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0030 TIDAL LANE
— _ ' iI3e� F_ca-O �U —� V _ . _ __ __ — . _� �` \ _ .� .� Town of Barnstable Building e Post This Card So That it is Visible From the Street-Approved Plans Must be Retained on Job and this Card Must be Kept MAS& Posted Until Final Inspection Has Been Made. ' Permit � � 019. ` Jl It DMx+° Where a Certificate of Occupancy is Required,such Building shall Not be Occupied until a Final Inspection has been made. Permit No. B-20-2450 Applicant Name: Michael Rockwell c/o The House Company Approvals Date Issued: 09/08/2020 Current Use: Structure Permit Type: Building-Addition/Alteration-Residential Expiration Date: 03/08/2021 Foundation: Location: 30 TIDAL LANE,HYANNIS Map/Lot: 272-193-035L Zoning District: RC-1 Sheathing: Owner on Record: BONCEK,JOEL&ANDREA Contractor Name: Framing: 1 Address: 30TIDAL LANE Contractor License. 2 HYANNIS, MA 02601 ` " " —� Est. Project Cost: $62,000.00 Chimney: Description: Construct a 12'X 14'sun room addition Permit Fee: $366.20 Insulation: Project Review Req: Fee Paid: $366.20 Date: 9/8/2020 Final: Ld��strv� Plumbing/Gas Rough Plumbing: Building Official 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. Rough Gas: All construction,alterations and changes of use of any building and structures shall be in compliance with the local zoning by-laws and codes. This permit shall be displayed in a location clearly visible from access street or road and shall be maintained open for public inspection for the entire duration of the Final Gas: work until the completion of the same. II t¢ Electrical 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:; !f Service: 1.Foundation or Footing f, 2.Sheathing Inspection I _ Rough: 3.All Fireplaces must be inspected at the throat level before firest flue lining is installed - '- 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection Final: S.Prior to Covering Structural Members(Frame Inspection) 6.Insulation Low Voltage Rough: 7.Final Inspection before Occupancy 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: �,}ry� ► ,. Town of Barnstable u n a i n $Post This Card So Thet�rt`is U�sible From the Street Approved Plans�Must be;Retained on Job and,#his=Card Must�be Kept � v MAW A Posted Until.Final Inspection Has Been Made n `� � ' ��639 a �x a Permit ° Where a Certificate of Occupancy-is Required,.sub h Bwldmg�hall Not be Occupied until�a`�nall�nspect�onha�sbeen made aA Permit No. B-18-3661 Applicant Name: Robert Bourque Approvals Date Issued: 11/05/2018 Current Use: Structure Permit Type: Building-Sheet Metal-Residential Expiration Date: 05/05/2019 Foundation: Location: 30 TIDAL LANE,HYANNIS Map/Lot: 272-193-035 Zoning District: RC-1 Sheathing: Owner on Record: BONCEK,JOEL&ANDREA Contractor Name:;' ,ROBERT G BOURQUE Framing: 1 Address: 34 ROBERT DENNIS DRIVE Contractor License: 6435 2 MILFORD,CT 06461 Est. Project Cost: $4,000.00 Chimney: Description: INSULATED,GALVANIZED SHEET METAL SUPPLY AND RETURN AIR Permit Fee: $85.00 DISTRIBUTION SYSTEM Insulation: Fee Paid::" $85.00 Project Review Req: DUCT WORK ONLY Date. 11/5/2018 Final: Plumbing/Gas V Rough Plumbing: Building Official Final Plumbing: Rough Gas: This permit shall be deemed abandoned and invalid unless the work authorized by"this permit is commenced within six months after issuance. All work authorized by this permit shall conform to the approved application end the approved construction documentsfor;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 pu.biic inspection for the entire duration of the work until the completion of the same. Electrical Service: The Certificate of Occupancy will not be issued until all applicable signatures by the Building and:Fire Officials,are'prowded on this permit. Minimum of Five Call Inspections Required for All Construction Work: r` Rough: 1.Foundation or Footing k 2.Sheathing Inspection Final: 3.All Fireplaces must be inspected at the throat level before firest flue lining is installed 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection Low Voltage Rough: 5.Prior to Covering Structural Members(Frame Inspection) 6.Insulation Low Voltage Final: 7.Final Inspection before Occupancy Health Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Final: Work shall not proceed until the Inspector has approved the various stages of construction. "Persons contracting with unregistered contractors do not have access to the guaranty fund" (as set forth in MGL c.142A). Fire Department Final: Building plans are to be available on site All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT ON��� F.Ir►A�ZI� $00� Town of Barnstable Buildin ,p '`,, "' ,h.. �- ,, n .` A :, r .' fit' %e . e - ost=This Card So. 9 Thatrtis 1/isible From theStreet A roved P,.lans Must beRetamed on�Job and;th�s Card Mustbe;Ke „t , wtxsewwE r iP ., w v 4 - a, �P �p3 P Posted Until'Final InspectlonHasr,B.een;Made u 3 y Wher,:e aYCertificate"";of Occu anc "is..Re u,�retl such B"uildm" shallYNot b„e Qccu ietl until a Final"Inspection:xhas°been"made Permit Permit No. B-18-1638 Applicant Name: Stephen Dickinson Approvals Date Issued: 05/25/2018 Current Use: Structure Permit Type: Building-Siding/Windows/Roof/Doors Expiration Date: 11/25/2018 Foundation: Location: 30 TIDAL LANE,HYANNIS Map/Lot. 272 193 035 Zoning District: RC-1 Sheathing: Owner on Record: MASSE,JOSEPH W ontractorINa e, STEPHEN T DICKINSON Framing: 1 r �Contracttor cens6: CS-081843 Address: 34 ROBERT DENNIS DRIVE s 2 MILFORD,CT 06461 rg r 710.00 EstProlect Cost: $6, Chimney: � F Description: Replacing 1 Entry Door with Sidelights-Like fo aL�ke install; No Permit Fee: $35.00 Change to Header Insulation: Fee Paid $35.00 Project Review Req: Y Da ,' 5/25/2018 Final: di K _ Plumbing/Gas Rough Plumbing: ._.... ._..r. _.- , M t Building Official Final Plumbing: -This permit shall be deemed abandoned and invalid unless the work authonzed,by this permit is commenced within six months after issuance. All work authorized by this permit shall conform to the approved applito 'and the approved construction documents f which is permit has been granted. Rough Gas: All construction,alterations and changes of use of any building and structures shallkbe in compliance with the local zoningFby laws.and codes. This permit shall be displayed in a location clearly visible from access st eet or road and shall be maintained open forbli�mspection for the entire duration of the Final Gas: work until the completion of the same. Electrical The Certificate of Occupancy will not be issued until all applicable signatures by the Building and Fire Off%cials arse provided on this permit. Minimum of Five Call Inspections Required for All Construction Work Service: 1.Foundation or Footing 2.Sheathing Inspection 6 �� r T"s" Rough: � 3.All Fireplaces must be inspected at the throat level before firest flue lining is installed 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection Final: 5.Prior to Covering Structural Members(Frame Inspection) Low Voltage Rough: 6.Insulation 7.Final Inspection before Occupancy Low Voltage Final: Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Health Work shall not proceed until the Inspector has approved the various stages of construction. Final: "Persons contracting with unregistered contractors do not have access to the guaranty fund" (as set forth in MGL c.142A). Building plans are to be available on site Fire Department All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT Final: TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map � 3 � 1 � q .2�2-- Parcel / � . Permit# Health Division C2 MU ST 0137;4-k4J Date Issued Conservation Division (� YY�w+�—`� Fee 0 Tax Colle J 4-PUCANT Treasur �� l 4 yZe'r, H pg a SEWER INE 10)f p T F801�T6B Planning Dept. ., vAWQ nZgW okg� Date Definitive Plan Appro ed by Planning oard / "U row—�` ' Historic-OKH Preservation/Hyannis ;. Project Street Address 18 l 3 6 c'7'-��cA\ �e��•e. Villagect�r 1s Owner '� � ti Q�y Address Qf D, Telephone Permit Request c'TD �e_ OQ l�©e SO e �� �. Le Square feet: 1st floor: existing proposed-1�!4 2nd floor: existing proposed Total new Estimated Project Cost 06 0 Zoning District Flood Plain Groundwater Overlay Construction Type u D D Lot Size �Tq '�, �a ��Grandfathered: dYes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family d Two Family 0 Multi-Family(#units) Age of Existing Structure$ 6e U t \� Historic House: 0 Yes ❑No On Old King's Highway:. ❑Yes O No Basement Type: dFull ❑Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full: existing new Half: existing new N Number of Bedrooms: existing new �3 Total Room Count(not including baths):existing new First Floor Room Count Heat Type and Fuel: dGas ❑Oil ❑ Electric ❑Other Central Air: 0 Yes WeNo Fireplaces: Existing New 1AP q Existing wood/coal stove: 0 Yes ❑No Detached garage:0 existing ❑new size Pool:❑existing ❑new size Barn:0 existing 0 new size Attached garage:❑existing dnew size94 x a.N Shed:0 existing ❑new size Other: Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ 4M_VJ Pp q Commercial ❑Yes ❑No If yes,site plan review# 3— Current Use Proposed Use BUILDER INFORMATION Name- t�V S.6 Cl Telephone Number Address 45 `T yc)e V�b�`�c�18\0-r—e F License# f) 5 'i n 1 Home Improvement Contractor# Worker's Compensation# LALLONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TOA e_ %ATURE DATE FOR OFFICIAL-USE ONLY PERMIT NO. .9� 1�r y DATE ISSUED MAP/PARCEL NO.- ADDRESS - VILLAGE OWNER DATE OF INSPECTION Y FOUNDATION FRAME INSULATION FIREPLACE (� Q _ ELECTRICAL: ROUGH FINAL t t PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING " _ .. DATE CLOSED OUT m f K ASSOCIATION PLAN NO. -� y ' � ri�r,+.,.:...�..Ir'�N<.J, ^->'• .. _ -.-..i. J.ti n` .� .,y_r.� „ r-� .. r., ..: .-: cr":..+.+-v..-n'r.,.� "'.." r ._' THE T The Town of Barnstable - BARMS�LE.g! Department of Health Safety and Environmental Services - i639' �e prF%639. 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 Y Location '�(� p �- �.. Permit Number -7—1 Owner ti R,, Builder ��''�-`Q. One notice to remain on jobsite, one notice on file in Building Department. The following items need correcting: ��� � t v.� l vy..-,a 1�. C�G--�-'�.C-Q. �t-���-'t-,� �/L��SlI►il l�- _ 7 f w Y :v- l=-,.w._F t �-� lS'C- L o 0 VL Please call: 508-862-4038 for re-inspection. Inspected by Date 6 S.� TOWN OF BARNSTABLE .1 _. CERTIFICATE OF OCCUPANCY PARCEL ID 272 193 035 CEOBASE ID 37630 ADDRESS 30 TIDAL LANE PHONE HYANNIS ZIP - LOT 101 BLOCK LOT SIZE DBA DEVELOPMENT DISTRICT NY PERMIT TYPE B0004 DESCRIPTION CERTIFICATELOFDOCCUEAtdC BLD PMT #37149) CONTRACTORS: Department of Health, Safety ARCHITECTS: and Environmental Services ,I TOTAL FEES: BOND $.00 O�THE I CONSTRUCTION COSTS $.00 753 MISC. NOT CODED ELSEWHERE 1 PRIVATE P , t''E;"' BARN3rABLF, MASS. 1639. A` E�Mir►I I BUILD IVI ON BY DATE ISSUED 04/18/2000 EXPIRATION DATE (. PARCEL ID 272 193 035 _. GFOBASE ID 376,10 6,10 ADDRESS 30 TIDAL LANE PHONE HYANNIS ZIP- LOT 101 BLOCK r LOT SIZE D]3�1, DEVELOPM N; DIS`Ti ICT BY PERRIT`... *. -� 37149 DB+SCRIPI TION SINGLE �FAMILY' 'WELLING (MUST OBTAIN SEV.PM . PERMIT �,YPE BUILD TITLE NEG� RESIDEN-TIAL BUG FWD CONTRACTORS JOHN' J -JACKSON. Department of Health, Safety ARCHITECTS: and Environmental Services TOTAL FEES: $248.00 INE SAND $.00 sl, CONSTRUCTION COSTS $80,000-,0caRT wSTABM , Ass.039. `��► BU1LD1,NG&41xp1 4 BY DATA. 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 (READY TO LATH). PANCY IS REQUIRED,SUCH BUILDING SHALL NOT BE _ ELECTRICAL,PLUMBING AND MECH- 3.INSULATION. I OCCUPIED UNTIL FINAL INSPECTION HAS BEEN MADE. ANICAL INSTALLATIONS. 4.FINAL INSPECTION BEFORE OCCUPANCY. BUILDING I�NnPECTIONAPPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS c�•.: !,9 Y (� 2 —0`,a/V 2 �jtiy 1¢l�. 17��(�(•'BO[.4//�+fr 2 ,.Z 3 1 HEATING INSPECTION APPROVALS ENGINEERIN .DEPARTMENT l 2 q OARD OF HEALT OTHER: /L'� SIT LAN REVIEW APPROVAL V -WORK SHALL46T PROCEED UNTIL PERMIT WILL BECOME NULL AND VOID IF CON- 7NEONS INDICATED ON THIS THE INSPECTOR HAS APPROVED THE STRUCTION WORK IS NOT STARTED WITHIN SIX_; N BE ARRANGED,FOR BY VAR10IJ� STAr ('F rf?NST- ( --Me-%"TMS'OF DAT% T'iE.PERMIT ��' _JET - NE.ORWRIT?F'-'NO Ir;A.- ri �t C ,.. F . BUILDING PERMIT . . } REFERENCES: ZONE: ZONE RC-1 Assessors Map: 273 Setbacks: See Special Permit Parcel: 193-35 Filled in Deed Book 53801252. Fron t: 20' FEMA Zone C Side: 7.5' � Panel # 250001 0005 C Rear: 7.5' Revised: 191AUG185 0 r LOT 100 II 0 0D S 85°00'DO" E I �,�5 95.07' 0�o o, I 51 20 0' 22.0' LOT 101 B/DH �" 9,926±SF Fnd 6.0 r-- IN New Concrete o CD � Foundation `, o O, CB/D Fnd 22 0' co � N Q-Y\ 40.9' o o_ oL \ OJ m a 3�r O �O 5.0 � v 0 19.6' o 31.0 c�Q c N 85°41'04" W LOT 702 108.50' O rh O O I certify that the foundation shown hereon setback e conforms t he requirements of the RICR. ��� Zoning Bylaws of the town 8 L14EUREUX N of Barnstable. No.U312 of o PLOT PLAN ss Z7 ,0& y IN Profes Land Surve r Dcrfe 10 -15 20 30 40 FEET 0ALrL1 NOTES: DATE: 271OCT199 SCALE: 1"=20' 1.) The foundation shown was located on the ground 0 5 10 15 20 30 40 FEET by conventional survey methods on October 26, 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 capes ry description purposes. 7 Parker Road Osterville MA 02655 DWG #: C364pp3 FIELD BY. RRL/RJM (508) 420-3994 / 420-3995fox \ o \ g \ V) 3 S 85'00'00 E J \ CS ° LOCUS +65 ---- O A LOT 101 I >Bl DF // \\ e6�y �6 9, 926 f SF o ° o v, NnN / o� EJPA 1 , 1oP II OCU S PLAN Scale;l = 800 ± a0t10n +65.60f-j p otlon 675 o_ ev CBID � Fn 6 �� is cD SULLIVAN m �1J 6 Pr paled i NO.29733 9 / 67 1 Wog 6� �� S Proposed I q N i;lViL P' 0 N -)P67.46 7 O 1 \ h —W �D C) S 1� \ 6 fro- I �� 1 ZOO 66.99 CT In _ ^a \\ TE \ N 85'41'04' ►N °� ;=:,c;tA r\' 108-50 � LHEUREUIX , E �, No.34312 c R=67.2' x66.75 Indicates Proposed INV=61.5' Spot Grade LOT 702 + ti 0 5 10 15 20 30 40 FEET �51���p Sheet Title: Dwg # Sullivan Engineering, Inc. C�1 �J U V Proposed Site Plan Mark Lebeaux C364g 1 PO Box 659 PO Box 718 Lot No. 101 Tidal Lane Scale Osterville, MA 02655 Hyannis MA 02607-0718 % M & R Realty Trust: 1'=20' (508)428-3344 (508)428-3115 fax (508)790-7902 (508)790-7905 fox Hyannis Mass Forestdale MA 02644 . Date PSWIPEVaol.com cap esuwaropecod.n e t �x 15/DEC/98 , .x 1)The topographic information shown General Notes hereon was obtained by conventional Assessor's Map 273 Parcel 193-35 survey methods. Zoning Classification: RC-1, Special Permit Setbacks:20'/7.5'/7.5' 2)The property information shown hereon Lot 101 as shown on Cobblestone Landing Subdivision , Plan Book 425 Pg 29& Pg 30 was complied from available record- Lot 101 Area: 9,926 SF± information and does not represent an actual on the ground survey. The Site is located within an ground water protection district. 3)The datum used is approximate mean No wetlands or water bodies within 1 00'of lot perimeter. sea level. The Site is not located within a historic district, FEMA flood zone or an ACEC. 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 sewer connection direct to David Anderson, Legend: Town of Barnstable Q 862-4080. 0r Q Sewer Manhole rt4� a ®. Catch Basin PET SULLI Hydrant N0.29733 t� ElCB/DH CIVIL --� Sign Light Post ® Water Gate (round) 0 © Gas Gate (round) © Gas Gate ® Water Gate f:fRIC f(c LHEU El IX N ,, '�P� ice: •-�---- g g capeSury Sheet Title: Dwg # Sullivan lEn 1nCCTln , Inc. General Notes Mark Lebeaux C364g1 PO Box 659 PO Box 718 Scale Osterviue, MA 02655 Hyannis MA 02601-0718 Lot No. 101, Tidal Lane % M & R Realty Trust (508)428-JJ44 (508)428-3115 far (508)790-7902 (508)790-7905 fox Hyannis, Mass Forestdale. MA 02644 Date PSU11PE900l.eom capesur ydt opecod.net 15/DEC198 r - E'rERGY CONSERVATION APPLICATION FORM FOP, LOW-RISE RESIDENTIAL NEW CONSTRUCTION Applicant Name: o Site Address: L-o-r tot 18 1�pd`L*,4 Applicant Address S PA-nart r y� City/Town: ",4— Lg Gr�►*rt�-o ,C t+ Use Group: �E3 Li>e�e.� Date of Application,: 3 Applicant Phone: 5tb5 ZZ2- 8Tob Applicant Signature: ' Co nce (;:sleek one): WAWK ZPcriptive Packaoe (Limited to 1- or 2-family w_ , . ood frame buildings heated with fossil fuels only) Package (A throw KK): Q Heating Degree Days Base 65 (HDDEs) from Table J5.2.Ia: (o 13-7 (For items d. through ., f 11 in all values that apply from Table J5.2.1 b:) a. Gross Wa?I Area t 7 g 5- sq.fr f. Wall R-value R- b. Glazing R.O. Area 1"I'7 sq.ft. g. Floor R-value R- 1 c. Glazing °% !N x b-a) % h: Basement wall R- 10 d. Glazing U-vague U- • 4p i. Slab Perimeter R- t0 e. Ceiling R-vah_e R- �J _ O� ' -- H$ j. eating AFUE [] Component Performance: "Manual Trade-Off' (Limited to wood or metal framed buildings only) Climate Zone (faro--; Figure J6.2.2) Zone I2 7 Zone 13 7 Zone I4 Attach Trade-0 r7 r �:.-rishee! from Appendix J, [and HV.4C Trade-Off Worksheet, if applicable] AMScheck Software Attach Compliance RePor;and Inspection Checklist printouts. Systems Analysis OR Renewable Energy Sources Attach 'Mass Re;istered Architect or Engineer Analysis Official's Name: r Official's Signature: Application Appro,,ed Date of Approval: Application Denied Date of Denial: Reason(s) for Denial ("provide more details, if needed, on opposite side) 9BRs o►MM WMIXII Of RKIC WETY ClIt IWFIR SWPI$N IICIIR bow: Egirel: tettrie�h�' N, AIM I A, N 01771 The Commonwealth of Massachusetts Tj-w , Department of Industrial Accidents Office 9ffaye5ftatfons 600 Washington Street Boston,Mass. 02111 Workers' Com tion Insurance Affidavit name •�� ( (�O`1�9�`CtY��Q�.� r�L Q a, �'p1t �,1� ��A4riez�Q''� +E���. location �tb� ��0 l ^Ct �� ��t.•� Oa s6 a city \,koj ,hone# 154Z• 4.DAL •TS 80 ❑ I am a homeowner performing all work myself: ❑ I am a sole p n or and have no one working in any ca acity ❑ I am an employer providing workers' compensation for my employees working on this job. company name address: city phone#: insurance co. Pn1icV# om ( I am a sole proprietor, general contractor, or homeowner(circle one) and have hired the contractors fisted below who have the following workers' compensation polices: • t company name, address city phonex. ;.. olicv# •////////oi//O///�i//////////i//////////////////////////////////a/�i//i//�///i/////rii//////loci///////////////////////////////////// //////////////////i%/////////�//i�/O/i///////////%////////�//////////// %/..�;'%/ cam anv name: : ....:;::::.:•::.::::::;::::::::.::.;. .:. address. Cif,. phone#r insurance co. ///------/%%%// / %/ /i . Failure to secure coverage as requited under Section 25A of MGL 152 can lead to the imposition of criminal penalties of a tine up to S1,500.00 and/or one years'imprisonment as well as civil penalties in the form of a STOP WORK ORDER and a fine of 3100.00 a day against me. I understated that a COPY of this statement may be forwarded to the Office of Investigations of the DIA for coverage verification. I do heret5•v ce 'y der he pains and penalties of perjury that the information provided above is tru.-and correct signature Date 1 ,5 I _ Print name_ ���`A T—�e.�C Ste, Phone# D�f• g-�` 7� Official use only do not write in this area to be completed by city or town official city or town: petmittlicense 9 QBuilding Department QLicensing Hoard ❑check if immediate response is required ❑Selectmen's OlUce ❑Health Department contact person• phone#; ❑Other (mum 9,95 PJA) DATE: 12/14/98 TIME: 04:10 PM TO: Roger Good ' +1 (305) 743-9001 PAGE: 001-001 DATE(MMrDD.--M ACORq CERTIFICATE F LtABtLITY INSURANCE 12/14/1998 PRODUCER (508)540-2400 FAX (508)540-6671 T IS S I U A MATTER FINFORMATION Murray &+•MacDonald Insurance Services ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 1406 Jones Road ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Falmouth, MA 02540 COMPANIES AFFORDING COVERAGE St. Paul Insurance Company Attn: Douglas MacDonald Ext: 20 A INSURED _y\, Campanini Construction B Ray Campanini & Ronald Capanini DBA 53 Tara Terrace y"A'` C Buzzards Bay, MA 02532 D COVERAGES. THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAR:IED ABOVE FOR THE POLICY PERIOD INDICATED.NOTv%ITHSTANDING ANY REQUIREMENT.TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUk.tENT 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 POLICYNUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS -TR DATE(MM DD YY) DATE(MM;DD YY) GENERAL LIABILITY GENE=.AL AGGF,EGA-E S 1,000,000 X _ �UMENC:IA'_Ga\EF,AL UA2•!U T�' =� -u::T_-COMP,i;�AGG G . . 1,000,000 LA''MA_E X t_ pE�;c:NAL.�AC'V!NJ_PY s 500,000 A BFS00000120422 02/17/1998 ` 02/17/1999 1':VE=' S:-ONTRA:_T;.::�'.�FF i i- EACH iji qE.\' F S...... SOD,OOO 50,000 VIED EX=rA:,y:�- rso: 5,000 AUTOMOBILE LIABILITY '_Y'NJ!!RY C GARAGE LIABILIT'/ A::T,_: :\t_" EA AC'::!CENT s AN`.'AjJT:_ _-,T-A\Aa-;_t. EXCESS LIABILITY 'VB EL�A Ntvt kz-GREGA'=.. OTHEC,T'4AN UMB7-E'_A c:;oM ` ....- .. WORKERS COMPENSATION AND T :FY U`J Tg' EMPLOYERS'LIABILITY c~ a 771725293 07/21/1998 07/21/1999 tH : A CIrEN' ` 100,000 THE r�,,::F=dET::.=+: .- AHiN�� EY- 500,000 Nt _C._ .._ vr. OFPCER,;ACE: EX::L = SEASE EA'_M:.SOY c 100,000 OTHER ESCRIPTION OF OPERATIONS:LOCATIONS.VEHICLES,SPECIAL ITEMS 'ERTIFICATE HOLDER: CANGELLATfON SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF.THE ISSUING COMPANYWILL ENDEAVOR TOMAIL Roger Good 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT. RPG Construction 8 Patty's Way 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 Douglas MacDonald/CLF '=RD,26-S(1/96) (4=ORD CORPORATION 1988 AC®RD, CERTIFICATE OF LIABILITY INSURANCE D4/23I°°IYY, U4/23/1998 ,'OUCER (5Q8)8$8-2244 FAX THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION den Insurance Agency Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE v HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR 5 Route 6A ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. 3ndwi ch, MA 02563 COMPANIES AFFORDING COVERAGE COn'pJJIY Commerce Insurance Company ,tn: COMMERCIAL LINES Ext: A SURED Catherine Little d/b/a Little Concrete COMPw4Y Eastern Casualty Ins Co B P 0 Box 1832 Sandwich, MA 02563 COMPANY C COMP fJ1Y D OVERAGES THUS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED,NOTWITTISTANDING ANY RE0UIREMI_NT,TERM OR CONDITION OF ANY CONTRACT OR OTIIFR DOCUMENT WITH RESPECT TO W!iICH'n11S CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POUC!ES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PA!D CLAIMS TYPE OF INSURANCE POLICY NUMBER PCLICY EFFECTIVE POLICY EXPIRATION LIMITS R DATE(MMIDDIYY) DATE(MMIDOIYY) CENERAL LIABILITY GENERAL AGGREGATE S 600,000 X COMMERCIAL GENERAL LIABILITY PRODUCTS COMPICY'AGG f 300,000 CLNMSMADE X OCCUR K24387 08/18/1997 08/18/1998 PERSCNAL&ADV INJURY S 300,000 OWNER'S S CON.RACICR'SPROT EACH OCCURRENCE S 300,000 FIRE DAMAGE(Any one Ere) S 50,000 MED EXP(Any a!e perwO S 5,000 AUTOMOBILE LIABILITY COMBINED SINGLE LI%r $ ANY AUTO ALL OWNED AUTOS BODILY INJURY X SCHEDULED AUTOS (Per per son) S 100,000 97MM194963 07/17/1997 07/17/1998 HIRFD AUTOS BODILY INJURY S NDN OWNED AUTOS (Pe;acadent) 300,000 PROPERTY DAMAGE S 50,000 GARAGE LIABILITY AUTO ONLY•EA ACCIDENT S ANY AUTO OTHER THAN AUTO OIdLV. EACH ACCIDENT S AGGREGATE f EXCESS LIABILITY EACH OCCURRENCE S' UMBRELLA FORM AGGREGATE f OTHER THAN UMBRELLA FORM S WORKERS COMPENSATION AND X WC STATU- OTH- TORY LIMITS ER EMPLOYERS'LIAB!LITY EL EACH ACCIDENT f 500,000 DIE PROPRIETOR,' WCG1003602A 06/12/1998 06/12/1999 PARPROPRFETOR,' iVE INCL EL DISEASE-POLICYLIM.IT S 500,000 OFFICERS ARE. EJLCL. EL DISEASE EAEMPLDYEE f 500,000 OTHER !,CRIPTION OF OPERATIONSILOCATIONSIVEHICLESISPEC,AL ITEMS ERTiFICATE HOLDER CANCELLATION SHOUT D ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE R.P.G. Construction, Inc. EXPIRATION DATE THEREOF,THE ISSU14G COMPANY WILL ENDEAVOR 70MAIL P.O. BOX 211 8 Pat tys Way 1 O_DAYS WRITTEN NGTICE 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. AUTHCR!LL D REPRESENTATIVE ACV_RIJ �/a�+t �+a � IwP.� V[�; G OATE(MMiDOYY) PRODUCER ... .:.......:::..:•. ...:.::•:..:.:..::....::...:...::::.::::.::..:.:.:::: ................. .............. ...... .. U9/18/1998 1 ( ub)586-3400 FAX (508)586-3700 ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE earce 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 COMPANY Haviland Concrete B Guy Haviland PO Box 66 COMPANY C Bridgewater, MA 02324 COMPANY 1 D GCVERAG.ES THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUFO 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 DESCR16ED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLLIS1014S 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(MMIDD.^!Y) DATE(MM!OD!YY) GENERAL LIABILITY GENERAL AGGREGATE S 600,000 X COMIMERCIAL GENERAL LIABILITY PRODUCTS•COMP/OP AGG S 600,000 CLAIMS MADE X OCCUR: PERSONAL&ADV INJURY S A .......... ....... TBA 09/18/1998 09/18/1999 ....................................._.......... ... 300,UOU OWNER'S&CONTRACTOR'S PROT EACH OCCURRENCE $ FIRE DAMAGE(Any one fire) S 300,OOO i ...... . ................_............... MED EXP(Any one person) S 10,000 AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT S ANY AUTO ALL OWNED AUroS ' : BODILY INJURY SCHEDULED AUTOS (Per person) S 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 $ ..... ..................................................: ................I.............. ......... .. ...... .. .. A.GGRECATE S EXCESS LIABILITY — EACH OCCURRENCE S^ .......................................... . ..... ... .... . UMBRELLA FORM AGGREGATE $ OTHER THAN UIBRELLA FORM S WORKERS COMPENSATION AND TORY LIMITS E �? EMPLOYERS'LIABILITY EL EACH ACCIDENT S ............. THE PROPRIETOR! INCL EL DISEASE•POLICY LIMIT $ PARTNERS/EXECUTIVE OFFICERS ARE: EXCL`. EL DISEASE-EA.EMPLOYEE $ OTHER DESCRIPTION OF OPERATICNS/LOCATIONSNEHICLES!SPE IAL ITEMS ERT :.:::.:.:::........::::::.:.:..::..... F.................... ....;.......p.....CIE........ ... .. ... TH SHOULD ANY O THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFOREE R.P.G. CONSTRUCTION, INC EXPIRATION DATE THEREOF,THE ISSUING COMPANY WILL ENDEAVOR TO MAIL P.O. BOX 211 1_DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMEO TO THE LEFT, 8 Pat ty S 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 ACORD26 3{treSY ::::.::.:;,::.. ::.:........:.::.:::......:.::...:...::::.:::....:..:.:::..:.._:.....:::.:..:.....::...:.::.: .::. C4AC0ltt3.00RPQRATi A CORD .E t. j/'� ::ti:;:: DATE(MM/OD/` TM ..... . . T ..Rl . . ... SAT :::. . .:.......:.:..::..........:::.... �..:AB�L#TY.::IN�URANCE ....:..�::::::: ...:::: PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATi ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICf RIDER RISK SPECIALISTS HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND ALTER THE COVERAGE AFFORDED BY THE POLICIES BELC. INSURANCE AGENCY, INC. COMPANIES AFFORDING COVERAGE JAMES W.RIDER INSURANCE COMPANY 2 SHORE ROAD BOURNE, MA 02532 A WESTERN HERITAGE INSURANCE CO. SURED — — 'r' COMPANY RPG CONSTRUCTION, INC. B PO BOX 211 COMPANY SAGAMORE BEACH, MA 02562 C COMPANY C;.. :. D RA. G:::::, THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIO 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 TERM EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. CO TYPE OF LTR DATE(MM/DD INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMIT /YY) DATE(MM/DD/YY) GENERAL LIABILITY GENERAL AGGREGATE $1 000 0 X COMMERCIAL GENERAL LIABILITY PRODUCTS-COMP/OP AGG $1, 000 0 CLAIMS MADE ❑X OCCUR PERSONAL a AOV INJURY f A X OWNER'S 3 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) f MED EXP(Any one person) f AUTOMOBILE LIABILITY ANY AUTO COMBINED SINGLE LIMIT S ALL OWNED AUTOS BODILY INJURY SCHEDULED AUTOS E (P person) HIRED AUTOS BODILY INJURY S NON-OWNED AUTOS (Per accident) PROPERTY DAMAGE f GARAGE LIABILITY AUTO ONLY-EA ACCIDENT S ANY AUTO OTHER THAN AUTO ONLY: EACH ACCIDENT E AGGREGATE S EXCESS LIABILITY EACH OCCURRENCE E UMBRELLA FORM AGGREGATE E OTHER THAN UMBRELLA FORM E WORKERS COMPENSATION AND C STATU- OTH EMPLOYERS.LIABILITY ITCRY LIMITS ER f _ THE PROPRIETOR/ INCL EL EACH ACCIDENT PARTNERS/EXECUTIVE EL DISEASE-POLICY LIMIT S__ _ OFFICERS ARE: EXCL EL DISEASE-EA EMPLOYEE S OTHER I DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/SPECIAL ITEMS Q � .H�.. . .. ...........:::.::.:.....................................: .............. :.....:......... .......................................... . 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 ##12 0 0 10 DAYS WRITTEN'OTICE TO THE CERTIFICATE LDER NAMED TO THE LEF COLUMB IA, MD 21044 BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOS O OBLIGATION OR LIABILITi OF ANY KIND�1 PON E COMPANY, ITS E0S OR REPRESENTATIVE. AUTHORIZED tIEPRESEN/4T Awl 06/24/1998 PROOVOER (508)238-0056 FAX (50 -83 6`7 THIS CERTIFICATE IS ISSUED AS A MA7T—E9 OF !orse Insurance Agency Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 285 vlas Ili lig toll St. HOLDER,THIS CERTIFICATE DOES NOT AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW I—— North Easton Village Shopper COMPANIES AFFORDING COVERAGE - Nortli 'taston, MA 02356 COMPANY Assurance Company of Am rica Altn: Daniel Morse Ext: 213 A 945URED P & 14 Construction, Inc. COMPANY 50 Elm Street North Easton, MA 02356 COMPANY a C COMPANY D OVf 77.77 d 77- 7777 THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED N&MEO ABOVE FCR THE POLICY PERIOD INDICATED,NOTWi TIIS TANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMaNT WITH RESPC.CT TO W)IICIi 11,!IS CERTIFICATE NIUNY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED By THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THr 1 ERV.S. EXCLUVONS AND CONDITIONS OF SUCH POLICIES,LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. CO LTR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE `POLICY F.XPiRATION: DATE(WNDONY) DA7E(MM!DCIYY) LIMITS GENERAL LIABILITY GENERAL AGGREGATE- 2,000,00i X commr-ir,(NAL GENERAL LIA31LIl-Y ... .... PRODUCTS-COYP/Or AGC, CLAI-0S MADE X OCCUR 2,000,00( A PERSONAL&ADV INJURY 1,000,00( OVI!,ER'S A CONTRACTORS CBOT :SC 32752702 .03/12/1998 03/12/1999 .1.... .. ... EACH OCCURRPNICE s 1,000,00c ....... FIRE C)ANIAIE(Ary one r,t) 5 50,00C MED EXP(Any o^e pvsoi) f 5 ()OC AUTOMOBILE LIABILITY ANY AUTO COIMEIINED SINGLE LIMIT s ALL OWNFO AUTOS i 0OD;L Y INX.111Y SCHEDULED AUTOS (Per pers'3,,) HVISO AUTOS 0ODILY!NJIJ.r17 NON-OWNED AUTOS (Per A'_;dCrsQ PROZ'ERTY DAMAGE GARAGE LIABILITY AUTO ONLY-EA ACCivCNT ANY AUTO . ........... OTHER THAN AUTO ONLY. EACH A,'CIDEN r:S AGGREGAI E:S EXCFS3 LIABILITY EACHOCCURRENCE I Uf,',aRELLA FORM A' GREGAIS 'LHER THAN UMBRELLA FORM WORKERS COMPENSATION AND wS TATr'----7U I. . .....T PLOYE1S'LIABILIIY lrLmirs ER ... FL EACH ACCiDIZN7 100,00( A TC9 95834108 03/12/1998 03/12/1999 ...... lviE IN ......... ........... PARTNERSIEXECUTIVE EL DISEASE-POLICY LIMIT S 500,00( OFFkCERS ARE: EXCL. EL DISEASE-EA EMPLO','E.F:5 100,00( OTHER L'FS�_A'1`710N OP OPERATIONSfLOCAf;OSSIVEHICLES)SPECIAL ITEMS -7T7. .. 77 .777 R.P.G.- CONSTRUCTION, INC. $HOVLDANY OF THE ABOVE DESCRIBED POLICES OF CANCELLED DEFOSE-IIIE P.O. BOX 211 EXPIRATION OA7F THEREOF,THE ISSUING COMPANY WILL ENDEAVOR 70 MAIL Sabamore Beach, Ma 02562 A -DAYS WRITTEN NOTICE TO THE CERTIFICAI E 11OLt;ER NAMEO TO THE LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO 001.1041ION OR LIABILITY OF ANY KIN PON THE COMPANY,11 S AOSNTS OR R EPRESCNTATIVES. ........ AUTHORIZED OFIESIENTAT111 -7j-e-- Alf el ►R00' .....` ....r...r.!':!+a... y �Y '�.,• .yi;M,+ " t'' OAIE M1Rlt)0! << TNte CLRT7FlCATE 15 ISSUED AS A MATTER or INrURMAT ALMEIDA & CARLSON INS ONLY AND CONFERS NO nlolR9 uroN THE CFFmrjC.t HOLDER. T 119 CERTIFICATE DOES NOT AMEND FXr"D ALTER THE COVERAGE AITORDED BY THE roLICIES BELT 3 4 5 ,'COURT ST BOX 3255 COMPANtES AFTORbINt3 COYERIIQE PLYMOUTH MA 02361 COMPANY MeuntD A�...____ GRANITE STATE INS CO MARK SrLrfivrzzll LILY iJBt1 COurANY --- e MARK SHANAHAN DRYWALL BOX 112 6 caMrANr C PLYMOUTH MA 02362 ---- ---_ COMPANY D nt, ayy{il: t. fl•f .rr. raj1 (� R'.R R 1, .:er.v • 1 •�.•M'Nd• •.IUQq M''RI 14.F.�y : !�!': . .. •f• ;R;gv�.V'v.!'�'re�',��%Ra.1� e.i�' v.t1Y*R► "r,�4R, rs..`�, ��z: �.+ �.. EtP. TTR$19 TO CiRT,FY THAT 711E P U T l►e.:.� ►►?.�i r!!. : ^ ? >� �.e.04' �i'ei.e"`1 o�L:r`�"2X f • yzs?�< 0 C ES OF INSMANCE USTED BELOW HAVE BEEN 1991JED TO 111E INSUTIED NAMED AnovE FOR T)fE POLICY PERIc tNDtCA7"FD• NOTWR1197ANDIN13 ANY REOLMEMENT, TERM OR CONDITION OF ANY CONTRACT OR OT?fER DOCUMENT WITIf RESPECT TO WIIVf TT CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED by THE POLICIES DE6CRIBED HE►IETN 16 SUBJECT TO ALL T'HE TEFU4 EXCLUSIONS AND CONDITIONS OF 9UCIf POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. CO nI,E OF IIlllU"XCE ►OLIT:Y EJTLCfirIt POLICY EXrf ATION r tm ►OUCr IfuaYetyf - oAT!tMMRlom) OAT!IttrMrt+orrYl L1NTTl2 OE}ItJIAI LtAs1TJTY __ OOtiT�tERCW.G6NfRAL LV�BM1ITY OrNMAL A00MEGATE �— =' T: C1ANC►ADE �OCCVR rnOOUCTB•COMFp►Aq0 1 owNEn't Y CONMACT OA,s FRar ►OX30 TAL a AOV NJUnY 1 FJ�Cti OCCVFTIIEIICE � rInE DhMME{Any�rM ftnr) 1 AVTOMOWU T1AIRILtry NCO DtP(tiny ens person) I ANY AUTO C04DNED JtvrLE LMR 1 ALL OWNED AU1,03 GCHKWM AUTOS POOI.Y NJUnY t HIRED AUTM9 HON•ONMEV AUT03 D►OCLY 11"ny t MOrmlY OAWIGE 1 AUTO ONLY-EJ1 nt:CtOENt 1 ANY AUTO OT14 1 TK4N AUTO ONLY: EACH ACCIDENT t K3"TOATP_ t EACH OCCURRENCE UTA1lctEllJV FOAhf A00REGATE OTIMEA THAN L"WML.A fOnM Won"""COMFE ►ATIOM AM WC 3548519 t lmmoTYm•mallm 7 0 8 .4 8 7/0 8 f.9 9 X THE miorn rory OL EACH ACC1DM /y 10 p 011 PAFT ,�arrvE HCL CL DMAM-MUCY LOA �� 5 0 0, 0 oFrCERS cEris ARE t7rLL EL 0tW-Ag9-PA ta4FL MM 100. 0c oTnER tcRtfflOM OF 0►4t1ATYOra110CwT10WWEHtt LESMfICtAL"Two _-- DRYWALL h y 1'"01 O ANY Or TY4W AMOW 17p*Mnse *OUe t• %k.CAMOCtllD Id"Of1E THt R.P.G. Construction, Inc. lXPfkA'MCM DATE TftA[Ot TT. wjkmo em"AMY YAtl.t MEAVOR TO w" P.O. Box 211 I•Q_ 04,T1 wwr ttx aotTeE To TT.CTft, #,yY"Ou"'►1%Amm TO"w 11fl Sagamore Beach, Ma 02562 t snt �No Dw��0*�n rwTw' t�TO w�a t+ErR6lenfrYrt ACQRD CERTIFICATE OF LIABILITY INSURANC'PID TP �p or,Tg(�,1ttJUDrrn - "MAPTN-1 11/20/98-:make,Swajt 6 Crocker Insurance THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION - Agency, Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE ! 14 Lot's Hollow Rd. ,PO Box 429 HOLDER. THIS CERTIFICATE DOES NOT AMEND,EXTEND OR Orlegns MA 02653-0429 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Phone: 508-255-3212 '—" —. INSURERS AFFORDING COVERAGE NsunEo INSURER A: American Econo_mv Ins . Co.-_—_---- ---- IrlsuR[Re: Massachusetts Ba _Insurance - M.A.P.. Insulation Co. , Inc. --' - ---'` - ----- P O Box 1309 IIr:sRERa New Hampshire Insurance Co. - 3agamore Beach MA 02562 r;f—,4S!' URc'RO — ^UVERAGES URERS --- ---- -- - ----._-- -------- I 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 CONDITI POLICIES.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. ONS OF SUCH L7R TYPE OF IFlSURAtlCE POLICY NUMBER S EFFEOTTpE POLTO-Y EXPIRATRSN _- GEf'ERAL LIABILITY DATE r_IMMJDO CATS MIDDr LIMITS A r){�COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE — S 1,0()O,O OO —.- 02CC32693570 01/03/98 01/03/99 FIRS DAMAGE(Anyone Me) s50 000 , i -I CLAIMS MADE IT OCCUR { -- t . MED EXP(Any one person) S 5,OOO I - "I -- ---- - ---�'- I PERSOrNAL a ADV INJURY S"] ,000,000 -- " - - -GENERAL AGGREGATE S —_ -- - I GE11'L AGGREGATE LIMIT APPLIES PER: --- -. r O OO,0OO POLICY PRO. LOC PRODUCTS-COMP/OP AGO S 2 OOO - AUTO AOBILE LIABILITY B ANY AUTO ADN534489601 tOMB:!iEOSINGLELIM:T All OWNED AUTOS '05/01/98 I 05/01/99 (F•aaceideq $ 1000000 �L X SCHEDULEDAUTOS BODILY INJURY (Per person) ) I X HIRED AUTOS X� NON-ONIFtEDAUTOS ( -- `— r (Per P n eeldeq $ I �--• �- ------_- EPROPERrYDAMAGEident) S GARAGE LIABILITY - ANY AUTO AUTO ONLY-EA ACCIDENT S OTHER THAW EA ACC I S i - AUTO ONLY- -'---j"'---•_•••_.-__.__-.. EXCESS LIABILITY AGG OCCUREl EACH OCCURRENCE CLAIMS MADE !— AGGREGATE�— DEDUCTIBLE - I I RETENTION --�--- C IWORKERS COMPENSATION ANO "� S EMPLOYERS'LIABILITY I s X TORY L13T Nl I1 s ER _ WC5886162 1--'— -- ER _ i11/01/98 11/01/99 E.L.EACH ACCIDENT S 100000A ! EL OlSCZE-EAFMPI.OYF' S 100000 —_ OTHER E.L.DISEASE-POLICY LIMIT IS500000 I -)c'SCR:PTICN OF OPERATIONSILOCATIONSIVEHICLESrEXCLUS!OtdS AOOEU BY ENDORSEMENTISPE— PROVISIONS Insulation and gutter installation. ERTIFICATE HOLDER N ADDITIONAL INSURED;INSURER LETTER: CANCELLATION OLDCEN 1 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION R.P.G. CONSTRUCTION,INC. DATE THEREOF,111E ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRIT tEN P.O. BOX 211 NONCE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT.BUT FAILURE TO DO SO SHALL Sagamore Beach,, Ma. 02562 IMPOSE NO OBLIGATION OR LIAB'LITY OF ANY KINCj UPON THE INSURER,ITS AGENTS OR REPRESENTATIVES. j - - ALITHORI2ED -SE IVE WCliv'rEn..:CORD 2s-S(7197) ACORD CORPORATION 1991 SEAA'SM_A ACDRD�, CERTIFICATE OF LIABILITY INSURANCE DATE(MMjOOr ) PRODUCER 0 2/11/9 9 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Dowling° & 0' Nell 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. Hyannis , MA 02601 INSURERS AFFORDING COVERAGE INSURED .. ._ Sean Gout inho D A INS . S .F. /B/ ._ Sean' s Masonry JNSI EAa:Pilgrim Ir Suranc�e Co pa.>y 8 Laurie' s Lane INsuRei; peg-on Insurance Co. of ?1 iladel. Mars tons Mil!G, M _a ........ _.. COVERAGES •I't•IE POLICIFS OF INSURANCh_ LISTED BELOW HAVE SF,EN ISSUED TO THE INSURED NAMED ABOVE- FOR THE POLICY PERIOD INDICATED. NOTWRHSTAN101ING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHFR DOCUMENT WITH RESPECT 'TO WHICH ►'HIS CERTIFICATE MAY BF- ISSUED OR MAY PERTAIN. THE_ INSURANCE AFFORDED BY 7FIE POLICIES OGSCRIBED H!_H[IN IS SUBJhC7 TO ALL TIiG TERMS,EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATF LIMITS SHOWN MAY HAVE SEEN RL"DUCED BY PAID CLAIMS. J. TYPE OF INSURANCE I POLICY NUMBER !POLICY EFFECTIVE IPOUCY EXPIRATION �i „i DATEfMMlpplYytl DATP( D /Y 1 LIMITS _. i I I7=. iCCCRR CNC_A GENERALUA8ILITY 11100124744 04 02 9a104/a2/99 1I ss 53 t0O Q, , aQ QjCOMMERCIALGENERALLIAaILITYIB�S FIRE OAMAGFC�mior.e(re 0'0 0CLAIM$MAO 4 U CJR, VIED 7XP(Any ane PERaC CC' 1 I G . F_RAL AGCI,1EG T $0 a a , 000 _.............. GFNt AV GaEGATZ LIMrrWPLIrS PCa.' I . PRCOUC7S.COMP/:r1 AGGI I POLICY s6 0 0�.,0 0 ;. ! �1't OT j '•LCC i I B 'AUTOMOBILE LIABILITY IPMC71 23355 1 01/21/99 01/21/00 ' ANY AUTO ( COMEIINED SINGLC:.IMIT (Fa acs;e,nt} S ALL OWNED ALTUS �. 1( I BO.^.It-r INJURY. i' scHEeuLt D avros • 1 j ( ) 2 5 0 , 000 I ; rCf pCfSOI'; _ I MIr+EC.WTOS j NON•OWNEC AUTOS GOf;tLY INJURY , ; I (Per nCCICem) s5 0 Q , 000 I i PACPC-ATY DAMAGE (Per;z=eam) 15i 00,, 000 GARAGE LIABILITY I I I !UTQ,-NLY-_A ACCIOI;NT,S _.... ANY:AU O i �.._. I -':iCR THAN .;CA ACC j 3 I ! auTU )NL,. A00 S j EXCESS LIABILITY =ACH u=^LIKFIENLC a OCCUR I CLAIMSMAOrI I ! AATc caUR-_ .. $ —..._.. RFTF.,NTICN � , ' IS C WORKERS COMPENSATION AND WC30285829 05/04/98 05/04/99 ! iT,r+Y.!_Mllsi,.,_�„ EMPLOYERS LIABILITY EI:Crla DEN 1.1100 a a Q 4VI � i - .. ........ C.'_.1`iSEASE•EAC $1 0 a, 000 _ 1 OTHER ! E.L.DISEAg17-POLICY LIMIT;35 0 0 , 000 i DESCRIPTION OFOPERATIONSILOCATIONSIVEHICLESf[XCLUSIONSADDED BYENOORSFMENT/SPECtALPROVISIONS Operations performed by the named inSured as by the terms and cond-itions; of the policies . CERTIFICATE HOLDER ADDmONALINSURED'INSURER LETTER CANCELLATION _ SHOULD ANYOFTHE ABOVE DESCMISED POLICIES BE CANCELLED BEFORETHE EXPIRATION ;C�Jt�e_" S. �,CT�(�e DATE YHEREOF,THE ISSUING INSURER WILLENOCAVORTOMAIL'L0 DAYSWRITTEN. n• P.1 . Cc)fZStructlon Inc . NOTICETO THE CERTIFICATE HOLDER NAMED TO THE Lem BUT FAILURE T000SOSHALL P.O. BC'{ V11 IMPOSE NoOB LIGATION ORLIABILITYOF ANY KIN 0 UPON THE INSUREFUTS AGENTS OR ,tiagamorc Beach, M.A. 02562 REPRESENTATIVES. . AUTHORIZED REPRESENTAIIVE a ACORD 25-S(7/97)'1 of > 15 a 2 3 ` '~-� 0 CORPORATION 1988 i ACORD_ CERTIFICATE C3F L1�61LITY INSURANCE CSR MP DATE(MM/DDIYY) _: .R&MRB-1 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 0 Box 742 COMPANY Forestdale MA 02644 D G,OVERA;6ES 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 DATE(MM/DD/YY) POLICY LTR DATE(MM DD/YY) LIMITS GENERAL LIABILITY GENERAL AGGREGATE $ COMMERCIAL GENERAL LIABILITY PRODUCTS-COMP/OP AGG $ CLAIMS MADE ❑OCCUR PERSONAL&ADV INJURY $ OWNER'S&CONTRACTOR'S PROT EACH OCCURRENCE $ FIRE DAMAGE(Any one fire) $ MED EXP(Any one person) $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ ANY AUTO ALL OWNED AUTOS BODILY INJURY $ SCHEDULED AUTOS (Per person) HIRED AUTOS BODILY INJURY S NON-OWNED AUTOS (Per accident) " PROPERTY DAMAGE S GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $ ANY AUTO OTHER THAN AUTO ONLY: EACH ACCIDENT $ AGGREGATE $ EXCESS LIABILITY EACH OCCURRENCE $ UMBRELLA FORM AGGREGATE $ OTHER THAN UMBRELLA FORM $ WORKERS COMPENSATION AND - WC STATU- ER EMPLOYERS'LIABILITY TORY LIMITS ER EL EACH ACCIDENT $ 100000 A THE PROPRIETOR/ INCL WC4-0290026 12/11/98 12/11/99 EL DISEASE-POLICY LIMIT $ 500000 PARTNERS/EXECUTIVE OFFICERS ARE: EXCL EL DISEASE-EA EMPLOYEE $ 100000 OTHER DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/SPECIAL ITEMS Carpentry ;CERTIFICATE 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 LIABILITY 367 Main Street Hyannis MA 02 601 OF ANY KIND UPON THE CO-MPAPY,ITS A NTS OR PRE TI S. AUTHORIZED REPRESENTATIV . The Insurance g ncy A:CORD 25 S (1l9'5) - `QCORD CORPORATION 198..8 � N MI .7uvutcr_9maSttS—� - �Iugc vemT . A., S CNAL T 6N1nISLE1 f / -- LLI- 24.Z4 INSTIL �� ,G 6w1N t•eS _ _ — fLUR EcLynT roN mgtz jLCAQ FLA&.-S 608.428.6191 -- =---_..- - _ eviin - - _= @ustom _. . tagrignt t�ra s anrrvra ��GN➢OOR� 7:w7.�4Y:400!l.. � I _ .. :.._ ... _: 1NiGCG41l1 —1 t-�l. - ., 1 t ... 1 1 A: .t. ...u..74:1LL7C.'S1.TL %� '1 ' .. ...._- .._. r.r.._ t_.. _5.=:6PIl0 F u Al a rreli,n,nsry at)nl In0 I�yDul{or OG.0.1rr rot In!we OI tnri•(uflotnrtt onlr.wnY of n<t ut!,f tt t{(IIY O.anl Oit ... - -44EE- L.ic ewaF�en a� Y ' � i �1V•. � — —_ - � I4faF C._LL lME'HTROCIC .- . i i v • Q I L •I'TMN LaRIC:;ESS_SOQ:eYa' j I 1 I J ... b:p'T b'.G'! b:pl—. 4:01� b:O.. T—' 6:0'�}.�a �— L,�d. ALL LDES F.D:FDUND 9: I 506-428-6191 Rj I Ji I Pi I - Oi .�'arA.eoNc.'rlu'rD':eo»._nlees as I —r---� C.L.LLw0904to or,,. evlin TWGN.pI[eoa+.� C3ustom (Lesi ns vs-v�r.Nopn c.ovr on90 NOR o I ( I I Al.Rigel. � � G.,111N41,.'CATA1t7Et.LyLaq felerree _ ( P r 'LAD'FL%SN•.S(fWN"/)'ON FOUNDATION �,AN II /w--l.ol - i.a.c _.. i ( _ . ZYfo'M.'FILL' -Rot O X J j4 ne 1:� 9:b" 10"OtOP� �1:♦ 4:rr- 10"DQeP 1:q--- � ~ AZ a 4 F 0. -rub., rrrumm,ry onn,,no I,veetl.ev nepsre mr lnr mr of lne+r cwlemrrl emv.wnv ane.ure a slr+rur o i 12.12 DECK it 5:0 ... ..-- —__ �..—_...—_._......_._ _........._. —..—_ .__.. .... ._ ... .... ..... ....___._ -. tY .aaTa.. I'Sb'bTQApP/N ji (�7� _COOP:%VG r - KITGHCN. DINING 01 d: p t i 11 e' CEDROOM 'faat-TI; Rywp'pp', i. -� S 2K10'.SRA_... O MASTEe SUITE a)' o I I c o z• 1±3 3. Z. i' GREATROOM ♦ ;BEDROOM SECTION A-A Qp^-Lod c� 0' i rs„ I Potcw I M-P.C.YOOXGOttom +1 scAs wA6la It 608.418.6191 b•,p, � 9:2" X:Y` I '1:0` I l:0- -A'A/ML'T d1rNC�x6i j -- - evlin .O IYlTAI_atlas EnGE CBustom CApAGE •r ,N,t/„�SoTeg o esigns CONC.KAb v// ]t0 FASCIA tOPyI1gIM O im C •N I All tlpmf Y PITCH -"--1 t0�AFFIT MIVCxR ttlervtE IIrl t,� _.._—..--0®..M06D•S.OIJ FtiCSE f \/ .I - - -• :SOFFIT(mv-1.0 1 , O I J -'-'---'-----"- zo:o' b's b 3 "qd iW=IKST FrLook PLANv:�-t.o• � � � .. .. 4 4 K heHmin+ry 01+^I+ry fayouts by aC.a.+rt ter the as*PI Vglr cuttomPs ensy.Arsy olner yse n Ornt Xy prombll ' N ' ."::'�57NFR"'SRLIS tE$. 'e1nCrE YENr ASOHALT 6NINS1_ES ' 1�L4_939I.Z6�tC. �i/ � 1o4ruorrarxr3 (�1 � 24.Z4'INS"u(.' I 9at�.�Du,i. J O CHIMNEY J�Tjp ..moiled_ tOtM._. 508.448.6191' _...:_- -- -- .,. .evlin @ustom p esigns - ... .. - - . �____. -- _ _- - .�V.H LE6NibNIR�1ErF---► cogrignt 01999 -'- All Rights ed 24�a4NJ- MITI 7dgN DOCK :9 Al 4U:R?G!2,. _ ..... ..:' . 7,, -'---..... '11 �' .. FRUF R ELE VNT IOU .... j K _ELZtTnTtoN_ V 4 � Preliminary .Ions and layouts.y DC.D.are for the use of tMir cuttdm<rs only.AIY other.se is strictly pr.rll.ite S Sa r Lx 1O¢AFYEKS `a—.__._'_____-.._._.._.._.. q'b ,f 9 z.x ssaemmCi:-- i v J a — _ I r �IS G.TaO.'6NEETROCK I i � f1 i __ L a l•.TMIC L -.Eli_IFaE:b�h" 3 r •' CONC:'FIIA:CD PLIV.'tDL. b:0 . 1F7S.PRDT.(1•TNK� ' � i I P4:61Uf.5 F.P.'FWND a US N � �I 808.428.6191 n - •ri.O'� b`mA.aoNc::slta�n etn.to-T7lecsou QeViin xa•_y��nIK:_ctwc rr�-. . I. I 2.G'.GlApe042DS.ON:. TYVEK-02 C-OWL�--��--`- @ustom copyright O 199 COMPACT-i1Ll. .. .. ....... i I All Rgntt ..W.C..6111NS1E:STACTER.COACa.E teserved LEAD FCA%R- (PAIN-6 am ' i O: FOUNDATION PLAN(W•'-1.0) FI i • I ..Z-rcln M.:aLLLSv1.SEN_ce i O �WAlERTAe.LE Gn.=i,o•�. _. D W 4' 101,atop10'aQOD t4:0 AZ 1:9 W u Preliminary Plant and layouts by OC:D.a,e for the use of their customers only.Any Ptner use It strictly PJbite a' • A It 12 DECK 4 s: 10:A" 2:H 6:0' - _ 12:fe'- W c. S:r: - B:4- [ SD 143NL. !a-x IusuL.w/ ? OKITGH6N DINING (�Jl• d�' � ; t- . I + m; BEDROOM � .Oi I a+a'r�g'Pu'F/oo r MASTEZ SUITEr.- 4.. - ,O " i z� 2• T• zc CREATROOM. It. ! SECTION A-A ba"-I-o) ;9I p:BEDROOM i - 0 On �- esit.. — - I o to i I P.C.b0—TCOCK to '; r . ALL.s"1,. 608.418.6191 1 'AppHALr�ItlrsL E guss ---*"-- n¢TA DRIP egE @UstoM _.-..o..__.�C gesins ARACE •� —_ - - _ AaLpw.guTTFs 8 . ... B .A"MK.CONC.6LA6 W/ ]'II.D'FASCIA Copyright O egg9 - All M R <se1-drved A O I - SOFFIT Crr.•'-1.0•) ~ 7 +r:' 4 a • Irellminary plant and Iayouta by DC.D.are for In....of lnelr customers only.Any otner use Is st+ictly prom Dlt V Assessor's offioe (1st floor): �7 �j••� CFfNETO Assessor's map and lot number .....a�./...�C...�.. .... Board of Health (3rd floor): Sewage Permit number ............... s. ...7/1 UST CONNECT TO TOWN SEWER Z BAHd9fADLE, Engineering Department (3rd floor): 3 O F-�S o rasa House number . °,sue0e39. 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 single family dwelling ............................................................. TYPEOF CONSTRUCTION ...wood.•frame............................................... . ..................................................... ..........19.-ST TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location .... ot... 0.1..............................T.idal. . . ....Lane..................................Hyannis.,...MA......................................... . .. .. . ....... ProposedUse ............................................................................................................................................................................. Zoning District ...... ...... ��--.�..................................Fire District ..........Hyannis.................................................. Name of Owner Cap.ri.corn...Realty..TRust Address ....7.65_ Falmouth Rd, Hyannis.......MA ............ . ....... Name of Builder Franc.o...R.E....Dev...Co...Inc..........Address ...7.65 Falmouth Rd, Hyannis, MA Nameof Architect ..................................................................Address .................................................................................... Numberof Rooms .......Six...................................................Foundation .....P. C. ............................................................... Exterior .Qj4pboard...and/or Shingles.................Roofing ...Asphalt Shingles . . . ........................... Floors ......C.arPet................................................................Interior ......Sheetrock ............................................................................ Heating G?S--.F...Tn7,A.,......................................................Plumbing, .TyVo-COT?lDer ..................................................... Fireplace ........Ye..9...................................................................Approximate Cost ...... .Q.r.000 .,0O Definitive Plan Approved by Planning Board ------ _2_ -.-.--_-___19- �` . Area 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. Xa� 6; 4� 000989 ....... Construction Supervisor's License ............................. No ................. Permit for .................................... ......................................................................... Location ................................................................. ................................................................................ Owner .................................................................. Ty e of Construction ......................... ................. p .................................................................. z Plot ............................ Lot ................................ Permit Granted ........................................19 D6te of'Inspection ................................;...19 Date Completed .......................................19 _ r DEC f al Assessor's offioe Ost`kflobr):— \ Assessor's ma and lot number ...... 7a....../. ..�� �-�� �oF tNE To` P Board,of Health (3rd f.lobr): Sewage Permit number '.... i Basa9TGDLL, Engineering DepartTent (3rd floor): 3 O �J �00 "6 9,a\e� Housenumber ........ ............................................................... ear t APPLICATIONS PROCESSED 8:30 9__:30 A.M. and 1:00-2:00 P.M. only TOWN OF BARN STAB BUILDING INSPECTOR `= APPLICATION FOR PERMIT TO .,,construct a single family dwelling TYPE OF CONSTRUCTION ...wood. frame ......................... .................................................... A. ,.-------..19..�.-8 TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location Lot 101.............................Tidal Lane..................................Hyannis,...M ......................................... ...................... ............. ProposedUse ............................................................................................................................................................................. Zoning District ........Fire District Hyannis Name of Owner Capricorn Realty TRust Address .. 7.65 Falmouth Rd, Hyannis, MA Name of Builder Franco.. R.E. Dev.Co.Inc. ,...Address ...765 Falmouth Rd, Hyannis, MA Nameof Architect ........................................................ .........Address .................................................................................... Number of Rooms .......SiX...................................................Foundation .....P.C.................................. ... . . ............................... Exterior .Clapboard and/or Shingles Roofing ,.,Asphalt Shingles Floors Carpet Interior Sheetrock Heating ..Gas-F-W..A. ---....:.........:.....:::..::....—::.:Plu•mbing--.T, . !?pper... :....:....:......... - Fireplace .......!'. .......................................................... Approximate Cost ......$50, 000. 00 Definitive Plan Approved by Planning Board -------P� �............19_ Area ....1078...Aq,,:.,,ft........ Diagram of Lot and Building with Dimensions Fee SUBJECT TO APPROVAL OF BOARD OF HEALTH , k_/ OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS _ I I hereby agree to conform to all the Rules and Regulations of th Town of Barnstable regarding the above construction. ..... y 000989 Construction Supervisor's License No ................. Permit for .................................... .......................................................................... Location ................................................................ ............................................................................... Owner .................................................................. Type of Construction .......................................... ............................................................................... Plot ............................ Lot .........:...................... Permit Granted ........................................19 Date of Inspection ....................................19 Date Completed ......................................19 Po�1Df.,.. �ti • ' e .f EQUAQvE'r' _ �� '3� LAVE /'� ' 9 .00 P � 3 s q� � � 9y ♦ i 9 _j a � . 0 i z8 Rom► / 01° L.00ATI O&I NEAP s cA z V 15 800p Q� 0 / � 1000, LOT 100 0' Of 3lp 01? L _ . .. L � 00 0. � f ' L 9, 927 , S.F , O T 1 0' ?_ 0_ -' w , 82.65A0�W 00 i .00 (� �I The NC Group-Cape Cod Inc ' - y 3 PF� I I 3236 Main Street BENCH MARK USED: / A,G ��P °F Mgs�q� Route GA ., / ' S'rR' r! ' �� RENWICK yc Barnstable Village MA 11OC ELEV. 75 .68 N.G .V .D. 02630 ZONE RC-1 i I ` - 3 CHAPB.nnAN SETBACKS: (OPEN ,SPACE) . - ���No. 2765 617 362 8133 Ssi G r FRONT 20 ' G, I ' oNA� E� SIDE 7 .5 REAR 7 . 5 ' G ztw� PROPOSED SEWER h `CONNECTION ,jtj OF R4..rs9�y FOR SEWER MAIN DETAIL SEE PLANS BY KALKUNTE ENGINEERING CORP. LOT IO l _ g c. s 1749 CENTRAL STREET STOUG,ITON MA. 02072 FRANK �n IN U WHITING H No. 29869 BARNSTABLE MASS . GIMT�f k�� 4�0 .�w o. (Hyannis) FOR= CONSTRUCTION NOTES t. ALL UNDERGROUND UTILITIES SHOWN WErif; COMPILED ACCORDING TO AVAILABLE CAPRICORN REALTY TRUST RECORb PLANS F401M THE VARI6138 -UYIL tY ddMOANIES AND PUBLIC AGENCIES AND APt ..AOPROXIMATE ONLY, ACTUAL-- LOCATIONS MUST BE DETERMINED IN THE , � FIELD. THE CONTRACTOR MUST NOTIFY U� ILITY COMPANIES 72 HOURS IN ADVANCE SCALE: i" = 20 OF CONSTRUCTION. THIS 'MAYBE DONE BY CONTACTING THE 010 SAFE CENTER METERS ( 1 - $00 - 322 - 4844) p FEET 0 =0 so 3o qo 50 2. ALL WORK AND MATERIALS SHALL. CONFORM TO THE TOWN OF BARNSTABLE DATE: DUNE 13, 19881 DEPT. OF PUBLIC WORKS CONSTRUCTION SPECIFICATIONS AND STANDARDS . 3. PRIOR TO START OF CONSTRUCTION THE CONTRACTOR MUST OBTAIN FROM THE COMP./DESIGN= TOWN OF BARNSTABLE A SEWER TIE - IN PERMIT AND A ROAD OPENING PERMIT. CHECK, C. F. W. .IR.B•,�. DRAWN= T. A.W. L. H FIELD REU / J V 13 FILE NCI'= DWO. NO= 1315-101 JOB NO= 3-3035,20 SHEET, I OF' - - -- — Ile— I REVISIONS: NO. DATE Oc� APPROVAL UNDER THE SUBDIVISION. CONTROL ° •``>r�«u.t . .., t . .-_.-......-- "._ ... LAW REOUIRED. "-------- I_.C.C. 32849 Q ye a A1,Est.4m DO iC AI Al r DATE �1 BARNSTABLE PLANNI G BOARD ,,,,, rl�ELM NSF F Mq x '! -:I F• 9/2S2 L EN 0 q I ^ .� REFERENCES: JJAW4, t�, 3 0) I rz. I r71 ,..._J !l :.yam.\:.. 1 `»"// .. r•r::.•7 a .',.. h 7 273.02-SF c� "? 7,.. � �8 SF w ni , 1 �. l THIS PLAN HAS BEEN REPARED IN CONFORMITY Appro�l e[tb�Plan nr wl�rrl�I►M! w" � F T T � �.•� I � WITH THE RULES AND REGULATION_ 0 HE REGISTERS plia�r wjll� �1�satiR i�� N �.. ✓, Un 8,178d 58 SF - F T w � 0 DEEDS OF THE COMMONWEALTH OF MASSACHUSE TS. PROJECT TITLE: w p /, �, / , cR �y7r w�/ /� s�" `,�`w V^ L-392 bl ✓ lJ� ti cm �,, L-25324 �'' cR w Q� ✓cp DATE, PROFESSIONAL LAND SURV YOR C a g _ - p F� �, ,26� E 7,783.37-SF ,w � • t9` 2 DEFINITIVE SUBDIVISION 6,8214.0r-SFO S ' .- n �� ��` a �� , OE ,� � �p�. PLAN OF LAND It FRANCIS LAHTEINE, CLERK OF THE TOWN OF BARNSTABLE HEREBY CERTIFY THAT THE NOTICE OF APPROVAL OF THIS \�P� 5� " '<� ` - PLAN BY THE PLANNING BOARD HAS BEEN RECEIVED AND \ �,. Q� !S .�' IN RECORDED AT THIS OFFICE AND NO NOTICEOF APPEAL WAS V, 1• O - =--- _ I, RECEIVED DURING- THE TWENTY. DAYS NEXT AFTER SUCH .,� ,,�r; 1t-, • ..,. ,.... BARNSTABLE, MASS. M.. . NE RECEIPT AND RECORDING OF SAID NOTIC \ �, ,�p ' , ,,\O 4`� • OIL R 0 / - 0, 'I �� \• v1 "'`� R AWN= ( HYANNIS ) \ , ; > �•��' 9.a , .. .,, ', . WN6,533.19 SF , 25•23DATE TOWN CLERK -30.00 OPEN co PACE \ ' '✓' ST K S PREPARED FOR: FOR NOTES SEE SHEET I OF 6 I .♦ �, - ' & . I , 60 601.93 SF � � T .°•,�- ?,,c FIyO TN, ► - -. M�8/ `�`'`� �5E CAPRICORN REA''--�Y 5. r 9 F .. ,,.,.T 64„3 8,093.4.. 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A0 SHEET '/,.� ..�/ '• Zg cr .-- — h' ._y _ 3, �•? —. —-- ---- ' --�v, cr— a— - - - - s- �/T 4 %"icto _ 9.926.45-SF /0 511.57-SF �? C O B B L E S T O N9.790.46-SF LANDING - - - , . I oo �� <: .:, 9,914.62-SF \ 3' / CB & STN. SCALE: I" = 40' � 99, a M - a e •_ ^� A . 3`4�^r^ FND. Ns'S5'26M g5 C10,9,- :a,: - 270 I�. 0 0 20 30 40 60 �0FEET OPEN I - `------ DATE: MAY 19 S 6 Ng9' gp%c•- •_•_ �'' t �. `k>,, - 55 26' COMP./DESIGN: R.L H. & P.f R. 90'7 - CHECK: C.F.W. & P.R.R. 40 �� DRAWN T. McD• 4? - -- ------ ----- ---- -------- _ 2 FIELD: J.V.B. & R.E.G. ?`------- --- ----- - FILE NO: / ___ _ DWG. NO:1098-2 =rT SEE SHEET 3 l ✓ ` - _ SEE SHEET 3 SEE SHEET. 4 ` - _- � --___ I S i . . '�� -'--`----_ _.. _ ' "`-� JOB NO: 3-1348.06 ? '�'= 6 c