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1376 MAIN STREET (COTUIT)
0 k \ I-NS 7m Y i i i i i U�I. J i a r I pF WE 1p Town of Barnstable -, swxNsiwsLe Building Department-200 Main Street MAE& 0 Hyannis, MA 02601 ATEnM9 t6� .".Tel. (508) 862-4038 Certificate Of Occup ancy P Y Permit Number: B-17-3919 CO Issue Date: 9/21/2018 Parcel ID: 033-024 Zoning Classification: RF Location: 1376 MAIN STREET(COTUIT), COTUIT Proposed Use: Name of Tenant: Sprinklers Provided: Gen Contractor: RALPH J CATALDO Permit Type: Residential-Single Family Type of Construction: Design Occupant Load: 0 Comments: Not to be used as a seperate dwelling. No cooking facilities. 2 � , Building Official Date: A Certificate of Occupancy is Required Prior to Occupying Space Building Code: 780 CMR 8th Edition -quo Town of Barnstable ' Building t Post This Card So That it is Visible From the Street-Approved Plans Must be Retained on Job and this Card Must be Kept Posted ` Until Final Inspection.Has Been Made. Permit Where a-:Certificate of Occupancy is Required;such Building shall Not be Occupied until a Final Inspection has been'made. Permit No. B-17-3919 Applicant Name: Ralph'Cataldo Approvals Date Issued: 12/04/2017 Current Use: Structure Permit Type: Building-Addition/Alteration-Residential Expiration Date: 06/04/2018 Foundation: Location: 1376 MAIN STREET(COTUIT),COTUIT Map/Lot: 033-024 Zoning District: RF Sheathing: /(y Owner on Record: .SEGEL,ROBERT G&SHERMAN,JANICE L TR' S Contractor Name RRALPH J CATALDO Framing: C— 'p� [1S Contractor License: CS=042721 Address: 15 HARBOR POINT _ 2 ' KEY BISCAYNE,FL 33149-1715 Est. Proj ct Cost: $500,000.00 Chimney: Description: Raise the Barn to install an 8'foundation,remodel the interior per Permit Fee: $2,625.00 the architect drawings Insulation: Fee Paid: $2,625.00 Project Review Req: Not to be used as seperate Dwelling No cooking facilities Date: 12/4/2017 Final: permitted per Brian Florence Building Com i�o:r P m-bing: �J Building Official Final Plumbing: This permit shall be deemed abandoned and invalid unless the work authorized by this permit is commenced within six months after issuance. Rough Gas: All work authorized by this permit shall conform to the approved application and the approved construction documents for whichithis permit has been granted. Final Gas: All construction,alterations and changes of use of any building and structures shall'be in compliance with the local'zoning by-laws;and codes. This permit shall be displayed in a location clearly visible from access street or roadand shall be maintained open for public inspection for the entire duration of the work until the completion of the same. Electrical0� The Certificate of Occupancy will not be issued until all applicable signatures by the Building and Fire Officials are provided on this permit. Service: Minimum of Five Call Inspections Required for All Construction Work: R0ugh:FAC6-- 7-19, 1.Foundation or Footing 2.Sheathing Inspection Final 3.All Fireplaces must be inspected at the throat level before firest flue lining is installed 4.Wiring&Plumbing.Inspections to be completed prior to Frame Inspection Low Voltage Rough:6<'6 7 5.Prior to Covering Structural Members(Frame Inspection) 6.Insulation Low Voltage Final: 7.Final Inspection before Occupancy F Healtho Where applicable,separate permits are'required for Electrical,Plumbing,and Mechanical Installations. Final: 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). Fire Depart Building plans are to be available on site Final: All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT , 60"E' Town of Barnstable BARNSTABLE. 200 Main Street Tel. 508 862-4038 MASS. a 039. INSPECTION REPORT Permit: Building -Addition/Alteration - Residential Use: Date: 11/14/2017 11:03 AM Inspector : barrowsd Permit Number Name: SEGEL, ROBERT G & SHERMAN, JANICE L TRS Address: t3._6 --MAIN-STREET(COTUIT)CCOTUIT Unit No. Inspection Type Inspection Item Status Comment Building Admin - BA- Copy of Applicant's NIC Need licenses attached. Construction License Inspection Overall Comment: Overall Inspection Status: Not Reviewed Re-Inspection Date: Date: 6/12/2018 2:10 PM Inspector : bowerse Permit Number : B-17-3919 Name: SEGEL, ROBERT G &SHERMAN, JANICE L TRS Address: 1376 MAIN STREET (COTUIT), COTUIT Unit No. Inspection Type Inspection Item Status Comment Building Frame A- Inspection Results PASS Frame ok Inspection Overall Comment: Overall Inspection Status: PASS Re-Inspection Date: ' Date: 6/19/2018 12:25 PM Inspector : bowerse Permit Number : B-17-3919 Name: SEGEL, ROBERT G &SHERMAN, JANICE L TRS Address: 1376 MAIN STREET (COTUIT), COTUIT nl Inspection Type Inspection Item atus Comment Building IInsulation A- Inspection Results PASS Insulation OK need certificate for file Inspection Overall Comment: Insulation OK Overall Inspection Status: PASS Re-Inspection Date: KAU, Inspector Signature Owner Signature E�4o r�: 0 PRODUCTS -0. I3OX 1309 ON,) 888-3599 (508) ft,-.9609 Fax. Addte s�s off-0aill app:I.Ic8t.iC rt 137/, MAMA.) . 12:Zia Walls 3 0 c r"iafl Knee Walk �.®. PVOIsQI 'I", F :6 � 378VISNUVU jo NMOI f �.THE RARNSPAUM MAS& 16J9 Town of Barnstable Zoning Board of Appeals Decision and Notice Appeal No. 2010-045 - Pelletier Realty Trust Variance'- Sections 240-141, Bulk Regulations & 240-36, Resource Protection Overlay District" Bulk variance to Minimum Lot Area and Minimum Lot Frontage to legalize a lot under Zoning Summary: Not Granted Petitioner: Pelletier Realty Trust Property Address: 1376 Main Street, Cotuit, MA Assessor's Map/Parcel: Map 033 - Parcel 024 Zoning: Residential F Zoning District Recording Information: Deed — Book 15296, page 155 Relief Requested and Background: In Appeal No. 2010-045, the applicant sought a bulk variance to legalize under zoning an existing Iot as shown on Assessor's Map 033 as parcel 024. That lot is addressed 1376 Main Street, Cotuit and owned by The Pelletier Realty Trust. It is a 0.90 acre lot that fronts 52+ feet on Main Street and developed with a single-family dwelling that-dates to the 1880's. This lot was commonly referenced to as "the house lot". The subject lot first appears as Lot B on a surveyor's plan entitled "Plan of Land in Cotuit, Barnstable Mass. belonging to Jean M. Dunning" dated February 6, 1961. That plan was not endorsed by the Board of Surveyor's or by the Planning Board and it was not recorded-at the Registry of Deeds or in the Land Court. The plan surfaced in 1975 at the Registry of Probate as a part of the will bf jean M. Dunning. In her will, she Left Parcels A, B, and C to separate entities. However, all of the'3.78 acres shown on the plan was in a single 1935 deed recorded at the registry in Book 510, page 323. The subject lot "137'as shown on the surveyor's plan was transferred in 1986 to a Red House Trust (Lucy . Gibbons Morse) by a deed recorded in Book 5492 page 123. At the time of the 1961 plan, the area was zoned Residence D and required 20,000 sq.ft. of Land area for a legal developable lot under zoning. In 1973, the area was rezoned to Residence F and required one acre minimum lot area and a minimum frontage of 150 feet. None of the lots shown on the 1961 surveyor's plan met the Residence F. requirements. At the time of probate (1975) and the transfer of Lot B (1986), it did not conform to the required minimum lot area or frontage. In addition, town zoning required that residential developable lots created after March 7, 1950 must be created by a plan-and that plan be recorded at the Registry of Deeds. As the 1961 plan was not endorsed by the.Planning Board and not recorded at the Registry of Deeds, the lots on the plan had no status under zoning; therefore no grandfathering rights under zoning. Complicating the issue was the Resource Protection Overlay District that was imposed in this area which required all lots created and recorded after November 2000 to have a minimum lot area of two acres. The lot was not Legally created under zoning; does not conform to the dimensional requirements fora: legal zoning lot and has no pre-existing legally-created nonconforming grandfathered rights. ", \� Town of Barnstable,Zoning,Board of Appeals—Decision and Notice Appeal No. 2010-045—Pelletier —Bulk Variance . In addition, Lot C, as shown on the plan, also suffered from the same issue of not having a recorded plan, not conforming to the dimensional requirements for a legal zoning lot and having no pre-existing legally-created nonconforming grandfathering rights. That lot, 1372 Main Street, Cotuit or "the barn lot" was also before the Board in another petition by the McGowan Cotuit Trust-1992 (Appeal No. 2010-034). The 1372 Main Street "barn lot" and 1376 Main Street "house lot" share,a zoning violation that infectiously invalidates each other's right to exist as an independent zoning lot. f Procedural & Hearing Summary: This appeal was filed at the Town Clerk's Office and at the Office of the Zoning Board of Appeals on October 7, 2010 A public hearing before the Zoning Board of Appeals was,duly advertised and notice sent to.all abutters in accordance with MGL Chapter 40A. The hearing was opened November, 3, 2010, and continued to December.], 2010 at which.time a motion was made to grant the variance that did not carry;therefore Appear No. 2010-045 was not granted. Board Members deciding this appeal were, William H. Newton, Craig G. Larson, Brian Florence, George T. Zevitas, and Board Chair, Laura F.'Shufelt. At the November 3, 2010 hearing, Attorney Sarah Turano-Flores, representing the applicant, indicated she would prefer to address Appeal Nos. 2010-034 and 2010-045 together as both'are intertwined and suffer the same zoning defect. Also present was Mr. Rick McCowan, one of the owners of the 1372 Main Street, Cotuit lot Attorney Turano-Flores noted that the 1372 Main Street, Cotuit lot, owned by The McGowan Cotuit Trust- 1992, the "barn lot" and the 1376 Main Street, Cotuitlot, owned by the Pelletier Realty Trust, the "house lot" had been apart of a larger'parcel"once owned by the Morse family, The structures had been in existence since at least 1880. The larger parcel was a 3.9 acre parcel that dated to 1935. In 1961, Mrs. Dunning-Morse had a survey,plan of the land made that divided the parcel into 3 lots. That plan was never approved by any Town board nor was it recorded at the Registry of Deeds. The plan surfaced.in 1975 as part of probating her estate as dictated by her 1968 will. In the will,`Lot A' was to go to her stepchildren, Lot B to her niece and Lot C to three other nieces and nephews. However, at the time of.her passing, 1975, zoning in this area had-changed to Residence F and required a minimum lot area of one acre and minimum frontage of 150 feet. Lot A went out by deed in 1976. That 1.3 acre-lot was united with abutting land and eventually on-a plan recorded in 1976 at Registry of Deeds, (Plan Book 308 page 78). This lot is today's 1386 Main Street, Cotuit and as it was legally created by a recorded plan as endorsed by the Planning Board and conformed to the 1976 zoning requirements, is of no concern to the appeals before the*Board. Lots B and.0 were devised. in 1975 as part of probate, however deeds to the lots were not filed until 1977 for 1372 Main Street, the "barn Lot", and.1986 for 1376 Main Street, the house lot. Lots.B and C are.still owned by familymembers. Today, 1372 Main Street, tbe."barn Lot", is owned by Richard_ McCowan, David Mc'Cowan and Debra Tarpey, Trustees of the McCowan Cotuit Trust, and 1376. Main Street, the house lot, is,owned by Mary M. Pel'letier (f/k/a.Mary M.McGowan) Trustee of the Pelletier Realty Trust. Attorney Turano-Flores cited a 1992 building application issued to Mary McCowan for improvements to the house and to the barn for installation of a three bedroom septic system. .Renovatioiasuplanned 2 Town of Barnstable,Zoning Board of Appeals- Decision and Notice Appeal No. 2010-045—Pelletier —Bulk Variance for the barn included seasonal bedrooms, a bathroom but no kitchen. The installation of the septic system was done, however no interior work.was done in the barn. In 2008, the trustees of the barn lot had determined that this lot was not going to be developed and approached the Barnstable Conservation Land Trust for a conservation restriction thereby forgoing the development rights on the barn lot, 1372 Main Street. . Attorney Turano-Flores cited'that 1372 Main Street had always been taxed as a buildable lot; therefore the proposed restriction went before the Town Council for approval. It was at the Town Council hearing that the question of buildability was raised. Upon further investigation, the zoning issues with the lot were discovered. In 2009, the Building Commissioner issued two letters stating that 1372 Main Street was unbuildable: Thereafter, the-MCo�van's requested the Assessors reclassify the.lot as non-developable. The reclassification was denied with the Board of Assessor's citing that a variance from the Zoning Board of Appeals could still make the lot buildable. That premise of the Assessor's office caused the applicant to file for a variance with the Zoning Board (Appeal No. 2010-034). Shortly after that variance application was filed, staff contacted Attorney Turano-Flores noting that the abutting"house lot" has the same issue as the barn lot. Attorney Turano-Flores stated that under the doctrine of , infectious invalidity the.lots are jeopardizing each other's legal existence. Because of this issue, it was determined that another variance application for the house lot would be filed (Appeal No. 2010-045), to assure that the problem is cured. The Board questioned.if the lots had merged which Attorney Turano-Flores stated that the lot lines exist and are defining the lots,held by different people. However, for zoning purposes the doctrine'of merger would cause them to be viewed as merged lots unless the variances are granted. Attorney Turano-Flores indicated that she,believes that they are still two separate lots owned by two separate, entities but what the Building Inspector is saying is that for zoning purposes they are merged;therefore 1372 is not an independent buildable lot. She noted that the Assessor's office is seeing the lots as two separate developable lots and taxed accordingly. Attorney Turano-Flores stated that they are before the Board seeking the house lot be made a legal lot by issuing the variance to it and in turn, the family is willing to for go the variance on the barn lot. That denial of the variance for the barn lot would provide the proof the Assessor's office,seeks to reclassify the lot:. .The Board clarifies that the lots are merged for zoning purposes and in fact are being used that way with the barn as accessory to the house and used for storage and children's sleeping/playhouse. They also noted that the barn lot provides the access to Nantucket Sound and in fact is the water access lot: Public comment was requested and John T. Riordan, owner"of 307 Ocean View Avenue, Cotuit and an abutter to the.abutter, stated that he had sent a letter to the Board expressing his opposition to the variance. However, after hearing the testimony he would now support the proposal as the barn,lot . would continue to be used as it has been. He also cited that he would have no objection to the two lots being merged as one as that would result in the barn being used as accessory to the house. The Board discussed the idea of requiring the two lots to be treated as.one as they have merged; Attorney Turano-Flores.indicated that she would bring that question to the-four individuals involved. The hearing was continued to December 1, 2010. 3 Town of Barnstable,Zoning Board of Appeals--Decision and Notice Appeal No.2010-045— Pelletier -Bulk Variance At the continuance Attorney Sarah Turano-Flores requested that Appeal 2010-045, the application for Pelletier requesting a variance, be withdrawn without prejudice. She noted,the reason for the request is that the parties could not come to an agreement to unite the two lots. The Board members expressed some confusion as to why the house lot is being withdrawn as that lot is developed, while the barn lot, the accessory use, is still seeking the variance, a variance that she had expressed they were willing to sacrifice for the house lotto be legal.. Attorney Turano-Flores indicated that the lots has been in the family for over. 100 years and now are owned by.two different parties which is why they cannot be combined-as one. 'Also, she indicated that the Building Commissioner had determined that the barn lot is unbuildable and the Assessor's have it classified as developable. To get the Assessors to reclassify the lot, the applicants. need a ,7 - 'denial of the variance from the Zoning Board of Appeals. Once that is given, the Board of Assessors will review and reassign the land.-use classification to unbuildiable. The Board noted that they not be looking at this from the point of assessing; rather, they would keep the issue clear on the zoning issues only. Rick McCowan spok&on the request citing that their preference is that they withdraw the variance'on the house and go forward with the barn lot. As for any merger of the two or uniting them, they wish to leave them just as they are, two lots, and to use them just as they are, the barn lot as accessory and access to the water. Motion: At the December 1, 2010 hearing, a motion was duly°made and seconded to grant the request for Appeal no. 2010-045 to be withdrawn without prejudice. The vote was as follows: AYE: William H. Newton, Craig G. Larson NAY: Brian Florence, Laura:F. Shufelt, George T. Zevitas Those voting in thenegative to granting the withdrawal, noted that the two lots have merged and are intertwined by the zoning issues. The vote did not carry and Appeal No. 2010-045 has not been granted a withdrawal. The Board further discussed how to go forward and it was determined that they would now vote individually on each of the variance applications. p Findings of Fact: . At the hearing of December 1, 2010,- a`motion was,duly made and seconded to°make the following finding of fact 1. In,Appeal No. 2010-045, Pelletier Realty Trust has applied for a Variance to Section 240-14.E, Bulk"Regulations, Minimum Lot Area, Minimum Lot Frontage, and Minimum Yard.Setbacks, and Section 240-36 Resource Protection Overlay District. ,The variance is sought to render the existing developed lot a legal lot under zoning. The creation of the subject lot'did not conform.to the ' zoning requirements for the creation of a legal.lot under zoning and therefore the applicant seeks to now legalize the lot under zoning. The property is addressed 1376 Main Street, Cotuit, MA and is'shown on Assessor's Map 033 as parcel 024. It is in a Residence F Zoning District. 4 Town of Barnstable,Zoning Board of Appeals Decision and.Notice Appeal No. 2010-045—Pelletier — Bulk Variance' 2. The statutory requirement of MGL Chapter 40A; Section 9 for granting a variance is a three-prong test. The applicant has substantiate conditions justifying the granting of relief being sought as owing to circumstances related to soil conditions, shape, or topography of such land or structures and especially affecting such land or structures but not generally the zoning district. 3. A literal enforcement of the provisions of the zoning ordinance would involve substantial hardship, financial or otherwise to the petitioner. 4. The desirable relief may be granted without substantial detriment to the public good andwithout' nullifying or substantially derogating from the intent or purpose of the zoning ordinance. The vote was as follows- AYE: William H. Newton,.Craig G. Larson NAY: Brian Florence, Laura F. Shufelt, George T. Zevitas Decision: ..Following the findings of fact, a motion was duly made and seconded to grant the variance requested in Appeal No. 2010-045'. The vote was as follows: AYE: William H. Newton, Craig G: Larson NAY: Brian Florence; Laura F. Shufelt, George T Zevitas Those voting in the negative cited that they find that the two subject lots.are being used as a single lot. The two lots have never„been legally created as independent zoning lots as ), required by the Barnstable Zoning Ordinance. For the purposes of zoning they are merged'. The motion to grant the Variance did not carry. Ordered: i Appeal No. 2010-045 was not granted. Appeals of this decision, if any, shall be made pursuant to , MGL Chapter 40A,Section 17,:Within twenty (20) days after thedate of the filing of this decision." A copy of which must-be filed in the office of the Barnstable Town Clerk. , Laura F. Shufelt, Chair Date Signed I, Linda.Hutchenrider, Clerk of the Town of Barnstable,.Barn stab le'County, Massachusetts, hereby certify that twenty (20) days have elapsed since the Zoning Board of Appeals filed this decision and . that no appeal of the decision has been filed in the office,of the.Town Clerk. Signed and sealed this day o under the pains and penalties of perky. Linda Hutchenrider, Town Clerk , 5 r.r Zoning Board of Appeals (ZBA) Abutter List for Map & w Parcel(s): '033024' L� C .� Parties of interest are those'directly opposite subject lot on any public or private street or way and abutters to abutters. Notification of all properties within 300 feet ring of the subject lot. Ln Total Count: 15 �J Close ' z Map &Parcel Ownerl Ow Mailingner2 Addressl Address 2 Country Deed CityStateZip 017010 SCHEAR,JAMES A C/O SCHEAR, SARAH 5824 OSCEOLA RD BETHESDA, MD USA C127309 D 20816 017011 PAPPAS, DIANNE L PO BOX 860 COTUIT,,MA USA 9643/285 02635 017019 SCHEAR, HIRAM H& 5824 OSCEOLA RD BETHESDA, MD USA C170631 JAMESS-A 20816 017019001 DAVIS, DIX F& SARAH DIX NOMINEE 46 PINE HILL RD PRINCETON, MA C167765 SARAH B TRS TRUST 01541-1130 018067 DAVIS, DIX F& SBD NOMINEE TRUST 46 PINE HILL RD PRINCETON, MA USA, C156294 THOMAS F TRS 01541-1130 018068 RUSSELL, RICHARD P 0 BOX 638 DOVER, MA USA 2440/207 W&KATHERINE 02030 FRUSZTAJER, LEXINGTON, MA 018069 ELISABETH &TYE, 26 GRANT STREET 24108/319 LAWRENCE S 02420 RUSSELL, RICHARD . DOVER MA 018126 W BOX 638 02030 USA 5822/327 033022001 RIORDAN, JOHN T& RIORDAN REALTY PO BOX 108 COTUIT, MA C187229 MARY F TRS - TRUST 02635 033022002 RIORDAN,JOHN T& P 0 BOX 108 COTUIT, MA USA 8209/340 MARY F 02635 392 WOODLAND SOUTH 033022003 HUGHES, HELEN M STREET PO BOX 49 GLASTONBURY, 23676/113 CT 06073 MCDONOUGH, MILTON, MA 033023 147 HILLSIDE ST USA C162765 JAMES M• 02186 PELLETIER, MARY M PELLETIER REALTY C/O RICHARD 13.RICHARDS PRINCETON, MA 033024 TRS TRUST MCCOWAN ROAD 01541 15296/155 MCCOWAN, MCCOWAN COTUIT 13 RICHARDS PRINCETON MA .053046 RICHARD, DAVID& 8388/232 TAPEY, DEBRA T TRUST 1992, ROAD 01541 033047 MURPHY,JOHN V& 1386 MAIN ST PO BOX 2054 COTUIT, MA 23672/74 KATHLEEN R TRS REALTY TRUST 02635 This list by itself does NOT constitute a certified list of abutters and is provided only as an aid to the determination of abutters.If a certified list of abutters is required,contact the Assessing Division.to have this list certified.The owner and address data on this list is from the Town of Barnstable Assessor's database as of 10/12/2010. z - -TOWN OF f3ARNSTABLE ZONING';BOARD`OFAPPEALS 'NOTICE OF PUBLIGHEARINGS_11NOER THE ZONING`ORDINANCE . � � s � - _ NOVEMBER 3;2010 s ; Toall persons`interested in or affectedby the actions of the_Zon ing Boanl ofAppeals you are hereby'notified pursuant to Section'.: 11",of Chapter.40A of the General Laws of the CommonweaHh of Massachusetts and all amendments thereto that a public hearing r. on the following'appeals.vvill`be held on November 3 2010.atthe` 7,05 PM Appeal No 2010-045 Pelle6erRealty Trust_ PelleUer 12e61ly;Trust has applied for a Uanance to Sedwn 240 14 E':Bulk Regulations,Minimum Lot,Ardi Minimum Lot•;Eront--+ age and Mmimum Yard Setbacks an_. ii lion 240 36 Resource:' Protection Overlay District zThe variance is soughfto render•6',l existing developed lot a legal lot under zoning The subject lot was established in,1961 however,`the lot did'not conform'to the zoning: requirements forthe distnctand therefore the apoffcant seeks to` now legalize the lot Under zoning 7tie!property"is'atltlressed 1376 Main Street Cotuit MA andis shown oii-AssessorsMap 033 as parcelOkl If is in a Residence F Zorimg'Distnct ~ 7:15 PM Appeal No 2010-044 JempeeEnterpn Inc ses Jempee Enterprises Inc lessee d/b/aSubway Restaurant has TOWN OF`BARNSTABLE ZONING BOARD OF APPEAL'S applied foraSpecielPermdPursuanttoSection240 25 C Conditional; NOTICE OF PUBLIC HEARINGSINDER THE ZONING ORDINANCE`„s Uses in the Highway Busmess'Zoning District The condrfional use'special permit is sought to allow"a food.sernce establishment in, - Units'5 and 6 of the Centerville Plaza Tfie property is located at To all persons interested m or affected by the actions of the Zon` 1661.Falmouth Road Centerville MAas shown onAssessor s Map.' frig Board ofAp pea"ls you'are hereby,notified-pyrs,'Wm. to - oq: 11 of Chapter.40A of the General I aws of the C;''t-' ealih of 209 as parcel 087 001 It is m a Highway Business Zoning District.i f 7 20.PM Appeal No 2010-046 Doherty Massachusetts and all amendments thereto-thata public hearing• Theodore L Doherty 8 Christine S Doherty as Trustees.of the. on the following appeals will be held on November 3 2010 at the., Doherty Family Trust have applied for Uenance to Section 240 Ume indicated:' S 14 E Bulk Regulations Mmimum Yard.Setbacks The applicanis T 05 PM r Appeal No 2010 045 Pelletier Realty Trust are requesting a variance from the required 15 foot,side and rear: PelleUer Realty Trust has appbed fora Uanance"o Section 240 setbacksto allow construction:of a 10 X`,12 foot shed.6 8 feet qff 14E Bulk Regulations Mmmum Lot;Area Mfnlmum Lot Front the rear property line and 3.9 feet off the'side'property tine.'The: age and Minimum Yard Setbacks and Section 240 36 Resource property is located at 97 Castlewood Circle;Hyannis,MAas shown Protection Overlay District,The vanance,is sought to renderthe° on Assessor s Map 273 as parcel 053 It:fs m a Residence C 1' existing developed lot r.a legal lot un111der inning Thesubjq. l02 was':, Zoning l)istnd estabbshetl m 1961 however the lot tlid not conformto the zorimg`� These•public hearings will be held at the:4BamstableTown Hall requirements for the district and therefore the applicant seeks to 367Main$treat;HyaiinisMA,HeanngRoom2'"Floor;Wednesday, navlegal�zethe:fotunderionmg Thepropertyi addressed1376 November3 2010,;Plans and_apphcaUens may be reJiewed at tfie<. Maifi Street Cotud MA and is shown-on Assessor s Map 033 Zonin Board of g p parcel 024 alt is in a Residence F Zoning Districts g Appeals Office,Growth Maria ement De ailment 2Town Ofice 200 Main Street Hyannis MA 0107944,� Jempee Enterprises Jnc Laura F Shufelt Chair Jempee Enterprises Inc 'lessee d/tifa Suby✓ay Restaurant bias Zoning Board,ofAppeals appliedforaSpeualPenndpurs6anttoSectlon240 25 C Condrt�ohal g The Barnstable Patriot Uses m the Highway Business Zoning District The contlitional use spOcoberl5 aOceZ01 m od rnceestao blishmentin Units;5 and 6 oftf{e Center nlle Plaza The property is located at 1661'FalmouthRoad Centerville MAasshownonAssessorsMap. 209 as parcef087-001 It ism a HighwayBusmess Zoning District 7 20 PM Appeal No 2010-046 Doherty f •� Theodore L Doherty&Cfiristme S Doherty as TNstees of the DohFThety ave apphe fr a�o nanceto Section 240 14 E BUlk Regulations,Minimum Yard Setbacks The applicants,: are requesting a uanance hom the required 1 foo 5 footside and rear sethadcs to allow'constructien of a 10X;1Z t shed 6 8 feet ott the rear property line and 3 9 feet off the side property tine ;Tle'; property is located at 97 Castewood Circle Hyannis`MAas shownI on Assessor s Map 273 as parcel 053 ;,It is m a tesidence C 1 l Zoning District wj These public hearings will,be held at the Bamsfabl_e Town Hall,' 367MainStreet;Hyannis MA,`HeanngRoom 2ndFloor.Wednesday,' November3 2010, Plans acid apphptions may be reviewed atthe Zoning Board ofAppeals Office Growth Management.Departmenf`.: Town Offices 200:Mam Street Hyannis MA,j a h k ,Laura F Sjiufeft Chair � _ 2onmg board ofAppeals_ " ' The Bamstable Patriot • - , October 15 and October 22-2010 h x Date: 5/5/17 To: Building File From: R. Anderson Re; Proposal to Convert Barn to Living Space Locus: 1372-1376 Main Street, Cotuit x, Applicant contacted Ed Bowers concerning a proposal to convert an ancient barn into living space with bedrooms, bathroom & kitchen. Historic approval will be necessary for the exterior upgrades and change in footprint. -The street file contains a letter from Attorney Liza Cox concerning the development/ merging of lots and estate of deceased owner. After a quick review of documents I also found a recorded accessory agreement for a "guest house". As the current owner is proposing to convert an old barn into a third living unit on the subject property, I made Ed aware that ZBA approval would be necessary before permits are issued. a; r �,_ _ � f-. ,,•. � - _ •err... .�' e' �_ . _ - '!P�"' �� Sys. •3J . _ r i. r �°', _.r a i .•rl_ 'l ��. S.. M lip{ w41L 409 r ' r. AP _ _• ` 't L , jr « 1 M ! ` 1 41 „r � .�► ►' ! 1�_ice A►�•,.. , !r► - '- Or i •I '► .modd i + ' s �. •r ,.�. r .1 , II tih •I i Uj► r '�f ol A 1 � , 3 Legend it 1., • * Parcels Town oundary Railroad Tracks � 19 Buildings --- y a Painted Lines Parking Lots Paved y f -Unpaved f 136 Driveways EZ _ } Paved #287 Unpaved j Roads Paved Road Unpaved Road Bridge Paved Median Streams Marsh 1365 Water Bodies 9 Z #1376 #1391 r { +f' #144IV�.. '',: x "1'e`-,.--.. ::_..a.. :. e-.. . _ -.. �.�. �' Z„3 a.::,::'t? ..yam ,bP Q•.. ..................................... Map printed on: 5/17/2017 This map is for illustration purposes only.It is not Parcel lines shown on this map are only graphic Town of Barnstable GIS Unit adequate for legal boundary determination or representations of Assessor's tax parcels.They are Feet regulatory interpretation.This map does not represent not true property boundaries and do not represent 367 Main Street,Hyannis,MA 02601 O 167 333 an on-the-ground survey.It may be generalized,may not accurate relationships to physical objects on the map - 508-862-4624 reflect current conditions,and may contain such as building locations. Approx.Scale:I inch= 167 feet cartographic errors or omissions. gis@town.barnstable.ma.us - Thursday,April 13,2017 at 11:56:30 AM Eastern Daylight Time Subject: Fwd: Copies of permits for 1372 & 1376 Main St., Cotuit Date: Thursday, April 13, 2017 at 10:58:25 AM Eastern Daylight Time From: janice sherman To: Ralph Cataldo Hi Ralph! great to see you yesterday.These are the original septic permits,for your files. Best,Janice Sherman ----------Forwarded message---------- From: Peter Sullivan<peter sullivanengin.com> Date: Fri, Dec 21, 2012 at 2:36 PM Subject:Copies of permits for 1372 & 1376 Main St., Cotuit To: Michael Ford<mdfesq @verizon.net>, BSegel@parkstreetcapital.com.Janiceleslie39C�gmail.com. Matt Schiffer<mschiffer@hutkerarchitects.com>,Jonathan Fox<jfox hutkerarchitects.com> Cc: iohn(@suilivanengin.com asawyer hutkerarchitects.com r)aula sullivanengin.com � f Se �� � � Septic Permit 2012-405 Main House 5 Bedrooms and GG Septic Permit 2012-406 Guest House 3 Bedrooms and GG Septic Permit 2012-407 Barn/Cabana 3 Bedrooms and GG Site Plan Improvements at 1372 & 1376 Main Street Barnstable (Cotuit) Mass. Dated Dec. 21,2012 Hi Michael Here are the Board of Health permits for 1372/1376 Main Street.The Health Director made us file 3 separate permit applications, one for each proposed septic system. The plan filed to secure the permits was noted permitting only not for construction for the simple reason we are still in the concept stage for house design and landscape development. Once the design is in the final stages we can review placement of the systems as well as invert elevations.All 3 systems were designed for garbage grinders.The systems are in compliance with all State and Local Heath regulations. We show a vent for the barn cabana system because we are required to but the final placement of the vent can be anywhere on the property. Again this can be best placed once the landscape design is in its final stage. Since the Town's Assessing Department had not reassigned a lot number,the permits were filed by the Board of Health under Map 033 Parcel 024. Any questions please feel free to contact me or John. Best regards Peter Pagel of 2 THE FOLLOWING IS/ARE THE BEST IMAGES FROM POOR . QUALITY ORIGINALS) , 1 MTV DATA ADO- No. 60 `2a— O p Fee ��I THE COMMONWEALTH OF MASS CHUSETTS Entered in computer: / IPUBLIC HEALTH DIVISION TOWN OF BARNSTABLE, MASS ACHUSETTS Yes A Us�2 apphration for Bisposaf 6pstem QConstruttion Vermit �-LoT pplication for a Permit to Construct O Repair O Upgrade O Abandon O XComplete System E Individual Components Location Address or Lot No.V5 72 13-7(� R �� Owner's Name,Address,and Tel.No. Assessor's Map/Parcel `33 �&� L Z Installer's Name,Address,and Tel.No. Designer's Name,Address;and Tel.No. 4z,21 33q IL S�l-rr�Vl�c tiV f�►YU C 1 11 1`)`� . Type of Building: t Q,jpteiv.��'pc6Pt/— -Y Dwelling No.of Bedrooms Lot Size t O&.1 079 sq.ft. Garbage Grinder k.) Other Type of Building No..of Persons Showers( ) Cafeteria( } Other Fixtures \\ Design Flow(min.required) 33 Q gpd Design flow provided W 55 C fl-U 5 SDo ;OC.) gpd s Plan Date 12/ Zl 1 Z Number of sheets Revision Date Title 5 1 TC �vtn OV_0 Q t ,AA 6-n0�'S _7 Z Size of Septic Tank k 5 00 2 LU YK�A e�>Type of S.A.S. \2 ,g X 377,0 c �? - Description of Soil (�)—G A< r g F '� " �7 2 1 � ti �/4,1i� Al i A, C-61 C-OU r.l fLFx(� Nature of Repairs or Alterations(Answer when applicable) i Date last inspected: Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certificate of Compliance has been issued b this Board of Health. i ed , Date Application Approved by V1 Date Application Disapproved by Date for the following reasons Date Issued 6 )MMONWEALTH OF MASSACHUSETTS INSTABLE,MASSACHUSETTS { Certificate of Contpiiance Sewage Disposal system Constructed( ) Repaired( ) Upgraded( ) 1� has been cons ct in4d%d System Construction Permit N 'Designer LLAQAt6 1 N Approved design flow A W,6-t gpd a guarantee that the system will function as designed. Inspector _ �-�--- /L/////���///{�/_ Fee No.--f �.�.���. ----��!�� III N o. J� Fee �O THE COMMONWEALTH OFFMASSACHU TTS Entered in co puter: PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE, MASSACHUSETTS Yes ftPhtation for Misposal 6pstem Construction jumit lb� T -Application or a Permit to Construct( ) Repa r( ) Upgrade( ) Abandon( ) WompleteSysteni ❑Individual Components / Location Address or Lot No.t 37z 4 1'3 Z(4 v%A&I N S y [Designer's wner's Name,Address,and Tel.No. h Assessor's Map/Parcel Installer's Name,Address,and Tel.No. Name,Address,and Tel:No. AZg-3 3-A4 }, -- �v�t,�.vra,.�, Eav,�truEc-�e�auG \►�iC_ Type of Building:' Dwelling .No.of Bedrooms �J Lot Size t©6l 6-79 sq.ft. Garbage Grinder(Y) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) gpd Design flow provided uS / �Ej grid Plan Date. 12 t<21 'Z Number of sheets i Revision Date Title��L1 l7Ls�ti1 ,Yh P�DV tv 1(Vl A::T 1257 G M&%a)-S r Size of Septic Tank SCa 2 C-owlAe—N . Type of S.A.S. Q,� n 7>7, Q Description of Soil Q-Cp << _. r< $ _3�` arm p o \tJ a L C�Oa coo Nature of Repairs or Alterations(Answer when applicable) Date last inspected: Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certificate of Compliance has been issued.by this Board of Health. . e Date Application Approved by Date Application Disapproved by Date for the following reasons Permit No. ' Date Issued Co v��idu is �Tr7 THE COMMONWEALTH OF MASSACHUSETTS ►,,,.ter BARNSTABLE,MASSACHUSETTS' F1 Certifirate of CompUaace ite'Sewage Disposal system Constructed( ) Repaired( ) Upgraded{ ) % a COT0 has been con ct in e ' - saL System Construction Permit No d 7 �• l I � � Designer SU Lt_A%/lktV L.e'!�► vEG (L Approved design flow �%-t gP 7�j d . ed as a guarantee that the system will function as designed. VInspector Fee //(J i '� ) nNWF-A i Tu n A,r A ce A nuYY---a _/Q"22 `) No r G a `w`l" Fee ���:�� THE COMMONWEALTH OF r A A iETTS Entered .. Yes \1� BLIC HEALTH DIVISION -TOWN OF BARNSTABLE, MASSACHUSETTS Yes ebM 51 n)09 2ppfitation for 33isposal bpstem ConStrUttlon 3perm t pp ication or a Permit to Construct( ) Repair( Upgrade( Abandon O Complete System ❑Individual Components Location Address or Lot No. t 3?Z 4 \376 fA A tyv T Owner's Name,Address,and Tel.No. COTU 1-7 Assessor's Map/Parcel j l Aizc e 2 q$r Installer's Name,Address,and Tel.No. Designer's Name,Address,and Tel.No. 5WL L��..►Avo 0jGG,tNG�Nc r Type of Building: �'+fd1 A+,A.4). 6Q5 ,/ Dwelling No,of Bedrooms S Lot Size l t% .0-7 sq.ft. Garbage Grinder K) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) �J gpd Design flow provided 2 `t 5'D% gpd G G Plan Date ( Z/Z\ t Z Number of sheets Revision Date M Title t �C-ri N 1 SIZ A t3 76 Size of Septic Tank 1200U (2-e_6"pke:-� Type of S.A.S. \2.t5 iC 67,J Description of Soil o--fin. �,„—Fj t = 3�• gj 12(o G O UQS SA�u.'7 /J�i� VnGu�TZZ2 04\l WrElLso Nature of Repairs or Alterations(Answer when applicable) Date last inspected: . Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certificate of Compliance has been issued by this Board of Health. Aed A o ,, Date Application Approved by Date Application Disapproved by Date for the following reasons Permit No. h13i Date Issued --------------------------------- " —IMMONWEALTH OF MASSACHUSETTS 2NSTABLE,MASSACHUSETTS �erfificate of Compfiante Sewage Disposal system Constructed( ) Repaired( ) Upgraded( ) A71 10 Lr 'M t has et]constructed in rd ystem Construction Permit No ` ated C4 Designer i.71 L. V N "�o i W GG A). Approved design flow 8'ZS `:moo G� gpd sa guarantee that the system will function as designed. Inspector QQ �- ----- - - - �t 1 - -- �51 Fee LWEALTH OF MASSACHUSETTS fln]- Nutter Sarah A. Turano-Flores Direct Line: 508-790-5477 Fax: 508-771-8079 E-mail: sturano-flores@nutter.com March 23, 2011 0109063-00001 By Hand Thomas Perry Building Commissioner :a Barnstable Building Division 200 Main Street Hyannis, Massachusetts 02601 Re: 1372 and 1376 Main Street, Cotuit, Massachusetts - =' Assessor's Map 33, Parcels 46 and 24, respectively Dear Mr. Perry: We are writing to respectfully request that you reconsider your determination, in letters dated February 17, 2011 to Mary M. Pelletier, Trustee of the Pelletier Realty Trust, and to Richard McCowan, David McCowan, and Debra Tarpey, Trustees of the McCowan Cotuit Trust-1992, respectively, that the above referenced lots "cannot continue to be owned and used" as separate lots from each other, and ordering the owners "to.take all necessary steps to comply with the minimum lot area and frontage requirements of the Residence F District and to abate the zoning violation caused by the separate ownership and use" of the two properties. Pursuant to our discussion with Town Attorney Ruth Weil, and our subsequent emails to you, provided our request for reconsideration was submitted to your office by today's date, you have agreed to hold off on enforcement while reconsidering the determination, and further agreed that the 30 day appeals period under G.L. c. 40A, §15 would extend from the date of your reconsideration, not the date of the original letters. Thank you for taking the time to reconsider this matter. As you might recall from our earlier letters, Ms. Jean Morse Dunning caused a plan of land to be prepared in 1961 dividing her original 3.98 acre parcel' into 3 separate parcels of real estate, attached hereto as Exhibit A. Unfortunately, she did not cause the plan to be recorded at the Registry of Deeds. In 1968, she prepared her last will and testament and devised the three parcels to different devisees named in the will. Ms. Dunning died on January ' The structures shown on the 1961 plan-a barn on 1372 Main Street(hereinafter, "the Barn Lot"), and the residential dwelling on 1376 Main Street(hereinafter, "the House Lot") - are over 150 years old. Both structures appear on the Atlas of the Town of Barnstable, dated 1880, a copy of which is attached as Exhibit B hereto. NUTTER McCLENNEN & FISH LLP • ATTORNEYS AT LAW 1471 Iyannough Road• P.O. Box 1630 • Hyannis, Massachusetts 02601-1630. 508-790-5400• Fax: 508-771-8079 www.nutter.com Thomas Perry March 23, 2011 Page 2 20, 1975 and, by operation of the provisions of her will, title to the three parcels passed into separate ownership to the individuals named in the will at the moment of her death. Milton v. Ladd, 348 Mass. 762, 764 (1965), citing Daley v. Daley, 300 Mass. 17, 21-22 (1938) and Newall, Settlement of Estates (4`h ed.) §86, p. 285. By 1975, however, zoning had changed in the Town of Barnstable and the frontage requirement was 150'. Thus, none of the parcels created under the will met the 150' frontage requirement for residential lots at the time of their creation. Although, as you note in your letters, the two parcels of land "were never legally created as two separate lots," they were always treated as two separate lots by the Town of Barnstable. The Town has assessed and taxed each parcel as a separately owned, residential lot and continues to do so to this day. The Town also approved a building permit in 1993, authorizing renovations of both existing structures on the parcels as single family dwellings. The House Lot was approved to be renovated as a 5 bedroom dwelling, and the Barn Lot was approved to be renovated as a 3 bedroom dwelling. Copies of the approved Building Permit application, with supporting plans, is attached hereto as Exhibit C. Massachusetts General Laws, Chapter 40A, Section 7 states: "No action, suit or proceeding shall be maintained in any court,nor any administrative or other action taken to recover a fine or damages or to compel the removal,alteration,or relocation of any structure or part of a structure or alteration of a structure by reason of any violation of any zoning by-law or ordinance except in accordance with the provisions of this section, section eight and section seventeen;provided, further,that if real property has been improved and used in accordance with the terms of the original building permit issued by a person duly authorized to issue such permits,no action,criminal or civil,the effect or purpose of which is to compel the abandonment, limitation or modification of the use allowed by said permit or the removal, alteration or relocation of any structure erected in reliance upon said permit by reason of any alleged violation of the provisions of this chapter,or of any ordinance or by-law adopted thereunder,shall be maintained,unless such action,suit or proceeding is commenced and notice thereof recorded in the registry of deeds for each county or district in which the land lies within six years next after the commencement of the alleged violation of law;and provided, further that no action,criminal or civil,the effect or purpose of which is to compel the removal,alteration,or relocation of any structure by reason of any alleged violation of the provisions of this chapter, or any ordinance or by-law adopted thereunder,or the conditions of any variance or special permit, shall be maintained,unless such action,suit or proceeding is commenced and notice thereof recorded in the registry of deeds for each county or district in which the land lies within ten years next after the commencement of the alleged violation." Mass. Gen. Laws, c. 40A, §7 (emphasis supplied). Per your letter, the violations in this instance are alleged to have commenced at the time of the creation of the lots, or in 1975. As more than 10 years have passed since the commencement of these alleged violations, and more than 6 years have passed since the dwelling on the House Lot was renovated and the 3 bedroom septic system on the Barn Lot was installed in accordance with the terms of the 1993 building permit, no administrative action may be taken to compel abatement of the alleged zoning violation. Id.; see also, Cape Resort Hotels v. Alcoholic Licensing Bd. Of Falmouth, OV Thomas Perry March 23, 2011 Page 3 385 Mass. 205 (1982), where the Supreme Judicial Court found that because well over six years had elapsed between the time the structure was built in 1961 and the time action was brought to compel the owner to limit its use of the space in 1977, G.L. c. 40A, §7 bars the attempt to enforce the by-law with respect to the structure if it "has been improved and used in accordance with the terms of the original building permit." Accordingly, while both parcels may have been created in violation of zoning in 1975, their existing uses and structures are now protected by the provisions of G.L. c. 40A, §7. Id., at 218 (where the SJC held that the term "real property" comprises both land and buildings, citing Bates v. Sparell, 10 Mass. 323, 324 (1813) and Blackstone ("things real are lands, tenements, and hereditaments")). As such, the Town can no longer take legal or administrative action to compel their compliance. Moreover, it should be noted that to comply with your order, both parcels would have to be combined into single ownership, and a variance obtained from the Board of Appeals to permit a single residential lot with less than the 150' of frontage currently permitted in the RF zoning district. In effect, therefore, your order requires one of the parties to sell their parcel of real estate to the other who must buy it. Alternatively, both owners would be forced to sell both parcels of real estate to a single, third party. In either case, the order amounts to a defeasance of our clients' distinct real property interests. While we doubt it was your intention to require an owner of real property to sell his property to another, that is the effect of your order "to take all necessary steps to abate the zoning violation caused by the separate ownership and use." Additionally, as we are not aware of any town wide efforts to bring similar enforcement proceedings against the owner of every presently existing, unlawfully created residential lot in the Town of Barnstable, the order appears to be one of selective enforcement. "In the administration of controls limiting the use of land-as with any exercise of the police power- uniformity of standards and enforcement are of the essence. If the laws are not applied equally they do not protect equally." Fieldstone Meadows Development Corp. v. Conservation Com'n Of Andover, 62 Mass.App.Ct. 265, 816 N.E.2d 141 (2004), citing Fafard v. Conservation Commission of Reading, 41 Mass.App.Ct. at 569, 572, N.E.2d 21, SCIT, Inc. v. Planning Board of Braintree, 19 Mass.App.Ct. 101, 106-111, 42 N.E.2d 269 (1984), and National Amusements, Inc. v. Boston, 29 Mass.App.Ct. 305, 312, 560 N.E.2d 138 (1990). Thus, we would also ask that you please consider the selective enforcement aspects of your order while reviewing this issue. Finally, we ask you to consider that the structures on these lots have been in their current locations for over 150 years, and that the lots themselves have been in existence for over 35 years. During this entire time, the Town has treated them as separate, residential lots and has collected a substantial amount of revenue by valuing and taxing the lots as multi- Thomas Perry March 23, 2011 Page 4 million dollar, separately held, residential lots. It seems incredibly unfair and inequitable to begin enforcement action after so many years, particularly where there is no pending request or application to change the existing use or structures on these lots. Our clients understand that, in the future, should they wish to renovate or alter either structure on the lots, they will have to file for zoning relief with the Board of Appeals before proceeding. But at this time, as there is no request to change what has been the status quo for over 35 years, it is inequitable to bring enforcement action and, in fact, you are precluded from doing so by the provisions of G.L. c. 40A, §7. In conclusion, we respectfully request that you reconsider your earlier determination that the lots represent continuing zoning violations and ask that you withdraw your enforcement order. After you read the foregoing, it would be helpful to meet with you to further discuss our position and, in particular, discuss the distinction between the creation of a "lot" for zoning purposes and the creation of a parcel of real estate. In the meantime, should you have any questions or require additional information, please do not hesitate to contact us. Thank you and we remain, Very truly yours, Sarah A. Turano-Flores Eliza Z. Cox SATF/EZC:tav Enclosures cc: Attorney Ruth Weil 'own of Barnstable Growth Management Department • s�sxsrnat e Barnstable Historical Commission 1639. lEo ro►o�" www.town.barnstable.ma.us/historicalcommission JoAnne Miller Buntich,Director Marylou Fair,Administrative Assistant COMMISSION MEMBERS: . Jessica Rapp Grassetti,Chair George Jessop,AIA,Vice Chair Marilyn Fifield,Clerk Nancy Clark Len Gobeil Nancy Shoemaker July 12,2012 Michael D.Ford,Esquire P O Box 485 N -' W.Harwich,MA 02671 r Linda Hutchenrider,Town Clerk /367 Main Street,Hyannis,MA 02601 Thomas Perry,Building.Commissioner 200 Main Street,Hyannis MA 02601 Re: INITIAL DECISION of the Barnstable Historical Commission,pursuant to the Code of the Town of Barnstable ss 112-1 through ss 112-7;an application for DEMOLITION of property as follows: a 1372 1376 ain Co Street, tuit Map 0 3/P eel 024&046 The Barnstable Historical Commission considered the'above referenced application for demolition of the house at the above referenced location at their meeting of July 11,2012. The applicant's representative,Attorney Michael Ford,stated that the owners have the property under agreement and seek permission to demolish the single family dwelling. The barn located on the property,which is also a very old structure,is proposed to remain. The Commission reviewed photographs and an Inventory Form B. The structure was built 1837-1845 and is known as the Morse Red House,`Bonnie Haven"and.the Captain Seth Nickerson House. According to the Inventory Form B,this structure is also considered individually eligible for the National Register of Historic Places under,criteria B. The Commission found that the structure was significant and voted to hold a public hearing on the application based on an initial review of the historic and architectural character of the building. A vote to hold a public hearing was approved unanimously and scheduled for 4:00pm July 30,2012 in the Selectmen's Conference Room,Town Hall,367 Main Street,Hyannis,MA. Present and voting to hold a public hearing: Jessica Rapp Grassetti,George Mssop,Nancy Shoemaker,Len Gobeil,Laurie Young Sincerely, (lessica kgpp l�'i°assetti/,� Jessica Rapp Grassetti,Chairman 200 Main Street,Hyannis,MA 02601 (o)508-8624786(f)508-8624784 367 Main Street,Hyannis,MA 02601 (o).508-8624678(t)508-862-4782 Town of Barnstable- Growth Management Department Barnstable.Historical Commission •12 JUL -3 irl` -r) www.town.barnstable.ma:us/historicalcom mission NOTICE OF INTENT TO DEMOLISH OR MOVE A HISTORIC BUILDING Date of Application 7/3/2012 Building Address: 1372 & 1376 Main Street Number Street Cotuit, MA 02635 Assessor's Map# 33 Assessor's Parcel# 24 &46 Village ZIP. Property Owner: Francis J. Russell, Trustee of the Red House and Barn Realty Trust Name Phone# Property Owner Mailing Address (if different than building address) c/o Michael D. Ford, Esq. Property Owner e-mail address: c/o Michael D. Ford, Esq., P.O. Box 425, West Harwich, MA 02671 `Applicant: Robert G. Segel, named Buyer in a Purchase and Sale Agreement for the property. Contractor/Agent: Michael D. Ford, Esq. Contractor/Agent Mailing Address: same as above Contractor/Agent Contact Name and Phone#: Michael Ford 508-430-1900 Name Phone# Contractor/Agent Contact e-mail address: mdfesgl @verizon.net Existing Building Material: Single-family, wood frame structure- NOl is for the house only, not'the barn. Type of New Construction Proposed: Single family dwelling Provide information below to assist the Commission in.making the required determination regarding the status of the Building in accordance with Article 1,.§ 112 Year built: Circa 1837 Additions Year Built: various Is the Building listed on the National Register of.Historic Places or is the building located•in a National.Register District? No QX Yes 0 Is the Building associated with one or more historic persons or events, or with the broad architectural, cultural, political, economic:or social history of the Town or the Commonwealth? See Inventory Attached. Is the Building historically.or architecturally important in terms of period, style, method of building construction, or association with a famous architect or builder either by itself or in the context of a group of buildings? See Inventory Attached. December 2011 arcel Detail Page 1 of 5 0� 7t1� ln��.r.Erw„ni� y a 'T t Logged In As: Parcel Delt�I' Monday,July 16 2012 Parcel Lookup L Parcel Info Parcel ID j 033-024 Developer LOT Al I Lot Location i 1376 MAIN STREET(COTUIT) 1 Pri Frontage'52 Sec Road FrontaSec ge _ _ _ __.__ :_. _____�T. ___.___._. _ Village j COTU IT. Fire District;COTU IT Town sewer exists at this address I No f Road Index'0951 ' �{ I Interactive ? Map Owner Info Owner I PELLETIER, MARY M TR ( Co-owner i%RUSSELL, FRANCIS J TR Streetl jC/0 MOUNTAIN, DEARBORM &WHITI ( Street2 SUITE 800,370 MAIN STREET I City jWORCESTER ( State iMA zip01608 - Country;_) Land Info Acres i2.48 J Use;Single Fam MDL-01 ) zoning jRF Nghbd IWF11 Topography i Level Road';Paved Utilities;Public Water,Gas,Septic Location(Rear Location ,w Construction Into Building 1 of 1 Year 1870 Roof Gable/Hlp Ext(Wood Shingle Built Struct Wall Living 2231�_- --I Roof jAsph/FGIs/Cmp ac'None' _ Area Cover Type! Int Style;Colonial i Wall!Drywall __.. _� Bed 5 Bedrooms_ Rooms Model Residential Floor Ior iPine/Soft Wood Bath i3 Full+ 1 H _ Rooms Grade jAverage Plus I Heat f Hot Water ( Total:10 R Type Rooms ooms v Heat, - _ �_r� Found- ------ _ Stories;1 1/2 Stories Fuel IGas ation!Stone Walls Gross Area; Permit History http://issgl2/intranet/propdata/ParcelDetail.aspx?ID=2094 7/16/2012 ,Parcel Detail Page 2 of 5 Issue Date Purpose Permit# Amount Insp Date Comments 3/1/1993 635715 $100,000 1/15/1995 12:00:00 AM CO REMODE Visit History Date Who Purpose 4/26/2012 12:00:00 AM Denise Radley In Office Review 10/11/2011 12:00:00 AM a'. Jeff Rudziak ATB Review . , 9/13/2011 12:00:00 AM Denise Radley Change of Address 8/29/2011 12:00:00 AM Denise Radley Change of Address 3/25/201.0 12:00:00 AM Jeff Rudziak Abatement Review 1/5/2010 12:00:00 AM Denise Radley Change of Address 3/24/2009 12:00:00 AM Karen Perry In Office Review 3/24/2009 12:00:00 AM Nancy Finch In Office Review 3/12/2009 12:00:00 AM Jeff Rudziak Abatement Review 7/29/2008 12:00:00 AM Paul Talbot Cyclical Inspection 5/27/2005 12:00:00 AM Paul Talbot Meas/Est 5/4/2000 12:00:00 AM Paul Talbot Meas/Listed-Interior Access 4/15/1994 12:00:00 AM, IME -Sales History_...____ ......_.___ __------------..._.__ Line Sale Date Owner Book/Page Sale Price 1 6/25/2002 PELLETIER, MARY M TR 15296/155 $100 2 9/15/1992 MCCOWN, MARY M. 8210/015 $100 3 12/15/1986 MCCOWN, MARY M&'FRANCES M 5492/123 $1 4 MORSE, LUCY GIBBONS P52232 $0 5 4/19/2012 RUSSELL, FRANCIS J TR 26261/126 $1 Assessment History Save# Year Building Value XF Value OB Value Land Value Total Parcel Value 1 2012 $175,100 $21,400 $8,600 $1,442,400 $1,647,500 2 2011 $199,900 $6,600 $7,800 $1,442,400 $1,656,700 3 2010 $200,500 $6,600 $8,000 $1,933,500 $2,148,600 4 2009 $231,400 $4;800 $3,900 $2,422,200 $2,662,300 5 2008 $231,400 $4,800 $3,000 $2,373,300 $2,612,500 7 2007 $272,500 $4,800 $3,000 $2,373,300 $2,653,600 8 2006 $245,100 $4,800 $3,200 $2,345,100 $2,598,200 9 2005 $224,400 $4,800 $8,800 $1,995,800 $2,233,800 10 2004 $178,700 $4,800 $8,800 $1,621,600 $1,813,900 11 2003 $192;200 $4,800 $9,000 $712,500 $918,500 12 2002 $192,200 $4,800 $9,000 $712,500 $918,500 13 2001 $192,200 $5,100 $9,000 $712,500 $91000 14 2000 $118,400 $4,700 $5,100 $499,900 $628,100 15 1999 $118,400 $4,700 $4,300 $499,900 $627,300 16 1998 $118,400 $4,700 $4,300 $499,900 $627,300 17 1997 $133,000 $0 $0 $465,900 - $604,700 . 18 1996 $133,000 $0 $0 $465,900 $604,700 19 1995 $133,000 $0 $0 $465,900 $604,700 20 1994 $132,800 $0 $0 $449,300 $587,200 http://issgl2/intranet/propdata/ParcelDetail.aspx?ID=2094 7/16/2012 Parcel Detail Page 3 of 5 21 1993 $132,800 $0 $0 $449,300 $587,200 22 1992 $151,600 $0 $0 $499,200 $656,500 23 1991 $167,700 $0 $0 $499,200 $677,000 24 1990 $33,900 $0 $0 $143,100 $187,100 25 1989 $33,900 $0 $0 $143,100 $187,100 26 1988 $74,500 $0 $0 $71,600 $158,000 27 1987 $74,500 $0 $0 $71,600 $158,000 28 1 1986 1 $74,500 $0 $0 $71,6001 $158,000 Photos r t Y 3 „x:A http://issgl2/intranet/propdata/ParcelDetail.aspx?ID=2094 7/16/2012 I ,u s ;l+a� ,,i OP. MANN r fit.• , ��•..1''�'4!'• C,ry 1�• I �. — rf r l 1 I IC�t•y.. a ',M1AAf i ., • • - • •••. ' 1- • • �•� • Parcel Detail .,g. 5 of e4. htt �.r • . • •••. • 1•47/16/2012 .r d p G M B pr3 Z _ :179�tf�YO� � C Mo^ao I --------------- TO ? cl ITT / Ce,• • B' won A. PLAN OF LAN M IN �(p C o-r u f'r, x4a x a.M.a►a s. / 6 Dn�o.+pr.ra To ca/f, �7�,111000�Y .JEAN M . DUNNING .(. 1 'cnt s•fl...=40Er Fek�. a', Appendix J 1880 Historical Map McCowan Conservation Restriction Cotuit,MA <� -27 Y yyam�.. �p•�:P.��-��y'J,�[7�j ® •-~J,L._.y�'{Tj i L..' 1 --1 '. .. .7 R � �- .&, is r• � y�1' �'+. -t� 1 � s: ''`°d'b yF" �,CG`�EI a •t_: 'm • ''�'�� •;?iI_ '' _ ate, �� s� � �•r.....f- ; 'F - }'I( }L- .`: . '.S'6f�` B't � 2'` _2'S';j?'r•'l::a;.�+ �^i;/uG:d•.T''rc k..w' / _� • =3: - - _.r-c:_r.;r �".sf ,-;�a,°`��'��t;e,:sue. ' ::.SSG �'_ `^'� �'�� �'�'_t:-Ca_>�,�"•` - -- _:'t .. .. .. •�l' ram, �. -j '•� L ,i,.^;'�`:, _ _ :T r-�';,r;:rc 3;� uA-�,�?.gRaa,�9aF,'�i '-�,i�':JF:J�y�:•: ,'1 •.' _c•K' , :i.. F=a N sue- �;?... `•L .:-truss✓<;.`-•at"'"'-.: "w'�r,�-�l}.tr t.�}� -.. _;': . • �:,, - •� ,tfl-, .,;r ,jar..:;=';c` yr':e_:.(.i�;y�`•' e.,7p�A"i`', �?./, ��, . ter•... 1.�yi L ;'�J rr R s^���R+%4,g4;�; �'�: K•.%...4'. .y . r _' y„ •4 .y;ltt�,.�+tx L.,; Ik�Y'�.,�,,`p+�+�p�q y��-!'�'J''�' '4�� J ,�=sk�•t;.,. � s � �".�''xyr �3s,�pLx•(?' rtnrk. ---�"'�' .. At 34 ,pq{-' --'TOY "�I1r•eRed�1ocy5e M. _....g...q__R 1VrS T:A:B.'L_E l8$o c c.m5}mole, Co Tomm of Barnstabl y oFTHE ra,, Town of Barnstable` x r Regulatory Services- * BARNSfAk E, 9 MASS. $ Thomas F. Geiler., Director Fo;o. A�e Building Division Thomas Perry, CBO Building Commissioner 200 Main Street, Hyannis, MA 02601 www.town.ba rnstable.ma.us Office: 508-862-4038 Fax: 5087790-6230' . Notice of Zoning Violation and Order to Abate February 17, 2011 Pelletier Realty Trust,Mary M. Pelletier, Trustee .c/o Richard McCowan 13 Richards Road Princeton, MA 01541 Re: The Pelletier Realty Trust Property,,located at 1376 Main Street, Cotuit, MA '. (Map 033, Parcel 024) Recorded with the Barnstable Registry of Deeds; . Book 15296 page 155 Dear Mr. McCowan: Please be advised that"the parcel referenced above and addressed 1376 Main Street, Cotuit was never a legally created lot under the Zoning Ordinance of the Code of the Town of Barnstable. It is not a protected preexisting, legally created nonconforming lot as provided for in Section 240-91.A; B, D, E-and G; and the,lot is not in conformity to the current Residence F Zoning District Bulk RegulationsSection 240-14.E'requiring a minimum lot area of 87,120 square feet. and a minimum lot frontage of 150 feet. As the attached decision of the Zoning Board of Appeals reflects, your` request for a variance filed with the Board on October 7, 2010, that would:have had the effect of unmer in this "house lot"'" Ma 033 Parcel 024 from the abutting g. g lot""(Map ) g barn lot lot addressed.1372 Main Street, Cotuit (Map 033 Parcel 046) and legalize the house lot as a separate lot was not granted. As such, the "house lot" (Map 033 Parcel 024) continues to represent a zoning.violation. The Zoning Board's decision concluded; "the two lots.[tho house lot and the barn-lot] have never been legally created .... as required by the Barnstable Zoning Ordinance [and] [f]or the purposes of zoning.they are.merged. Your house lot cannot continue to be owned and-used as.a lot separate from the barn lot. The house lot was never legally created and you are ordered to take all necessary steps to comply with the.-.minimum lot area and frontage requirements for the Residence F Zoning District and to abate the zoning violation caused by the separate ownership and:use of 1376 Main Street, Cotuit from 1372 Main Street, Cotuit. If aggrieved by this notice and order, you•.have the right`to appeal this decision to the Barnstable Zoning Board of Appeals within 30 days from the date n issued as provided for in Chapter 40A Section 15 of the Massachusetts General Laws. :Thomas order of Perry, Buildi ommissioner Town of Barnstable cc: Sarah Turano-Flores, Esq. cc: McCowan Cotuit Trust-1992 Attach: Copy Decision and Notice Appeal No.2010-045 • P. 1 Communication Result Report ( Apr,`"15, 2011. 8: 21AM ) 2) Date/Time ; Apr, 15. 2011 8: 20AM File Page No. Mode Dest i,nat on _ Pg (s) Resul t, Not Sent 5475 Memory TX 915088624724 'P, . 3 OK Reason for error E. 1) Hang up o r 1 i ne fia i 1 E. 2) Busy E. 3) No answer E. 4) No facsimile connection E. 5) Exceeded max. E—ma i 1 s i ze Town of Barnstable : Regulatory Services. ..saotiaee�• - - s Tbom..V.G Ter,Director r .. Building Division Thame.Perrq,C80,B.0din Commissioner 200 Main Street,Hyannis,MA 02601 ". www.[owaharnslable.ma.as - ' '`Office; SQ8-86&4038 ', -Fax:50&490d270.- PLEASE FORWARD THE ATTACHED PAGE(S)TO: T0: � y A)ZC:e FAX No:, RE: FROM: 7t?}YL ' V _. DATE: PAGE(S): L: pNCLUDMG.COVERSHEET) 1 I�QU )� �I lS TP77C S� Assessor's office(1st Floor): Assessor's map andlot n tuber 0"a Conservation �-�' —� e��8p® Board of Health(3rd floor): . J f ® � ���`�L Sewage Permit number / ': uZ6 a Engineering Department(3rd floor): _ �� House number }� �7 JJ AV►` Definitive Plan Approved by Planning Board 19 APPLICATIONS PROCESSED 8:30-9:30 A.M.and 1:00-2:00 P.M.only TOWN OF �ARNSTAIBLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO Q9\ � -�Ylp `%)S �J.�T�' � ' �7� `[`mY1S� TYPE OF CONSTRUCTION _ Gt)� � 1 YYC� 19 19 _ r TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for eumit according to the following informati n: Location �-ai � , M) rZe_- ej Proposed Use G9��X�.\�t� Zoning District J?F Fire District Name of Owner WV1 f Q Address Inn � Name of Builder �C�`A`�d Q° Address� 1-7 \ ��N �t�'•y � Name of Architect Address �— Number-of Rooms t Foundation Exterior � � Roofing �iL Floors 2 ��S '� 1�� Interior Heating �O ^�y �� �' �" Plumbing �' .��� Fireplaces Approximate Cost Area Diagram of Lot and Building with Dimensions Fee S EP, OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and.Regulations of the Town of Barnstable regarding the above construction. Name QI QQf_� Construction+ Supervisor's License D j-17 S-7 MCC'.OWAN, MARY No 35715 Permit For RENOVATE EXISTING Single 'Family Dwelling :. Location Lot B•; 1376 Main Street Cotuit Owner McCowan _,..-. • Mary - Type of.Construction Frame Plot Lot .- - Permit G;DpecItion nt Marclz 2.3., 19- 93 �` � Date of Y 19_ Date Completed 19 C �.y r ; v-3 0 .8 x ii fro -- 39 rox►q 3a w% ZGr7' sx °I A 13 Tub t 5 . 30-' III 2 Li BOARDMAN SU1 DERS R�E6i!iK ROAD MASS.01541 17 0C (AN -ro wit ° Tv power . f BOARDMAN BUILDERS MIRICK ROAD PRINCUON,MASS.01541 W1 C(zw Owe 1392 Mav\ BONY, � roe Ise ho V a�e d 'ro �CS—te � k1iR��5 ROAD PRIt�CETgFl, F,JASS.01541 67"&rms eAmY.Y-, S ef?W-, �6t Wa-Aik'r cf t:l ZcDIVES CoCA d �A • �.��� •w� t�.�v,��1 Ci us -�O�v.�1�.� �h �c r�w� S�� e��. �rn�� e � �,� � v, •C��� 'cep s hSu�^`i fN� .NPc(SSA�} �.�vaQs ow� y�L��:.: .Q.�(�sT; ,:��`���AV�1 Opp 1N�\f��c.� a ...•3 s{IIC �2S���r. n��c Cm�Yu��• . ��� Sv�s�w,s ` ��r 3Av�r.-3 Bt�.wovnj e�Va;4t^,S. �V\I�v�jy�a', A�� �►,�V� a SW��k�?o a5 Nek�e� �v Yh26 c0 mL S IY10 b Pt1o,v M-s P?v C?0 SOUBMAN BUINERS MIRIICK ROAD PRINCETOM, MASS.01941 a vg-wp-JA 1DoDV i o LION iCx�w. 6�� C`as� OQQY.o� (101w��V�S Q��.Co►� C�\� �,Da.r --��•n �'a ABUT\� `1.�7,�v\vv�w� C1�JQ� do aw.To �ve��-C�u,�C�nwov� NcA"- � USA 4v`* C,AN R60'- IY15w\v, \_t \ 1 1 �-- t • i ti \ II jw�c�.v�����k, ,sw6,y �Ji�'�i�,, � (a� Xt4 W\�COws• � 94�� °.�Fw;F Rai ZOO, 3 I So���1n c�ce OWN m b �Gv�� • . s��e� �(Q�1JD�1� ��A\vT ���', \�1A�s �.��1�w, �\}.)GQ�wO4�c 3 ►rfi : }�wwwt-So-��� W`+IU*OS C�,{�\0,� 'C'��.�av P.,A � U�,�•r� ��,� �o �fis'A�� Q @�Y�QY I e�'� '7��P C1LSG44•, Lo\\ f �vWyv� �= G TOWN OF BARNSTABLE LOCATION SEWAGE # 93- 1a9 VILLAGE ) ASSESSOR'S MAP LOT -3- INSTALLER'S NAME PHONE NO. SEPTIC TANK CAPACITY 11(� 0 LEACHING FACILITY:(type) (size) NO. OF BEDROOMS 5' PRIVATE WELL OR PUBLIC WATER BUILDER OR OWNER _ C „( DATE PERMIT ISSUED: e DATE COMPLIANCE ISSUED: VARIANCE GRANTED: Yes No c'r� ` F v. . I Town of Barnstable Regulatory Services 4 Thomas F.Geiler,Director RUMLE STM . i Building Division MASS. 1659. �� Thomas Perry,Building Commissioner Bo A 200 Main Street, Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 May 18, 2011 Ms. Sarah Turano-Flores, Esq. Nutter McClennan & Fish 1471 lyannough Road P.O. Box 1630 Hyannis, MA 02601 Re: 1376 Main Street, Cotuit MA Assessors Map 033, Parcels 024 Dear Ms. Turano-Flores: I am in writing regarding the above referenced property in response to your letter to me dated March 23, 2011 and your subsequent meeting with Attorneys McLaughlin and Weil of the town's legal department. The fact that the above lots were never legally created was first brought to my attention by you. Based upon the information you presented, I determined that in order to be able to use the parcels as two separate lots, variances had to be obtained from the Zoning Board of Appeals. On behalf of your clients, you filed petitions for two separate variances indicating that you were seeking the variances to render the properties as separate legal lots. These variance requests were denied and your clients did not appeal the denials. Having first brought the zoning violations to my attention and to the attention of the.Board of Appeals, to now suggest that efforts to cure the admitted zoning violations constitute "selective enforcement" is not an accurate or justifiable assertion. Finally, I do not believe that the provisions on G.L. c. 40A, s, 7 are applicable. Accordingly, 1 intend to reissue the two Notices to Abate Zoning Violations. f Thank you for your consideration of this matter. Very Truly Yours, Thomas Perry Building Commissioner cc: Attorney Ruth Weil Attorney Charles McLaughlin R k l.T �► Sep Assessor's office(1st Floor): /IVS sY� `.. Assessor's map and lot n mber t Q JL`7 ,1---Jj- • �4r ', �+ Conservation 01v , ue Board of Health(3rd floor): '2 r J` p®� �y�t • Sewage Permit number J ( ��*1 a'��/�i 4. YEngineering Department(3rd floor). J f Ay' House number '7� Definitive Plan Approved by Planning Board - 1g APPLICATIONS PROCESSED 8:30-9:30 A.M.and 1:00-2.W P.M.only 3 TOWN OF BARNSTABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO 12o'Y.0,10,Q j 3-74 MQAV S1 TYPE OF CONSTRUCTION _ ��$ -"s�I��•t Yc� 19 19 TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for t according to the following informati n: Location A`/N ..SrZCF / T Proposed Use Zoning District /1 �' Fire District YQws v Q 1�y Name of Owner � �C�V.10�V� Address �P � � � � ►`�`� Name of Builder ��C `�d �° 2 7� ��`�S �� �� . Address___ t�t��1C�\�� Name of Architect Address Number of Rooms 1 Foundation Exterior} � Roofing Floors 2 �S Interior Heating �O`� � C�� � R W Plumbing r Fireplace Approximate Cost _!�� 030.CIO Area D (� Diagram of Lot and Building with Dimensions Fee s \ OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS ' I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name Connst_ructio upervisor's License 1D1'77 8-7 Mc . OWAN, MARY No 35715 Permit For RENOVATE EXISTING _ Single "Family Dwelling 4 Location Lot B, 1376 Main Street ; Cotuit Owner. Mary McCowan Type of`Construction Frame Plot Lot - , Permit G�an ' March 2233 , 19' 93 f Date of kS�� J 19 Date Completed ���, F 19 I• - ti U la t f 57"2�E.7 T K ►o� WAN K 2q' .00 toxic \ f I �OVv� sx 8 ff Tub Iz I ix IS' 3o' 2 Li BOARDMAN BUILDERS { WRICK ROAD pRINCUON,MASS.01541 i�ICC,tiwa v� 13-7 - ---- T scab, /a"- OcEl�N � Z)zz�q 1 m w K 10� 1 c 1rAs�'er ESa�'1vWr•. _ 23 r �OY Grp P UNC€TO,N, mAss5.01541 OCE 6 Nj 2I22I 9 Z ris t3,4Qa�� I BOARDMAN BUILDERS MIRICK ROAD PRINCETON;MASS.01541 139 2 Klai,,\ I3avnT� �, �enooa�e� To 3 C3ec�^c�we Dw�11i� 20� • BOARDMAN BUILDERS MIRICa ROAD PRINCETON, MASS.01541 C\ Cal�ov�5 'C r czt�� �O�y MY�IlA� /, o VYIoS y r S Y sT!&-lY)S 1 �o�rnY, SYQ t.,:Wa C 7. f t� .ZvN E5 r_CoCv d. �v� f V�vn C��Igv eel" (lk mod p �1Azy 1 2. a s 54 ew1'. - 2ePt�u� a" .Q��tsov� 0,1�� oy_E;q' s;-ew.. 00N �v`�. _��E-ems i ns U��'4,. 1�lViS�- I'C�hS� .--sk I q.'■' � c)(Yf�Y�A�+vC �`j +w {v� Q! C1V�V(?w(k; kt, 'Sw � w $ Na'.vZviw�a. Smoka. Pt�gvv�s rv�� �ecvoaw� 2 +�e�wdros v`P.s����s I, 7 aY{ g\►�st� � �Cwr�p�a�-v c�I awl 5 Qncst.o o� po,�l�� �Q`lt2S Qw� i 10 \v o,, c �►, �, e cag ol sRX!Eti, C (C4 � Q BOARDMAN BUILDERS _.. MIRICK ROAD PRINCETOD, MASS.01941 1,2 . �Utv�-t. .A.�Yj.t��v��q�'l�vv� csnS,Nv.� NAv►\rv�� o,�n� �`��'' NMal od' �vvn�o��ryJ ���,u��,4, Ca,.,�.►Qor--'i h�o F�ow. ur.�'�,j��s,. P��,ti�\ S�r�k�(v►4+ ore,;� �� ptuwtib `i�l"� W a�"•.\�\�."`C�.�„ `a���"v �-nv`C•a-# �,�1,�►�.v�� VIP����� _�'�� y\ ,,nwJwo���� ( XoA W� e0k>rn v Davy —fu r . #l^ ovs _- - 1hs1C►.\�. CSIVI�,ti.,o �ac�C..• ��n�� .���w�t.�-�t �gv�WA�.� W\h�ow1' W\\ /y _ 1 o dGP Zd S 1�>•nv.�, 2oorr• _.._ n Cto, 1.._ ..�r`oa✓. .Uww QA,N� .`C�0 �.1-me k�1 �4vl, clol�_�la QkN ��"Nj (Z W C-,vvk ' �tJb`ntoR..o 2 ." scv �° g z, C�\ -V ROAROMAR BUILDERS` IOIRICa ROAD "s PRIR OIIo MASS.OIS41 wo b-— ► S6 �(Qw bJ �a��T �, Wo�s c�,1� ►wGQ�w ov+c 39.4 e� v.\QR v�. S cAvv4✓ ._s)..rnup Ckne ,( s W Q VA � 1 C�! �� � �� �'�"� � � Order No. 2005-026] zoning districts one temporary family - )erty owner's family as accessory to an lent may be permitted, provided there is nts herein. f be maintained in full compliance with all-.. feet or 50% of the square footage of the ;. The Zoning Board of Appeals may . it finding. In any case, the apartment o family members; ' mily dwelling or connected to the single- internal access between the units. The requirements for the zoning district in family apartment be sublet or subleased ngle-family dwelling and family ons listed on the recorded affidavit. i noncompliance with any condition or occupancy or ownership, the use as an t must be applied for to remove all ices from the family apartment, and the laced behind a finished wall T Town of Barnsi46ble t t --Regulatory. Services g' -TOW 0- BARP 'MRE a, r r W.RMARM Thomas F. Geiler, Director 01 " Building Division 71351� AU 6 7 Tom Perry, Building Commissioner - 200 Main Street,Hyannis,MA 0260 I .www.town.bamstable.ma.us ,F T { Office: 508-862-4038 - Fax: 508-790-6230 NOTICE TO THE BUILDING DIVISION OF WITHDRAWAL OF LICENSED CONSTRUCTION SUPERVISOR FROM PROJECT I, c�ai,� Aslzv�ortn ': cor�structior- Supervisor License # 015851, hereby certify that lam•no,longer the-Construction Supervisor listed on the.. application for the project under construction as'authorized by building permit #9201300873 & 20130087i, issued to 1376Main Street, Cotuit, MA 8th 2013. on March I also certify that'on ' 2013 , I notified the property owner, that the project under construction;must cease until a successor licensed'Construction Supervisor, is submitted on the records of the.Building Division. ' >.` 8/5/13 ni I ENSE HOLDER 'DATE. Wonns/newcontr reference R-5 780 CMR rev:1 10410 ' _ - - � ., . _ .. ��sw.. --- --- �- _ _ . . � . A } -- _ r B - 1 - r _ - t ►' :, ._ � , ;. !. t t x d , J r 4 ' i P 08-02-2013 a 11 a 14C. Town of Barnstable �fME Regulatory Services r 13MMSTABLE, « Thomas F.Geiler,Director 9q, MASS. Building Division 'O�Fo nAar a Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 AGREEMENT FOR ACCESSORY USE OF RESIDENTIAL BUILDINGS ASSOCIATED WITH RESIDENCE I(We), the undersigned, Robert G. Segel and Janice L. Sherman Trustees being the owner(s) of property situated at 1376 Main Street, in Cotuit,MA,holding title under a deed recorded with the Barnstable County Registry of Deeds or Barnstable County District Registry a ffFd=eeW in Book 27222, Page 160, or as Document No. being shown on Assessors' Map 033 as Parcel 024, hereby agree, certify, warrant and represent to the Town of Barnstable that the accessory building to the residence located on the same parcel as above- described,which contains living quarters,is not intended for rent in any fashion. The intended and authorized use is for the occasional guests associated with the residential use on the same premises. This separate unit shall not be used for a"Family Apartment" (as defined in Zoning Ordinances) which would require application and approval of a special permit and compliance with the Family Apartment Rules and Regulations. This separate unit shall not be rented as an apartment or as a single room, or in any fashion, which rental would be a violation of the Town of Barnstable's rules,regulations, and zoning ordinances. This Agreement shall be duly recorded or filed at the Barnstable County Registry of Deeds/Land Court for the purpose of alerting future owners of the property of this binding Agreement concerning the use of the property as herein stated,which shall run with the land and binding future owners. The consideration for this Agreement is the issuance of a.building permit and/or certificate of occupancy by the Town of Barnstable Building Department. WITNESS our hands and seals this l day of 201 3 TOWN OF BARNSTABLE OWNER(S) s By: I ar_r_,� Robert G. Segel, ste Building Commissioner J n ce L,Sherman,Trustee THE COMMONWEALTH OF MASSACHUSETT BARNSTABLE COUNTY, SS Date Then personally appeared the above-named (owner), KAM Q, ci �MIU SY j/( U�A and made oath as to the truth of the foregoing instrument,before me. N ary Public My Commission Expires: a(� o2a '�0. ""'•"'••..� KORY E.LEAHY �I y ; Notary Public is i- :4 Massachusalts L Q:word/accessoryagreement `�,n;b ' ;� : Commission Expires Apr 24,2020 1 •,` r BARNSTABLE REGISTRY OF DEEDS ••'°••.'`' w"�°*'''�� Parcel Lookup Page 1 of 1 © tiHE � Logged In As: Parcel Lookup Thursday,August 1 2013 Road Lookup Condo Lookup Multiple Address Lookuq Reports Search Options T Search By Street I% Street# 1372 Street MAIN Name -- I Village All Villages S arctic <Prev Next> Page 1 of 1 Rows/Page:F10 .r Parcel Location Owner Village Index Map 033-024 1376 MAIN STREET (COTUIT)-Multiple Address(1372 MAIN STREET(COTUIT)-BARN) RUSSELL, FRANCIS J TR COT 0951 033024 http://issgl2/intranet/propdata/lookup.aspx 8/1/2013 TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION lovnj, OF Map Parcel Application Health Division 213 (,'_ 26 Date Issued 2: rf:2 Conservation Division Application Fee Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation / Hyannis Er,c !12maur t, Project Street Address 1 3`7 ( kAfx) Y", Cc ' 1�_T Village -� Owner P_® r L, Address Telephone Permit Request. LEas A10 Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new ,Zoning District Flood Plain Groundwater Overlay ,Project Valuation Construction Type Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family (# units) Age of Existing Structure Historic House: ❑Yes ❑ No On Old King's Highway: ❑ Yes ❑ No Basement Type: ❑ Full ❑Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area (sq.ft) Number of Baths: Full: existing new Half: existing new Number of Bedrooms: existing —new Total Room Count (not including baths): existing new First Floor Room Count Heat Type and Fuel: ❑ Gas ❑ Oil ❑ Electric ❑ Other Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑ No Detached garage: ❑ existing ❑ new size—Pool: ❑ existing ❑ new size _ Barn: ❑ existing ❑ new size_ Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes ❑ No If yes, site plan review# Current Use Proposed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name ` ® Telephone Number 5_08 — LA g Address License # 0 O-Z&1?4 44 - 0 2-1-3 Home Improvement Contractor# /0/®3 Worker's Compensation # t n' syle,05 ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO Znt4ivC SIGNATURE CA DATE —7 n [ FOR OFFICIAL USE ONLY APPLICATION# DATE ISSUED 4 + c MAP/PARCEL NO. r r !t r _ , ADDRESS VILLAGE y, t _ k OWNER ri A� DATE OF INSPECTION: ?--,FOUNDATION.,= ., FRAME 'I INSULATION _ 4 A ' FIREPLACE C ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL y R GAS: ROUGH FINAL ' i FINAL BUILDING e _ DATE CLOSED OUT iN _ ASSOCIATION PLAN NO. IUIN�ir\1 N�us� Town of Barnstable Regulatory Services ` BMW IA Thomas F.Geiler,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 NOTICE TO THE BUILDING DIVISION OF CHANGE OF LICENSED CONSTRUCTION SUPERVISOR owner of property located at S1 l y" , hereby certify that 0. \�2f S a- sot' WC-• is no longer Construction Supervisor listed on the application for the project under construction as authorized by building permit# 200 0`-�"? 3 , issued on 3 20(3 I understand that the project under construction must cease until a successor licensed Construction Supervisor, is submitted on the records of the Building Division. , PROPERTY OWN EIC DATE f q/forms/newcontrowner reference R-5 780 CMR rev:011608 A 3ARNSfABLE, MASS. r 1 Town of Barnstable �p i6gq A� rF0 N1A'� Regulatory Services i Thomas F.Geiler,Director Building Division Thomas Perry,CBO Building Commissioner 200 Main Street, Hyannis,MA 02601 r 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, R0pia-T �1� 1. , as Owner of the subject property hereby authorize 0-ATRLD 0 C.U_5 AA P-50l(C.DEVS [�J - to act on my behalf, in all matters relative to work authorized by this building permit application for: f 3� UM N s7': 30D c (Address of Job) t Signature of Owner V. Date Print Name If Property Owner is applying for permit,please complete the Homeowners License Exemption Form on the reverse side. C:\Users\decollik\AppData\Local\Microsoft\Windows\Temporary Internet Files\Content.Outlook\8R76BDVA\EXPRESS.doc Revised 061313 f Town of Barnstable Regulatory Services Thomas F.Geiler,Director '�Fp •` 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 NOTICE TO THE BUILDING DIVISION OF LICENSED CONSTRUCTION SUPERVISOR ASSUMPTION OF RESPONSIBILITY c-Y�i po o.(5 lu kA I, Rpe-p(q T. em-p" , PjU,((-DM5, INC , Construction Supervisor License # Q5 -CjLf2?2L, hereby certify that I have assumed responsibility for the project under construction, as authorized by building permit# 20(3 00 713 , issued to (property address) (0 NLM N) s1 0-01-ul T- on 3 ,200 j The following documents are attached: copy of my Massachusetts State Construction Supervisor's license or Homeowner's License Exemption form(if applicable) copy of my Home Improvement Contractor registration(if applicable) Commonwealth of Massachusetts Workers' Compensation Insurance Affidavit. Road Bond (if applicable) LkLDAE HOLDER DATE q/forms/newcontrb rev:080102 . b Massachusetts -Department of Public Safety Board of Building Regulations and Standards Omstruction Supervisor License: CS-042721 RALPH J CATALBb 172 EAST FALMOUTIT�HWY a EAST FAMOUTAb2536� �1 Expiration commissioner 06/08/2014 ��(i t2��2?�2-Q�2211G1�'�L42 Q J��/l/LJ1C�'C'72i111C' Office of Consumer Affairs and Business Regulation Plaza - Suite 5170 .` 10 Park . - Boston, Massachusetts 02116 Home Improvement Contractor Registration Registration: 144103 Type: Private Corporation !• Expiration: 9/9/2014 Tr# 229057 CATALDO CUSTOM BUILDERS, ING. , RALPH CATALDO ' 172 EAST FALMOUTH HWY E. FALMOUTH, MA 02536 U date Address and return card.Mark reason for change. P 0 Address Renewal Employment Lost Card SCA 1 in 20M-05/11 �o•�iffaizra�rrBu u.ess Rlegul Lion lrs License or registration valid for individul use only Office of Consumer Affairs&Busif�ess Regulation _ OME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: u Itpiration- gistration _144103 Type: Office of Consumer Affairs and Business Regulation 10 Park Plaza-Suite 5170 9/9/2014 Private Corporation rY Boston,MA 02116 CATALDO CUSTOM BUILDERS I'NCD-% RALPH CATALDO 172 EAST FALMOUTH;HWY.., . . E. FALMOUTH, MA 02536 `.'.` Undersecretary N t valid wi hout signature The Commonwealtla of Massachusetts Pnnt Fom Department of Industrial Accidents. _ Office of Investigations . - -- 1 Congress Street, Suite 100 n Boston, AL4 02114-2017 - ww iv mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers' ARplicant Information Please Print Legibly Name(Business/Organization/Individual) N-00 CQ•l-STDA4 BW WM5 INC, Address: y I-12- C. I I4LAAQ c t n-( 4W y City/State/Zip: E. (—_4't AA,6 t71{' NUS 0263(o Phone g: 5 T -q g Are you an employer?Check the appropriate boss L<}j)e of project(required): 1.❑ I am a employer with r 4: I am a general contractor and I.V employees (full and/or part-time): ,' have hired the.sub-contractors 6. ❑New construction 2.❑ I am a sole proprietor or partner- - listed on the attached sheet. .7. ❑ Remodeling ship and have no employees �; These sub-contractors have p p I 8.'❑ Demolition working forme in any capacit<. employees and haJ-e workers F� - 9. Q Building addition [No Ni orlers'comp.insurance comp. insurance:+ . . �,. .. required.] 5. El We are a corporation and its 10.0 Electrical repairs or additions 3.® I am'a homeowner doing all��ork s'-* : officers hay a exercised their 11:0 Pluia��iug repairs or additions myself. [No workers' comp. right of exemption per MGL'* 12.❑ Roof repairs insurance required.]t -` `; c,:152, j 1(�4),and we ha1-e no employees. [No workers' 13:❑ Other comp. insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. $Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'cotwensation insurance for_ rW employees. Below is the policy and job site information. n Insurance Company Name:_'TkAV('&OV-5 I ND EN 1 i n( • 0 r '.AKe':to CA Policy#or Self-ins.Lic.#: st(%P.3�g (3 Expiration Date: 1 30 i Job Site Address: [�1b . l N ST City/State/Zip: C(F7lLl.(fi.: Mi , Attacha copy of the e workers' S9compensation co ¢ sa$i t policy declaration page(showing$he 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 anprisonment,as well as civil penalties in the.form of a STOP WORK ORDER and a fine of up to V50.00 a day against the violator. Be advised that.a copy of this statement may be forwarded to the Office of Investigations of the DU for insurance coverage verification. I do hereby cerk under thepaahn and enaltres o er uty that the information provided above is true and correct.. Signature: '^�G _ __ -- -- :��:]Date. Phone Official use only. Do.not Krite in this area, to be 6npleted by cin,or town official_ I City-or Toivn: Permit/License#. 3 Issuing Auth®rity.(circle One): . 1.Board of Health 2.Building IDepartment 3.Citv/Toiim Clerk 4.Electrical`Inspector 5.Plumbing Inspector b. Other Contact Person: Phone#: s 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 or implied,oral or written." An employer,is defined as"an individual,partnership,association,corporation or other legal entity,or any two or more of the foregoing engaged in a joint enterprise,and including the legal representatives of a deceased employer,or the receiver or trustee of an individual,partnership,association or other legal entity,employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein,or the occupant of the dwelling house of another who employs persons to do maintenance,construction or repair work on such dwelling house or on the grounds or building'appurtenant thereto shall not because of such employment be deemed to be an employer." MGL chapter 152, §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 " pp p eptab a evidence of compliance with the insurance coverage aired. g q Additionally,MGL chapter 152,§25C(7)states"Neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority." Applicants Please fill out the workers'compensation affidavit completely,by checking the boxes that apply to your situation and,if necessary,supply sub-contractor(s)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. Be 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 enter their 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 permit/license number which will be used as a reference number. In addition,an applicant that must submit multiple permit/license 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. A new affidavit must be filled out each year.Where a homeowner 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 Massachusetts Department of Industrial Accidents Office of Investigations � 1 Congress Street, Suite 100 Boston, MA 02114-2017 Tel. 4 617-727-4900 ext 406 or 1-877-MASSAFE Revised 7-2010 Fax 4 617-727-7749 www.mass.gov/dia i DATE(MMIDDIYYYY) CERTIFICATE OF LIABILITY INSURANCE T IFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. S 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 ISIWAIVED,subject to the terms and conditions of the policy,certain policies may require and endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsements . PRODUCER CONTACT NAME: i MARTHA'S VINEYARD INS PHONE FAX '.I 97 CIRCUIT AVE (A/C,No,at): (AIC,No): E-MAIL OAK BL.LIFFS,MA 02557 ADDRESS: 73.TWR INSURER(S)AFFORDING COVERAGE NAIL 4 INSURED INSURER A: TRAVELERS INDIMNITY COMANY0#AM 1UCA CATALDO CLISTOM.BLTILDERS TNC INSURERS: f INSURER C; INSURER D; 172 EAST FAT,M0U1'11 ITTGrHWAY INSVRER E: i LAST FAr•1LMOUTH,MA 02536 INSURERF: i COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: HIS 1 T C 1'I A N P tI.CiE OF RA C STED OW VE I ED O THEINSURED 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 ADD SUB POLICY EFF DATE POLICY EXP DATE LTR TYPE OF INSURANCE L R POLICY NUMBER (MMIDDIYYYY) (w%QDIYYYY) %LINBTS is GENERAL LIABILITY ACH OCCURRENCE $ COMMERCIAL GENERAL LIABILITY )AMAGE TO RE_NTF16 $ CLAIMS MADE ,EJ OCCUR. 'REMISES(Ea occu rerce) i MED EXP(Any one.q I�rson) $ ERSONAL&ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ POLICY ❑PROJECT I.00 RODOCTS-COMPIOP AGG $ AUTOMOBILE LIABILITY COMBINED SINGLE, $ ANY AUTO LIMIT(Ea accident) ALL OWNED AUTOS, BODILY INJURY $ SCHEDULE AUTOS (Per person) HIRED AUTOS BODILY INJURY $ NONLIWNED AUTOS (Per accident} PROPERTY DAMAGE $ (Per a(;cident} UMBRELLA LIAR OCCUR EACH OCCURRENOF, $ EXCESS LIAR CLAIMS-MA)E AGGREGATE I : $ DEDUCTIBLE RETENLION $ $ A WORKER'S COMPENSATION AND h We STATUI d',1( OTHER EMPLOYER'S LIABILITY YIN UB-501BP388-13 01/30/2013 01130l201�1 LIMITS ANY PRU-ERITORIPARTNERIEXECUTIVEI1 NIA E.L.EACH ACCIDEN-I- $ 500,000 OFFICERAIEMBEREXC:LUDED? E 1 (M0.0.10TY In NH) E.L.DISEASE,EA EMPLOYEE $ 500.000 If yes,descritx under DESCRIPTION OF OPERATIONS below E.L.DISEASE-P011k LIMIT $ 500,000 DESCRIPTION OF OPERATION SILOCA TIONSIVEHICLESIRESTRI CTION SISPECIAL ITEMS THIS RRPLAC FS ANY PldOk CHRTLEWATF..ISSUF.D TO THE C IRTIFLCAT'E HOLDER AFFaCTING WORKERS CULvtP COVEkA.CfE. i CERTIFICATE HOLDER CANCELLATION i SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS! AUTHORIZED REPRESENT ,YVE r� C 0 ) he ACORD name and logo are registerea marks o ACQ 1968- 1Q A COR'O TI N. II rights reserved.. s The Commonwealth of Massachusetts Page 2 Department of Industrial Accidents Office of Investigations 600 Washington Street Boston, MA 02I11 Y www.mass.gov/dia Workers' Compensation Insurance Affidavit: General Businei ses Applicant Information Please Print Legibly Name: CA QO Q'A. 5MAA P)(U.1lAt�2.S Address: 2 Cl�• f--a-lV-.d L. TH (-kA Y City `y• RAUMOLUH State MA Zip• d2!5b(o Phone 5-D O SQL b - 1133 Work site location(full address) r Jo(o AA&tN ST cyru l r ►VIA- 0-2-jo 65 _ I Company name: FWVACISCZ TiVA'Qil'� /aG Excavation Address: P.O . G d)�Q, 3 c1 q co q oco 'J/�,� City G—A Dr F-num �J Phone V� �`��' cq II f Insurance Co. Ay-'Apt A I N Sa-af cf, Policy# Company name: -D•R. w,e 1 L Lo G,)t�1S7'• of(�� Foundation Address: 5*9 TMVAS GAiQ'b(G�� K,p City 1,k,��->r rl4Q�gd Phone 6D� J` o - 7l If Insurance Co. �- NSA C.� Co . Policy# 6-f� qcq 3(� ��� IJUf�s(1'�lA ,�pp� ' m Frame Company name: i Address: 2- S-Pt N Da -r (-ha�)E City RL L2-W<2D5 BAN Phone 50g 169 69 Insurance Co.A5b(xa F rep (Ekao\/EIL5 I N5 ca. Policy# Wce, 5V(os q o(2�(.- i Companyname: Infsulatioll Address: © RA)V) 12)09 1,6 Q 2 City SAt�WO P-6 P- E Phone ® q� 3Qi^ l Insurance Co. �{ ki�Q.�.IAT] ��j Policy, WC-l 1�Jg52(�D(, Company name CJI�,{' �� VJ/XU. �'1��-+�C`j'�'�•(/V� ��' Dr�all Address: -0• City U W PhoneSm Insurance Co I�MaZJL5 IND( Gmm LL\1 Cz Policy# 10 I-U13 L(q 2 7 -���,-�'ena Company name: 11 Finish Address: City g17+C/l !V II',I.VV W Phone <?36 oq Insurance Co. ` -L' GROlL Policy# 2 V MQ 44q 5 4 { DATE ACQRa CERTIFICATE OF LIABILITY INSURANCE 2/13/2013YY) 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. ORTANT: If the certificate holder Is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to ine 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 Sall Costello NAME: y The Getchell Companies P"C. . (978)897-7773 A/C No FAX :(978)897-ISS3 183 Great Road, Unit 15 nDoeeAIL ss:sally@getchellcompanies.com PO BOX 844 INSURERS AFFORDING COVERAGE NAIC# Stow MA 01775 INSURERAAcadia Insurance 31325 INSURED INSURER B: Francisco Tavares, Inc. INSURERC: P.O. BOX 398 - INSURERD: 69 Old Meetinghouse Rd INSURERE: East Falmouth MA 02536 INSURER F: COVERAGES CERTIFICATE NUMBER:2012-2013 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 LIMITS LTR POLICY NUMBER MM/DD/YYYY MM/DD/YYYY GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 X COMMERCIAL GENERAL LIABILITY AMA 0 250 000 PREMISES Ea occurrence) $ f A CLAIMS-MADE 50 OCCUR PA0273113-15 2/2/2012 2/2/2013 MED EXP(Any one person) $ 5,000 PERSONAL 8 ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GE N'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ 2,000,000 JECT X POLICY PRO LOC $ 4UTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident 1,000,000 A ANY AUTO BODILY INJURY(Per person) $ ALL OWNED X SCHEDULED KILA 0344385-13 2/2/2012 2/2/2013 BODILY INJURY(Per accident) $ AUTOS AUTOS X X NON-OWNED PROPERTY DAMAGE $ HIRED AUTOS AUTOS Paraccidenl lIIChlded $ X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 5,000,000 A EXCESS LIAR CLAIMS-MADE AGGREGATE $ 5,000,000 DED RETENTION$ CUA 520273117-15 2/2/2012 2/2/2013 $ A WORKERS COMPENSATION X WC STATU OTH- AND EMPLOYERS'LIABILITY ITO ANY PROPRIETOR/PARTNER/EXECUTIVE N— ER E.L.EACH ACCIDENT $ 1 000 000 OFFICER/MEMBER EXCLUDED? N/A (Mandatory In NH) r A0310189-14 2/2/2012 2/2/2013 E.L.DISEASE-EA EMPLOYEE $ 1,000,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 1 000 000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (Attach ACORD 101,Additlonal Remarks Schedule,If more space Is required) Cataldo Custom Builders, Inc. is named as an additional insured per form # AICG 65. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Cataldo Custom Builders, Inc. ACCORDANCE WITH THE POLICY PROVISIONS. 172 East Falmouth Highway East Falmouth, MA 02536 AUTHORIZED REPRESENTATIVE Christina Dennehy/CRD ACORD 25(2010/05) ©1988-2010 ACORD CORPORATION. All rights reserved. INSn25 mmnnsi n+ Tho A(,npn name anti Innn arc raniefararl manta of anno 1 GL1 14!tU1J 1 i.LL :JUG�4:J i !QOU HLI'IL1L1-1 .:e VMI\LJVI I ��.� -'i �+ PATE(MMIDDrn-YY) ---ORDTM. CERTIFICATE OF LIABILITY INSURANCE 02J1412013 PRODUCER Phatrb D@-y1D5161 Fart: SqR 487 7690 THIS CER7IFIGATE IS IS3 Q A& A MATTER OF INFORMAfI(NM ALMEIDA&CAR=N INSURANCE AGENCY INC_ ONLY AND CONFERS NO IGIiTS UPON THE CERTIFICATE HOLDER. THIS CERTIFIC / DOES NOT AMEND,:EXTEND O -P.OALTER THE COVIERAG. R �� %LMOUITH MA 02541 IN$URERS AFFORDING COVE E MC# 1NSUREQ 1NSURd;R A: AM*tla Prot�tlon 1 CO D P FUCCILLO CONST INC INSURER E: Arhella Protactlon 1 CD 644 THOMAS t ANDERS fii] INSURER C. Hartfar_O Ir surance_ E FALMOUTH MA 02536 INSURER D,,INSURER E. COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICv ;RIOO INDICATED, NOTNI HSTANDINO ANY REOUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS RTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED RY THE POLICIES DESCRIBED HEREIN IS SU91ECT TO ALL THE TERMS, 1 7f .LISIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE SEEN REDUCED SY PAID CLAIMS. BR ADD TYPE OF INSURANCE POLICY NUIYIBER P�UCY PW EY>o[amAY14N LIm11Ts LTR Ir�R S 1.00a,o04 GENEPALLIABILIIY 8500046173 10120112 10120113 ;ACI1OCCURRENCE. . "}dAGE TO RENTED 300,000 X COMMERCIAL GENERALUASII. " _.- 5 ?o)• CLAIMS MADEn OCCUR D.-E1SP(Arty one person) 5,000 A ` BLANKET ADDITIONAL INSUREDS RSONAL 8 AD 1,000,000 V INJURY _ 3 EENERALAGGREGATE S 2,000,000 OEN L AGGREGATE LIMIT APPLIES PER RODUCTS-COMPIOP AGG. S - 2,000.000 POLICY JET7 LOC AIITOMMMUE LIASILM 785$8400001 10129/12 10129113 QM9INED SINGLE LIMIT S 1,000,000 Ea ee ddeM) ANY AUTO ALL OWNED AUTOS ODILY INJURY Per person) X SCHEDULED AUTOS - — B HIRED ALIT05 OIDILY INJURY P;wt=Iderd) 8 NON-OWNED AUTOS ROPERTY DAMAGE $ eraccident OARAAF LIABILITY UTO ONLY-EA ACCIDENT ANY AUTO OTHER THAN EA ACC_Z UTO ONLY: AGC7 5 EXCESS 1 UM6MSLLA LUUAILRY _CH OCCURRENCE _ S 7.1 OCCUR E CLAIMS MADE GGREGATE S 0E0UCTI8LE .. — RETENTION S 3 WC STALL- WORKERS 4OMPFNSATION AND SB65988 10123/12 10123113 R-Y UWM EMPLOYERS'LIABILITY E.L.EACH ACCIDENT $ 500,000 C ANY PR0fMrT0RfARTNWEtEWMflE - - OFFICE RN11IMSER EXCLUDED? E.L.DISEASE-EA EMPLOYEE S 500,000 It Yea,aawrita ond- E-L.DISEASE-POLICY LIMIT:. g 500,000 NPr4t PRDYI�ONB below OTHER: DESCRIPTION OF OPERA7IONSILOCATIONSIVEHICLES1EXGLU$tONS ADDED BY ENDOR$ ME SPECIAL PROVISIONS CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE D .CRIIIED POLICIES HE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, ISSUING INSURER WILL ENDEAVOR TO MAII.'10 DAYS WRITTEN NOTICE TO THE C ICATE HOLDER NAMEr7 TO THE LEFT.BUT FAILURE T CATALDO BUILDERS 00 SO SK ALL IMPOSE NO OBL16 ON OR t1AMLITY OF ANY IQ ND UPON THE INSURER,IT'S AGENTS OR REPRESENTATIVES. 608467-115S AUTHORIZED REPRESENTATIVE AtterrNon: QE AGORD 25(2001108) Cer iftelte tl 11600 d,1 ACORD CORPORATION 1988 f-eb1U13Uy:1Ua Vlennon afrora�ar�� N.c . �� ® � DATE(ININrDOrYYrYI CERTIFICATE OF LIABILITY INSURANCE r2/13/2213 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER THIS -RTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES .GLOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACY 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 acquire an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s)- PRODUCER NAME CT Cri.stina T. Edmund Garrity 6 Co., Inc. PHONE' (6�?)354-�4G4D �x _L627135d-5B28 545 Caacord Ave. RlEcristina@garxity-insursnce.oam INSURER(S)AFFORM4000VERAGE NAIC¢ Cambridge MA 02138 INSURERAMcLln Street America ASSuian.ce 29939 INSURED INSURERS:Trayelers IndemrtitY CO CT STG CKWSTRUCTION INC INSURER Associated Ewloyers. Ins Co 2 SPIMRIFT LN INSURER D INSURER E:. BUZZARDS BAY MA 02532-3598 INSu R COVERAGES CERTIFICATE NUIMBER3MSTeR 2013 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. NOTbVLTHSTANDING ANY REQUIREMENT,TERM OR CONDITIONOF ANY CONTRACT OR OTHER DOCUMENT WITH'REEPECT 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. 1N3 SUBIR .-. PbLICYEFF POLICO LIMITS TYPE OF INSURANCE POLICY NUMBER MM7DD GENERAL LIABILITY EACH OCCURRElN $ 1,000,000 17 X COMMERCIAL GENERAL LiA81UTY PREMISES Ee i rrm e. S 504,000 A CLAIMSAAADE [i]OCCUR T31fi6F 114/2012 /14/2013 MED DTP(Any me Persa+l $ 10,000 PERSONAL.&ADV INJURY b 1,000,000 GENERAL AGGREGATE S. 2 AID D,000 GEN'LAGGREGA.TELIMITAPPLIESPER. PRODUCTS-COMPIOPAGC S 2,000,000 $ POLICY ?RO-JECTLOC S AUTIDMOBiLE LIABIL.try - COMBINED IN LE LIMIT 1,0 000 Ea BODILY INJURY(Per person). S ANY AUTO ALL OWNED _X ANTES LED 282L352 1812D12 /8/2013 BODILY INJURY(Pcr accidej S AL 1 X $ NON-OWNED PROPERTY DAMA 4 P.acddent HIRED AUTOS AUTOS 5 5 OOO { Medics!payments. UMBRELLA LIAB OCCUR FACHOCCURRENt:E- $ EXCESS LIAR CLAIMS h1ADE AGGREGATE Tu DED RETr =NTION. C WORIMRSOPENSATION X I. O OM R AND EMPLOYERS'LIABIL.r1Y E.L EACH ACCIDENT S 50D ANY PROFRE1ORPARTNERIEX-CU7IVE� NIA 2D14 000 OFFICERNEMSEREXCLUDEW UCC50LOSS8022013 /2/2013 / / E.L.DISEASE-EAPL 500,000 (Mandatary ire NH) li yes,describe ur4m E.L.DISEASE-POLICY LI AIT S 500,000 DESCRIPTION OF OPERATIONS below i DESCRIPTION OF OPERATIONS I LOCATIONS I VEMCLES(Attach ACORD 101,Additional Remarks Schedule,if mare space is required) Description: carpentry- residential detached one or two fstaily dwellings,, thxQQ stories or 1.e411s. Certificate holder is named as additional insured for general liability if so required: by written contract- CERTIFICATE HOLDER CANCELLATION (508)457-1155 dankadarta6omCe3St..net SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE :WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. Cataldo Custom Builders 172 East Falmouth Highway AUTHORIZED REPRESENTATIVE East Falmouth, MA 02536 Garrity/KATNy1 ACORD 25 J20101051 ©1988-201-0ACORD CORPORATION. All rights reserved. ANS025 oninn.51 m Tha ar mn n2mn anti Inn^zw ro.ricMraA mar"Af ar:rwn f DATE(MM/DDNYYY) A CERTIFICATE OF LIABILITY INSURANCE page 1 of 1 09/17/2012 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 -SLOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED _PRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement.A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT Willis of Tennessee, Inc. PHONE FAX c/o 26 Century Blvd. . 877-945-7378 888-467-2378 P.O. Box 305191 E-MAIL certificates@willis.com Nashville, TN 37230-5191 INSURER(S)AFFORDINGOOVERAGE NAIC# INSURERA: Zurich American Insurance Company 16535-005 INSURED MAP Installed Building Products INSURER B: Cincinnati Insurance Company: 10677-001 165 State Rd. INSURERC:American Guarantee & Liability Insurance 26247-004 P.O. Box 1309 Sagamore Beach, MA 02562-1309 INSURERD: INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER:18525425 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 DD' SUB wynPOLICY NUMBER POLICY EFF POLICY EXP LIMITS LTRA GENERAL LIABILITY GL0913952706 10/1/2012 10/1/2013 EAA OCCURRENCE $ 2,000,000 X COMMERCIAL GENERAL LIABILITY GETORENTED — ISES(Ea NTEDnce) $ 1,000,000 CLAIMS-MADE�OCCUR XP(Anyoneperson) $ 10 000 PERSONAL&ADV INJURY $ 2,000,000 GENERALAGGREGATE $ 4,000,000 3EN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ 4,000,000 POLICY X PRO- X LOC $ B AUTOMOBILE LIABILITY CAA5878131(NY) 10/1/2012 10/1/2013 COMB(Ea acciINED dent) NGCELIMIT $ 1,000,000 dent) B X ANYAUTO CAA5121545 (CA/ME/WI) 10/1/2012 10/l/2013 BODILY INJURY(Per person) $ B ALLOS SCHEDULED CAA5211284(NH) 10/1/2012 10/1/2013 BODILY INJURY(Peraccident) $ AUTOS AUTOS B X HIREDAUTOS X NON-OWNED CAA5878127(AOS1). 10/1/2012 10/1/2013 perracadent) Lit $ AUTOS ( B CAA5223136 10/1/2012 10/1/2013 $ C X UMBRELLALIAB X OCCUR AUC931420601 10/l/2012 10/1/2013 EACH OCCURRENCE $ 10,000,000 EXCESS LIAB CLAIMS-MADE AGGREGATE $ 10,000,000 DIED I RETENTION$ $, A WORKERS COMPENSATION WC913952606 (ADS) . 10/1/2012 10/1/2013 X u- H- AND EMPLOYERS'LIABILITY A ANY PROPRIETOR/PARTNER/EXECUTIVEY/N WC913952806(WI) 10/1/2012 10/1/2013 E.L.EACH ACCIDENT $ 1,000,000 OFFICER/MEMBER EXCLUDED? N N/A (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ 1,000,000 f yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 1,000,000 B Excess Automobile XS1154851 10/1/2012 10/1/2013 $4,000,000 . Excess of $1,000,000 underlying automobile DESCRIPTION OF OPERATIONS!LOCATIONS/VEHICLES(Attach Acord 101,Additonal Remarks 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 ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE CATALDO CUSTOM BUILDERS 172 EAST FALMOUTH RD EAST FALMOUTH, MA 02536 Coll:3859379 Tpl:1515199 Cert:185 425 ©1988-2010&ORD CORPORATION.All rights reserved. ACORD 25(2010/05) The ACORD name and logo are registered marks of ACORD i AW TRAVtLERSJ WORKERS COMPENSATION AND EMPLOYERS LIABILITY POLICY TYPE AR INFORMATION PAGE WO 00 00 01 ( A) i POLICY NUMBER: (6KUS-4927P31-6 12) RENEWAL OF (5KL113-4927P31-6-11 INSURER: ;THE TRAVELERS INDEMNITY COMPANY i 7. NCCI CO CODIE: 11347 I INSURED: PRODUCER: I SHANAHAN DRYWALL AND NOLAN INS AGENCY PLASTERINd LL.0 PO BOX 938 PO BOk 1126 MANOMFT MA 02345 PLYMOUTH MA 02362 i Insured'is A LIMITED LIABILITY COMPANY I � Other work places and Identification numbers are shown In the schedule(s) attached_ 2. The paliby period Is from 11-05-12 to 11-05-13 12.01 A.M. at the Insured's mailing addresm. i I 3. A. WORKERS COMPENSATION INSURANCE: Part One of the policy applies to the Workers Compensation Law of the state(s)listed here: MA i B. EMPLOYERS LIABILITY INSURANCE: Part Two of the policy applies to work In each state listed in Rom!3.A. The limits of our Ilability wider Part Two are: ® ' Bodily Injury by Accident: $ 100000 Each Accident ' a® �® Bodily Injury by Dlsease: $ 500000 Policy Limit j Bodily Injury by Disease: s 100000 Each Employee C. OTHER STATES INSURANCE, Par[Three of the policy applies to the states, If any, listed here: w COVtKAGE REPLACED BY ENDORSEMENT WC 20 oa OGA �a - I , D. Thislpoilcy includes these endorsements and schedules: I a� SEE ;LISTING OF ENDORSEMENTS - EXTENSION OF INFO PAGE 4. The premium for this policy will be determined by our Manuals of Rules,Classifications, Rate and Rating Plans. All required Information is subject to verifloation and change by audit to be made ANNUALLY. I i DATE OF IS�UE: 1 i-02-12 LA ST AISSIGN: MA OFFICE: ORLANDO INDUS AFF 161 PRODUCER: NOLAN INS AGENCY 76F5R 001152 j I i I - NUV/Zb/ZuIG/WrU Ill q1.1 AM CRk NO. r, UUJ i MASSCHIlSO=TTS ASSIGNED RISK POOL REQUEST FOR CERTIFICATE OF INSURANCE j Use this form to request a Certificate of Insurance from an Assigned Risk Pool Carrier Please provide all of the requested inforimation,including the facsimile number(s)of the person or persons to whom the Certificate of Insuranceishould be issued. if this form is fully and accurately completed,the Certificate of Insurance will be issued and distrlbuted by facsimile to each fax number provided below,within two(2)business days of the carrier's receipt. This form may be mailed or faxed to the Assigned Risk Pool Carrier, 7o obtala each carriers contact information refer to the Certificates of Insurance section located int the Producer Community section of the Bureaus website,(www,wodbrria.org). 1. Name,address,telephone number and facsimile number of the INSUR150; 11/28/l2 Name Shanahan Drywall & Plastering; Mailing Address PO 60x 1126 Physical Address � Plymouth, MA 02362 I I Phone (508) 224-674a Fax i I 2. Name,address,telephone number and facsimile number of the CERTIFICATE HOLDER: Name Cataldo Custom Builders i Mailing Address 172i E Falmouth Highway Physical Address E Falmouth MA 02536 I I ' I I i Phone I ( Fax (508) 457-1155 3. Name,address,telephone number and facsimile number of the PRODUCER: i Name Nol�arn SChelle Insurance Agency Malling Address PO !Box 938 Physical Address Manomet, MA 02345 j Phone (50i8) 224-3600 Fax (SdB) 224-3616 j 4. Policy Number,Policy Effective Data and Policy Expiration date If a Certificate ofilnsurance is needed for more than one policy term,provide the policy Number, Effective Date and Expiration Date for each policy term. i If the policy has not yet been issued,you MUST attach a copy of the Notice of Assignment i Policy Number 6KdB-4927P316 Effective Date 11/5/12 Expiration Date 11/5/13 i 5. List any special requirements for optional coverages/endorsements(see Page 2 for listing of coverages available In the pool and the conditions of availability)or addtlonal Information(including changes in exposure not yet reported to the carrier)that will assist the carrier in the issuance of the Certificate of Insurance i NOTE: An additional insured(s)shall not be listed on any Certificate of Insuranca unless such additional Insured(')is a named insured on1he policy. i 1 I j I F SP 12 MA(2007101) I I CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) 7/25/2013 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE,DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder Is an ADDITIONAL INSURED, the policy(les) 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 Andrew Roth NAME: Murray & MacDonald Insurance Services, Inc. PHONE , (508)540-2400 f No:(508)289-4111 550 MacArthur Blvd. E-MAIL ADDRESS: @m arothmisi.com INSURERS AFFORDING COVERAGE NAIC# Bourne MA 02532 INSURER A.Hart ford Fire Ins co 19682 INSURED INSURER B:Guard Insurance Group JOE ORES CARPENTRY, INC. INSURERC: PO BOX 661 INSURER D: INSURER E: NORTH FALMOUTH MA 02556 INSURERF: COVERAGES CERTIFICATE NUMBER:13-14 Master 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 INSURANCEADOLSUBR POLICY EFF POLICY EXP LIMITS LTR POLICY NUMBER MM/DD MM/DD/YYYY GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 X COMMERCIAL GENERAL LIABILITY PREMISES f E. occurrence $ 300,000 A CLAIMS-MADE ®OCCUR 08SBAKIS927 /20/2013 /20/2014 MED EXP(Any one person) $ 10,000 PERSONAL&ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ 2,000,000 X POLICY PRO- LOC1 1 $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS AUTOS HIRED AUTOS NON-OWNED PROPERTY DAMAGE $ AUTOS Per accident UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED RETENTION$ $ B WORKERS COMPENSATION WC STATU- OTH- AND EMPLOYERS'LIABILITY TORY LIMITS ER ANY PROPRIETOR/PARTNER/EXECUTIVE Y/N E.L.EACH ACCIDENT $ 500,000 OFFICER/MEMBER EXCLUDED? ❑ N/A (Mandatory in NH) OWC444184 /30/2013 /30/2014 E.L.DISEASE-EA EMPLOYE $ 500,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 500,000 f DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (Attach ACORD 101,Additional Remarks Schedule,If more space Is required) CERTIFICATE HOLDER CANCELLATION (508)457—1155 mwadman@cataldobuilders.co SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Cataldo Custom Builders, Inc. ACCORDANCE WITH THE POLICY PROVISIONS. 172 East Falmouth Highway East Falmouth, MA 02536 AUTHORIZED REPRESENTATIVE Andrew Roth/AJR [f -✓- ACORD 25(2010/05) ©1988-2010 ACORD CORPORATION. All rights reserved. INS025 r2mnnsi nt The Ar_nnn namc and Innn arc rcnicfcrcrl marlrc of Annan TOWN OF BARNSTABLE BUILDING PkRMIT APPLICATION 30o g°'? Map lJ33 Parcel Application # f Health Division Date Issued 3 l Conservation Division Application Fee Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation/Hyannis Project Street AddressAddress ✓ 13 76 i \6-O" Village Owner F�o��C S J . ��5 >; s�e�2. Address J�,3q . ,WO�ru Telephone �Z$ ' A S GI a -ES 0&6-ry S 4 Permit Request i L Z Square feet: 1 st floor:existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay 49100 Project Valuation onstruction Type _, O Lot Size 2` 5 Grandfathered: ❑Yes ❑ No If yes, attach®[ porting;docur entation. Dwelling Type: Single Family b" Two Family ❑ Multi-Family (# units) �. ' Age of Existing Structure d Historic House: di- es ❑ No On Old King's,Highway� ❑Yoh �-N'o Basement Type: ❑ Full drawl ❑Walkout ❑ Other Basement Finished Area(sq.ft.) Basement Unfinished Area (sq.ft) Number of Baths: Full: existing new Half: existing new Number of Bedrooms: existing _new Total Room Count (not including baths): existing new First Floor Room Count Heat Type and Fuel: ctlGas ❑ Oil ❑ Electric ❑ Other Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑ No ' Detached garage: ❑ existing ❑ new size—Pool: ❑ existing ❑ new size _ Barn: ❑ existing ❑ new size_ 'Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes /5-No If yes, site plan review# I Current Use S3 Proposed Use Ci c,�, Win_ - - _ APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name �g ��if�S s� 1nL• Telephone Number Address 139 ��� �� w s! License # G S tl S B S o I� Home Improvement Contractor# ICEZ Worker's Compensation # OcA nz(Z Mt S ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE FOR OFFICIAL USE ONLY `APPLICATION# DATE ISSUED s: MAP/PARCEL NO. j ADDRESS VILLAGE T. OWNER DATE OF INSPECTION: FOUNDATION `{ Ll 13 FRAME ,j INSULATION FIREPLACE 'r ELECTRICAL: ROUGH FINAL _ f PLUMBING: ROUGH FINAL F GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. Department of Industrial�lccidents - Off ce of Investigations 600 Washh;gtoh Street Boston,AfA OZrzr www.m=s.pv/#a . Workers' Compensation hisurance Affidavit: Builders/Contractors/Elecfriciams/Plumbers Applicant Information Please Print Legffily Name(Business%Organizaiion/Indivi : �" : N( �•5 A Scrt. ! ):t1L Address: City/St�te/Zi17: J� I�l .�Z��S Pbnne#. 50 •� �Ze�—l��o Are you an employer? Check the appropriate bog: " Type of project(required7; l Xam a employer with 4. [] I am a general contractor and I employees(fan and/or part-tmie).* have hired the sub-contractors- 6. ❑New.construction 2.❑ I am a sole proprietor or partner- listed on the attached sheet 7. ❑Remodeling shipand have no a Io ees. These sub-contractors have mP y 8. ❑Demolition working for mein any capacity, employees and have workers' 9. Buildin addition . [No workers'eonlp."inFuranCe cornp.insurance.1 ❑ g required.] 5. ❑ We area corporation and its 10.❑Electrical repairs or additions 3.❑ I am a homeflwner doingall work officers have exercised their 11.❑Plumbing repairs or additions Myself [No workers' comp, right of exemption per MCTL 12.❑Roof repairs insurance required.]t c. 152, §1(4), and we have no _employees. [No workers' 13.0 Other comp.insurance required.] ° #Any applicant that checks.box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. �Contractots that cbeck.this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have . employees. If the sub-contractors have employees,they must provide their workers'comp,policy number. I am an.employer that is providing workers'compensation insurance for my employees.• Belaw is the policy and job site information In Company Name: G- Policy#or Self-ins.Lic.# -7�. � � � � Expiration Date: � Q Jab:Site Address: .. City/State/Zip: Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a . fine up to$1,500.00 and/or one-year.imprisonment, as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification I do hereby certi under the pains and es perjury the information provided above is true and correct. ' xSi tore:!"� • . Date: Phone#: 50 FEQfficia -only. -Do not write in this area,to be completed by city or tow:qfficla official n: Permit/License hority.(circle one): Board Health 2.BiuldingDeparbment 3. Citp/Town Clerk 4.Elecpector. 5.Tlarnbing Inspector son.: Phone J" Client#:64WO 2NORRISEB ACORD. CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYV) 01/08/2013 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),.AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT:if the certificate holder is an ADDITIONAL INSURED,the policy(ies)must be endorsed.If.SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT NAME: Dowling&O'Neil A/cNly Ed):508 775-1620 ac,No): 5087781218 . Insurance Agency r E-MAIL ADDRESS: 973 lyannough Rd., PO BOX 1990 INSURER(S)AFFORDING COVERAGE NAIL 9 Hyannis,MA 02601 INSURER A:Acadia Insurance INSURED INSURER B: E.B.Norris 8 Son.,Inc. INSURER C: 138 Osterville-West Barnstable Road Osterville,MA 02655 INSURER D INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE.LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES_ LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. MSRR TYPE OF INSURANCE ADD U POLICY EFF POLICY EXP SR POLICY NUMBER MMIDD MM/DD LIMITS A GENERAL LIABILITY CPA005234523 5/03/2012 05/03/2013 EACH OCCURRENCE $1 000 000 X COMMER61AL GENERAL LIABILITY T RENTED �R Mi��S Eaoxurrence $250 000 _ CLAIMS-MADE a OCCUR MED EXP(Any one person) $5 000 PERSONAL&ADV INJURY. $1,000,000 GENERAL AGGREGATE. $2,000,000 GEN L AGGREGATE LIMIT APPLIES PER: O DUCTS-COMP/OP AGG $2,000;000 POLICY jEa El LOC $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY(Per accident) $ NON-OWNED PROPERTY DAMAGE HIRED AUTOS AUTOS Per accdent $ $ UMBRELLA UAB OCCUR EACH OCCURRENCE $ 4 EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED RETENTION$ ` , $ A WORKERS COMPENSATION WCA021246415 5/03/2012 05/03/201 X WC STATU- OTH- AND EMPLOYERS'LIABILITY _ ANY PROPRIETORMARTNER/EXECUTIVE YIN N E.L.EACH ACCIDENT $5OO OOO OFFICER/MEMBER EXCLUDED? N N I A (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $500 000 ff DESC describe under RIPTION OF OPERATIONS below E.L.DISEASE-.POLICY LIMIT $500,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(Attach ACORD 101,Additional Remarks Schedule,if more space Is required) Insurance coverage is limited to the terms,conditions,exclusions,other limitations and endorsements. Nothing contained in the Certificate of insurance shall be deemed to have altered,waived,or extended the coverage provided by the policy provisions. s CERTIFICATE HOLDER CANCELLATION Town Of Barnstable THE ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 200 Main Street ACCORDANCE'WITH THE POLICY:PROVISIONS. Hyannis,,MA 02601 r AUTHORIZED REPRESENTATIVE 01988-2010 ACORD CORPORATION.All rights reserved. ACORD 25(2010105) 1 Of 1 The ACORD name and logo are registered marks of ACORD #S105139/M105138 LS1 01/29/2013 14:09 15087757877 EBNORRIS PAGE .2 Town of Barnstable. Regulatory Services Thomas F.Geller,Director- Building Division Tom..F Perry-Building Commissioner, 200 Main Street Hyannis, MA 02601 www.town.barnstable •ma.us Office: 508-862-403 8 Fax: 508 790-6230 Property Owner Must Complete and Sign This Section If Using A Builder I. ., Francis J Russell as Owner of the bj su 'ect . property hereby authorize`E.B.:Norris& Son,Inc. 'toactonmybehalf, in all matters relative to work authorized by this building permit application for: 1372& 1376Main Street, Cotuit, MA 02638 (Address of Job) 1-31-13 ,of Date /4iL15 J' RSCtCe.TIZUSTrf Print Name Q;P0RMS:0WNBmRMJSSI0N Parcel Detail Page 1 of 6 io r C.J . - 6wB.KSTAB ti B N Logged In As: Monday, February Parcel Detail112013 Parcel Lookup Parcel Info Parcel 033-024 Developer LOTA1 _ ID Lot ........... ............ � .Pri Location 1376 MAIN STREET(COTUIT) I Frontage 1120 Sec:-- ' Sec Road Frontage Fire -- Village coTUIT COTU IT District' - Town sewer exists at this Road -- --- ----- I address No ( Index' Interactive Map Owner Info Co_; .- ...... Owner!RUSSELL, FRANCIS J TR ( owner IRED HOUSE&BARN REALTY TRUST StreetlC O MOUNTAIN; DEARBORMW&WHIT( (SUITE 800, 370 MAIN STREET - _ ..._- ............ Street2 City;WORCESTER I State! Zip';01608 Country] Land Info , Acres J2.48 Use!Sin Fam MDL-01 Zoning," Oning RF J Nghbd 14 0 Topography[Level'_ � Road 'Paved Utilities Public Water,Gas,Septic I Location Rear Location Construction Info Building 1 of 1 - Year,1870 ___ _I Roof;ble/Hip J ExtWood Shingle Built Struct Wall' Levin ........ . Roof . _.. AC . . - g 12231 JAsph/F GIs/Cmp (None Area Cover Type' --- - Int :_- ............. ._ Bed Style;Colonial Wall Drywall I R00171515 Bedrooms Int -Pi Bath - Model Residential Floor P ne/Soft Wood Rooms l3 Full+1 H Heat Total http:Hissgl2/intranet/propdata/ParcelDetail.aspx?ID=2094 2/11/2013 i I _ Massachusetts- Department of Public SafetN Board of Building Regulations and Standards Construction.Supervisor License 'License: CS 15851 2. CRAIG N ;ASHWORTH ,138 OST W BARNSfi+ABLE 0STERVILLE MA,0265St.� Expiration: 9/28/2013 j Conunissioner' Tr#: 522 • s r � _ - Office of Consumer Affairs and Business Regulation - = 10 Park Plaza - Suite 5170 Boston, Massachusetts 02116 r� Home Improvement Contractor Registration Registration: 102014 Type: Private Corporation ! =3f {f Expiration: 6/30/2014 Tr# 223290 ERNEST B. NORRIS & SON INC Craig Ashworth 138 Osterville W. Barnstable rd. k r a Osterville, MA 02655 >> � f r f y Update Address and return card.Mark reason for change. Address Renewal ,E] Employment Lost Card SCA 1 L;• 20M-05/11 ` (� � T(.00rona0otcverll��a�Ci7�[.cxOJac�[CJeftJ License or registration valid foi:,individul use only �. Oft-ice of Consumer Affairs&Business Regulation ^ OME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: emu-Lt Type: Office of Consumer Affairs and Business Regulation egistration 162014 yp r Private Cor oratior 10 Park Plaza-Suite 5170 expiration:� 6/30/2014 p MA 02116 /- Boston, ERN EST B. NORRIS'&SON INC �ti r Craig Ashworth 138 Osterville W. Barnstable__rd ut signature Osterville, MA 02655 — Undersecretary N valid witho { I ,I DIRECPONS: %' /�/ I, ; ; ♦�.- RrnovM / .-....� �...u. .. ...w.wny an we�° j.)�apo'4 13 8]d'f' . OVER DISTRICT: 3 ' �/''I'J �` �' ♦♦♦♦ ,� �Emlr work np nwrc.r,.w.,r wrwn � f/y /�,' E i I/ ' I 1 �`r---- ♦♦♦ ' J --r .w FLOOD ZONE: bik ] '�; ' SJ97J'jOF /'l _ .rs...r..� �� J.;,/r, i f I- __q___3.9)D2� /' / - . , D�•1 s +n x,su IOCa TION� • �� �I l '-`-__—_ __- �_ _' /-, - - _ - ..... ..-�• �.rvu ASSEssSo..Rm REF. i. mr -------------- _s— _ d yo o p a. _ __ -mrFi°aeo usam Y-_v_ 0°IrmxeJlF'FdJ ---- ------ $0 ------- _- 02tB<6C]PI - .' _ DPROFILE ... �---_ ---, ��1 .'r e - / ` - DEVELOPED PROFILE OF SYSTEM �oA -- '��� Bom o / `r y rroT— WON % � r � - ..J�\ ♦Prep ` - 'I /' �'.... � �'' � / >v-22� ♦P `51�,`wall IN. 'L J63°E, w�s'n;a-'.'.n' r. �rpppa�'Pbrm R wo° • s Ramr ]� DEVELOPED PROFILE OF SYSTEM xorroanuE _ ,Hy so it 0 9 `°° 2„`,',•/I _ .. ;7r $ CROSS SECTION OF CHAMBER ' � rrorrosrwle .. '•W `\ � ( l - -_____ ' .yo�j ��/�/ ''''' � _ o �, �e _ - - "�'♦♦♦` --' buy _ \>� �// �j G,% ��, j .per...°...... ____ -____ _ p� w n.. u.ap rT H - m•N~—r•` DEVELOPED PROFILE OF---------- SYSTEM 888 as xmmsrw�. \� ��'•�' 1 / '�i'/ 'S > J�� PREP.UIED B PREPAFED rM: NviES a / `\ I / ,�' Site Plan Improvments SulhvanEngima'ing,Ina - Robert Segol ,,,;,•^°"�°^ „�,,,,,,•�^°t °'> / Poe We°os ,'t• 15.Harbor Point At grpwl.. E� *— 1372& 1376 Main Street "°" m Key eis°dyne, FL. Barnstable (cotDn), Mass. oA E:Dec.21,2ot2 SMOKE DETEGTORS REVIEWED eJ l ING DEPT. DATE -- FiRc u.r RTtA_NT OATS ---------- c TNO - 0i}i S70!l4i:RES ARE.4EOUIR_D FOR.ERM t - � , I __ -- _: jL----- I a -, � '_ wFm rnaartroaE�rs®As��roioa. muarareaortn axoc•Avsnmwr - - e �_— I. _ E E,Miruv,a aevc�aw[e,rvuY w : t - a raw aro®rn rm�r..r _ - � ; I n• ..mrmrnaan �aoawovu.,svu. ' I I.i'. � -� .. msmrtwra•wsu.•uxv an.avura ,ter.wuu L`_ ----- - J ' --------------------------------------------------- w.r.rwwE�n�mroat...,� QO�G10 • W3 =0 �E`I/1IQ w z �o •. FOUNDATION PLAN. -, ;..._.J / a�aduNad��o r„+nol A-100 a III - I= " is I - I" v •.._ Daum wofeF „mwsmwv 4 omoaxmwa maFstaawr ,a. .m _ — �.- ''I � umrmsrnaon �amTwowuav ..... 1_. © 5 FlA91OtfLLIXhwmw/me'm.t �i 6�� .: .. MamYD(FILIW�t , _ ❑ =am z LU At Br ( aEaa�ammro W _ w.w�arr.rowx�.iaaroeav"mm • ���G�O[, - .caonoonuro.oss+amaaaw.rm �O�`,�QJ __--------------_------____a - n xEw�ncmwexxc,Fsa•.a...ruemam 00 N LLz W ---- - �. _ rn a (00. 00 xo � FIRST FLOOR PLAN er...+�•c - F A-101 _ a -;II - B -jig �� �_•_ a Sic 4 . ,'°" a= w���" :: . .. r .. x�Nxa��Nx.«N�,r,..�x�.:� a s• 3 --f _ •xmwsr Rmm�ma a xuw Na�nNagw - - • ' � �I auamcw �renwNxa I f a Q } W z� I I I su®uox�slacEnm ^U ' W .... .., :... xx xasxvaxu,oimvsvesan x�mn xw,aoNNoC1<0 JG\O� - .caonomx.,oioaxc ._ - ?O �g �narowN�N�,e„w.,N�.,w GO w p O wgN W o_ — N i x . 0 O O - � SECOND FLOOR PUN �...uY o A-102 / 1 �i i -. �miNl1E iWrtAiKx _ �" 1 b � .' a Na•moBYuumrWiEia 1 f ®�MivwELmG sauna I_.' � � 4�t gel, Mx6uwewae;FAv �w,we w W - xEWs vrvsr�m[ - � - - wm�ns�maaESFiiw.iuenuiwx LL K _ F • � ROOF PLAN arwu w•�o � , f A-103 - • " u I � � • ��/v EAST ELEVATION - rx..�r. - - - • .• J - - z LU LU w p� " =p W ___________________________________________________________________________________—- A-200 " � WEST ELEVATION w.i,v-.a - ... 'i �' ovecoxv Ewnx r�cw� ____________ n T z.n�____..__. '.SEEM�ma _ _._..___. -�.I pWEY NAw«Aw4'Simwr —------------------ n_ __ -/7------------------ — muwAiwvvr•mumw a �1 NORTH ELEVATION re �� etas w.ra Z ... J �o W N G ----- ---'r----__ _' ---- - - - - 5 ....... ... ................... WN m Z 00 r �Q W J (W �1 SOUTH ELEVATION _ A-201 ram\ ro..�n,�r,No�ra.w i , 21 SECTIONS w 0 0 r i - Ilia p��\? G i ww iz w - J1,n.�vram..am�rm _ rn rn 1 _ S a A-300 y 2 SECTION A -ti ' ,�: •��aw iccvxwc�ra.anoxm •aa w s -..... �. W Id O GOt' W h.a...,...ow��..m. �N S Z SECfIONO vcu�.ur,a SECTONOw.,a A-301 S Town of Barnstable Building Department - 200 Main Street ASTABLE. * Hyannis, MA 02601 9 MASS 039. . (508) 862-4038 RFD MA'i a Certificate of Occupanc Application Number: 201300871 CO Number: 20140130 . Parcel ID: 033024 CO Issue Date: 10/06114 Location: 1376 MAIN STREET (COTUIT) Zoning Classification: RESIDENCE F DISTRICT Proposed Use: SINGLE FAMILY HOME Village: . COTUIT Gen Contractor: E.B. NORRIS & SON, INC. - Permit Type: RC00 CERTIFICATE OF OCCUPANCY RES Comments: Z2 g. i �o Building Department Signature Date Signed TOWN OF BAkNSTABLE " B_U t i tj 201300871, * BAR PNSTABLE, Issue Date: 03/08/13 e rm i y MASS. �ArFO. A� Applicant: E.B.NORRIS&SON,INC. Permit Number: B 20130469 Proposed Use: SINGLE FAMILY HOME Expiration Date: 09/05/13 [Location 1376 MAIN STREET (COTUIT) Zoning District RF Permit Type: RES.BLDG MOVE/FOUNDATION Map Parcel 033024 Permit Fee$ 250.00 Contractor CATALDO BUILDING CO. Village COTUIT App Fee$ 35.00 License Num 042721 Est Construction Cost$ 30,000 Remarks APPROVED PLANS MUST BE RETAINED ON JOB AND RELOCATE APPROX 1/2 OF THE EXISTING MAIN HOUSE TO A NEW LOftS CARD MUST BE KEPT POSTED UNTIL FINAL ON THIS LOT TO BE REMODELED AS CARETAKER HOME*TEXT! INSPECTION HAS BEEN MADE. WHERE A CERTIFICATE OF OCCUPANCY IS REQUIRED,SUCH---- Owner on Record: PELLETIER,MARY M TR BUILDING SHALL NOT BE OCCUPIED UNTIL A FINAL Address: 3 OXFORD DRIVE INSPECTION HAS BEEN MADE. SHREWSBURY,MA 01545 Application Entered by: JL Building Permit Issued By: •THIS PERMIT,CONVEYSNO RIGHT'W OCCUPY ANY STREET;ALLEY OR SIDEWALK OR ANY PART THEREOF,%EITHER T ORARILY OR E- L NCROA NTS ON�PUBLIC PROPERTY,NO .. SPECIFICALLY PERMITTED UNDER THE BUILDING CODE,MUST BE APPROVED'BY THE JURISDICTION`.`'STREEVOR ALLEY GRADBS AS WELL AS DEP 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 MINIMUM OF FIVE CALL INSPECTIONS REQUIRED FOR ALL CONSTRUCTION WORK: 1.FOUNDATION OR FOOTINGS. 2.SHEATHING INSPECTION 3.ALL FIREPLACES MUST BE INSPECTED AT THE THROAT LEVEL BEFORE FIRST FLUE LINING IS INSTALLED: 4.WIRING&PLUMBING INSPECTIONS TO BE COMPLETED PRIOR TO FRAME INSPECTION. 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. PERMIT WILL BECOME NULL AND VOID IF CONSTRUCTION WORK IS NOT STARTED WITHIN SIX MONTHS OF DATE THE PERMIT IS ISSUED AS NOTED ABOVE. PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS DO NOT HAVE ACCESS TO GUARANTY FUND(as set forth in MGL c.142A). ' iTHIS.CARWSO THAT ISVISIBLE FROM BUILDING INSPECTION•APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS 2 2 2 �1WA�.. 3 1 Heating Inspection Approvals Engineering Dept r—j7-d (oh Fire .pt. _ 2 G y Board of Health s ")o) � �� av� O-AJ .t� b Town of Barnstable Building Department - 200 Main Street t BARNSTABLE, * Hyannis, MA- 02601 F 9q, 16gq. .� (508) 862-4038 '0�'FD MP'�A • .. Certificate of Occupancy Application Number: 201300873 CO Number: 20140129. Parcel ID: 033024 CO Issue Date 10/06114 Location: 1376 MAIN STREET (COTUIT) Zoning Classification: RESIDENCE F DISTRICT Proposed Use: SINGLE FAMILY HOME Village: COTUIT _ Gen Contractor: CATALDO BUILDING CO. Permit Type: RC00 . CERTIFICATE OF OCCUPANCY RES Comments: 4 Building Department Signature Date Signed TOWN OF BARNSI'ABLE �� ' 14 "1 it g .201300873 BARNSTABLE, Issue Date: 03/08/13 P e r m MASS / 639. A f, Applicant: E.B.NORRIS&SON,INC. Permit Number: B 20130467 Proposed Use: SINGLE FAMILY HOME Expiration Date: 09/05/13 Location 1376 MAIN STREET (COTUIT) Zoning District RF Permit Type: REBUILD HOUSE AFTER TEARDOWN Map Parcel 033024 Permit Fee$ 8,160.00 Contractor CATALDO BUILDING CO. . Village COTUIT App Fee$ 100.00 License Num. 042721 Est Construction Cost$ 1,600,000 Remarks APPROVED PLANS MUST BE RETAINED ON JOB AND , BUILD A NEW 4 BEDROOM HOUSE WITH 2 CAR GARAGE AND FULL THIS CARD MUST BE KEPT POSTED UNTIL FINAL FOUNDATION,2 STORIES CHG CONTRACTOR TO CATALDO CUSTOM 1 UMSTION HAS BEEN MADE. WHERE A a CERTIFICATE OF OCCUPANCY IS REQUIRED,SUCH Owner on Record: PELLET,IER,MARY M TR i BUILDING SHALL NOT BE OCCUPIED UNTIL A FINAL v . Address: 3 OXFORD DRIVE' INSPECTION HAS BEEN MADE. SHREWSBURY,'MA 01545 Application Entered by:'JL Building Permit Issued By: THIS PERMIT CONVEYS NO.RIGHTTO OCCUPY ANY STREET ALLEY ORSIDEWALK ORANY PART THEREOF,EITHER TIVORARMY CVE&�Al ENC116ACHMENTS ON PUBLIC PROPERTY NO, SPECIFICALLY-PERMITTED UNDER THE BUII D[NG CODE,MUST BE APPROVED BY THE JURISDICTION' STREET QR ALLEYGRADES AS*WELL-AS DEPTH AND LOCATION OF PUBLIC SEWERS Iv1AY BE � c z OBTAAIED FROM THE DEPARTMENT OF PUBLIC WORKS THE ISSUANCE OF THIS PERMIT DOES NOT iLELEASE THEAPPLICANT FROM THE CONDITIONS OF ANY APPLICABLE SUBDIVISION RESTRICTIONS g:" tr `: , MINIMUM OF FIVE CALL INSPECTIONS REQUIRED FOR ALL CONSTRUCTION WORK: 1.FOUNDATION OR FOOTINGS. 2.SHEATHING INSPECTION 3.ALL FIREPLACES MUST BE INSPECTED AT THE THROAT LEVEL BEFORETIRST FLUE LINING IS INSTALLED. ' 4.WIRING&PLUMBING INSPECTIONS TO BE COMPLETED PRIOR TO FRAME INSPECTION. 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. PERMIT WILL BECOME NULL AND VOID IF CONSTRUCTION WORK IS NOT STARTED WITHIN SIX MONTHS OF DATE THE PERMIT IS ISSUED AS NOTED ABOVE. PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS DO NOT HAVE ACCESS TO GUARANTY FUND(as set forth in MGL c.142A). BUILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL'INSPECTION APPROVALS r 2 /l L O/� 7 2 r -�.4.f._.�L/ �d2_._ 2 F Iv 3" 1 Heating Inspection Approvals Engineering Dept Fire �e t " ' 2 Board of Health ►o)& . 7 South Shore — 0L41: - Duct Leakage Test Form Customer Information: Test Conditions: Name: .e Date: Address: 117 LJM � � --� Time: City: Co'`E i t r e eratu pr (F): a StatelZip: Indoor Temperature� � � © .��_ �� •� Phone: Outdoor Temperature(F): ° L�i, Email: " �ss�' Floor Area 00: ::iLN r System Airflow(cfrn): m Cooling Size(tons): v ,— Building Address:{if different from above), Heating Size(btu): k 170 Street: — Primary Location of City/State: Supply Duchvork: Primary Location of Return Duchvork: S Comments: i t• t LZ k , VCi'v,(Q �?w t' N11105( -,L P 9 8 U v 6 9(9-0 Total Leakage Test Depress Press _O_.utside Leakage Test Depr Test Pressure: to Q (Pa) Test Pressure; (Pa) Baseline Duct Pressure(optional): (Pa) Duct Flow Ring Fan Press Flow Ductjlb;nstalled Flowtng I'an Press Flow Press. a Installed a in Press. a ctm Fan ModeUSN: Results: EEI Fan ModeUSN: 7 Q ( Outside Leakage(cfin): Outside Leakage as% Results: System Airflow: �, Outside Leakage as% Total Leakage(cfin): J ( Floor Arca: Total Leakage as% System Airflow: ��c Total Leakage as% Floor Area: i � 04 Shore Duct Leakage `hest Form Customer Information: Test Conditions: Name: ._.. ryti q tv Date: w Address: 1 7,�11 '�I °'� �,�� l� S�T" Time: �(� %�City, Cc,'rV t`r 1� Li , Indoor Temperature(F); �4 State/Zip: -sr-st— q� OutdoorTemperature(F): 6 sJ' v Phono: --50 P �7� - Email; Rloor Area(if): IG System Airflow(efin): q 9 Cooling Size(tons): Building Address:(if different from above) Heating Size(btu): '70 i�) Street: Primary Location of Supply Duchvork: b Ct 5-e.y�ey* City/State: -9 r _ Primary Location of Return Duchvork: b se Yi ev r Comments: W r^ Letvivctv Ef -Qnv�3b G t k qv a Total Leakage Test Depress Press Outside LeakatYe Test Depress Test Pressure: �(Pa) Test Pressure• (Pa) Baseline Duct Pressure(optional): (Pa) Duct Flow Ring Fan Press Flow Duct Flow Ring Fan Press Flow Press. a Installed a cfm Press. a Installed a cfm 9Q Fan ModeUSN: Results u Fan ModeUSN:_ it 1 Ef� 7�~ �J Outside Leakage(cfm): Outside Leakage as Results: System Airflow: Outside Leakage as% Total Leakage(cfm): Ida Floor Area: Total Leakage as% � System Airflow: Total Leakage as% } f � Floor Area: !-� Shore Duct Leakage Test Form 4 7 r ^4 h Customer Information: Test Conditions: Name: Date:�„e — � l iC'P"Wt ` �Address: l• 7Cc `M City: Time: C(g ru 1 State/Zip; Indoor Temperature M: V • Phone: Outdoor Temperature(F): �7� Email: �> 1,.'�(�� �-''��• ,` �'� Floor Area(ft�: �� (a System Airflow(cm): 0. ?0 O Cooling Size(tons): ro►v Buildine Address:(if different from above) Heating Size(btu): kook -v Street: Primary Location of Supply Ductwork: bQQ eoi eAIT City/State: Primary Location of Return Ductwork: Continents: ip t v ° `s C7 ct t g,n r o f Total Leakage Test Depress Press Outside Leakage Test Depress Press Test Pressure: �(Pa) Test Pressure: (Pa) Baseline Duct Pressure(optional): (Pa) Duct Flow Ring Fan Press Flow Duct Flow Ring Fan Press Flow Press. a Installed a Wm) Press. a Installed a cfm Fan ModeUSN: esults• Pan ModeUSN:D V G rt)•-2] f J 101 {}_4 Outside Leakage(cfm): Outside Leakage as% Results: System Airflow: ' Outside Leakage as% Total Leakage(cfm): C' Floor Area: Total Leakage as% A System Airflow: Total Leakage as% Floor Area: . commolmweafth of Massachusetts Sheet Metal ?erm t . l�ilaparcel �'� Date: o® u ermit# c:�oOJ- Estimated Job Cost: $ EP 17 2014 Permit Fee: $ Plans Submitted: YES/ N®..T, N OF BARNS fkeviewed: YjES NO. o0 Business License# l(? Applicant License# Business Information: Property Owner/Job Location ormation: Name:S%q) TY1 11f N—4 0fA 1) fVIC Namie! Street: ����1 C 1 (� 41 Street: City/Town: 314 h Al r oil k Cityfrown: Telephone: �V `3e7 "�►�� Telephone: 33 Photo I.D.required/Copy of Photo I.D.attached: YES No A J A I )-unrestricted license J-2 I M-2-restricted to dweH' 3-stories or less and commercial up to 10,000 sq. ft.!2-stories or less Y Multi-famil Residential: 1-2 famil . Cando/Townhouses Other Res Y ._.;.� � Commercial: Office Retail Industrial Educational � Fire]inept.Approval Institutional_ Other Square Footage: under 1.0,000 sq.ft.� over 10,000 sq.ft. Number of Stories: Sheet metatwork to be completed: New Work,: Renovation: HVAC Metal Watershed Roofing Kitchen Exhaust System i Metal Chimney/Vents Air Balancing Provide detailed description of work to be done: r • INSURANCE COVERAGE: 1 have a current liability Insurance policy or its equivalent whichmeets the requirements of M.G.-L.Ch.112 Yes zNo"❑ If you have checked Y.01 indicate the type of coverage by checking the appropriate box below: i I A liability insurance poticy (+� Other type of indemnity ❑ Bond ❑ OWNER'S INSURANCE WAIVER:i am aware that the licensee does not have the insurance coverage required by Chapter 112 of the Massachusetts General Laws,and that my signature on this permit application waives this requirement: i Check One Only I Owner Agent ❑ 1 �gnature of Owner or Owners Agent i By checking this box0,I hereby certify that all of the details and information I have submitted(or entered)regarding this application`are true and accurate to the best of my knowledge and that all sheet rrietai work and installations performed under the permit issued for this application will be in compliance with all pertinent provision of the Massachusetts Building Code and Chapter 112 of the General Laws. i Duct inspection required prior to insulation Installation:YES NO i Progress ss InsRections Date Comments 1 Fins ection Date Comments l ' Type of License: ay Master r ale ❑Master-Restricted :A Trown j]Journeyperson Signature of Licensee Dermt# // � rl ❑Journeyperson-Restricted License Number: 'mil w ,eel. _ ❑ Check at www.massaovldDl • lI nspector Signature of Permit Approval i 1we CoMMO nwealth ofmassachasetts De,parftgit of.Industrarrl Aecidents Office Pf Invesiigations 600 Washington Street Boston,MA 02I11 swwivmass gov/dia Workers'ColRipengation Insurance Affidavit:Builders/Contractors/Electricians/Plumbers A vlicantlufor>mation Please Print Legibly Name(Business orgm&atimandividuai): Ah t�v ETA -.Address: J In 21 City/State/Zip - (p Phone_#: ()A Are you an employer?Ch ckthe appropriate bog: -Type of oiect(required):: 1. am a employer with _ 4• 0 I am a general contractor and I 'employees(full and/or part-time)-* have hired the sub-contractors 6. ew construction . 2. _ I am a'sole proprietor or partner- listed on the•attached sheet: 7. ❑Remodeling These sub-contractors have ' ship and have no employees 8. Demolition • working for me in guy capacity. employees and have workers' w [No warkeFs'comp, ce comp,ssurance.t' 9. []Building addition k required.] a 5.❑ We are a corporation and its 10.0 Electrical repairs or additions . '3.❑ I am a homeowner doing all work officers have exercised their 11.❑Plumbing repairs or additions . myself:[No workers'comp. ;right of exemption per MGL 12.0 Roof repairs insurance required.]t c.152,§1(4),and we have no employees.[No work ' 13.0 Other ers comp.insurance regtured.] "An y appIi,-1 that checks box#1 must also fill out the section below showing their wo;lcca'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indira+mg such. #Coatiactors that check this box must attachad an additional sheet showing the uame of the sub-coutractars and state whether or not those entities have employees. If the sub-contractors have c®loyces,they must provide their woric rs'comp.policy number. ]'am an employer that isproyiding workers'compensation insurance for my employees. Below is the palfcy and job site information. t �� Insurance Company Name: Ilk IB 5 ' Policy#or Self--ins.Lic. _ �-_ �„ _ Expiration Date: ____. � Job Site Address: J • ( t tJ C,j Ci /State/Zi . C -V j I� • Attach a copy of the workers'compensation policy declaration page'(showing the policy number and expiration date). raihire.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 51,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.40 a day against the violator. Be advised that a copy of this statement may be forwarded to the Of nice of luvestiggliLms of the D or insurance coverage verification. I do hereby certify u er th pains•and penalties of perjury that the information provided above is true and correct; Signature: Date: Phone#: Offic_ i use only.. Do not write in this area,tb be completed by city or town officfaL City or Town: PermitUcense# -Issuing Authority(circle one): .)..Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: j I AC"REP® DATE(MMIDD/YYYY) CERTIFICATE OF LIABILITY INSURANCE 06/13/14 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must be endorsed.If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement.A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER. CONTACT Aon Risk Services,Inc of Florida Aon Risk Services,Inc of Florida NAME: ' N1001 Brickell Bay Drive,Suite#1100 P E Miami,FL 33131�937 A AIC,No):800-522-7514 AN ADDRESS: ADP.COI.Center@Aon.com INSURER(S)AFFORDING COVERAGE NAIC# INSURER A: New Hampshire Ins Co 23841 INSURED ADP TotalSource MI XXX,Inc. INSURER B: 10200 Sunset Drive INSURER C: Miami,FL 33173 ALTERNATE EMPLOYER INSURER D: South Shore Heating&Cooling Inc INSURER E 57 Whites Path, South Yarmouth,MA 02664 INSURER F: COVERAGES CERTIFICATE NUMBER:831245 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. LIMITS SHOWN ARE AS REQUESTED. INSR ADDL SUBR POLICY EFF POLICY EXP LTR TYPE OF INSURANCE INSR WVD POLICY NUMBER MM/DD/YYYY MM/DD/YYYY LIMITS GENERAL LIABILITY EACH OCCURRENCE $ DAMAGE TO RENTED COMMERCIAL GENERAL LIABILITY PREMISES Ea occurrence $ CLAIMS-MADE OCCUR MED EXP(Any oneperson) $ PERSONAL&ADV INJURY $ s GENERAL AGGREGATE $ GEN'L AGGREGATE LIMITAPPLIES PER: PRODUCTS-COMP/OP AGG $ POLICY PROJECT LOC $ COMBINED SINGLE LIMIT AUTOMOBILE LIABILITY Ea accident $ ANYAUTO BODILY INJURY Perperson) $ ALL OWNED SCHEDULED AUTOS AUTOS BODILY'NJ URY Per accident $ NON-OWNED PROPERTY DAMA E HIRED AUTOS AUTOS Per accident $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DEC I I RETENTION$ WORKERS COMPENSATION X WC LIMITS TU- O R AND EMPLOYERS'LIABILITY Y/N A ANY OFFICE /MEMBEPARTNER/E�(ECUTNE ❑ WC 094184522 MA '7/1/2014 7/1/2015 E.L.EACH ACCIDENT $ 2,000,000 OFFICER/MEMBER EXCLUDED? N/A Mandatory in der(f yes,describe under E.L.DISEASE-EA EMPLOYEE $ 2,000,000 I DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT 1 $ 2,0o0,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(Attach ACORD 101,Additional Remarks Schedule,if more space is required) All worksite employees working for the above named client company,paid underADP TOTALSOURCE,INC.'s payroll,are covered under the above stated policy. The above named client is an alternate employer under this policy. CERTIFICATE HOLDER CANCELLATION Town of Barnstable Building Dept. SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE 200 Main St. THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Hyannis,MA 02601 ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE 010A oi6k eetvice4, Q/zc of oFloldda ©1988-2010 ACORD CORPORATION.All rights reserved. ACORD 25(2010/05) The ACORD name and logo are registered marks of ACORD VI Fold,Then Detach Along All Perforations �-' COMMONWEALTH.OF MASSACHUSETTS III IN I. SHEET METAL WORKERS BOARD Ag MASTER-UNRESTRICTED' SM ISSUES THE ABOVE LICENSE TO. l c DEFOREST {c a TYPE JA�ON. D TH SHORE HYG AND CLG I(n S OU H M1 5� WHITES SAT ' S YARMOUTH MA ;02GG4-1234 +, t 09/28/14 240952 4030 • 240952 . . , Fold,Then Detach Along All Perforations I .�v :Q>COMMONWEAtTH OF MASSAC'HUSETTS:€><:> BOARD:OF "SHEET:;`>METAL ISSUES T:H E FOLLOW NG:`<>LI'C E N'S E,;;;.:; ..A.S:GRI" D DEFOREST .SOUTH SH;ORE.;::i:REAT I NG COOLING I,NC'' y 57 WH I Tf.!`S PATH J UTHN{A 02664 0 z/0 4./];:6 ;'>;: ;:<'' 188086 '1. i �. DIME Tn • BARNSfABLE, • , MASS. Town of Barnstable tit5f4' ��� - Regulatory Services Thomas F.Ceiler,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 Property Owner Must Complete and Sign This Section If Using A Builder 1, o�rnT S�;CL ,as Owner of the subject property hereby authorize wt;tzm p(,CfUxy-, wc- to act on my behalf, in all matters relative to work aud-iorized by this building permit application for: r R8 N S;T CCTut i (Address of Job) Signature of Owncr V Date Print Name_ If Property Owner is applying for permit,please complete the Homeowners License Exemption Form on the reverse side. C;\Users\decollik\Appl)uta\Local\Microsoft\Windows\Temporary Internet Files\Content.0utlook\8R76BDVMEWPRESS.doe- - Revised 061313 x TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map 0 Parcel 0-7-4 Application 4 ✓Health Division Date Issued Sll Conservation Division F Application Fee Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation / Hyannis Project Street Address 1 '3-1 6 f4INJA ,ST Village c"o11k+ T Owner b -r 5E� C- t J ,JIC� Address IS Io�Pz, iSrfnlC � 5 Telephone S C3-S-FB-1133 Permit Request Z24.1 S"r-A L L co, W_De V4A4av+ j-b tJ geb bocl(LS- -nt►� asTpj el WN 11 0F, -3AA-14. :1�;l F CA(1�:- OF C1> Lu 1 i4p C"3s '46TF:_ fft{n1 IWs �.16 Twok5lr4Sl Nd t{t�E Doof-colon.^ Mo`tct1 G: u i-rY,A +-0_k4.JD602S , Square feet: 1 st floor: existing proposed 2nd floor: existing Of proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation Construction Type Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family (# units) 4 i3AaA Age of Existing Structure Historic House: ❑Yes ❑ No On Old King's Highway: ❑Yes ❑ No Basement Type: ❑ Full Crawl ' ❑Walkout ❑ Other Basement Finished Area(sq.ft.) Basement Unfinished Area (sq.ff)- w� Number of Baths: Full: existing new Half: existing ` `j' new Number of Bedrooms: ,b� existing _new Total Room Count (not including baths): existing new First Floor Roorn Count Heat Type and Fuel: ❑ Gas ❑ Oil ❑ Electric ❑Other do s Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑ No Detached garage: ❑ existing ❑ new size—Pool: ❑ existing ❑ new size _ Barn:xexisting ❑ 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 APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name _ I( DD � �1 P_,Ut �Dt� f KC-, Telephone Number Gb� 5 I!33 Address (12 = FALmq4:7Zl-i ffgy License #� J�ttMC1(, 1+ �2 ao Home Improvement Contractor# c{(03 Email t l @C do6&'1 Uk8. (OW) Worker's Compensation # M `5bIq -0 ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE G DATE 'Z3 1 FOR OFFICIAL USE ONLY APPLICATION# DATE ISSUED MAP/PARCEL NO. ADDRESS VILLAGE f OWNER DATE OF INSPECTION: FOUNDATION FRAME INSULATION ,r FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING O 28 by . i DATE'CLOSED OUT ASSOCIATION PLAN NO. ` T 1�ts�`r��s�rrasz�c+ealth o�'�assaetfus�r Deparhaent affidmstri d Accidents V [�,�ce rr,�" estigotiorrs . 600 Wash gtoa Feet Boston,Mt 02LIJ wn'mmasmgmldia r W- - Workers' CrrmpensafiunInsurance#f"idavit:Builders/Contract-ors/Flectricians/Numhers �} pIK-ate InfarmatEion Please Pant Legibly xa=c an_ eACAUM &5-7N = l ' LDt M5 /Nr-- city/statrizip Fkmumt W 02Q(- Phonz 4-7 (l�3 Are you aii employer?Check tleapprapriat� ax:, Type of o'ect r 4.�I am s rloniractar and i 3'i3e �' .i ��I°��`= . L❑ I am a employer with 1 6_ New oems:fr ioa employees(full andlorpart-time)* have hired the sub-contractors. ❑ ❑ I am a sole proprietoir or partner- listed on the attached sheer" y- ❑Remodeling ship and halve no employees - These sub-corthmcters have S. ❑Demolition working for me in any capadtlr. employees and have workers' 9. ❑Building addition [No W ork:ers' oorup_insurance comp_insurame 5. ❑ We are a corporaticnand its 10�]Electrical repairs or additions reTmred] officers have exercised their I I Plumbin repairs or additions 3.❑ I am a homeawner doing all wow ❑ g p myself[No workers' _ right ofen-m- 6 aperMGL 12-EI Reafregans, c-152,§1(4),and we have na insurance required-7 l� . employees_[Na worrers' 13_❑Otfier comp-rn saranm raqu rel-J *Amy spplkmt dut checks box 91=ust also M out the sectioab9owshawing fli irwo$cea'mrmpemsatinaponcyinfr T Homeowners orho submit this sffi&,if in cstmg they are doing sIItTL�C and ffi[m hire ontzide contractors nms#saTomat a nea:s�dacit mX�nt nu rnr1. =Cantmetoa thst check this box mast sttadsed as additionsI sheet dhou-h6-the zmae of the Pib-mar<•radaU and state trhethar ornat thURE edifies have taapLryees. Ifthe snk-contracturs hwe emP1aFaes�fey nmst provide their warkers'camp.PuRLT nimbez lam Belau is fhe pa£icy antd job sFto arrfarmuivaiL ' 0�( Inmx=ce Compaq N;ame:. "v Po1uq#or Self-im Lic-# NAAM J�q-2;2,1 ExPuationDate: e N Job Site Adder l3�b Sf City1'StatelZtg: Affach at copy of the workers'compensation policy declaration page(sh+o�ng the policy number and e3*ation date). Failure to secarecoverage as requiredunder Sectioa 25A o€MGL c.152 can lead to the imposition of criminal penalties of a fine up to$1,500.OD andlor one year impriso as-well as cital 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 maybe iprwarde .to the Office of Intrestigations of ffie DIA for insr4rx m coverage verfficatitn- I do harebp cadify render thepains andponaldes ofgajyurg Mat fha inforrnzat&npraiddgdabava is hua and.correct Date: 1 Phone#: 01k al use on£}'. Da trot write in flds area,fa ba catttgie&d by cif},or town officiaL City or Town: PernritlLicense# Issuing Authority(drde one): 1.Board of Health 2.Budding Department I Cit yltown Glerk 4.EIectrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phony;#: 6 i Information and Tustfuctious Massachusetts General Laws chapter 152 requires all employers to provide workers'compensation for their employees. Pursuant to this statute,au arployee is defined as"...every person in the service of another under any contract ofhire, express or implied, oral or written." An employer is defined as"an individual,partnership,association,corporation or other legal entity,or any two or more of the foregoing engaged in a joint enterprise,and including the legal representatives of a deceased employer;or the receiver or trustee of an individual,partnership,association or other legal entity,employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein,or the occupant of the dwelling house of another who employs persons to do maintenance,construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." MGL chapter 152, §25C(6)also states that"every state or Iocal 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 enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority." Applicants Please fill out the workers' compensation affidavit completely,by checking the boxes that apply to your situation and,if necessary,supply sub-contractor(s)name(s),address(es)and phone number(s)along with their ceri_ficatc-s)of insurance. Limited Liability Companies(LLC)or Limited Liability Partnerships(LLP)withno 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- Be 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 retumed 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!mould enter their self-ksurance 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 th e bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant Please be sure to fill in the permit/license number which will be used as a reference number. La addition;an applicant that must submit multiple permit/license 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 oa file for future permits or licenses. A new 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 bum leaves etc.)said person is NOT required to complete this affidavit The Office of Investigations would lice 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; 1 ephone and fax number. nF Comm orrwWth of Massachusetts Depaltmeat of TFidustdal Accidents ' Q-ffice Qf Xxtves4igatFans 6OG Washin&toa Street Bostoz,MA G21 I I Tel.#617 727-49-GO W 406 or 1-9 -W,�-WE Revised 4-24-07 Fax#617-727- 49 www.uiass gav1dia I Client#:62727 CATALCUIS -ACORD. CERTIFICATE OF LIABILITY INSURANCE FRr M/DDYYYY) 01/31/2014 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 Martha's Vineyard Ins Agcy-ED. N OE: T Sarah Hughes HONE ;508 627-7111 508 627-7851 PO BOX 998 L AIC No Vineyard Haven,MA 02568 ADDRESS: shughes@mvinsurance.com 508 627-7111 INSURER S)AFFORDING COVERAGE NAIC# INSURED INSURERA:Associated Employers Ins Co/AIM Cataldo Custom Builder's Inc. INSURER B; 172 East Falmouth Highway INSURERC: East Falmouth,MA 02536 INSURERD: INSURER E: INSURER F: COVERAGES' CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR ADDLSUBR LTR TYPE OF INSURANCE I D POLICY NUMBER MMIDDnYYY MMIDIDIYYVY LIMITS GENERAL LIABILITY EACH OCCURRENCE $ COMMERCIAL GENERAL LIABILITY FORUM'R EoNccTE D nce $ CLAIMS-MADE OCCUR MED EXP(Any oneperson) $ PERSONAL&ADV INJURY' $ GENERAL AGGREGATE $ OEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ POLICY PRO- LOC AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ee accident, _ ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED AUTOS AUTOS AUTOS BODILY INJURY(Per accident) $ HIRED NON-OWNED AUTOS PROPERTY DAMAGE $ Per accident $ UMBRELLA LIAR OCCUR EXCESS LIAR CLAIMS-MADE EACH OCCURRENCE $ - AGGREGATE $ DED TION$RETEN A WORKERS COMPENSATION $ AND EMPLOYERS'LIABILITY BINDER599221 1/30/2014 01/30/201 X wME OTH- ANY PROPPRIETORIPARTNERIEXECUTIVE YIN OFFICE MEMBER EXCLUDED? � N I A E.L.EACH ACCIDENT $500 OOO (Mandatory In Nnd E.L.DISEASE-EA EMPLOYEE $500 000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE•POLICY LIMIT $500 000 DESCRIPTION OF OPERATIONS/LOCATIONS I VEHICLES(Attach ACORD 101,Additional Remarks 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 ACCORDANCE WITH THE POLICY PROVISIONS, AUTHORIZED REPRESENTATIVE ©1988.2010 ACORD CORPORATION,All rights reserved. ACORD 25(2010105) 1 of 1 The ACORD name and logo are registered marks of ACORD #S533951/M533950 EHS I �� ACORO® CERTIFICATE OF LIABILITY INSURANCE D/13/201/DD/Y 113/ 4 `•-� 4 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT Cristina NAME: T. Edmund Garrity & Co. , Inc. PHONE (617)354-4640 F No.(617)354-5828 545 Concord Ave. ADDRESS:cristina@garrity-insurance.com INSURERS AFFORDING COVERAGE NAIC# Cambridge . MA 02138 INSURERAMain Street America Assurance 29939 INSURED INSURER B:Travelers Indemnity Co CT STG CONSTRUCTION INC INSURER CAssociated Employers Ins Co 2 SPINDRIFT LN INSURER0: INSURER E: BUZZARDS BAY MA 02532-3588 INSURERF: COVERAGES CERTIFICATE NUMBER:KASTER 2013 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 ADDLSUBR POLICY EFF POLICY EXP LTR TYPE OF INSURANCE INSR WVD POLICY NUMBER MM/DD/YYYY MM/DD/YYYY LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 DAMAGE TO RENTED X COMMERCIAL GENERAL LIABILITY PREMISES Ea occurrence $ 500,000 A CLAIMS-MADE 51 OCCUR KP13168F /14/2013 /14/2014 MED EXP(Any one person)- $ 10,000 PERSONAL&ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER:' PRODUCTS-COMP/OP AGG $ 2,000,000 POLICY PRO LOC $ AUTOMOBILE LIABILITY Ea BINEDtSINGLE LIMIT 1,000,000 B ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED BA9282L352 /8/2013 /8/2014 BODILYINJURY(Peraccident $ AUTOS AUTOS ) X HIRED AUTOS X NON-OWNED PROacciPERTY DAMAGE $ AUTOS Per dent Medical payments $ 5,000 UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DIED RETENTION$ $ C WORKERS COMPENSATION R WTOCRY STATU- OTH- AND EMPLOYERS'LIABILITY Y/N LIMITS I I EEL ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $ 500,000 OFFICER/MEMBER EXCLUDED? N/A (Mandatory In NH) CC5010588012013 /2/2014 /2/2015 E.L.DISEASE-EA EMPLOYEE $ 500,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 500,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (Attach ACORD 101,Additional Remarks Schedule,If more apace Is required) Description: carpentry- residential detached one or two family dwellings, three stories or less. Certificate holder is named as additional insured for general liability if so required by written contract. CERTIFICATE HOLDER CANCELLATION (508)457-1155 Jchristenson@cataldobuilde SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Cataldo custom Builders ACCORDANCE WITH THE POLICY PROVISIONS. 172 East Falmouth Highway East Falmouth, MA 02536 AUTHORIZED REPRESENTATIVE W Garrity/KATHYI ACORD 25(2010/05) ©1988-2010 ACORD CORPORATION. All rights reserved. INS025 mmnnsi m Tho ar_non name and Inn^aro roniafararl marlrc of ar`nan ATE . *. O. I 725/CERTIFICATE OF LIABILITY INSURANCE D/25/201/DD/Y ` 3 3 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. ORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(les) 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: Cr1St1Aa T. Edmund Garrity & Co. , Inc. PHONE . (617)354-4640 F iAlcNo:(617)354-5826 545 Concord Ave. E-MAIL AD RESS: g y- m cristina@ arrit insurance.co INSURER(S)AFFORDING COVERAGE NAIC# Cambridge MA 02138 INSURERA:Scottsdale Insurance INSURED INSURER Citation Insurance 40274 Mark Lemon, DBA: ML and Son Construction INSURER C:Hartford Underwriters 30104 490 Pitchers Way INSURERD: PO BOX 423 INSURERE: West Hyannis port MA 02672 INSURERF: COVERAGES CERTIFICATE NUMBERXaster COI 2013 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 ADDL SUBR POLICY EFF POLICY EXP LTR TYPE OF INSURANCE POLICY NUMBER MM/DD/YYYY MM/DD/YYYY LIMITS GENERAL LIABILITY EACH OCCURRENCE S 1,000,000 DAMAGEX COMMERCIAL GENERAL LIABILITYTffff- T E cu PREMEM ISES Ea occurrence S 50,000 A CLAIMS-MADE Fx_1 OCCUR CPS1746423 /7/2013 /7/2014 MED EXP(Any one person) S 5,000 PERSONAL&ADV INJURY S 1,000,000 GENERAL AGGREGATE S 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ 2,000,000 X POLICY PRO LOC $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident 1,000,000 b ANY AUTO BODILY INJURY(Per person) $ ALL OWNED X SCHEDULED BBSTLT 6/14/2013 6/14/2014 BODILY INJURY(Per accident) $ AUTOS AUTOS X HIRED AUTOS X NON-OWNED PROPERTY DAMAGE Pe $ AUTOS r accident UMBRELLA LIAB OCCUR _ EACH OCCURRENCE $ EXCESS LIAB HCLAIMS-MADE AGGREGATE $ DED I I RETENTION$ $- _STATIWORKERS COMPENSATION B051SN280 5/18/2013 5/18/2014 ORYLIMU- OTH- AND EMPLOYERS'LIABILITY Y/N ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $ 100,000 OFFICER/MEMBER EXCLUDED? N/A C (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE $ 100,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LImiT1$ 500,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (Attach ACORD 101,Additional Remarks Schedule,if more space Is required) Certificate Holder is named additional insured for general liability if so required by written contract as it relates to named insured's operations. CERTIFICATE HOLDER CANCELLATION (508)457-1155 mwadman@cataldobuilders.co SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN - Cataldo Custom Builders Inc ACCORDANCE WITH THE POLICY PROVISIONS. 172 East Falmouth Highway East Falmouth, MA 02536 AUTHORIZED REPRESENTATIVE W Garrity/CRISTI ACORD 25(2010/05) ©1988-2010 ACORD CORPORATION. All rights reserved. INS025 r2n1nn51 rrt Tho Annizin nomo onrf Innn arc ronicfarorf morlrc of anno 1 r Ma5sachu5e is -Departmerrt of 4'ubli: Safei:)r Board of Building Regulations and Standards C.un�lrui-Lii)il Sulu•.n'isrr �' t�^� • License: CS-042721 RALPH3 CATALTjO 172 EAST FALMOU IAi I W,,N '- EAST FAMOUTII MA 11I?-5-36; i? w Cnnu+rassinrlel 06/08/2014 ZJI?C I Z 1 -- Office of Consumer Affairs and Business Regulation -= 10 Park Plaza - Suite 5170 Boston, Massachusetts 02116 > Home Improvement Contractor Registration Registration: 144103 Type: Private Corporation Expiration: 9/9/2014 Tr# 229057 CATALDO CUSTOM BUILDERS, INC RALPH CATALDO 172 EAST FALMOUTH HWY f E. FALMOUTH, MA 02536 = Update Address and return card.Mark reason for change. J Address Renewal ❑ Employment Lost Card SCA 1 in 20is-051 1 7 - - %; lac </.uM % I icense or registration valid for individul use only Office of Consumer Affairs& Business Regulation 5 � HOME9 IMPROVEMENT CONTRACTOR before the expiration date. If found return to: —ire istration: 144.103 Type: Office of Consumer Affairs and Business Regulation 10 Park Plaza-Suite 5170 — :Expiration 9/912074. Private Corporation = Boston,MA 02116 CATALDO CUSTOM BUiLDEPS--M-- RALPH CATALDO n 172 EAST FH.LMOUTH HWY E. FALMOUTH, MA 02536 Undersecretary Not val• without signature f - INE - * snxtvsrnat e, • Town of Barnstable ��f0 MA'I s Regulatory Services Thomas F.Geiler,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 Property Owner Must Complete and Sign This Section If Using A Builder I, , as Owner of the subject property hereby authorize Qk7W W-MM i3W CAS to act on my behalf, in all matters relative to work authorized by this building permit application for: 3�?b MAN r. C o-F(kt -r (Address of Job) Signature of Owner 6ate Print Name If Property Owner is applying for permit,please complete the Homeowners License Exemption Form on the reverse side. , C:\Users\decollik\AppData\Local\Microsoft\Windows\Temporary Intemet Files\Content.Outlook\8R76BDVA\EXPRESS.doc Revised 061313 P or, '� ' P �.. � � . X1 12 . I �R l ,L Coll f 296 I '�pc�tf�iy'h�uq � � �• itEpcatE o w'wDew' �,,}l•,Mg E Z •2X6 1ACttl 1 T*itA t Im tim vt 41. i sum, �t 03-17-14;04:-0.1PM;From: To: 15084571155 ; 5088889609 # 11�/, 1� -A-P. INS 'A.LLED BUILDING ]PRODUCTS P-0- BOX 1309 SAGAM RE ElPEACH, MA. 02562 (508� 888-�59.9 (508) 888-9609 Fax Dateaob mpleted: �( � Address offoam : applicatio 1 �M of .Inches spr yed to L4 . Ceiling WaIZ$ `''. .. 2 i Slopes Overhazzg 13smt Ceil �• St�vl -Bleckers & uz�txers Cath Cezl Cath Nulls i-` 1 ee Walls A/H 'Gulls Crawl Ceil Installers Si riatur�: w i f f PRDJ-ECT . . NAME: �- ll S 4 ADDRESS: PERMIT# 1 736 PERMIT DATE: M/P: c le .BARGE ROLLED PLANS ARE IN: BOX 1 1 -cl SLOT Data entered in MAPS program on I TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel 02= Application ,$P(� 7 Health Division Date Issued Conservation Division Application Fee Planning Dept. Permit Fee _4 1 �- Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation / Hyannis Project Street Address / 3 7 6 /Y_4 Village Ca�J Owner ����' S'2 L Address /,? �� dl'1.v�✓ fir• �y ice-' Telephone _Permit Request r-�•�-G� ?� y J� `�L ®a�`� /���lA-�� T04 Square feet: 1 st floor: existing proposed 2nd floor: existing proposed' , Total news Zoning District Flood Plain Groundwater Overlay ,Project Valuation ® Construction Type 5 - •� 4�� G" laj 4a Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family (#units) Age of Existing Structure Historic House: ❑Yes ❑ No On Old King's Highway: ❑Yes ❑ No Basement Type: ❑ Full ❑ Crawl ❑Walkout ❑ Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full: existing new Half: existing new Number of Bedrooms: existing _new Total Room Count (not including baths): existing new First Floor Room Count Heat Type and Fuel: ❑ Gas ❑ Oil ❑ Electric ❑ Other Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑ No Detached garage: ❑ existing ❑ new' size—Pool: ❑existing ❑ new size _ Barn: ❑ existing ❑ new. size_ Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes ❑ No If yes, site plan review# Current Use Proposed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name Co S'-r, . �r��� r`���` Telephone Number Address /, License # �- d Home Improvement Contractor# 'fib g - Email. To'q 08 61�01 DIW(y ODIT • Worker's Compensation # rg-7 L ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO '��A. [ic1 SIGNATURE DATE e FOR OFFICIAL USE ONLY APPLICATION# i Y DATE ISSUED MAP/PARCEL NO. ADDRESS VILLAGE OWNER r DATE OF INSPECTION: ,s .,#FOUNDATIONS. FRAME �fI L oh y P✓�a�^^ INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL r FINAL BUILDING 4 f DATE CLOSED OUT ASSOCIATION PLAN NO. i IKE � Town of Barnstable " Regulatory Services an[txsrnBtE. MAN. Thomas F.Geiler,Director1639. . Building Division Tom Perry,Building Commissioner 200 Main Street,Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 February 3, 2014 Custom Quality Pools Inc. Attn: Robert Bent 16 Wyman Road Billerica, MA. 01821 RE: 1376 Main St., Cotuit, Map: 033 Parcel: 024 Dear Mr. Bent: This letter is in response to application number 201308878 submitted to install an in ground pool at the above referenced address. Unfortunately, the application can not be approved at this time because of incomplete construction documents. As explained in a prior phone conversation, a plan stamped and signed by a Massachusetts professional engineer or architect is needed. The plan should include all structural requirements of design for the pool. Respectfully, L. Kn__ Local Inspector (508) 862-4034 jeffrey.lauzon@town.bamstable.ma.us 'y. The Commonwealth of Massachusetis Department of IndustrialAccidents Office of Investigations ' 600 Washington Street Boston,MA 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit:-Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name(Business/Organizaton/Individual): Cam) S'%C�►✓1 � " ���S. �, Address: �; t�✓ �.., City/State/Zip: �����vf� ,�: Phone#: 477 �9- Cv? 2—V 0 Are y u an employer?Check the appropriate bog: Type of project(required): 1.[ I am a employer with 4. ❑ I am a general contractor and I employees(full and/or part-tie). * have hired the sub-contractors 6. `New construction m 2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7. ❑Remodeling ship and have no employees These sub-contractors have g, ❑Demolition working for me in any capacity. employees and have workers' [No workers'comp, insurance comp. insurance.: 9. ❑Building addition required.] 5. ❑ We are a corporation and its 10.❑Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their 11.❑Plumbing repairs or additions myself. ' right of exemption MGL Y �o workers comp. on per 12.0 Roof repairs insurance required.]t c. 152,§1(4),and we have no employees. [No workers' 13.❑ Other comp.insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. tContractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp,policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: Policy#or Self-ins.Lic.#:_ ��-y ea S G Expiration Date: 2 Job Site Address: / C.� l /.1—✓1� ,rl' C�c7�c " 'L�City/State/Zip:�/���v"h-� d% Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up.to$1,50-0.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify under th at and penalties of that the information provided above is true and correct Si ature: �� Date: z. t Phone#: f2 �a Official use only. Do not write in this area,to be completed by city or town official City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone M 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 or implied,oral or written." An employer is defined as"an individual,partnership,association,corporation or other legal entity,or any two or more of the foregoing engaged in a joint enterprise,and including the legal representatives of a deceased employer,or the receiver or trustee of an individual,partnership,association or other legal entity,employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein,or the occupant of the dwelling house of another who employs persons to do maintenance,construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." MGL chapter 152,§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 enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance. requirements of this chapter have been presented to the contracting authority." Applicants Please fill out the workers'compensation affidavit completely,by checking the boxes that apply to your situation and,if necessary,supply sub-contractor(s)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. Be 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 enter their _ 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 permit/license number which will be used as a reference number. In addition,an applicant that must submit multiple permit/license 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. A new 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 bum 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 Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston,MA 02111 TO.#617-727-4900 ext 406 or 1-877-MASSAFE Fax# 617-727-7749 Revised 4-24-07 , www.mass.gov/dia ---MON OP ID: KM ,�►coRo� CERTIFICATE' 4F LIABILITY INSURANCE °A'031113°"Y"'' 03/13/13 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(les) 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 hotder.in Ileu of such endorsements. PRODUCER NTACT 781-642-9000 NAME: Eastern States insurance 781-A' 4gency, Inc. _3670 PHONE E AX No 50 Pros Street E�AAIL „ Naltham,MA 02453 ADDRESS- CUSTOMERID I:CUSTO-1 INSURERS AFFORDING COVERAGE NAIC Ir INSURED Custom Quality Pools,Inc. INSURERA:Acadia Insurance Company 31.325 P.O. Box 1031 INSURERB:National Union Fire Insurance Billerica,MA 01821 INSURER C INSURER D: INSURER E INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: _ THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAYHAVE BEEN REDUCED BY PAID CLAIMS. _TR TYPE OF INSURANCE INSR WVQ POLICY NUMBER MMIDDTYYYY MMIDDIYYYY LIMITS GENERAL LIABILITY EACH OCCURRENCE $ .1,000,00 A X COMMERCIAL GENERAL LIABILITY CPA 0328206-13 02/01/13- 02/01/14 PREMISES Ea occurrence $ 500,00 CLAIMS-MADE a OCCUR MED EXP(Any one person) $ 10,000 ' PERSONAL&ADV INJURY $. 1,000,000 GENERAL AGGREGATE $ 2,000,00 GEN'L AGGREGATE LIMIT APPLIES PER: a - PRODUCTS.COMPIOP AGG .$ 2,000,000 POLICY FX PRO- LOC $ " AUTOMOBILE LIABILITY (:,COMBINED SINGLE LIMIT $ 1,000,00 ANY AUTO MAA 0328208-13 02/01/13 02/01/14 (Ea accident)INJURY NJURY(Per person) $ ALL OWNED AUTOS - BODILY INJURY(Per accident) $ A X SCHEDULED AUTOS PROPERTY DAMAGE $ A X HIRED AUTOS t (Per accident) A X NON-OWNED AUTOS $ UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 2,000,00 EXCESS LIAR CLAIMS-MADE AGGREGATE $° 2,000,00 4 CUA0328210-12 02/01/13 02/01/14 DEDUCTIBLE $ RETENTION $ $ ._ WORKERS COMPENSATION X WC STATU- OTH- AND EMPLOYERS'LIABILITY YIN _ TORY LIMITS ER 3 ANY PROPRIETOR/PARTNER/EXECUTIVE C005871898 02/01 M 3 02/01/14 E.L.EACH ACCIDENT $ 500,000 OFFICER/MEMBER EXCLUDED? ❑ N I A (Mandatory In NH) E.L.DISEASE-EA EMPLOYEEI$ 500,00 It es;describe under -. DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 500,00 4 Property Section CPA 0328206-12 02/01/13 02/01/14 Contents 9,01 4 Equipment Policy 1CPA0328206-12 02/01/13 02/01/14 Deduct 1,00 )ESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101,Additional Remarks Schedule,If more space Is required) w• :ERTIFICATE HOLDER CANCELLATION EVI DEN- SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE EVIDENCE OF INSURANCE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE O 1988-2009 ACORD CORPORATION. All rights reserved. 1CORD 25(2000/09) The ACORD name and logo are registered marks of ACORD I (305)361-3039 p.1 12105/201:3 OS:22 197$683828$ PUPERT BENT p6a$q P.Oa1/r01 TOWn Of Barnstable r. s'z i Regu4tory Servieem �-- 7 "'um �bama�F:Cr�eir, r DrOding biv7s u Tam Pc9► g Ommis oncr 200 Maas 311%4 JFy=U,MA OR l �*.� tablem.vRs OVVA- .- 50&362-4038 R . Fox 50&-79M230 Property Owner Must = "oraptetc and Sign 'Phis Secxi n rrukWADugder as Ova=of he h-nelaQ aistharize �����.��= � mbjea w acx ray behalf, in xtt aattrss ltls jvc to wWA aext owed by tinsbaulci-ug p it w x.. .(Addms of job) W , **Poatfeuc and alarxus ace the: eSponsimity of applicant_ orals are nor to be ed or utilized brfr&Uce I,s i nsmned d an final inspections petfOs ned a nd acccZ td, a , �aatar`pf tic o£ �- Pj=t Nix" Data Q'.F731ZM�0 Ergll2 . , P x !Y )xclusive Manufacturer of the HYDRAMATIC Hydraulic Swirnnling Fool Safety Cover RE: ASTMS F-1346-91 CERITFICATI'ON To Whom St May Concern, The pool cover fabric used by Aqua-rnatic Cover Systems for.all the safety cover systems consists of a. 16 oz.,.sq. yd, solid vinyl, including a polyester substrata scrim reinforcing layer to enhance tear strength and prevent tear propagation. _ 1 The material used_substantially exceeds ASTM requirements set forth for' safety`covers of the,type manufactured and distributed by this company, ASTM F-1346-91 requirements are as follows; 'The cover and fabric installed on the swimming pool filled to its normal water level shall be capable of supporting the.weight of 485 lbs. This total weight shall be composed,of one 210 lb., one 225 lb., and one 50 lb. weight, each.. distributed over a one square foot area and.all three contained within a three foot radius, The test weights shall be placed at the center of the cover system (or at Least 4.ft., but not to exceed 6 ft,) from the edge of the swimmi.ag pool: The above test shall not cause damage.to allow any of the test objects or the- persons to pass through the cover., The Aquamatic.Cover Systems have,in fact, been independently tested by two testing agencies including Underwriters Laboratories to exceed-th-d above listed standard. Sincerely, Harry) Last, BSME, MBA President dm:hjl Corporate Offices:200 Mayock road,Gilroy,CA 95020 • 800-262.4044 Fax 800-600-7087 Rrarech OfRres:Alhambra.CA • Stcrline.VA - Houston.TX. I $Xciusive Manufacturer of the HYDRAMATIC Hydraulic Swimming fool Safety Cover RE: ASTM F-1346,91 CERTTFICATION To Whom. It May Concern, The pool cover fabric used by Aqua matic Cover Systems for all the safety cover systems consists of a 16 oz. sq. yd, solid vinyl, including a polyester substrata scrim reinforcing layer. to enhance tear strength and prevent tear propagation. d The material used substantially exceeds ASTM requirements set forth for safety covers of the type manufactured and distributed by this company, ASTM F-1346-91 requilrements-are as follows; The cover and fabric installed on the swi,mrriing pool filled to its normnal water a level shall be capable of supporting the weight of 485 lbs. This total weight shall be composed of one 210 lb., one 225 lb., and one 50 lb, weight, each distributed over a one square foot area and.all three contained within a three foot radius, The test weights shall be placed at the center of the cover system (or at least 4.ft., but not to exceed 6 ft.) from the edge of the swimrning pool, The above test shall not cause darnage'to allow any of the test objects or the persons to.pass through the cover: t The Aqua.madc Cover Systems have;-in fact, been independently tested by two testing'agencies including Underwriter`s Laboratories to exceed-the above` -listed standard. Sincerely, Harry J. Last, BSME, MBA President dm:hjl Corporate Offices:200 Mayock Road,Gilroy,CA 95020 80026 29Q49 Fax 804.600 7087 FI rani niFert.Alhambra.CA • 9tcrline.VA • Nougon.TX ' aG V4< 40.8/247.407 FAX 40 /Z4.7.75.40 1 t� c AUT.O..11iM.- C S-A- 'i'XI!►:LM�N.0 1>O0L CO.V R CERT• :FI•CA'1'1-ON "". L - n, LCS® File: #059T303K w U. Date; Tested: May 20, 1993 Date RePOrted; May 2.11 1993 0 specificati-on: , ASTM D-es.ignation: r 13.4.6�91 Z . Tested •Unlit. Bui:li-in, Un-d6r-'Derck-Track,'A I U-16matic Swittaming Pool Covet Syst..eIII St�urcc: M.�i�t�f��cturer: A. -(jt tMu•tic Cover Syst•.ems :w. Address: 44.1 Aldo Avevue, Santa Clara, CA c, s cc �r;Frr�- NCL:L S-tarr:Ja,rcl PerTunti•a,'11 SPeciticIntIOM an:c Y Ln.0 e t t•ta.,g � It.c .ui.rertacii.ts rvr Su•C�ly Covers for Sxvjan�iaiing lrtycxls, +-r =° Sims pjldk 116-t Tubs (ASTAI D•esigo-ati'un. F 134-6491). a 1. SCOPE v Reclp-iremems for•srtfely per ASTMI F 1346-91. z o 2. As.sttr•ted in re:fere -cecl's-tal-Waard, �• As stated in refere-u-ed stet,► lard, z 4• CLASSIF I-CA7'1.ON.S.,& MINIMUM CI.t17'gItIA 44 Power:Safety cow Prouides.a llth level bf safety for ciaildren under the age of five Oy inbibiti,ng•tlaeir aeons$ to the water., 4.1.1• , 1as stated in refereiced stat3clard. .5. A7AT -l"'IS AND AZA•N•VFACTUjjr( Test unit cai aplIds. with the,5.1, 5.2 and 5.3 requirements. i A-Vff3.Al.,, I:C S:V4rI�1I.M.I.N.G IIOOL COVER CERl' z.cn�T�.oN (Page 2 o1'4) ' LCS19 File: #.0.59T31030-1 6. GENE PAL 16GQU-14—B-MEN-'S FOR.SAFM COVERS 6.1 InstallatioulUse of safety-covers. Unit complies with req:uuemeiat, 6.2 Ubel i attached to the cover`meets, acid/or exceeds the .ge4et al rcquirenienIs as required by the 8.5.1, 8.8, 8.8.1 and 81.2 guidelifts. 6.3 IYi~,arluiags for safety covers... 6.3,1 Unit lists ma,iufacturers-naive. Unit comphts with guirl_eline. 6.3.2• . Ujilt lists date manufactured, <unit cornpli.es with,:guid.e-lihe. G 3.3 ' Manufacturer provides his-tructions to consumers toinspect-t e y` cover for premature wear in consumer paaaging, Unit therefore cflinplies, 6.3.4. - Label attaclied to unit w-ects_ the general 'requir•.ements described in 8.4.1, 8.7, 8.7.1, 8.72., 8,7.3, 8;8; 8.8.1 and 8.9. Wit complies with guideline. 6.4. Fasten.-Ing Mechanisms or Devices. - as.tening devices remAi-nad in their intended,secured positions wh;en the test unit was subjected to-tile;,.flat- and perimeter deflection tests performed as called for tinder the 9.1 , and 9.2,guidelines:. Unit complies with all'reduirernents.` 6.5. Openings. No openings were allowed; when tested by the test.method described in 9.4. Test object did not gain access to the water; nor was it subject to entrapment. Therefore, unit complies with this guideline, '6.6. Seams, ties or welds in the cover Mowed no signs of damage when tested by tile ttjethods described in 911, 9.2, 9'.3 laid 9A Unit met all rcgztiretnet�ts undEx tlais.guideline. ' 7, YE IT41t.M.�i,N•CE REQUIRE FOR SAFLrY CoVE,Its Refer to Test Methods as described in the 9.41, 9.2, 9.3 and 9.4 guidelines, .-I-C S�,H, G ItflaL C.OY!4 G.�•RT_ WA7'.f�ONA . {Pg, 3 of 4) BCSO He,: #05,9'00304 8. M.1,M1hI:UA7 LAREL 1EQU1] -LNTS FOlt ALL COVERS u Unit comae ies-.with requirements. 9. MST:1 ZMaQ—D'$ ]FOR SAAFM. COVERS 9.1 StaticcLoad Test. Test Unit Was.-mbiected to 49.0-lbs (.colraposed of one 150-lb, one 1604b and one 180-lb weight)- .Slightly exceeding load required per Standard, Test objects were applied at -two different points (the center point of the.-Cover, and, between.attachment points at a distance of 4.5 feet) and' remained in each test position for a period of S, mhiutes or greater. Although, normal deflection was observed; no passage through ,tine cover was possible. Test Unit complies with requirement. ,. 9.2. Perimeter Deflection Test, Applied 50-lb weight at a.,:tl star ce"' of four-a'1ad-one-half feet from side of pool, Applied 3.6,64b, ellipsoidal shaped test Object, Test Unit die] not allow the test object to pass through,. gahi.. access to, or, be ` s.ubject to en.trapm.e»t between the cover and the side of..tine pool. Test Unit complies wi.th reguirenients. 9,3 Surface Drainage Test. Applied a 36.6.1h. torso'shaped test object in a supine 'position, faceup,at a distance of two-and- , one-half,feet parallel with edge,bf pool. An even water sprayY wad ;applied at a:rate of 10 gallons per minute. After 3 minutes," 111111iMal water collection was observed around lest object, Continued applying water with im unsafe water pooling. After 30 minutes drain time., re-app116d 36,6-lb test object with tiff unsafe amount of water po.0fling. Test Unit con-yli.es with requirements. 9.4 Opemings Test, Applied solid faced-spherical test object With a breadth of 4,5 in. t1t a force Irate of 40-lbs,, ste adily, to the top, surface of tine pool. No all owa.ble•passagmwas observable. Test Unit COLD,plies with requireluen.ts... . . 19, OPERATING CONTROLS, SAFL`"Tl� COVERS . 10.1 Unit cotaiplies with requirements, y 117?.OEM, '1:C S;S'4't: 41XC 1)0 ar. rn-vnmI CC1 TIFIC.ATro�r (14, 4 of 4) , LCS® mile: #:0597'3030-1 10.2 Unit coMpiies.w tli.requir'ealents, I0.3 :Unit conipl-1.0s with redWrernCc1ts. 10.4 _ Pool.cover opera•fng controls. , 110,4.1 C0111-rols•c0alp,ly with.requirem,ents, Uitit com Plies-With.requirenients� 1'0,4.2 Unit co,ciplies with requirements, CQN,CLT. ahoy. _1 Tested-unit has. ra u11 .r.Gyu�i• raeaii -Of'tliisctclut, , UNVTf CO MIPi ATES ' JTI—I A5TM T 1346 91 I 1 Q UI .i,112 N.TS. i." .ed, . • 1 '.� ,. n zz. TM 4 9345.20CKK ' Norlhbrour,,Ip�no�s {Bn;1272-b�oc Melville,Now York,(516) 271-6no Santa OVA,Caliiomia 1(400) 985-2400 Research Triangle Park, Norlh'Qarolina,(919) 549-1400 Un, et-WrI ers LabaraloNes Inc. ' Camas.Washington'.(360) 8174SOo AQUAMATIC COVER SYSTEMS 200 MAYOCI{ RD a cantu.rry of GILROY CA 95020 ptybl(o t:ahclY .. csL i8D4 Your most recent 11sting is shown below, Please rel*?w Chas inloxrnation and rehcarty inaccuracies to the UL Engineering staff member who handled -yvtrrULiroject, WBAH July 14, 1998 . Covers for Swifmmirrg.Pools Attic!Spas AQUAMAJ*�J[ COVER SYSTEMS El13958 (S) 200 MAY- OCK RD, GI DY CA 95.020 Power 346,y ASTM f 134697.Coves, Models 400, 400-U, 550, 550-U, 800, an'd 800•U Ctassified in-Accordante with LO'O-K FOR CLA55hFICATIDN MARKi:NG ON PRODUCT 189553001 Undemriters LiborataliEs InC.® FhI/0345906 For information on placing an order for U-L Listing Cards in a 3 x 5 inch card fa ., pleZS6 refer to the enclosed ordering %nFormatron rn�at, UNDEVNRI•;t' gS:LAajD"'0$M81IN.C, A n.ohlor:profit vcganizati>in ded4led t4 public ealv.:lt+Arid i AVOID. DROWNING RISK *REMOVE COVER COMPLETELY BEFORE ENTRY OF y BATHERS---ENTRAPMENT POSSIBLE. *NON-,SECURED OR IMPROPERLY SpECURED COVERS ARE A,HAZARD. *DO NOT WALK ON COVER EXCEPT IN AN EMERGENCY. *REMOVE STANDING WAFER--CHILD CAN DROWN OIL TOP. OF COVER. ` *EAFLURETO FOLLOW ALL.INSTRUCT(ONS IUTAY RESULT IN INJURY OR DROWNING. � INSPECT COVER PERIODIGALLY FOR WEAR THJS SA1=M COVER MEETS,ASTM#F1346-91 STANDARDS .WHEN USED FN ACCORDANCE WJTH PRINTED INSTRUCTIONS AQI/AMATIC COVER SYSTEMS, 200 MAYOCK ROAD, GILROY,CA 95020_(800)282-4044 INSTALLATION INSTRUCTIONS ENGLISH North America INSTALLATION INSTRUCTIONS NOTICE DE MONTAGE For swimming and other child safety gates,most safety standards specify the ® e for swimming and other child safety gates,most safety standards specify the Le systeme Magna latch peut etre utilise sur les portillons des barriims de protection following minimum height requirements as being from the bottom of the gale: b8owing minimum height requirements above the finished ground/fixing surface: de pkcines primitives destinies b on usage familial ou collectif. 1)latch release knob'F'at minimum 54"(1370mm); 2)fence height of between 48"&72'(1220& 1)hatch release knob,7'at minimum 1500mm(59");2)fence heigbt of between 1220mrn&1520mm(48'&60') •Les harcieras de protection de piscine sent destinies h limiter I'mu6s de to piscine 6 des enfants de madly;de cinq ons. 1830mttc.Alwaoyys confirm these and other requirements with the appropriate pool or safety authorities in your area and install Always confirm these and other 11 irements with[he appropriate pool or safely authorities in your area and install this latch •II est recommande d'tnstallef to harriire de protection b un metre minimum du plan d'eau.Pour les piscioes privatrves this latch in accordance with the local fenre/borrler Codas and regulations.Aka,pool gate must open outward,away from the in accordance with the local fence/bonier codes and regulations.Also,pool gate must oven outward,away fmm the pool,so i usage individual,it est recommande de no pas installer la bartiere crop bin du basin���de no pas perdre I'efficacite pool,so this latch must he filled to the outside of a pool gate.Took:Electric and cordless drills,drill hits,Phillips No.2 screwdriver this latch must be fined to the outside of a pool gate.Took:Electric or tordless drill,drill bits,Phillips No.2 screwdriver(hand& de la hamire. (hand&powered types).Note:H mounting to steel or vinyl with metal inserts,N Is advisable to pre-drill the holes to prevent powered types).Note:For heavy gauge steel sedions H is advisable to predrill the holes to prevent screw breakage. screw breakage. En matibre de barriirm de phedne at aeries bameres de protection pour Ins enfants de mains de 5 am,les normes Installation Procedure Installation Procedure de mmrifinit d'un bomb aane6: - - 11 une bartiire dune houtaw d'au maim 1100 min(la hauteur minimole entry dean points d'appui don 1.The gap between gate frame and latch post must be between s/a°(1 Omm)and 1 Vie"(37mm);3/4"(19mm)k ideal. 1.The gap between gate home and latch post must be between I Oman(3/e°)and 37mtt(1'/i69;19MM(s/4")k ideal. touloun she superieure ou bode d 1100 mm) 2.Determine the location of the hob for Mounting Bracket b measuring u from the bottom of the ate, 2.Determine the location of the hole for Mounting Bracket Why measuring u 1 OSOmm(411/9')from 2)e h syd6me de deuce 61500 m f partir u le 6oumn ie d6veIn zone pluck e A Y A P 9 n9 Y 9 P inns hauteur supbrieure d 1500 cam 6 panic du sal d Yextbrieur de b zone for 54'knob height measure up 363/s"(925mm). the finished ground/fixing surface, protegbe. Place Mounting Bracket'A'on the post as shown,and;using one of the I"(25mm)wafeAead, Place Mounting Bmcket'A'an the post as shown,and,using one of fhb 25mm(I')wafer-head, F For ailleurs,lonque le m ryen d'acris cboai est self-drilling screws,fix the bracket to the post—through the side fixing hole.Now instep two F selfdriting screws,fix the bracket to the post—through the side,fixing hole.Now install two pivotant,I'ouverture doll se One yea more of these strews through the front of the bracket. more of these screws through the front of the bracket. Vext6rieur de to piscine.De bit,In 3.To install Mounting Brocket'B'measure up ham Bracket'A'133/e"(340mm).Mork this point 3.To install Mounting Bmtket'B'mensure up from Bracket'A'340mm 113 3/e"I. serrure Magna-Latch their lire fixee sur and fix as'T above. Mark this point. le cbtb extbrleur de to bardirre. NOTE.for 48'0220mm)fences without an extra NOTE:-high post,this measurement should be For 1110mm(48')fences without an extra-high post,this measurement should be II est imp6ratd de demander mnfirma- 5"(115mm)for 54'(1370mm)knob height from bottom of gate. ,L,A7C[•[ 125mm(57). Lion de ces aeigences et d'ounes museum Se1TUtS Place the Bracket'B'so that the holes are centered on the marked line.fix bracket BODY , Place the Bracket'B'so that the holes are centered on the marked line.Fa bracket VLATCH 6vemuelles auprbs des professionals do using the same screws as per Bracket'N.(NOIE In some appfitafiis 'I may be using the some strews us per Braeret'A'.(NOTE In some applications 0 may be 13ODY In piscine at des Outoril6s an charge de a necessary to add a spacer to clear a post tap.Spacers 51,S2&S3 are for Is a neressary,to add a sparer to door a post tap.Sporers SI,S2&S3 are for this 1`6quipement ou de to skuriti de votre purpose and should be inserted behind the mounting brackets during purpose and should be inserted behind the mounting brackets during rigion at dinstaller cene serrure an insmlla8on.1 installation.) parlaite mnformitb over Ins nomes at In riglementaliom ten vigueur. 4.Take the main LATCH BODY'C'` 4.Take the main LATCH BODY'C'and slide it down onto the HIGH POST Dulls:percouse dectrique ou sans fil, and slide h down onto the Mounting B Mounting Bracket'B',ensuring the rear track of the latch used in some B m ldres,lournevk Phillips No.2(manuc B stint) Bmcket'B',ensuring the rear track of Gt slides over brackets'B,then'A': markets st &dectrique).Note:pour les mom• ® ° UUU...JJJ111 the latch slides over bmckets'8',then'A'. w w E 5.Slide the Latch Body until the lotions of the __ ants an Oder de forte epoisseur,it ral S.Slide the Latch Body until the bottom '_ latch aligns treacly with the lower end of — mnsethlb d'effectuer un pre-pertage des _of the latch aligns neatly with the lower '' latchBrac at'As(sea dashed tie oweTi.Tone '' '' trous,Olin d'bviter de bfiser Ins vls. end of Bracket'A'(see dashed line'VI. acou =E Take the single 3/a°(1 Dmm)counter- v �H ffi the single and secure the Latch Body— N 'w' raH 52 sunk suaw'H'and secure the Latch a= _— Bo DO NOT use a ower or cordless _ A a DO NOT use a power or cordless thin d1— P L to Bracket'A'. 'Plaque L -` drill—to Bmckat'A'. Mouarrwo de montage he PLATE (phl , 6.The final part ro he installed is (PA (f 6.The final part ro he installed is the I� & � n� the STRIKER BODY T'.Note that the °f r i STRIKER BODY'D'.Note that the Striker s (Pt) �Ho eon o+ ' Striker Body slides on a dovetail track A Sz GAP Procedure (p2) t1�Body slides on a dovetail track within _ - � E D ^dl a within the Mounting Plate(PI,P2)and E 3mm c. D the Mounting Plate(PI;P2).NEVER use - 4 g is operated by an internal adjustment _ av U/R') d installation n powered drill to adjust this screw. $ MIKE by BODY scree;NEVER use a powered drill to _ -'' E. 1.Mart enlre le cadre du portil• GB Oh 8 See Diagram T.Lowe the Stoker $ (Gate Stop) - adjust this screw. -L htoca lady assembly onto the post as shown. p See Dioamm'E'.Locale the Striker Body Ian et le montant sur toque)sera F ( tie de is paAe) Position the Sinker Body to obtain a anoints onto the post as shown.Posi- ArouratNG r placee to serrure doit itre compriis g o I/c"(3mm)gap between the lower pad GAP lion the Striker Body to obtain a 3mm Pa1E (�) enire 10 cam et 31 cam,la distarrce 0 8g Boof dy,lotdi an the asshown.Maintain the thisSan and 11 ('/B")gap between the lower pad of a P2) I Hoazome ideals stool de 19 cam. _ ; t 5� gap a w $ the latch and the top of the Striker Body, e p uS��P,U -$ o 6�rt fa hvo 1"(25mm)screws thro h the g E ns shown.Maintain this gap and fix two 2.Marquer 1'emplacement du trou 1 e s'� two main hobs of the Striker Body 25mm IT")screws through the two main _ STRIKER BODY g u" The two,small(cylindrical)dress lit 9 necessaire ou montage de la pane > E plugs hobseitheStrikerBody.Thetwo,small (Gate Stop) supplied should now be pressed into the (cylindrical)dress plugs supplied should o de fixation A 61100 mm du sot fini screw holes. now be rased into the screw holes. ou de to surface de fixation. P Up ham finished rour�ftin surface - 7.a)Open the onto and secure two more screws through the side leg of the Mounting Plate.Note.1(the width of the gate ]•a)Open the gate and secure two A a Visser la pane de fixation A sur - hame is 11/2'(38mm)or greater,follow stop b)... more screws through the side leg of the Mounting Plate.Note:If the width of the gate frame is 38mm(P/2')or greater,follow to cbti du montant de to barriers „ b)With the gate open,adjust the Striker Body using the screwdriver in the adjustment screw.Turn caunterdockwhe'until step b)... comme indique sur to schbma,b('aide de['one des vis ouloperfomntes b life wafer 25 min.Finjr de fixer the two holes are exposed,as in Diagram(P2).Fix the two remaining screws to secure the Mounting Plate. b)With the gate open,adjust the Striker Body using the screwdriver in the adjustment screw.Turn counter-clackwise unfit the 8.Use the screwdriver to adjust the Striker Body to align with the Latch Body,as shown in Diagram T.Open and dose the _two holes are exposed,as in Diagram(P2).Fix the two remaining screws to secure the Mounting Plate. Ili patte de fixation d I'oide de deux aeries vis semblables sur la face avant du montant. Pate to check the latch operates correctly.Adjust as necessary at am/time after installation to ensure safe operation of the 8.Use the screwdriver to adjust the Striker Body to align with the latch Body,as shown in Diagram T.Open and close the gate 3.Pour installer to pane de fixation 8,tracer fine tigne 6125 cam ou-dessus de to pane de fixation A arch.NOTE Future vertical adjustment of the latch inn be achieved by removing.the screw W,sliding the latch Body up or to dhotis the Intclr oparales correctly.Adjust ns neaasary at ony time offer installation to ensure safe operation of the latch. down t t to obtain carried operational alignment then inserting the screw into the appropriate hole. NOTE Future vertical adjustment of thelatch tan be achievedbyremoving the screw'H,sliding the latch Body up or down the (prendre pourpeperd fixation connate de Ill pane de fixation A): les post to obtain correct operational alignment then inserting the strew into the appropriate hole. Postijsci er to pane de ftligne 8 de maniis t b ce quo ai _ hoes soient venires sur to ligne haves,puffs Ill fixer b('aide du mime type de vis quo pour to potte de Svimmmg pool fortes,gmhm and Won armor substitute for adub supervision.If wing the lahh an a swimming pool gee,mmulh all appropriata•lowl Sa'm"ning pool femes,a&%and lathes cannel subaaum for oduh supmumn.if zing[his land,on a suimm'rag pool gets,mmuh OR appropriate had authorigm as 111.1 for safety requlremems. - - forsobry requhemeeh. Tire).tits wa operate properlyanly N InstoUed msd mammined a maordnam with these ImatrwNons. Ilia lards wiD operate property only N Insisdi d sued maintained In oosorda mn with these Instructions., , u� M�ANjE��y(F EM VE KEY FROM KARERU EDo notluhrimie the latch.16tondeum-posed lubrimnh a[any them;use oMyy'powdered graphite M��AI��TNANNCCEER 0 KEY FROM LOCK RUSE.Do not lubricate the lath A ppeholaumhmed luhrhonh at any time;use only powdered graphite., y.• - TnsureEE or ahoretig cene him an Intl release knoh[F7 and latching hots are kept free of sand,im and otherde6ris whits mold lmpptr forth. Ensure all o ore tigtene ire an mlhe salaam knobIn and bating habouslepthesofsans(heamother de6rh which[aunt impair latch:. - - D&DT@Cht101OgleS perfwmonm.Grind or remove any prohud�informs oh.,installation. - padomoma.Grind or remove any protruding fwtenen ohar ImmOoaon. - srrParm,m"ate eerewore + For a downloodabie Adobe timber(.Pon version of our limited LIFEIIMEWARRANIY,' - For a dvwnteaddle Adohe Acrobe EPDR version of our embed UFETIMEWARRANIY, _ AUSTRALIA.Unit 6,4-6 Aquatic Or,trends forest NSW 2086 go to our websim at www.ddtethglobalca go to our websue at wwwrldtethglobol.mm •MSTR MLTP Nerwamedaa 2wt+112 USA:7731 Woodwind Drive,Huntington Beach,CA 92647 • MLINSTR002ePA EUROPE: Nimsimat 1,3531 WR Utrecht The Netherlands. www.ddtechglobal.com - i r INSTALLATION INSTRUCTIONS INSTALLATION INSTRUCTIONS NOTICE DE MONTAGE For swimming and other child safety gates,most safety standards specify the ® For swimming and other child safety gates,most safety standards specify the ®� •Le"once Magna Latch pout dire finish sur les portillons des barderes de protection fallowing minimum height requirements as being from the bottom of Ike gate: following minimum height requirements above the finished ground/fixing surface: s de pkcines privmives destinies n on usage familial ou colledif. 1)latch release knob'F'of minimum 54"IT370mm); 2)fence height of between 48"8 72"(1220& 1)latch release knob'F'of minimum 1500mm(S9");2)fence height of between 1220mm 8 1520mm(48"&6r) •Les barrieres de protection de piscine sent destinies 6 header I'a(ces de In piscine 6 des enfants de mains de cinq ans. 1830mm).Acesaysconfirmtheseandotherrequirementswiththeappropriatepoolorsafetyauthoritiesinyourareaandinstall Akvoysconfirmtheseandotferreguirementswthlheap ropriotepoalorsafetyauthorttiesinyaurareaanditdagihklatch •11astrecommnnded'installorInharderedoprotection6onmitreminimurndupland'eau.Pourlaspiscinesprivatves this latch in accordance with the local fence/barrier codes and regulations.Also,pool gate must open outward,away from the in accordance with the local fence/barrier codes and regulations.Also,pool gate must open outward,away from the pool,so 6 mega individual,it est recommande de no pas installer la barriers trap loin du hassin afin des no pas porcine 1'efOcodte pool,so this latch mud he fitted to the outside of a pool time.Took.Electric and cordless drills,drill hits,Phillips No.2 screwdriver this latch mud be fitted to the outside of a pool gate.Tools:Electric or cordless drill,drill bits,Phillips No.2 screwdriver(hand& de In individual, (hood 8 powered types).Note:H mounting to deal or win yl with metal inserts,ifis advisable to pre-0ri0 the holm to prevent powered types).Note:For heavy gauge steel sections H Itadvisable to pre-drillthe holes to prevent screw breakage. screw breakage. En motiere de barrieres des phdne at ounces bardires de protection pour to enhnR de maim de 5 ans,les normes Installation Procedure Installation Procedure its s6curitb sp6dhenn entre ounces: 1)une barriers d'une hauteur d'au maim I I On rare Oa hauteur minimale antra it points d'appuI daft 1.The gap between gate frame and latch post most be between s/e"(l Often)and 1I/n"(37mm);1/4"(19mm)Is ideal. 1.The gap between gate tame and latch past must be between lgmm)shot and 37men 0'A");19mm 0/41 is ideal. toujours etro superieure ou ode A 1100 cam) 2.Determine the location of the hale for MountingBracket measuring u from the bottom of the ate, 2.Determine the location of the hole for Mounting Bracket b measuring u IO50mm(41 s/e'7 from 2)e h un auteur de deuce a 1500 an Poccu r du snce t 6 Vestn ie r do In zonege place 6 by ti p g A Y A P une hauteur superieure d I S00 cam 6 partir du sal 6 Yexterievr de la zone � F for 54"knob height measure%36s/8°(925mm). the finished ground/fixing surface. protegee. Piece Mounting Bracket'A'on the post as shown,and,using one of the 1"(25mm)wafer-head, Place Mounting Bmcket'A'on the post as shown,and,using one of the 25mm(1")wafer-head, F Par aigeurs,Iarsque le motion d'acces choisi eat self-drilling screws,fix the bracket to the post—through the side fixing hole.Now install two F self-drilling screws,fix the bracket to the post—through the side fixing hole.Now install two pivotant,I'ouverwre dolt se faire vets more of these screws through the front of the bracket. more of these sum through the front of the bracket. Pextecieur de In piscine.De fall,In ' 3.To install Mounting Bracket'S'measure up from Bracket'A'131/e"(340mm).Mark this point p 3.To install Mounting Bra(ket'B'measure up from Bracket'A'340mm(13 s/e'). serrure Magno•catch dolt dire fix6e sur and fix as'2'above. Mark this point 6 cite exldrieur de to bamiere. NOTE:For 48'(1220mm)fences without an extra-high post,this measurement should be NOTE.For 1220mm(48"1 fences without an extra-high post,this measurement should be II ea imperatif de demander(onfim- SeRUre Hon de ces essi eases m d'omres normes S"Place 25mm)for 54"o that the knob heightcantered bottom of rote. LATCH' 125mm(5"). 6ventudles aupres des prefessionnels de Place the Bmcket'B'so that the hulas are centered on the marked One.Fix hearken ropy Place the Bra(ket'B'so that the halm are centered on the marked One.Fa bracket LATCH •In m lications it mo be la picine at des autornes an charge de a be min the same screws os er Braekat'A'.(NOTE. so e a y DY usingthe same screws as r Bracket'A'.(NOTE In some applications it ma A P PD BO Pa — — voice y r'ui ementoudecane seratean y cars SI S28 S3 are for Nns e4 P to o fop.Spacers SI 52 8 S3 are for this � ., necessary h add a sparer to dear a post rap.Spa , necessary to add a spares o post cup pa purpose and should be inserted behind the mounting brackets during purpose and should be inserted behind the mounting brackets during region et d1n rmiI6 cane senora an - installation.) installation.) pedalo mn nano s aver Ica nocm%et I%reglemenmtions ten vigueur. 4.Take the main LATCH BODY'(' 4.Take the main LATCH BODY T and slide 0 down onto the HIGH POST Ounils:perfume dhariqus ou sans fil, and side H down onto the Mounting B Mounting Bracket'1',ensuring the rear track of the latch used in some B meths,tournals Phillips No.2(manuel " B Bm(ket'B',ensuring the feet track of st slides over brackets'B',then W. markets sl &electrique).Note:pour les moni- o the latch slides over brackets'B',then W. ., —o/ ants an offer de forte 6poiseur,it est S.Slide the latch Body until the bottom S.Slide the lnidh Body until the bottom of the '—, latch aligns neat with the lower end of mmeige d hither un pre-pegage des of the latch aligns neatly with the lower Brackel'A'(see dashed line'L').Take — 1 uaus,silo d'6vuer de briser les vis. end of Bracket'A'Isee dashed line'r). the single IOmm(Ve"")countersunk E EE, H Take the single e/e°(IOmm)counter- ® 1!UL. screw N and secure the Latch Body— �\ An sunk urew'H'and secure the Latch 3p I', _ —' A DO NOT use a power or cordless drill H Bo —DO NOT use a power or cordless —to Bracket'A. Plaque drib ro Bmpart'A'• MO LTMTE (Pit Pi n 6.The fiwl part to be installed is — de montage Pt 6.The final part to he installed is the the STRIKER BODY T'.Note that the STRIKER BODY'D'.Nate that the Striker g (P2) u�J 14o Oc�tTa, Striker Body slides on a dovetail track A S2 GAP PrOCedUrB p7) Body fides an a daveta8 track within W s D Ad) within the Mounting Plate(PI,P2)and E r• D the Mounting Plate(PI,P2).NEVER use Q is operated by an internal adjustment 3 4a► I I/R') d I IIStallati0n a powered drill to adjust this xrew. STRIKER BODY screw,NEVER use a powered drill to " L E 1.ricart entre le cadre du porld- G a she See Diogram'E'.Locate the Striker $ (awe Stop) adjust this screw. — t inn at le moniant sur lequel sera $ (blocege de to poste) Body assembly onto the post as shown. d See Dia ram'E'.Locate the Striker Body Position the Spiker Body to obtain a assemb�y onro the pod as shown.Post MOUNTING � pla[ee la serrate dolt ante compris g s/a'(3mm)gap between the lower pad DAP lion the Striker Body to obtain a 3mmPLATE*P2) (�) I entre 10 mm of 37 mm,to distance 4 �$ of the latch and the top of the Striker i/R (y8")gap between the lower part of S �j Non 0 id"sale afoot de 19 cam.Body,as shown.Maintain this gap and $ (lmml the latch and the top of the Striker Body, eDAds6cadfix two 1"(25mm)screws through the g E as shown.Maintain this gap and fix two 2.Marquer 1'emplacement du irou 2two main holes of the Striker Body $ 25mm(1")screws through the two mein o STRIKER BODY netessaire au montage de to patte g E The Iwo,seau�I lnow a pr drew plugs hales of the Spiker Body.The two,smog (Gate Stop) - de fixation A 61100 cam du sal fini suppl'wd should now he grossed into the Irylindrical)dress plugs supplied should screw holes. now be pressed into the screw holes. up cam finise ou de In surface de fixation. 7.a)Open the gate and secure two more screws through the side leg of the Mounting Plate.Nate:If the width of fhe gate 7"a)Open the gate and secure two gma""fiwiRp'"sae Visser In pane de fixation A sur frame is Ph"(38grm)cur greater,follow step 6)... more screws through the side leg of the Mounting Plate.Note:If the width of the gate frame is 3gmm(11/2')or greater,follow le tbte du manlant de to barriers b)With the rote open,adjust the Striker Body acing the screwdriver in the adjustment screw.Turn countertlorkwise until step bl... the two holm are exposed,as in Diagram B Fix the two remaining strews to secure the Haunting Plate. h comma indique sur le schema,6 Paide de Tune des vis autoperforantes 6 fete wafer 25 cam.Finir de fixer )With the gale open,adjust the Striker Body using the screwdriver in the adjustment screw.Turn counterclockwise until the la pane de fixation 6 Paide de deux Duties vis semblables sur to face avant du montant. 8.Use the screwdriver to adjust the Striker Body to align with the latch Body,as shown in Diagram'E'.Open and close the two holes are exposed,as in Diagram(P2)•Fix the two remaining sum to secure the Mounting Plate. gate to check the latch operates correctly.Adjust as necessary at atry time after installation to ensure safe operation of the 8.Use the screwdriver to adjust the Striker Body to align with the Latch Body,as shown in Diagram T.Open and dose the gate 3.Pour installer In pane de fixation B,tracer une ligne 6125 cam au-dessus de to pane de fixation A latch.NOTE•Future vertical adjustment of the latch can be achsevedby removing the screw H,sliding the Latch Body up or to(beck the latch operates correctly.Adjust as neaessaryy at am time after installation to ensure safe operation of the latch dawn llpo t to obtain correct operational alignment,then inserting the screw into the appropriate hole. NOTE..Future vertical adjustment of the latch ran be or loved 6y removing the screw W,sliding the Leith Body up or down the (prendre pour repere la vis connate de ID pane de fixation A). post to obtain correct operational alignment,then inserting the screw into the appropriate hole. Positionner In pane de fixation B de manjere 6 ce qua les ~ irous saient centres sur to ligne troche,puis la fixer 6 Paide du meme type de vis que pour In paste de Swimming ppoouf fens.,out. ad back%cannot sulnift%e for adultsuyervlsba if mine the Won a refocusing pool gate,council all appropriate local Swimmeng pool is—,plus mid latches mmwl wbstiNtefor aduh wpervmon.if est�Ilre latch anasuimmmg pool gate,mnsuh all appropri%e�outhoraiesrap - -` a%hodflus rsuferyrequiremen6 for sablq The hand wig opigoperate properly only H Wm�d ad moimahwd in—,it—with these imfrvollam, ems. r\® The latch wig opesme property only Ifhntsdled and maintained In occmdame with these InstratNons. a MAINiENA AEMOVEK F0.ML ARE EDe not lubricate the lash with paholeum5amdlu6rimnaal any rime;use onto powdered graphite. MAI l ANt� V KEY FROM LOCK USE Do not lubrhale the larch with petmleumhased lubricants at any time;use only powdered graphite. , Fnsore ieww ono ore lhg tens lrm and%t rebore hno6(FT and latching boAamkephlreeolsarid,imondoth%debrkw6'�muUlmpokkukh Ensure olt srmws or o ore fig ten trm a that the mime knob In and lad[ping bah ore kept foe of rand,ire and other debris whidt rould impair latch ND Technologies puts,._Grind of remove any protruding fmhaers chat tmipRlfion. tomformanm.Grind or remove OR pretrasBng fostenen after immBeNon. nFaenorma"ce Hereware For a downbadable Adobe Acrobat unn version of our limited LIFETIME WARRANTY, For a dandomtabb Adobe Acrobat(.PDF)version of our HmDed LFETIME WARRANTY, AUSTRALIA.Unit 6,4-6 Aquatic Or,Frerichs Total NSW 2086 go to our welaite at www.ddlechglohaLone go to our website of wwwAdteshglobal.mm •msm MLm Normam"rtea 2e111112 USA:7731 Woodwind Drive,Huntington Beath,CA 92647 MUNSTR002sPA EUROPE: Resistant 1,3531 WR Utrecht,The Netherlands. www.ddtechglobal.com I 80�Walpole Outdoors. e; ® Clearance fence&gates pergolas&arbors buildings&enclosures mall&lantern,posts furniture exterior home decor garden decor wooden playsets&games • - k fence Back to Fence Chillmark v SKU:Chillmark f� A Securityand privacyneed notcome at the expense of a stylish,appealing Board Fence."V'groove board with joineryis 5 518".Rails are square edge.Mortise z j and Tenon installation.This standard Chillmark features �Alf- n� ' additional Westport post caps. M*A1 � Chillmark��r�� I/Y_ �° x i1d... Due to the many options available in our custom designs and shipping or installation complexities,we are unable to oflbrthis produd online.Please cell 800-343-6948 and we Wilbe delighted to be ofservice. /�/ ��� g♦1 0 O SHRRE V 121 ©2012 Walpole Woodworkers.All fights reserved.Call 800443-6948 Walpole Woodworkers Products Store locations I c About Contact exterior horre,decor garden decor California Connecticut Request Catalog Sitemep mad&lantern posts furniture Florida Ivfassachusetts Customer Service Partnerships buildings&enclosures fence&gates Maryland New Hampshire 6rployment Press Releases pergolas&arbors wooden playlets& New Jersey New York Privacy Policy Blog games Ohio Pennsylvania Copyright Notice Content Glossary Rhode Island South Carolina Cad 800-343-6948 Virginia r Fences Types: Fence Use: Fence Materials Picket Fence,Chain Link Fence,Board Fence,Lattice Garden Fence,Privacy Fence,Pool Fence Wood Fence,Vinyl Fence,Metal Fence,Wrought Iron Fence Fence Gate Types: F Gates Lisa: Gate Materials: Driveway Gates,Automatic Gates,Walk Security Gates,Entry Gates,Decorative Wood Gates,Vinyl Gates,Metal Gates Gates, Entrance Gates Gates,Wroughtkon Gates Pergolas: Buildings&Sheds: Window Boxes Woad Pbrgolas,Vinyl Pergolas,Shade. Guest Houses,Fool Houses,Wood Sheds Wood Window Boxes,Vinyl Window Boxes Pergolas,Garden Pergotas Lantern Posts: Mall Posts:. Planters Wood Lantern Posts, Vinyl Lantern Posts Wood lvfaiiposts,Vinyl Maiposts ' Wood Planters,Vinyl Renters Arbore': { Outdoor Furniture: Railings Wood Arbors,Vinyl Arbors, Garden Arbors Patio Furniture,Cedar Outdoor Furniture,Teak Outdoor Wood Railings,'Vinyl Railings,Metal Railings 'furniture,Seasida Casual Furniture Playsets&Games Wooden Playsets , 1EY-A 6 ILYA o AFA Roofing ( Walling Patios I Carports Aluminium Pool Fencing Fencing Garden and pool fencing with simple,clean and stylish lines.Available in black and cream colours. Garden Sheds Aluminium Pool Fencing is easy to install and is Garages constructed from long lasting,rust free aluminium = ?l 1 that is strong yet light and easy to transport. Rainwater Tanks Solar Hardware Flashings Steel Framing `,;, Stainless Steel X✓ Mining t Product Info Aluminium Pool Fencing seemb site Privacy I Terms&Conditions , �t Simple Clean and Stylish Pool Fencing Aluminium Pool Fencing features clean and simple lines.It is available in two stylish designs:flat top and loop top (check with Stratco for availability in your state).And in two popular colours:black and cream.Aluminium pool fencing is the ideal way to add style and safety to your pool or garden area. The panel dimensions are 1200mm high by 2450mm wide. Complete your aluminium fence with a 970mm wide aluminium fence gate. ' a i n n q Inn In n/n n r) .r • - � ,� , �� it Flat Top r Loop Top A , r Aluminium Fe i Aluminfum is strong and durable yet light and easy to transport and install.Perfect for use around pool areas and in the garden,aluminium is long lasting and rust free.'Aluminium fencing is designed to meet Australian Standards and is approved for use as pool fencing. Simple to install,Aluminium Pool Fencing arrives in pre-made fence panels that attach to aluminium fence posts.The posts can either be installed in-ground or ordered with a base for installing above ground. J T re n ary serviv s. '��s.F< ei1�rII�e=ectdir '�0�t�s:Pcrry.OBp ��.1td�g i�onom�s©ner• 200,Mwn,Strcv; HYMMis.MA 02601 Vvwwm'iowu.bar�s�rble;ma us . . .. ....... ..._ Officet 50&962..039 Fax: 508-790-6230 rr� ey tamer Must CmMpl >+ d Sign Thii s Section If Using-A Builder ' Omer of the S*Cct property IN hereby On _he�lre ' _. ' to ace Oil MY behalf'. in all.matters relative to work authorized by thistbuildingP=Ut applicatiesn for. .(Addzess ofJ+ob) S.*nature of >wrier Date Print Name 1 If Prop"Owner 6,aARWorprue;pim trsT �� vsempn�oSf cm owea rm:on tine reverse side: C:\U!om\dep.ollik\APPDato\Loca]\MwowftkWindo"Tetnpmvay ImerM Fi—TontmtQddookkOR7kBDVAWXPms.dm Revised 061113 f Office of Consumer Affairs and useless Regulation z 10 Park Plaza Suite 5170 Boston,Massachusetts 02116 Home Improvement Contractor Registration Registration: 105084 Type: Private Corporation Expiration: 7/16/2014 Tr# 227 , CUSTOM QUALITY POOLS.INC Robert Bent ' s PO BOX 1031 Billerica, MA 01821 = }( Update Address and return card.Mark reason for change. n Address n Renewal Employment Lost Card pp$-CAI a 50M_(W04-G101216` '. �� v.✓I on License or registration valid for individul use only � office o- nsnmer airs ess egn before the expiration date. R found return to: HOME IMPROVEMENT CONTRACTOR a . e office of Consumer Affairs and Business Regulation Registration: ,:105084 »'.Type: 10•Park Ptaza-Suite 5170' '. Expiration: 7t16/2014 - Private Corporation Boston,MA 02116 FwF C M QUAUTY PQOL INC: Robert Bent - 1 16 Wyman Road _ ' Not valid without signature Billerica,MA 01821 "Undersecretary ,}: g�> Massachusetts -7eoartmen*of Pubt,c Saf�tyt uiatians.and Standards. > j 'w Board of BuildEna:'1�e9. �t�I1SYTUC[it�!?6�Uper%i'wr License:CS•040192 »- _. ROBERT ABENT- , pO BOX 1031 J01821 t s J.G•-•� 01/10/2015 _0mmissioner„ r i � + � o(\l'a-I Liberty TOWN OF RARNSTABLE SURETY 213 OEM 1 `1 2: 119 NOTICE OF CANCELLATION AND/OR TERMINATION CERTIFIED MAIL-RETURN RECEIPT REQUESTED December 2,2013 Town of Barnstable 200 Main Street Hyannis, MA 02601 Bond Number: 601050817 .-A Cross Reference: Principal: E.B. Norris&Son, Inc. Present Penal Sum: 632 USD Bond Description: Construct a Single Family Home at 1376 Main Street Cotuit, MA 02635. 158 foot frontage. Original Effective Date: s February 12, 2013 .p Cancel Date: December 11,2013 We hereby cancel the above referenced bond in accordance with the cancellation/termination provisions contained in tfie bond. If, for any reason,the effective date of this Notice does not fully comply with the cancellation/termination provisions contained in the bond,then this Notice shall be deemed amended to contain the earliest effective date which is in compliance with the provisions of the bond. REASON: Bond No Longer Needed . Cancellation Reason Comments: Principal is no longer the contractor for this job REPLY TO: The Ohio Casualty Insurance Company Boston P�tv wsoq 20 Riverside Road yo`pPP°Rql 9y Mail Stop 03AN BY: 1919 Weston, MA 02493-2281 %yF �W o 800-647-1113 Fax: 866-547-4882 ° SRAM? dad Timothy A. Mikolajewski �yl Assistant Secretary-Liberty Mutual Surety Co Obligee, ,, ❑ Principal , r ❑ Producer ❑ Home Office E.B. Norris&Son, Inc. "138 Osterville-West ""€' " ~ 'CAW Underwriting- ❑ Underwriting Office Barnstable Road Osterville, MA 02655 4/ \Q (// Poe ti LMIC-3200 T M.A.P. INSTALLED BUILDING PROD 2013 §f: tf 2� 7: ; 9 A.O. BOX 1309 CJCTS SAGAIVIORE BEACH, MA. 02562 _ (508) 888-3599 pTii - ra (508) 888-9609 'ax E Y a- Date job completed: !f Zo 1 Address of foam ap lication•p • �372- -/3 7 Inches sprayed in: a c Ce11i y 0 ' ew, ng s.s r-- .gig Walls 3,r R Slopes_ Overhang ---�_ Bsrnt Ceil. Stwl Blockers & Runners C1th Ceil .. Cath Walls_ Knee Walls t —A/H Walls Crawl Ceil Installers Signature: o� �i'�Kill3 REFERENCES: Main 33' Wide — County Layout) Street Assessors Map: 033 N 27'59'00" E - Parcels: 024 & 046 52.36' 70.00' / ZONE:RF Setbacks: Front: 30'm in Side: 15'min Rear: 15'min 179.0' v (.07-7 m (,� \ N OD \ w Former NOTES: :.Metal Shed 18.1' ` 1.) The structures shown were IQcated on i .c� the ground by conventio I surveiq: r methods on 13/MAR/13 and 29/-�UG73. 2.) The property line information shown hereon was compiled from available New Concrete 1 Sty w/f record information. Foundations Barn �DO 3.) This plan is not for recording and is not to be used for construction layout or o \Former House deed description purposes. cation s i j rt m 19.0' rn O - v TOF I certify that the rt EI=21.3' v o foundations shown hereon .• �376 m conform to the setback w requirements of the Zoning rn ................. G Bylaws of the town of o TOF Barnstable. o : EI=20.8' Lot Al Area Summary 99,516±SF Upland 8.5636±SF Wetland RICHARD R. .� O 108,079±SF — 2.48±AC Total L'HEUREUX (Per Plan) NO. 34312 �o 0 1 P 1 � O o z#S PLOT PLAN FDoAt 1372& 1376 Main Street BARNSTABLE, (Cotuit) �' FFMA co MASS. DATE:30/AUG/13 SCALE: 1"-60' _ \ 0 15 30 45 60 90 120 FEET w 7 �8, PREPARED FOR: Robert Segel ` 15 Harbor Point `. Key Biscayne, FL Nantucket Sound PREPARED BY: CapeSury 7 Parker Road Osterville MA 02655 DWG #: C490_1 gl PP1 FIELD BY. WHK/JVBJ (508) 420-3994 / 420—,3995fax o ehh3 REFERENCES: Main (33' Wide — County Layout) Street Assessors Map: 033 N 27'59'00" E Parcels: 024 & 046 it- 52.36' 70.00' / ZONE:RF Setbacks: / Front: 30'm in cn Side: 15'min NT Rear: 15'min 179.0' v LO N O 0U40 .0 ` V 00 ZE \ Former \ NOTES: ........... Metal Shed 18.1' 1.) The structures shown were located on the ground by conventional survey methods on 13/MAR/13 and 09/APR/13. 2.) The property line information shown New Concrete 1 sty w/f hereon was compiled from available Barn record information. Foundation C00 #1376 3.) This plan is not for recording -and is not to be used for construction layout or 0 o deed description purposes. rt\ Former House Location 0 0 rt .......... - y zr ., cn I certify that the foundation =� rt shown hereon conforms to the setback requirements of w the Zoning Bylaws of the ....................................... : town of Barnstable. o � W OF 414 ;I Lot Al Area Summary 99,516±SF Upland RICHARD R. 8.5636±SF Wetland 108,079±SF — 2.48±AC Total L'HEUREUX (Per Plan) NO. 34312 4 JOT \ -P \ O) 1 00 N 1 \ o o 2#S1 PLOT PLAN F At 1372& 1376 Main Street BARNSTABLE (Cotuit) lt4e4 V, V MASS. DATE:31/JUL113 . SCALE: 1"=60' \ 0 15 30 45 60 90 120 FEET 4. w\ >1 lg3�8, PREPARED FOR: Robert Segel ` 15 Harbor Point Key Biscayne, FL' Nantucket Sound PREPARED BY: CapeSury Parker Road Osterville MA 02655 DWG #: C490_1gl PP1 FIELD BY. WHK/JVBJ (508) 420-3994 / 420-3995fox TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map ft); Parcels v 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 Village 6A w�l Owner / Address Telephone Q�` �2�- /�S C� , r, S 4 Permit Request be V L (ZS C,_ Se u,,� S d Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation �� Construction Type Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family(# units) Age of Existing Structure Historic House: ❑Yes ❑ No On Old King's Highway: ❑Yes ❑ No Basement Type: ❑ Full ❑ Crawl ❑Walkout ❑ Other . -= Y: Basement Finished Area(sq.ft.) Basement Unfinished AreZZ �.ft) ' " Number of Baths: Full: existing new Half: existing "new - Number of Bedrooms: existing _new Ca M N Total Room Count (not including baths): existing new First Floor R om Count . Heat Type and Fuel: ❑ Gas ❑ Oil ❑ Electric ❑ Other Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing woo /coal stye: LF'es 0 No Detached garage: ❑ existing ❑ new size_Pool: ❑ existing ❑ new size _ Barn: ❑ existing ❑ new size Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes ❑ No If yes; site plan review# Current Use � °^ Proposed Use APPLICANT INFORMATION :1 (BUILDER OR HOMEOWNER) Name ©��-'�� �� t Telephone Number ..` � Address 139 �r> � p License# Home Improvement Contractor# Worker's Compensation # wa ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE a FOR OFFICIAL USE ONLY APPLICATION# ,+ DATE ISSUED MAP/PARCEL NO. , ADDRESS VILLAGE : OWNER DATE OF INSPECTION: FOUNDATION FRAME s INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL r PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT ' r ,. r z ASSOCIATION PLAN NO. 01/29/2013 14:09 15087757877 EBNORRIS PAGE 2 ' e Town of Barnstable. Regulatory Services WAM Thomas F.Geller,Director ` Building Division Tom. F Perry-Building Commissioner 200 Main Street Hyannis; MA 02601 - www.town.barn stable •ma.us , Office: 508-862-4038 Fax: 508-790-6230 y Property Owner Must " Complete and Sign This Section if Using A Builder 4 F - i. Francis Russel, Trustee,as Owner of the subj ect property hereby authorize E.B.Norris& Son.Inc. toactonmybehalf; in all matters relative to work authorized by this building permit application for: 1376Main Street Cotuit MA 02638 (Address of Job) t 1-29-13 IP Hof'.115we11r Date f �JSStCC.-aLSTFf. - Print Name i acts: ?A, 901_ 11q s Q o I w ...--- ...-_.. _._..._.-_._..-._.................__......:.._-._................. ..._.........._.._.............._.._......_......___.._.. Mary W.Pelletiers as Trustee of the Pellatier lenity Trust,under Declaration of Trust dated June 18,2002 and recorded with the Barnstable County Registry of Deeds in Book 15296,Pago 152,and)Richard MCCowan,David McCowan,and Debra Tarpey,as Trustees of the McCowan CotWt' rust—1992,under Declaration of Trust dated December 30, 1992 and recorded with said heeds in Book 8388,Page 223(collectively,the"Grantors"}, for consideration of One and Nat1001]ollars($1.00)paid, . i hereby grant to Francis I Russell,as Trustee of the lied Howse stud Barn Realty T rust, v under Declaration of Trust dated'of even date herewith and recorded herewith,having a mailing addmms of c/o Mountain,Dearborn&Whifirig LLP,Sulte 800,370 Ma;r StrU-,Wosrester, � u50t4S 01608(the" , „�, 1 Gr • mt e s R aP o.P ow 'CO ala ogthe�.raritd :t €l and �a ., �p th �p fB bi 7 � pq�L� §s"q.�PegL�iggY9f�®yy as t�gF�wi 1�i�ifpt3q'�land �n_pL/i[b 1��C'[1!rBE$l�i�ihLPVim� Jdt}'_ B�vfp�.labla®i.Cou$a 4s.nmon Calth N6�MasNa6ulaft tQ VBahcr It B .an . a.Py �g .wsyagpq¢� p�p)��C�q egg�g�p aqp� `�(' y � �t��s 1}G011�8Hd'�e'd'Gc+� 9a/tpBV 49fT.01abi t3�adVlVEiEE 9l Y8SI a69Vr;,pa$lic��la y aho 1t„ot Al on a pis-1 entlil "Plasr of Uiic1 u01372?Mlain' 8 tmat,Cotauft,MA,"dated geptemb;a 15,2011,prepared by Down Cape aas'3 aaai:r aaLajg,Inc.,xaliia� i'assa s$ad as sea G-', pair, ,` i a gin/. a ,g&s1q +3+�� -�' M. ea3 , Rte�f'� �� �a k. R n v �anR G A s a9 I V 4.9f 9 aa6ia�)d a.�Wd v �Ycxae i9aa a 9rE1Va3a'im FdbOE ca a6k f jsla ii,.,O d4Y8mG..moa �P M CBfi� . c h 8A i R� a - R A d asbm:ars aaa as �� Lw2 aP,€� ��, .F 43na —eedd�°,k F. a t.ad3�-�G.Yo n wad a�rf MI.Jfle',.oOwal iS. ' g� .y •za w-y ty. a r .-,A L 9 9`a d ay.� L 333 32 rogv3 i.a iiir d�i�a'.La 5 8'v�✓vab haadc'iy,V'v"vawG9§�+:?`s'+fs s`1 ,cau 3a.."y§�'i'.Gi C�oSd35p 13 L.a�.. i 1h� n- .3, .. ei.,.e.&° g,,g ivim a �i 9l d N Pen tb:. i cam i%e<+�r3aaao�iifaaiisac ai'Pa daEDa kE6�� ic€ "ir'w:,4g i:. m.Om:Laaundsgi.3.$L'i�ivi)t.600 Do'ars MW i.7�a'�iise 6e8e'6w ViabE Pa41'V6 ` t -• S30gs7a �`vATVZM,Vvv9 ei`, tl P&S; Y G PAGE] m I Jan. 24. 2013 11:3'3AM Bk 262oi 01 rq Yz*i3 #21492 Executed ander seal as of the,�day of_ : ,,1 . .2012. Mary K M wan,as Trustee as aforesaid, and not individually Richard McCowan,a Trustee as aforesaid, and not indiv y c ......__._..._...... _ ..._._....__. __. __. _ _ .__......_...._....__.............._... David Moebwam as Trusteo as afot+t;aajd, and not individually Debra Ta",as TmK=alafore 'd,and not individually COMMONWBALTH OF MASSACHOSEM WaSE &,'Fjk� Attic S% On this ',day ofApril 2012,before me,the undersigned notary public,personally appmed Mary M.McCowran,proved to me thraugh satlsflctp ovidmos of identification,which was_mtt 0,%MU Co ro. ,to be the person whose notne is sighed on the or atteohed do font,and acknowledged to nee that she signed it votuntarily for its Awe purpose,as Ta tec as Ar@WcL ] u Y � ! • e°� b°say .. 7 3 L bl 2 Mated wrier sW as of the, . If lday of Mary M.° QCowan,as TiMee as iif mseld, and not IndIvldatpll�y ur ° Rictw4: •as Trustee 4ts dermid, - , . - andnotaitdividusuy '` y l�A9ift)A4bw lt,as ThMe as" ftm Wd, .. k and notJodividdally Dena Tarp .,GS Tr13tCe•as afoi�said, ' 'to tnd-ltr balls COMMONW13ALTH OF MA,SSACHUS>STTB« w this day of y r. ZOU� before:me,tie undersigned notary ; pubes irWly iop M�owen,proved to me tluough satisfactory,evidence of ideWfieation,,whirh was ,to be-the peraon•whose name is sigh on'ft preceding orattaohed docinncmj onda*owledgcl to me that.3ie siped it•.vohmtWi for its slated purp®se,as Trustee as aforesaid, , Y A o:4W-Pabll6 : . , -- .. .:a ', � - a, S tom. .. ,• � �- '.. f Jan, 24, 2013 11:33AM No. 0193 P. 5 " Sk 2 62 b •ref IZ 9 #214 92 y COMMONWEALTH OF MASSACHUSBTTS F ss. . r On this day of __3 2012,before me,the undersigned notary, public,personalty appeared Richard McC"owan,proved to me Unugh satisfactory evidence of ' identification,which was ,to be the person whose name is silgtted on the ; preceding or at document,acid aclmowledged to me that he signed it voluntarily for its stated purposa,as Trustee as aforesaid. Notary Publicc- - My Commission Expires: ' y ° COMMONWEALTH OF MASSACHUSETTS On this 'day of �� ,2012,before rna,the undersigned notary , public,personally appeared David McGowan,proved to me through satisfactory evidence of F ' identification,which was D,Wits Caw r& ,to be the person vdww name is signed on the preceding or attached doeumcA and acknowledgO to me that he signed it voluntarily for it, , stated purpose,as Trustee as aforesaid, { N Not • i RO � ire .' pig. 4s. r * ft? teed ! CO CN 'BALTH ESP MASSACHUSSMS i �:¢ , a. ;r Cra#his 'day of �� _,wi2;�befo%e mt, a un igned no ry - I obigc crso,.all appeared Debra Tar f p r P y PP ys pawed the tlu�ugEa satisto evident of • identifi taon,wbioh Was s to he the person whose me is signs on e �, eding or.at hed document,end se�wledged to me at IT, sued it volulkaril for its;' ,' ? .» r. Mir a •q 8i-3q ^ �. ! m ' gang IL r • - . h m ar+ Jan. 24, 2013 11;34AM No, 0193 Pa 6 Sk 262b1 Yg 13U #21492• a COMMONWALTH Of MASSACHUSETTS r • k On this_1 relay-of A X — ;,201�,:brie riac;!flit 1ersiSitrst noCa public,personally appeared Richfnd McCowan,proved to mcthmuo seddaatorg Mdence of identification,which was a odnl-r.,i a to be thb.pefson whose i�am a is i &f. .._ preceding or attacheti•document,iiiid acknowledged to me that ht 'it Vol stated purpose,as Trustee as aforemid. ` rotary POIC - .. .... .. .. .. » ..; .. ..-. ....', ,...,. .,a,. .... tx .... FOP .. - .. y. .._� •-...L00• l ty� ¢. - ' • T u' • • i F y '. a. on this: "day of 20 or 12,Wfcro me,tiib=uradcrsl ed no n' 'POIIo,peroonally agp-F;areil vad e a�ran;p o esl to 't�se i ug s ila a �r videtaoe of , identifisatlo%which was, , glo ht thepmord ion,names sighed on'the precoding or a shed doo ertt,twd achowledgid td'me•thst he signed I voluntmily fop its, _ stag pu ost,as T c us ut`oresaid. . Notary.Paeblla Mks nn#ssloxi E COMMOT+"ALTR OF MASSAMSETTS On this day of i� .•20IZ,before me,tboaWaftned riootbry public,.peraonaliy appeared,90*4T�urP.ey,Rzaved to.-*dWUgb•WatisfaetQr evidfice:of identification,wlilch was, ,to be the.person whose-rne.1s4ped ohIthe preceding or attached document,and acknowledged to me tha slit slgned'it rrhiuhtaxily for-its ,t*d pumosc,as Tirusteo'as afomaid: , w my commission apim.. , N y 2kiA3�943 m . s• I Jan. 24. 2013 11 :34AM No. 0193 P. 7 ` r.` Ek 262al 131. #21492 . i r . y i Y ° `" � � :fir € F_ � • PELLETTti+R REALTY TRUST _TRUSTEE'S.CERTIFICATE _ 1,Mary M.Pelletier,as Trustee of the Pelletier Realty Trust,under Doclaration of Trust dated Juno 18,2002,end recorded with the Barnstable County Registry of Deeds in Hook 115296, ` Page t52(the"Truaf5,certify that: . ,. 1. 1 am the only Ttusteo of the Trust; '2. Pursuant to Article 4 of the Trust,when directed in writing by all of tine r 4 beneficiaries of the Trust,the Trustee has authority to act with respect to reai:. ° estate owned by the Trust,and has full power and authority under ssld 1 ust to convey any interest in real estate and improvements thereon held In said 17rust and no purchaser or third party shall be bournd to inquire wholher the, € ` Trustee has sold power or is properly exercising said power or to see to Iht application of any Trust asset paid to the Trustee forts conveyance thereof;t ' V rThe undemipod;in her capacity as Trustee of the Trust,has bbonAlreoted by ` _ the holders ofalfof the beneficial interest in the Trust to convey the real estate and improvements thereon known as 1376 Main Street,Earnsmble(Cotuit�, ` Barnstable County,Mmachusetts,and to enter into agracnaer: and amng=cnts to compute such eonTcylMoo € R 'A Them am no additional foots Web constitute a condition precedent to acls by the Trustee sr which are in any other ma►uzer germane to affairs of the Trustee E in connection vAth this trYansactioh;and r 5, The Timl has not been amended or modified,except bs provided°heroin,or for nlnated and is in full rose and effect as of the date hereof ' ESQ k 1S1Gi`tATM ON FOLLOWINO PAGE] i • y: a • ..- Jan, 24. 2013 11:34AMh `-" No. 0193 P. 8 a Sk 26261 rq Ysz #21492 QEX IMD as a sealed instrument under the pains and penalties of as of this � �Il - l�rJ�Y .° y 012. 'Mary as Trustee# . as aforesaid,end not Individually + e i e s z n . t > COMMONWEALTH OF MASSACHUSB7TS on title Q day of I 2012,before me,the undersigned"notary public, personally appeared May M.FFelleder,proved to me through satisfactory evidence of idea'►tiitcation,which was p® jr cif . e. ,to be the person whose name Is signed on the preceding doenment,and acknowledged to me that she signed it ! voluntarily for Its stated purpose,as Trustcc as 'd.•` j +t n ne�ar, w =r e x � ` % :.� e + •it x .'i7 a .. �t� .5*r - t e �Y¢. P x� r. - I. - Jan. 24. 2013 11:35AM etc 262d°� �lrg lis #21492 .. ........- ._. _. _ _ ...... _ Me-COWAN COTMtT TRUST 1992 ..........__. -- - .__._TRUS_TEE'S._CERTVICATE......... ....._ ......_--_ __ _....... .... _ _....- .__. ._.... We,,Richard McCowan,David McCowan,and Dobm Tarpey,as'Trustees of the a McCowan Cotuit Trust—1992,under*Declaratioil ofTrust dated December 30, 1992,and recorded with the Barnstable County Registry of Deeds In Book 8388,Page 223(tho`°Trust"), certify that: 1. We are d►e only Trustees of the Trust; 2. Pursuant to Ardole 6 of the Trust,the Trustees have authority to act with respoct to real estate owned by the Trust,and when approved by the unanimous vote of all of"children of the senior of the Twat and the sottior lw herself If she is still living,the Trgst+ees have power under said Trust to convey any interest in real estate and improvements thereon held in said Trust, and may exeroise such power without permission of any court and upon such terms as the Trustees decide advisable; 3. The undersigned,in their capacities as Trustees of the TWA have been authorized to convey the real estate and improvements thereon known as 1372 Main Street,Barnstable(Cotait),Barnstable County,Massachusetts; 4. Tharre aie no additional facts which constitute it condition procedoot to sets by the Tntstee or which are in any other manner germane to affairs of the Trustee In connection with this trarhsaetion;and 5. The Trust has not been amended or modified,except as provided herein,or terminated and is in full force and effect as of the date hereof. "GNA,TUM ON FOLLOWING FAt3>3] � Jan. 24. 2013 1 f:35AM y Bic 262oA. ��rq 1— %% #21492 BXEC sitwannd penaldo of pp4ury-as-of thie dof...__ . 202,.. ... ........_.._....._. . ... .... ..... A NOW WCowau,as T motee • as afore*dy and not India d 4* David-MCCowan,,as'lt*M as domfld,and zwUndividually .. ......... .... .. ....... .... ... ,_.. -_.. .__... - Debra Tacpoy,�as• n�steo - a aforesaid,and`•not inAriidusily ' Colu MON'WECTH of 14AssAMSEM lEsri�..r ..ss. 4t►this IW day of__19Ai�I4 T 2012,befarc tn%the undwsigned notary public,personaleared NOWMaCowan,prop! to�ae t�rou�h 9atisfacta�y evtdeasce oY idcnftb'ication,which was�9 -.1•�n Z_�;�to bo thewson wbwo-now is sWtod on the. , pre"ag or-attdahed document;andaolmawledged io me#itat edit voluntarily for Its stated purposk as Trusteo as downid. NotaqNblic met '601MO. 40WI( �-• Cs�thb N10t1�Cp�M; �$-.�.3•�fd I s i� SEAL] 1 a 2 Jan. 24. 2013 11:35AM Bk 262oi 01 Yg J jz #21492 BXBCUIM-8s.a.aeeled insirument undeir-the ns and: . al#ies of Perim.._. aYo - — .2012. _ .. P� A P jury as of this Richard McGowan,-ss'[7rustec . as aiiorasaid,and hot-individually David MaCowa%as Trustee r as aforesaid,and not individually _.. . .......... -- - - _ ... __ .... as aforesaid,and not individually i COMMONWBALTH OF MASSACHUSBTTB 5 As. - On this day of_ ,201Z before me,the undue notary public,personally appeared Richard McCowan,proved to me through satisfactory evidence of identification,which was ,to be the person whose name is signed on the preceding or attached doraimemt,and aoknowlcdged to me that he signed It voluntarily for its stated purpose,as Tiustse as aformaid. R ` Notary PuWi4 Nary Commission E*M: (AF1 1C SEAL] • t Jan. 24. 2013 11 :35AM Bk 262b.1 P. 01 Pg 1 2#21492 .COMMONw'BA,L fi0F:MASSACHUSM3TTS ,Sex IVk�llGl�u)e��3 ,as. 0n this day.of..Ajed•. , 2012,bef ...... ore me,the undersigned notary Public,personalty appeared David McCowan,proved to me t6tough satisfat tuy evidence of identification,which was 1114 Or/f L c�t�,to be the peluon whose name is signed on the Preceding or attached document,and acknowledged to me that h 'fined it voluntarily for its stated purpose,as Trustee as afore Wd. No My narrt 'on Expires: R. , [AFFD(SI A1,J `MWA R 8Y t 8 fty iL1,IHyl, '• I,$, ow>robr0 KE 5 b Jiutale.Q01� • _ w I ` cc COMMONWEALTH OF MASSACHUSETi'S A% � , s a+,l�ry+pnarMM�M On this�9 day of j„{ .,2012,before me,tale undersigned notary public,pu monally appeared Debiu Twpq,proved to me through satisfactory evidence of identification,which was&JA ,-fg-,to be the person whose name is signed on the psecedirtg or attached document,and acknowledged to me that sbqsigned it voluntarily for its stated Purpose,as Trustee as aforwaid. No • my mi ion Expires. 1 CAS SEAL] Poft . Mnt;ttA a S Of •� Me4 �. IMMISTAM REGISTRY OF DEMS = The Commonwealth o¢'Massaehusetts Department of Industrial Accidents W Office of Investigations 600 Washington Street Boston, MA 02111 , wivw.mass.govldia '• r Workers' Compensation Ins' ranee 'davit: �naiderSlCont�actor s/1L'lectricians/Plug ber s Applicant Information Please Print Legibi�' NaMe (Business/Organization/Individual): . �0 C,0 L 1 1 C address: 1� City/State/Zip: U l (12 &S S' Phone.#: "'7 Z 8^f C 5 Are you an employer? Check the appropriate bog: Type of project(required):. 1 am a em to er with 4. I am a general contractor and I p Y 6. ❑New construction . employees (full and/or part-time).* have hired the sub-contractors 2.❑ I am a sole proprietor or partner- 'listed on the attached sheet. 7. ❑Remodeling ship and have no employees These sub-contractors have g,4-pemolition - workingfor me in an capacity. employees and have workers' Y P tY 9. ❑Building addition [No workers' comp.insurance comp: insurance.-[ ' required.] 5.'❑ We are a corporation and its 10.[]Electrical repairs or additions 3.❑ I am a homeowne_doing all work officers have exercised their 11.❑Plumbing repairs or additions myself. [No workers' comp. !- right of exemption per MOL P 12.❑Roof repairs insurance required.]"t. c. 152, §1(4), and we have no employees. [No workers' , 13.❑ Other comp. insurance required.] *Any applicant that checks box#-!must also fill out the section below showing their workers'compensation policy information. ' t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating,such. $Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether,or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp,policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is.the policy and job site information. Insurance Company Name: Policy#or Self-ins: Lic.#: �`' Expiration Date: Job Site Address: . I Cl T ro K K / City/State/Zip: CO.� A d 2< Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date): ` Failure.to secure coverage as required.under Section 25A of MOL 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 MOM a day against the violator. Be advised that a copy of this statement may be forwarded,to the Office of Investigations of the DIA for insurance covera.ae verification. I do hereby eerti� under the pains and penalties,of perjury that,the information provided above is true and correct. Signature/ Date: Phone Official use only. Do rot write in this area,to be completed by city or town official City or-Town Permit/License''= Issuing Authority(cincle one): 1.Board of Health 2:Building Department 3. City/Y own Cleric 4.Electrical Inspector 5.Plumbing inspector b. Other Contact Person: Phone#: - Client#:646460 2NORRISEB °- : E(MM/D ' CORD CERTIFICATE OF LIABILITY INSURANCE D/YYYY) o DATE THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT:If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must be endorsed.:if SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may,require an endorsement.A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s).. PRODUCER CONTACT - - Dowling NAME:O'Neil P"ONE 508 775-1620 FA 5087781218 AIC N. Ext: AIC,No Insurance Agency E-MAIL 973 lyannough Rd., PO Box 1990 ADDRESS: _ Hyannis,MA 02601 INSURER(S)AFFORDING COVERAGE NAIC# INSURER A:Acadia Insurance.'- �' INSURED E.B.Norris 8<Son.,Inc. - INSURER B c 138 Osterville-West Barnstable Road INSURER c Osterville,MA 02655 INSURER D: •, - INSURER E: INSURER F COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT, TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. LTRR TYPE OF INSURANCE NSR SUBR WVD POLICY NUMBER MM%DIDY� MMIDD� LIMITS A GENERAL LIABILITY CPA005234523: 5/03/2012 05/0312013 EACH OCCURRENCE $1 000 000 X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED _ PREMISES Ea occurrence $250,006 CLAIMS-MADE,�OCCUR, MED EXP(Any one person) $5,000 - PERSONAL&ADV INJURY $1,000,000 GENERAL AGGREGATE $2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: - _ - 'PRODUCTS-COMP/OPAGG $2,000,000 POLICY 'PRO- LOC $ JECT AUTOMOBILE LIABILITY r y COMBINED SINGLE LIMIT Ea accident $ ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED BODILY INJURY P $ AUTOS AUTOS (Per accident) NON-OWNED PROPERTY DAMAGE, HIRED AUTOS -AUTOS - - _ Per accident $ $ UMBRELLA LIAR OCCUR J`` EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE -'N' AGGREGATE $ z. DED RETENTION$ - _ $. A WORKERS COMPENSATION WCAO21246415 5l03/2012 05/03/201 X WC STATU- OTH- AND EMPLOYERS'LIABILITY ' ANY PROPRIETOR/PARTNER/EXECUTIVE Y/N E.L.EACH ACCIDENT $5OO OOO OFFICERIMEMBER EXCLUDED? ® N/A (Mandatory in NH) E.L.DISEASE'-EA EMPLOYEE $500 OOO If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $500,000 DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES(Attach ACORD 101,Additional Remarks Schedule,if more space is required) Insurance coverage is limited to the terms,conditions,exclusions,other limitations and endorsements. Nothing contained in the certificate of insurance shall be deemed to have altered,waived,-or extended the ! coverage provided by the policy provisions. CERTIFICATE HOLDER CANCELLATION Town of Barnstable SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE.,EXPIRATION DATE THEREOF, NOTICE WILL BE. DELIVERED: IN .200 Main Street ACCORDANCE WITH THE POLICY PROVISIONS., Hyannis,MA 02601 AUTHORIZED REPRESENTATIVE - .. ©1988-2010 ACORD CORPORATION.All rights reserved. ACORD 25(2010/05) '1 of 1 The ACORD name and logo are registered marks of ACORD #S105139/M105138 LS1 :t r hl&,-�jwckae&� — = Office of Consumer Affairs and Business Regulation 10 Park Plaza - Suite 5170 Boston, Massachusetts 02116 Home Improvement Contractor Registration Registration: 102014 a Type: Private Corporation ) Expiration: 6/30/2014 Tr# 223290 i Yp ERNEST B. NORRIS & SON INC Craig Ashworth( 138 Osterville W. Barnstable rd. K: i• •i 4 . Osterville, MA 02655 : i .'Update Address and return card.Mark reason for change. Address Renewal Employment Lost Card SCA 1 E; 20M-05/11 > - C�/ee a�ror zafccuecc�l/c�P/l�ccosac/%c�etlJ License or registration valid foe:Andividul use only Office of Consumer Affairs&Business Regulation N., OME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: Type: Office of Consumer Affairs and Business Regulation egistration 162014 10 Park Plaza-Suite 5170 expiration: 6/30/2014 Private Corporatior _., Boston,NIA 02116 ERNE ST B. NORRIS&SON INC - s j Craig Ashworth 138 Osterville W. Barnstable Osterville, MA 02655 { Undersecretary No valid without signature 1 .} J • 111 - r I • r Massachusetts- Department of Public Safet Board of Buildin- Regis� ulutions and Standards � Construction Supervisor License License: CS 15851 CRAIG Ni ASHWORTH E ,..138 OST'WjBARNSTABLE ,OSTERVILLEi 0265,°MA 5 t fir,.. Expiration: 9/28/2013 C'onunissioner Tr#' 522 s } 138 Osterville-er Barnstable Rd Osterville,MA 0265555 Phone:508 428-1165 Fax:(508)775-7877 Chanwe Order or Extra Request Form Project Name: Pickwick Realty Trust Project Address: 71 Oceanview Avenue- Project Number: 10-2491 Cotuit,MA 62635 Owner: Pickwick Realty Trust Architect: IBA Change Order#: 147 Date of Change: 3/7/2013 Status: Description: Units Unit Cost Amount 1.Material cost due to change in spec for water table. I1/16/12 Timeless Stoneworks= $14,683.00 x 1.12=$16,444.96 Masonry Material 1.00 14,683.00 14,683.00 Increase(Decrease): $ 14,683.00 12%OH&P: 1,761.96 Item Total $ 16,444.96 2.Material cost increase for + . water table due to change in spec. Per CNA,'1/15/13 Timeless Stoneworks=$690.63 x 1.12=773.51 - " Masonry Material 1.00 690.63 690.63 ' Increase(Decrease): $ 690.63 12%OH&P: 82.88 a Item Total $ 773.51 3.On going material costs due to change in spec for the water table. 3/7/13 Timeless=$1,885.94 x 1.12=$2,112.25 Masonry Material 1.00 1,885.94 1,885.94 Increase(Decrease): $ 1,885.94 12%OH&P: 226.31 Item Total $ 2,112.25 ' Total of C.O.# 147 $ 19,330.72 r 138 Osterville-W.Barnstable Rd Osterville,MA 02655 Phone:508-428-1165 Fax:(508)775-7877 Chanze Order or Extra Request Form Project Name: Pickwick Realty Trust Project Address: 71 Oceanview Avenue Project Number: 10-2491 Cotuit,MA 02635 Owner: Pickwick Realty Trust ` Architect: IBA Change Order#: 147 Date of Change: 3/7/2013 Status: * J •- " 4•.' , � III Contract Summary: Original Contract Amount: $ 5,422,807.00 Previously Approved Change Orders: ` 1,945,755.26- Contract Prior to This Change Order:. 7,368,562.26 Amount of This Change Order: 19,330.72 Revised Contract Amount Including This Change Order: $ . 7,387,892.98 Resources Assign to: Timeless Stoneworks' Cost Code: 44010, Amount: 17,259.57 Assign to: 4 Cost Code: Amount: 0.00 Assign to: Cost Code: Amount: 0.00 Authorizations: Issued by: Bob Maglio Date: Authorized by: Date: Accepted by: Date: Not valid until signed by Owner,Architect and Contractor I Downspout# Length (decimal ft.) Sub Grade Depth 1 21.5 4 2 21 4 3 21.4 4 4 22.5 q 5 21.5 '4 6 21.5 4 7 33.5 4 8 34 4 9 32 4 10 21.4 4 11 23.5 4 12 21.5 4 13 22 4 14 22 4 15 21 4 16 22 4 17 22 4 18 11.5 4 19 11.5 4 20 23.5 4 21 23.5 4 Downspout Total= Gutter Total,Length r TOTAL L.F.OF TAPE= Total Length 25.5 25 25.4 26.5 25.5 25.5 37.5 38 36 25.4 , 27.5 25.5 26 26 25 26 26 15.5 15.5 27.5 27.5 558.3 610 1168.3 M1 r , Parcel Detail Page 1 of 6 d �A Aj �%'' Logged In As: Parcel Detail Tuesday,July 30 2013 Debi Barrows Parcel Lookuo Parcel Info Parcel ID�033-024 I Developer LOT Al Lo Location F1376 MAIN STREET(COTUIT) I Pri Frontage 1 120 Sec Road --— I Frontage villagejCOTUIT � Firepistrict,COTUIT Town sewer exists at this address No I Road Index[0951 Asbuilt Septic Scan: Interactive 033024_1 Map �� a _ Owner Info owner(RUSSELL, FRANCIS J TR .I Co-Owner[%SEGEL, ROBERT G & SHERMAN, JANIC� Streets !SS COTUIT NOMINEE TRUST _ I Street2(15 HARBOR POINT City;KEY BISCAYNE I state L zip Country L Land Info Acres(2 48 � use iSingle Fam MDL-01 I zoning IRF Nghbd jWF10 Topography ILevel I Road(Paved I Utilities Public Water,Gas,Septic Location jRear Location Construction Info Building 1 of 1 Year Roof Ext Built1870 I struct(Gable/Hip I Wan Minimum Living!1327 Root As h/F GIs1Cm Ac None x " Area i _ ) Cover� p p I Type i Style Conventional Int Minimum — Bed 5 Bedrooms Wall Roomsi Model Residential Int�_.Minimum/PI Bath(3 Full +.1H H I Floor ... ywd I Rooms; I � Grade jAverage� Heat None Total 10 Rooms �� WE', Type Rooms, _21 T-- — Heat[No —` Found- Fuel Stories i 1 3/4 Stories Fuel None ation i Stone Walls Gross 12466� Area http://issgl2/intranet/propdata/ParcelDetail.aspx?ID=2094 7/30/2013 Parcel Detail Page 2 of 6 Permit History Issue Date Purpose Permit# Amount Insp Date Comments 3/22/2013 Demolish 201301512 $5,000 6/14/2013 DEMO& REMOV SHED 12:00:00 AM RELOCATE APPROX 1/2 MAIN 3/8/2013 Other 201300871 $30,000 6/14/2013 HSE TO NW LOCATION ON 12:00:00 AM LOT-REMOD AS CARETAKERS HSE 3/8/2013 Demolish 201300872 $10,000 5/10/2013 DEMO 1/2 OF EXIST DW 12:00:00 AM 3/8/2013 Dwelling 201300873 $1,600,000 NW DW 4 BDRM W 2CAR GAR 3/1/1993 Addition B35715 $100,000 1/15/1995 CO REMODE 12:00:00 AM Visit History Date Who Purpose 6/26/2013 12:00:00 AM Robin Benjamin CALL BACK 5/14/2013 12:00:00 AM Nancy Finch Cyclical Inspection 5/14/2013 12:00:00 AM Nancy Finch New Construction 5/8/2013 12:00:00 AM Denise Radley Change of Address 4/26/2012 12:00:00 AM Denise Radley In Office Review 10/11/2011 12:00:00 AM Jeff Rudziak ATB Review 9/13/2011 12:00:00 AM Denise Radley Change of Address 8/29/2011 12:00:00 AM Denise Radley Change of Address 3/25/2010 12:00:00 AM Jeff Rudziak Abatement Review 1/5/2010 12:00:00 AM Denise Radley Change of Address 3/24/2009 12:00:00 AM Karen Perry In Office Review 3/12/2009 12:00:00 AM Jeff Rudziak Abatement Review 7/29/2008 12:00:00 AM Paul Talbot Cyclical Inspection 5/27/2005 12:00:00 AM Paul Talbot Meas/Est 5/4/2000 12:00:00 AM Paul Talbot Meas/Listed-Interior Access 4/15/1994 12:00:00 AM ME Meas/Est Sales History Line Sale Date Owner Book/Page Sale Price 1 4/19/2012 RUSSELL, FRANCIS J TR 26261/126 $1' 2 6/25/2002 PELLETIER, MARY M TR 15296/155 $100 3 9/15/1992 MCCOWN, MARY M 8210/015 $100 4 12/15/1986 MCCOWN, MARY M & FRANCES M 5492/123 $1 5 MORSE, LUCY GIBBONS P52232 $0 6' 3/20/2013 SEGEL, ROBERT G & SHERMAN, JANICE L TRS 27222/160 $4,500,000 Assessment History Save# Year Building Value XF Value OB Value Land Value Total Parcel Value 1 2013 $171,200 $23,100 $64,000 $3,018,800 $3,277,100 2 2012 $175,100 $21,400 $8,600 $1,442,400 $1,647,500 3 2011 $199,900 $6,600 $7,800 $1,442,400 $1,656,700 4 2010 $200,500 $6,600 $8,000 $1,933,500 $2,148,600 5 2009 $231,400 $4,800 $3,900 $2,422,200 $2,662,300 http://issgl2/intranet/propdata/ParcelDetail.aspx?ID=2094 7/30/2013 Parcel Detail Page 3 of 6 6 2008 $231,400 $4,800 $3,000 $2,373,300 $2,612,500 8 2007 $272,500 $4,800 $3,000 $2,373,300 $2,653,600 9 2006 $245,100 $4,800 $3,200 $2,345,100 $2,598,200 10 2005 $224,400 $4,800 $8,800 $1,995,800 $2,233,800 11 2004 $178,700 $4,800 $8,800 $1,621,600 $1,813,900 12 2003 $192,200 $4,800 $9,000 $712,500 $918,500 , 13 2002 $192,200 $4,800 $9,000 $712,500 $918,500 14 2001 $192,200 $5,100 $9,00.0 $712,500 $918,800 15 2000 $118,400 $4,700 $5,100 $499,900 $628,100 16 1999 $118,400 $4,700 $4,300 $499,900 $627,300 17 1998 $118,400 $4,700 $4,300 $499,900 $627,300 18 1997 $133,000 $0 $0 $465,900 $604,700 19 1996 $133,000 $0 $0 $465,900 $604,700 20 1995 $133,000 $0 $0 $465,900 $604,700 21 1994 $132,800 $0 $0 $449,300 $587,200 22 1993 $132,800 $0 $0 $449,300 $587,200 23 1992 $151,600 $0 $0 $499,200 $656,500 24 1991 $167,700 $0 $0 $499,200 $677,000 25 1990 $33,900 $0 SO $143,100 $187,100 26 1989 $33,900 $0 SO $143,100 $187,100 27 1988 $74,500 $0 $0 $71,600 $158,000 28 1987 $74,500 $0 $0 $71,600 $158,000 29 1986 $74,500 $0 $0 $71,600 $158,000 Photos Ir t y4f Cu• �,i+ y "r ,+SiJ a .,.r ,^mv .a # 1 x http://issgl2./intranet/propdata/ParcelDetail.aspx?ID=2094 7/30/2013 E ' 14j 4 i e j 7 s -up oil NANN", Bob ,y f � 4 • MR,vT � t x -. r b w ZI { s 3 11'4low"" x+ 3 MAR m- IM .mo t 5 d 3. t OEM- 0 � 7 My MIT- • • - • •••. . • IBM mqwtm• / f• Wv sAr ar r„ ' s' i n + t ` zzi IV, n 44 e IN Q WAS" FOR stir PON r c y r {{' _. 14 f� x �.4 w'yw��* 1a %` ..sw ,i�� '` ✓^''1" + a�+F +°in<Z:. s` ciM, ;n�;,`'.a• J ;hSZ r>... <4:'"d". x"W :aa,�S,-4a ar*« . `$ 4 r �� .���'i�W`� � �l<.D���.��gt" �.Fti r�/F��� .� /�. -r� ysir��J +•d��.�f t �;cr`x�' �y, i4"+�T'*"dc_,R w'A�. � �i 6i�. $,s,�,y " �,,. r 5 # +' FIV �... W M us a+e ro tt < "" b �; ti 1 .� Y+ a s ' k A ji'1 A�,l�d1$y�y� f-£ -s=� Y'q�'k'1�' � d�'�M`� "F• �, �. �"b'rRkf ^'"Jt�j:' qr. APO 1 F' `:a*,tz �.tAL +:air _. Div..� •; T rn. . b 3 < p, i g t �I id "w�✓---� � "Ya .2.. � by �'l ik�"'�-.etfi+� I�"!\x�&. �.i^""' �.� �"�1*k`� ��.��dl i� 6 �* � ' ..w:Kfi� � ^t�7. � ' ,.,"`ems;. i� .a, k';w a r •"�I#pa>' . w yr r �` y.��' '"m`�S"`.�+►�S. `tea"'"5+' ... a e � ttt77 3 KIN c itsr +. g. T, OEM ,tg�v tvll Ofli (��,713 ''� .��r, �m,e"��"�'F,� I %� �� �`•1 � '4�`�'i(u!1<(f 3 k ,. !t r'. � # �i s� ✓ wad+ M:�$ d' fxw � ♦t �., a a r - - Town of Barnstable Regulatory Services Thomas F.Geiler,Director BAMSTABLE, MASI A �.0� Building Division rEo� Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 AGREEMENT FOR ACCESSORY USE OF RESIDENTIAL BUILDINGS ASSOCIATED WITH RESIDENCE I(We), the undersigned, Robert G. Segel and Janice L. Sherman Trustees being the owner(s) of property situated at 1376 Main Street;in Cotuit MA,holding title under a deed recorded with the Barnstable County Registry of Deeds or Barnstable County District Registry of the Land Court in Book 27222, Page 160, or as Document No. being shown on Assessors' Map 033 as Parcel 024, hereby agree, certify, warrant and represent to the Town of Barnstable that the accessory building to the residence located on the same parcel as above- described,which contains living quarters,is not intended for rent in any fashion. The intended and authorized use is for the occasional guests associated with the residential use on the same premises. This separate unit shall not be-used for a"Family Apartment" (as defined in Zoning Ordinances)which would require application and approval of a special permit and compliance with the Family Apartment Rules and Regulations. This separate unit shall not be rented as an apartment or as a single room, or in any fashion, which rental would be a violation of the Town of Barnstable's rules,regulations,and zoning ordinances. This Agreement shall be duly recorded or filed at the Barnstable County Registry of Deeds/Land Court for the purpose of.alerting future owners of the property of this binding Agreement concerning the use of the property as herein stated,which shall run with the land and binding future owners. The consideration for this Agreement is the issuance of a.building permit and/or certificate of occupancy by the Town of Barnstable Building Department. WITNESS our hands and seals this day of 201_ TOWN OF BARNSTABLE OWNER(S) By: Robert G. Segel,Trustee Building Commissioner Janice L Sherman,Trustee THE COMMONWEALTH OF MASSACHUSETT BARNSTABLE COUNTY, SS Date Then personally appeared the above-named (owner), and made oath as to the truth of the foregoing instrument,before me. 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' Y bem3�lenu +4PpY -_ ..; Eft t4'IWTIS.... �n u _ . - CATALOO CUSTOM BUILDERS.INC 172 EAST FALMOUTH HIGHWAY, BAST FALMOUTH, MA 02536 FACSIMILE COVER SHEET TO: FROM: Building Inspector Peter Sarkinen COMPANY: DATE: Barnstable Building Department 11/20/13 FAX NUMBER: TOTAL NO-OF PAGES INCLUDING COVER: 508 790-6230 3 PHONE NUMBER: SENDER'S REFERENCE NUMBER: RE: CC: 1376 Main St. Cotuit ❑ URGENT a FOR REVIEW ❑ PLEASE COMMENT ❑ PLEASE REPLY ❑ PLEASE RECYCLE NOTES/COMMENTS: Per the Building Inspector's request, enclosed please find information from our insulation installer about the Closed Cell Spray Insulation used at the Guest House at 1376 Main St. Cotuit at the Segel-Sherman residence. Please contact me on my cell at 508 566-4420 if you have any questions. Thank you. Peter Sarkinen �J o Project Supervisor Cataldo Custom Builders,.Inc. NO PHONE: 508-548-1133 FAX:506457-1155 1NW W.CATALOOBUILDERS.COM CATALDOOCATALDOBUILDERS.COM -.-6 _ •mil;. The BASF Polyurethane foam Enterprises systems can also contribute to obtaining ever i ... ':.: . • •..Y..,. . :.,....���r.; .: gy-effidiency incentives under the Federal Energy Policy Act of __ - 2005. Under the Act, builders of site-built or manufactured homes are eligible for a rebate of$2,000 for energy-efficiency measures that achieve 50 percent savings over the 2004 IECC Standard, —ram Existing tames can also benefit from using BASF Polyurethane Foam Enterprises insulating air barrier and air seal materials under the Energy Polity Act.Envelope improvements to e)dsfing homes that meet the 2003 IECC and supplements are eligible for a rebate equal to 10 percent of the cost of improvements,up to$500. The DOE offers financial assistance opportunities through the Office of Energy Efficiency and Renewable Energy(EERE)and other incentives are available through over 50 ENERGY STARm Incentive programs.In addition,spoclal mortgages for energy-etficlent homes are offered by more than 40 different agencies - across the united States. WF Polyurethano Foam Enterprises LLC is a,yeoclatod with the ENERGY STAR Insulation Program and an Ally in the ENERGY STAR Homes Builder Program.This program offers Energy Efficiency Mortgaging(EEM) that may help borrowers to quality for additional mortgage dollars, rAGlassriteria r i R-value• 6.0 3.0 15 3.0 3.5 t.. _.. - —-_ Approved Air Yes Yes I-At home 4.0m rW No No No Air kw woe 0,004 usdn'm Barrier System m 76 Pa m t,.mwmeai 70 ro 61 5.5'tldduwne Seamloso Construction Yes No No No Yes ..1 Rigid Yes No No No No Fully Adhered Yes • Na No No Yes .. Adds Structural Strength Yes No No No Na -I Long service Ufe Yes No No No Yes •' ' --•� �� Absorbs Water <4%v/v Yea Yes Yes a40%v/v Allows Moisture Vapor In No Yes Yes Yes Yes !' . What about durability? Because the BASF Potyurathane Foam Enterprises air barrier materials are seamless and fully adhered,they actually add structural strength and will not settle Of sag overtime,unlike traditional insulation systems. Testing conducted by the National Association of Home Builders(NAHB)Research Center shows spray-applied polyurethane foam insulation botween wood-and steel-stud wall panels increased rack and shear two to.three times over standard stick-bullt components and glass fiber Insulation when sprayed _ onto gypsum wallboard or vinyl siding;and increased racking strength by 50 p6rcent.when sprayed onto. oriented strandboard(058). Results from testing conducted by the National Research Council(NRC)of the Canadian construction Materials Centre(CCMC)show spray-applied polyurethane foam air barriers offering long-term durability groator than or equal to the building's expected life span.They also show that 16-inch centered studs Incorporating closed-cell polyurethane foam miry be moved out to 40 Inches and still maintain racking and " structural loads according to Code. • 13`1 b IUllkl f14 Sr. UT kkor Health, safety or environments) responsibility COMFORT FOAM and WALLTITE Insulating air barrier systems use ZONE3"zero ozone depleting blowing agent technology,contain no urea formaldehyde and emit no volatile organic compounds(VOCs). The award-winning BASF Eeo-Emclency Analysis assesses total cost and ecological Impact over the Product lifecycla to benchmark current podormance and get Inslghifor future Improvements The ::..:.... . . WALLTrrE.Insulating air barrier system outperformed traditional air barrier materials In eco-efficiency on ": • ; Its test scores. The COMFORT FOAM system Is accepted by all major building codes,Including the International Code Council encompassing both commercial and residential applicallans Accredited third-party testing of the " (o4)'proves that COMFORT Comfort oam.system using ASi714F2Er3- FORT FOAM Insulation Is a Building Code-r•' ecognized air Darner material. ,y ,.��..r;..'' "�•rey.'ri air ,� 1:a,.::'.:,:• .. :,.1" ,.;iG'g,1 .E.•. ry�,1 r,;...., ,/rite�)gl,;:p1i:•._! ;:•., •,.. .'.' '..:. i:., •,•i' v•r•: i s _ .eY,;;A` _ ,C l�(Z911 1!��''Tj.S. I r. i ' r I 1.. The W:` . •: ;:;;=.;•_;% ,_',;Fi,, ,;,_,'Y;,�,. ;;;.: ALLTrTE insulating air barrier system for multi-unit,reslderrtlal,Industrial,commercial and Institutional buildings ' -:. - :•-: .:: :••:•::: !'':"'�'::`'•.• gs Is approved by the Air Barrier Association of America(AB9/l)to meet or exceed all current Slaie Cornmerclal Energy Codes,and is Installed only by approved applicators with third-party quality control InspeclUart. As demand for sustainable construction materials and ner - 11I I . . _�.--..�•;;�y,�r_ ' --�I••;::::;:;:::.':•;;;:;,;':::,:-:;;:� a gye celTcyapplicationscoMinuestoprow, .� '-•` -r;.;:r, BASF Poiyurelhane Foam enterprises offers new cost-effective solutions,developed at extensive R&D ....•;, facilities around the world. Tot McNad tar gaemnlnl the Ruts of Air Laaka o'Ifrou n Eatarior W!n} f g 9 dews,Gw%in WNlle and Uaore Uamr Spemtlad Raman 1 :. •f_::•,•,:;•:•:......R....�,�_...'.,:1:';',.;.'. 'al}kroncaAArtunMI)W-mom _ l W i`,Cc ,".'�`- i-.i 5;'1,�':'•,;;.:`.':.: rRa R•Vmuo of ft k&Jbdan,I'M" AW beef flow rae hWW Um R•wNs,f1m rwlao R!o in*110g pacer OYMM M%LdeNm R•vvhat y`••;`,.: ...:.�::': .•. ... - :. '::' i before WU bw romp W&ONYN Im.W to eora.w.rrro")Mod of ko bma,clef ;,.;:• '-�,.;,.;;'::i Ps,%it ri•!:::_ ;:::.::7;5`;..._.•: d4ws upon fno.afSrmal Nor rypa dn0 a4a W Ne lwsm mle aM foal rasM0116 Wd WW OM,,dym DW.&C Imch Tawum h NO Waal alma time wf y� rIDf you N0 pare ar aN 70 AdMare proper R•rM oe If is .,Fi;�. -�' -•l oer<mraar ear,tine abrrrwRm oe earpmn prgsorgt •r' ••••' OmP1ap Nillr Ore kaMrW'l/p(IS GblrrRlbaldll 4dNfdtp and dpYarlASNlp 01 hflrla irtpakUae rules dad fapuNNlaR,ie"RV" . ..,.. Aftda Abg sy t WORT FGAMO M a tegietered Na wn W uSF p*WMM roam r:AWMaw u.C, is a rogli m tradaiurk of Cum Bub"tttmim Cpecishta NG 70NEi',WALLITTN!en!Hagdryt Make Bulldlapp RettorM we trddmnpNae el OAgF Carparat{on ::�'',.'�•':= = ENFAtrY fiTAaere a repieterttd hademerkal Udted Stet01 aoAmttnarp of Fnmpe 0 M am va"amm roam FAtVWp W 11C r TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Al or Map Parcel C/ " Application # d Health Division �(f JUL 26 �`4 2- Date Issued Conservation Division 4 Application Fee Planning Dept. [ Permit Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation/ Hyannis Project Street Address /3-7 /4''� STe Village Owner P" /� �� 57r_ Address Telephone ~ Permit Req st -Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation Construction Type Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family (# units) Age of Existing Structure Historic House: ❑Yes ❑ No On Old King's Highway: ❑Yes ❑ No Basement Type: ❑ Full ❑ Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area (sq.ft) Number of Baths: Full: existing new Half: existing new Number of Bedrooms: existing —new Total Room Count (not including baths): existing new First Floor Room Count Heat Type and Fuel: ❑ Gas ❑ Oil ❑ Electric ❑ Other Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑ No Detached garage: ❑existing ❑ new size—Pool: ❑ existing ❑ new size _ Barn: ❑ existing ❑ new size_ Attached garage: ❑ existing ❑ new size —Shed: ❑ existing ❑ new size _ Other: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes ❑ No If yes, site plan review# Current Use Proposed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name RA Ld 1- 6h7&"0 Telephone Number address l 7 �- f�i cv ��� License # 4 72 7 2 I Lf'�� ► l9 Home Improvement Contractor# IVY/®3 Worker's Compensation # t4,8-S619P7&to-12 ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BETAKEN TO �1 SIGNATURE a C DATE ����f3 FOR OFFICIAL USE ONLY APPLICATION# DATE ISSUED MAP PARCEL NO. " ADDRESS VILLAGE .� OWNER t DATE OF INSPECTION: �L,±FOUNDATION. • FRAME 8 14 l3 INSULATION 1 Zo FIREPLACE k ELECTRICAL: ROUGH FINAL r PLUMBING: ROUGH FINAL � GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. t i Town of Barnstable Regulatory Services annxsraetX t Thomas F.Geiler,Director MARC iOrFc a9. 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 NOTICE TO THE BUILDING DIVISION OF CHANGE OF LICENSED CONSTRUCTION SUPERVISOR I, i2be - S CCna , owner of property located at fo K&m N S%, Coru T ;hereby certify that . P . f 0ou'i 5 a- SON , �G• is no longer Construction Supervisor listed on the application for the project under construction as authorized by building permit# 201"s '00%11 , issued on 3 201 I understand that the project under construction must cease until a successor licensed Construction Supervisor, is submitted on the records of the Building Division. PROPE TY OWNERV DATE q/forms/newcontrowner reference R-5 780 CMR rev:011608 snxxszABL& • MASS.039. Town of Barnstable QED Mfg s Regulatory Services Thomas F.Geiler,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 Property Owner Must Complete and Sign This Section If Using A Builder I, S � , as Owner of the subject property hereby authorize CATMDO CU-57-OAA g(D W .to act on.my behalf, in all matters relative to work authorized by this building permit application for: (Address of Job) Signature of Owner V Date Print Name If Property Owner is applying for permit,please complete the Homeowners License Exemption Form on the reverse side. C:\Users\decollik\AppData\Local\Microsoft\Windows\Temporary Internet Files\Content.Outlook\8R76BDVA\EXPRESS.doc Revised 061313 W Town of Barnstable Regulatory Services MANSMLE, Thomas F.Geiler,Director MAW��°rFp ►�� 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 NOTICE TO THE BUILDING DIVISION OF LICENSED CONSTRUCTION SUPERVISOR ASSUMPTION OF RESPONSIBILITY C.r�Tl�t-p� C��.ISZUItrI . I, I4 T CA'jYAU-- ?- P—W c,[7NY2,5.4 (NL. ,Construction Supervisor License 042121 , hereby certify that I have assumed responsibility for the project under construction, as authorized by building permit# 2 [1 ) 00�� , issued to. (property address) 1�n(, KA lq sq— CeTaur on , 200E . f The following documents are attached: copy of my Massachusetts State Construction Supervisor's license or Homeowner's License Exemption form(if applicable) copy of my Home Improvement Contractor registration (if applicable) Commonwealth of Massachusetts Workers' Compensation Insurance Affidavit. Road Bond(if applicable) LI NS HOLDER DATE q/forms/newcontrb rev:080102 i Massachusetts -Department of Public Safety Board of Building Regulations and Standards Construction Supcn isor '. License: CS-042721 RALPH J CATAL$O 172 EAST FALMOUTH, EAST FAMOUTH 2�36 Y Expiration Commissioner 06/08/2014 - Office of Consumer Affairs and Business Regulation 10 Park Plaza - Suite 5170 s ` sachusetts 02116 Boston, Mas - Home Improvement Contractor Registration Registration: 144103 Type: Private Corporation ' Y - Expiration: 9/9/2014 Tr# 229057 �! •x a CATALDO CUSTOM BUILDERS, ING._.T.w=hLLa; � RALPH CATALDO 172 EAST FALMOUTH HWY E. FALM OUTH, MA 02536 m` Update Address and return card. Mark reason for change. __.._ Address 0 Renewal Ej Employment n Lost Card SCA 1 0 20M-05/11 r��C l('n 977,0710.77.1[R2/� C�n'T(.CIJdCIr1i LFJ('ITl License or registration valid for individul use only Office of Consumer Affairs&Busibess Regulation g • OME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: -, egistration: 144103 Type: Office of Consumer Affairs and Business Regulation xpiration: .9/9/201`4., Private Corporation 10 Park Plaza-Suite 5170 . _ Boston,MA 02116 CATALDO CUSTOM BUILDERS INC ij RALPH CATALDO 172 EAST FALMOUTH HWY g iz��a E. FALMOUTH, MA 02536' Undersecretary VN7.]htut signature I he Commonwealth of Massachusetts ,.,''_ Department of Industrial Accidents Office of Investigations �- 1 Congress Street, Suite 100 Boston, MA 02114-2017 MM.rnass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name (Business/Organization/Individual): ck1 omo cQ,1_srom Bal WL'12-`._, Nc Address: 1_12- C. F_-4L_Mo Lt.7)A AAW Y - City/State/Zip: L. (—AL W C 71-f " 02453(., Phone#: Are you tm employer? Check the appropriate box: Type of project'(reguired): l.® I am a employ er 1�it(n I am a general contractor and I employees (full and/or part-time).'" have lured the sub-contractors �' ®Ne�� construction 2.ElI am a sole proprietor or partner- listed on the attached sheet. 7. ❑Remodeligg ship and have no employees These sub-contractors have g. ❑Demolitioiu ,%vork-mg for me in any capacity employees and have workers' ). ❑ nng Bulld addition [No workers comp.insurance comp. insurance.-, d.uire req ] 5. ❑ We are a corporation and its 10.❑ Electricalrepairs or additions 3.® I am a homeowner doing all«oil; officers have exercised their 11.®Plumbing repairs or additions Myself [No workers' comp. right of exemption per MGL 12.❑ Roof repairs insurance required.]t C. 152. §l(4), and we have no employees. [No workers' 13.❑ Other comp. insurance required.] *Awry applicant that checks box 41 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. $Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. 1 am an employer that is providing workers'compensation insurance for or nW employem Below is the po icy and job site information. Insurance Company Name: T y O&C-1ZS I NDC1M 1J l j�( CO, 0 l= AM CC(CA Policy#or Self ins. Lic. #: u-P3 - b�(�P.3 r (3 Expiration Date: Job Site Address: �� IVl►k f N S r City/State/Zip: QUOIJ / 0 2L6 3S Attach a copy of the workers'compensation policy declaration page(showing the police number and;expiration date). Failure to secure coverage as required,under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment, as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby ce'rhft under the atins and enaltle's of e'rjurr'that the information provided above is true alnd correct Signature: IF 'L Phone#: -60� ` I[53 Of.f claal use on1v. Do not write in this area, to be completed 4 cio,or to►vn officiarl. City-or To«'ra: Perneit/License# Issuing Authority(circle one): 1.Board of Heaalth 2.Building Department 3. City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspectoi G. Other Contact Person: Phone#: l DATE(MMIDDIYYYYI CERTIFICATE OF LIABILITY INSURANCE c T KTIFICATE IS ISSUED AS A MATTER OF INFORM 11ON ONLY AND CONFERS NO RIGHTS.UPON THE CERTIFIC4 E )L S CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BIN THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER AND THE CERTIFI 'ATE HOLDER. IMPORTANT:If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must be endorsed. If SUBROGATION ISOAIVED,subject to the terms and conditions of the policy,certain policies may require and endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s)- PRODUCER CONTACT I NAME: I �I X4AR7HA'S \FINP,I'ARDTNS PHONE FAX 97 CIRCUIT AVE (AIC,No,Ext): (AIC,Na):, E-MAIL OAK BL1JM!;,MA 02557 ADDRESS: %i 73JIVR INSVRER(S)AFFORDING COVERAGE_ NAIL# INSURED INSURER A: 'TRAVEURS INDEN-INITY COMPANY OF AhtEltli'A CATA.LI)O CUSTOM RTIIT..DP.RS WC INSURER B: V j INSURER.C: r, INSURER D: ' 172 LAST FALMOLIT111i11011WAX INSURER E: EAST 1+ALMOU`1.11,NLk 02536 INSURER F COVERAGES CERTIFICATE NUMBER: REVISION N6M BER: Ht5 15 1' C T'1THAT 1H POLJCIE F RA C US'EU B LOW RAVE B EEN ISSUED TO THE INSURED NANNED ABOVE FOR THE POLICY PERIOD INPICATED. 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 SUC14 t&ICIES. LIMnS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS... �! INSR ADD SUB POLICY EFF DATE PDLICY EXP DATE LTR TYPE OF INSURANCE L R POLICY NUMBER (WMDDWYYY) (MMiDD1YYYY1 L;II84TS GENERAL LIABILITY "ACH OCCURREN01- COMMtRCIAI_GENERAL.LIABILII Y -- -P )AMAGF.TO RENTED $ CLAIMS MApF OCCUR, ''REMISES(Ea occujrence) MED EXI'(Any one 15ePson) $ ERSONAI-&ADV INJURY $ GEIV'L AGGREGAI E LIMIT AI'q'LIES PER: GENERAL.AGGREGATE $ POLICY PROJECT EJ LOC RODUCI S-COMFf! )P AGG $ AUTOMOBILE LIABILITY COMBINEDSINGLE:! $ ANY AUTO LIMIT(Ea accident) AIJ OWNED AUTOS BODII Y INJUI1 Y $ SCHEDULE AUTOS (''aI Person) HIRED AUTOS BODILY INJURY `C NON-OWNED AU1.OS (Per accident) PROPER.'I'YDAMAGk yl (Per accident) (i I. , UMBRF_.LLALIAN O[:i',UR EACHOCC(.IRRENFf: EXCESS I.IAB CLAIMS-MADE AGGREGATE jI $ nF.DUC,TIFILF RkTEIVTION $ A WORKER'S COMPENSATION AND � wr.:.srATul r,:�i DITHER EMPLOYER'S LIABILITY YIN LIB-501BP388-13 0150/2013 01130t2014 LIMiis v ANY PRCN'thrrohrPARrNr.HrExr'curlvE N NIA F..L.LAC>1 ACCIDFMT $ 500,000 OF F u:FRIME Mff.1i EXCL!mtD7 (Mand,Aory In NFII E.L.DISEASE-EA EMPLOYEE' $ 500.,000 It yen,dee.QAW umle, LIESCRq'I ION OF OPkRA'I IONS txaLiw F.L.DISEASE:-POLIC, LIMI I $ 500,000 DESCRIPTION OF OPERA TION SILO CA TIONS/VEHICL ESIRESTRICTION SISPECIAL ITEMS I! I'HL71.16:k'LAC:kaANS.'VLLICILR.C7F.!k11khJA'I"81S:iUF.1)T{)"I'ElHC'kill'TIFICAl'HHi?LUha;.AFFL{C1'1NCifWC)1zk:L!1t.yCl)bNl'COVEIi.AI+k!. � i CERTIF71CATE HOLDER CANCELLATION - SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENT/'(,J�YVE J. ACORD 2 Q 5) he-WORD name and logo are tegisterea marks of ACORN'R988'Vl>A O CQR'O TI 11 rights reserved. The Commonwealth of Massachusetts (Page 2 Department of Industrial Accidents Office of Investigations 600 Washington Street Boston,MA 02111 Y www.mass.gov/dia Workers' Compensation Insurance Affidavit: General Businesses Applicant Information Please Print Leizibly :��rmr}' �'.u�k�'�i ,ia'W4TGR.S�'bPz"�5"`s 'SB4W:srila:6�A7dC3� i.,` �u9 �6r'�C..'Y�i'.mra�'Jaa4:.�titi C�Ya( a"�x Name: C- MLD<) Qa5mm P)U.t wu-0.5 /N(-. Address- 1-12- C. f�? -ALee.e71 (-\K Y City (• State iV A Zip: 0Z-! boo Phone 5 g 6 IZ b 133 Work site location(full address) 13 I(o kt&LN c�,t V0A—Q 7 MA 0 i Company name: Excavation 7 Address t'y-� 0 G 0)!Q 31 (D"I oco City Phone ,. F�� og jI Insurance Co he-A-Dt A INst1-(21 N(-e Policy# wcAo 3101S�q -1,1 Corny) yname• IJ R Fl�C1l.t-O Foundation Address: 5*9 VD , City t l f f�LAA0(Qj Phone 6D 3 S�(O - Z� Insurance Co. Policy �.a-.a�'". f.::.G>:�•'�n�.��'"{�-�-a�a�aerm��+F-�1=xn�,'�".�=:a�,'�,..3t'°a�x"�,,' ';rm.'«�.�.'�'�v ��"�.,9�c;�-�'-.'r�t„r. ;may ' ci,'!!Rf��.` aa�.+�'�'��'I.h�� .��Ina a«�'�.ai�falu�iYYa�'!i Company name: ���� Vut�sr�(A G��� INK: , Frame I i Address: .Z c5P( N D2-t r (- C City Phone J 1 - �j qj Insurance Co Lki-cp EM-pt.-()V t,5 cb Poliey# a a a a`xtr'i"`. ... ., :.�""a�s s .,-f. •Y. *q'�.ti.?�'�h.:a�?�:`��,�'sT'�2'a�..?�.. �a' ��i7� �.�Ls�'��:r:�i - Comr) yname• 1N571a'LL(5-7b 0"D CEa Insulation Address: �y (� City � '�� � (Z(J �� �� Phone ® < �� Insurance Co l--lXACC-" HIS . Co Policy# I -'�"�'FaL'��'1�Z'.bS;..'�Mr "'b'.cr 4: 'N� ,e x'r^ �xR s; TE: 1 L`+ ,v "ii"n�•A�" A' 'xaacRfl[k33d::b'P's�.rt�r +C�i��" 5 1�(•klk�l -��INI�'(-L� r� TLL 1�11Ci -L(<- I Company name ' Dr; all Address: `P_o - Cho ( tz� t 1 City ���1 � � � Phone' q-4 - i r i Insurance Co T� 1/ � lC (�t Policy# 1p LuJ 7 3 1 v;�•'s��s�'._• ������s••.a��s1: .+'� ���, ' .,�;�c��a������'�" ,3w��.n:: _.� ,��"-'�e �� s ;�`�". f;Pswz'� '��"_'.�`'���.: Company name L1 APPEN Finish Address. 1' C) • 63 V—) (D . . I 'City Now- R.)I— y lrs= (-GT1 L�F,,, Phone to ' �' Ca IQ q Insurance Co C9Et �'`lst�U�'V 171GV t.�.l Policy# �W it --- - - - '``6Q CERTIFICATE OF LIABILITY INSURANCE I 2/13/D /2013YY) �-� 13/ 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 jINSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. ORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to ine terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate 1 oes not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT Sall Costello NAME: FAX Y The Getchell Companies PHONE_No (978)897-7773 711 A/C No:(978)B97-1553 183 Great Road, Unit 15 ADDRE SS:sally@getchellcompanies.c;om PO BOX 844 INSURERS AFFORDING COVERAGE! NAIC# Stow MA 01775 INSURERAAcadia Insurance 31325 INSURED INSURER B: Francisco Tavares, Inc. INSURERC: P.O. BOX 398 INSURERD: 1 69 Old Meetinghouse Rd INSURERE: East Falmouth MA 02536 INSURERF: COVERAGES CERTIFICATE NUMBER:2012-2013 REVISION NO,MBER: 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 ADDLSUBR TYPE OF INSURANCE POLICY EFF POLICY EXP LIMITS LTR POLICY NUMBER MM/DD/YYYY MM/DD/YYYY GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 X COMMERCIAL GENERAL LIABILITY )AMA GE E 250 000 PREMISES Ea occurrence r$ A CLAIMS-MADE X❑OCCUR PA0273113-15 2/2/2012 2/2/2013 MEDEXP(Any on!eperson) $ 5,000 PERSONAL 8 ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ 2,000,000 X POLICY JECT PRO LOC i $ 4UTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident _ 1,000,000 A ANY AUTO BODILY INJURY(Per person) $ ALL OWNED X SCHEDULED 9AA 0344385-13 2/2/2012 12/2/2013 BODILY INJURY(Peraccident) $ AUTOS AUTOS X HIRED AUTOS X NON-OWNED PROPERTY DAMAGE $ included AUTOS Per accident 1 $ X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 5,000,000 A EXCESS LIAR CLAIMS-MADE AGGREGATE I $ 5,000,000 DED RETENTION$ UA 520273117-15 2/2/2012 2/2/2013 $ j� WORKERS COMPENSATION X WC STATU OTH- AND EMPLOYERS'LIABILITY I LI�f IT Y/N ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $ 11000,000 OFFICER/MEMBER EXCLUDED? N/A (Mandatory In NH) CA0310189-14 2/2/2012 2/2/2013 E.L.DISEASE-EA EMPLOYEE $ , 1 000,000 If yes,describe under I DESCRIPTION OF OPERATIONS below E.L.DISEASE-P,OLICY,LIMIT $ 1,000,000 i i i DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (Attach ACORD 101,Additional Remarks Schedule,If more space Is required) Cataldo Custom Builders, Inc. is named as an additional insured per form # AICG 65. E I I I i I CERTIFICATE HOLDER CANCELLATION 1 . I SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Cataldo Custom Builders, Inc. ACCORDANCE WITH THE POLICY PROVISIONS. 172 East Falmouth Highway j g Y East Falmouth, MA 02536 AUTHORIZED REPRESENTATIVE Christina Dennehy/CRD C.°P) I ACORD 25(2010/05) ©1988-2010 ACORD CORPO�AT10N. All rights reserved. INS025 r7nlnnRt n1 Tho ARrinn name and Inn^am rnnicfnrarl marka of Ar`110111 i i i RATE(♦V1M/DD1Y1 Y1� ACOR TM. G �TIFICATE OF LIABILITY INSURANCE OYJ14f2013 PRODUCER Pnono 09-5a0s181 Fax: 50P,46746aD THIS CERTIFICATE IS ISS D AS A MATTER OF INFORMAn� AL PEIDA&CARI-SON INSURANCE AGENCY INC. ONLY AND CONFERS NO IGHTS UPON THE CERTIFICATE - -BOX 654 . HOLDER. THIS CERTIFIC 'E DOES NOT AMIENDi'EXTEND OR %LMOUTH MA 02541 ALTER BY TH i INSURERS AFFORDING COVE 'E NAIC# INSURED - INSURER A: Aebella Prctestlon 1 CO _ P P FUCCILLO CDNST INC INSURER 5: Arballa Protection I •Co 648 THOMAS I-ANDERS RD INSURER C: Hartford Insurance E FALMOUTH MA 02536 INSURER Q: -.___,.. . ... -- 1NSURER E: i COVERAGES THE POLICIES OF INSURANCE U$TEO BELOW NAVE BEEN ISSUED TO THE INSURED NAMED AEOVE FOR THE POLICY ;RIOD INDICATED, NOTV44'FH5TANDIN(3 ANY RFOUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER p0QUMENT WITH RESPECT TO WHICH THIS RTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN 13 SU8=IECT TO ALL THE TERMS, EX .USIONS AND CONDITIONS OF SUCH POLICIES, AGGREGATE LIMITS SHOWN MAY HAVE BEEN RF_DUCED BY PAID CLAIMS. NaR ADD'! TYPEOFIMBUAANCE POLICY NUMBER FCUCTE ici. ppucYexPIAAYIOM UMRS LTR INSR M%A3 V �� M 3 1,000,600 GENERAL LIABILITY 8500046173 10120M2 10/20113 ACH OCCURRENCE_ AMnaETOREVTeD C MEP,CIALGENERRLLIA6II. f 300,000 X accumnoa REm!aE'(E' 1. CLAIMS MADE ] OCCUR AEI).EfSP(Arty one person) $,000 A L X BLANKET ADDITTONhL INSURFDS - RSONAL&ADV INJURY1,000,000 !_ S �ENERAI.AGGREGATE S 2,000,000 13EN'L AGGREGATE LIMIT APPLIES PER ROpUCTS COMPfOP AGGI S - 2,000,000 POLICY 7 jECT LOC AUTOMOBILE LIABILITY 78508400001 1WWI .10JZ8113 'QMBINED SINGLE LIMIT I $ 1,000,000 ANY AUTO En nedtlenq ILY ALL OWNFOAUTOS INJURY Faerr person) E X SGHEDULED AUTOS -- HIRED AUT05 ONLY INJURY NQN-OWNED AUTOS 'P� Idenl) ROPERTY DAMAGE $ ' 'Per Rcoltlent OARArHF LIABILITY 4UTR ONLY-EA ACCIDENT $ ANY AUTO OTHER THAN EA ACC $ ` AVTO ONLY: AGO $ EXCESS I UMBRFLLA LIABILITY EACH OCCURRENCE l OCCUR CLAIMS MADE AGGREGATE — � S 6 nEDUCTIBLEFI — RETENTION S $ WORKERSCOMPENSATIONAND SBB6938 10123/12 10123r1S oRvul�ms.. O1S EMPLOYEPS'UAGIUTY E-L.EACH ACCIDENT 8 500,000 D ANY fROPMETOP PARTNUIVEXECUTTWE .- -. OFFICEAMMSER EXCLUDEDI E.L.DISEASE-EA EMI'<,RYE.E T, Y N0,600 D Ym anwrltw under E-L.DISEA8--POLICY LIMIT S 500,000 OPM PROVI810N6 bafm OTHER: DESCRIPTION OF OPERATIONSILOCATIONSNEHICLESIEACLU$IONS ADDED BY ENDOR$EMENI SPECIAL PROVISIONS I i CERTIFICATE HOLDER CANCELLATION { SHOULD ANY OF THE AWVE D ,CRISFO POLICIES LIE 17ANCELLF-D BEFORE THE EXPIRATION DATE THEREOF,TY ISSUIN43 INSURER WILL ENDEAVOR TO MAIL'10 DAYS WRITTEN NOTICE TO THE 0 ICATE.HOLDER NAMED TO THE LLFT,BUT FAILURE T CATALDO BUILDERS DO SO SMALL IMPOSE NO OBLIG ON OR LIABILITY OF ANY kI.ND UPON THE INSURER,IT'S AGENTS OR REPRESENTATIVES. I �Qa $7-1155 AUTHORIZED REPRESENTATIVE Atterti4on: BO. fO1tf� AGORD 25(2001108) CeAificatQ A 11600 0 ACORD!CORPORATION 1988 i DATE CERTIFICATE OF LIABILITY II�SURAN 3IMM0)17-YYI i Z113/2013 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS 'eRTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND. EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES. GLOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE.HOUDER, IMPORTANT: If the certificate holder Is an ADDNAL INSURED,the policy{ies)must be endorsed If SUBROGATION IS WA[VWAIVED,subject to ITIO the term and conditions of the policy,certain policies may require an endorsement. A statement on this certificate doers,not conter rights to the certificate holder in lieu of such endorsement(s). DNTACT Criatina PRODUCER T. Edmund Garrity s Co_, Inc. PHONE 1[617)354-4640 fAx a_(617)354-5e2e 545 Concord Ave. DRie R:Cri-stina@garriY.Y'insuraxice.Qom WSUR 5 AFFORDING COVERAGE_ NAICA Cambridge MA 02139 INSURERAMELIA Street America Assurance 29939 IN5URFID INSURER B-TraVeler5 IndeM-n ity CO 0 ---____ STC CONSTRUCTION INC INSURER c oAssociated EMP10 ex Ins; Co 2 SPINDRIFTT LN INSURER D INSURER E- - BUZ7�ARDS SAY MA 02532-3588 INSU R COVERAGES CERTIFICATE NUMBER3MSTER 2013 REVISION NUM ER:. THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE I FOR THE POLICY PERIOD INDtCATEO. NOTWTHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITII 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 '- PoitCY EFF PO LILY EXP- LIMITS J TYPE OF INSURANCE INS OLICY NUMBER 1 wn-T MMID❑ Y GENERAL LIABILITY EACH OCCURRENCE b 1 r 00-0 r 000 A EU..� 500 0010 X COMMERCIAL GENERAL LIABILITY PREMISES Ea gc[uRenre, 8 r A -- CLAIMS-MADE El!OCCUR eI3166F /14/;2012 /14/2013 MED EXP(Any one n^) L 10,000 PERSONAL$ADV!NJURY E 1,000,000 GL•NERALAGCRI=GATE S 2,000,00(1 GEN'L AGGREGATE LIMIT APPLES PER PRODUCTS-COMPIDP AGG 5 2,000,000 S X POLICY D ?RO- LOC COMBINEp IN LE LIMN _ 1 00U 000 AUTOMOBILE LIABILITY Ea accldenc) BODILY INJURY(Per;per:,mJ� 5 B ANY AUTO ALLOWNED F:T1 SCHEDULED lar,92621352 /e/2012 /8/2013 BODILY INJURY(Per,acciden1% 5 ALTOS AUTOS PROPERTY DAMAGE $ I X HIRED AUTOS X AAUTOSA!NEP I - P.r.Ident ; 5 I Medical a rnents , 5 .000 UMBRELLALIA6 OCCUR EACHOCCURRENC� EKCESS LIAR CLAIMS-41ADE _ AGGREGATE. DEII RETENTION; $ STAT C WORKERS COMPENSATION x MIL I OTH- AND EMPLQYERS'LIABILrFY A 14Y PR.OPF0E�I�ORlPARTNERlEXE0LMVE n]YIN 2/2014 E.L.EACH.ACCIDENT - S 5OD ODO OFFICERIMEMBER EXCLUDED? Il NIA WCC50LO588012013 �/2/2013 / E.L.DISEASE-EA EMPLOYE 5 500 000 (Mandatary In NH) It yes,desulbe under E.L.DISEASE-POLICY LIMIT -6 500 000 DESCRIPTION OF OPERATIONS below - i i i PESCRiPTION OF OPERATIONS f LOCATIONS f VEHICLES(Attach ACORD 101,Additional Rernaft Schedule,If more space Is required) Description: carpentry- residential detached one or two family dwellings, three stories or leas Certificate holder is named as aciditional insured for general liability if so regnirad by written Contract_ r I i CERTIFICATE HOLDER CANCELLATION (508)457-1155 dankadar@comcast.net SHOULD ANY OF THE ABOVE DESCRIBED POLICIES Be CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE 1 WILL BE DELIVERED IN , ACCORDANCE WITH THE POLICY PROVISIONS. Cataldo Custom Builders I 172 Fast Falmouth IHighway AUTHORIZED REPRESENTATIVE East Falmouth, MA 02536 W Garrity/Y.RT53Y1 ACORD 25{201W05) 0198.8-2010 ACORD CORPORA,TION. All rights reserved. INS025 reninnsl m Tire Af M. T)noma anri Innr%aro rani¢ta—A mnrlre^f ar:rWn CE'RTIPICATE OF LIABILITY INSURANCE pa e 1 of 1 09/17/2012 9 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 "7LOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED :PRESENTATIVE 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). I PRODUCER CONTACT I -NAME:— Willis of Tennessee, Inc. PHONE FAX c/o 26 Century Blvd. rA/r ND_FXT)_' 877-945-7378 Npa - 888-467-2378 P.O. Box 305191 E-MAIL G Certificat"@Wi1n'.COIII Nashville, TN 37230-5191 -ADIDBEi INSURER(S)AFFORDINGCOVERAGE NAIC4 _ _ INSURERA: Zurich American Insurance Company 16535-005 INSURED MAP Installed Building Products INSURER B: Cincinnati Insurance Company. 10677-001 165 State Rd. INSURERC:American Guarantee & Liability Insurance 26247-004 P.O. Box 1309 Sagamore Beach, MA 02562-1309 INSURERD: i INSURER E i INSURER F: I COVERAGES CERTIFICATE NUMBER:18525425 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 DD' SUB POLICY NUMBER POLICY EFF POLICY EXPITR LIMITS A GENERAL LIABILITY GLO913952706 10/1/2012 10/1/2013 EACHOCCURRENCE $ 2,000,-000.__ X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED $ 1000,000 T PREMISES Eaocauence CLAIMS-MADE OCCUR M_EDEXP(Any one.person) $__ 10,000 _ PERSONAL BADVINJURY $ 2,000,000 1' _ GENERALAGGREGATE $ 4,000,000 3ENI AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ 4,000,000 POLICY X PRO-JECT X LOC $ B AUTOMOBILE LIABILITY CAA5878131(NY) 10/1/2012 10/l/2013 COMBINED SINGLE LIMIT 1,000,000 (Ea accident) 1 $ B X ANYAUTO CAA5121545 (CA/ME/WI) 10/1/2012 10/l/2013 BODILY INJURY(Per person) $ B ALLOWNED SCHEDULED CAA5211284(NH) 10/1/2012 10/1/2013 BODILY INJURY(Peraccident) $ AUTOS AUTOS NON-OWNED PROPERTYDAMAGE B X HIRED AUTOS X AUTOS CAA5878127(AOS1) 10/1/2012 10/1/2013 (Per accident) $ _ B CAA5223136 10/1/2012 10/1/2013 $ C X UMBRELLA LIAB X OCCUR - AUC931420601 10/1/2012 10/1/2013 EACHOCCURRENCE J$ 10,000,000 _ EXCESS LIAB CLAIMS-MADE AGGREGATE I $ 10,000,000 _ i DED I RETENTION$ $ A WORKERS COMPENSATION WC913952606 (ADS) 10/1/2012 10/1/2013 X AND EMPLOYERS'LIABILITY TORY.LIMII _E __— A ANY PROPRIETOR/PARTNER/EXECUTIVE YIN N/A WC913952806(WI) 10/1/2012 10/1/2013 E.L.EACH ACCIDENT $ 1,000,000 UDED? _ OFFICER/MEMBER EXCL (Mandatory In NH) f-- ___. ------ _ 000,000 E.L.DISEASE-E;AEMPLOYEE $ 1, f yes,describe under — DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 1,000,000 B Excess Automobile XS1154851 10/1/2012 10/1/2013 $4,000,0001. Excess of $1,000,D00 underlying, automobile DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(Attach Acord 101,Additonal Remarks Schedule,if more space is required) j I I i i CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS:. AUTHORIZED REPRESENTATIVE CATALDO CUSTOM BUILDERS 172 EAST FALMOUTH RD 14" EAST FALMOUTH, MA 02536 Coll:3859379 Tpl:1515199 Cert:185 425 01988-2010&ORD CORPORATION.All rights reserved., ACORD 25(2010/05) The ACORD name and logo are registered marks of ACORD i i I11UV;LLS U t Z Wt,ll 10: 40 AM VR� 110, r, UUG i i TRAY`LERS M 1 WORKERS COMPENSATION AND EMPLOYERS LIABILITY POLICY TYPE AR INFORMATION PAGE Wb 00 00 01 ( A) 1 POLICY NUMBER: (6KU8-4927P31-6 i12) RENEWAL OF (6KUB-4927P31-6-11 ) i INSURER: 'iTHE TRAVELERS INDEMNITY COMPANY i 1 NCCI CO CODE: 11347 i INSUREo. PRODUCER: SHANAHAN DRYWALL AND NOLAN INS AGENCY PLASTERING LLC PO BOX 938 PO BOX 1126 MANOMET MA 02145 PLYMOUTH MA 02362 i Insuredis A LIMITED LIABILITY COMPANY Other work places and Identification numbers are shown in the schedule(s) attached_ i 2. The policy period fs from 11-05-12 to 11-05-1 3 12:01 A.M. at the Insured's mailing addres®. 3. A. WORKERS COMPENSATION INSURANCE: Part One of the policy applies to the Workers Compensation Law of the states)listed hare: MA B, EMPLOYERS LIABILITY INSURANCE: hart Two of the policy applies to work In each state listed in item13.A. The 11mits of our liability udder Part Two are: — I a® Bodily Injury by Acoldent: $ 100000 Each Accident j Bodily Injury by Disease: $ 540000 Policy Limit Bodily Injury by Disease: s 100000 Eaoh Employee C. OTHER STATES INSURANCE; Pan Three of the policy applies to the states, If any, listed here: COVERAGE REPLACED BY ENDORSEMENT WC 20 03 OGA D. Thisjparcy Includes these endorsements and scheduled: o� SEL 'ILISTING OF ENDORSEMENTS EXTENSION OF INFO PAGE i� 4. The preti ium for this policy will be determined by our Manuals of Rules,Classifications, Rate and Rating Plans. Ali required information is subject to verification and change by audit to be made ANNUALLY. I DATE OF ISSUE: 11-02-12 LA ST A!SSIGN. MA ()FFICE: ORLANDO INDUS AFF 161 PRODUCER: N13LAN INS AGENCY 7GF5R 001152 ., i OEM- i i I i ivuv/Lb/_1zU1G/wl{.>1 1W 40 Rhi R PRA 110. A� r. UUJ MASSCHUSETTS ASSIGNED RISK POOL REQUEST FOR CERTIFICATE OF INSURANCE i Use this form to request a Certificate of insurance from an Assigned Risk Pool Carrier Please provitla all of the requested information,including the facsimile numbe-r($)of the person or persons to whom the Certificate of Insurance;should be issued. If this form is fully and accurately completed,the Certificate of Insurance will be issued and distributed by facsimile to each fax number provided below,within two(2)business days of the carrier's receipt. This form may be mailed or faxed to the Assigned Risk Pool Carrier. 7o obtain each carrier's contact information r�fer to the Certificates if Insurance section located int the Producer Community section of the Bureau's website,(www,woribmla.org). 1. Name,address,telephone number and facsimile number of the INSUR50; 11/28/12 Name Shanahan Drywall & Plastering, Mailing Address lip Mox 1126 Physical Address Plymouth, MA 02362 Phone (508) 224-6744 I Fax 2. Name,address,tel i ephone number and facsimile number of the CERTIFICATE HOLDER: Name Cataldo Custom Builders Mailing Address 172 E Falmouth Highway Physical Address E Falmouth MA 02536 i Phone Fax (568) 457-1155 3. Name,address,tel number and facsimile number of the PRODUCER: Name Nolan Sohelle Inaurance Agency Mailing Address PG 'Box 929 Physical Address Manomet, HA 02345 Phone (50;8) 224=3600 Fax (50;8) 224-3618 j 4. Policy Number,Policy Effective data and Policy Expiration date If a Certificate ofjlnsurance is needed for more than one policy term,provide the policy Number, Effective Date and Expiration Date for each policy term. If the policy has not yet been issued,you MUST attach a copy of the Notice of Assignment Pollcy Number 6KdS-4927P316 Effective Date 11/5/12 eiplratlon Date 11/5/13 5. List any special requirements for optional coverages/endorsements(see Page 2 for listing of coverages availabl i In the pool and the conditions of availability)or additional Information(including changes.in expostira not yet reported to the carrier)that will assist the carrier in the issuance of the Certificate of Insurance j NOTE: An additional intured(s)shall not be listed on any Certificate of Insurance unless such additional Insured(i)is a named insured onthe policy. I - 1 i 't SP 12 MA(2007 101) i I i I r DATE(MM/DD/YYYY) �'�� CERTIFICATE OF LIABILITY INSURANCE �� 7/25/2013 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder Is an ADDITIONAL INSURED, the policy(les) 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 Andrew Roth NAME: Murray & MacDonald Insurance Services, Inc. PHONE (5OH)540-2400 FitC No:(508)289-4111 550 MacArthur Blvd. E-MAIL ADDRESS:aroth@mmisi.com INSURERS AFFORDING COVERAGE NAIC i Bourne MA 02532 INSURER A:Hart ford Fire Ins co 19682 INSURED INSURER B:Guard Insurance Group JOE ORES CARPENTRY, INC. INSURERC: PO BOX 661 INSURER D: INSURER E: NORTH FALMOUTH MA 02556 1 INSURERF: COVERAGES CERTIFICATE NUMBER:13-14 Master 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 INSURANCEADDLSUBR POLICY EFF POLICY EXP LTR POLICY NUMBER MM/DD MM/DD/YYYY LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 GE ToRENTED X COMMERCIAL GENERAL LIABILITY PREMISES Ea occurrence) $ 300,000 A CLAIMS-MADE Fx_]OCCUR DBSBAKIS927 /20/2013 /20/2014 MED EXP(Any one person) $ 10,000 PERSONAL&ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ 2,000,000 X POLICY PRO LOC $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY(Per accident) $ HIRED AUTOS NON-OWNED PROPERTY DAMAGE $ AUTOS Per accident 4 UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED RETENTION$ $ B_ WORKERS COMPENSATION WC LIMIT7S OTH AND EMPLOYERS'LIABILITY Y/N ITORY EEL ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $ 500 000 OFFICER/MEMBER EXCLUDED? N/A (Mandatory In NH) OWC444184 /30/2013 /30/2014 E.L.DISEASE-EA EMPLOYEE $ 500,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 500,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (Attach ACORD 101,Additional Remarks Schedule,If more space Is required) CERTIFICATE HOLDER CANCELLATION (508)457-1155 mwadman@cataldobuilders.co SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Cataldo Custom Builders, Inc. ACCORDANCE WITH THE POLICY PROVISIONS. 172 East Falmouth Highway AUTHORIZED REPRESENTATIVE East Falmouth, MA 02536 Andrew Roth/AJR � ✓` ACORD 25(2010/05) ©1988-2010 ACORD CORPORATION. All rights reserved. INSn26 nntnnsi nt Tha annonl nama anti Innn arc ranicfarad marlre of Annon i PROJECT I NAME: Alllnv ADDRESS: [ 3'� u / v� 5 - A PERNIIT# PERMIT DATE: �J M/P: LARGE ROLLED PLANS ARE IN: BOX ins SLOT Data entered in MAPS program on: BY: q/wpfiles/forms/archive k TOWN OF BARNSTABLE BUILDING PERMIT APPLICATI TOWN OF BARNSTABLE Map Parcel -`� • ° Application # Health Division - Date Issued Conservation Division Applicatio ee yr Gt3 ��; Planning Dept. � V .F Permit FeeQ� . QD Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation / Hyannis 0 i Project Street Address �-� -Village Owner ('o+tiC:S �v-S l F e1z- Address sc-� 370(W�5� U&6ccs Z `� Telephone C/o TKc Permit Request c a F\e t_0 (Oe��Q�� �:�� �3�� 02 Coat ��� �cj be Z_ 0Y r . Square feet: 1 st floor: existing proposed 5'����2nd floor: existing c"" proposed 9502-Total new Zoning District Flood Plain rr Groundwater Overlay Project Valuation '(oIM�� )0`Construction Type Lot Size .2 . Grandfathered: 0 Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family C& Two Family ❑ Multi-Family(# units) Age of Existing Structure Historic House: AYes® On Old King's Highway: ❑Yes b(No Basement Type: 64 Full ❑ Crawl q ❑Walkout ❑ Other Basement Finished Area (sq.ft.) ! 7- Basement Unfinished Area (sq.ft) Number of Baths: Full: existing new Half: existing new t� CQ; Number of Bedrooms: existing _new .Total Room Count (not including baths): existing new �� First Floor Room Count / Heat Type and Fuel: AGaS ❑ Oil ❑ Electric ❑ Other Central Air: r.Yes ❑ No Fireplaces: Existing New Existing wood/coal stove: ❑Yes Flo Detached garage: ❑ existing ❑ new size_Pool: ❑ existing ❑ new size Barn: &existing ❑ new size_ Attached garage: ❑ existing I new, size _Shed: ❑ existing ❑ new size _ Other: oning Board of Appeals Authorization ❑ Appeal # Recorded❑ Commercial ❑Yes ❑ No If yes, site plan review # Current Use Proposed Use 5 APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name I�6S��S � :�I�C. . Telephone Number S08 �28 fl LJ Address . f 3 S O 5 t sJA P 0. 10C&4-51ol� License # CS /5 6 .oo-� Zoo Home Improvement Contractor# I T Worker's Compensation # 6 Z 1 2• ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE FOR OFFICIAL USE ONLY APPLICATION# f ,DATE ISSUED ` MAP/PARCEL NO. E ADDRESS VILLAGE OWNER DATE OF INSPECTION: FOUNDATION FRAME AYlJy INSULATION 3 L IV -1 FIREPLACE T ELECTRICAL: ROUGH FINAL s PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING •DATE CLOSED OUT ASSOCIATION PLAN NO. f The C'obnnionwealth ofMassachusetts .Department of Industrial A-ccidents y Office of Investigations 600 Washington Street Boston,M,4 02111 wwwanass.gov/dia Workers' Compensat Affidavit: ion insurance Adavit: Builders/Contractors/Electricians/plumbers Applicant Information Please Print Le-a air NaMe (Business/Organization/Individual): L �6 (i S � 5(sP L , �7'1 C Address: ��_.`_���� . 1��'S� •��c ✓��dvc%e� City/State/Zip: C)`4e t;'i l b I k Q2 � S Phone.#: qZ 8-/16 S Are you an employer? Check the appropriate box: 'Type of project(required):. IdEl am a employer with 4. [] I am a general contractor and I uction * have hired the sub-contractors 6• ❑ New constr . employees (full and/or.part-time). 2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7. ❑ Remodeling These sub-contractors have Demolition 'have e 8, D m ship ana h e no employees s ❑ working forme in any capacity. employees and have workers 9.' ❑Building addition [No workers' comp.insurance comp, insurance. $ { required.] 5. ❑ .We are a corporation and its 10.El Electrical repairs or additions 3.❑ q ] officers have exercised.their 11. Plumbin re airs or additions I am a homeowner doing all work ❑ g, P myself. [No workers' comp. right of exemption per MGL 12,❑Roof repairs insurance required.] t c. 152, §1(4), and We have no employees. [No workers' 13•❑ Other comp.insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. $Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'cor ipensation insurance far my employees. Below is.thepolicy and job site _ information. Insurance Company Name: Policy t or Self-ins.Lic.#: Expiration Date: cj Job Site Address: City/State/Zip: Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). Failure.to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment, as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement maybe forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certi� under the pains and penalties of perjury that-the;nformatioh provided above is true and correct, Signature. ��_ - %f' Date: Phone . ®ffcial use only. Do not write;in this area, to be completed by city or town official 9 City or Town: Permit/License Issuing Authority(circle one). , s.Board of Health 2.Bulding i Deparnent 3. City/TovYn Clerk 4.Electrical Inspector 5.Plumbing Inspector 6. Other Contact Person: Phone :: ,Client#:646400 2NORRISEB ACOII"t;®rM• CERTIFICATE OF LIA LIABILITY INSURANCE DATD/YYYY) • 01/08/208/2013 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT:If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must be endorsed.If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement.A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER - CONTACT Dowling&O'Neil -NAME: HONE 508 775-1620 FAX Insurance Agency E-MAIL Exe: (IC,No: 5087781218 973 lyannough Rd., PO Box 1900 ADDRESS: Hyannis,MA 02601 INSURER(S)AFFORDING COVERAGE NAIC# INSURERA:Acadia Insurance INSURED ,, - INSURER B: E.B.Norris&Son.,Inc. ; INSURERC: - - 138 Osterville-West Barnstable Road Ostervllle,MA 02655 INSURER D INSURER E: INSURER F: - COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY 'REQUIREMENT, TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN 1S SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. IR TR TYPE OF INSURANCE - ADDL SUBR -POLICY EFF POLICY EXP - - INSR WVD POLICY NUMBER MM/DDIYYYY MMIDD/YYYY LIMITS. A GENERAL LIABILITY CPA005234523 5/03/2012 05/03/201 EACH OCCURRENCE ° $1 00O 000 X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED _ PREMISES Ea occurrence $250000 - CLAIMS-MADE ®OCCUR - - - MED EXP(Any one person) s5,000 PERSONAL&.ADV INJURY $1,000,000 I• GENERAL AGGREGATE $2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $2,000,000 POLICY PRO- Y JECT LO'C $ AUTOMOBILE LIABILITY - - COMBINED SINGLE LIMIT Ea accident $ ANY AUTO - BODILY INJURY(Per person) $ ALL OWNED SCHEDULED BODILY INJURY Per accident $ AUTOS AUTOS ( ) NON-OWNED PROPERTY DAMAGE $ HIRED AUTOS AUTOS Per accident $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED RETENTION$ $ A WORKERS COMPENSATION WCA021246415 5/03/2012 0510312013 X I WC STATU-' OTH AND EMPLOYERS'LIABILITY ER ANY PROPRIETOR/PARTNER/EXECUTIVE Y/" E.L.EACH ACCIDENT $500 000 OFFICER/MEMBER EXCLUDED? ® N/A - (Mandatory in NH)If yes,describe under E.L.DISEASE=EA EMPLOYEE $500 OOO E.L.DISEASE-POLICY LIMIT $500,000 DESCRIPTION OF OPERATIONS below - � � - DESCRIPTION OF OPERATIONS/LOCATIONS VEHICLES(Attach-CORD 101,Additional Remarks Schedule,if more space is required). Insurance coverage is limited to the terms,conditions,exclusions,other limitations and endorsements. Nothing contained in the certificate of insurance shall be deemed to have altered,waived,or extended the coverage provided by the policy provisions. CERTIFICATE HOLDER CANCELLATION Town of Barnstable 'SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 200 Main Street ACCORDANCE WITH THE POLICY PROVISIONS. Hyannis,MA 02601 x - AUTHORIZED REPRESENTATIVE - - ©1988-2010 ACORD CORPORATION.All rights reserved. ACORD 25(2010/05) 1 of 1 The ACORD name and logo are registered marks of ACORD #S105139/M105138 LS1 Town of Barnstable �xsrna[� Growth Management Department "`"S& Barnstable Historical Commission t63q. �0 OrFn Ma+" www.town.bamstable.ma.uslhistodcalcommission Jo Anne Miller.Buntich,Director Marylou Fair,Administrative Assistant COMMISSION MEMBERS: Jessica Rapp Grassetti,Chair George Jessop,AIA,Vice Chair Marilyn Fifield,Clerk Nancy Clark , Len Gobeil Nancy Shoemaker Laurie Young August 14, 2012 Michael D. Ford, Esquire P 0 Box 485 W. Harwich, MA 02671 e . Linda Hutchenrider, Town Clerk 367 Main Street, Hyannis, MA 02601 { Thomas Perry, Building Commissioner 200 Main Street; Hyannis MA 02601 Re: DECISION of the.Barnstable Historical Commission,pursuant to the Code of the Town of Barnstable ss 112-1 through ss 112-7; an application for DEMOLITION of property as follows: 1372& 1376 Main Street,Cotuit Map 0331Parcel 024&046 The Barnstable Historical Commission considered the application for demolition of the house at the above referenced location at their meeting of,July 11, 2012. .A vote to hold a public hearing was approved unanimously and scheduled for 4:00pm July 30, 2012 in the Selectmen's Conference Room, Town Hall, 367 Main Street, Hyannis, MA. t At the July 30, 2012 Public"Hearing the Barnstable Historical Commission heard testimony from Attorney Michael Ford regarding the owners desire to preserve a portion of the building and porches and relocation of the structure to an area more visible to the public. Public Commentwas heard from several residents in opposition of the demolition of the structure. A request for a short continuance was asked by Attorney Ford so that he could review the comments made fr by the Commissioners and the public with.his clients and submit an amended Notice,of Intent,to Demolish application. A continuance of the Public Hearing was agreed and a date of August 6, 2012 was scheduled for 3:30pm in the °. Selectmen's Conference Room,Town Hall, 367 Main Street, Hyannis, MA. 200 Main Street,Hyannis,MA 02601(o)508-862A786(f)508-862A784 367 Main Street,Hyannis,MA 02601 (o)508-862A678(f)508-862-4782 i Michael D. Ford, Esquire Page Two 1372& 1376 Main Street, Cotuit At the August 6, 2012 continued Public Hearing, members reviewed a revised site plan dated 8/2/2012 indicating the portion of the building that will be preserved as well as reconstruction of the porches and the new location which will be closer to Main Street and more visible to the public.,Public-Comment.was again taken;with concern for the sections of the building that would be removed; however, the general consensus was that this was a good alternative to complete demolition. Members also agreed that preservation of a portion of the structure and relocation was preferred over demolition and appreciate the applicant's consideration. The Commission also requested they be allowed to document the exterior as well as the interior of the existing structure before any demolition takes place. Present and voting to find that the portions of the structure requested to be demolish are not preferably preserved and these portions would not be`detrimental to:the historical,"culturalor architectural heritage or resource of the Town: George Jessop, Nancy Shoemaker, Marilyn Fifield, Len Gobeil, Laurie Young Voting Against the Motion: Jessica Rapp Grassetti Present and voting to find that the remaining portions of:the structure will be preserved'and relocated to a more visible area on the lot: George Jessop, Nancy Shoemaker, Marilyn Fifield, Len Gobeil, Laurie.Young Voting Against-the Motion: Jessica Rapp Grassetti Present and voting to find that the shed identified as a two car garage of galvanized steel is not a preferably preserved building: Jessica Rapp Grassetti, George,Jessop, Nancy Shoemaker, Marilyn Fifield;ten Gobeil, Laurie.Young Sincerely, Jessica Rapp Grassetti, Chairman M 200 Main Street,Hyannis,MA 02601(o)508-862A786(f)508.86N784 367.Main Street,Hyannis,MA 02601(o)508.862A678(f)508-862-4782 fv' tuit Aire B'* trid tt#�r �>z �cxtxr�xt# • cmvrr19M . . ... . � 4300 FAl.MOUTH ROAD, P.O. BOX 451 rwY�s^-------- - ---- --GOTlJLT�MASS_0263�r - ...--- - ---- - _...— PHONE 508-428-2687 FAX 508-428-7517 February 8,2013 Mr.Francis Russell 1372&1376 Main Street w Cotuit,MA 02635 ; Dear Mr. Russell, o` . The water was turned off at the street and the meter was disconnected; and removed on Thursday February 7,2013 at 1376 Main Street in Cotuit.The service at 1372 Main Street was never activated. 03 • Please contact our office at 508-428-2687 the morning of the demolition „ so we can remove any remaining service connection materials. Sincerely, - Chris Wiseman Superintendent nationalgrid February 25, 2013 Attention: Jeff Annis f Re: 1376 Main St...Cotuit, MA. This letter is to notify you that the gas service to 1376 Main St., Cotuit, MA. has been cut and capped on'02/22/2013. Regards, Crjj Diane Camarayj US National Grid t t";a Gas Customer Fulfillment o } h Mar, 6, 2013 12:36PM N s t a r ' No, 8402 P. 2 NSTAR One NSTAR Way ` FL E'C TR/C Westwood,Massachusetts 02090 GAS March 6, 2013 Francis J. Russell 307 Main St S-800 Worcester, MA 01608 RE: 1376 Main St., Cotuit ' C Dear: Francis J. Russell e wx„ 01 v At NSTAR, we're committed to,delivering great service. ' Y This letter serves as confirmation that the electric service to 1376 Main St, Cotuit has W been removed. �� r • 1 5 • Based on this information, there is no electric power at this address and you may proceed with the demolition., If you have any questions, please contact me at (888) 633-3797 Sincerely, New Customer Connects F • f t • t REScheck Software Version 4.4.3 Compliance Certificate Project Title: Segel Sherman. Energy Code: 2009 IECC Location: Cotuit, Massachusetts Construction Type: Single Family Glazing Area Percentage: 29% , Heating Degree Days: 6137 , Climate Zone: 5 Construction Site: Owner/Agent: Designer/Contractor: 1376 Main Street Cotuit,MA Compliance: Compliance:1.3%Better Than Code Maximum UA:1421 Your UA:1402 The%Better or Worse Than Code index reflects how close to compliance the house is based on code tradeoff rules. It DOES NOT provide an estimate of energy use or cost relative to a minimum-code home. AssemblyGross Cavity Cont. Glazing U� or or D•• Perimeter • Ceiling 1:Cathedral Ceiling 544 38.0 0.0 15 Ceiling 2:Flat Ceiling or Scissor Truss 2484 38.0 0.0 75 Floor 1:Slab-On-Grade:Unheated 94 10.0 72 Insulation depth:2.0' Floor 2:All-Wood Joist/Truss:Over,Unconditioned.Space 14579 30.0 0.0 151 Wall 1:Wood Frame, 16"o.c. 7393 19.0 0.0 303 Window 1:Wood Frame:Double Pane with Low-E t 2109 0.330 696 Door 1:Solid 232 0.390 90 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 2009 IECC requirements in REScheck Version 4.4.3 and to comply with the mandatory requireJL nt I ted in EScheck,lnspection Checklist. Name-Title Signature Date 7 , k -- C ., .. ice.. ` f e • _ ` ' Project Title: Segel Sherman n Report date: 01/1 13 9/ 1 . 9 . „ p , Data filename:\\Sun-pc\workfiles\Check\REScheck\2013 REScheck\Segel Sherman\Segel Sherman 1-19-13.rck Page 1 of 4 , 1 REScheck Software Version 4.4.3 Inspection Checklist Energy Code: 2009 IECC Location: Cotuit,Massachusetts Construction Type: Single Family Glazing Area Percentage: 29% Heating Degree Days: 6137 Climate Zone: 5 Ceilings: ❑ Ceiling 1:Cathedral Ceiling,R-38.0 cavity insulation Comments: ❑ Ceiling 2:Flat Ceiling or Scissor Truss,R-38.0 cavity insulation Comments: Above-Grade Walls: ; ❑ Wall 1:Wood Frame,16"o.c:,R-19.0 cavity insulation Comments: Windows: ❑ Window 1:Wood Frame:Double Pane with Low-E,U-factor:0.330 For windows without labeled U-factors,describe features: ' #Panes Frame Type Thermal Break? Yes No .. Comments: Doors: ❑ Door.1:Solid,U-factor:0.390 ` Comments: Up to 40 sq.ft.of this door is exempt from the U-factor requirement. Floors: ❑ Floor 1:Slab-On-Grade:Unheated,2.0'insulation depth,R-10.0 continuous insulation Comments: Slab insulation extends down from,the top of the slab to at least 2.0 ft.OR down to at least the bottom of the slab then horizontally for a total distance of 2.0 ft. ❑ Floor 2:All-Wood Joist/Truss:Over Unconditioned Space,R-30.0 cavity insulation Comments: f Floor insulation is installed in permanent contact with the underside of the subfloor decking. Air Leakage: ❑ Joints(including rim joist junctions),attic access openings,penetrations,and all other such openings in the building envelope that are sources of air leakage are sealed with caulk,gasketed,weatherstripped or otherwise sealed with an air barrier material,suitable film or solid material. Air barrier and sealing exists on common walls between dwelling units,on exterior walls behind tubs/showers,and in openings between window/door jambs and framing. . ❑ Recessed lights in the building thermal envelope are 1)type IC rated and ASTM E283 labeled and 2)sealed with a gasket or caulk - between the housing and the interior wall or ceiling covering. ❑ Access doors separating conditioned from unconditioned space are weather-stripped and,insulated(without insulation compression or damage)to at least the level of insulation on the surrounding surfaces.Where loose fill insulation exists,a baffle or retainer is installed to maintain insulation application. p ❑ Wood-burning fireplaces have gasketed doors and outdoor combustion air. ❑ Automatic or gravity dampers are installed on all outdoor air intakes and exhausts. t; Air Sealing and Insulation: Project Title: Segel Sherman Report date: 01/19/13 Data filename:\\Sun-pc\workfiles\Check\REScheck\2013 REScheck\Segel Sherman\Segel Sherman 1-19-13.rck Page 2 of 4 ❑ Building envelope air tightness and insulation installation complies by either 1)a post rough-in blower door test result of less than 7 ACH at 50 pascals OR 2)the following items have been satisfied: (a)Air barriers and thermal barrier:Installed on outside of air-permeable insulation and breaks or joints in the air barrier are filled or repaired. (b)Ceiling/attic:Air barrier in any dropped ceiling/soffit is substantially aligned with insulation and any gaps are sealed. (c)Above-grade walls:Insulation is installed in substantial contact and continuous alignment with the building envelope air barrier. (d)Floors:Air barrier is,installed at any exposed edge of insulation. (e)Plumbing and wiring:Insulation is placed between outside and pipes.Batt insulation is cut to fit around wiring and plumbing,or sprayed/blown insulation extends behind piping and wiring. (f) Corners,headers,narrow framing cavities,and rim joists are insulated. - (9)Shower/tub on exterior wall:Insulation exists between showers/tubs and exterior wall Sunrooms: ❑ Sunrooms that are thermally isolated from the building envelope have a maximum fenestration U-factor of 0.50 and the maximum skylight U-factor of 0.75.New windows and doors separating the sunroom from conditioned space meet the building thermal envelope requirements. Materials Identification and Installation: Materials and equipment are installed in accordance with the manufacturer's installation instructions. ❑ Materials and equipment are identified so that compliance can be determined. ❑ Manufacturer manuals for all installed heating and cooling equipment and service water heating equipment have been provided. ❑ Insulation R-values and glazing U-factors are clearly marked on the building plans or specifications. Duct Insulation: ❑ Supply ducts in attics are insulated to a minimum of R-8.All other ducts in unconditioned spaces or outside the building envelope are insulated to at least R-6. Duct Construction and Testing: . ❑ Building framing cavities are not used as supply ducts. ❑ All joints and seams of air ducts,air handlers,filter boxes,and building cavities used as return ducts are substantially airtight by means of tapes,mastics,liquid sealants,gasketing or other approved closure systems.Tapes,mastics,and fasteners are rated UL 181A or UL 181 B and are labeled according to the duct construction.Metal duct connections with equipment and/or fittings are mechanically fastened.Crimp joints for round metal ducts have a contact lap of at least 1 1/2 inches and are fastened with a minimum of three equally spaced sheet-metal screws: Exceptions: Joint and seams covered with spray polyurethane foam. Where a partially inaccessible duct connection exists,mechanical fasteners can be equally spaced on the exposed portion of the joint so as to prevent a hinge effect. Continuously welded and locking-type longitudinal joints and seams on ducts operating at less than 2 in.w.g.(500 Pa). ❑ Duct tightness test has been performed and meets one of the following test criteria: (1)Postconstruction leakage to outdoors test:Less than or equal to 617.7 cfm(8 cfm per 100 ft2 of conditioned floor area). (2)Postconstruction total leakage test(including air handler enclosure):Less than•or equal to 926.5 cfm(12 cfm per 100 ft2 of conditioned floor area). 4 (3)Rough-in,total leakage test with air handler installed:Less than or equal to 463.3 cfm(6 cfm per 100 ft2 of conditioned floor area). (4)Rough-in total leakage test without air handler installed:Less than or equal to 308.8 cfm(4 cfm per 100 ft2 of conditioned floor area). Temperature Controls:` ❑ Where the primary heating system is a forced air-furnace,at least one programmable thermostat is installed to control the primary heating system and has set-points initialized at 70 degree F for the heating cycle and 78 degree F for the cooling cycle. ❑ Heat pumps having supplementary electric-resistance heat have controls that prevent supplemental heat operation when the �t compressor can meet the heating load. Heating and Cooling Equipment Sizing: ❑ Additional requirements for equipment sizing are included by an inspection for compliance with the International Residential Code. Lj For systems serving multiple dwelling units documentation has been submitted demonstrating compliance with 2009 IECC Commercial Building Mechanical and/or Service Water Heating(Sections 503 and 504). • . Circulating Service Hot Water Systems: ❑ Circulating service hot water pipes are insulated to R-2. Project Title: Segel Sherman Report date: 01/19/13: Data filename:\\Sun-pc\workfiles\Check\REScheck\2013 REScheck\Segel Sherman\Segel Sherman 1-19-13.rck Page 3 of 4 =" ❑ Circulating service hot water systems include an automatic or accessible manual switch to turn off the circulating pump when the system is not in use. Heating and Cooling Piping Insulation: ❑ HVAC piping conveying fluids above 105 degrees F or chilled fluids below 55 degrees F are insulated to R-3. Swimming Pools: ❑ Heated swimming pools have an on/off heater switch. ❑ Pool heaters operating on natural gas or LPG have an electronic pilot light. ❑ Timer switches on pool heaters and pumps are present. Exceptions: Where public health standards require continuous pump operation. Where pumps operate within solar-and/or waste-heat-recovery systems. Lj Heated swimming pools have a cover on or at the water surface.For pools heated over 90 degrees F(32 degrees C)the cover has a minimum insulation value of R-12. Exceptions: Covers are not required when 60%of the heating energy is from site-recovered energy or solar energy source. _ Lighting Requirements: ❑ A minimum of 50 percent of the lamps in permanently installed lighting fixtures can be categorized as one of the following: (a)Compact fluorescent (b)T-8 or smaller diameter linear fluorescent (c)40 lumens per watt for lamp wattage<=15 (d)50 lumens per watt for lamp wattage>.15 and<=40 (e)60 lumens per watt for lamp wattage>40 Other Requirements: ❑. Snow-and ice-melting systems with energy supplied from the service to a building shall include automatic controls capable of shutting off the system when a)the pavement temperature is above 50 degrees F,b)no precipitation is falling,and c)the outdoor temperature is above 40 degrees F(a manual shutoff control is also permitted to satisfy requirement's'). Certificate: ❑ A permanent certificate is provided on or in the electrical distribution panel listing the predominant insulation R-values;window U-factors;type and efficiency of space-conditioning and water heating equipment.The certificate does not cover or obstruct the visibility of the circuit directory label,service disconnect label or other required labels. t NOTES TO FIELD:(Building Department Use Only) II Project Title: Segel Sherman Report date: 01/19/13 Data filename:\\Sun-pc\workfiles\Check\REScheck\2013 REScheck\Segel Sherman\Segel Sherman 1-19-13.rck Page 4 of 4 i 2009 LECC Energy Efficiency Certificate Insulation Rating R-Value Ceiling/Roof 38.00 Wall 19.00 Floor/Foundation 30.00 Ductwork(unconditioned spaces): Glass&Door Rating U-Factor SHGC Window 0.33 Door 0.39 NA Heating &Cooling Heating System: Cooling System: Water Heater: Name: Date: Comments: t i u a { { To. Tom Peny/wl auzon Barnstable Building Dept.: Bamstab le,MA02601 Re: Building permits for 1372/1376 Maui St Cotuk MA 02635 may. s Peryour convelsatiou with QsigAshworth on W/13 me are submitting orasppbication for demolition and burildingpennA for your revww,We undwtand 8rat&m will be no sign off or burild ng permit mired umml the appmpnm shut off and&wommect lea mS are submitted to your office � Y Tbank you, . CmaigAgwor ,Owna/lN=ident E B.Nw&&Son,Lrc. ACORM Stimbmitted by: Daft M3. by- Do—, Mass She Building&vmvimes Lioefl= #015851 Mass.Home lmpr0vcm9W Co*aMes License #102014 ERNEST B. NORRIS & SON, INC. -138 OSTERVILLE-WEST BARNSTABLE ROAD OSTERVILLE, MASSACHUSETTS. 02655 TEL: 508-428-1165, FAx: 508-428-1196 X, 01/29/2013 14:09 , 15087757877 EBNORRIS PAGE " 2, Town of Barnstable. Regulatory Services Thomas F.Geller,Director Building Division Tom. F Perry-Building Commissioner 200 Main Street Hyannis, MA 02601 www.town.bamstable 'ema.us Office: 508-862-4038 Fax: 508-790-6230 Propertym Owner Must, Complete and Sign-This Section If Using A Builder Francis J. Russel, Trustee,as Owner of the subject property hereby authorize E.B.Norris& Son.Inc. toactonmybehalf, in all matters relative to work authorized by this building"permit application for: 1372&.1376Main Street,;Cotuft, MA 02638 (Address of Job) 1-294 3 t of.6wmer Date R(X5cLC�:'T�uSl�.f' Print Name. } Liberty The Ohio Casualty Insurance Company Nlutug. 62 Maple Avenue, Keene, New Hampshire 03431 BOND Bond# 601050817 KNOW ALL MEN BY Y THESE PRESENTS:That we E.B. Norris& Son, Inc. 138 Osterville West Barnstable Road Osterville MA 02655 Sfree4 Address City State ZIP Code (Full Name[top line]and Address(bottom line)of Principal) (hereinafter called the Principal)as Principal,and, The Ohio Casualty Insurance Company with principal offices at Keene,New Hampshire(hereinafter called the Surety)as Surety,are held and firmly bound unto Town of Barnstable 200 Main Street Hyannis MA 02601 Street Address City State ZIP Code (Full Name Itop line]and Address[bottom line]of Obligee) (hereinafter called the Obligee),in the penal sum of Six Hundred Thirty Two Dollars&00/100 (Dollars)$ 632.00 for the payment of which well and truly to made, we do hereby bind ourselves, our heirs. executors, administrators, successors and assigns,jointly and severally,firmly by these presents. WHEREAS,the Principal has made or is about to make application to the Obligee for a License to Construct a Single Family Home at 1376 Main Street Cotuit, MA 02635. 158 foot frontage., for a term beginning on February 12, 2013 and ending on*February 12, 2014 (*strike out if license or permit is for an indefinite term) NOW, THEREFORE, if the Principal shall indemnify the Obligee against any loss directly arising by reason of failure of said Principal to comply with the laws or ordinances under which said license or permit is granted, or any lawful rules or regulations pertaining thereto,then this obligation shall be void; otherwise to remain in full force and effect. PROVIDED,HOWEVER,AND UPON THE FOLLOWING EXPRESS CONDITIONS: 1. This bond shall be and remain in full force during the term of said license or permit unless canceled in accordance with paragraph 2 below;but if said license or permit was issued for a specific term,and is renewed for one or more specific terms,this bond will be extended to cover such additional term(s) upon the execution by the Surety of a Continuation Certificate, provided such certificate is acceptable to the Obligee. In no event , however, shall the liability of the Surety be cumulative from year to year or from period to period,nor exceed the penal sum written in this first paragraph of this bond. 2. The Surety shall have the right to terminate its liability by notifying the Obligee in writing ten(10)days.in advance of its intention to do so. SIGNED,.SEALED AND DATED E.B. Norris& Son, Inc. By: The Ohio Casualty Insurance Company By: Martha A. Kenney Attorney-in-Fact. S-3853 License or Permit Bond (Unnumbered) Principal: E.B.Norris&Son,Inc. POWER OF ATTORNEY Agency Name: DOWLING&O'NEIL THE OHIO CASUALTY INSURANCE COMPANY INSURANCE AGENCY Obligee: Town of Barnstable Bond Number:601050817 Know All Men by These Presents:That THE OHIO CASUALTY INSURANCE COMPANY,a New Hampshire Corporation,pursuant to the authority granted by Article IV,Section 12 of the Code of Regulations and By-Laws of The Ohio Casualty Insurance Company,do hereby nominate,constitute and appoint:Kelly C.Bolton,Martha A.Kenney,Robert W.Miller,Mark McCartin,Nancy Soule of Hyannis,Massachusetts its true and lawful agent(s)and attorney(ies)-in-fact,to make,execute,seal and deliver for and on its behalf as surety,and as its act and deed any and all BONDS,UNDERTAKINGS,and RECOGNIZANCES,excluding,however,any bond(s)or undertaking(s) guaranteeing the payment of notes and interest thereon. And the execution of such bonds or undertakings in pursuance of these presents,shall be as binding upon said Company,as fully and amply,to all intents and purposes,as if they had been duly executed and acknowledged by the regularly elected officers of said Company at their administrative offices in Keene,NH,in their own proper persons.The authority granted hereunder supersedes any previous authority heretofore granted the above named attomey(ies)-in-fact. In WITNESS WHEREOF,the undersigned officer of the said The Ohio Casualty Insurance Company has hereunto subscribed his name and affixed the Corporate Seal of said Company this 1 st day of December,2012, ��Y INgv yJ�oapoI Q 3 Fo m o :1919 --� 0 mps�;da3 Hl * td Gregory W.Davenport Assistant Secretary STATE OF WASHINGTON COUNTY OF KING On this Ist day of December,2012 before the subscriber,a Notary Public of the State of Washington, in and for the County of King,duly commissioned and qualified,came Gregory W. Davenport,Assistant Secretary of The Ohio Casualty Insurance Company,to me personally known to be the individual and officer described in,and who executed. the preceding instrument,and he acknowledged the execution of the same,and being by me duly sworn deposes and says that he is the officer of the Company aforesaid,and that the seal affixed to the preceding instrument is the Corporate Seal of said Company,and the said Corporate Seal and his signature as officer were duly affixed and subscribed to the said instrument by the authority and direction of said Corporation. IN TESTIMONY WHEREOF,I have hereunto set my hand and affixed my Official Seal at the City of Seattle,State of Washington,the day and year first above written. r NOTARY - IP PUBLIC ?r'•:.09.S..'0 Notary Public in and for County of King,State of Washington My Commission expires December 9,2013 This power of attorney is granted under and by authority of Article IV,Section 12 of the By-Laws of The Ohio Casualty Insurance Company,extracts from which read: ARTICLE IV-Officers Section 12.Power of Attorney. Any officer or other official of the Corporation authorized for that purpose in writing by the Chairman or the President,and subject to such limitation as the Chairman or President may prescribe,shall appoint such attorneys-in-fact,as may be necessary to act in behalf of the Corporation to make,execute,seal,acknowledge and deliver as surety any and all undertakings;bond,recognizances and other surety obligations. Such attomeys-in-fact,subject to the limitations set forth in their respective powers of attorney,shall have full power to bind the Corporation by their signature and execution of any such instruments and to attach thereto the seai of the Corporation. When so executed,such instruments shall be as binding as if signed by the President and attested to by the Secretary. Any power or authority granted to any representative or attorney-in-fact under the provisions of this article may be revoked at any time by the Board,the Chairman,the President or by the officer or officers granting such power or authority. This certificate and the above power of attorney may be signed by facsimile or mechanically reproduced signatures under and by authority of the following vote of the board of directors of The Ohio Casualty Insurance Company effective on the 15th day of February,2011: VOTED that the facsimile or mechanically reproduced signature of any assistant secretary of the company,wherever appearing upon a certified copy of any power of attorney issued by the company in connection with surety bonds,shall be valid and binding upon the company with the same force and effect as though manually affixed. CERTIFICATE 1,the undersigned Assistant Secretary of The Ohio Casualty Insurance Company,do hereby certify that the foregoing power of attorney,the referenced By-Laws of the Company and the above resolution of their Board of Directors are true and correct copies and are in full force and effect on this date. IN WITNESS WHEREOF,I have hereunto set my hand and the seal of the Company this 12 day of February ,2013 v.11(INS& /J Q i oRpoa9'F9y� / o 1919 0 ill wu W O � � q h MpS� a �yl * ��d David M.Carey Assistant Secretary _ q , Office of Consumer Affairs and Business Regulation — 10 Park Plaza - Suite 5170 Boston, Massachusetts 02116 Home Improvement Contractor Registration Registration: 102014 _ Type: Private Corporation ,s1; Expiration: 6/30/2014 Tr# 223290 ERNEST B. NORRIS & SON INC zi __ Craig Ashworth 138 Osterville W. Barnstable rd. , 02655 Osterville, MA -� — ,w `�. ^�=-� �,.• Update Address and return card.Mark reason for change. Address Renewal Employment Lost Card SCA 1 C 20M-05/11 - ���G' l�'PO%u/7Z0�/SGUGCI�L�O.�/Gr�L281ULfCf'L(.cdB� - _ . ag'1 � License or registration valid fo�:,�ndividul use only Office of Consumer Affairs&Business Regulation before the expiration date. If found return to: k�OME IMPROVEMENT CONTRACTOR Office of Consumer Affairs and Business Regulation egistration 102014 Type: 10 Park Plaza-Suite 5170 n: 4 / xpiratio 6/30/2014 Private Corporatior Boston,NIA 02116 ERNEST B. N0RR15&SON INC , I:-i ��{S- x 1 -• Craig Ashworth / 138 Osterville W. BarnstabWe d� 4' y /q Osterville,MA 02655 -' n Undersecretary No valid without signature t "=> Massachusetts- Depar-tment of Public Safety Board of Building; Regulations and Standards I Construction Supervisor License License: CS 15851 ,;:CRAIGSN�ASHWORTH ; ,,138 OST W;BARNSTABLE ; OSTERVIL'LE _MA 02655 E Expiration: 9/28/2013 Conunissioner'' Tr#; 522 I Jan, 24. 2013 11 , 33AM No, 0,193 P. 2 It Bk 2,62461 Piv 126 *21492 04-19--2 12a54w FIDUCIARY DEED Mary M, Pelletier,as Trustee of the Pelletier Realty Trust,under Declaration of Trust dated June 18,2002 and recorded with the Barnstable County Registry of Deeds In Book 15296,Pago 152,and Richard McCowan,David McCowan,and Debra Tarpey,as Trustees of the, McCowan CotuitTrust 1992,under Declaration of Trust dated December 30, 1992 and retarded with said Deeds in Book 8388,Page 223(collectively,the"Grantors"}, for consideration of One and No/100 Dollars($1.00)paid, hereby grant to Francis J.Ru®sell,as Trustee of the Red House and Bern Realty Trust, • ail under Declaration of Trust dated*of even date herewith and recorded herewith,having a mailing address of c/o Mountain,Dearborn&Whiting LLP,Suite 800,370 Main Street,Worcester, - Massachusetts 01608(the"G. rantcV), a all of the Grantors' right,title and Interest In the land situated in the Town of[unstable(Coluit), Barnstable County,Commonwealth of Massoehusetts,together with the buildings and improvemants'thereon being more particularly shown as Lot Al on a plan entitled"Plan of Lond at#1372 Mai0treet,Cotuit,-MA,"dated September 15,2011,prepared by Down Cape, Engineering,Inc„filed:with said Deeds in Bookw,Page M For Grantors'title,see Deed of Ma M.Pelletier Ma M.McGowan,recorded with said ry �Y -" Deeds in Book 15296,Page 155,and Deed of Frances M.McGown and Mary M.McGowan,as Truatees of the Born property Trust,recorded with said Deeds in Book 8388,page 232. The consideration for this conveyance being less than One Hundred and No/100 Dollars ($100.00),there are no Massachusetts Deed Excise Taxes payable under Massachusetts General Laws Chapter 64D. [SIGNATURES ON FOLLOWING PAGE] rl y I Jan, 24, 2013 11 :33AM No. 0193 P. 3 Hx 262b1 mg Yz #21492 • Executed under,seal as of the .day of 1 ,2012, `. Mary M.Motbwan,as Trustee as aforesaid, and not individually Richard McGowan,as Trustee as aforesaid, and not indivl ally Aavid McC wan,as Trustee as aforesaid, and not individually Cj— -- Debra Tarpay,as Trustee al afore id,and , not individually COMMONWEALTH OF MASSACHUSETFS On this day of 20121,before rne,the undersigned notary public,personally appeared Mary M.McCowan,proved tome through satlafactory evidence of identification,which was.ma Q,%qjkjlre-Ap-e— ,to be the person whose name is signed on the preceding or attached document,an&acknowledged to me that she aigned,it voluntarily for its stated purpose,as Trustee as aforesaid, MARIA R SYKES F NOIMPubbc VaEne OMMMOW OF,.016 v M Co Ex I Jan. 24. 2013. 11 ; 33RM No. 0193 P. 4 Bk 26201 Yg lzts #21492 r Executed under seal as of the .tl day of TWW /, . ,2M. Marx MXOCowan�as Tri%stee'as efomsaid, and not lndividuellr Richard"McCowan,-as Trustee w,aforesaid, and:not.bdividaally . Davld MoNwm e:r'T7ustee'aaAreseid, _ and not. Debra Tarpoyiv Trbstee as aforesaid,aiid not.lndiwidually COMMON.19ALTH OF MASSACHUUS9TTS° - -- -__IMF On this day:of _.;:2Q123 before:me,the undersigned notary pubHe,-personally appeared M&y-M•,:McCowan,proved to me through satisfactory,evidence of identification,which was ,to be the person•whose name is signed on'the preceding orattached document,and acknowledged to nee that.she sighed'it.voluntadfyfor Its stated putpdse,as Twatee as aforesaid, Notary Public. ' 'My,Commisaion ExpiCes't: Jan, 24, 2013 11 ;33AM Bk. 262b ��rgtlzy #21492 COMMONWEALTH OF MASSACHUSETTS ,ss. r On this day of 2012,before me,the undersigned notary public,personally appeared Richard McGowan,proved to me through satisfactory evidence of identification,which was. _ _ ,to be•the person whose name is signed on the preceding or attached document,and acknowledged to me that he signed it voluntarily for its stated purpose,as Trustee as aforesaid. •,r Notary Public y My Commission Expires: COMMONWEALTH OF MASSACHUSETTS On this day of _ ,2012,before me,the undersigned notary public,personally sppeared David McGowan,proved to the through satisfactory evidence of identification,which was jyL4_ l,� ,to be the person whose name is signed on the. • preceding or attached document,and acknowledged to me that he signed it voluntarily for its r stated purpose,as Trustee as aforesaid, ' MARIA F3 SYM No capMNW 4 O M Co /� '4 doff • . COMMONWEALTH OF MASSACHUSETTS, . y hlllnu„ On this day of before me,the undersigned notiary ' public,personally appeared Debra Tarpey,proved to me through satisfactory evidence of identification,which was,/ to be the person whose name is signed on the preceding or attached document,and acknowledged to me t at a signed it voluntarily for its stated purpose,as Trustee as aforesaid, Notar MARIA R SYKES My Navy Pj* L 2043284.1 QP IM111E9A$IIYBER9' .�u,�+ amonF�we, ,3 ri ' Of y J an,,24. 2013 11 : 34AM No. 0193 P. 6 Bk 262to1 kg 1JU #21492 COWONWBALTH OF MASSACHUSETrS ir(f O/LC.�s-VEIL �.-ss: On this .day of }IPR«-: • .._ ..:.. ......,2012,.bePore.me,.the uAderstgned.note[y public,personally appeared RichiedUrCowan,proved to me:thr<tugh sati'afactory ev(denee•of identification,which was A 4g)%Ks ����,,� ,to be tlto."on whose na=is ei � preceding or attached.document,and'acknowledg6d to me that he: ' d it volunta stated purpose,as Trustee as aforesaid. file Notary Public ram My Commission Expires; 9. *3- V •►a°� COMMONWEALTH.OF MAS.SA►CIMSETTS On this: day of •".2012,bnforo me,thd;utrdtrslped notar�r public,personally appearod •,av eCowan;pro CA to-me,through.aatiafaeEory evidence of i identification,which was ,.to be the person,Whose-name-is signed on the preceding or attached dooument,end acknowledged to me-that he signed It voluntarily for its stated purpose,as Trustee as aforesaid. No-tary.Public My Commission Expires; 00MMONWBALTH OF MA;SSACMSETTs On this dey of .,.2012;before-me,tbe,pp.det fined notary public,personal appeared Debra Tazpey,.proved-to. ne tlunugh`satisfutury evidence:of• Identification,which was to 6e the.permon whose-name.issigned uAlhe preceding or attached document,and acknowledged to me that she signed'it voluntarily for-its stated purpose,es Trustee-as aforesaid. { Notary-Public My Commission Expires; Z093284a .w 3 i . Jan, 24, 2013 11 :34RM Bk 262o 01 Vg XJ1 421492 PELLETIER REALTY TRUST TRUSTEE'S CERTIF11CATE I,Mary M.Pelletier,as Trustee of the Pelletier Realty Trust, under Acolaration of Trust dated June 18,2002,.and reeorded with the Barnstable County Registry of Deeds in(look 15296, Page 152(the"Trust'),certify that, .1. 1 am the only Trustee of the Trust; 2. Pursuant to Article 4 of the Trust,when direoted in writing by all of the beneficiaries of the Trust,the Trustee has authority to act with respect to real • estate owned by.fhe Trust,and has full power and authority under said'Trust to convey any interest in real estate and improvements thereon held In said Trust and no purchaser or third party shall be bound to inquire whether the Trustee has said power or is properly exercising said power or to sec to the, application of any Trust asset paid to the Truslee for a conveyance thereof; 3, The undersigned,in her.capacity,w Trustee of the Trust,has been directed by the holders of all of the beneficial intarest•in the Trust to convey the real estate and improvements thereon known as 1376Main Street,Barnstable(Cotuit), Barnstable County,Massachusetts,and to enter into agreements and arrangements to complete such conveyance; 4• There am no additional facts which constitute a condition precedent to acts by the Trustee or which are in any other manner germane to affairs of the.Trustee in connection with this transaction;and 5, The Trust has not been amended or modified,except.as provided_herein;or terminated and is in full force and effect as of the date hereof, [SIGNATURE ON FOLLOWING?PAGE] . 1 Jan. 24. 2013 11 :34AM No, 0193 P. 8 Bk 262d. vg iiz #21492 EXECUTED as a sealed instrument under the pains and penalties of perjury as of this 4 day of 0%,t 2012, . / Mary ° ary llet►er,a as Trustee as aforesaid;and not lndividualiy • COMMONWEALTH OF MASSACHUSETTS ' On this '� day of 1 '� f' ;2012,before me,the undersigned notary public, personally appeared Mary M.Pelletier,proved to me through satisfactory evidence of identification,which was mA-,Q,Atj, to be the person whose name la signed on the preceding document,and acknowledged to me that she signed it voluntarily Its stated purpose,as Trustee as N u c ---Moo - Comml of %ESOnW •• I. [AFFIX SEAL] gip, -4 9llif4�►bor ►�/4llIINN R Z1169036.1 " • x' 2 a i III . Jan, 24, 201.3 11 : 35AM No, 0193 P. 9 Bic 262oi rg Yss #21492 . 4 McCO'WAN COTUiT TRUST 1992 TRUSTEE'S CERWICATE We,Richard McCowan,David McCowan,.and Debra Tarpey,as Trusiecs of the McGowan Cotuit Trust 1992,under a Declaration of Trust dated December 30, 1992,and recorded with the Bamstablo County Registry of Deeds in Book 8388,Page 223(the"17rust"), certify that: 1. We are the only Trustees of the Trust; 2. Pursuant to Article 6 of the Trust,the Trustees have authority to act with respect to real estate owned by the Trust,and when approved by the unanimous vote of all of the children of the settlor of the'1?ust and the settlor herself if she is still living,the Trustees have power under said Trust to convey any interost In real estate and improvements thereon held in said Trust, and may exercise such.power without permission of any court and upon such terms as the Trustees decide advisable; ' 3. The undersigned,in their capacities as'ITrustces of the Trust,have been authorized to convey the real estate and improvements thereon known as 1372 Main Street,Barnstable(Cotuit),13arnsiable County,Massachusetts; 4. There are no additional facts which eornslilute it condition precedent to acts by the Trustee or which are in any other manner germane to affairs of the Trustee in connection with this transaction;and 5, The Trust has not been amended or modified,except as provided herein,or terminated and is in full force and effect as of the date hereof. (SIGNATURES ON TOLLOW1NCr PAGE] � �I Jan, 24. 2013 11 :35aM Bk 262e1 0193 rg �P��10#21492 EXEC as a sealed.instrument under the pains.and penalties of.perjury-as-of Oil day of. " 2012, • f lAllel Richard McCow!an,as Trustee g as aforesaid,and not individually bavid MaCowan,as Trustee as aforesaid,and not.individually. Debra Tarpey,.'as'Trustee :as aforesaid,and not individually COMMONWBALTH OF MASSACHUSMS On this- Ndw of _ ,Q2r 1,2012,before me,the undersigned notary Public,personal eared Richard MoCowan,prov.!Ajomo through,9atisfacto "ev,Wnce of identification,which-was A PL �..,1. f Ato be the.person whose-name is signed'on the.- pwwding oratteclaed dooument;and.acknowledged to me-that. ed'it*voluntarily for its stated purpose,as Trustee as aforesaid, .Notary Public C&,Oe1r �bowq L .,�,,.. Ky Coriimisslon EXAM FIX SBALI n} a 7 2 Jan. 24, 2013 11 :35AM Bk 262oi 01 Yg 1j. 1#21492 MCUTED as a sealed instrument under the pd and e p nalties of perjury as of this day of ,2012. t Richard McCowan,as Trustee as aforesaid,and not individually David McCowan,as Trustee as aforesaid,and not individually Debra aTcy,as Trus a -- as`aforesaid,and not individually COMMONWEALTH OF MASSACHUSETTS SS. Ong this day of_. ,2012,before me,the undersigned notary public,personally appeared Richard McCowan,proved to me through satisfactory evidence of identifieatiozi,which was _ ,to be the person whose name is signed on the preceding or attached document,and acknowledged to me that lie signed it voluntarily for its stated purpose,as Trustee ae aforesaid: Notary Public - My Commission Expires: (AFFIX SEAL), 1 2 93 Jan, 24. 2013 11 : 35AN1 Bk 262'ei 01 Pg 136 2#21492 COMMONWEALTH OF MASSACHUSETTS ss. On this q day of 2012,before me,,the undersigned notary public,personally appeared David McCowan,proved to me through satisfactory evidence of identification,which was M 4 011-4t/j_L z�l to be the person whose name is signed on the preceding or attached document,and acknowledged to me that h igned it voluntarily for its stated purpose,as Trustee as aforesaid. Na My C mm ion Expires: [AFFIX SEAL) MARIA R sYICI B NoteryPl�llp WMi10NWEAlnf OF Y, $ y JWte 18.20 COMMONWEALTH OF MASSACHCJSETTS s•.+� . I�IIIIIII0", On this day of*•i ( .• . 2012,before me,the undersigned notary public,personally appeared Debra Tarpey,proved to me through satisfactory evidence of Identification,which was ►}l4-.tz.ri�e�r�l.ls�\�,to be the person whose name is signed on the preceding or attached document,and acknowledged to me that sh signed it voluntarily for its stated purpose,as Trustee as aforesaid. Nota My mini ion Expires: [AFFIX SEAL] MARIA Ft SYKU a 0%90 WxTM OF ie � ^,7 June ter l_�, ,r t � Y aab9oa6.tell igmlun►. .. , 3 BARNSTABLE REGISTRY OF DEEDS i - - - . . . '` � ,, `� y . I . ... "" A,w__ - - E. 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II II . .. Y,-s:k21. II l i . r i� -tc 0 ov, 2 �3� coo cc's c,>Zp-ct.► �.o �^ w - - -- , 000 i_� ` _ BARN PLANS:LEGEND 1 NEW 10'CONCRETE FOUNDATION WI 8 FOOT FORMS m m m 2 EXISTING POSTS AND FOOTING TO BE REMOVED ALONG Q WITH THE EXISTING ADDITION TO THE BACK OF THE BARN w d 4 IA o 8 I I 3 NEW BLUESTONE ENTRY STEPS I I '" ......� 2 FIX EXISITNG BARN DOOR AND CUT IN 3'6'X 8'0'ENTRY -200 A- 6 DOOR OUT OF BARN OR.PROVIDE ASTRAGALS AND WEATHERSTRIPPING TO WEATHERPROOF DOOR FOR 1 - INFREQUENT USE V v o0 6 NEW HOOD(BARN SLIDERS)STORM DOORS PTD. Y a 7 NEW WOOD DOUBLE HUNG WINDOWS PTO. M �q - �� 8 NEW STAIR WI OAK RISERS AND TREADS - I nz y i � 9 NEW WOOD INTERIOR BARN SLIDER 1 10 • - - f - - I � .>' '• " �'" `'-' NEW'E'WOOD WINDOW TO BE INSTALLED IN EXISTING DOOR OPENING--- - T 4• ^ tl £, ___________ ___ - 11 NEW WIDE PLANK WOOD FLOOR IX8 PINE BOARDS • - 12 NEW KITCHENETTE W9 BUILT-IN BASE CABINETS,SINK,AND UNDERCOUNTER FRIDGE.HONED STONE COUNTERTOPS I '"' i STORAGE I : ...................... i i I I ��: 13 MYl11C Q4K FLOOR I COMPACT EARTH I I I I I I I I I I III III �II • --o----- II I 14 EXISTING ASPHALT SHINGLES TO REMAIN ZQ Of FW- I III � 16 EXISTING ASPHALT RIDGE CAP I W zZ� a_ 16 NEW 6^4 6'STRUCTURAL POST -------------------------------- cli i 1 �U I I EXISTING POST TO BE REMOVED I I ..A-201 I I I I i A-201 , I i m - - EXISTING STRUCTURE TO REMAIN,REINFORCE AS REQUIRED BY STRUCTURAL ENGINEER.INFILL WITH 2X4 13 _ 16 FRAMING AND INSULATE FOR AN INSULATION VALUE OF R-24 USE 1X8 ROUGH SAWN PINE BARN BOARD TO FINISH THE •..: I I I ":- i WALLS 't EXISTING STRUCTURE TO REMAIN,REINFORCE AS 19 REQUIRED BY STRUCTURAL ENGINEER V.I.F.INSTALL NEW �----------------------------1_L----------------------_________I__________----------------------------------------- 616'BLUEBOARD W/718'SKIMCOAT OF PLASTER _ � . Fi\ EXISTING WALLS V.I.F. iloll - ®NEWWALLS y Z 7FOUNDATION ........ .,....................................._..............................................-..._............ C) Z 0 Z PLAN z 114'=ro Q m A=100 1� �,�,,,,IOMw ro,E�T�����L=�•a.r�w�.I.or��Mlo,�ol.�.�.am..��.,.oI.Falo� J Z t .. o H - lab} - zs�• Ise - -. .. F O o o ------- -------- -------�--- a 1 NEW 10"CONCRETE FOUNDATION WI 8 FOOT FORMS m m V yVj 2 EXISTING POSTS AND FOOTING TO BE REMOVED ALONG WITH THE EXISTING ADDITION TO THE BACK OF THE BARN w d 4 o g - ,- 3 NEW BLUESTONE ENTRY STEPS - 1$ < FIX EXISTTNG BARN DOOR AND CUT IN 3'6'X FT ENTRY 5 DOOR OUT OF BARN DOOR.PROVIDE ASTRAGALS AND - y/ WEATHERSTRIPPING TO WEATHERPROOF DOOR FOR - EASn pTION _ INFREQUENT USE TOB E ISHE _ 8 NEW VA00(BARN SLIDERS)STORM DOORS PTD. d A 7- NEW WOOD DOUBLE HUNG WINDOWS PTD. �+ 8 NEW STAIR WI OAK RISERS AND TREADS 9 NEW HOOD INTERIOR BARN SLIDER § .... IL UP CABINET' UPPERCABI " - T{AAtE1F55 L NEW'E'WOOD WINDOW TO BE INSTALLED IN EXISTING I1O3B Li�SS .+WER P RCAB NETS_ O.W. tIL NBASE a 10 DOOR OPENING . I BATH 91 _ h, T G FIRST FINISH FLOOR § + 103 102 _ - 11 .NEW WIDE PLANK WOOD FLOOR 1X8 PINE BOARDS1 In - < - § • �>Z.-( , . § - ' NWKITCHENETTE WI BUILT-IN BASE CABI ET SINK,H . _, 12 . .......1 PFIRPOST UNDERCOUNTERFRIDGE.HONED STONE COUNTERTOPS 1O ) A1RD.6 ..... .I. ON BELOW..... _ I _'�..ii PS ABOVE FLOOR ._ T �. r 13 NEZV I'e 6"OAK FLOOR ,. II. m f .. .. t. T l i OaA 1 ' J! - •. i -Ii n "1 'I"I I I f 74 EXISTING ASPHALT SHINGLES TO REMAIN - ... I y Q I 1 .. r r F I I F I EXTRA ROOM I I -- • - I ! I1. I , - 75 EXISTING ASPHALT RIDGE CAP _ Z F 1 104 - L EPM ABO ... I .. = Q_ 6'STRUCTURAL POST HGWG 1 I I VE 1% i GPMEROOM ... ~ x ., � �F LIVING ROOM 7 5 IQ I .... .._... .. II PIRV( ...S1l I R J a r� 1 1O2 .. 17 18 LVL' tat 1 - 16 NEW 6" m .. i. - LLI I \ 17 EXISTING POST TO BE REMOVEDrU LL.I � w F m ... ...I .. I _ FLOORING.ON&a {�wT. - I § EXISTING STRUCTURE TO REMAIN,REINFORCE AS ' - t Lw .�. 1 .:. .. SUBFLOOR VATHV ¢RI1H 2X4 IBARWER ...I f�. _ _"" - U3E 1X OUGH SAWN PINE BARN BOARD TO FINISH THv ..i. ......I I __. ... A x�.i�.. WALLSeR AND FOR AN INSULATION VALU 18 EOFR24 E I . ._ r I - - EXISTING STRUCTURE TO REMAIN,REINFORCE AS )\i 19 REQUIRED BY STRUCTURAL ENGINEER V.I.F.INSTALL NEW UP ANCHOREDTO- I I.. .. - + "" 518"BLUEBOARD Wl 118"SKIMCOAT OF PLASTER " ... I .. j 102A I 1 FONHELOW:.. I.. ...I l ... ! .. " - E .. - �~�A EXISTING WALLS V.I.F. "Al. e'-t3 r.n� r-II• 1e.y -�� NEW WALLS J 6 LL ULL �. •� FIRST FLOOR PLAN _ _ _ z SCALE:1l4'=.1— P m A-101 • �6�I.��PUWwKO,E�. ro ��I_�N��Ka,��a.�.��IOI6.m.�Fl�P�.��am.��I��.aloPalPd 0 o 0 O — p O — O O O — O .BARN PLr &LGEND' y w 0 - 1 NEW 10'CONCRETE FOUNDATION WIBFOOT FORMS 2 EXISTING POSTS AND FOOTING TO BE REMOVED ALONG WITH THE EXISTING ADDITION TO THE BACK OF THE BARN w d 4 R o `a 9 B 3 NEW BLUESTONE ENTRY STEPS + FIX EXISITNG BARN DOOR AND CUT IN TIE X 87 ENTRY - S DOOR OUT OF BARN DOOR.PROVIDE ASTRAGALS AND WEATHERSTRIPPING TO WEATHERPROOF DOOR FOR INFREQUENT USE 6 NEW HOOD(BARN SLIDERS)STORM DOORS PTD. d - - 7 NEW WOOD DOUBLE HUNG W7NDOW5 PTD. - 8 NEW STAIR WI OAK RISERS AND TREADS s, >. 9 NEW WOOD INTERIOR BARN SLIDER ` 10 NEW'E'WOOD W7NIXIW TO BE INSTALLED IN EXISTING j0ATH92 +{ I �' iA \030 T# 1 DOOROPENING 1 q{ ES 4 1 ! fRAtdE4E5S OU55_ 11 NEW WADE PLANK WOOD FLOOR 1 X8 PINE BOARDS 203 :.. f' 1 ,'{SHOWER DOOR j - CLOSET NEW KITCHENETTE WI BUILT-IN BASE CABINETS SINK,AND .--"' 12 UNDERCOUNTER FRIDGE.HONED STONE COUNTERTOPS 4 \ I 7 I t DA j 13 NEW 1't E—FLODR III IIIf_ I � 'ice I T O.3ECONDIFINISH FLOOR!T � 11 ELEV 106-01I2• I �,\� 14 EXISTING ASPHALT SHINGLES TO REMAIN Z W I F- -- I A SITTING ROOM I OPEN TO BELOW 1 78 EXISTING ASPHALT RIDGE CAP NQ h 203 I t I ti 1 I 3. ,.... i W Z F HDwD' l a 1 j ! "Ew PE.N1 t-Ya'%ta'LCUT 16 NEW 6Y 6"STRUCTURAL POST �F =\ WRPPPEDIN I%04RN tlD GlT 1 INTO IXISIING R6lGEl J nO RIDGE.9EAU4I<)I�XR` RPFTERS. / W cli :. .._... ` I 1%fiLwIw[WRN BOAR r- _ �INMISTING EXISTING POST TO BE REMOVED Lu osuux0� � i I �� ` __ DN %WID-IRMILW :/ \ EXISTING STRUCTURE TO REMAIN,REINFORCE AS ._..._ I RNL WLLW \ - REQUIRED BY STRUCTURAL ENGINEER.INFLL WITH 2X4 L E S I \ 18 FRAMING AND INSULATE FOR AN INSULATION VALUE OF R-24 USE 1X8 ROUGH SAWN PINE BARN BOARD TO FINISH THE k NEW,6%B FlR PDSTS YAIH ; \� FIR I�PDEk A90VE NEW R.0 � NEW 1XB BeRN BOPROON 2%41NFlLLED ' WALLS FOR NEWvArvDONL001TIXJ. /i [—III I THE EMSfING MST + _ EXISTING STRUC W.F.URE TO REMAIN,REINFORCE AS ( AND BFlN4 STRUCTURE,WITH CLOSED I \ 19 REQUIRED BY STRUCTURAL ENGINEER INSTALL NEW %�. �i I, ' /' CELL FOPM FIASH AND 84TT \ 1I I - �T T t ] I � INSNAnON 818'BLUEBOARD W/i/B•SNIMCOAT OF PLASTER I \"^~EXISTING WALLS W.F. i" J LL z Z 03 w a , I / SECOND FLOOR PLAN z SCALE:IU4•=1' ED A-102 _mP.Ww T N,.. 0 rc o a 0 0 ' U + o Z U O K a r r ___ ____ i K W w I BRtB'tPLANS�GEND.n:,'a'{1': IXISnhG F AND - 1 NEW 16'CONCRETE FOUNDATION WI 8 FOOT FORMS w y w ADDITION TO BERENOVED `2 2 EXISTING POSTS AND FOOTING TO BE REMOVEDALONG WITH THE EXISTING ADDITION TO THE BACK OF THE BARN w 6 4 A o S S 3 NEW BLUESTONE ENTRY STEPS EXISTING SLOPE IXGISnry SLOPE b:t2 FIXEXISITNG BARNDOORANDCUT IN 3'6'X8'P ENTRY 5 DOOR OUT OF BARN DOOR.PROVIDE ASTRAGALS AND WEATHERSTRIPPING TO WEATHERPROOF DOOR FOR - INFREQUENT USE u 6 NEW WOOD(BARN SLIDERS)STORM DOORS PTD. 7 NEW WOOD DOUBLE HUNG WINDOWS PTD. - 4+ 7 Ea - B NEW STAIR W/OAK RISERS AND TREADS j o_ ^_ 9 NEW WOOD INTERIOR BARN SLIDER r' �____________________________ 10 NEW'E'WOOD WINDOW TO BE INSTALLED IN EXISTING DOOR OPENING I. I 71 NEW WIDE PLANK WOOD FLOOR 1X8 PINE BOARDS _________ _-- _______ __._______i 12 NEW KITCHENETTE WI BUILT-IN BASE CABINETS,SINK,AND UNDER-COUNTERFRIOGE.HONED STONE COUNTERTOPS 13 NEW1k6CANFLOOR i 14 EXISTING ASPHALTSHINGLES TO REMAIN - Z ~ - Q" LU LU EXLSPNGSLOPE EX_NG SLOPE v 15 EXISTING ASPHALT RIDGE CAP Q 11:12 ft^Y w Z� I I QH I 1 - 16 NEW 6k S°STRUCTURAL POST I 17 EXISTING POST TO BE REMOVED w n g ' EXISTING STRUCTURE TO REMAIN,REINFORCE AS REQUIRED BY STRUCTURAL ENGINEER.INFILL WITH 2X4 18 FRAMING AND INSULATE FOR AN INSULATION VALUE OF R-24 USE 1X8 ROUGH SAWN PINE BARN BOARD TO FINISH THE WALLS EXISTING STRUCTURE TO REMAIN,REINFORCE AS _ - 19 REQUIRED BY STRUCTURAL ENGINEER V.I.F.INSTALL NEW t 5/8'BLUEBOARD WI 1/8'SKIMCOAT OF PLASTER --------------- I I .. ._ .... _. . EXISTING WALLS V.I.F. NEW WALLS Z LL 0 0 of Z 1 ROOF PLAN - � SCALE:1/4•=V m A-103 3 ;,BARN ELEVATIONS LEGEND;,. 1 EXISTING ASPHALT SHINGLES TO REMAIN 2 EXISTING SIDEWALL SHINGLES REAP ANTED TO MATCH EXISITNG WI SEMI-SOLID BRICK RED STAIN. O 2 EXISTING RAKE/SOFFIT TRIM PACKAGE TO BE RESTORED, a 3 RE-PAINT w NEW MOD DOUBLE HUNG WINDOWS PTD.WITH P.T.TRIM o 4 TO MATCH EXISTING WINDOW CASING PROFILES HEAD OFF 1 ..T I I AS REQUIRED. .ij 111.. 1 5 EXISTING CORNER BOARDS TO BE RESTORED,RE-PAINT 0 i..CI 7 I1. - 202 I-I ..T_1T 111.1T :]L - i.l 5 EXISTING GRANITE FOUNDATION TO REMAIN 7 NEW BLUESTONE ENTRY STEPS O_ T.O.SECOND FINISH FLOOR _ 201 _ 8 NEW WOOD FRENCH DOORS PTD. H U ELEV: d 12' 9 NEW WOOD(BARN SLIDERS)STORM DOORS PTD. u y — a h QU EXISTING ENTRY DOOR TRIM PACKAGE TO REMAIN AND BE Z 10 O O O 5 RESTORED,RE-PAINT o o O l NEW ENTRY DOOR TRIM PACKAGE FOR NEWWOOD FRENCH w h y - - t7 DOORS 12 NEW HORIZONTAL CEDAR BOARDS TO INFILL EXISTING � � R T.O.FIRST FINISH FLOOR _ ENTRY EWHOPENING \ "' ry 4 ELEV:t..0• _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ Q 13 NEW COPPER EXTERION ENTRY 11GMT O S 74 NEW BARN DOOR SLIDER TRACK r 15 NEWB'CONCRETEFOUND N 16 EASTNGCEO GUTTERSTOSERESTOREWREPIACEDWHERE NEEDED,V.I.F.PTD. _ d� D l T -\T.O.BASE 11 MENT SLAB 1O 1 � o c'„ ELEV:B,'-3,Id' Ll___________________---------------------J-----------------------------------------------------------------------------------J _ 1 SOUTH ELEVATION _ - �. !II11TilI lil l.rr. U �IlC'ITfIl11i�11T11I'II111�lI�IfI11 �< Ilflr'aa111�I'! [IT,I'llil / 2 = Q= �_.IIIIri1�ft�lrl rll'Tlillllill , lir,il'lllilllrrr l J[tf T(11I I11I/lI I,if Il If Al 11111I lajtllY1(llirilr fT�r�rl4f I —Q W �O I ifi f f rLf ITT rl 1fri ilf III i (� ...:1O 11.11rI1rliPrlaallilT'[rl!!l ® ® Iilllli I'I111.11l�111T1�1'l'iii`{.1 JAIl UU `rr' 1.l l.tlt it rlil lafri�..l.lal�liirir I�Illfr11ij1tl IITTI,I1f1itIT-1i1 lfrl 971r�r11,14:1 r i I it:I-rT,11Y Illi::nl III I-11:r 11r:-1.:erlrr I:grr.:r r-1 Il,�rrg-:-.: .'III?11��.1r.IIt,II llljiairirrrlx:li��rirli!I.... I l...t)... 1Ir41 (I'rtrfllitr1111frlrrrSitr11'1i 111I�4 _r_rT.Irirtial lr', rrli ll"Ill�li1i111,3'lt lT,ii'riTli::'li-i llll.'';.lL.ii�I i..,'r lrtT.ar Llr fl.l.f:lI�i li�(�{i T.rl�.'; f�I11 aI.17�1'IrTl�l�lj T!alf lr. 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ELEv: ,rz• {i _IIY+ 17.1C1+ (,IT1.111�1�ITIIf�TL111' Il .i��7�l 7li�l�i�1irI1 LTT(lTlli f fill) T!11 i1T'IIIII�l�1i LiTI 1 i1Ir11�1rT?II:'ll�1iitl1,Ilalil.ij/TTJITI'T.11l1 III MITT?Il 11;T'f IL 1 ILI1111,L1�Ii'11I�I111111I tlfli,.ITIIII f�ifTlI1.I�A.1f 4�TTif,�1 1��IICI.(�1��I`I I11 i 1111�iI.,1111 1 rT it Llll.f7 lJlj l liar. i 1 rr�.11t1I_�.a __ _. •TIa 111I .i l lld l I111 J1_l Li t�IM tI I I l�b`i I�.1 1II1 Ii11.. 1�Illiiri i�r'I'"i11)1'tft'aa1I1)Illir�i�i4ltj ri 1411ZL�'li ,D2 ,D3 ,111TIII�i11Tif111' Si�l'11�1I�1'II11rIrC?I llrllilal.r1{.11ITr!I f1�11i�11rr IT 11rr'�11;11li, it talj�llll'1lilfitii111111�?T.lL ITi'i1LT)1i1 l, Ii Tr(11'' _ .... 111 TIT I.I.'. l[1'11',r�["I��11:11I11..1'Tlll.�_irIliT`41t it I�llT'iTI1'i�l'�itTit �1�111r'Ijfr�lll Ill,l�l�ft�., .111.�11 III IL�I TI I.I. _. ,1 i r ' 111 TI. 14r LS flu Ill f ,T<I. 14>r rlII d..rra 4f r1I {{1 rl1'iri I11 r'r1.14r III LIT..rr ,1111_I:,111T1 _ 11l tal 11�111��(l ltf 11 TlT 1r11 IT I11111 T1I 111 1al 1L1 aal��f z T.O.FIRST FINISH FLOOR a I �IJ(„� ll:ll 1 ELEv:,aa-v ,II,I,.j. l,I1111II,L1,l I.r .I,l r,t 1, 11 TI„I .: -:'..::: :": I1,1„Tr,I.,I.I,3,fill 1,1,11,1„1 J W z m NORTH ELEVATION A-200 SCALE:1/4•=1'-P arzvm,T aw au,wwnwEerssepeeaameetseod euw Nwm,pre.:n�vsnmramx Sem Dvmumaa.p,men aruttm,wp IOPm.pct BARNELEVA� ONS:LEOEND'� 1 EXISTING ASPHALT SHINGLES TO REMAIN Z EXISTING SIDEWALL SHINGLES REAPIANTED TO MATCH EXISITNG Wq SEMISOLID BRICK RED STAIN. O 3 EXISTING RAKE/SOFFIT TRIM PACKAGE TO BE RESTORED, a RE-PAINT y NEW WOOD DOUBLE HUNG WINDOWS PTD.WITH P.T.TRIM t2 4 TOMATCH EXISTING WINDOWCASING PROFILES HEAD OFF T AS REQUIRED. S EXISTING CORNER BOARDS TO BE RESTORED,RE-PAINT __......._.... 6 EXISTING GRANITE FOUNDATION TO REMAIN -_ -,- - _.. _...... .. ..__ ------------------ �(111ifIS III . _l fY III 7 NEW BLUESTONE ENTRY STEPS 77 L1 0 Ll. t.1I_T.1 6 NEW WOOD FRENCH DOORS PTD. T.O.SECOND FINISH FLOOR _ _T_LLL i _ ELEV:108'-412• .I1 I 1 .. F Z F i I;:11ljJlr(jl.i.(1 --- -T� 9 NEW NA00(BARN SLIDERS)STORM DOORS PTD. �1 0 jI TTI a a u :(.If Lli o EXISTING ENTRY DOOR TRIM PACKAGE TO REMAIN AND BE r O O O 10 RESTORED,RE-PAINT n _ i IL.T II �I�_fl(..1t nOi NEW ENTRY DOOR TRIM PACKAGE FOR NEW WOOD FRENCH ' �ti' LTL.lI 000Rs . 1 I ii 71t m m m f)T I I II I fj j 12 NEW HORIZONTAL CEDAR BOARDS TO INFILL EXISTING o R TI11..T w d d, r5 - ENTRYOPENING T.O.FIRST FINISH FLOOR - ELEV:100'-0' - II 11i II II ---- ----~i 13 NEW COPPER EXTERIOR ENTRY LIGHT 14 NEW BARN DOOR SLIDER TRACK 15 N6W5-CONORETEFOUNDATION 16 EXISTING CEDAR GIR RS TO BE RESTORED/REPLACED WHERE NEEDED,V.I.F.PTO. u a M T.O.BASEMENT I I I ELEV:91'3114• �1.EAST ELEVATION _ - 1 / SCALE:1/4•=1'-0- cQ W G m icj3 Q w Z� Q� �F W Lu n U 203- 5 T.O.SECOND FINISH FLOOR I ELEV:108'-412• -- e _ - t------------------l___________ _an-a T.O.FIRST FINISH FLOOR T I Z II JJ ELEV. 100-0• Yr-------- ------- FT------ --------- Il W I Z m �,1 WEST ELEVATION 201 I SCALE:1/4•=1'� A- I a2vm�T 310 PN.wwRaECrssepnsnnem_bwn ww rvwm�nsl1pe�mcevzw aem eemoma.a..B.mev mince,wa io pm.pci ;.;X_V 4 a',,BARN SECTIONS:LEGEND 1 EXISTING ASPHALT SHINGLES TO REMAIN 2 NEW WHITE CEDAR SIDEWALL SHINGLES PTD.WI SEMISOLID RED STAIN.5,/2'COURSING 4 3 EXISTING RAKE/SOFFIT TRIM PACKAGE TO BE RESTORED, RE-PAINT N 1 - 4 NEW CLAD DOUBLE HUNG WINDOWS IN DARK GREEN TO MATCH THE GUEST HOUSE EXISTING GRANITE FOUNDATION TO BE REMOVED,NEW CONCRETE FOUNDATION TO BE BUILT BENEATH THE < 5 EXISITNG BARN.bARN TO BE TEMPRARUILY SUPPORTED OR a - MOVED TO ALLOW FOR DEMOLITION,EXCAVATION, FORMWORK,AND POURING OF NEW CONCRETE, 6 NEW WOOD FRENCH DOORS PTD. EXISTING CEDAR GUTTERS TO BE RESTOREW REPLACED WHERE T NEEDED,W.F.PTD. O 8 NEW LVL RIDGE BEAMS(3)14'X 1-314'LVLS WRAPPEDIN I%PINE j O 9 EXISTING 3N V @ 32'O.C.RAFTERS,REINFORCE AS REQUIRED BY ¢ U 2 STRUCTURAL ENGINEER V.I.F. O Z 70 O(ISRNURN-E0INEER FLOOR JOISTS.REINFORCE AS REQUIRED BY 1 O 0 O STRUCNRAL ENGINEER V.I.F. 6 O O 11 EXISTING 21n 8314'@29.O.FLOOR JOISTS.REINFORCE AS U REQUIRED BY STRUCTURAL ENGINEER V.I.F. O 12 -T POST V.I.F.W/STRUCTURAL ENGINEER 13 EXISTING-IY GIRT SUPPORTING SECOND FLOOR.REINFORCE Ri Ri 16 AS REQUIRED BY STRUCTURAL ENGINEER V.I.F. W H 416 EXISTINGTOP PLATESUPPORTEDBY CTAC—STOCOLLAR - O 14 TIE.REINFORCEASREQUIRED BY STRUCTURAL ENGINEER VILK . 15 EXISTING 315•t(436"01 RAFTERS.REINFORCE AS REQUIRED BY STRUCTURAL ENGINEER V.I.F 16 EXISTING 6N V COLLAR TIES II Y M — • F\ 6 F W JU W Z Cli W xi 111111I11 IIIIII I II;IIit IIIIII'IX10 4(i f SECOND FINISH FLOOR rIJtjill I I11 [I It ECOND FINISH FLOORJ. [l t ....I i FIRST FINISH FLOOR I MST FINISH FLOOR _ J r U W U) Z of Q m BASEMENT SLAB - :ASEMENT SLAB 2 SECTION B � SECTION A SCALE:H4•=r-0• //�` SCALE:1/4'=i'JT /� 3 0 0 vtvmtT ato vN,wv6o.¢cisysepdsnemm�sNa risen Nwee�n'e.b,snsneemaoo eem srfmsas.mm enal"v,A+sNvel.W l J r� ti 1 r ')NQT'�-_ BI 11 DINI DEPT.: D ..TE Fi E DEPAF3TME1 T DATE ... o. BOOTH SIGNATURES ARE REQUIRED FOR PERMIT71AIG i MANS;LEGEND .: i I... ... ... FOUNDATION - - - 1 NEW IT CONCRETE NDATION WI S FOOT FORMS EXISTING POSTS AND FOOTING TO BE REMOVED ALONG f I : WITH THE EXISTING ADDITION TO THE BACK OF THE BARN � 2 3 NEW BLUESTONE ENTRY STEPS10 FIX EXISITNG BARN - AND CUT IN 3'6'X .. ... ... �. ... .. - - ... ... .. - - ..- .. ."- - B DOOR OUT OF BARN DOOR PROVIDE ASTRAGALS NAND WEATHERSTRIPPING TO WEATHERPROOF DOOR FOR -- _ INFREQUENT USE - .. j ExISPNG PDpTION �. - V V I TOBEDEMOUSHE 1 NEW WOOD(BARN SLIDERS)STORM DOORS PTD. ... ... ... d 7 NEW WOOD DOUBLE HUNG WINDOWS PTD: . - j - 8 NEW STAIR WI OAK RISERS AND TREADS e. NEW WOOD INTERIOR BARN SLIDER - 1 _. ... UP CABIOET UPPER . NEW'E'WOOD WINDOW TO.BE INSTALLED IN EXISTING ___ JJ - LNG .. I I 1030 U4CT Y'Eit U RCABINETS I Ip Yy. 04SE ... ... ... -.. ... .. .. ... . - .. _ DOOR OPEN .: - s ..... - -. .. .. ._-BATH 11 TO.FIRST FI IS LCORI } I ... I -I 10.3 102 _ _ DF BOARDS s _-' - NEW WIDE PLANK W00 FLOOR IX8 PINE BO .._. .. 4 HDWD.�, r ..I..I_:.. I I....... I j 1 I ... - ... ...._....: _ .... I ': _ g ': '1Z. NEW KITCHENETTE WI BUILT-IN BASE CABINETS,SINK,AND a .. I.........._........ I 7 .. I - ... EWI;x6FlR P.O6T I -i BIG Y ""'-.. i x T T -_ - I L...... UNDER-COUNTER FRIDGE.HONED STONE COUNTERTOPS . J 103A.. T I I 11JJ .. .. ... .. .. ... / -7 ANOHOREQTO.:_ I ... - ... .. ... ... I I a I.�1: I .I -1 cA°eovErED..R f _ _ T I .....PLI I .:.::I .... 7 � 13 .. ... .. -- I (......]... .1 .: ^__I -.._ _.T... ; I-... - A71..rg� r _I...i":::...... fI - -. I .. -.. ... 14 EXISTING ASPHALT SHINGLES TO REMAIN .. .. .. ... ll ' l.- J'c_..1..J Q I . _.__ I I I C I a 7 n ASPHALT RID --_ 1 Z r .:. Tn I _ ... - _ Q F I- i _T. I.. � 16 EXISTING AS GE CAP 4 19 HDWD -I-. EPMIABOYEIX L .I... - 16 NEW fi c 6"STRUCTURAL POST . o LIVING:ROOM L RYlRPPF D.fL2"I- GPMEROOM - I_ '.R ... ... ... ... ... .. I r T m oz......... n�3 .. .. .. .. _ �I.. ..I.: I.. .... I _ '- : I I.: T r H EXISTING POST MOVED n.' 7 r ' 1D40.: ... .I I .._..., lxaaoucerw� .. .17 EX� TO BE RE EXISTING STRUCTURE TO REMAIN,REINFORCE AS: - - .. .... ... .. Qt I Su9El00R wITHV�P¢RL _-J ._ I.I REQUIRED BY STRUCTURAL ENGINEER.INFILL WITH 2X4 .r.� BORWER I - FRAMING AND INSULATE FOR AN INSULATION VALUE OF R - - - l�: V L .. I , 18. 24 - .:. - - _ ... ... USE 1X SA ... TO FINIS .. -.. - I I L ,�ail .._......_. I � �i R U 8 ROUGH SAWN PINE BARN BOARD H THE- - .. 1-- _'i I i i -1 U.1 I I I _-1 WALLS . _ I. ;. ._..T.___. — 1_-I _.._ _.... ...:.:. _...._ ll...�k� 1..:............._ I --i...,T.._..._, r. _._ _- : .._....._. - - EXISTING STRUCTURE TO REMAIN REINFORCE AS I +. ......_ T ..i...l. EW BrBFlRFOST _T....._..I .-._I ...... __I__:.. ......I....... . REQUIRED BY STRUCTURAL ENGINEER V.IF.INSTALL NEW� i . :1e7 .::T ._ .._.I S .. -.. .. .. ... ... ... ...-...... 4 6/8"BLUEBOARDVYI 118-SKIMCOAT OF PLASTER ...... ..... ... ... .. ... .. ... ... LLS V.I.F. - ... .. .. .. .. ....._ a. .. . -- .. . EX STING.WA : _ .: ... : .: '_ : - : 's�•:.� � •_ � � � � � � ... .. _ W WALLS . .:. .O T a s: .s L OL - - SCALES 114-'1'-0" - N - F 6 ut wwFlwECtsSw�sr�annem sepN cued Hv.uWe.rynv�eerw,o,aem Flm Flan Mm.a.y.meo s,.nu.anoto G4,MT y _ o o ps U tp U O O O O a BARN PLANS:LEGEND _ y � to 1 . NEW HE, "CONCRETE FOUNDATION WI B FOOT FORMS EXISTING POSTS AND FOOTING TO BE REMOVED ALONG WITH THE EXISTING ADDITION TO THE BACK OF THE BARN P w ... ... ... ... ... ... ... ... ... :3 NEW ONEE ENTRY STEPS WBLUEST - FIX EXISTNG BARN DOOR AND CUT IN 3'6'X 8'0'ENTRY. ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... B DOOR OUT OF.BARN DOOR.PROVIDE ASTRAGALS AND ... ... - .. WEATHERSTRIPPING TO WEATHERPROOF DOOR FOR ' INFREQUENT USE "^ r .. .-_ .. - _ .. ... .- - ... ... ... .. ... .. .. :8: NEW WOOD(BARN SLIDERS)STORM DOORS PTD. - Y v :7 NEW WOOD DOUBLE HUNG WINDOWS PTD. M . ... ... .. ' B NEW STAIR WI OAK RISERS AND TREADS "l. e _ - :9 INTERIOR BARN SLIDER ' . NEW EW WOOD ERIOR 10 NEW'E'WOOD WINDOW TO.BE INSTALLED IN EXISTING - DOOR OPENING: ... .. ... _I I .' 11 NEW WIDE PLANK WOOD FLOOR IX8 PINE BOARDS b00R ' CLOSET - _ 'tz NEW KITCHENETTE WI BUILT IN 845E CABINETS,SINK,AND - UNDER-COUNTERFRIDGE.HONEDSTONE COUNTERTOPS - --..- -.. HDWD .. ... .. - 13 I�EW I'e 6'OAK FLOOR I . I ( T.O SE IOND FINISH FLOO .. - .. -.. ... F- LU . 14 EXISTING ASPHALT SHINGLES TO REMAIN ELEV 108' 1 Y I Q LU - PEN TO B ... ... ... ... TING ASPHALT RIDGE ... .. .. w " SITTI G ROO - ....... 'O ELOW" ... : 1...... : .. 15- EXISTING CAP I ry -I ( i NEW BFAW(33)l 4'X 14'LVL S- 18 NEW F.B"STRUCTURAL POST WM PEDIINORIDGEN BD. .. .. .. .. ... .. .. �u CUT.. R w _ CIS%E 3. _ - - - EXISTING POST REMOVED w-. 1a'RN E6n�R IKDJ 17 EX TO BE REM . RAFTS - E6Gg.RA..... RI FTERB.PPEI I I' DRAI W L W- EX STING STRUCTURE TO REMAIN,REINFORCE AS: .. I P - REQUIRED BY STRUCTURAL'ENG NEER INFILL WITH 2X0 VA WAL W - .. N I 18 FRAMING AND INSULATE FOR AN INSULATION VALUE OF R-24 i TI� SIESI I .. .. I I i USE 1 X8 ROUGH SAWN PINE BARN BOARD TO FINISH THE , FI WALLS ... .. HFAOEA A6DVE EIYRO NEW I%B BARN EOARD ON U4 INELLED - _ FlFlRR I NDOlk L TION I I . ' - LNG BEDYEEry THE EXISTING - .. O BEAM STRUCTURE.WITH CLOSED - LNEW . CELL FOAM FtASHAND84TT EXISTING STRUCTURE TO REMAIN,REINFORCE AS - ... ... ... WII I 19. REOUIREDBYSTRUCTURAL ENGINEER V.I.F..I11 AL � BIB"BLUEBOARD WI 118"SKIMCOAT OF PLASTER 2 1 : Z I WALLS V.I.F. STING n. .. :: NEW WALLS .-_- 0 0' ] 13 19 _. 03 : w - _.. m ... A 0 w 0 _ _ w a 0 0 0 = a a o Q000 ------ = LL LL LL - - -� ------ --, BARN:PLANS:LEGEND ,J,,,, - - - ' i NEW 10'CONCRETE FOUNDATION WI 8 FOOT FORMS i ADWTIONTOBEREMOVED ... I _2 EXISTING POSTS AND FOOTING TO BE REMOVED ALONG WITH THE EXISTING ADDITION TO THE BACK OF THE BARN w d dui RI� . _' ... 3 NEW BLUESTONE ENTRY STEPS' .. EXISTING SLOPE WSTING SLOPE - FIX EXISTTNG BARN DOOR AND CUT IN 3'6'X B'D"ENTRY - 6:I2 b.tz DOOR OUT OF BARN DOOR.PROVIDE ASTRAGALS AND --- --_y - 6 WEATHERSTRIPPING TO WEATHERPROOF DOOR FOR ... ... ... .I.i INFREQUENT USE. 9. .. .. .. :. 6 NEW WOOD(BARN SLIDERS)STORM DOORS PTD. d y ... ... ... ... -_. .. ... .. ... _ - .. ... .. ... 7 NEW WOOD DOUBLE HUNG WINDOWS PTD. i I - I I i I � 8 NEW STAIR WI OAK RISERS AND TREADS Z.i._ ^__ 9 NEW WOO D INTERIOR BARN SLIDER --------------------------- -10 NEW'E'WOOD WINDOW TO BE INSTALLED IN EXISTING.' DOOROPENING 11 NEW WIDE PLANK WOOD FLOOR 1X8 PINE BOARDS- .. ... ... .. .. __ ________ __________________ _________ _____________i - .. .- .. 12 NEW KITCHENETTE W7 BUILT-IN BASE CABINETS,SINK,AND _ .. .. .. UNDER-COUNTER FRIDGE.HONED STONE COUNTERTOPS ... ... ... ... .. : ... 13 NEW 1"x 5'OAK FLOOR ... ... ., ... 14 EXISTING ASPHALT SHINGLES TO REMAIN .- .. .. Z ... LU .. .. - ry _ .. .. .. .. .. .. G LU D F I i I i I � WSTING s1.oPE : EXISTING SLovE - :16 EXISTING ASPHALT RIDGE CAP ... G i. _ Z 16 NEW 6"x 6"STRUCTURAL POST � �� �� U) � i $ - - 17 EXISTING POST TO BE REMOVED : V LLJ EXISTING STRUCTURE TO REMAIN,REINFORCE AS � y I REQUIRED BY STRUCTURAL ENGINEER.INFILL WITH 2X4 ' 18 FRAMING AND INSULATE FOR AN INSULATION VALUE OF R-24- .. USE 1X8 ROUGH SAWN PINE 84TiN BOARD TO FINISH THE WALLS .. .. ..'. ... .- i EXISTING STRUCTURE TO REMAIN,REINFORCE AS REQUIRED BY STRUCTURAL ENGINEER V.I.F.INS - .. 19ASTALL NEW .. .. i-. is � '- - :-• 510"BLUEBOARD WI 118'SKIMCOAT OF PLASTER ... L ______ ___ ___ _____ ______ _________ _________________ _ _______ _____ ___ _ ___.- _ __ -_______ - .'. _. .._..• - EXISTING WALLSVIF i NEW WALLS - - Z LL o 0 z ... .. ... .. .. ... SCALE:114._1.-0. ... A-l 03 z : 0 a m 0 .. .. .. .. .. .. .. .. .. O " 1. U m ... ... ... ... ... ... ... ... .. .. ... ... .. .. .. ... ... W U .. O O O .. .. :: _____ ____ t' _______ .. .. .. ._ raj.. .. .. .. BORN PLANS:LEGEND y 0 0 0 . .I —i.:. .:. .. .:- ... -.. ... ... ... 1 NEW.1P CONCRETE FOUNDATION WI B FOOT FORMS EXISTING POSTS AND FOOTING TO BE REMOVED ALONG '2. WITH THE EXISTING ADDITION TO THE BACK OF THE BARN d d R i i ... t .. ... ... .. ... ... ... ... EST ENTRY :3 NEW BLU ONE ENTR - FIX EXISTNG BARN DOOR AND CUT IN 37 A 8 D ENTRY. - ... _ .. -.. _ A .- ... .. ... .. - - .. -. S DOOR OUT OF.BARN DOOR.PROVIDE ASTRAGALS AND WEATHERSTRIPPING TO WEATHERPROOF DOOR FOR 1 - INFREQUENT USE - r .. ... ... ... .. ... ... ... ... ... ... ... ... ... ... ... :6 NEW WOOD(BARN SLIDERS)STORM DOORS PTD. ... ... ... d .7 NEW WOOD DOUBLE HUNG WINDOWS PTD. - a .' 8 NEW STAIR W/OAK RISERS AND TREADS _ _- NEW WOOD INTERIOR N SLIDER r_ ____ _- ______ ___7 ; t _____ _-_________ ______ _� . .. .. .. .. 9, N ERIDR BAR -- - 10NEW"E"WOOD WINDOW TO.BE INSTFLLLED IN EXISTING __ ___ __ _1_T _ ___ ___ - DOOR OPENING: . _ _ _ _ _ _ _______ ____ __ __ 11 NEW,WIDE PLANK WOOD FLOOR IX8 PINE BOARDS .. . 4 12, NEW KITCHENETTE W/BUILT-IN BASE CABINETS,SINK,AND - STORAGE i i .. ... p, � � �' 1160AK _ : UND -COUNTER FRIDGE. : ::. I. �73' DER OU Rt%iR . COMPACT EARTH L HONED STONE COUNTERTOPS ... ... .. - ❑.. ... --. --- ... ... --- .. 14 EXISTING ASPHALT SHINGLES TO REMAIN Q W. .. .. - ILI' 4 - 9 ... .. 7 .. .. ...1...... ... TING ASPHALT RI ... .. ..- W Z.. .. ..A .. - _ 16 EXISTING RIDGE CAP O i 16 NEW 6'k 6"STRUCTU POST .:. .. ... _______ _ ______ __T ... .. .- ... --- - ... W7 U - EXISTING POST TO BE REMOVED V r -207 .. .. .. ... .. : .. ... .. w i i i i i A 201 M ----- EXISTING STRUCTURE TO REMAIN,REINFORCE AS. i i � � � REQUIRED BY STRUCTURAL ENGINEER.INFILL WITH 2X4 iB FRAMING AND INSULATE FOR AN INSULATION VALUE OF R-24 USE 1X8 ROUGH SAWN PINE BARN BOARD TO FINISH THE WALLS- EXISTING STRUCTURE TO REMAIN,REINFORCE AS - 19, REQUIRED BY STRUCTURAL ENGINEER V.I.F.INSTALL NEW _ ___ _ ______ _ ________ _____ _______ ___ _____ S18 BLUEBOARD WI/18"SKIMCOAT OF PLASTER :_ __ __ ____ __ __ __ __ _ __ TING_ WALLS V.I.F.. - NEW WALLS El ... . ... ... ...................................... ................ ..................................... ................- r' Z O -2DO Z LL - i s.zt PM w.wKo.¢<ist9epnSrwmw�sepa caws Hwu6e.F0et`Aeovtifox amn v2rise�p men m:vn enpmvei.W .. 0 _ o Z 6 _ � zI p � � Z d U O - - - � � ;BARN PLANS.LEGEND 1 NEW 10'CONCRETE FOUNDATION WI 8 FOOT FORMS EXISTING POSTS AND TING TO BE .. .. .. .. I .. I. .. .. .. .. - ., .. .. WITH HE EXISTING ADD REMOVED ALONG ION TO THE BACK OF THE BARN - w R . x ." ... ... .I.. i .- ... .. 3 NEW BLUESTONE ENTRY STEPS U FIX EXISITNG BARN DOOR AND CUT IN 9'6'X 87 ENTRY I 1' DOOR OUT OF BARN DOOR.PROVIDE ASTRAGALS AND ... .. -. ... _ .. a .. S WEATHERSTRIPPING TO WEATHERPROOF DOOR FOR INFR... ... _ -.. , ... I. ... ... ... QUENT USE EXISTINGADDITION " TOBEDEMOUSHEO I- 8 NEWEV400D(BARN SLIDERS)STORM DOORS PTO. - I I dr Y v .. ... - .� ... ... � � .,. -.. � ... .. ... .. ... 7 NEW WOOD DOUBLE HUNG WINDOWS P1D. .8 NEW STAIR WI OAK RISERS AND TREADS ' OD INTERIOR 9 NEW WOOD TERIO BARN I I 18 NEW'E"MOD WINDOW TO BE INSTALLED IN EXISTING. UP RUBNET �U PER CnBI T......, -- BI�IL ry BASE .. .. .. .. DOOR ..UP RCABINETS LI DW. D OPENING BATH C, I - - - 11 NEW WIDE PLANK WOOD FLOOR 1X8 PINE BOARDS - T R T INISry FLOOR f 10] 102:. 1 - ELEV'..100'-0' ...I. ...T I _ - 4 - .. .. .. ... I _ ...... 4 HDWD T _ i L 1 I i I - NEW KITCHENETTE VW BUILT-IN BASE CABINETS,SINK AND - - '' > o § T I :.I -I_.,...,.... T ..{{JJEW9eBF1RRS15i I .I BIG.y.I --" r .I.. .- "' - 12 UNDER-COUNTERFRIDGE.HONED STONE COUNTERTOPS - .. 103A.. i I ._ I._ 0 T ..ANCHOREGJ0.. / I ..-' .T .... I -. .... , . .I.1... BELOW IY i T!OUNIED3S T ....I..: ... .. - .. �. ...I_{.. r ....I -_...._I 1 [ I I -I 4'E ABOyE FLOOR" i .I.. .. 13 NEW 1l8'OAK FLOOR T... E1I.... _. L_- I i I I II . 1... T .... .i i 14 EXISTING ASPHALT SHINGLES TO REMAIN t ... ... Z O LU ... I[' L I il' _. w �� ... ... ... ." ... I_.I..._ EXTRA�ROOM. i J....— I _-. Z - V 1 ` - 16 EXISTING ASPHALT RIDGE CAP Q F z h:...EAMI9BOYEIX 7 o LIVING ROOM GPMEROOM L-. - '' 16 NEW 6"x F'STRUCTURAL POST U)- w f. RNR APP�OS 2 j i I N ....T :ioz - :: .h.'.X,e LVL....... i£i ,o,... ..i ... .. I. ... .. ... ... J �� ... .......... _ f d HD i I HDWD .. w I I,/" �. ... ..�..... I..: T...i ...i T. ... I' ¢ EXISTING POST TO BER D C7 i - 1T EXISTI REMOVED I ,oaB L. I i I s .R i w NEW. RDOGH Wp�t .,... .I I I...L I I. SU6FLOORWITR V.pPgRl�I._ _I_- T. EXISTING STRUCTURE TO REMAIN,REINFORCE AS L T i _ - - _ REQUIRED BY STRUCTURAL ENG NEER INFILL VALUE 2X4 - - T,,, ,,,,, BopRIER L I T - - FRAMING AND INSULATE FOR ANIINSULATION VALUE OFR -"""' ..[. ._._ i .. 1 v"1 I _.j -i _TT ----[ I [� w 8 USE IX8ROUGH SAWN PINE BARN BOARDTO FINISHTHE-24 -. .. .. .. _..I 11': Tl..i WALLS -__... .... ...y .. ... ....... .. .... _ I�;. I T I .:. iTi I I - _ EXISTING STRUCTURE TO REMAIN,REINFORCE AS� I _ 1 E118r.8Ea ....T _..I..... UP...._ I'..:_ .._I--__ - I ..... OHOREDTO... 1 } I - "i I :. 19 REQUIRED BYSTRUCT"SKIMC ENGINEER V.ISTERINSTALL NEW i- I f '-1oxA ILJ -T .... :.I.... 518'BLUEBOARD WI I/B'SKIMCOAT OF PLASTER T 1 I f EXISTING WALLS V.I.F.NEWINAL A=_t LS - ... ... .. .. .. - -.- ... ... .. J ... ... 6 's ] LIDLL .. - LL � g z - .. ... SCALE:114•a 1'-0' .. - :. .. .. - - m A-101 D BARN ELEVATIONS:LEGEND - 1 EXISTING ASPHALT SHINGLES TO REMAIN 2 EXISTING SIDEWALL SHINGLES RED TO MATCH EXISTTNG YJI SEMISOLID BRICK RED STAIN. .. ... : ... : _ 13 ... : ... ... : ... : ISTING RAKFJSOFFIT TRIM PACAGE _ 3RX-PAINT U NEW WOOD DOUBLE HUNG WINDOWS PTD.WITH P.T.TRIM li ... _ .._ : ... ... ... .. 4 TOMATO EXISTING WINDOW CASING PROFILES HEAD OFF AS REQUIRED. .� .. ... Irl:.1 MR ... .. ... ... ... .. ... I .0 DST .. ... .p ,. ... 6 EXISTING CORNER BOAR O BE RESTORED,RE-PAINT TING GRANITE ION TO REMAIN 6� EXISTING FOUNDATION ... : .._ _ 7: NEW BLUESTONE ENTRY STEPS .:. Ilk T.O.SECONOFINISH FLOOR _ 20, ... _.. ... B NEW WOOD FRENCH DOORS PTD.:. _ ELEV:IW4112' : ._ .. _ Is 1 11 1 . 1 1 11 1 11_ 11 1 11 1 11 1 111 11 1 11 1 11 1 11 1 .. .. .. 9. NEW WOOD(BARN SLIDERS)STORM DOORS PTD. U o F I U .. :. .. .. ... ... EXISTING E 0 NTRY R TRIMGE TO ... ._ ... O_ RESTORED,RE-PAINT _ .. NEW ENTRY DOOR TRIM PACKAGE FOR NEW INDOD FRENCH J 7 N N .. 11 DOORS -O T.O:FIRST FINISH FLOOR _ BOARDS TO INFILL -.� NEW HORIZOMAL CEDAR BO EXISTING . _ : 12 ENTRY OPENING - 13 COPPER EXTERIOR ENTRY LT ELEV: 8 .. .. .. 14 NEW BARNDOOR SLIDER TRACK W. I ... ... :15 NEW 8"WNCRETE FOUNDATION .. .. .., .. .. .. .. .. .. j .. .. MSTING CEDAR GUTTERS ro BE RESTORED'REPLACED WHERE.. .. .. .. i6 NEEDED.VJ.F.PTD. �y I 10 11 =_ oe„ ELEV:91'3114' � _---------------------------______----------------------------________L, _. = SOUTH ELEVATION 2 .. ... ... ... .. _. SCALE:III 1'O .:. .:. .. ... ... .. rii r Q l i{rtr Y}#rrr>15tTrr.. 2 w:: z „ at irilfli{>r�f.iriifilIt'rr'rif��1fr'lf,t'rilri�liL �o. _u V 'f r I iHui w.. .. .. .. .. .. .. r 11f flll lIf IfI r IIf ,l trJ f f f if r f 1I — ... ... TrI{ `fT 111f' ® 1>L',tTf }fCI 1 rrfr 111 r f 4f 1fX4q, 'iffr lif. ri. T 1 T Y lT U) L. 5 IT rf f >Sr_ �Il�irta. L7frr::. I 'tr.iifYfilY ".rT. 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L I -1�-.1 }i...} rI-l-r ... .. .. ... ... ... ... ... .. 108'4112' .T I. rlt .Y rf.rrf (..rrl� -f�rl }rr{r _f.rl r.rlf...L1 :�r .r'f.t.r ... .. g 1I7 } �j # } T I { ... ... .. .. .. f.T:tf..l .S.lf:.l T..I.If I.I I f7r. .flflT.Llflr.. fr..1 T. r 1 r.lf..l 1!rf.Lr Llf l_r.r`lfrr I .. . ...'r .1 .r..f ir_rf r..1 .rfr iT,-r.f.l 1T rf A' "I`f�r..I f r 2.rf raafrf�tf I r1fl.f}f r Ilft.frt.T: u i f Lr I.11fi>t'tI' :iii f.41 r�4frf r r.5f.uf�rfi4� Ilfrf r.�Ifl f}fr.lifrfr'tf r.1 I r..f �.r rfl. 1# u I ft iy fl. 4f. r: 4f.urf �f I f:uf If 4 tfr.faaf�4l rrfr I�f rfrlfllf iTr i. f rrf.. l tl rr .l t T. rIf i t11r..11f.'>r t- rf.rl rlf t'Tr{rt IirfifTf:. rTlifr 1T:lifrf4�7.IIIfI.f7rrl. Iif r>a }i� D2— D3 rfrf4lf. ® rrfif}lfr'z?if 1.Ilflfl� I:lifrf�4r..Ilf..f�ff�4 fr.1.lfT 1ra..fl .Lr.�.T.ffalT.f..:I .. 1 _rfr:.I rl�r..LT rift 1r...f_4r.�.1 . —. ... .. T.I.111rf"TfTI'11fif.4r.I.Ilflf ".T..l rflrLl..f'tlf r. r..l_1f.4rf.lt.rl..r :ItTir l:.lJ rf �rl�lflf.Ill r.�w lIr.Cf .'.ttf�frr .. fr..1 If .:1T.fTfI..LT.. T 1 . T...f firTr 1 .f.11rl.f.I}.fTlrl..f:I lf.rl.f.l7r.Irfllflrrr.r.fllflTTl . .flrttl..f1 U) lf.'r 'lf..rr. if r.lf..f ra ..4f 4f.rlf 'I1 of T ' I..1.If.II 1.If.I, lll..,.lf iflf. 11 Ir II. lf'S Ilf.l ..Llf tl.ljl.lf.trJ1..1.tl..fl.lIl. .:. T.O.FIRST FINISH FLOOR .:.—____ - 'rf�rrrZf�..r ....�I.I 7-.!rl.-]- .�_i�_ ELEV:,ar-0 f rtf.r'r.l. f ra .,. f.,r`rf�.fI.11 If §L.�.I,#... .1�...ra..'It m T.O:BASEMENTSLAB ______ ____ _ _ ___ ___ -. ... ... ... ... ... .. ... ... .. . __ __________ _ TL —... _ ____________ ____ ____ _ _ ____________1.�-_________�_ . . L _______ _ ______ _________ __________ ____ __ ___ _ ______ _____________ ______ __ ------------- SCALE: tl4 a .. ... ... ... ... ... .. -200 _ .. PN,w.wrtol[ttssevwsammn_sroata:w lwulOnnMewneens�.'ve eem De.etimcary.menalvner,mryto Wlxs BARN ELEVATIONS:LEGEND . - - - - - 1 EXISTING ASPHALT SHINGLES TO REMAIN - - -- -- EXISTING SIDEWALL SHINGLES REAPIANTED TO MATCH - 2 EXISITNG W/SEMISOLID BRICK RED STAIN. ..O - - - 3 EX STING RAKE/SOFFIT TRIM PACKAGE TO BE RESTORED. - - RE-PAINT .. .w NEW WOOD DOUBLE HUNG WINDOWS PTD.WITH P.T.TRIM o - - - - 12 - - - - - - 4 TO MATCH EXISTING WINDOW CASING PROFILES HEAD OFF '' - .. .. �T AS REQUIRED. .. _ .. _ .. 5 EXISTING CORNER BOARDS TO BE RESTORED,REPAINT 6 EXISTING GRANITE FOUNDATION TO REMAINYd - .. II,III LUESTONE NTRYS PS .. .. .. I'I rTY :. :. .. TI lilt lT Ill .. - .. o T.O.SECOND FINISH FLOOR - -_------_ r l T I - - . - _ I NEW N U Iry 7 NEW B E TE ' ELEV.108'-0112• ) _ ., _-_ _- - 6 N WOOD FRENCH DOORS PTD. - [[[t _ ___ __ ___ I 1T r,I - -- --- --- --- - 9 NEW WOOD(BARN SLIDERS)STORM DOORS PTD. p U m - 1. EXISTING ENTRY D00 RIM PAC TO REMAIN AND B .. ... O 10 RESTORED,RE-PAINT T . 'I f I rr w PACKAGE E'. O O I t r'rIf. � NEW EN DOOR FOR I 'I ll 0 0 w � w 77 Y TRIM PACKAGE FO WOOD FRENCHDOORS wo m m h mmm 12 NEW HORIZONTAL CEDAR BOARDS TO INFILL EXISTING _ .. iZ . T NI H F W ENTRY OPENING ,I T.O.FIRS FI S L R w I , ELEV:IOD-0• ... _ 4 .. .. ... ... ... ... p m ___ ___�7 ____ _71� 13 NEW COPPER EXTERIOR ENTRY LIGHT. .. .. .. .. - .. - .. .. .. .. .. 14. NEW EARN DOOR SLIDER TRACK .. - .. .. - .. .. .:: ... ... .. i... ... .. .. .. ... ... 15 NEW 6"CONCRETE FOIJNO4RON ... .. .. EXISTING CEDAR CURERS TO BE RESTOREDI REPLACED WHERE - .. .. -. .. .. - .. .. .. .. 16 NEEDED.VJ.F.M. .. .. Y V T.O.BASEMENT SLAB I I I --r1 _ - --- -rr- - -T.- ------ ------ ------- ------- --------------- -------- ELEV:91'-3'1/4' _________ __ - _ --------------- I 2 EAST ELEVATION - .. .. .. .. - .. .. -. SCALE:114--1'-0• . - .. .'.- .. .. .. .. ... .. Ill. Q W Zg. �7 - _ J 'O W w W ... r� 203 : 5 ... ... .. I ... -. .. - ... .. -i - ..I T.O SECOND FINISH FLOOR __ _ _ __ ... : _ ELEV:103'4112• _______ ------------ __-- ... ... ... .. ... .. .. ... .. I ,__________ _ _____ _ . I.I r=SNK:=�j - - .. 11 lihty' ... ... .. .. .-. ... _ - - - (n T.O.FIRST FINISH FLOOR I i- - .. .. - .. -- .. ZO _ - ELEV:IOD-0• I .. .. .. ... .. ... ... ... - L ___________FT _ _______ - - - - L .. ... 1 II -II - ... ... .. -.- ... .. ... .. .. Lu I W z I I m .. ' :. .. :. .. � -WEST ELEVATION SCALE:114•=1'-0• A 201 ' - - - BARN SECTIONS'LEGEND 1 EXISTING ASPHALT SHINGLES TO REMAIN '-- .. .. .. . 2 NEW WHITE CEDAR LL SHINGLES PTD.WI SEMISOLID RED STAIN.5112"COURSINURSING 0 .. - .. ... ... ... RAKE/ TRIM GE TO TO —EXISTING RAK SOFFIT PACKAGE BE RESTORED. - ' .. .. .. .. RE-PAINT .. y _.. .. .:. - .. - ._ ... IN DARK E .. ... 4 NEW CIAO DOUBLE HUNG WINDOWS K GREEN TO o MATCH THE GUEST HOUSE : ... EXISTING GRANITE FOUNDATION TO BE REMOVED NEW.. . CONCRETE FOUNDATION TO BE BUILT BENEATH THE 5 EXISITNG BARN.hARN TO BE TEMPRARUILY SUPPORTED OR o .. ... .. ... MOVED TO ALLOW FOR DEMOLITION,EXCAVATION, - -- FORMWORK,AND POURING OF NEW CONCRETE. .: - .: ... ... ... .. ... ... B NEW V00D FRENCH DOORS PTD .. ... ... .. RED'REPLACED 7 EXIBTNG CEDAR GUTTERS TO BE RESTO WHERE NEEDED.VJ.F.PTD. � O ... .: .:. .: .: ... NEW L 3 'X— WRAPPED IN IX g VLRIDGE BEAMS a"EVES WRAP PINE" j S.REINFORCEAB REQUIRED — N 9. EXISTING�3"x5"®32'O.C.RAFTER REOUIR g - STRUCTURAL ENGINEER V.I.F.. W K O ... .:. :. - _.. ... .. .RFJNFOR EO Y .. .. — R D. 10 WSTING 3l5-®24'O.C.FLOOR JOISTS CEASR MRmB O tt .. ... : STRUCTURALENGINEERV.IF. I- O O O .. - .. .. .. - EXISINGREINFORCE AS.. .. —URE 21R'x B UCTU 6'O.C.FLOOR JOISTB.R U CI 17 REQUIRED BY STRUCTURAL ENGINEER V.I.F." " �12 BE POST V.F.WI STRUCTURAL ENGINEER - — — —. 13 EXISTNG6l1]'GIRT SUPPORTING SECOND FLOOR.REINFORCE - - - AS REWIRED BY STRUCTURAL ENGINEER VJ.F. W d Q . ... .. .. .. .. ... ... ... - 14 "1 ING TOP PLATE SUPPORTED BY Yx 1"TA—S TO TIE.REINFORCE AS REQUIRED BY STRUCTURAL ENGINEER V.I.F. _ ..- :. ." ... ... _ S.R AS REQUIRED BY - ... BXISTINGFALEN 23.O.C.RAFTER REINFORCE - ..- ... 15 STRIILTURAL ENGINEER V.IF. - - - : - 16 —.1.1. COLLAR TES - .. Q r.. W W 3 ` In W' mu W �.. C9 . co n I I , I 6 J -�� � � '.ECOND FINISH FLOOR SECOND FINISH FLOOR.. ___ ____-_-__ -.1[ II V:iD8'-0 112- ( lOB'4 tl2" - - - I.... . :.... ..... ...;. ::. �. ...ai... f,....�.. i.: .... 7 Rm �:...� tt f . -- f I - -- - -=- - 1 I i 1l 1111 IIII1If .FIRST FINISH FLOOR ... 'IRST FINISH FLOOR V:I.- - 12 W : Z I.L .. .: BASEMENT BLAB :4SEMENTSIAB ... ... .. ... 91'.3114- SECTION B - SECTION A - - .:.� 2 ... ... ... .. ... ... � .� ... ... .. ... .. .. ... SCALE:114•=I.d„ ... ... to Pm, recr < mn..lsapq tzestRwu�nrownpfsnennam aem sxtlaneap,men nAnn,a p P pn t-- PERC TEST:.13,7 _ DIRECTIONS: ZONE: { tea,m�* m'^�+^r*^°" PenvitivE Notes Oomfng cram H,annis: RF(RPOD) / Exisfin Shed Heodcd Oown Rt.28,Take o left be Removed / SITE PASSED No Punum Aw. Area(mrnO 87,120 SF' , o mo Then Turn left Onlo Ma'n Street Fron toga In 150' / / / •// / , / / I M..rw,o< Houle's on the left P 1372 widen cmrnj-_ \ \\ \ TEST HOLE-] TEST HOLB Z -svm«ow Setbacks Front 30' Side fs• / oas `.//'/ / /'•/ / / I s \ Rear 15' -91 m��recaa++ OVERLAY DISTRICT' F 4 !1/ ! / // I /� •r/ 4'O \ \ / - �./ ///` /' // �e`nbh Mork ,' - AP-Aquifer Protect an DisMet IN. n, £e_=17�0--3•�NGVD ... " SEPTIC mNwOu.mwTEmS S "_ .s w�o.rcmMvl'ana'e..emc eamau,r«on rorwww, - FLOOD ZONE.79 ?O 2-C. n(e ) r a Z(n7) 3 ' DESIGN DATA g- fPelo-X91. ozi rL�Uo OC�+,A;._T 1-I?ON L 5 s M bq sA 1P-x g •"w Sn- .s, Z,f992 (1-20001) Qb `a TESfNOLE 3 TEsrNOLEa re�a�m "0s.0 axma c�� �� ASSESSORS-REF.: P A o ¢' TM // C.9 C / / IM.AR1YL1aP3xeMMN CAARroMa9x HWlewN Lm Seraw&meerWa Fm«Mon«sugexo- en �p,.«'sro�k Mo 33.Porce Is 46 di 24 / / ._.—___ C—__— — / . / / // /-- aM ..a'-m p wovmwyveo«'r••wuwxa mremoc nxw.¢�n LEACHING AREA e� -c _12- F _ / ------- -_13_-- / / / / - //.. . mas.°..n`na' , r. �ma m«.m owm®..>�a«sooa - "•"'r°n.n sn w�saro sr Oti „1 1\ 1 / 1_ __ -_14_- LEACHING CHAMBER s.A9w r""'M;sa:' saga rwa \ ` — — Deslcry / 1 Fm\\ \ `\ - / / /' swroma•. .arwweaa,<.m.c a« _- 15-' / / / / Iglu saw=.owmaow�a.swmral,lam.m srwm.ase..ra« / Vent axwm. allol.ssmumof.gouaym rm.rmsnm w�am - ua�a..eD9•owwmDe,w.au«nasmo meal M• � -to'.- smr-xm„«iavaa \ / _ Final Location to be sm. _ 4swcar.«esen..e�,n. no. sae ter \ 9961 tSF loori__-- ama Ixewlwmwlm.c«owr - 1 1 sg -L-oY'Al Area Summary �_ / Ts.:c<awmr«s.rxrwsexlwm��amy. - - wws`a*.ess`Inas R Determined in Field u.smm®.•evmm m,amuseemewsm. 0 0 \ \---- _ _ -856tSF Wetland. I / \ - - .• - _ ____ ; - ti )0$079ts - Z-4A _C_Totol--_ 100 / / -Existing J / // -. - - _ GUESTHOUSE ---7r Plan) / /1 / //- DEVELOPED PROFILE OF SYSTEM \ o / Born to be -- / 19 J _--__ -__ / \-c,. NOT TO SCALE W _ / _ __-_ / modeled / 'wr .� -jJ? DESIGN DATA � 3 col _ - / \ 2 Shed r aA - /ow ppp \ \\\ S, ' 9'+er LEACHING AREAa«..ic«..w - /� Pool - Sfo Wofl typ. 31R SO,. �van.iraar ,m, .,1P-2-21 \ .Tp F r«ae,«fae�nxnse'•M.uv ./.aRmo i ' ''' ' I Proposed 9 Pbtio - - 37.0' � _ 12.6' I \_ \ LEACHINGCHAMBER r n isms r«a - - tm_[f.sLti DESIGN 37.0' \ \ \ Existing House «,.ear«n' 1 -� aat,»ru.'atF/ r be Relocated 46.2 i`------------- - - 20'' ___ __ __ -'i / ! TL` ____ __BARN/CABANA ____ G 10.7 S�Rfq \ \ \\ 10'min. DEVELOPED PROFILE OF SYSTEM r/ !I \} •2 p R,�bcoted t✓ 1 p ✓ / 21.9 �\ 7P 4 �\ NOT TO SCALE r 1 I Guest HD e 7 3 / \ d':^" ,,,re N60 �\ I \__ C `/ v / aK/��Y \\\ .•o //C/r,SF�k Oy/./ - ,p(° - JBg,SO,• _ 'ID'-min._ i5lting tic �ropStyosed �18 2 ` \\ In 7 sr .gS, /L ; to/ge R d w/t ve ADwelEle v JI_IL_ .F Elev. 22.0' FEW Zones Llne as Snown m- ✓ \ , ` -\/ - On FIRM 250001 0021 0 July 2,1992 w CROSS SECTION OF CHAMBER k NOT TO SCALE Op p O / Is. � foo' �p o�61 Legend: _ / 2.,i \\ � y�_` F4 VI. Light Post DESIGN DATA - - // J' \Igo $� `\ \ - 19/ `o /j 0. HB3 :° ..s.au< nw.) - \'\ �� `\ •�� / y ice/� / //� / /// O utility Pole a«.rem swa„« n.,r„•,e«, \ ////// // 4`\1,P`�� —OHW— Overheod Wren LEACHING AREA --25-- Elevofion Contour Prno rrae Gab Apple Tree �°•;. s::<'ny'ra.,oi•".�n°� ;m�a".'L' sw.." % ,w - \\ \\ �ct {et j ' /�//i�///Y°/ad`o--° / _ /. ./ /' // ' /. Er.maoHs HAMBER e ;•9.-r, D DESIGNSIGNNOC •°° 1 � - � rfa! ! rt, 'i,fld oak Tee Linden Tee , oTt , ,,,ma.�M.b«adma. {^-----------------------20''------- - ,I - ,. i fl.Y \ mners•wmmsa«Fm«me,. MAIN HOUSE C.d.,Tee ko�2 s � DEVELOPED PROFILE OF CML NOT TO SCALE ' � Bedm rree .. Holly rrae _ �;��^S<�� / I /b , , ,, ,- �► J ARE.• Site Plan PREPARED BY., - � - � _ d' // J PREPARED FOR: NOTES // - � / 2 lmprovments Sullivan Engineering,Inc. Robert Segal 1.)The sfn.ct—shown were looted on the ground PO 8ox 659 by convensonol sv y metnoes on or beeween O. O• O At Osterwlle, MA 02655 t6/JULr/t2 and 17/duL r/12. ti 15 Harbor Point .`C1� 1372& 1376 Main Street (508)428-3344(508)428-9617 fax Key Biscayne, FL 2.)fie Prope ty Ime into m rdW shown Hereon was 1V complied/ram o d is record 29,aofixe / //r / 1l Barnstable (cotu/t, Mass. 1 The datum used is k 1929,a fixed mean W ) Groff:JOD/CTR 20 0 f0� 20 40 80 level datum.D,<benchmark used is RM45. W txi) DATE: SCALE: 1 D-20, Review: PS - '°)PU Pe<"'Trro°M'HM F°`co"°b,'w°'" Dec.21,2012 Project: 32017 / l i