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0675 MAIN STREET (COTUIT)
(p'7S f14; <S--, 6�-n f f �9 - 05� t ems. h `` `� r� Printed fln 6!3l20,19�, all Re Case#: C-19-188 Address: 675 Al MAIN STREET Date: 3/27/2018 (COTUIT), COTUIT Owner Info: Property Info: MBL: 036-015 Owner Notified?.- Complaint Details: Type of Complaint Classification of Complaint` Method of Complaint Zoning, Building Code, Low Priority Phone Complaint Summary: , 03/27/2018 Jessica Rapp Grassetti filed RFS to confirm whether or not someone was staying in an unfinished unit without a CO. BC confirmed allegations on 4/24/2018. Action History: Action Taken Date Description Fee Inspector Close Case 3/20/2019 No violation present $0.00 bowerse Close complaint Re-Open Case 4/8/2019 Must be closed by Robin $0.00 bowerse - Anderson Close Case 6/3/2019. B-16-2044 permit was $0.00 bowerse closed 10-6-2017 Also new address info has been updated Inspector Assigned to Complaint: bowerse Filed by andersor Comments: Comment Date Commenter Comment 3/20/2019 andersor Status update required. 5/23/18 Ed Reported that he spoke to someone who claimed to be working there late and staying overnight .. ��ate fi/3t2�019xr j � � �� ��r� � � �ownof�Barnstable = oFT"E r Town of Barnstable Inspectional Services �STABLE, Brian Florence,CBO M,AM -0 9 1639• ,m°' Building Commissioner TEa MAC a 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us INSPECTION REPORT Address : 675 Al MAIN STREET (COTUIT), COTUIT Case # C-19-188 Inspection Type : Violation Inspector: bowerse ........................... _....__W............. _ . Description • Date lUnit 'Status IComment 3 } i._ « «._ ..__. ._ ...._ ...__.. .. ...., r . ..._._. __. .......« ...«.. . .«......... .. _«. .,..._.._ ..... +Violation �06/03/2019 PASS address was listed wrong it has been corrected B-16-2044. was closed 10-6-2017 m permit should be closed Violation 06/03/2019 PAS address was listed wrong it has been corrected I B-16-2044 was closed 10-6-2017 permit should be closed Inspection Type : Violation Inspector: bowerse .................. . . _._..... _ .. . ......................._._....... ..................... . ......... '.Description Date Unit iStatus Comment ,Violation 03/20/2019 PASS No violation found Unit Has been legally .« occupied now for many months > TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map 03 Parcel O / Application # t 502�0� Health Division Date Issued Conservation Division Application Fe aU� Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board /Jom /2-0*0 6/song Historic - OKH _ Preservation/ Hyannis Project Street Address (o ' wt d Z AS/14 /�� r Village t r1 Owner_t'LM bu Z 2 SJ fl,�_( . Address " Telephone o&Les PJ.Y `g�lg Permit Request pif,31) �6e , 2 �t� �rQ��� 6 C, Square feet: 1 st floor: existing proposed 11 2nd floor: existing-proposed (-QY 2 Total new Zoning District Flood Plain Groundwater Overlay Project Valuation Construction Type + r1e 1 34&�f � Grandfathered: ❑Yes ❑ No If es, attach supporting documentation. Lot Size ,, �. �� y pp g Dwelling Type: Single Family ❑ Two Family XF Multi-Family (# units) Age of Existing Structure Historic House: ❑Yes ❑ No On Old King's Highway: ❑Yes ❑ No a Basement Type: X Full ❑ Crawl ❑,Walkout' ❑ Other Basement Finished Area (sq.ft.) Basement Unfinished Area (sq.ft) J Number of Baths: Full: existing new Half: existing new Number of Bedrooms: existing inew ° Total Room Count (not including baths): existing new First Floor Ro6m'Count Heat Type and Fuel: Gas ❑ Oil ❑ Electric ❑ Other , r Central Air:_ Yes 0 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 01fed: ❑ existing ❑ new size _ Other: -: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes fg No If yes, site plan review# _ Current Use ma tPn�_ Proposed Use R e / n Ate' APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name Yak)KA 91-6 Ir . Telephone Number i 6 " 7.7 7 Address c D c License # �5 - ��� °�"7 � _M4 192 67 3- Home Improvement Contractor#I .E mall ®0 �}�0a, Mt YAA 0 Vea',wa�a''Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO t J SIGNATUR C DATE °. FOR OFFICIAL USE ONLY APPLICATION# DATE ISSUED MAP/PARCEL NO. ' 3 ADDRESS VILLAGE �l - OWNER l: DATE OF INSPECTION: :•,FO:UNDATIONE:rfllutm i FRAME _INSULATION 'I p:t: FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL r GAS: _�-• ROUGH FINAL FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. j r REScheck Software Version 4.6.1 ,Compliance Certificate Project Energy Code: 2012 IECC Location: Cotult, Massachusetts Construction Type: Single-family Project Type: New Construction Conditioned Floor Area: 2,200 ft2 Glazing Area 6% Climate Zone: 5 (6137 HD®) Permit Date,- Permit Number: Construction Site: Owner/Agent: Designer/Contractor: &)$2"i'AMAIN STREET BLDG#11&2 DANIEL MCGRATH COTUIT, MA 312 CAMP STREET WEST YARTMOUTH, MA 02673 Compliance: L.9%Better Than Code Maximum UA: 365 Your UA: 358 The%,Better or Worse Than Code Index reflects how close to compliance the house is based on code trade-off rules. It DOES NOT provide an estimate of energy use or cost relative to a minimum-code home. Envelope Assemblies Gross Area Cavity Cont. Assembly or R-Value R-Value U-Factor UA Perimeter Ceiling 1: Flat Ceiling or Scissor Truss 3,000 49.0 0.0 0.026 78 Ceiling 2: Flat Ceiling or Scissor Truss 768 30.0 0.0 0.035 27 Wall 1:Wood Frame, 16" o.c. 2,605 21.0 0.0 0.057 139 Window 1: Metal Frame:Double Pane with Low-E 150 0.330 50 Door 1; Solid 21 0.320 7 Floor 1:All-Wood Joistfrruss:Over Outside Air 2,200 38.0 0.0 0.026 57 Compliance Statement. The proposed building design described here is consistent with the building plans, specifications, and other calculations submitted with the permit application.The proposed building has been designed to meet the 2012 IECC requirements in REScheck.Version 4.6.1 and to comply with the mandatory requirements listed in the REScheck Inspection Checklist. Name-Title Signature Date 1. Project Title: Report date: 06/16/15 Data filenanne: Untitled.rck Page 1 of.8 REScheck Software Version 4.6.1 Inspection Checklist Energy Code: 2012 IECC Requirements: 0.0% were addressed directly in the REScheck software Text in the "Comments/Assumptions" column is provided by the user in the REScheck Requirements screen. For each requirement, the user certifies that a code requirement will be met and how that is documented, or that an exception is being claimed. Where compliance is itemized in a separate table, a reference to that table is provided. Section Plans Verified Field Verified ' # Pre-Inspection/Plan Review ` Com'plies? Comments/Assumptions.,. & Req.ID _ Value, Value „ 103.1 :.Construction drawings and ❑Complies ❑ 103.2 ;documentation demonstrate �" � � r �, ` [PR111 energy code compliance for the Does Not :building envelope. - s � k ❑Not Observable j ,. ❑Not Applicable 103.1, 'Construction drawings and a "4 ❑Complies 103.2, :documentation demonstrate s : 1 tuf: 7� �, - ~`El Does Not 403.7 energy code compliance for ' , h ; [PR3]1 lighting and mechanical systems. _ r ❑Not Observable Systems serving multiple c r, ❑Not Applicable dwelling units must demonstrate compliance with the IECC Commercial Provisions. -A" 302.1, 3 Heating and cooling equipment is: Heating: Heating: ❑Complies 403.61 !,sized per ACCA Manual S based Btu/hr Btu/hr ❑Does Not [PR2]2 _ on loads calculated per ACCA Cooling: Cooling: „� Manual or other methods ❑Not Observable ] Btu/hr Btu/hr_ ❑Not Applicable licable j approved by the code official. I Additional Comments/Assumptions: 1 High Impact(Tier 1) 2 Medium Impact(Tier 2) 3 Low Impact(Tier 3) Project Title: Report date: 06/16/15 Data filename: Untitled.rck Page 2 of 8 - — i r-t 2012 IIECC Foundation Inspection Complies? Comments/Assumptions. q 303.2.1 ' !A protective covering is installed to ❑Complies [FO11]2 protect exposed exterior insulation ❑Does Not 7 and extends a minimum of 6 in. below grade. ❑Not Observable ❑Not Applicable 403.8 ;Snow-and ice-melting system controls'❑Complies [FO12]2 linstalled• ❑Does Not j ❑Not Observable I ❑Not Applicable Additional Comments/Assumptions: 1 High Impact(Tier 1) "2;'Medium Impact(Tier 2) 3 Low Impact(Tier 3) Project Title: Report date: 06/16/15 Data filename: Untitled.rck Page 3 of 8 I Section ,Plans Verified Field Verified # Framing Rough-in Inspection Complies? Comments/Assumptions & Req.ID 'Valuey` Value 402.1.1, Door U-factor. ; U- U- ❑Complies ;See the Envelope Assemblies 402.3.4 ❑Does Not table for values. [FR1]1 ❑Not Observable ❑Not Applicable 402.1.1, 'Glazing U-factor(area-weighted ; U-_ U- ❑Complies ;See the Envelope Assemblies 402.3.1, average). ❑Does Not ;table for values. 402.3.3, 402.3.6, ❑Not Observable 402.5 ❑Not Applicable [FR2]1 303.1 3 U-factors of fenestration products ❑Complies [FR4]1 are determined in accordance � " �a r -]Does Not with the NFRC test procedure or ❑Not Observable j 'taken from the default table. ®� J � * I ❑Not Applicable 402.4.1.1 'Air barrier and thermal barrier ❑Complies [FR23]1 installed per manufacturer's x�v r �, 4 � + ❑Does Not instructions. 1 ' ❑Not Observable ❑Not Applicable 40214.3 Fenestration that is not site built a ❑Complies ' [FR20]1 is listed and labeled as meeting - " _ ri ❑Does Not AAMA/WDMA/CSA 101/I.S.2/A440 E- 0 at ❑Not Observable or has infiltration rates per NFRC � . 400 that do not exceed code r � ❑Not Applicable A limits. [OR16]4 sealed at houssng/i ed lighting erior finish r `. �.' Complies z s -p! fr$ w. Does Not 9 and labeled to indicate :52,0 cfm l 7 ❑Not Observable leakage at 75 Pa. lw" ❑Not Applicable 403.2.1 Supply ducts in attics are R R- ❑Complies [FR12]1 insulated to 2:R-8.All other ducts R_ R_ ❑Does Not in unconditioned spaces or ❑Not Observable outside the building envelope are; insulated to >_R-6. ❑Not Applicable 403.2 2 All joints and seams of air ducts, t1 � '° �` '.�. a` ❑Complies [FR13]1 air handlers, and filter boxes are r w" €sealed. a ❑NDoote sO bNsoe t vable ❑Not Applicable 403.2.3 Building cavities are not used as _ mplies [FR15]3 ducts or plenums, r �, q �❑ €� , Does Not ❑Not Observable ❑Not Applicable 403.3 a]HVAC piping conveying fluids R- R- ❑Complies [FR17]2 'above 105 QF or chilled fluids ❑Does Not R1 13. 3elow 55°F are insulated to>_R- ❑Not Observable ❑Not Applicable 403 3 1 Protection of insulation on HVAC ❑Complies [FR24]1 piping. n� ' �, e r :r ❑Does Not ❑Not Observable ir ❑Not Applicable ; 403.4.2 " '(Hot water pipes are insulated to R- R- '❑Complies [FR18]2 i>_R-3. ❑Does Not ❑Not Observable ; ❑Not Applicable 1 IHigh Impact(Tier 1) 2, Medium Impact(Tier 2) 3 Low Impact(Tier 3) Project Title: Report date: 06/16/15 Data filename: Untitled.rck Page 4 of 8 f Section Plans Verified Field Verified # Framing/Rough-Inllnspection' - complies? Comments/Assumptions & Req.ID Value Value 403.5 Automatic or gravity dampers are "� a ?4 + ❑Complies [Fklg]z. !installed on all outdoor air []Does Not intakes and exhausts. ❑Not Observable " t ❑Not Applicable 1 "F Additional Comments/Assumptions: 1 High Impact(Tier 1) 2 Medium Impact(Tier 2) Low Impact(Tier 3) Project Title: Report date: 06/16/15 Data filename: Untitled.rck Page 5 of 8 Section Plans Verified Field Verified # Insulation Inspection Complies?,, ; Comments/Assumptions:- & Req.ID Value Value 303.1 All installed insulation is labeled ti� r �� �) ❑Complies [IN13]2 or the installed R-values ; ❑Does Not provided. " U ❑Not Observable 144 r ❑Not Applicable 402.1.1, Floor insulation R-value. R- R- ❑Complies ;See the Envelope Assemblies 402.2.6 ;❑ Wood ❑ Wood ❑Does Not ;table for values. [IN1]1 ❑ Steel ❑ Steel j❑Not Observable ❑Not Applicable 303.2, ;Floor insulation installed per �4- ——r ❑Complies 402.2.7 ;manufacturer's instructions,and :r ❑Does Not [IN2)1 in substantial contact with the �1,, �r xa�,� n j ;underside of the subfloor. tryk „ -]Not Observable ❑Not Applicable11 Al 402.1.1, ;Wall insulation R-value. If this is a: R- R- ❑Complies See the Envelope Assemblies 402.2.5, mass wall with at least 1/2 of the ❑ Wood ❑ Wood ❑Does Not table for values. 402.2.E wall insulation on the wall ❑ Mass ❑ Mass ❑Not Observable [IN311 !exterior,the exterior insulation g; ;requirement applies(FR10). j❑ Steel ❑ Steel ;❑Not Applicable ; I I i 303.2 !Wall insulation is installed per lx. � "r� " � � ' '❑Complies [IN4)1 manufacturer's instructions. ; ' �_`❑Does Not } ❑Not Observable . ,z ❑Not Applicable. Additional Comments/Assumptions: 1 High Impact(Tier 1) '2 Medium Impact(Tier 2) 3 Low Impact(Tier 3) Project Title: Report date: 06/16/15 Data filename: Untitled.rck Page 6 of 8 Section Plans Verified Field Verified # Final Inspection Provisions. Complies? Comments/Assumptions & Req.ID Value. , Value 402.1.1, Ceiling insulation R-value. ; R- R- ❑Complies ;See the Envelope Assemblies 402.2,1, ;❑ Wood ❑ Wood ❑Does Not table for values. 402.2.2, 402.2.E j❑ Steel ❑ Steel ❑Not Observable [FI1]1 ❑Not Applicable ; ' 1 x p.Ceiling insulation nper .1.1, manufcturer's instructions. ❑DoesNot303 2 [F1211 Blown insulation marked every} 300 ft2. t au ' ❑Not Observable zn ❑Not Applicable 402.2 3 'Vented attics with air permeable ❑Complies (F122J2 sinsulation include baffle adjacent Y ❑Does Not Ito soffit and eave vents that s� b `TM�rqa �rre l extends over insulation. R _ ..° []Not Observable " 4 ❑Not Applicable 402.2.4 Attic access hatch and door R- R- 'DComplies [FI311 insulation >_R-value of the ❑Does Not adjacent assembly. ❑Not Observable ❑Not Applicable 402.4.1.2 Blower door test @ 50 Pa. <=5 ACH 50=_ ACH 50 = '❑Complies [FI17]1 ach in Climate Zones 1-2, and []Does Not <=3 ach in Climate Zones 3-8. ❑Not Observable ❑Not Applicable 403.2.2 Duct tightness test result of<=4 cfm/100 cfm/100 ❑Complies [FI4]1 cfm/100 ft2 across the system or ft2 ft2 ❑Does Not <=3 cfm/100 ft2 without air ❑Not Observable handler @ 25 Pa. For rough-in tests,verification may need to ❑Not Applicable occur during Framing Inspection. 403.2.2.1 Air handler leakage designated �, E_ r.❑Complies (F124]1 by manufacturer at<=2%of �' '" e ', M.72 .,[]Does Not �design air flow. ,_yk Not Observable ❑Not Applicable licable _ 4 403.1.1 Programmable thermostats F" t _ "'t ❑Complies [F19] f installed on forced air furnaces. Does Not 2 -. t ❑ Lip"i ❑Not Observable ' k5 ❑Not Applicable 403.1 2 Heat pump thermostat installed ❑Complies _ [FI10]2 )on heat pumps. , ", r , ;xx ❑Does Not 1 r ❑Not Observable . ,k-'A SFr ❑Not Applicable 403 4 1 Circulating service hot water ❑Complies [FI11]2 systems have automatic or i � 9 � '" ' ❑Does Not ¢accessible manual controls. � r r ❑Not Observable �P- '`' t. 41 J❑Not Applicable 403 5.1 4 All mechanical ventilation system � j � �a ;,l � 7� � ❑Complies i [F125]2 'fans not part of tested and listed ❑Does Not j HVAC equipment meet efficacy q, 7 , and air flow limits. ❑Not Observable [ , S ❑Not Applicable 404.1 75%of lamps in permanent , -k, s � ` ``"�❑Complies [FI611 fixtures or 75%of permanent e1 1 ❑Does Not Wf fixtures have high efficacy lamps. # � , ) Does not apply to low-voltage X ❑Not Observable ; lighting. %a:" "F „u ❑Not Applicable 1 High Impact(Tier 1) 2 Medium Impact(Tier 2) JJ Low Impact(Tier 3) Project Title: Report date: 06/16/15 Data filename: Untitled.rck Page 7 of 8 z Section; Plans Verified Field Uenfied # Final�Inspection Provisions Complies?1t Comments/Assumption's & Req.ID value Value 404.1.1 Fuel gas lighting systems have f�'- ' , � �. "7°;R + ❑Complies [FI23]3 no continuous pilot light. ❑Does Not &M za9 „, I❑Not Observable _ ❑Not Applicable 401.ECompliance certificate posted. * � l i~ ` ��.�" °( ❑Complies [FI7] i �� ❑Does Not ❑NotAppli abbe 303.3 Manufacturer manuals for ❑Com lies [FI18]3 mechanical and water heating ❑Does Not ;systems have been provided. 4 ❑Not Observable []Not Applicable Additional Comments/Assumptions: g p ;Y Medium Impact(Tier 2) —Low Impact(Tier 3) 1 Hi h Im act(Tier 1) Project Title: Report date: 06/16/15 Data filename: Untitled.rck Page 8 of 8 2012 1 ECC Energy Efficiency Certificate Insulation Rating R-Valuld, Above-Grade Wall 21.00 Below-Grade Wall 0.00 Floor 38.00 Ceiling / Roof 49.00 Ductwork (unconditioned spaces): o.. Window 0.33 Door 0.32 Cooling Heating System: Cooling System: Water Heater: Name• Date: Comments Town of Barnstable & BUlldlrl .�+ '.L �... ; ':': .�.. •° .. . ',3? ... v �i "arc• ..s e�� M , i Post This Card Sa That it is<Uis,ble„From-the Street Approvetl=Plans Must lae_Ret�med on Job and;hth��Carr)Must be;Kept BAP-INMAr13.6, " - f M" Posted U tit"Fins 1"ns ectio HasBeen Aade- p� s w p a6}S► e .:` " �� ,.x .� .,s, � .;; ., - ' f yam ' Where'a Gertificat'e of O,ccu ancisRe u�redsuchBu�ld�n shall Not-be Occup�eduntit a Finat lnspect�on,has been;made 1 el 1111t Permit No. B-16-2047 Applicant Name: DANIEL MCGRATH-. Map/Lot: 036-015 Date Issued: 08/25/2016 Current Use: Zoning District: Permit Type: Building-Addition/Alteration-Residential Expiration Date: 02/25/2017 Contractor Name: DANIEL MCGRATH Location: 675 BIMAIN STREET(COTUIT),COTUIT fst Project Cost: $50,000.00 Contractor License: CS-107897 , r "- - Owner on Record: PLM BUZZY LLC Permit Fee $255.00 gi Address: 120 EAST AVENUE,3RD FLOOR �; �� , 255.00 44 ROCHESTER, NY 14610Date '� B/25/2016 Description: FIT OUT OF UNIT B-2 BUILDING#3 ONE BEDROOM 1�/2�BATHS Project Review Req : FIT OUT OF UNIT B-2 BUILDING#3 ON&BEDROOM, 1 1/2 BATHS u'f' ' Building Official 20 t � This permit shall be deemed abandoned and invalid unless the work a„uthor,zed by this permits commenced within sik,Months after issuance. All work authorized by this permit shall conform to the approved application and the approuetl construction documents:for which this permit has been granted. ' All construction,alterations and changes of use of any building and stucture�s shallbe incompliance with the locazon,ng by laws and codes. This permit shall be displayed in a location clearly visible from access street or'road.and shall be maintained open for p"ub1,c inspection for the entire duration of the work until the completion of the same. The Certificate of Occupancy will not be issued until all applicable signatures by the Building and Fire Officials are provided on this pe'mit. Minimum of Five Call Inspections Required for All Construction Work',, 1.'Foundation or Footing 2.Sheathing Inspection . , 3.All Fireplaces must be inspected at the throat level before firest flue Immg s installed. a� h 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspect,onc '� g - 5.Prior to Covering Structural Members(Frame Inspection) 6.Insulation ., 7.Final Inspection before Occupancy Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Work shall not proceed until the Inspector has approved the various stages of construction. "Persons contracting with unregistered contractors do not have access to the guaranty fund" (as set forth in MGL c.142A). Building plans are to be available on site All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT III TURNING MILL CONSULTANTS, INC. N DEVELOPERS,ENGINEERS AND CONSTRUCTION MANAGERS July 13,2016 Paul Roma,Building Commissioner Town of Barnstable Building Division 200 Main St. Hyannis,MA 02601 BE. APA Structural Panels,Moisture Exposure Cotuit Center.Residences Buildings 1& 2 671 Main Street, Cotuit,MA Dear Mr. Roma: `} •: : r On July 8,20161 inspected the IS`floor decking,"AdvanTech"1/4"T&G, for buildings.I &2 at the above location. Although the deck has been exposed to the weather for approximately six months I found no evidence of delamination or buckling that would affect the structural serviceable of the wood panels. In addition, I inspected the roof sheathing and wall sheathing, "%2 CDX"for both buildings, and found no evidence of delamination or buckling that would affect the structural serviceable of the roof or siding wood'panels. Given the limited time the panels were exposed to the weather,this time frame is within APA Technical Topic TT-009C guidelines which states "CDX panels are intended to resist the effects of moisture due to construction delays." Should have any questions,please feel free to contact me at(508) 737-5342. Sincerely, Of q Turning Mill Consultants, 910®ERTnL B00JIAK UCTURAC Ido.31829 �G/STERN Robert L. Bodjiak, NAL 68 TUPP.ER ROAD,UNIT I'#3,P.U.BOX 1159,SANDWICH,MA 02563 TEL:(508)888-4383 FAX:(508)888-4246 a �•P TOWN OF BARNSTABLE Building Department - Foundation Permit Date I -7 //--s Permit # -,2-0 1 S 0 Zd S J Name T A?\T! L- Location 67 - MA-7-�ti' S7- L- C _-14 J Insp. of BIdgs. _ r -7 113)& 570.7, a,. .. ... �w T B-1 #675 163.6' TO MAIN STREET I o¢ EXISTING CONCRETE & FOUNDATION �GZan�o TOP FND,=51.97 c+ 6DB-2 Existing welling EXISFOUNDATION, tL�o TOP FND.=52.74 W9� Z,. i Q i c°tis 90.9' TO F� C-2 A-2 MAIN \ #675 #615 STREET EXISTING CONCRETE EXISTING CONCRETE <qo FOUNDATION FOUNDATION F\s TOP FND.=51:36 TOP FND.=52.46 99.4 TO e'en MAIN \ C-1 A_1 STREET SW 0.501Y 572.21 rj- C, co FOUNDATION PLOT PLAN DCE #14-00 ; PREPARED EXCLUSIVELY FOR THE PURPOSE .OF OBTAINING A BUILDING PERMIT, NOT FOR ANY OTHER .USE LOCATION #.675 MAIN STREET COTUIT,MA SCALE 1" 40' DATE 9 ; 1-2015 PREPARED FOR: REFERENCE ; MAP 36 PARCEL 15 PLM BUZZX, LLC DA. 27900 PG 187 Z f I HEREBY CERTIFY THAT THE STRUCTURE, 4P�'N OF Eqc SHOWN ON THIS PLAN IS LOCATED ON THE GROUND AS. SHOWN HEREON. DANIEL ti`m off 508-362-4541 6. A faz 508-362-9880 �` L-A downcope.com® NO'4098 WO tope enaigff1kt,mt, ra, clvll engineerssuB`iti�o land surveyors ---------- ------ 939 Mo/n Street (Rte 6A) YARMOUTHPORT MA 02675 DATE REG. LAND SURVEYOR Bowers, Edwin From: PRhude <prhude@cotuitfire.org> Sent: Friday, September 15, 2017 10:50 AM To: Bowers, Edwin Subject: 671 &675 main st Cotuit fire inspection Hi Ed, %71 and 675'Main St CotuWpassed fire inspection all units. Having a cookout at the station today at 12:30 if your in he area. Thanks, Paul Paul Rhude (508)274-6086 cell (508)428-2210 office prhudeecotuitfire.org 1 ' TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map 0 Parcel P ' Application # 9 Health Division Q\ Date Issued Conservation Division � � T ��� ���'�"� Application Fee _ (Z Planning Dept. Permit Fee O Date Definitive Plan Approved by Planning Board � Historic - OKH _ Preservation/ Hyannis Project Street Address �T- Village OwnerTL Y'll Ro 1_L(� Address 260-EI-Mm �,,�G�/ ICY /q(o i y Telephone 5b2, - Z 7(,— 45 7 Permit Request Fi f 00:: 7 w,L- A -1. c& R J A 7 � Square feet: 1 st floor: existing proposed 2nd floor: existing proposed -ZTotal new LrL27-- Zoning District Flood Plain Groundwater Overlay Project Valuation " Construction Type wL> F(-&M e Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family Two Family ❑ Multi-Family(# units) Age of Existing StrPture Historic House: ❑Yes A No On Old King's Highway: ❑Yes ❑ No Basement Type: X 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 anew ) Total Room Count (not including baths): existing, new (f First Floor Room Count Heat Type and Fuel: X Gas ❑ Oil ❑ Electric ❑ Other Central Air: P,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 I6 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 APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name or4N,p e,� Telephone Number L 5 7`] Address 3U t�/ ,0 c� License # C�1 C�Q'9 1ytAo4V&JR M (Z Home Improvement Contractor# ', Email Gw W® 1 &G rA_" 7OA�&K*orker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO c SIGNATURE C DATE 7Zh FOR OFFICIAL USE ONLY APPLICATION# 4 DATE ISSUED MAP/PARCEL NO. ADDRESS VILLAGE OWNER DATE OF INSPECTION: FOUNDATION FRAME C� �A INSULATION $4 ` 1N� �plw FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. ` + TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Ma p O3� (o Parcel ®1�� Application Health Division Date Issued Conservation Division Application Fee . Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation / Hyannis Project Street Address ( i5 r 2e�' Village r ' Owner ?L 0ti7_Z•A L.C' Address Telephone SAX- 77G- 2C/V3 Permit Request E i OtA- (34 �-IE06k Square feet: 1 st floor: existing 1126 proposed 2nd floor: existing proposed 11ILTOtall,ew LZ_ ZoningDistrict Flood Plain Groundwater Overlay—1 .J,. Project Valuation Construction Type 0® 'nL-0 - Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting dV66mentation. Dwelling Type: Single Family ,5. Two Family ❑ Multi-Family(# units) Age of Existing Structure Historic House: ❑Yes ❑ No On Old King's Highway: ❑Yes '..0 No Basement Type: P Full ❑ Crawl ❑Walkout ❑ Other Basement Finished Area (sq.ft.) Basement Unfinished Area (sq.ft) 1/�0 Number of Baths: Full: existing new 71 Half: existing new Number of Bedrooms: existing %ew Total Room Count (not including baths): existing new First Floor Room Count Heat Type and Fuel: '�5 Gas ❑ Oil ❑ Electric ❑ Other Central Air: t CYes ❑ No Fireplaces: Existing New 60:5 Existing wood/coal stove: ❑Yes ❑ No Detached garage: ❑ existing ❑ new size_Pool: ❑ existing ❑ new size _ Barn: ❑ existing ❑ new size_ Attached garage: ❑ existing X 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 -0-244`A i APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name ��( (�i ce, c��� Telephone Number .i®�� 7(�� YL 7 Address �31 c2 Cana c E License#� `7 Home Improvement Contractor# Email r�At�VC2.M c@� (� 1l�/�z��, Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE _ FOR OFFICIAL USE.ONLY APPLICATION# ;r DATE ISSUED MAP/PARCEL NO. ADDRESS VILLAGE OWNER DATE OF INSPECTION: ; FOUNDATION i FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. I _ fEWINIMA61114MAW • , Town of Barnstable Regulatory Services Richard V.Scali,Director Building Division Thomas Perry,CBO Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Y Property Owner Must Complete and Sign This Section If Using A Builder ' I, , On pS M,PtS P6 I as Owner of the subject property x. . hereby authorize DP-f i d q PA C Ajyw to act on my behalf, in all matters relative to work authorized by this building permit application for: Irk (Address of Job) Signa o Owner a r . Print Name If Property Owner is applying for permit,please complete the Homeowners License Exemption Form on the reverse side. Q:\WPFILES\FORMS\building permit forms EXPRESS.doC Revised 061313 1V♦♦1i Vi .ilKlAAL7{.T4R711VWi -- Regulatory Services oxT Richard V.Scali,Director Building Division Tom Perry,Building Commissioner MASIL 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION Please Print DATE: JOB LOCATION: number street village "HOMEOWNER": name home phone# work phone# CURRENT MAILING ADDRESS: .. city/town state zip code The current exemption for"homeowners"was extended to include owner-occupied dwellings of six units or less and to allow homeowners to engage an individual for hire who does not possess a license,provided that the owner acts as supervisor. DEFINITION OF HOMEOWNER Person(s)who owns a parcel of land on which he/she resides or intends to reside,on which there is,or is intended to be,a one or two- family dwelling,attached or detached structures accessory to such use and/or farm structures. A person who constructs more than one home in a two-year period shall not be considered a homeowner. Such"homeowner"shall submit to the Building Official on a form acceptable to the Building Official,that he/she shall be responsible for all such work performed under the building permit. (Section 109.1.1) The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other applicable codes, bylaws,rules and regulations. The undersigned"homeowner"certifies that he/she understands the Town of Barnstable Building Department minimum inspection procedures and requirements and that he/she will comply with said procedures and requirements. Signature of Homeowner Approval of Building Official Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the State Building Code Section 127.0 Construction Control. HOMEOWNER'S EXEMPTION The Code states that: "Any homeowner performing work for which a building permit is required shall be exempt from the provisions of this section(Section 109.1.1—Licensing of construction Supervisors); provided that if the homeowner engages a person(s)for hire to do such work,that such Homeowner shall act as supervisor." Many homeowners who use this exemption are unaware that they are assuming the responsibilities of a supervisor (see Appendix Q,Rules&Regulations for Licensing Construction Supervisors,Section 2.15) This lack of awareness often results in serious problems,particularly when the homeowner hires unlicensed persons. In this case,our Board cannot proceed against the unlicensed person as it would with a licensed Supervisor. The homeowner acting as Supervisor is ultimately responsible. To ensure that the homeowner is fully aware of his/her responsibilities,many communities require,as part of the permit application,that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the last page of this issue is a form currently used by several towns. You may care t amend and adopt such a form/certification for use in your community. Q:\WPFILES\FORMS\building permit forms\EXPRESS.doC Revised 061313 Q 07 Wmhh*2by;Street HA a2M. • . wes�tu r�.grr�rFct •��-�.Ls� iCE�Ip�afi�Insirra�.��+ c�a��derst . e-�frFc-ian..,�u��ers Kam=E - �An'`►,e,( h/1 rA Areyua Mi e�layer"t er3cf -o-gi�.b= Type efF�ojeLt CpC4�d)= 'L❑ I am a employer witLI s rta �1 corlira�Sr I I4Tes . exngloyees{f<n3I a��rga�.im��* � -8ie ❑ orpa I am a sole-pragaetar r4 - T�s�ed ou the ached s� �- ❑ g sbig and have no exaplayms Tim mb-contra: =ha-m ❑ a vor forme m$py, d�mpa r =pkoyam and have wo&ms' g'��_;sisrrrxfv a COMP_mrnrxr I �- ❑$IIZ �8dd�SOn 5. ❑ We are a ea pmaficnar<difs or addaims I El am a hrkm doing 91 worli c�rxrs have eao trrised ffieir I1❑gig rapaim or additions Tf [No"wa�ra' P rigbt afcmm3pfiomper MCU- 12❑Rx3af=epaim Fn „tee E r-15Z§I(4),aadwe haste aD ��I' I3_❑�ti�r COMP-=SnMUM MqUaM&j ffi,d check baz-I nmsta]so f.iIL amtthe secEnabgowc 11=63A 3�eu wo$ce�'mmnF��+ �sperT�j tm #ffnne�s nLzu -r-Ms cad.:: 3�y:��mg eII {• f� *e tr co71t[aLt�7an5�snbc�saecrud3rlt m sarh- fC'•�--rfi-vrn,rc'$LYt Cb�1�IE�7¢C.ID'¢SL Sf�C11P�73 zrSriifirm 7��(r ." Pt}SEL�LE0��7.E S'�¢lCrI3CL]S m�S�Kbe2R�bC�Dt'E�IiiSE f1a-Fa ¢altIo3Mes_Ifthe snb{a �h-re7c thegmmt gmuide tip wcak— tome•P oFtL9==b� ' ;• �iva•mE.� `ihatisgras�g f�nr&err'co��zsr�ntt�rtsurru�cs fir rrz�e�yess. BeivrF is fhega&�artd job szt� .. ' -' Tsx�nrp♦iII ' 1C.31l1C: ` .. �X $ .. • Ahtzffi 2E copy o£tht-wDrke&c;o=pessati m pQI'rrT derizmtim page(s'hqwh3g ffie poBzy aver ana eqriratiD-n Fas7nm to secare c taga ass re are3uader SectionSA of MIM r-152 can lead to the imposffim of'camimd pcaafEies of a free up to 5 I ADD OD andlor one-yearim m we a;d-va pesalfim m fie fowl of at STOP WORK ORDER-and a fine of txp t0 S250_t3D a day against the:violatnL Ba advised that a copy offbis sty maybe fxwarded to tELe OfFme of ' IaresEiga(ions of�DIA€�*neuran_�co�g8 v�r-�t�„ ' ri`a F€trt-eb r $ts rI p u ` fat$Fg uprniagraxc�£ufxr�e is h ua azrd caFFsct fismxfix,= ui77 f �isl�s au£� I?rx Trot ERrlfls'If1�rir atetr,�a ba caurgi�h,p cdf:�c�•turn r��cu�L . cffyorTowm �xr ssriflr it e ` Issa��l#-zrth�rd=g{arcic gne�: . - L Board•,f HczltfE 3.Bmiffng t & a a O=k 4-Elect ical Rector '-q.Pfm ffifng Inspctar �CNht--r Coact ge�-snnr - gh� Gneaal Laws chapt=152 requaes III enMployeas to provide�k�as'compeus2 f -ffim r=mplopees . PmsaaottQ this s an enT£oyee is firmed as� evezy.persan ia the sn[vim of oaother mirkauy contmact ofhire, PPn, or mipliect,oral orb" An ezz�T[qpe -is defined as 4aa indivifinal,pactaeasbra,association,corpor; On.or other.Iegal�stliy,or any two t e ore Of fhD fnregDM9®•ga$E-d in Blom entmptlse,and inc�lfi_ 6 Iegal represr�afives of a deceased-emplcyez,- . the receiver cu trustee of an mfLrvidinl,part l=bip,association or other legal entity,employing employees. However the owner of a dwelltaghotlsehavingnotmore than.three aparlmems anal who resides th=ir,oi-the ocenpant of the dwelling home of another who,eaploys pemw to do piai*nanm,constrvr tion.or repair work on such dw6fing house or on fh-e gmmids artbu ldmg appurt�Liit thereto s1ia: ildf beca-6 of sor_h-eorpIpyment be deemed to be-an employ cr." MrZL rlaptmr 1521 §25C(t7 also sWr-s tI>�t"eYerp SEs ar local hCEIFS7Ilg,agency slialI�teithhoId the issuance or renewal of a licese or permitto operate-a b=incz or is con-Ttrad buildings in the commonrwcaIth for airy applicant who has not produced acceptable evidence of`coi di Ra ce with the in rance-rover a-ge r qUb-ed.' .. . Additionally,MGM chapter 152,§25C(7 states-Neither the commonwealth nor any of itspolitical subdivisions shalt enter into any contract for the performance of public worE unt l acceptable evidence of mmpliance wiL the fiLsl rance rt-,q menu of this chapter have been presented to the contracting anfhorify" Applicants Please f1I ou± the wormers'compensation affidavit completely,by checking the boxes that apply to your situation and,if necessary, supply sub-confractor(s)name(s), addresses)and phone nvafber(s)along with their of insurance. Limited Liability Companies(LLC)or L�3ted.Liab�lify Partnerships(LLP)wino employes o$ier$an the mb error partners,are not required to carry workers' compensation h ��+oe. If an LLC or ILP me does hive employees;a policy is requrrcl Re advised that fhis affidavitmay be submitted the Department of lndustfial Acci&ntsfbr-confirmationofinsunnce Coverage. Also be sure to sign and date the affidavit. The affidavit should be mt=t d to the city or town that the application for the pewit or license is being requested,not the Departnebt of Indus`rial Accidents. Should you have any q,moons regal the 1_aw or?f you are requimd to obtsa a workers' compensation policy,please call the Department at flit numb ea•Iist�;d.below..Self-insured companies should-eater their self-ir�=license number on the appropriate line. City or Town OfEcials +;-: Please be care fhAthe affidavit is complete-andp6Xb5d le�ly: The Department has provided a space at the boi u� of ih.e affidavit for you to fill.out in the event the Office oflnvesfigatios s has to contact you regarding the zpplican ' Pie se b e rinse,to in the pe�it/lieense number which wiIl be used as a refer ence nzdnb er, In add=riion,an�plicznt that must submit multiple pea.ihJHcense appliralions in any given year,need only mbmif one affidavit indicating current policy mfornation(if necessary)and under-Job Site:Address-the applicant should write"all locations in (city or wwn)".A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicau-t as proof that a valid affidavit is on file for future permits or licenses A-new affidavit must be Eled out each year.Wherr,a home owner or citizen.is obtaining a license or permit notrelated to-any business or commercial ventiu-e (L e,a dog license or permit to bum leaves etc.)said person is NOT req� to complete this a$tda)-it The Office of Investigations would hike to thank you in advance for your cooperation and should you have any questions, please do not hesitate t:)givens a UL The Departiueof's address,trdCph one and fax number .. : . of Ma_,zzsachu&� Dtpaidmep±of1a.& ajA=id=f M �wtm.,MA,(12111 Tel.. 61 -727-4900 w±4-Y6 ur 1477-MA S,. F=4 617-727 49� Revised 4-24-07 � ' T Massachusetts :0epartment of Public Saety Board of Building Reguiati.or-s.and Standards - +_icense; CS-107897 _ _. ... DANIEL MCGRATH 312 CAMP STREET West Yarmouth MA 02673 Exoiratic , .. Goerxr��ss�oner 06/13/2018 Office of Consumer.Affairs and Business Regulation .: :10 Park Plaza-Suite 5170 iq Boston,Massachusetts.02116 Home Improvement Contractor Registration Registration: 179293 Type:: Individual Expiration: 7/15/2016 Tr# 254877 DANIEL J. MCGRATH DANIEL MCGRATH 312 CAMP STREET : WEST YARMOUTH 'MA 02673 - Update Address and return card.Mark reason for change. SCA i G 2 Address ❑ Renewal Employment E] Lost Card 0M-05/11' O /re�iirneai�racnlNa/C'l�r.;..ac/rr%;eft . .. _.. . Office of CJonsumer Affairs&Basidas Regalahon License or registration valid for individul use only . OME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: egistration: 179293 Types Office of Consumer Affairs and Business Regulation iration: 7/15/2016 Individual 10 Park Plaza-Suite 5170 . -' Boston,MA 02116 DANI J.MCGRATH. DANIEL MCGRATH , 6s ; 312 CAMP STREET WEST YARMOUTH,MA 02673Undersecretary Notvalid 4iA RAar a rz ro I .. .. A OA. " #675p,D � Lh 6751E � Ic.RAce - ! 675$-1 � ®i(3ARA(E NSA PU00 A ro&RETANEp NANRN STALE �' .. 4 .. AEI( .1 9[oRoou GARAGE . CWSFRVARfX1 RLSPAN iO OE Qfu14➢, ..)L_��_r gelrc� D°'P°Om W x T: `� carxf frTr asrmir .. .^� INCLJ Awl O ^t - coru: CD - - .... PRGPOSED PAVED PMKUIO � ... ,VJ Y Lot Area o; f o T3G Da:. x� ----- -- (b $ . .. CONSERVATION p _ — EASEMENT. (b 4 105 ACRE RESTRICTIVE EASEMENT TO COTUIT FIRE D151RtCT/WATER DEPT. pp IAyTw _ BLDO - .... .. ,.. .. 4y�'' O .._ ..... 41NAGE i.. wer4pp .. +r 4 M2 .P 2 wwc .: WILDli a:.r r,u sm-4 corvNEc o T y o AN #675 C-1 t NAX IT t= :�P�a :aDaaq #67SA-1`"s' wry p �0 T N Na Ib N- II r .. .. --- PA1W: ' asrwcr �' eE'0Er n:cE '1 j ' is°On u'.k.o.-ua ', J/ - I OFeaorm ��vr eo nrnus N cro eeELL PN.mers rr �'•r ,,. ' v , - ' Is. - f of.j; 11c,r:w E o-.vcuurq cwa u I '. : � .. / .. .. a .. I Ovk•L _ .. _. .. ZONING SUMMARY ION!NC DISTRICT:RF RESIDENIIµ DISTRICT '" EXISTING .PROPOSED.' '" 'RAW"GARDEN'PLANTS ' ... ... .. USE:NUMBER OF OWELLING:UNITS - f .. ... ... .. •.. T :g._ ..... ...:.. - •'. !"G PLANT NAME - Si2E/ COTUIT CENTER;RESIDENCES wn.LOT SIZE B],f TO S.F.(q P.00) 103.613 SF ns.Sf ry CUE RA µNIFOLIA� � /2 16 {�V i1�,T ��JT�T�J �TCTC LL,LOT FRONTAGE 50' "- VACGMU4 GORYMB05UM' AT 13 �����-�`�a PoYl\T'T®�Y 1\Yl®VJS 47 .FRONT sEreAGK :w•• .. 5 sfio' s s'D• - REFERENCES :Q^-- - ) . MIN.SIDE MITI f 15'••SEE MULRfAMILY REGS. 5o' 155E Y ILEX VERTGLLATA R2 g i p-LANDSCAPE REM SENACK 15• 32B• IB,.9' ASSESSORS MAP 036 PCL 15 --- - - LAYOUT{71{. DEED BOOK 195,1 PAGE 310 REDOA R REO T.DOGWOOD * SITE IS LOCATED N1TRN RE—RCE PROTECDON OVERLAY .PLAN BOOK 101 PAGE 55 C•iT}I'+,PLAN 1T,�pT ds-CT. .. _ .. SITE d LAN — J .. SITE IS LOCATED MTMN THE Y3+OVERLAY mI CT: OF LAND:IN 1 SITE IS LOCAIEO NUN FFNA IDNE CAS REMW J OWNER OF RECORD :COTUI'C (13ARNS'I'AI3L1!;), MA (� COMMU,TY PANEL NUMBER A250IXIIZM G DD TENSED DULY - " :DAY PCINT•.LLC _ _ .. .. _- PREPMED FOR X '29T"TN STREET PARKING CALCULATIONS; NYANws.MA 01e01 PLAN HUZZY, LLC 2604 ELMWOOD AVE, SUITE 352 LOCUS ^/ y-l• B gifACHEO DNELUNC UNITS(1.5/UNIT)-12.O.SPACES .. ROC NESTER, NY 14616 .Q ar IWf' NSITORS AT(12 X toff).,1.2 SPACES -' R-y 13.2;SPACEs REQUIRED 5(L9 3 5 I #671 MAIN'SIRE I,COTUIT,MA. c5ea " 16 SPACES PRONGED ' :'' ''' '''' ,. jI � 1 �a - � SCALE: 7 -20 DATE 1 I 22-04' ' SITE COVERAGE: .. 90w// Cape I/1BM4�//QB M�' - REUSED..,1-19 O6 REVISED 5 3D-07 (� REVISED.:4-6'06 REVISED B:19-OD LOCUS MAP TOTµ BUILDING FOOTPRINT: 13., SF SF.Q Off CIVI/ err /r! REVISED 2-17-07 REVISED.:4-10-09 SCALE PAVEMENT,1YALKS d PgT05]_$ITl SF. 117� 4 �rS TOTµ IMPERNDUS CGVERAGE YB.66o P- 2`7:5-X<50%OK. - l4/Td Surv6yOrs - - REVISED.:4-5-07 REVISED:S-B-OD DANIEI A,oIALA.P,E..P.I.S. REVISED: 12-19-14 TOWN COMMENTS DATE 3J9 McO —O (Nfa NLIZ Scda t'.2o' ) ASSESSORS'MAP 030 Pa 15 � NATURAL STATE:,5,6E 1f SF.,I.1R FRONDED. � YARMOf/TrfaORT MA 016.'S Cs�� REVISED. 7-6-IS(H E d'S,0M,) ' SHEET 1 OF 3- the Comnomveakh of 1 assochusems DUILDI� Department nt-afrnifustridAccrde7i tr DEp7- Qe Of IMVS6,-.ati0nS AUG 600 WashizWon Stmet 4 2016 $vrvt�ora v�il'a T Owl�F BARNSTABLE Workers' Compenirm Insurance Affidavit:guiIde�Cantx-actarsJEIt�ricians�P�mbers � APPEcant InfGrMI2{iGn Please Print f e fly Adana - cityJs --� - - -- -- - �-� _- ----- - Are you an employer?Check a appropriate bares Type of project{reguir ed}. 1.❑ I am a employer with 4 I am a general contractor and I • employees(full and/or part-fiime). * have hired the sub-coaftackws 6. 0 New 2..❑ I am a sole propiietm orpartuer- listed on the attached sheet. 7. ❑Remodeling shz p and have ao employees . Them salt-con racta s have g- ❑Demolition wading for the i a any capacity employees and have wogs' jldo wmkers'comp.fi .ice comp-*^sura+m l 9. ❑Bulking adman r J 5. ❑ We are a corporation and its 16❑ tri a,d Electrical repairs or &6z= 3.ElI ama homeoumer doing all work officers.have exercised.fhek 11-❑Plumbingrepairs or adchfions Mysdf[Na,ycxkers'gip_ might of exemption per MGL� Roof 7- c.132, §1(4k andwehavetxo L ❑ repairs +�+��nce reqt>ued_j , employees.[No Workers' a El Other comp-insurance iequitred.] 'Aqy applus=Bxst chedsbcx#1 Faast also fill out the swficmbekwshofiiag the¢wodcere cumpensariaap•o Ticpiafnrmseiom 9mmeawnen Whu submit dds iffid2 a inScatmg dzy axe dxk..ag wale and aum hire autade cnu=cg=nmst suhmit a new affidavt ixidicatina sack fCa - 7&9cbed,IMsboarmastrftchad,asadditiffn Shed shovingtber—cfthesub-c xsmmdstyewhethecarnotf6nseeEdideshwe employees.Tfthe svb-camitmdunhare empIayees,cbe}•amstgms'ide&ek zsMkEU'tamp•paliCy nUMber. I am all ettipii*er that is pratzdirrg Varkers'c0urpertsad0JJ irtsriranee,for usey MWIDIVem $¢tarp is the priory and jefa sax utfatmxatian. Iusurance Company Name: Podficy 44 or Self-ice€Lic.4: Expisatiau Date: Job Site Address: Chyl5tedzip_ Ad2ch a copy of the workers'campensationpolicy declaration page(showing the policy,mrmber and expiration date). Failure to serum coverage as required under Section 25A of MGL c.15_7 can lead to the imposition of criminal peaaYfses of a fine-up to SL M Oa andf'or ane=year iimpzisonmeut,as well as cif peuaffies Jn the fG=a c f a STOP WORIK ORDEIZ and a fine of up to$25QOO a dap against the violate Be advised that a copy of this statement may be forwarded to the Office of IQvesfegations ofthe DIAL for iasum+ e coveraAe vedficati Ida tier csrti under th? d Pell at91a info rma&aptm-uW abatis is bwe and carrect Sitatafure: Date- Phone Z 99-7 t)•, d use gaily. ,Do not avrite tit t�area,fir be cmnptetead by cfip artown afrciat City or Town: PerffitlLieense� Lwu*Aufimrity(drele one): L Board of Health 1.BuffXmg Department 3.Cif jf rown Clerk d.Electrical Fuspwlar S.Phzmbing FaspeCter 6.Other Comfact Person Phan#: - - 6 ACC CERTIFICATE OF LIABILITY INSURANCE °�'�`"�'°°I'"'"' 6 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(es) 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: Donald J. Medeiros Insurance A PHONE 508 678-1271 FW" N (774) 365-6552 154 Rhode Island Ave E-MAIL : don@donmedeirosinsurance.com Fall River, MA 02724 INSURE S AFFORDING COVERAGE NAIC# INSURER A:American European Insurance INSURED INSURERB:Safety Indemnit Edgar Mauricio Agudo Ortiz INSURER c:Libert Mutual dba Ecuamerica Construction II INSURER0: 39 Seymour Street INSURER E: Berkley, .MA 02779 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 ADOL SUER POLICY EFF POLICY EXP LTR TYPE OF INSURANCE POLICY NUMBER M/DD/Y MM/DD/YYYY LIMITS A GENERAL LIABILITY SKP2000957 10 4/23/15 4/23/16 EACH OCCURRENCE $ 1,000,000 X COMMERCIAL GENERAL LIABILITY DAMA SETO RENTED ES(Ea ocanence $ 100,000 CLAIMS-MADE �OCCUR MED ExP(Arryone person) $ 51000 PERSONAL&ADV INJURY $ 1,000,000 GENERAL AGGREGATE I $ 2,000,000 GEN'LAGGREGATE LIMITAPPLtES PER -PRODUCTS-CO MP/OP AGG $ 2 000 000 JE X POLICY PRO-zCT LOC ! $ B AUTOMOBILE LJABIUTY 6223581 5/17/15 5/17/16 COMBINde.)INGLELIMTT $ 1,0001000 ANY A UTO BODILY INJURY(Per person) $ ALLOWWD X SCHEDULED AUTOS AUTOS BODILY INJURY(Per accident) $ NON-OWNED PROPERTY DAMAGE $ X HIREDAUTOS X,AUTOS eraccident I is UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED RETENTION$ $ C WORKERS COMPENSATION WC231S372831 5/5/15 5/5/16 g I WCSTATU- oTH- AND EMPLOYERS'LIABILITY I. - ANYPROPRIEMR/PARTNER/EXECUTNE Y7 NIA . E.L.EACHACODENT $ 5001000 OFRCERMIEMBER EXCLLDED? (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE! $ 500,000 Ifs under S6describeDRIPTIONOF OPERATIONS below E.L.DISEASE-POLICYLIMIT I$ 500,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (Attach ACORD 101,Additional Rerrarks Schedule,if more space is required) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Residential Management INC ACCORDANCE WITH THE POLICY PROVISIONS. PLM Buzzy LLC 2604 Elmwood Ave Suite 352 AUTHORIZED REPRESENTATIVE Rochester, NY 14618 Heather Williamson ©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: Aco CERTIFICATE OF LIABILITY INSURANCE DATE(MIwDOmmr) 1 10/16/2015 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(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 endorsements. PRODUCER CONTNAME: Kelly Sel The Driscoll Agency, Inc- PHONE 781 421 2490 FAX M.N :781 421 2491 93 Longwater Circle E-MAIL Norwell MA 02061 .kseip@ddscollagency.com INSURERS AFFORDING COVERAGE NAIC# INSURER A:HDI-Gerling America Ins Co 41343 INSURED 218590 INSURER 13:Navigators Insurance Company KOBO Utility Construction Corp. INSURERC:The Charter Oak Fire Ins Co 25615 4 Victory Drive P.O.Box 578 INSURER D Sandwich MA 02563 INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: 1697556991 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 POLICY EFF POLICY EXP LIMBS LTR INSO WVD POLICYNUMBER MM/DD MM/DD A X COMMERCIAL GENERAL LIABILITY EGGCC000107815 10/1/2015 10/1/2016 EACH OCCURRENCE $2,000,000 CLAIMS-MADE �X OCCUR DAMAGE (RENTED PREMISESS Ea occurrence) $100,000 MED EXP(Any one person) $excluded PERSONAL&ADV INJURY $2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $2,000,000 POLICY�JE T LOC PRODUCTS-COMP/OP AGG $2,000,000 OTHER: $ A AUTOMOBILE LIABILITY EAGCC000107815 10/1/2015 10/1/2016 COMBINED MBIN SINGLED LIMIT $1,000,000 X ANY AUTO BODILY INJURY(Per person) $ ALL OWNED AUTOS UT YNED SCHEDULED AUTOS A BODILY INJURY(Per accident) $ X HIRED AUTOS X NON-OWNED PROPERTY DAMAGE $ AUTOS Per accident A UMBRELLA LIAB X OCCUR EXAGC000107815 10/1/2015 10/1/2016 EACH OCCURRENCE - $10,000,000 B X EXCESS uAB NY15EXC7901951V 10/1/2015 10/1/2016 CLAIMS-MADE AGGREGATE $10,000,000 DED I X I RETENTION$0 $ A WORKERS COMPENSATION EWGCC000107815 10/1/2015 10/1/2016 PER OTH- AND EMPLOYERS'LIABILI Y Y/N X STATUTE ER ANY PROPRIETOR/PARTNER/EXECUTIVE ❑N/A E.L.EACH ACCIDENT $1,000,000 OFFICER/MEMBER EXCLUDED? (Mandatory in NH) E.L.DISEASE-EA EMPLOYE $1,000,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L DISEASE-POLICY LIMIT $1,000,000 C Contractors Equipmment QT6606B268829COF15 10/1/2015 10/1/2016 Special Form w/Theft 2,160,412 Installation Floater- Install Ea jobsite 450,000 Leased/rented equip Leased/rented 250,000 DESCRIPTION OF OPERATIONS r LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) RE:671 Cotuit Road Residential Management Inc &PLM Buzzy Inc.Are included as Additional Insured for Automobile Liability on a Primary Basis for the conduct of the(Named)Insured,but only to the extent of that liability. See Attached... CERTIFICATE HOLDER CANCELLATION 30 Days except 10 days for nonpaymen SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Residential Management Inc. ACCORDANCE WITH THE POLICY PROVISIONS. 120 East Ave Rochester NY 14604 AUTHORIZED REPRESENTATIVE t ' ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD THIS CERTIFICATE SUPERSEDES PREVIOUSLY ISSUED CERTIFICATE AGENCY CUSTOMER ID: 218590 LOC#: ADDITIONAL REMARKS SCHEDULE Pagel of 1 AGENCY NAMEDINSURED The Driscoll Agency, Inc. KOBO Utility Construction Corp. 4 Victory Drive POLICY NUMBER P.O.BOX 578 Sandwich MA 02563 CARRIER NAIC CODE , EFFECTIVE DATE: ADDITIONAL REMARKS THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER: 25 FORM TITLE: CERTIFICATE OF LIABILITY INSURANCE Residential Management Inc &PLM Buzzy Inc.are included as Additional Insured for General Liability and Excess(Umbrella)Liability,for ongoing and completed operations,as required by a signed written contract or agreement with the Named Insured. The Additional Insured coverage for General Liability&Excess(Umbrella)Liability detailed above applies on a primary,non-contributory basis where required by a signed written contract or agreement with the Named Insured. The General Liability,Excess(Umbrella)Liability,Automobile Liability,and Workers Compensation/Employers Liability Policies include a Waiver of Subrogation in favor of Residential Management Inc &PLM Buzzy Inc.on whose behalf the Insured is required to obtain this Waiver under a written contract or agreement executed prior to a loss. Notice of Cancellation provision is 30 days except 10 days applies for non-payment of premium. ACORD 101 (2008101) ©2008 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD DATE IMMMONY '`'� CERTIFICATE OF LIABILITY INSURANCE 6/3/2015 YY) 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 endomement(s). PRODUCER CONTACT Karen Bernier NAME: Southeastern Insurance Agency, Inc. PHONEC No (508)997-6061 F .(508)990-2731 439 State Rd. EAbMADRLrss,kbernier@southeasternins.com P.O. BOX 79398 INSURERS AFFORDING COVERAGE NAIL# North Dartmouth MA 02747 INSURER AArbella Protection Insurance 41360 INSURED INSURER B R J BevilacCtua Construction Corp. INSURERC: P. 0. BOX 628 INSURER D: INSURER E: Forestdale MA 02644 INSURERF: COVERAGES CERTIFICATE NUMBER:CL1542700879 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. IY EXP LTR TYPE OF INSURANCE A DOL U POLICY NUMBER MMIDD1YYYY MPMID I YYY LIMITS GENERAL LIABILITY EACH.000URRENCE $ 1,000,000 DAMAGE TO RENTEU— X COMMERCIAL GENERAL LIABILITY PREMISES E rrence $ 300,000 A CLAIMS-MADE ❑X OCCUR 8500018147 /15/2014 /15/2015 MED EXP(Any one person) $ 5,000 X XCU Included PERSONAL&ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMPIOP AGG $ 2,000,000 X POLICY X PRO LOC $ AUTOMOBILE LIABILITY COMBINEeD SINGLE LIMIT 11000,000 A ANY AUTO BODILY INJURY(Per person) $ ALL OWNED N SCHEDULED 1020014548 /21/2015 /21/2016 BODILYINJURY(Peraccident) $ AUTOS AUTOS X HIRED AUTOSNON-OWNED PROPERTY DAMAGE $ AUTOS Paccidenil Uninsured motoristBI split limit $ 250,000 X UMBRELLA LIAR OCCUR EACH OCCURRENCE $ 1,000,000 A EXCESS LIAO CLAIMS-MADE AGGREGATE $ 1,000,000 DED I X I RETENTION; 10,OOC 600062061 /15/2014 /15/2015 $ A WORKERS COMPENSATION X WC STATU- X OTH- AND EMPLOYERS'LIABILITY YIN —' ANY PROPRIETORIPARTNER/EXECUTIVE E L.EACH ACCIDENT $ 1,000,000 OFFICERIMEMBER EXCLUDED? N I A (Mandatory in NH) 9068680414 /27/2015 /27/2016 EL.DISEASE-EAEMPLOYE $ 11000,000 If yes,describe under DESCRIPTION OF OPERATIONS below E L.DISEASE-POLICY LIMIT $ 1,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS 1 VEHICLES(Attach ACORD 101,Additional Remarks Schedule,If more space Is required) Project: 671 Main St, Cotuit, MA Email to: Danno.McGrath@verizon.net. and MLuttrell@dhdventures.com CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN DfID Ventures ACCORDANCE WITH THE POLICY PROVISIONS. 2604 Elmwood Avenue Roches ter, NY AUTHORIZED REPRESENTATIVE Karen Bernier/KAB �� ACORD 25(2010105) ©1988-2010 ACORD CORPORATION. All rights reserved. INS025(201005).01 The ACORD name and logo are registered marks of ACORD CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDDNYYY) 104/29/2015 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(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 NAME: PAUL SCHLEGEL SCHLEGEL INSURANCE BROKERS INC PHONE 508-771-8381 IFAx 508-771-0663 (A/C,No,Eit): (AIC.No). 34 MAIN STREET E-MAIL _ AODREss: SCHLEGELINSURANCE@GMAIL.COM _ WEST YARMOUTH MA 02673 INSURER(S)AFFORDING COVERAGE NAICa INSURERA:NGM INSURANCE COMPANY 14788 INSURED INSURERe:NGM INSURANCE COMPANY 14788 Gary Matsik Dba Matsik Concrete 14788 INSURER C:NGM INSURANCE COMPANY _ 185 Barcliff Road INSURERD:NGM INSURANCE COMPANY 14788 INSURER E: _ Chatham, MA 02633 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. ILTR I TYPE OF INSURANCE INSR tM,D I POLICY NUMBER (MM DDYIYYYYEIl) (MMIDD/YYYY) LIMITS A FGENERAITY MPT0078H 01/22/2015 01/22/2016I EACH OCCURRENCE l S 1,000,000 AFIG;GFTOREFITE6-- 111 IAL GENERAL LIABILITY PREMISES(Ea occurrence) S 50O 000 MS-MADE OCCUR MED EXP(Any one person) S 1O,OOO _! PERSONAL&ADV INJURY S 1,000,000 f !GENERAL AGGREGATE S 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMPtOP AGG S 2,000,000 I POLICY ,C n LOC I $ $ AUTOMOBILE LIABILITY M1T2489L (09/05/2014(09/05/2015 (Ea accident) I S 1,000,000 X ANY AUTO BODILY INJURY(Per person] S � � ALL OWNED SCHEDULED BODILY INJURY(Per accident) 15 EI X-�AUTOS AUTOS � y � NON-OWNED P .A TY MA E I S t -- I HIRED AUTOS I X AUTOS I (Per accident) I � S C y UMBRELLA LIAB X OCCUR CUT0078H I12/17/201412/17/2O15,EACH OCCURRENCE 5 1,OOO,OOO �= EXCESS LIAO CLAiMS-MADE J AGGREGATE S DED i RETENTION STH- ! S .D WORKERS COMPENSATION WCT0078H 01/21/2015 01/21/20161 }[ I ORY L M TS ER AND EMPLOYERS'LIABILITY Y I N ANY PROPRIETORIPARTNEW'EXECUTIVE E.L.EACH ACCIDENT S 500,000 OFFICERIMEMSER EXCLUDED? N❑ NIA I --- (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE S 500,000 11 yes,descrihe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT 5 500,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(Attach ACORD 101,Additional Remarks Schedule,if more space is required) GARY MATSIK HAS ELECTED TO BE COVERED UNDER HIS CURRENT WORKERS COMPENSASION POLICY CERTIFICATE HOLDER CANCELLATION DANIEL MCGRATH CONSTRUCTION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE 312 CAMP STREET - THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN WEST YARMOUTH MA 02673 ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE , DANNOMCGRATH@VERZZON.NET I C 1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25(2010105) The ACORD name and logo are registered Uarksf ACORD t , Massachusetts-Dqaartment.of Pubhc Safety Board of Building Regulations and Standards C'osn,truitiiin Sul►eni+ur License:"C5107897 { �� DANIEL MCGRATH . i 312 CAMP STREET r, -4 is West Yarmouth MA 02673 - .06/1312018._ .... Cc�"1�1i�i�stcsrter Office of Consumer Affairs ajid Business Regulation ` --- 10 Park Plaza.- Suite 5170 Boston,Massachusetts 02116 Home Improvement Contractor Registration 3 Registration' 179293 x Type: Individual f Expiration:_ 7/15/2018` Tr# 419291 DANIEL J. MCGRATH ' M DANIEL MCGRATH- t 312 CAMP STREET -WEST YARMOUTH .MA 02673 F M , Update Address'and return card.Mark reason for change. SCA 1 0 20M-05/11 .. Address _,❑ Renewal ❑ Employment::❑ Lost Card .. " ❑ aritauc-i�rrIre. o`C�l�a;lrcr��c el(3 Office of Consumer Affairs&Business Regulation License or registration valid for individual use only ., N HOME IMPROVEMENT CONTRACTOR: 179293 Type.. before the expiration date. If found return to: Registration Ofice of Consumer Affairs and Business Regulation i _. � �� Expiration 7/15/2018 Individual 10 Park Plaza-Suite 517.0. Boston MA 02116 .. . DANIEL J.MCGRATH :. .. .. .. .. 1 .. .- ... DANIEL MCGRATH r .312 CAMP STREET ',WEST.YARMOUTH MA 02673 Undersecretary Not valid wit ignature I , • ` l off+,.p_ � I I I 1�` I D7` ---�--- I - 1 ' - � �• piva.layayan--I '� �". I i _ -y —� '� I t- I I 'a•SFgi', ILI a tea.. I - 14=Go' 'tl 131-1 � 10"- 13'-3° -• 1- -�-I�-Co" I I .�, r - r-q.• - I I Vrlifix�'�V/�T, 7 a I 2 24 itis•ccNc.--•( �i • I.. 1 - . RY ('>:c L� \ 4 I T-..racs!.14�'Gpuc I � I L j�� 4CL:,o{'-S1-Afl �� 1Y cap 4"cent I ' r { 1 I {'cn�pwal s r� UE I�XCtVA7 D I i E u L J� V I I, bl. a } -[,n(�C.4 ove'ri.._ f lc' FM"'v/TN G.Ko `�� W,N,Y.ov lee.V t pr I. 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I. •. 1 9 �ErJ ter. - I I -- — — ------ -- -- — ---o--.-- r `_ o' 1 5-'�d--..� I Y 1 /r-c7ury raLz,-r czr�+ r-,L �_- �>`L�. r� r�r oar- , UN T rbUIL,01 Nam. I �welfeTl -- - - -__- WATE. `i 23�ID rd PITM F DOM -- — A�bC1ATES.MC. BUILDIN.G.-#3:_ _ .11..OIIAT,V. � Co 7 T- - I log NA EEITd-ENAINEENS /,i•,r o'rt7� . �i)I� <X r 7:I I.ICI j�(� 1M.MANl.0T11tfT. Al�O t�CGfTTr-G377TJt T,NIA.. Ts a:� I> sTew�wwr ru►sswewwffr so �� _ M -t.c <F .. —, — I j tIL6cic' 1 j 1 '- ---` , pfdCK T-77-t- GAS FI b` i I �RZ I'1•A� 3' SLID R -- IT J L-1 U ti'•e'I S'•d I P2a-'Y+ri HT'" 1 ' 7-- _ A'a \ 3' SLIDER Jl KITGNI�iH tdla f-lCIJ..§lNK I I�+.Kllisy �7 I I _ LIV{ Le .WINING i I 1, i ( I '� � - o' RI F- nso�e �r I IVINC> NINry . I GG I',P G k's r ATLI I. 'L I:iN T al. ►»/L N 1 J z _ >'Tu6 � 6 "I 3060 � X. Wc- /1.G1.06pT G7 I `J @@ 1 I 0 ql - m 13068 { � yll 068 7 c H _ wc, 1 _ vr�TA_LP _ �•' lAv _/ �'UHif el=•OTtlt ho VC . 10' •30681 l' jI' dl 4 , I. i. N 7 € 9070 o,N F7 LI..nT kD*VCJ P = -po - L 7I WG s F�z61, c}e5 S a D:N.`71t I 1 , IL I Po cFl I 5; s I i � 1 1.6 a'-o•' 1-6' .' a'-.a 12'-s,. _ - -- "�-'— — o' ��0 12' I e" UNF.INI�iNF�b 4?TIC,:: I�20 S:F' T I g S.F 2_D--- 15 --- - 13�T 12-C 11dM13 ot��lch: -- ----- --- - -e• TdraL : 173� g.F (=1I�ST. FLC2QT'ti PLAN - .ON f'�I�f�P�OoM. : JMIT �UIL0IMG G 1p >rMraaaon -- - BU LLD_LN G_#3. �.,. •REY1810RS• 8 �I ' 71e.o11nTlow ewTe F DIMEO GoTUT T' t�lT GR r�- ArEs. — T 'i�.�� ono„treeTa-awo �'R F O`�u, ow o. we. - �AY-SC*47�.�,G sreseNi►r,rAs Tl.Ol7 a a �., '� 417: �:a ( en.n•A.m 6"s � n. Ac«oser. eo 12 :. I •Rt:♦Ft 440 40*6 �'60Lc -- --- _,_..�___._—.. ----AIL- Z�'-!I" a• " q - I " i II II II �VICGV7'.9KYLI41J'{: I — --_#__---------_—.__--- ' — 1 RaeF II. II ' 7,o, v hfn It ITeIH-!r.,•I 'Vc+.vx�c�n.I4Nr .. faL _ P7 "I L.I .::UNFINISN ..A7T)l5 '.7ePia-wCi — - - _. 0 I i ° v�>tea,.�-. ^• ------- ' • c ,. - �, �r I ! Per. --='--- II Ii � IC�yp WID OP NI LP"••Wn - � -..Sr� '��`<�.-' •_ � � .. — _ ----. _ -ai:. � ,- It/4 XE%4"�J08— 9WVN cl -.-V OM N #4c71,F� I QI T . r1 p� -_. - N I - Z - , 44 S. -WIDE PENIINNG i. '. DOOR .- - L L �I ',v�unpIYLIGNr 19 - -�_ - I I — ---L-- :1--- _ -- - rt---,.t I II � - SGCOf-i1� f=LOC�i'� PL/�,N — ONL 13.�(�f�C�C7M UNIT` r--;�UIL 01NG c � • I # BUILDING_ '� AI _. L t" ASSM ATES,MC.. 8• 3 ' �! � -REV ION'-• �10 I �LGX >IL I wwoMfTeeTe-allom>�ws a6R FWo"w r ov e. r . OM p T Iea SAM.at'Rtft.. s _ 7.:_N b7LTF+= y) S'6 nR�11 S�'NT In Ir.•...N.fA or ewn•rn so ran.I..*...N. .. J t i• '."CO'TUIT ' CENTE ' RIESID NC S.� •67.1 MAIN STREET, CO I MA BUILDING ##1 SMOKE DETECTORS REVIEWED 19 } G D f' FEES: S E BOIL DEPT. DATE GENERAL NOTES ; AY POINT, actorshall obtain and1: � e c 1'- COYtf' LL a:� .. 1. All canatructlon and procedures, endear rota Dtiest and etaxes, nd - P c shall:meet the requirement of quired {orconacruction and FIRE DEPARTMENT DATE the xasaachneatta stale Duf341'ng oecuDanc • codet the local Jurisdiction of - the' l or Mill"r>,t4-h...d any CODES: 80TH SIGNATURES ARE REG LIMED FOR PERMITTING J . N RTH STREET, other applica oPl Jurisdictions. 2 2- Ail material. and item. .hall 1. Contractor shall perform all inateliaQ or •plied as per the work and provide ell materials manufactures inetructi ona,direc- in compliance with all appli- tions and recommendations and - - cable code. and jurisdiction - - - ' a-pic the beet practice of the Including the latest issue jj MASSA H U S E-ITS [rnde- of The ka oeachuaetEs State ���.� S a. 3. Any reference to "Contractor" in... Building Code i cheat dthe con sae noted snail re- - - �..7'1 few to the contractor, his snploYees, Contractor shall perform all _ hie aub-contractors or their sub- work and install or_Apgly all " F L" • .wbcontractora, his auppllare and items and aaterial. as per man- any other individuals or companiee ufacturer•e inatruetibna and ra• _ .der contract to him for this pro-: .commando tions and as per practic 3, _ jact as the end• may apply. - of the trades. a. Contractor shall provide all nee- "e..ary labor,naterial,equipaent, TEMPORARY SERVICES: y Seam.tool. and auyerviaSon as re- .I;,F33 quired to paz[orm and complete toe i• Contractor shell provide, in.tai - `' work ae ah own or lntendad by the and pap for any and all tem-. - 6} drawings. •� porary services ea required row construction lrtciud I ng ater ,y SA Yc'." el actricity and telephone.and . .. � a •. heat. "• _ - • - .A 1. Contractor shall carry out pro- [C d vision. of-The Monual of Accident STORAOE: - '' PETER R' R-DIME - � -' • lie ie 0:4 ien le Associated Ge. pub-. Coshed by The Associated General 1. Temporary storage or materials : Contractor of America.Inc. and•any debrl Band exress materials - t "'�2 � O �E � INC` rYaaraeY praeaucteea . rw- nail M alloveq on !ha Pro- quired by any applicable jurf adictions Ject alte onip 1n n location including OENA,and manufacturer•e prevloualy approved by owner ne roc raeoemande t tone ror equ Spment tools.or material.. Also sae„OSHA TEMPORARY SANITARY,I'ACIGITIES: l (/Is�� Q Safety and Health Standard. 2207 (29 0 ARCH ITECTS—EN r IN E E{�S aCFRpp icabl.9305'or latest edition ea Contractor shall provide Oem- ar c applicable. sanitary Paci litios in con- �Q - formity with all state and Io- - 106 MAIN STREET SHORING SHEETING AND BRACING, cal lave. ST�IEHAM MA&SACHUSETTS . 1. Canirnater shall provido,lnatall SCAFOtDINCc and remove and pay for any ahe9ts-. 1. Contractor shall L�us C W& pH nv1 de.erect Cuturt t� Q� ahozi"y and bracing ae required and dismantle d all Inter- Q 021W procese�rtions of the construction _7Or and exteriocy.cafolding and Bay.. staging as,required for conatr- - - J 2. Contractor shall check,verify vction and incompliance with TEL781- 3 90Q and coordinate ail me.9uremehta, C d applicable le. (Including dimensions and report any discre- codes.safety rules !including panties'Directly to the Architect - OSHAS and other applicable jur- ^^"C MAP Smmadia LelY• isdietio.s. - SCALE i'- 208S . _ g ,23.10 F. • ��"'Na t555 0 owls. NA. 1 � . _ I sr I nrnve + 5'-6— '•6 e I i p/jJ� I i rNu�1#�iJ.rJ 1 1 , i I � I , n � 1.; I I �: f f •'--- --- - -`--------•-_ '['1•-�i'TJ4ST GVNC. � "�� � ' __,�-_____ _ ? j Fi_✓bEwFr' �� �r _ �E i� r-— �b� .�.�,M �T. I ru�rs+vo,n �,I � � I - i �' t � li-''�1— th=�• .fi_ -�� 13�_i�r 1. r t ; _ 14 - I 1 — -_ t� — �-_-----. � • , _-- - -. ..v J d. 2&rn� IE ' � �3':.4'-A• �Lal'.Y-�.�� � "� I 1 I r, I i I i� L �` �f L T �_ -D� 111111 � f- .� � r•c.o• pmTti' I I -1—'l- r I i �.- �"I _ _��'-. i 14 , ��-- I ! UrI xGAVATtSO I I � 2Q"x24"x72'coNc t I ET4 i 7 !'-Y4 ('=��'"-'� � rllp•^•,-�^,c6L.4':CONc I ( I L J .I i �a 1 �{ i ! •' I I• � 4Pe-nG ovmn I �' � ��xtisL�h � I E � I � •j Yt'tLPL 1=.,.oal>; s;.ara . ' ; Uta�xct�V1.T�D i 1 { mod- .VI f - F-Gf �.W'Ta C•� cli � I I f �1h bf.o L✓Y fW,Ww.P.OJt'7l VPYxF G:: _ tYta . 1 T W : .J ceN-r Zexio" N ' I � C. 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M —�'.�"�—�:,.. '.. .._.._.�. -_..i !J,-OM,L,c:�f';-f'-r---- ��_��.r- • I FLOOrl PLAM —TWO* l�L���`1': � '�'I UNIT_ I5UP-01q, ►aoaaoT� R IS �.�.. F� oeeoaisttoNE� o.•n F DIYEO �2�J>>i 0 EONS• I BUILDING1_.4y_#2 s�, ASSOCIATE C.. " ��' AgCMiTECTB E OINEER9 Y i�� 4. _.hU,"l.i;.X T�VILO N Cs 1b'P T;: 7a57rT-r4�{b.. +oe rAltc srgaeT. I {o.16ss or. ��o f , •�� ,��.t �- _ STONEMAr�MASMCXU9.ETTE.0=71,0 Val ,�2�iZ_-:s1177cTft - SX3,p.iMTS•�'DIJd.-. � r. :,�,..o•��s I , -j'---�---. _. .._.. __.._.�._.._. F• _i_ -=off ! •r! - - ` k-- - t .,.... - iOL,T:<I"" tk ( !! -j'-_�_.. tII� 11 .lam KI.'1F }��hl + rs Co� 5+tiY •vim-pow ., J -� - -s_ r t it y { I 9� 1 P, t..r.. - y acza I � �I R! I � ' �— I 5'Tv;i � o, :I`�_f,. I ZI'G'• � .y — — __ � I �i �}� I ,k C - - �`� N1174Y � I �-� •p I i i 1 i { tEv S rl NcwC el ;, . .. j ENO DOOR _.... `. O.'�6µ�OYJ 'j•G.LOh 3.T' � i F t 1 S'r WIDE 011ENING I NO DOOR ._- . 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