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0139 FOX DEN BLUFF ROAD
kk f I� i " s -t TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel -6 Application# Health Division q 5 Q20 q bd1k Conservation Division F l W_ d� � � ®'� Permit# l 6 �IC� �c Tax Collector Date Issued L. ®--0 Treasurer "I "' Application Fee o t C70 Planning Dept. Permit Fee ®v O® Date Definitive Plan Approved by Planning Board Historic-OKH Preservation/Hyannis Project Street Address bX Village e 0-rH="` Owner tlAa,< 4 qNN 5J I.y:CA Address e-�-0 /S9 ;7o-k Oe•v 81'F{ Telephone -y2y_Z.YG0 Permit Request /S-r �L o f wo T�� -��T�/l.�e e D ii C&T n�- ®;z= Square feet: 1 st floor:existing proposed 2nd floor:existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation X M9 Construction Type SQL �✓�9'�/�=^'YL G� Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single.Family ❑ Two Family ❑ Multi-Family(#units) n Age of Existing Structure Historic House: ❑Yes aK'o On Old King's Highway: ❑Yes Oslo Basement Type: ❑Full ❑Crawl ❑Walkout ❑Other O Ba'sement 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 Coudit Heat Type and Fuel: ❑Gas ❑Oil "Electric U Other Central Air: ❑Yes ❑No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑No Detached garage:❑existing ❑new size Pool:Coexisting O'new size /d ic3Z t 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 BUILDER INFORMATION Name d-trP&-✓ Telephone Number gO8r 362-769g' Address 2 0^,D License# d N� 7 S- Home Improvement Contractor# J 2f?a1'7 Worker's Compensation# ALL CONSTRUCTION DEBRIS RE LTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE `� D F+ FOR OFFICIAL USE ONLY � t r } PERMIT NO. DATE ISSUED- MAP/PARCEL NO.- ADDRESS VILLAGE ' OWNER ? .r. DATE OF INSPECTION: FOUNDATION FRAME INSULATION `f. FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING i DATE CLOSED OUT ASSOCIATION PLAN NO. r r I .. The Commonwealth of Massachusetts ' Department of Industrial Accidents Office of Investigations 600 Washington Street Boston,.MA 02111 www mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/lElectricians/Plum hers pli Apcant Information - Please Print Legibly Name (Business/0rganization&&vidu4: 0o 2 ig-2Qf-- t'oDt�. Z'J L- Address: �' ���ru-Nip K L.pr,-Jf-- City/State/Zip: - 15-. 4Az oi--GA, HA 02&U,5" Phase#: Are you an employer? Check the*appropriate�bo Type of project(required): 1.❑ I an a to er with 4• L am a general contractor and I employees(fall and/or part-time).* have hired the stab-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 mein any capacity. . workers' comp.insurance, g• ❑ Building addition [No workers' Gump.insurance 5•1 ❑ We are a corporation and its required.] officers have exercised their 10.0 Electrical repairs or additions 3.❑ I am a homeowner doing all work right of exemption p er MGL 11•❑ Plumbing repairs or additions myself.[No workers' comp. c. 152,§1(4),and we have no 12.❑ Roof repairs insnrance required.] t . employees.[No workers' 13.©'Other �J znh�^'� P�L comp.insurance required.] *Any applicant that checks box#1 must also fill out the section below showing th9ir workers'compensation policyinfeixnatioa' ` t Homeowners who submit this affidavit indicating they are doing all work andthen hire outside comxctors must submit a new affidavit indicating such ' tContractms that check this box must attached as additional sheet showing the name of the subcontractors and their workers'comp,policy information. ram an employer that Is providing workers'compensation Insurance for.my employees. Below 1s thepolicy andjob site Information. Insurance Company Name: Policy#or Self-in$.Lie.#: Expiation Date: Job Site Address: City/State/Zip: Attach it 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 Imyestigations of the DIA for insurance coverage verifcation. I do hereby certify under the i a d enalties ofperjury that the information provided above is true and correcz Si ature: Date: -Y Ko 6 Phone#: �6W 06q gozq Official use only. Do not mite in this area,to be completed by city ow to M af�fidd City or Town: Permit/License# Issuing Authority(circle one): 1.Board of health 2.Building Department 3.City/—Lown Clerk 4.Electrical Inspector 5.Plumbing Inspector 6. Other. Contact Person: Phone#: Information and Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers' compensation for their employees. Pursuant to this statute, an employee is defined as"...every person in the service of another under any contract of hire, express orimplied,.&al 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, §25C(6)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,MGL chapter 152, §25C(7)states"Neither the commonwealth nor any of its political subdivisions shall o Hance with the insurance enter into suy contract for the performance of public work until acceptable evidence of c m requirements of this chapter have been presented to the contracting authority." Applicants Please fill out the workers'compensation affidavit completely,by checling the boxes that apply to your situation and,if necessary,supply sub-contractors)name(s),address(es)and phone number(s)along with their certificate(s) of insurance. Limited Liability Companies(LLC)or Limited Liability Partnerships(LLP)with no employees other than the members or partners,are not required to carry workers' compensation insurance. If an LLC or LLP does have employees,a policy is required. Se advised that this affidavit 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 should 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. Self-insured companies should entertheir self-insurance license number on-the appropriate line. City or Town Officials . 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 permiYlieense number which will be used as a reference number. In addition,an applicant that must submit multiple permitllicense applications in any given year,need only submit one affidavit indicating current policy information(if necessary)and under"Job.Site Address"the applicant should write"all locations in_(city or town)."A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that.a valid affidavit is on file for future permits or licenses. Anew affidavit must be filled out each ' year.Where a Home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e.a dog license or permit to burn leaves etc.)said person is NOT required to complete this affidavit The Office of Investigations would like to thank you in advance for your 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 Massach_u.settrs Department of Industrial Accidents Office of lmvest4gadaw 600 Washington Street Boston, MA 02111 Tel. #617-727-4900 ext 406 or 1 o77-MASSAFE Fay a 617-727-7749 Revised 5-26-05 Ww-4v.m2S s.ao v/did �pFIMEri Town of Barnstable Regulatory Services R BARNffrrAABLB, Thomas F.Geiler,Director rppMpYp Building Division Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 Office: 509-8624038 Fax: 508-790-6230 Permit no. Date AFFIDAVIT HOME IMPROVEMENT CONTRACTOR LAW SUPPLEMENT TO PERMIT APPLICATION MGL c. 142A requires that the"reconstruction,alterations,renovation,repair,modernization,conversion, improvement,removal,demolition,or construction of an addition to any pre-existing owner-occupied building containing at least one but not more than four dwelling units or to structures which are adjacent to such residence or building be done by registered contractors,with certain exceptions,along with other requirements. Type of Work: �ysMty�1C �Oo L Z�,bbb yp Estimated Cost Address of Work: 1 X `��F 26 A-6 Owner's Name: �`� /�., A-APIJ y t.V:cA Date of Application: $ b I hereby certify that: Registration is not required for.the following reason(s): ❑Work excluded by law ❑Job Under$1,000 ❑Building not owner-occupied ❑Owner pulling own permit Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c.142A. SIGNED UNDER PENALTIES OF PERJURY I hereby apply for a permit as the agent of the caner: q IS aG /2?ar 7 Date Contractor Name Registration No. OR Date Owner's Name Q:forms:homeaffidav �Llob ye4p_� hor- �o� Fc>y, -T->r-- PQofos 5aasroro�ro6 �cDL ��,cT��4K ;' �J i-`It CERTIFIED PLOT P I CERTIFY ' �� TAT T�� 'FOUNDATION FOR SHOWN ON THIS PLAN LS LOCATED ON THE LOT 23 FOX DEN BLUFF RD.$ CQTUIT'MA° GROUND AS SHOWN HEREON AND THAT IT LCP#39660-B CONFORMS TO THE MMIMM SETBACK ' REQUIREMENTS OF THE TOWN OF PREPARED FOR 13ARNSTABM O��EpLII Of SCALE; 1" -60' APItIL 20,.:1998 yN w .RUMBA Weller & Associates . 1645 Falmouth Rd.-r.Snite 4C Centervill L�. 7 (508)775-0735 e'Mst.OZ63Z iVY\1/L�� ,1�'' �C�© 41, 3 t x ,dl Board of Building Regnlefioas and Standards HOME::fMRQYEMEN CCE3{1TRACTQR Reglstratibm �1`�tsFn �1 tt?�Q07 vIArTHEuv M B MATTHEW BOROi` 73 WEIR RDA YARMOUTHPORT,MA 02675 Adminlstrator .. : a x u� xy E f 1i e r a r APR-17-2006 13:21 From:MARK SYLVIA INS 5084209227 To:150e4320110 P.1/1 AGOR- CERTIFICATE OF LIABILITY INSURANCE oai17/2006' PRopucaR 508 428-0440 THIS CERTIFICAYE 18 ISSUED AS A MATTER OF INFORMATION MARK SYLVIA INSURANCE AGENCY ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 889 MAIN STREET HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE FFORD 0 BY IM OLILIES BELOW. •OSTERVILLE,MA 02655 INSURERS AFFORDING COVERAGE NAIC 0 INOURRO IN/URERA COLONY INSURANCE COMPANY SHORELINE POOLS INC INbuaeme- LIBERTY MUTUAL 5 HALLMARK LANE INOURERC _ EAST HARWICH,MA 02646 INRuRI ap. _ INSURER E. COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE SCEN 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 WMICM THIS CERTIFICATE MAY BE ISSUED OR 'MAY PERTAIN.THE INSURANCE AFFORDED BY THE POUciEB DHBCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,EXCLUSIONS AND CONDITIONS OF SUCH IPOLICIES,AOGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. _ IN�I� fSO' .;..._.,._....._......_•---.._.._. . ......._ ..._.... ...-•ppLN:YNU IR "-- . ..C1'IX RA _. _._.._..._ ..._ LR1YR._.. .. . ....._.—...... TVIMMINSUIRANBE OSNERAL LIABILITY CM OCCURR4NCE i 110001000,- A X cOMMERCUL04N8RAllIA91LITr GL3928348 02/0812008 0210812007 A"""MI� '�e�� i P. PLO tP Irl9ne) CLAIMS MADO 17OCCUR MkODXP(Any 1 _ 5.000 PERSONAL A ADV INJURY 1 1.000,000 OENr;AALA00R+1OATQ I _ 2y000lOOO OOMLAOOReOATE LIMIT APPLIES PER. PRODUCTI•�COMPOOPAGO f ~2,000.000 POLICY F1224LOG AUTOMOSILB UARILITY COMBIN ED OIN06E LIMIT 1 ANYAUTO IEI fCONMq W ALL O WNED AUTOB BODILY INJURY SCMEDULO*AUTCS (Paommon) i HIRED AUTOO DODILY INJURY NON-OWNEDAUTOO - - IPIWAWANQ •, 1 -„— PROPERTY OAMAOQ I (Peta w"Al1 GARAGE LbIBILIri AUTOONLY QA ACCIpENT 1 AkYAUTO OlmAllTNAN ,OTAACC I _ AUTOONLY AGO f ERCEOOIUMDRECLALIAOILITY PACHOCCURRIINCQ f _ :..a OCCUR El CLAIMS MADA AOORQOATR 1 _ DEDUCTIBLE RETENTION 1 , O WORIIIRI OOMPRNBATION NO A QMPLoraRrLublL+n WC2-315-358231-018 02/10/2006 02/10/2007 ANY PROPRIITORIPANTNGRIEROCUTIVB Q QACMAGCIOGNT f 11000000 OFPICIRIMPMOOR QACLUDDO'+ E DIbEABf.�fiAOMPL0Ye0 I lO,QO�000 R. of ds Plib@ urMer S O�low L DISEASE r POLICY LIMIT It 1 000 000 OTHR11 - DQbCRIPTIOM OP OPORATIONO I LOOATNNIOI VINICWO f OlC W ONJMO A00E0 Or ONDOpbOMeNT 1 OP/CUL PROVIIION O SWIMMING POOL CONSTRUCTION CERTIFICATE OLD CANCELLATION ONoULo ANY OP TNO ABOVQ DeSCRISOD POLICIIb RR CANCOLLRD RRPORQ TWO BIPMAYION PATIO THIREOP,TNI OWING OIOURQR WILL ONDQAVOR TO MAIL DAYS WRITTON TOWN OF BARNSTABLE NOTICO TO THO C/RTP,ICATO HOLDOR NAMOD TO THS LIPY,OUT PAILURI TO DO 00 1NALL MAIN STREET IMPOOQ NO 0041GATVGN OR LIAIIL OF ANr RIND UPON THO IMOURQR,ITS AOINTO OR HYANNIS MA 02601 RIPRIORN b AUTNORO ACORD 28(2001108) ACORD CORPORATION 1980 I , ins A 9r� ?F INE t J. = h. 3_ 2006 11:1�AM P1 F�'�If Un Dr-oune Inc DATE(I+wwAr " AC RD CERTIFICATE OF LIABILITY INSURANCE 02/01/2306 aRgOtrCER —,. fl8O-�540 THIS CERTIFICATE IS fSBUBD AS I+ IIWMER OG IwORNIATION ONLY AND CONFI9i3 NO RIGIiT5 UPON THE CERTIFICATE llTilliam S. Drama Ins. Agency, Inc. BOLDER. THIS CERTIFICATE DOES NOT MEN% EXTEND OR 11 main Street Suite 8 ALTER THE COVERAGE(AFFORDED BY THE POLICIES BELOW. P. O. Ecx 411 Scu�lbozot;gig MA 01?72-0411 I SURE AFFORDING COVERAGE NANAMRS MUM — m-AuRER r_Commaer** Isar. Oc. Creative Car—etruction Insw�Re Liber Mutt:al Ins. Co. P.O. Boy 1173 msuRERo uIS;>R6R D: S. Dennis ?r5A 02660- 0"C E: G RAGES THE POLICIES OF INSUP.A&cr--u,-rw RELcw HAVE BEEIJ ISSUED TO T-E#4WRED NAMED ABOVE FOR THE?OLIO'PERIOD It C4Ti31.IiQTWITli$TANDING ANY RMUIREMON.T.I EPSA OP.CONDITIGY OF ANY CONTRACT]OR OTHEP DOCUMENT 16WN RESPECT TO WHICH T41S CERTIMATE MAY 3E ISSUED OR MAY PERTAIN, THE INBUFMCE AFFORDED BY Till! POLICIES 7ESCM5M- HEREIN L.S SUBdEGT TO 41L THE TERMS. EXM-tJSIONS J614D CONDMIONS OF SUCH POUOES. AC0RE0ATE UMITS.SAOM4 r.^r::IiAt BEEN REDUCED BY PAID CLAIMS:. � roUDY ExvtweTlow TYPHOFlH£Ufi:WG6 -- POLICI'NtRIBFIR CA-M DATE LLd1T5 1I/12/200S 11/12/2006 -t>puptue s 1,000,000 A �=nExaL L Ae:e rc r �ar�2�a 90,086 P Sstfse> eenoe Y. 4a6in eFtG ti Gd+eFf-:1a8I Irr 5,000 {LLrs MIL acCUfZ blED UP a t P ONtt A AbV I9JL'RV P- 21111 00700 CIERERaL6WLAGVIECFiELIMI:APPUE 46 tP :.� RO^tt TC-Con.p/oP A0000 PGi IG�, 2CF L� / / / / ALSTO WLE LIABILITY � snlcLc unur 6 l ,w;To i 1J:7J±NE0 AUTOS (per INdVY•' s &CMIT wn>FY .nrr�a�;ros � (Pt�aaae++u tots owtl�s nLe — — �2f iliti�ll) GiStAGs.„erotSJY AUTOOMY ACCIDENT 8 crlva>ru OTHFM-THAN L�1Atx j AUTOONLY: PaG , >,ct6ssru MRE_L!ASIUTr ! / / I enCCtl CcctlaaEtt 9 O'rup AGGREGATE a FWT1Em n 5 s ��� r atecs-ai:3-als2sa-015 :?/Zs/2o0a 1111fr/loos x Awury E.L. � carbc urCH ! / EACH COMW i00,000 ,11 LI I / 500.000AW pFoFpJMt4AfT. . O"WERM MERFxCLUDED %A_ntsvAsE- L 100,000 Md PRO"s��Ns omim i�9CWPrLON Of CPEFATIOHSIiAGATIOtJS�hICLE4f-..,.CLttStCriB sGE+ED BY EN�RSfrN�HTISPEGtAt Pg0Yf3WN8 CERTIFICATE QUER C.�4NCEl1AT10N aWtA.O ANY OF TM ABOVE DESCRraee FaUC1ES BE CAN""W BEFORE THE Attn: Chris Dittrich EXFIRATLON DATE THERIOF, THE ISSUING 00AAM WILL ENDEAVOR TO MAIL 10 WS WRrrTEN NOme Ta Tm Oomw-ATE it xnm NJAIW-m THE LgT,BUT Shoreline Fouls FAILIMA 7'0 DC SO SMALL IMPOSE NO 0SIJC1.?O4 OR I.IAWTY DP A14Y FAD'MN THE 5 rial3 sk Lana WWREF4rrSAGM3ORR6PRCWWAT0fe& AUrRORUM REPK99MTATM SarwiclL MA 0264S- " /4 ACORD 25(200=8`, 0 ACORD CORPORATION 19U . INS025(wimi.cn EL-�TMNIC LASER Font,IM• 27-OrAS P.aV I d 2 °FTHE,ey� Town of Barnstable Regulatory Services Lx Sr 9 XASS& Thomas F.Geller,Director Building Division. Tom Perry, 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 I, 1`�A�� as Owner of the subject property hereby authorize �f�02EGs^i� �ooLS, r�C to act on my behalf, in all matters relative to work authorized by this building permit application for: 139 (Address of Job) Signature of Owner Date Print Name Q TORMS:O WNMERI IM SiON m m M cn m CD m � 9 W d Q I 32' VIEW ACROSS NOTEi A MEANS OF EGRESS FOR BOTH THE DEEP END AND THE SHALLOW END (W THE POOL MUST t CENTER LINE BE PROVIDED AS REQUIRED BY A-NSI/NSPI-5 SECTION-6. 14- R8' 1 A—FME DETAIL DECK SUPPORT DETAIL R4' R8' �i BRACE Jti 16. --— 13'-3 ' J z 2'-3• A-FRM 15Ht10E LO � 1 PAID PAtF1 A (L N .� LSkVGBRACC STA1� MAtMATDRY ROPE AND #90ZMTAL FLOAT 12 INCHES lot1.= FRO14 SLOPE CHANGE NOTES: 1) THIS IS A TYPE 0 P11PL. ]DEPTH AND SHAPE OF POOL VIEW ACROSS CEIETER LINE MEETS MINIMUM STANDARDS OF THE INTERNAT30NAL RESIDENTIAL CODE 20DO AG103,1 (ANSI/NSPI-5 1995) AND m .FINI 3 4 3 6'PANEL BOCA 1996 FOR RESIDENTIAL USE. m ell. SHED ._DEPTH EIGHT 2) ALL A—FRAME BRACES WILL BE MOUNDED WIfiH cn DEPTS 6 �� A MINIMUM OF (1) CUBIC FI30T OF' CDNCRETE, OR A ;° 6' POURED CONTINUOS: 'CONCRETE PERIMETER COLLAR. Ln v � 2 INCHES SAND 33 DIVING IS NOT PERMITTED IN THIS POOL. co m '' IR VUR CUL 4) 'NO DIKING' LABELS MUST BE INSTALLED AROUND `n 6•-3' te' 4'-9' PERIMETER OF PO❑L. . ., 4' Lo 1-9 WARNINGI I N T E R F❑ L La S1,,114HING POOLS ARE DANMR11US WHEN USED IMPROPERLY, ® CONSULT YOUR DEALER FOR SAFETY INFORMATION ON THE 16' X 32' FIGURE B' mSAFE USE OF SWI1414ING POOLS. IT IS THE RESPONSIBILITY WITH S' RADIUS STEEL STEP N IIF TOWN IIFFICIALS, BUILDERS AND HOMEOWNERS TO FOLLOW ALL SAFETY RECi3HMENDa M TMNS OF M&P.L, ALL LOCAL DATE, D4/12/06 SCALEiNQN£ \ . ® t7RDINANCES AND EQUIP4�1�lT F6AIdLIFACTURERS. DRAWN BY# P.T. ACABREFtSDFE1622H v m �� � i �� � �� ������ I �. �oCu�t�xX ,�Cumtxtuzrt� t by MASTER-HALCO ,r !� t i uF f i rL i G PREMIUM ALUMINUM ORNAMENTAL FENCE SYSTEMS 'r s" `fir�- ��r•3'�4•,�.�, � ��>• k��r�.rS� z brr � A sel ° �4 t `` 4 � e .'� r# b�f��" e ' y it ,� ✓ 1^dTe' ar--�' -t 1 � ��' < �'�lnti N -�'k��.' � ♦ �F 9-`-�.�f 5. t`f�.4�4a*V`k, �`A-'a�*k.2�rv`.�et r g���" � ��)f�.' ` � ,. . ��.. h - „�- - t �. w+'a9 � ♦�*�!R t� a rt°7+�`.r �+< F r-�+ �fr �ei� `�" }. -.•�� �pM A�'r �, 7;� „a�a { ."g ey �C� F� �♦ �`h`�' ���f= '� a '"� fi; _i_il. _� y •'z: -.+ , ^�s d t. tai��r�i!� T.>.,.. '' i� rot`t`�.���•f��y t.{s�h>"� 4� -.r�r� xv At 44 z 4: 1 A `"� � ���� �,�� �� a rr� �;?ss� �.. ♦K �...-- r Y y�4 of q w `i a .,<; €!.�kl:` r ',�.€�_-d,rt.♦. .d ., r �p!m_v�f ,Y �•..""'�`,�,� 9�# ��'in .:b.4<'"eM..- '� ♦i.. r� .> s. s et���.�. i� x ADD STYLE TO YOUR PROPERTY yl- • • • • • • • .• • .c fa i �,g'� �i j,Y;v,°�-' ut tr•� ��.3��,.r k�•4c....r fl ". "r.� C i f V N w � A J� i`SOON 'j,�iy+y fa ;.. �' Wah .ikF' ay!; -14 Yg f N' ��, Xi 3 9•tt fr/��,y ��, Hy�� ' <Y� � •' rQ�Rjail Rom.. K •A ENHANCE YOUR • BEAUTY With a superior structure at its core,and High-strength panel attachments uncompromising design and construction throughout, Colonial AluminumTM is a far wiser investment than Abolt-through bracket secures each Colonial just a standard aluminum fence. Aluminum panel to its post. Far superior to other • An engineered system with components up to 75% methods of attachment, this design doesn't require stronger(see comparison below). large rail holes that can weaken the posts in your fence. • Aluminum panels and posts that never develop red rust cost you less to maintain,and are ideal for HEAVY-DUTY BOLT-THRU BRACKETS poolside installations. • Durable polyester finish resists fading and scratches. • Master-Halco's commitment to quality ensures special attention to every component in our fences and gates. Nobody offers you a residential aluminum picket fence that's stronger or more durable,with greater security and lower maintenance costs. Top View Elevation View Top View Corner Post End Post Do you really need a fence this strong? Accenting a look of strength Absolutely-if you want it to remain sturdy and Each component of a Colonial Aluminum fence attractive well into the future. The rugged, high- contributes to an appearance that's more substantial tensile-strength aluminum alloy specified by than any other aluminum alternative. This includes Master-Halco stands up to abuse,and ensures you'll heavier posts,pickets,rails,die-cast aluminum finials, never have to deal with red rust. scrolls, as well as rings which are held securely in place by a fastener and dowel. Many competitive fences use plastic finials and rings that can be easily broken. -— RINGS —— Standard -n__ __ri- 1 Aluminum ,yam ii Ll 1 1" 1-112" 4"Rings for added strength up to a � 70% Stronger A picket top that's just your style Cast from solid aluminum,each finial in the Colonial ', —5/8"— — 3/4"— Aluminum collection complements the strength and 49, W I durability of the fence to which it's attached. Spear, U 5/8" 3/4" Ball and Fleur-de-lis tops give you an even greater range of options. a up to 45% Stronger A coating so tough it's warranted . More rugged and environmentally friendly than 11 2" 2 1 2 painted enamel,an electrostatically applied finish coat of polyester resin TGIC evenly encases your Colonial 1-4 Aluminum fence. This meticulous procedure gives your 0 2" 2-1/2" fence a great-looking finish that's so durable it comes a I with a lifetime limited warranty* backed by Master-Halco,one of the largest distributors and up to manufacturers of fencing materials in the world. 75%Stronger Specifications subject to change without notice. *See actual warranty for details. 0DATOO IDEAL FOR SWIMMING POOLS Colonial Aluminum for swimming pools Manufactured in a special size specifically to meet most pool codes, Colonial Aluminum is ideal for a setting where competitive fences can rapidly suffer t i from rust or corrosion. There are various state, local and federal codes, fordinances and/or specifications for swimming pool i enclosures. Be sure to check with your local building department to determine code requirements and/or obtain a building permit. % °t t � F5 MILL Gates as durable as the fences they complement Because it's subject to constant use, the gate is the ' single most important part of your residential fence. Welded into a one-piece frame using 1-1/4" uprights ��m� and 1-112" channel rails-and with all pickets welded securely inside the frame-rigid Colonial Aluminum gates won't sag under normal use. Available with special hardware for self-closing and self-latching installations, this is one of the most attractive and durable residential gates you can buy. I I Optional Styles A. You can further customize your Colonial Aluminum lit fence with any of these distinctive variations. f A. Staggered Estate with pointed top pickets achieves j this beautiful effect. ' B. B. Staggered Imperial with pointed top pickets creates an even more commanding presence. C. Decorative scrolls beautifully accent any Colonial Aluminum fence. C. I yo t Estate Butterfly Florentine �f I Estate - With Pointed Top Pickets If you'd prefer additional security,plus an appearance V. reminiscent of early English and European iron work, P the pointed pickets of this style are an excellent choice. A The spear-like look of this Colonial Aluminum design helps discourage intruders. Pointed top pickets for fences under six feet in height are not recommended ; due to consumer safety considerations. N d 1 i' j Estate Pointed Top Estate Pointed Top- Estate Pointed Top- ` with 1 row of rings with 2 rows of rings ` � I SEE Estate - With Finial Tops i When your property looks best surrounded by the Choose from three finial tops: i ornate charm of a classic,old-world design, Colonial Aluminum Estate style topped with cast finials is a superb addition to your landscape. Choose from three distinctively different finials for your pickets(spear, ' ball or fleur-de-lis),and enhance your fence with our 1 four-inch rings for even greater strength and dignity. Spear finials for fences under six feet in height are not recommended due to consumer safety considerations. r Estate Finial Top k (Ball Top shown) �� { w rat,-yr>3 � Spear Finial {fit, ,ILI� pti. A3`iof s 1�QIa ; Estate Finial Top frll�j��I '� •�' � � �'with 1 row of rings w (Spear Top shown) i w Fleur-de-lis Finial Estate Finial Top with 2 rows of rings (Fleur-de-lis Top shown) Ball Finial 1 CHOOSE • P THAT'S JUST YOUR PICKET TOPS POST CAPS o � � 0 0 Standard Imperial Flat Pointed ' Flat i 0 0 0 7I _I Ball Spear Ball Fleur-de-lis I COLORS Colonial Aluminum fencing is available in the following colors*: white black bronze *Due to manufacturing variances,colors may vary from this brochure. Master-Halco is one of the largest distributors 4 and manufacturers of fencing materials in the' world. Dedicated solely to the fence industry for over 40 years, offer completeline y , w o a ne o µ t� chain-link, ornamental iron,vinyl and wood fence systems and fence accessories. With • our total commitment to the fence industry t• t and local representation, your professional r . ' • fence contractor has the necessary support to n •• o , • assure your complete satisfaction. ,. o ♦Branch Service Center Please visit our web site at • S ♦ s O Manufacturing Facility "' • Np • F *Corporate Office " P www.fenceonline.com for more information •. A Branch service Center' about Master-Nalco and our products. s Headquarters,Canada ` . COLONIAL ALUMINUMTM is available from: MASTER HALCO §a For more information,contact our Customer Service Department: 1-888-MH-FENCE(toll-free) P.O. Box 365,La Habra,CA 90633 e-mail: info@fenceonline.com • www.fenceonline.com M-H 046094 8/01.Copyrighr 02001 M. -Halco,Inc.All righo reserved. TOWN OF BARNSTABLE CERTIFICATE OF OCCUPANCY PARCEL ID 041 039 GEOBASE ID 31808 ADDRESS 139 FOX DEN BLUFF ROAD PHONE COTUIT ZIP - LOT 23 BLOCK LOT SIZE DBA DEVELOPMENT DISTRICT CT PERMIT 33404 DESCRIPTION SINGLE FAMILY DWELLING (PMT #29774) PERMIT TYPE BC00 TITLE CERTIFICATE OF OCCUPANCY CONTRACTORS: Department of Health, Safety ARCHITECTS: and Environmental Services i TOTAL FEES: BOND $.00 THE j CONSTRUCTION COSTS $.00 756 CERTIFICATE OF OCCUPANCY BARNSTABLE. •' MASS. 039. FD Mfg BUIL P1V SIO B DATE ISSUED 09/18/1998 EXPIRATION DATE THE FOLLOWING IS/ARE THE BEST IMAGES FROM POOR QUALITY ORIGINAL (S) I M A�C(, I DATA y ..i:•. I1.�J.i 1. De artment of Health i" , Safety .l.t��;,:x:� _ an Envir on mental Services . -..' 1. 4 :'.t.. is -.'�. .., .•i.. I.., ,, i * HARNSPABLE. s MA83• FD MIS BUILDING DIVISION...-, BY y' AUE THIS PERMIT CONVEYS NO RIGHT TO OCCUPY ANY STREET, ALLEY OR SIDEWALK OR ANY PART THEREOF, EITHER TEMPORARILY OR PERMANENTLY.EN- CROACHMENTS ON PUBLIC PROPERTY,NOT SPECIFICALLY PERMITTED UNDER THE BUILDING CODE,MUST BE APPROVED BY THE JURISDICTION.STREET OR ALLEY GRADES AS WELL AS DEPTH AND LOCATION OF PUBLIC SEWERS MAY BE OBTAINED FROM THE DEPARTMENT OF PUBLIC WORKS.THE ISSUANCE OF TMS 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 1.FOUNDATIONS OR FOOTINGS THIS CARD KEPT POSTED UNTIL FINAL INSPECTION WHERE APPLICABLE, SEPARATE: j 2. PRIOR TO COVERING STRUCTURAL MEMBERS HAS BEEN MADE.WHERE'A CERTIFICATE OF OCCU- PERMITS ARE REQUIRED FOR(READY TO LATH). PANCY IS REQUIRED,SUCH BUILDING SHALL NOT BE ELECTRICAL,PLUMBING AND MECH- 3.INSULATION.4.FINAL INSPECTION BEFORE OCCUPANCY. OCCUPIED UNTIL FINAL INSPECTION HAS BEEN MADE. ANICAL INSTALLATIONS. fAj n , • ._ • rBUl.LNSPECTION,A(�PPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS V l r-. r 2 � 2 t 'ice) l,Z j 1 HEATING INSPECTION APP VAL � ENGINEERING DEPARTMENT j S SQ �J ; 2 BOARD OF HEALTH _ ga:a OTHER: SITE P N EVIEW APPROVAL n/ ME NULL AND VOID IF CON- INSPECTIONS INDICATED ON THIS �Oqa IS NOT STARTED WITHIN SIX CARD CAN BE ARRANGED FOR BY w,...��>: },'a>_ � L'- q�p�'� �� [S.Sr *� -THE PERMIT IS ISSUED AS TELEPHONE OR WRITTEN NOTIFICA-- 7 �„riy�,F.a 8 @4 ! rat ,::'T /! O9AR"S C4d'L .. F ' TOWN OF BARLrSTABLE - ,! . CERTIFICATE OF OCCUPANCY PARCEL ID 041 039 GEOBASk ID 31808 ADDRESf 139 -FOX DEN BLUFF ROAD PHONE COTUIT. ZIP - LOT 23 * BLOCK LOT SIZE DBA DEVELOPMENT DISTRICT CT PERMIT 33404 DESCRIPTION 'SINGLE FAMILY DWELLING (PMT #29774) PERMIT TYPE BCOO TITLE CERTIFICATE'>�QF OCCUPANCY j CONTRACTORS: Department Hof Health, Safety ARCHITECTS: F. .s and Environmental Services TOTAL FEES: IME BOND ° ' 00 CONSTRUCTION COSTS '$.00 , 756 CERTIFICATE OF OCCUPANCY ` * BARNSTABLE, + MASS. �► 163 A�0 BUILD IV 'SIG DATE ISSUED 09/18/1998 EXPIRATION DATE .+ice-:.'`a � ----'^-' _'�t�T'—�f�". .t'�;'9i,�..L E �# � • " �`s Q BUILDING PERM � ;PARCEL 1.W'0'41 039 ' (3EQBASK, I'D411111 `AT;DBI Ss 1,39 E���- D�N .BLUFF It{1AD - � zOIiI? COTUIT III _ LOT 2.3 13LOCK �J ;'T SIZE DBilk F,. DEVELOPMENT � �_. DT STRI CT CT PERMIT 29774 DESCRIPTION NEW 3 BDRM St .FA �. ;3P,i�.PT.#87--24a PERMIT TYPE BUILD TITLE NEW UISIDEN � � ;Bit PINT CONTRACTORS: PROPURTY DINER Department of Health, Safety ARCHITECTS." . � �' and-Environmental Services 'TOT�/AL FEES: � �.� ,$403.00 T30 N 0 CONSTRUCTION (x)s_T S $130,00 0.00 1C3s�,ti �' SINGLE FAR HOME tDETACETED 1 PR'.VATF, P. 1.a��,�« BARMABLE, _ MASS. 1639. r � D NIA BUILDING DIVISION `+ _ , d ' DATV_; ISSUED 03/'1 1,r'1-998 �XP I RATION DATE', THIS PERMIT CONVEYS NO RIGHT TO OCCUPY ANY STREET,ALLEY OR SIDEWALK OR ANY PART THEREOF, EITHER TEMPORARILY OR PERMANENTLY.EN- CROACHMENTS ON PUBLIC PROPERTY,NOT SPECIFICALLY PERMITTED UNDER THE BUILDING CODE,MUST BE APPROVED BY THE JURISDICTION.STREET[OR ALLEY GRADES AS WELL AS DEPTH AND LOCATION OF PUBLIC SEWERS MAY BE OBTAINED FROM THE DEPARTMENT OF PUBLIC WORKS.THE ISSUANCE OF THIS PERMIT DOES NOT RELEASE THE APPLICANT FROM THE CONDITIONS OF ANY APPLICABLE SUBDIVISION RESTRICTIONS. t `� MINIMUM OF FOUR CALL INSPECTIONS REQUIRED ` FOR ALL CONSTRUCTION WORK: APPROVED PLANS MUST BE RETAINED ON JOB AND THIS CARD KEPT POSTED UNTIL FINAL INSPECTION WHERE APPLICABLE, SEPARATE 1.FOUNDATIONS FOOTINGS PERMITS ARE REQUIRED FOR 2. PRIOR TO COVERING ING STRUCTURAL MEMBERS HAS BEEN MADE.WHERE A CERTIFICATE OF OCCU- (READY TO LATH). PANCY IS REQUIRED,SUCH BUILDING SHALL NOT BE ELECTRICAL,PLUMBING AND MECH. 3.INSULATION. OCCUPIED UNTIL FINAL INSPECTION HAS BEEN MADE. ANICAL INSTALLATIONS. 4.FINAL INSPECTION BEFORE OCCUPANCY. �t BUILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS 1 Zy�r 1Y ve 1 - _-!firazz ., 2 , 1 HEATING INSPECTION,APPVVALqF ENGINEERING DEPARTMENT 2 BOARD OF HEALTH OTHER: SITE PI_ N EVIEW APPROVAL f ME NULL AND VOID IF CON- INSPECTIONS INDICATED ON THIS'�� IS NOT STARTED WITHIN SIX CARD CAN BE ARRANGED FOR V L _ D ' THE PERMIT IS ISSUED AS �TELEPHONE OR WRITTEN NOTIFICAk 1 � 'OWN OF BARNS ABLE Ida IGAS 0 WIR114G � BUILDING PERM IT F f Engineering Dept. (3rd floor) Map _ Parcel G �ermit# -. House# e Issued ` • ` , Board of Health(3rd floor)(8:15' 9:30/1:00-4:30) ZZ. Conservation Office(4h floor)(8:30-9:30/1:00-2:00) 1c,��`i� /`/L,® 1 d Planning Dept.(1st floor/School Admin. Bldg.) '0" Tv4 rq T4 Definitive Plan Approved by Planning Board lge3 �' 19 ���r 4 �v cArvLl. `Q TOWN OF BARNSTABLE BuildingPermit Application // . PP, Project StieetAddress �I "l � �� -T-;hd� Village J //�� /,, Ownerr--a. M&jL W, q- A-140 6 94• Addr ess i �Z00 l� _TelephoneItoQ� ^Permit Request r F t First Floor ( -' square feet Second Floor t I j a (�F square feet Construction Type y`e, Estimated Project Cost $ t _jo D®® i Zoning District Flood Plain Water Protection Lot Size r76, 3 -> Grandfathered ❑Yes ❑No Dwelling Type: Single Family Two Family ❑ Multi-Family(#units) Age of Existing Struc re Historic House ❑Yes �No On Old King's Highway ❑Yes 114 Basement Type: Full ❑Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: FVIT Existing. At 114 New�_ `""�'�f: Existing New _ No. of Bedrooms: Existing New Total Room Count(no;rGas luding baths): Existing N A- New First Floor Room Count Heat Type and Fuel: ❑Oil ❑Electric ❑Other Central Air ❑Yes U to Fireplaces: Existing New t Existing wood/coal stove ❑Yes Garage: ❑Detached(size) /n� Other Detached Structures: ❑Pool(size) �Xttached(size) p��' X oft ❑Barn(size) ❑None ❑Shed(size) All-4 • ❑Other(size) Zoning Board of Appeals An horization ❑ Appeal# Recorded❑ Commercial ❑Yes o If yes, site plan review# Current Use Proposed Use Builder Information Name S W P A- Telephone Number (,� 3(P T)�S( C_ o Address { •� License# Lit4 r&AVCM112i63 Home Improvement Contractor# Worker's Compensation# W(f o l f 0 g NEW CONSTRUCTION OR ADDITIONS REQUIRE A SITE PLAN(AS BUILT)SHOWING EXISTING,AS WELL AS PROPOSED STRUCTURES ON THE LOT. ALL CONSTRUCTION DEBRIS RESULTINq FROM THIS PROJECT WILL BE TAKEN TO _F0 W A) SIGNATURE 0 DATE BUILDING PE MIT DENIED FOR THqLOWING REASON(S) � 1 i ' FOR OFFICIAL USE ONLY _ _ ell PERMIT NO. i r , DATE ISSUED. MAP/PARCEL NO. ! "P - ADDRESS }t VILLAGE. OWNER DATE OF INSPECTION: FOUNDATION t FRAME ',° INSULATION FIREPLACE !� <. - - _ . s ro ;.{ a^. t J• -. , • « _ t t ELECTRICAL 7%-ROUGH FINAL% 4 - T ' FINAL PLUMBING• TROUGH ' ,. _•• •- _-� GAS: . ���gOUGH FINAL' .- FINAL BUILDINGS .�. �i//j L-ee � _ `•f � - ,. DATE CLOSED OUT- P- ° ASSOCIATION PLAN NO. t f .r+'r-'.'S.-+....rr-1.b,,,..Rs..-r-..„ti,-___._-.._—, ..� .�.-..-«-.—..•. � �.—.-..•,,. T......_�;.. _ _ t ._ - .r-",'",""*+rF,.R.�--i+�•..rr-ri-.:�y, '#r..". r ,r^.r�+.�Y-,��•_ ,Z•t FIKEi�,,� The Town of Barnstable o� BAR E.MASS. � Department of Health Safety and Environmental Services MASS. s639. ♦0 �Fo 39. Building Division 367 Main Street,Hyannis,MA 02601 Officer 508-790-6227 Ralph Crossen Fax: 508-790-6230 Building Commissioner -� Inspection Correction Notice Type of Ins ec-t on P Location I � q RLv ermit Number - Owner ill ! ' Builder One notice to remain on jobsite, one notice on file in Building Department. 4 . The following items need correcting: 60 r Please call: 508-790-6227 for re-inspection. Inspected bye- -y—''� Date l ��iy i MARK W.SYLVIA,CIC 9epeuiea! lusur�eee THE MARK SYLVIA AGENCY Ageal„ cSeruinq I&Communi/y cSmce 1990 since 770A MAIN STREET,SUITE 6 OSTERVILLE,MA 02655 (508)428-0440•FAX(508)420-0475 Farm Family , Life Insurance Company • Glenmont New York MESSAGE REPLY TO: Date Date dx4 W eA 1111 By .............................................................................. .......... Signed ........ ..................................... .................... 23.129 Long (Rev.5/83) �y = T4is 'DoEs +J6` uE Wel Lz>T 2� L 0 b CERTIFIED PLOT PLAN I CERTIFY THAT THE` 'FOUNDATION FOR SHOWN ON THIS PLAN IS LOCATED ON THE LOT 23 FOX DEN BLUFF RD,, COTUIT MA. GROUND AS SHOWN HEREON AND THAT IT CONFORMS TO THE ME41MUM SETBACK LCP#39660-B REQUIREMENTS OF THE TOWN OF PREPARED FOR BARNSTABLE. MARK SYLVIA p�SN Of E Mqs SCALE: 1" 60' APRIL 20 1998 s1EVEN w ' -RUMBA 791 qO� N •4/�� �UFiVE'��� Weller & Associates 1645 Falmouth Rd.—Suite 4C Centerville, Ma. 02632 (508) 775-0735 i _ � ��._. .r-.._.r--"'---�n.....�,.^-w-•<'..��,-r+.r•—.r^r'ti,++r"••. ^..yrev-.-.-.""^"t.......+'..,,..--- '° .--.l�y',•,r.4. .sx.,^�-^.-..- ... a -_ mot. - —..-_.�.. S " a E The Town of Barnstable' BARAq-q E. MASS • Department of Health Safety and Environmental Services �E=1��'e� 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 Location /--W &"j J(mac Permit Number Owner Builder One notice to remain on jobsite, one notice on file in Building Department. The following items need correcting: Leek k 3"�to ✓ ,4°/ tJp q i J ,i.�'t 6 l Y r 1 o' ! ✓ 0 t?zt,-i P ocr7- l'a� R cC C-P tRI(z5 AL cr70,) Z5&A te- /L A00 k`i ' e� l l 1' �n ►� �f P r t r .4. r >4 0 -i C e -3"v IS`r' A 7` -Doeo Po S r v r Ok -oo 5 ui f* "' a CfL EL 64 Please call: 508-790-6227 for re-inspection. Inspected by IOL — Date i.Y'11�1NNL �I\ _ ii' i - - - , . I I 1 F[T c•..-=\;c�-Ipy e - R\C�+1T F\f VAT\hN - - I .r•_ .�.. Y � I�- �C'[I� � _ I'"I� �I� --_-_._ ��! -___ ;I -._. 'RR Jc 1uwu,.l v *x•s Sl'.-l"tf.A_.L.___ �� _. -..__ '_LrI_ _.. .. I �.- _1'P-?xa rc� - � I��I,.I � I �I - ^).cP_ ,%i-. 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O Sf_-312 SSA RIDERS 32 .3 n,st -J 4x2 arts I AP,S,uCR,T 2"7ot0,c vtvT - _I I' II k.v�7 •IG'TtG f1.Y 4�ut0 I �. —4xasaeo4aae.emt_ R[e CcytttX c\PvecAeo>4"Tt.� ? T T777 VQtiNR'tylAilbRO"4:_.}'V� N Yt"Cew 0.•\WOU1l oct+u„L O �, I \il[iMxyt\\LS S"�w k�ctieRY�a000 �, � ,I`' _2%104tGC8Y1ArGG � _ yit���•� .. I trvbncvy . 3. I �.a cRo�s 5Ec-t-rcw� . 'E%-MvucC k y\1L A2CR m .2.1e9V.0 _AM lk WV S MRRtC A&Imr-.Wmwlf} .- U%,IooaA.�`me.AcGq ge3•IZ �t•.ur .�=o �rwogs w, oow w. _. ... �b3./1 i tb16,0 a O,/YYJSS!-� O/7 o"n //•J.!"�77 war-,..=_ LO C ? -Fog,nPu 2L t>z 4t!- r 6Turr- - . Table J&Ub(condone q Preeeriptive Packages for O6 and Two-FaaWy Raideadal Bump gated with Fossil Futh MAXIMUM MINIMUM g �g ;;wing ` ,-.Wall Floor Besmseat Slab Ifearing/cooling MCA U-valuer R-valuer .R valual R vahms Wall Flerimaa Equipmms Effrd=tq' Packaa_e . • Rrvaiue' R valuer 3701 to 6500 Hadag Degme DaW Q I1Z•/Z 0.40 38 . 113M2S 10 6 Normal R 112% == 30 4.11910 6 Normal 3 1Z•/. M50 38 `1310 6 83 AFUE T 13y. 0.36 38 13 WA WA Normal 11 1VA 0.46 38 -1910 6 NormalV is% 0.44 39 ,13•' WA WA =S AFUE W OM 30 19' l0 6 93 ARM LZ % 032 3E 13' WA WA Norma! % 0.42 ' 31 19 23 WA WA Normal •/. 0.42• 38- ` V l9 l0 6 90 AFUE '/• 0.30 30 19 19 l0 6 90 AFUE I 1. ADDRESS OF PROPERTY: Zo r *L Fix �pN /3/r i d 2. SQUARE FOOTAGE OF ALL EXTERIOR WALLS: a L7 3. SQUARE FOOTAGE OF ALL GLAZING: _ 3, /Z 4. %GLAZING AREA(#3 DIVIDED BY#2): • ! y q S. SELECT PACKAGE(Q—AA see chart above): 7— NOTE: OTHER MORE INVOLVED METHODS OF DETERMINING ENERGY REQUIREMENTS ARE AVAILABLE. ASK US FOR THIS INFORMATION. i i BUILDING INSPECTOR APPROVAL:. . YES: 2d3 NO: I . q-forms-080303a I N W � A Esc�EyT �� u \J\ bA ` i " I �� ! S tJ �' 3i3�t . 60 So I., a ar y eaemcN.3.6o6c 04- civiL ow v^4 . :� ' • TEST HOLE LOG DATs 100- z,/967 WmvsSS: •i ou u�i✓y 4 PERC RATB: < Z o` le NA vW 1�. .k+BSa.c Y - `� fwt2S6 �V � I -:. /�/v wiP7FJZ EUCou�JTE,eL�,O I � I DESIGN DATA // •• I 1\\ DAE6Y FLOW:(y)BDRMS.X 110 GPD GPD GPD C o T Z 3 I SZ. P l.0 TANK:WQ GPD:20 %-a90 GPD USY:/a-cm,GALLON PRYQASTSEnWTANK �• 1 ' LBACEMG FACUM: N ► USE::C3)sk.9.Sle 1, a'ryu.Eus v 1'1 CAPACITY: �j �! d SIDEWAI:E.•.:93�C:Z iCo,75�=.-/37.5- .:33,5'xo TOTAL. gPZ2,-- �. jcACrai /v/7o' • �P Mom- NOTES, aSRWA NG AH` N :.A:LmBTGBsrouBcxarvc c�A i Pirz To u wD t.Ev voa r ouroF DfB=vnoN S H.37.ne 7.box FZ AA"UCC,CRADs.6MANHOLECOVBRSTOWMUN .sYM�� Get�• �- s+p�fQrstE�G'�� �C I.SEP'r[CSYSirM ffi NOTDESiCMFORTIIBUS60PA ✓ C GARRAGRDDrOSAL S.SRMCTANKANDDMMBMON BOX TO BE WrAUSD - Ste( •4? QM Ar[A,YBROFSTONL rumsr•rru wraaovn 6.INSTALL GAB RAYRZ Df OVnXr TBL -MA YYNAOQDAff"MVV )P OF FOUND. I EL 70.00 / w >r —G6.Za G�.yz �c.i� Gsso SEPTIC SYSTEM PROFILE SITE SEWAGE PLAN GM4ML NOTES. FOR L CONTRAPMTOJig=WON!!8 YM7WtwrATWX OFALLVnUTM1.ABOYR'AHDbCWWlQM 6?RWi /3 j fox oe�1 QcuFL ,eA ti col✓�T mANYl ►YAnMCRCDMUlXCMK fo 7 Z 3 ^- GG/� 3JGGoB 86PRCSYBllDf70DEDIB('AIJ.BDIIfOOiDIIANCENRiS ' PREPARED IFOR �mcaaeuBarauv atilA_.2.1C &T=rlAKll=TOBiUB6Dl0IItA0MTYl�3 Miff. DATE: "i9'Y'/�/95� SC".Tilt.✓�tiea 4 AiJ.Di�r1R1�DA1WiTOLOA1QDAlOIRDIDR0. s C0hTKA=RIQUUMNtTo a n(NoilaraatANY r•'" a n• WELLER&A CIA►TES i WS FALMOUM ROAD CD TMVMLE,MA. 02fi32 (SOS)773-071.S IPA&OM fl5•p7S{ r ;' APPROVER BY:____—— 25, • TOWN OF BARNSTABLE ;' • BUILDING DEPARTMENT HOMEOWNER LICENSE EXEMPTION --------------- Please print. . • •- DATE 27_.� . JOB. LOCATION I3� f D T3 Vq 0-r E;4, Q �UIL a . Number Street address Section of town "HOMEOWNER" S�W) A-Aj__ 13 a o�-�U qzt-44116 Name Home phone Work phone PRESENT MAILING ADDRESS 2 j City town State Zip cod The current exemption for "homeowners" was extended to include owner-occ•,:= dwellings of six units or less and to allow such homeowners to engage an i. dividual for hire who does not possess a license, provided that the owner acts as supervisor. DEFINITION OF HOMEOWNER: Persons) who owns a parcel of land on which he/she resides or intends to side, on which there is , or is intended to be, a one or two family dwelli^c attached or detached structures accessory to such use and/or farm structur: A person who constructs more than one home in a two-year period shall not i considered a homeowner. Such "homeowner" shall submit to the Building Of on a form acceptable to the Building Official, that he/she shall be resc"ME for all such work performed under the building hermit. (Section 109. 1. 1) The undersigned "homeowner" assumes , responsibility for compliance with the Building Code and other applicable codes, by-laws, rules and regulations. he undersigned " i romeowne_n: certifies that he/she understands the Town of arnstable Building Depar ent minim insp ion procedures and requiremer. nd that he/she will . com y with aid roc ures and requirements. OMEOWNER'S SIGNATURE PROVAL OF BUILDING OF ICIAL ote: Three family dwellings 35 , 000 cubic feet, or larger, will be requirec- o comply with State Building Code Section 127. 0 , Construction Control. 4 HOME OWNER'S EXEMPTION The code state that: "Any Home Owner performing work for which .a-�buildinc permit is required shall be exempt from the provisions of this section (Section 109.1. 1 - Licensing of Construction Supervisors) ; provided that 4 Home Owner engages a person (s) for hire to do such work, that such Home 0•w. shall act as supervisor. " ( Many Home Owners who use this exemption are unaware that they are assuminc Ithe responsibilities of a supervisor (see Appendix Q, Rules' and Regulaticn_ 'ifor . licensing Construction Supervisors, Section 2. 15) . This lack of awarer 'often results in serious problems, particularly when the Home Owner hires unlicensed persons. In this case our Board cannot proceed against the :nlicensed. person as it would with licensed' Supervisor. The Home '•Owner acz las supervisor is ultimately responsible. ,. To ensure that the Home Owner is. fully aware of his/her responsibilities, m communities require, as part of the permit application, that the Home Owner certify that he/she understands the responsibilities of a supervisor. On t: Last page of "this . issue is a form currently used by several towns. You ma:: ,are to amend and adopt such a form%certification for use in your communit: . ( ••� ' Thc• Commonwealth of Ifascac•Irusctts Dc artnrc nt of litrlustrial.4 ccidurts office19"Most/gat/ors 600 !i'ashitrhtoir Street Bttctotr. Jfa.vx 02111 Workers' Compensation Insurance AMdavit i li :int information - _ P1i7m PRINT' name, location- tct . nhone 0 i am a homeowner performing all work myself. I am a sole proprietor and have no one working in any capacity _777..... ..�._.-.�ems_..^.....+..--. �'fnww�.f+_srCT•�wwror+!....d'Tww+r.w�. ...��. .+�.�w��.w. ....�•�.�..��.w.�..►..w++.._..__�. .. [� I am an employer providing workers' compensation for my employees working on this job. enivit :tnv narne: 1 addre«• hnnc#• insu , nce rn. nofiry# I am a sole proprietor. beneral contractor. r homeowner ircle Otte) and have hired the contractors listed below who have the following workers' compensation olices. cam any nnmc- 4- t aAJe tdriress: ( (� p-7 qcitn.. (// t hone#• l7` insurancern 1J1`V � ` l% !✓1l� ��tniievt! \N�--�,Jt��l .. ..- ...�__....... .I-♦ ��..r.— .r�i,r'�....1r — - - �__ _— .tom � _ �wi�.-' .a._.. rnnlnany nn;ny, :+(I(1rCsC' Phone#: insurance co policy 0 Attach additional sheet ifneccssary •�• __""""%"'''''''=`-�- �•-="" •Z""— —• Failure to secure crtwen-ti :ts required under Section 3A of NIGL 152 can lead to the imposition of criminal penalties of a line up 10 S1.500.00 andiur une%cars' imprisonment as wol as civil penalties in the form of a STOP NVORK ORDER and a fine of S100.00 a day against me. I understand that a cop} of this statcntcttt maw be forwarded to the OMce of Investigations of the DIA for coverage verification. I do herchv c iJ•[littler t pait[s at ell c of perjurt•r rat the information provided above is true and correct Signature Date 3_ ;L.7 ' %3 Print name Phone rr � r'officiaiuse uniy do not write in this area to be completed by cin•or town official city or town: permit/license# r'•111uilding Department Licensing Huard .check if immediate response is required Selectmen's Officc 1 C311calth Department contact person: phone#: rjUther 4 Information and Instructions Massacf usetts General Laws chapter 152 section 25 requires all employers to provide workers compensation for th empioYci "s."As quoted from the -law" an emphTee is defined as every person in the service of another under an\• contract of hire, express or implied, oral or written. An"emplurer is defined s an individual. partnership, association, corporation or other legal entity. or anv tW0 or me the foregoing cngaued in a joint enterprise, and including the le al representatives of a deccascd emplover. or the rccciver or tnistce of an individual , partnership. association or other legal entity, employing employees. Hove%er owner of a dweiling house having not more than three apartments and who resides therein. or the occupant of the d%\.-clling house of another who employs persons to do maintenance , construction or repair work on such dwelling, lic or oil the grounds or building appurtenant thereto shall not because of such employment be deemed to be an empioyc MGL chapter 152 section 25 also states that even• state or local licensing agency shall withhold the issuance or renewal of a license or hermit to operate a business or to construct buiidings in the commonwealth for any applicant m.•ho has not produced acceptable evidence of compliance with the insurance coverage required. Additionally. neither the con•imonwealth 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 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 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 should be returned to the cite or town that the application for the permit or license is being requested. Accidents. Should you have any questions regarding the "law' or if you are require not the Department of Industrial q you 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 the affidavit foryou to fill out in the event the Office of Investigations has to contact you regarding the applicant. Plc be sure to fill in the permit/license number which will be used as a reference number. The affidavits may be returned the Department by mail or FAX unless other arrangements have been made. Tile Office of Investigations would like to thank you in advance for you cooperation and should you have any questic please do not hesitate to give us a call. - - The Department's address. telephone and fax number. The Commonwealth Of Massach usetts Department of Industrial Accidents Office of investigations Jr 600 Washington Street Boston,Ma. 02111 fax 9: (617) 727-7749 ��t.;) 777-.19M) Pvt .106. 409 or 375 J .......... ....... ........................................ xl...T. ...... ..... -98 ...kib 6N,...Y)..... ............................ ......... ............................... A C OUR D, 1C ERMW .............................. ................................ ........ 2_23 X.X .......................... PRODU6ER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE MARK SYLVIA AGENCY HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 770A MAIN STREET ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. CISTERVILLE MA 02655 COMPANIES AFFORDING COVERAGE COMPANY A FARM FAMILY CASUALTY INSURANCE COMPANY INSURED COMPANY SHAWN P CALLAHAN B DBA CALLAHAN TREE&IRRIGATION COMPANY 62 WINCHESTER DR C SOUTH DENNIS MA 02660-3726 COMPANY ........... ............. ....... D ........................ ...... ... ..................................... ............... ................................................................ ------------- .... . .............. .........1.................................... :. ... ,,`," - .. . ............. . . ...... ...... ............................. ...................... .............................` ..._x: . ........................ .. . ......... ......... ......... .......... .. ............ . ...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 B Y 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 POLICY EFFECTIVE POLICY EXPIRATION LTR TYPE OF INSURANCE POLICY NUMBER DATE(MMIDDIYY) DATE(MMIDDNY) LIMITS GENERAL LIABILITY 2001 X 0284 4-15-97 4-15-98 GENERAL AGGREGATE I $ 1,000,000 A _xl COMMERCIAL GENERAL LIABILITY PRODUCTS-COMP/OP AGG $ 500,000 CLAIMS MADE OCCUR PERSONAL&ADV INJURY $ OWNER'S&CONTRACTOR'S PROT EACH OCCURRENCE $ 500,000 FIRE DAMAGE (Any one fire) $ 50,00 H MEDEXP (Anyone person) $ 5,000 AUTOMOBILE LIABILITY A jANY AUTO 2001 C 0371 9A 1-8-98 1-8-99 COMBINED SINGLE LIMIT $ ALL OWNED AUTOS BODILY INJURY $ 100,000 SCHEDULED AUTOS (Per person) HIRED AUTOS BODILY INJURY $ 300,000 NON-OWNED AUTOS (Per accident) PROPERTY DAMAGE $ 100,000 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 $ WC RY LIMITS T. ER I JOTH- WORKER'S COMPENSATION AND I A EMPLOYERS'LIABILITY 2001 W 6089 1-8-98 1-8-99 EL EACH ACCIDENT $ 500, THE PROPRIETOR/ F-1 INCL EL DISEASE-POLICY LIMIT $ 500, PARTNERS/EXECUTIVE OFFICERS ARE: El EXCL I EL DISEASE-EA EMPLOYEE $ 500, OTHER DESCRIPTION OF OPERATIONS/LOCATIONSIVEHICLES/SPECIAL ITEMS LANDSCAPE GARDENING, TREE PRUNING, STREET CLEANING ............... ......... . ...... GIER ............................. .............................. ....... ...... .... .......................................... .: ,-�,-�''-.'-................... ................... .... .. ........ ------------------ .......... ................................ ...................... .............%........... SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE MARK W. SYLVIA EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL 128 CRANBERRY LANE DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, CENTERVILLE, MA 02632 BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY I OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE . ........ .......... .......... ....... ....................................................... ............................................. ...... .......................... .............. ......... ...... ............................ . . ...... .. .... ...........w....... .. ........................ l*:4 ......... DATE(MM/DDNY) X........... ................................. ................... ... ...... ................................. ... URA %W Z ........................ ...... .. .......... ... .... .. .... .. . ... .. ACORD . . . 1,A` -:`wwiw 81111'JiLl. ... .. Tm .....C.M.wIll ....................... ................. 0 3/27/98 ............ .............. ...... .............. ...... PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE MARK SYLVIA AGENCY HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 770A MAIN STREET ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. CISTERVILLE MA 02655 COMPANIES AFFORDING COVERAGE COMPANY A FARM FAMILY CASUALTY INSURANCE COMPANY INSURED COMPANY JOHN A. CAPPARELLI a DBA JOHN CAPPARELLI CARPENTRY COMPANY 43 OWL POND ROAD C BREWSTER, MA. 02631 COMPANY ------- ...... D .... ...................... .............. ............................ ......................... ....... .......... W.w .ww.w............................................ ......... ...................... ....... .............. ........................... ...................... ............. . ....... ........ .......... ....... ........... ............. ............ .................................... 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 B Y 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 POLICY EFFECTIVE POLICY EXPIRATION LTR TYPE OF INSURANCE POLICY NUMBER DATE(MMIDDNY) DATE(MMIDDNY) LIMITS GENERAL LIABILITY GENERAL AGGREGATE $ COMMERCIAL GENERAL LIABILITY PRODUCTS-COMP/OP AGG $ CLAIMS MADE El OCCUR PERSONAL&ADV INJURY $ OWNER'S&CONTRACTOR'S PROT EACH OCCURRENCE $ FIRE DAMAGE (Anyone fire) $ MED FRCP (Anyone person) $ 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 J EACH OCCURRENCE $ UMBRELLA FORM I AGGREGATE $ OTHER THAN UMBRELLA FORM I $ WC STAT WORKER'S COMPENSATION AND TOCRY U-".,T, EMPLOYERS'LIABILITY EL EACH ACCIDENT $ THE PROPRIETOR/ INCL EL DISEASE-POLICY LIMIT $ PARTNERS/EXECUTIVE OFFICERS ARE: H EXCL EL DISEASE-EA EMPLOYEE $ OTHER A CONTRACTORS 2001 X 0269 12-9-96 12-9-97 500,000 PER OCCURRENCE ADVANTAGE SPECIAL I 1,000,000 AGGREGATE (LIABILITI) DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLESISPECIAL ITEMS CARPENTRY-NOC .......... .... ..................................................... ...... ........................................ .......... ............. .............. ....... ................ . .. ..... .. ....... ....... ............................... -AN ........... ................ ......... .......................... ........................... ,PE ................................ ........w ............. ................... ......w........ .......... ........ —--------------------------------- ------ ..... ................. SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL MARK W. SYLVIA --- DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, 128 CRANBERRY LANE UT FAILUREMAIL SUCH LL IMPOSE NO OBLIGATION OR LIABILITY CENTERVILLE, MA 02632 1 F ANY KIND APON HE COMP NY, ITS AGENTS OR REPRESENTATIVES._ AU T io lz E T ..................... .......... ........ ............. ............. ... .. ...... ...... ........ ... ....... . ......... ................................... ........ .. .... . ...... ... ...... ... ... .............................................................................. ......... ........................................ .............. x-xx ............ J-1RANC DATE(MM/DDNY) ............ ..............*............. -0 A CORD -w- _ - . ..W.F...."..'...........-W I - - 7- .......... . .... ....... ... 2-27-98 .... ...... .. ....... ........... ......... ............. ................... PRODUCER::;;;: THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE MARK SYLVIA AGENCY HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 770A MAIN STREET ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. CISTERVILLE MA 02655 COMPANIES AFFORDING COVERAGE COMPANY A FARM FAMILY CASUALTY INSURANCE COMPANY INSURED COMPANY DENNIS K FOSTER 13 PO BOX 774 COMPANY DENNISPORT MA 02639-0774 C COMPANY D ... ... ...... ...... .......... ................ ..... ........................ ........... .. ............. ................... ............. ...... . ... ............. ............ ............... ........... ................ ..... ............ ................. ................ 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 B Y 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 POLICY EFFECTIVE POLICY EXPIRATION LTR TYPE OF INSURANCE POLICY NUMBER LIMITS DATE(MMIDDIYY) DATE(MMIDDNY) A GENERAL LIABILITY 2001 X 0202 1 4-26-96 4-26-97 GENERAL AGGREGATE $ 600,000 X COMMERCIAL GENERAL LIABILITY 4-26-97 4-26-98 PRODUCTS w COMP/OP AGG $ 300,000 CLAIMS MADE I OCCUR PERSONAL&ADV INJURY $FX OWNER'S&CONTRACTOR'S PROT I EACH OCCURRENCE $ 300,000 FIRE DAMAGE (Anyone fire) $ 50,000 H MED EXP (Anyone person) 5,000 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: HEACH ACCIDENT $AGGREGATE 1 $ EXCESS LIABILITY EACH OCCURRENCE $ UMBRELLA FORM AGGREGATE $ OTHER THAN UMBRELLA FORM I $ WC STATL)- WORKER'S COMPENSATION AND I Y LIMITS I i0a EMPLOYERS'LIABILITY EL EACH ACCIDENT $ INCL THE PROPRIETOR/ F EL DISEASE-POLICY LIMIT $ PARTNERS/EXECUTIVE OFFICERS ARE: EXCL EL DISEASE-EA EMPLOYEE $ OTHER DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/SPECIAL ITEMS PLASTERING OR STUCCO WORK CERT .... ... ...... ................... .................... ::::: l.11w'-.l..'l%-.'-'.- ...... w.w.. ......... ........ ............................. .......--w w--w w w....w........... ..........:: . I W_�...w..........w.................%............ . ..................... ................................................ ...................... ...... ............... ........ ----------- ............................. . ............... .......................................... SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE MARK W. SYLVIA EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL 128 CRANBERRY LANE DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, CENTERVILLE, MA 02632 Ell FAILURE TO MIAQIUCH N�ICE SHALL IM E NO OBLIGATION OR LIABILITY 0 C 0 ANY I KIND L OMPANY, IeAGENTS OR REPRESENTATIVES. AUT GRI D S Pr ................ ........ . ..... . .... ...... .. . . ......... ........... '2 5w 4- ........ ........ ......... .......... .......w ...... .......... CAM.................... ... 777-7- ........ ................................................................... .............. ................................................... ...................................... ........................ .......................... ................................ ................... . .............. DATE(MMIDD/YY) ............................ .. ACORD, .0F ............................ ..... ....... ............►. -18-98 ............. ...............................X. ............... 3 ............... .. ..................... ..............-I.......... ..........PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE MARK SYLVIA AGENCY HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 770A MAIN STREET ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. CISTERVILLE MA 02655 COMPANIES AFFORDING COVERAGE COMPANY A COLONIA INSURANCE COMPANY INSURED COMPANY EASTERN CASUALTY INSURANCE COMPANY JOHNSEN EXCAVATION&TRUCKING INC B PO BOX 32 COMPANY NANTUCKET MA 02554 C COMPANY D . ........... ............................................................. ........... ....... . ................. .... ..................................... ..........................Z **...... ...................... ..... ... ............................. ..... ........ ................................. . . .................. ...... ..................... .. ........................ . ....... ...... ................. ......... ......... ........... .. . .. ...... ... ....... ...................................................................MERAS ...�--. :,:`%.........' '... .......... ... ....... ........ ........ ........ . ......... ....... 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 B Y 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 POLICY EFFECTIVE POLICY EXPIRATION LTR TYPE OF INSURANCE POLICY NUMBER DATE(MMIDDIYY) DATE(MMIDDNY) LIMITS GENERAL LIABILITY GENERAL AGGREGATE $ 500,000 A 7X COMMERCIAL GENERAL LIABILITY CGL148365-02 5-1-97 5-1-98 PRODUCTS-COMP/OP AGG $ 500,000 1 A-1 OCCUR PERSONAL&ADV INJURY $ 'CLAIMS MADE 1 500,000 OWNER'S&CONTRACTOR'S PROT EACH OCCURRENCE $ 500,000 FIRE DAMAGE (Anyone fire) $ 50,000 MEDEXP (Anyone person) $ 5,000 AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ ANY AUTO ALL OWNED AUTOS BODILY INJURY $ SCHEDULED AUTOS (Per person) HIRED AUTOS I 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 $ WC STA77 on+ B WORKER'S COMPENSATION AND �WC V0017527 3-15-98 3-15-99 TORY LIMITS ER EMPLOYERS'LIABILITY EL EACH ACCIDENT $ 100, THE PROPRIETOR/ INCL EL DISEASE-POLICY LIMIT $ PARTNERS/EXECUTIVE I - 500, OFFICERS ARE: EXCL EL DISEASE-EA EMPLOYEE $ 100, OTHER DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/SPECIAL ITEMS EXCAVATION, RUBBISH REMOVAL RESIDENTIAL&COMMERCIAL, SEPTIC TANK INSTALLATION, WATER MAINS ... ..................................................................-..................... .... ........................................... .................... ..... .: ............................................ ..................... . ....... ... ......... .................... .................. ................ ...... . ... ....... ........ ...................................................................... . .......................... . . ...... ...................................................... .... ......................... ................................. . .... ..... ............................................................................................................... ................................... ...... SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE MARK W. SYLVIA EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL 128 CRANBERRY LANE DAYS WRITTEN NOTICE TO THE CERTIFICATE HO ER NAMED TO THE LEFT, CENTERVILLE, MA 02632 BUT FAIRE TO MAIL SUC �NTICE SH 9 IMPOYSEO BLIGATION OR LIABILITY E� 0 KIN CI UPON ZE ITS E�70S I OR REPRESENTATIVES, AUTHORI R A . ......... ..... ..... .. .. ......... ... ............. -----------------......... ... ... ... ... .......... .............. ................... ................. ................................. L DATE(MMIDD/YYI 2/27/9$ PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE GERMANI INSURANCE AGENCY HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 12 PARKER ROAD ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. PO BOX 832 COMPANIES AFFORDING COVERAGE OSTERVILLE, MA 02655 COMPANY A THE MARYLAND CASUALTY CO. INSURED COMPANY ROBERT A. SOUSA _B P.O. BOX 14 COMPANY — --------_--"— — - OSTERVILLE, MA 0265.5 C COMPANY D. CiO ERAG - ; THIS IS 10 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 DOCUMEFT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED B Y THE POLICIES DESCRIBED HEREIN 1S SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES,LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. LTR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS DATE(MM/DD/YY) DATE(MM/DD/YY) GENERAL LIABILITY GENERAL AGGREGATE Is 1,000,000 A , 02280253 6-16-97 6-16-98 — COMMERCIAL GENERAL LIABILITY PRODUCTS-COMP/OP AGG I $ _ _1,000,000 �- CLAIMS MADE PER`iONAL&ADV INJURY is OWNER'S&CONTRACTOR'S PROT EAGi OCCURRENCE j $ 500 000 _� FIRE DAMAGE (Any one fire) r$ 1 ----- MED EXP (Any one person)'- $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT is ANY AUTO ALL WNED'AUTO � B 1' m ti ghr ODII:XINJURY �snmrry $� SCHEDULED AUTOS « •' (Per person) T— :c HIRED AUTOS BODILY INJURY $ NON-OWNED AUTOS (Pena dent) — _: _ ------ PROPERTY DAMAGE $ GARAGE LIABILITY AUTO ONLY-EA ACCIDENT Is I ANY AUTO OTHER THAN AUTO ONLY: —EACH ACCIDENT $ AGGREGATE is EXCESS LIABILITY EACH OCCURRENCE is UMBRELLA FORM AGGREGATE $ OTHER THAN UMBRELLA f-ORM / . _.-_� —� '_'� •_�""el� is ... WC STATU-� i OTH- - '.rORY LIMITS WORKER'S COMPENSATION AND �— __------ EMPLOYERS'LIABILITY I bELACH ACCIDENT ER ` $ THE PROPRIETOR/ j i INCL EL DISEASE-POLICY LIMIT i $ PARTNERS/EXECUTIVE — ' OFFICERS ARE: EXCL EL DISEASE-EA EMPLOYEE $ OTHER DESCRIPTION OF OPERATIONS`/LOCATIONSNEHICLES/SPECIAL ITEMS SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL MARK SYLVIA 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, 128 CRANBERRY LANE BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY CENTERVILLE, MA 02632 OF ANY KIND UPON TA COMPANY,_..TS AGENTS OR REPRESENTATIVES. AUTHORIZ EPRESE .AROR"r 5 O�FI-D�A¢ 0,A1'1.9.88 ......... ..... ........... ................... DATE(MM/DD/YY) Eoillil Rio 111CAT W.A. 02/27/98 MY, PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Edward A. Grazul Insurance Agency Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR PO Box 337 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Marstons Mills, MA 02648 COMPANIES AFFORDING COVERAGE (508) 428-1943 COMPANY A CIGNA INSURED COMPANY American Foundation Co. , Inc. B 22 Union Street COMPANY Yarmouthport, MA 02675 C COMPANY D MOM 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 LTR DATE(MMfDD/YY) DATE(MM/DD/YY) LIMITS GENERAL LIABILITY GENERAL AGGREGATE $ COMMERCIAL GENERAL LIABILITY -PRODUCTS-COMP/OP AGG $ CLAIMS MADE � IOCCUR PERSONAL&ADV INJURY $ OWNER'S&CONTRACTOR'S PROT EACH OCCURRENCE $ FIRE DAMAGE(Any one fire) $ MED EXP(Any one person) $ AUTOMOBILE LIABILITY ANY AUTO COMBINED SINGLE LIMIT $ 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 $ .............................. WC STATU OTH- ...................X.:............. WORKERS COMPENSATION AND TORY LIMITS I I ER ..:.;................I'-I' . ............................................... EMPLOYERS'LIABILITY EL EACH ACCIDENT 106;-0-00.............. THE PROPRIETOR/ INCL EL DISEASE-POLICY LIMIT $ 500,000 PARTNERS/EXECUTIVE A OFFICERS ARE: EXCL C42052747 04/01/97 04/01/98 EL DISEASE-EA EMPLOYEE $ 100,000 OTHER I I DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/SPECIAL ITEMS SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE Mark Sylvia EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL 770A Main Street -DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, Osterville, MA 02655 BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES. AUT IZED REPRESENTATIVE ............. .......... e. .......... A E. t,5 50R4204474 FI;W,�RD A C i ' ,La!=ACO ,a I _•'• :.,.�.m.. )J�:4\An <::(�rN.', ,f. �>`., +f. '!/' iv�4ab��..A ,4 5 i.'Zo',�d'.o�'/.•, r�� ¢r, Plff... ...e Gr- -.,/,'Eh ' `ti f • . ' ,• Yl< .a.. I Pr,cwuceH . ,. .. H4 THIS CER LATE IS I UIrD AS A MATTl=S ��INFORhi;t-��-,��., + -ONLY AND CONFERS Nb RIGHTS UPON THE CFRTiF'•CA:`. A. C azul Ins. !-genc_y, Inc. HOLDER- THIS•CERTIFICATE DOES 1lDT AtAEIiD, ::XTEN71 'OP. n nr,s W4 ALTER THE COVERAGE AFFORDED SY� l'HE Fc?;.;C icS I3ELvt'. l`s Ma 02648 r COMPANIES AFFORDING G OVERAGE FCOMPANY A Maryland COMPANY i,t t3 b1.Ilr 6. Heating COMPANYV — — ----- •IM].�i.i.�y i`•Ic� 02648 COMPANY D ^ # rs s ...,...:.'.s i�Ixt£.s W•'.. ! i His,IS TO CERTIFr THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE L 4 POLICY _ j INDICATED,NOTWITHSTANDING ANY REQUIREMENT,TERM QR CONPIT'ION OF ANY CONTRACT OR OTHER DOCUh'1FNT lh'!I H�HE=�.-��'O f_:ERTIRCATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HERENJ IS SU15 2i. T TO --'— C TC-rrfl E. USIONS AND CONDITIONS OF SUCH POLICIES.LIMITS'SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. — ---- — ------ -- POLICY EFFECTIVE I POLICY EXPIRATION: i_ik9ST5 TYPE OP INcURANCE I POLICY NUMBERJMMMDIYY) DATE MM/DDJYYI � � - �. � � -rat^_.�._ •c.: f�.l li-: - - 1 f dr+ca ..JF..AL,F LIARIIJ`fY •I .� - - i G�'M3 MAL!t !c�-� OCCUR - PERRnNAI R'AC%`!N,1l1rti `,.)l Il -_ ' I I EkCH OC�,IIRRE ":E $ =l_•+_; .-)iti i i OWNE'N`S rY CONTRACTQR'a PROT -_- ! -J I r FIRE DAMAIiE fAnv.;nC 5.... -•i, i:(,. : —'a — - _CT 30829932 12/05/98 /2/o5/99 _. -- _-- --- --=I 7 MED EXo-Any onE ra so^i }I { I I r OM'RINFD SiNGLC Li Ni1T 5 :.LL t;yyp:cn p.IJT.^•= � � BODILY IN,:I::RY I I • � -- (TPcr�-r�nfil i 3griF.DULED A.UT03 HIRED AUTOS I BOJIi_r tNIJLlti•• i ` FRTt l i i— GARAGE LlaeiL i AU I Y I � i A!iT.:a { OTHER ThAyAt 0C\ f _ 4 LIAt,,.ITi EACH 00CUPPINCE A F.rii_tn I I i 4tii_Rc�_.�1T- _ O' eF I HAN;,MBRtL;.A F::9!d � ' WO.lKERS COMPENSATION AND i— TORY AIM T + EMPLOYERS'LIABILITY I II i� E.I-EACH AC Gi U r PROFF:-'OA --� IN.,;i. i EL DISEASE• -- I i I f7ar_F.!FrnON r,K OP ERA T,ON."`!',OCAYIONSNEHICLESISPECIAL ITEMS -- � I r#3`r•l b. ..., ....'..:.' .f',.:n<::.,l;,A.?,.,k4...,..�,Y,k..�' J'A." 1�.'.:3.'rl:7i::�. pe:.s3:, >M e � ,✓.•..\ '>s:. ..n«.4.. a:\,�, .oae.. .... .. .,: ...... .,. .. . . . ( SHOULD ANY OF THE ABOVE DESCAIIAF I POIJt1,F5 3E CANCELLED rJE G. _ r•_ + EXPIRATION DATF THEREOF, THE ISSUING CQ'Ap;.ril W!'i. END_-.',I+I' Lrat. v :`l�litl Wit_ 6 -r- DAYS WRITTEN NOTICE TO THE CERTIFICATE H0LDE8 N<,M@D TO ;HE i..=i'. BUT FAILURE TO MAIL SUCH NOTICE SHALT. IMPOSE NO 05i-I041`I0t. Gn LikadL+T" OF ANY IND UPON THE COMPANY, IT$ AGENTS OR REPRESYNTATivE_. AUTHORI PRE EN TAT VE f 7r q '+... ��. '� -s '� f3i`^q�rx¢^-,.::r:�;>:<;;f,`'•r;.?�5`j:;ysrr a:�Yll �,pk K' .' ti., -c �;: :� cs .�k r; ;�SF s.{s'�?:�.,�RS a, F.�.,)'"#�: �' k' aY. '•F� s.$,�fYk2!„zEK ., �}u�►) sz.. � ,.�.�> �:.:rrS`$«2Zfs:.. �2�SYa. �.\ aYs• n'kt: .�. �>•/ ---- .......A......0.......................... 4 .. r.m . .. ............. � . .E; ............... RDDATE(MM/DD/YY)AX N C .......... ................... ...... ........ ...................... .....1.... ... ............. ..... 03/18/98 . ...... ..................... .. . .. ..... ........... .......................... , PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE CHASE INSURANCE AGENCY INC HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 49 MAIN STREET ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. PO BOX 548 COMPANIES AFFORDING COVERAGE WEST HARWICH MA 02671-0548 COMPANY A U S F & G INSURANCE COMPANY INSURED COMPANY KEVIN LEGGE B LEGION INSURANCE COMPANY COMPANY 9 JULIA GRAVE LANE C HARWICH MA 02645 COMPANY I __ ..... D .... ..... ............... .................................. .. .........................................................................x. .... . ...... ........................................ .......... ..... ..I... .......... ...................................................................................... ....... .... ....................... ......***.......................................................................................: : .. ..... .... .................... ....%. . 'i ......... . . ..... . ............***............................. ............. .................. ............................. THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOWHAVE 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. POLICY EFFECTIVE POLICY EXPIRATIONATE(Co TYPE OF INSURANCE POLICY NUMBER INMMMLINY) I)AM-MIMMIDNY) LTR - I I - I GENERAL LIABILITY B F S 0 0 0 0 0 0 5 9 8 8 8 7/22/97 7 2 2 9 8 GENERAL AGGREGATE $ 650,000 X COMMERCIAL GENERAL LIABILITY PRODUCTS-COMP/OP AGG $ 600, 000 CLAIMS MADE OCCURF PERSONAL&ADV INJURY $ 300 000 OWNER'S&CONTRACTOR'S PROT EACH OCCURRENCE $ 300000 FIRE DAMAGE(Any one fire) $ 50,000 MED EXP(Any one person) 11; 10,000 AUTOMOBILE LIABILITY ANY AUTO COMBINED SINGLE LIMIT ALL OWNED AUTOS BODILY INJURY SCHEDULED AUTOS (Per person) HIRED AUTOS BODILY INJURY NON-OWNED AUTOS (Per accident) PROPERTY DAMAGE 11 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 $ B WORKERS COMPENSATION AND WC3281866 9/02/97 9/02/98 X TWRYL-FIA—MTIUTj.1 JOETR ............................................................... ............. EMPLOYERS'LIABILITY EL EACH ACCIDENT 100, 000 THE PROPRIETOR/ INCIL EL DISEASE-POLICY LIMIT 111 500,000 PARTNERSIEXECUTIVE OFFICERS ARE: EXCL EL DISEASE-EA EMPLOYEE $ 100,000 OTHER DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/SPECIAL ITEMS DWELLING LOCATED AT FOX DEN BLUFF ROAD COTUIT, MA. ....................................................................................................................................... ... ... .............................................. ...... ..................... . ................................................................ ................................. ...................... ...... ............................................................... .CER ........................ ....... d9LLATIiI%::x ,.,.TIFICATE-:.'.: OLDER:: : .......... ....... ..... ............ . ....... ....... ...... .................................. ....... .. ............ SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE MARK SYLVIA EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAR 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, 770 MAIN STREET BUT FAILURE TO MAR SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OSTERVILLE MA 02655 OF ANY KIND Vft TMSOMPANY AUTHORED REP SE ITS ARENTS OR ESJWATIVES. 410T o w0;4;4C%9 MarkR. it .......................................................................- . .......... ................. ................................................ .....d .... .. . ................................... ...................................................... ..............%....................%%........................%................................................... .......................... .................................. ........................... ... 6A. ... ............................L.... ................................ ................2- N .................................................. ......... ........................................ ............................................ .....................