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0057 LONGBOAT DRIVE
71 Town of BarnstableBuilding• F Pos,.t�T�his CardSo That It is�Uis�ble From.the�Street A"" roved Plans'Must;be'Retamed on Job.a'nd thisCard`Must be Ke t �':, 14 ¢ Po,s.t ?W:7e.: Permit�a' r Permit NO. B-18-1795 Applicant Name: BRAGA ALEX B Approvals Date Issued: 06/08/2018 Current Use: Structure Permit Type: Building-Sheet Metal-Residential Expiration Date: 12/08/2018 Foundation: Location: 57 LONGBOAT DRIVE,CENTERVILLE Map/Lot: 193-160 Zoning District: RC Sheathing: Owner on Record: MELLOR, ROBERT D&MARJORIE W Contractor Name BRAGA ALEX B Framing: 1 Address: 57 LONGBOAT DR Contractor Lcense 6717 2 bS Y CENTERVILLE, MA 02632 �W Est Project Cost: $0.00 Chimney: Description: Installation of one central air conditioning to service ith `Permit Fee: $85.00 one zone Insulation: Fee Paid:_' $85.00 Project Review Req: _ � pa Final: e 6/8/2018 aw Plumbing/Gas 1411Rough Plumbing: kg -- Building Official Final Plumbing: This permit shall be deemed abandoned and invalid unless the work authonzedit this permit is commenced within six months after issuance. All work authorized by this permit shall conform to the approved application and the approved construction documents for which - permit has been granted. Rough Gas: All construction,alterations and changes of use of any building and structures shall be in compliance with the local zoning by laws and codes. This permit shall be displayed in a location clearly visible from access street,Pr roa&6hcl shall be maintained open for public inspection for the entire duration of the Final Gas: work until the completion of the same Electrical The Certificate of Occupancy will not be issued until all applicable signatures by the Building and Fire Officials are prodded on3this permit. Minimum of Five Call Inspections Required for All Construction Work r $ Service: 1.Foundation or Footing 2.Sheathing Inspection Rough: 3.All Fireplaces must be inspected at the throat level before firest flue lining is installed 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection Final: 5.Prior to Covering Structural Members(Frame Inspection) Low Voltage Rough: 6.Insulation 7.Final Inspection before Occupancy Low Voltage Final: Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Health Work shall not proceed until the Inspector has approved the various stages of construction. Final: "Persons contracting with unregistered contractors do not have access to the guaranty fund" (as set forth in MGL c.142A). Building plans are to be available on site Fire Department All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT Final: �j -Commo wealth of Massachusetts Sheet Metal Permit Map. VI Parcel Date: 05/25/18 m Permit# Estimated Job Cost: $ I :3 f a-00 �e e: $ .1140 ; Plans Submitted: YES NO rO��/� � � `&kevi.ewed: YES NO + , 6717 Business License* 612 Apphc°NOS i`c} Business Information: Property Owner%Job Locationlnformation Name: Braga Brothers, Inc. Name: Mike O'Brien Street: 110 Breeds Hill Rd. Unit 5 Street: 57 Longboat Dr City/Town: Hyannis/MA City/Town: Centerville Telephone: 508-827-4260 Telephone: 508-221-7911 Photo LD.required/Copy of Photo I.D.attached: YES NO Staff Initial J-1J M4-unrestricted license i i I J-2/M-2-restricted to dwellings 3-stories or less and commercial up.to 10,000 sq. ft /-2-stones or less i I Residential: 1-2 family x . Multi-family Condo l Townhouses.. Other Commercial: office Retail Industrial Educational i Fire Dept.approval Institutional_ Other Square Footage: under 10,000 sq.,& x over 10;000 sq. $: NuiCaibei of Stories, � Sheet metal wori k to be conoleted: New Work: Renovation: HVAC x Metal'Watershed Roofing Kitchen Exhaust System. Metal Chimney/Vents. Air Balancing Provide'detailed description:of work to be done: Installation of one central air conditioning to service first floor with one zone. - i ` I i i INSURANCE COVERAGE: 1 have a current liability insurance policy or its equivalent which meets the requirements of M.G:L.Ch.112 Yes® No ❑ If you have checked YP& indicate the type of coverage by,checking the appropriate box below: i I A liability insurance policy ❑x Other type of indemnity ❑ Band ❑ f OWNER'S INSURANCE WAIVER:I am aware that the licensee does not have the insurance coverage_required by Chapter 112 of the Massachusetts General Laws,and that my signature on this permit application wain this requirement: I Check-Pne Only owner ❑ 4gent ❑ I Signature of.Owner or Owner's Agent 1 By:checking this boxrl;l hereby certify that all of the details and information I have submitted(or entered)regarding this application are true and accurate to the best of my knowledge and that all sheet metal work and ins tallations'perforrned under the permit issued for this application will be in compliance with ail pertimint provision of the Massachusetts Building Code and Phapter'112 of the General Laws. Duct inspection required Prior to insulation installation:YES NO Progress InERections Date Comments 4 FI<n0 Insjg rction Date Comments 1 Type of License: aster ritie I [)Master-Restricted ityrrown' Art �a'r3vF - pJourneyperson Signature of Licensee [DJoumeype.rson-Restricted License!Number: 6717 =ee$ �S Check at wwrnr,tvtass.ctoKIM nspector Signature of Permit Approval i i Town of Barnstable Regulatory Services pares Thomas F.GeHer,Director Building Division Tome Perry,Building Commissioner 200 Main Street,Hyawls;M.A.02601 AO m-barnstable.maa.us Office: 508-862-4038 Fax.: 508-790-6230 Property Owner Must Complete and Sign This Section L 1 J Ak ®/5, I� J ,as Owner of the w J sub'ect P .roP e - �Y hereby authorize Alfa rt "►" to act on my behalf, in all matters relative to work authorized by this building permit. Lo-n boa-f 3n CCU V r, ddress of job) Pool fences and alarms are the responsibility of the ap.p-*c nt. Fools are not to be wed before fence Is installed and pools are of to be utilized u�nti�11 final inspections are Jpetfot�.e �ndl pticd. Sigaa e of Owner Sigtaature of Applkant l Pnklt Name Print Name Date Q FORM&OWNERPEPWSSIorrnoaLs Page 1 Residential Heat Loss and Heat Gain Calculation 6/5/2018 In accordance with ACCA Manual J Report Prepared By: Braga Bros. Plumbing & Heating Air Conditioning For: Mike O'Brien 57 Long Boat dr Centerville, MA 02632 i Design Conditions: Cape Cod Indoor: Outdoor: Summer temperature: 75 Summer temperature: 90 Winter temperature: 72 Winter temperature: 0 1 Relative humidity: 55 Summer grains of moisture: 100 Daily temperature range: High Building Component Sensible Latent Total Total Gain Gain Heat Gain Heat Loss (BTUH) (BTUH) (BTUH) (BTUH) Whole House 1,156 sq.ft. 27,363 6,796 34,159 83,494 ( 3 tons ) First Floor 27,344 6,773 34,117 83,370 All Rooms 1,156 sq.ft. 27,344 6,773 34,117 83,370 Infiltration 4,706 5,623 10,329 30,407 -Tightness:Avg.; WinterACH: 1.01 ; Summer ACH: .5 Duct 1,302 0 1,302 7,579 -Supply above 120; Exposed to outdoor ambient; R-8 People 5 11500 1,150 2,650 0 Fireplace 0 0 0 3,052 -Average-glass doors, damper Floor 1,156 sq.ft. 0 0 0 12,984 -Over unheated basement; Hardwood or tile; No insulation N Wall 312.7 .sq.ft. 383 0 383 2,026 -Wood frame, with sheathing, siding or brick; R-11 3 1/2 in.; none Window 33.8 sq.ft. 913 0 913 2,409 -Single pane; Wood frame; Clear glass - No inside shading; Coating: None (clear glass); No outside shading. Window(2) 22.5 sq.ft. 608 0 608 1,604 -Single pane; Wood frame; Clear glass - No inside shading; Coating: None (clear glass); No outside shading. Door 21 sq.ft. 157 0 157 832 -Wood; Hollow; No storm E Wall 313 sq.ft. 383 0 383 2,028 -Wood frame, with sheathing, siding or brick; R-11 3 1/2 in.; none Window 6 sq.ft. 510 0 510 428 Page 2 Mike O'Brien 6/5/2018 Building Component Sensible Latent Total Total Gain Gain Heat Gain Heat Loss (BTUH) (BTUH) (BTUH) (BTUH) -Single pane; Wood frame; Clear glass - No inside shading; Coating: None (clear glass); No outside shading: Door 21 sq.ft. 157 0 157 832 -Wood; Hollow; No storm S Wall 239.5 sq.ft. 293 0 293 1,552 -Wood frame, with sheathing, siding or brick; R-11 3 1/2 in.; none Window 9 sq.ft. 396 0 396 642 -Single pane; Wood frame; Clear glass - No inside shading; Coating: None (clear glass); No outside shading. Window(2) 7.5 sq.ft. 330 0 330 535 -Single pane; Wood frame; Clear glass - No inside shading; Coating: None (clear glass); No outside shading. Glassdoor 42 sq.ft. 1,512 0 1,512 1,666 -Sliding glass door; Double pane; Wood or vinyl frame; Clear glass - No inside shading; Coating: None(clear glass); No outside shading. Glassdoor(2) 42 sq.ft. 1,512 . 0 1,512 1,666 -Sliding glass door; Double pane; Wood or vinyl frame; Clear glass - No inside shading; Coating: None (clear glass); No outside shading. W Wall 298.7 sq.ft. 366 0. 366 1,936 -Wood frame, with sheathing, siding or brick; R-11 3 1/2 in.; none Window 33.8 sq.ft. 2,873 0 2,873 2,409 -Single pane; Wood frame; Clear glass - No inside shading; Coating: None (clear glass); No outside shading. Window(2) 7.5 sq.ft. 638 0 638 535 -Single pane; Wood frame; Clear glass - No inside shading; Coating: None (clear glass); No outside shading. Ceiling 1,120 sq.ft. 3,161 0 3,161 7,096 - Under ventilated attic; R-11 (3 -3.5 inch); Dark E Skylight 18 sq.ft. 2,822 0 2,822 576 - Double, low emittance glass; Treatment: None, clear glass or plastic; 30 degrees; Vinyl frame E Skylight(2) 18 sq.ft. 2,822 0 2,822 576 - Double, low emittance glass; Treatment: None, clear glass or plastic; 30 degrees; Vinyl frame Whole House 1,156 sq.ft. 27,363 6,796 34,159 83,494 ( 3 tons ) HVAC-Calc Residential 4.0 by HVAC Computer Systems.Ltd. 888 736-1101 Load calculations are estimates only,actual loads may vary due to weather and construction differences. t The gaiW s 1 e .. F Sds69a�y 1 Q :¢ Wgrkers' CompeasafloA. A944—calt Information Name(Ausiumdorgmizationl3 d viduat) Braaa Brothers. Inc Aa&e8s:110 Breeds Hill Rd,Unit 5 �tylStatdZip: Hyannis/MA/02601. . Phone:#: 50.8-827.-4260 c e you an enpl€y Check obo a i I Type.Ofp��yeet 1. I ain a employer with 6 •4. [] I am a general adzti ractoP°.and I employees(falland/or part-:lir3e). , liave`liizeil die sub-contractois 6. Kew`o°��tion . 2.[] 1.am asole groprietar ar.paifixer- l s'W an_ e`at ac ad sheep 7. Rani delitig 'Iese sub-oontraGfiors have ship and have no employees g. bemo]itaon working for me in:any capacity. employees and ltave workers' 9. []B atdir g addition. [No workers'oomp,insurance c,.oinp xnsurance•.�' required] 5• [ e ate a golf oration anti its 10-n Elechical 40airs or additions o$lcers haV6.btdise�.thoi r , 3.❑ I arx►a:hoimeowner doiug.a3l work 11: P1�imtiiixg:iepairs or additions ' eL£ o workers'co right of eke biption:perMGL n* I2. Xtoofrepaits insttrauce xecf fired;]t c.152, §I(4),auil e Iaave no e 1a ees, o warl�ers' 13.0 other _ corup:.;iissurance required,] - *�'nY appii t that checks box 01=st also M out the section'below shoFving ftie;jt!prkM compeusa#ion po$ey iuforanai ion. f I�oriieowners who submit Phis aindsv 0golca g"A}ey are d iElg' II_.d sad then lurk nittside oontra*k' anust submit a ueiv affidavit ingicatipg such• Contractors that check this box must aMdhed aaaddifional sheet sl ovnnt the Larne of the sub oiiliactors and state t betlier atriot those eatittes Have emplogees. If the sub-contiactoxsliaveempFoyees,Ftieyrnustwo:p4otheic�;?fitkers'cp? p pob�ynIImber. I rrt an gmP10YOF that isproqtti g Workers., 0asrxrar2pe poor my era ilayeas. Below rs the safe - iri,f�ar�az�r.`z�an. I Iusnrg ceCompanyName. Arbella Mutual Insurance.. Policy#or Self ins,Uc,# 422005277 Expiration Datt. 0 10, ��0�1 lob Site Address: �a I iStatelzi l�' g: CN-4- , A, /mA Attach a copy of the workers'e® g�eia5afioaa po'tlicy d.eclaratrtixa.page'(shoee mg the policy ambber and e vi,.a�a�o date), xailure•to secure coverage as xegmred: - der Section 25A,of`MGL G. l52.can lead to the itapositi=of.or i al penalties of a -fi=.up to%1,500.00 Malor one-yeas prisQpmgn4 as well as civil penalises in tl?e xozza of a STEP WORKOROMznd a fine of up to.$250.00 a day against; ator. Be advised that a copy of this stat,�molit eaay he forwarded.to the Office of igvesti'atioizs of the DI,A.fo, mace overa .e verdflcaii©n. dn.t�ereliy cetl d s sett e i ies 0f'pe ju0y,hrst he.fte�or tattaaa pra�zdedi7bovols.true avid correct Si ature: late: Phone#: 508-827-4260/774-487-0199 Official use ont;�, tDo nit�waite.zh M. area,t- be camptote f by catj�o�town�f�c€ai City or Town; Permit/License -Issuing Authority(circle one): l.Baard of Health 2,BuiBding(Department 3.City/Town Clerk 4.Electrical Inspector 5,Plumbing Inspector 6.Other coutaet Person: Phone#: I t • •1 J 1 Fold,Then Detach Along All Perforations B ® ® T Ina 3, ® ` fc? -uHBOIMR��OE � �Y Si 4 £f'2k. �i.x: �•.�v3 �. r � �SHEETiUIETLiiIIORdCO�RS �' ISSUES THEFOLL®Vl►1NG LICENSEMSA � _`W IRP� 1 Stu. a �MAS3TER UNRESTRICTED ME "AI�IEn gggg i y910REEgSHILL�t2D ; , 1z srrSTE HY.�NNIS MA' U ;'��s� 31i F4R � 1'TU :Fv'i;„i"w� '>,.3' }4'il5✓°J. � v< ��� ! � i Fold,Then Detach Along All Perforations N:y::s ,::> .:.:>...:.:.... >: ..: ®MMONVIIEALTH ®F.: i .. ltS.E` "f ' < sAvrlOF - S11 zet.: IETAL 111 ORA ISSU.E.S.<T.HE FOLLOWIN&%%- vv 1 ,ALEX B BRAOA• t..; <:> RAGA-13R, OS K. MA , MILLS$TONS 020-8 ,.R.:. 'C ° 61 361999 3 � _ N, I s lot, 5 y.� kX10 .20)z 1 0 ,, e � Y g lot% _ 1 P�( � \ I0 z•s' I.2 XIiS 6 � 39 -- 3x3 ' S - a f gllj#11 Town of Barnstable *Permit# 9 Expires 6 mo ! from issue ate Regulatory Services Fee sextasMLP- 9 ram. Richard V.Scali,Interim Director AWA 'F7TNIA'� Muir Building Division r CBO Building Commissioner ry, g APR 14 2016 200 Main Street,Hyannis,MA02601 www.town.bamstable.ma.us Office: 504 ggBNSTABLE _ Fax: 508-�90-6230 -__ EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY Not Valid without Red X-Press Imprint Map/parcel Number J!(o Property Address Jr7 Lauaa�,,g-7 � � ���r01 s K esidential Value of Work$ .a� Q� Minimum fee of$35.00 for work under$6000.00 , Ow Nam_ e&Address '2, Contractor's Name A.> t1'8 ISoOU Telephone Number 101-24—f SW Home Improvement Contractor License.#(if applicable) 1 73ZAIS' Email: Construction Supervisor's License#(if applicable) 0 7T74 7 AWorkmin's Compensation Insurance Check one: ❑ I am a sole proprietor I am the Homeowner I have Worker's Compensation Insurance Insurance Company Name A&OMAL41- IIUS (,f mz4y7 Workman's Comp.Policy#_ W o,-9,a*Z oy7 p 9 y Copy of Insurance Compliance Certificate must accompany each permit. Permit Request(check box) ❑ Re-roof(hurricane nailed)(stripping old shingles) All construction debris will be taken to ❑Re-roof(hurricane nailed)(not stripping. Going over existing layers of roof) ❑ Re-side /z Replacement Windows/doors/sliders.U Value . 3 (maximum.35)#of windo #of doors: ❑ Smoke/Carbon Monoxide detectors 4 floor plans marked with red S and inspections required. Separate Electrical&Fire Permits required. 'Wheie required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. ***Note: Property Owner must.si'gn Property Owner Letter of Permission. A copy of the Home Improvement Contractors License&Construction Supervisors License is required. SIGNATURE: Q:IWPFILESIFORMSUilding permit formslEXPRESS.doC Revised 061313 f Jan.01.2011 00:00 PAUL CONBOY RENEWAL ANDER 781 545 1293 PAGE. 2/ 5 Renewal �p� w i.�«rnx r/sao7s byAndeisen. nr'NhWAL BY ANDEMEN 1AAMconx01732o CT Limm#0696599 WINDOW aEP[AOINEar mAdenmcoEpay - 26 Albion Roach • Lincoln,Rl 02865 Lead Finn 01257 Phone 866.563,2235•Fax 401.633.6602 rederal Tax I!)N46-0560080 +/ Southern New England Windows,LLC d/b/a Y' Renewal by Andersen of Southern New England CUSTOM WINDOW AND DOOR REMODELING AG REEME 01 eurer(r)Namc �D �'• . Dare DiPgreemen[: P/ /� Buyer([)Saee[Addn•,,,City Sa nd Lp C de 1 P.O.,em V e •. EMallAddrcn:—L'/ .�, _Home Tekphene Numb -oo/a yYor 1W phone Number: Buyer(s)hereby jointly and severally agrees to purchase the products and/or services of Southern New En Ila id Windows,LLC d/b/a Renewal by Andersen of Southern New England("Contractor"),in accordance with the terms and conditions des ed on the front and the reverse of this agreement and on the atu chcd specification shect(s)(collectively,this"Agreemed'). Historic Cl Condo ❑HQA7 Totai Job Amou Estimated Starting Date: Method of t eck O Cash 9 naned De osft Recel L a -.6�whChQ�i3 'may �y Credit Cards are accepted o deposit only—maximum 1/3 of the Balance at Start of job(33%):__..._.. Estimated Compl u Dat project coat(PINu see Card Payment Form.)By signing this e:'e Agreement,You acknpwl at the Balance at Start oFjob and the Balance on Sub // Oil W W P� j Balance on Substantial Com on of job cannot be made by credit Completion of JobJ,./ card and must be made I Ir4onal check bank check,or cash. Buyer(s)agrees and understands that this Agreement constitutes the entire understand' ietwoon the parties,and that there are no verbal understandings changing any of the terms of this Agreement.B (s acknowledges that Buyer(s) (1)has read this Agreement,understands the terms of this Agreement,and has received a<pleted,signed,and dated copy of this Agreement,including the two attached Notices of Cancellation,on the date first tten above and(2)was orally informed of Buyer's right to cancel this Agreement.DO NOT SIGN THIS CONTRACT IF 71 ARE,ANY BLANK SPACES. (Rhode!eland Sales Only)Notice to Buyer:(1)Do not sign this Agreement if any of the spa"ci atended for the agreed term& to the extent of then available information are left blank.(2)You are entitled to a copy of thwil ement at the time you sign it.(3)You may at any time pay off the full unpaid balance due under this Agreement,and ir doing you may be entitled to receive a partial rebate of the finance and insurance charges.(4)The seller has no right to wfitlly enter your premises or commit any breach of the peace to repossess goods purchased under this Agreement.(5)'f may cancel this Agreement if it has not been signed at the main office or a branch office of the seller,provided you noli the seller at his or her main office or branch office shown In the Agreement by registered or certified mail,which&hail b sted not later than midnight of the third calendar day after the day on which the buyer signs the Agreement,excluding S,Ia ay and any holiday on which regular mail deliveries are not made.See the accompanying notice of cancellation form for i a lanation of buyer's rights. , Buyers)receivtd_thc co�eytye>:education4eftbtKatir 'strado ard. (Buyer's Initials) Renewal by An of So er ew England s) yer(s) Ay. t Gf.J�PLY9 � Signatutt Signature « Print Name of Product Manager Print Name Print Narnc YOU, THE BUYER(S), MAY CANCEL THIS TRANSACTION AT ANY TIME PRIOR TO A IDNIGHT OF THE THIRD IA BUSINESS DAY AFTER THE DATE OF THIS TRANSACTION.SEE THE ATTACHED NOTI F CANCELLATION FORMS, FOR AN EXPLANATION OF THIS RIGHT. ' t+c- - - - - - - - - - - - - - -SIC. — _ — - — - - - - — .. - - -,c— _ — — — _ — — — —,� NOTICE OF CANCELLATION K Date of Transaction ,7�'49y--/6 .You may cancel I Date of Transaction -You may can this transaction,without any penalty or obligation,within I this transaction,without lienalty or obligation,within three business days from the above date.If you cancel,any three business days from t 1 have date.If you cancel,any property traded in,any payments made by you under the I property traded in,any p Ints made by you under the Contract or Sale,and any negotiable instrument executed I Contract or Sale,and a 01tiable instrument executed by you will be returned within ten business days following I by you will be returned wit ten business days following receipt by the Seller of your cancellation notice,and any I receipt by the Seller of yo ancellation notice,and any security interest arising out of the transaction will be security interest arising o t of the transaction will be canceled.If you cancel,you must make available to the Seller I canceled.If you cancel,Irou u make available to the Seller at your residence,in substantially as good condition as when I at your residence,In su stan i ly as good condition as when received,any goods delivered to you under this Contract or I received,any goods delivers you under this Contract or Sale;or you may,if you wish,comply with the Instructions of I Sale;or you may,if you wish, ply with the instructions of the Seller regarding the return shipment of the goods at the the Seller regarding the rot hipment of the goods at the Seller%expense and risk.If you do make the goods available Seller's expense and riskL If do make the goods available to the Seller and the Seller does not pick them up within to the Seller and the Salle d as not pick them up within twenty days of the date of cancellation,you may retain or i twenty days of the date of collation,you may retain or dis ose of the goods without an further obligation.If u I dispose of the goods i 8 Y 8 you w rho fur ther 8 obligation.If you p8 fain to make the goods available to the Seller,or if you agree 1. fall to make the goods avail T to the Seller,or if you agree ' to return the goods to the Seller and fail to do so,then you I to return the goods to the 'I r and fail to do so,then you remain liable for performance of all obligations under the I remain liable for perform of all obligations under the ContractTo cancel this transaction,mail or deliver a signori I Contract.To cancel this tran don,mail or deliver a signed and dated copy of this cancellation notice or any other and dated copy of is c c lation notice or any other written notice,or send a telegram to Renewal byAndersen of I written notice,or send a tale to Renewal byAndersen of Southern New England at 26 Albion Road,Li olrkpjo]�p�S, I Southern New England at 2 bion Road,Lincoln,RI 02865, NOT LATER THAN MIDNIGHT OF I NOT LATER THAN MIDN T OF (Date) i (Date) HER BY CANCEL THIS TRANSACTION. I HEREBY CANCELTHISTI A 4SACTION, Buyah siteature Print Name Dan euyerh algnature Print Name Date RbA Copy:White Buyer Copy:Yellow Buyer Copy:Pink Southern New England Windows d.b.a Renewal by Andersen of SNE i Massachusetts_Department of Public Safety Board of Building Regulations and Standards Construction supervisor License; 'CSS4X 5W i3RI4N D DFNXLS_6N 7 LAMBS POND r Charlton KA 01507 I r Expiration Cornn issiooer 09/a812016 Office of Consumer Affairs�d Business Regulation 10 Park Plaza—Suite 5170 Boston,Massachusetts 02116 Home Improvement Contractor Registration Registration: 173245 Type: Supplement Card F)tpinafion: 9/192016 SOUTHERN NEW ENGLAND WINDOWS LL DENNISON BRIAN 26 ALBION RD -- LINCOLN,RI 02865 Updam Addrem and reorn card.Mark rsasoo for change_ E]Addrew C .mt Renewal 0 Emphgmeol [�l Card SGs 8 aaw5ns *E: !e71.n i r�.oa.a.w.w�/a6 yt'�ao • of Conremer wlhFn 8 Bminere RetaLtioa limnse or registration valid for brdividul use only IAiPROYGIYIEJdT CONTRACTOR before life expiration date.1f found reto+n to* of cc orcomouter Affnirs and s�Regulation : 9732A510parkPfara_Surte5170 �lradon: slmm 016 Supplmnerrt:.aid Boston.r4A 02116 SOUTHERN NEW ENGLAND W0N[DOW5 LL.C. RENEWAL BY ANDERSON ON BRIAN 26 ALBI 26 ALBION RD UNCOLN.RI 02M5 1f ur,. Not valid wabout squamre The Commonwealth of Massachusetts r Department of IndustrialAccidents Office of Investigations ti I Congress Street, Suite 100 Boston MA 02114-2017 www mass govldia Workers' Compensation Insurance Affidavit:Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Le�ibl� Name (Business/OrganizationAndividual): SOUTHERN NEW ENGLAND WINDOWS Address:26 Albion Rd City/State/Zip:Lincoln, RI 02865 Phone#:401-228-9800 Are you pn employer? Check the appropriate box: Type of}project(required): 1.0 I a4 a employer with 20+ 4. ❑ I am a general contractor and I 6 ❑New construction. employees (full and/or part-time).* have hired the sub-contractors 2.0 I am a sole proprietor orpartner- listed on the attached sheet. 7. ❑Remodeling ship and have no employees These sub-contractors have 8. ❑Demolition workingfor me in an capacity. employees and have workers' y p ty. � 9. ❑Building addition [No workers' comp. insurance comp. insurance.- required.] 5. ❑ We are a corporation and its 10.❑Electrical repairs or additions ,.❑ I am a homeowner doing all work officers have exercised their 1 I.[]Plumbing repairs or additions myself. [No workers' comp. right of exemption per MGL 12.❑Roof repairs insurance required.] t c. 152, §1(4),and we have no . Window Replacement employees. [No workers' 13.0 Other comp. insurance required.] 'Any applicant that checks box 91 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 isproviding workers'compensation insurance for my employees Below is the policy afid job site information. Insurance Company Name:ARGONAUT INS. CO. M Policy#or Self-ins.Lie.#:WC 928058352394 Expiration Date:8/21/2016 Job Site Address: 67 L"ZQI�i City/State/Zip: - " Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25fi—o6 4GL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment,as well as civil-penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for'nsurance coverage verification. I do hereby certi under the 'Its and penalties of perjury that the information provided abo a is Jae and correct. Signature: Date: Phone#: 4012289800 Official use only. Do not write in this area,to be completed by city or town official. City or Town:; Permit/License# Issuing Authority(circle one): L.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Aoue#: r s SOUTNEW-01 SHEMSHT DATE(MMMDIYYYY) CERTIFICATE OF LIABILITY INSURANCE. 8/19/2015 IS THIS CERTIFICATE IS ISSUED AS A MATTER NEGATIVELY VELLY AMEND, EXTEND OR OF INFORMATION ONLY AND CONFERS LTER THE COVERAGE AFFORDED BY THEIS PON THE CERTIFICATE HOLDPOLIER CIES CERTIFICATE DOES NOT AFFIRMATIVELY OR 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). CONTAcr PRODUCER NAME: Willis Certificate Center Willis of New Jersey,,Inc. PHONE g77 945-7378 (AtC,No:(FAX888)467-2378 y AIC No Ext: ) clo 26 Century Blvd Ao A � cerfif P.O.Box 30-5 91 Naca3 Nashville,TN 37230-5191 INSURERS AFFORDING COVERAGE INSURER NO Insurance Company of Southeast 2g097U INSURED INSURER B:OneBeacon Insurance Company 21970 19801 Southern New England Windows LLC INSURER C:Argonaut Insurance Company DBIA Renewal by Andersen INSURER D ?' 26 Albion Road INSURER E < Lincoln,RI 02865 ' INSURER F COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIIS IS TO CERTIFY ND GATED. NOTWITHSTANDING AND NG POLICIES ANY REQUOF INSURANCE IREMENT TERM LISTED OR BELOW HAVE BEEN CO DIT10N OF ANY CO UED NTRACOT ORE INSURED OTHER DOCUMENT ED ABOVE WIT1 I RESPECT TOLIWHICHCY RTHIS 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.vaccident) IMITS POLI Y EFF POLICY EXP ILTR TYPE OF INSURANCE IN WYD POLICY NUMBER MM/DD/Yl'YY MWDD/YYYY1,000,QQ URRENCE $ A X COMMERCIAL GENERAL LIABILITY $ 100,00a S 2029459 0811012015 081101201 Ea occurrence CLAIMS-MADE ®OCCUR 10,000 (Any one person) $ L'8 ADV INJURY $ 1,000,000 AGGREGATE $ 3,000,000 GEN'L AGGREGATE LIMIT APPLIES PER S-COMP/OP AGG $ 3,000,000 POLICY®JECTT Pq LOC $ I OTHER: D SINGLE LIMIT S _ 1,000,00 AUTOMOBILE LIABILITY - nt A X ANY AUTO S 2029459 08/1012015 08/1012016 BODILY INJURY(Per person) Is BODILY INJURY(per accident) $ ALL OWNED SCHEDULED AUTOS AUTOS PROPERTY DAMAGE I S NON-OWNED Per accident X HIRED AUTOS X AUTOS S EACH OCCURRENCE $ 5,000,00 X UMBRELLA LIAB X OCCUR 5,000,00 S 2029459 08/10/2075 08110/2076 AGGREGATE $ A EXCESS LIAB CLAIMS-MADE I S DED RETENTION$ PER OTH- WORKERS COMPENSATION X STATUTE ER AND EMPLOYERS'LIABILITY YIN 0812112015 08121/2016 E.L.EACH ACCIDENT $ 1'QQQ'®®0 B ANY PROPRIETOR/PARTNERIEXECUTIVE � N/A 0�0068028 1,000,000 OFFICERIMEMBER EXCLUDED? �'_f EL DISEASE-EA EMPLOYE $ (Mandatory In NH) 1,000,00 If yes,describe Under' E.L DISEASE-POLICY LIMIT $ DESCRi ONOFOPERATIONSbelow - C928058352394 08121l2015 08121/2016 See Attached C orkers Compensation DESCRIPTION OF OPER ATIONS I LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached ff more space is required) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, gpCE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE Evidence of Insurance ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014101) The ACORD name and logo are registered marks of ACORD Town of Barnstable *Permit# Expires 6 asue date /�. Regulatory Services Fee (J Thomas F.Geiler,Director It AI of Building Division Tom Perry CBe O,�B y Co mmissioner _ _mmissioner 200 Main Str e Hyannis,MA 02601 www.town.barnstable.ma us Office: 508-862-4038 Fax: 508-790-6230 EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY Not Valid without Red X-Press Imprint Map/parcel Number 7Residential AddressZ /IJ J1 (���(/✓ / � T, j Value of Work Minimum fee of$35.00 for work under$6000.00 Owner's Name&Address C� >� pr �44 Contractor's Name D fil(7/hG t f CdAlC f I[:5SO.N'0 M Telep hone Number Eog-lc;—C/ Home Improvement Contractor License#(if applicable) X��—� Cons ction Supervisor's License#(if applicable) V 0 �j Worlanan's Compensation Insurance Check one: ❑ lam a sole proprietor El/am the Homeowner I have Worker's Compensation,Insurance Insurance Company Name l V f W 6"v'ski-e A/ Co Workman's Comp:Policy# (J` -7 Z Copy of Insurance Compliance Certificate must accompany each permit. Permit Request(check box) ❑ Re-roof(hurricane nailed)(stripping old shingles) All construction debris will be taken to ❑Re-roof(hurricane nailed)(not stripping. Going over existing layers of roof) VRepslacement ide #of doors Windows/doors/sliders.U-Value S 0 (maximum.35)#of windows 7 ❑ Smoke/Carbon Monoxide detectors 4 floor plans marked with red S and inspections required. Separate Electrical&Fire Permits required. Where required: Issuance of this permit does not exempt compliance wth other town department regulations,i.e.Hstori c Conservatioq,etc. ***Note: Property Owner must sign Property Owner.Letter of Permission. A copy of the Home Improvement Contractors License&Construction Supervisors License is required. SIGNATURE: '""-- QAWPHLESTORMS\building permit forinsTYPRESS.doC Revised 053012 The Commonwealth of Massachusetts Department of Industrial Accidents O,f,�ice of Invesfigadons , 600 Washington Street Boston, MA 02111 www.mass gov/diu Workers' Compensation Insurance Affidavit: Builders/Contractors/El�ctricians/Plumbers Auulicant Information Please Print LeAly Name (Business/OrganizationAndividual): 0 ;�U04— Addren: ` i✓`r D - City/State/Zip: Ld,�44zt, ('o 3 p Phone#: Are you an employer? Check the Appropriate bo Type of pro' t(required): I. ' I am a employer with 4. am a general contractor and I emp y 6. []N construction employees(full and/or part-time).* have hired the sub-contractors . 2.❑ I am a sole proprietor or partner-, listed on the attached sheet. 7. emodeling ship and have no employees i 'These sub-contractors have _ g• ❑Demolition working for mein any capacity-. employees and have workers' 9. ❑Building addition (No workers' comp.insurance insurance.#We ar 10.0 Electrical repairs or`additions required.] 5. ❑ We re a corporation and its officers have exercised their 11. 3.❑ I am a homeowner doing all work, - ❑ Plumbing repairs or additions myself. [No workers' comp. " right of exemption per MGL I2:❑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#I must also fill out the section below showing their workers'compensation policy information. . :" t Homedwners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit_a new affidavit indicating such. .; $Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have. - employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that isproviding workers'compensation.insurance for ray employees' Below is thepolicy and,fob she information. 'o. Insurance Company Name: r�(.tI S., • j Policy#or Self-ins.Lic.M. W�•* 17 J?' 6 16 Expiration Date: Job Site Address: ✓V � a� �' City/State/Zip:•C_C t' Attach a copy of the workers'compensation policy declaration page(showing the policy number.and a iration date). ' Failure to secure coverage as required under Section 25A of MOL c..152 can lead to the imposition of criminal penalties of a , fine up to$i,500.00 and/or one-year imprisonment,as well'as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator.'Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for inswance coverage verification. :E I do hereby certify under the sins and penalties off perjury that the information provided aboov is true true and^correct. Signature• y � j —''— Date• / — 3w 2. Phone#• Offlcital use only. Do not write In this area,to be completed by city or town gf,)9c City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.Ctty/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other ; Contact Person: Phone#:� ® • DRTE(MMIDDIYYYY) _ � � I� I�� AT ®'F L IABILIT '"9�Il1RA o2r27/2012 THIS CERTIFICATE IS ISSUED.AS A"MATTER OF INFORMATION,ONLY AND CONFERS NO RIGHTS,UPON THE CERTIFICATE:HOLDER. THIS CERTIFICATE DOES.NOT.AFFIRMATIVELY:OR NEGATIVELY AMEND, EXTEND OR ALTER THE. COVERAGEAFFORDED 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 1-866-96.6-4664 CONTACT ----- Marsh USA Inc. NAME: PHONE (A/C. o Ext): homedepot.certrequestOmarsh.com ADDRESS: ----- Two Alliance Center, 3560 Lenox Road, Suite 2400 INSURERS AFFORDINGCOVERAGE. NAIC# Atlanta, GA 30326 Fax (212) 948-0902 INSURER A: Steadfast Ina Co 26387 INSURED INSURERB: Zurich American Ins Co 16535 The Home Depot, Inc. Home Depot U.S.A., Inc. INSURER C: New Hampshire Ins Co 23841 2455 Paces Ferry Road NW INSURER D: Illinois Natl Ins Co. 23817 Building C-20 NATIONAL UNION FIRE INS CO OF PITTS 19445 Atlanta, GA 30339 INSURER E: INSURERF: Illinois Union Ins Co 27960 COVERAGES CERTIFICATE NUMBER: 25776028 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 MM YE LTR IDDIYYYY MMIDCDIIYYYY LIMITS A GENERAL LIABILITY GL04887714-02 03/01/1 03/01/13 EACH OCCURRENCE $ 9,000,000 X DAMAGE-10 S( RENTED 3,000,000 .COMMERCIAL GENERAL LIABILITY PREMISES Ea occurrence $ CLAIMS-MADE Fil OCCUR MED EXP(Any one person) $EXCLUDED X LIMITS OF POLICY XS PERSONAL BADVINJURY $ 9,060,000 X OF SIR: $1M PER OCC GENERAL AGGREGATE $ 9,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ 9,000,000 X P - POLICY RO LOC $ B AUTOMOBILE LIABILITY BAP 2938863-09 03/01/13 COMBINED SINGLELIMIT Ea accident 1,000,000 X QNY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS AUTOS HIRED AUTOS NON-OWNED PROPERd nDAMAGE $ AUTOS X SELF INSUR D PAY DMG $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAR HCLAIMS-MADE AGGREGATE $ DED RETENTION$ $ C WORKERS COMPENSATION WC019736915 (AOS) 03/01/1 03/01/13 X WC LIk OR AND EMPLOYERS'LIABILITY D ANY PROPRIETORIPARTNER/EXECUTIVE YIN WC0 197 3 6 917 (FL) 03/01/1 03/01/13 E.L.EACH ACCIDENT $ 1,000,000 OFFICERlMEMBER EXCLUDED? N N I A E (Mandatory In NH) WC019736916 (CA) 03/01/1 03/01/13 E.L.DISEASE-EA EMPLOYEE $ 1,000,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 1,000,000 E Workers Compensation WC1192494 (QSI) 03/01/1 03/01/13 SIR (AOS)/SIR (GA) 1M/750,000 C Workers Compensation WC019736918 (WI) 03/01/1 03/01/13 F TX Employers XS Indemnity TNSC46566397 (TX) 03/01/1 03/01/13 Occurrence/SIR 30M/lM DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101,Additional Remarks Schedule,if more space is required) RE: EVIDENCE OF COVERAGE CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE HOME DEPOT, INC. THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN HOME DEPOT U.S.A., INC. ACCORDANCE WITH THE POLICY PROVISIONS. 2455 PACES FERRY ROAD NW AUTHORIZED REPRESENTATIVE BUILDING C-20 t. ATLANTA, GA 30339 ( / USA ©1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25(201'0105) The ACORD name and logo are registered marks,of ACORD.. Jthornton hd _ Y n ran rnnn V "4 Office of Consumer Affairs& Bas+Heu RegeOatiofl ;BIOME IMPROVEMENT COWTRACTOR .:126893 Type: =a Registration Su meal( Expiration;_-8131412 The Home Depot At=Name_Services , . OARREN DEMERS 2690 CUMSERIAt�IQ PARKWAY S A ' GA 30339 UadersecredrY License or registration valid for i ividul Monty before the expiration date. If found ' Cation Office of Consumer Affairs and Business Regu 10 Park?IUR-Suite 5170 ,arc Boston,MA 02116 - ut signature Not valid witho 1 �� a 14 ISSL+'EDeLi :: 1SS $,A, it.h; tT:'1: ALIiCYIi:;:: :::::' :....... ... . ::.:::. :.........:.......................:....... . . .............................. .... .. I1fli mi l THIS CERTIFICATE IS ISSUED AS A MATTER OF INFOMATION 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 ISSUINGIYSURMBOX 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 endGrsement(s). PRODUCER CONTACT BRYDEN&SULLIVAN INS AG Nye PHONE 88 FALMOUTH ROAD INC No.Ed]: HYANNIS,MA 02601 ADDRESS: PRODUCER CUSTOMER IDN: - INSURED INSURMS)AFFORDINGCOVERAGE NAIC#. TORRES,ERICSSON DBA INSURER A TRAVELERS PROPERTY CASUALTY ERICSSON HOME IMPROVEMENT CONIPANY OF ANIWCA 16 HOOVER ROAD INSURER B WEST YARMOUTH,MA 02673 INSURER C INSURER D INSURER E INSURER F ^ COVERAGES CERTIFICATE NUMBER REVISION NUMBER THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEER ISSUED TO TEE INSURED NAhW ABOVE FOR THE POLICY PERIOD INDICATED,NOTWITHSTANDING ANY REQUIR134ENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUUENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED BERE 14IS SUBJECT TO ALL THE TERMS, E3MLUSIONS AND CONDITIONS OF SUCH POLICIES.LUTS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE AMIL SUER POLICY NUMBER POLICY EPP POLICY EXP LDNITS LTR DYSR WVD DNYYY) a=DNYMI GENERAL LIABILITY FACSOeCIIYAFt10E $ DALiAGFIOYEhrIEO $ O COL=L%L0MMALLLA=1Y PaErasE!(Eva t eec®aca ' - 75tPD.EXPEtISE(Aryem $ 0 CLAIPISLTADB o OCCIIA oa D - PEUDUAL&ADV. $ . TbTIQLY 0 GEk03ALPZG1WAIE $ w GE8•L AGGBFGAIE=1APPLWPEL PBLYDD'CItCGT�+� IS , O YCIICY O PUMI our AGG AUTOMOBILE LIABILM cOullaFD 1II012 $ v Iffif . • - - tleG61� 1 - HDDILYISOIIAY $ D ANYAVIO _ PuP►are ,` . D ALLOWNIDAIIIOS DDEMYDUW $ sAc D SCHEDOLEDAIIfOt , P701�SYDWAGE $ Fu ecc' 0 EO.EDAIIYOE $ 0 NON-OYIMAvrot $ D D MMILe LIAD D CCCUL - EACHCccVV=Lr $ . 0 EZwILNAD D CLsil%XAffi ASOMA $ v 0 DE=IDIIL - $ 0 BEIEDiIIQtrf - $ I WORKERS'COMPENSATION WC A AND EMPLOYERS LIABMITYltAYIIiDYY L1bII2 S YIN ;... ": ,AHYPYL�IIETOYaPAIYITFS! - - •. �EKFcviYvaDwnm= Y NIA - 7PNB-4433P248 11109/11 11109f_12 � aAccmXats $100,000 ' EXCLUDW . - - EI DIPAg-RACE (MANDATORY WHE) $500,000 Yryef,d�anb�SxDESCSIPIYWrOT' ;, � S.D[SFA�-PQISY $100,000 - OPBAYI 90obm LTImI DlYCBIPIIONOrOPIItATIOESa,OCASIOAIIV!ffiCLDI(AtAchACOtD101 Addimmllrma:Y kLdcL irmoar7. pmsaq'dad) YBFYlCSt1�BSC�'F5iSA1IC12iPOI7CYDCESE0IF80VII�COVIBAGEK7tFY,�EQ'lITI0RBF3DBAlY.NSSC4TIE]IIEZ�OVPHIZTI , _ IBEINSaEIITSMAVCOS�ENSAIDDDSPf�YA9DIISLffiIEDOi1i1'iBIAIEEINSCEAbTCFFNDOEfEHI2tIAIII�EIEFPAYISFDTI01'�PIISl@CLAIISESADEHYIffitbTSQY� ' - FLiPIAIYEEtffiSYAIFSOYSERYEANESI�HOAIIIffiRIZAIA7AIlGNPNIOPAYCLAmtElORBFJILPIIERiA2TYSIAtEOI��lIHABSADrI1iFDIt0YED8aFEOR8AS8LEEAFI�I�YPFEOIIi ' TESL REn ACU ANY P$IOR CDLTIIFICATE MUMTO TET CI'RTUgCAYUIIOIDYBAFFTCYING VMMN COMP COVl &M THD-AT-HOME SERVICES INC SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED ATTN:INSTALLER RELATIONS DEPT BEFORE THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED 2690 CUMBERLAND PKWY SUITE 300 IN ACCORDANCE WITH THE POLICY PROVISIONS. ATLANTA,GA 30339 SriLLW Mac.I.w.+v 0UI. L), L V I L 9:uirm narles t,. uas.e ir. `' Rertdcted•To:CSSL-WS,Windows and'Sldtng Massachusetts-Departmint.-of:pabiie�:9afety Board of Building Reautationa and Standards Cohstructton S►pot'visor 5pc• I41'ry :; r License: EIHCSS(1x'1'ORS 16 HOOVER ROAD a WEST YARiVtOiJ ' -FAtiore id:possess a curmnt•edkfon 6frhe�nasit chjOtm State,i3uiidine odi0i cause for revoaatioh of thWkinse. : For 61r513censing Information v151C www:Mass.GOv/UPS Commissioner " 0�118P301'A. _ R "•:iiitdtilte;0o`ry',>.: .;'?`,.a Y ::.. _I )("..-";.,; ' 5_,�`�r/�..p.a'irPaa'r�ka'.IiiI f f:Ir�� ,•,r.... �r•�'`!n,-•�;.., ;'I•..S..IB:VA�'''• :•'t,'{1y:.,-a�;1`!�. . EI .•:�� . er gy�©N 05 7 til:N 'ra l�ojts.a�!aSl.i.lteO. °�00u t'•SiL_r gr6tt I THE FOLLOWING IS/ARE THE BEST IMAGES FROM POOR QUALITY ORIGINAL (S) m A LI DATA Jul 16 12 09:22a Robert Higgins 508-444-8882 p 1' • IiI-I'MIi INLI°Irt': ,I:AiI:�I, 1 aRl'Ltat•. RI7A1rl*I VS :Id.Fun is I J and ht>:a<?c:,l bp: THD a l.sme Se, r t•_Inc. i)ete: I f 4'�Z'` d/h/a l h. iwne Dt ra t AI-Hu i r,ices BrancL.'�:mc: 1 o�U)n --�- 908 13u ram Tumpii c, .mi t,St": )17 t,:bm', bl it1545 Lal'I Free(:;t;'I 657-51i Fax(5)S) (-A 1D rr 5)t'93a(,l!; i t 1642 '_6343 Branch Number:31 CT Lic )!i.J j565 f, LO(mrw-11,.l :fvcn,an, n,actot Re 1 `\ ...���000SSS...---LLL 1 r(. �- ��-•.t/ CJ". Insla!9tieirriAdd.t,:+: .+ LGt.7 r, L := ..... i c:iiv e Zip Purchasct{s�: Work t'ho te_� -I - --- I Home U Iran :: Ccll 1 hate:Zi- Horn address - - -'-- ;t4 itei p (if dllf,rrat from lnrt.Ila6on Address) F.-natal:Address(to rtcetse pt.gt t coritmunt (lions and I3. nc Depot ! !a`z�) [� I ,%U`iOT wish P,receive,ln: markeun,t t[:ids fro ii'I'ln:Rome 1'I11)11-rty luz:,t.a at the al,.:' nstalla t .ddres, t n':S to bug. Protect lnlorm alai,+: Untier�r t it("Carla tr_r'1 the.n:nc'S of tf eat i ' ,:,uratee ur.r- this Cor':u',t,1 by Chid and l fa At Hot.tc `;:nicer_ t 'The lLttrt ;I eput ) t , r to I'un n dchyir ar.d arranc' Ite insi t m( Imt d,1t1 b ') it all ,u.ucrials dc,.rih:-t on tilt: L r si`and , Il:e rclerzr . L lr,,- Sh tt;j all c l t:Heil zr� i'. refetrncc.along'+rtti' any appl rule Stau `>.il,lthmenl enc I'atmtint tiai unary +Irr hid herelt:;a.l any Ct Order:,:ee,!trcuecl Curuh t,t ) nt Products: _ `•,net Shcetr.; r: ....Protect , Jot)i .I:u,:r i r --` _,....._i.- Ita,i 1 _Std Hirai l� t'ind,n. t_ 'uT ion j -r�� �l c+.- ❑Gu[t:1 `over, f 17 1 t Daut (� !�- � Rui•)nr, SiJln C..I htndmx j- a>ul;uior � ,I, l ❑conu t oYzrs r.I my Dunn [:� -- --'— I ',ndiU l� t t . uiati», ! I Rona, ' Sidm � } L f Co)cn C lE l 1•,Door. j` ., / � ❑Goal Sidin 44utdow T_jP,zulatit!. R nnin;tam^S�r thetr,saofCrnu a •atrtotmtr It,t o film exettWictt )f this cnatr rt Tad rl Contract k;Hunt 4l:,inr1'arch vr:ttsa; - nddei,• f lnorctha,r r,ti-t3i¢vSofthu(I r rrtd Lrn,nra.. - - Cu;lc,in r ��rci tLat immcl til.ly'upm plet[on ;f 11 ,wrk I, :,It Pnx'u L. (ustont.: I .real C-r,mpunder 11r• unr f;,: catch t• Il:,n:as Dc' 1 I by an nl i. :dual SI e: I et):u,t( t ally b d m''e due . : t pftcabh .,:h Custoi,t::r inner tt r Ct tt ;ct tgrceste Ih jointly t i. ,ctcrall r t I ;algid 1u:a ii id henunrt Th, 1§un!e,De; x r...ayes d i i...,.t to i>u.c :t'hanc Crdl t fit-ten tm t this Con i et rat mt :n dual I t a(sl rest ct'heuin:c eidct th t. none d[ t;t -annot 1:..l -,rat its c d. tiun�flu i•, Cru iota i i or its a,tt Hazed per Icr i -1 , acing ut ,-+>r becattti;. 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SUC:I.I ,t 'li)UNT At. i taxnce ;c,icll _iuthurii mil is ei CUShus l., ter es a.n I tt dust t t l rd tilt, . .r.tmcnt i.1!' _.»tae utt I c' ai(usnx an• 7h: Haul:llt. i+t with u l to file 't :li, l [m.l ill tl.,.rion ti s uttl 111.'i ed S all 11 r("S: ns and ter !-ion t( �x.11 r:rtttci.. 1.1 u.i,g'_o •ai'. i'rcx9uci .u:: 111S(alf,ti011 Iltis A t :ni c'tnu , ::. tc [en+ I atnudt ! cpt b� 1 'i t) (ti-tuntti ,rt:.l he Hon i taut.Cit• •,.ncl acknt+.tls ;..•.and .il1n,,that( ii mcr h&;r.,.,untletv,,L.I•.. )olunul,u'• ,,ccept> t _ t L..,I and l',;1, •ivied r -of}tM, S L.:went. • u I' + t 1u i itS ,, izd � r r � ( v s �..t i td Date o s 1 :nnuli t.'r _Hal (.a•',,nzr Sl.r..:nre ._ 1- .u�sp_L.❑i,... cA.NC ELLATB.,,N: CU5'i'I INNER k•I St'1) CAN( El. `AA IS :1d:51EG '1FN1 't'17Y10U'J'PENALIA' flit OBI_tG-,i`I'ION ` [V:' DELIVI;9tING VVRI'14 ll IEN NO"l'I1,1. TO THE l:OML IJI{9'OT Bti '.tt iiYIC,H`1 h)N THI; .IIIRRD 9;C°i:l'dl•:SS 17:t'n �F ChaR �IGN[NI: "HLS 4f I:�:��tEN'f. 911E: " ( ): 1 4 f t 5,;�.'I 1; +C.( :1,L!�IL'I f II 'ITT tl"IEl?D Hlt.b:e'Ctl V N i ACNS :t FORfld 'CO IL SI: IF O'N; IS SlIECIFICALIA PRt:,i•i"RIKE) 3Y i,;1'4t' IN ( _i;y f'ONIF.3i.";'STATIs II ISct: 1 ,'a='tit:1'fRh•�1'1'HERFaF:ttiES)Dl:')I' 1Ktii'A_ I D,grp,,l 'DevnepS A13n 9/7-7C ✓�Pv�" 7 f30,�- Calculated rankings exclusive to Antiques Near Me 1. Dennis,MA 2. Taunton,MA 3. New Bedford,MA 4. West Yarmouth,MA 5. Pembroke,MA RReach thousands of antiques collectors' Have an antiques business? Advertise on Antiques Near Me I Find /Claim;Add your Business j ......._....... _.. ......_...I I Our Favorite eBay Auctions Categories: All Mid Century Modern Asian Art Books Silver Jewelry/Watches Folk/Primitives Art Other Sort by: Price Ending Time Number of Bids Note:Some of the information presented here,particularly the prices,is constantly changing and might not be completely up-to-date. $1739,00(3 bids) $1027.00(12 bids) $1025.00(18 bids) Ends Sun.July 29 Ends Fri.July 27 Ends Thu.July 26 Bid Now Bid Now Bid Now http://antiquesnearme.com/antique-shop/christine-ehret-antiques 7/26/2012 Town of Baz-nst��je TI'er�7:ir. --- / t V ron,iS u^e tl:re Regulatory Servicesrfe r n, 4 :f.Ui�^cS F. Cedar; Director Building Division • - - ? /2 Tar) Perry, Coo, Buildin;Corr,inissioE)er ;:lr} \/fain S' e , =lv ;r.is, MA 02601 . J rVivJ.totv,I.'Jflrr7stable,r.a.us iof= cz.: �8 Fax: 508-790-6230 EXPRESS PERA-11T•APPL•ICATIfl\' - RESID NTL�kL QNL k' 22 ;Yai Vaifd! ,•(hoir(Red 5;Press fin art:/ f'cinarcel Nun!ber 7 :y ,a.CCCZSs_5_� zvrv' �o� _ 0_Y. —L� - 7 - - p_sidenria v z 'r"ork IJ _b )I inirna'.r, fee otS35.00 fOl'work upuler�t r`s Narr w U sS _ y< o ConirraCtor's 'tiTdnieT fta, _MC ,Ce 5 7 )C G ���r�/7. Tet'ephoia Nurnb,_r +,doe- 14i;`- Irn .ov rnent Coa-L-ractor 1_1 (Il 3 rrlcc7C!e� / / /p�17 9Y3 -- !_tl+?;, 13 or's icens,-r (i ^rrf!C.an e) �9 Ck C)F,c: i :,7 fl sole prcprie�Eor arr;the Noc!eoyvrer I have Works r Compensation tr,•s).rar,ce JUL 9 v Corrpdny'ian7e 1yel l &I ce)_- .71OWN OF r,P7p Ccr,7p. noiicv - CJ � 91S - e RNSTggC GriY of Insurance Compliance Certi caste must accornpan} uch peri?lit. `fi !E }yuc L.(check box) i Z.c-roof(hurricane nailed) `s ripping oid stinftes) Ail construction ebbs will be taken t0 P1 Q()4 . ///YP J R:e-r�ai^(hurr,caae na ied)(!not stria :n-. uGiTa over Xlst.'ns fp.yers o roof J Re-side h ofaoors J� ?y7iSCe'iiell '�r i ;UO:VSI(i0i i5JSiil`r U-?ahi iIY;aXIIlSais .��� of t'P.IIOii' s ;,iy::�(�:ey ii iiru: r��>73%...?.f:.:IJ-�G;r:il: iJ�]n0i PSC^;�E�Oli1,0ir:fe C.. Fi L`;O:f1•,' :YIF =;eP.rC;ilZOir.�-<<,u'2:)U115, _.. i:1751UCtL,�OAScr!'?.ii siOl T perir Vl%`7Br LeT,er of Pern7iSS'1Cr. A cop; of the nomie, lrrlpro'r'Cnlent CQClirnctors License & Construction Supervisors Licellse is CaOirc`� P0,Rjv., (� Office O fInvestigadons 600 Washington Street Boston,M4 02111 iYww.mass.gnv/dla Workers' Compensation Insurance Affid2vitfl BttiitlerslCantra tors lecfrici � , 'lt mhets Applicant Information � Please Print Le�il�l� Name (Business/Organization/Individual):- , 'H 0 L C�, V _ Address: �(�� C C 5 eierry City/State/Zip: oA 3 0- 3l Phone M Are you an employer? Check the ppropriate box: Type of project(required): 1.9 I am a employer with 4. ® I am a general contractor and I employees(full and/or part-time).* have hired the sub-contractors 6. New construction 2.® I am a sole proprietor or partner- listed on the attached sheet. 7. [�Remodeling ship and have no employees These sub-contractors have 8. ®Demolition workin for me in an capacity. employees and have workers' g Y P n'• � 9. ❑Building addition [No workers' comp.insurance comp. insurance. required.] 5. ❑.We are a corporation and its 10.❑ Electrical repairs or additions 3.® I am a homeowner doing all work officers have exercised their 11.a Plumbing repairs or additions myself. [No workers' camp. right of exemption per MGL 12.❑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#1 must also fill out the section below showing their workers'compensation policy information. t Homedwners 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 isproviding workers'compensation insurance for my employees. Below is thepolky and job site information. Insurance Company Name: &.t1 S o Policy#or Self--ins.Lic.#:w C v t� '7 3 6 9 t5 Expiration Date: Job Site Address: �0/1/ �eal _ City/State/Zip:( e n G�32 r- Attach a copy of the workers'compensation policy declaration page(showing the policy number an 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$i,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify under the pains andpenaldes ofperjury that the information provided above is true nd correct: Sign Date: Phone#: Offlcial use only. Do not write in this area,to be completed by city or town official City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other 1, .1 Contact Person: Phone#•� •'' ()tTce of Consumer Affairs& B®s�Qess Rcgulstien ;HOME IMPROVEMENT CONTRACTOR Type: = istraBsQn: .,126893 ro a Reg Supp►emeRt t Eacpiratick _,8f3i2012 c t ,: -. The H.ome Depot Af--Name Services 2690 CUMSERI.AND PARKWAY S A GA 30339 U ndersecretarY License or registration Valid for iudividul only ' before the expira °AffAirstand Business ncs3 Regulation QfCtce of Consume 10 Park Plaza-Suite 5170 ,arc Boston,MA 02116 - Not valid without signature T.� z DA.TE(MMIDD/YYYY) s �®� ERTIFI�ATE OF LIABILIIY I I�>��I� ��� CE `02r27i2b12 THIS CERTIFICATE IS ISSUED AS A MATTER'OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE`DOES NOT AFFIRMATIVELY'OR NEGAT 1.IVELY AMEND; EXTEND OR ALTER THE COVERAGE AFFORDED, BY.THE POLICIES i 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 1.-866-966-4664 CONTACT _NAME Marsh USA Inc. PHONE FAX EL homedepot.certrequestOmar.sh.com. ADDDRRESS: -_ Two Alliance Center, 3560 Lenox Road, Suite 2400 INSURERS AFFORDING COVERAGE NAIC# Atlanta, GA 30326 Fax (212) 948-0902 INSURER A: Steadfast Ins Co 26387 INSURED INSURER B: Zurich American Ins Co 16535 The Home Depot, Inc. New Hampshire Ins Co 23841 Home Depot U.S.A., IIIc. INSURERC: 2455 Paces Ferry Road NW INSURER D: Illinois Natl Ins Co. 23817 Building C-20 NATIONAL UNION FIRE INS CO OF PITTS 19445 Atlanta, GA 30339 INSURERS: INSURERF: Illinois Union Ins Co 127960 COVERAGES CERTIFICATE NUMBER: 25776028 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. ILT TYPE OF INSURANCE NS9 WVD SUER POLICY NUMBER MM/DD Y MY EFF MIDD�Y LIMITS LTR A GENERAL LIABILITY GL04887714-02 63/01/1 01/01/13 EACH OCCURRENCE $ 9,000,000 X DAMAGE TO RENTED 1,000,000 COMMERCIAL GENERAL LIABILITY PREMISES Ea occurrence $ CLAIMS-MADE a OCCUR MED EXP(Anyone person) $EXCLUDED X LIMITS OF POLICY XS PERSONAL SADVINJURY $ 9,000,000 X OF SIR: $lM PER OCC GENERAL AGGREGATE $ 9,000,OOD GENT AGGREGATE LIMIT APPLIES PER:- PRODUCTS-COMP/OPAGG $ 9,000,000 X POLICY PRO• LOC $ B AUTOMOBILE LIABILITY BAP 2938863-09 3 0 03/01/13 COMBINED SINGLE LIMIT 1,000,000 Ea accident X 4NY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS AUTOS HIRED AUTOS NON-OWNED PROPERTY DAMAGE $ AUTOS Per accident X SELF INSUR D PHY DMG $ UMBRELLA LIAB HOCCUR EACH OCCURRENCE $ EXCESS LIAR CLAIMS-MADE AGGREGATE $ DED RETENTION$ $ C WORKERS COMPENSATION WC019736915 (AOS) 03/01/1 03/01/13 X WCSTATTLIMIS ER OTH- AND EMPLOYERS'LIABILITY D ANY PROPRIETORIPARTNER/EXECUTIVE YIN NIA WC0197 3 6 917 (FL) 03/01/1 03/01/13 E.L.EACH ACCIDENT $ 1,000,000 OFFICER/MEMBER EXCLUDED? E (Mandatory in NH) WC019736916 (CA) 03/01/1 03/01/13 E.L.DISEASE-EA EMPLOYEE $ 1,000,000 If yes,describe under 1,000,000 DESCRIPTION OF OPERATIONS below E.L.DISEASE•POLICY LIMIT $ E Workers Compensation WC1192494 (QSI) 03/01/1 03/01/13 SIR (AOS)/SIR (GA) 1M/750,000 C Workers Compensation WC019736918 (WI) 03/01/1 03/01/13 F TX Employers XS Indemnity TNSC46566397 (TX) 03/01/1 03/01/13 Occurrence/SIR 30M/1M DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101,Additional Remarks Schedule,if more space Is required) RE: EVIDENCE OF COVERAGE CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE HOME DEPOT, INC. THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN HOME DEPOT U.S.A., INC. ACCORDANCE WITH THE POLICY PROVISIONS. 2455 PACES FERRY ROAD NW AUTHORIZED REPRESENTATIVE BUILDING C-20 ATLANTA, GA 30339 USA ©1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25(2010/05) The ACORD name and logo are registered marks of ACORD. ,2 Jthornton_hd �� '� JUN-05-2012 08:33 THD—AT HOME SERVICES, INC P.00li001 CERTIFICATE OF LIABILITY INSURANCE 4A76tMWoorcrovy) Fo6,04/2010 THIS CERTIFICATE 12 IOU90 AS A MATTER OF INPORMATION ONLY AND C4NFBRs ND RIGHTS UPON THO CEItTIfICATE HOLDER. THIS � CERTIFICATE DOES NOT AFFIRMATNELY OR NEGATmLY AfIIEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW, THIS CERTIFICAT9 OR INSURANCE 'DM NOT CONST1TUtE A CONTRACT SMEEN THE 1G,9UIN8 IN30RCR(9), AfjWRIPJCO _ A10"41INTAT1VE OR PROWCER,AND T14E CERTIFICATE HOLDER- f(A a to holder Fs an Eq, tl>r po must okiD W , eu wt to tfw tow" and condRloot+ of Ella peNcy, w"In po1fO" away mquhe an OndDomement A atatomnit on tilts ppetificAw s"a not Conmv rVEhts eo the oar"I'lula horses In Rm of auch endprrerrrr (a). FRCOYLYR JOW p BERj^,OwzZ NAMe DBA JOMq P BERCMZY D$ AGENCY ��' "•®" __....__._._.... AGtlltaeer 75 F STRZtT . ..__..._....... _... - . CDETOM[R lar 5477.7r, MIA 02045 wruNCn(erAFPDRDINQCOYC11AaC wgwa INeINt�o ...---,-._.. RIVAL•_JSi,aRAMCE ..__.I_ ._ areuRaRAi A.I.M. 9 Cq Michael Viola RBUagta: cdba Viola Contracting m.. _. .... —.._..• _ RMIMIER C P Q �km 43 ,NeuarRa: Hull, MA 02045 INaurleRe: wruRorFt •-.... I 00Vl.RA095 CERTIFICATE NUMBER REVISION NUMBER THIS IS TO CERTIFY HAT THE„POyCIES OF INSURANCE LIME)D BELOW HAVE 1:N I UGO M ED A90V R E POLI OD INOICA%O. CERTIFY ANY REOUIRkMENT. 'MMA OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT wrTH RESPECT To MGM THIS C£RT(FICAT& MAY BE MMD OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLIGIE3 OCOCRIBEO HeRCIN 15 SUMOT TO ALL THE 'TERMS, 6XCLUMONSAND CON011IONS Of eivCH P0U0105,LIMIT3 4H0WN MAY HAVG OUN Rp0(10E0 SY PAID CLAIMS. .,,_._..•.. ..__, ��AEOI(7u0R: ._ ... ...._ POL1la:YEFF LTR Imm•wm — MWSJCio Yonrt�Ml Umm TYeR aF INOURANrR —• .....—_..._.. _ 9@ItMLLWILr1Y EACH OCCURRENCE _ . COM)AGNGW GetJNtALLWBILITY ASNTFU— Ocaffit OOaAt Lt6DEXP(Myanepenan) i PEM&1m.4A0VwJuR.Y 13 .,,..,.. I '09MANALA00A OA7C { .. .. GENLAedxsdATlLukTAPPUearrx ;PROOLCM-COW/0PAGO 11 YOUOY ;JM f L00 S AV7CN09LE UANUTY l DONEwEDiNOLSWAT ,S I n )1WAVFD I WaLYIwuRYIMtOrraml ALL OWNED AUTOS I _ DODILVINJURV re9o$"AD i i SCHRDIAMAUtda 1 PNOPfiRriDnhuGa f — wIRODAUTt1P I I (Feraopt6w) N&60wNePAUT05 UuaatLtAUM OCCVR I ' ' ?EACNOCeuRReNCE 1>t i axDEesLue ' � CIApAt:N11O6— f AODREGAT63 ! _-- 40DUOT+pLC � ..I!• I R1eTHNT10N S � t .•._. i 1 1hO10fo1COMPreAdO1 I 7026049012012 •5/26/2012 S/26/20131 g ANdeieLoYtlIYWsKm VIN ,7URYLIMIrs 1 Elt _ ANY%tQF1eeYORIMRTNER1M UYIVH I Ic,�wONACCIDLkr t 100000 i ,rFrAJW AtaQnt%OW"91, I NIA ,AQ ,..,._..... ( '^r1n 'i.L.DIBiA -FiAAMFWriG s 500000 i DESCRIMMKOF OMRA11"below EL OISEA$F•POLICY LItA7T f 100400 deeete►noNo►o►sRATallurLoc��oxarv�lt�eLlts p+weAODRo tm.A.mmrrR.ewn.ea,.a».rr^e..w,R.1,rwe+�.al THD AT-HCM 80MC29, rNC. AM 1'bf6 Roba Dzp" An INCLO SO AS A00TTx0Tt> X N$=D WITH j 12EfiP)aC'�' TO toff n LIl►82LI4'1( INSORA=. I CERTIFICATE HOLD91z CANCELLATION TNO AR`MC SrS MCES, a1C, i ATT• �iBTALLBR RYLATI0IQB n�P'!.. SHOULD ANY OF THE ADM DESCRIBED POLICIE3 RYE CANCMLEo c1pont THE p(P)rtATION DATA THI*RWP. NWTIOE 1MLL 99 KUVXRMD IN 2590 CWMRR>',AS•IO pxPQY Sol= 300 ACCORDANCE WITH THE POLICY PROVOIDN9. AxIA G&ORCIA 30339 AUTWAOM7::;a / P 0 110 -2909 AGORD CORFO N.Al!naha rllW-040. ACORD 25(200 M) The ACORD namo and logo art mplared of ACORD ZOOlm 3ZINVtASKI IZidOW31a 209C9Z6T91 XVJ 02:9T,ZTOZ/V0/90 TOTAL P.001 I i 1� ' Office of Consumer Affairs and Business Regulation 10 Park Plaza - Suite 5170 ' Boston,Massachusetts 02116 Home.Improve;nent Contractor Registration R'Y .Registration: 140993 Type: Individual Expiration: 12/17/2013 Tr# 219072 MICHAEL J. VIOLA n mz MICHAEL VIOLA 8 HADASSAH:WAY HULL, MA 02045 Update Address and return card.Mark reason for change. �i Address I Renewal Employment Lost Card UPS-CAI Co 50M-04/04-G101216 j i ,>, ✓1e �rn�v�swn�ge�l�u�;���?.wirc�uvelld -=' Office of Consumer Affairs.&Business Regulation 4. License:or registration valid for:individul use only ZE HOME-IMPROVEMENT CONTRACTOR before the expiration date. If found:return to: Registration 140993 TYPe: Office of Consumer Affairs and Business Regulation ! Expiration: 12/17/2013 Individual 10 Park Plaza-Suite 5170 n 4 ` t7 _ Boston,MA 02116 MICHAEL J.VIOLA : x MICHAEL VIOLA 8 HADASSAH WAY,," HULL,MA 02045 ,Undersecretary Not valid without-signature DMass-achusetts - Department of Public Safety Board of Building Regulations and Stand-arils Construction Stip rvisor Spt•l.rdt% �r License CSSL-099403' MIC]HAEL J VIOLA ,x 8 HADASSAKWAY ,,- HULL MA 02045 ' EA-piration Commissioner 02/24/2014 Jul 0.7 12 01:44p Chris Read 1-508-681.8800 p.1 ' ,a(�•+ w�v�//7l7 r Q/o .�wT><..Q�•S./,. t 1 HONIE INIPROVEMENI•CONTRACT ( 1 -s PLEASE READ THIS k 1Vt Sold.Furnkhed and Installed by: Branch:Name: Boston Date: 7/L/�� THD At-Hume Services;Inc, d/h/i jXhe Home Depot At-Home Scii es 345A Greenwood trect,Wit 1,Worcester,MA 01607 ; ^ Toil Free 800)657-5182;Fax(508)756-8823 Branch Number:31 Federal ID tl 75-2h9R4(>•1:ME Uc#C 02439:RI Cons-l,ic##16427 CT Lic 4 WC.0565522:NiA HOITIC Irnprovem0nt Contraclor Reg.k 12699.1 Installation Address: City State 'Lip Purchaser(s): Work Phone: Home hone:. Cell Phone: Home Address: /4 r (Ifdilrcrem from Installation Address) City Slate Zip E-mail Address(to receive project communicaiionsund Home Depot updates): ❑I DO NOT wish to receive any marketing emails from The Homc Depot Proiect information: Undersigned("Customer"),the owners of the property located at the above inslallatiun address,agrees to buy. and THD At-Home Scrviccs, Inc.("The Home Depot")agrees to furnish,deliverand arrange for the installation('Installation'•)of „ all materials described on the below and on the referenced Spec Sheens). all of which arc incorporated into Ihk Contract by ilik reference dung with any applicable State Supplement and Payment Summary att«hcd hectic utd my C'hsiugc Orders,collectively, "Contract'*): Job(#. u"c.".JkW 1 Products SPec tihccus It: t Pro ict Amnunt Rooting ❑Siding Q Windows ElInsulation JA 63 3 []Gutters/Covets ❑Entry Doors ❑_ -R $ 15, a 72, - ❑Roofing ❑Siding Q Windows Q Insulation - — ❑Gutters/Covcr ❑Entry Doors ❑ QRnnf ng []Siding ❑Windows 0 Insulation r i is,/ ever Entry Doors❑ctt ,. C ❑ y ❑ Roofing ❑Siding Q Windows ❑insulation - []Gutters/Covers ❑Entry Doors ❑� $ Minimum 25 9e lleyxsit nl'Contract Amount clue upon exccu[ionof this contract. Total Contract t mount $ Ntaine Purchaser%may not deposit more than one-third orthe Contract Amount Customer agrees that, immediately upon completion of the work for each Product,Customer ill execute a Completion Certificate' (one for each Product as dctined by an individual Spec Sheet) and pay any balance due: .As applicable.each Customer under this Contract agrees to be jointly and severally obligated and liable hereunder. The Home Dcpot reserves the right to issue a Change Order or terminate this Contract or any in lividual Product(s)lincluded herein,at its discretion.it The Home Depot or its authorized service provider determines that it cannot pci Ibinn its ohli :uio s duc to a structural, problem with the bonne.environmental hazard,such as mold,asbestos or lead paint.other saf ly concerns. pricing errors 611 bocnusc work required to complete the job was not included in the Contract. Payment Summary: The Payment Summary# �f . included as part of this,Conlrict, scls.l'orth the. total Contract amount and payments required for illy deposits and final payments by Product(as uppli able). NOTICE TO CUSTOMER ) You are entitled to a completely filled-in copy of the Contract at the time you sign. Do not sign I Completion Certificate(note: there is one Completion Certificate for each listed Product as defined by individual Spec heels)before work on that Product is complete.In the event or termination of this Contract,Customer agrees to pay The Hume Depot th.e costs of materials,labor,expenses ` and services provided by The Home Depot or Authorized Service Provider through the klale of termination,plus any other amounts set forth in this Agreement or allowed under applicable lag. THE HOME DEPOT MAY WITHHOLD AMOUNTS OWED TO THE HOME DEPOT FROM THE'DEPOSIT PAYMENT OR.OTHER PAYNIENTS .MADL, WITHOUT LINMITING THE HOME DFPOT'S OTHER REMEDIES FOR RECOVERY OF SUCH AMOUNTS. Acceptance and Authorization: Customcir agrecs.and uudctN-tands that this Aercement is the entire a r>;cment helwcco Cushancr'. _= and The Home'Depol with,regard to the Products and installation services and supersedes all prior discussion%and a iccmuus,ciltid oral or written,relating lit said Products and Insw1lation:.This Agreement cannot he assigned otr amended except by a writing signed , by Customer and The Home Depo(.Customer acknowledgas and agrees that.CllSlonler ha read.*u tide rstand s,voluntarily accepts Ih '.terms of and has received a copy of this Agrccnicnt' Acts d by: ,. - ! SubmitttLdd b),: n . <tumer ignaturr Dale, Sales Consultant's Signature Duty Telephone No. 2/0 Customer'.,Signature Date Sales Consultant License Sales —_-- CANCELLATION: CUSTOMER MAY CANCEL THiS 1, cabl AGREEMENT WITHOUT PENALTY OR OBLIGATION BY DELIVERING WRiT'TEN NOTICi?TO THE HOME DEPOT BY MIDNIGHT ON THE 'THIRD BUSINESS DAY AFTER SIGNING'THIS AGREE:NIENT. THE STATE S1I11PLENIENT A`I7'ACHED HERETO CONTAINS A 1q)IZN1 '1'0 USE ❑t ONE IS I SPECIFICALLY PRESCRIBED 13Y LAW IN j CUSTOMER'S STATE i NOTICE:ADDI't'ION,U.TERNISRND CONDITIONS ',RP,,SI'ATE1)ON I-IF REN'ERSI S1DI.,ANI ARI:1,A It1i OF 1'IIIS UON rUlCI 10-04-11 GSC While-Branch File Yellow-Customer t TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map { " * 11 Parcel Permit# Health Division �"3� � Date Issued Conservation Division S f Application Fee Tax Collector i� �7i���`�� Permit Fees SEPTIC SYSTEM I!AUST BE Treasurer INSTALLED IN C'0. P-.,i,ANCE WITH TITi... Planning Dept. ENVIRONMENTAL CCO' E AND Date Definitive Plan Approved by Planning Board TOWN REGULATIO Historic-OKH Preservation/'Hyannis Project Street Address Village Owner / Iv � � U Address Telephone U Permit Request a-Q O&mteii ()t/ 0 Square feet: 1st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Q / Construction Project Valuation Type Lot Size Grandfathered: ❑Yes 0 No If yes, attach supporting documentation. Dwelling Type: Single Family to Two Family ❑ Multi-Family(#units Age of Existing Structure Historic House: ❑Yes No On Old King's Highway: ❑Yes VNo Basement Type: ❑Full ❑Crawl ❑Walkout Q Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) '{ Number of Baths: Full: existing ne Half:existing new d Number of Bedrooms: existing new Total Room Count(not including baths):existing new First Floor Room Count s Heat Type and Fuel: ❑Gas ❑Oil ❑Electric ❑Other Central Air: ❑Yes ❑No Fireplaces: Existing New Existing wood/co I stove: Yes ❑No _ --; Detached garage:❑existing ❑new size Pool:❑existing El4isting new size Barn:❑ Cmew :�ze I Attached garage:❑existing ❑new size Shed:❑existing ❑new size Other: in co > CD Zoning Board of Appeals Aut orization ❑ Appeal# Recorded❑ Commercial ❑Yes No If yes,site plan review# cc !� CD r-- Current Use Proposed Use BUILDER INFORMATION Name Telephone Number Address P License# hIl Home Improvement Contractor# V Worker's Compensation# ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO 06 1 MUO N� i NJA kG klYNi- SIGNATURE rp, DATE I111n } ( FOR OFFICIAL USE ONLY ti I � 5 l '+ PERMIT NO. -' "DATE ISSUED ! MAP/PARCEL NO. ; AS I t ' i } } ADDRESS VILLAGE . OWNER s DATE OF INSPECTION: FOUNDATION FRAME INSULATION Z — 61— FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH rn FINAL s M cv FINAL BUILDING K3'2'y11-1 t� > -_ ' DATE CLOSED OUT n ASSOCIATION PLAN NO. C7 7 1 A l CAPIZZI HOME IMPROVEMENT INC . SPECIFICATIONS AND ESTIMATES PAGE 6 OF 6 STATE OF MASSACHUSETTS LETTER OF AUTHORIZATION TO APPLY FOR A BUILDING PERMIT I, ulx i ►'h( 1 V4/ OWN THE PROPERTY LOCATED AT 7 V 4 ' L IN ft MASSACHUSETTS. I HAVE AUTHORIZED C:APTZZT HOME IMPROVEMENT TO ACT AS MY AGENT TO APPLY FOR A BUILDING PERMIT IN ACCORDANCE WITH 780 CMR, THE MASSACHUSETTS STATE BUILDING CODE. I GIVE MY PERMISSION TO LESSEE TO APPLY FOR A BUILDING PERMIT IN ACCORDANCE WITH 780 CMR, THE MASSACHUSETTS STATE BUILDING CODE. SIGNATURE OF OWNER: OWNER'S ADDRESS: OWNER'S TELEPHONE: LESSEE'S SIGNATURE: LESSEE'S ADDRESS: LESSEE'S TELEPHONE: APLLICANT'S SIGNATURE: ) CfAl/ APPLICANT'S ADDRESS: 1645 NEWTOWN RD. , .OS TUIT, MA 02635 APPLICANT'S TELEPHONE: 5081428-9518 RESPONSIBLE OFFICER: RESPONSIBLE OFFICER ADDRESS: RESPONSIBLE OFFICER TELEPHONE: ACCEPTED BY DATE THIS PAGE IS tART OF AND IN CONFORMANCE WITH PROPOSAL # 4iP �10-69U3 -ilh 11.oulnuL I--w Ejpqt,'9ujIctjj 1 f' � 1 ii . r1*Y.n. -N HIS CERTIFICATE 1S IS8UED AS A MATTEDOI~ INI=ORMATION ONLY AND CONFERS 140 BIGHTS UPUN 7fiE CERTIFICATE ns G ypLpER.THIS Ct;Ri7I IC�TE UOFS AIQTAMENI.), E>(T�ND OR 0 ,420 ALI F-R THE COVERAGE AFFORDED 13Y l HE POLICIES BELOW F1c�Jlbur�, MA 1774?..D SUR)=D COMPANY A GRAN TFISTAI E INSUR 1)IRANICE It�t COMPANY RGSOuMe Nanagements Inc 261 Main Stleel,Surfs;* PAchbur,91 MA 01 g2D THIS IS .. .t ' � '. ':1.17Ni1 ';, 'i ::a., . .�. +q -',t4... ..nr ". ' i;.,,I k1,,• . O CERTIFY THAT THrm POLICIES OF INSURANCE USTFD BELOW HAVE BECN 15SUI=D THE POLICY PERIOD INDICATED,NOT lArfT}-15TANDING ANY R[QUII�MENT, TO THE INSURED NAh7Cp ABOVE FOR TERM DR CONDITION 01=ANY CONTRACT OR OTHER POLICIES DOCUMENT WITH RESPEGI WHICH THIS CERT'F)CATE MIRY PE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED THE DESCRIBM HEREIN IS SUpJECT TO ALL THE TERMS.EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS MAY HAVE BEEN REDUC-l7 BY PAID�},qg.' SHOWN q tco X°d3U1{J,N POL1CY Nun+sEa POLICY E•I�FCTtvt DA7Z MUCY r D71RATIDN DATE m 'MPLpYAiB j,.IgpiLITY Hv1PA ARTTI O—k-j C; DW �..lAttTTS Group 1212512004 1W2512005 STATWOMI-IMCTB �;,}i1W' 7Kt �•,.:•;^ , •� = ER 0477122 Z. �•'YY ID Op_zDm,T orrlY• r•1���Yt T �` •.t CH ACCIDENT 5 100,0 1SCA=POUCY LInuT 5 5Dp,0 E CRlP 710N OF OP>;FZA?ioHlfiDllfF�HIC9/�9PL"Glf#1 t7)at� S 100,0 R>~:COVERS THE EMPLOYEES OF THE NAMED INSURED LEASED TO:CAP'W HOME IMPROVEM NTS INC,1645 NEWTON F<OAP, OTV IT h1A t>zG35. CERTIFICAT)_ tiq pjER ANCELLATIQN CAPIZZ!HOME IMPROVEMENTS INC SIiOULDAt<YOFTN�ADOY�P6aCRIDRDPDI1C16SA�CANC:gL DA6PDRC7NF? 1645 NEWTON ROAD �PIRATiON DAB 71iEF EDT.TM I53uiwG COMPANV WJLL END&O krDR TO MAlI. COTU tT; MA 02636 w,vs wRnTEN No nM TO TEE cEmYICATE MOLDER wmw To THE LEFT.BUT MtLURS TO MAIL SUCH No'nee 9HAL_jhjr0 LND 061MT10N OR L4"IL(TY0 1_ ANY KIND UPON TK-OoWPANY,ITS AGENTS OR 1REPRESENTAT�g, AUTHORIZED REPRESENTATIVE I Bo"l-rd o j3ull ing -is w3d stalldards j,1,jcc 1301 Onc As) 110ston- 02108 lYPC: 1:)FiV21e C01J)DTafiDD CAPIZZI HOME IMPROVEMENT, INC. i -XPjr2fi0,'): 612312006 Thomas capiz7i, jr. 1645 NeMon Rd. Cotuil, MA 02635 Update Address and return card.A1261 M-2SOI) for C)j;.jn; Address Ej Rc,,cv,.,dj EmploymentL_Osl License or-registration valid to;-irjdj%,idul use only HOMEMPROVEIMENT CONTRACTOR Re beforethe expiration date. If found return to: gistration: 10()740 Board of Building RC9U)2liGnS and 5i2nd2rds Expiration: 6123/2006 One Asbburton Place lzrn 1301 Type: Private Corporation Boston,M2.02108 CAPIZZI H010E IMPROVEMENT,I %Ornas C2Piz2i,jr. 1645 Nerlon Rd. COluit, IAA 02635 Administrator Not slid without ur�tnr BOARD OF BUILDING REGULATIONS License: CONSTRUCTION SUPERVISOR Number: CS 057032 Expires: 09126/2005 Tr. no: 7171.0 Restricted: 00 THOMASX CAPIZZI JR 1645 NEWTOWN RD COTUIT, MA 02635 Administrator The Commonwealth of Maslsachusetts Department of Industrial Accidents' t 600 Washington Street Boston,Mass. .02111 Workers' Com ensation,-Insurance davit-General Businesses MINI �i - �':#acf45a:•�'�a+w x:C•. __R .. •%f• ; r • • lx•�is,w+u> name: •t•7'� address: city- , �1 state: 1 Y I�1 ziy:_ ? uhone# work site location(full address): �/� W/.K/I lhl I ❑ I am a sole proprietor and have no one Business Type. ❑Retail[IRestauran ai'/Bating Establishment ' working in any capacity. ❑Office❑ Sales ('including Real Estate,Autos etc.) ❑I am an ens to with ' ein to es(full& art time.): '❑Other ��%%%////����ll/%/%�%/�////%/�///////�%%%%�/%%%/%%%�O%/%%%%% • •.�:/lam%%%%%O,� • I am an.employer providing workers' compensation for my employees working cn this job.. coin"ari '•j¢ameifida . ':},d' �•' - - :;. , ; `' % ':! :is :r- �,.a.f:. m• s .1• 4 C+ `` i i s"dr n e d:. ',=� .olic• •#� .��•l.•<�Q`.':-.>: " ,;.,. I am a sole proprietor anti have hired the independent contractors listed below who leave the following workers' •• • compensation polices: r; address:. �4;1• .v•1:::,?.. st• '_.t••-:`.:. u7ioaeV. insurence�co. •;.4?;' .,`�:: „,?�, :; •'1ic '��:.r, ',:x;.:.'i`� :�•,.: . /%%%�/�//l///• address: . ' . .. ;;i '•.. _ ..fir.:'.'::::•. .�. .••`,•.,, .. insurance co: o :#>'7icv ` ..:, wa VA WWI, '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 andlor µ one years'imprisonment as well ai c1K1I penalties"in the form of a STOP WORK OjtDBR and a'fine of S1D0.D0 a-day againit me.-I wide-ntana'i6t p 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 p�n(ilties of per' that the inform ation provided above is&ue and corre i' Signature I RYM61� 0111�� ( Date r Print name A (. Phone# rr-, icial use only do not write in this area to be completed by city or town official y or town: permit(license# ❑Building Department ❑Licensing Board -checkif immediate response is required ❑Selectmen's Office ❑Health Department contact person: phone#; ❑Other -(mvised3ept2003) _ i of Town of Barnstable - ����1 Regulatory Services saxNsrn112. Thomas F.Geiler,Director 94A16119. a � Building Division rED MA'S Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 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. U3 Type of Work: �Ul�(, ��� Y Y 11����'I Estimated Cost Address of Work: —� iT _CY � Owner's Name: n�V V 9 'Vl� U tiV Date of Application: , I hereby certify that: Registration is not required for the following reason(s): []Work excluded by law []Job Under$1,000 f []Building not owner-occupied []owner pulling own perroit Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICAB PLROGRAM 0R GUARANTY FUND UNDERMGLE HOMI IMPROVEMINT WORK DO NOT HAVE ACCESS TO THE ARBITRATION c.142A. SIGNED UNDER PENALTIES OF PERJURY I hereby apply f a permit as the agent of the owner: Registration No. Date Contractor Name g OR Date Owner's Name Q:forms.homeafFdav °FtNJE r° Town of Barnstable Regulatory Services M s�i E Thomas F. Geiler,Director i ,19• ,0�' ArEo,�,rA 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 PLAN REVIEW Owner: o c,,. Map/Parcel: 9 3 /(D Project Address I Lno _ O r Builder:, Cc, The following items were noted on reviewing: All 1' - `. - F Reviewed by: , 77 Date: -Z� ,6)1 ' TOWN OF �BARNSTABLE CERTIFICATE OF OCCUPANCY PARCEL ID 193 160 GEOBASE ID 12005 (_ ADDRESS 57 LONGBOAT DRIVE PHONE (508)888-6648 Centerville ZIP - LOT 63 BLOCK. LOT SIZE DBA DEVELOPMENT DISTRICT CO PERMIT 23904 DESCRIPTION SINGLE FAMILY DWELLING (PMT.017064) PERMIT TYPE BCOO TITLE CERTIFICATE OF OCCUPANCY CONTRACTORS:, Department of Health, Safety ARCHITECTS: and Environmental Services TOTAL FEES: BOND $�,as TtiE CONSTRUCTION COSTS $.00 756 CERTIFICATE OF OCCUPANCY + •ARNSTABLE, • MASS.1' OWNER CHAMPION BUILDERS, I NC. , i639.1� ADDRESS 300 OAK STREET-W # 55 BUIL/DING DIVISION PEMBROKE, MA BY c ]A 1AA . j zc.� DATE ISSUED 06/20/1997 EXPIRATION DATE � va ����r' i. .�;.! ^:�a. "`� `�6P�!V�1E_?�`i�JN" : r,:,,v .,_.. .I•' ,Jkkue .�.:.t -4-- ' TOWN OF BARNSTABLE J -'� BUILDING PERMIT r � L PARCEL ID 193 160 GEOBASE ID 12005 ADDRESS 57 LONGBOAT DRIVE PHONE (508)888-66 Centerville ZIP - LOT 63 BLOCK LOT SIZE DBA DEVELOPMENT DIST BICT CO PERMIT 17064 DESCRIPTION SINGLE FAMILY DWELLING (,�EW�MT_#96 363) PERMIT TYPE BUILD TITLE NEW. RESIDENTIAL BLDG PMT CONTRACTORS: DACEY, MATT Depa mtjHealth, Safet, ARCHITECTS: an _irntal Services 0;,.7. TOTAL FEES: $294.50 Im BOND $.00 O� CONSTRUCTION COSTS $95,480.00 . 101 SINGLE FAM HOME DETACHED 1 PRIVATE P * BARNIRMBLE, • MASS. OWNER CHAMPION BUILDERS, INC. , 'i639' ADDRESS 300 -OAK STREETS IN1�►I A #155 PEMBROKE, MA BUILDING D SI BY DATE ISSUED 08/05/1996 EXPIRATION DATE THIS PERMIT CONVEYS NO RIGHT TO OCCUPY ANY STREET,ALLEY OR SIDEWALK OR ANY PART THEREOF, EITHER TEMPORARILY OR PERMANENTLY.EN- CROACHMENTS ON PUBLIC PROPERTY,NOT SPECIFICALLY PERMITTED UNDER THE BUILDING CODE,MUST BE APPROVED BY THE JURISDICTION.STREET OR ALLEY GRADES AS WELL AS DEPTH AND LOCATION OF PUBLIC SEWERS MAY BE OBTAINED FROM THE DEPARTMENT OF PUBLIC WORKS.THE ISSUANCE OF THIS PERMIT DOES NOT RELEASE THE APPLICANT FROM THE CONDITIONS OF ANY APPLICABLE SUBDIVISION RESTRICTIONS. MINIMUM OF FOUR CALL INSPECTIONS REQUIRED FOR ALL CONSTRUCTION WORK: APPROVED PLANS MUST BE RETAINED ON JOB AND WHERE APPLICABLE, SEPARATE 1.FOUNDATIONS OR FOOTINGS THIS CARD KEPT POSTED UNTIL FINAL INSPECTION PERMITS ARE REQUIRED FOR 2. PRIOR TO COVERING STRUCTURAL MEMBERS HAS BEEN MADE.WHERE A CERTIFICATE OF OCCU- ELECTRICAL,PLUMBING AND MECH- (READY TO LATH). PANCY IS REQUIRED,SUCH BUILDING SHALL NOT BE ANICAL INSTALLATIONS. 3.INSULATION. OCCUPIED UNTIL FINAL INSPECTION HAS BEEN MADE. 4.FINAL INSPECTION BEFORE OCCUPANCY. VISIBLEPOSTTHIS CARD�SO IT IS BUILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS 2 2 firva/-,�✓a-7 /o y�G/ 65 97 1 HET G INSPECTION APPROVALS ENGINEERD P �iTMF�IT 1 2 j3 B A D OF HEALTH� e bpit d OTHER: p,4 SITE PLAN REVIEW APFROVAL � ��� pQ�G� q 7 0000 2 U WORK SHALL NOT PROCE D UNTIL PERMIT WILL BECOME NULL AND VOID IF CON- INSPECTIONS INDICATED ON THIS THE INSPECTOR HAS APPROVED THE STRUCTION WORK IS NOT STARTED WITHIN SIX CARD CAN BE ARRANGED FOR BY VARIOUS STAGES OF CONSTRUC- MONTHS OF DATE THE PERMIT IS ISSUED AS TELEPHONE OR WRITTEN NOTIFICA- TION. _ NOTED ABOVE. T.ION .. fief ,,.k- n x.:.6. _.«....-....._.y-�•..,� •�. .,t n ar.;rie �k. ,— '.�""' z.. k �• � ;`~� � '��' �, ;' ,� � � °,,� ,� .:� �,� �y, _----r-. -,-°^.� � tit' : fa�:xaS� ���e tT'�i� n.. � �. �' ��5 -�� �`c"�G'��,s�yGt�aa.�`. .. 'ri> .". aix'"n.._ .i�f <..e1M�=.4�±="7n"�' .. �: _ .•�".R. d"Y! J t Assessor's Office'(ist floor) Map 1l13 Parcel I(oa Permit# / 7o 6`T Conservation Office(4th floor)(8:30-9:30/1:00-2:00) 2 k Date Issued -76 Board of Health(3rd floor)(8:15 -9:30/1:00-4:45) Engineering Dept. (3rd floor) House# -6— 7 QA,,�K I NE Planning Dept. (1st floor/School Admin. Bldg.) = �'77. Sys Definitive Plan Approved by Planning Board ��1�11 �''/e ,E®IN MR TMLLO,3 5e.f OUWAsC'� TOWN OF�BA i MENTAL COD La �� Building Permit Application � � oject Street Address L-ort ' (o°3 ', l_`o�t G go AA" D�L►V E Village F F NT E¢.V 1 Lt_E ? ' :Owner C(4 pt M P 1o*J Address '3 oo' (D IC S--J, I S S, PEM6?_01L-1 ,0,AA Telephone (0$) S a b - (,(o Ara ,Permit Request To� c o N S T u,v C� !a S I (,LE VA M I L.`1 WCU_ 0 N A M, ► e LewcEb LOT k, - ♦ t NuuSC (Si ans+S,IC First Floor 1 SOB square feet t Second Floor G 1 'L square feet Estimated Project Cost $ * O S,q-$G 0-4 S S/S,%', Zoning District RC Flood Plain Zo NE C Water Protection AQV'F6(L pfff60)0 11 Lot Size -L 1 ,'7 9 S S 4: . Grandfathered ? 6 vcR-LA4 D tST•fLt cT Zoning Board of Appeals Authorization Recorded Current Use LA N1 D Proposed Use 51 i i-" VArntl y aE;S . Construction Type w ooD F q_A E Commercial Residential yg_S Dwelling Type: Single Family YES Two Family Multi-Family Age of Existing Structure WIQ Basement Type: Finished Historic House Unfinished Eby LVO CatiCRETE Old King's Highway v/A Number of Baths 1 VV0 No. of Bedrooms Z119_EE (3) Total Room Count(not including baths) (Q First Floor 3 Heat Type and Fuel F,V. A , 6 R S Central Air Fireplaces o+iE 1) Garage: Detached Other Detached Structures: Pool Attached Barn None Sheds — Other -- Builder Information Name MR TT 14 EvJ S. D A COY Telephone Number (s t-1 8 Z(o 3$0 0 Address 300 OA IC Sf., -tl- 1 S S License# ©'�(O D-L ►A A 011- 5 q Home Improvement Contractor# ICI C'I 'L D Worker's Compensation# c 4-416 n 1 Z'1 NEW CONSTRUCTION OR ADDITIONS REQUIRE A SITE PLAN(AS BUILT) SHOWING EXISTING,AS WELL AS PROPOSED STRUCTURES ON THE LOT. ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO 1,0 L)9K E SIGNATURE ; DATE A�vCzuST l , 19g (� BUILDING PERMIT DENIED F THE FOLLOWING REASON(S) FOR OFFICIAL USE ONLY _ PERMIT NO. DATE ISSUED MAP/,PARCEL NO. ` ADDRESS VILLAGE OWNER DATE OF INSPECTION: FOUNDATION FRAMES INSULATION FIREPLACE t - ,rf� ELECTRICAL: ROUGH FINAL •Y '�f 'i ' fi PLUMBING': fir. ROU FINAL t 4 GAS: �'� RO G Y FINAL FINAL BUILDING ' ., • r DATE CLOSED OUT ASSOCIATION PLAN NO i } + t 0 r 'continuous•rldge vent " Aspheflt shhgle roof ft-scla-board with fcr, Second Flo or Level - - Ix.corner boards'., 9 a red cedar clap boards ,. .v•.-, First Floor L avel 1 : lx skirt board;with water. table - 4 5i Ix trhn board on panted dripedge tU second fbor jkyel. 1z corner:boarQ: • - ci-,in-,riey _ , ij first floor IeVet c p.c. foundation wain R- OCC1 GUENT TITLE ,. to PROJECT NlR•1B r s;. 3. contimous rfdge_vent Asphalt sh�gie roof t lx$`�ascta•_board y�1th gutti:r t - .. 0 . : ,: 1x trim board on Ix rake board 4:5 continuous vented dripedge 1x corner boards lk`£rNn boor on 1x'rife.board Second floor level' , seeo1d..9. level , { 4„ • .. .. .. .. - 1%'f✓Gf'ftEf' boai-d9- First floor level { '. i> } feet floor level t r + 4 f • 12'-0 12.-0^ Continuous_rldge,,vent .:; 10 continuous ridge oard Asphalt shingles on 15 felt paPei on 172 exterior 2zg Ph!wood sheathing' oaf 12 Q4.5* j at16 . nI Attie Insulation.R-30. o'�- '" -Continuous vented drlpedge Fully s,d a at lop L... x "ceNin ols 8.01 �-1x8 fascia board. j 0 lx6 soffit board 1/2' biueboerd on U3 strapping ' aPPM9 r 12� off' with skimcoat finish sldewaff insulation R IS 4-D kneewtN 2z4 mhos. 3/,4'^tongue •aW' .-groove plywood a floor 2x1O':fbar. oista.at;38''o G.. cross bridgingi 112' blueboard on Ix3 strapP.ing with'skI*.oat.finish J .r 13 'risers at 7 7/8• ..12 trends.at 9' ;- a s s Idewell.In ulntIon R-11 3/4' ton QueAand jLoove piywo6d subfloor 24O.floor joists.at C. with Frosd brldging 1%2 circular x 12' long - r..-d Gr 1O solid girt anchor.a?olte';.dt' corne.ra r J, and nt 6.-0 o:c ,l a 3 1/2 clrcular, I89y column 13 rlsEcs at 8 12 tr'-eads at`T. >^ 1 i� 0 10' p.c. foundptlon web .• r 3' P.c.'slab 2"x 4' continuous, key 24` wide X 12 deep P c'«: :. 30 ride x 30' long x', cohi:W us. wed footing 12' dP. p'.c. .footing (determined-by sod'concgtlo6) MD0 0. 0 33y-4�y�� 24' wide x 127- daeP p c cantlnuoos w�f fCQtYtg Itions?. . Cto:be_determinedrin by:'soB:.cohG I _ _gtrt_pocket n 6. ;4rat Cl-m, "ctor .to provide p walkout; or bMicad'to be : ® Q 10 p c fOundaflon raps 4 iq I determined in the Held 4 20-6 IFL43 slab 1 30 w 309 x 12 deep p c y; foo s �tdth Lz cC`c�9af , -I ,I font fe fi�ect lady cotupnFs �,' G' _ � �8 `'oo�rete bksck o <ox Q s lidf t b v el. l: :. q 7 ` `—+m• �� ��+ems!1 9�Sai�f'� ®-7'.�i E6ac•'A �t � °a w x 30 a. I heater ' 30' 'I footings with 3 1l2 cylar I concrete fated fatly cohmsro' . 1`. i r J . : • 1 a . t � i t . slab L Y i,L2.;cr`. % 1z'. bag anchpr bobs L10 p c. foundation walls ,at torml 6 and — — — : I rp �- 24" wide x 12' deep p.c.;tontuwms wall foothq Cto be deterft d.by soil,conditions 34' r. , APR-14-1997 08:15 FROM TO 16178290000 P.01 Co VH FWD ~ r IL O .fie /tea FND C1 0 a R2 R9 ��\ �*::• 1 � F ti i h l P� P'. 1 L .O. T g 3 21,795 S. F. t om- o� WtUtL.6 Vt NYE �; ; �' j •+4 Sifl�'�. CERTtF7ED PLOT PLAN. I CERTIFY THAT THE EXISTING FOUNDATION SHOWN HEREON OOMPUES UOC MON: 07 LONGBOAT ONK CQ4IF WM MASS. WITH THE SIDELINE AND SETBACK REQUIREMENTS OF THE 13 RNSTABLE AND N TT�OCATED $ �WN OF + ~` 4V DATE. 04-11-1997 IN THE FLOODPLAJN DATE: l y 5-7 PY4 14 PLAN REF CE: PL Ok'312 PG 14' THIS PLAN IS NOT BASED ON AN BAXTER do NYF,-INC. INSTRUMENT SURVEY AND THE On REGISTERED LAND SURVEYORS ^ SHOWN HEREON MOULD NOT BE CIVIL ENGINEERS USED TO DETERMINE PROPERTY-LINES. 812 MAIN STREET OSTERVILLE, MASS., 02655 - ASSESSORS MAP 193 PARCEL 160 APPUCANT: CHAMON MUM AOI.10�IMTIM ANM� " TOTAL P.01 9`7 G17- �Ff - '7347 °F IME i °* The Town of Barnstable Department of Health Safety and Environmental Services Building Division 367 Main Street,Hyannis MA 02601 Office: 508-790-6227 Ralph Crossen Fax: 508-790-6230 Building Commissioner March 4, 1996 Re: Opinion of buildability Map/parcel 193/160 (57 Longboat Drive, Centerville, MA) Book/page 312/014 To Whom It May Concern: After reviewing the deeds for the subdivision plan(Book 312 Page 014) of February 7, 1977 in Centerville, I am of the opinion that Lot#63 is a grandfathered, buildable lot from a zoning perspective. Sincerely, r Ralph M. Crossen Building Commissioner RMC/km Q960304A �"E l O The Town of Barnstable anxxsraste, • ' Department of Health Safety and Environmental Services ArFD t�o�' Building Division 367 Main Street,Hyannis MA 02601 Office: 508-790-6227 Ralph Crossen n Fax: 508-790-6230 Building Commissioner March 4, 1996 Re: Opinion of buildability \ Map/parcel 193/160 (57 Longboat Drive, Centerville, MA) Book/page 312/014 To Whom It May Concern: After reviewing the deeds for the subdivision plan(Book 312 Page 014) of February 7, 1977 in Centerville, I am of the opinion that Lot#63 is a grandfathered, buildable lot from a zoning perspective. Sincerely, Ralph M. Crossen Building Commissioner RMC/km Q960304A QUERY PROPERTY: QUERY END QUERY PROPERTY PENTAMATION----------------------------------------------------------- 03/04/96 PARCEL ID 193 160 GEO ID 12005 LOT/BLOCK 63 DBA PROPERTY ADDRESS OWNER RISIO 57 LONGBOAT DRIVE MARY C 65 LONGBOAT DRIVE Centerville CENTERVILLE MA 02632 PHONE DISTRICT CO DEVELOPMENT STATUS C ASSESSOR' S CODE CAPACITY (NOTES) ZONING DIST/ZOC RC SEWER SYSTEM FLOOD PLN/ELEV. WATER SYSTEM OKH? # BEDROOMS ZBA DECISION FAMILY APT LOT SIZE 21780 OPER/MGR NAME WET LANDS MULT ADDRESS USE 130 (N) EXT / (P) REVIOUS / NO (T) ES / PER(M) ITS / (V) IOLATIONS / (G) EOBASE / (E) XIT e 31a 00�2712 �,cl o raaOaONYa[Ra OulttlllN OltO I048Ii•IOuaL(1.0N6I60111'� ra eta 2712 f,t l 311 I;(PETER G. SHEAMR, Y ! Of Jail La ne, Barnstable, Barnstable County,Mamchuaetta •� ' "' 6e"lr1MN/.O►ifJ,for cvmiJermion paid,and in full consideration of EIGUT THOUSAND FIVE HUNDRED DOLLARS (88,500 grants to .00) a y �, P. VOLPE and COMPANY, INC., #� 8 ft �x �' $8ttnrsa.....Any..............hand and acid the Inc: ��......day of ..:/% /..�........................19 7 of Routs 132, Sullivan Building, � 'T +��f.. I /�� 1lyannio, Maoenchusutts, 02601 with qU1tU1s(ts to"nouts the Iu1J ul ......... Barnntable (Centerville), Barnstable County, Massachusetts, r ""'"""""""`` "....................... more particularly bounded and described as follower Peter or G Sh�aff Un.ryyn.l and M-04v.l"w.It an/) ..:......................................................................... ...... NORTHWESTERLY by Longboat Drive, an shown on hereinafter- t •.. • .mentioned plan, ninety-six and 79/100 (96.79) feett a � j NORTHEASTERLY by Lot 61, as shown on said plan, one hundred + mar G COMMONWFAITN OF Mn�SACHUSFTTS eleven and 96/100 (111.96) feetT ISE SOUTHEASTERLY b y land now or formerly of Charles P. -•lulrr•re 9 3 8 r: Jean C.-Stanley, as shown on said plan, 1011 ne hundred sixteen and 78/100 (116.78) AQ s NORTHEASTERLY by land now or formerly of Charles F. and Joan ' C. Stanley, an shown on said plan, eighty four and 51/100 (84.54) factT SOUTHWESTERLY by Lot 63, an.-shown on,naid plan, two hundred six and 70/100 (206' 70) feat. '.•. .�. w fa . ,.. .._ F, , azhr commanu,rallh s( �usaurhuertta Being shown as LOT 62 and containing-l7,_755 square foot :on a plan of_land k_ on,titiod "Subdi Tlon Plan of Land 1i;�;:Barnstable Conte v .. ( r idle) Mans,.,.-for ;x ,zl' a �i. Barnetablo,e ss k; Z —,1976 =rPotor C. Shaeffer, Scalol 1 in. -ft. December 16, 1976, Baxter Nye, Inc., Registered Land Survuyore;r_Ostervillu, Mann." which onid plan a lhen personally Appeared the above named PETER c SHF.AFFERX. to duly recorded in Barnstable County Registry of Deeds in Plan Book 312, �, ri `7•� Page 14, For my title, see deed of Charles F. Stanley, said Deeds in Book 2412, Page. 47. et tuc, ,to me recozdedin, i �s�x and acknowledged the foregoing instrumrnt to be his fret act and deed,beforome There is appurtenant to this Lot a Right of Way over the ways as shown 7.'/" • on said plan in common with others who arenow or may hereafter be entitled thereto. Subject to and with the benefit of all righte, restrictions, reservations '. 'r $ r s 1i, 'op ri Iffi ....JY !� ... 1 and easements of record, insofar as the same are now of force and effect. Reserving also to the Grantor the right to install and maintain all publio e xrg utilities in, under, over, along and upon the private ways as shown on said plant reserving also to the Grantor the right to g grant easements to � ,= dj• r,�� s .,� Jw public service corporations for the installation and maintenance of ouch`' public utilities in, under and upon said private ways and anchors and guys to support the lines in said private ways and on land adjacent theretoT R � v reserving also to the Grantor the right to grant easoments to public sere ice corporations for the installation and maintenance of necessary equip- ment in, under and upon strips of land ten fact in width abutting said private ways on said plant reserving also to the Grantor the title to all public utilities on said promises and private ways except underground service cable. rR Y1 « ,t t Reserving also to the Grantor a right of way over the ways as shown on said plan and right to grant rights of way to others. 4 { �z k� LOT fi (65 LONGBOAT DRIVE) May 25,1978 Peter Sheaffer to P.Volpe Co. (Owned by Karin and Charles Risio) Book 2712 Page 310 �46v5e- Feb 6,1980 P.Volpe Co. to Charles F. Risio Jr. and Karin Risio Book 3055 Page 083 _March 2,1988 Charles F. Risio and Karin Risio to Charles Risio, Mary Risio and Karin Risio. Marys name was added to protect her during divorce between Charles and Karin and to make the financing a re-finance. Book 6164 Page 285 March 31, 1988 Charles F. Risio, Mary Risio and Karin Risio to Mary Risio. Book 6199 Page 117 ` Lot 6, August 3,1979 Peter Sheaffer to Gina Risio (Gina was born onApril 17,1979. This was intended for her to have for school tuition). Book 2961 Page 074 January 14,1991 Charles Risio and Karin Olson as guardians of Gina Risio to Mary Risio . as part of divorce agreement. Book 7423 Page 171. .1579 . OOKs 1 6 Pau"4 1: COURT it 580 F Barnstable Count Massachusetts and Karin Risio of 74 CarrieI WE Charles F. Risio of 65 Longboat Drive, Centerville, `a ' } <' Lee's Way,. Centerville, Barnstable Count Massachusetts STe......... tj�F ' Yr ,. kL-SAVINGS ; r' a - in consideration of One Dollar ($1.00) grant to Charles F. Risio, Mary Risio, and Karin Risio, as y Tenants in Common all of 65 Longboat Drive, Centerville, MA . , with QUITCLAIM COVENANTSXA E The land with the buildings thereon in Barnstable (Centerville), Barnstable County, Massachusetts, bounded and described as annla :; m .. follows: - a * x NORTHWESTERLY by Longboat Drive, as shown on # d hereinafter mentioned plan, ninety -six and 79/100 (96.79) feet; 9y32, g NORTHEASTERLY by Lot 61, as shown on said plan, t� one hundred eleven and 96/100 (111.96) feet; ............. ` SOUTHEASTERLY by land now or formerly of Charles F. and Joan C. Stanley, as sown on said plan, one hundred � .; . sixteen and 78/100 (116.78) feet, manner, rtgage.: NORTHEASTERLY by land now or formerly of Charles ' F. and Joan C. Stanley, P eighty-four y, as,shown on said plan, ei ht four and Id Ble an „ ;:i 54/100 (84.54) feet; and , or ; SOUTHWESTERLY by Lot' 63, as shown on said plan, Lra113• _. $ t two hundred six and 70/100 (206.70) feet. fec that' r g ;', Being LOT 62 containing 17,755 square. feet, more or less, as e.ty end?..:; . } shown on a plan of land entitled "Subdivision P1"an ofa•Lind in Barnstable (Centerville), mass. for Peter G. Sheaffer "Scale: 1 t,tled to" �t in. = 60 ft., December 16, 1976., Baxter.& Nye, Inc. Registered �fbdav3tf„ >.{ Land Surveyors, Osterville ;Ma,ss..," ;which, said plan is. duly filed in the Barnstable County Registry of'.Deeds in Plan, Book 312, Page 14. There is appurtenant to this lot a right of way over the ItcJto � _ ways as shown on said plan in common with others who are now or > may hereafter be entitled thereto. Said lot is subject to an } Justce easement to New England Telephone and Telegraph Comapny, et al , dated August 22, 1977 and recorded in said Registry in Book 2570, r, page 86. Subject to and with the benefit of the restrictions set k * ` forth in "Voluntary Restrictions" dated June 2, 1977 and recored in said Registry in Book. 2521y "Page 6. Said lot is subject to Courts '. the reservations set foth in deed from Peter G. Sheaffer to P. i ' Volpe and Company, Inc. dated May 25, 1978 and recorded in said r DA 10 W.PYNE P.C. Registry in Book 2721, Page 310. P.".a'a a'. For our title P , see deed of P. Volpe i Co., Inc. a/k/a P. Volpe and Company Inc. to Charles F. Risio, et ux dated February 7, 461n M"�a 1980 and recorded with Barnstable Count Registry t .• - ,� < ��' .� Y of Deeds Book ¢ -_ ¢0 Nq 41 1 Y t LLL r k3' ._. • � Y�' g�xr Zia dt dy�� - yq }Y hLy t a .'� 500C64 PAGE 286 3055, Page 083. , WITNESS OUR HANDS AND SEALS THISJ4DAY OF odJ 11988. 0 i t : 0 N. t Charles F. R s o Karin Risio $ t COMMONWEALTH OF MASSACHUSETT3 Barnstable, so. 1988 x e Then personallyf f the above named Charles F. Risio and acknowledged the foregoing instrument to be his free act and o deed, before men { al i ` otary Pub My Commissio expire c COMMONWEALTH OF MASSACHUSETTS r'. Barnstable,. ss �o--� 1988 ' f �;•' Then perdonally appeared the above named Karin Risio and �' E acknowledged the. foregoing instrument to be her free act and deed, before meF Notary Publ c +u lN, My Commission expires: DAVID W. PYNG P.C. ' •T1011M/ri P.0.box 040 NYAMNIt. NM/. 02/OI 7 88 e ;a 4. 1s4 . _ � „` .'✓�,y `LSD Gr .+ ------- - --- - m p tK-� BOR 7 4 2 3 PACE 171 03845 WF., Charles F. Risio and Karin M. �t S+0 of 65 Longboat Lane, Drive, Centerville, Barnstable County, MA and 18 Ginger I Ostervill.e, MA 02655, respectively, Guardians of Gina M. Risio (minor) Barnstable Probate Court Docket No. 89"-0798-GM for consideration paid and in full consideration of One Dollar I ($1.00) and other valuable consideration; this.deed is given as part of a division of marital assets I grant to Mary C. Risio, Individually, of 65 Longboat Drive, Centerville, Barnstable County, MA with QUITCLAIM COVENANTS ble (Centerville), Barnstable County, the land located in Barnsta I Massachusetts, bounded and described as follows: NORTHWESTERLY Longboat Drive, as shown on hereinafter mentioned plan, on two courses totalling eighty-one and 71/100 (81.71) feet; NORTHEASTERLY by Lot 62, as shown on said plan, two hundred r six and 70/100 (206.70) feet; SOUTHEASTERLY by land of John J. Dillon, et al, as shown on said nlan, sixty-one and 07/100 (61.07) feet; SOUTHWESTERLY by Lot 66, as shown on said plan, one hundred seventeen and nn/100 (117.00) feet; and aqain 1 S SOUTHWESTERLY by Lot 64, as shown on said plan, one hundred fifty-eight and 23/100 (15R.23) feet. Being shown as LOT 63 containing 21,795 square feet, on a plan �ititled "Subdivision Plan of Land in b8cnstaule. (Centerville) , Mass. for Peter D. Sheaffer, Scale: lin. - 60 fe et. December 16, 1976, Baxter & Nye, Inc., Registered Land ;t4 achusetts," which said plan is duly Surveyors, Osterville, Mass recorded in Barnstable County Registry of Deeds in Plan Book 312, Page 14. i For title, see deed of Peter G. Sheaffer to Gina Marie Risio, dated August 3, 1979 and recorded with Barnstable Registry of Deeds Rook 2961, Page 074. DAVID IN DYNE P.C. There is appurtenant to this Lot a right of way over the :f •tt'""•t• with others who are now or :. a • 0' •e. 041 ways as shown on said plan, in common a I-MAIN,TN[{T NtANNI,. MASS 01.01 may hereafter be entitled thereto,• owl tn.A,o q. � f BOOK 7423 PAGE 17 2 4 restrictions, Subject to and with the benefit of all rights, reservations, and easements of record, insofar as the same are _ now of force and effect. W1 WITNESS OUR HANDS AND SEALS THIS114 DAY OF January, 1991- ivt4� o Charles F. R s .1. l Karin i COMMONWEALTH OF MASSACHUSETTS y January 1 1991 Barnstable, ss. Thenwlpersedgedathe Eoregoingtinstrumentato behh aboveisefree act Risaiv nlly appeared nd and ackno deed, before me Notary public res:441C1 My commission expi COMMONWEALTH OF MASSACHUSETTS 4+1 January /, 1991 Barnstable, ss. ' Then personally appeared the above-named Karin M. Rieioand s instrument to be her free act a acknowledged the foregoing nd I� deed, before me �I �n�c` OCR Notary pu c n My C'ommis,,ion expires: 3r .A , 8 ;1 2 '� - D11VID W PYl_9£ P 6,• y'". - ,;:° ,, �ntia.tt .rx n:as-:": a.v:. t -I .y �r• ',X ♦T _ JAN 26 91 ' te•. 1 3 qq- /All a 4 - V s . �i rr r n soo�6199P�cE 117 We, CHARLES P. RISIO. MARY C. RISIO a/k/s MIRY RISIO, mind KARIN RISIC, of Centerville, County of Barnstable, Commonwealth of Massachusetts. for of One dollar and no/100 ($1.00) cash, grant to consideration paid the sum MIRY C. RISIO, of 65 Longboat Drive, Centerville, County of Barnstable,* Commonwealth of Massachusetts, individually. with QUITCLAIM COVENANTS: The land with the buildings thereon in Barnstable (Centerville). Bernstab, County, Massachusetts, bounded and described as follows: NORTHWESTERLY by Longboat Drive, es shown on hereinafter mentioned plan, ninetY-six and 79/100 (96.79) feet: ) c 61, as shown on said plan, one hundred eleven and NORTBB►STBRLY by Lot 96/100 (111.96) feet: by SOUTBBa3TBRLY lend now or formerly of Charles F. and Joan F. Stanley, as shown on said D1a°• one hundred sixteen and 4 79/100 (116.78) feet; w NORTHEASTERLY by lend now or formerly of Charles. F. and Joan C. „� Stanley, es shown on said plan, eighty-four and 54/1"30 (84.54) feet; and 300TBWESTBRLY by Lot 63, as shown on said plan. two, hundred six Ind 70/100 (206.70) feet. shown OR Being Lot 621endntainincl entitledl7'"Subdivision feet, Plan oof OLand in less. asBarnst blew plan of (Centerville), Mass. for Peter C. Shaeffer. Scale.: 1 d = 60 ft.. December 16, 1976, Baiter A, Nye, Inc. Registered bend Surveyors. Detembelle, Mass.." wAich said plan is duly filed in the Barnstable County ere o thi Registry of Deofs in way over the ways Book 2shoane n,said hplan,in common nwith ant tothers lot a rightSiid lot who are now or may hereafter be entitled thnd ereto... Cowpanv.ietsal. dated an easement to New Lnglerj Tal=;here August me 1977 and recorded in said Registry in Book 2570. Page 6r. Subject 22 end with the benefit of the restrictions set forth in "Voluntary Restrictions" dated June 2. 1977 and recorded 'in said ,RegistrY in Book Y521, Page 6. Said lot is subject to the .reservations'set forth in deed . Cron Peter O. Shaeffer to P. Volpe and Company. .Inc. dated May 25. 1978 and recorded in said Registry in Book 2712, Page 310. Subject to all assess nta and restrictions of record insofsr�as any are Is a full force and effect. Poc our title see deed of Charles P. Risio and Karin Risio dated March 2, v 1988 and recorded with the Barnstable County Registry of Deeds. Book 696t, a Page 285. Witness our hands and seals this Slat day of March, 1988. --- - - - -- ---- Karin Risio Charles P. Risio Mary C. iaio COMMONWBALTI Of HASSICIUSETTS t March 11. 198Q - PLYNOUTB, SS. 1 +� Then personally appeared the above-named Charles P. Alain. Mar `t�. Risio and acknowledged that,the foregoing instrum b t , .,.. and Karinw. a @ v,; a .`, free act and deed, before ma, /y�� �(J { • m-+ 1 . a NO TARY PUBLIC 8' MT COMMISSION BIPIRKS: ERB APR .4 88 � r�.aa;?. •c';-e.:.. rasa, _ —.4: u i► �' •,� '"' III MASSACNUtaTT1 QUITCLAIM DEED INDIVIDUAL(LONG FORM) 882 •`f 3 ,. 600K2961 F�cf 074 2�2'71 .ttf I, PETER G. SHEAFFER, of JAIL LANE, BARNSTABLE, BARNSTABLE County,Massachusetts r ` beinX rV arried for consideration ppaid and in full eonsid ration 9f SEVEN THbUSAND FIVE HUNDRED and noj100ths ($7,50040) DOLLARS' , grants to s I GINA MARIE RISIO of Shore Drive; Mashpee, Massachusetts, 02649 with gnlfrin M ruaenantg ' f land a nstable Count Massachusetts thel r Barnstable (Centerville), B r y, , bounded and described as follows: [Description and encumbranco,If anyl I , NORTHWESTERLY by Longboat Drive, as shown on hereinafter- F I I mentioned plan, on two courses totalling i eighty-one and 71/100 (81.71) feet; NORTHEASTERLY by Lot 62, as shown on said plan, two hundred p six and 70/100 (206.70) feet; SOUTHEASTERLY by land of John J. Dillon' et al, as shown on said plan, sixty-one and 07/100 (61.07) :.• I feet; SOUTHWESTERLY by Lot 66, as shown on said plan, one hundred seventeen and 00/100 (117.00) feet; and Fagain, SOUTHWESTERLY by Lot 64, as shown on said plan, one hundred fifty-eight and 23/100 (158.23) feet. Being shown s LOT 63, containing 21,795-•square., feet,•.,•on a plan entitled k , 1 11Subdivision la f` Land in Barnstable';(Centerville) , .Mass. for Peter i G. Slaeaffer, Scales 1 in. 0 60 feet December 16, 1976, Baxter & Nye, Inc.', Regi ,tered Land.Surveyors, Osterville, Massachusetts," which said w - plan'is duly recorded in Barnstable County Registry of Deeds in Plan Book 312, Page ;14. For my title, see Deed of Charles F. Stanley, at ux, to me recorded in said Deeds in Book 2412, Page 47. I There is appurtenant to this Lot a Right of Way over the ways as shown r a on said plan, in common with others who are now or may hereafter be II: entitled thereto. 4 YaY I I I' 4 Subject to and with the benefit of all rights, restrictions, reservations, and easements of record, insofar as the same are now of force and effect F,► `, j :l; � Reserving also to the Grantor the right to install and maintain all public utilities in,- under, over, along and upon the private ways as shown on Mx ) said plan; reserving also to the Grantor the' right to grant easements to public service corporations for the installation and maintenance of such li public utilities in, under and upon said private ways and anchors and F to support the lines in said. private was and on land ad .e- .,, guys PP P Y adjacent there- to;to; reserving also to the Grantor the right to grant easements to public service corporations for the installation and maintenance of necessary equipment in, under and upon strips of land ten feet in width abutting said ' private ways on said plan; reserving also to the Grantor the title to all public utilities on said premises and private ways except underground weP I ' i ! S service cable. a +f Reserving also to the Grantor a Right of Way over the ways as shown on n � said plan and right to grant rights of way to others. i ( 47 u I I ) }a (IlIndividual—joint Tenants—Tenants in Common—Tenants by the Entirety.) � pt ;. v v. Oil T' 800x2961 serf 075 usens t ?Diittcun .........mY..............hand and seal this.......... 7 � .......... 19 79 ..ru[... ..day of.............� n1e . .. . .... .................. St PET R G. SHEAF R 1 I +fie- 1 F 1 s�ac� ....•.................................................................................................... er- i ingIXI p 3- dred `jib�, Ny-�.,. i ;•; .. R v �> ; s COMMnI.t IiH i)F MA iS wn 1.07) AUG -. 1 7. 0 . ndred r nd dred r4> wr. u�lic (6nminnnwcttli4 of iiittulsttrlluuc111s I >1. � - titled eter ;t. �' Barnstable, /(LUiUt7� 19 & Nye, ., �� 79 Ch said Thrnpersonallyappearedtheabovenarned PETER G. SHEAFFER lan Book � . ed in ''Soland acknowledged the foregoing instrument to be his fr a t c and deed,before me !. shown iN G .. f.!�--.. .. 4 ;•1"``.'. be ¥ s ...... . 9 /.✓ /' e(.0 yj; • i�`L� 1� �' II♦ Otlfy public—)alllrCpf'tf7C{�01r e. • i xx ✓ My Commission Expi......l.V.iaV7.9..................19�/ rvationsr f, ��.y effect. , d° ' �x . 11 public # t wn on e " P- j Y ents to wt� ' of such a �': - and 'r`` nt there— public €, 4` ssary tting saidRNL ` e to all ound iAt 4r t own on � 4 J ;. } CHAPTER 181 SEC.6 AS ATTENDED BY CHAPTER 497 OF 1969 E en a"deed persttd for-word shall contain or have endorsed upon it the full narne,residence and post office address of the grantee i•' secatal of the amount of the full consideration thereof in dollars or the natute of the other consideration therefor,if not delivered for w�c monetary sum.The full consideration shall mean the total price for the conveyance without deduction for any liens or encumbrances 1 S+ of the�nnta or rcmainin�thereon.All such endorsements and recitals shall a worded as part of the deed.Failure to comply with t e .` eetsio 1 sha I not affaY the validity of any deed.No register of deeds shall accept a deed for recording unless it is in compliance with ? ;; k ` a3 RQOrrements of this Section. - y� RECORDED AUG 3 1979 t • BOOT: e,E 083 Go) 03212 si r P. Wl{se & CID., Ihc., a/k/a P. Volpe and Company, Inc. r 44, ,; a corporation duly established under the laws of Massachusetts • 3 �a > and having its usual place of business at the Sullivan Building, Route 132, Hyannis, am ss Barnstahl County,Massachusetts,for consideration paid. ' grants to Charles F. Risio, Jr. and Karin Risio, husband and wife, as tenants by the entirety, both Of Shore Road and Greenwood Dr., Mashpee,Barnstable County with qudrlalm rournaule the land in Barnstable (Centerville) Barnstable County, Massachusetts, bounded and 1` described as follows: > (Deaiption and e"umbrams.if any) x- NORI1i1ESI= by Longboat Drive, as shorn on hereinafter mentioned plan, ninety- ` , six and 79/100 (96.79) feet; N(NIW-ASiERLY by Lot 61, as shown on said,plan, one hundred eleven and 96/100 1 ` (111.96) feet; y � >' 90UIRW-ASJF3iLY by land now or formerly of Charles F. and Joan C. Stanley, as shoat on said plan, one hundred sixteen and 78/100 (116.78) feet; `ly NOR4RWASIERLY by land now or formerly of Charles F. and Joan C. Stanley, as shown a on said plan, eighty-four and 54/100 (84.54) feet; :or �y Lot 63, as shown on said plan, two hundred six and 70/100 (206.70) i 'ALL, ' t feet. Being LT 62 oontaining 17,755 sq uare feet, more or less, as shown on a plan 'V of land entiUR.. "Subdivision Plan of Land in Barnstable (Centerville), mass. for Peter G. Sheaffer, Scale: 1 in. = 60 ft.,.Deeenber 16, 1976, Baxter & Nye,.Inc. Reg- s a istered Land Surveyors, Osterville, Mass., "which said plan is duly filed in the nci/ n Barns table County Registry of Deeds in Plan Book 312 Page 14. 7here is appurtenant ' un- + w to this lot a right of way over the ways as shown on said plan in common with others r who are now or may hereafter be entitled thereto. Said lot.is subject to an easement e ! to New F7ngland leleptnone and 4elegnaph Ctxtpany et al dated August 22, 1977 and record- ed in said Registry Yin Book 2570 Page 86. Su bject to and with the benefit of the re- strictions set forth in "Voluntary Restrictions" dated June;2, 1977 and recorded in E k t said Registry in Book 2521 Page 6. Said lot is subject to the reservations set forth 4�,; C in deed from Peter G. Sheaffer to P. Volpe and Om any, Ina related may;.25, 1978 and .ht g° €i M recorded in said.Registry in Book 2712 Page 310, to which deed refezersoe i's,,Hereby made for title. Said lot is subject to a mo m the :annis ra age W Cobpe tine Hank, in the principal amount of $35,000 00 dated May 25 -1978, ieoorded with Barnstable Deeds i r at Book,2712, Page 312 Z No documentary st,wo are required as.the'`wnsideration for t3nisr'transfer is less sV � than $100.00. ' i fit to tttno m4tred. the said P. Volpe & Co., Inc. i t lsw has caused is corporate seal to be hereto allured and these presents to be signed, admowltJged and �. delivered is its name and behalf by Karin Risio its President & 7nvasurexba.o duly autboriz this seventh " ,,r day of February in the year one thousand nine hundred and eighty Signed and sa cd in presence of is 1i ..•M� by t , n 7Y \, xe&7r:fA7....... .. ....« « Kar�rt Iti� lo President an 1Yeasurer20 » i a: O=MWWNft4 at 8[aeear4ttatella 5 §«t a February 6, 1980 --------------- Them permally appeared the shore named Karin Risio l � and admotvicdged the foregoing`ristr)ur}er4_9 be the free ad and deed of the P...:olpe & Cb.,'.Inc. 1 �r-Pu�'. myosmmiutaa caps-- October 10, tf 80 ). OFES 8� �. J •.. 3'ar, t' sis�r �t I BOOK30SSPAGE 082 . 03211 i P. Volpe & Cb , Lncr January 2, 1980 � t warnedAand heplDi� g of the Officers and Board of Ai ectors and officers t offiice the second day oandan�y 1980, with a majority� , �y Called, unanimously egx4 ezed to act of the dir- being Present, it was rr .: Idsio, toE�i�authorize the President and meatatesurer)cnownof the F to land in on44 owned by Barnstable corded with orate Barnstable Dbeds plan as Lot 6rporation, Karin 5 Ow Peter a Corporation and being the, Plan Book o12 Page a plan of on May 25 sire Property con 9e 14, Presently �inalconsideratr. i lf7 h (mar conveyed to the corporation .a ' y. ..and it was Risio, Jr. and in t Kar R13io, for € a D: To authorize Contact ' holder of Karin Risio to . the transfer, and age on said real estate, 'and seethkePHesymissian Sa i b Bank, , to ecmplete t the receipt of such this tr Permission to do all bank for or officers ansaction without things necessary'Iherc bein �allin9:any further 1 animously ;. 9 no further'business_ooming�beforere meetings f dirnctors and/ fi ,.yw a 4� it was un- t� 1. ,''. to Ad"" .'y. A True CoPY, ri , Attest HTl rn �ony (y a4 �, } � January 2, 1980 p2 i ; h 4} fi I . *•o k k a�° � M Yrt sF. RECUR�EU FEB ' S - ` _ __-._._„' ter__—k - '�� R�s�•s' ��; r IV '+ 1 y Yqi • ..,Y 8 ' SMOKE ETECTQR EVIEWED BAR UILD EPT, DATE J 1 -6,- O 0 n'` ;Zj, 11 A,I FIRE DEPARTMENT DATE BOTH SIGNATURES ARE REQUIRED FOR PERHrMNG �2 ws�w cotuG. 3 '11, N/4'" Exrs1 Ex Ls-r I UT�aJD2 4. 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AQ e'EG C�.I.A-r l o�•{'s or TN E ewC v'STues 4. i -j2 Ica / ,a .I d r .S 6ASEarcE t fl' � � �� g f kr e4e4 ... 14,2. 4G. e9ai GeosS AfL1iA ot= tZAAt�WA�('•s 4,'L Ac. r + e,o / 71.,4, " " -- -- V - .4 , r �osS A:¢ea, c?F vlrar�.l;t�S o,i AG, �� / ,��" ue wl T7tt1( elec•ec.►ac LinoK 2412- PA6<o 4'7 , "7<,14;1 �r ._ _ - e oRa © _ T k INV t - a o . I { A ublic a •U ` Landing Y• ' •o g=. -° , . R" LOG OF SOIL EVALUATION °• • . • DATE: 07-09-96 • rr•• °or © P No. P - 8726 SOIL EVALUATOR. JOHN R. ELLIS BA TER 8NYE, INC. BOARD OF HEALTH. EDWARD F. BARRY, TOWN OF BARNSTABLE EXCAVATOR: SHORELINE CONSTRUCTION LOCATION' MAP = HYANNIS QUADRANGLE FND EL 103.5 TP #1 TP #2 , _ FIG = 102.5 EL=96.4I EL-92.7 SCALE. 1.25,000 FIG - 103 5 CULTEC RECHARGER 330 CHAMBERS - ; 0 0 EL 92 7ASSESSORS 100.0. _964 MAP 193 PARCEL 160 FOREST DEBRIS IFOR ST DEB R IS - -- - 1.'.:.: w... , : .:.. - _ - _ . 101.0, 0 1 EL 96.3 0 ,1 EL 92 6 1 00.8 1 500-GAL - 0►NES: E LOAMY SAND Z E LOAMY SAND SEPTIC TANK` O AQUIFER PR0 C ON"_OVER 1 100.2 , BOTTOM EL = 98 1 -5 EL=96.0< 1 5 EL=92.3 AQU TE TI LAY. DISTRICT 00.4 1B .MEDIUM SAND I ... .,, �.. B MEDIUM SAND g - 5 " EL=92.7 5 45 : EL=89.0 _ BEDDING AS 4 ZONING DISTRICT. RC L-92._ TOPE 4 P ERC MEDIUM SAND C1 MED AN PER.:.TITLE 5 _ 4 B T L 9 .M J 0 E 1 4 , MINIMUMS � . �2.J5 , _ :45 90 - EL 88 9 _ -. -10 10:5 7 - _. i_ _ EDIUM S D _ AREA 43 560 S, F. .- , ; c M AN _ SANDY LOAM - 1 FRONTA,GE 20- O : i _ L-87._. _ 90 _108 _ E 4 WIDTH - 100 _ - _ C3 `MEDIUM SAND' 82.7_ _ 45 120, EL `FRONT SETBACK 0 1CBA 2 o SIDE SETBACK, 10 . - 108w 126 EL 85.9 S -REAR `S TB 0 E R SETBACK CK 1 LOPED` PROFlLE OF PR POSED SEPTIC SYSTENt NO GROUNDWATER ENC OUNTERED BUILDING WEIGHT = 30 p- -- Q IN EITHER , TEST HO LE l .5 OR 2 STORIES. IF LESS) - ._ _ NOT :TO SCCALE FLOOD ZONE: C i I 4 PVC PIPE .1 I w 37 6 f i .• • { a • : ii 41 ♦ ..DIST � r: `BOX , 40 , H PLAN VIEW LEACHING CHAMBERS NOT TO SCALE 9 FINISH ;_GRA DE -y x DESIGN FLOW Q r i SINGLE FAMILY 3 BEDROOMS NO GARBAGE GRINDER _ 18 1 2 DESIGN FLOW 3 x-110 GPD 330 GPD : N _ _ / STONE i ' SEPTIC TANK: 330 GPD x 20OX = 660 GPD - : . , f <:•I(• ! USE 1500--GALLON SEPTIC TANK •• 3 4w- - 1 1/2w o . e _ DOUBLE LEACHING SYSTEM DESIGN.. 410.00. r> : ; • e . I USE 6` CULTEC RECHARGER 330 CHAMBERS WITH 2' STONE WASHED N e STONE. CULTEC 330 jj APPLICATION AREA REQUIRED: < 330 GPD '0.74 GPD SF = 446 GPD 1 52 APPLICATION A'DESIGN:N ARE : SIDEWVALL AREA = 40 x 2 x 2 160 SF / 8 BOTTOM 40A ARE x 8 s F ' 3 20 S TOTAL AREA = 480 SF .. I PERCOLATION RATE: LESS THAN TWO MINUTES PER INCH CROSS--SECTION OF CHAMBER , 3 SOIL CLASS i NOT TO SCALE : � I _ O ry° � F } Q �0z CB/DH FND 9��syo : EL = 100.01 �. r• 99. 100 (ASSUMED) 'P ! OF r•• 102 / 104 CL d 106 96 x 04 105:7--' 107.3 100.4 v CB DH D 07.6F�'�x 1 0 s m � s , k M G ; F G 100.2 . E q D M/ . 6 < '5 Y y � C • AWING TO 07.5 Ali </ /3 P 1 N 59 9 BE REMOVED U7.7 C 9s / f w POLE #3-6- .0 x 7.2 DRIVEWAY 104.7 Q pF DH FND 106 \ 107.8 CB �f / PROPOSED 107.E / CUT LINE 104 P x : x 1 .4 \� \ .9 x 10 107.7 . 0 102.1 / PARKING JE AREA P 1197.2 ; Q P _ G \ P � G /x TIN F. X15 _x E S 0 102.6 o s ti 106.9 100 .p /,`` �. d6 2d O O x O- 0 / 10 F r `k O O O O 9 / 1 o �x vas 2 ti x' o i 1 0.3 A S 0 R100 104_ P w o o_ q SF 102 y / x 98.6 102 S PRELIMINARY SITE PLAN yb S 100 O 0 6 98 - OR ��t s 9 AT �r, � F F p. 98 96 �OQ JC Z O - 98 .� lA gyp. 396.4 96 t LOT 63 LONGBOAT DRIVE z Y. ss TM �09 94 CENTERVILLE, MASS. lk TH 2 x 1p � 93.1 96 i 92. 927 9 FOR X 94.8 2 94 , .L 92 CHAMPION BUILDERS 90 90 > x � 88.7 SCALc. i LO ° uuL# 88 J . T 6 `3 BA TER:& NYE INC. O as 812 MAIN STREET _x ;. -x Ss. ss.7 0 VI E MASS. 0265521,795 _ , - STER LL , f a4 S. F F \ - 8s ' 508 428 9131 \ _ • a I 82.4 x . �� o, I I f 84 GRAPHIC SCALE N s n os s '. 1 20 a :0 20 40 ec W i d x 81.0 � ( IN FEET ) _ 2 � 1 inch - 20 ft. 2 ' x 81. ; O h I Q3 ! LOT 6 -5, N TO fAT wN OlV N BINDA WA TOWN`WATER NOTES: S , WATER SUPPLY FOR THIS LOT IS MUNICIPAL WATER I I - LOCATION.i OF UTILITIES'SHOWN ON THIS PLAN ARE APPROXIMATE. AT LEAST 72 HOURS PRIOR TO ANY EXCAVATION FOR THIS PROJECT THE CONTRACTOR' SHALL'MAKE THE REQUIRED NOTIFICATION TO DIG SAFE (' 1-800-322-4844) AND f APPROPRIATE WATER DISTRICT FOR LOCATION DATA. I THE CONTRACTOR IS REQUIRED TO SECURE APPROPRIATE I PERMITS FROM TOWN AGENCIES FOR CONSTRUCTION DEFINED BY THIS PLA . N :. y - - STALL-RISERS AS RE U T I �pd Q IRED 0 WITHIN 12 OF FlNISH GRADE `: , ALL STRUCTURES; BURIED FOUR FEET OR MORE OR SUBJECT TO y PEYER VEHICULAR TRAFFIC TO BE H-20 LOADING �_ SULI.NAN e, H O.29M WI N D. SS! , _ 96.078 //PPP01 DWG p-7 23 `3Cv 7�23 J�