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HomeMy WebLinkAbout0187 CROCKERS NECK ROAD ��1� �%��� �c�� -- �. �, .. i i Town of Barnstable *Permit o p� Expues 6 nwissue dat Regulatory Services Fee 11ARNSrAB1 s,ASS • 1639. Thomas F:Geiler,Director Building Division " Tom Perry,CBO, Building Commissioner. 200 Main Street,Hyannis,MA 02601. www.towri.barnstable.ma.us Office: 508-862-403 8 Fax: 508-790-6230 ENTRESSP& APPLICATION - RESIDENTIAL.ONLY r1 i Not Vand without Red X-Press Imprint . Map/parcel Number �J Property Address Prop e. v � (residential Value of Work Minimum fee of$35.00 for work under$.6000.00 Owner's-Name&Address 1 \� Contractor's Name �'�� S U"A Telephone Number Home Improvement Contractor License#(if applicable) Z l� Construction Supervisor's License#(if applicable). CJ PLZ ❑Workman's Compensation Insurance Check one: am a sole proprietor 'AUG' —3 ❑ I am the Homeowner ❑ I have Worker's Compensation Insurance To N pF gARNST , Insurance Company Name ABLE Workman's Comp.Policy#. Copy of Insurance Compliance Certificate must accompany each permit. Permit Request(check box) ' e-roof(hurricane nailed)(stripping old shingles) All construction debris'will be taken ❑Re-roof(hurricane nailed)(not stripping. Going over existing layers of roof) ❑ Re-side #of doors- El Replacement Windows/doors/sliders:U-Value (maximum.35)#of windows ❑ Smoke/Carbon Monoxide detectors 4 floor plans marked with red S and inspections required. . Separate Electrical&Fire Permits required. *where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. ***Note: Property Owner must sign Property Owner Letter of Permission. A copy of the Home TMvement Contractors License&Construction Supervisors License is r ` SIGNATURE: Q:IwPFM\FORMS�buil permit forms�RESS.doG Revised 053012 f Details Page 1 of 1 f Licensee Details Demo ra hic Information Full Name: MARK S SUNDMAN Gender: Owner Name: License Address Information Address: 12 EASTERLY DR Address 2: City: East Sandwich State: MA Zipcode: 02537 Country: United States License Information License No: CS-048752 License Type: Construction Supervisor Profession: Building Licenses Date of Last Renewal: Issue Date: 4/5/2010 Expiration Date: 3/25/2014 License Status: Active Today's Date: 802012 Secondary License: Doing Business As: Status Change: 18 Prerequisite Information No Prerequisite Information Discipline No Discipline Information Documentum http://elicense.chs.state.ma.us/Verification/Details.aspx?agency_id=1&license_id=237739& 8/3/2012 I ne Utticial vvelDsite or the executive Uttice of RUNIC 5atety ana Security (LuH66) Mass.Gov Home State Agencies State Online Services Search Results • Select the licensee name below for more information. (If your search produced more than one page; you may select page numbers at the bottom of this screen.) • `Select the Search for a Person or Search for a Facility button to perform a new search. • Select the Preview File button to view a sample of the fields included in a file you can download. • Select the Download File button to download a text file of your search-results at no charge. 0 Select Public Information Request Form for a form to order a data file. Search for a Person Search for a Facility Preview Fi CDownload File Narrlc ILicense Number jLicense.Type ILicense Status lAddress, SUNDMAN MARKS CS-048752 Construction Supervisor ctive East Sandwich MA 02537 .l i 12011 Commonwealth of Massachusetts Site Policies Contact Us Site Ma Office T&42WW�Y . _ License or registration valid for individul use only HOME IMPROVEMENT-CONTF'=ACTOR before the expiration date. If found return to: V, )s Registvation:�.172509 Type: Office of Consumer Affairs and Business Regulation Expi,--ration: 7[2/2014 Individual 10 Park Plaza-Suite 5170 --- Boston,MA 02116 SUNDMAN � YI MAF!! SUNDNI11,i 14 12 EF,STERY DF'. ``�� � ✓ 4 % �� SANDWICH, MA 02537 Undersecretary to 1._` aliNtho x, The Commonitveah*o,f Massachrwetfs Deparwww o,f ludustria t Accid 09w a o,f Im estigadons 600 Washington Sir eel Boston,AL4.02111 Workers' Compensation Insurance Affidavit+Builders/Coutractars/E1ectricians/Plumbers Applicant Information Please Print Legibly Name Musiu�nizztim1n&vidaa1)_ cityrstate/ Phone 47 Are you an employer?Check the appropriate ox: Type of project(required): 1_❑ I am a employer with 4• ❑ I am a general contractor and i to fail andlor * have hired the sub-contractors 6: �New construction�P �� girt-lute), 24,11 ain a sole prapsietor or partner- listed oa the attached sheet. 7_.❑Remodeling. ship and have no employees These sub-contractors have 8_ ❑Demolition wmiting for the in any capacity. employees and bave worms' [NO workers'com}�- a**�„re co>inp_itmtranml : 9_ Budding addition requzed-j 5_ El We are a corporation and its 1{k❑Electrical repairs or additions 3_❑ Lama boMeowner doing al1'work offims have•eaemsed their 11_Q Plumbing repairs or additions myself[No work m,'camp. . . right of exemption per MGL 12.&Roof repairs, insurance ]1 c.152,§1(41 and we have no employees.[No woriro:rs' 13_ Other camp:insuraom required] `+ Ygp��ILatcLecksbax#lmustalsofillouthesectiaabelawshowingtherwodezecomp�atiaapo7icyinfornxtim Hnnueaaioeis wlw submit this affidavit indicating they aze.doing all wart and then Wre outside contactors mast submIit a new affidavit indicating sadz lconuacmtlatcheckbis box mast.sawchedPadditin sheetshowingtheHzneaftlwsub-camuwAomznd:ststewbadwarnatfmseentitiesLam employees-.If the anb�lave n y-%they must provide their warkeW comp.policy,number. I am an emplvyvr that isprovfi fr;g workers'congwnsaif*n in=ranca fb+ my$mplafve& Below is the p of cp and jab ske infotmatiom insurance Company Name: Policy#or Self ins_Uc.#: Expiration Date: Job Site Addrrss:'-'. Cityf5tatelZip: . Attach a ropy of the workers'compensation policy declaration gage(showing the policy number and expiation 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 andloi orte�*-year irprisortmeit,as well as tail penalties in 1he form osf a STOP WORX ORDER and a fine of tzp to$250,04.a day against the do Be.advised that a copy of this.statement luay be f nvarded to the Office of Investigations of the DIA.for misuranc coverage verification-, I do here rani b.Y f� thepains the info rmafionPr6WArdabove is aatd carrecat Si Date: .— Phone#: . Off&—cal use only. Do nit a¢rite in this:area,to be camp&d d by city or town o freiat !City or Town: PermitMicense# Issuing Authority(circle one): 1.Board of Health 2.$uitdingIkpartment 3..cityfrown Clerk d..Electrical Inspector S.Plumbing Inspector 6.Other Contact Person: Phone#: 6 T 5L - - • BnaxseeB • Town' of.Barnstable 9Q i639. ,0� - Regulatory Services Thomas F. Geiler,Director Building Division M1 Thomas Perry,CBO Building Commissioner 200 Main Street, Hyannis;MA 02601 . www.town.barnstable.mA.us Office: 508-862-4038 Fax: 508-790-6230 Property Owner Must Complete and Sign-This Section If Using A Builder . 6 ( ' as.Owner of the subject property hereby authorize �`'\��� �\ to act on my behalf, in all matters relative to work authorized by this building permit application for: c-o (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. - QAWHMESTORWbuilding permit iormsENPRESS.doC Revised 051811 Parcel Detail Page 1 of 3 / cR K ��pp 1ti89• k��� �` + ',�. � ,yam r� � �f �r "'' .,,�,' Logged In As: Parcel, Del I I Monday,August 6 2012 Parcel Lookup L Parcel Info I _ _ Develo pe r -- — Parcel ID j:01�9-034 Lot LOT 145B�% ' Location 1187 CROCKERS NECK ROAD I Pri Frontage F220 Sec Road ^ �I Frontage F---- village COTUIT _____ + Fire District FCOTUIT Town sewer exists at this address!NO ~' Road Index 0383 Asbuilt Septic Scan: Interactive 019034 1 Map Owner Info Owner BARGER,JAMES C Co-Owner %TEUBER,WILLIAM J JR _ Streets F87 FOREST AVENUE Street2T �� ^ City EW ST NEWTON _ ) State�MA Zip[02465 Country Land Info _ Acres 0 59 » ] use Fsirigle Fam MDL-01 I m zoning WF Nghbd 0107��� Topography[Level Road Road Paved utilities Public Water,Gas,Septic Locationy ^ Construction Info Building 1 of 1 Year` Roof Ext Built 11950 I Struct Gable/Hip J wall kWood Shingle Tpi2ssl. Living 1104 Roof jAsph/F GIs/Cmp AC None Area Cover_ Type Style Ranch Int DryW211 f Bed]2 Bedrooms wall J Rooms i 1._drop _._­Int Bath Model(Residential I Floor Carpet I Rooms 1 Full Grade AVera a Minus Heat Hot Water Total l5 Rooms M; 9 i TYPtF,_.,.._,.....__._... __-I Rooms 1 ._. �� I Heat(—u^- found-I_ - Stories 1 Story Fuel Gas ation I Poured Conc. Gross(1832 Area! Permit History _ http://issgl2/intranet/propdata/ParcelDetail.aspx?ID=683 8/6/2012 i Parcel Detail Page 2 of 3 Issue Date Purpose Permit# Amount Insp Date Comments 8/10/1999 New Addition 14G336 $12,000 1/1/2000 12:00.00 AM Visit History Date Who Purpose 2/17/2005 12:00:00 AM Paul Talbot Meas/Est 8/27/2002 12:00:00 AM Paul Talbot Meas/Listed-Interior Access 3/9/2000 12:00:00 AM Martin Flynn Bldg Permit Completed 10/26/1999 12:00:00 AM Martin Flynn Meas/Listed-Interior Access Sales History _ Line Sale Date Owner Book/Page Sale Price 1 10/15/1990 BARGER,JAMES C 7335/088 $75,000 2 10/15/1990 LAFORCE, ROBERT LOUIS 7335/085 $1 3 10/15/1990 LAFORCE, ROBERT LOUIS 7335/084 $1 4 4/15/1989 LAFORCE, ROBERT LOUIS 0555-E1 $1 5 5/17/1962 LAFORCE, LOUIS E e 1157/277 $0 6 6/5/2012 TEUBER,WILLIAM J JR 26389/193 1 $240,000 Assessment History Save# Year Building Value XF Value OB Value Land Value Total Parcel Value 1 2012 $74,400 $12,400 $2,500 $179,100 $268,400 2 2011 $91,600 $3,000 $0 $207,900 $302'500 3 2010 $91,500 $3,006 $0 $219,500 $314,000 4 2009 $87,400 $2,400 $0 $264,900 $354,700 5 2008 $101,800 $2,400 $0 $252,400 $356,600 7 2007 $101,600 $2,400 $0 $252,400 $356,400 8 2006 $91,700 $2,400 $0 $249,100 $343,200 9 2005 $84,400 $2,300 $0 $173,600 $260,300 10 2004 $68,300 $2,300 $0 $173,600 $244,200 11 2003 $60,200 $2,300 $0 $78,700 $141,200 12 2002 $60,200 $2,300 $0 $78,700 $141,200 13 2001 $60,200 $2,300 $0 $78,700 $141,200 14 2000 $24,900 $1,700 $400 $47,800 $74,800 15 1999 $24,900 $1,700 $400 $47,800 $74,800 16 1998 .$24,900 $1,700 $400 $47,800 $74,800 17 1997 $18,300 $0 $0 $47,800 $67,000 18 1996 $18,300 $0 $0 $47,800 $67,000 19 1995 $18,300 $0 $0 $47,800 $67,000 20 1994 $19,800 $0 $0 $53,800 $74,500 21 1993 $19,800 $0 $0 $53,800 $74,500 22 1992 $22,500 $0 $0 $59,700 $83,200 23 1991 $41,300 $0 $0 $63,700 $106,000 24 1990 $41,300 $0 $0 $63,700 $106,000 25 1989 $41,300 $0 $0 $63,700 $106,000 26 1988 $48,100 $0 $0 $30,400 $79,500 27 1987 $48,100 $0 $0 $30,400 $79,500 28 1 1986 1 $48,100 $0 $0 $30,400 $79,500 http://issgl2/intranet/propdata/ParcelDetail.aspx?ID=683 8/6/2012 r{ , _x`•VA uj �•�`,�ya.G•ri�`�.+'�e:F`�' "'s..3 �' �j`�x: I ,. ... � tr( «� r . I ow i c ` .:�: "..w � a '�`� �� .� .fit.a, .�` :��,a "�,^�;; <% !'1�,>.:: .�#'.'°�s` k.•=.-a. �m"e��i's.;._a��" t r y T�i A-, � 'IL ,*",1",.„ 7m f -`.w�♦ Y L # 2? ( .F. ' e�"ian."Lljwpµ.y�yp@ {#� .DPi tl r ,ts 01, {{pp f� x "��f S.Aly f- �t'gb�5�.�s ���,t �,��� x a# �j.�, ����S �q� �� � �YJ+r' � , ir 001 �z x.=o- 1 r i"�4� ...-.....r.tv�•.y.ti,.rv...--.—r-.... .. ._ t,,.. Yr�. -�-t�.. . r.<.,:-.....yo,-.-:...;..:.t'-r-aa.y...�1,.'.�.^�-a..•+.�-'A,,..,,..-.•�^/"..-.�.«.,...:HS'1/v.--r.-. ,.—�+..�:--r„"-�T�..t«�.i`,��!^��..,,,ry_.�,.+„�_.r.�, `�,HE►a,� The Town of Barnstable BARE. - Department of Health Safety and Environmental Services t639' plFD 1"A 1.1 Building Division 367 Main Street, Hyannis,MA 02601 Office: 508-790-6227 Ralph Crossen Fax: 508-790-6230 Building Commissioner Inspection Correction Notice Type of Inspection -0 rr Location 0 C-,� P/0 X)P L�r Permit Number Owner Builder One notice to remain on jobsite, one notice on file in Building Department. The following items need correcting: 5 Please call: 508-862-4038 for re-inspection. Inspected by Date �g(9, r TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION , r SEPTIC SYSTEM MUST E - Map aL Parcel INSTALLED IN COMPOOrMi t. 033� - .16'�9ITH TITLE r Health Division Ila13, � ENVIRONMENTAL � O��e„Iss�d Conservation Division I io �� TO TR REGULAL 9C566� `' �. D Tax Collector f Treasurer', /b l °-Planning Dept. , Q-Date Definitive Plan Approved by Planning Board Historic-OKH Preservation/Hyannis Project Street Address Z/ rl? Village Owner Address 3 d f' c G Telephone Permit Request �`.�-�-r� l�w tit_. ,�� �%�z cI Square feet: 1st floor: existing_, F proposed 2nd floor:existing proposed _ Total new 3 � Estimated Project Cost & a O D Zoning District Cl F_ Flood Plain -( Groundwater Overlay ' Construction Type &&Zo i✓I Lot Size r2 3 R 7 Grandfathered: ❑.Yes ❑No If yes,attach supporting documentation. Dwelling Type: Single Family Two Family 0 ° Multi-Family(#units) Age of Existing Structure Historic House: ❑Yes Colo On Old Kin g's Highway: O YesJo Basement Type: -1eull 4Grawl `'0 Walkout ❑Other Basement Finished Area(sq.ft.)• Basement Unfinished Area(sq.ft) 3!Y Number of Baths: Full: existing / new Half:existing 0 new 4 Number of Bedrooms: existing_ new - Total Room Count(not including baths):existing new First Floor Room Count f� Heat Type and Fuel: Id Gas ❑Oil 0 Electric 0 Other _ Central Air: ❑Yes Ao Fireplaces: Existing New Existing wood/coal stove: ❑Yes k10 Detached garage:0 existing ❑new size ° Pool:0 existing ❑new size Barn:Cl existing ❑new, size Attached garage:0 existing ❑new size Shed:0 existing.0 new size Other:. Zoning Board of Appeals Authorization 0 Appeal# Recorded❑ Commercial O Yes l7 N�o If yes,site plan review# t Current Use a,,S r�lc ,�+� Proposed Use e 5 Xe u� 4-Z' BUILDER INFORMATION ; Name "A Telephone Number Address 0 /%:t l�i � / License`# s / 7 3 / re 7Z411 Home Improvement Contractor# /4/ 914 — Worker's Compensation# d ALL CONSTRUCTION DEBRIS;RESULTING FROM THIS PROJECT WILL BE TAKEN TO .� SIGNATURE �� DATE ad FOR OFFICIAL USE`ONLY PERMIT NO. 13 DATE ISSOED MAP/PARCEL`NO. ADDRESS " ' F VILLAGE + ' OWNERf DATE OF INSPECTION: FOUNDATION ` , + , ' 1 { • ' FRAME' INSULAT40N 3 ' � � — t. f. s# - M . • FIREPLACE ELECTRICAL,: ROUGH FINAL PLUMBING: , ROUGH FINAL: i. GAS: ` ROUGH FINAL FWAL'BUILDING DATE CLOSEVOUT i ASSOCIATION PLAN NO. { The Town of Barnstable Department of Health Safety and Environmental Services Eo ' Building Division 367 Main Street,Hyannis MA 02601 Office: 508-862-4038 Ralph Crossen Fax: 508-790-6230 t Building Commissioner Permit no. Date AFFIDAVIT HOME IMPROVEMENT CONTRACTOR LAW SUPPLEMENT TO PERMIT APPLICATION MGL c. 142A requires that the"reconstruction,alterations,renovation,repair,modernization,conversion, improvement,removal,demolition,or construction of an addition to any pre-existing owner-occupied building containing at least one but not more than four dwelling units or to structures which are adjacent to such residence or building be done by registered contractors,with certain exceptions,along with other requirements. Type of Work: Wo doIjAw.,44 ��fc t¢ry Estimated Cost Address of Work: Owner's Name: ^ s Date of Application: I hereby certify that: Registration is not required for the following reason(s): Work excluded by law OJob Under S1,000 Building not owner-occupied QOwner pulling own permit Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c. 142A. SIGNED UNDER PENALTIES OF PERJURY I hereby apply for a permit as the ent of the owner. 0 0 3/ Date Con ame Registration No. OR Date is Name q:forms:Affidav MAScheck COMPLIANCE REPORT Massachusetts Energy Code Permit # MAScheck Software Version 2.0 Checked by/Date CITY: Hyannis STATE: Massachusetts HDD: 5973 CONSTRUCTION TYPE: 1 or 2 family, detached HEATING SYSTEM TYPE: Other (Non-Electric Resistance) DATE: 8-10-1999 DATE OF PLANS: TITLE: COMPLIANCE: PASSES Required UA = 92 Your Home = 90 Area or Insul Sheath Glazing/Door Perimeter R-Value R-Value U-Value UA ------------------------------------------------------------------------------- CEILINGS .416 30.0 3.0 13 WALLS: Wood Frame, 16" O.C. 431 15.0 3.0 29 GLAZING: Windows or Doors 81 0.400 32 FLOORS: Over Unconditioned Space 336 19.0 16 ------------------------------------------------------------------------------- COMPLIANCE STATEMENT: The proposed building design represented in these documents is consistent with the building plans, specifications, and other calculations submitted with the permit application. The proposed building has been designed to meet the requirements of the Massachusetts Energy Code. The heating load for this building, and the cooling load if appropriate has been determined using the applicable Standard Design Conditions found in the Code. The HVAC equipment selected to heat or cool the building shall be no greater than 125% of the design load as specified in sections 780CMR 1310 and J4.4. Builder/Designer Date S I s_ MAScheck INSPECTION CHECKLIST Massachusetts Energy Code MAScheck Software Version 2.0 DATE: 8-10-1999 Bldg. Dept. Use CEILINGS: [ ] 1. R-30 + R-3 Comments/Location WALLS: [ ] 1. Wood Frame, 16" O.C. , R-15 + R-3 Comments/Location WINDOWS AND GLASS DOORS: [ ] 1. U-value: 0.40 For windows without labeled U-values, describe features: # Panes Frame Type Thermal Break? [ ] Yes [ ] No Comments/Location FLOORS: [ ] 1. Over Unconditioned Space, R-19 Comments/Location AIR LEAKAGE: [ ] Joints, penetrations, and all other such openings in the building envelope that are sources of air leakage must be sealed. Recessed lights must be type IC rated and installed with no penetrations or installed inside an appropriate air-tight assembly with a 0.5" clearance from combustible materials and 3" clearance from insulation. VAPOR RETARDER: [ ] Required on the warm-in-winter side of all non-vented framed ceilings, walls, and floors. MATERIALS IDENTIFICATION: [ ] Materials and equipment must be identified so that compliance can be determined. Manufacturer manuals for all installed heating and cooling equipment and service water heating equipment must be provided. Insulation R-values and glazing U-values must be clearly marked on the building plans or specifications. DUCT INSULATION: I [ ] Ducts in unconditioned spaces must be insulated to R-5. Ducts outside the building must be insulated to R-8.0. DUCT CONSTRUCTION: [ ] All ducts must be sealed with mastic and fibrous backing tape. Pressure-sensitive tape may be used for fibrous ducts. The HVAC system must provide a means for balancing air and water systems. TEMPERATURE CONTROLS: [ ] Thermostats are required for each separate HVAC system. A manual or automatic means to partially restrict or shut off the heating and/or cooling input to each zone or floor shall be provided. e ti HVAC EQUIPMENT SIZING: [ ] Rated output capacity of the heating/cooling system is not greater than 125% of the design load as specified in sections 780CMR 1310 and J4.4. MISC REQUIREMENTS: [ ] Refer to 780 CMR, Appendix J for requirements relating to swimming pools, HVAC piping conveying fluids above 120 F or chilled fluids below 55 F, and circulating hot water systems. ----NOTES TO FIELD (Building Department Use Only)------------------------- r. 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I I It • 111 �•t1 • /1 �`•.' 1.� -.• 1 •II •11 1 Y•►' 11 11• •�./ 1 1 11 11 1 1 1 � 1 1 a •,' ' 1 else 1 I I I I I I I 1 1 1 I t r IIII . 1 • III � II I ' 1 :s F DATE(MM/DDNY) Io O . R IFIC�4TE �?F LIABILITY INSUF AI�C P'1© ©2 .... BARGERI 08/10/99 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Burlingame Insurance ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Robert Burlingame + HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR 20D Post Office Sq ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Centerville MA 02632 COMPANIES AFFORDING COVERAGE Robert Burlingame COMPANY Phone No. 508-771-0105 Fax No. 508-771-1258 - A Vermont Mutual Insurance Co INSURED COMPANY B Kemper Insurance COMPANY- James C Barger C PO Box 219 COMPANY' Cotuit MA 02635 D COVERAGES ..::. THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED,NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. CO TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS LTR DATE(MM/DD/YY) DATE(MM/DDNY) GENERAL LIABILITY GENERAL AGGREGATE $ 1,000,000. A X COMMERCIAL GENERAL LIABILITY BP17013142 09/26/98 � 09/26/99 PRODUCTS-COMP/OPAGG $ 1,000,000. CLAIMS MADE OCCUR PERSONAL&ADV INJURY $ 500,000 OWNER'S&CONTRACTOR'S PROT EACH OCCURRENCE $ 500,000 FIRE DAMAGE(Any one fire) $ 50,000 MED EXP(Any one person) $ 5 f 00 0 AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ ANY AUTO ALL OWNED AUTOS BODILY INJURY SCHEDULED AUTOS (Per person) $ HIRED AUTOS ,. BODILY INJURY• $ NON-OWNED AUTOS (Per accident) PROPERTY DAMAGE $ GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $ ANY AUTO OTHER THAN AUTO ONLY EACH ACCIDENT $ AGGREGATE $ EXCESS LIABILITY EACH OCCURRENCE $ UMBRELLA FORM AGGREGATE $ OTHER THAN UMBRELLA FORM $ WORKERS COMPENSATION AND WC STATU- OTH ,? EMPLOYERS LIABILITY TORY LIMITS ER <: EL EACH ACCIDENT $ 100 r 000 B THEPROPRIEf0PJ INCL TO BE ASSIGNED 10/09/98 10/09/99 EL DISEASE-POLICY LIMIT $ 500r000 PARTNERS/EXECUTIVE OFFICERS ARE: EXCL EL DISEASE-EA EMPLOYEE $ 10 0 r 0 0 0. OTHER �4 I DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/SPECIAL ITEMS_ Masonry CERTIFICATE HOLDER . CANCt=LLATI.b...N BARNSrlr1 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF„THE ISSUING COMPANY WILL ENDEAVOR TO MAIL Town of Barnstable 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, Bldg Insp Office BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY Main Street Hyannis MA 02601 OF ANY KIND UPON THE COMPANY,ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE Robert Burlingame ACORD'25 S(9f95) AGORD CORPORATION 1888 Alt J.1041!4 r ----------713��all llrT E£inTlpN - . anvna[(nwiapw�weiYc . Ei •. �. i,ruu w,avol»S.eawaKrnc) � � � n LJLJ s • � I FrVA1W f1�OM ♦... � i � r(NM?wc.erne _.._ _._ _ .� evl n 4austomesIgns , Y 14- 1ngr�9m p 1 �apeel _o. $:WM.PIAN DyCY17Tp?lYfdLL-- - . - 'IYot«4tVIRTav11Yf�11f.7lGTiRt6f1�'^W._..-.._.__� _ ' CAN 1 1•/ '+. O(.(1 ark lo•t A� - .�. .. 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ZONE: RF / � � �VP � FLOOD ZONE: "C �� � Qo��' � x ROAD p�9 COMMUNITY PANEL- 250001 0021 D ?o AS MAP.•119 � t11 5 . i o PLAN REF. 94-47 LOT 1458 0 AS LOT 34 o LOT 145A AREA= 23827E sq/ft LOCUS MAP LOT 144A CON60 � ►fib` PAD C 01 N � � 59.3 C> • �o• - f � � f 6 -- PLOT PLAN OP LAND .,..,. ::,HS87;;:� •4 � PR0pT1 EN CO TUIT MA. ADDI q PREPARED FOR 8 "$ R=3#14 02, . L=14.90 JAMBS BARGER B — 134. 92' �Tti Of - N87 5324"E / �� JULY 28, 1999 EDGE OF PAVEMENT / r IVECK �— YANKEE LAND SURVEYORS 40 INDUSTRY ROAD I CERTIFY THAT THIS SURVEY AND PLAN WERE MADE $g$ ' GRAPHIC SCALE MARSTONS MILLS, MA. IN ACCORDANCE WITH THE PROCEDURAL AND TECHNICAL STANDARDS FOR THE PRACTICE OF LAND SURVEYING IN 30 0 rs 30 so 120 TH MMONWEALTH OF MASSACHUSE ' . �. �9 9 PA UL A. MERITHEW, P.L S. DATE ' ( IN FEET ) 1 inch = 30 ft. JOB # 52033 CB