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0018 TIDAL LANE
r I 000 11 i /y.. Q T-3 A-TT W� (S o nn 7 �. �I Y I I Y a I i i I > I p p� 11Z.4�G� O✓"� GY' a Ole, MAY - 2000 r �,t&N4 KxU�, essor's offioe (1st floor): / R4 1 �(?� �FTNET� ssor's map and lot number ... .......... ....... ..................... .. � of Health (3rd floor): 7� MUST CONNECT TO TOWN SEWER Sewage Permit number .................................. . 2 SARNSTAXLE, S Engineering Department (3rd floor): f ��5 0 ""°a House number / o 1G}9 ................'.................... 'EO 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 construct a single family dwelling TYPE OF CONSTRUCTION .....wood frame ............................ ....................................................... TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for permit ac rding to the following information: Location ......Lpt... 99......................Tidal...Lane.............................Hyannis.j... M .................................................... ProposedUse ............................................................................................................................................................................. R.B I.................„•.•._.........Fire District ....Hyannis Zoning District ................�........./t....... ..................................................................... Name of Owner ...Capr,icorn. Realty„.Trust.....„..Address :T. 5 Falmouth Road, Hyannis , MA ................................I......A............................. Name of Builde,Franco...R.*.E....D,EK,Co..Inc........ _Address 711 Falmouth. Road, Hyannis, MA Nameof Architect ..................................................................Address .................................................................................... Number of Rooms ....SiX......................................................Foundation .....P.r.Cr................................................................ Exterior .Clapb.Qa.rd... ................. ...Asphalt...shin.91e.s....................................... Floors ........CarPPet..............................................................Interior ...ahee.tx.ock Heating G. S.- ...W... 1......:..................................................Plumbing T.WQ.—.QPPPe.K........................................................ Fireplace .....Ye.s............................................................. ........Approximate Cost ......$`�.�.r.0,00.,00.:................................... p Definitive Plan Approved by Planning Board _______X- _Z3__._______19 O__6 , Area ....1.113......sg.....f.t....... Diagram of Lot and Building with Dimensions Fee ............................................. SUBJECT TO APPROVAL OF BOARD OF HEALTH 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. Construction Supervisor's License ...Q.Q.Q.9a9.................. No ................. Permit for .................................... ........................................................................ .Location ................................................................ ............................................................................... Owner .............. r. Type of Construction .......................................... ............................................................................... Plot ........................ Lot ................................ Permit-Granted ..........................................19 Date of,Inspection ....................................19 Date Completed ......................................19 ssor's offioe Ost. floor): ?? _ o�INEt ssor's map and lot number ... .7FJ........ ........ ., of Health (3rd floor): Sewage Permit tnumber ............. ....�..............�� i HaHa9TGDLL Engineering Department (3rd floor): rasa � �.Ss oo 039. Housenumbe ....:..................................�.�...................... �o�aYa• APPLICATIONS PROCESSED 8:30-9:30 AM, and 1:00-2:00 P.M. only TOWN OF BARNSTABLE � BUILDING INSPECTOR APPLICATION FOR PERMIT TO construct a„s.incgle family dwell ' .................................. TYPE OF CONSTRUCTION .....wood...frame...............................::.t....... . ......................................................... .��. .�.. ............19...n TO THE INSPECTOR OF `BUILDINGS: �'� U The undersigned hereby applies for permit according to the following information: Location Lot #.99.....................................Lane..............................Hyanni.s.f... 1`?A.................................................... t ProposedUse ................................................................................................................................... Zoning District .......R.e.R?.........f2..:Cr./.................................Fire District ....HvanrilS. . ... .. .... ......................................................... Name of Owner ...Car.icorn Realty Trust. Address :T65...Falmouth Road, Hvannis, MA ...... Name of Builder Franco,,.R...E DEv,..Co...Inc.............Address .7.6.5 Falmouth Road, Hyannis, MA A Nameof Architect ..................................................................Address .................................................................................... Number of Rooms ....Six......................................................Foundation .....P.C. Exterior .ClapbQArd... .................Roofing ...Asphalt...s.)i*q.#s-s....................................... Floors CA Ft............... .Interior ...Sheetrock . ......................................................... Heating CAS- '. We.A ............................... ............Plumbing .`..):'WQ--,QPRP!-'.T'............. Fireplace ....:VPS......................................................................Approximate Cost .....$5.0 . 000. 00 Definitive Plan Approved by Planning Board ------- ! _ 3-----------19 9 . Area ....1.113......p.q.,.. ft....... Diagram of Lot and Building with Dimensions Fee ............................................. SUBJECT TO APPROVAL OF BOARD OF HEALTH �l ,-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!/, Construction Supervisor's License ... .9.8.�................... i i No ................. Permit for .................................... 1 ' .. .. .. . Location ................................................................ ............................................................................... Owner .................................................................. Type of Construction .......................................... I IPlot ............................ Lot ................................ Permit Granted ........................................19 Date of Inspection ....................................19 Date Completed ......................................19 iL { Town of Barnstable Building »Post This Card So That it is Visible From the Street-Approved Plans Must be Retained on Job and this Card Must be Kept amwarA MAN& Posted Until final Inspection Has Been Made. Permit Where a Certificate of Occupancy is Required,such Building shall Not be`Occupied until a Final Inspection has been made. Ji i Permit No. B-20-1166 Applicant Name: Robert Deyo Approvals Date Issued: 05/15/2020 Current Use: Structure Permit Type: Building-Deck Expiration Date: 11/15/2020 Foundation: Location: 18 TIDAL LANE, HYANNIS .. , Zoning District: RC-1 Sheathing: Map/Lot: 273-266 _ Owner on Record: LAWSON, MARTIN D JR TR Contractor Name Framing: Address: 108 AMBERGATE ROAD ) Contractor License: _ Est. Project Cost: $3,000.00 DEWITT, NY 13214 '� Chimney: Description: Adding decking to existing deck. It is currently 12'x 12'.The ' Permit Fee: $ 110.00 Insulation: renovation will be 14'x 15' (Per plan 5-15-2020) Fee Paid:r° $ 110.00 Project Review Req: Date: J.<� 5/15/2020 Final Plumbing/Gas i Rough Plumbing: tQffiG_ al This permit shall be deemed abandoned and invalid unless the work authorized by this permit is commenced within six months after issuance. Final Plumbing: 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. Rough 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. i Final Gas: The Certificate of Occupancy will not be issued until all applicable signatures by the Building and Fire Officials are provided on this permit. Electrical Minimum of Five Call Inspections Required for All Construction Work:I 1.Foundation or Footing I Service: 2.Sheathing Inspection s 3.All Fireplaces must be inspected at the throat level before firest flue`lining is installed Rough: 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection 5.Prior to Covering Structural Members(Frame Inspection) Final: 6.Insulation 7.Final Inspection before Occupancy Low Voltage Rough: Low Voltage Final: 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. Health "Persons contracting with unregistered contractors do not have access to the guaranty fund" (as set forth in MGL c.142A). Final: Building plans are to be available on site Fire Department All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT Final: LOT 98 O 19,4' �0 Open Space / Precast Cellar Access New Concrete LOT 99 �sv, 21.1' _/Q Foundation 7,859±SF 8.9 >, W 61.05 �a _ REFERENCES: P Assessors Map: 273 LOT 100 Parcel: 193-33 00. ZONE: ZONE RC-1 Setbacks. See Special Permit Filled in Deed Book 53801252. Fron t: 20' Side. 7.5' Rear: 7.5' FEMA Zone C Panel # 250001 0005 C Revised: 191AUG185 BAH QF I certify that the foundation RICHARD shown hereon conforms to the 0 5 10 15 20 30 40 FEET R. setback requirements of the LHEUREUX H Zoning Bylaws of the town NO'3a3 2 of Barnstable. P f6iSTEa�s�a�' PLOT PLAN -- - - - E 03 11 1/ IN Professional Land Surveyor Date N 0 TES: 1.) The structures shown were located on the ground DATE: June 3, 1999 SCALE: 1"=20' by conventional survey methods on May 5, 1999 0 5 10 15 20 30 40 FEET and June 3, 1999. PREPARED FOR: 2.) The property information shown hereon was The Community Bank compiled from available record information and 1090 Main Street does not represent an actual on the ground survey. Brockton MA 02301 3.) This plan is not for recording and is not PREPARED BY: to be used for construction layout or deed (Gap(9,9 r description purposes. PO Box 718 Hyannis MA 02601-0718 DWG #: C364pp2 FIELD BY: RRL/RJM (508) 790-7902 / 790-7905fox n '.OWN OF• _BARNSTABLE r CERT4FICATE OF OCCUPANCY ( PARCEL ID 273 266 .GfEOBASE ID 37691 ADDRESS 18 TIDAL LANE PHONE HYANN I S ZIP LOT 99 BLOCK LOT SIZE DBA DEVELOPMENT DISTRICT HY PERMIT 41435 DESCRIPTION PERMIT TYPE BC0O TITLE CERTIFICATE OF OCCUPANCY CONTRACTORS: Department of Health, Safety ARCHITECTS: and Environmental Services ,TOTAL FEES: BOND $.00 INE )r,. CONSTRUCTION COSTS $.00 756 CERTIFICATE OF OCCUPANCY I PRIVATE P +, BARN3I'ABLE, +► MASS. �► j 039. FD Mld BUIL >VI BY DATE ISSUED 09/29/1999 EXPIRATION DATE �. �.J:+• ,-.� """'- 'Jo- .r'_ � .. TOWN OF tQXPAISTABLE BUILDING PERMIT .PARCEL ID 273 266 . i' GEOBASE ID 37691 1'�` 11XSS 13 TIDAL LANI1'';, I4XANNIS ?IP LOT 99 = BLOCK Lgr SIZE. 1.__ i)L' 1 < ;': EVELOPMEN'b' I?I�-" IiI�;T LAY. RERM:i,T 371447 DESCRIPTION SINGLE FAMILY DWELLING (MUST 013TA10 SES+d.PHT. PERMIT TYPE- BUILD T I T I X NEW RESIDENTIAL►NT.IAl: BLDG,PMT I ONTRACTORS: JOHN JJACKSON Department of Health, Safety ARCHITECTS: and Environmental Services T9_rA.L FEES. . $241�00 DIME BGND $..00 YI CONSTR.UCTI.CN COSTS $1.16 s 000.00 � � + 1 *t L1l N`+�I,JS.` 3'4e1 .E-bS.l .i.L`e LI �.L�Yai;lA7�h�i -F. PRIVATE�'6 .�i�.1..,# Jamn:k-•R�e'�, Lyy.� i . - MASS. 03 �EG BUILDYN�DI�V,ISI BYr.. ISSUED 03/18/1999 . EXPIRATION DATE 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' ELECTRICAL,PLUMBING AND MECH- (READY TO LATH). PANCY IS REQUIRED,SUCH BUILDING SHALL NOT BE ANICAL INSTALLATIONS. 3.INSULATION. OCCUPIED UNTIL FINAL INSPECTION HAS BEEN MADE. 4.,FINAL INSPECTION BEFORE OCCUPANCY. VISIBLEPOST THIS CARD SO IT IS BUILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS /' rye `,`��— rr /�/% 2 2 ► 2 .� n d -7 ' 't-y� /�e� /`end✓ ,� �1�7� 3 C� ( 1 HEATING INSPECTION APPROVALS ENG NEE ING DE �R1MENT 2 -S cq BARD OF HEALTH OTHER: SITE PLAN REVIEW APPROVAL WORK SHALL N PROCEED UNTIL PERMIT WILL BECOME NULL AND VOID IF CON- INSPECTIONS INDICATED ON THIS THE INSPECTOR S APPROVED THE STRUCTION WORK IS NOT STARTED WITHIN SIX CARD CAN BE ARRANGED FOR BY VARIOUS STAGES OF CONSTRUC-T . NOTEDMONTHS OF ATE THE PERMIT IS ISSUED AS TELEPHONE OR WRITTEN NOTIFICA- �{I y3�s BUILDING PERM.-.,IT `pFINE► The Town of Barnstable BARE. Department of Health Safety and Environmental Services t639. pTFo�,�,•. Building Division 367 Main Street, Hyannis,MA 02601 Office: 508-790-6227 Ralph Crossen Fax: 508-790-6230 Building Commissioner Inspection Correction Notice Type of Inspection. T) rILVI-A Location CA �' ' Permit Number . Owner Builder One notice to remain on jobsite, one notice on file in Building Department. The following items need correcting: L V `t' -e.�t St,�( Tyr KL - ' L ass r7 I A a 1��►�1 _ _ Please call: 508-862-4038 for re-inspection. Inspected by _ 5 � Date ' Z S N07F: ar Check placement of BAco 0. ,� Mar ; LOT 99 `.% ¢"`� 7,859fSF i% P - -.0 w i� a k f�' LOT 100_ pq %% r 70.512fSF 4.d CL 4d t r.L q _moo- -' �d i LOT 10 7 '\ t i v Lit go N es si�• w nor fo: 50 fad capesu ry PO sox 718 Hynnnla AIA 02601-0718 s', 'rb�o (b0�7B0-7�(bOq)78o-7tl0�5 Imr '� C-364 O/A/AR/98 0 15 .70 4,5 60 fE£T �, a . ..... . ACORD. CERTIFICATE OF LIABILITY INSURANCE DATE(MM,°°""' .. R&NIREl ..- 03/16/99 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION The Insurance Agency ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE of Cape Cod, Inc. HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 480 Route 6A, P O Box 838 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. E. Sandwich MA 02537 COMPANIES AFFORDING COVERAGE The Insurance Agency COMPANY Phone No. 508-888-2766 Fax No. A Legion Insurance Company INSURED COMPANY B R & M Realty Trust COMPANY Roger S Goode Trustee C P O BOX 742 COMPANY Forestdale MA 02644 D COVERAGES .. _::. .. .. .... THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED, NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. CO TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS LTR DATE(MM/DD/YY) DATE(MM/DD/YY) GENERAL LIABILITY GENERAL AGGREGATE $ COMMERCIAL GENERAL LIABILITY PRODUCTS-COMP/OP AGG $ CLAIMS MADE a OCCUR PERSONAL&ADV INJURY $ I OWNER'S&CONTRACTOR'S PROT EACH OCCURRENCE $ FIRE DAMAGE(Any one fire) $ MED EXP(Any one person) $ AUTOMOBILE LIABILITY ANY AUTO COMBINED SINGLE LIMIT $ ALL OWNED AUTOS BODILY INJURY S 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 S AGGREGATE $ EXCESS LIABILITY EACH OCCURRENCE $ UMBRELLA FORM AGGREGATE $ OTHER THAN UMBRELLA FORM $ WC STATU- OTH WORKERS COMPENSATION AND TORY LIMITS ER EMPLOYERS'LIABILITY EL EACH ACCIDENT $ 100000 A THE PROPRIETOR/ INCL WC4-0290026 12/11/98 12/11/99 EL DISEASE-POLICY LIMIT $ 500000 PARTNERS/EXECUTIVE I OFFICERS ARE: EXCL EL DISEASE-EA EMPLOYEE $ 100000 OTHER DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/SPECIAL ITEMS Carpentry GERTIFIGATE HOLDER < CANCELLATION BARNT01 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,THE ISSUING COMPANY WILL ENDEAVOR TO MAIL Town of Barnstable 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, Building Dept BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIA ILITY 367 Main Street Hyannis MA 02601 OF ANY KIND UPON THE COMP Y, TS AGE O REPRES N TIVES. AUTHORIZED REPRESENTATIVE If The Insurance Agency /kCORD 25 S.019:5) ©ACORD.CORPORATION 1988 . n The Commonwealth of Massachusetts T1� Department of Industrial Accidents Office offaliresfigoOffs 600 Washington Street Boston,Mass. 02111 = sJ Workers' Compensation Insurance Affidavit wwm name: �56 location `b�-t Q5 7l city phone# D$ Da ❑ I am a li meowner performing all work myself. Q I am a sole roprietor and have no one working in anv ca a, v compensation for my employees working on this job. am an employer providing~porkers p P g J ❑ 1 P P g com anv name: address: city phone#: insurance co. r0ficv# /////////%//// [g" I am a sole proprietor, general contractor. or homeowner(circle one) and have hired the contractors listed below who have the following workers' compensation polices: com anv name* ��� di 5 address.- city phone#r :,;<;:;: :: ;::,.. .;::::. n sarnnce ca.... olio insur # I // //, ;'%//M comriany name. address: city- phone#: iivarance co. Fanure to seet coverage sa required under Sermon 25A of MGL 152 can lead to the imposition of criminal penalties of a fine up to S1,100.00 and/or one vein'imprisonment as well as civil penalties in the form of a STOP WORK ORDER and a fine of S100.00 a day against me. I understand that a copy of this statement may be forwarded to the 0MCe of Investigations of the DIA for coverage verification I do hereby ce ifj der the p and nalties of perjury that the information provided above is tru.-and correct Signature Date ''ice S fl - Print natn Phone# ofncial use only do not write in this area to be completed by city or town oiIIdtl city or town: permitillcense d 1]Bunding Department ❑Licensing Board ❑check if response is required QSeieetmen's Office ❑Health Department contact person phone#-, other_ .. (apses 9,95 PIA) DATE: 12/14/98 TIME: 04:10 PM TO: Roger Good d +1 (308) 743-9001 PAGE: 001-001 ' ACORG?, CERTLFICATE`tJF LIABILLTY INSURANCE 12/14/19 8 PRODUCER*%'(508)540-2400 FAX (508)540 6671 T IS R ISSUED A NFOR A ON hurray & MacDonald Insurance Services ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AMEND.EXTEND OR 406 ]ones Road ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Falmouth, MA 02540 COMPANIES AFFORDING COVERAGE .,._:.,=-A\,. St. Paul, Insurance Company Attn: Douglas MacDonald Ext: 20 A INSURED Campanini Construction e Ray Campanini & Ronald Capanini DBA 53 Tara Terrace C Buzzards Bay, MA 02532 D COVERAGES_`,. THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVEBEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED.NOTIVITHSTANDING ANY REQUIREMENT.TERN4 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 PCLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. CO TYPE OF INSURANCE POLICYNUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS .TR DATE(MM DD.YY) DATE(MM;DDYY) GENERAL LIABILITY GENE=AL AG'3nEGA-E 1,000,000 X _?`dMEP_]A_GuNERALL:AB!LIT1' :,iN?P,'; A.G S 11000,000 v�.Mn>MA_,= )( s_..__,� p=�;f:\A�&A-V NJ:'P`r s 500,000 A - BFS00000120422 02/17/1998 ` 04/17/1999 500,000 -E=AVAG-::An,.„_. 50,000 0,000 5,000 AUTOMOBILE LIABILITY .. ..:;V?1NE0_ dGLE nPEC'A"T:_ \' GARAGE LIABILITY A_T G CAL" EA A: !CENT EXCESS LIABILITY OTHCH T.4AN r_»M .. .. .. S .. b'!_�I Ili- WORKERS COMPENSATION AND TVPY Li. .V TS' EMPLOYERS'LIABILITY - a 771725298 07/21/1998 07/21/1999 -- EAC-I AC1_10EN7 1$ 100,000 C.PI::F'�I=T::.P; _ E_CI.=_ACE-�ouc\''_bi'I s 500,000 ,A.=,T, c�.j;EYE:::_TIVt .. I -FruC'tRS.ARC' EX',:L - - =CAS E4Etii=L-\'cE C 100,000 OTHER SCRIPTION OF OPERATIONS:LOCATIONS.VEHICLES;SPECIAL ITEMS ERTiFICATE HOLDER . CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF.THE ISSUING COMPANY WILL ENDEAVOR TO MAIL Roger Good 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT. RPG Construction 8 Patty's belay BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY PO Box 221 OF ANY KIND UPON THE COMPANY.ITS AGENTS OR REPRESENTATIVES. Sagamore, MA 02562 AUTHORIZED REPRESENTATIVE r Douglas MacDonald/CLF ;CORD 25S{1i'9b) GACORD CORPORATION'1998 r ACORD,W CERTIFICATE OF LIABILITY INSURANCE UATE(MMIDDIYYj 4/23/1998 t000CER (508)888-Z244 FAX _ THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ';den Insurance Agency Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR 1.5 Route 6A ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. 3ndwi ch, MA 02563 COMPANIES AFFORDING COVERAGE COMPANY Commerce, Insurance Company `tn: COMMERCIAL LINES Ext: A S'JREO COMPANY Eastern Casualty Ins Co Catherine Little d/b/a Little Concrete B P O Box 1832 Sandwich, MA 02563 Cmipk'Y C COMP ANY D OVERAGES T!JIS 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 REOUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH TI11S CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL TTiE 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 LIMNS R DATE(MMIODIYYI. DATE(MMIDOIYYI CENERAL LIABILITY GENERAL AGGREGATE S 600,000 X COMMERCIAL GENERAL LIABILITY PRODUCTS COMPIO'AGG S 300,000 CLAIMSMADE X OCCUR K24387 08/18/1997 08/18/1998 PERSONAL d ADV INJURY S 300,000 OWNER'S S CONTRACTOR'S PROT EACH OCCURRENCE $ 300,000 FIRE DAMAGE(Any one fue) S 50,000 MEDEXP(Any mepown) S 5,000 AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT S ANY AUTO ALL OWNED AUTOS BOOILY INJURY S X SCHEDULED AUTOS (Pet person) 100,000 97MM794963 07J17/1997 07/17/1998 HIRED AUTOS BODILY INJURY S NON-OWNED AU70S (Pet Iwadent; 300,000 PROPERTY DAMAGE S 50,000 GARAGE LIABILITY AUTO ONLY•EA ACCIDENT S ANY AUTO OTHER THAN AUTO ONLY. EACH ACCIDENT S AGGREGATE S EXCESS LIABILITY EACH OCCURRENCE S UMBRELLA FORM AGGREGATE S OTHER THAN UMBRELLA FORM S WORKERS COMPENSATION AND X OR LIMIT ER TORY LIMITS ER EMPL OYER S'L IABILI TY EL EACH ACCIDENT S 500,000 n+EPRDPR1ETORr WCGIO03602A 06/12/1998 06/12/1999. THE EPROPRIE ECUTIVE INCL EL DISEASE•POLICY LIMIT S 500,000 PARCIFFICERS ARE. EXCL EL DISEASE EA EMPLOYEE S 500,000 OTHER -'-CRIPTION OF OPERA7ICNSOLOCATIONS/VEHICLESISPEC'AL ITEMS ERTIFICATE HOLDER CANCELLATION SHOUt 0 ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE R.P.G. Construction, Inc. EXPiRATION DATE THEREOF,THE ISSUING COMPANY WILL ENDEAVOR 70MAIL P.O. BOX 211 8 Pat tys Way J O_DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, Sagamore Beach, Ma. 02562 BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE COMPANY,ITS AGENTS OR REPRESENTATIVES. AUTNOR!ZE D REPRESENTATIVE ��[]jj�� A CO R LJ R� 1 1� �+rn �./R l'1��� T� � 1� � DATE IMM/DO VY) ^! ........ ...:.: ... :...... 09/18/1998 _ PRODUCER (508)586-3400 FAX . (508)586-3700 ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Off` earc Insurance HOLDER,THIS CERTIFICATE DOES NOT AMEND,EXTEND OR 670 Pleasant Street ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. P. 0. Box 1709 COMPANIES AFFORDING COVERAGE Brockton, MA 02401 COMPANY Maryland Insurance Attn: Ext: A INSURED Havlland Concrete COMPANY B Guy Haviland PO BOX 66 COMPANY C Bridgewater, MA 02324 COMPANY I D OVERAGES':—:':.>.:::"r:';:..ra':r.''<ti:::ii?. ......:,.;';e:::::: >:;r:<;:•;;;;;;•'•::>.<,.. THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED,NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. CO TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LTR i DATE(MMIOD. LIMITS M 1 DATE(MM/DDIYYj GENERAL LIABILITY GENERAL AGGREGATE $ 600,000 X COMMERCIAL GENERAL LIABILITY PRODUCTS•COMPiOPAGG S 600,000 E CLAIMS MADE X OCCUR: PERSONAL&ADV INJURY S 300,000 q TBA 09/18/1998 09/18/1999 ................................._............... ..... OWNER'S&CONTRACTOR'S PROT EACH OCCURRENCE $ 300,000 .................:...................... ........ FIRE DAMAGE(Any one fire) S 300,000 .............................. ... MED EXP(Any one person) S 10,000 AUTOMOEILE LIABILITY COMBINED SINGLE LIMIT $ ANY AUTO ALL OWNED AU ' BODILY INJURY S SCHEDULED AUTOS (Per person) HIRED AUTOS BODILY INJURY S NON"OWNED AUTOS (Per accident) ............................................... PROPERTY DAMAGE S GARAGE LIABILITY AUTO ONLY•EA ACCIDENT S .......................................... :::.::::::.:,:::::..,...:.:..: ANY AUTO OTHER THAN AUTO ONLY, ` EACH ACCIDENT S ............................................ .. ...... .. .. AGGREGATE $ EXCESS LIABILITY — ; EACH GCCURREIJCE b^ .....................,............... . ....... UMBRELLA FORM AGGREGATE $ OTHER THAN UMBRELLA FORM $ WORKERS COMPENSATION AND. TORY LIMITS ER EMPLOYERS'LIABILITY — EL EACH ACCIDENT S ............................... THE PROPRIE70Ri INCL EL DISEASE•POLICY LIMIT $ PARTHERS/EXECUTIVE OFFICERS ARE: EXCL'. EL DISEASE•EA.EMPLOYEE S OTHER DESCRIPTION OF OPERATiCNSILOCATIONSNEHICLES?SPECIAL ITEMS . T I lF :........ ................ .........:.........................................:...:..:.. SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE R.P.G. CONSTRUCTION, INC EXPIRATION DATE THEREOF,THE ISSUING COMPANY WILL ENDEAVOR TO MAIL P.O. BOX 211 _10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT; 8 Pat:tyS Way BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY Sagamore Beach, Ma. 02562 OF ANY KIND UPON THE COMPANY,ITS AGENTS OR REPRESENTATIVES, AUTHORIZED REPRESENTATIVE .; ::.:......;: III, William Bearce ACORD Z6.8{1195) C�ACOl7t3 CARP i19 ...:::..... ::...:.::...::::..:.::::::: i': ::::i`.:i ACORDTM £::CERTt:FaATE TE(MM;00/V TY.:INSURANCE.:. :..:::::: .:::::... ............................:...... Paoout Ea THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATI ONLY AND CONFERS NO RIGHTS UPON THE CERTIFIC/ RIDER RISK SPECIALISTS HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND ALTER THE COVERAGE AFFORDED BY THE POLICIES BELC INSURANCE AGENCY, INC. COMPANIES AFFORDING COVERAGE JAM ES W.RIDER INSURANCE COMPANY 2 SHORE ROAD BOURNE, MA 02532 A WESTERN HERITAGE INSURANCE CO. SURED — COMPANY RPG CONSTRUCTION, INC. B PO BOX 211 COMPANY SAGAMORE BEACH, MA 02562 c COMPANY D THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOf INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THI: CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. CO TYPE OF INSURANCE POLICY EFFECTIVE POLICY EXPIRATION LTR POLICY NUMBER DATE(MM/DDM') DATE(MM/DDlYY) LIMIT4 GENERAL LIABILITY GENERAL AGGREGATE s 1 0 0 0 0 X COMMERCIAL GENERAL LIABILITY PRODUCTS-COMP/OP AGG $1 100010 CLAIMS MADE a OCCUR PERSONAL 6 ADV INJURY f A X OWNER'S r4 CONTRACTOR'S PROT BINDER #RPGC-0 9 0 4/2 3/9 8 0 4/2 3/9 9 EACH OCCURRENCE s l 0 0 0 , 0 FIRE DAMAGE(Any one fire) S MED EXP(Anyone person) S AUTOMOBILE LIABILITY ANY AUTO COMBINED SINGLE LIMIT E ALL OWNED AUTOS S SCHEDULED AUTOS BODILY INJURY(Per person) HIRED AUTOS NON-OWNED AUTOS BODILY INJURY E (Per accident) PROPERTY DAMAGE E GARAGE LIABILITY AUTO ONLY•EA ACCIDENT S ANY AUTO OTHER THAN AUTO ONLY: EACH ACCIDENT ..5... AGGREGATE S EXCESS LIABILITY EACH OCCURRENCE S UMBRELLA FORM AGGREGATE $ OTHER THAN UMBRELLA FORM E WORKERS COMPENSATION AND C STATU- OTH. :a:<>s>s.....:: EMPLOYERS'LIABILITY ITORY LIMITS I I ER < TIDE PROPRIETOR/ INCL EL EACH ACCIDENT S PARTNERS/D(ECUTNE EL DISEASE-POLICY LIMIT ks OFFICERS ARE: EXCL EL DISEASE-EA EMPLOYEE OTHER DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/SPECIAL ITEMS eV� �p ern Q � . :: :: ::;: ::: ::::.:: :: :: ICA1' ,N�.LUIrp..::::,:.::::::,:::::::.. :................:.::::.:::::,:::::. ..........::..::::. :,:,:::::::::.. ::. :......:.:.:..:..:.:......::..::.::..:::::. :.:::::........... ..: C :........................:::::::::::::.....:::::::.:::::::::::::.::::.:::::::.::..._...:_......... ::.: AN. Eta.ATIbN:..::.. :...::.:.................................................................................. ............................................. .. . SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE TI: CATAPILLAR FINANCIAL SERVICES EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MA? 10440 LITTLE PAWTUXENT PKWY #1200 LQ DAYS WRITTEN?OTICE TO THE CERTIFICATE LDER NAMED TO THE LEF COLUMB IA, MD 21.044 BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOS O OBLIGATION OR LIABILIT OF ANY KIND`D!P N WE COMPANY, ITS ENfS OR REPRESENTATIVE` AUTHORIZED AEPRESEN AT PRooucl R .. ... :•. 06/24/1998 (508)238-0056 FAX (508)230-8367 THIS CERTIFICATE IS ISSUED AS A MATTER OFINFORMATION 'orse Insuwce Agency Inc. l ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 285 viashi ngton St. I HOLDER,THIS CERTIFICATE DOES NOT AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. North Easton Village Shopper - --•-- North Easton, MA 02.356 COMPANIES AFFORDING COVERAGE COMPANY Assurance Company of America Attn: Daniel Morse Ext: 213 A !VSURED P & 14 Construction, Inc, con+PA�� 50 Elm Street a North Easton, MA 02356 COMPANY C COL;:�aNY C _ D ..0E ;. RAGF ::::; THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE E _8_EIv ISSUED TO•THE INSURED HA,.:�a EO ABOVE FOR THE F'OUCY PERIOD INDICATEO,NONYiTHS TAND NG ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WI IICIi 11IIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THI:1 ERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES:UMiTS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. LTR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE :`POLICY EXPIRATION' `_• __—`y__ _� ,—`_ DATE(M'e.10ONY) DATE(MM!DDIYY) UTAITS GENERAL LIABILITY r —� GENERAL A.rCREGAIE s---- -- GO!1MGf IAL GENERAL LIABILITY z,00 o,eo:PRODUCTS•COMP!OF AGG S 2,000,00( z: CLAIMS MA06 ` X OCCUR PERSONAL R ADV 11 JURY S A SCP 32752702 . 1,000 GOr 03/I2/1998 03j12/1999 04"i!.£R'S R CGNTR.4 YTOR'S FROT EACH OCCURRENCE S 1,000,00C . ..... ....... F,RE DAMAGE(Ary one fine) s ...... .. 501 00C — - -- -- _ -- MEO EXP(:.ny o,.e pvson) _ 5,00C AUTOMOBILE LIABILITY —_ ANY AUTO GOMOINSD SINGLE LIMIT s A•i.l OWNEO AUTOS S:'HEDULED AUTOS DODLY INJURY s II (Per perso^) HIR£0 AUTOS NON•CWNED AUTO$ (per}a Y;ram y S PRO=ERTY OAIAAGE S _GARAGE UAWLITY AUTO ONLY.EA ACCiOENT S ANY AUTO OTI4L,R THAN AUTO ONLY. ........ .. EACHACCIDE1,1:S EXCESS LIABILITY_—. — —... AGGREGA?E. --_— EACH OCCURRErICE S U1,1BRELLA FORMA A3GkEGA.TE OTHER THAN Us,1L'RELLA FORM WORKERS CCMPENSATIONAND ,; +fllT X '70'YI LIMITS` ER EMPLO'fERS'LTABII)TY ' 1 A TC9 95834108 03/12/1998 03/12/1999 e��Ac��ACC,D�LT s I00,00( IIIE PROr mprORI INCIL FAR TNERS/EXECUTIVE FL.DISEASE•POLICY Lit-lit S 500,00( 0:I ICERS ARE: y— — EXCL. EL DISEASE•EA EMPLOYEE S 100,U0C OTHER ^•eS:R P'I0I7 OF OPERATIOPISILOCAfIO\SNEHICLES!SPECIAL ITEMS --'- Ei�Til d - - ;CA p3lb t R.P.G. CONSTRUCTION, INC. SMCCLD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE 711E P.O. BOX 211 EXPIRATION DATE THEREOF,THE ISSUING COMPANY WILL ENDEAVOR TO MAIL Sabamore Beach, Ma 02562 10 -CAYS WRITTEN NOTICE TO THE CERTIFICATE HOLLER N.AMEO TO THE LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NOOBLIOATIOII OR L!A9'UTY _ OF ANY KIN ��ON THE COMPANY,ITS AGSNTS OR REPRESENTATIVES. AUTH�R2ED N^ R SE it -:. .... ... ..... :. -::.:. _... ... ....:•::::. .. ...: :.:'.: f51''1 t3I'1 r<'t�lYWlb XYlh[1�Ati „�' ,f.' � ,«ru• .,v Div• 'r�jr 7rr4♦ ►ROOUCt11 � . .......r.!'::!:�..!� .��. .t''.t�eYY. Htu ., •..�,,.C...:�1�"V�'��4�FA, � -.^��M� ti y„K•�Z.' 4'j�, �t:• bATE(tl�t.'Coi ”' ems' r� •S 08 3 THtB CERTIFlCATE9 i8 t$SUED AS�A MATTER OF INF"OR11As ;' ALMEIDA & CARLSON INS ONLY aND CONFERS NO RIt3tFTRf UPON THE CERTIF'IC- HOLDER. 7ftt3 CERTTFlCATE DOES NOT AMEND EKrEND ALTER THE COVERAGE AF DED $ TORr THE POLICIES PIELi. 345 COURT S T BOX 3255 COVERAGE COMPANIES ArT'OFtbCOVERAGEPLYMOUTH MA 02361 COMPANY nieuncb A—.•• GRANITE STATE ,INS CO h1• RK SHANAHILN nBA COMPANY - -- e MARK SHANAHA.N DRYWALL - -----� BOX 1126 wmrANY PLYMOUTH C MA 02362 COMPANY --- — --_ — D A'...;:+'.1... 'Y.T'vfl:+:•. /1•. :x' iR�iii�p �fIl..,f.i!t'• ���ie},!i:f;Yv~: �•Q��e..rt,9!?�yv;f ea•. ^4Z:•.y` "Y�txX xx T1fl3 i3 TO CEITTIFY THAT Tiff POLICIES OF INS ELi'tP%�•• =x<".r.t �Z �• � x Ii7 !F'. DUNCE LISTED BELOW HAvE BEEN I I life I.:S.. INDICATED, N 99 lED TO 111E INgLtnEO NA1N p A ... '',.f !� •"•':y?'s..< C OTWrT1ISTANDINi3 ANY F?EWFIEMENT, T'EnM OR CONDITION OF ANY CONTACT on OTNEn DOCUMENT Wiim nEsP CT TOLW1iICt4 -,I CERTIFICATE MAY BE ISSUED On MAY PERTAIN, THE INSURANCE AFFORDED by THE POLICIES DEscroseD HEREIN IS SUBJECT TO ALL "E TEnk EXCLUSIONS AND CONDITIONS of 9UCff POLICIES. LIM1T9 SHOWN MAY HAVE BEEN nEDUCED BY PAID CLJIIM9. 10 TTYE OF ht9UtUUtCE �_tTn POLICY IR10 om ►OUCY tMCMI! POLICY EXr1RATF0►1 — - DATT(MM� rf'yI DATT(UNIMM Y) LIAITX El oENfJ1A1 LlAIItJTY OOVMEACNL CENERAL LD�BR,ITY OFNmA1 AO@nrwTE ( ]CUnA6 MAD E OCCVq momcro-CoMr,O►AqA 1 owNEn,c r CON, Amon's FAaT ►FR90NAL A AOY WJUnY 1 EAC11OMIRSENCE 1 FTnE O/AACE(Any a F4 Mw) 1 AUTOMOs1tf L1A�ILITY A®DP(A,y o(+e pe eenl 1 ANY Atl.0 COuDNtT)391(:lE lNrr 1 ALL OWNED AUTOS SCHPOULPM AUTOS NOON N)UnY (rr pnrw�n) 1 HtREO AUTOS — NON-OWNED AUTOS k-IOLY 1,"nY 1 (►w fttd6"C rITOr"MTY OAi4 GE OAMCt:L1AUItlTY ._ AN AUTO AUTO ONLY.FA ACCroENT 1 O THEFT TT{AN t:.AC►f ACcroflrr 3 __ txC21S LIAIILFTY — Y N3@TIEOATe_ I UMea"'LA FOR11 E1eCM OCGU1iHENCE A*Qr*GATE OT?tEA THAN Ut,+eF 151A FOnM wOn""COMPFXOAT1ON AND WC 3 5 4 8 519 1 era►LnTtnt+ LIA!*LITr 7 0 8 9 8 7/0 8/9 9 X THE ITTOrRr7v t�CC a EACH�caOydT 0 0, 0; o ERS ARE rYE M ot9F�MLSCY LWIT �� 5 0 0, 0 OTHER acL EL 0&EAAE-PA eVrLomm 100, 0( tCNDT)ON OF 001!NATT0fmt0GtT1O"WEH1Ct"/$pj1CtAL PAWS -- DRYWALL .............. •�4 s_, ....,.. ... •..... ..:. ..a a .. :!�I:•,: T�i•7`�t;T� #�+ �`f r °i 9"MtA AM Or TM Am ow 6tflCMfl" fOUt`Rtt •V CAMMUMM Vtr"f T" R.P.G. Construction, Inc. PftMATIO" DATE TWmrof, TT. %arNa COWAMY rvr-L cpot<AVOR TD WAI P.O. BOX 2111 Q� OAT1 MIRITTEM MO TO TTf TtW Sagamore Beach, Ma 02562 Cta+TT.+cATTr"MM"xAMM To nME UsT r►f► 11"m TO VOL "MILL 00 00-12ATW*00 tywln AXT V4 T 1tE/} fTATTvE At! AC4RD CERTIFICATE OF LIABILITY INSURANC -_ P!D TP or,TE(�+Mroom, F��:)uceR --- IN-1 _ li/20/98 i r7rake,SwaZT Crocker Insurance THIS CERTIFICATE 1S ISSUED AS A MATTER OF INFORMATION -- Agercy, Inc, ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 14 Lot's Hollow Rd. ,LSO Box 429 HOLDER. THIS CERTIFICATE DOES NOT AMEND,EXTEND OR Orleans MA 02653-0429 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Phone: 508-255-3212 — - - INSURERS AFFORDING COVERAGE INSURER A: American Economy Ins Co. - ----- IlrlsuRERe: a--s achu—s—et ts—M BaY Insurance M.A.P Insulation Co. , Inc. INSURER O Box 1309 ew _ H shire Insurance Co. — 3agamore Beach MA 02562 _iiJSIJRc"R 0 — - �— --- ------------ — - -.- ^UVERAGES -------- ! THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO O WHICH THIS CERTIFICATE THE POLICY PE T MAY BE ISSUED ORDfNG 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.U R TYPE OF INSURANCE POLICY NUMBER fCF E-ECTIVE ROGM-Y EXPiRATrOR' -- -------- GEI:ERAL LIABILITY DATE(MMrO CATS M/ODf LIMITS A X�COMMERCIAL GENERAL LIABILrTY EACH OCCURRENCE s 1,000,000 --• 02CC32643570 I 01/03/98 O1/03j99 FIpcOA.MAGE(Anyoneflre) s_5_0 000 _ CLAIMS MADE T OCCUR _ , - MED ExP(Any one person) $ 5 000 - ----- --- - I PERSONAL&ADV INJURY $ 1,000,000 ^- vEt•:ERALAGGREGATE_ 52,000,000 I GEttl AGGREGATE LIMIT APPLIES PER: _ POLICY PRO • PRODUCTS-COMPrOP AGO $ - JEcr Loc __ 2,000,000 AUTOMOBILE LIABILITY B ANY AUTO A.DN534489601 I COMB2:EOsI`JGLELIM:T 05/01/99 I 05/01/99 , (Eaacciden:) $ 100.0000 �- ALL OWNED AUTOS ---}- X SCHEDULED AUTOS BODILY INJURY s ( person) , Per erson X HIRED AUTOS ----•---------•--Fs -___----- - -I NON- 'X� —OWP:EO AUTOS--_-V BODILY rNJURY___(Per aocloenq I I PROPERTY DAMAGE -- (Per accidenq s GARAGE LIABILITY AUTO ONLY-EA ACCiOENT s - _ l OTHER THAN EA AAUTO ONLY: CC 's EXCESS LIABILITY AGG OCCUR I EACH OCCURRENCE_--�S - - �CLAIMS MADE I -- AGGP.EGATE S •-- DEDUCTIBLE --- - RETENTION C IwOR KERS COMPENSAT ION ANO { S EMPLOYERS'LIABILITY I X TGRYY LI177 ER I WC5886162 + — RL- —L-_..—_.--_______ 11/01/98 11/01/99 E.L.EACH ACCIDENT $ 100000 E L.DISEAcE.EA FMPI.OYF S ___ 100000 _ (OTHER E.L.DISEASE-POUCYLIMIT $ 500000 i I , I 'ESCR,vTIOtj OF OPERAUOtlS/LOCAiIOTJSNEHICLESrEXCLUS!OIJS ADDED BY ENDORSEMENT/SoECIAL HROYISIOt.S Insulation and gutter installation. -------------- ERTIFICATE HOLDER N ADDITIONAL INSURED;INSURER LETTER: CANCELLATION OLDCENI SHOULD ANY OF THE ABOVE DESCRIBED POLICIES 6E CANCELLED BEFORE 1HE EXPIRATION R.P.G. CONSTRUCTION,INC. DATE THEREOF,1HE ISSUM. INSURER WILL ENDEAVOR TO MAIL 10 DAYS VVRIT rC-N P.O. BOX 1 NOTICE TO THE CERTIFICATE HOLOER NAMED TO THE LEFT,BUT FAILURE TO DO SO SHALL Sagamo re Beach, Ma. O2S G2 IMPOSE NO OBLIGATION OR LIA6arTY OF ANY KIND UPON TEIE INSURER,ITS AGENTS OR REPRESENTATIVES. AUTHORIZED SE � ;vE - ACORD CORPORATION 1991 CERTIFICATE OF LIABILITY INSURANCE 0ATE(MMIDorm PRODUCER 0 2/11/9 9 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Dot�.ling & 0' Pfeil Insurance ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Agency, Inc., HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 222 West Main S t . PO Box 1990 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Hianni s, MA 02601 i INSURERS AFFORDING COVERAGE INSURED r _._ Sean Cou irho D/B/A 'INSURERA:U. S . F. & G . INSUA,R a:Pil x'�m Ins o Sean' s Masonry �J i. uranc.. Co-rpar>.v G L_ r i IN•SUREFiCCLe��on Insurance Co. of Plliladelp curl@ 8 sane I Marstons Miii s, MA 02; _ COVERAGES INSURCH': .. ...__. THE POLICIES OF INSURANCI= LISTED BELOW RAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PER10(}INDICATED. NOTWI`THSTANI)ING ANY REOUIREMF-N'f, TERM OR CONDITION OF ANY CONTRACT OR OTHFp DOCUMENT WrrH RESPECT 'TO WHICH 'I'IIIS CERTIFICATE MAY 'IF- ISSUED OR MAY PERTAIN. THE INSURANCE AFFORDED BY TI IC POLICIES DE-SCRIBED HERCIN IS SUBJECT TO ALL THC TERMS,FXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY rAID CLAIMS. Tf�: TYPE OF INSURANCE POLICY NUMBER IPOUCYEFFECTIVE'POLICY EXPIRATIOM OATE(MM/QD/YYII OATBr O /Y I - LIMITS GENERAL LIABILITY EFS00000124744 O4/02/98104/02/ ACII -ja -NCI' Is3p0' 000 ..E i I COMMERCIAL GFNERAL LIAMLI Y •5 Q O'O O _ T' I FIRE DAMACaF(Any one Nre 4 CLAtMSMAOEq _XI QUC::Ri ME.0 XP(Anycnepersnn)-l$ . ooa ,iOCn ......__.........._ I i. _.. ,NA_ ..... . ... Ei'jar` r e Ar7V INJURY $Z C O , 000 GENERALAGCREGA 600, 0 �GE;NL AGGREGATE LIMITAPPLII'$PER!I I j .'..... .. ..... ._...... $ 00 L_ _ ODUCTS ^,MP/CrAGGIs6 0 0/..0 0 0 POLICY I . AUTOMOBILE LIABILITY PMC7123355 01/21/99 01/21/O0 . I t.CM31NEU PiINOLE I:iMIT ANY AUTO ALL OWNED AUTC}S SCHEDULED AUTOS BO^It. INJUR'/ (Per acrsul•l) I s2 5 0 , 000 KR.EC AUTOS B0f'ILYINJUFIY SO0 000 NCN•CWNECAUTOS i I I(Perac-teent) 13 , I ' ?arse aon}/M9G,7 is100 , 000 CARAG E LIABILITY i 'i AUTO ONLY-^A ACCIDFN'I'h$� AN'f AUTO O i L... -J:Hra THAN =A ACC j S i,1UT0 ONLY: AGO ;i j EXCESS LIABILITY I .ACH OC.^.JHRENCE S OCCUR j CLAIMS MAD AtaGR_!3ATc $... _._... i I DECUCTIRI._ I I i .. �.....__..�_.:... i C I WORKERSCOMPENSATIONAND WC30285829 ' 05/O4./98 05/04/99 iv .Y!.MII'SO EMPLOYERS LIABILITY T L.EACH A..^,CtDEN7 1 s10 0 , 000 j �C-'-0ISEASE•EAEMPLOY $.,.001.000 OTHER POL.CY LIMtT 3S 00 , 000 E.L.DIGCASI I DESCRIPTION OF OPERATIONSILOCATIONSIVEHICLES/GXOLUSIONS AOOED BY EN OORSEMENTISPECIAL PROVISIONS Operations the performed by P � � named insured a5 ivrcvi ded by the r_'arms and conditions of the policies CERTIFICATE HOLDER I ADOTIONALINSUPED•INSURERLE MR CANCELLATION _I J SHOULD ANYOFTHE AOOVE DESCFIISED POLICIES EE CANCELLED BEFORETHE EXPIRATON S . L'C��i-te OATETHEREOF,THE ISSUING INSURER WILL ENDCAVORTOMAIII0 DAYSWRITTEN P . P. G. Construction Inc . NOTICETOTHE CERTIFICATE HOLDER NAMED TO THE LEFT,BUTFAILURE TOOOSOSHALL Boy{ 2 11 IMPOSE NOOBLIGATION OR LIABILITY OF ANYKIND UPON THE INSURER.ITSAGIENTS OR tiagamcrc� Beach, MA 02562 REPRESENTATIVES, AUTHORIZED REPFIESiNTATWli ! ACORb25-S(7/S7)1 nf_ 12 #1.5023 r, +_.�-may 0 CORPORATION 1988 00 o a p U o r o t u5 o c sip.- u c o ® U 9 Sh'L !1't:'I P'0 2y733 C / ClVil LO US PLAN \ Proposed o 6j / Boa RICHARD -� G .ZS Dwelling 1�' \\ R. y¢ Scale: "= 800 ± I_HEuR-Eux )Z,: /n -R=64.9 \ �,.. �a�O No.34312 a \� -�, r ta' I=60.66 S \ \ � 21.0' I' \�\ oo ��\ �'' "..�' � � ;'p; �^�T \ LOT 99 s - \ \ 1 \ $p Top of Foundation 7,859±SF \`� �� +662 9 \ 1 ��C, \ Elevation 68.0 o 9.0' �4 1N o- 9.0'" 8'59" rA S 74 " 61 5_ LOT 100', CO 0 0 \ \o 10,512±SF m \ \CA CO \ ' +�02 x 67.25 Indicates Proposed \ �/ 00 `l� \ Spot Grade �,� — \ ^ 66 ,' / +65.52 \ �\ AE-L �� 1 0 5 10 15 20 30 40 FEET \ 1 +65.82 (( Q Sheet Title: ; Sullivan (Engineering, Inc. v (�sSu U V u v Proposed Site Plan Mark Lebeaux �Wg C364g9 PO Box 659 PO Box 718 Scale Osterville, MA 02655 Hyannis MA 02601-0718 Lot No. 99, Tidal Lane % M & R Realty Trust- 1„=20'. [� (508)428-3344 (508)428-3115 fox 1 (508)790-7902 (508)790-7905 fox t Hyannis Mass Forestdale MA 02644 PSuOPE(Paol.com copesuiv@copecod.net Dote 13/M a r/99, . S4` ii. General Notes 1)The topographic information shown Assessor's Map 273 Parcel 266 hereon Was Obtained by conventional Zoning Classification: RC-1, Special Permit Setbacks: 20'/7.5'/7.5' survey methods. Lot 99 as shown on Cobblestone Landing Subdivision , Plan Book 425 Pg 29& Fig 30 2)The property information Shown hereon Lot 99 Area: 7,859 SF± Was complied from available record The Site is located within an ground water protection district. information and d02S not represent an actual on the,ground survey. No wetlands or water bodies within 100'of lot perimeter. 3)The datum used is approximate mean The Site is not located within a historic district, FEMA flood zone or an ACEC. sea level. The proposed dwelling to be connected to Town sewer and A SEWER CONNECTION PERMIT is required. Sewer pipe to be 4"diameter STR 35 or approved equal. Maximum pipe bend to be 45'with minimum 3 foot cover and a 4 x 6 reducer at the existing stub. Minimum slope of pipe to be 2%. All questions regarding sower connection direct to David Anderson, Town of Barnstable @ 862-4080. Legend: STE �G SULLI ��., Qs Sewer Manhole N0,I IL ® Catch Basin ^Q`P 4- ' Hydrant El CB/DH �aA ® Sign # Light Post ® Water Gate (round) © Gas Gate (round) a� Gas Gate ' Water Gate rc�D G I HEUREux� No.34312 Inc. ������ Sheet Title: Fte 364 1 Sullivan Engineering, nC. p General Notes Mark Lebeaux 9 PO Box 718 PO Box 659 Osterville. MA 02655 Hyannis MA 02601-0718 Lot No. 99, Tidal Lane % M & R Realty Trust (508)428-3344 (508)428-3115 fax (508)790-7902 (508)790-7905 fox Hyannis Mass Forestdale, MA 02644 PSulIPEmbol.com copesurvOcapecod.net - EC/98 - TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel Permit# � J F Health Division Dl,3 fJ Date Issued 3 •� /R:f q1t— Conservation Division k /I Fee • *, APPLICANT MUST 0 Tax Collector/) ��+ ( //' - C 'EcTtox pil SM9H l;f 1r �J 4l (l - ,1 $E$1XjQ`p1T1$tON Treasurer. �] F Planning Dept: Sp c Date Definitive Plan Approved by Pla ing Board a e , p� a _ _ Historic-OKH l'� Preservation/Hyannis y Project Street Address Village '.: Owner Address 1Q�_ jc '4_\k9<jLr2c3\%\Ap ee Telephone !�20g• '2�,ga �6 5 00 Permit Request �nL"Q(1A ),Don r1 D�C'L49c 9�P_�c•PQ.�°2 r� c�P� Square feet: 1st floor:existing ' proposed �,�8 2nd floor:existing proposed G 0(7 Total new °a-D00 r Estimated Project Cost 0/ Zoning District .Flood Plain Groundwater Overlay Construction Type LL M Lot Size ` 54Q 9A Grandfathered: UJ"'es ❑No If yes, attach supporting documentation. Dwelling Type: Single Family l 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) l'a-drS Number of Baths: Full: existing new 9- Half: existing new l Number of Bedrooms: existing new 3 iotal Room Count(not including baths):existing new First Floor Room Count 4 Heat Type and Fuel: YGaS ❑Oil ❑ Electric ❑Other Central Air: ❑Yes YNo . 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 IR/new size kiz}CtL Shed:❑existing ❑"new size Other: Zoning Board of Appeals Authorization ❑ Appeal#: Recorded❑ Commercial ❑Yes ❑No If yes,site plan review# Current Use Proposed Use BUILDER INFORMATION Name `S• -Z�-Cte s6%N1 Telephone Number = 43 Address C"q License# b Z.-'T=7 j Home Improvement Contractor'# % Worker's Compensation# ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE _ /1��c \(or t��9 i - FOR OFFICIAL USE ONLY PERMIT NO. ' •`5 _`_ ! i DATE ISSUED _ • _ _r . MAP/PARCEL NO., ADDRESS \ VILLAGE i �: _ >• ,.'. _y _�.` y OWNER � ,�" �` •:-` r • t - � .# � t . - � _- • = i R � _; . 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J tl'YT'OR:EC[lTE... 1 .._ . _0' . t I t-_ .f—4 }.,..� T I - rLN•rs-PN.0.vorx) Nd• (.t l'•.i WAG FTCS.t'OR'a'h- P O tout. FILLLO✓LY:Ac. W ..I.a.S APPIKICI.. • � • .1 Q IJy.'SYELT.oQCK. ., ' �"t THK C04C.LlA9••..._._—~ n f111 OI'O .7uvl AlMN*R.IS IYSa. 50 8-42 9-6191 e"TNK..•sM•.G 04 C i'•e' . FR.. - - . wlin __. _ .._..—. • r wvace fBaorlucs 8u8t01M �. S e alt,tout.ol Lso:an t.1" , j 9 . .. 0 our.t•nl!T+It..c�•Ac FTt,--}►� t B Ot� ns Al 6.9 1 O eBBD s0 .. ... RKseg as . I SEC IDN B-B T t ' I to:O.. �.•p.. I FOUNDATION PLA1J ana layoun by OC.p.a••ta•tee-u--of tM cUStom S only-.Any-otna me is SUlctly- fr ellminary Plans- 0 a A,yPNALT .,21 w 24 WUJL. w.4:..51lIalC,LIItI.:-:r_.-� A—..C U— y KlTCf14i1.:. q L'a.H: Y. 21-.211N4uL. L.ERT ELEVATION ' YrD�E ViNT 1-4 dt 1�10 tR!.K I� y .WW:lWiIICVAtRE�"''' J QItcE VENT P-42*-*6191, wa,u wstA..(tiv nALUM,CoMfW as T ' _ I o uaR All eights - 1'. Re erveo Y,�•GN DOD[ I � W.C.5Nr Crl- — C.CLADOGq[DS ' '' ''2.,Ib IN>•!L .. e r 'IRIPl41.1JLELZ7fS": _ -� Nr11•'f'�.__ CDNC APRON wAT@RTApLE � FRONT ELEVATION "" -"" •--'----txtt[ eTattn-�—= ..—._..__ elr-HT C _VATICW • .. •flIlmlNry pl.n,.nE I.y—1 by aC.D..re for thf. Of their customeft oniy.Any ot11lr us.Is strlcpy 01-'Prt � �:c.wvmeen�ON �• jya'PLTFnDOD � r i .vat.UUNKLE STARTER. SRMALT 6.1.W-CO '1 wp(AS CUTS(MIHT)ON MP mbCe �Isp E1Q GVT� A1Ln,.CPTT02 ^ 3DFi1T w/Ve!NT h — --1y40.T 511_L w/elgLGQ �MDLTY ON - r�Wi4TECTA6i.E CI'h'-1�o•) � ' +SOFFIT i w•o' 1- So'o'• w-a•naonEK qo I6.0" r A ' •ALIL'(�ECK... i N' y: UGi^ KITWeN' MOBS .o i 1tn_ -rl. P (SE»ROOM A I T _ n; W4_. :, a.t•ia Si' q.c.A ... ... ._. A% ... - -.. �.p' 4c' f 4.¢.. .. , � _.� — ��•-p "ate _ i C _ i . yWei:fdseNeTQocK M. N' 1 �Txcr�cclC�ib` o-` I _ 1 i 3 i 60!428.619911. �: Ze slo'.S.E•.v:H.._ 6 I_ .rQgm FA.. &Win V z i $ .' � P• jj lea i O' „I B:O I q:0 9:0� � _S•O' � 5:0' �L.Oj ' ..... ........._................T.-----.—..._..._...-..-..__-_.__.—__—_...—.___..___._.._-._,_... x i . .::".�IRS7""FCOOR''PE!\N � . ..iaECOFiI7"1FS.AOKPUlF1'�- � . • r,eummary Pl—One uycun by we.o.e.e SO'One u,e Of me„C.11-11-ly.Aey Omer USE It eeelauy P""'"04 y 4S•euq.AD1M---'-' Qlx 2.10 RAM" • 1•�STPAVV:;i 1 PROP 11.1 0 . i _ Ya•Ta5 rutwwn o:r OK•O,SObiS 4:6 ' 1 t , .,a%a I u ! I Oi 6$CUON.A-A I 5.0' 6:0, j 'q_s�BKK�34471 ..gr\O RAFTERS ' i ......_. __..- ...... ;LaL 04-ufts O ,z w�eTRo,uc, is sTcnar I I It L 0 1..0• 4 O' 40' r `+'i a T�Pi�iY[ xi7 Pc 2 .. .- }---�-. - - - - -- _. . .... G 1 r 4-1 o:, . N N p 1.2o t2'e•r T•cK.Co1.1C FTct FOR'O'h •. n O CPAtC. F1Ltti4 W.lY:t1t. O. _.laa snurrwq - • C .!fi"64ELTRL1ClC.i 4't T x C—C.t1 ft__..._.._._.r - �.. IDI 0 ::2n9 AlRLF(/IL.11143LL. n D: o. -WO xurs s. ; . a-Ts1K..wa_s ou 1:4'.e 808-428-6191 • [4rnVat'r r1w _ _ - I !147�_t4'Rt r Orlin @utom e'mA.totm.clu.co'+aa0.\uRcs I - 0*:Ign8 c p o4 a•t r.1°Tr1 c.bal< sq ... ..� ...: � .-. copyn9ht O 1898 • � I SF�.TiCUN B:B 1 O:D V:1i' !O" ' �'.•.' ' ....16'•'�" 9_is !2'.9"j I I I. .6:D" SO:.O' i I . D4 FOUNDATION PLAN • ti • 3 ' -hellmmerY"Bun.I'd-teyo .oy-OC.Orere to,the-the of Any lMtr-cuitomery-o - other use I.futctly-ProntWt - - -- — nty. J i E?,'ERGY CONSERVATION APPLICATION FORM FOR LOW-RISE RESIDENTIAL NEW CONSTRUCTION Applicant Nae: . oCl _ ate, Site Address: Applicant Address: _� -rr�'S y�l�:� 'City/Town: yJ �� S•s.c�-►a�vtc�e.'gae'�.ci.E Use Group: % ��e�►rx e.� Date of Application�: Y t : Applicant PSone: 5b8 ZZz_ 8 c�np Applicant Signature: Compliance Path (heck one): descriptive Package (Limited to 1-,or 2-family wood frame buildings heated with fossil fuels only) Package (A through KK): Heating Degree Days Base 65 (HDDbs) from Table J5.2.Ia: !3`j (For items d. through i., fill in all values that apply from Table J5 2.Ib:) a. Gross Wall Area Z 114- sq.ft f. Wall R-value R- l 3 b. Glazing R.O. .-krea 215 '5 sq.ft. g: Floor R-value R- 2 5 c. Glazing % <<OC K b -a) I Z• 4 % h. Basement wall R- d. Glazing U-value U- •��o i. Slab Perimeter R- e. Ceiling R-value R- 38 j. Heating AFUE S0 !O 7 Component Performance: "Manual Trade-Off' (Limited to wood or metal framed building's only) Climate Zone (from Figure J6.2.2) Zone 12 [] Zone 13 ❑ Zone 14 Attach Trade-Off>r;:-,rksheel, from Appendix J, [and HP21C Trade-Off Worksheet, if applicable] Ej aMAScheck Software Attach Compliance Rz^orr and Inspection Checklist printouts. [] Systems Analysis OR Renewable Energy Sources Attach Mass Registered Architect or Engineer Analysis Official's Name: ` Official's Signature: Application Approved Date of Approval: Application Denied Q Date of Denial: Reason(s) for Denial: (provide more details, if needed, on opposite side) Bags otr-2/9s .. ✓1�P l.'6�JV71f0'ldGlpYl!(It (L�_ !�(7.kM(.1IlII.iPlli KPARTNENT If tWtIC SAFETI CMSTWTM W"ISM LICENSE how: Egirca: lirthd�te: CS N/21/21tlA 14/21/1163 N"trig 1 li AA 121I1 i — j i 9 P U G � P 9 u n c n G n G U PP Western Surety C n, G n U P LICENSE AND PERMIT BOND F For County,City,Town or Village Only-Not Valid for Bonds Required by the State.Not Valid for Contract, ; Performance,Maintenance,Subdivision,Agent to Sell Hunting and Fishing Licenses or Utility Guarantee Bond. il G U KNOW ALL MEN BY THESE PRESENTS: BOND No. L&P-4 2 9 4 6 3 4 O That we, Mark A. Lebeaux G of the _Town of Wareham , State of Massachusetts , as Principal, and WESTERN SURETY COMPANY, a corporation duly licensed to do business in the State of Massachusetts , as Surety, are held and firmly bound unto the Town of Barnstable , State of Massachusetts , Obligee, in the amount (Valid only when a County,City,Town or Village is named as Obligee) of One Thousand—One Hundred------------------- DOLLARS ($__1, 100.00 ), (NOT VALID FOR MORE THAN$25,000) lawful money of the United States, to be paid to the said Obligee, for which payment well and truly to be made, we bind ourselves and our legal representatives, jointly and severally. THE CONDITION OF THIS OBLIGATION IS SUCH, That whereas, the Principal has been licensed For new construction at Lot#99—Hse# 18 Tidal Lane by the Obligee. NQWnt-'- ` FORE if the Principal shall faithfully perform the duties and comply with the laws and or ��rYs`:fn�,. 'r"�g all amendments), pertaining to the license or permit, then this obligation to be void, o s n full force and effect for a period commencing on the 2 7 th day of _ 4 19 9 9 , and ending on the 2 7 t h day 1? a n u a r :3"x 2000 , unless renewed by continuation certificate. ib d maybrminated at anytime by the Surety upon sending notice in writing to the Obligee and to tY� pcipp iiri, ®t�f the Obligee or at such other address as the Surety deems reasonable, and at the expira- tio�� v') days from the mailing of notice or as soon thereafter as permitted by applicable law, whiche this bond shall terminate and the Surety shall be relieved from any liability for any subsequent acts or omissions of the Principal. Dated this 27th day of January 1 gAq Mark Leb Principal Principal Count gn' ed WESTERN S U E T Y COMNY B ° P y By P Resident Agent President P P ACKNOWLEDGMENT OF SURETY G STATE OF SOUTH DAKOTA (Corporate Officer) ; G County of Minnehaha ss G On this day of ,before me,the undersigned officer,personally a appeared Stephen T.Pate ,who acknowledged himself to be the aforesaid officer of WESTERN G SURETY COMPANY,a corporation,and that he as such officer,being authorized so to do,executed the foregoing ; instrument for the purpose therein contained,by signing the name of the torpor ' n by himself as such officer. ; R IN.WITNESS WHEREOF, I have hereunto set'my hand and official se il P n o +%%, ��S��F�v��������� + n J. RHONE 9 NOTARY PUBLIC P SEAL SOUTH DAKOTA otary Public, South Dakota My Commission Expires 6-12-2004 Western Surety Company 101 S. Phillips Ave. ; P Form 849-A—12.97 ti°' �'y�� + Sioux Falls, SD 57104 • 1-605-336-0850 e" F il il ACKNOWLEDGMENT OF PRINCIPAL (Individual or Partners) ; b STATE OF G ss S G ll ` County of P ! u F F F On this day of ,before me personally appeared G 9 f G ! n il Aft il known to me to be the individual_ described in and who executed the foregoing instrument and 3 G ! acknowledged to me that—he_executed the same. il My commission expires r Notary Public 1 ,y ACKNOWLEDGMENT OF PRINCIPAL (Corporate Officer) STATE OF ss County of On this day of ,before me, personally appeared , who acknowledged himself to be the of , a corporation, and that he as such officer being authorized so to do, executed the foregoing instrument for the pur- poses therein contained by signing the name of the corporation by himself as such officer. '• My commission expires Notary Public -- - - - - - - - - - - G G P P , L F r C4 P w ^ ICI G P Y.i n n r• � n P G AA P4 n G z zz P a> W ! V! ., :y o z z ; F P SPIA«PIC&LP as N &4 .f EQUAQUET 9 6 � arm/ U Z g NvQ- .Rou-TE LOCATIO&I MAP - d Pose:p O 0. fix, F \\ s ace , Qom, LOT 100 LoT �S �� LoT 99 � o N 7, 8 59 ±S.F. - SH OF 0 RENWICK tiN CHAPMAN w f 27654,0 S NA The I=Group-Cape Cod hie ~, 3236 Main Street BENCH MARK USED: Route 6A 11OC ELEV. 75 . 68 N. G .V. D . BarnstableYlfade MA ZONE RC-1 02630 SETBACKS: (OPEN SPACE) - _ 617: 362 8133 FRONT 20 ' f� SIDE 7 .5 ' REAR 7 . 5 ' PROPOSED SEWER OF R'assti CONNECTION C. �s FOR SEWER MAIN DETAIL SEE PLANS BY KALKUNTE ENGINEERING CORP . FRA LOT 99 o NK WHITING N 1749 CENTRAL STREET STOUGHTON MA . 02072 No. 29869 0 IN 01 TERM°J�`� BARNSTABLE MASS . L L p5 C' / . (Hyannis) FOR= CONSTRUCTION NOTES CAPRICORN REALTY TRUST 1. ALL UNDERGROUND UTILITIES SHOWN WERE COMPILED ACCORDING To AVAILABLE RECORD PLANS FROM THE VARIOUS UTILITY COMPANIES AND PUBLIC AGENCIES AND ARE _APPROXIMATE ONLY. ACTUAL LOCATIONS MUST BE DETERMINED IN THE FIELD. THE. CONTRACTOR MUST NOTIFY UTILITY COMPANIES T2 HOURS IN ADVANCE SCALE: I "= ZO' OF CONSTRUCTION. THIS MAYBE DONE BY CONTACTING THE DIG - SAFE CENTER METERS ( 1 - 800 - 322 - 4844) FEET o 10 20 30 40 50 2 ALL WORK AND MATERIALS SHALL. CONFORM TO THE TOWN OF BARNSTABLE DATE= .JUNE IOC i98$ . DEPT. OF PUBLIC WORKS CONSTRUCTION SPECIFICATIONS AND STANDARDS. COMP./DESIGN: T. A. IN.l5:A.91L:N.E. 3. PRIOR TO START OF CONSTRUCTION THE CONTRACTOR MUST OBTAIN- FROM THE TOWN OF BARNSTABLE A SEWER TIE - IN PERMIT AND A ROAD OPENING PERMIT. CHECK, C. F W. R-. $.C, DRAUIfIV t -r- A.1N ;/ L. H. rj . FIELD* R Ef� ;/j V 6 FILE NO ' � O1K(�.N��- 131s-99 JC�� Nd=3-3035.Zo • iil _> 7 _