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HomeMy WebLinkAbout0077 THOREAU DRIVE ��.�� � � . , , ,, .. ,, _ ._.. ._ � �+ ;.; ,: � � r. 4 - :: �. � � y, 'a� .... -a .. � � ., _, _ .: • _ _ ,�. �. �.�, .. c } ,. ..� - a. .. �. - -. �. ,: z - ., , � � � ,� :, i ,. c. �� ._ J ;. . �. P_ ,. .: �. ,. .. .. _ t .1 .. a 3 � � ,. .. t: :. � � � n. .... �' ...... Assessor's map and lot number .. ..........Z a.7. ,: 5 - SEPTIC SYSTw , aE INSTALLED IN COUP Sewage Permit number :................:. �r y, r.. .................. WITH A r�`i 4C�.E SANITA, Y, CCU 3 N �pF7NET��y TOWN OF BARNSTA93% fewQ p� BARNSTABLL' "b q - BUILDING INSPECTOR 'EO.YPY a' ` APPLICATIONFOR PERMIT TO ......... ................................................................................................................... TYPEOF -CONSTRUCTION ................. GG` ............................................................................................. �c7..............192). . TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location .................� .......... ... . ..... ....................................................................................... ..�: ../.../�.�ac�t�- .,/.�..� ................................................................................................................................ Proposed Use ....... ... . . .............. j Zoning District / ............................Fire District ...... ............................... ........................................ .. Name of Owner . ......... ......................................Address r ° Nameof Builder ....................../.............................................Address .................................................................................... Nameof Architect ..................................................................Address .................................................................................... Numberof Rooms ............... ............................................Foundation ................ ......... Exterior ... .................................................Roofing ................................ .................................................. ..........Interior .............. � .... Floors • .......... ............................................ .................................. �. (� ........................................Plumbing ......... ....�t'c! Heating ......... ............................ ......................................................... Fireplace .................................Approximate Cost ..... /.. `-C7..................... .. ..... Definitive Plan Approved by Planning Board ________________________________19________. Area Diagram of Lot and Building with Dimensions Fee ...../............................ SUBJECT TO APPROVAL OF BOARD OF HEALTH n V• ql 3e� 1 • I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable reg ding the above construction. Name ................................. ......................................... Small, Alan E. ' . �—.. Permit for ......oa�.. --. ^ 11 oo-------. ----'~---.--^.-----.~ o ~ ' Location ........7����� ... ............................ � ........................�gnggKy1lle__________. | Owner ............ -------- ' - ( . Type of Construction ....... K4gA-------- ( ` --'----------------------- ^ #82 Plot ............................ Lot ................................ - � � ~ Jz��� 23 7� Permit Granted ---- —lV 41 Date of Inspection - ����« _~ - Dote Completed .��%..��..�..«-----..lg � ' | ' ' ' PERMIT REFUSED ^ -----_--------------.. lA � ^ � --------------------------. . � i —_—________________. ____ � —� —. � � . -------------'^^~^~----'--^~—' � ^ ''---'------`-----'—^^—~----^— ' . Approved ---------------.. lA ' � --'--------------'^----^^—~- ----------~----------'^--^^'' ` � � Assessor's map and lot number -2 Sewage Permit number .................... ..................... TOWN OF BARNSTABLE MARXST"LE. K639 BUILDING"&I*- -ILDING - INSPECTORA 1 . ID MFY APPLICATION FOR PERMIT TO ......... A...................... .......................................t................................................. TYPEOF CONSTRUCTION ............ ................ ................................................................................................. . ..... .c ..............I 9.2i TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location ....... ..................................................................................... .................................... Proposed Use ........V/J, I...I. ........................... Zoning District ..........................................— ............................Fire District .............................................................................. Name of Owner .........Address ........... ......................... Name of Builder ....................... ..............................................Address .................................................................................... Nameof Architect ..................................................................Address .................................................................................... Number of Rooms .................&............................................Foundation ........ ................................. Exierior .......--6j IVc ............................Roofing. ............0.. .. ........................................................................... .... .f ........... Floors 5l Interior I ... ....................................... ................................. Heating .......... �2 ................................................. ......................Plumbing �2 ................................... Fireplace ....... Z-�S�, ....................................................Approximate Cost ..... ......... ......................... v ......Definitive Plan Approved by Planning Board --------------------------------19--------- Area ....13/4t - '....... ........................ Diagram of Lot and Building with Dimensions Fee ......... .............................. SUBJECT TO APPROVAL OF BOARD),OF HEALTH Z) 10 7- E- A I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding above construction. Name ...... .... ........................................ Small, Alan E. A=191-227 r 17773 one story, No ................. Permit for .................................... . single family dwelling .................r.............................................................. Location .....lThoreau Drive .......................................................... Centerville ............................................................................... Alan E. Small Owner .................................................................. Type of Construction ........frame .................................. ..................................................................I............. Plot ............................ Lot .........#82................. Permit Granted ...........un....J .e...2.... 19 75 . 3 Date of Inspection .................:..................19 Date Completed PEAZIT REFUSED ........................ ..................................... 19 /........................................................ ............................................................................... ........... ... ................................................................ Approved ................................................ 19 ............................................................................... ............................................................................... W -;`-°• ' PLOT -PLAN SHOWING: LOCATION OF BUILDING IN CENTERVIL•LE BAR N ST A B L E MASS. . FOR }.R �ALA'N' 'E. - SMALL INC., SCALE:' 1" =60 DATE: JUNE 20, 1975 +CHARLES N. SAVERY INC. REG.'C.E,a L.S. 712 MAIN ST HYANNIS, -MASS 41 45 e A 8 Z 1 S, 000 S.F. 8 I -0 0 8 3 t I O 24+ 44 N Dw 13.a 361 I0.0.00' 1 T H 0 R EAU. DR. I herCby cer;fy thvi the building exists_ on the ground as shown on this plan -nd . t is in aocordanc-; with the zonin requlremonts of the Tl n of Barnstable, - .1H oF ROBERT G. 1 /J1n.N�3cy'r.�• P. o BUNIKIS H , Nehisterrd Lana Surveyor No,$420 >sUR4 THIS LOT IS NOT LOCATED IN A FEDERALLY DESIGNATED FL60D PLAIN ZONE. 7, Z 2 3 B _ F v r Town of Barnstable Buildin 0 seRNSMBL Post This Card So That it is Visible From the Street_Approved Plans Must be Retained on Job and this Card Must be Kept v MAS& $ Posted Until Final Inspection Has Been Made. 1 O MA< �� Wh .: ere a Certificate of Occupancy is Required,.such Building shall Not be Occupied until a Final Inspection has been made. ermit Permit No. B-20-1377 Applicant Name: Kimberly DiRusso Approvals Date issued: 07/14/2020 - Current Use: Structure n Expiration Date: 01 14 Foundation: Permit Type: Building-Deck p / /2021 Location: 77 THOREAU DRIVE,CENTERVILLE Map/Lot: 191-227 M Zoning District: RC Sheathing: Owner on Record: DIRUSSO, ERIC G& KIMBERLY S Contractor Name: Framing: 1 Address: 77 THOREAU DRIVE Contractor License ': 2 CENTERVILLE, MA 02632 - Est. Project Cost: $4,500.00 - Chimney:. Description: Building deck off back right side door,wrap around to back of Permit Fee: $ 110.00 house. Fee Paid: $ 110.00 Insulation: Project Review Req: DECK BEAMS MUST MEET SPAN REQUIREMENTS BETWEEN Date: 7/14/2020 Final: FOOTINGS. Z, ,7�------ Plumbing/Gas Rough Plumbing: Building Official Final Plumbing: This permit shall be deemed abandoned and invalid unless the work authorized by this permit is commenced within six months after.issuance. All work authorized by this permit shall conform to the approved application and the approved construction documents for which this permit has been granted. Rough Gas: All construction,alterations and changes of use of any building and structures shall be in compliance with the local zoning by-laws and codes. This permit shall be displayed in a location clearly visible from access street or road and shall be maintained open for public inspection for the entire duration of the Final Gas: work until the completion of the same. Electrical The Certificate of Occupancy will not be issued until all applicable signatures by the Building and Fire Officials are provided on this permit. Minimum of Five Call Inspections Required for All Construction Work: Service: 1.Foundation or Footing $" 2.Sheathing Inspection Rough: 3.All Fireplaces must be inspected at the throat level before firest flue lining is installed 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection Final: 5.'Prior to Covering Structural Members(Frame Inspection) 6.Insulation Low Voltage Rough: 7.Final Inspection before Occupancy Low Voltage Final: Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Health Work shall not proceed until the Inspector has approved the various stages of construction. Final: "Persons contracting with unregistered contractors do not have access to the guaranty fund" (as set forth in MGL c.142A). . ' Fire Department Building plans are to be available on site All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT Final: S � � • Town ®f Barnstable _ Building lob and this CarsVisible From the Street pted bePost This Card So That it i --Approvplans.Mustbe Retained on MAS& Posted Until final Inspection Has Been Made. made. 1 i Wh el 1 re e a Certificate of Occupancy is Required,such Building shall Not be Occupied'until.a Final Inspection has been Permit No. B-20-1377 Applicant Name: Kimberly DiRusso Approvals Date Issued: 07/14/2020 Current Use: Structure Permit Type: Building-Deck Expiration Date: 01/14/2021 Foundation: r- Location: 77 THOREAU DRIVE,CENTERVILLE Map/Lot191-227 Zoning District: RC Sheathing: Owner on Record: DIRUSSO, ERIC G& KIMBERLY S Contractor Name 4 Framing: 1 Address: 77 THOREAU DRIVE Contractor License. 2 CENTERVILLE, MA 02632 r - Est Project Cost: $4,500.00 Chimney: , mat Fee:Per 110.00 Description: Building deck off back right side door,wrap around to back of I $ .Insulation: , house. Fee Paid:,` $ 110.00 Project Review Req: DECK BEAMS MUST MEET SPAN REQUI=REMENTS BETWEEN Date. / 7/14/2020 Final: FOOTINGS. Plumbing/Gas ((( Rough Plumbing: . Building Official Final Plumbing: This permit shall be deemed abandoned and invalid unless the work authorised by this permit is commenced within six months after'�issuance. r All work authorized by this permit shall conform to the approved application and the"approved construction documents for which this permit has been granted. Rough Gas: All construction,alterations and changes of use of any building and structures shall be in compliance with the local zoning by-laws and codes. This permit shall be displayed in a location clearly visible from access street or road and shall be maintained open for public inspection for the entire duration of the Final Gas: work until the completion of the same. Electrical The Certificate of Occupancy will not be issued until all applicable signatures by the Building and Fire Officials are provided on this permit. Minimum of Five Call Inspections Required for All Construction Work: '€ Service: 1.Foundation or footing 2.SheathingInspection Rough: 3.All Fireplaces must be inspected at the throat level before firest flue lining is installed A 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection Final: 5.Prior to Covering Structural Members(Frame Inspection) Low VoltageRough: 6.Insulation 7.Final Inspection before Occupancy Low Voltage Final: Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Health Work shall not proceed until the Inspector has approved the various stages of construction. Final: "Persons contracting with unregistered contractors do not have access to the guaranty fund" (as set forth in MGL c.142A). Building plans are to be available on site Fire Department All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT Final: Aug 01 2019 10:13AM Tupper Construction Co. 15087785010 page 1 TUPPE CONSTRUCTION O.LLC 546A Higgins Crowell Rd,WEST YARMOUTH,MA 0267 PHONE: 508-778-0111 FAX: 508.778-5010 EMAIL:admin@tupperco.com Date: Town of Barnstable , Building Inspector 0 200 Main Street kA Hyannis, MA 02601 " (508) 790-6230 fax -- Re: Insulation Permit at Permit# I� — 1 q �� �1 lV Issued On (- (a 01 This affidavit is to certify that all work completed ior the above permit application,has been inspected by a-certified Building erformance Institute (BPI) inspector. All work performed meets or exceeds Federal and State requirements. Sincerely, i Richard Tupper License # CS-69058 :1 J'I I I I I Town of BarnstableBuilding *. <" o Thant is U�s�ble From;the Street;A rovA`edPlans IVlust be Retamedon J;ob anthis CardMustbe tCe ,t �, 1Post This Cards pP u F Postedl�Unil Final In peetlon HasBeen Made ,; ,x, = ' �: . r . ,.. Where.a Gertifcate of,Occupancyis,Requred;"such Buldmgshall Not_beOceupied wnt�La F�nallnspection;whas,been made Permit illy Permit NO. B-19-2096 Applicant Name: Richard Tupper Approvals Date Issued: 06/26/2019 Current Use: Structure Permit Type: Building-Insulation-Residential Expiration Date: 12/26/2019 Foundation:. Location: 77 THOREAU DRIVE,CENTERVILLE Map/Lot. 191 227 Zoning District: RC Sheathing: fA T h Owner on Record: DIRUSSO,ERIC G&KIMBERLY S ;• �ContractorName ' Richard S Tupper Framing: 1 � ContractorLicense CS-069058 Address: 77 THOREAU DRIVE 2 CENTERVILLE, MA 02632 Est.Protect Cost: $969.00 Chimney: Description: Air seal home to restrict air leakage,install R-19�FG"Batt along Permit Fee: . $85.00 basement sills,install ventilation chutes,weatherstrip�dos. t Insulation: oc Fee Paid: $85.00 Project Review'Req: Date ; 6/26/2019 Final: �- %R A f' _ Plumbing/Gas „y �p - Rough Plumbing: VA ui in icia This permit shall be deemed abandoned and invalid unless the work authonie&by thi's permit is commenced within sixinonths after issuan Final Plumbing: All work authorized by this permit shall conform to the approved applicaUonuanbhe',approved construction documents for.which'this permit has been granted. All construction,alterations and changes of use of any building and structures shall be in compliance with the local zonmgfby lawsand codes. Rough Gas: This permit shall be displayed in a location clearly visible from access street or�r'adand shall be maintained open for public inspection for the entire duration of the work until the completion of the same. `` Final Gas: The Certificate of Occupancy will not be issued until all applicable signatures b-Ahe Bwldmg and Fire Offic als are`provided on this;permit. Electrical Minimum of Five Call Inspections Required for All Construction Work i 1.Foundation or Footing ` Service: 2.Sheathing Inspection f 3.All Fireplaces must be inspected at the throat level before firest flue Y" is_installed`� Rough: ,6 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection Final: 5.Prior to Covering Structural Members(Frame Inspection) 6.Insulation 7.Final Inspection before Occupancy Low Voltage Rough: Low Voltage Final: Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Work shall not proceed until the Inspector has approved the various stages of construction. Health "Persons contracting with unregistered contractors do not have access to the guaranty fund" (as set forth in MGL c.142A). Final: Building plans are to be available on site Fire Department All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT Final: AtLJ7 u oFIHE Town of Barnstable l PER�,ITl;� -,ires(rRESS��r�ngulatory Serviiccs Ire �bA 1° 10� OCT 2 2 200$ Thomas r:eeaer,Director SZ5�_ �_ • rFD MAK� ilding Divisioi< TOWN OF BARNSTAB ?in Perry,CBO, Building Commissioner 200 Main Strcct,Hyannis,MA 02601 www-town.barnslablc.ma_us Office:-508-862-4038 l six: 508-790-6230 EXPRT SS PERMIT APPLICATION - RESIDENTIAT, ONI.,Y Nol Valid without Red X-Prux ImI)rinf. Map/parcel Number / Property ddress Residential Value of Work Minimum Fee of S25.00 for work under$6000.00 Owner's Name&Address Contractor's Name r Tcleplionc Number_ Home Improvement Contractor.License#(if applicable) ��, 7� Construction Supervisor's License 1 (if applicable). ��,g� ❑Workman's Compensation Insurance Check one: ❑ I am a sole proprietor R'lhavtIlc tHomeowner Worker's Compensation Insurance Insurance Company.Name �-- Workman's Comp.Policy!✓ Copy.of Insurance Compliance Certificate must be on file. Permit Rcqucs check box) 7Re-roof(stripping old shingles) All constructio n debris s will be taken to ❑ Re-roof. not stripping., g ' ( ppin ,Going over existing layers of root•) - ❑ Re-side ❑ Replacement Windows. U-Value (maximum.44) . •Whcrc rcyuircd:.lssuance of this permit dots not exempt compliance with other town dcnartmem�cou1 '0 S I' r o �onwi er islnric;,eof ct v Lion,cic. ***Note: Property Owner must sign Property Owner Letter of Permission. Hom`c Vprovement Contractors License is required. SIGNATURE: 9 i01 ZZ !.vOl Q:rorms:cxpmcrg `13f Revisc071405 l li 1 (jr� AQr.L�� ' �9`► D WAS Cvall�a o r e,w wws A� 15^ lbs - 11 r \.O'A s71- ns�o��o " The Commonwealth of Massachusetts Page 10 of 10 Department of Industrial Accidents Office of Investigations 600 Washington Street tila Boston, MA 02111 www.massgov/dia Workers' Compensation Insurance Affidavit: Builders/Contract ors/Electricians/Plumbers Applicant Information Please Print (Legibly Name (Business/Organization/Individual): PA U L- S Ca c e O, Address: City/State/Zip: n 5�-e r y�c M/21r02(o G S Phone#: Are you an employer?Check the appropriate box: 'I�ype of project(required): 1.,N I am a employer with ['2—.. 4. ❑ I am a general contractor and I employees(full and/or part-time).* have hired the sub-contractors 6. ❑New construction 2.❑ I am a sole proprietor or partner- listed on the attached sheet I 7. ❑Remodeling ship and have no employees These sub-contractors have 8. ❑ Demolition working for me in any capacity. workers' comp.insurance. 9. ❑Building addition [No workers'comp.insurance 5. ❑ We are a corporation and its WE]Electrical repairs or additions required.] officers have exercised their 3.❑ I am a homeowner doing all work right of exemption per MGL I I.❑ Plumbing repairs or additions myself[No workers.'comp. - c. 152, §1(4),and we have no 12,g Roof repairs insurance required.]t employees. [No workers' 13.❑Other comp. insurance required.] *Any applicant that checks box#I must also fill out the section below showing their workers'compensation policy information. t Homeowners who..subinit this affidavit indicating they arc doing all work and then hire outside contractors must submit a new affidavit indicating such. tCont actors that check this box'must attached an additional sheet showing the name of the sub-contractors and their workers'comp.policy information.. 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.Lie.#: k � }��� Expiration Date: Job Site Address: City/State/Zip: /State/Zi P-=�--�—� ty 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 er he pains and enalties of perjury that the information provided above is true and correct Si attire: Date: Phone Ofcial 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#: Property Owner Must Complete &Sign This Form If Using a Roofer / Builder. I (print) (n �r ��� 7cr+� , as Owner / Agent of the subject property hereby authorizes Paul J. Cazeault & Sons Roofing Inc. to act on my behalf, in all matters relative to work authorized by this building permit application for: Address of Job -7 �7 0 r-e call C PJv+ ,�'' Vc���-e,, U A(0 3;[-- Signature of Owner '�„� Pcn� Mailing Address of Owner S aw►e- as all a y r7 -7 T�A vY e, Telephone# S08 - `7 7'�-- `7 9 l Date C�m 0 (Please return this form to Cazeault roofing along with your signed contract; It is needed for us to obtain the building permit required by your town, to complete your roofing project, thank you) fax#508-420-4555 A'VL ,RD CERTIFICATE OF LIABILITY INSURANCE CSR RF DATE(MM'DDNYYY) .CAZEA-5 08/11/06 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTfFICA'fE. MacIntyre Fay & Thayer Ins Agy HOLDER-THIS CERTIFICATE DOES NOT AMEND,EXTEND OR 77 Accord Park Drive Unit B-1 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW: Norwell MA 02061 Phone: 7$1-261-2000 Fax:7$1-251-2099 INSURERS AFFORDING COVERAGE NAIC# INSURED j INSURER A:American International Co. INSURER 8: - .1 Paul 3 Caxeault & I)NsuRERc: Sons Roofing Inc- 10-31 Main Street I INSURER D: Osterville MA 02655 .INSURER.E: COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED.NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN.THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN 13 SUBJECT TO ALL THE TERMS,EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. ..._.. POLICY NUMBER d P LI Y-EFFECTIVE_. _ POLICY...�_. -PI._TION LTR INSRO TYPE OF INSURANCE i DATE MMIDOIYY GATE (AMID LIMITS ! GENERAL LIABILITY EACH OCCURRENCE h$ ` COMMERCIAL GENERAL.LIABILITY i PREMISE -(go occurence)- I S OCCUR j_ CLAIMS MADE .; MEO EXP(Any one person) $ PERSONAL S ADV INJURY $' GENERAL AGGREGATE :S I(GGEEPPL AGGREGATE LIMIT APPLIES PER: I !PRODUCTS-CO MP10 P AGG j$ 1 POLICY 1 {I JE a ��LOC !- ! AUTOM081LE-LIABIUTY ! j ! COMBINED.SINGLE LIMIT ! £a accident 1$ ANY AUTO ! ( I i ALL OWNED AUTOS j ! I BODILY INJURY ' i SCHEDULED AUTOS ;(Per person) ?S r HIRED AUTOS BODILY INJURY i J ` )NON-OWNEDAUTOS ! 1 (Perecaidenl) '$ 'w i ! 1 ! ' IPROPERTYDAMAGE !$ S {Per accident) 1^GGAARAGE LIABILITY I i AUTO ONLY-EA ACCIDENT 1$ 1 ! I ANY AUYO — OTHER THAN EAACC_ $ i AUTO ONLY: AGG $ FXCESSIUMBRELLA LIABILITY j EACH OCCURRENCE 5 I 0CG:1R CLAIMS MADE j ) AGGREGATE -S 't I 1 ( $ I 1: j�DEDUCTIBLE i g !RETENTION $ ! I WORKERS COMPENSATION AND I X -EMPLOYERS'LIABILITY •• — A 1 6978565 08/10/08 08/10/09 ;E.LEACHACCIOENT ;$100000 ANY PROP RIETORIPARTNERIEXECUTIVE OFMCERIMENIBER€XCLUDEDT i E.L.DISEgSE=EAFUv1P1:0YEEj S 1.00O:00 '11 yes,describe under SP£GLAL.PRO1V1SONS below EEL DISEASE-POLICY LIMIT IS 500000 I OTHER I --- -- - DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS CERTIFICATE HOLDER CANCELLATION FOR MC SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,THE ISSUING INSURER WILL ENDEAVO.R.TO_.MAIL.D30 DAYS-WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO 00 SO SHALL For Tnf ormation -Purposes IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR REPRESENTATIVES: AU EDREP S TATiYIn� ACORD 25(2001108) /`� ©ACORD CORPORATION-1988 Dowling&O'Neil Insurance ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER THIS CERTIFICATE DOES NOT AMEND,EXTEND OR Agency ALTPR THE'COVERAIGE AFFORDED BY THE POLICIES BELOW. 973 lyanough Rd., PO Box 1990 Hyannis,!MA 02601 INSURERS AFFORDING COVERAGE NAIC# INtUkED INSURERA: Western World Paul J.Cazeault&Sons,Inc. INSURER B: 1031 Main.Street - INSURERC: - Osterville,MA 02655 INSURER D: INSURER E: COVERAGES THE POUiCIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED.NAMED ABOVE FOR THE POLICY PERIOD INDICATED.NOTWITHSTANDING ANY REGIUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.AGGREGATE:LIMITSSHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. POLICY EFFECTIVE POLICY EXPIRATION _ TYPE OF INSURANCE POLICY NUMBER _ ;;__DAT MMIDD - -, LT$. NS - - .-OATS: MIDD•. LIMITS A GENERAL LIABILITY NPP1145484 04/30/08 04/30/09 EACH OCCURRENCE $1000000 X COMMERCIAL GENERAL LIABILITY DAMAGE TO REN1 $5O 660 CLAIMS MADE Q>OCCUR MED EXP(Any one person). $5.000 X BI/PD Ded:1,000 PERSONAL&ADV INJURY $1 000000 GENERAL AGGREGATE $2000000 GEN'LAGGREGATE:.LIMIT.APPLIES::PER PRODUCTS.-COMP/OP AGG- -$1 00%000 POLICY JE OT- LOC AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ ANY AUTO (Ea accident) ALL OWNED AUTOS BODILY INJURY SCHEDULED AUTOS (Per person) $ HIRED AUTOS BODILY INJURY NON-OWNED AUTOS (Per accident) $ PROPERTY DAMAGE $ (Pet accident). GARAGE LIABILITY -A ONLY-EA ACCIDENT $ ANY AUTO OTHER THAN EA ACC $ AUTO ONLY: AGG $ EXCESSIUMBRELLA LIABILITY - EACH OCCURRENCE $ OCCUR CLAIMS MADE AGGREGATE $ DEDUCTIBLE S RETENTION $ $ WORKERS COMPENSATION AND tNCRY STATU- OTH- T LIER EMPLOYERS'LIABILITY ANY PROPRIETORIPARTNER/EXECUTIVE E.L..EACM ACCIDENT OFFICER/MEMBER EXCLUDED? EL DISEASE-EA EMPLOYE .$ If yes,describe under - SPECIAL PROVISIONS below E.L.DISEASE-POLICY LIMIT $ OTHER DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES t E.XOLUSIONS AbDED,BYENOORSEMENT I-SPECIALPiZOVISIONS Operations performed by the named insured subject to policy conditions and exclusions. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION Paul J.Cazeault&Sons DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL -_:1.0 DAYS WRITTEN Roofing,Inc. NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO DO SO SHALL 1031 Main Street IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR Osterville,= 02655 REPRESENTATIVES. AUTHORIZED RFPRESENTATIVE ACORD 25(2001/08)1 Of 2 #52027 LS1 ©ACORD CORPORATION 1988 Ak Boar o uz In e ulans an an ar s g g One Ashburton Place - Room 1301 Boston. Massachusetts 02108 tir,. Home Improvement optractor Registration Registration: 103714 t ` Type: Private Corporation y - } Expiration: 7!9/2010 Tr# 269847 PAUL J. CAZEAULT & SONS, ING: Paul Cazeault - =- 1031 MAIN ST -------- — OSTERVILLE, MA 02658 Update Address and return card.Mark reason for change. S-CAt C� SOM-07l07-PC8490 Address Renewal ❑ Employment ❑ Lost Card ' ✓ItC 1/JG%4L�720'/LIAJBCLU/L OL��4dQG/L[[6P.I� .. . .� .. .. .. .. - Board of Building Regulations and Standards License or registration valid for individul use only HOME IMPROVEMENT CONTRACTOR before the expiration date_ If found return to: Registration: 103714 Board of Building Regulations and Standards Expirati.ons,:_:T/9/2010 Tr# 2698z7 One Ashburton Place Rm 1301 Type Private Corporation Boston,Ma.02108 PAUL J.CAZEAULT__&',SONSING. Paul Cazeault 7 6711 Boar o ui in glui latons an g e b tan aids One Ashburton Place - Room 1301 Boston. Massachusetts 02108 Construction Supervisor License License CS: 26325 Restriction: 00 Birthdate: 10/20/1959 Expiration: 10/20/2009 Tr# 5311 PAUL J CAZEAULTn 1031 MAIN ST OSTERVILLE, MA 02655 -' Update Address and return card.Mark reason for change. Address Renewal j DPS-CA1 v 5OM-07/07-PC8490 —• _.-_ -..- .Lost Card - .. 4 �2 ✓JLQ V�00720)7.OIlI�C�GG/L ✓�(Rdr1Q�AZIL6P.�6 - J� ^Board of Building Regulation and Standards Construction Supervisor License. s n License CS 26325 k Birthdate- 10/20/1959 Expiafion_-10720[2009 Tr# 6311 71g RestcicLon 00 PAUL.J CAZEAUC7�==: :_ `._ A=191-227 JOSF,PH D. DALUZ TELEPHONEt 775.1120 Building Commissions EXT. 107 TOWN OF BARNSTABLE BUILDING INSPECTOR TOWN OFFICE BUILDING HYANNIS. MASS. 02601 April 23, 1990 Mrs. Gertrude Toppin 77 Thoreau Drive Centerville, MA 02632 Re: A=191-227 Dear Mrs. Toppin: As you know, Mr. Richard Burnham, Assistant Gas/Plumbing Inspector from this office did respond to your home following your telephone call with a concern that you might have had a gas leak. You also stated that you had some misunderstanding with the Gas Company. Upon inspection Mr. Burnham found that. the boiler feeder valve on your boiler was turned off. The boiler pressure was at the normal pressure of 15 pounds. He did note, however, that the boiler needs a new feeder valve and a Watts 9-D backflow preventer. These items would be your responsibility to replace. A plumber would be the person to help you. I trust this will resolve your concerns. Please be mindful that j you should attend to this immediately. Peace, seph D. DaLuz N Building Commissioner JDD/gr a i y Y