --- 11-r1 � )why °° 1 � y , �ayol' q ON 0 .54 11 r► op 1 it 1° ti e° eta o 51 as O �i 11 yly d hF o ib 'qf♦e ey ^ .. y j4 1 tip or At 4�- b5 l 9� O I,p ',•� u My `$, \ ''o, Q 35.� ds 9 3�pr ° ` N t i35y tlpova la „y� (� spy 0 0 10 1A Q ` 1 yy. :J � (c,•t 'IRST NO. :/340: ISO ' • - `-� .35 .QO L•y , ^I O f1C V. By AVIS 1970 '005' —may T ORIGINAL ISSUE: ' /�. C ',�i JOBIY N°W.? uaan.ae ,r r'i.3 7i I „:,s• e 99 122 148 Yf 1 `q5 `fly 98 IYI 145 ' 3 .43. y . 97 m 144 r �f+ L d T we 5T L j 7# orCo Z�, c Li _ Gdv►nd�y. I G0wj,� f Q-S S E-07 6 L .r :d 8F 09201-0063 94-OS-20 3+20 il31171 We, Antonio Scarpetta, of Fort Sheridan of Illinois go West Wind Circle, Osterville, Barnstable County, Massachusetts, s tenants by the the entirety, in consideration of the terms of the Judgment of Divorce, Barnstable - County Docket Number 92D.0815-D1,grant to Eileen M. Scarpetta,of 90 West Wind Circle,Osterville, Barnstable County,Massachusetts 02649 with quitclaim covenants, the land situated in Osterville in h t e County of Barnstable and Commonwealth of Massachusetts,bounded and described as follows: SOUTHEASTERLY by West Wind Circle as shown on hereinafter mentioned Plan,one hundred eighty and 00/100(180.00)feet; WESTERLY: by Lot 3 as shown on said plan, one hundred for and (140.34)feet; h' 34 100/ � NORTHWESTERLY: by a portion as shown on said plan,one hundred fifteen and 42/100(1 5 42)feetsnd on Co.,Inc. NORTHEASTERLY: by Lot 5 as shown on said plan, one hundred twenty-five and 98/100(125.98)feet. Containing an area of 18,483 square feet,and being LOT 4,as shown on plan of land entitled "Subdivision Plan of Land in Osterville (Barnstable), MA. Being a Resubdivision of Lots 12 through 22 as shown on Plan for Dennis Star Construction Corp.,Dated August 27,1973,by S.R.Sweetser,Engineer,July 22, 1974,Scale: 1"=60" S.R. Sweetser, Engineer, 97 Sea Street, Dennisport, MA BA 41 C2664" which plan is duly recorded in the Barnstable County Registry of Deeds in Plan Book 290,Page 55. Together with a right of way over the streets and ways as shown on said plan for all Purposes for which ways are commonly used in the Town of Barnstable. I Subject to a right of way over so much of said lot as by implication of law es within \� the limits of any way; the right to install and maintain all public utilities in, over, (� under and upon any private way;and the right to grant easements to public service corporations for the installation and maintenance of such utilities in, o and upon any private way. ver, under Subject to an easement given by Cora A.Lewis to the Cape&Vineyard Electric Co.et al, dated February 1, 1916, duly recorded with the Barnstable County Registry of Deeds in Book 362,Page 525. Subject to easements of record, if any there be, insofar as the same may be in full force and applicable. i �-� and recorded with the Barnstable County Registry of Deed Being the same premises conveyed to these grantors by deed dated l ok s n Bo T D Page Executed as a sealed instrument this b� day of 1994 ra►een M. Scarpetta C Antlon�iorpetta r BP:09201-0064 34-05-20 3:20 #31171 COMMONWEALTH OF MASSACHUSETTS SS � 1994 Then personally appeared the above named Antonio Scarpetta, and acknowledged the foregoing instrument to be his free act and deed,before me. Notary Public My Commission expires: 4 ti M r BARNSTABLE REGISTRY OF DEEDS C O � � •� �� • i r r' � . �3 b 1 � a v4 c�: wM. .r ,:r; .u:rc• R :i�aw.� .i:sf#1'.<:::ls�a>.i^�sn�.+� .:�. yY' :i t .� , i Wit _ F : t�y i 8=5264?eeE 161 61086 1137:LA1 N. UL'ED f -� •. w�+:'�.ti THEO CONSTRUCTION COMPANY, INC. , a Massachusetts corporation having its usual Place or business at 24 Great Pond Drive, Yar- mouth (South) , Barnstable County, Massachusetts, S+! I FF a r,,r consideration paid of $ 154,000.00, {/* .y f ' L ter` GRANTS TO: ROBERT D. BRAUNSTEIN, f a of 290 Winter Street, Barnstable (Hyannis) , Barnstable County, I �! k4.4t Massachusetts 02601. �r Y � 1 y _ wrCh ;'t;ITC1311M COVENANTS . The land situated in barnstable(Osterville) , Barnstable County, j Massachusetts, tooether with anv buildings thereon, bounded 'aud ` t described as follows: I 9 r t I SOUTHEASTERLY by West Wind Circle as shown on hereinafter men- tioned plan, one hundred eighty and 00/100 I { (180.00) feet; fill.� WESTERLY by Lot 3 as shown on said plan, one hundred forty 7 and 34/100 (140.34) feet; I ; , ^Sp`• ...�Y, NORTHWESTERLY by a portion of land of John B. Lebel Construction � - x t" Co. Inc. as shown on said plan, one hundred j r' fifteen and 42/100 (115.42) feet; and NORTHEASTERLY by Lot 5 as shown on said plan, one hundredj� ^ twenty-five and 98/100 (125.98) feet. 1 � ( CANCELLED u;+ Containing an area of 181.483 and :r•:nu 4 LOT -' i .. _ as shown on plan o`. land entitled: "Subdivision `r plan of Land in Osterville(Barnstable) , ?:a. Being a Re=ubdivisic'::' )1 ` of Lots 12 *thru 2: as shown on Plan for Dennis Star Constr. Corr . • Dated August 27, 1973, by S. R. Sweetser, Engr. July 22, 1P74, Scale: 1 = 60' S. R. Sweetser, Engineer 97 Sea Street, L.unr.;s- . port, Ma. BA41 C2664" which plan is duly recorded in the Rafnsta- ! at�t ble County Registry of Deeds in clan Book 290. Page 55. .(;•r . Together with a right of way over the streets and ways as shown on said plan for all purposes for which wa;'s are commonly used in the Town of Barnstable. f ` a A" ! x ` sub;ect to a right of way over so much of said lot as by im; lit -i Lion of law lies within the limits of any way; the right to -4: stall and maintain all public utilities in, over, under and it .,;. any private way: and the right to grant ea= Arts to public it y".. service corporations for the ir.stallation and maintenance o: ., utilities in, over, under and upon any private wa} . Subject to an easement given by Cora A. Lewis to the Cape s vir,r'-! 3r + yard Electric Co. et al, dated February 1, 1916, duly recorded l y with the Barnstable County Registry of Deeds in Bk.362,pg•525. I r ' s ff Subject to easements of record, if any there be, insofar as the rl may same be in full force and applicable. l . ' ! The above described premises are conveyed subject to and tegetl.,•t; n n� with the benefit of the following restrictions: r X i • ti •� , i V b f BOOK5264P. 162 'r 1. No cattle, horses, fowl or other animals, except the Common �? household pets, shall be kept upon the granted premises, bo dF ' 2. No trailers, trucks, lettered vehicles or scrap materials y.HJ "3i shall be placed upon or kept in any lot: but this restriction' 4 shall not be construed so as to prohibit the placing or keeping ,P Pro of such things indoors in a garage or cellar where they cannot ' z v be seen from the outside. ,f!= 3. No mercantile, mechanical, or manufacturing trade or business S !j ++ggx,' . { l shall be carried on upon the above described premises, and no 1 ` hospital or rest home for the care of the sick, feehle-minded * i; i, or insane shall be established or maintained thereon, but this restriction shall not prevent the carrying on or practice of a itTyz lawyer's or doctor's profession upon the premises. tf x 4. No screens, fence hedges, wall or foliage screens or other means of obstructing the view shall exceed four (4) feet in height r } above the �fii (� ` ground at any distance greater than fifteen (15) feet t ' from any dwelling. ., 5. The grantors reserve the right to modify or amend the above restrictions in any manner they may determine shall be of benefit j to the remaining lots as shown on said plan. i rri V For title, see deed duly recorded in the Barnstable County Registry, o. Deeds in Book. 2667 , Page 116 _ See also confirma- tion decree recorded in Book 3203, Page 37. YS '. ' } Subject to a Cape 6 Vineyard Electric Co. Easement as shown on said plan. IN WITNESS WHEREOF, the said THEO CONSTRUCTION COMPANY, INC. has caused its corporate seal to be hereto of-fixed and these y, Itrr �• presents to be signed, ackno.-lodged and delivered in its name �t ° '+ � and behalf by SPERO THEOHARIDIS, its TREASURER hereto duly f ♦`.I,T %�' . authorized, this day of JULLI ,:196X"`�•' •E a { ` 'r• For corporate authority, THEO CONSTRUCTION COG4I,NY•;"•IN' see Vote duly recorded at By: .� ` ?Ice '.YL• yq . e 4tt"f1 Barnstable Registry of Deeds ' LO �•'• PH ?" r. M�tF in Book 1301, Page 884 �, �C .RO EOHARIDIS,.3r.easxrer e. • COMMONWEALTH OF MASSACHUSETTS F �. T �"` N• atF Barnstable, ss- _ JUL`L3o. ,1ge-6 ` t � Then personally appeared the above nar..ed SPERO THEUHARIDIS, TREASURER as aforesaid, and acknowledged the fore- going instrument to be the tree act and deed of the T�EcY1Wb,TRhC 9s ,! C3 T!nN Cn`:PnNY, INC. , before me, rd4\-� •� ,' t i ixs- + 1 i', �py �:, •., N.v commission expires i TX A''t ,l It d { xcon[D AUG 25 sb k ' ' � OWN,', ,A a_:.., '.•,. '::'. 1_. �:..Y u .. �. u.,... �a-. .....�,+.... �° 4. ....'t..d�K,;ry,...- c ..,...-:n..�ip,_^•L.. rn ,... . .+ �. .:.� U H 1, Spero Theoharidle hereby certify that I an clerk of Theo Construction ;cmpsnyj Ino. a Massachusetts corporation, that Spero Theoharidis in treasurer of said corporationj V and that at a meeting of the Directors of said corporation duly hold on May 10, 1965, at which meeting all the Directors were present and voted, and to which meeting and the business transacted thereat all the directors of the corporation assented in writing, it was unanimously VOTED that Spero Theoharidis, the treasurer of the corporation be and he is hereby authorized and empowered, in the name and an behalf of the corporation and upon such terms as he may deem necessary, proper or advisable, to purchase, sell, convoy, mortgage, pledge, exchange, hire and lease, real and personal property, to borrow money, to execute and deliver all such deeds, mortgages, assignments, extensions, releases and discharges of mortgages mortgage notes, leases and purchase and/or sale agreements, of real and J personal property of and/or for the corporation as he may from time to tin* deem necessary, proper or advisable for the business of the corporLtionj that this vote be recorded in the Registry of Deeds for any county in which the corporation now mint or may at any tiny hereafter ova any real estate and that the foregoing power and authority hereby conferred upon said Spero Theoharidis shall continue in full force and effect an to any property or assets of the corporation situated in any county in the Registry of Deeds for which this vote "ll be recorded, until a vote of this corporation.-............ terminating,the same is duly recorded in the Registry of Deeds for I county. Sp 4 ".2.harici a, OOMHWULTH OF MASSACITUSMS .......... Barnstable, on. P May 10, 1965. Then personally appeared the above-named SP,ArO Th h r1dixj',,Clcr)c�eO 00" .ti Ino., and made oath he tru h Construe an =pany, :- --I- statements before me subscribed ng V -,A No U I t'a DANIEL F.SULLIVAN AT"No"AT LAW S 'A "A whis 8749tv ocx1301 ma 884 My oonnibsion expires 'A S, MANN 1W, U'1 6 19 3 5 B00K5134PACE 244 . 00ITCLAIM DEED 40975 THEO CONSTRUCTION COMPANY, INC., a Massachusetts corporation having its usual Place of, business at 24 Great Pond Drive, Yar- mouth (South), Barnstable County: Massachusetts, i for consideration paid of $158,000.00 :i GRANTS TOs STANTON E. ABRAHAMSON and MARCIA G. ABRAHAMSON, husband and wife, as tenants by the entirety, both of 68 Overland Road, Greenfield, Franklin County, Massachusetts (01301) i . with QUITCLAIM COVENANTB ' The land situated in Barnstable(Osterville) , Barnstable County, Massachusetts, together with any buildings thereon, bounded and described as follows: SOUTHEASTERLY by Went Wind Circle, as shown on hereinafter mention d plan, 125.00 feet# SOUTHWESTERLY by Lot 1, as shown on said plan, 120.99 feet# .' r NORTHWESTERLY by land of John B. Label Construction Co. Inc., as shown on said plan, 125,01 feet# and NORTHEASTERLY by Lot 3, as shown o#i said plan, 122.46 feet. • j Containing an area of IS-11S square feet, and being i LOT 2 , as shown on plan of land entitleds 'Subdivision i Plan of Land in Osterville(Barnstable) , Ma. Being a Resubdivision of Lots 12 thru 22 as shown on Plan for Dennis Star Constr. Corp. Dated August 27, 1973, by S. R. Sweetser, Engr. July 22, 1974, b Scales 1' - 60' S. R. Sweetser, Engineer 97 Sea Street, Dennis- port, Ma. BA41 C2664" which plan is duly recorded in the Barnsta- ble County Registry of Deeds in Plan Book 290, Page 55. Together with a right of way over the streets and ways as shown j on said plan for all purposes for which ways are commonly used in the Town of Barnstable. 4. Subject to a right of way over so much of said lot as by implica- tion of law lies within the limits of any way; the right to in- stall and maintain all public utilities in, over, under and upon _ any private way; and the right to grant easements to public e service corporations for the installation and maintenance of such E utilities in, over, under and upon any private way. Subject to an easement given by Cora A- Lewis to the Cape i Vine- yard Electric Co. at al, dated February 1, 1916, duly recorded with the Barnstable County Registry of Deeds in Bk.362,Pg.525. Subject to easements of record, if any there be, insofar as the i same may be in full force and applicable. ;~ z y- The above described premises are conveyed subject to and together with the benefit of the following restrictions: • I • h}T ' ems;• B=5134 RGE 245 • i 1. No cattle, horses,• fowl or other animals, except the common household pets, shall be kept upon the granted premises. 2. No trailers, trucks, lettered vehicles or scrap materials shall be placed upon or kept in any lot; but this restriction shall not be construed so as to prohibit the placing or keeping of such things indoors in a garage or cellar where they cannot be seen from the outside. 3. No mercantile, mechanical, or manufacturing trade or busines shall be carried on upon the above described premises, and no s hospital or rest home for the care of the sick, feeble-minded �}or insane shall be established or maintained thereon, but this ii restriction shall not prevent the carrying on or practice of a lawyer's or doctor's Profession upon the premises. * s d. No screens, fence hedges, wall or foliage screens or other means of obstructing the view shall exceed four (0) feet in height above the ground at any distance greater than fifteen (15) feet from any dwelling. 5. The grantors reserve the right to modify or amend the above restrictions in any manner they may determine shall be of benefit to the remaining lots as shown on said plan. For title, see deed duly recorded in the Barnstable County Registr of Deeds in Book 266 Page 116 See also confirma- tion decree recorded in Book 3203, Page 37. IN WITNESS WHEREOF, the said THEO CONSTRUCTION COMPANY, INC. has caused its corporate seal to be hereto affixed and these ' presents to be signed, acknowledged and delivered in its name 4.. " and behalf by SPERO T1 y F�OHARIDIS, its TREASURER hereto dul authorized, this biw day of �IQ, L.. For corporate authority, THEO CONSTRUCTION COMPANY• 'tP1~`, �' , ? see Vote duly recorded at By; Y.•� `• �.''• Barnstable Regis r of Deeds f J 1: in Book 1301, Page 884 < � T THEOHA IDIS, Trsadsore 14, COMMONWEALTH OF MASSACHUSETTS "••uwnu� Barnstable, as DM " -� ,1985 Then personally °y r F ( '• appeared the above nam gUIS RD... THEOHARIDIS, TREASURER as aforesaid, and acknowledr' Ifo1-Pjl going instrument to-be the free act and deed of tht !., TIDY COMPANY, INC., before ■e S •tie. T otarY" •��~ ,j, * My commission expires:ftj 1_j - • �; _ �, r�'c►!lv*A,TH OF ►AA$•Ar �1_F TS �•:� -'-• - �. � - -'lit =3 6 0. 2 4� 'k yr t a?. 4. i '� RECCORDED " r • , Off. 362-3132 La•l THOMAS P. CANTWELL .4 Attorney at law 112 MAIN STREET YARMOUTH PORT, MASSACHUSETTS 02675 4 . ' September 27, 1995 Ralph Cranston Building Department Barnstable, Mass. 02630 Re: Carolyn Connolly 104 West Wind Circle Barnstable, Mass. Dear Mr. Cranston: Please be advised that the above described vacant lot was Purchased by Carolyn Connelly from Jeffrey R. Greenwood on October 31 , 1983. This is the only parcel of land that she owns as an individual. The parcel of land abutting the above described land to the rear was at one time owned by Edward P. Connolly and Carolyn E. Connolly, husband and wife, as tenants by the entirety. The Connollys no longer own that parcel. espectfull Y •I i r f aocK 3914 feet- 007 46158 I, JEFFREY R. GREENWOOD, individually, of 108 Tanglewood t Drive, Barnstable (Osterville) , Barnstable-County, Massachusetts 02655 for consideration paid of Sixteen Thousand ($16,000.00). Dollars and No/100, Igrant.to CAROLYN E. CONNOLLY, individually, of Tillotson { Road, Needham, Massachusetts 02192, with QUITCLAIM COVENANTS, C) the land situated in Barnstable (Osterville) , Barnstable I ' (I County, Massachusetts, bounded and described as follows: (+ ( iv � Southeasterly by West wind Dre, as shown on hereinafter pr; C � + mentioned plan, one hundred seventeen F and 40/100 (117.40) feet; r{ tSouthwesterly by Lot 2, as shown on said plan, one hundred E twenty-two and 46/100 (122.46) feet; Northwesterly by Land of John B. Lebel Construction Co., J. Inc. , as shown on said plan, one hundred a ! eighty-two and No/100 (182.00) feet; .y. • and ( � Easterly by Lot 4 and Cape & Vineyard Electric Co., 11 Z easement, as shown on said plan, one hundred forty and 34/100 (140.34) feet. { Containing 18,457 square feet, and being Lot No. 3, as shown on plan entitled: "Subdivision Plan of Land- in-Barnstable ' ` (Osterville), Mass. being a subdivision of land as shown on a plan dated September 23, 1971 for Dennis Star Construction Corporation by S.R. Sweetser, Engineer, August 27, 1973 Scale �. 1" = 60' S.R. Sweetser, Engineer, Denninport, Mass.", which a . ' said plan is duly filed with 'Barnstable County Registry of ! Deeds in Plan Book 280, Page 69. r" ? The above-described premises are conveyed.subject. to, and f ° with the benefit 'of all rights, rights of way,. easements, I , '. appurtenances, reservations and restrictions. of record and y. especially as set forth .in a Deed from the Dennis Star "..7 Construction Corporation, to me, dated May 8th, 1979, and 3: o COM O TH OF MASSACHUSETTS i w t IXC;itif� 1 _— io i. 1 I .. _ eoa.3914 FAu 008 I recorded in the Barnstable County Registry Book 2914, Page 080 of Deeds in WITNESS my hand and seal this 7) ay .� "�-- of , 1983 e rey R. reenwood COMMONWEALTH OF MASSACHUSETTS f f Barnstable, ss. Dated: Then personally appeared the above-named.JEFFREY R. GREENWOOD and acknowledged the foregoing instrument to be his free act i and deed, before me, l otary Public i My Commission Expires:. iry. • i f F x 2 4' �^ _2_ A} F PHORDED Oct e3 r Jae. _....... .._� v � r 'K: c QUITCLAIM DEED I, JOHN S. LEBEL, of 190 Pine Lane, Barnstable (Osterville) Barnstable County, Massachusetts, for consideration in the amount of THIRTY-FIVE THOUSAND and no/100 ($35, 000 . 00) DOLLARS paid, grant to••-• JAMES E. MURPHY, JR. , of 885 Race Lane, Barnstable (Marstons Mills) Barnstable County, Massachusetts with Quitclaim Covenants a� the land situated in Barnstable (Osterville) Barnstable County, Massachusetts, bounded and described as follows : o N NORTHWESTERLY by Tanglewood Drive, one hundred b fifty-one and 90/100 (151 . 90) feet; 0 NORTHEASTERLY by Lot 5, one hundred three and 27/100 W r_1 (103 . 27) feet; �4 4 r EASTERLY by a portion of Lot 1, fifty-three and 0 a4 92/100 (53 . 92) feet; � o SOUTHEASTERLY by a portion of land now or formerly of J. Bradley Green, et al, two hundred twenty-one and 55/100 (221 . 55) feet; and v SOUTHWESTERLY by Lot 7, one hundred twenty-two and 77/100 (122 . 77) feet . All of said boundaries are determined by the Court to be a located as shown on. subdivision plan 35801-B (Sheet 2) 44 dated June 9, 1972•, drawn by Charles N. Savery, Inc . , 0 William C. Nye, Surveyor, and filed in the Land E Registration Office at Boston, a copy of which is filed in U) Barnstable County Registry of Deeds in Land Registration �4 Book 464, Page 78, with Certificate of Title No. 57838 and b said land is shown thereon as LOT 6 . Said land is subject to an easement approximately shown on said plan, as set .forth in a grant made by Charles E. Lewis to Buzzards Bay Electric Company, dated February 1, 1916, duly. recorded in Book 362, Page 525 . After consolidation said Buzzards Bay Electric Company conveyed all their rights, easements and holdings to the Cape & 1 i 20006.dd Vineyard Electric Company in an instrument dated November' 19, 1920, duly recorded in Book 378, Page 26 . Said land is subject to the rights granted in an easement given to . the New England Telephone & Telegraph Company, et al, dated April 13, 1973 , being Document No. 173 , 328 . Said land is subject to and has the benefit of the rights and restrictions set forth in Document No. 299, 174 . Said land is subject to an easement to Centerville-Osterville Fire District, dated November 21, 1978 being Document No. 274999 . For title see Certificate of Title No. 89571 . WITNESS my hand and seal this to day7 of 0 ober, 1994 . - j John S. 'Le ee l COMMONWEALTH 0 MASSACHUSETTS Barnstable, ss . October (; 1994 • i Then personally appeared the abov name John S. Lebel and acknowledged the foregoing inst ment o e h s free act and deed, before me- I ETV-W-C. �N e1T Notary Public My commission expires : 7C. _ _. ar•t , �. :+'SZ5666 .35208 11, • �it' 1 QUITCLAIM DEED YI`y a w:;A .43 s --� a R - . rn m - ALSERT J. SCHULZ �y. ATTORNEY AT LAW •[ }'. 6« 7 PARKER ROAD •_.. OSTERVILLE, MASSACHUSETTS 02655 a) T�LECQUNTY W � TTgE CO DEEM (50B)428-0950 TELECOPIE ft(508)420-1536 �+■� `+slur , J4HN Fr M@AA i� f� . i 1 �I �) We, PAUL T. LEBEL and JOHN S. LEBEL, Trustees of Lebel IConstruction Trust, of 32 Wianno Avenue, Barnstable (Osterville) , j Barnstable County, Massachusetts, under a- Declaration of Trust i dated February 1, 19731` recorded in the Barnstable Registry District of the Land Court as Document No. 171, 263, for consid- eration paid,, and in full consideration of Four Thousand ($4, 000) Dollars, grant to JOHN S. LEBEL of 190 Pine Lane, Osterville, Massachusetts 02655, with QUITCLAIM COVENANTS, a certain parcel i of vacant land situated in Barnstable (Osterville) , Barnstable County, Massachusetts, shown as LOT 6 on Land Court Plan 35801-B, i dated June 9, 1972 and drawn by Charles N. Savery, Inc. , Registered Engineers and Surveyors, Hyannis, Massachusetts, and filed in the Land Registration Office at Boston, a copy of which is filed in j the Barnstable County Registry District of the Land Court with Certificate of Title No. 57838, and being more particularly bounded and described as follows: NORTHWESTERLY by Tanglewood Drive, a private way, by three courses totalling one hundred fifty-one and 90/100 (151. 90) 11 feet; NORTHERLY by Lot 5 on said plan, one hundred three and 27/100 (103. 27) feet; NORTHEASTERLY . by . land now or formerly e ly of J. P. Baker et ux, fifty-three and 92/100 (53:92) feet; SOUTHEASTERLY by land now or formerly of J. Bradley Green et al, two hundred twenty- one and 55/100 (221. 55) feet; and WESTERLY by Lot 7 on said plan, one hundred twenty-two and 77/100 (122. 77) feet. CONTAINING approximately 22, 688 square feet. I Fo.r .title see Certificate of Title No. 57838 .issued ?' I by •thy ..'?e:.frstble' Re,.;' ' ,,: y j -...y -4 strict of the Laid Court. !fI .. Fl Said lot is conveyed subject to an easement: in favor of. thetNew.England Telephone and Telegraph Company et al dated IALGER & SCHILLING ATTORNEYS AT LAW BBB MAIN STREET P. O. BOX 449 STERVILLE, MASS. 02655 try l..'i I..'�;� ' tl j_,-'•� t` .�''< t • �c'1l5 jj.e tt �� - '1 ' April 13, 1973, recorded in said Barnstable Registry District- as i Document No. 173, 328. So much of said premises as lies within Tanglewood Drive is conveyed subject to the rights of all others now or hereafter entitled thereto to use .the same for all purposes for which ways are commonly used iri .:tlie Town of Barnstable including the installation of utilities. Said premises are also conveyed together with a right of way over Tanglewood Drive and Hickory Hill Circle as shown on said Land Court Plan 35801-B and over Hickory Hill Circle and Aspen Way as shown on a .plan entitled " 'Hickory Hill' Subdivision Plan of Land in Barnstable (Osterville) Mass. for John A. Lemos" dated September 29, 1965,. drawn by Charles N. Savery Co. Engineers, Registered g g eers, filed in the Barnstable County Registry of Deeds Plan Book 199, Page 31, to and from Route 28 and Bumps River Road, public ways. Said premises are also conveyed subject to the Building and Zoning Laws of the Town of Barnstable and to the following restrictions, which restrictions are imposed for the benefit of the remaining land of the Grantor shown on said Land Court Plan 35801-B. 1. No building shall be erected, placed, maintained, altered or used on said premises until the I complete plans, location--and specifications have been. submitted to and approved by the Grantor in i writing or by a single designated successor or assign. 2. All clothes lines and drying yards shall be enclosed by fencing or shrubbery so as not to be visible from the street or any adjacent lot. i 3. No building or other structure shall be erected, placed or maintained within forty (40) feet of the street line. Said lot is conveyed subject to a bill of sale and ease- ment to th.e. Centerville-Osterville Fire District dated November 21, i• 1980, recorded as Document .No. 274, 999. -2- i a I' WITNESS our hands and seals this 3 day of y 19 8� I LEBEL CONSTRUCTION US By T ustee Trustee COMMONWEALTH OF MASSACHUSETTS Barnstable, ss. , 198d;� Then personally appeared the above named Paul T. Lebel and John S. Lebel, Trustees of the Lebel Construction Trust, and acknowledged the foregoing instrument to be their free act and I deed, before me otary P My commission expires• ,I ^4p S i `.� U x Pi+,k i,i dls YrSiSa v. `'7 ✓ .. 3= , I ,1 i I l: s• S' h� I +r I Be PAUL To LEBEL ET AL, TRUSTEES to JOHN S. LEBEL BARNSTABLE COUNTY REGISTRY OF DEEDS A TRUE COPY,ATTEST JOHN F.MEADE JR w QUITCLAIM DEED tL3 .MawLu AL C9CLLw �cc i v•7 I k I{ , ALGER & SCHILLING ATTORNEYS AT LAW 886 MAIN STREET P. 0. BOX 449 'i ' OSTERVILLE. MASS. 02655 s� 9 h'•b Di� 'x-try:•. t �'•'Is'�+,'wy pi.:„r. i .�,y v e; ao r.. s M . r a�"t Pl`rir 'y` �' ..'�iw n=i^'. ,�': s E � �, ,r5+�ys. �' 'Ti •�''Ir''�. y'ti}9• �r 'fE •�� � y��vb^�:•''1'+'#a'c.t.7%8 � �+�' '�i ' ' .•r:lm::. w.. %Lk .... .. 'l �._' .,YL'0 A' � :r1'A' _t {; . .'rr:Y.-n{1-f q j D E E D Grantors : Edward P. -Connolly and Carolyn E. Connolly, ! 108 Tanglewood Drive, Barnstable (Osterville) , Mass . 1 Consideration: in consideration of $141 ,000.00 dollars paid, grant to Grantee : Joanne P. Mulligan, 500 Washington Street , Quincy, Mass . 02169 Covenants : with quitclaim covenants f Description : the land, together with the buildings thereon, situate in Barnstable ..(Osterville) , Barnstable .. County, Massachusetts, bounded and described as - ! follows : Northerly by Tanglewood Drive, one hundred nine and 35/100 ( 109 . 35) feet; Easterly by Lot 6, one hundred twenty-two and 77/100- ( 122,.77 ) feet; Southeasterly by a portion of land now or formerly of J. Bradley Green et al , two hundred forty-two ( 242 ) feet ; and Westerly by Lots 16 and 8 , two hundred sixty-six and 98/100 ' ( 2'66. 98 ) feet . All of said •boundaries are determined by the Court to be lo- cated as .shown on subdivision plan 35801-B (Sheet 2 ) dated June 9 , 1972 , drawn by Charles N. Savery, Inc. William -C . Nye , Surveyor,. and filed in the Land Registration Office at Boston, a copy of I which is filed in Barnstable County Registry of Deeds in Land Registration Book 464 Page 78 .with Certificate of Title No. 57838 and• said land is shown thereon as Lot7 - 4l Said land is subject, to an easement, approximately shown on said plan, as set forth in a grant made by Charles E. Lewis to Buzzards Bay Electric Company, • dated •February 1 , 1916, duly re- corded in' Book 362 -Page 525 . After consolidation said Buzzards Bay Electric Company conveyed all their rights , easements and P holdings to the Cape & Vineyard Electric Company in an instrument dated November 19, 1920, duly recorded in Book 378 .Page 26 . Said land is subject to and has the benefit of the rights and restrictions set forth in Document No . 180 , 575 ., Said land is subject to the rights granted in an easement 11given to the New England Telephone '& Telegraph Company et al dated I April 13 , 1973 being Document No. 173 , 328 . For our title see Certificate of Title No. 94044 . Witness our hands and seals this (9 day of CCJ-, 1993 f t� i ! Edward P. Connolly Carolyn Connolly I ..iC'}� sue: ' .� _ X fr, ::1�t� }sue �`ii 4 :A'S.lys 1."1��, t7r`+�•. �Y.4-by,SN{�.•'gar E�'"t7.`, 1� �i� .'�. �S*�,�} � .s n .r� •er i'f t,'I �. +,{�,,� r t �`ie" �'3' x!4 fi r � ��r f i � r � '+ , ,.,�. ,,4 a>; 4� r,?e'�Wfi� il•. � 3,slt ,�� i•+ p- Tyr Sx Yt ��� __. .- '.:k rr�k,;:...• s�.d?2Y._.._ kt. 6F%; 4. `»¢ � n. ..mS.: a �r ...�.....< _ .... � .fin. _. . 4+.. . t COMMONWEALTH OF MASSACHUSETTS f Barnstable, ss . Qe C 1993 i? Then personally appeared the above named Edward P. Connolly i j and Carolyn E. Connolly and acknowledged the foregoing instrument ;I to be their free act and deed, before me li �':�DEEIiS AEG 0'1': s BARNSTABLE. Notary. Public : S /y My Commission expires //�L I • :� 1I�1�/93�/ � t:at K 484.22 '4G3A00d_l ' 53 =, `EXCISE___TAX 'i I i i I •Y j t. 1� I. 59 5 5 D 131979 D E _E D >E A S CBPY,LAINTE-ST '.:aEdward P. Connolly Carolyn E. Connolly to i0m F.ME119 V s• P. Mulligan Joanne CC From the office of : Thomas P. Cantwell , Esq. 112 Main Street Yarmouth (Port) , Mass . 02675 Tel: (508) 362-3132 r DEED We, JEFFREY R. GREENWOOD offS.4Gle61C ter? and JUDITH L. .GREENWOOD of 108 Tanglewood Drive, Osterville, Barnstable County, Massachusetts, R5 ov/t �yr,g// Ama�4 le for consideration paid and in full consideration of NINETY FIVE THOUSAND ($95 ,000.00) DOLLARS hereby grant to EDWARD P. CONNOLLY and CAROLYN E. CONNOLLY, husband and wife, as tenants by the entirety, of 69 Border Road, Needham, MA 02192 the land in Osterville, Barnstable County, Massachusetts , bounded and described as follows: NORTHERLY by Tanglewood Drive, one hundred nine and 35/100 (109. 35 ) feet; : EASTERLY by Lot 6, one hundred twenty-two and 77/100 (122.77) feet; SOUTHEASTERLY by a portion of land now or formerly of J. Bradley Green et al, two hundred forty-two (242) feet; and WESTERLY by Lots 16 and 8, two hundred sixty-six and 98/100 (266.98 ) feet. All of said boundaries are determined by the Court to be located as shown on subidivison plan 35801-B (Sheet 2) dated June 9, 1972, drawn by Charles N. Savery, Inc. , William C. Nye , Surveyor, and filed in the Land Registration Office at Boston, a copy of which is filed in Barnstable County Registry of Deeds in Land Registration Book 464 Page 78 with Certificate of Title No. 57838 and said land is shown thereon as LOT 7. Said land is subject to an easement, approximately shown on said plan, as set forth in a grant made by Charles B. Lewis to Buzzards Bay Electric Company, dated February 1, 1916, duly recorded in Book 362 Page 525. After consolidation said Buzzards Bay Electric Company conveyed all their rights, easements and holdings to the Cape & Vineyard Electric Company in an instrument dated November 19 , 1920, duly recorded in Book 378 Page 26. Said land is subject to and has the benefit of the rights and restrictions set forth in Document No. 180,575 . I r For title reference see Certificate of Title No. & O S'q I WITNESS our hands and seals this .31!rday of 6?eTo t3t�, 1983. ;19- VVEY R. PkEENWOOD UDITH L. GREENWOOD COMMONWEALTH OF MASSACHUSETTS 10�3//�S' ✓' Then personally appeared the above-named JEFFREY R. GREENWOOD and JUDITH L. GREENWOOD and acknowledged the foregoing instrument to be their free act and deed, before me. My Commission Expires: Z/Z!jO N Lary Public C_ . �����/ COMMONW_ TH CHU T . N T3 _ P.8.11037 � i I I 322639 94044 4100 i) v � `�. � i -- 6,kR wSTA8I.r-COUNTY i RFGiS i RY OF DEED$ r,. ATRUE COPY,ATTEST (n4r,`.•. MEAD-'. REGISTER._._. (n Apt.... i rnrn; m _ € 4 I i t 3 4.3 Cape £ J%may I 1 ' EKE i 33.7 66 1w I • , • CST `•� i V TP I d7 3 3 0o�n d / 30 I Ti Lh i l�`o. bedaoorri i 3. 31.0 i po,aL .no. 1 17.40 _._ __ Z ati.rba ted j,tow i3 30 Vpd t each� a tea t I 2�®9 bo t. !r,�l�r!t!S'<'7LI ; 3 31:S j Z <ATGN �3wL�VS i1Jed t Wind CiAc)e ` z& 1 J� Cape Atq ;462. c�pd i f'tc Am 140 � wide f <c.ie&ve I _ 1500 — i c !,6�8 •.c�.d 10 AA Si to I-Itan.o Land in Ojte'Wit y M Oo2 o%d ' t+ e tw 'to 'wit.3 c„�. ahowra on %'exx't ' p Can in book 290 page 55. Ctwa t-i o" ace on 'a44 t,.aed datant. _ �ate'9-25-95 Scabe ! "-30 1 I . fill Cap e i_rrt neeA4.ng ! a 9 Ratio't• road : ` • ' . , i Rgann iA, M 02601 ; Jhe q-6un&- i.on d wwn on ,t zi4 p&cn it tocc ted ; piit#/?=2193 on the mound a.6, ihown and acet , JAe- 6e back , Of } Aade 8-2-8 3 tec.L+ erw-K t4. o i- tce down o�- ha&w.,t ab f e. !art. o.. Jacobi Date ! I-20-95 i WateA encoantdated f e'ta. .Cep 2 min pet ./ slP / SIP2 ... as.9• i9;4 coavie coat4.e to med ivayt 4G+2C1 ::• �' R''' i ,1�uuly�� nN AASuST I Ae 1q.9 19.9 . wAYet WA'MP- : i 7.9 ' s�,�,sk