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0019 FOREST HILLS ROAD
� � _ r. y,,.. 1 \ I� •��-_,/ �` .. �' � \ r �- i I 10'-r T-a VY p-T V7• r-31 3/4• -1 I/r T-1 V 1 DECK Ili 380 sr ROPOsao ' FAMILY ROOM cl' PROV101 TIE BEAMS TO CONT". CLG. JSTS. • I 9g h DALCON OR PLATE PLATE LINE FOR !'lAT REINPOR EMENT. FEN, CEILING. PROMO! 1 O SECTION: BEAMS AS SHOWN IF G O O CAT) CEILING _ - L4, ID•-� I/7- CIOSlT 7 7L'- VO' D'-S• 0 0 LIVING MASTER I \ I = z z CATHEOR - ARPlA_ ,• DINING RM AS rueaPL —7z / I ---- � \ 1 •• • _ COLUMNS I O lx ` G CLO. — \ i ' O ' � ) 1 3/1• 1 VT MICR M \1•w 5 - LINE OF 5ALCONYffl— OI O ABOVE I- b o V1- 4 ��. .. 3._a. 3 s GARAGE sr-s- MASTE © Rrt a ropTIALK Pos PVdL -, W ATH - POST (7) 1 3/4• x 1 VT�ROLM IF. . 9 _.___ - - R IOx71 STEEL DEM O r1 -r x a• b � ®� . `✓ I � lSLA71 'o roar aI ] � .n♦♦ �xa nR o i '/ ♦. 4 UP{� O O KITCs eM COATS 1 C -10 T/ Y-3 V1- 7-IO , Q'-r a•_r 3•_�- 7 r T-1 VT 69-1 VT T-- 3T-8 v7 , 37-0 FIRST FLOOR PLAN 1382 SF FiRST FLOOR 1382 SF SCALE: 1/1' 1--O' SECOND FLOOR 598 SF TOTAL AREA 1980 SF �( (c z rT ,T o• ]T-o u-r U-• yr r-1 yr q_g• r_�. f•_IO• i•-s Vr rROVio! TI! D! S TO O eALCONT OR I'LATE F RlI Cl ACNT. REP.N�ORl�. O SECTION N n, { yr IH \ t', yr / r I, c PEN 1lY BEDRO M {3 BEDROOM {2 O • I I SKTLZMT _ �1 Z MIMAO • CD AZr KALP BALL O O 1 CLG AR .A ON y�yr I O r' Ia-r 3 r-r �• Y 2r-{ v7' p I wur Wu w w l•-KY�AT{ 4' ENT 1 a! 4xc TI{\ / ATTIC BZAA.�.��) / '1' •I OrlN -�• _ .. \ T-T KNlIWLL -1 re I \ ATTIC �� I • / N • s - _ STOR. / I/ ! - - GARAGE ROOF' C - - - - - - - - - - - - - - - - - - - - i SECOND FLOOR PLAN 599 SF. (OPTIONAL LOFT 220 SF) SCALE: 1/1' I'-0', - I t S ! ,4 /'4-1 t TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION /�z 5' o 0 7 z Map 0/ Parcel—0 Application # Health Division Date Issued Conservation Division Application Fee � Planning Dept. Permit Fee j, q7,ffl Date Definitive'Plan Approved by Planning Board Historic - OKH _ Preservation/ Hyannis Project Street Address 9 Co 114$r 91//s Ro Village CoTui-i' Owner_ _ /likk a f?o 1(,4✓•PA/ YUyiyeo Address / 9 )C'o✓eST Willi RP <o�di�, N.4 Telephone Permit Request 7t lYOet/ EXi d riA ,a Al el/EA170- R TO/IX 6 �'iQ/1 E,¢ AND W OV%cC T ovl- Square feet: 1 st floor: existing/VLproposed 0 2nd floor: existing proposed O Total new e Zoning District T 1:" Flood Plain Groundwater Overlay Project Valuation 2�`ovu,a°Construction Type W000 Ff4 7� Lot Size 161117 (o"V/ Grandfathered: ❑Yes U No If yes, attach supporting documentation. Dwelling Type: Single Family Two Family ❑ Multi-Family(# units) Age of Existing Structure c0 is House: ❑Yes W"No On Old King's Highway: ❑Yes No Basement Type: [N'Full ❑ Crawl Walkout ❑ Others? Basement Finished Area (sq.ft.) Basement U�`fini41_9ed.Area (sq.ft) Z p,to1oetd �. Number of Baths: Full: existing .3 new 0 )VoV�Hlf existing newef Number of Bedrooms: 3 existing 0 new 0M/A10,_ h aii f0 Total Room Count not including9 new baths): existing First:Floor Room Count �. Heat Type and Fuel: Gas ❑ Oil I G 1 Electric ❑ Other Central Air: U Yes ❑ No Fireplaces: Existing New d Existing wood/coal stove: ❑Yes XNo Detached garage: ❑,//existing ❑ new size_Pool: ❑ existing ❑ new size _ Barn: ❑ existing ❑ new size garage: g ❑ara e: _ Attached W&istin new size Shed: ❑ 9 existin ❑ new size Other: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes a� No If yes, site plan review# Current Use 11 lfifdleel;a f Proposed Use �.<��► APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name 6/tRy 6V114f10A1 Telephone Number `Y/yg y Z 4#/i 2Z! A/OHd Zy i10dB%°d,/t Ta d Address /4 qr tul-60IV4 Rf License # C 01 yG yo Co fv�t�144 0 2.0 3 J' Home Improvement Contractor# hq O itd Email G QRY e �APi a?' HOHt' I'voy Worker's Compensation # 2 W e 71r32$ ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO VIA Jre/ X0`2yit& RP .54AIAO0/iN/a/A SIGNATURE DATE -7 FOR OFFICIAL USE ONLY APPLICATION # DATE ISSUED MAP/ PARCEL NO. ADDRESS VILLAGE OWNER DATE OF INSPECTION: FOUNDATION FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT r - ASSOCIATION PLAN NO. i Page 7 of 7 ( Capizzi Home Improvement Inc. Specifications and Estimates STATE OF MASSACHUSETTS LETTER OF AUTHORIZATION TO APPLY FOR A BUILDING PERMIT i I/WE,_Kirk & Karen Young OWN THE PROPERTY LOCATED AT 19 Forest Hills Road IN Cotuit , MASSACHUSETTS. j I HAVE AUTHORIZED CAPIZZI HOME IMPROVEMENT TO ACT AS MY AGENT TO APPLY FOR A BUILDING PERMIT IN ACCORDANCE WITH 780 CMR, THE MASSACHUSETTS STATE BUILDING CODE. I I I GIVE MY PERMISSION TO LESSEE TO APPLY FOR A BUILDING PERMIT IN ACCORDANCE WITH 780 CMR, THE MASSACHUSETTS STATE BUILDING CODE. i SIGNATURE OF OWNER: OWNER'S ADDRESS: i OWNER'S TELEPHONE: i LESSEE'S SIGNATURE: i �f LESSEE'S ADDRESS: i LESSEE'S TELEPHONE: ! APLLICANT'S SIGNATURE: j I APPLICANT'S ADDRESS: 1645 Newtown Rd., Cotuit, MA 02635 i APPLICANT'S TELEPHONE: 508-428-9518 I I s RESPONSIBLE OFFICER: i RESPONSIBLE OFFICER ADDRESS: i RESPONSIBLE OFFICER TELEPHONE: I i � ConstuctIon supervisor � � Massachusetts Department of Public Safety Restricted to: which Contain Board of Building Regulations and Standards Unrestricted-Bu cubdin gc of gn�91 cum a motors)of License: C8474640 less then 36,000 cub feet enclosed spacS. "DurTr ETC. OARY GUSTAFSON 8 SHOR YMY ,s.~• �, SA M=fi MA 02M .. , Massachusetts Failure W Ifa59ess a s cause revocation Oft" , State Building Code is cause for WWW. SSAO►ro She' Expiration: DPS Licensing information visit•iNWW M____-. looms11019r 11/�11018 t ti T ; . +'.�ln• t+ra.N�rl-inCrl/!/r��'!ly�trrrharlfd + � •{ ofCou"merAMsse& k WB IMPROVEAABM`COWRAMa psBi�rsdon: 100740 'YP& Ltceeee e�men vplld for ladf�i�lal nss anb►b�bxaSejqrandat iSudnttsi" W Supplement Card imiraon g� 28 dCe8VMeAfs02dPMb W Wen: r ,' CAP=HOME IMPROVEMENT-INC. ilfl$alk�lf�-13nit,e$170 DARY C3uSTAFSON is"l n otuR- C Undatyeero fat ateignat ure .• w�•wwr•N •• .w wN M •• • 1 1 Lomn�us •..�...-..� Departrent of Indaq&W Acc1d m* Offlce of Ines* 600 WmhiW0n SYreet t i Boswn,PM 02111 www.mirss ,.,,Ejecjjj p1 mber& CAmtrad Workers' Compenszlou IIIsursnce��'tvMeW- p CAPiZZt HOME IMPROVEMENT INC 1645 NEWTOWN ROAD Phtme#: 508-4289518 C' !$ta#e1Zi COTU T MA b ��I of p�rojcett�1 Y Aye�=�pioyer"!Checklhe gPProPrtats , 40+ 4. 1 am a general g. New omst wdm 1, 1 am a I have hiredthe snh-coai / e®play ( a for e)* liswd on fe attached sheet. 7. ✓�m Mug 2. 1 am a$oleprop 'or wr' Thesesub-cov e & Dmo lbian ship and haven employees employees and have wodme 9. Building addition wodft for ms in my - camp.inmusumt 10. m atricaT.reps or mom jNo wur mq' wM- 5, We are a eorpmstion and tM their 11. P1umbin8 t °r addons 3. 1 am a eowaer doing aUW01k ft ofampdmpwMGL 12. RoofrqRis myself[No workms OOMP• c 152,p(4),andwshme ne 13. O buromm I t employees,[No work=' .insurenoe . #1mvstahronitoatthes onb81oa► ywingtheir '�Do anewathave� ate a1Twa$candthoatdreout�de �s� tHa A, f tia� �g o�tha$u add artathoseemir tCsmamatbsft t&boxrmaaunh9anaddidwA t son e' p#Wmm&enber. harve em�ptaye�.thgY empig4a Into h the poft©nd job she ranM AWkrer fhatjyPVW worAm,emaPomadon hw#fomef wxV VV wow �panyN atne• ANIGUARD INSURANCE COMPAN � Y 12125f2417 Policy#or eel 4m Lio.#:RZNCT75326 Eq*akm 0 2G 3� tit-Lelr. Ili l /2c' city/StawZip: Corter ,Job Site Address. no and apbstion d* the wodue empenmtlon gonq deelars*n pV[sue ft Poft Attach a under Section 25A of MGL 0.152 can lad to*0 imPosition of P O FaiIM to � ent,as welt as civ'Il penalties in the fay:of a STOP WORK ORDER and a file fine up to SI S00.U0 and/or adviind that a copy of tie sta�ment zW be forwarded to flm of ofupto V50A aday �y s offt D1A a on• eorre�. ofp yad&eWomad nPmvWd abm OW ldokaW md OpW ore m Da-Xat w o in to he tvyV b2'*.or lawn o ffldl pmawLieesse# COY Or Tam A ortty(dwe one): 3,Cif`tram CM* 4. cal r S.Pmmbing '°r 1.Board gt 2.Bad D 4 Phone#: Coix > ns ^ d . acoRo CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) 1 12/30/2016 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS,NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT NAME: Rogers and Gray Processing ROGERS & GRAY INSURANCE AGENCY INC IPA N Ext. (508 398-7980 AIc No: E-MAIL ADDRESS: mail@rogersgray.com 434 ROUTE 134 INSURERS AFFORDING COVERAGE NAIC# SOUTH DENNIS MA 02660 INSURERA: AMGUARD INSURANCE CO 42390 INSURED INSURER B: CAPIZZI HOME IMPROVEMENT INC wsuRERc: INSURER D: 1645 NEWTOWN ROAD INSURER E: COTUIT MA 02635 INSURERF: COVERAGES CERTIFICATE NUMBER: 114654 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE ADDL SUBR EXP LTR POUCYNUMBER MM/DD//YYYY MM/DD LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ DAMAGE TO CLAIMS-MADE OCCUR PREMISES Ea occu RENTED nce $ MED EXP(Any one person) $ N/A PERSONAL&ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ HPOLICY❑PRO JECT LOC PRODUCTS-COMP/OP AGG $ OTHER: $ AUTOMOBILE LIABILITY - COMBINEDSINGLELIMIT $ Ea accident ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED AUTOS AUTOS N/A BODILY INJURY(Per accident)'$ NON-OWNED PROPERTY DAMAGE $ HIREDAUTOS AUTOS $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAR HCLAIMS-MADE N/A AGGREGATE $ DED I I RETENTION$ - $WORKERS COMPENSATION - AND EMPLOYERS'LIABILITY YIN X STATUTE EERH ANYPROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $ 1,000,000 A OFFICERIMEMBEREXCLUDED? WANIA N/A R2WC775326 12/25/2016 12/25/2017 (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ 1,000,000 If yes,describe under DESCRIPTION OF OPERATIONS below I E.L.DISEASE-POLICY LIMIT $ 1,000,000 N/A DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,maybe attached if more space is required) Workers'Compensation benefits will be paid to Massachusetts employees only.Pursuant to Endorsement WC 20 03 06 B,no authorization is given to pay claims for benefits to employees in states other than Massachusetts if the insured hires,or has hired those employees outside of Massachusetts. This certificate of insurance shows the policy in force on the date that this certificate was issued(unless the expiration date on the above policy precedes the issue date of this certificate of insurance). The status of this coverage can be monitored daily by accessing the Proof of Coverage-Coverage Verification Search tool at www.mass.gov/Iwd/workers-compensation/investigations/. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Town Of BarnstableACCORDANCE WITH THE POLICY PROVISIONS. 200 Main Street AUTHORIZED REPRESENTATIVE ( Hyannis MA 02601 Daniel .Crcyey,CPCU,Vice President—Residual Market—WCRIBMA @ 1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD To n El OPTIONAL FYNOO\ - �� oaooaao 000aaoo 0� 0000aoo I - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -r - - - - - - - - - - - - - - . BREWSTER FRONT ELEVATION SMOKE DETECTORS O.K. SCALE: VT - r-O' FILE: 819ELEV2 4 ( BARNSTABL - BUILDING DEPT. a 10 O"IONA �\ I �tNDOW II - 1� I� 1� I I� 1� X]H 11 11 I� 11 11 I------------------------------ 1 I I I 1 /OOTIMGS ON UNOISTURDQD SOIL I 1 1 - I , 1 RIGHT ELEVATION SCALE: 1/4* - r-o, ' - -- - - - - - - - - - - - - - � LEFT ELEVATION SCALE: 1/4' - r-o, Ufa TRIM :/CAP U6/lx& CORNER BOAROS w.� n ma I��7f CRICKET 4�7 SK7LK,NT �^ un a RETAdafG . I I :ALL AS _ REOWREO i - - - - - - - - - - - - - - --- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -1 T OROPI-P O 1 1 ►OOTINO DE70N0 REAR ELEVATION SCALE: 1/1' r-O' I 10•-r T-t Vr L•_t VY r-Y f'-i )/.' 4-7 T -1 I/R• Y-1 v l v,—r• wu0 WC. ]so ar FROPOSBO FAMILY ROOM PROMO TIe BEAMS TO - CONTIN. CLG. JSTS. • i - eALCON OR rLATe O ILAT! LI)I! FOR FLAT REIN/OR amen T. REP. CL•ILING. FROvlO! SECTIO REAMS AS SHOWN I/ CATMl ORAL CEILING-- - LIVING MI = MASTER i CATMEOR 1 < Q ARIA _ r p DINING RM IR ' KI 1 � -------------- - AS PUteK - OrT2 ' _ 1 COLUMNS - w CLO. / ------ \ �Ix - - � \ II'I i� )1 S LBIE OF ISALCON7 ASOVS O I 0 O ._r yrco _ V4. )._�. f GARAGE X-f_ MASTS © ttt O POST POs _I ATN POST rn---- s 1 a/r x 41 V7 nICROLAM lOx)9 STEEL 59AM O O LSLAmc .x< TIE o CV COATS . KIT eN 1 c .. - )'-r r-O' r-o- - K-� ]T-f VY FIRST FLOOR FLOOR PLAN 1382 SF FIRST FLOOR 1382 SF SCALE: I/4- r-O' SECOND FLOOR S98 SF TOTAL AREA 1980 SF f�(( � L L, 4 13•-1 V Vr T-s' T-3' S•-10• P-S VY PROMO! TIE 511,413 TO + BALCONY OR PLATE OREIN►ORCZMZNT. RFP. O 38_TICK 7-- n'-• yr -\ 18 1 : -\ ts-4' Vr / r_ v BEDROOtI a� , PEN LLV BEORO M s3 I I SKTIK.NT MEAO • w , - � w i J A w.LP MALL CL6 AR A . OFT 1p'-O' ON © 4'-Y KNIEWLL n :car 1r-s I/1' p I orr I - NALP OALL E F O' C ------ A TI(�--.� Oi - - --- 2 I 4 w w ' aE � c-lo-JL�CTa Q ENT. AXL TI!\ / ATTIC BEAM OPEN 3_S. ,. P-r KNEe PALL J ATTIC I ` N ` STOR, GARAGE ROOF C - - - - - - - - - - - - - - - - - - - - - I w-O- 7/'-Q.. 17-0- SECOND FLOOR PLAN 548 SF (OPTIONAL LOFT ZZO SF) SCALE. 1/4' 1'-0' 4r-a vT 14,-0" V-o• oI r — — — — — — — - - MENSO'-1 V7- I I I I TOP OP MALL P - r-O' ! ! - - - - - - - - - - - - - - -I- - I — — — — — — — — — — — -f — — — — — — — — — — — — — — — — — — — — 4 9ASEnEI : w I=� ! 1/]' REM/ RCSD CONC. lLAD I- -l � e ! n ALIGN U/SLOCXING IN /IRST I , L!< II s PLR PARTITION TO SUPPORT - VI� I O O OSAR M 214 /LR. ACOVS ! I —7 •10 JOgT! t 4" O.C. � — — — — — — — — — — — — — to ! let, I - - - - I b ! a-r a-� si+ a- r c-IO- c w" c-f c r s-� fir I n•-• I/]" I I RAu I RTi I1 i i i POCKElI I ! ! TOP / BALL I -UALL I Z-3-! t► - POCKET L--_� L 1 -r--L _i IL _i I ! °. S I I �• ONE CA. COkCC-� :::: Ic-a I/7" rTG.fT Pi I I UNEXCAVATED i ! - • I ! O II yry ___ •+ L_L_� r . POUNOATtON ' fT REVPORCIIO CONC. 5"15 Y , BALL O Ia-Xf CONC. I ABOVE FOR GARAGE - PITCN I �• POOTIN ITTP. I TOWARDS DOOR TO DRA01) I t- - C Y I n _ O O ! I 4ZI MA v - - - -�- - - - - - - - I - - f�+e - � - - - - - - - - - - - - - in i I I — — — — — — — — — s — — — ___ __I L.Or1 OF CANT7LSVSRRD-_•1`___ DA ADOVE _ f+-o 2r-O• 77_a- A FOUNDATION PLAN SCALE: Vi--r-o, FILE /11PLANS , VENTED RIDGE CAP I LINE OF BATH CEILING PROVIDE ICE AND WATER SHIELD CONT. 12 WITH SKYLIGHT BEYOND UNDER 3 PITCH ROOF (BOTH (TYP] DORMERS) 12 10 2X8 RAFTERS 3 1/2+ _ -- • IG' O.C. TO MEET RIDGE ASPHALT SHINGLES VENTED y DRIP EDGE CEILING JOIST CONT. [TYP.] — M IX8 FASCIA DORMER 1 , VENT RETAINERS BEYOND X10 RAFTERS W/2 R CEIL'G JOISY3 AS REQUIRED SOFFIT .� • IL' O.C. W/ HANG S/COLLAR TIFF ��� FRIEZE AS REQUIRED 1X4 TIE BEAM it (TYP•] IN KITCHEN BEYOND R-30 BATT mi INSUL. CEILINGS YP.] I VENTED 2X10 • IC O.C. F OR DRIP EDGE JOIST (TYPI CONT. (TYP.] AI TIE BEAMS ECOND FLR t PLATE -------------- ------- IX8 FASCIA - SOFFIT 1/2' GWB OR SKIM COAT FRIEZE BLUEBOARD • BUILDER'S m (TYP.] OPTION 30 R-11 BATT ' `n INSUL. EXT. WALLS (TYP] I 1 N 2X1 EXT. I gn - STUDS ` R-30 BATT m io (TYP] INSUL. FLOORS (TYP] WHITE CEDAR $ 5/8 PLYWOOD SUBFLOOR r SHINGLES OR I W/ 3/1' FINISH FLOOR OR CLAPBOARD UNDERLAYMENT - REF. FIRST FLOOR SIDING OVER FINISH SCHEDULE _ . — BARRIER - REF. ELEVS ONT. BLOCKING OR ---- - BRIDGING • MID-SPAN (TYP] ANCHOR BOLTS • 2X10•IV O.C. 4'-0' O.C. FLOOR JOISTS(TYP.] '^ CD . 8' CONCRETE 1-2X10 GIRT (TYPJ I gTAIR FON WALL ON 3-1/2' LALLY COL. STRINGERS IG'X8' CONC. REF. PINION FOR LOC. FOOTING 3' CONC. SLAB BSMT - 2'-L'X2'-G'Xt2' LALLY COL. PAD (TYP] 13'-3 3/1' TYPICAL BUILDING SECTION SCALE 3/I1.' -1'-0- OBERESTECKY. DOOR SCHEDULE --- O.,LOCATION 'DOOR _ FRAME ;SILL LBL HDW REMARKS - -___ - -' jSIZE --- MAT. ;FIN. MAT. FIN. ----- 1 FOYER ENTRY ! '-0" X 6-8" IrNS.STEEL 2 FOYER COAT CLOSET 2'-0" ----- -- - - "- -�3 POWDER ROOM ---- 2,-4„ ------- ---- ---- --- - POCKET ---- ---- -- 4 BASEMENT 2'-8 5 CLOSET 6 MASTER BEDROOM ---------`- 7'MASTER BATH 8 ;LINEN - 9;WASHER/DRYER I j6-0" X 6'-8 i 1 BI-FOLD 10 WALK-IN CLOSET j2'-4" 11 MBR CLOSET I (2'-0" 12 DINING ROOM 6-0" X 6-8" i I j ; IFRENCHWOOD GLIDING FWG6068R 13 ;FAMILY ROOM i 1%8" X 6'-8" i I ! FRENCHWOOD HINGED FWH2968AL 14-GARAGE/HOUSE ENTRY I Z-8" jINS.STEEL I 'FIRE CODE 15 ;GARAGE I 19'-0" X T-0" ! j j j OVERHEAD 16.BEDROOM #2 17 BR#2 CLOSET 18 BR#2 CLOSET LT-6" 19 ATTIC j 2'-6" iINSUL. 20 LIIN`FIN j 1V-8" I 21 ;BATH 2 22 BEDROOM #3 j :2'_6„ - I 23 BR#3 CLOSET - 24 1ATTIC '_6" INSUL. I I i .5 BASEMENT j 2'-8" X 6'-8 IINSUL. ; i j I I i9 LIGHT BERESTECKY WINDOW SCHEDULE i'WINDOW ;FRAME j i 'COMINIENTS IR.O. SIZE MAT. !FIN. MAT. ',FIN. IQTY i 'P-246 6,4� -6 1/8" X 4'-9 1/4" IB DH 2852 BS T-10 1/8" X Y-5 1/4" 2'HEAD AT 8'-0" I ABOVf�'F' IC ;CTO HALF ROUND 6'-0 3/8" X Y-2 3/4" WINDOW ID AWNING A21 2'-0 5/8" X T-0 518" DH 24310 BS 2'-6 1/8" X 4'-1 1/4" DH 24310-2 BS G DH 2046 BS .2'-21/8" X4'-91/4" 4 H 'CSMT C25 4'-0 1/2" X 5'-0 3/8" 2 U ',CSMT CN235 BS '3'-5 1/4" X 3'-5 3/8" VELUIX FS606 '44 3/4"X 46 7/8" �t ;VELUX FSF304 !30 1/7"X 39" j j IYENTING 'BSMT 2817 2'-8 518" X P-7 1/4" 3 �4 DH 2432 BS 12'-6 1/8"X Y-5 1/4" I I 2 TN BASEMENT 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 : 11-27-1998 DATE OF PLANS : 11/27/98 TITLE : NEW RESIDENCE PROJECT INFORMATION : COMPANY INFORMATION : McShane Construction Company, Inc . P . 0. Box 429 Osterville, MA 02655 1 NOTES : "Brewster" COMPLIANCE : PASSES Required UA = 465 Your Home = 465 Area or Insul Sheath Glazing/Door Perimeter R-Value R-Value U-Value UA - -- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -- - - - - - - - - - - - - - - - - - - - - - - - - - - -- - - - - - - - - -EILINGS 935 30 . 0 0 . 0 33 :�'EILINGS 491 30 . 0 0 . 0 17 GALLS : Wood Frame, 16 " O. C. 2322 11 . 0 0 . 0 207 LAZING : Windows or Doors 18 0 . 310 6 LAZING: Windows or Doors 12 0 . 290 3 LAZING : Windows or Doors 39 0 . 300 12 :;LAZING : Windows or Doors 60 0 . 450 27 :a.LAZING: Windows or Doors 21.3 0 . 480 102 3LA71VG. Skylights 18 0 . 360 6 BOORS ���� 38 0 . 190 7 'LOORS : , Over Unconditioned Space 1371 30 . 0 45 FLOORS : Over Outside Air 9 30-. 0 0 tVAC EFFICIENCY: Boiler, 83 . 0 AFUE - - - - -- --- - - - - - - - - - - - - - - -- - - - - -- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -- - - - - -- - - 'OMPLIANCE STATEMENT: The proposed building design represented in these ; locuments is consistent with the building plans, specifications, and other ,alc.ulations submitted with the permit application . The proposed building gas been designed to meet the requirements of the Massachusetts Energy Code . , '}-ie heating load for this building, and the cooling load if appropriate been determined using the applicable Standard Design Conditions found tie Code . The HVAC equipment selected to heat or cool the building 1.1 be no greater than 12.50 of the design load as specified in - ions 780CMR 1310 and J4 . 4 . Lder/Designer _ Date z Y L Scheck :INSPECTION CHECKLIST Zssachusetts Energy Code \Scheck Software Version 2 . 0 _J.1 RESIDENCE VTE : 11 -2.7- 1998 .dg . 'pt . >e CEILINGS : J 1 . R-30 Comments/Location J 2 . R-30 Comments/Location WALLS : ] 1 . Wood Frame , 16 " O. C. , R-11 Comments/Location WINDOWS AND GLASS DOORS : ] 1 . U-value : 0 . 31 For windows without labeled U-values, describe features : # Panes Frame Type Thermal Break? [ ] Yes [ ] No Comments/Location ] 2 . U-value : 0 . 29 For windows without labeled U-values, describe features : It Panes Frame Type Thermal Break? [ ) Yes [ ] No Comments/Location ] 3 . U-value : 0 . 30 For windows without labeled U-values, describe features.: # Panes Frame Type Thermal Break? [ ] Yes [ J No Comments/Location ] 4 . U-value : 0 . 45 For windows without labeled U-values, describe features : # Panes Frame Type Thermal Break? [ ] Yes [ ] No Comments/Location ] 5 . U-value : 0 . 48 For windows without labeled U-values, describe features : # Panes Frame Type Thermal Break? [ ] Yes [ ] No Comments/Location SKYLIGHTS : ] 1 . U-value : 0 . 36 For skylights without labeled U-values, describe features : # Panes Frame Type Thermal Break? [ ) Yes [ ) No Comments/Location DOORS : ] 1 . U-value : 0: 19 Comments/Location FLOORS : 1 . Over Unconditioned Space, R-30 Comments/Location J 2 . Over Outside Air, R-30 Comments/Location HVAC EQUIPMENT EFFICIENCY : ] 1 . Boiler, 83 . 0 AFUE or higher Make and Model Number THERMOSTATS : Adjustable thermostats required for each HVAC system . 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: 1 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, glazing U-values, and heating equipment efficiency must be clearly marked on the building plans or specifications . DUCT INSULATION : 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. HVAC EQUIPMENT SIZING: Rated output capacity of the heating/cooling system is not greater than 1250 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) - - -- -- = - - f s 80011,2.24 FOREST HILLS ROAD g1o43,Z�W 29.g2- 4=18°0516" R=225.00' 40.62, 11' L=71.03' 1 zcl MI LOT 2 16,181 SF. � 0 co i, 3pop J�0 $\ F0 v crj ,tp rp342 '9 certify that the foundation shown on PLOT PLAN OF LAND this plan is as it actually exists on the ground and that it conforms to the town of LOCATED I N Samstable zoning regulations rega COTU IT,MASS. yard setbacks." OF Mgss PREPARED FOR �^ q� McSHANE CONSTRUCTION �-" 1 DATE:FEB.20 2001 SCALE:1 "=30' date:Feb.20,2009 � flood zone c[non-hazard] �1-�, 2,80,3 5 CAPE & ISLANDS ENGINEERING foresthills MASHP E,MASS. TO?N OF BARNSTABLE CERTIFICATE OF OCCUPANCY PARCEL ID 025 007 002 GEOBABL ID 40148 ADDRESS 19 FOREST HILLS ROAD PHONE COTUIT ZIP - LOT 2 BLOCK LOT SIZE DBA DEVELOPMENT DISTRICT CT PERMIT 54330 DESCRIPTION 3 BDRM_/SINGLE FAMILY DWELLING it 47233 PERMIT TYPE BC00 TITLE CERTIFICATE OF OCCUPANCY CONTRACTORS: Department of Health, Safety j ARCHITECTS: and Environmental Services TOTAL FEES: BOND $.00 Ox tNE CONSTRUCTION COSTS $.00 I 756 CERTIFICATE OF OCCUPANCY 1 PRIVATE P (N�E I * BARNSTABLE, * I MASS. 039 A� FD MO►I d i BUILDING DIVISION -BY DATE ISSUED 07/06%2001 . EXPIRATION DATE TOWN yOF� BARNSTABLE B�NG ,PERMIT l�rJ PARCEL ID 025 007 002 GEOBASE ID 40148 ADDRESS 19 FOREST HILLS ROAD PHONE COTUIT ZIP a LOT 2 BLOCK j LOT SIZE DBA DEVELOPMENT DISTRICT CT PERMIT 47233 DESCRIPTION NEW 3 BDRM SING.FAM.HOME SEW.PT#2000-386 PERMIT TYPE BUILD TITLE NEW RESIDENTIAL BLDG PMT CONTRACTORS: MCSHANE CONSTRUCTION Department of Health, Safety ARCHITECTS: and Environmental Services TOTAL FEES: $630.86 F �TME BOND $.00 CONSTRUCTION COSTS $203,504.00 ,, = 101 SINGLE FAM HOME DETACHED 1 PRIVATE PIT * BARMABLE, • MASS. �► BUILDIN,. SION BY DATE ISSUED 07/06/2000 EXPIRATION DATE `S TOWN 0F ARkTABLE �- PARCEL;, III 025 007 002 GEOBASE ID 40148 ADDRESS 19 FOREST HILLS ROAD PHONE COT.UIT ZIP LOT 2 BLOCK L,OT 'SINE DBA DEVELOPMENT-' DISTRICT CT PERMIT 47240 DESCRIPTION NEW 3 BDRM S"I.NC h FAM.HOME SEW.P`.L 2000. 386 PERMIT-ITLBE BUILD TITLE NEW RESIDENTIAL BLDG PINT. � CONTRACTORS: MCG.WE-- CONSTRUCTION Department of Health, Safety ARCHITECTS: and Environmental Services TOTAL'FEES': $630.86 BOND CONSTRUCTION COSTS $203,504.00 101 SINGLE FAWHOME DETACHED 1 ; PRIMATE P11 * BARI�I3TABM " BUILDING D 'VISION BY DATE ISSUED 07/06/2000 EXPIRATION DAT"R �•���°°�. -� THIS PERMIT CONVEYS NO RIGHT TO OCCUPY ANY STREET,ALLEY OR SIDEWALK OR ANY PART THEREOF, EITHER TEMPORARILY OR PERMANENTLY. EN- CROACHMENTS ON PUBLIC PROPERTY,NOT SPECIFICALLY PERMITTED UNDER THE BUILDING CODE,MUST BE APPROVED BY T,.HE JURISDICTION.STREET OR ALLEY GRADES AS WELL AS DEPTH AND LOCATION OF PUBLIC SEWERS MAY BE OBTAINED FROM THE DEPARTMENT OF PUBLIC WORKS.THE ISSUANCE OFTHIS PERMIT DOES NOT RELEASE THE APPLICANT FROM THE CONDITIONS OF ANY APPLICABLE SUBDIVISION RESTRICTIONS. MINIMUM OF FOUR CALL INSPECTIONS REQUIRED FOR ALL CONSTRUCTION WORK: APPROVED PLANS MUST BE RETAINED ON JOB AND WHERE APPLICABLE, SEPARATE 1.FOUNDATIONS OR FOOTINGS THIS CARD KEPT POSTED UNTIL FINAL INSPECTION PERMITS ARE REQUIRED FOR 2. PRIOR TO COVERING STRUCTURAL MEMBERS HAS BEEN MADE.WHERE A CERTIFICATE OF OCCU ELECTRICAL,PLUMBING AND MECH- (READY TO LATH). PANCY IS REQUIRED,SUCH BUILDING SHALL NOT BE ANICAL INSTALLATIONS. 3.INSULATION. OCCUPIED UNTIL FINAL INSPECTION HAS BEEN MADE. 4.FINAL INSPECTION BEFORE OCCUPANCY. POST THIS CARD SO IT IS VISIBLE FROM STREET BUILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS sfolz) led BWT,rcN 411310( / 17 ,-mS4 ell 3, 1 H TING INSPECTION APPROVALS ENGINEERING DEPARTMENT 2 9ANREVIEW M BOARD O OTHER: s(L9EJIG� � SITE APPROVAL WORK SHALL NOT PROCEED UNTIL PERMIT WILL BECOME NULL AND VOID IF CON- INSPECTIONS INDICATED ON THIS THE INSPECTOR HAS APPROVED THE STRUCTION WORK IS NOT STARTED WITHIN SIX CARD CAN BE ARRANGED FOR.BY VARIOUS STAGES OF CONSTRUC- MONTHS OF DATE THE PERMIT IS ISSUED AS TELEPHONE OR WRITTEN NOTIFICA- TION. NOTED ABOVE. TION. B UILDING PERMIT TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map ZS Parcel 0 07 " 0 a Z Application # / 1 Health Division Date Issuedq12-cill Conservation Division Application Fee Planning Dept. 'Permit Fee 49 Date Definitive Plan Approved by Planning Board �� Historic - OKH _ Preservation/ Hyannis Project Street Address 19 r s 1,'I(s 12d � ,�{ F�(A 01 G 3 Village G tu;t Owner AILS-- Address I q 6--) t- /4'I(s Telephone Permit Request l►i.406.115 (ram/J' 9-111 F�*b-c, ,lz3s ba t--j 4% C-A4k 3 i C'xie i6 41&� l)_ -1nSJC' 11 ��� cizBt[ �2�i—hln�� Y.FSt14IdSS 6dc�/l�r 1Su�7 iar �O Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation J 3 70 . Construction Type Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family �d Two Family ❑ Multi-Family (# units) Age of Existing Structure Historic House: ❑Yes ❑ No On Old King's Highway: ❑Yes ❑ No Basement Type: ❑ Full ❑ Crawl ❑Walkout ❑ Other Basement Finished Area (sq.ft.) Basement Unfinished Area (sq.ft) Number of Baths: Full: existing new Half: existing new Number of Bedrooms: existing _new Total Room Count (not including baths): existing new First Floor Room Count Heat Type and Fuel: ❑ Gas ❑ Oil ❑ Electric ❑ Other Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing wood/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:) n APPLICANT INFORMATION (BUILDER OR HOMEOWNER) f 7/ Name ��e^ �+tif L► Telephone Number 5-0� �� & 70 Address I ` E- License # f B Home Improvement Contractor# 17 0-7 y q Email 111'son 0 hVs t), -tca-s,�y. .K.Ak Worker's Compensation # Xt J S `5-&q($ 7 Y ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO A iye.( SIGNATUREDATE /i 3 J� (o ./ FOR OFFICIAL USE ONLY APPLICATION# DATEISSUED MAP/PARCEL NO. ADDRESS VILLAGE OWNER DATE OF INSPECTION: FOUNDATION FRAME INSULATION FIREPLACE ; ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL .GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. The Com nontvealth gI'Massae/ucsetts w i Departlttent"ot lttditsti-ial Acc'iticitts r- `h I Congress Street,.Suite"100 Boston, IA 02114-20.17 ww1V.May.5.zov1dia porkers'Compensation Insurance Affidavit:.Builders/Cuntractors/Electricians/Plumbers. i TO BE FILED WITH THE P.ETiM TTTNIG tt3T HORTTY, Applicitnt Information Please Print Legibiv Name (Btasindss/orc,tinizationnnd victual):lt sulate2Save/Roland Langevin Address:416, Grove Street City/State//ip:Fall River MA 02720 Phone .508-567=6706 Are you anemplgycr?Check the appropriate box:- _ Tope Of project(required):- l-F I am a employer with 20 e.mploveea(roll and/orpar-time).* ?, '� tNew1constr'uction 2:�l am.a sole liroprictor or partnership and have no cut l6vice's_wvrkmg for mein $; Q Remodeling any capacity,[No workers'comp.insurance required.] 9. ❑ Demolition 3.01 ant a homcpwner doing all work myself[No workers'comp.tnsur5nec rei7ii_ired,j,# 10 C] Building addition a. I am a homeirwner and will be hiringcontractorsto conduct at work oil my property I will proprietors�Yrfh,no employees. m ensaltq' ensure that ail contractors"eitherhave worker.5'co, p n i1.nsurance or at&sole l 1. l lectt ical repairs or additions p` 12.0 Phmlbi.ng repairs or'additions 5.0 1 am a geneol contractorand I have!hired the sub-contractors listed on the attached sheet:: These sub-ctntractor;have employees and.have.workers''comp.insurance.'; 1 I R P oqf'repa irs, 14:,nOtherinsulation 6.R We are it corporation and its officers have exercised their right of exemption per ivlC lrc. 1521§I(4):ajrd we have no employees.[No worker;'comp,insurance required.) `Any applicant that becks box,=l must also till out the section'bclow showing their workers'conlpcnsation-policy infnnnation.- f Homeowners who$ubnut this affidavit:indicating they are doing all work,and then hire outside.contractors must stibrtiit a new affidavit indicating such. -Contractors that chq:ck this box must attached an additional sheet showing the:name:of the subecontractors and state whether or not those entities have � employees. if the sub-contractors have employees;they must provide their workers'comp,policy number. L um an einploy4r that is providing workers"compensution irisurraree for stay entlVnyees. Below is,tlre pnliiy and job site information.. insurance Comp:;inyName:Liberty Mutual Insurance Policy#or.Self ins.Li r/:XWS 5641874:1 12/10/16 l _.- Expiration Date: Jab Site Address'. City/Suitt/GiR--CPIU Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date). Failure,to securec-overage as"required under MG.L c: .[52,§25.A is a.criminA violation punishable by a fine up to$1,a00;00 anti/or one-year jniprisonirient;as well as civil penalties in the forn"t.of a STOP WORK ORDER and a.fine.of up to S250.00 a day against the violator. A copy of this staternent may be forwarder[to the Office,of Investigations of the DlA for insurance coverage verification, f do hereby cer•tifir under the pains a►td Haiti s of er%ury chat the infortnitt!ivn provided above is trite and correct. Signature: _ Date: 60 Phone ;508.567-6706 Official tirse ohly, ,QQ not write in this area, to be completed by cite or town officiu/.. City. ,or Town.' Permit/Licens:e# Issuing Authtirity=,(circle one): ' L.Board of Hcaltli 2.Bic lditigDepartment ,-City11oHrn f:7erk 4 L'Iectrica Inspeettxr S.,.Plumbing Inspector 6.Oth'er. Contact Person Phone#: t _ Il Office of Consumer Affairs and Business Regulation 10 Park Plaza - Suite 5170 Boston, Massachusetts 02116 Home Improvement Contra�tor Registration Registration: 180747 Type: Corporation Expiration: 12129l201 d Tr# 261507 INSULATE 2 SAVE INC. p ; ROLAND LANGEVIN 410 GROVE STF� FALLRIVER, MA.02720 - ---- — - — Update Address and return card.Mirk reason for change. Address ( .Renewal Emp(-oyment Lost Card SCA 1 0 20M-05,111 �J ,� -• •�•- C-./!GC �0�72=i72(J07AJtf+fL�G/L O��L�S�1JClGIlL6L,�la...._. .. _..r.....r.. M _._.._.,_.-�._._ .__..._ _ _--,_ _ .- - -i -_Office of Consumer Affairs&Business Regulation License or registration valid for individul use only f f d i i h f eore the expiration ate. If return to: 'F30ME IMPROVEMENT CONTRACTOR b . r:_ -= l i f Consumer m r Affairs Ft, ti1�80747 Type: Office o Cos e A airs and Business RebulaUon Expiration r---_12/29/209.6 Corporation 10 Park Plaza-Suite.5170 t — w Boston,MA 02.116 INSuLATE 2 SAVE"INC ;; ROLAND LANGEVIN� , ; 41 410 GROVE ST FALLRIVER,MA 02720 Undersecretary Not valid without signature Massachusetts Department of Public Safety I Board of Building Regulations and Standards License: CS-103861 Construction Supervisor 7 ROLAND LANGEVIN v 66 HIGHCREST ROAD FALL RIVER MA 02724 Expiration: Commissioner 0812412017 i AcoRO® CERTIFICATE OF LIABILITY INSURANCE 7TE(MMIDDfYYYY) 12/7/15 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies) must be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER- CONTACT NAME: _ Anthony F. Cordeiro Insurance PHONE (508) 677-0407 IAIC�FAX No: (508) 677-0409 171 Pleasant Street F-MAIL Fall River, MA 02721 ADDRESS: hsouza@cordeiroinsurance.com __INSURERS)AFFORDING COVERAGE NAIC# -----......----_ --------------------- _ _._.------------------ INSURER A:LibertV Mutual Insurance INSURED -- — INSURERB: Insulate 2 Save, Inc. INSURER C: _ 410 Grove St. INSURERD: _ Fall River, MA 02720 INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR - --- --------- --- �__.�—.— - --- .__-.>:_. - - --- ------------- LTR TYPEOFINSURANCE AODLSUBR POLICYEFF POUCYEXP I R WVD POLICY NUMBER MMDD/Y MMOD/YYYY LIMITS A GENERALLIABWTY Y Y BKS 56418741 12/10/15 12/10/16 EACHOCCURRENCE $ 1,000,000 X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTEDEREMISES(Ea ence $ 300,000 CLAIMS-MADE a OCCUR ME EXP(Anyone person) $ 5,000 -_.._-_.. PERSONAL&ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GENT AGGREGATE L MIT APPLIES PE It PRODUCTS-COMP/OPAGG $ 2,000,000 X POLICY PRO LOC - $ A AUTOMOBILE LIABILITY Y Y BAA 56418741 12/10/15 12/10/16 EOMBMDt)_._ IT $ 1,000,000 ANYAUTO BODILY INJURY(Per person) $ ALLOWNED X SCHEDULED BODILY INJURY Per accident $ AUTOS AUTOS ( ) NON-OWNED PROPERTY DAMAGE X HIREDAUTOS X AUTOS Peraccident $ A X'.UMBRELLA LIAR X OCCUR Y Y USO 56418741 12/10/15 12/10/16 EACH OCCURRENCE $ 2,000,000 EXCESS LIAB CLAIMS-MADE AGGREGATE $ 10,000 DED RETENTION$ $ A WORKERS COMPENSATION XWS 56418741 12/10/15 12/10/16 X WC STATU- OTH- AND EMPLOYERS'LIABILITY Y/N 9 ANY PROPRIETOR/PARTNEWEXECUTIVE E.L.EACH ACCIDENT $ 500,000 OFFICERMIEMBER EXCLUDED? N/A — --.__ (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ 500,000 If yyes es RIPTION OF er O E.L.DISEASE-POLICY LIMIT $ 500,000 DESG�RIPTION n OPERATIONS below DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (Aftach ACORD 101,Additional Remarks Schedule,if more space is requi red) Proof of Insurance. CERTIFICATE HOLDER CANCELLATION SHOULD ANY 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. 200 Main Street Hyannis, MA 02601 AUTHORIZED RE PRESENTATIVE ©1988 2010 ACORD CORPORATION. All rights reserved. ACORD 25(2010/05). The ACORD name and logo are registered marks of ACORD Phone: Fax: E-Mail: WN t � SSE Engineer ng Rt Ccn Regla iadoa No 94s6 ._.. MA CosNia ar R raBott M6 S2tl879: AA of T`bttsch;Engiu�=ug- GT Cosstractor RegTffl+Fatton,Mo;62472i1. R I Ism IS: . is„ac �aaaeray.� ONT513upefitAveDite,SoiitttYarniotith-,"Adi W �a 1vs T. 68-1926 FAX.i�033. Page. S. PROGitAM. na.coxrivicr{s EDrroeETw1:EN.�'. NGCC=HFS: El NEERRi6MTpTia eU87DA&R,fM:WORKAS: otai�aEDsiow 7:44 -- .. _.e_... _. CWTOMER: PHONE 'DATE cualff 9: WORK ORDER' A3bertYoung (7.,74}3b1-8i70 U3/28/2015' 2'1902. (}tf002 - SERYtCE.s7RE£T BIiIRK!STRF�a' . . . i9=ForestHilfs:FtoaA 19 ForeA Htlls;Road SEF- to !CfMfrii .21P. ... .. 801=CRY,$TATE:MP CbWk MA a?b33 Cotutt,MA U2t35 J®B DES P ..... .. ..,. k . :r AtR SEALil1G Propide tabor aril ntateiiats"to seal arms afyour home agaiist•wastetnl,excess air Leakage Phis work will be performed in concertwilh ttie use ofspeciat tools and dtagnast c tests io'assure.that your ltoine wilt bi left with whealthfUl level of air Mehgiige and indoor air quality Materials to be used to seal your home can include caulk foams,.weaiherstripptng and other prgducis Primary areas•for sealing inciudz air leakage to attics base pts attached garages gnd other utfheated arias(windows are; not generally addit se ) {4)wotktng hoe s, A:.reduction in_cubic feet:per minute;(cfm)of air infittsatinn will Decor but the actual numbeuofefm is not guarani* $30800's . lass fcxrnf:atuc A7TjC f I AT F'rovi ie labae<andi maicriais:to:instail a 61V lgyer of R-19 gnfarcd`fibec ,.. hafts to(Y:384)square $2352:i30=i VEtJ'fti.A`I`[ON"Provide tabor.;and-mateiaEs•ta install venifation chutes m"(2d);rafrtx bays�to:maiiusin gir,$gw; $83'76' OMMCJN WAi L$;t'ravade;labor and:mat enals:tq ittstatl2"FSK fadxi#semi rigid fitlecg ass board insulauoAw J_ ): quare feet of common wall;area:. '5335.23 Lcxbte,esii i;.ineeritives to tlii;contract. Youwill bi..Ofedoniy the Met amount: llCtCurIr�foTtfr e,wNsil.a.tu aopnPajtY-G�nd gy`ofpf.e�.r s�5%".iitcenarvc;;Qat to;exreed$4 er Calendar,000 year; 10 °!o :arid aii.incentive of'' For the safely and Iteatdi of yatir homc's::iudoor air'qualrty iw;will be:cviidu+xnag'tblowy rdoor diagiiosuc of the g�gssat lc gib flow-in. your home tenth before the wotk`is begun,:and after she wr.�adieri 6n.wort,i�campiete Wt will also.6nducr:a:diagnostic assessment ofthe conbusuoa fUmcs in the exhaust,fTue of yaur•heatmg:sysaxn and water heater This;has,a vafue ofS90 and is at no F _ f Federai'!D�'tf5�040b&29 RASE Enonearing Rl Canfracr RegistraUan No:8166< AflA ConYractor.Registrakton Nct2o97$ A;division of Thietseh"Sneering. G t�oastracfor Rts#aaa Na;82812d ..:as.sioVcri.�is�scaaea� SDUpontAYelfUt�SaiitT yjrmoulh MA'026b4 %' 58$-aG&2936. PAX-5ii&SG$-i 33'' Page :2. �: PROG3AM': 'TitiS caNTRACT is EaTERQA also 8ETUYE�9'7 AiSE::" - NG C,=.H:ES A9 :Al�TlfEGUST[# RFO[tWORKAW. ;DESCRIBED:BE:OW, - CWTOMER ... PHOME _. .._ OATS v-mwa WORKaROER'. I.Aftn'Young (774)361-8179, 03128I2010 219632 00002 SERMEI STREET. STREET'. 19-Forest.Hills..Road 19;Forest:Hills Ito ad - :$ERYiGE CfTY;-BTATE(ZIP_ - &LS.tN6 CtTY'STATE2tP ... - - . C�tuit,,NJA 02C35" CiDW MA 02535 I?ESCRIPTI;ON .. w is Total:` $3,370 78 Program Incentive. $2;627 39: G.ustc�mec Tatal ;$745,20 WE AGREE;HERESY TO FURNISH SERVICES. WMpLUejN A=P!tD 1N;E WITH`/1BOUE SPECFFICATIOMS,FOR THE StlAi OF °SEMI Htindred FortyThree AIQIIQ Dollars' $743 0o uaaR ftNAlt.. AMO sY RB£EHL E£RWG.'CtISTO1 fi AGR£ES rO:RVM A*ww mm m FuLl_lA3TERESi Sx was.:aE CHRRO.ED bf�iTNLY:ODl AAIY .UNPAID .. :so oAYE�8 E FORwPORTr�+r aAt�aa cw 6UARANTFF9;rmurrs OF - r DO:NOT S1Gt+tTHtS:CON'tRACT tF:THERE ARE ANY$LANK SPLICES - AUTitORrlf'�-S16NATf1RE=RISEEeig6�arin0. tU8T0 ACCEPT, , ..... wore.nWcot�TRAcT;►�ure� oRAwuaYusai NOT EzEeusEownx�- nATEoF'AccENrArrcE ...__,. �.. -....-._:.--•- ACCEP'TRNC£aF tAl1TRACT TNE'ASaVE PitIGEB 5PEGfftQATKNJ.4MSl:CONORiODR-ARE.. . SATSt.FACT�2YTO.US A7�ARE HER�YACCEPTFD.YaUARE A4 MFIZED�TOAOINEARM ." rDAYE: - AS SPEdflED.PAY6AEt�iT WS.1.EIEMADE AS 4UTLD AifE . J C JEW "` _. G � b: .: rigsrxartgr�r;: r -7113 Town of Barnstable *Permit o?EJi 3 74>c) Fapires 6 months from�ssue e Regulatory Services je& - MASS. $ Thomas F.Geiler,Director 659. A�0 " Building Division 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 / Not Valid without Red X-Press Imprint Map/parcel Number o d, —Oc>q—00 Property,Address l l !r&r�S f 7 ER/Residential Value of Work Minimum fee of$A00 for work under$6000.00 Owner's Name&Address � O Im e,.5 r /g N sZVr; eAW;AVOrele hone Number '��I ' �Contractors Name / r7 P Home Improvement Contractor License#(if applicable) .3 Construction Supervisor's License#(if applicable) O / 707, / • 2(yorkman's Compensation Insurance �� Check one: S �p ❑ I am a sole proprietor e�e111�� ❑ I am the Homeowner JV N ED4have Worker's Compensation Insurance 62013 ' Insurance Company Name lA d �.1�N5 LSO roA 0 i OF Workman's Comp.Policy# �'��i qa 7 �'3.:sa 3.�y �gRNS�.ABLE Copy of Insurance Compliance Certificate must accompany each permit. Permit Request(check box) ❑ Re-roof(hurricane nailed)(stripping old shingles) All construction debris will be taken to ❑Re-roof(hurricane nailed)(not.stripping::Going over existing layers of roof) ❑ Re-side - 3 #of doors Replacement Windows/doors/sliders.U=Value 0. 30 (maximum.35)#of windows Smoke/Carbon Monoxide detectors 4 floor plans marked withered S and inspections required. Separate Electrical&FirePermits 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 Improvement Contractors License&Construction Supervisors License is required. SIGNATURE: QAWHILESTORN[Mbuilding permit forms\EXPRESS.doC . Revised 053012. . t, 4 Southern New England Windows d.b.a Renewal by Andersen of SNE Massachusetts -Department of Public Safety Board of Building Regulations and Standards Cimstrurtion Supcn isor License: CS-095707 - BRUN D DENMSON 7 LAMBS POND EIRC ,) M1 Charlton MA 01507 " "` Expiration _ Commissioner 09/08/2014 (/�09jI/J72f1-I2l,Uf;CxLlf�.aG��'GC2'�:ICI�ILJBr,/•y ` TO Office of Consumer Affairs n Business egulahon " 10 Park Plaza-Suite 5170 Boston,Massachusetts 02116 Home Improvement Contractor Registration Registration: 173245 - Type: Supplement Card SOUTHERN NEW ENGLAND WINDOWS LL Expiration: 9=2014 DENNISON BRIAN — - 1137 PARK EAST DRIVE - -----• WOONSOCKET,RI D2895 Update Address and return urd.Mark reason for change. sea,o:o•.s•+, - ❑Addrm O Renewal [i Employment Lost Cad ofCoeb Lrµ Hr&$ad—Neaaglke Uotme or registralloA valid for IedWldul ate oak i`t3s: 1AE IMPA CO CTOR be/aresheapiotion rAffuo ad found resssRg a•G, �!1 \A Office of Caesumer Attars and 8usioess Regulation _ a te,.Re ion n. 17324 Types t0 Park Ptaa-Suite$170 EKp 911 1d Suppement t:tud Boston,MA 02116 SOUTHERN ENGLAND ROWS LLC. .. RENEWALBY RSON 1137 PSON N 1137 PARK 2 WOONSOCKET.Rl=95 Uederreeselary NetvalldwBhemslpaeam i The Commonwealth of Massachusetts Print Form ...__ Department of Industrial Accidents Office of Investigations 1 Congress Stree4 Suite 100 / Boston,MA 02114:2017 •` www mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name(Business/Organization/Individual): SP�'jl1 / l&j .gZ f�L "G Address: ;2 4., City/State/Zip: LIItiGG�N �= vEBBS Phone#: ��� �� — P� Are you an employer?Check the appropriate box: Type of project(required): E I. WI am a employer with 9 b 4. ❑ I am a general contractor and I employees(full and/or part-time).* have hired the sub-contractors 6. ❑New construction 2.❑ I am a sole proprietor or partner- listed on the attached'sheet.. 7.' ❑,Remodeling ship and have no employees These sub-contractors have 8. ❑Demolition working for me in any capacity. employees and have workers' comp.insurance.: 9. El Building addition [No workers comp. insurance p• required.] 5. ❑. We are a corporation and its 10.❑Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their 11.❑.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 13.[rOther / E.Gn�t�rt/!'' employees. [No workers' Gt comp. insurance required.] R,.S. 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 subcontractors 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. v Insurance Company Name: o 4 Policy#or Self-ins.Lic.#:_/k�� �6 6 g �` 02.3 �7 Expiration Date: oF/113 , Job Site Address: 1 5 T ('(I `l3 City/State/Zip: : Co. .(T 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 here certi er the Uns and enalties o e 'u that the in ormation provided above is true and correct t _ Si afar : . .. _ . _. �0 ��/ G� _ Date _ �.3 . Phone#:.. L D d� < 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#: Client#:30124 SOUTNEW 'A CORM CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYY`/) 5/08/2013 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE,A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT:If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must be endorsed.If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement.A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER NTACT Willis of New Jersey,Inc. PN owe Anita Little FAX A/C No Ext:856 914-4660 ac,No; 856 914-1881 1015 Briggs Road E-M e PO Box 5005 ss: Anita.Little@will(s.com INSURERS)AFFORDING COVERAGE NAIC It Mount Laurel,NJ 08054 INSURER A:Selective Insurance Co of the S 39926 INSURED INSURER B:Argonaut Insurance Co. 19801 Southern New England Windows LLC INSURER C:Beacon Mutual ins.Co. 24017 D/B/A Renewal by Andersen 26 Albion Road INSURER 0 Lincoln,RI 02865 INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR ADDL UBR POLICY EFF POLICY EXP LTR TYPE OF INSURANCE IN SR WVO POLICY NUMBER MMMD MM/DD/YYYY LIMITS A GENERAL LIABILITY S202945900 8/10/2012 08/10/2013 pEAACCHp�OECTCURRENCE $1 OOO OOO X COMMERCIAL GENERAL LIABILITY PREMISES &EoNcTaiErtence $50 000 CLAIMS-MADE �OCCUR. MEDEXP(Any one person) $5,000 PERSONAL&ADV INJURY $1 000,000 GENERAL AGGREGATE $2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $2,000,000 POLICY PRO- LOC $ JECT A AUTOMOBILE LIABILITY S202945900 8/10/2012 08/10/2013 COMBINED SINGLE LIMIT Ea accident 1,000,000 X ANY AUTO BODILY INJURY(Per person) $ ALL AUTOS OWNED SCHEDULED AUTOS BODILY INJURY(Per accident) $ NON-OWNED X HIRED AUTOS X AUTOS PROPERTY DAMAGE Per accident $ A X UMBRELLA LIAB OCCUR S202945900. - 8/10/2012 08/1012013 EACH OCCURRENCE $5 OOO OOO EXCESS LIAB CLAIMS-MADE GREGATE $5 000 000 DED RETENTION$ $ B WORKERS COMPENSATION AIC927698352394 8/21/20 08/21/201 CSTATu- oTH- AND EMPLOYERS'LIABILITY C ANY PROPRIETORIPARTNER/EXECUTIVE Y/N 68028 OFFICER/MEMBER EXCLUDED? 8/21I2 12 08/21/201 E. .EACH ACCIDENT $1 OOO OOO. � NIA A (Mandatory In NH) L.DISEASE-EA EMPLOYEE $1 000 000 If DESCRIscribe under PTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $1,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(Attach ACORD 101,Additional Remarks Schedule,If more space Is required) CERTIFICATE HOLDER CANCELLATION Southern NE LLC SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE. THEREOF, NOTICE WILL BE DELIVERED IN 26 Albion Road . ACCORDANCE WITH THE POLICY-PROVISIONS. Lincoln,RI 02865 . AUTHORIZED REPRESENTATIVE ©1988-2010 ACORD CORPORATION.All rights reserved. ACORO 25(2010105) 1 of 1` The ACORD name and logo are registered marks of ACORD tf•S214638/M214631 AXL May.24.2013 07:11 PAUL CONBOY RENEWAL ANDER 781 545 1293 PAGE. 3/ 3 Renewal yA r RI tltviw#Aion 1.we al RF', GYY�7L P rG u�11 ERS1.'�J,V MA l.iw,w III79Y49 J!L Ice,.T.,4 CT 1XV11m�=114999 r / RIrCOe ■[PUC[MEMT mAalesenGmpew 2h/tll)rort Road Lincoln, read arm tatL.q Y Phom:866.563.2235•Fax 401.633,6(i02 nxfand Tn.IV 046,0066110 Southern New England Windows,LLC d/b/a Renewal by Andersen of Southern New England CUSTOM WINDOW AND DOOR REMODELING AGREEMENT Buyer(s)Narm Date of<yreement cc.n o GCS ��J Bayer,)Street Address,Oq,State and Yip Code I P.O.Box ,eS J 4, Q E-WI Address Home Tef4hone Ntmtbor WorkTelophom Nmnbcr sn cases e�vrtCt �'- Fl 1 Btlycy(a)hcrsbyjc»ally and w-verally agrees to pumhasc the pmductq and/or services of Southern Newv Englttnd Windows,LLC d/b/a RLncwal by Anderson cA'Southern New Ndtgland("UontrIwiur"),in avixudance with the wrms raid txatditions describiA on the rrmt and the rw+erse of this agreement and eat the attached specilication shewl(x)(collectively,thiN"Agreement"). 0 Historic 0 Condo D HOAT Total Job Amoun 1 Estimated Starting Date: Method of Payment O Check Cash- U Financed Deposit Received(33%). :y Credit Cards are accepted for deposit only-maximum 113 of the Balance at Start of fob(33%): prom coat(PI-e see Gedlt Card payment Form)By signing this Fsdmated Completion Date: Agreement,you acknowledge that the Balance at Start of Job and the Balance on Subs n'ale C� h+E�v" Balance on Substantial Completion of Job cannot be made by credit 7 -' - personal check bank check,or cash. Completion of Jo � ).,, card and must be made b Y Buyer(s)agrees and understands that this Agreement constitutes the entire understanding between the parties,and that there are no verbal understandings changing any of the terms of this Agreement.Buyer(s) acknowledges that Buyer(s) (1)has read this Agreement,understands the terms of this Agreement,and has received a completed,signed,and dated copy of this Agreement,including the two attached Notices of Cancellation,on the date first written above and(2)was orally informed of Buyer's right to cancel this Agreement.DO NOT SIGN THIS CONTRACT IF THERE ARE ANY BLANK SPACES. (Rhode Island Sales Only)Notice to Buyer:(1)Do not sign this Agreement if any of the spaces intended for the agreed terms to the extent of then available information are left blank.(2)You are entitled to a copy of this Agreement al the time you sign it.(3)You may at any time pay off the full unpaid balance due wader this Agreement,and in so doing you may be`entitled to receive a partial rebate of the ftuaace and insurance Charges.(4)The seller has no right to unlawfuily enter your premises or commit any breach of the peace to repossess goods purchased under this Agreement.(5)You may cancel this Agreement if it has not been signed at the amain office or a branch office of the seller,provided you notify the seller at his or her main office or branch office shown in the Agreement by registered or certified mail,which shall be posted not later than midnight of the third calendar day after the day on which the buyer signs the Agreement,excluding Sunday and any holiday on which regular mail deliveries are not made.See the accompanying notice of cancellation form for an explanation of buyers&rights. Buyer(s) liver)the car trials pl en iced by the Rhode island C:onln4cluYs Registration Bo fyvrs Renewal by en o tau n New England Buyer(s) _ Buy-W By: , re of Pn act nager ignaaare Signature riot Name or Pmduct Manager / Print Name Print Name YOU, THE BUYER(S), MAY CANCEL THIS TRANSACTION AT ANY TIME PRIOR TO.MIDNIGHT OF THE THIRD BUSINESS DAY AFTER THE DATE OF THIS TRANSACTION.SEE THE ATTACHED NOTICE OF CANCELLATION FORMS FOR AN EXPLANATION OF THIS RIGHT. - - - - - - - - - - - - - - -jic' - - -. - - - - - - � --- _ - - - - - - - - - - - - - - - 130TICEQI111 CANCELLATION x N.ffiC.E•OF Date of Tlransadatio0 !!�-,.,) '7y3 3 .You may unreel i Date of Transtaetlon You may ca"Cel this transaction,without any penalty or obligation,within this transaction,without any penalty or obligation,within three business days from the above date.If you cancel,any three business,days from the above date.N you cancel,any property traded in,any paysreecnts made by you under the property traded in,any payments made by you under the Contract or Sale,and any negotiable instrument executed I Contract or Sale,and any negotiable instrument executed by you will be returned within ten business days following I by you will be returned within ten business days following receipt by the Seger of your cancellation nodes,and any receipt by the Seger of your cancellation notice,and airy security Interest arising out of the transaction will be security Interest arising out of the transaction will be canceled.if you cancel,you must makeavaibabletatheSeller canceled.Hyoueancel,you must makeavaisabletotheSeiter at your residence,in snbstsundally as good condition as when I at your residence,In substantially as good condildon as when re caved,eny goods deivored to you atnder.this Contract or I t aceived,any goods delivered to you under this Contract or Sala)or you may,if you wish,comply with the instructions of I Saktti or you may,if you wish,comply with t1so instructions of the Seller regardingthe return shipment of the goods at the �^ the Seller regarding the return shipment of the goods at the Seller's expense and risk.It you do make the goods available 1t Seisr'a ,erase and risk.N you do make the goods available to the Seger and the Seller does not pick them up within I.to the Seller and the Seller does not pick them up within twenty days of the date of cancellation,you may retain or I twenty days of the date of cancellation,you met retain or dispose of the goods without any further obligation.N you I dispose of the goods without any further obligation.N you fail to make the goods available to the Seller,or If you agree I fail to make the goods available to the Seger,or if you agree to return the goods to the Seller and fall to do so,then I to return the goods to the Seller and fell to do soy then you remain Rabin for performance of aN obNgtatdons under you remain Babb for performance of all obligations under the Contract.To cancel this transactions mail or dealer I the Contact.To cancel this transaction, mail or delver a signed and dated Dopy of this cancellation notice or any i a signod and dated copy of this aanealladon notice or any other written notice,or send a telegram to Renewal by I other writte i nadce,.or send a telegram to Renewal by Andersen of Southern New England at 1 137 Park East Dr., I Andersen d Southern clew England at 1 137 Park East Dr., Wooyao t R102899,NOT LATERTHAN MIDNIGHT OF I Woonsocket,R1 02895.NOT LATERTHAN FBDNIGHT OF J �7- I HEREdY CANCELTNIS TRANSACTION. j I F EMBY CANCELTH.(Daft) RANSACTiON. Buyw'g signature Print Name Orb Buyer's Signature Prose Name RbA Copy:White Buyer Copy:Yellow Buyer Copy;Pink TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION r _ . Map �- Parcel Q 0 Permit Health Division Date I ued 2 [moo Conservation Division As 29-. Tax Collector SEPTIC SYSTEM DUST BE Treasurer f �1Zllll� INSTALLED IN COMPLIANCE WITH TITLE 5 Planning Dept._-i ENyiRONMENTAL CODE AND Date Definitive Plan Approved b PlanningBoard - TOWN REGULATIONS � Historic-OKH Preservation/Hyannis Project Street Address E6 ku Village C 'avQ Owner [Ac A A c_ 60°► �� C'(S • Address 9 Telephone -J O g e a<9 e ® 0 Permit Request G, xt)/"L 13 J Squ'are feet: 1st floor: existing proposed 8 2nd floor:existing proposed Total new Estimated Project Cost 00 Zoning District �`� Flood Plain Groundwater Overlay Construction Type Oa Y'4W)G Lot Size _1_b o o d Grandfathered: ❑Yes ❑No If yes, attach supporting documentation. Dwelling Type: Single Family Two Family ❑ Multi-Family(#units) Age of Existing Structure Historic House: ❑Yes ❑No On Old King's Highway: ❑Yes ❑No Basement Type: Full ❑Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) _ Number of Baths: Full:existing new 2- Half: existing new t ,0 Number of Bedrooms: existing new Total Room Count(not including baths):existing new First Floor Room Count �i r Heat Type and Fuel: AGas ❑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:El existing new size) 4X O Shed:❑existing ❑new size Other: Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes ❑No If yes,site plan review# Current Use Proposed Use BUILDER INFORMATION Name, v h A1Ye Q �A— C� , Telephone Number �b Up qa 8 1?�8 Address Po A0 x yd`�/� License# C 6 6 0 ! 6 09 o Home Improvement Contractor# Worker's Compensation# UX Z 116` V 7 ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE o� f; FOR OFFICIAL USE ONLY - PERMIT NO. DATE ISSUED MAP/PARCEL NO. • ADDRESS VILLAGE .�.-' I. . _ . `may"- •- - OWNER DATE OF INSPECTIN: - - 4 FOUNDATION ao lO L FRAME 2` 7 .+, ifl INSULATION 'r FIREPLACE ELECTRICAL: ROUGH, FINAL Y } r - y •a PLUMBING: ROUGH; FINAL _ GAS: ROUGH? -f FINAL FINAL BUILDING,_ + i DATE CLOSED OUT '17cr ' ASSOCIATION PLAN NO.- r tME►�,ti The Town of Barnstable BAR. LE. MASS. p Department of Health Safety and Environmental Services Ti ASS. 0 lEDMP'p Building Division 367 Main Street, Hyannis, MA 02601 Office: 508-862-4038 Fax: 508-790-6230 Inspection Correction Notice Type of Inspection Location �le.S 1 I t l�S Permit Number � 74;733 Owner Builder One notice to remain on job site, one notice on file in Building Department. The following items need correcting: l !CkA a 45 lY IAA 444 «IAA r le55 �hAV) 3&( 0Y '944+ 12414L/e " L mr.�sed nqllfho'. Oki 0/ kV haoc..Ok- '� e,k---,) 00wic Please call: 508-862-4038 for re-inspection. Inspected by-Y&AY Date 9 C V I�[ANO�V�R. =INSURA M 7 The Hanover Insurance Company ❑ Massachusetts Bay Insurance Company Worcester, MA 01605 Bond No. '163Z840 LICENSE OR PERMIT BOND KNOW ALL MEN BY THESE PRESENTS,that we, MCSHANE CONSTRUCTION COMPANY INC PO BOX 429 of nSTFRVILLE MA 02655 as Principal, and OThe Hanover Imurance Company (A New Hampshire Corporation) ❑Massachusetts Bay Insurance Company(A New Hampshire Corporation)as Surety, are held and firmly bound unto THE. TOWN OF BARNSTABLE as Obligee,in the penal sum of ---nnP Thousand--------(81 ,000)---- ---- Dollars,good and lawful money of the United States, for the payment of which sum well and truly to be made, we bind ourselves, and our heirs, executors, administrators,jointly and severally,firmly by these presents. WHEREAS the said Principal has applied to said Obligee fora licensex0c. .w.-.Permit, to._open,. . occupy: cross b vehicles .and obstruct a certain Y portion of a public sidewalk, berm, curbing, street or way at the location of .Lot # 2 V6rest Hill, Cotuit MA '02635 . . . . . . . . . . .... . . . .. . . . . . . . . . . . . . . . . ... .. . . . . . .. . . . . . . . . . NOW, THEREFORE, THE CONDITION OF THIS OBLIGATION IS SUCH, That if Principal shall faithfully observe and honestly comply with the provisions of II Laws or Ordinances of Obligee regulating the business for which I' issued,then this obligation shall be void;otherwise to be and remain in full force and virtue. c license (s PROVIDED,THE LIABILITY OF THE SURETY upon this bond shall be and remain in full force and effect for the full period of the license, and renewals thereof, issued to the principal above named, or until ten days after receipt by the Obligee of a written notice signed by such Surety, or its authorized agent,stating that the liability of such Surety is thereby terminated and canceled; and provided further, that nothing herein shall affect any rights or liabilities which shall have accrued under this bond prior to the date of such termination. Signed,sealed and dated the. . ...2nd. . . . . . . . . .. . . . . . . . FdayFEBRUARY , 4 2000 . . .. . . . . . .. . . . . . . . ... . . . . . . . . . . . . . . . Principal �F9 (seal) By: _�•n _ .. . . . . . *• o;c_ ❑ MASSACHUSETTS BAY INSURANCE COMPANY %>� , ^' � - ❑ THE HANOVER INSURANCE COMPANY HE . . . . . . . . . . . • . . . Form 141.0761(3J95) � 1 1'h\�2r1 F 5' j V►r�_Attorney-in-Fact The Commonwealth of Massachusetts Department of Industrial Accidents ....... °: V Office offnhesfflatfoos t^� 600 Washington Street' Boston,Mass. 02111 Workers' Compensation Insurance Affidavit name: location: city phone# ❑ I am a homeowner performing all work myself. ❑ I am a sole r rietor and have no one workin in any ca achy ❑ I am an employer providing workers' compensation for my employees working on this job com any name:. address:: city pon h e#. insurance co.. oltcv#:. FURN %/ ❑ I am a sole proprietor, general contractor, or homeowner(circle one)and have hired the contractors listed below who have the following workers' compensation polices: companyname• address ci y �> hone# xx insurance Vow o address: ;. ct oliev# insurance / Fafiure to secure coverage s,required under Section 25A of MGL 152 can lead to the imposition of criminal penalties of a tine np to S1,500.00 and/or one yeah'imprisonment as well as civil penalties to the Corm of a STOP WORK ORDER and a tine o[5100.00 s day against me I understand that a copy o[this statement may be forwarded to the Office of Investigations of the'DIA for coverage verification. I do hereby c rtify Signature under the pains and penalties of perjury that the information provided above is truo and cornAi ct Date � - Print name Phone# Ill official use only do not write in this area to be completed by city or town official city or town: permit/license# ❑Building Department ❑Licensing Board ❑check if immediate response is required ❑Selectmen's Office ❑Health Department contact person: phone#; ❑Other (revised 9/95 PJA) Information and Instructions Massachusetts General Laws chapter 152 section 25 requires all employers to provide workers' compensation for their employees. As quoted from the"law", an employee is defined as every person in the service of another under any contract of hire, express or implied, oral or written. An employer is defined as an individual,partnership, association, corporation or other legal entity, or any two or more of the foregoing engaged in a joint enterprise, and including the legal representatives of a deceased employer, or the receiver or trustee of an individual,partnership, association or other legal entity, employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein, or the occupant of the dwelling house of another who employs persons to do maintenance, construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer. MGL chapter 152 section 25 also states that every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required. Additionally,neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority. Applicants Please fill in the workers' compensation affidavit completely,by checking the box that applies to your situation and supplying company names, address and phone numbers along with a certificate of insurance as all affidavits may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit:sliould be returned to the city or town that the application for the permit or license is being requested, not the Department of Industrial Accidents. Should you have any questions regarding the"law"or if you are required to obtain a workers' compensation policy,please call the Department at the number listed below. City or Towns Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permit/license number which will be used as a reference number. The affidavits may be rehued to the Department by mail or FAX unless other arrangements have been made. The Office of Investigations would like to thank you in advance for you cooperation and should you have any questions. please do not hesitate to give us a call. The Department's address,telephone and fax number: The Commonwealth Of Massachusetts Department of Industrial Accidents Oftice of Invesugadons 600 Washington Street Boston'Ma. 02111 fax#: (617) 727-7749 phone#: (617)727-4900 eat. 406, 409 or 375 fe a}>z-12)zan( eaewll c ��a�sacJlul. 1 Board of Buildin e ulations One Ashburton Place, Rm 1301 Boston, Ma 02108-1618 License: CONSTRUCTION SUPERVISOR LIC Birthdate: 12/1 9/1944 Number: CS 001808 Expires: 2i19/2001 Restricted To: 00 JOHti J `iCSHANE PO BON -;5 OST.ER`'ILLE. N1a. 0=6 _ Tr:`no: i55 i i r _ Keep top for receipt and cnancge of address notificaticn. 2868 243ODH 24300H 24300H 5 1 a �. a a 'Y> $,. �e,'"`+s s . - BUILDER TO CONFIRM ALL CONDITION -,ij AND DIMENSIONS ON 51TE a E 40'-2" o> 1 o 0 0 t a N E N ADD NEW E . \P WALL5 1 J '^ unheated-storage area = n d? E5 o v v BUILDING DEp7- � 1 � 2bb8 .s•.._».....--wµ.azt,.. - ! NOV 15 2017 e i TOWN OF BARN m o STggLF b, 5„ OL + ..e,.sr•..-ms.. 3068 !:a., -...+xy:p+.+...f' > :_.r..a,a-,« ::.:•.'..w be.w,....r.- .a:........... -'.-...-_+ .;,-< ...;:e,. r ..vw,:—,•Y-s4es.,.,w:.e,e.;:_: ( 4 J LL UP } cl . - t ' - ` �. ilk _ � - • � .^ �' W u, cn LU 1/211 { l-1 l A z - - 14-5"— B24R B24 B24RINSTAL DROP DOW vEcn _wQ LU CEILING IN ENTRY F 1 - 3 z 4'-7 9/16" O 11 -3 1/2 ;y i r 4 e _ 12'-11 d4 Date: n Revisions: .a � 1 { � .�`, q .f t',* +;.,.,�, vnw<^"y,,r'«` +w :'atWi .•<' . !i.�-'.-x"1`,"y.A3s.a�,:y r :.,?.r�'" '..` "-is�-.e-. �:. 11-9-1-7 k4 u(►� 14'-21 _ Final Plans: ENCLOSE r h — UTILITY Note: These plans are for the sole purpose and bO F x. FLOORPLAN. Proposed scale 1/4=1-0 use ofGapizzi Home Improvement and are not to be distributed or used for construction other . . than by Gapizzi Home Improvement. / 1 4 28b8 24300H 24300H 24300H - 4- BUILDER TO GONFIRM ALL GONDITIONa 4 AND DIMEN510N5 ON'S1TE f1 40'-2" 3 Q N o � . ADD NEYV z YVALLS unheated storage area zy E5 Nov l 52017 - ` - 2668 - Tp cn p) OF 13A RIVST ALE �74 0 ,, 3068 UP 14,-6„ + v z m .. LU l}7 - W Ln p. l - - = �_ I 1/2° w lu , 5068 - .^ F B9R B24R B241i, ' B24R y 24R B24R rPP P INSTAL DROP DOY�IN NEY�t MALL i m P tY CEILING IN ENTRY . i L i )Lj i. _ _ y .- cn 4'-19/16" O �- 12'-11" Date: cn 3-28-17 a Revisions: � 3 1.1-9-17 14'-21' Final Plans: ENCLOSE 15 °� UTILITY Note: These plans are for the sole purpose and FLODRPLAN: Proposed [scale: 1/4=1-0 Q �( use of Gapizzi Home Improvement and are not to be distributed or used'for construction other than by Gapizzi_Home Improvement. t A 2bbb 24300H 24300H 1 24300H BUILDER TO CONFIRM ALL CONDITIONS Ln f�ND DIMENSIONS ON SITE' L Ro' of N �J U o o U 'N Ln 40'-2" 1 'Vol/ 1 ED o Wit- � d Q � • 306b L U P IL 0 LIVING o 29'-7" X 13'-6" ` �ti z LU , 1/2 . w E 511 W > w - 141 - Q 5068 S w 4-10 1/16 Date: m 3-28-1 Revisions: Final Plans: ``FLOORRL.AN: Existing _scale: .0%. Note:These plans are for the sole purpose and 1/4=1-� • use of Gapizzi Home Improvement and are not Oto be distributed or used for construction other 40 ' than by Gapizzi Home Improvement. S YS TEM IPROFIL E NOT TO SCALE FINISH GRADE TOP FNDN• FlVISH GRADE OVER O VER TRENCHES �o•4 EL ._ r„ 0. 7 FINISH GRADE G 95 8 FINISH GRADE O VER d�CS T. BOX 70•0 SEPTIC TANK—� - �O is `c ° 'T'fi�TT ' 12" MAX. '7 G'or.: ,,, ,.,.fj•. •0��4G n�;p'.;p,e�pQ•s•, ,'•op,y+bp p't•=•. . e,b• o I ' o o.P, p TOTAL LENGTH/ OF TRENCH 'L'-.� OUTLET PIPE LEVEL a 3„ Q D oo °' FOR 2 FT. MIN. i ' •D•.� Q 006 6 00 �. .s:'•�'•0 G`l. A•2• O• p it;•:n•'e:e:. :n::l:o.: � 'v �• u 00� C. I. OR PVC TEES �7. I'7 low•J7 �G>.8O .<00 ° 0°�°0°$ p� bolo o,`b 4 'Dcy. ,p• �4 •o o. o• i 0 •0 . 150 0 GA L L ON b: DISTRIBUTION BOX .Pe••a•o BSMT FL n. - vo v• °a IN.�'TAL L ON L EVEL BASE 500 GALLON DR YWEL L S " µEL . �2_ZO .o•:. a: q PRECA S T CONCRETE 70 ROD • ••O. __ H- 1.0 REINFORCED 0� � .o•v..c' G:•n•'b;:o crp•d•Q�•• "Dp:D;D• •- e••'°"' D ' ;��..o,.tr;bp•°� .po b•':D..e..e. •a.iyPrloa�'c ,•q.�•.OpA4. SEPTIC TANK TRENCH SECTION INS TALL ON L E VEL BASE ' NOTE: EXCA VA TE TO EL EV V. N�l� OR � M . LOWER TO REMOVE ALL IMPERVIOUS I�NGl1 ("Icy=.IG MA TERIA L BENEATH THE LEACHING AREA 4" OIAM. 12~ MIN. 3" OF 1/8"-1/2" �fl"I OF- G. eboiw REPLACE EXCA VATED MATERIAL WITH o: p'ob'D' b : ;b'e;• 'Ai;gti 'WASHED PEA STONE CLEAN, CLA Y FREE SAND e4. 4 .v o•`° 314 " 1-1/2" WASHED ® ® `"�• CRUSHED STONE U ' 0� GEI VEI "�L NO T��t"' TRENCH WID TH 72 DON BSC GROUP - 1. ALL EL EVA TIONS SJ1OWN ARE BASE NUMBER OF TRENCHES A' `, 2. ALL PIPES IN THE 5 yS TEM MUS T BE CAST IRON NUMBER OF DRYWEL L S 2 OR SCHEDULE 44 P�C . i, l _ OLDS E F V : ® �;, 3. THE BOARD OF HEA L. TH MUS T BE NO TIFIED P-9670 b S COMPLETE PRIOR .®r ,,,,�_._---- WHFN CONS TRUC TIOtd I 2y y2 N .81 •43'22,�E TO BA CKFIL L ING PERCO� TION RA r E.' 22 00 .ao.s2 (off 4. ANY CHANGES IN THIS PLAN MUST BE APPROVED MIN.,/IN. 'p A-7 03 , WI TNESSED B Y BY THE BOARD OF HEAL Th AND CAPE 6 ISLANDS tz�s��v r (o2 ? SURVEYING CO.• INi • DONNA MIORANDI 5. MA TERIA L S A NO IN,(;TA L L A TION SHA L L BE IN BARNS. R �F HEAL TH DE. J + 7N [�, TA s• �I1 COMPLIANCE WI TH THE STA TE SA TA DA TE.' E�' 2"� 2000 i CODE - TITLE V AND LOCAL APPLICABLE — — — — — — 'o. o '6) �; w �� RULES AND REGULATIONS # 3 f i T �� NUMBER OF BEDROOMS S. NORTH ARROW IS F'�OM RECORD PLAINS AND 4 b o __ NO �� Loi � � GARBAGE DISPOSAL IS NO T TO BE USE') FOR SOL A R PURR SES 0"►z z 27�-a.s �N 22 �- C (NON-HAZARD LOdh'(YoN� 7. .FL OOO HAZARD ZONE* tcyv- DAILY FL O ro � GA L . �. WA TER SUPPLY _r0A11V NA16, t✓oa��r spa SEPTIC TANK REO 'D. GAL . N 3 �U1ZM 115C- � � 2 . � GA L . rU LL �T L__-_ o SEPTIC TANK PROVIDED GPD. ti h �D a. • ^ti'hp LEACHING REOUIREDslo • 4 152 S�t.1D SYNC) Srj2 WALL AgE�4= S'ff2 S.F. X G/S. F. = GPD. BQTTOM ARE _ 329 S. F. LEGEND .�29S. F. X . 7' . F. - 243 GPO ICo, 181 �F 4° 120• O tzpuNpW��E ��� aW�TE LEACHING PRO VIDEO = GPO PROPOSED EL E VA TION 9'� --� --- EXISTING CONTOUR SINGL E FA MIL Y RESIDENCE OBSERVA TION PIT �r ❑ DISTRIBUTION BOX r� `°s.r� •``d ,` ar PROPOSED SERA GE DISPOSAL S YS TEM --- TRENCH . � - � ' �• PREPARE FOR o o ' SEPTIC TANK MC SHA NE CONS TRUC T.ION a ' LOT 2 FOREST HILLS DRIVE RESERVE AREA DARNS TABLE—COTUI T—MASS. PIPE' INVERT ELEVA TION r�'a4{�' DiA i j� .1t•��;Ki �,;� DATE:TE.' UN . 22, ZC7Q� CAPE 6 ISLANDS ENGINEERING PLOT PLAN IF• �= SCALE AS NOTED 800 FA L MOUTH ROAD - SUITE 301 SCALE.' 3 T4 � PLAN NO. SOCo� 200 _ , . MASHPEE, MASS. 3tol__Ix�d. HAP -SEC PCL LOT HSE f