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0309 BAY LANE
��rch��u� ) �Gl�a��e��S��i n �I�����—�Z�� ��novin�rl�v�ev� �- �e�.fir i��n—ifi�Id�e _ Town of_Barnstable Building t Post This:Card So That it is Visible From the Street-Approved Plans Must be Retained on Job and thi's Card Must be Kept RAM rawsq Posted<Until Final:Inspection Has Been,Made. . Permit � ; 1659. 1'&' j Wherea Certificate of Occupancy is Required,such Building shall Not be Occupied until a`Final Inspection has been"made. Permit No. B-18-3999 Applicant Name: DOBRO,JEFFREY&CANDACE Approvals Date Issued: 01/04/2019 Current Use: Structure Permit Type: Building-Shed-Residential-200 sf and under Expiration Date: 07/04/2019 Foundation: p� Location: 309 A BAY LANE,CENTERVILLE Ma /Lot 186 014 Zoning District: RD-1 Sheathing: Owner on Record: DOBRO,JEFFREY&CANDACE Contractor Name: _. Framing: 1 Address: 18 SOUTHVIEW DRIVE Contractor License 2 BOONTON TOWNSHIP., NJ 07005 R Est. Project Cost: $0.00 Chimney : Description: 10x12 shed _ Permit Fee: $35,00 J Insulation: Fee Paid' $35.00 Project Review Req: Located as shown on submitted plot plan, 41 Date 1/4/2019 Final: Plumbing/Gas Rough Plumbing: Building Official Final Plumbing: This permit shall be deemed.abandoned and invalid unless the work authorized.by this permit is commenced within six,months after issuance. Rough Gas: All work authorized by this permit shall conform to the approved application and the`approved construction documents for which this permit has been granted. All construction,alterations and changes of use,of any building and structures`shall be in compliance with the local zoning by-laws and codes. Final Gas: This permit shall be displayed in a location clearly visible from access street or road and shall be maintained open for,public inspection for the entire duration of the work until the completion of the same. a Electrical The Certificate of Occupancy will not be issued until all applicable signatures,by the Building and Fire Officials are provided on this'permit. Service: Minimum of Five Call Inspections Required for All Construction Work R 1.Foundation or Footing f Rough: 2.Sheathing Inspection 3.All Fireplaces must be inspected at the throat level before firest flue lining is installed Final: 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection 5.Prior to Covering Structural Members(Frame Inspection) Low Voltage Rough: 6.Insulation 7.Final Inspection before Occupancy Low Voltage Final Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Health Work shall not proceed until the Inspector has approved the various stages of construction. Final: "Persons contracting with unregistered contractors do not have access to the guaranty fund" (as set forth in MGL c.142A). Fire Department Building plans are to be available on site Final: All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT Town of Barnstable pFTHETo�y Building Department Services Brian Florence,CBO EARNSCASL]E, Building Commissioner MASS. a 1639. 10�' 200 Main Street, Hyannis,MA 02601 �iDlFn M www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 PERMIT# I _ "� FEE: g1111DI G DEp- SHED REGISTRATION RESIDENTIAL ONLY JAN 04 201 200 square feet or less 9 TOWN 0F SARAJ.�,ceFABLE 361 bk-1 LWC CE-r2y(uz Location of shed (address) Village TEFc-ae-/ +- NbAa Vie" 6 ti :i 5-o - 3ooz Property owner's name Telephone number l®` %, 12 Size of Shed Map/Parcel# r E-Mail �('nr1.IMQ/1 �7A(�t (S.(I�11 U24 5 ((Z Date _ Hyannis Main Street waterfront Historic District? Old King's Highway Historic District Commission jurisdiction? You must file with Old King's Highway Conservation Commission(signature is required) Sign off hours for Conservation 8:00-9:30& 3:30-4:30 PLEASE NOTE: IF YOU ARE WITHIN THE JURISDICTION OF ANY OF THE ABOVE COMMISSIONS,THERE MAY BE A REVIEW PROCESS AND APPLICATION FEE. PLEASE SEE THE APPROPRIATE COMMISSION FOR DETAILS. THIS FORM MUST BE ACCOMPANIED BY A PLOT PLAID Q-fonw-shedreg REV:08i6/17 IIL ^ s �— SHE T Town of Barnstable �. " Conservation Commission MRNSz"LE, = AADNH MSTRATMVE REVIEW FORM 9� i639. ,�� ADM18- ArF Fee $25:00 ,0 Fee Paid Address/location of proposedproject: L �� by LA�6 Village: CEN(C�2-Vt UE Map: Parcel• Applicant: � r r (pNL C,C �OP address: ell: Email: Fax: tor/Agent: 1V�/'yC or=7 ADl�l fi�1 �y �JS;rbm Ryo LI�Li [W_: (12. t✓.RALwcxu---I � i✓•� 1 6��Phone/cell: JU$ - '���2) (►tiC9 d,I/Y,©A1 CA +�1)U t jCi��r�S C0(Y1 — AssociatedFile#.description: Attach additional sheet if necessary,along with photos and a site plan if available(include distance from resource). 1.- Will the proposed work take lace within any of the following resource areas? (If`yes,"please check the following resource areas). ❑ Town coastal bank; ❑ State coastal_bank; ❑ 100-year flood plain(land subject to coastal storm flowage); ❑ Salt marsh; ❑Beach, ❑Dune; ❑Vegetated wetland; ❑Lake; ❑Pond; ❑ Stream; ❑ Intermittent stream; ❑Estuary; ❑ Ocean; ❑ Land under said waters. 2. Will the proposed work take place within 50-feet of any of the above resource areas? 3. Is excavation by machinery required? 4. Is foundation work proposed? , CL 5. Is removal of vegetation proposed? ELUnderstory ❑Groundcover ❑shrubs 6: .Is regrading proposed,either the addition or removal of soil? 7. Is tree removal proposed? If so,why? ❑Water view ❑Aesthetics ❑ Safety issue Are trees: ❑living ❑ dea dying(please supply photos) 8. Is planting proposed? / 1 If so lease supply a plan which includes species. P gP P �P PPY P P 9. Is removal of poison ivy proposed,or other invasive 'species removal/control proposed? If"Yes,"please explain on additional sheet. 10. Is the use of herbicides proposed? Applicant signature: X Date: f T Reviewed by: Date: 17 Q\regulations\admin policies procedures\adminreviewform 7/1/2017 f Barnstable Town o Building tMusTmWt-9 reVisibeFrom5re t MRamew rorvo M" ra � stedUin Ka:e.'pt •. �n ° W.here .a Re .,Ce rtificte of Occupan Cy, c shall`N hB.uildmg ot be Occupied until a`F ni alanspect on Fias beenmade a �� 1�. ....,.:r.,.wa,.: :.Cy Permit NO. B-17-1087 Applicant Name: Mark S Piesco Approvals Date Issued: 04/18/2017 Current Use: Structure Permit Type: Building-Smoke Detector-Fire Alarm Dection Expiration Date: 10/18/2017 Foundation: System Map/Lot: 186-014 Zoning District: RD-1 Sheathing:. Location: 309 BAY LANE,CENTERVILLE ` Contractor Name Mark S Piesco Framing: .1 Owner on Record: DOBRO,JEFFREY&CANDACE u,x' Contractor Lice n �se 27966 2• Address: 18 SOUTHVIEW DRIVE — - •• ' a . r Est Proj ct Cost: $0.00 Chimney: BOONTON TOWNSHIP, NJ 07005 z Permit Fee: $35.00 Description: voluntary smoke upgrade 45' Insulation: n _Fee Paid: $35.00 Project Revi Req: voluntary smoke upgrade ; Date 4/18/2017 Final: ok /[? RX/l � }a � Plumbing/Gas Rough Plumbing: ate,Building Official Final Plumbing: ` This permit shall be deemed abandoned and invalid unless the work authorized by this permit is commenced within 'ix- nths after issuance. All work authorized by this permit shall conform to the approved application"and therapproved 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. ti < s Final Gas: . This permit shall be displayed in a location clearly visible from access street o'r_road and shall be maintained open forpublic inspection for the entire duration of the 7 work until the completion of the same. = ---w� Electrical The Certificate of Occupancy will not be issued until all applicable signatures by the Building and Fire Officals are provided on this permit. Minimum of Five Call Inspections Required for All Construction Work: �` ' Service:. 1.Foundation or Footing Rough: 2.Sheathing Inspection 3a All Fireplaces must be inspected at the throat level before firest flue lining is installed Final: 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection 5.Prior to Covering Structural Members(Frame Inspection) Low Voltage Rough: F Insulation 7.Final Inspection before Occupancy Low Voltage Final' Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Health Work shall not proceed until the Inspector has approved the various stages of construction., -- Final: "Persons contracting with unregistered contractors.do..not have access to the guaranty fund" (as set forth;in MGL c.142A). Fire Department fr Building plans are to be available on site Final: All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel Application # I o� Health Division Date Issued `f i8'-1`7 Conservation Division Application Fee Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation / Hyannis X Project Street Address ?2 f�A �' 4AA&E_ Village t i2i(-+e1'(j1) _ �C Owner I�L 4-626ACe, 1)0jjrQ Address Lq? Sav l �i`�w 2 Telephone ra 12 - D 5-0 - O x Permit Request ` Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation Construction Type Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family (# units) Age of Existing Structure Historic House: ❑Yes ❑ No On Old King's Highway: ❑Yes ❑ No Basement Type: ❑ Full ❑ Crawl ❑Walkout ❑ Other Basement Finished Area (sq.ft.) Basement Unfinished Area (sq.ft) Number of Baths: Full: existing new Half: existing new Number of Bedrooms: . existing —new Total Room Count (not including baths): existing new First Floor Room Count Heat Type and Fuel: ❑ Gas ❑ Oil ❑ Electric ❑ Other Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing wood/c�Q^oal stove: ❑Yes ❑ No Detached garage: ❑ existing ❑ new size Pool: ❑ existing ❑ new size _ Barn: ❑ existiv ❑ nlw size_ Attached garage: ❑ existing ❑ new size _Shed: ❑existing ❑ new size - Other: :4�; 'r Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ 177 Commercial ❑Yes ❑ No If yes, site plan review# _ Current Use Proposed Use __A_PPLICANT,INFORMATION (BUILDER OR HOMEOWNER) �ame M Gc rL S. pie_sro �Telephone Number ? xAddress � S�1.0 _ ��in� License # 7 yL Vru G 2.�3 37 Home Improvement Contractor# Email /J%Secu�% M S � Co rker's Compensation # WEav663A ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO x XSIGNATURE DATE �f FOR OFFICIAL USE ONLY APPLICATION # DATE ISSUED MAP/ PARCEL NO. ADDRESS VILLAGE OWNER DATE OF INSPECTION: FOUNDATION FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. -18-2017 07:31 FROM:CATALDO BUILDERS 5085471155 TO:15087906230 P.1/1 Town of Barnstable' RegWistory Swvlea spa V.&am Dhidor. BuDdling Dividon ' PM$ms,am c ZOO Mdn Saeey�tf�,DMA 0?b01 . COM 508-86 AMA Feot: 50�-790�230 Property•owacs must Cotnpkte and Sign This.Section UNaLng A ,ilri r w Ors of the s*ca pwpaty hzoeby aotlsotsae � A Y 4Q an my bcW in all m vcA mdwaza by tl*bu&VcW permit appEwdm fog oQ BAY Uwe C;0rtsr�us (Addnm of job) *"t°Pool f=ces and alarms are the responrs'ba�ity of the app]iCant Poole aoe wt to be filled or ufflizod bcf=.ficoce is angMlled gad aIl final inspeLdm are pecosmed afld aOCept�ed. of OWmCt ofApp�c�nt Font Nano Pnaat Name• D� w 27xe Commorrivealth of—Vassadrrrsetts Deptartiwent vfrhArstrial Acciderds f3, ce o Inve-stigations 600 Washington Street Boston,AM 02111 mYn-j.rnasmgrav/dia Worlmrs' Campensafron Insurance davit:Bt ildex-slContractursJEiecfricians(Pivmbers ApplicantInfmrmatim Please Print f egib Name(SnsmesstOrganizatirinal �l esC� �o( �i�/�{ ��q�� e Address ) Y lAAe- City/Statef AA oa3 Phone Are you an employer?Checkthe propriate box: Type of project(required): 112'I am a employer with '4- 4 ❑I am a general contractor and I 6- [-]New constnmtim employees(full andfor part-time).* ha a hired the sub-contractors 2.❑ I am a sole proprietor orpartner- fisted on the attached sheet. 7- [remodeling These sub-contractors have slop and have no employees. S.•❑Demolition wolfing forme in any capacity: employees andbma workers' jldo w?rka-M, camp.insurance cop-msuran 1 9. ❑Buildmg,additioa required-] 5. ❑ We are a corporation and its 10_❑Electrical repaim or additions afters have exercised their 3.El am.a homeowner lining alt:vcor3e 11_Q Plumbing repairs or additions myself-[No workers'camp- right of exemption Per MGL 12.❑Roofrepairs innzanre reed-]i c.152,§l(4j andwe have.no employees-[No workers' 13_❑Other comp_int+wance,required_] *Any appBunt d6at cbeclabox 91 most dw filloutthe section bekwshmaing fhea wodcers'compensatinupercg infoemauam #Homeowuers who ssbmit this of kknif mffcz;mg they are doing O war ald du n hhm outside coutnnctoes nest suhnnit a new affidavit indicating snc i ZC—an=ctor;dut eheck this boat must attached an additiansl sheet shmcsng the mine of the sub-camtwAos and state whether.or not those entities ham eoop1mjees.Ifthe sob-tanrtactumIiave emptayees,they ustprovide their workers'-c=p.policy number- lain an elrtplopr tliat is pmfding it arkes'congwtsatiaii fnmirance for my entpZ4,ees Below is 910paliry and job site informatiom /� Insurance Company Fame: /V otc -T— A d4 Policy,4V,or Self-iris.Uc--&1, W iC Expir onDate: Job Site dress� I Ohl?l 1449VF, City/State/4: j5gM4��Q M/}- Aftach a copy of the workers'compensationpolicy deriaaation page(showing the policy number and expiration date). Failure to secure coverage as.required.under Section 25A of MGL c 152 can lead to the imposition of rximinal penalties of a tine up to$1,50a OD andfor one-year imprisonment,as well as civil penalhes.in the foci of a STUP WORK ORDERand a f-me of up to$250-00 a day against the-violator. Be adidsed that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification_ I da hereby ce�f},Tauder the and petiaTi<;es ofperjuiy tTiattJre incfornza mi ptm d abaw�i�true acid correct ,�lET3atllre: Date:, �//k/Z2 Phone iF Qokiaf use only. �Do riot excite its thh area,to be completesd by dtyy artoira gfficiat City or Town: Permiff kense 4 Issuing Author*(drde one): 1.Board of Health 2.Building Department 3.QgYrown Clerk d.Electrical inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: Laformation and Instructions ' t Massachusetts Ge�aeaal Laws chapter 152 regoaes all employers to provide WOIk='compensation for their'eempIoyees. p to this staftifr,an mg7L*ge is defined as."-.evmyPersonm the service of another Tinder any contract ofbier, express or implied,oral or written." An employer is defined as"an individual,partnership,association,corporation or Other legal entity,or any two or more of the foregoing engaged is a Joint entm? se,andinclnding the legal representatives of a deceased employer,or the receiver or trastee of an individual,partnership,association or other legal entity,employing employees. However the owner of a dweIlmg house having not more than three apartments and who resides therein,as the occupant of the - dwPT�house of another who employs persons to do maidaace,construclian or repair work on such dwelling house or on.the grounds or building appurtenant thereto shall not because of such employmrmt be deemed to be an employer." MGL chapter 152,§25CP also states that"every.sfate or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance.coverage required." Additionally,MCrL chapter 152, §25C(7)states"Neither the commaawral h.nor any of its political subdivisions shall enter mto any contract for tine performance ofpubho wont until acceptable evidence of campliancewith the insurance. re E,;,-rrn ems of this chapter have lgeen presented to the contracting Mlib:ority." Applicants Please fill oifi the workers'compensation affidavit completely,by che6kiag the boxes that apply to Your sitnation and,if necessary,supply sub--contractor(s)name(s), address(es)and phone munber(s) along with their certificates) of insura„ce. Limited Liability Companies(LLC)or Lhaited Liability Partamsbips(LLP)withno employee$other than the members or P artaers,are not required to carry workers'compensation insurance. If an LLC or LLP does have . employees, a policy is regorted. Be advised thaf this affidaytf maybe submitt>•;d to the Department of Industrial. d Accidents for confirmation of insurance coverage. Also be sure to sign and date-the affidavit. The affidavit shout bo retn ae-d to the city or town that the application for tine permit or license is being requested,not the Department of Ladastripl Accidents. Should you have any questions regarding the law or if you are regui ed to obtain a workers' compensation policy,please call the Department at tine number listed below Self-ihnsured companies should enxr their s elf-;r,sa ce license number an the appropriate ae:. City ar Town Officials Please be sure that the affidavit is complete and priated legibly. The Department has provided a Space at the bottom of the affidavit for you to fill out in the event the office of Investigations has to cordact you regarding the,applicant Please be slue to fill in the permit/]Icealse number which will be used as a reference mnnbes. Ia.addition,an applicant that must submit multiplepezmitUcens5 applinations in any given.ytar,need only submit one affidavit indicating current policy inf brmation(if necessary)and under"lob Site Q_d re:se the applicant should write"all locations in (city or town)"A copy of flat--affidavit:that has been officially stamped or marked by the city or town may be:provided to the - applicant as proof that a valid affidavit is on file for fathne permits or licenses_ A new affidavitmust be filled out each year,"Wh=a home owner or citizen is obtaining a license.or permit not related to any business or mmm-m cial venue (i.e_ a dog license or permit to bum leaves etc.)said person is NOT repaired to complete this affidavit The Office of Invesggations would lhke to thank you in advance for your cooperation and should you have any ques-llons, please do not hesitate to give us a caIL The Department's address,ttlephone and fax number: The Co•>�nqZeattir of Massachils� ' . _- ]�epar(m�nt cif lndal Accz�ents �. , Office of jvesdga LO.= F Bastou.,MA( 111 T(,-L 4 617 -4900=t 4-06.or 1477 MAS AFE Fax 9 f 17-727 7749 Kevised4-24-D7 p .MaSF" Wdia � lip Commonwealth of Massachusetts Sheet fetal Permit Date: `l, Permit Estimated Job Cost: $ �0 t o Permit Fee: $ do Plans Submitted: YES NO JAN 18 2017 Plans Reviewed: YES NO s Business License# G' TMAIN 0 ARRppIicant License# 4 03(� Business Information: Property Owner/Job Location Information: t � Name: ; i1 SV L�.A,1 m ' C Name:ldyb Street: � ��� .� P0. Street: -z) City/Town: S ftg k&, City/Town: Telephone: 9134 Telephoner 98- 54 1133 Photo I.D. required/Copy of Photo I.D. attached: VIES ✓ NO Staff Initial J-1/ -- -unrestricted license J-2/M-2-restricted to dwellings 3-stories or less and commercial up to 10,000 sq. ft. /2-stories or less Residential: 1-2 family Multifamily Condo/T'ownhouses Other Commercial: Office Retail Industrial Educational Institutional Other -y Square Footage: under 10,000 sq. ft. over 10,000 sq. ft. plumber of Storie6: Sheet metal work to be completed: New Work: Renovation: :4? HVAC tZ Metal Watershed Roofing Kitchen Exhaust System 0-. rn Metal Chimney/Vents Air Balancing Provide detailed description of work to be done: 4VAP . INSURANCE COVERAGE: I have a current liability insurance policy or its equivalent which meets the requirements of M.G.L.Ch.112 Yes u No❑ If you have checked Yes,indicate t type of coverage by checking the appropriate box below: A liability Insurance policy other type of indemnity 0 Bond ❑ OWNER'S INSURANCE WAIVER:I am aware that the licensee does not have the insurance coverage required by Chapter 112 of the Massachusetts General Laws,and that my signature on this permit application waives this requirement. Check One Only Owner ❑ Agent ❑ Signature of Owner or Owner's Agent By checking this boxihereby certify that all of the details and information I have submitted(or entered)regarding this application are true and accurate to the best of my knowledge and that all sheet metalwork and installatidns performed under the permit issued for this application will be in compliance with all pertinent provision of the Massachusetts Building Code and Chapter 112 of the General Laws. Duct inspection required prior to insulation installation:YES NO Froeress Insuections Date Comments t it Final Inspection Date Continents Typ of License: By [17 Master Title ❑Master-Restricted City/Town ❑Joumeyperson Signature of Licensee Permit# ❑Joumeyperson-Restricted 4�O C License Number: Fee$ ❑ Check at www.mass.ggvldpl Inspector Signature of Permit Approval i r JilUSET? ®RIVER'S LICENSE 4.ISS 9a ENB 4d NUMBER r �0y9=1t�1x^7_�DD1C�tt3 NONE �6�1.8 {6�yy27���1 fig® :. •� _ ir� ht•-a''GL.SS i2 REST 1S SEX M iS HGT 5.00 .. `r D B z JASOPI D, 03.02-1905 L J 8 1 ANCHOR DR FORESTDALE,MA 02644-1800 5 OB 09.13-2013 Rev 07.15-2009 i a;';,COMMONWEALTH OF MAS.SACHUSETTS:::' a>;" B RQ:-G. SHEET METAL WORKERS:;::?>:"' ISSUES.,THE FOLLOWING LICENSE AS A BUSINESS €.< ` 42 'z JASON D DEFOREST' -SOUTH;,S.HQRE HEATING COOLING INC ' 57 WHITE PATH :RMOUTH, MA 02664''' i; 226 02104120i1$. >"`<'i< 14437 ":::COMMONWEALTH OF MAS.SACHUSETTS::'< :' B;OARV aE SHEET META'L:'WORKER.S<';:` ''>" < ISSUES ING LICENSE ASTER-UNRE -. STRLGTED JAS,ON D DEFOREST>:>> >::<> taz s> :OUTH SHO.RE;:;HYG AND CLG 57 WHITE'5e>PA:TH :. ;Z S YARMOUTH, MA 026,6.-234 "O 1� -4030151085 ......... ... rr ` AC"RH CERTIFICATE OF LIABILITY INSURANCE FD /28�2016 ) THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT,BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER - CONTACT NAME: Denise D0L@O ' Eagle Insurance Group, LLC (PA N (508)659-5250 AIC No:(866)676-9319 Ten Commerce Way E-MAIL ADDRESS: leinsurance rou net ADDRESS: g g P Suite 3 INSURERS AFFORDING COVERAGE NAIC# Raynham MA 02767 INSURERA:HDI Global Insurance Com an INSURED INSURERB:The North River Insurance Company South Shore Heating & Cooling, Inc. INSURERC: /MacFarlane Energy, Inc. INSURERD: 95 Bridge Street INSURERS: Dedham MA 02026 INSURERF: COVERAGES CERTIFICATE NUMBER:SSH&C-16/17-A,GL,WC,XS REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED,BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE ADDL SUBR POLICY EFF POLICY EXP LTR POLICY NUMBER MM/DDfrM MM/DD LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 2,000,000 A CLAIMS-MADE X❑OCCUR DAMAGE TO RENTED 100,000 PREMISES Ea occurrence $ EGGCD000093016 7/11/2016 7/1/2017 MED EXP(Any one person) $ 0 PERSONAL&ADVINJURY $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 X PRO- POLICY JECT. LOC PRODUCTS-COMP/OP AGG $ 2,000,000 OTHER: Employee Benefits $ 2,000,000 AUTOMOBILE LIABILITY **MCS90 included** COMBINED SINGLE LIMIT $ 2 000,000 Ea accident A X ANY AUTO BODILY INJURY(Per person) $ AUTOS SCHEDULED MAGm000093016 7/1/2016 7/l/2017 BODILY INJURY Per accident $ AUTOS AUTOS ( ) X HIRED AUTOS X NON-OWNED **MM9955 Broad Form PROPERTY DAMAGE $ AUTOS Per accident Pollution included** Medical payments $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ 9,000,000 B x EXCESS LIAB CLAIMS-MADE AGGREGATE $ 9,000,000 DED I X I RETENTION$ 0 reno£581-1056307 7/1/2016 7/l/2017 1 $ WORKERS COMPENSATION X SPER OTH- AND EMPLOYERS'LIABILITY Y/N TATUTE ER ANY PROPRIETOR/PARTNER/EXECUTIVE -OFFICER/MEMBER EXCLUDED? NIA E.L.EACH ACCIDENT $ 1,000,000 A (Mandatory in NH) EWGCD000093015 7/l/2016 7/l/2017 E.L.DISEASE-EA EMPLOYE $ 1,000 000 If yes,describe under DESCRIPTION OF OPERATIONS below I E.L.DISEASE-POLICY LIMIT $ 1,000,000 DESCRIPTION OF OPERATIONS!LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) Note that Kung-Po Tang is covered as an insured on the above-captioned policies in his capacity as an electrician employed solely by South Shore Heating & Cooling. Insurance coverage is limited to the terms, conditions, exclusions, other limitations and endorsements. Nothing contained in the certificate of insurance shall be deemed to have altered, waived, or extended the coverage provided by the policy provisions. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Town of Barnstable THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 200 Main Street ACCORDANCE WITH THE POLICY PROVISIONS. Hyannis, MA 02601 AUTHORIZED REPRESENTATIVE Michael Cox/DENISE ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014101) The ACORD name and logo are registered marks of ACORD INS025(901401) r 1 The Commonwealth of Massachusetts x Department of lndustrial Accidents - 1 Congress Street,Suite 100 Boston,MA 02114-2017 www.mass gov/dia Workers'Compensation Insurance Affidavit:Builders/Contractors/Electricians/Plumbers. TO BE FILED WITH THE PERMITTING AUTHORITY. Applicant Information I n'n/� 1 Please Print Le 'bl Name(Business/Organization/Individual)' (��b� S w t+ Q C� �L -I 1 � L Address:- 17 ,Alb City/State/Zip: l>v ti�ti 10 0a(* Phone#: 3% Are you a mployer?Check the appropriate box: Type Of project(required): 1. I am a employer with employees(full and/or part-time).* 7. E]New construction 2.0 I am a sole proprietor or partnership and have no.employees working for me in 8. Remodeling any capacity.[No workers'comp.insurance required.] 9. ❑Demolition 3.[:J I am a homeowner doing all work myself[No workers_'comp.insurance required.]t 4.❑I am a homeowner and will be hiring contractors to conduct all work on my property.I will 10 Q Building addition ensure that all contractors either have workers'compensation insurance or are sole 11.0 Electrical repairs or additions proprietors with no employees. 12.Q Plumbing repairs or additions 5.❑I am a general contractor and I have hired the sub-contractors listed on the attached sheet.- 13.❑Roof repairs These sub-contractors have employees and have workers'comp.insurance 6.❑We are a corporation and its officers have exercised their right of exemption per MGL c. 14.❑Other 152,§1(4),and we have no employees.[No workers'comp,insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. #Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. �/^^ (n� / Insurance Company Name: �y l�'( V/I�y r�n6ul _ ��'bUN✓Ck Utz Policy#or Self-ins.Lic. 0 0 0HO 15 Expiration Date: � Job Site Address: City/State/Zip:No�Ul Attach a copy of the workers'co ensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under MGL c.152,§25A is a criminal violation punishable by a fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator.A'copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify nder the pains and penalties ofperjury that the information provided above is true and correct y�Si ature: � Date: Phone Official use only. Do not write in this area,to be completed by city or town official City or Town: PermiMcense# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: o�� r Town of Barnstable ors � Regulatory Sewices anxr AFn TLoin F.Cail Director moss. � as Geller,� or .sass ti� � ,ya Building Division , Tom Perry,Building Commissioner 200 Main Street,Hyannis,14A 02601 www.towna.barnstable.ma.as Office: 508-862-4038 pax. 508-790-6230 Property dyer Must Complete and Sign This Section If Using A Bt dllder ,as Owner of the subject property bexebp authorize ��0L� S'�Q� ; —m - to act an inp behalf, ' C�oLcti� in allmgtters relative to woxk autholized-by this building permit. (Address of Job) **fool fences and alarms ate the responsibility of the applicant. pools Are not to be filled before fence is installed and pools are not to be utilized until all final inspections are performed anal acceptL-d. W of Qwuex gnnt Punt Name 1'xint Name lDate Q;P0RMS:0WMRPERMISSI0NP0DL5 1256 Load Short Form Da.t Aug Dafe: Aug 24,2016 South Entire House By: Jason DeForest { Shore South Shore Heating & Cooling, Inc. 57 Whites Path,S.Yarmouth,MA 02664 Phone:508-398-6901 Fax:508-760-2681. Email:jason@southshoreheatingcooling.com Web:southshoreheatingcooling.com For: Dobro Residence, Cataldo Builders 309 Bay Lane, Centerville, Ma - Htg Clg: Infiltration. Outside db.(°F) 4 . 90 Method Simplified Inside db(°F) 70 75' Construction quality Average Design TD (°F). 66 15 Fireplaces 1 (Average) Daily range - L_ Inside humidity(%) 50 50. Moisture difference(gr/lb) 50 51 HEATING EQUIPMENT,_ COOLING EQUIPMENT Make n/a Make n/a Trade n/a Trade . . n/a.. Model n/a Cond n/a AHRI ref n/a Coil n/a AHRI ref n/a Efficiency n/a Efficiency n/a Heating input Sensible cooling 0 Btuh Heating output 0 Btuh Latent cooling 0 Btuh Temperature rise 0 °F Total cooling - 0 Btuh - Actual air flow. 0 cfm Actual air flow 0 cfm Air flow factor - 0 cfm/Btuh Air flow factor - 0 cfm/Btuh Static:pressure - 0 in H2O :Static.pressure 0 in H2O Space thermostat n/a ..Load sensible heat ratio : 0 ROOM NAME Area. Htg load Clg load Htg AVF. Clg AVF (ft2) (Btuh) (Btuh) (cfm).: (cfm) System#1 1472 36757 32841 1227 1227 System#2 - 1920 42225 33290 122T 1227 System#3 634 15179 11253 627 627. Hydronic): 4026 94161 71899 0 0 Entire House 4026. 94161 76317: 3080: -3332 Other equip loads 0 0 Equip. @ 0.95 RSM ::72196 Latent cooling 12916 32 TOTALS 4026 94161 85112 3080: 33 Calculations approved by ACCA to meet all requirements of Manual J.8th Ed. 2016-Aug-24 15:10:33 At:. +.wrightsoft® Right-Suite®Universal2015 15.0_.22 RSU12524 : Page f iCip1 ...s\Jason\Documents\York\Demo\Dobro Residence:rup Calc:=MJ8 Front Door faces: W . Load Short Form Job: 1256 Date: Aug 24,2016 Uth HydroI11C) By: Jason DeForest M50 hOPe South Shore Heating & Cooling, Inc.: 57 Whites Path,S.Yarmouth,MA 02664 Phone:508-398-6901 Fax:508-760-2681 Email:jason@southshoreheatingcooling.com Web:southshoreheatingcooling.com For:. Dobro Residence, Cataldo Builders 309 Bay Lane, Centerville,.Ma ® - • 11,1 FOR 11, W.I Ie Htg Clg . Infiltration Outside db(°F) 4 90 Method . . : Simplified Inside db(°F) 70 75 Construction quality Average- Design TD (°F) 66 15 Fireplaces: 1 (Average) Daily range - L Inside humidity(%) 50 50 - Moisture difference(gr/lb) 50 51 HEATING EQUIPMENT COOLING EQUIPMENT Make Bosch Thermotechnology Corp. Make Trade BOSCH Trade Model ZBR 42-3 Cond AHRI ref 4444710 Coil AHRI ref Efficiency 95AFUE Efficiency 0 SEER Heating input 152000 Btuh Sensible cooling 0 Btuh Heating output 135000 Btuh Latent cooling 0 Btuh Temperature rise 0 OF Total cooling 0 Btuh Actual air flow 0 cfm Actual air flow 0 cfm Air flow factor 0 cfm/Btuh Air flow factor 0 cfm/Btuh Static pressure 0 in H2O :Static pressure 0 in H2O Space thermostat Load sensible heat ratio 0 ROOM NAME : Area Htg load Clg load Htg AVF Clg AVF (ft2) (Btuh) (Btuh) (cfm) (cfm) Aprt Entry 40 1171 425 48 24 Bath#1 45 105 . 77 3 3 Bedroom#1 174 2618 2291 :: 87 88 Kitchen 233 3017 4450 101 167 Laundry 60. 292 760 10 28 Mudroom .. 45.. 2804 2977 94 133 Family Room 254 80214 11736 268 489-. . Office- 206 6286: .8187 : 183 340. Entry 235. 1799 497 52 19 Living Room 513 11507 11178 334 Master Bedroom 189' 6190 5162' 180 226 Dressing room 95 1519 539 44 20 Master Bath 145 5016 2359 : p 103 Master Hall 36. 83 60 2 2 Bedroom#2 - : 174. 5344 3966: 1781, 155 Stair Way 116 - 1665 510 56 18 Calculations approved by ACCA to meet all requirements of Manual J,8th,Ed. .. a 2016-Aug-2415:10:33 wrightsoft' Right-Suite®Universal 2015 15.0.22 RSU12524 Page 2 /m ..:s\Jason\Documents\York\Demo\D.obro Residehce.rup Calc MJ8 Front Door faces: W' Bath#2 77 3278 1707 109 67 Play Room 119. 3275 1688 109 70 Bedroom#3 176 6335 3203 211 117 Over Garage liv 340 7065 5946 292. 331 Bedroom#4 212 5490 : 4456 227 248: Bath#4 42 1453 427 60 24 Exercise Room 252 4229 2659 123 116 Fridge Room 49 125 27 4 1 Utility hall - 176 3550 2039 103 77 Half Bath 26 1921 583 56 23 Hydronic) 4026 94161 71899. 0 0 Other equip loads 0 0 Equip. @ 0.95 RSM 68017 - Latent cooling 12916: TOTALS 4026 94161 80933 0. . 0 I Calculations approved by ACCA to meet all requirements of Manual J 8th Ed. 201 6-Aug-24 15:10:33 wrightSO Right-Suite®Universal2015 15.0.22 RSU12524 Page 3 ..a\Jason\Documents\York\Demo\DobroResidence.rup Calc:=MJ8: Front Door faces: W: Load Short Form yob: lzss - �Ou$� Date: -Aug 34,2016 System #1 By: Jason DeForest .5hore South Shore Heating & Cooling, Inc. 57 Whites Path,S.Yarmouth,MA 02664 Phone:508-398-6901 Fax:508-760-2681 Email:jason@southshoreheatingcooling.com Web:southshoreheatingcooling.com For: Dobro Residence, Cataldo.Builders .309 Bay Lane, Centerville, Ma Htg Clg: Infiltration Outside db(OF) 4:. 90• Method Simplified Inside db(°F) - 70 75 Construction quality Average Design TD ('F) 66 15 Fireplaces 1 (Average) ..Daily range - L Inside humidity (%) 50. 50 Moisture difference(gr/lb) 50 51 HEATING EQUIPMENT -COOLING EQUIPMENT Make Make Lennox Trade _ Trade DAVE,LENNOX:SIGNATURE Model Cond XC21-036-230-10 - AHRI ref . Coil CX34-43+CBWMV:36C-090*+TDR AHRI ref' 5991869 Efficiency 80AFUE Efficiency 13.5 EER, 18,SEER. Heating input 0 Btuh Sensible cooling 25760 Btuh Heating output 0 Btuh Latent cooling 11040 Btuh Temperature rise 0 OF Total cooling 36800 Btuh Actual air flow 1227 cfm Actual air flow : 1227 cfm Air flow factor 0.033, cfm/Btuh Air flow factor 0.037 cfm/Btuh Static pressure 0 in H2O Static pressure 0 in H2O Space thermostat Load sensible heat ratio: _ 0.86p. ROOM NAME Area . Htg load . Clg load Htg AVF . Clg AVF (ft2) (Btuh) (Btuh) (cfm) (cfm) First Floor 812 16860 24716 563 009 Second Floor 66.1 19898 11623 - 664. 427 System#1 1472 36757 32841 - 1227 1227 Other equip loads 0 .0 Equip. @ .. 0.95 RSM 31068 Latent cooling 5485 - TOTALS 1472 36757 36553 1227. 1227 Calculations approved by ACCA to meet all requirements of.Manual 8th Ed. - ... 2016-Aug-24 15:38:51 wr�ghtsoft® Right Suite®Universal 2015 15.0.22 RSU12524 Page 4 ACCA ...s\Jason\Documents\York\Demo\Dobro Residence.rup Calc=.MJ8. Front Door fages: W:. ,1 Load Short Form yob: 1266 Date: Aug 24,2016 System #Z By: Jason DeForest South Shore Heating & Cooling, Inc. 57 Whites Path,S.Yarmouth,MA 02664 Phone:508-398-6901 Fax:508-760-2681 Email:jason@southshoreheatingcooling.com Web:southshoreheatingcooling.com For: . . Dobro Residence, Cataldo Builders 309 Bay:Lane, Centerville,.Ma Htg Clg Infiltration Outside db(OF) 4. 90 Method Simplified Inside db(OF) 70 75 Construction quality _Average Design TD (OF) p 66 15 Fireplaces 1 Daily range - L. (Average)9 Inside humidity (%) 50 50. - Moisture difference(gr/lb) 50 51 HEATING EQUIPMENT COOLING EQUIPMENT Make Make Lennox Trade _. Trade DAVE.LENNOX.SIGNATURE Model Cond XC21-036-230-10 AHRI ref Coil CX34-43+CBWMV-36C-090*+TDR AH R I ref 5991869 Efficiency 80AFUE Efficiency 13.5 EER, 18 SEER Heating input 0 Btuh Sensible cooling 25760 Btuh Heating output 0 Btuh Latent cooling 11040 Btuh Temperature rise 0 OF Total cooling 36800 Btuh Actual air flow 1227 cfm Actual'air flow 1227 cfm . Air flow factor 0:029 cfm/Btuh Air flow factor 0.037 cfm/Btuh Static,pressure .. 0 in H2O Static pressure 0 in H2O Space thermostat Load sensible.heat ratio 0.86 ROOM NAME ° Area . Htg load Clg load Htg AVF. Clg AVF (ft2) .: . (Btuh) (Btuh) (cfm) (cfm) Office/living 979 21513 22372 625 824 Master Suite 464 - 12808 9537 372. 351 Lower:Level 477 7903 5262 230 194 System#2 : 1920. 42225 33290 1227 : 1227 Other equip loads 0 0 Equip. @ 0.95 RSM 31493 . : . Latent cooling 5286 TOTALS 1920 42225 36779 1227 1227 Calculations approved by ACCA to meet all requirements of Manual J 8th Ed. 201 6-Aug-24 15:38:51 ACCA . wrightsoW Right-Suite®Universal 2015 15.0.22 RSU12524 Page 5 :.a\Jason\Documents\York\Demo\Dobro Residence:rup Calc=MJ8 Front Door faces: W:. I , Load Short Form Job: 1256. Date: Aug 24,2016 System #3 -By: Jason DeForest �OIOpE' South Shore Heating & Cooling, Inca 57 Whites Path,S.Yarmouth,MA 02664 Phone:508-398-6901 Fax:508-760-2681 Email:jason@southshoreheatingcooling.com Web:southshoreheatingcooling.com For: Dobro Residence, Cataldo.Builders 309 Baylane, Centerville,.Ma ® - • • • Htg. Clg:. Infiltration Outside db.(OF) 4 90 Method Simplified Inside db(*F) 70 75 Construction quality Average Design TD (°F) 66 15 Fireplaces: 1 (Average) Daily range - L. Inside humidity (%) 50 50 - Moisture difference(gr/lb) 50 51 HEATING EQUIPMENT 000LING.EQUIPMENT Make Make Lennox Trade _ E Trade : MERIT Model Cond 13ACX-018-230-** AHRf ref Coil CX34-25++TDR AHRI ref 5548631 Efficiency : 80AFUE Efficiency 11.0 EER, 13 SEER. Heating input 0 Btuh Sensible cooling 13160 Btuh Heating output 0 Btuh Latent cooling 5640 Btuh Temperature rise 0 OF Total cooling 18800 Btuh Actual air flow 627 cfm. Actual air flow 627 cfm Air flow factor. 0;041 cfm/Btuh Air flow factor 0:056 cfm/Btuh Static.pressure :. 0 in H2O Static pressure 0 in H2O Space thermostat Load sensible.heat ratio:.. 0.84 :. ROOM NAME Area Htg load .. Clg load Htg AVF CI g AVF . (ft2. (Btuh) (Btuh) (cfm) (cfm) Over Garage IN 340 7065 5946 292 331 Bath#4 - 42 1453 427 60, 24 - Bedroom#4 212 5490.. 4456 227 248 Aprt Entry 40 1171: 425 48 24 . ... c: System#3 634 15179 11253: 627: 627 Other equip loads_ 0 0 Equip.@ 0.95 . .RSM - 10646 Latent cooling 2145 TOTALS 634 15179 12791 6271 ` 627 Calculations approved by ACCA to meet all requirements:of Manual_J 8th Ed. 2016-Aug-24 15:10:33 QL wrightsoft Right-Suite®Universal 2015 15.0.22 RSU12524 Page 6 ::.: ...s\Jason\Documents\York\Demo\Dobro Residence.rup Calc=.MJ8: Front Door faces: W Load Short Form yob: 1256 Date: Aug 24,2016 Pkiiogh First Floo1- By: Jason DeForest S�fO South Shore Heating & Cooling, Inc.. 57 Whites Path,S.Yarmouth,MA 02664 Phone:508-398-6901 Fax:508-760-2681 Email:jason@southshoreheatingcooling.com Web:southshoreheatingcooling.com • • • For: Dobro Residence, .Cataldo Builders 309 Bay Lane, Centerville, Ma Htg Clg . Infiltration Outside db(OF) 4 . ::. 90:. Method Simplified Inside db(OF) 70 75 Construction quality Average Design TD (OF) 66 15 Fireplaces 1 (Average) Daily range L -Inside humidity.(%) 50. 50: - Moisture difference(gr/lb) 50 51 w. HEATING EQUIPMENT COOLING EQUIPMENT Make n/a Make n/a Trade n/a: Trade ::. n/a.. Model n/a Cond n/a AHRI ref n/a : Coil n/a AHRI ref n/a Efficiency n/a Efficiency n/a Heating input Sensible cooling 0 Btuh Heating output 0 Btuh Latent cooling 0 Btuh- Temperature rise 0 OF Total cooling 0 Btuh Actual air flow: 0 cfm: Actual air flow : 0 cfm Air flow factor 0 cfm/Btuh Air flow factor 0 cfm/Btuh Static pressure 0 in H2O :Static pressure . 0 in H2O Space thermostat n/a Load sensible.heat ratio . 0 ROOM NAME. Area .Htg load CIg:load Htg AVF CIg AVF (ft2) (Btuh) (Btuh). (cfm): (cfm) Bath#1 45 105 77 3. 3 Bedroom#1 - 174 2618 ,2390 87 88 Kitchen 233 3017. 4549 101 167: Laundry 60 292:. 762 - 10 28 M udroom 45 2804 3628 94 : 133 Family Room 254.. ... 8024 13311 268 ... 489 First Floor 812 16860 . 24716 : 563 909 Other equip.loads 0. .0. Equip. @ 0.95 RSM - 23381 Latent cooling . . 2603 TOTALS 812 16860 25985: 563 909 Calculations approved by ACCA to meet all requirements of.Manual J 81th Ed. 2016-Aug-24 15:10:33 wrightSOW Right-Suite®Universal 2015 15.0.22 R$U12524 Page 7 / p1 ..:s\Jason\Documents\York\Demo\Dobro Residence.rup Calc=.MJ8 Front Door faces: W: :: f V � -� Load Short form Jab: lies Date: Aug 24,2016 io h Lower Level By: Jason DeForest rl4ore South Shore Heating & Cooling, Inc. . 57 Whites Path,S.Yarmouth,MA 02664 Phone:508-398-6901 Fax:508-760-2681 Email:jason@southshoreheatingcooling.com Web:southshoreheatingcooling.com For: Dobro Residence, Cataldo Builders 309 Bay Lane, Centerville, Ma Htg Clg Infiltration Outside db(OF) 4 90 Method Simplified: Inside db(OF) 70 75 Construction quality -.Average Design.TD (OF) 66 15 Fireplaces 1 (Average) Daily range - L. Inside humidity(%) 50: 50 Moisture difference(gr/lb) 50 51 HEATING EQUIPMENT COOLING EQUIPMENT Make n/a Make n/a Trade n/a Trade n/a. Model n/a Cond n/a AHRI ref n/a Coil n/a AHRI ref n/a. Efficiency n/a Efficiency n/a Heating input Sensible cooling 0 Btuh Heating output 0 Btuh Latent cooling 0 Btuh Temperature rise 0 °F Total cooling 0 :Btuh Actual air flow 0 cfm Actual air flow 0 cfm Air flow factor 0 cfm/Btuh Air flow factor 0 .cfm/Btuh Static:pressure 0. in H2O. Static pressure 0 in H2O Space thermostat :. : n/a Load sensible.heat ratio.. 0 . . ROOM NAME Area Htg load Clg load Htg AVF Clg AVF (ft2) : (Btuh) (Btuh) (cfm): (cfm) Exercise Room . 252 4229 3136 123 116 Fridge Room :. 49: 125 27: 4. : 1 Utility hall 176 3550 : 2098 103 77 Lower Level 477 7903 5262 230 194 Other equip loads 0 0 Equip. @ 0.95 RSM :. 4977 Latent cooling 1210 TOTALS 477 7903 6187 230 194 Calculations approved by ACCA to meet all requirements of Manual_J 8th Ed. 2016-Aug-24 15:10:33 i►- + WrlghtSOW Right-Suite®Universal,2015 15A22 RSU12524 Page 8 )OM ...s\Jason\Documents\York\Demo\Dobro Residence.rup Calc=MJ8: Front Door faces: W .:. -� Load Short Form Job: 1256 Date: Aug 24,2016 south Master Suite - By: Jason DeForest Shore South Shore. Heating & Cooling, Inc. 57 Whites Path,S.Yarmouth,MA 02664 Phone:508-398-6901 Fax:508-760-2681 Email:jason@southshoreheatingcooling.com Web:southshoreheatingcooling.com For: Dobro Residence, Cataldo Builders 309 Bay Lane, Centerville,.Ma Htg. Cig Infiltration Outside db(°F) 4 90 Method Simplified Inside db(OF) 70 75 Construction quality Average Design TD ('F) 66 15 Fireplaces 1 (Average) Daily range - L Inside humidity (%) 50 50 Moisture difference{gr/lb) 50 51 HEATING EQUIPMENT COOLING EQUIPMENT Make n/a Make n/a Trade n/a Trade .. n/a. Model n/a Cond n/a AHRI ref . n/a Coil n/a AHRI ref n/a Efficiency n/a Efficiency n/a Heating input Sensible cooling 0 Btuh Heating output 0 Btuh Latent cooling 0 Btuh Temperature rise 0 OF Total cooling 0 Btuh Actual air flow 0 cfm: Actual air flow A cfm Air flow factor 0 cfm/Btuh Air flow factor 0 cfm/Btuh Static pressure :. 0. in H2O Static pressure 0 in H2O Space thermostat n/a :. Load sensible.heat ratio. 0 t - ROOM NAME Area. Htg load Clg load Htg AVF. . Clg AVF (ft2) (Btuh) (Btuh) (cfm) (cfm) Master Bedroom 189 6190 6124 180 226 Dressing room 95 - 1519 554 44. - 20 Master Bath 145 5016 2796 : 146 103 Master Hall 36 . 83::. 62 :. 2 2 Master Suite 464. 12808 9537 372 351 Other.equip loads - -0 0 Equip. @ 0.95 RSM. 9022 Latent cooling .1349 TOTALS 464 12808 10371 372 351 _ . Calculations approved by ACCA to meet all requirements of.Manual J_8th Ed. 2016-Aug-24 15:10:33 ti WrightSOft' Right-Suite®Universal 2015 15.0.22 RSU12524 z : Page.9 ACCh ...s\Jason\Documents\York\Demo\Dobro Res idencesup Calc=MJ8: Front Door faces: W c. ,-� Load Short Form yob: 1256 Date: Aug 24,2016 �� Io lth Offlcellivi g By: Jason DeForest '$hore South Shore Heating & Cooling, Inc. 57 Whites Path,S.Yarmouth,MA 02664 Phone:508-398-6901 Fax:508-760-2681 Email:jason@southshoreheatingcooling.com Web:southshoreheatingcooling.com For: Doll Residence, Cataldo Builders 309 Bay Lane, Centerville, Ma .. Ift Clg. Infiltration Outside db(OF) 4 '90 Method Simplified Inside db(OF) 70 75 Construction quality Average . Design TD (OF) 66 15 Fireplaces. 1 (Average) Daily range - L Inside humidity (%) 50 50: Moisture difference(gr/lb) 50 51 HEATING EQUIPMENT COOLING EQUIPMENT Make- n/a Make n/a Trade n/a Trade n/a Model: n/a Cond n/a AHRI ref n/a Coil n/a AHRI ref n/a. Efficiency n/a Efficiency n/a Heating input Sensible cooling 0 Btuh Heating output 0 Btuh Latent cooling 0 Btuh . Temperature rise 0 OF Total cooling 0 Btuh Actual air flow. 0 cfm Actual air flow 0 cfm Air flow factor 0 cfm/Btuh Air flow factor 0 cfm/Btuh Static pressure .. 0 in H2O Static pressure 0 in H2O Space.thermostat :: : n/a Load sensible heat ratio: 10 ROOM NAME Area Htg load Clg load Htg AVF. Clg AVF - (ftz) (Btuh) (Btuh). (cfm) (cfm) Office 206 6286 9221 183 340 Entry 235 1799 521 52 19 Living Room 513 11507 12001 :334 442- Half Bath 26 1921 .. 629 56 23 . .. Office/living 979. 21513 22372 625., 824 Other equip loads 0 0 Equip. @ 0.95 : RSM .. 21164 Latent cooling 2727 TOTALS 979 21513 23891 625 824 Calculations approved by ACCA to meet all requirements of Manual J 8th Ed. wri htsofta 2016-Aug-2415:10:33 i t. 9 _. - Right-Suite®Universal 15.0.22 RSU12524 _ Page 10 'I'M ...s\Jason\Documents\York\Demo\Dobro Residence.rup Calc=MJ8 Front Door faces: W:. Load Short Form Job:Date: Aug Aug 24,2016 �Wth Second Floor By: Jason DeForest 1 $h�p� South Shore Heating & Cooling, Inc. - 57 Whites Path,S.Yarmouth,MA 02664 Phone:508-398-6901 Fax:508-760-2681 Email:jason@southshoreheatingcooling.com Web:southshoreheatingcooling.com For: Dobro Residence, .Cataldo Builders 309 Bay Lane, Centerville, Ma Htg Cig Infiltration Outside db(OF) 4 . 90.. Method Simplified. Inside db(OF) 70 75 Construction quality Average Design-TD (OF). 66 .1.5 Fireplaces 1 (Average) Daily range L.. Inside humidity (%) 50. 50 Moisture difference(gr/lb) 50 51 HEATING EQUIPMENT :COOLING EQUIPMENT :. Make n/a Make n/a Trade n/a. Trade :. n/a Model n/a Cond n/a AHRI ref n/a Coil n/a AHRI ref n/a Efficiency n/a Efficiency n/a Heating input Sensible cooling 0 Btuh Heating output 0 Btuh Latent cooling 0 Btuh Temperature rise 0 OF Total cooling' 0 Btuh Actual air flow. 0 cfm Actual air flow 0 cfm . Air flow factor 0 cfm/Btuh Air flow factor ' 0:cfm/Btuh Static pressure 0 in H20- Static pressure 0 in H2O Space thermostat :: : n/a Load sensible heat ratio 0 ROOM NAME Area Htg load . Clg load Htg AVF. Clg AVF (ft2) (Btuh) (Btuh) (cfm) .(cfm) Bedroom#2 174 5344 4216 178 155 Bath#2 77 3278 .1834 109 67 Stair Way 116 1665 . 493 : 56 1& Play Room 119 3275 : 1909. - 109 70 Bedroom#3 176 6335 317.1 211 117 Second Floor 661 19898 11623 664 427 1. Other equip loads 0 0 Equip. @ . .0.95 RS.M 10995 Latent cooling: 2882 TOTALS 661 19898 13877 664 427 Calculations.approved by ACCA to meet all requirements of Manual J.8th Ed. 2016-Aug-24 15:10:33 . wrightsoft' Right-Suite®Universal 2015 15.0122 RSU12524 Page 11 CA ..:s\Jason\Documents\York\Demo\Dobro Residence.rup Calc=.MJ8: Front Door faces: W. TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION P-1 _ zo Map ��� Parcel OI'� Application # lf� Health Division Date Issued 7—t ' Conservation Division Application Fee l Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board Historic - OKH Preservation/ Hyannis Project Street Address 3aq i3A\4 L" + Village C.G>t T15V-.V 1 --Owner ��.T'r12� Address It c_iQUJl*i E_N 'EVE Telephone___ (o 1 L `"16b- 3002- Permit Request WSh jcorcig_�gAm U=&M kfww s4tM GW, M1#4- EndOSL-[sFkQ01 bUo , rQ �cn .B1 (Q)5, ijAA��CY nn bA C tow and Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District V-4-> Flood Plain Groundwater Overlay Project Valuation 440 f C. Construction Type' MP Lot Size Grandfathered:, ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family Two Family ❑ Multi-Family (# units) Age of Existing,,Structure CAP 095b Historic House: ❑Yes )(No On Old King's Highway: ❑Yes ❑ No Basement Type: Wull Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area (sq.ft) Number of Baths: Full: existing " new ttom�,, Half: existing o new Number of Bedrooms: existing ` Ai ) Total Room Count (not including baths): existing 1_new 1 Z First Floor Room Count Heat Type and Fuel: Gas ❑ Oil ❑ Electric ❑ Other Central Air: >(es ❑ No Fireplaces: Existing 1 New Existing wood/coal stove: ❑Yes ❑ No Detached garage: ❑ existing ❑ new size_Pool: ❑ existing ❑ new size _ Barn: ❑eA'%tj1 g ❑ new size_ Attached garage:Xexisting ❑ new size _Shed: ❑ existing ❑ new size _ Other: L®�// ��� ®cr3 p7- Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑h0t/ 4?916 Commercial ❑Yes A.No If yes, site plan review# Current Use 12E.si Df_; Proposed Use RE-GiI)E i T11.L APPLICANT INFORMATION BUILDER OR HOMEOWNER)Lr t dw Name - C_pm-)0 Telephone Number Address M 1 . PR,M{t11,tA t1 AW License # C'S -f%4202-i E • a nw KA L92S� Home Improvement Contractor# d Email y�c (do q ' W, d"..S .C%b Worker's Compensation # W OMOa 1 6Z01U.A ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO i3ckAOusiU, MA 4 + DATE SIGNATURE FOR OFFICIAL USE ONLY APPLICATION # DATE ISSUED MAP/PARCEL NO. = ADDRESS VILLAGE OWNER DATE OF INSPECTION: FOUNDATION FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING O ,F OT DATE CLOSED OUT ASSOCIATION PLAN NO. _ Public . Massachusetts Depa fand Standards Board of Building Regulations License: CS-042721 , q Construction Supervisor a r A RALPH J CATALDO E 172 EAST FALMOUTH;HWY .,, EAST FAMOUTH MA 02636 f Expiration: Commissioner 0610912018 x � .' �a` ` '`.� 'tea F', r e - ..,: ..:. 7.: i ,[�,.. -. a 4 4a y y 4 r .�x s rt },rJ"G,. ,,,a „xf'.... 7,^' b. ,' *" xa' rz+ ..a�,+F 'Y.a:.`'t r! 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""x� -5,: Sr�a!s�°.. �'�, '���^"i..d+ �•a s - - 'r �.' �, a,�,.t,�� •`fl�:� _ �.�.S,2k -�.�?'.-r;,�{.•+'s`r',,� �.< 4 �§�;� r"-� F� .�` ^n } '���'�'�`wEl �'.. - _ d�+ ��K.W` �... -{3.j �, _'..� d. r >'1>�'x;S,�Y.xr 7 '���� �'� { r_.�a.��'�try:",•„2'�.� .�71 1�.rr��,`d ,-��'�,1s:;Ss„�,tf^�� � �ra�€ i�� _'_ :: � , ..�,a'� �w�i�... 3 a,�,�i t ,.� -.tr.� E _„t-��-� i.+ s � .�•�'•-�'r rx�*�` +'n�==-�— ����, ire ",�y .��i 1 :�'t � •,�,s � L ��.n u g5. � � ���:: aFu#-+s.,y'�, Y�'-r-;,^ +�.jA��-��v�• �.�`,s4x3�,s a..u"a'�.�``'i•' c� � ��+u���_=k��,� •� - �a.. 3' Town of Barnstable a Regulatory Services suaa Rlcbard V.Scab,Dhidor Building Division Padl Bans,BWMIng Cammbabner 2W Main Sheet,Hyannis,MA M601 ' www,UMILbarnstablc ma.ds Office: 509462-4038 Fax: 508-79M230 Property Owner Must Complete and Sign This Section If Using A Builder I- , �e4C ���� ,as Om=of the subject prAperty hereby sa&c ize [:.AM-M CU S&& &u gns l 1 act oa my behaIg in an r&tive to work authorized by this budding permit aPPrfttion f= MY Uwe C0_WM(ULS (Address of job) "Pool,fences and alarms are.the responsibility of the applmt Pools are not to be filled or utt7ized befort.Bence is installed and all final . inspections are performed and accepted of Owner SipAppHmi t Print Name Ptiat Naane- Date Q.FORM3. /T4 w Office of Consumer Affairs and Business Regulation 10 Park Plaza - Suite 5170 Boston, Massachusetts 02116 Home Improvement Go�4ntractor Registration Registration: 144103 Type: Private Corporation Expiration: 9/9/2018 Tr# 290673 CATALDO CUSTOM BUILDERS, INCH RALPH CATALDO j i, "� 172 EAST FALMOUTH HWY E. FALMOUTH, MA 02536 '-9 7 J' - 1 Update Address and return card.Mark reason for change. - Address Renewal Employment Lost Card SCA 1 0 20M-05/11 ��/e tGr✓,emr�rrc3�a���dC�l�ahaae�au eGt License or registration valid for individual use only !C� Office of Consumer Affairs&Business Regulation _ before the expiration date. If found return to: i}� � HOME IMPROVEMENT CONTRACTOR Registration;'r 144103 Type: Office of Consumer Affairs and Business Regulation M � 10 Park Plaza-Suite 5170 MW Expiration 9/9/2018 Private Corporation Boston,MA 02116 CATALDO CUSTOM;BUILDERS INC. RALPH CATALDO i t r J, 172 EAST FALMOUTH HWY E.FALMOUTH,MA 02536 Undersecretary k��alid without signature — The Commonwealth of Massachusetts Department of Industrial Accidents 600. Washington Street Boston,Mass. 02111 Worker '. Com ensation Insurance Affidavit-General Businesses .. name: �1 address: 11 Z 6"r FpLmou M O)N� city - F&AM-ZA state: AAA zip:0263b phone# G V O work site location(full address): P3A9 LMi, CENTEXA 1 LLC ❑ I am a sole proprietor and have no one Business Type: ❑Retail❑ Restaurant/Bar/Eating Establishment working in any capacity. ❑Office❑ Sales (including Real Estate,Autos etc.) ❑ I am an em loyer with etn loyees(full& art time. ❑Other % %/// /% /% %/% //% /// [5 I am an,employer providing workers' compensation for my employees worldng on this job . companynnnie: address. city: Kol`1 E1t1�1 ® Rhone#: :.. • insurance.co. I am a sole proprietor and have hired the independent contractors listed below who have the following workers' compensation polices: AA,,���� rr,,, CCe�p AA,,.. Nn company nnme: `'.zz- tYW� 7p�c Pg1N j41,&. addreSS. V�7G Y1n 1 GIGi Vlll insurance co. ohe` # -7Q? 1 �,/� company name:..,.,. address:. city: phone#. insurance leo. olicv# Failure to secure coverage as required under Section 25A of MGL 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one years'imprisonment as well as civil penalties in the form of a STOP WORK ORDER and a fine of$100.00 a day against me. I understand that a copy of this statement may be forwarded to the Office of Investigations of the DIA for coverage verification. I do hereby certify untie pains and penalties ofperjury that the infbrination provided above is true and correct Signature Date Print name ( �. CAM Phone# ^�''d°T...i. T_ • '.'^'y+� l^ '3C..FT.e�i/TS�a•..� �c :3icT SYn'r.%{� 4�h'- �. �t F � g, official use only do not write in this area to be completed by city or town official ci or town: ermit/license# �- ty p. ❑Building Department. ❑Licensing Board ' ❑check if immediate response is required ❑Selectmen's Office ❑Health Department �. contact person: phone#; ❑Other (revised Sept.2003) - - - - A/��® DATE(MMIDD/YYYY) V CERTIFICATE OF LIABILITY INSURANCE 12/1/2015 THIS CERTIFICATE IS ISSUED AS A.MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsements. PRODUCER CONTACT Christina Dennehy Y The Getchell Companies PHONE (978)897-7773 aC No:(978)897-1553 183 Great Road, Unit 15 E-MAILss:Christina@getchellcompanies.com PO BOX 844 INSURERS AFFORDING COVERAGE NAIC tf Stow MA 01775 INSURERAAcadia Insurance 31325 INSURED INSURER B: FRANCISCO TAVARES, INC. INSURERC: PO BOX 398 INSURER D: 69 OLD MEETINGHOUSE ROAD INSURERE: EAST FALMOUTH MA 02536 1 INSURER F: COVERAGES CERTIFICATE NUMBER.2015-2016 REVISION NUMBER- THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR ADDL SUBR POLICY EFF POLICY EXP LTR TYPE OF INSURANCE POLICY NUMBER MM/DD/YYYY MM/D LIMITS _JULX COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 TO A CLAIMS-MADE I-X-1 PREMISES OCCUR DAMAGES( RENTED 250,000 ' Ea occurrence $ CPA0273113-18 12/2/2015 12/2/2016 MED EXP(Any one person) $ 5,000 PERSONAL BADVINJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: _ GENERAL AGGREGATE $ 2,000,000 X POLICY JECTPRO ❑LOG PRODUCTS-COMPIOPAGG $ 2,000,000 OTHER $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ Ea accident 1,000,000 A ANY AUTO - BODILY INJURY(Per person) $ ALL OWNED X SCHEDULED HAp0344385-16 12/2/2015 12/2/2016 BODILY INJURY(Peraccident) $ AUTOS AUTOS X X NON-OWNED PROPERTY DAMAGE $ included HIRED AUTOS AUTOS Peracddent X UMBRELLA LtAB I X OCCUR EACH OCCURRENCE $ 5,000,000 A EXCESSLUIB CLAIMS-MADE AGGREGATE $ 5,000 000 _ DIED I I RETENTIONS I CUA0273117-18 12/2/2015 12/2/2016 $ WORKERS COMPENSATION I PER OTH- AND EMPLOYERS'LIABILITY YIN ST TUTE I ER ANY PROPRIETOR/PARTNER/EXECUTIVE NIA E.L.EACH ACCIDENT $ 1,000,000 A OF EXCLUDED? N❑ - (Mandatory in NH) wCA0310189-17 12/2/2015 12/2/2016 E.L.DISEASE-EA EMPLOYE $ 1,000,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT. $ 1,000,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space is required) Cataldo Custom Builders, Inc. is named as an additional insured per form # CLCG 0492. CERTIFICATE HOLDER CANCELLATION mwadman@cataldobuilders.co SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Cataldo Custom Builders, Inc. THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 172 East Falmouth Highway ACCORDANCE WITH THE POLICY PROVISIONS. East Falmouth, MA 02536 AUTHORIZED REPRESENTATIVE Christina Dennehy/CRD C�-twcb+► U,: �``^ ©1988-2014 ACORD CORPORATION. All rights reserved. i ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD INS025 nnuni) DPFUCCI-01 RALLIE ACORO' CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DDIYYYY) 10120/2016 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT Almeida&Carlson Insurance Agency,Inc a0N�,Et):(508)540-6161 FAX No:(508)457-7660 PO Box 554 E- AIL Falmouth,MA 02541 ADDRESS: INSURERS AFFORDING COVERAGE NAIC># INSURER A:ARBELLA PROTECTION INS CO 41360 INSURED INSURER B:Hartford Underwriters Insurance Co D P Fuccillo Const Inc INSURER C: 548 Thomas Landers Rd INSURER D: E Falmouth,MA 02536 INSURER E INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE ADDL SUBR POLICY NUMBER POLICY EFF POLICY EXP LIMBS A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS-MADE OCCUR 8500045173 10/20/2016 10/20/2017 DAMAGE TO RENTED 300,000 X BLANKET ADD'L INSURE MED EXP(Any oneperson) $ 5,000 PERSONAL&ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE 2,000,000 POLICY wT LOG PRODUCTS-GOMP/OP AGG $ 2,000,000 OTHER: $ AUTOMOBILE LIABILITYCOMBINED SINGLE LIMIT ANYAUTO - BODILY INJURY Perperson) $ OWNED SCHEDULED AUTOS ONLY AUTOS BODILY BODILY INJURY(Per accident) ALTOS ONLY AUTO ONLY PeOr a'ZtDAMAGE $ $ UMBRELLA LIAB OCCUR EACH OCCURRENCE _ $ EXCESS LIAB HCLAIMS-MADE AGGREGATE $ DED I I RETENTION$ $ B WORKERS COMPENSATION PER I OTH- AND EMPLOYERS'LIABILITY 5B659382 10/23/2016 10/23/2017 500,000 ANY PROPRIETORlPARTNER/EXECUTIVE Y❑ E.L.EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? N/A (Mandatory in NH) _ E.L.DISEASE-EA EMPLOYEE $ 500,000 If yes,describe under 500,000 DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached B more space is required) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE CATALDO BUILDERS THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 172 E FALMOUTH HWY East Falmouth,MA 02536 AUTHORIZED REPRESENTATIVE ACORD 25(2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD - - 1 /25'/201$ 1., 11 37 ,.31 AM $778 (� ;q2/©2, CERTIFICATE F L.�A�ILITY lNSUz.R/�I ATE{MMlDDlYY1fY} .a-- o1r�3r2o1 s TH-:111IS CERTIFICATE IS ISSUED AS`A MATTER OF INFORMATION ONLY AND CON I S NO RIGHTS UPON.THE`CE.TIFICATE_HOLDER.;THfS' CERTIFICATE DOES NOT AFFIRMA:TIVELY`•OR NEGATIVELY AMEND; EXTEND;;OR ALTER THE CObERAGE<AFF.ORDEQ BY:THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT_CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(Sf, AUTHORtZED REPRESENTATIVE OR PRODUCER;AND THE CERTIFICATE HOLDER;; IMPORTANT: If-the certificate ho{der is an ADDITIONAL INSURED.the poiicy{es}%must'be endorsed..If SUBROGATIdN,IS WAIVED subJect to the terms and conditions of the policy,certain policies may require an endorsement.A statement on this certificate does not confer rtgnts fn the certificate holder in lieu of'such endorsements) PRODucL R 02017-001 NUOTE Branch 2017Iz: i Lawrence-CarllnlnsAgency.lnc �0., 0 E� 'ts(ss)s�.a=aloo No 230 Jones Road Falmouth;MA 02540 s3 Ii S ER'S .ORDI GCO GAIC ;:...�.I r'I�,:-:.7:'�Ir.��r_:�.%�,�%�_�.r.—�.,:-..:.I:.:.,.��,��;�..J%:,��1�.�.,:r.��.,d,,..I.��r_._.-.:-'I'....,__.�,r.'..�...:r I:I,.�:,%.%'1....�V�'.�r::r.:..:.-:r 1.*i,�:,,.,:..:.1�._��,�,:1.�i�r7'.:�..:,.:.I�..�.:-:-�,"—,-,�I.4`,::.:.��..-i�.:!�...:-��.;r,_%I�:,.�:�..,.�.-._;,I.-:.-.,::�_�..r...%..,�..-_..I�I.��,..I,.,_..�.:.,...I.�.:�......-,I,-�"_��._:.,,.,,:...1r.r,.:r.1%�,I.r1r;;;;;,Fq�...�::._:rr.%,�,r,..,�-�,,�Ir.7,..�-..:r�r",.�...'1.,rI:'r I...I�..:�:..2�.._.,,.:::�I.r.?,'�:.:.;,I..r.,�r.-�:.�..,.:.r:...I...7:..r.,1t.'.:�..,r;�-�,,1 r:.r�'1'r-_;.:,,I..�.-r�,�.:.�.I..r.,,I r.�,.,I.._:._-_%,..�-."�I.r�..'.r I.r-—I.-�:...�—i I,�—0,r'�..r. I.�,.��r��..��_�..�r I:.,..,%.�:%':1�!�.r.s-I':,,.._r,-.�.�..�._,:..r..,..�._..�-�''.,r.,.%:r�I.'::.��.r I1,r,.;_�_,.r..r_,':.�..��.:,�__,,-..I_...-.��.-.-r.._I��_I...r:,_,r,:_.��,�.��.rr��..-,.�::.�rr..I�.I�rI�,.��,.: ,_..%1�,I.��.�9E,��:.r,.,�.,'��.�-.,,:-.:.��ar.,..r��,.,.�..�!��!..,:��._.r.�:.I.�,.,:_..�-",��8R1_�r.,.:;,,...__._.��_..Z(:.r"..�-.�,,7'`t-_.,��.—,F,'_.�.,:�:��,rr.�,._�..�-r'',l.:��.-,0--.��.:j_,!,:._._�,.,,.�,.:�"�-r�:'-�",..F_::1�_�.�-,.�.�r.�r r�__�:_-��..,-�.,r-..,r,�_�-,�_:.-_�,�'_..:1.---..0.-�r-�.:'�:rI r-.:�4...I"..-,:7 I.�.�.:�"�r:: IwsuriERA A I.M Mutual In, . 1.nce Company I.-�'-�7��'_�...,r.4.��% r-.....IH1_.�_�.. �&.,..T 1..:��:-:,.��.:_1�._.-1,....-��',,�I.�._.:,,�rII.:r.1�.1.%'r::b.'�-"I.r-.-�,._-.._�__..��.r.:. INSURED ENSURER B.Trademark Builders Snc: INSURE C 611 Soaierry Hill Road;. East Falmouth, MA 132536 "INSURERD. INS' ::;:.E. COVERAGES CERTIFICATE NUMBER: REV15tON:NUWIBER THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE"LISFED`BELOIN,HAVE.BEEN ISSUED-FO THE INSURED NAPAED ABOVE FOR THE`ROLtCY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR:CONDlT10N OF,gNY'CONTRACT OR OTHER DOCUMENT?WtTH-`RESPECT TO WHICH:THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAW, THE INSURANCE AFFORDED"BY THE'POLICIES DESCRIBED'HEREIN.IS SUBJECT TO ALL THE TERMS EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS:SHOWN:MAY HAVEtBEEN RE.OUCED,BY PAID CLAIRAS TYPE OF INSfJRANCE s... I R POLICY NUMBH2` P M/DQIYYYY} [ LIb1ITS- GENERAL LIABILRY;: EACH.000URRENCE . $ COMMERCIALGENERALUABIUTV DAMAGE TO"RENFED.: $;,..,. PREMISES Ea occurtence CWMSMADE OCCUR MEDE(B(Arryoneperson) $ P..ERSONAL&ADVINJURY $ 'rj GENERAL AGGREGATE= $ EN'L AGGREGATE LIMIT APPLIES PER PRODUCTS,`COMPib% $ OLI I RO OC AUTOMOBILE LIABILfCY COMBINED SINGLE UMIT $ Ea accident# ANY.AU. BODILY INJURY(Per person) $. .ALL OWNED .SCHEDULED...P. ` AUTOS AUTOS BODILYdNJURY(Peracatlem) $ HIRED AUTOS. ii - NON OWNED .i -P..ROPERTY;:DRMA E AUTOS _. :: ,... Per a ccafent UMBRELLA f.lAB OCCUR EACH OCCURRENCE $ EXCESS IJAB- ` CLAIMS MADE AGGREGATE $ DED P.EfENTION$ . , -����ppryry�I �ggppTT��pppp�� yWy �STrpp''��UU,� TH $ - OYERPS'UAellltt X TORYLIMITS .0� ANpfYY ppRROoRRIETORIPARTTNERfEXECUTIVE Y� ,. .-.:--S__-..�.�'�rr"...,��*�,, A OFFICERIAAEMBER EXCLUDED? N N f A E L FJ1CH ACODENT $ 100 O00 00 (Mantlato/MEM M} 1 AifliC-400 703366d-201fiA 114/2016 114t2017. Ea DISEASE' EA EMPLOYEE $ 1OO,ODO 00 `.y if yyees�dIPTION OF O EL DISEASE POLICY.UMIT $ :�DtSCRIPTfON OF OPERATIONS below 500000.00- a -<:' :.:> ...< .-:: DESORIPTON OF OPERATIONS f LOCATIONS!VEHICLES(Attach RCORLJ.t01 Additional Remarks Schedule ff more space is required} t CERTIFICATE HOLDER CANCELLATION Cataldo BgII0grS 172•East Falmouth Highway SHOULD ANY OF THE ABOVE;DESCRIBEDPOLICIES BE CANCELLED BEFORE East Fatmouth,MA 0253fi THE EXPIRATION DI -THEREOF, .NOTICE WILL BE f)ELNEREU. IN ACCQRDANCE W{TH THEPOUCY PROVISIONS a, i A001iED t'i£PRESENTATIVE ^� . P I . ® ACORD 25 2Df0fD5 1988 2p10 AGQRD CORPORATION AU rtghts reserved The ACORQ:name and logo are registered marks Df AC(?RD i R;7 R/1 I O: Page 3^or 3 2016-05-25.09:4o U`.i ES 1 161.`EStWU253 rrOfn:Kathy MCC;UrO' I`a AAi AC4 a7'e'f8 _..DATE(NIMMO)YYYY) `...44 CERTIFICATE OF LIABILITY INSURANCE 5/2s/201, THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE.CERTIFICATE HOLDER:TIIIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND,'EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFtCATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER($); AUTtiORIZED REPRESENTATIVE OR:PRODUCER,AND THE CERTIFICATE HOLDER: IMPORTANT: It the certificate holder is an,ADDITIONAL.INSURED,.the policy(ies)must be endorsed t If SUBROGATION'IS WAIVED,subjectto the terms and conditions of the policy.certain policies may require an endorsement..A statement on tlTis certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER -I� 1Cdth1lee-.MCCUrYl.] ONE T. Edmund Garrity & Co.., Inc. P(G No Extl (`617).3S6:-4640 A/C .,_7)954-5828 545 Concord Avenue, suite 16 AoDREss.kathy@garrty= n,vraace,corn INSURERS AFFORDING COVERAGE: _ NAIC:# Cambridge MA 02158 .!msuRERA:3cottsdale Insurance _.. INSURED INSURER a:CITATION '40274 Mark Lemon DBA: ML: and.Son Construction INSURER CMart€ordUnderwriters. 30304: 490 Pitchers way INSURER D.- PO Box 423 _ -:INSURER E West Hyannisport. MA 02672 INSUkRF: COVERAGES. CERTIFICATE NUMBER: REVISION:NUMBER . THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED-BELOW HAVE BEEN,ISSUED TO THE INSURED NAMED ABOVE FOR,THE POLICY'PER100 INDICATED. NOTWITHSTAND!NG.ANY-REQUIREMENT.TERM OR CONDITION OF ANY CONTRACT OR 07HER.DOCUMENT WITH RESPECT TO:WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED.BY THE POLICIES DESCRIBED:.HEREIN IS:SUBJECT TO ALL THE.TERMS,: EXCLUSIONS AND CONDITIONS OF,SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR - PO'C EFF -POUCYFXP' - LTR TYPE.OF:INSURANCE. POLICYNUMBER. R9B110DJYYYY 61mapffYYY' .. LIArm. X CON MERCtAG GENERAL LIQf31L17Y - BEACH OCCURRENCE :S- i'000y,00.0 CLAMS-AAEQ' CCUR DAMACe TO RENTED A PREMISES Ira I=turence -2. 50.1000. CRS2442067 S/712038 5/TY2017 A9ED-E$P(Anycneparsan) :'$: 5,,000: X $1.,.000 Eeftetible -PERSONAL8:ADViWuRY Ls- 1,000_,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE '8 2,600,000 POLICY E!LOC PRODUCTS-COMPIOP AGO :S 1,000,00:0 :.OTHER: ..5 AVTOMOBILE:LIABILITY - .COMBINED,SINGLE LIMIT 1:,000-.,000 Gd n B ANY AUro. -BODILY INJURY'IPer person) :S .. ALLOWNED- SCHEDULED AUTOS :IX AUTOS.. �SbS'PLT 6/19/2616 6/14/201T BODILY INJURY(Per atGtlem)FS X HIRED AUTOS `$ NON-OWNED PROPEFMYBAMAGE. IAUTOS Per accid t 5 ULABRELLA:BtAB H2OCCUR. EACH OCCURRENCE �S EXCESS IJAa CLAIMS;MADE' 'AGGREGATE -S DED :RETEIJTION WORKERS COBIPENSATIom. -PER OTH i AND EMPLOYERS'LIABILITY Y/N i I STATUTE..` ER'. _ ANY PROPRIETORMARTNERIEXEC`JT1VE ❑ - EI..EACH ACCIDENT �S 1U0 000 OFF 10EWMUZER EXCLUDED? .. WA G .. (Mandatcry.IONH) A00515N280, 5/18/2016 5y18/2017 E.L.,DISEASE-Ei.EMPLOYE S. If yes,desedbe.under . DESCRIPTION OFOPERATIONIS betav- .. ._... .. E.L.DISEASE:-:POLICY LIMIT..5 I00--Q00 DESCRIPTION:OF OPERATIONS I LOCAPONS'/VEHICLES-(ACORD 101,Additional Rernarks:Schedule,may tie attached It,more apace is nquhed). -- The Workers- Compensation policy does not provide coverage. for Mark Lemon.. Cataldo Custom Builders Inc is named additional insured for.general liability:if so required by written contract as it relates to named i:nsured's operations:: CERTIFICATE HOLDER CANCELLATION' (508)457-1155. SHOUID'ANY OF THE ABOVE:DESCRIBED POLICIES BE CANCEILLED BEFORE Cataldo Custom Builders Inc. THE: EXPIRATION DATE- THEREOF„ NOTICE WILL BE DElIVB_RED IN 172 East Falmouth Highway ACCORDANCE WITH THE POLICY<PROVMONS. East Falmouth MA 0253$ .AUTHORIZED REPRESENTATIVE. W Garrity/KATHYl 1-- ©1988-2014 ACORD CORPORATION.All rights reserved. ACORD 25(2014101:) The.ACORD name.and logo:are.registered marks of ACORD IN5026'/�mam 1 ACCORaCERTIFICATE OF LIABILITY INSURANCE Page :1 of 1 09/2/20 ' THIS CERTIFICATE IS ISSUED AS.A.MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE.HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT::If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must be endorsed. If'SUBROGATION.IS WAIVED,su.biect to the terms and conditions of the policy,certain policies may require an endorsement..A statement on this certificate does not confer right6 to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT Willis of Tennessee, Inc PHONE FAX c/o 26 century Blvd. 877-945-7378 888--4.67-2378 P.O. Box 305191 AIL-ADDRE certificates@willis.com Nashville TN 37230-5191 - INSURERS AFFORDING COVERAGE NAIC# INSURERA:Zurich American Insurance Company 16535-005 INSURED Installed Building Products LLC INSURER B:American Guarantee ✓E Liability Insurance 26247-004 dba MAP Installed Building Products INSUREIC:Ironshore Specialty Insurance Company 25445-062 165 State Rd (02562-2415); P. O_ Box 1309 WSURERD: 3agamore-Beach, MA 02562-1309 INSURER E: � INSURER F; COVERAGES CERTIFICATE NUMBER:24688457 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED.NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH.RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED:OR MAY PERTAIN.THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPEOFINSURANCE DDL SUB POLICY NUMBER POLICY EFF 'POLICY EXP,. LIMITS A X COMMERCIAL GENERAL LIABILITY Y Y GLO 9139521-10 0/l/2016 16/i/2017 EACHOCCURRENCE $ 2 060 ,000 DD ��EE77 ao�urnce '$ 1,000,-000 CLAIMS-MADE OCCUR P� ISES • MED EXP(Any one person) $ 10,000 PERSONAL B ADV INJURY .$ 2- 000 000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 4.000.000 POLICY I PRO LOC PRODUCTS-COMP/OP:AGG $ 4 000 :000 JECT X OTHER: $ A AUTOMOBILE LIABILITY Y it BAP 6156.620-00 10/1/2016 10/1/2017 COMBINED SINGLE LIMIT (Ea accident) $ 2,000,.000 X ANY AUTO 60DILYINJURY(Per person) $ ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY(Peracddent) $ 7f. HIREDAUTOS X NON-OWNED PROPERTY DAMAGE AUTOS (Per. dent) '$ $ B X UM13RELLALIA13 .X OCCUR y Y AUC.S3142067-05- 10/1/2016 10/l/20.17 EACHOCCURRENCE $ 10 000 000. EXCESS LIAB CLAIMS-MADE AGGREGATE -$ 10,000,000 DED I RETENTION$ - Retention $0 . $ A WORKERS COMPENSATION IUIH- )t WC 9139526-10 (AOS) 10/1/.21Y16 10/1/2017 X P R._ AND EMPLOYERT LIABILITY WN- A ANYPROPRIETOR/PARTNER/E N Ni-A Y WC 91395,28-10 (WI) 10/-1/20.16 10/1/2017 ELEACHACCIDENT $ 1,000,000- _OF.FICER/MEMBER EXCLUDED?XECUnVE (Mandatory,inNH) ELDISEASE-EA EMPLOYEE.$ 1,000,00.0. ((f yes;descnbe under _ DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 1,000„000. C Excess Automobile Y y 002907300 10/1/2016 10/1/2017 $3,000,060. Excess of $2,000,000 underlying automobile DESCRIPTION OF.OPERATIONS/LOCATIONS/VEHICLES:(ACORD 101,Additonal Remarks Schedule,may be attached if mom space is required) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED'POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE- - Cataldo Custom Builders 172 East Falmouth Highway East Falmouth, MA 02536 Co11:49153839 Tpl:2083922 Cert:24'6 457 ©198t)-2014 ORDCORPORATION.Ailrightsreservet ACORD 25(9014/01) The ACORDname and logo.are registered marks of ACORD ACO® DATE(MMIDDIYYYY) `� CERTIFICATE OF LIABILITY INSURANCE 10/26/2016 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND-THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT NAME: William Nolan NOLAN INSURANCE AGENCY jP,,H,cNNE, , (508)224-3600 FAX C No: E-MAIL BILLNOLANJR@NOLAN-INSURANCE.COM PO BOX 938 INSURERS AFFORDING COVERAGE NAIC# MANOMET MA 02345 INSURERA: TRAVELERS INDEMNITY CO OF AMERICA 25666 INSURED INSURER B: SHANAHAN DRYWALL AND PLASTERING LLC INSURERC: INSURERD: PO BOX 1126 INSURERE: PLYMOUTH MA 02362 1INSURERF: COVERAGES CERTIFICATE NUMBER: 97203 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. ILTR TYPE OF INSURANCE ADDL SUBR POLICY EFF POLICY EXP POLICYNUMBER IMMIDDJYYYYJ IMMIDDIYYYY) LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ CLAIMS-MADE OCCUR DAMAGES(RENTED PREMISES Ea occunence) $ MED ECP(Any one person) $ N/A PERSONAL&ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ POLICY JEo- LOC PRODUCTS-COMP/OP AGG $ OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ Ea accident ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED AUTOS AUTOS N/A BODILY INJURY(Per accident) $ HIRED AUTOS NON-OWNED PROPERTY DAMAGE $ AUTOS Per a:.deed $ UMBRELLALIAB OCCUR - EACH OCCURRENCE $ EXCESS LLAB CLAIMS-MADE N/A AGGREGATE $ DED I I RETENTION$ $ WORKERS COMPENSATION V PER OTH- AND EMPLOYERS'LIABILITY YIN /� STATUTE ER ANYPROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $ 500,000 A OFFICER/MEMBEREXCLUDED? WA NIA NIA 6HUB4927P31616 11/05/2016 11/05/2017 (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ 500,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT I$ 500,000 N/A DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,maybe attached if mope space is required) Workers'Compensation benefits will be paid to Massachusetts employees only.Pursuant to Endorsement WC 20 03 06 B,no authorization is given to pay claims for benefits to employees in states other than Massachusetts if the insured hires,or has hired those employees outside of Massachusetts. This certificate of insurance shows the policy in force on the date that this certificate was issued(unless the expiration date on the above policy precedes the issue date of this certificate of insurance). The status of this coverage can be monitored daily by accessing the Proof of Coverage-Coverage Verification Search tool at www.mass.gov/lwd/workers-compensationfnvestigations/. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN C8tald0 Custom Builders Inc. ACCORDANCE WITH THE POLICY PROVISIONS. 172 East Falmouth Highway - AUTHORIZED REPRESENTATIVE East Falmouth MA 02536 Daniel M.Cr y,CPCU,Vice President—Residual Market-WCRIBMA ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD Sharen Rabesa MurrayandMacDonald (.1/1) 05/02/2016 02:01r59 PM -04C ALC�ll& DATE Immiomyryl. �..-+�' 'CERTIFICATE OF LIABILITY INSURANCE _ 5/2/2016 THIS CERTIFICATE IS ISSUED AS A_MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURERIS), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE'.CERTIFICATE HOLDER IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must`be endorsed. If SUBROGATION is WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the Certificate holder In lieu of such sndorsement(s). PRODUCER- - NAME:, Andrew Roth Murray 6 MacDonald Insurance Services, Inc. PHONE o eR, (508)540-2400 X pa Is0et2a9-ails 550 MacArthur Blvd. E-AIAIL :and 0riskadvice.:com ADDRESS:. y INSURER(S)AFFORDING COVERAGE NAIC& Bourne MA 02532 INSURERA:Hartford Fire Ins; co 19682 INSURED INSURER.B:Guard Insurance Group Joe Ores Carpentry., Inc.. -,INSURER C.; Po Box 661 INSURERD': INSURERE: _ North Falmouth AA 02556 INsuRERF::"- COVERAGES CERTIFICATE NUMBER:16-17 Master REVISION NUMBER:" THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE.INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS; EXCLUSIONS AND CONDITIONS OF SUCH POLICIES:LIMITS SHOWN MAY HAVE'BEEEN REDUCED BY PAID CLAIMS. IL R TYPE OF INSURANCE- RUDE SUSR POLICY EFF POLICY EXP - lam&aPOLICY NUMBER MMIDDIYYY MWDDIYYYY UNITS X COMMERCIAL,GENERAL LIABILITY EACH.00CURRENCE S 1.,000,000 A CLA1FdS-MADE,❑X OCCUR PRFMISE5(Ea accurrente. S 300,000 083BAR25427 4/20/2016 4/20/2017 MEDEXP(Any one person) - S- _ 10-,000 PERSONAL"&ADVINJURY $ 1,000„000 GEN'LAGGRECATE U1.11TAPPUES-PER:- -GENERAL.AGGREGATE $ 2,000-,000 X POUCY PRO- • JECT LOC PRODUCTS--COMPTOP AGG.- $ 2,Il00_000 OTHER: _ .._. :Noncwned__ S 1,:000,.000 AUTomoeiLEuAsuTY COMBI l E SINGLEUMIT $ L-a acadentl__ ANY.AUTO BODILY INJURY(Per person) $ ALLOWNED SCHEDULED BODILY INJURY-(Peracc"-sfm $ AUTOS AUTOS 0 .... NON-OWNED PROPERTY DAMAGE _ 'HIRED AUTOS. AUTOS Per acaden $ . . ..-.. $ .. UMBRELLA:LIAB. ..00CUR- EACH OCCURRENCE. $ EXCESS UAB CLAIMS-MADE AGGREGATE- $ DED I I RETENTION$ - : $ _ VIORHERS COMPENSATION _ STATUTE ER-AND EMPLOYERTLIABILITY YIN ANY P2OPMEWRIPARTNERID(ECUTIVE EL EACH ACCIDENT $ 5000.000 DFFICERIMEMBER EXCLUDED? NIA. B (Mandatory In NH) JOAC66eS6:1 4/30/2016 "4/3012017 E.L.DISEASE-EA:EMPLOY S: 500-,00C 11 Yes,desaibe.under DE SCRIPTION.OF OPERATIONS below E:LD7SEASE.-POLICY LIMIT $- 500 00C LR PTION OF OPERATIONS T LOCATIONS I VEHICLES.(ACORD-101,.AddEUorml-Reins*s Schedule,maybe attached If more space is required) CERTIFICATE HOLDER CANCELLATION (508)457-L155 SHOULD ANY Of THE'ABOVE DESCRIBED POUOIES BE:CANCELLED BEFORE Cataldo Custom Builders Inc. THE EXPIRATION. DATE THEREOF, NOTI£E WILL BE. DELIVERED IN 172 East Falmouth Highway ACCORDANCE WITH THE POLICY PROVISIONS. East Falmouth; NA 01536 AUTHORIZEDREPRESENTA TIVE. S Harrington., CIC/SI~+IEl �S�r.fx_ 1888-2014ACORD CORPORAMON. Ali rights"resenrl ACORD 25(201,41,01) The-ACORD name and logo are registered marks of ACORD NS025(ni401) 09/16%2016 13:03 FAX 15085283887. Keefe Insurance DICEC-1 OP ID:LF CERTIFICATE OF LIABILITY INSURANCE °"0911612016 ' " PRODU— Phone:508-528-3310 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Keefe Insurance AM.Inn ONLY AND CONFERS.NO RIGHTS UPON THE CERTIFICATE 61 West Central Sheet HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR P.O.Box K ALTER THE COVERAGE.AFFORDED BY THE POLICIES BELOW. Franklin MA 02038 Robert Kern INSURERS AFFORDING'COVERAGE NAIC9: INSURED James DiCeceo PaUltin INst�Ea a A1M Mutual Iris.Co:. 330 Edgewater Drive west East Falmouth,.MA 02536 IasiRERarravelers Ins.CO. INSURERC: IHsURER o: INSURER E: COVERAGE THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THEINSUR D NAMED ABOVE FOR THE:POC(CY PERIOD INDICATED.NOTIMTHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WH)CH,THIS CERTIFICATE MAY SEISSUED OR MAY PERTAIN;THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS;EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS: INSR PO=NUIIBETL PWJCY- POLICYEXPWA .. UNM GENEMUAMLRY EACIIOCCURRENCE S 1.000,000 8 X COMMERCIAL GENERAL LIABILITY 6803E3%M 0212812016 02/28/2017 S 300,000 CLANS MADE.a"OCCUR MED EXP(Ary am Mff=Q E.. 51000- PERSONALSADV INJURY S 11000,000 GENERALAGGtLEBATE'. '..5- $000,000 i GERL AGGREGATE LIMIT APPLIES PER: PRODUCTS_COa+IDWAGG:E 2+080.000 POLICY PRO- LOC AV MOMLE LIABILITY COMBINED SINGLE IMF ANY AUTO (Ea aoaldean) S ALL OWNEDAUTOS: BODILY INJURY s SCHEDULED AUTOS (PER PERSON) HIRED AUTOS _. '-BODILY INJURY _S NON•OWNED AUTOS (PER ACCIDENT) PROPERTY DAMAGE (PERACCIDENT) S GARAGEUABRRY AUTO.ONLY-EAACCIDENT -3 ANY AUTO �OTi1FJtTHAN EAACC 'S AUTO ONLY; AGG S. EXCESS I UMBRELLA UABILIY - EACH OCCURRENCE S .. OCCUR CLAIMS MADE AGGREGAM S DEDUCTIBLE RETENTION S g WORKERS COMPENSATWN- - - - STATLY:. 0& AND EMPLOYERS LWBtCRY . . .. . YIN A. ANY PROPRIETOWPARTNEREXECUMPE WC40070277882016A 10101i2016 1Q301/2017 ELFACHACCIDENT 'I 1�.= OMCERMIEMBEREXCLU0E0? ( aR'In" ❑ EL DISEASE_-EA EMPLOYEE S 100,000 1f Yes,daefteunder - ECIAL PROVISIONS bAw E:L DISEASE-POLICY LIMIT 'S 600sQ00 07HER DESCRIPTION OF:OPERATNINSI LOCATIONS IV>SI=M6EIAUSKHIS--ADDEDBY:@10DlISEDDJfTISPSaAL_PROY S: Painting CERTIFICATE HOLDER LANCE TION' . CATAL-3 -SHOULD-ANYOFTHEABMDl HEDPOUCMSBECANMLEDBMRETHEOO"ATION DATETHEREOF,THE ISSUING:NSURER waL ENDEAVOR TO NPJL 10 DAYS WRITTEN alald0 Custom Builder,Inc. Ralph C�aid(r ►iOTICE TO THE CERTOWATE HOLOM NAMED TOTHE LEFT;EUT FAILURE TODO SO SHALL ;R - 4Fax:508-4P-1t55 IMPOSE NO OBLIGATION OR:LIABILITY-OF ANY-IOND UPON.THE.INSURER Irs AG IS OR 172 East Falmouth Rd. REPRESENTATIVES. East.FalmOuth,INA 0Z536 AUTHomzED REPRWENTATIveRObert F. ACORD 28(2009/01) 0'1988-2009 ACORD CORPORATION. All rights reserved. The ACORD name.and logo are;registered marks.of'ACORin ~� The Commonwealth of Massachusetts Department of Industrial Accidents 8MC8 sf®fim,0890M 600 Washington Street � 5 Boston,Mass. 02111 Workers' Compensation Insurance Affidavit-General Businesses address: 1-72 CAs-1 AtA&au,-4 �I1� City �i• 1 R'f1.1�«►l�J tt state: iY A zip:Patio phone# 41 work site location(full address): fta 130 LOWE CeNT V(u-(''� ❑ I am a sole proprietor and have no one Business Type: ❑ Retail ❑ Restaurant/Bar/Eating Establishment working in any capacity. ❑ Office❑ Sales(including Real Estate,Autos etc.) ❑ I am an employer with gn loyees(full& art time . ❑ Other I am an employer providing workers' compensation for my employees working on this job. CompanV,neme. . 1Vll�'"� Ay I�iJNrJl![.r;A_G1`L address: •0. rJIJjQ city: phone It: insurance.co. l' bF I am a sole proprietor and have hired the independent contractors listed below who have the following workers' compensation polices: corapuny name. MC6 .. .: em c j address.. t'.�• ��G ..1 .. 138 phone'# � insurance co. / / L . CoinpanY address:. `f city: ��. M a � UA &�.,�e insurance olicv# Z. �.� Failure to secure coverage as required under Section 25A of MGL 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one years'imprisonment as well as civil penalties in the form of a STOP WORK ORDER and a fine of$100.00 a day against me. I_ understand that a copy of this statement may be forwarded to the Office of Investigations of the DU for coverage verification. I do hereby.cerfify a er the pains and penalties of perjury that the information provided above is true and correct Signature Date ©1 ��s Print name 6• Phone# ng PF official use only do not write in this area to be completed by city or town official F: city or town: permit/license# WMT ca h' p. ❑Building Department s s; ❑Licensing Board ❑check if immediate response is required ❑Selectmen's Office []Health Department . contact person: phone#; ❑Other (revised Sept.2003) The Commonwealth of Massachusetts Department of Industrial Accidents d J 600 Washington Street Boston Mass. 02111 Workers' Compensation Insurance Affidavit-General Businesses name: l�l�l.��QM address: 1—7 li iAs1 FAL*cuj)4 PN Y city C5 Fl./ OU 17 state: U zip'626-Y43, phone#�%, g -44 t 11 :_ work site location(full address): 3d9 1 A 7► Uti C CE:IV 1 Epw(U ❑ I am a sole proprietor and have no one Business Type: ❑ Retail ❑ Restaurant/Bar/Eating Establishment working in any capacity. ❑ Office❑ Sales(including Real Estate,Autos etc.) ❑I am an em foyer with em loyees(full& art time). ❑Other I am an employer providing workers' compensation for myemployees working on this job. a *0� comPaIIV:name. I KXINV�t�C�l i�f&r1,G :. INC,I address: _P6 �Jt3 'L City. 0b Phone# CJ insurance co. 1 ohcR/F . # d .1 I am a sole proprietor and have hired the independent contractors listed below who have the following worker ' compensation polices: cbmckc b address:.. city: . _ �7 Phone i � insurance co. /F/M0// company nanle. t `Ivl�wt�- v� j adtiress� �0(1 ��iL.t2�i Pal t:%. �_ Q city T R'L-MU T" MA insurance co. ohcy# ^' 6A Failure to secure coverage as required under Section 25A of MGL 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one years'imprisonment as well as civil penalties in the form of a STOP WORK ORDER and a fine of$100.00 a day against me. I understand that a copy of this statement maybe forwarded to the Office of Investigations of the DIA for coverage verification. I do hereby certify under the pains and penalties of perjury that the information provided above is true and correct Signature J Date f OJC 2— l(. Print nameI Phone# � "�z.='.d' .& .��x"' � a ".?�,;M`" ,a3 �, sa Fofficia]use only do not write in this area to be completed by city or town official city or town: permit/license# []Building Department l ❑Licensing Board ❑check if immediate response is required ❑Selectmen's Office El Health Department an contact person: phone#; ❑Other (revBed Sept.2003) `�'..5v.2<:,'"k�-�^."�.� n.�';<•`�'��r�>� r�✓'�.,,c"`-=a-���`�-..'6iir_L �_ k'�k""aa.Y+e 'wN""�'e",��y,��'T��i.�-�..w"`".�`�:���ef�c�,��� '.�-`-_7" e�`"✓�F ��€ ,"�.' �� Client#:62727 CATALCUS 'ACORD. CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) 10/15/2o1s THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHOREZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT:If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must be endorsed.If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement.A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER NAME: Sarah Hughes Martha's Vineyard Ins Agcy-ED PHONE 508 627-7111 FAX A/C No Ext: A/C No:508 627-7851 PO Box 998 E-MAIL g ADDRESS: shughes@mvinsurance.com Vineyard Haven,MA 02568 508 627-7111 INSURERS AFFORDING COVERAGE NAIC r INSURER A:Associated Employers Ins Co/AIM INSURED INSURER B Cataldo Custom Builder's Inc. INSURER C: 172 East Falmouth Highway INSURER D East Falmouth,MA 02536 INSURER E: - INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE ADDL UBR POLICY EFF POLICY EXP LIMITS LTR INSR WVD POLICY NUMBER MM/DD MM/D COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ CLAIMS-MADE OCCURS EaErr�cePREMISE MED EXP(Any one person) $ - PERSONAL&ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ PRO- POLICY JECT LOC PRODUCTS-COMP/OP AGG $ OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS AUTOS NON-OWNED - PROPERTY DAMAGE HIRED AUTOS AUTOS Per accident $ $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LAB CLAIMS-MADE AGGREGATE $ DED RETENTION $ A WORKERS COMPENSATION WCC50050128952016A 1/30/2016 01t30M17 X IPER OTH- AND EMPLOYERS'LIABILITYTATUTE ER Y/N ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $500 000 OFFICER/MEMBEREXCLUDED? F N/A (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $500 000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $500000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space is required) CERTIFICATE HOLDER CANCELLATION Town of Barnstable SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Barnstable Town Hall ACCORDANCE WITH THE POLICY PROVISIONS. 367 Main Street Hyannis,MA 02601 AUTHORIZED REPRESENTATIVE @ 1988-2014 ACORD CORPORATION.All rights reserved. ACORD 25(2014/01) 1 of 1 The ACORD name and logo are registered marks of ACORD #S872021/M788535 EHS - - - a The CaamonwwM qfMaussadrus&& pa rtwerrt efradastrid Acdd— 600 FF tEn &r--et Boston,M4 0211.1 'Warke& Campensaifffn lnsn-2ace Affidzut Bmfldersff bnt r=hws l ecft c-mn wlPh bei-s APPHcaa# PleasePrint Nam GAV&M W5-TW WQ?�5 1Kc. Ai&e= _(71 EASr FALAkfjUTA kic�� 1P GtyyyIS FMAOUTO i* ®z!�36 > -%9 =t t3� Are YOU an erapIoyer?f�eckthe appragriate Type of pTujeet(regime*_ L❑ I am a employer wfth 4_ and I * e heed&e sulr-cvad�aofas 6. ❑New c=s6r ' employees(fish arcdtor part-�ime�. 2.❑ I am a sole propiietmr orpar f u - listed cmthc attached sheet: ode g ship and have no employees These sob-c=hwAam have, 9 Q Demoldon wad-Ina hrmein any sty em3plarea andhaue woAmrs' 9_ ❑Bn'1�ad3itioa. - LNO WO&M S,'COMP.rnvxa„r-4 camp.RLS= a-I d 1 5- ❑ We are a cmparatiaa and ifs 10_❑El�cai or adcr�feans 3_❑ I am a hamrouner doing all wmk officers hm caged their . 1L0 Plumbmgrepaus or ad(RHM& myu4f[Noworkers'o=p- ugh of eseo6m per M(M L.0 F.na repass isfc "CerP�re&]i c.M§I(4).and weIweno employees:L N o worms' I3.0 o&er coaq_iasmaace required_ 'AspapgFr��Hsstcber sbozKmastalsofiIIa tl�esec�a¢heTa� ��ea�rodcexs�m¢ap�+•m++"••peyc3ri rm # udm saw i�S CIF IDF��•��4 s��s�sad H2ea.l�e a�rtsid�coai�ci��st suh�t a nec�s�da�rt mdi�sarIL 'GM=M=M' 9141-1-9&bmt=statta sasddifi she gt�eazmeoEtbesadca�z�c sad st�9rhetb�otnatfhosee shsa� • ernp3cyees.Iftheslta�e�of�s�Y�-F��f�aR ''�P-Fo�S��� .' - I am ara erripb�er t7ifrtis pr�xs.�iriutg�aarkets'cOe>r�erisrdtott u�srircr�cs for isry em�ln} �etafv is fJfB prr&cp�jQls STfB • �farmakafs •i /� • Ias.=r a c k omgaap ar$e: �C 1 � P &cy¢or f-i —rL Wec o®67P 12S95 zO(b A Espif rtDafe_ qaql p Tob S Addceg� l � -Y C' 15 �• : � mu� nab t�b3Z tuft ich a copy of the warka-e mnpensafloapolicy decoration page(showing the porky mmEber and mph-ation date). Fatlnm fn secure coverage as required under Serf 25A ckf M;i of a fine up to$l,5aa OQ an or one-yearimprism ment as well as curl penalties m the faint of a STOP WORK(MEMand a i>n� of up to$250FIQ a&y aazinst the viol2dnr_ Be advised dmd a copy of this rbkme t maybe fxvmded tis the Office of Isvestigabons of the DIA for===ce covemge vea&ahaL Ida Iteraby c #J,andcr&a pains aced pmaItier qfgerfuq ffu&th r ucf ormatida prm--fdod abm is bw and correct �i - IIatJAIZ ( Phone i O.'&g — t),�al use aa� i]o ucrt frets Erf ifs area€a b�caarrpTet�by eify arta�rrr a;(j`iergt . City or TasaM: Per�lLiceEsse� , Lssaing Amflarfy(circle one): L Board of nwiffi y Dmi3mg Depart 3.fa-rrawn,amk 4L EIIech ical bzp� S.1'hmbim Inspadms 6.Other Contact reman: Phone 6 �J Y "■Irw�■.- ■�- .■••/tr �/t•t i•. I �\lt■ •'�R a• tl •• t- •••7■1rR .•1■■n r■ :n•n n1 [\ ■ r!■1■ • � •• - - r r •■ u i• - r • :n■u r m. :n .•nu .r • was . ■ %�11 I .I ■�3■t•�■ - ..■ [••1 \I.Y rt:■ ■•�R.■/. 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":•■ ■u■: ■• _n• r-.■ . t - u i7 n n r rn■ II r[ -'tPn■•r ••tt ■ I . •w►■ - Ir �+■ ■Ptn•.1 t ■.11■■■ a■ ..■ r:nl ■■.1 t■ t •+■.■\ 1 n ■1■tr r.•I■I■ .1■ :1�• r:n•l1 n -■l' J r■ r:1 \r►t •. - • ■■ ••.■.\/■ ■�rwi.. .n t [t■•.:i •. 111' ■l7 i.Y ■ .1■■ r.■n ■• ■ •'.n' •• • it- �■\. t■.1 •. ■rr■ .i!. r■nu rr •1 n ds.lrt r• U 1 :■.. r•:n. : •1 •• O- : \ %!/.• t ■■ 7 a■7 nnu - ■rot L • rr■ w ■ • �.■. 1 nit •" :11�• • 1 J ".■ tf\r ■•I\ - ••'■r • Mn /r■ •■Yttn■t ►•1■� •1 ■r■■■ 1 ■• :1•�■ [• .tt •.Y■■`. ■ r.l■■tn r R- •�••r1 _ ■•• .rr r .il[t■1 [• • I!! �■ : I •rR•7■ � �t n■ ►! [1 .•IIU rt" ■n [■■- ' ■- • ■■ • I •w■':I■■11 •'•■ • ..' to is..• •■t n \ -Ir r •7 ••t[ r••r r .■••1■ .■t• ■I■ ■ ••I ■-• .■• •■^■.I• r •. ■• I.�rolru 11 'J• rA .r I tr O r■a ■n r■ :.n r r•Dials] .0! r. ■ton r r 1•i11.1 rr1 wr i r g3ib71�• ►. /�� r- ail v �. Message Page 1 of 1 Anderson, Robin To: Julie Talbott IDulietalbott@mac.com] Subject: 309 Bay Hi Julie, It was very nice to meet you today. Thanks so much for bringing in the blue prints. I have reviewed them with the Building Commissioner and installed them in the corresponding street file for future reference. The Commissioner is satisfied that you are entitled to that apartment and the unit may remain as of right. I am reminded of an old saying about once you get Cape Cod sand in your shoes that you are destined to return. Good luck with the conveyance and I hope you find your back here again. OVRS61. Robin C.Anderson Zoning Enforcement Officer 200 Main Street Hyannis,MA 026oi 5o8-862-4027 4/11/2016 Message Page 1 of 1 Anderson, Robin From: Anderson, Robin Sent: Friday,April 08, 2016 11:47 AM To: 'Julie Talbott' Subject: RE: 309 Bay Lane information Hi Julie, Thank you for sending over the photos. It was very once talking to you yesterday. I have a better understanding of the property after our conversation when I reviewed the photos. I reviewed your material with the Building Commissioner this morning. While he hesitates to declare this a pre-existing non-confirming use as we lack independent documentation,he has agreed this was likely original construction and as such he has found it to be in keeping with properties in that area of that period. As a result,the Commissioner is willing to allow you to retain the sink& island intact as you have noted the removal of all of the appliances. I have assured the Commissioner that the buyer's intention is to renovate the house and create a family room in this space,and so the property shall be conveyed as and declares to be,a single family home. Please let me know if you require additional information or clarification. 0�ghln Robin C.Anderson Zoning Enforcement Officer 200 Main Street Hyannis,MA 026oi 5o8-862-4027 -----Original Message----- From: Julie Talbott [mailto:julietalbott@mac.com] Sent: Thursday, April 07, 2016 1:08 PM To: Anderson, Robin Subject: 309 Bay Lane information Hi Robin, Thank you so much for your time this morning! It was helpful to get some clarification.on the status of the kitchenette area in the living quarters over the garage of our home. As we discussed,we are in the process of selling the home to a couple who will be paying cash for the house. I apologize that you were not treated with the respect you deserve when speaking with their architect. We are trying to clarify what needs to be done with the kitchenette area in order to legally convey the home to the sellers. We have always been under the assumption that the living quarters, including the kitchenette,were original to the house when it was built in 1950, as evidenced by,the original condition of the appliances and the fact that there is a butler pass-through from the kitchen to bedroom...a dated feature, to be sure. We were quite surprised to find out that it is considered to be in violation of code. I have attached a written history/description of the house,to the best of my knowledge, as well as a few t pictures of the area to show that the style of the area matches the original style of the 1a$ home. Unfortunately, I do not have full pictures of the original stove and refrigerator, sink, etc..as they were not'positive highlights' of the house. 5 4/8/2016 in 1 `1 � r. yu kk - j _ NMI q1 0�� (�,bllJ� <- 3 �I i t fi +alp. Y1� t� - ,`9 . a�� r !�_!R.:L�l;��e'.�'_..9Q�'i.:',:�-SS��P�''.B - F. :5.'!'.�'W±: � Y.-_ e� Pk_'uT:tta�au!araxrnewffi, =',1�G`�1�LT-_.:.�b�_..'S'.,IX� G ' � Zu - ��V �i kticncll � �'°�c- �9 �e�2 �� ��_ '��.. u. '� Y. : M �a� �a� �� ���� � ��. Q -. . . . �p v f Page 1 of 1 Anderson, Robin From: Julie Talbott Uulietalbott@mac.com] Sent: Thursday, April 07, 2016 1:08 PM To: Anderson, Robin Subject: 309 Bay Lane information Hi Robin, Thank you so much for your time this morning! It was helpful to get some clarification on the status of the kitchenette area in the living quarters over the garage of our home. As we discussed,we are in the process of selling the home to a couple who will be paying cash for the house. I apologize that you were not treated with the respect you deserve when speaking with their architect. We are trying to clarify what needs to be done with the kitchenette.,area in order to legally convey the home to the sellers. We have always been under the assumption that the living quarters, including the kitchenette, were original to the house when it was built in 1950, as evidenced by the original condition of the appliances and the fact that there is a butler pass-through from the kitchen to bedroom...a dated feature, to be sure. We were quite surprised to find out that it is considered to be in violation of code. I have attached a written history/description of the house,to the best of my knowledge, as well as a few pictures of the area to show that the style of the area matches the original style of the home. Unfortunately, I do not have full pictures of the original stove and refrigerator, sink, etc..as they were not'positive highlights' of the house. 4/7/2016 { Page 1 of 1 r On this picture, please notice the shelf in corner to the right of the door- that is the pass-through to kitchenette. file:///C:/Users/andersor/AppData/Local/Microsoft/Windows/Temporary%20Intemet%20FiI... 4/7/2016 April 7, 2016 Attn: Robin Anderson RE: 309 Bay Lane,Centerville,MA Hi Robin, I am writing to provide the town with some history of the use of the above-mentioned property,which we purchased from an estate in the name of Florence&Archibald Williams on August 23, 2004.We purchased the home from their estate,as both Florence and Archibald were deceased.When we closed on the property,we were told that nobody was living there. In fact,the adult grandson of the Williams'was living there,and shared his experiences as a teenager and young man staying in the living quarters above the garage , and helping his grandparents by painting the house and doing other maintenance chores around the property over the course of many years. The house is a 5 bedroom/4 bathroom home,with the following description/information from the town of Barnstable website: http•//www townofbarnstable us/Assessing,[propertydisplayscreen16 asp?ap=0&searchpa rce1=186014&searchtype=address&mappar=&ownname=&streetno=309&streetname=baX %2 01 ane&Start=&Offset= 4 of the bedrooms and 3 of the bathrooms are located in the'main'area of the house,and one bedroom and bathroom are located in the living quarters above the garage. In addition to the bedroom and bathroom in the living quarters above the garage,there is a sitting area with fireplace and a small kitchenette. As the home is listed as a 5 bedroom/4 bath home on the town website,and as this area was finished in the same fashion as the main portion of the house,we believe that the layout and use of this area (including the kitchenette) is original to the house,which was built in 1950,and not added at a later time. The original condition of the kitchenette in this area included a very dated'ice box/refrigerator' (with a hinged handle) beneath the counter,to the right of the sink,and a very dated,small-sized electric stove located to the left of the sink. There were open-style shelves above and below this counter,which was made of stainless steel-the same material, that was used for the kitchen counter in the main house. In addition,there was an'island- style'counter in the area,also with open shelves underneath for storage. Built into the wall in the kitchenette was a small,square door with a pull knob,which opened onto a small - ` shelf in the bedroom-a type of'butler'pass-through,which also leads us to believe that the layout and use of this area is original to the home,dating back to its original build date.The fact that this area is original to the home explains why there are no'permits'for it on file with the town of Barnstable. We know that the Williams'were conscientious citizens in these types of matters,as they did obtain permits for dock floats and the removal of underground oil tanks. Page 1 of 1 stainless steel counters the same material that was used on the original counter by the sink in the kitchenette When you speak with the commissioner, we would definitely appreciate the answers to the questions below: 1. If the kitchenette area is deemed to be original to the house, as we think it is, may we convey the house d€"as-isd€TM to the buyers, including the required approval from the inspector, since it is H-grand-fathered'? 2. If there is work that we must do and permits that we must pull in order to obtain approval from the inspector, please outline exactly what that entails, so that our contractor has the proper instructions to do the work according to the Town of Barnstable requirements. 3. If we must do work and obtain permits for the kitchenette before conveying the house to the buyers (scenario in#2), would it be possible to retain the sink and counters as a wet=bar area, rather than removing everything? If so,please let us know exactly what is necessary to be in compliance with the Town of Barnstable in order to pass inspection- please specifically address requirements for removal . of stove/hood, removal and/or storage of the refrigerator, required electrical changes to stove power supply, removal of island and/or any cosmetic fixes that are required. Thanks a bunch, and please feel free to contact me with questions. I.will also be in town from Monday-Wednesday of next week Warmest Regards, Julie Talbott 801-712-0408 iulietalbottamac.com file:///C:/Users/andersor/AppData/Local/Microsoft/Windows/Temporary%201nternet%20Fi1... 4/7/2016 Page 1 of 1 r Anderson, Robin From: MacNeely, Martin [mmacneely@commfiredistrict.com] Sent: Thursday, April 07, 2016 5:42 PM To: Anderson, Robin Subject: FW: Message 2811 Falmouth Road From:O'Neil, Louise Sent:Thursday,April 07, 201610:22 AM To: MacNeely, Martin <mmacneely@commfiredistrict.com> Subject: Message 2811 Falmouth Road A Joe Geary phoned this morning to say that his neighbor Mr. Descente came over last night and harangued him and told him not to bother with the fire department because he is friends with the fire chief and went to school with him (Chief Farrington?) and the fire department will stand by him. Mr. Geary shared other information but I'll let him tell you. His number is 508-681-8041. It appears that Mr. Geary is quite threatened by Mr. Descente. 4/8/2016 309 Bay Ln Unit Centerville, Centerville, MA 02632 - Home For Sale and'Real Estate ... Page 17 of 21 'T,WN t r Pending .. Fullscreen,• Photos Map Street - - - Presented by Judith Grant Brokered by Kinlin Grover Real Estate GEICO Get a FREE quote from GEICO Property Details Schools&Neighborhood Payment Options Property History Property Details Open House None at this timeRequest a Private Showing , Overview Waterfront,views,dock and full of charm-the complete Cape Cod dream!This 5 bedroom 4 full bath Cape offers water views from most rooms,wide pine floors throughout,a first floor master,2 fireplaces, attached 2 car garage,patio and central AC.Situated on 1.6 acres on Scudder Bay,you can explore Bumps River,pristine Long Beach or Nantucket Sound from your private dock.Fabulous location for water sports enthusiasts.The well,maintained home had a new roof,replacement windows and doors' and chimney rebuild in 2011,an updated electric panel,new garage doors and fresh:paint in 2015.There is a separate guest quarters over the garage with its own living room,the 5th bedroom,and bath.This area has its own furnace and AC unit which were new in 2014.The tranquil beauty of this spot makes it a difficult home to leave! Key Facts Schools Style:Cape NRCenterville Elementary http://www.realtor.com/realestateandhomes-detail/309-Bay-Ln_Centerville_MA 02632_M... 4/7/2016 309 Bay Ln Unit Centerville, Centerville,.MA 02632 Home For Sale and Real Estate ... Page 19 of 22 Single family home Year built:1950 Price/Sq Ft:8429 53 days on realtor.com Status:Contingent Features Bedrooms Bedrooms:5 Master Bedroom:1413 Level:First Floor Bedroom#2 Features:Closet,Private Master Bedroom#3 Features:Closet,Wood Floor Bath,Wood Floor Bedroom#4 Features:Built-Ins,Closet,Wood Bedroom#2:11x11 Level:First Floor Floor Bedroom#3:14x9 Level:Second Floor Master Bedroom Features:.Built-Ins,Closet, Bedroom#4:12x14 Level:Second Floor Dressing Room,Private Master Bath,Wood Floor Bathrooms Full Bathrooms:4 Level 2 Baths:2.0 Level 1 Baths:2.0 Kitchen and Dining Kitchen Features:View,Wood Floor Dining Room:12x15 Level:First Floor Dining Room Features:Built-Ins,View,Wood Kitchen:12x14 Level:First Floor Floor Other rooms More Schools & Neighborhood Schools Assigned Schools Score* School Grades Distance Ratio NR Centerville Elementary PK-3 0.5 mi Barnstable School District Nearby Schools V * School data provided by National Center for Education Statistics,Maponics,and GreatSchools.Intended for reference - - only.GreatSchools Ratings compare a school's test performance to statewide results.To verify enrollment eligibility, contact the school or district directly. Around the Neighborhood 309 Bay Ln Unit Centerville is located in Centerville.Here is a price comparison in other areas: Area Median Listing Price/Sq ft Median Sales This home $1,299,000 $429 N/A Centerville $443,000 8241 $290,000 Massachusetts $349,900 $183 $324,900 Nearby Neighborhoods Area Median Listing Price/Sq ft Median Sales Craigville $999,900 `} ^V N/A $399,000M Hyannis Port $449,000 N/A $255,000 Hyannis $289,000 ^� N/A $187,500 Oysterville $2,095,000 N/A $1,450,000 f Street View D v► r .. J http://www.realtor.com/realestateandhomes-detail/3 09-Bay-Ln_Centerville_MA_02632_M... 4/7/2016 — _ i /A dace rC : U�ar�wvl above I6t�-a�.Q q-73 9I q2.�0 Official Website of The Town of Barnstable - Property Lookup Page 1 of 3rn select Language Assessing Division Property Lookup Results - 2016. 367 Main Street,Hyannis,MA.02601 <<BACK To SEARCH<< *Print Friendly Owner Information - Map/Block/Lot: 186 / 014/ - Use Code: 1010 Owner Owner Name as of 1/1/15 TALBOTT,SHAWN A&JULIE A Map/Block/Lot G/S MAPS corn P-) 648 E ROCKY KNOLL LN 186/014/ V� Property Address DRAPER,UT.84020 yV Co-Owner Name 309 BAY LANE U v 1 � Village:Centerville V Town Sewer At Address:No / GIS Zoning Value:RD-1 n Assessed Values 2016 - Map/Block/Lot: 186 / 014/ - Use Code: 1010 6s\( 1 2016 Appraised Value 2016 Assessed Value Past Comparisons ( Building Value: S 206,200 $206,200 Year Total Assessed Value CC.O J Extra Features: $36,200 $36,200 2015-$1,095,600 "`�� 2014-$1.097,000 (J Outbuildings: $42,100 $42,100 2013-$1,098,500 /` 2012-$1,042,400 J� v Land Value: $789,800 $789,800 J_ 2011 -$1,044,700 P .2010-$1,044,900 2 �/ y� 2009-$1,341,100 n 61/• 2016 Totals $1,074,300 $1,074.300 2008-$1,353,900 Tax Information 2016 - Map/Block/lot: 186 /014/ - Use Code: 1010 Taxes C.O.M.M.FD Tax(Residential) $ 1,708.14 /lJy"��p6 1 �/y►p� Fiscal Year 2016 TAX RATES HERE : `•f "" Community PreservatlonAct $300.05 Tax r C t Town Tax(Residential) $10,001.73 $ Ov` rV�Cr b � 12,009.92 Sales History- Map/Block/Lot: 186 / 014/ - Use Code: 1010 i l Ud History: - Owner: Sale Date Book/Page: Sale Price: TALBOTT,SHAWN A&JULIE A 2004-08-23 C174145 $1350000 b WILLIAMS,FORENCE H TR 1993-12-07 #D600738 $1 I �f WILLIAMS,ARCHIBALDJR&FLORENC E TRS1992-08-04 C127425 $1 WILLIAMS,ARCHIBALDJR&FLORENCE 1971-10-15 C52736 $0 1 Photos 186 / 0 14/ - Use Code: 1010 Will http://www.townofbarnstable.us/Assessing/propertydisplayscreen l 6.asp?ap=0&searchparc... 3/22/2016 Official Website of The Town of Barnstable - Property Lookup Page 2 of 3 c�- Sketches - Map/Block/Lot: 186 /014/ - Use Code: 1010 f � }VT 4 f� 0 S',.r � `rg •*�, IV' �. s s — i AsBuilt Card N/A - n Constructions Details - Map/Block/Lot: 186 ! 014/ - Use Code: 1010 Building Details Land I . 6 Building value S 206,200 Bedrooms 5 Bedrooms USE CODE 1010 Replacement Cost S317,182 Bathrooms 4 Full-0 Half Lot Size(Acres) 1.6 Model Residential Total Rooms 10 Appraised Value $789,800 / Style Conventional Heat Fuel Oil Assessed Value $789,800 n�f Grade Average Plus Heat Type Hot Air �f Year Built 1950 AC Type Central t Effective depreciation 35 Interior Floors HardwoodCarpet Stories Interior Walls Drywall Living Area sq/ft 3,026 Exterior Walls Wood on Sheath Gross Area sq/ft 5,338 Roof Structure Gable/Hip D ( Roof Cover Asph/F GIs/Cmp Outbuildings&Extra Features— Map/Block/Lot: 186 / 014/ — Use Code: 1010 Code Description Units/SQ ft Appraised Value Assessed Value GAR Attached Garage 672 $ 13,400 S 13,400 FPLI fireplace 1 story 2 S 5,800 $5,800 WDCK Wood Decking 364 S 3,000 S 3,000 w/railings DKLT Dock-Light 1 S 36,000 S 36,000 FOP Open Porch-roof- 99 S 3,400 $3,400 ceiling BMT Basement-Unfinished 636 S 13,600 S 13,600 PATI Patio-Average 758 $3,100 $3,100. Sketch Legend Property Sketch Legend B2N Bam-any 2nd story area FPC Open Porch Concrete Floor. REF Reference Only BAS First Floor,Living Area FTS Third Story Living Area(Finished) SOL Solarium BMT Basement Area(Unfinished)FUS Second Story Living Area SIDE Pool Enclosure (Finished) BRN Barn GAR Garage TQS Three Quarters Story(Finished) CAN Canopy GAZ Gazebo UAT Attic Area(Unfinished) CLIP Loading Platform GRN Greenhouse UHS Half Story(Unfinished) FAT :Attic.Area(Finished) GXT, Garage Extension Front UST Utility Area(Unfinished) http://www.townofbamstable.us/Assessing/propertydisplayscreen l 6.asp?ap=0&searchparc... 3/22/2016 Official Website of The Town of Barnstable - Property Lookup Page 3 of 3 FCP Carport KEN Kennel UTQ Three Quarters Story (Unfinished) FEP Enclosed Porch MZ1 Mezzanine,Unfinished UUA Unfinished Utility Attic FHS Half Story(Finished) PIRG Pergola UUS Full Upper 2nd Story (Unfinished) FOP Open or Screened in Porch PRT Portico WDK Wood Deck PTO Patio tPrint Friendly IContact !Director of Assessing 1leffrey Rudziak P508-862-4022 F508-862-4722 8:30a.m.to 4:30p.m. III} Helpful Links to Downloads Abatements SALES LISTINGS I Barnstable FD Residential C.O.M.M FD Residential Commercial-Industrial- Mixed Use Cotuit FD Residential Hyannis FD Residential Townwide Condominium 1' W.Barnstable FD i Residential I i Department of Revenue ' f Exemptions Parcel Consolidation j Questions about values Town Tax Rates Town Land Use Codes j ( I {Helpful Maps j All Town Maps f [ Flood Insurance Maps Property Maps { Owned and Operated by The Town of Barnstable-Information Technology Home'I Departments&Services I Boards&Committees I Residents&Visitors I Doing Business I Town Calendar I Phone Directory I Employment I Email Town Hall http://www.townofbamstable.us/Assessing/propertydisplayscreen 16.asp?ap=0&searchparc... 3/22/2016 Page 1 of 3 Anderson,Robin From: Scali,Richard Sent: Thursday,March 17,2016 4:32 PM To: 'Jessica Rapp Grassetti;Lynch,Tom Cc: Ells,Mark;Anderson,Robin;Lauzon,Jeffrey;Perry,Tom;McKean,Thomas;Crocker,Sharon Subject:RE:1469 Santuit Newtown Road,Santuit Thank you for the information.I will have both Building and Health check this location again. Richard ........ ..... ......... __, .......... . ..............-..... ................. ........... ... ......... _ ............_ ...... From:Jessica Rapp Grassetti(mailto:Precinct7@comcast.net) Sent:Thursday,March 17,2016 4:17 PM To:Lynch,Tom Cc:Ells,Mark;Scali,Richard Subject:Fwd:1469 Santuit Newtown Road,Santuit I received another complaint about this house. Would you please investigate for zoning violations,etc,and report? r Thank you, Jessica "Our next door neighbor's house is in deplorable condition and also has a dilapidated barn that collapsed last year during one of the Blizzards which also is an incredible eyesore.There are two trucks full of junk in his driveway that have been that way for months,there are plates on them but not sure if they are really registered. We pride ourselves in keeping our property neat and tidy.and have been dealing with this for many years but now just can't take it anymore.We are also suspicious of perhaps some other things that are going on as well as there are cars coming and going and believe me it is a not a place you would want to visit.Any help or advice you can give us would be very much appreciated.Thank you." Begin forwarded message: From:Jessica Rapp Grassetti<Precinct76a comcast.net> Subject:1469 Santuit Newtown Road,Santuit Date:November 23,2015 at 1:35:51 PM EST To:Lynch Tom<tom.lvnch@town.barn stable.ma.up Cc:Ells Mark<Mark.Ells@town.barnstable.ma.us>,Perry Tom<Tom.Perry(o)town.barnstable.ma.us> Good afternoon, Please see the attached photograph of the property located at 1469 Santuit Newtown Road,Santuit. I received a complaint regarding the major appliances and garbage bags sitting out in the front yard. If you would please investigate and report back your findings. Thank you, Jessica Jessica Rapp Grassetti,President s Barnstable Town Councilor,Precinct 7 Box 1310 Cotuit,MA 02635 (508)360-2504(C) (508)862-4738(0) Preci net7Rcomeast.net W%NV.BarnstablePreciiiet7.COln - - 3/18/2016 I �aPLaT L .. .. do A_ T eE Assessor's map' number .................................. �. GEM SYSTEM av CS Sewage Permit number .......�� ..:...— % � < LA Housenumber ......................................... ................ TOM WAV TOWN OF . BARNSTABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO-6/... �f..7..................... v/! 10� TYPE OF CONSTRUCTION ...fl.:ga ......................................................................................... ................................................19........ �- T®".`+f�E:"=TNS'P�'GTOR" The undersigned hereby applies for a permit according to the following information: Location �.1�.....3G .... !?,!!A� �E�h �✓I`�,l/el. .: 1!�SS .............................................:... Proposed Use G, !F!74 .................................................................................. . Zoning District ........................................ ......... ...Fire'District ......................::....................................................... Name of Owner GH��9l� /�f�Ls�fc��'1'�.��4 re`ss ...3�. �? Jam,.//IJaAll� � � t Nameof Builder .. ..'f.....................................................Address .......................................................... . ................... .Name of Architect ...Address .......................... Numberof Rooms .61..............................................................Foundation ....................................................:...........::.......:... Exterior ....................................................................................Roofing ..............................................................,.. ................... Floors ......................................................................................Interior ...........................:..........:....................:.................:...:.. HeatingrX....... Plumbing ............ ............................. ......................... Fireplace ......���............................. .................. .....Approximate Cost ... D......................................... . Definitive Plan Approved by Planning Board -----------_-------------------19 , Area ................................ ......... Diagram of Lot and Building with Dimensions Fee ............. ..e........................... SUBJECT TO APPROVAL OF BOARD OF HEALTH y .1 IX z 4-1 OD fi �j �� 730�o1y I hereby agree to conform to all the Rules and'Regulations of the Town of Barnstable regarding the above construction. 4 Name .... . .......................... ................ *FF Williams, Archibald & Florence F No .21�AR..... Permit for ....Add•,...to...dwell-ing ............................................................................... •' Location ...30.9...Bay•••Lay..................................... � n ......Centex-v.111e......................................... e c Owner .......Archibald.• �.&••�:�:©re�ee••Wi3:liams ' Type of Construction ..........€•rame...................... ;I i= } Plot ........................ Lot ................................ cf IM rys Permit,-Granted ...................NA.u.....27....19 79 ;. Date of Inspection ............. `........19 a Date Completed )1'1-1.'........ .....1985; Rf t E PERMIT REFUSED °7 !t 19t C ... ..................................................................... z ........................................................... ±L y ....................................................... m C; 'i ........................................................ y' y .................................... 'Zr A 19 Q ra. .t o �.... ...... - }. M S r .��. .:.. ... ..................................................... i.. , Assessor's mawVtnumber .................... . ............ THE T Sewage Permit number .......(/•a rr .�"House number ......................................................................... ro Mae& � O ib39• ♦� omIa� TOWN OF BARNSTABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO . .............. '' !�•,F .................................•:••••.••••••.......................••...•.• TYPEOF CONSTRUCTION ... ........................................... .................................................................... ................................................19........ r TO THE INSPECTOR-OF-BUtLDINGS: - The undersigned hereby applies for a permit according to the following information: Location .... J� ......•lr?.G` c ............t?s ?, .. 1'Y: :/`V'./.!!::�. .. J►lcr: '`. ?:-........................................................... Proposed Use ' .. .`:: .�. ..... Zoning District ........................................./................................Fire District ...�,:. .. �•.., .. ... �..�f.�. .� .`...�....�..f......� Nameof w ..............................................& / 1A d`dress ... ..t ..�. ' Nameof Builder ..�................................................................Address .................................................................................... - 11 Nameof Architect ..................................................................Address .................................................................................... Numberof Rooms ..l..............................................................Foundation .............................................................................. Exterior ....................................................................................Roofing ..................................................................................... Floors ......................................................................................Interior .................................................................................... HeatingVRs..........;."i•h=,• 1 .............................Plumbing .........:... ......................................................... Fireplace ........ `.,'rrr ............:7 ............................ ................................Approximate Cos .c..........................................................� Definitive Plan Approved by Planning Board -------------------------- ;: 19- - -. Area .................................. Diagram of Lot and Building with Dimensions Fees w SUBJECT TO APPROVAL OF BOARD OF HEALTH 4-1 �TL 1 k ff � I I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name ....�:'!.:.. ..: .`' ......................................... Williams, Archibald & Florence Owner on —.1/7 Permit Granted ...(...... 79 Date of Inspection PERMIT/&UISED 4E � ---------------- lg Approved � . � � � . � i -------.--------.—~.—.--..--.— > . ^ ' i � ----------.---.------..---~—. � '�,L I10 pt"m 5 � � yN J, Uo e-jump-start-system/p-SPM77352... 12/4/2013 I i SST. CENTERVILLE-OSTERVILLE-MARSTONS MILLS FIRE DISTRICT DEPARTMENT OF FIRE-RESCUE&EMERGENCY SERVICES 1875 Route 28 Centerville, MA 02632-3117 1926 568-790-2375 x1 • FAX: 508-790-2385 Michael J.Winn;.Chief Martin 01.MacNeely,Fire Prevention Officer Byron L.'Eldridge,Deputy Chief Michael G..Grossman,Fire Prevention Officer November 13, 2014 TO: Tom Perry, Building Commissioner Building Department Town of Barnstable 200 Main Street, - Hyannis, MA. 02601 In accordance with MGL 148, Section 28A, the Centerville-Osterville Marstons Mills Fire/Rescue Department brings to your attention the following potential violation(s) of 780 CMR: Massachusetts State Building Code for your review and/or interpretation of same. NAME/BUSINESS }..;Residence ADDRESS: 309.Bay Lane Centerville OBSERVANCE: During an oil burner inspection on November 4, 2014, I observed an apartment.over the garage of the home., There is one means of egress from the apartment down a stairway to outside. There appears to be no record of this apartment. The homeowner is Julie Talbott. Her contact info is 648 E. Rocky Knoll Ln. Draper, UT 84020, 801-712-0408. There is a tenant renting the entire home, his name is Steve Rich, 413-559-0193. Michael Gro sman . .Fire Prevention Officer 4 C.O.M.M. Fire District 7n CC: Jeff Lauzon, Building Inspector CC ;Robyn And' Zopin9:,officer77 --+ 011 "Commitment to Our Community" SST. CENTERVILLE-OSTERVILLE-MARSTONS MILLS FIRE DISTRICT DEPARTMENT OF FIRE-RESCUE&EMERGENCY SERVICES 1875 Route.28 • Centerville, MA 02632-311md OR�S,T��i�- 1926 508-790-2375 x.1 • FAX: 508-790-23.85 'Tv Michael J.Winn,Chief Martin 912 f\ilachei y-fire Prevention Officer Byron L.Eldridge,Deputy Chief: .. Michael G.Grossman,Fire Prevention Officer November 13, 2014 TO: Tom Perry, Building Commissioner Building Department Town of Barnstable - 200 Main Street Hyannis; MA. 02601 In accordance with MGL 148, Section 28A, the Centerville-Osterville- Marstons Mills Fire/Rescue Department brings to,your attention the following potential violation(s) of 780 CMR: Massachusetts State Building Code for your review and/or interpretation of same. NAME/BUSINESS �.Resldence ADDRESS: ,309,Bay,Lane Centerville OBSERVANCE: During an oil burner inspection on November 4, 2014, I observed an apartment over the garage of the home. There is one means of egress from the apartment down a stairway to outside. There appears to be no record of this'apartment. The homeowner is Julie Talbott. Her contact info is 648 E. Rocky Knoll Ln. Draper, UT 84020, 801-712-0408. There is a tenant renting the entire home, his name is Steve Rich, 413-559-0193. Michael Grossman re Prevention Officer O:'M M;:FIre�Distrlct CC,.J.eff Lauzon .Bulld,i.ng4Inspector CC. Robin Anderson,,Zonrlig Officer - "Commitment to Our Community" Town of Barnstable *Permit# Expires 6 months jrom issue dote Regulatory Services Fee t • sanxsrasts. A�� Thomas F.Geiler,Director. "P!` ESS PERMIT Building Division - Tom Perry,CBO, Building Commissioner S E P 2 9 2 U 10 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us TOWN OF BARNSTABLeE Office: 508-862-4038 Fax: 508-790-6230 EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY Not Valid without Red X-Press Imprint a 'O'''I Map/parcel Number 1$ Property.Address c369 ZW. 3£N7j,QU16CjE , M Residential Value of Work .�-000 Minimum fee of$35.00 for work under$6000,00 Owner's Name&Address kSH 4 WA)l Tu Icg:,�' 4— L 80 r'T . Contractor's Name 8a"P_L/nJ 6 fVt E Telephone Number S - '77� Home Improvement Contractor License#(if applicable) Ica 9 /D 7/17/11 Construction Supervisor's License#(if applicable)- []Workman I s Compensation Insurance ChefY,one: Q'I am a sole proprietor ❑ I am the Homeowner ❑ I have Worker's Compensation Insurance r Insurance Company Name Workman's Comp.Policy# Copy of Insurance Compliance Certificate must accompany each permit. Permit Request(check box) roof(hurricane nailed)(stripping old shingles)All construction debris will be taken to ❑Re-roof(hurricane nailed)(not stripping. Going over existing layers of roof) ❑ Re-side #of doors ❑ Replacement Windows/doors/sliders.U-Value (maximum.35)#of windows "Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. ***Note: Property Owner must sign Property Owner Letter of Permission. A copy of the Rome Improvement Contractors License&Construction Supervisors License is rega SIGNATURE: C:\Users\decollik\AppData\Local\Microsoft\Windows\T mporary Internet Files\Content.Outlook\DDV87AAZ\EXPRESS.doc Revised 072110 wwsrnat.e, � . MAM .1639 Town of Barnstable 1639 �1� Regulatory Services Thomas F.Geller,Director Building Division Thomas Perry,CBO " Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder I, eJ L-I I L �G1l b6d+ ,as Owner of the subject property hereby authorize FSON LA e 1 to act on my behalf, in all matters relative to work authorized by this building permit application for: J O q Jul / �. Al •.�21� f i�� C (Address of Job) 9IAg / 10 qSignae�7fCO�wner Date Print Name If Property Owner is applying for permit,please complete the Homeowners License Exemption Form on the reverse side: C:\Users\decollik\AppDataU.ocal\Microsoft\Windows\Temporary Intemet Files\Content.Outlook\DDV87AAZ\EXPRESS.doc Revised 072110 CThe Counnonmealth of Massachuseffs VJD epaphimit of Imbistiel Accidena OffAce rr, Investiga ions 600 Washnigton�S`treet Boston,�02111 sewn:masL,gov1dia Workers'Compensation Insurance Affidavit:Builders/Contr2cturdEkzt6c anslPhmbers Applicant Information Please Print Legibly Name( OrgartizatiouffoRddual):- t � (21.! i.S Cs�� Address: Sid atR 7-5 TRECT CityrStateeZip: S� phone Are for an employer?Check the appropriate box: T of 4. am.a oral t d I contracor an Type- project(required): El I am a employes with I❑ 6. ❑New construction �ployees(full and/or pact-time).* have hired the sub-cone actaas 2.[1�'I am a sole proprietor or partner- listed one attached sheet 7. ❑Remodeling ship and have no employees These sub-contractors have 8. ❑Demolition 1 and have workers' worlang forme in any capacity. � 9_ ❑Budding additionc -insuranmi [No workers'comp_insurance o required-] 5-❑ We are a corporation and its ME-1 Electrical repairs or additions 3_❑ I am a homeowner doing all work officers have exercised their 11.❑Plumbing repairs or additions ' nght of exemption per MGL myself�o wormers flOmP• 12. Roof repairs insurance r ]i c_152,§1(4),and we have no employees.[No workers' 13.❑Other comp_insurance required_] ;Any applicant that checks boa#1 m=also fill our the section below showing their waders'ctupemmmtion policy infotmatitm i Homeawam who submit this affida t=&rstmg they are doing all woA eml then]Hite outside cowinctoas must submit a new of idark iadicatiag such kontracaors that check this bus must attached se sdditionel sheet dwwiog the name of(he sub-con ncton and state whether,or.mn tbose orreries ham employees. I€the sub comtactans hash employees,"must pnnade tw workem'comp.policy m err. I am an employer that as;prosiding wor#en'compensation insurance for my employees. Below is thepolicy and job.site information. Insurance Company Name Policy#or Self--ins.Lic.#: Expiration Date: Job Site Address: CitylStatetZip: Attach a copy of the workers'.compensation policy der taration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL a 152 can lead to the imposition of criminal penalties of a fine up to$1,540-OD sndlor one-year impsisonmenk as well as civil penalties in the form of.a STOP WORK ORDER and a fine of up to$250.0tf a day against the violator. Be advised that'a copy of thus statement may be foriearded to the Office of Investigations of the DIA:for insurance coverage verification. I do{tereliy certify antler the pains ai awes of pedury that the informs ion provided abor true and correct S' &�� Date: d Phone#: Official use only Do not wrke in this area,to be completed by city or tm rn o c&I City or Town: PermitUcense It Tssning Authority(circle one): 1.Board of Health 2.Building Department 3.Cityfrown Clerk 4.10ectrical Inspector S.Plunibing.luspector 6.Other Contact Person: Phone#: --- 6 F Office of Consumer Affairs&Business Regulation,.', License or registration valid for mdividul use only HOME IMPROVEMENT CONTRACTOR before the expiration date. If found return to:. s i Office of Consumer Affairs and Business Regulation Registration&,,``139470 ��::�; I 10 Park Plaza-Suite 5170 Expi ration—_7/97/2011 Tr# 289867 . ! Boston,MA 02116 Type r5rIndividual ( RON BURLINGAME-,=f y—-- RONALD BURL'I'NGAME€: ; 58 OAK ST W BARNSTABLE, MA,02668p' Undersecretary j� Not valid without sign re Massachusetts_ , Board of O('l)u►'tment �onstr Builflin`Rc�j ot'Public uction S ,ulat. ; Sal�h. License: u, ervisor lnd St.Infl; CS SL g9695 SPecialt ►rds . Restricted to: RF Y Livens • ,WS. e RONALD BV 58 RLINGgME . OAK STREET j WEST @ARNSTASLE M A o2668 f ummf.siunt•r Expiration; 1 2/3/2011 Tr#: 9969, f TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION, Map % �� _ Parcel Per # 4p Health Division Date Issued Conservation Division Fee , 62 Tax Collector '.A Treasurer Planning Dept. Date Definitive Plan Approved by Planning Board t Historic-OKH Preservation/Hyannis Project Street Address Village 7 -r + ,� Af .� Owner E',. (�i/� �01 s Address ��o�/��v .�1� ��Tfrv`����.1/� Telephone 7 7S= Permit Request Y • Square feet: 1 st floor:existing proposed 2nd floor:existing -,proposed Total new Estimated Project Cost Zoning District Flood Plain Groundwater Overlay Construction Type , Lot Size Grandfathered: O Yes ❑No If yes,attach supporting documentation. Dwelling Type: Single Family O Two Family O ' Multi-Family(#units) Age of Existing Structure Historic House: ❑Yes ❑No On Old King's Highway: ❑Yes ❑No Basement Type: ❑Full ❑Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full: existing new Half: existing ` - new Number of Bedrooms: existing new Total Room Count(not including baths): existing new First Floor Room Count Heat Type and Fuel: ❑Gas ❑Oil O Electric ❑Other Central Air: ❑Yes ❑No Fireplaces: Existing New Existing wood/coal stove: ,O Yes O No , Detached garage:O existing ❑new size Pool:•O existing .O new size Barn:O existing ❑new size Attached garage:O existing ❑new size Shed:O existing O'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 �Tt�,s Telephone Number �l'�y/G Address_Z&3 License# OO G C 6�3 Home Improvement Contractor# Worker's Compensation# ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BETAKEN TO I��uc��5 i c•� SIGNATUR DATE =� �/ 4� ` FOR OFFICIAL USE ONLYel j P`ERMIT,NO. DATE ISSUEDlm - r MAP/PARCEL NO. r ADDRESS VILLAGE OWNER DATE OFf INSPECTId FOUNDATION, ��` .. � ;` i r •' , - " 3 `�' _ � , FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL 'r PLUMBING: ROUGH FINAL 1 - • _ "t , .' 'w' :`` ' GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT = > ASSOCIATION PLAN NO. f . The Town of Barnstable - • aAuvsrnara. • 16 Q. Department of Health Safety and Environmental Services Building Division 367 Main Street,Hyannis MA 02601 Office: 508-8624038 i Ralph Crossen Fax: 508-790-6230 Building Commissioner . r i f Permit no. Date AFFIDAVIT HOME IMPROVEMENT CONTRACTOR LAW SUPPLEMENT TO PERMIT APPLICATION MGL c. 142A requires that the"reconstruction,alterations,renovation,repair,modernization,conversion, improvement,removal,demolition,or construction of an addition to any pre-existing owner-occupied building containing at least one but not more than four dwelling units or to structures which are adjacent to such residence or building be done by registered contractors,with certain exceptions,along with other requirements. Type of Work: p® Estimated Cost 70CX4 Address of Work: /,c v g' �ny1 r?oxyz lle Owner's Name: F, 14-,/ e- Date of Application:. '���}' I hereby certify that: ` Registration is not required for the following reason(s): ❑Work excluded bylaw ❑Job Under$1,000 E]Building not owner-occupied ❑Owner pulling own permit .Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c. 142A. SIGNED UNDER PENALTIES OF PERJURY I hereby apply for a permit as the agent of the owner: ` Date' Contractor Name.. Registration No. - OR Date Owner's Name q:forms:Affidav _ The Commonwealth of Massachusetts . .: Department of Industrial Accidents _- _= = #men ot/m�esdoo offs _ 600 Washington Street -_-. I T Boston,Mass. 02111 `_ Workers' Co/m�ensation Insurance Affidavit name: /y�f,�a'l�sS 2 I(�S ko 5 location: �70`/r f%/O, ' OuA C*-1e<<re-zk-l%e0, -,PV . city t1 1r4/wk,- phone# 771-1'WO ❑ I homeowner performing all work myself. , [�'�am a sole rietor and have no one workiz in ca achy % //f ❑ I am an employer providing workers' compensation for my employees working on this job. :......:,.::: �mpanv nam ........... ::::.:.::::.:....::.::.:::. ............. address. > ::::;<:<: c►my . nkone> ::>:z;:::;.::: X.:;>.;::: 9nsurance:co :.;:::.;:. . . ttlfi*`*::', `::: .:.: ......::.::....:.,:.:::.;:.;:.>: I:am a sole proprietor,general contractor,or homeowner(circle one)and have hired the contractors listed below who . . . have: . the following workers'compensation polices: : >::> t omoany name...:<: ::: HIIF.GSS ```` ss? ..... ss s #< {s sl E?%:`< ' ?y2''s ` :,:,.*y?>'( y" < i isi s yC ><`> %? i %!? %y`3 ' '?!j$j?! s::><> «>::> >: ><':.a ............................... ............::::::::.::.....:.........................I............... .::::: .........................................n........................---..........................................................................:::v.:w::::::::,v::w::�::::::.. :.:::�w::::.v::w:.... :::::::::.:::::::•:::: .}..:...v AC......... ................................................:::::::::...:....:...::..::. ................................................................................... ...... :.:..<.. ......:...........:..:.:.:.,............... v.v::: ........................:'.:,.*:::................................................................... ..............).v::•.v:::.v:::.:::::::::::::.�::::::::::::.v::.:�::::::.�:::nv:.v::::::.v:.v:::::::v::.�:i:i::i:Ji:•i:bi}:4i:v+•}:GG::'.: ...... ....................:.:::.::.:......................................................................................................................;...................:....;..:.....:.....:.........................................................................v.�.... :ii':{::: :.....�.i}::ii:ii'%>t:i>::::ii}i:i%:i:...ii}i\::•ii;. :i'iii i:v :ii::iiii:-:i"':::>:::i:<:::ii:>:::i:i:::::i.iii::ir L::iL:i::ii: ........... n••:.•4.;%:{::i:,:.:;i::'r:.'•iiiii:i:::::ii:..:,:::ii:::::i::i:'-'.:::�i::ii:i: :i'v?i?ijii::: ::Y::iii: {:': tl ....... .... .. ...:::::::::. .......:..... ::.::::::::. .. ....................;..:.:.......:........ ............................ .......:::..::..... ....::-:-, ::::::::. :.::...:.::::.;...;.::..... .:.:..:::..:...:.::. ................::::.::.:......::::::..:..:.::....:.:,...............:::::.:.::.. .. .......................:.......�::::.�::.�:::.^.�::::.�.�:. ..................................... ................ ......................i•::::v:}:::::::::v.....••.v4wnw.3::}:ihv:::::::.v: hsnran¢e:co;:::;:::: :.;.::.;:...:.;;::::•::•::1.1-..:.:. ;.::: ;:.;...;::._.:;:<.;:::.::.::::.::.;:.,.:::.:..::::.::.. :Camp8nv:'name:::....:>:::::.::::::::::::: >::... �::::::i:.....:::::;;i>:%::;:>::>;:: :> . . ...:..:.:. .. ..... .....:.: .. ....... ....... :......:. :....... adsftess .. ......................... .......... i?'r `>:... 4. ::.. .......,. ...::::::. :..::::::::........ .................................... .:-:-.......................................... .................. .............................................................................:::;:;;::<:><:::.;:. 77 - :..................................................... .............I........................................................... ........................ ........................... ::::::::::::::.::.:::::::::::::::::::::.:. >:»> nturanceco..:..:.. ......... o110",, ;>.... ::::::>:::::., ;:. .:. . <:. >: 1.111,11-11, Failure to secure coverage as required under Section 25A of MGL 152 can lead to the imposition of criminal penalties of a one up to$1,500.00 and/or one years'imprisonment as well as civil penalties in the form of a STOP WORK ORDER and a fine of$100.00 a day against me. I understand that a copy of this statement may be forwarded to the Oiflce of Investigations of the DUfor coverage verification I do hereby certify he talties "'erjury that the information provided above is trrw.and correct Sig is Date 4� r _ _ Print name�" %1V'��5 �%�S/os Phone o8 7 ll—/Y/G offlcial use only do not write in this area to be completed by city or town official . city or town: perm it/llcense# QBuilding Department (]Licensing Board ❑checkif immediate response is required ❑Selectrnen'a Office • ❑Health Department contact per-son: phone#; ❑Other ormed 9/95 FJA) Information and Instructions Massachusetts General Laws chapter 152 section 25 requires all employers to provide workers' compensation for their employees. As quoted from the"law",an employee is defined as every person in the service of another under any contract of hire, express or implied, oral or written. An employer is defined as an individual,partnership, association, corporatioibf other legal entity,or any two or more of the foregoing engaged in a joint enterprise,and including the legal representatives of a deceased employer, or the receiver or trustee of an individual,partnership, association or other legal entity,employing employees. However the owner of a . dwelling house having not more than three apartments and who resides therein,or the occupant of the dwelling house of another who employs persons to do maintenance, construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer. MGL chapter 152 section 25 also states that every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required. Additionally,neither the , commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority. _ Applicants Please fill in the workers' compensation affidavit completely,by checking the box that applies to your situation and supplying company names,address and phone numbers along with a certificate of insurance as all affidavits may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested, not the Department of Industrial Accidents. Should you have any questions regarding the"law"or if you are required to obtain a workers'compensation policy,please call the Department at the number listed below.. City or Towns Please be sure that the affidavit is complete and printed legibly. The Department has provided'a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the piiii icense number which will be used as a reference mii6er. The affidavits may be wtivmed fo the Department by mail or FAX unless other arrangements have been The Office of Investigations would like to thank you in advance for you cooperation and should you have any questions. please do not hesitate to give us a call. The Department's address,telephone and fax number: The Commonwealth Of Massachusetts Department of Industrial Accidents Me of Inesduaflons 600 Washington Street Boston,Ma. 02111 fax#: (617) 727-7749 phone#: (617) 727-4900 eat. 406, 409 or 375 r i ✓� O lf0'1N//B6[ULO� IIdCL( ONE INPROVENENT CONTRACTOR Registration ��I14644 Expiration t10/8/Ol �f Type Individual M. PALTSIOS BlD6 8 RENODELI t7 CNAnt ES PAITSIOS ?� tkONGVIEN OR AD1N1N1i-Ai°R. CENTERVIIIE F1y NA 02632 - — �/ae i�an�.ao.uaeallli a��aaaae�iu/e (4I' DEFARTYJElj IF PUBLIC 'SAFE?} ti COP{STRUCT(CN'.SURERVISOR LICENSE Nerber EzFires: Restlicted o - {." 00 JOS ,. 183 LONOVIEW "R CENTERVlLLE. MA '2e f 6 TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel ,,Application Health Division Date Issued Conservation Division 1J� AppI' tion Fe Planning Dept. e e Date Definitive Plan Approved by Planning Board 4� Ilo �PL Historic - OKH Preservation/Hyannis Y sY Project Street Address 301 bq Y k`qnt 0y Village �/ Owner -lq( © � Address 3 0 rQ 6 J 14ILt Telephone ® 10 Permit Request f�l�dGZ Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuatio Construction Type Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family ❑ 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 (sgft', Basement Unfinished Area (sq.ft) Number of Baths: Full: existing new Half: existing new Number of Bedrooms: existing _new Total Room Count (not including baths): existing new First Floor Room Count Heat Type and Fuel: ❑ Gas ❑ Oil ❑ Electric ❑ Other Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑ No Detached garage: ❑ existing ❑ new size—Pool: ❑existing ❑ new size _ Barn: ❑existing ❑ new size_ Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes ❑ No If yes, site plan review# ___Current Use il 9-" -"" Proposed Use APPLICANT INFORMATION {�;1 (BUILDER OR HOMEOWNER) Name <� �c� y�'�LV p Tele hone Number Address P: � � G-)a License# C-S 5 L !y 41 4a K pqc( Z Home Improvement Contractor# / < 1)l Worker's Compensation # ����®g ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BETAKEN TO QAd CO-UQ SIGNATURE DATE Itf h f • 'j FOR OFFICIAL USE ONLY 1 APPLICATION# DATE ISSUED ` MAP-/-PARCEL NO. } -_� t, e — ADDRESS, VILLAGE t OWNER . DATE OF INSPECTION: FRAME r INSULATION. I FIREPLACE ELECTRICAL: ROUGH FINAL ' PLUMBING: ROUGH FINAL r C`AS'. - 4 ROUGH FINAL � �, FINALBUI_LDIN_G � i� ' F DATE CLOSED OUT �k ASSOCIATION PLAN NO. The Commonwealth-ofMassachusetts- Y Department of Industrial AccideWs Office of Investigations 600 Washin ngto Street t Boston, MA 02111 yy www.m ass.go v/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Le i>?'blY Name (Business/organization/Individual): Address: i L��C�� � o "Oct � I hc( (D C9 4 City/'tate/Zip: Phone #: Ar ou an employer? Check the appropriate box: Type of project(required): l. I am a employer with�_ 4. ❑ 1 am a general contractor and I 6 E] 1�aw construction have'hired ibe sub-contractors.. ___ _ _ employees (full andlorgart-time), - - ---�� 2.❑ I am a sole proprictor.or partner- listed on the attached sheet. 7. rriodeling ship and have no employ ees These sub-contractors have g. Demolition working for me in any capacity. employees and have workers' 9 O Building addition. No workers' comp. insurance comp. insurance. required.] 5. F] We are a corporation and its 10.❑ Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their 1 1.❑ Plumbing repairs or additions Myself [No workers' comp. right of exemption per MGL 12.0 Roof repairs insurance required.) t c. 152, §1(4), and we have no employees. [No workers' 13:� Other comp. insurance required.) *Any applicant that checks box ftl must also fill out the section below showing their workers'compensation policy infonna.tion. t Homeowners who submit this affidavit indicating they arc doing all work and then hire outside contractors must submil a new affidavit indicating such. tContractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have cmployccs. If the sub-contractors have cmployccs,they must provide their workcrs'comp.policy number. I am an employer that is providing workers' compensation insurance for my employees. Below is the policy and job site information � \ Insurance Company Name: V U e &Qxpi�tion Date: ��/ Policy# or Self-ins,Lic. #: ® y �'n�/ Job C..Site Address: � Y y ll* 11 1 City/State/Zip: P Attach a copy of the workers' compensation policy declaration page (showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to 31,500:00 and/or ore-year imprisonment, as well as civil penalties in the form of a STOP WORK ORDER and a fine Of up to S250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of 'Investigations of the DIA for insurance,coverage ve rification. - I do hereby certify under the pains andpenalties ofperjury that the information provided above is true and correct. r . signature: Phone# E'� only. Do not write in this area, to be completed by city or town of n: Permit/License# thority'(circle one); Health 2. Building Department 3. City/Town Clerk 4. Electrical Inspector 5. Plumbing Inspector son: Phone#: Information and fnstf-U & OPS Massachusetts General Laws chapter 152 requires a)) ernploycrs to provide 4vorkeFs' compensation for their employ"". Pursuant to this statute, an employee is defined as "...every person in the service of another under any con[racl of hire, express or implied, oral or written." An employer is defined as "an individual, partnership, association, corporation or other legal entity, or any two or more of the foregoing engaged in a joint enterprise, and including the legal representatives of a deceased employer, or the receiver or trustee of a❑ individual partnership, association or other legal entity, employing employees, Howevcr th e owner of a dwelling house.having not more than three apartments and who resides (herein, or fhe occupant of the house dwelling house�of another who employs persons to do maintenance, construclion or repair work on such dwelling or on the grounds or building appurtenaot thereto shall not because of such employment be deemed to be an employer." MGL chapter 152, §25C(6) also states that "every state or local licensing agency shall �rithhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant}Yho has not produced acceptable evidence of compliance with the insurance coverage required."Additionally, MGL chapter 152, §25C(7)States "Neither the conunonwealth nor any ofits political subdivisions shall entefinto any contract for theperfofmance ofpublic-work until a=ptable evidence ofcompliance with the rnSffanec requirements of this ehapterhave beenpresented to the contracting authority." Applicants Please fill out.tbe workers' compensation affidavit completely, by checking the boxes that apply (o your situation and, if necessary, supply sub-contractor(s) narne(s), addresses)and phone numbers)along with their cerlificate(s) of insurance, Limited Liability Companies (LLC)or Limited Liability Partnerships(LLP) with no employees other than the members or partners, are not required to carry workers' compensation insurance. if an LLC orLLP does have employees, e policy is required. Be advised that this affidaYit may be submitted to the Departmcni of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit, The affidavit! Should be returned to the city or[own tbat•the appliaation for the permit or license is being requested,not the De artm rDt Industrial Accidents. Should you have any questions regarding the law or if you.are.required to obtain a„workers' compensation policy,please call the Department al the number listed beloy�, Self-insured companies should enter.tbeir self-insurance license number on the appropriate line. City or Town Officials Please be sure that the affidavit is complete and printed legibly, The Department has proYidcd a space a. [ the bottom you regarding Lhe applicant. of the of iidavil for you to fill'out in the event the Office of lnvestigahons has to contact Please be sure to fill in the permil/lieense number which will be used as a,reference number, Ln addition an applicantgcent that must submit multiple permiylicense applications in any given year, need only submit one 2UBVit indicating (c),ty or policy information(if necessary)and under"Job Site Address" the applicant should write"a11 ]ocat�ons in_�_ town)."A copy of the affidavit that has been officially stamped or marked by the city or toWo may be provided to the applieanf as proof that a valid affidavit is on file for future permits or licenses. A new affidavi 11nust be filled out each year. Where a home owner or citizen is obtaining a license or permit not related to any business'or commerci a 1 ven[ure is NOT required to complete this a (i.e. a dog license of Per to bum leaves etc,) said person fi'davil. Tbc Office of lnvesligatIons wou i e onkyom i�dver rafinn and shou➢dshave any questions, please do not besilate to givc,us a call. The Departricnt's'address, telephone and fax number: The Commonwealth of Massachusetts Department of lndusbr al Accidents Office of Investigations 600 Washington Street Boston, MA 02 11 1 Te). # 617-727-4900 ext 406'or 1-877-MASSAFE Fax # 617-727-7749 Revised 4-24-07 WWWATIass.gov/dla � Yry Town of Barn-stable F Regulatory Services ' H.IR?f6TABLE, P uAss $ Thomas F. Geiler,Director Building Division Tom Perry, Building Commissioner 200 Main Street, Hyannis, MA 02601 w-ww.town.barnstable.ma.us Office: 508-862-4038 Fax: SOS-790-6230 Prop city Owner Must Complete and Sign.This Section If Usirig A Builder I, S ham n �! ® , as Owner of the sub' Pro Pe rty hereby authorize S��t✓� ��jy-��,'1 �(7 to act on my behalf, in all matters relative to work authorised by this building permit application for. (Address of Job) Signature of Owner Date Print N If Properly Owner is applying for permit please complete.the Homeowners License Exemption Form on the reverse side. Q:FORMS:OWNEUERMI85 ON of .ram Town of Barnstable r t o ReguI'atory Services Thomas F. Geiler,Director 165¢L ,$ Building Division PrED}Mt r Tom Perry, Building Commissioner 200 Main-Street,_Hyannis, MA.02601 www.town.barnstable_ma.us Office: 508-862-4038 Fax: 508-790-6230 EFOMEOWNER LICENSE EXEMPTION Plcast Print DATE: JOB LOCATION: number strmt village "HOMEOWNER": name home phone# work phone# CURRENT MAJLING ADDRESS: city/town state rip code ThC current exemption for"homeowners"was extended to include owner-occupied dwellingg of six units or less and to allow homeowners to engage an individual for hire who does not possess a license,provided that the owner acts as superyiSDr_ DEFIltMDN 0FI1OMXOWNER Person(s) who owns a parcel of land on which he/sbe resides orintends to.residn, on which there is, or is intended to- be, a one or two-family dwelling, attached or detached structures accessory to such use and/or`farm structures. A person who constMots more than one home in a two-year period shall not be considered a homeowner. Such "homeowner"Shall submit to the Building.Official on a fonn acceptable to the Building Official, that he/she shall be responsible for all such work performed under the building permit. (Section 109.1.1) `Ih.e undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other applicable codes, bylaws,rules and regulations. The undersigned "homeowner"certifies that.be/she understands the Town of Barnstable Building Department minimum inspection procedures and mquirementss and that he/she will comply with said procedures and requirements. , Signatiirc of Homeowner Approval of Building Official Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the State Building Code Section 127.0 Construction Control. HOMEOWNER'S EXEMPTION The Codc states that "Any homcowncr performing work for which a building pan-nit is mpircd shall be exernpi from the provisions of this scc6on.(scc6on l D9.1.1 -Licensing of construction Supervisors);provided that if the homeowncr rngages a person(s)for hire to do such work,that such Homeowner shall act as supervisor." Many homeowners who use this excmption art unawzrc that they art assuming the responsibi)ities of a supervisor(sec Appendix Q, Rules&Regulations for Licensing Construction Supery sors,Scction 2:I5) Ibis lack of awareness bhcn results in scriaus problcrnt,particularly whrn the homeowner hires unlicrnsed persons In this case,our Board cannot proceed against the unlicensed person as it would with a)iccnsed Supervisor. The homeowner acting as Supervisor is ultimately responsible. To cnrurc that the homeowner is fully aware of hislhQresponsnbi)itics,many communities require, as part of the pcamit application., that the hbmcnwner certify that hchhe understands the responsibilities of a Supervisor. On the lass page of this issue is a'form currcnt)y used by several towns. You may cart t ammd and adopt such a formlccrtification for use in your community. Q:forms:homctz cmpt hD. 'CERTIFICATE OF INSURANCE DATE(MM\DD\YY) 04-09-09 UCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE DOWLING&ONEIL INS AGCY HOLDER. THIS CERTIFICATE DOES NOT AMEND,EXTEND OR 9,3 IYANNOUGH RD ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. COMPANIES AFFORDING COVERAGE . HYANNIS,MA 02601 I ¢ COMPANY 76RNJ A AMERICAN ZURICH INSURANCE CO ANY INSURED COMPANY -O B COUTINHO SEAN DBA SEAN'S MASONRY COMPANY 21 PICKERAL WAY C o y FORESTDALE,MA 02644 COMPANY p CO o r COVERAGE r7i THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDIC TED, NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY E 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 . POLICY EFF POLICY EXP LTR TYPE OF INSURANCE POLICY NUMBER DATE(MM\DD\YY) DATE LIMITS GENERAL LIABILITY GENERAL AGGREGATE $ COMMERCIAL GENERAL PRODUCTS-COMP/OP AGG. $ CLAIMS MADE OCCUR. PERSONAL&&ADV.INJURY $ OWNER'S&&CONTRACTOR'S PROT. EACH OCCURRENCE $ FIRE DAMAGE(Anyone fire) $ MED.EXPENSE(Any one person) $ AUTOMOBILE LIABILITY ANY AUTO COMBINED SINGLE LIMIT $ ALL OWNED AUTOS BODILY INJURY(Per Person) $ SCHEDULE AUTOS BODILY INJURY(Per Accident) $ HIRED AUTOS PROPERTY DAMAGE $ NON-OWNED AUTOS GARAGE LIABILITY ANY AUTOS AUTO ONLY-EA ACCIDENT $ OTHER THAN AUTO ONLY: EACH ACCIDENT $ AGREGATE $ EXCESS LIABILITY UMBRELLA FORM EACH OCCURRENCE $ OTHER THAN UMBRELLA FORM AGGREGATE $ WORKER'S COMPENSATION AND A EMPOLYER'S LIABILITY UB-0236M209-08 09-08-08 09-08-09 STATUTORY LIMITS X THE PROPRIETOR/ EACH ACCIDENT $ 100,000 PARTNERS/EXECUTIVE INCL DISEASE-POLICY LIMIT $ 500,000 OFFICERS ARE: X EXCL DISEASE-EACH EMPLOYEE $ 100,000 OTHER DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/RESTRICTIONSISPECIAL ITEMS THIS REPLACES ANY PRIOR CERTIFICATE ISSUED TO THE CERTIFICATE HOLDER AFFECTING WORKERS COMP COVERAGE. THE WORKERS'COMPENSATION POLICY DOES NOT PROVIDE COVERAGE FOR COUTINHO SEAN. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE TOWN OF BARNSTABLE;BUILDING DEPT. EXPIRATION DATE THEREOF,THE.ISSUING COMPANY WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT 200 MAIN STREET FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE COMPANY,ITS AGENTS OR REPRESENTATIVES. HYANNIS,MA 02601 AUTHORIZED REPRESENTATIVE ACORD 25-5(3/93) W A Bolinder 1 I uyiuy MU ltlu E0 PAA SUS tf� 11IV INML Ob gulnu1 Massachusetts Assigned Risk Pool Request For Certificate Of Insurance Use this form to request a Certificate of Insurance from an Assigned Risk Pool Carrier. Please provide all of the requested information, including the facsimile number(s) of the person or persons to whom the Certificate of Insurance should be issued. If this form is fully and accurately completed, the Certificate of Insurance will be issued and distributed by facsimile to each fax number provided below, within two (2) business days of the carrier's receipt. This Form may be mailed or faxed to the Assigned Risk Pool Carrier. To obtain each carrier's contact information refer to the Certificate of Insurance section located in the Producer. Community section'of.the Bureau's website (www.wcrib.ma.org <http://www,wcrib.ma.org>). 1. Name, address, telephone number and facsimile number of the INSURED: Name: Sean Coutinho DBA Sean's Masonry Mailing Address: 21 Pickeral Way, Forestdale, MA 02644 2. Name, address, telephone number and facsimile number of the CERTIFICATE HOLDER: Name: Town of Barnstable Mailing Address: 200 Main'Street, Hyannis, MA 02601 Fax: 508-790-6230 3. Name, address, telephone number and facsimile number of the PRODUCER Name: Dowling &O'Neil Insurance Agency, Inc. Mailing Address: P.O. Box 1990, Hyannis, MA 02601-1990 Contact Person, Joanne M. Ferguson . Phone: (508) 775-1620 Fax: (508) 778-1218 4. Policy Number, Policy Effective Date.and Policy Expiration Date If a Certificate of Insurance is needed for more than one policy term, provide the Policy Number, Effective Date and Expiration Date for each policy term. If the polity has not yet been issued, you must attach a copy of the Notice of Assignment. Policy Number:( 6ZZUB0236M20910 Effective Date: 9/8/2010 VL Expiration Date: 9/8/2011 ` r - 5. List any special requests for optional coverages/endorsement (see Page 2 for listing of coverages available in the pool and'the conditions of availability) or additional information (including changes in exposure not yet reported to the carrier) that will assist the carrier in the issuance of the Certificate of Insurance. NOTE: An additional insured(s) shall not be listed on any Certificate of Insurance unless such additional insured(s) is a named insured on the policy. a.yp g'y-jS p�77, m '` �Nl.ts c' ptts- Dcp irtment of Puc Safct� �� �r y Boa tildi, g.Rcf*ulations and Standards Cons t,( Su ervisor Specialty License L 7. 315Ln ter. .".,Restricted to- .1 t ! k n! r mq.a OM2 �d v�^L � .: 4 n ���. ' Bcc AN M C U &HO .. 14 POWD 2RN A &NTERV MA 0632 41 0- Z uw ,,,,_ , .o (n r' U �� Expiration: 6/6/2011 i."- - ('onunissiu°er Tr#: 18288 . � a - � ✓fie.-Pom�nw�ealtl o�✓filc�ooaclucaelta .. Office of Consumer Affairs&Business Regulation I� HOME IMPROVEMENT CONTRACTOR r- R Registration's ti49014 Expirat on 1 illt2011 Tr# 292642 Tyt pat.— SEAN COUTINH(3 �^ r SEAN COUTINIg� yfr T4 WIDER HO(�1V WD .. ✓mil r.�� Jd CENTERVILLE MAC $6 2y a Uiid'erkeretary r License or registration vaUd for individul use only before the expiration date. If found return to. Office of Consumer Affairs and Business.Regulation 10 Park Plaza-Suite 5170 - -. Boston,MA 02116 i Not valid without signature RightFax C3-2 9/10/2010 8 : 13 : 26 AM PAGE 2/002 Fax Server AC611, CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) 09/10/2010 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT:If the certificate holder is an ADDITIONAL INSURED,the pollcy(les)must be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require and endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). FSE PRODUCER CONTACT NAME: PHONE FA DOWLING&O'NEIL INS (A/C,No,Ext): FA 973 IYANNOUGH ROAD E-MAIL ADDRESS: PRODUCER B y HYANNIS,MA 02601 CUSTOMER ID#: 76RNJ INSURER(S)AFFORDING COVERAGE NAIC# INSURED INSURER A: AMERICAN ZURICH INSURANCE COMPANY INSURER Bp, COUTINHO SEAN DBA SEAN'S MASONRY INSURER C: INSURER D: 21 PICKERAL WAY INSURER E: FORESTDALE,MA 02644 INSURER F: COVERAGES CERTIFICATE NUMBER:, REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN.THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.. , INSR - ADDLSUBR POLICY EFF DATE POLICY EXP DATE TYPE OF INSURANCE POLICY NUMBER (MM\DD\YYYY) (MM\DD\YYYY) - - LIMITS LTR INSR WVD GENERAL LIABILITY EACH OCCURRENCE $ COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED $ CLAIMS MADE OCCUR. PREMISES(Ea occurrence) IVIED EXP(Any one person) $, PERSONAL&&ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ POLICY PROJECT LOC PRODUCTS-COMP/OP AGO $ AUTOMOBILE LIABILITY COMBINED SINGLE $ ANY AUTO LIMIT(Ea accident) ALL OWNED AUTOS BODILY INJURY $ SCHEDULE AUTOS (Per person) HIRED AUTOS BODILY INJURY $ (Per accident) NON-OWNED AUTOS y PROPERTY DAMAGE $ (Per accident) UMBRELLA LIAB OCCUR. u EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ ` DEDUCTIBLE $ RETENTION $ $ WC STATUTORY LIMITS OTHER WORKER'S COMPENSATION AND EMPLOYER'S LIABILITY Y/N UB-0236M209-10 09/08/2010 09/08/2011 E.L.EACH ACCIDENT $ 100,000 ANY PROPERITOR/PARTNER/EXECUTIVE Y - E.L.DISEASE-EA EMPLOYEE $ 100,000 OFFICER/MEMBER EXCLUDED? - - - - (Mandatory in NH) E.L.DISEASE'-POLICY LIMIT $ 500,000 . If yes,describe under DESCRIPTION OF OPERATIONS below - - DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/RESTRICTIONS/SPECIAL ITEMS THIS REPLACES ANY PRIOR CERTIFICATE ISSUED TO THE CERTIFICATE HOLDER AFFECTING WORKERS COMP COVERAGE- THE WORKERS'COMPENSATION POLICY DOES NOT PROVIDE COVERAGE FOR COUTINHO SEAN. CERTIFICATE HOLDER CANCELLATION TOWN OF BARNSTABLE SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN ACCORDANCE 200 MAIN STREET WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE HYANNIS,MA 02601 W A Bolinder ACORD 25(2009/09) 1988-2009 ACORD CORPORATION. All.-rights reserved. Assess 's offioe (1st floor): /6f qq�� r p � Q f�/ �S "��>�n3 = �.� rJ�US� `; �fTHEAssessor's ma and lot number ......... f (� .. r Board of Health (3rd floor): / l 'I Etas COM,PL A6� 5J Sewage Permit number ................/'.0 .^.... ^.�1 .7.....,�.�� FPJ y O TITLE 5 Z BASIISTABLE, engineering Department (3rd floor): :a� 9°��4L (+®®� Aug . `moo NAM 9 er' House number ........................................................................ REGULATIONS oMA d` 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 .:..............5..0.ZA-2 .......�'7•`—� .�.. L..................................................... TYPE OF CONSTRUCTION . moo ................. ................................... ........................................ ................................................19........ TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following informat' n: Location ................... .0. ...........! A.�....1.. .A ............ -2iI?. .... ....................................................... Proposed Use ..... .... �— Zoning District .....................................Fire District ................................. Name of Owner ../�..... .......!!u1 L(... .S..........Address ../......V�7.� ..( �'c' ...... �"i( t/,. ...... �... Name of Builder �dd�r+ CP.z`�e'—..Address ..Jl. .... /..r '�1??. ..../4?..,... I••� I5..,,,. Nameof Architect ..................................................................Address .......................................�............../............................... Number of Rooms ................1...............................................Foundatior;P9.(�.. A/�CFTZi . .. ...... ...... . Exterior P.L��nL441—.. ...b. 1A3J..............................Roofing i �fi ,i/1.L' ....... ?.5�................................... ........ Floors ...... .....�.1A.°�.........................................Interior .................................................................................... Heating ........................................Plumbing ............ Fireplace ..................................................................................Approximate Cost ........<..� /(3 J. ................................................... Definitive Plan Approved by Planning Board ________________________________19________ . Area ..e.'..... Diagram of Lot and Building with Dimensions f Fee ..... ...... SUBJECT TO APPROVAL OF BOARD OF HEALTH (.�A l� 11 OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding th above construction. Name ) ................................................................... .........ti Construction Supervisor's License WILLIAMS, A. M/M Nb .................14 8 7 Permit for Solar Addition .................................... a Single Family ........... Location Lane ......................................... Centerville Owner A......Wi.l.l.iam.s................................ ... .. .. . .. .. .... .. Type of Construction ..Frame .............................. .. .... .. ..................................................... Plot ............................ Lot .................. .......... December 9 , 87 Permit,Gran,e ............. . .......19 d ................. .. Date of.Ihspection ....................................19 Date Completed ......................................19 --------------- Assessor's off oe,(1st floor):.. .. � l /_ F T E t Assessor's map and6lot number .........�. `'.....�....�........ '' Quo i Board of Health (3rd floor): // J !, fO� o" Sewage Permit number ................/..t��. ¢..' ..... ..� Z SAUSTADLE, NAO Epgineering Department (3rd floor): °o 039• e� House number ....................................................................... �, �„ �0 YPy a' APPLICATIONS PROCESSED 8:30„9:30 A.M. and 1:00-2:00-P.M. only f TOWN O.-F B.AR_NSTABLE BUILDING INSPECTOR APPLICATIONFOR PERMIT TO .........../..-................................... ... .............. .C?.Z:............................................. TYPE OF CONSTRUCTION .................. ........................................................................... •---•...........................................19........ TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location � .�,/ ..... .h -............ ... ..`......✓..!...�....................................................... Proposed Use ..... ...fa Ss d A GL ...........ds!•l....j....! .'.......................................:......................................... ....................................Fire District ........................................................... Zoning District . .....,............�......... N Name of Owner .. ...... .......A7�./....44 ..m.............Address 3.� 1...... ...... ..... .. ...... .......... ........ Name of Builder ............... ...................... ................ .....#,VP&2i�...... `4 Address .............. ..... Nameof Architect ..................................................................Address .......................................�.............................................. Number of Rooms /...............................................Foundation �(?1!�J?L.!'...fU►IOOLu ��(>7C. Exterior .1. ��(Nr`� lL 4.3j PLVN../1 - fj r�7SJ `................../..,.,........I.....................................Roofing .......... .................................................................... Floors _' S (��... nterior ........................................................I............I.................................................................................................. r Heating -......: ..:.......:........:. ......::. .::.. ;:....-.. ....r..:.Plumbing :., ..........— ........:... — c .. Fireplace :................................. ................................................Approximate Cost ........ ... Definitive Plan Approved by Planning Board --------------------------------19-------- . Area ... .. .'..... Diagram of Lot and Building with Dimensions Fee ��� ( :�� . SUBJECT TO APPROVAL OF BOARD OF HEALTH L.QA4� s 17 q-s i 1 / PRO.? o5e� CJ'Ut-126ot1� FP TAnt .. OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS LI GS I hereby agree to conform to all the Rules and'Regulations of the Town of Barnstable regarding th above construction. Name >� � - Construction Supervisor's License ........................... ,3l497 Solar Addition `~ No ....... ......... Permit for .................................... Single Family Dwelling ------------------------. ^ Lnrohnn —'3U9 .�Ba�_I^�oe_________ . ^ , ^ ' Centerville ' ' � --------------------------� ' � . A Williams ' Owner ................................................................... � Frame � Type ofConstruction .......................................... - . ----'-------'�--------'.----. . ' � F1c» ---------. �t ----------' � ' . ^ � . ^ | � Permit Granted .... }�c.eml�e.r...9.......... p 87 � . Dooaof |nopecion ---------' .lV ' Date Completed ------------'lP ' , . / . . �[��� ' " -- ' `- � . - ~ ^ ' . `^ ^ . ^ . 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Datum AL a DESCRIPTION OF SIT DRAINAGE MANAGE ENT SYIlk STEM: 2092.SF+/-ROO AREA }` ULTEC'�IvlddEl 100 LiNkTS' -- a 8'MANIFOLD.@: '-0°BELOW GRADE, %SLOPE,;W1I.NVERT @ 11-8. ,� -/��"Q PVC`ouHDPE:.PIP CONNECTIONS YARD DRAII�F OV. FLOW FOR 25 YEA _EVENTS � /i' %i i" CHAMBER LOCA ED DOWNSLOPE TO ARDS.BAY LANE ' / ti° � �•�/ �, , /. t(9NTOSTfIFttif ATEft�... \\ _ \\ 10/4/201"6: All, .7 , at tvN�P�wr PIPE \\\ 06TO..1�FT'g�€A�QFNA77V \\ APPRO:VED i,�%� / //\�. ,' /P4E'VM4NULrAFIUN VTJ \\� AL Ilk, /' y'OA�MtSSt9N'S dFE \\ — \ CONSERVATION Utility Pala „ - � COMMISSION NATryf Twe SITE IMPROVEIIIIi A,. /— - 1 PLAN -. .._ r N // /l / a N€GTWP/SOPOU75 \. T PhPING T RE CH A taidgd Area 1 \ t. IiAM f?'T_ COC4ECTSTO 7jt,. o I wATE-Bond IYi iWd DRAINH 1 I �u1 �,` ._..._._�._L, �. a SULLIVAN ENGINEERIN -0.9 Q' ' I I I �` �\ on,, \ �\\.,, ,o t 1 a w I ` \ ��o. ` JOHNC.O'DEA,P.E. Q] i I I I o\ \ p '.,, 1 \ ` 7 PARKER ROAD I Yy 1 I \' \ \ OSTERVILLE,MA 02655 l \t t . \\ 5084283344- - } \ r Z Qate : ��a \\Z_ 1 \\IN v Ss 32/ } _ -as < -o.a -oY6 -ox; `' T t 1N AL a=s -aYs \\�\yF\ \ _ \` m c I� \ PERMIT SET -Ia0 -Gm - _ z5 -ax2 `�1.� osof `�' \\ \� `\�a ��.o O I m -R 26 --... ,91t a \ \ ' OeTO.BER 26'�20< �! a9 , _oYa _ Q ... ..._._... \ - _ ...-. nW..\\ }, �\\\ \\� .\ ` \ \ \\ \_ .✓° `��\ d Spell �1 1 ( I I, t\\t \\\�\ \ \ \ \ tom. r• rd�ne / \ FiA f BiIIF: KEY TO PROPOSED SITE IMPROVEME S", \ 1/r \ \t \q. j I s _ -.. -- --\ \\ \, \ t\ \ rr- -- \ c >isae tis aetalaalA,et `_ \ zt — \ ny�' \ 5 •\t 1 1. •E \. 1. .2. ENCLOSED BREEZEWAY Una•.o-r' - --v I' R E E R / L \ 3a. EXISTING RINSING STATION' �; 0ectric 54'1s cma,� w/z stone 3b. PROPOSED RINSING STATION ,a i ,�:_- - J PROPERTY LNE - \ fxnAO,rsel •\..\ ewer-t1�os�. Me�rec�aa 4.' EXISTING VISTA PRUNING Utrlity,Pole 5. NEW VISTA PRUNING \ 3.: 6..-- HAND CLIPPING OF VINES____ �� :a � 09 B�4Y L�11 E, CENT_ERV LLE � e - Watergate 7.- REGHARGE.CHAfVtBEF " __ _ , _ - — --- - !NOTE: SITE IMPROVEMENTS,SHOWN ON:THIS PLAN HAVE BEEW. ' � 1 IPREPARED BY RP BERNSTEIN'ARCHITECT AND DRAWN ON THE _ TH SEPTEMBER t5 2016 PUBLIC RECORD SITE SURVEY PLAN PREPARED FOR THE PROPERTY ION SE PTEMBER 28'"1994 FOR THE INSTALLATION OF THE CURRENT ,.Scala t'=20' - -- -- Hydrant-� RF BERNSTEIN ARCHITECT SEPTIC SYSTEM. ALL EXISTING CONDITONS HAVE BEEN CONFIRMED /'1"�% i �: i O�'9 T 8-6'E EXISTING RlNSl1�G STATION �-r \ \\ \ ' (42 SFJ. I I EXISTING RINSING.STA_tON. P. - / TO 8E REMOVED , BASE_M_ ENT-ROAM;, _..... .. / . j , E NT FV S1TEQRK OR NE* '� - -- O BASEMENT..ROOM_. h / ' FtIN ING STATIOF! ' : CRAWL S.PACE_ -. .. --- . NEC_ r CRAWL SPACE • —: !EXCA PERIMETER FOt1NOA TON i \ FOUIVDA_7/64 �\> - __ S6.AB CL(TS,for,._, .. ..... ... .. '. — EXCAVATE FOR NEW SFAS WA TERPROOFING: NEW EOOTINFi3" ON Gmm-EXtsim'i rFFJ1iNUA'�ID><V lO REN7A(N:1P!PLA_C,E_ - ..a WATER MANAGEMENT c f � 'SYSTEM- ERMI.T. GARAGE: `M ,n� r mFi .I EXfS:TffG BASEMENT PLAN' . /a 1 -0 _. _. .._._. F►,', SLAB otv GRACE' - ' - - - ca TALDQ GUSTQNIiB1 }/ (�/,,CLAAOUTH'!'iV EASS.FJ17.�9�JIJ�R46:R (5093 sae 4133 rcafaldo®cmatdn 988 V i9 t tF,T&STi .. e794'ebt�6." rdaarch�e R4t,'�'r?eg..tuod` . RESIDENC 309'BAY LANI CENTERVILLE,I s` - f I . LI ' ---- -- A T �� DtNING RE•SQI9E:. I EXISTING APPLIANCES wind' I C99lAYETS TO BE REMOVED _ .._... 1 T FLOOR LEVEL i I I EXISTING.CONDI' ;II iI . KIZCHN. .... I I And DEMOLITION - hL►NG R4_c�M T1�A0 1 0" i REMOVE O I FINISkh TO EXPO RAFTERS TO INSTALk�R�AY FOAM INSULAT N I • � II ii _ I REMOVE:lNFER/OR WINDOWS. I r s � I l EMD OF . LLS.- ,' , I FIXTURES and FURNITURE�-- 1 ; t I BE REMOVED TO a - - -- - -'-------._ .1 �, I i. DRESSING ROOM,- � I AFTER DEMaMON AND EXISTINGCONDITIONS AREEXPOSEO,ARpi1TECTAND`STRUETURAL ENGINEER 1>1 f� WILL Vf317`SITEAND DEtERMINE FINAL STRUCTURAL /x BREEZEWA.Y DECK and - - .z - i _... -- —-- - _, L2EIAIL^SAND SPEGJEICATtOA!S REMOVE EXISTING.: O i' ' WASHER/DRYER RAILING:TO 8E REMOVED S BCUTSFOR 4' __.FOOTINGS_.:i <\, PERMIT SE7 __. EXlSTII G 1ST ROC)R P-�N -- - -1%afl i=0„ --------— --- ._._.--- ... _ _..... - _... OCTOBER 2st''.� i '�EMOVEALI EXlSTNVG i FINISHES ON CEILING GATALQQ''GUSTONF:9l I . 172E FA EAST FALMOtLTHd MA.p 548.1133 rca Ido®eataldol REBERNSTEIN ARC 988 INASHINGTON STI GLO.UCESTEF? MA 01 • MASSACHUSE TS:Reg_No., 0; 1" 2 .3. 4: a' 1H"...- , RES DE G 309 Ri 1Y L • _CENTERVILl.���I? - r 1 {REMOVE ALL AFTlE SLOPED CE/WNQ,FINISH INBTALL:SPRAY FOAM INSULATION HEDROO1fA _ ... s _ � I 1, � I OOR \Z F�EXISTING CONDIT / I I And DEAA.OLITIO.N i BEDRQOM C. --- -- j I _ Y j � r i'''� R Lj Nl EX 1 ©TUB QTT O BA_FHRF IF 1M, I _E LOSURE WALLS � 11 I T. _.. L'_ —- - tG. i f I r' ,--.--KITCHEN �� s _PE.�M�T �tm$TIN6 2 FLam PLAT I------ -=-/° 1 Q' --- ------ --- --- - \ GUEST.AF/ARIMENT— ...... ---- — - f3CTO BIER 26' 2 I �\ _-._.._. --.... 1 � \ ! CATALDfY Cds rom BU EAST FALMOUTH M& FALMOUTH HW 172E. (508)548�1133.reAtaldo®catald06 j RF BEFtN3TEiN ARc 988 N1A$HINGTON STQ GLOUEESTER MA AU - aiszel=asos, '.: .rttiascM . - S -. ..-. .• ' __MAS$ACNUSETTS Reg_Nu:F ;4.: '•� P r 2X3.INSULATED PANEL . . 1.j / ll�^-b ?STONE TREAD$ FNND rWALL uMV EJ 1: \\r PL YW I '!1 If' l� TIiINSEf TO CONC: 3f SPACE�— lu�,'i: �' SIDE I'��I��`✓+ c- \ .... .. ,. - ISTING CU 1. _ j.l 2X4I.PAMINfl S1OES . _ ...._ ..-...-..._ li EXLS7MKi PII ( ' i f 1 ..._................ .. 2-CLOSED CELL /' :. i RE N'C ... r - •` I ,I a I i i - INSULATION N %"MOISTURE RESISTANT t _ - 't. 2XB CEDAR BOARDS .I �� ,� ' - 1 ! i "%' / ___ ..i / 'GWB,w/POLYY VAPOR SARRI Y LANE ••`•` - WOOD BASE 309 BA .XBP.T.EDGE BD.- =-�� + = TILE INSTALLED CENTERVILLE, h ' r d 7xs.P.T.JOISTS 'I .. .. . d Q Q RUSHED STONE L10U�D VAPOR BARRIER d .SAND. ._......_.... .. j $e4:P,�°� _ .. I .__ ...__. _..- E APP f5p TO CONCRETE SLAB I i 4. / . aVIIOOD;B¢ARDS ON GRA E.. KAYAK STORAGE PANEL SECTION KAYAK STORAGE PANEL ELEVAT40N__ �AREAWIAY:and CONCRETE STEP DETAIL_ ��BASEMENT WALL SECTION ... __-... - �— t Yz=t'-w "=1'0 , 1 1�^=1 �" . 14'-0"+1--: - .REMOVE and RELOCATE 1 4 - ,EXlSTINGRINSE'STATION ef: 1. $6 y , n h t$ O __ J :.- - _ � �' . f= t � t cRaW�s�gcE• • BASEMENT PROPOSEDLE VE — I - 'IMPROVEMENT P _ 7 KAYAK DLOiiAGE_.. I --1-s C NOTE V s:.Y CONFMW GLEA&4NCES REQUIRED FOR NEW ' - � ' -Y�. - N R �-• MECHANICAL E(WIIPINENT AND NOTIFYARCHITECT I i ANY CONFLICTS .THIS ......-. .__4_.:. _ CMANICIiNE OF WITH F'UaN' METER WALLS IN BAASSEMENT ROOMSAND SH TED ALLL BECIONFIGURED .i i. __... _ TO MAINTAIN A MINIMUM OF 7-D"CLEAR FROM SLAB TO S `DUCT TO ALLOW A MINIMUM.OF 8'-8"REQUIRED FINISHED CRAWL SPACE_ : l !. CEILING HEIGHT IN SPACES. JV. - i, - EXISTM FOUNDATION WALLTO SUPPORT NEW WMIDOWS _ T- " PERMIT SE? v :BASEMENT FLOQR PLAT '/a" 1' 0'" i I LocArroNDFNEw OCTOBER28TM..2 � I NEIAI CONCR€'TE FTGS. aINBING STATION.. W/TM STEEL BdSE:FLATES i I ------ FORHSS COLUMNS --=1 . ---� S"DIA:CONCRETE r , SONOTUSE PIER FND. I CATALDO CUSTOM BU TO ExLsnNG` 172 E.L�TH H W 4'DEEP OR . MEMBRANE . MEMBAAPIE arrd_STONE .. I:i\ I EAST FA H,MA 0: (508)548.1133 mataldo4rataldob I II NOTE: ALL kVORlE TO CONFORM TO I€BC 2(09 INfFH'MA'SSACHUSETTS A,M€NDEMENTS: I I' It I RF BERNSTEIN ARCk Ad 780 CMR MASSACHUEST'TS a EDITION RESIDENTIAL BUILDING CODE; STR l II �988WASHINGTON ' GL9UCESTER,MA.Ot1 bJ s76.28t-86Q8: rttiardileJa, MASSACHUSETTS No.I _SHOWER DRWINAGE - - - o 1 2 9: 4, 8" 18 ' r _ J VVat il RESIDENC 309 BAY LANE ' _CENTERVILLE,.I. !KAORK.TO JNCLUDE INSATLLING 31CLOSED-CELL SPRAY 'FOAM INSULATION INA L ROOPRAFTERS INCLUDING EXPOSED ATTIC SPACES AND REMOVING CEILJNG FINISHES ,IN SLOPED CEALM ARE48. All EXPOSED EXTERIOR WALLS TO HAVE MIN.3"CLOSED-CELL SPRAYFOiM�INSULAr�I I_ I ALL EXPOSED INTERIOR WALLS TO HAVE ROXUL FIBERGLASS _ ... BAIT SQUND/NSIJLAIiQAL._ f0 - -- I. MASSEH,BEQRoOM, :NEW 7EfAGEDOO i' OFFICE t E „ NEW,FRENCH DOORS INRS EtN I ST FA t— I n. -- ( 1' FLOOR LEVEL ;, EX1STNtl0 CASED OPENINPROPOSED G; I I _ IMPROVEMENT PI DldlA[O A=&.agdD_EN__.... ESSING Room -- __.._ + V II �i I - -.. I DO__ .NEW 4 42"DI 1r1.METAL ZOrA T$T4.RJiGE_,,P_ --- _ E W METER, L� i \x _ - NQTE FfT D&TGlJ(J{Y an@ ACARRP SYSTEAf UPGRADE. MOZxlifyfSTkl6 SYSTEGI AJ R£Qli1RED2?-PROVIDE y AJKET MDNOXJDED1" REQIYIREQ . I�YCUR1itYYY LdDEW06FIRE DEPARTMENT REGULATIONS; \\ Comsut F WITH OWNER FOR ALL NEW LOW-VOLTAGE WIPAAG \ \ \ REQUIREMENTS:lNCLUDING SOUND SYSTEM,ALARMS VOICE, , ... AN1J d)ATA G19RJAIG•.\ S:ALL EX/ST(NQ?DEVICES TO BE REPLACED\\ - — — - - -- . HARC FAUL7OUTLEf•S WITH EXISTNQ'2-WiRECIRCUITS To BE PROTECTED BY OR CIRCUIT BREAKERS, ALL NEW WIRING AND PER MIT S ET \\ \ CIRCUITS.TO MEET'CURAENTZODES AND REQUIREMENTS; LL INSTA NEW WINDOWS a rd.. . _.:.._ 9 i\\ ;• DaOffTO ENCLOSE EXISTING' TH.21 BREEZEWAY SLIPJ`0RTED.:ON' HARaW/REoCOINBINATKkd'Sfi40KE a Co DETECTOR ; 4'-W OGTOBER_26 . �\ EXJSTfNQ FOE/ND&T/ON WALL,__ - - -- - - -- --- - - -- \ - f1FiER-CE7NMECTEO INCU{DiNG GUEST APARTMENT and NWIN HOU&€ ---- v f :. FLOOR PLAN t/4 1 1-07, CATALDO CUSTOM BUI \ 4 EAST FALMOUTH,MA O< A- (508)54&1133 rcatemo®oataldobt ' `RF BERNSTEIN ARCH! 1 9IN WASHINGTON.STRE GLOUCESTER,.MAOT9E 978-287-8609 rfberefi®:eW.r �1.-NEW RINSIWCr STATION PLAN RESIDENC 309 BAY LAPt CENTERVILLE, i' i I i � � I I I BEDROOM TE - i \� :REMO LVEM WALL AND 7- . .AC(N'ED CELL S YSFDAM.IN PLANK F7M0.L.4 S RACE-jYA 9 OBE IpETERdfkUFQA R.13✓_MOLIT/ON ND F i - — y LOOR LEVEI PROPOSED it 4 BEQRt fJFJ4NAf. SE' H i� c rrlvuv6;R4E?4/I q p ' - - I;1:, ""1;1 t3Q Ta fCSTDIAGE, --' _ - -- I' --'------I r - - -- - - i.. BELOW ; �I !I k.. BPTHFOM I! LA OF MAS]�ERSATH.I I4 L CAf DRAL C ILING X Y /TT1C i TORACsE' �; f u i" \ 1 . ♦: -... PERMIT T OeTOBER 26T"2( PXISTING GUEST;. � /� y,` - - -- . APARTMENT-- 2ND FL00 PF./�N' '�4„-V-ou - ---- - --- ....... ... �...-...._.Uklbt,-.._. ._ _ .... CATALDO CUSTOM BU \ i 172 E.FALMOUTH HW EAST FALMOUTH;;MA D2 .._...\\ .. - -....'�. (508)548.1133 rcatalda@cataldob i' AF BERNSTE►N-ARCH 988 WASHINGTON-STRI GLOUCESTER,MA 019: 978-281.8609 rlbarrh(gaol. MASSACHUSEfT3 Rely No.Al Q' 1 2 3 4 8 i 6= uu RE;SIDEIVC 309 BAY LAN — --- / .I I _CENTERVILLE�_I B 000 \ _ _ - - `� I _ • 1 i ` ��;BA9EMENT HALL,PLAN__, ., -3/8"=1'-0"--_ ! 2 EXI=RCi�SE ROO�A'and HAil._BASEPAENT ELEVATIQN_..3t8"=1'_0"- , : C _ I I o o = PANTRY:and KITCHEN ELEVATION_-_3/8 1',p" KITCHEN ELEVATION 3/8,=t'-0" KtTCFfEN ELEVATION__ KITCHEN_ELEVATION — — 5 --— — _— g.. — — INTERIOR ELEVAI a I _.......:. l i - A 'I o 0 I I LAN :ELEVATIONS x C�NPERMIT SET -- - I OCTOBER 28T.3 0 _ __ - -- CATALDO CUSTOOif BU �172 E.FALMOUTH HW fGfTCHEN CEILHKi PLAN_ 3i8"=t'0". KITCHEN PLAN QETAfL. _3/8"=1'0" I — — — .. .. .... — ST FALMOUTH MA X Q (SOs)548.1133 rcataldo®cataldot y' RF BERNSTEIN'ARCI a., y88 WASHINGTON STI GLOUQ�-P.ANTRY PLAN aIA ELEVATIONS _3/B'st f1' 978-281-860s ESTER,�0�1 MAssACHusETTs Rey-No.. LJWUn� R.ESIDE NC N — 309 BAY IANI GENTERVILLE, DORMER GLQ._ 5',HMaHD 3 SPflRY OAM' __- _•_ .. .... fNSULATJON Wl'l7!iX8 EADBOi1RD PMNKCOVE 6 0"R.O. 8 0 R:O: 6'0 R:Q: p(�q — . ... .-.. ,�.r--_-• .. .�.J NEW VEN 21W FL STDAGE FLOOR YT �1 — - z� - --�-• OAA C>E.'S_LABELEVATION:. -- - iSTRUCTURALSEC PLANS&ELEVATK 2 :BREEZEWAY amd_:DORtNER ELEVATION Y+^=1_'_4"_ r — —i--- _ BASEMENT. 1 } ;+ GUESTAFARTMENTFLOOR 3, :SECTION -------------......... _._.... i W70 STEEL BEA ; 1 I:� I 1 RA 'SLAB ELEVA710k.,:: i 1 FOOTINGS ��1GARAGE STRUCTURAL SECTt(�t. W=1-W. PERMIT SE-i A_ .: 6: _ CIGTORER 26TH 21 - CATALDO CUSTQM+.BU 172 E.FALMOU KH i!A EAST•FALMOUTH MA 0 ., . (50B)5481133 mtaMl§catWdot — 1 _. __..---... . _._._... .._._._..... .. RF BER14STEIN ARCI NS WASHINGTON STF GLOUCESTER,'MA 01 978-M-S&M dbamh '. ......MASSACHUSFITSAe9„No.I �c� GARAGE FWNDATIO4d FLOOR FfAfW . . Y 1'-0" DIRECTIONS: .' From Hyannis-Follow Mot,Streel to the west End Retory Teke third exit to ASSESSORS REF.: Scudder Ave.Turd right onto smith street Mop I86,Parcel 014 of the stop Sig,.Continue on to cmigole itl•. ••' -� • Beach Rood°i d left onto South Moan `x' b'�9•-( Street.mm right ante eay Lane. OVERLAY DISTRICT' /'309 is°n the left. AP-Aquifer P,,Ie Uon District FLOOD ZONE: Zones VE Ele,14',AE Elev.12. ••� �• x(0.2%Annual Chance) &x(Min F;aed H°zord) LOCATION MAP Salt Marsh Community Pone;No. (1--2000t0250 ) 0 July I 2014 REFERENCES: ZONE: Deed C209429 RD-1 S ,`dd Pion LCP 21863-A Area(min.)87,,120 SF(RP00) CP Frontage(min)-2 �06 `00 I .�•�/. \ �'�' Moth(m;n)125 ;i! / .i'i- ,`:''\'` :\�•\. Side 15' Rear IS' Self Marsh!/ / r'II;il'I,,I ( / / �; \ \`;\\ \\ \' \�• , Salt Marsh / / { Salt Marsh ` � � •. �'i.:,// // / / I I \ ill I \.,``•,\\\ \\\`,}, �\\ C";�'\:______— �-,j. -.• eil •'I /ate ,e � � '' \' _ �'\ Sall Marsh. .. j l�a \ R717777 AdOi- A, \, .\', - z \ \ -C?--'leu�e - 13os _ _ I 2 Sty. If 3k5A r S. \, James P. _ K,r M.Pellow I , / '!�, / I I {(1� \ \{ ). \ "$ oR f - Margyn R.Asiof _ Sla i - J / I{ \ \ i 0°. h Joseph R&M A onlyn R.Asial Trustees y � - \ 2 siaf b Family Trust . -29.82\ - `�^ 61 � �• •Vy'•' Sl•" t� l Shell Ddj r/ L Edge of Pave 1-tX-arrl00 I �x 5-•DD'W —Tie Line S56 Lane / Bay a P° E69e LEGEND: Q CDT Cedar Tree HT Holly Tree NOTES: PREPARED FOR: PREPARED BY TITLE: Site Plan DT Deciduous Tree CT Coniferous Tree I)The structures shown-r located on the ground by conventional - survey met„eds-Dcl°ber 2,,201,N°me°suremenls w made Jeffrey & Candace Dobro Engineering& Existing Conditions ' --�-�` _--- -'-- _or structures and gis shape we used for the r root this _ - n O `O_�Wilt Pale _ �.. _ __._ - _ _ -E- Electnc plan.Any dimensions needed-the structures sh-ldubeOS° Boonton you fh view-Drive -- -Su'lllval'1' -Consulting;Inc. - - .- aanlrmed --- _ At priar to any werk er pt—t n JTownshi NJ 07005 -0- W,1 2)The Property One;nfti.r. en shewn hereon was compiled Iram P 309 Bay Lane A � wetland Flag o Gable record informofi°n. (508)4283344 P.O.Box 659 7 Parker Road,Ostervlll0.MA 02655 4t Light Post 3)The dotard used is approximately NAVD supplied by Town of � sael@.SullNanengin.eom•xwwsulllwnengin.eom n (`) ■ /assw ti Barnstable G15 Date. Bar/ Stable (Centerville) MIY/� w SCALE.' v=i o c6/oH 20 D tD 2D Al eD Revfew: CTR/JOO CoDdP K/CTR DATE. November 9,2017 1"=20r —25— l—tiod Coll Pn'ect y 360024 —z5— Elevation Conlovr _ Project: Ocbro I 1 .17 .......... W940VATIONS: E r a --------- Welicnaf Flag(T 1jk • SoW.I'-2083' Q/jV Locus Map. GAsseseors Moro, 186 Parcel 14 Elevations Shown Are,Based On M.L.W.Datum APR 18 AIL ro /v OF OF SI DRAINAGEMANAGE ENTSys TEM: 2092 SF+I-ROOf'AREA '9/vs!,q,94 11'X 161'RECHAF GE-CHAMBER"Wf-(6'-CULTE -MDffeC-f0CFLFN1TS-- 8'MANWOLD"@ T-.0'P40W GRADE, %.SLOPE,WINVERT @ V-8- AL PVC'or`HDPEPIP z CONNECTIONS c YARDE"IN 0%V11 RFLOW FOR 25 YEA EVENTS CHAMBER LOCK LANE L ED DOWNSLOPE TO VARDS BAY. x AIL. OWDOAWD TK To Im / p Z 210/4/201& All, APPROVED, 5 W4,vmm FA nu A, AL ------------ Utility Pole, CONSERVATION Ak ; AL 6, V .1,11 1 - I -, 3a \ I COMMISSION SITE IMPROVEMENT PLAN Ak, fWG NA 15 AL/ T AL ,arfo r7 . - o��T� SF!O r 01 C pm PO u L�Lylvd TORE 1,-CbftR.T0.00L CTSTO AL if I/ I I a t �HA Lawn SULLIVAN ENGINEERING JUMN L;+U UtA,P.E. AL a 7 PARKER ROAD a 7 < .OSTERVILLE,MA.02655 j ' \ C =1._'�=�,.-.� `yam \ \ /\ \\� °;° 1, ...._...____ - ....... f\\ \ AL 2. 33 3i -o.9 Q -o.8 -o.6 -o.,4 F- v a: -4o PERMIT:SET A, v V\ C( -o.5 odbBER,26TH�01 6 *< s—o . .. AiL\\ FJ �s AL v V �17* KEY'TO PROPOSED SITE I'MPROVEME —2 —J� A A A 122-:: E R V E.I 2 ENCLOSED BREEZEWAY L 3a. EXISTING.RINSING STATION A. E,d 5 4W w/x st— 'POSED RINSING STATION 3b, PRO PROPERTY LINE EXISTING VISTA PRUNING OF" 4. 5. NEW VISTA PRUNING utility Poe Utility Pole 6. HAND CLIPPING OF VINES 7. RECHARGE CHAMBER ��WBAY LANE C ENTERVILLE Watergate NOTE:' SITE IMPROVEMENTS SHOWN ON TH18•PLAN HAVE BEEN; . ]PREPARED BY RF BERNSTEIN ARCHITECT AND DRAWN ON THE, -SEPTEMBER 15-2616 'PUBLIC RECORD SITE SURVEY PLAN PREPARED FOR THE PROPERTY' RF BERN ECT ;ON SEPTEMBER 28-1994 FOR THE INSTALLATION OF THE CURRENT Scale:_1'=20'IC STEINARCHIT ;SEPT G CONDITONS HAVE BEEN CONFIRMED� 988 WAS Y 1, CERTFIED TO BE AN ACCURTAE REPRESENTATION OF WASHING TON STREET KELT AND ARE STEM.ALL EXISTING THE CESTER,MA 01 9�Q ;CURRENT SITE�CONDITIONS j�Q THE PROPERTY FEET �� P flEATION.is i : iv EXISTING RINSING -c- -\- •"-� e-'--\ \. (42 . - . -. ';. \\� \ \•,� ,\�\ •\ is - EXISFING,FHNSINGST Q(J I - L .. - TO SE_REMOVED._ .BASEMENT... SITE ORKFOR NEW t • 7 •: , : � BASEMENT_R09M'._.. ��RlN fNG STATION CRAWL - CRAWL.SPACE :r ICAL CRAWL SPACE EXEAVATE FOft NEW - (METE ATfO R FOUND �N'' PER . _ .. DARXJ af,d,FOUNOATlf7N , '• ... 14. for:_:. _: - __— ..CAVATE,1 R00 W6LAB,,: :NEW EO077NGS_'- :.. pRADE=EXISTIAiL-k'lylUFsrDA9YBN . WATERPROOFING To REMAIN IUPR 9CE SYSTEM t • _ � _ P aR (T-�- 71 GAAAGE --._ EX.ISTNG M: E T PLAN , , n SLAB ONGRADE - ,. - - -- ------- - .._ OCTOBER 26T"20t6 - - - - pg n S f{fl �4 -0 - I iI �V CATAGDO CUSFQ ILDElRS:` q. pt /y i ` EEf,S7'FJCI.M411171.MAfl2536' . _ ,. - .. (508)548-t.733 restnldo:(�cateidobu,lders:co,n_. lr 7 . � A' � . .. - . . - .. f3�Ul`��7�iH;4�13C•6f99U - . g78,g03 a yhYD'$gum , .. .. i. .. Qp _ : al PROPOSED RENOVATIONS DQBRO RESIDENCE 309 BAY LANE _CENTERVILLE,.MA__: b , 4 ; I I I . # _ EYIS77NG APPLIANCES and: -.: 6h I ' CABINETS TO BE,REMOVED'.. 1 ST::FL .. 5 I OOR LEVEL � �I EXISTING CONDITIONS, KITCHEN- - _ And_D M E 00M---- RA TO INSTAL ya IT40N PLAN., . I3PWHY FOAM.INSULAT N III _BA iI I I I I .REMOVE INTERIOR WINDOWS:' q.. - -A _ .. _ nd DEIUO.OFWALLS. .. � -,, - I !I I � - -.. I FIXTURES and.FURNITURE l� I ... _ O BE REMOVED DR BEDROOfpI, _ EBBING AOQM:. O AFTER DEMOLI TION AND EXISTING.GONDITIONS .:AR EXPOWD,ARCHITECT AND STRUCTURAL ENGINEER - .. wtLL VISTGSITE AND:DETEIRMINE FINAL STRUCTURAL - ✓ -BREEZEWAY DECK and :EXlSTIN „,�` - .: — RAILING'TO BE IiF,NJOVED_..' DETAlLSAN2�CIFICATK2NS. f.. ,. S B CUT - , PERMIT SET:.::...:...:. . EXISTING I T FLQ'QR"PLAN 1/a"�1'-0" - ----- - _... _. _._..- ----. -. OCTOBEh2sT"201& .. —REMOVEALL 6S iSTING _.__... .._ _ FINISHES ON CEILING - .. .. ti CATAL00 CUSTOM BU{LDERS 172. - -. -. ... .. .. E FALMOUTH HWY EAST FALMOUTH MA 02538 /... .. - (fiO3-W.41M Ay(9cataldob0dem.mm RF BERNSTEUV ARCHITECT . _ ,g : _ 988 WASHINQTON STREET GLOUCESTER,MA 01930 . - 878-tat-880B dbamht4aol.com (FLEET EX2 f n PROPOSED RENOVATIONS: DOB,f : . RESIDENCE;; > . 309 BAY l,90;lif, -CENTERVILE��MA_._ : . f .. ! V REMOVEAU ATTIC SLOPED CEAVW-FINISH /INS TALL SPRA Y FOAM WSU9 4TION i _1 L HE _ I _ I I I 1 �2ND`FLOOR 4�XISTiNG CO.NDITION AS Y i, BEDROOM I — ._.... AAOLIT"ION PLAN --=1�o I rue -.BATHRC)(3M.' E' L09URE 4YALL�S .. . TTIC. ------- - � _ - -- - � ,BOOM I II I-. I i I I e I KITCHEN . /4r, 1�:on --- -- - - �\ ...__._GUEST AP ARTMEM _ EXISTI.--- -OR LAN -- - -"-- -- R_26209 OC708E _._ :6 ---PAN GROOM \ CA ALD.O .U S... EAST:ALMOQUTH HHWV ., , : ... 08)54Q?1,33 rcateltlq@rzffiIdubwltlers cam;: F" RF BERNBTEIN ARCHITECT..; .. _ 98Q WA9H1NGT8N STREET^ GLQUCEST-ER,'MA01930.` i. BMASSACHUSMS__RRy NNo AA5BB4. 7 � r PROPOSED RENOVAMNS: j LATTICE PA / / /.. / !- / VAPOR-EIARRIER D'O B R O 2X3INSUCA I I/ /1 EYISTYNG 8 DPANEL /' (.; /I �. �+ iI FNDIWALL•CiIU I�Illllltulllll CI wxsrnrooDe�orNswEs ' I -To- 1 I I STONE READS .. I... ��. I EXISTTNG:PI // - FS4:fRAMING / .).'I _.. _._. E ii .. .. . r cLO T n+at�ErcoNc: RESIDENCE h-] l I INSI%LA W h OISTURE RESISTANT X 6 P TREDGE W. I I / - .—_ GWOOD BASE VAPOR BARRIE d ;. 1 309 BAY LANE 1 d T G d B.P.T.JOISTS t :-• ; TILEINSTALLEDOVER CENTERVILLE,MA —CRUSHED STONE _. LID D VAPOR BARRIER .. _ .... _.__. _. • .•',', d {6- d, a -SAND .__..__. a P,a°a� _ , AP ED TO CONCRETE SLAB . BRICKTILES OWOOD_BQARDS ON GRA E KAYAK STORAGE PANEL SECTION KAYAK STORAGE PANEL ELEVA7IQN.___ AREAWAY and CONCRETE STEP DETAIL_ BASEMENT WALL SECTION 1.Nz..1. t Yi"= '- "_..I. o �,h•,�i,.p„ REMOVEand RELOC4 4 - EXlSTlNCl_R8 I , x PRO OSEDLEVEL s � � if _ IMPROVEMENT PLAN Ll. I i _ ryta,' ^ '� ti KAYAKST RACE �• ..1 v', I CONFORM CLEARAVCES REQUIRED FORRNEW r ... .� Y I 1�4n i,.o„ { CHANICAL EQUIP.INENTAND..NOTIFYARGNlTECT - _ ANY CONFLIC .. THIS _ _.. .. I. CHANOCA METER �.'R .. OF TS N?TH� PLAN' ` NEW DUCTWORK TO BE LOCATED ALONG PERT CRAWLSPA-QE_ - I S WALLS IN BASEMENT ROOMS AND SHALL.BECONFIGURED REDFINISHED R .TO MA/NTAlN A MMtlMUM OF 7'-0•CLEAR FROM SLAB TO - I l ='i^. CEILING H€IOHT MI HABITABLE SP,ACES.Qu ' EXIST940 FOUNDATION WALL TO SUPPORT NEW WWOOWS - ---------------- ' - ,.. _- EYEMpA4__.. _ - , Ard lXj�7R�RE AYW L I r i PERMIT SET' `v BASEMENT FLOOR PLAN '/a" 1'-OT I j i 26TH 20 r OFNEW 1JEW.CONCRETE FTGS.. -.._ _..--- --- ---- ---- ._---._ f R�wIONa_TIOa, ..—.-... .___._ ..._._.. OCTOBER 16 'INITH.STEEL"BASE;RI[ATES I I I ------ . FOR HSS COLUMNS - I '1 --- 8"DIA:CONCRETE .I I SONOTUBEPIER FND. ;CATALDO CUSTOM BUILDERS. 4-DEEP OR TO EXISTING 172 E.FALMOUTH HWV ` .. FOOTING. i I MEMBRANE and STONE--, tI I EAST'FALMOUTH,MA 02536 SHOWER BASE-- I II�I (508)548,1133 metakio@cetaldobuildem.00m t NOTE: I t�---- -• ALL WORK TO CONFORM TO IE'BC 2009 W9�i'JMASSACHUSETT'SAMENDEMENTS! I I 1 t I • Ad 780 CMR MASSACHUES77S 8"'EDITION REsiDEW1.BUILDING CODE I I I I �R�B�FjNS7�fP1 ARCHITECT- - I I 1 988 WASHINGTON STREET tU I GL CESTE 9T&281.8609. rbarch(Re I— _MASBACHUSETTS Plo-AR5994_, 6 SHOWER DRAINAGE DETAIL..-----__._- • FEET, . PROPOSED RENOVATIONS: i DOBRO RESIDENCE 309 BAY LANE _CENTERVILLE,.MA 'tNORK'TO-dVGLt+!<3E 6YSATLLBYG 8"CLOSED-CELL SPRAY j - ;FOAMJN,4UCA7NfNAE{,ROdFIRAFTERS INCLl1DING ;EXPOSED ATTIC SPACES ANOREMOVING CEILING FINISHES .W SLOPED CEALlHGAREAS: ALL EXPOSED EXTERIOR'WALLS':TO HAVE MIN.3"CLOSEO-CELL ... , . i . SPRAYFOAM/NSLttATION. - I - - ALL EXADSEDfNTEI?VR WALLS TO HAVE AOXI/!FIBERGLASS � .. BAT.TSOU0knffilSULAl7QN.lo I ' L� NE W TE If' ACE _ 1I \�'l!"•J MASIEE BEDR EW DOORS- NA.. E.: :WW.FRENCHDOORS,W i j i I - r-111 , ` jST FL EX/SrlfNaf�7.SEDOPENIN6 FLOOR LEVEL i _ I .PROPOSED I _ - -- IMPROVEMENT PLAN r RILJ}P1GAC1Q11d `J l DR _ -- ._ _..._._ ESSING ROOPA j r , __JNEWFREAj 'k ,1'�'_.-.. 5 {TP if RA ,STAIIRACS+� , HAIL_ j TO.A 170_8TS2RA _saa ` I a r�\ 1 i GAS METER• o j. a , }: :' \. \ .•` _ ,/'�'\ \..✓ NL�•TL�F00€vE�7W,'cTiL�V.md,•ALARAI . srsreM IA'GAaDE 7W6.SYS7TWA ,WQUIREDTO'.PROV"` . NONOXIDE DETECTOW AS REQUIRED , n OWNER FOR ALL NEW LOW-VOLTAGE WIRING y. - . \ \ \ REQUIREWNTS INCLUDING SOA ND SYSTEM,ALARMS,VOICE.. - _,• AND DAT#iWRTNG' ELECTRICAL-UPGRADES:ALL EXISTWO'DEVICES TO BE REPLACED \�\ - MTHARC FAIXTOUTLETS WfTH-EXSM0 r-WIRECIRCUITS TO BE PEeR MlT SET \\ Pf�7ECCED BYGFT : Ufr BREAKERS:ALL NEW WIRING AND -- - . ' �, CIRCUITS 9X')MEET C'l/RREfwT CL'7Df'S ANO REQIIfAEMEM'S; .INSTALL NEW WINDOWS;.%/.. :! .._ ....-_._ . DOOR TO ENCLOISE EXISTING- .. .-.... .. . _-- -'— CO DETECTOR I TH \, � BRE.E2EWAY,.SUPPORTEDcON' INAT E and ! a'-o OCTOBEA 26 2016. ' • \> .-_- -----, ---- - ----ST APARTMENT and MA{N -(5r' FiARD•WIRED COMB tON SMOKE j \\ 7 .-_EXISTING FOUNDATION WALL_: INCLIIDlNL-.T GUE ., •. ... . .2-GABS,9RAGFa_ .____._.__.. . IST -EX INTER-CONNECTED `, \ .;• - \\. 6 f'T_FLQ0R'PLAN. CATALDO CUSTOM BUILDERS •,\ ,..,� I Ii ,j - r` 172 E.FALMOUTH HWY ... A: EAST FALMOUT, MA 0.!lp :(508)549.1133 rca4Wo®cefaldoEu„pars com RP BERNSTEIN ARCHITECT I ; � 980 WASHINGTON STREET i I. GLOUCESTER„MA 01930` .. `\ : .. •.: ... '. 978+2B7-8609 rlberch®eol.COm ' MASSACHUSEffS . :. ,. .... 'NEWsRINSING:STATIONPLAN:; � . Lftm-2 . .... 1 .. FEET: - 2 ` 1 PROPOSED RENOVATIONS: p DOBRO j RESIDENCE 309 BAY:LANE CENTERVILLE;MA ----------- . I _ I I � I I i I I I BEDR 7 I TE:REldOVrrE��AG..L WALL AP10 c EVCEFRIL S✓ FO"iig;0T .._ .. I FfT.Y1LATyCSVRat9E PLANK 3TOSE - - __ • gy�p0/l + I•-` — t?..j? - - -- - I ,I Y, " ND PET! ,2 FLOOR L EVEL , OPOSED "IMPRO — — — laaI To Livrnr� f1DWPl—1 i 3Pl��IR ACCESS 1/4 _1.-_0" _ I i RAL q0 sS TQATT7C STO E Baow ^o I • r.rz; y BATF#�QAA, II - ._.OFMASI�ERBATH ;I E I IF + I I ATTIC STORAC,E 3 i .` PC X. i PERMIT SET \�\ xrsTmc�wEST I OCTOBER 26T"2016 .APARTMENT_ NO Cy _-- -- G FLO OR PLAN �✓d" 1, 0„ - �.._... \ CATAtDO CUSTOM BUILDERS ' - t 172 E.FALMOUTHHWY EAST(508)548-11F�QcatafdobWIUTH,MA dsm— \ ^. 1 1 I .. _ 'F3F BERNSTEiP}ARCHITECT 988 WASHINGTON STREET. GLQUCESTER,.MA 01930 '� ;' I , 978.281-0808 rtEarch®ad.00m ii i MASBACMUSETB Rep_Nn.ARSBBa { •5 PROPOSED RENOVATIONS:, --- DOW RESIDENCE 309 BAY LANE I k r CENTERVIL LE MA i BASEMENT HALL_PiAN--, 3/8"=1'-0"_. 2. EXERCLSE ROOM Bnd,HALL BASEMENT ELEVATION-_3I8°=1_'-(�". i .. ..-._. `L ..._-. .___....... _ -- / J r �n1 PA_NTRY and_KITCMEN_ELEVATION,-_-3!8 1„0"- O KITCHENE[;EVATK)N 3/6"-1'0" KITCHEN ELEVATION --__-3l8 1'U"-.' I KITCHEN ELEVATION _...3/8"=1'-0 O ,.' - - 5 ---._. ; Li. - ...-._-- _ -_ -_ __ INTERIOR ELEVATIONS , , : F. ------------------------ i' C A /I I ELEVATIONSNI .. -.._ ..._...---- .. r ..: 7 t O Z ily PERMIT SET OCTOBER 26T"2016: o I o ,\ - --- CATALDO CUSTOOA'BUIL©ERS. 172 E.FALMOUTH HWY .: - -- --- --- - - -- --_ __ EAST FALMOUTH MA 02535 r---, KfTGHEN CEIL'UdO PLAN;.::.318'ci''-0" KITCHEN PLAN DETAIL 3/8_ 1'-0°-. g - - : (508)548+1133 rcafaldoOcateldobuiWers.com i 3 � RF BERNSTEIN ARCHITECT., 968 WASHINGTON STREET .. GLOUCESTER MA 01930 MA pp-#U- 11, 6,Foo, PANTRY PLAN a 1 ELEVATIONS SE8 1.4�_ 976291-8W9 Aberch�aol.com & MASSACHUSMS P-9.No.AR998:i J PROPOSED RENOVATIONS: DOBRO N' RESfDE CE r 309 BAY LANE CENTERVILLE,,MA I , FORME I 51, HDEN8liy'SPRALY OAM .. IA519(A7f!)lY Wf1H M6 DARD WOOD Po-ANKCOVE i— fN6TALL NEW VQJ;TING -I. 1 WORO .f s� 8'-0'RO._-.6 Ye 6�.0'.RO. .. _ _ - _. 4y1'n'I Iy - " — -- .... F7_ T77C.SrOfy4GE SKKLMaK7 fN A 1 . . _ .. i C Lam"y YY �i fe _ GA ESLAB ELEVATION L—_ — -...I --- - .-... � — I --- ST14UCTURALSECTIONS - - - 2 BREEZEWAY ancf_DORMER ELEVATION 1/a 1'-4"_ -- -- i — I PLAP{S:&ELEVATIONS BASEMENT — ---1------------ J—___J.—. - - I I •. _ - GUESTAPARTMENT FLOOR . W10 STEEL BEAM-- �•1—-- —— —.__........._.__.__. 1 i I 4'HSS COL(kYA4S- - I � I ¢ARA@E•SLAB-ELEVATIQT�_•, ,• GARA1NFORCEDNGS CONC. �. . -FOOTI _ ) GE STRUCTURAL$ECTKpN_ W=V-0e:, _ x PERMIT SET A B OCTOBER 26T"2016: CATALDO CUSTGAFBU HERS 172 E.FALMOUSHNWY EAST_FALMOUTH,.MA 02536 (M8)548-1733 mataldoccafaldobuiklem— l: RF BERNSTEIN ARCHITECT 986 WASHINGTON STREET - GLOUCESTER,`MA 01930 978-281-8809 rfba.ch®ed.00m . ,. �.. MASSACHUSEIT6Reg No AR5894 _ :' ,, GARAGE FOUNDATION FLOOR PLAN 1/"_i.'-0°. TANA .4 _ j Pages �r +, jw aT4J f � suN ROOM DESIGN CENTERS E LL 776-4600 771--0303 III AIRPORT ROAD. HYANNIS, MA. 02641 �;Uutm: —PROPOS L sUCW%TCa TO 775-3794 LR.& MRS. A. WILLIAMS 309 SAY LANE ;AC)Ia I T I Cat 1 Ifni i n:a'3Dro city, srAre AND r;p cos» 1 CENTERV I LLE CENTERV I LL..E, Mks ,G. 0263 � ti O!' PWr1S hl2CiftiCCT -. JOB PkICNE " � NPB.IR - ..�..._ ,.��. I! 'Wo i.er&hy S4'Jf"'t ,.pec;f,caticns and e.,t,+rn:sws lof �1 SUt�tROCM DESIGN CENTER 'TO SUPS*L...Y AND INSTALL A PROPOSED 6 LAY "SUNFLACE" f H PREMIUM QUALITY SUNRODM MODEL. SR-4 1 Ci—GG W I I I{ TWO CABLE ENDWALLS, ONE �� SINGLE PRIME ENTRANCE DOOR, AND ONE AWNING WINDOW. s F �TE SLAB FOUNDATION. INSTALLATION -TO IONSIST IE A MONOLITHIC �C� F _D CONGF f ,E APROX. SIZE ' 1 s i" X i�� + 45,. . SUNRODM TO S7. T RUf TL1nALLY 1 I E 11vTC3 E".X i ST I NG F L1 e L D T NG [i! MENS If1NS AND FOUNd)ATION Pi -ARED BY HE SUNROOM OCT E CUSTOMER RESPONSIBLE FOR TREE REMOVAL AND AREA PREPARATION FOR a FOUNDATION. y I NS TAt..LAT I ON OF 9'* VEC•T--A X I A EXHAUST FAN WITH THERMOS l AT ALONG 011 Tkf ELECTRICAL WIRING OF SAME IS INCLUDED. u '�. 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