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Home My WebLink About0256 OLD OYSTER ROAD s Old 0 sir �. Y The Town of Barnstable Department of Health, Safety and Environmental Services Building Division 367 Main Street,Hyannis MA 02601 Office: 508-790-6227 Ralph M.Crossen Fax: 508-790-6230 'Building Commissioner Home Occupation Registration Date: �0 C) Name: -1 1 l C �_� �C�rJ _c�On Phone#: `T =G C1 Address: 2-- c)w. Village: Z7— Name of Business: rn e 'Y) a- ►dS Type of Business: (2tO(2-L Map/Lot: INTENT: It is the intent of this section to allow the residents of the Town of Barnstable to operate a home occupation within single family dwellings, subject to the provisions of Section 4-1.4 of the Zoning ordinance, provided that the activity shall not be discernible from outside the dwelling: there shall be no increase in noise or odor; no visual alteration to the premises which would suggest anything other than a residential use; no increase in traffic above normal residential volumes; and no increase in air or groundwater pollution. After registration with the Building Inspector, a customary home occupation shall be permitted as of right subject to the following conditions: • The activity is carried on by the permanent resident of a single family residential dwelling unit, located within that dwelling unit. • Such use occupies no more than 400 square feet of space. • There are no external alterations to the dwelling which are not customary in residential buildings, and . there is no outside evidence of such use. • No traffic will be generated in excess of normal residential volumes. • The use does not involve the production of offensive noise, vibration, smoke, dust or other particular matter, odors, electrical disturbance, heat, glare, humidity or other objectionable effects. • There is no storage or use of toxic or hazardous materials, or flammable or explosive materials, in excess of normal household quantities. • Any need for parking generated by such use shall be met on the same lot containing the Customary Home Occupation, and not within the required front yard. • There is no exterior storage or display of materiars or equipment. • There is no commercial vehicles related to the Customary Home Occupation, other than one van or one pick-up truck not to exceed one ton capacity, and one trailer not to exceed 20 feet in length and not to exceed 4 tires, parked on the same lot containing the Customary Home Occupation. • No sign shall be displayed indicating the Customary Home Occupation. _ • If the Customary Home Occupation is listed or advertised as a business, the street address shall not be included. •' No person shall be employed in the Customary Home Occupation who is not a permanent resident of the dwelling unit. 1, the undersigned, have read and agree with the above restrictions for my home occupation I am registering. Applicant: l �-C/l. ate: Homeoc.doc O ALL NEW BUSINESS OWNERS ill in please: YOUR NAME: PPLICANT'S YOUR HOME ADDRESS: USINESS G a9 Telephone Number (Home) - a ELEPHONE UY� V— A ME OF NEW BUSINESS TYPE OF BUSINESS C- oc THIS A HOME OCCUPATIONS MAP/PARCEL NUMBER 621 l bq ` "pt DDRESS OF BUSINESS hen starting a new business there are several things you must do in order to be in compliance with the rules and-regulations of the Town of arnstable. This form is jntended to assist you in obtaining the information you may need. Once you have obtained the required signatures, sted below, you may apply for a business certificate at the Town Clerk's Office (Ist floor- Town Hall). 'S 1. GO TO BUILDING INSPECTOR'S OFFICE (4TH FLOOR TOWN HALL) This individual has tben formed of any permit requirements that pertain to this type of business. CL Authorized Sghiitur6 OMM NTS: ELI-) 2. GO TO BOARD OF HEALTH (3RD FLOOR TOWN HALL) This individual has been informed of the permit requirements that pertain to this type of business. Authorized Signature OMMENTS: ' 3. GO TO CONSUMER AFFAIRS (LICENSING AUTHORITY) - (3RD FLOOR SCHOOL SDMI ISTRATION BUILDING) This individual has been informed of the licensing requirements that pertain to this type of business. Authorized Signature COMMENTS: e obtaining the required signatures you must return to the Town Clerk's Office to obtain your business M G.L. It does notcate $20.00 you Aft r g u must do 9 vfll 117 (�1 A 1111E in thA town (WI11C11 y0 y .Y r dt i •� // / �Zqp��k :.1 t II iE'TI►�� of DQoD. NuwOtuV 00 Is IN IL _ �' �•� AV JA 48 ap I e�► :�G x 44-1 LcT 3 - A of 1 41,n l . �I, •3'74 se. �P V�„tidj 1 44 �� I � � 4L••' � r j'� . ��.q2'• 4s. 4% 2 �F2 ••GpTV IT Q6.�� ' i r cE Izr � �+AT Tri M ►moo cwaLL w& L�=AYI �H caw AM2=*4 C=M Pu es WON-1 w L OA TM : JU.,5 -------� �-T- *-�-- n-1 E S t 0 E.[._1 N E A wO SoMMhZ4 PL A/J �� "��.JC. e EATS o F, '�S -rtmwti of . IBo.a4li sr>h$c.�- 61 o ee' ,,��, ___/� l -' u Ar i•- ►Dy�+ I�� /�/� , 1 ra.A¢.a s,.+��a�• l ce..►..��l� M.ems.., c..c. I 1�TE� W i 1 r 1 N 1 T7 G P�.GLD r4hr. V TO'IItiT 1G L 0" a 4♦o ItO.c+•hAn�.O. �. a �� bar. to, 1'1a1 06 0%6 / o1 Trh S LA N 'S cw—a A%j L A.Nj`o S&jav8%qG p ��F.L T''S �Fi�JN��N Sr•fccx.� A,IoT �� ,,_ . . ., .,:: . ,.,., U�E•O 't'o 0 2.M tiE t-.cm 4Iti+ES.. aLIC>r'1�-+?` > AQst�e« �A ¢eAur, -r4.r,.r o %eEEe-4AM WAY PV5Ll G, !� I 'T7 I D¢AIW FSMT Q • 52� M i I 4 0 /Vl cE,eTi�iEo • vcr�r P�i�v ov�DATiocJ ,caGQTloc/ C'orv/1� Sf/OWN h/E.2EGLl/CG�I�L YS W/Tf/ SCA L�- /:/ p o_ cI 7 �E4v/.eE�JE�c7s' of T.�,��'•'Tz��VaF / � 3 $a enl STAB L.E •4.vo /s No co .Cac.47-.E'er. LriiTy/�c/ Tf/ F.Loaa/?LA/�Y, 1 zo Q07 23 �IDEAJ Z 4//S P.C.i4 //S i!/GT Bf�SE'V d.</.4it/ .2�6/ST6.2E0 L�L�/� SU.eY6}2�t /N.s`r.e��f£Nr,s!/.eY6Y� Th/E GLsT�.r2Y/.Gls. a /'J.4SS. T157 l/.SEO 74 O6"T�,�i�fiC/E ,G.OT 4///ES. `O ALL NEW BUSINESS OWNERS II in lease: Cie h O iti p YOUR NAME: S( �! PPLICANT'3 YOUR HOME ADDRESS: USINESS G T ELEPHONE Telephone Number (Home) N � 1 -- 9 L4`1 K: ' TYPE OF BUSINESS � o c- LAME OF NEW BUSINESS S THIS A HOME OCCUPATION? �S lb� ADDRESS OF BUSINESS - - ~MAP/PARCEL NUMBER bzl ' hen starting a new business there are several things you must do In order to be in compliance with the rules and-regulations of the Town of larnstable. This form is'intended to assist you in obtaining the information you may need. Once you have obtained the required signatures, 'sted below, you may apply for a business certificate at the Town Clerk's Office (Ist floor-Town Hall). # 'S 1. GO TO BUILDING INSPECTOR'S OFFICE (4TH FLOOR TOWN HALL) This individual has b en formed of any permit requirements that pertain to this type of business. Authorized S@hiture �OMM NTS: 2. GO TO BOARD OF HEALTH (3RD FLOOR TOWN HALL) requirements that pertain to this type of busines s. This individual has been informed of the permit P Authorized Signature COMMENTS: ORITY) - (3RD FLOOR SCHOOL ADMI ISTRATION BUILDING) 3. GO TO CONSUMER AFFAIRS (LICENSING AUTH ' menu that pertain to this type of business. This individual has been informed of the licensing require Authorized Signature COMMENTS: After obtaining the required signatures you must return to the Town Clerk's Office to obtain your business certificate oes not $ve.you ft .. ,C-Tr_nc vni in 10n new in the town (which Vol, must do by M.G.L. 9 The Town of Barnstable Department of Health, Safety and Environmental Services Building Division 367 Main Street,Hyannis MA 02601 Office: 508-790-6227 Ralph M.Crossen Fax: 508-790-6230 Building Commissioner Home Occupation Registration Date: t0 C) Name: �'l l b t'J C VA SCfl Phone'#• Address: 2-, (0 c)w d �iZ Village: 6+u�� Name of Business: _T_L p-)e b Y) 4,oL ►dS Type of Business: (ILO C-L Map/Lot: 02 1 ( Oq Wf S INTENT: It is the intent of this section to allow the residents of the Town of Barnstable to operate a home occupation within single family dwellings, subject to the provisions of Section 4-1.4 of the Zoning ordinance, provided that the activity shall not be discernible from outside the dwelling: there shall be no increase in noise or odor; no visual alteration to the premises which would suggest anything other than a residential use; no increase in traffic above normal residential volumes; and no increase in air or groundwater pollution. After registration with the Building Inspector, a customary home occupation shall be permitted as of right subject to the following conditions: • The activity is carried on by the permanent resident of a single family residential dwelling unit, located within that dwelling unit. • Such use occupies no more than 400 square feet of space. • There are no external alterations to the dwelling which are not customary in residential buildings, and there is no outside evidence of such use. f • No traffic will be generated in excess of normal residential volumes. • The use does not involve the production of offensive noise, vibration, smoke, dust or other particular matter, odors, electrical disturbance, heat, glare, humidity or other objectionable effects. • There is no storage or use of toxic or hazardous materials, or flammable or explosive materials, in excess of normal household quantities. • Any need for parking generated by such use shall be met on the same lot containing the Customary Home Occupation, and not within the required front yard. • There is no exterior storage or display of materiars or equipment. • There is no commercial vehicles related to the Customary Home Occupation, other than one van or one pick-up truck not to exceed one ton capacity, and one trailer not to exceed 20 feet in length and not to exceed 4 tires, parked on the same lot containing the Customary Home Occupation. • No sign shall be displayed indicating the Customary Home Occupation. • If the Customary Home Occupation is listed or advertised as a business, the street address shall not be included. No person shall be employed in the Customary Home Occupation who is not a permanent resident of the dwelling unit. I, the undersigned, have read and agree with the above restrictions for my home occupation I am registering. Applicant: W `�� ate: Homeoc.doc I . TOWN OF BARNSTABLE CERTIFICATE OF OCCUPANCY PARCEL ID 021 109 GEQBASE ID 1019 ADDRESS 256 OLD OYSTER ROAD PHONE COTUIT ZIP LOT 3A BLOCK LOT SIZE _ DBA DEVELOPMENT DISTRICT. CT PERMIT 28111 DESCRIPTION SINGLE FAMILY DWELLING (PMT_025017) PERMIT TYPE BCOO TITLE CERTIFICATE OF OCCUPANCY CONTRACTORS: Department of Health, Safety ARCHITECTS: and Environmental Services TOTAL FEES: BOND $.00 CONSTRUCTIQN_ COSTS _ - - __ --__ ___$,00 756 CERTIFICATE OF OCCUPANCY ; t * •ARNSTABM • MASS. ED Mh►l BUILDING DIVISION BYE/ DATE ISSUED 01/05/1998 EXPIRATION DATE " '- TOWN OF.. BARN►STABLE BUILDING PERMIT l ?A_RCEL ID 021 109 GEOBASE ID 1019 ' kDDRESS 258 OLD OYSTER ,ROAD PHONE COTUIT : , ZIP - AT . 3A BLACK LOT SIZE )BA DEVELOPMENT DISTRICT CT ?ERMIT 25017 DESCRIPTION SINGLE FAM3CAR GARAGE UNDER(BBW# 97;-415) ?ERMIT TYPE BUILD TITLE NEW RESXDRNTI.AL BLDG PMT :ONTRACTORS: ARCHIBALD, WILLIAM Department of.Health, Safety 1RCHITECTS: and Environmental Services 'OTAL FEES: $820.00 30ND $.00 .. � 'ONSTRUCl'ION COSTS $200,000.00 101 SINGLE FAM HOME DETACHED ;-1 PRIVATE P •. MASS. iWNER ARCHIBALD, WILLIAM ADDRESS MIN ARCHIBALD THOMAS r `�., 9 .PARKER RD BUILLDM6DIVI f� OSTERVILLE MA BY DATE ISSUED 08/13/1997 ' EXPIRATION DATE THIS PERMIT CONVEYS NO RIGHT TO OCCUPY ANY STREET,ALLEY OR SIDEWALK OR ANY PART THEREOF,EITHER TEMPORARILY OR PERMANENTLY.EN- CROACHMENTS ON PUBLIC PROPERTY,NOT SPECIFICALLY PERMITTED UNDER THE BUILDING CODE,MUST BE APPROVED BY THE JURISDICTION.STREET OR ALLEY GRADES AS WELL AS DEPTH AND LOCATION OF PUBLIC SEWERS MAY BE OBTAINED FROMTHE DEPARTMENT OF PUBLIC WORKS.THE ISSUANCE OF THIS PERMIT DOES NOT RELEASE THE APPLICANT FROM THE CONDITIONS OF ANY APPLICMILE SUBDIVISION RESTRICTIONS. MINIMUM OF FOUR CALL INSPECTIONS REOUIRED APPROVED PLANS MUST BE RETAINED ON JOB AND FOR ALL CONSTRUCTION WORK WHERE APPLICABLE,,SEPARATE 1.FOUNDATIONS OR FOOTINGS THIS CARD KEPT POSTED UNTIL FINAL INSPECTION PERMITS ARE REOUIRED' FOR 2.PRIOR TO COVERING STRUCTURAL MEMBERS HAS BEEN MADE.WHERE!,CERTIFICATE OF OCCU ELECTRICAL,PLUMBING AND MECH- (READY TO LATH). PANCY IS REOUIRED,SUCH BUILDING SHALL NOT BE ANICAL INSTALLATIONS. S. 3.INSULATION. OCCUPIED UNTIL FINAL INSPECTION HAS BEEN MADE. 4.FINAL INSPECTION BEFORE OCCUPANCY. • • 0 , • • BUILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS / 3 1 HEATING 149PEFION Ai;PROVALS ENGINEERING DEPARTMENT �V 2 001K 1 OA OF EALTH OTHER: SITE REVIEW APPROVAL ' WORK SHALL NOT PROCEED UNTIL, PERMIT WILL BECOME NULL AND VOID IF CON- INSPECTIONS INDICATED ON THIS THE INSPECTOR HAS APPROVEDTHE STRUCTION WORK IS NOT STARTED WITHIN SIX CARD CAN BE ARRANGED FOR BY VARIOUS STAGES OF CONSTRUC- MONTHS OF DATE THE PERMIT IS ISSUED AS TELEPHONE OR WRITTEN NOTIFICA- TION. NOTED ABOVE. TION. • i "��. I Engineering Dept. (3rd floor) Map Parcel Permit# tt House# � l� 'A" to Issu 13 Board of Health(3rd floor)(8:15 9:30/1:00-4:30) - I a- 97 Fee -,IQ � . . ( ex-,Conservation Office(4th floor)(8:30- 9:30/1:00-2:00) AIRY,` r e��/ `��toT� �� Planning Dept.(1st floor/School Admin.'Bldg.) �� t ®��`/� e Al Definitive Plan Approved by Planning Board x 19 �,;• /y '�.^ BARNSTARLE, „ c / MASS tEO MAC p`� TOWN OF BARNSTABLE ,7.� ®ee uilding P rmit A li tion Project Street Address l �v Village Owner 6 // 6 Address S I Telephone aO- Permit Request Cat First Floor square feet Seed-Floor square feet Construction Type Q/t21) Estimated Project Cost $ �— Zoning District J - Flood Plain Water Protection Lot Size . Grandfathered ❑Yes 4440 Dwelling Type: Single Family Two Family ❑ Multi-Family(#units) Age of Existing Structure Historic House ❑Yes U9 0 On Old King's Highway ❑Yes Basement Type: ull ❑Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full: Existing New P-1 Half: Existing (' _ New No. of Bedrooms: Existing New - Total Total Room Count(not incl ing baths): Existing New � First.Floor Room Count Heat Type and Fuel-. Gas Oil ❑Electric ❑Other Central Air ❑Yes o Fireplaces:Existing New Existing wood/coal stove ❑Yes &<O Garage: ❑Detached(size) Other Detached Structures: ❑Pool(size) I p / ❑Attached(size) 45 (a � �� g s �� ❑Barn(size) 4!�x ' ❑None / � � F] ❑Shed(size) l� _ ---, ❑Other(size r o ow --- C�e � ) Zoning Board of Appeals Autho 'zation ❑ Appeal# Recorded Commercial ❑Yes o If yes, site plan review# Current Use _ �f-/V Proposed Uset Bu der-IIn ation L� Name �� ' hxmrt '.vD elephone Number $Address - : - I License# ;j A Home Improvement Contractor# /®/ X13—s- l .R!f, L Worker's Compensation# NEW CONSTRUCTION OR ADDITIONS REQUIRE A SITE PLAN(AS BUILT)SHOWING EXISTING,AS WELL AS _ PROPOSED STRUCTURES ON THE LOT. ALL CONSTRUCTION DEBRIS RESULTING FROMIS PR JECT WILL E TAKEN TO SIGNATURE DATE BUILDING PERMIT DENIED FOR THE FOLL WING REASON(S) _ g , FOR OFFICIAL USE ONLY PERMIT NO. " DATE ISSUED 4 MAP/PARCEL NO. ADDRESS VILLAGE OWNER DATE OF INSPECTION: FOUNDATION FRAME INSULATION + FIREPLACE -- ` ELECTRICAL: ROUGH FINAL + r PLUMBING: ROUGH FINAL + G ROUGH FINAL FINAL•BULL•DING 1 DATE CLOSED OUT ` ASSOCIATION PLAN NO. F r I 4 T O F I?�TD TU ID EMS Goo V:%:Jiii?�'G7-O;� S7-'.LL'? �amcs i;OSTO\. MJLSSAC1-IUS1=- S 02111 �c—�:ss•onc 'WORXERS'COWENSATION INSURANCE AFFIDAVIT (Uccnscdpermictcc) with a principal pl2c/c�ofbusincss1z-csddcna2c - (G�ylStaccJZip) do hereby ccrtifj; under the pains and prnalcks of perjury;Oma (� I :m an employer providing the following workcrs'compensation coverage formycmployca working on xhis job• I nsursncc Company Policy Numbcr ( ) I am -sole proprietor and have no one working for me I am s sole proprietor,gcncr-1 eonmaor or homeowner(eirde one)and have hired the eonmaors listed below 'who have the following works.:compcs uon uuu=c c policies:-6ze< ' �0 ? Neamc oIrront�aor Iusurincc CompaaylFolicr Numbs -moo C-Do � Oz Namc vs Cnntgcror - Insurzncc CompanylMky Numbu ZT 1; ofC;ont=gor 1==ncc CompmyRoticy Number Q 1 sm a homco.k-ncrperforrningall the work mysdL ?COTE: T1<_s<be a••:r<t�:t�s�c f<e<o�<ts w3o ctaploypKrsoos to do taaietcatacc.uostruct:000rtcpair�ocicon a Z--c1(ins of not evor<t1::z t%-tcc ueiu ic.+�i�tt:< also c<jUcs oe oo the LrmucZs appuewcwt 60c o sa*cc Ee10ec4uY <cnr�Zcr<Z to be<raploycrs t�lsr.t3c�od•<u'Coszpcas:tioa/tei(GL G IS2.sect.1(S)),appliatioo bya 6ocaco•�act for a lieeas< or perraFt r..:y c%ieccc< 6C 1ct:J surut cf s tc;1oycr coZcr tSc Gorkcri Carap>cotatioa Act. i ��c<rscsnc cn_t = copysc_t<n<rt�;i ix ict_•udcZ to tr.c Dcp::^cnt of IndusttiJ Acd&nu'Oricc of lascunrc(or.co-cr-!-;c �•c rifc:tion:nd th:t fc il.r<to s«vrc corcr�<a uSvacd under Scevon 35A of MGL]S2 cart kaZ co ttx imposition oflsininal pcn_l tics consis ons of a f+nc of vp to Si 500.00=der i.rri:onncnt of up to one ycsr aril ZQ penJues its the form of a Stop Voek Order ar+d a ftn<of S 100.00 a day gz;nsc m< Signed this day of Liccn:cc/Pcrm ittcc LiccnsorlPcrrnitror x, • QBINSO N__RFS I DEN.Ci=_-=_QLQ_0Y�TE$-I�Q: COT LJ I I LAC E N. U N ITS -VLHITE.^ �—��...LQ�,�`.... -- -. s��o- _. ---- ---►d z9'o' e.Q_y�3 'R' �OiC' -- i -Ile �3�IL .3� p� W S.p• 19;Q. f}µl. T tTC 11E5) 3 --11f— io'9=1�1 1¢o• H 4L4" T'Ra 7W^ ► Iar iz:o_. .. 1z-_o 1.1 � 4 �b � 4 e 9 N NI N H lE9(r -6 IT ARM q 1 FLN YV 1 1 C • �-�—•yA _ •; a � T$�'E3 a �S� 4-0 4wv° Is[19 - • 11-0 ♦Y _ tli$1 0 Per 1.�-0'. 1 Io L'•Q' {�f �I • I ••Ai, fel Fa F+s 13— _04 ! Lr_ FAR St� It u4 1 I Sr[!g( I spa . ky ��At x r to,tli 10 ' �tq,S� oLL - �i's=e• a¢� r��4 CARP¢*' 29 0 -'� NNW 7m I17-01z gEDRMpiqs l.IVINGRM 4 I e�,t I arc 1= jt- -141 -� L, - _ _.� .. ..Via. x: — Ir ' --170 ►� 4So f s w °`—M . eauir. ba W 1460A ISO� GQSAGE-LOFT&4°�' 9-q 6�s•... b- ':lh4" ��! rr=d" FINAL IOVP• u - --- _i UBLAWN R s i Q'ZX E O.LD QY.—T D. ... . 07r1-1 1 T PLACE ,�—_ ►a 9+•b' 44—' 9iti —M A=H ►f—N=b I -0' 3�5-?1 —...—i S.O- _ jV d — — 1 T5 10 -F r" - — — — — - I ` I 0'l0 1 U-0 r -R �• - file 11'4" 9=9' : 1111• � � 6-4 i 5'•u 14--�`0� ►� to=8 d,� ioi8'-��' �m•Bar 1 `I � � � .. 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COPY �QT.LL11'_.PIA�E WOOD(JIMfl - —---- TL --sac-lo-��or, w IL C�JUN4 4 5 r 3 VIMIEIto 'off 17fy A.__.A _ l At. ♦ , ;TJMt.Atr'- WA BeR I (.1'. zrY N9 _ I 91 !I +ai 1i� SRISERS EEFU%7rz3 HT. 7TWAV5 ' � 43�'v I i I ot•D RnFi_F W0Ag 93" - jR 1. cea'oR WAuS='+k'-R J3 I �cFnr� g1y----- - RIC R.-3o i I .^.� - CELLAR Cf1UNG5-b,-R-A wvjn��Ofd MIX I GRAUc LINE E 1X1. 7 4 r 5 33' ;J.am?+took MAIIA 77 .w 16" FINAL COPY �. �CRO%.._SfCTIQN 77j�.7 FbuNDnm EkTERIOR BALL GARAGE WALL &E)RM AREA r All.ram.' 3 i i �t �r t ' lz 26 r .... ...,.^T • JH E Er1` ! , FINNY pY r , z , _ II I.1 F t= i « 1 I 17 j 1 � 1/7197 :.FINAL COPY wx Sr • A C OR DTM DATE(MM/DD/YY) 11/27/95 PRooucER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE GERMANI INSURANCE AGENCY h HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR PO BOX 832 ALTER THE COVERAGE AFFORDED BY THE POLICIES ELOW. OSTERVILLE, MA 02655 ; — _ COMPANIES AFFORDING COVERAGE COMPANY HARTFORD FIRE INS. CO. A INSURED COMPANY ARCHIBALD REALTY TRUST —B , 9 PARKER ROAD 16( . 111_� OSTERVILLE,MA 02655 CO C Y COMPANY D THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED,NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED B Y THE POUCIES.DESCRIBED HEREIKIS SUBJECT.T.O ALL..THE-TERMS,. EXCLUSIONS AND CONDITIONS OF SUCH POLICIES,LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. CO POLICY EFFECTIVE j POLICY EXPIRATION LTR TYPE OF INSURANCE ! POLICY NUMBER DATE(MM/DDIYY) 1 DATE(MMIDD/YY) LIMITS - GENERAL LIABILITY GENERAL AGGREGATE i COMMERCIAL GENERAL LIABILITY j PRODUCTS-COMP/OP AGG I S CLAIMS MADE -'OCCUR i PERSONAL B ADV INJURY ti —_ OWNER'S&CONTRACTOR'S PROT EACH OCCURRENCE S FIRE DAMAGE (Any one fire) i MED EXP (Anyone person) i AUTOMOBILE LIABILITY ANY AUTO i COMBINED SINGLE LIMB i — ALL OWNED AUTOS BODILY INJURY i SCHEDULED AUTOS (Per person) — HIRED AUTOS I BODILY INJURY is — NON-OWNED AUTOS (PereccxW) _—... --..----- PROPERTY DAMAGE ; i GARAGE LIABILITY AUTO ONLY-EA ACCIDENT is — -- ---ANY AUTO I OTHER THAN AUTO ONLY: i (' --- - _ EACH ACCIDENT S AGGREGATE i -- EXCESS LIABILITY EACH OCCURRENCE i .. ..._ UMBRELLA FORM j AGGREGATE �i OTHER THAN UMBRELLA FORM � i A WORKER'S COMPENSATION AND 177 WZ NB2659 9-10-95 9-10-96 Ta vTU1UT8 oTH EMPLOYERS'LIABILITY _ _ _1_OOM EL EACH ACCIDENT i THE PROPRIETOR/ INCL I EL DISEASE-POLICY LIMB ~i SOOM PARTNERSMXECUTIVE �I---I I _--- -- OFFICERS ARE: L�EXCL I EL DISEASE-EA EMPLOYEE i 100M OTHER I I I DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/SPECIAL ITEMS I SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE 1 EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL 110 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LEASUM OF ANY KIND UPON THE COMPANY ITS AGENTS OR REPRESENTATIVES. AUTHOR R PR E r A C OR D,,, � DATE(MWDDrm .._�;. 7/23/97 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE COV THE GERMANI INSURANCE AGENCY HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 12 PARKER ROADPn PO BOX 832 COMPANIES AFFORDING COVERAGE OSTERVILLE, MA 02655 COMPANY 1 . A THE MARYLAND INSURANCE GROUP INSURED COMPANY WILLIAM ARCHIBALD B ARCHIBALD CONSTRUCTION CO. COMPANY 9 PARKER ROAD OSTERVILLE, MA 02655 - C- - - L1 - COMPANY D ;GO ,ERAGfES4` .w THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED.NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED B Y THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS. EXCLUSIONS AND CONDITIONS OF SUCH POLICIES,LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. Co LTR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE;POLICY EXPIRATION JYY LIMITS DATE(MNUDD/YY) DATE(MMlDD ) . GENERAL LIABILITY GENERAL AGGREGATE A X COMMERCIAL GENERAL LIABILITY RGP 28976604 6-1-97 6-1-98 ..$ 2,000,000 PRODUCTS-COMPIOPAGG $ 2.000,000 CLAIMS MADE X OCCUR PERSONAL&ADV INJURY S 2,000,000 OWNER'S 8 CONTRACTOR'S PROT EACH OCCURRENCE $ 1,000,000 FIRE DAMAGE (Anyone lire) $ 50,000 MED EXP (Anyone Person) $ 10,000 AUTOMOBILE LIABILITY ANY AUTO COMBINED SINGLE LIMIT $ ALL OWNED AUTOS BODILY INJURY $ SCHEDULED AUTOS (Per person) HIRED AUTOS BODILY INJURY $ NON-OWNED AUTOS (Per accident) PROPERTY DAMAGE $ GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $ ANY AUTO OTHER THAN AUTO ONLY- EACH ACCIDENT $ AGGREGATE $ EXCESS LIABILITY EACH OCCURRENCE $ UMBRELLA FORM AGGREGATE $ OTHER THAN UMBRELLA FORM $ WC STATU- OTH• WORKER'S COMPENSATION AND TORY LIMITS ER EMPLOYERS'LIABILITY EL EACH ACCIDENT $ THE PROPMETOW INCL EL DISEASE-POLICY LIMIT $ PARTNERSIEXECUTIVE -..—. OFFICERS ARE EXCL EL DISEASE-EA EMPLOYEE S - OTHER 1 DES TION OF 0 ERATIONS/LOCATIONSNEHICLES/SPECIAL ITEMS i I SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL 110 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE COMPANY NTS OR REPRESENTATIVES. AUTHQHIZID REP SE i ( AC6RD,41 x ,1/95§ ,�, .u. sxa bul 4 I 1 ARCHIBALD REALTY TRUST Realtors- Builders- Designers 9 Parker Rd. Osterville, Klass. 02655 Phone 428.8721 of 11AUT911T OF PUBLIC SAFETT i •WISTI&WEIVIS01 LICEISE `. •.� _ r,�pltllr Ilrtlbatls ; • !. _ ;It11111191 Ifi111�1121 ' Al ,'lit F 1e�sW 9 PAINEI�'40`''' OSTEIVILLE, IA 12855 108772 lestricted To, N I ` // - Kole IA - Weary oily 16 . 112 Fully Noses Failurs to possess a current edition of the lassachusetts State B uildial Code i Is Culls fo r t1Y0C1 t101 Of this illllal. i