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Home My WebLink About0070 MARIE AVENUE r � t j c L!✓ o �/ NO. 1521/3 BGR � ��' 10% 0 j x . . 0 . ViEt Town of Barnstable *Permit 96 30 Expires +er the jr m i ue date Regulatory Services Fee * nstE` '® �pb4 0� Thomas F.Geiler,Director TfD MA't A,�� /08 Building Division. U 2�z e/o� Tom Perry,CBO, Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 EXPRESS PERMIT APPLICATION RESIDENTIAL ONLY OVot Valid without Red X-Press Imprint' Map/parcel Number. C Property Address ' l P rtY . � i/� �V residential Value-ef°Work -- �-(�y✓.-. -""~Minimum fee of$25.00 for work under$6000.60 Owner's Name& Address y/Vyr gJ , _ SC/0 h hP d1r.�! � /�`�� J "a a Contractor's Name (/�OO'l-VAi.�o 1/�/ Telephone Number /I f 6, �do . m �{-� Home Improvement Contractor License#,(if applicable) / C Construction Supervisor's License#(if applicable) / I ❑Workman's Compensation Insurance Cfieck one: ❑ I-am a sole proprietor ❑ tafn the Homeowner I have Worker's Compensation Insurance Insurance Company Name '^/j/' ��{/- Workman's Comp.Policy# �} Copy of Insurance Compliance Certificate must accompany each permit. Permit Requ t(check box) - Re-roof(stripping old shingles) All construction debris will be taken to ❑Re-roof(not stripping. Going over existing layers of roof) ❑ Re-side El Replacement Windows/doors/sliders:U-Value (maximum .44) *Where required: Issuance of this permit does not exempt compliance with other town department regulationsj.e,Historic,Conservation,etc. ***Note: Property Owner must sign Property.Owner Letter of Permission. A'eopy of the Home Improvement Contractors License is required. SIGNATURE. Gy'--� IL/ , Q:\WPFILES\FORMS\building permit forms\EXPRESS.doC r Revised 100608 r EEMENT 4 Wo-on Assoc. Inc. d1bfa/ Gutter Helmet Orde[r 1257Worcester Rd. 1137 Park East Drive 80 Coogan.Blvd. PME#177 Woonsocket, RI 02895 PIVIS#2 Source Referral Frarningham, MA 01701 401 -671 -6460 Mystic, CT 06355 MA Lic. 119535 RI Lic. 12259 CT Lic. 00562725 Date F; 1 -806- 975-6666 .,..,. PROPOSAL SJBP,1ITTED TO: WORK TO BE PERFORMED AT: NAME f ADDRESS [ _ k. ter pf ADDRESS �/ �/` � — SPECIAL INSTRUCTIONS S �I 6- PHONE NO. S� _ WORK PHONE OR CELL I. Perform re-installation ins ection of property for customer review and acknowled ment 2. Install NeCnr Roof, Place Total Squares: r� Colo of Shin lest p C� RI or N0 RIP: Le/00 S i A- e- Y�ts�.t d v 3. Perform.post-installation ins ection of propertX for customer review and acknowledgement Install in weather permittincilS <#of Year> Product/Nlateriaf VVarranty on <Shin le Brand>; 2 Year Warranty on Labor All material;s guaranteed to be as specified,and the above work is to be performed in accordance with the drawings and specifications submitted, and con leted in a substantialworkman li manner for the sum of aid,�YJ� If F Dollars with payments to be made as follows:. $ For deposit, Check Credit Card MC Visa . . � $ Balance due upon completion/No exceptionsCaya,g...,,� Exp. Date (initial) Balance to be charged upon installation to same credit card A late charce v ll be assessed at the rate of one.and one-half percent(1.5%)'per month,annual percentage rate of 1 B%on the entire account if not paid vtierr due as specified. Further. Buyer agrees to pay any and all fees related to collection of said account,includin ut rot I' i;ed tc court cos;.c-)llnction agency fees and attorneys fees. *All agreements bontigen:upon strikes,accidents,or delays,beyond our control. Respectfully su fitted Co. Representative State lave requires unto refund all deposits if we are notified in w^firing,within. 3 burin Cs dgs�(ahal.you wish to cancel your order, � 7 ACCEPTANCE OF PROPOSAL IP IThe above prices,specifications and condttiona are,satisfactory and are hereby accepted. This contract,specification sheet and customer acknowledgement incluce all agreements between Moon Associates and the customer. No other agreements.are suggested or implied. You are authorized to do the work as specified: .Payments will be made as outlined at owe. This proposal maybe withdrawn after inspection if Gutter Helmet determines t it is not in the best interest of the homeowners or the safety of our technicians to have our product installed. Signature Date c �r c czar r Frnnl N'c wsal R':•.. S - - �.,.: ,...,,:.,.�,> y .:.,raw Si nalu e z'd From:ehaunni RObinson,Hunter Insurance At:HUrder Insurance,Inc. FaAD: To:Denlse Gtoda Luca: e� run I �:I{5 rim r-aV=-/-v, OP tD 5 LTATE IMhu 'M'DDJYJ AP OR-D. CERTIFICATE OF LIAE31LITY INSURANCE Moaz�A-1 0g/��/os PRODUCER THIS CER'IFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND coraFERs No RIGHTS UPON THE CERTIFICATE Hunter Insurance, I1�r HOLDER.THIS CERTIFICATE DOES NOT AMENID.EXTEND OR 3.89 Old River Road, P.Q. Box 1 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Manville RI 02$S8-0001 Phone: 401-769-9500 ><ax:401-769-9502 IN$URERS AFFORDING COVERAGE NAIL#INSURED „�,.,..._..�.... ..-....-... INSURER .datlont Gcar.y& t"tw...a co Mann Associates Inc. DBA Gutter Helmet INSURERS: aeacan ff tual Tnauran06 co, DBA•Renewal b Andersen of RI INSLr'ERC: DBA Gutter He Roofing � 1137 park East Drive INSURER D: W40ASPcxet RS 0209S s INSURER E: COVERAGeS, ne P OL IMES OF.INwRANCE LISTED BcLmv HAVE BEEN ISSteO TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED.NOTWITHSTAN011W _ ANY REOUIR15WNT,TERM OR CONDMON OF ANY CONTRACT OR OTHER Och^LRtENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR . MAY PERTAIN,THE WSURANCE AFFORDED BY P'E POLICIES DESCRIBED HEREIN IS SUELIECT TO ALL THE TERMS.EXCLUSIONS AKD CONDITIONS OF SUCH POLICIES.AGriRECO&TE UIe n Stf AT^i MAY HAbE BEEN REDUCED BY PAID CLANG RqW - LIMITS LTR NSR TYPE OF RtSURANGa POLICY NUMBER DATi3 tiMJDOM} G TE L tMtODtYYL EACH OCCURRENCE $100 00 0 0 GENERAL LL46ILJTY A ;{ COA�vtcRCIALt�Ei RAI LIRf31iITr 14PS26619 09/1fi/08 09/16/09 PREMISES(Es a) - $50QQ00 CLAIMS NVOE [x:1 OCCUR MED EXP 4X'ty me e POMOnl $10 0 0 00 PERSONA.a ANWAMY $ 1000000 GENERAL AGGREGATE _ $ 2000000 i£raL s.G(33REGATE LIMIT APPLIES PER: PRODUCTS-COMPiOP AGG $2 0 0 0 0 0 0� Poucy P M LOC AUTOMOBILE UABIL(TY COMBINED SINGLE LIMIT $ 100000 0 A X ANY AUTO B1326619 09/16/08 09/16/09 (Ea acclAult) ALL OV4JED AUTOS ICILY INJJRY $ (Per D4rw) I SCHEDLA.ED AUTOS HIRL'D AUTOS R=LY tt4jURY $ (Per ucelderd) NON•OWN€O AUTOS - PROPERTY 04AAGE v _ (Pat accidgM) GARAGE LIABILITY :. AUTO ONLY-EA ACCIDENT $. .... A14Y AUTO OTHER T EA 4CC $ HAhJ — AUTO Omt AGGV $ ExCESSAAABRELL.AL"ILiTY EA044OCCLIRRENCe $ 1000000 A. occL z CIAih7?r.�FOE CttS26619 09/16/08 09/16/09 AG RELATE $ «-T�_ $ DEDUCTIBLE X RETENTION $10 0 0 0 _. 5 .. WORKERS COMPENSATION AND - TORY UtA1TS ER lSt4PLOYERT LIABILITY _ g Z$586 a.0/Q1/Q�- • 10/01/09 E.L•EACHACCIC�.NT _ $500000 ANY PW.)PRIET0R(P.ARTNEkSXZCUn VE +O.FFICERIM MSER EXCLUDED? E.L.DISEASE-EA EMPLOYEE $-C?0 Q 0 C} _ _. If yes,dusrairso Txidw E.C,DISEASE-POLICY UMiT $5O0 00 Q SPECIAL PROVISIONS t d"f OTHER r DESCRIPTLON OF OPtkATLONF i LOCATIONS J VOUCLES I EXCLUSIONS ADM BY ENDORSEM I SPECLAI.PROMS10N9 CERTIFICATE HOLDER CANCELLATION BUILD114 SHOULD ANY OF THE ABOVE DESCROEO POUCLES BE CANCk�1 ED BEFORE THE EJ PIRATI4N DATE THEREOF,THE fSSUI40 INSURER WILL ENDEAVOR TO MAL 10 - DAYS WRITTEN Building Cont. Reg.` Board NOTwg TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO DO SO$HALL Dept. of .Acfimi n i s trat ion IMPOSEMO OBLIGATION OR L.IABILRY OF ANY KIND UPON THE INSURER.ffS AGENTS OR One Capital Hill REPRESENTATNeS. Providence RI 02908 s.. AL! DREPRESENTASJVE AC6E2I3 2�0E1E}'t/48) 0ACORp CORPORATION 1988 " ✓die t�omvmor�evealCfz o�✓�•asac%creeC�d License or registration valid.for iudividul use only, Board of Building Regulations and Standards before the expiration date.,If found return to: HOME IMPROVEMENT CONTRACTOR Board of Building Regulations and d Standards Registration: 119535 One Ashburton Place Rm 1301 Boston,Ma.02108 Expiration: 7/24/2009 Tr# 130185 Type: Private Corporation MOON ASSOC INC JAMES MOON 1137 PARK EAST DR.' Not valid ithout signature WOONSOCKET,RI 02895 Administrator > i.t,.:trlttt.r ttt - L�clt;trttttcttt„f'Pt,ttlit ti°etti Restricted to: RF,WS 80a1*11 Of l3ttiltlitt'-; RQ-tilati„o, and ',lapda'i1l, W onstrucmr,'Lpervisor. 7z��Cs�ltt!icens 1A- Masonry only L:censer CSSL 99840 Rl~'- Roof Covering WS-Windows and Siding; Restricted tar RF.WS SF- Solid Fuel Burning Dovices 3 ISM-Demolition only .BANES MOON 48 PAINE ROAD Failure to possess a current edition of the CUMBERLAND, RI 02864 Mussstchusetts State Building Code is cause for revocation of this licettse;- Refer to: ' V'WW.Mass.Gov/DPS . ✓ r Exp{rat,ow 3t2312012' The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations ' 600 Washington Street Boston, MA 02111 ` * * www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print LegibI_y Name (Business/Orgariization/Individual): a Address: 3 . . v City/State/Zip: Oo7-9f Phone#: Are you an employer?Check the appropriate box: Type of project(required): 1.❑ 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 2.0 I am a sole proprietor or partner- listed on the attached sheet. 7..F. Remodeling These sub-contractors have ship and have no employees 8. -❑Demolition working for me in any capacity. employees and have workers' 9. ❑ Building addition [No workers' comp.insurance comp. insurance.: required.] 5. E We are a corporation and its 10.❑El 'cal repairs or additions 3.0 I am a homeowner doing all work officers have exercised their 11.❑P bing 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 employees. [No workers' 13.❑ Other comp. insurance'required.] *Any applicant that checks box#l.must also fill out the section below showing their workers'compensation policy information, t Homeowners who submit this.affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. ,Contractors.that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site A information. Insurance Company Name: ?;e'aC070 Policy#or Self ins.Lic.#: cp <5 t,. Expiration Date: d Job Site Address: City/State/Zip: Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL 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 insurance coverage verification. I do hereby certify under the pains and penalties of perjury that the information provided above is true and correct. Signature: Date: Id- a'o_ ol o Phone#: -� C21— 706 10, .Official use only. Do not write in this area,to be completed by city or town official City or Town: ' Permit/License# . Issuing Authority(circle one): 1.Board of Health 2.Building Department 3. City/Town Clerk 4.Electrical Inspector 5. Plumbing Inspector. 6.Other Contact Person: Phone#: o� 1«% OVERLAY DISTRICT: ASSESSORS REF.: AP — Aquifer Protection District Map 226 Parcel 128006 FLOOD ZONE: ZONE: Zones X & AE(el=12) RB Map Number Area (min.) 43,560 SF �n 25001CO564J Fronts a (min) 20' 11V July 16, 2014 Width min) 100' Setbacks: Fron t 20' Side 10' Rear 10' •s• - y0� a(f, ae FEMA Flood Zone Line �lep,cj, �y From Map NumberCD ff 25001CO564J P N (Effective July 16, 2014) tir0111 M3' o P� t�z x o F #70 Ne J w Concrete 213' Foundation N TOF=19.7'(NA VD'88) o o� � ��! 62.3' •. 21.5 O. 01 O W Lot 26 -o 1 J,939±SF-__ O� \l0 J 1��10o �j S NIF I J LU 0 Of b4a� . cy` I certify that the new �., foundation shown hereon RiCHARD R. ; conforms to the setback L'HEUREUX requirements of the Zoning NO.14312 a• o a° Bylaws of the town of a� c�VY Jp Barnstable. PLOT PLAN AT 70 MARIE A VE NOTES: BARNSTABLE (Centerville) 1.) The structures shown were located on the ground MASS by conventional survey methods on (or between) 13/JAN/14 and 08/APR/15. DATE: 091APRI15 SCALE: 1"=30' 0 15 30 45 60 FEET 2.) ;The property line information shown hereon was compiled from available record information. PREPARED FOR: Shelley& Robert Gould 3.) This plan is not for recording and is not to be 3411 Lakeshore Road used for construction layout or deed description Burlington, Ontario L7N1B4 purposes. PREPARED BY: CapeSury 4.) The original house was destroyed by fire on 03/MAR/15. 23 West Bay Rd, Suite G Osterville MA 02655 DWG #: C706_l gl cpp2 FIELD BY. RLH/WHK/MJD (508) 420-3994 / 420-3995fox Commonwealth of Massachusetts She et et Metal Permit Date: 7k t C Permit# !� PERMIY Estimated Job Cost: $ 19 1 l� Permit Fee:UL Plans Submitted: YES Plans Plans Reviewed: YES NO �F BARNSTABLE Business License# Applicant License# �. Business Information: Property Owner/Job Location Information: Name: tud 1 JjlrCav,. C:' Name: t3 Street: ��_ V� h h y Street: "7 0 iM-14 I/►Lf— City/Town: La +'yl 'h {46i City/Town e -tr U j lug Telephone:�w�,�-��-- '7�� Telephone: 9 � Photo I.D.required l Copy of Photo I.D. attached YES X NO _ S iiinitial J-1 inrestricted license J-2/M-2-restricted to dwellings 3-stories or less and commercial up to 10;000 sq.ft.-/2-stories or less Residential: 1-2 family Multi.-family Condo/Townhouses Other Commercial: Office Retail Industrial Educational Institutional - Other Square Footage: under 10,000 sq.ft. , over 10,000 sq.ft. Number of Stories: Sheet metal work to be completed: New Work: Renovation: HVAC I✓ Metal Water shedRoofing Kitchen Exhaust System Metal Chimney/Vents Air Balancing Provide detailed description of work to be done:Lj fi 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 Yes•indicate the type of coverage by checking the appropriate box below: A liability insurance policy Other type of indemnity ❑ Bond ❑ OWNER'S INSURANCE WAIVER:i am aware that the licensee does not have the insurance coverage required by Chapter 112 of the Massachusetts General Laws,and that my signature on this permit application waives this requirement, Check One Only Owner ❑ Agent ❑ Signature of Owner or Owners Agent By checking this box❑,I 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 installations performed under the permit issued for this application will be in compliance with all pertinent provision of the Massachusetts Budding Code and Chapter112 of the General Laws. Duct inspection required-prior to insulation installation:YES NO - k Prowess Inspections Date Comments :Final Inspection Date Comments Type of License: By n6aster Title - ❑,Master-Restricted Citylt ovm 0Joumeyperson Signature of Licensee Permit# ❑Joumeyperson-Restricted License Number: Fee$ ❑ Check at www.mass.dovldpi -Inspector Signature of Permit Approval ..:✓:, —. -� _ III .�. �.�,.�i T�.fj•� � y, - 7. Pal`'d': „ .• 'v,4 r. .rtw., _ - "rr Lin'" 1w. 'o 4N l s . !�� ' ff�'fT5l�..._ �tac4',A^��.Z' ,7 � '3 S+F � •r,._, 71 Town.of Bairnstable Regulatory Services Thomas F.Ge1er,Director w & Building Division Tom Perry,Building Commissioner 200 Main Street,Hyanhis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 _ 'Fax: 508-700-6234 Property OCmer'Must Complete and Sign This Section If Using A Budder I, �50� L CAA a ,as Qwner of the subject property LL hereby authorize� W to act on my behalfy in gR.matters relative to work authorized by this:bu permit ilding -ft AV e�_ (Addres's of.dab) **Pool fences and alarms-.are the responsibility of the applicant. Pools are not to be filled before fence is installed and pools are not to be utili ed until all final inspections are performed and accepted. Signa of Sigmture of Applicant . Print Name s Print Names l , Date Q:FORMS:OWNERPERMISSIONPOOLS t Ike'Coinmonwealth ofilassachuseto Deparlment oflndustrW Accidents Office of Inveshga6ns 600 Washington Street Boston,M. 0211.1 www,mass..gouldia Workers'Compensation Insurance Affidavit.-Builders/Contractors/Electricians/Plunibers AP Brant Information Please.Print Letsibly Name(Business Orgaoinfionitndividual):. eQ -- Address: f�Lv )N LMf City/State/Zip S ,r.�Jr,_-- " NaVk,4.� Phone.#: U Are you you an employer?Check the appropriate box: _ Type of project(required) " 1.t�1 am a employer with 7 � 4. E I am a general contractor and I employees(full and/or part-time).* have hired the subcontractors b. [Q 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 working for me in any capacity. employees and have,workers' 9. ❑Building addition [No. workers'comp.insurance.. comp,insurance.t required] S,,( 'We are a corportion and its' 10-El Electrical repairs or additions 1.❑ I am a homeowner doing all work. officers have exercised then 11.[1 Plumbing repairs or additions" myself, [No workers'cam: right of exemption per MGL l2.[f Roof repairs insurance required.]t c.152,§1(4),and we have no ; employees.[No workers' I3.❑Other comp.insurance required.]• *Any applicant thatchecks box#1 must also fiR out the section below showing their worloss'compensation policy inf oration. t Romeowners who submit this affidavit indicating$hey are doing all work and then hire outside contractors must submit a new affidavit indicating such. 3Contractors that check this box must attached as additimW sheet showing the name of the sub-cc ntracto s and state wbether or not those entities bmv employees. If the sub-contractors have employees,they must provide their worfa='comp.policy number. I am an employer that is providing workers':compensation insurance for my employees. Below is the policy and job site information Insurance Company Name: 4,cAn'^a t o�� M Policy#or Scif--ins.Lic.#: lV W C 3 d 6-2 4 � Expiration Date. Job Site Address: — 19 AU&Y/StatelZip Attach a copy of the workers compensation, olio declaration. a sho the policy n t�� policy P ( . wFng P cY as ;rube ). Failure,to secure coverage as required under Section 25A of MGL c. 152 cari lead to the imposition of.crirr inal 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 copyof thus statemmit;nay be forwarded to the Office of, Investigations of the IDIA for insurance coverage verification I do hereby certify under the pains-an enaltaes of perjury.that the,infarnnation provided,abav is tru and correct;. 5i ature: Date: Phone#: Official use only.. Do not,write.in this area,to beconnpleted by ctty or fawn offaciaL City or Town s Permit/License ,Issuing Authority(circle one): 1.Board of Health 2.Building Department,3.Ci tylT own Clerk 4.]Electrical 14ectgr .5.Plumbinn Inspector j 6.Other Contact Person: Phone#: i. Ac CERTIFICATE OF LIABILITY INSURANCE D fDD"Y"'' `� 1/20/20/2015 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(iss)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 erfdorsement(s). PRODUCER CONTACT NAME: Michael Edwards Lawrence Carlin Insurance Agency PHONE (508)540-7100 FaC No:(508)540-8426 230 Jones Road ADDRESS:Michael@lawrencecarlin-MAIL INSURER(Sl AFFORDING COVERAGE NAIC# Falmouth MA 02540 INSURER ANorfolk & Dedham Mutual Ins Co INSURED INSURER B Technology Insurance Cc Cape Cod Mechanical Systems. Inc. INSURER C: 8 Fruean Avenue INSURER D: INSURER E: South Yarmouth MA 02664 INSURERF: COVERAGES CERTIFICATE NUMBER:2013 Master REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE ADDLISUBRI POLICY EFF POLICY EXP LIMITS LTR POLICY NUMBER MMIDDIYYYY MM/DD/WYY GENERAL LIABILITY EACH OCCURRENCE $ COED MMERCIAL GENERAL LIABILITY A RENT PREMISES Ea occurrence $ CLAIMS-MADE OCCUR MED EXP(Any one person) $ PERSONAL 8 ADV INJURY $ GENERAL AGGREGATE $ GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ POLICY PRO-FCT LOC_ $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident) $ 1 000 000 ANY AUTO BODILY INJURY(Per person) $ A ALL OW SCHEDULED 91275445A 12/22/2014 2/22/2015 BODILY INJURY(Per accident) $ AUTOS NX AUTOS X HIRED AUTOS X NON-OWNED PROPERTY DAMAGE $ AUTOS Per accident Uninsured motorist combined $ 50,000 UMBRELLA UAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED RETENTION$ $ B WORKERS COMPENSATION WC STATU- OTH AND EMPLOYERS'LIABILITY Y/N ORY LIIQIT+ ANY PROPRIETOR/PARfNER/EXECUTIVE 7 E.L.EACH ACCIDENT $ 1 000,000 OFFICERIMEMBER EXCLUDED? NIA C3067846 9/21/2014 9/21/2015 (Mandatory in NH) E.L.DISEASE-EA EMPLOYE $ 1,000,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 1,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES (Attach ACORD 101,Additional Remarks Schedule,if more space is required) CERTIFICATE HOLDER CANCELLATION (508)790-6230 SHOULDANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Town of Barnstable ACCORDANCE WITH THE POLICY PROVISIONS. Building Dept. 200 Main Street AUTHORIZED REPRESENTATIVE Hyannis, MA 02601 �( David Lawrence/MEDWAR ACORD 25(2010/05) ©1988-2010 ACORD CORPORATION. All rights reserved. INS025 oninnsi nt Tho Ar^npn name anri Innn era ranictarari marke of Or Glen y �I ' ti KE Town of Barnstable y Building Department - 200 Main Street EARNAS&M * Hyannis, MA 02601 9 MASS. 16 q. (508) 862-4038 Certificate of Occupancy Application Number: 201502012 CO Number: 20150225 Parcel ID: 226128006 CO Issue Date: 11/24115 Location: 70 MARIE AVENUE Zoning Classification: RESIDENCE B DISTRICT Proposed Use: SINGLE FAMILY HOME Village: CENTERVILLE Gen Contractor: DAMON L KENDALL Permit Type: RC00 ,CERTIFICATE OF OCCUPANCY RES Comments: LAIL 12—LI I J-3— Bu ding epartment Signature Date Signed TOWN OF BARNSTABLE Building tHE 201502012 BARNSTABLE, Issue Date: 05/19/15 Permit 9 MASS �ArFG 3�A�� Applicant: DAMON L KENDALL Permit Number: B 20151184 Proposed Use: SINGLE FAMILY HOME Expiration Date: 11/16/15 Location 70 MARIE AVENUE Zoning District RB Permit Type: REBUILD HOUSE AFTER TEARDOWN Map Parcel 226128006 Permit Fee$ 3,442.50 Contractor DAMON L KENDALL Village CENTERVILLE - App Fee$ 100.00 License Num 070086 Est Construction Cost$ 675,000 Remarks APPROVED PLANS MUST BE RETAINED ON JOB AND REBUILD HOUSE AFTER FIRE/TEARDOWN 3 BEDROOM HOME THIS CARD MUST BE KEPT POSTED UNTIL FINAL INSPECTION HAS BEEN MADE. WHERE A CERTIFICATE OF OCCUPANCY IS REQUIRED,SUCH Owner on Record: GOULD,ROBERT R&SHELLEY A BUILDING SHALL NOT BE OCCUPIED UNTIL A FINAL Address: 3411 LAKESHORE ROAD INSPECTION HAS BEEN MADE. BURLINGTON ONTARIO L7N-164 CANADA,.. Application Entered by: JL Building Permit Issued By: THIS PERMIT CONVEYS NO RIGHT TO OCCUPY ANY STREET,ALLEY OR SIDEWALKOR ANY PART THE REOF,IEITHER T XORAR11LY R E N Y ENCROACHMENTS ON PUBLIC PROPERTY;:NO. SPECIFICALLY PERMITTED UNDER THE BUILDING CODE,MUST BE APPROVED BY THE JURISDICTION: STREET ORALLEY GRADES AS WELL As DEPTH AND LOCATIOMOF,PUBLIC SEWERS MAYBE OBTAINED FROM.THEDEPARTMENT OF PUBLIC WORKS.-THE ISSUANCE OF THIS PERMIT•DOES NOT;RELEASE THE APPLICANT,FROM THE CONDITIONS OF�ANY APPLICABLE SUBDIVISION RESTRICTIONS. ?< # #r MINIMUM OF FIVE CALL INSPECTIONS REQUIRED FOR ALL CONSTRUCTION WORK: 1.FOUNDATION OR FOOTINGS. 2.SHEATHING INSPECTION 1 ALL FIREPLACES MUST BE INSPECTED AT THE THROAT LEVEL BEFORE FIRST FLUE LINING IS INSTALLED. 4.WIRING&PLUMBING INSPECTIONS TO BE COMPLETED PRIOR TO FRAME INSPECTION. 5.PRIOR TO COVERING STRUCTURAL MEMBERS(FRAME INSPECTION). 6.INSULATION. 7.FINAL INSPECTION BEFORE OCCUPANCY. WHERE APPLICABLE,SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL,PLUMBING AND MECHANICAL INSTALLATIONS. WORK SHALL NOT PROCEED UNTIL THE INSPECTOR HAS APPROVED THE VARIOUS STAGES OF CONSTRUCTION. PERMIT WILL BECOME NULL AND VOID IF CONSTRUCTION WORK IS NOT.STARTED WITHIN SIX MONTHS OF DATE THE PERMIT IS ISSUED AS NOTED ABOVE. PERSONS CONTRACTING WITIf UNREGISTERED CONTRACTORS DO NOT HAVE ACCESS TO GUARANTY FUND(as set forth in MGL c.142A). BUILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS . x t. 2 � sw �Iu l�s dG 2100/,d ,wl 3 IS' 1 Heating Inspection Approvals Engineering Dept Fire Dept 2 F 14 1/_ G /5 Board of Health �Y TOWN OF BARNSTABLE But Iding..1He 11 201408498 BARNSTABLE, Issue Date: 12/17/14 Per m i t y MASS. Applicant: DAMON L KENDALL Permit Number: B 20143419 Proposed Use: SINGLE FAMILY HOME Expiration Date: 06/16/15 Location 70 MARIE AVENUE Zoning District RB Permit Type: RESIDENTIAL ADDITION/ALTERATIO Map Parcel 226128006 Permit Fee$ 1,676.88 Contractor DAMON L KENDALL Village CENTERVILLE App Fee$ 50.00 License Num 070086 Est Construction Cost$ 328,800 Remarks APPROVED PLANS MUST BE RETAINED ON JOB AND REMOVE BEDROOM 5'CASED OPEN&ADD NEW BEDRM,NEW 2 CARTHIS CARD MUST BE KEPT POSTED UNTIL FINAL GARAGE,BREEZEWAY,FARMERS PORCH,RE-BUILD SCREEN PORCH INSPECTION HAS BEEN MADE. WHERE A CERTIFICATE OF OCCUPANCY IS REQUIRED,SUCH Owner on Record: GOULD,ROBERT R&SHELLEY A BUILDING SHALL NOT BE OCCUPIED UNTIL A FINAL Address: 3411 LAKESHORE ROAD INSPECTION HAS BEEN MADE. BURLINGTON ONTARIO L7N-1B4 CANADA,.. 1*2 Application Entered by: JL Building Permit Issued By: THIS PERmrr toNVEYS NO RIGHT TO OCCUPY ANY STREET ALLPY"OR '6VR,1WT ENCROACHIIW" SON PUBLICPROPERTY;NO 7 SPECIFICALLY PERMITTED UNDER IN THE BUII DG CODE,MUST BE APPROVED BY THE NRISDICTION STREEZ 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 SUBDNISION ti RESTRICTIONS MINIMUM OF FIVE CALL INSPECTIONS REQUIRED FOR ALL CONSTRUCTION WORK: 1.FOUNDATION OR FOOTINGS. 2.SHEATHING INSPECTION 3.ALL FIREPLACES MUST BE INSPECTED AT THE THROAT LEVEL BEFORE FIRST FLUE LINING IS INSTALLED. 4.WIRING&PLUMBING INSPECTIONS TO BE COMPLETED PRIOR TO FRAME INSPECTION. 5.PRIOR TO COVERING STRUCTURAL MEMBERS(FRAME INSPECTION). 6.INSULATION. 7.FINAL INSPECTION BEFORE OCCUPANCY. WHERE APPLICABLE,SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL,PLUMBING AND MECHANICAL INSTALLATIONS. WORK SHALL NOT PROCEED UNTIL THE INSPECTOR HAS APPROVED THE VARIOUS STAGES OF CONSTRUCTION. PERMIT WILL BECOME NULL AND VOID IF CONSTRUCTION WORK IS NOT STARTED WITHIN SIX MONTHS OF DATE THE PERMIT IS ISSUED AS NOTED ABOVE. PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS DO NOT HAVE ACCESS TO GUARANTY FUND(as set forth in MGL c.142A). BUILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS F� Ok w/5G; 6 TK-1— D 2 a 7A).$.L,� o'K. 'llL?.�,5 2 F1� cam- L 3 ► jS L �)u i✓y 1 Heating Inspection Approvals / Engineering Dept Fire ept 2 L ` }i jBoap, Ia aa�s 7 '� �'� p TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION b� 9VI()� - . Map 22.l'd Parcel 1 v`' Application # Health Division Date Issued Conservation Division _ Application Fee Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation/ Hyannis V Project Street Address u?0 /v\"4 -� Village Pq- XYwAA t_ 2owa < 5�,�it<n G0014 Address "7 as 3 j1 L�=� ► Owner ru. ti• u� • R,.,r�;� ��(' .Telephone Permit Request rAQ"el1� �- reGI l��Id - A, Square feet: 1 st floor: existing proposed i2I b 2nd floor: existing proposed [!jZ Total new Z'%01 Zoning District ei� Flood Plain Ki A-rm Groundwater Overlay Project Valuation (-% S ofto Construction Type sc J J QLot Size it Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family Two Family ❑ Multi-Family (# units) Age of Existing Structure Historic House: ❑ ' 1 Yeso On Old King's Highway: ❑ ❑Yes No Basement Type Full ❑ Crawl ❑Walkout ❑ Other Basement Finished Area (sq.ft.) Basement Unfinished Area (sq.ft)_ 2-1 Number of Baths: Full: existing new Half: existing new Number of Bedrooms: -3 existing Q new Total Room Count (not including baths): existing b new First Floor Room Count 2— Heat Type and Fuel:-A Gas ❑ Oil ❑ Electric ❑ Other Central Air; ]Yes ❑ No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑ No Detached garage: ❑ existing ❑ new size_Pool: ❑ existing ❑ new size _ Barn: ❑ existing ❑ new size_ Attached garage: ❑ existing'new size _Shed: ❑ existing ❑ new size _ Other: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes ❑ No If yes, site plan review # Current Use Proposed Use c� P + Y> APPLICANT INFORMATION ' _.,..� —(BUILDER OR HOMEOWNER) f a Name e",g GwA(A/p Telephone Number Address _��✓. License# G " 4'(I Home Improvement Contractor# Worker's Compensation #•6 a P,sa.?�'E13,Slfi ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO i SIGNATUR l / DATE FOR OFFICIAL USE ONLY APPLICATION# r DATE ISSUED MAP/PARCEL NO. 4 t F' ADDRESS VILLAGE S I OWNER x DATE OF INSPECTION: �, •��FOUNDATION�w.�-�rt,,,:�«.��:�r��raE,t��,. r FRAME n. _ =]NSULATION� B `� 1-5- FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL ' FINAL BUILDING e I r aka f . DATE CLOSED OUT ASSOCIATION PLAN NO. ' C _ r The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations ' 600 Washington Street Boston,MA'02111 F www.mass.gov/dia Workers' Compensation Insurance Affidavit:.,Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name(Business/Orga-nization/Individual): Address: ,rg ��.�,>/a ,.� a ©X Va0 City/State/Zip: rpGt,—_, hone#: 9oa- Are you an employer?Check the appro rate box: Type of project(required): 1.❑ I am a employer with 4. P-ram a general contractor and I. �,{ employees(full and/or part-time).* have hired the sub-contractors 6. [21�'ew construction 2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7. ❑Remodeling shipand have no employees These sub-contractors have 8. ❑Demolition working for me in any capacity.. yemployees and have workers' comp. insurance.$ 9. ❑Building addition [No workers' comp.insurance P• required.]. 5. ❑ We are a corporation and its ME] Electrical repairs or additions 3.❑ I am a homeowner doingall work officers have exercised their 11. 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 employees. [No workers' 13.0 Other comp. insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. $Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees;they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: Policy#or Self-ins.Lic.#: ��OUg�'� �F3�I Expiration Date: (, ' Job Site Address: Mfltl.\t A� City/State/Zip: 2 m' Q Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152.can lead to the imposition of criminal penalties of a fine up to$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 ce coverage verification. I do hereby fy under the pains and nalties of perjury that the information provided a ' ve ' true and correct Signa Date: Phone#: Official use only. Do not write in this area,to be completed by city or town official City.or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: r • a�uvsresr.E, . Town of Barnstable Regulatory Services Thomas F.Geiler,Director. Bu laing�Division` Thomas Perry,CB0 Building Commissioner 200 Main Street, Hyannis,MA 02601 www..town.barnstable.nia.us Office: 508-862-4038 Fax: 508-790-6230 Property Owner Must Complete and Sign-This.Section If Using A Builder as.Owner of the subject ro e P p rtY hereby authorize 11�2W.yy� o .on my behalf, in all matters relative to work authorized by this building pertnit application for: (Address of Job) . Signature of Owner Date - Print Name If Property Owner is applying for permit; please complete the Homeowners License Exemption Form on the reverse side. QAWPHLESTORWbuilding permit formsT_%PRESS.doc_ . :,Revised 051811 �TME Town of Barnstable Regulatory Services .MASS . * Thomas F.Geiler,Director 9 MASS.. o ►,"`� Building Division Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA,02601 www.town.barnstable.ma.us Office: 508-862-403 8 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION i Please Print DATE: JOB LOCATION: number street village "HOMEOWNER": name home phone# work phone# CURRENT MAILING ADDRESS: city/town state zip code The current exemption for"homeowners"was extended to include owner-occupied dwellings of six units or less and to allow homeowners to engage an individual for hire who does not possess a license,provided that the owner acts as supervisor. DEFINITION OF HOMEOWNER Person(s)who owns a parcel of land on which he/she resides or intends to reside,on which there is,or is intended to be, a one or two- family dwelling, attached or detached structures accessory to such use and/or farm structures. A person who constructs more than one home in a two-year period shall not be considered a homeowner. Such"homeowner"shall submit to the Building Official on a form acceptable to the Building Official,that he/she shall be responsible for all such work performed under the building_permit. (Section 109.1.1) i The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other applicable codes, bylaws,rules and regulations. The undersigned"homeowner"certifies that he/she understands the Town of Barnstable Building Department minimum inspection procedures and requirements and that he/she will comply with said procedures and requirements. Signature of Homeowner Approval of Building Official Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the State Building Code Section 127.0 Construction Control. HOMEOWNER'S EXEMPTION . The Code states that: "Any homeowner performing work for which a building permit is required shall be exempt from the provisions of this section (Section 109.1.1-Licensing of construction Supervisors); provided that if the homeowner engages a person(s)for hire to do such work,that such Homeowner-shall act as'supervisor." Many homeowners who use this exemption are unaware that they are assuming the responsibilities of a supervisor (see Appendix Q,Rules &Regulations for Licensing Construction Supervisors,Section 2.15) This lack of awareness often results in serious problems,particularly when the homeowner hires unlicensed persons. In this case,our Board cannot proceed against the unlicensed person as it would with a licensed Supervisor. The homeowner acting as Supervisor is ultimately responsible. To ensure that the homeowner is fully aware of his/her responsibilities,many communities require,as part of the permit application,that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the last page of this issue is a form currently used by several towns. You may care t amend and adopt such a form/certification for use in your community: Q:\WPFILES\FORMS\building permit formS\E7G'RESS.doC Revised-051811 Doc: 19154v375 11-29-2010 3:00 Ctr :1.93040 EARNSTABLE ' LAND COURT REGISTRY -QUITCLAIM DEED We,DONALD C. COURNOYER and BARBARA A.,COURNOYER of Southbridge, Worcester County,Massachusetts N in consideration of Four Hundred Ninety-Five Thousand and 00/100.($495,000.00) M Dollars N O grant to ROBERT R.GOULD and SHELLEY A.GOULD as'Tenauts in Common r, of with QUITCLAIM COVENANTS That land,with the buildings thereon,situated in Barnstable:inthe County of Barnstable and Commonwealth of Massachusetts,bounded and described as follows: r. Southwesterly by Aa ieAvenue,seventy-eight(78)feet; Northwesterly by Lot 27,one hundred forty-three and 62/100(143.62)feet; ro Northeasterly by Lot 23,one hundred twenty(120)feet;and Southeasterly by Lot 25,one hundred ten and 62/100.(110.62)feet. Said land is shown as Lot26 on subdivision plan 8993-E dated August 1981 drawn by aWhitney&Bassett Architects&Engineers,Surveyors and filed in the Land Registration Office at Boston,a copy of which is filed in Barnstable County Registry of Deeds-in Land Registration Book 712,Page 76 with Certificate of Title No. 87556: a oThere is appurtenant to said land a right of way,in common with all others now or a hereafter lawfully entitled thereto,over the Private Ways shown on said plan. Said land is subject to restrictions as set forth in aedeed given by Theodore C.Hurd et al, Trs.,to Thomas L. Bennett dated August 27, 1902 duly recorded in Book 276 Page:444 and to the restrictions set forth in a deed given by Walter A.-Tapley et al,•Trs:,to James H. Wainwright dated January 25, 1918'duly recorded'in Book 359 Page 431,all so far as now in'force and applicable. There is also appurtenant to said land a right of way,in common with John J.Pendergast and Sylvia J.Pendergast and all others now or hereafter lawfully.entitled thereto,over Newland Street and over the westerly half of Magnolia Avenue to and from.Lot l as. shown on plan 12134-B and the right.to-use Lot I for bathing purposes in common with all others now or hereafter lawfully entitled thereto: ` BEING the same premises conveyed to Donald C..Cournoyer and Barbara-A. Cournoyer by deed filed in Barnstable County Registry,.of Deeds in Land Registration Book 889, Page 69 with Certificate of Title No: 108789. Executed as a sealed`instrument this22'4" day.of November,2610.' Donald C. Courn `er Barbara A:Cournoyer s - COMMONWEALTH OF MASSACHUSETTS . } ' Worcester,ss. On this day of November,2010,before me, the undersigned'notary,public, personally appeared .Donald C. Cournoyer and Barbara A. Cournoyer, proved `-$ .me through satisfactory evidence of identification,which was personal knowledge, to be the persons whose names are signed on the preceding document, and acknowledged to me that they signed it voluntarily for its stated purpose. No Public_-.Donald C.Cournoyer,Jr. ., ts�C�r?iM!oiEr 2 My Commission Expires: 01/07/2011• MASSACHUSETTS STATE EXCISE TAX BARNSTABLE-LAND COURT REGISTRY" Date: 11-29-2010.0 03:00ae Ct1.: 1399. Doc.: .1154375 Fee $IP692.90. Cons: $495,000.00 BARNSTABLE COUNTY EXCISE TAX BARNSTABLE LAND COURT REGISTRY Date: 11-29-2010 D 03.Wripm 1;: i3S9 DocT: 1154375 Fea: $IP1336.51) Cons t495,0CW:.00 r BORABIE REGISIRYOF MS Ron Welch From: MICHELE CUDILO <mcudilo@comcast.net> Sent: Friday, April 17, 2015 11:57 AM Y To: Ron Welch Cc: Damon Kendall r Subject: Re: Gould Plans Attachments: 70MAR00001.pdf see attached i certify to the as-built being acceptable . thanks, Michele Cudilo, P:E. 123 Cottonwood Lane Centerville, MA 02632-1979 mcudilo _comcast.net ' VOICE: 508-771-7601 CELL: 508-737-8521 FAX: 508-771-7163 x On Apr 14, 2015, at 1:37 PM, Ron Welch wrote: Hi Michele, Damon asked me to send you the plans for the foundation you looked at today. Regards, Ronald Welch = u Kendall and Welch Construction INC. P.O. Box 490 Osterville Ma.02655 Ph. 508-428-4900 Cell 508-566-5347 a <GOULD-WD-3-27-15-A.0.pdf><GOULD-WD-3-27-15-A.1 .pdf><GOULD-WD- 3727-15-A.'2.pdf><GO U LD-WD-3-27-15-A.3.pdf><GOU LD-WD-3-27-15-; A.4.pdf><GOULD-WD-3-27-15-A.5.pdf><GOULD.-WD-3-27715- c r A.B.pdf><GOU LD-WD-3-27-15-A.7.pdf><GO U LD-WD-3-27-15- A.8.pd f><G O U L D-W D-3-27-15-S.1 .pdf><G O U L D-W D-3-27-15- S.2.pdf><GOU LD-WD-3=27-15-5.3.pdf> s 02/08/2015 14: 14 FAQ 5085835587� MURRAV0iAC[)0NAkD 001 00 DATE + U®�� E(M ©DI ATE OF LIABILItY IwS URANCE F2/SI/2 11 THIS CERTIFICATE I$ ISSUED AS A MATTER OF INRORN►ATION ONLY AND CONFER$ NO RIGHTS UPON THE CERTIFICATE H(-LD R. CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE OL BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSWRER(S), ALIT t9F REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder le an ADDITIONAL INSURED,the pollcyy(Iss)must be endorsed, It SUBROGATION IS WAIVEID,41; qJ( the terms and conditions of the policy,certain policies may require an endorsement:, A statement on this Certificate does not confer,N9 is 1 0011110ate holelar In IIoLI of such endomernent s , PRODUCER _ ®��® co-NAMM AAdt®FY Roth Murray & MacDonald insurance Se,rvlcon, Ync. PHONE (508)540-a400 rAIC.NeI: Isoe»as.. 71; 550 MacArthur 'Blvd, EMAIL .�sotM�nlmis3 .tom INSURER(81 AFFORDING COVERAME Nl Bourne MA 02532 (ND.URERA IQot h am Insurance INSURE® INSURER E:Safety Iudemait;y 3: 61 Kendall & &ialcYa .Cos>>eruct i®it Inc l�u�eRc=FYart; ord`g�surance Co. PO Box 490 INSURER 01 _ INSURER E: Ost:arvil].® MA 02655 INsuRERFI ,, COVERAGES CERTIFICATE NUMSIER-.15-15 mamher REVISION NUMBER., THIS.IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED HAVE BEEN ISSUEDTO THE INSURED NAMED ABOVE FOR THE POLICI PE INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WI CH CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL TH TE EXCLUSIONS AND CONDITIONS OF SUCH POLICIES,LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS, v L TYPE OF INSURANCE POLICY NUMBER MIDD) POLICY EXP LIMITS GENERAL LIABILITY EACH OCCURRENCE S �. 0 X COMMERCIAL GENERAL LIABILITY 5 :L( A 5C CLAIMS-MADE OCCUR Y,3033L)1�00796 B./1;3/8014 6/13/2015 MEDEXP An one arson S _ PERSONAL S AUV INJURY S ]. 0 GENERAL AGGREGATE S 0( GEN'L AGGREGATE LIMIT APPLIES PER PRODUCTS COMPIOP AGO 5 2 0 . �. X POLICY PRO- 7LoC B AUTOMOBILE LIABILITY _® MIN IN L ! IMI 69— ANY AUTO BODIW INJURY(Par porsvn) AUT OWNED SCHEDULED 6207210 9/4/2014 9/4/2016 ®ODILY INJURY Morawidenl) 0 e = NON-OVYNED PROPERTY DAMAGE E _ HIRED AUTOS AUTOS UMBRELLA LIAR OCCUR EACH OCCURRENCE 0 _ EXOE90 LlA9 CL IMS•NIADE AGGREGATE DED RETENTION E C WORKERS COMPENSATION I TOR WC STATIC OTM• LIM AND EMPLOYERS'LIABILITY YIN ANY PROPRISTORIPARTNERIEXCCUTIVE NIA A E.L.EACH ACCIDENT E 51 OFFICERIMEMSER EXCLUDED? 69Z;oU85033843515 /4/2015 /6/2oi6- (Mandatory In NH) E1,DISEASE-EA EMPLOYE S _ 51 It Tau degoribv under E L OI6EABE•POLICY LI T ® I DES RI ION OF OPERATIONS-below DESCRIPTION OF OPERATIONS 1600AYIONB I VEHICLES (Apace AOORD 101,Addltivnol Ramqrka 8ahoduln,IPinOM apogo:ls required) - CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THIS ABOVE DESCRIBED POLICIES BE CANCEILLEi E§i THE EXPIRATION DATE THEREOF, NOTICE WILL BE DILL CRI \� Town of BaZ33Btdb1® ACCORDANCE WITH THE POLICY PROVISIONS. / ® DATE(MMIDD/YYYY) ACORO CERTIFICATE OF LIABILITY, INSURANCE �►� 1/21/2015 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ids) must beiendorsed. If SUBROGATION IS WAIVED,subject bD 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 DOWLING & O'NEIL INSURANCE AGENCY -NAMEncT t 973 IYANNOUGH ROAD 2ND FLOOR PHONE FAX - PO BOX 1990 Ic No E t• (A/C.No): _ HYANNIS, MA 02601-1990 n DRIESS: INSURERS AFFORDING COVERAGE NAIC#_ INSURERA: LM Insurance Corporation 33600 _ INSURED INSURER B: DETAIL SIDING CONSTRUCTION INC - 55 WOLLEY ROAD INsuRER c: _ HYANNIS MA 02601, INSURERD: INSURER E: INSURER.F: COVERAGES CERTIFICATE NUMBER: 23129712 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 CONDI"nON OF ANY CONTRACT OR OTHER-DOCUMENT WITH RESPECT TO-wHiCH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE ADDL SUBR POLICY EFF ;POLICY EXP LIMITS ` LTR N VD POLICY NUMBER -. MMIDDIYYYY -MM/DDIYYYY _ COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ _ CLAIMS-MADE OCCUR *' DAMAGE TO RENTED PREMISES Ea occurrence $ MED EXP(Any one person) $ PERSONAL&ADV INJURY $ ' GEN'L AGGREGATE LIMIT APPLIES PER: - - - GENERAL AGGREGATE $ _ POLICY❑PRO LOC` PRODUCTS-COMP/OP AGG $ JECT _ — OTHER: $ _ AUTOMOBILE LIABILITY - - ' - _• COMBINED SINGLE LIMIT Ea accident _ ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED - 'BODILY INJURY:(Per accident) $ AUTOS AUTOS NON-OWNED PROPERTY DAMAGE $ HIREDAUTOS AUTOS Per accident $ UMBRELLA LIAR HOCCUR - EACH OCCURRENCE $ ' d — EXCESS LIAB CLAIMS-MADE. - AGGREGATE - $ DED RETENTION$ - $ A WORKERS COMPENSATION WC5-31S-383887-014 12/22/2014 I12/22/ 15 STATUTE EERH _ AND EMPLOYERS'LIABILITY PER ANY PROPRIETOR/PARTNER/EXECUTIVE Y/N - - 1 E.L.EACH ACCIDENT - , $ 500000 OFFICER/MEMBER EXCLUDED? � N/A - — (Mandatory in NH) _ r E.L.DISEASE-EA EMPLoYEj$ 500000 . If yes,describe under - - - DESCRIPTION OF OPERATIONS below is E.L.DISEASE-POLICY LIMIT $ 500000 . e DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space Is required) - Workers compensation insurance coverage applies only to the workers compensation laws of the state of MA. - This certificate cancels and supersedes all previously issued certificates,only as they relate to workers compensation coverage. CERTIFICATE HOLDER CANCELLATION KENDALL&WELCH BUILDING & REMODELING SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN PO BOX 490 ACCORDANCE WITH THE POLICY PROVISIONS. OSTERVILLE MA 02655 AUTHORIZED REPRESENTATIVE j' - U. LM Insurance Corporation 111((JJ111 UU��JJ��JJJ �} ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014101) The ACORD name and logo are registered marks of ACORD " CERT NO.: 23129712 CLIENT CODE: 1577160 Anne Chandler 1/21/2015 9:09:35 AM (EST) Page 1 of 1 - CERTIFICATE OF LIABILITY .. INSURANCE GAT@ IMMJw,'YYW) THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UP 11/0312014 CERTIFICATEON THE ; RDED By DOES NOT AFFIRMATIVE OR NEGATIVELY AMEND, EXTEND OR ALTER' THE; COVERAGE AFI°ORDBD BY THE LPOLIC fi BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE.A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZEI REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the cWtlfACate holder is an ADDITIONAL INSURED, the policy(jes) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and condttions of the policy,certaln policies may Mquire an endorsement A statement on this certificate does not confer rights to the Certificate holder in lieu of such endorsament(a)_ PRODNCRR Phone: 60844"181 Fax 606457-7880 - cONTAOT - ALMEIDA S CARLSON INSURANCE AGENCY INC. Bob left _ P.O.BOX$54 PHONE LA& _EA, (508)888 02{17 ,Axc N (5D8)g88•p550 FALMOUTH MA 02541 ADD .1.; rallletta��llmeldacarlson.com INSURERS) AFFORDING COVERAZE NAIL# NsuRAO INsumkA : Arbelld ProWctlon Ins Co D P FUCCILLO CONST INC INSURER B : Hanford Underwriters Insurance,Co' 648 THOMAS LANDERS RD E FALMOUTH MA 02636 INsURERC wrEIRERo: INSURER F, " INSURER F COVERAGES CERTIFICATE NUMBER:28817 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 REpUIREM IT. TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDEA BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO'ALLTHE YERMS, EXCLU IONS AND CONDITIONS OF SUCH POLICIES,LIMITS SHOWN MAY HAVE BEEN REDUCED E3Y PAID C IMS. ILTR NaR TYPE OF INSURANCE AD SUBR RL MAQ POUCYnUM13ER POLIOYEFF POU�P -MID UdIITS.r . /f, aENMAL LA&LtiY 8500045173 101201141 10MM5 EACH OCCURRENCE $ 1,DU10,01 X COMMERCIAL GENERAL LIABILITY a 300 PR8Nu8E8(Ea ocDlron $ OI CLAIMS-MADE IX OCCUR IVIED.EXP(Any one pemon) $ X BLANKET ADDITIONAL INSURED8 PERSONAL&ADV INJURY $ 1,000,0(1 GENERAL AGGREGATE $—2�000,0(1 GENT AGGREGATE LIMrTAPPLIES PER- PRODUCTS=COMPIOPAGG $ 2,000,D(I POLICY J OT LOC AUTOMOBILE UABIrriY + COMBINED SINGLELr`Rr $ �1 ANY AUTO Ma awdeng $ ALL OWNED &CHEDULED BODILY INJURY(Per person) $ " AUTOS AUTOS BODILY INJURY(Perseddeno 8 HIRED AUTOS NON OWNED pA OE AUTOS $ A1NeR44UA LI119 OGCUR RgCHOCCURRENCE- ,. $ EXCER$ LlAB I CLAIMS-MADE - AGGREGATE DGO RETENTION$ , $ B WORKERa COMPENSATION 56659382 10%23M4 ! 10/23115 AND EMPLOYERV LIABILITY _ .. 10RY UMIT'8 ,ER $ ANY PROPRISTORIPARTHERM=UA4E YIN E.L.EgCHACCIDENT S . 501],00 'OFFICERMEMBER EXCLUDED? (uenctutorylnNH� I—J NIA 1' E.L. ISEABE-EAEMPLOYER $ Ir es,dtM In un er 500,QQ r ' D SCRIPTIONOFOPERATIONSbelow E.L.DISEASE-POLICYUMIT' S 5OD,OO - DESCRIPTION OF OPERATIONS/4OCATIONS 1 VEIIICL,E$_J_L (Attach ACORO tat,Additional Remarks Schedula,if more spat a 1a regWretl)' e' CERTIFICATE HOLDER ` CANCELLATION KENI3AL S WELCH CONSTRUCTION $KOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION' DATE THEREOF, NOTICE WILL BE -DELIVER@D IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REDR�51'NTATn/E Attention: 428.4907 ' Bob Allie#ta. ACORD 25(2010/05) O 1988-20 0 ACORD CORPORATION. All rights reservecl. . The ACORD name and logo are reglsteried marks of ACORD 08/04/2014 11 :30 FAX 5085835587 • MURRAV&MACDONALDla,001/001 Ct ® C DATE(MMIOD/YYYY) IERTIFIC.0-A► _. TI OF L1ABIL11'.1( INSURANCER � ANCE 8/27/2014 7 ,'I) CERTIFICATE IS ISSUED AS A MATTER OF' INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER, THIS TH 12r,1TIFICATE DOES NOT AFFIRMATIVELY OR NEdATIVELY AMEND, EXTEND OR ALTER THE COVERAGE; AFFORDED BY THE POLICIES FLOW, THIS CERTIFICATE OF INSURANCE DOEO NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED --PRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER, IrPDFt ANT: If the certificate holder Is an ADDITIONAL INSURED,the PolIcAles)must be endorsed. If SUBROGATION IS WAIVED, subject to the Iterms and conditions of the p011cy,certain policies may require an endorsement. A statement on this certificate does net confer rights to the :`rtlflcate holder In lieu of such endorsement(e). P IJDUCEfi NCOR AME:CT Courtney >rinigan - arra,y Cc MacDonald Insurance 8!!rvY .cd'z, Inc. PHONE (508)540-2400 RA (a8BI989�{a11 iO MacArt:hur Blvd, EMAIL •efinigrtn®mmi®i.com,. ± - - INSURERS AFFORDING COVERAGE NAIC d Hur'ne MA, 02S32 NBURERA;Arbells Protection insurance 1360 I URE�D INSURER 130a.tional Liabilit & Fire ala�tsy Insulation Inc. INAUKERC: a 1 Jonathan Bourne Road INSURER D INSURER a ICat set MA 02559 IN RERF: IVE:RAGES CERTIFICATE NUMBER:Mast®r 14-15 REVISION NUMBER: -HIS IS TO CERTIFY THAT THE POLICIES OF INSURAIVCEi LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD NDII::ATED, NOTWITHSTANDING ANY REQUIREMENT, TEAM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS ,ER'IrIFICATE MAY BE ISSUED OR MAY PERTAIN, THE: INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, tXC6,USI0NS AND,CONDITIONS OF SUCH POLICIES,LIMITS;SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS, iMISL SUER TYPE OF INSURANCE POLICY EFF P LI P POLICY NUMBER• D LIMITS O�E!NERAL LIABILITY ,. EACH OCCURRENCE ® 1,000,000 71: COMMERCIAL'GENERAL LIABILITY ' S 100,000 CLAIMS-MADE a OCCUR 850062111928 0/18/2014' 0/111/2015 IVIED EXP Any one person 9 5,000 PERSONAL&ADV INJURY $ 1,000,000 GENERAL AGGREGATE S 2,000,000 GEN'LAGGREGATEI LIMIT APPLIES PER; PROOUCT3=bOMPlOP A00 S 2,000,000 R POLICY 1,10T 17 LOC 8 AUTOMOBILE LIABILITYCOMBINEDG E 61MIT 1 000 00 ANY AUTO BODILY INJURY(Per portion) i0 ALL OWNED g SCHEDULED 1020005708 S/18/2014 8/16/2015 AUTOS AUTOS BOOILY INJURY(Per agddonq 3 x, HIRED AUTOS' X AONGSwNED P 0 ERTY DAMAGE 11i r UnderineuradmolorlalRle III 20 000 R UMBRELLA LIAR70C0UR EACH OCCURRENCE 6' 3,000,000 eKCEe)9 LIAe MS-MADE - AGGREGAT>: 9' DEO 8 RPTENTION 1D,DDD 4600600929 8/19/2014- 0/18/2015 �. WORKERS COMPENSATIONOTW- AND EMPLOYERS'LIABILITY AN'/PROPRIETOR/PARTNERIEXECUTIVE Y/N OFI'-ICER/MEMBER EXCLUDED? . � N I a EL EACH ACCIDENT $ 500 000 (Iulaindatefy InNH► 080114DXNDWCNLY 9/18/2014 8/10/2015 E.L.DISEASE•EA EMPLOYEE $ 500,000 If Xue doogrlbo undof; DI_:9%RIPTION OF OPERATIONS below _ L.DISEASE-POLICY LIMIT S 500 000 D :RIP'r1ON OF OPERATIONS/LOCATIONS I V4HICLes (Attach ACORD11Q1,Additional Romarka Schadula,If more&pace le fequlfad) C t:iEicate holder is named as additivnal. i.aaured/contractor-- on Comtnercia.1 General,-Laibility per CG2010. TIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE -THE EXPIRATION .DATE THEREOF, NOTICE WILL BE DELIVERED IN Kendall & Welch construction Inc ACCORDANCE WITH THE POLICY PROVISIONS. PO Box 1478 )Vorth Falmouth, MA 02596 AUTHORIZED REPIkR6rNTATIV2 B Harrington, CxC/SMH 1P1CI 26(2010l06) m 10884010 ACORD CORPORATION. All rights reserved. I 2:5 r,2o1o06).01 The ACORD name and logo are registered marks of ACORb aJ��ulyy. 211..HH 2O14 1 37PM • No. 006.8 P. ' 1/2 I, A�V��M CERTIFICATE � I DATE(MMIDDMIN) ® LI�iBILITY INSIUI4ANCE_. .- 07/21/2014 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(.OVERAGE AFFORDED BY THE POLICIES --,BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED 1EPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER, IMPORTANT: If the certificate holder Is an ADDITIONAL INSURED,the policy(ies)must be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT Bernier NAME: _ Southeastern Insurance Agency, Inc. PHONE '508'997.6061 FAX 508.990,273.1 AIC No Ext: (AIC,Nol: 439 State Rd. EMAIL '-- -- P.O. Box 79398 PRORESE: -- — CUSTOMER ID N; North Dartmouth, MA 02747 INSURER(S)AFFORDING COVERAGE NAICd INSURED INSURERA: Merchants Insurance Group Rons Excavating Inc. INSURERB: _ 81 Echo Road, Unit #1 INSURERC: _ Mashpee, MA 02649 wsuRERD: INSURER E: - --- -- INSURERF: - — COVERAGES CERTIFICATE NUMBER: 025• REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE'INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAYBE 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 REDU CED BY PAID CLAIMS. INSR LTR TYPE OF INSURANCE ADM S INSR WVD POLICY NUMBER POLICYEFF POLIO EXP LIMITS GENERAL LIABILITY (MMIDDCMP514824 05/01/2014 1105/01/2015 EACH OCCURRENCE $ 1,000,OO X COMMERCIAL GENERAL LIABILITY PREMISES Eaa occurOrence $ 100,,OO CLAIMS-MADE OCCUR MED EXP(Any one person) $ , 5.OO i A PERSONAL&ADV INJURY $ 1,000,OO GENERAL AGGREGATE $ 2,OOO.,OO , GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ 2,000,OO POLICY JECT "' LOC $ AUTOMOBILE LIABILITY MCA1701391 08/16/2013 '08/16/2014 COMBINED SINGLE LIMIT ANY AUTO (Ea accident) $ ALL OWNED AUTOS BODILY INJURY(Per person) $ 1,000,,OO _ BODILY INJURY(Per accident) $ 1,000,00 A X SCHEDULED AUTOS PROPERTY DAMAGE X HIRED AUTOS (Per accident) $ L000,001 X NON-OWNED AUTOS $ $: UMBRELLA LIAR OCCUR EACH OCCURRENCE $ EXCESS LIAR CLAIMS-MADE AGGREGATE $ . DEDUCTIBLE y $ RETENTION $ $ AND EMPS YERS'L ABILIT WCA509453 7-0510112014 05/01/2015 X. WC STATU-� X OTI- AND EMPLOYERS'LIABILITY YJN TORY LIMITS ER' _ ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $ 500 QO A OFFICER/MEMBER EXCLUDE D9 N l A ,,_ 111 (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE $ 500 00 If yyes,describe under �— DESCRIPTION OF OPERATIONS below NO OFFICER 'EXCLUSION E.L.DISEASE-POLICY LIMIT $ 500,00( T-r DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101,Additional Remarks Schedule,If more space Is required) i CERTIFICATE HOLDER CANCELLATION - FFAX508.4.28.4907 - SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION ;DATE THEREOF, NOTICE •WILL BE DELIVERED.IN ACCORDANCE WITH THE POLICY PROVISIONS. Kendall & Welch Building and Remodeling AUTHORIZED REPRESEt#ATIVE P 0 Box 490 Os erville, MA 02655 Karen Bernier, _ O 1980-2009 ACORD CORPORATION. All rights reserved. ACORD 25(2009/09) The ACORD name and logo are registered rnarkslof ACORD 10/01/2014 WED 15: 42` F'AR 508 5b4 -5531. Bouchie 'Insurance., 2001/QO1 CERTIFICATE OF LIABILITY INSURANCE DATH(MNIDI�IYVYV, _ 10 13. --,THS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS ,ERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER 'THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN. THE ISSUING INSURER($), 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 endorsemen s). PRODUCER q --• _ Robert E Bouchie Jr. Insurance PFfONE. -" - - - FAX '. 508 y64'•-5560 IAtC,Na: 1509) 564-5531. 1352 Route 28A MUSS: info@Bouahielnsurance.com PO Box 400 Cataumet, MA 02534 —.-.-. __ INSURIIR�S AFFORDING COVERAGE -. _..__.NAP p _...._ _..._....._._.. _..__._._.___._....,.._.._.......___...._.._.._.._.-........__�._...... --..__.:-. IfSURER A;WASt:ern_ HEeritaQ®-Co. INSURED INSURERB:Hartford — - --- ------ ----,_—._-.,_ - ---- ----- Tom Costa Building & Framing INsuRERc: 29 Lady Slipper Zane _.._ ...... -..- �.. __...:_.._. _.....__.__._:...-: INSURER-D_. --....--------- c_...-......_._......•..... Mashpee, MA 02649 _..._._ _. .__......._..............._....._...-_-- fNSURER E: ...._...._........_:__.._..•.__ --- __-.—. INSURER F: jl,� COVERAGES CERTIFICATE NUMBER: _ REVISION NUMBER:THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERINDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH"CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECTTO:ALL THE TEFEXCLUSIONS AND CONDITIONS OF SUCH POLICIES,LIMITS SHOWN MAY HAVE BEEN REDUCED BYPAID CLAIMS.LTR TYPEDFINSURANCE LSUBR_. POtIUD 1 LIMTS POLICY NUMBER M/DD/Y w A GENERAL LIABILITY SCP0988790 7/31/14 '7/31/15 EACHOCCURRENCE $ ], 000 -1X COMMERCIALGENERALLIABILITY - � DAMAGETORENTED � 1CLAIMSMIADE }{ OCCUR0,1� NEDFEW An onPerson $ PERSONAL&ADVIMURY.. $ 1_,00 IGENERALAGGREGATE $ 2 OOO IGEN'LAGGREGATELIMITAPPUESPER PRODUCTS•OOMPIOPAGG $ 2 OOO X POLICY PRO JECT• LOC --- $ AUTOMOBILE LIABILITY MB N IN LELJMIT ANYAUTO BODILY INJURY(Per person) $ AUTOSN8D SCHEDULED AUTOS BODILY INJURY(Per accident) $ ' NON-OWNED PROPERTY DAA4AGE HIRED AUTOS AUTOS Per accident $ UMBRELLA LIAR OCCUR - EACH OCCURRENCE $ P EXCESSLIAB __j CLAIMS-MADE AGGREGATE. $ DED RETENTION$ $ NORKERSCOMPENSATION 9/21/14 9/21./15 WCSTATU- OTH- B AND EMPLOYERS'LIABILITY YIN 6560UB0296M85713. - X T0Ry ER .._ ANY PROPRIETOR/PARTNERIEXECUTNE ,EL EACHACCICENT $_ 10O OO1 OFFICERIMEMBER EXCLUOEDT N/A t_ .._._... (Mandatory in NH) E.L_2SEASE-EA gM LOYEE $ it yes describe under : '-- DES6RIPTIONOF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 50.0 001 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD iOl,Additional Remarks Schedule,If more space 0 required) CERTIFICATE HOLDER CANCELLATION: SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE: n THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Kendall & Welch Construction ACCORDANCE WITH 7HE POLICY PROVISIONS. ' 32 Wianno Avenue, Unit,#5 ' -� OSterville, 'MA .02655 - AUTHORIZED REPRESE,NTA•nvE _ Robert E.Y Bouchie,Jr. _ 1988 2010 ACORD CORPORATION. All rights reserve 1. - ACORD 25(2010/05) The ACORD name and logo are registered mark'!of ACORD Phone: Fax: (508) '428-4907 E-Mali 'Massachusetts-Department 61 Public S:Afift Board of-Building,ReglaPafions and Stand rds . GiaetEucYu>nSupea��enr . License 6.070086 All Aw i N:L' dNV L.. ,. iDAMO -48 K0111PA��lDie-*� V �. ?r, FALMOVTH'1YiAq��.tf OZ; r Expiration Commissioner 1112'7/2016 �r:+�ovuonn��rurrc�/��n��n/lla�ter�r.��c/ertC(d Office of Consumer Affairs Business Regtitation License or registration valid for iudividul use only OIVIE IMPROVEMENT CONTRACTOR before the expiration bate., If found return to: egistration: 128405 Type: Office of Consumer Affairs and Business Regulation ko I Expiration., 41 -201-b - Partnership 10 Park Plaza,-Suite 5170 i Boston,MA 02116 KENDALL&WELCH-CONS%,lJC7 ON DAMON KENDALL 54 KOMPASS DR. FALMOUTH,MA 02536 Undersecretary Not valid without signature MAssachusetts M Department of Public Safety Board of Building Aepli3tlons and Stan,O01, _ Construction Sulpervlsor .t'4 License: C:S-083484 RONALD W WEL��7I 85,BRIGANT1NEi�B M H(ATClEIV1I%LB � o,+ arI0``` Expiration 0711112016 Commissioner -Office of Consumer Affairs&Business Regulation License or registration valid'for individul use only OME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: Office of Consumer Affairs and Business Regulation- Registration;- 184Q5_ Type: 10 Park Plaza-Suite 5170 ExpieAtion 4/5/2016 Supplement Card Boston,MA 02116 KENDALL&WELCHrCONSI!RUCTION RONALD WELCH P.O.BOX 490 OSTERVILLE,MA 02655 Undersecretary Not valid without signature i i r/'f thane ThermalGuard CC2 TECHNICAL DATA SHEET PRODUCT NAME PHYSICAL CHARACTERISTICS I Prove" Value Test Method �e.�� Density(nominal): 2.0 lb/Rs -,--"ASTM D-1622 ® R-values 7finch ASTM C-518 Thibrmalftard CC2 Compressive Strength: 35 PSi ASTM D1621-94 Tensile Strength: 70 PSI ASTM D1623-78 PRODUCT DESCRIPTION Dimensional Stability: <4%A ASTM D 2126 Closed Cell Content: 96% ASTM D 2856 ThermalGuard CC2 is a fast set,closed- Air Permeability: .002 Usm2(Q 75 Pa Q I-) ASTM E283 celled,245fa-blown spray polyuucthane Vapor Permeability: .8 Perms Q T. ASTM E96 foam(SPF)insulation designed for use Fungus Growth: None ASTM G21 in residential&commercial structures, Service Temperature: 250 OF(120 aC)• exterior foundation or perimeter i insulation,below grade applications, Is"vice seuperatwas Iritl Vey depeadingonapplication Conrat)WrArnlhonerahnicatRepnuentativef. recommendationsandlhn►radon.Airoyrteat7hamolGwniCC2fortufrablllryjorgou►pwdcularopplkatlonin exterior tank/pipe insulation and etc. asofemanntr. ThermalGuard CC2 is applied as a LIQUID PROPERTIES liquid and expands 25x in seconds to fill Property Value Test Method f and seal building cavities of any shape Viscosity(A) 200-250 CPS AST M D-2196 and size. It exhibits superior thermal Viscosity(B) 1100-1300 CPS ASTM D-2196 insulation,air-barrier,and sound Weight Per Gallon(A) 10.25 Ibs/gal ASTM D-1475 attenuation properties compared to Weight Per Gallon(B) 9A lbs/gal ASTM D-1415 conventional insulation materials. REACTIVITY PROFILE Once fully cured ThemmalGuard CC2. property Value remains rigid maintaining significant Cream Time: .2-3 seconds Q 25°C(77 OF) structural strength and thermal Rise Time: 12.16 seconds Q 25°C(77 OF): insulation properties in adverse conditions across a wide variety of COMBUSTION PROPERTIES applications. Property Value Tist Method Flame Spread Index: 525 ASTM E-84 MANUFACTURER Smoke Development: _<450 ASTM E•84 I ThcrmalGuard CC2 is manufactured PACKAGING&STORAGE i. exclusively by Drum Weight(A) 551 Ibs Drum Weight(B) 500 Ibs r Arnthane Inc. Total Set Weight 1051 lbs 1002 West Main Street Storage Temperature Range(STR) 60—80 OF Richmond,MO 64085 %Shelf Life at STR 6 months P.816.7763015 F.816.776.3215 'Do not allow material ro jreaa Do not p v6hew or mcbtvlate(B)material as it will cause fralhbng and lass of w�nv.arnthanecom blowingogear.Srorogeartemperatures above orbelowSTR tayshorwrAdflifeandcausedegrvdadonorlossof blowlag agent Cold material w►U develop higherWkwity which can cause during pressing such of pwrip CORROSION caW-donandpoornlutaegf(A)and(8)component.For butprteersingpeformanceduringoppliw1an(A) and(B)&7m renpemrww should be benvem 60'F-80'F. i ThermalGuard CC2 is chemically& PROCESSING PARAMETERS physically compatible with all common Processing Pressure Range: 900-1400 PSI• building materials including electrical Processing Temperature Range: 115—145°F• wiring,wood,metal,concrete,plastic Substrate Temperature Range: 35—105 OF (PVC),copper,vinyl,and glass. Ambient Temperature: 35—105 OF Substrate Moisture Content: <19% ' INSTALLATION Yield. 3800-5000 Board Feet Per Set* Maximum Lilt Thickness: 4 inches*• ThermalGuard CC2 must be spray applied using approved equipment.Use 'PCwingparometersdylddr can,my widely drpendingonsub11mtetempmvtare,typedcondlrl&namb►ent 1:1 ratio proportioning system that can rorrperano e.elewrtan humldty,equtprnenraMetherjaetors During installation the rgipitcarormum observe the quollryand charoeterierks 011he jomn and adjust equipment temperature&prWufv sertbtgs as needed to achieve the specified temperature and atcommo&te these vmiabia►n order ro ensan optimum yldd proper odhaloi>,p wpercell snurnaK and pressure requirements. performance ofthef"M - "ALWAYS fat 7hernrW&Wd CC2 at datredthiebnas in a safe manner prior to insulating stracrun to easwe that kcan besafely Itutolled or the desbed16?thkkness without risk of charring or combustion 11 fir the erclushY I miporoibllby ofrhe apDllcatar to achieve proper lift thkknness for sofe appflcation. Safe qli thic4nas may vary from application to opp►kallon 1002 W Ma Richmond,M, P 816.7 F 816.7 * Arnth ne w.wwamth; Spray Foam Insulation Proda 41! 2" rT }� �A1i1 i,fit ThermalGuard ThermalGuard ThermalGua CC2 OC i OG.'� & OC.5R Nominal Density:2.0 lb/ft' Nominal Density: 1.01b/ft' - Nominal Density. .5 WAI-1 CC2 R-value: 7.Orn R-value:5.24fin OC.5 R-value:3.81n Compressive Strength:45 PSI Compressive Strength: 7 PSI OC.SR R-value:4.3fin • Vapor Permeability. 0.8 Perms @ 2" Vapor Permeability-3.6 Perms @ 5" Compressive Strength:0.6 F Vapor Penneebt7lty 4.2 Perms Product Description Product Description Product Description ThermalGuard CC2 is a semi-rigid,fast set, ThermalGuard OC1 is a soft, fast-set, ThermalGuard OC.5 & OC.SR art closed-celled, spray polyurethane foam open-celled; 100% water-blown spray low-densily,open-celled,100%water-blow (SPF)insulation system designed for use as polyurethane foam (SPF) insulation system polyurethane foam (SPF) Insulation a high performance thermal insulation. designed for use in residential & commerdal designed for use in residential&commen; wall,attic,and roof-deck applications. attic, and roof-deck applications. Both p can reduce energy consumption by up to 5 ThermalGuard CC2 is a spray-applied insulate & air-seal the structure in a sing system suitable for.a variety of insulation ThermalGuard Oct can reduce energy ThermalGuard OC,SR is a bio•renewable applications including in-plant, tank & consumption in structures by up to 50% that exhibits superior fire-resistance propert pipeline, residential & commercial compared to conventional insulation systems increased R-value. ThermalGuard OC.5 construction, foundation and below,grade because it insulates&air-seals in a single step. optimized for installation in cold tempe applications where compressive strength or down to 150 F ThermalGuard OC1 is applied as a liquid and impact resistance are desired, expands over 40x in approximately 8 seconds to ThermalGuard 0C.5 & MR are appliec fill and seal building cavities of any shape and liquid and expand over 100x in approxim< ThermalGuard CC2 is applied as a liquid size. It exhibits superior thermal insulation, seconds to fill and seal building cavities and expand 25x in a approximately 12 air-barrier, and sound attenuation properties shape or size. They deliver superior a seconds to form a smooth,durable surface over conventional insulation materials and has insulation, air-barrier, and sound alien • perfect for the application of primers or been proven to improve indoor air quality & properties compared to conventional insl finish coatings. comfort. materials and contribute to a healthy indoc 3utdoor environment. I e ?elephone:508I563-6049 COLONY INSULATION. INC. 28 Jonathan Bourne Drive, Pocasset, MA 02559 n CLOSED-CELL FOAM INSULATION SPEC SHEET CONTRACTOR: f<" G, a- V 1 r� i JOB SITE ADDRESS: / D car � DATE: R-VALUE AREA' THICKNESS Ceiling . Cathedral Ceiling Garage Ceiling Besement Ceiling Slo es Exterior W all Garage H se. W all W alkout W all Cathedral W all lockers G verhang Stair/Risers All R-values and thicthicknessmeasurement s are deemed to be accurate by the following installers: z TECHNICAL DATA FOR MATERIALS IS ATTACHED TO THIS FORM' Y� � a a FJ� � ' _ F.RIi FMYC6Z+3 V.'kiL551t!151 "}{r"��g+y ',t i d�,�`•°mW I .- �. _ y -4 D�i-� � A OF L[SQIFi O,C 11YFi1S �__. .. an+F.xnsttraiEu. acme .twi vTNi. ; 6C 3aeA 4R'at.t§AF.1f �77— ,.,1. I� AGA`ttRltCfatSIGCCVOI�t . .. • ' , � ` p11bRTaO�Srt'AFNtiWkilSQA`S. . - ' '�.T NACtMCS►Ra9A�t0 T COk5FN4Cf�Fi.•CAIWRACiT)A TKI • AkWMESRk?otbtEyl[FS'F� . - -:..v�' Y AhY MdS3d#Gai41M14:6MRTCS. .y�z�aN�n°rstrwr °v"� t. f EMEW RREJVGFIT EEE Si} V,T, .. t SI ai.� .S• RwMaiS- #. y Y Y s A v, .,..0 - n�, r �; 00, REveu4F+ vot, 1 i n'i+irr'h wox.n use ,ru'mv."w.ew�"niay+f r +.,o.. { b t: r s - a"'�snw wr •� •� ,. BASEht'cXf 0F' A F y =� r�xw,woe"`a.°Tuvaae++ t } .....¢.�..s -.:� S• ` .7" ,2 ,� �� ,��•n.. t �,"+.. S� �''�µ^k€ ,. . Ru4oaRc .. .. .GARAGE MELRwir � mu.«—A ,t. �) •AA GFSYt7ERi:. PFSI('PI � .,.r_ i �,w: o - I ' _ _ w.win�rrwwW�&ra+•.Mwje,s . .. ; siaunueu€acro€rR; TAYLOR. 1 _ } DESI'GN,LLC f" r - we P,e , fvrcu.wfca n�scuaatnouRcwfRagoms; GOULD FOUNDATI0N PLAN ' ^— — — ---- m RESIDENCE • - .,..�„r.�.o.m.+:+��a.w.u,�.,..N..u.�nn,,..o. roau�e„t�� , - . Ate[�w Y w nr.Fmsi.e.Mtxaa.ww ... CENtERW14 MP.. ' . uirenewx ruu eoRwaR Nm mmTCrroF,4eup,a!dwtnP �' to aasRr{ . MAM IXl.piHrt>NO MtYYW WRM UlpTYtCTgtl Mb >Q R �yp�A�1{y �pY NOFA/gs� ;501.W,tf4K4.4p4O0�gM1N R4DWFl1SY �. Wfa!N,.,. 1TIF `�9 e� .rttlC aessm e.aoao ma,oa ras w s.mas naw»sra aon ua nuwa ru rroa FOUNDAT16N • wo vsx.m+n.ierw«m ern Fxsun.a,w+cex.;..n�a ±` w po n . :PLAN MICH �..KQ...MR.DIKIMMV NaOOdTDID F �'Y"".. CUD �w.w F,�eai,w.rF M>.npw>.wes.. SSME;t a+•m g `� 'msRJw* ,gwme yr®v u,ene w ro.,o o.a mm RRAve m; 0.Y 3 < e R S F'IUC��1Ml .. 0.Stt 6,d[',VMt 04MAKf�Vi Yf tiN!V Ni NKZf11pl NO 34774 FRounr, sRen A9h 9FQ15ffcQ'��kvQ _. — p1.0 Vt M07" fa ~ i 4 S @ 1 Z A/4 XMTKAL 12 u O .lip l of siAT . . r % µ Of _ cF MICHELE tiN CUDILO t^ �? STRUCTURAL H No 34774 .AS-BUILT. FOUNDATION .DETAILS �MICHELE CUM,, P.E. Consulting StruCtu;rai En ineer Centerville; Moss6chusetts:.02632-1979 ' 508 77.1-7601 Prawn, By-.-MC Dater 04/17/T4 • ARIE AVE �� ' 1 . D.rayving 7O � Scale, AS 48TED Rev.. 0 CRAIGVILLE_ MA S K. . 1 file-Nome:KENOALL&W !Project_No:201.5-78 A MM DD YYYY - ❑Delete NFIRS -1 „I01926 I A'J L03J 1 041 1 2015 11 I15-0000734 I 1 000 ❑Change Basic FDID State* Incident Date * - Station Incident Number * Exposure"*, ❑No.Activity Check this box to Indicate that the address for this incident is provided on the Wildland Fire Census Tract BLocation* Module In section B "Alternative Location Specification". Use only for Wildland fires. ®Street address 70 ) I I JMARIE 'AV I I U [:]Intersection Number/Milepost Prefix Street or Highway Street Type suffix ❑In front of❑Rear of ICENTERVILLE I IMA 1 102632 I-I I Apt./Suite/Room City State ,. Zip Code ❑Adjacent to ❑Directions Cross street or directions, as applicable C Incident e * Midnight is 0000 Shift & Alarms Type E1 Date & Times E2 111 IBuilding fire I Check boxes if Month Day Year Hr Min Sec Local option _ dates are the Incident Type same as Alarm ALARM always required Il D Aid Given or Received* Date. Alarm * �03 I 04 2015 I03:01:59 I Shift orI Alarmsu District Platoon ARRIVAL required, unless canceled or did not arrive 1 QMutual aid received 01922 JnI n�I 2 ❑Automatic aid recv. Their FDID Their 0 'Arrival * ,� �a 04 I 2015I. 03� •11:58 E+3 State CONTROLLED Optional, Except or wdand fires Special Studies 3 []Mutual aid given i l f ill fi p 4 ❑Automatic aid given I I ❑Controlled Local option 5 ❑Other aid given Their LAST UNIT CLEARED, required except for wildland fires Incident Number Last Unit Special Special jq ❑None ❑ Cleared �0L_L4J 1 2 0 151 06� •44.59 I Study SDO Study Value F- Actions Taken Gl Resources * G2 Estimated Dollar Losses & Values Elsection if an Apparatus Check this box and skip this - LOSSES: Required for all fires if known-. Optional . s or or � for non fires. 11 (Extinguishment by fire I Personnel form is used. None Primary Action Taken (1) Apparatus Personnel property $1 1 , 1 400 , 000 ❑ Suppression' 0001 0008 Contents $I I , 000 , 000 12 ISalvage & overhaul I - Additional Action Taken (2) EMS I I PRE-INCIDENT VALUE: Optional I � I I other I 0013 0010 p $�� ' J J . ❑ Property 400 000J Additional Action Taken (3) ❑ Check box if resource counts include aid received resources. Contents $1 [IL 0001 L-0-00 ❑ Completed Modules H1*Casualties®None H 3 Hazardous Materials Release I Mixed Use Property ❑X Fire-2 Deaths Injuries N [-]None NN Not Mixed 10 Assembly use X Structure-3 Fire I II 1 Natural Gas: slow leak, no evauation`or HarMat actions I� I I ❑ 20 Education use Service []Civil Fire Cas.-4 2 El Propane gas: <u lb. tank gas in home sBQ grill) , 33 Medical use ❑Fire Serv. Cas.-5 L �J ❑ ` 4 0 Residential use Civilian 3 Gasoline: vehicle fuel tank or portable container - ❑EMS-6 ❑ - 51 Row of stores 4 Kerosene:. feel burning equipment or.portable atoraga'- Detector . 53 Enclosed mall ❑HazMat-7 Required for Confined Fires. 5,❑Diesel fuel/fuel oil:vehielc fuel tank or portable 58 Bus. & Residential ❑wildland Fire-8 6 ❑Household solvents: home/office spill, cleanup only 59 Office use 1❑Detector alerted occupants ❑X Apparatus-9 7 ❑Motor oil: 60 Industrial use from engine or portable container QPersonnel-10 2❑Detector did not alert them 8 ❑ Paint a totaling< ss gallons 65 63 Military Farm use Paint: from an ❑Arson-11 u n Unknown O ❑Other: spacial HazMat actions required o x spill >ssgal., -00 Other mixed use Please complete the Harmat form J Property Use* Structures 341[]Clinic,clinic type infirmary 53 9 ❑Household goods,sales,repairs 342❑Doctor/dentist office' 57 9 ❑Motor vehicle/boat sales/repair 131 ❑Church, place of worship 3 61❑Prison or jail, not juvenile 571 ❑Gas or service station 161 [-]Restaurant or cafeteria 41999 1-or 2-family dwelling 599 ❑ Business office. 162 ❑Bar/Tavern or nightclub 42 9❑Multi-family dwelling 615 ❑Electric generating plant 213 ❑Elementary school or kindergarten 43 9❑Rooming/boardi7ng house 62 9 ❑Laboratory/science lab 215 ❑High school or junior high 449❑Commercial hotel or motel 700 ❑Manufacturing plant , 241 ❑College, adult education 459❑Residential, board and care 819 ❑Livestock/poultry storage(barn) 311 [:]Care facility for the aged 4 64❑Dormitory/barracks 882 ❑Non-residential parking garage 331 ❑Hospital 519❑Food and beverage sales 891 ❑warehouse Outside 936❑vacant lot 981 ❑Construction site'- 124 ❑Playground or park 938 ❑Graded/care for plot of land 984 ❑ Industrial plant yard 655'❑Crops or orchard 946 ❑Lake,'river, stream x 669 Forest (timberland) Lookup and enter a Property Use code only if ❑ ) 951 ❑Railroad right of,way_ . you have NOT checked a Property Use box: 807 ❑Outdoor storage area 960 ❑other street Property Use 1419 919 ❑Dump or sanitary landfill 961 ❑Highway/divided highway 931 ❑Open land or field 96Q ❑Residential street/driveway I1 or 2 family dwelling I NFIRS-1 Revision 03 11 99 Comm fire District 01920 03/04/2015 15-0000734 Kl Person/Entity Involved Local Option Business name'(if applicable) Area Code Phone Number ❑Check This Box if same address as Mr.,Ms., Mrs. First Name MI Last Name. Suffix incident location. Then skip the three duplicate address Number - - lines. Prefix Street or Highway II Street Type Suffix 'Post Office Box I I Apt./Suite/Room City- State Zip Code ° More people involved?Check this box and attach Supplemental Forms (NFIRS-lS) as necessary K2 Owner El Same as person involved? Then check this box and skip The rest of this section. Local Option Business name (if Applicable) - - - Area Code Phone.Number IRobert & Shelly lGould ® Check this box if Mr.,Ms., Mrs. First Name MI Last Name Suffix same address as incident location. 170 IMARIE AV Then skip the three duplicate address Number Prefix Street or Highway - Street Type Suffix lines. INASSON, ANTHONY A & I I ICENTERVILLE Post Office Box .Apt./Suite/Room City ' IMA 1102632 I-1 � State Zip Code - L Remarks Local Option _ Caller Name WINKLER,GREGORY ` Caller Phone (508) 827-4740 COID=TCS Caller Address : 46 JACKSON AVE , OIC : CAPT.SARGENT Pats. . 0 „ AGR 1IReceived AGRD HYAIHYANNIS FD jgifford ; 2015/03/04 03:11:58 - 305 'AT EVENT °MANNING IS 3 jgifford ; 2015/03/04 03:12:43 - 321 AT EVENT MANNING IS 1 jgifford ; 2015/03/04 03:14:14 = 304 AT EVENT MANNING IS 3 jgifford ; 2015/03/04 03: 16:08 - 303 AT EVENT MANNING IS 3 jgifford ; 2015/03/04 03:17:11 -.323 AT EVENT MANNING IS 1 jgifford ; 2015/03/04 03:18:25 - 320 AT EVENT MANNING IS 1 jgifford ; 2015/03/04 03:19:57 - 301 AT EVENT MANNING IS 1 jgifford ; 2015/03/04 03:21:51 = 328 AT EVENT MANNING IS 1 jgifford ; 2015/03/04 03:22:01 - E-826 AT EVENT MANNING IS 4 jgifford ; 2015/03/04 03:28:43 - E-205 AT EVENT MANNING IS 4 ` jgifford ; 2015/03/04 03:30:56 - C-802 AT EVENT MANNING IS 1 jgifford ; 2015/03/04 03:35:55 - E-294 AT EVENT MANNING IS 4 jgifford ; 2015/03/04 03:37:40 - 307 AT EVENT MANNING. IS '3' jgifford ; 2015/03/04 04 :37:25 - E-453 AT EVENT MANNING IS 4 911 2015/03/04 03:01:59 Time of Call 2015/03'/04 03:01:55 L Authorization 18410 I ISARGENT, RICHARD P. 1, ICAPT I 1 031 L L4J 2015 Officer in charge ID Signature Position or rank Assignment Month Day Year Boxc if® 18410 I I SARGENT, RICHARD P. I I CAPT I 1031 u 2015 same Position or rank Assignment ,Month Day Year - as Officer Member making report ID Signature in charge. - Comm fire District 01920 '03/04/2015 15-0000734 MM DD YYYY., �., 01920 LbLA I L_,Aj "4I 2015 15-0000734 000 Complete FDID State Incident Date Station Incident Number - Narrative '* * * * Exposure i Narrative: Caller Name WINKLER,GREGORY Caller Phone (508) 827-4740 COID=TCS a Caller Address : 46 JACKSON AVE OIC : CAPT.SARGENT Pats. : 0 AGR 1IReceived AGRD HYAJHYANNIS FD jgifford ; 2015/03/04 03:11:58 - 305 AT EVENT MANNING IS 3 jgifford ; 2015/03/04 03: 12:43 - 321 AT EVENT MANNING IS 1 jgifford ; 2015/03/04 03: 14:14 - 304 AT EVENT MANNING IS 3 jgifford ; 2015/03/04 03:16:08 - 303 AT EVENT MANNING- IS 3 jgifford ; 2015/03/04 03:17:11 - 323 AT EVENT MANNING IS 1 jgifford ; 2015/03/04 03:18:25 - 320 AT EVENT MANNING IS 1 jgifford 2015/03/04 03:19:57 - 301 AT EVENT MANNING IS 1 jgifford 2015/03/04 03:21:51 328 AT EVENT MANNING IS 1 jgifford 2015/03/04 03:22:01 - E-826 AT EVENT MANNING IS 4 jgifford 2015/03/04 03:28:43 - E-205 AT EVENT MANNING IS 4 jgifford 2015/03/04 03:30:56 - C-802 AT EVENT MANNING IS 1 _ jgifford ; 2015/03/04 03:35:55 - E-294 AT EVENT MANNING IS 4 jgifford ; 2015/03/04 03:37:40 - 307 AT EVENT MANNING IS`3 jgifford ; 2015/03/04 04:37:25 - E-453 AT EVENT MANNING IS 4 911 2015/03/04 03:01:59 Time of Call 2015/03/04 03:01:55 Phone Number (508) 827-4740 COID=TCS - Caller Name WINKLER,MAUREEN Street Number : 46 Street Name : JACKSON AV Service Municipality CENTERVILLE ESN ESN=814 MTN:508-211-7840 jgifford 2015/03/04 03:12:01 1ST REPORTED AS A POSSIBLE CHIMNEY 'FIRE THEN CALLER CALLED BACK REPORTING HOME UNDER CONSTRUCTION ON ANOTHER STREET W/HEAVY FIRE SHOWING' jgifford 2015/03/04 03:12:12 305 ON LOCATION FULLY INVOLVED jgifford ; 2015/03/04 03:12:53 321 HAS COMMAND jgifford 2015/03/04. 03:13:33 COMMAND REPORTS NEXT ENGINE IN TAKE EXPOSURE TO ANOTHER HOME ON SIDE C jgifford ; 2015/03/04 03:15:39 COMMAND REQUESTS WORKING FIRE ASSIGNEMENT & UNITS IN DEFFENSIVE OPERATION jgifford ; 2015/03/04 03:26:48 E: STA=Q:SCENE Comm fire District' 01920 03/04/2015 -15-0000734 MM DD YYYY 01920 4j 2015 1 1 15-0000734 1 1000 complete FDID State Incident Date Station Incident Number Narrative �.* * * * Exposure t Narrative: jgifford 2015/03/04 03:30:07 . STAR--ENROUTE-� jgifford ; 2015/03/04 03`:33:50 COMMAND REPORTS MAIN BODY OF FIRE KNOCKED DOWN jgifford ; 2015/03/04 03:47:57 294 TO SCENE AS RIT i jgifford ; 2015/03/04 03:48:34 FIRE KNOCKED DOWN,OVERHAULING jgifford ; 2015/03/04 03:59:20- 294 ON SCENE AS RIT jgifford ; 2015/03/04 0'4:00:23 'COMMAND-REOUESTS:GAS CO. jgifford ; 2015/03/04 04:17:38 SANDWICH ENGINE TO COVER COTUIT STATION jgifford ; 2015/03/04 04:29:44 CONTRACTOR FOR HOME ON LOCATION jgifford ; 2015/03/04 04:43:29 4 _ FIRE MARSHAL MIKE FAGAN ENROUTE AND BPD CONTACTING SGT.YORK TO SCENE jgifford ; 2015/03/04 04:43:38 304 AVAIOLABLE ON LOCATION' s jgifford 2015/03/04 04:50:10 COMMAND REPORTS 826 RELEASED/303 PICKING UP & 307 AVAILABLE ON LOCATION jgifford ; 2015/03/04 05:11:12 COMMAND REPORTS 305 WILL REMAIN ON LOCATION FOR FIRE WATCH jgifford ; 2015/03/04 05:47:55 320 CLEAR OF FIRE SCENE jgifford 2015/03/04 06:13:24 FIRE MARSHAL ON LOCATION ` jgifford 2015/03/04 06:24.:55 CALL CLOSED OUT TO DO REPORTS/305/328 REMAIN ON LOCATION W/FIRE MARSHAL Received call for embers falling around a neighbors home with a follow up report of home on fire. 305 and 321 responded from previous call and other crews from stations. Upon arrival found a 2 story residential home under renovation reported unoccupied fully involved. 321 took command, reported working fire and transmitted a defensive attack mode. I was unable to Comm fire District . 01920 03/04/2015 15-0000734 f MM DD YYYY 1+ 01926 � L 42015 �1� 1 15-0000734 000 Complete FDID State Incident Date Station Incident Number Narrative ',* * * _ * Exposure Narrative: complete a 360 due to access and fire but found a large residential exposure on side C with heavy embers falling on the home. 305 pulled 2 1/2" and 304 setup water supply from hydrant then 'pulled .2nd 2 1/2 to attack fire from side A. 303 and 824 were assigned to side C from Jackson drive and pulled hose lines to protect the exposure and attack. the fire. 320 assigned Side C.- 301 �arrived and assigned accountablility/safety. 307 was requested to the scene to assist on Side C. . w--a �as_and=Elec tric-Co-_r_q ted�to_scene.•t.o--secu-r-e--utilities—Addit-Tonal-engi-ne--reque-st_e_d:,t_o)pI scene-as' R.IT',--WBFD-responded. Fire knocked down and overhaul began. FPO Grossman on scene for .invest`igation and Fire Marshall requested to the scene. the contractor arrived on scene after fire knocked down and notified the property owners located in Canada. Fire was contained to the building of origin with no apparent damage to exposureybuildings. Units began picking up and clearing as the became available. 305 remained on 'scene as fire watch and for overhaul. Investigation began with initial cause undetermined. . ' Owners Robert & Shelley Gould 442 Brant St\, Suite 204 Burlington, ON L7R 2G4 416-575-3654 rgould@cmgpartners.ca i Comm fire District 01920 03/04/2015 15-0000734 Generated by REScheck-Web Software Compliance Certificate Project Gould Residence 70 Marie Energy Code: 2012 IECC Location: Barnstable, Massachusetts Construction Type: Single-family Project Type: New Construction Conditioned Floor Area: 2,801 ft2 Glazing Area 9% Climate Zone: 5 Permit Date: Permit Number: Construction Site: Owner/Agent: Designer/Contractor: 70 Marie Lane Craigville Beach,,Massachusetts 02655 Compliance: 4.1%Better Than Code Maximum UA: 342 Your UA: 328 The%Better or Worse Than Code Index reflects how close to compliance the house is based on code trade-off rules. It DOES NOT provide an estimate of energy use or cost relative to a minimum-code home. Envelope Assemblies Gross Area Cavity Cont. Perimeter First Floor: All-Wood JoistlTruss Over Uncond. Space 1,216 30.0 0.0 0.033 40 Wall:Wood Frame, 16in. D.C. 1,360 21.0 0.0 0.057 61 Window: Vinyl Frame, 2 Pane w/Low-E 120 0.320 38 Door: Glass 70 0.320 22 Door: Solid 95 0.190 18 Second Floor: Wood Frame, 16in. D.C. 1,600 21.0 0.0 0.057 87 Window: Wood Frame, 2 Pane w/Low-E 76 0.320 24 Ceiling: Flat or Scissor Truss 1,335 0.0 38.0 0.025 33 Kneewall ceilings: Cathedral 192 0.0 38.0 0.025 5 Compliance Statement: The proposed building design described here is consistent with the building plans, specifications, and other calculations submitted with the permit application.The proposed building has been designed to meet the 2012 IECC requirements in REScheck Version 5.5.0 and to comply with the mandatory requirements listed in the REScheck Inspection Checklist. Name-Title Signature Date Project Title: Gould Residence 70 Marie Report date: 04/14/15 Data filename: Page 1 of 8 0 REScheck Software. Version 5.5.0 Inspection Checklist 'Nf Energy Code: 2012 IECC Requirements: 100.0% were addressed directly in the REScheck software Text in the "Comments/Assumptions" column is provided by the user in the REScheck Requirements screen. For each requirement, the user certifies that a code requirement will be met and how that is documented, or that an exception is being claimed. Where compliance is itemized in a separate table, a reference to that table is provided. , Section a „ _ " 'R, �.y �� z �hhw ��Gy��a� hN'1n , Pians`Verified FieldVerified IMP # Pre-Inspection/Plan`Review Complies? Comments/Assumptions �&Req.ID % . h Value .�, Value ;s �z�,"x y 103.1, ;Construction drawings and k „ . , m� fan,,� *`a ❑Complies (Requirement will be met. 103.2 3documentation demonstrate ❑Does Not F 1 i oa\ S�q� a' 1 a [PRl] energy code compliance for the ❑Not Observable building envelope. A ye ,��i, a '�� ; a�a0�y�a' "�'�' El Applicable 103.1, ;Construction drawings and `4 �2Rk ❑Complies ;Requirement will be met. 103.2, (documentation demonstrate ❑Does Not Au` 403.7 ;energy code compliance for [PR3]1 ;lighting and mechanical systems ��N�� aw��°, soy ❑Not Observable 01 IIS stems serving multiple ❑Not Applicable ,dwelling units must demonstrate :compliance with the IECC » mn```°a>`aaa ;Commercial Provisions. 3021, Heating and cooling equipment is; Heating: i Heating: ;❑Complies 4036 sized per ACCA Manual S based Btu/hr Btu/hr j❑Does Not F [PR2]2 on loads calculated per ACCA I Cooling: F Cooling: i Manual] or other methods ❑Not Observable , Btu/hr Btu/hr '❑Not Applicable approved by the code official. F F Additional Comments/Assumptions: 11 High Impact (Tier 1) 2 Medium Impact (Tier 2) 13 Low Impact(Tier 3) Project Title: Gould Residence 70 Marie Report date: 04/14/15 Data filename: Page 2 of 8 2012`IECC foundation Inspection's , Complies? ` Comments/Assumptions 303.2.1 A protective covering is installed to ;❑Complies ;Exception: null. [FO11]2 protect exposed exterior insulation ;❑Does Not and extends a minimum of 6 in. below grade. ;❑Not Observable ❑Not Applicable 403.8 Snow-and ice-melting system controls;❑Complies [F012]2 installed. ;❑Does Not ;❑Not Observable ❑Not Applicable Additional Comments/Assumptions: 1 High Impact (Tier 1) 2; Medium Impact(Tier 2) ;3 !Low Impact(Tier 3) Project Title: Gould Residence 70 Marie Report date: 04/14/15 Data filename: Page 3 of 8 Section plans�Verif�ed F�eldbVerified � # Framing%Rough In Inspection Complies Comments/Assumptions & teq.1D' F 7 4 , 7 i, s 1/alue. Value m 402.1.1, ;DoorU-factor. U- U ;❑Complies !See the Envelope Assemblies 402.3.4 F UDoes Not ;table'forvalues. [FRl]1 UNot Observable ❑Not Applicable 402.1.1, !Glazing U-factor(area-weighted U- ( U- E❑Complies ;See the Envelope Assemblies 402.3.1, iaverage). '❑Does Not ,table for values. 402.3.3, 402.3.6, ;❑Not Observable 402.5 ; ;❑Not Applicable [FR2]1 f f E `fir/ f 303.1.3 U-factors of fenestration products L 4 4 "If❑Complies ;Requirement will be met. [FR4]1 ;are determined in accordance �m s� M . , te a,. UDoes Not ;with the NFRC test procedure or j, # ,taken from the default table. w , ❑Not Observable " `N .. 1EJNot Applicable 402.4.1.1 ;Air barrier and thermal barrier ❑Complies ;Requirement will be met. [FR23]1 ;installed per manufacturer's ❑Does Not E instructions. eke As ❑Not Observable .� 4 .. .0 . � .;�❑Not Applicable 402.4.3 ;Fenestration that is not site built . Jk •,rs,. ❑Complies ;Requirement will be met. [FR20]1 ;is listed and labeled as meeting �,� �� ❑Does Not AAMA/WDMA/CSA 101/I.S.2/A440 � „o or has infiltration rates per NFRC °� ❑Not Observable f 1400 that do not exceed code .., ,,;;, p" 'r ❑Not Applicable IImItS. yaw 4vOwmli� � �� M��.:, s •: - att P.. 402.4.4 IC-rated recessed lighting fixtures ❑Complies Exception: null. [FR16] sealed at housing/interior finish '❑Does Not r° and labeled to indicate <_2.0 cfm €' leakage at 75 Pa. ,.�� o ,,,,_'� ��`� °�� ❑Not Observable � ❑Not Applicable 403.2.1 ;Supply ducts in attics are f R- R- i❑Complies [FR12]1 insulated to>_R-8.All other ducts R_ R_ ❑Does Not in unconditioned spaces or outside the building envelope are; t❑Not Observable i insulated to >_R 6. I ;❑Not Applicable 403.2.2 ;All joints andsearris of air ducts, ❑Complies [Requirement will be met. [FR13]1 :air handlers, and filter boxes are ❑Does Not ;sealed. j �e ❑Not Observable f I ❑Not Applicable ' :, 403.2.3 Building cavities are not used as ❑Complies :Requirement will be met. 3 n qa�e ^"c stv �� a•, [FR35] ducts or plenums. � � �� '� '� ❑Does Not 44 �oo�m z ��i�,m ❑Not Observable f �f �z,� ,��nr,ws N �a�Saa� n •,e,❑Not Applicable 403.3 HVAC piping conveying fluids R- w R- ❑Complies [FR17]2 above 105 °F or chilled fluids ❑Does Not below 55 °F are insulated to >_R- IQ3 3 ;❑Not Observable ❑Not Applicable 403.3.1 ;Protection of insulation on HVAC �� ❑Com lies shot [FR24]1 +piping. ❑Doe ❑Not Observable , E ❑Not Applicable 403.4.2 Hot water pipes are insulated to R- R- ;❑Complies [FR18]2 „ >_R-3. F ❑Does Not f❑Not Observable f ❑Not Applicable 1 High Impact (Tier 1) 2=;Medium Impact(Tier 2) 3 Low Impact(Tier 3) Project Title: Gould Residence 70 Marie Report date: 04/14/15 Data filename: Page 4 of 8 Section " pjans Verified Field Verified # Framing/ Roughlnlnspettion Complies? Comments/Assumptions &,Req.ID Value Value �,� , 4035 Automatic or gravity dampers are �,.,; ❑Complies ; JP Requirement,will be met. [FR19]� installed on all outdoor airA s ❑Does Not intakes and exhausts. Ilk, .4 � ❑Not Observable x w 1EINot Applicable Additional Comments/Assumptions: 1 High Impact (Tier 1) 2 Medium Impact(Tier 2) Ic`3''Low Impact(Tier 3) Project Title: Gould Residence 70 Marie Report date: .04/14/15 Data filename: Page 5 of 8 Section �� Plans Verified FieldVerifieda `# Insulation Inspection w complies? Comments/Assumptions & Req.ID Value Value - y- 303.1 All installed insulation is labeled r'` �� `• ��,�� ❑Complies :Requirement will be met. [IN13]� or the installed R-values ��i ❑Does Not provided. Observable JE]Not ' a ❑Not Applicable 402.1.1, ;Floor insulation R-value. ; R- R- ;❑Complies ;See the Envelope Assemblies 402.2.E ;❑ Wood ;❑ Wood ;❑Does Not `table for values. [IN1)1 ❑ Steel ❑ Steel ;❑Not Observable ❑Not Applicable r 4 i t t 303.2, (Floor insulation installed per IN` 0❑Complies ;Requirement will be met. 402.2.7 ;manufacturer's instructions, and u# ❑Does Not [IN2)1 :in substantial contact with the k04 i �:❑Not Observable underside of the subfloor. ❑Not Applicable 402.1.1, ;Wall insulation R-value. If this is a: R- R- ;❑Complies ;See the Envelope Assemblies 402.2.5, !mass wall with at least 1/2 of the ❑ Wood ;❑ Wood ❑Does Not !table for values. 402.2.E ;wall insulation on the wall ❑ Mass ❑ Mass ❑Not Observable [IN3)1 ;exterior,the exterior insulation I ;requirement applies(FR10). ;❑ Steel i❑ Steel f❑Not Applicable r i 3 E 303.2 ;Wall insulation is installed per ❑Complies ;Requirement will be met. [IN4)1 (manufacturer's instructions. ❑Does Not ��a v� a ,� ❑Not Observable ❑Not Applicable Additional Comments/Assumptions: 1 High Impact (Tier 1) j 2 Medium Impact(Tier 2) 3 1 Low Impact(Tier 3) Project Title: Gould Residence 70 Marie Report date: 04/14/15 Data filename: Page 6 of 8 �F Section: Plans Verified Field Verified ` # Final':Inspecton Provisions Complies Comments/Assumptions & Req.ID LL Valuer „Value „ ,r 402.1.1, ;Ceiling insulation R-value. R- ( R- ;❑Complies (See the Envelope Assemblies 402.2.11 ;❑ Wood ;❑ Wood ElDoes Not ;table for values. 402.2.2, 402.2.E ; F❑ Steel ❑ Steel ;❑Not Observable [Fill' I I ;❑Not Applicable j l , 303.1.1.1, ;Ceiling insulation installed per � ❑Complies ;Requirement will be met. 303.2 !manufacturer's instructions. ❑Does Not 1 ; 'a � \0,0 `' �3,mya�aa\ as s.g\c ` [FI2] ,Blown insulation marked every 300 ft2. � _ ❑Not Observable �� ❑Not Applicable ; 402.2.3 Vented attics with air permeable . a�a r. u;❑Complies ;Exception: null. [FI22]2 insulation include baffle adjacent *` El Does Not j to soffit and eave vents thatvop �vv� extends over insulation. � � °�` ❑Not Observable ; a� - A„I�� ..�,., El Not Applicable 402.2.4 ;Attic access hatch and door R- ; R- ;❑Complies ;Requirement will be met. [FI3]1 Iinsulation >_R-value of the ElDoes Not adjacent assembly. '❑Not Observable 1 ❑Not Applicable 402.4.1.2 ;,Blower door test @ 50 Pa. <=5 ; ACH 50 = ACH 50 = ;❑Complies ;Requirement will be met. [FI17]1 :ach in Climate Zones 1-2, and :❑Does Not <=3 ach in Climate Zones 3-8. E F ❑Not Observable ❑Not Applicable E 403.2.2 ;Duct tightness test result of<=4 ; cfm/100 cfm/100 ;❑Complies ;Requirement will be met. [FI4]1 ;cfm/100 ft2 across the system or ft2 ft2 :❑Does Not <=3 cfm/100 ft2 without air °❑Not Observable ;handler @ 25 Pa. For rough-in I tests, verification may need to ;❑Not Applicable ;occur during Framing Inspection. , 403.2.2.1 (Air handler leakage designated ❑Complies ;Exception: null. [FI24]1 by manufacturer at <=2% of ❑Does Not ;design airflow. ; , []Not Observable i aka a `fiVAop�A��0�;+ "pcaAaoomza wvo n;aamt _ ` ❑Not Applicable 403.:1,1 Programmable thermostats �� ` # y �„ „ ❑Complies ;Requirement will be met. [Flg]2 installed on forced air furnaces. Doe Not , " ❑Not Observable ; ❑Not Applicable 403.1.2 Heat pump thermostat installed ❑Complies ;Exception: Wulf. [FI10]2 on heat pumps. �ay� �Fm�aa �w�wv�avoagvv��fw„`❑Does Not ! . ,tea -]Not Observable ❑Not Applicable 403.4.1 Circulating service hot water �j y u ` , �a�5 @off ��❑Complies ;Requirement will be met. [FI11]2 systems have automatic or AV ❑Does Not t accessible manual controls. 1�oaolFa�.y� J; ❑Not Observable ; , muau ; ma \moa\ f ❑Not Applicable 403.5.1 All mechanical ventilations stem y ❑Complies ;Exception: null [FI25]2 fans not part of tested and listed Gov Hznw�w. � ��a�" � vaa��°"a°°°,� ❑Does Not HVAC equipment meet efficacy - and air flow limits. � 1a��°�" ;. �� 1" ❑Not Observable ❑Not Applicable ��" a: e\a�a��\aaa avav�tn\a\\\\�\\\\0\�S�Wa�' mo\\\\�\Oaa\ 404.1 ,75%of lamps in permanent a ❑Complies :Requirement will be met. [FI6]1 fixtures or 75%of permanent + ❑Does Not ;fixtures have high efficacy lamps Does not apply to low-voltage ❑Not Observable 'lighting. ❑Not Applicable 1 I High Impact(Tier 1) 1,,-'—'2-1 Medium Impact(Tier 2) 3 Low Impact(Tier 3) Project Title: Gould Residence 70 Marie Report date: 04/14/15 Data filename: Page 7 of 8 'Section Plans"Verifie& Provisions Field Verified Cornments/Assumptions Final Inspectio 0 isions IValue� Complies? b,,, 411 —Value Rec�lb .. ........ 404.1.1 Fuel gas lighting systems have ElComplies 'Requirement will be met. JQP [F123]3 no continuous pilot light. W r E]DoesNot 4001\11 Z��,o EINot Observable EI A a JL ❑Not Applicable 401.3 Compliance certificate posted. ❑OComplies :Requirement will be met. [F17]2 "I' ElDoes Not 4w,"i4i- E❑Not Observable *JE]Not Applicable :Requirement will be met. 4� W4,0\410 s 303.3 Manufacturer manuals for �i k ,, -11 ElComplie [FI18]3 A- ❑I mechanical and water heating E] .1,"'O"P, 'Aff.....I' Does Not A, systems have been provided. 0 a i E]Not Observable 4 \*I W A-EINot Applicable :1 Additional Comments/Assumptions: 11 High Impact (Tier 1) 11,,2 1 Medium Impact(Tier 2) 3 Low Impact(Tier 3) Project Title: Gould Residence 70 Marie Report date: 04/14/15 Data filename: Page 8 of 8 r , w 2012 IECC Energy Efficiency Certificate Above-Grade Wall 21.00 Below-Grade Wall 0.00 Floor 30.00 Ceiling / Roof 38.00 Ductwork (unconditioned spaces): ri Window 0.32 Door 0.19 . Heating System: Cooling.System: Water Heater: VII Name: Date: Comments JOB SHEET NO. _ OF TAYLOR DESIGN A- a. CALCULATED BY OFDATE 4�^ CHECKED BY TE Avg SCALE . . A.9�r4►GEtN: 5T�.3- .. \..1c --t?A t-t 1P.:14 � SG��'' •.. ns . .. . ... .. .. Thu -e► •t./ 1.,.v t'S tom ., p_9 f-t r r7 =- c. 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P*-iO ; 4. .......... .. ........... 1-5. �; -1 .......... .......... ............ ........................ .............................. . . ................................ g: 4 '� . ................ .................... ....................... .......... ............ ............... rz .....-.4 A ..........- .......... ..............i- ............. ......................- .......... eT48: ................ ...................... ............ ............i............ ............. ............... .................... ........................... ................... .................... .................... ..........V.P ....... .......................... .................. ............ .................. ..... ......... -Moo ...............- qw c. ............ ?........... ..... ..... ... ............. ............. .......... .......... ........................ ........................................ .......................... 4-................... .................... I job L SHEET NO. �In, OF TAYLOR DESIGN. C• CALCULATED BY ��//� DATE � ' IS7' CHECKED BY DATE Q SCALE . g9 ice... . pTTows :Merit? _ dD ... ... I- ............ ..... ............ . t ..A• t ry Cam ..cs G .._ . .. t i :............. W. . .......... .............................. .......... .. ....... ... . .................. t o . .... .... _ ... .._ _. IQ,c.- --c c , �-.. .. !,�E9 1 t .a . .. ... 0 . lc h c ... ... I .. ... • JOB ��ctJLD K15S�06x9G�"�I�o(tr?6�S�O� SHEET N0. T OF w {_1i TAYIOR DESIGN L.6.o� CALCULATED BY `s'T ( DATE 04 - 3 l5" e AA CHECKED BY DATE A-V [ CALE ....... .................:. ....... . ,57 44 a ��- i ... Ct2> ©� 70 �. -�-'. ... ..... .... ........ 70 ........ ...o n -- 'l3 ...... .... '. Z. _.. .... 14 .,w . ....... w�ta.k .. s c.. z k�z s t-z.v s u. ,r t _z .. ems. Z .. . ZL ..... ,-z 5 Ric- 4.1 , 3 4�1i'� ...........z. . .,, 4, god 13.1 A ` .. 3� . ... JOB +� m Qr. r SHEET NO. OF TAYLOR DESIGN t�.l C- CALCULATED BY L DATE CHECKED BY DATE O eE�c SCALE ....... U. +3 A cv r�ot5-sL. `,.f.l Q x-3`Z C" C.w•,•+cz R.as %( �. ...... ... .A. ,9. .t Z o Z . ... .. . ..... .... t- ........... � t 4r 1 3 ............. !1z ` 34o Z, • . 3 q C i z� _. Itc . d 7T Zk tb S� 13.... �t ti . ... . ... (Z. 4 .. i � 'l ......... .... x�o S. ... ....... 3-- �?t t 2 t i3 Gc� _. = Z 3 Vic• P ._.... .... .. .... _ L7 tom c 'per -------------- ... . I a JOB c=atj«o f1 S1y9Ct� C�fI�Z'1(rStOS _ t SHEET NO. Cn OF TAYLOR DESIGN I A-c CALCULATED BY Cr DATE, �j CHECKED BY DATE c) .4 -r 1 SCALE _.. ... ... wCT... . .;. ...... 1 SSTL .... .... ..... Z_k12 S 5 p ....A h r•t_A-x t.�.�.-=_ tz_. �®{to - 4�.,�..�.�F.. ct .. Z,.�c.1 Z. 4.7. = z. 1 p e✓ ... c ic. . . ... 0 c m .. . . ..... . ,,� --. . L l4 k` .t l4 -_ t.._.'._S .. .cam �...Z 4 VA 74..p? . .. 0 7.�r . .._ _... ...........- .. ... 3 •S 2rk 9 G c L ............ . 5 e.0 sks rho 06 .. rr_ iC.pC►..f ..S2o..'.(t2�- :4.�Z � o S 24.0-�1L� loZ4b a/.... 7a 014 �>_ 1174.. ... t.ovry b_r+�T 4 w•� cop ... /� 441.:�..ZW,Y.I s'Yc ..._.. (.. �F. .�`2$ S C.F �1.4 �CF ... � 4 118G' .. 4 ��#- .-- I jI I i i I i i I I I 2012 IECC Certificate 70 Marie Ave., Centervielle, MA 02632 Buildin Envelo a Insulation, r Ceiling R-38.0 I Above Grade Walls R-20.0 j I Foundation Walls R-0.0 j Exposed Floor R-30.0 Slab None Infiltration Htg: 1219 Clg: 1219 CFM50 j Duct R-6.0 Duct Leakage to Outside 57.00 CFM @ 25 Pascals Wmd�owwDa at L7,R,U=Factor' . , S GC g Window 0.310 0.280 Mechaciicai'`Equpmenf HEAT: Fuel-fired air distribution, Natural gas, 80.0 AFUE, COOL: Air conditioner, Electric, 13.0 SEER. DHW: Conventional, Natural gas, 0.70 EF, 50.0 Gal. Builder o�Design Profe"ssional's:, _4 i Signature 4ndree,) Pop%e/cy Sk% I i I REM/Rate Residential Energy Analysis and Rating Software v14.5.1 P I I I I I I I i i I I I i I I j I I stry ID Home EnergyRatin Certificate Regiumber 17707 066 _ � Rating Number 17707 Certified Energy Rater Andrew Popielarski 70 Marie Ave. Rating Date 11/18/2015 Centervielle,MA 02632 Rating Ordered For Kendall Welch - - EsttlmatiedAnnuatEnergy Cost _ Use MMBtu � Cost Percent 5 Stars Plus Heating 74.7 $1143 41% Confirmed HERS Index• 64 Cooling 3.6 $209 8% Efficient Home Comparison: 36% Better Hot Water 17.6 $213 8% Lights/Appliances 23.2 $1215 44% Photovoltaics -0.0 $-0 -0% n Generatylfoarmatron _ _ ---- - _.o Conditioned Area 2946 sq. ft. House Type Single-family detached Service Charges $0 03 Conditioned Volume 25034 cubic ft. Foundation Unconditioned basement Total 119.1 $2781 100% Bedrooms 3 ��CriteCld AM Mi" .4 This home meets or exceeds the minimum criteria for the following: MechanicalSystems Features' , r = Heating. Fuel fired air distribution, Natural gas, 92.1 AFUE. 2009 International Energy Conservation Code 2012 International Energy Conservation Code Heating: Fuel-fired air distribution, Natural gas, 80.0 AFUE. Water Heating: Conventional, Natural gas,0.70 EF, 50.0 Gal. Duct Leakage to Outside 110.00 CFM25. Ventilation System Exhaust Only:87 cfm, 20.0 watts. Programmable Thermostat Heat=Yes; Cool=Yes � y Ceiling Flat R-38.0 Slab None Sealed Attic NA Exposed Floor R-30.0 Vaulted Ceiling R-36.0 Window Type U-Value: 0.310, SHGC: 0.280 Certified HERS Rating Company Above Grade Walls R-20.0 Infiltration Rate Htg: 1219 Clg: 1219 CFM50 Energy Raters of Mass Foundation Walls R-0.0 Method Blower door test 180 State Road Suite 2 upper k. t r,: . ": v v, -Sagamore-Beach,—Ma-- ------- ---- - --- Lights�and¢App ianceFeature`s_ `' `� i '"" s 888-503-2233 x�. . Percent Interior Lighting 90.00 Range/Oven Fuel W Natural gas """ Info@energycodehelp.com Percent Garage Lighting 100.00 Clothes Dryer Fuel_.-__Electric_. Refrigerator(kWh/yr) 452.00 Clothes Dryer EF 3.01 A16— Dishwasher Energy Factor 0.00 Ceiling Fan (cfm/Watt) 0.00 Certified Energy Rater: 1116 REWRate-.Residential Energy Analysis and Rating Software v14.5.1 5363711 This information does not constitute any warranty of energy cost or savings. ©1985-2014 Architectural Energy Corporation, Boulder, Colorado. The Home Energy Rating Standard Disclosure for this home is available from the rating provider. I f i I i Air Leakage I Property Organization HERS Kendall Welch Home Energy Raters LLC. Confirmed 70 Marie Ave. 888-503-2233 11/18/2015 Centervielle,MA 02632 Andrew Popietarski Rating No:17707 RaterID:5363711 Weather:Barnstable,MA Builder Marie Ave 70 Kendall Welch Marie Ave. 70 C.blg Whole House Infiltration Blower Door Test j Heating Cooling Natural4CHi; �0.18 _.� J A01,3' i} ACH @ 50':Pascals, i 2.92 = v~ f 2.92'. CFM @ 250ascats '777 7r < 777 CFM @`50,�Pascals 12`19' z #12119 Eff. Leakage Arear(sq tn) 66 9 f tY t 6699 ;. SpecificLeakage Area 0:0001;6 - '0.000;1'6 ELA/$00=sf shell,(sq in!y 0:93 0.93 Duct Leakage Leakage=fo Outside tlnits 1!st duet 1 2nd duct CFM @ 25 Pascals 53 57 1 -_ GFM25/,:CFMfan " 0.0445 0^04`11 ,. 'ar CFM25 / CFA 0 04/3 00343 CFM per Std•152 .; N/A _ 7 d N/A CFM°per Std 152 %.CFA i, N/A N/A:s r CFM @ 50 Pascals` t'Y " 83 89 R ' is Eff 4 Leakage Area�,(sq rnej,. 4,57Y 9`.91r j 1,t� ! r Cap �a N � IThermaliEfficiency N/A NI/A� �^ s — Total'Duct Leakage U its CFM2'5/CFA ' QFM25%CFA ' Total,©uct'Leakage 0.0413 0.0343 - I Ventilation Mechanical , `:Exhaust Only Sensible Recovery1ff"(Y.)) k Totat Recovery Eff. (q) 0.0 Rate�(cfm�) , i a 87 Hours/+Day z t-Fan Watt 20::0 s Cooling Vemt�laeon �- 'Natural Ventilation I ASHRAE 62.2 - 2010 Ventilation Requirements For this home to comply with ASHRAE Standard 62.2 -2010 Ventilation and Acceptable Indoor Air Quality in Low-Rise Residential Buildings,a minimum of 59 cfm of mechanical ventilation must be provided continuously, 24 hours per day. Alternatively, an intermittently operating mechanical ventilation system may be used if the ventilation rate is adjusted accordingly. For example, a 119 cfm mechanical ventilation system would need to operate 12 hours per day,!as long as the system operates to provide required average ventilation once each hour. I REM/Rate-Residential Energy Analysis.and Rating.Software 04.5.1 This information does not constitute any warranty of energy cost or savings. ©1985-2014 Architectural Energy Corporation, Boulder, Colorado. HOME PERFORMANCE HERS"Index ENERGY More Energy WITH AAA S S NEW Existing �- 140 t30 RAT I N G Homes 120 HOMES REBATE Standard 110 CERTIFICATE i 1ao New Home 4 so 80 70 tfils Home i; so 64 so a 40 30 Plane_Etsargy RMms''+'. '. 20 Zero Energy 10 Home 1610 Less Energy Estimated Annual Energy Cost Estimated Annual Energy Consumption j 3000 g ;2 781. 120.0 11"cf.10 2500100.0 b y" 80.0 2000 s v. 1000 040.0 .0ov w on onon, on do= r a Q < ro,. y Kr+=':a .�y.;� '• ,� �.,,' ' . . s` a "�.N.. 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'm?.r:. u..a. k..,o-rs.:.� r4--Ex��-�,+=� r«3'�ti,t��E,"+.i':�.?.w.'a:._`""=�s.�:D.`.1u'..-"�"_...,s?; - �+'� ,y.r,:�.-�t«-.._..�•+?«.:1.+-r-+,•`hji"'�"_,_ ..._.ty,-a�'-. _4. .o._....:s:..�..............._»..__.r.._.�. - n ' Address 70 Marie Ave. Annual Estimates* Certified HERS Rating Company Centervielle, MA 02632 Electric(kWh): 8457 Energy Raters of Mass -- House Type-----Single-family detached--------- Natural gas(CCFY:903------- _.-- -i-80-State-Road-Suite 2-upper-- -- Cond. Area 2946 sq. ft. CO2 emissions(Tons): 10 Certified Rater Andrew Popielarski ---^Rating No.. --__--17707 __-_-- ------------ _-- ---------_-_--Annual Savings* .- $2331 ---.----.---_-- -- _ _----Rater ID 5363711 Issue Date November 19, 2015 Registry ID 230901066 Certification Verified *Based on standard operating conditions Rating Date 11/18/2015 ** Based on a HERS 130 Index Home Signature REM/Rate- Residential Energy Analysis and Rating Software v14.5.1 This information does not constitute any warranty of energy cost or savings. ©1985-2014 Architectural Energy Corporation, Boulder, Colorado. The Home Energy Rating Standard Disclosure for this home is available from the rating provider. Project Name: ��I �tr. �' ; Address: �� ► V ��ev� . Permit#: Permit Date: 12-J! -- =-------- e M/P:_ L -- LARGE ROLLED PLANS ARE-IN: BOX: SLOT:— --- Date entered in MAPS program.on:_________ y:------------- --- FRIEDLINE&CARTER ADJUSTMENT,INC. , 436 Main Street, P. O. Box-338, ' Hyannis, Massachusetts 02601 Tel. (508) 771-3232 FAX (508) 790-2344 TO: ( 4Bilding-Commissioner or Inspector of Buildings 1 O Board of Health or Board of Selectmen O Fire Department i TOWN OF BARNSTABLE TOWN HALL r HYANNIS, MA RE: Insured: GOULD, Robert Property Address: 70 MarieAve. ' Centerville, MA 02632 b Policy Number: 10472994 Type of Loss: Fire r-,a e-- Date of Loss: 3/4/2015 File#: 122151 Claim has been made involving loss, damage or.destruction of the above captioned property, which may either exceed $1,000.00 or cause Mass. General Laws, Chapter 143, Section 6 to be applicable. If any notice under MGL, Ch:139, Seca 3B is appropriate, please direct it to the attention of this writer and include a reference to.the captioned insured, location, policy number, date of loss and file number. On this date, I caused copies of this notice to be sent to the persons named above at the addresses indicated above by First Class Mail. f K. KIMBALL Adjuster 3/5/2015' Early AM fire destroys Centerville home CapeCodToday.Com Page 1 of 2 - v , capecodtodag, r ME00 cope cod C amtLlunkV nem Barnstable Brewster Dennis Falmouth Hyannis Orleans Sandwich Wellfleet Bourne Chatham Eastham Harwich Mashpee Provincetown Truro Yarmouth E 1 [ Home News Police&Fire Politics 1 Arts&Living Community 1 Calendar !,Things to Do Marketplace Early AM fire destroys Centerville home No one was in the home at the time of the fire ARTICLE I POLICE AND FIRE NEWS I MARCH 4,2015-10:o0AM I BY CAPECODTODAY STAFF,DAVID G.CURRAN,CONTRIBUTOR LandscapingYour Cope Cod 401 5 f F .N .--ry. ... � _..._....'^�.v,..- . � � � �� `Wk Yi�� I+I�..;�€ ail#' � • - 'i Fire completed destroyed a home on Marie Ave.in Centerville early Tuesday morning David G.Curren photo CENTERVILLE-An early morning fire destroy a home on Marie Ave. in,Centerville Tuesday morning.According to a Centerville-Osterville-Marstons Mills(C-O-MM)Fire Department release,a neighbor called 911 to report the fire around 3 a.m. C-O-MM firefighters arrived at the home at 70 Marie Ave. to find it completely involved. It took 20 minutes firefighters to bring the blaze under control. The two-story home was being renovated at the time of the fire.Once the fire was extinguished,only the frame remained. No one was in the home at the time of the fire,according to Capt. Richard Sargent..There were no injuries to firefighters or civilians. Firefighters from Hyannis,West Barnstable, Barnstable and Cotuit assisted at the scene,Capt. Sargent said. § The cause of the fire is under investigation. a The three-bedroom home,which was built in 1983, is owned by a Canadian couple,according to Barnstable assessor records. a . R i http://www.capecodtoday.com/article/2015/03/04/29149-early-am=fire-destroys-centerville-... 3/4/2015 Parcel Detail Page 1 of 5 lilt ' MASS �s $ y� �.. t'{ Logged In As: Parcel ®e l,C�I I Wednesday; March 42015 Parcel Lookup Parcel Info Parcel 226-128-006 I Developer LOT 26 I D' Lot _..... -- - . ..... _...._ _ .-- Location.70 MARIE AVENUE I Pri Frontage 78 Sec ---- - - - Sec --. -- -- Road I Frontage - - ----- ------- - - Fire -.- Village.,CENTERVILLE I ----- - --- --- ----' District C O-MM Town sewer_ exists at this Road _ ._.- ......._. 0977 address No ( Index - Asbuilt Septic Scan: Interactive 226128006_1 Map , 1 . Owner Info --- --A CO- 0 - --- - wner GOULD, OB RERT R&SHELLEY Owner Streetl 13411 LAKESHORE ROAD Street2BURLINGTON ONTARIO L7N-1B4 ' City jCANADA State ll. jzIP1. Country Land Info Acres 0.27 J Use Single Fam MDL-01 Zoning!RB (Nghbd 16169 Topography{Level Road'Paved i_ bli Utilities 'Puc Water,Gas,Sep tic Location Construction Info Building 1. of 1 Year,— f ROOF Gable/Hip— j Ext(WoodShingle Built`- Struct Wall Living, -......... Roof j AC . I I 1571 'Wood Shingle ,None Area Cover Type' -- Int - Bed r Style.Cape Cod f Wall iDrywall 1 Rooms i3 Bedrooms _ - Int -- - ---- - Bath r. Model Residential Floor Rooms ROOmS'2 Full-0 Half Heat Total http://issgl2/intranet/propdata/ParcelDetail.aspx?ID=15721 3/4/2015 Ir _ Parcel Detail Page 2 of 5 Grade,Average I Type Hot Water I Rooms 16 Rooms Heat Found- a Stories 1 1/2 Stories I Gas ��I Poured Conc. Fuel ation ¢pig 0 G ross 3 Area692 Permit History _ --- Issue purpose Permit Amount Insp Comments Date # Date REMOVE BEDROOM 5' CASED OPEN & ADD NEW BEDRM , Remodel- NEW 2 CAR 12/17/2014 Addition 201408498 $3281800 GARAGE, BREEZEWAY, FARMERS PORCH, RE- BUILD SCREEN PORCH New 1/15/2000 9/21/1999 Roof 41197 $12,000 12:00:00 AM 7 Visit History Date Who Purpose 4/23/2014 12:00:00 AM Jeff Rudziak In Office Review 4/25/2011 12:00:00 AM Tony In Office Review Podlesney 12/1/2010 12:00:00 AM Denise Radley Change of Address 11/23/2009 12:00:00 Paul Talbot Cyclical Inspection AM 12/17/2001 12:00:00 Meas/Listed-I nterior http://issgl2/intranet/propdata/ParcelDetail.aspx?ID=15721 3/4/2015 Parcel Detail Page 3 of 5 v I Paul Talbot (Access w Sales History Line Sale Owner Book/Page Sale Date Price 1 11/29/2010 GOULD, ROBERT R & C193040 $495,000 SHELLEY A 2 11/15/1986 COURNOYER, DONALD C C108789 $2707000 & BARBARA A 3 12/15/1981 UPTON, JOHN F TR C87676 $0 W Assessment History Save Building Land Total # Year Value XF Value OB Value Value Parcel Value 1 2015 $1291 900 ' $451400 $900 $236,300 $412,500 2 2014 $151 ,000 $51 ,100 $1 ,000 $236,300 $439,400 3 2013 $1511000 $517100 $11000 $2361300 $4391400 4 2012 $161 ,800 $49,400 $800 $236,300 $448,300 5 2011 $1811800 $31800 $0 $159,300 $344,900 6 2010 $1811300 $31800 $0 $1541100 $3391200 7 2009 $177,100 $2,800 $0 $2437800 $4231700 8 2008 $1901 300 $21 800 $0 $2321200 $4251 300 10 2007 $2211800 $21800 $0 $232,200 $4561800 11 2006 $2037600 $21800 $0 $2161500 $422,900 12 2005 $183,600 ' $2,700 $0 $1951900 $3821200 13 2004 $1361400 $21 700 $0 $163,200 $302,300 14 2003 $129,900 $21700 $0 $42,800 $175,400 15 2002 $1241800 . $2,700 $0 $421800 $1701300 16 2001 $124,800 $2,800 $0 $427800 $1701400 17 2000 $1167600 $27800 $0 $351200 $1541600 18 1999 $1167600 .$2,800 $0 $351200 $154,600 19 1998 $1167600 $27800 $0 $351200 $1541600 20 1997 $1371500 $0 $0 $321000 $1691500 http://issgl2/intranet/propdata/ParcelDetail.aspx?ID=15721 3/4/2015 Parcel Detail Page 4 of 5 21 1996 $1371500 $0 $0 $321000 $169,500 22 1995 $137,500 $0 $0 $329000 $1691500 23 1994 $1391200 $0 $0 $341600 $173,800 24 1993 $139,200 ' $0 $0 $341600 $173,800 25 1992 $1581500 $0 $0 $381400 $196,900 26 1991 $1531100 $0 $0 $51 ,200 $204,300 27 1990 $153,100 $0 $0 $51 ,200 $204,300 28 1989 $1537100 $0 $0 $511200 $2041300 '29 1988 $1021 800 $0 $0 $211 200 $1241 000 30 1987 $102,800 $0 $0 $217200 $1247000 31 1986 $1021 800 $0 $0 $211 200 $1241 000 11 Photos ,Nsr ' rtlblFi I ..z0 1 in{,a 5 u http://issgl2/intranet/propdata/PareelDetail.aspx?ID=15721 3/4/2015 Parcel Detail Page 5 of 5 4'9 �` pp L{a yv fe%. ub_ /yav vc v� j gg �y� �. � +�•p kid ��.�'i .• � ` `$,i:�� 1 nv, = A � r r >t http://issgl2/intranet/propdata/ParcelDetail.aspx?ID=15721 3/4/2015 OVERLAY DISTRICT: ASSESSORS REF.: Legend: "�• AP — Aquifer Protection District Map 226 Parcel 128006 3 •i � -0 Guy '�"• FLOOD ZONE: ZONE: Utility Pole ° Zones X & AE(el=12) RB ® Iron Pipe �a,. •n. ,, Map Number ' 25001CO564J Area (min.) 43,560 SF Light Post , Frontage (min) 20' s July 16, 2014 Width (min) 100' OO Water Gate (round) Setbacks: © Gas Gate (round) Front 20' OHW— Overhead Wires Side 10' — —25-- — Elevation Contour Rear 10' �� A ' S• Underground Utility Line �F ` • Deciduous Tree N � Coniferous Tree LOCATION MAP: + : Scale: 1" = 2000't Cedar Tree N/F Santa Maria Realty Trust Leo F & Joan M Santa Mario Trs e�c i at eF .� SY0 r i FEMA Flood Zone Line 900 C� From Map Number �IFeyg�e 5 25001 CO564J 0 o Proposed Impervious Barrier (Effective July 16, 2014) P �. �; New Crawl Space within O'd 20' of Existing Septic with �� t) no additional flow, but further Approx`S tir�� than 10'. �•'( As Per Bo '9 Proposed Garage s—built..Coir �•' slab Grade r Existing Garage to be Removed Aawn l and Replaced with Addition o N & Garage As Shown 102 Proposed { ° rj Addition. ni , Ot`�e I f Crawl Spate 03 vvv 9F Lot 26 i o o -a j J n 11,99fSFt� Lawn EA Cori m co n -�3 qs CO .a58 ark �, r \\� \ l f Pt0 .a� 15.0' Lawn � • r c .1' 6.5' N/F 9 ��•� Fayek 8 & Angele M Boutros \11O 62, Vr` Wetland Location 100'f \ \ By Brad Hall Remove Existing Porch ` And Build new Porch N�F nne" Proposed 2' as Shown t John M 0pa Addition IL � 't � �•�� Proposed Porch Revision: Add rebuild note and 2' addition to existing house. 1 3112120151 TITLE: Site Plan PREPARED BY.- PREPARED FOR: NOTES: Proposed Im rovements Ca eSurV 1.) The property line information shown was p p _ p Robert R & Shelley A Gould compiled from available record information. Z A tSU11 Engineering& 7 Parker Road � Osterville MA 02655 2.) The topographic information was obtained Inc (508) 420-3994 (508) 420-3995 fax from an on the r n70 Mane Avenueground d survey performed on (50�428.3344• P.QBaoc559• 7ParlwRoad,Oatervllle,MA02655 capesurvOcapecod.net seclesulitarwo4n.com •*vwsu111vamw4n.c= or between 131JAN114 and 16/JAN/14. Bamstable, (Centerville) Mass. 3.) The datum used is NAVD 1988, a fixed mean Draft: JOD Field: 20 0 10 20 40 80 sea level datum. ■j DATE. November 24, 2014 E CALE: 1 - 20' Review: PS Comp.: Project: 31022 Project: C578